code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
APC,1532,New Technology - Level 32 ($7001-$7500),,,,,0
APC,2055,"Tissue marker, detectable",,,,,0
APC,2616,"Brachytx, non-str,Yttrium-90",,,,,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,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,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,5192,Level 2 Endovascular Procedures,,,,,0
APC,5193,Level 3 Endovascular Procedures,,,,,0
APC,5194,Level 4 Endovascular Procedures,,,,,0
APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0
APC,5223,Level 3 Pacemaker 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,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,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,5501,"Level 1 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,5622,Level 2 Radiation Therapy,,,,,0
APC,5623,Level 3 Radiation Therapy,,,,,0
APC,5624,Level 4 Radiation Therapy,,,,,0
APC,5625,Level 5 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,5781,Resuscitation and Cardioversion,,,,,0
APC,5791,Pulmonary Treatment,,,,,0
APC,5801,Ventilation Initiation and Management,,,,,0
APC,9398,Covid-19 Vaccine Administration,,,,,0
APC,9512,RBC leukocytes reduced,,,,,0
APC,9522,RBC leukoreduced irradiated,,,,,0
APC,9530,Plate pheres leukoredu irrad,,,,,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,N811,"Observation, Other",,,,,0
APC,N900,Non-covered Services,,,,,0
APC,N902,Packaged Services,,,,,0
APC,N905,Not Recognized by OPPS,,,,,0
CDM,10001116097,HC CELLSEARCH CIRC TUMOR CEL,1501.0,1501.0,,,0
CDM,10001116117,HC FOLIC ACID 82746,90.0,90.0,,,0
CDM,10001116119,HC SALICYLATE-UR-Q80196,38.0,38.0,,,0
CDM,10001116121,HC FATTY AC FREE 82725,38.0,38.0,,,0
CDM,10001116123,HC CTC TEST W I&R,32.0,32.0,,,0
CDM,10001116127,HC VITAMIN B-1 84425,119.0,119.0,,,0
CDM,10001116135,HC ANTI-DEOXY-NASE 86225,99.0,99.0,,,0
CDM,10001116145,HC PSA (PROST SPEC ANTIG) SC,320.0,320.0,,,0
CDM,10001116181,HC PSA (PROST SPEC ANTIG) SC,154.0,154.0,,,0
CDM,10001116185,HC OCCULT BLD FECAL SCREENIN,24.0,24.0,,,0
CDM,10001116193,HC SALICYLATE-UR-Q80196,80.0,80.0,,,0
CDM,10001116195,HC MUCOPROTEIN-BLD,158.0,158.0,,,0
CDM,10001116199,HC FATTY AC FREE 82725,92.0,92.0,,,0
CDM,10001116207,HC MUCOPROTEIN-UR,158.0,158.0,,,0
CDM,10001116217,HC IMMUNOGLOB-IGD 82784,335.0,335.0,,,0
CDM,10001116223,HC REF ANTIBODY TITRATION,708.0,708.0,,,0
CDM,10001116225,HC REF RBC MOLECULAR PHENO T,296.0,296.0,,,0
CDM,10001116227,HC ANTIBODY TITER,80.0,80.0,,,0
CDM,10001116229,HC DIRECTED BLOOD DONOR COLL,351.0,351.0,,,0
CDM,10001116231,HC ANTIGEN SCR RGT COMPAT UN,224.0,224.0,,,0
CDM,10001116233,HC ANTIGEN SCR PT SERUM COMP,121.0,121.0,,,0
CDM,10001116235,HC THAWING PLASMA,91.0,91.0,,,0
CDM,10001116237,HC THAWING CRYOPRECIPITATE,48.0,48.0,,,0
CDM,10001116239,HC PREFIX RBCS INC W/CHEM/DR,136.0,136.0,,,0
CDM,10001116241,HC PREFIX RBCS DENSITY GRAD,307.0,307.0,,,0
CDM,10001116243,HC ATYPICAL AB 86870,438.0,438.0,,,0
CDM,10001116245,HC ENZYME ANTIBODY IDENTIFIC,438.0,438.0,,,0
CDM,10001116247,HC AUTOLOGOUS BLOOD COLLECT,384.0,384.0,,,0
CDM,10001116249,HC BLOOD PRODCT IRRADTN 8694,159.0,159.0,,,0
CDM,10001116251,HC RBC ELUTION,137.0,137.0,,,0
CDM,10001116253,HC DIRECT COOMBS 86880,92.0,92.0,,,0
CDM,10001116255,HC CROSS MATCH-SPIN 86920,86.0,86.0,,,0
CDM,10001116257,HC CROSS MATCH-INCUBATION,125.0,125.0,,,0
CDM,10001116259,HC CROSS MATCH-ANTIGLOBIN,125.0,125.0,,,0
CDM,10001116261,HC EXTENDED DONOR TESTING,106.0,106.0,,,0
CDM,10001116263,HC ABO IMMUNE ANTI 86850,146.0,146.0,,,0
CDM,10001116265,HC TYPING-RH SUBGR 86906,118.0,118.0,,,0
CDM,10001116269,HC ABO CELL GROUP 86900,94.0,94.0,,,0
CDM,10001116271,HC ABO GROUP 86900,94.0,94.0,,,0
CDM,10001116273,"HC TYPING,RHO ONLY 86901",66.0,66.0,,,0
CDM,10001116275,"HC TYPING, NOT ABO 86905",92.0,92.0,,,0
CDM,10001116277,HC GENOTYPING-EA,218.0,218.0,,,0
CDM,10001116279,HC INDIRECT COOMBS 86885,137.0,137.0,,,0
CDM,10001116281,HC C-PEPTIDE 84681,324.0,324.0,,,0
CDM,10001116283,HC L.E. CELL PREP 85999,171.0,171.0,,,0
CDM,10001116285,HC ALDOSTERON-RIA 82088,598.0,598.0,,,0
CDM,10001116287,HC HEP BE ANTIBODY,304.0,304.0,,,0
CDM,10001116293,"HC IMMUNOGLOBULINS(IGA,IGG,I",50.0,50.0,,,0
CDM,10001116295,HC OCCULT BLD FECAL SCREENIN,43.0,43.0,,,0
CDM,10001116297,HC ASPIRIN TOLER 80196,137.0,137.0,,,0
CDM,10001116299,HC ANTI-DEOXY-NASE86225,256.0,256.0,,,0
CDM,10001116305,"HC PROSTATE SAT BX,1-20 SPEC",1123.0,1123.0,,,0
CDM,10001116307,"HC ASSAY, IG/IGD/IGG/IGM EA",39.0,39.0,,,0
CDM,10001116309,HC VENIPUNCTURE,29.0,29.0,,,0
CDM,10001116311,HC PROTOPORPHYRINES QT 84202,218.0,218.0,,,0
CDM,10001116315,HC VITAMIN B-2 84252,143.0,143.0,,,0
CDM,10001116317,HC BM PANEL 80048 W/ CALCIUM,82.0,82.0,,,0
CDM,10001116319,HC COMP PANEL 80053 W/ CO2 &,94.0,94.0,,,0
CDM,10001116321,HC RENAL FUNCTION PANEL 8006,82.0,82.0,,,0
CDM,10001116323,HC HEPATIC PANEL 80076 W/ PR,72.0,72.0,,,0
CDM,10001116325,HC PSA DIAGNOSTIC TOTAL,91.0,91.0,,,0
CDM,10001116327,HC HEAVY METAL QNT EACH,136.0,136.0,,,0
CDM,10001116329,HC PROTEIN ELECT OTHER FLUID,102.0,102.0,,,0
CDM,10001116335,HC ELECTROLYTE PANEL,39.0,39.0,,,0
CDM,10001116341,HC LIPID PROFILE 80061,140.0,140.0,,,0
CDM,10001116343,HC ACETAMINOPHINE,97.0,97.0,,,0
CDM,10001116345,HC NUCLEOTIDASE - 83915,94.0,94.0,,,0
CDM,10001116347,"HC DRUG SCREEN, URINE QL",268.0,268.0,,,0
CDM,10001116349,HC URINE TESTOSTERONE TOTAL,146.0,146.0,,,0
CDM,10001116351,"HC PROSTATE SAT BX,21-40 SPE",1764.0,1764.0,,,0
CDM,10001116353,HC AMITRIPTYLENE 80152,125.0,125.0,,,0
CDM,10001116355,HC LECITHIN-SPHING 83661,199.0,199.0,,,0
CDM,10001116357,HC AMINOPHYL LEVEL 80198,118.0,118.0,,,0
CDM,10001116359,HC CHOLINEST&DDIBUC 82638,46.0,46.0,,,0
CDM,10001116361,HC PLACENTAL LACTO 83632,166.0,166.0,,,0
CDM,10001116363,HC CPK ISOENZYMES82552,130.0,130.0,,,0
CDM,10001116365,HC PROLACTIN LEVEL 84146,137.0,137.0,,,0
CDM,10001116367,HC ESTROGEN RECEPT 84233,715.0,715.0,,,0
CDM,10001116369,HC CALCITONIN RIA 82308,202.0,202.0,,,0
CDM,10001116371,HC ALCOHOL METHYL 84600,81.0,81.0,,,0
CDM,10001116373,HC ANGIO-CONV,138.0,138.0,,,0
CDM,10001116375,HC URIC ACID (URINE),35.0,35.0,,,0
CDM,10001116377,HC ZINC 84630,96.0,96.0,,,0
CDM,10001116379,HC CARBAMAZE 80156,118.0,118.0,,,0
CDM,10001116381,HC RBC FOLATE,82.0,82.0,,,0
CDM,10001116383,HC T-4 - FREE,118.0,118.0,,,0
CDM,10001116385,HC GLUCOSE-UR-QT,35.0,35.0,,,0
CDM,10001116387,HC IMIPRAMINE 80174,119.0,119.0,,,0
CDM,10001116389,HC THIAMINE,110.0,110.0,,,0
CDM,10001116391,HC TOBRA PK 80200,119.0,119.0,,,0
CDM,10001116393,HC TOBRA 80200,119.0,119.0,,,0
CDM,10001116395,HC THEOPHYLLINE-HP 80198,119.0,119.0,,,0
CDM,10001116397,HC MYOGLOBIN 83874,58.0,58.0,,,0
CDM,10001116399,"HC HEMOGLOBIN, FETA 83030",78.0,78.0,,,0
CDM,10001116401,HC PLASMA HGB,83.0,83.0,,,0
CDM,10001116403,HC PROTEIN ELECT 84165 SERUM,140.0,140.0,,,0
CDM,10001116405,"HC QUINIDINE,BLOOD 80194",145.0,145.0,,,0
CDM,10001116407,HC IRON SAT % 83540,46.0,46.0,,,0
CDM,10001116411,"HC SODIUM, URINE 84300",35.0,35.0,,,0
CDM,10001116413,HC POTASSIUM-URINE 84133,35.0,35.0,,,0
CDM,10001116415,HC POTASSIUM 24 HR UR 84133,38.0,38.0,,,0
CDM,10001116417,HC PHOS-PROSTAT-AC 84066,40.0,40.0,,,0
CDM,10001116419,"HC PHOSPHATASE, AL 84075",50.0,50.0,,,0
CDM,10001116421,HC PHOSPORUS-UR 84105,35.0,35.0,,,0
CDM,10001116423,HC PORPHOBILINOG QUAL 84106,69.0,69.0,,,0
CDM,10001116425,HC PORPHOBINOG - QUANT 84110,98.0,98.0,,,0
CDM,10001116427,HC OSMOLARITY-UR 83935,38.0,38.0,,,0
CDM,10001116429,HC ACID MUCOLYSA 83864 QT,161.0,161.0,,,0
CDM,10001116431,HC MAGNESIUM-UR83735,65.0,65.0,,,0
CDM,10001116433,"HC MEPROBAMATE, BLD 83805",126.0,126.0,,,0
CDM,10001116435,HC LEAD UR-QT 83655,132.0,132.0,,,0
CDM,10001116437,"HC LDH, URINE 83615",53.0,53.0,,,0
CDM,10001116439,HC HYDRXYPRLN FREE 83500,232.0,232.0,,,0
CDM,10001116441,HC ALPHAIFETOPROP SERUM 8210,121.0,121.0,,,0
CDM,10001116443,HC HYDRXPRLN TOT 83505,232.0,232.0,,,0
CDM,10001116445,"HC CALCIUM, IONIZE 82330",62.0,62.0,,,0
CDM,10001116447,HC BICARBONATE-CO2 82374,35.0,35.0,,,0
CDM,10001116449,HC PLACIDYL,90.0,90.0,,,0
CDM,10001116451,HC CYANIDE 82600,130.0,130.0,,,0
CDM,10001116453,"HC CYSTINE,QL-UR 82615",38.0,38.0,,,0
CDM,10001116455,"HC CYSTINE,QT-UR",132.0,132.0,,,0
CDM,10001116457,HC DELTA AMINO LEV82135,116.0,116.0,,,0
CDM,10001116459,HC CARBOXY HBG SAT 82375 QT,119.0,119.0,,,0
CDM,10001116461,HC CREATINE-URINE-24HRS.8254,65.0,65.0,,,0
CDM,10001116465,HC CHOLINEST SERUM 82480,707.0,707.0,,,0
CDM,10001116467,HC PROGESTERONE RECEPTOR ASS,784.0,784.0,,,0
CDM,10001116469,HC CHLORIDES-CSF 82438,35.0,35.0,,,0
CDM,10001116471,HC ACETONE-QL 82009,16.0,16.0,,,0
CDM,10001116473,HC GG TRANSPEPTID 82977,116.0,116.0,,,0
CDM,10001116475,HC GLUTETHIMIDE-BL 82980,147.0,147.0,,,0
CDM,10001116477,"HC PROSTATE SAT BX,41-60 SPE",3046.0,3046.0,,,0
CDM,10001116479,HC AMIKACIN PEAK/TROGH 80150,113.0,113.0,,,0
CDM,10001116481,HC ICD-ISOCITRIC 83570,53.0,53.0,,,0
CDM,10001116483,HC C-6-PD,94.0,94.0,,,0
CDM,10001116485,HC CAROTENE 82380,69.0,69.0,,,0
CDM,10001116487,HC XYLOSE TOLERANC 84620,137.0,137.0,,,0
CDM,10001116489,HC CREATINE CLEAR 82575,62.0,62.0,,,0
CDM,10001116491,HC AMINO ACIDS-BLD,97.0,97.0,,,0
CDM,10001116493,"HC CRYOGLOBULIN,QUAL/SEMIQT",62.0,62.0,,,0
CDM,10001116495,HC SGP TRANSAMINAS 84460,53.0,53.0,,,0
CDM,10001116497,HC TRIGLYCERIDES 84478,40.0,40.0,,,0
CDM,10001116499,HC PHENYLALANIE 84030,76.0,76.0,,,0
CDM,10001116501,HC LDH ISOZYMES 83625,110.0,110.0,,,0
CDM,10001116505,"HC CERULOPLASMIN,Q82390",116.0,116.0,,,0
CDM,10001116507,HC ELECTROPHOR-HGB83020,121.0,121.0,,,0
CDM,10001116511,HC ALDOLASE 82085,53.0,53.0,,,0
CDM,10001116515,HC GASES PCO2 82803,50.0,50.0,,,0
CDM,10001116517,"HC GASES, PO2 82803",50.0,50.0,,,0
CDM,10001116519,HC ART BLOOD GASES 82803,195.0,195.0,,,0
CDM,10001116521,"HC BILIRUBIN,DIREC82250",43.0,43.0,,,0
CDM,10001116523,HC ALBUMIN SERUM 82040,36.0,36.0,,,0
CDM,10001116525,"HC DILANTIN,QT 80185",119.0,119.0,,,0
CDM,10001116527,HC OSMOLALITY-BLD 83930,38.0,38.0,,,0
CDM,10001116529,HC CREATININE-UR OR OTHR SOU,35.0,35.0,,,0
CDM,10001116531,HC HDL LIPOPROTEIN 83718,127.0,127.0,,,0
CDM,10001116533,HC CK MB 82553,97.0,97.0,,,0
CDM,10001116535,HC LITHIUM-BLOOD 80178,40.0,40.0,,,0
CDM,10001116537,HC AMYLASE-BLD 82150,38.0,38.0,,,0
CDM,10001116539,HC VITAMIN C 82180,38.0,38.0,,,0
CDM,10001116541,HC ACETONE-QT 82010,46.0,46.0,,,0
CDM,10001116543,HC ALCOHOL-ETHYL 82055,119.0,119.0,,,0
CDM,10001116545,"HC BILIRUBIN,TOTA",35.0,35.0,,,0
CDM,10001116547,HC METAL SCREEN 83015,90.0,90.0,,,0
CDM,10001116549,HC LEUCINE AMINOPE 83670,90.0,90.0,,,0
CDM,10001116551,HC LIDOCAINE 80176,102.0,102.0,,,0
CDM,10001116553,HC LDH 83615,76.0,76.0,,,0
CDM,10001116555,HC SGO TRANSAMINAS 84450,53.0,53.0,,,0
CDM,10001116557,HC NORTRIPTYLINE 80182,135.0,135.0,,,0
CDM,10001116559,HC CALCIUM-BLD 82310,62.0,62.0,,,0
CDM,10001116563,HC CHLORIDES-BLD 82435,35.0,35.0,,,0
CDM,10001116565,HC ALDOSTERONE 82088,212.0,212.0,,,0
CDM,10001116567,"HC CHOLESTEROL,TOT 82465",35.0,35.0,,,0
CDM,10001116571,HC COPPER 82525,102.0,102.0,,,0
CDM,10001116573,HC CREATININE-BLD 82565,62.0,62.0,,,0
CDM,10001116575,"HC CYSTINE, QT BLD 82131",132.0,132.0,,,0
CDM,10001116579,HC VITAMIN A QUAN 84590,58.0,58.0,,,0
CDM,10001116581,"HC HB-METH, SULF, ET 83050",69.0,69.0,,,0
CDM,10001116583,HC LACTIC AC BLD=Q 83605,92.0,92.0,,,0
CDM,10001116585,HC LIPASE-BLD 83690,50.0,50.0,,,0
CDM,10001116587,HC MAGNESIUM-BLD 83735,65.0,65.0,,,0
CDM,10001116589,HC PHOSPHORUS BLD 84100,36.0,36.0,,,0
CDM,10001116591,HC PH,24.0,24.0,,,0
CDM,10001116593,HC POTASSIUM-BLD 84132,35.0,35.0,,,0
CDM,10001116595,HC ALK PHOS ISOENZ 84080,126.0,126.0,,,0
CDM,10001116597,HC METHANESPHRINES 83835,130.0,130.0,,,0
CDM,10001116599,HC AMMONIA 82140,58.0,58.0,,,0
CDM,10001116601,HC SODIUM-BLD 84295,35.0,35.0,,,0
CDM,10001116605,HC GTT-EACH ADD SP 82952,30.0,30.0,,,0
CDM,10001116609,"HC PROTEIN, TOTAL 84155 SERU",35.0,35.0,,,0
CDM,10001116611,HC VITAMIN E ASSAY 84446,132.0,132.0,,,0
CDM,10001116613,HC UREA NITROGEN 84520 QUANT,42.0,42.0,,,0
CDM,10001116615,HC UREA CLEARANCE 84545,58.0,58.0,,,0
CDM,10001116617,HC URIC ACID - BLD 84550,35.0,35.0,,,0
CDM,10001116619,HC T-3 UPTAKE 84479,106.0,106.0,,,0
CDM,10001116621,HC OCCULT BLOOD 82270 3 CARD,24.0,24.0,,,0
CDM,10001116623,"HC PROSTATE SAT BX, >60 SPEC",3688.0,3688.0,,,0
CDM,10001116625,"HC TRYPSIN, QUAL 84488",38.0,38.0,,,0
CDM,10001116627,HC UROBLINO-FEC 84577 QUANT,90.0,90.0,,,0
CDM,10001116629,"HC TRYPSIN, SEMI 84490 QT",58.0,58.0,,,0
CDM,10001116631,HC HISTAMINE 83088,337.0,337.0,,,0
CDM,10001116633,HC ACTH 82024,286.0,286.0,,,0
CDM,10001116635,HC FERRITIN ASSAY 82728,127.0,127.0,,,0
CDM,10001116637,HC CATECHOLAMINES BLOOD 8238,242.0,242.0,,,0
CDM,10001116639,HC VMA 84585,164.0,164.0,,,0
CDM,10001116641,HC HOMOVANILIC ACI 83150,216.0,216.0,,,0
CDM,10001116643,HC 17-HYDROXYCORT,84.0,84.0,,,0
CDM,10001116645,HC KETOSTEROIDS 17 TOTAL,148.0,148.0,,,0
CDM,10001116647,HC HAPTOGLOBIN 83010 QT,120.0,120.0,,,0
CDM,10001116649,"HC ESTROGEN,TOTAL 82672",148.0,148.0,,,0
CDM,10001116651,HC BENZODIAZEPINE 80154,120.0,120.0,,,0
CDM,10001116653,HC PHENCYCLIDINE,109.0,109.0,,,0
CDM,10001116655,HC CARBON MONOXIDES QUANT 82,97.0,97.0,,,0
CDM,10001116657,HC ARSENIC 82175,171.0,171.0,,,0
CDM,10001116659,HC PRONESTYL LEVEL 80190,130.0,130.0,,,0
CDM,10001116661,HC N-ACETYL PROCAINAMIDE 801,154.0,154.0,,,0
CDM,10001116663,HC CATECHOLAMINES FRECTIONAT,310.0,310.0,,,0
CDM,10001116665,HC HEMOGLOBIN GYLC 83036,90.0,90.0,,,0
CDM,10001116667,HC PREGNANETRIOL 84138,84.0,84.0,,,0
CDM,10001116671,HC PREGNANEDIOL QU 84135,84.0,84.0,,,0
CDM,10001116673,HC HCG QUAL -- SPECIAL 89630,86.0,86.0,,,0
CDM,10001116675,"HC IRON, TOTAL BIND 83550",62.0,62.0,,,0
CDM,10001116677,HC SALICYLATE-BLD 80196,38.0,38.0,,,0
CDM,10001116679,"HC IRON, TOTAL-BLD 83540",37.0,37.0,,,0
CDM,10001116681,HC CATECHOLAMINES TOT URINE,134.0,134.0,,,0
CDM,10001116683,HC LEAD BLD-QT 83655,134.0,134.0,,,0
CDM,10001116685,HC 5-HIAA QT 83497,99.0,99.0,,,0
CDM,10001116687,HC CALCIUM TOLER 82331,203.0,203.0,,,0
CDM,10001116691,HC OXALATE (URINE) 83945,131.0,131.0,,,0
CDM,10001116693,HC IRON UNSAT BNG 83550,43.0,43.0,,,0
CDM,10001116695,HC FATTY AC FREE Q 82725,134.0,134.0,,,0
CDM,10001116697,HC TRANSFERRIN 86329,102.0,102.0,,,0
CDM,10001116699,HC IMMUNO-IGG-CSF 82784,113.0,113.0,,,0
CDM,10001116701,HC ORINASE TOLER 82953,84.0,84.0,,,0
CDM,10001116703,HC GLUCOSE-CSF-QT,35.0,35.0,,,0
CDM,10001116705,"HC COPPER,URINE 82525",102.0,102.0,,,0
CDM,10001116707,HC CALCIUM-FECES 82310,35.0,35.0,,,0
CDM,10001116709,HC FECAL FAT QUAL.,35.0,35.0,,,0
CDM,10001116711,"HC IGA, IGG, IGM-QT EACH 827",195.0,195.0,,,0
CDM,10001116713,HC GLUTETHIMIDE-UR 82980,147.0,147.0,,,0
CDM,10001116715,"HC MAPROBAMATE, UR 83805",138.0,138.0,,,0
CDM,10001116717,HC UROBILINOGUR-UR-QUAL 8457,90.0,90.0,,,0
CDM,10001116719,HC UROPORPHYRINS-QUANT 84120,102.0,102.0,,,0
CDM,10001116725,HC IMMUNNGLOB-IGD 82784,140.0,140.0,,,0
CDM,10001116727,HC IGE-QUANT 82785,130.0,130.0,,,0
CDM,10001116729,HC MYSOLINE LEVEL 80188,112.0,112.0,,,0
CDM,10001116731,"HC FAT, FECAL, TOTAL 82710QT",132.0,132.0,,,0
CDM,10001116733,HC ELECTROPHOR-CSF84165,79.0,79.0,,,0
CDM,10001116737,HC VITAMIN B-12 82607,86.0,86.0,,,0
CDM,10001116741,HC VITAMIN B-6 NPYR 84207,126.0,126.0,,,0
CDM,10001116743,HC FOLIC ACID SER 82746,126.0,126.0,,,0
CDM,10001116745,HC LACTOSE TOL EA 82952,30.0,30.0,,,0
CDM,10001116747,HC MYELIN BASIC PROTIEN-CSF,218.0,218.0,,,0
CDM,10001116749,HC ERYTHROPOETIN 82668,119.0,119.0,,,0
CDM,10001116751,HC CEA 82378,110.0,110.0,,,0
CDM,10001116753,HC ESTRADIOL BY RI82670,180.0,180.0,,,0
CDM,10001116755,HC PLASMA SEROTONIN 84260,232.0,232.0,,,0
CDM,10001116757,HC TESTOSTERONE TOTAL 84403,147.0,147.0,,,0
CDM,10001116759,HC BLOOD DIGOXIN 80162,294.0,294.0,,,0
CDM,10001116761,HC GASTTRI BY RIA 82941,116.0,116.0,,,0
CDM,10001116763,HC INSULIN LEVEL - TOTAL 835,145.0,145.0,,,0
CDM,10001116765,HC L-H BY RIA 83002,184.0,184.0,,,0
CDM,10001116767,HC RENIN BY LEVEL 84244,170.0,170.0,,,0
CDM,10001116769,HC CORTISOL PLASMA TOTAL 825,109.0,109.0,,,0
CDM,10001116771,HC T-4 BY RIA,97.0,97.0,,,0
CDM,10001116775,HC GROWTH HORMONE 83003,119.0,119.0,,,0
CDM,10001116777,HC ANDROSTENDIONE82157,248.0,248.0,,,0
CDM,10001116779,HC TSH BY RIA 84443,140.0,140.0,,,0
CDM,10001116781,HC PTH BY RIA 83970,300.0,300.0,,,0
CDM,10001116783,HC ACID PHOS RIA 84060,97.0,97.0,,,0
CDM,10001116785,HC THY BNG GLOB - R 84442,137.0,137.0,,,0
CDM,10001116787,HC THY BNG GLOB - R 84442,145.0,145.0,,,0
CDM,10001116789,HC ANTI-GAMMA GLOB,195.0,195.0,,,0
CDM,10001116791,HC CRYFIBRINOGEN 82585,24.0,24.0,,,0
CDM,10001116793,HC STONE XRAY DIFF 82370,129.0,129.0,,,0
CDM,10001116795,HC FAT STAIN QT,35.0,35.0,,,0
CDM,10001116797,"HC PH, REACTION 83986",12.0,12.0,,,0
CDM,10001116799,HC HEMOSIDERIN QUAL 83070,35.0,35.0,,,0
CDM,10001116801,HC OCCULT BLOOD 82273,94.0,94.0,,,0
CDM,10001116803,HC DAU SCREEN QL,218.0,218.0,,,0
CDM,10001116805,HC LYME INDEX CSF*,48.0,48.0,,,0
CDM,10001116807,HC TRYPTASE,168.0,168.0,,,0
CDM,10001116809,HC BOTULINUM TOXIN A AB,746.0,746.0,,,0
CDM,10001116811,HC CYCLOSPORIN,282.0,282.0,,,0
CDM,10001116813,HC CMV QUAL PCR,436.0,436.0,,,0
CDM,10001116815,HC VITAMIN B-2 84252,324.0,324.0,,,0
CDM,10001116817,HC BARBITURATE SCREEN 80101,40.0,40.0,,,0
CDM,10001116821,HC JAK2 MUTATION*,862.0,862.0,,,0
CDM,10001116823,HC HLA TYPING CELIAC DISEASE,1742.0,1742.0,,,0
CDM,10001116825,HC LAMATRIGINE,66.0,66.0,,,0
CDM,10001116827,HC PARIETAL CELL ANTIBODY,62.0,62.0,,,0
CDM,10001116829,HC TISSUE TRANSGLUTIMANASE,195.0,195.0,,,0
CDM,10001116831,HC THYRIOD STIM IMMUNOGLOB T,218.0,218.0,,,0
CDM,10001116833,HC MICROALBUMIN (URINE)*,124.0,124.0,,,0
CDM,10001116835,HC METHAQUALONE,87.0,87.0,,,0
CDM,10001116837,HC OPIATE SCREEN URINE,114.0,114.0,,,0
CDM,10001116839,HC S505 MUTATION ANALYSIS*,888.0,888.0,,,0
CDM,10001116841,HC TAMOXIFEN P450*,984.0,984.0,,,0
CDM,10001116843,HC HEP C VIRUS FIBROSURE*,417.0,417.0,,,0
CDM,10001116845,HC NEOCOMP PARANEOPLASTIC PR,5930.0,5930.0,,,0
CDM,10001116847,HC THERAGUIDE 5FU,2702.0,2702.0,,,0
CDM,10001116849,HC PROTHROMBIN GENE ANALYSIS,148.0,148.0,,,0
CDM,10001116851,HC ANTI MULLERIAN ASSESSR TM,230.0,230.0,,,0
CDM,10001116853,HC BM PANEL 80048 W/CALCIUM,233.0,233.0,,,0
CDM,10001116855,HC CHYLOMICRONS (FLUID),262.0,262.0,,,0
CDM,10001116857,HC COMP PANEL 80053 W/CO2&AL,273.0,273.0,,,0
CDM,10001116859,HC ALPHA GLOBIN GENE SEQ*,98.0,98.0,,,0
CDM,10001116861,HC PROTEIN 14 CSF,240.0,240.0,,,0
CDM,10001116863,HC LIPOPROFILE NMR*,244.0,244.0,,,0
CDM,10001116865,HC INHIBIN B,273.0,273.0,,,0
CDM,10001116867,HC NASH FIBROSURE*,729.0,729.0,,,0
CDM,10001116869,HC SULFATIDE ANTIBODY TEST,814.0,814.0,,,0
CDM,10001116871,HC RENAL FNCTNPANEL 80069,218.0,218.0,,,0
CDM,10001116873,HC FUNGITEL(R)(1-3) BDGLUCAN,528.0,528.0,,,0
CDM,10001116875,HC VOLTAGE GATED CALCIUM CHN,230.0,230.0,,,0
CDM,10001116877,HC DIGITOXIN,67.0,67.0,,,0
CDM,10001116879,"HC ETHYLENE GLYCOL, BLOOD",52.0,52.0,,,0
CDM,10001116881,HC HEPATIC PANEL 80076 W/PRO,215.0,215.0,,,0
CDM,10001116883,HC CARNITINE TOTAL,142.0,142.0,,,0
CDM,10001116885,HC CARNITINE FREE,142.0,142.0,,,0
CDM,10001116887,HC FENTANYL,310.0,310.0,,,0
CDM,10001116889,"HC ADMARK TAU, CSF",2175.0,2175.0,,,0
CDM,10001116891,"HC DRUG ABUSE SCREEN, MECONI",151.0,151.0,,,0
CDM,10001116893,HC TRICYCLICS (GEN) G0431,574.0,574.0,,,0
CDM,10001116897,HC PHENYTOIN FREE,154.0,154.0,,,0
CDM,10001116899,HC TACROLIMUS,440.0,440.0,,,0
CDM,10001116901,HC GABAPENTIN,92.0,92.0,,,0
CDM,10001116903,HC AMIODARONE,92.0,92.0,,,0
CDM,10001116905,"HC QUANTITATIVE ASSAY, DRUG",58.0,58.0,,,0
CDM,10001116907,HC CAFFEINE,92.0,92.0,,,0
CDM,10001116909,HC CLOMIPRAMINE LEVEL,106.0,106.0,,,0
CDM,10001116911,HC DESMETHYCLOMIPROMINE LEVE,106.0,106.0,,,0
CDM,10001116913,HC SIROLIMUS,268.0,268.0,,,0
CDM,10001116915,HC LEVETIRACETAM,152.0,152.0,,,0
CDM,10001116917,HC BETA HYDROXYBUTYRATE,161.0,161.0,,,0
CDM,10001116919,HC ALPHA 1 ANTRYPSIN PHENOTY,64.0,64.0,,,0
CDM,10001116921,HC AFP AMNIO FLUID*,58.0,58.0,,,0
CDM,10001116923,HC ALUMINUM WHOLE BLOOD,168.0,168.0,,,0
CDM,10001116925,HC AMINO ACIDS-QUANT,120.0,120.0,,,0
CDM,10001116927,HC BETAMICROGLOBULIN URINE,48.0,48.0,,,0
CDM,10001116929,HC B2 MICROGLOBULIN BLD,48.0,48.0,,,0
CDM,10001116931,HC BRAIN NATRIURETIC PEPTIDE,572.0,572.0,,,0
CDM,10001116933,HC ANTI GLIADIN 1ST,80.0,80.0,,,0
CDM,10001116935,HC ANTI GLIADIN 2ND,80.0,80.0,,,0
CDM,10001116937,HC OXYCODONE CONFIRMATION,386.0,386.0,,,0
CDM,10001116939,HC LIPROPROTEIN,86.0,86.0,,,0
CDM,10001116941,HC APOLIPOPROTEIN A,86.0,86.0,,,0
CDM,10001116943,HC APOLIPOPROTEIN B,86.0,86.0,,,0
CDM,10001116945,HC BILE ACIDS,102.0,102.0,,,0
CDM,10001116947,HC CHROMOGRANIN A,196.0,196.0,,,0
CDM,10001116949,HC CHLORIDE - URINE 82436,92.0,92.0,,,0
CDM,10001116951,"HC HOMOCYSTINE, QUAN.",390.0,390.0,,,0
CDM,10001116953,HC CALCITONIN,411.0,411.0,,,0
CDM,10001116955,HC PROZAC (FLUOXETINE),329.0,329.0,,,0
CDM,10001116957,HC FREE PSA,256.0,256.0,,,0
CDM,10001116959,HC PSA DIAGNOSTIC TOTAL,256.0,256.0,,,0
CDM,10001116961,HC METHYLMALONIC QT,147.0,147.0,,,0
CDM,10001116963,HC THIOPURINE METABOLITES 6T,735.0,735.0,,,0
CDM,10001116965,HC CHROMIUM SERUM,88.0,88.0,,,0
CDM,10001116967,HC COLLAGEN CROSS LINK,65.0,65.0,,,0
CDM,10001116969,HC ROHYPNOL,266.0,266.0,,,0
CDM,10001116971,HC COLLAGEN CROSS LINK OTHER,65.0,65.0,,,0
CDM,10001116973,HC VIT B12 UNSAT. BNDNG CAPA,67.0,67.0,,,0
CDM,10001116975,HC DHEA-S,44.0,44.0,,,0
CDM,10001116977,HC HYDROCODONE LEVEL URINE,212.0,212.0,,,0
CDM,10001116979,"HC HYDROMORPONE, UR",130.0,130.0,,,0
CDM,10001116981,HC DIHYDROTESTOSTERONE,113.0,113.0,,,0
CDM,10001116983,HC ADENOSINE DEAMINASE BLOOD,220.0,220.0,,,0
CDM,10001116985,HC TPMT ENZYME ACTIVITY,718.0,718.0,,,0
CDM,10001116987,HC ELECTROPHORETIC TECHNIQUE,168.0,168.0,,,0
CDM,10001116989,HC ESTRONE,222.0,222.0,,,0
CDM,10001116991,HC FETAL FIBRONECTIN  82731,790.0,790.0,,,0
CDM,10001116993,HC IMMUNOGLOBULIN M QT REF,46.0,46.0,,,0
CDM,10001116995,HC IMMUNOGLOBULIN SUBCLASSES,154.0,154.0,,,0
CDM,10001116999,HC GLUCAGON,76.0,76.0,,,0
CDM,10001117001,HC FRUCTOSAMINE,42.0,42.0,,,0
CDM,10001117003,HC COBALT SERUM/PLASMA QT,118.0,118.0,,,0
CDM,10001117005,HC 17-HYDROXYPROGESTERONE,136.0,136.0,,,0
CDM,10001117007,HC GENOMIC ONCOTYPE DX TEST,6260.0,6260.0,,,0
CDM,10001117009,HC HISTINE ANTIBODY,94.0,94.0,,,0
CDM,10001117011,HC PTH-RELATED PROTEIN,248.0,248.0,,,0
CDM,10001117013,HC TRYPSIN IMMUNOASSAY,276.0,276.0,,,0
CDM,10001117015,HC TRYPSINOGEN IMMUNOASSAY,326.0,326.0,,,0
CDM,10001117017,HC GLUTAMIC ACID DECARBOXYLA,164.0,164.0,,,0
CDM,10001117019,HC ANTI GMB ANTIBODY,193.0,193.0,,,0
CDM,10001117021,HC GANGLIOSIDE GM1 FIRST,80.0,80.0,,,0
CDM,10001117023,HC GANGLIOSIDE GM1 SECOND,80.0,80.0,,,0
CDM,10001117025,HC ACETYLCHOLINE BLOCKING AB,127.0,127.0,,,0
CDM,10001117027,HC ACETYLCHOLINE MODULATING,127.0,127.0,,,0
CDM,10001117029,HC INSULIN FREE,123.0,123.0,,,0
CDM,10001117031,"HC LACTOFERRIN, STOOL",178.0,178.0,,,0
CDM,10001117033,HC VAP CHOLESTOROL,58.0,58.0,,,0
CDM,10001117035,HC GONADOTROPIN RELEASING HO,824.0,824.0,,,0
CDM,10001117037,HC MANGANES LEVEL,168.0,168.0,,,0
CDM,10001117039,HC HYPOGLYCEMIC PANEL,472.0,472.0,,,0
CDM,10001117041,HC METHODONE LEVEL URINE,543.0,543.0,,,0
CDM,10001117043,HC C1 ESTERRASE INHIBITION,90.0,90.0,,,0
CDM,10001117045,HC FREE LIGHT CHAINS UR,72.0,72.0,,,0
CDM,10001117047,HC FREE LIGHT CHAINS BL,72.0,72.0,,,0
CDM,10001117049,HC NUCLEIC ACID EXTRACTION*,451.0,451.0,,,0
CDM,10001117051,HC MOLECULAR DX ENZYME DIGES,18.0,18.0,,,0
CDM,10001117053,HC MOLECULAR DX ENZYME DIGES,18.0,18.0,,,0
CDM,10001117055,HC NUCLEIC ACID PROBE 1,18.0,18.0,,,0
CDM,10001117057,HC NUCLEIC ACID PROBE 2,18.0,18.0,,,0
CDM,10001117059,HC NUCLEIC ACID PROBE 3,18.0,18.0,,,0
CDM,10001117061,HC NUCLEIC ACID PROBE 4,18.0,18.0,,,0
CDM,10001117063,HC NUCLEIC ACID AMPLIFICATIO,70.0,70.0,,,0
CDM,10001117065,HC NUCLEIC ACID AMPLIFICATIO,70.0,70.0,,,0
CDM,10001117067,HC WARFARIN SENSITIVITY DETE,726.0,726.0,,,0
CDM,10001117069,HC HEMOCHROMATOSIS DNA/MUTAT,498.0,498.0,,,0
CDM,10001117071,HC PROTHROMBIN GENE INTERPRE,18.0,18.0,,,0
CDM,10001117073,HC MORPHINE,340.0,340.0,,,0
CDM,10001117075,HC OSTEOCALCIN,118.0,118.0,,,0
CDM,10001117077,HC BONE SPECIFIC ALKPHOS,81.0,81.0,,,0
CDM,10001117079,HC PREALBUMIN  84134,180.0,180.0,,,0
CDM,10001117081,HC CYCLIC CITRULLIN PEPTIDE,310.0,310.0,,,0
CDM,10001117085,HC PROINSULIN,238.0,238.0,,,0
CDM,10001117087,HC AMNISURE PLACENTAL A1 MIC,242.0,242.0,,,0
CDM,10001117089,HC ACETYLCHOLINE RECEPTOR AN,127.0,127.0,,,0
CDM,10001117091,HC SELENIUM LEVEL,168.0,168.0,,,0
CDM,10001117093,HC SEX HORMONE BINDING GLOBU,98.0,98.0,,,0
CDM,10001117095,HC ADENOSINE DEAMINASE FLUID,1374.0,1374.0,,,0
CDM,10001117097,HC FECAL REDUCING SUBSTANCE,42.0,42.0,,,0
CDM,10001117099,HC GLYCOMARK,96.0,96.0,,,0
CDM,10001117101,HC T3-FREE,34.0,34.0,,,0
CDM,10001117103,HC T3 REVERSE,146.0,146.0,,,0
CDM,10001117105,HC TROPONIN-I QUANT 84484,233.0,233.0,,,0
CDM,10001117107,HC UREA NITROGEN URINE,102.0,102.0,,,0
CDM,10001117109,HC ARGININE VASPORESSIN,92.0,92.0,,,0
CDM,10001117111,HC NIACIN,184.0,184.0,,,0
CDM,10001117117,HC ELECTROLYTE PANEL,209.0,209.0,,,0
CDM,10001117123,HC LIPID PROFILE 80061,384.0,384.0,,,0
CDM,10001117125,HC ACETAMINOPHINE,315.0,315.0,,,0
CDM,10001117127,HC VIP,268.0,268.0,,,0
CDM,10001117129,HC ERYTHROPOIETIN,414.0,414.0,,,0
CDM,10001117131,HC KLONOPIN,244.0,244.0,,,0
CDM,10001117133,HC NUCLEOTIDASE-5 83915,234.0,234.0,,,0
CDM,10001117135,"HC DRUG SCREEN,URINE",648.0,648.0,,,0
CDM,10001117137,HC TESTOSTERONE FREE,394.0,394.0,,,0
CDM,10001117139,HC URINE TESTOSTERONE TOTAL,394.0,394.0,,,0
CDM,10001117141,HC PRO-PREDICTR METABLITES*,846.0,846.0,,,0
CDM,10001117143,HC BARBITURATE SCREEN G0431,142.0,142.0,,,0
CDM,10001117145,HC AMITRIPTYLENE 80152,298.0,298.0,,,0
CDM,10001117147,HC ESTRIOL 82677,137.0,137.0,,,0
CDM,10001117149,HC LECITHIN-SPHING 83661,481.0,481.0,,,0
CDM,10001117151,HC AMINOPHYL LEVEL 80198,291.0,291.0,,,0
CDM,10001117153,HC DDIBUC 82638,152.0,152.0,,,0
CDM,10001117155,HC EXTROGEN-FRACTIONATED 826,432.0,432.0,,,0
CDM,10001117157,HC ANGIOTENSION CSF 82164,331.0,331.0,,,0
CDM,10001117159,HC PLACENTAL LACTO 83632,400.0,400.0,,,0
CDM,10001117161,HC CPK ISOENZYMES 82552,320.0,320.0,,,0
CDM,10001117163,HC PROLACTIN LEVEL 84146,402.0,402.0,,,0
CDM,10001117165,HC C-PEPTIDE 84681,324.0,324.0,,,0
CDM,10001117169,HC ALCOHOL METHYL 84600,199.0,199.0,,,0
CDM,10001117171,HC ANTI-SM MUSCLE,298.0,298.0,,,0
CDM,10001117173,HC ANGIO-CONV BLD,331.0,331.0,,,0
CDM,10001117175,HC CSF OLIG BANDIN 83916,478.0,478.0,,,0
CDM,10001117177,"HC VITAMIN D, 25-HYDROXY",578.0,578.0,,,0
CDM,10001117179,HC CATHARTIC LAXATIVE PROFIL,416.0,416.0,,,0
CDM,10001117181,HC URIC ACID (URINE),92.0,92.0,,,0
CDM,10001117183,"HC VITAMIN D,1,25-DIHYDROXY",776.0,776.0,,,0
CDM,10001117185,HC ZINC  84630,236.0,236.0,,,0
CDM,10001117187,HC CARBAMAZE 80156,291.0,291.0,,,0
CDM,10001117189,HC CHYMOPAPAI,420.0,420.0,,,0
CDM,10001117191,HC DISOPYRAM 80299,291.0,291.0,,,0
CDM,10001117193,HC RBC FOLATE,218.0,218.0,,,0
CDM,10001117195,HC T - 4 - FREE,291.0,291.0,,,0
CDM,10001117197,HC THYROGLOBULIN 84432,264.0,264.0,,,0
CDM,10001117199,HC PH CORD BLOOD 82800,135.0,135.0,,,0
CDM,10001117201,HC GLUCOSE;24 HR UR,92.0,92.0,,,0
CDM,10001117203,HC IMIPRAMINE 80174,291.0,291.0,,,0
CDM,10001117205,HC THIAMINE,300.0,300.0,,,0
CDM,10001117207,HC TOBRAMYCIN PEAK,291.0,291.0,,,0
CDM,10001117209,HC TOBRAMYCIN THROUGH,291.0,291.0,,,0
CDM,10001117211,HC THEOPHYLLINE-HP 80198,291.0,291.0,,,0
CDM,10001117213,HC VALIUM,292.0,292.0,,,0
CDM,10001117215,HC ZOLOFT,294.0,294.0,,,0
CDM,10001117217,HC PYRUVIC ACID 84210,249.0,249.0,,,0
CDM,10001117219,HC MYOGLOBIN 83874,168.0,168.0,,,0
CDM,10001117221,"HC HEMOGLOBIN,FETA 83030",192.0,192.0,,,0
CDM,10001117223,HC TOT PROTIEN-UR 84156,98.0,98.0,,,0
CDM,10001117225,HC PLASMA HGB,203.0,203.0,,,0
CDM,10001117227,HC LORAZEPAM,291.0,291.0,,,0
CDM,10001117229,HC PROTEIN ELECT 84165 UR,335.0,335.0,,,0
CDM,10001117231,HC DESIMPRAMINE 80160,291.0,291.0,,,0
CDM,10001117233,"HC QUINIDINE,BLOOD 80194",351.0,351.0,,,0
CDM,10001117235,HC IRON SAT % 83540,114.0,114.0,,,0
CDM,10001117237,HC LAC BL SET 82951,132.0,132.0,,,0
CDM,10001117239,"HC SODIUM, URINE 84300",92.0,92.0,,,0
CDM,10001117241,"HC SODIUM, 24 HR UR 84300",92.0,92.0,,,0
CDM,10001117243,HC SODIUM NOT SERUM OR URINE,92.0,92.0,,,0
CDM,10001117245,HC POTASSIUM-URINE 84133,92.0,92.0,,,0
CDM,10001117247,"HC POTASSIUM, 24 HR UR 84133",92.0,92.0,,,0
CDM,10001117249,HC PHOS-PROSTAT-AC 84066,148.0,148.0,,,0
CDM,10001117251,"HC PHOSPHATASE, AL 84075",132.0,132.0,,,0
CDM,10001117253,HC PHOSPHORUS-UR 84105,86.0,86.0,,,0
CDM,10001117255,HC PORPHOBILINOG QUAL 84106,170.0,170.0,,,0
CDM,10001117257,HC PORPHOBILINOG-QUANT 84110,242.0,242.0,,,0
CDM,10001117261,HC OSMOLARITY-UR 83935,112.0,112.0,,,0
CDM,10001117263,HC MERCURY-UR-QT 83825,396.0,396.0,,,0
CDM,10001117265,HC PEPSINOGEN,306.0,306.0,,,0
CDM,10001117267,HC IBD STEP GENERATION II SO,454.0,454.0,,,0
CDM,10001117269,HC IBD IMMONOASSAY QT,54.0,54.0,,,0
CDM,10001117271,HC IBD IMMUNOASSAY QT,54.0,54.0,,,0
CDM,10001117273,HC IBD IMMONOASSAY QT,54.0,54.0,,,0
CDM,10001117275,HC ACID MUCOLYSA QT 83864,389.0,389.0,,,0
CDM,10001117277,HC MAGNESIUM-UR83735,163.0,163.0,,,0
CDM,10001117279,"HC MEPROBAMATE,BLD83805",300.0,300.0,,,0
CDM,10001117281,HC LEAD UR-QT 83655,322.0,322.0,,,0
CDM,10001117283,"HC LDH,URINE 83615",137.0,137.0,,,0
CDM,10001117285,HC LDH (CSF) 83615,137.0,137.0,,,0
CDM,10001117287,HC MAGNESIUM,28.0,28.0,,,0
CDM,10001117289,HC MTHFR MOLEC ISOLATE NUCLE,752.0,752.0,,,0
CDM,10001117291,HC PLASMINOGEN ACTIVATOR*,478.0,478.0,,,0
CDM,10001117293,"HC NUCLEIC ACID, HI RESOLUTE",70.0,70.0,,,0
CDM,10001117295,HC GENETIC EXAMINATION,18.0,18.0,,,0
CDM,10001117297,HC MUTATION ID,70.0,70.0,,,0
CDM,10001117299,HC HYDRXYPRLN FREE 83500,284.0,284.0,,,0
CDM,10001117303,HC ALPHAIFETOPROP SERUM 8210,294.0,294.0,,,0
CDM,10001117305,HC HYDRXYPRLN TOT 83505,286.0,286.0,,,0
CDM,10001117307,HC PHOSPHORUS(INORGANIC),20.0,20.0,,,0
CDM,10001117309,"HC CALCIUM, IONIZE 82330",154.0,154.0,,,0
CDM,10001117311,HC CYCLIC AMP 82030,402.0,402.0,,,0
CDM,10001117313,HC PHENOTHIAZINES 84022,132.0,132.0,,,0
CDM,10001117315,HC BICARBONATE-CO2 82374,98.0,98.0,,,0
CDM,10001117317,HC PLACIDYL,304.0,304.0,,,0
CDM,10001117319,HC CYANIDE 82600,320.0,320.0,,,0
CDM,10001117323,"HC CYSTINE,QT-UR",322.0,322.0,,,0
CDM,10001117325,HC DELTA AMINO LEV82135,284.0,284.0,,,0
CDM,10001117327,HC CARBOXY HBG SAT QT 82375,291.0,291.0,,,0
CDM,10001117329,HC CREATINE-URINE-24 HRS.825,163.0,163.0,,,0
CDM,10001117331,HC COPROPORPH QL U84119,242.0,242.0,,,0
CDM,10001117333,HC CHOLINEST SERUM 82480,190.0,190.0,,,0
CDM,10001117335,HC CHLORIDES-CSF 82438,92.0,92.0,,,0
CDM,10001117337,HC ACETONE-QL 82009,64.0,64.0,,,0
CDM,10001117339,HC GG TRANSPEPTID 82977,284.0,284.0,,,0
CDM,10001117341,HC GLUTETHIMIDE-BL82980,357.0,357.0,,,0
CDM,10001117343,HC OSMOLALITY - STOOL,112.0,112.0,,,0
CDM,10001117345,HC DRUG SCRN URINE G0431,324.0,324.0,,,0
CDM,10001117347,HC AMIKACIN PEAK/TROGH 80150,273.0,273.0,,,0
CDM,10001117349,HC CHOLONESTERASE RBC 82482,204.0,204.0,,,0
CDM,10001117351,HC ICD-ISOCITRIC 83570,137.0,137.0,,,0
CDM,10001117353,HC C-6-PD,234.0,234.0,,,0
CDM,10001117355,HC CAROTENE 82380,170.0,170.0,,,0
CDM,10001117357,HC XYLOSE TOLERANC84620,329.0,329.0,,,0
CDM,10001117359,HC CREATINE CLEAR 82575,154.0,154.0,,,0
CDM,10001117361,HC AMINO ACIDS-BLD QT,1046.0,1046.0,,,0
CDM,10001117363,"HC CRYOGLOBULIN,QU82595",154.0,154.0,,,0
CDM,10001117365,HC SGP TRANSAMINAS84460,137.0,137.0,,,0
CDM,10001117367,HC TRIGLYCERIDES 84478,102.0,102.0,,,0
CDM,10001117369,HC PHENYLALANIE 84030,190.0,190.0,,,0
CDM,10001117371,HC LDH ISOZYMES 83625,745.0,745.0,,,0
CDM,10001117373,HC GALACTOSE 82760,170.0,170.0,,,0
CDM,10001117375,"HC CERULOPLASMIN,Q82390",284.0,284.0,,,0
CDM,10001117377,HC ELECTROPHOR-HGB83020,294.0,294.0,,,0
CDM,10001117381,HC ALDOLASE 82085,118.0,118.0,,,0
CDM,10001117385,"HC GASES,BLOOD 82803",176.0,176.0,,,0
CDM,10001117387,HC GASES PCO2 82803,178.0,178.0,,,0
CDM,10001117389,"HC GASES, PO2 82803",178.0,178.0,,,0
CDM,10001117391,HC ART BLOOD GASES 82803,476.0,476.0,,,0
CDM,10001117395,"HC BILIRUBIN,DIRECT 82248",102.0,102.0,,,0
CDM,10001117397,HC ALBUMIN SERUM 82040,92.0,92.0,,,0
CDM,10001117399,"HC DILANTIN,QT 80185",291.0,291.0,,,0
CDM,10001117401,HC OSMOLALITY-BLD 83930,92.0,92.0,,,0
CDM,10001117403,HC CREATININE-UR OR OTHR SOU,92.0,92.0,,,0
CDM,10001117405,HC ALPHA-1-ANTITRY82103,234.0,234.0,,,0
CDM,10001117407,HC HDL LIPOPROTEIN 83718,304.0,304.0,,,0
CDM,10001117409,HC CK MB  82553,235.0,235.0,,,0
CDM,10001117411,HC CREATINE PHOSPH 82550,154.0,154.0,,,0
CDM,10001117413,HC LITHIUM-BLOOD 80178,131.0,131.0,,,0
CDM,10001117415,HC AMYLASE 82150,131.0,131.0,,,0
CDM,10001117417,HC VITAMIN C  82180,148.0,148.0,,,0
CDM,10001117419,HC ACETONE-QT  82010,138.0,138.0,,,0
CDM,10001117421,HC ALCOHOL-ETHYL 82055,291.0,291.0,,,0
CDM,10001117423,"HC BILIRUBIN,TOTAL 82247",92.0,92.0,,,0
CDM,10001117425,HC METAL SCREEN 83015,802.0,802.0,,,0
CDM,10001117427,HC BARBITURATE QUANT/CANNA,536.0,536.0,,,0
CDM,10001117429,HC LEUCINE AMINOPE 83670,218.0,218.0,,,0
CDM,10001117431,HC CREATINE  82540,163.0,163.0,,,0
CDM,10001117433,HC LIDOCAINE 80176,249.0,249.0,,,0
CDM,10001117435,HC LDH  83615,190.0,190.0,,,0
CDM,10001117437,HC SGO TRANSAMINAS 84450,137.0,137.0,,,0
CDM,10001117439,HC METHOTREXATE 80299,324.0,324.0,,,0
CDM,10001117441,HC NORTRIPTYLINE 80182,324.0,324.0,,,0
CDM,10001117443,HC PHENOBARBITAL 80184,218.0,218.0,,,0
CDM,10001117447,HC BROMIDES-BLD 80299,97.0,97.0,,,0
CDM,10001117449,HC CALCIUM 82310,92.0,92.0,,,0
CDM,10001117451,HC GALACTOSE TOLER 82760,256.0,256.0,,,0
CDM,10001117453,HC CHLORIDES-BLD 82435,92.0,92.0,,,0
CDM,10001117455,HC ALDOSTERONE 82088,588.0,588.0,,,0
CDM,10001117457,"HC CHOLESTEROL, TOT 82465",92.0,92.0,,,0
CDM,10001117459,HC LIPOPROTEIN PHE 83012,432.0,432.0,,,0
CDM,10001117461,HC GTT 1ST 3 OF 5,242.0,242.0,,,0
CDM,10001117463,HC GTT 1ST 3 OF 6,294.0,294.0,,,0
CDM,10001117465,HC GTT 1ST 3 OF 7,354.0,354.0,,,0
CDM,10001117467,HC GTT EACH ADD,61.0,61.0,,,0
CDM,10001117469,HC GTT EACH ADD 5TH,61.0,61.0,,,0
CDM,10001117471,HC GTT EACH ADD 6TH,61.0,61.0,,,0
CDM,10001117473,HC GTT EAD ADD 7TH,61.0,61.0,,,0
CDM,10001117475,HC COPPER  82525,250.0,250.0,,,0
CDM,10001117477,HC CREATININE-BLD,152.0,152.0,,,0
CDM,10001117481,"HC CYSTINE, QT BLD 82131",384.0,384.0,,,0
CDM,10001117485,HC VITAMIN A QUAN 84590,202.0,202.0,,,0
CDM,10001117487,"HC HB-METH, SULF, QT 83050",170.0,170.0,,,0
CDM,10001117491,HC LACTIC AC BLD=Q83605,230.0,230.0,,,0
CDM,10001117493,HC LIPASE 83690,134.0,134.0,,,0
CDM,10001117495,HC MAGNESIUM-BLD 83735,163.0,163.0,,,0
CDM,10001117497,"HC GASES, OXYGEN SA 82792",178.0,178.0,,,0
CDM,10001117499,HC PHOSPHORUS BLD 84100,92.0,92.0,,,0
CDM,10001117501,HC P H OTHER THAN BLOOD 8398,43.0,43.0,,,0
CDM,10001117503,HC GASTRICE PH FREE & TOTAL,43.0,43.0,,,0
CDM,10001117505,HC POTASSIUM-BLD 84132,92.0,92.0,,,0
CDM,10001117507,HC ALK PHOS ISOENZ84080,300.0,300.0,,,0
CDM,10001117509,HC METANEPHRINES (FRACTIONAT,320.0,320.0,,,0
CDM,10001117511,HC AMMONIA 82140,224.0,224.0,,,0
CDM,10001117515,HC SODIUM-BLD 84295,92.0,92.0,,,0
CDM,10001117517,HC GLUCOSE QUANT,102.0,102.0,,,0
CDM,10001117519,HC GTT-FIRST 3,190.0,190.0,,,0
CDM,10001117521,"HC PROTEIN, TOTAL OTHER SOUR",92.0,92.0,,,0
CDM,10001117523,HC TOT PROT A/G-BL,163.0,163.0,,,0
CDM,10001117525,HC VITAMIN E ASSAY84446,322.0,322.0,,,0
CDM,10001117527,HC UREA NITROGEN QT 84520,102.0,102.0,,,0
CDM,10001117529,HC UREA CLEARANCE 84545,140.0,140.0,,,0
CDM,10001117531,HC URIC ACID-BLD 84550,92.0,92.0,,,0
CDM,10001117533,HC HEMOSIDERIN QUANT 83071,168.0,168.0,,,0
CDM,10001117535,HC T-3 UPTAKE 84479,256.0,256.0,,,0
CDM,10001117537,HC OCCULT BLOOD; FECES 82270,43.0,43.0,,,0
CDM,10001117539,HC MARIJUANA SCREEN G0431,142.0,142.0,,,0
CDM,10001117541,"HC TRYPSIN, QUAL 84488",118.0,118.0,,,0
CDM,10001117543,HC UROBLINO-FEC QT 84577,218.0,218.0,,,0
CDM,10001117545,"HC FAT,FECAL,QUANT 48 HRS 82",322.0,322.0,,,0
CDM,10001117547,"HC TRYPSIN,SEMI QT 84490",140.0,140.0,,,0
CDM,10001117549,HC PROTOPPRPHY FEC 84202,370.0,370.0,,,0
CDM,10001117551,HC HISTAMINE 83088,812.0,812.0,,,0
CDM,10001117555,HC ACTH 82024,692.0,692.0,,,0
CDM,10001117557,HC FERRITIN ASSAY 82728,304.0,304.0,,,0
CDM,10001117559,HC CATECHOLAMINES BLOOD 8238,581.0,581.0,,,0
CDM,10001117561,HC VMA 84585,396.0,396.0,,,0
CDM,10001117563,HC HOMOVANILIC ACI 83150,519.0,519.0,,,0
CDM,10001117565,HC 17-HYDROXYCORT 83491,204.0,204.0,,,0
CDM,10001117567,HC LDL (LOW DENSITY LIPOPRO),302.0,302.0,,,0
CDM,10001117569,HC KETOSTEROIDS 17 TOTAL,363.0,363.0,,,0
CDM,10001117571,HC DHA-DEHYDROAND,550.0,550.0,,,0
CDM,10001117573,HC HAPTOGLOBIN 83010 QUANT,292.0,292.0,,,0
CDM,10001117575,"HC ESTROGEN,TOTAL 82672",363.0,363.0,,,0
CDM,10001117577,HC BENZODIAZEPINE 80154,292.0,292.0,,,0
CDM,10001117579,HC BROMIDES 80299,112.0,112.0,,,0
CDM,10001117581,HC PROTIEN ELECTROPHARISM SE,291.0,291.0,,,0
CDM,10001117583,HC PHENCYCLIDINE,260.0,260.0,,,0
CDM,10001117585,HC CARBON MONOXIDES QUANT 82,236.0,236.0,,,0
CDM,10001117587,HC ARSENIC 82175,417.0,417.0,,,0
CDM,10001117589,HC PROCAINAMIDE 80190,429.0,429.0,,,0
CDM,10001117591,HC N-ACETYL - PROCAINAMIDE,429.0,429.0,,,0
CDM,10001117593,HC CATECHOLAMINES FRACTIONAT,746.0,746.0,,,0
CDM,10001117595,HC VANCOMYCIN 80202,293.0,293.0,,,0
CDM,10001117597,HC HEMOGLOBIN GYLC83036,218.0,218.0,,,0
CDM,10001117599,HC VALPROIC ACID 80164,218.0,218.0,,,0
CDM,10001117601,HC TOPRIMATE LEVEL,204.0,204.0,,,0
CDM,10001117603,HC PREGNANETRIOL 84138,204.0,204.0,,,0
CDM,10001117607,HC PREGNANEDIOL QU 84135,204.0,204.0,,,0
CDM,10001117609,"HC SUGAR, INDETIFY84375",204.0,204.0,,,0
CDM,10001117611,HC HCG QUAL 84703,163.0,163.0,,,0
CDM,10001117613,"HC IRON, TOTAL BIND83550",154.0,154.0,,,0
CDM,10001117615,HC SALICYLATE 80196,118.0,118.0,,,0
CDM,10001117617,"HC IRON, TOTAL-BLD 83540",102.0,102.0,,,0
CDM,10001117619,HC CATECHOLAMINES TOT URINE,324.0,324.0,,,0
CDM,10001117621,HC LEAD BLD-QT 83655,324.0,324.0,,,0
CDM,10001117623,HC 5-HIAA QT 83497,244.0,244.0,,,0
CDM,10001117625,HC MERCURY-BLD-QT 83825,396.0,396.0,,,0
CDM,10001117627,HC CALCIUM TOLER 82331,490.0,490.0,,,0
CDM,10001117629,HC STONE ANALYSIS QL 82355,174.0,174.0,,,0
CDM,10001117631,HC OXALATE (URINE) 83945,322.0,322.0,,,0
CDM,10001117633,HC CHLORAMPHENICOL82415,204.0,204.0,,,0
CDM,10001117635,HC PHENOLPHTHALEIN (STOOL),362.0,362.0,,,0
CDM,10001117637,HC BUTORPHANOL SCR UR REF,508.0,508.0,,,0
CDM,10001117639,HC OB GLUCOSE CHALLENGE,178.0,178.0,,,0
CDM,10001117641,HC GLUCOSE 2HE 82950,92.0,92.0,,,0
CDM,10001117647,HC TRANSFERRIN,249.0,249.0,,,0
CDM,10001117649,HC MAGNESIUM (STOOL),96.0,96.0,,,0
CDM,10001117651,HC CYCLIC CITRULLIN PEPTIDE,248.0,248.0,,,0
CDM,10001117653,HC L S D SCREEN 82205,92.0,92.0,,,0
CDM,10001117655,HC CHLORAL HYDRATE80299,204.0,204.0,,,0
CDM,10001117657,HC LIBRIUM-BLD 80299,456.0,456.0,,,0
CDM,10001117659,HC MARIJUANA QUANT,90.0,90.0,,,0
CDM,10001117661,HC ORINASE TOLER 82953,232.0,232.0,,,0
CDM,10001117663,HC GLUCOSE-CSF-QT,92.0,92.0,,,0
CDM,10001117665,"HC COPPER, URINE 82525",250.0,250.0,,,0
CDM,10001117667,HC MUCOPROTEIN-SYN,158.0,158.0,,,0
CDM,10001117669,HC CALCIUM-FECES 82310,92.0,92.0,,,0
CDM,10001117673,HC FECAL FAT QUAL.,92.0,92.0,,,0
CDM,10001117677,"HC IGA,IGD,IGG,IGM,EACH 8278",476.0,476.0,,,0
CDM,10001117679,"HC DRUG SCREEN, BLOOD",1106.0,1106.0,,,0
CDM,10001117681,HC AMPHETAMINE 82145,194.0,194.0,,,0
CDM,10001117683,HC CHLORALHYDRATE 80299,204.0,204.0,,,0
CDM,10001117685,HC GLUTETHIMIDE-UR82980,357.0,357.0,,,0
CDM,10001117687,HC 10-HYRDROXYCARBAZEPINE,75.0,75.0,,,0
CDM,10001117689,HC BUPROPRION BL,196.0,196.0,,,0
CDM,10001117691,HC LIBRIUM-UR 80299,456.0,456.0,,,0
CDM,10001117693,"HC MEPROBAMATE, UR 83805",331.0,331.0,,,0
CDM,10001117697,HC UROBILINOGUR-UR-Q84578,218.0,218.0,,,0
CDM,10001117699,HC UROPORPHYRINS-QT84120,249.0,249.0,,,0
CDM,10001117701,HC SUGAR-UR-QT,64.0,64.0,,,0
CDM,10001117707,HC CORTICOSTEROIDS 83491,216.0,216.0,,,0
CDM,10001117709,"HC PORPHYRINS, QUAL 84119",212.0,212.0,,,0
CDM,10001117711,HC DRUG SCREEN SINGLE,256.0,256.0,,,0
CDM,10001117713,HC BUTAZOLADINE 80299,204.0,204.0,,,0
CDM,10001117715,HC IGE-QUANT 82785,320.0,320.0,,,0
CDM,10001117717,HC DRUG LEVEL ANAL80299,291.0,291.0,,,0
CDM,10001117719,HC PRIMIDONE 80188,272.0,272.0,,,0
CDM,10001117721,"HC FAT,FECAL,QUANT 72 HRS 82",322.0,322.0,,,0
CDM,10001117723,HC ELECTROPHOR-CSF84165,194.0,194.0,,,0
CDM,10001117727,HC ALBUMIN REF,28.0,28.0,,,0
CDM,10001117729,HC IGG INDEX REF,46.0,46.0,,,0
CDM,10001117731,HC ALBUMIN CSF REF,46.0,46.0,,,0
CDM,10001117733,HC IGG SERUM REF,46.0,46.0,,,0
CDM,10001117735,HC IGG CSF REF,46.0,46.0,,,0
CDM,10001117737,HC CLOZAPINE/METABOLITE REF,298.0,298.0,,,0
CDM,10001117739,HC DESOXYCORTOCOSTERONE REF,286.0,286.0,,,0
CDM,10001117741,HC DRUG SCREEN SINGLE,58.0,58.0,,,0
CDM,10001117743,HC VITAMIN B-12 82607,330.0,330.0,,,0
CDM,10001117747,HC VITAMIN B-6 NPYR 84207,390.0,390.0,,,0
CDM,10001117749,HC FOLIC ACID SER 82746,298.0,298.0,,,0
CDM,10001117751,HC MUSK ANTIBODY*,1412.0,1412.0,,,0
CDM,10001117753,"HC METHYL, MALON AC",194.0,194.0,,,0
CDM,10001117755,HC LUDIMIL LEVEL 80299,432.0,432.0,,,0
CDM,10001117757,HC MYELIN BASIC PROTEIN-CSF,533.0,533.0,,,0
CDM,10001117759,HC PROGESTERONE LEVEL,44.0,44.0,,,0
CDM,10001117761,HC ALPHA SUB UNIT,272.0,272.0,,,0
CDM,10001117763,HC OPIATES QUANT,193.0,193.0,,,0
CDM,10001117765,HC POCT GLUCOSE QT BLD,32.0,32.0,,,0
CDM,10001117767,HC POCT FECAL OCCULT BLD,10.0,10.0,,,0
CDM,10001117769,HC POCT PH BODY FLUID,10.0,10.0,,,0
CDM,10001117771,HC POCT CREATININE W/EFGR,143.0,143.0,,,0
CDM,10001117773,HC ERYTHROPOETIN 82668,298.0,298.0,,,0
CDM,10001117775,HC CEA 82378,362.0,362.0,,,0
CDM,10001117777,HC ESTRADIOL BY RI82670,410.0,410.0,,,0
CDM,10001117779,HC PLASMA SEROTONI84260,552.0,552.0,,,0
CDM,10001117781,HC TESTOSTERONE TOTAL 84403,410.0,410.0,,,0
CDM,10001117783,HC DIGTOXIN-RIA-B 80299,389.0,389.0,,,0
CDM,10001117785,HC DIGOXIN LEVEL 80162,335.0,335.0,,,0
CDM,10001117787,HC GASTRI  82941,284.0,284.0,,,0
CDM,10001117789,HC INSULIN LEVEL- TOTAL 8352,351.0,351.0,,,0
CDM,10001117791,HC L-H BY RIA 83002,452.0,452.0,,,0
CDM,10001117793,HC PROGESTERONE-QT 84144,399.0,399.0,,,0
CDM,10001117795,HC RENIN BY LEVEL 84244,414.0,414.0,,,0
CDM,10001117797,HC CORTISOL PLASMA TOTAL 825,259.0,259.0,,,0
CDM,10001117799,HC T-4 TOTAL,235.0,235.0,,,0
CDM,10001117801,HC T3 84480,291.0,291.0,,,0
CDM,10001117803,HC GENTAMYCIN BY R 80170,410.0,410.0,,,0
CDM,10001117805,HC GROWTH HORMONE 83003,410.0,410.0,,,0
CDM,10001117807,HC ANDROSTENDIONE82157,594.0,594.0,,,0
CDM,10001117809,HC TSH 84443,335.0,335.0,,,0
CDM,10001117811,HC FSH BY RIA 83001,456.0,456.0,,,0
CDM,10001117813,HC PROT-SPINAL FLU,86.0,86.0,,,0
CDM,10001117815,HC PTH BY RIA 83970,722.0,722.0,,,0
CDM,10001117817,HC PTH INTACT,730.0,730.0,,,0
CDM,10001117819,HC ACID PHOS RIA 84060,236.0,236.0,,,0
CDM,10001117821,HC INSULIN TOL RIA 80434,1002.0,1002.0,,,0
CDM,10001117823,HC THY BNG GLOB-RI84442,351.0,351.0,,,0
CDM,10001117825,"HC HCG,SERUM QT 84702",324.0,324.0,,,0
CDM,10001117827,HC ESTROGENS(BLOOD) TOTAL,98.0,98.0,,,0
CDM,10001117829,HC SOMATOMEDIN-C,92.0,92.0,,,0
CDM,10001117831,HC VITAMIN K1,458.0,458.0,,,0
CDM,10001117833,HC ANTI-GAMMA GLOB82150,501.0,501.0,,,0
CDM,10001117835,HC CRYFIBRINOGEN 82585,106.0,106.0,,,0
CDM,10001117837,HC CRYOGLOBULIN QUAL/SEMIQT,170.0,170.0,,,0
CDM,10001117839,HC MICRO SATELLITE INSTABILI,992.0,992.0,,,0
CDM,10001117841,HC DNA EXTRACT SO 1,18.0,18.0,,,0
CDM,10001117843,HC DNA EXTRACT SO 2,18.0,18.0,,,0
CDM,10001117845,HC PCR AMPLIFIED SO 1,70.0,70.0,,,0
CDM,10001117847,HC PCR AMPLIFIED SO 2,70.0,70.0,,,0
CDM,10001117849,HC SEP GEL ELECTROPHORESIS S,18.0,18.0,,,0
CDM,10001117851,HC SEP GEL ELECTROPHORESIS S,18.0,18.0,,,0
CDM,10001117853,HC LOSS OF HETEROZYGOSITY 18,1059.0,1059.0,,,0
CDM,10001117855,HC ABL KINASE*,776.0,776.0,,,0
CDM,10001117857,HC SYNOVIAL CARCINOMA*,1077.0,1077.0,,,0
CDM,10001117859,HC IMMUNOGLOBIN GENE REARANG,574.0,574.0,,,0
CDM,10001117861,HC T CELL RECEPTOR GENE*,648.0,648.0,,,0
CDM,10001117863,HC PLATELET DERIVED GRO FCT,842.0,842.0,,,0
CDM,10001117865,HC EML4-ALK GENE FUSION BY P,530.0,530.0,,,0
CDM,10001117867,HC PML/RARA T 15.17 QT PCR C,352.0,352.0,,,0
CDM,10001117869,HC NRAS MUTATION ANALYSIS*,18.0,18.0,,,0
CDM,10001117871,HC BRAF MUTATION ANALYSIS*,46.0,46.0,,,0
CDM,10001117873,HC DNA EXTRACT SO,706.0,706.0,,,0
CDM,10001117875,HC PCR AMPLIFIED 1 SO*,890.0,890.0,,,0
CDM,10001117877,HC PCR AMPLIFIED 2 SO,70.0,70.0,,,0
CDM,10001117879,HC KRAS MUTATION ANALYSIS*,647.0,647.0,,,0
CDM,10001117881,HC EGRF MUTATION ANALYSIS*,1054.0,1054.0,,,0
CDM,10001117883,HC MGTM GENE METHYLATION ASS,1208.0,1208.0,,,0
CDM,10001117885,HC STONE XRAY DIFF 82370,222.0,222.0,,,0
CDM,10001117887,HC FAT STAIN QT,123.0,123.0,,,0
CDM,10001117889,"HC PH, REACTION OTH THAN BLD",27.0,27.0,,,0
CDM,10001117891,HC HEMOSIDERIN QUAL 83070,100.0,100.0,,,0
CDM,10001117893,HC DRUG SCREEN SINGLE,58.0,58.0,,,0
CDM,10001117895,HC DRUG SCREEN SINGLE,58.0,58.0,,,0
CDM,10001117897,HC BENCE-JONES PRO 82044,94.0,94.0,,,0
CDM,10001117899,HC HYPERIMMUNE ANT,314.0,314.0,,,0
CDM,10001117903,HC FACTOR VIII HUMAN PER IU,1.0,1.0,,,0
CDM,10001117907,HC ASSAY OF URINE ALBUNIM,8.0,8.0,,,0
CDM,10001117909,HC ASSAY OF APOLIPROTEIN,64.0,64.0,,,0
CDM,10001117911,HC BILIRUBIN TOTAL,22.0,22.0,,,0
CDM,10001117913,HC CHEMILUMINESCENT ASSAY,54.0,54.0,,,0
CDM,10001117915,"HC ASSAY, BLD/SERUM CHOLOEST",18.0,18.0,,,0
CDM,10001117917,HC ASSAY OF GGT,32.0,32.0,,,0
CDM,10001117919,HC ASSAY OF HAPTOGLOBIN QT,53.0,53.0,,,0
CDM,10001117921,HC IMMUNOASSAY NONANTIBODY,46.0,46.0,,,0
CDM,10001117923,HC ASSAY NEPHELOMETRY NES,58.0,58.0,,,0
CDM,10001117925,HC MOLECULE NUCLEIC AMPLI 2,138.0,138.0,,,0
CDM,10001117927,HC ASSAY PROTEIN URINE,17.0,17.0,,,0
CDM,10001117929,HC PROTEIN EPHORESIS/URINE/C,71.0,71.0,,,0
CDM,10001117931,HC SPECTROPHOTOMETRY,30.0,30.0,,,0
CDM,10001117933,HC TRANSFERASE (AST)(SGOT),22.0,22.0,,,0
CDM,10001117935,HC ALANINE AMINO ALT SGPT,24.0,24.0,,,0
CDM,10001117937,HC ASSAY OF TRIGLYCERIDES,24.0,24.0,,,0
CDM,10001117939,HC SSP POTASSIUM 84132,46.0,46.0,,,0
CDM,10001117941,HC ASSAY OF URINE CREATININE,22.0,22.0,,,0
CDM,10001117943,HC RIA NONANTIBODY,56.0,56.0,,,0
CDM,10001117945,HC MOLECULE DOT/SLOT/BLOT,18.0,18.0,,,0
CDM,10001117947,HC LYSIS OF TISSUE CELLS,51.0,51.0,,,0
CDM,10001117949,HC PROTEIN WESTERN BLOT TEST,74.0,74.0,,,0
CDM,10001117951,HC MOLECULE MUTATION ID,70.0,70.0,,,0
CDM,10001117953,HC MOLECULE MUTATION ID 2ND,70.0,70.0,,,0
CDM,10001117955,HC MOLECULE MUTATION ID 3RD,70.0,70.0,,,0
CDM,10001117957,HC MOLECULE MUTATION ID 4TH,70.0,70.0,,,0
CDM,10001117959,"HC NUCLEIC ACID, HI RESOLUTE",70.0,70.0,,,0
CDM,10001117961,"HC NUCLEIC ACID, HI RESOLUTE",70.0,70.0,,,0
CDM,10001117963,"HC NUCLEIC ACID, HI RESOLUTE",70.0,70.0,,,0
CDM,10001117969,HC REF-MOLECULAR DIAG; INTER,34.0,34.0,,,0
CDM,10001117971,HC REF-MOLEC DIAG;AMP NUC AC,138.0,138.0,,,0
CDM,10001117973,HC REF-MOLEC DIAG;ISOLAT/EXT,34.0,34.0,,,0
CDM,10001117975,HC REF-AUTO ANTI-IGA QT,123.0,123.0,,,0
CDM,10001117977,HC C I Q,349.0,349.0,,,0
CDM,10001117979,HC LEGIONELLA IGM TITER,116.0,116.0,,,0
CDM,10001117981,HC VIRUS (CFT) 86171,58.0,58.0,,,0
CDM,10001117983,HC MYCOPLASMA PNEU IGM,224.0,224.0,,,0
CDM,10001117985,HC CHLAMDIA PNEUM TWAR IGM,250.0,250.0,,,0
CDM,10001117987,"HC FLU, 3 ANT-ST 86710",152.0,152.0,,,0
CDM,10001117991,HC PAN T CD3,106.0,106.0,,,0
CDM,10001117993,HC ANTI - DNA,85.0,85.0,,,0
CDM,10001117995,HC IMMUNOELECTRO-Q 86320,218.0,218.0,,,0
CDM,10001117997,HC A-MITOCHON,111.0,111.0,,,0
CDM,10001117999,HC ANTI-SM MUSCLE,111.0,111.0,,,0
CDM,10001118001,"HC T CELL, CD4, CD8, RATIO",106.0,106.0,,,0
CDM,10001118003,HC FTA-BLOOD,76.0,76.0,,,0
CDM,10001118005,"HC COMPLEMENT, C-3 86160",180.0,180.0,,,0
CDM,10001118007,HC COMPLEMENT TOTAL,119.0,119.0,,,0
CDM,10001118009,HC IMMUNDELECTROPHARISM,118.0,118.0,,,0
CDM,10001118011,HC COMPLEMENT C - 4 86160,180.0,180.0,,,0
CDM,10001118013,HC B-J PROT ELEC-B 86320,218.0,218.0,,,0
CDM,10001118015,HC CA 15-3,214.0,214.0,,,0
CDM,10001118017,HC HEP A AB-IGG,83.0,83.0,,,0
CDM,10001118019,HC HEP B CORE ANTIBODY,83.0,83.0,,,0
CDM,10001118021,HC HEP B SURFACE ANTIBODY,83.0,83.0,,,0
CDM,10001118023,HC HEP BE ANTIBODY,76.0,76.0,,,0
CDM,10001118025,HC HEP A AB-IGM,140.0,140.0,,,0
CDM,10001118031,HC HEP B ANTIBODY 86707,127.0,127.0,,,0
CDM,10001118033,HC V.D.R.L. CSF 86592,64.0,64.0,,,0
CDM,10001118035,HC ANTI-NUCLEAR TITER 86256,206.0,206.0,,,0
CDM,10001118037,HC RA LATEX-QL 86430,28.0,28.0,,,0
CDM,10001118039,HC LYMES DISEASE TITER 86618,113.0,113.0,,,0
CDM,10001118041,HC AGGLUT FEB EA 86000,32.0,32.0,,,0
CDM,10001118043,HC CHAGAS DISEASE SCREEN 860,69.0,69.0,,,0
CDM,10001118045,HC ANTI-NUCLEAR AN 86225,58.0,58.0,,,0
CDM,10001118047,HC STS. VDRL OR RP QUAL 8659,32.0,32.0,,,0
CDM,10001118049,HC ANTI-STREPTOLY TITER 8606,70.0,70.0,,,0
CDM,10001118051,HC THYROGLOB ANTI,50.0,50.0,,,0
CDM,10001118053,HC AGGLUT TRICHINA,76.0,76.0,,,0
CDM,10001118055,HC COLD AGGULT TITER,46.0,46.0,,,0
CDM,10001118057,HC MONO-SCREEN TST 86308,35.0,35.0,,,0
CDM,10001118059,HC RA LATEX-QT,46.0,46.0,,,0
CDM,10001118061,HC ASO - SCREEN 86063,69.0,69.0,,,0
CDM,10001118063,HC C - REACTIVE PROT 86140,35.0,35.0,,,0
CDM,10001118065,HC COMPLEMENT FIXA,50.0,50.0,,,0
CDM,10001118067,HC HETEROPHIL TITE 86310,50.0,50.0,,,0
CDM,10001118069,"HC STS, VDRL OR RP QUANT 865",32.0,32.0,,,0
CDM,10001118071,HC CA 125,66.0,66.0,,,0
CDM,10001118073,HC TB GOLD(QUANTIFERON),134.0,134.0,,,0
CDM,10001118075,HC ENCEPHALITIS PANEL(MENIN,2594.0,2594.0,,,0
CDM,10001118077,HC TYPHOID SEROLOGY*,74.0,74.0,,,0
CDM,10001118079,HC HELICOBACTOR PLYORI AB IG,58.0,58.0,,,0
CDM,10001118081,HC TORCH TOTER PANEL*,58.0,58.0,,,0
CDM,10001118083,HC MENINGOENCEPHALITIS PNL S,2542.0,2542.0,,,0
CDM,10001118085,HC TULAREMIA ANTIBODY,120.0,120.0,,,0
CDM,10001118087,HC PNEUMO SCRN IMMUNGL EA-AN,47.0,47.0,,,0
CDM,10001118089,HC STREP PNEUMO AG(URINE),60.0,60.0,,,0
CDM,10001118091,HC STREP PNEUMO ANTIGEN BLOO,62.0,62.0,,,0
CDM,10001118093,HC PNEUMONIA SCREEN - ASPERG,47.0,47.0,,,0
CDM,10001118095,HC PNEUMOCOCCAL ANTIBODY,38.0,38.0,,,0
CDM,10001118097,HC BARTONELLA ANTIBODY PANEL,34.0,34.0,,,0
CDM,10001118099,HC B QUINTANA IGG,42.0,42.0,,,0
CDM,10001118101,HC B HENSELAE IGM,42.0,42.0,,,0
CDM,10001118103,HC B QUINTANA IGM,42.0,42.0,,,0
CDM,10001118105,HC COCCIDIOIDES IMMITIS ANTI,102.0,102.0,,,0
CDM,10001118107,HC EHRLICHIA,785.0,785.0,,,0
CDM,10001118109,HC FRANCISELLA ANTIBODY,119.0,119.0,,,0
CDM,10001118111,HC CYSTICERCUS ANTIBODY ELIS,156.0,156.0,,,0
CDM,10001118113,HC HERPES SIMPLEX AB 1,154.0,154.0,,,0
CDM,10001118117,HC LEGIONELLA AB IGG,166.0,166.0,,,0
CDM,10001118119,HC MUMPS ANTIBODY IGG,53.0,53.0,,,0
CDM,10001118121,HC PARVOVIRUS IGG,50.0,50.0,,,0
CDM,10001118123,HC PARVOVIRUS IGM,50.0,50.0,,,0
CDM,10001118125,HC AMOEBA ANTIBODY,121.0,121.0,,,0
CDM,10001118127,HC PROTOZOA ANTIBODY NOS,51.0,51.0,,,0
CDM,10001118129,HC WEST NILE VIRUS AB IGM,100.0,100.0,,,0
CDM,10001118131,HC WEST NILE VIRUS ANITBODY,80.0,80.0,,,0
CDM,10001118133,HC VIRUS NOT ELSEWHERE SPECI,48.0,48.0,,,0
CDM,10001118135,HC VIRUS ANTIBODY NOS,54.0,54.0,,,0
CDM,10001118139,HC LEGIONELLA IGM TITER,166.0,166.0,,,0
CDM,10001118141,"HC CMV, IGM TITER 86645",284.0,284.0,,,0
CDM,10001118143,HC VAR. ZOST TITER 86787,233.0,233.0,,,0
CDM,10001118145,HC TEICHOIC ACID TITER 86329,412.0,412.0,,,0
CDM,10001118147,HC CIE - BACT ANTIGEN,436.0,436.0,,,0
CDM,10001118149,HC RUBELLA IGM TIT 86762,249.0,249.0,,,0
CDM,10001118151,HC COXSACKIE B1-6/ENTEROVIRU,1271.0,1271.0,,,0
CDM,10001118153,HC AMOEBA AGGLUTN 86753,315.0,315.0,,,0
CDM,10001118155,HC HISTOPLAS AN 86698,352.0,352.0,,,0
CDM,10001118157,HC LEGIONELLA EIA 86713,182.0,182.0,,,0
CDM,10001118159,HC RUBEOLA 86765,232.0,232.0,,,0
CDM,10001118161,HC RUBELLA 86762,268.0,268.0,,,0
CDM,10001118163,HC TOXOPLASMA 86777,110.0,110.0,,,0
CDM,10001118165,HC TOXOPLASMA IGM 86778,110.0,110.0,,,0
CDM,10001118167,HC WEST NILE VIRUS IGG,136.0,136.0,,,0
CDM,10001118169,HC WEST NILE VIRUS IGM,136.0,136.0,,,0
CDM,10001118171,HC BABESIA MICROTI IGG/IGM*,190.0,190.0,,,0
CDM,10001118173,HC DENQUE FEVER ANTIBODY PAN,394.0,394.0,,,0
CDM,10001118175,HC VIRUS (CFT) 86171,218.0,218.0,,,0
CDM,10001118177,"HC VIRUS,FLUORES 86255",256.0,256.0,,,0
CDM,10001118179,HC ADENOVIRUS 86603,218.0,218.0,,,0
CDM,10001118181,HC LYMPHOCYTIC 86727,180.0,180.0,,,0
CDM,10001118183,HC LYMPHOGRAN VEN,193.0,193.0,,,0
CDM,10001118185,HC POLIO-CFT 86658,438.0,438.0,,,0
CDM,10001118187,HC Q FEVER 86638,129.0,129.0,,,0
CDM,10001118189,HC ROCKY MTN SPOT 86000,218.0,218.0,,,0
CDM,10001118191,"HC ENCEPH, EAST EQ 86652",256.0,256.0,,,0
CDM,10001118193,HC PARAINFLUENZA 86790,421.0,421.0,,,0
CDM,10001118195,HC ENCEPH/ST. LOUIS 86653,129.0,129.0,,,0
CDM,10001118197,"HC ENCEPH, WEST EQ 86654",129.0,129.0,,,0
CDM,10001118199,HC MYCOPLAMS TITER 86738,174.0,174.0,,,0
CDM,10001118201,HC CMV IGG TITER,306.0,306.0,,,0
CDM,10001118203,HC ENCEPH/CAL EQ,129.0,129.0,,,0
CDM,10001118205,HC MUMPS (CFT) 86735,218.0,218.0,,,0
CDM,10001118207,HC PSITTASCOSIS-CFT 86631,129.0,129.0,,,0
CDM,10001118209,HC HELIOCOBACTER AB TITTER I,176.0,176.0,,,0
CDM,10001118211,HC MYCOPLASMA PNEU IGM,306.0,306.0,,,0
CDM,10001118213,HC MYCOPLASMA PNEUM IGG,283.0,283.0,,,0
CDM,10001118215,HC CHLMDIA PNEUM TWAR IGG,324.0,324.0,,,0
CDM,10001118217,HC CHLAMDIA PNEUM TWAR IGM,324.0,324.0,,,0
CDM,10001118219,"HC FLU, 3 ANT-ST 86710",396.0,396.0,,,0
CDM,10001118221,"HC FLU, 3 ANT-2ND 86710",204.0,204.0,,,0
CDM,10001118223,HC EBV IGM NA 86664,138.0,138.0,,,0
CDM,10001118225,HC EBV IGM VCA 86665,138.0,138.0,,,0
CDM,10001118227,HC EBVIGG NA 86664,159.0,159.0,,,0
CDM,10001118229,HC EBV IGG VCA 86665,154.0,154.0,,,0
CDM,10001118231,HC HERPES SIMPLEX OTHER 8669,138.0,138.0,,,0
CDM,10001118237,"HC HERPES SIMPLEX TYPE 1, 86",154.0,154.0,,,0
CDM,10001118239,HC BLASTOMYCES COMP FIX,111.0,111.0,,,0
CDM,10001118241,HC BLASTOMYCES 1MM DIFF,111.0,111.0,,,0
CDM,10001118243,HC SACCHAROMYCES IGG,116.0,116.0,,,0
CDM,10001118245,HC SACCHAROMYCES IGA,116.0,116.0,,,0
CDM,10001118247,HC INHIBIN A,76.0,76.0,,,0
CDM,10001118249,HC CELIAC DISEASE SEROLOGY*,144.0,144.0,,,0
CDM,10001118251,HC ANTIPHOSPOLIPID AB PANEL*,92.0,92.0,,,0
CDM,10001118253,HC PHYPHATADYLSERINE AB*,146.0,146.0,,,0
CDM,10001118255,HC PLATELET ANTIBODY INDIREC,405.0,405.0,,,0
CDM,10001118257,HC PHOSPHATIDYLSERINE AB*,145.0,145.0,,,0
CDM,10001118259,"HC PLATELET ASSOC AB IGG,IGM",116.0,116.0,,,0
CDM,10001118261,HC ANTIPROTEINASE 3 AB,76.0,76.0,,,0
CDM,10001118263,HC RESPIRATORY DISEASE PANEL,334.0,334.0,,,0
CDM,10001118265,HC FOOD ALLERGY PROFILE*,41.0,41.0,,,0
CDM,10001118267,HC HGA ANAPLASMOSIS*,114.0,114.0,,,0
CDM,10001118269,HC PROTEIN ELECTRPHORESIS UR,134.0,134.0,,,0
CDM,10001118271,HC STRONGYLOIDES IGG ANTIBOD,132.0,132.0,,,0
CDM,10001118273,HC LIVER KIDNEY MICROSOME IG,76.0,76.0,,,0
CDM,10001118275,HC LUPUS ERYTHEMATOSIS PROFI,256.0,256.0,,,0
CDM,10001118277,HC PROMETHEUS IBD DX W CHROH,1115.0,1115.0,,,0
CDM,10001118279,HC SCLERODERMA AB SCL-70,68.0,68.0,,,0
CDM,10001118281,HC ANTICARDIOLIPIN A/B,634.0,634.0,,,0
CDM,10001118283,HC ANTINEURONAL A/B,849.0,849.0,,,0
CDM,10001118285,"HC CRP, QUAN",218.0,218.0,,,0
CDM,10001118287,HC FECAL ELECTROLYTES*,34.0,34.0,,,0
CDM,10001118289,HC GRANULOCYTE ANTIBODY,508.0,508.0,,,0
CDM,10001118291,HC SERONTONIN RELEASE ASSAY,588.0,588.0,,,0
CDM,10001118295,HC CRP CARDIO (HI SENS),94.0,94.0,,,0
CDM,10001118297,HC BETA2 GLYCOPROTIEN I,222.0,222.0,,,0
CDM,10001118299,HC C1 ESTARRASE FUNCTIONAL,70.0,70.0,,,0
CDM,10001118301,HC JO-1 ANTIBODY,104.0,104.0,,,0
CDM,10001118303,HC INTRINSIC BLOCKING FACTOR,230.0,230.0,,,0
CDM,10001118305,HC PNH BY FLOW CYTOMETRY,104.0,104.0,,,0
CDM,10001118307,HC PAN T CD3,252.0,252.0,,,0
CDM,10001118309,HC BORDETELLA ANTIBODY1,55.0,55.0,,,0
CDM,10001118311,HC BORDETELLA ANTIBODY2,55.0,55.0,,,0
CDM,10001118313,HC HELMINTH SEROLOGY,142.0,142.0,,,0
CDM,10001118315,HC PNEUMONITIS HYPERSENSITIV,230.0,230.0,,,0
CDM,10001118317,HC CA 27.29,285.0,285.0,,,0
CDM,10001118319,HC ANCA PANEL,1211.0,1211.0,,,0
CDM,10001118321,HC ANTI - DNA,206.0,206.0,,,0
CDM,10001118323,HC DEOXYRIBONUCLEASE ANTIBOD,202.0,202.0,,,0
CDM,10001118325,HC IMMUNOELECTRO-Q 86320,533.0,533.0,,,0
CDM,10001118327,HC A-MITOCHON,298.0,298.0,,,0
CDM,10001118329,"HC T CELLS, CD4, CD8, RATIO",266.0,266.0,,,0
CDM,10001118331,HC FTA - BLOOD,190.0,190.0,,,0
CDM,10001118335,"HC COMPLEMENT,C-3 86160",434.0,434.0,,,0
CDM,10001118337,HC COMPLEMENT TOTAL,291.0,291.0,,,0
CDM,10001118339,HC COMPLIMENT C-4 FLUID,100.0,100.0,,,0
CDM,10001118341,HC ENDOMYSIAL ANITBODY SCREE,193.0,193.0,,,0
CDM,10001118343,HC BORDETELLA PERTUSSIS IGG/,274.0,274.0,,,0
CDM,10001118345,HC LEPTOSPIRA AB SCREEN,472.0,472.0,,,0
CDM,10001118347,HC HLA-B27,434.0,434.0,,,0
CDM,10001118349,HC IMMUNOELECT-FLDS 86325,569.0,569.0,,,0
CDM,10001118351,HC IMMUNOELECTROPHARISM,291.0,291.0,,,0
CDM,10001118355,HC COMPLEMENT C-4 86160,434.0,434.0,,,0
CDM,10001118357,HC B-J PROT ELEC-B86320,533.0,533.0,,,0
CDM,10001118359,HC SJORGRENS ANTIBODY FIRST,70.0,70.0,,,0
CDM,10001118361,HC SJORGENS ANTIBODY SECOND,70.0,70.0,,,0
CDM,10001118363,HC NEURONAL NUCLEAR (HU) AB,240.0,240.0,,,0
CDM,10001118365,HC NEURONAL NUCLEAR (RI) AB,326.0,326.0,,,0
CDM,10001118367,HC PURKINKE CELL CYTOPLAS AB,294.0,294.0,,,0
CDM,10001118369,HC CA 15-3,362.0,362.0,,,0
CDM,10001118371,HC CA 19-9,336.0,336.0,,,0
CDM,10001118373,HC CA 125,362.0,362.0,,,0
CDM,10001118375,HC HEP E ANTIBODIES*,339.0,339.0,,,0
CDM,10001118377,HC HEP A AB-IGG,216.0,216.0,,,0
CDM,10001118379,HC COLD AUTO ABSOR86978,137.0,137.0,,,0
CDM,10001118381,HC HEPATITIS BC ANTIBODY IGM,171.0,171.0,,,0
CDM,10001118383,HC HEP B CORE ANTIBODY,171.0,171.0,,,0
CDM,10001118385,HC HEP B SURFACE ANTIBODY,170.0,170.0,,,0
CDM,10001118387,HC HEPATITIS D   86692,121.0,121.0,,,0
CDM,10001118389,HC HEP SCREEN-HBCAB,98.0,98.0,,,0
CDM,10001118391,HC HEP SCREEN-HAAB,102.0,102.0,,,0
CDM,10001118393,HC HEP SCREEN-HCAB,125.0,125.0,,,0
CDM,10001118395,HC HEP BE ANTIBODY,199.0,199.0,,,0
CDM,10001118397,HC HEP C AB,218.0,218.0,,,0
CDM,10001118399,HC HEP A AB-IGM,244.0,244.0,,,0
CDM,10001118401,HC ANTI HIV 86703,284.0,284.0,,,0
CDM,10001118403,HC WESTERN BLOT 86689,559.0,559.0,,,0
CDM,10001118405,HC ANTI HTLVI,196.0,196.0,,,0
CDM,10001118407,HC HIV 1,171.0,171.0,,,0
CDM,10001118409,HC HIV 2,171.0,171.0,,,0
CDM,10001118411,HC HBNEUT,218.0,218.0,,,0
CDM,10001118413,HC HCVRIB,414.0,414.0,,,0
CDM,10001118415,HC HTLV II AB 86688,196.0,196.0,,,0
CDM,10001118417,"HC HLA TYPING - A,B,C",2075.0,2075.0,,,0
CDM,10001118419,HC LEUKOCYTE AB 86021,215.0,215.0,,,0
CDM,10001118421,HC PLATELET ANTIBODY DIRECT,215.0,215.0,,,0
CDM,10001118423,HC ANTI PLATELET AB INDIRECT,100.0,100.0,,,0
CDM,10001118425,HC HEPERIN INDUCED PLATELET,100.0,100.0,,,0
CDM,10001118427,HC ANTI PLATELET AB DIRECT,99.0,99.0,,,0
CDM,10001118429,HC HEP B SURF ANTI,140.0,140.0,,,0
CDM,10001118431,HC V.D.R.L. CSF 86592 QUAL,158.0,158.0,,,0
CDM,10001118433,HC IGM ANTIBODY HEPATITER,335.0,335.0,,,0
CDM,10001118435,HC WBLYME IGG,104.0,104.0,,,0
CDM,10001118437,HC ANTI-THYROID PEROXIDASE A,58.0,58.0,,,0
CDM,10001118439,HC WBLYME IGM,104.0,104.0,,,0
CDM,10001118443,HC RA LATEX-QL 86430,98.0,98.0,,,0
CDM,10001118445,HC LYMES DISEASE TITER 86618,104.0,104.0,,,0
CDM,10001118447,HC ENA IGG & IGM,352.0,352.0,,,0
CDM,10001118451,HC AGGLU TULAREMIA86668,148.0,148.0,,,0
CDM,10001118453,HC AGGLUT FEB EA 86000,118.0,118.0,,,0
CDM,10001118457,HC AGGLUT-BRUCELLA,178.0,178.0,,,0
CDM,10001118459,HC ANTI-NUCLEAR ANTIBODY 860,99.0,99.0,,,0
CDM,10001118461,"HC ANA, TITER 86039",100.0,100.0,,,0
CDM,10001118463,HC MICROSOMAL ANTI85385,262.0,262.0,,,0
CDM,10001118465,HC STS. VDRL OR RP86592 QUAL,82.0,82.0,,,0
CDM,10001118467,HC ANTI-STREPTOLY 86060,178.0,178.0,,,0
CDM,10001118469,HC THYROGLOB ANTI,138.0,138.0,,,0
CDM,10001118471,HC AGGLUT TRICHINA,199.0,199.0,,,0
CDM,10001118473,HC COLD AGGULT TITER,144.0,144.0,,,0
CDM,10001118477,HC RAST TEST EACH,203.0,203.0,,,0
CDM,10001118479,HC MONO-SCREEN TST 86308,94.0,94.0,,,0
CDM,10001118481,HC RA LATEX-QT,138.0,138.0,,,0
CDM,10001118483,"HC ANITBODIES, FTA BLOOD",256.0,256.0,,,0
CDM,10001118485,HC ASO-SCREEN 86063,131.0,131.0,,,0
CDM,10001118487,HC C-REACTIVE PROT86140,94.0,94.0,,,0
CDM,10001118489,HC AGG LEPTO DEFIN86597,284.0,284.0,,,0
CDM,10001118493,HC HETEROPHIL TITE86310,138.0,138.0,,,0
CDM,10001118495,"HC STS,VDRL OR RP86593 QUANT",94.0,94.0,,,0
CDM,10001118497,HC BENCE-JONES QUANT*,234.0,234.0,,,0
CDM,10001118499,HC ALLERGEN SPECIFIC IGE,22.0,22.0,,,0
CDM,10001118501,HC IMMUNOGLOBULIN ASSAY,51.0,51.0,,,0
CDM,10001118503,HC C-REACTIVE PROTEIN,22.0,22.0,,,0
CDM,10001118505,HC GLYCOPROTEIN ANTIBODY,103.0,103.0,,,0
CDM,10001118507,HC CARDIOLIPIN ANTIBODY,103.0,103.0,,,0
CDM,10001118509,HC PHOSPHOLIPID ANTIBODY,40.0,40.0,,,0
CDM,10001118511,HC DNA ANTIBODY,56.0,56.0,,,0
CDM,10001118513,HC DNA ANTIBODY SIGNLE STRAN,50.0,50.0,,,0
CDM,10001118515,HC NUCLEAR ANTIGEN ANTIBODY,72.0,72.0,,,0
CDM,10001118517,HC FLOURESCENT ANTIBODY SCRE,49.0,49.0,,,0
CDM,10001118519,HC LYME DISEASE ANTIBODY,70.0,70.0,,,0
CDM,10001118521,HC CMV ANITBODY,60.0,60.0,,,0
CDM,10001118523,"HC CMV ANTIBODY, IGM",70.0,70.0,,,0
CDM,10001118525,HC ENCEPHALITIS AB CALIFORNI,54.0,54.0,,,0
CDM,10001118527,HC ENCEPHALITIS AB EASTERN,54.0,54.0,,,0
CDM,10001118529,HC ENCEPHALITIS AB ST LOUIS,54.0,54.0,,,0
CDM,10001118531,HC ENCEPHALITIS AB WESTERN,54.0,54.0,,,0
CDM,10001118533,HC ENTEROVIRUS ANTIBODY,54.0,54.0,,,0
CDM,10001118535,HC EHRLICHIA ANTIBODY,42.0,42.0,,,0
CDM,10001118537,HC HERPES SIMPLEX TEST,58.0,58.0,,,0
CDM,10001118539,HC HERPES SIMPLEX TYPE 1 TES,54.0,54.0,,,0
CDM,10001118541,HC HERPES SIMPLEX TYPE 2,80.0,80.0,,,0
CDM,10001118543,HC INFLUENZA VIRUS ANTIBODY,56.0,56.0,,,0
CDM,10001118545,HC LYMPH CHORIOMENINGITIS AB,53.0,53.0,,,0
CDM,10001118547,HC MUMPS ANTIBODY,54.0,54.0,,,0
CDM,10001118549,HC RUBELLA ANTIBODY,114.0,114.0,,,0
CDM,10001118551,HC RUBEOLA ANTIBODY,41.0,41.0,,,0
CDM,10001118553,HC SALMONELL ANTIBODY,54.0,54.0,,,0
CDM,10001118555,HC TOXOPLASMA ANTIBODY,58.0,58.0,,,0
CDM,10001118557,HC VARICELLA-ZOSTER ANTIBODY,53.0,53.0,,,0
CDM,10001118559,HC IMMUNODIFFUSION OUCHTERLO,50.0,50.0,,,0
CDM,10001118561,HC IMMUNODIFFUSION OUCHTERLO,50.0,50.0,,,0
CDM,10001118563,HC ASPERGILLUS AB 1,62.0,62.0,,,0
CDM,10001118565,HC ASPERGILLUS AB 2,62.0,62.0,,,0
CDM,10001118567,HC ASPERGILLUS AB 3,62.0,62.0,,,0
CDM,10001118569,HC FUNGUS AB 1,51.0,51.0,,,0
CDM,10001118571,HC FUNGUS AB 2,51.0,51.0,,,0
CDM,10001118573,HC HEP E IGG,54.0,54.0,,,0
CDM,10001118575,HC REF-DIFF ABSORBTIONS,110.0,110.0,,,0
CDM,10001118577,HC REF-INHIBITION STUDIES,72.0,72.0,,,0
CDM,10001118579,HC REF-TITRATION OF ANTIBODY,51.0,51.0,,,0
CDM,10001118581,HC REF-DRUG STUDIES,47.0,47.0,,,0
CDM,10001118583,HC REF-PLATELET AB XM,684.0,684.0,,,0
CDM,10001118585,HC REF-PLATELET AB SCREEN,126.0,126.0,,,0
CDM,10001118587,HC REF-PLATELET ANTIBODY ID,527.0,527.0,,,0
CDM,10001118589,HC REF-PLATELET ANTIGEN TYPE,30.0,30.0,,,0
CDM,10001118591,HC REF-PLATELET ANTIGEN TYPE,30.0,30.0,,,0
CDM,10001118593,HC REF-PLATELET ANTIGEN TYPE,30.0,30.0,,,0
CDM,10001118595,HC REF-SERUM SCR CYTOTOX PRA,76.0,76.0,,,0
CDM,10001118597,HC REF-SERUM SCR CYTOTOX PRA,57.0,57.0,,,0
CDM,10001118599,HC REF-FLOW CYTOMETRY FOR AB,7.0,7.0,,,0
CDM,10001118601,HC REF-SERUM SCR CYTOTOX PRA,181.0,181.0,,,0
CDM,10001118603,HC REF-SERUM SCR CYTOTOX PRA,136.0,136.0,,,0
CDM,10001118605,HC REF-FLOW CYTOMETRY FOR AB,16.0,16.0,,,0
CDM,10001118607,HC REF-HLA TYPING-SEROLOGICA,350.0,350.0,,,0
CDM,10001118609,"HC FIBRINOGEN, ACTIVITY 8538",35.0,35.0,,,0
CDM,10001118611,"HC VISCOSITY, SERUM 85810",79.0,79.0,,,0
CDM,10001118613,HC ACID HEMOLYSIS 85475,35.0,35.0,,,0
CDM,10001118615,HC BONE MARROW EXAM,87.0,87.0,,,0
CDM,10001118619,HC ALKPHOS SMEAR 85540,58.0,58.0,,,0
CDM,10001118623,HC ERYTHROCYTE CNT 85041,16.0,16.0,,,0
CDM,10001118625,HC HEMOGLOBIN,24.0,24.0,,,0
CDM,10001118629,HC WBC ONLY,26.0,26.0,,,0
CDM,10001118631,"HC HEMOGLOBIN, CYAN 85018",24.0,24.0,,,0
CDM,10001118633,HC BONE MARROW  85097,86.0,86.0,,,0
CDM,10001118635,HC HEMATROCRIT,28.0,28.0,,,0
CDM,10001118639,HC RETICULOCYTE CN AUTO,30.0,30.0,,,0
CDM,10001118641,HC SED RATE NON AUTO,26.0,26.0,,,0
CDM,10001118643,HC SICKLE CELL PRE 85660,35.0,35.0,,,0
CDM,10001118645,HC HEMOGLOBIN FETA 85460,50.0,50.0,,,0
CDM,10001118647,HC ACT PTT SUB 85732,62.0,62.0,,,0
CDM,10001118649,HC EUGLOGULIN CLOT 85360,35.0,35.0,,,0
CDM,10001118651,HC FACTOR II ASSAY 85210,35.0,35.0,,,0
CDM,10001118653,HC FACTOR VIII ASSAY 85240,119.0,119.0,,,0
CDM,10001118655,HC FACTOR IX ASSAY,119.0,119.0,,,0
CDM,10001118657,HC FACTOR X ASSAY 85260,119.0,119.0,,,0
CDM,10001118659,HC FACTO XI ASSAY 85270,119.0,119.0,,,0
CDM,10001118661,HC FACTOR XII ASSAY 85280,119.0,119.0,,,0
CDM,10001118663,HC FACTOR XIII ASSAY 85290,119.0,119.0,,,0
CDM,10001118665,HC CIRCULATION ANT 85300,50.0,50.0,,,0
CDM,10001118667,HC FIBRIN PR 85362,69.0,69.0,,,0
CDM,10001118669,HC PROTAMINE SULF 85530,40.0,40.0,,,0
CDM,10001118671,HC PARTIAL THROMBO 85730,43.0,43.0,,,0
CDM,10001118673,HC FACTOR V ASSAY 85220,35.0,35.0,,,0
CDM,10001118675,HC FACTOR VII ASSAY 85230,35.0,35.0,,,0
CDM,10001118677,HC CLOT RETRACTION 85170,24.0,24.0,,,0
CDM,10001118679,HC THROMBIN TIME PLASMA 8567,32.0,32.0,,,0
CDM,10001118681,HC PROTHROMBIN TIM 85610,36.0,36.0,,,0
CDM,10001118683,HC FACTOR III ASSAY 85300,119.0,119.0,,,0
CDM,10001118685,HC PROTHRO SUM TST 85612,62.0,62.0,,,0
CDM,10001118687,HC C B C,58.0,58.0,,,0
CDM,10001118689,HC HEMOGLOBIN 85018,24.0,24.0,,,0
CDM,10001118691,HC FACTOR 5 LEIDEN,440.0,440.0,,,0
CDM,10001118693,HC LUPUS ANTICOAGULANT,306.0,306.0,,,0
CDM,10001118695,HC PROTEIN C ACTIVITY,302.0,302.0,,,0
CDM,10001118697,HC PROTEIN S TOTAL,90.0,90.0,,,0
CDM,10001118699,HC ACTIVATED PROTEIN C RESIS,185.0,185.0,,,0
CDM,10001118701,HC PROTEIN S FREE,90.0,90.0,,,0
CDM,10001118703,HC KAOLIN CLOTTING TIME,322.0,322.0,,,0
CDM,10001118705,HC PLASMINOGEN FIBRINOLYTIC,314.0,314.0,,,0
CDM,10001118707,HC APT,49.0,49.0,,,0
CDM,10001118709,HC RUSSELLS VIPER VENOM TIME,54.0,54.0,,,0
CDM,10001118711,HC RISTOCETIN COFACTOR,404.0,404.0,,,0
CDM,10001118713,HC ART HEMOGLOBIN 85018,121.0,121.0,,,0
CDM,10001118715,"HC FIBRINOGEN, QUA 85384 ACT",92.0,92.0,,,0
CDM,10001118717,"HC VISCOSITY, SERUM 85810",194.0,194.0,,,0
CDM,10001118719,HC ACID HEMOLYSIS 85475,135.0,135.0,,,0
CDM,10001118721,HC HEPARIN ANTI-XA ASSAY,420.0,420.0,,,0
CDM,10001118723,HC TRANSFUSION REACTION,91.0,91.0,,,0
CDM,10001118727,HC VON WILLEBRAND FACTR VIII,194.0,194.0,,,0
CDM,10001118729,HC D-DIMER QUANT,222.0,222.0,,,0
CDM,10001118731,HC D-DIMER  QUAL/SEMIQT 8537,129.0,129.0,,,0
CDM,10001118733,HC PLATELET NEUTRALIZATION,113.0,113.0,,,0
CDM,10001118735,HC PLATELET COUNT 85049,92.0,92.0,,,0
CDM,10001118737,HC ALK PHOS SMEAR 85540,142.0,142.0,,,0
CDM,10001118739,HC IN/OUT BLOOD CT85027,148.0,148.0,,,0
CDM,10001118741,HC MORPH RBC OTHER 85008,65.0,65.0,,,0
CDM,10001118743,HC ERYTHROCYTE CNT85041,75.0,75.0,,,0
CDM,10001118745,HC HEMOGLOBIN,86.0,86.0,,,0
CDM,10001118747,HC BLD CT; MANUAL DIFF WBC C,64.0,64.0,,,0
CDM,10001118749,HC WBC & DIFF BLD 85025,83.0,83.0,,,0
CDM,10001118751,HC WBC ONLY,74.0,74.0,,,0
CDM,10001118753,"HC HEMOGLOBIN,CYAN85018",75.0,75.0,,,0
CDM,10001118755,HC COMP BLOOD CNT 85025,164.0,164.0,,,0
CDM,10001118757,HC TOTAL EO COUNT 85048,74.0,74.0,,,0
CDM,10001118759,HC HEMATOCRIT,74.0,74.0,,,0
CDM,10001118763,HC RETICULOCYTE CN AUTO 8504,78.0,78.0,,,0
CDM,10001118765,HC SED RATE NON AUTO,82.0,82.0,,,0
CDM,10001118767,HC SICKLE CELL PRE85660,92.0,92.0,,,0
CDM,10001118769,HC HEMOGLOBIN FETA85460,137.0,137.0,,,0
CDM,10001118773,HC VON WILLEBRAND MULTIMERS,156.0,156.0,,,0
CDM,10001118775,HC FACTOR 13,114.0,114.0,,,0
CDM,10001118777,HC ANTITHROMBIN III,108.0,108.0,,,0
CDM,10001118779,HC PROTEIN C ANTIGEN,109.0,109.0,,,0
CDM,10001118781,HC PROTEIN S (TOTAL),138.0,138.0,,,0
CDM,10001118783,HC PROTEIN S (FREE),138.0,138.0,,,0
CDM,10001118785,HC FACTOR 8 INHIBITOR,168.0,168.0,,,0
CDM,10001118787,HC ACT PTT SUB 85732,164.0,164.0,,,0
CDM,10001118789,HC EUGLOGULIN CLOT85360,94.0,94.0,,,0
CDM,10001118791,HC FACTOR II ASSAY85210,182.0,182.0,,,0
CDM,10001118793,HC FACTOR VIII ASS85240,315.0,315.0,,,0
CDM,10001118795,HC FACTOR IX ASSAY85250,315.0,315.0,,,0
CDM,10001118797,HC FACTOR X ASSAY 85260,315.0,315.0,,,0
CDM,10001118799,HC FACTOR XI ASSAY85270,315.0,315.0,,,0
CDM,10001118801,HC FACTOR XII ASSA85280,315.0,315.0,,,0
CDM,10001118803,HC FACTOR XIII ASS85290,315.0,315.0,,,0
CDM,10001118805,HC CIRCULATING ANT85300,292.0,292.0,,,0
CDM,10001118807,HC PLATELET AGGREG,376.0,376.0,,,0
CDM,10001118809,HC PLATELET MANUAL COUNT 855,92.0,92.0,,,0
CDM,10001118811,HC FIBRIN SPLIT PR85362,176.0,176.0,,,0
CDM,10001118813,HC PROTAMINE SULF 85530,125.0,125.0,,,0
CDM,10001118815,HC PARTIAL THROMBO85730,106.0,106.0,,,0
CDM,10001118817,HC THROMBOPLASTIN SUBSTITUTI,164.0,164.0,,,0
CDM,10001118819,HC FACTOR V ASSAY 85220,266.0,266.0,,,0
CDM,10001118821,HC FACTOR VII ASSA85230,266.0,266.0,,,0
CDM,10001118823,HC BLEEDING TIME 85002,137.0,137.0,,,0
CDM,10001118827,HC FACTOR I ASSAY 85384,120.0,120.0,,,0
CDM,10001118829,HC CLOT RETRACTION85170,66.0,66.0,,,0
CDM,10001118831,HC THROMBIN TIME PLATELET 85,85.0,85.0,,,0
CDM,10001118833,HC PROTHROMBIN TIM85610,94.0,94.0,,,0
CDM,10001118835,HC FACTOR III ASSA85300,302.0,302.0,,,0
CDM,10001118837,HC PROTHRO SUB TST 85611,164.0,164.0,,,0
CDM,10001118839,HC SSP HEMOGRAM 85021,64.0,64.0,,,0
CDM,10001118841,HC REF-UNIT SICKLING RBC RED,49.0,49.0,,,0
CDM,10001118845,HC LEGIONELLA CULTURE,102.0,102.0,,,0
CDM,10001118847,HC HERPES CULT 87252,224.0,224.0,,,0
CDM,10001118849,HC ANAROBIC CULT 87075,108.0,108.0,,,0
CDM,10001118851,HC CONCENTRATION T 87015,46.0,46.0,,,0
CDM,10001118853,HC CRYPT ANTGEN SCRN,60.0,60.0,,,0
CDM,10001118855,"HC BIOCHEM, 1ST PANEL",85.0,85.0,,,0
CDM,10001118857,"HC BIOCHEM, EA ADD'L PANEL",60.0,60.0,,,0
CDM,10001118859,HC CULT STOOL VIBRIO,26.0,26.0,,,0
CDM,10001118861,HC CULT STOOL E COLI,26.0,26.0,,,0
CDM,10001118863,HC BLOOD CULTURE 87040,82.0,82.0,,,0
CDM,10001118865,HC AFB SMEAR ONLY 87206,36.0,36.0,,,0
CDM,10001118867,HC AFB ID 87118,127.0,127.0,,,0
CDM,10001118869,HC AFB CULT CONC/ID,98.0,98.0,,,0
CDM,10001118871,HC AFB SENST 87190,60.0,60.0,,,0
CDM,10001118875,HC VIRAL CULTURE 87252,176.0,176.0,,,0
CDM,10001118877,"HC BACT.CULT,URINE, ID KIT",47.0,47.0,,,0
CDM,10001118879,"HC VIRUS LD;TISS CUL,ADDL ST",178.0,178.0,,,0
CDM,10001118881,HC FUNGUS YEAST ID 87106,116.0,116.0,,,0
CDM,10001118883,HC SENSITIVITY MIC,72.0,72.0,,,0
CDM,10001118885,HC SENSITIVITY KB,40.0,40.0,,,0
CDM,10001118887,HC MACROSCOPIC EXAM;ARTHROPO,43.0,43.0,,,0
CDM,10001118889,HC DARKFIELD 87164,69.0,69.0,,,0
CDM,10001118891,"HC BACT, SMEAR, STA",32.0,32.0,,,0
CDM,10001118893,HC FUNGUS CULT NOT SKIN HAIR,83.0,83.0,,,0
CDM,10001118895,HC CULTURE BACTERIA 87070,76.0,76.0,,,0
CDM,10001118897,HC CULT FUNGI DEF LD;MOLD,92.0,92.0,,,0
CDM,10001118899,HC COLONY CNT-URI 87086 QT,36.0,36.0,,,0
CDM,10001118901,HC HEP B SURFACE AG,79.0,79.0,,,0
CDM,10001118903,HC HEP BE ANTIGEN,76.0,76.0,,,0
CDM,10001118905,HC CLOSTRIDIUM TOXIN,184.0,184.0,,,0
CDM,10001118907,HC MALARIA SMEARS 87207,84.0,84.0,,,0
CDM,10001118909,HC HEP B SURF ANTI,58.0,58.0,,,0
CDM,10001118911,HC COCCIDIO AGGLUT,35.0,35.0,,,0
CDM,10001118913,HC O&P STOOL EXAM,94.0,94.0,,,0
CDM,10001118915,HC PIN WORM SLIDE,32.0,32.0,,,0
CDM,10001118917,HC SPECIM OR MAT I 87210,35.0,35.0,,,0
CDM,10001118919,"HC TRICHOMONADS, WE 87210",35.0,35.0,,,0
CDM,10001118921,HC TAPEWORM INDENT,58.0,58.0,,,0
CDM,10001118927,HC SERUM BACTERICIDE,132.0,132.0,,,0
CDM,10001118931,HC INFUENZA A/B PCR REFLEX H,186.0,186.0,,,0
CDM,10001118933,HC INFUENZA A H1N1*,464.0,464.0,,,0
CDM,10001118935,HC AZITHROMYCIN SUSCEPTIBILI,156.0,156.0,,,0
CDM,10001118937,HC SUSCEPTIBILITY TEST 2 DRU,171.0,171.0,,,0
CDM,10001118939,HC ADENOVIRUS PCR/DNA PROBE,178.0,178.0,,,0
CDM,10001118941,HC CYCLOSPORA/ISOSPORA*,100.0,100.0,,,0
CDM,10001118943,HC BABESIA BY PCR,658.0,658.0,,,0
CDM,10001118945,HC JC POLYOMA VIRUS DNA PCR,255.0,255.0,,,0
CDM,10001118947,HC B PERTUSSIA/PARAPERTUSSIA,569.0,569.0,,,0
CDM,10001118949,HC HUMAN HERPES VIRUS 8 DNA,338.0,338.0,,,0
CDM,10001118951,HC PARVOVIRUS B19 DNA PCR,268.0,268.0,,,0
CDM,10001118953,HC BABESIA MICROTI DNA PCR,264.0,264.0,,,0
CDM,10001118955,HC EBV DNA QT PCR,595.0,595.0,,,0
CDM,10001118957,HC VZV DNA QL PCR,498.0,498.0,,,0
CDM,10001118959,HC HSV TYPE 1&2 DNA PCR*,264.0,264.0,,,0
CDM,10001118961,HC HERPES SIMPLEX 1,400.0,400.0,,,0
CDM,10001118963,HC ENTEROVIRUS PCR,544.0,544.0,,,0
CDM,10001118965,"HC ANTHRAX SCREEN, BLOOD CUL",658.0,658.0,,,0
CDM,10001118967,HC ANTHRAX BLOOD CULT ONLY S,373.0,373.0,,,0
CDM,10001118969,"HC ANTHRAX SCREEN, NASAL CUL",36.0,36.0,,,0
CDM,10001118971,HC ADENO VIRAL CULTURE,286.0,286.0,,,0
CDM,10001118973,HC STREP A CULT 87081,82.0,82.0,,,0
CDM,10001118975,HC CMV AMTOGENEMIA,286.0,286.0,,,0
CDM,10001118977,HC HSV RAPID CULTURE,286.0,286.0,,,0
CDM,10001118979,HC VZV VIRAL CULTURES,286.0,286.0,,,0
CDM,10001118981,HC INFLUENZA A VIRAL CULTURE,286.0,286.0,,,0
CDM,10001118983,HC INFLUENZA B,286.0,286.0,,,0
CDM,10001118985,HC PARAINFLUENZA VIRAL CULTU,286.0,286.0,,,0
CDM,10001118987,HC RSV VIRAL CULTURE,286.0,286.0,,,0
CDM,10001118989,HC ENTEROVIRUS VIRAL CULTURE,286.0,286.0,,,0
CDM,10001118991,HC CONCETRATION PLUS ISOLATI,130.0,130.0,,,0
CDM,10001118993,HC MYCOBACTERIUM ID,62.0,62.0,,,0
CDM,10001118995,HC ETEST MIC AEROBE,96.0,96.0,,,0
CDM,10001118997,HC ETEST ANAEROBE,28.0,28.0,,,0
CDM,10001118999,HC SUSCEPTIBILITY YEAST PANE,644.0,644.0,,,0
CDM,10001119001,HC SYNERGY STUDIES (EA),354.0,354.0,,,0
CDM,10001119003,"HC FUNGI, EA DRUG  87192",336.0,336.0,,,0
CDM,10001119005,HC FLRCNT STAIN FOR BCTRIA/F,130.0,130.0,,,0
CDM,10001119007,HC ASPERGILLUS ANTIGEN,253.0,253.0,,,0
CDM,10001119009,HC CMV ANTIGENT DETECTION DF,145.0,145.0,,,0
CDM,10001119011,HC HISTO AG IMMUNO UR,301.0,301.0,,,0
CDM,10001119013,HC RSV RAPID TEST,54.0,54.0,,,0
CDM,10001119015,HC ROTAVIRUS BY EIA,54.0,54.0,,,0
CDM,10001119017,HC RPD FLU ANTIBODY (AREADY,102.0,102.0,,,0
CDM,10001119019,HC FLU - RAPID A,85.0,85.0,,,0
CDM,10001119021,HC FLU RAPID B,85.0,85.0,,,0
CDM,10001119023,HC LEGIONELLA UR ANTIGEN,58.0,58.0,,,0
CDM,10001119025,HC CHLAMYDIA PNEUM TWAR,426.0,426.0,,,0
CDM,10001119027,"HC CHLAMYDIA TRACHOMATIS,AMP",168.0,168.0,,,0
CDM,10001119029,HC CLOSTRIDIUM DIFF (PCR),215.0,215.0,,,0
CDM,10001119031,HC CMV QUANT PCR,712.0,712.0,,,0
CDM,10001119033,"HC ENTEROVIRUS, DNA, AMP PRO",196.0,196.0,,,0
CDM,10001119035,HC MYCROBCTR TB AMPLFD PROBE,331.0,331.0,,,0
CDM,10001119037,HC MYCOBACERIA AVIUMINTERCEL,638.0,638.0,,,0
CDM,10001119039,HC NEISSERIA GONORROHEAE AMP,168.0,168.0,,,0
CDM,10001119041,"HC STAPH A, DNA, AMP PROBE",196.0,196.0,,,0
CDM,10001119043,"HC MR-STAPH, DNA, AMP PROBE",196.0,196.0,,,0
CDM,10001119045,"HC STREP B, DNA, AMP PROBE",196.0,196.0,,,0
CDM,10001119047,HC WEST NILE CSF PCR,1110.0,1110.0,,,0
CDM,10001119053,HC LEGIONELLA DNA PROBE,251.0,251.0,,,0
CDM,10001119055,HC LEGIONELLA CULTURE,233.0,233.0,,,0
CDM,10001119057,HC STREP SCREEN 87081,128.0,128.0,,,0
CDM,10001119059,HC CHLAMYDIA CULT 87110,281.0,281.0,,,0
CDM,10001119061,HC HERPES CULT 87252,508.0,508.0,,,0
CDM,10001119063,HC CHLAMIDIA SMEAR 87207,174.0,174.0,,,0
CDM,10001119065,HC ANAEROBIC CULT 87075,244.0,244.0,,,0
CDM,10001119067,HC H.PYLORI STOOL ANTIGENS,352.0,352.0,,,0
CDM,10001119069,HC CHLMYDIA PNEUM CULT 87110,486.0,486.0,,,0
CDM,10001119071,HC LYME PCR BLOOD,673.0,673.0,,,0
CDM,10001119073,HC LYME PCR FLUID,673.0,673.0,,,0
CDM,10001119075,"HC CULTURE, TISSUE",273.0,273.0,,,0
CDM,10001119077,HC CONCENTRATION T87015,129.0,129.0,,,0
CDM,10001119079,HC LEGIONELLA DFA ANTGN,232.0,232.0,,,0
CDM,10001119081,HC CRYPT ANTGEN SCRN,82.0,82.0,,,0
CDM,10001119083,HC CYPT ANTGN TITER,384.0,384.0,,,0
CDM,10001119085,"HC GIARDIA,AG,EIA,STOOL",70.0,70.0,,,0
CDM,10001119087,"HC BIOCHEM, 1ST PANEL",127.0,127.0,,,0
CDM,10001119089,"HC BIOCHEM, EA ADD'L PANEL",80.0,80.0,,,0
CDM,10001119091,HC CULT STOOL VIBRIO,46.0,46.0,,,0
CDM,10001119093,HC CULT STOOL E COLI,46.0,46.0,,,0
CDM,10001119095,HC BLOOD CULTURE 87040,190.0,190.0,,,0
CDM,10001119097,HC CRYPTOSPORDIOSIS(STOOL)*,88.0,88.0,,,0
CDM,10001119099,HC TICK ID,80.0,80.0,,,0
CDM,10001119101,HC SMEAR(FLOURESCENT/ACID),24.0,24.0,,,0
CDM,10001119103,HC INFLUENZA VIRUS CULTURE,253.0,253.0,,,0
CDM,10001119105,"HC SHIGA TOXINS, STL",143.0,143.0,,,0
CDM,10001119107,"HC CHLM TRACHMTS, DIR PROB 8",168.0,168.0,,,0
CDM,10001119109,HC CRYPTOSPORIDIUM,96.0,96.0,,,0
CDM,10001119111,HC AFB SMEAR ONLY 87206,82.0,82.0,,,0
CDM,10001119113,HC AFB ID 87118,212.0,212.0,,,0
CDM,10001119115,HC AFB CULT CONC/ID 87117,225.0,225.0,,,0
CDM,10001119117,HC AFB SENST 87190,164.0,164.0,,,0
CDM,10001119119,"HC BACT. CULT, THROAT 87060",138.0,138.0,,,0
CDM,10001119121,"HC BACT. CULT, OTHER, DEFIN",156.0,156.0,,,0
CDM,10001119123,"HC BACT.CULT, STOOL 87045",168.0,168.0,,,0
CDM,10001119125,HC VIRAL CULTURE 87252,304.0,304.0,,,0
CDM,10001119129,HC BACT.CULT URIN ID KIT EA,142.0,142.0,,,0
CDM,10001119131,"HC BACT CULT, ANAEROBIC 8707",168.0,168.0,,,0
CDM,10001119133,"HC VIRUS LD;TISS CUL,ADDL ST",347.0,347.0,,,0
CDM,10001119135,"HC FUNG CULT, SKIN 87101",138.0,138.0,,,0
CDM,10001119137,HC COLONY CNT-WATE00000,76.0,76.0,,,0
CDM,10001119139,"HC FUNG CULT, BLOOD 87103",158.0,158.0,,,0
CDM,10001119141,HC SENSITIVITY MIC,644.0,644.0,,,0
CDM,10001119143,HC SENSITIVITY KB,99.0,99.0,,,0
CDM,10001119145,HC SERUMBACTERICID,304.0,304.0,,,0
CDM,10001119147,HC MACROSCOPIC EXAM;ARTHROPO,78.0,78.0,,,0
CDM,10001119149,HC DARKFIELD 87164,111.0,111.0,,,0
CDM,10001119151,"HC FUNGUS,SMEAR 87220",82.0,82.0,,,0
CDM,10001119153,"HC BACT, SMEAR, STAI",70.0,70.0,,,0
CDM,10001119155,HC FUNGCULT NOT SKINHAIRNAIL,190.0,190.0,,,0
CDM,10001119157,HC FUNGUS ID 87106,190.0,190.0,,,0
CDM,10001119159,HC CULTURE BACTERI87070,176.0,176.0,,,0
CDM,10001119161,HC BETA STREP B 87081,208.0,208.0,,,0
CDM,10001119163,HC CULT FUNGI DEF LD; MOLD,180.0,180.0,,,0
CDM,10001119165,"HC TYPING, POLYVAL 87151",190.0,190.0,,,0
CDM,10001119167,HC COLONY CNT-URI 87086,114.0,114.0,,,0
CDM,10001119169,HC MYCOPLASMS CULTURE 87109,184.0,184.0,,,0
CDM,10001119171,HC CLOSTRIDIUM OX,421.0,421.0,,,0
CDM,10001119173,HC HELICOBCTR SCRN,82.0,82.0,,,0
CDM,10001119175,HC MYCOPLASMA PNEUM CULT,846.0,846.0,,,0
CDM,10001119177,HC MYCOPPLAMA GENITAL CULT,456.0,456.0,,,0
CDM,10001119179,HC HERPES SIMPLEX 2 86696,400.0,400.0,,,0
CDM,10001119189,HC CHL/GC DNA PROBE,168.0,168.0,,,0
CDM,10001119191,HC POCT SMEAR WET PREP,32.0,32.0,,,0
CDM,10001119193,HC STOOL VRE SCREEN,46.0,46.0,,,0
CDM,10001119195,HC MRSA SCREEN,46.0,46.0,,,0
CDM,10001119197,HC NOROVIRUS RNA/PCR,623.0,623.0,,,0
CDM,10001119199,HC WEST NILE BLOOD PCR,1110.0,1110.0,,,0
CDM,10001119201,HC MICROSPORIDIA EXAM*,70.0,70.0,,,0
CDM,10001119203,HC HEPATITIS B DNA PCR QT,657.0,657.0,,,0
CDM,10001119205,HC TREPONEMA PALLIDUM PCR,473.0,473.0,,,0
CDM,10001119207,HC HIV1 GENOTYPE/VIRTUAL PHE,1016.0,1016.0,,,0
CDM,10001119209,HC HIV1 DNA BY PCR,390.0,390.0,,,0
CDM,10001119211,HC HCV GENOTYPE,763.0,763.0,,,0
CDM,10001119213,HC HEP B SURFACE AG,152.0,152.0,,,0
CDM,10001119215,HC HEP SCREEN-HBSAG,86.0,86.0,,,0
CDM,10001119217,HC HEP BE ANTIGEN,199.0,199.0,,,0
CDM,10001119219,HC HIV P24 ANTIGEN,391.0,391.0,,,0
CDM,10001119221,HC HIV- 1 RNA QT,658.0,658.0,,,0
CDM,10001119223,HC HCVRNA QT,658.0,658.0,,,0
CDM,10001119225,HC HIV RNA QUAL,599.0,599.0,,,0
CDM,10001119227,HC CLOSTRIDIUM TOXIN,160.0,160.0,,,0
CDM,10001119231,HC MALARIA ID 87207,270.0,270.0,,,0
CDM,10001119233,HC FILARIA ID 87207,300.0,300.0,,,0
CDM,10001119235,HC BLOOD PARASITES 87207,94.0,94.0,,,0
CDM,10001119237,HC HEPATITIS B SURFACE ANTIG,204.0,204.0,,,0
CDM,10001119239,HC HPV AMPLIFIED PROBE*,295.0,295.0,,,0
CDM,10001119241,HC HPV DNA AMP PROBE,145.0,145.0,,,0
CDM,10001119243,HC BARTONELLA HENSELAE PCR,1550.0,1550.0,,,0
CDM,10001119245,HC O&P STOOL EXAM,249.0,249.0,,,0
CDM,10001119247,HC TAPEWORM INDENT 87208,178.0,178.0,,,0
CDM,10001119249,HC PIN WORM SLIDE 87208,94.0,94.0,,,0
CDM,10001119251,HC SPECIM OR MAT I 87210,100.0,100.0,,,0
CDM,10001119253,"HC TRICHOMONADS,WE 87210",100.0,100.0,,,0
CDM,10001119257,HC HSV DNA AMP PROBE,132.0,132.0,,,0
CDM,10001119259,"HC DETECT AGENT NOS, DNA, QU",145.0,145.0,,,0
CDM,10001119261,HC PHENOTYPE INFECT AGENT DR,515.0,515.0,,,0
CDM,10001119263,HC SMEAR SPECIAL STAIN,26.0,26.0,,,0
CDM,10001119265,HC FACTOR VIIA 1.2 MG J7189/,3105.0,3105.0,,,0
CDM,10001119267,HC VOLUME MEASURE 81050 URIN,34.0,34.0,,,0
CDM,10001119269,HC HOMOGETISIC AC 81005,121.0,121.0,,,0
CDM,10001119275,HC UA SCREEN 81003,92.0,92.0,,,0
CDM,10001119277,"HC URINE, MICROSCOP 81015",27.0,27.0,,,0
CDM,10001119279,"HC SUGAR, QUANT",16.0,16.0,,,0
CDM,10001119281,"HC URINALYSIS,ROUT 81001",49.0,49.0,,,0
CDM,10001119283,"HC ALBUMIN, QUAL 81005",16.0,16.0,,,0
CDM,10001119285,"HC BILE,QUAL 81005",16.0,16.0,,,0
CDM,10001119287,HC URINALYSIS 81001,24.0,24.0,,,0
CDM,10001119291,HC MELANIN,103.0,103.0,,,0
CDM,10001119293,HC HOMOGETISIC AC 81005,294.0,294.0,,,0
CDM,10001119299,HC SPECIFIC GRAVITY,27.0,27.0,,,0
CDM,10001119301,HC VOLUME MEASURE 81050 URIN,32.0,32.0,,,0
CDM,10001119303,HC ACETONE CONFIRM 81005,27.0,27.0,,,0
CDM,10001119305,HC OCCULT BLOOD; URINE 82273,27.0,27.0,,,0
CDM,10001119307,HC IN/OUT URINE 81003,92.0,92.0,,,0
CDM,10001119309,HC UA SCREEN 81003,92.0,92.0,,,0
CDM,10001119311,"HC URINE, MICROSCOP 81015",92.0,92.0,,,0
CDM,10001119313,"HC GLUCOSE, QUAL",27.0,27.0,,,0
CDM,10001119315,"HC URINALYSIS,ROUTINE 81001",119.0,119.0,,,0
CDM,10001119317,"HC ALBUMIN, QUAL",27.0,27.0,,,0
CDM,10001119319,"HC BILE, QUAL",65.0,65.0,,,0
CDM,10001119321,HC POCT URINE HCG QL,154.0,154.0,,,0
CDM,10001119323,HC SSP URINALYSIS 81003,34.0,34.0,,,0
CDM,10001119335,HC ANTISPERMAT ANT 89325,58.0,58.0,,,0
CDM,10001119337,HC FLUID CELL COUNT 89051,32.0,32.0,,,0
CDM,10001119339,HC SEMEN ANALYSIS POST VAS 8,50.0,50.0,,,0
CDM,10001119341,"HC ANTHRAX,NASAL EOSINOPHIL",36.0,36.0,,,0
CDM,10001119355,HC ANTISPERMAT ANT 89325,236.0,236.0,,,0
CDM,10001119357,HC FLUID CELL COUNT 89051,86.0,86.0,,,0
CDM,10001119359,HC SEMEN ANALYSIS POST VAS 8,137.0,137.0,,,0
CDM,10001119361,"HC NASAL SMEAR, EOS89190",66.0,66.0,,,0
CDM,10001119363,HC WBC STOOL  89055,66.0,66.0,,,0
CDM,10001119365,HC JOINT FLUID CRY 89060,94.0,94.0,,,0
CDM,10001119367,HC SPLITTING PC,139.0,139.0,,,0
CDM,10001119369,HC AUTOLOGOUS BLOOD,278.0,278.0,,,0
CDM,10001119371,HC PEDI-PACK ALIQ,102.0,102.0,,,0
CDM,10001119373,HC THAWING CRYO,47.0,47.0,,,0
CDM,10001119375,HC THAWING FFP,47.0,47.0,,,0
CDM,10001119377,HC THAWING COAGULUM,47.0,47.0,,,0
CDM,10001119379,HC THAWING FP24,47.0,47.0,,,0
CDM,10001119381,HC RECONSTITUTING RBC & FFP,39.0,39.0,,,0
CDM,10001119383,HC REF-RETIC SEPARATION,721.0,721.0,,,0
CDM,10001119385,HC REF-PRETREATMENT OF RBC'S,62.0,62.0,,,0
CDM,10001119387,HC REF-HEMO/AGGLUTININ SCRN,236.0,236.0,,,0
CDM,10001119389,HC REF-ANTIGLOBULIN XM,84.0,84.0,,,0
CDM,10001119391,HC REF-INCUBATION XM,1.0,1.0,,,0
CDM,10001119393,HC REF-IMMEDIATE SPIN,94.0,94.0,,,0
CDM,10001119395,HC REF-RH PHENOTYPE COMPLETE,78.0,78.0,,,0
CDM,10001119397,HC REF-PT ANTIGENS,20.0,20.0,,,0
CDM,10001119399,HC REF-UNIT ANTIGN SCR W/PT,40.0,40.0,,,0
CDM,10001119401,HC REF-UNIT ANTIGN SCRN W/RE,81.0,81.0,,,0
CDM,10001119403,HC REF-RH TYPE,34.0,34.0,,,0
CDM,10001119405,HC REF-ABO TYPE,44.0,44.0,,,0
CDM,10001119407,HC REF-DIRECT COOMBS,32.0,32.0,,,0
CDM,10001119409,HC REF-ANTIBODY ID RBC,123.0,123.0,,,0
CDM,10001119411,HC REF-RBC ELUTION,94.0,94.0,,,0
CDM,10001119413,HC REF-ANTIBODY SCREEN,67.0,67.0,,,0
CDM,10001119415,HC REF ANTIGEN SCREEN PER UN,20.0,20.0,,,0
CDM,10001119417,HC REF ANTIGEN SCREEN PER UN,28.0,28.0,,,0
CDM,10001119419,HC REF ANTIGEN SCREEN PER UN,70.0,70.0,,,0
CDM,10001119421,HC REF ANTIGEN SCREEN PER UN,38.0,38.0,,,0
CDM,10001119423,HC REF ANTIGEN SCREEN PER UN,44.0,44.0,,,0
CDM,10001119425,HC REF ANTIGEN SCREENED 1,156.0,156.0,,,0
CDM,10001119427,HC REF ANTIGEN SCREENED 2,253.0,253.0,,,0
CDM,10001119429,HC REF ANTIGEN SCREENED 3,293.0,293.0,,,0
CDM,10001119431,HC REF ANTIGEN SCREENED 4,434.0,434.0,,,0
CDM,10001119433,HC REF ANTIGEN SCREENED 5,494.0,494.0,,,0
CDM,10001119435,HC REF ANTIGEN SCREENED 6,664.0,664.0,,,0
CDM,10001119437,HC REF ANTIGEN SCREENED 7,750.0,750.0,,,0
CDM,10001119439,HC REF ANTIGEN SCREENED 8,850.0,850.0,,,0
CDM,10001119441,HC REF ANTIGEN SCREENED 9,1024.0,1024.0,,,0
CDM,10001119451,HC LEMS AUTOANTIBODY,858.0,858.0,,,0
CDM,10001119453,HC RETICULUM STAIN,168.0,168.0,,,0
CDM,10001119455,HC PERIODIC ACID SCHIFF STAI,168.0,168.0,,,0
CDM,10001119457,HC AMYLOID,168.0,168.0,,,0
CDM,10001119459,HC MUCICARMINE,168.0,168.0,,,0
CDM,10001119461,HC ACID FAST BACILLI STAIN,168.0,168.0,,,0
CDM,10001119463,HC ALCIAN BLUE STAIN,168.0,168.0,,,0
CDM,10001119465,"HC GROSS INTRAOP, 2ND SPECIM",106.0,106.0,,,0
CDM,10001119467,"HC GROSS, 2ND DISTINCT SPECI",70.0,70.0,,,0
CDM,10001119469,HC HER2 FISH CYTGEN DNA PROB,1353.0,1353.0,,,0
CDM,10001119471,"HC CYTOGENETICS, 25-99 REF",138.0,138.0,,,0
CDM,10001119473,HC T & B CELL LYMPHOCYTES,70.0,70.0,,,0
CDM,10001119477,HC FLOW CYTOMETRY,2278.0,2278.0,,,0
CDM,10001119479,"HC CYTOLOGY, OTHER 88161",74.0,74.0,,,0
CDM,10001119485,HC BUCCAL SMEAR 88130,60.0,60.0,,,0
CDM,10001119489,HC CHROMOSOME ANAL/KAROTYPE1,1373.0,1373.0,,,0
CDM,10001119491,HC CYTOLOGY CENTRI 88104,74.0,74.0,,,0
CDM,10001119495,"HC CYTOLOGY, VAGINAL 88151",94.0,94.0,,,0
CDM,10001119503,HC FNA-CYTO HIST 88172,122.0,122.0,,,0
CDM,10001119507,HC FNA-INTERPRET & REPORT 88,129.0,129.0,,,0
CDM,10001119515,HC PAP SMEAR,15.0,15.0,,,0
CDM,10001119521,HC MULTIPLE MYELOMA FISH/REF,357.0,357.0,,,0
CDM,10001119523,HC LYMPHOMA DIAGNOSTIC PANEL,114.0,114.0,,,0
CDM,10001119525,HC PAROXYSMAL NOCTURNAL HEMO,434.0,434.0,,,0
CDM,10001119527,HC CHROMOSOME ANALYSIS CLL/L,222.0,222.0,,,0
CDM,10001119529,HC PNH WITH FLAER*,442.0,442.0,,,0
CDM,10001119531,HC TISSUE CULTURE LYMPHOCYTE,598.0,598.0,,,0
CDM,10001119533,HC TISSUE CULTRE SKN/SOLID B,1234.0,1234.0,,,0
CDM,10001119535,HC CHROMO AMNIO FLUID*,406.0,406.0,,,0
CDM,10001119537,HC T & B CELL LYMPHOCYTES,415.0,415.0,,,0
CDM,10001119539,HC CHROMOSOME ANLYSIS 2 KARY,492.0,492.0,,,0
CDM,10001119541,HC CHROMO AMNIO FLUID 1 KARY,657.0,657.0,,,0
CDM,10001119543,HC FISH PRENATAL SCR DNA PRO,531.0,531.0,,,0
CDM,10001119545,HC CYTOGENETICS DNA PROBE,86.0,86.0,,,0
CDM,10001119547,HC CYTOGENETICS DNA PROBE,86.0,86.0,,,0
CDM,10001119549,HC CYTOGENETICS DNA PROBE,86.0,86.0,,,0
CDM,10001119551,HC CHROMO AMNIO FLUID ADDL K,100.0,100.0,,,0
CDM,10001119553,HC CHROMO ANALYSIS ADD HI RE,598.0,598.0,,,0
CDM,10001119561,HC CML/FISH*,344.0,344.0,,,0
CDM,10001119563,HC CYTOGENETICS 100-300,160.0,160.0,,,0
CDM,10001119565,HC CYTOGENETICS 100-300,160.0,160.0,,,0
CDM,10001119567,HC CYTOGENETICS 100-300,160.0,160.0,,,0
CDM,10001119569,HC ALK FISH*,390.0,390.0,,,0
CDM,10001119571,HC LUNG CANCER MUTATION PANE,1059.0,1059.0,,,0
CDM,10001119573,HC B-CELL LYMPHOMA FISH*,1188.0,1188.0,,,0
CDM,10001119577,HC FLOW CYTOMETRY*,129.0,129.0,,,0
CDM,10001119579,HC FLOW CYTOMETRY 2ND,40.0,40.0,,,0
CDM,10001119581,HC FLOW CYTOMETRY 3RD,40.0,40.0,,,0
CDM,10001119583,HC FLOW CYTOMETRY 4TH,40.0,40.0,,,0
CDM,10001119585,HC FLOW CYTOMETRY 5TH,40.0,40.0,,,0
CDM,10001119587,HC FLOW CYTOMETRY 6TH,40.0,40.0,,,0
CDM,10001119589,HC FLOW CYTOMETRY 7TH,40.0,40.0,,,0
CDM,10001119591,HC FLOW CYTOMETRY 8TH,40.0,40.0,,,0
CDM,10001119593,HC FLOW CYTOMETRY 9TH,40.0,40.0,,,0
CDM,10001119595,HC FLOW CYTOMETRY 10TH,40.0,40.0,,,0
CDM,10001119597,HC FLOW CYTOMETRY 11TH,40.0,40.0,,,0
CDM,10001119599,HC FLOW CYTOMETRY 12TH,40.0,40.0,,,0
CDM,10001119601,HC FLOW CYTOMETRY 13TH,40.0,40.0,,,0
CDM,10001119603,HC FLOW CYTOMETRY 14TH,40.0,40.0,,,0
CDM,10001119605,HC FLOW CYTOMETRY 15TH,40.0,40.0,,,0
CDM,10001119607,HC FLOW CYTOMETRY 16TH,40.0,40.0,,,0
CDM,10001119609,HC FLOW CYTOMETRY 17TH,40.0,40.0,,,0
CDM,10001119611,HC FLOW CYTOMETRY 18TH,40.0,40.0,,,0
CDM,10001119613,HC FLOW CYTOMETRY 19TH,40.0,40.0,,,0
CDM,10001119615,HC DNA PLOIDY SOLID-TUMOR,646.0,646.0,,,0
CDM,10001119617,"HC CYTOLOGY, OTHER 88161",218.0,218.0,,,0
CDM,10001119619,HC MYELOMA  DNA PROBE(FISH)*,204.0,204.0,,,0
CDM,10001119621,HC BUCCAL SMEAR 88130,111.0,111.0,,,0
CDM,10001119623,HC CHROMOSOME ANAL/KAROTYPE1,2190.0,2190.0,,,0
CDM,10001119625,HC CYTOLOGY CENTRI 88104,164.0,164.0,,,0
CDM,10001119627,"HC CYTOLOGY, VAGINAL 88151",170.0,170.0,,,0
CDM,10001119633,HC FNA-CYTO HIST 88172,156.0,156.0,,,0
CDM,10001119635,HC FNA-INTERPRET & REPORT 88,84.0,84.0,,,0
CDM,10001119637,HC FLOW CYTOMETRY 1ST,40.0,40.0,,,0
CDM,10001119639,"HC TISSUE CULTURE, BONE MARR",508.0,508.0,,,0
CDM,10001119641,"HC CHROMOSOME ANALYSIS, 20-2",502.0,502.0,,,0
CDM,10001119643,HC CHROMOSOME KARYOTYPE STUD,102.0,102.0,,,0
CDM,10001119645,HC SPEC STAIN MICR GRP 1,78.0,78.0,,,0
CDM,10001119651,HC HISTOCHEM - CHEM COMP GRP,87.0,87.0,,,0
CDM,10001119653,HC IMMUNOPEROXIDASE SIBLEY P,262.0,262.0,,,0
CDM,10001119655,"HC IMMUNOPEROXIDASE,REFERRED",262.0,262.0,,,0
CDM,10001119657,HC EGFR IMMUNO 88342,1207.0,1207.0,,,0
CDM,10001119659,HC ADDITIONAL CONSULT-FROZEN,47.0,47.0,,,0
CDM,10001119663,"HC COMP CONSULT, SO REF-88",668.0,668.0,,,0
CDM,10001119665,HC CONSULT REF SLI 88321,117.0,117.0,,,0
CDM,10001119667,HC CONSULT NO FROZ 88329,90.0,90.0,,,0
CDM,10001119669,"HC GROSS PATH, LEVEL I",34.0,34.0,,,0
CDM,10001119673,"HC G&M, LEVEL II",49.0,49.0,,,0
CDM,10001119677,"HC G&M, LEVEL III",90.0,90.0,,,0
CDM,10001119681,HC G&M LEVEL III  88304,90.0,90.0,,,0
CDM,10001119683,"HC G&M, LEVEL IV",152.0,152.0,,,0
CDM,10001119685,"HC G&M, LEVEL IV",152.0,152.0,,,0
CDM,10001119687,"HC G&M, LEVEL IV",152.0,152.0,,,0
CDM,10001119691,"HC G&M PROSTATE EA SPEC, 1-5",78.0,78.0,,,0
CDM,10001119693,"HC G&M PROSTATE, EA SPEC, 6",74.0,74.0,,,0
CDM,10001119695,"HC G&M, LEVEL V",286.0,286.0,,,0
CDM,10001119699,"HC G&M, LEVEL VI",400.0,400.0,,,0
CDM,10001119703,HC TISSUE DECACIF 88311,86.0,86.0,,,0
CDM,10001119709,HC CONSULT W/FROZE 88331,152.0,152.0,,,0
CDM,10001119711,HC PATH CONSULT SLIDES 88321,75.0,75.0,,,0
CDM,10001119713,HC GENOMIC ALT OLIGO SNP ARR,2906.0,2906.0,,,0
CDM,10001119715,HC ERA (PRA BILLED SEPARATE),546.0,546.0,,,0
CDM,10001119717,HC CELLSEARCH/BREASTCENTER*,2790.0,2790.0,,,0
CDM,10001119719,HC PRA (ERA BILLED SEPARATE),524.0,524.0,,,0
CDM,10001119721,HC DNA FLOW CYTOMETRY 88358,924.0,924.0,,,0
CDM,10001119723,HC B. MARROW 88305,159.0,159.0,,,0
CDM,10001119727,HC CYTOLOGY CONSULT MISC SO,825.0,825.0,,,0
CDM,10001119729,HC MSI BY IHC ONLY FOR MMR*,1030.0,1030.0,,,0
CDM,10001119731,HC PRA,622.0,622.0,,,0
CDM,10001119733,"HC RENAL BX,COMPLETE CONSULT",1940.0,1940.0,,,0
CDM,10001119735,"HC MUSCLE BX, CONSULTATION A",1166.0,1166.0,,,0
CDM,10001119737,"HC NERVE BX, CONSULTATION AF",856.0,856.0,,,0
CDM,10001119741,HC WARTHIN STARRY STAIN 8831,168.0,168.0,,,0
CDM,10001119743,HC TRICHROME STAIN 88312,168.0,168.0,,,0
CDM,10001119745,HC TYSON'S ELASTIC 88312,168.0,168.0,,,0
CDM,10001119747,HC PHOSPHOTUNGSTIC ACID STAI,168.0,168.0,,,0
CDM,10001119749,HC HISTOCHEM-CHEM COMP GRP 2,273.0,273.0,,,0
CDM,10001119751,HC GIEMSA STAIN  88312,168.0,168.0,,,0
CDM,10001119753,HC BROWN & BRENN STAIN 88312,168.0,168.0,,,0
CDM,10001119755,HC SPEC STAIN GROUP 1,168.0,168.0,,,0
CDM,10001119757,HC HISTOCHEM - CHEM COMP GRP,168.0,168.0,,,0
CDM,10001119759,HC IMMUNOPEROXIDASE SIBLEY 8,306.0,306.0,,,0
CDM,10001119761,"HC IMMUNOPEROXIDASE, ADD'L",238.0,238.0,,,0
CDM,10001119765,HC IMMUNOPEROXIDASE REFERRED,306.0,306.0,,,0
CDM,10001119767,HC EGFR IMMUNO 88342,1714.0,1714.0,,,0
CDM,10001119769,HC IRON STAIN  88313,168.0,168.0,,,0
CDM,10001119773,HC ADDITIONAL CONSULT-FROZEN,114.0,114.0,,,0
CDM,10001119777,HC COMPRHNSV CONSULT SO REF-,756.0,756.0,,,0
CDM,10001119779,HC CONSULT REF SLIDE PREP 88,604.0,604.0,,,0
CDM,10001119781,HC CONSULT REF SLI88321,50.0,50.0,,,0
CDM,10001119783,HC CONSULT SO REF SLIDE 8832,553.0,553.0,,,0
CDM,10001119785,HC CONSULT NO FROZ88329,106.0,106.0,,,0
CDM,10001119787,"HC GROSS PATH, LEVEL I",70.0,70.0,,,0
CDM,10001119789,"HC G&M, LEVEL II",124.0,124.0,,,0
CDM,10001119791,"HC G& M, LEVEL III",180.0,180.0,,,0
CDM,10001119793,"HC G & M, LEVEL IV",260.0,260.0,,,0
CDM,10001119797,"HC G & M, LEVEL V",342.0,342.0,,,0
CDM,10001119799,HC G & M LEVEL VI,474.0,474.0,,,0
CDM,10001119801,HC G & M LEVEL VI,474.0,474.0,,,0
CDM,10001119803,HC SPECIAL STAIN SO,360.0,360.0,,,0
CDM,10001119805,HC HER2(FISH) REFERRED,1714.0,1714.0,,,0
CDM,10001119807,HC INSITU HYBRIDIZATION FISH,164.0,164.0,,,0
CDM,10001119809,HC IMMUNOFLOURESCENCE DIRECT,654.0,654.0,,,0
CDM,10001119811,HC ELECTRN MCRSCPY 88348,1881.0,1881.0,,,0
CDM,10001119813,HC EXM/SLCT RETRIEVED ARCHIV,50.0,50.0,,,0
CDM,10001119815,HC ISH FOR EBV VIRUS SO,606.0,606.0,,,0
CDM,10001119817,HC TISSUE DECACIF 88311,103.0,103.0,,,0
CDM,10001119819,HC CONSULT W/FROZE 88331,148.0,148.0,,,0
CDM,10001119823,HC PARASITE STAIN 88312,120.0,120.0,,,0
CDM,10001119825,HC SPECIAL STAIN GROUP 2,50.0,50.0,,,0
CDM,10001119827,HC IMMUNOHISTOCHEMISTRY,108.0,108.0,,,0
CDM,10001119829,HC IMMUNOFLOURESCENT STUDY,101.0,101.0,,,0
CDM,10001119831,HC INSITU HYBRIBIZATION MANU,164.0,164.0,,,0
CDM,10001119833,HC IMMUNOFLOURESCENT STUDY E,108.0,108.0,,,0
CDM,10001119835,HC TUMOR IMMUNOHISTOCHEMISTR,164.0,164.0,,,0
CDM,10001119837,HC SPECIAL STAIN GROUP1    8,144.0,144.0,,,0
CDM,10001119839,HC SPECIAL STAIN GROUP 2  88,144.0,144.0,,,0
CDM,10001119841,HC PATHCONSULT OUTSIDE SLIDE,281.0,281.0,,,0
CDM,10001119843,HC PATH CONSULT W PREP 88323,312.0,312.0,,,0
CDM,10001119845,HC COMPRHNSVE PATH CONSULT 8,436.0,436.0,,,0
CDM,10001119847,HC IMMUNOPEROXIDASE IHC  883,169.0,169.0,,,0
CDM,10001119853,HC FACTOR VIIA 2.4 MG J7189/,6210.0,6210.0,,,0
CDM,10001119855,HC FACTOR VIIA 4.8 MG J7189/,12419.0,12419.0,,,0
CDM,10001119857,HC CONSULT ON OUTSIDE X-RAY,62.0,62.0,,,0
CDM,10001119889,HC WHOLE BLOOD ACQUISITION C,396.0,396.0,,,0
CDM,10001119891,HC WHOLE BLOOD IRRAD DIRECT,675.0,675.0,,,0
CDM,10001119893,HC WHOLE BLOOD IRRAD,454.0,454.0,,,0
CDM,10001119895,HC WHOLE BLOOD DIRECTED,484.0,484.0,,,0
CDM,10001119897,HC CRYO ACQUISITION COST EA,122.0,122.0,,,0
CDM,10001119899,HC RBC LEUKOCYTE REDUCED PC,356.0,356.0,,,0
CDM,10001119901,HC RBC LEUKOCYTE REDUCED PCA,356.0,356.0,,,0
CDM,10001119903,HC RBC PC DIRECT LEUKO REDUC,530.0,530.0,,,0
CDM,10001119905,HC FFP ACQUISITION COST,131.0,131.0,,,0
CDM,10001119907,HC PLATELET RANDOM,142.0,142.0,,,0
CDM,10001119909,HC PLATELETS RICH PLASMA,89.0,89.0,,,0
CDM,10001119911,"HC PACKED CELLS, ACQUISITION",356.0,356.0,,,0
CDM,10001119913,HC RBC DIRECTED,484.0,484.0,,,0
CDM,10001119915,HC RBC ADSOL,356.0,356.0,,,0
CDM,10001119917,HC WASHED CELLS RBC,476.0,476.0,,,0
CDM,10001119919,HC PLATELETS RANDOM LR,82.0,82.0,,,0
CDM,10001119921,HC PLATELETS RANDOM IRRAD,158.0,158.0,,,0
CDM,10001119923,"HC PLATELETS RANDOM LR, IRRA",198.0,198.0,,,0
CDM,10001119925,HC PLATELET PHERESIS SDP,669.0,669.0,,,0
CDM,10001119927,HC PLATELETS PHERESIS SDP LR,669.0,669.0,,,0
CDM,10001119929,HC PLATELETS PHERESIS IRRAD,786.0,786.0,,,0
CDM,10001119931,HC PLATELETS PHERE SDP LR IR,786.0,786.0,,,0
CDM,10001119933,HC PLATELETS PHERE DIR LR IR,1062.0,1062.0,,,0
CDM,10001119935,HC RBC IRRADIATED DIRECT,675.0,675.0,,,0
CDM,10001119937,HC RBC IRRAD,414.0,414.0,,,0
CDM,10001119939,HC RBC ADSOL IRRAD,414.0,414.0,,,0
CDM,10001119941,HC RBC DEGLYC,594.0,594.0,,,0
CDM,10001119943,HC RBC LEUKO REDUC IRRAD,414.0,414.0,,,0
CDM,10001119945,HC RBC ADSOL LEUKOREDUC IRRA,414.0,414.0,,,0
CDM,10001119947,HC RBC PC DIRECT LEUKOREDUC,614.0,614.0,,,0
CDM,10001119949,HC GRANULOCYTES PHERESIS,5291.0,5291.0,,,0
CDM,10001119951,"HC RBC, LR, CMVNEG",170.0,170.0,,,0
CDM,10001119953,HC PLATELETS SDP-HLA LR,832.0,832.0,,,0
CDM,10001119955,HC PLATELETS SDP-HLA LR IRR,1109.0,1109.0,,,0
CDM,10001119957,"HC PLATELETS SDP LR CMVNEG,",824.0,824.0,,,0
CDM,10001119959,HC RBC LR DEGLY WASHED,754.0,754.0,,,0
CDM,10001119961,HC PLATELETS SDP LR CMVNEG,620.0,620.0,,,0
CDM,10001119963,HC WHOLE BLOOD LR IRRAD,220.0,220.0,,,0
CDM,10001119965,HC RBC FROZEN DEGLY WASH LR,559.0,559.0,,,0
CDM,10001119967,HC RBC LR CMVNEG IRRAD,334.0,334.0,,,0
CDM,10001119969,HC PLASMA FROZEN WITHIN 24 H,131.0,131.0,,,0
CDM,10001119971,HC FFP DONOR RETESTED,116.0,116.0,,,0
CDM,10001119973,HC POCT FERN TEST,32.0,32.0,,,0
CDM,10001119975,HC RAPID HIV KIT,62.0,62.0,,,0
CDM,10001119985,HC HANDLING CHARGE 00000,94.0,94.0,,,0
CDM,10001119993,HC PPD/TB TEST- SUNRISE EMPL,48.0,48.0,,,0
CDM,10001120009,HC AUTO RBC ADSOL,388.0,388.0,,,0
CDM,10001120017,HC REF-PHENOTYPED UNIT ACQUI,156.0,156.0,,,0
CDM,10001120019,HC THERAPHLEBOTOMY99195,268.0,268.0,,,0
CDM,10001120023,HC UPC - ATLAS STUDY,92.0,92.0,,,0
CDM,10001173493,TRICHOMONAS RAPID VAGINALIS,57.0,57.0,,,0
CDM,10001173652,HC FETAL HEMORRHAGE,100.0,100.0,,,0
CDM,10001173653,HC HEP SCREEN HAAB TOTAL,102.0,102.0,,,0
CDM,10001173654,HC RHEUMATOID FACTOR QT RF,26.0,26.0,,,0
CDM,10001174013,HC FISH LOCUS SPECIFIC PROBE,728.0,728.0,,,0
CDM,10001174014,HC PAIN MGMT PROFILE UR*,88.0,88.0,,,0
CDM,10001174015,HC COCAINE & METABOLITES,80.0,80.0,,,0
CDM,10001174016,"HC TOXICOLOGY SCREEN, GASTRI",131.0,131.0,,,0
CDM,10001174385,"HC FACTOR 8, VWF HUMATE-P",2.0,2.0,,,0
CDM,10001174626,HC HCG TUMOR MARKER QUANT,65.0,65.0,,,0
CDM,10001174628,HC CARBAPENEMASE RESISTANT ENTEROBACTERIACEAE,57.0,57.0,,,0
CDM,10001175084,"HC PROTEIN ELECTROPHORESIS, URINE",58.0,58.0,,,0
CDM,10001176627,"HC C-TELOPRPTIDE, SERUM",113.0,113.0,,,0
CDM,1110001,HC MED/SURG/GYN PRIVATE,2942.0,2942.0,,,0
CDM,1110012,HC MED/SURG/GYN PRIVATE MEDICAL NECESSITY,3224.0,3224.0,,,0
CDM,1120001,HC OB PRIVATE ROOM,3141.0,3141.0,,,0
CDM,1210001,HC MED/SURG GYN-SEMI-PRIV,2942.0,2942.0,,,0
CDM,1220001,HC OB SEMI-PRIVATE ROOM,3141.0,3141.0,,,0
CDM,1240001,PSYCH ROOM DAILY,4462.0,4462.0,,,0
CDM,1410001,HC MED/SURG/GYN PRIVATE DELUXE,3141.0,3141.0,,,0
CDM,1710001,HC NEWBORN 1 ROOM DAILY,2844.0,2844.0,,,0
CDM,1720001,HC NEWBORN 2 ROOM DAILY,5052.0,5052.0,,,0
CDM,1730001,HC NEWBORN 3 ROOM DAILY,7235.0,7235.0,,,0
CDM,2000001,ICU ROOM,7820.0,7820.0,,,0
CDM,2010001,ICU SURG ROOM DAILY,7820.0,7820.0,,,0
CDM,2100001,ICU CARD ROOM DAILY,6174.0,6174.0,,,0
CDM,2140001,HC CCU CCU/INTERMEDIATE,6174.0,6174.0,,,0
CDM,22100001,HC ADMISSION CHARGE,843.0,843.0,,,0
CDM,26000001,HC HYDRATION IV INFUSION 1ST HOUR,632.5,632.5,,,0
CDM,26000002,HC HYDRATION IV INFUSION EACH ADDL HOUR,195.0,195.0,,,0
CDM,26000003,HC IV INFUSION DRUG THERAPY 1ST HOUR,828.0,828.0,,,0
CDM,26000004,HC INFUSION DRUG THERAPY EA ADDL HOUR,368.0,368.0,,,0
CDM,26000005,"HC IV INFUSION, ADDL SEQ UP TO 1 HOUR",241.5,241.5,,,0
CDM,26000006,"HC IV INFUSION, CONCURRENT",241.5,241.5,,,0
CDM,26000007,"HC THER/PROPH/DIAG INJ, SC/IM",166.5,166.5,,,0
CDM,26000008,"HC THER/PROPH/DIAG INJ, IV PUSH",321.5,321.5,,,0
CDM,26000009,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW",215.0,215.0,,,0
CDM,26000010,"HC TX/PRO/DX INJ EA ADDL SEQ, SAME",135.0,135.0,,,0
CDM,26000011,HC SPINE/BRAIN PUMP REFILL PHYS,993.0,993.0,,,0
CDM,26000012,HC IRRIGATION OF IMPLANTED VAD,303.0,303.0,,,0
CDM,26000049,HC REFILL/MAINT PORTABLE PUMP,1862.0,1862.0,,,0
CDM,26000050,HC REFILL & MAINTENANCE IMPLANT PUMP/RESERVOIR - DRUG DLVR SYSTEMIC,903.0,903.0,,,0
CDM,26000051,HC REFILL & MAINTENANCE IMPLANT PUMP/RESERVOIR - DRUG DLVR SPINAL/BRAIN,889.0,889.0,,,0
CDM,26000052,HC APPLICATION OF ON-BODY INJECTOR FOR TIMED SUBQ INJECTION,251.0,251.0,,,0
CDM,26000053,"DEAC 04/16/2021 HC IV INFUSION, BAMLANIVIMAB XXXX, INCLUDES INFUSION AND POST ADMINISTRATION",825.0,825.0,,,0
CDM,26000054,"DEAC 4/1/2025 HC IV INFUSION, CASIRIVIMAB & IMDEVIMAB, INCL INFUSION & POST ADM MONITOR",1043.0,1043.0,,,0
CDM,26000055,"DEAC 4/1/2025 HC IV INFUSION, BAMLANIVIMAB AND ETESEVIMAB, INCLUDES INFUSION AND POST ADMIN MONITORING",1043.0,1043.0,,,0
CDM,26000056,"DEAC 4/1/2025 HC IV INFUS/SUBSQ INJ, CASIRIVIMAB & IMDEVIMAB W/POST ADM MONITOR, REPEAT DOSES",1024.0,1024.0,,,0
CDM,26091101,HC HYDRATION IV INFUSION 1ST HOUR,484.0,484.0,,,0
CDM,26091102,HC HYDRATION IV INFUSION EACH ADDL HOUR,87.0,87.0,,,0
CDM,26091103,HC IV INFUSION DRUG THERAPY 1ST HOUR LEVEL 1,485.0,485.0,,,0
CDM,26091104,HC IV INFUSION DRUG THERAPY 1ST HOUR LEVEL 2,638.0,638.0,,,0
CDM,26091105,HC IV INFUSION DRUG THERAPY HOURS LEVEL 3,638.0,638.0,,,0
CDM,26091106,HC IV INFUSION DRUG THERAPY 1ST HOUR LEVEL 3,750.0,750.0,,,0
CDM,26091107,HC INFUSION DRUG THERAPY EA ADDL HOUR LEVEL 1,87.0,87.0,,,0
CDM,26091108,HC INFUSION DRUG THERAPY EA ADDL HOUR LEVEL 2,191.0,191.0,,,0
CDM,26091109,"HC IV INFUSION, ADDL SEQ 0.5 HOUR LEVEL 1",44.0,44.0,,,0
CDM,26091110,"HC IV INFUSION, ADDL SEQ UP TO 1 HOUR LEVEL 1",87.0,87.0,,,0
CDM,26091111,"HC IV INFUSION, ADDL SEQ 0.5 HOUR LEVEL 2",96.0,96.0,,,0
CDM,26091112,"HC IV INFUSION, ADDL SEQ UP TO 1 HOUR LEVEL 2",191.0,191.0,,,0
CDM,26091113,"HC IV INFUSION, CONCURRENT LEVEL 1",87.0,87.0,,,0
CDM,26091114,"HC IV INFUSION, CONCURRENT LEVEL 2",191.0,191.0,,,0
CDM,26091115,"HC IV INFUSION, CONCURRENT LEVEL 3",226.0,226.0,,,0
CDM,26091116,"HC THER/PROPH/DIAG INJ, SC/IM",126.0,126.0,,,0
CDM,26091117,"HC THER/PROPH/DIAG INJ, IV PUSH",176.0,176.0,,,0
CDM,26091118,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW DRUG 1",170.0,170.0,,,0
CDM,26091119,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW DRUG 2",170.0,170.0,,,0
CDM,26091120,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW DRUG 3",170.0,170.0,,,0
CDM,26091121,"HC TX/PRO/DX INJ EA ADDL SEQ, SAME",90.0,90.0,,,0
CDM,26091122,HC IRRIGATION OF IMPLANTED VAD,117.0,117.0,,,0
CDM,26091123,HC IRRIGATION OF IMPLANTED VAD,117.0,117.0,,,0
CDM,26091124,HC HYDRATION IV INFUSION ADDL 0.5 HOUR,58.0,58.0,,,0
CDM,26091125,HC IV INFUSION DRUG THERAPY 0.5 HOUR LEVEL 1,442.0,442.0,,,0
CDM,26091126,HC IV INFUSION DRUG THERAPY 0.5 HOUR LEVEL 2,543.0,543.0,,,0
CDM,26091129,"HC HC IV INFUSION, ADDL SEQ UP TO 1 HOUR LEVEL 3",226.0,226.0,,,0
CDM,27000060,"HC HA DIGITIAL, STANDARD, MONAURAL, ITC",1700.0,1700.0,,,0
CDM,27000061,"HC HA DIGITIAL, STANDARD, BINAURAL, ITC",3400.0,3400.0,,,0
CDM,27000062,"HC HA DIGITAL, STANDARD, MONAURAL, CIC",1700.0,1700.0,,,0
CDM,27000063,"HC HA DIGITAL, STANDARD, MONAURAL, RITE",1800.0,1800.0,,,0
CDM,27000064,"HC HA DIGITAL, ADVANCED, MONAURAL, ITE",2450.0,2450.0,,,0
CDM,27000065,"HC HA DIGITAL, ADVANCED, MONAURAL, CIC",2450.0,2450.0,,,0
CDM,27000066,"HC HA DIGITAL, ADVANCED, BINAURAL CIC",4900.0,4900.0,,,0
CDM,27000067,"HC HA DIGITAL, PREMIUM, MONAURAL BTE",3350.0,3350.0,,,0
CDM,27000068,"HC HA DIGITAL, PREMIUM, MONAURAL CIC",3275.0,3275.0,,,0
CDM,27000069,HC RECEIVER,95.0,95.0,,,0
CDM,27000070,HC POCKET TALKER,168.0,168.0,,,0
CDM,27000071,"HC HEARING AID, MONAURAL, IN THE EAR (ITE)",1700.0,1700.0,,,0
CDM,27000072,"HC HEARING AID, MONAURAL, IN THE CANAL (ITC)",1700.0,1700.0,,,0
CDM,27000073,"HC HEARING AID, MONAURAL,BEHIND THE EAR (BTE)",1750.0,1750.0,,,0
CDM,27000074,"HC HEARING AID, BINAURAL, ITE/ITE",3400.0,3400.0,,,0
CDM,27000075,"HC HEARING AID, BINAURAL, ITE/ITC",3400.0,3400.0,,,0
CDM,27000076,"HC HEARING AID, BINAURAL, ITE/BTE",3500.0,3500.0,,,0
CDM,27000077,"HC HEARING AID, BINAURAL, ITC/ITC",3400.0,3400.0,,,0
CDM,27000078,"HC HEARING AID, BINAURAL, ITC/BTE",3500.0,3500.0,,,0
CDM,27000079,"HC HEARING AID, BINAURAL, BTE/BTE",3500.0,3500.0,,,0
CDM,27000155,"HC HA DIGITAL, BASIC MONAURAL, CIC",1100.0,1100.0,,,0
CDM,27000156,"HC HA DIGITAL, BASIC MONAURAL, ITC",1100.0,1100.0,,,0
CDM,27000157,"HC HA DIGITAL, BASIC MONAURAL, ITE",1100.0,1100.0,,,0
CDM,27000158,"HC HA DIGITAL, BASIC MONAURAL, BTE",1125.0,1125.0,,,0
CDM,27000159,"HC HA DIGITAL, BASIC MONAURAL, RITE",1250.0,1250.0,,,0
CDM,27000160,"HC HA DIGITAL, BASIC BINAURAL, CIC",2200.0,2200.0,,,0
CDM,27000161,"HC HA DIGITAL, BASIC BINAURAL, ITC",2200.0,2200.0,,,0
CDM,27000162,"HC HA DIGITAL, BASIC BINAURAL, ITE",2200.0,2200.0,,,0
CDM,27000163,"HC HA DIGITAL, BASIC BINAURAL, BTE",2250.0,2250.0,,,0
CDM,27000164,"HC HA DIGITAL, BASIC BINAURAL, RITE",2500.0,2500.0,,,0
CDM,27080000,HC THUMB BRACE,28.0,28.0,,,0
CDM,27080001,HC HAND HELPER EXERCISER,18.0,18.0,,,0
CDM,27080002,HC LORDOLOC BACK BRACE,84.0,84.0,,,0
CDM,27080003,"HC FINGER SPLINT, EXTEND-IT",21.0,21.0,,,0
CDM,27080004,"HC WRIST SPLINT, FUTURO",43.0,43.0,,,0
CDM,27080005,"HC FINGER SPLINT, OVAL EIGHT",20.0,20.0,,,0
CDM,27080006,HC VAG STIM SENSOR,76.0,76.0,,,0
CDM,27080007,"HC THUMB SPLINT, MICROWAVABL",33.0,33.0,,,0
CDM,27080009,HC HAND SPLINT,77.0,77.0,,,0
CDM,27080010,"HC HAND SPLINT, PREMOLDED",72.0,72.0,,,0
CDM,27080011,HC THERABAND FLEXBAR,38.0,38.0,,,0
CDM,27080012,"HC THUMB SUPPORT, AIR SOFT",56.0,56.0,,,0
CDM,27080014,HC NASAL CANNULA,6.0,6.0,,,0
CDM,27080016,HC HIGH HUMIDITY O2 THERAPY  (SUPPLY),254.0,254.0,,,0
CDM,27080017,HC PEAK FLOW RATE (SUPPLY),52.0,52.0,,,0
CDM,27080019,HC MDI SPACER,25.0,25.0,,,0
CDM,27080021,"HC HA, DIGITAL,  ADVANCED, MONAURAL, ITC",2450.0,2450.0,,,0
CDM,27080022,"HC HA, DIGITAL, PREMIUM, MONAURAL, ITC",3275.0,3275.0,,,0
CDM,27080023,"HC HA, DIGITAL,  STANDARD MONAURAL, ITE",1700.0,1700.0,,,0
CDM,27080024,"HC HA, DIGITAL, ADVANCED, MONAURAL, BTE",2550.0,2550.0,,,0
CDM,27080025,"HC HA, DIGITAL, MONAURAL, BTE .5, BETTER",2450.0,2450.0,,,0
CDM,27080026,"HC HA, DIGITAL, ADVANCED,  MONAURAL, BTE, RITE",2650.0,2650.0,,,0
CDM,27080027,"HC HA, DIGITAL, PREMIUM, MONAURAL, BTE, RITE",3400.0,3400.0,,,0
CDM,27080028,"HC HA, DIGITAL,  STANDARD MONAURAL, BTE",1750.0,1750.0,,,0
CDM,27080029,"HC HA, DIGITAL, MONAURAL, BTE, GOOD 0.5",1700.0,1700.0,,,0
CDM,27080030,"HC HA, DIGITIAL, STANDARD BINAURAL, CIC",3400.0,3400.0,,,0
CDM,27080031,"HC HA, DIGITAL, PREMIUM, BINAURAL, CIC",6550.0,6550.0,,,0
CDM,27080032,"HC HA, DIGITAL, ADVANCED,  BINAURAL, ITC",4900.0,4900.0,,,0
CDM,27080033,"HC HA, DIGITAL, PREMIUM, BINAURAL, ITC",6550.0,6550.0,,,0
CDM,27080034,"HC HA, DIGITAL, ADVANCED, BINAURAL, ITE",4900.0,4900.0,,,0
CDM,27080035,"HC HA, DIGITAL, PREMIUM, BINAURAL, ITE",6550.0,6550.0,,,0
CDM,27080036,"HC HA, DIGITAL, STANDARD BINAURAL, ITE",3400.0,3400.0,,,0
CDM,27080037,"HC HA, DIGITAL, STANDARD BINAURAL, BTE",3500.0,3500.0,,,0
CDM,27080038,"HC HA, DIGITAL, BINAURAL, BTE, GOOD, 0.5",3400.0,3400.0,,,0
CDM,27080039,"HC HA, DIGITAL, STANDARD BINAURAL, BTE, RITE (RECEIVER IN THE EAR)",3600.0,3600.0,,,0
CDM,27080040,"HC HA, DIGITAL, ADVANCED, BINAURAL, BTE",5100.0,5100.0,,,0
CDM,27080041,"HC HA, DIGITAL, BINAURAL, BTE .5, BETTER",4900.0,4900.0,,,0
CDM,27080042,"HC HA, DIGITAL, ADVANCED, BINAURAL, BTE, RITE",5300.0,5300.0,,,0
CDM,27080044,"HC HA, DIGITAL, PREMIUM, BINAURAL, BTE",6700.0,6700.0,,,0
CDM,27080045,"HC HA, DIGITAL, PREMIUM, BINAURAL, BTE, RITE",6800.0,6800.0,,,0
CDM,27080046,"HC EAR MOLD/INSERT NON DISP, EA",96.0,96.0,,,0
CDM,27080047,"HC BATTERY FOR HEARING DEVICE, EA",8.0,8.0,,,0
CDM,27080048,"HC BATTERY FOR HEARING DEVICE, BOX",72.0,72.0,,,0
CDM,27080049,HC HEARING AID SUPPLY/ACCESSORIES NOS,8.0,8.0,,,0
CDM,27080050,HC ALD FM/DM TRANSMITTER,1000.0,1000.0,,,0
CDM,27080051,"HC ALD FM/DM RECEIVER, NOS",1150.0,1150.0,,,0
CDM,27280001,HC BIOPSY FORCEPS,800.0,800.0,,,0
CDM,27280002,HC CYTOLOGY BRUSH,30.0,30.0,,,0
CDM,27280003,HC WANG NEEDLE,371.0,371.0,,,0
CDM,27280004,HC ARTERIAL SAMPLNG TRAY,68.0,68.0,,,0
CDM,27280006,HC MICROBRUSH,69.0,69.0,,,0
CDM,27291101,HC SMALL AQUAPLAST MASK 1.6,64.0,64.0,,,0
CDM,27291102,HC LARGE AQUAPLAST MASK 2.4,264.0,264.0,,,0
CDM,27291103,HC MEDIUM VAGINAL DILATOR 29,23.0,23.0,,,0
CDM,27291104,HC LARGE VAGINAL DILATOR 35M,25.0,25.0,,,0
CDM,27291105,HC ACCUFORM HEAD/NECK SUPPORT,69.0,69.0,,,0
CDM,27291106,HC LARGE ALPHA CRADLE,114.0,114.0,,,0
CDM,27291107,HC SMALL ALPHA CRADLE,103.0,103.0,,,0
CDM,27300050,HC HEARING AID VENDOR REPAIR LEVEL 1,263.0,263.0,,,0
CDM,27300051,HC HEARING AID VENDOR REPAIR LEVEL 2,315.0,315.0,,,0
CDM,27300052,HC HEARING AID VENDOR REPAIR LEVEL 3,373.0,373.0,,,0
CDM,27300053,DEAC 10/19/2022 HC WIDEX WARRANTY,184.0,184.0,,,0
CDM,27300054,HC HEARING AID VENDOR REPAIR LEVEL 4,441.0,441.0,,,0
CDM,27300055,HC RECHARGEABLE BATTERY,50.0,50.0,,,0
CDM,27300056,HC RECHARGEABLE BATTERY CASE,100.0,100.0,,,0
CDM,27380001,HC OTICON WARRANTY/EAR,210.0,210.0,,,0
CDM,27380002,HC PHONAK OR RESOUND WARRANT,184.0,184.0,,,0
CDM,27380003,HC IN-OFFICE WARRANTY,126.0,126.0,,,0
CDM,27846004,"HC BRACHYTX NON STR HDR IR-192, PER SOURCE",1294.0,1294.0,,,0
CDM,29100001,HC HOSP GRADE ELEC BREAST PUMP,95.0,95.0,,,0
CDM,30000001,HC ROUTINE VENIPUNCTURE,26.0,26.0,,,0
CDM,30000002,HC CAPILLARY BLOOD DRAW,39.0,39.0,,,0
CDM,30000003,HC DRAW BLOOD OFF VENOUS DEVICE,1077.0,1077.0,,,0
CDM,30000004,HC METABOLIC PANEL TOTAL CA,162.5,162.5,,,0
CDM,30000005,HC COMPREHENSIVE METABOLIC PANEL,190.5,190.5,,,0
CDM,30000006,HC RENAL FUNCTION PANEL,152.0,152.0,,,0
CDM,30000007,HC HEPATIC FUNCTION PANEL,150.5,150.5,,,0
CDM,30000008,HC GH SUPPRESSION PANEL,1165.0,1165.0,,,0
CDM,30000009,HC CARNITINE QUAN EA,199.0,199.0,,,0
CDM,30000010,HC CHLORIDE; OTHER,123.0,123.0,,,0
CDM,30000011,HC VERY LONG FATTY ACID CHAINS,213.0,213.0,,,0
CDM,30000012,HC ASSAY OF IGE,430.0,430.0,,,0
CDM,30000013,HC INSULIN; TOTAL,248.5,248.5,,,0
CDM,30000014,HC TESTOSTERONE; TOTAL,297.5,297.5,,,0
CDM,30000015,HC T3; REVERSE,196.0,196.0,,,0
CDM,30000016,HC FETAL HGB SCREENING TEST,134.0,134.0,,,0
CDM,30000017,HC SICKLING OF RBC REDUCTION,123.0,123.0,,,0
CDM,30000018,HC ALLERG SP IGE; QUAN OR SEMIQUAN,272.0,272.0,,,0
CDM,30000019,HC AB ID; LEUKOCYTE AB,1211.0,1211.0,,,0
CDM,30000020,HC COLD AGGLUTININ; SCREEN,194.0,194.0,,,0
CDM,30000021,HC COLD AGGLUTININ; TITER,194.0,194.0,,,0
CDM,30000022,HC ID; GEL QUAL; EA AB/AG,67.0,67.0,,,0
CDM,30000023,HC LYMPHOCYTE MITOGEN RESPONSE,580.0,580.0,,,0
CDM,30000024,HC NITROBLUE TETRAZOLIUM DYE TEST,136.0,136.0,,,0
CDM,30000025,HC AB; HEMOPHILUS INFLUENZA,188.0,188.0,,,0
CDM,30000026,HC AB; HIV-2,135.0,135.0,,,0
CDM,30000027,HC RBC AB ELUTION EA,278.0,278.0,,,0
CDM,30000028,HC AB ID RBC EA PANEL EA TECHN,884.0,884.0,,,0
CDM,30000029,HC COOMBS; DIRECT,97.0,97.0,,,0
CDM,30000030,HC COOMBS TEST INDIRECT TITER,125.0,125.0,,,0
CDM,30000031,HC BLOOD TYPING; ABO,190.0,190.0,,,0
CDM,30000032,HC BLOOD TYPING; RH D,135.0,135.0,,,0
CDM,30000033,HC BLOOD TYPE ANTIGEN DONOR EA,449.0,449.0,,,0
CDM,30000034,HC BLD TYPE; RBC AG NOT ABO/RHD,449.0,449.0,,,0
CDM,30000035,HC BLD TYPE; RH PHENOTYPE,159.0,159.0,,,0
CDM,30000036,HC COMPATIBILITY TEST ANTIGLOB,254.0,254.0,,,0
CDM,30000037,HC COMPATIBILITY TEST ELECTRIC,420.0,420.0,,,0
CDM,30000038,HC IRRADIATE BLD PRODUCT EA UNIT,321.0,321.0,,,0
CDM,30000039,HC VOL REDUCTION OF BLOOD/PROD,421.0,421.0,,,0
CDM,30000040,HC POOL PLATELETS OR BLD PRODUCT,218.0,218.0,,,0
CDM,30000041,HC PRETREAT RBC; ENZYMES,449.0,449.0,,,0
CDM,30000042,HC SPLIT BLD PRODUCT EA UNIT,281.0,281.0,,,0
CDM,30000043,HC DONATH-LANDSTEINER TEST,81.0,81.0,,,0
CDM,30000044,HC AUTO RED CELL PROCESS FEE,161.0,161.0,,,0
CDM,30000045,HC DIFF CELL COUNT NOT BLOOD,145.0,145.0,,,0
CDM,30000046,HC SEMEN ANAL STRICT CRITERIA,229.0,229.0,,,0
CDM,30000047,HC LEUKOREDUCTION,765.0,765.0,,,0
CDM,30000048,HC TRICH. VAGINALIS AMP PROBE,1482.0,1482.0,,,0
CDM,30000049,HC NFCT DS CHRNC HCV 6 ASSAYS (153),320.0,320.0,,,0
CDM,30000100,HC AUTOLOG BLOOD PREDEPOSITED,561.0,561.0,,,0
CDM,30000101,HC COMPATIBILITY TEST INCUBATE,254.0,254.0,,,0
CDM,30000102,HC PRETREAT RBC; CHEM OR DRUGS,127.0,127.0,,,0
CDM,30000103,HC SERUM PRETX; RC ABSORPT,223.0,223.0,,,0
CDM,30000104,HC BILIRUBIN TOTAL TRANSCUT,60.0,60.0,,,0
CDM,30000105,HC FECAL LEUKO CNT QUAL/SEMIQUAN,90.0,90.0,,,0
CDM,30000106,HC EXAM SYNOVIAL FLUID CRYSTALS,159.0,159.0,,,0
CDM,30000107,HC PSA SCREENING,430.0,430.0,,,0
CDM,30000108,HC AUTOLOG BLOOD OP SALVAGE,1077.0,1077.0,,,0
CDM,30000109,HC MEAT FIBERS FECES,56.0,56.0,,,0
CDM,30000125,HC BLD TYPE; AG SCRN W PT SERUM,81.0,81.0,,,0
CDM,30000127,HC HAMS; AUTO SCRN EA,477.0,477.0,,,0
CDM,30000128,HC FETAL SCREEN,216.0,216.0,,,0
CDM,30000129,HC PRETREAT RBC; DGS,1457.0,1457.0,,,0
CDM,30000130,HC SERUM PRETX; DILUTION,104.0,104.0,,,0
CDM,30000131,HC SERUM PRETX; INHIBITOR INCUBATE,804.0,804.0,,,0
CDM,30000132,HC SECRETIONS FAT STAIN,64.0,64.0,,,0
CDM,30000133,HC N EOSINOPHIL SMEAR,111.0,111.0,,,0
CDM,30000134,HC CULTURE OOCYTE(S)/EMBRYO(S) < 4 DAYS,1989.0,1989.0,,,0
CDM,30000135,HC ASSIST EMBRYO HATCH MICROTECH,404.0,404.0,,,0
CDM,30000136,HC OOCYTE ID FOLLICULAR FLUID,1989.0,1989.0,,,0
CDM,30000137,HC EMBRYO TRANSFER PREP,404.0,404.0,,,0
CDM,30000138,HC SPERM ID FROM ASP,404.0,404.0,,,0
CDM,30000139,HC CRYOPRESERVATION EMBRYO(S),3081.0,3081.0,,,0
CDM,30000140,HC CRYOPRESERVATION; SPERM,683.0,683.0,,,0
CDM,30000141,HC SPERM ISOLATION; SIMPLE PREP,404.0,404.0,,,0
CDM,30000142,HC SPERM ISOLATION; CMPLX PREP,683.0,683.0,,,0
CDM,30000143,HC SPERM ID FROM TESTIS FRESH/CRYOPRESERVE,1989.0,1989.0,,,0
CDM,30000144,HC EXT OOCYTE(S)/EMBRYO(S) CULTURE 4-7 DAYS,1989.0,1989.0,,,0
CDM,30000145,HC ASSIST OOCYTE FERTILIZ <= 10 OO,3081.0,3081.0,,,0
CDM,30000146,HC ASSIST OOCYTE FERTILIZ >10 OO,1989.0,1989.0,,,0
CDM,30000147,HC BX OOCYTE POLAR BODY <= 5 EMBRY,1989.0,1989.0,,,0
CDM,30000148,HC BX OOCYTE POLAR BODY > 5 EMBRY,1989.0,1989.0,,,0
CDM,30000149,HC SEMEN; PRESENCE & MOTILITY,134.0,134.0,,,0
CDM,30000150,HC SEMEN; MOTILITY & COUNT,128.0,128.0,,,0
CDM,30000151,HC SEMEN ANAL VOL/COUNT/MOT,107.5,107.5,,,0
CDM,30000152,HC SEMEN ANAL SPERM DETECTION,232.0,232.0,,,0
CDM,30000153,HC SPERM ANTIBODIES,396.0,396.0,,,0
CDM,30000155,HC STORAGE/YEAR; EMBRYO(S),683.0,683.0,,,0
CDM,30000156,HC STORAGE/YEAR; SPERM/SEMEN,404.0,404.0,,,0
CDM,30000157,HC THAW CRYOPRESERVED; EMBRYO(S),1989.0,1989.0,,,0
CDM,30000158,HC THAW CRYOPRESERVED; SPERM/ALIQUOT,404.0,404.0,,,0
CDM,30000162,HC TRANCSCUTANEOUS CARBOXYHB,45.0,45.0,,,0
CDM,30000164,"HC IMMUNOASSAY, NOS PART OF PANEL",86.0,86.0,,,0
CDM,30000165,HC IMMUMOASSAY QUANT NOS NONAB (25),99.0,99.0,,,0
CDM,30000166,HC IMMUMOASSAY QUANT NOS NONAB (35),140.0,140.0,,,0
CDM,30000167,HC IMMUMOASSAY QUANT NOS NONAB (40),158.0,158.0,,,0
CDM,30000170,HC IMMUMOASSAY QUANT NOS NONAB (115),342.0,342.0,,,0
CDM,30000174,HC IMMUMOASSAY QUANT NOS NONAB (170),505.0,505.0,,,0
CDM,30000175,HC IMMUMOASSAY QUANT NOS NONAB (65),52.0,52.0,,,0
CDM,30000176,HC IMMUMOASSAY QUANT NOS NONAB (45),154.0,154.0,,,0
CDM,30000179,HC IMMUMOASSAY QUANT NOS NONAB (240),713.0,713.0,,,0
CDM,30000180,HC IMMUMOASSAY QUANT NOS NONAB (130),386.0,386.0,,,0
CDM,30000181,DEAC 12/31/2023 HC HOSPITAL OUTPATIENT CLINIC-COVID-19 SPEC COLLECT NON-MARYLAND,95.0,95.0,,,0
CDM,30000184,HC IMMUMOASSAY QUANT NOS NONAB,565.0,565.0,,,0
CDM,30001856,"HC IAD BY NUCLEIC ACID (DNA OR RNA); BORRELIA MIYAMOTOI, APT (41)",116.0,116.0,,,0
CDM,30001858,"HC IMMUNOASSAY, NOT OTHERWISE SPECIFIED(12)",52.0,52.0,,,0
CDM,30001859,"HC IMMUNOASSAY, NOT OTHERWISE SPECIFIED(32)",52.0,52.0,,,0
CDM,30001860,HC IMMUNOASSAY QUANT NOS NONAB (184),458.0,458.0,,,0
CDM,30060007,HC FACTOR XIII QUEST,45.0,45.0,,,0
CDM,30060011,"HC LYME(B.BURGDORFERI)PCR,CSF QST",116.0,116.0,,,0
CDM,30070001,HC POCT AUTOM URINALYSIS WO MICRO,124.0,124.0,,,0
CDM,30070002,HC POCT OCCULT BLD FECES 1-3 TESTS,12.0,12.0,,,0
CDM,30070003,HC POCT ASSAY PH BODY FLUID NOS,13.0,13.0,,,0
CDM,30070004,HC POCT URINE HCG VISUAL COLOR,206.0,206.0,,,0
CDM,30070005,HC POCT CREATININE; BLOOD,192.0,192.0,,,0
CDM,30070006,HC POCT SMEAR - INFECTIOUS WET MOUNT,49.0,49.0,,,0
CDM,30070007,HC POCT GLUCOSE; BLOOD REAGENT STRIP,44.0,44.0,,,0
CDM,30070008,HC POCT FERN TEST,44.0,44.0,,,0
CDM,30070009,HC TRANSCUTANEOUS BILIRUBIN,93.5,93.5,,,0
CDM,30100000,HC LAB CHEMISTRY,14.0,14.0,,,0
CDM,30100001,HC ELECTROLYTE PANEL,145.0,145.0,,,0
CDM,30100002,HC LIPID PANEL,266.0,266.0,,,0
CDM,30100003,HC AMIKACIN,460.0,460.0,,,0
CDM,30100004,HC AMITRIPTYLINE,298.0,298.0,,,0
CDM,30100005,"HC BENZODIAZEPINES, 1-12",392.0,392.0,,,0
CDM,30100006,HC CARBAMAZEPINE; TOTAL,257.5,257.5,,,0
CDM,30100007,HC CARBAMAZEPINE; FREE,490.0,490.0,,,0
CDM,30100008,HC CYCLOSPORINE,379.0,379.0,,,0
CDM,30100009,HC DESIPRAMINE,291.0,291.0,,,0
CDM,30100010,HC DIGOXIN QUANTITATIVE,564.0,564.0,,,0
CDM,30100011,HC DIPROPYLACETIC ACID,196.0,196.0,,,0
CDM,30100012,HC GENTAMICIN,692.0,692.0,,,0
CDM,30100013,HC HALOPERIDOL ASSAY,217.0,217.0,,,0
CDM,30100014,HC IMIPRAMINE,291.0,291.0,,,0
CDM,30100015,HC LIDOCAINE,419.0,419.0,,,0
CDM,30100016,HC LITHIUM,120.5,120.5,,,0
CDM,30100017,HC NORTRIPTYLINE,324.0,324.0,,,0
CDM,30100018,HC PHENOBARBITAL,367.0,367.0,,,0
CDM,30100019,HC PHENYTOIN; TOTAL,490.0,490.0,,,0
CDM,30100020,HC PHENYTOIN; FREE,259.0,259.0,,,0
CDM,30100021,HC PRIMIDONE,458.0,458.0,,,0
CDM,30100022,HC PROCAINAMIDE W METABOLITES,722.0,722.0,,,0
CDM,30100023,HC QUINIDINE,593.0,593.0,,,0
CDM,30100024,HC ASSAY OF SIROLIMUS,452.0,452.0,,,0
CDM,30100025,HC SALICYLATE,118.0,118.0,,,0
CDM,30100026,HC TACROLIMUS,742.0,742.0,,,0
CDM,30100027,HC THEOPHYLLINE,490.0,490.0,,,0
CDM,30100028,HC TOBRAMYCIN,490.0,490.0,,,0
CDM,30100029,HC TOPIRAMATE,343.0,343.0,,,0
CDM,30100030,HC VANCOMYCIN,493.0,493.0,,,0
CDM,30100031,HC DABIGATRAN ASSAY,204.0,204.0,,,0
CDM,30100032,HC ACETAZOLAMIDE (DIAMOX),204.0,204.0,,,0
CDM,30100033,HC BUPROPION,331.0,331.0,,,0
CDM,30100034,HC ZONISAMIDE,204.0,204.0,,,0
CDM,30100035,HC ATAZANAVIR LEVEL SERUM,204.0,204.0,,,0
CDM,30100036,"HC ITRACONAZOLE, HPLC",204.0,204.0,,,0
CDM,30100037,"HC KALETRA, QUANTITATION",204.0,204.0,,,0
CDM,30100038,HC QUANTITATION OF DRUG NES,490.0,490.0,,,0
CDM,30100039,HC AUTOM URINE DIP W MICRO,85.0,85.0,,,0
CDM,30100040,HC N-AUTOM URINALYS WO MICRO,36.0,36.0,,,0
CDM,30100041,HC AUTOM URINALYSIS WO MICRO,64.0,64.0,,,0
CDM,30100042,HC URINALYSIS; QUAL NOT IA,138.0,138.0,,,0
CDM,30100043,HC URINALYSIS - MICRO ONLY,124.0,124.0,,,0
CDM,30100044,HC ACETAMINOPHEN,315.0,315.0,,,0
CDM,30100045,HC QUANT SERUM ACETONES/KETONES,186.0,186.0,,,0
CDM,30100046,HC ACETYLCHOLINESTERASE,132.0,132.0,,,0
CDM,30100047,HC ACYLCARNITINES; QUAN,199.0,199.0,,,0
CDM,30100048,HC ACTH,928.0,928.0,,,0
CDM,30100049,HC ASSAY OF SERUM ALBUMIN,123.0,123.0,,,0
CDM,30100050,HC ALBUMIN; QUAN,62.0,62.0,,,0
CDM,30100051,HC ALBUMIN; URINE QUANT,166.0,166.0,,,0
CDM,30100052,HC ETHANOL (ALCOHOL); NOT BREATH,291.0,291.0,,,0
CDM,30100053,HC ALDOSTERONE,790.0,790.0,,,0
CDM,30100054,HC ALPHA-FETOPROTEIN SERUM,394.0,394.0,,,0
CDM,30100055,HC ALPHA-FETOPROTEIN AMNIOTIC,393.0,393.0,,,0
CDM,30100056,HC AMINO ACIDS; MULTI QUAL EA,164.0,164.0,,,0
CDM,30100057,HC AMINO ACIDS 6/>  QUAN EA,161.0,161.0,,,0
CDM,30100058,HC AMMONIA,301.0,301.0,,,0
CDM,30100059,HC AMYLASE,91.0,91.0,,,0
CDM,30100060,HC ASCORBIC ACID BLOOD,198.0,198.0,,,0
CDM,30100061,HC BARBITURATES,718.0,718.0,,,0
CDM,30100062,HC BETA-2 MICROGLOBULIN,64.0,64.0,,,0
CDM,30100063,HC TOTAL BILIRUBIN,63.5,63.5,,,0
CDM,30100064,HC DIRECT BILIRUBIN,70.0,70.0,,,0
CDM,30100065,HC OCCULT BLOOD FECES,58.0,58.0,,,0
CDM,30100066,HC OCCULT BLD FHG QUAL 1-3,189.0,189.0,,,0
CDM,30100067,HC CADMIUM,275.0,275.0,,,0
CDM,30100068,HC VITAMIN D 25 HYDROXY,399.5,399.5,,,0
CDM,30100069,HC CALCITONIN,552.0,552.0,,,0
CDM,30100070,HC CALCIUM; TOTAL,63.5,63.5,,,0
CDM,30100071,HC CALCIUM; IONIZED,114.0,114.0,,,0
CDM,30100072,HC CALCIUM; URINE QUAN TIMED,73.0,73.0,,,0
CDM,30100073,HC STONE; IR SPECTROSCOPY,154.0,154.0,,,0
CDM,30100074,HC CARBON DIOXIDE (CO2),132.0,132.0,,,0
CDM,30100075,HC ASSAY CARBOXYHB QUANT,390.0,390.0,,,0
CDM,30100076,HC CEA,486.0,486.0,,,0
CDM,30100077,HC CHLORIDE; BLOOD,123.0,123.0,,,0
CDM,30100078,HC CHLORIDE; URINE,123.0,123.0,,,0
CDM,30100079,HC SERUM/WB TOT CHOLEST,64.5,64.5,,,0
CDM,30100080,HC MUCOPOLYSACCHARIDE(MPS) TLC,416.0,416.0,,,0
CDM,30100081,HC CATHARTIC LAXATIVE STOOL SCR,414.0,414.0,,,0
CDM,30100082,HC QUAL THIN LYR CHROMATOGR NES,163.0,163.0,,,0
CDM,30100083,HC C CHROMATOGR QUAN ANALYT NES,160.0,160.0,,,0
CDM,30100084,HC C CHROMOTOGR QUAN; MULTI ANALY,298.0,298.0,,,0
CDM,30100085,HC CHROMIUM,118.0,118.0,,,0
CDM,30100086,HC COLLAGEN CROSS LINKS,59.0,59.0,,,0
CDM,30100087,HC COPPER,334.0,334.0,,,0
CDM,30100088,HC CORTICOSTERONE,266.0,266.0,,,0
CDM,30100089,HC CORTISOL; FREE,199.0,199.0,,,0
CDM,30100090,HC CORTISOL; TOTAL,348.0,348.0,,,0
CDM,30100091,HC CC/MS; QUAN SS & MP,356.0,356.0,,,0
CDM,30100092,HC CC/MS - SGL ANALYTE QUAN,159.0,159.0,,,0
CDM,30100093,HC CC/MS - MULTI ANALYTES QUAN,159.0,159.0,,,0
CDM,30100094,HC CPK; TOTAL,106.0,106.0,,,0
CDM,30100095,HC CPK: MB FRACTION ONLY,166.0,166.0,,,0
CDM,30100096,HC CREATININE; BLOOD,103.5,103.5,,,0
CDM,30100097,HC CREATININE; NOT BLOOD,65.0,65.0,,,0
CDM,30100098,HC CREATININE; CLEARANCE,207.0,207.0,,,0
CDM,30100099,HC CRYOFIBRINOGEN,142.0,142.0,,,0
CDM,30100100,HC CRYOGLOBULIN - QUAL/SEMI QUAN,228.0,228.0,,,0
CDM,30100101,HC VITAMIN B-12 LEVEL,233.0,233.0,,,0
CDM,30100102,HC CYSTATIN C,162.0,162.0,,,0
CDM,30100103,HC VIT D 1 25-DIHYDROXY,540.0,540.0,,,0
CDM,30100104,HC PANCREATIC ELASTASE FECAL,242.0,242.0,,,0
CDM,30100105,"HC ENZYME ACTIVITY BC; NOT RA, EACH SPECIMEN",962.0,962.0,,,0
CDM,30100106,HC ESTRADIOL; TOTAL,292.5,292.5,,,0
CDM,30100107,HC ESTRIOL UNCONJUGATED,184.0,184.0,,,0
CDM,30100108,HC FAT/LIPIDS FECES; QUAN,432.0,432.0,,,0
CDM,30100109,HC FERRITIN,408.0,408.0,,,0
CDM,30100110,HC FETAL FIBRONECTIN CV SEMIQUAN,1060.0,1060.0,,,0
CDM,30100111,HC FOLIC ACID; SERUM,212.5,212.5,,,0
CDM,30100112,HC FOLIC ACID; RBC,293.0,293.0,,,0
CDM,30100113,HC FRUCTOSE SEMEN,206.0,206.0,,,0
CDM,30100114,HC ASSAY IGA/IGD/IGG/IGM EACH,147.0,147.0,,,0
CDM,30100115,HC IGG 1 2 3 OR 4 EACH,207.0,207.0,,,0
CDM,30100116,HC BLOOD GAS MIXED WO O2 SAT,448.0,448.0,,,0
CDM,30100117,HC BLOOD GASES W/02 SATURATION,336.0,336.0,,,0
CDM,30100118,HC BLOOD GASES O2 SAT ONLY,240.0,240.0,,,0
CDM,30100119,HC HEMOGLOBIN-OXYGEN AFFINITY,118.0,118.0,,,0
CDM,30100120,HC GLUCOSE BODY FLUID NOT BLOOD,123.0,123.0,,,0
CDM,30100121,HC GLUCOSE; QUAN BLOOD,70.0,70.0,,,0
CDM,30100122,HC GLUCOSE; POST GLUCOSE DOSE,123.0,123.0,,,0
CDM,30100123,HC GLUCOSE TOLERANCE TEST (GTT) 3 SPECM,240.0,240.0,,,0
CDM,30100124,HC GTT-ADDED SAMPLES,82.0,82.0,,,0
CDM,30100125,HC GLUTAMINE,126.0,126.0,,,0
CDM,30100126,HC GLUTAMYLTRANSFERASE GAMMA,193.0,193.0,,,0
CDM,30100127,HC GROWTH HORMONE HUMAN,550.0,550.0,,,0
CDM,30100128,HC HAPTOGLOBIN; QUAN,392.0,392.0,,,0
CDM,30100129,HC HEAVY METAL; QUAN,158.0,158.0,,,0
CDM,30100130,HC HGB FRACT & QUAN; EP,394.0,394.0,,,0
CDM,30100131,HC HGB CHROMATOGRAPHY,213.0,213.0,,,0
CDM,30100132,HC HGB; FETAL CHEMICAL,258.0,258.0,,,0
CDM,30100133,HC HGB; FETAL QUAL,68.0,68.0,,,0
CDM,30100134,HC GLYCOSYLATED HEMOGLOBIN TEST,161.0,161.0,,,0
CDM,30100135,HC HBG; METHEMOGLOBIN QUAN,228.0,228.0,,,0
CDM,30100136,HC HEMOGLOBIN; UNSTABLE SCREEN,26.0,26.0,,,0
CDM,30100137,HC HEMOSIDERIN; QUAL,134.0,134.0,,,0
CDM,30100138,HC B-HEXOSAMINIDASE EA ASSAY,199.0,199.0,,,0
CDM,30100139,HC ASSAY OF HOMOCYSTINE,523.0,523.0,,,0
CDM,30100140,HC 5-HIAA,327.0,327.0,,,0
CDM,30100141,HC IMMUNOASSAY NONANTIBODY,298.0,298.0,,,0
CDM,30100142,HC RIA NONANTIBODY,234.0,234.0,,,0
CDM,30100143,HC IMMUNOASSAY QUANT NOS NONAB (20),79.0,79.0,,,0
CDM,30100144,HC IMMUNOASSAY QUANT NOS NONAB (25),99.0,99.0,,,0
CDM,30100145,"HC CAFFEINE,SERUM",154.0,154.0,,,0
CDM,30100146,HC GROWTH HORMONE BINDING PROTEIN,154.0,154.0,,,0
CDM,30100149,HC PROTHROMBIN FRAGMENT 1.2,154.0,154.0,,,0
CDM,30100153,HC IMMUMOASSAY QUANT NOS NONAB (94),372.0,372.0,,,0
CDM,30100155,HC RNA POLYMERASE I-III IGG,74.0,74.0,,,0
CDM,30100159,HC IMMUNOASSAY QUANT NOS NONAB (180),534.0,534.0,,,0
CDM,30100160,HC SULFATIDE ANTIBODY TEST,67.0,67.0,,,0
CDM,30100164,HC VGKC ANTIBODY TEST,502.0,502.0,,,0
CDM,30100167,HC ACHR/MUSK REFLEX ANTIBODY,74.0,74.0,,,0
CDM,30100173,HC PARANEOPLASTIC PROFILE,592.0,592.0,,,0
CDM,30100175,HC IRON,136.0,136.0,,,0
CDM,30100176,HC LACTATE,161.5,161.5,,,0
CDM,30100177,HC LACTATE DEHYDROGENASE,129.0,129.0,,,0
CDM,30100178,HC LACTOFERRIN FECAL (QUAL),240.0,240.0,,,0
CDM,30100179,HC LEAD,432.0,432.0,,,0
CDM,30100180,HC FETAL LUNG - FLUORESC POLARIZ,224.0,224.0,,,0
CDM,30100181,HC FETAL LUNG - LB DENSITY,226.0,226.0,,,0
CDM,30100182,HC LIPASE,94.0,94.0,,,0
CDM,30100183,HC ASSAY OF LIPOPROTEIN(A),89.5,89.5,,,0
CDM,30100184,HC LIPOPROTEIN BLD HR FRACTION,78.0,78.0,,,0
CDM,30100185,HC LIPOPROTEIN BLD BY NMR,328.0,328.0,,,0
CDM,30100186,HC LIPOPROTEIN; HDL,207.0,207.0,,,0
CDM,30100187,HC ASSAY OF BLOOD LIPOPROTEIN LDL,406.0,406.0,,,0
CDM,30100188,HC MAGNESIUM,114.5,114.5,,,0
CDM,30100189,HC QUALIT MASS SPECT EA SPECIM,472.0,472.0,,,0
CDM,30100190,"HC MASS SPECTROMETRY QUAL/QUAN, EA SPECIMEN",216.0,216.0,,,0
CDM,30100191,HC METANEPHRINES,430.0,430.0,,,0
CDM,30100192,HC METHEMALBUMIN,128.0,128.0,,,0
CDM,30100193,HC MUCOPOLYSACCH ACID; QUAN,522.0,522.0,,,0
CDM,30100194,HC MUCOPOLYSACCH ACID; SCREEN,78.0,78.0,,,0
CDM,30100195,HC MYOGLOBIN,226.0,226.0,,,0
CDM,30100196,HC NATRIURETIC PEPTIDE,408.0,408.0,,,0
CDM,30100220,HC NUCLEIC ACID HIGH RESOLUTE,46.0,46.0,,,0
CDM,30100229,HC BLOOM SYNDROME DNA,2906.0,2906.0,,,0
CDM,30100239,HC HHT KNOWN FAMILIAL MUTATION,498.0,498.0,,,0
CDM,30100248,HC ACADM EXON 11 SEQUENCING,862.0,862.0,,,0
CDM,30100273,HC C-KIT MUTATION ANALYSIS,1742.0,1742.0,,,0
CDM,30100278,HC SPINAL MUSCULAR ATROPHY DNA,478.0,478.0,,,0
CDM,30100279,"HC HI RESOLUTION HLA DNA (A,B,C)",70.0,70.0,,,0
CDM,30100280,HC SCA5 SELECT EXON DNA TEST,888.0,888.0,,,0
CDM,30100281,HC ANTLEY BIXLER-LIKE SYNDROME,18.0,18.0,,,0
CDM,30100282,HC AAT6 GENE ASSAY,18.0,18.0,,,0
CDM,30100294,HC T CELL ENGRAFTMENT FOLLOWUP,80.0,80.0,,,0
CDM,30100295,HC SH3TC2 DNA SEQUENCING TEST,163.0,163.0,,,0
CDM,30100298,HC KCNJ11(CH) DNA SEQUENCING,212.0,212.0,,,0
CDM,30100299,HC CORONAL SYNOSTOSIS DNA,130.0,130.0,,,0
CDM,30100304,HC RAPID RFLP FOR BMT FOLLOW-UP,43.0,43.0,,,0
CDM,30100309,HC PREIFFER SYNDROME,284.0,284.0,,,0
CDM,30100310,HC IGVH MUTATION ANALYSIS (CLL),286.0,286.0,,,0
CDM,30100314,HC TMP1 GENE TEST TROPOMYSIN,363.0,363.0,,,0
CDM,30100316,HC FAM AMYOTROPHIC LAT SCHLERO,300.0,300.0,,,0
CDM,30100318,HC SURFAC PROTEIN C DEFICIENCY,158.0,158.0,,,0
CDM,30100323,HC LOEYS-DIETZ TYPE 1C GENE SMAD3,212.0,212.0,,,0
CDM,30100331,HC NPM 1 PANEL,42.0,42.0,,,0
CDM,30100332,HC DEMYELINAT NEUROPATHY PROFILE,96.0,96.0,,,0
CDM,30100412,HC ASSAY OF NUCLEOTIDASE,314.0,314.0,,,0
CDM,30100413,HC OLIGOCLONAL BANDS,642.0,642.0,,,0
CDM,30100414,HC QUANTITATIVE ORGANIC ACIDS EA SPECIMEN,196.0,196.0,,,0
CDM,30100415,HC ORGANIC ACID  SINGLE QUANTITATIVE,197.0,197.0,,,0
CDM,30100416,HC OPIATES 1 OR MORE,258.0,258.0,,,0
CDM,30100417,HC BLOOD OSMOLALITY,124.0,124.0,,,0
CDM,30100418,HC OSMOLALITY; URINE,150.0,150.0,,,0
CDM,30100419,HC PARATHORMONE,980.0,980.0,,,0
CDM,30100420,HC ASSAY FOR CALPROTECTIN FECAL,242.0,242.0,,,0
CDM,30100421,"HC ANTIPSYCHOTIC, NOS 1-3",176.0,176.0,,,0
CDM,30100422,HC PHENYLALANINE BLOOD,255.0,255.0,,,0
CDM,30100423,HC PROSTATIC ACID PHOSPHATASE,198.0,198.0,,,0
CDM,30100424,HC ALKALINE PHOSPHATASE,68.0,68.0,,,0
CDM,30100425,HC HT STBL ALKALINE PHOSPHATASE,88.0,88.0,,,0
CDM,30100426,HC PHOSPHATE,63.5,63.5,,,0
CDM,30100427,HC URINE PHOSPHATE,114.0,114.0,,,0
CDM,30100428,HC PORPHOBILINOGEN URINE; QUAL,228.0,228.0,,,0
CDM,30100429,HC ASSAY OF SERUM POTASSIUM,63.5,63.5,,,0
CDM,30100430,HC URINE POTASSIUM,63.5,63.5,,,0
CDM,30100431,HC PREALBUMIN,241.0,241.0,,,0
CDM,30100432,HC PROLACTIN ASSAY,540.0,540.0,,,0
CDM,30100433,HC PSA; TOTAL,187.0,187.0,,,0
CDM,30100434,HC PSA; FREE,344.0,344.0,,,0
CDM,30100435,HC ASSAY OF PROTEIN SERUM,111.5,111.5,,,0
CDM,30100436,HC URINE TOTAL PROTEIN,69.5,69.5,,,0
CDM,30100437,HC TOTAL PROTEIN OTHER SPECIMEN,123.0,123.0,,,0
CDM,30100438,HC PROTEIN; EP FRACT & QUAN,390.0,390.0,,,0
CDM,30100439,HC PROTEIN E-PHORESIS/URINE/CSF,450.0,450.0,,,0
CDM,30100440,HC PROTEIN WESTERN BLOT,7954.0,7954.0,,,0
CDM,30100441,HC PROTEIN WB; IM ID FOR BANDS,1362.0,1362.0,,,0
CDM,30100442,HC RENIN,556.0,556.0,,,0
CDM,30100443,HC ASSAY OF RIBOFLAVIN (VITAMIN B-2),436.0,436.0,,,0
CDM,30100444,HC SELENIUM,227.0,227.0,,,0
CDM,30100445,HC ASSAY OF SERUM SODIUM,123.0,123.0,,,0
CDM,30100446,HC SODIUM; URINE,65.0,65.0,,,0
CDM,30100447,HC SODIUM OTHER SOURCE,46.0,46.0,,,0
CDM,30100448,HC SOMATOMEDIN,87.5,87.5,,,0
CDM,30100449,HC SPECTROPHOTOMETRY ANALYTE NES,709.0,709.0,,,0
CDM,30100450,HC SUGARS CHROMOTOGR TLC/PAPER,273.0,273.0,,,0
CDM,30100451,HC URINE SULFATE,56.0,56.0,,,0
CDM,30100452,HC TESTOSTERONE; FREE,529.0,529.0,,,0
CDM,30100453,HC THIOCYANATE,55.0,55.0,,,0
CDM,30100454,HC THROMBOXANE URINE,199.0,199.0,,,0
CDM,30100455,HC THYROGLOBULIN,191.0,191.0,,,0
CDM,30100456,HC THYROXINE; TOTAL,168.0,168.0,,,0
CDM,30100457,HC FREE THYROXINE,208.5,208.5,,,0
CDM,30100458,HC THYROXINE BINDING GLOBULIN,472.0,472.0,,,0
CDM,30100459,HC THYROXINE BINDING GLOBULIN,472.0,472.0,,,0
CDM,30100460,HC THYROID STIMULATING HORMONE,240.0,240.0,,,0
CDM,30100461,HC AST OR SGOT,94.0,94.0,,,0
CDM,30100462,HC TRANSFERASE; ALANINE AMINO,94.0,94.0,,,0
CDM,30100463,HC TRANSFERRIN,334.0,334.0,,,0
CDM,30100464,HC TRIGLYCERIDES,70.0,70.0,,,0
CDM,30100465,HC T3 OR T4 OR THBR,344.0,344.0,,,0
CDM,30100466,HC T3; TOTAL,207.5,207.5,,,0
CDM,30100467,HC TROPONIN QUAN,169.0,169.0,,,0
CDM,30100468,HC UREA NITROGEN; QUAN,70.0,70.0,,,0
CDM,30100469,HC UREA NITROGEN URINE,136.0,136.0,,,0
CDM,30100470,HC URIC ACID; BLOOD,63.5,63.5,,,0
CDM,30100471,HC URIC ACID; NOT BLOOD,123.0,123.0,,,0
CDM,30100472,HC UROBILINOGEN URINE; QUAL,292.0,292.0,,,0
CDM,30100473,HC VMA URINE,532.0,532.0,,,0
CDM,30100474,HC VITAMIN NOS,246.0,246.0,,,0
CDM,30100475,HC VITAMIN K,615.0,615.0,,,0
CDM,30100476,HC VOLATILES,153.0,153.0,,,0
CDM,30100477,HC XYLOSE ABSORPTION BLOOD &/OR URINE,442.0,442.0,,,0
CDM,30100478,HC ZINC,316.0,316.0,,,0
CDM,30100479,HC C-PEPTIDE,436.0,436.0,,,0
CDM,30100480,HC HCG; QUAN,232.0,232.0,,,0
CDM,30100481,HC UNLISTED CHEMISTRY (10),150.0,150.0,,,0
CDM,30100484,HC IA QUANT; CA 15-3 (27.29),393.0,393.0,,,0
CDM,30100485,HC INHIBIN A,102.0,102.0,,,0
CDM,30100486,HC LYMES AMPLIFIED NA PROBE,994.0,994.0,,,0
CDM,30100487,HC AMPHETAMINE SCREEN,324.0,324.0,,,0
CDM,30100488,HC DRUG ABUSE PROFILE 1,220.0,220.0,,,0
CDM,30100489,HC DRUG ABUSE PROFILE 2,220.0,220.0,,,0
CDM,30100490,"HC DRUG ABUSE PROFILE 3, EMERG",220.0,220.0,,,0
CDM,30100491,"HC DRUG ABUSE PROFILE 4, EMERG",220.0,220.0,,,0
CDM,30100492,HC BUPRENORPHINE + METAB SCREEN,220.0,220.0,,,0
CDM,30100494,HC DRUG SCREEN QUANT CAFFEINE,168.0,168.0,,,0
CDM,30100495,HC DRUG SCREEN QUANT CLOZAPINE,400.0,400.0,,,0
CDM,30100496,HC DRUG SCREEN QUANT EVEROLIMUS,162.0,162.0,,,0
CDM,30100497,HC DRUG SCREEN QUANT GABAPENTIN,158.0,158.0,,,0
CDM,30100498,HC DRUG SCREEN QUAN LAMOTRIGINE,158.0,158.0,,,0
CDM,30100499,HC DRUG SCRN QUAN LEVETIRACETAM,158.0,158.0,,,0
CDM,30100500,HC DRUG SCRN QUAN MYCOPHENOLATE,213.0,213.0,,,0
CDM,30100501,HC DRUG SCRN QUANT OXCARBAZEPIN,158.0,158.0,,,0
CDM,30100502,HC PROCAINAMIDE,720.0,720.0,,,0
CDM,30100503,HC DRUG SCREEN QUANT ZONISAMIDE,157.0,157.0,,,0
CDM,30100504,HC ACTH STIM; ADRENAL INSUFF,485.0,485.0,,,0
CDM,30100505,HC INSULIN T PANEL; ACTH INSUFF,1678.0,1678.0,,,0
CDM,30100509,HC BCR/ABL1 GENE MAJOR BP,2931.0,2931.0,,,0
CDM,30100510,HC BCR/ABL1 GENE MINOR BP,2577.0,2577.0,,,0
CDM,30100511,HC BCR/ABL1 GENE OTHER BP,2862.0,2862.0,,,0
CDM,30100513,HC BRAF GENE,2339.0,2339.0,,,0
CDM,30100519,HC CYP2D6 GENE COM VARIANTS,5888.0,5888.0,,,0
CDM,30100522,HC CYTOGEN M ARRAY COPY NO&SNP,5842.0,5842.0,,,0
CDM,30100523,HC EGFR GENE COM VARIANTS,4302.0,4302.0,,,0
CDM,30100525,HC FMR1 GENE DETECTION,816.0,816.0,,,0
CDM,30100527,HC FLT3 GENE,2163.0,2163.0,,,0
CDM,30100532,HC HFE GENE,1165.0,1165.0,,,0
CDM,30100535,HC IGH GENE REARRANGE AMP METH,3522.0,3522.0,,,0
CDM,30100536,HC IGH VARI REGIONAL MUTATION,1135.0,1135.0,,,0
CDM,30100539,HC CHIMERISM ANAL NO CELL SELEC,3689.0,3689.0,,,0
CDM,30100540,HC CHIMERISM ANAL W/CELL SELECT,961.0,961.0,,,0
CDM,30100541,HC JAK2 GENE,1740.0,1740.0,,,0
CDM,30100542,HC KRAS GENE,2576.0,2576.0,,,0
CDM,30100547,HC MLH1 GENE DUP/DELETE VARIANT,2486.0,2486.0,,,0
CDM,30100548,HC MICROSATELLITE INSTABILITY,5152.0,5152.0,,,0
CDM,30100551,HC DRUG CONFIRMATION,386.0,386.0,,,0
CDM,30100552,HC QUAL SERUM ACETONE/KETONES,85.0,85.0,,,0
CDM,30100553,HC MICROALBUMIN; URINE SEMIQUAN,126.0,126.0,,,0
CDM,30100554,HC AMPHETAMINE/METHAMPH,194.0,194.0,,,0
CDM,30100555,HC BILE ACIDS; TOTAL,88.0,88.0,,,0
CDM,30100556,HC OCCULT BLD FECES 1-3 TESTS,15.0,15.0,,,0
CDM,30100557,HC STONE; X-RAY DIFFRACTION,298.0,298.0,,,0
CDM,30100558,HC CHEMILUMINESCENT ASSAY,264.0,264.0,,,0
CDM,30100559,HC CHOLINESTERASE; RBC,286.0,286.0,,,0
CDM,30100560,HC CPK: ISOENZYMES,430.0,430.0,,,0
CDM,30100561,HC DESOXYCORTICOSTERONE 11,384.0,384.0,,,0
CDM,30100562,HC ELECTROPHORESIS NES,227.0,227.0,,,0
CDM,30100563,HC ESTROGENS; TOTAL,132.0,132.0,,,0
CDM,30100564,HC FLURAZEPAM,329.0,329.0,,,0
CDM,30100565,HC BLOOD GAS PH ONLY,33.0,33.0,,,0
CDM,30100566,HC HEAVY METAL; SCREEN,1077.0,1077.0,,,0
CDM,30100567,HC HEMOSIDERIN; QUANT,168.0,168.0,,,0
CDM,30100568,HC IRON BINDING CAPACITY,206.0,206.0,,,0
CDM,30100569,HC FETAL LUNG MATURITY; QUAN,646.0,646.0,,,0
CDM,30100570,HC LEUCINE AMINOPEPTIDASE,292.0,292.0,,,0
CDM,30100571,HC LUTEINIZING RELEASING FACTOR,1106.0,1106.0,,,0
CDM,30100572,HC QUAL ORGANIC ACIDS EA SPECIM,196.0,196.0,,,0
CDM,30100573,HC PCP QUAN ASSAY,348.0,348.0,,,0
CDM,30100574,HC PREGNANEDIOL,273.0,273.0,,,0
CDM,30100575,HC PYRUVATE KINASE,112.0,112.0,,,0
CDM,30100576,HC THYROID STIMULATING IMMUNOGLOBULINS,292.0,292.0,,,0
CDM,30100577,HC CANNABINOID EXLUS/TEST,220.0,220.0,,,0
CDM,30100578,"HC DRUGS SCR, SINGLE X 6",220.0,220.0,,,0
CDM,30100579,HC URINE DRUG SCREEN (8TEST),220.0,220.0,,,0
CDM,30100580,HC DRUG SCREEN MULTI DRUG CLASS,63.0,63.0,,,0
CDM,30100581,HC CYP2C19 GENE COM VARIANTS,3804.0,3804.0,,,0
CDM,30100582,HC F2 GENE,92.0,92.0,,,0
CDM,30100583,HC F5 GENE,1093.0,1093.0,,,0
CDM,30100584,HC MTHFR GENE,404.0,404.0,,,0
CDM,30100585,HC ALPHA-1-ANTITRYPSIN; PHENOTYPE (40),171.0,171.0,,,0
CDM,30100586,HC AMINO ACIDS; 2-5 QUAN EA,199.0,199.0,,,0
CDM,30100587,HC COCAINE OR METABOLITE ASSAY,112.0,112.0,,,0
CDM,30100588,HC STONE; QUALITATIVE ANALYSIS,232.0,232.0,,,0
CDM,30100589,"HC STONE; QUANTITATIVE ANALYSIS,  CHEMICAL",154.0,154.0,,,0
CDM,30100590,HC CATECHOLAMINES; TOTAL URINE,433.0,433.0,,,0
CDM,30100591,HC ASSAY CARBOXYHB QUAL,71.0,71.0,,,0
CDM,30100592,HC CHOLINESTERASE; SERUM,255.0,255.0,,,0
CDM,30100593,HC ENZYME ACTIVITY BC; RA,213.0,213.0,,,0
CDM,30100594,HC DIBUCAINE NUMBER,203.0,203.0,,,0
CDM,30100595,HC GLUCOSE; BLD BY MONITOR DEVICE,27.0,27.0,,,0
CDM,30100596,HC HGB; METHEMOGLOBIN QUAL,58.0,58.0,,,0
CDM,30100597,HC GASTRIC ANALY W/PH EA SPEC,65.0,65.0,,,0
CDM,30100598,HC FREE INSULIN,166.0,166.0,,,0
CDM,30100599,HC KETOSTEROIDS 17; FRACTIONATION,312.0,312.0,,,0
CDM,30100600,HC LIPOPRO BLD ELECTROPHORETIC,580.0,580.0,,,0
CDM,30100601,HC H PYLORI (C-13) BREATH TEST,795.0,795.0,,,0
CDM,30100602,HC NON-URINE SPECIFIC GRAVITY,30.0,30.0,,,0
CDM,30100603,HC SUGARS; MULTI QUAL EA SPECIMEN,65.0,65.0,,,0
CDM,30100604,HC IMMUNOASSAY DIPSTICK,101.0,101.0,,,0
CDM,30100605,HC ISOCITRIC DEHYDROGENASE,182.0,182.0,,,0
CDM,30100606,HC KETOGENIC STEROIDS FRACTIONATION,168.0,168.0,,,0
CDM,30100607,HC KETOSTEROIDS 17; TOTAL,484.0,484.0,,,0
CDM,30100608,HC LACTOGEN MATERNAL SERUM HPL,535.0,535.0,,,0
CDM,30100609,HC MEPROBAMATE,298.0,298.0,,,0
CDM,30100610,"HC ANTIEPILEPTICS, NOS 1-3",176.0,176.0,,,0
CDM,30100611,HC MUCIN SYNORVIAL FLUID,210.0,210.0,,,0
CDM,30100612,HC ONCOPROTEIN DCP,762.0,762.0,,,0
CDM,30100613,HC TOTAL ACID PHOSPHATASE,315.0,315.0,,,0
CDM,30100614,HC PHOSPHATIDYLGLYCEROL,196.0,196.0,,,0
CDM,30100615,HC EVAL AMNIOTIC FLUID PROTEIN,762.0,762.0,,,0
CDM,30100616,HC QUAL URINE PORPHYRINS,284.0,284.0,,,0
CDM,30100617,HC QUAN FECAL PORPHYRINS,302.0,302.0,,,0
CDM,30100618,HC PREGNANETRIOL,272.0,272.0,,,0
CDM,30100619,HC PROCALCITONIN (PCT),317.0,317.0,,,0
CDM,30100620,HC PROSTAGLANDIN EACH,294.0,294.0,,,0
CDM,30100621,HC PSA - COMPLEXED,218.0,218.0,,,0
CDM,30100622,HC ERA,762.0,762.0,,,0
CDM,30100623,HC PRA,767.0,767.0,,,0
CDM,30100624,HC SUGARS; SINGLE QUAL EA SPECIMEN,65.0,65.0,,,0
CDM,30100625,HC SUGARS; SINGLE QUAN EA SPECIMEN,136.0,136.0,,,0
CDM,30100626,HC TRANSCORTIN,213.0,213.0,,,0
CDM,30100627,HC TRYPSIN; DUODENAL FLUID,90.0,90.0,,,0
CDM,30100628,HC TRYPSIN; FECES QUAL,157.0,157.0,,,0
CDM,30100629,HC TRYPSIN; FECES QUAN 24-HR,186.0,186.0,,,0
CDM,30100630,HC TROPONIN QUAL,88.0,88.0,,,0
CDM,30100631,HC UREA NITROGEN CLEARANCE,186.0,186.0,,,0
CDM,30100632,HC UROBILINOGEN FECES QUAN,291.0,291.0,,,0
CDM,30100633,HC UROBILINOGEN URINE QUAN TIMED SPEC,84.0,84.0,,,0
CDM,30100634,HC CYCLIC ADP OR AMP,305.0,305.0,,,0
CDM,30100635,HC ANDROSTANEDIOL GLUCURONIDE,342.0,342.0,,,0
CDM,30100636,HC BILE ACIDS; CHOLYLGLYCINE,315.0,315.0,,,0
CDM,30100637,HC CALCIUM; AFTER CALCIUM INFUSION,654.0,654.0,,,0
CDM,30100638,HC CATECHOLAMINES; BLOOD,776.0,776.0,,,0
CDM,30100639,HC CHLORAMPHENICOL,272.0,272.0,,,0
CDM,30100640,HC CPK; ISOFORMS,140.0,140.0,,,0
CDM,30100641,HC DIHYDROCODEINONE QUAN,192.0,192.0,,,0
CDM,30100642,HC CYSTINE & HC URINE QUAL,96.0,96.0,,,0
CDM,30100643,HC DIHYDROMORPHINONE QUAN,228.0,228.0,,,0
CDM,30100644,HC ETHCHLORVYNOL,274.0,274.0,,,0
CDM,30100645,HC FAT DIFFERENTIAL FECES QUAN,105.0,105.0,,,0
CDM,30100646,HC GALACTOSE,343.0,343.0,,,0
CDM,30100647,HC GLUCOSE; TOLBUTAMIDE TOLERANCE,209.0,209.0,,,0
CDM,30100648,HC G6PD; SCREEN,73.0,73.0,,,0
CDM,30100649,HC GLUTETHIMIDE,322.0,322.0,,,0
CDM,30100650,HC HYDROXYPROLINE; FREE,380.0,380.0,,,0
CDM,30100651,HC HYDROXYPROLINE; TOTAL,381.0,381.0,,,0
CDM,30100652,HC CREATINE,218.0,218.0,,,0
CDM,30100653,HC NPM1 GENE,3223.0,3223.0,,,0
CDM,30100654,HC PML/RARALPHA COM BREAKPOINTS,3688.0,3688.0,,,0
CDM,30100655,HC PTEN GENE FULL SEQUENCE,7833.0,7833.0,,,0
CDM,30100656,HC PTEN GENE KNOWN FAM VARIANT,764.0,764.0,,,0
CDM,30100657,HC PTEN GENE DUP/DELET VARIANT,1143.0,1143.0,,,0
CDM,30100663,HC SERPINA1 GENE,777.0,777.0,,,0
CDM,30100664,HC TRG GENE REARRANGEMENT ANAL,3585.0,3585.0,,,0
CDM,30100665,HC VKORC1 GENE,292.0,292.0,,,0
CDM,30100666,HC HLA I TYPING COMPLETE LR (150),3929.0,3929.0,,,0
CDM,30100667,HC HLA I TYPING 1 ANTIGEN LR (150),1295.0,1295.0,,,0
CDM,30100668,HC HLA II TYPING AG EQUIV LR (170),3927.0,3927.0,,,0
CDM,30100669,HC HLA II TYPING 1 LOCUS LR (40),3503.0,3503.0,,,0
CDM,30100670,HC HLA I TYPING COMPLETE HR (290),5964.0,5964.0,,,0
CDM,30100671,HC HLA I TYPING 1 ALLELE HR,1684.0,1684.0,,,0
CDM,30100672,HC  HLA II TYPING 1 LOCUS HR (40),2198.0,2198.0,,,0
CDM,30100673,HC HLA II TYPING 1 ALLELE HR,1943.0,1943.0,,,0
CDM,30100674,HC MOPATH PROCEDURE LEVEL 1,961.0,961.0,,,0
CDM,30100675,HC MOPATH PROCEDURE LEVEL 2,191.0,191.0,,,0
CDM,30100676,HC MOPATH PROCEDURE LEVEL 3,1793.0,1793.0,,,0
CDM,30100677,HC MOPATH PROCEDURE LEVEL 4,257.0,257.0,,,0
CDM,30100678,HC MOPATH PROCEDURE LEVEL 5,382.0,382.0,,,0
CDM,30100683,HC UNLISTED MOLECULAR PATHOLOGY,1321.0,1321.0,,,0
CDM,30100684,HC DISOPYRAMIDE,490.0,490.0,,,0
CDM,30100685,HC LORAZEPAM,490.0,490.0,,,0
CDM,30100686,HC CLOMIPRAMINE,180.0,180.0,,,0
CDM,30100687,HC FLUOXETIN,442.0,442.0,,,0
CDM,30100688,HC AMIODARONE,155.0,155.0,,,0
CDM,30100690,HC DRUG SCREEN SINGLE,220.0,220.0,,,0
CDM,30100691,HC DRUG SCREEN SINGLE X 12,508.0,508.0,,,0
CDM,30100692,HC VALPROIC ACID FREE,367.0,367.0,,,0
CDM,30100693,HC ALCOHOL,223.0,223.0,,,0
CDM,30100694,HC ANTIDEPRESSANT 1 OR 2,400.0,400.0,,,0
CDM,30100695,HC PROPOXYPHENE,258.0,258.0,,,0
CDM,30100696,HC BUPRENORPHINE,258.0,258.0,,,0
CDM,30100697,HC  ALKALOIDS NOS,282.0,282.0,,,0
CDM,30100698,HC METHADONE,728.0,728.0,,,0
CDM,30100699,"HC ANABOLIC STEROIDS, 1 OR 2",152.0,152.0,,,0
CDM,30100700,"HC ANALGESICS,NON-OPIOD 1 OR 2",158.0,158.0,,,0
CDM,30100701,HC DRUG CLASS A SCREEN IEA;5 DRUG,220.0,220.0,,,0
CDM,30100702,"HC  CANNABINOIDS,NATURAL",398.0,398.0,,,0
CDM,30100703,HC PREGABALIN,213.0,213.0,,,0
CDM,30100709,HC QUANTITATIVE ASSAY DRUG (25),125.0,125.0,,,0
CDM,30100710,HC QUANTITATIVE ASSAY DRUG (30),150.0,150.0,,,0
CDM,30100711,HC QUANTITATIVE ASSAY DRUG (35),174.0,174.0,,,0
CDM,30100714,HC QUANTITATIVE ASSAY DRUG (75),374.0,374.0,,,0
CDM,30100721,HC QUANTITATIVE ASSAY DRUG (85),423.0,423.0,,,0
CDM,30100727,"HC ANTI-DEPRESS,SEROTO 1-2 (70)",400.0,400.0,,,0
CDM,30100735,"HC ANTI-DEPRESS, NOS (60)",249.0,249.0,,,0
CDM,30100738,HC DRUG/SUBST DEFINITIVE QUAL/QUANT,632.0,632.0,,,0
CDM,30100739,"HC DRUG SCRN,NOS PRESUMPTIVE",472.0,472.0,,,0
CDM,30100740,HC DRUG SCRN OXYCODONE,632.0,632.0,,,0
CDM,30100741,HC PAPPA SERUM,85.0,85.0,,,0
CDM,30100742,HC HCG FREE BETA CHAIN,85.0,85.0,,,0
CDM,30100746,HC IMMUMOASSAY QUANT NOS NONAB (10),40.0,40.0,,,0
CDM,30100748,"HC  DRUG SCREEN, INSTRUMENT SINGLE DRUG",296.0,296.0,,,0
CDM,30100749,"HC  DRUG SCREEN, INSTRUMENT  8 DRUG",169.0,169.0,,,0
CDM,30100750,"HC DRUG SCREEN, INSTRUMENT 9 DRUG",511.0,511.0,,,0
CDM,30100751,"HC DRUG SCREEN, INSTRUMENT 12 DRUG",362.0,362.0,,,0
CDM,30100752,"HC DRUG SCREEN, INSTRUMENT 5 DRUG",296.0,296.0,,,0
CDM,30100753,HC DRUG SCREEN  MASS SPEC INSTR,632.0,632.0,,,0
CDM,30100754,HC IMMUNOASSAY QUANT NOS NONAB (270),802.0,802.0,,,0
CDM,30100755,HC ALCOHOLS BIOMARKERS 1 OR 2,316.0,316.0,,,0
CDM,30100756,HC IMMUNOASSAY QUANT NOS NONAB (135),401.0,401.0,,,0
CDM,30100757,HC IMMUMOASSAY QUANT NOS NONAB (50),198.0,198.0,,,0
CDM,30100758,HC QUANT ASSAY DRUG (265),1281.0,1281.0,,,0
CDM,30100759,HC ASSAY LIPOPROTEIN PLA2 (35),119.0,119.0,,,0
CDM,30100761,HC DRUG/SUBSTANCE NOS 7/MORE (40),226.0,226.0,,,0
CDM,30100762,HC DRUG/SUBSTANCE NOS 7/MORE (30),224.0,224.0,,,0
CDM,30100763,HC DRUG/SUBSTANCE NOS 7/MORE (135),224.0,224.0,,,0
CDM,30100764,HC HEROIN METABOLITE (25),294.0,294.0,,,0
CDM,30100765,HC KETAMINE AND NORKETAMINE (25),294.0,294.0,,,0
CDM,30100766,HC OPIOIDS AND OPIATE ANALOGS 1/2 (30),294.0,294.0,,,0
CDM,30100767,HC TRAMADOL (30),294.0,294.0,,,0
CDM,30100768,HC CALC GENE COM VARIANTS (210),807.0,807.0,,,0
CDM,30100769,"HC GLUCOSIDASE, BETA",95.0,95.0,,,0
CDM,30100770,HC IMMUMOASSAY QUANT NOS NONAB (205),609.0,609.0,,,0
CDM,30100771,HC DIHYDROTESTOSTERONE (DHT),152.0,152.0,,,0
CDM,30100772,HC IMMUNOASSAY QUANT NOS NONAB (354),1052.0,1052.0,,,0
CDM,30100773,HC METHYLENEDIOXYAMPHETAMINES (29),198.0,198.0,,,0
CDM,30100774,"HC  CANNABINOIDS,NATURAL (19)",198.0,198.0,,,0
CDM,30100775,"HC BENZODIAZEPINES, 1-12 (19)",198.0,198.0,,,0
CDM,30100776,HC BARBITURATES (9),198.0,198.0,,,0
CDM,30100777,HC DRUG SCREENING COCAINE (6),198.0,198.0,,,0
CDM,30100778,HC OPIATES 1 OR MORE (7),198.0,198.0,,,0
CDM,30100779,HC DRUG SCRN OXYCODONE (7),198.0,198.0,,,0
CDM,30100780,HC METHADONE (22),198.0,198.0,,,0
CDM,30100785,HC DRUG ASSAY ADALIMUMAB (265),194.0,194.0,,,0
CDM,30100786,HC DRUG ASSAY POSACONAZOLE (30),194.0,194.0,,,0
CDM,30100787,HC DRUG ASSAY INFLIXIMAB (165),194.0,194.0,,,0
CDM,30100788,HC DRUG ASSAY LACOSAMIDE (80),194.0,194.0,,,0
CDM,30100789,HC DRUG ASSAY VORICONAZOLE (45),194.0,194.0,,,0
CDM,30100790,HC NFCT DS CHRNC HCV 6 ASSAYS (55),262.0,262.0,,,0
CDM,30100791,HC ALCOHOLS BIOMARKERS 1 OR 2 (63),316.0,316.0,,,0
CDM,30100792,HC UNLISTED CHEM PROC (1),150.0,150.0,,,0
CDM,30100793,HC DRUG SCREENING FENTANYL (38),154.0,154.0,,,0
CDM,30100795,HC ACETOMINOPHEN,158.0,158.0,,,0
CDM,30100796,HC AMIODARONE,123.0,123.0,,,0
CDM,30100797,"HC CARBAMAZEPINE;10,11-EPOXIDE",390.0,390.0,,,0
CDM,30100798,HC FELBAMATE,95.0,95.0,,,0
CDM,30100799,HC SALICYLATE,158.0,158.0,,,0
CDM,30100801,HC ITRACONAZOLE,88.0,88.0,,,0
CDM,30100802,HC LEFLUNOMIDE,356.0,356.0,,,0
CDM,30100803,HC METHOTREXATE,119.0,119.0,,,0
CDM,30100804,HC RUFINAMIDE,176.0,176.0,,,0
CDM,30100805,HC ASSAY SPEC XCP UR&BREATH IA,406.0,406.0,,,0
CDM,30100806,HC ASSAY DIR MEAS FR ESTRADIOL,550.0,550.0,,,0
CDM,30100811,HC DRUG ASSAY HYDROXYCHLOROQUINE,356.0,356.0,,,0
CDM,30100812,HC EL-1 FECAL QUANTITATIVE,242.0,242.0,,,0
CDM,30100813,HC IG LIGHT CHAINS FREE EACH,96.0,96.0,,,0
CDM,30100814,HC ASSAY OF INTERLEUKIN-6 (IL-6),81.0,81.0,,,0
CDM,30100815,"HC VOLTAGE-GATED CALCIUM CHANNEL AB, EA",234.0,234.0,,,0
CDM,30100817,HC DRUG ASSAY ADALIMUMAB,116.0,116.0,,,0
CDM,30100820,"HC SYNTHETIC GLUCOCORTICOID SCREEN, SERUM(91)",313.0,313.0,,,0
CDM,30100823,HC ANTI-MULLERIAN HORMONE (AMH),157.0,157.0,,,0
CDM,30100831,"HC ENZYME EVAL; ALPHA GALA, EACH SPECIMEN",253.0,253.0,,,0
CDM,30160029,HC INHIBIN-B       QUEST,174.0,174.0,,,0
CDM,30160037,HC SOLUBLE LIVER ANTIGEN   QUEST,83.0,83.0,,,0
CDM,30200001,HC ACUTE HEPATITIS PANEL,934.0,934.0,,,0
CDM,30200002,HC DOXEPIN,124.0,124.0,,,0
CDM,30200003,HC ETHOSUXIMIDE,224.0,224.0,,,0
CDM,30200004,HC ALDOLASE,158.0,158.0,,,0
CDM,30200005,HC ALPHA-1-ANTITRYPSIN; TOTAL,171.0,171.0,,,0
CDM,30200006,HC ALUMINUM ASSAY,224.0,224.0,,,0
CDM,30200007,HC AMINO ACIDS; SGL QUAN EA,192.0,192.0,,,0
CDM,30200008,HC DELTA ALA,382.0,382.0,,,0
CDM,30200009,HC ANDROSTENEDIONE,797.0,797.0,,,0
CDM,30200010,HC ANGIOTENSIN II,242.0,242.0,,,0
CDM,30200011,HC ANGIOTENSIN I - CONVERTING ENZYME,444.0,444.0,,,0
CDM,30200012,HC APOLIPOPROTEIN EACH,65.5,65.5,,,0
CDM,30200013,HC ARSENIC,560.0,560.0,,,0
CDM,30200014,HC BIOTINIDASE EA SPECIMEN,199.0,199.0,,,0
CDM,30200016,HC CAROTENE,228.0,228.0,,,0
CDM,30200017,HC CATECHOLAMINES FRACTIONATED,1000.0,1000.0,,,0
CDM,30200018,HC CERULOPLASMIN,382.0,382.0,,,0
CDM,30200019,HC CITRATE,328.0,328.0,,,0
CDM,30200020,HC CYANIDE,430.0,430.0,,,0
CDM,30200021,HC VIT  B-12; UNSATURATED BC,90.0,90.0,,,0
CDM,30200022,HC DHEA,300.0,300.0,,,0
CDM,30200023,HC DHEA-S,58.0,58.0,,,0
CDM,30200024,HC DEOXYCORTISOL 11,345.0,345.0,,,0
CDM,30200025,HC DIHYDROTESTOSTERONE,113.0,113.0,,,0
CDM,30200026,HC ERYTHROPOIETIN,400.0,400.0,,,0
CDM,30200027,HC ESTROGENS; FRACTIONATED,580.0,580.0,,,0
CDM,30200028,HC ESTRONE,298.0,298.0,,,0
CDM,30200029,HC ETHYLENE GLYCOL,69.0,69.0,,,0
CDM,30200030,HC FAT/LIPIDS FECES; QUAL,123.0,123.0,,,0
CDM,30200031,HC FATTY ACIDS NONESTERIFIED,124.0,124.0,,,0
CDM,30200032,HC GALACTOKINASE RBC,254.0,254.0,,,0
CDM,30200033,HC GALACTOSEMIA; QUAN,248.0,248.0,,,0
CDM,30200034,HC GASTRIN,382.0,382.0,,,0
CDM,30200035,HC GLUCAGON,102.0,102.0,,,0
CDM,30200036,HC G6PD; QUAN,314.0,314.0,,,0
CDM,30200037,HC GLYCATED PROTEIN,56.0,56.0,,,0
CDM,30200038,HC HISTAMINE,1090.0,1090.0,,,0
CDM,30200039,HC HOMOVANILLIC ACID,696.0,696.0,,,0
CDM,30200040,HC 17-OHCS,273.0,273.0,,,0
CDM,30200041,HC HYDROXYPROGESTERONE 17-D,182.0,182.0,,,0
CDM,30200042,HC LDH; ISOENZYMES,999.0,999.0,,,0
CDM,30200043,HC MANGANESE,227.0,227.0,,,0
CDM,30200044,HC MERCURY QUAN,532.0,532.0,,,0
CDM,30200045,HC METHADONE,543.0,543.0,,,0
CDM,30200046,HC MYELIN BASIC PROTEIN CSF,715.0,715.0,,,0
CDM,30200047,HC NEPHELOMETRY EA ANALYTE NES,96.0,96.0,,,0
CDM,30200048,HC NICOTINE,189.0,189.0,,,0
CDM,30200049,HC OSTEOCALCIN,103.0,103.0,,,0
CDM,30200050,HC OXALATE,432.0,432.0,,,0
CDM,30200051,HC ALKALINE PHOSPHATASE ISOENZYM,404.0,404.0,,,0
CDM,30200052,HC PORPHOBILINOGEN URINE; QUAN,324.0,324.0,,,0
CDM,30200053,HC QUAN URINE PORPHYRINS,334.0,334.0,,,0
CDM,30200054,HC PREGNENOLONE,417.0,417.0,,,0
CDM,30200055,HC 17-HYDROXYPREGNENOLONE,270.0,270.0,,,0
CDM,30200056,HC PROTOPORPHYRIN RBC; QUAN,496.0,496.0,,,0
CDM,30200057,HC PROINSULIN,319.0,319.0,,,0
CDM,30200058,HC VITAMIN B6,524.0,524.0,,,0
CDM,30200059,HC PYRUVATE,334.0,334.0,,,0
CDM,30200060,HC ASSAY NONENDOCRINE RECEPTOR,170.0,170.0,,,0
CDM,30200061,HC SEROTONIN,741.0,741.0,,,0
CDM,30200062,HC SEX HORMONE BINDING GLOBULIN,132.0,132.0,,,0
CDM,30200063,HC ASSAY OF THIAMINE (VITAMIN B-1),404.0,404.0,,,0
CDM,30200064,HC TOCOPHEROL ALPHA (VIT E),432.0,432.0,,,0
CDM,30200065,HC T3; FREE,38.5,38.5,,,0
CDM,30200066,HC VIP - VASOACTIVE INTESTINAL PEPTIDE,359.0,359.0,,,0
CDM,30200067,HC VASOPRESSIN,123.0,123.0,,,0
CDM,30200068,HC VITAMIN A,270.0,270.0,,,0
CDM,30200069,HC MURAMIDASE,172.0,172.0,,,0
CDM,30200070,HC AGGLUTININS FEBRILE,227.0,227.0,,,0
CDM,30200071,HC ALLERG SP  IGG QUAN OR SEMIQUAN,62.0,62.0,,,0
CDM,30200072,HC ALLERGEN SPECIFIC IGE,34.0,34.0,,,0
CDM,30200073,HC AB ID; PLATELET AB,240.0,240.0,,,0
CDM,30200074,HC ANTINUCLEAR AB (ANA);,77.0,77.0,,,0
CDM,30200075,HC ANTINUCLEAR AB (ANA); TITER,134.0,134.0,,,0
CDM,30200076,HC C-REACTIVE PROTEIN,151.0,151.0,,,0
CDM,30200077,HC C-REACTIVE PROTEIN HS,75.5,75.5,,,0
CDM,30200078,HC BETA 2 GLYCOPROTEIN I AB EA,298.0,298.0,,,0
CDM,30200079,HC CARDIOLIPIN AB EA IG CLASS,852.0,852.0,,,0
CDM,30200080,HC COMPLEMENT; AG EA,583.0,583.0,,,0
CDM,30200081,HC COMPLEMENT; FCN ACTIVITY EA,94.0,94.0,,,0
CDM,30200082,HC COMPLEMENT; TOT HEMOLYTIC (CH50),390.0,390.0,,,0
CDM,30200083,HC CCP ANTIBODY,87.0,87.0,,,0
CDM,30200084,HC DNA AB,271.0,271.0,,,0
CDM,30200085,HC DNA AB; NATIVE OR DS,276.0,276.0,,,0
CDM,30200086,HC ENA ANY METHOD,124.0,124.0,,,0
CDM,30200087,HC FLUORESCENT AB; SCRN EA AB,181.0,181.0,,,0
CDM,30200088,HC FLUORESCENT AB; TITER EA AB,400.0,400.0,,,0
CDM,30200089,HC IA QUANT; CA 19-9,450.0,450.0,,,0
CDM,30200090,HC IA QUANT; CA 125,486.0,486.0,,,0
CDM,30200091,HC QUAL HETEROPHILE AB,126.0,126.0,,,0
CDM,30200092,HC IA; OTHER TUMOR AG QUAN EA,246.0,246.0,,,0
CDM,30200093,HC IA INFECTIOUS AGENT AB QUAN,178.0,178.0,,,0
CDM,30200094,DEAC 01/01/2025 HC IEP; CROSSED,268.0,268.0,,,0
CDM,30200095,HC IMMUNE COMPLEX ASSAY;,290.0,290.0,,,0
CDM,30200096,HC SERUM IMMUNOFIXATION ELECTROPHORES,266.0,266.0,,,0
CDM,30200097,HC IMMUNFIX E-PHORSIS/URINE/CSF,180.0,180.0,,,0
CDM,30200098,HC INSULIN AB,206.0,206.0,,,0
CDM,30200099,HC INTRINSIC FACTOR  AB,308.0,308.0,,,0
CDM,30200100,HC ISLET CELL AB,128.0,128.0,,,0
CDM,30200101,HC CELL FUNCTION ASSAY W/STIM,1606.0,1606.0,,,0
CDM,30200102,HC MONONUCLEAR CELL ANTIGEN,140.0,140.0,,,0
CDM,30200103,HC T CELLS; TOTAL COUNT,191.0,191.0,,,0
CDM,30200104,HC T CELLS; ABSOL CD4 AND CD8,221.5,221.5,,,0
CDM,30200105,HC T CELLS; ABSOL CD4 COUNT,317.0,317.0,,,0
CDM,30200106,HC MICROSOMAL AB EACH,50.5,50.5,,,0
CDM,30200107,HC VIRAL NEUTRALIZATION,292.0,292.0,,,0
CDM,30200108,HC PA; TITER EA AB,126.0,126.0,,,0
CDM,30200109,HC QUAL RHEUM FACTOR,73.0,73.0,,,0
CDM,30200110,HC TB TEST CELL IMMUN MEASURE,107.5,107.5,,,0
CDM,30200111,HC SYPHILIS TEST NON-TREP QUAL,126.0,126.0,,,0
CDM,30200112,HC SYPHILIS TEST NON-TREP QUANT,126.0,126.0,,,0
CDM,30200113,HC AB; ADENOVIRUS,293.0,293.0,,,0
CDM,30200114,HC AB; ASPERGILLUS,84.0,84.0,,,0
CDM,30200115,HC AB; BACTERIUM NES,50.0,50.0,,,0
CDM,30200116,HC AB; BARTONELLA,56.0,56.0,,,0
CDM,30200117,HC AB; BLASTOMYCES,149.0,149.0,,,0
CDM,30200118,HC AB; BORDETELLA,172.0,172.0,,,0
CDM,30200119,HC AB; LYME'S (WB) CONFIRM,140.0,140.0,,,0
CDM,30200120,HC AB; LYME'S DISEASE,140.0,140.0,,,0
CDM,30200121,HC AB; BRUCELLA,240.0,240.0,,,0
CDM,30200122,HC AB; CANDIDA,126.0,126.0,,,0
CDM,30200123,HC AB; CHLAMYDIA,436.0,436.0,,,0
CDM,30200124,HC AB; CHLAMYDIA IGM,436.0,436.0,,,0
CDM,30200125,HC AB; COCCIDIOIDES,136.0,136.0,,,0
CDM,30200126,HC AB; COXIELLA BRUNETII,174.0,174.0,,,0
CDM,30200127,HC AB; CMV,410.0,410.0,,,0
CDM,30200128,HC AB; CMV  IGM,382.0,382.0,,,0
CDM,30200129,HC AB; DIPHTHERIA,181.0,181.0,,,0
CDM,30200130,HC AB; ENCEPHALITIS CALIF,74.0,74.0,,,0
CDM,30200131,HC AB; ENCEPHALITIS E EQUINE,74.0,74.0,,,0
CDM,30200132,HC AB; ENCEPHALITIS ST. LOUIS,74.0,74.0,,,0
CDM,30200133,HC AB; ENCEPHALITIS W EQUINE,174.0,174.0,,,0
CDM,30200134,HC AB; ENTEROVIRUS,1705.0,1705.0,,,0
CDM,30200135,HC AB; EPSTEIN BARR VCA,196.0,196.0,,,0
CDM,30200136,HC AB; ERLICHIA,1054.0,1054.0,,,0
CDM,30200137,HC AB; FUNGUS NES (70),155.0,155.0,,,0
CDM,30200138,HC AB; HELICOBACTER PYLORI,211.0,211.0,,,0
CDM,30200139,HC AB; HELMINTH NES,178.0,178.0,,,0
CDM,30200140,HC AB; HTLV-I,264.0,264.0,,,0
CDM,30200141,HC AB; HTLV-II,264.0,264.0,,,0
CDM,30200142,HC AB; HTLV OR HIV WB,415.0,415.0,,,0
CDM,30200143,HC AB; HEPATITIS D,162.0,162.0,,,0
CDM,30200144,HC AB; HSV 1,206.0,206.0,,,0
CDM,30200145,HC AB; HSV TYPE 2,106.0,106.0,,,0
CDM,30200146,HC AB; HIV-1,130.0,130.0,,,0
CDM,30200147,HC AB; HBCAB - TOTAL,177.0,177.0,,,0
CDM,30200148,HC AB: HBCAB -  IGM AB,131.5,131.5,,,0
CDM,30200149,HC AB: HBSAB,119.5,119.5,,,0
CDM,30200150,HC AB; HBEAB,266.0,266.0,,,0
CDM,30200151,HC AB; HAAB - TOTAL,182.0,182.0,,,0
CDM,30200152,HC AB: HAAB - IGM,178.5,178.5,,,0
CDM,30200153,HC AB; INFLUENZA VIRUS,76.0,76.0,,,0
CDM,30200154,HC AB; LEGIONELLA,222.0,222.0,,,0
CDM,30200155,HC AB; LEISHMANIA,146.0,146.0,,,0
CDM,30200156,HC AB; LEPTOSPIRA,633.0,633.0,,,0
CDM,30200157,HC AB; LCM,242.0,242.0,,,0
CDM,30200158,HC AB; MUMPS,152.0,152.0,,,0
CDM,30200159,HC AB; MYCOPLASMA,402.0,402.0,,,0
CDM,30200160,HC AB; NEISSERIA MENINGITIDIS,157.0,157.0,,,0
CDM,30200161,HC AB; PARVOVIRUS,66.0,66.0,,,0
CDM,30200162,HC BABESIA MICROTI ANTIBODY,422.0,422.0,,,0
CDM,30200163,HC TRYPANOSOMA CRUZI IGG,88.0,88.0,,,0
CDM,30200164,HC AB; PROTOZOA NES,68.0,68.0,,,0
CDM,30200165,HC AB; RSV,154.0,154.0,,,0
CDM,30200166,HC AB; RICKETTSIA,230.0,230.0,,,0
CDM,30200167,HC AB; RUBELLA,180.0,180.0,,,0
CDM,30200168,HC AB; RUBEOLA,161.5,161.5,,,0
CDM,30200169,HC AB; SALMONELLA,74.0,74.0,,,0
CDM,30200170,HC AB; TETANUS,175.0,175.0,,,0
CDM,30200171,HC AB; TOXOPLASMA,148.0,148.0,,,0
CDM,30200172,HC AB; TOXOPLASMA IGM,148.0,148.0,,,0
CDM,30200173,HC TREPONEMA PALLIDUM,255.0,255.0,,,0
CDM,30200174,HC AB; TRICHINELLA,266.0,266.0,,,0
CDM,30200175,HC AB; VARICELLA-ZOSTER,162.0,162.0,,,0
CDM,30200176,HC WEST NILE VIRUS AB IGM,182.0,182.0,,,0
CDM,30200177,HC WEST NILE VIRUS ANTIBODY,182.0,182.0,,,0
CDM,30200178,"HC DENGUE FEVER ANTIBODY, IGG",564.0,564.0,,,0
CDM,30200179,HC HEPATITIS E ANTIBODY IGG,264.0,264.0,,,0
CDM,30200180,HC HEPATITIS E ANTIBODY IGM,264.0,264.0,,,0
CDM,30200181,HC CHIKUNGUNYA ANTIBODY W REFLEX,290.0,290.0,,,0
CDM,30200184,"DEAC 2/8/2017 HC PARAINFLUENZA AB TYPE 1,2,3",421.0,421.0,,,0
CDM,30200185,HC AB; VIRUS NES,154.0,154.0,,,0
CDM,30200186,HC AB: THYROGLOBULIN,105.5,105.5,,,0
CDM,30200187,HC HEPATITIS C AB,135.5,135.5,,,0
CDM,30200188,HC HEPATITIS C CONFIRMATION,5614.0,5614.0,,,0
CDM,30200189,HC HLA TYPE; A B C SGL AG,583.0,583.0,,,0
CDM,30200191,HC COOMBS TEST INDIRECT QUAL,278.0,278.0,,,0
CDM,30200192,HC FFP THAWING EA UNIT,1412.0,1412.0,,,0
CDM,30200193,HC SERUM PRETX; DRUG INCUBATE,523.0,523.0,,,0
CDM,30200194,HC HEPATITIS DELTA AG EIA,216.0,216.0,,,0
CDM,30200195,HC CHLAMYDIA P DIR NA PROBE,265.0,265.0,,,0
CDM,30200196,HC HEP-C NA QUAN,540.0,540.0,,,0
CDM,30200197,HC HERPES 6 AMPLIF NA PROBE,460.0,460.0,,,0
CDM,30200198,HC HIV-1 NA QUAN,534.0,534.0,,,0
CDM,30200199,HC MYCOPLASMA AMPLIF NA PROBE,460.0,460.0,,,0
CDM,30200200,HC HPV HI RISK TYPES,215.0,215.0,,,0
CDM,30200201,HC DRUG SCREEN MULTIPLE CLASS,162.0,162.0,,,0
CDM,30200202,HC ELISA HIV-1/HIV-2 SCREEN,162.0,162.0,,,0
CDM,30200250,HC ANTI-PHOSPHATIDYLSERINE AB,54.0,54.0,,,0
CDM,30200251,HC COMPLEMENT FIXATION EA AG,293.0,293.0,,,0
CDM,30200252,HC COUNTER IEP EA AG,459.0,459.0,,,0
CDM,30200253,HC HETEROPHILE AB; TITER AFTER ABSORPT,186.0,186.0,,,0
CDM,30200254,HC IA INFECTIOUS AGENT SGL STEP,154.0,154.0,,,0
CDM,30200255,HC IEP; SERUM,713.0,713.0,,,0
CDM,30200256,HC IEP; NOT SERUM,474.0,474.0,,,0
CDM,30200257,HC IMMUNODIFFUSION; NES,552.0,552.0,,,0
CDM,30200258,HC PA; SCREEN EA AB,81.0,81.0,,,0
CDM,30200259,HC QUAN RHEUM FACTOR,35.0,35.0,,,0
CDM,30200260,HC AB; CRYPTOCOCCUS,171.0,171.0,,,0
CDM,30200261,HC AB; EB EARLY AG VIRUS,156.0,156.0,,,0
CDM,30200262,HC AB; EBNA,186.0,186.0,,,0
CDM,30200263,HC AB; FRANCISELLA TULARENSIS,160.0,160.0,,,0
CDM,30200264,HC AB; HSV NON-SPECIFIC,186.0,186.0,,,0
CDM,30200265,HC AB; HISTOPLASMA,472.0,472.0,,,0
CDM,30200266,HC HIV-1/HIV-2 SINGLE RESULT,382.0,382.0,,,0
CDM,30200268,HC ASO ; TITER,240.0,240.0,,,0
CDM,30200269,HC DNA AB; SS,143.0,143.0,,,0
CDM,30200270,HC HEMAGGLUT INHIBITION TEST,98.0,98.0,,,0
CDM,30200271,HC AB; ACTINOMYCES,122.0,122.0,,,0
CDM,30200272,HC CELL ENUMERATION & ID,2014.0,2014.0,,,0
CDM,30200275,HC AB ID; LEUKOCYTE AB,289.0,289.0,,,0
CDM,30200276,HC INVESTIG TRANSFUS REACTION,163.0,163.0,,,0
CDM,30200277,HC CELL ENUMERATION PHYS INTERP,44.0,44.0,,,0
CDM,30200278,HC QUAN HETEROPHILE AB,76.0,76.0,,,0
CDM,30200279,HC LHR TEST,147.0,147.0,,,0
CDM,30200280,HC SKIN TEST; TB ID,110.0,110.0,,,0
CDM,30200281,HC AB; CAMPYLOBACTER,156.0,156.0,,,0
CDM,30200282,HC AB; LYMPHOGRANULOMA VENEREUM,202.0,202.0,,,0
CDM,30200283,HC AB; NOCARDIA,308.0,308.0,,,0
CDM,30200284,HC AB; YERSINIA,104.0,104.0,,,0
CDM,30200285,HC PRA SCREEN,102.0,102.0,,,0
CDM,30200286,HC PRA SCREEN; QUICK METHOD,76.0,76.0,,,0
CDM,30200287,HC HLA TYPE; DR/DQ SGL AG,330.0,330.0,,,0
CDM,30200288,HC HLA TYPE; MLC,668.0,668.0,,,0
CDM,30200289,HC  S CEREVISIAE AB,140.0,140.0,,,0
CDM,30200290,HC E HISTOLYTICA AB,162.0,162.0,,,0
CDM,30200292,"HC AB, VRUS NES (50)",368.0,368.0,,,0
CDM,30200293,HC TB AG RESPONSE T-CELL SUSP,78.5,78.5,,,0
CDM,30200295,HC AB; FUNGUS NES (5),73.0,73.0,,,0
CDM,30200296,HC AB; FUNGUS NES (60),423.0,423.0,,,0
CDM,30200299,HC AB; VIRUS  NES (15),61.0,61.0,,,0
CDM,30200300,HC AB; VIRUS NES (35),142.0,142.0,,,0
CDM,30200302,"HC HC AB, VIRUS NES (20)",119.0,119.0,,,0
CDM,30200303,"HC AB, VIRUS NES (165)",710.0,710.0,,,0
CDM,30200304,HC AB; PROTOZOA NES (20),72.0,72.0,,,0
CDM,30200305,HC ALLG SPEC IGE RECOMB EA,124.0,124.0,,,0
CDM,30200306,"HC ANTIBODY; ZIKA VIRUS, IGM",710.0,710.0,,,0
CDM,30200307,"HC AB; SAR SYNDROME CORONAVIRUS 2 (SARS-COV-2) COVID-19, MULTIPLE STEP",190.0,190.0,,,0
CDM,30200308,HC ACTIN ANTIBODY EACH,298.0,298.0,,,0
CDM,30200309,HC ANCA SCREEN EACH ANTIBODY,289.0,289.0,,,0
CDM,30200310,HC AQUAPORIN-4 ANTB CBA EACH,322.0,322.0,,,0
CDM,30200311,HC EMA EACH IG CLASS,322.0,322.0,,,0
CDM,30200312,HC DGP ANTIBODY EACH IG CLASS,322.0,322.0,,,0
CDM,30200313,HC MOG-IGG1 ANTB CBA EACH,322.0,322.0,,,0
CDM,30200314,HC TISS TRNSGL TMNASE EA IG CLASS,298.0,298.0,,,0
CDM,30200315,HC MITOCHONDRIAL ANTIBODY EACH,322.0,322.0,,,0
CDM,30200323,"HC MOG-IGG1 ANTIBODY FLOW CYTOMETRY, EA",491.0,491.0,,,0
CDM,30200327,"HC VOLTAGE-GATED CALCIUM CHANNEL AB, EA (49)",99.0,99.0,,,0
CDM,30200328,"HC VOLTAGE-GATED CALCIUM CHANNEL AB, EA (33)",68.0,68.0,,,0
CDM,30200333,HC ACETYLCHOLINE RECEPTOR (ACHR); BINDING ANTIBODY,137.0,137.0,,,0
CDM,30200334,HC ACETYLCHOLINE RECEPTOR (ACHR); BLOCKING ANTIBODY,233.0,233.0,,,0
CDM,30200335,HC ACETYLCHOLINE RECEPTOR (ACHR); MODULATING ANTIBODY,233.0,233.0,,,0
CDM,30200336,HC MUSCLE-SPECIFIC KINASE (MUSK) ANTIBODY,233.0,233.0,,,0
CDM,30200344,"HC STREP PNEUMONIAE IGG AB, 23 SEROTYPES, MULTI IA, QUANT",112.0,112.0,,,0
CDM,30200346,"HC STREP PNEUMONIAE IGG AB, 14 SEROTYPES, MULTI IA, QUANT",112.0,112.0,,,0
CDM,30500001,HC OCCULT BLOOD OTHER SOURCES,126.0,126.0,,,0
CDM,30500002,HC GONADOTROPIN; FSH,321.0,321.0,,,0
CDM,30500003,HC GONADOTROPIN; LUTEINIZING HORMONE,321.0,321.0,,,0
CDM,30500004,HC HGB; PLASMA,272.0,272.0,,,0
CDM,30500005,HC ASSAY PH BODY FLUID NOS,58.0,58.0,,,0
CDM,30500006,HC PROGESTERONE ASSAY,58.0,58.0,,,0
CDM,30500007,HC HCG; QUAL,118.0,118.0,,,0
CDM,30500008,HC WBC W AUTO DIFF,87.0,87.0,,,0
CDM,30500009,HC BL SMEAR W/DIFF WBC COUNT,47.5,47.5,,,0
CDM,30500010,HC BL SMEAR W/O DIFF WBC COUNT,88.0,88.0,,,0
CDM,30500011,HC MANUAL DIFF WBC COUNT B-COAT,44.0,44.0,,,0
CDM,30500012,HC HEMATOCRIT,52.0,52.0,,,0
CDM,30500013,HC HEMOGLOBIN,162.0,162.0,,,0
CDM,30500014,HC COMPL CBC  W PLT W AUTOM DIFF,116.0,116.0,,,0
CDM,30500015,HC COMPL AUTOM CBC W PLT,104.0,104.0,,,0
CDM,30500016,HC AUTOMATED RETICULOCYTE COUNT,106.0,106.0,,,0
CDM,30500017,HC AUTOMATED WBC,100.0,100.0,,,0
CDM,30500018,HC AUTOMATED PLATELET COUNT,123.0,123.0,,,0
CDM,30500019,HC RETICULATED PLATELET ASSAY,316.0,316.0,,,0
CDM,30500020,HC BM SMR INTERP,815.0,815.0,,,0
CDM,30500021,HC CHROMOGENIC SUBSTRATE ASSAY,142.0,142.0,,,0
CDM,30500022,HC CLOTTING; FACTOR II PROTHROMBIN SPECIF,244.0,244.0,,,0
CDM,30500023,HC CLOTTING; FACTOR V,540.0,540.0,,,0
CDM,30500024,HC CLOTTING; FACTOR VII,356.0,356.0,,,0
CDM,30500025,HC BLOOD CLOT FACTOR VIII TEST,422.0,422.0,,,0
CDM,30500026,HC CLOTTING; FACTOR VIII RISTOCETIN COFACT,543.0,543.0,,,0
CDM,30500027,HC CLOTTING: FACTOR VIII VW FACTOR AG,261.0,261.0,,,0
CDM,30500028,HC FACTOR 8 VWF MULTIMRIC,209.0,209.0,,,0
CDM,30500029,HC CLOTTING; FACTOR IX,422.0,422.0,,,0
CDM,30500030,HC CLOTTING; FACTOR X,422.0,422.0,,,0
CDM,30500031,HC CLOTTING; FACTOR XI,422.0,422.0,,,0
CDM,30500032,HC CLOTTING; FACTOR XII,422.0,422.0,,,0
CDM,30500033,HC CLOTTING; FACTOR XIII SCREEN SOLUBLE,96.0,96.0,,,0
CDM,30500034,HC CLOTTING: PREKALLIKREIN ASSAY,224.0,224.0,,,0
CDM,30500035,HC ANTITHROMBIN III ACTIVITY ASSAY,146.0,146.0,,,0
CDM,30500036,HC ANTITHROMBIN III ANTIGEN ASSAY,130.0,130.0,,,0
CDM,30500037,HC CLOTTING INHIBITOR; PROTEIN C AG,146.0,146.0,,,0
CDM,30500038,HC CLOTTING INHIBITOR; PROTEIN C ACTIVITY,406.0,406.0,,,0
CDM,30500039,HC CLOTTING INHIBITOR; PROTEIN S TOTAL,186.0,186.0,,,0
CDM,30500040,HC CLOTTING INHIBITOR PROTEIN S FREE,186.0,186.0,,,0
CDM,30500041,HC ACTIVATED PROTEIN C RESISTANCE,248.0,248.0,,,0
CDM,30500042,HC FACTOR INHIBITOR TEST,227.0,227.0,,,0
CDM,30500043,HC D-DIMER - QUAN,164.0,164.0,,,0
CDM,30500044,HC FIBRINOGEN; ACTIVITY,70.0,70.0,,,0
CDM,30500045,HC FIBRINOGEN; ANTIGEN,101.0,101.0,,,0
CDM,30500046,HC FIBRINOLYSINS OR COAG SCREEN,62.0,62.0,,,0
CDM,30500047,HC CLOTTING FUNCT ACTIVITY,272.0,272.0,,,0
CDM,30500048,HC ALPHA-2-ANTIPLASMIN,92.0,92.0,,,0
CDM,30500049,HC PLASMINOGEN ACTIVATOR,174.0,174.0,,,0
CDM,30500050,HC FUNCTIONAL PLASMINOGEN,420.0,420.0,,,0
CDM,30500051,HC PLASMINOGEN ANTIGEN LEVEL,122.0,122.0,,,0
CDM,30500052,HC HEINZ BODIES; DIRECT,50.0,50.0,,,0
CDM,30500053,HC K-B STAIN FOR FETAL HGB,184.0,184.0,,,0
CDM,30500054,HC HEMOLYSIN ACID,106.0,106.0,,,0
CDM,30500055,HC HEPARIN ASSAY,564.0,564.0,,,0
CDM,30500056,HC HEPARIN NEUTRALIZATION,141.0,141.0,,,0
CDM,30500057,HC IRON STAIN PERIPHERAL BLOOD,76.0,76.0,,,0
CDM,30500058,HC LEUKOCYTE ALK PHOS W COUNT,192.0,192.0,,,0
CDM,30500059,HC OSMOTIC FRAGILITY RBC; INCUBATED,62.0,62.0,,,0
CDM,30500060,HC PLT AGGREGATION (IN VITRO) EA AGENT,503.0,503.0,,,0
CDM,30500061,HC PLATELET NEUTRALIZATION,213.0,213.0,,,0
CDM,30500062,HC PROTHROMBIN TIME;,67.0,67.0,,,0
CDM,30500063,HC RUSSELL VIPER VENOM TIME; UNDILUTED,74.0,74.0,,,0
CDM,30500064,HC RUSSELL VIPER VENOM TIME; DILUTED,114.0,114.0,,,0
CDM,30500065,HC REPTILASE TEST,84.0,84.0,,,0
CDM,30500066,HC NONAUTO ERYTHROCYTE SED RATE,110.0,110.0,,,0
CDM,30500067,HC AUTOM ERYTHROCYTE SED RATE,19.0,19.0,,,0
CDM,30500068,HC THROMBIN TIME; PLASMA,114.0,114.0,,,0
CDM,30500069,HC PTT; PLASMA OR WHOLE BLOOD,77.5,77.5,,,0
CDM,30500070,HC VISCOSITY,260.0,260.0,,,0
CDM,30500075,HC AB ID; PLATELET IG ASSAY,132.0,132.0,,,0
CDM,30500076,HC B CELLS TOTAL COUNT,447.0,447.0,,,0
CDM,30500077,HC NK CELLS TOTAL COUNT,447.0,447.0,,,0
CDM,30500078,HC STEM CELLS TOTAL COUNT,447.0,447.0,,,0
CDM,30500079,HC RBC AB SCRN EA TECHIQ,136.0,136.0,,,0
CDM,30500080,HC CONCENTRATION FOR INFECT AGNT,139.0,139.0,,,0
CDM,30500081,HC SMEAR FOR EOSINOPHIL,100.0,100.0,,,0
CDM,30500150,HC BLEEDING TIME,182.0,182.0,,,0
CDM,30500151,HC MANUAL RETICULOCYTE COUNT,51.0,51.0,,,0
CDM,30500152,HC CLOTTING; FACTOR XIII - FS,154.0,154.0,,,0
CDM,30500153,HC FIBRIN DEGRADATION PRODUCTS,236.0,236.0,,,0
CDM,30500154,HC D-DIMER- QUAL/SEMIQUAN,172.0,172.0,,,0
CDM,30500155,HC HEXAGNAL PHOSPH PLTLT NEUTRL,213.0,213.0,,,0
CDM,30500156,HC THROMBOPLASTIN INHIBITION TISSUE,410.0,410.0,,,0
CDM,30500157,HC DIFFICULT CROSS MATCH,175.0,175.0,,,0
CDM,30500158,HC PT; SUBSTITUTION PLASMA FRACTIONS EA,220.0,220.0,,,0
CDM,30500159,HC PTT; SUBSTITUTION PLASMA FRACTIONS EA,220.0,220.0,,,0
CDM,30500160,HC SPUN HEMATOCRIT,28.0,28.0,,,0
CDM,30500161,HC MANUAL CELL COUNT EACH,123.0,123.0,,,0
CDM,30500162,HC AUTOMATED RBC COUNT,101.0,101.0,,,0
CDM,30500163,HC RETICYTE/HGB CONCENTRATE,66.0,66.0,,,0
CDM,30500164,HC CLOT RETRACTION,88.0,88.0,,,0
CDM,30500165,HC CLOTTING; FACTOR VIII RELATED ANTIGEN,242.0,242.0,,,0
CDM,30500166,HC CLOTTING; HMW KININOGEN ASSAY,224.0,224.0,,,0
CDM,30500167,HC THROMBOMODULIN,123.0,123.0,,,0
CDM,30500168,HC COAG TIME; ACTIVATED,430.0,430.0,,,0
CDM,30500169,HC EUGLOBULIN LYSIS,158.0,158.0,,,0
CDM,30500170,HC HEINZ BODIES; INDUCED,68.0,68.0,,,0
CDM,30500171,HC HEPARIN-PROTAMINE TOLERANCE TEST,168.0,168.0,,,0
CDM,30500172,HC OSMOTIC FRAGILITY RBC; UNINCUBATED,76.0,76.0,,,0
CDM,30500173,HC OCCULT BLD IA SCRN,188.0,188.0,,,0
CDM,30600001,HC ASO; SCREEN,176.0,176.0,,,0
CDM,30600002,HC AEROB BACTERIAL BLOOD CULTURE,280.0,280.0,,,0
CDM,30600003,HC AEROB BACTERIA CULTURE STOOL,249.0,249.0,,,0
CDM,30600004,HC AEROBIC STOOL CULTR ADDTL PATHOG EA PLATE,69.0,69.0,,,0
CDM,30600005,HC BACTERIAL CULTURE - OTHR SOURCE,144.0,144.0,,,0
CDM,30600006,HC BACT CULT; QUAN AEROBIC,72.5,72.5,,,0
CDM,30600007,HC ANAEROB BACT CULTURE W ID,314.0,314.0,,,0
CDM,30600008,HC BC - ANAEROBE - ADDTL ID,106.0,106.0,,,0
CDM,30600009,HC BC - AEROBIC - ADDTL ID,94.5,94.5,,,0
CDM,30600010,HC CULTURE P PATHOG - SCREEN,141.0,141.0,,,0
CDM,30600011,HC BACT CULTURE - URINE; QUAN COUNT,95.0,95.0,,,0
CDM,30600012,HC URINE BACTERIA CULTURE,212.0,212.0,,,0
CDM,30600013,HC CULT FUNGUS W P ID; SKIN HR NL,205.0,205.0,,,0
CDM,30600014,HC FUNGUS CULTURE NOT BLOOD,281.0,281.0,,,0
CDM,30600015,HC FUNGUS CULTURE BLOOD,234.0,234.0,,,0
CDM,30600016,HC FUNGUS CULTURE DEF I.D YEAST,281.0,281.0,,,0
CDM,30600017,HC FUNGUS CULTURE DEF ID  MOLD,267.0,267.0,,,0
CDM,30600018,HC CULTURE MYCOPLASMA,1248.0,1248.0,,,0
CDM,30600019,HC CHLAMYDIA CULTURE,416.0,416.0,,,0
CDM,30600020,HC CULTURE AFB - ISOL & ID,333.0,333.0,,,0
CDM,30600021,HC CULT MYCOBACTERIA DEFIN ID EA,179.0,179.0,,,0
CDM,30600022,HC CULTURE; GLC/HPLC,164.0,164.0,,,0
CDM,30600023,HC CULTURE; IMMUNOLOGIC,281.0,281.0,,,0
CDM,30600024,HC DNA/RNA DIRECT PROBE,161.0,161.0,,,0
CDM,30600025,HC CULTURE; PULSE FLD GEL ID,69.0,69.0,,,0
CDM,30600027,HC ADENOVIRUS GENOTYPE,645.0,645.0,,,0
CDM,30600028,HC CULTURE; OTHER METHODS,69.0,69.0,,,0
CDM,30600029,HC PINWORM EXAM,139.0,139.0,,,0
CDM,30600030,HC OVA & PARASITES DIR SMR W ID,368.0,368.0,,,0
CDM,30600031,HC SENSITIVITY - AGAR DILUTION/AGENT,62.0,62.0,,,0
CDM,30600032,HC SENSITIVITY - DISK PER PLATE,146.0,146.0,,,0
CDM,30600033,HC SENSTITIVITY - ENZYME DETECT,62.0,62.0,,,0
CDM,30600034,HC MICROBE SUSCEPTIBILITIES MIC,480.5,480.5,,,0
CDM,30600035,HC SENSITIVITY - MACROBROTH EA AGNT,75.0,75.0,,,0
CDM,30600036,HC SERUM BACTERICIDAL TITER,449.0,449.0,,,0
CDM,30600037,HC SMEAR - GRAM OR GIEMSA,56.5,56.5,,,0
CDM,30600038,HC SMEAR; FLUORESCENT OR AFB STAIN,122.0,122.0,,,0
CDM,30600039,HC SMEAR SPECIAL STAIN,269.0,269.0,,,0
CDM,30600040,HC SMEAR - INFECTIOUS WET MOUNT,148.0,148.0,,,0
CDM,30600041,HC KOH FOR FUNGI/PARASITES/MITES,122.0,122.0,,,0
CDM,30600042,HC VIRUS ISOLATE; TISSUE CULT INOC,474.0,474.0,,,0
CDM,30600043,HC VIRUS ISOLATE; ADDTL OR ID,511.0,511.0,,,0
CDM,30600044,HC VIRUS ISOL SHELL VIAL TECHN,393.0,393.0,,,0
CDM,30600045,HC GENET VIRUS ISOLATE HSV,445.0,445.0,,,0
CDM,30600046,HC ADENOVIRUS AG BY IF,120.5,120.5,,,0
CDM,30600047,HC BORDATELLA P AG BY DFA,144.0,144.0,,,0
CDM,30600048,HC INFLUENZA B AG BY IF,120.5,120.5,,,0
CDM,30600049,HC INFLUENZA A AG BY DFA,120.5,120.5,,,0
CDM,30600050,HC LEGIONELLA P AG BY DFA,343.0,343.0,,,0
CDM,30600051,HC PARAINFLUENZA AG BY DFA,120.5,120.5,,,0
CDM,30600052,HC RSV AG BY IF,120.5,120.5,,,0
CDM,30600053,HC PNEUMOCYSTIS C AG BY IF,146.0,146.0,,,0
CDM,30600054,HC VARICELLA ZOSTER AG BY DFA,146.0,146.0,,,0
CDM,30600055,HC INF AGENT MULTI ORG AG BY IF,146.0,146.0,,,0
CDM,30600056,HC ADENOVIRUS AG EIA,146.0,146.0,,,0
CDM,30600057,DEAC 2/8/2017 HC GALACTOMANNAN ASSAY,253.0,253.0,,,0
CDM,30600058,"HC PLATELIA ASPERGILLUS, BAL",375.0,375.0,,,0
CDM,30600059,HC ASPERGILLUS AG EIA,372.0,372.0,,,0
CDM,30600060,HC CRYPTOCOCCUS NEOFORM AG EIA,144.0,144.0,,,0
CDM,30600061,HC GIARDIA AG EIA,104.0,104.0,,,0
CDM,30600062,HC E COLI 0157 AG EIA,146.0,146.0,,,0
CDM,30600063,HC HPYLORI STOOL EIA,520.0,520.0,,,0
CDM,30600064,HC HEPATITIS B SURFACE AG EIA,108.5,108.5,,,0
CDM,30600065,HC HEPATITIS B SURFACE AG EIA NEUTRALIZATION,136.0,136.0,,,0
CDM,30600066,HC HEPATITIS BE AG EIA,293.0,293.0,,,0
CDM,30600067,HC HISTOPLASMA CAPSUL AG EIA,445.0,445.0,,,0
CDM,30600068,HC ROTAVIRUS AG EIA,80.0,80.0,,,0
CDM,30600069,HC STREP A AG EIA,146.0,146.0,,,0
CDM,30600070,HC IA BY EIA - MULTI STEP,86.0,86.0,,,0
CDM,30600071,HC CHLAMYDIA T AMPLIF NA PROBE,247.0,247.0,,,0
CDM,30600072,HC C DIFF AMPLIFIED PROBE,319.0,319.0,,,0
CDM,30600073,HC CYTOMEGALOV AMPLIF NA PROBE,1053.0,1053.0,,,0
CDM,30600074,HC CYTOMEGALOVIRUS NA QUAN,370.0,370.0,,,0
CDM,30600075,HC ENTEROVIRUS DNA AMP PROBE,804.0,804.0,,,0
CDM,30600076,HC HEP-B NA QUAN,563.0,563.0,,,0
CDM,30600077,HC HEP-C AMPLIF NA PROBE,458.0,458.0,,,0
CDM,30600078,HC HERPES S AMPLIF NA PROBE,590.0,590.0,,,0
CDM,30600079,HC HIV-1 AMPLIF NA PROBE,576.0,576.0,,,0
CDM,30600080,HC LEGIONELLA AMPLIF NA PROBE,460.0,460.0,,,0
CDM,30600081,HC MYCOBACTERIA T DIR NA PROBE,265.0,265.0,,,0
CDM,30600082,HC MYCOBACTERIA T AMPLIF NA PROBE,489.0,489.0,,,0
CDM,30600083,HC NEISSERIA AMPLIF NA PROBE,247.0,247.0,,,0
CDM,30600084,HC MR-STAPH DNA AMP PROBE,291.0,291.0,,,0
CDM,30600085,HC TRICHOMONAS VAGIN DIR PROBE,249.0,249.0,,,0
CDM,30600086,HC DIR NA PROBE NOS AGENT,262.0,262.0,,,0
CDM,30600087,HC AMPLIF NA PROBE NOS AGENT,705.0,705.0,,,0
CDM,30600088,HC NA QUAN NOS AGENT,879.0,879.0,,,0
CDM,30600089,HC DNA/RNA; MULTI ORG - AMP PR,918.0,918.0,,,0
CDM,30600090,HC AGENT NOS ASSAY W/OPTIC,215.0,215.0,,,0
CDM,30600091,HC GENOTYPE DNA HIV REVERSE T,1502.0,1502.0,,,0
CDM,30600092,HC HEPATITIS C - DNA OR RNA,713.5,713.5,,,0
CDM,30600093,HC PHENOTYPE DNA HIV W/CULTURE; 1-10 DRUGS,6354.0,6354.0,,,0
CDM,30600095,HC IDENT BY DNA SEQUENCE,518.0,518.0,,,0
CDM,30600096,HC CMV GENOTYPE,571.0,571.0,,,0
CDM,30600097,HC LEGIONELLA AG,86.0,86.0,,,0
CDM,30600098,HC STREP PNUMO AG,90.0,90.0,,,0
CDM,30600099,HC CRYPT AG TITER,106.0,106.0,,,0
CDM,30600100,HC ARTHROPOD IDENT,267.0,267.0,,,0
CDM,30600150,HC CHLAMYDIA CULTURE,416.0,416.0,,,0
CDM,30600151,HC CRYPTOSPOR AG BY IFA,144.0,144.0,,,0
CDM,30600152,HC CLOSTRIDIUM AG EIA,238.0,238.0,,,0
CDM,30600153,HC CRYPTOSPORIDIUM AG EIA,122.0,122.0,,,0
CDM,30600154,HC HIV-1 AG EIA,577.0,577.0,,,0
CDM,30600155,HC INFLUENZA A/B AG EIA,126.0,126.0,,,0
CDM,30600156,HC RESP SYNCYTIAL AG EIA,80.0,80.0,,,0
CDM,30600157,HC CHLAMYDIA P AMPLIF NA PROBE,628.0,628.0,,,0
CDM,30600158,HC CHLAMYDIA T DIR NA PROBE,262.0,262.0,,,0
CDM,30600159,HC MYCOBACTERIA A AMPLIF NA PROBE,942.0,942.0,,,0
CDM,30600160,HC INFLUENZA IA W DO,144.0,144.0,,,0
CDM,30600161,HC PHENOTYPE IFECT AGENT DRUG (160),762.0,762.0,,,0
CDM,30600164,HC CULTURE; IF EA ANTISERUM,73.0,73.0,,,0
CDM,30600166,HC MACROSCOPIC EXAM PARASITE,145.5,145.5,,,0
CDM,30600168,HC NOS INFECTIOUS AG BY IF,146.0,146.0,,,0
CDM,30600170,HC ENTAMOEB HIST GROUP AG EIA,144.0,144.0,,,0
CDM,30600171,HC BARTONELLA AMPLIF NAP,458.0,458.0,,,0
CDM,30600172,HC HEP-B AMPLIF NA PROBE,458.0,458.0,,,0
CDM,30600173,HC HERPES S NA QUAN,372.0,372.0,,,0
CDM,30600174,HC NEISSERIA DIR NA PROBE,262.0,262.0,,,0
CDM,30600175,HC DARK FIELD; W SPEC COLLECT,163.0,163.0,,,0
CDM,30600176,HC MACROSCOPIC EXAM ARTHROPOD,118.0,118.0,,,0
CDM,30600177,HC SENSITIVITY - MLC EA PLATE,136.0,136.0,,,0
CDM,30600178,HC SENSITIVITY - MYCOBACT EA AGNT,73.0,73.0,,,0
CDM,30600179,HC TOXIN ASSAY TISSUE CULTURE,227.0,227.0,,,0
CDM,30600180,HC VIRUS ISOLATE; EMBRYO EGG INJ,256.0,256.0,,,0
CDM,30600181,HC CYTOMEGALOVIRUS AG EIA,214.0,214.0,,,0
CDM,30600182,HC HIV-1 AG W/HIV-1 & HIV-2 AB,172.5,172.5,,,0
CDM,30600183,HC SHIGA-LIKE TOXIN AG EIA,212.0,212.0,,,0
CDM,30600184,HC INFLUENZA DNA AMP PROB 1+,667.0,667.0,,,0
CDM,30600185,HC HERPES 6 NA QUAN,370.0,370.0,,,0
CDM,30600186,HC HIV-2 PROBE&REVRSE TRNSCRIPJ,458.0,458.0,,,0
CDM,30600187,HC LEGIONELLA DIR NA PROBE,371.0,371.0,,,0
CDM,30600188,HC MYCOBACTERIA DIR NA PROBE,262.0,262.0,,,0
CDM,30600189,HC RESP VIRUS 6-11 TARGETS,2789.0,2789.0,,,0
CDM,30600190,HC STAPH A DNA AMP PROBE,458.0,458.0,,,0
CDM,30600191,HC STREP B DNA AMP PROBE,458.0,458.0,,,0
CDM,30600192,HC DIR NA PROBE MULTI ORGANISMS,522.0,522.0,,,0
CDM,30600193,HC STREP B IA W DO,144.0,144.0,,,0
CDM,30600194,HC CLOSTRIDIUM DIFF IA W DO,144.0,144.0,,,0
CDM,30600195,HC RSV IA W DIR OBSERV,144.0,144.0,,,0
CDM,30600196,HC STREP A ASSAY W/OPTIC,189.0,189.0,,,0
CDM,30600197,HC GENOTYPE CYTOMEGALOVIRUS,645.0,645.0,,,0
CDM,30600198,HC GENOTYPE DNA HEPATITIS B,3363.0,3363.0,,,0
CDM,30600199,HC TRICHOMONAS ASSAY W/OPTIC,84.0,84.0,,,0
CDM,30600200,"HC HOMOGENIZATION, TISSUE, FOR CULTURE",76.0,76.0,,,0
CDM,30600202,HC RESP VIRUS 3-5 TARGETS,540.0,540.0,,,0
CDM,30600211,"HC INFECT AGENT DET,GI 3-5 TARGET",775.0,775.0,,,0
CDM,30600213,HC SMEAR COMPLEX STAIN,74.0,74.0,,,0
CDM,30600214,"HC INFEC AGENT DET,GI  6-11 TARGETS",1550.0,1550.0,,,0
CDM,30600215,"HC INFEC AGENT DET,GI  12-25 TARGETS",2327.0,2327.0,,,0
CDM,30600217,HC  ZIKA VIRUS DNA/RNA AMP PROBE,705.0,705.0,,,0
CDM,30600218,HC STREP A AMPLIF NA PROBE,337.0,337.0,,,0
CDM,30600219,HC CANDIDA NA AMPLIFIED PROBE,161.0,161.0,,,0
CDM,30600220,HC PHENOTYPE INFECT AGENT DRUG (80),482.0,482.0,,,0
CDM,30600221,HC GENOTYPE DNA HIV OTHER REGION (75),402.0,402.0,,,0
CDM,30600222,HC PHENOTYPE INFECT AGENT DRUG (1),429.0,429.0,,,0
CDM,30600223,HC HPV HIGH-RISK TYPES (275),701.0,701.0,,,0
CDM,30600225,HC DNA/RNA AMPLIFIED PROBE,100.0,100.0,,,0
CDM,30600226,HC GENOTYPE DNA HIV OTHER REGION (40),402.0,402.0,,,0
CDM,30600227,HC RESP VIRUS 12-25 TARGETS,1180.0,1180.0,,,0
CDM,30600228,HC CORONAVIRUS REAL TIME RT-PCR DIAGNOSTIC TEST PANEL,239.0,239.0,,,0
CDM,30600229,HC CDC-CORONAVIRUS REAL TIME RT-PCR DIAGNOSTIC TEST PANEL,166.0,166.0,,,0
CDM,30600230,DEAC 7/1/25 HC SARS-COV-2 (120),254.0,254.0,,,0
CDM,30600231,HC RSV DNA/RNA AMP PROBE (2),359.0,359.0,,,0
CDM,30600232,HC INFLUENZA DNA AMP PROBE,490.0,490.0,,,0
CDM,30600233,HC SARSCOV CORONAVIRUS AG IA,204.0,204.0,,,0
CDM,30600234,DEAC 7/1/25 HC SARSCOV2 &INF A&B & RSV,518.0,518.0,,,0
CDM,30600235,HC NFCT DS BV&VAGINITIS DNA ALG,1872.0,1872.0,,,0
CDM,30600236,DEAC 05/12/2023 HC COV-19 AMP PRB HGH THRUPUT WITHIN 2 DAYS COLLECT,28.0,28.0,,,0
CDM,30600237,HC M. GENITALIUM AMP PROBE,942.0,942.0,,,0
CDM,30600238,HC CUL TYP D BLD PTHGN 6+TRGT,252.0,252.0,,,0
CDM,30600239,"HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID; ORTHOPOXVIRUS, AMPLIFIED PROBE TECHNIQUE, EA",56.0,56.0,,,0
CDM,30600248,HC SARS-COV-2 (24),230.0,230.0,,,0
CDM,30600249,HC SARSCOV2 &INF A&B & RSV (39),470.0,470.0,,,0
CDM,30660018,"HC RALTEGRAVIR RESISITANCE, HIV-1",441.0,441.0,,,0
CDM,30660055,"HC INFECT DS (BACTERIAL/VIRAL), TRAIL IP-10 C-REACT PRTN SERUM (41)",861.0,861.0,,,0
CDM,30700050,HC URINE VOL MEASURE EA,44.0,44.0,,,0
CDM,30700051,HC N-AUTOM URINE DIP W MICRO,38.0,38.0,,,0
CDM,30900001,HC LYMPHOCYTOTOX VC;  W TITRATE,398.0,398.0,,,0
CDM,30900002,HC HLA TYPE; A B C MULTI AG,2783.0,2783.0,,,0
CDM,30900003,HC HLA TYPE; DR/DQ MULTI AG,762.0,762.0,,,0
CDM,30900004,HC HLA X-MATCH NON-CYTOTOXIC,948.0,948.0,,,0
CDM,30900005,HC FROZEN BLOOD THAW,804.0,804.0,,,0
CDM,30900006,HC TISSUE CULTURE; LYMPHOCYTE,1007.0,1007.0,,,0
CDM,30900007,HC CHROM ANALY; 5 CELLS,2621.0,2621.0,,,0
CDM,30900008,HC CHROM ANALY; SITU AF CELLS FROM 6-12 COL,2467.0,2467.0,,,0
CDM,30900009,HC MCG; DNA PROBE EA,147.0,147.0,,,0
CDM,30900010,HC COLLECT SWEAT FOR TEST,304.0,304.0,,,0
CDM,30900011,HC NB SCREEN PANEL -REQ DC,107.5,107.5,,,0
CDM,30900012,HC MPL W515 & S505 MUTATION,1783.0,1783.0,,,0
CDM,30900013,HC CELIAC GENE TEST,1576.0,1576.0,,,0
CDM,30900014,HC PML RARA,1584.0,1584.0,,,0
CDM,30900015,HC JAK2 (V617F) MUTATION,1672.0,1672.0,,,0
CDM,30900016,HC CYSTIC FIBROSIS SCREEN,772.0,772.0,,,0
CDM,30900017,HC PROMETHEUS CROHN'S PROGNOSTIC,2122.0,2122.0,,,0
CDM,30900023,HC MOPATH PROCEDUR LEVEL 5 (435),3074.0,3074.0,,,0
CDM,30900039,HC CYTOGEN M ARRAY COPY NO&SNP (640),4526.0,4526.0,,,0
CDM,30900040,HC EGFR GENE   (220),1586.0,1586.0,,,0
CDM,30900045,HC FMR1 GENE CHARACTERIZ (20),102.0,102.0,,,0
CDM,30900047,HC FLT3 GENE PART OF PANEL),399.0,399.0,,,0
CDM,30900064,HC MOPATH PROCEDUR LEVEL 1 (65),654.0,654.0,,,0
CDM,30900080,HC MOPATH PROCEDUR LEVEL 2 (275),1662.0,1662.0,,,0
CDM,30900085,HC MOPATH PROCEDUR LEVEL 2 (320),2153.0,2153.0,,,0
CDM,30900219,HC TARGETED GENOMIC SEQ ANALYS (1150),6628.0,6628.0,,,0
CDM,30900226,HC UNLISTED MOL PATH (200),1250.0,1250.0,,,0
CDM,30900241,HC UNLISTED MOL PATH (350),2786.0,2786.0,,,0
CDM,30900246,HC UNLISTED MOL PATH (455),2594.0,2594.0,,,0
CDM,30900250,HC UNLISTED MOL PATH (480),3393.0,3393.0,,,0
CDM,30900285,HC UNLISTED MOL PATH (1380),83.0,83.0,,,0
CDM,30900315,HC TARGETED GENOMIC SEQ ANALYSIS (1000),5304.0,5304.0,,,0
CDM,30900316,HC  TARGETED GEN SEQ 5-50 (460),3450.0,3450.0,,,0
CDM,30900317,HC TARGETED GEN SEQ 5-50 (435),3458.0,3458.0,,,0
CDM,30900320,HC BCR/ABL MJR BP (275),1288.0,1288.0,,,0
CDM,30900323,HC BRAF GENE (75),1039.0,1039.0,,,0
CDM,30900327,HC JAK2 GENE (125),769.0,769.0,,,0
CDM,30900328,HC CEBPA GENE FULL SEQ (345),2098.0,2098.0,,,0
CDM,30900329,HC NRAS GENE VAR EXON 2-3 (450),1884.0,1884.0,,,0
CDM,30900330,HC MOLE PROC LEVEL 2 (105),699.0,699.0,,,0
CDM,30900331,HC MOLE PROC LEVEL 5 (450),2470.0,2470.0,,,0
CDM,30900332,HC KIT GENE TGT SEQ (415),2098.0,2098.0,,,0
CDM,30900333,HC KRAS GENE VAR (1),1257.0,1257.0,,,0
CDM,30900334,HC FLT3 GENE (1),531.0,531.0,,,0
CDM,30900335,HC KIT GENE TGTD SEQ (1),2098.0,2098.0,,,0
CDM,30900336,HC UNLISTED MOLE PROC (1650),5457.0,5457.0,,,0
CDM,30900337,HC CHIMERISM ANAL NO SEL (145),3689.0,3689.0,,,0
CDM,30900338,HC NPM1 GENE (345),3223.0,3223.0,,,0
CDM,30900339,HC PMP22 GENE ANALYSIS,3821.0,3821.0,,,0
CDM,30900340,HC EXOME SEQUENCE ANAL (3670),12133.0,12133.0,,,0
CDM,30900341,HC COMPARATOR EXOME (515),16639.0,16639.0,,,0
CDM,30900344,HC PTN GENE KNOWN (505),225.0,225.0,,,0
CDM,30900345,HC CYTGN MARRAY COPY NO & SNP (720),5365.0,5365.0,,,0
CDM,30900346,HC CYTGN MARRAY COPY NO & SNP (815),6045.0,6045.0,,,0
CDM,30900347,HC UNLISTED MOL PATH (610),4096.0,4096.0,,,0
CDM,30900348,HC MPATH PROCEDUR LEVEL 5 (2460),17829.0,17829.0,,,0
CDM,30900349,HC HLA II TYPING  1 LOC LR (120),1152.0,1152.0,,,0
CDM,30900350,HC HLA II TYPING  1 LOC HR (290),2787.0,2787.0,,,0
CDM,30900351,HC HLA CLASS I PHENOTYPE QUAL,644.0,644.0,,,0
CDM,30900352,HC HLA CLASS II PHENOTYPE QUAL,846.0,846.0,,,0
CDM,30900353,HC HLA I TYPING 1 LOCUS LR (55),918.0,918.0,,,0
CDM,30900354,HC HLA CLASS I&II ANTIBODY QUAL,217.0,217.0,,,0
CDM,30900365,HC DMD DUP/DELET ANALYSIS (1340),8120.0,8120.0,,,0
CDM,30900366,HC MO PATH PROCEDUR LEVEL 1  (320),1939.0,1939.0,,,0
CDM,30900367,HC MO PATH PROCEDUR LEVEL 6  (320),1939.0,1939.0,,,0
CDM,30900369,HC BCR/ABL1 GENE MINOR BP (235),558.0,558.0,,,0
CDM,30900370,HC CYTOGEN M ARRAY COPY NO&SNP (1115),4502.0,4502.0,,,0
CDM,30900371,HC BCR/ABL1 GENE MAJOR BP (280),1132.0,1132.0,,,0
CDM,30900372,HC BCR/ABL1 GENE MAJOR BP (320),1292.0,1292.0,,,0
CDM,30900373,HC BRAF GENE (205),828.0,828.0,,,0
CDM,30900374,HC CEBPA GENE FULL SEQUENCE (400),1616.0,1616.0,,,0
CDM,30900375,HC EGFR GENE COM VARIANTS (390),1576.0,1576.0,,,0
CDM,30900376,HC FLT3 GENE (190),769.0,769.0,,,0
CDM,30900377,HC IGH GENE REARRANGE AMP METH (180),728.0,728.0,,,0
CDM,30900378,HC STR MARKERS SPECIMEN ANAL (260),1049.0,1049.0,,,0
CDM,30900379,HC STR MARKERS SPECIMEN ANAL (320),1292.0,1292.0,,,0
CDM,30900380,HC CHIMERISM ANAL NO CELL SELEC (170),687.0,687.0,,,0
CDM,30900381,HC CHIMERISM ANAL NO CELL SELEC (300),1212.0,1212.0,,,0
CDM,30900382,HC CHIMERISM ANAL WI/CELL SELECT (245),909.0,909.0,,,0
CDM,30900383,HC KIT GENE TARGETED SEQ ANALYS (440),1778.0,1778.0,,,0
CDM,30900384,HC MICROSATELLITE INSTABILITY (275),1112.0,1112.0,,,0
CDM,30900385,HC NPM1 GENE (400),1616.0,1616.0,,,0
CDM,30900386,HC NRAS GENE VARIANTS EXON 2&3 (475),1920.0,1920.0,,,0
CDM,30900387,HC PML/RARALPHA COM  BREAKPOINTS (320),1252.0,1252.0,,,0
CDM,30900388,HC TRG GENE REARRANGEMENT ANAL (230),929.0,929.0,,,0
CDM,30900389,HC MOPATH PROCEDURE LEVEL 2 (105),424.0,424.0,,,0
CDM,30900390,HC MOPATH PROCEDURE LEVEL 4 (230),929.0,929.0,,,0
CDM,30900391,HC MOPATH PROCEDURE LEVEL 7 (350),1413.0,1413.0,,,0
CDM,30900392,HC TARGETED GENOMIC SEQ ANALYS (480),1939.0,1939.0,,,0
CDM,30900393,HC TARGETED GENOMIC SEQ ANALYS (530),2141.0,2141.0,,,0
CDM,30900394,HC CAR ION CHNNLPATH INC 10 GNS ADDON,3085.0,3085.0,,,0
CDM,30900396,HC FLT3 GENE (100),676.0,676.0,,,0
CDM,30900397,HC FLT3 GENE ANALSYS (455),1838.0,1838.0,,,0
CDM,30900399,HC HLA CLASS I HIGH DEFIN QUAL,734.0,734.0,,,0
CDM,30900400,HC HLA CLAS II HIGH DEFIN QUAL,702.0,702.0,,,0
CDM,30900404,HC HLA I & II TYPE VERIFY LR (150),1262.0,1262.0,,,0
CDM,30900409,HC COMPARATOR EXOME (375),17828.0,17828.0,,,0
CDM,30900410,HC UNLISTED MOLE PROC (900),83.0,83.0,,,0
CDM,30900430,HC TARGETED GENOMIC SEQ ANALYSIS,2306.0,2306.0,,,0
CDM,30900431,HC CALR GENE COM VARIANTS (240),1453.0,1453.0,,,0
CDM,30900432,HC MTHFR GENE (85),508.0,508.0,,,0
CDM,30900433,HC TARGETED GENOMIC SEQ ANALYSIS (795),3055.0,3055.0,,,0
CDM,30900434,HC TARGETED GENOMIC SEQ ANALYSIS 51+ (795),4049.0,4049.0,,,0
CDM,30900436,HC CFTR GENE COM VARIANTS (70),772.0,772.0,,,0
CDM,30900439,HC ABL1  GENE (200),1276.0,1276.0,,,0
CDM,30900440,HC GJB2 GENE FULL SEQUENCE (470),2863.0,2863.0,,,0
CDM,30900441,HC GENE TARGETED SEQUENCE ANALYSIS  (160),1276.0,1276.0,,,0
CDM,30900442,HC MOPATH PROCEDURE LEVEL 2 (555),3389.0,3389.0,,,0
CDM,30900443,HC IDH1  COMMON VARIANTS (230),929.0,929.0,,,0
CDM,30900444,HC IDH2  COMMON VARIANTS (230),929.0,929.0,,,0
CDM,30900445,HC IFNL3 GENE (70),654.0,654.0,,,0
CDM,30900446,HC TPMT  GENE COM VARIANTS,699.0,699.0,,,0
CDM,30900455,HC MOPATH PROCEDUR LEVEL 2 (260),1561.0,1561.0,,,0
CDM,30900457,HC F2 GENE (40),251.0,251.0,,,0
CDM,30900458,HC F5 GENE (40),291.0,291.0,,,0
CDM,30900459,HC MOPATH PROCEDURE LEVEL 2 (210),1445.0,1445.0,,,0
CDM,30900460,HC MOPATH PROCEDURE LEVEL 7 (1490),10431.0,10431.0,,,0
CDM,30900461,HC MECP2 GENE FULL SEQ (340),2233.0,2233.0,,,0
CDM,30900462,HC ASHKENAZI JEWISH ASSOC DIS (730),8960.0,8960.0,,,0
CDM,30900463,HC BCR/ABL1 GENE MAJOR BP QUAN,840.0,840.0,,,0
CDM,30900468,HC MGMT GENE PMTR MTHYLTN ALYS (355),652.0,652.0,,,0
CDM,30900469,HC CYTOGENOMIC NEO MICRORA ALYS (350),1609.0,1609.0,,,0
CDM,30900470,HC MOPATH PROCEDURE LEVEL 7 (966),985.0,985.0,,,0
CDM,30900471,HC TARGETED GENOMIC SEQ ANALYSIS (1426),7631.0,7631.0,,,0
CDM,30900472,HC CYTOGEN M ARRAY COPY NO & SNP (417),2091.0,2091.0,,,0
CDM,30900473,HC TARGETED GENOMIC SEQ ANALYSIS (202),7843.0,7843.0,,,0
CDM,30900474,HC TARGETED GENOMIC SEQ ANALYSIS (328),7843.0,7843.0,,,0
CDM,30900475,HC TARGETED GENOMIC SEQ ANALYSIS (467),7843.0,7843.0,,,0
CDM,30900476,HC IGK GENE PART OF PANEL (154),558.0,558.0,,,0
CDM,30900479,HC TARGETED GENOMIC SEQ ANALYSIS (170),5304.0,5304.0,,,0
CDM,30900480,HC MOPATH PROC LEVEL 8 (608),4233.0,4233.0,,,0
CDM,30900481,HC MOPATH PROC LEVEL 9 (778),7851.0,7851.0,,,0
CDM,30900483,HC TARGETED GENOMIC SEQ ANALYSIS (342),2377.0,2377.0,,,0
CDM,30900484,HC IADNA CNS PTHGN NEXT GEN SEQ(780),3083.0,3083.0,,,0
CDM,30900485,DEAC 12/31/2023 HC LIVER DISEASE ALYS 3 BMRK SRM ALG (171),530.0,530.0,,,0
CDM,31000001,HC CYTOPATH FL NONGYN SMEARS,333.0,333.0,,,0
CDM,31000002,HC CP SMR OTHR; SCRN & INT,264.0,264.0,,,0
CDM,31000003,HC FLOW CYTOMETRY EA ADDTL MARKER,81.0,81.0,,,0
CDM,31000004,HC TISSUE CULTURE; BM BLD CELLS,856.0,856.0,,,0
CDM,31000005,HC TISSUE CULTURE; OTHER TISSUE,2188.0,2188.0,,,0
CDM,31000006,HC CHROM ANALY; 45 CELLS,1774.5,1774.5,,,0
CDM,31000007,HC MCG; SITU HYBRID 3-5 CELLS,397.0,397.0,,,0
CDM,31000008,HC MCG; SITU HYBRID 10-30 CELLS,477.0,477.0,,,0
CDM,31000009,HC MCG; IP SITU 25-99 CELLS,517.0,517.0,,,0
CDM,31000010,HC CHROM ANALY; ADDTL BANDING,1018.0,1018.0,,,0
CDM,31000011,HC CHROM ANALY; ADDTL CELL COUNTS,282.0,282.0,,,0
CDM,31000012,HC TISSUE EXAM BY PATHOLOGIST LVL 4,550.0,550.0,,,0
CDM,31000013,HC ENZYME HISTOCHEMISTRY,2386.0,2386.0,,,0
CDM,31000014,HC PATH CONSULT DURING SURGERY,214.0,214.0,,,0
CDM,31000015,HC INTRAOP CYTO PATH CONSULT 1,1057.0,1057.0,,,0
CDM,31000016,HC INTRAOP CYTO PATH CONSULT 2,173.5,173.5,,,0
CDM,31000017,HC IHC EACH ANTIBODY,648.5,648.5,,,0
CDM,31000018,"HC IF STAIN , INITIAL",1312.0,1312.0,,,0
CDM,31000019,HC IF EA AB; INDIRECT,101.0,101.0,,,0
CDM,31000020,HC MORPHOMETRICS; NERVE,819.0,819.0,,,0
CDM,31000021,HC MANUAL TUMOR IM HISTOCHEM EA AB,487.0,487.0,,,0
CDM,31000022,HC COMPUTER MORPHOMETRIC ANALYSIS EA AB,444.0,444.0,,,0
CDM,31000025,HC MICRODISSECTION MANUAL,711.0,711.0,,,0
CDM,31000038,HC TISS EXAM MOLECULAR STUDY,1222.0,1222.0,,,0
CDM,31000039,DEAC 01/01/2025 HC TISS EX MOLECUL STUDY ADD-ON,1222.0,1222.0,,,0
CDM,31000040,HC UNLISTED SURG PATH,264.0,264.0,,,0
CDM,31000041,HC CELL COUNT NOT BLOOD,41.5,41.5,,,0
CDM,31000042,"HC MORPHOMETRIC ANAL,BONE",264.0,264.0,,,0
CDM,31000043,"HC IMMUNOFLUOR STN, ADD",1375.0,1375.0,,,0
CDM,31000100,DEAC 2/8/2017 HC CYTP URNE 3-5 PROBES EA SPEC,436.0,436.0,,,0
CDM,31000101,HC REF CONSULT PREP ELSEWHERE,820.0,820.0,,,0
CDM,31000102,HC REF CONSULT W SLIDE PREP,631.0,631.0,,,0
CDM,31000103,HC COMPREHENSIVE CONSULT,1098.0,1098.0,,,0
CDM,31000104,HC XM ARCHIVE TISSUE MOLEC ANAL,264.0,264.0,,,0
CDM,31000106,HC PROSTATE BIOPSY ANY METHOD,2377.0,2377.0,,,0
CDM,31000107,HC SAT BIOPSY PROSTATE 21-40,1658.0,1658.0,,,0
CDM,31000111,HC MORPHOMETRICS; TUMOR,1866.0,1866.0,,,0
CDM,31000112,HC NERVE TEASING PREP,1900.5,1900.5,,,0
CDM,31000113,HC PATHOLOGY LAB PROCEDURE,221.0,221.0,,,0
CDM,31000114,"HC  IHC ADD SINGLE AB STN,EACH",643.0,643.0,,,0
CDM,31000115,HC MULTIPLEX AB STN EACH,643.0,643.0,,,0
CDM,31000116,"HC CYTOPATH, ISH, URIN C MORPHOM (140)",876.0,876.0,,,0
CDM,31000117,HC WASH HARVEST STEM CELLS,2195.0,2195.0,,,0
CDM,31000119,HC M/PHMTRC ALYS ISH QUANT/SEMIQ (50),523.0,523.0,,,0
CDM,31000122,HC CYTP URINE 3-5 PROBES CMPTR (122),990.0,990.0,,,0
CDM,31000123,HC EXOME RE-EVALUATION (1840),1116.0,1116.0,,,0
CDM,31000125,HC MYD88 GENE P. LEU265PRO VRNT (300),695.0,695.0,,,0
CDM,31000131,"HC CYP2C9, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
CDM,31000132,"HC CYP2D6, GENE ANALYSIS, COMMON VARIANTS(30)",1519.0,1519.0,,,0
CDM,31000133,"HC CYP3A4, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
CDM,31000134,"HC CYP3A5, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
CDM,31000135,"HC DPYD, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
CDM,31000136,"HC NUDT15, GENE ANALYSIS, COMMON VARIANTS(30)",1015.0,1015.0,,,0
CDM,31000137,"HC SLCO1BI, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
CDM,31000138,"DEAC 4/1/2023 HC TPMT, GENE ANALYSIS, COMMON VARIANTS(30)",283.0,283.0,,,0
CDM,31000140,"HC FETAL CONGENTIAL ABNORML ASSAY TWO PROTEINS (PAPP-A, HCG) (25)",78.0,78.0,,,0
CDM,31000141,HC TARGETED GENOMIC SEQ ANALYSIS (263),4653.0,4653.0,,,0
CDM,31000142,HC TARGETED GENOMIC ANALYSIS(170),7711.0,7711.0,,,0
CDM,31000144,"HC UGT1A1, GENE ANALYSIS, COMMON VARIANTS(85)",773.0,773.0,,,0
CDM,31000147,"HC TPMT, GENE ANALYSIS, COMMON VARIANTS(30)",328.0,328.0,,,0
CDM,31000150,HC INFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,1180.0,1180.0,,,0
CDM,31000152,HC FLT3 GENE (795),2748.0,2748.0,,,0
CDM,31000153,HC CARDIOMYOPATHY  PANEL (296),661.0,661.0,,,0
CDM,31000154,HC COMBINED CARDIAC  PANEL SEQUENCING AT LEAST 10 GENES (148),331.0,331.0,,,0
CDM,31000155,HC COMBINED CARDIAC  PANEL ANALYSIS AT LEAST 2 GENES (148),331.0,331.0,,,0
CDM,31000156,HC GENOMEXPRESS (1109),2477.0,2477.0,,,0
CDM,31000157,"HC GENOMEXPRESS SEQUENCE ANALYSIS, EA COMPARATOR GENOME (554)",1238.0,1238.0,,,0
CDM,31000158,HC WHOLE MITO GENOME SEQUENCING & DELETION TESTING (148),331.0,331.0,,,0
CDM,31000159,"HC MITO GENOME SEQUENCING HETEROPLASMY DETECTION, IF PERFRMD (148)",331.0,331.0,,,0
CDM,31000160,HC NOONAN AND COMPREHENSIVE RASOPATHIES  PANEL (296),661.0,661.0,,,0
CDM,31000161,HC ONE KNOWN FAMILIAL VARIANT (136),305.0,305.0,,,0
CDM,31000162,HC PRENATAL KNOWN FAMILIAL MUTATION (INCLUDES MCC) (370),826.0,826.0,,,0
CDM,31000163,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE (370),826.0,826.0,,,0
CDM,31000164,HC TWO KNOWN FAMILIAL VARIANTS IN A NUCLEAR GENE (98),218.0,218.0,,,0
CDM,31000165,HC CHROMOSOMAL MICROARRAY (MICROARRAYDX) (296),661.0,661.0,,,0
CDM,31000166,HC XOMEDXXPRESS (739),1651.0,1651.0,,,0
CDM,31000167,"HC XOMEDXXPRESS SEQ ANALYSIS, EA COMPARATOR EXOME (370)",826.0,826.0,,,0
CDM,31000168,HC CYTOKINE 13 PANEL (13),26.0,26.0,,,0
CDM,31000169,"HC MOLECULAR PATH PROC, LEVEL 4  (71)",611.0,611.0,,,0
CDM,31000170,HC-NPM1 GENE (874),1263.0,1263.0,,,0
CDM,31000172,HC MOPATH PROCEDURE LEVEL 5 (246),551.0,551.0,,,0
CDM,31000173,HC MOPATH PROCEDURE LEVEL 6 (123),276.0,276.0,,,0
CDM,31000174,HC MOPATH PROCEDURE LEVEL 7 (83),184.0,184.0,,,0
CDM,31000175,HC COMPARATOR EXOME (247),551.0,551.0,,,0
CDM,31000176,HC COMPARATOR EXOME (493),1101.0,1101.0,,,0
CDM,31000177,HC EXOME SEQUENCE ANALYSIS (1232),2752.0,2752.0,,,0
CDM,31000178,HC EXOME RE-EVALUATION (493),1101.0,1101.0,,,0
CDM,31000179,HC GENOME SEQUENCE ANALYSIS (1970),4402.0,4402.0,,,0
CDM,31000180,HC GENOME SEQUENCE ANALYSIS (985),2201.0,2201.0,,,0
CDM,31000181,"HC GENOME SEQ ANALYSIS, EA CMPRTR (493)",1101.0,1101.0,,,0
CDM,31000182,"HC GENOME SEQ ANALYSIS, EA CMPRTR (985)",2201.0,2201.0,,,0
CDM,31000183,HC MOPATH PROCEDURE LEVEL 6 (99),221.0,221.0,,,0
CDM,31000184,HC MOPATH PROCEDURE LEVEL 7 (49),111.0,111.0,,,0
CDM,31000185,HC MOPATH PROCEDURE LEVEL 2 (99),221.0,221.0,,,0
CDM,31000186,HC MOPATH PROCEDURE LEVEL 2 (49),111.0,111.0,,,0
CDM,31000187,HC ACTIONABLE PHARMACOGENOMICS PANEL (284),1510.0,1510.0,,,0
CDM,31000188,HC CYTOG GEN-WIDE ALYS HEM MAL STRUX VRNT&CNV OGM (271),4106.0,4106.0,,,0
CDM,31060012,"HC DMPK,MYOTONIC DYSTROPHY,TYPE-1",543.0,543.0,,,0
CDM,31100001,HC CYTOPATH CELL ENHANCE TECH,487.0,487.0,,,0
CDM,31100002,HC CP CERV/VAG; ATL; MANUAL SCRN,363.0,363.0,,,0
CDM,31100003,HC CP SMR OTHR; PREP SCRN INT,442.0,442.0,,,0
CDM,31100004,HC CYTP DX EVAL FNA 1ST EA SITE,314.0,314.0,,,0
CDM,31100005,HC EVAL OF FNA; INT & REP,171.0,171.0,,,0
CDM,31100006,HC FLOW CYTOMETRY TC 1ST MARKER,449.0,449.0,,,0
CDM,31100007,HC CRYOPRESERVATION EA CELL LINE,150.0,150.0,,,0
CDM,31100008,HC THAW FROZEN CELLS/ALIQUOT,150.0,150.0,,,0
CDM,31100009,HC ELECTRON MICRO; DX,3799.0,3799.0,,,0
CDM,31100010,HC ISH SINGLE PROBE 1ST,488.0,488.0,,,0
CDM,31100011,HC BETHESDA PAP; MAN SCRN,190.0,190.0,,,0
CDM,31100050,HC CYTOPATH C/V INTERPRET,344.0,344.0,,,0
CDM,31100051,HC CELL MARKER STUDY,839.0,839.0,,,0
CDM,31100052,DEAC 4/1/2025 HC FLOW CYTOMETRY INTERP 9-15 MARKERS,893.0,893.0,,,0
CDM,31100053,DEAC 4/1/2025 HC FLOW CYTOMETRY INTERP 16 & > MARKERS,485.0,485.0,,,0
CDM,31100054,HC CYTOPATH FL NONGYN FILTER,264.0,264.0,,,0
CDM,31100055,HC SEX C  ID; BARR BODIES,225.0,225.0,,,0
CDM,31100056,HC DX PAP; MANUAL SCREEN,190.0,190.0,,,0
CDM,31100057,HC CYTOPATH C/V INDEX ADD-ON,107.0,107.0,,,0
CDM,31100058,HC CP SMR OTHR; > 5 SLIDES,264.0,264.0,,,0
CDM,31100059,HC UNLISTED CYTOPATHOLOGY,264.0,264.0,,,0
CDM,31100061,HC ISH PROBE ADDITIONAL,488.0,488.0,,,0
CDM,31100062,HC ISH MULTIPLEX PROBE,448.0,448.0,,,0
CDM,31200001,HC CP CONCENTR TECH SMEAR,264.0,264.0,,,0
CDM,31200002,HC SURG PATH LEVEL-I GROSS ONLY,142.0,142.0,,,0
CDM,31200003,HC SURG PATH LVL 2,250.0,250.0,,,0
CDM,31200004,HC TISSUE EXAM BY PATHOLOGIST LVL 3,365.0,365.0,,,0
CDM,31200005,HC TISSUE EXAM BY PATHOLOGIST LVL 5,692.0,692.0,,,0
CDM,31200006,HC TISSUE EXAM BY PATHOLOGIST LVL 6,1032.0,1032.0,,,0
CDM,31200007,HC DECALCIFICATION,208.0,208.0,,,0
CDM,31200008,HC SPECIAL STAINS GROUP 1,343.0,343.0,,,0
CDM,31200009,HC SPECIAL STAINS GROUP 2,343.0,343.0,,,0
CDM,31200011,HC SP CONSULT; 1ST TB W FS SGL SP,300.0,300.0,,,0
CDM,31200012,HC PATH CONSULT INTRAOP ADDL,233.0,233.0,,,0
CDM,31900001,HC TISSUE CULTURE; SKIN OR SOLID BX,2077.0,2077.0,,,0
CDM,31900002,HC TISSUE CULTURE; AMNIOTIC FLUID,2183.0,2183.0,,,0
CDM,31900003,HC CHROM ANALY; 50-100 CELLS,2568.0,2568.0,,,0
CDM,31900004,HC CHROM ANALY; 15-20 CELLS,3685.0,3685.0,,,0
CDM,31900005,HC CHROM ANALY; 20-25 CELLS,845.0,845.0,,,0
CDM,31900006,HC CHROM ANALY; AF/CV 15 CELLS,2667.0,2667.0,,,0
CDM,31900007,HC MCG; IP SITU 100-300 CELLS,1714.0,1714.0,,,0
CDM,31900008,HC CHROM ANALY; ADDTL KARYOT EA STUDY,375.0,375.0,,,0
CDM,31900009,HC CHROM ANALY; ADDTL HI RESOLN,1002.0,1002.0,,,0
CDM,31900010,HC INSITU HYBRIDIZATION AUTO,449.0,449.0,,,0
CDM,31900011,HC INSITU HYBRIDIZATION MANUAL,1898.0,1898.0,,,0
CDM,32000001,"HC CISTERNOGRAPHY, POSITIVE CONTRAST, S & I",857.0,857.0,,,0
CDM,32000002,"HC X-RAY EXAM OF EYE, DETECTION OF FOREIGN BODY",1.0,1.0,,,0
CDM,32000003,"HC MANDIBLE, LESS THAN 4 VIEWS",467.0,467.0,,,0
CDM,32000004,"HC MANDIBLE, MIN 4 VIEWS",634.0,634.0,,,0
CDM,32000005,"HC  FACIAL BONES, LESS THAN 3 VIEWS",676.0,676.0,,,0
CDM,32000006,"HC  FACIAL BONES, MIN 3 VIEWS",726.0,726.0,,,0
CDM,32000007,"HC  NASAL BONES, MIN 3 VIEWS",500.0,500.0,,,0
CDM,32000008,"HC  ORBITS, MIN 4 VIEWS",806.0,806.0,,,0
CDM,32000009,"HC  SINUSES, PARANASAL, LESS THAN 3 VIEWS",609.0,609.0,,,0
CDM,32000010,"HC  SINUSES, PARANASAL, MIN 3 VIEWS",906.0,906.0,,,0
CDM,32000011,"HC  SKULL, LESS THAN 4 VIEWS",961.0,961.0,,,0
CDM,32000012,"HC  SKULL, MIN 4 VIEWS",945.0,945.0,,,0
CDM,32000013,"HC  TEMPOROMANDIBULAR JOINT, BILAT",701.0,701.0,,,0
CDM,32000014,"HC  NECK, SOFT TISSUE",399.0,399.0,,,0
CDM,32000015,"HC  SPINE, SINGLE VIEW, SPECIFY LEVEL",376.0,376.0,,,0
CDM,32000016,"HC  SPINE, CERVICAL, 2 OR 3 VIEWS",730.0,730.0,,,0
CDM,32000017,"HC  SPINE, CERVICAL, MIN 4 VIEWS",904.0,904.0,,,0
CDM,32000018,"HC  SPINE, CERVICAL, COMPLETE",1084.0,1084.0,,,0
CDM,32000019,"HC  SPINE, THORAX, 2 VIEWS",630.0,630.0,,,0
CDM,32000020,"HC  SPINE, THORAX, 3 VIEWS",705.0,705.0,,,0
CDM,32000021,"HC  SPINE, THORAX, MIN 4 VIEWS",705.0,705.0,,,0
CDM,32000022,"HC  SPINE, THORACOLUMBAR, 2 VIEWS",705.0,705.0,,,0
CDM,32000023,"HC  SPINE, SCOLIOSIS STUDY",381.0,381.0,,,0
CDM,32000024,"HC  SPINE, LUMBOSACRAL, 2 OR 3 VIEWS",904.0,904.0,,,0
CDM,32000025,"HC  SPINE, LUMBOSACRAL, MIN 4 VIEWS",1160.0,1160.0,,,0
CDM,32000026,"HC  SPINE, LUMBOSACRAL, MIN 6 VIEWS",1231.0,1231.0,,,0
CDM,32000027,"HC RAD EXAM PELVIS, 1 OR 2 VIEWS",539.0,539.0,,,0
CDM,32000028,"HC RAD EXAM PELVIS, MIN 3 VIEWS",705.0,705.0,,,0
CDM,32000029,"HC RAD EXAM SACROILIAC JOINTS, 3 OR MORE VIEWS",609.0,609.0,,,0
CDM,32000030,"HC RAD EXAM SACRUM AND COCCYX, MIN 2 VIEWS",834.0,834.0,,,0
CDM,32000031,"HC MYELOGRAPHY, CERVICAL S & I",1989.0,1989.0,,,0
CDM,32000032,"HC MYELOGRAPHY, THORACIC S & I",2890.0,2890.0,,,0
CDM,32000033,"HC MYELOGRAPHY, LUMBOSACRAL S & I",1829.0,1829.0,,,0
CDM,32000034,"HC MYELOGRAPHY, 2 OR MORE REGIONS S & I",2670.0,2670.0,,,0
CDM,32000035,"HC DISCOGRAPHY, CERVICAL OR THORACIC S & I",2284.0,2284.0,,,0
CDM,32000036,HC PERCUT VERTOPLASTY/SACROPLASTY W/FLUORO,656.0,656.0,,,0
CDM,32000037,"HC DISCOGRAPHY, LUMBAR",3828.0,3828.0,,,0
CDM,32000038,"HC RAD EXAM CLAVICLE, COMPLETE",589.0,589.0,,,0
CDM,32000039,"HC RAD EXAM SCAPULA, COMPLETE",500.0,500.0,,,0
CDM,32000040,"HC RAD EXAM SHOULDER, 1 VIEW",687.0,687.0,,,0
CDM,32000041,"HC RAD EXAM SHOULDER, MIN 2 VIEWS",752.0,752.0,,,0
CDM,32000042,"HC RAD EXAM ACROMIOCLAVICULAR JOINTS, BILAT",708.5,708.5,,,0
CDM,32000043,"HC RAD EXAM HUMERUS, MIN 2 VIEWS",661.5,661.5,,,0
CDM,32000044,"HC RAD EXAM ELBOW, 2 VIEWS",704.5,704.5,,,0
CDM,32000045,"HC RAD EXAM ELBOW, MIN 3 VIEWS",853.0,853.0,,,0
CDM,32000046,"HC RAD EXAM FOREARM, 2 VIEWS",607.0,607.0,,,0
CDM,32000047,HC RAD EXAM UPPER EXT INFANT MIN 2 VIEWS,1058.5,1058.5,,,0
CDM,32000048,"HC RAD EXAM WRIST, 2 VIEWS",557.0,557.0,,,0
CDM,32000049,"HC RAD EXAM WRIST, MIN 3 VIEWS",897.0,897.0,,,0
CDM,32000050,"HC RAD EXAM HAND, 2 VIEWS",566.5,566.5,,,0
CDM,32000051,"HC RAD EXAM HAND, MIN 3 VIEWS",647.0,647.0,,,0
CDM,32000052,"HC RAD EXAM FINGER(S), MIN 2 VIEWS",276.5,276.5,,,0
CDM,32000053,HC RAD EXAM HIP UNILATERAL 1 VIEW,465.0,465.0,,,0
CDM,32000054,HC RAD EXAM HIP UNILATERAL MIN 2 VIEWS,307.0,307.0,,,0
CDM,32000055,HC RAD EXAM HIPS BILATERAL MIN 2 VIEWS EACH HIP,381.0,381.0,,,0
CDM,32000056,HC RAD EXAM DURING OP PROC UP TO 4 STUDIES,1279.5,1279.5,,,0
CDM,32000057,HC RAD EXAM PELVIS & HIPS INFANT/CHILD MIN 2 VIEW,307.0,307.0,,,0
CDM,32000058,HC RAD EXAM FEMUR 2 VIEWS,361.5,361.5,,,0
CDM,32000059,HC RAD EXAM KNEE 1 OR 2 VIEWS,601.5,601.5,,,0
CDM,32000060,HC RAD EXAM KNEE 3 VIEWS,630.5,630.5,,,0
CDM,32000061,HC RAD EXAM KNEE 4 OR MORE VIEWS,630.5,630.5,,,0
CDM,32000062,HC RAD EXAM BOTH KNEES STANDING AP MIN 3 VIEWS,473.0,473.0,,,0
CDM,32000063,HC RAD EXAM TIBIA AND FIBULA 2 VIEWS,601.5,601.5,,,0
CDM,32000064,HC RAD EXAM LOWER EXT INFANT MIN 2 VIEWS,520.5,520.5,,,0
CDM,32000065,HC RAD EXAM ANKLE 2 VIEWS,566.5,566.5,,,0
CDM,32000067,HC RAD EXAM ANKLE MIN 3 VIEWS,884.5,884.5,,,0
CDM,32000068,HC RAD EXAM FOOT MIN 3 VIEWS,1178.5,1178.5,,,0
CDM,32000069,HC RAD EXAM CALCANEUS MIN 2 VIEWS,558.5,558.5,,,0
CDM,32000070,HC RAD EXAM TOE(S) MIN 2 VIEWS,412.0,412.0,,,0
CDM,32000071,HC RAD EX ABDOMEN SINGLE AP VIEW,336.0,336.0,,,0
CDM,32000072,HC RAD EX ABDOMEN AP + OBLIQ & CONE VIEWS,514.0,514.0,,,0
CDM,32000073,HC RAD EX ABDOMEN DECUBITUS AND/OR ERECT VWS,336.0,336.0,,,0
CDM,32000074,"HC RAD EXM; COMPL ACUTE ABD SERIES, INCL 2+ VIEWS ABD, & SNGL VIEW CHEST",1198.0,1198.0,,,0
CDM,32000077,"HC RAD EXM; ESOPH, INCL SCOUT RAD(S)&DLY IMG(S), SNGL-CONTRAST STDY",1040.0,1040.0,,,0
CDM,32000078,"HC RAD EX, SWALL FUNC W/CIN/VID RAD, INCL SCOUT RAD(S)&IMG(S), CONTR STDY",1068.0,1068.0,,,0
CDM,32000079,HC RAD EX UPPER GASTROINTESTINAL TRACT W/KUB,1141.0,1141.0,,,0
CDM,32000080,HC RAD EX UPPER GI W/SMALL INTESTINE SERIES,1652.0,1652.0,,,0
CDM,32000081,HC RAD EX UPPER GI AIR CONTRAST W/KUB,1344.0,1344.0,,,0
CDM,32000082,"HC RAD EXM, SM INT,INCL MULTI IMGS&SCOUT ABD RAD(S), SNGL-CONTR STDY",1097.0,1097.0,,,0
CDM,32000083,"HC RAD EXM, SM INT,INCL MULTI IMGS&SCOUT ABD RAD(S), DBL- CONTR STDY",947.0,947.0,,,0
CDM,32000084,"HC RAD EXM, COLON, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; SNGL STDY",1499.0,1499.0,,,0
CDM,32000085,"HC RAD EXM, COLON,INCL SCOUT ABD RAD(S) & DLY IMG(S), DBL-CONTR STDY",2032.0,2032.0,,,0
CDM,32000087,HC CHOLANGIOGRAPHY/PANCREATOGRAPHY INTRAOP,999.0,999.0,,,0
CDM,32000088,HC CHOLANGIOGRAPHY/PANCREATOGRAPHY POSTOP,705.0,705.0,,,0
CDM,32000089,HC CHOLANGIOGRAM PERCUTANEOUS TRANSHEPATIC,1267.0,1267.0,,,0
CDM,32000090,HC POSTOP BILIARY DUCT CALCULUS REMOVAL,1453.0,1453.0,,,0
CDM,32000091,HC ENDOSCOPIC CATH BILIARY DUCTAL SYSTEM,2209.0,2209.0,,,0
CDM,32000092,HC INTRO LONG GI TUBE INC MULTI FLUORO & FILMS,1833.0,1833.0,,,0
CDM,32000093,HC PERC TRANSHEPATIC DILATION BILIARY DUCT,3296.0,3296.0,,,0
CDM,32000094,HC UROGRAPHY IV W OR W/O KUB/TOMOGRAPH,1616.0,1616.0,,,0
CDM,32000095,HC UROGRAPHY RETROGRADE W OR W/O KUB,1285.0,1285.0,,,0
CDM,32000096,HC UROGRAPHY ANTEGRADE S& I,984.0,984.0,,,0
CDM,32000097,HC CYSTOGRAPHY MIN 3 VIEWS,902.0,902.0,,,0
CDM,32000098,HC URETHROCYSTOGRAPHY RETROGRADE S & I,1230.0,1230.0,,,0
CDM,32000099,HC URETHROCYSTOGRAPHY VOIDING S & I,2366.0,2366.0,,,0
CDM,32000100,"HC INSERT INTRACATH OR CATH RENAL PELVIS, PERC",1344.0,1344.0,,,0
CDM,32000101,HC INSERT URETERAL CATH/STENT THRU RENAL PELV,1344.0,1344.0,,,0
CDM,32000102,HC DILATE URETER(S) OR URETHRA,1871.0,1871.0,,,0
CDM,32000103,HC HYSTEROSALPINGOGRAPHY S & I,1363.0,1363.0,,,0
CDM,32000107,HC LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT,2679.0,2679.0,,,0
CDM,32000108,HC SHUNTOGRAM FOR INDWELL NEUROVASC SHUNT,1358.0,1358.0,,,0
CDM,32000109,HC VENOGRAPHY EXT UNILATERAL,1629.0,1629.0,,,0
CDM,32000110,HC VENOGRAPHY EXT BILATERAL,1772.0,1772.0,,,0
CDM,32000111,HC VENOGRAPHY CAVAL INFERIOR W/SERIALOGRAPHY,2824.0,2824.0,,,0
CDM,32000112,HC VENOGRAPHY CAVAL SUPERIOR W/SERIALOGRAPH,1771.0,1771.0,,,0
CDM,32000113,HC VENOGRAPHY RENAL UNILATERAL SELECTIVE,2631.0,2631.0,,,0
CDM,32000114,HC VENOGRAPHY RENAL BILATERAL SELECTIVE,2839.0,2839.0,,,0
CDM,32000115,HC VENOGRAPHY VENOUS SINUS/JUGULAR CATHETER,3220.0,3220.0,,,0
CDM,32000117,HC PERCUT TRANSHEPATIC PORTOGRAM W/HDM,3026.0,3026.0,,,0
CDM,32000118,HC PERCUT TRANSHEPATIC PORTOGRAM W/O HDM,3004.0,3004.0,,,0
CDM,32000119,HC HEPATIC VENOGRAPHY W/ HDM,3053.0,3053.0,,,0
CDM,32000120,HC HEPATIC VENOGRAPHY W/O HDM,3073.0,3073.0,,,0
CDM,32000121,HC VENOUS SAMPLING THRU CATH W/W/O ANGIO,5509.0,5509.0,,,0
CDM,32000122,HC TRANSCATHETER THERAPY EMBOLIZATION,3664.0,3664.0,,,0
CDM,32000123,HC TRANSCATHETER THERAPY INFUSION,1071.0,1071.0,,,0
CDM,32000124,"HC ANGIO F/U TRANSCATH TX, EMBOLIZ/INFUSION",1614.0,1614.0,,,0
CDM,32000125,HC EXCHANGE INTRAVASC CATH DURING THROMB TX,8742.0,8742.0,,,0
CDM,32000126,HC REMOVE OBSTRUCT FROM CENTRAL VENOUS DEV,212.0,212.0,,,0
CDM,32000127,HC REMOVE INTRALUMIN OBSTRUCT FROM CVD,212.0,212.0,,,0
CDM,32000129,HC TRANSCATH INTRO IV CATH PERC AND/OR OPEN,821.0,821.0,,,0
CDM,32000130,HC TRANSCATH RETRIEVAL PERC IV FOREIGN BODY,1639.0,1639.0,,,0
CDM,32000131,HC TRANSLUM BALLOON ANGIOPLAST PERPH ARTERY,1043.0,1043.0,,,0
CDM,32000132,HC TRANS BALLOON ANGIOPLASTY EA + PER ARTERY,826.0,826.0,,,0
CDM,32000133,HC TRANS BALLOON ANGIOPLAST RENAL/VISC ARTERY,1952.0,1952.0,,,0
CDM,32000134,HC TRANS BALLOON ANGIOPLASTY EA + VISC ARTERY,826.0,826.0,,,0
CDM,32000135,HC TRANSCATHETER BIOPSY,1494.0,1494.0,,,0
CDM,32000136,HC TRANSLUMINAL BALLOON ANGIOPLASTY VENOUS,1678.0,1678.0,,,0
CDM,32000137,HC PERC TRANSHEP BIL DRAINAGE W/CON MONITOR,1485.0,1485.0,,,0
CDM,32000138,HC PERC BIL DRAIN CATH PLACEMENT - INT & EXT DR,1412.0,1412.0,,,0
CDM,32000139,HC CHG PERC TUBE/ DRAIN CATH W/CON MONITOR,2052.0,2052.0,,,0
CDM,32000140,HC PERC DRAINAGE CATH PLACEMENT W/ RAD GUID,3233.0,3233.0,,,0
CDM,32000141,HC FLUOROSCOPE EXAMINATION UP TO 1 HOUR,1421.5,1421.5,,,0
CDM,32000143,HC RAD EX FISTULA OR SINUS TRACT STUDY S & I,1094.0,1094.0,,,0
CDM,32000144,HC RAD EXAM SURGICAL SPECIMEN,555.0,555.0,,,0
CDM,32000145,HC UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,111.0,111.0,,,0
CDM,32000146,HC FLUOROGUIDE CENTRAL VEN ACCESS DEV PLCMNT,1289.0,1289.0,,,0
CDM,32000147,HC FLUOROSCOPIC GUIDANCE FOR NEEDLE PLCMNT,715.5,715.5,,,0
CDM,32000148,HC FLUOROSCOPIC GUIDANCE FOR SPINE INJECTION,1735.5,1735.5,,,0
CDM,32000149,HC STEREOTACTIC GUID BREAST BX/NEEDLE PLCMNT,1949.0,1949.0,,,0
CDM,32000150,HC MAMMOGRAPHIC GUID NEEDLE PLCMNT BREAST,1082.0,1082.0,,,0
CDM,32000151,"HC MAMMARY DUCTOGRAM OR GALACTOGRAM, SINGLE",1366.0,1366.0,,,0
CDM,32000152,HC BONE AGE STUDIES,576.0,576.0,,,0
CDM,32000153,HC BONE LENGTH STUDIES,834.0,834.0,,,0
CDM,32000154,HC RAD EXAM OSSEOUS SURVEY LIMITED,1442.0,1442.0,,,0
CDM,32000155,HC RAD EXAM OSSEOUS SURVEY COMPLETE,1701.0,1701.0,,,0
CDM,32000156,HC RAD EXAM OSSEOUS SURVEY INFANT,806.0,806.0,,,0
CDM,32000157,"HC DXA BONE DENSITY STUDY, AXIAL 1+ SITES",808.0,808.0,,,0
CDM,32000158,"HC DXA BONE DENSITY PERIPHERAL, AXIAL 1+ SITES",808.0,808.0,,,0
CDM,32000160,HC TRANSCERVICAL CATHETERIZATION OF FALLOPIAN TUBE,1358.0,1358.0,,,0
CDM,32000161,"HC SELECTIVE ADRENAL VENOGRAM, BILATERAL",5302.0,5302.0,,,0
CDM,32000162,"HC SELECTIVE ADRENAL VENOGRAM, UNILATERAL",3792.0,3792.0,,,0
CDM,32000200,HC X-RAY EXAM OF MASTOIDS 3+ VIEWS,814.0,814.0,,,0
CDM,32000201,HC TMJ JOINT - UNILATERAL,609.0,609.0,,,0
CDM,32000202,HC CINE OR VIDEO SPEECH EVAL,1035.0,1035.0,,,0
CDM,32000203,"HC RADIOLOGIC EXAM, SPINE, LUMBOSACRAL; BENDING VIEWS ONLY, 2 OR 3 VIEWS",850.0,850.0,,,0
CDM,32000204,HC X-RAY EXAM SACROILIAC JOINTS <3 VIEWS,521.0,521.0,,,0
CDM,32000205,DEAC 1/1/2022 HC EPIDUROGRAM,702.0,702.0,,,0
CDM,32000206,HC X-RAY EXAM OF FOOT; 2 VIEWS,908.0,908.0,,,0
CDM,32000207,"HC RAD EXM, UGI, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; SNGL STDY",1404.0,1404.0,,,0
CDM,32000208,"HC RAD EXM, UGI, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; DBL STDY",838.0,838.0,,,0
CDM,32000209,HC UGI W AIR & BARIUM W SB,1579.0,1579.0,,,0
CDM,32000210,HC CHOLANGIOGRAM ADDTL INTRAOP,846.0,846.0,,,0
CDM,32000211,HC ENDO CATH - BIL & PANCR D,2209.0,2209.0,,,0
CDM,32000212,HC IVP W TOMOGRAPHY,1767.0,1767.0,,,0
CDM,32000213,HC IR ABD ANEURYSM REPAIR,4517.0,4517.0,,,0
CDM,32000214,HC ILIAC ANEURYSM ENDOVAS RPR,1956.0,1956.0,,,0
CDM,32000215,HC NOSE TO RECTUM FOR FB CHILD,1308.0,1308.0,,,0
CDM,32000216,HC X-RAY EXAM OF MASTOIDS <3 VIEWS,571.0,571.0,,,0
CDM,32000217,HC X-RAY SELLA TURCICA,467.0,467.0,,,0
CDM,32000218,HC X-RAY SIALOGRAM,1230.0,1230.0,,,0
CDM,32000219,HC X-RAY SPINE THORACOLUMBAR STANDING,226.0,226.0,,,0
CDM,32000222,HC ENDO CATH PANCREATIC DUCT SYSTEM,1960.0,1960.0,,,0
CDM,32000223,"HC UROGRAPHY, INFUSION IVP, DRIP/BOLUS",1616.0,1616.0,,,0
CDM,32000224,HC X-RAY VASOGRAM VESICULOGRAM,966.0,966.0,,,0
CDM,32000225,HC X-RAY CORPORA CAVERNOSOGRAM,1539.0,1539.0,,,0
CDM,32000226,HC X-RAY RENAL CYST STUDY,1069.0,1069.0,,,0
CDM,32000229,HC INTRALUMINAL DILATION OF STRICTURES/OBSTRUCTIONS,2091.0,2091.0,,,0
CDM,32000235,HC X-RAY OF MAMMARY DUCTS,1697.0,1697.0,,,0
CDM,32000240,"HC XRAY EXAM, ENTIRE SPINE AP & LAT",649.0,649.0,,,0
CDM,32000258,HC VERTEBRAL FRACTURE ASSESSMENT VIA DXA,706.0,706.0,,,0
CDM,32000262,"HC X-RAY EXAM ENTIRE SPINE, 1 VW",705.0,705.0,,,0
CDM,32000263,"HC X-RAY EXAM ENTIRE SPINE,  2/3 VW",1204.0,1204.0,,,0
CDM,32000264,"HC X-RAY EXAM ENTIRE SPINE,  4/5 VW",2289.0,2289.0,,,0
CDM,32000265,"HC X-RAY EXAM ENTIRE SPINE,  6/> VW",2289.0,2289.0,,,0
CDM,32000266,"HC X-RAY EXAM HIP UNIL, W/PELVIS WHEN PERFORMED,  1 VW",571.0,571.0,,,0
CDM,32000267,"HC X-RAY EXAM HIP UNIL, W/PELVIS WHEN PERFORMED, 2-3 VW",704.0,704.0,,,0
CDM,32000268,"HC X-RAY EXAM HIP UNIL, W/PELVIS WHEN PERFORMED, 4/> VW",1788.0,1788.0,,,0
CDM,32000269,"HC X-RAY EXAM HIPS BIL, W/PELVIS WHEN PERFORMED, 2 VW",853.0,853.0,,,0
CDM,32000270,"HC X-RAY EXAM HIPS BIL, W/PELVIS WHEN PERFORMED, 3-4 VW",1054.0,1054.0,,,0
CDM,32000271,"HC X-RAY EXAM HIPS BIL, W/PELVIS WHEN PERFORMED, 5/> VW",2679.0,2679.0,,,0
CDM,32000272,"HC X-RAY EXAM OF FEMUR,  1 VIEW",544.0,544.0,,,0
CDM,32000273,"HC X-RAY EXAM OF FEMUR,  2/> VIEWS",673.0,673.0,,,0
CDM,32000278,HC X-RAY EXAM ABDOMEN 1 VIEW,531.0,531.0,,,0
CDM,32000279,HC X-RAY EXAM ABDOMEN 2 VIEWS,807.0,807.0,,,0
CDM,32000280,HC X-RAY EXAM ABDOMEN 3 OR MORE VIEWS,1198.0,1198.0,,,0
CDM,32000281,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,1042.0,1042.0,,,0
CDM,32002150,HC MAMMOGRAPHIC GUID NEEDLE PLCMNT BREAST EACH ADDITIONAL,789.0,789.0,,,0
CDM,32200001,"HC RAD EXAM SHOULDER, ARTHROGRAPHY",2037.5,2037.5,,,0
CDM,32200002,"HC RAD EXAM ELBOW, ARTHROGRAPHY",2277.0,2277.0,,,0
CDM,32200003,HC RAD EXAM WRIST ARTHROGRAPHY,1923.5,1923.5,,,0
CDM,32200004,HC RAD EXAM HIP ARTHROGRAPHY,2037.5,2037.5,,,0
CDM,32200005,HC RAD EXAM KNEE ARTHROGRAPHY,2684.0,2684.0,,,0
CDM,32200006,HC RAD EXAM ANKLE ARTHROGRAPHY,2321.5,2321.5,,,0
CDM,32200007,HC X-RAY TMJ JOINT ARTHROGRAPHY,2321.5,2321.5,,,0
CDM,32300001,HC AORTOGRAPHY THORACIC BY SERIALOGRAPHY,5493.0,5493.0,,,0
CDM,32300002,HC AORTOGRAPHY ABDOMINAL BY SERIALOGRAPHY,3116.0,3116.0,,,0
CDM,32300003,HC AORTOGRAM ABDOMINAL W/ BILATERAL RUNOFF,4790.0,4790.0,,,0
CDM,32300004,"HC ANGIOGRAPHY CERVICOCEREBRAL, CATHETER",1783.0,1783.0,,,0
CDM,32300005,"HC ANGIOGRAPHY EXTERNAL CAROTID, UNILAT",1198.0,1198.0,,,0
CDM,32300006,"HC ANGIOGRAPHY EXTERNAL CAROTID, BILAT",2394.0,2394.0,,,0
CDM,32300007,"HC ANGIOGRAPHY, CAROTID, CEREBRAL, UNILAT",1444.0,1444.0,,,0
CDM,32300008,"HC ANGIOGRAPHY, CAROTID, CEREBRAL, BILAT",2604.0,2604.0,,,0
CDM,32300009,"HC ANGIOGRAPHY, CAROTID, CERVICAL, UNILAT",1344.0,1344.0,,,0
CDM,32300010,"HC ANGIOGRAPHY, CAROTID, CERVICAL, BILAT",2263.0,2263.0,,,0
CDM,32300011,"HC ANGIOGRAPHY, VERTEBRAL, CERVIC/INTRACRAN",1171.0,1171.0,,,0
CDM,32300012,HC ANGIOGRAPHY SPINAL SELECTIVE,6241.0,6241.0,,,0
CDM,32300013,HC ANGIOGRAPHY EXT UNILATERAL S & I,2814.0,2814.0,,,0
CDM,32300014,HC ANGIOGRAPHY EXT BILATERAL S & I,3055.0,3055.0,,,0
CDM,32300015,HC ANGIOGRAPHY VISCERAL SELECT/SUPRASELECT,5027.0,5027.0,,,0
CDM,32300016,HC ANGIOGRAPHY ADRENAL UNILATERAL SELECTIVE,2471.0,2471.0,,,0
CDM,32300017,HC ANGIOGRAPHY ADRENAL BILATERAL SELECTIVE,3792.0,3792.0,,,0
CDM,32300018,HC ANGIOGRAPHY PELVIC SELECT/SUPRASELECT,4925.0,4925.0,,,0
CDM,32300019,HC ANGIOGRAPHY PULMONARY UNILAT SELECTIVE,2729.0,2729.0,,,0
CDM,32300020,HC ANGIOGRAPHY PULMONARY BILAT  SELECTIVE,3368.0,3368.0,,,0
CDM,32300021,HC ANGIOGRAPHY PULMONARY NONSEL CATH/INJECT,2869.0,2869.0,,,0
CDM,32300022,HC ANGIOGRAPHY INTERNAL MAMMARY S & I,3194.0,3194.0,,,0
CDM,32300023,HC ANGIOGRAPHY SELECTIVE EA ADDTL VESSEL,824.0,824.0,,,0
CDM,32300025,HC RETROGRADE BRACHIAL ANGIOGRAM,1220.0,1220.0,,,0
CDM,32300052,HC AV DIALYSIS SHUNT IMAGING,1530.0,1530.0,,,0
CDM,32400001,"HC CHEST X-RAY SINGLE VIEW, POSTEROANTERIOR",386.0,386.0,,,0
CDM,32400002,"HC CHEST X-RAY 2 VIEWS, FRONTAL AND LATERAL",407.0,407.0,,,0
CDM,32400003,HC CHEST X-RAY 2 VIEWS W/APICAL LORDOTIC PROJ,410.0,410.0,,,0
CDM,32400004,HC CHEST X-RAY 2 VIEWS W/OBLIQUE PROJECTION,519.0,519.0,,,0
CDM,32400005,HC CHEST X-RAY COMPLETE MIN 4 VIEWS,482.0,482.0,,,0
CDM,32400007,HC CHEST X-RAY SPECIAL VIEW(LATERAL DECUBITUS),309.0,309.0,,,0
CDM,32400009,"HC RIBS X-RAY, UNILAT, MIN 3 VIEWS INCL CHEST",700.0,700.0,,,0
CDM,32400010,"HC RIBS X-RAY, BILAT, MIN 4 VIEWS INCL CHEST",889.0,889.0,,,0
CDM,32400011,HC STERNUM X-RAY MIN 2 VIEWS,571.0,571.0,,,0
CDM,32400012,HC STERNOCLAVICULAR JT(S) X-RAY MIN 3 VIEWS,846.0,846.0,,,0
CDM,32400020,HC X-RAY EXAM OF RIBS 2 VIEWS UNILAT,584.0,584.0,,,0
CDM,32400022,HC X-RAY EXAM OF RIBS 3 VIEWS BILAT,748.0,748.0,,,0
CDM,32400024,HC CHEST X-RAY 2 VIEWS FR&LAT W FLUORO,490.0,490.0,,,0
CDM,32400025,HC X-RAY EXAM CHEST 1 VIEW,661.0,661.0,,,0
CDM,32400026,HC X-RAY EXAM CHEST 2 VIEWS,698.0,698.0,,,0
CDM,32400027,HC X-RAY EXAM CHEST 3 VIEWS,773.0,773.0,,,0
CDM,32400028,HC X-RAY EXAM CHEST 4 OR MORE VIEWS,827.0,827.0,,,0
CDM,33100001,"HC CHEMOTHERAPY ADMIN, IM/SQ, NON-HORMONAL",516.0,516.0,,,0
CDM,33100002,"HC CHEMOTHERAPY ADMIN, IM/SQ, HORMONAL",317.0,317.0,,,0
CDM,33100003,"HC CHEMOTHERAPY ADMIN, IVP, SINGLE/INITIAL",1111.0,1111.0,,,0
CDM,33100004,"HC CHEMOTHERAPY ADMIN, IVP EA ADDL",662.0,662.0,,,0
CDM,33100005,"HC CHEMOTHERAPY ADMIN, CNS W/LP",1209.0,1209.0,,,0
CDM,33100007,HC CHEMO INTRALESIONAL UP TO 7,381.0,381.0,,,0
CDM,33100008,HC CHEMO INTRALESIONAL OVER 7,660.0,660.0,,,0
CDM,33100009,"HC CHEMOTHERAPY ADM, INTRA-ARTERIAL; PUSH TECHNIQUE",2161.0,2161.0,,,0
CDM,33191101,"HC CHEMOTHERAPY ADMIN, IVP, SINGLE/INITIAL",23.0,23.0,,,0
CDM,33191102,"HC CHEMOTHERAPY ADMIN, IVP, SINGLE/INITIAL",541.0,541.0,,,0
CDM,33191103,"HC CHEMOTHERAPY ADMIN, IVP, SINGLE/INITIAL",449.0,449.0,,,0
CDM,33191104,"HC CHEMOTHERAPY ADMIN, IM/SQ, HORMONAL",114.5,114.5,,,0
CDM,33300001,"HC THERA RAD SIMULATE-ADD FIELD SET, SIMPLE",2823.0,2823.0,,,0
CDM,33300002,"HC THERA RAD SIMULATE-ADD FIELD SET, COMPLX",5086.0,5086.0,,,0
CDM,33300003,"HC THERA RAD SIMULATE-ADD FIELD SET, 3D",6897.0,6897.0,,,0
CDM,33300004,HC BASIC RADIATION DOSIMETRY CALCULATION,1201.0,1201.0,,,0
CDM,33300005,HC INTENSITY MODULATED RADIOTHERAPY PLAN,13830.0,13830.0,,,0
CDM,33300006,HC TELETHERAPY ISODOSE PLAN SIMPLE 1-2 PORTS,767.0,767.0,,,0
CDM,33300007,HC TELETHERAPY ISODOSE PLAN INTERMED 3+ PORTS,1045.0,1045.0,,,0
CDM,33300008,HC TELETHERAPY ISODOSE PLAN COMPLEX,1315.0,1315.0,,,0
CDM,33300009,HC BRACHTX ISODOSE PLAN SIMPLE 1-4 SOURCES,628.0,628.0,,,0
CDM,33300010,HC BRACHTX ISODOSE PLAN INTERM 5-10 SOURCES,803.0,803.0,,,0
CDM,33300011,HC BRACHTX ISODOSE PLAN COMPLX 10+ SOURCES,980.0,980.0,,,0
CDM,33300012,HC SPECIAL DOSIMETRY,999.0,999.0,,,0
CDM,33300013,HC TREATMENT DEVICES SIMPLE,1190.0,1190.0,,,0
CDM,33300014,HC TREATMENT DEVICES INTERMEDIATE,2313.0,2313.0,,,0
CDM,33300015,HC TREATMENT DEVICES COMPLEX,2682.0,2682.0,,,0
CDM,33300016,HC QUALITY ASSURANCE CHECK FOR RADIATION THERAPY; PER WEEK BY MED TECHNICIAN,1840.0,1840.0,,,0
CDM,33300017,HC DESIGN MLC DEVICE FOR INTENSITY MOD RAD TX,2570.0,2570.0,,,0
CDM,33300018,HC SPECIAL MED RADIATION PHYSICS CONSULTATION,2238.0,2238.0,,,0
CDM,33300019,HC RAD TX DELIVERY SINGLE AREA 6-10 MEV,649.0,649.0,,,0
CDM,33300020,HC RAD TX DELIVERY SINGLE AREA 11-19 MEV,671.0,671.0,,,0
CDM,33300022,HC RAD TX DELIVERY 3+ AREAS 11-19 MEV,881.0,881.0,,,0
CDM,33300023,HC RAD TX DELIVERY 3+ AREAS 20+ MEV,901.0,901.0,,,0
CDM,33300024,HC THERAPEUTIC RADIOLOGY PORT FILM(S),648.0,648.0,,,0
CDM,33300026,HC SPECIAL RADIATION TREATMENT,3058.0,3058.0,,,0
CDM,33300027,HC INFUSION/INSTILLATION RADIOELEMENT SOLUTION,1726.0,1726.0,,,0
CDM,33300029,HC INTRACAVITARY RAD SOURCE APPLICAT COMPLEX,7228.0,7228.0,,,0
CDM,33300030,HC INTERSTITIAL RAD SOURCE APPLICATION COMPLEX,6829.0,6829.0,,,0
CDM,33300031,HC HDR RADIONUCLIDE BRACHYTX 1 CHANNEL,3747.0,3747.0,,,0
CDM,33300032,HC HDR RADIONUCLIDE BRACHYTX 2-12 CHANNELS,3747.0,3747.0,,,0
CDM,33300033,HC HDR RADIONUCLIDE BRACHYTX OVER 12 CHANNEL,4684.0,4684.0,,,0
CDM,33300034,"HC SUPERVISION, HANDLING, LOADING - RAD SOURCE",1198.0,1198.0,,,0
CDM,33300036,"HC STEREOTACTIC RADIOSURGERY, MAX 5 SESSIONS",3605.0,3605.0,,,0
CDM,33300050,HC SIMULATION; INTERMEDIATE,4353.0,4353.0,,,0
CDM,33300052,HC HEMIBODY PARTICLES TOTAL BODY,2512.0,2512.0,,,0
CDM,33300053,HC RADIATION TX DELIVERY 6-10 MEV,752.0,752.0,,,0
CDM,33300055,HC RADIATION TX DELIVERY 11-19 MEV,777.0,777.0,,,0
CDM,33300057,HC RADIATION TX DELIVERY 3+ AREAS <= 5 MEV,860.0,860.0,,,0
CDM,33300058,HC STEREOSCOPIC X-RAY GUIDANCE,155.0,155.0,,,0
CDM,33300060,HC ROBOT LNR SRS COMPL/1ST FRACT,15870.0,15870.0,,,0
CDM,33300061,HC ROBOT LIN-RADSURG FRACTX 2-5,10741.0,10741.0,,,0
CDM,33300073,"HC SRS LINEAR BASED, 1 SESSION",46308.0,46308.0,,,0
CDM,33300074,HC SBRT DELIVERY PER FRACTION,18656.0,18656.0,,,0
CDM,33300076,HC GUIDANCE FOR RADIATION TX,486.0,486.0,,,0
CDM,33300077,"HC TELETHERAPY ISODOSE PLAN, COMPLEX",3865.0,3865.0,,,0
CDM,33300078,"HC BRACHYTHERAPY ISODOSE PLAN, SIMPLE",2387.0,2387.0,,,0
CDM,33300079,"HC BRACHYTHERAPY ISODOSE PLAN, INTERMEDIATE",2837.0,2837.0,,,0
CDM,33300080,"HC BRACHYTHERAPY ISODOSE PLAN, COMPLEX",3361.0,3361.0,,,0
CDM,33300081,"HC INTENSITY MODULATED RAD TX DELIVERY (IMRT), SIMPLE",3722.0,3722.0,,,0
CDM,33300082,"HC INTENSITY MODULATED RAD TX DELIVERY (IMRT), COMPLEX",3729.0,3729.0,,,0
CDM,33300083,"HC TELETHERAPY ISODOSE PLAN, SIMPLE",2767.0,2767.0,,,0
CDM,33300084,"HC RADIATION TREATMENT DELIVERY, =>1 MEV; SIMPLE",1257.0,1257.0,,,0
CDM,33300085,"HC RADIATION TREATMENT DELIVERY, =>1 MEV; INTERMEDIATE",1817.0,1817.0,,,0
CDM,33300086,"HC RADIATION TREATMENT DELIVERY,=>1 MEV; COMPLEX",1537.0,1537.0,,,0
CDM,33300087,"HC HDR RDNCL INTERSTITIAL/INTRACAV BRCHTX, 1 CHANNEL",7155.0,7155.0,,,0
CDM,33300088,"HC HDR RDNCL INTERSTITIAL/INTRACAV BRCHTX, 2-12 CHANNELS",7155.0,7155.0,,,0
CDM,33300089,"HC HDR RDNCL INTERSTITIAL/INTRACAV BRCHTX, OVER 12 CHANNELS",7902.0,7902.0,,,0
CDM,33300092,"HC TRNSPERNEAL PLCMNT BDGRDABL MATRL, PERI-PROSTATIC,  1+  INJ, W/IMAG",18323.0,18323.0,,,0
CDM,33300093,HC PROTON TX DELIVERY SIMPLE W/O COMPENSATION,4472.0,4472.0,,,0
CDM,33300094,HC PROTON TX DELIVERY SIMPLE W/COMPENSATION,7423.0,7423.0,,,0
CDM,33300095,HC PROTON TX DELIVERY INTERMEDIATE,7548.0,7548.0,,,0
CDM,33300096,HC PROTON TX DELIVERY COMPLEX,7555.0,7555.0,,,0
CDM,33300097,HC SURFACE APPLICATION OF LOW DOSE RATE RADIONUCLIDE SOURCE,1076.0,1076.0,,,0
CDM,33300098,HC RESPIRATORY MOTION MGMT SIMULATION,1046.0,1046.0,,,0
CDM,33300099,"HC RAD TX, BRACHYTHERAPY, LESION UP TO 2.0 CM/1 CHANNEL",657.0,657.0,,,0
CDM,33300100,"HC RAD TX, BRACHYTHERAPY, LESION > 2.0 CM & 2 + CHANNELS/MULT LESION",983.0,983.0,,,0
CDM,33300101,HC TRANSPERINEAL PROSTATE PLACEMENT NEEDLES/CATHETERS FOR BRACHYTHERAPY,11000.0,11000.0,,,0
CDM,33300102,HC PLMT ENDORECTAL INTRACAVITARY APPLICATOR,1900.0,1900.0,,,0
CDM,33390001,"HC ROM RAD THERAPY ANAL, TC",1.0,1.0,,,0
CDM,33390002,"HC ROM RAD THERAPY BLADDER, TC",1.0,1.0,,,0
CDM,33390003,"HC ROM RAD THER BONE METS, TC",1.0,1.0,,,0
CDM,33390004,"HC ROM RAD THER BRAIN METS, TC",1.0,1.0,,,0
CDM,33390005,"HC ROM RAD THERAPY BREAST, TC",1.0,1.0,,,0
CDM,33390006,"HC ROM RAD THERAPY CERVICAL, TC",1.0,1.0,,,0
CDM,33390007,"HC ROM RAD THERAPY CNS, TC",1.0,1.0,,,0
CDM,33390008,"HC ROM RAD THER COLORECTAL, TC",1.0,1.0,,,0
CDM,33390009,"HC ROM RAD THER HEAD/NECK, TC",1.0,1.0,,,0
CDM,33390010,"HC ROM RAD THERAPY LUNG, TC",1.0,1.0,,,0
CDM,33390011,"HC ROM RAD THERAPY LYMPHOMA, TC",1.0,1.0,,,0
CDM,33390012,"HC ROM RAD THERAPY PANCREAS, TC",1.0,1.0,,,0
CDM,33390013,"HC ROM RAD THERAPY PROSTATE, TC",1.0,1.0,,,0
CDM,33390014,"HC ROM RAD THERAPY GI, TC",1.0,1.0,,,0
CDM,33390015,"HC ROM RAD THERAPY UTERUS, TC",1.0,1.0,,,0
CDM,33391101,HC RAD TX DELIVERY 3+ AREAS 6-10 MEV,856.0,856.0,,,0
CDM,33391102,HC RAD TX DELIVERY 3+ AREAS 6-10 MEV,856.0,856.0,,,0
CDM,33391103,HC INTENSITY MODULATED TX DELIVERY/TX SESSION,2124.0,2124.0,,,0
CDM,33391104,HC INTENSITY MODULATED TX DELIVERY/TX SESSION,2124.0,2124.0,,,0
CDM,33391105,HC RAD DELIVERY SINGLE AREA ; UP TO 5 MEV,658.0,658.0,,,0
CDM,33391106,HC RAD TX DELIVERY SINGLE AREA 20 MEV/>,694.0,694.0,,,0
CDM,33391107,HC RADIATION TX DELIVERY <= 5 MEV,769.0,769.0,,,0
CDM,33391108,HC RADIATION TX DELIVERY 20+ MEV,800.0,800.0,,,0
CDM,33500001,"HC CHEMOTHERAPY IV INFUSION, 1ST HR",1424.0,1424.0,,,0
CDM,33500002,"HC CHEMOTHERAPY IV INFUSION, EA ADDL HR",521.0,521.0,,,0
CDM,33500003,"HC CHEMOTHERAPY IV INFUSION, EA ADDL SEQ",442.0,442.0,,,0
CDM,33500004,"HC CHEMOTHERAPY ADMIN, PERITONEAL VIA INDWELLING PORT OR CATH",1237.0,1237.0,,,0
CDM,33500005,HC CHEMO PROLONG 8+ HRS INFUSE W/PUMP,4460.0,4460.0,,,0
CDM,33500006,"DEAC 09/24/2022 HC CHEMOTHERAPY ADM, EXTENDED,  IV INFUSION W/PORTABLE PUMP",856.0,856.0,,,0
CDM,33500007,"HC CHEMOTHER, IA INFUSION TECH >8 HOURS",1318.0,1318.0,,,0
CDM,33591101,"HC CHEMOTHERAPY IV INFUSION, 1ST HR",638.0,638.0,,,0
CDM,33591102,"HC CHEMOTHERAPY IV INFUSION, 1ST 0.5 HR",582.0,582.0,,,0
CDM,33591103,"HC CHEMOTHERAPY IV INFUSION, 1ST HR",678.0,678.0,,,0
CDM,33591104,"HC CHEMOTHERAPY IV INFUSION, EA ADDL HR",194.0,194.0,,,0
CDM,33591105,"HC CHEMOTHERAPY IV INFUSION, EA ADDL HR",194.0,194.0,,,0
CDM,34100001,HC THYROID UPTAKE MULTIPLE DETERMINATIONS,566.0,566.0,,,0
CDM,34100003,HC THYROID IMAGING ONLY,957.0,957.0,,,0
CDM,34100004,HC THYROID CARCINOMA METAST IMAG WHOLE BODY,2940.0,2940.0,,,0
CDM,34100005,HC PARATHYROID IMAGING,800.0,800.0,,,0
CDM,34100006,HC ADRENAL IMAGING CORTEX AND/OR MEDULLA,5330.0,5330.0,,,0
CDM,34100009,HC LYMPHATICS AND LYMPH NODE IMAGING,1954.0,1954.0,,,0
CDM,34100010,HC LIVER IMAGING W VASCULAR FLOW,2567.0,2567.0,,,0
CDM,34100011,HC LIVER IMAGING (SPECT),2218.0,2218.0,,,0
CDM,34100012,HC LIVER IMAGING (SPECT) W/VASCULAR FLOW,2218.0,2218.0,,,0
CDM,34100013,HC HEPATOBILIARY SYSTEM IMAG INC GALLBLADDER,1896.0,1896.0,,,0
CDM,34100014,HC GASTROESOPHAGEAL REFLUX SCAN,1191.0,1191.0,,,0
CDM,34100015,"HC GASTRIC EMPTYING STUDY, SOLID",1274.0,1274.0,,,0
CDM,34100016,"HC UREA BREATH TEST C-14 (ISOTOPIC), ACQUISTION",106.0,106.0,,,0
CDM,34100017,"HC UREA BREATH TEST C-14 (ISOTOPIC), ANALYSIS",467.0,467.0,,,0
CDM,34100018,HC ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,1725.0,1725.0,,,0
CDM,34100019,HC INTESTINE IMAGING E.G. MECKEL'S LOCALIZATION,1889.0,1889.0,,,0
CDM,34100020,HC PERITONEAL-VENOUS SHUNT PATENCY TEST,1409.0,1409.0,,,0
CDM,34100021,"HC BONE AND/OR JOINT IMAGING, LIMITED AREA",3213.0,3213.0,,,0
CDM,34100022,"HC BONE AND/OR JOINT IMAGING, WHOLE BODY",2949.0,2949.0,,,0
CDM,34100023,"HC BONE AND/OR JOINT IMAGING , 3 PHASE STUDY",1737.0,1737.0,,,0
CDM,34100027,HC MYOCARD PERF IMAG SPECT MULTI  REST/STRESS,5860.0,5860.0,,,0
CDM,34100028,HC MYOCARD PERF IMAG PLANAR SGL REST/STRESS,1394.0,1394.0,,,0
CDM,34100029,HC CARDO BLD POOL IMAG PLANAR SNG REST/STRESS,1831.0,1831.0,,,0
CDM,34100030,HC PULMONARY VENTILATION IMAG (AEROSOL/GAS),1911.0,1911.0,,,0
CDM,34100031,HC PULMONARY PERFUSION IMAGING PARTICULATE,1971.0,1971.0,,,0
CDM,34100032,HC PULMONARY VENTILATION & PERFUSION IMAGING,2251.0,2251.0,,,0
CDM,34100033,HC BRAIN IMAGING TOMOGRAPHIC (SPECT),2464.0,2464.0,,,0
CDM,34100035,HC CEREBROSPINAL FLUID FLOW IMG CISTERNOGRAM,2579.0,2579.0,,,0
CDM,34100036,HC CEREBROSPINAL FLUID FLOW IMG SHUNT EVAL,2018.0,2018.0,,,0
CDM,34100037,HC CEREBROSPINAL FLUID LEAKAGE IMAGING,2841.0,2841.0,,,0
CDM,34100038,HC KIDNEY IMAGING W/VASC FLOW & FUNCTION,1710.0,1710.0,,,0
CDM,34100039,HC KIDNEY IMAGING W/VASC FLOW & FUNC W/DRUG,2636.0,2636.0,,,0
CDM,34100040,HC KIDNEY IMAGING TOMOGRAPHIC (SPECT),2567.0,2567.0,,,0
CDM,34100043,HC UNLISTED GU PROCEDURE DIAGNOSTIC NM,2636.0,2636.0,,,0
CDM,34100044,"HC RADIOPHARM LOCAL TUMOR; PLANAR, SINGLE AREA, SINGLE DAY IMG",1645.0,1645.0,,,0
CDM,34100045,"HC RADIOPHARM LOCAL TUMOR ; PLANAR, WHOLE BODY, SINGLE DAY IMG",2857.0,2857.0,,,0
CDM,34100046,"HC RADIOPHARM LOCAL TUMOR,  SPECT; SINGLE AREA , SINGLE DAY IMG",2857.0,2857.0,,,0
CDM,34100047,"HC RADIOPHARM LOCALIZE ABSCESS, WHOLE BODY",4750.0,4750.0,,,0
CDM,34100060,HC THYROID UPTAKE; SINGLE,425.0,425.0,,,0
CDM,34100061,HC THYROID XR W UPTAKE; MULTIPLE,1270.0,1270.0,,,0
CDM,34100063,HC LIVER & SPLEEN; STATIC ONLY,1652.0,1652.0,,,0
CDM,34100064,HC LIVER & SPLEEN; W VASC FLOW,2567.0,2567.0,,,0
CDM,34100065,HC HEPATOBIL SYST IMAGE W/DRUG,2250.0,2250.0,,,0
CDM,34100066,HC ESOPHAGEAL MOTILITY,1268.0,1268.0,,,0
CDM,34100067,HC UNLISTED GI PROCEDURE DX NM,1673.0,1673.0,,,0
CDM,34100068,HC BONE/JOINT; MULTI AREAS,3213.0,3213.0,,,0
CDM,34100070,HC BONE/JOINT; SPECT (3D),2775.0,2775.0,,,0
CDM,34100072,HC NON-CARDIAC VASC FLOW,1159.0,1159.0,,,0
CDM,34100073,HC BRAIN IMAGE W/FLOW 4 + VIEWS,2251.0,2251.0,,,0
CDM,34100074,HC TESTICULAR IMAGING W/FLOW,1407.0,1407.0,,,0
CDM,34100075,"HC TUMOR LOCAL; PLANAR, 2 + AREAS, 1+ DAYS IMG/SNGL AREA IMG 2+ DAYS",2337.0,2337.0,,,0
CDM,34100077,"HC Radiopharmaceutical Localization, Tomographic (SPECT)",3112.0,3112.0,,,0
CDM,34100078,"HC MYOCARDIAL IMAGE, PLANAR; QUAL/QUAN",1938.0,1938.0,,,0
CDM,34100080,HC SALIVARY GLAND; W SERIAL IMAGES,1725.0,1725.0,,,0
CDM,34100085,HC LUNG PERFUSION DIFFERENTIAL,2168.0,2168.0,,,0
CDM,34100095,HC BONE MARROW IMAGING; MULTIPLE AREAS,5330.0,5330.0,,,0
CDM,34100105,HC LIVER IMAGE; STATIC ONLY,2567.0,2567.0,,,0
CDM,34100115,HC LUNG PERFUSION & VENTILATION DIFFERENTIAL,2829.0,2829.0,,,0
CDM,34100120,HC KIDNEY IMAGING MORPHOLOGY,1477.0,1477.0,,,0
CDM,34100125,HC KIDNEY FLOW/FUNCT IMAGE-MULT W & W/O PHARM INTERV,2636.0,2636.0,,,0
CDM,34100130,HC TUMOR IMAGING WHOLE BODY 2+ DAYS,4995.0,4995.0,,,0
CDM,34100135,HC LOCALIZATION OF INFLAMMATORY PROCESS; LIMIT AREA,4750.0,4750.0,,,0
CDM,34100136,HC BONE MARROW IMAGING; WHOLE BODY,5330.0,5330.0,,,0
CDM,34100140,HC THYROID UPTAKE MEASUREMENT,759.0,759.0,,,0
CDM,34100141,HC THYROID IMAGING W/BLOOD FLOW,970.0,970.0,,,0
CDM,34100142,HC THYROID IMAGING W/BLOOD FLOW & 1+ UPTAKES,1704.0,1704.0,,,0
CDM,34100144,HC PARTHYROID PLANAR IMAGING W/ SPECT,2066.0,2066.0,,,0
CDM,34100157,"HC RADIOPHARM LOCALIZE TUMOR, SPECT, W/CT 1 AREA 1 DAY IMAGE",5918.0,5918.0,,,0
CDM,34100158,"HC RADIOPHARM LOCAL TUMOR, SPECT, 2 AREA 1 DAY IMG OR 1 AREA IMG 2+ DAYS",5918.0,5918.0,,,0
CDM,34100159,"HC RADIOPHARM LOCAL TUMOR, SPECT, MIN 2 AREA 1 DAY IMG /1 AREA OR IMG 2+ DAYS",6715.0,6715.0,,,0
CDM,34100160,"HC RADIOPHARMACEUTICAL QUANTIFICATION MEASUREMENT(S), 1 AREA",1714.0,1714.0,,,0
CDM,34100201,"HC MRA WO CONTRAST, PELVIS",4530.0,4530.0,,,0
CDM,34100205,"HC GASTRIC EMPTYING IMAGING STUDY  (SOLID, LIQUID OR BOTH)",1709.0,1709.0,,,0
CDM,34100206,HC GASTRIC EMPTYING IMAGING STUDY; W/SMALL BOWEL TRANSIT,1709.0,1709.0,,,0
CDM,34100207,"HC GASTRIC EMPTYING IMAG STUDY W/SMALL BOWEL & COLON TRANSIT, MULT DAY",2562.0,2562.0,,,0
CDM,34200001,"HC RADIOPHARM THERAPY, BY ORAL ADMINISTRATION",2244.0,2244.0,,,0
CDM,34200002,"HC RADIOPHARM THERAPY, BY IV ADMINISTRATION",2870.0,2870.0,,,0
CDM,34341115,HC DEAC 05/05/2021 F18 FDG =< 45 MCI,348.0,348.0,,,0
CDM,35000001,HC CT SOFT TISSUE NECK W/O CONTRAST,2324.0,2324.0,,,0
CDM,35000002,HC CT SOFT TISSUE NECK W/CONTRAST,2776.0,2776.0,,,0
CDM,35000003,HC CT SOFT TISSUE NECK W/O & W/CONTRAST,3340.0,3340.0,,,0
CDM,35000004,HC CT ANGIO NECK W/CONTRAST MATERIAL(S),3340.0,3340.0,,,0
CDM,35000005,HC CT HEART W/O CONTRAST W/CALCIUM QUANT,688.0,688.0,,,0
CDM,35000006,HC CT HEART W/CONTRAST INC W/3 D POSTPROC,1534.0,1534.0,,,0
CDM,35000008,HC CTA HEART W/CON W/3D IMAGE POSTPROCESS,1534.0,1534.0,,,0
CDM,35000009,HC 3D RENDERING W/O POSTPROCESS,1597.0,1597.0,,,0
CDM,35000010,HC 3D RENDERING W POSTPROCESS,1597.0,1597.0,,,0
CDM,35000011,HC CT LIMITED OR LOCALIZED FOLLOW-UP STUDY,1128.0,1128.0,,,0
CDM,35000013,HC CT SCAN FOR NEEDLE BIOPSY,3884.0,3884.0,,,0
CDM,35000014,HC CT GUIDANCE TISSUE ABLATION,3884.0,3884.0,,,0
CDM,35000015,HC CT GUIDANCE PLCMNT RAD THERAPY FIELDS,542.0,542.0,,,0
CDM,35091115,HC (SMH MOSAIQ) CT GUIDANCE PLCMNT RAD THERAPY FIELDS,448.0,448.0,,,0
CDM,35100001,"HC CT HEAD OR BRAIN, W/O CONTRAST",2250.0,2250.0,,,0
CDM,35100002,"HC CT HEAD OR BRAIN, W CONTRAST",2480.0,2480.0,,,0
CDM,35100003,"HC CT HEAD OR BRAIN, W & W/O CONTRAST",3357.0,3357.0,,,0
CDM,35100004,"HC CT ORBIT, SELLA, POSTERIOR FOSSA W/O CONTRAST",2541.0,2541.0,,,0
CDM,35100005,"HC CT ORBIT, SELLA, POSTERIOR FOSSA W CONTRAST",2696.0,2696.0,,,0
CDM,35100006,"HC CT ORBIT, SELLA, P. FOSSA W/O & W CONTRAST",3357.0,3357.0,,,0
CDM,35100007,HC CT MAXILLOFACIAL W/O CONTRAST,1520.5,1520.5,,,0
CDM,35100008,HC CT MAXILLOFACIAL W/CONTRAST,2696.0,2696.0,,,0
CDM,35100009,HC CT MAXILLOFACIAL W/O & W/CONTRAST,3357.0,3357.0,,,0
CDM,35100010,HC CT ANGIO HEAD W/CONTRAST MATERIAL(S),3357.0,3357.0,,,0
CDM,35200001,HC DX CT THORAX W/O CONTRAST,2100.0,2100.0,,,0
CDM,35200002,HC DX CT THORAX W CONTRAST,3359.0,3359.0,,,0
CDM,35200003,HC DX CT THORAX W & W/O CONTRAST,4210.0,4210.0,,,0
CDM,35200004,HC CTA CHEST W CONTRAST,2798.0,2798.0,,,0
CDM,35200005,"HC CT CERVICAL SPINE, W/O CONTRAST",2564.0,2564.0,,,0
CDM,35200006,"HC CT CERVICAL SPINE, W CONTRAST",2488.0,2488.0,,,0
CDM,35200007,"HC CT CERVICAL SPINE, W & W/O CONTRAST",4210.0,4210.0,,,0
CDM,35200008,"HC CT  THORACIC SPINE, W/O CONTRAST",2798.0,2798.0,,,0
CDM,35200009,"HC CT THORACIC SPINE, W CONTRAST",3357.0,3357.0,,,0
CDM,35200010,"HC CT THORACIC SPINE, W & W/O CONTRAST",4210.0,4210.0,,,0
CDM,35200011,"HC CT LUMBAR SPINE, W/O CONTRAST",2891.0,2891.0,,,0
CDM,35200012,"HC CT  LUMBAR SPINE, W CONTRAST",3357.0,3357.0,,,0
CDM,35200013,"HC CT LUMBAR SPINE, W & W/O CONTRAST",4686.0,4686.0,,,0
CDM,35200014,HC CTA PELVIS W & W/O CONTRAST,4210.0,4210.0,,,0
CDM,35200015,HC CT PELVIS W/O CONTRAST,2798.0,2798.0,,,0
CDM,35200016,HC CT PELVIS W CONTRAST,3357.0,3357.0,,,0
CDM,35200017,HC CT PELVIS W & W/O CONTRAST,4210.0,4210.0,,,0
CDM,35200018,HC PERCUT VERTOPLASTY/SACROPLASTY W/CT GUID,656.0,656.0,,,0
CDM,35200019,HC CT UPPER EXT W/O CONTRAST,3577.5,3577.5,,,0
CDM,35200020,HC CT UPPER EXT W CONTRAST,4459.5,4459.5,,,0
CDM,35200021,HC CTA UPPER EXT W & W/O CONTRAST,5594.5,5594.5,,,0
CDM,35200022,HC CT LOWER EXT W/O CONTRAST,3730.0,3730.0,,,0
CDM,35200023,HC CT LOWER EXT W CONTRAST,4459.5,4459.5,,,0
CDM,35200024,HC CT LOWER EXT W & W/O CONTRAST,5594.5,5594.5,,,0
CDM,35200025,HC CTA LOWER EXT W/O & W CONTRAST,5594.5,5594.5,,,0
CDM,35200026,HC CT ABDOMEN W/O CONTRAST,1727.0,1727.0,,,0
CDM,35200027,HC CT ABDOMEN W CONTRAST,3256.0,3256.0,,,0
CDM,35200028,HC CT ABDOMEN W & W/O CONTRAST,4036.0,4036.0,,,0
CDM,35200029,HC CTA ABDOMEN W/O AND W CONTRAST,5012.0,5012.0,,,0
CDM,35200030,HC CT ABDOMEN AND PELVIS W/O CONTRAST,4523.0,4523.0,,,0
CDM,35200031,HC CT ABDOMEN AND PELVIS W CONTRAST,6610.0,6610.0,,,0
CDM,35200032,HC CT ABDOMEN AND PELVIS W & W/O CONTRAST,8244.0,8244.0,,,0
CDM,35200033,"HC CT COLONOGRAPHY, DX W/2D, 3D W/O CON",2798.0,2798.0,,,0
CDM,35200034,"HC CT COLONOGRAPHY, DX W/2D, 3D W/CONTRAST",2798.0,2798.0,,,0
CDM,35200035,"HC CT COLONOGRAPHY, SCREENING W/2D, 3D",761.0,761.0,,,0
CDM,35200040,HC CT ANGIO ABDOMINAL ARTERIES,3557.0,3557.0,,,0
CDM,35200041,HC CT UPR EXTREMITY W/WO CONTRAST,5594.5,5594.5,,,0
CDM,35200050,HC CT ANGIO ABD&PELV W/O&W/DYE,8244.0,8244.0,,,0
CDM,35200051,"HC CT THORAX, LOW DOSE LUNG CANCER SCREENING, W/O CONTRAST",1128.0,1128.0,,,0
CDM,36000002,HC SAME DAY SURGERY FEE,534.0,534.0,,,0
CDM,36000014,HC PROCEDURE LEVEL 1 FIRST 30 MINUTES,5083.0,5083.0,,,0
CDM,36000015,HC PROCEDURE LEVEL 2 FIRST 30 MINUTES,5816.0,5816.0,,,0
CDM,36000016,HC PROCEDURE LEVEL 3 FIRST 30 MINUTES,6547.0,6547.0,,,0
CDM,36000017,HC PROCEDURE LEVEL 4 FIRST 30 MINUTES,7273.0,7273.0,,,0
CDM,36000018,HC PROCEDURE LEVEL 5 FIRST 30 MINUTES,6547.0,6547.0,,,0
CDM,36000019,HC PROCEDURE LEVEL 6 FIRST 30 MINUTES,5816.0,5816.0,,,0
CDM,36000024,HC PRE-OP CHARGE,946.0,946.0,,,0
CDM,36000114,HC PROCEDURE LEVEL 1 EA ADDL 30 MIN,2567.0,2567.0,,,0
CDM,36000115,HC PROCEDURE LEVEL 2 EA ADDL 30 MIN,3021.0,3021.0,,,0
CDM,36000116,HC PROCEDURE LEVEL 3 EA ADDL 30 MIN,3477.0,3477.0,,,0
CDM,36000117,HC PROCEDURE LEVEL 4 EA ADDL 30 MIN,3931.0,3931.0,,,0
CDM,36000118,HC PROCEDURE LEVEL 5 EA ADDL 30 MIN,3477.0,3477.0,,,0
CDM,36000119,HC PROCEDURE LEVEL 6 PER 30 MINUTE,3021.0,3021.0,,,0
CDM,36013001,HC OR FLAT RATE BLOCK ROOM CHARGE,2020.0,2020.0,,,0
CDM,36100004,DEAC 7/1/2017 HC RADIOLOGY SURGICAL COMPONENT,194.0,194.0,,,0
CDM,36100050,"HC FINE NEEDLE ASPIRATION BIOPSY; W/O IMAGE GUIDANCE, 1ST LESION",518.0,518.0,,,0
CDM,36100051,HC INJECTION FOR MAMMARY DUCTOGRAM OR GALACTOGRAM,1399.0,1399.0,,,0
CDM,36100052,"HC Incision and drainage of soft tissue abscess, subfascial",667.5,667.5,,,0
CDM,36100053,HC INJECTION OF SINUS TRACT; THERAPEUTIC,2615.0,2615.0,,,0
CDM,36100054,"HC REMOVE FOREIGN BODY, MUSCLE OR TENDON; COMPLICATED",4268.5,4268.5,,,0
CDM,36100055,HC INJECTION; SINGLE TENDON SHEATH/LIGAMENT,518.0,518.0,,,0
CDM,36100056,"HC INJECTION; TRIGGER POINTS, 1 OR 2 MUSCLES",616.5,616.5,,,0
CDM,36100057,"HC ARTHROCENTESIS, SMALL JOINT OR BURSA",565.5,565.5,,,0
CDM,36100058,"HC ARTHROCENTESIS, INTERMEDIATE JOINT OR BURSA",703.0,703.0,,,0
CDM,36100059,HC PERCUTANEOUS VERTEBROPLASTY; THORACIC,4662.0,4662.0,,,0
CDM,36100060,HC PERCUTANEOUS VERTEBROPLASTY; LUMBAR,2670.0,2670.0,,,0
CDM,36100061,HC PERCUTANEOUS VERTEBROPLASTY; ADDL,2670.0,2670.0,,,0
CDM,36100062,HC PERCUTANEOUS KYPHOPLASTY; THORACIC,4921.0,4921.0,,,0
CDM,36100063,HC PERCUTANEOUS KYPHOPLASTY; LUMBAR,4921.0,4921.0,,,0
CDM,36100064,HC PERCUTANEOUS KYPHOPLASTY ADD-ON,4921.0,4921.0,,,0
CDM,36100065,HC INJECTION FOR SHOULDER X-RAY,1003.0,1003.0,,,0
CDM,36100066,HC INJECTION FOR ELBOW ARTHROGRAPHY,1306.0,1306.0,,,0
CDM,36100067,HC INJECTION FOR WRIST ARTHROGRAPHY,1420.5,1420.5,,,0
CDM,36100068,HC INJECTION HIP ARTHROGRAPHY; WO ANESTHESIA,1361.0,1361.0,,,0
CDM,36100069,HC Injection knee arthrography,652.5,652.5,,,0
CDM,36100070,HC THORACENTESIS W TUBE INSERTION,1138.0,1138.0,,,0
CDM,36100071,HC INSERT PLEURAL CATHETER WITH CUFF,12125.0,12125.0,,,0
CDM,36100072,"HC Percutaneous transluminal angioplasty, venous",3517.0,3517.0,,,0
CDM,36100073,HC EXTEMITY VENOGRAPHY INJECTION,361.0,361.0,,,0
CDM,36100074,"HC NONSELECTIVE CATH, SUPERIOR/INFERIOR VENA CAVA",2386.0,2386.0,,,0
CDM,36100075,"HC SELECTIVE CATHETER, FIRST ORDER FAMILY",3600.0,3600.0,,,0
CDM,36100076,"HC SELECTIVE CATHETER, SECOND ORDER FAMILY",4193.0,4193.0,,,0
CDM,36100077,HC Access AV dialysis graft for eval,1379.0,1379.0,,,0
CDM,36100078,"HC SELECTIVE CATH ARTERY, BRACH-CEPH, FIRST ORDER",4116.0,4116.0,,,0
CDM,36100079,HC INSERT CATHETER ABD/L-EXT ARTERY 1ST,4173.0,4173.0,,,0
CDM,36100080,HC INSERT CATHETER ABD/L-EXT ART 2ND,4173.0,4173.0,,,0
CDM,36100081,HC INSERT CATHETER ABD/L-EXT ART 3RD,5415.0,5415.0,,,0
CDM,36100082,"HC INJECTION(S) OF SCLEROSANT FOR  SPIDER VEINS, LIMB OR TRUNK",1143.0,1143.0,,,0
CDM,36100083,"HC ENDOVENOUS ABLATION, RADIOFREQ, 1ST VEIN",15871.0,15871.0,,,0
CDM,36100084,"HC ENDOVENOUS ABLATION, RADIOFREQ, VEIN ADD ON",8551.0,8551.0,,,0
CDM,36100085,"HC INSERT NON-TUNNELED CV CATHETER, AGE 5 OR OLDER",3963.0,3963.0,,,0
CDM,36100086,"HC INSERT TUNNELED CV CATHETER, AGE 5 OR OLDER",7436.0,7436.0,,,0
CDM,36100087,"HC INSERT TUNNELED CVAD W/PORT, 5YRS OR OLDER",17043.0,17043.0,,,0
CDM,36100088,"HC REPLACE TUNNELED CV CATHETER, SAME VENOUS",7334.0,7334.0,,,0
CDM,36100089,HC REPLACE TUNNELED CVAD WITH PORT,14707.0,14707.0,,,0
CDM,36100090,"HC REPLACE PICC CATHETER, INCL IMAGE GUIDE",4006.0,4006.0,,,0
CDM,36100091,"HC REMOVE TUNNELED CV CATHETER, WO PORT",1232.0,1232.0,,,0
CDM,36100092,"HC REMOVE TUNNELED CVAD, WITH PORT OR PUMP",3552.0,3552.0,,,0
CDM,36100093,"HC Thrombectomy, percutaneous, av fistula",3632.0,3632.0,,,0
CDM,36100094,HC INSERT ENDOVASCULAR VENA CAVA FILTER,8589.0,8589.0,,,0
CDM,36100095,HC REMOVE ENDOVASCULAR VENA CAVE FILTER,9727.0,9727.0,,,0
CDM,36100096,HC TRANSCATHETER BIOPSY,4695.0,4695.0,,,0
CDM,36100097,"HC TRANSCATHETER RETRIEVAL, PERCUT, FOREIGN BODY",2848.0,2848.0,,,0
CDM,36100098,HC TRANSCATHETER OCCLUSION OR EMBOLIZATION,9238.0,9238.0,,,0
CDM,36100099,"HC TRANSCATHETER PLACEMENT, IV STENT, INITIAL VESSEL",4570.0,4570.0,,,0
CDM,36100100,HC UTERINE FIBROID EMBOLIZATION,9238.0,9238.0,,,0
CDM,36100101,"HC REVASC, ILIAC ARTERY, UNIL, 1ST VESSEL; W STENT",8873.0,8873.0,,,0
CDM,36100102,"HC REVASC, OPEN/PERCUT, FEMORAL/POPLITEAL W/TLA; UNIL",9266.0,9266.0,,,0
CDM,36100103,"HC STAB PHLEBECTOMY, VEINS, 1 EXT, 10-20",14219.0,14219.0,,,0
CDM,36100104,"HC STAB PHLEBECTOMY, VEINS, 1 EXT, MORE THAN 20",14219.0,14219.0,,,0
CDM,36100105,HC UNLISTED VASCULAR SURGERY PROCEDURE,14219.0,14219.0,,,0
CDM,36100106,HC RADIOACTIVE TRACER ID SENTINEL NODE,1327.0,1327.0,,,0
CDM,36100107,"HC UNLISTED PROCEDURE, HEMIC OR LYMPHATIC SYSTEM",1333.0,1333.0,,,0
CDM,36100108,HC REPOSITION GASTROSTOMY TUBE,1147.0,1147.0,,,0
CDM,36100109,"HC HEPATOTOMY; PERCUT DRAIN ABSCESS, 1 OR 2 STAGES",3433.0,3433.0,,,0
CDM,36100110,HC INJECTION PERCUT TRANSHEPATIC CHOLANGIOGRAPHY,908.0,908.0,,,0
CDM,36100111,HC INJECTION CHOLANGIOGRAPHY THRU EXISTING CATH,386.0,386.0,,,0
CDM,36100112,HC PERCUT BILIARY DRAINAGE INTERNAL AND EXTERNAL,13353.0,13353.0,,,0
CDM,36100113,HC CHANGE OF PERCUT BILIARY DRAINAGE CATH,3039.0,3039.0,,,0
CDM,36100114,HC PERCUT DILATION BILARY STRICTURE WO STENT,4678.0,4678.0,,,0
CDM,36100115,HC PERCUT DILATION BILARY STRICTURE WITH STENT,5519.0,5519.0,,,0
CDM,36100116,"HC DRAIN PERITONEAL ABSCESS OR CYST, PERCUTANEOUS",3344.0,3344.0,,,0
CDM,36100117,"HC INSERT TUNNELED IP CATH FOR DIALYSIS, OPEN",3409.0,3409.0,,,0
CDM,36100118,"HC CONTRAST INJECTION, ASSESS CYST VIA EXIST CATH",779.0,779.0,,,0
CDM,36100119,"HC PLACE GASTROSTOMY TUBE, PERCUT, UNDER FLUORO GUIDE",5131.0,5131.0,,,0
CDM,36100120,HC DRAIN RENAL ABSCESS; PERCUTANEOUS,3745.0,3745.0,,,0
CDM,36100121,"HC NEPHROSTOMY, NEPHROTOMY WITH DRAINAGE",3552.0,3552.0,,,0
CDM,36100122,HC CHANGE EXT/INT URETER STENT,4311.0,4311.0,,,0
CDM,36100123,HC REMOVE RENAL TUBE W/FLUORO,1310.0,1310.0,,,0
CDM,36100124,HC PERCUT DRAIN OR INJECT RENAL PELVIS,1759.0,1759.0,,,0
CDM,36100125,HC PERCUT DRAIN OR STENT PLACEMENT URETER,2110.0,2110.0,,,0
CDM,36100126,HC INJECTION PROCEDURE FOR PYELOGRAPHY,365.0,365.0,,,0
CDM,36100127,"HC Dilation for nephrostomy tract, percut",1966.0,1966.0,,,0
CDM,36100128,HC CHANGE OF NEPHROSTOMY OR PYELOSTOMY TUBE,899.0,899.0,,,0
CDM,36100129,HC INJECT ILEAL CONDUIT/URETEROPYELOGRAM,873.0,873.0,,,0
CDM,36100130,HC INJECTION CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY,662.0,662.0,,,0
CDM,36100131,"HC CYSTOURETHROSCOPY, WITH URETEROSCOPY, DX",3912.0,3912.0,,,0
CDM,36100132,HC CATHETER FOR HYSTEROGRAPHY,707.0,707.0,,,0
CDM,36100133,"HC MYELOGRAM INJECT, SPINAL NOT C1-C2",1433.0,1433.0,,,0
CDM,36100134,HC PERCUTANEOUS DISKECTOMY,10085.0,10085.0,,,0
CDM,36100135,"HC INJECTION DISCOGRAPHY, EACH LEVEL; LUMBAR",481.0,481.0,,,0
CDM,36100136,"HC Inject spine, cervical or thoracic",755.0,755.0,,,0
CDM,36100137,"HC Inject spine, lumbar or sacral",607.0,607.0,,,0
CDM,36100138,"HC LAMINOTOMY, ONE INTERSPACE, LUMBAR",6812.0,6812.0,,,0
CDM,36100139,"HC LAMINOTOMY, EA ADDL INTERSPACE, CERVICAL OR LUMBAR",3258.0,3258.0,,,0
CDM,36100140,"HC PERCUTANEOUS IMPLANT NEURO ELECTRODES, EPIDURAL",12049.5,12049.5,,,0
CDM,36100141,"HC REMOVE NEURO ELECTRODE PERCUT, W/FLUORO",5772.0,5772.0,,,0
CDM,36100142,HC REVIS/REMVL IMPL NSTIM GENERATOR/RCVR W/DETACH CONNECT E. ARRAY,5825.5,5825.5,,,0
CDM,36100143,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; TRIGEMINAL NERVE, EA BRCH",952.0,952.0,,,0
CDM,36100144,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; GREATER OCCIPITAL NERVE",1527.0,1527.0,,,0
CDM,36100145,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; INTERCOSTAL NERVE, SNGL LEVEL",1527.0,1527.0,,,0
CDM,36100146,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; INTERCOSTAL NERVE EA ADDL LEVEL",1527.0,1527.0,,,0
CDM,36100147,"HC INJ(S), ANES AGENT(S)&/OR STERIOD; ILIOINGUINAL, ILIOHYPOGASTRIC  NERVES",1527.0,1527.0,,,0
CDM,36100148,"HC INJ(S), TRANSFORAMINAL EPIDURAL, CERVICAL/THORACIC, 1 LEVEL",1440.0,1440.0,,,0
CDM,36100149,"HC INJ(S), TRANSFORAMINAL EPIDURAL, CERVICAL/THORACIC, EA ADDL LEVEL",1212.0,1212.0,,,0
CDM,36100150,"HC INJ(S), TRANSFORAMINAL EPIDURAL, LUMBAR/SACRAL, 1 LEVEL",1527.0,1527.0,,,0
CDM,36100151,"HC INJ(S), TRANSFORAMINAL EPIDURAL, LUMBAR/SACRAL, EA ADDL LEVEL",1527.0,1527.0,,,0
CDM,36100152,"HC INJ PARAVERTEBRAL FACET, CERVICAL/THORARCIC, 1 LEVEL",2994.0,2994.0,,,0
CDM,36100153,"HC INJ PARAVERTEBRAL FACET, CERVICAL/THORARCIC, 2 LEVEL",1147.5,1147.5,,,0
CDM,36100154,"HC INJ PARAVERTEBRAL FACET, CERVICAL/THORARCIC, 3 LEVEL",1174.0,1174.0,,,0
CDM,36100155,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 1 LEVEL",2707.0,2707.0,,,0
CDM,36100156,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 2 LEVEL",1416.0,1416.0,,,0
CDM,36100157,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 3 LEVEL",1515.5,1515.5,,,0
CDM,36100158,"HC NERVE BLOCK INJ, STELLATE GANGLION",1527.0,1527.0,,,0
CDM,36100159,"HC NERVE BLOCK INJ, SUPERIOR HYPOGASTRIC PLEXUS",3308.5,3308.5,,,0
CDM,36100160,"HC NERVE BLOCK INJ, LUMBAR OR THORACIC",1527.0,1527.0,,,0
CDM,36100161,"HC NERVE BLOCK INJ, CELIAC PLEXUS",2994.0,2994.0,,,0
CDM,36100162,"HC DESTROY CERVICAL OR THORACIC, SINGLE FACET JOINT",4155.5,4155.5,,,0
CDM,36100163,"HC DESTROY CERVICAL OR THORACIC, EA ADDL FACET JOINT",2193.0,2193.0,,,0
CDM,36100164,"HC DESTROY LUMBAR OR SACRAL, SINGLE FACET JOINT",3327.0,3327.0,,,0
CDM,36100165,"HC DESTROY LUMBAR OR SACRAL, EA ADDL FACET JOINT",2080.0,2080.0,,,0
CDM,36100166,"HC DESTROY NEUROLYTIC, OTHER PERIPHERAL NERVE",2173.5,2173.5,,,0
CDM,36100167,HC ARTERIAL BLOOD SAMPLING VIA PERC PUNCTURE,590.0,590.0,,,0
CDM,36100168,HC PLACE NEEDLE INTRAOSSEOUS INFUSION,915.0,915.0,,,0
CDM,36100169,HC PULMONARY EMBOLECTOMY; WO CPB,27451.0,27451.0,,,0
CDM,36100200,HC THROMBOLYTIC ART THERAPY,3667.0,3667.0,,,0
CDM,36100201,HC THROMBOLYTIC VENOUS THERAPY,3431.0,3431.0,,,0
CDM,36100202,HC THROMBLYTIC ART/VEN THERAPY,7654.0,7654.0,,,0
CDM,36100203,HC CESSJ THERAPY CATH REMOVAL,7654.0,7654.0,,,0
CDM,36100250,HC DRESS/DEBRID P-THICK BURN L,517.0,517.0,,,0
CDM,36100251,HC CL TX ULNAR SHAFT FX; WO MANIP,339.0,339.0,,,0
CDM,36100252,HC NONSELECTIVE CATH PLACEMENT IN VEIN,368.0,368.0,,,0
CDM,36100253,HC ANOSCOPY; DX,125.0,125.0,,,0
CDM,36100255,HC REPLACE NON-TUNNELED CV CATH,206.0,206.0,,,0
CDM,36100256,"HC INJ (S), ANESTH AGENT(S) &/OR STERIOD; SCIATIC NERVE, INCL IMG GUIDANCE",1527.0,1527.0,,,0
CDM,36100257,HC BRONCHOSCOPY RESP COMPONENT,3351.0,3351.0,,,0
CDM,36100258,HC BRONCHOSCOPY ENDO COMPONENT,2392.0,2392.0,,,0
CDM,36100259,HC PLEURAL CATH ENDO COMPONENT,2064.0,2064.0,,,0
CDM,36100260,HC PLEURAL CATH RESP COMPONENT,2055.0,2055.0,,,0
CDM,36100261,HC OPEN/PERQ PLACE STENT SAME INITIAL ARTERY,10883.0,10883.0,,,0
CDM,36100262,HC OPEN/PERQ PLACE STENT EACH ADDTL ARTERY,6302.0,6302.0,,,0
CDM,36100263,HC OPEN/PERQ PLACE STENT SAME INITIAL VEIN,10883.0,10883.0,,,0
CDM,36100264,HC OPEN/PERQ PLACE STENT EA ADD,6302.0,6302.0,,,0
CDM,36100265,HC VASC EMBOLIZE/OCCLUDE VENOUS,16344.0,16344.0,,,0
CDM,36100266,HC VASC EMBOLIZE/OCCLUDE ARTERY,16344.0,16344.0,,,0
CDM,36100267,HC VASC EMBOLIZE/OCCLUDE ORGAN,16344.0,16344.0,,,0
CDM,36100268,HC VASC EMBOLIZE/OCCLUDE BLEED,16344.0,16344.0,,,0
CDM,36100269,HC IMAGE CATH FLUID COLXN VISC,7137.0,7137.0,,,0
CDM,36100270,HC IMAGE CATH FLUID PERI/RETRO,7228.0,7228.0,,,0
CDM,36100271,HC CHEMODENERV MUSC NECK DYSTON,1423.0,1423.0,,,0
CDM,36100272,HC CHEMODENERV 1 EXTREMITY 1-4,1191.0,1191.0,,,0
CDM,36100273,HC CHEMODENERV 1 EXTREM 1-4 EA,1191.0,1191.0,,,0
CDM,36100274,HC CHEMODENERV 1 EXTREM 5/> MUS,1191.0,1191.0,,,0
CDM,36100275,HC CHEMODENERV 1 EXTREM 5/> EA,1191.0,1191.0,,,0
CDM,36100276,HC CHEMODENERV TRUNK MUSC 1-5,1191.0,1191.0,,,0
CDM,36100277,HC CHEMODENERV TRUNK MUSC 6/>,1191.0,1191.0,,,0
CDM,36100278,"HC CHEMODENERV, MUSC(S); LARYNX UNI EMG",2488.0,2488.0,,,0
CDM,36100279,HC ABLATE BONE TUMOR PERQ,13757.0,13757.0,,,0
CDM,36100280,HC IMAGE GUIDED CATH ABSCESS TRANSVAGINAL,2373.0,2373.0,,,0
CDM,36100281,"HC PLACE NEEDLE/CATH A-V DIALYSIS SHUNT, ADDTL ACCESS FOR THERAPY",690.0,690.0,,,0
CDM,36100282,HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,775.0,775.0,,,0
CDM,36100283,HC INJ & PLACEMENT OF CONTRAST CHAINS,662.0,662.0,,,0
CDM,37000002,"HC MODERATE SEDATION 5 YRS & OLDER, 1ST 30 MIN",316.0,316.0,,,0
CDM,37000003,"HC MODERATE SEDATION UNDER 5 YRS, 1ST 30 MIN",316.0,316.0,,,0
CDM,37000005,HC ANESTHESIOLOGY FLAT RATE,1091.0,1091.0,,,0
CDM,37000006,HC MOD SEDATION SAME PHYS/QHP 5/>YRS; INITL 15 MIN,1131.0,1131.0,,,0
CDM,37000007,HC MOD SED SAME PHYS/QHP; EA ADDL 15 MIN,638.0,638.0,,,0
CDM,37000008,HC MOD SED OTHER PHYS/QHP <5 YRS; INITL 15 MIN,1131.0,1131.0,,,0
CDM,37000009,HC MOD SED OTHER PHYS/QHP; EA ADDL 15 MIN,638.0,638.0,,,0
CDM,37000010,HC MOD SED OTHER PHYS/QHP 5/>YRS; INITL 15 MIN,638.0,638.0,,,0
CDM,37000011,HC MOD SED SAME PHYS/QHP <5 YRS; INITL 15 MIN,638.0,638.0,,,0
CDM,38100001,HC RBC DEGLYCEROLIZED EACH UNIT,1199.0,1199.0,,,0
CDM,38100002,HC RBC DEGLYCEROLIZED EACH UNIT,1138.0,1138.0,,,0
CDM,38100003,HC RBC LR IRRADIATED EACH UNIT,839.0,839.0,,,0
CDM,38100006,HC WSH LR FROZ DW WB/RBC EA UNIT,1526.0,1526.0,,,0
CDM,38100007,HC RBC FROZ LEUK REDUC IRRAD EA UNIT,1130.0,1130.0,,,0
CDM,38100008,HC CMV-NEG LR IRRAD RBC EA UNIT,1514.0,1514.0,,,0
CDM,38100201,HC RBC DEGLYCEROLIZED EA UNIT (AUTOLOGOUS/DIRECTED),1456.0,1456.0,,,0
CDM,38100203,HC RBC LR IRRADIATED EA UNIT (AUTOLOGOUS/DIRECTED),1241.0,1241.0,,,0
CDM,38100206,"HC RBC, DEGLYCER, LEUKOREDUCED (AUTOLOGOUS/DIRECTED)",1791.0,1791.0,,,0
CDM,38100207,HC RBC FROZ LEUK REDUC IRRAD EA UNIT (AUTOLOGOUS/DIRECTED),1395.0,1395.0,,,0
CDM,38120004,HC WASHED RED BLOOD CELLS EA UNIT,912.0,912.0,,,0
CDM,38120005,HC WASHED RED BLOOD CELLS EA UNIT (AUTOLOGOUS/DIRECTED),3482.0,3482.0,,,0
CDM,38200001,HC BLOOD SPLIT UNIT,1223.0,1223.0,,,0
CDM,38200002,HC WHOLE BLD FOR TRANSFUSION/UNIT,917.0,917.0,,,0
CDM,38200003,HC WHOLE BLD FOR TRANSFUSION/UNIT (AUTOLOGOUS/DIRECTED),1362.0,1362.0,,,0
CDM,38200004,HC LR IRRAD WHOLE BLD EA UNIT,445.0,445.0,,,0
CDM,38200204,"HC WHOLE BLOOD, IRRADIATED, LEUKOREDUCED (AUTOLOGOUS/DIRECTED)",709.0,709.0,,,0
CDM,38300001,DEAC 3/14/2017 HC PLASMA 1 DONOR FRZ W/IN 8 HR,131.0,131.0,,,0
CDM,38300002,HC FFP 8-24 HRS OF COLLECT EA UNIT,266.0,266.0,,,0
CDM,38300003,HC DETERGENT TX FROZEN PLASMA EA UNIT,861.0,861.0,,,0
CDM,38300004,HC FFP DONOR RETSTD EA UNIT,223.0,223.0,,,0
CDM,38400001,HC PLATELETS PHERESIS EACH UNIT,1352.0,1352.0,,,0
CDM,38400002,HC PLATELETS PHERESIS LR EA UNIT,1352.0,1352.0,,,0
CDM,38400003,HC PLATELETS PHERESIS LR IRRAD EA UNIT,1587.0,1587.0,,,0
CDM,38400006,HC IRRADIATED PLATELETS EA UNIT,321.0,321.0,,,0
CDM,38400007,HC LEUKOREDUCED IRRAD PLATELETS EA UNIT,372.0,372.0,,,0
CDM,38400008,HC PLTLT HLA-LR EA UNIT,2239.0,2239.0,,,0
CDM,38400009,HC CMV-N LR IR PLTLT EA UNIT,1664.0,1664.0,,,0
CDM,38400010,HC LR CMV-NEG PLATELETS EA UNIT,1253.0,1253.0,,,0
CDM,38400011,HC PR PLASMA EA UNIT,619.0,619.0,,,0
CDM,38400012,HC LEUKO REDUCED PLATELETS EA UNIT,247.0,247.0,,,0
CDM,38460001,HC PRT PLATELETS,1910.0,1910.0,,,0
CDM,38600001,HC GRANULOCYTES PHERESIS UNIT,8905.0,8905.0,,,0
CDM,38700001,HC CRYOPRECIPITATE EA UNIT,247.0,247.0,,,0
CDM,39000001,HC COMPATIBILITY TEST SPIN,218.0,218.0,,,0
CDM,39000002,HC FROZEN BLOOD PREP,728.0,728.0,,,0
CDM,39000003,HC BLOOD SPLIT UNIT,1278.0,1278.0,,,0
CDM,39000004,HC CRYOPRECIPITATE EA UNIT,247.0,247.0,,,0
CDM,39000005,HC LEUKOCYTE POOR BLOOD EA UNIT,723.0,723.0,,,0
CDM,39000006,HC PLASMA 1 DONOR FRZ W/IN 8 HR,266.0,266.0,,,0
CDM,39000007,HC RED BLOOD CELLS EA UNIT,723.0,723.0,,,0
CDM,39000008,HC CMV-N LR WB/RBC EA UNIT,349.0,349.0,,,0
CDM,39000009,"HC PLASMA, CRYOPRECIPITATE REDUCED, EA UNIT",1086.0,1086.0,,,0
CDM,39000010,"HC PLATELETS, EACH UNIT",287.0,287.0,,,0
CDM,39000011,HC PLATELET PHERESIS IRRAD EA UNIT,1587.0,1587.0,,,0
CDM,39000012,HC RBC IRRADIATED EACH UNIT,839.0,839.0,,,0
CDM,39000203,HC BLOOD SPLIT UNIT  (AUTOLOGOUS/DIRECTED),1223.0,1223.0,,,0
CDM,39000205,HC LEUKOCYTE POOR BLOOD EA UNIT (AUTOLOGOUS/DIRECTED),1071.0,1071.0,,,0
CDM,39000206,HC FFP (FROZ WITH 8 HRS) (AUTOLOGOUS/DIRECTED),532.0,532.0,,,0
CDM,39000207,HC RED BLOOD CELLS EA UNIT (AUTOLOGOUS/DIRECTED),978.0,978.0,,,0
CDM,39000212,"HC RBC, IRRADIATED  (AUTOLOGOUS/DIRECTED)",1362.0,1362.0,,,0
CDM,39000216,"HC FFP HIGH TITER COVID-19 CONVALESCENT, FROZEN - 8 HR COLLECT, EA UNIT (439)",2421.0,2421.0,,,0
CDM,39100001,HC TRANSFUSION BLOOD OR BLOOD COMPONENTS,562.0,562.0,,,0
CDM,39191101,HC TRANSFUSION BLOOD OP ON IP UNIT,527.0,527.0,,,0
CDM,39191102,HC TRANSFUSION BLOOD 0.5 HOURS,590.0,590.0,,,0
CDM,39191103,HC TRANSFUSION BLOOD 1.0 HOURS,653.0,653.0,,,0
CDM,39191104,HC TRANSFUSION BLOOD 1.5 HOURS,716.0,716.0,,,0
CDM,39191105,HC TRANSFUSION BLOOD 2.0 HOURS,779.0,779.0,,,0
CDM,39191106,HC TRANSFUSION BLOOD 2.5 HOURS,842.0,842.0,,,0
CDM,39191107,HC TRANSFUSION BLOOD 3.0 HOURS,905.0,905.0,,,0
CDM,39191108,HC TRANSFUSION BLOOD 3.5 HOURS,968.0,968.0,,,0
CDM,39191109,HC TRANSFUSION BLOOD 4.0 HOURS,1032.0,1032.0,,,0
CDM,39191110,HC TRANSFUSION BLOOD 4.5 HOURS,1095.0,1095.0,,,0
CDM,39191111,HC TRANSFUSION BLOOD 5.0 HOURS,1158.0,1158.0,,,0
CDM,39191112,HC TRANSFUSION BLOOD 5.5 HOURS,1221.0,1221.0,,,0
CDM,39191113,HC TRANSFUSION BLOOD 6.0 HOURS,1284.0,1284.0,,,0
CDM,39191114,HC TRANSFUSION BLOOD 6.5 HOURS,1347.0,1347.0,,,0
CDM,39191115,HC TRANSFUSION BLOOD 7.0 HOURS,1410.0,1410.0,,,0
CDM,39191116,HC TRANSFUSION BLOOD 7.5 HOURS,1473.0,1473.0,,,0
CDM,39191117,HC TRANSFUSION BLOOD 8.0 HOURS,1536.0,1536.0,,,0
CDM,39191118,HC TRANSFUSION BLOOD 9.0 HOURS,1662.0,1662.0,,,0
CDM,39191119,HC TRANSFUSION BLOOD 10.0 HOURS,1788.0,1788.0,,,0
CDM,40100001,"HC DIAGNOSTIC MAMMOGRAPHY, DIR DIGITAL, BILAT",370.0,370.0,,,0
CDM,40100002,"HC DIAGNOSTIC MAMMOGRAPHY, DIR DIGITAL, UNILAT",324.0,324.0,,,0
CDM,40100003,"HC DIAG MAMMO, INCL CAD WHEN PERFORMED, BIL",389.0,389.0,,,0
CDM,40100004,"HC DIAG  MAMMO, INCL CAD WHEN PERFORMED, UNIL",340.5,340.5,,,0
CDM,40100010,HC COMPUTER DX MAMMOGRAM ADD-ON,61.0,61.0,,,0
CDM,40100011,HC MAMMOGRAM ONE BREAST,482.0,482.0,,,0
CDM,40100014,HC DIGITAL BREAST TOMOSYNTHESIS; UNILATERAL,172.0,172.0,,,0
CDM,40100015,HC DIGITAL BREAST TOMOSYNTHESIS; BILATERAL,172.0,172.0,,,0
CDM,40100016,HC DX MAMMO INCL CAD; UNILAT,870.0,870.0,,,0
CDM,40100017,HC DX MAMMO INCL CAD; BILAT,989.0,989.0,,,0
CDM,40100018,"HC DIAGNOSTIC DIGITAL BREAST TOMOGRAPHY, UNILATERAL OR BILATERAL",172.0,172.0,,,0
CDM,40200001,HC ECHOENCEPHALOGRAPHY OF NEONATAL,1288.0,1288.0,,,0
CDM,40200002,"HC ULTRASOUND, SOFT TISSUES HEAD & NECK",1250.0,1250.0,,,0
CDM,40200003,HC ULTRASOUND CHEST INCLS MEDIASTINUM,1215.0,1215.0,,,0
CDM,40200004,HC ULTRASOUND BREAST(S) UNILAT OR BILAT,705.0,705.0,,,0
CDM,40200005,HC ULTRASOUND ABDOMEN COMPLETE,1756.0,1756.0,,,0
CDM,40200006,"HC ULTRASOUND ABDOMEN LIMITED - 1 ORGAN, QUAD",1221.0,1221.0,,,0
CDM,40200007,HC ULTRASOUND RETROPERITONEAL COMPLETE,1712.0,1712.0,,,0
CDM,40200008,HC ULTRASOUND RETROPERITONEAL LIMITED,1288.0,1288.0,,,0
CDM,40200009,HC ULTRASOUND TRANSPLANTED KIDNEY W/DOPPLER,1288.0,1288.0,,,0
CDM,40200010,HC ULTRASOUND SPINAL CANAL AND CONTENTS,1524.0,1524.0,,,0
CDM,40200011,"HC US, SINGLE FETUS < 14 WKS, TRANSABD APPRCH",1524.0,1524.0,,,0
CDM,40200012,"HC US, FETUS < 14 WKS, EACH ADDTL FETUS",1524.0,1524.0,,,0
CDM,40200013,"HC US, SINGLE FETUS > = 14 WKS, TRANSABD APPRCH",1524.0,1524.0,,,0
CDM,40200014,"HC US, FETUS > = 14 WKS, EACH ADDTL FETUS",1524.0,1524.0,,,0
CDM,40200015,"HC US, DETAILED FETAL ANATOMIC EXM, SNGL FETUS",1654.0,1654.0,,,0
CDM,40200016,"HC US, DETAILED FETAL ANATOMIC EXM, ADDL FETUS",684.0,684.0,,,0
CDM,40200017,"HC US, NUCHAL TRANSLUCENCY MEASURE, 1 FETUS",684.0,684.0,,,0
CDM,40200018,"HC US NUCHAL TRANSLUCENCY MEASURE,ADDL FETUS",684.0,684.0,,,0
CDM,40200019,HC US LIMITED 1 OR MORE FETUS(S),1276.0,1276.0,,,0
CDM,40200020,HC US FOLLOW-UP PER FETUS,970.0,970.0,,,0
CDM,40200021,HC US OB TRANSVAGINAL,970.0,970.0,,,0
CDM,40200022,HC FETAL BP PROFILE W/O NON-STRESS TEST,1823.0,1823.0,,,0
CDM,40200023,"HC DOPPLER VELOCIMETRY, FETAL UMB ARTERY",1472.0,1472.0,,,0
CDM,40200024,"HC DOPPLER VELOCIMETRY, FETAL; MIDDLE CEREBRAL ARTERY",661.0,661.0,,,0
CDM,40200025,HC ECHOCARDIO FETAL CARDIOVASCULAR W/2-D,2253.0,2253.0,,,0
CDM,40200026,HC ECHOCARDIO FETAL CARDIOVASCULAR F/U STUDY,2253.0,2253.0,,,0
CDM,40200027,HC DOPPLER ECHOCARDIOLOGY FETAL COMPLETE,684.0,684.0,,,0
CDM,40200028,HC DOPPLER ECHOCARDIOLOGY FETAL F/U,684.0,684.0,,,0
CDM,40200029,"HC ULTRASOUND TRANSVAGINAL, NON OB",1606.0,1606.0,,,0
CDM,40200030,HC ULTRASOUND PELVIC EXAM COMPLETE NON OB,1420.0,1420.0,,,0
CDM,40200031,HC ULTRASOUND PELVIC EXAM LIMITED NON OB,1218.0,1218.0,,,0
CDM,40200032,HC ULTRASOUND SCROTUM AND CONTRASTENTS,1094.0,1094.0,,,0
CDM,40200033,HC ULTRASOUND TRANSRECTAL,1606.0,1606.0,,,0
CDM,40200034,"HC US TRANSRECTAL-PROSTATE VOL STUDY, BRACHY",1719.0,1719.0,,,0
CDM,40200035,HC US COMPLETE JOINT,1659.0,1659.0,,,0
CDM,40200036,"HC US LIMITED, JOINT OR FOCAL EVAL OF OTHER NONVASCULAR EXTREMITY STRUCTURE(S)",1254.0,1254.0,,,0
CDM,40200037,HC US INFANT HIPS; LIMITED/STATIC,1021.0,1021.0,,,0
CDM,40200038,HC US GUIDANCE PERICARDIOCENTESIS,250.0,250.0,,,0
CDM,40200039,HC US GUIDANCE VASCULAR ACCESS,1560.0,1560.0,,,0
CDM,40200041,HC US GUIDED FETAL TRANSFUSION/CORDOCENTESIS,397.0,397.0,,,0
CDM,40200042,HC US GUIDED NEEDLE PLACEMENT,2140.0,2140.0,,,0
CDM,40200043,HC US GUIDED CHORIONIC VILLUS SAMPLING,1446.0,1446.0,,,0
CDM,40200044,HC US GUIDED AMNIOCENTESIS,1183.0,1183.0,,,0
CDM,40200046,HC US GUIDED INTERSTITIAL RADIOELEMENT APPLIC,1505.0,1505.0,,,0
CDM,40200047,HC US GUIDANCE INTRAOPERATIVE,1056.0,1056.0,,,0
CDM,40200048,HC UNLISTED ULTRASOUND PROCEDURE,586.0,586.0,,,0
CDM,40200049,HC FETAL BP PROFILE W NON-STRESS TEST,1823.0,1823.0,,,0
CDM,40200050,HC SALINE INFUSED SONOHYSTEROGRAM,518.0,518.0,,,0
CDM,40200051,HC US INFANT HIPS; DYNAMIC,1139.0,1139.0,,,0
CDM,40200053,HC US GUIDED PSA/AVF COMPRESSION REPAIR,1507.0,1507.0,,,0
CDM,40200062,"HC ULTRASOUND BREAST UNILAT, COMPLETE",1187.0,1187.0,,,0
CDM,40200063,"HC ULTRASOUND BREAST UNILAT, LIMITED",1187.0,1187.0,,,0
CDM,40200066,HC US ABDOMINAL AORTA SCREEN AAA,692.0,692.0,,,0
CDM,40200068,"HC ULTRASOUND, ELASTOGRAPHY; PARENCHYMA (EG, ORGAN)",1265.0,1265.0,,,0
CDM,40200071,"HC ULTRASOUND, ELASTOGRAPHY; FIRST TARGET LESION",655.0,655.0,,,0
CDM,40300005,HC COMP SCREEN MAMMOGRAM ADD-ON,61.0,61.0,,,0
CDM,40300006,"HC SCREENING MAMMOGRAPHY, DIGITAL, BILATERAL",316.0,316.0,,,0
CDM,40300007,HC SCREENING DIGITAL BREAST TOMOSYNTHESIS; BILATERAL,172.0,172.0,,,0
CDM,40300008,HC SCREEN MAMMO INCL CAD; BILAT,569.0,569.0,,,0
CDM,40300009,"HC SCREENING MAMMO, INCL CAD WHEN PERFORMED, BIL",332.0,332.0,,,0
CDM,40400003,"HC BRAIN IMAGING, PET, METABOLIC EVALUATION",8878.0,8878.0,,,0
CDM,40400005,HC PET IMAGING W/CT SKULL BASE TO MID-THIGH,8878.0,8878.0,,,0
CDM,40400006,HC PET IMAGING W/CT WHOLE BODY,8878.0,8878.0,,,0
CDM,40400007,HC PET IMAGE W/CT LMTD AREA,8878.0,8878.0,,,0
CDM,40400018,"HC MYOCARDIAL IMG, PET, METABOLIC  EVAL, 1 STUDY CONCURRENT CT",6715.0,6715.0,,,0
CDM,41000001,"HC ENDOTRACHEAL, INTUBATION EMERGENCY",303.5,303.5,,,0
CDM,41000002,HC CATHETER ASPIRATION: NASOTRACHEAL,312.0,312.0,,,0
CDM,41000005,HC ARTERIAL PUNCTURE BLOOD FOR DX,180.5,180.5,,,0
CDM,41000007,"DEAC 7/1/2018 HCVENTILATOR MGT, INITIAL DAY < 12 HRS",1054.0,1054.0,,,0
CDM,41000008,"DEAC 7/1/2018 HCVENTILATOR MGT, INITIAL DAY > 12 HRS",1054.0,1054.0,,,0
CDM,41000009,"DEAC 7/1/2018 HC VENTILATOR MGT, INITIAL DAY NICU < 12 HRS",1054.0,1054.0,,,0
CDM,41000010,"DEAC 7/1/2018  HC VENTILATOR MGT, INITIAL DAY NICU > 12 HRS",1054.0,1054.0,,,0
CDM,41000011,"DEAC 7/1/2018 HC VENTILATOR MGT, SUBSEQ DAY < 12 HRS",872.0,872.0,,,0
CDM,41000012,"DEAC 7/1/2018  HC VENTILATOR MGT, SUBSEQ DAY > 12 HRS",872.0,872.0,,,0
CDM,41000013,"DEAC 7/1/2018 HC VENTILATOR MGT, SUBSEQ DAY NICU < 12 HRS",872.0,872.0,,,0
CDM,41000014,"DEAC 7/1/2018 HC VENTILATOR MGT, SUBSEQ DAY NICU > 12 HRS",872.0,872.0,,,0
CDM,41000015,"DEAC 7/1/2018 HC INHALATION TX SPAG, INITIAL",109.0,109.0,,,0
CDM,41000016,"DEAC 7/1/2018 HC INHALATION TX SPAG, SUBSEQ DAY",91.0,91.0,,,0
CDM,41000017,"DEAC 7/1/2018 HC INHALATION TX, CONT NEB W/BROCH, INITIAL DAY",109.0,109.0,,,0
CDM,41000019,"DEAC 7/1/2018 HC INHALATION TX, HAND HELD NEB, INITIAL TREATMENT",109.0,109.0,,,0
CDM,41000020,"DEAC 7/1/2018 HC INHALATION TX, HAND HELD NEB, SUBSEQ TREATMENT",109.0,109.0,,,0
CDM,41000023,"DEAC 7/1/2018 HC INHALATION TX, MDI, INITIAL DAY",109.0,109.0,,,0
CDM,41000024,"DEAC 7/1/2018 HC INHALATION TX, MDI, SUBSEQ DAY",120.0,120.0,,,0
CDM,41000025,"HC INHALATION TX, ULTRASONIC NEB, INITIAL DAY",311.0,311.0,,,0
CDM,41000026,HC AEROSOL PENTAMIDINE FOR P. CARINII,776.0,776.0,,,0
CDM,41000027,"DEAC 7/1/2018 HC POS AIRWAY PRESSURE CPAP, SUBSEQ DAY < 12 HRS",839.0,839.0,,,0
CDM,41000028,"DEAC 7/1/2018 HC POS AIRWAY PRESSURE CPAP, INITIAL DAY < 12 HRS",925.0,925.0,,,0
CDM,41000029,"DEAC 7/1/2018 HC POS AIRWAY PRESSURE CPAP, SUBSEQ DAY > 12 HRS",839.0,839.0,,,0
CDM,41000030,"DEAC 7/1/2018 HC POS AIRWAY PRESSURE CPAP, INITIAL DAY > 12 HRS",840.0,840.0,,,0
CDM,41000031,HC EVALUATE PT USE OF INHALER/PER DAY,316.0,316.0,,,0
CDM,41000032,"DEAC 7/1/2018 HC CHEST PT LIMITED, 2 POSITIONS, INITIAL TX",112.0,112.0,,,0
CDM,41000033,"DEAC 7/1/2018 HC CHEST PT COMPREHENSIVE, 4 POSITIONS, INITIAL TX",102.0,102.0,,,0
CDM,41000034,"DEAC 7/1/2018 HC CHEST PT LIMITED, 2 POSITIONS, SUBSEQ TX",230.0,230.0,,,0
CDM,41000035,"DEAC 7/1/2018 HC CHEST PT COMPREHENSIVE, 4 POSITIONS SUBSEQ TX",230.0,230.0,,,0
CDM,41000042,"HC VENTILATOR MGT, INITIAL DAY - ADULT",1410.0,1410.0,,,0
CDM,41000043,"HC VENTILATOR MGT, INITIAL DAY - NICU",1410.0,1410.0,,,0
CDM,41000044,"HC VENTILATOR MGT, SUBSEQ DAY - ADULT",1168.0,1168.0,,,0
CDM,41000045,"HC VENTILATOR MGT, SUBSEQ DAY - NICU",1168.0,1168.0,,,0
CDM,41000046,HC AIRWAY INHALATION TX - INPATIENT ADMISSION,316.0,316.0,,,0
CDM,41000047,HC AIRWAY INHALATION TX - OUTPATIENT ENCOUNTER,316.0,316.0,,,0
CDM,41000048,"HC POS AIRWAY PRESSURE CPAP, PER DAY",1123.0,1123.0,,,0
CDM,41000049,"HC CHEST PT,  INITIAL TX",188.0,188.0,,,0
CDM,41000050,"HC CHEST PT, SUBSEQ TX",422.0,422.0,,,0
CDM,41000051,HC TRACHEOSTOMY TUBE CHANGE,443.0,443.0,,,0
CDM,41000200,"HC CONTINUOUS INHALATION TX, 1ST HOUR",214.0,214.0,,,0
CDM,41000201,"HC CONTINUOUS INHALATION TX, EA ADD HOUR",214.0,214.0,,,0
CDM,42000001,"HC STRAPPING, UNNA BOOT",259.5,259.5,,,0
CDM,42000002,HC APPLY SURFACE TENS,87.0,87.0,,,0
CDM,42000003,HC MECHANICAL TRACTION THERAPY,204.0,204.0,,,0
CDM,42000004,HC ELECTRICAL STIMULATION EA 15 MINS,228.0,228.0,,,0
CDM,42000005,HC IONTOPHORESIS THERAPY EA 15 MINS,228.0,228.0,,,0
CDM,42000006,HC ULTRASOUND THERAPY EA 15 MINS,228.0,228.0,,,0
CDM,42000007,HC THERAPEUTIC EXERCISES EA 15 MINS,228.0,228.0,,,0
CDM,42000008,HC NEUROMUSCULAR REEDUCATION EA 15 MINS,228.0,228.0,,,0
CDM,42000009,HC GAIT TRAINING THERAPY EA 15 MINS,228.0,228.0,,,0
CDM,42000010,HC MASSAGE THERAPY EA 15 MINS,134.0,134.0,,,0
CDM,42000011,HC MANUAL THERAPY EA 15 MINS,153.5,153.5,,,0
CDM,42000012,HC SELECTIVE DEBRIDEMENT 20 SQ CM OR LESS,319.0,319.0,,,0
CDM,42000013,HC SELECTIVE DEBRIDEMENT EA ADDL SQ CM,319.0,319.0,,,0
CDM,42000014,"HC NEG PRESSURE WOUND TX W/DME, LESS THAN 50 SQ CM",333.0,333.0,,,0
CDM,42000015,"HC NEG PRESSURE WOUND TX W/DME, GREATER THAN 50 SQ CM",518.0,518.0,,,0
CDM,42000017,"HC ORTHOTIC MGMT & TRAINING, INITIAL ENCOUNTER, EA 15 MINS",344.0,344.0,,,0
CDM,42000018,"HC PROSTHETIC TRAINING, INITIAL ENCOUNTER,  EA 15 MINS",228.0,228.0,,,0
CDM,42000019,HC C/O ORTHOTIC/PROSTH USE EA 15 MINS,174.0,174.0,,,0
CDM,42000021,HC ELECTRICAL STIMULATION UA (NON-WOUND),259.0,259.0,,,0
CDM,42000023,HC HOT OR COLD PACKS THERAPY,79.0,79.0,,,0
CDM,42000050,HC VASOPNEUMATIC DEVICE THERAPY,228.0,228.0,,,0
CDM,42000051,HC AQUATIC THERAPY/EXERCISE EA 15 MINS,228.0,228.0,,,0
CDM,42000052,"HC WOUND CARE NON-SELECTIVE, WO ANES, PER SESSION",319.0,319.0,,,0
CDM,42000053,"HC PHYSICAL PERFORMANCE TEST, EA 15 MINS",371.0,371.0,,,0
CDM,42000055,HC INFRARED THERAPY,19.0,19.0,,,0
CDM,42000057,HC NEG PRESSURE WND TX NON DME < = 50 SQ CM,518.0,518.0,,,0
CDM,42000058,HC NEG PRESSURE WND TX NON DME > 50 SQ CM,518.0,518.0,,,0
CDM,42000059,HC APPLY RIGID  TOTAL CONTACT LEG CAST,873.0,873.0,,,0
CDM,42000061,"HC ORTH/PROST MGMT, UP/LOW EXT, AND/OR TRUNK, SUBSQ ENC, EA 15 MIN",228.0,228.0,,,0
CDM,42090018,DEAC 1/1/2020 HC CANALITH REPOSITIONIONG PROCEDURE,200.0,200.0,,,0
CDM,42400002,HC PHYSICAL THERAPY RE-EVALUATION,463.0,463.0,,,0
CDM,42400003,HC PT EVAL LOW COMPLEXITY,380.0,380.0,,,0
CDM,42400004,HC PT EVAL MODERATE COMPLEXITY,553.0,553.0,,,0
CDM,42400005,HC PT EVAL HIGH COMPLEXITY,729.0,729.0,,,0
CDM,42400006,HC PT RE-EVAL EST PLAN CARE,737.0,737.0,,,0
CDM,43000001,HC APPLY LONG ARM SPLINT,463.0,463.0,,,0
CDM,43000002,"HC APPLY SHORT ARM SPLINT, STATIC",379.5,379.5,,,0
CDM,43000003,"HC APPLY SHORT ARM SPLINT, DYNAMIC",442.0,442.0,,,0
CDM,43000004,"HC APPLY FINGER SPLINT, STATIC",323.0,323.0,,,0
CDM,43000005,"HC APPLY FINGER SPLINT, DYNAMIC",304.0,304.0,,,0
CDM,43000006,HC APPLY LONG LEG SPLINT,203.0,203.0,,,0
CDM,43000007,HC APPLY SHORT LEG SPLINT,400.5,400.5,,,0
CDM,43000008,HC UNLISTED CASTING OR STRAPPING,344.0,344.0,,,0
CDM,43000010,HC PARAFFIN BATH THERAPY,238.0,238.0,,,0
CDM,43000011,HC WHIRLPOOL THERAPY,379.0,379.0,,,0
CDM,43000012,"DEAC 7/1/2023 HC THERAPUETIC REHAB GROUP (2,3,4 PTS)",144.0,144.0,,,0
CDM,43000014,HC THERAPEUTIC ACTIVITY DIR EA 15 MINS,265.0,265.0,,,0
CDM,43000015,HC COGNITIVE SKILLS DEVELOPMENT EA 15 MINS,174.0,174.0,,,0
CDM,43000016,HC SENSORY INTEGRATION EA 15 MINS,265.0,265.0,,,0
CDM,43000017,HC ADL/SELF HOME MGMT EA 15 MINS,265.0,265.0,,,0
CDM,43000019,HC WHEELCHAIR MGMT TRAINING EA 15 MINS,265.0,265.0,,,0
CDM,43000020,HC THERAPEUTIC REHAB GROUP 2 OR MORE,159.0,159.0,,,0
CDM,43000027,HC COGNITIVE SKILLS DEVELOPMENT (INCLUDE COMPENSATORY TRAINING) EA 15 MINS,192.0,192.0,,,0
CDM,43000028,HC THER INTERV COG FUNCT/COMP STRATG; DIR CONTACT; 1ST 15 MIN,214.0,214.0,,,0
CDM,43000029,HC THER INTERV COG FUNCT/COMP STRATG; DIR CONTACT; EA ADDL 15 MIN,214.0,214.0,,,0
CDM,43000201,HC CONTRAST BATH THERAPY EA 15 MINS,265.0,265.0,,,0
CDM,43400002,HC OCCUPATIONAL THERAPY RE -EVALUATION,463.0,463.0,,,0
CDM,43400003,HC OT EVAL LOW COMPLEXITY,380.0,380.0,,,0
CDM,43400004,HC OT EVAL MOD COMPLEXITY,553.0,553.0,,,0
CDM,43400005,HC OT EVAL HIGH COMPLEXITY,729.0,729.0,,,0
CDM,43400006,HC OT RE-EVAL EST PLAN CARE,737.0,737.0,,,0
CDM,44000001,"HC SLV THERAPY, INDIVIDUAL",265.0,265.0,,,0
CDM,44000002,HC LARYNGEAL FUNCTION STUDY,719.0,719.0,,,0
CDM,44000003,HC TX SWALLOWING DYSFUNCTION,265.0,265.0,,,0
CDM,44000004,HC EVAL TO USE/FIT VOICE PROSTHETIC,652.0,652.0,,,0
CDM,44000006,"HC EVAL FOR SPEECH DEVICE RX, 1ST HR",527.0,527.0,,,0
CDM,44000007,"HC EVAL FOR SPEECH DEVICE RX, EA ADDL 30 MIN",332.0,332.0,,,0
CDM,44000008,HC THERAPEUTIC SP DEVICE SERVICE,435.0,435.0,,,0
CDM,44000009,HC EVALUATE SWALLOWING FUNCTION,809.0,809.0,,,0
CDM,44000010,"HC MOTION FLUORO SWALLOW FCN, CINE/VIDEO",699.0,699.0,,,0
CDM,44000011,HC FEES W CINE OR VIDEO,699.0,699.0,,,0
CDM,44000014,"HC EVAL AUDITORY FUNCTION, 1ST HR",484.0,484.0,,,0
CDM,44000015,"HC EVAL AUDITORY FUNCTION, EA ADDL 15 MIN",125.0,125.0,,,0
CDM,44000018,HC APHASIA ASSESMENT EACH HR,924.0,924.0,,,0
CDM,44000019,HC COGNITIVE ASSESSMENT BY HC PRO PER HR,676.0,676.0,,,0
CDM,44000050,"HC SLV TREATMENT GROUP, 2 OR MORE 2-4",280.0,280.0,,,0
CDM,44400001,HC SLV EVALUATION,411.0,411.0,,,0
CDM,44400002,HC EVALUATION OF SPEECH FLUENCY,609.0,609.0,,,0
CDM,44400003,HC EVALUATION OF SPEECH SOUND  PRODUCTION,609.0,609.0,,,0
CDM,44400004,HC EVALUATION OF SPEECH SOUND  PRODUCTION W/LANGUAGE COMPREHENSION,609.0,609.0,,,0
CDM,44400005,HC BEHAVIORAL & QUALIT ANALYSIS VOICE/RESONANCE,609.0,609.0,,,0
CDM,45000100,HC DRAINAGE OF ABSCESS; SINGLE,1252.5,1252.5,,,0
CDM,45000101,HC DRAINAGE OF ABSCESS; MULTIPLE,1422.5,1422.5,,,0
CDM,45000102,HC DRAINAGE OF PILONIDAL CYST; SIMPLE,900.0,900.0,,,0
CDM,45000103,HC DRAINAGE OF PILONIDAL CYST; COMPLICATED,900.0,900.0,,,0
CDM,45000104,"HC REMOVAL OF FOREIGN BODY, SUBQ, SIMPLE",393.0,393.0,,,0
CDM,45000105,"HC REMOVAL OF FOREIGN BODY, SUBQ, COMPLICATED",2074.0,2074.0,,,0
CDM,45000106,HC DRAINAGE OF HEMATOMA/FLUID,2050.0,2050.0,,,0
CDM,45000107,"HC PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST",505.0,505.0,,,0
CDM,45000108,HC DEBRIDE INFECTED SKIN; UP TO 10% OF BODY SURFACE,908.5,908.5,,,0
CDM,45000109,HC DEBRIDE OPEN FRACTURE; SKIN AND SUBQ TISSUES,900.0,900.0,,,0
CDM,45000110,HC DEBRIDE OPEN FRACTURE; SKIN TO BONE,3498.0,3498.0,,,0
CDM,45000111,"HC DEBRIDE, SUBQ TISSUE; FIRST 20 SQ CM OR LESS",4905.0,4905.0,,,0
CDM,45000112,"HC DEBRIDE, MUSCLE AND/OR FASCIA; 1ST 20 SQ CM OR LESS",5048.5,5048.5,,,0
CDM,45000113,"HC REMOVAL OF SKIN TAGS, UP TO AND INCLD 15 LESIONS",250.0,250.0,,,0
CDM,45000114,"HC EXCISION, BENIGN LESION, EXT MARG 0.5 < CM",900.0,900.0,,,0
CDM,45000115,HC DEBRIDEMENT OF NAIL(S); 1 TO 5,80.0,80.0,,,0
CDM,45000116,HC AVULSION OF NAIL PLATE SIMPLE; SINGLE,251.0,251.0,,,0
CDM,45000117,HC EVACUATION OF SUBUNGUAL HEMATOMA,161.0,161.0,,,0
CDM,45000118,HC REPAIR OF NAIL BED,801.0,801.0,,,0
CDM,45000119,"HC EXCISION OF NAIL FOLD (EG, INGROWN TOENAIL)",518.0,518.0,,,0
CDM,45000120,"HC SIMPLE WOUND, S/N/A/G/TR/E; 2.5 CM OR LESS",251.0,251.0,,,0
CDM,45000121,"HC SIMPLE WOUND, S/N/A/G/TR/E; 2.6 CM TO 7.5 CM",250.0,250.0,,,0
CDM,45000122,"HC SIMPLE WOUND, S/N/A/G/TR/E; 7.6 CM TO 12.5 CM",251.0,251.0,,,0
CDM,45000123,"HC SIMPLE WOUND, S/N/A/G/TR/E; 12.6 CM TO 20.0 CM",518.0,518.0,,,0
CDM,45000124,"HC SIMPLE WOUND, S/N/A/G/TR/E; 20.1 CM TO 30.0 CM",518.0,518.0,,,0
CDM,45000125,"HC SIMPLE WOUND, F/E/N/L/MM; 2.5 CM OR LESS",251.0,251.0,,,0
CDM,45000126,"HC SIMPLE WOUND, F/E/N/L/MM;  2.6 CM TO 5.0 CM",251.0,251.0,,,0
CDM,45000127,"HC SIMPLE WOUND, F/E/N/L/MM;  5.1 CM TO 7.5 CM",251.0,251.0,,,0
CDM,45000128,"HC SIMPLE WOUND, F/E/N/L/MM; 7.6 CM TO 12.5 CM",247.0,247.0,,,0
CDM,45000129,"HC INTERMED WOUND, S/A/T/EXT;  2.5 CM OR LESS",517.0,517.0,,,0
CDM,45000130,"HC INTERMED WOUND, S/A/T/EXT;  2.6 CM TO 7.5 CM",518.0,518.0,,,0
CDM,45000131,"HC INTERMED WOUND, S/A/T/EXT; 7.6 CM TO 12.5 CM",517.0,517.0,,,0
CDM,45000132,"HC INTERMED WOUND, S/A/T/EXT; 12.6 CM TO 20.0 CM",518.0,518.0,,,0
CDM,45000133,"HC INTERMED WOUND, S/A/T/EXT; 20.1 CM TO 30.0 CM",806.0,806.0,,,0
CDM,45000134,"HC INTERMED WOUND, N-HF/GENIT; 2.5 CM OR LESS",518.0,518.0,,,0
CDM,45000135,"HC INTERMED WOUND, N-HF/GENIT; 2.6 CM TO 7.5 CM",518.0,518.0,,,0
CDM,45000136,"HC INTERMED WOUND, N-HF/GENIT; 7.6 CM TO 12.5 CM",806.0,806.0,,,0
CDM,45000137,"HC INTERMED WOUND, N-HF/GENIT; 12.6 CM TO 20.0 CM",806.0,806.0,,,0
CDM,45000138,"HC INTERMED WOUND, S/A/T/EXT;  2.5 CM OR LESS",518.0,518.0,,,0
CDM,45000139,"HC INTERMED WOUND, S/A/T/EXT; 2.6 CM TO 5.0 CM",518.0,518.0,,,0
CDM,45000140,"HC INTERMED WOUND, S/A/T/EXT; 5.1 CM TO 7.5 CM",518.0,518.0,,,0
CDM,45000141,"HC INTERMED WOUND, S/A/T/EXT; 7.6 CM TO 12.5 CM",518.0,518.0,,,0
CDM,45000142,"HC REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM",804.0,804.0,,,0
CDM,45000143,"HC REPAIR, COMPLEX, TRUNK; EA ADDL 5 CM OR LESS",160.0,160.0,,,0
CDM,45000144,"HC REPAIR, COMPLEX, S/A/L; 1.1 CM TO 2.5 CM",804.0,804.0,,,0
CDM,45000145,"HC REPAIR, COMPLEX, S/A/L; 2.6 CM TO 7.5 CM",806.0,806.0,,,0
CDM,45000146,"HC REPAIR, COMPLEX, S/A/L; EA ADDL 5 CM OR LESS",100.0,100.0,,,0
CDM,45000147,"HC REPAIR, COMPLEX,  F/G/H/F; 1.1 CM TO 2.5 CM",517.0,517.0,,,0
CDM,45000148,"HC REPAIR, COMPLEX, F/G/H/F;  2.6 CM TO 7.5 CM",806.0,806.0,,,0
CDM,45000149,"HC REPAIR, COMPLEX,  F/G/H/F;  EA ADDL 5 CM OR LESS",127.0,127.0,,,0
CDM,45000150,"HC REPAIR, COMPLEX, E/N/E/L; 1.0 CM OR LESS",79.0,79.0,,,0
CDM,45000151,"HC REPAIR, COMPLEX, E/N/E/L; 1.1 CM TO 2.5 CM",806.0,806.0,,,0
CDM,45000152,"HC REPAIR, COMPLEX, E/N/E/L; 2.6 CM TO 7.5 CM",806.0,806.0,,,0
CDM,45000153,"HC REPAIR, COMPLEX, E/N/E/L; EA ADDL 5CM OR LESS",127.0,127.0,,,0
CDM,45000154,"HC INITIAL TREATMENT, FIRST DEGREE BURN",251.0,251.0,,,0
CDM,45000155,"HC DRESS AND/OR DEBRIDE,  P-THICKNESS BURNS, SMALL",306.0,306.0,,,0
CDM,45000156,"HC DRESS AND/OR DEBRIDE,  P-THICKNESS BURNS, MEDIUM",306.0,306.0,,,0
CDM,45000157,HC ESCHAROTOMY; INITIAL INCISION,518.0,518.0,,,0
CDM,45000158,HC EXPLORE WOUND; EXTREMITY,2068.0,2068.0,,,0
CDM,45000159,"HC REPLANTATION, DIGIT, EXCL THUMB, COMPLETE",7725.0,7725.0,,,0
CDM,45000160,DEAC 1/1/2022 HC CLOSED TX NASAL FRACTURE W/O MANIPULATION,66.0,66.0,,,0
CDM,45000161,HC CLOSED TX NASAL BONE FX W/MANIPULATION W/O STABILIZATION,1923.0,1923.0,,,0
CDM,45000162,HC CLOSED TREATMENT JAW DISLOCATION,287.0,287.0,,,0
CDM,45000163,"HC CLOSED TREATMENT OF RIB FRACTURE, UNCOMPLICATED, EA",49.0,49.0,,,0
CDM,45000164,"HC DRAINAGE, SHOULDER; DEEP ABSCESS OR HEMATOMA",3465.0,3465.0,,,0
CDM,45000165,HC CLOSED FX CLAVICULAR WO MANIPULATION,287.0,287.0,,,0
CDM,45000166,HC CLOSED FX SCAPULAR WO MANIPULATION,287.0,287.0,,,0
CDM,45000167,HC CLOSED FX SCAPULAR WITH MANIPULATION,1984.0,1984.0,,,0
CDM,45000168,HC CLOSED FX HUMERAL WO MANIPULATION,287.0,287.0,,,0
CDM,45000169,HC CLOSED FX HUMERAL WITH MANIPULATION,1953.0,1953.0,,,0
CDM,45000170,"HC CLOSED TX SHOULDER DISLOCATION, W/MANIPULATION; WO ANES",287.0,287.0,,,0
CDM,45000171,"HC CLOSED TX SHOULDER DISLOCATION, W/MANIPULATION; ANES",1989.0,1989.0,,,0
CDM,45000172,"HC DRAINAGE, ARM; DEEP ABSCESS OR HEMATOMA",3546.0,3546.0,,,0
CDM,45000173,"HC DRAINAGE, ARM; BURSA",1562.0,1562.0,,,0
CDM,45000174,HC CLOSED FX HUMERAL WO MANIPULATION,287.0,287.0,,,0
CDM,45000175,HC CLOSED FX SC/TC HUMERAL WO MANIPULATION,284.0,284.0,,,0
CDM,45000176,HC CLOSED FX EC HUMERAL WO MANIPULATION,287.0,287.0,,,0
CDM,45000177,HC OPEN TX HUMERAL EPICONDYLAR FRACTURE,287.0,287.0,,,0
CDM,45000178,HC CLOSED TX ELBOW DISLOCATION WO ANESTHESIA,287.0,287.0,,,0
CDM,45000179,HC CLOSED TX RADIAL HEAD WITH MANIPULATION,287.0,287.0,,,0
CDM,45000180,HC CLOSED TX RADIAL HEAD OR NECK FX WO MANIPULATION,287.0,287.0,,,0
CDM,45000181,HC CLOSED TX ULNAR PROXIMAL END FX WO MANIPULATION,287.0,287.0,,,0
CDM,45000182,HC CLOSED TX RADIAL SHAFT FX WO MANIPULATION,287.0,287.0,,,0
CDM,45000183,HC CLOSED TX ULNAR SHAFT FX WITH MANIPULATION,233.0,233.0,,,0
CDM,45000184,HC CLOSED TX RADIUS/ULNAR SHAFT FX WO MANIPULATION,287.0,287.0,,,0
CDM,45000185,HC CLOSED TX RADIUS/ULNAR SHAFT FX W MANIPULATION,1989.0,1989.0,,,0
CDM,45000186,HC CLOSED TX DISTAL RADIAL FX WO MANIPULATION,287.0,287.0,,,0
CDM,45000187,HC CLOSED TX DISTAL RADIAL FX WITH MANIPULATION,1093.5,1093.5,,,0
CDM,45000188,HC CLOSED TX CARPAL SCAPHOID FX WO MANIPULATION,283.0,283.0,,,0
CDM,45000189,HC CLOSED TX CARPAL SCAPHOID FX WITH MANIPULATION,1943.0,1943.0,,,0
CDM,45000190,"HC CLOSED TX CARPAL BONE FX WO MANIPULATION, EACH",287.0,287.0,,,0
CDM,45000191,"HC CLOSED TX CARPAL BONE FX WITH MANIP, EACH",1969.0,1969.0,,,0
CDM,45000192,"HC CLOSED TX WRIST DISLOCATION, WITH MANIPULATION",287.0,287.0,,,0
CDM,45000193,HC DRAINAGE OF FINGER ABSCESS; SIMPLE,251.0,251.0,,,0
CDM,45000194,HC DRAINAGE OF FINGER ABSCESS; COMPLICATED,2079.0,2079.0,,,0
CDM,45000195,"HC REPAIR FLEXOR TENDOR, NOT ZONE 2 WO GRAFT, EACH",3882.0,3882.0,,,0
CDM,45000196,"HC REPAIR EXTENSOR TENDON, HAND WO FG, EACH",1957.0,1957.0,,,0
CDM,45000197,"HC REPAIR EXTENSOR TENDON, FINGER; WO FG, EACH",1961.0,1961.0,,,0
CDM,45000198,"HC CLOSED TX METACARPAL FX, SINGLE; WO MANIP, EA",287.0,287.0,,,0
CDM,45000199,"HC CLOSED TX METACARPAL FX, SINGLE; W/MANIP, EACH",283.0,283.0,,,0
CDM,45000200,HC CLOSED TX THUMB FX WITH MANIPULATION,287.0,287.0,,,0
CDM,45000201,"HC CLOSED TX KNUCKLE,  W/MANIPULATION; WO ANES",287.0,287.0,,,0
CDM,45000202,"HC CLOSED TX FINGER SHAFT; WO MANIPULATION, EACH",287.0,287.0,,,0
CDM,45000203,"HC CLOSED TX FINGER SHAFT; WITH MANIPULATION, EA",287.0,287.0,,,0
CDM,45000204,"HC CLOSED TX ARTICULAR FRACTURE, WITH MANIPULATION, EACH",1988.0,1988.0,,,0
CDM,45000205,"HC CLOSED TX DISTAL FINGER; WO MANIPULATION, EACH",287.0,287.0,,,0
CDM,45000206,"HC CLOSED TX DISTAL FINGER WITH MANIPULATION, EACH",286.0,286.0,,,0
CDM,45000207,"HC CLOSED TX FINGER DISLOCATION, WITH MANIP WO ANES",287.0,287.0,,,0
CDM,45000208,"HC Closed fx pelvic ring, dislocation, wo manipulation",49.0,49.0,,,0
CDM,45000209,HC CLOSED TX COCCYGEAL FRACTURE,287.0,287.0,,,0
CDM,45000210,"HC CLOSED FX FEMORAL, NECK WO MANIPULATION",287.0,287.0,,,0
CDM,45000211,HC CLOSED FX FEMORAL (INTER/PERI/SUB) WO MANIPULATION,1750.0,1750.0,,,0
CDM,45000212,"HC CLOSED TX HIP DISLOCATION, TRAUMATIC; WO ANESTHESIA",287.0,287.0,,,0
CDM,45000213,HC CLOSED TX POST HIP ARTHROPLASTY DISLOCATION; WO ANES,1134.0,1134.0,,,0
CDM,45000214,"HC DRAIN, DEEP ABSCESS, THIGH OR KNEE REGION",3513.0,3513.0,,,0
CDM,45000215,"HC CLOSED FX FEMORAL SHAFT, WITHOUT MANIPULATION",287.0,287.0,,,0
CDM,45000216,"HC CLOSED FX FEMORAL, DISTAL END  WO MANIPULATION",287.0,287.0,,,0
CDM,45000217,HC CLOSED FX PATELLAR WO MANIPULATION,287.0,287.0,,,0
CDM,45000218,HC CLOSED FX TIBIAL PLATEAU WO MANIPULATION,284.0,284.0,,,0
CDM,45000219,HC CLOSED TX KNEE DISLOCATION WO ANESTHESIA,287.0,287.0,,,0
CDM,45000220,HC CLOSED TX PATELLAR DISLOCATION WO ANESTHESIA,287.0,287.0,,,0
CDM,45000221,"HC DRAINAGE, LEG OR ANKLE; DEEP ABSCESS",3535.0,3535.0,,,0
CDM,45000222,HC CLOSED FX TIBIAL SHAFT WO MANIPULATION,287.0,287.0,,,0
CDM,45000223,HC CLOSED FX MEDIAL MALLEOLUS WO MANIPULATION,287.0,287.0,,,0
CDM,45000224,HC CLOSED FX PROXIMAL FIBULA OR SHAFT WO MANIPULATION,287.0,287.0,,,0
CDM,45000225,HC CLOSED FX PROXIMAL FIBULA OR SHAFT WITH MANIPULATION,1878.0,1878.0,,,0
CDM,45000226,HC CLOSED FX DISTAL FIBULAR WO MANIPULATION,287.0,287.0,,,0
CDM,45000227,HC CLOSED FX DISTAL FIBULAR WITH MANIPULATION,287.0,287.0,,,0
CDM,45000228,HC CLOSED FX BIMALLEOLAR ANKLE WO MANIPULATION,287.0,287.0,,,0
CDM,45000229,HC CLOSED FX BIMALLEOLAR ANKLE WITH MANIPULATION,1986.0,1986.0,,,0
CDM,45000230,HC CLOSED TX ANKLE DISLOCATION; WO ANESTHESIA,287.0,287.0,,,0
CDM,45000231,"HC REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS",900.0,900.0,,,0
CDM,45000232,"HC REPAIR FOOT TENDON, EXTENSOR, EACH",3427.0,3427.0,,,0
CDM,45000233,HC CLOSED FX TALUS WO MANIPULATION,287.0,287.0,,,0
CDM,45000234,"HC TX TARSAL BONE FRACTURE WO MANIPULATION, EACH",287.0,287.0,,,0
CDM,45000235,"HC TX TARSAL BONE FRACTURE WITH MANIPULATION, EACH",1989.0,1989.0,,,0
CDM,45000236,"HC CLOSED FX METATARSALWO MANIPULATION, EACH",286.0,286.0,,,0
CDM,45000237,"HC CLOSED FX METATARSALWITH MANIPULATION, EACH",287.0,287.0,,,0
CDM,45000238,HC CLOSED FX GREAT TOE WITHOUT MANIPULATION,287.0,287.0,,,0
CDM,45000239,HC CLOSED FX GREAT TOE WITH MANIPULATION,287.0,287.0,,,0
CDM,45000240,"HC CLOSED FX TOE WITHOUT MANIPULATION, EACH",287.0,287.0,,,0
CDM,45000241,"HC CLOSED FX TOE WITH MANIPULATION, EACH",287.0,287.0,,,0
CDM,45000242,HC CLOSED TX TARSAL DISLOCATION WITHOUT ANESTHESIA,287.0,287.0,,,0
CDM,45000243,HC CLOSED TX MTP JOINT DISLOCATION WITH ANESTHESIA,287.0,287.0,,,0
CDM,45000244,HC CLOSED TX IP JOINT DISLOCATION WITHOUT ANESTHESIA,287.0,287.0,,,0
CDM,45000245,"DEAC 7/1/2023 HC APPLY CAST, HAND AND LOWER FOREARM (GAUNTLET)",184.0,184.0,,,0
CDM,45000246,"HC STRAPPING, SHOULDER (EG, VELPEAU)",379.5,379.5,,,0
CDM,45000247,"HC STRAPPING, ELBOW OR WRIST",339.0,339.0,,,0
CDM,45000248,"HC STRAPPING, HAND OR FINGER",339.0,339.0,,,0
CDM,45000249,"HC APPLY CAST, SHORT LEG",333.0,333.0,,,0
CDM,45000250,"HC STRAPPING, HIP",161.0,161.0,,,0
CDM,45000251,"HC STRAPPING, KNEE",323.0,323.0,,,0
CDM,45000252,"HC STRAPPING, ANKEL AND/OR FOOT",344.0,344.0,,,0
CDM,45000253,"HC STRAPPING, TOES",224.0,224.0,,,0
CDM,45000254,"HC REMOVAL FOREIGN BODY, INTRANASAL",161.0,161.0,,,0
CDM,45000255,"HC CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE",161.0,161.0,,,0
CDM,45000256,"HC CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX",189.0,189.0,,,0
CDM,45000257,"HC CONTROL NASAL HEMORRHAGE, POSTERIOR, INITIAL",161.0,161.0,,,0
CDM,45000258,"HC LARYNGOSCOPY DIRECT, DIAGNOSTIC, EXCEPT NEWBORN",1667.0,1667.0,,,0
CDM,45000259,HC INSERT CHEST TUBE (THORACOSTOMY),3068.0,3068.0,,,0
CDM,45000260,"HC REPAIR MOUTH LACERATION, 2.5 CM OR LESS",289.0,289.0,,,0
CDM,45000261,"HC REPAIR TONGUE LACERATION, ANT 1/3, 2.5 CM OR LESS",523.0,523.0,,,0
CDM,45000262,"HC REPAIR TONGUE LACERATION, POST 1/3, 2.5 CM OR LESS",289.0,289.0,,,0
CDM,45000263,"HC REPAIR TONGUE LACERATION, OVER 2.6 CM OR COMPLEX",218.0,218.0,,,0
CDM,45000264,"HC DRAINAGE OF ABSCESS, CYST, GUM STRUCTURES",161.0,161.0,,,0
CDM,45000265,HC INCISION AND DRAINAGE ABSCESS; PERITONSILLAR,689.5,689.5,,,0
CDM,45000266,HC REMOVAL OF FOREIGN BODY FROM PHARYNX,523.0,523.0,,,0
CDM,45000267,"HC Change gastro tube, percut, wo image/guide",526.0,526.0,,,0
CDM,45000268,"HC INCISION AND DRAINAGE, RECTAL ABCESS",1055.0,1055.0,,,0
CDM,45000269,"HC INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL",1152.0,1152.0,,,0
CDM,45000270,"HC INCISION OF THROMBOSED HEMORRHOID, EXTERNAL",299.0,299.0,,,0
CDM,45000271,"HC REMOVE THROMBOSED HEMORRHOID, EXTERNAL",1499.0,1499.0,,,0
CDM,45000272,HC CHANGE OF CYSTOSTOMY TUBE; SIMPLE,438.0,438.0,,,0
CDM,45000273,HC IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM,438.0,438.0,,,0
CDM,45000274,HC DRAINAGE OF SCROTAL WALL ABSCESS,2072.0,2072.0,,,0
CDM,45000275,HC INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS,638.0,638.0,,,0
CDM,45000276,HC INCISION AND DRAINAGE OF BARTHOLIN'S GLAND ABSCESS,638.0,638.0,,,0
CDM,45000277,"HC INJECTION, EPIDURAL, OF BLOOD OR CLOT PATCH",1401.0,1401.0,,,0
CDM,45000278,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; OTHER PERIPHER NERVE OR BRCH",1527.0,1527.0,,,0
CDM,45000279,"HC REMOVAL FOREIGN BODY, CONJUNCTIVAL SUPERFICIAL",373.0,373.0,,,0
CDM,45000280,"HC REMOVAL FOREIGN BODY, CONJUNCTIVAL EMBEDDED",475.0,475.0,,,0
CDM,45000281,"HC REMOVAL FOREIGN BODY, WITHOUT SLIT LAMP",473.0,473.0,,,0
CDM,45000282,"HC REMOVAL FOREIGN BODY, WITH SLIT LAMP",146.0,146.0,,,0
CDM,45000283,"HC BLEPHAROTOMY, DRAINAGE OF ABSCESS, EYELID",366.0,366.0,,,0
CDM,45000284,"HC REMOVAL OF EMBEDDED FOREIGN BODY, EYELID",334.0,334.0,,,0
CDM,45000285,"HC DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; SIMPLE",900.0,900.0,,,0
CDM,45000286,"HC REMOVAL FOREIGN BODY, AUDITORY CANAL, WO ANES",161.0,161.0,,,0
CDM,45000287,HC REMOVAL IMPACTED CERUMEN,80.0,80.0,,,0
CDM,45000288,HC CARDIOVERSION ELECTRIC EXT,2415.0,2415.0,,,0
CDM,45000289,"HC Moderate sedation by same phys 5 yrs +, 1st 30 mins",506.0,506.0,,,0
CDM,45000290,"HC Moderate sedation by same phys, ea addl 15 mins",316.0,316.0,,,0
CDM,45000291,"HC Moderate sedation diff phys < 5 yrs, 1st 30 min",316.0,316.0,,,0
CDM,45000292,"HC Moderate sedation diff phys, ea addl 15 mins",316.0,316.0,,,0
CDM,45000293,HC CRITICAL CARE FIRST HOUR,3558.0,3558.0,,,0
CDM,45000294,HC CRITICAL CARE ADDL 30 MIN,411.0,411.0,,,0
CDM,45000295,HC CLOSED TX ULNAR FX PROXIMAL END W MNP,1975.0,1975.0,,,0
CDM,45000296,HC VENIPUNCTURE < 3 YRS OTHER VEIN (PHYS),40.0,40.0,,,0
CDM,45000297,HC VENIPUNCTURE AGE 3 YRS/>,116.5,116.5,,,0
CDM,45000298,HC VENIPUNCTURE CUTDOWN; AGE 1 OR OVER,523.0,523.0,,,0
CDM,45000299,HC ASPIRATE PLEURA WO IMAGING,1833.0,1833.0,,,0
CDM,45000300,HC CYSTOSCOPY W INSERT INDWELLING URETER STENT,3355.0,3355.0,,,0
CDM,45000301,HC OPEN TX FINGER SHAFT EA,4750.0,4750.0,,,0
CDM,45000302,HC REPAIR MOUTH LACERATION 2.5CM OR COMPLEX,2589.0,2589.0,,,0
CDM,45000303,HC CONTROL OROPHARYNGEAL HEMORRH: SIMPLE,633.0,633.0,,,0
CDM,45000304,"HC REPAIR LIP, FULL THICK, VERMILION",2643.0,2643.0,,,0
CDM,45000305,HC TREAT RADIUS FRACTURE,1989.0,1989.0,,,0
CDM,45000306,HC TREAT HUMERUS FRACTURE,1989.0,1989.0,,,0
CDM,45000307,HC HC REPAIR OF VAGINA,5869.0,5869.0,,,0
CDM,45000308,HC CLOSED FX SC/TC HUMERAL W MANIPULATION,1646.5,1646.5,,,0
CDM,45000309,"HC DRAINAGE OF ABSCESS OF PALATE, UVULA",1919.0,1919.0,,,0
CDM,45000310,HC NASAL/SINUS ENDOSCOPY W HEMORRHAGE CONTROL,4026.0,4026.0,,,0
CDM,45000311,"HC REMOVAL OR BIVALVING; GAUNTLET,  BOOT OR BODY CAST",859.0,859.0,,,0
CDM,45000312,"HC LIP REPAIR, FULL THICKNESS;  > ONE-HALF VERTICAL HEIGHT, OR COMPLEX",6062.0,6062.0,,,0
CDM,45000313,HC CLOSED TX FX WEIGHT BEAR  DISTAL TIBIA; W OR W/O ANES; MANIPUL,8599.0,8599.0,,,0
CDM,45000314,"HC GASTRIC INTUBATION & ASPIRATION(S), TX, INCL LAVAGE",905.0,905.0,,,0
CDM,45000315,HC OPEN TX NASAL SEPTAL FRACTURE WITH OR WITHOUT STABILIZATION,6685.0,6685.0,,,0
CDM,45000316,"HC RHINOPLASTY, PRIMARY; LATERAL & ALAR CARTILAGES &/OR ELEVATE TIP",11326.0,11326.0,,,0
CDM,45000317,"HC DRAIN ABSCESS/HEMATOMA, NASAL, INTERNAL APPROACH",693.0,693.0,,,0
CDM,45000318,HC CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,597.0,597.0,,,0
CDM,45000319,HC REMOVAL IMPACTED CERUMEN IRRIGATION/LAVAGE - UNILAT,214.0,214.0,,,0
CDM,45000320,"HC ARTHROPLASTY, METACARPOPHALANGEAL JOINT; EACH",10285.0,10285.0,,,0
CDM,45000321,HC TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING ANESTHESIA,4717.0,4717.0,,,0
CDM,45000322,"HC REPAIR BLOOD VESSEL DIRECT; HAND, FINGER",9161.0,9161.0,,,0
CDM,45000323,"HC CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; REQUIRING ANESTHESIA",6705.0,6705.0,,,0
CDM,45000324,HC CLOSED TX NASAL BONE FX W/MANIPULATION W/ STABILIZATION,18344.0,18344.0,,,0
CDM,45000328,"HC EXCISION; LIP FULL THICKNESS, RECONSTRUCT W/LOCAL FLAP",18344.0,18344.0,,,0
CDM,45000329,"HC UNLISTED PROC, DENTOALVEOLAR STRUCTURES",890.0,890.0,,,0
CDM,45000330,"HC UNLISTED PROC, TONGUE OR FLOOR OF MOUTH",7695.0,7695.0,,,0
CDM,45000331,HC FORESKIN MANIPULATION INCL LYSIS OF ADHESIONS,811.0,811.0,,,0
CDM,45000332,HC CANTHOTOMY,7775.0,7775.0,,,0
CDM,45100001,HC EMERGENCY DEPT VISIT LVL 1,406.0,406.0,,,0
CDM,45200002,HC EMERGENCY DEPT VISIT LVL 2,707.0,707.0,,,0
CDM,45200003,HC EMERGENCY DEPT VISIT LVL 3,1039.0,1039.0,,,0
CDM,45200004,HC EMERGENCY DEPT VISIT LVL 4,1451.0,1451.0,,,0
CDM,45200005,HC EMERGENCY DEPT VISIT LVL 5,1882.0,1882.0,,,0
CDM,46000001,"DEAC 7/1/2018 HC INCENTIVE SPIROMETRY, INITIAL TX",386.0,386.0,,,0
CDM,46000003,HC SPIROMETRY,640.0,640.0,,,0
CDM,46000004,HC SPIROMETRY W/BRONCHODILATOR,1033.0,1033.0,,,0
CDM,46000006,HC TOTAL VITAL CAPACITY,257.0,257.0,,,0
CDM,46000008,HB RESPIRATORY FLOW VOLUME LOOP - NON-MARYLAND,955.0,955.0,,,0
CDM,46000009,"HC CARDIOPULM EXERCISE TEST, INCL MEASURE MIN VENT, CO2, O2  & ECG",1992.0,1992.0,,,0
CDM,46000014,HC CO/MEMBRANE DIFFUSE CAPACITY,550.0,550.0,,,0
CDM,46000015,HC PULSE OXIMETRY,509.0,509.0,,,0
CDM,46000016,"HC PULSE OX MULTIPLE, EG EXERCISE",611.0,611.0,,,0
CDM,46000017,"DEAC 7/1/2018 HC CO EXPIRED GAS BY IR, INITIAL DAY",554.0,554.0,,,0
CDM,46000018,"DEAC 7/1/2018 HC CO EXPIRED GAS BY IR, SUBSEQ DAY",443.0,443.0,,,0
CDM,46000024,"DEAC 7/1/2018 HC CONTINUOUS AEROSOL THERAPY, INITIAL DAY",83.0,83.0,,,0
CDM,46000025,"DEAC 7/1/2018 HC CONTINUOUS AEROSOL THERAPY, SUBSEQ DAY",28.0,28.0,,,0
CDM,46000030,"DEAC 7/1/2018 HC OXYGEN THERAPY, INITIAL DAY",83.0,83.0,,,0
CDM,46000031,"DEAC 7/1/2018 HC OXYGEN THERAPY, SUBSEQ DAY",28.0,28.0,,,0
CDM,46000032,HC BEDSIDE PULMONARY MECHANICS,257.0,257.0,,,0
CDM,46000033,"HC TRACHEOSTOMY TUBE CARE, NON-VENT",257.0,257.0,,,0
CDM,46000051,"HC Pulmonary stress test, simple",1345.0,1345.0,,,0
CDM,46000052,HC PULMONARY FUNCTION TEST BY GAS,524.0,524.0,,,0
CDM,46000053,HC CONTINUOUS PULSE OX,920.0,920.0,,,0
CDM,46000054,HC SURFACTANT ADMIN THRU TUBE,967.0,967.0,,,0
CDM,46000056,"DEAC 7/1/2018 HC HEAT HF NASAL CANNULA, INITIAL DAY < 12 HRS",83.0,83.0,,,0
CDM,46000057,"DEAC 7/1/2018 HC HEAT HF NASAL CANNULA, INITIAL DAY > 12 HRS",83.0,83.0,,,0
CDM,46000058,"DEAC 7/1/2018 HC HEAT HF NASAL CANNULA, SUBSEQ DAY < 12 HRS",28.0,28.0,,,0
CDM,46000059,"DEAC 7/1/2018 HC HEAT HF NASAL CANNULA, SUBSEQ DAY > 12 HRS",28.0,28.0,,,0
CDM,46000063,"HC PULM STRESS TEST(6 MINUTE WALK) INC HR,OXIMET,OXY TITR, WHEN PERF",2585.0,2585.0,,,0
CDM,46000064,"HC EXERCISE TEST BRONCHOSPASM, INCL PRE & POST SPIRO,W/ECG & PULSE OX",2585.0,2585.0,,,0
CDM,46000065,HC CO2 EXPIRED GAS BY IR / PER DAY,1015.0,1015.0,,,0
CDM,46000080,"HC SMH CONTINUOUS AEROSOL THERAPY, INITIAL DAY",200.0,200.0,,,0
CDM,46000081,"HC SMH CONTINUOUS AEROSOL THERAPY, SUBSEQ DAY",200.0,200.0,,,0
CDM,46000082,"HC SMH OXYGEN THERAPY, INITIAL DAY",200.0,200.0,,,0
CDM,46000083,"HC SMH OXYGEN THERAPY, SUBSEQ DAY",200.0,200.0,,,0
CDM,46000084,"HC SMH HEAT HF NASAL CANNULA, INITIAL DAY",200.0,200.0,,,0
CDM,46000085,"HC SMH HEAT HF NASAL CANNULA, SUBSEQ DAY",200.0,200.0,,,0
CDM,47000013,HC TYMPANOMETRY & REFLEX THRESH,271.0,271.0,,,0
CDM,47000014,"HC CALORIC VSTBLR TEST W/REC, BILATERAL  BITHERMAL",768.0,768.0,,,0
CDM,47000015,"HC CALORIC VSTBLR TEST W/REC, BILATERAL; MONOTHERMAL",768.0,768.0,,,0
CDM,47000017,"HC AUDITORY EVOKED POTENTIALS; SCRN AUDIT POTENT W/STIMULI, AUTO ANALYS",282.0,282.0,,,0
CDM,47000018,"HC AUDITORY EVOKED POTENTIALS; HEARING STATUS DETER, BBAND STIMULI, I&R",287.0,287.0,,,0
CDM,47000019,"HC AUDITORY EVOKED POTENTIALS; THRESHOLD ESTIM AT MULTI FREQ, I & R",337.0,337.0,,,0
CDM,47000020,"HC AUDITORY EVOKED POTENTIALS; NEURODIAGNOSTIC, W/INTRP & RPT",337.0,337.0,,,0
CDM,47080001,HC SMH ONLY HEARING AID CONSULT,157.0,157.0,,,0
CDM,47080002,HC FITTING/ORIENTATION/CHECKING OF HA (LOSS/DAMAGE),251.0,251.0,,,0
CDM,47080003,HC HA REPAIR/MODIFICATION COMPLETE,463.0,463.0,,,0
CDM,47080004,HC HA REPAIR/MODIFICATION MONAURAL,38.0,38.0,,,0
CDM,47080005,HC HA REPAIR/MODIFICATION BINAURAL,51.0,51.0,,,0
CDM,47080006,HC HA REPAIR/MODIFICATION MONAURAL,34.0,34.0,,,0
CDM,47080007,HC HA REPAIR/MODIFICATION BINAURAL,45.0,45.0,,,0
CDM,47080008,HC HA REPAIR MONAURAL OUT WA,69.0,69.0,,,0
CDM,47080009,HC HA REPAIR BINAURAL OUT WA,113.0,113.0,,,0
CDM,47080010,HC HA DISPENSING FEE UNSPECIFIED,320.0,320.0,,,0
CDM,47080011,"HC HA DISPENSING FEE UNSPEC, REPLACEMENT",201.0,201.0,,,0
CDM,47100001,"HC SCREENING TEST, PURE TONE AIR ONLY",314.0,314.0,,,0
CDM,47100002,"HC PURE TONE AUDIOMETRY, AIR ONLY",264.0,264.0,,,0
CDM,47100003,"HC PURE TONE AUDIOMETRY, AIR & BONE",390.0,390.0,,,0
CDM,47100004,HC SPEECH AUDIOMETRY THESHOLD W/SR,343.0,343.0,,,0
CDM,47100005,"HC SPEECH AUDIOMETRY W/SR, COMPREHENSIVE",831.0,831.0,,,0
CDM,47100006,HC TYMPANOMETRY (IMP TESTING),243.0,243.0,,,0
CDM,47100007,HC ACOUSTIC REFLEX TESTING,243.0,243.0,,,0
CDM,47100008,HC VISUAL REINFORCE AUDIOMETRY,443.0,443.0,,,0
CDM,47100009,HC CONDITIONING PLAY AUDIOMETRY,343.0,343.0,,,0
CDM,47100010,HC DEAC 01/01/2021  AUDITORY EP - COMPREHENSIVE,1078.0,1078.0,,,0
CDM,47100011,HC DEAC 01/01/2021  AUDITORY EP - LIMITED,900.0,900.0,,,0
CDM,47100012,HC EVOKED AUDITORY TEST LIMITED,765.0,765.0,,,0
CDM,47100013,"HC ELECTRO HEARING AID TEST, MONAURAL",144.0,144.0,,,0
CDM,47100014,"HC ELECTRO HEARING AID TEST, BINAURAL",193.0,193.0,,,0
CDM,47100015,HC SPEECH AUDIOMETRY THRESHOLD,243.0,243.0,,,0
CDM,47100016,HC ACOUSTIC IMMITTANCE TESTING,343.0,343.0,,,0
CDM,47100017,HC SELECT PICTURE AUDIOMETRY,544.0,544.0,,,0
CDM,47100018,HC ELECTROCOCHLEOGRAPHY,1420.0,1420.0,,,0
CDM,47100019,HC EVOKED AUDITORY TEST COMPLETE,859.0,859.0,,,0
CDM,47100020,HC EVOKED AUDITORY TEST NEWBORN,238.0,238.0,,,0
CDM,47100150,HC NASOPHARYNGOSCOPY,604.0,604.0,,,0
CDM,47100151,HC HEARING AID EXAM ONE EAR,509.0,509.0,,,0
CDM,47100152,HC HEARING AID EXAM BOTH EARS,765.0,765.0,,,0
CDM,47100153,"HC STENGER TEST, PURE TONE",188.0,188.0,,,0
CDM,47100154,HC TINNITUS ASSESSMENT,573.0,573.0,,,0
CDM,47100163,"HC EVOKED AUDITORY TEST QUAL, SCREENING",314.0,314.0,,,0
CDM,48000003,HC MYOCRD STRAIN IMG USING SPECKLE TRCK ASSMT OF MYOCRD MECHAN,915.0,915.0,,,0
CDM,48100010,HC NS CATHETER - RETROGRADE BRACHIAL ARTERY,1584.0,1584.0,,,0
CDM,48100011,"HC INSERT CATHETER RENAL ARTERY 2ND, BILAT",3204.0,3204.0,,,0
CDM,48100012,"HC INSERT CATHETER RENAL ARTERY 2ND, UNILAT",4357.0,4357.0,,,0
CDM,48100013,HC PTA RENAL OR VISCERAL ARTERY,5728.0,5728.0,,,0
CDM,48100014,HC INSERT SWAN GANZ CATH BEDSIDE,2716.0,2716.0,,,0
CDM,48100015,"HC INTRO NEEDLE OR INTRACATHETER, UPPER OR LOWER EXTREMITY ARTERY",2084.0,2084.0,,,0
CDM,48100016,HC REMOVE HEPATIC SHUNT (TIPS),8138.0,8138.0,,,0
CDM,48100017,HC INSERT CATHETER RENAL ARTERY 1ST UNILATERAL,2923.0,2923.0,,,0
CDM,48100018,HC INSERT CATHETER RENAL ARTERY 1ST BILATERAL,3204.0,3204.0,,,0
CDM,48100050,HC TILT TABLE EVALUATION - STANDARD,3622.0,3622.0,,,0
CDM,48100051,HC INSERT HEPATIC SHUNT (TIPS),5405.0,5405.0,,,0
CDM,48100052,HC SEL CATH ARTERIAL; ABD-LWR EXTREMITY; EA ADDL,1497.0,1497.0,,,0
CDM,48100053,"HC SEL CATH ARTERIAL, BRACH-CEPH; EA ADDL",1497.0,1497.0,,,0
CDM,48100054,"HC SEL CATH ARTERIAL, BRACH-CEPH; 3RD ORDER",5446.0,5446.0,,,0
CDM,48100055,"HC SEL CATH ARTERIAL, BRACH-CEPH; 2ND ORDER",4661.0,4661.0,,,0
CDM,48100056,HC NONSELECTIVE CATHETER - AORTA,2326.0,2326.0,,,0
CDM,48100057,HC THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT,12053.0,12053.0,,,0
CDM,48100058,"HC CARDIOVERSION ELECTRICAL CONVERSION, EXTERNAL",3010.0,3010.0,,,0
CDM,48100059,HC CARDIOVERSION WITH TEE,3010.0,3010.0,,,0
CDM,48100077,HC PERICARDIOCENTESIS; INITIAL,1546.0,1546.0,,,0
CDM,48100078,"HC NS CATH, THORACIC AORTA W/ANGIO",4732.0,4732.0,,,0
CDM,48100110,HC PLACE CATH XTRNL CAROTID,5911.0,5911.0,,,0
CDM,48100112,HC PLACE CATH CAROTID/INOM ART W/ ANGIO EXTRACRANIAL,5911.0,5911.0,,,0
CDM,48100113,HC PLACE CATH CAROTID/INOM ART W/ ANGIO INTRACRANIAL,6463.5,6463.5,,,0
CDM,48100114,HC PLACE CATH CAROTD ART,9669.0,9669.0,,,0
CDM,48100115,HC PLACE CATH SUBCLAVIAN ART,5911.0,5911.0,,,0
CDM,48100116,HC PLACE CATH VERTEBRAL ART,9669.0,9669.0,,,0
CDM,48100117,HC PERICARDIOCENTESIS; SUBSEQUENT,1335.0,1335.0,,,0
CDM,48200001,HC 12 CVSLR STRESS TEST; TRACING,1526.0,1526.0,,,0
CDM,48300001,"HC PM DEVICE PROGR EVAL, SNGL",430.0,430.0,,,0
CDM,48300002,"HC PM DEVICE PROGR EVAL, DUAL",430.0,430.0,,,0
CDM,48300003,"HC PM DEVICE PROGR EVAL, MULTI",430.0,430.0,,,0
CDM,48300004,"HC ICD DEVICE PROG EVAL, 1 SINGLE",430.0,430.0,,,0
CDM,48300005,"HC ICD DEVICE PROGR EVAL, DUAL",430.0,430.0,,,0
CDM,48300006,"HC ICD DEVICE PROGR EVAL, MULT",430.0,430.0,,,0
CDM,48300010,HC PM DEVICE EVAL IN PERSON,487.0,487.0,,,0
CDM,48300011,HC ICD DEVICE INTERROGATE,487.0,487.0,,,0
CDM,48300012,HC ILR DEVICE INTERROGATE,487.0,487.0,,,0
CDM,48300014,HC TTE CONG ABN; COMPLETE,4121.0,4121.0,,,0
CDM,48300015,HC TTE CONG ABN; LIMITED/F-UP,4121.0,4121.0,,,0
CDM,48300016,HC TTE W/DOPPLER COMPLETE,4121.0,4121.0,,,0
CDM,48300017,HC TTE W/O DOPPLER COMPLETE,1970.0,1970.0,,,0
CDM,48300018,HC TTE F-UP OR LMTD,1481.0,1481.0,,,0
CDM,48300019,HC ECHO TRANSESOPHAGEAL COMPLETE,2988.0,2988.0,,,0
CDM,48300022,HC DOPPLER ECHO; COMPLETE,1738.0,1738.0,,,0
CDM,48300023,HC DOPPLER ECHO; LIMITED/ F-UP,1536.0,1536.0,,,0
CDM,48300024,HC DOPPLER COLOR FLOW,416.0,416.0,,,0
CDM,48300025,HC STRESS TTE ONLY,4121.0,4121.0,,,0
CDM,48300029,HC 2D TEE W OR W/O FOL W/CON IN,2042.0,2042.0,,,0
CDM,48300034,"HC TEE W OR W/O FOLLOWED BY W/CONTRAST, MONITORING",2042.0,2042.0,,,0
CDM,48300035,"HC TTE W OR WO FOLLOWED BY W/CONTRAST, DOPPLER",2042.0,2042.0,,,0
CDM,51000000,HC STATISTICAL NO CHARGE VISIT,1.0,1.0,,,0
CDM,51000001,HC HOSPITAL OUTPATIENT CLINIC VISIT,218.5,218.5,,,0
CDM,51000002,HC OFFICE/OUTPATIENT VISIT NEW LVL 2,331.0,331.0,,,0
CDM,51000003,HC OFFICE/OUTPATIENT VISIT NEW LVL 3,421.0,421.0,,,0
CDM,51000004,HC OFFICE/OUTPATIENT VISIT NEW LVL 4,512.0,512.0,,,0
CDM,51000005,HC OFFICE/OUTPATIENT VISIT NEW LVL 5,605.0,605.0,,,0
CDM,51000006,HC OFFICE/OUTPATIENT VISIT EST LVL 1,211.0,211.0,,,0
CDM,51000007,HC OFFICE/OUTPATIENT VISIT EST LVL 2,298.5,298.5,,,0
CDM,51000008,HC OFFICE/OUTPATIENT VISIT EST LVL 3,348.0,348.0,,,0
CDM,51000009,HC OFFICE/OUTPATIENT VISIT EST LVL 4,430.0,430.0,,,0
CDM,51000010,HC OFFICE/OUTPATIENT VISIT EST LVL 5,510.5,510.5,,,0
CDM,51000020,HC PREVENTIVE COUNSELING INDIV 15MIN,140.0,140.0,,,0
CDM,51000021,HC PREVENTIVE COUNSELING INDIV 30MIN,280.0,280.0,,,0
CDM,51000022,HC PREVENTIVE COUNSELING INDIV 45MIN,419.0,419.0,,,0
CDM,51000023,HC PREVENTIVE COUNSELING INDIV 60MIN,558.0,558.0,,,0
CDM,51091101,HC OFFICE/OUTPATIENT VISIT EST LVL 1,57.0,57.0,,,0
CDM,51091102,HC OFFICE/OUTPATIENT VISIT EST LVL 1,116.0,116.0,,,0
CDM,51091103,HC OFFICE/OUTPATIENT VISIT EST LVL 1,116.0,116.0,,,0
CDM,51091104,HC OFFICE/OUTPATIENT VISIT EST LVL 2,77.0,77.0,,,0
CDM,51091105,HC OFFICE/OUTPATIENT VISIT EST LVL 2,156.0,156.0,,,0
CDM,51091106,HC OFFICE/OUTPATIENT VISIT EST LVL 2,156.0,156.0,,,0
CDM,51091107,"HC MED ONC 1ST OFFICE VISIT,LVL",92.0,92.0,,,0
CDM,51091108,"HC MED ONC INIT OFFICE VISIT, LEVEL 2",141.0,141.0,,,0
CDM,51091109,"HC MED ONC INIT OFFICE VISIT, LEVEL 3",190.0,190.0,,,0
CDM,51091110,"HC MED ONC INIT OFFICE VISIT, LEVEL 4",239.0,239.0,,,0
CDM,51091111,"HC MED ONC INIT OFFICE VISIT, LEVEL 5",288.0,288.0,,,0
CDM,51091112,"HC MED ONC F/U OFFICE VISIT, LEVEL 1",57.0,57.0,,,0
CDM,51091113,"HC MED ONC F/U OFFICE VISIT, LEVEL 2",77.0,77.0,,,0
CDM,51091114,"HC MED ONC F/U OFFICE VISIT, LEVEL 3",97.0,97.0,,,0
CDM,51091115,"HC MED ONC F/U OFFICE VISIT, LEVEL 4",117.0,117.0,,,0
CDM,51091116,"HC MED ONC F/U OFFICE VISIT, LEVEL 5",137.0,137.0,,,0
CDM,51091117,"HC MED ONC OP CONSULT NEW,LEVEL 1",92.0,92.0,,,0
CDM,51091118,"HC MED ONC OP CONSULT NEW , LEVEL 2",141.0,141.0,,,0
CDM,51091119,"HC MED ONC OP CONSULT NEW, LEVEL 3",190.0,190.0,,,0
CDM,51091120,"HC MED ONC OP CONSULT NEW, LEVEL 4",239.0,239.0,,,0
CDM,51091121,"HC MED ONC OP CONSULT NEW, LEVEL 5",288.0,288.0,,,0
CDM,51091122,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 1",57.0,57.0,,,0
CDM,51091123,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 2",77.0,77.0,,,0
CDM,51091124,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 3",97.0,97.0,,,0
CDM,51091125,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 4",117.0,117.0,,,0
CDM,51091126,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 5",137.0,137.0,,,0
CDM,51091127,HC FOLLOWUP VISIT,53.0,53.0,,,0
CDM,53000001,HC OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS,246.0,246.0,,,0
CDM,61000001,HC MRI OF TEMPOROMANDIBULAR JOINT(S),3969.5,3969.5,,,0
CDM,61000002,HC MRI ORBIT/FACE/NECK W/O CONTRAST,3241.5,3241.5,,,0
CDM,61000003,HC MRI ORBIT/FACE/NECK W/CONTRAST,3850.0,3850.0,,,0
CDM,61000004,HC MRI ORBIT/FACE/NECK W/O & W/CONTRAST,4946.0,4946.0,,,0
CDM,61000005,HC MRI CHEST W/O CONTRAST,4528.5,4528.5,,,0
CDM,61000006,HC MRI CHEST W CONTRAST,4604.0,4604.0,,,0
CDM,61000007,HC MRI CHEST W & W/O CONTRAST,4604.0,4604.0,,,0
CDM,61000008,HC MRI PELVIS W/O CONTRAST,4462.0,4462.0,,,0
CDM,61000009,HC MRI PELVIS W CONTRAST,3969.5,3969.5,,,0
CDM,61000010,HC MRI PELVIS W & W/O CONTRAST,4763.0,4763.0,,,0
CDM,61000011,HC MRI UPPER EXT NOT JOINT W/O CONTRAST,5626.5,5626.5,,,0
CDM,61000012,HC MRI UPPER EXT NOT JOINT W/ CONTRAST,5626.5,5626.5,,,0
CDM,61000013,HC MRI UPPER EXT NOT JOINT W & W/O CONTRAST,5443.0,5443.0,,,0
CDM,61000014,HC MRI UPPER EXT ANY JOINT W/O CONTRAST,4237.0,4237.0,,,0
CDM,61000015,HC MRI UPPER EXT ANY JOINT W CONTRAST,4237.0,4237.0,,,0
CDM,61000016,HC MRI UPPER EXT ANY JOINT W & W/O CONTRAST,6140.0,6140.0,,,0
CDM,61000017,HC MRI LOWER EXT NOT JOINT W/O CONTRAST,3702.0,3702.0,,,0
CDM,61000018,HC MRI LOWER EXT NOT JOINT W CONTRAST,3702.0,3702.0,,,0
CDM,61000019,HC MRI ANY JOINT LOWER EXT W/O CONTRAST,3702.0,3702.0,,,0
CDM,61000020,HC MRI ANY JOINT LOWER EXT W/CONTRAST,3702.0,3702.0,,,0
CDM,61000021,HC MRI ANY JOINT LOWER EXT W/O & W CON,5443.0,5443.0,,,0
CDM,61000022,HC MRI ABDOMEN W/O CONTRAST,3969.5,3969.5,,,0
CDM,61000023,HC MRI ABDOMEN W CONTRAST,3969.5,3969.5,,,0
CDM,61000024,HC MRI ABDOMEN W & W/O CONTRAST,5739.0,5739.0,,,0
CDM,61000025,HC CARDIAC MRI FOR MORPH & FUNC W/O CONTRAST,3969.5,3969.5,,,0
CDM,61000028,HC UNLISTED MAGNETIC RESONANCE PROCEDURE,2792.0,2792.0,,,0
CDM,61000029,HC MRI NEEDLE GUIDANCE,1045.0,1045.0,,,0
CDM,61000040,HC MRI LEXTREM W&WO CONTR,5443.0,5443.0,,,0
CDM,61000041,HC CAD BREAST MRI,67.0,67.0,,,0
CDM,61000047,"HC MRI, BONE MARROW BLOOD SUPPLY",1682.0,1682.0,,,0
CDM,61000048,HC MRI BREAST UNIL W/O CONTRAST,3054.0,3054.0,,,0
CDM,61000050,HC MRI BREAST BILAT W/O CONTRAST,5317.0,5317.0,,,0
CDM,61000052,HC CAD BREAST MRI,78.0,78.0,,,0
CDM,61100001,HC MRI BRAIN W/O CONTRAST,3468.5,3468.5,,,0
CDM,61100002,HC MRI BRAIN W CONTRAST,4616.0,4616.0,,,0
CDM,61100003,HC MRI BRAIN W & W/O CONTRAST,5814.0,5814.0,,,0
CDM,61200001,"HC MRI SPINE CERVICAL, W/O CONTRAST",3607.0,3607.0,,,0
CDM,61200002,"HC MRI SPINE CERVICAL, W CONTRAST",4616.0,4616.0,,,0
CDM,61200003,"HC MRI SPINE THORACIC, W/O CONTRAST",3969.5,3969.5,,,0
CDM,61200004,"HC MRI SPINE THORACIC, W CONTRAST",5080.0,5080.0,,,0
CDM,61200005,"HC MRI SPINE LUMBAR, W/O CONTRAST",3969.5,3969.5,,,0
CDM,61200006,"HC MRI SPINE LUMBAR, W CONTRAST",5080.0,5080.0,,,0
CDM,61200007,"HC MRI SPINE CERVICAL, W & W/O CONTRAST",5814.0,5814.0,,,0
CDM,61200008,"HC MRI SPINE THORACIC, W & W/O CONTRAST",6398.0,6398.0,,,0
CDM,61200009,"HC MRI SPINE LUMBAR, W & W/O CONTRAST",6398.0,6398.0,,,0
CDM,61400001,HC MRI BREAST UNILATERAL WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,3859.0,3859.0,,,0
CDM,61400002,HC MRI BREAST BILAT W CONTR,5317.0,5317.0,,,0
CDM,61400003,HC MRI BREAST BILAT WO CONTR,4416.0,4416.0,,,0
CDM,61400004,HC MRI BREAST BILATERAL WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,5975.0,5975.0,,,0
CDM,61400005,"HC MRI WO CONTRAST, BREAST; UNILATERAL",2663.0,2663.0,,,0
CDM,61400006,"HC MRI W CONTRAST, BREAST; UNILATERAL",3206.0,3206.0,,,0
CDM,61500001,HC MRA HEAD W/O CONTRAST,4328.0,4328.0,,,0
CDM,61500002,HC MRA HEAD W CONTRAST,4328.0,4328.0,,,0
CDM,61500003,HC MRA HEAD W & W/O CONTRAST,4946.0,4946.0,,,0
CDM,61500004,HC MRA NECK W/O CONTRAST,4328.0,4328.0,,,0
CDM,61500005,HC MRA NECK W CONTRAST,4328.0,4328.0,,,0
CDM,61500006,HC MRA NECK W & W/O CONTRAST,4946.0,4946.0,,,0
CDM,61600005,HC MRA LEXTREM W CONT,5626.5,5626.5,,,0
CDM,61600006,HC MRA LOWER EXTREMITY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,6277.5,6277.5,,,0
CDM,61600007,"HC MRA WO CONTRAST, LOWER EXT",5626.5,5626.5,,,0
CDM,61800002,HC MRA SPINE W OR W/O CONTRAST,4699.0,4699.0,,,0
CDM,61800003,HC MRA UPPER EXT W OR W/O CONTRAST,4237.0,4237.0,,,0
CDM,61800011,HC MRA ABD W CONTRAST,4763.0,4763.0,,,0
CDM,61800012,HC MRA ABDOMEN WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,6398.0,6398.0,,,0
CDM,61800013,HC MRA CHEST W CONTRAST,4237.0,4237.0,,,0
CDM,61800014,HC MRA PELVIS WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,4763.0,4763.0,,,0
CDM,61800015,"HC MRA W CONTRAST, PELVIS",4237.0,4237.0,,,0
CDM,61800016,HC MRA ABD WO CONTRAST,4237.0,4237.0,,,0
CDM,61800025,HC MRA CHEST WO CONRAST,4237.0,4237.0,,,0
CDM,61800026,HC MRA CHEST WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,4611.0,4611.0,,,0
CDM,61800027,HC MRA W/CONTRAST UPPER EXTREMITY,8388.5,8388.5,,,0
CDM,61800028,HC MRA W/O CONTRAST UPPER EXTREMITY,5626.5,5626.5,,,0
CDM,61800029,HC MRA UPPER EXTREMITY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,9489.5,9489.5,,,0
CDM,61800030,HC MRA W/CONTRAST SPINAL CANAL,7007.0,7007.0,,,0
CDM,61800031,HC MRA W/O CONTRAST SPINAL CANAL,4699.0,4699.0,,,0
CDM,61800032,HC MRA SPINAL CANAL WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,7927.0,7927.0,,,0
CDM,62191101,HC SEED CARRIER,210.0,210.0,,,0
CDM,62191102,HC EYE-PLAQUE TEMPLATE,249.0,249.0,,,0
CDM,63691101,HC I-125 RADIOELEMENT SEED,620.0,620.0,,,0
CDM,63691102,HC I-125 VARI-STRAND SOURCES,257.0,257.0,,,0
CDM,63691103,HC PD-103 REDI-STRAND SOURCE,299.0,299.0,,,0
CDM,63691104,HC CS-131 REDI-STRAND SOURCE,226.0,226.0,,,0
CDM,70000001,HC APPLY LONG ARM CAST,333.0,333.0,,,0
CDM,70000002,HC APPLY SHORT ARM CAST,333.0,333.0,,,0
CDM,70000005,HC APPLY LONG LEG CAST,333.0,333.0,,,0
CDM,70000007,HC APPLY SHORT LEG CAST WALKER,333.0,333.0,,,0
CDM,70000008,HC APPLY PATELLAR TENDON BEARING (PTB) CAST,333.0,333.0,,,0
CDM,70000009,HC APPLY CLUBFOOT CAST LONG OR SHORT LEG,203.0,203.0,,,0
CDM,71000010,HC PACU LEVEL 1 - 1ST 30 MIN,1352.0,1352.0,,,0
CDM,71000011,HC PACU LEVEL 1 - EA ADDL 30 MINS,674.0,674.0,,,0
CDM,71000012,HC PACU LEVEL 2 -1ST 30 MIN,1509.0,1509.0,,,0
CDM,71000013,HC PACU LEVEL 2 - EACH ADDL 30 MINS,754.0,754.0,,,0
CDM,71000014,HC PACU LEVEL 3 - 1ST 30 MIN,1667.0,1667.0,,,0
CDM,71000015,HC PACU LEVEL 3 - EACH ADDL 30 MINS,829.0,829.0,,,0
CDM,71000016,HC PACU LEVEL 4 - 1ST 30 MIN,1822.0,1822.0,,,0
CDM,71000017,HC PACU LEVEL 4 - EACH ADDL 30 MINS,912.0,912.0,,,0
CDM,71000020,HC ECT RECOVERY,345.0,345.0,,,0
CDM,71000021,HC PRE-OP STANDARD OR,948.0,948.0,,,0
CDM,71000022,HC PRE-OP MINOR/IR,531.0,531.0,,,0
CDM,71000023,HC PRE-OP IV START,418.0,418.0,,,0
CDM,71000202,HC PACU PHASE II IV SED W/ RR 31-60 MINUTES,918.0,918.0,,,0
CDM,71000203,HC PACU PHASE II IV SED W/ RR 61-90 MINUTES,358.0,358.0,,,0
CDM,71000204,HC PACU PHASE II IV SED W/ RR 91-120 MINUTES,358.0,358.0,,,0
CDM,71000205,HC PACU PHASE II IV SED W/ RR 121-150 MINUTES,182.0,182.0,,,0
CDM,71000206,HC PACU PHASE II IV SED W/ RR 151-180 MINUTES,182.0,182.0,,,0
CDM,71000207,HC PACU PHASE II IV SED W/ RR 181-210 MINUTES,182.0,182.0,,,0
CDM,71000208,HC PACU PHASE II IV SED W/ RR 211-240 MINUTES,182.0,182.0,,,0
CDM,71000209,HC PACU PHASE II IV SED W/ RR 241-270 MINUTES,182.0,182.0,,,0
CDM,71000210,HC PACU PHASE II IV SED W/ RR 271-300 MINUTES,118.0,118.0,,,0
CDM,71000211,HC PACU PHASE II IV SED W/ RR 301-330 MINUTES,118.0,118.0,,,0
CDM,71000212,HC PACU PHASE II IV SED W/ RR 331-360 MINUTES,118.0,118.0,,,0
CDM,71000213,HC PACU PHASE II IV SED W/ RR 361-390 MINUTES,118.0,118.0,,,0
CDM,71000214,HC PACU PHASE II IV SED W/ RR 391-420 MINUTES,118.0,118.0,,,0
CDM,71000215,HC PACU PHASE II IV SED W/ RR 421-450 MINUTES,118.0,118.0,,,0
CDM,71000216,HC PACU PHASE II IV SED W/ RR 451-480 MINUTES,118.0,118.0,,,0
CDM,71000217,HC PACU PHASE II IV SED W/ RR 481-510 MINUTES,118.0,118.0,,,0
CDM,71000218,HC PACU PHASE II IV SED W/ RR 511-540 MINUTES,89.0,89.0,,,0
CDM,71000219,HC PACU PHASE II IV SED W/ RR 541-570 MINUTES,89.0,89.0,,,0
CDM,71000220,HC PACU PHASE II IV SED W/ RR 571-600 MINUTES,89.0,89.0,,,0
CDM,71000221,HC PACU PHASE II IV SED W/O RR INITIAL 30 MINUTES,1109.0,1109.0,,,0
CDM,71000222,HC PACU PHASE II IV SED W/O RR 31-60 MINUTES,427.0,427.0,,,0
CDM,71000223,HC PACU PHASE II IV SED W/O RR 61-90 MINUTES,182.0,182.0,,,0
CDM,71000224,HC PACU PHASE II IV SED W/O RR 91-120 MINUTES,182.0,182.0,,,0
CDM,71000225,HC PACU PHASE II IV SED W/O RR 121-150 MINUTES,182.0,182.0,,,0
CDM,71000226,HC PACU PHASE II IV SED W/O RR 151-180 MINUTES,182.0,182.0,,,0
CDM,71000227,HC PACU PHASE II IV SED W/O RR 181-210 MINUTES,182.0,182.0,,,0
CDM,71000228,HC PACU PHASE II IV SED W/O RR 211-240 MINUTES,182.0,182.0,,,0
CDM,71000229,HC PACU PHASE II IV SED W/O RR 241-270 MINUTES,118.0,118.0,,,0
CDM,71000230,HC PACU PHASE II IV SED W/O RR 271-300 MINUTES,118.0,118.0,,,0
CDM,71000231,HC PACU PHASE II IV SED W/O RR 301-330 MINUTES,118.0,118.0,,,0
CDM,71000232,HC PACU PHASE II IV SED W/O RR 331-360 MINUTES,118.0,118.0,,,0
CDM,71000233,HC PACU PHASE II IV SED W/O RR 361-390 MINUTES,118.0,118.0,,,0
CDM,71000234,HC PACU PHASE II IV SED W/O RR 391-420 MINUTES,118.0,118.0,,,0
CDM,71000235,HC PACU PHASE II IV SED W/O RR 421-450 MINUTES,118.0,118.0,,,0
CDM,71000236,HC PACU PHASE II IV SED W/O RR 451-480 MINUTES,118.0,118.0,,,0
CDM,71000237,HC PACU PHASE II IV SED W/O RR 481-510 MINUTES,89.0,89.0,,,0
CDM,71000238,HC PACU PHASE II IV SED W/O RR 511-540 MINUTES,89.0,89.0,,,0
CDM,71000239,HC PACU PHASE II IV SED W/O RR 541-570 MINUTES,89.0,89.0,,,0
CDM,71000240,HC PACU PHASE II IV SED W/O RR 571-600 MINUTES,89.0,89.0,,,0
CDM,71000241,HC PACU PHASE II REG EPIDRL INITIAL 30 MINUTES,561.0,561.0,,,0
CDM,71000242,HC PACU PHASE II REG EPIDRL 31-60 MINUTES,358.0,358.0,,,0
CDM,71000243,HC PACU PHASE II REG EPIDRL 61-90 MINUTES,358.0,358.0,,,0
CDM,71000244,HC PACU PHASE II REG EPIDRL 91-120 MINUTES,182.0,182.0,,,0
CDM,71000245,HC PACU PHASE II REG EPIDRL 121-150 MINUTES,182.0,182.0,,,0
CDM,71000246,HC PACU PHASE II REG EPIDRL 151-180 MINUTES,182.0,182.0,,,0
CDM,71000247,HC PACU PHASE II REG EPIDRL 181-210 MINUTES,182.0,182.0,,,0
CDM,71000248,HC PACU PHASE II REG EPIDRL 211-240 MINUTES,182.0,182.0,,,0
CDM,71000249,HC PACU PHASE II REG EPIDRL 241-270 MINUTES,182.0,182.0,,,0
CDM,71000250,HC PACU PHASE II REG EPIDRL 271-300 MINUTES,118.0,118.0,,,0
CDM,71000251,HC PACU PHASE II REG EPIDRL 301-330 MINUTES,118.0,118.0,,,0
CDM,71000252,HC PACU PHASE II REG EPIDRL 331-360 MINUTES,118.0,118.0,,,0
CDM,71000253,HC PACU PHASE II REG EPIDRL 361-390 MINUTES,118.0,118.0,,,0
CDM,71000254,HC PACU PHASE II REG EPIDRL 391-420 MINUTES,118.0,118.0,,,0
CDM,71000255,HC PACU PHASE II REG EPIDRL 421-450 MINUTES,118.0,118.0,,,0
CDM,71000256,HC PACU PHASE II REG EPIDRL 451-480 MINUTES,118.0,118.0,,,0
CDM,71000257,HC PACU PHASE II REG EPIDRL 481-510 MINUTES,118.0,118.0,,,0
CDM,71000258,HC PACU PHASE II REG EPIDRL 511-540 MINUTES,89.0,89.0,,,0
CDM,71000259,HC PACU PHASE II REG EPIDRL 541-570 MINUTES,89.0,89.0,,,0
CDM,71000260,HC PACU PHASE II REG EPIDRL 571-600 MINUTES,89.0,89.0,,,0
CDM,71000261,HC PACU PHASE II GENERAL ANES INITIAL 30 MINUTES,784.0,784.0,,,0
CDM,71000262,HC PACU PHASE II GENERAL ANES 31-60 MINUTES,388.0,388.0,,,0
CDM,71000263,HC PACU PHASE II GENERAL ANES 61-90 MINUTES,388.0,388.0,,,0
CDM,71000264,HC PACU PHASE II GENERAL ANES 91-120 MINUTES,358.0,358.0,,,0
CDM,71000265,HC PACU PHASE II GENERAL ANES 121-150 MINUTES,182.0,182.0,,,0
CDM,71000266,HC PACU PHASE II GENERAL ANES 151-180 MINUTES,182.0,182.0,,,0
CDM,71000267,HC PACU PHASE II GENERAL ANES 181-210 MINUTES,182.0,182.0,,,0
CDM,71000268,HC PACU PHASE II GENERAL ANES 211-240 MINUTES,182.0,182.0,,,0
CDM,71000269,HC PACU PHASE II GENERAL ANES 241-270 MINUTES,182.0,182.0,,,0
CDM,71000270,HC PACU PHASE II GENERAL ANES 271-300 MINUTES,118.0,118.0,,,0
CDM,71000271,HC PACU PHASE II GENERAL ANES 301-330 MINUTES,118.0,118.0,,,0
CDM,71000272,HC PACU PHASE II GENERAL ANES 331-360 MINUTES,118.0,118.0,,,0
CDM,71000273,HC PACU PHASE II GENERAL ANES 361-390 MINUTES,118.0,118.0,,,0
CDM,71000274,HC PACU PHASE II GENERAL ANES 391-420 MINUTES,118.0,118.0,,,0
CDM,71000275,HC PACU PHASE II GENERAL ANES 421-450 MINUTES,118.0,118.0,,,0
CDM,71000276,HC PACU PHASE II GENERAL ANES 451-480 MINUTES,118.0,118.0,,,0
CDM,71000277,HC PACU PHASE II GENERAL ANES 481-510 MINUTES,118.0,118.0,,,0
CDM,71000278,HC PACU PHASE II GENERAL ANES 511-540 MINUTES,90.0,90.0,,,0
CDM,71000279,HC PACU PHASE II GENERAL ANES 541-570 MINUTES,90.0,90.0,,,0
CDM,71000280,HC PACU PHASE II GENERAL ANES 571-600 MINUTES,90.0,90.0,,,0
CDM,71000281,HC PACU PHASE II ANGIO INITIAL 30 MINUTES,687.0,687.0,,,0
CDM,71000282,HC PACU PHASE II ANGIO 31-60 MINUTES,427.0,427.0,,,0
CDM,71000283,HC PACU PHASE II ANGIO 61-90 MINUTES,427.0,427.0,,,0
CDM,71000284,HC PACU PHASE II ANGIO 91-120 MINUTES,182.0,182.0,,,0
CDM,71000285,HC PACU PHASE II ANGIO 121-150 MINUTES,182.0,182.0,,,0
CDM,71000286,HC PACU PHASE II ANGIO 151-180 MINUTES,182.0,182.0,,,0
CDM,71000287,HC PACU PHASE II ANGIO 181-210 MINUTES,182.0,182.0,,,0
CDM,71000288,HC PACU PHASE II ANGIO 211-240 MINUTES,182.0,182.0,,,0
CDM,71000289,HC PACU PHASE II ANGIO 241-270 MINUTES,182.0,182.0,,,0
CDM,71000290,HC PACU PHASE II ANGIO 271-300 MINUTES,118.0,118.0,,,0
CDM,71000291,HC PACU PHASE II ANGIO 301-330 MINUTES,118.0,118.0,,,0
CDM,71000292,HC PACU PHASE II ANGIO 331-360 MINUTES,118.0,118.0,,,0
CDM,71000293,HC PACU PHASE II ANGIO 361-390 MINUTES,118.0,118.0,,,0
CDM,71000294,HC PACU PHASE II ANGIO 391-420 MINUTES,118.0,118.0,,,0
CDM,71000295,HC PACU PHASE II ANGIO 421-450 MINUTES,118.0,118.0,,,0
CDM,71000296,HC PACU PHASE II ANGIO 451-480 MINUTES,98.0,98.0,,,0
CDM,71000297,HC PACU PHASE II ANGIO 481-510 MINUTES,98.0,98.0,,,0
CDM,71000298,HC PACU PHASE II ANGIO 511-540 MINUTES,98.0,98.0,,,0
CDM,71000299,HC PACU PHASE II ANGIO 541-570 MINUTES,89.0,89.0,,,0
CDM,71000300,HC PACU PHASE II ANGIO 571-600 MINUTES,89.0,89.0,,,0
CDM,71000301,HC PACU PHASE II BIOPSY INITIAL 30 MINUTES,687.0,687.0,,,0
CDM,71000302,HC PACU PHASE II BIOPSY 31-60 MINUTES,427.0,427.0,,,0
CDM,71000303,HC PACU PHASE II BIOPSY 61-90 MINUTES,427.0,427.0,,,0
CDM,71000304,HC PACU PHASE II BIOPSY 91-120 MINUTES,182.0,182.0,,,0
CDM,71000305,HC PACU PHASE II BIOPSY 121-150 MINUTES,182.0,182.0,,,0
CDM,71000306,HC PACU PHASE II BIOPSY 151-180 MINUTES,182.0,182.0,,,0
CDM,71000307,HC PACU PHASE II BIOPSY 181-210 MINUTES,182.0,182.0,,,0
CDM,71000308,HC PACU PHASE II BIOPSY 211-240 MINUTES,182.0,182.0,,,0
CDM,71000309,HC PACU PHASE II BIOPSY 241-270 MINUTES,182.0,182.0,,,0
CDM,71000310,HC PACU PHASE II BIOPSY 271-300 MINUTES,118.0,118.0,,,0
CDM,71000311,HC PACU PHASE II BIOPSY 301-330 MINUTES,118.0,118.0,,,0
CDM,71000312,HC PACU PHASE II BIOPSY 331-360 MINUTES,118.0,118.0,,,0
CDM,71000313,HC PACU PHASE II BIOPSY 361-390 MINUTES,118.0,118.0,,,0
CDM,71000314,HC PACU PHASE II BIOPSY 391-420 MINUTES,118.0,118.0,,,0
CDM,71000315,HC PACU PHASE II BIOPSY 421-450 MINUTES,118.0,118.0,,,0
CDM,71000316,HC PACU PHASE II BIOPSY 451-480 MINUTES,98.0,98.0,,,0
CDM,71000317,HC PACU PHASE II BIOPSY 481-510 MINUTES,98.0,98.0,,,0
CDM,71000318,HC PACU PHASE II BIOPSY 511-540 MINUTES,98.0,98.0,,,0
CDM,71000319,HC PACU PHASE II BIOPSY 541-570 MINUTES,89.0,89.0,,,0
CDM,71000320,HC PACU PHASE II BIOPSY 571-600 MINUTES,89.0,89.0,,,0
CDM,71000321,HC PACU PHASE II MYELOGRAM INITIAL 30 MINUTES,618.0,618.0,,,0
CDM,71000322,HC PACU PHASE II MYELOGRAM 31-60 MINUTES,358.0,358.0,,,0
CDM,71000323,HC PACU PHASE II MYELOGRAM 61-90 MINUTES,388.0,388.0,,,0
CDM,71000324,HC PACU PHASE II MYELOGRAM 91-120 MINUTES,182.0,182.0,,,0
CDM,71000325,HC PACU PHASE II MYELOGRAM 121-150 MINUTES,182.0,182.0,,,0
CDM,71000326,HC PACU PHASE II MYELOGRAM 151-180 MINUTES,182.0,182.0,,,0
CDM,71000327,HC PACU PHASE II MYELOGRAM 181-210 MINUTES,182.0,182.0,,,0
CDM,71000328,HC PACU PHASE II MYELOGRAM 211-240 MINUTES,182.0,182.0,,,0
CDM,71000329,HC PACU PHASE II MYELOGRAM 241-270 MINUTES,182.0,182.0,,,0
CDM,71000330,HC PACU PHASE II MYELOGRAM 271-300 MINUTES,118.0,118.0,,,0
CDM,71000331,HC PACU PHASE II MYELOGRAM 301-330 MINUTES,118.0,118.0,,,0
CDM,71000332,HC PACU PHASE II MYELOGRAM 331-360 MINUTES,118.0,118.0,,,0
CDM,71000333,HC PACU PHASE II MYELOGRAM 361-390 MINUTES,118.0,118.0,,,0
CDM,71000334,HC PACU PHASE II MYELOGRAM 391-420 MINUTES,118.0,118.0,,,0
CDM,71000335,HC PACU PHASE II MYELOGRAM 421-450 MINUTES,118.0,118.0,,,0
CDM,71000336,HC PACU PHASE II MYELOGRAM 451-480 MINUTES,89.0,89.0,,,0
CDM,71000337,HC PACU PHASE II MYELOGRAM 481-510 MINUTES,89.0,89.0,,,0
CDM,71000338,HC PACU PHASE II MYELOGRAM 511-540 MINUTES,89.0,89.0,,,0
CDM,71000339,HC PACU PHASE II MYELOGRAM 541-570 MINUTES,89.0,89.0,,,0
CDM,71000340,HC PACU PHASE II MYELOGRAM 571-600 MINUTES,89.0,89.0,,,0
CDM,71000341,HC PACU PHASE II LOCAL ANES INITIAL 30 MINUTES,584.0,584.0,,,0
CDM,71000342,HC PACU PHASE II LOCAL ANES 31-60 MINUTES,208.0,208.0,,,0
CDM,71000343,HC PACU PHASE II LOCAL ANES 61-90 MINUTES,208.0,208.0,,,0
CDM,71000344,HC PACU PHASE II LOCAL ANES 91-120 MINUTES,208.0,208.0,,,0
CDM,71000345,HC PACU PHASE II LOCAL ANES 121-150 MINUTES,208.0,208.0,,,0
CDM,71000346,HC PACU PHASE II LOCAL ANES 151-180 MINUTES,208.0,208.0,,,0
CDM,71000347,HC PACU PHASE II LOCAL ANES 181-210 MINUTES,208.0,208.0,,,0
CDM,71000348,HC PACU PHASE II LOCAL ANES 211-240 MINUTES,208.0,208.0,,,0
CDM,71000349,HC PACU PHASE II LOCAL ANES 241-270 MINUTES,208.0,208.0,,,0
CDM,71000350,HC PACU PHASE II LOCAL ANES 271-300 MINUTES,118.0,118.0,,,0
CDM,71000351,HC PACU PHASE II LOCAL ANES 301-330 MINUTES,118.0,118.0,,,0
CDM,71000352,HC PACU PHASE II LOCAL ANES 331-360 MINUTES,118.0,118.0,,,0
CDM,71000353,HC PACU PHASE II LOCAL ANES 361-390 MINUTES,118.0,118.0,,,0
CDM,71000354,HC PACU PHASE II LOCAL ANES 391-420 MINUTES,118.0,118.0,,,0
CDM,71000355,HC PACU PHASE II LOCAL ANES 421-450 MINUTES,118.0,118.0,,,0
CDM,71000356,HC PACU PHASE II LOCAL ANES 451-480 MINUTES,118.0,118.0,,,0
CDM,71025001,HC ENDO RECOVERY 1ST HALF HOUR,563.0,563.0,,,0
CDM,71025002,HC ENDO/PAIN RECOVERY EXTENDED,1105.0,1105.0,,,0
CDM,71025003,HC PAIN RECOVERY 1ST HALF HOUR,628.0,628.0,,,0
CDM,71025004,HC PAIN/ENDO RECOVERY EXTENDED,1105.0,1105.0,,,0
CDM,71025005,HC PAIN STIM/MILD RECOVERY,1638.0,1638.0,,,0
CDM,71025006,HC CARDIAC LOOP RECORDER RECOVERY,490.0,490.0,,,0
CDM,71025007,HC PACEMAKER RECOVERY 1ST HALF HOUR,1328.0,1328.0,,,0
CDM,71025008,HC PACE MAKER RECOVERY EXTENDED,2249.0,2249.0,,,0
CDM,71025009,HC BRONCHOSCOPY RECOVERY,2249.0,2249.0,,,0
CDM,71025010,HC STRESS/TILT RECOVERY,490.0,490.0,,,0
CDM,71025011,HC TEE/ EXT TILT RECOVERY,1640.0,1640.0,,,0
CDM,71025012,HC CARDIOVERSION RECOVERY,2627.0,2627.0,,,0
CDM,71025013,HC ENDO RECOVERY PACU LEVEL INTUBATED PATIENT,3115.0,3115.0,,,0
CDM,71025014,HC ENDO RECOVERY PACU LEVEL INTUBATED PATIENT EXTENDED,3479.0,3479.0,,,0
CDM,72000021,HC INTRAUTERINE PRESSURE CATH MONITOR (IUPC),621.0,621.0,,,0
CDM,72000025,HC NEONATAL RESUSCITATION,179.0,179.0,,,0
CDM,72000032,"HC AMNIOCENTESIS, DIAGNOSTIC",2704.0,2704.0,,,0
CDM,72000036,HC EXTERNAL CEPHALIC VERSIONS,2969.0,2969.0,,,0
CDM,72000037,HC NON-STRESS TEST,1188.0,1188.0,,,0
CDM,72000050,HC VAGINAL DELIVERY,4024.5,4024.5,,,0
CDM,72000051,HC CESAREAN SECTION,10745.0,10745.0,,,0
CDM,72000052,HC DEAC 03/01/2021 FETAL MONITORING DURING LABOR,744.0,744.0,,,0
CDM,72000056,HC TUBAL LIGATION W/VAGINAL DEL,6118.0,6118.0,,,0
CDM,72000057,HC TUBAL LIGATION W/C-SECTION,4510.0,4510.0,,,0
CDM,72000058,HC L&D RECOVERY ROOM,3043.0,3043.0,,,0
CDM,72000062,HC CHORIONIC VILLUS SAMPLING,3445.0,3445.0,,,0
CDM,72000067,HC LABOR CHECK (0 TO 2 HOURS),903.0,903.0,,,0
CDM,72000068,HC LABOR CHECK (2 TO 4 HOURS),1147.0,1147.0,,,0
CDM,72000069,HC LABOR CHECK (4 TO 8 HOURS),1638.0,1638.0,,,0
CDM,72000070,HC LABOR CHECK (8 TO 12 HOURS),2140.0,2140.0,,,0
CDM,72000071,HC LABOR CHECK (OVER 12 HOURS),3185.0,3185.0,,,0
CDM,72300001,HC CIRCUMCISION (INCL NURSERY),385.0,385.0,,,0
CDM,72900003,"HC PRE-OP CARE, L & D SURGERY",534.0,534.0,,,0
CDM,73000001,HC 12 LEAD EKG; TRACING ONLY,389.5,389.5,,,0
CDM,73100001,HC ECG UP TO 48 HRS SCANNING ANALYSIS REPORT,1115.0,1115.0,,,0
CDM,73100100,HC ECG UP TO 48 HRS RECORDING,533.0,533.0,,,0
CDM,74000001,HC MSLT- SLEEP LATENCY,3612.0,3612.0,,,0
CDM,74000002,HC POLYSOMNOGRAPHY W/4> PARAM,6833.0,6833.0,,,0
CDM,74000003,"HC CPAP- SLEEP STAGING, >4 PAR",7670.0,7670.0,,,0
CDM,74000004,HC EXTENDED EEG 41-60 MIN,1372.0,1372.0,,,0
CDM,74000006,HC EEG AWAKE & DROWSY,920.0,920.0,,,0
CDM,74000007,HC EEG AWAKE & ASLEEP,920.0,920.0,,,0
CDM,74000008,HC EEG-SLEEP ONLY,920.0,920.0,,,0
CDM,74000009,HC EEG; CEREBRAL SILENCE,1055.0,1055.0,,,0
CDM,74000010,HC EEG 16/> CH; EA 24 HRS,4832.0,4832.0,,,0
CDM,74000060,HC POLYSOM <6 YRS 4> PARAMETERS,3837.0,3837.0,,,0
CDM,74000061,HC POLYSOM <6 YRS CPAP/BILVL,3837.0,3837.0,,,0
CDM,74000062,"HC SLEEP STUDY - UNATTD, SIMULT REC & SLEEP TIME",924.0,924.0,,,0
CDM,74000063,"HC SLEEP STUDY - UNATTENDED, SIMULTANEOUS  RECORDING",924.0,924.0,,,0
CDM,74000064,HC SLEEP STUDY UNATTENDED & RESP EFFORT,1290.0,1290.0,,,0
CDM,74000068,HC EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,1569.0,1569.0,,,0
CDM,74000069,HC EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,1569.0,1569.0,,,0
CDM,74000070,HC EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR,1759.0,1759.0,,,0
CDM,74000071,HC EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS REAL-TIME MNTR,1954.0,1954.0,,,0
CDM,74000072,HC EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED,2247.0,2247.0,,,0
CDM,74000073,HC EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR,2538.0,2538.0,,,0
CDM,74000074,HC EEG W/O VID TECH EA INCR 12-26 HR CONT REAL-TIME MNTR,4213.0,4213.0,,,0
CDM,74000075,HC VEEG BY TECH 2-12 HOURS UNMONITORED,1569.0,1569.0,,,0
CDM,74000076,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,1759.0,1759.0,,,0
CDM,74000077,HC VEEG BY TECH 2-12 HR CONTINUOUS REAL-TIME MONITORING,2999.0,2999.0,,,0
CDM,74000078,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,2999.0,2999.0,,,0
CDM,74000079,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,3383.0,3383.0,,,0
CDM,74000080,HC VEEG BY TECH EA INCR 12-26 HR CONT REAL-TIME MNTR,5613.0,5613.0,,,0
CDM,75000025,HC PROCEDURE ENDO LEVEL 1 INIT 15 MIN,2703.0,2703.0,,,0
CDM,75000026,HC PROCEDURE ENDO LEVEL 2 INIT 15 MIN,3016.0,3016.0,,,0
CDM,75000100,HC UPPER GI PLACEMENT GASTROSTOMY TUBE,1768.0,1768.0,,,0
CDM,75000101,"HC EMG ANAL OR URETHRAL SPHINCTER, OTHER THAN NEEDLE",618.0,618.0,,,0
CDM,75000102,HC ESOPHAGUS MOTILITY STUDY,1877.0,1877.0,,,0
CDM,75000103,HC GASTROESOPHAGEAL REFLUX TEST,1877.0,1877.0,,,0
CDM,75000104,HC ESOPHAGEAL IMPED FUNCTION TEST,1877.0,1877.0,,,0
CDM,75000105,"HC RECTAL SENSATION, TONE, AND COMPLIANCE TEST",1377.0,1377.0,,,0
CDM,75000106,HC ANORECTAL MANOMETRY,1377.0,1377.0,,,0
CDM,75000125,HC PROCEDURE ENDO LEVEL 1 EA ADDL 15 MINUTE,733.0,733.0,,,0
CDM,75000126,HC PROCEDURE ENDO LEVEL 2 EA ADDL 15 MINUTE,852.0,852.0,,,0
CDM,75000127,HC PROCEDURE ENDO LEVEL 3 INIT 15 MIN,3330.0,3330.0,,,0
CDM,75000128,HC PROCEDURE ENDO LEVEL 3 EA ADDL 15 MINUTE,978.0,978.0,,,0
CDM,75000129,HC ESOPHAGOSC DILATE BALLOON 30,2778.0,2778.0,,,0
CDM,75000130,HC EGD BALLOON DIL ESOPH 30 MM/>,5078.0,5078.0,,,0
CDM,76100001,HC COLLECTION OF BLOOD VIA VAD,161.0,161.0,,,0
CDM,76100002,HC COLLECTION OF BLOOD VIA PICC,173.0,173.0,,,0
CDM,76100003,HC DECLOTTING VAD OR CATHETER,550.0,550.0,,,0
CDM,76100012,HC FINE NEEDLE ASPIRATION W/IMAGE,194.0,194.0,,,0
CDM,76100013,"HC BIOSPY OF SKIN, SINGLE LESION",772.0,772.0,,,0
CDM,76100014,"HC BIOSPY OF SKIN, EACH ADDL LESION",280.0,280.0,,,0
CDM,76100015,HC REMOVAL IMPLANT CONTRACEP CAPS,3296.0,3296.0,,,0
CDM,76100017,"HC TX SUPERFICIAL WOUND, SIMPLE CLOSURE",799.0,799.0,,,0
CDM,76100018,HC PUNCTURE ASPIRATION BREAST CYST - INITIAL,957.0,957.0,,,0
CDM,76100019,HC PUNCTURE ASPIRATION BREAST CYST - EA ADDL,667.0,667.0,,,0
CDM,76100020,HC PERCUTANEOUS CORE BREAST BX W GUIDE,1143.5,1143.5,,,0
CDM,76100021,HC PERCUTANEOUS BREAST BX - AUTO VA/DEVICE,1143.5,1143.5,,,0
CDM,76100022,"HC PREOP NEEDLE LOCALIZATION, BREAST, INITIAL",708.0,708.0,,,0
CDM,76100023,"HC PREOP NEEDLE LOCALIZATION, BREAST, EA ADDL",297.0,297.0,,,0
CDM,76100024,HC PLACE BREAST CLIP PERCUT,894.5,894.5,,,0
CDM,76100026,HC MUSCLE BIOPSY PERCUTANEOUS NEEDLE,2073.0,2073.0,,,0
CDM,76100027,HC BONE BIOPSY TROCAR/NEEDLE; SUPERFICIAL,2311.0,2311.0,,,0
CDM,76100028,HC BONE BIOPSY TROCAR/NEEDLE; DEEP,2802.0,2802.0,,,0
CDM,76100029,"HC TRIGGER PTS INJ, SGL/MULTI =/> 3 MUSCLES",706.5,706.5,,,0
CDM,76100030,HC ARTHROCENTESIS MAJOR JOINT OR BURSA,909.0,909.0,,,0
CDM,76100031,HC ASPIRATION & INJ TX OF BONE CYST,3100.0,3100.0,,,0
CDM,76100032,HC SOFT TISSUE BIOPSY - NECK/THORAX,2802.0,2802.0,,,0
CDM,76100033,HC LARYNGOSCOPY FLEX; DIAGNOSTIC,474.0,474.0,,,0
CDM,76100035,HC PLEURA BIOSPY; PERCUTANEOUS NEEDLE,1553.0,1553.0,,,0
CDM,76100036,HC DEAC 01/01/2021 PERCUTANEOUS BIOPSY LUNG/MEDIASTINUM,1391.0,1391.0,,,0
CDM,76100037,HC THORACENTESIS FOR ASPIRATION,798.0,798.0,,,0
CDM,76100038,HC APHERESIS WBC,7927.0,7927.0,,,0
CDM,76100039,HC APHERESIS RBC,7927.0,7927.0,,,0
CDM,76100041,"HC INSERT PICC AGE 5 YRS/>, W/O IMAGE GUIDE",2906.0,2906.0,,,0
CDM,76100042,HC INSERT PICC DEVICE W PORT 5 YRS/>,19678.0,19678.0,,,0
CDM,76100043,HC CONTRAST INJ W/FLUORO EVAL CV DEVICE,324.0,324.0,,,0
CDM,76100045,HC HARVEST STEM CELLS AUTOLOGOUS,6046.0,6046.0,,,0
CDM,76100046,HC CRYOPRESERVE AND STORAGE STEM CELLS,5085.0,5085.0,,,0
CDM,76100047,HC THAW PRESERVED STEM CELLS,2468.0,2468.0,,,0
CDM,76100050,HC HARVEST STEM CELL CONCENTRATE,4809.0,4809.0,,,0
CDM,76100051,HC DIAGNOSTIC BONE MARROW; ASPIRATION(S),2059.0,2059.0,,,0
CDM,76100052,HC DIAGNOSTIC BONE MARROW: BIOPSY(IES),2041.0,2041.0,,,0
CDM,76100055,"HC BONE MARROW STEM TRANSPLANT, AUTOLOGOUS",6220.0,6220.0,,,0
CDM,76100057,HC BIOPSY LYMPH NODES; SUPERFICIAL,2048.0,2048.0,,,0
CDM,76100058,HC BIOPSY SALIVARY GLAND; NEEDLE,1255.0,1255.0,,,0
CDM,76100060,HC BIOPSY LIVER; PERCUTANEOUS NEEDLE,2069.0,2069.0,,,0
CDM,76100061,HC BIOPSY PANCREAS PERCUTANEOUS NEEDLE,3741.0,3741.0,,,0
CDM,76100062,HC DRAIN RETROPERITONEAL ABSCESS; PERC,3285.0,3285.0,,,0
CDM,76100063,HC ABD PARACENTESIS W/O IMAGING,855.0,855.0,,,0
CDM,76100064,HC ABD PARACENTESIS W/IMAGING,2355.5,2355.5,,,0
CDM,76100065,HC PERC NDL BIOPSY ABD/RETROPERITONEAL MASS,2072.0,2072.0,,,0
CDM,76100066,HC RENAL BIOPSY PERCUTANEOUS,2843.0,2843.0,,,0
CDM,76100067,HC ASP &/OR INJ OF RENAL CYST/PELVIS; PERC,2296.0,2296.0,,,0
CDM,76100068,HC DRAIN BLADDER W/CATH INSERTION,4447.0,4447.0,,,0
CDM,76100069,HC SIMPLE BLADDER IRRIGATE LAVAGE/INSTILL,438.0,438.0,,,0
CDM,76100070,HC INSERT NON-DWELL BLADDER CATH,576.0,576.0,,,0
CDM,76100071,HC INSERT TEMP BLADDER CATHETER,242.0,242.0,,,0
CDM,76100072,HC INSERT BLADDER CATHETER COMPLEX,201.0,201.0,,,0
CDM,76100073,HC TREATMENT OF BLADDER LESION,2760.0,2760.0,,,0
CDM,76100076,HC US POST VOID RESIDUAL URINE,280.5,280.5,,,0
CDM,76100077,HC PROSTATE NDL/PUNCH BIOPSY;SGL/MULT,2569.0,2569.0,,,0
CDM,76100082,HC FIT AND INSERT PESSARY,638.0,638.0,,,0
CDM,76100095,HC REMOVE IUD,638.0,638.0,,,0
CDM,76100100,HC AMNIOCENTESIS THERAPEUTIC,5698.0,5698.0,,,0
CDM,76100101,HC TRANSABD AMNIOINFUSION W US,1074.0,1074.0,,,0
CDM,76100102,HC FETAL FLUID DRAINAGE W US GUIDE,2114.0,2114.0,,,0
CDM,76100106,HC BIOPSY THYROID PERC CORE NEEDLE,1294.0,1294.0,,,0
CDM,76100107,HC PERC ASPIRATION SPINAL CORD CYST,1610.0,1610.0,,,0
CDM,76100108,HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC; W/O IMG,1001.5,1001.5,,,0
CDM,76100109,HC DRAIN CEREBRO SPINAL FLUID; W/O IMG,1420.0,1420.0,,,0
CDM,76100111,HC CHEMODENERVATION; NECK NERVE MUSCLE(S),704.0,704.0,,,0
CDM,76100112,HC CHEMODEN; EXTREM/TRUNK NERVE MUSCLE(S),589.0,589.0,,,0
CDM,76100116,HC GI TRACT CAPSULE ENDOSCOPY,5601.0,5601.0,,,0
CDM,76100118,HC THERAPEUTIC APHERESIS,7927.0,7927.0,,,0
CDM,76100119,HC APHERESIS SELECTIVE; W/EXTRACORP IMMUNOADSORP FILTRAT & PLASMA REINF,22992.0,22992.0,,,0
CDM,76100150,HC APPLY MULTI-LAYER COMPRESSION LOWER LEG,345.0,345.0,,,0
CDM,76100151,HC I&D DEEP ABSCESS SOFT TISS NK/THOR,4770.0,4770.0,,,0
CDM,76100152,HC PLEURA CATHETER INSERTION W/IMAGE,2311.0,2311.0,,,0
CDM,76100153,HC REPOSITIONING CENTRAL VENOUS CATHETER W/FLOURO,1736.0,1736.0,,,0
CDM,76100154,HC REPLACE GASTRO/CECO TUBE PERCUTANEOUS,2136.0,2136.0,,,0
CDM,76100155,HC FLUORO EXAM GASTRO/COLON TUBE,1137.0,1137.0,,,0
CDM,76100156,HC ASPIRATE PLEURA W/IMAGING,2299.0,2299.0,,,0
CDM,76100157,HC REMOVE PREV IMPLANTED EPIDERAL CATH,4225.0,4225.0,,,0
CDM,76100158,HC INSERT TRANSCERVICAL FALLOPIAN TUBE CATH DX,4524.0,4524.0,,,0
CDM,76100250,HC PLACE DEVICE/MARKER NON PRO,5416.0,5416.0,,,0
CDM,76100251,HC SIJ ANESTH/STEROID INJ,2138.0,2138.0,,,0
CDM,76100300,HC INSERT HEART PM ATRIAL,7433.0,7433.0,,,0
CDM,76100301,HC INSERT HEART PM VENTRICULAR,7433.0,7433.0,,,0
CDM,76100302,HC INSRT HEART PM ATRIAL & VENT,9124.0,9124.0,,,0
CDM,76100303,HC INSERT ELECTRD/PM CATH SNGL,9128.0,9128.0,,,0
CDM,76100304,HC INSERT CARD ELECTRODES DUAL,8054.0,8054.0,,,0
CDM,76100305,HC INSERT PULSE GEN SNGL LEAD,6248.0,6248.0,,,0
CDM,76100306,HC INSERT PULSE GEN DUAL LEADS,6850.0,6850.0,,,0
CDM,76100307,HC UPGRADE IMPL PACEMKR; SC TO DC,9124.0,9124.0,,,0
CDM,76100308,HC REPOSITION PACING-DEFIB LEAD,3449.0,3449.0,,,0
CDM,76100309,HC INSERT 1 ELECTRODE PM-DEFIB,7150.0,7150.0,,,0
CDM,76100310,HC INSERT 2 ELECTRODE PM-DEFIB,5925.0,5925.0,,,0
CDM,76100311,HC REPAIR LEAD PACE-DEFIB ONE,3324.0,3324.0,,,0
CDM,76100312,HC REPAIR LEAD PACE-DEFIB DUAL,4647.0,4647.0,,,0
CDM,76100313,HC INSERT PULSE GEN MULT LEADS,10318.0,10318.0,,,0
CDM,76100314,HC PACER POCKET REVISION,1956.0,1956.0,,,0
CDM,76100315,HC REVISE POCKET FOR DEFIB,1974.0,1974.0,,,0
CDM,76100316,HC INSERT PACING LEAD & CONNECT,9124.0,9124.0,,,0
CDM,76100317,HC L VENTRIC PACING LEAD ADD-ON,9124.0,9124.0,,,0
CDM,76100318,HC REPOSITION L VENTRIC LEAD,2855.0,2855.0,,,0
CDM,76100319,HC REMOVE&REPLACE PM GEN SINGL,6248.0,6248.0,,,0
CDM,76100320,HC REMV&REPLC PM GEN DUAL LEAD,6850.0,6850.0,,,0
CDM,76100321,HC REMV&REPLC PM GEN MULT LEADS,9507.0,9507.0,,,0
CDM,76100322,HC INSRT PULSE GEN W/DUAL LEADS,22636.0,22636.0,,,0
CDM,76100323,HC INSRT PULSE GEN W/MULT LEADS,22636.0,22636.0,,,0
CDM,76100324,HC REMOVAL OF PM GENERATOR,6528.0,6528.0,,,0
CDM,76100325,HC REMOVE PULSE GENERATOR,3898.0,3898.0,,,0
CDM,76100326,HC REM SC/DC CARD-DEFIBR ELECTROD OPEN,1497.0,1497.0,,,0
CDM,76100327,HC REM SC/DC ICD LEAD; TV EXTRACT,3032.0,3032.0,,,0
CDM,76100328,HC INSERT PACE-DEFIB W/LEAD,28240.0,28240.0,,,0
CDM,76100329,HC REMV&REPLC CVD GEN SING LEAD,22636.0,22636.0,,,0
CDM,76100330,HC REMV&REPLC CVD GEN DUAL LEAD,22636.0,22636.0,,,0
CDM,76100331,HC REMV&REPLC CVD GEN MULT LEAD,22636.0,22636.0,,,0
CDM,76100332,HC IMPL PT-ACTIVATED CARD EVENT RECORDER,2914.0,2914.0,,,0
CDM,76100333,HC REMOVAL OF AN IMPL CARD EVENT RECORDER,302.0,302.0,,,0
CDM,76100334,HC IMPL OR REVISE EPID CATH FOR PAIN,5539.0,5539.0,,,0
CDM,76100335,HC INSRT/REPL SPINE NSTIM GENERATOR/RCVR REQ POCKET/CONNECT E. ARRAY,18231.0,18231.0,,,0
CDM,76100336,HC PERQ LAMOT/LAM LUMBAR,4265.0,4265.0,,,0
CDM,76100337,HC TEMPORARY TRANSCUTANEOUS PACING,817.0,817.0,,,0
CDM,76100338,"HC ESOPHAGUS, REFLUX TEST; WITH MUCOSAL",1877.0,1877.0,,,0
CDM,76100339,HC DESTRUCT W NEUROLYTIC AGENT; CELIAC PLEXUS,5981.0,5981.0,,,0
CDM,76100340,HC PLACENTA DELIVERY,2456.0,2456.0,,,0
CDM,76100341,"HC CURETTAGE, POSTPARTUM",2965.0,2965.0,,,0
CDM,76100342,"HC DRAIN PELVIC ABSCESS, TRANSVAG/TRANSRECT, PERC",1807.0,1807.0,,,0
CDM,76100343,HC DRAIN PERIVESICAL OR PREVESICAL ABSCESS,5341.0,5341.0,,,0
CDM,76100344,HC CHANGE URETER TUBE/STENT,4049.0,4049.0,,,0
CDM,76100345,HC DRAIN PERIRENAL OR RENAL ABSCESS; OPEN,17923.0,17923.0,,,0
CDM,76100346,HC EXCHANGE PREVIOUS DRAINAGE CATHETER,1573.0,1573.0,,,0
CDM,76100347,HC INSERT TUNNELED INTRAPERITONEAL CATH; PERC,5711.0,5711.0,,,0
CDM,76100348,HC DRAIN SUBDIAPHRAGMATIC ABSCESS; PERC,3378.0,3378.0,,,0
CDM,76100349,HC REVISION/REINSERT OF TRANSHEPATIC TUBE,3723.0,3723.0,,,0
CDM,76100350,HC PERCUTANEOUS BILIARY DRAINAGE EXTERNAL,12079.0,12079.0,,,0
CDM,76100351,HC PERCUTANEOUS CHOLECYSTOSTOMY,7205.0,7205.0,,,0
CDM,76100352,HC I&D APPENDICEAL ABSCESS; PERCUTANEOUS,2449.0,2449.0,,,0
CDM,76100353,HC NG TUBE PLACEMENT W/FLOURO,564.0,564.0,,,0
CDM,76100354,HC DILATION OF ESOPHAGUS BY BALLOON 30 MM/>,1529.0,1529.0,,,0
CDM,76100355,"HC LIP REPAIR, FT; UP TO HALF VERTICAL HGT",634.0,634.0,,,0
CDM,76100356,"HC INFUSION TRANSCATH TX, NON THROMBOLYTIC",3436.0,3436.0,,,0
CDM,76100357,"HC SA MECH REMOVAL, OBSTRUCTIVE CVAD",10883.0,10883.0,,,0
CDM,76100358,HC INSERT NON-TUNNEL CV CATH <5 YRS,3981.0,3981.0,,,0
CDM,76100359,"HC INSTILLATION, AGENT FOR PLEURODESIS",1613.0,1613.0,,,0
CDM,76100360,HC TRIMALLEOLAR ANKLE FX; WITH MANIPULATION CLOSED,1986.0,1986.0,,,0
CDM,76100361,"HC TIBIAL SHAFT FX WITH MANIPULATION, CLOSED",1984.0,1984.0,,,0
CDM,76100362,"HC FEMORAL SHAFT FX WITH MANIPULATION, CLOSED",1487.0,1487.0,,,0
CDM,76100363,"HC FEMORAL FX, PROXIMAL HEAD; WITH MANIPULATION, CLOSED",417.0,417.0,,,0
CDM,76100364,HC SPONTANEOUS HIP DISLOC WO MANIPULATION,287.0,287.0,,,0
CDM,76100365,"HC GTR TROCHANTERIC FX, WO MANIPULATION, CLOSED",287.0,287.0,,,0
CDM,76100366,"HC RADIAL SHAFT FRACTURE; WITH MANIPULATION, CLOSED",1989.0,1989.0,,,0
CDM,76100367,"HC HUMERUS FX; WITH MANIPULATION, CLOSED",1979.0,1979.0,,,0
CDM,76100368,HC INJECTION SINUS TRACT; DIAGNOSTIC (SINOGRAM),721.0,721.0,,,0
CDM,76100369,HC INJECTION INTO SKIN LESIONS =<7,353.0,353.0,,,0
CDM,76100370,HC REMOVAL OF NAIL BED AND FINGER TIP,316.0,316.0,,,0
CDM,76100371,"HC EXCISION OF NAIL & MATRIX, PARTIAL OR COMPLETE",166.0,166.0,,,0
CDM,76100372,"HC EXCISION, BENIGN LESION S/N/H/F/G  0.5 CM OR LESS",2079.0,2079.0,,,0
CDM,76100373,"HC DEBRIDEMENT, BONE 1ST 20 SQ CM OR LESS",5679.5,5679.5,,,0
CDM,76100376,HC THROMBECTOMY AVF DIALYSIS GRAFT,14163.0,14163.0,,,0
CDM,76100377,HC BX BREAST 1ST LESION STEREOTACTIC GUIDANCE,4708.0,4708.0,,,0
CDM,76100378,HC BX BREAST ADD LESION STEREOTACTIC GUIDANCE,4121.0,4121.0,,,0
CDM,76100379,HC BX BREAST 1ST LESION US IMAG,4298.0,4298.0,,,0
CDM,76100380,HC BX BREAST ADD LESION US IMAG,3713.0,3713.0,,,0
CDM,76100381,HC BX BREAST 1ST LESION MR IMAG,3604.0,3604.0,,,0
CDM,76100382,HC BX BREAST ADD LESION MR IMAG,3019.0,3019.0,,,0
CDM,76100383,HC PERQ DEVICE BREAST 1ST IMAG,2072.0,2072.0,,,0
CDM,76100384,HC PERQ DEVICE BREAST EA IMAG,1487.0,1487.0,,,0
CDM,76100385,HC PERQ DEV BREAST 1ST STEREOTACTIC GUIDANCE,3233.0,3233.0,,,0
CDM,76100386,HC PERQ DEV BREAST ADD STEREOTACTIC GUIDANCE,2649.0,2649.0,,,0
CDM,76100387,HC PERQ DEV BREAST 1ST US IMAG,2821.0,2821.0,,,0
CDM,76100388,HC PERQ DEV BREAST ADD US IMAG,2237.0,2237.0,,,0
CDM,76100389,HC PERQ DEV BREAST 1ST MR GUIDE,2128.0,2128.0,,,0
CDM,76100390,HC PERQ DEV BREAST ADD MR GUIDE,1544.0,1544.0,,,0
CDM,76100401,"HC PERC VERTEBROPLASTY INJ, CERVICOTHORACIC",7585.0,7585.0,,,0
CDM,76100402,"HC PERC VERTEBROPLASTY INJ, LUMBOSACRAL",4746.0,4746.0,,,0
CDM,76100403,"HC PERC VERTEBROPLASTY INJ, EA ADDL",4746.0,4746.0,,,0
CDM,76100404,"HC PERQ VERTEBRAL AUGMENTATION, THORACIC",7955.0,7955.0,,,0
CDM,76100405,"HC PERQ VERTEBRAL AUGMENTATION, LUMBAR",7955.0,7955.0,,,0
CDM,76100406,"HC PERQ VERTEBRAL AUGMENTATION, EA ADDL",7955.0,7955.0,,,0
CDM,76100407,"HC PERC SACRAL AUGUMENTATION, UNIL INJ",6133.0,6133.0,,,0
CDM,76100408,"HC PERC SACRAL AUGUMENTATION, BILAT INJ",10687.0,10687.0,,,0
CDM,76100409,HC DRAIN/INJ MAJOR JOINT/BURSA W/US,3477.0,3477.0,,,0
CDM,76100410,HC MYELOGRAPHY LUMBAR INJECTION; CERVICAL,4248.0,4248.0,,,0
CDM,76100411,HC MYELOGRAPHY LUMBAR INJECTION; THORACIC,5371.0,5371.0,,,0
CDM,76100412,HC MYELOGRAPHY LUMBAR INJECTION; LUMBOSACRAL,4050.0,4050.0,,,0
CDM,76100413,HC MYELOGRAPHY LUMBAR INJECTION; 2 OR MORE REGIONS,5097.0,5097.0,,,0
CDM,76100414,"HC TBA, OPEN; BRACHIOCEPHALIC TRUNK/BRANCH",5375.0,5375.0,,,0
CDM,76100415,HC PTA BRACHIOCEPHALIC ARTERIES,5375.0,5375.0,,,0
CDM,76100416,HC INJ PERC EXTR ANEURYSM,1861.0,1861.0,,,0
CDM,76100417,HC LUMEN  MECH REM OBSTR CVAD,10834.0,10834.0,,,0
CDM,76100418,HC REM BILIARY STONE VIA T-TUBE,4204.0,4204.0,,,0
CDM,76100419,HC DRAIN/INJ SMALL JOINT/BURSA W/US,745.0,745.0,,,0
CDM,76100420,HC DRAIN/INJ INTERMEDIATE JOINT/BURSA W/US,1044.0,1044.0,,,0
CDM,76100421,HC INJECT FOR SACROILIAC JOINT,793.0,793.0,,,0
CDM,76100422,HC INTRODUCTION OF LONG GI TUBE,3184.0,3184.0,,,0
CDM,76100423,"HC INJ PROC, ANKLE ARTHROGRAPHY",206.0,206.0,,,0
CDM,76100424,"HC INJ PROC, HIP ARTHROGRAPHY, W/ ANESTH",206.0,206.0,,,0
CDM,76100425,HC MASTOTOMY WITH EXPLORATION DEEP,3237.0,3237.0,,,0
CDM,76100426,"HC INTRAVASC US NONCORONARY, INITIAL NONCORONARY VESSEL",1717.0,1717.0,,,0
CDM,76100427,"HC INJECTION FOR CHOLANGIOGRAM, EXISTING ACCESS",4396.0,4396.0,,,0
CDM,76100428,"HC INJECTION FOR CHOLANGIOGRAM, NEW ACCESS",3755.0,3755.0,,,0
CDM,76100429,"HC PLACEMENT BILIARY DRAINAGE CATH, EXTERNAL",29815.0,29815.0,,,0
CDM,76100430,"HC PLACEMENT BILIARY DRAINAGE CATH, INTERNAL-EXTERNAL",29815.0,29815.0,,,0
CDM,76100431,HC CONVERSION EXTERNAL BILIARY  DRAINAGE CATH,21063.0,21063.0,,,0
CDM,76100432,HC EXCHANGE BILIARY DRAINAGE CATH,21063.0,21063.0,,,0
CDM,76100433,HC REMOVAL BILIARY DRAINAGE CATH,7430.0,7430.0,,,0
CDM,76100434,"HC PERQ PLMT BILE DUCT STENT(S), EXISTING ACCESS",29815.0,29815.0,,,0
CDM,76100435,"HC PERQ PLMT BILE DUCT STENT(S), NEW ACCESS, W/O SEPAR CATH",21063.0,21063.0,,,0
CDM,76100436,"HC PERQ PLMT BILE DUCT STENT, NEW ACCESS, W/ SEPAR CATH",21063.0,21063.0,,,0
CDM,76100437,HC REMOVAL DUCT GALLBLADDER CALCULI,6835.0,6835.0,,,0
CDM,76100438,"HC INJ PROC NEPHROSTOGRM &/ URETEROGRM, NEW ACCESS",2777.0,2777.0,,,0
CDM,76100439,"HC INJ PROC NEPHROSTOGRM &/ URETEROGRM, EXIST ACCESS",2777.0,2777.0,,,0
CDM,76100440,HC PLACEMENT NEPHROSTOMY CATHETER,4425.0,4425.0,,,0
CDM,76100441,"HC PLACEMENT NEPHROURETERAL CATHETER, NEW ACCESS",4425.0,4425.0,,,0
CDM,76100442,HC CONVERT NEPHROSTOMY CATHETER,2436.0,2436.0,,,0
CDM,76100443,HC EXCHANGE NEPHROSTOMY CATHETER,3449.0,3449.0,,,0
CDM,76100444,HC ENDOLUMINAL BX URETER AND/OR RENAL PELVIS,2436.0,2436.0,,,0
CDM,76100445,"HC PLMT URETERAL STENT PRQ,  PRE-EXISTING NEPHR TRACT",6974.0,6974.0,,,0
CDM,76100446,"HC PLMT URETERAL STENT PRQ, NEW ACCESS, W/O SEPAR CATH",6974.0,6974.0,,,0
CDM,76100447,"HC PLMT URETERAL STENT PRQ, NEW ACCESS, W/ SEPAR CATH",6974.0,6974.0,,,0
CDM,76100448,HC ENDOVASC PROLONG ADMIN RX AGENT 1ST,6430.0,6430.0,,,0
CDM,76100449,HC ENDOVASC PROLONG ADMIN RX AGENT ADD,6430.0,6430.0,,,0
CDM,76100450,HC OPEN TX DISTAL PHALANGEAL FRACTURE EACH,4027.0,4027.0,,,0
CDM,76100451,HC MULTIFETAL REDUCTION,1056.0,1056.0,,,0
CDM,76100452,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; PUDENDAL NERVE",2410.0,2410.0,,,0
CDM,76100454,HC BONE MARROW ASPIRATE & BIOPSY - SAME INCISION & SAME DOS,1178.0,1178.0,,,0
CDM,76100455,HC DEBRIDEMENT INFECTED SKIN EA ADD < = 10% BS,1011.0,1011.0,,,0
CDM,76100456,"HC DEBRIDEMENT, SUBCUTANEOUS TISSUE; ADD-ON < = 20 SQ CM",9292.0,9292.0,,,0
CDM,76100457,"HC DEBRIDEMENT, MUSCLE/FASCIA; ADD-ON < = 20 SQ CM",9292.0,9292.0,,,0
CDM,76100458,"HC DEBRIDEMENT, BONE; ADD-ON < = 20 SQ CM",9292.0,9292.0,,,0
CDM,76100459,HC INSERTION/REPLACEMENT SUBCUTANEOUS DEFIBRILLATOR,28240.0,28240.0,,,0
CDM,76100460,HC INSERT SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR ELECTRODE,5334.0,5334.0,,,0
CDM,76100461,HC REMOVAL OF SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR,4636.0,4636.0,,,0
CDM,76100462,HC REPOSITIONING PREVIOUS  IMPLANTED SUBQ DEFIB ELECTRODE,4258.0,4258.0,,,0
CDM,76100463,"HC LIGATE/DIVIDE/EXCISE VARICOSE VEIN CLUSTER(S), 1 LEG",16498.0,16498.0,,,0
CDM,76100464,"HC HEMORRHOIDECTOMY, INT & EXT, SNGL COL/GRP; W/FISTULECTOMY",17079.0,17079.0,,,0
CDM,76100467,HC ILIAC REVASC ARTERY; ANGIOPLASTY INIT VESSEL,18175.0,18175.0,,,0
CDM,76100468,"HC PERCUT MECH THROMBECTOMY, VENOUS",11651.0,11651.0,,,0
CDM,76100469,"HC AVULSION NAIL PLATE, PARTIAL/COMPLETE, SIMPLE; EA ADDTL",82.0,82.0,,,0
CDM,76100470,"HC EXCISION TUMOR, SOFT TISSUE FOOT/TOE <1.5CM",6062.0,6062.0,,,0
CDM,76100471,HC PARTIAL EXCISION BONE; DISTAL PHALANX OF FINGER,1980.0,1980.0,,,0
CDM,76100472,HC CLSD TX PELVIC RING FX; UNI OR BIL; W/O MANIPUL,413.0,413.0,,,0
CDM,76100473,HC PARTIAL EXCISION PHALANX TOE BONE,3049.0,3049.0,,,0
CDM,76100474,"HC INTERPHALANGEAL TOE JNT EXCISION, EACH",4984.0,4984.0,,,0
CDM,76100475,HC INTR CATH DIALYS CIRCT W/TRLUML BAL ANGIOPLASTY,17176.0,17176.0,,,0
CDM,76100476,HC INTR CATH DIAL CIRC W/TRCATH PLC INTRVSC STENT(S),17176.0,17176.0,,,0
CDM,76100477,HC INTR CATH DIAL CIRC W/INTRAPROC PHARM THRMB INJ,17176.0,17176.0,,,0
CDM,76100478,HC THRMB/INFUS DIAL CIRC & INTRAPRC PHARM THRMB INJ,17176.0,17176.0,,,0
CDM,76100479,HC THRMB/INFUS DIAL CIRC W/TRNSLUM BAL ANGIOPLASTY,17176.0,17176.0,,,0
CDM,76100480,HC THRMB/INFUS DIAL CIRC&INTRPRC PHAR INJ W/STENT(S),17176.0,17176.0,,,0
CDM,76100481,HC BALLOON  ANGIOPLASTY CTR DIALYSIS SEGMENT,17176.0,17176.0,,,0
CDM,76100482,HC STENT PLACEMENT CENTRAL DIALYSIS SEGMENT,3632.0,3632.0,,,0
CDM,76100483,HC DIALYSIS CIRCUIT PERM VASC EMBOL OR OCCLUSION,2784.0,2784.0,,,0
CDM,76100484,HC TRLUML BALLOON ANGIOPLASTY; INITIAL ARTERY,17176.0,17176.0,,,0
CDM,76100485,HC TRLUML BALLOON ANGIOPLASTY; ADDL ART,17176.0,17176.0,,,0
CDM,76100486,HC TRLUML BALLOON ANGIOPLASTY;  INITIAL VEIN,17176.0,17176.0,,,0
CDM,76100487,HC TRLUML BALLOON ANGIOPLASTY; ADDL VEIN,17176.0,17176.0,,,0
CDM,76100488,HC INJECT INTERLAMINAR CRV/THRC; W/O IMG,1527.0,1527.0,,,0
CDM,76100489,HC INJECT INTERLAMINAR CRV/THRC; W/IMG,5447.0,5447.0,,,0
CDM,76100490,HC INJECT INTERLAMINAR LMBR/SAC; W/O IMG,1527.0,1527.0,,,0
CDM,76100491,HC INJECT INTERLAMINAR LMBR/SAC; W/IMG,5447.0,5447.0,,,0
CDM,76100492,"HC INJ INFUS/BOLUS, INTERLAMINAR CRV/THRC,W/O IMG",2143.0,2143.0,,,0
CDM,76100493,"HC INJ INFUS/BOLUS, INTERLAMINAR CRV/THRC,W/IMG",6064.0,6064.0,,,0
CDM,76100494,"HC INJ INFUS/BOLUS, INTERLAMINAR LMBR/SAC,W/O IMG",2143.0,2143.0,,,0
CDM,76100495,"HC INJ INFUS/BOLUS, INTERLAMINAR LMBR/SAC,W/IMG",6064.0,6064.0,,,0
CDM,76100496,"HC PERQ ABLATION 1 + LIVER TUMOR(S), RADIOFREQ",12110.0,12110.0,,,0
CDM,76100497,"HC PERQ INTERDISCAL/PARAVERT TISSUE ASPIRATION, DX",3853.0,3853.0,,,0
CDM,76100498,"HC SCLEROTX FLUID COLLECT, PERC, INCL CONTRAST INJ(S), SCLERO INJ(S)",6917.0,6917.0,,,0
CDM,76100499,HC THERAPEUTIC APHERESIS; FOR PLATELETS,2566.0,2566.0,,,0
CDM,76100500,HC THERAPEUTIC APHERESIS; W/ EXTRACORP IMMUNOADSORP & PLASMA REINFUSE,12565.0,12565.0,,,0
CDM,76100501,"HC REMOVAL INDWELLING URETERAL STENT, PERQ  APPROACH",3449.0,3449.0,,,0
CDM,76100502,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; SUPRASCAPULAR NERVE",1967.0,1967.0,,,0
CDM,76100503,HC REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,2656.0,2656.0,,,0
CDM,76100504,"HC ASPIRATION AND/OR INJECTION, THYROID CYST",2095.0,2095.0,,,0
CDM,76100516,HC DIAGNOSTIC BONE MARROW; BIOPSY(IES) AND ASPIRATION(S),3531.0,3531.0,,,0
CDM,76100518,HC INJECTION OF NON-COMPOUNDED FOAM SCLEROSANT; 1 VEIN,9962.0,9962.0,,,0
CDM,76100519,HC INJECTION OF NON-COMPOUNDED FOAM SCLEROSANT; MULTIPLE VEINS,9962.0,9962.0,,,0
CDM,76100520,HC ENDOVENOUS THERAPY CHEMICAL ADHESIVE; 1ST VEIN TREATED,19138.0,19138.0,,,0
CDM,76100521,HC ENDOVENOUS THERAPY CHEMICAL ADHESIVE; SUBSEQUENT VEIN TREATED,9570.0,9570.0,,,0
CDM,76100522,HC  INJECTION SCLEROSING SOLUTION; SINGLE VEIN,1981.0,1981.0,,,0
CDM,76100523,HC INJECTION SCLEROSING SOLUTION; MULTIPLE VEIN SAME LEG,1981.0,1981.0,,,0
CDM,76100524,"HC REVSC, ENDOVSC, OPEN/PERQ, TIB/PERON ARTERY, UNI, INITIAL; W/TLA",10012.0,10012.0,,,0
CDM,76100525,"HC ABLATION 1 OR MORE LIVER TUMOR(S), PERCUTANEOUS, CRYOABLATION",12195.0,12195.0,,,0
CDM,76100526,"HC ABLATION 1 OR MORE RENAL TUMORS PERCUTANEOUS, UNIL, RADIOFREQ",13066.0,13066.0,,,0
CDM,76100527,"HC ABLATION RENAL TUMOR(S),  UNIL, PERCUTANEOUS, CRYOTHERAPY",17542.0,17542.0,,,0
CDM,76100528,HC REMOVAL TUNNELED INTRAPERITONEAL CATHETER,4702.0,4702.0,,,0
CDM,76100529,"HC INSTILL (S), VIA CHEST TUBE/CATH,  FIBRINOLYSIS AGENT, INIT DAY",757.0,757.0,,,0
CDM,76100530,"HC ABLATE BONE TUMOR, PERQ, W/IMAG PERF,  CRYO",13757.0,13757.0,,,0
CDM,76100531,"HC ABLATE PULM TUMOR, PERQ, W/IMAG PERF, UNIL, CRY",7748.0,7748.0,,,0
CDM,76100532,"HC CRYOSURG ABLATE EA FIBROADENOMA, W/ US",4708.0,4708.0,,,0
CDM,76100533,"HC ABLATE, PERQ, INCL IMAGE, UPPER EXTREM/PERPH NERVE",11183.0,11183.0,,,0
CDM,76100534,"HC ABLATE, PERQ, INCL IMAGE, LOWER EXTREM/PERPH NERVE",11183.0,11183.0,,,0
CDM,76100535,"HC ABLATE, PERQ, INCL IMAGE, PLEXUS/TRUNCAL NERVE",11183.0,11183.0,,,0
CDM,76100536,"HC ABLATE, 1 OR MORE PULM TUMOR, PERQ, UNIL; RF",10848.0,10848.0,,,0
CDM,76100537,"HC FINE NEEDLE ASPIRATION BIOPSY, W/O GUIDANCE, EA ADDL LESION",184.0,184.0,,,0
CDM,76100538,"HC FINE NEEDLE ASPIRATION BIOPSY, W/US GUIDANCE, 1ST LESION",2922.0,2922.0,,,0
CDM,76100539,"HC FINE NEEDLE ASPIRATION BIOPSY, W/US GUIDANCE, EA ADDL LESION",2784.0,2784.0,,,0
CDM,76100540,"HC FINE NEEDLE ASPIRATION BIOPSY, W/FLUORO GUIDANCE, 1ST LESION",1796.0,1796.0,,,0
CDM,76100541,"HC FINE NEEDLE ASPIRATION BIOPSY, W/FLUORO GUIDANCE, EA ADDL LESION",1796.0,1796.0,,,0
CDM,76100542,"HC FINE NEEDLE ASPIRATION BIOPSY, W/CT GUIDANCE, 1ST LESION",6525.0,6525.0,,,0
CDM,76100543,"HC FINE NEEDLE ASPIRATION BIOPSY, W/CT GUIDANCE, EA ADDL LESION",6525.0,6525.0,,,0
CDM,76100544,"HC FINE NEEDLE ASPIRATION BIOPSY, W/MR GUIDANCE, 1ST LESION",1850.0,1850.0,,,0
CDM,76100545,"HC FINE NEEDLE ASPIRATION BIOPSY, W/MR GUIDANCE, EA ADDL LESION",1347.0,1347.0,,,0
CDM,76100547,"HC PUNCH BIOSPY OF SKIN, SINGLE LESION",1347.0,1347.0,,,0
CDM,76100548,"HC INCISIONAL BIOSPY OF SKIN, SINGLE LESION",1347.0,1347.0,,,0
CDM,76100549,"HC TANGENTIAL BIOSPY OF SKIN, EA SEPARATE/ADDL LESION",488.0,488.0,,,0
CDM,76100550,"HC PUNCH BIOSPY OF SKIN, EA SEPARATE/ADDL LESION",488.0,488.0,,,0
CDM,76100551,"HC INCISIONAL BIOSPY OF SKIN, EA SEPARATE/ADDL LESION",488.0,488.0,,,0
CDM,76100552,"HC INSERTION, SUBQ CARDIAC RHYTHM MONITOR, INCL PROGRAM",5334.0,5334.0,,,0
CDM,76100553,"HC REMOVAL, SUBQ CARDIAC RHYTHM MONITOR",885.0,885.0,,,0
CDM,76100554,"HC DILATION EXISTING TRACT, PERC, W/IMG GUIDE, POST TUBE PLACE",2768.0,2768.0,,,0
CDM,76100555,"HC DILAT EXIST TRACT, PERC, W/IMG GUIDE, POSTTUBEPLACE, NEWRENALACCESS",2878.0,2878.0,,,0
CDM,76100556,HC INJ PROC CONTRAST KNEE ARTHROGRAPHY/CONTRAST CT/MRI,864.0,864.0,,,0
CDM,76100557,"HC CHANGE G TUBE, PERC, W/O IMG/GUIDE, W/O REVISION OF G TRACT",638.0,638.0,,,0
CDM,76100558,"HC CHANGE G TUBE, PERC, W/O IMG/GUIDE, W/REVISION OF G TRACT",638.0,638.0,,,0
CDM,76100559,"HC INSERT PICC, INCLUDING IMAGING, 5 YR+",3592.0,3592.0,,,0
CDM,76100560,HC ADJ TISS TRANS/REARR FORE/CHKS/CHIN/MOU/NCK/AXIL/GENT/HND/FT 10SQCM,2691.5,2691.5,,,0
CDM,76100561,HC CYSTO W/URETEROSCOPY W/REMOVAL/MANIPULATION STONES,6084.0,6084.0,,,0
CDM,76100562,HC NEUROPLASTY MAJOR PRPH NRV ARM/LEG OPEN; OTHER/THAN SPECIFIED,5104.0,5104.0,,,0
CDM,76100564,"HC EGD, FLEXIBLE, TRANSORAL; W/ FOREIGN BODY REMOVAL",1582.0,1582.0,,,0
CDM,76100565,HC REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH; SIMPLE,4303.0,4303.0,,,0
CDM,76100566,HC LAPAROSCOPIC TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY,9552.0,9552.0,,,0
CDM,76100567,HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE,2041.0,2041.0,,,0
CDM,76100568,"HC SIGMOIDOSCOPY FLX DX W/COLLECT SPECM(S) BRUSH/WASH, IF PFRMD",1704.0,1704.0,,,0
CDM,76100569,"HC PRQ SKEL FIX PHLNGL SHFT FX, PROX/MIDDLE PX/FING/THUM, W/MANIP, EA",8210.0,8210.0,,,0
CDM,76100570,HC EXCHANGE TRANSFUSION BLOOD; NOT NEWBORN,1624.0,1624.0,,,0
CDM,76100571,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,8567.0,8567.0,,,0
CDM,76100577,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,5447.0,5447.0,,,0
CDM,76100578,"HC THERAPEUTIC SPINAL PUNCTURE, DRAINAGE CSF W/FLUOR/CT",5447.0,5447.0,,,0
CDM,76100579,HC UNLISTED PROCEDURE MUSCULOSKELETAL SYSTEM GENERAL,796.0,796.0,,,0
CDM,76100580,"HC REVASC, OPEN/PERCUT, ILIAC ARTERY W/ANGIOPLASTY; EA ADD IPSI VESSEL",4575.0,4575.0,,,0
CDM,76100581,"HC REVASC, OPEN/PERCUT, TIBIAL/PERONEAL, W/ANGIOPLASTY; UNIL, EA ADD VESSEL",1919.0,1919.0,,,0
CDM,76100582,"HC REVASC, OPEN/PERCUT, ILIAC ART W/STENT & ANGIOPLASTY; EA ADD IPSI VESSEL",1919.0,1919.0,,,0
CDM,76100621,"HC PLMT INTERSTITIAL DEVICE RAD THERAPY, PROSTATE, 1/MULTI",5867.0,5867.0,,,0
CDM,76100622,HC LAPAROSCOPY  SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,22775.0,22775.0,,,0
CDM,76100623,HC INJ PROCEDURE FOR RETROGRADE URETHROCYSTOGRAPY,631.0,631.0,,,0
CDM,76100624,HC INJECTION EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT,1942.0,1942.0,,,0
CDM,76100625,HC PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJECT PROC,4170.0,4170.0,,,0
CDM,76100626,"HC REVASC, OPEN/PRQ, FEM/POPL, UNIL, W/STENT/ANGIOPL SAME VESSEL",21378.0,21378.0,,,0
CDM,76100627,"HC OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE W/FLUORO, IF PERFORMED",1853.0,1853.0,,,0
CDM,76100628,"HC PRIMARY PRQ MECHANICAL THROMBECTOMY N-COR N-ICRA, 1ST VESSEL",16344.0,16344.0,,,0
CDM,76100629,"HC PRIMARY PRQ MECHANICAL THROMBECTOMY N-COR N-ICRA, SUBSQ VESSEL",1008.0,1008.0,,,0
CDM,76100630,HC INSERTION VAGINAL RADIATION DEVICE,4805.0,4805.0,,,0
CDM,76100631,"HC CORE NEEDLE BX, LUNG/MEDIASTINUM, PERQ, INCL IMG GUIDE",2311.0,2311.0,,,0
CDM,76100634,"HC PRQ TRANSLUML MECHNL THROMBECTOMY, VEIN(S), REPEAT TX",11655.0,11655.0,,,0
CDM,76100635,"HC SECONDARY PRQ TRANSLUML THROMBECTOMY, N-CORONARY N-INTRACRANIAL",9562.0,9562.0,,,0
CDM,76100636,"HC INTRAVASCULAR US, NONCORONARY, INCL RS&I, EA ADDL VESSEL",1715.0,1715.0,,,0
CDM,76100637,"HC TRANSCATH PLACE XCRANIAL VERTEBRAL ART STENT(S), OPEN/PERQ, 1ST VESSEL",5477.0,5477.0,,,0
CDM,76100638,"HC TRANSCATH PLACE XCRANIAL VERTEBRAL ART STENT(S), OPEN/PERQ, EA ADDL",1369.0,1369.0,,,0
CDM,76100639,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 0.5 CM/<,3456.0,3456.0,,,0
CDM,76100640,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 0.6-1.0 CM,4184.0,4184.0,,,0
CDM,76100641,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 1.1-2.0 CM,2041.0,2041.0,,,0
CDM,76100642,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 2.1-3.0 CM,5426.0,5426.0,,,0
CDM,76100643,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 3.1-4.0 CM,6009.0,6009.0,,,0
CDM,76100644,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM,9380.0,9380.0,,,0
CDM,76100645,"HC INSERTION TISSUE EXPANDER(S), NOT BREAST, INCL SBSQ EXPANSION",19763.0,19763.0,,,0
CDM,76100646,"HC REPAIR COMPLEX, TRUNK; 1.1-2.5 CM",2873.0,2873.0,,,0
CDM,76100647,"HC ADJACENT TISSUE TRANSFER/REARRANGEMENT, TRUNK; 10 SQCM/<",10552.0,10552.0,,,0
CDM,76100648,"HC ADJACENT TISSUE TRANSFER/REARRANGEMENT, TRUNK; 10.1-30.0 SQCM",9701.0,9701.0,,,0
CDM,76100649,HC APPLY SKIN SUB GRAFT TRUNK/ARMS/LEGS TOTAL AREA/100SQ CM /<1ST 25,1987.0,1987.0,,,0
CDM,76100650,"HC BIOPSY, INTRANASAL",2222.0,2222.0,,,0
CDM,76100651,"HC EXCISION, NASAL POLYP(S), (SIMPLE)",4020.0,4020.0,,,0
CDM,76100652,HC LAVAGE BY CANNULATION; MAXILLARY SINUS,1278.0,1278.0,,,0
CDM,76100653,"HC NASAL ENDOSCOPY, DIAGNOSTIC, UNIL/BILAT",695.0,695.0,,,0
CDM,76100654,"HC NASAL/SINUS ENDOSCOPY, DIAGNOSTIC, W/MAXILLARY SINUSOSCOPY",1599.0,1599.0,,,0
CDM,76100655,"HC NASAL/SINUS ENDOSCOPY, SURGICAL; W/BX, POLYPECTOMY/DEBRIDE",4026.0,4026.0,,,0
CDM,76100656,"HC NASAL/SINUS ENDOSCOPY, MAX ANTROSTOMY; W/RMVL TISSUE MAX SINUS",24357.0,24357.0,,,0
CDM,76100657,HC NASAL/SINUS ENDOSCOPY; W/SPENOIDOTOMY,18458.0,18458.0,,,0
CDM,76100658,"HC LARYNGOSCOPY, INDIRECT; DIAGNOSTIC",695.0,695.0,,,0
CDM,76100659,HC LARYNGOSCOPY W/WO TRACHEOSCOPY; FOR ASPIRATION,1316.0,1316.0,,,0
CDM,76100660,"HC LARYNGOSCOPY, DIRECT, OPERATIVE; W/BIOPSY",11951.0,11951.0,,,0
CDM,76100661,"HC LARYNGOSCOPY, W/EXCISION TUMOR &/OR STRIPPING  CORDS/EPIGLOTTIS",13010.0,13010.0,,,0
CDM,76100662,"HC LARYNGOSCOPE W/INJ VOCAL CORD(S), THERAPEUTIC",13010.0,13010.0,,,0
CDM,76100663,"HC LARYNGOSCOPY W/INJ VOCAL CORD(S), THERAPEUTIC; W/MICRO/TELESCOPE",13010.0,13010.0,,,0
CDM,76100664,"HC LARYNGOSCOPY, FLEXIBLE, ABLATE/DESTRUCT LESION(S) W/LASER, UNIL",11404.0,11404.0,,,0
CDM,76100665,"HC LARYNGOSCOPY, FLEXIBLE; W/THERAPEUTIC INJECTION(S)",4026.0,4026.0,,,0
CDM,76100666,"HC LARYNGOSCOPY, FLEXIBLE; W/INJ(S) FOR AUGMENTATION, UNIL",4026.0,4026.0,,,0
CDM,76100667,"HC LARYNGOSCOPY, FLEXIBLE; W/BIOPSY(IES)",2988.0,2988.0,,,0
CDM,76100668,"HC LARYNGOSCOPY, FLEXIBLE, W/REMVL LESION(S), NON-LASER",9281.0,9281.0,,,0
CDM,76100669,"HC LARYNGOSCOPY FLEX/RIGID, TELESCOPIC W/STROBOSCOPY",1410.0,1410.0,,,0
CDM,76100670,HC TRACHEOBRONCOSCOPY VIA ESTABLISHED TRACH INCISION,873.0,873.0,,,0
CDM,76100671,"HC BRONCHOSCOPY, INCL FLUOR GUIDE, DX, W/CELL WASHING",3344.0,3344.0,,,0
CDM,76100672,"HC BRONCHOSCOPY, INCL FLUOR GUIDE; W/ BRONCHIAL ALVEOLAR LAVAGE",3396.0,3396.0,,,0
CDM,76100673,"HC BRONCHOSCOPY, INCL FLUOR GUIDE, W/BRONCH/ENDOBRONC BX(S),1+ SITES",3964.0,3964.0,,,0
CDM,76100674,HC SURGICAL CLOSURE OF TRACHEOSTOMY/FISTULA; W/PLASTIC REPAIR,18357.0,18357.0,,,0
CDM,76100675,HC REVISION OF TRACHEOSTOMY SCAR,9718.0,9718.0,,,0
CDM,76100676,"HC BIOPSY/EXCISION LYMPH NODE(S); OPEN, SUPERFICIAL",19917.0,19917.0,,,0
CDM,76100677,HC BIOPSY OF LIP,830.0,830.0,,,0
CDM,76100678,"HC BIOPSY, VESTIBULE MOUTH",1002.0,1002.0,,,0
CDM,76100679,"HC EXCISION LESION MUCOSA & SUBMUCOSA, VESTIBULE; W/SIMPLE REPAIR",5786.0,5786.0,,,0
CDM,76100680,"HC UNLISTED PROCEDURE, LIPS",394.0,394.0,,,0
CDM,76100681,HC INCISION LABIAL FRENUM (FRENOTOMY),744.0,744.0,,,0
CDM,76100682,"HC EXCISION OF FRENUM, LABIAL OR BUCCAL",6252.0,6252.0,,,0
CDM,76100683,HC INCISION OF LINGUAL FRENUM (FRENOTOMY),3376.0,3376.0,,,0
CDM,76100684,HC BIOPSY OF TONGUE; ANTERIOR 2/3,1233.0,1233.0,,,0
CDM,76100685,HC BIOPSY OF TONGUE; POSTERIOR 1/3,4493.0,4493.0,,,0
CDM,76100686,HC BIOPSY OF FLOOR OF MOUTH,4595.0,4595.0,,,0
CDM,76100687,HC EXCISION LESION TONGUE W/O CLOSURE,4980.0,4980.0,,,0
CDM,76100688,HC EXCISION OF LINGUAL FRENUM (FRENECTOMY),4517.0,4517.0,,,0
CDM,76100689,"HC BIOPSY OF PALATE, UVULA",3332.0,3332.0,,,0
CDM,76100690,"HC SIALOLITHOTOMY; SUBMANDIBULAR, SUBLINGUAL/PAROTID, UNCOMP, INTRAORAL",6276.0,6276.0,,,0
CDM,76100691,HC BIOPSY SALIVARY GLAND; INCISIONAL,6972.0,6972.0,,,0
CDM,76100692,HC EXCISION SUBLINGUAL SALIVARY CYST (RANULA),13378.0,13378.0,,,0
CDM,76100693,HC DILATION SALIVARY DUCT,2222.0,2222.0,,,0
CDM,76100694,"HC UNLISTED PROCEDURE, SALIVARY GLANDS OR DUCTS",557.0,557.0,,,0
CDM,76100695,"HC BIOPSY, OROPHARYNX",3522.0,3522.0,,,0
CDM,76100696,"HC BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE",4509.0,4509.0,,,0
CDM,76100697,HC EGD; W/DIRECTED PLACEMENT PERCUTANEOUS GASTROSTOMY TUBE,6836.0,6836.0,,,0
CDM,76100698,HC EGD; W/INSERT GUIDE WIRE FOLLOWED BY DILATOR PASSAGE ESOPHAGUS,3418.0,3418.0,,,0
CDM,76100699,HC EGD; W/BALLOON DILATION ESOPHAGUS (<30MM DIAMETER),5243.0,5243.0,,,0
CDM,76100700,HC EGD; W/ENDOSCOPIC STENT PLACEMENT (INCL W/GUIDE WIRE &  DILATION),21168.0,21168.0,,,0
CDM,76100701,"HC DILATION ESOPHAGUS, BY UNGUIDED SOUND/BOUGIE, 1/MULTI PASSES",2474.0,2474.0,,,0
CDM,76100702,"HC INJECTION(S), ANESTHETIC AGENT(S) &/OR STERIOD; VAGUS NERVE",1527.0,1527.0,,,0
CDM,76100703,"HC INJ (S), ANESTH AGENT(S) &/OR STERIOD; BRACHIAL PLEXUS, INCL IMG GUIDANCE",4483.0,4483.0,,,0
CDM,76100704,"HC INJECTION, ANESTHETIC AGENT; SPHENOPALATINE GANGLION",1527.0,1527.0,,,0
CDM,76100705,"HC CHEMODENERVATION PAROTID & SUBMANDIBULAR SALIVARY GLANDS, BILAT",1757.0,1757.0,,,0
CDM,76100706,"HC CHEMODENERVATION MUSCLE(S); MUSCLE(S) INNERVATED BY FACIAL NERVE, UNIL",2488.0,2488.0,,,0
CDM,76100707,"HC CHEMODERVATE FACIAL/TRIGEMINAL/CERVICAL MUSCLE, MIGRAINE",2488.0,2488.0,,,0
CDM,76100708,"HC DRAINAGE EXTERNAL EAR, ABSCESS/HEMATOMA; COMPLICATED",7981.0,7981.0,,,0
CDM,76100709,"HC DRAINAGE EXTERNAL AUDITORY CANAL, ABSCESS",4058.0,4058.0,,,0
CDM,76100710,HC BIOPSY EXTERNAL EAR,557.0,557.0,,,0
CDM,76100711,HC BIOPSY EXTERNAL AUDITORY CANAL,2222.0,2222.0,,,0
CDM,76100712,"HC EXCISION SOFT TISSUE LESION, EXTERNAL AUDITORY CANAL",4747.0,4747.0,,,0
CDM,76100713,"HC DEBRIDEMENT MASTOIDECTOMY CAVITY, SIMPLE",883.0,883.0,,,0
CDM,76100714,"HC DEBRIDEMENT MASTOIDECTOMY CAVITY, COMPLEX",1560.0,1560.0,,,0
CDM,76100715,HC MYRINGOTOMY INCL ASPIRATION &/OR EUSTACHIAN TUBE INFLATION,1428.0,1428.0,,,0
CDM,76100716,HC TYMPANOSTOMY; LOCAL/TOPICAL ANESTHESIA,1503.0,1503.0,,,0
CDM,76100717,HC MYRINGOPLASTY,18919.0,18919.0,,,0
CDM,76100718,"HC UNLISTED PROCEDURE, MIDDLE EAR",394.0,394.0,,,0
CDM,76100719,"HC LABYRINTHOTOMY, W/PERFUSION VESTIBULOACTIVE DRUG(S); TRANSCANAL",2682.0,2682.0,,,0
CDM,76100720,HC OPERATING MICROSCOPE (ADD-ON CODE),900.0,900.0,,,0
CDM,76100721,HC ORBITOTOMY W/O BONE FLAP; W/REMOVAL LESION,11462.0,11462.0,,,0
CDM,76100724,"HC REPLACEMENT OF G-J TUBE, PERC, FLUORO GUIDE, INCL CONTRAST INJ(S)",2255.0,2255.0,,,0
CDM,76100725,"HC INTRODUCTION CATHETER, RT HEART OR MAIN PULM ARTERY",4881.0,4881.0,,,0
CDM,76100726,"HC SELECTIVE CATHETER PLACEMENT, LT OR RT PULM ARTERY",4581.0,4581.0,,,0
CDM,76100727,"HC SELECTIVE CATHETER PLACEMENT, SEGMENTAL OR SUBSEGMENTAL PULM ARTERY",4581.0,4581.0,,,0
CDM,76191101,HC INSERT UTERINE TANDEM/OVOIDS,3981.0,3981.0,,,0
CDM,76200001,HC HOSPITAL OBSERVATION SERVICE PER HR,427.5,427.5,,,0
CDM,76200005,HC OBSERVATION CARE DISCHARGE,847.0,847.0,,,0
CDM,76200006,HC INITIAL OBSERVATION CARE,1058.0,1058.0,,,0
CDM,77100001,"HC IMMUNIZATION ADMIN SQ/IM, SINGLE",124.5,124.5,,,0
CDM,77100002,"HC IMMUNIZATION ADMIN SQ/IM, EA ADDL",77.5,77.5,,,0
CDM,77100003,"HC IMMUNIZATION ADMIN, NASAL/ORAL SINGLE",94.0,94.0,,,0
CDM,77100004,"HC VACCINE ADMINISTRATION, FLU",74.0,74.0,,,0
CDM,77100005,"HC VACCINE ADMINISTRATION, PNEUMONIA",71.0,71.0,,,0
CDM,77100006,"HC VACCINE ADMINISTRATION, HEP B",75.0,75.0,,,0
CDM,77100007,"HC IMMUNIZATION ADMIN, NASAL/ORAL, EA ADDL",13.0,13.0,,,0
CDM,77100009,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3ML 1ST DOSE,47.0,47.0,,,0
CDM,77100010,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3ML 2ND DOSE,47.0,47.0,,,0
CDM,77100011,DEAC 11/01/2023 HC ADM SARSCOV2 100MCG/0.5ML 1ST DOSE,47.0,47.0,,,0
CDM,77100012,DEAC 11/01/2023 HC IMMUN ADM SARSCOV2 100MCG/0.5ML 2ND DOSE,47.0,47.0,,,0
CDM,77100013,"DEAC 11/01/2023 HC ADM SARSCOV2 5X1010VP/.5ML, 1ST DOSE",47.0,47.0,,,0
CDM,77100014,"DEAC 11/01/2023 HC ADM SARSCOV2 5X1010VP/.5ML, 2ND DOSE",47.0,47.0,,,0
CDM,77100015,"DEAC 11/01/2023 HC ADM SARSCOV2 VAC AD26 /.5ML, SINGLE DOSE",47.0,47.0,,,0
CDM,77100018,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3ML 3RD,47.0,47.0,,,0
CDM,77100019,DEAC 11/01/2023 HC IMMUN ADM SARSCOV2 100MCG/0.5ML 3RD DOSE,47.0,47.0,,,0
CDM,77100020,DEAC 11/01/2023 HC ADM SARSCOV2 50MCG/0.25ML; BOOSTER DOSE,47.0,47.0,,,0
CDM,77100021,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3ML; BOOSTER DOSE,47.0,47.0,,,0
CDM,77100022,DEAC 11/01/2023 HC ADM SARSCOV2 10MCG/0.2 ML; TRIS-SUCROSE FORM; 1ST DOSE,47.0,47.0,,,0
CDM,77100023,DEAC 11/01/2023 HC ADM SARSCOV2 10MCG/0.2 ML; TRIS-SUCROSE FORM; 2ND DOSE,47.0,47.0,,,0
CDM,77100024,DEAC 11/01/2023 HC SARSCOV2 VAC AD26 .5ML BOOSTER,47.0,47.0,,,0
CDM,77100025,"DEAC 4/1/2025 HC TIXAGEVIMAB & CILGAVIMAB, INCL INJ & POST ADMIN MONITORING",1043.0,1043.0,,,0
CDM,77100026,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; 1ST DOSE,47.0,47.0,,,0
CDM,77100027,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; 2ND DOSE,47.0,47.0,,,0
CDM,77100028,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; 3RD DOSE,47.0,47.0,,,0
CDM,77100029,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; BOOSTER,47.0,47.0,,,0
CDM,77100030,"DEAC 4/1/2025 HC IV INFUSION SOTROVIMAB, INCL INFUSION & POST ADMIN MONITORING",1043.0,1043.0,,,0
CDM,77100031,"DEAC 4/1/2025 HC BEBTELOVIMAB,INCLU INJECTION & POST ADMIN MONITORING",1043.0,1043.0,,,0
CDM,77100032,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML BOOSTER DOSE,47.0,47.0,,,0
CDM,77100033,DEAC 11/01/2023 HC ADM SARSCOV2 10 MCG/0.2 ML TRIS-SUCROSE BOOSTER,47.0,47.0,,,0
CDM,77100034,DEAC 11/01/2023 HC ADM SARSCOV2 3MCG TRS-SUCR-1ST DOSE,49.0,49.0,,,0
CDM,77100035,DEAC 11/01/2023 HC ADM SARSCOV2 3MCG TRS-SUCR-2 DOSE,49.0,49.0,,,0
CDM,77100036,DEAC 11/01/2023 HC ADM SARSCOV2 3MCG TRS-SUCR-3 DOSE,49.0,49.0,,,0
CDM,77100037,DEAC 11/01/2023 HC ADM SARSCOV2 25MCG/0.25ML 1ST DOSE,49.0,49.0,,,0
CDM,77100038,DEAC 11/01/2023 HC ADM SARSCOV2 25MCG/0.25ML 2ND DOSE,49.0,49.0,,,0
CDM,77100039,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML 1ST DOSE 6-11,49.0,49.0,,,0
CDM,77100040,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML 2ND DOSE 6-11,49.0,49.0,,,0
CDM,77100041,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML 3RD DOSE 6-11,49.0,49.0,,,0
CDM,77100049,DEAC 11/01/2023 HC ADMN SARSCOV2 5 MCG/0.5 ML BOOSTER DOSE,120.0,120.0,,,0
CDM,77100050,DEAC 11/01/2023 HC ADMN SARSCOV2 5 MCG/0.5 ML BOOSTER DOSE,120.0,120.0,,,0
CDM,77100051,DEAC 11/01/2023 HC ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 3RD DOSE,120.0,120.0,,,0
CDM,77100052,DEAC 11/01/2023 HC ADM SARSCV2 BVL 30MCG/0.3ML 1ST DOSE,49.0,49.0,,,0
CDM,77100053,DEAC 11/01/2023 HC ADM SRSCV2 BVL 25MCG/0.25ML 1ST DOSE,49.0,49.0,,,0
CDM,77100054,DEAC 11/01/2023 HC ADM SRSCV2 BVL 25 MCG/0.25ML 2ND DOSE,49.0,49.0,,,0
CDM,77100055,DEAC 11/01/2023 HC ADM SARSCV2 BVL 10 MCG/0.2ML 1ST DOSE,49.0,49.0,,,0
CDM,77100056,DEAC 11/01/2023 HC ADM SARSCV2 BVL 3 MCG/0.2ML 1ST DOSE,49.0,49.0,,,0
CDM,77100057,DEAC 11/01/2023 HC ADM SARSCV2 BVL 3 MCG/0.2ML 2ND DOSE,49.0,49.0,,,0
CDM,77100058,DEAC 11/01/2023 HC ADMN SARSCOV2 BIVALENT 3 MCG/0.2ML ADDL DOSE,49.0,49.0,,,0
CDM,77100059,"HC IMM ADMN SARSCOV2 VACCINE, SINGLE DOSE",270.0,270.0,,,0
CDM,77100060,HC ADM RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP,133.0,133.0,,,0
CDM,77100061,HC ADM RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,133.0,133.0,,,0
CDM,80100001,HC INPATIENT HEMODIALYSIS,2924.0,2924.0,,,0
CDM,80100050,HC HEMODIALYSIS ONE EVALUATION,2550.0,2550.0,,,0
CDM,80900001,HC OTHER INPATIENT DIALYSIS,2924.0,2924.0,,,0
CDM,82900001,HC EMERGENCY DIALYSIS ESRD PT,3839.0,3839.0,,,0
CDM,90000050,HC TCRANIAL MAGN STIM TX PLAN,341.0,341.0,,,0
CDM,90000051,HC TCRANIAL MAGN STIM TX DELI,894.0,894.0,,,0
CDM,90100001,HC ECT TREATMENT PRICE PER MIN,1009.0,1009.0,,,0
CDM,91700001,HC BIOFEEDBACK TRAINING W/EMG,461.0,461.0,,,0
CDM,91700050,HC BIOFEEDBACK TRAINING BY ANY MODALITY,184.0,184.0,,,0
CDM,91700051,HC BFB TRAING W/EMG &/MANOMETRY; 1ST 15 MIN W/PT CONTACT,131.0,131.0,,,0
CDM,91700052,HC BFB TRAING W/EMG&/MANOMETRY; EA ADDL 15 MIN W/PT CONTACT,54.0,54.0,,,0
CDM,92000020,HC SLS-EPS; PERIPH NRV; UPPER LIMBS,985.0,985.0,,,0
CDM,92000021,HC SLS-EPS; PERIPH NRV; LOWER LIMBS,985.0,985.0,,,0
CDM,92000060,HC ANALYZE NEUROSTIM SIMPLE,193.0,193.0,,,0
CDM,92000094,"HC ELECTRORETINOGRAPHY W INT & REP, FULL FIELD",761.0,761.0,,,0
CDM,92000095,"HC ELECTRORETINOGRAPHY W INT & REP, MULTIFOCAL",410.0,410.0,,,0
CDM,92000096,"HC ELECTRORETINOGRAPHY W INT & REP, PATTERN",389.0,389.0,,,0
CDM,92000099,HC REMOTE INTERROG IMP CARD PHYS MONT SYS UP TO 30 DAYS,487.0,487.0,,,0
CDM,92000100,HC REMOTE INTERROG SUB CARD RHYM MONT SYS UP TO 30 DAYS,487.0,487.0,,,0
CDM,92100001,HC CAROTID DUPLEX SCAN; BILAT,1215.0,1215.0,,,0
CDM,92100002,HC CAROTID DUPLEX SCAN; UNIL/LIMIT,741.0,741.0,,,0
CDM,92100003,HC INTRACRANIAL ARTERY DOPPLER; COMPL,3041.0,3041.0,,,0
CDM,92100004,HC INTRACRANIAL ARTERY DOPPLER; LIMITED,2031.0,2031.0,,,0
CDM,92100005,HC UPR/L XTREMITY ART 2 LEVELS,390.0,390.0,,,0
CDM,92100006,HC UPR/LXTR ART STDY 3+ LVLS,3241.0,3241.0,,,0
CDM,92100007,HC LWR XTR VASC STDY BILAT,1290.0,1290.0,,,0
CDM,92100008,HC DUPLEX LE ART/BPG; BILAT,1076.0,1076.0,,,0
CDM,92100009,HC DUPLEX LE ART/BPG; UNIL/LIMIT,652.0,652.0,,,0
CDM,92100010,HC DUPLEX UE ART/BPG; BILAT,1076.0,1076.0,,,0
CDM,92100011,HC DUPLEX UE ART/BPG; UNIL/LIMIT,652.0,652.0,,,0
CDM,92100012,HC DUPLEX EXT VEINS; BILAT,1015.0,1015.0,,,0
CDM,92100013,HC DUPLEX EXT VEINS; UNIL/LIMIT,846.0,846.0,,,0
CDM,92100014,HC DUPLEX ARTERIAL FLOW; COMPL,1999.0,1999.0,,,0
CDM,92100015,HC DUPLEX ARTERIAL FLOW; LIMITED,1933.0,1933.0,,,0
CDM,92100016,HC DUPLEX A IVC IL/BPG; COMPL,2032.0,2032.0,,,0
CDM,92100017,HC DUPLEX A IVC IL/BPG; UNIL/LIM,2032.0,2032.0,,,0
CDM,92100018,HC DUPLEX FLOW PENILE V; COMPL,1999.0,1999.0,,,0
CDM,92100019,HC DUPLEX HEMODIALYSIS ACCESS,1206.0,1206.0,,,0
CDM,92100100,"HC Extremity Study, Complete Bilateral",899.0,899.0,,,0
CDM,92200001,HC EMG- ONE EXTREMITY,339.0,339.0,,,0
CDM,92200002,HC EMG-TWO EXTREMITIES,440.0,440.0,,,0
CDM,92200003,HC EMG-THREE EXTREMITIES,560.0,560.0,,,0
CDM,92200009,"HC NRV CONDUCTION, MOTOR-EA NERVE",138.0,138.0,,,0
CDM,92200010,HC NCV EA MOTOR NERVE; W F-WAVE,809.0,809.0,,,0
CDM,92200011,HC NCV EA SENSORY NERVE,809.0,809.0,,,0
CDM,92200051,"HC VISUAL EVOKED POTENTIAL, CHECKERBD/FLASH TEST, CNS, EXCEPT GLAUCOMA",577.0,577.0,,,0
CDM,94000004,HC PHOTOCHEMOTHERAPY PUVA,319.0,319.0,,,0
CDM,94000005,DEAC 7/1/2018 HCCPR PER 15 MIN,771.5,771.5,,,0
CDM,94000006,HC ACUPUNCT W/O STIMUL 15 MIN,218.0,218.0,,,0
CDM,94000007,"HC ACUPUNCTURE W/O ELECTRIC STIMULATION, ADDL 15 MIN W/INSERT NEEDLE(S)",166.0,166.0,,,0
CDM,94000008,HC ACUPUNCT W/STIMUL 15 MIN,320.0,320.0,,,0
CDM,94000009,"HC ACUPUNCTURE W/ELECTRIC STIMULATION, ADDL 15 MIN W/INSERT NEEDLE(S)",214.0,214.0,,,0
CDM,94000012,HC CPR PER SESSION,2336.0,2336.0,,,0
CDM,94030001,HC PHLEBOTOMY THERAPEUTIC,543.0,543.0,,,0
CDM,94191101,HC GENETIC COUNSELING ADDITIONAL 30 MIN,272.0,272.0,,,0
CDM,94191102,HC GENETIC COUNSELING FIRST 30 MIN,428.0,428.0,,,0
CDM,94200001,"HC MNT, INDIV, EA 15 MIN, INITIAL ASSESSMENT",63.0,63.0,,,0
CDM,94200002,"HC MNT, INDIV, EA 15 MIN, RE-ASSESSMENT",63.0,63.0,,,0
CDM,94200006,HC EDUCATION/TRAINING - NUTRITION 5 VISIT,199.0,199.0,,,0
CDM,94200007,HC EDUCATION/TRAINING - NUTRITION 6 VISIT,255.0,255.0,,,0
CDM,94200025,DEAC 01/31/2022 HC DM OP SMT GRP PER 30 MIN,64.0,64.0,,,0
CDM,94200050,DEAC 01/01/2025 HC GENETIC COUNSELING 30 MIN,786.0,786.0,,,0
CDM,94200051,"HC MEDICAL NUTRITION THERAPY, GROUP, EA 30 MIN",102.0,102.0,,,0
CDM,94200060,"HC GENETIC COUNSELING EA 30 MIN, TOTAL TIME, ENCOUNTER DATE",714.0,714.0,,,0
CDM,99000001,DEAC 10/19/2022 HC UNJURY PROTEIN SUPPLEMENT,25.0,25.0,,,0
CDM,99000002,HC OPURITY MULTIVITAMIN,40.0,40.0,,,0
CDM,99000003,HC OPURITY CALCIUM CITRATE,20.0,20.0,,,0
CDM,99000021,HC ATHLETIC TRAINING SESSION,75.0,75.0,,,0
CDM,99041101,HC NON-BILLABLE (CRITERIA FOR BILLING NOT MET),1.0,1.0,,,0
CDM,99100000,HC CAFETERIA/GUEST TRAY,7.0,7.0,,,0
CDM,99100001,HC CAFETERIA/GUEST TRAY DISCOUNT,18.0,18.0,,,0
CDM,99100002,HC CAFETERIA/GOURMET MEAL,4.0,4.0,,,0
CDM,99100003,HC CAFETERIA/ALA CARTE,3.0,3.0,,,0
CDM,99400000,HC TV/RADIO,5.0,5.0,,,0
CDM,99900011,HC PRIVATE REGULAR ROOM DIFFERENTIAL,465.0,465.0,,,0
CDM,99900013,HC PRIVATE DELUXE ROOM DIFFERENTIAL,535.0,535.0,,,0
CDM,99900015,HC PRIVATE SNF ROOM DIFFERENTIAL,335.0,335.0,,,0
CDM,99900016,HC DELUXE SNF ROOM DIFFERENTIAL,335.0,335.0,,,0
CDM,99900017,HC DELUXE SNF SUITE DIFFERENTIAL,335.0,335.0,,,0
CDM,99900050,HC BARIATRIC MODIFIED PROGRAM FEE,350.0,350.0,,,0
CDM,99900051,HC BARIATRIC PROGRAM FEE,600.0,600.0,,,0
CDM,99900100,DEAC 10/19/2022 HC AQUATICS DROP-IN SESSION,15.0,15.0,,,0
CDM,99900101,"DEAC 10/19/2022 HC AQUATIC 10 WEEK,  2X  PER",160.0,160.0,,,0
CDM,99900102,"DEAC 10/19/2022 HC AQUATIC 10WEEK SESSION,3X",200.0,200.0,,,0
CDM,99900103,"DEAC 10/19/2022 HC AQUATIC 10 WEEK, EMPLOYEE",100.0,100.0,,,0
CDM,99900104,"DEAC 10/19/2022 HC AQUATICS PT,PRIVATE PAY 3",60.0,60.0,,,0
CDM,99900105,"DEAC 10/19/2022 HC AQUATIC EXERCISE PRGM,NON",80.0,80.0,,,0
CDM,99900106,"DEAC 10/19/2022 HC EXERCISE, MAINT PROGRAM W",200.0,200.0,,,0
CDM,99900107,"DEAC 10/19/2022 HC PRIVATE TRAINING, 8 SESSI",280.0,280.0,,,0
CDM,99900108,DEAC 10/19/2022 HC INDEPENDENT WALKING 3X,80.0,80.0,,,0
CDM,99900109,DEAC 10/19/2022 HC INDEPENDENT WALKING 2X,60.0,60.0,,,0
CDM,99900110,DEAC 10/26/2023 HC INDEPENDENT WALKING SAT,15.0,15.0,,,0
CDM,99900111,DEAC 10/19/2022 HC LO INTENSITY AEROBICS 2X,70.0,70.0,,,0
CDM,99900112,DEAC 10/19/2022 HC PRIVATE PAY PT 30 MIN,60.0,60.0,,,0
CDM,99900113,HC MANUAL THERAPY LYMPH DRAINAGE BY MASSAGE THERAPIST EA 15 MINS,97.0,97.0,,,0
CDM,99900114,HC MASSAGE THERAPY BY MASSAGE THERAPIST EA 15 MINS,77.0,77.0,,,0
CDM,99900115,"HC NEW CONSULT YOGA THERAPY, 75 MINUTES",110.0,110.0,,,0
CDM,99900116,"HC FOLLOW UP YOGA THERAPY, 45 MINUTES",80.0,80.0,,,0
CDM,99900117,HC MAGNET THERAPY  DURING ACUPUNCTURE,35.0,35.0,,,0
CDM,99900118,HC MAGNET THERAPY,145.0,145.0,,,0
CDM,99900119,HC REIKI 90 MINUTES,165.0,165.0,,,0
CDM,99900120,HC REIKI 60 MINUTES,110.0,110.0,,,0
CDM,99900121,HC REIKI 30 MINUTES,60.0,60.0,,,0
CDM,99900122,HC INFRARED THERAPY,20.0,20.0,,,0
CDM,99900123,HC GROUP ACUPUNCTURE,50.0,50.0,,,0
CDM,99900124,HC SURGERY HEALING EDUCATION/TRAINING,40.0,40.0,,,0
CDM,99913001,HC CT LUNG SCREENING,513.0,513.0,,,0
HCPCS,0001A,Adm sarscov2 30mcg/0.3ml 1st,,,62.0,71.0,2
HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,720.0,2617.59,5
HCPCS,0002A,Adm sarscov2 30mcg/0.3ml 2nd,,,62.0,71.0,2
HCPCS,0002M,Liver dis 10 assays w/ash,,,503.4,1829.58,5
HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,25.0,90.48,5
HCPCS,0003A,Fee covid-19 vac 1 booster,,,62.0,71.0,2
HCPCS,0003M,Liver dis 10 assays w/nash,,,503.4,1829.58,5
HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,950.0,3453.24,5
HCPCS,0004A,Fee covid-19 vac 1 res,,,62.0,71.0,2
HCPCS,0004M,Scoliosis dna alys,,,79.0,286.89,5
HCPCS,0005U,Onco prst8 3 gene ur alg,,,760.0,2762.82,5
HCPCS,0006M,Onc hep gene risk classifier,,,150.0,545.19,5
HCPCS,0007M,Onc gastro 51 gene nomogram,,,375.0,1362.96,5
HCPCS,0007U,Rx test prsmv ur w/def conf,,,114.43,415.44,5
HCPCS,0008U,Hpylori detcj abx rstnc dna,,,597.91,2173.59,5
HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,107.0,389.25,5
HCPCS,0010U,Nfct ds strn typ whl gen seq,,,427.26,1553.43,5
HCPCS,0011A,Adm sarscov2 100mcg/0.5ml1st,,,62.0,71.0,2
HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,760.0,2762.82,5
HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,114.43,415.44,5
HCPCS,0012A,Adm sarscov2 100mcg/0.5ml2nd,,,62.0,71.0,2
HCPCS,0012M,Onc mrna 5 gen rsk urthl ca,,,760.0,2762.82,5
HCPCS,0013A,Fee covid-19 vac 2 booster,,,62.0,71.0,2
HCPCS,0013M,Onc mrna 5 gen recr urthl ca,,,760.0,2762.82,5
HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,1305.37,4745.97,5
HCPCS,0016M,Onc bladder mrna 209 gen alg,,,3489.63,12685.68,5
HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,163.96,596.37,5
HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,2510.21,9125.31,5
HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,91.66,333.3,5
HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,640.73,2329.53,5
HCPCS,0018U,Onc thyr 10 microrna seq alg,,,3002.09,10913.22,5
HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,712.4,748.02,3
HCPCS,0019U,Onc rna tiss predict alg,,,3675.0,13359.42,5
HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,760.0,2762.82,5
HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,1950.0,7088.61,5
HCPCS,0023U,Onc aml dna detcj/nondetcj,,,248.51,903.48,5
HCPCS,0024U,Glyca nuc mr spectrsc quan,,,34.19,123.81,5
HCPCS,0025U,Tenofovir liq chrom ur quan,,,114.43,311.88,5
HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,3600.0,13086.84,5
HCPCS,0027U,Jak2 gene trgt seq alys,,,121.91,442.8,5
HCPCS,0029U,Rx metab advrs trgt seq alys,,,742.27,2698.56,5
HCPCS,0030U,Rx metab warf trgt seq alys,,,134.13,488.04,5
HCPCS,0031A,Fee covid-19 vac 4 dose 1,,,62.0,71.0,2
HCPCS,0031U,Cyp1a2 gene,,,174.81,635.64,5
HCPCS,0032U,Comt gene,,,174.81,635.64,5
HCPCS,0033U,Htr2a htr2c genes,,,1112.4,1271.31,2
HCPCS,0034A,Fee covid-19 vac 4 res,,,62.0,71.0,2
HCPCS,0034U,Tpmt nudt15 genes,,,466.17,1695.06,5
HCPCS,0035U,Neuro csf prion prtn qual,,,540.99,1966.47,5
HCPCS,0036U,Xome tum & nml spec seq alys,,,4780.0,17376.9,5
HCPCS,0037U,Trgt gen seq dna 324 genes,,,3500.0,12723.78,5
HCPCS,0038U,Vitamin d srm microsamp quan,,,29.6,107.13,5
HCPCS,0039U,Dna antb 2strand hi avidity,,,13.74,50.01,5
HCPCS,0040U,Bcr/abl1 gene major bp quan,,,409.9,1490.34,5
HCPCS,0041A,Fee covid-19 vac 5 dose 1,,,62.0,71.0,2
HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,17.21,63.09,5
HCPCS,0042A,Fee covid-19 vac 5 dose 2,,,62.0,71.0,2
HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,17.21,63.09,5
HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,14.86,53.58,5
HCPCS,0044A,Fee covid-19 vac 5 res,,,62.0,71.0,2
HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,14.86,53.58,5
HCPCS,0045U,Onc brst dux carc is 12 gene,,,3873.0,14079.6,5
HCPCS,0046U,Flt3 gene itd variants quan,,,407.43,1480.8,5
HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,3873.0,14079.6,5
HCPCS,0048U,Onc sld org neo dna 468 gene,,,2919.6,10613.25,5
HCPCS,0049U,Npm1 gene analysis quan,,,407.43,1480.8,5
HCPCS,0050U,Trgt gen seq dna 194 genes,,,2916.6,10602.54,5
HCPCS,0051A,Fee covid-19 vac 6 dose 1,,,62.0,71.0,2
HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,246.92,704.7,5
HCPCS,0052A,Fee covid-19 vac 6 dose 2,,,62.0,71.0,2
HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,33.86,122.61,5
HCPCS,0053A,Fee covid-19 vac 6 booster,,,62.0,71.0,2
HCPCS,0054A,Fee covid-19 vac 6 res,,,62.0,71.0,2
HCPCS,0054T,Bone srgry cmptr fluor image,,,1544.0,1866.0,2
HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,198.74,541.62,5
HCPCS,0055T,Bone srgry cmptr ct/mri imag,,,1544.0,1866.0,2
HCPCS,0055U,Card hrt trnspl 96 dna seq,,,3240.0,11778.63,5
HCPCS,0058U,Onc merkel cll carc srm quan,,,322.96,1173.69,5
HCPCS,0059U,Onc merkel cll carc srm +/-,,,322.96,1173.69,5
HCPCS,0060U,Twn zyg gen seq alys chrms2,,,759.05,2759.25,5
HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,25.1,91.65,5
HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,380.72,1384.38,5
HCPCS,0063U,Neuro autism 32 amines alg,,,750.0,2725.92,5
HCPCS,0064A,Fee covid-19 vac 7 res,,,62.0,71.0,2
HCPCS,0064U,Antb tp total&rpr ia qual,,,31.33,114.27,5
HCPCS,0065U,Syfls tst nontreponemal antb,,,18.09,65.46,5
HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,1897.0,6895.77,5
HCPCS,0068U,Candida species pnl amp prb,,,142.63,519.0,5
HCPCS,0069U,Onc clrct microrna mir-31-3p,,,380.0,1382.01,5
HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,676.37,2459.28,5
HCPCS,0071A,Fee covid-19 vac 8 dose 1,,,62.0,71.0,2
HCPCS,0071T,Us leiomyomata ablate <200,,,3824.16,13320.0,7
HCPCS,0071U,Cyp2d6 full gene sequence,,,600.0,2180.73,5
HCPCS,0072A,Fee covid-19 vac 8 dose 2,,,62.0,71.0,2
HCPCS,0072T,Us leiomyomata ablate >200,,,3824.16,13320.0,7
HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,450.91,1639.14,5
HCPCS,0073A,Fee covid-19 vac 8 booster,,,62.0,71.0,2
HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,450.91,1639.14,5
HCPCS,0074A,Fee covid-19 vac 8 res,,,62.0,71.0,2
HCPCS,0074U,Cyp2d6 nonduplicated gene,,,450.91,1639.14,5
HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,450.91,1639.14,5
HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,450.91,1639.14,5
HCPCS,0077U,Ig paraprotein qual bld/ur,,,43.43,158.31,5
HCPCS,0078U,Pain mgt opi use gnotyp pnl,,,1434.25,1639.14,2
HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,3520.0,12796.38,5
HCPCS,0081A,Fee covid-19 vac 9 dose 1,,,62.0,71.0,2
HCPCS,0082A,Fee covid-19 vac 9 dose 2,,,62.0,71.0,2
HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,246.92,897.54,5
HCPCS,0083A,Fee covid-19 vac 9 booster,,,62.0,71.0,2
HCPCS,0083U,Onc rspse chemo cntrst tomog,,,167.35,608.28,5
HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,720.0,2617.59,5
HCPCS,0086U,Nfct ds bact&fng org id 6+,,,200.0,727.32,5
HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,3159.42,11485.8,5
HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,3159.42,11485.8,5
HCPCS,0089U,Onc mlnma prame & linc00518,,,760.0,2762.82,5
HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,1950.0,7088.61,5
HCPCS,0091A,Fee covid-19 vac 10 dose 1,,,62.0,71.0,2
HCPCS,0092A,Fee covid-19 vac 10 dose 2,,,62.0,71.0,2
HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,2488.0,9044.37,5
HCPCS,0093A,Fee covid-19 vac 10 booster,,,62.0,71.0,2
HCPCS,0093U,Rx mntr 65 com drugs urine,,,62.14,226.17,5
HCPCS,0094A,Fee covid-19 vac 10 res,,,62.0,71.0,2
HCPCS,0094U,Genome rapid sequence alys,,,7582.2,27564.0,5
HCPCS,0095T,Rmvl artific disc addl crvcl,,,1544.0,1866.0,2
HCPCS,0095U,Inflm ee elisa alys alg,,,771.98,2806.86,5
HCPCS,0096U,Hpv hi risk types male urine,,,35.09,127.38,5
HCPCS,0098T,Rev Artific Disc Addl,,,1544.0,1866.0,2
HCPCS,0100T,Prosth Retina Receive&Gen,,,4147.0,17041.0,6
HCPCS,0101T,Extracorp shockwv tx hi enrg,,,291.4,13320.0,7
HCPCS,0101U,Hered colon ca do 15 genes,,,1743.95,6339.87,5
HCPCS,0102T,Extracorp shockwv tx anesth,,,2138.0,13320.0,7
HCPCS,0102U,Hered brst ca rltd do 17 gen,,,1303.95,4740.03,5
HCPCS,0103U,Hered ova ca pnl 24 genes,,,1743.95,6339.87,5
HCPCS,0105U,Neph ckd mult eclia tum nec,,,950.0,3453.24,5
HCPCS,0106T,Touch Quant Sensory Test,,,16.91,46.33,5
HCPCS,0106U,Gstr emptg 7 timed brth spec,,,874.49,3179.46,5
HCPCS,0107T,Vibrate Quant Sensory Test,,,16.91,46.33,5
HCPCS,0107U,C diff tox ag detcj ia stool,,,16.0,58.32,5
HCPCS,0108T,Cool Quant Sensory Test,,,16.91,73.17,5
HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,4950.0,17994.69,5
HCPCS,0109T,Heat Quant Sensory Test,,,16.91,46.33,5
HCPCS,0109U,Id aspergillus dna 4 species,,,142.63,519.0,5
HCPCS,0110T,Nos Quant Sensory Test,,,16.91,165.03,5
HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,27.11,98.79,5
HCPCS,0111A,Adm sarscov2 25mcg/0.25ml1st,,,62.0,71.0,2
HCPCS,0111U,Onc colon ca kras&nras alys,,,682.29,2480.7,5
HCPCS,0112A,Adm sarscov2 25mcg/0.25ml2nd,,,62.0,71.0,2
HCPCS,0112U,Iadi 16s&18s rrna genes,,,356.13,1295.1,5
HCPCS,0113A,Adm sarscov2 25mcg/0.25ml3rd,,,62.0,71.0,2
HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,760.0,2762.82,5
HCPCS,0114U,Gi barretts esoph vim&ccna1,,,1938.01,7045.74,5
HCPCS,0115U,Respir iadna 18 viral&2 bact,,,275.35,1001.1,5
HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,246.92,897.54,5
HCPCS,0117U,Pain mgmt 11 endogenous anal,,,840.65,3055.65,5
HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,2753.25,10008.57,5
HCPCS,0119U,Crd ceramides liq chrom plsm,,,83.76,304.74,5
HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,2510.21,9125.31,5
HCPCS,0121U,Sc dis vcam-1 whole blood,,,509.2,1851.0,5
HCPCS,0122U,Sc dis p-selectin whl blood,,,526.23,1912.92,5
HCPCS,0123U,Mchnl fragility rbc prflg,,,357.63,1299.87,5
HCPCS,0124A,Adm sarscv2 bvl 30mcg/.3ml b,,,62.0,71.0,2
HCPCS,0129U,Hered brst ca rltd do panel,,,1303.95,4740.03,5
HCPCS,0130U,Hered colon ca do mrna pnl,,,584.9,2125.98,5
HCPCS,0131U,Hered brst ca rltd do pnl 13,,,2258.1,2580.69,2
HCPCS,0132U,Hered ova ca rltd do pnl 17,,,2359.14,2696.16,2
HCPCS,0133U,Hered prst8 ca rltd do 11,,,690.29,2509.29,5
HCPCS,0134A,Adm sarscv2 bvl 50mcg/.5ml b,,,62.0,71.0,2
HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,748.39,2721.18,5
HCPCS,0135U,Hered gyn ca mrna pnl 12 gen,,,2227.92,2546.19,2
HCPCS,0136U,Atm mrna seq alys,,,407.43,1480.8,5
HCPCS,0137U,Palb2 mrna seq alys,,,282.88,1028.46,5
HCPCS,0138U,Brca1 brca2 mrna seq alys,,,468.33,1702.23,5
HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,156.75,570.18,5
HCPCS,0141U,Nfct ds bact&fng gram pos,,,156.75,570.18,5
HCPCS,0142U,Nfct ds bact&fng gram neg,,,156.75,570.18,5
HCPCS,0144A,Adm srscv2 bvl 25mcg/.25ml b,,,62.0,71.0,2
HCPCS,0152U,Nfct bct fng prst dna >1000,,,2126.2,7729.02,5
HCPCS,0153U,Onc breast mrna 101 genes,,,3159.42,11485.8,5
HCPCS,0154A,Adm sarscv2 bvl 10mcg/.2ml b,,,62.0,71.0,2
HCPCS,0154U,Fgfr3 gene analysis,,,482.14,1752.21,5
HCPCS,0155U,Pik3ca gene analysis,,,274.83,998.7,5
HCPCS,0156U,Copy number sequence alys,,,1740.0,6325.59,5
HCPCS,0157U,Apc mrna seq alys,,,282.88,1028.46,5
HCPCS,0158U,Mlh1 mrna seq alys,,,282.88,1028.46,5
HCPCS,0159U,Msh2 mrna seq alys,,,282.88,1028.46,5
HCPCS,0160U,Msh6 mrna seq alys,,,282.88,1028.46,5
HCPCS,0161U,Pms2 mrna seq alys,,,282.88,1028.46,5
HCPCS,0162U,Hered colon ca trgt mrna pnl,,,486.54,1768.89,5
HCPCS,0163U,Onc clrct scr 3 prtn alg,,,1242.6,1420.11,2
HCPCS,0164T,Remove Lumb Artif Disc Addl,,,1544.0,1866.0,2
HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,112.02,407.1,5
HCPCS,0165T,Revise Lumb Artif Disc Addl,,,1544.0,1866.0,2
HCPCS,0165U,Peanut allg spec asmt 64 epi,,,463.76,1685.55,5
HCPCS,0166U,Liver ds 10 biochem asy srm,,,503.4,1829.58,5
HCPCS,0167U,Chornc gonadotropin hcg ia,,,23.97,27.39,2
HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,466.17,1695.06,5
HCPCS,0170U,Neuro asd rna next gen seq,,,1950.0,7088.61,5
HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,1519.06,5522.07,5
HCPCS,0172U,Onc sld tum alys brca1 brca2,,,3030.0,11015.61,5
HCPCS,0173U,Psyc gen alys panel 14 genes,,,466.17,1695.06,5
HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,1305.37,4745.97,5
HCPCS,0175U,Psyc gen alys panel 15 genes,,,1336.09,4856.67,5
HCPCS,0176U,Cdtb&vinculin igg antb ia,,,64.19,233.31,5
HCPCS,0177U,Onc brst ca dna pik3ca 11,,,274.83,998.7,5
HCPCS,0178U,Peanut allg asmt epi clin rx,,,459.86,1671.27,5
HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,1943.21,7064.79,5
HCPCS,0180U,Abo gnotyp abo 7 exons,,,274.83,998.7,5
HCPCS,0181U,Co gnotyp aqp1 exon 1,,,185.2,673.74,5
HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,301.35,1095.12,5
HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,185.2,673.74,5
HCPCS,0184T,Exc rectal tumor endoscopic,,,3408.0,11081.0,7
HCPCS,0184U,Do gnotyp art4 exon 2,,,185.2,673.74,5
HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,185.2,673.74,5
HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,185.2,673.74,5
HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,274.83,998.7,5
HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,274.83,998.7,5
HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,274.83,998.7,5
HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,274.83,998.7,5
HCPCS,0191T,Insert ant segment drain int,,,4457.0,5123.0,2
HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,274.83,998.7,5
HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,274.83,998.7,5
HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,282.88,1028.46,5
HCPCS,0194U,Kel gnotyp kel exon 8,,,185.2,673.74,5
HCPCS,0195U,Klf1 targeted sequencing,,,375.25,1364.16,5
HCPCS,0196U,Lu gnotyp bcam exon 3,,,185.2,673.74,5
HCPCS,0197U,Lw gnotyp icam4 exon 1,,,185.2,673.74,5
HCPCS,0198T,Ocular blood flow measure,,,157.18,165.03,3
HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,282.88,1028.46,5
HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,274.83,998.7,5
HCPCS,0200T,Perq sacral augmt unilat inj,,,8190.0,9918.0,7
HCPCS,0200U,Xk gnotyp xk exons 1-3,,,274.83,998.7,5
HCPCS,0201T,Perq sacral augmt bilat inj,,,8572.09,13320.0,7
HCPCS,0201U,Yt gnotyp ache exon 2,,,185.2,673.74,5
HCPCS,0202T,Post vert arthrplst 1 lumbar,,,3560.0,17939.0,7
HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,416.78,1525.41,7
HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,760.0,2762.82,5
HCPCS,0204U,Onc thyr mrna xprsn alys 593,,,9286.59,10613.25,2
HCPCS,0205U,Oph amd alys 3 gene variants,,,47.0,171.42,5
HCPCS,0206U,Neuro alzheimer cell aggregj,,,2215.4,8053.98,5
HCPCS,0207T,Clear eyelid gland w/heat,,,157.18,1866.0,7
HCPCS,0207U,Neuro alzheimer quan imaging,,,1625.87,1858.14,2
HCPCS,0208T,Audiometry air only,,,44.12,46.33,3
HCPCS,0209T,Audiometry air & bone,,,44.12,46.33,3
HCPCS,0209U,Cytog const alys interrog,,,787.15,2861.64,5
HCPCS,0210T,Speech audiometry threshold,,,44.12,46.33,3
HCPCS,0210U,Syphilis tst antb ia quan,,,18.63,67.86,5
HCPCS,0211T,Speech audiom thresh & recog,,,44.12,46.33,3
HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,8455.0,30736.32,5
HCPCS,0212T,Compre audiometry evaluation,,,152.01,159.61,3
HCPCS,0212U,Rare ds gen dna alys proband,,,5475.2,19904.04,5
HCPCS,0213T,Njx paravert w/us cer/thor,,,1044.87,3314.0,7
HCPCS,0213U,Rare ds gen dna alys ea comp,,,2709.95,9851.43,5
HCPCS,0214T,Njx paravert w/us cer/thor,,,428.0,490.0,2
HCPCS,0214U,Rare ds xom dna alys proband,,,5224.6,18993.39,5
HCPCS,0215T,Njx paravert w/us cer/thor,,,428.0,490.0,2
HCPCS,0215U,Rare ds xom dna alys ea comp,,,2574.65,9359.82,5
HCPCS,0216T,Njx paravert w/us lumb/sac,,,1044.87,3314.0,9
HCPCS,0216U,Neuro inh ataxia dna 12 com,,,1537.02,5587.56,5
HCPCS,0217T,Njx paravert w/us lumb/sac,,,428.0,1866.0,4
HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,2198.35,7992.09,5
HCPCS,0218T,Njx paravert w/us lumb/sac,,,428.0,1866.0,4
HCPCS,0218U,Neuro musc dys dmd seq alys,,,2279.0,8284.92,5
HCPCS,0219T,Plmt post facet implt cerv,,,3291.0,17939.0,7
HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,725.0,2635.47,5
HCPCS,0220T,Plmt post facet implt thor,,,3291.0,17939.0,7
HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,706.25,2567.61,5
HCPCS,0221T,Plmt post facet implt lumb,,,3291.0,13320.0,9
HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,274.83,998.7,5
HCPCS,0222T,Plmt post facet implt addl,,,1544.0,1866.0,2
HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,282.88,1028.46,5
HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,416.78,1525.41,7
HCPCS,0224U,Antibody sars-cov-2 titer(s),,,51.43,186.9,7
HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,416.78,1525.41,7
HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,42.28,154.74,7
HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,62.14,226.17,5
HCPCS,0228T,Njx tfrml eprl w/us cer/thor,,,4457.0,5123.0,2
HCPCS,0228U,Onc prst8 ma molec prfl alg,,,173.03,628.5,5
HCPCS,0229T,Njx tfrml eprl w/us cer/thor,,,428.0,490.0,2
HCPCS,0229U,Bcat1 promoter mthyltn alys,,,384.0,1396.29,5
HCPCS,0230T,Njx tfrml eprl w/us lumb/sac,,,2138.0,2460.0,2
HCPCS,0230U,Ar full sequence analysis,,,301.35,1095.12,5
HCPCS,0231T,Njx tfrml eprl w/us lumb/sac,,,428.0,490.0,2
HCPCS,0231U,Cacna1a full gene analysis,,,846.27,3075.9,5
HCPCS,0232T,Njx platelet plasma,,,527.74,2460.0,7
HCPCS,0232U,Cstb full gene analysis,,,274.83,998.7,5
HCPCS,0233U,Fxn gene analysis,,,274.83,998.7,5
HCPCS,0234T,Trluml perip athrc renal art,,,3408.0,18686.0,7
HCPCS,0234U,Mecp2 full gene analysis,,,527.87,1918.86,5
HCPCS,0235T,Trluml perip athrc visceral,,,428.0,490.0,2
HCPCS,0235U,Pten full gene analysis,,,600.0,2180.73,5
HCPCS,0236T,Trluml perip athrc abd aorta,,,3408.0,14319.55,7
HCPCS,0236U,Smn1&smn2 full gene analysis,,,602.7,2191.44,5
HCPCS,0237T,Trluml perip athrc brchiocph,,,3408.0,17041.0,7
HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,584.9,2125.98,5
HCPCS,0238T,Trluml perip athrc iliac art,,,4147.0,22738.78,7
HCPCS,0238U,Onc lnch syn gen dna seq aly,,,584.9,2125.98,5
HCPCS,0239U,Trgt gen seq alys pnl 311+,,,3500.0,12723.78,5
HCPCS,0240U,Nfct ds vir resp rna 3 trgt,,,454.13,519.0,2
HCPCS,0241U,Nfct ds vir resp rna 4 trgt,,,454.13,519.0,2
HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,5000.0,18176.82,5
HCPCS,0243U,Ob pe biochem assay pgf alg,,,64.41,234.51,5
HCPCS,0244U,Onc solid orgn dna 257 genes,,,3500.0,12723.78,5
HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,1266.07,4603.14,5
HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,720.0,2617.59,5
HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,750.0,2725.92,5
HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,3033.86,11028.69,5
HCPCS,0249T,Ligation hemorrhoid w/us,,,6962.0,8006.0,2
HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,2219.13,8067.09,5
HCPCS,0250U,Onc sld org neo dna 505 gene,,,2919.6,10613.25,5
HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,17.27,63.09,5
HCPCS,0252U,Ftl aneuploidy str alys dna,,,759.05,2759.25,5
HCPCS,0253T,Insert aqueous drain device,,,3563.0,13320.0,7
HCPCS,0253U,Rprdtve med rna gen prfl 238,,,3159.42,11485.8,5
HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,759.05,2759.25,5
HCPCS,0255U,Andrology infertility assmt,,,31.6,115.47,5
HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,159.95,580.89,5
HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,712.47,2590.23,5
HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,3675.0,13359.42,5
HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,52.71,191.64,5
HCPCS,0260U,Rare ds id opt genome mapg,,,1263.53,4593.6,5
HCPCS,0261U,Onc clrct ca img alys w/ai,,,2513.25,17994.69,5
HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,3200.0,11633.4,5
HCPCS,0263T,Im b1 mrw cel ther cmpl,,,2138.0,5402.62,5
HCPCS,0263U,Neuro asd meas 16 c metblt,,,750.0,2725.92,5
HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,428.0,5402.62,5
HCPCS,0264U,Rare ds id opt genome mapg,,,1263.53,4593.6,5
HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,428.0,5402.62,5
HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,5475.8,19906.41,5
HCPCS,0266T,Implt/rpl crtd sns dev total,,,16249.0,18686.0,2
HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,3200.0,11633.4,5
HCPCS,0267U,Rare do id opt gen mapg&seq,,,6739.33,24500.01,5
HCPCS,0268T,Implt/rpl crtd sns dev gen,,,6962.0,8006.0,2
HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,608.17,2210.49,5
HCPCS,0269T,Rev/remvl crtd sns dev total,,,4457.0,5123.0,2
HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,608.17,2210.49,5
HCPCS,0270T,Rev/remvl crtd sns dev lead,,,3563.0,4097.0,2
HCPCS,0270U,Hem cgen coagj do 20 genes,,,608.17,2210.49,5
HCPCS,0271T,Rev/remvl crtd sns dev gen,,,5567.0,6404.0,2
HCPCS,0271U,Hem cgen neutropenia 23 gen,,,608.17,2210.49,5
HCPCS,0272U,Hem genetic bld do 51 genes,,,608.17,2210.49,5
HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,608.17,2210.49,5
HCPCS,0274T,Perq lamot/lam crv/thrc,,,6296.0,15339.0,7
HCPCS,0274U,Hem gen pltlt do 43 genes,,,608.17,2210.49,5
HCPCS,0275T,Perq lamot/lam lumbar,,,6296.0,11081.0,4
HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,18.37,66.66,5
HCPCS,0276U,Hem inh thrombocytopenia 23,,,2448.56,8901.51,5
HCPCS,0277U,Hem gen pltlt funcj do 31,,,608.17,2210.49,5
HCPCS,0278T,Tempr,,,152.01,159.61,3
HCPCS,0278U,Hem gen thrombosis 12 genes,,,608.17,2210.49,5
HCPCS,0279U,Hem vw factor&clgn iii bndg,,,11.53,41.67,5
HCPCS,0280U,Hem vw factor&clgn iv bndg,,,17.27,63.09,5
HCPCS,0281U,Hem vwd propeptide ag lvl,,,17.27,63.09,5
HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,720.0,2617.59,5
HCPCS,0283U,Vw factor type 2b eval plsm,,,18.4,66.66,5
HCPCS,0284U,Vw factor type 2n eval plsm,,,17.27,63.09,5
HCPCS,0285U,Onc rsps radj cll fr dna tox,,,443.31,1611.75,5
HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,134.13,488.04,5
HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,3600.0,13086.84,5
HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,3873.0,14079.6,5
HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,760.0,2762.82,5
HCPCS,0290T,Laser inc for pkp/lkp recip,,,428.0,490.0,2
HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,760.0,2762.82,5
HCPCS,0291U,Psyc mood do mrna 144 genes,,,1755.0,6380.34,5
HCPCS,0292U,Psyc strs do mrna 72 genes,,,1755.0,6380.34,5
HCPCS,0293U,Psyc suicidal idea mrna 54,,,760.0,2762.82,5
HCPCS,0294U,Lngvty&mrtlty rsk mrna 18gen,,,2417.47,2762.82,2
HCPCS,0295U,Onc brst dux carc 7 proteins,,,5435.0,19757.61,5
HCPCS,0296T,Ext ecg recording,,,855.0,984.0,2
HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,1950.0,7088.61,5
HCPCS,0297T,Ext ecg scan w/report,,,855.0,984.0,2
HCPCS,0297U,Onc pan tum whl gen seq dna,,,2919.6,10613.25,5
HCPCS,0298U,Onc pan tum whl trns seq rna,,,2919.6,10613.25,5
HCPCS,0299U,Onc pan tum whl gen opt mapg,,,1863.22,6773.16,5
HCPCS,0300U,Onc pan tum whl gen seq&opt,,,4183.13,15206.85,5
HCPCS,0301U,Iadna bartonella ddpcr,,,262.72,954.66,5
HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,361.37,1314.15,5
HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,2201.62,8004.0,5
HCPCS,0304U,Hem rbc ads whl bld normoxic,,,2075.8,7545.69,5
HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,662.58,2409.3,5
HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,3878.45,14099.82,5
HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,794.49,2887.83,5
HCPCS,0308T,Insj ocular telescope prosth,,,2816.0,20418.21,9
HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,390.75,1420.11,5
HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,390.75,1420.11,5
HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,390.75,1420.11,5
HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,8.08,29.76,5
HCPCS,0312T,Laps impltj nstim vagus,,,5567.0,6404.0,2
HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,840.65,3055.65,5
HCPCS,0313T,Laps rmvl nstim array vagus,,,428.0,490.0,2
HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,3600.0,13086.84,5
HCPCS,0314T,Laps rmvl vgl arry&pls gen,,,6962.0,8006.0,2
HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,1950.0,7088.61,5
HCPCS,0315T,Rmvl vagus nerve pls gen,,,6962.0,8006.0,2
HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,8500.0,30900.57,5
HCPCS,0316T,Replc vagus nerve pls gen,,,5567.0,6404.0,2
HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,18.66,67.86,5
HCPCS,0317U,Onc lung ca 4-prb fish assay,,,2030.0,7380.24,5
HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,1770.48,6436.29,5
HCPCS,0319U,Neph rna pretrnspl perph bld,,,2650.0,9633.6,5
HCPCS,0320U,Neph rna psttrnspl perph bld,,,2650.0,9633.6,5
HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,634.84,2308.11,5
HCPCS,0322U,Neuro asd meas 14 acyl carn,,,750.0,2725.92,5
HCPCS,0323U,Iadna cns pthgn next gen seq,,,2126.2,7729.02,5
HCPCS,0326U,Trgt gen seq alys pnl 83+,,,5000.0,18176.82,5
HCPCS,0327U,Ftl aneuploidy trsmy dna seq,,,795.0,2890.2,5
HCPCS,0328U,Drug assay 120+ rx&metablt,,,114.43,415.44,5
HCPCS,0329U,Onc neo xome&trns seq alys,,,3437.98,12498.78,5
HCPCS,0330T,Tear film img uni/bi w/i&r,,,44.12,123.85,5
HCPCS,0330U,Iadna vag pthgn panel 27 org,,,416.78,1515.33,5
HCPCS,0331T,Heart symp image plnr,,,1529.43,1605.9,3
HCPCS,0331U,Onc hl neo opt gen mapping,,,1863.22,6773.16,5
HCPCS,0332T,Heart symp image plnr spect,,,1529.43,1605.9,3
HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,1142.06,4151.97,5
HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,662.32,2408.1,5
HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,3500.0,3675.0,3
HCPCS,0335T,Extraosseous joint stblztion,,,3408.0,13320.0,9
HCPCS,0335U,Rare ds whl gen seq fetal,,,5224.6,18993.39,5
HCPCS,0336U,Rare ds whl gen seq bld/slv,,,2574.65,9359.82,5
HCPCS,0337U,Onc plsm cell do&myeloma id,,,2435.0,8851.53,5
HCPCS,0338T,Trnscth renal symp denrv unl,,,4147.0,15339.0,9
HCPCS,0338U,Onc sld tum crcg tum cl slct,,,2435.0,8851.53,5
HCPCS,0339T,Trnscth renal symp denrv bil,,,4147.0,13320.0,9
HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,760.0,2762.82,5
HCPCS,0340U,Onc pan ca alys mrd plasma,,,3590.0,13051.11,5
HCPCS,0341T,Quant pupillometry w/ rprt,,,428.0,490.0,2
HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,1900.2,6907.65,5
HCPCS,0342T,Thxp apheresis w/hdl delip,,,5145.35,18686.0,5
HCPCS,0342U,Onc pncrtc ca mult ia eclia,,,2852.85,3260.4,2
HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,760.0,2762.82,5
HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,792.17,2879.49,5
HCPCS,0345U,Psyc genom alys pnl 15 gen,,,1336.09,4856.67,5
HCPCS,0346U,Beta amyl a?40&a?42 lc-ms/ms,,,296.84,339.24,2
HCPCS,0347T,Ins bone device for rsa,,,69.69,4166.0,5
HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,1336.09,4856.67,5
HCPCS,0348T,RSA spine exam,,,123.5,890.51,5
HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,742.27,2698.56,5
HCPCS,0349T,RSA upper extr exam,,,123.5,890.51,5
HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,742.27,2698.56,5
HCPCS,0350T,RSA lower extr exam,,,102.81,736.04,5
HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,1336.09,4856.67,5
HCPCS,0351U,Nfct ds bct/viral trail ip10,,,260.5,947.52,5
HCPCS,0352U,Nfct ds bv&vaginitis amp prb,,,454.13,519.0,2
HCPCS,0353U,Iadna chlmyd&gonorr amp prb,,,222.89,254.73,2
HCPCS,0355T,GI tract capsule endoscopy,,,2138.0,2460.0,2
HCPCS,0355U,Apol1 risk variants,,,137.0,497.58,5
HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,1800.0,1890.0,3
HCPCS,0358T,BIA whole body,,,34.17,35.88,3
HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,260.5,947.52,5
HCPCS,0359U,Onc prst8 ca alys all psa,,,760.0,2762.82,5
HCPCS,0360U,Onc lung elisa 7 autoant alg,,,840.65,3055.65,5
HCPCS,0362U,Onc pap thyr ca rna 82&10,,,3600.0,13086.84,5
HCPCS,0363U,Onc urthl mrna 5 gen alg,,,760.0,2762.82,5
HCPCS,0364U,Onc hl neo gen seq alys alg,,,2007.25,2107.61,3
HCPCS,0365U,Onc bldr 10 prb bldr ca,,,897.0,3260.4,5
HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,897.0,3260.4,5
HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,902.18,3279.45,5
HCPCS,0369U,Iadna gi pthgn 31 org&21 arg,,,1325.91,1515.33,2
HCPCS,0370U,Iadna surg wnd pthgn 34&21,,,1325.91,1515.33,2
HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,416.78,1515.33,5
HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,416.78,1515.33,5
HCPCS,0373U,Iadna rsp tr nfct 17 8 13&16,,,1325.91,1515.33,2
HCPCS,0374U,Iadna gu pthgn 21 org&21arg,,,1325.91,1515.33,2
HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,897.0,3260.4,5
HCPCS,0376U,Onc prst8 ca img alys 128,,,706.25,2567.61,5
HCPCS,0377T,Anoscpy inj agent for incont,,,6962.0,8006.0,2
HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,47.58,172.59,5
HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,137.0,497.58,5
HCPCS,0379T,Vis field assmnt tech suppt,,,44.12,46.33,3
HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,3452.94,3
HCPCS,0380U,Rx metb advrs trgt sq aly 20,,,1325.91,1515.33,2
HCPCS,0381U,Maple syrup ur ds mntr quan,,,44.12,46.33,3
HCPCS,0382U,Hyprphenylalninmia mntr quan,,,51.64,54.22,3
HCPCS,0383U,Tyrosinemia typ i mntr quan,,,52.05,54.65,3
HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,750.0,2725.92,5
HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,390.75,1420.11,5
HCPCS,0387U,Onc mlnma ambra1&amlo,,,948.5,3448.47,5
HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,3675.0,3
HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,73.71,3
HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,64.41,234.51,5
HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,3600.0,13086.84,5
HCPCS,0392U,Rx metab genrx ia 16 genes,,,1336.09,4856.67,5
HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,540.99,1966.47,5
HCPCS,0394T,Hdr elctrnc skn surf brchytx,,,1705.45,1953.01,2
HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,198.74,722.55,5
HCPCS,0395T,Hdr elctr ntrst/ntrcv brchtx,,,822.78,1953.01,5
HCPCS,0395U,Onc lng multiomics plsm alg,,,797.45,837.32,3
HCPCS,0397T,Ercp w/optical endomicroscpy,,,1544.0,4466.0,4
HCPCS,0398U,Gi baret esph dna mthyln aly,,,1755.0,1842.75,3
HCPCS,0399U,Neuro cere folate defncy srm,,,300.0,315.0,3
HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,514.16,3
HCPCS,0402T,Collagen crosslinking cornea,,,1544.0,5098.0,9
HCPCS,0402U,Nfct agt sti mult amp prb tq,,,142.63,519.0,5
HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,760.0,2762.82,5
HCPCS,0404U,Onc brst semiq meas thym kn,,,322.96,1173.69,5
HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,1770.48,6436.29,5
HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,760.0,2762.82,5
HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,950.0,2762.82,5
HCPCS,0408T,Insj/rplc cardiac modulj sys,,,4147.0,38935.13,7
HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,14.84,3
HCPCS,0409T,Insj/rplc car modulj pls gn,,,4147.0,27591.2,7
HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,2919.6,10613.25,5
HCPCS,0410T,Insj/rplc car modulj atr elt,,,4224.0,15339.0,7
HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,1160.0,4217.46,5
HCPCS,0411T,Insj/rplc car modulj vnt elt,,,4224.0,15339.0,7
HCPCS,0411U,Psyc genom alys pnl 15 gen,,,1336.09,4856.67,5
HCPCS,0412T,Rmvl cardiac modulj pls gen,,,3408.0,13320.0,9
HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,750.0,787.5,3
HCPCS,0413T,Rmvl car modulj tranvns elt,,,3408.0,13320.0,9
HCPCS,0413U,Onc hl neo opt gen mapg dna,,,1263.53,4593.6,5
HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,4147.0,27591.2,7
HCPCS,0414U,Onc lng aug alg aly whl sld8,,,706.25,2567.61,5
HCPCS,0415T,Repos car modulj tranvns elt,,,741.06,6312.0,9
HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,390.75,1420.11,5
HCPCS,0416T,Reloc skin pocket pls gen,,,2437.45,9918.0,9
HCPCS,0417U,Rare ds alys 335 nuc genes,,,2842.53,2984.66,3
HCPCS,0418U,Onc brst aug alg aly whl sl8,,,706.25,2567.61,5
HCPCS,0419T,Dstrj neurofibroma xtnsv,,,428.0,3314.0,9
HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,1336.09,4856.67,5
HCPCS,0420T,Dstrj neurofibroma xtnsv,,,428.0,3314.0,9
HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,1328.32,1394.74,3
HCPCS,0421T,Waterjet prostate abltj cmpl,,,2816.0,18617.0,6
HCPCS,0422T,Tactile breast img uni/bi,,,102.81,107.95,3
HCPCS,0422U,Onc pan solid tum alys dna,,,1943.21,2040.37,3
HCPCS,0423U,Psyc genomic alys pnl 26 gen,,,416.78,437.62,3
HCPCS,0424T,Insj/rplc nstim apnea compl,,,16249.0,18686.0,2
HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,798.0,3
HCPCS,0425T,Insj/rplc nstim apnea sen ld,,,11336.0,13036.0,2
HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,4094.39,4299.11,3
HCPCS,0426T,Insj/rplc nstim apnea stm ld,,,16249.0,18686.0,2
HCPCS,0426U,Genome ultra-rapid seq alys,,,7582.2,7961.31,3
HCPCS,0427T,Insj/rplc nstim apnea pls gn,,,16249.0,18686.0,2
HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,4.48,4.7,3
HCPCS,0428T,Rmvl nstim apnea pls gen,,,5567.0,6404.0,2
HCPCS,0429T,Rmvl nstim apnea sen ld,,,5567.0,6404.0,2
HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,36.84,3
HCPCS,0430T,Rmvl nstim apnea stimj ld,,,5567.0,6404.0,2
HCPCS,0430U,Gi malabs aat calpro pncrtc,,,61.54,64.62,3
HCPCS,0431T,Rmvl/rplc nstim apnea pls gn,,,16249.0,18686.0,2
HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,38.4,3
HCPCS,0432T,Repos nstim apnea stimj ld,,,5567.0,6404.0,2
HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,36.57,38.4,3
HCPCS,0433T,Repos nstim apnea sensing ld,,,5567.0,6404.0,2
HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,798.0,3
HCPCS,0434U,Rx metab advrs vrnt alys 25,,,416.78,437.62,3
HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,3185.55,3
HCPCS,0436U,Onc lng plsm alys 388 prtn,,,1504.24,1579.45,3
HCPCS,0437T,Impltj synth rnfcmt abdl wal,,,1544.0,1866.0,2
HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,798.0,3
HCPCS,0438U,Rx metab advrs vrnt alys 33,,,416.78,437.62,3
HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,854.0,896.7,3
HCPCS,0440T,Abltj perc uxtr/perph nrv,,,1544.0,11081.0,7
HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,854.0,896.7,3
HCPCS,0441T,Abltj perc lxtr/perph nrv,,,1544.0,11081.0,7
HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,444.08,466.28,3
HCPCS,0442T,Abltj perc plex/trncl nrv,,,2816.0,11081.0,7
HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,43.45,3
HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,116.23,122.04,3
HCPCS,0444T,1st plmt drug elut oc ins,,,3408.0,5044.0,2
HCPCS,0444U,Onc sld orgn neo tgsap 361,,,2919.6,3065.58,3
HCPCS,0445T,Sbsqt plmt drug elut oc ins,,,3408.0,5044.0,2
HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,260.5,273.53,3
HCPCS,0446T,Insj impltbl glucose sensor,,,2762.0,5160.6,7
HCPCS,0446U,Ai ds sle alys 10 cytokine,,,840.65,882.68,3
HCPCS,0447T,Rmvl impltbl glucose sensor,,,237.02,1866.0,5
HCPCS,0447U,Ai ds sle alys 11 cytokine,,,840.65,882.68,3
HCPCS,0448T,Remvl insj impltbl gluc sens,,,2762.0,5160.6,7
HCPCS,0449T,Insj aqueous drain dev 1st,,,3408.0,6600.61,5
HCPCS,0450T,Insj aqueous drain dev each,,,1544.0,1866.0,2
HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,201.6,3
HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,201.6,3
HCPCS,0454U,U rare ds id opt genome mapg,,,1263.53,1326.71,3
HCPCS,0455U,Nfct agt sti mult amp prb ur,,,142.63,149.76,3
HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,208.68,3
HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,273.53,3
HCPCS,0459U,Abeta42 & ttau eclia csf,,,260.5,273.53,3
HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,917.08,962.93,3
HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,917.08,962.93,3
HCPCS,0462U,Melatonin lvl tst slp std7/9,,,17.27,18.13,3
HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,760.0,798.0,3
HCPCS,0464T,Visual ep test for glaucoma,,,152.01,159.61,3
HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,621.52,3
HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,2034.91,3
HCPCS,0466U,Crd cad dna gwas 564856 snp,,,345.43,362.7,3
HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,1595.01,3
HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,251.7,264.29,3
HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1197.94,1257.84,3
HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,597.91,627.81,3
HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,798.0,3
HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,27.9,29.3,3
HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,4725.0,3
HCPCS,0474T,Insj aqueous drg dev io rsvr,,,3408.0,18617.0,4
HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,1369.15,3
HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,1369.15,3
HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,437.62,3
HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,437.62,3
HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,552.99,580.64,3
HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,873.1,3314.0,7
HCPCS,0479U,Tau phosphorylated ptau217,,,17.27,18.13,3
HCPCS,0480T,Fxjl abl lsr ea addl 100sqcm,,,1544.0,1866.0,2
HCPCS,0480U,Nfct ds csf metag ngs alys,,,2126.2,2232.51,3
HCPCS,0481T,Njx autol wbc concentrate,,,527.74,3314.0,7
HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,674.24,707.95,3
HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,128.82,135.26,3
HCPCS,0483T,Tmvi percutaneous approach,,,1406.0,18617.0,4
HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,35.09,36.84,3
HCPCS,0484T,Tmvi transthoracic exposure,,,1406.0,18617.0,4
HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,35.09,36.84,3
HCPCS,0485T,Oct mid ear i&r unilateral,,,44.12,46.33,3
HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,3649.48,3831.95,3
HCPCS,0486T,Oct mid ear i&r bilateral,,,44.12,46.33,3
HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,1644.25,1726.46,3
HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,3065.58,3
HCPCS,0489T,Regn cell tx scldr hands,,,1544.0,18617.0,4
HCPCS,0490T,Regn cell tx scldr h mlt inj,,,1544.0,18617.0,4
HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,2556.75,3
HCPCS,0491U,Onc sol tum ctc slct er prtn,,,2435.0,2556.75,3
HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,2556.75,3
HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,2890.91,3
HCPCS,0494T,Prep & cannulj cdvr don lung,,,1406.0,18617.0,4
HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,797.0,3
HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,760.0,798.0,3
HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,485.86,510.15,3
HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,3873.0,4066.65,3
HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,1345.31,1412.58,3
HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,597.91,627.81,3
HCPCS,0500U,Autoinflam ds vexas synd dna,,,175.4,184.17,3
HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,36.84,3
HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,750.0,787.5,3
HCPCS,0504U,Nfct ds uti id 17 path orgs,,,416.78,437.62,3
HCPCS,0505T,Ev fempop artl revsc,,,4224.0,14319.55,5
HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,679.77,713.76,3
HCPCS,0506T,Mac pgmt opt dns meas hfp,,,69.69,73.17,3
HCPCS,0506U,Gi barretts esophgl cell 89,,,1938.01,2034.91,3
HCPCS,0507T,Near ifr 2img mibmn glnd i&r,,,69.69,73.17,3
HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,1218.0,3
HCPCS,0509T,Pattern erg w/i&r,,,255.08,371.24,5
HCPCS,0510T,Rmvl sinus tarsi implant,,,3408.0,5044.0,5
HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,473.91,497.61,3
HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,3408.0,9000.7,5
HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,3185.55,3
HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,237.02,3314.0,7
HCPCS,0512U,Onc prst8 alys dgtz img msi,,,706.25,741.56,3
HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,706.25,741.56,3
HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,38.57,40.5,3
HCPCS,0515T,Insj wcs lv compl sys,,,4224.0,27591.2,5
HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,40.5,3
HCPCS,0516T,Insj wcs lv eltrd only,,,4224.0,12964.78,5
HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,437.62,3
HCPCS,0517T,Insj wcs lv pg compnt,,,4224.0,12964.78,5
HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,259.27,3
HCPCS,0518T,Rmvl pg compnt wcs,,,4224.0,18617.0,7
HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,259.27,3
HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,4224.0,18617.0,9
HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,259.27,3
HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,4224.0,18686.0,7
HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,259.27,3
HCPCS,0521T,Interrog dev eval wcs ip,,,34.17,35.88,3
HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,51.8,54.39,3
HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,260.5,273.53,3
HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,1352.09,1419.69,3
HCPCS,0524T,Ev cath dir chem abltj w/img,,,3408.0,18617.0,7
HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,128.82,135.26,3
HCPCS,0525T,Insj/rplcmt compl iims,,,4081.0,23892.44,5
HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,3033.86,3185.55,3
HCPCS,0526T,Insj/rplcmt iims eltrd only,,,4224.0,10264.89,5
HCPCS,0527T,Insj/rplcmt iims implt mntr,,,4224.0,10264.89,5
HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,142.63,149.76,3
HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,634.84,666.58,3
HCPCS,0530T,Removal complete iims,,,3408.0,5044.0,5
HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,2919.6,3065.58,3
HCPCS,0531T,Removal iims electrode only,,,3408.0,5044.0,5
HCPCS,0532T,Removal iims implt mntr only,,,3408.0,5044.0,5
HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,5031.2,5282.76,3
HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,416.78,437.62,3
HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,62.14,65.25,3
HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,192.0,201.6,3
HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,1495.0,1569.75,3
HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,2989.55,3139.03,3
HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,3288.51,3452.94,3
HCPCS,0540U,Trnsplj med quan dd-cfdna,,,2753.25,2890.91,3
HCPCS,0541T,Myocardial imaging mcg,,,440.83,462.87,3
HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,2989.55,3139.03,3
HCPCS,0545U,Achr antb id imfluor livecll,,,37.73,39.62,3
HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,37.73,39.62,3
HCPCS,0547T,B1 matrl qual tst mcrind tib,,,1544.0,1866.0,2
HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,116.23,122.04,3
HCPCS,0548T,Tprnl balo cntnc dev bi,,,14820.0,17041.0,2
HCPCS,0548U,Gfap cleia plasma,,,116.23,122.04,3
HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,760.0,798.0,3
HCPCS,0552T,Low-level laser therapy,,,2762.0,3314.0,2
HCPCS,0553T,Perq tcat iliac anast implt,,,3560.0,4311.0,2
HCPCS,0553U,Repr med pga embry te strux,,,759.05,797.0,3
HCPCS,0554U,Repr med pga 24chrm te bx qc,,,759.05,797.0,3
HCPCS,0555T,B1 str&fx rsk transmis data,,,34.17,241.16,5
HCPCS,0555U,Repr med pga embryonic te qc,,,759.05,797.0,3
HCPCS,0556T,B1 str & fx rsk assessment,,,281.87,1984.82,5
HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,142.63,149.76,3
HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,262.99,276.14,3
HCPCS,0558T,Ct scan f/biomchn ct alys,,,102.81,107.95,3
HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,20.81,21.85,3
HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,157.18,165.03,3
HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,20.81,21.85,3
HCPCS,0560U,Onc mrd gsa cfdna baseline,,,3878.45,4072.37,3
HCPCS,0561T,Antmc guide 3d print 1st gd,,,157.18,165.03,3
HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,794.49,834.21,3
HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,597.91,627.81,3
HCPCS,0563T,Evac meibomian glnd heat bi,,,69.69,1866.0,5
HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,416.78,437.62,3
HCPCS,0564T,Onc chemo rx cytotox csc 14,,,1.58,1.8,2
HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,416.78,437.62,3
HCPCS,0565T,Autol cell implt adps hrvg,,,3408.0,5044.0,2
HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,1160.0,1218.0,3
HCPCS,0566T,Autol cell implt adps njx,,,1544.0,3314.0,4
HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,416.78,437.62,3
HCPCS,0567T,Perm flp tube occls w/implt,,,3408.0,5044.0,2
HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,5031.2,5282.76,3
HCPCS,0568T,Intro mix saline&air f/ssg,,,1544.0,3314.0,4
HCPCS,0568U,Neurol dementia ?amyl ptau,,,897.0,941.85,3
HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,260.5,273.53,3
HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,4147.0,38935.13,5
HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,2919.6,3065.58,3
HCPCS,0572T,Insertion ss dfb electrode,,,3408.0,10264.89,5
HCPCS,0573T,Removal ss dfb electrode,,,3408.0,5044.0,5
HCPCS,0574T,Repos prev ss impl dfb eltrd,,,3408.0,5044.0,5
HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,380.0,399.0,3
HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,3240.0,3402.0,3
HCPCS,0577U,Onc ovr serum alys 39 gps,,,246.92,259.27,3
HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,3873.0,4066.65,3
HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,390.75,410.29,3
HCPCS,0580T,Rmvl ss impl dfb pg only,,,3408.0,5044.0,5
HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,17.21,18.07,3
HCPCS,0581T,Abltj mal brst tum perq crtx,,,4224.0,6253.0,5
HCPCS,0581U,Trnspl med antb nohla 39trgt,,,325.8,342.09,3
HCPCS,0582T,Trurl abltj mal prst8 tiss,,,2816.0,16365.32,5
HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,7582.2,7961.31,3
HCPCS,0583T,Tmpst auto tube dlvr sys,,,1832.96,5044.0,9
HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,3791.1,3980.66,3
HCPCS,0584U,Neuro csf prion prtn qual,,,540.99,568.04,3
HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,2919.6,3065.58,3
HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,2919.6,3065.58,3
HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,1544.0,7905.14,7
HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,114.43,120.15,3
HCPCS,0588T,Revision/removal isdns ptn,,,1544.0,4336.61,5
HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,760.0,798.0,3
HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,198.74,208.68,3
HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,760.0,798.0,3
HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,2919.6,3065.58,3
HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,634.84,666.58,3
HCPCS,0594T,Osteot hum xtrnl lngth dev,,,4224.0,18617.0,9
HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,262.99,276.14,3
HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,823.75,4466.0,7
HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,823.75,4466.0,7
HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,255.08,267.83,3
HCPCS,0598U,Gi ibs igg antb 18food items,,,300.0,315.0,3
HCPCS,0599U,Onc pncrtc ca mult ia serum,,,897.0,941.85,3
HCPCS,0600T,Ire abltj 1+tum organ perq,,,4224.0,18617.0,9
HCPCS,0601T,Ire abltj 1+tumors open,,,3291.0,18617.0,9
HCPCS,0609T,Mrs disc pain acquisj data,,,281.87,295.96,3
HCPCS,0611T,Mrs disc pain alg alys data,,,281.87,295.96,3
HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,3560.0,27591.2,9
HCPCS,0615T,Eye mvmt alys w/o calbrj i&r,,,157.18,165.03,3
HCPCS,0616T,Insertion of iris prosthesis,,,3291.0,9701.0,6
HCPCS,0617T,Insj iris prosth w/rmvl&insj,,,3291.0,9701.0,6
HCPCS,0618T,Insj iris prosth sec io lens,,,3291.0,9701.0,6
HCPCS,0619T,Cysto w/prst8 commissurotomy,,,3408.0,13320.0,6
HCPCS,0620T,Evasc ven artlz tibl/prnl vn,,,4224.0,54635.78,7
HCPCS,0621T,Trabeculostomy interno laser,,,4224.0,6253.0,5
HCPCS,0622T,Trabeculostomy int lsr w/scp,,,4224.0,6253.0,2
HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,1544.0,15925.26,5
HCPCS,0628T,Perq njx algc fluor lmbr ea,,,1544.0,1866.0,2
HCPCS,0629T,Perq njx algc ct lmbr 1st,,,1544.0,15925.26,5
HCPCS,0630T,Perq njx algc ct lmbr ea,,,1544.0,1866.0,2
HCPCS,0632T,Perq tcat us abltj nrv p-art,,,4147.0,22738.78,5
HCPCS,0633T,Ct breast w/3d uni c-,,,123.5,129.68,3
HCPCS,0634T,Ct breast w/3d uni c+,,,207.21,217.57,3
HCPCS,0635T,Ct breast w/3d uni c-/c+,,,207.21,217.57,3
HCPCS,0636T,Ct breast w/3d bi c-,,,281.87,295.96,3
HCPCS,0637T,Ct breast w/3d bi c+,,,412.14,432.75,3
HCPCS,0638T,Ct breast w/3d bi c-/c+,,,412.14,432.75,3
HCPCS,0639T,Wrls skn snr anisotropy meas,,,1544.0,1866.0,2
HCPCS,0640T,Ncntc nr ifr spctrsc wnd,,,44.12,46.33,3
HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,4147.0,7059.88,5
HCPCS,0645T,Tcat impltj c sins rdctj dev,,,4081.0,22738.78,5
HCPCS,0647T,Insj gtube perq mag gastrpxy,,,2266.89,9918.0,7
HCPCS,0651T,Mag ctrld capsule endoscopy,,,1071.46,7422.0,7
HCPCS,0652T,Egd flx transnasal dx br/wa,,,1544.0,7422.0,7
HCPCS,0653T,Egd flx transnasal bx 1/ml,,,2266.89,7422.0,7
HCPCS,0654T,Egd flx transnasal tube/cath,,,2816.0,9918.0,7
HCPCS,0655T,Tprnl focal abltj mal prst8,,,2816.0,13320.0,7
HCPCS,0656T,Vrt bdy tethering ant,,,3560.0,21749.16,5
HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,3560.0,21749.16,5
HCPCS,0658T,Elec impd spectrsc 1+skn les,,,69.69,18617.0,7
HCPCS,0660T,Implt ant sgm io nbio rx sys,,,3408.0,9701.0,7
HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,3408.0,9701.0,7
HCPCS,0662T,Scalp cool 1st meas&calbrj,,,1406.0,18617.0,4
HCPCS,0664T,Don hysterectomy open cdvr,,,4147.0,5028.0,2
HCPCS,0665T,Don hysterectomy open liv,,,4147.0,5028.0,2
HCPCS,0666T,Don hysterectomy laps liv,,,3291.0,3972.0,2
HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,3408.0,13320.0,9
HCPCS,0672T,Ndovag cryg rf remdl tiss,,,3408.0,5044.0,2
HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,1544.0,9918.0,7
HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,3408.0,38276.26,5
HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,3408.0,13821.53,5
HCPCS,0676T,Laps insj nw/rpcmt isdss ea,,,1544.0,1866.0,2
HCPCS,0677T,Laps repos lead isdss 1st ld,,,2816.0,13185.37,5
HCPCS,0678T,Laps repos lead isdss ea add,,,1544.0,1866.0,2
HCPCS,0679T,Laps rmvl lead isdss,,,2816.0,13185.37,5
HCPCS,0680T,Insj/rplcmt pg only isdss,,,3408.0,24064.14,5
HCPCS,0681T,Rlcj pulse gen only isdss,,,2816.0,4336.61,5
HCPCS,0682T,Removal pulse gen only isdss,,,2816.0,4336.61,5
HCPCS,0686T,Histotripsy mal hepatcel tis,,,4224.0,21247.62,5
HCPCS,0689T,Quan us tis charac w/o dx us,,,102.81,736.04,5
HCPCS,0692T,Therapeutic ultrafiltration,,,855.0,1931.85,5
HCPCS,0699T,Njx pst chmbr eye medication,,,1406.0,13320.0,9
HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,2816.0,13320.0,7
HCPCS,0712T,N-nvs artl plaq alys quan,,,255.08,267.83,3
HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,2816.0,6650.84,5
HCPCS,0716T,Car acous wavfrm rec cad rsk,,,69.69,73.17,3
HCPCS,0717T,Adrc ther prtl rc tear,,,3408.0,5044.0,5
HCPCS,0718T,Adrc ther prtl rc tear njx,,,1544.0,4395.68,5
HCPCS,0719T,Pst vrt jt rplcmt lmbr 1 sgm,,,3560.0,4311.0,2
HCPCS,0725T,Vestibular dev impltj uni,,,4147.0,5028.0,2
HCPCS,0726T,Rmvl implt vstibular dev uni,,,3408.0,5044.0,2
HCPCS,0727T,Rmvl&rplcmt implt vstblr dev,,,4147.0,5028.0,2
HCPCS,0730T,Trabeculotomy lsr w/oct gdn,,,4224.0,6253.0,2
HCPCS,0731T,Augmnt ai-based fcl phnt a/r,,,69.69,73.17,3
HCPCS,0735T,Prep tum cav iort prim crnot,,,1544.0,1866.0,2
HCPCS,0736T,Colonic lavage 35+l water,,,152.01,1866.0,5
HCPCS,0737T,Xenograft impltj artclr surf,,,2816.0,15925.26,5
HCPCS,0739T,Abltj mal prst8 mag fld ndct,,,2816.0,4166.0,2
HCPCS,0740T,Rem auton alg nsln cal setup,,,69.69,73.17,3
HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,281.87,295.96,3
HCPCS,0744T,Insj bioprostc vlv fem vn,,,3560.0,18617.0,7
HCPCS,0748T,Njx stm cl prdct anl sft tis,,,1544.0,1866.0,2
HCPCS,0764T,Asstv alg ecg rsk asmt cncrt,,,157.18,165.03,3
HCPCS,0765T,Asstv alg ecg rsk asmt prev,,,157.18,165.03,3
HCPCS,0766T,Tc mag stimj pn 1st tx 1nrv,,,255.08,267.83,3
HCPCS,0777T,R-t prs sensing edrl gdn sys,,,1544.0,1866.0,2
HCPCS,0778T,Smmg cncrnt appl imu snr,,,152.01,159.61,3
HCPCS,0779T,Gi myoelectrical actv study,,,440.83,462.87,3
HCPCS,0780T,Instlj fecal microbiota ssp,,,157.18,1866.0,5
HCPCS,0781T,Brnchsc rf dstrj pulm nrv bi,,,3408.0,13320.0,4
HCPCS,0782T,Brnchsc rf dstrj plm nrv uni,,,3408.0,13320.0,4
HCPCS,0783T,Tc auriculr neurostimulation,,,152.01,159.61,3
HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,3408.0,18617.0,7
HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,1544.0,13320.0,7
HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,3408.0,18617.0,7
HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,1544.0,13320.0,7
HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,1406.0,21749.16,7
HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,4147.0,22738.78,7
HCPCS,0794T,Pt spec alg rx-onc tx option,,,69.69,73.17,3
HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,3560.0,23892.44,5
HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,4224.0,27591.2,5
HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,4224.0,23892.44,7
HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3291.0,13320.0,7
HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3730.07,13320.0,7
HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,3730.07,13320.0,7
HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,4147.0,23892.44,5
HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,3291.0,23892.44,5
HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,3291.0,23892.44,7
HCPCS,0805T,Tcat s&ivc prstc vl impl prq,,,3560.0,4311.0,2
HCPCS,0806T,Tcat s&ivc prstc vl impl opn,,,3560.0,4311.0,2
HCPCS,0807T,Pulm tiss vntj alys prev ct,,,255.08,267.83,3
HCPCS,0808T,Pulm tiss vntj alys w/ct,,,255.08,267.83,3
HCPCS,0810T,Subrta njx rx agt w/vtrc,,,3291.0,13320.0,7
HCPCS,0811T,Rem mlt day uroflow setup,,,157.28,165.14,3
HCPCS,0812T,Rem mlt day uroflow dev sply,,,152.01,159.61,3
HCPCS,0813T,Egd vol adjmt bariatric balo,,,1071.46,7422.0,7
HCPCS,0814T,Prq njx biod osteo matrl fem,,,1544.0,18617.0,4
HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,2816.0,24064.14,7
HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,2816.0,24064.14,7
HCPCS,0818T,Revj/rmvl ins ptn subq,,,1544.0,13320.0,7
HCPCS,0819T,Revj/rmvl ins ptn subf,,,1544.0,13320.0,7
HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,3560.0,27591.2,7
HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,3730.07,13320.0,7
HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,3560.0,23892.44,7
HCPCS,0857T,Opto-acoustic img breast uni,,,123.5,890.51,5
HCPCS,0861T,Rmvl pg wcs lv both compnt,,,4224.0,13320.0,7
HCPCS,0862T,Rlcj pg wcs lv battery only,,,2437.45,13320.0,7
HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,2437.45,13320.0,7
HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,295.16,18617.0,7
HCPCS,0865T,Quan mri alys brn w/o dx mri,,,281.87,295.96,3
HCPCS,0866T,Quan mri alys brn w/dx mri,,,281.87,295.96,3
HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,2816.0,6650.84,5
HCPCS,0868T,Hi-res gastric ep mapping,,,440.83,462.87,3
HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,2816.0,4166.0,5
HCPCS,0870T,Imp subq prtl ascts pmp sys,,,2816.0,42494.63,5
HCPCS,0871T,Rplcmt subq prtl ascites pmp,,,2816.0,33388.77,5
HCPCS,0872T,Rplcmt ndwllg bldr&prtl cath,,,2816.0,4441.17,5
HCPCS,0873T,Revj subq prtl asct pmp sys,,,2816.0,4441.17,5
HCPCS,0874T,Rmvl pertl ascites pmp sys,,,1544.0,4441.17,5
HCPCS,0882T,Intraop ther estim pn ue 1st,,,1544.0,1866.0,2
HCPCS,0883T,Intraop ther estim pn ue ea,,,1544.0,1866.0,2
HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,3408.0,7530.41,5
HCPCS,0885T,Colsc flx 1st tndsc dilat,,,3408.0,7530.41,5
HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,2816.0,7530.41,5
HCPCS,0888T,Histotripsy mal renal tissue,,,4224.0,21247.62,5
HCPCS,0893T,N-invas assmt bld oxygnation,,,157.18,165.03,3
HCPCS,0897T,N-invas augmnt arrhyt alys,,,1014.47,1065.19,3
HCPCS,0898T,N-invas prst8 cancer est map,,,1014.47,1065.19,3
HCPCS,0901T,Plmt bone marrow smplg port,,,1544.0,18617.0,4
HCPCS,0902T,Qtc ntrvl augmnt alg aly ecg,,,157.18,165.03,3
HCPCS,0904T,Ecg alg 12 ld rdcd trcg only,,,69.69,73.17,3
HCPCS,0906T,Coms ther 1st appl<=50 sq cm,,,237.02,248.87,3
HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,2816.0,38276.26,7
HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,2816.0,38276.26,7
HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,1544.0,18617.0,7
HCPCS,0911T,Elec aly nstm sys vgs nrv wo,,,69.69,73.17,3
HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,4147.0,18617.0,7
HCPCS,0914T,Prq tcat thr rx ntrc bal sep,,,1544.0,1866.0,2
HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,4147.0,38935.13,7
HCPCS,0916T,Insj perm ccm-d sys pg only,,,3408.0,27591.2,7
HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,4224.0,18617.0,7
HCPCS,0918T,Insj perm ccm-d sys dual ld,,,4224.0,18617.0,7
HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,4224.0,18617.0,7
HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,4224.0,18617.0,7
HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,4224.0,18617.0,7
HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,4224.0,18617.0,7
HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,3408.0,27591.2,7
HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,741.06,18617.0,7
HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,2437.45,18617.0,7
HCPCS,0930T,Ephys eval ccm-d ld 1st impl,,,1438.33,1866.0,5
HCPCS,0931T,Ephys eval ccm-d ld separate,,,1438.33,4166.0,5
HCPCS,0933T,Tcat impl wrls l atr prs snr,,,3829.84,18617.0,7
HCPCS,0935T,Cysto w/rnl pel symp dnrvtj,,,3408.0,18617.0,4
HCPCS,0941T,Cysto flx ins&xpns urtl scaf,,,3408.0,18617.0,7
HCPCS,0942T,Cysto flx rmv&rplc urtl scaf,,,3408.0,18617.0,7
HCPCS,0943T,Cysto flx rmvl urtl scaffold,,,2469.46,18617.0,7
HCPCS,0944T,3d cntr simula trgt lvr les,,,281.87,295.96,3
HCPCS,0945T,Intraop assmt abnl tum tiss,,,1544.0,1866.0,2
HCPCS,0946T,Ortho impl mvmt alys pair ct,,,123.5,129.68,3
HCPCS,0947T,Mrgfus strtctc bl-br disrpj,,,3408.0,5044.0,2
HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,2816.0,18617.0,7
HCPCS,0951T,Tot impl amei 1st plmt,,,3408.0,5044.0,2
HCPCS,0952T,Tot impl amei rev/rplc mstdc,,,3408.0,5044.0,2
HCPCS,0953T,Tot impl amei rev/rplc w/o,,,3408.0,5044.0,2
HCPCS,0954T,Tot impl amei rplc snd proc,,,3408.0,5044.0,2
HCPCS,0955T,Tot impl amei removal,,,2816.0,4166.0,2
HCPCS,0956T,Prt crn ch cr&tun elt s-sclp,,,3408.0,33657.37,7
HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1899.59,18617.0,7
HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,2816.0,18617.0,7
HCPCS,0959T,Rmv/rplc magnet coil assem,,,1951.11,18617.0,7
HCPCS,0960T,Rpl s-sclp eltr ra rcvr&tlmt,,,2816.0,33657.37,7
HCPCS,0962T,Asstv alg alys acous&ecg rec,,,157.18,165.03,3
HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,1413.65,18617.0,7
HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,1406.0,18617.0,7
HCPCS,0965T,I&cst prp jw xpn dl arch non,,,1406.0,18617.0,7
HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,1406.0,18617.0,7
HCPCS,0967T,Tranal ins tmp clrc anst dev,,,1413.65,18617.0,7
HCPCS,0968T,Insj/rplcmt epcrnl nstim sys,,,2816.0,4166.0,2
HCPCS,0969T,Removal epicranial nstim sys,,,1544.0,1866.0,2
HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,2816.0,18617.0,7
HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,2816.0,18617.0,7
HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,480.23,18617.0,7
HCPCS,0974T,Slctv nzmtc dbrdmt t/a/l ea,,,1544.0,1866.0,2
HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,480.23,18617.0,7
HCPCS,0976T,Slctv nzmtc dbrdmt s/n/hf ea,,,1544.0,1866.0,2
HCPCS,0977T,Upr gi bld detcj snr capsule,,,1071.46,1125.04,3
HCPCS,0978T,Submucosal cryolysis therapy,,,2816.0,4166.0,2
HCPCS,0979T,Sbmcsl crylys ther sft palt,,,2816.0,4166.0,2
HCPCS,0980T,Sbmcsl crylys ther tng&tnsl,,,2816.0,4166.0,2
HCPCS,0981T,Tcat impl wrls ivc snr,,,3560.0,22738.78,7
HCPCS,0982T,Rem mntr impl ivc snr set-up,,,157.28,165.14,3
HCPCS,0984T,Iv img xtrc cere vsl oct 1st,,,1544.0,1866.0,2
HCPCS,0985T,Iv img xtrc cere vsl oct ea,,,1544.0,1866.0,2
HCPCS,0986T,Iv img icr cere vsl oct 1st,,,1544.0,1866.0,2
HCPCS,0987T,Iv img icr cere vsl oct ea,,,1544.0,1866.0,2
HCPCS,0988T,Opn ins/rplc ins ptn sbq&sbf,,,2816.0,18617.0,4
HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,1544.0,18617.0,7
HCPCS,0990T,Trncrv inst biod hydrgl mtrl,,,1544.0,18617.0,4
HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,4224.0,18617.0,7
HCPCS,0992T,N-invas assmt car rsk w/o ct,,,281.87,295.96,3
HCPCS,0993T,N-invas assmt car rsk w/ct,,,281.87,295.96,3
HCPCS,0994T,Evasc dlvr a-wal stbl rx prq,,,4224.0,18617.0,4
HCPCS,0995T,Evasc dlvr a-wal stbl rx opn,,,4224.0,18617.0,4
HCPCS,0996T,Ins&sclr fix caps bag prosth,,,2726.34,18617.0,7
HCPCS,0999T,Autol musc cell therapy hrvg,,,2816.0,4166.0,2
HCPCS,10004,Fna bx w/o img gdn ea addl,,,428.0,1866.0,4
HCPCS,10004,"HC FINE NEEDLE ASPIRATION BIOPSY, W/O GUIDANCE, EA ADDL LESION",184.0,184.0,,,0
HCPCS,10005,Fna bx w/us gdn 1st les,,,836.55,3314.0,9
HCPCS,10005,"HC FINE NEEDLE ASPIRATION BIOPSY, W/US GUIDANCE, 1ST LESION",2922.0,2922.0,,,0
HCPCS,10006,Fna bx w/us gdn ea addl,,,428.0,1866.0,4
HCPCS,10006,"HC FINE NEEDLE ASPIRATION BIOPSY, W/US GUIDANCE, EA ADDL LESION",2784.0,2784.0,,,0
HCPCS,10007,Fna bx w/fluor gdn 1st les,,,836.55,3314.0,9
HCPCS,10007,"HC FINE NEEDLE ASPIRATION BIOPSY, W/FLUORO GUIDANCE, 1ST LESION",1796.0,1796.0,,,0
HCPCS,10008,Fna bx w/fluor gdn ea addl,,,428.0,1866.0,4
HCPCS,10008,"HC FINE NEEDLE ASPIRATION BIOPSY, W/FLUORO GUIDANCE, EA ADDL LESION",1796.0,1796.0,,,0
HCPCS,10009,Fna bx w/ct gdn 1st les,,,836.55,3314.0,9
HCPCS,10009,"HC FINE NEEDLE ASPIRATION BIOPSY, W/CT GUIDANCE, 1ST LESION",6525.0,6525.0,,,0
HCPCS,1000T,Autol musc cell therapy admn,,,2816.0,4166.0,2
HCPCS,10010,Fna bx w/ct gdn ea addl,,,428.0,1866.0,4
HCPCS,10010,"HC FINE NEEDLE ASPIRATION BIOPSY, W/CT GUIDANCE, EA ADDL LESION",6525.0,6525.0,,,0
HCPCS,10011,Fna bx w/mr gdn 1st les,,,836.55,3314.0,9
HCPCS,10011,"HC FINE NEEDLE ASPIRATION BIOPSY, W/MR GUIDANCE, 1ST LESION",1850.0,1850.0,,,0
HCPCS,10012,Fna bx w/mr gdn ea addl,,,428.0,1866.0,4
HCPCS,10012,"HC FINE NEEDLE ASPIRATION BIOPSY, W/MR GUIDANCE, EA ADDL LESION",1347.0,1347.0,,,0
HCPCS,1001T,Autol musc cell therapy njx,,,2816.0,4166.0,2
HCPCS,10021,Fna w/o image,,,480.23,18617.0,9
HCPCS,10021,"HC FINE NEEDLE ASPIRATION BIOPSY; W/O IMAGE GUIDANCE, 1ST LESION",518.0,518.0,,,0
HCPCS,10022,HC FINE NEEDLE ASPIRATION W/IMAGE,194.0,194.0,,,0
HCPCS,1002T,Air displacmnt plethysmograp,,,34.17,35.88,3
HCPCS,10030,Guide cathet fluid drainage,,,836.55,18617.0,9
HCPCS,10030,HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,775.0,775.0,,,0
HCPCS,10035,Perq dev soft tiss 1st imag,,,428.0,4466.0,9
HCPCS,10036,Perq dev soft tiss add imag,,,428.0,1866.0,4
HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,3291.0,18617.0,7
HCPCS,10040,Acne surgery,,,237.02,18617.0,9
HCPCS,1004T,Elec alys s-scl eeg wo prgrm,,,157.18,165.03,3
HCPCS,10060,Drainage of skin abscess,,,237.02,18617.0,9
HCPCS,10060,HC DRAINAGE OF ABSCESS; SINGLE,1252.5,1252.5,,,0
HCPCS,10061,Drainage of skin abscess,,,480.23,3314.0,9
HCPCS,10061,HC DRAINAGE OF ABSCESS; MULTIPLE,1422.5,1422.5,,,0
HCPCS,10080,Drainage of pilonidal cyst,,,836.55,18617.0,9
HCPCS,10080,HC DRAINAGE OF PILONIDAL CYST; SIMPLE,900.0,900.0,,,0
HCPCS,10081,Drainage of pilonidal cyst,,,836.55,18617.0,9
HCPCS,10081,HC DRAINAGE OF PILONIDAL CYST; COMPLICATED,900.0,900.0,,,0
HCPCS,1008T,Rem mntr s-scl eeg sys setup,,,157.28,165.14,3
HCPCS,1010T,Cptr oph alys monoc eye mvmt,,,157.18,165.03,3
HCPCS,10120,"HC REMOVAL OF FOREIGN BODY, SUBQ, SIMPLE",393.0,393.0,,,0
HCPCS,10120,Remove foreign body,,,480.23,18617.0,9
HCPCS,10121,"HC REMOVAL OF FOREIGN BODY, SUBQ, COMPLICATED",2074.0,2074.0,,,0
HCPCS,10121,Remove foreign body,,,1951.11,4466.0,9
HCPCS,1012T,Mtrz ab ntrno trph scl/tr mw,,,4224.0,18617.0,7
HCPCS,1013T,Lap srg imp/rpl eso nea&pg/r,,,3291.0,18617.0,4
HCPCS,10140,Drainage of hematoma/fluid,,,1544.0,18617.0,9
HCPCS,10140,HC DRAINAGE OF HEMATOMA/FLUID,2050.0,2050.0,,,0
HCPCS,1014T,Lap rv/rmv eso sph nstm eltr,,,4224.0,18617.0,4
HCPCS,1015T,Rev/rmv lw esoph sphnc npg/r,,,4224.0,18617.0,4
HCPCS,10160,"HC PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST",505.0,505.0,,,0
HCPCS,10160,Puncture drainage of lesion,,,480.23,18617.0,9
HCPCS,10180,Complex drainage wound,,,2816.0,5123.0,9
HCPCS,1019T,Lymphovenous bypass per xtr,,,3408.0,18617.0,7
HCPCS,1020T,Raman spectroscopy 1+skn les,,,69.69,73.17,3
HCPCS,1021T,Active thrc irrigation spx,,,741.06,4166.0,5
HCPCS,1022T,Prq tis dsplmt ntra-abdl/pel,,,1544.0,1866.0,2
HCPCS,1023T,Prq tis dsplmt intrathoracic,,,1544.0,1866.0,2
HCPCS,1024T,Perq tiss dsplmt soft tissue,,,1544.0,1866.0,2
HCPCS,1025T,Alt elec fld dos&dlv sim mdl,,,158.78,166.72,3
HCPCS,11000,Debride infected skin,,,480.23,18617.0,9
HCPCS,11000,HC DEBRIDE INFECTED SKIN; UP TO 10% OF BODY SURFACE,908.5,908.5,,,0
HCPCS,11001,Debride infected skin add-on,,,428.0,1866.0,4
HCPCS,11001,HC DEBRIDEMENT INFECTED SKIN EA ADD < = 10% BS,1011.0,1011.0,,,0
HCPCS,11004,Debride genitalia & perineum,,,1406.0,18617.0,4
HCPCS,11005,Debride abdom wall,,,1406.0,18617.0,6
HCPCS,11006,Debride genit/per/abdom wall,,,1406.0,18617.0,4
HCPCS,11008,Remove mesh from abd wall,,,1406.0,18617.0,6
HCPCS,11010,Debride skin at fx site,,,836.55,4466.0,9
HCPCS,11010,HC DEBRIDE OPEN FRACTURE; SKIN AND SUBQ TISSUES,900.0,900.0,,,0
HCPCS,11011,Debride skin musc at fx site,,,836.55,4466.0,9
HCPCS,11012,Deb skin bone at fx site,,,2816.0,5123.0,9
HCPCS,11012,HC DEBRIDE OPEN FRACTURE; SKIN TO BONE,3498.0,3498.0,,,0
HCPCS,11042,Deb subq tissue 20 sq cm/<,,,480.23,4466.0,9
HCPCS,11042,"HC DEBRIDE, SUBQ TISSUE; FIRST 20 SQ CM OR LESS",4905.0,4905.0,,,0
HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,855.0,4466.0,9
HCPCS,11043,"HC DEBRIDE, MUSCLE AND/OR FASCIA; 1ST 20 SQ CM OR LESS",5048.5,5048.5,,,0
HCPCS,11044,Deb bone 20 sq cm/<,,,1951.11,4466.0,9
HCPCS,11044,"HC DEBRIDEMENT, BONE 1ST 20 SQ CM OR LESS",5679.5,5679.5,,,0
HCPCS,11045,Deb subq tissue add-on,,,428.0,1866.0,4
HCPCS,11045,"HC DEBRIDEMENT, SUBCUTANEOUS TISSUE; ADD-ON < = 20 SQ CM",9292.0,9292.0,,,0
HCPCS,11046,Deb musc/fascia add-on,,,428.0,1866.0,4
HCPCS,11046,"HC DEBRIDEMENT, MUSCLE/FASCIA; ADD-ON < = 20 SQ CM",9292.0,9292.0,,,0
HCPCS,11047,Deb bone add-on,,,428.0,1866.0,4
HCPCS,11047,"HC DEBRIDEMENT, BONE; ADD-ON < = 20 SQ CM",9292.0,9292.0,,,0
HCPCS,11050,Description Not Available,,,1406.0,18617.0,4
HCPCS,11051,Description Not Available,,,1406.0,18617.0,4
HCPCS,11052,Description Not Available,,,1406.0,18617.0,4
HCPCS,11055,Trim skin lesion,,,237.02,18617.0,9
HCPCS,11056,Trim skin lesions 2 to 4,,,237.02,18617.0,9
HCPCS,11057,Trim skin lesions over 4,,,237.02,18617.0,9
HCPCS,11100,"HC BIOSPY OF SKIN, SINGLE LESION",772.0,772.0,,,0
HCPCS,11101,"HC BIOSPY OF SKIN, EACH ADDL LESION",280.0,280.0,,,0
HCPCS,11102,Tangntl bx skin single les,,,480.23,18617.0,9
HCPCS,11103,"HC TANGENTIAL BIOSPY OF SKIN, EA SEPARATE/ADDL LESION",488.0,488.0,,,0
HCPCS,11103,Tangntl bx skin ea sep/addl,,,428.0,1866.0,4
HCPCS,11104,"HC PUNCH BIOSPY OF SKIN, SINGLE LESION",1347.0,1347.0,,,0
HCPCS,11104,Punch bx skin single lesion,,,480.23,18617.0,9
HCPCS,11105,"HC PUNCH BIOSPY OF SKIN, EA SEPARATE/ADDL LESION",488.0,488.0,,,0
HCPCS,11105,Punch bx skin ea sep/addl,,,428.0,1866.0,4
HCPCS,11106,"HC INCISIONAL BIOSPY OF SKIN, SINGLE LESION",1347.0,1347.0,,,0
HCPCS,11106,Incal bx skn single les,,,855.0,3314.0,9
HCPCS,11107,"HC INCISIONAL BIOSPY OF SKIN, EA SEPARATE/ADDL LESION",488.0,488.0,,,0
HCPCS,11107,Incal bx skn ea sep/addl,,,428.0,1866.0,4
HCPCS,11200,"HC REMOVAL OF SKIN TAGS, UP TO AND INCLD 15 LESIONS",250.0,250.0,,,0
HCPCS,11200,Removal of skin tags <w/15,,,237.02,18617.0,9
HCPCS,11201,Remove skin tags add-on,,,428.0,490.0,2
HCPCS,11300,Shave skin lesion 0.5 cm/<,,,480.23,18617.0,9
HCPCS,11301,Shave skin lesion 0.6-1.0 cm,,,237.02,18617.0,9
HCPCS,11302,Shave skin lesion 1.1-2.0 cm,,,237.02,18617.0,9
HCPCS,11303,Shave skin lesion >2.0 cm,,,480.23,18617.0,9
HCPCS,11305,Shave skin lesion 0.5 cm/<,,,237.02,18617.0,9
HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,237.02,18617.0,9
HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,237.02,18617.0,9
HCPCS,11308,Shave skin lesion >2.0 cm,,,480.23,18617.0,9
HCPCS,11310,Shave skin lesion 0.5 cm/<,,,237.02,18617.0,9
HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,237.02,18617.0,9
HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,480.23,18617.0,9
HCPCS,11313,Shave skin lesion >2.0 cm,,,480.23,18617.0,9
HCPCS,11400,Exc tr-ext b9+marg 0.5 cm<,,,836.55,3314.0,9
HCPCS,11400,"HC EXCISION, BENIGN LESION, EXT MARG 0.5 < CM",900.0,900.0,,,0
HCPCS,11401,Exc tr-ext b9+marg 0.6-1 cm,,,480.23,3314.0,9
HCPCS,11402,Exc tr-ext b9+marg 1.1-2 cm,,,836.55,3314.0,9
HCPCS,11403,Exc tr-ext b9+marg 2.1-3cm/<,,,836.55,3314.0,9
HCPCS,11404,Exc tr-ext b9+marg 3.1-4 cm,,,1544.0,4097.0,9
HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1951.11,4466.0,9
HCPCS,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,1951.11,4166.0,9
HCPCS,11420,"HC EXCISION, BENIGN LESION S/N/H/F/G  0.5 CM OR LESS",2079.0,2079.0,,,0
HCPCS,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,836.55,4166.0,9
HCPCS,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,1544.0,4097.0,9
HCPCS,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,1544.0,4097.0,9
HCPCS,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,1951.11,4466.0,9
HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,2816.0,5123.0,9
HCPCS,11440,Exc face-mm b9+marg 0.5 cm/<,,,836.55,4166.0,9
HCPCS,11441,Exc face-mm b9+marg 0.6-1 cm,,,836.55,4166.0,9
HCPCS,11442,Exc face-mm b9+marg 1.1-2 cm,,,836.55,3314.0,9
HCPCS,11443,Exc face-mm b9+marg 2.1-3 cm,,,1544.0,4097.0,9
HCPCS,11444,Exc face-mm b9+marg 3.1-4 cm,,,1544.0,4097.0,9
HCPCS,11446,Exc face-mm b9+marg >4 cm,,,2816.0,4466.0,9
HCPCS,11450,Removal sweat gland lesion,,,2816.0,5123.0,9
HCPCS,11451,Removal sweat gland lesion,,,2816.0,6404.0,9
HCPCS,11462,Removal sweat gland lesion,,,2816.0,5123.0,9
HCPCS,11463,Removal sweat gland lesion,,,2816.0,6404.0,9
HCPCS,11470,Removal sweat gland lesion,,,2816.0,6404.0,9
HCPCS,11471,Removal sweat gland lesion,,,2816.0,8006.0,9
HCPCS,11600,Exc tr-ext mal+marg 0.5 cm/<,,,836.55,3314.0,9
HCPCS,11600,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 0.5 CM/<,3456.0,3456.0,,,0
HCPCS,11601,Exc tr-ext mal+marg 0.6-1 cm,,,836.55,3314.0,9
HCPCS,11601,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 0.6-1.0 CM,4184.0,4184.0,,,0
HCPCS,11602,Exc tr-ext mal+marg 1.1-2 cm,,,480.23,3314.0,9
HCPCS,11602,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 1.1-2.0 CM,2041.0,2041.0,,,0
HCPCS,11603,Exc tr-ext mal+marg 2.1-3 cm,,,836.55,3314.0,9
HCPCS,11603,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 2.1-3.0 CM,5426.0,5426.0,,,0
HCPCS,11604,Exc tr-ext mal+marg 3.1-4 cm,,,836.55,4466.0,9
HCPCS,11604,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG 3.1-4.0 CM,6009.0,6009.0,,,0
HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1951.11,5123.0,9
HCPCS,11606,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM,9380.0,9380.0,,,0
HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,1544.0,4097.0,9
HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,836.55,3314.0,9
HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,836.55,3314.0,9
HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,1544.0,18617.0,9
HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1951.11,4466.0,9
HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,2816.0,6404.0,9
HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,836.55,4166.0,9
HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,836.55,4166.0,9
HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,836.55,4166.0,9
HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,1951.11,4166.0,9
HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1951.11,4466.0,9
HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,2816.0,5123.0,9
HCPCS,11700,Description Not Available,,,1406.0,18617.0,4
HCPCS,11701,Description Not Available,,,1406.0,18617.0,4
HCPCS,11710,Description Not Available,,,1406.0,18617.0,4
HCPCS,11711,Description Not Available,,,1406.0,18617.0,4
HCPCS,11719,Trim nail(s) any number,,,69.69,18617.0,9
HCPCS,11720,Debride nail 1-5,,,69.69,18617.0,9
HCPCS,11720,HC DEBRIDEMENT OF NAIL(S); 1 TO 5,80.0,80.0,,,0
HCPCS,11721,Debride nail 6 or more,,,69.69,18617.0,9
HCPCS,11730,HC AVULSION OF NAIL PLATE SIMPLE; SINGLE,251.0,251.0,,,0
HCPCS,11730,Removal of nail plate,,,237.02,18617.0,9
HCPCS,11731,Description Not Available,,,1406.0,18617.0,4
HCPCS,11732,"HC AVULSION NAIL PLATE, PARTIAL/COMPLETE, SIMPLE; EA ADDTL",82.0,82.0,,,0
HCPCS,11732,Remove nail plate add-on,,,428.0,1866.0,4
HCPCS,11740,Drain blood from under nail,,,157.18,18617.0,9
HCPCS,11740,HC EVACUATION OF SUBUNGUAL HEMATOMA,161.0,161.0,,,0
HCPCS,11750,"HC EXCISION OF NAIL & MATRIX, PARTIAL OR COMPLETE",166.0,166.0,,,0
HCPCS,11750,Removal of nail bed,,,480.23,3314.0,9
HCPCS,11752,HC REMOVAL OF NAIL BED AND FINGER TIP,316.0,316.0,,,0
HCPCS,11755,Biopsy nail unit,,,836.55,3314.0,9
HCPCS,11760,HC REPAIR OF NAIL BED,801.0,801.0,,,0
HCPCS,11760,Repair of nail bed,,,873.1,18617.0,9
HCPCS,11762,Reconstruction of nail bed,,,2437.45,18617.0,9
HCPCS,11765,Excision of nail fold toe,,,480.23,18617.0,9
HCPCS,11765,"HC EXCISION OF NAIL FOLD (EG, INGROWN TOENAIL)",518.0,518.0,,,0
HCPCS,11770,Remove pilonidal cyst simple,,,3408.0,5123.0,9
HCPCS,11771,Remove pilonidal cyst exten,,,3408.0,5123.0,9
HCPCS,11772,Remove pilonidal cyst compl,,,3408.0,6404.0,9
HCPCS,11900,HC INJECTION INTO SKIN LESIONS =<7,353.0,353.0,,,0
HCPCS,11900,Inject skin lesions <=w 7,,,237.02,18617.0,9
HCPCS,11901,Inject skin lesions >7,,,237.02,18617.0,9
HCPCS,11920,Correct skin color 6.0 cm/<,,,873.1,18617.0,9
HCPCS,11921,Correct skn color 6.1-20.0cm,,,873.1,18617.0,9
HCPCS,11922,Correct skin color ea 20.0cm,,,428.0,1866.0,4
HCPCS,11950,Tx contour defects 1 cc/<,,,237.02,18617.0,9
HCPCS,11951,Tx contour defects 1.1-5.0cc,,,873.1,18617.0,9
HCPCS,11952,Tx contour defects 5.1-10cc,,,855.0,18617.0,9
HCPCS,11954,Tx contour defects >10.0 cc,,,855.0,18617.0,9
HCPCS,11960,"HC INSERTION TISSUE EXPANDER(S), NOT BREAST, INCL SBSQ EXPANSION",19763.0,19763.0,,,0
HCPCS,11960,Insert tissue expander(s),,,2816.0,11081.0,9
HCPCS,11970,Replace tissue expander,,,3408.0,13036.0,9
HCPCS,11971,Remove tissue expander(s),,,1544.0,6404.0,9
HCPCS,11976,HC REMOVAL IMPLANT CONTRACEP CAPS,3296.0,3296.0,,,0
HCPCS,11976,Remove contraceptive capsule,,,836.55,3314.0,9
HCPCS,11980,Implant hormone pellet(s),,,527.74,18617.0,9
HCPCS,11981,Insert drug implant device,,,157.18,18617.0,9
HCPCS,11982,Remove drug implant device,,,527.74,18617.0,9
HCPCS,11983,Remove/insert drug implant,,,527.74,18617.0,9
HCPCS,12001,"HC SIMPLE WOUND, S/N/A/G/TR/E; 2.5 CM OR LESS",251.0,251.0,,,0
HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,237.02,18617.0,9
HCPCS,12002,"HC SIMPLE WOUND, S/N/A/G/TR/E; 2.6 CM TO 7.5 CM",250.0,250.0,,,0
HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,237.02,18617.0,9
HCPCS,12004,"HC SIMPLE WOUND, S/N/A/G/TR/E; 7.6 CM TO 12.5 CM",251.0,251.0,,,0
HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,237.02,18617.0,9
HCPCS,12005,"HC SIMPLE WOUND, S/N/A/G/TR/E; 12.6 CM TO 20.0 CM",518.0,518.0,,,0
HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,480.23,4466.0,9
HCPCS,12006,"HC SIMPLE WOUND, S/N/A/G/TR/E; 20.1 CM TO 30.0 CM",518.0,518.0,,,0
HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,480.23,4466.0,9
HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,237.02,4466.0,9
HCPCS,12011,"HC SIMPLE WOUND, F/E/N/L/MM; 2.5 CM OR LESS",251.0,251.0,,,0
HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,237.02,18617.0,9
HCPCS,12013,"HC SIMPLE WOUND, F/E/N/L/MM;  2.6 CM TO 5.0 CM",251.0,251.0,,,0
HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,237.02,18617.0,9
HCPCS,12014,"HC SIMPLE WOUND, F/E/N/L/MM;  5.1 CM TO 7.5 CM",251.0,251.0,,,0
HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,237.02,18617.0,9
HCPCS,12015,"HC SIMPLE WOUND, F/E/N/L/MM; 7.6 CM TO 12.5 CM",247.0,247.0,,,0
HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,237.02,18617.0,9
HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,480.23,4466.0,9
HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,480.23,4466.0,9
HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,237.02,4466.0,9
HCPCS,12020,Closure of split wound,,,873.1,3314.0,9
HCPCS,12020,"HC TX SUPERFICIAL WOUND, SIMPLE CLOSURE",799.0,799.0,,,0
HCPCS,12021,Closure of split wound,,,480.23,3314.0,9
HCPCS,12031,"HC INTERMED WOUND, S/A/T/EXT;  2.5 CM OR LESS",517.0,517.0,,,0
HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,480.23,18617.0,9
HCPCS,12032,"HC INTERMED WOUND, S/A/T/EXT;  2.6 CM TO 7.5 CM",518.0,518.0,,,0
HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,480.23,18617.0,9
HCPCS,12034,"HC INTERMED WOUND, S/A/T/EXT; 7.6 CM TO 12.5 CM",517.0,517.0,,,0
HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,480.23,4466.0,9
HCPCS,12035,"HC INTERMED WOUND, S/A/T/EXT; 12.6 CM TO 20.0 CM",518.0,518.0,,,0
HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,480.23,4466.0,9
HCPCS,12036,"HC INTERMED WOUND, S/A/T/EXT; 20.1 CM TO 30.0 CM",806.0,806.0,,,0
HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,873.1,4466.0,9
HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,2437.45,6404.0,9
HCPCS,12041,"HC INTERMED WOUND, N-HF/GENIT; 2.5 CM OR LESS",518.0,518.0,,,0
HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,480.23,18617.0,9
HCPCS,12042,"HC INTERMED WOUND, N-HF/GENIT; 2.6 CM TO 7.5 CM",518.0,518.0,,,0
HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,480.23,18617.0,9
HCPCS,12044,"HC INTERMED WOUND, N-HF/GENIT; 7.6 CM TO 12.5 CM",806.0,806.0,,,0
HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,855.0,4466.0,9
HCPCS,12045,"HC INTERMED WOUND, N-HF/GENIT; 12.6 CM TO 20.0 CM",806.0,806.0,,,0
HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,855.0,4466.0,9
HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,428.0,4466.0,9
HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,2437.45,8006.0,9
HCPCS,12051,"HC INTERMED WOUND, S/A/T/EXT;  2.5 CM OR LESS",518.0,518.0,,,0
HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,480.23,18617.0,9
HCPCS,12052,"HC INTERMED WOUND, S/A/T/EXT; 2.6 CM TO 5.0 CM",518.0,518.0,,,0
HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,480.23,18617.0,9
HCPCS,12053,"HC INTERMED WOUND, S/A/T/EXT; 5.1 CM TO 7.5 CM",518.0,518.0,,,0
HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,480.23,18617.0,9
HCPCS,12054,"HC INTERMED WOUND, S/A/T/EXT; 7.6 CM TO 12.5 CM",518.0,518.0,,,0
HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,480.23,4466.0,9
HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,480.23,4466.0,9
HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,480.23,5123.0,9
HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,480.23,4466.0,9
HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,873.1,4466.0,9
HCPCS,13100,"HC REPAIR COMPLEX, TRUNK; 1.1-2.5 CM",2873.0,2873.0,,,0
HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,873.1,5098.0,9
HCPCS,13101,"HC REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM",804.0,804.0,,,0
HCPCS,13102,Cmplx rpr trunk addl 5cm/<,,,428.0,1866.0,4
HCPCS,13102,"HC REPAIR, COMPLEX, TRUNK; EA ADDL 5 CM OR LESS",160.0,160.0,,,0
HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,480.23,4466.0,9
HCPCS,13120,"HC REPAIR, COMPLEX, S/A/L; 1.1 CM TO 2.5 CM",804.0,804.0,,,0
HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,480.23,5098.0,9
HCPCS,13121,"HC REPAIR, COMPLEX, S/A/L; 2.6 CM TO 7.5 CM",806.0,806.0,,,0
HCPCS,13122,Cmplx rpr s/a/l addl 5 cm/>,,,428.0,1866.0,4
HCPCS,13122,"HC REPAIR, COMPLEX, S/A/L; EA ADDL 5 CM OR LESS",100.0,100.0,,,0
HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,480.23,4466.0,9
HCPCS,13131,"HC REPAIR, COMPLEX,  F/G/H/F; 1.1 CM TO 2.5 CM",517.0,517.0,,,0
HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,480.23,5098.0,9
HCPCS,13132,"HC REPAIR, COMPLEX, F/G/H/F;  2.6 CM TO 7.5 CM",806.0,806.0,,,0
HCPCS,13133,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,428.0,1866.0,4
HCPCS,13133,"HC REPAIR, COMPLEX,  F/G/H/F;  EA ADDL 5 CM OR LESS",127.0,127.0,,,0
HCPCS,13150,"HC REPAIR, COMPLEX, E/N/E/L; 1.0 CM OR LESS",79.0,79.0,,,0
HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,873.1,5098.0,9
HCPCS,13151,"HC REPAIR, COMPLEX, E/N/E/L; 1.1 CM TO 2.5 CM",806.0,806.0,,,0
HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,873.1,5098.0,9
HCPCS,13152,"HC REPAIR, COMPLEX, E/N/E/L; 2.6 CM TO 7.5 CM",806.0,806.0,,,0
HCPCS,13153,Cmplx rpr e/n/e/l addl 5cm/<,,,428.0,5044.0,4
HCPCS,13153,"HC REPAIR, COMPLEX, E/N/E/L; EA ADDL 5CM OR LESS",127.0,127.0,,,0
HCPCS,13160,Late closure of wound,,,2816.0,5123.0,9
HCPCS,13300,Description Not Available,,,1406.0,18617.0,4
HCPCS,14000,"HC ADJACENT TISSUE TRANSFER/REARRANGEMENT, TRUNK; 10 SQCM/<",10552.0,10552.0,,,0
HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,2437.45,4466.0,9
HCPCS,14001,"HC ADJACENT TISSUE TRANSFER/REARRANGEMENT, TRUNK; 10.1-30.0 SQCM",9701.0,9701.0,,,0
HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,2437.45,5098.0,9
HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,2437.45,5098.0,9
HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,2437.45,5098.0,9
HCPCS,14040,HC ADJ TISS TRANS/REARR FORE/CHKS/CHIN/MOU/NCK/AXIL/GENT/HND/FT 10SQCM,2691.5,2691.5,,,0
HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,2437.45,4466.0,9
HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,2437.45,5098.0,9
HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,2437.45,5098.0,9
HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,2437.45,5098.0,9
HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,3408.0,13320.0,9
HCPCS,14302,Tis trnfr addl 30 sq cm/<,,,428.0,1866.0,4
HCPCS,14350,Filleted finger/toe flap,,,2437.45,5123.0,9
HCPCS,15002,Wound prep trk/arm/leg,,,873.1,4466.0,9
HCPCS,15003,Wound prep addl 100 cm,,,428.0,1866.0,4
HCPCS,15004,Wound prep f/n/hf/g,,,480.23,4466.0,9
HCPCS,15005,Wnd prep f/n/hf/g addl cm,,,428.0,1866.0,4
HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,2437.45,18617.0,7
HCPCS,15012,Hrv skn cll ssp agrft ea add,,,1544.0,1866.0,2
HCPCS,15013,Prepj skn cll ssp agrft 1st,,,1406.0,18617.0,7
HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,2437.45,18617.0,7
HCPCS,15016,App skn cl ssp agrf t/a/l ea,,,1544.0,1866.0,2
HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,2437.45,18617.0,7
HCPCS,15018,App skn cll ssp f/n/g/hf ea,,,1544.0,1866.0,2
HCPCS,15040,Harvest cultured skin graft,,,2138.0,4466.0,9
HCPCS,15050,Skin pinch graft,,,873.1,4466.0,9
HCPCS,15100,Skin splt grft trnk/arm/leg,,,2437.45,5123.0,9
HCPCS,15101,Skin splt grft t/a/l add-on,,,3408.0,5123.0,4
HCPCS,15110,Epidrm autogrft trnk/arm/leg,,,2437.45,4466.0,9
HCPCS,15111,Epidrm autogrft t/a/l add-on,,,428.0,1866.0,4
HCPCS,15115,Epidrm a-grft face/nck/hf/g,,,2138.0,4466.0,9
HCPCS,15116,Epidrm a-grft f/n/hf/g addl,,,428.0,1866.0,4
HCPCS,15120,Skn splt a-grft fac/nck/hf/g,,,2816.0,6404.0,9
HCPCS,15121,Skn splt a-grft f/n/hf/g add,,,3408.0,6404.0,4
HCPCS,15130,Derm autograft trnk/arm/leg,,,2437.45,6404.0,9
HCPCS,15131,Derm autograft t/a/l add-on,,,428.0,1866.0,4
HCPCS,15135,Derm autograft face/nck/hf/g,,,2816.0,8006.0,9
HCPCS,15136,Derm autograft f/n/hf/g add,,,428.0,1866.0,4
HCPCS,15150,Cult skin grft t/arm/leg,,,2437.45,17041.0,9
HCPCS,15151,Cult skin grft t/a/l addl,,,428.0,1866.0,4
HCPCS,15152,Cult skin graft t/a/l +%,,,428.0,1866.0,4
HCPCS,15155,Cult skin graft f/n/hf/g,,,2816.0,13036.0,9
HCPCS,15156,Cult skin grft f/n/hfg add,,,428.0,1866.0,4
HCPCS,15157,Cult epiderm grft f/n/hfg +%,,,428.0,1866.0,4
HCPCS,15200,Skin full graft trunk,,,2437.45,6404.0,9
HCPCS,15201,Skin full graft trunk add-on,,,428.0,4166.0,4
HCPCS,15220,Skin full graft sclp/arm/leg,,,2437.45,5123.0,9
HCPCS,15221,Skin full graft add-on,,,428.0,4166.0,4
HCPCS,15240,Skin full grft face/genit/hf,,,2437.45,5123.0,9
HCPCS,15241,Skin full graft add-on,,,428.0,5044.0,4
HCPCS,15260,Skin full graft een & lips,,,2437.45,4466.0,9
HCPCS,15261,Skin full graft add-on,,,428.0,4166.0,4
HCPCS,15271,HC APPLY SKIN SUB GRAFT TRUNK/ARMS/LEGS TOTAL AREA/100SQ CM /<1ST 25,1987.0,1987.0,,,0
HCPCS,15271,Skin sub graft trnk/arm/leg,,,873.1,4166.0,9
HCPCS,15272,Skin sub graft t/a/l add-on,,,428.0,1866.0,4
HCPCS,15273,Skin sub grft t/arm/lg child,,,2437.45,6404.0,9
HCPCS,15274,Skn sub grft t/a/l child add,,,428.0,1866.0,4
HCPCS,15275,Skin sub graft face/nk/hf/g,,,873.1,4166.0,9
HCPCS,15276,Skin sub graft f/n/hf/g addl,,,428.0,1866.0,4
HCPCS,15277,Skn sub grft f/n/hf/g child,,,2437.45,4166.0,9
HCPCS,15278,Skn sub grft f/n/hf/g ch add,,,428.0,1866.0,4
HCPCS,15570,Skin pedicle flap trunk,,,2437.45,6404.0,9
HCPCS,15572,Skin pedicle flap arms/legs,,,3408.0,6404.0,9
HCPCS,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,2437.45,5123.0,9
HCPCS,15576,Pedicle e/n/e/l/ntroral,,,2437.45,5098.0,9
HCPCS,15580,Description Not Available,,,1406.0,18617.0,4
HCPCS,15600,Delay flap trunk,,,3408.0,6404.0,9
HCPCS,15610,Delay flap arms/legs,,,2437.45,6404.0,9
HCPCS,15620,Delay flap f/c/c/n/ax/g/h/f,,,2437.45,6312.0,9
HCPCS,15625,Description Not Available,,,1406.0,18617.0,4
HCPCS,15630,Delay flap eye/nos/ear/lip,,,2437.45,5098.0,9
HCPCS,15650,Transfer skin pedicle flap,,,2437.45,7422.0,9
HCPCS,15730,Mdfc flap w/prsrv vasc pedcl,,,3408.0,13320.0,9
HCPCS,15731,Forehead Flap w/Vasc Pedicle,,,3408.0,6404.0,9
HCPCS,15733,Musc myoq/fscq flp h&n pedcl,,,3408.0,13320.0,9
HCPCS,15734,Muscle-skin graft trunk,,,3408.0,8006.0,9
HCPCS,15736,Muscle-skin graft arm,,,2437.45,5123.0,9
HCPCS,15738,Muscle-skin graft leg,,,3408.0,6404.0,9
HCPCS,15740,Island pedicle flap graft,,,2138.0,4466.0,9
HCPCS,15750,Neurovascular pedicle flap,,,2816.0,8006.0,9
HCPCS,15755,Description Not Available,,,1406.0,18617.0,4
HCPCS,15756,Free myo/skin flap microvasc,,,428.0,18617.0,6
HCPCS,15757,Free skin flap microvasc,,,428.0,18617.0,6
HCPCS,15758,Free fascial flap microvasc,,,428.0,18617.0,6
HCPCS,15760,Composite skin graft,,,2437.45,5123.0,9
HCPCS,15769,Grfg autol soft tiss dir exc,,,4186.36,13320.0,9
HCPCS,15770,Derma-fat-fascia graft,,,3408.0,9420.0,9
HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,4186.36,13320.0,9
HCPCS,15772,Grfg autol fat lipo ea addl,,,428.0,1866.0,4
HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,2437.45,13320.0,9
HCPCS,15774,Gfrg autol fat lipo ea addl,,,428.0,1866.0,4
HCPCS,15775,Hair trnspl 1-15 punch grfts,,,428.0,5098.0,9
HCPCS,15776,Hair trnspl >15 punch grafts,,,428.0,5098.0,9
HCPCS,15777,Acellular derm matrix implt,,,428.0,1866.0,4
HCPCS,15778,Impl absrb msh/prsth dly cls,,,3408.0,18617.0,4
HCPCS,15780,Dermabrasion total face,,,1406.0,18617.0,9
HCPCS,15781,Dermabrasion segmental face,,,836.55,3314.0,9
HCPCS,15782,Dermabrasion other than face,,,1406.0,18686.0,9
HCPCS,15783,Dermabrasion suprfl any site,,,480.23,3314.0,9
HCPCS,15786,Abrasion lesion single,,,237.02,18617.0,9
HCPCS,15787,Abrasion lesions add-on,,,428.0,490.0,2
HCPCS,15788,Chemical peel face epiderm,,,480.23,18617.0,9
HCPCS,15789,Chemical peel face dermal,,,873.1,18617.0,9
HCPCS,15792,Chemical peel nonfacial,,,855.0,18617.0,9
HCPCS,15793,Chemical peel nonfacial,,,480.23,18617.0,9
HCPCS,15819,Plastic surgery neck,,,428.0,4166.0,6
HCPCS,15820,Revision of lower eyelid,,,2437.45,5098.0,9
HCPCS,15821,Revision of lower eyelid,,,2437.45,6404.0,9
HCPCS,15822,Revision of upper eyelid,,,2437.45,5098.0,9
HCPCS,15823,Revision of upper eyelid,,,2437.45,7422.0,9
HCPCS,15824,Removal of forehead wrinkles,,,2437.45,5098.0,9
HCPCS,15825,Removal of neck wrinkles,,,3408.0,8006.0,9
HCPCS,15826,Removal of brow wrinkles,,,3408.0,9420.0,9
HCPCS,15828,Removal of face wrinkles,,,3408.0,15339.0,9
HCPCS,15829,Removal of skin wrinkles,,,3291.0,11081.0,9
HCPCS,15830,Exc Skin Abd,,,3408.0,11081.0,9
HCPCS,15832,Excise excessive skin thigh,,,3408.0,13036.0,9
HCPCS,15833,Excise excessive skin leg,,,3408.0,9420.0,9
HCPCS,15834,Excise excessive skin hip,,,3408.0,15339.0,9
HCPCS,15835,Excise excessive skin buttck,,,3408.0,6404.0,9
HCPCS,15836,Excise excessive skin arm,,,3408.0,9420.0,9
HCPCS,15837,Excise excess skin arm/hand,,,2816.0,18617.0,9
HCPCS,15838,Excise excess skin fat pad,,,2816.0,18617.0,9
HCPCS,15839,Excise excess skin & tissue,,,3408.0,6404.0,9
HCPCS,15840,Nerve palsy fascial graft,,,4186.36,9420.0,9
HCPCS,15841,Nerve palsy muscle graft,,,4186.36,9420.0,9
HCPCS,15842,Nerve palsy microsurg graft,,,428.0,6312.0,9
HCPCS,15845,Skin and muscle repair face,,,4186.36,11081.0,9
HCPCS,15847,Exc Skin Abd Add-on,,,428.0,5044.0,4
HCPCS,15850,Remove sutures same surgeon,,,2138.0,2460.0,2
HCPCS,15851,Remove sutures diff surgeon,,,1544.0,4097.0,9
HCPCS,15852,Dressing change not for burn,,,873.1,18617.0,9
HCPCS,15853,Removal sutr/stapl xreq anes,,,1544.0,4097.0,4
HCPCS,15854,Removal sutr&stapl xreq anes,,,1544.0,4097.0,4
HCPCS,15860,Test for blood flow in graft,,,527.74,6404.0,7
HCPCS,15876,Suction lipectomy head&neck,,,3408.0,6404.0,9
HCPCS,15877,Suction lipectomy trunk,,,3408.0,6404.0,9
HCPCS,15878,Suction lipectomy upr extrem,,,2437.45,5098.0,9
HCPCS,15879,Suction lipectomy lwr extrem,,,3408.0,5123.0,9
HCPCS,15920,Removal of tail bone ulcer,,,3408.0,5123.0,9
HCPCS,15922,Removal of tail bone ulcer,,,4186.36,6404.0,9
HCPCS,15931,Remove sacrum pressure sore,,,3408.0,5123.0,9
HCPCS,15933,Remove sacrum pressure sore,,,3408.0,6404.0,9
HCPCS,15934,Remove sacrum pressure sore,,,3408.0,5123.0,9
HCPCS,15935,Remove sacrum pressure sore,,,4186.36,6404.0,9
HCPCS,15936,Remove sacrum pressure sore,,,2437.45,6312.0,9
HCPCS,15937,Remove sacrum pressure sore,,,2437.45,6312.0,9
HCPCS,15940,Remove hip pressure sore,,,3408.0,5098.0,9
HCPCS,15941,Remove hip pressure sore,,,3408.0,8006.0,9
HCPCS,15944,Remove hip pressure sore,,,3408.0,8006.0,9
HCPCS,15945,Remove hip pressure sore,,,2437.45,6404.0,9
HCPCS,15946,Remove hip pressure sore,,,2437.45,6404.0,9
HCPCS,15950,Remove thigh pressure sore,,,1951.11,5123.0,9
HCPCS,15951,Remove thigh pressure sore,,,3431.47,11081.0,9
HCPCS,15952,Remove thigh pressure sore,,,2437.45,8006.0,9
HCPCS,15953,Remove thigh pressure sore,,,4186.36,6312.0,9
HCPCS,15956,Remove thigh pressure sore,,,2437.45,5098.0,9
HCPCS,15958,Remove thigh pressure sore,,,4186.36,13036.0,9
HCPCS,15999,Removal of pressure sore,,,836.55,18617.0,9
HCPCS,16000,"HC INITIAL TREATMENT, FIRST DEGREE BURN",251.0,251.0,,,0
HCPCS,16000,Initial treatment of burn(s),,,237.02,18617.0,9
HCPCS,16020,Dress/debrid p-thick burn s,,,237.02,3314.0,9
HCPCS,16020,"HC DRESS AND/OR DEBRIDE,  P-THICKNESS BURNS, SMALL",306.0,306.0,,,0
HCPCS,16025,Dress/debrid p-thick burn m,,,237.02,4466.0,9
HCPCS,16025,"HC DRESS AND/OR DEBRIDE,  P-THICKNESS BURNS, MEDIUM",306.0,306.0,,,0
HCPCS,16030,Dress/debrid p-thick burn l,,,480.23,4466.0,9
HCPCS,16030,HC DRESS/DEBRID P-THICK BURN L,517.0,517.0,,,0
HCPCS,16035,HC ESCHAROTOMY; INITIAL INCISION,518.0,518.0,,,0
HCPCS,16035,Incision of burn scab initi,,,480.23,18617.0,9
HCPCS,16036,Escharotomy addl incision,,,1406.0,18617.0,4
HCPCS,16040,Description Not Available,,,1406.0,18617.0,4
HCPCS,16041,Description Not Available,,,1406.0,18617.0,4
HCPCS,16042,Description Not Available,,,1406.0,18617.0,4
HCPCS,17000,Destruct premalg lesion,,,237.02,18617.0,9
HCPCS,17001,Description Not Available,,,1406.0,18617.0,4
HCPCS,17002,Description Not Available,,,1406.0,18617.0,4
HCPCS,17003,Destruct premalg les 2-14,,,428.0,1866.0,4
HCPCS,17004,Destroy premal lesions 15/>,,,480.23,3314.0,9
HCPCS,17100,Description Not Available,,,1406.0,18617.0,4
HCPCS,17101,Description Not Available,,,1406.0,18617.0,4
HCPCS,17102,Description Not Available,,,1406.0,18617.0,4
HCPCS,17104,Description Not Available,,,1406.0,18617.0,4
HCPCS,17105,Description Not Available,,,1406.0,18617.0,4
HCPCS,17106,Destruction of skin lesions,,,480.23,3314.0,9
HCPCS,17107,Destruction of skin lesions,,,873.1,3314.0,9
HCPCS,17108,Destruction of skin lesions,,,1544.0,3314.0,9
HCPCS,17110,Destruct b9 lesion 1-14,,,237.02,18617.0,9
HCPCS,17111,Destruct lesion 15 or more,,,237.02,18617.0,9
HCPCS,17200,Description Not Available,,,1406.0,18617.0,4
HCPCS,17201,Description Not Available,,,1406.0,18617.0,4
HCPCS,17250,Chemical cautery tissue,,,237.02,18617.0,9
HCPCS,17250,HC CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,597.0,597.0,,,0
HCPCS,17260,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17261,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17262,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17263,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17264,Destruction of skin lesions,,,480.23,18617.0,9
HCPCS,17266,Destruction of skin lesions,,,480.23,4166.0,9
HCPCS,17270,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17271,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17272,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17273,Destruction of skin lesions,,,480.23,18617.0,9
HCPCS,17274,Destruction of skin lesions,,,480.23,3314.0,9
HCPCS,17276,Destruction of skin lesions,,,480.23,4166.0,9
HCPCS,17280,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17281,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17282,Destruction of skin lesions,,,237.02,18617.0,9
HCPCS,17283,Destruction of skin lesions,,,480.23,18617.0,9
HCPCS,17284,Destruction of skin lesions,,,855.0,3314.0,9
HCPCS,17286,Destruction of skin lesions,,,855.0,18617.0,9
HCPCS,17311,Mohs 1 stage h/n/hf/g,,,873.1,4166.0,9
HCPCS,17312,Mohs Addl Stage,,,428.0,1866.0,4
HCPCS,17313,Mohs 1 stage t/a/l,,,873.1,4166.0,9
HCPCS,17314,Mohs addl stage t/a/l,,,428.0,1866.0,4
HCPCS,17315,Mohs surg addl block,,,428.0,1866.0,4
HCPCS,17340,Cryotherapy of skin,,,69.69,18617.0,9
HCPCS,17360,Skin peel therapy,,,237.02,18617.0,9
HCPCS,17380,Hair removal by electrolysis,,,873.1,18617.0,9
HCPCS,17999,Skin tissue procedure,,,237.02,18617.0,9
HCPCS,19000,Drainage of breast lesion,,,836.55,3314.0,9
HCPCS,19000,HC PUNCTURE ASPIRATION BREAST CYST - INITIAL,957.0,957.0,,,0
HCPCS,19001,Drain breast lesion add-on,,,428.0,1866.0,4
HCPCS,19001,HC PUNCTURE ASPIRATION BREAST CYST - EA ADDL,667.0,667.0,,,0
HCPCS,19020,HC MASTOTOMY WITH EXPLORATION DEEP,3237.0,3237.0,,,0
HCPCS,19020,Incision of breast lesion,,,1951.11,4466.0,9
HCPCS,19030,HC INJECTION FOR MAMMARY DUCTOGRAM OR GALACTOGRAM,1399.0,1399.0,,,0
HCPCS,19030,Injection for breast x-ray,,,428.0,1866.0,4
HCPCS,19081,Bx breast 1st lesion strtctc,,,1951.11,5098.0,9
HCPCS,19081,HC BX BREAST 1ST LESION STEREOTACTIC GUIDANCE,4708.0,4708.0,,,0
HCPCS,19082,Bx breast add lesion strtctc,,,428.0,1866.0,4
HCPCS,19082,HC BX BREAST ADD LESION STEREOTACTIC GUIDANCE,4121.0,4121.0,,,0
HCPCS,19083,Bx breast 1st lesion us imag,,,1951.11,5098.0,9
HCPCS,19083,HC BX BREAST 1ST LESION US IMAG,4298.0,4298.0,,,0
HCPCS,19084,Bx breast add lesion us imag,,,428.0,1866.0,4
HCPCS,19084,HC BX BREAST ADD LESION US IMAG,3713.0,3713.0,,,0
HCPCS,19085,Bx breast 1st lesion mr imag,,,1951.11,5098.0,9
HCPCS,19085,HC BX BREAST 1ST LESION MR IMAG,3604.0,3604.0,,,0
HCPCS,19086,Bx breast add lesion mr imag,,,428.0,1866.0,4
HCPCS,19086,HC BX BREAST ADD LESION MR IMAG,3019.0,3019.0,,,0
HCPCS,19100,Bx breast percut w/o image,,,1544.0,3314.0,9
HCPCS,19101,Biopsy of breast open,,,2816.0,5123.0,9
HCPCS,19102,HC PERCUTANEOUS CORE BREAST BX W GUIDE,1143.5,1143.5,,,0
HCPCS,19103,HC PERCUTANEOUS BREAST BX - AUTO VA/DEVICE,1143.5,1143.5,,,0
HCPCS,19105,Cryosurg ablate fa each,,,3563.0,13320.0,9
HCPCS,19105,"HC CRYOSURG ABLATE EA FIBROADENOMA, W/ US",4708.0,4708.0,,,0
HCPCS,19110,Nipple exploration,,,2816.0,5123.0,9
HCPCS,19112,Excise breast duct fistula,,,3408.0,5123.0,9
HCPCS,19120,Removal of breast lesion,,,3408.0,5123.0,9
HCPCS,19125,Excision breast lesion,,,3408.0,6404.0,9
HCPCS,19126,Excision addl breast lesion,,,3408.0,6404.0,4
HCPCS,19260,Removal of chest wall lesion,,,4457.0,5123.0,2
HCPCS,19281,HC PERQ DEVICE BREAST 1ST IMAG,2072.0,2072.0,,,0
HCPCS,19281,Perq device breast 1st imag,,,1951.11,4166.0,9
HCPCS,19282,HC PERQ DEVICE BREAST EA IMAG,1487.0,1487.0,,,0
HCPCS,19282,Perq device breast ea imag,,,428.0,1866.0,4
HCPCS,19283,HC PERQ DEV BREAST 1ST STEREOTACTIC GUIDANCE,3233.0,3233.0,,,0
HCPCS,19283,Perq dev breast 1st strtctc,,,836.55,4166.0,9
HCPCS,19284,HC PERQ DEV BREAST ADD STEREOTACTIC GUIDANCE,2649.0,2649.0,,,0
HCPCS,19284,Perq dev breast add strtctc,,,428.0,1866.0,4
HCPCS,19285,HC PERQ DEV BREAST 1ST US IMAG,2821.0,2821.0,,,0
HCPCS,19285,Perq dev breast 1st us imag,,,836.55,4166.0,9
HCPCS,19286,HC PERQ DEV BREAST ADD US IMAG,2237.0,2237.0,,,0
HCPCS,19286,Perq dev breast add us imag,,,428.0,1866.0,4
HCPCS,19287,HC PERQ DEV BREAST 1ST MR GUIDE,2128.0,2128.0,,,0
HCPCS,19287,Perq dev breast 1st mr guide,,,836.55,5044.0,9
HCPCS,19288,HC PERQ DEV BREAST ADD MR GUIDE,1544.0,1544.0,,,0
HCPCS,19288,Perq dev breast add mr guide,,,428.0,1866.0,4
HCPCS,19290,"HC PREOP NEEDLE LOCALIZATION, BREAST, INITIAL",708.0,708.0,,,0
HCPCS,19291,"HC PREOP NEEDLE LOCALIZATION, BREAST, EA ADDL",297.0,297.0,,,0
HCPCS,19294,Prep tum cav iort prtl mast,,,428.0,1866.0,4
HCPCS,19295,HC PLACE BREAST CLIP PERCUT,894.5,894.5,,,0
HCPCS,19296,Place po breast cath for rad,,,4062.0,13320.0,9
HCPCS,19297,Place breast cath for rad,,,428.0,4920.0,4
HCPCS,19298,Place breast rad tube/caths,,,3560.0,17094.06,9
HCPCS,19300,Removal of Breast Tissue,,,4224.0,6404.0,9
HCPCS,19301,Partial Mastectomy,,,3408.0,6404.0,9
HCPCS,19302,P-Mastectomy w/LN Removal,,,4147.0,11081.0,9
HCPCS,19303,Mast simple complete,,,4224.0,11081.0,9
HCPCS,19304,Mast subq,,,6962.0,8006.0,2
HCPCS,19305,Mast radical,,,1406.0,18617.0,4
HCPCS,19306,Mast rad urban type,,,1406.0,18617.0,4
HCPCS,19307,Mast mod rad,,,3291.0,13320.0,9
HCPCS,19316,Suspension of breast,,,4224.0,9420.0,9
HCPCS,19318,Reduction of large breast,,,4224.0,11081.0,9
HCPCS,19324,Enlarge breast,,,13338.0,15339.0,2
HCPCS,19325,Enlarge breast with implant,,,4062.0,13320.0,9
HCPCS,19328,Removal of breast implant,,,1544.0,6404.0,9
HCPCS,19330,Removal of implant material,,,1544.0,6404.0,9
HCPCS,19340,Immediate breast prosthesis,,,2816.0,13036.0,9
HCPCS,19342,Delayed breast prosthesis,,,3408.0,13036.0,9
HCPCS,19350,Breast reconstruction,,,4224.0,6404.0,9
HCPCS,19355,Correct inverted nipple(s),,,4224.0,6312.0,9
HCPCS,19357,Breast reconstruction,,,3291.0,17939.0,9
HCPCS,19361,Breast reconstr w/lat flap,,,1406.0,18617.0,4
HCPCS,19364,Breast reconstruction,,,3291.0,18617.0,6
HCPCS,19366,Breast reconstruction,,,8190.0,9420.0,2
HCPCS,19367,Breast reconstruction,,,1406.0,18617.0,4
HCPCS,19368,Breast reconstruction,,,1406.0,18617.0,4
HCPCS,19369,Breast reconstruction,,,1406.0,18617.0,4
HCPCS,19370,Surgery of breast capsule,,,4224.0,8006.0,9
HCPCS,19371,Removal of breast capsule,,,4224.0,8006.0,9
HCPCS,19380,Revise breast reconstruction,,,3291.0,9420.0,9
HCPCS,19396,Design custom breast implant,,,428.0,18617.0,9
HCPCS,19499,Breast surgery procedure,,,1544.0,18617.0,9
HCPCS,20005,"HC Incision and drainage of soft tissue abscess, subfascial",667.5,667.5,,,0
HCPCS,20100,Explore wound neck,,,637.13,4097.0,9
HCPCS,20101,Explore wound chest,,,1406.0,18617.0,9
HCPCS,20102,Explore wound abdomen,,,1406.0,18617.0,9
HCPCS,20103,Explore wound extremity,,,1544.0,4097.0,9
HCPCS,20103,HC EXPLORE WOUND; EXTREMITY,2068.0,2068.0,,,0
HCPCS,20150,Excise epiphyseal bar,,,1406.0,18617.0,9
HCPCS,20200,Muscle biopsy,,,1951.11,4466.0,9
HCPCS,20205,Deep muscle biopsy,,,3408.0,5123.0,9
HCPCS,20206,HC MUSCLE BIOPSY PERCUTANEOUS NEEDLE,2073.0,2073.0,,,0
HCPCS,20206,Needle biopsy muscle,,,1544.0,3314.0,9
HCPCS,20220,Bone biopsy trocar/needle,,,1544.0,3314.0,9
HCPCS,20220,HC BONE BIOPSY TROCAR/NEEDLE; SUPERFICIAL,2311.0,2311.0,,,0
HCPCS,20225,Bone biopsy trocar/needle,,,1951.11,4466.0,9
HCPCS,20225,HC BONE BIOPSY TROCAR/NEEDLE; DEEP,2802.0,2802.0,,,0
HCPCS,20240,Bone biopsy open superficial,,,2816.0,6404.0,9
HCPCS,20245,Bone biopsy open deep,,,3408.0,6404.0,9
HCPCS,20250,Open bone biopsy,,,3408.0,8006.0,9
HCPCS,20251,Open bone biopsy,,,3408.0,11081.0,9
HCPCS,20500,HC INJECTION OF SINUS TRACT; THERAPEUTIC,2615.0,2615.0,,,0
HCPCS,20500,Injection of sinus tract,,,1544.0,18617.0,9
HCPCS,20501,HC INJECTION SINUS TRACT; DIAGNOSTIC (SINOGRAM),721.0,721.0,,,0
HCPCS,20501,Inject sinus tract for x-ray,,,428.0,1866.0,4
HCPCS,20520,HC REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH; SIMPLE,4303.0,4303.0,,,0
HCPCS,20520,Removal of foreign body,,,1951.11,4166.0,9
HCPCS,20525,"HC REMOVE FOREIGN BODY, MUSCLE OR TENDON; COMPLICATED",4268.5,4268.5,,,0
HCPCS,20525,Removal of foreign body,,,3408.0,5098.0,9
HCPCS,20526,Ther injection carp tunnel,,,362.62,3314.0,9
HCPCS,20527,Inj dupuytren cord w/enzyme,,,362.62,18617.0,9
HCPCS,20550,HC INJECTION; SINGLE TENDON SHEATH/LIGAMENT,518.0,518.0,,,0
HCPCS,20550,Inj tendon sheath/ligament,,,362.62,3314.0,9
HCPCS,20551,Inj tendon origin/insertion,,,362.62,3314.0,9
HCPCS,20552,"HC INJECTION; TRIGGER POINTS, 1 OR 2 MUSCLES",616.5,616.5,,,0
HCPCS,20552,Inj trigger point 1/2 muscl,,,362.62,3314.0,9
HCPCS,20553,"HC TRIGGER PTS INJ, SGL/MULTI =/> 3 MUSCLES",706.5,706.5,,,0
HCPCS,20553,Inject trigger points 3/>,,,362.62,3314.0,9
HCPCS,20555,Place ndl musc/tis for rt,,,1544.0,13320.0,9
HCPCS,20560,Ndl insj w/o njx 1 or 2 musc,,,34.17,18617.0,9
HCPCS,20561,Ndl insj w/o njx 3+ musc,,,34.17,18617.0,9
HCPCS,20600,Drain/inj joint/bursa w/o us,,,362.62,3314.0,9
HCPCS,20600,"HC ARTHROCENTESIS, SMALL JOINT OR BURSA",565.5,565.5,,,0
HCPCS,20604,Drain/inj joint/bursa w/us,,,362.62,18617.0,9
HCPCS,20604,HC DRAIN/INJ SMALL JOINT/BURSA W/US,745.0,745.0,,,0
HCPCS,20605,Drain/inj joint/bursa w/o us,,,362.62,3314.0,9
HCPCS,20605,"HC ARTHROCENTESIS, INTERMEDIATE JOINT OR BURSA",703.0,703.0,,,0
HCPCS,20606,Drain/inj joint/bursa w/us,,,833.89,18617.0,9
HCPCS,20606,HC DRAIN/INJ INTERMEDIATE JOINT/BURSA W/US,1044.0,1044.0,,,0
HCPCS,20610,Drain/inj joint/bursa w/o us,,,362.62,3314.0,9
HCPCS,20610,HC ARTHROCENTESIS MAJOR JOINT OR BURSA,909.0,909.0,,,0
HCPCS,20611,Drain/inj joint/bursa w/us,,,362.62,18617.0,9
HCPCS,20611,HC DRAIN/INJ MAJOR JOINT/BURSA W/US,3477.0,3477.0,,,0
HCPCS,20612,Aspirate/inj ganglion cyst,,,362.62,3314.0,9
HCPCS,20615,HC ASPIRATION & INJ TX OF BONE CYST,3100.0,3100.0,,,0
HCPCS,20615,Treatment of bone cyst,,,836.55,18617.0,9
HCPCS,20650,Insert and remove bone pin,,,3408.0,6404.0,9
HCPCS,20660,Apply rem fixation device,,,1899.59,18617.0,9
HCPCS,20661,Application of head brace,,,428.0,18617.0,9
HCPCS,20662,Application of pelvis brace,,,428.0,5098.0,9
HCPCS,20663,Application of thigh brace,,,428.0,5098.0,9
HCPCS,20664,Application of halo,,,1899.59,18617.0,9
HCPCS,20665,Removal of fixation device,,,527.74,1866.0,7
HCPCS,20670,Removal of support implant,,,1544.0,4097.0,9
HCPCS,20680,Removal of support implant,,,3408.0,5123.0,9
HCPCS,20690,Apply bone fixation device,,,2816.0,13036.0,9
HCPCS,20692,Apply bone fixation device,,,3408.0,15925.26,9
HCPCS,20693,Adjust bone fixation device,,,3408.0,9420.0,9
HCPCS,20694,Remove bone fixation device,,,1544.0,4097.0,9
HCPCS,20696,Comp multiplane ext fixation,,,3408.0,33657.37,9
HCPCS,20697,Comp ext fixate strut change,,,1899.59,9918.0,9
HCPCS,20700,Mnl prep&insj dp rx dlvr dev,,,1544.0,1866.0,2
HCPCS,20701,Rmvl deep rx delivery device,,,1544.0,1866.0,2
HCPCS,20702,Mnl prep&insj imed rx dev,,,1544.0,1866.0,2
HCPCS,20703,Rmvl imed rx delivery device,,,1544.0,1866.0,2
HCPCS,20704,Mnl prep&insj i-artic rx dev,,,1544.0,1866.0,2
HCPCS,20705,Rmvl i-artic rx delivery dev,,,1544.0,1866.0,2
HCPCS,20802,Replantation arm complete,,,1406.0,21749.16,9
HCPCS,20805,Replant forearm complete,,,1406.0,21749.16,9
HCPCS,20808,Replantation hand complete,,,1406.0,21749.16,9
HCPCS,20816,Replantation digit complete,,,1406.0,18617.0,9
HCPCS,20822,"HC REPLANTATION, DIGIT, EXCL THUMB, COMPLETE",7725.0,7725.0,,,0
HCPCS,20822,Replantation digit complete,,,1406.0,5098.0,9
HCPCS,20824,Replantation thumb complete,,,1406.0,18617.0,9
HCPCS,20827,Replantation thumb complete,,,1406.0,18617.0,9
HCPCS,20838,Replantation foot complete,,,1406.0,21749.16,9
HCPCS,20900,Removal of bone for graft,,,3408.0,13036.0,9
HCPCS,20902,Removal of bone for graft,,,4224.0,9000.7,9
HCPCS,20910,Remove cartilage for graft,,,428.0,5098.0,9
HCPCS,20912,Remove cartilage for graft,,,3408.0,8006.0,9
HCPCS,20920,Removal of fascia for graft,,,428.0,6312.0,9
HCPCS,20922,Removal of fascia for graft,,,2437.45,13036.0,9
HCPCS,20924,Removal of tendon for graft,,,4224.0,9420.0,9
HCPCS,20926,Removal of tissue for graft,,,6962.0,8006.0,2
HCPCS,20930,Sp bone algrft morsel add-on,,,428.0,1866.0,4
HCPCS,20931,Sp bone algrft struct add-on,,,428.0,1866.0,4
HCPCS,20932,Osteoart algrft w/surf & b1,,,428.0,1866.0,4
HCPCS,20933,Hemicrt intrclry algrft prtl,,,428.0,1866.0,4
HCPCS,20934,Intercalary algrft compl,,,428.0,1866.0,4
HCPCS,20936,Sp bone agrft local add-on,,,428.0,1866.0,4
HCPCS,20937,Sp bone agrft morsel add-on,,,1544.0,1866.0,2
HCPCS,20938,Sp bone agrft struct add-on,,,1544.0,1866.0,2
HCPCS,20939,Bone marrow aspir bone grfg,,,428.0,1866.0,4
HCPCS,20950,Fluid pressure muscle,,,836.55,3314.0,9
HCPCS,20955,Fibula bone graft microvasc,,,428.0,18617.0,9
HCPCS,20956,Iliac bone graft microvasc,,,4224.0,18617.0,9
HCPCS,20957,Mt bone graft microvasc,,,4224.0,18617.0,9
HCPCS,20960,Description Not Available,,,1406.0,18617.0,4
HCPCS,20962,Other bone graft microvasc,,,428.0,18617.0,9
HCPCS,20969,Bone/skin graft microvasc,,,428.0,18617.0,9
HCPCS,20970,Bone/skin graft iliac crest,,,428.0,18617.0,9
HCPCS,20971,Description Not Available,,,1406.0,18617.0,4
HCPCS,20972,Bone/skin graft metatarsal,,,4224.0,17041.0,9
HCPCS,20973,Bone/skin graft great toe,,,428.0,9000.7,9
HCPCS,20974,Electrical bone stimulation,,,56.97,18617.0,9
HCPCS,20975,Electrical bone stimulation,,,428.0,4166.0,4
HCPCS,20979,Us bone stimulation,,,34.17,18617.0,9
HCPCS,20982,Ablate bone tumor(s) perq,,,1544.0,21749.16,9
HCPCS,20982,HC ABLATE BONE TUMOR PERQ,13757.0,13757.0,,,0
HCPCS,20983,Ablate bone tumor(s) perq,,,2816.0,18617.0,9
HCPCS,20983,"HC ABLATE BONE TUMOR, PERQ, W/IMAG PERF,  CRYO",13757.0,13757.0,,,0
HCPCS,20985,Cptr-asst dir ms px,,,428.0,1866.0,4
HCPCS,20999,HC UNLISTED PROCEDURE MUSCULOSKELETAL SYSTEM GENERAL,796.0,796.0,,,0
HCPCS,20999,Musculoskeletal surgery,,,291.4,5123.0,7
HCPCS,21010,Incision of jaw joint,,,2816.0,6404.0,9
HCPCS,21011,Exc face les sc <2 cm,,,1544.0,18617.0,9
HCPCS,21012,Exc face les sbq 2 cm/>,,,1544.0,5123.0,9
HCPCS,21013,Exc face tum deep < 2 cm,,,1544.0,4466.0,9
HCPCS,21014,Exc face tum deep 2 cm/>,,,1544.0,5123.0,9
HCPCS,21015,Resect face/scalp tum < 2 cm,,,3408.0,6404.0,9
HCPCS,21016,Resect face/scalp tum 2 cm/>,,,2816.0,13320.0,9
HCPCS,21025,Excision of bone lower jaw,,,2816.0,9420.0,9
HCPCS,21026,Excision of facial bone(s),,,2816.0,9420.0,9
HCPCS,21029,Contour of face bone lesion,,,2816.0,6404.0,9
HCPCS,21030,Excise max/zygoma b9 tumor,,,2816.0,18617.0,9
HCPCS,21031,Remove exostosis mandible,,,1544.0,18617.0,9
HCPCS,21032,Remove exostosis maxilla,,,1544.0,18617.0,9
HCPCS,21034,Excise max/zygoma mal tumor,,,3408.0,8006.0,9
HCPCS,21040,Excise mandible lesion,,,2816.0,6404.0,9
HCPCS,21044,Removal of jaw bone lesion,,,3721.0,9420.0,9
HCPCS,21045,Extensive jaw surgery,,,4224.0,18617.0,9
HCPCS,21046,Remove mandible cyst complex,,,2816.0,8006.0,9
HCPCS,21047,Excise lwr jaw cyst w/repair,,,2816.0,11081.0,9
HCPCS,21048,Remove maxilla cyst complex,,,2816.0,9420.0,9
HCPCS,21049,Excis uppr jaw cyst w/repair,,,2816.0,9420.0,9
HCPCS,21050,Removal of jaw joint,,,3408.0,9420.0,9
HCPCS,21060,Remove jaw joint cartilage,,,2816.0,13036.0,9
HCPCS,21070,Remove coronoid process,,,3408.0,11081.0,9
HCPCS,21073,Mnpj of tmj w/anesth,,,1544.0,18617.0,9
HCPCS,21076,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21077,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21079,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21080,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21081,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21082,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21083,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21084,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21085,Prepare face/oral prosthesis,,,279.8,18617.0,9
HCPCS,21086,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21087,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21088,Prepare face/oral prosthesis,,,1406.0,18617.0,9
HCPCS,21089,Prepare face/oral prosthesis,,,279.8,18617.0,9
HCPCS,21100,Maxillofacial fixation,,,428.0,7343.03,9
HCPCS,21110,Interdental fixation,,,1544.0,8006.0,9
HCPCS,21116,Injection jaw joint x-ray,,,428.0,1866.0,4
HCPCS,21120,Reconstruction of chin,,,4147.0,15339.0,9
HCPCS,21121,Reconstruction of chin,,,3916.7,9918.0,9
HCPCS,21122,Reconstruction of chin,,,4147.0,13036.0,9
HCPCS,21123,Reconstruction of chin,,,3916.7,17041.0,9
HCPCS,21125,Augmentation lower jaw bone,,,4147.0,13036.0,9
HCPCS,21127,Augmentation lower jaw bone,,,3560.0,15339.0,9
HCPCS,21137,Reduction of forehead,,,3408.0,18617.0,9
HCPCS,21138,Reduction of forehead,,,3408.0,18617.0,9
HCPCS,21139,Reduction of forehead,,,428.0,18617.0,9
HCPCS,21141,Lefort i-1 piece w/o graft,,,3563.0,18617.0,9
HCPCS,21142,Lefort i-2 piece w/o graft,,,4224.0,18617.0,9
HCPCS,21143,Lefort i-3/> piece w/o graft,,,4224.0,18617.0,9
HCPCS,21145,Lefort i-1 piece w/ graft,,,4224.0,18617.0,9
HCPCS,21146,Lefort i-2 piece w/ graft,,,4224.0,18617.0,9
HCPCS,21147,Lefort i-3/> piece w/ graft,,,4224.0,18617.0,9
HCPCS,21150,Lefort ii anterior intrusion,,,4224.0,18617.0,9
HCPCS,21151,Lefort ii w/bone grafts,,,4224.0,18617.0,9
HCPCS,21154,Lefort iii w/o lefort i,,,4224.0,18617.0,9
HCPCS,21155,Lefort iii w/ lefort i,,,4224.0,18617.0,9
HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,4224.0,18617.0,9
HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,4224.0,18617.0,9
HCPCS,21172,Reconstruct orbit/forehead,,,3291.0,18617.0,9
HCPCS,21175,Reconstruct orbit/forehead,,,3291.0,18617.0,9
HCPCS,21179,Reconstruct entire forehead,,,2138.0,18617.0,9
HCPCS,21180,Reconstruct entire forehead,,,3291.0,18617.0,9
HCPCS,21181,Contour cranial bone lesion,,,4147.0,9918.0,9
HCPCS,21182,Reconstruct cranial bone,,,4224.0,18617.0,9
HCPCS,21183,Reconstruct cranial bone,,,4224.0,18617.0,9
HCPCS,21184,Reconstruct cranial bone,,,4224.0,18617.0,9
HCPCS,21188,Reconstruction of midface,,,4224.0,18617.0,9
HCPCS,21193,Reconst lwr jaw w/o graft,,,3291.0,18617.0,9
HCPCS,21194,Reconst lwr jaw w/graft,,,4224.0,18617.0,9
HCPCS,21195,Reconst lwr jaw w/o fixation,,,3291.0,18617.0,9
HCPCS,21196,Reconst lwr jaw w/fixation,,,4224.0,18617.0,9
HCPCS,21198,Reconstr lwr jaw segment,,,3408.0,18617.0,9
HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,3291.0,18617.0,9
HCPCS,21206,Reconstruct upper jaw bone,,,3291.0,13036.0,9
HCPCS,21208,Augmentation of facial bones,,,4147.0,13036.0,9
HCPCS,21209,Reduction of facial bones,,,3291.0,11081.0,9
HCPCS,21210,Face bone graft,,,4147.0,11081.0,9
HCPCS,21215,Lower jaw bone graft,,,4147.0,11081.0,9
HCPCS,21230,Rib cartilage graft,,,4147.0,13036.0,9
HCPCS,21235,Ear cartilage graft,,,4147.0,9918.0,9
HCPCS,21240,Reconstruction of jaw joint,,,4224.0,8006.0,9
HCPCS,21242,Reconstruction of jaw joint,,,3291.0,13036.0,9
HCPCS,21243,Reconstruction of jaw joint,,,3291.0,33657.37,9
HCPCS,21244,Reconstruction of lower jaw,,,4147.0,18686.0,9
HCPCS,21245,Reconstruction of jaw,,,4147.0,13036.0,9
HCPCS,21246,Reconstruction of jaw,,,4147.0,17041.0,9
HCPCS,21247,Reconstruct lower jaw bone,,,428.0,18617.0,9
HCPCS,21248,Reconstruction of jaw,,,4147.0,11081.0,9
HCPCS,21249,Reconstruction of jaw,,,4147.0,13036.0,9
HCPCS,21255,Reconstruct lower jaw bone,,,4224.0,18617.0,9
HCPCS,21256,Reconstruction of orbit,,,1406.0,18617.0,9
HCPCS,21260,Revise eye sockets,,,428.0,18617.0,9
HCPCS,21261,Revise eye sockets,,,428.0,18617.0,9
HCPCS,21263,Revise eye sockets,,,855.0,18617.0,9
HCPCS,21267,Revise eye sockets,,,428.0,9918.0,9
HCPCS,21268,Revise eye sockets,,,4224.0,18617.0,9
HCPCS,21270,Augmentation cheek bone,,,3291.0,9420.0,9
HCPCS,21275,Revision orbitofacial bones,,,3563.0,9918.0,9
HCPCS,21280,Revision of eyelid,,,3291.0,7422.0,9
HCPCS,21282,Revision of eyelid,,,3291.0,7422.0,9
HCPCS,21295,Revision of jaw muscle/bone,,,428.0,3314.0,9
HCPCS,21296,Revision of jaw muscle/bone,,,428.0,4112.54,9
HCPCS,21299,Cranio/maxillofacial surgery,,,279.8,18617.0,9
HCPCS,21310,Closed tx nose fx w/o manj,,,855.0,984.0,2
HCPCS,21310,DEAC 1/1/2022 HC CLOSED TX NASAL FRACTURE W/O MANIPULATION,66.0,66.0,,,0
HCPCS,21315,Closed tx nose fx w/o stablj,,,1832.96,4466.0,9
HCPCS,21315,HC CLOSED TX NASAL BONE FX W/MANIPULATION W/O STABILIZATION,1923.0,1923.0,,,0
HCPCS,21320,Closed tx nose fx w/ stablj,,,2816.0,4466.0,9
HCPCS,21320,HC CLOSED TX NASAL BONE FX W/MANIPULATION W/ STABILIZATION,18344.0,18344.0,,,0
HCPCS,21325,Open tx nose fx uncomplicatd,,,3916.7,6312.0,9
HCPCS,21330,Open tx nose fx w/skele fixj,,,3291.0,8006.0,9
HCPCS,21335,Open tx nose & septal fx,,,3916.7,9918.0,9
HCPCS,21336,HC OPEN TX NASAL SEPTAL FRACTURE WITH OR WITHOUT STABILIZATION,6685.0,6685.0,,,0
HCPCS,21336,Open tx septal fx w/wo stabj,,,3865.36,6404.0,9
HCPCS,21337,Closed tx septal&nose fx,,,2816.0,4466.0,9
HCPCS,21338,Open nasoethmoid fx w/o fixj,,,4224.0,8006.0,9
HCPCS,21339,Open nasoethmoid fx w/ fixj,,,3291.0,13036.0,9
HCPCS,21340,Perq tx nasoethmoid fx,,,3916.7,6404.0,9
HCPCS,21343,Open tx dprsd front sinus fx,,,3291.0,18617.0,9
HCPCS,21344,Open tx compl front sinus fx,,,3291.0,18617.0,9
HCPCS,21345,Closed tx nose/jaw fx,,,1832.96,9918.0,9
HCPCS,21346,Opn tx nasomax fx w/fixj,,,4224.0,18617.0,9
HCPCS,21347,Opn tx nasomax fx multple,,,3291.0,18617.0,9
HCPCS,21348,Opn tx nasomax fx w/graft,,,3291.0,18617.0,9
HCPCS,21355,Perq tx malar fracture,,,3408.0,6404.0,9
HCPCS,21356,Opn tx dprsd zygomatic arch,,,3408.0,7343.03,9
HCPCS,21360,Opn tx dprsd malar fracture,,,4224.0,11081.0,9
HCPCS,21365,Opn tx complx malar fx,,,3291.0,13036.0,9
HCPCS,21366,Opn tx complx malar w/grft,,,3291.0,18617.0,9
HCPCS,21385,Opn tx orbit fx transantral,,,3291.0,13320.0,9
HCPCS,21386,Opn tx orbit fx periorbital,,,3291.0,18617.0,9
HCPCS,21387,Opn tx orbit fx combined,,,3291.0,18617.0,9
HCPCS,21390,Opn tx orbit periorbtl implt,,,4147.0,11081.0,9
HCPCS,21395,Opn tx orbit periorbt w/grft,,,4147.0,18617.0,9
HCPCS,21400,Closed tx orbit w/o manipulj,,,637.13,4466.0,9
HCPCS,21401,Closed tx orbit w/manipulj,,,1832.96,6404.0,9
HCPCS,21406,Opn tx orbit fx w/o implant,,,4224.0,15339.0,9
HCPCS,21407,Opn tx orbit fx w/implant,,,3291.0,13036.0,9
HCPCS,21408,Opn tx orbit fx w/bone grft,,,428.0,7422.0,9
HCPCS,21421,Treat mouth roof fracture,,,3916.7,8006.0,9
HCPCS,21422,Treat mouth roof fracture,,,3291.0,18617.0,9
HCPCS,21423,Treat mouth roof fracture,,,4224.0,18617.0,9
HCPCS,21431,Treat craniofacial fracture,,,4224.0,18617.0,9
HCPCS,21432,Treat craniofacial fracture,,,4224.0,18617.0,9
HCPCS,21433,Treat craniofacial fracture,,,4224.0,18617.0,9
HCPCS,21435,Treat craniofacial fracture,,,4224.0,18617.0,9
HCPCS,21436,Treat craniofacial fracture,,,4224.0,18617.0,9
HCPCS,21440,Treat dental ridge fracture,,,3408.0,8006.0,9
HCPCS,21445,Treat dental ridge fracture,,,4224.0,11081.0,9
HCPCS,21450,Treat lower jaw fracture,,,637.13,5098.0,9
HCPCS,21451,Treat lower jaw fracture,,,1832.96,6312.0,9
HCPCS,21452,Treat lower jaw fracture,,,2816.0,17041.0,9
HCPCS,21453,Treat lower jaw fracture,,,3408.0,9420.0,9
HCPCS,21454,Treat lower jaw fracture,,,3291.0,17041.0,9
HCPCS,21461,Treat lower jaw fracture,,,4224.0,15339.0,9
HCPCS,21462,Treat lower jaw fracture,,,3291.0,17041.0,9
HCPCS,21465,Treat lower jaw fracture,,,4224.0,15339.0,9
HCPCS,21470,Treat lower jaw fracture,,,3291.0,17041.0,9
HCPCS,21480,HC CLOSED TREATMENT JAW DISLOCATION,287.0,287.0,,,0
HCPCS,21480,Reset dislocated jaw,,,291.4,3314.0,9
HCPCS,21485,Reset dislocated jaw,,,1832.96,4466.0,9
HCPCS,21490,Repair dislocated jaw,,,3408.0,8006.0,9
HCPCS,21497,Interdental wiring,,,1832.96,6404.0,9
HCPCS,21499,Head surgery procedure,,,279.8,18617.0,9
HCPCS,21501,Drain neck/chest lesion,,,2816.0,5123.0,9
HCPCS,21501,HC I&D DEEP ABSCESS SOFT TISS NK/THOR,4770.0,4770.0,,,0
HCPCS,21502,Drain chest lesion,,,2816.0,8006.0,9
HCPCS,21510,Drainage of bone lesion,,,428.0,18617.0,9
HCPCS,21550,Biopsy of neck/chest,,,1544.0,4097.0,9
HCPCS,21550,HC SOFT TISSUE BIOPSY - NECK/THORAX,2802.0,2802.0,,,0
HCPCS,21552,Exc neck les sc 3 cm/>,,,3408.0,13320.0,9
HCPCS,21554,Exc neck tum deep 5 cm/>,,,3408.0,13320.0,9
HCPCS,21555,Exc neck les sc < 3 cm,,,1951.11,4466.0,9
HCPCS,21556,Exc neck tum deep < 5 cm,,,2816.0,5123.0,9
HCPCS,21557,Resect neck thorax tumor<5cm,,,2816.0,18617.0,9
HCPCS,21558,Resect neck tumor 5 cm/>,,,3408.0,13320.0,9
HCPCS,21600,Partial removal of rib,,,2816.0,9420.0,9
HCPCS,21601,Exc chest wall tumor w/ribs,,,3291.0,18617.0,9
HCPCS,21602,Exc ch wal tum w/o lymphadec,,,3291.0,18617.0,9
HCPCS,21603,Exc ch wal tum w/lymphadec,,,3291.0,18617.0,9
HCPCS,21610,Partial removal of rib,,,2816.0,11081.0,9
HCPCS,21615,Removal of rib,,,428.0,18617.0,9
HCPCS,21616,Removal of rib and nerves,,,428.0,18617.0,9
HCPCS,21620,Partial removal of sternum,,,428.0,18617.0,9
HCPCS,21627,Sternal debridement,,,428.0,18617.0,9
HCPCS,21630,Extensive sternum surgery,,,3291.0,18617.0,9
HCPCS,21632,Extensive sternum surgery,,,3291.0,18617.0,6
HCPCS,21685,Hyoid myotomy & suspension,,,2762.0,13036.0,9
HCPCS,21700,Revision of neck muscle,,,2816.0,9000.7,9
HCPCS,21705,Revision of neck muscle/rib,,,428.0,18617.0,9
HCPCS,21720,Revision of neck muscle,,,3408.0,6404.0,9
HCPCS,21725,Revision of neck muscle,,,428.0,5098.0,9
HCPCS,21740,Reconstruction of sternum,,,4224.0,18617.0,9
HCPCS,21742,Repair stern/nuss w/o scope,,,428.0,5098.0,9
HCPCS,21743,Repair sternum/nuss w/scope,,,428.0,5098.0,9
HCPCS,21750,Repair of sternum separation,,,428.0,18617.0,9
HCPCS,21800,"HC CLOSED TREATMENT OF RIB FRACTURE, UNCOMPLICATED, EA",49.0,49.0,,,0
HCPCS,21811,Optx of rib fx w/fixj scope,,,3408.0,13320.0,9
HCPCS,21812,Treatment of rib fracture,,,3408.0,13320.0,9
HCPCS,21813,Treatment of rib fracture,,,1899.59,13320.0,9
HCPCS,21820,Treat sternum fracture,,,291.4,3314.0,9
HCPCS,21825,Treat sternum fracture,,,428.0,18617.0,9
HCPCS,21899,Neck/chest surgery procedure,,,279.8,18617.0,9
HCPCS,21920,Biopsy soft tissue of back,,,1544.0,3314.0,9
HCPCS,21925,Biopsy soft tissue of back,,,1951.11,4466.0,9
HCPCS,21930,Exc back les sc < 3 cm,,,1951.11,4466.0,9
HCPCS,21931,Exc back les sc 3 cm/>,,,1951.11,13320.0,9
HCPCS,21932,Exc back tum deep < 5 cm,,,2816.0,9918.0,9
HCPCS,21933,Exc back tum deep 5 cm/>,,,3408.0,13320.0,9
HCPCS,21935,Resect back tum < 5 cm,,,3408.0,6404.0,9
HCPCS,21936,Resect back tum 5 cm/>,,,3408.0,13320.0,9
HCPCS,22010,I&d p-spine c/t/cerv-thor,,,3291.0,18617.0,9
HCPCS,22015,I&d abscess p-spine l/s/ls,,,3291.0,18617.0,9
HCPCS,22100,Remove part of neck vertebra,,,3408.0,9420.0,9
HCPCS,22101,Remove part thorax vertebra,,,3408.0,9000.7,9
HCPCS,22102,Remove part lumbar vertebra,,,3408.0,9420.0,9
HCPCS,22103,Remove extra spine segment,,,428.0,7555.0,6
HCPCS,22110,Remove part of neck vertebra,,,3291.0,18617.0,9
HCPCS,22112,Remove part thorax vertebra,,,3291.0,18617.0,9
HCPCS,22114,Remove part lumbar vertebra,,,3291.0,18617.0,9
HCPCS,22116,Remove extra spine segment,,,1544.0,1866.0,2
HCPCS,22206,Incis spine 3 column thorac,,,3291.0,18617.0,9
HCPCS,22207,Incis spine 3 column lumbar,,,3291.0,18617.0,9
HCPCS,22208,Incis spine 3 column adl seg,,,1544.0,1866.0,2
HCPCS,22210,Incis 1 vertebral seg cerv,,,3291.0,18617.0,9
HCPCS,22212,Incis 1 vertebral seg thorac,,,3291.0,18617.0,9
HCPCS,22214,Incis 1 vertebral seg lumbar,,,3291.0,18617.0,9
HCPCS,22216,Incis addl spine segment,,,1544.0,1866.0,2
HCPCS,22220,Incis w/discectomy cervical,,,3291.0,18617.0,9
HCPCS,22222,Incis w/discectomy thoracic,,,428.0,18617.0,9
HCPCS,22224,Incis w/discectomy lumbar,,,3291.0,18617.0,9
HCPCS,22226,Revise extra spine segment,,,1544.0,1866.0,2
HCPCS,22310,Closed tx vert fx w/o manj,,,291.4,3314.0,9
HCPCS,22315,Closed tx vert fx w/manj,,,2816.0,4466.0,9
HCPCS,22318,Treat odontoid fx w/o graft,,,3560.0,18617.0,9
HCPCS,22319,Treat odontoid fx w/graft,,,3560.0,18617.0,9
HCPCS,22325,Treat spine fracture,,,428.0,18617.0,9
HCPCS,22326,Treat neck spine fracture,,,428.0,18617.0,9
HCPCS,22327,Treat thorax spine fracture,,,428.0,18617.0,9
HCPCS,22328,Treat each add spine fx,,,428.0,1866.0,4
HCPCS,22505,Manipulation of spine,,,1899.59,4466.0,9
HCPCS,22510,"HC PERC VERTEBROPLASTY INJ, CERVICOTHORACIC",7585.0,7585.0,,,0
HCPCS,22510,Perq cervicothoracic inject,,,3865.36,13320.0,9
HCPCS,22511,"HC PERC VERTEBROPLASTY INJ, LUMBOSACRAL",4746.0,4746.0,,,0
HCPCS,22511,Perq lumbosacral injection,,,3865.36,13320.0,9
HCPCS,22512,"HC PERC VERTEBROPLASTY INJ, EA ADDL",4746.0,4746.0,,,0
HCPCS,22512,Vertebroplasty addl inject,,,428.0,13320.0,6
HCPCS,22513,"HC PERQ VERTEBRAL AUGMENTATION, THORACIC",7955.0,7955.0,,,0
HCPCS,22513,Perq vertebral augmentation,,,3291.0,18617.0,9
HCPCS,22514,"HC PERQ VERTEBRAL AUGMENTATION, LUMBAR",7955.0,7955.0,,,0
HCPCS,22514,Perq vertebral augmentation,,,3291.0,18617.0,9
HCPCS,22515,"HC PERQ VERTEBRAL AUGMENTATION, EA ADDL",7955.0,7955.0,,,0
HCPCS,22515,Perq vertebral augmentation,,,428.0,1866.0,4
HCPCS,22520,HC PERCUTANEOUS VERTEBROPLASTY; THORACIC,4662.0,4662.0,,,0
HCPCS,22521,HC PERCUTANEOUS VERTEBROPLASTY; LUMBAR,2670.0,2670.0,,,0
HCPCS,22522,HC PERCUTANEOUS VERTEBROPLASTY; ADDL,2670.0,2670.0,,,0
HCPCS,22523,HC PERCUTANEOUS KYPHOPLASTY; THORACIC,4921.0,4921.0,,,0
HCPCS,22524,HC PERCUTANEOUS KYPHOPLASTY; LUMBAR,4921.0,4921.0,,,0
HCPCS,22525,HC PERCUTANEOUS KYPHOPLASTY ADD-ON,4921.0,4921.0,,,0
HCPCS,22526,Idet single level,,,428.0,13320.0,6
HCPCS,22527,Idet 1 or more levels,,,428.0,13320.0,6
HCPCS,22532,Lat thorax spine fusion,,,3560.0,18686.0,9
HCPCS,22533,Lat lumbar spine fusion,,,3560.0,21749.16,9
HCPCS,22534,Lat thor/lumb addl seg,,,1544.0,1866.0,2
HCPCS,22548,Neck spine fusion,,,3560.0,18617.0,9
HCPCS,22551,Neck spine fuse&remov bel c2,,,3560.0,18617.0,9
HCPCS,22552,Addl neck spine fusion,,,428.0,1866.0,4
HCPCS,22554,Neck spine fusion,,,3560.0,18617.0,9
HCPCS,22556,Thorax spine fusion,,,3560.0,21749.16,9
HCPCS,22558,Lumbar spine fusion,,,3560.0,33657.37,9
HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,3560.0,21749.16,9
HCPCS,22590,Spine & skull spinal fusion,,,3560.0,18617.0,9
HCPCS,22595,Neck spinal fusion,,,3560.0,18617.0,9
HCPCS,22600,Neck spine fusion,,,3560.0,21749.16,9
HCPCS,22610,Thorax spine fusion,,,3560.0,21749.16,9
HCPCS,22612,Lumbar spine fusion,,,3560.0,21749.16,9
HCPCS,22614,Spine fusion extra segment,,,428.0,1866.0,4
HCPCS,22630,Lumbar spine fusion,,,3560.0,33657.37,9
HCPCS,22632,Spine fusion extra segment,,,1544.0,1866.0,2
HCPCS,22633,Lumbar spine fusion combined,,,3560.0,33657.37,9
HCPCS,22634,Spine fusion extra segment,,,1544.0,1866.0,2
HCPCS,22800,Post fusion <=6 vert seg,,,3560.0,21749.16,9
HCPCS,22802,Post fusion 7-12 vert seg,,,3560.0,21749.16,9
HCPCS,22804,Post fusion 13/> vert seg,,,3560.0,21749.16,9
HCPCS,22808,Ant fusion 2-3 vert seg,,,3560.0,21749.16,9
HCPCS,22810,Ant fusion 4-7 vert seg,,,3560.0,21749.16,9
HCPCS,22812,Ant fusion 8/> vert seg,,,3560.0,21749.16,9
HCPCS,22818,Kyphectomy 1-2 segments,,,3560.0,21749.16,9
HCPCS,22819,Kyphectomy 3 or more,,,3560.0,21749.16,9
HCPCS,22830,Exploration of spinal fusion,,,4224.0,18617.0,9
HCPCS,22836,Ant thrc vrt body tethrg <7,,,3560.0,21749.16,7
HCPCS,22837,Ant thrc vrt body tethrg 8+,,,3560.0,21749.16,7
HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,3560.0,21749.16,7
HCPCS,22840,Insert spine fixation device,,,1544.0,1866.0,2
HCPCS,22841,Insert spine fixation device,,,1544.0,1866.0,2
HCPCS,22842,Insert spine fixation device,,,1544.0,1866.0,2
HCPCS,22843,Insert spine fixation device,,,1544.0,1866.0,2
HCPCS,22844,Insert spine fixation device,,,1544.0,1866.0,2
HCPCS,22845,Insert spine fixation device,,,428.0,1866.0,4
HCPCS,22846,Insert spine fixation device,,,1544.0,1866.0,2
HCPCS,22847,Insert spine fixation device,,,1544.0,1866.0,2
HCPCS,22848,Insert pelv fixation device,,,1544.0,1866.0,2
HCPCS,22849,Reinsert spinal fixation,,,3560.0,18617.0,9
HCPCS,22850,Remove spine fixation device,,,3560.0,18617.0,9
HCPCS,22852,Remove spine fixation device,,,3560.0,18617.0,9
HCPCS,22853,Insj biomechanical device,,,428.0,1866.0,4
HCPCS,22854,Insj biomechanical device,,,428.0,1866.0,4
HCPCS,22855,Remove spine fixation device,,,428.0,18617.0,9
HCPCS,22856,Cerv artific diskectomy,,,3560.0,21749.16,9
HCPCS,22857,Lumbar Artif Diskectomy,,,3560.0,21749.16,9
HCPCS,22858,Second level cer diskectomy,,,1544.0,1866.0,2
HCPCS,22859,Insj biomechanical device,,,428.0,1866.0,4
HCPCS,22860,Tot disc arthrp 2ntrspc lmbr,,,1544.0,1866.0,2
HCPCS,22861,Revise cerv artific disc,,,3560.0,21749.16,9
HCPCS,22862,Revise Lumbar Artif Disc,,,3560.0,21749.16,9
HCPCS,22864,Remove cerv artif disc,,,3560.0,18617.0,9
HCPCS,22865,Remove Lumb Artif Disc,,,3560.0,18617.0,9
HCPCS,22867,Insj stablj dev w/dcmprn,,,3291.0,21749.16,7
HCPCS,22868,Insj stablj dev w/dcmprn,,,1544.0,1866.0,2
HCPCS,22869,Insj stablj dev w/o dcmprn,,,2816.0,18686.0,7
HCPCS,22870,Insj stablj dev w/o dcmprn,,,1544.0,1866.0,2
HCPCS,22899,Spine surgery procedure,,,291.4,18617.0,9
HCPCS,22900,Exc abdl tum deep < 5 cm,,,3431.47,6312.0,9
HCPCS,22901,Exc abdl tum deep 5 cm/>,,,3408.0,13320.0,9
HCPCS,22902,Exc abd les sc < 3 cm,,,1951.11,9918.0,9
HCPCS,22903,Exc abd les sc 3 cm/>,,,3408.0,13320.0,9
HCPCS,22904,Radical resect abd tumor<5cm,,,2816.0,9918.0,9
HCPCS,22905,Rad resect abd tumor 5 cm/>,,,3408.0,13320.0,9
HCPCS,22999,Abdomen surgery procedure,,,291.4,18617.0,9
HCPCS,23000,Removal of calcium deposits,,,2816.0,9420.0,9
HCPCS,23020,Release shoulder joint,,,2816.0,9420.0,9
HCPCS,23030,Drain shoulder lesion,,,1544.0,6404.0,9
HCPCS,23030,"HC DRAINAGE, SHOULDER; DEEP ABSCESS OR HEMATOMA",3465.0,3465.0,,,0
HCPCS,23031,Drain shoulder bursa,,,3408.0,5123.0,9
HCPCS,23035,Drain shoulder bone lesion,,,1899.59,5098.0,9
HCPCS,23040,Exploratory shoulder surgery,,,3408.0,8006.0,9
HCPCS,23044,Exploratory shoulder surgery,,,3865.36,8006.0,9
HCPCS,23065,Biopsy shoulder tissues,,,1544.0,4097.0,9
HCPCS,23066,Biopsy shoulder tissues,,,2816.0,5123.0,9
HCPCS,23071,Exc shoulder les sc 3 cm/>,,,1951.11,13320.0,9
HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,3408.0,13320.0,9
HCPCS,23075,Exc shoulder les sc < 3 cm,,,1951.11,4466.0,9
HCPCS,23076,Exc shoulder tum deep < 5 cm,,,2816.0,5123.0,9
HCPCS,23077,Resect shoulder tumor < 5 cm,,,3408.0,8006.0,9
HCPCS,23078,Resect shoulder tumor 5 cm/>,,,3408.0,13320.0,9
HCPCS,23100,Biopsy of shoulder joint,,,2816.0,5123.0,9
HCPCS,23101,Shoulder joint surgery,,,3865.36,9918.0,9
HCPCS,23105,Remove shoulder joint lining,,,4224.0,9420.0,9
HCPCS,23106,Incision of collarbone joint,,,3865.36,6312.0,9
HCPCS,23107,Explore treat shoulder joint,,,4224.0,11081.0,9
HCPCS,23120,Partial removal collar bone,,,3291.0,8006.0,9
HCPCS,23125,Removal of collar bone,,,3291.0,8006.0,9
HCPCS,23130,Remove shoulder bone part,,,3291.0,8006.0,9
HCPCS,23140,Removal of bone lesion,,,3865.36,6312.0,9
HCPCS,23145,Removal of bone lesion,,,428.0,7422.0,9
HCPCS,23146,Removal of bone lesion,,,3291.0,11081.0,9
HCPCS,23150,Removal of humerus lesion,,,3865.36,8006.0,9
HCPCS,23155,Removal of humerus lesion,,,3291.0,13036.0,9
HCPCS,23156,Removal of humerus lesion,,,3291.0,9420.0,9
HCPCS,23170,Remove collar bone lesion,,,2138.0,4466.0,9
HCPCS,23172,Remove shoulder blade lesion,,,428.0,4466.0,9
HCPCS,23174,Remove humerus lesion,,,428.0,9000.7,9
HCPCS,23180,Remove collar bone lesion,,,4224.0,9000.7,9
HCPCS,23182,Remove shoulder blade lesion,,,4224.0,9420.0,9
HCPCS,23184,Remove humerus lesion,,,4224.0,9420.0,9
HCPCS,23190,Partial removal of scapula,,,3865.36,8006.0,9
HCPCS,23195,Removal of head of humerus,,,3291.0,9420.0,9
HCPCS,23200,Resect clavicle tumor,,,3291.0,18617.0,9
HCPCS,23210,Resect scapula tumor,,,3291.0,18617.0,9
HCPCS,23220,Resect prox humerus tumor,,,3291.0,18617.0,9
HCPCS,23330,Remove shoulder foreign body,,,1544.0,3314.0,9
HCPCS,23333,Remove shoulder fb deep,,,2816.0,5123.0,9
HCPCS,23334,Shoulder prosthesis removal,,,3408.0,13320.0,9
HCPCS,23335,Shoulder prosthesis removal,,,428.0,18617.0,9
HCPCS,23350,HC INJECTION FOR SHOULDER X-RAY,1003.0,1003.0,,,0
HCPCS,23350,Injection for shoulder x-ray,,,428.0,1866.0,4
HCPCS,23395,Muscle transfer shoulder/arm,,,3291.0,13036.0,9
HCPCS,23397,Muscle transfers,,,4147.0,9918.0,9
HCPCS,23400,Fixation of shoulder blade,,,4147.0,13036.0,9
HCPCS,23405,Incision of tendon & muscle,,,2816.0,9420.0,9
HCPCS,23406,Incise tendon(s) & muscle(s),,,2138.0,9000.7,9
HCPCS,23410,Repair rotator cuff acute,,,3291.0,11081.0,9
HCPCS,23412,Repair rotator cuff chronic,,,4147.0,11081.0,9
HCPCS,23415,Release of shoulder ligament,,,3291.0,9420.0,9
HCPCS,23420,Repair of shoulder,,,4147.0,11081.0,9
HCPCS,23430,Repair biceps tendon,,,4224.0,11081.0,9
HCPCS,23440,Remove/transplant tendon,,,4224.0,9000.7,9
HCPCS,23450,Repair shoulder capsule,,,3291.0,11081.0,9
HCPCS,23455,Repair shoulder capsule,,,4147.0,13036.0,9
HCPCS,23460,Repair shoulder capsule,,,3291.0,17041.0,9
HCPCS,23462,Repair shoulder capsule,,,4147.0,15339.0,9
HCPCS,23465,Repair shoulder capsule,,,3291.0,11081.0,9
HCPCS,23466,Repair shoulder capsule,,,4147.0,13036.0,9
HCPCS,23470,Reconstruct shoulder joint,,,3291.0,18617.0,9
HCPCS,23472,Reconstruct shoulder joint,,,428.0,21749.16,9
HCPCS,23473,Revis reconst shoulder joint,,,3291.0,18617.0,9
HCPCS,23474,Revis reconst shoulder joint,,,3291.0,18617.0,9
HCPCS,23480,Revision of collar bone,,,4224.0,11081.0,9
HCPCS,23485,Revision of collar bone,,,4147.0,15925.26,9
HCPCS,23490,Reinforce clavicle,,,3408.0,9000.7,9
HCPCS,23491,Reinforce shoulder bones,,,3408.0,17041.0,9
HCPCS,23500,HC CLOSED FX CLAVICULAR WO MANIPULATION,287.0,287.0,,,0
HCPCS,23500,Treat clavicle fracture,,,291.4,3314.0,9
HCPCS,23505,Treat clavicle fracture,,,1544.0,3314.0,9
HCPCS,23515,Treat clavicle fracture,,,3408.0,15339.0,9
HCPCS,23520,Treat clavicle dislocation,,,428.0,3314.0,9
HCPCS,23525,Treat clavicle dislocation,,,291.4,4097.0,9
HCPCS,23530,Treat clavicle dislocation,,,3408.0,13036.0,9
HCPCS,23532,Treat clavicle dislocation,,,4224.0,13036.0,9
HCPCS,23540,Treat clavicle dislocation,,,291.4,3314.0,9
HCPCS,23545,Treat clavicle dislocation,,,291.4,4097.0,9
HCPCS,23550,Treat clavicle dislocation,,,3408.0,13036.0,9
HCPCS,23552,Treat clavicle dislocation,,,4224.0,15339.0,9
HCPCS,23570,HC CLOSED FX SCAPULAR WO MANIPULATION,287.0,287.0,,,0
HCPCS,23570,Treat shoulder blade fx,,,291.4,3314.0,9
HCPCS,23575,HC CLOSED FX SCAPULAR WITH MANIPULATION,1984.0,1984.0,,,0
HCPCS,23575,Treat shoulder blade fx,,,1544.0,3314.0,9
HCPCS,23585,Treat scapula fracture,,,3408.0,15339.0,9
HCPCS,23600,HC CLOSED FX HUMERAL WO MANIPULATION,287.0,287.0,,,0
HCPCS,23600,Treat humerus fracture,,,291.4,3314.0,9
HCPCS,23605,HC CLOSED FX HUMERAL WITH MANIPULATION,1953.0,1953.0,,,0
HCPCS,23605,Treat humerus fracture,,,1899.59,4466.0,9
HCPCS,23615,Treat humerus fracture,,,4224.0,15925.26,9
HCPCS,23616,Treat humerus fracture,,,4224.0,21749.16,9
HCPCS,23620,Treat humerus fracture,,,291.4,3314.0,9
HCPCS,23625,Treat humerus fracture,,,1899.59,4466.0,9
HCPCS,23630,Treat humerus fracture,,,3291.0,15339.0,9
HCPCS,23650,"HC CLOSED TX SHOULDER DISLOCATION, W/MANIPULATION; WO ANES",287.0,287.0,,,0
HCPCS,23650,Treat shoulder dislocation,,,291.4,3314.0,9
HCPCS,23655,Treat shoulder dislocation,,,1544.0,3314.0,9
HCPCS,23660,Treat shoulder dislocation,,,3408.0,11081.0,9
HCPCS,23665,"HC CLOSED TX SHOULDER DISLOCATION, W/MANIPULATION; ANES",1989.0,1989.0,,,0
HCPCS,23665,Treat dislocation/fracture,,,1899.59,4466.0,9
HCPCS,23670,Treat dislocation/fracture,,,3408.0,13036.0,9
HCPCS,23675,Treat dislocation/fracture,,,1899.59,4466.0,9
HCPCS,23680,Treat dislocation/fracture,,,3408.0,17041.0,9
HCPCS,23700,Fixation of shoulder,,,1544.0,4097.0,9
HCPCS,23800,Fusion of shoulder joint,,,4224.0,15339.0,9
HCPCS,23802,Fusion of shoulder joint,,,4147.0,17041.0,9
HCPCS,23900,Amputation of arm & girdle,,,1406.0,18617.0,9
HCPCS,23920,Amputation at shoulder joint,,,1406.0,18617.0,9
HCPCS,23921,Amputation follow-up surgery,,,428.0,5098.0,9
HCPCS,23929,Shoulder surgery procedure,,,291.4,18617.0,9
HCPCS,23930,Drainage of arm lesion,,,1544.0,4097.0,9
HCPCS,23930,"HC DRAINAGE, ARM; DEEP ABSCESS OR HEMATOMA",3546.0,3546.0,,,0
HCPCS,23931,Drainage of arm bursa,,,1951.11,4466.0,9
HCPCS,23931,"HC DRAINAGE, ARM; BURSA",1562.0,1562.0,,,0
HCPCS,23935,Drain arm/elbow bone lesion,,,2816.0,6404.0,9
HCPCS,24000,Exploratory elbow surgery,,,3865.36,8006.0,9
HCPCS,24006,Release elbow joint,,,3865.36,8006.0,9
HCPCS,24065,Biopsy arm/elbow soft tissue,,,1544.0,4097.0,9
HCPCS,24066,Biopsy arm/elbow soft tissue,,,2816.0,5123.0,9
HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,3408.0,13320.0,9
HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,3408.0,13320.0,9
HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1951.11,4466.0,9
HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,2816.0,4466.0,9
HCPCS,24077,Resect arm/elbow tum < 5 cm,,,3408.0,6404.0,9
HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,3408.0,13320.0,9
HCPCS,24100,Biopsy elbow joint lining,,,1544.0,8006.0,9
HCPCS,24101,Explore/treat elbow joint,,,3865.36,6404.0,9
HCPCS,24102,Remove elbow joint lining,,,3865.36,6404.0,9
HCPCS,24105,Removal of elbow bursa,,,3408.0,5123.0,9
HCPCS,24110,Remove humerus lesion,,,2816.0,8006.0,9
HCPCS,24115,Remove/graft bone lesion,,,3408.0,11081.0,9
HCPCS,24116,Remove/graft bone lesion,,,3408.0,17041.0,9
HCPCS,24120,Remove elbow lesion,,,3408.0,5123.0,9
HCPCS,24125,Remove/graft bone lesion,,,3408.0,5123.0,9
HCPCS,24126,Remove/graft bone lesion,,,3408.0,11081.0,9
HCPCS,24130,Removal of head of radius,,,3408.0,6404.0,9
HCPCS,24134,Removal of arm bone lesion,,,2816.0,11081.0,9
HCPCS,24136,Remove radius bone lesion,,,428.0,4466.0,9
HCPCS,24138,Remove elbow bone lesion,,,2816.0,13036.0,9
HCPCS,24140,Partial removal of arm bone,,,3408.0,6404.0,9
HCPCS,24145,Partial removal of radius,,,3408.0,11081.0,9
HCPCS,24147,Partial removal of elbow,,,2816.0,5123.0,9
HCPCS,24149,Radical resection of elbow,,,4224.0,18617.0,9
HCPCS,24150,Resect distal humerus tumor,,,3408.0,11081.0,9
HCPCS,24152,Resect radius tumor,,,3408.0,11081.0,9
HCPCS,24155,Removal of elbow joint,,,3408.0,8006.0,9
HCPCS,24160,Remove elbow joint implant,,,2816.0,8006.0,9
HCPCS,24164,Remove radius head implant,,,3408.0,8006.0,9
HCPCS,24200,Removal of arm foreign body,,,1406.0,4097.0,9
HCPCS,24201,Removal of arm foreign body,,,2816.0,6404.0,9
HCPCS,24220,HC INJECTION FOR ELBOW ARTHROGRAPHY,1306.0,1306.0,,,0
HCPCS,24220,Injection for elbow x-ray,,,428.0,1866.0,4
HCPCS,24300,Manipulate elbow w/anesth,,,1544.0,6312.0,9
HCPCS,24301,Muscle/tendon transfer,,,4224.0,9420.0,9
HCPCS,24305,Arm tendon lengthening,,,3865.36,6404.0,9
HCPCS,24310,Revision of arm tendon,,,3408.0,6404.0,9
HCPCS,24320,Repair of arm tendon,,,3408.0,17041.0,9
HCPCS,24330,Revision of arm muscles,,,3408.0,9000.7,9
HCPCS,24331,Revision of arm muscles,,,3408.0,13036.0,9
HCPCS,24332,Tenolysis triceps,,,2816.0,9420.0,9
HCPCS,24340,Repair of biceps tendon,,,3408.0,11081.0,9
HCPCS,24341,Repair arm tendon/muscle,,,3408.0,9420.0,9
HCPCS,24342,Repair of ruptured tendon,,,3408.0,9420.0,9
HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,3865.36,8006.0,9
HCPCS,24344,Reconstruct elbow lat ligmnt,,,4081.0,13036.0,9
HCPCS,24345,Repr elbw med ligmnt w/tissu,,,2816.0,11081.0,9
HCPCS,24346,Reconstruct elbow med ligmnt,,,4224.0,17939.0,9
HCPCS,24357,Repair elbow perc,,,3408.0,13320.0,9
HCPCS,24358,Repair elbow w/deb open,,,3408.0,13320.0,9
HCPCS,24359,Repair elbow deb/attch open,,,3408.0,13320.0,9
HCPCS,24360,Reconstruct elbow joint,,,3291.0,15339.0,9
HCPCS,24361,Reconstruct elbow joint,,,3291.0,21749.16,9
HCPCS,24362,Reconstruct elbow joint,,,3291.0,15925.26,9
HCPCS,24363,Replace elbow joint,,,4147.0,21749.16,9
HCPCS,24365,Reconstruct head of radius,,,3291.0,15925.26,9
HCPCS,24366,Reconstruct head of radius,,,3291.0,18617.0,9
HCPCS,24370,Revise reconst elbow joint,,,3291.0,18617.0,9
HCPCS,24371,Revise reconst elbow joint,,,4147.0,21749.16,9
HCPCS,24400,Revision of humerus,,,4224.0,11081.0,9
HCPCS,24410,Revision of humerus,,,4224.0,15925.26,9
HCPCS,24420,Revision of humerus,,,3408.0,17041.0,9
HCPCS,24430,Repair of humerus,,,3408.0,15925.26,9
HCPCS,24435,Repair humerus with graft,,,4224.0,15925.26,9
HCPCS,24470,Revision of elbow joint,,,428.0,5098.0,9
HCPCS,24495,Decompression of forearm,,,2816.0,13036.0,9
HCPCS,24498,Reinforce humerus,,,3408.0,17041.0,9
HCPCS,24500,HC CLOSED FX HUMERAL WO MANIPULATION,287.0,287.0,,,0
HCPCS,24500,Treat humerus fracture,,,291.4,3314.0,9
HCPCS,24505,"HC HUMERUS FX; WITH MANIPULATION, CLOSED",1979.0,1979.0,,,0
HCPCS,24505,Treat humerus fracture,,,1544.0,3314.0,9
HCPCS,24515,Treat humerus fracture,,,4224.0,17041.0,9
HCPCS,24516,Treat humerus fracture,,,4224.0,17041.0,9
HCPCS,24530,HC CLOSED FX SC/TC HUMERAL WO MANIPULATION,284.0,284.0,,,0
HCPCS,24530,Treat humerus fracture,,,291.4,3314.0,9
HCPCS,24535,HC CLOSED FX SC/TC HUMERAL W MANIPULATION,1646.5,1646.5,,,0
HCPCS,24535,Treat humerus fracture,,,1544.0,3314.0,9
HCPCS,24538,Treat humerus fracture,,,2816.0,9000.7,9
HCPCS,24545,Treat humerus fracture,,,4224.0,15925.26,9
HCPCS,24546,Treat humerus fracture,,,3291.0,15925.26,9
HCPCS,24560,HC CLOSED FX EC HUMERAL WO MANIPULATION,287.0,287.0,,,0
HCPCS,24560,Treat humerus fracture,,,291.4,3314.0,9
HCPCS,24565,Treat humerus fracture,,,1899.59,4466.0,9
HCPCS,24566,Treat humerus fracture,,,1899.59,8006.0,9
HCPCS,24575,Treat humerus fracture,,,3408.0,17041.0,9
HCPCS,24576,HC OPEN TX HUMERAL EPICONDYLAR FRACTURE,287.0,287.0,,,0
HCPCS,24576,Treat humerus fracture,,,291.4,3314.0,9
HCPCS,24577,HC TREAT HUMERUS FRACTURE,1989.0,1989.0,,,0
HCPCS,24577,Treat humerus fracture,,,1544.0,3314.0,9
HCPCS,24579,Treat humerus fracture,,,3408.0,17041.0,9
HCPCS,24582,Treat humerus fracture,,,2816.0,9000.7,9
HCPCS,24586,Treat elbow fracture,,,4224.0,17041.0,9
HCPCS,24587,Treat elbow fracture,,,3291.0,15925.26,9
HCPCS,24600,HC CLOSED TX ELBOW DISLOCATION WO ANESTHESIA,287.0,287.0,,,0
HCPCS,24600,Treat elbow dislocation,,,291.4,3314.0,9
HCPCS,24605,HC TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING ANESTHESIA,4717.0,4717.0,,,0
HCPCS,24605,Treat elbow dislocation,,,1899.59,4466.0,9
HCPCS,24615,Treat elbow dislocation,,,3408.0,11081.0,9
HCPCS,24620,Treat elbow fracture,,,1899.59,4466.0,9
HCPCS,24635,Treat elbow fracture,,,3408.0,17041.0,9
HCPCS,24640,HC CLOSED TX RADIAL HEAD WITH MANIPULATION,287.0,287.0,,,0
HCPCS,24640,Treat elbow dislocation,,,291.4,3314.0,9
HCPCS,24650,HC CLOSED TX RADIAL HEAD OR NECK FX WO MANIPULATION,287.0,287.0,,,0
HCPCS,24650,Treat radius fracture,,,291.4,18617.0,9
HCPCS,24655,HC TREAT RADIUS FRACTURE,1989.0,1989.0,,,0
HCPCS,24655,Treat radius fracture,,,1544.0,3314.0,9
HCPCS,24665,Treat radius fracture,,,4224.0,11081.0,9
HCPCS,24666,Treat radius fracture,,,4224.0,15925.26,9
HCPCS,24670,HC CLOSED TX ULNAR PROXIMAL END FX WO MANIPULATION,287.0,287.0,,,0
HCPCS,24670,Treat ulnar fracture,,,291.4,3314.0,9
HCPCS,24675,HC CLOSED TX ULNAR FX PROXIMAL END W MNP,1975.0,1975.0,,,0
HCPCS,24675,Treat ulnar fracture,,,1544.0,3314.0,9
HCPCS,24685,Treat ulnar fracture,,,3408.0,13036.0,9
HCPCS,24800,Fusion of elbow joint,,,4224.0,15339.0,9
HCPCS,24802,Fusion/graft of elbow joint,,,3291.0,17041.0,9
HCPCS,24900,Amputation of upper arm,,,1406.0,18617.0,9
HCPCS,24920,Amputation of upper arm,,,1406.0,18617.0,9
HCPCS,24925,Amputation follow-up surgery,,,3408.0,8006.0,9
HCPCS,24930,Amputation follow-up surgery,,,1406.0,18617.0,9
HCPCS,24931,Amputate upper arm & implant,,,1406.0,18617.0,9
HCPCS,24935,Revision of amputation,,,428.0,18617.0,9
HCPCS,24940,Revision of upper arm,,,4224.0,18617.0,9
HCPCS,24999,Upper arm/elbow surgery,,,291.4,18617.0,9
HCPCS,25000,Incision of tendon sheath,,,1899.59,5098.0,9
HCPCS,25001,Incise flexor carpi radialis,,,1544.0,5098.0,9
HCPCS,25020,Decompress forearm 1 space,,,1899.59,5098.0,9
HCPCS,25023,Decompress forearm 1 space,,,3408.0,5098.0,9
HCPCS,25024,Decompress forearm 2 spaces,,,3408.0,9420.0,9
HCPCS,25025,Decompress forearm 2 spaces,,,1899.59,8006.0,9
HCPCS,25028,Drainage of forearm lesion,,,1544.0,5123.0,9
HCPCS,25031,Drainage of forearm bursa,,,1899.59,4466.0,9
HCPCS,25035,Treat forearm bone lesion,,,2816.0,9420.0,9
HCPCS,25040,Explore/treat wrist joint,,,3291.0,7422.0,9
HCPCS,25065,Biopsy forearm soft tissues,,,1544.0,4097.0,9
HCPCS,25066,Biopsy forearm soft tissues,,,2816.0,5123.0,9
HCPCS,25071,Exc forearm les sc 3 cm/>,,,1951.11,13320.0,9
HCPCS,25073,Exc forearm tum deep 3 cm/>,,,3408.0,13320.0,9
HCPCS,25075,Exc forearm les sc < 3 cm,,,1951.11,4466.0,9
HCPCS,25076,Exc forearm tum deep < 3 cm,,,1951.11,5098.0,9
HCPCS,25077,Resect forearm/wrist tum<3cm,,,3408.0,5098.0,9
HCPCS,25078,Resect forarm/wrist tum 3cm>,,,3408.0,13320.0,9
HCPCS,25085,Incision of wrist capsule,,,3408.0,6404.0,9
HCPCS,25100,Biopsy of wrist joint,,,2816.0,5123.0,9
HCPCS,25101,Explore/treat wrist joint,,,3408.0,5123.0,9
HCPCS,25105,Remove wrist joint lining,,,3865.36,6312.0,9
HCPCS,25107,Remove wrist joint cartilage,,,3408.0,8006.0,9
HCPCS,25109,Excise tendon forearm/wrist,,,3563.0,6253.0,9
HCPCS,25110,Remove wrist tendon lesion,,,1899.59,5098.0,9
HCPCS,25111,Remove wrist tendon lesion,,,1899.59,5098.0,9
HCPCS,25112,Reremove wrist tendon lesion,,,1899.59,6312.0,9
HCPCS,25115,Remove wrist/forearm lesion,,,1899.59,6312.0,9
HCPCS,25116,Remove wrist/forearm lesion,,,3865.36,6312.0,9
HCPCS,25118,Excise wrist tendon sheath,,,1899.59,5123.0,9
HCPCS,25119,Partial removal of ulna,,,3408.0,8006.0,9
HCPCS,25120,Removal of forearm lesion,,,3408.0,5123.0,9
HCPCS,25125,Remove/graft forearm lesion,,,1899.59,6404.0,9
HCPCS,25126,Remove/graft forearm lesion,,,3408.0,8006.0,9
HCPCS,25130,Removal of wrist lesion,,,3408.0,6404.0,9
HCPCS,25135,Remove & graft wrist lesion,,,3408.0,9000.7,9
HCPCS,25136,Remove & graft wrist lesion,,,3408.0,11081.0,9
HCPCS,25145,Remove forearm bone lesion,,,2816.0,9420.0,9
HCPCS,25150,Partial removal of ulna,,,2816.0,6404.0,9
HCPCS,25151,Partial removal of radius,,,2816.0,8006.0,9
HCPCS,25170,Resect radius/ulnar tumor,,,3408.0,9000.7,9
HCPCS,25210,Removal of wrist bone,,,3408.0,6404.0,9
HCPCS,25215,Removal of wrist bones,,,3865.36,8006.0,9
HCPCS,25230,Partial removal of radius,,,3865.36,6312.0,9
HCPCS,25240,Partial removal of ulna,,,3865.36,6404.0,9
HCPCS,25246,HC INJECTION FOR WRIST ARTHROGRAPHY,1420.5,1420.5,,,0
HCPCS,25246,Injection for wrist x-ray,,,428.0,1866.0,4
HCPCS,25248,Remove forearm foreign body,,,1899.59,4466.0,9
HCPCS,25250,Removal of wrist prosthesis,,,1544.0,8006.0,9
HCPCS,25251,Removal of wrist prosthesis,,,1544.0,13036.0,9
HCPCS,25259,Manipulate wrist w/anesthes,,,1544.0,5098.0,9
HCPCS,25260,Repair forearm tendon/muscle,,,3865.36,6404.0,9
HCPCS,25263,Repair forearm tendon/muscle,,,2816.0,9000.7,9
HCPCS,25265,Repair forearm tendon/muscle,,,3408.0,8006.0,9
HCPCS,25270,Repair forearm tendon/muscle,,,3865.36,6404.0,9
HCPCS,25272,Repair forearm tendon/muscle,,,3408.0,5123.0,9
HCPCS,25274,Repair forearm tendon/muscle,,,3865.36,9420.0,9
HCPCS,25275,Repair forearm tendon sheath,,,3865.36,8006.0,9
HCPCS,25280,Revise wrist/forearm tendon,,,3865.36,8006.0,9
HCPCS,25290,Incise wrist/forearm tendon,,,3408.0,6404.0,9
HCPCS,25295,Release wrist/forearm tendon,,,3408.0,5123.0,9
HCPCS,25300,Fusion of tendons at wrist,,,3408.0,6404.0,9
HCPCS,25301,Fusion of tendons at wrist,,,3408.0,8006.0,9
HCPCS,25310,Transplant forearm tendon,,,3408.0,8006.0,9
HCPCS,25312,Transplant forearm tendon,,,3865.36,6404.0,9
HCPCS,25315,Revise palsy hand tendon(s),,,3408.0,9420.0,9
HCPCS,25316,Revise palsy hand tendon(s),,,3408.0,9420.0,9
HCPCS,25320,Repair/revise wrist joint,,,3408.0,9420.0,9
HCPCS,25330,Description Not Available,,,1406.0,18617.0,4
HCPCS,25331,Description Not Available,,,1406.0,18617.0,4
HCPCS,25332,Revise wrist joint,,,3291.0,8006.0,9
HCPCS,25335,Realignment of hand,,,3408.0,8006.0,9
HCPCS,25337,Reconstruct ulna/radioulnar,,,3291.0,9420.0,9
HCPCS,25350,Revision of radius,,,3408.0,9420.0,9
HCPCS,25355,Revision of radius,,,428.0,5098.0,9
HCPCS,25360,Revision of ulna,,,3408.0,11081.0,9
HCPCS,25365,Revise radius & ulna,,,3408.0,17939.0,9
HCPCS,25370,Revise radius or ulna,,,428.0,5098.0,9
HCPCS,25375,Revise radius & ulna,,,428.0,6312.0,9
HCPCS,25390,Shorten radius or ulna,,,3408.0,13036.0,9
HCPCS,25391,Lengthen radius or ulna,,,4224.0,15925.26,9
HCPCS,25392,Shorten radius & ulna,,,3408.0,9000.7,9
HCPCS,25393,Lengthen radius & ulna,,,428.0,9000.7,9
HCPCS,25394,Repair carpal bone shorten,,,3291.0,8006.0,9
HCPCS,25400,Repair radius or ulna,,,3408.0,15339.0,9
HCPCS,25405,Repair/graft radius or ulna,,,4224.0,17041.0,9
HCPCS,25415,Repair radius & ulna,,,3408.0,9420.0,9
HCPCS,25420,Repair/graft radius & ulna,,,4224.0,11081.0,9
HCPCS,25425,Repair/graft radius or ulna,,,3408.0,9420.0,9
HCPCS,25426,Repair/graft radius & ulna,,,3563.0,6312.0,9
HCPCS,25430,Vasc graft into carpal bone,,,3408.0,6404.0,9
HCPCS,25431,Repair nonunion carpal bone,,,3408.0,13036.0,9
HCPCS,25440,Repair/graft wrist bone,,,4224.0,11081.0,9
HCPCS,25441,Reconstruct wrist joint,,,3291.0,18617.0,9
HCPCS,25442,Reconstruct wrist joint,,,3291.0,21749.16,9
HCPCS,25443,Reconstruct wrist joint,,,3291.0,9000.7,9
HCPCS,25444,Reconstruct wrist joint,,,3291.0,15925.26,9
HCPCS,25445,Reconstruct wrist joint,,,3291.0,9000.7,9
HCPCS,25446,Wrist replacement,,,4147.0,21749.16,9
HCPCS,25447,Repair wrist joints,,,3291.0,8006.0,9
HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,3291.0,18617.0,7
HCPCS,25449,Remove wrist joint implant,,,3291.0,11081.0,9
HCPCS,25450,Revision of wrist joint,,,428.0,5098.0,9
HCPCS,25455,Revision of wrist joint,,,428.0,5098.0,9
HCPCS,25490,Reinforce radius,,,3408.0,9420.0,9
HCPCS,25491,Reinforce ulna,,,3408.0,17939.0,9
HCPCS,25492,Reinforce radius and ulna,,,428.0,5098.0,9
HCPCS,25500,HC CLOSED TX RADIAL SHAFT FX WO MANIPULATION,287.0,287.0,,,0
HCPCS,25500,Treat fracture of radius,,,291.4,18617.0,9
HCPCS,25505,"HC RADIAL SHAFT FRACTURE; WITH MANIPULATION, CLOSED",1989.0,1989.0,,,0
HCPCS,25505,Treat fracture of radius,,,1544.0,3314.0,9
HCPCS,25515,Treat fracture of radius,,,3408.0,13036.0,9
HCPCS,25520,Treat fracture of radius,,,1544.0,3314.0,9
HCPCS,25525,Treat fracture of radius,,,4224.0,13036.0,9
HCPCS,25526,Treat fracture of radius,,,3291.0,11081.0,9
HCPCS,25530,HC CL TX ULNAR SHAFT FX; WO MANIP,339.0,339.0,,,0
HCPCS,25530,Treat fracture of ulna,,,291.4,18617.0,9
HCPCS,25535,HC CLOSED TX ULNAR SHAFT FX WITH MANIPULATION,233.0,233.0,,,0
HCPCS,25535,Treat fracture of ulna,,,291.4,3314.0,9
HCPCS,25545,Treat fracture of ulna,,,3408.0,11081.0,9
HCPCS,25560,HC CLOSED TX RADIUS/ULNAR SHAFT FX WO MANIPULATION,287.0,287.0,,,0
HCPCS,25560,Treat fracture radius & ulna,,,291.4,18617.0,9
HCPCS,25565,HC CLOSED TX RADIUS/ULNAR SHAFT FX W MANIPULATION,1989.0,1989.0,,,0
HCPCS,25565,Treat fracture radius & ulna,,,1899.59,4466.0,9
HCPCS,25574,Treat fracture radius & ulna,,,3408.0,13036.0,9
HCPCS,25575,Treat fracture radius/ulna,,,3408.0,17041.0,9
HCPCS,25600,HC CLOSED TX DISTAL RADIAL FX WO MANIPULATION,287.0,287.0,,,0
HCPCS,25600,Treat fracture radius/ulna,,,291.4,18617.0,9
HCPCS,25605,HC CLOSED TX DISTAL RADIAL FX WITH MANIPULATION,1093.5,1093.5,,,0
HCPCS,25605,Treat fracture radius/ulna,,,1899.59,5098.0,9
HCPCS,25606,Treat Fx Distal Radial,,,3408.0,5123.0,9
HCPCS,25607,Treat Fx Rad Extra-Articul,,,3291.0,9000.7,9
HCPCS,25608,Treat Fx Rad Intra-Articul,,,3291.0,9000.7,9
HCPCS,25609,Treat Fx Radial 3+ Frag,,,3291.0,9000.7,9
HCPCS,25622,HC CLOSED TX CARPAL SCAPHOID FX WO MANIPULATION,283.0,283.0,,,0
HCPCS,25622,Treat wrist bone fracture,,,291.4,18617.0,9
HCPCS,25624,HC CLOSED TX CARPAL SCAPHOID FX WITH MANIPULATION,1943.0,1943.0,,,0
HCPCS,25624,Treat wrist bone fracture,,,1899.59,4466.0,9
HCPCS,25628,Treat wrist bone fracture,,,3408.0,9420.0,9
HCPCS,25630,"HC CLOSED TX CARPAL BONE FX WO MANIPULATION, EACH",287.0,287.0,,,0
HCPCS,25630,Treat wrist bone fracture,,,291.4,18617.0,9
HCPCS,25635,"HC CLOSED TX CARPAL BONE FX WITH MANIP, EACH",1969.0,1969.0,,,0
HCPCS,25635,Treat wrist bone fracture,,,1544.0,3314.0,9
HCPCS,25645,Treat wrist bone fracture,,,3408.0,8006.0,9
HCPCS,25650,Treat wrist bone fracture,,,291.4,18617.0,9
HCPCS,25651,Pin ulnar styloid fracture,,,1544.0,5098.0,9
HCPCS,25652,Treat fracture ulnar styloid,,,3408.0,11081.0,9
HCPCS,25660,"HC CLOSED TX WRIST DISLOCATION, WITH MANIPULATION",287.0,287.0,,,0
HCPCS,25660,Treat wrist dislocation,,,291.4,3314.0,9
HCPCS,25670,Treat wrist dislocation,,,3408.0,11081.0,9
HCPCS,25671,Pin radioulnar dislocation,,,1544.0,5123.0,9
HCPCS,25675,Treat wrist dislocation,,,291.4,3314.0,9
HCPCS,25676,Treat wrist dislocation,,,2816.0,9000.7,9
HCPCS,25680,Treat wrist fracture,,,291.4,4466.0,9
HCPCS,25685,Treat wrist fracture,,,3408.0,9000.7,9
HCPCS,25690,Treat wrist dislocation,,,1544.0,4097.0,9
HCPCS,25695,Treat wrist dislocation,,,2816.0,11081.0,9
HCPCS,25800,Fusion of wrist joint,,,4224.0,9420.0,9
HCPCS,25805,Fusion/graft of wrist joint,,,3291.0,15339.0,9
HCPCS,25810,Fusion/graft of wrist joint,,,3291.0,17041.0,9
HCPCS,25820,Fusion of hand bones,,,4224.0,13036.0,9
HCPCS,25825,Fuse hand bones with graft,,,3291.0,15339.0,9
HCPCS,25830,Fusion radioulnar jnt/ulna,,,3291.0,13036.0,9
HCPCS,25900,Amputation of forearm,,,1406.0,18617.0,9
HCPCS,25905,Amputation of forearm,,,1406.0,18617.0,9
HCPCS,25907,Amputation follow-up surgery,,,3408.0,8006.0,9
HCPCS,25909,Amputation follow-up surgery,,,3408.0,18617.0,9
HCPCS,25915,Amputation of forearm,,,1406.0,18617.0,9
HCPCS,25920,Amputate hand at wrist,,,1406.0,18617.0,9
HCPCS,25922,Amputate hand at wrist,,,428.0,5098.0,9
HCPCS,25924,Amputation follow-up surgery,,,1406.0,18617.0,9
HCPCS,25927,Amputation of hand,,,3865.36,18617.0,9
HCPCS,25929,Amputation follow-up surgery,,,428.0,5098.0,9
HCPCS,25931,Amputation follow-up surgery,,,1406.0,18617.0,9
HCPCS,25999,Forearm or wrist surgery,,,291.4,18617.0,9
HCPCS,26010,Drainage of finger abscess,,,237.02,18617.0,9
HCPCS,26010,HC DRAINAGE OF FINGER ABSCESS; SIMPLE,251.0,251.0,,,0
HCPCS,26011,Drainage of finger abscess,,,1544.0,3314.0,9
HCPCS,26011,HC DRAINAGE OF FINGER ABSCESS; COMPLICATED,2079.0,2079.0,,,0
HCPCS,26020,Drain hand tendon sheath,,,2816.0,5123.0,9
HCPCS,26025,Drainage of palm bursa,,,1544.0,5123.0,9
HCPCS,26030,Drainage of palm bursas,,,2816.0,9420.0,9
HCPCS,26034,Treat hand bone lesion,,,1899.59,4466.0,9
HCPCS,26035,Decompress fingers/hand,,,3865.36,6404.0,9
HCPCS,26037,Decompress fingers/hand,,,3865.36,6312.0,9
HCPCS,26040,Release palm contracture,,,1899.59,6312.0,9
HCPCS,26045,Release palm contracture,,,3408.0,5098.0,9
HCPCS,26055,Incise finger tendon sheath,,,1899.59,4466.0,9
HCPCS,26060,Incision of finger tendon,,,1899.59,4466.0,9
HCPCS,26070,Explore/treat hand joint,,,1899.59,5123.0,9
HCPCS,26075,Explore/treat finger joint,,,3865.36,6312.0,9
HCPCS,26080,Explore/treat finger joint,,,1899.59,6312.0,9
HCPCS,26100,Biopsy hand joint lining,,,2816.0,5123.0,9
HCPCS,26105,Biopsy finger joint lining,,,1544.0,5123.0,9
HCPCS,26110,Biopsy finger joint lining,,,1544.0,4097.0,9
HCPCS,26111,Exc hand les sc 1.5 cm/>,,,1951.11,13320.0,9
HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,1951.11,13320.0,9
HCPCS,26115,Exc hand les sc < 1.5 cm,,,1951.11,4466.0,9
HCPCS,26116,Exc hand tum deep < 1.5 cm,,,1951.11,4466.0,9
HCPCS,26117,Rad resect hand tumor < 3 cm,,,3408.0,5123.0,9
HCPCS,26118,Rad resect hand tumor 3 cm/>,,,3408.0,13320.0,9
HCPCS,26121,Release palm contracture,,,3563.0,6312.0,9
HCPCS,26123,Release palm contracture,,,3865.36,6312.0,9
HCPCS,26125,Release palm contracture,,,428.0,6253.0,4
HCPCS,26130,Remove wrist joint lining,,,3408.0,5098.0,9
HCPCS,26135,Revise finger joint each,,,3865.36,6312.0,9
HCPCS,26140,Revise finger joint each,,,1899.59,4466.0,9
HCPCS,26145,Tendon excision palm/finger,,,1899.59,5098.0,9
HCPCS,26160,Remove tendon sheath lesion,,,1899.59,5098.0,9
HCPCS,26170,Removal of palm tendon each,,,1899.59,5098.0,9
HCPCS,26180,Removal of finger tendon,,,1899.59,5098.0,9
HCPCS,26185,Remove finger bone,,,1899.59,6312.0,9
HCPCS,26200,Remove hand bone lesion,,,1899.59,4466.0,9
HCPCS,26205,Remove/graft bone lesion,,,3408.0,9420.0,9
HCPCS,26210,Removal of finger lesion,,,1899.59,4466.0,9
HCPCS,26215,Remove/graft finger lesion,,,3408.0,5123.0,9
HCPCS,26230,Partial removal of hand bone,,,3865.36,9918.0,9
HCPCS,26235,Partial removal finger bone,,,1899.59,5098.0,9
HCPCS,26236,HC PARTIAL EXCISION BONE; DISTAL PHALANX OF FINGER,1980.0,1980.0,,,0
HCPCS,26236,Partial removal finger bone,,,1899.59,5098.0,9
HCPCS,26250,Extensive hand surgery,,,3408.0,5123.0,9
HCPCS,26260,Resect prox finger tumor,,,3408.0,5123.0,9
HCPCS,26262,Resect distal finger tumor,,,1899.59,5123.0,9
HCPCS,26320,Removal of implant from hand,,,1951.11,4466.0,9
HCPCS,26340,Manipulate finger w/anesth,,,1544.0,4097.0,9
HCPCS,26341,Manipulat palm cord post inj,,,291.4,3314.0,9
HCPCS,26350,"HC REPAIR FLEXOR TENDOR, NOT ZONE 2 WO GRAFT, EACH",3882.0,3882.0,,,0
HCPCS,26350,Repair finger/hand tendon,,,1544.0,6404.0,9
HCPCS,26352,Repair/graft hand tendon,,,4224.0,9000.7,9
HCPCS,26356,Repair finger/hand tendon,,,3865.36,6404.0,9
HCPCS,26357,Repair finger/hand tendon,,,3865.36,6404.0,9
HCPCS,26358,Repair/graft hand tendon,,,4224.0,9000.7,9
HCPCS,26370,Repair finger/hand tendon,,,3865.36,8006.0,9
HCPCS,26372,Repair/graft hand tendon,,,4224.0,9420.0,9
HCPCS,26373,Repair finger/hand tendon,,,3408.0,6404.0,9
HCPCS,26390,Revise hand/finger tendon,,,4224.0,11081.0,9
HCPCS,26392,Repair/graft hand tendon,,,3408.0,9000.7,9
HCPCS,26410,"HC REPAIR EXTENSOR TENDON, HAND WO FG, EACH",1957.0,1957.0,,,0
HCPCS,26410,Repair hand tendon,,,1899.59,5123.0,9
HCPCS,26412,Repair/graft hand tendon,,,3408.0,6404.0,9
HCPCS,26415,Excision hand/finger tendon,,,855.0,6312.0,9
HCPCS,26416,Graft hand or finger tendon,,,3408.0,8006.0,9
HCPCS,26418,"HC REPAIR EXTENSOR TENDON, FINGER; WO FG, EACH",1961.0,1961.0,,,0
HCPCS,26418,Repair finger tendon,,,1899.59,6312.0,9
HCPCS,26420,Repair/graft finger tendon,,,3865.36,8006.0,9
HCPCS,26426,Repair finger/hand tendon,,,3408.0,5123.0,9
HCPCS,26428,Repair/graft finger tendon,,,3408.0,5123.0,9
HCPCS,26432,Repair finger tendon,,,1899.59,5098.0,9
HCPCS,26433,Repair finger tendon,,,3408.0,5123.0,9
HCPCS,26434,Repair/graft finger tendon,,,3408.0,8006.0,9
HCPCS,26437,Realignment of tendons,,,3408.0,5123.0,9
HCPCS,26440,Release palm/finger tendon,,,1899.59,5098.0,9
HCPCS,26442,Release palm & finger tendon,,,3408.0,6404.0,9
HCPCS,26445,Release hand/finger tendon,,,3408.0,5123.0,9
HCPCS,26449,Release forearm/hand tendon,,,3408.0,5123.0,9
HCPCS,26450,Incision of palm tendon,,,3408.0,5123.0,9
HCPCS,26455,Incision of finger tendon,,,1899.59,5098.0,9
HCPCS,26460,Incise hand/finger tendon,,,1899.59,5098.0,9
HCPCS,26471,Fusion of finger tendons,,,2816.0,6404.0,9
HCPCS,26474,Fusion of finger tendons,,,1899.59,6404.0,9
HCPCS,26476,Tendon lengthening,,,1544.0,8006.0,9
HCPCS,26477,Tendon shortening,,,1544.0,5123.0,9
HCPCS,26478,Lengthening of hand tendon,,,1544.0,6404.0,9
HCPCS,26479,Shortening of hand tendon,,,428.0,4058.63,9
HCPCS,26480,Transplant hand tendon,,,3408.0,6404.0,9
HCPCS,26483,Transplant/graft hand tendon,,,3408.0,8006.0,9
HCPCS,26485,Transplant palm tendon,,,2816.0,6404.0,9
HCPCS,26489,Transplant/graft palm tendon,,,3408.0,6404.0,9
HCPCS,26490,Revise thumb tendon,,,3408.0,6404.0,9
HCPCS,26492,Tendon transfer with graft,,,3408.0,6404.0,9
HCPCS,26494,Hand tendon/muscle transfer,,,3408.0,6404.0,9
HCPCS,26496,Revise thumb tendon,,,3408.0,6404.0,9
HCPCS,26497,Finger tendon transfer,,,3408.0,6404.0,9
HCPCS,26498,Finger tendon transfer,,,3865.36,8006.0,9
HCPCS,26499,Revision of finger,,,3408.0,6404.0,9
HCPCS,26500,Hand tendon reconstruction,,,4224.0,9420.0,9
HCPCS,26502,Hand tendon reconstruction,,,3865.36,8006.0,9
HCPCS,26508,Release thumb contracture,,,3408.0,8006.0,9
HCPCS,26510,Thumb tendon transfer,,,3408.0,6404.0,9
HCPCS,26516,Fusion of knuckle joint,,,1544.0,6404.0,9
HCPCS,26517,Fusion of knuckle joints,,,3408.0,6404.0,9
HCPCS,26518,Fusion of knuckle joints,,,3408.0,9000.7,9
HCPCS,26520,Release knuckle contracture,,,3408.0,6404.0,9
HCPCS,26525,Release finger contracture,,,1899.59,5123.0,9
HCPCS,26530,"HC ARTHROPLASTY, METACARPOPHALANGEAL JOINT; EACH",10285.0,10285.0,,,0
HCPCS,26530,Revise knuckle joint,,,3408.0,9420.0,9
HCPCS,26531,Revise knuckle with implant,,,4147.0,9918.0,9
HCPCS,26535,Revise finger joint,,,3291.0,8006.0,9
HCPCS,26536,Revise/implant finger joint,,,3291.0,11081.0,9
HCPCS,26540,Repair hand joint,,,3865.36,8006.0,9
HCPCS,26541,Repair hand joint with graft,,,3865.36,9918.0,9
HCPCS,26542,Repair hand joint with graft,,,3865.36,8006.0,9
HCPCS,26545,Reconstruct finger joint,,,3865.36,8006.0,9
HCPCS,26546,Repair nonunion hand,,,4224.0,9420.0,9
HCPCS,26548,Reconstruct finger joint,,,3865.36,8006.0,9
HCPCS,26550,Construct thumb replacement,,,428.0,4466.0,9
HCPCS,26551,Great toe-hand transfer,,,428.0,18617.0,9
HCPCS,26552,Description Not Available,,,1406.0,18617.0,4
HCPCS,26553,Single transfer toe-hand,,,428.0,18617.0,9
HCPCS,26554,Double transfer toe-hand,,,4224.0,18617.0,9
HCPCS,26555,Positional change of finger,,,3408.0,17041.0,9
HCPCS,26556,Toe joint transfer,,,4224.0,18617.0,9
HCPCS,26557,Description Not Available,,,1406.0,18617.0,4
HCPCS,26558,Description Not Available,,,1406.0,18617.0,4
HCPCS,26559,Description Not Available,,,1406.0,18617.0,4
HCPCS,26560,Repair of web finger,,,1899.59,8006.0,9
HCPCS,26561,Repair of web finger,,,3408.0,6404.0,9
HCPCS,26562,Repair of web finger,,,3865.36,6312.0,9
HCPCS,26565,Correct metacarpal flaw,,,3291.0,8006.0,9
HCPCS,26567,Correct finger deformity,,,3291.0,7422.0,9
HCPCS,26568,Lengthen metacarpal/finger,,,3408.0,9000.7,9
HCPCS,26580,Repair hand deformity,,,3291.0,11081.0,9
HCPCS,26587,Reconstruct extra finger,,,3291.0,7422.0,9
HCPCS,26590,Repair finger deformity,,,428.0,7422.0,9
HCPCS,26591,Repair muscles of hand,,,2138.0,5098.0,9
HCPCS,26593,Release muscles of hand,,,3408.0,5098.0,9
HCPCS,26596,Excision constricting tissue,,,2816.0,4466.0,9
HCPCS,26600,"HC CLOSED TX METACARPAL FX, SINGLE; WO MANIP, EA",287.0,287.0,,,0
HCPCS,26600,Treat metacarpal fracture,,,291.4,18617.0,9
HCPCS,26605,"HC CLOSED TX METACARPAL FX, SINGLE; W/MANIP, EACH",283.0,283.0,,,0
HCPCS,26605,Treat metacarpal fracture,,,291.4,4466.0,9
HCPCS,26607,Treat metacarpal fracture,,,2816.0,5123.0,9
HCPCS,26608,Treat metacarpal fracture,,,3865.36,6312.0,9
HCPCS,26615,Treat metacarpal fracture,,,3865.36,8006.0,9
HCPCS,26641,HC CLOSED TX THUMB FX WITH MANIPULATION,287.0,287.0,,,0
HCPCS,26641,Treat thumb dislocation,,,291.4,18617.0,9
HCPCS,26645,Treat thumb fracture,,,1544.0,3314.0,9
HCPCS,26650,Treat thumb fracture,,,2816.0,5123.0,9
HCPCS,26665,Treat thumb fracture,,,3865.36,8006.0,9
HCPCS,26670,Treat hand dislocation,,,291.4,18617.0,9
HCPCS,26675,Treat hand dislocation,,,1899.59,4466.0,9
HCPCS,26676,Pin hand dislocation,,,2816.0,5123.0,9
HCPCS,26685,Treat hand dislocation,,,3408.0,8006.0,9
HCPCS,26686,Treat hand dislocation,,,3408.0,5123.0,9
HCPCS,26700,"HC CLOSED TX KNUCKLE,  W/MANIPULATION; WO ANES",287.0,287.0,,,0
HCPCS,26700,Treat knuckle dislocation,,,291.4,18617.0,9
HCPCS,26705,Treat knuckle dislocation,,,1899.59,4466.0,9
HCPCS,26706,Pin knuckle dislocation,,,2816.0,5123.0,9
HCPCS,26715,Treat knuckle dislocation,,,3865.36,6312.0,9
HCPCS,26720,"HC CLOSED TX FINGER SHAFT; WO MANIPULATION, EACH",287.0,287.0,,,0
HCPCS,26720,Treat finger fracture each,,,291.4,18617.0,9
HCPCS,26725,"HC CLOSED TX FINGER SHAFT; WITH MANIPULATION, EA",287.0,287.0,,,0
HCPCS,26725,Treat finger fracture each,,,291.4,18617.0,9
HCPCS,26727,"HC PRQ SKEL FIX PHLNGL SHFT FX, PROX/MIDDLE PX/FING/THUM, W/MANIP, EA",8210.0,8210.0,,,0
HCPCS,26727,Treat finger fracture each,,,3865.36,9918.0,9
HCPCS,26735,HC OPEN TX FINGER SHAFT EA,4750.0,4750.0,,,0
HCPCS,26735,Treat finger fracture each,,,3865.36,8006.0,9
HCPCS,26740,Treat finger fracture each,,,291.4,18617.0,9
HCPCS,26742,"HC CLOSED TX ARTICULAR FRACTURE, WITH MANIPULATION, EACH",1988.0,1988.0,,,0
HCPCS,26742,Treat finger fracture each,,,1899.59,4466.0,9
HCPCS,26746,Treat finger fracture each,,,3291.0,7422.0,9
HCPCS,26750,"HC CLOSED TX DISTAL FINGER; WO MANIPULATION, EACH",287.0,287.0,,,0
HCPCS,26750,Treat finger fracture each,,,291.4,18617.0,9
HCPCS,26755,"HC CLOSED TX DISTAL FINGER WITH MANIPULATION, EACH",286.0,286.0,,,0
HCPCS,26755,Treat finger fracture each,,,291.4,18617.0,9
HCPCS,26756,Pin finger fracture each,,,2816.0,4466.0,9
HCPCS,26765,HC OPEN TX DISTAL PHALANGEAL FRACTURE EACH,4027.0,4027.0,,,0
HCPCS,26765,Treat finger fracture each,,,3865.36,6312.0,9
HCPCS,26770,"HC CLOSED TX FINGER DISLOCATION, WITH MANIP WO ANES",287.0,287.0,,,0
HCPCS,26770,Treat finger dislocation,,,291.4,18617.0,9
HCPCS,26775,Treat finger dislocation,,,330.41,18617.0,9
HCPCS,26776,Pin finger dislocation,,,2816.0,5123.0,9
HCPCS,26785,Treat finger dislocation,,,2816.0,5123.0,9
HCPCS,26820,Thumb fusion with graft,,,3291.0,9420.0,9
HCPCS,26841,Fusion of thumb,,,4224.0,9420.0,9
HCPCS,26842,Thumb fusion with graft,,,4224.0,11081.0,9
HCPCS,26843,Fusion of hand joint,,,3408.0,17041.0,9
HCPCS,26844,Fusion/graft of hand joint,,,3408.0,11081.0,9
HCPCS,26850,Fusion of knuckle,,,4224.0,11081.0,9
HCPCS,26852,Fusion of knuckle with graft,,,4224.0,11081.0,9
HCPCS,26860,Fusion of finger joint,,,3408.0,8006.0,9
HCPCS,26861,Fusion of finger jnt add-on,,,428.0,4166.0,4
HCPCS,26862,Fusion/graft of finger joint,,,3865.36,8006.0,9
HCPCS,26863,Fuse/graft added joint,,,428.0,5044.0,4
HCPCS,26910,Amputate metacarpal bone,,,3408.0,6404.0,9
HCPCS,26951,Amputation of finger/thumb,,,2816.0,5123.0,9
HCPCS,26952,Amputation of finger/thumb,,,3865.36,6312.0,9
HCPCS,26989,Hand/finger surgery,,,291.4,18617.0,9
HCPCS,26990,Drainage of pelvis lesion,,,1544.0,6404.0,9
HCPCS,26991,Drainage of pelvis bursa,,,1544.0,5123.0,9
HCPCS,26992,Drainage of bone lesion,,,428.0,18617.0,9
HCPCS,27000,Incision of hip tendon,,,1899.59,8006.0,9
HCPCS,27001,Incision of hip tendon,,,3408.0,6404.0,9
HCPCS,27003,Incision of hip tendon,,,3408.0,11081.0,9
HCPCS,27005,Incision of hip tendon,,,3408.0,18617.0,9
HCPCS,27006,Incision of hip tendons,,,3865.36,18617.0,9
HCPCS,27025,Incision of hip/thigh fascia,,,2816.0,18617.0,9
HCPCS,27027,Buttock fasciotomy,,,2816.0,13320.0,9
HCPCS,27030,Drainage of hip joint,,,428.0,18617.0,9
HCPCS,27033,Exploration of hip joint,,,3408.0,9420.0,9
HCPCS,27035,Denervation of hip joint,,,3865.36,6404.0,9
HCPCS,27036,Excision of hip joint/muscle,,,4224.0,18617.0,9
HCPCS,27040,Biopsy of soft tissues,,,1544.0,3314.0,9
HCPCS,27041,Biopsy of soft tissues,,,1951.11,4466.0,9
HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,3408.0,13320.0,9
HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,3408.0,13320.0,9
HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,2816.0,5123.0,9
HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,3408.0,6404.0,9
HCPCS,27049,Resect hip/pelv tum < 5 cm,,,3408.0,6404.0,9
HCPCS,27050,Biopsy of sacroiliac joint,,,1899.59,5098.0,9
HCPCS,27052,Biopsy of hip joint,,,1899.59,5098.0,9
HCPCS,27054,Removal of hip joint lining,,,3408.0,18617.0,9
HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,1899.59,13320.0,9
HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,3408.0,13320.0,9
HCPCS,27060,Removal of ischial bursa,,,3291.0,9000.7,9
HCPCS,27062,Remove femur lesion/bursa,,,3291.0,8006.0,9
HCPCS,27065,Remove hip bone les super,,,3291.0,9000.7,9
HCPCS,27066,Remove hip bone les deep,,,3291.0,8006.0,9
HCPCS,27067,Remove/graft hip bone lesion,,,3291.0,11081.0,9
HCPCS,27070,Part remove hip bone super,,,3291.0,18617.0,9
HCPCS,27071,Part removal hip bone deep,,,3291.0,18617.0,9
HCPCS,27075,Resect hip tumor,,,3291.0,18617.0,9
HCPCS,27076,Resect hip tum incl acetabul,,,3291.0,18617.0,9
HCPCS,27077,Resect hip tum w/innom bone,,,3291.0,18617.0,9
HCPCS,27078,Rsect hip tum incl femur,,,3291.0,18617.0,9
HCPCS,27080,Removal of tail bone,,,2816.0,6404.0,9
HCPCS,27086,Remove hip foreign body,,,1544.0,4097.0,9
HCPCS,27087,Remove hip foreign body,,,3408.0,6404.0,9
HCPCS,27090,Removal of hip prosthesis,,,3408.0,18617.0,9
HCPCS,27091,Removal of hip prosthesis,,,3408.0,18617.0,9
HCPCS,27093,HC INJECTION HIP ARTHROGRAPHY; WO ANESTHESIA,1361.0,1361.0,,,0
HCPCS,27093,Injection for hip x-ray,,,428.0,1866.0,4
HCPCS,27095,"HC INJ PROC, HIP ARTHROGRAPHY, W/ ANESTH",206.0,206.0,,,0
HCPCS,27095,Injection for hip x-ray,,,428.0,1866.0,4
HCPCS,27096,Inject sacroiliac joint,,,428.0,1866.0,4
HCPCS,27097,Revision of hip tendon,,,3408.0,6404.0,9
HCPCS,27098,Transfer tendon to pelvis,,,3408.0,17041.0,9
HCPCS,27100,Transfer of abdominal muscle,,,4224.0,9420.0,9
HCPCS,27105,Transfer of spinal muscle,,,428.0,6312.0,9
HCPCS,27110,Transfer of iliopsoas muscle,,,4224.0,17041.0,9
HCPCS,27111,Transfer of iliopsoas muscle,,,428.0,6312.0,9
HCPCS,27120,Reconstruction of hip socket,,,3291.0,18617.0,9
HCPCS,27122,Reconstruction of hip socket,,,3291.0,18617.0,9
HCPCS,27125,Partial hip replacement,,,3560.0,29527.0,9
HCPCS,27130,Total hip arthroplasty,,,3560.0,29527.0,9
HCPCS,27132,Total hip arthroplasty,,,3560.0,29527.0,9
HCPCS,27134,Revise hip joint replacement,,,3560.0,29527.0,9
HCPCS,27137,Revise hip joint replacement,,,3560.0,29527.0,9
HCPCS,27138,Revise hip joint replacement,,,3560.0,29527.0,9
HCPCS,27140,Transplant femur ridge,,,3291.0,18617.0,9
HCPCS,27146,Incision of hip bone,,,3291.0,18617.0,9
HCPCS,27147,Revision of hip bone,,,3291.0,18617.0,9
HCPCS,27151,Incision of hip bones,,,3291.0,18617.0,9
HCPCS,27156,Revision of hip bones,,,3291.0,18617.0,9
HCPCS,27158,Revision of pelvis,,,3291.0,18617.0,9
HCPCS,27161,Incision of neck of femur,,,3291.0,18617.0,9
HCPCS,27165,Incision/fixation of femur,,,3291.0,18617.0,9
HCPCS,27170,Repair/graft femur head/neck,,,4224.0,18617.0,9
HCPCS,27175,Treat slipped epiphysis,,,3291.0,18617.0,9
HCPCS,27176,Treat slipped epiphysis,,,3291.0,18617.0,9
HCPCS,27177,Treat slipped epiphysis,,,3291.0,18617.0,9
HCPCS,27178,Treat slipped epiphysis,,,3291.0,18617.0,9
HCPCS,27179,Revise head/neck of femur,,,1406.0,18617.0,9
HCPCS,27181,Treat slipped epiphysis,,,3291.0,18617.0,9
HCPCS,27185,Revision of femur epiphysis,,,3291.0,18617.0,9
HCPCS,27187,Reinforce hip bones,,,4224.0,18617.0,9
HCPCS,27193,"HC Closed fx pelvic ring, dislocation, wo manipulation",49.0,49.0,,,0
HCPCS,27197,Clsd tx pelvic ring fx,,,291.4,3314.0,9
HCPCS,27197,HC CLSD TX PELVIC RING FX; UNI OR BIL; W/O MANIPUL,413.0,413.0,,,0
HCPCS,27198,Clsd tx pelvic ring fx,,,291.4,3314.0,9
HCPCS,27200,HC CLOSED TX COCCYGEAL FRACTURE,287.0,287.0,,,0
HCPCS,27200,Treat tail bone fracture,,,291.4,18617.0,9
HCPCS,27202,Treat tail bone fracture,,,428.0,4466.0,9
HCPCS,27215,Treat pelvic fracture(s),,,428.0,18617.0,6
HCPCS,27216,Treat pelvic ring fracture,,,428.0,18617.0,6
HCPCS,27217,Treat pelvic ring fracture,,,428.0,18617.0,6
HCPCS,27218,Treat pelvic ring fracture,,,1406.0,18617.0,4
HCPCS,27220,Treat hip socket fracture,,,291.4,18617.0,9
HCPCS,27222,Treat hip socket fracture,,,291.4,18617.0,9
HCPCS,27226,Treat hip wall fracture,,,3291.0,18617.0,9
HCPCS,27227,Treat hip fracture(s),,,3291.0,18617.0,9
HCPCS,27228,Treat hip fracture(s),,,3291.0,18617.0,9
HCPCS,27230,"HC CLOSED FX FEMORAL, NECK WO MANIPULATION",287.0,287.0,,,0
HCPCS,27230,Treat thigh fracture,,,291.4,3314.0,9
HCPCS,27232,Treat thigh fracture,,,1544.0,18617.0,9
HCPCS,27235,Treat thigh fracture,,,4224.0,18617.0,9
HCPCS,27236,Treat thigh fracture,,,3291.0,18617.0,9
HCPCS,27238,HC CLOSED FX FEMORAL (INTER/PERI/SUB) WO MANIPULATION,1750.0,1750.0,,,0
HCPCS,27238,Treat thigh fracture,,,1544.0,4097.0,9
HCPCS,27240,Treat thigh fracture,,,428.0,18617.0,9
HCPCS,27244,Treat thigh fracture,,,3291.0,18617.0,9
HCPCS,27245,Treat thigh fracture,,,3291.0,18617.0,9
HCPCS,27246,"HC GTR TROCHANTERIC FX, WO MANIPULATION, CLOSED",287.0,287.0,,,0
HCPCS,27246,Treat thigh fracture,,,291.4,3314.0,9
HCPCS,27248,Treat thigh fracture,,,3291.0,18617.0,9
HCPCS,27250,"HC CLOSED TX HIP DISLOCATION, TRAUMATIC; WO ANESTHESIA",287.0,287.0,,,0
HCPCS,27250,Treat hip dislocation,,,291.4,3314.0,9
HCPCS,27252,"HC CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; REQUIRING ANESTHESIA",6705.0,6705.0,,,0
HCPCS,27252,Treat hip dislocation,,,1899.59,4466.0,9
HCPCS,27253,Treat hip dislocation,,,3865.36,18617.0,9
HCPCS,27254,Treat hip dislocation,,,4224.0,18617.0,9
HCPCS,27256,HC SPONTANEOUS HIP DISLOC WO MANIPULATION,287.0,287.0,,,0
HCPCS,27256,Treat hip dislocation,,,291.4,18617.0,9
HCPCS,27257,Treat hip dislocation,,,1899.59,5098.0,9
HCPCS,27258,Treat hip dislocation,,,3865.36,18617.0,9
HCPCS,27259,Treat hip dislocation,,,3865.36,18617.0,9
HCPCS,27265,HC CLOSED TX POST HIP ARTHROPLASTY DISLOCATION; WO ANES,1134.0,1134.0,,,0
HCPCS,27265,Treat hip dislocation,,,291.4,3314.0,9
HCPCS,27266,Treat hip dislocation,,,1899.59,4466.0,9
HCPCS,27267,Cltx thigh fx,,,1544.0,6404.0,9
HCPCS,27268,Cltx thigh fx w/mnpj,,,1544.0,18617.0,9
HCPCS,27268,"HC FEMORAL FX, PROXIMAL HEAD; WITH MANIPULATION, CLOSED",417.0,417.0,,,0
HCPCS,27269,Optx thigh fx,,,2138.0,18617.0,9
HCPCS,27275,Manipulation of hip joint,,,1899.59,4466.0,9
HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,3291.0,21749.16,7
HCPCS,27279,Arthrodesis sacroiliac joint,,,3291.0,21749.16,9
HCPCS,27280,Fusion of sacroiliac joint,,,3560.0,21749.16,9
HCPCS,27282,Fusion of pubic bones,,,3291.0,18617.0,9
HCPCS,27284,Fusion of hip joint,,,3560.0,18686.0,9
HCPCS,27286,Fusion of hip joint,,,3560.0,18686.0,9
HCPCS,27290,Amputation of leg at hip,,,1406.0,21749.16,9
HCPCS,27291105,HC ACCUFORM HEAD/NECK SUPPORT,69.0,69.0,,,0
HCPCS,27295,Amputation of leg at hip,,,1406.0,21749.16,9
HCPCS,27299,Pelvis/hip joint surgery,,,291.4,18617.0,9
HCPCS,27300053,DEAC 10/19/2022 HC WIDEX WARRANTY,184.0,184.0,,,0
HCPCS,27301,Drain thigh/knee lesion,,,3408.0,5123.0,9
HCPCS,27301,"HC DRAIN, DEEP ABSCESS, THIGH OR KNEE REGION",3513.0,3513.0,,,0
HCPCS,27303,Drainage of bone lesion,,,428.0,18617.0,9
HCPCS,27305,Incise thigh tendon & fascia,,,2816.0,6404.0,9
HCPCS,27306,Incision of thigh tendon,,,3408.0,5123.0,9
HCPCS,27307,Incision of thigh tendons,,,3408.0,5123.0,9
HCPCS,27310,Exploration of knee joint,,,3865.36,8006.0,9
HCPCS,27323,Biopsy thigh soft tissues,,,1544.0,4097.0,9
HCPCS,27324,Biopsy thigh soft tissues,,,1544.0,5123.0,9
HCPCS,27325,Neurectomy hamstring,,,2306.84,8006.0,9
HCPCS,27326,Neurectomy popliteal,,,2306.84,4466.0,9
HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,1951.11,4466.0,9
HCPCS,27328,Exc thigh/knee tum deep <5cm,,,3408.0,5123.0,9
HCPCS,27329,Resect thigh/knee tum < 5 cm,,,3431.47,6404.0,9
HCPCS,27330,Biopsy knee joint lining,,,3563.0,6312.0,9
HCPCS,27331,Explore/treat knee joint,,,3865.36,8006.0,9
HCPCS,27332,Removal of knee cartilage,,,3865.36,6404.0,9
HCPCS,27333,Removal of knee cartilage,,,3865.36,8006.0,9
HCPCS,27334,Remove knee joint lining,,,3865.36,8006.0,9
HCPCS,27335,Remove knee joint lining,,,4224.0,9420.0,9
HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,3408.0,13320.0,9
HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,3408.0,13320.0,9
HCPCS,27340,Removal of kneecap bursa,,,3408.0,5123.0,9
HCPCS,27345,Removal of knee cyst,,,3865.36,6404.0,9
HCPCS,27347,Remove knee cyst,,,3865.36,6404.0,9
HCPCS,27350,Removal of kneecap,,,4224.0,9420.0,9
HCPCS,27355,Remove femur lesion,,,3408.0,6404.0,9
HCPCS,27356,Remove femur lesion/graft,,,4224.0,15925.26,9
HCPCS,27357,Remove femur lesion/graft,,,3291.0,18686.0,9
HCPCS,27358,Remove femur lesion/fixation,,,428.0,3972.0,4
HCPCS,27360,Partial removal leg bone(s),,,3291.0,8006.0,9
HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,3408.0,13320.0,9
HCPCS,27365,Resect femur/knee tumor,,,428.0,18617.0,9
HCPCS,27369,HC INJ PROC CONTRAST KNEE ARTHROGRAPHY/CONTRAST CT/MRI,864.0,864.0,,,0
HCPCS,27369,Njx cntrst kne arthg/ct/mri,,,428.0,1866.0,4
HCPCS,27370,HC Injection knee arthrography,652.5,652.5,,,0
HCPCS,27372,Removal of foreign body,,,3431.47,9918.0,9
HCPCS,27380,Repair of kneecap tendon,,,1544.0,9420.0,9
HCPCS,27381,Repair/graft kneecap tendon,,,3408.0,13036.0,9
HCPCS,27385,Repair of thigh muscle,,,3408.0,9420.0,9
HCPCS,27386,Repair/graft of thigh muscle,,,3408.0,11081.0,9
HCPCS,27390,Incision of thigh tendon,,,1544.0,8006.0,9
HCPCS,27391,Incision of thigh tendons,,,2816.0,5123.0,9
HCPCS,27392,Incision of thigh tendons,,,3408.0,5123.0,9
HCPCS,27393,Lengthening of thigh tendon,,,2816.0,9000.7,9
HCPCS,27394,Lengthening of thigh tendons,,,3408.0,9000.7,9
HCPCS,27395,Lengthening of thigh tendons,,,3408.0,5123.0,9
HCPCS,27396,Transplant of thigh tendon,,,3408.0,11081.0,9
HCPCS,27397,Transplants of thigh tendons,,,3408.0,9000.7,9
HCPCS,27400,Revise thigh muscles/tendons,,,3408.0,13036.0,9
HCPCS,27403,Repair of knee cartilage,,,4224.0,9000.7,9
HCPCS,27405,Repair of knee ligament,,,4224.0,9420.0,9
HCPCS,27407,Repair of knee ligament,,,4224.0,11081.0,9
HCPCS,27409,Repair of knee ligaments,,,4224.0,9420.0,9
HCPCS,27412,Autochondrocyte implant knee,,,3408.0,18617.0,9
HCPCS,27415,Osteochondral knee allograft,,,3408.0,18617.0,9
HCPCS,27416,Osteochondral knee autograft,,,4224.0,13320.0,9
HCPCS,27418,Repair degenerated kneecap,,,3408.0,11081.0,9
HCPCS,27420,Revision of unstable kneecap,,,3408.0,13036.0,9
HCPCS,27422,Revision of unstable kneecap,,,4147.0,11081.0,9
HCPCS,27424,Revision/removal of kneecap,,,3408.0,11081.0,9
HCPCS,27425,Lat retinacular release open,,,3865.36,9918.0,9
HCPCS,27427,Reconstruction knee,,,3408.0,15339.0,9
HCPCS,27428,Reconstruction knee,,,4224.0,17041.0,9
HCPCS,27429,Reconstruction knee,,,4224.0,17041.0,9
HCPCS,27430,Revision of thigh muscles,,,4224.0,9420.0,9
HCPCS,27435,Incision of knee joint,,,3865.36,8006.0,9
HCPCS,27437,Revise kneecap,,,4224.0,15339.0,9
HCPCS,27438,Revise kneecap with implant,,,3291.0,23447.0,9
HCPCS,27440,Revision of knee joint,,,3291.0,15925.26,9
HCPCS,27441,Revision of knee joint,,,3291.0,15925.26,9
HCPCS,27442,Revision of knee joint,,,3291.0,15925.26,9
HCPCS,27443,Revision of knee joint,,,3291.0,18686.0,9
HCPCS,27445,Revision of knee joint,,,3560.0,23447.0,6
HCPCS,27446,Revision of knee joint,,,3291.0,23447.0,9
HCPCS,27447,Total knee arthroplasty,,,3560.0,23447.0,9
HCPCS,27448,Incision of thigh,,,3291.0,18617.0,9
HCPCS,27450,Incision of thigh,,,3291.0,18617.0,9
HCPCS,27454,Realignment of thigh bone,,,3291.0,18617.0,9
HCPCS,27455,Realignment of knee,,,3291.0,18617.0,9
HCPCS,27457,Realignment of knee,,,3291.0,18617.0,9
HCPCS,27458,Osteot femur imed lngth dev,,,3291.0,18617.0,7
HCPCS,27465,Shortening of thigh bone,,,3291.0,18617.0,9
HCPCS,27466,Lengthening of thigh bone,,,3291.0,18617.0,9
HCPCS,27468,Shorten/lengthen thighs,,,3291.0,18617.0,6
HCPCS,27470,Repair of thigh,,,3291.0,18617.0,9
HCPCS,27472,Repair/graft of thigh,,,3291.0,18617.0,9
HCPCS,27475,Surgery to stop leg growth,,,4224.0,18617.0,9
HCPCS,27477,Surgery to stop leg growth,,,3291.0,18617.0,9
HCPCS,27479,Surgery to stop leg growth,,,4224.0,18617.0,9
HCPCS,27485,Surgery to stop leg growth,,,3291.0,18617.0,9
HCPCS,27486,Revise/replace knee joint,,,3560.0,23447.0,9
HCPCS,27487,Revise/replace knee joint,,,3560.0,23447.0,9
HCPCS,27488,Removal of knee prosthesis,,,3291.0,18617.0,9
HCPCS,27495,Reinforce thigh,,,3291.0,18617.0,9
HCPCS,27496,Decompression of thigh/knee,,,3291.0,7422.0,9
HCPCS,27497,Decompression of thigh/knee,,,3408.0,5098.0,9
HCPCS,27498,Decompression of thigh/knee,,,1899.59,5098.0,9
HCPCS,27499,Decompression of thigh/knee,,,428.0,9000.7,9
HCPCS,27500,"HC CLOSED FX FEMORAL SHAFT, WITHOUT MANIPULATION",287.0,287.0,,,0
HCPCS,27500,Treatment of thigh fracture,,,291.4,3314.0,9
HCPCS,27501,Treatment of thigh fracture,,,291.4,4466.0,9
HCPCS,27502,"HC FEMORAL SHAFT FX WITH MANIPULATION, CLOSED",1487.0,1487.0,,,0
HCPCS,27502,Treatment of thigh fracture,,,1899.59,4466.0,9
HCPCS,27503,Treatment of thigh fracture,,,1899.59,5098.0,9
HCPCS,27506,Treatment of thigh fracture,,,3291.0,18617.0,9
HCPCS,27507,Treatment of thigh fracture,,,428.0,18617.0,9
HCPCS,27508,"HC CLOSED FX FEMORAL, DISTAL END  WO MANIPULATION",287.0,287.0,,,0
HCPCS,27508,Treatment of thigh fracture,,,291.4,3314.0,9
HCPCS,27509,Treatment of thigh fracture,,,3408.0,9420.0,9
HCPCS,27510,Treatment of thigh fracture,,,1544.0,4097.0,9
HCPCS,27511,Treatment of thigh fracture,,,428.0,18617.0,9
HCPCS,27513,Treatment of thigh fracture,,,428.0,18617.0,9
HCPCS,27514,Treatment of thigh fracture,,,3291.0,18617.0,9
HCPCS,27516,Treat thigh fx growth plate,,,291.4,3314.0,9
HCPCS,27517,Treat thigh fx growth plate,,,1544.0,4097.0,9
HCPCS,27519,Treat thigh fx growth plate,,,3291.0,18617.0,9
HCPCS,27520,HC CLOSED FX PATELLAR WO MANIPULATION,287.0,287.0,,,0
HCPCS,27520,Treat kneecap fracture,,,291.4,3314.0,9
HCPCS,27524,Treat kneecap fracture,,,3408.0,11081.0,9
HCPCS,27530,HC CLOSED FX TIBIAL PLATEAU WO MANIPULATION,284.0,284.0,,,0
HCPCS,27530,Treat knee fracture,,,291.4,3314.0,9
HCPCS,27532,Treat knee fracture,,,1544.0,8006.0,9
HCPCS,27535,Treat knee fracture,,,3408.0,18617.0,9
HCPCS,27536,Treat knee fracture,,,3291.0,18617.0,9
HCPCS,27538,Treat knee fracture(s),,,291.4,3314.0,9
HCPCS,27540,Treat knee fracture,,,3291.0,18617.0,9
HCPCS,27550,HC CLOSED TX KNEE DISLOCATION WO ANESTHESIA,287.0,287.0,,,0
HCPCS,27550,Treat knee dislocation,,,291.4,3314.0,9
HCPCS,27552,Treat knee dislocation,,,1544.0,4097.0,9
HCPCS,27556,Treat knee dislocation,,,3291.0,18617.0,9
HCPCS,27557,Treat knee dislocation,,,3291.0,18617.0,9
HCPCS,27558,Treat knee dislocation,,,3291.0,18617.0,9
HCPCS,27560,HC CLOSED TX PATELLAR DISLOCATION WO ANESTHESIA,287.0,287.0,,,0
HCPCS,27560,Treat kneecap dislocation,,,291.4,3314.0,9
HCPCS,27562,Treat kneecap dislocation,,,291.4,3314.0,9
HCPCS,27566,Treat kneecap dislocation,,,2816.0,9420.0,9
HCPCS,27570,Fixation of knee joint,,,1544.0,4097.0,9
HCPCS,27580,Fusion of knee,,,3291.0,18617.0,9
HCPCS,27590,Amputate leg at thigh,,,1406.0,18686.0,9
HCPCS,27591,Amputate leg at thigh,,,1406.0,18686.0,9
HCPCS,27592,Amputate leg at thigh,,,1406.0,18686.0,9
HCPCS,27594,Amputation follow-up surgery,,,3408.0,6404.0,9
HCPCS,27596,Amputation follow-up surgery,,,1406.0,18617.0,9
HCPCS,27598,Amputate lower leg at knee,,,1406.0,18617.0,9
HCPCS,27599,Leg surgery procedure,,,291.4,18617.0,9
HCPCS,27600,Decompression of lower leg,,,3408.0,6404.0,9
HCPCS,27601,Decompression of lower leg,,,3408.0,6404.0,9
HCPCS,27602,Decompression of lower leg,,,3408.0,8006.0,9
HCPCS,27603,Drain lower leg lesion,,,2816.0,5123.0,9
HCPCS,27603,"HC DRAINAGE, LEG OR ANKLE; DEEP ABSCESS",3535.0,3535.0,,,0
HCPCS,27604,Drain lower leg bursa,,,2816.0,4466.0,9
HCPCS,27605,Incision of achilles tendon,,,1544.0,4097.0,9
HCPCS,27606,Incision of achilles tendon,,,1544.0,6404.0,9
HCPCS,27607,Treat lower leg bone lesion,,,2816.0,8006.0,9
HCPCS,27610,Explore/treat ankle joint,,,2816.0,6404.0,9
HCPCS,27612,Exploration of ankle joint,,,3408.0,8006.0,9
HCPCS,27613,Biopsy lower leg soft tissue,,,1544.0,4097.0,9
HCPCS,27614,Biopsy lower leg soft tissue,,,2816.0,5123.0,9
HCPCS,27615,Resect leg/ankle tum < 5 cm,,,3408.0,5123.0,9
HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,3408.0,13320.0,9
HCPCS,27618,Exc leg/ankle tum < 3 cm,,,1951.11,4466.0,9
HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,3408.0,5123.0,9
HCPCS,27620,Explore/treat ankle joint,,,3865.36,6404.0,9
HCPCS,27625,Remove ankle joint lining,,,3865.36,8006.0,9
HCPCS,27626,Remove ankle joint lining,,,3865.36,6404.0,9
HCPCS,27630,Removal of tendon lesion,,,3408.0,5123.0,9
HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,3408.0,13320.0,9
HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,3408.0,13320.0,9
HCPCS,27635,Remove lower leg bone lesion,,,3408.0,6404.0,9
HCPCS,27637,Remove/graft leg bone lesion,,,3408.0,11081.0,9
HCPCS,27638,Remove/graft leg bone lesion,,,3408.0,13036.0,9
HCPCS,27640,Partial removal of tibia,,,2816.0,8006.0,9
HCPCS,27641,Partial removal of fibula,,,2816.0,6404.0,9
HCPCS,27645,Resect tibia tumor,,,3291.0,18617.0,9
HCPCS,27646,Resect fibula tumor,,,3291.0,18617.0,9
HCPCS,27647,Resect talus/calcaneus tum,,,3408.0,8006.0,9
HCPCS,27648,"HC INJ PROC, ANKLE ARTHROGRAPHY",206.0,206.0,,,0
HCPCS,27648,Injection for ankle x-ray,,,428.0,1866.0,4
HCPCS,27650,Repair achilles tendon,,,3408.0,9420.0,9
HCPCS,27652,Repair/graft achilles tendon,,,3408.0,13036.0,9
HCPCS,27654,Repair of achilles tendon,,,3408.0,11081.0,9
HCPCS,27656,Repair leg fascia defect,,,2816.0,6404.0,9
HCPCS,27658,Repair of leg tendon each,,,1544.0,8006.0,9
HCPCS,27659,Repair of leg tendon each,,,2816.0,9420.0,9
HCPCS,27664,Repair of leg tendon each,,,2816.0,9420.0,9
HCPCS,27665,Repair of leg tendon each,,,2816.0,13036.0,9
HCPCS,27675,Repair lower leg tendons,,,2816.0,8006.0,9
HCPCS,27676,Repair lower leg tendons,,,3408.0,9420.0,9
HCPCS,27680,Release of lower leg tendon,,,3408.0,8006.0,9
HCPCS,27681,Release of lower leg tendons,,,2816.0,8006.0,9
HCPCS,27685,Revision of lower leg tendon,,,3408.0,6404.0,9
HCPCS,27686,Revise lower leg tendons,,,3408.0,8006.0,9
HCPCS,27687,Revision of calf tendon,,,3408.0,5123.0,9
HCPCS,27690,Revise lower leg tendon,,,4224.0,11081.0,9
HCPCS,27691,Revise lower leg tendon,,,4224.0,11081.0,9
HCPCS,27692,Revise additional leg tendon,,,428.0,5044.0,4
HCPCS,27695,Repair of ankle ligament,,,2816.0,11081.0,9
HCPCS,27696,Repair of ankle ligaments,,,2816.0,11081.0,9
HCPCS,27698,Repair of ankle ligament,,,2816.0,11081.0,9
HCPCS,27700,Revision of ankle joint,,,3291.0,9420.0,9
HCPCS,27702,Reconstruct ankle joint,,,3560.0,33657.37,9
HCPCS,27703,Reconstruction ankle joint,,,428.0,21749.16,9
HCPCS,27704,Removal of ankle implant,,,2816.0,6404.0,9
HCPCS,27705,Incision of tibia,,,2816.0,15339.0,9
HCPCS,27707,Incision of fibula,,,2816.0,8006.0,9
HCPCS,27709,Incision of tibia & fibula,,,2816.0,15925.26,9
HCPCS,27712,Realignment of lower leg,,,3291.0,18617.0,9
HCPCS,27713,Osteot tibia imed lngth dev,,,3291.0,18617.0,7
HCPCS,27715,Revision of lower leg,,,4224.0,18617.0,9
HCPCS,27720,Repair of tibia,,,3291.0,15339.0,9
HCPCS,27722,Repair/graft of tibia,,,3291.0,13320.0,9
HCPCS,27724,Repair/graft of tibia,,,3291.0,18617.0,9
HCPCS,27725,Repair of lower leg,,,3291.0,18617.0,9
HCPCS,27726,Repair fibula nonunion,,,3408.0,15339.0,9
HCPCS,27727,Repair of lower leg,,,3291.0,18617.0,9
HCPCS,27730,Repair of tibia epiphysis,,,428.0,4466.0,9
HCPCS,27732,Repair of fibula epiphysis,,,428.0,4466.0,9
HCPCS,27734,Repair lower leg epiphyses,,,428.0,4466.0,9
HCPCS,27740,Repair of leg epiphyses,,,428.0,4466.0,9
HCPCS,27742,Repair of leg epiphyses,,,428.0,4466.0,9
HCPCS,27745,Reinforce tibia,,,3408.0,11081.0,9
HCPCS,27750,HC CLOSED FX TIBIAL SHAFT WO MANIPULATION,287.0,287.0,,,0
HCPCS,27750,Treatment of tibia fracture,,,291.4,3314.0,9
HCPCS,27752,"HC TIBIAL SHAFT FX WITH MANIPULATION, CLOSED",1984.0,1984.0,,,0
HCPCS,27752,Treatment of tibia fracture,,,1544.0,4097.0,9
HCPCS,27756,Treatment of tibia fracture,,,3408.0,17041.0,9
HCPCS,27758,Treatment of tibia fracture,,,4224.0,17041.0,9
HCPCS,27759,Treatment of tibia fracture,,,4224.0,17041.0,9
HCPCS,27760,Cltx medial ankle fx,,,291.4,3314.0,9
HCPCS,27760,HC CLOSED FX MEDIAL MALLEOLUS WO MANIPULATION,287.0,287.0,,,0
HCPCS,27762,Cltx med ankle fx w/mnpj,,,1544.0,3314.0,9
HCPCS,27766,Optx medial ankle fx,,,3408.0,9420.0,9
HCPCS,27767,Cltx post ankle fx,,,291.4,3314.0,9
HCPCS,27768,Cltx post ankle fx w/mnpj,,,1544.0,3314.0,9
HCPCS,27769,Optx post ankle fx,,,3408.0,13320.0,9
HCPCS,27780,HC CLOSED FX PROXIMAL FIBULA OR SHAFT WO MANIPULATION,287.0,287.0,,,0
HCPCS,27780,Treatment of fibula fracture,,,291.4,3314.0,9
HCPCS,27781,HC CLOSED FX PROXIMAL FIBULA OR SHAFT WITH MANIPULATION,1878.0,1878.0,,,0
HCPCS,27781,Treatment of fibula fracture,,,1544.0,3314.0,9
HCPCS,27784,Treatment of fibula fracture,,,3408.0,11081.0,9
HCPCS,27786,HC CLOSED FX DISTAL FIBULAR WO MANIPULATION,287.0,287.0,,,0
HCPCS,27786,Treatment of ankle fracture,,,291.4,3314.0,9
HCPCS,27788,HC CLOSED FX DISTAL FIBULAR WITH MANIPULATION,287.0,287.0,,,0
HCPCS,27788,Treatment of ankle fracture,,,291.4,3314.0,9
HCPCS,27792,Treatment of ankle fracture,,,3408.0,11081.0,9
HCPCS,27808,HC CLOSED FX BIMALLEOLAR ANKLE WO MANIPULATION,287.0,287.0,,,0
HCPCS,27808,Treatment of ankle fracture,,,291.4,3314.0,9
HCPCS,27810,HC CLOSED FX BIMALLEOLAR ANKLE WITH MANIPULATION,1986.0,1986.0,,,0
HCPCS,27810,Treatment of ankle fracture,,,1544.0,3314.0,9
HCPCS,27814,Treatment of ankle fracture,,,3408.0,13036.0,9
HCPCS,27816,Treatment of ankle fracture,,,291.4,3314.0,9
HCPCS,27818,HC TRIMALLEOLAR ANKLE FX; WITH MANIPULATION CLOSED,1986.0,1986.0,,,0
HCPCS,27818,Treatment of ankle fracture,,,1544.0,3314.0,9
HCPCS,27822,Treatment of ankle fracture,,,3408.0,15339.0,9
HCPCS,27823,Treatment of ankle fracture,,,3408.0,15339.0,9
HCPCS,27824,Treat lower leg fracture,,,291.4,3314.0,9
HCPCS,27825,HC CLOSED TX FX WEIGHT BEAR  DISTAL TIBIA; W OR W/O ANES; MANIPUL,8599.0,8599.0,,,0
HCPCS,27825,Treat lower leg fracture,,,1899.59,4466.0,9
HCPCS,27826,Treat lower leg fracture,,,3408.0,15339.0,9
HCPCS,27827,Treat lower leg fracture,,,3408.0,17041.0,9
HCPCS,27828,Treat lower leg fracture,,,4224.0,17041.0,9
HCPCS,27829,Treat lower leg joint,,,2816.0,11081.0,9
HCPCS,27830,Treat lower leg dislocation,,,291.4,3314.0,9
HCPCS,27831,Treat lower leg dislocation,,,1544.0,9420.0,9
HCPCS,27832,Treat lower leg dislocation,,,2816.0,13036.0,9
HCPCS,27840,HC CLOSED TX ANKLE DISLOCATION; WO ANESTHESIA,287.0,287.0,,,0
HCPCS,27840,Treat ankle dislocation,,,291.4,3314.0,9
HCPCS,27842,Treat ankle dislocation,,,1544.0,4097.0,9
HCPCS,27846,Treat ankle dislocation,,,3408.0,13036.0,9
HCPCS,27848,Treat ankle dislocation,,,3408.0,13036.0,9
HCPCS,27860,Fixation of ankle joint,,,1544.0,5123.0,9
HCPCS,27870,Fusion of ankle joint open,,,4224.0,15925.26,9
HCPCS,27871,Fusion of tibiofibular joint,,,4224.0,15925.26,9
HCPCS,27880,Amputation of lower leg,,,1406.0,18686.0,9
HCPCS,27881,Amputation of lower leg,,,1406.0,18617.0,9
HCPCS,27882,Amputation of lower leg,,,1406.0,18617.0,9
HCPCS,27884,Amputation follow-up surgery,,,3408.0,6404.0,9
HCPCS,27886,Amputation follow-up surgery,,,1406.0,18617.0,9
HCPCS,27888,Amputation of foot at ankle,,,1406.0,18617.0,9
HCPCS,27889,Amputation of foot at ankle,,,3408.0,9420.0,9
HCPCS,27892,Decompression of leg,,,3408.0,6404.0,9
HCPCS,27893,Decompression of leg,,,3408.0,11081.0,9
HCPCS,27894,Decompression of leg,,,3408.0,5098.0,9
HCPCS,27899,Leg/ankle surgery procedure,,,291.4,18617.0,9
HCPCS,28001,Drainage of bursa of foot,,,1951.11,18617.0,9
HCPCS,28002,Treatment of foot infection,,,1899.59,5123.0,9
HCPCS,28003,Treatment of foot infection,,,3408.0,6404.0,9
HCPCS,28005,Treat foot bone lesion,,,3408.0,6404.0,9
HCPCS,28008,Incision of foot fascia,,,3408.0,5098.0,9
HCPCS,28010,Incision of toe tendon,,,1899.59,18617.0,9
HCPCS,28011,Incision of toe tendons,,,1899.59,5098.0,9
HCPCS,28020,Exploration of foot joint,,,2816.0,5123.0,9
HCPCS,28022,Exploration of foot joint,,,2816.0,6404.0,9
HCPCS,28024,Exploration of toe joint,,,1899.59,5123.0,9
HCPCS,28035,Decompression of tibia nerve,,,2306.84,6312.0,9
HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,1544.0,5123.0,9
HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,3408.0,5123.0,9
HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,1951.11,4466.0,9
HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,3408.0,5098.0,9
HCPCS,28045,"HC EXCISION TUMOR, SOFT TISSUE FOOT/TOE <1.5CM",6062.0,6062.0,,,0
HCPCS,28046,Resect foot/toe tumor < 3 cm,,,3408.0,5123.0,9
HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,3408.0,13320.0,9
HCPCS,28050,Biopsy of foot joint lining,,,2816.0,6404.0,9
HCPCS,28052,Biopsy of foot joint lining,,,2816.0,6404.0,9
HCPCS,28054,Biopsy of toe joint lining,,,2816.0,5123.0,9
HCPCS,28055,Neurectomy foot,,,2306.84,6312.0,9
HCPCS,28060,Partial removal foot fascia,,,2816.0,5123.0,9
HCPCS,28062,Removal of foot fascia,,,3408.0,5123.0,9
HCPCS,28070,Removal of foot joint lining,,,3408.0,9000.7,9
HCPCS,28072,Removal of foot joint lining,,,3408.0,6404.0,9
HCPCS,28080,Removal of foot lesion,,,1899.59,5098.0,9
HCPCS,28086,Excise foot tendon sheath,,,2816.0,8006.0,9
HCPCS,28088,Excise foot tendon sheath,,,2816.0,5123.0,9
HCPCS,28090,Removal of foot lesion,,,1899.59,5098.0,9
HCPCS,28092,Removal of toe lesions,,,1899.59,5098.0,9
HCPCS,28100,Removal of ankle/heel lesion,,,2816.0,6404.0,9
HCPCS,28102,Remove/graft foot lesion,,,3408.0,9420.0,9
HCPCS,28103,Remove/graft foot lesion,,,3408.0,11081.0,9
HCPCS,28104,Removal of foot lesion,,,2816.0,5123.0,9
HCPCS,28106,Remove/graft foot lesion,,,3408.0,9420.0,9
HCPCS,28107,Remove/graft foot lesion,,,3408.0,9420.0,9
HCPCS,28108,Removal of toe lesions,,,1899.59,4466.0,9
HCPCS,28110,Part removal of metatarsal,,,3408.0,5123.0,9
HCPCS,28111,Part removal of metatarsal,,,3408.0,5123.0,9
HCPCS,28112,Part removal of metatarsal,,,3408.0,5123.0,9
HCPCS,28113,Part removal of metatarsal,,,3408.0,5123.0,9
HCPCS,28114,Removal of metatarsal heads,,,3408.0,8006.0,9
HCPCS,28116,Revision of foot,,,3408.0,6404.0,9
HCPCS,28118,Removal of heel bone,,,3865.36,9420.0,9
HCPCS,28119,Removal of heel spur,,,3865.36,6404.0,9
HCPCS,28120,Part removal of ankle/heel,,,3865.36,9918.0,9
HCPCS,28122,Partial removal of foot bone,,,3408.0,5123.0,9
HCPCS,28124,HC PARTIAL EXCISION PHALANX TOE BONE,3049.0,3049.0,,,0
HCPCS,28124,Partial removal of toe,,,2816.0,5098.0,9
HCPCS,28126,Partial removal of toe,,,3408.0,5123.0,9
HCPCS,28130,Removal of ankle bone,,,3408.0,9000.7,9
HCPCS,28140,Removal of metatarsal,,,3408.0,6404.0,9
HCPCS,28150,Removal of toe,,,3408.0,5123.0,9
HCPCS,28153,Partial removal of toe,,,3408.0,5098.0,9
HCPCS,28160,"HC INTERPHALANGEAL TOE JNT EXCISION, EACH",4984.0,4984.0,,,0
HCPCS,28160,Partial removal of toe,,,3408.0,5123.0,9
HCPCS,28171,Resect tarsal tumor,,,3408.0,5123.0,9
HCPCS,28173,Resect metatarsal tumor,,,3408.0,5123.0,9
HCPCS,28175,Resect phalanx of toe tumor,,,1899.59,5098.0,9
HCPCS,28190,"HC REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS",900.0,900.0,,,0
HCPCS,28190,Removal of foot foreign body,,,836.55,4166.0,9
HCPCS,28192,Removal of foot foreign body,,,1951.11,4466.0,9
HCPCS,28193,Removal of foot foreign body,,,1951.11,6312.0,9
HCPCS,28200,Repair of foot tendon,,,3408.0,8006.0,9
HCPCS,28202,Repair/graft of foot tendon,,,3408.0,13036.0,9
HCPCS,28208,"HC REPAIR FOOT TENDON, EXTENSOR, EACH",3427.0,3427.0,,,0
HCPCS,28208,Repair of foot tendon,,,3408.0,8006.0,9
HCPCS,28210,Repair/graft of foot tendon,,,3408.0,11081.0,9
HCPCS,28220,Release of foot tendon,,,1899.59,18617.0,9
HCPCS,28222,Release of foot tendons,,,1544.0,6404.0,9
HCPCS,28225,Release of foot tendon,,,1544.0,5123.0,9
HCPCS,28226,Release of foot tendons,,,1544.0,4097.0,9
HCPCS,28230,Incision of foot tendon(s),,,1899.59,18617.0,9
HCPCS,28232,Incision of toe tendon,,,1899.59,18617.0,9
HCPCS,28234,Incision of foot tendon,,,1899.59,4466.0,9
HCPCS,28238,Revision of foot tendon,,,3408.0,9420.0,9
HCPCS,28240,Release of big toe,,,2816.0,6404.0,9
HCPCS,28250,Revision of foot fascia,,,3408.0,5123.0,9
HCPCS,28260,Release of midfoot joint,,,2138.0,5098.0,9
HCPCS,28261,Revision of foot tendon,,,1899.59,6404.0,9
HCPCS,28262,Revision of foot and ankle,,,4224.0,17041.0,9
HCPCS,28264,Release of midfoot joint,,,1544.0,3314.0,9
HCPCS,28270,Release of foot contracture,,,3408.0,6404.0,9
HCPCS,28272,Release of toe joint each,,,1899.59,18617.0,9
HCPCS,28280,Fusion of toes,,,2816.0,4466.0,9
HCPCS,28285,Repair of hammertoe,,,3408.0,5123.0,9
HCPCS,28286,Repair of hammertoe,,,3865.36,6312.0,9
HCPCS,28288,Partial removal of foot bone,,,3408.0,5123.0,9
HCPCS,28289,Corrj halux rigdus w/o implt,,,3408.0,6404.0,9
HCPCS,28291,Corrj halux rigdus w/implt,,,3408.0,18617.0,9
HCPCS,28292,Correction hallux valgus,,,2816.0,6404.0,9
HCPCS,28295,Correction hallux valgus,,,2816.0,6404.0,9
HCPCS,28296,Correction hallux valgus,,,3408.0,8006.0,9
HCPCS,28297,Correction hallux valgus,,,3408.0,15925.26,9
HCPCS,28298,Correction hallux valgus,,,3408.0,9420.0,9
HCPCS,28299,Correction hallux valgus,,,3291.0,9420.0,9
HCPCS,28300,Incision of heel bone,,,2816.0,15339.0,9
HCPCS,28302,Incision of ankle bone,,,2816.0,11081.0,9
HCPCS,28304,Incision of midfoot bones,,,2816.0,11081.0,9
HCPCS,28305,Incise/graft midfoot bones,,,3408.0,13036.0,9
HCPCS,28306,Incision of metatarsal,,,4224.0,9420.0,9
HCPCS,28307,Incision of metatarsal,,,4224.0,9000.7,9
HCPCS,28308,Incision of metatarsal,,,2816.0,8006.0,9
HCPCS,28309,Incision of metatarsals,,,4224.0,11081.0,9
HCPCS,28310,Revision of big toe,,,3408.0,9000.7,9
HCPCS,28312,Revision of toe,,,3408.0,6404.0,9
HCPCS,28313,Repair deformity of toe,,,2816.0,8006.0,9
HCPCS,28315,Removal of sesamoid bone,,,3865.36,6312.0,9
HCPCS,28320,Repair of foot bones,,,4224.0,17041.0,9
HCPCS,28322,Repair of metatarsals,,,4224.0,13036.0,9
HCPCS,28340,Resect enlarged toe tissue,,,3865.36,9420.0,9
HCPCS,28341,Resect enlarged toe,,,3865.36,6312.0,9
HCPCS,28344,Repair extra toe(s),,,3865.36,6312.0,9
HCPCS,28345,Repair webbed toe(s),,,1899.59,6312.0,9
HCPCS,28360,Reconstruct cleft foot,,,428.0,18617.0,9
HCPCS,28400,Treatment of heel fracture,,,291.4,3314.0,9
HCPCS,28405,Treatment of heel fracture,,,291.4,4466.0,9
HCPCS,28406,Treatment of heel fracture,,,2816.0,11081.0,9
HCPCS,28415,Treat heel fracture,,,3408.0,15339.0,9
HCPCS,28420,Treat/graft heel fracture,,,4224.0,15925.26,9
HCPCS,28430,HC CLOSED FX TALUS WO MANIPULATION,287.0,287.0,,,0
HCPCS,28430,Treatment of ankle fracture,,,291.4,18617.0,9
HCPCS,28435,Treatment of ankle fracture,,,1899.59,4466.0,9
HCPCS,28436,Treatment of ankle fracture,,,2816.0,9000.7,9
HCPCS,28445,Treat ankle fracture,,,3408.0,11081.0,9
HCPCS,28446,Osteochondral talus autogrft,,,4224.0,13320.0,9
HCPCS,28450,"HC TX TARSAL BONE FRACTURE WO MANIPULATION, EACH",287.0,287.0,,,0
HCPCS,28450,Treat midfoot fracture each,,,291.4,18617.0,9
HCPCS,28455,"HC TX TARSAL BONE FRACTURE WITH MANIPULATION, EACH",1989.0,1989.0,,,0
HCPCS,28455,Treat midfoot fracture each,,,1544.0,18617.0,9
HCPCS,28456,Treat midfoot fracture,,,2816.0,11081.0,9
HCPCS,28465,Treat midfoot fracture each,,,3408.0,13036.0,9
HCPCS,28470,"HC CLOSED FX METATARSALWO MANIPULATION, EACH",286.0,286.0,,,0
HCPCS,28470,Treat metatarsal fracture,,,291.4,18617.0,9
HCPCS,28475,"HC CLOSED FX METATARSALWITH MANIPULATION, EACH",287.0,287.0,,,0
HCPCS,28475,Treat metatarsal fracture,,,291.4,18617.0,9
HCPCS,28476,Treat metatarsal fracture,,,2816.0,8006.0,9
HCPCS,28485,Treat metatarsal fracture,,,4224.0,11081.0,9
HCPCS,28490,HC CLOSED FX GREAT TOE WITHOUT MANIPULATION,287.0,287.0,,,0
HCPCS,28490,Treat big toe fracture,,,291.4,18617.0,9
HCPCS,28495,HC CLOSED FX GREAT TOE WITH MANIPULATION,287.0,287.0,,,0
HCPCS,28495,Treat big toe fracture,,,291.4,18617.0,9
HCPCS,28496,Treat big toe fracture,,,2816.0,4466.0,9
HCPCS,28505,Treat big toe fracture,,,3408.0,8006.0,9
HCPCS,28510,"HC CLOSED FX TOE WITHOUT MANIPULATION, EACH",287.0,287.0,,,0
HCPCS,28510,Treatment of toe fracture,,,291.4,18617.0,9
HCPCS,28515,"HC CLOSED FX TOE WITH MANIPULATION, EACH",287.0,287.0,,,0
HCPCS,28515,Treatment of toe fracture,,,291.4,18617.0,9
HCPCS,28525,Treat toe fracture,,,3408.0,6404.0,9
HCPCS,28530,Treat sesamoid bone fracture,,,291.4,18617.0,9
HCPCS,28531,Treat sesamoid bone fracture,,,3408.0,13036.0,9
HCPCS,28540,HC CLOSED TX TARSAL DISLOCATION WITHOUT ANESTHESIA,287.0,287.0,,,0
HCPCS,28540,Treat foot dislocation,,,291.4,18617.0,9
HCPCS,28545,Treat foot dislocation,,,1544.0,5123.0,9
HCPCS,28546,Treat foot dislocation,,,1899.59,4466.0,9
HCPCS,28555,Repair foot dislocation,,,2816.0,15339.0,9
HCPCS,28570,Treat foot dislocation,,,291.4,18617.0,9
HCPCS,28575,Treat foot dislocation,,,1544.0,6404.0,9
HCPCS,28576,Treat foot dislocation,,,428.0,9000.7,9
HCPCS,28585,Repair foot dislocation,,,3408.0,9000.7,9
HCPCS,28600,Treat foot dislocation,,,291.4,18617.0,9
HCPCS,28605,Treat foot dislocation,,,291.4,3314.0,9
HCPCS,28606,Treat foot dislocation,,,2816.0,11081.0,9
HCPCS,28615,Repair foot dislocation,,,3408.0,11081.0,9
HCPCS,28630,HC CLOSED TX MTP JOINT DISLOCATION WITH ANESTHESIA,287.0,287.0,,,0
HCPCS,28630,Treat toe dislocation,,,291.4,18617.0,9
HCPCS,28635,Treat toe dislocation,,,1544.0,3314.0,9
HCPCS,28636,Treat toe dislocation,,,3408.0,5123.0,9
HCPCS,28645,Repair toe dislocation,,,3408.0,8006.0,9
HCPCS,28660,HC CLOSED TX IP JOINT DISLOCATION WITHOUT ANESTHESIA,287.0,287.0,,,0
HCPCS,28660,Treat toe dislocation,,,291.4,18617.0,9
HCPCS,28665,Treat toe dislocation,,,330.41,4097.0,9
HCPCS,28666,Treat toe dislocation,,,3408.0,5098.0,9
HCPCS,28675,Repair of toe dislocation,,,3408.0,6404.0,9
HCPCS,28705,Fusion of foot bones,,,4224.0,21749.16,9
HCPCS,28715,Fusion of foot bones,,,4224.0,15925.26,9
HCPCS,28725,Fusion of foot bones,,,4224.0,17041.0,9
HCPCS,28730,Fusion of foot bones,,,4224.0,15925.26,9
HCPCS,28735,Fusion of foot bones,,,4224.0,15925.26,9
HCPCS,28737,Revision of foot bones,,,3291.0,15925.26,9
HCPCS,28740,Fusion of foot bones,,,4224.0,11081.0,9
HCPCS,28750,Fusion of big toe joint,,,4224.0,9420.0,9
HCPCS,28755,Fusion of big toe joint,,,4224.0,9420.0,9
HCPCS,28760,Fusion of big toe joint,,,4224.0,11081.0,9
HCPCS,28800,Amputation of midfoot,,,3865.36,18617.0,9
HCPCS,28805,Amputation thru metatarsal,,,3408.0,18617.0,9
HCPCS,28810,Amputation toe & metatarsal,,,2816.0,5123.0,9
HCPCS,28820,Amputation of toe,,,2816.0,4466.0,9
HCPCS,28825,Partial amputation of toe,,,2816.0,4466.0,9
HCPCS,28890,Hi enrgy eswt plantar fascia,,,1899.59,18617.0,9
HCPCS,28899,Foot/toes surgery procedure,,,291.4,18617.0,9
HCPCS,29000,Application of body cast,,,330.41,3314.0,9
HCPCS,29010,Application of body cast,,,330.41,18617.0,9
HCPCS,29015,Application of body cast,,,330.41,18617.0,9
HCPCS,29035,Application of body cast,,,330.41,18617.0,9
HCPCS,29040,Application of body cast,,,330.41,18617.0,9
HCPCS,29044,Application of body cast,,,191.97,18617.0,9
HCPCS,29046,Application of body cast,,,330.41,18617.0,9
HCPCS,29049,Application of figure eight,,,330.41,18617.0,9
HCPCS,29055,Application of shoulder cast,,,330.41,18617.0,9
HCPCS,29058,Application of shoulder cast,,,330.41,18617.0,9
HCPCS,29065,Application of long arm cast,,,330.41,18617.0,9
HCPCS,29065,HC APPLY LONG ARM CAST,333.0,333.0,,,0
HCPCS,29075,Application of forearm cast,,,330.41,18617.0,9
HCPCS,29075,HC APPLY SHORT ARM CAST,333.0,333.0,,,0
HCPCS,29085,Apply hand/wrist cast,,,191.97,18617.0,9
HCPCS,29085,"DEAC 7/1/2023 HC APPLY CAST, HAND AND LOWER FOREARM (GAUNTLET)",184.0,184.0,,,0
HCPCS,29086,Apply finger cast,,,191.97,18617.0,9
HCPCS,29105,Apply long arm splint,,,191.97,18617.0,9
HCPCS,29105,HC APPLY LONG ARM SPLINT,463.0,463.0,,,0
HCPCS,29125,Apply forearm splint,,,157.18,18617.0,9
HCPCS,29125,"HC APPLY SHORT ARM SPLINT, STATIC",379.5,379.5,,,0
HCPCS,29126,Apply forearm splint,,,157.18,18617.0,9
HCPCS,29126,"HC APPLY SHORT ARM SPLINT, DYNAMIC",442.0,442.0,,,0
HCPCS,29130,Application of finger splint,,,157.18,18617.0,9
HCPCS,29130,"HC APPLY FINGER SPLINT, STATIC",323.0,323.0,,,0
HCPCS,29131,Application of finger splint,,,69.69,18617.0,9
HCPCS,29131,"HC APPLY FINGER SPLINT, DYNAMIC",304.0,304.0,,,0
HCPCS,29200,Strapping of chest,,,191.97,18617.0,9
HCPCS,29240,"HC STRAPPING, SHOULDER (EG, VELPEAU)",379.5,379.5,,,0
HCPCS,29240,Strapping of shoulder,,,157.18,18617.0,9
HCPCS,29260,"HC STRAPPING, ELBOW OR WRIST",339.0,339.0,,,0
HCPCS,29260,Strapping of elbow or wrist,,,69.69,18617.0,9
HCPCS,29280,"HC STRAPPING, HAND OR FINGER",339.0,339.0,,,0
HCPCS,29280,Strapping of hand or finger,,,69.69,18617.0,9
HCPCS,29305,Application of hip cast,,,330.41,18617.0,9
HCPCS,29325,Application of hip casts,,,330.41,18617.0,9
HCPCS,29345,Application of long leg cast,,,330.41,18617.0,9
HCPCS,29345,HC APPLY LONG LEG CAST,333.0,333.0,,,0
HCPCS,29355,Application of long leg cast,,,330.41,18617.0,9
HCPCS,29358,Apply long leg cast brace,,,330.41,18617.0,9
HCPCS,29365,Application of long leg cast,,,330.41,18617.0,9
HCPCS,29405,Apply short leg cast,,,330.41,18617.0,9
HCPCS,29405,"HC APPLY CAST, SHORT LEG",333.0,333.0,,,0
HCPCS,29425,Apply short leg cast,,,330.41,18617.0,9
HCPCS,29425,HC APPLY SHORT LEG CAST WALKER,333.0,333.0,,,0
HCPCS,29435,Apply short leg cast,,,330.41,18617.0,9
HCPCS,29435,HC APPLY PATELLAR TENDON BEARING (PTB) CAST,333.0,333.0,,,0
HCPCS,29440,Addition of walker to cast,,,191.97,18617.0,9
HCPCS,29445,Apply rigid leg cast,,,330.41,18617.0,9
HCPCS,29445,HC APPLY RIGID  TOTAL CONTACT LEG CAST,873.0,873.0,,,0
HCPCS,29450,Application of leg cast,,,191.97,18617.0,9
HCPCS,29450,HC APPLY CLUBFOOT CAST LONG OR SHORT LEG,203.0,203.0,,,0
HCPCS,29505,Application long leg splint,,,191.97,18617.0,9
HCPCS,29505,HC APPLY LONG LEG SPLINT,203.0,203.0,,,0
HCPCS,29515,Application lower leg splint,,,191.97,18617.0,9
HCPCS,29515,HC APPLY SHORT LEG SPLINT,400.5,400.5,,,0
HCPCS,29520,"HC STRAPPING, HIP",161.0,161.0,,,0
HCPCS,29520,Strapping of hip,,,157.18,18617.0,9
HCPCS,29530,"HC STRAPPING, KNEE",323.0,323.0,,,0
HCPCS,29530,Strapping of knee,,,157.18,18617.0,9
HCPCS,29540,"HC STRAPPING, ANKEL AND/OR FOOT",344.0,344.0,,,0
HCPCS,29540,Strapping of ankle and/or ft,,,191.97,18617.0,9
HCPCS,29550,"HC STRAPPING, TOES",224.0,224.0,,,0
HCPCS,29550,Strapping of toes,,,69.69,18617.0,9
HCPCS,29580,Application of paste boot,,,191.97,18617.0,9
HCPCS,29580,"HC STRAPPING, UNNA BOOT",259.5,259.5,,,0
HCPCS,29581,Apply multlay comprs lwr leg,,,191.97,18617.0,9
HCPCS,29581,HC APPLY MULTI-LAYER COMPRESSION LOWER LEG,345.0,345.0,,,0
HCPCS,29584,Appl multlay comprs arm/hand,,,191.97,18617.0,9
HCPCS,29700,"HC REMOVAL OR BIVALVING; GAUNTLET,  BOOT OR BODY CAST",859.0,859.0,,,0
HCPCS,29700,Removal/revision of cast,,,330.41,18617.0,9
HCPCS,29705,Removal/revision of cast,,,330.41,18617.0,9
HCPCS,29710,Removal/revision of cast,,,330.41,18617.0,9
HCPCS,29720,Repair of body cast,,,191.97,18617.0,9
HCPCS,29730,Windowing of cast,,,191.97,18617.0,9
HCPCS,29740,Wedging of cast,,,330.41,18617.0,9
HCPCS,29750,Wedging of clubfoot cast,,,330.41,18617.0,9
HCPCS,29799,Casting/strapping procedure,,,191.97,984.0,5
HCPCS,29799,HC UNLISTED CASTING OR STRAPPING,344.0,344.0,,,0
HCPCS,29800,Jaw arthroscopy/surgery,,,3408.0,9420.0,9
HCPCS,29804,Jaw arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29805,Shoulder arthroscopy dx,,,3408.0,6404.0,9
HCPCS,29806,Shoulder arthroscopy/surgery,,,3408.0,13036.0,9
HCPCS,29807,Shoulder arthroscopy/surgery,,,3408.0,13036.0,9
HCPCS,29819,Shoulder arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29820,Shoulder arthroscopy/surgery,,,3408.0,9420.0,9
HCPCS,29821,Shoulder arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29822,Shoulder arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29823,Shoulder arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29824,Shoulder arthroscopy/surgery,,,3291.0,8006.0,9
HCPCS,29825,Shoulder arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29826,Shoulder arthroscopy/surgery,,,428.0,5098.0,6
HCPCS,29827,Arthroscop rotator cuff repr,,,3291.0,13036.0,9
HCPCS,29828,Arthroscopy biceps tenodesis,,,3408.0,13320.0,9
HCPCS,29830,Elbow arthroscopy,,,3408.0,5123.0,9
HCPCS,29834,Elbow arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29835,Elbow arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29836,Elbow arthroscopy/surgery,,,3408.0,9420.0,9
HCPCS,29837,Elbow arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29838,Elbow arthroscopy/surgery,,,3408.0,9420.0,9
HCPCS,29840,Wrist arthroscopy,,,3408.0,5123.0,9
HCPCS,29843,Wrist arthroscopy/surgery,,,3408.0,6404.0,9
HCPCS,29844,Wrist arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29845,Wrist arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29846,Wrist arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29847,Wrist arthroscopy/surgery,,,3408.0,9420.0,9
HCPCS,29848,Wrist endoscopy/surgery,,,1899.59,13320.0,9
HCPCS,29850,Knee arthroscopy/surgery,,,1899.59,6312.0,9
HCPCS,29851,Knee arthroscopy/surgery,,,1899.59,6312.0,9
HCPCS,29855,Tibial arthroscopy/surgery,,,4224.0,9420.0,9
HCPCS,29856,Tibial arthroscopy/surgery,,,4224.0,15925.26,9
HCPCS,29860,Hip arthroscopy dx,,,4224.0,11081.0,9
HCPCS,29861,Hip arthro w/fb removal,,,4224.0,11081.0,9
HCPCS,29862,Hip arthr0 w/debridement,,,4224.0,13320.0,9
HCPCS,29863,Hip arthr0 w/synovectomy,,,3865.36,8006.0,9
HCPCS,29866,Autgrft implnt knee w/scope,,,3408.0,18617.0,9
HCPCS,29867,Allgrft implnt knee w/scope,,,3408.0,18617.0,9
HCPCS,29868,Meniscal trnspl knee w/scpe,,,3408.0,18617.0,9
HCPCS,29870,Knee arthroscopy dx,,,3408.0,5123.0,9
HCPCS,29871,Knee arthroscopy/drainage,,,3408.0,8006.0,9
HCPCS,29873,Knee arthroscopy/surgery,,,3408.0,6404.0,9
HCPCS,29874,Knee arthroscopy/surgery,,,3408.0,6404.0,9
HCPCS,29875,Knee arthroscopy/surgery,,,3865.36,6404.0,9
HCPCS,29876,Knee arthroscopy/surgery,,,3865.36,6404.0,9
HCPCS,29877,Knee arthroscopy/surgery,,,3865.36,6404.0,9
HCPCS,29879,Knee arthroscopy/surgery,,,3408.0,6404.0,9
HCPCS,29880,Knee arthroscopy/surgery,,,3865.36,6404.0,9
HCPCS,29881,Knee arthroscopy/surgery,,,3865.36,6404.0,9
HCPCS,29882,Knee arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29883,Knee arthroscopy/surgery,,,3408.0,5123.0,9
HCPCS,29884,Knee arthroscopy/surgery,,,3408.0,6404.0,9
HCPCS,29885,Knee arthroscopy/surgery,,,3408.0,11081.0,9
HCPCS,29886,Knee arthroscopy/surgery,,,3408.0,5123.0,9
HCPCS,29887,Knee arthroscopy/surgery,,,3408.0,9000.7,9
HCPCS,29888,Knee arthroscopy/surgery,,,3408.0,17041.0,9
HCPCS,29889,Knee arthroscopy/surgery,,,3408.0,17939.0,9
HCPCS,29891,Ankle arthroscopy/surgery,,,3408.0,9420.0,9
HCPCS,29892,Ankle arthroscopy/surgery,,,3408.0,9420.0,9
HCPCS,29893,Scope plantar fasciotomy,,,3408.0,13320.0,9
HCPCS,29894,Ankle arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29895,Ankle arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29897,Ankle arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29898,Ankle arthroscopy/surgery,,,3408.0,8006.0,9
HCPCS,29899,Ankle arthroscopy/surgery,,,3408.0,15339.0,9
HCPCS,29900,Mcp joint arthroscopy dx,,,3408.0,6404.0,9
HCPCS,29901,Mcp joint arthroscopy surg,,,3408.0,8006.0,9
HCPCS,29902,Mcp joint arthroscopy surg,,,1899.59,5098.0,9
HCPCS,29904,Subtalar arthro w/fb rmvl,,,3408.0,13320.0,9
HCPCS,29905,Subtalar arthro w/exc,,,3408.0,13320.0,9
HCPCS,29906,Subtalar arthro w/deb,,,3408.0,13320.0,9
HCPCS,29907,Subtalar arthro w/fusion,,,3408.0,17041.0,9
HCPCS,29914,Hip arthro w/femoroplasty,,,4224.0,13320.0,9
HCPCS,29915,Hip arthro acetabuloplasty,,,4224.0,15339.0,9
HCPCS,29916,Hip arthro w/labral repair,,,4224.0,15339.0,9
HCPCS,29999,Arthroscopy of joint,,,291.4,18617.0,9
HCPCS,30000,Drainage of nose lesion,,,279.8,18617.0,9
HCPCS,30000,"HC DRAIN ABSCESS/HEMATOMA, NASAL, INTERNAL APPROACH",693.0,693.0,,,0
HCPCS,30020,Drainage of nose lesion,,,637.13,18617.0,9
HCPCS,30100,"HC BIOPSY, INTRANASAL",2222.0,2222.0,,,0
HCPCS,30100,Intranasal biopsy,,,1544.0,4097.0,9
HCPCS,30110,"HC EXCISION, NASAL POLYP(S), (SIMPLE)",4020.0,4020.0,,,0
HCPCS,30110,Removal of nose polyp(s),,,1544.0,18617.0,9
HCPCS,30115,Removal of nose polyp(s),,,2816.0,6404.0,9
HCPCS,30117,Removal of intranasal lesion,,,3408.0,5123.0,9
HCPCS,30118,Removal of intranasal lesion,,,3408.0,5123.0,9
HCPCS,30120,Revision of nose,,,1544.0,5123.0,9
HCPCS,30124,Removal of nose lesion,,,1544.0,4097.0,9
HCPCS,30125,Removal of nose lesion,,,2816.0,8006.0,9
HCPCS,30130,Excise inferior turbinate,,,3408.0,5123.0,9
HCPCS,30140,Resect inferior turbinate,,,2816.0,6404.0,9
HCPCS,30150,Partial removal of nose,,,3408.0,11081.0,9
HCPCS,30160,Removal of nose,,,4224.0,13036.0,9
HCPCS,30200,Injection treatment of nose,,,637.13,3314.0,9
HCPCS,30210,Nasal sinus therapy,,,428.0,3314.0,9
HCPCS,30220,Insert nasal septal button,,,1832.96,5098.0,9
HCPCS,30300,"HC REMOVAL FOREIGN BODY, INTRANASAL",161.0,161.0,,,0
HCPCS,30300,Remove nasal foreign body,,,157.18,18617.0,9
HCPCS,30310,Remove nasal foreign body,,,1544.0,4112.54,9
HCPCS,30320,Remove nasal foreign body,,,1832.96,4466.0,9
HCPCS,30400,"HC RHINOPLASTY, PRIMARY; LATERAL & ALAR CARTILAGES &/OR ELEVATE TIP",11326.0,11326.0,,,0
HCPCS,30400,Reconstruction of nose,,,4224.0,8006.0,9
HCPCS,30410,Reconstruction of nose,,,3291.0,11081.0,9
HCPCS,30420,Reconstruction of nose,,,3291.0,11081.0,9
HCPCS,30430,Revision of nose,,,3408.0,8006.0,9
HCPCS,30435,Revision of nose,,,3291.0,11081.0,9
HCPCS,30450,Revision of nose,,,4147.0,11081.0,9
HCPCS,30460,Revision of nose,,,4147.0,9918.0,9
HCPCS,30462,Revision of nose,,,4147.0,13320.0,9
HCPCS,30465,Repair Nasal Stenosis,,,4147.0,13320.0,9
HCPCS,30468,Rpr nsl vlv collapse w/implt,,,4147.0,13320.0,9
HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,4147.0,13320.0,9
HCPCS,30520,Repair of nasal septum,,,3916.7,6404.0,9
HCPCS,30540,Repair nasal defect,,,3291.0,9420.0,9
HCPCS,30545,Repair nasal defect,,,428.0,7422.0,9
HCPCS,30560,Release of nasal adhesions,,,637.13,4466.0,9
HCPCS,30580,Repair upper jaw fistula,,,4224.0,8006.0,9
HCPCS,30600,Repair mouth/nose fistula,,,4224.0,9420.0,9
HCPCS,30620,Intranasal reconstruction,,,4147.0,9918.0,9
HCPCS,30630,Repair nasal septum defect,,,3916.7,9918.0,9
HCPCS,30801,Ablate inf turbinate superf,,,1544.0,4097.0,9
HCPCS,30802,Ablate inf turbinate submuc,,,1544.0,4097.0,9
HCPCS,30901,Control of nosebleed,,,157.18,18617.0,9
HCPCS,30901,"HC CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE",161.0,161.0,,,0
HCPCS,30903,Control of nosebleed,,,157.18,3314.0,9
HCPCS,30903,"HC CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX",189.0,189.0,,,0
HCPCS,30905,Control of nosebleed,,,157.18,3314.0,9
HCPCS,30905,"HC CONTROL NASAL HEMORRHAGE, POSTERIOR, INITIAL",161.0,161.0,,,0
HCPCS,30906,Repeat control of nosebleed,,,279.8,3314.0,9
HCPCS,30915,Ligation nasal sinus artery,,,2816.0,6404.0,9
HCPCS,30920,Ligation upper jaw artery,,,3408.0,6404.0,9
HCPCS,30930,Ther fx nasal inf turbinate,,,3916.7,6312.0,9
HCPCS,30999,Nasal surgery procedure,,,279.8,18617.0,9
HCPCS,31000,HC LAVAGE BY CANNULATION; MAXILLARY SINUS,1278.0,1278.0,,,0
HCPCS,31000,Irrigation maxillary sinus,,,279.8,18617.0,9
HCPCS,31002,Irrigation sphenoid sinus,,,428.0,3314.0,9
HCPCS,31020,Exploration maxillary sinus,,,2816.0,6404.0,9
HCPCS,31030,Exploration maxillary sinus,,,3408.0,9420.0,9
HCPCS,31032,Explore sinus remove polyps,,,4224.0,8006.0,9
HCPCS,31040,Exploration behind upper jaw,,,1406.0,18617.0,9
HCPCS,31050,Exploration sphenoid sinus,,,2816.0,11081.0,9
HCPCS,31051,Sphenoid sinus surgery,,,4224.0,11081.0,9
HCPCS,31070,Exploration of frontal sinus,,,2816.0,11081.0,9
HCPCS,31075,Exploration of frontal sinus,,,4224.0,13036.0,9
HCPCS,31080,Removal of frontal sinus,,,4224.0,13036.0,9
HCPCS,31081,Removal of frontal sinus,,,4224.0,15339.0,9
HCPCS,31084,Removal of frontal sinus,,,4224.0,17041.0,9
HCPCS,31085,Removal of frontal sinus,,,4224.0,17041.0,9
HCPCS,31086,Removal of frontal sinus,,,4224.0,15339.0,9
HCPCS,31087,Removal of frontal sinus,,,4224.0,17939.0,9
HCPCS,31090,Exploration of sinuses,,,3291.0,11081.0,9
HCPCS,31200,Removal of ethmoid sinus,,,2816.0,8006.0,9
HCPCS,31201,Removal of ethmoid sinus,,,1832.96,7422.0,9
HCPCS,31205,Removal of ethmoid sinus,,,3408.0,8006.0,9
HCPCS,31225,Removal of upper jaw,,,1406.0,18617.0,4
HCPCS,31230,Removal of upper jaw,,,1406.0,18617.0,4
HCPCS,31231,"HC NASAL ENDOSCOPY, DIAGNOSTIC, UNIL/BILAT",695.0,695.0,,,0
HCPCS,31231,Nasal endoscopy dx,,,235.8,18617.0,9
HCPCS,31233,"HC NASAL/SINUS ENDOSCOPY, DIAGNOSTIC, W/MAXILLARY SINUSOSCOPY",1599.0,1599.0,,,0
HCPCS,31233,Nasal/sinus endoscopy dx,,,462.05,4466.0,9
HCPCS,31235,Nasal/sinus endoscopy dx,,,2102.67,4166.0,9
HCPCS,31237,"HC NASAL/SINUS ENDOSCOPY, SURGICAL; W/BX, POLYPECTOMY/DEBRIDE",4026.0,4026.0,,,0
HCPCS,31237,Nasal/sinus endoscopy surg,,,2102.67,4466.0,9
HCPCS,31238,HC NASAL/SINUS ENDOSCOPY W HEMORRHAGE CONTROL,4026.0,4026.0,,,0
HCPCS,31238,Nasal/sinus endoscopy surg,,,2102.67,4166.0,9
HCPCS,31239,Nasal/sinus endoscopy surg,,,4224.0,8006.0,9
HCPCS,31240,Nasal/sinus endoscopy surg,,,2102.67,8006.0,9
HCPCS,31241,Nsl/sins ndsc w/artery lig,,,2102.67,18617.0,9
HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,3408.0,18617.0,7
HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,3408.0,18617.0,7
HCPCS,31253,Nsl/sins ndsc total,,,3291.0,13320.0,9
HCPCS,31254,Revision of ethmoid sinus,,,4224.0,8754.16,9
HCPCS,31255,Removal of ethmoid sinus,,,3291.0,9420.0,9
HCPCS,31256,Exploration maxillary sinus,,,3408.0,8006.0,9
HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,3291.0,13320.0,9
HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,3291.0,13320.0,9
HCPCS,31267,Endoscopy maxillary sinus,,,3408.0,8754.16,9
HCPCS,31267,"HC NASAL/SINUS ENDOSCOPY, MAX ANTROSTOMY; W/RMVL TISSUE MAX SINUS",24357.0,24357.0,,,0
HCPCS,31276,Sinus endoscopy surgical,,,3408.0,13036.0,9
HCPCS,31287,HC NASAL/SINUS ENDOSCOPY; W/SPENOIDOTOMY,18458.0,18458.0,,,0
HCPCS,31287,Nasal/sinus endoscopy surg,,,3408.0,11081.0,9
HCPCS,31288,Nasal/sinus endoscopy surg,,,3408.0,11081.0,9
HCPCS,31290,Nasal/sinus endoscopy surg,,,428.0,18617.0,6
HCPCS,31291,Nasal/sinus endoscopy surg,,,428.0,18617.0,6
HCPCS,31292,Nasal/sinus endoscopy surg,,,3408.0,18617.0,9
HCPCS,31293,Nasal/sinus endoscopy surg,,,3408.0,18617.0,9
HCPCS,31294,Nasal/sinus endoscopy surg,,,3408.0,18617.0,9
HCPCS,31295,Sinus endo w/balloon dil,,,3408.0,13320.0,9
HCPCS,31296,Sinus endo w/balloon dil,,,3408.0,13320.0,9
HCPCS,31297,Sinus endo w/balloon dil,,,3408.0,13320.0,9
HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,4224.0,13320.0,9
HCPCS,31299,Sinus surgery procedure,,,279.8,18617.0,9
HCPCS,31300,Removal of larynx lesion,,,3291.0,7422.0,9
HCPCS,31360,Removal of larynx,,,1406.0,18617.0,4
HCPCS,31365,Removal of larynx,,,1406.0,18617.0,4
HCPCS,31367,Partial removal of larynx,,,1406.0,18617.0,4
HCPCS,31368,Partial removal of larynx,,,1406.0,18617.0,4
HCPCS,31370,Partial removal of larynx,,,1406.0,18617.0,4
HCPCS,31375,Partial removal of larynx,,,1406.0,18617.0,4
HCPCS,31380,Partial removal of larynx,,,1406.0,18617.0,4
HCPCS,31382,Partial removal of larynx,,,1406.0,18617.0,4
HCPCS,31390,Removal of larynx & pharynx,,,1406.0,18617.0,4
HCPCS,31395,Reconstruct larynx & pharynx,,,1406.0,18617.0,4
HCPCS,31400,Revision of larynx,,,2816.0,15339.0,9
HCPCS,31420,Removal of epiglottis,,,2816.0,11081.0,9
HCPCS,31500,"HC ENDOTRACHEAL, INTUBATION EMERGENCY",303.5,303.5,,,0
HCPCS,31500,Insert emergency airway,,,279.8,3314.0,9
HCPCS,31502,Change of windpipe airway,,,279.8,3314.0,9
HCPCS,31502,HC TRACHEOSTOMY TUBE CHANGE,443.0,443.0,,,0
HCPCS,31505,Diagnostic laryngoscopy,,,235.8,18617.0,9
HCPCS,31505,"HC LARYNGOSCOPY, INDIRECT; DIAGNOSTIC",695.0,695.0,,,0
HCPCS,31510,Laryngoscopy with biopsy,,,2816.0,5123.0,9
HCPCS,31511,Remove foreign body larynx,,,235.8,4466.0,9
HCPCS,31512,Removal of larynx lesion,,,2816.0,6404.0,9
HCPCS,31513,Injection into vocal cord,,,462.05,4466.0,9
HCPCS,31515,HC LARYNGOSCOPY W/WO TRACHEOSCOPY; FOR ASPIRATION,1316.0,1316.0,,,0
HCPCS,31515,Laryngoscopy for aspiration,,,462.05,3314.0,9
HCPCS,31520,Dx laryngoscopy newborn,,,462.05,18617.0,9
HCPCS,31525,Dx laryngoscopy excl nb,,,2102.67,4166.0,9
HCPCS,31525,"HC LARYNGOSCOPY DIRECT, DIAGNOSTIC, EXCEPT NEWBORN",1667.0,1667.0,,,0
HCPCS,31526,Dx laryngoscopy w/oper scope,,,2102.67,4466.0,9
HCPCS,31527,Laryngoscopy for treatment,,,428.0,4624.69,9
HCPCS,31528,Laryngoscopy and dilation,,,2816.0,8006.0,9
HCPCS,31529,Laryngoscopy and dilation,,,2816.0,8006.0,9
HCPCS,31530,Laryngoscopy w/fb removal,,,2102.67,4466.0,9
HCPCS,31531,Laryngoscopy w/fb & op scope,,,3408.0,6404.0,9
HCPCS,31535,"HC LARYNGOSCOPY, DIRECT, OPERATIVE; W/BIOPSY",11951.0,11951.0,,,0
HCPCS,31535,Laryngoscopy w/biopsy,,,2816.0,5123.0,9
HCPCS,31536,Laryngoscopy w/bx & op scope,,,3408.0,5123.0,9
HCPCS,31540,"HC LARYNGOSCOPY, W/EXCISION TUMOR &/OR STRIPPING  CORDS/EPIGLOTTIS",13010.0,13010.0,,,0
HCPCS,31540,Laryngoscopy w/exc of tumor,,,3408.0,5123.0,9
HCPCS,31541,Larynscop w/tumr exc + scope,,,4224.0,6404.0,9
HCPCS,31545,Remove vc lesion w/scope,,,4224.0,6404.0,9
HCPCS,31546,Remove vc lesion scope/graft,,,4224.0,9420.0,9
HCPCS,31551,Laryngoplasty laryngeal sten,,,3291.0,11081.0,7
HCPCS,31552,Laryngoplasty laryngeal sten,,,3291.0,11081.0,7
HCPCS,31553,Laryngoplasty laryngeal sten,,,3291.0,11081.0,7
HCPCS,31554,Laryngoplasty laryngeal sten,,,3291.0,11081.0,7
HCPCS,31560,Laryngoscop w/arytenoidectom,,,3291.0,9420.0,9
HCPCS,31561,Larynscop remve cart + scop,,,3291.0,9420.0,9
HCPCS,31570,"HC LARYNGOSCOPE W/INJ VOCAL CORD(S), THERAPEUTIC",13010.0,13010.0,,,0
HCPCS,31570,Laryngoscope w/vc inj,,,2816.0,5123.0,9
HCPCS,31571,"HC LARYNGOSCOPY W/INJ VOCAL CORD(S), THERAPEUTIC; W/MICRO/TELESCOPE",13010.0,13010.0,,,0
HCPCS,31571,Laryngoscop w/vc inj + scope,,,2816.0,6404.0,9
HCPCS,31572,"HC LARYNGOSCOPY, FLEXIBLE, ABLATE/DESTRUCT LESION(S) W/LASER, UNIL",11404.0,11404.0,,,0
HCPCS,31572,Largsc w/laser dstrj les,,,2816.0,9918.0,9
HCPCS,31573,"HC LARYNGOSCOPY, FLEXIBLE; W/THERAPEUTIC INJECTION(S)",4026.0,4026.0,,,0
HCPCS,31573,Largsc w/ther injection,,,2102.67,9918.0,9
HCPCS,31574,"HC LARYNGOSCOPY, FLEXIBLE; W/INJ(S) FOR AUGMENTATION, UNIL",4026.0,4026.0,,,0
HCPCS,31574,Largsc w/njx augmentation,,,2102.67,9918.0,9
HCPCS,31575,Diagnostic laryngoscopy,,,235.8,18617.0,9
HCPCS,31575,HC LARYNGOSCOPY FLEX; DIAGNOSTIC,474.0,474.0,,,0
HCPCS,31576,"HC LARYNGOSCOPY, FLEXIBLE; W/BIOPSY(IES)",2988.0,2988.0,,,0
HCPCS,31576,Laryngoscopy with biopsy,,,2102.67,4466.0,9
HCPCS,31577,Largsc w/rmvl foreign bdy(s),,,462.05,4466.0,9
HCPCS,31578,"HC LARYNGOSCOPY, FLEXIBLE, W/REMVL LESION(S), NON-LASER",9281.0,9281.0,,,0
HCPCS,31578,Largsc w/removal lesion,,,2816.0,5123.0,9
HCPCS,31579,"HC LARYNGOSCOPY FLEX/RIGID, TELESCOPIC W/STROBOSCOPY",1410.0,1410.0,,,0
HCPCS,31579,Laryngoscopy telescopic,,,462.05,4166.0,9
HCPCS,31580,Laryngoplasty laryngeal web,,,3291.0,9420.0,9
HCPCS,31584,Laryngoplasty fx rdctj fixj,,,428.0,18617.0,9
HCPCS,31587,Laryngoplasty cricoid split,,,428.0,18617.0,9
HCPCS,31590,Reinnervate larynx,,,3291.0,15339.0,9
HCPCS,31591,Laryngoplasty medialization,,,4224.0,11081.0,7
HCPCS,31592,Cricotracheal resection,,,4224.0,11081.0,7
HCPCS,31599,Larynx surgery procedure,,,279.8,18617.0,9
HCPCS,31600,Incision of windpipe,,,2816.0,6404.0,9
HCPCS,31601,Incision of windpipe,,,1406.0,18617.0,9
HCPCS,31603,Incision of windpipe,,,1544.0,3314.0,9
HCPCS,31605,Incision of windpipe,,,279.8,3314.0,9
HCPCS,31610,Incision of windpipe,,,1406.0,18617.0,9
HCPCS,31611,Surgery/speech prosthesis,,,3408.0,6404.0,9
HCPCS,31612,Puncture/clear windpipe,,,1544.0,6404.0,9
HCPCS,31613,Repair windpipe opening,,,2816.0,6404.0,9
HCPCS,31614,Repair windpipe opening,,,2816.0,8006.0,9
HCPCS,31615,HC TRACHEOBRONCOSCOPY VIA ESTABLISHED TRACH INCISION,873.0,873.0,,,0
HCPCS,31615,Visualization of windpipe,,,637.13,3314.0,9
HCPCS,31622,Dx bronchoscope/wash,,,2102.67,4166.0,9
HCPCS,31622,"HC BRONCHOSCOPY, INCL FLUOR GUIDE, DX, W/CELL WASHING",3344.0,3344.0,,,0
HCPCS,31623,Dx bronchoscope/brush,,,2102.67,4466.0,9
HCPCS,31624,Dx bronchoscope/lavage,,,2102.67,4466.0,9
HCPCS,31624,"HC BRONCHOSCOPY, INCL FLUOR GUIDE; W/ BRONCHIAL ALVEOLAR LAVAGE",3396.0,3396.0,,,0
HCPCS,31625,Bronchoscopy w/biopsy(s),,,2102.67,4466.0,9
HCPCS,31625,"HC BRONCHOSCOPY, INCL FLUOR GUIDE, W/BRONCH/ENDOBRONC BX(S),1+ SITES",3964.0,3964.0,,,0
HCPCS,31626,Bronchoscopy w/markers,,,3408.0,11081.0,9
HCPCS,31627,Navigational bronchoscopy,,,428.0,1866.0,4
HCPCS,31628,Bronchoscopy/lung bx each,,,2816.0,5123.0,9
HCPCS,31629,Bronchoscopy/needle bx each,,,2816.0,8006.0,9
HCPCS,31630,Bronchoscopy dilate/fx repr,,,2816.0,6404.0,9
HCPCS,31631,Bronchoscopy dilate w/stent,,,2816.0,9420.0,9
HCPCS,31632,Bronchoscopy/lung bx addl,,,428.0,4466.0,6
HCPCS,31633,Bronchoscopy/needle bx addl,,,428.0,4466.0,6
HCPCS,31634,Bronch w/balloon occlusion,,,3408.0,9420.0,9
HCPCS,31635,Bronchoscopy w/fb removal,,,2102.67,4466.0,9
HCPCS,31636,Bronchoscopy bronch stents,,,2816.0,8754.16,9
HCPCS,31637,Bronchoscopy stent add-on,,,428.0,3314.0,6
HCPCS,31638,Bronchoscopy revise stent,,,2816.0,9420.0,9
HCPCS,31640,Bronchoscopy w/tumor excise,,,2816.0,6404.0,9
HCPCS,31641,Bronchoscopy treat blockage,,,2816.0,8006.0,9
HCPCS,31643,Diag bronchoscope/catheter,,,2102.67,4466.0,9
HCPCS,31645,Bronchoscopy clear airways,,,2102.67,4166.0,9
HCPCS,31646,Bronchoscopy reclear airway,,,462.05,3314.0,9
HCPCS,31647,Bronchial valve init insert,,,2816.0,15339.0,9
HCPCS,31648,Bronchial valve remov init,,,2816.0,9918.0,9
HCPCS,31649,Bronchial valve remov addl,,,428.0,5098.0,9
HCPCS,31651,Bronchial valve addl insert,,,428.0,9918.0,6
HCPCS,31652,Bronch ebus samplng 1/2 node,,,428.0,13320.0,9
HCPCS,31653,Bronch ebus samplng 3/> node,,,428.0,13320.0,9
HCPCS,31654,Bronch ebus ivntj perph les,,,428.0,4466.0,6
HCPCS,31660,Bronch thermoplsty 1 lobe,,,3408.0,13320.0,9
HCPCS,31661,Bronch thermoplsty 2/> lobes,,,3408.0,13320.0,9
HCPCS,31717,Bronchial brush biopsy,,,428.0,3314.0,9
HCPCS,31720,Clearance of airways,,,258.69,3314.0,9
HCPCS,31720,HC CATHETER ASPIRATION: NASOTRACHEAL,312.0,312.0,,,0
HCPCS,31725,Clearance of airways,,,1544.0,18617.0,4
HCPCS,31730,Intro windpipe wire/tube,,,2102.67,4166.0,9
HCPCS,31750,Repair of windpipe,,,3291.0,7422.0,9
HCPCS,31755,Repair of windpipe,,,2816.0,9420.0,9
HCPCS,31760,Repair of windpipe,,,1406.0,18617.0,4
HCPCS,31766,Reconstruction of windpipe,,,1406.0,18617.0,4
HCPCS,31770,Repair/graft of bronchus,,,1406.0,18617.0,4
HCPCS,31775,Reconstruct bronchus,,,1406.0,18617.0,4
HCPCS,31780,Reconstruct windpipe,,,1406.0,18617.0,4
HCPCS,31781,Reconstruct windpipe,,,1406.0,18617.0,4
HCPCS,31785,Remove windpipe lesion,,,4224.0,9420.0,9
HCPCS,31786,Remove windpipe lesion,,,1406.0,18617.0,4
HCPCS,31800,Repair of windpipe injury,,,428.0,18617.0,6
HCPCS,31805,Repair of windpipe injury,,,1406.0,18617.0,4
HCPCS,31820,Closure of windpipe lesion,,,1544.0,6404.0,9
HCPCS,31825,HC SURGICAL CLOSURE OF TRACHEOSTOMY/FISTULA; W/PLASTIC REPAIR,18357.0,18357.0,,,0
HCPCS,31825,Repair of windpipe defect,,,2816.0,6404.0,9
HCPCS,31830,HC REVISION OF TRACHEOSTOMY SCAR,9718.0,9718.0,,,0
HCPCS,31830,Revise windpipe scar,,,2816.0,6404.0,9
HCPCS,31899,Airways surgical procedure,,,235.8,18617.0,9
HCPCS,32001,Description Not Available,,,1406.0,18617.0,4
HCPCS,32035,Thoracostomy w/rib resection,,,1406.0,18617.0,4
HCPCS,32036,Thoracostomy w/flap drainage,,,1406.0,18617.0,4
HCPCS,32096,Open wedge/bx lung infiltr,,,1406.0,18617.0,4
HCPCS,32097,Open wedge/bx lung nodule,,,1406.0,18617.0,4
HCPCS,32098,Open biopsy of lung pleura,,,1406.0,18617.0,4
HCPCS,32100,Exploration of chest,,,428.0,18617.0,6
HCPCS,32110,Explore/repair chest,,,1406.0,18617.0,4
HCPCS,32120,Re-exploration of chest,,,1406.0,18617.0,4
HCPCS,32124,Explore chest free adhesions,,,1406.0,18617.0,4
HCPCS,32140,Removal of lung lesion(s),,,1406.0,18617.0,4
HCPCS,32141,Remove/treat lung lesions,,,1406.0,18617.0,4
HCPCS,32150,Removal of lung lesion(s),,,1406.0,18617.0,4
HCPCS,32151,Remove lung foreign body,,,1406.0,18617.0,4
HCPCS,32160,Open chest heart massage,,,1406.0,18617.0,4
HCPCS,32200,Drain open lung lesion,,,428.0,18617.0,6
HCPCS,32215,Treat chest lining,,,1406.0,18617.0,4
HCPCS,32220,Release of lung,,,1406.0,18617.0,4
HCPCS,32225,Partial release of lung,,,1406.0,18617.0,4
HCPCS,32310,Removal of chest lining,,,1406.0,18617.0,4
HCPCS,32320,Free/remove chest lining,,,1406.0,18617.0,4
HCPCS,32400,HC PLEURA BIOSPY; PERCUTANEOUS NEEDLE,1553.0,1553.0,,,0
HCPCS,32400,Needle biopsy chest lining,,,1544.0,4097.0,9
HCPCS,32405,HC DEAC 01/01/2021 PERCUTANEOUS BIOPSY LUNG/MEDIASTINUM,1391.0,1391.0,,,0
HCPCS,32405,Percut bx lung/mediastinum,,,2138.0,2460.0,2
HCPCS,32408,Core ndl bx lng/med perq,,,1544.0,9918.0,9
HCPCS,32408,"HC CORE NEEDLE BX, LUNG/MEDIASTINUM, PERQ, INCL IMG GUIDE",2311.0,2311.0,,,0
HCPCS,32421,HC THORACENTESIS FOR ASPIRATION,798.0,798.0,,,0
HCPCS,32422,HC THORACENTESIS W TUBE INSERTION,1138.0,1138.0,,,0
HCPCS,32440,Remove lung pneumonectomy,,,1406.0,18617.0,4
HCPCS,32442,Sleeve pneumonectomy,,,1406.0,18617.0,4
HCPCS,32445,Removal of lung extrapleural,,,1406.0,18617.0,4
HCPCS,32480,Partial removal of lung,,,1406.0,18617.0,4
HCPCS,32482,Bilobectomy,,,1406.0,18617.0,4
HCPCS,32484,Segmentectomy,,,1406.0,18617.0,4
HCPCS,32486,Sleeve lobectomy,,,1406.0,18617.0,4
HCPCS,32488,Completion pneumonectomy,,,1406.0,18617.0,4
HCPCS,32491,Lung volume reduction,,,1406.0,18617.0,4
HCPCS,32501,Repair bronchus add-on,,,1406.0,18617.0,4
HCPCS,32503,Resect apical lung tumor,,,1406.0,18617.0,4
HCPCS,32504,Resect apical lung tum/chest,,,1406.0,18617.0,4
HCPCS,32505,Wedge resect of lung initial,,,1406.0,18617.0,4
HCPCS,32506,Wedge resect of lung add-on,,,1406.0,18617.0,4
HCPCS,32507,Wedge resect of lung diag,,,1406.0,18617.0,4
HCPCS,32540,Removal of lung lesion,,,1406.0,18617.0,4
HCPCS,32550,HC INSERT PLEURAL CATHETER WITH CUFF,12125.0,12125.0,,,0
HCPCS,32550,Insert pleural cath,,,2816.0,13320.0,9
HCPCS,32551,HC INSERT CHEST TUBE (THORACOSTOMY),3068.0,3068.0,,,0
HCPCS,32551,Insertion of chest tube,,,1859.62,4166.0,9
HCPCS,32552,HC REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,2656.0,2656.0,,,0
HCPCS,32552,Remove lung catheter,,,741.06,18617.0,9
HCPCS,32553,Ins mark thor for rt perq,,,1544.0,7422.0,9
HCPCS,32554,Aspirate pleura w/o imaging,,,741.06,3314.0,9
HCPCS,32554,HC ASPIRATE PLEURA WO IMAGING,1833.0,1833.0,,,0
HCPCS,32555,Aspirate pleura w/ imaging,,,741.06,3314.0,9
HCPCS,32555,HC ASPIRATE PLEURA W/IMAGING,2299.0,2299.0,,,0
HCPCS,32556,Insert cath pleura w/o image,,,2266.89,5123.0,9
HCPCS,32557,HC PLEURA CATHETER INSERTION W/IMAGE,2311.0,2311.0,,,0
HCPCS,32557,Insert cath pleura w/ image,,,1859.62,4166.0,9
HCPCS,32560,"HC INSTILLATION, AGENT FOR PLEURODESIS",1613.0,1613.0,,,0
HCPCS,32560,Treat pleurodesis w/agent,,,741.06,4166.0,9
HCPCS,32561,"HC INSTILL (S), VIA CHEST TUBE/CATH,  FIBRINOLYSIS AGENT, INIT DAY",757.0,757.0,,,0
HCPCS,32561,Lyse chest fibrin init day,,,741.06,3314.0,9
HCPCS,32562,Lyse chest fibrin subq day,,,741.06,3314.0,9
HCPCS,32601,Thoracoscopy diagnostic,,,3408.0,18617.0,9
HCPCS,32604,Thoracoscopy wbx sac,,,3408.0,18617.0,9
HCPCS,32606,Thoracoscopy w/bx med space,,,3408.0,18617.0,9
HCPCS,32607,Thoracoscopy w/bx infiltrate,,,3408.0,15339.0,9
HCPCS,32608,Thoracoscopy w/bx nodule,,,3408.0,15339.0,9
HCPCS,32609,Thoracoscopy w/bx pleura,,,3408.0,13320.0,9
HCPCS,32650,Thoracoscopy w/pleurodesis,,,1406.0,18617.0,4
HCPCS,32651,Thoracoscopy remove cortex,,,1406.0,18617.0,4
HCPCS,32652,Thoracoscopy rem totl cortex,,,1406.0,18617.0,4
HCPCS,32653,Thoracoscopy remov fb/fibrin,,,1406.0,18617.0,4
HCPCS,32654,Thoracoscopy contrl bleeding,,,1406.0,18617.0,4
HCPCS,32655,Thoracoscopy resect bullae,,,1406.0,18617.0,4
HCPCS,32656,Thoracoscopy w/pleurectomy,,,1406.0,18617.0,4
HCPCS,32658,Thoracoscopy w/sac fb remove,,,1406.0,18617.0,4
HCPCS,32659,Thoracoscopy w/sac drainage,,,1406.0,18617.0,4
HCPCS,32661,Thoracoscopy w/pericard exc,,,1406.0,18617.0,6
HCPCS,32662,Thoracoscopy w/mediast exc,,,1406.0,18617.0,4
HCPCS,32663,Thoracoscopy w/lobectomy,,,1406.0,18617.0,4
HCPCS,32664,Thoracoscopy w/ th nrv exc,,,2816.0,18617.0,4
HCPCS,32665,Thoracoscop w/esoph musc exc,,,428.0,18617.0,6
HCPCS,32666,Thoracoscopy w/wedge resect,,,1406.0,18617.0,4
HCPCS,32667,Thoracoscopy w/w resect addl,,,1406.0,18617.0,4
HCPCS,32668,Thoracoscopy w/w resect diag,,,1406.0,18617.0,4
HCPCS,32669,Thoracoscopy remove segment,,,1406.0,18617.0,4
HCPCS,32670,Thoracoscopy bilobectomy,,,1406.0,18617.0,4
HCPCS,32671,Thoracoscopy pneumonectomy,,,1406.0,18617.0,4
HCPCS,32672,Thoracoscopy for lvrs,,,1406.0,18617.0,4
HCPCS,32673,Thoracoscopy w/thymus resect,,,1406.0,18617.0,4
HCPCS,32674,Thoracoscopy lymph node exc,,,1406.0,18617.0,4
HCPCS,32701,Thorax stereo rad targetw/tx,,,1406.0,18617.0,4
HCPCS,32800,Repair lung hernia,,,1406.0,18617.0,4
HCPCS,32810,Close chest after drainage,,,1406.0,18617.0,4
HCPCS,32815,Close bronchial fistula,,,1406.0,18617.0,4
HCPCS,32820,Reconstruct injured chest,,,1406.0,18617.0,4
HCPCS,32850,Donor pneumonectomy,,,1406.0,18617.0,4
HCPCS,32851,Lung transplant single,,,1406.0,18617.0,4
HCPCS,32852,Lung transplant with bypass,,,1406.0,18617.0,4
HCPCS,32853,Lung transplant double,,,1406.0,18617.0,4
HCPCS,32854,Lung transplant with bypass,,,1406.0,18617.0,4
HCPCS,32855,Prepare donor lung single,,,1406.0,18617.0,4
HCPCS,32856,Prepare donor lung double,,,1406.0,18617.0,4
HCPCS,32900,Removal of rib(s),,,1406.0,18617.0,4
HCPCS,32905,Revise & repair chest wall,,,428.0,18617.0,6
HCPCS,32906,Revise & repair chest wall,,,1406.0,18617.0,4
HCPCS,32940,Revision of lung,,,1406.0,18617.0,4
HCPCS,32960,Therapeutic pneumothorax,,,741.06,3314.0,9
HCPCS,32994,Ablate pulm tumor perq crybl,,,4224.0,18617.0,9
HCPCS,32994,"HC ABLATE PULM TUMOR, PERQ, W/IMAG PERF, UNIL, CRY",7748.0,7748.0,,,0
HCPCS,32997,Total lung lavage,,,428.0,18617.0,6
HCPCS,32998,"HC ABLATE, 1 OR MORE PULM TUMOR, PERQ, UNIL; RF",10848.0,10848.0,,,0
HCPCS,32998,Perq rf ablate tx pul tumor,,,4224.0,13320.0,9
HCPCS,32999,Chest surgery procedure,,,741.06,18617.0,9
HCPCS,33010,Drainage of heart sac,,,2138.0,2460.0,2
HCPCS,33010,HC PERICARDIOCENTESIS; INITIAL,1546.0,1546.0,,,0
HCPCS,33011,HC PERICARDIOCENTESIS; SUBSEQUENT,1335.0,1335.0,,,0
HCPCS,33011,Repeat drainage of heart sac,,,4457.0,5123.0,2
HCPCS,33016,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,8567.0,8567.0,,,0
HCPCS,33016,Pericardiocentesis w/imaging,,,1859.62,9918.0,9
HCPCS,33017,Prcrd drg 6yr+ w/o cgen car,,,428.0,18617.0,6
HCPCS,33018,Prcrd drg 0-5yr or w/anomly,,,428.0,18617.0,6
HCPCS,33019,Perq prcrd drg insj cath ct,,,428.0,18617.0,6
HCPCS,33020,Incision of heart sac,,,1406.0,18617.0,4
HCPCS,33025,Incision of heart sac,,,1406.0,18617.0,4
HCPCS,33030,Partial removal of heart sac,,,1406.0,18617.0,4
HCPCS,33031,Partial removal of heart sac,,,1406.0,18617.0,4
HCPCS,33050,Resect heart sac lesion,,,1406.0,18617.0,4
HCPCS,33120,Removal of heart lesion,,,1406.0,18617.0,4
HCPCS,33130,Removal of heart lesion,,,1406.0,18617.0,4
HCPCS,33140,Heart revascularize (tmr),,,1406.0,18617.0,4
HCPCS,33141,Heart Tmr W/Other Procedure,,,1406.0,18617.0,4
HCPCS,33202,Insert epicard eltrd open,,,1406.0,18617.0,4
HCPCS,33203,Insert epicard eltrd endo,,,1406.0,18617.0,4
HCPCS,33206,HC INSERT HEART PM ATRIAL,7433.0,7433.0,,,0
HCPCS,33206,Insert heart pm atrial,,,4147.0,18617.0,9
HCPCS,33207,HC INSERT HEART PM VENTRICULAR,7433.0,7433.0,,,0
HCPCS,33207,Insert heart pm ventricular,,,4147.0,18617.0,9
HCPCS,33208,HC INSRT HEART PM ATRIAL & VENT,9124.0,9124.0,,,0
HCPCS,33208,Insrt heart pm atrial & vent,,,4147.0,18617.0,9
HCPCS,33210,HC INSERT ELECTRD/PM CATH SNGL,9128.0,9128.0,,,0
HCPCS,33210,Insert electrd/pm cath sngl,,,4224.0,18617.0,9
HCPCS,33211,HC INSERT CARD ELECTRODES DUAL,8054.0,8054.0,,,0
HCPCS,33211,Insert card electrodes dual,,,4224.0,18617.0,9
HCPCS,33212,HC INSERT PULSE GEN SNGL LEAD,6248.0,6248.0,,,0
HCPCS,33212,Insert pulse gen sngl lead,,,3408.0,10264.89,9
HCPCS,33213,HC INSERT PULSE GEN DUAL LEADS,6850.0,6850.0,,,0
HCPCS,33213,Insert pulse gen dual leads,,,3408.0,12964.78,9
HCPCS,33214,HC UPGRADE IMPL PACEMKR; SC TO DC,9124.0,9124.0,,,0
HCPCS,33214,Upgrade of pacemaker system,,,4147.0,18617.0,9
HCPCS,33215,HC REPOSITION PACING-DEFIB LEAD,3449.0,3449.0,,,0
HCPCS,33215,Reposition pacing-defib lead,,,3408.0,18617.0,9
HCPCS,33216,HC INSERT 1 ELECTRODE PM-DEFIB,7150.0,7150.0,,,0
HCPCS,33216,Insert 1 electrode pm-defib,,,4224.0,18617.0,9
HCPCS,33217,HC INSERT 2 ELECTRODE PM-DEFIB,5925.0,5925.0,,,0
HCPCS,33217,Insert 2 electrode pm-defib,,,4224.0,18617.0,9
HCPCS,33218,HC REPAIR LEAD PACE-DEFIB ONE,3324.0,3324.0,,,0
HCPCS,33218,Repair lead pace-defib one,,,4224.0,18617.0,9
HCPCS,33220,HC REPAIR LEAD PACE-DEFIB DUAL,4647.0,4647.0,,,0
HCPCS,33220,Repair lead pace-defib dual,,,4224.0,18617.0,9
HCPCS,33221,HC INSERT PULSE GEN MULT LEADS,10318.0,10318.0,,,0
HCPCS,33221,Insert pulse gen mult leads,,,3408.0,23892.44,9
HCPCS,33222,HC PACER POCKET REVISION,1956.0,1956.0,,,0
HCPCS,33222,Relocation pocket pacemaker,,,2437.45,4466.0,9
HCPCS,33223,HC REVISE POCKET FOR DEFIB,1974.0,1974.0,,,0
HCPCS,33223,Relocate pocket for defib,,,2437.45,4466.0,9
HCPCS,33224,HC INSERT PACING LEAD & CONNECT,9124.0,9124.0,,,0
HCPCS,33224,Insert pacing lead & connect,,,3408.0,18617.0,9
HCPCS,33225,HC L VENTRIC PACING LEAD ADD-ON,9124.0,9124.0,,,0
HCPCS,33225,L ventric pacing lead add-on,,,428.0,6253.0,4
HCPCS,33226,HC REPOSITION L VENTRIC LEAD,2855.0,2855.0,,,0
HCPCS,33226,Reposition l ventric lead,,,3408.0,18617.0,9
HCPCS,33227,HC REMOVE&REPLACE PM GEN SINGL,6248.0,6248.0,,,0
HCPCS,33227,Remove&replace pm gen singl,,,3408.0,18617.0,9
HCPCS,33228,HC REMV&REPLC PM GEN DUAL LEAD,6850.0,6850.0,,,0
HCPCS,33228,Remv&replc pm gen dual lead,,,3408.0,18617.0,9
HCPCS,33229,HC REMV&REPLC PM GEN MULT LEADS,9507.0,9507.0,,,0
HCPCS,33229,Remv&replc pm gen mult leads,,,3408.0,23892.44,9
HCPCS,33230,HC INSRT PULSE GEN W/DUAL LEADS,22636.0,22636.0,,,0
HCPCS,33230,Insrt pulse gen w/dual leads,,,3408.0,27591.2,9
HCPCS,33231,HC INSRT PULSE GEN W/MULT LEADS,22636.0,22636.0,,,0
HCPCS,33231,Insrt pulse gen w/mult leads,,,3408.0,38935.13,9
HCPCS,33233,HC REMOVAL OF PM GENERATOR,6528.0,6528.0,,,0
HCPCS,33233,Removal of pm generator,,,2816.0,10264.89,9
HCPCS,33234,Removal of pacemaker system,,,4224.0,18617.0,9
HCPCS,33235,Removal pacemaker electrode,,,4224.0,18617.0,9
HCPCS,33236,Remove electrode/thoracotomy,,,1406.0,18617.0,4
HCPCS,33237,Remove electrode/thoracotomy,,,1406.0,18617.0,4
HCPCS,33238,Remove electrode/thoracotomy,,,1406.0,18617.0,4
HCPCS,33240,Insrt pulse gen w/singl lead,,,4147.0,27591.2,9
HCPCS,33241,HC REMOVE PULSE GENERATOR,3898.0,3898.0,,,0
HCPCS,33241,Remove pulse generator,,,4224.0,18617.0,9
HCPCS,33242,Description Not Available,,,1406.0,18617.0,4
HCPCS,33243,HC REM SC/DC CARD-DEFIBR ELECTROD OPEN,1497.0,1497.0,,,0
HCPCS,33243,Remove eltrd/thoracotomy,,,1406.0,18617.0,4
HCPCS,33244,HC REM SC/DC ICD LEAD; TV EXTRACT,3032.0,3032.0,,,0
HCPCS,33244,Remove elctrd transvenously,,,4224.0,18617.0,9
HCPCS,33247,Description Not Available,,,1406.0,18617.0,4
HCPCS,33249,HC INSERT PACE-DEFIB W/LEAD,28240.0,28240.0,,,0
HCPCS,33249,Insj/rplcmt defib w/lead(s),,,4147.0,38935.13,9
HCPCS,33250,Ablate heart dysrhythm focus,,,1406.0,18617.0,4
HCPCS,33251,Ablate heart dysrhythm focus,,,1406.0,18617.0,4
HCPCS,33254,Ablate atria lmtd,,,1406.0,18617.0,4
HCPCS,33255,Ablate atria w/o bypass ext,,,1406.0,18617.0,4
HCPCS,33256,Ablate atria w/bypass exten,,,1406.0,18617.0,4
HCPCS,33257,Ablate atria lmtd add-on,,,1406.0,18617.0,4
HCPCS,33258,Ablate atria x10sv add-on,,,1406.0,18617.0,4
HCPCS,33259,Ablate atria w/bypass add-on,,,1406.0,18617.0,4
HCPCS,33261,Ablate heart dysrhythm focus,,,1406.0,18617.0,4
HCPCS,33262,HC REMV&REPLC CVD GEN SING LEAD,22636.0,22636.0,,,0
HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,3408.0,27591.2,9
HCPCS,33263,HC REMV&REPLC CVD GEN DUAL LEAD,22636.0,22636.0,,,0
HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,3408.0,27591.2,9
HCPCS,33264,HC REMV&REPLC CVD GEN MULT LEAD,22636.0,22636.0,,,0
HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,3408.0,38935.13,9
HCPCS,33265,Ablate atria lmtd endo,,,1406.0,18617.0,4
HCPCS,33266,Ablate atria x10sv endo,,,1406.0,18617.0,4
HCPCS,33267,Excl laa open any method,,,428.0,18617.0,6
HCPCS,33268,Excl laa opn oth px any meth,,,428.0,18617.0,6
HCPCS,33269,Excl laa thrscp any method,,,428.0,18617.0,6
HCPCS,33270,HC INSERTION/REPLACEMENT SUBCUTANEOUS DEFIBRILLATOR,28240.0,28240.0,,,0
HCPCS,33270,Ins/rep subq defibrillator,,,3408.0,38935.13,9
HCPCS,33271,HC INSERT SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR ELECTRODE,5334.0,5334.0,,,0
HCPCS,33271,Insj subq impltbl dfb elctrd,,,3408.0,18617.0,9
HCPCS,33272,HC REMOVAL OF SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR,4636.0,4636.0,,,0
HCPCS,33272,Rmvl of subq defibrillator,,,3408.0,18617.0,9
HCPCS,33273,HC REPOSITIONING PREVIOUS  IMPLANTED SUBQ DEFIB ELECTRODE,4258.0,4258.0,,,0
HCPCS,33273,Repos prev impltbl subq dfb,,,3408.0,13320.0,9
HCPCS,33274,Tcat insj/rpl perm ldls pm,,,4224.0,23892.44,9
HCPCS,33275,Tcat rmvl perm ldls pm,,,3730.07,13320.0,9
HCPCS,33276,Insj phrnc nrv stim sys,,,3408.0,54635.78,7
HCPCS,33277,Insj phrnc nrv stim transvns,,,1544.0,1866.0,2
HCPCS,33278,Rmvl phrnc nrv stim sys,,,2816.0,13320.0,7
HCPCS,33279,Rmvl phrnc nrv stim transvns,,,2816.0,13320.0,7
HCPCS,33280,Rmvl phrnc nrv stim pg only,,,2816.0,13320.0,7
HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,2816.0,13320.0,7
HCPCS,33282,HC IMPL PT-ACTIVATED CARD EVENT RECORDER,2914.0,2914.0,,,0
HCPCS,33284,HC REMOVAL OF AN IMPL CARD EVENT RECORDER,302.0,302.0,,,0
HCPCS,33285,"HC INSERTION, SUBQ CARDIAC RHYTHM MONITOR, INCL PROGRAM",5334.0,5334.0,,,0
HCPCS,33285,Insj subq car rhythm mntr,,,1544.0,18617.0,9
HCPCS,33286,"HC REMOVAL, SUBQ CARDIAC RHYTHM MONITOR",885.0,885.0,,,0
HCPCS,33286,Rmvl subq car rhythm mntr,,,836.55,4466.0,9
HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,3408.0,38276.26,7
HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,2816.0,18617.0,7
HCPCS,33289,Tcat impl wrls p-art prs snr,,,4147.0,35579.18,9
HCPCS,33300,Repair of heart wound,,,1406.0,18617.0,4
HCPCS,33305,Repair of heart wound,,,1406.0,18617.0,4
HCPCS,33310,Exploratory heart surgery,,,1406.0,18617.0,4
HCPCS,33315,Exploratory heart surgery,,,1406.0,18617.0,4
HCPCS,33320,Repair major blood vessel(s),,,1406.0,18617.0,4
HCPCS,33321,Repair major vessel,,,1406.0,18617.0,4
HCPCS,33322,Repair major blood vessel(s),,,1406.0,18617.0,4
HCPCS,33330,Insert major vessel graft,,,1406.0,18617.0,4
HCPCS,33335,Insert major vessel graft,,,1406.0,18617.0,4
HCPCS,33361,Replace aortic valve perq,,,1406.0,18617.0,4
HCPCS,33362,Replace aortic valve open,,,1406.0,18617.0,4
HCPCS,33363,Replace aortic valve open,,,1406.0,18617.0,4
HCPCS,33364,Replace aortic valve open,,,1406.0,18617.0,4
HCPCS,33365,Replace aortic valve open,,,1406.0,18617.0,4
HCPCS,33366,Trcath replace aortic valve,,,1406.0,18617.0,4
HCPCS,33367,Replace aortic valve w/byp,,,1406.0,18617.0,4
HCPCS,33368,Replace aortic valve w/byp,,,1406.0,18617.0,4
HCPCS,33369,Replace aortic valve w/byp,,,1406.0,18617.0,4
HCPCS,33370,Tcat plmt&rmvl cepd perq,,,428.0,1866.0,4
HCPCS,33404,Prepare heart-aorta conduit,,,1406.0,18617.0,4
HCPCS,33405,Replacement aortic valve opn,,,1406.0,18617.0,4
HCPCS,33406,Replacement aortic valve opn,,,1406.0,18617.0,4
HCPCS,33410,Replacement aortic valve opn,,,1406.0,18617.0,4
HCPCS,33411,Replacement of aortic valve,,,1406.0,18617.0,4
HCPCS,33412,Replacement of aortic valve,,,1406.0,18617.0,4
HCPCS,33413,Replacement of aortic valve,,,1406.0,18617.0,4
HCPCS,33414,Repair of aortic valve,,,1406.0,18617.0,4
HCPCS,33415,Revision subvalvular tissue,,,1406.0,18617.0,4
HCPCS,33416,Revise ventricle muscle,,,1406.0,18617.0,4
HCPCS,33417,Repair of aortic valve,,,1406.0,18617.0,4
HCPCS,33418,Repair tcat mitral valve,,,1406.0,18617.0,4
HCPCS,33419,Repair tcat mitral valve,,,428.0,490.0,2
HCPCS,33420,Revision of mitral valve,,,1406.0,18617.0,4
HCPCS,33422,Revision of mitral valve,,,1406.0,18617.0,4
HCPCS,33425,Repair of mitral valve,,,1406.0,18617.0,4
HCPCS,33426,Repair of mitral valve,,,1406.0,18617.0,4
HCPCS,33427,Repair of mitral valve,,,1406.0,18617.0,4
HCPCS,33430,Replacement of mitral valve,,,1406.0,18617.0,4
HCPCS,33440,Rplcmt a-valve tlcj autol pv,,,1406.0,18617.0,4
HCPCS,33460,Revision of tricuspid valve,,,1406.0,18617.0,4
HCPCS,33463,Valvuloplasty tricuspid,,,1406.0,18617.0,4
HCPCS,33464,Valvuloplasty tricuspid,,,1406.0,18617.0,4
HCPCS,33465,Replace tricuspid valve,,,1406.0,18617.0,4
HCPCS,33468,Revision of tricuspid valve,,,1406.0,18617.0,4
HCPCS,33471,Valvotomy pulmonary valve,,,1406.0,18617.0,4
HCPCS,33474,Revision of pulmonary valve,,,1406.0,18617.0,4
HCPCS,33475,Replacement pulmonary valve,,,1406.0,18617.0,4
HCPCS,33476,Revision of heart chamber,,,1406.0,18617.0,4
HCPCS,33477,Implant tcat pulm vlv perq,,,1406.0,18617.0,4
HCPCS,33478,Revision of heart chamber,,,1406.0,18617.0,4
HCPCS,33496,Repair prosth valve clot,,,1406.0,18617.0,4
HCPCS,33500,Repair heart vessel fistula,,,1406.0,18617.0,4
HCPCS,33501,Repair heart vessel fistula,,,1406.0,18617.0,4
HCPCS,33502,Coronary artery correction,,,1406.0,18617.0,4
HCPCS,33503,Coronary artery graft,,,1406.0,18617.0,4
HCPCS,33504,Coronary artery graft,,,1406.0,18617.0,4
HCPCS,33505,Repair artery w/tunnel,,,1406.0,18617.0,4
HCPCS,33506,Repair artery translocation,,,1406.0,18617.0,4
HCPCS,33507,Repair art intramural,,,1406.0,18617.0,4
HCPCS,33508,Endoscopic vein harvest,,,428.0,490.0,2
HCPCS,33509,Ndsc hrv uxtr art 1 sgm cab,,,428.0,18617.0,6
HCPCS,33510,Cabg vein single,,,1406.0,18617.0,4
HCPCS,33511,Cabg vein two,,,1406.0,18617.0,4
HCPCS,33512,Cabg vein three,,,1406.0,18617.0,4
HCPCS,33513,Cabg vein four,,,1406.0,18617.0,4
HCPCS,33514,Cabg vein five,,,1406.0,18617.0,4
HCPCS,33516,Cabg vein six or more,,,1406.0,18617.0,4
HCPCS,33517,Cabg artery-vein single,,,1406.0,18617.0,4
HCPCS,33518,Cabg artery-vein two,,,1406.0,18617.0,4
HCPCS,33519,Cabg artery-vein three,,,1406.0,18617.0,4
HCPCS,33521,Cabg artery-vein four,,,1406.0,18617.0,4
HCPCS,33522,Cabg artery-vein five,,,1406.0,18617.0,4
HCPCS,33523,Cabg art-vein six or more,,,1406.0,18617.0,4
HCPCS,33530,Coronary artery bypass/reop,,,1406.0,18617.0,4
HCPCS,33533,Cabg arterial single,,,1406.0,18617.0,4
HCPCS,33534,Cabg arterial two,,,1406.0,18617.0,4
HCPCS,33535,Cabg arterial three,,,1406.0,18617.0,4
HCPCS,33536,Cabg arterial four or more,,,1406.0,18617.0,4
HCPCS,33542,Removal of heart lesion,,,1406.0,18617.0,4
HCPCS,33545,Repair of heart damage,,,1406.0,18617.0,4
HCPCS,33548,Restore/remodel ventricle,,,1406.0,18617.0,4
HCPCS,33572,Open coronary endarterectomy,,,1406.0,18617.0,4
HCPCS,33600,Closure of valve,,,1406.0,18617.0,4
HCPCS,33602,Closure of valve,,,1406.0,18617.0,4
HCPCS,33606,Anastomosis/artery-aorta,,,1406.0,18617.0,4
HCPCS,33608,Repair anomaly w/conduit,,,1406.0,18617.0,4
HCPCS,33610,Repair by enlargement,,,1406.0,18617.0,4
HCPCS,33611,Repair double ventricle,,,1406.0,18617.0,4
HCPCS,33612,Repair double ventricle,,,1406.0,18617.0,4
HCPCS,33615,Repair modified fontan,,,1406.0,18617.0,4
HCPCS,33617,Repair single ventricle,,,1406.0,18617.0,4
HCPCS,33619,Repair single ventricle,,,1406.0,18617.0,4
HCPCS,33620,Apply r&l pulm art bands,,,1406.0,18617.0,4
HCPCS,33621,Transthor cath for stent,,,1406.0,18617.0,4
HCPCS,33622,Redo compl cardiac anomaly,,,1406.0,18617.0,4
HCPCS,33641,Repair heart septum defect,,,1406.0,18617.0,4
HCPCS,33645,Revision of heart veins,,,1406.0,18617.0,4
HCPCS,33647,Repair heart septum defects,,,1406.0,18617.0,4
HCPCS,33660,Repair of heart defects,,,1406.0,18617.0,4
HCPCS,33665,Repair of heart defects,,,1406.0,18617.0,4
HCPCS,33670,Repair of heart chambers,,,1406.0,18617.0,4
HCPCS,33675,Close Mult Vsd,,,1406.0,18617.0,4
HCPCS,33676,Close mult vsd w/resection,,,1406.0,18617.0,4
HCPCS,33677,Cl mult vsd w/rem pul band,,,1406.0,18617.0,4
HCPCS,33681,Repair heart septum defect,,,1406.0,18617.0,4
HCPCS,33684,Repair heart septum defect,,,1406.0,18617.0,4
HCPCS,33688,Repair heart septum defect,,,1406.0,18617.0,4
HCPCS,33690,Reinforce pulmonary artery,,,1406.0,18617.0,4
HCPCS,33692,Repair of heart defects,,,1406.0,18617.0,4
HCPCS,33694,Repair of heart defects,,,1406.0,18617.0,4
HCPCS,33697,Repair of heart defects,,,1406.0,18617.0,4
HCPCS,33702,Repair of heart defects,,,1406.0,18617.0,4
HCPCS,33710,Repair of heart defects,,,1406.0,18617.0,4
HCPCS,33720,Repair of heart defect,,,1406.0,18617.0,4
HCPCS,33724,Repair Venous Anomaly,,,1406.0,18617.0,4
HCPCS,33726,Repair Pul Venous Stenosis,,,1406.0,18617.0,4
HCPCS,33730,Repair heart-vein defect(s),,,1406.0,18617.0,4
HCPCS,33732,Repair heart-vein defect,,,1406.0,18617.0,4
HCPCS,33735,Revision of heart chamber,,,1406.0,18617.0,4
HCPCS,33736,Revision of heart chamber,,,1406.0,18617.0,4
HCPCS,33737,Revision of heart chamber,,,1406.0,18617.0,4
HCPCS,33750,Major vessel shunt,,,1406.0,18617.0,4
HCPCS,33755,Major vessel shunt,,,1406.0,18617.0,4
HCPCS,33762,Major vessel shunt,,,1406.0,18617.0,4
HCPCS,33764,Major vessel shunt & graft,,,1406.0,18617.0,4
HCPCS,33766,Major vessel shunt,,,1406.0,18617.0,4
HCPCS,33767,Major vessel shunt,,,1406.0,18617.0,4
HCPCS,33768,Cavopulmonary shunting,,,1406.0,18617.0,4
HCPCS,33770,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33771,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33774,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33775,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33776,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33777,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33778,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33779,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33780,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33781,Repair great vessels defect,,,1406.0,18617.0,4
HCPCS,33782,Nikaidoh proc,,,1406.0,18617.0,4
HCPCS,33783,Nikaidoh proc w/ostia implt,,,1406.0,18617.0,4
HCPCS,33786,Repair arterial trunk,,,1406.0,18617.0,4
HCPCS,33788,Revision of pulmonary artery,,,1406.0,18617.0,4
HCPCS,33800,Aortic suspension,,,1406.0,18617.0,4
HCPCS,33802,Repair vessel defect,,,1406.0,18617.0,4
HCPCS,33803,Repair vessel defect,,,1406.0,18617.0,4
HCPCS,33813,Repair septal defect,,,1406.0,18617.0,4
HCPCS,33814,Repair septal defect,,,1406.0,18617.0,4
HCPCS,33820,Revise major vessel,,,1406.0,18617.0,4
HCPCS,33822,Revise major vessel,,,1406.0,18617.0,4
HCPCS,33824,Revise major vessel,,,1406.0,18617.0,4
HCPCS,33840,Remove aorta constriction,,,1406.0,18617.0,4
HCPCS,33845,Remove aorta constriction,,,1406.0,18617.0,4
HCPCS,33851,Remove aorta constriction,,,1406.0,18617.0,4
HCPCS,33852,Repair septal defect,,,1406.0,18617.0,4
HCPCS,33853,Repair septal defect,,,1406.0,18617.0,4
HCPCS,33858,As-aort grf f/aortic dsj,,,1406.0,18617.0,4
HCPCS,33859,As-aort grf f/ds oth/thn dsj,,,1406.0,18617.0,4
HCPCS,33863,Ascending aortic graft,,,1406.0,18617.0,4
HCPCS,33864,Ascending aortic graft,,,1406.0,18617.0,4
HCPCS,33866,Aortic hemiarch graft,,,428.0,490.0,2
HCPCS,33871,Transvrs a-arch grf hypthrm,,,1406.0,18617.0,4
HCPCS,33875,Thoracic aortic graft,,,1406.0,18617.0,4
HCPCS,33877,Thoracoabdominal graft,,,1406.0,18617.0,4
HCPCS,33880,Endovasc taa repr incl subcl,,,1406.0,18617.0,4
HCPCS,33881,Endovasc taa repr w/o subcl,,,1406.0,18617.0,4
HCPCS,33882,Evasc rpr ta dplmt mltpc sys,,,1406.0,18617.0,4
HCPCS,33883,Insert endovasc prosth taa,,,1406.0,18617.0,4
HCPCS,33884,Endovasc prosth taa add-on,,,1406.0,18617.0,4
HCPCS,33886,Endovasc prosth delayed,,,1406.0,18617.0,4
HCPCS,33889,Artery transpose/endovas taa,,,1406.0,18617.0,4
HCPCS,33891,Car-car bp grft/endovas taa,,,1406.0,18617.0,4
HCPCS,33894,Evasc st rpr thrc/aa acrs br,,,428.0,18617.0,6
HCPCS,33895,Evasc st rpr thrc/aa x crsg,,,428.0,18617.0,6
HCPCS,33897,Perq trluml angp nt/recr coa,,,428.0,18617.0,6
HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,4147.0,18617.0,9
HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,4147.0,18617.0,9
HCPCS,33902,Perq p-art revsc 1 abnor uni,,,4081.0,22738.78,9
HCPCS,33903,Perq p-art revsc 1 abnor bi,,,4081.0,18617.0,9
HCPCS,33904,Perq p-art revsc each addl,,,428.0,1866.0,4
HCPCS,33910,Remove lung artery emboli,,,1406.0,18617.0,4
HCPCS,33915,HC PULMONARY EMBOLECTOMY; WO CPB,27451.0,27451.0,,,0
HCPCS,33915,Remove lung artery emboli,,,1406.0,18617.0,4
HCPCS,33916,Surgery of great vessel,,,1406.0,18617.0,4
HCPCS,33917,Repair pulmonary artery,,,1406.0,18617.0,4
HCPCS,33920,Repair pulmonary atresia,,,1406.0,18617.0,4
HCPCS,33922,Transect pulmonary artery,,,1406.0,18617.0,4
HCPCS,33924,Remove pulmonary shunt,,,1406.0,18617.0,4
HCPCS,33925,Rpr pul art unifocal w/o cpb,,,1406.0,18617.0,4
HCPCS,33926,Repr pul art unifocal w/cpb,,,1406.0,18617.0,4
HCPCS,33927,Impltj tot rplcmt hrt sys,,,1406.0,18617.0,4
HCPCS,33928,Rmvl & rplcmt tot hrt sys,,,1406.0,18617.0,4
HCPCS,33929,Rmvl rplcmt hrt sys f/trnspl,,,1406.0,18617.0,4
HCPCS,33930,Removal of donor heart/lung,,,1406.0,18617.0,4
HCPCS,33933,Prepare donor heart/lung,,,1406.0,18617.0,4
HCPCS,33935,Transplantation heart/lung,,,1406.0,18617.0,4
HCPCS,33940,Removal of donor heart,,,1406.0,18617.0,4
HCPCS,33944,Prepare donor heart,,,1406.0,18617.0,4
HCPCS,33945,Transplantation of heart,,,1406.0,18617.0,4
HCPCS,33946,Ecmo/ecls initiation venous,,,1406.0,18617.0,4
HCPCS,33947,Ecmo/ecls initiation artery,,,1406.0,18617.0,4
HCPCS,33948,Ecmo/ecls daily mgmt-venous,,,1406.0,18617.0,4
HCPCS,33949,Ecmo/ecls daily mgmt artery,,,1406.0,18617.0,4
HCPCS,33951,Ecmo/ecls insj prph cannula,,,1406.0,18617.0,4
HCPCS,33952,Ecmo/ecls insj prph cannula,,,1406.0,18617.0,4
HCPCS,33953,Ecmo/ecls insj prph cannula,,,1406.0,18617.0,4
HCPCS,33954,Ecmo/ecls insj prph cannula,,,1406.0,18617.0,4
HCPCS,33955,Ecmo/ecls insj ctr cannula,,,1406.0,18617.0,4
HCPCS,33956,Ecmo/ecls insj ctr cannula,,,1406.0,18617.0,4
HCPCS,33957,Ecmo/ecls repos perph cnula,,,1406.0,18617.0,4
HCPCS,33958,Ecmo/ecls repos perph cnula,,,1406.0,18617.0,4
HCPCS,33959,Ecmo/ecls repos perph cnula,,,1406.0,18617.0,4
HCPCS,33962,Ecmo/ecls repos perph cnula,,,1406.0,18617.0,4
HCPCS,33963,Ecmo/ecls repos perph cnula,,,1406.0,18617.0,4
HCPCS,33964,Ecmo/ecls repos perph cnula,,,1406.0,18617.0,4
HCPCS,33965,Ecmo/ecls rmvl perph cannula,,,1406.0,18617.0,4
HCPCS,33966,Ecmo/ecls rmvl prph cannula,,,1406.0,18617.0,4
HCPCS,33967,Insert i-aort percut device,,,1406.0,18617.0,4
HCPCS,33968,Remove aortic assist device,,,1544.0,18617.0,4
HCPCS,33969,Ecmo/ecls rmvl perph cannula,,,1406.0,18617.0,4
HCPCS,33970,Aortic circulation assist,,,1406.0,18617.0,4
HCPCS,33971,Aortic circulation assist,,,1406.0,18617.0,4
HCPCS,33973,Insert balloon device,,,1406.0,18617.0,4
HCPCS,33974,Remove intra-aortic balloon,,,1406.0,18617.0,4
HCPCS,33975,Implant ventricular device,,,1406.0,18617.0,4
HCPCS,33976,Implant ventricular device,,,1406.0,18617.0,4
HCPCS,33977,Remove ventricular device,,,1406.0,18617.0,4
HCPCS,33978,Remove ventricular device,,,1406.0,18617.0,4
HCPCS,33979,Insert intracorporeal device,,,1406.0,18617.0,4
HCPCS,33980,Remove intracorporeal device,,,1406.0,18617.0,4
HCPCS,33981,Replace vad pump ext,,,1406.0,18617.0,4
HCPCS,33982,Replace vad intra w/o bp,,,1406.0,18617.0,4
HCPCS,33983,Replace vad intra w/bp,,,1406.0,18617.0,4
HCPCS,33984,Ecmo/ecls rmvl prph cannula,,,1406.0,18617.0,4
HCPCS,33985,Ecmo/ecls rmvl ctr cannula,,,1406.0,18617.0,4
HCPCS,33986,Ecmo/ecls rmvl ctr cannula,,,1406.0,18617.0,4
HCPCS,33987,Artery expos/graft artery,,,1406.0,18617.0,4
HCPCS,33988,Insertion of left heart vent,,,1406.0,18617.0,4
HCPCS,33989,Removal of left heart vent,,,1406.0,18617.0,4
HCPCS,33990,Insert vad artery access,,,1406.0,18617.0,4
HCPCS,33991,Insert vad art&vein access,,,1406.0,18617.0,4
HCPCS,33992,Remove vad different session,,,1406.0,18617.0,4
HCPCS,33993,Reposition vad diff session,,,1406.0,18617.0,4
HCPCS,33999,Cardiac surgery procedure,,,741.06,18617.0,9
HCPCS,34001,Removal of artery clot,,,1406.0,18617.0,4
HCPCS,34051,Removal of artery clot,,,1406.0,18617.0,4
HCPCS,34101,Removal of artery clot,,,3408.0,8006.0,9
HCPCS,34111,Removal of arm artery clot,,,1406.0,18617.0,9
HCPCS,34151,Removal of artery clot,,,1406.0,18617.0,4
HCPCS,34201,Removal of artery clot,,,1406.0,18617.0,9
HCPCS,34203,Removal of leg artery clot,,,1406.0,18617.0,9
HCPCS,34401,Removal of vein clot,,,1406.0,18617.0,4
HCPCS,34421,Removal of vein clot,,,1406.0,18617.0,9
HCPCS,34451,Removal of vein clot,,,1406.0,18617.0,4
HCPCS,34471,Removal of vein clot,,,741.06,18617.0,9
HCPCS,34490,Removal of vein clot,,,1406.0,18617.0,9
HCPCS,34501,Repair valve femoral vein,,,428.0,18617.0,9
HCPCS,34502,Reconstruct vena cava,,,1406.0,18617.0,4
HCPCS,34510,Transposition of vein valve,,,1406.0,18617.0,9
HCPCS,34520,Cross-over vein graft,,,1406.0,18617.0,9
HCPCS,34530,Leg vein fusion,,,428.0,18617.0,9
HCPCS,34701,Evasc rpr a-ao ndgft,,,3560.0,18617.0,4
HCPCS,34702,Evasc rpr a-ao ndgft rpt,,,3560.0,18617.0,4
HCPCS,34703,Evasc rpr a-unilac ndgft,,,3560.0,18617.0,4
HCPCS,34704,Evasc rpr a-unilac ndgft rpt,,,3560.0,18617.0,4
HCPCS,34705,Evac rpr a-biiliac ndgft,,,3560.0,18617.0,4
HCPCS,34706,Evasc rpr a-biiliac rpt,,,3560.0,18617.0,4
HCPCS,34707,Evasc rpr ilio-iliac ndgft,,,4081.0,18617.0,4
HCPCS,34708,Evasc rpr ilio-iliac rpt,,,4081.0,18617.0,4
HCPCS,34709,Plmt xtn prosth evasc rpr,,,1544.0,18617.0,4
HCPCS,34710,Dlyd plmt xtn prosth 1st vsl,,,4224.0,18617.0,4
HCPCS,34711,Dlyd plmt xtn prosth ea addl,,,1544.0,18617.0,4
HCPCS,34712,Tcat dlvr enhncd fixj dev,,,3408.0,18617.0,4
HCPCS,34713,Perq access & clsr fem art,,,428.0,1866.0,4
HCPCS,34714,Opn fem art expos cndt crtj,,,428.0,1866.0,4
HCPCS,34715,Opn ax/subcla art expos,,,428.0,1866.0,4
HCPCS,34716,Opn ax/subcla art expos cndt,,,428.0,1866.0,4
HCPCS,34717,Evasc rpr a-iliac ndgft,,,1406.0,18617.0,4
HCPCS,34718,Evasc rpr n/a a-iliac ndgft,,,1406.0,18617.0,4
HCPCS,34808,Endovas iliac a device addon,,,1406.0,18617.0,4
HCPCS,34812,Xpose for endoprosth femorl,,,1406.0,18617.0,4
HCPCS,34813,Femoral endovas graft add-on,,,1406.0,18617.0,4
HCPCS,34820,Xpose for endoprosth iliac,,,1406.0,18617.0,4
HCPCS,34830,Open Aortic Tube Prosth Repr,,,1406.0,18617.0,4
HCPCS,34831,Open Aortoiliac Prosth Repr,,,1406.0,18617.0,4
HCPCS,34832,Open Aortofemor Prosth Repr,,,1406.0,18617.0,4
HCPCS,34833,Xpose for endoprosth iliac,,,4081.0,18617.0,4
HCPCS,34834,Xpose endoprosth brachial,,,4081.0,18617.0,4
HCPCS,34839,Plnning pt spec fenest graft,,,1406.0,18617.0,4
HCPCS,34841,Endovasc visc aorta 1 graft,,,1406.0,18617.0,4
HCPCS,34842,Endovasc visc aorta 2 graft,,,1406.0,18617.0,4
HCPCS,34843,Endovasc visc aorta 3 graft,,,1406.0,18617.0,4
HCPCS,34844,Endovasc visc aorta 4 graft,,,1406.0,18617.0,4
HCPCS,34845,Visc & infraren abd 1 prosth,,,1406.0,18617.0,4
HCPCS,34846,Visc & infraren abd 2 prosth,,,1406.0,18617.0,4
HCPCS,34847,Visc & infraren abd 3 prosth,,,1406.0,18617.0,4
HCPCS,34848,Visc & infraren abd 4+ prost,,,1406.0,18617.0,4
HCPCS,35001,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35002,Repair artery rupture neck,,,1406.0,18617.0,4
HCPCS,35005,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35011,Repair defect of artery,,,1406.0,18617.0,9
HCPCS,35013,Repair artery rupture arm,,,1406.0,18617.0,4
HCPCS,35021,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35022,Repair artery rupture chest,,,1406.0,18617.0,4
HCPCS,35045,Repair defect of arm artery,,,1406.0,18617.0,9
HCPCS,35081,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35082,Repair artery rupture aorta,,,1406.0,18617.0,4
HCPCS,35091,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35092,Repair artery rupture aorta,,,1406.0,18617.0,4
HCPCS,35102,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35103,Repair artery rupture aorta,,,1406.0,18617.0,4
HCPCS,35111,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35112,Repair artery rupture spleen,,,1406.0,18617.0,4
HCPCS,35121,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35122,Repair artery rupture belly,,,1406.0,18617.0,4
HCPCS,35131,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35132,Repair artery rupture groin,,,1406.0,18617.0,4
HCPCS,35141,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35142,Repair artery rupture thigh,,,1406.0,18617.0,4
HCPCS,35151,Repair defect of artery,,,1406.0,18617.0,4
HCPCS,35152,Repair ruptd popliteal art,,,1406.0,18617.0,4
HCPCS,35180,Repair blood vessel lesion,,,1406.0,18617.0,9
HCPCS,35182,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35184,Repair blood vessel lesion,,,1406.0,18617.0,9
HCPCS,35188,Repair blood vessel lesion,,,4224.0,8006.0,9
HCPCS,35189,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35190,Repair blood vessel lesion,,,1406.0,18617.0,9
HCPCS,35201,Repair blood vessel lesion,,,3291.0,18617.0,9
HCPCS,35206,Repair blood vessel lesion,,,3730.07,18617.0,9
HCPCS,35207,"HC REPAIR BLOOD VESSEL DIRECT; HAND, FINGER",9161.0,9161.0,,,0
HCPCS,35207,Repair blood vessel lesion,,,3730.07,8006.0,9
HCPCS,35211,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35216,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35221,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35226,Repair blood vessel lesion,,,836.55,18617.0,9
HCPCS,35231,Repair blood vessel lesion,,,3560.0,18617.0,9
HCPCS,35236,Repair blood vessel lesion,,,3560.0,18617.0,9
HCPCS,35241,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35246,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35251,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35256,Repair blood vessel lesion,,,3560.0,18617.0,9
HCPCS,35261,Repair blood vessel lesion,,,428.0,18617.0,9
HCPCS,35266,Repair blood vessel lesion,,,3560.0,18617.0,9
HCPCS,35271,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35276,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35281,Repair blood vessel lesion,,,1406.0,18617.0,4
HCPCS,35286,Repair blood vessel lesion,,,3560.0,18617.0,9
HCPCS,35301,Rechanneling of artery,,,1406.0,18617.0,4
HCPCS,35302,Rechanneling of Artery,,,1406.0,18617.0,4
HCPCS,35303,Rechanneling of Artery,,,1406.0,18617.0,4
HCPCS,35304,Rechanneling of Artery,,,1406.0,18617.0,4
HCPCS,35305,Rechanneling of Artery,,,1406.0,18617.0,4
HCPCS,35306,Rechanneling of Artery,,,1406.0,18617.0,4
HCPCS,35311,Rechanneling of artery,,,1406.0,18617.0,4
HCPCS,35321,Rechanneling of artery,,,3291.0,18617.0,9
HCPCS,35331,Rechanneling of artery,,,1406.0,18617.0,4
HCPCS,35341,Rechanneling of artery,,,1406.0,18617.0,4
HCPCS,35351,Rechanneling of artery,,,1406.0,18617.0,4
HCPCS,35355,Rechanneling of artery,,,1406.0,18617.0,4
HCPCS,35361,Rechanneling of artery,,,1406.0,18617.0,4
HCPCS,35363,Rechanneling of artery,,,1406.0,18617.0,4
HCPCS,35371,Rechanneling of artery,,,1406.0,18617.0,4
HCPCS,35372,Rechanneling of artery,,,3291.0,18617.0,9
HCPCS,35390,Reoperation carotid add-on,,,1406.0,18617.0,4
HCPCS,35400,Angioscopy,,,1406.0,18617.0,4
HCPCS,35458,"HC TBA, OPEN; BRACHIOCEPHALIC TRUNK/BRANCH",5375.0,5375.0,,,0
HCPCS,35471,HC PTA RENAL OR VISCERAL ARTERY,5728.0,5728.0,,,0
HCPCS,35475,HC PTA BRACHIOCEPHALIC ARTERIES,5375.0,5375.0,,,0
HCPCS,35476,"HC Percutaneous transluminal angioplasty, venous",3517.0,3517.0,,,0
HCPCS,35500,Harvest vein for bypass,,,428.0,490.0,2
HCPCS,35501,Art byp grft ipsilat carotid,,,1406.0,18617.0,4
HCPCS,35506,Art byp grft subclav-carotid,,,1406.0,18617.0,4
HCPCS,35508,Art byp grft carotid-vertbrl,,,1406.0,18617.0,4
HCPCS,35509,Art byp grft contral carotid,,,1406.0,18617.0,4
HCPCS,35510,Art byp grft carotid-brchial,,,1406.0,18617.0,4
HCPCS,35511,Art byp grft subclav-subclav,,,1406.0,18617.0,4
HCPCS,35512,Art byp grft subclav-brchial,,,1406.0,18617.0,4
HCPCS,35515,Art byp grft subclav-vertbrl,,,1406.0,18617.0,4
HCPCS,35516,Art byp grft subclav-axilary,,,1406.0,18617.0,4
HCPCS,35518,Art byp grft axillary-axilry,,,1406.0,18617.0,4
HCPCS,35521,Art byp grft axill-femoral,,,1406.0,18617.0,4
HCPCS,35522,Art byp grft axill-brachial,,,1406.0,18617.0,4
HCPCS,35523,Art byp grft brchl-ulnr-rdl,,,1406.0,18617.0,4
HCPCS,35525,Art byp grft brachial-brchl,,,1406.0,18617.0,4
HCPCS,35526,Art byp grft aor/carot/innom,,,1406.0,18617.0,4
HCPCS,35531,Art byp grft aorcel/aormesen,,,1406.0,18617.0,4
HCPCS,35533,Art byp grft axill/fem/fem,,,1406.0,18617.0,4
HCPCS,35535,Art byp grft hepatorenal,,,1406.0,18617.0,4
HCPCS,35536,Art byp grft splenorenal,,,1406.0,18617.0,4
HCPCS,35537,Art byp grft aortoiliac,,,1406.0,18617.0,4
HCPCS,35538,Art byp grft aortobi-iliac,,,1406.0,18617.0,4
HCPCS,35539,Art byp grft aortofemoral,,,1406.0,18617.0,4
HCPCS,35540,Art byp grft aortbifemoral,,,1406.0,18617.0,4
HCPCS,35556,Art byp grft fem-popliteal,,,1406.0,18617.0,4
HCPCS,35558,Art byp grft fem-femoral,,,1406.0,18617.0,4
HCPCS,35560,Art byp grft aortorenal,,,1406.0,18617.0,4
HCPCS,35563,Art byp grft ilioiliac,,,1406.0,18617.0,4
HCPCS,35565,Art byp grft iliofemoral,,,1406.0,18617.0,4
HCPCS,35566,Art byp fem-ant-post tib/prl,,,1406.0,18617.0,4
HCPCS,35570,Art byp tibial-tib/peroneal,,,1406.0,18617.0,4
HCPCS,35571,Art byp pop-tibl-prl-other,,,1406.0,18617.0,4
HCPCS,35572,Harvest femoropopliteal vein,,,428.0,490.0,2
HCPCS,35583,Vein byp grft fem-popliteal,,,1406.0,18617.0,4
HCPCS,35585,Vein byp fem-tibial peroneal,,,1406.0,18617.0,4
HCPCS,35587,Vein byp pop-tibl peroneal,,,1406.0,18617.0,4
HCPCS,35600,Harvest art for cabg add-on,,,1406.0,18617.0,4
HCPCS,35601,Art byp common ipsi carotid,,,1406.0,18617.0,4
HCPCS,35602,Bpg crtd-clat crtd,,,1406.0,18617.0,4
HCPCS,35606,Art byp carotid-subclavian,,,1406.0,18617.0,4
HCPCS,35612,Art byp subclav-subclavian,,,1406.0,18617.0,4
HCPCS,35616,Art byp subclav-axillary,,,1406.0,18617.0,4
HCPCS,35621,Art byp axillary-femoral,,,1406.0,18617.0,4
HCPCS,35623,Art byp axillary-pop-tibial,,,1406.0,18617.0,4
HCPCS,35626,Art byp aorsubcl/carot/innom,,,1406.0,18617.0,4
HCPCS,35631,Art byp aor-celiac-msn-renal,,,1406.0,18617.0,4
HCPCS,35632,Art byp ilio-celiac,,,1406.0,18617.0,4
HCPCS,35633,Art byp ilio-mesenteric,,,1406.0,18617.0,4
HCPCS,35634,Art byp iliorenal,,,1406.0,18617.0,4
HCPCS,35636,Art byp spenorenal,,,1406.0,18617.0,4
HCPCS,35637,Art byp aortoiliac,,,1406.0,18617.0,4
HCPCS,35638,Art byp aortobi-iliac,,,1406.0,18617.0,4
HCPCS,35642,Art byp carotid-vertebral,,,1406.0,18617.0,4
HCPCS,35645,Art byp subclav-vertebrl,,,1406.0,18617.0,4
HCPCS,35646,Art byp aortobifemoral,,,1406.0,18617.0,4
HCPCS,35647,Art byp aortofemoral,,,1406.0,18617.0,4
HCPCS,35650,Art byp axillary-axillary,,,1406.0,18617.0,4
HCPCS,35654,Art byp axill-fem-femoral,,,1406.0,18617.0,4
HCPCS,35656,Art byp femoral-popliteal,,,1406.0,18617.0,4
HCPCS,35661,Art byp femoral-femoral,,,1406.0,18617.0,4
HCPCS,35663,Art byp ilioiliac,,,1406.0,18617.0,4
HCPCS,35665,Art byp iliofemoral,,,1406.0,18617.0,4
HCPCS,35666,Art byp fem-ant-post tib/prl,,,1406.0,18617.0,4
HCPCS,35671,Art byp pop-tibl-prl-other,,,1406.0,18617.0,4
HCPCS,35681,Composite byp grft pros&vein,,,1406.0,18617.0,4
HCPCS,35682,Composite byp grft 2 veins,,,1406.0,18617.0,4
HCPCS,35683,Composite byp grft 3/> segmt,,,1406.0,18617.0,4
HCPCS,35685,Bypass graft patency/patch,,,428.0,490.0,2
HCPCS,35686,Bypass graft/av fist patency,,,428.0,490.0,2
HCPCS,35691,Art trnsposj vertbrl carotid,,,1406.0,18617.0,4
HCPCS,35693,Art trnsposj subclavian,,,1406.0,18617.0,4
HCPCS,35694,Art trnsposj subclav carotid,,,1406.0,18617.0,4
HCPCS,35695,Art trnsposj carotid subclav,,,1406.0,18617.0,4
HCPCS,35697,Reimplant artery each,,,1406.0,18617.0,4
HCPCS,35700,Reoperation bypass graft,,,1406.0,18617.0,4
HCPCS,35701,Exploration carotid artery,,,1406.0,18617.0,4
HCPCS,35702,Expl n/flwd surg uxtr art,,,2816.0,18617.0,4
HCPCS,35703,Expl n/flwd surg lxtr art,,,2816.0,18617.0,4
HCPCS,35761,Exploration of artery/vein,,,5567.0,6404.0,2
HCPCS,35800,Explore neck vessels,,,3291.0,18617.0,9
HCPCS,35820,Explore chest vessels,,,1406.0,18617.0,4
HCPCS,35840,Explore abdominal vessels,,,1406.0,18617.0,4
HCPCS,35860,Explore limb vessels,,,3730.07,18617.0,9
HCPCS,35870,Repair vessel graft defect,,,1406.0,18617.0,4
HCPCS,35875,HC THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT,12053.0,12053.0,,,0
HCPCS,35875,Removal of clot in graft,,,4147.0,13320.0,9
HCPCS,35876,Removal of clot in graft,,,4147.0,13320.0,9
HCPCS,35879,Revise graft w/vein,,,1406.0,18617.0,9
HCPCS,35881,Revise graft w/vein,,,1406.0,18617.0,9
HCPCS,35883,Revise Graft w/Nonauto Graft,,,4224.0,13320.0,9
HCPCS,35884,Revise graft w/vein,,,4224.0,13320.0,9
HCPCS,35901,Excision graft neck,,,1406.0,18617.0,4
HCPCS,35903,Excision graft extremity,,,1406.0,18617.0,9
HCPCS,35905,Excision graft thorax,,,1406.0,18617.0,4
HCPCS,35907,Excision graft abdomen,,,1406.0,18617.0,4
HCPCS,36000,HC NONSELECTIVE CATH PLACEMENT IN VEIN,368.0,368.0,,,0
HCPCS,36000,Place needle in vein,,,428.0,490.0,2
HCPCS,36002,HC INJ PERC EXTR ANEURYSM,1861.0,1861.0,,,0
HCPCS,36002,Pseudoaneurysm injection trt,,,741.06,3314.0,9
HCPCS,36005,HC EXTEMITY VENOGRAPHY INJECTION,361.0,361.0,,,0
HCPCS,36005,Injection ext venography,,,428.0,1866.0,4
HCPCS,36010,"HC NONSELECTIVE CATH, SUPERIOR/INFERIOR VENA CAVA",2386.0,2386.0,,,0
HCPCS,36010,Place catheter in vein,,,428.0,1866.0,4
HCPCS,36011,"HC SELECTIVE CATHETER, FIRST ORDER FAMILY",3600.0,3600.0,,,0
HCPCS,36011,Place catheter in vein,,,428.0,1866.0,4
HCPCS,36012,"HC SELECTIVE CATHETER, SECOND ORDER FAMILY",4193.0,4193.0,,,0
HCPCS,36012,Place catheter in vein,,,428.0,1866.0,4
HCPCS,36013,"HC INTRODUCTION CATHETER, RT HEART OR MAIN PULM ARTERY",4881.0,4881.0,,,0
HCPCS,36013,Place catheter in artery,,,428.0,1866.0,4
HCPCS,36014,"HC SELECTIVE CATHETER PLACEMENT, LT OR RT PULM ARTERY",4581.0,4581.0,,,0
HCPCS,36014,Place catheter in artery,,,428.0,1866.0,4
HCPCS,36015,"HC SELECTIVE CATHETER PLACEMENT, SEGMENTAL OR SUBSEGMENTAL PULM ARTERY",4581.0,4581.0,,,0
HCPCS,36015,Place catheter in artery,,,428.0,1866.0,4
HCPCS,36100,Establish access to artery,,,428.0,1866.0,4
HCPCS,36120,HC NS CATHETER - RETROGRADE BRACHIAL ARTERY,1584.0,1584.0,,,0
HCPCS,36140,Establish access to artery,,,428.0,1866.0,4
HCPCS,36140,"HC INTRO NEEDLE OR INTRACATHETER, UPPER OR LOWER EXTREMITY ARTERY",2084.0,2084.0,,,0
HCPCS,36147,HC Access AV dialysis graft for eval,1379.0,1379.0,,,0
HCPCS,36148,"HC PLACE NEEDLE/CATH A-V DIALYSIS SHUNT, ADDTL ACCESS FOR THERAPY",690.0,690.0,,,0
HCPCS,36160,Establish access to aorta,,,428.0,4166.0,4
HCPCS,36200,HC NONSELECTIVE CATHETER - AORTA,2326.0,2326.0,,,0
HCPCS,36200,Place catheter in aorta,,,428.0,4166.0,4
HCPCS,36215,"HC SELECTIVE CATH ARTERY, BRACH-CEPH, FIRST ORDER",4116.0,4116.0,,,0
HCPCS,36215,Place catheter in artery,,,428.0,4166.0,4
HCPCS,36216,"HC SEL CATH ARTERIAL, BRACH-CEPH; 2ND ORDER",4661.0,4661.0,,,0
HCPCS,36216,Place catheter in artery,,,428.0,4166.0,4
HCPCS,36217,"HC SEL CATH ARTERIAL, BRACH-CEPH; 3RD ORDER",5446.0,5446.0,,,0
HCPCS,36217,Place catheter in artery,,,428.0,4166.0,4
HCPCS,36218,"HC SEL CATH ARTERIAL, BRACH-CEPH; EA ADDL",1497.0,1497.0,,,0
HCPCS,36218,Place catheter in artery,,,428.0,4166.0,4
HCPCS,36221,"HC NS CATH, THORACIC AORTA W/ANGIO",4732.0,4732.0,,,0
HCPCS,36221,Place cath thoracic aorta,,,997.23,18617.0,9
HCPCS,36222,HC PLACE CATH CAROTID/INOM ART W/ ANGIO EXTRACRANIAL,5911.0,5911.0,,,0
HCPCS,36222,Place cath carotid/inom art,,,997.23,18617.0,9
HCPCS,36223,HC PLACE CATH CAROTID/INOM ART W/ ANGIO INTRACRANIAL,6463.5,6463.5,,,0
HCPCS,36223,Place cath carotid/inom art,,,1166.74,18617.0,9
HCPCS,36224,HC PLACE CATH CAROTD ART,9669.0,9669.0,,,0
HCPCS,36224,Place cath carotd art,,,1166.74,18617.0,9
HCPCS,36225,HC PLACE CATH SUBCLAVIAN ART,5911.0,5911.0,,,0
HCPCS,36225,Place cath subclavian art,,,1009.6,18617.0,9
HCPCS,36226,HC PLACE CATH VERTEBRAL ART,9669.0,9669.0,,,0
HCPCS,36226,Place cath vertebral art,,,1009.6,18617.0,9
HCPCS,36227,HC PLACE CATH XTRNL CAROTID,5911.0,5911.0,,,0
HCPCS,36227,Place cath xtrnl carotid,,,1151.6,1866.0,4
HCPCS,36228,Place cath intracranial art,,,1544.0,1866.0,2
HCPCS,36245,HC INSERT CATHETER ABD/L-EXT ARTERY 1ST,4173.0,4173.0,,,0
HCPCS,36245,Ins cath abd/l-ext art 1st,,,428.0,4166.0,4
HCPCS,36246,HC INSERT CATHETER ABD/L-EXT ART 2ND,4173.0,4173.0,,,0
HCPCS,36246,Ins cath abd/l-ext art 2nd,,,428.0,4166.0,4
HCPCS,36247,HC INSERT CATHETER ABD/L-EXT ART 3RD,5415.0,5415.0,,,0
HCPCS,36247,Ins cath abd/l-ext art 3rd,,,428.0,4166.0,4
HCPCS,36248,HC SEL CATH ARTERIAL; ABD-LWR EXTREMITY; EA ADDL,1497.0,1497.0,,,0
HCPCS,36248,Ins cath abd/l-ext art addl,,,428.0,4166.0,4
HCPCS,36251,HC INSERT CATHETER RENAL ARTERY 1ST UNILATERAL,2923.0,2923.0,,,0
HCPCS,36251,Ins cath ren art 1st unilat,,,2816.0,18617.0,9
HCPCS,36252,HC INSERT CATHETER RENAL ARTERY 1ST BILATERAL,3204.0,3204.0,,,0
HCPCS,36252,Ins cath ren art 1st bilat,,,2816.0,18617.0,9
HCPCS,36253,"HC INSERT CATHETER RENAL ARTERY 2ND, UNILAT",4357.0,4357.0,,,0
HCPCS,36253,Ins cath ren art 2nd+ unilat,,,2816.0,18617.0,9
HCPCS,36254,"HC INSERT CATHETER RENAL ARTERY 2ND, BILAT",3204.0,3204.0,,,0
HCPCS,36254,Ins cath ren art 2nd+ bilat,,,2816.0,18617.0,9
HCPCS,36260,Insertion of infusion pump,,,3408.0,8006.0,9
HCPCS,36261,Revision of infusion pump,,,2816.0,9420.0,9
HCPCS,36262,Removal of infusion pump,,,1544.0,4635.37,9
HCPCS,36400,Bl draw < 3 yrs fem/jugular,,,428.0,490.0,2
HCPCS,36405,Bl draw <3 yrs scalp vein,,,428.0,490.0,2
HCPCS,36406,Bl draw <3 yrs other vein,,,428.0,490.0,2
HCPCS,36406,HC VENIPUNCTURE < 3 YRS OTHER VEIN (PHYS),40.0,40.0,,,0
HCPCS,36410,HC VENIPUNCTURE AGE 3 YRS/>,116.5,116.5,,,0
HCPCS,36410,Non-routine bl draw 3/> yrs,,,15.09,490.0,4
HCPCS,36415,HC ROUTINE VENIPUNCTURE,26.0,26.0,,,0
HCPCS,36415,HC VENIPUNCTURE,29.0,29.0,,,0
HCPCS,36415,Routine venipuncture,,,9.34,17.22,7
HCPCS,36416,Capillary blood draw,,,0.47,0.54,2
HCPCS,36416,HC CAPILLARY BLOOD DRAW,39.0,39.0,,,0
HCPCS,36420,Vein access cutdown < 1 yr,,,157.18,1866.0,5
HCPCS,36425,HC VENIPUNCTURE CUTDOWN; AGE 1 OR OVER,523.0,523.0,,,0
HCPCS,36425,Vein access cutdown > 1 yr,,,527.74,8006.0,7
HCPCS,36430,Blood transfusion service,,,521.18,3314.0,9
HCPCS,36430,HC TRANSFUSION BLOOD 0.5 HOURS,590.0,590.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 1.0 HOURS,653.0,653.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 1.5 HOURS,716.0,716.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 10.0 HOURS,1788.0,1788.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 2.0 HOURS,779.0,779.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 2.5 HOURS,842.0,842.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 3.0 HOURS,905.0,905.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 3.5 HOURS,968.0,968.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 4.0 HOURS,1032.0,1032.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 4.5 HOURS,1095.0,1095.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 5.0 HOURS,1158.0,1158.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 5.5 HOURS,1221.0,1221.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 6.0 HOURS,1284.0,1284.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 6.5 HOURS,1347.0,1347.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 7.0 HOURS,1410.0,1410.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 7.5 HOURS,1473.0,1473.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 8.0 HOURS,1536.0,1536.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD 9.0 HOURS,1662.0,1662.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD OP ON IP UNIT,527.0,527.0,,,0
HCPCS,36430,HC TRANSFUSION BLOOD OR BLOOD COMPONENTS,562.0,562.0,,,0
HCPCS,36440,Bl push transfuse 2 yr/<,,,521.18,3314.0,9
HCPCS,36450,Bl exchange/transfuse nb,,,521.18,3314.0,9
HCPCS,36455,Bl exchange/transfuse non-nb,,,521.18,3314.0,9
HCPCS,36455,HC EXCHANGE TRANSFUSION BLOOD; NOT NEWBORN,1624.0,1624.0,,,0
HCPCS,36456,Prtl exchange transfuse nb,,,521.18,3314.0,9
HCPCS,36460,Transfusion service fetal,,,521.18,3314.0,9
HCPCS,36465,HC INJECTION OF NON-COMPOUNDED FOAM SCLEROSANT; 1 VEIN,9962.0,9962.0,,,0
HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,2437.45,13320.0,9
HCPCS,36466,HC INJECTION OF NON-COMPOUNDED FOAM SCLEROSANT; MULTIPLE VEINS,9962.0,9962.0,,,0
HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,2437.45,13320.0,9
HCPCS,36468,"HC INJECTION(S) OF SCLEROSANT FOR  SPIDER VEINS, LIMB OR TRUNK",1143.0,1143.0,,,0
HCPCS,36468,Injection(s) spider veins,,,480.23,18617.0,9
HCPCS,36470,HC  INJECTION SCLEROSING SOLUTION; SINGLE VEIN,1981.0,1981.0,,,0
HCPCS,36470,Injection therapy of vein,,,480.23,18617.0,9
HCPCS,36471,HC INJECTION SCLEROSING SOLUTION; MULTIPLE VEIN SAME LEG,1981.0,1981.0,,,0
HCPCS,36471,Injection therapy of veins,,,480.23,18617.0,9
HCPCS,36473,Endovenous mchnchem 1st vein,,,855.0,5044.0,7
HCPCS,36474,Endovenous mchnchem add-on,,,1544.0,1866.0,2
HCPCS,36475,Endovenous rf 1st vein,,,3408.0,13320.0,9
HCPCS,36475,"HC ENDOVENOUS ABLATION, RADIOFREQ, 1ST VEIN",15871.0,15871.0,,,0
HCPCS,36476,Endovenous rf vein add-on,,,428.0,1866.0,4
HCPCS,36476,"HC ENDOVENOUS ABLATION, RADIOFREQ, VEIN ADD ON",8551.0,8551.0,,,0
HCPCS,36478,Endovenous laser 1st vein,,,3408.0,13320.0,9
HCPCS,36479,Endovenous laser vein addon,,,428.0,1866.0,4
HCPCS,36481,Insertion of catheter vein,,,428.0,1866.0,4
HCPCS,36482,Endoven ther chem adhes 1st,,,3408.0,18617.0,9
HCPCS,36482,HC ENDOVENOUS THERAPY CHEMICAL ADHESIVE; 1ST VEIN TREATED,19138.0,19138.0,,,0
HCPCS,36483,Endoven ther chem adhes sbsq,,,428.0,1866.0,4
HCPCS,36483,HC ENDOVENOUS THERAPY CHEMICAL ADHESIVE; SUBSEQUENT VEIN TREATED,9570.0,9570.0,,,0
HCPCS,36500,Insertion of catheter vein,,,428.0,1866.0,4
HCPCS,36510,Insertion of catheter vein,,,428.0,490.0,2
HCPCS,36511,Apheresis wbc,,,1839.86,18617.0,9
HCPCS,36511,HC APHERESIS WBC,7927.0,7927.0,,,0
HCPCS,36512,Apheresis rbc,,,1839.86,18617.0,9
HCPCS,36512,HC APHERESIS RBC,7927.0,7927.0,,,0
HCPCS,36513,Apheresis platelets,,,521.18,18617.0,9
HCPCS,36513,HC THERAPEUTIC APHERESIS; FOR PLATELETS,2566.0,2566.0,,,0
HCPCS,36514,Apheresis plasma,,,1839.86,18617.0,9
HCPCS,36514,HC THERAPEUTIC APHERESIS,7927.0,7927.0,,,0
HCPCS,36515,HC THERAPEUTIC APHERESIS; W/ EXTRACORP IMMUNOADSORP & PLASMA REINFUSE,12565.0,12565.0,,,0
HCPCS,36516,Apheresis selective,,,4147.0,18617.0,9
HCPCS,36516,HC APHERESIS SELECTIVE; W/EXTRACORP IMMUNOADSORP FILTRAT & PLASMA REINF,22992.0,22992.0,,,0
HCPCS,36522,Photopheresis,,,2816.0,18617.0,9
HCPCS,36555,HC INSERT NON-TUNNEL CV CATH <5 YRS,3981.0,3981.0,,,0
HCPCS,36555,Insert non-tunnel cv cath,,,855.0,3916.58,9
HCPCS,36556,"HC INSERT NON-TUNNELED CV CATHETER, AGE 5 OR OLDER",3963.0,3963.0,,,0
HCPCS,36556,Insert non-tunnel cv cath,,,1544.0,4097.0,9
HCPCS,36557,Insert tunneled cv cath,,,2816.0,8006.0,9
HCPCS,36558,"HC INSERT TUNNELED CV CATHETER, AGE 5 OR OLDER",7436.0,7436.0,,,0
HCPCS,36558,Insert tunneled cv cath,,,2816.0,5123.0,9
HCPCS,36560,Insert tunneled cv cath,,,3408.0,6404.0,9
HCPCS,36561,"HC INSERT TUNNELED CVAD W/PORT, 5YRS OR OLDER",17043.0,17043.0,,,0
HCPCS,36561,Insert tunneled cv cath,,,3408.0,6404.0,9
HCPCS,36563,Insert tunneled cv cath,,,2138.0,6902.26,9
HCPCS,36565,Insert tunneled cv cath,,,3408.0,6404.0,9
HCPCS,36566,Insert tunneled cv cath,,,3408.0,9918.0,9
HCPCS,36568,Insert picc cath,,,1544.0,3314.0,9
HCPCS,36569,"HC INSERT PICC AGE 5 YRS/>, W/O IMAGE GUIDE",2906.0,2906.0,,,0
HCPCS,36569,Insert picc cath,,,1544.0,3314.0,9
HCPCS,36570,Insert picvad cath,,,3408.0,5123.0,9
HCPCS,36571,HC INSERT PICC DEVICE W PORT 5 YRS/>,19678.0,19678.0,,,0
HCPCS,36571,Insert picvad cath,,,3408.0,5123.0,9
HCPCS,36572,Insj picc rs&i <5 yr,,,741.06,5098.0,9
HCPCS,36573,"HC INSERT PICC, INCLUDING IMAGING, 5 YR+",3592.0,3592.0,,,0
HCPCS,36573,Insj picc rs&i 5 yr+,,,1544.0,8190.0,9
HCPCS,36575,Repair tunneled cv cath,,,741.06,4466.0,9
HCPCS,36576,Repair tunneled cv cath,,,1859.62,4466.0,9
HCPCS,36578,Replace tunneled cv cath,,,2816.0,5123.0,9
HCPCS,36580,Replace cvad cath,,,1544.0,4097.0,9
HCPCS,36581,"HC REPLACE TUNNELED CV CATHETER, SAME VENOUS",7334.0,7334.0,,,0
HCPCS,36581,Replace tunneled cv cath,,,2816.0,4466.0,9
HCPCS,36582,HC REPLACE TUNNELED CVAD WITH PORT,14707.0,14707.0,,,0
HCPCS,36582,Replace tunneled cv cath,,,3408.0,6404.0,9
HCPCS,36583,Replace tunneled cv cath,,,3408.0,6902.26,9
HCPCS,36584,"HC REPLACE PICC CATHETER, INCL IMAGE GUIDE",4006.0,4006.0,,,0
HCPCS,36584,Replace picc cath,,,1544.0,3314.0,9
HCPCS,36585,Replace picvad cath,,,3408.0,6404.0,9
HCPCS,36589,"HC REMOVE TUNNELED CV CATHETER, WO PORT",1232.0,1232.0,,,0
HCPCS,36589,Removal tunneled cv cath,,,741.06,3314.0,9
HCPCS,36590,"HC REMOVE TUNNELED CVAD, WITH PORT OR PUMP",3552.0,3552.0,,,0
HCPCS,36590,Removal tunneled cv cath,,,1544.0,3314.0,9
HCPCS,36591,Draw blood off venous device,,,157.18,984.0,5
HCPCS,36591,HC COLLECTION OF BLOOD VIA VAD,161.0,161.0,,,0
HCPCS,36591,HC DRAW BLOOD OFF VENOUS DEVICE,1077.0,1077.0,,,0
HCPCS,36592,Collect blood from picc,,,157.18,984.0,5
HCPCS,36592,HC COLLECTION OF BLOOD VIA PICC,173.0,173.0,,,0
HCPCS,36593,Declot vascular device,,,390.2,1866.0,7
HCPCS,36593,HC DECLOTTING VAD OR CATHETER,550.0,550.0,,,0
HCPCS,36595,"HC SA MECH REMOVAL, OBSTRUCTIVE CVAD",10883.0,10883.0,,,0
HCPCS,36595,Mech remov tunneled cv cath,,,2762.0,6253.0,9
HCPCS,36596,HC LUMEN  MECH REM OBSTR CVAD,10834.0,10834.0,,,0
HCPCS,36596,Mech remov tunneled cv cath,,,1544.0,3314.0,9
HCPCS,36597,HC REPOSITIONING CENTRAL VENOUS CATHETER W/FLOURO,1736.0,1736.0,,,0
HCPCS,36597,Reposition venous catheter,,,1544.0,3314.0,9
HCPCS,36598,HC CONTRAST INJ W/FLUORO EVAL CV DEVICE,324.0,324.0,,,0
HCPCS,36598,Inj w/fluor eval cv device,,,251.28,4166.0,9
HCPCS,36600,HC ARTERIAL PUNCTURE BLOOD FOR DX,180.5,180.5,,,0
HCPCS,36600,Withdrawal of arterial blood,,,157.18,984.0,5
HCPCS,36620,HC ARTERIAL BLOOD SAMPLING VIA PERC PUNCTURE,590.0,590.0,,,0
HCPCS,36620,Insertion catheter artery,,,428.0,1866.0,4
HCPCS,36625,Insertion catheter artery,,,428.0,490.0,2
HCPCS,36640,Insertion catheter artery,,,1544.0,18686.0,9
HCPCS,36660,Insertion catheter artery,,,1406.0,18617.0,4
HCPCS,36680,HC PLACE NEEDLE INTRAOSSEOUS INFUSION,915.0,915.0,,,0
HCPCS,36680,Insert needle bone cavity,,,527.74,18617.0,9
HCPCS,36800,Insertion of cannula,,,3408.0,9420.0,9
HCPCS,36810,Insertion of cannula,,,3408.0,8006.0,9
HCPCS,36815,Insertion of cannula,,,3408.0,9420.0,9
HCPCS,36818,Av fuse uppr arm cephalic,,,3408.0,8006.0,9
HCPCS,36819,Av fuse uppr arm basilic,,,3408.0,9420.0,9
HCPCS,36820,Av fusion/forearm vein,,,3408.0,8006.0,9
HCPCS,36821,Av fusion direct any site,,,3408.0,8006.0,9
HCPCS,36823,Insertion of cannula(s),,,1406.0,18617.0,4
HCPCS,36825,Artery-vein autograft,,,4224.0,9420.0,9
HCPCS,36830,Artery-vein nonautograft,,,4224.0,11081.0,9
HCPCS,36831,HC THROMBECTOMY AVF DIALYSIS GRAFT,14163.0,14163.0,,,0
HCPCS,36831,Open thrombect av fistula,,,4147.0,13320.0,9
HCPCS,36832,Av fistula revision open,,,4224.0,9420.0,9
HCPCS,36833,Av fistula revision,,,4224.0,9420.0,9
HCPCS,36835,Artery to vein shunt,,,3730.07,8006.0,9
HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,4147.0,22738.78,7
HCPCS,36837,Prq av fstl crt uxtr sep acs,,,4147.0,22738.78,7
HCPCS,36838,Dist revas ligation hemo,,,4224.0,18617.0,9
HCPCS,36860,External cannula declotting,,,855.0,4466.0,9
HCPCS,36861,Cannula declotting,,,3408.0,9420.0,9
HCPCS,36870,"HC Thrombectomy, percutaneous, av fistula",3632.0,3632.0,,,0
HCPCS,36901,HC INTR CATH DIALYS CIRCT W/TRLUML BAL ANGIOPLASTY,17176.0,17176.0,,,0
HCPCS,36901,Intro cath dialysis circuit,,,1544.0,2460.0,7
HCPCS,36902,HC INTR CATH DIAL CIRC W/TRCATH PLC INTRVSC STENT(S),17176.0,17176.0,,,0
HCPCS,36902,Intro cath dialysis circuit,,,4147.0,11081.0,7
HCPCS,36903,HC INTR CATH DIAL CIRC W/INTRAPROC PHARM THRMB INJ,17176.0,17176.0,,,0
HCPCS,36903,Intro cath dialysis circuit,,,4147.0,17939.0,7
HCPCS,36904,HC THRMB/INFUS DIAL CIRC & INTRAPRC PHARM THRMB INJ,17176.0,17176.0,,,0
HCPCS,36904,Thrmbc/nfs dialysis circuit,,,3291.0,11081.0,7
HCPCS,36905,HC THRMB/INFUS DIAL CIRC W/TRNSLUM BAL ANGIOPLASTY,17176.0,17176.0,,,0
HCPCS,36905,Thrmbc/nfs dialysis circuit,,,4147.0,17939.0,7
HCPCS,36906,HC THRMB/INFUS DIAL CIRC&INTRPRC PHAR INJ W/STENT(S),17176.0,17176.0,,,0
HCPCS,36906,Thrmbc/nfs dialysis circuit,,,4147.0,22738.78,7
HCPCS,36907,Balo angiop ctr dialysis seg,,,428.0,1866.0,4
HCPCS,36907,HC BALLOON  ANGIOPLASTY CTR DIALYSIS SEGMENT,17176.0,17176.0,,,0
HCPCS,36908,HC STENT PLACEMENT CENTRAL DIALYSIS SEGMENT,3632.0,3632.0,,,0
HCPCS,36908,Stent plmt ctr dialysis seg,,,1544.0,1866.0,2
HCPCS,36909,Dialysis circuit embolj,,,1544.0,1866.0,2
HCPCS,36909,HC DIALYSIS CIRCUIT PERM VASC EMBOL OR OCCLUSION,2784.0,2784.0,,,0
HCPCS,37140,Revision of circulation,,,1406.0,18617.0,4
HCPCS,37145,Revision of circulation,,,1406.0,18617.0,4
HCPCS,37160,Revision of circulation,,,1406.0,18617.0,4
HCPCS,37180,Revision of circulation,,,1406.0,18617.0,4
HCPCS,37181,Splice spleen/kidney veins,,,1406.0,18617.0,4
HCPCS,37182,HC INSERT HEPATIC SHUNT (TIPS),5405.0,5405.0,,,0
HCPCS,37182,Insert hepatic shunt (tips),,,4062.0,22738.78,9
HCPCS,37183,HC REMOVE HEPATIC SHUNT (TIPS),8138.0,8138.0,,,0
HCPCS,37183,Remove hepatic shunt (tips),,,4062.0,18617.0,9
HCPCS,37184,"HC PRIMARY PRQ MECHANICAL THROMBECTOMY N-COR N-ICRA, 1ST VESSEL",16344.0,16344.0,,,0
HCPCS,37184,Prim art m-thrmbc 1st vsl,,,4062.0,22738.78,9
HCPCS,37185,"HC PRIMARY PRQ MECHANICAL THROMBECTOMY N-COR N-ICRA, SUBSQ VESSEL",1008.0,1008.0,,,0
HCPCS,37185,Prim art m-thrmbc sbsq vsl,,,428.0,4166.0,4
HCPCS,37186,"HC SECONDARY PRQ TRANSLUML THROMBECTOMY, N-CORONARY N-INTRACRANIAL",9562.0,9562.0,,,0
HCPCS,37186,Sec art thrombectomy add-on,,,428.0,1866.0,4
HCPCS,37187,"HC PERCUT MECH THROMBECTOMY, VENOUS",11651.0,11651.0,,,0
HCPCS,37187,Venous mech thrombectomy,,,4062.0,14319.55,9
HCPCS,37188,"HC PRQ TRANSLUML MECHNL THROMBECTOMY, VEIN(S), REPEAT TX",11655.0,11655.0,,,0
HCPCS,37188,Venous m-thrombectomy add-on,,,3563.0,13320.0,9
HCPCS,37191,HC INSERT ENDOVASCULAR VENA CAVA FILTER,8589.0,8589.0,,,0
HCPCS,37191,Ins endovas vena cava filtr,,,3408.0,18617.0,9
HCPCS,37192,Redo endovas vena cava filtr,,,3408.0,18617.0,9
HCPCS,37193,HC REMOVE ENDOVASCULAR VENA CAVE FILTER,9727.0,9727.0,,,0
HCPCS,37193,Rem endovas vena cava filter,,,3408.0,18617.0,9
HCPCS,37195,Thrombolytic therapy stroke,,,390.2,3314.0,9
HCPCS,37197,"HC TRANSCATHETER RETRIEVAL, PERCUT, FOREIGN BODY",2848.0,2848.0,,,0
HCPCS,37197,Remove intrvas foreign body,,,1384.87,13320.0,11
HCPCS,37200,HC TRANSCATHETER BIOPSY,4695.0,4695.0,,,0
HCPCS,37200,Transcatheter biopsy,,,2762.0,9420.0,9
HCPCS,37202,"HC INFUSION TRANSCATH TX, NON THROMBOLYTIC",3436.0,3436.0,,,0
HCPCS,37204,HC TRANSCATHETER OCCLUSION OR EMBOLIZATION,9238.0,9238.0,,,0
HCPCS,37205,"HC TRANSCATHETER PLACEMENT, IV STENT, INITIAL VESSEL",4570.0,4570.0,,,0
HCPCS,37210,HC UTERINE FIBROID EMBOLIZATION,9238.0,9238.0,,,0
HCPCS,37211,HC THROMBOLYTIC ART THERAPY,3667.0,3667.0,,,0
HCPCS,37211,Thrombolytic art therapy,,,1544.0,11081.0,11
HCPCS,37212,HC THROMBOLYTIC VENOUS THERAPY,3431.0,3431.0,,,0
HCPCS,37212,Thrombolytic venous therapy,,,1544.0,6404.0,11
HCPCS,37213,HC THROMBLYTIC ART/VEN THERAPY,7654.0,7654.0,,,0
HCPCS,37213,Thromblytic art/ven therapy,,,2988.05,13320.0,11
HCPCS,37214,Cessj therapy cath removal,,,2988.05,13320.0,11
HCPCS,37214,HC CESSJ THERAPY CATH REMOVAL,7654.0,7654.0,,,0
HCPCS,37215,Transcath stent cca w/eps,,,3408.0,18617.0,4
HCPCS,37216,Transcath stent cca w/o eps,,,428.0,18617.0,6
HCPCS,37217,Stent placemt retro carotid,,,3408.0,18617.0,4
HCPCS,37218,Stent placemt ante carotid,,,3408.0,18617.0,4
HCPCS,37220,HC ILIAC REVASC ARTERY; ANGIOPLASTY INIT VESSEL,18175.0,18175.0,,,0
HCPCS,37220,Iliac revasc,,,4224.0,18617.0,6
HCPCS,37221,"HC REVASC, ILIAC ARTERY, UNIL, 1ST VESSEL; W STENT",8873.0,8873.0,,,0
HCPCS,37221,Iliac revasc w/stent,,,4224.0,18617.0,6
HCPCS,37222,"HC REVASC, OPEN/PERCUT, ILIAC ARTERY W/ANGIOPLASTY; EA ADD IPSI VESSEL",4575.0,4575.0,,,0
HCPCS,37222,Iliac revasc add-on,,,1544.0,13036.0,4
HCPCS,37223,"HC REVASC, OPEN/PERCUT, ILIAC ART W/STENT & ANGIOPLASTY; EA ADD IPSI VESSEL",1919.0,1919.0,,,0
HCPCS,37223,Iliac revasc w/stent add-on,,,1544.0,13036.0,4
HCPCS,37224,Fem/popl revas w/tla,,,4224.0,18617.0,6
HCPCS,37224,"HC REVASC, OPEN/PERCUT, FEMORAL/POPLITEAL W/TLA; UNIL",9266.0,9266.0,,,0
HCPCS,37225,Fem/popl revas w/ather,,,4224.0,18617.0,6
HCPCS,37226,Fem/popl revasc w/stent,,,4224.0,18617.0,6
HCPCS,37226,"HC REVASC, OPEN/PRQ, FEM/POPL, UNIL, W/STENT/ANGIOPL SAME VESSEL",21378.0,21378.0,,,0
HCPCS,37227,Fem/popl revasc stnt & ather,,,4224.0,18617.0,6
HCPCS,37228,"HC REVSC, ENDOVSC, OPEN/PERQ, TIB/PERON ARTERY, UNI, INITIAL; W/TLA",10012.0,10012.0,,,0
HCPCS,37228,Tib/per revasc w/tla,,,4224.0,18617.0,6
HCPCS,37229,Tib/per revasc w/ather,,,4224.0,18617.0,6
HCPCS,37230,Tib/per revasc w/stent,,,4224.0,18617.0,6
HCPCS,37231,Tib/per revasc stent & ather,,,4224.0,18617.0,6
HCPCS,37232,"HC REVASC, OPEN/PERCUT, TIBIAL/PERONEAL, W/ANGIOPLASTY; UNIL, EA ADD VESSEL",1919.0,1919.0,,,0
HCPCS,37232,Tib/per revasc add-on,,,428.0,1866.0,4
HCPCS,37233,Tibper revasc w/ather add-on,,,428.0,1866.0,4
HCPCS,37234,Revsc opn/prq tib/pero stent,,,428.0,1866.0,4
HCPCS,37235,Tib/per revasc stnt & ather,,,428.0,1866.0,4
HCPCS,37236,HC OPEN/PERQ PLACE STENT SAME INITIAL ARTERY,10883.0,10883.0,,,0
HCPCS,37236,Open/perq place stent 1st,,,3408.0,18617.0,9
HCPCS,37237,HC OPEN/PERQ PLACE STENT EACH ADDTL ARTERY,6302.0,6302.0,,,0
HCPCS,37237,Open/perq place stent ea add,,,428.0,1866.0,4
HCPCS,37238,HC OPEN/PERQ PLACE STENT SAME INITIAL VEIN,10883.0,10883.0,,,0
HCPCS,37238,Open/perq place stent same,,,3408.0,18617.0,9
HCPCS,37239,HC OPEN/PERQ PLACE STENT EA ADD,6302.0,6302.0,,,0
HCPCS,37239,Open/perq place stent ea add,,,428.0,1866.0,4
HCPCS,37241,HC VASC EMBOLIZE/OCCLUDE VENOUS,16344.0,16344.0,,,0
HCPCS,37241,Vasc embolize/occlude venous,,,3408.0,18617.0,9
HCPCS,37242,HC VASC EMBOLIZE/OCCLUDE ARTERY,16344.0,16344.0,,,0
HCPCS,37242,Vasc embolize/occlude artery,,,3408.0,22738.78,9
HCPCS,37243,HC VASC EMBOLIZE/OCCLUDE ORGAN,16344.0,16344.0,,,0
HCPCS,37243,Vasc embolize/occlude organ,,,3408.0,18617.0,9
HCPCS,37244,HC VASC EMBOLIZE/OCCLUDE BLEED,16344.0,16344.0,,,0
HCPCS,37244,Vasc embolize/occlude bleed,,,3408.0,18617.0,9
HCPCS,37246,HC TRLUML BALLOON ANGIOPLASTY; INITIAL ARTERY,17176.0,17176.0,,,0
HCPCS,37246,Trluml balo angiop 1st art,,,4147.0,11081.0,7
HCPCS,37247,HC TRLUML BALLOON ANGIOPLASTY; ADDL ART,17176.0,17176.0,,,0
HCPCS,37247,Trluml balo angiop addl art,,,428.0,1866.0,4
HCPCS,37248,HC TRLUML BALLOON ANGIOPLASTY;  INITIAL VEIN,17176.0,17176.0,,,0
HCPCS,37248,Trluml balo angiop 1st vein,,,4147.0,11081.0,7
HCPCS,37249,HC TRLUML BALLOON ANGIOPLASTY; ADDL VEIN,17176.0,17176.0,,,0
HCPCS,37249,Trluml balo angiop addl vein,,,428.0,1866.0,4
HCPCS,37252,"HC INTRAVASC US NONCORONARY, INITIAL NONCORONARY VESSEL",1717.0,1717.0,,,0
HCPCS,37252,Intrvasc us noncoronary 1st,,,428.0,1866.0,4
HCPCS,37253,"HC INTRAVASCULAR US, NONCORONARY, INCL RS&I, EA ADDL VESSEL",1715.0,1715.0,,,0
HCPCS,37253,Intrvasc us noncoronary addl,,,428.0,1866.0,4
HCPCS,37254,Revsc evasc ivt angio sf 1st,,,4224.0,18617.0,7
HCPCS,37255,Revsc evasc ivt angio sf ea,,,1544.0,1866.0,2
HCPCS,37256,Revsc evasc ivt angio cplx 1,,,4224.0,18617.0,7
HCPCS,37257,Revsc evsc ivt angio cplx ea,,,1544.0,1866.0,2
HCPCS,37258,Revsc evasc ivt stent sf 1st,,,4224.0,18617.0,7
HCPCS,37259,Revsc evasc ivt stent sf ea,,,1544.0,1866.0,2
HCPCS,37260,Revsc evasc ivt st cplx 1st,,,4224.0,18617.0,7
HCPCS,37261,Revsc evasc ivt st cplx ea,,,1544.0,1866.0,2
HCPCS,37262,Iv lithotrp ivt w/in sm art,,,1544.0,1866.0,2
HCPCS,37263,Revsc evasc fpvt angio sf 1,,,4224.0,18617.0,7
HCPCS,37264,Revsc evasc fpvt angio sf ea,,,1544.0,1866.0,2
HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,4224.0,18617.0,7
HCPCS,37266,Rvsc evsc fpvt angio cplx ea,,,1544.0,1866.0,2
HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,4224.0,18617.0,7
HCPCS,37268,Revsc evasc fpvt stent sf ea,,,1544.0,1866.0,2
HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,4224.0,18617.0,7
HCPCS,37270,Revsc evasc fpvt st cplx ea,,,1544.0,1866.0,2
HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,4224.0,22738.78,7
HCPCS,37272,Revsc evsc fpvt athrc sf ea,,,1544.0,1866.0,2
HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,4224.0,22738.78,7
HCPCS,37274,Rvsc evsc fpvt athrc cplx ea,,,1544.0,1866.0,2
HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,4224.0,22738.78,7
HCPCS,37276,Rvsc evsc fpvt st athr sf ea,,,1544.0,1866.0,2
HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,4224.0,22738.78,7
HCPCS,37278,Rvsc evsc fpvt st ath cpx ea,,,1544.0,1866.0,2
HCPCS,37279,Iv lithotrp fpvt w/in sm art,,,1544.0,1866.0,2
HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,4224.0,18617.0,7
HCPCS,37281,Revsc evsc tpvt angio sf ea,,,1544.0,1866.0,2
HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,4224.0,18617.0,7
HCPCS,37283,Rvsc evsc tpvt angio cplx ea,,,1544.0,1866.0,2
HCPCS,37284,Revsc evasc tpvt st sf 1st,,,4224.0,22738.78,7
HCPCS,37285,Revsc evasc tpvt st sf ea,,,1544.0,1866.0,2
HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,4224.0,22738.78,7
HCPCS,37287,Revsc evasc tpvt st cplx ea,,,1544.0,1866.0,2
HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,4224.0,22738.78,7
HCPCS,37289,Revsc evsc tpvt athrc sf ea,,,1544.0,1866.0,2
HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,4224.0,22738.78,7
HCPCS,37291,Revsc evsc tpvt athr cplx ea,,,1544.0,1866.0,2
HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,4224.0,22738.78,7
HCPCS,37293,Rvsc evsc tpvt st athr sf ea,,,1544.0,1866.0,2
HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,4224.0,22738.78,7
HCPCS,37295,Rvsc evsc tpvt st ath cpx ea,,,1544.0,1866.0,2
HCPCS,37296,Revsc evasc imvt angio sf 1,,,4224.0,18617.0,7
HCPCS,37297,Revsc evasc imvt angio sf ea,,,1544.0,1866.0,2
HCPCS,37298,Revsc evsc imvt angio cplx 1,,,4224.0,18617.0,7
HCPCS,37299,Revsc evsc imvt angio cpx ea,,,1544.0,1866.0,2
HCPCS,37500,Endoscopy ligate perf veins,,,3408.0,11081.0,6
HCPCS,37501,Vascular endoscopy procedure,,,741.06,18617.0,9
HCPCS,37565,Ligation of neck vein,,,1406.0,18617.0,9
HCPCS,37600,Ligation of neck artery,,,1406.0,18617.0,9
HCPCS,37605,Ligation of neck artery,,,1406.0,18617.0,9
HCPCS,37606,Ligation of neck artery,,,1406.0,18617.0,9
HCPCS,37607,Ligation of a-v fistula,,,3408.0,6404.0,9
HCPCS,37609,Temporal artery procedure,,,1951.11,4466.0,9
HCPCS,37615,Ligation of neck artery,,,1406.0,18617.0,9
HCPCS,37616,Ligation of chest artery,,,1406.0,18617.0,4
HCPCS,37617,Ligation of abdomen artery,,,1406.0,18617.0,9
HCPCS,37618,Ligation of extremity artery,,,1406.0,18617.0,4
HCPCS,37619,Ligation of inf vena cava,,,3408.0,18617.0,9
HCPCS,37650,Revision of major vein,,,2816.0,6404.0,9
HCPCS,37660,Revision of major vein,,,1406.0,18617.0,4
HCPCS,37700,Revise leg vein,,,2816.0,6404.0,9
HCPCS,37718,Ligate/strip short leg vein,,,3408.0,6404.0,9
HCPCS,37722,Ligate/strip long leg vein,,,3408.0,8006.0,9
HCPCS,37735,Removal of leg veins/lesion,,,3408.0,6404.0,9
HCPCS,37760,Ligate leg veins radical,,,3408.0,5123.0,9
HCPCS,37761,Ligate leg veins open,,,3408.0,5044.0,9
HCPCS,37765,"HC STAB PHLEBECTOMY, VEINS, 1 EXT, 10-20",14219.0,14219.0,,,0
HCPCS,37765,Stab phleb veins xtr 10-20,,,3408.0,5098.0,9
HCPCS,37766,"HC STAB PHLEBECTOMY, VEINS, 1 EXT, MORE THAN 20",14219.0,14219.0,,,0
HCPCS,37766,Phleb veins - extrem 20+,,,3408.0,5098.0,9
HCPCS,37780,Revision of leg vein,,,3408.0,5098.0,9
HCPCS,37785,"HC LIGATE/DIVIDE/EXCISE VARICOSE VEIN CLUSTER(S), 1 LEG",16498.0,16498.0,,,0
HCPCS,37785,Ligate/divide/excise vein,,,3408.0,5123.0,9
HCPCS,37788,Revascularization penis,,,428.0,18617.0,6
HCPCS,37790,Penile venous occlusion,,,3408.0,8006.0,9
HCPCS,37799,HC UNLISTED VASCULAR SURGERY PROCEDURE,14219.0,14219.0,,,0
HCPCS,37799,Vascular surgery procedure,,,741.06,18617.0,9
HCPCS,38100,Removal of spleen total,,,1406.0,18617.0,4
HCPCS,38101,Removal of spleen partial,,,1406.0,18617.0,4
HCPCS,38102,Removal of spleen total,,,1406.0,18617.0,4
HCPCS,38115,Repair of ruptured spleen,,,1406.0,18617.0,4
HCPCS,38120,Laparoscopy splenectomy,,,3291.0,17041.0,9
HCPCS,38129,Laparoscope proc spleen,,,3408.0,18617.0,9
HCPCS,38200,Injection for spleen x-ray,,,428.0,1866.0,4
HCPCS,38204,Bl donor search management,,,428.0,490.0,2
HCPCS,38205,Harvest allogeneic stem cell,,,428.0,18617.0,6
HCPCS,38206,HC HARVEST STEM CELLS AUTOLOGOUS,6046.0,6046.0,,,0
HCPCS,38206,Harvest auto stem cells,,,1406.0,18617.0,9
HCPCS,38207,Cryopreserve stem cells,,,521.18,3314.0,9
HCPCS,38207,HC CRYOPRESERVE AND STORAGE STEM CELLS,5085.0,5085.0,,,0
HCPCS,38208,HC THAW PRESERVED STEM CELLS,2468.0,2468.0,,,0
HCPCS,38208,Thaw preserved stem cells,,,521.18,3314.0,9
HCPCS,38209,HC WASH HARVEST STEM CELLS,2195.0,2195.0,,,0
HCPCS,38209,Wash harvest stem cells,,,521.18,3314.0,9
HCPCS,38210,T-cell depletion of harvest,,,521.18,3314.0,9
HCPCS,38211,Tumor cell deplete of harvst,,,521.18,4097.0,9
HCPCS,38212,Rbc depletion of harvest,,,521.18,3314.0,9
HCPCS,38213,Platelet deplete of harvest,,,521.18,4097.0,9
HCPCS,38214,Volume deplete of harvest,,,521.18,3314.0,9
HCPCS,38215,HC HARVEST STEM CELL CONCENTRATE,4809.0,4809.0,,,0
HCPCS,38215,Harvest stem cell concentrte,,,521.18,3314.0,9
HCPCS,38220,Bone marrow aspiration,,,1544.0,4097.0,9
HCPCS,38220,HC DIAGNOSTIC BONE MARROW; ASPIRATION(S),2059.0,2059.0,,,0
HCPCS,38221,Bone marrow biopsy,,,1544.0,4097.0,9
HCPCS,38221,HC DIAGNOSTIC BONE MARROW: BIOPSY(IES),2041.0,2041.0,,,0
HCPCS,38222,Dx bone marrow bx & aspir,,,1544.0,4097.0,9
HCPCS,38222,HC DIAGNOSTIC BONE MARROW; BIOPSY(IES) AND ASPIRATION(S),3531.0,3531.0,,,0
HCPCS,38228,Car-t admn autologous,,,390.2,409.72,3
HCPCS,38230,Bone marrow harvest allogen,,,1839.86,18617.0,9
HCPCS,38232,Bone marrow harvest autolog,,,3408.0,13320.0,9
HCPCS,38240,Transplt allo hct/donor,,,3291.0,78023.3,9
HCPCS,38241,"HC BONE MARROW STEM TRANSPLANT, AUTOLOGOUS",6220.0,6220.0,,,0
HCPCS,38241,Transplt autol hct/donor,,,1839.86,18617.0,9
HCPCS,38242,Transplt allo lymphocytes,,,1406.0,18617.0,9
HCPCS,38243,Transplj hematopoietic boost,,,1544.0,18617.0,9
HCPCS,38300,Drainage lymph node lesion,,,1544.0,4097.0,9
HCPCS,38305,Drainage lymph node lesion,,,2816.0,4466.0,9
HCPCS,38308,Incision of lymph channels,,,2816.0,6404.0,9
HCPCS,38380,Thoracic duct procedure,,,1406.0,18617.0,4
HCPCS,38381,Thoracic duct procedure,,,1406.0,18617.0,4
HCPCS,38382,Thoracic duct procedure,,,1406.0,18617.0,4
HCPCS,38500,Biopsy/removal lymph nodes,,,2816.0,8006.0,9
HCPCS,38500,"HC BIOPSY/EXCISION LYMPH NODE(S); OPEN, SUPERFICIAL",19917.0,19917.0,,,0
HCPCS,38505,HC BIOPSY LYMPH NODES; SUPERFICIAL,2048.0,2048.0,,,0
HCPCS,38505,Needle biopsy lymph nodes,,,1544.0,3314.0,9
HCPCS,38510,Biopsy/removal lymph nodes,,,2816.0,8006.0,9
HCPCS,38520,Biopsy/removal lymph nodes,,,2816.0,8006.0,9
HCPCS,38525,Biopsy/removal lymph nodes,,,2816.0,8006.0,9
HCPCS,38530,Biopsy/removal lymph nodes,,,2816.0,8006.0,9
HCPCS,38531,Open bx/exc inguinofem nodes,,,2816.0,18617.0,9
HCPCS,38542,Explore deep node(s) neck,,,2816.0,11081.0,9
HCPCS,38550,Removal neck/armpit lesion,,,3408.0,6404.0,9
HCPCS,38555,Removal neck/armpit lesion,,,4224.0,8236.54,9
HCPCS,38562,Removal pelvic lymph nodes,,,428.0,18617.0,9
HCPCS,38564,Removal abdomen lymph nodes,,,1406.0,18617.0,4
HCPCS,38570,Laparoscopy lymph node biop,,,3560.0,13320.0,9
HCPCS,38571,Laparoscopy lymphadenectomy,,,4062.0,17041.0,9
HCPCS,38572,Laparoscopy lymphadenectomy,,,4062.0,17041.0,9
HCPCS,38573,Laps pelvic lymphadec,,,3560.0,18617.0,9
HCPCS,38589,Laparoscope proc lymphatic,,,3408.0,18617.0,9
HCPCS,38700,Removal of lymph nodes neck,,,2816.0,11081.0,9
HCPCS,38720,Removal of lymph nodes neck,,,4224.0,18617.0,9
HCPCS,38724,Removal of lymph nodes neck,,,4224.0,18617.0,6
HCPCS,38740,Remove armpit lymph nodes,,,2816.0,9420.0,9
HCPCS,38745,Remove armpit lymph nodes,,,4224.0,9420.0,9
HCPCS,38746,Remove thoracic lymph nodes,,,1406.0,18617.0,4
HCPCS,38747,Remove abdominal lymph nodes,,,1406.0,18617.0,4
HCPCS,38760,Remove groin lymph nodes,,,2816.0,9420.0,9
HCPCS,38765,Remove groin lymph nodes,,,1406.0,18617.0,4
HCPCS,38770,Remove pelvis lymph nodes,,,1406.0,18617.0,4
HCPCS,38780,Remove abdomen lymph nodes,,,1406.0,18617.0,4
HCPCS,38790,Inject for lymphatic x-ray,,,428.0,1866.0,4
HCPCS,38792,HC RADIOACTIVE TRACER ID SENTINEL NODE,1327.0,1327.0,,,0
HCPCS,38792,Ra tracer id of sentinl node,,,472.27,3314.0,9
HCPCS,38794,Access thoracic lymph duct,,,428.0,490.0,2
HCPCS,38900,Io map of sent lymph node,,,428.0,1866.0,4
HCPCS,38999,Blood/lymph system procedure,,,521.18,18617.0,9
HCPCS,38999,"HC UNLISTED PROCEDURE, HEMIC OR LYMPHATIC SYSTEM",1333.0,1333.0,,,0
HCPCS,39000,Exploration of chest,,,428.0,18617.0,6
HCPCS,39010,Exploration of chest,,,1406.0,18617.0,4
HCPCS,39200,Resect mediastinal cyst,,,1406.0,18617.0,4
HCPCS,39220,Resect mediastinal tumor,,,1406.0,18617.0,4
HCPCS,39401,Mediastinoscpy w/medstnl bx,,,428.0,18617.0,9
HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,428.0,18617.0,9
HCPCS,39499,Chest procedure,,,1406.0,18617.0,4
HCPCS,39501,Repair diaphragm laceration,,,1406.0,18617.0,4
HCPCS,39503,Repair of diaphragm hernia,,,1406.0,18617.0,4
HCPCS,39540,Repair of diaphragm hernia,,,1406.0,18617.0,4
HCPCS,39541,Repair of diaphragm hernia,,,1406.0,18617.0,4
HCPCS,39545,Revision of diaphragm,,,1406.0,18617.0,4
HCPCS,39560,Resect diaphragm simple,,,1406.0,18617.0,4
HCPCS,39561,Resect diaphragm complex,,,1406.0,18617.0,4
HCPCS,39599,Diaphragm surgery procedure,,,1406.0,18617.0,4
HCPCS,40490,Biopsy of lip,,,279.8,18617.0,9
HCPCS,40490,HC BIOPSY OF LIP,830.0,830.0,,,0
HCPCS,40500,Partial excision of lip,,,2816.0,5123.0,9
HCPCS,40510,Partial excision of lip,,,2816.0,5123.0,9
HCPCS,40520,Partial excision of lip,,,2816.0,5123.0,9
HCPCS,40525,"HC EXCISION; LIP FULL THICKNESS, RECONSTRUCT W/LOCAL FLAP",18344.0,18344.0,,,0
HCPCS,40525,Reconstruct lip with flap,,,2816.0,6404.0,9
HCPCS,40527,Reconstruct lip with flap,,,2816.0,8006.0,9
HCPCS,40530,Partial removal of lip,,,2816.0,5123.0,9
HCPCS,40650,"HC REPAIR LIP, FULL THICK, VERMILION",2643.0,2643.0,,,0
HCPCS,40650,Repair lip,,,637.13,5098.0,9
HCPCS,40652,"HC LIP REPAIR, FT; UP TO HALF VERTICAL HGT",634.0,634.0,,,0
HCPCS,40652,Repair lip,,,637.13,5098.0,9
HCPCS,40654,"HC LIP REPAIR, FULL THICKNESS;  > ONE-HALF VERTICAL HEIGHT, OR COMPLEX",6062.0,6062.0,,,0
HCPCS,40654,Repair lip,,,1832.96,5098.0,9
HCPCS,40700,Repair cleft lip/nasal,,,4147.0,9918.0,9
HCPCS,40701,Repair cleft lip/nasal,,,4147.0,9918.0,9
HCPCS,40702,Repair cleft lip/nasal,,,3408.0,18617.0,9
HCPCS,40720,Repair cleft lip/nasal,,,3563.0,9918.0,9
HCPCS,40761,Repair cleft lip/nasal,,,3408.0,8006.0,9
HCPCS,40799,"HC UNLISTED PROCEDURE, LIPS",394.0,394.0,,,0
HCPCS,40799,Lip surgery procedure,,,279.8,18617.0,9
HCPCS,40800,Drainage of mouth lesion,,,836.55,18617.0,9
HCPCS,40801,Drainage of mouth lesion,,,637.13,4466.0,9
HCPCS,40804,Removal foreign body mouth,,,1071.46,18617.0,9
HCPCS,40805,Removal foreign body mouth,,,637.13,4466.0,9
HCPCS,40806,HC INCISION LABIAL FRENUM (FRENOTOMY),744.0,744.0,,,0
HCPCS,40806,Incision of lip fold,,,428.0,18617.0,9
HCPCS,40808,Biopsy of mouth lesion,,,637.13,18617.0,9
HCPCS,40808,"HC BIOPSY, VESTIBULE MOUTH",1002.0,1002.0,,,0
HCPCS,40810,Excision of mouth lesion,,,1544.0,18617.0,9
HCPCS,40812,Excise/repair mouth lesion,,,1544.0,18617.0,9
HCPCS,40812,"HC EXCISION LESION MUCOSA & SUBMUCOSA, VESTIBULE; W/SIMPLE REPAIR",5786.0,5786.0,,,0
HCPCS,40814,Excise/repair mouth lesion,,,2816.0,8006.0,9
HCPCS,40816,Excision of mouth lesion,,,2816.0,8006.0,9
HCPCS,40818,Excise oral mucosa for graft,,,637.13,6404.0,9
HCPCS,40819,Excise lip or cheek fold,,,1544.0,5123.0,9
HCPCS,40819,"HC EXCISION OF FRENUM, LABIAL OR BUCCAL",6252.0,6252.0,,,0
HCPCS,40820,Treatment of mouth lesion,,,1544.0,6404.0,9
HCPCS,40830,"HC REPAIR MOUTH LACERATION, 2.5 CM OR LESS",289.0,289.0,,,0
HCPCS,40830,Repair mouth laceration,,,279.8,18617.0,9
HCPCS,40831,HC REPAIR MOUTH LACERATION 2.5CM OR COMPLEX,2589.0,2589.0,,,0
HCPCS,40831,Repair mouth laceration,,,637.13,3314.0,9
HCPCS,40840,Reconstruction of mouth,,,2816.0,9420.0,9
HCPCS,40842,Reconstruction of mouth,,,3408.0,8006.0,9
HCPCS,40843,Reconstruction of mouth,,,3408.0,13036.0,9
HCPCS,40844,Reconstruction of mouth,,,3291.0,8006.0,9
HCPCS,40845,Reconstruction of mouth,,,3291.0,8006.0,9
HCPCS,40899,Mouth surgery procedure,,,279.8,18617.0,9
HCPCS,41000,Drainage of mouth lesion,,,637.13,3314.0,9
HCPCS,41005,Drainage of mouth lesion,,,279.8,3314.0,9
HCPCS,41006,Drainage of mouth lesion,,,855.0,3314.0,9
HCPCS,41007,Drainage of mouth lesion,,,1544.0,5123.0,9
HCPCS,41008,Drainage of mouth lesion,,,1544.0,6404.0,9
HCPCS,41009,Drainage of mouth lesion,,,637.13,4097.0,9
HCPCS,41010,HC INCISION OF LINGUAL FRENUM (FRENOTOMY),3376.0,3376.0,,,0
HCPCS,41010,Incision of tongue fold,,,1544.0,5123.0,9
HCPCS,41015,Drainage of mouth lesion,,,637.13,17041.0,9
HCPCS,41016,Drainage of mouth lesion,,,1544.0,8006.0,9
HCPCS,41017,Drainage of mouth lesion,,,1544.0,6404.0,9
HCPCS,41018,Drainage of mouth lesion,,,1544.0,3314.0,9
HCPCS,41019,Place needles h&n for rt,,,1544.0,9918.0,9
HCPCS,41100,Biopsy of tongue,,,637.13,3314.0,9
HCPCS,41100,HC BIOPSY OF TONGUE; ANTERIOR 2/3,1233.0,1233.0,,,0
HCPCS,41105,Biopsy of tongue,,,2816.0,4466.0,9
HCPCS,41105,HC BIOPSY OF TONGUE; POSTERIOR 1/3,4493.0,4493.0,,,0
HCPCS,41108,Biopsy of floor of mouth,,,1544.0,3314.0,9
HCPCS,41108,HC BIOPSY OF FLOOR OF MOUTH,4595.0,4595.0,,,0
HCPCS,41110,Excision of tongue lesion,,,1544.0,5123.0,9
HCPCS,41110,HC EXCISION LESION TONGUE W/O CLOSURE,4980.0,4980.0,,,0
HCPCS,41112,Excision of tongue lesion,,,2816.0,5123.0,9
HCPCS,41113,Excision of tongue lesion,,,2816.0,5123.0,9
HCPCS,41114,Excision of tongue lesion,,,2816.0,6404.0,9
HCPCS,41115,Excision of tongue fold,,,1544.0,4097.0,9
HCPCS,41115,HC EXCISION OF LINGUAL FRENUM (FRENECTOMY),4517.0,4517.0,,,0
HCPCS,41116,Excision of mouth lesion,,,1544.0,6404.0,9
HCPCS,41120,Partial removal of tongue,,,3291.0,8006.0,9
HCPCS,41130,Partial removal of tongue,,,1406.0,18617.0,4
HCPCS,41135,Tongue and neck surgery,,,1406.0,18617.0,4
HCPCS,41140,Removal of tongue,,,1406.0,18617.0,4
HCPCS,41145,Tongue removal neck surgery,,,1406.0,18617.0,4
HCPCS,41150,Tongue mouth jaw surgery,,,1406.0,18617.0,4
HCPCS,41153,Tongue mouth neck surgery,,,1406.0,18617.0,4
HCPCS,41155,Tongue jaw & neck surgery,,,1406.0,18617.0,4
HCPCS,41250,"HC REPAIR TONGUE LACERATION, ANT 1/3, 2.5 CM OR LESS",523.0,523.0,,,0
HCPCS,41250,Repair tongue laceration,,,527.74,4466.0,9
HCPCS,41251,"HC REPAIR TONGUE LACERATION, POST 1/3, 2.5 CM OR LESS",289.0,289.0,,,0
HCPCS,41251,Repair tongue laceration,,,279.8,4466.0,9
HCPCS,41252,"HC REPAIR TONGUE LACERATION, OVER 2.6 CM OR COMPLEX",218.0,218.0,,,0
HCPCS,41252,Repair tongue laceration,,,279.8,4466.0,9
HCPCS,41510,Tongue to lip surgery,,,1544.0,4112.54,9
HCPCS,41512,Tongue suspension,,,2816.0,15339.0,9
HCPCS,41520,Reconstruction tongue fold,,,2816.0,5123.0,9
HCPCS,41530,Tongue base vol reduction,,,1544.0,9918.0,9
HCPCS,41599,"HC UNLISTED PROC, TONGUE OR FLOOR OF MOUTH",7695.0,7695.0,,,0
HCPCS,41599,Tongue and mouth surgery,,,279.8,18617.0,9
HCPCS,41800,Drainage of gum lesion,,,157.18,3314.0,9
HCPCS,41800,"HC DRAINAGE OF ABSCESS, CYST, GUM STRUCTURES",161.0,161.0,,,0
HCPCS,41805,Removal foreign body gum,,,1544.0,8006.0,9
HCPCS,41806,Removal foreign body jawbone,,,1544.0,6404.0,9
HCPCS,41820,Excision gum each quadrant,,,1544.0,4112.54,9
HCPCS,41821,Excision of gum flap,,,428.0,3314.0,9
HCPCS,41822,Excision of gum lesion,,,1544.0,18617.0,9
HCPCS,41823,Excision of gum lesion,,,2816.0,18617.0,9
HCPCS,41825,Excision of gum lesion,,,1544.0,18617.0,9
HCPCS,41826,Excision of gum lesion,,,1544.0,18617.0,9
HCPCS,41827,Excision of gum lesion,,,2816.0,8006.0,9
HCPCS,41828,Excision of gum lesion,,,1544.0,18617.0,9
HCPCS,41830,Removal of gum tissue,,,1544.0,18617.0,9
HCPCS,41850,Treatment of gum lesion,,,1544.0,18617.0,9
HCPCS,41870,Gum graft,,,1832.96,18617.0,9
HCPCS,41872,Repair gum,,,1406.0,18617.0,9
HCPCS,41874,Repair tooth socket,,,1544.0,18617.0,9
HCPCS,41899,Dental surgery procedure,,,279.8,18617.0,9
HCPCS,41899,"HC UNLISTED PROC, DENTOALVEOLAR STRUCTURES",890.0,890.0,,,0
HCPCS,42000,Drainage mouth roof lesion,,,279.8,4466.0,9
HCPCS,42000,"HC DRAINAGE OF ABSCESS OF PALATE, UVULA",1919.0,1919.0,,,0
HCPCS,42100,Biopsy roof of mouth,,,1544.0,3314.0,9
HCPCS,42100,"HC BIOPSY OF PALATE, UVULA",3332.0,3332.0,,,0
HCPCS,42104,Excision lesion mouth roof,,,2816.0,5123.0,9
HCPCS,42106,Excision lesion mouth roof,,,2816.0,5123.0,9
HCPCS,42107,Excision lesion mouth roof,,,2816.0,8006.0,9
HCPCS,42120,Remove palate/lesion,,,4224.0,8006.0,9
HCPCS,42140,Excision of uvula,,,2816.0,5123.0,9
HCPCS,42145,Repair palate pharynx/uvula,,,3291.0,8006.0,9
HCPCS,42160,Treatment mouth roof lesion,,,1544.0,5123.0,9
HCPCS,42180,Repair palate,,,637.13,4097.0,9
HCPCS,42182,Repair palate,,,2816.0,8006.0,9
HCPCS,42200,Reconstruct cleft palate,,,3291.0,9420.0,9
HCPCS,42205,Reconstruct cleft palate,,,3291.0,7422.0,9
HCPCS,42210,Reconstruct cleft palate,,,3291.0,15339.0,9
HCPCS,42215,Reconstruct cleft palate,,,4147.0,13036.0,9
HCPCS,42220,Reconstruct cleft palate,,,3291.0,9420.0,9
HCPCS,42225,Reconstruct cleft palate,,,3291.0,13036.0,9
HCPCS,42226,Lengthening of palate,,,3291.0,9420.0,9
HCPCS,42227,Lengthening of palate,,,428.0,18617.0,9
HCPCS,42235,Repair palate,,,3291.0,13036.0,9
HCPCS,42260,Repair nose to lip fistula,,,4224.0,8006.0,9
HCPCS,42280,Preparation palate mold,,,428.0,18617.0,9
HCPCS,42281,Insertion palate prosthesis,,,3408.0,11081.0,9
HCPCS,42299,Palate/uvula surgery,,,279.8,18617.0,9
HCPCS,42300,Drainage of salivary gland,,,1544.0,4097.0,9
HCPCS,42305,Drainage of salivary gland,,,2816.0,4466.0,9
HCPCS,42310,Drainage of salivary gland,,,637.13,3314.0,9
HCPCS,42320,Drainage of salivary gland,,,637.13,3314.0,9
HCPCS,42330,"HC SIALOLITHOTOMY; SUBMANDIBULAR, SUBLINGUAL/PAROTID, UNCOMP, INTRAORAL",6276.0,6276.0,,,0
HCPCS,42330,Removal of salivary stone,,,1544.0,18617.0,9
HCPCS,42335,Removal of salivary stone,,,3408.0,6404.0,9
HCPCS,42340,Removal of salivary stone,,,2816.0,6404.0,9
HCPCS,42400,Biopsy of salivary gland,,,836.55,3314.0,9
HCPCS,42400,HC BIOPSY SALIVARY GLAND; NEEDLE,1255.0,1255.0,,,0
HCPCS,42405,Biopsy of salivary gland,,,1832.96,5123.0,9
HCPCS,42405,HC BIOPSY SALIVARY GLAND; INCISIONAL,6972.0,6972.0,,,0
HCPCS,42408,Excision of salivary cyst,,,3408.0,6404.0,9
HCPCS,42408,HC EXCISION SUBLINGUAL SALIVARY CYST (RANULA),13378.0,13378.0,,,0
HCPCS,42409,Drainage of salivary cyst,,,3408.0,6404.0,9
HCPCS,42410,Excise parotid gland/lesion,,,3408.0,11081.0,9
HCPCS,42415,Excise parotid gland/lesion,,,4147.0,11081.0,9
HCPCS,42420,Excise parotid gland/lesion,,,4147.0,13036.0,9
HCPCS,42425,Excise parotid gland/lesion,,,4147.0,11081.0,9
HCPCS,42426,Excise parotid gland/lesion,,,1406.0,18617.0,4
HCPCS,42440,Excise submaxillary gland,,,3408.0,8006.0,9
HCPCS,42450,Excise sublingual gland,,,2816.0,9420.0,9
HCPCS,42500,Repair salivary duct,,,3408.0,8006.0,9
HCPCS,42505,Repair salivary duct,,,4224.0,9420.0,9
HCPCS,42507,Parotid duct diversion,,,3408.0,9420.0,9
HCPCS,42509,Parotid duct diversion,,,428.0,7343.03,9
HCPCS,42510,Parotid duct diversion,,,3916.7,8006.0,9
HCPCS,42550,Injection for salivary x-ray,,,428.0,1866.0,4
HCPCS,42600,Closure of salivary fistula,,,1544.0,6404.0,9
HCPCS,42650,Dilation of salivary duct,,,1544.0,4097.0,9
HCPCS,42650,HC DILATION SALIVARY DUCT,2222.0,2222.0,,,0
HCPCS,42660,Dilation of salivary duct,,,637.13,18617.0,9
HCPCS,42665,Ligation of salivary duct,,,3916.7,9918.0,9
HCPCS,42699,"HC UNLISTED PROCEDURE, SALIVARY GLANDS OR DUCTS",557.0,557.0,,,0
HCPCS,42699,Salivary surgery procedure,,,279.8,18617.0,9
HCPCS,42700,Drainage of tonsil abscess,,,279.8,3314.0,9
HCPCS,42700,HC INCISION AND DRAINAGE ABSCESS; PERITONSILLAR,689.5,689.5,,,0
HCPCS,42720,Drainage of throat abscess,,,1544.0,8006.0,9
HCPCS,42725,Drainage of throat abscess,,,2816.0,15339.0,9
HCPCS,42800,Biopsy of throat,,,1544.0,18617.0,9
HCPCS,42800,"HC BIOPSY, OROPHARYNX",3522.0,3522.0,,,0
HCPCS,42804,Biopsy of upper nose/throat,,,1544.0,5123.0,9
HCPCS,42804,"HC BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE",4509.0,4509.0,,,0
HCPCS,42806,Biopsy of upper nose/throat,,,2816.0,8006.0,9
HCPCS,42808,Excise pharynx lesion,,,2816.0,6404.0,9
HCPCS,42809,HC REMOVAL OF FOREIGN BODY FROM PHARYNX,523.0,523.0,,,0
HCPCS,42809,Remove pharynx foreign body,,,527.74,4097.0,9
HCPCS,42810,Excision of neck cyst,,,3408.0,6404.0,9
HCPCS,42815,Excision of neck cyst,,,3291.0,8006.0,9
HCPCS,42820,Remove tonsils and adenoids,,,3408.0,11081.0,9
HCPCS,42821,Remove tonsils and adenoids,,,3291.0,7422.0,9
HCPCS,42825,Removal of tonsils,,,4224.0,7343.03,9
HCPCS,42826,Removal of tonsils,,,3916.7,6312.0,9
HCPCS,42830,Removal of adenoids,,,3916.7,6312.0,9
HCPCS,42831,Removal of adenoids,,,3916.7,6404.0,9
HCPCS,42835,Removal of adenoids,,,3563.0,6312.0,9
HCPCS,42836,Removal of adenoids,,,3916.7,6312.0,9
HCPCS,42842,Extensive surgery of throat,,,1406.0,18617.0,9
HCPCS,42844,Extensive surgery of throat,,,1406.0,18617.0,9
HCPCS,42845,Extensive surgery of throat,,,1406.0,18617.0,4
HCPCS,42860,Excision of tonsil tags,,,3408.0,5123.0,9
HCPCS,42870,Excision of lingual tonsil,,,3408.0,8006.0,9
HCPCS,42880,Description Not Available,,,1406.0,18617.0,4
HCPCS,42890,Partial removal of pharynx,,,4147.0,9918.0,9
HCPCS,42892,Revision of pharyngeal walls,,,4147.0,9918.0,9
HCPCS,42894,Revision of pharyngeal walls,,,1406.0,18617.0,4
HCPCS,42900,Repair throat wound,,,1544.0,4097.0,9
HCPCS,42950,Reconstruction of throat,,,2816.0,9420.0,9
HCPCS,42953,Repair throat esophagus,,,1406.0,18617.0,4
HCPCS,42955,Surgical opening of throat,,,1832.96,4466.0,9
HCPCS,42960,Control throat bleeding,,,637.13,4097.0,9
HCPCS,42960,HC CONTROL OROPHARYNGEAL HEMORRH: SIMPLE,633.0,633.0,,,0
HCPCS,42961,Control throat bleeding,,,1406.0,18617.0,4
HCPCS,42962,Control throat bleeding,,,2816.0,5123.0,9
HCPCS,42970,Control nose/throat bleeding,,,279.8,18617.0,9
HCPCS,42971,Control nose/throat bleeding,,,1406.0,18617.0,4
HCPCS,42972,Control nose/throat bleeding,,,3408.0,6404.0,9
HCPCS,42975,Dise eval slp do brth flx dx,,,855.0,18617.0,9
HCPCS,42999,Throat surgery procedure,,,279.8,18617.0,9
HCPCS,43020,Incision of esophagus,,,428.0,3314.0,9
HCPCS,43030,Throat muscle surgery,,,1406.0,18617.0,9
HCPCS,43045,Incision of esophagus,,,1406.0,18617.0,4
HCPCS,43100,Excision of esophagus lesion,,,1406.0,18617.0,4
HCPCS,43101,Excision of esophagus lesion,,,1406.0,18617.0,4
HCPCS,43107,Removal of esophagus,,,1406.0,18617.0,4
HCPCS,43108,Removal of esophagus,,,1406.0,18617.0,4
HCPCS,43112,Removal of esophagus,,,1406.0,18617.0,4
HCPCS,43113,Removal of esophagus,,,1406.0,18617.0,4
HCPCS,43116,Partial removal of esophagus,,,1406.0,18617.0,4
HCPCS,43117,Partial removal of esophagus,,,1406.0,18617.0,4
HCPCS,43118,Partial removal of esophagus,,,1406.0,18617.0,4
HCPCS,43121,Partial removal of esophagus,,,1406.0,18617.0,4
HCPCS,43122,Partial removal of esophagus,,,1406.0,18617.0,4
HCPCS,43123,Partial removal of esophagus,,,1406.0,18617.0,4
HCPCS,43124,Removal of esophagus,,,1406.0,18617.0,4
HCPCS,43130,Removal of esophagus pouch,,,3291.0,18617.0,9
HCPCS,43135,Removal of esophagus pouch,,,1406.0,18617.0,4
HCPCS,43180,Esophagoscopy rigid trnso,,,2816.0,13320.0,9
HCPCS,43191,Esophagoscopy rigid trnso dx,,,1544.0,5123.0,9
HCPCS,43192,Esophagoscp rig trnso inject,,,1544.0,7422.0,9
HCPCS,43193,Esophagoscp rig trnso biopsy,,,1544.0,7422.0,9
HCPCS,43194,Esophagoscp rig trnso rem fb,,,1544.0,7422.0,9
HCPCS,43195,Esophagoscopy rigid balloon,,,2816.0,7422.0,9
HCPCS,43196,Esophagoscp guide wire dilat,,,2266.89,7422.0,9
HCPCS,43197,Esophagoscopy flex dx brush,,,855.0,5098.0,9
HCPCS,43198,Esophagosc flex trnsn biopsy,,,1071.46,5098.0,9
HCPCS,43200,Esophagoscopy flexible brush,,,1071.46,3314.0,9
HCPCS,43201,Esoph scope w/submucous inj,,,1544.0,4097.0,9
HCPCS,43202,Esophagoscopy flex biopsy,,,1544.0,3314.0,9
HCPCS,43204,Esoph scope w/sclerosis inj,,,1544.0,3314.0,9
HCPCS,43205,Esophagus endoscopy/ligation,,,1544.0,3314.0,9
HCPCS,43206,Esoph optical endomicroscopy,,,1544.0,7422.0,9
HCPCS,43210,Egd esophagogastrc fndoplsty,,,428.0,13320.0,9
HCPCS,43211,Esophagoscop mucosal resect,,,2266.89,5098.0,9
HCPCS,43212,Esophagoscop stent placement,,,2816.0,13320.0,9
HCPCS,43213,Esophagoscopy retro balloon,,,2138.0,7422.0,9
HCPCS,43214,Esophagosc dilate balloon 30,,,2266.89,7422.0,9
HCPCS,43215,Esophagoscopy flex remove fb,,,1544.0,4097.0,9
HCPCS,43216,Esophagoscopy lesion removal,,,1544.0,5123.0,9
HCPCS,43217,Esophagoscopy snare les remv,,,1544.0,4097.0,9
HCPCS,43220,Esophagoscopy balloon <30mm,,,2266.89,4166.0,9
HCPCS,43226,Esoph endoscopy dilation,,,1544.0,4097.0,9
HCPCS,43227,Esophagoscopy control bleed,,,2266.89,4466.0,9
HCPCS,43229,Esophagoscopy lesion ablate,,,2816.0,13320.0,9
HCPCS,43231,Esophagoscop ultrasound exam,,,2138.0,4466.0,9
HCPCS,43232,Esophagoscopy w/us needle bx,,,2266.89,4466.0,9
HCPCS,43233,Egd balloon dil esoph30 mm/>,,,2266.89,7422.0,9
HCPCS,43235,Egd diagnostic brush wash,,,1071.46,3314.0,9
HCPCS,43236,Uppr gi scope w/submuc inj,,,1071.46,4466.0,9
HCPCS,43237,Endoscopic us exam esoph,,,2138.0,4466.0,9
HCPCS,43238,Egd us fine needle bx/aspir,,,2266.89,4466.0,9
HCPCS,43239,Egd biopsy single/multiple,,,1071.46,4466.0,9
HCPCS,43239,HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE,2041.0,2041.0,,,0
HCPCS,43240,Egd w/transmural drain cyst,,,2816.0,7530.41,9
HCPCS,43241,Egd tube/cath insertion,,,2266.89,4466.0,9
HCPCS,43242,Egd us fine needle bx/aspir,,,2266.89,4466.0,9
HCPCS,43243,Egd injection varices,,,2266.89,4466.0,9
HCPCS,43244,Egd varices ligation,,,2138.0,4466.0,9
HCPCS,43245,Egd dilate stricture,,,2266.89,4466.0,9
HCPCS,43246,Egd place gastrostomy tube,,,2266.89,4466.0,9
HCPCS,43246,HC EGD; W/DIRECTED PLACEMENT PERCUTANEOUS GASTROSTOMY TUBE,6836.0,6836.0,,,0
HCPCS,43247,Egd remove foreign body,,,1071.46,4466.0,9
HCPCS,43247,"HC EGD, FLEXIBLE, TRANSORAL; W/ FOREIGN BODY REMOVAL",1582.0,1582.0,,,0
HCPCS,43248,Egd guide wire insertion,,,1071.46,4466.0,9
HCPCS,43248,HC EGD; W/INSERT GUIDE WIRE FOLLOWED BY DILATOR PASSAGE ESOPHAGUS,3418.0,3418.0,,,0
HCPCS,43249,Esoph egd dilation <30 mm,,,2266.89,4466.0,9
HCPCS,43249,HC EGD; W/BALLOON DILATION ESOPHAGUS (<30MM DIAMETER),5243.0,5243.0,,,0
HCPCS,43250,Egd cautery tumor polyp,,,2266.89,4466.0,9
HCPCS,43251,Egd remove lesion snare,,,2266.89,4466.0,9
HCPCS,43252,Egd optical endomicroscopy,,,2266.89,7422.0,9
HCPCS,43253,Egd us transmural injxn/mark,,,2266.89,7422.0,9
HCPCS,43254,Egd endo mucosal resection,,,2266.89,5098.0,9
HCPCS,43255,Egd control bleeding any,,,2266.89,4466.0,9
HCPCS,43257,Egd w/thrml txmnt gerd,,,3408.0,6404.0,9
HCPCS,43259,Egd us exam duodenum/jejunum,,,2138.0,5098.0,9
HCPCS,43260,Ercp w/specimen collection,,,2816.0,5123.0,9
HCPCS,43261,Endo cholangiopancreatograph,,,2816.0,6404.0,9
HCPCS,43262,Endo cholangiopancreatograph,,,2816.0,6404.0,9
HCPCS,43263,Ercp sphincter pressure meas,,,2266.89,5123.0,9
HCPCS,43264,Ercp remove duct calculi,,,2816.0,6404.0,9
HCPCS,43265,Ercp lithotripsy calculi,,,2816.0,9420.0,9
HCPCS,43266,Egd endoscopic stent place,,,3408.0,13320.0,9
HCPCS,43266,HC EGD; W/ENDOSCOPIC STENT PLACEMENT (INCL W/GUIDE WIRE &  DILATION),21168.0,21168.0,,,0
HCPCS,43270,Egd lesion ablation,,,2266.89,7422.0,9
HCPCS,43273,Endoscopic pancreatoscopy,,,2816.0,13320.0,6
HCPCS,43274,Ercp duct stent placement,,,3408.0,13320.0,9
HCPCS,43275,Ercp remove forgn body duct,,,2266.89,13320.0,9
HCPCS,43276,Ercp stent exchange w/dilate,,,3408.0,13320.0,9
HCPCS,43277,Ercp ea duct/ampulla dilate,,,3408.0,13320.0,9
HCPCS,43278,Ercp lesion ablate w/dilate,,,3408.0,13320.0,9
HCPCS,43279,Lap myotomy heller,,,428.0,18617.0,6
HCPCS,43280,Laparoscopy fundoplasty,,,3291.0,15339.0,9
HCPCS,43281,Lap paraesophag hern repair,,,3291.0,18617.0,9
HCPCS,43282,Lap paraesoph her rpr w/mesh,,,3291.0,18617.0,9
HCPCS,43283,Lap esoph lengthening,,,428.0,18617.0,6
HCPCS,43284,Laps esophgl sphnctr agmntj,,,3291.0,17041.0,7
HCPCS,43285,Rmvl esophgl sphnctr dev,,,4224.0,11081.0,7
HCPCS,43286,Esphg tot w/laps moblj,,,1406.0,18617.0,4
HCPCS,43287,Esphg dstl 2/3 w/laps moblj,,,1406.0,18617.0,4
HCPCS,43288,Esphg thrsc moblj,,,1406.0,18617.0,4
HCPCS,43289,Laparoscope proc esoph,,,3408.0,18617.0,9
HCPCS,43290,Egd flx trnsorl dplmnt balo,,,2266.89,9918.0,7
HCPCS,43291,Egd flx trnsorl rmvl balo,,,1071.46,7422.0,7
HCPCS,43300,Repair of esophagus,,,1406.0,18617.0,4
HCPCS,43305,Repair esophagus and fistula,,,1406.0,18617.0,4
HCPCS,43310,Repair of esophagus,,,1406.0,18617.0,4
HCPCS,43312,Repair esophagus and fistula,,,1406.0,18617.0,4
HCPCS,43313,Esophagoplasty congenital,,,1406.0,18617.0,4
HCPCS,43314,Tracheo-esophagoplasty cong,,,1406.0,18617.0,4
HCPCS,43320,Fuse esophagus & stomach,,,1406.0,18617.0,4
HCPCS,43325,Revise esophagus & stomach,,,1406.0,18617.0,4
HCPCS,43327,Esoph fundoplasty lap,,,1406.0,18617.0,4
HCPCS,43328,Esoph fundoplasty thor,,,1406.0,18617.0,4
HCPCS,43330,Esophagomyotomy abdominal,,,1406.0,18617.0,4
HCPCS,43331,Esophagomyotomy thoracic,,,1406.0,18617.0,4
HCPCS,43332,Transab esoph hiat hern rpr,,,1406.0,18617.0,4
HCPCS,43333,Transab esoph hiat hern rpr,,,1406.0,18617.0,4
HCPCS,43334,Transthor diaphrag hern rpr,,,1406.0,18617.0,4
HCPCS,43335,Transthor diaphrag hern rpr,,,1406.0,18617.0,4
HCPCS,43336,Thorabd diaphr hern repair,,,1406.0,18617.0,4
HCPCS,43337,Thorabd diaphr hern repair,,,1406.0,18617.0,4
HCPCS,43338,Esoph lengthening,,,1406.0,18617.0,4
HCPCS,43340,Fuse esophagus & intestine,,,1406.0,18617.0,4
HCPCS,43341,Fuse esophagus & intestine,,,1406.0,18617.0,4
HCPCS,43351,Surgical opening esophagus,,,1406.0,18617.0,4
HCPCS,43352,Surgical opening esophagus,,,1406.0,18617.0,4
HCPCS,43360,Gastrointestinal repair,,,1406.0,18617.0,4
HCPCS,43361,Gastrointestinal repair,,,1406.0,18617.0,4
HCPCS,43400,Ligate esophagus veins,,,1406.0,18617.0,4
HCPCS,43405,Ligate/staple esophagus,,,1406.0,18617.0,4
HCPCS,43410,Repair esophagus wound,,,1406.0,18617.0,4
HCPCS,43415,Repair esophagus wound,,,1406.0,18617.0,4
HCPCS,43420,Repair esophagus opening,,,2816.0,18617.0,9
HCPCS,43425,Repair esophagus opening,,,1406.0,18617.0,4
HCPCS,43450,Dilate esophagus 1/mult pass,,,1071.46,3314.0,9
HCPCS,43450,"HC DILATION ESOPHAGUS, BY UNGUIDED SOUND/BOUGIE, 1/MULTI PASSES",2474.0,2474.0,,,0
HCPCS,43453,Dilate esophagus,,,1544.0,4097.0,9
HCPCS,43458,HC DILATION OF ESOPHAGUS BY BALLOON 30 MM/>,1529.0,1529.0,,,0
HCPCS,43460,Pressure treatment esophagus,,,1406.0,18617.0,4
HCPCS,43496,Free jejunum flap microvasc,,,1406.0,18617.0,4
HCPCS,43497,Transorl lwr esophgl myotomy,,,2816.0,13320.0,9
HCPCS,43499,Esophagus surgery procedure,,,1071.46,18617.0,9
HCPCS,43500,Surgical opening of stomach,,,1406.0,18617.0,4
HCPCS,43501,Surgical repair of stomach,,,1406.0,18617.0,4
HCPCS,43502,Surgical repair of stomach,,,1406.0,18617.0,4
HCPCS,43510,Surgical opening of stomach,,,855.0,18617.0,9
HCPCS,43520,Incision of pyloric muscle,,,1406.0,18617.0,4
HCPCS,43605,Biopsy of stomach,,,1406.0,18617.0,4
HCPCS,43610,Excision of stomach lesion,,,1406.0,18617.0,4
HCPCS,43611,Excision of stomach lesion,,,1406.0,18617.0,4
HCPCS,43620,Removal of stomach,,,1406.0,18617.0,4
HCPCS,43621,Removal of stomach,,,1406.0,18617.0,4
HCPCS,43622,Removal of stomach,,,1406.0,18617.0,4
HCPCS,43631,Removal of stomach partial,,,1406.0,18617.0,4
HCPCS,43632,Removal of stomach partial,,,1406.0,18617.0,4
HCPCS,43633,Removal of stomach partial,,,1406.0,18617.0,4
HCPCS,43634,Removal of stomach partial,,,1406.0,18617.0,4
HCPCS,43635,Removal of stomach partial,,,1406.0,18617.0,4
HCPCS,43640,Vagotomy & pylorus repair,,,1406.0,18617.0,4
HCPCS,43641,Vagotomy & pylorus repair,,,1406.0,18617.0,4
HCPCS,43644,Lap gastric bypass/roux-en-y,,,1406.0,18617.0,4
HCPCS,43645,Lap gastr bypass incl smll i,,,1406.0,18617.0,4
HCPCS,43647,Lap impl electrode antrum,,,3408.0,13821.53,9
HCPCS,43648,Lap revise/remv eltrd antrum,,,3408.0,13320.0,9
HCPCS,43651,Laparoscopy vagus nerve,,,428.0,7498.94,9
HCPCS,43652,Laparoscopy vagus nerve,,,3291.0,9420.0,9
HCPCS,43653,Laparoscopy gastrostomy,,,3560.0,13320.0,9
HCPCS,43659,Laparoscope proc stom,,,3408.0,18617.0,9
HCPCS,43752,HC NG TUBE PLACEMENT W/FLOURO,564.0,564.0,,,0
HCPCS,43752,Nasal/orogastric w/tube plmt,,,527.74,18617.0,9
HCPCS,43753,"HC GASTRIC INTUBATION & ASPIRATION(S), TX, INCL LAVAGE",905.0,905.0,,,0
HCPCS,43753,Tx gastro intub w/asp,,,255.08,3314.0,9
HCPCS,43754,Dx gastr intub w/asp spec,,,255.08,4097.0,11
HCPCS,43755,Dx gastr intub w/asp specs,,,152.01,3314.0,11
HCPCS,43756,Dx duod intub w/asp spec,,,36.53,3314.0,11
HCPCS,43757,Dx duod intub w/asp specs,,,855.0,3314.0,9
HCPCS,43760,"HC Change gastro tube, percut, wo image/guide",526.0,526.0,,,0
HCPCS,43761,HC REPOSITION GASTROSTOMY TUBE,1147.0,1147.0,,,0
HCPCS,43761,Reposition gastrostomy tube,,,295.16,3314.0,9
HCPCS,43762,"HC CHANGE G TUBE, PERC, W/O IMG/GUIDE, W/O REVISION OF G TRACT",638.0,638.0,,,0
HCPCS,43762,Rplc gtube no revj trc,,,295.16,3314.0,9
HCPCS,43763,"HC CHANGE G TUBE, PERC, W/O IMG/GUIDE, W/REVISION OF G TRACT",638.0,638.0,,,0
HCPCS,43763,Rplc gtube  revj gstrst trc,,,295.16,3314.0,9
HCPCS,43770,Lap place gastr adj device,,,3408.0,18617.0,9
HCPCS,43771,Lap revise gastr adj device,,,3408.0,18617.0,6
HCPCS,43772,Lap rmvl gastr adj device,,,3408.0,18617.0,9
HCPCS,43773,Lap replace gastr adj device,,,3408.0,18617.0,9
HCPCS,43774,Lap rmvl gastr adj all parts,,,3408.0,18617.0,9
HCPCS,43775,Lap sleeve gastrectomy,,,1406.0,18617.0,4
HCPCS,43800,Reconstruction of pylorus,,,1406.0,18617.0,4
HCPCS,43810,Fusion of stomach and bowel,,,1406.0,18617.0,4
HCPCS,43820,Fusion of stomach and bowel,,,1406.0,18617.0,4
HCPCS,43825,Fusion of stomach and bowel,,,1406.0,18617.0,4
HCPCS,43830,Place gastrostomy tube,,,1406.0,18617.0,9
HCPCS,43831,Place gastrostomy tube,,,428.0,18617.0,9
HCPCS,43832,Place gastrostomy tube,,,1406.0,18617.0,4
HCPCS,43840,Repair of stomach lesion,,,1406.0,18617.0,9
HCPCS,43842,V-band gastroplasty,,,1406.0,18617.0,4
HCPCS,43843,Gastroplasty w/o v-band,,,428.0,18617.0,6
HCPCS,43845,Gastroplasty duodenal switch,,,1406.0,18617.0,4
HCPCS,43846,Gastric bypass for obesity,,,1406.0,18617.0,4
HCPCS,43847,Gastric bypass incl small i,,,1406.0,18617.0,4
HCPCS,43848,Revision gastroplasty,,,1406.0,18617.0,4
HCPCS,43860,Revise stomach-bowel fusion,,,1406.0,18617.0,4
HCPCS,43865,Revise stomach-bowel fusion,,,1406.0,18617.0,4
HCPCS,43870,Repair stomach opening,,,1544.0,6404.0,9
HCPCS,43880,Repair stomach-bowel fistula,,,1406.0,18617.0,4
HCPCS,43881,Impl/redo electrd antrum,,,1406.0,18617.0,4
HCPCS,43882,Revise/remove electrd antrum,,,1406.0,18617.0,4
HCPCS,43886,Revise gastric port open,,,1544.0,6404.0,9
HCPCS,43887,Remove gastric port open,,,1544.0,5123.0,9
HCPCS,43888,Change gastric port open,,,2816.0,8006.0,9
HCPCS,43889,Gstr rstcv px trnsorl esg,,,3408.0,18617.0,7
HCPCS,43999,Stomach surgery procedure,,,855.0,18617.0,9
HCPCS,44005,Freeing of bowel adhesion,,,4147.0,18617.0,4
HCPCS,44010,Incision of small bowel,,,3560.0,18617.0,4
HCPCS,44015,Insert needle cath bowel,,,1406.0,18617.0,4
HCPCS,44020,Explore small intestine,,,3560.0,18617.0,4
HCPCS,44021,Decompress small bowel,,,1406.0,18617.0,4
HCPCS,44025,Incision of large bowel,,,3560.0,18617.0,4
HCPCS,44050,Reduce bowel obstruction,,,3560.0,18617.0,4
HCPCS,44055,Correct malrotation of bowel,,,4147.0,18617.0,4
HCPCS,44100,Biopsy of bowel,,,1071.46,3314.0,9
HCPCS,44110,Excise intestine lesion(s),,,1406.0,18617.0,4
HCPCS,44111,Excision of bowel lesion(s),,,1406.0,18617.0,4
HCPCS,44120,Removal of small intestine,,,1406.0,18617.0,4
HCPCS,44121,Removal of small intestine,,,1406.0,18617.0,4
HCPCS,44125,Removal of small intestine,,,1406.0,18617.0,4
HCPCS,44126,Enterectomy w/o taper cong,,,1406.0,18617.0,4
HCPCS,44127,Enterectomy w/taper cong,,,1406.0,18617.0,4
HCPCS,44128,Enterectomy cong add-on,,,1406.0,18617.0,4
HCPCS,44130,Bowel to bowel fusion,,,1406.0,18617.0,4
HCPCS,44132,Enterectomy cadaver donor,,,1406.0,18617.0,4
HCPCS,44133,Enterectomy live donor,,,1406.0,18617.0,4
HCPCS,44135,Intestine transplnt cadaver,,,1406.0,18617.0,4
HCPCS,44136,Intestine transplant live,,,1406.0,18617.0,4
HCPCS,44137,Remove intestinal allograft,,,1406.0,18617.0,4
HCPCS,44139,Mobilization of colon,,,1406.0,18617.0,4
HCPCS,44140,Partial removal of colon,,,1406.0,18617.0,4
HCPCS,44141,Partial removal of colon,,,1406.0,18617.0,4
HCPCS,44143,Partial removal of colon,,,1406.0,18617.0,4
HCPCS,44144,Partial removal of colon,,,1406.0,18617.0,4
HCPCS,44145,Partial removal of colon,,,1406.0,18617.0,4
HCPCS,44146,Partial removal of colon,,,1406.0,18617.0,4
HCPCS,44147,Partial removal of colon,,,1406.0,18617.0,4
HCPCS,44150,Removal of colon,,,1406.0,18617.0,4
HCPCS,44151,Removal of colon/ileostomy,,,1406.0,18617.0,4
HCPCS,44155,Removal of colon/ileostomy,,,1406.0,18617.0,4
HCPCS,44156,Removal of colon/ileostomy,,,1406.0,18617.0,4
HCPCS,44157,Colectomy w/Ileoanal Anast,,,1406.0,18617.0,4
HCPCS,44158,Colectomy w/Neo-Rectum Pouch,,,1406.0,18617.0,4
HCPCS,44160,Removal of colon,,,1406.0,18617.0,4
HCPCS,44180,Lap enterolysis,,,3408.0,9420.0,9
HCPCS,44186,Lap jejunostomy,,,3291.0,11081.0,9
HCPCS,44187,Lap ileo/jejuno-stomy,,,428.0,18617.0,6
HCPCS,44188,Lap colostomy,,,3408.0,18617.0,4
HCPCS,44202,Lap enterectomy,,,3291.0,18617.0,4
HCPCS,44203,Lap resect s/intestine addl,,,1406.0,18617.0,4
HCPCS,44204,Laparo partial colectomy,,,1406.0,18617.0,4
HCPCS,44205,Lap colectomy part w/ileum,,,1406.0,18617.0,4
HCPCS,44206,Lap part colectomy w/stoma,,,428.0,18617.0,6
HCPCS,44207,L colectomy/coloproctostomy,,,428.0,18617.0,6
HCPCS,44208,L colectomy/coloproctostomy,,,428.0,18617.0,6
HCPCS,44210,Laparo total proctocolectomy,,,1406.0,18617.0,4
HCPCS,44211,Lap colectomy w/proctectomy,,,1406.0,18617.0,4
HCPCS,44212,Laparo total proctocolectomy,,,1406.0,18617.0,4
HCPCS,44213,Lap mobil splenic fl add-on,,,428.0,18617.0,6
HCPCS,44227,Lap close enterostomy,,,3408.0,18617.0,4
HCPCS,44238,Laparoscope proc intestine,,,1406.0,18617.0,9
HCPCS,44300,Open bowel to skin,,,2266.89,18617.0,9
HCPCS,44310,Ileostomy/jejunostomy,,,1406.0,18617.0,4
HCPCS,44312,Revision of ileostomy,,,1544.0,6404.0,9
HCPCS,44314,Revision of ileostomy,,,4186.36,18617.0,9
HCPCS,44316,Devise bowel pouch,,,1406.0,18617.0,4
HCPCS,44320,Colostomy,,,1406.0,18617.0,4
HCPCS,44322,Colostomy with biopsies,,,1406.0,18617.0,4
HCPCS,44340,Revision of colostomy,,,3408.0,6404.0,9
HCPCS,44345,Revision of colostomy,,,428.0,18617.0,9
HCPCS,44346,Revision of colostomy,,,428.0,18617.0,9
HCPCS,44360,Small bowel endoscopy,,,2266.89,4466.0,9
HCPCS,44361,Small bowel endoscopy/biopsy,,,2266.89,4466.0,9
HCPCS,44363,Small bowel endoscopy,,,2266.89,4466.0,9
HCPCS,44364,Small bowel endoscopy,,,2266.89,4466.0,9
HCPCS,44365,Small bowel endoscopy,,,2266.89,4466.0,9
HCPCS,44366,Small bowel endoscopy,,,2266.89,4466.0,9
HCPCS,44369,Small bowel endoscopy,,,2266.89,4466.0,9
HCPCS,44370,Small Bowel Endoscopy/Stent,,,3291.0,13320.0,9
HCPCS,44372,Small bowel endoscopy,,,2266.89,4466.0,9
HCPCS,44373,Small bowel endoscopy,,,2266.89,4466.0,9
HCPCS,44376,Small bowel endoscopy,,,2138.0,4466.0,9
HCPCS,44377,Small bowel endoscopy/biopsy,,,2266.89,4466.0,9
HCPCS,44378,Small bowel endoscopy,,,2266.89,4466.0,9
HCPCS,44379,S Bowel Endoscope W/Stent,,,3291.0,13320.0,9
HCPCS,44380,Small bowel endoscopy br/wa,,,1071.46,3314.0,9
HCPCS,44381,Small bowel endoscopy br/wa,,,1544.0,6312.0,9
HCPCS,44382,Small bowel endoscopy,,,1071.46,3314.0,9
HCPCS,44384,Small bowel endoscopy,,,2266.89,6312.0,9
HCPCS,44385,Endoscopy of bowel pouch,,,1098.6,3314.0,9
HCPCS,44386,Endoscopy bowel pouch/biop,,,1098.6,3314.0,9
HCPCS,44388,Colonoscopy thru stoma spx,,,1098.6,3314.0,9
HCPCS,44389,Colonoscopy with biopsy,,,1413.65,3314.0,9
HCPCS,44390,Colonoscopy for foreign body,,,1098.6,4097.0,9
HCPCS,44391,Colonoscopy for bleeding,,,1413.65,3314.0,9
HCPCS,44392,Colonoscopy & polypectomy,,,1413.65,3314.0,9
HCPCS,44394,Colonoscopy w/snare,,,1413.65,3314.0,9
HCPCS,44401,Colonoscopy with ablation,,,1413.65,6312.0,9
HCPCS,44402,Colonoscopy w/stent plcmt,,,1544.0,7530.41,9
HCPCS,44403,Colonoscopy w/resection,,,1413.65,6312.0,9
HCPCS,44404,Colonoscopy w/injection,,,1413.65,6312.0,9
HCPCS,44405,Colonoscopy w/dilation,,,1413.65,6312.0,9
HCPCS,44406,Colonoscopy w/ultrasound,,,1413.65,6312.0,9
HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,428.0,6312.0,9
HCPCS,44408,Colonoscopy w/decompression,,,855.0,6312.0,9
HCPCS,44500,HC INTRODUCTION OF LONG GI TUBE,3184.0,3184.0,,,0
HCPCS,44500,Intro gastrointestinal tube,,,1071.46,3314.0,9
HCPCS,44602,Suture small intestine,,,1406.0,18617.0,9
HCPCS,44603,Suture small intestine,,,1406.0,18617.0,4
HCPCS,44604,Suture large intestine,,,1406.0,18617.0,4
HCPCS,44605,Repair of bowel lesion,,,1406.0,18617.0,4
HCPCS,44615,Intestinal stricturoplasty,,,1406.0,18617.0,4
HCPCS,44620,Repair bowel opening,,,1406.0,18617.0,4
HCPCS,44625,Repair bowel opening,,,1406.0,18617.0,4
HCPCS,44626,Repair bowel opening,,,1406.0,18617.0,4
HCPCS,44640,Repair bowel-skin fistula,,,1406.0,18617.0,4
HCPCS,44650,Repair bowel fistula,,,1406.0,18617.0,4
HCPCS,44660,Repair bowel-bladder fistula,,,1406.0,18617.0,4
HCPCS,44661,Repair bowel-bladder fistula,,,1406.0,18617.0,4
HCPCS,44680,Surgical revision intestine,,,1406.0,18617.0,4
HCPCS,44700,Suspend bowel w/prosthesis,,,1406.0,18617.0,4
HCPCS,44701,Intraop colon lavage add-on,,,428.0,490.0,2
HCPCS,44705,Prepare fecal microbiota,,,1544.0,18617.0,4
HCPCS,44715,Prepare donor intestine,,,1406.0,18617.0,4
HCPCS,44720,Prep donor intestine/venous,,,1406.0,18617.0,4
HCPCS,44721,Prep donor intestine/artery,,,1406.0,18617.0,4
HCPCS,44799,Unlisted px small intestine,,,1071.46,18617.0,9
HCPCS,44800,Excision of bowel pouch,,,1406.0,18617.0,4
HCPCS,44820,Excision of mesentery lesion,,,1406.0,18617.0,4
HCPCS,44850,Repair of mesentery,,,1406.0,18617.0,4
HCPCS,44899,Bowel surgery procedure,,,1406.0,18617.0,4
HCPCS,44900,Drain appendix abscess open,,,1406.0,18617.0,4
HCPCS,44901,HC I&D APPENDICEAL ABSCESS; PERCUTANEOUS,2449.0,2449.0,,,0
HCPCS,44950,Appendectomy,,,4224.0,18617.0,9
HCPCS,44955,Appendectomy add-on,,,428.0,490.0,2
HCPCS,44960,Appendectomy,,,1406.0,18617.0,4
HCPCS,44970,Laparoscopy appendectomy,,,3408.0,11081.0,9
HCPCS,44979,Laparoscope proc app,,,3408.0,18617.0,9
HCPCS,45000,Drainage of pelvic abscess,,,1413.65,3314.0,9
HCPCS,45005,Drainage of rectal abscess,,,1413.65,4466.0,9
HCPCS,45020,Drainage of rectal abscess,,,2816.0,5123.0,9
HCPCS,45100,Biopsy of rectum,,,1544.0,5123.0,9
HCPCS,45108,Removal of anorectal lesion,,,2816.0,5123.0,9
HCPCS,45110,Removal of rectum,,,1406.0,18617.0,4
HCPCS,45111,Partial removal of rectum,,,1406.0,18617.0,4
HCPCS,45112,Removal of rectum,,,1406.0,18617.0,4
HCPCS,45113,Partial proctectomy,,,1406.0,18617.0,4
HCPCS,45114,Partial removal of rectum,,,1406.0,18617.0,4
HCPCS,45116,Partial removal of rectum,,,1406.0,18617.0,4
HCPCS,45119,Remove rectum w/reservoir,,,1406.0,18617.0,4
HCPCS,45120,Removal of rectum,,,1406.0,18617.0,4
HCPCS,45121,Removal of rectum and colon,,,1406.0,18617.0,4
HCPCS,45123,Partial proctectomy,,,1406.0,18617.0,4
HCPCS,45126,Pelvic exenteration,,,1406.0,18617.0,4
HCPCS,45130,Excision of rectal prolapse,,,428.0,18617.0,6
HCPCS,45135,Excision of rectal prolapse,,,1406.0,18617.0,4
HCPCS,45136,Excise ileoanal reservior,,,1406.0,18617.0,4
HCPCS,45150,Excision of rectal stricture,,,1413.65,4466.0,9
HCPCS,45160,Excision of rectal lesion,,,2816.0,8006.0,9
HCPCS,45171,Exc rect tum transanal part,,,1544.0,7422.0,9
HCPCS,45172,Exc rect tum transanal full,,,2816.0,13320.0,9
HCPCS,45190,Destruction rectal tumor,,,2816.0,13320.0,9
HCPCS,45300,Proctosigmoidoscopy dx,,,855.0,3314.0,9
HCPCS,45303,Proctosigmoidoscopy dilate,,,1413.65,3314.0,9
HCPCS,45305,Proctosigmoidoscopy w/bx,,,1413.65,4097.0,9
HCPCS,45307,Proctosigmoidoscopy fb,,,1544.0,6404.0,9
HCPCS,45308,Proctosigmoidoscopy removal,,,1544.0,5123.0,9
HCPCS,45309,Proctosigmoidoscopy removal,,,1413.65,4097.0,9
HCPCS,45315,Proctosigmoidoscopy removal,,,1413.65,4097.0,9
HCPCS,45317,Proctosigmoidoscopy bleed,,,1413.65,3314.0,9
HCPCS,45320,Proctosigmoidoscopy ablate,,,1544.0,6404.0,9
HCPCS,45321,Proctosigmoidoscopy volvul,,,1544.0,8006.0,9
HCPCS,45327,Proctosigmoidoscopy W/Stent,,,1544.0,7530.41,9
HCPCS,45330,Diagnostic sigmoidoscopy,,,1098.6,3314.0,9
HCPCS,45330,"HC SIGMOIDOSCOPY FLX DX W/COLLECT SPECM(S) BRUSH/WASH, IF PFRMD",1704.0,1704.0,,,0
HCPCS,45331,Sigmoidoscopy and biopsy,,,1098.6,3314.0,9
HCPCS,45332,Sigmoidoscopy w/fb removal,,,1413.65,3314.0,9
HCPCS,45333,Sigmoidoscopy & polypectomy,,,1098.6,3314.0,9
HCPCS,45334,Sigmoidoscopy for bleeding,,,1413.65,3314.0,9
HCPCS,45335,Sigmoidoscopy w/submuc inj,,,1098.6,3314.0,9
HCPCS,45337,Sigmoidoscopy & decompress,,,1098.6,3314.0,9
HCPCS,45338,Sigmoidoscopy w/tumr remove,,,1413.65,3314.0,9
HCPCS,45340,Sig w/tndsc balloon dilation,,,1413.65,3314.0,9
HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,1098.6,3314.0,9
HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,1413.65,4097.0,9
HCPCS,45346,Sigmoidoscopy w/ablation,,,1413.65,6312.0,9
HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,1544.0,7530.41,9
HCPCS,45349,Sigmoidoscopy w/resection,,,1544.0,6312.0,9
HCPCS,45350,Sgmdsc w/band ligation,,,1413.65,6312.0,9
HCPCS,45378,Diagnostic colonoscopy,,,1098.6,4466.0,9
HCPCS,45379,Colonoscopy w/fb removal,,,1413.65,4466.0,9
HCPCS,45380,Colonoscopy and biopsy,,,1413.65,4466.0,9
HCPCS,45381,Colonoscopy submucous njx,,,1413.65,4466.0,9
HCPCS,45382,Colonoscopy w/control bleed,,,1413.65,4466.0,9
HCPCS,45384,Colonoscopy w/lesion removal,,,1413.65,4466.0,9
HCPCS,45385,Colonoscopy w/lesion removal,,,1413.65,4466.0,9
HCPCS,45386,Colonoscopy w/balloon dilat,,,1413.65,4466.0,9
HCPCS,45388,Colonoscopy w/ablation,,,1413.65,6312.0,9
HCPCS,45389,Colonoscopy w/stent plcmt,,,2816.0,7530.41,9
HCPCS,45390,Colonoscopy w/resection,,,2816.0,6312.0,9
HCPCS,45391,Colonoscopy w/endoscope us,,,1413.65,4466.0,9
HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1413.65,4466.0,9
HCPCS,45393,Colonoscopy w/decompression,,,1413.65,6312.0,9
HCPCS,45395,Lap removal of rectum,,,3408.0,18617.0,4
HCPCS,45397,Lap remove rectum w/pouch,,,3408.0,18617.0,4
HCPCS,45398,Colonoscopy w/band ligation,,,1413.65,6312.0,9
HCPCS,45399,Unlisted procedure colon,,,1098.6,7422.0,9
HCPCS,45400,Laparoscopic proc,,,3408.0,18617.0,4
HCPCS,45402,Lap proctopexy w/sig resect,,,3408.0,18617.0,4
HCPCS,45499,Laparoscope proc rectum,,,3408.0,18617.0,9
HCPCS,45500,Repair of rectum,,,2816.0,5123.0,9
HCPCS,45505,Repair of rectum,,,2816.0,6404.0,9
HCPCS,45520,Treatment of rectal prolapse,,,1098.6,18617.0,9
HCPCS,45540,Correct rectal prolapse,,,428.0,18617.0,6
HCPCS,45541,Correct rectal prolapse,,,2816.0,18617.0,9
HCPCS,45550,Repair rectum/remove sigmoid,,,1406.0,18617.0,4
HCPCS,45560,Repair of rectocele,,,2816.0,8006.0,9
HCPCS,45562,Exploration/repair of rectum,,,1406.0,18617.0,4
HCPCS,45563,Exploration/repair of rectum,,,1406.0,18617.0,4
HCPCS,45800,Repair rect/bladder fistula,,,1406.0,18617.0,4
HCPCS,45805,Repair fistula w/colostomy,,,1406.0,18617.0,4
HCPCS,45820,Repair rectourethral fistula,,,1406.0,18617.0,4
HCPCS,45825,Repair fistula w/colostomy,,,1406.0,18617.0,4
HCPCS,45900,Reduction of rectal prolapse,,,855.0,3314.0,9
HCPCS,45905,Dilation of anal sphincter,,,1413.65,4097.0,9
HCPCS,45910,Dilation of rectal narrowing,,,1413.65,4097.0,9
HCPCS,45915,Remove rectal obstruction,,,1413.65,4097.0,9
HCPCS,45990,Surg dx exam anorectal,,,2816.0,4466.0,9
HCPCS,45999,Rectum surgery procedure,,,1098.6,18617.0,9
HCPCS,46020,Placement of seton,,,3279.01,5123.0,9
HCPCS,46030,Removal of rectal marker,,,1413.65,4097.0,9
HCPCS,46040,"HC INCISION AND DRAINAGE, RECTAL ABCESS",1055.0,1055.0,,,0
HCPCS,46040,Incision of rectal abscess,,,1413.65,5098.0,9
HCPCS,46045,Incision of rectal abscess,,,2816.0,5123.0,9
HCPCS,46050,"HC INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL",1152.0,1152.0,,,0
HCPCS,46050,Incision of anal abscess,,,1098.6,4097.0,9
HCPCS,46060,Incision of rectal abscess,,,2816.0,5123.0,9
HCPCS,46070,Incision of anal septum,,,428.0,18617.0,9
HCPCS,46080,Incision of anal sphincter,,,3279.01,5098.0,9
HCPCS,46083,"HC INCISION OF THROMBOSED HEMORRHOID, EXTERNAL",299.0,299.0,,,0
HCPCS,46083,Incise external hemorrhoid,,,295.16,3314.0,9
HCPCS,46200,Removal of anal fissure,,,2816.0,5123.0,9
HCPCS,46220,Excise anal ext tag/papilla,,,1413.65,4097.0,9
HCPCS,46221,Ligation of hemorrhoid(s),,,855.0,3314.0,9
HCPCS,46230,Removal of anal tags,,,1544.0,4097.0,9
HCPCS,46250,Remove ext hem groups 2+,,,3279.01,6404.0,9
HCPCS,46255,Remove int/ext hem 1 group,,,3279.01,5123.0,9
HCPCS,46257,Remove in/ex hem grp & fiss,,,3279.01,5123.0,9
HCPCS,46258,"HC HEMORRHOIDECTOMY, INT & EXT, SNGL COL/GRP; W/FISTULECTOMY",17079.0,17079.0,,,0
HCPCS,46258,Remove in/ex hem grp w/fistu,,,3279.01,5123.0,9
HCPCS,46260,Remove in/ex hem groups 2+,,,3279.01,6404.0,9
HCPCS,46261,Remove in/ex hem grps & fiss,,,3279.01,6404.0,9
HCPCS,46262,Remove in/ex hem grps w/fist,,,3279.01,6404.0,9
HCPCS,46270,Remove anal fist subq,,,3279.01,5123.0,9
HCPCS,46275,Remove anal fist inter,,,3279.01,5123.0,9
HCPCS,46280,Remove anal fist complex,,,3279.01,6312.0,9
HCPCS,46285,Remove anal fist 2 stage,,,1544.0,5123.0,9
HCPCS,46288,Repair anal fistula,,,3279.01,6404.0,9
HCPCS,46320,"HC REMOVE THROMBOSED HEMORRHOID, EXTERNAL",1499.0,1499.0,,,0
HCPCS,46320,Removal of hemorrhoid clot,,,1413.65,4097.0,9
HCPCS,46500,Injection into hemorrhoid(s),,,1098.6,18617.0,9
HCPCS,46505,Chemodenervation anal musc,,,1413.65,4097.0,9
HCPCS,46600,Diagnostic anoscopy spx,,,157.18,1866.0,7
HCPCS,46600,HC ANOSCOPY; DX,125.0,125.0,,,0
HCPCS,46601,Diagnostic anoscopy,,,527.74,3314.0,9
HCPCS,46604,Anoscopy and dilation,,,1413.65,18617.0,9
HCPCS,46606,Anoscopy and biopsy,,,1413.65,18617.0,9
HCPCS,46607,Diagnostic anoscopy & biopsy,,,1413.65,6312.0,9
HCPCS,46608,Anoscopy remove for body,,,1098.6,3314.0,9
HCPCS,46610,Anoscopy remove lesion,,,1544.0,5123.0,9
HCPCS,46611,Anoscopy,,,1098.6,3314.0,9
HCPCS,46612,Anoscopy remove lesions,,,1544.0,5123.0,9
HCPCS,46614,Anoscopy control bleeding,,,1413.65,18617.0,9
HCPCS,46615,Anoscopy,,,2816.0,5123.0,9
HCPCS,46700,Repair of anal stricture,,,3279.01,5123.0,9
HCPCS,46705,Repair of anal stricture,,,1406.0,18617.0,4
HCPCS,46706,Repr of anal fistula w/glue,,,1544.0,6404.0,9
HCPCS,46707,Repair anorectal fist w/plug,,,1406.0,13320.0,9
HCPCS,46710,Repr per/vag pouch sngl proc,,,3408.0,18617.0,4
HCPCS,46712,Repr per/vag pouch dbl proc,,,3408.0,18617.0,4
HCPCS,46715,Rep perf anoper fistu,,,1406.0,18617.0,4
HCPCS,46716,Rep perf anoper/vestib fistu,,,1406.0,18617.0,4
HCPCS,46730,Construction of absent anus,,,1406.0,18617.0,4
HCPCS,46735,Construction of absent anus,,,1406.0,18617.0,4
HCPCS,46740,Construction of absent anus,,,1406.0,18617.0,4
HCPCS,46742,Repair of imperforated anus,,,1406.0,18617.0,4
HCPCS,46744,Repair of cloacal anomaly,,,1406.0,18617.0,4
HCPCS,46746,Repair of cloacal anomaly,,,1406.0,18617.0,4
HCPCS,46748,Repair of cloacal anomaly,,,1406.0,18617.0,4
HCPCS,46750,Repair of anal sphincter,,,3279.01,8006.0,9
HCPCS,46751,Repair of anal sphincter,,,1406.0,18617.0,4
HCPCS,46753,Reconstruction of anus,,,3279.01,5123.0,9
HCPCS,46754,Removal of suture from anus,,,2816.0,6404.0,9
HCPCS,46760,Repair of anal sphincter,,,855.0,4466.0,9
HCPCS,46761,Repair of anal sphincter,,,3279.01,8006.0,9
HCPCS,46900,Destruction anal lesion(s),,,480.23,3314.0,9
HCPCS,46910,Destruction anal lesion(s),,,2437.45,18617.0,9
HCPCS,46916,Cryosurgery anal lesion(s),,,237.02,18617.0,9
HCPCS,46917,Laser surgery anal lesions,,,1544.0,6404.0,9
HCPCS,46922,Excision of anal lesion(s),,,1544.0,5123.0,9
HCPCS,46924,Destruction anal lesion(s),,,1544.0,5123.0,9
HCPCS,46930,Destroy internal hemorrhoids,,,1413.65,7422.0,9
HCPCS,46940,Treatment of anal fissure,,,1544.0,18617.0,9
HCPCS,46942,Treatment of anal fissure,,,1098.6,5123.0,9
HCPCS,46945,Remove by ligat int hem grp,,,2816.0,18617.0,9
HCPCS,46946,Remove by ligat int hem grps,,,2762.0,5123.0,9
HCPCS,46947,Hemorrhoidopexy by stapling,,,3279.01,9918.0,9
HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2816.0,9918.0,9
HCPCS,46999,Anus surgery procedure,,,1098.6,18617.0,9
HCPCS,47000,HC BIOPSY LIVER; PERCUTANEOUS NEEDLE,2069.0,2069.0,,,0
HCPCS,47000,Needle biopsy of liver,,,1544.0,3314.0,9
HCPCS,47001,Needle biopsy liver add-on,,,428.0,1866.0,4
HCPCS,47010,Open drainage liver lesion,,,1406.0,18617.0,4
HCPCS,47011,"HC HEPATOTOMY; PERCUT DRAIN ABSCESS, 1 OR 2 STAGES",3433.0,3433.0,,,0
HCPCS,47015,Inject/aspirate liver cyst,,,1406.0,18617.0,4
HCPCS,47100,Wedge biopsy of liver,,,1406.0,18617.0,4
HCPCS,47120,Partial removal of liver,,,1406.0,18617.0,6
HCPCS,47122,Extensive removal of liver,,,1406.0,18617.0,4
HCPCS,47125,Partial removal of liver,,,1406.0,18617.0,4
HCPCS,47130,Partial removal of liver,,,1406.0,18617.0,4
HCPCS,47133,Removal of donor liver,,,1406.0,18617.0,4
HCPCS,47135,Transplantation of liver,,,1406.0,18617.0,4
HCPCS,47140,Partial removal donor liver,,,1406.0,18617.0,4
HCPCS,47141,Partial removal donor liver,,,1406.0,18617.0,4
HCPCS,47142,Partial removal donor liver,,,1406.0,18617.0,4
HCPCS,47143,Prep donor liver whole,,,1406.0,18617.0,4
HCPCS,47144,Prep donor liver 3-segment,,,1406.0,18617.0,4
HCPCS,47145,Prep donor liver lobe split,,,1406.0,18617.0,4
HCPCS,47146,Prep donor liver/venous,,,1406.0,18617.0,4
HCPCS,47147,Prep donor liver/arterial,,,1406.0,18617.0,4
HCPCS,47300,Surgery for liver lesion,,,1406.0,18617.0,4
HCPCS,47350,Repair liver wound,,,1406.0,18617.0,4
HCPCS,47360,Repair liver wound,,,1406.0,18617.0,4
HCPCS,47361,Repair liver wound,,,1406.0,18617.0,4
HCPCS,47362,Repair liver wound,,,1406.0,18617.0,4
HCPCS,47370,Laparo ablate liver tumor rf,,,4224.0,18617.0,9
HCPCS,47371,Laparo ablate liver cryosurg,,,4224.0,18617.0,9
HCPCS,47379,Laparoscope procedure liver,,,3291.0,18617.0,9
HCPCS,47380,Open ablate liver tumor rf,,,3291.0,18617.0,4
HCPCS,47381,Open ablate liver tumor cryo,,,3291.0,18617.0,4
HCPCS,47382,"HC PERQ ABLATION 1 + LIVER TUMOR(S), RADIOFREQ",12110.0,12110.0,,,0
HCPCS,47382,Percut ablate liver rf,,,4224.0,18617.0,9
HCPCS,47383,"HC ABLATION 1 OR MORE LIVER TUMOR(S), PERCUTANEOUS, CRYOABLATION",12195.0,12195.0,,,0
HCPCS,47383,Perq abltj lvr cryoablation,,,4062.0,13320.0,9
HCPCS,47384,Abltj ire liver 1+ tum perq,,,4224.0,18617.0,7
HCPCS,47399,Liver surgery procedure,,,836.55,18617.0,9
HCPCS,47400,Incision of liver duct,,,1406.0,18617.0,4
HCPCS,47420,Incision of bile duct,,,1406.0,18617.0,4
HCPCS,47425,Incision of bile duct,,,1406.0,18617.0,4
HCPCS,47460,Incise bile duct sphincter,,,1406.0,18617.0,4
HCPCS,47480,Incision of gallbladder,,,1406.0,18617.0,4
HCPCS,47490,HC PERCUTANEOUS CHOLECYSTOSTOMY,7205.0,7205.0,,,0
HCPCS,47490,Incision of gallbladder,,,1406.0,18617.0,9
HCPCS,47500,HC INJECTION PERCUT TRANSHEPATIC CHOLANGIOGRAPHY,908.0,908.0,,,0
HCPCS,47505,HC INJECTION CHOLANGIOGRAPHY THRU EXISTING CATH,386.0,386.0,,,0
HCPCS,47510,HC PERCUTANEOUS BILIARY DRAINAGE EXTERNAL,12079.0,12079.0,,,0
HCPCS,47511,HC PERCUT BILIARY DRAINAGE INTERNAL AND EXTERNAL,13353.0,13353.0,,,0
HCPCS,47525,HC CHANGE OF PERCUT BILIARY DRAINAGE CATH,3039.0,3039.0,,,0
HCPCS,47530,HC REVISION/REINSERT OF TRANSHEPATIC TUBE,3723.0,3723.0,,,0
HCPCS,47531,"HC INJECTION FOR CHOLANGIOGRAM, EXISTING ACCESS",4396.0,4396.0,,,0
HCPCS,47531,Injection for cholangiogram,,,428.0,4441.17,9
HCPCS,47532,"HC INJECTION FOR CHOLANGIOGRAM, NEW ACCESS",3755.0,3755.0,,,0
HCPCS,47532,Injection for cholangiogram,,,428.0,13320.0,9
HCPCS,47533,"HC PLACEMENT BILIARY DRAINAGE CATH, EXTERNAL",29815.0,29815.0,,,0
HCPCS,47533,Plmt biliary drainage cath,,,428.0,13320.0,9
HCPCS,47534,"HC PLACEMENT BILIARY DRAINAGE CATH, INTERNAL-EXTERNAL",29815.0,29815.0,,,0
HCPCS,47534,Plmt biliary drainage cath,,,428.0,13320.0,9
HCPCS,47535,Conversion ext bil drg cath,,,428.0,13320.0,9
HCPCS,47535,HC CONVERSION EXTERNAL BILIARY  DRAINAGE CATH,21063.0,21063.0,,,0
HCPCS,47536,Exchange biliary drg cath,,,428.0,13320.0,9
HCPCS,47536,HC EXCHANGE BILIARY DRAINAGE CATH,21063.0,21063.0,,,0
HCPCS,47537,HC REMOVAL BILIARY DRAINAGE CATH,7430.0,7430.0,,,0
HCPCS,47537,Removal biliary drg cath,,,428.0,3314.0,9
HCPCS,47538,"HC PERQ PLMT BILE DUCT STENT(S), EXISTING ACCESS",29815.0,29815.0,,,0
HCPCS,47538,Perq plmt bile duct stent,,,428.0,13320.0,9
HCPCS,47539,"HC PERQ PLMT BILE DUCT STENT(S), NEW ACCESS, W/O SEPAR CATH",21063.0,21063.0,,,0
HCPCS,47539,Perq plmt bile duct stent,,,428.0,13320.0,9
HCPCS,47540,"HC PERQ PLMT BILE DUCT STENT, NEW ACCESS, W/ SEPAR CATH",21063.0,21063.0,,,0
HCPCS,47540,Perq plmt bile duct stent,,,428.0,13320.0,9
HCPCS,47541,Plmt access bil tree sm bwl,,,428.0,13320.0,9
HCPCS,47542,Dilate biliary duct/ampulla,,,428.0,1866.0,4
HCPCS,47543,Endoluminal bx biliary tree,,,428.0,1866.0,4
HCPCS,47544,HC REMOVAL DUCT GALLBLADDER CALCULI,6835.0,6835.0,,,0
HCPCS,47544,Removal duct glbldr calculi,,,428.0,1866.0,4
HCPCS,47552,Biliary endo perq dx w/speci,,,2816.0,11081.0,9
HCPCS,47553,Biliary endoscopy thru skin,,,3408.0,9420.0,9
HCPCS,47554,Biliary endoscopy thru skin,,,3408.0,13185.37,9
HCPCS,47555,Biliary endoscopy thru skin,,,3408.0,8030.21,9
HCPCS,47555,HC PERCUT DILATION BILARY STRICTURE WO STENT,4678.0,4678.0,,,0
HCPCS,47556,Biliary endoscopy thru skin,,,3408.0,13320.0,9
HCPCS,47556,HC PERCUT DILATION BILARY STRICTURE WITH STENT,5519.0,5519.0,,,0
HCPCS,47562,Laparoscopic cholecystectomy,,,3291.0,13320.0,9
HCPCS,47563,HC LAPAROSCOPY  SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,22775.0,22775.0,,,0
HCPCS,47563,Laparo cholecystectomy/graph,,,3291.0,13320.0,9
HCPCS,47564,Laparo cholecystectomy/explr,,,4147.0,13320.0,9
HCPCS,47570,Laparo cholecystoenterostomy,,,428.0,18617.0,6
HCPCS,47579,Laparoscope proc biliary,,,3408.0,18617.0,9
HCPCS,47600,Removal of gallbladder,,,428.0,18617.0,6
HCPCS,47605,Removal of gallbladder,,,3291.0,18617.0,4
HCPCS,47610,Removal of gallbladder,,,3560.0,18617.0,4
HCPCS,47612,Removal of gallbladder,,,3560.0,18617.0,4
HCPCS,47620,Removal of gallbladder,,,4147.0,18617.0,4
HCPCS,47630,HC REM BILIARY STONE VIA T-TUBE,4204.0,4204.0,,,0
HCPCS,47700,Exploration of bile ducts,,,1406.0,18617.0,4
HCPCS,47701,Bile duct revision,,,1406.0,18617.0,4
HCPCS,47711,Excision of bile duct tumor,,,1406.0,18617.0,4
HCPCS,47712,Excision of bile duct tumor,,,1406.0,18617.0,4
HCPCS,47715,Excision of bile duct cyst,,,1406.0,18617.0,4
HCPCS,47720,Fuse gallbladder & bowel,,,1406.0,18617.0,4
HCPCS,47721,Fuse upper gi structures,,,1406.0,18617.0,4
HCPCS,47740,Fuse gallbladder & bowel,,,1406.0,18617.0,4
HCPCS,47741,Fuse gallbladder & bowel,,,1406.0,18617.0,4
HCPCS,47760,Fuse bile ducts and bowel,,,1406.0,18617.0,4
HCPCS,47765,Fuse liver ducts & bowel,,,1406.0,18617.0,4
HCPCS,47780,Fuse bile ducts and bowel,,,1406.0,18617.0,4
HCPCS,47785,Fuse bile ducts and bowel,,,1406.0,18617.0,4
HCPCS,47800,Reconstruction of bile ducts,,,1406.0,18617.0,4
HCPCS,47801,Placement bile duct support,,,1406.0,18617.0,4
HCPCS,47802,Fuse liver duct & intestine,,,1406.0,18617.0,4
HCPCS,47900,Suture bile duct injury,,,1406.0,18617.0,4
HCPCS,47999,Bile tract surgery procedure,,,1071.46,18617.0,9
HCPCS,48000,Drainage of abdomen,,,1406.0,18617.0,4
HCPCS,48001,Placement of drain pancreas,,,1406.0,18617.0,4
HCPCS,48020,Removal of pancreatic stone,,,1406.0,18617.0,4
HCPCS,48100,Biopsy of pancreas open,,,1406.0,18617.0,4
HCPCS,48102,HC BIOPSY PANCREAS PERCUTANEOUS NEEDLE,3741.0,3741.0,,,0
HCPCS,48102,Needle biopsy pancreas,,,1544.0,3314.0,9
HCPCS,48105,Resect/Debride Pancreas,,,1406.0,18617.0,4
HCPCS,48120,Removal of pancreas lesion,,,1406.0,18617.0,4
HCPCS,48140,Partial removal of pancreas,,,1406.0,18617.0,4
HCPCS,48145,Partial removal of pancreas,,,1406.0,18617.0,4
HCPCS,48146,Pancreatectomy,,,1406.0,18617.0,4
HCPCS,48148,Removal of pancreatic duct,,,1406.0,18617.0,4
HCPCS,48150,Partial removal of pancreas,,,1406.0,18617.0,4
HCPCS,48152,Pancreatectomy,,,1406.0,18617.0,4
HCPCS,48153,Pancreatectomy,,,1406.0,18617.0,4
HCPCS,48154,Pancreatectomy,,,1406.0,18617.0,4
HCPCS,48155,Removal of pancreas,,,1406.0,18617.0,4
HCPCS,48160,Pancreas removal/transplant,,,1406.0,18617.0,4
HCPCS,48400,Injection intraop add-on,,,1406.0,18617.0,4
HCPCS,48500,Surgery of pancreatic cyst,,,1406.0,18617.0,4
HCPCS,48510,Drain pancreatic pseudocyst,,,1406.0,18617.0,4
HCPCS,48520,Fuse pancreas cyst and bowel,,,1406.0,18617.0,4
HCPCS,48540,Fuse pancreas cyst and bowel,,,1406.0,18617.0,4
HCPCS,48545,Pancreatorrhaphy,,,1406.0,18617.0,4
HCPCS,48547,Duodenal exclusion,,,1406.0,18617.0,4
HCPCS,48548,Fuse Pancreas and Bowel,,,1406.0,18617.0,4
HCPCS,48550,Donor pancreatectomy,,,1406.0,18617.0,4
HCPCS,48551,Prep donor pancreas,,,1406.0,18617.0,4
HCPCS,48552,Prep donor pancreas/venous,,,1406.0,18617.0,4
HCPCS,48554,Transpl allograft pancreas,,,1406.0,18617.0,4
HCPCS,48556,Removal allograft pancreas,,,1406.0,18617.0,4
HCPCS,48999,Pancreas surgery procedure,,,836.55,18617.0,9
HCPCS,49000,Exploration of abdomen,,,428.0,18617.0,6
HCPCS,49002,Reopening of abdomen,,,1406.0,18617.0,4
HCPCS,49010,Exploration behind abdomen,,,428.0,18617.0,9
HCPCS,49013,Prpertl pel pack hemrrg trma,,,1406.0,18617.0,4
HCPCS,49014,Reexploration pelvic wound,,,1406.0,18617.0,4
HCPCS,49020,Drainage abdom abscess open,,,1406.0,18617.0,4
HCPCS,49021,"HC DRAIN PERITONEAL ABSCESS OR CYST, PERCUTANEOUS",3344.0,3344.0,,,0
HCPCS,49040,Drain open abdom abscess,,,1406.0,18617.0,4
HCPCS,49041,HC DRAIN SUBDIAPHRAGMATIC ABSCESS; PERC,3378.0,3378.0,,,0
HCPCS,49060,Drain open retroperi abscess,,,428.0,18617.0,6
HCPCS,49061,HC DRAIN RETROPERITONEAL ABSCESS; PERC,3285.0,3285.0,,,0
HCPCS,49062,Drain to peritoneal cavity,,,428.0,18617.0,6
HCPCS,49082,Abd paracentesis,,,1071.46,4166.0,9
HCPCS,49082,HC ABD PARACENTESIS W/O IMAGING,855.0,855.0,,,0
HCPCS,49083,Abd paracentesis w/imaging,,,1071.46,4166.0,9
HCPCS,49083,HC ABD PARACENTESIS W/IMAGING,2355.5,2355.5,,,0
HCPCS,49084,Peritoneal lavage,,,1071.46,4166.0,9
HCPCS,49180,Biopsy abdominal mass,,,1544.0,3314.0,9
HCPCS,49180,HC PERC NDL BIOPSY ABD/RETROPERITONEAL MASS,2072.0,2072.0,,,0
HCPCS,49185,"HC SCLEROTX FLUID COLLECT, PERC, INCL CONTRAST INJ(S), SCLERO INJ(S)",6917.0,6917.0,,,0
HCPCS,49185,Sclerotx fluid collection,,,1951.11,9918.0,9
HCPCS,49186,Opn exc/dstr ntra-abd 5 cm/<,,,1406.0,18617.0,4
HCPCS,49187,Opn exc/dstr ntra-abd 5.1-10,,,1406.0,18617.0,4
HCPCS,49188,Opn exc/dst ntra-abd 10.1-20,,,1406.0,18617.0,4
HCPCS,49189,Opn exc/dst ntra-abd 20.1-30,,,1406.0,18617.0,4
HCPCS,49190,Opn exc/dstr ntra-abd >30 cm,,,1406.0,18617.0,4
HCPCS,49203,Exc abd tum 5 cm or less,,,428.0,18617.0,6
HCPCS,49204,Exc abd tum over 5 cm,,,428.0,18617.0,6
HCPCS,49205,Exc abd tum over 10 cm,,,428.0,18617.0,6
HCPCS,49215,Excise sacral spine tumor,,,1406.0,18617.0,4
HCPCS,49250,Excision of umbilicus,,,4224.0,6404.0,9
HCPCS,49255,Removal of omentum,,,4224.0,18617.0,9
HCPCS,49320,Diag laparo separate proc,,,3408.0,8006.0,9
HCPCS,49321,Laparoscopy biopsy,,,4224.0,11081.0,9
HCPCS,49322,Laparoscopy aspiration,,,4224.0,9420.0,9
HCPCS,49323,Laparo drain lymphocele,,,3408.0,11081.0,9
HCPCS,49324,Lap insert tunnel ip cath,,,4224.0,13320.0,9
HCPCS,49325,Lap Revision Perm IP Cath,,,4224.0,13320.0,9
HCPCS,49326,Lap w/Omentopexy Add-on,,,428.0,13320.0,6
HCPCS,49327,Lap ins device for rt,,,428.0,13320.0,6
HCPCS,49329,Laparo proc abdm/per/oment,,,1544.0,18617.0,9
HCPCS,49400,Air injection into abdomen,,,428.0,1866.0,4
HCPCS,49402,Remove foreign body adbomen,,,2816.0,6404.0,9
HCPCS,49405,HC IMAGE CATH FLUID COLXN VISC,7137.0,7137.0,,,0
HCPCS,49405,Image cath fluid colxn visc,,,1951.11,13320.0,9
HCPCS,49406,HC IMAGE CATH FLUID PERI/RETRO,7228.0,7228.0,,,0
HCPCS,49406,Image cath fluid peri/retro,,,1951.11,13320.0,9
HCPCS,49407,HC IMAGE GUIDED CATH ABSCESS TRANSVAGINAL,2373.0,2373.0,,,0
HCPCS,49407,Image cath fluid trns/vgnl,,,1951.11,5098.0,9
HCPCS,49411,Ins mark abd/pel for rt perq,,,1544.0,4466.0,9
HCPCS,49412,Ins device for rt guide open,,,428.0,18617.0,6
HCPCS,49418,HC INSERT TUNNELED INTRAPERITONEAL CATH; PERC,5711.0,5711.0,,,0
HCPCS,49418,Insert tun ip cath perc,,,2816.0,13320.0,9
HCPCS,49419,Insert tun ip cath w/port,,,2762.0,8006.0,9
HCPCS,49421,"HC INSERT TUNNELED IP CATH FOR DIALYSIS, OPEN",3409.0,3409.0,,,0
HCPCS,49421,Ins tun ip cath for dial opn,,,2762.0,8006.0,9
HCPCS,49422,HC REMOVAL TUNNELED INTRAPERITONEAL CATHETER,4702.0,4702.0,,,0
HCPCS,49422,Remove tunneled ip cath,,,1544.0,4097.0,9
HCPCS,49423,Exchange drainage catheter,,,1544.0,18617.0,9
HCPCS,49423,HC EXCHANGE PREVIOUS DRAINAGE CATHETER,1573.0,1573.0,,,0
HCPCS,49424,Assess cyst contrast inject,,,428.0,1866.0,4
HCPCS,49424,"HC CONTRAST INJECTION, ASSESS CYST VIA EXIST CATH",779.0,779.0,,,0
HCPCS,49425,Insert abdomen-venous drain,,,428.0,18617.0,6
HCPCS,49426,Revise abdomen-venous shunt,,,2816.0,5123.0,9
HCPCS,49427,HC INJECTION EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT,1942.0,1942.0,,,0
HCPCS,49427,Injection abdominal shunt,,,428.0,1866.0,4
HCPCS,49428,Ligation of shunt,,,1406.0,18617.0,4
HCPCS,49429,Removal of shunt,,,2816.0,18617.0,9
HCPCS,49435,Insert Subq Exten to IP Cath,,,428.0,1866.0,4
HCPCS,49436,Embedded IP Cath Exit-Site,,,1544.0,5098.0,9
HCPCS,49440,"HC PLACE GASTROSTOMY TUBE, PERCUT, UNDER FLUORO GUIDE",5131.0,5131.0,,,0
HCPCS,49440,Place gastrostomy tube perc,,,2266.89,4166.0,9
HCPCS,49441,Place duod/jej tube perc,,,2266.89,4166.0,9
HCPCS,49442,Place cecostomy tube perc,,,1413.65,7422.0,9
HCPCS,49446,Change g-tube to g-j perc,,,1544.0,4097.0,9
HCPCS,49450,HC REPLACE GASTRO/CECO TUBE PERCUTANEOUS,2136.0,2136.0,,,0
HCPCS,49450,Replace g/c tube perc,,,1071.46,3314.0,9
HCPCS,49451,Replace duod/jej tube perc,,,1071.46,3314.0,9
HCPCS,49452,"HC REPLACEMENT OF G-J TUBE, PERC, FLUORO GUIDE, INCL CONTRAST INJ(S)",2255.0,2255.0,,,0
HCPCS,49452,Replace g-j tube perc,,,1071.46,3314.0,9
HCPCS,49460,Fix g/colon tube w/device,,,1071.46,3314.0,9
HCPCS,49460,"HC OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE W/FLUORO, IF PERFORMED",1853.0,1853.0,,,0
HCPCS,49465,Fluoro exam of g/colon tube,,,281.87,18617.0,9
HCPCS,49465,HC FLUORO EXAM GASTRO/COLON TUBE,1137.0,1137.0,,,0
HCPCS,49491,Rpr hern preemie reduc,,,4224.0,18617.0,9
HCPCS,49492,Rpr ing hern premie blocked,,,428.0,18617.0,9
HCPCS,49495,Rpr ing hernia baby reduc,,,428.0,6312.0,9
HCPCS,49496,Rpr ing hernia baby blocked,,,428.0,6312.0,9
HCPCS,49500,Rpr ing hernia init reduce,,,4224.0,8030.21,9
HCPCS,49501,Rpr ing hernia init blocked,,,4224.0,13320.0,9
HCPCS,49505,Prp i/hern init reduc >5 yr,,,4224.0,8006.0,9
HCPCS,49507,Prp i/hern init block >5 yr,,,4224.0,13320.0,9
HCPCS,49520,Rerepair ing hernia reduce,,,4224.0,9918.0,9
HCPCS,49521,Rerepair ing hernia blocked,,,4224.0,13320.0,9
HCPCS,49525,Repair ing hernia sliding,,,4224.0,8006.0,9
HCPCS,49540,Repair lumbar hernia,,,2816.0,9420.0,9
HCPCS,49550,Rpr rem hernia init reduce,,,3291.0,7422.0,9
HCPCS,49553,Rpr fem hernia init blocked,,,4224.0,13320.0,9
HCPCS,49555,Rerepair fem hernia reduce,,,3291.0,8006.0,9
HCPCS,49557,Rerepair fem hernia blocked,,,4224.0,13320.0,9
HCPCS,49560,Rpr ventral hern init reduc,,,6962.0,8006.0,2
HCPCS,49561,Rpr ventral hern init block,,,6962.0,8006.0,2
HCPCS,49565,Rerepair ventrl hern reduce,,,8190.0,9420.0,2
HCPCS,49566,Rerepair ventrl hern block,,,8190.0,9420.0,2
HCPCS,49568,Hernia repair w/mesh,,,428.0,490.0,2
HCPCS,49570,Rpr epigastric hern reduce,,,5567.0,6404.0,2
HCPCS,49572,Rpr epigastric hern blocked,,,6962.0,8006.0,2
HCPCS,49580,Rpr umbil hern reduc < 5 yr,,,4457.0,5123.0,2
HCPCS,49582,Rpr umbil hern block < 5 yr,,,3563.0,4097.0,2
HCPCS,49585,Rpr umbil hern reduc > 5 yr,,,5567.0,6404.0,2
HCPCS,49587,Rpr umbil hern block > 5 yr,,,6962.0,8006.0,2
HCPCS,49590,Repair spigelian hernia,,,6962.0,8006.0,2
HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,4224.0,8006.0,9
HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,4224.0,13320.0,9
HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,4224.0,8030.21,9
HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,4224.0,13320.0,9
HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,4224.0,8030.21,9
HCPCS,49596,Rpr aa hrn 1st > 10 ncr/strn,,,4224.0,13320.0,6
HCPCS,49600,Repair umbilical lesion,,,4224.0,6312.0,9
HCPCS,49605,Repair umbilical lesion,,,4224.0,18617.0,6
HCPCS,49606,Repair umbilical lesion,,,1406.0,18617.0,6
HCPCS,49610,Repair umbilical lesion,,,1406.0,18617.0,6
HCPCS,49611,Repair umbilical lesion,,,1406.0,18617.0,6
HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,4224.0,8006.0,9
HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,3291.0,13320.0,9
HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,4224.0,8030.21,9
HCPCS,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,3291.0,13320.0,6
HCPCS,49617,Rpr aa hrn rcr > 10 rdc,,,4224.0,8006.0,6
HCPCS,49618,Rpr aa hrn rcr > 10 ncr/strn,,,3291.0,13320.0,6
HCPCS,49621,Rpr parastomal hernia rdc,,,4224.0,6312.0,4
HCPCS,49622,Rpr parastomal hrna ncr/strn,,,3291.0,13320.0,4
HCPCS,49623,Rmvl ninfct mesh hernia rpr,,,1544.0,8006.0,4
HCPCS,49650,Lap ing hernia repair init,,,4224.0,11081.0,9
HCPCS,49651,Lap ing hernia repair recur,,,4147.0,11081.0,9
HCPCS,49652,Lap vent/abd hernia repair,,,9637.0,11081.0,2
HCPCS,49653,Lap vent/abd hern proc comp,,,11336.0,13036.0,2
HCPCS,49654,Lap inc hernia repair,,,13338.0,15339.0,2
HCPCS,49655,Lap inc hern repair comp,,,13338.0,15339.0,2
HCPCS,49656,Lap inc hernia repair recur,,,13338.0,15339.0,2
HCPCS,49657,Lap inc hern recur comp,,,13338.0,15339.0,2
HCPCS,49659,Laparo proc hernia repair,,,3291.0,18617.0,9
HCPCS,49900,Repair of abdominal wall,,,1406.0,18617.0,4
HCPCS,49904,Omental flap extra-abdom,,,1406.0,18617.0,4
HCPCS,49905,Omental flap intra-abdom,,,1406.0,18617.0,4
HCPCS,49906,Free omental flap microvasc,,,1406.0,18617.0,4
HCPCS,49999,Abdomen surgery procedure,,,1071.46,18617.0,9
HCPCS,50010,Exploration of kidney,,,1406.0,18617.0,4
HCPCS,50020,HC DRAIN PERIRENAL OR RENAL ABSCESS; OPEN,17923.0,17923.0,,,0
HCPCS,50020,Renal abscess open drain,,,2469.46,18617.0,9
HCPCS,50021,HC DRAIN RENAL ABSCESS; PERCUTANEOUS,3745.0,3745.0,,,0
HCPCS,50040,Drainage of kidney,,,3408.0,18617.0,6
HCPCS,50040,"HC NEPHROSTOMY, NEPHROTOMY WITH DRAINAGE",3552.0,3552.0,,,0
HCPCS,50045,Exploration of kidney,,,1406.0,18617.0,4
HCPCS,50060,Removal of kidney stone,,,1406.0,18617.0,6
HCPCS,50065,Incision of kidney,,,1406.0,18617.0,4
HCPCS,50070,Incision of kidney,,,1406.0,18617.0,4
HCPCS,50075,Removal of kidney stone,,,1406.0,18617.0,4
HCPCS,50080,Removal of kidney stone,,,4224.0,18617.0,9
HCPCS,50081,Removal of kidney stone,,,3291.0,18617.0,9
HCPCS,50100,Revise kidney blood vessels,,,1406.0,18617.0,4
HCPCS,50120,Exploration of kidney,,,1406.0,18617.0,4
HCPCS,50125,Explore and drain kidney,,,1406.0,18617.0,4
HCPCS,50130,Removal of kidney stone,,,1406.0,18617.0,4
HCPCS,50135,Exploration of kidney,,,1406.0,18617.0,4
HCPCS,50200,HC RENAL BIOPSY PERCUTANEOUS,2843.0,2843.0,,,0
HCPCS,50200,Renal biopsy perq,,,1544.0,4097.0,9
HCPCS,50205,Renal biopsy open,,,1406.0,18617.0,4
HCPCS,50220,Remove kidney open,,,1406.0,18617.0,4
HCPCS,50225,Removal kidney open complex,,,1406.0,18617.0,4
HCPCS,50230,Removal kidney open radical,,,1406.0,18617.0,4
HCPCS,50234,Removal of kidney & ureter,,,1406.0,18617.0,4
HCPCS,50236,Removal of kidney & ureter,,,1406.0,18617.0,4
HCPCS,50240,Partial removal of kidney,,,1406.0,18617.0,4
HCPCS,50250,Cryoablate renal mass open,,,4147.0,18617.0,4
HCPCS,50280,Removal of kidney lesion,,,1406.0,18617.0,4
HCPCS,50290,Removal of kidney lesion,,,1406.0,18617.0,4
HCPCS,50300,Remove cadaver donor kidney,,,1406.0,18617.0,4
HCPCS,50320,Remove kidney living donor,,,1406.0,18617.0,4
HCPCS,50323,Prep cadaver renal allograft,,,1406.0,18617.0,4
HCPCS,50325,Prep donor renal graft,,,1406.0,18617.0,4
HCPCS,50327,Prep renal graft/venous,,,1406.0,18617.0,4
HCPCS,50328,Prep renal graft/arterial,,,1406.0,18617.0,4
HCPCS,50329,Prep renal graft/ureteral,,,1406.0,18617.0,4
HCPCS,50340,Removal of kidney,,,1406.0,18617.0,4
HCPCS,50360,Transplantation of kidney,,,1406.0,18617.0,4
HCPCS,50365,Transplantation of kidney,,,1406.0,18617.0,4
HCPCS,50370,Remove transplanted kidney,,,1406.0,18617.0,4
HCPCS,50380,Reimplantation of kidney,,,1406.0,18617.0,4
HCPCS,50382,Change ureter stent percut,,,1544.0,4466.0,9
HCPCS,50384,"HC REMOVAL INDWELLING URETERAL STENT, PERQ  APPROACH",3449.0,3449.0,,,0
HCPCS,50384,Remove ureter stent percut,,,1544.0,4097.0,9
HCPCS,50385,Change stent via transureth,,,1544.0,7422.0,9
HCPCS,50386,Remove stent via transureth,,,1544.0,3314.0,9
HCPCS,50387,Change nephroureteral cath,,,1544.0,4466.0,9
HCPCS,50387,HC CHANGE EXT/INT URETER STENT,4311.0,4311.0,,,0
HCPCS,50389,HC REMOVE RENAL TUBE W/FLUORO,1310.0,1310.0,,,0
HCPCS,50389,Remove renal tube w/fluoro,,,823.75,3314.0,9
HCPCS,50390,Drainage of kidney lesion,,,836.55,3314.0,9
HCPCS,50390,HC ASP &/OR INJ OF RENAL CYST/PELVIS; PERC,2296.0,2296.0,,,0
HCPCS,50391,Instll rx agnt into rnal tub,,,295.16,3314.0,9
HCPCS,50392,HC PERCUT DRAIN OR INJECT RENAL PELVIS,1759.0,1759.0,,,0
HCPCS,50393,HC PERCUT DRAIN OR STENT PLACEMENT URETER,2110.0,2110.0,,,0
HCPCS,50394,HC INJECTION PROCEDURE FOR PYELOGRAPHY,365.0,365.0,,,0
HCPCS,50395,"HC Dilation for nephrostomy tract, percut",1966.0,1966.0,,,0
HCPCS,50396,Measure kidney pressure,,,823.75,3314.0,9
HCPCS,50398,HC CHANGE OF NEPHROSTOMY OR PYELOSTOMY TUBE,899.0,899.0,,,0
HCPCS,50400,Revision of kidney/ureter,,,1406.0,18617.0,4
HCPCS,50405,Revision of kidney/ureter,,,1406.0,18617.0,4
HCPCS,50430,"HC INJ PROC NEPHROSTOGRM &/ URETEROGRM, NEW ACCESS",2777.0,2777.0,,,0
HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,428.0,5098.0,9
HCPCS,50431,"HC INJ PROC NEPHROSTOGRM &/ URETEROGRM, EXIST ACCESS",2777.0,2777.0,,,0
HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,428.0,5098.0,9
HCPCS,50432,HC PLACEMENT NEPHROSTOMY CATHETER,4425.0,4425.0,,,0
HCPCS,50432,Plmt nephrostomy catheter,,,428.0,9918.0,9
HCPCS,50433,"HC PLACEMENT NEPHROURETERAL CATHETER, NEW ACCESS",4425.0,4425.0,,,0
HCPCS,50433,Plmt nephroureteral catheter,,,653.18,9918.0,9
HCPCS,50434,Convert nephrostomy catheter,,,653.18,5098.0,9
HCPCS,50434,HC CONVERT NEPHROSTOMY CATHETER,2436.0,2436.0,,,0
HCPCS,50435,Exchange nephrostomy cath,,,428.0,5098.0,9
HCPCS,50435,HC EXCHANGE NEPHROSTOMY CATHETER,3449.0,3449.0,,,0
HCPCS,50436,Dilat xst trc ndurlgc px,,,1544.0,13320.0,9
HCPCS,50436,"HC DILATION EXISTING TRACT, PERC, W/IMG GUIDE, POST TUBE PLACE",2768.0,2768.0,,,0
HCPCS,50437,Dilat xst trc new access rcs,,,2816.0,18617.0,9
HCPCS,50437,"HC DILAT EXIST TRACT, PERC, W/IMG GUIDE, POSTTUBEPLACE, NEWRENALACCESS",2878.0,2878.0,,,0
HCPCS,50500,Repair of kidney wound,,,1406.0,18617.0,4
HCPCS,50520,Close kidney-skin fistula,,,428.0,18617.0,6
HCPCS,50525,Close nephrovisceral fistula,,,1406.0,18617.0,4
HCPCS,50526,Close nephrovisceral fistula,,,1406.0,18617.0,4
HCPCS,50540,Revision of horseshoe kidney,,,1406.0,18617.0,4
HCPCS,50541,Laparo ablate renal cyst,,,3291.0,13185.37,9
HCPCS,50542,Laparo ablate renal mass,,,4147.0,18617.0,9
HCPCS,50543,Laparo partial nephrectomy,,,4147.0,18617.0,9
HCPCS,50544,Laparoscopy pyeloplasty,,,3291.0,17041.0,9
HCPCS,50545,Laparo Radical Nephrectomy,,,1406.0,18617.0,4
HCPCS,50546,Laparoscopic nephrectomy,,,3291.0,18617.0,4
HCPCS,50547,Laparo removal donor kidney,,,3291.0,18617.0,4
HCPCS,50548,Laparo remove w/ureter,,,3291.0,18617.0,4
HCPCS,50549,Laparoscope proc renal,,,3408.0,18617.0,9
HCPCS,50551,Kidney endoscopy,,,1544.0,11081.0,9
HCPCS,50553,Kidney endoscopy,,,1544.0,11081.0,9
HCPCS,50555,Kidney endoscopy & biopsy,,,1544.0,11742.31,9
HCPCS,50557,Kidney endoscopy & treatment,,,1544.0,13036.0,9
HCPCS,50561,Kidney endoscopy & treatment,,,1544.0,11081.0,9
HCPCS,50562,Renal scope w/tumor resect,,,2762.0,13036.0,9
HCPCS,50570,Kidney endoscopy,,,1544.0,4372.43,9
HCPCS,50572,Kidney endoscopy,,,428.0,3314.0,9
HCPCS,50574,Kidney endoscopy & biopsy,,,1544.0,11081.0,9
HCPCS,50575,Kidney endoscopy,,,1406.0,18617.0,9
HCPCS,50576,Kidney endoscopy & treatment,,,1544.0,18617.0,9
HCPCS,50580,Kidney endoscopy & treatment,,,1544.0,18617.0,9
HCPCS,50590,Fragmenting of kidney stone,,,4062.0,13320.0,9
HCPCS,50592,"HC ABLATION 1 OR MORE RENAL TUMORS PERCUTANEOUS, UNIL, RADIOFREQ",13066.0,13066.0,,,0
HCPCS,50592,Perc rf ablate renal tumor,,,2762.0,11081.0,9
HCPCS,50593,"HC ABLATION RENAL TUMOR(S),  UNIL, PERCUTANEOUS, CRYOTHERAPY",17542.0,17542.0,,,0
HCPCS,50593,Perc cryo ablate renal tum,,,4062.0,13320.0,9
HCPCS,50600,Exploration of ureter,,,3291.0,18617.0,4
HCPCS,50605,Insert ureteral support,,,3291.0,18617.0,4
HCPCS,50606,Endoluminal bx urtr rnl plvs,,,653.18,1866.0,4
HCPCS,50606,HC ENDOLUMINAL BX URETER AND/OR RENAL PELVIS,2436.0,2436.0,,,0
HCPCS,50610,Removal of ureter stone,,,3291.0,18617.0,4
HCPCS,50620,Removal of ureter stone,,,3291.0,18617.0,4
HCPCS,50630,Removal of ureter stone,,,3291.0,18617.0,4
HCPCS,50650,Removal of ureter,,,3560.0,18617.0,4
HCPCS,50660,Removal of ureter,,,3560.0,18617.0,4
HCPCS,50684,Injection for ureter x-ray,,,428.0,1866.0,4
HCPCS,50686,Measure ureter pressure,,,152.01,18617.0,9
HCPCS,50688,Change of ureter tube/stent,,,1544.0,4097.0,9
HCPCS,50688,HC CHANGE URETER TUBE/STENT,4049.0,4049.0,,,0
HCPCS,50690,HC INJECT ILEAL CONDUIT/URETEROPYELOGRAM,873.0,873.0,,,0
HCPCS,50690,Injection for ureter x-ray,,,428.0,1866.0,4
HCPCS,50693,"HC PLMT URETERAL STENT PRQ,  PRE-EXISTING NEPHR TRACT",6974.0,6974.0,,,0
HCPCS,50693,Plmt ureteral stent prq,,,428.0,13320.0,9
HCPCS,50694,"HC PLMT URETERAL STENT PRQ, NEW ACCESS, W/O SEPAR CATH",6974.0,6974.0,,,0
HCPCS,50694,Plmt ureteral stent prq,,,428.0,13320.0,9
HCPCS,50695,"HC PLMT URETERAL STENT PRQ, NEW ACCESS, W/ SEPAR CATH",6974.0,6974.0,,,0
HCPCS,50695,Plmt ureteral stent prq,,,428.0,13320.0,9
HCPCS,50700,Revision of ureter,,,1406.0,18617.0,4
HCPCS,50705,Ureteral embolization/occl,,,428.0,1866.0,4
HCPCS,50706,Balloon dilate urtrl strix,,,428.0,1866.0,4
HCPCS,50715,Release of ureter,,,1406.0,18617.0,4
HCPCS,50722,Release of ureter,,,1406.0,18617.0,4
HCPCS,50725,Release/revise ureter,,,1406.0,18617.0,4
HCPCS,50727,Revise ureter,,,1406.0,18617.0,9
HCPCS,50728,Revise ureter,,,1406.0,18617.0,4
HCPCS,50740,Fusion of ureter & kidney,,,1406.0,18617.0,4
HCPCS,50750,Fusion of ureter & kidney,,,1406.0,18617.0,4
HCPCS,50760,Fusion of ureters,,,1406.0,18617.0,4
HCPCS,50770,Splicing of ureters,,,1406.0,18617.0,4
HCPCS,50780,Reimplant ureter in bladder,,,1406.0,18617.0,4
HCPCS,50782,Reimplant ureter in bladder,,,1406.0,18617.0,4
HCPCS,50783,Reimplant ureter in bladder,,,1406.0,18617.0,4
HCPCS,50785,Reimplant ureter in bladder,,,1406.0,18617.0,4
HCPCS,50800,Implant ureter in bowel,,,1406.0,18617.0,4
HCPCS,50810,Fusion of ureter & bowel,,,1406.0,18617.0,4
HCPCS,50815,Urine shunt to intestine,,,1406.0,18617.0,4
HCPCS,50820,Construct bowel bladder,,,1406.0,18617.0,4
HCPCS,50825,Construct bowel bladder,,,1406.0,18617.0,4
HCPCS,50830,Revise urine flow,,,1406.0,18617.0,4
HCPCS,50840,Replace ureter by bowel,,,1406.0,18617.0,4
HCPCS,50845,Appendico-vesicostomy,,,1406.0,18617.0,4
HCPCS,50860,Transplant ureter to skin,,,1406.0,18617.0,4
HCPCS,50900,Repair of ureter,,,1406.0,18617.0,4
HCPCS,50920,Closure ureter/skin fistula,,,1406.0,18617.0,4
HCPCS,50930,Closure ureter/bowel fistula,,,1406.0,18617.0,4
HCPCS,50940,Release of ureter,,,1406.0,18617.0,4
HCPCS,50945,Laparoscopy ureterolithotomy,,,3560.0,9420.0,9
HCPCS,50947,Laparo New Ureter/Bladder,,,3560.0,17041.0,9
HCPCS,50948,Laparo New Ureter/Bladder,,,3560.0,17939.0,9
HCPCS,50949,Laparoscope proc ureter,,,3291.0,18617.0,9
HCPCS,50951,Endoscopy of ureter,,,1544.0,5123.0,9
HCPCS,50953,Endoscopy of ureter,,,1544.0,8006.0,9
HCPCS,50955,Ureter endoscopy & biopsy,,,1544.0,11081.0,9
HCPCS,50957,Ureter endoscopy & treatment,,,1544.0,9420.0,9
HCPCS,50961,Ureter endoscopy & treatment,,,1544.0,8006.0,9
HCPCS,50970,Ureter endoscopy,,,428.0,4372.43,9
HCPCS,50972,Ureter endoscopy & catheter,,,1544.0,8006.0,9
HCPCS,50974,Ureter endoscopy & biopsy,,,1544.0,11081.0,9
HCPCS,50976,Ureter endoscopy & treatment,,,1544.0,9420.0,9
HCPCS,50980,Ureter endoscopy & treatment,,,1544.0,9420.0,9
HCPCS,51020,Incise & treat bladder,,,4164.22,6404.0,9
HCPCS,51030,Incise & treat bladder,,,428.0,6312.0,6
HCPCS,51040,Incise & drain bladder,,,2469.46,6312.0,9
HCPCS,51045,Incise bladder/drain ureter,,,2469.46,6312.0,9
HCPCS,51050,Removal of bladder stone,,,4224.0,8006.0,9
HCPCS,51060,Removal of ureter stone,,,1406.0,18617.0,9
HCPCS,51065,Remove ureter calculus,,,4164.22,8006.0,9
HCPCS,51080,Drainage of bladder abscess,,,1544.0,4097.0,9
HCPCS,51080,HC DRAIN PERIVESICAL OR PREVESICAL ABSCESS,5341.0,5341.0,,,0
HCPCS,51100,Drain bladder by needle,,,295.16,18617.0,9
HCPCS,51101,Drain bladder by trocar/cath,,,1014.47,18617.0,9
HCPCS,51102,Drain bl w/cath insertion,,,1544.0,4466.0,9
HCPCS,51102,HC DRAIN BLADDER W/CATH INSERTION,4447.0,4447.0,,,0
HCPCS,51500,Removal of bladder cyst,,,4224.0,11081.0,9
HCPCS,51520,Removal of bladder lesion,,,4164.22,6312.0,9
HCPCS,51525,Removal of bladder lesion,,,1406.0,18617.0,4
HCPCS,51530,Removal of bladder lesion,,,1406.0,18617.0,4
HCPCS,51535,Repair of ureter lesion,,,1406.0,18617.0,9
HCPCS,51550,Partial removal of bladder,,,428.0,18617.0,6
HCPCS,51555,Partial removal of bladder,,,1406.0,18617.0,4
HCPCS,51565,Revise bladder & ureter(s),,,1406.0,18617.0,4
HCPCS,51570,Removal of bladder,,,1406.0,18617.0,4
HCPCS,51575,Removal of bladder & nodes,,,1406.0,18617.0,4
HCPCS,51580,Remove bladder/revise tract,,,1406.0,18617.0,4
HCPCS,51585,Removal of bladder & nodes,,,1406.0,18617.0,4
HCPCS,51590,Remove bladder/revise tract,,,1406.0,18617.0,4
HCPCS,51595,Remove bladder/revise tract,,,1406.0,18617.0,4
HCPCS,51596,Remove bladder/create pouch,,,1406.0,18617.0,4
HCPCS,51597,Removal of pelvic structures,,,1406.0,18617.0,4
HCPCS,51600,HC INJECTION CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY,662.0,662.0,,,0
HCPCS,51600,Injection for bladder x-ray,,,428.0,490.0,2
HCPCS,51605,HC INJ & PLACEMENT OF CONTRAST CHAINS,662.0,662.0,,,0
HCPCS,51605,Preparation for bladder xray,,,428.0,490.0,2
HCPCS,51610,HC INJ PROCEDURE FOR RETROGRADE URETHROCYSTOGRAPY,631.0,631.0,,,0
HCPCS,51610,Injection for bladder x-ray,,,428.0,490.0,2
HCPCS,51700,HC SIMPLE BLADDER IRRIGATE LAVAGE/INSTILL,438.0,438.0,,,0
HCPCS,51700,Irrigation of bladder,,,295.16,18617.0,9
HCPCS,51701,HC INSERT NON-DWELL BLADDER CATH,576.0,576.0,,,0
HCPCS,51701,Insert bladder catheter,,,157.18,1866.0,7
HCPCS,51702,HC INSERT TEMP BLADDER CATHETER,242.0,242.0,,,0
HCPCS,51702,Insert temp bladder cath,,,157.18,1866.0,7
HCPCS,51703,HC INSERT BLADDER CATHETER COMPLEX,201.0,201.0,,,0
HCPCS,51703,Insert bladder cath complex,,,152.01,3314.0,9
HCPCS,51705,Change of bladder tube,,,295.16,3314.0,9
HCPCS,51705,HC CHANGE OF CYSTOSTOMY TUBE; SIMPLE,438.0,438.0,,,0
HCPCS,51710,Change of bladder tube,,,823.75,3314.0,9
HCPCS,51715,Endoscopic injection/implant,,,3408.0,6404.0,9
HCPCS,51720,HC TREATMENT OF BLADDER LESION,2760.0,2760.0,,,0
HCPCS,51720,Treatment of bladder lesion,,,823.75,3314.0,9
HCPCS,51721,Ins trurl ablt trnsdc thr us,,,2816.0,18617.0,4
HCPCS,51725,Simple cystometrogram,,,295.16,3314.0,9
HCPCS,51726,Complex cystometrogram,,,295.16,3314.0,9
HCPCS,51727,Cystometrogram w/up,,,730.31,18617.0,11
HCPCS,51728,Cystometrogram w/vp,,,823.75,18617.0,9
HCPCS,51729,Cystometrogram w/vp&up,,,730.31,18617.0,11
HCPCS,51736,Urine flow measurement,,,131.22,18617.0,11
HCPCS,51741,Electro-uroflowmetry first,,,211.67,18617.0,11
HCPCS,51784,Anal/urinary muscle study,,,152.01,18617.0,11
HCPCS,51785,Anal/urinary muscle study,,,295.16,3314.0,11
HCPCS,51792,Urinary reflex study,,,69.69,18617.0,11
HCPCS,51797,Intraabdominal pressure test,,,428.0,1866.0,6
HCPCS,51798,HC US POST VOID RESIDUAL URINE,280.5,280.5,,,0
HCPCS,51798,Us urine capacity measure,,,45.56,18617.0,11
HCPCS,51800,Revision of bladder/urethra,,,4147.0,18617.0,4
HCPCS,51820,Revision of urinary tract,,,4147.0,18617.0,4
HCPCS,51840,Attach bladder/urethra,,,428.0,18617.0,9
HCPCS,51841,Attach bladder/urethra,,,4147.0,18617.0,4
HCPCS,51845,Repair bladder neck,,,3291.0,18617.0,9
HCPCS,51860,Repair of bladder wound,,,2816.0,18617.0,9
HCPCS,51865,Repair of bladder wound,,,4224.0,18617.0,6
HCPCS,51880,Repair of bladder opening,,,1544.0,6404.0,9
HCPCS,51900,Repair bladder/vagina lesion,,,428.0,18617.0,6
HCPCS,51920,Close bladder-uterus fistula,,,428.0,18617.0,6
HCPCS,51925,Hysterectomy/bladder repair,,,1406.0,18617.0,4
HCPCS,51940,Correction of bladder defect,,,1406.0,18617.0,4
HCPCS,51960,Revision of bladder & bowel,,,1406.0,18617.0,4
HCPCS,51980,Construct bladder opening,,,1406.0,18617.0,4
HCPCS,51990,Laparo urethral suspension,,,3291.0,13036.0,9
HCPCS,51992,Laparo sling operation,,,3291.0,11081.0,9
HCPCS,51999,Laparoscope proc bla,,,3408.0,18617.0,9
HCPCS,52000,Cystoscopy,,,823.75,3314.0,9
HCPCS,52001,Cystoscopy removal of clots,,,2816.0,6404.0,9
HCPCS,52005,Cystoscopy & ureter catheter,,,2469.46,5123.0,9
HCPCS,52007,Cystoscopy and biopsy,,,2816.0,8006.0,9
HCPCS,52010,Cystoscopy & duct catheter,,,823.75,11081.0,9
HCPCS,52204,Cystoscopy w/biopsy(s),,,2469.46,5123.0,9
HCPCS,52214,Cystoscopy and treatment,,,2816.0,5123.0,9
HCPCS,52224,Cystoscopy and treatment,,,2816.0,5123.0,9
HCPCS,52234,Cystoscopy and treatment,,,2816.0,6404.0,9
HCPCS,52235,Cystoscopy and treatment,,,3408.0,6404.0,9
HCPCS,52240,Cystoscopy and treatment,,,3408.0,8006.0,9
HCPCS,52250,Cystoscopy and radiotracer,,,4164.22,8006.0,9
HCPCS,52260,Cystoscopy and treatment,,,2469.46,4466.0,9
HCPCS,52265,Cystoscopy and treatment,,,2469.46,4166.0,9
HCPCS,52270,Cystoscopy & revise urethra,,,2469.46,4466.0,9
HCPCS,52275,Cystoscopy & revise urethra,,,2469.46,5123.0,9
HCPCS,52276,Cystoscopy and treatment,,,2469.46,5123.0,9
HCPCS,52277,Cystoscopy and treatment,,,2816.0,6404.0,9
HCPCS,52281,Cystoscopy and treatment,,,2469.46,4466.0,9
HCPCS,52282,Cystoscopy implant stent,,,3408.0,13320.0,9
HCPCS,52283,Cystoscopy and treatment,,,2469.46,5123.0,9
HCPCS,52284,Cysto rx balo cath urtl strx,,,3408.0,13320.0,7
HCPCS,52285,Cystoscopy and treatment,,,823.75,4466.0,9
HCPCS,52287,Cystoscopy chemodenervation,,,2469.46,7422.0,9
HCPCS,52290,Cystoscopy and treatment,,,2469.46,5123.0,9
HCPCS,52300,Cystoscopy and treatment,,,2816.0,5123.0,9
HCPCS,52301,Cystoscopy and treatment,,,3408.0,6404.0,9
HCPCS,52305,Cystoscopy and treatment,,,2816.0,8006.0,9
HCPCS,52310,Cystoscopy and treatment,,,2469.46,4466.0,9
HCPCS,52315,Cystoscopy and treatment,,,2469.46,5123.0,9
HCPCS,52317,Remove bladder stone,,,1544.0,8006.0,9
HCPCS,52318,Remove bladder stone,,,2816.0,8006.0,9
HCPCS,52320,Cystoscopy and treatment,,,3291.0,8006.0,9
HCPCS,52325,Cystoscopy stone removal,,,4224.0,9420.0,9
HCPCS,52327,Cystoscopy inject material,,,2816.0,8006.0,9
HCPCS,52330,Cystoscopy and treatment,,,2816.0,8006.0,9
HCPCS,52332,Cystoscopy and treatment,,,2816.0,6404.0,9
HCPCS,52332,HC CYSTOSCOPY W INSERT INDWELLING URETER STENT,3355.0,3355.0,,,0
HCPCS,52334,Create passage to kidney,,,3408.0,6404.0,9
HCPCS,52341,Cysto W/Ureter Stricture Tx,,,3408.0,6404.0,9
HCPCS,52342,Cysto W/Up Stricture Tx,,,3408.0,8006.0,9
HCPCS,52343,Cysto W/Renal Stricture Tx,,,3408.0,5098.0,9
HCPCS,52344,Cysto/uretero stricture tx,,,3408.0,8006.0,9
HCPCS,52345,Cysto/Uretero W/Up Stricture,,,3408.0,8006.0,9
HCPCS,52346,Cystouretero W/Renal Strict,,,3408.0,9420.0,9
HCPCS,52351,Cystouretero & or pyeloscope,,,3408.0,5123.0,9
HCPCS,52351,"HC CYSTOURETHROSCOPY, WITH URETEROSCOPY, DX",3912.0,3912.0,,,0
HCPCS,52352,Cystouretero w/stone remove,,,4164.22,8006.0,9
HCPCS,52352,HC CYSTO W/URETEROSCOPY W/REMOVAL/MANIPULATION STONES,6084.0,6084.0,,,0
HCPCS,52353,Cystouretero W/Lithotripsy,,,4224.0,8006.0,9
HCPCS,52354,Cystouretero W/Biopsy,,,4224.0,9420.0,9
HCPCS,52355,Cystouretero W/Excise Tumor,,,4224.0,9420.0,9
HCPCS,52356,Cysto/uretero w/lithotripsy,,,4224.0,13320.0,9
HCPCS,52400,Cystouretero W/Congen Repr,,,3408.0,5123.0,9
HCPCS,52402,Cystourethro cut ejacul duct,,,3408.0,6404.0,9
HCPCS,52441,Cystourethro w/implant,,,3408.0,18617.0,4
HCPCS,52442,Cystourethro w/addl implant,,,1544.0,18617.0,4
HCPCS,52443,Cysto 1st trurl prst8 comis,,,3408.0,18617.0,7
HCPCS,52450,Incision of prostate,,,3408.0,6404.0,9
HCPCS,52500,Revision of bladder neck,,,3408.0,6404.0,9
HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,2816.0,18617.0,7
HCPCS,52601,Prostatectomy (TURP),,,4224.0,9420.0,9
HCPCS,52630,Remove prostate regrowth,,,2816.0,8006.0,9
HCPCS,52640,Relieve bladder contracture,,,2816.0,6404.0,9
HCPCS,52647,Laser surgery of prostate,,,3291.0,13320.0,6
HCPCS,52648,Laser surgery of prostate,,,3291.0,13320.0,9
HCPCS,52649,Prostate laser enucleation,,,3291.0,13320.0,9
HCPCS,52700,Drainage of prostate abscess,,,2816.0,8006.0,9
HCPCS,53000,Incision of urethra,,,1544.0,6404.0,9
HCPCS,53010,Incision of urethra,,,1544.0,8006.0,9
HCPCS,53020,Incision of urethra,,,1544.0,4097.0,9
HCPCS,53025,Incision of urethra,,,428.0,18617.0,9
HCPCS,53040,Drainage of urethra abscess,,,2816.0,9420.0,9
HCPCS,53060,Drainage of urethra abscess,,,1544.0,18617.0,9
HCPCS,53080,Drainage of urinary leakage,,,428.0,5098.0,9
HCPCS,53085,Drainage of urinary leakage,,,1406.0,18617.0,9
HCPCS,53200,Biopsy of urethra,,,1544.0,6404.0,9
HCPCS,53210,Removal of urethra,,,3291.0,8006.0,9
HCPCS,53215,Removal of urethra,,,3291.0,11081.0,9
HCPCS,53220,Treatment of urethra lesion,,,2816.0,8006.0,9
HCPCS,53230,Removal of urethra lesion,,,2816.0,8006.0,9
HCPCS,53235,Removal of urethra lesion,,,3408.0,9420.0,9
HCPCS,53240,Surgery for urethra pouch,,,2816.0,8006.0,9
HCPCS,53250,Removal of urethra gland,,,428.0,4466.0,9
HCPCS,53260,Treatment of urethra lesion,,,2816.0,5123.0,9
HCPCS,53265,Treatment of urethra lesion,,,2469.46,5123.0,9
HCPCS,53270,Removal of urethra gland,,,2816.0,6404.0,9
HCPCS,53275,Repair of urethra defect,,,2816.0,5123.0,9
HCPCS,53400,Revise urethra stage 1,,,3408.0,9420.0,9
HCPCS,53405,Revise urethra stage 2,,,2816.0,8006.0,9
HCPCS,53410,Reconstruction of urethra,,,2816.0,13036.0,9
HCPCS,53415,Reconstruction of urethra,,,1406.0,18617.0,4
HCPCS,53420,Reconstruct urethra stage 1,,,3408.0,11081.0,9
HCPCS,53425,Reconstruct urethra stage 2,,,2816.0,11081.0,9
HCPCS,53430,Reconstruction of urethra,,,2816.0,9420.0,9
HCPCS,53431,Reconstruct urethra/bladder,,,2816.0,11081.0,9
HCPCS,53440,Male sling procedure,,,2816.0,16365.32,9
HCPCS,53442,Remove/revise male sling,,,1544.0,9420.0,9
HCPCS,53444,Insert tandem cuff,,,2816.0,25708.93,9
HCPCS,53445,Insert uro/ves nck sphincter,,,1544.0,25708.93,9
HCPCS,53446,Remove uro sphincter,,,1544.0,8006.0,9
HCPCS,53447,Remove/replace ur sphincter,,,1544.0,25708.93,9
HCPCS,53448,Remov/replc ur sphinctr comp,,,1406.0,18617.0,4
HCPCS,53449,Repair uro sphincter,,,1544.0,11742.31,9
HCPCS,53450,Revision of urethra,,,1544.0,5123.0,9
HCPCS,53451,Tprnl balo cntnc dev bi,,,4224.0,18617.0,9
HCPCS,53452,Tprnl balo cntnc dev uni,,,3408.0,18617.0,9
HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,2816.0,18617.0,9
HCPCS,53454,Tprnl balo cntnc dev adjmt,,,295.16,3314.0,9
HCPCS,53460,Revision of urethra,,,1544.0,8006.0,9
HCPCS,53500,Urethrlys transvag w/ scope,,,3291.0,18617.0,9
HCPCS,53502,Repair of urethra injury,,,2816.0,6404.0,9
HCPCS,53505,Repair of urethra injury,,,2816.0,9420.0,9
HCPCS,53510,Repair of urethra injury,,,2816.0,9420.0,9
HCPCS,53515,Repair of urethra injury,,,2816.0,8006.0,9
HCPCS,53520,Repair of urethra defect,,,2816.0,8006.0,9
HCPCS,53600,Dilate urethra stricture,,,295.16,3314.0,9
HCPCS,53601,Dilate urethra stricture,,,157.18,3314.0,9
HCPCS,53605,Dilate urethra stricture,,,2816.0,5123.0,9
HCPCS,53620,Dilate urethra stricture,,,823.75,18617.0,9
HCPCS,53621,Dilate urethra stricture,,,295.16,3314.0,9
HCPCS,53640,Description Not Available,,,1406.0,18617.0,4
HCPCS,53660,Dilation of urethra,,,152.01,18617.0,9
HCPCS,53661,Dilation of urethra,,,157.18,18617.0,9
HCPCS,53665,Dilation of urethra,,,1544.0,4097.0,9
HCPCS,53850,Prostatic microwave thermotx,,,4062.0,18617.0,9
HCPCS,53852,Prostatic rf thermotx,,,2816.0,18617.0,9
HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,2816.0,13320.0,9
HCPCS,53855,Insert prost urethral stent,,,1544.0,18617.0,9
HCPCS,53860,Transurethral rf treatment,,,428.0,9918.0,9
HCPCS,53865,Cysto insj dev ischmc rmdlg,,,3408.0,18617.0,7
HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,295.16,18617.0,7
HCPCS,53899,Urology surgery procedure,,,295.16,18617.0,9
HCPCS,54000,Slitting of prepuce,,,428.0,4466.0,9
HCPCS,54001,Slitting of prepuce,,,2469.46,4466.0,9
HCPCS,54015,Drain penis lesion,,,1951.11,6312.0,9
HCPCS,54050,Destruction penis lesion(s),,,480.23,18617.0,9
HCPCS,54055,Destruction penis lesion(s),,,1406.0,18617.0,9
HCPCS,54056,Cryosurgery penis lesion(s),,,237.02,18617.0,9
HCPCS,54057,Laser surg penis lesion(s),,,1544.0,4097.0,9
HCPCS,54060,Excision of penis lesion(s),,,1544.0,4097.0,9
HCPCS,54065,Destruction penis lesion(s),,,1544.0,4097.0,9
HCPCS,54100,Biopsy of penis,,,1544.0,4097.0,9
HCPCS,54105,Biopsy of penis,,,1544.0,5123.0,9
HCPCS,54110,Treatment of penis lesion,,,2816.0,8006.0,9
HCPCS,54111,Treat penis lesion graft,,,2816.0,11081.0,9
HCPCS,54112,Treat penis lesion graft,,,2816.0,17041.0,9
HCPCS,54115,Treatment of penis lesion,,,1544.0,6404.0,9
HCPCS,54120,Partial removal of penis,,,2816.0,8006.0,9
HCPCS,54125,Removal of penis,,,428.0,18617.0,6
HCPCS,54130,Remove penis & nodes,,,1406.0,18617.0,4
HCPCS,54135,Remove penis & nodes,,,1406.0,18617.0,4
HCPCS,54150,Circumcision w/regionl block,,,1544.0,5123.0,9
HCPCS,54160,Circumcision neonate,,,823.75,5123.0,9
HCPCS,54161,Circum 28 days or older,,,2469.46,5123.0,9
HCPCS,54162,Lysis penil circumic lesion,,,2469.46,5123.0,9
HCPCS,54163,Repair of circumcision,,,2469.46,5123.0,9
HCPCS,54164,Frenulotomy of penis,,,2469.46,5123.0,9
HCPCS,54200,Treatment of penis lesion,,,295.16,3314.0,9
HCPCS,54205,Treatment of penis lesion,,,4224.0,9420.0,9
HCPCS,54220,HC IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM,438.0,438.0,,,0
HCPCS,54220,Treatment of penis lesion,,,295.16,3314.0,9
HCPCS,54230,Prepare penis study,,,428.0,1866.0,4
HCPCS,54231,Dynamic cavernosometry,,,295.16,18617.0,9
HCPCS,54235,Penile injection,,,295.16,18617.0,9
HCPCS,54240,Penis study,,,255.08,18617.0,11
HCPCS,54250,Penis study,,,295.16,18617.0,11
HCPCS,54300,Revision of penis,,,3408.0,5123.0,9
HCPCS,54304,Revision of penis,,,3408.0,6404.0,9
HCPCS,54308,Reconstruction of urethra,,,3408.0,11081.0,9
HCPCS,54312,Reconstruction of urethra,,,428.0,5098.0,9
HCPCS,54316,Reconstruction of urethra,,,3408.0,11742.31,9
HCPCS,54318,Reconstruction of urethra,,,428.0,5098.0,9
HCPCS,54322,Reconstruction of urethra,,,3408.0,6404.0,9
HCPCS,54324,Reconstruction of urethra,,,3408.0,9420.0,9
HCPCS,54326,Reconstruction of urethra,,,3408.0,13036.0,9
HCPCS,54328,Revise penis/urethra,,,428.0,5098.0,9
HCPCS,54332,Revise penis/urethra,,,3291.0,18617.0,9
HCPCS,54336,Revise penis/urethra,,,428.0,18617.0,9
HCPCS,54340,Secondary urethral surgery,,,3408.0,8006.0,9
HCPCS,54344,Secondary urethral surgery,,,3408.0,13036.0,9
HCPCS,54348,Secondary urethral surgery,,,3408.0,13036.0,9
HCPCS,54352,Reconstruct urethra/penis,,,3408.0,18686.0,9
HCPCS,54360,Penis plastic surgery,,,3408.0,8006.0,9
HCPCS,54380,Repair penis,,,428.0,5098.0,9
HCPCS,54385,Repair penis,,,2469.46,5098.0,9
HCPCS,54390,Repair penis and bladder,,,1406.0,18617.0,4
HCPCS,54400,Insert semi-rigid prosthesis,,,3408.0,16365.32,9
HCPCS,54401,Insert self-contd prosthesis,,,3408.0,25708.93,9
HCPCS,54405,Insert multi-comp penis pros,,,3408.0,25708.93,9
HCPCS,54406,Remove muti-comp penis pros,,,3408.0,8006.0,9
HCPCS,54408,Repair multi-comp penis pros,,,3408.0,9420.0,9
HCPCS,54410,Remove/replace penis prosth,,,3408.0,25708.93,9
HCPCS,54411,Remov/replc penis pros comp,,,3291.0,25708.93,9
HCPCS,54415,Remove self-contd penis pros,,,3408.0,5123.0,9
HCPCS,54416,Remv/repl penis contain pros,,,3408.0,25708.93,9
HCPCS,54417,Remv/replc penis pros compl,,,4224.0,25708.93,9
HCPCS,54420,Revision of penis,,,3563.0,6312.0,9
HCPCS,54430,Revision of penis,,,1406.0,18617.0,4
HCPCS,54435,Revision of penis,,,4164.22,6312.0,9
HCPCS,54437,Repair corporeal tear,,,428.0,9918.0,9
HCPCS,54438,Replantation of penis,,,1406.0,18617.0,4
HCPCS,54440,Repair of penis,,,4164.22,8006.0,9
HCPCS,54450,HC FORESKIN MANIPULATION INCL LYSIS OF ADHESIONS,811.0,811.0,,,0
HCPCS,54450,Preputial stretching,,,295.16,3314.0,9
HCPCS,54500,Biopsy of testis,,,1544.0,6404.0,9
HCPCS,54505,Biopsy of testis,,,1544.0,6404.0,9
HCPCS,54512,Excise Lesion Testis,,,2816.0,5123.0,9
HCPCS,54520,Removal of testis,,,3408.0,6404.0,9
HCPCS,54522,Orchiectomy partial,,,3408.0,5123.0,9
HCPCS,54530,Removal of testis,,,4224.0,6404.0,9
HCPCS,54535,Extensive testis surgery,,,1406.0,18617.0,9
HCPCS,54550,Exploration for testis,,,4224.0,6404.0,9
HCPCS,54560,Exploration for testis,,,428.0,18617.0,9
HCPCS,54600,Reduce testis torsion,,,4164.22,8006.0,9
HCPCS,54620,Suspension of testis,,,3408.0,6404.0,9
HCPCS,54640,Suspension of testis,,,4224.0,6404.0,9
HCPCS,54650,Orchiopexy (Fowler-Stephens),,,3563.0,18617.0,9
HCPCS,54660,Revision of testis,,,2816.0,13036.0,9
HCPCS,54670,Repair testis injury,,,2138.0,5098.0,9
HCPCS,54680,Relocation of testis(es),,,428.0,5098.0,9
HCPCS,54690,Laparoscopy orchiectomy,,,3560.0,13320.0,9
HCPCS,54692,Laparoscopy orchiopexy,,,428.0,7498.94,9
HCPCS,54699,Laparoscope proc testis,,,428.0,18617.0,9
HCPCS,54700,Drainage of scrotum,,,2469.46,4466.0,9
HCPCS,54800,Biopsy of epididymis,,,1544.0,4097.0,9
HCPCS,54830,Remove epididymis lesion,,,3408.0,5123.0,9
HCPCS,54840,Remove epididymis lesion,,,2469.46,6312.0,9
HCPCS,54860,Removal of epididymis,,,3408.0,5123.0,9
HCPCS,54861,Removal of epididymis,,,4164.22,6404.0,9
HCPCS,54865,Explore Epididymis,,,1544.0,6404.0,9
HCPCS,54900,Fusion of spermatic ducts,,,428.0,6312.0,9
HCPCS,54901,Fusion of spermatic ducts,,,428.0,6312.0,9
HCPCS,55000,Drainage of hydrocele,,,836.55,18617.0,9
HCPCS,55040,Removal of hydrocele,,,3408.0,5123.0,9
HCPCS,55041,Removal of hydroceles,,,3291.0,7422.0,9
HCPCS,55060,Repair of hydrocele,,,4164.22,6312.0,9
HCPCS,55100,Drainage of scrotum abscess,,,1544.0,3314.0,9
HCPCS,55100,HC DRAINAGE OF SCROTAL WALL ABSCESS,2072.0,2072.0,,,0
HCPCS,55110,Explore scrotum,,,2816.0,5123.0,9
HCPCS,55120,Removal of scrotum lesion,,,2469.46,4466.0,9
HCPCS,55150,Removal of scrotum,,,1544.0,8006.0,9
HCPCS,55175,Revision of scrotum,,,1544.0,8006.0,9
HCPCS,55180,Revision of scrotum,,,2816.0,8006.0,9
HCPCS,55200,Incision of sperm duct,,,428.0,4466.0,9
HCPCS,55250,Removal of sperm duct(s),,,2469.46,4466.0,9
HCPCS,55300,Prepare sperm duct x-ray,,,428.0,4166.0,4
HCPCS,55400,Repair of sperm duct,,,1544.0,5123.0,9
HCPCS,55500,Removal of hydrocele,,,3408.0,5123.0,9
HCPCS,55520,Removal of sperm cord lesion,,,4164.22,6404.0,9
HCPCS,55530,Revise spermatic cord veins,,,4164.22,6404.0,9
HCPCS,55535,Revise spermatic cord veins,,,4224.0,8030.21,9
HCPCS,55540,Revise hernia & sperm veins,,,3291.0,8006.0,9
HCPCS,55550,Laparo ligate spermatic vein,,,3560.0,13320.0,9
HCPCS,55559,Laparo proc spermatic cord,,,3408.0,18617.0,9
HCPCS,55600,Incise sperm duct pouch,,,428.0,3314.0,9
HCPCS,55605,Incise sperm duct pouch,,,428.0,18617.0,6
HCPCS,55650,Remove sperm duct pouch,,,428.0,18617.0,6
HCPCS,55680,Remove sperm pouch lesion,,,428.0,4372.43,9
HCPCS,55700,Biopsy of prostate,,,2816.0,4466.0,6
HCPCS,55700,HC PROSTATE NDL/PUNCH BIOPSY;SGL/MULT,2569.0,2569.0,,,0
HCPCS,55705,Biopsy of prostate,,,2816.0,5123.0,9
HCPCS,55706,Prostate saturation sampling,,,2816.0,6404.0,9
HCPCS,55707,Bx prst8 trct us guided,,,2816.0,18617.0,7
HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,2816.0,18617.0,7
HCPCS,55709,Bx prst8 tprnl us guided,,,2816.0,18617.0,7
HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,2816.0,18617.0,7
HCPCS,55711,Bx prst8 trct mri-us 1st,,,2816.0,18617.0,7
HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,2816.0,18617.0,7
HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,3408.0,18617.0,7
HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,3408.0,18617.0,7
HCPCS,55715,Bx prst8 ea add mri-us/ct/mr,,,1544.0,1866.0,2
HCPCS,55720,Drainage of prostate abscess,,,1544.0,4372.43,9
HCPCS,55725,Drainage of prostate abscess,,,2138.0,4466.0,9
HCPCS,55801,Removal of prostate,,,1406.0,18617.0,4
HCPCS,55810,Extensive prostate surgery,,,1406.0,18617.0,4
HCPCS,55812,Extensive prostate surgery,,,1406.0,18617.0,4
HCPCS,55815,Extensive prostate surgery,,,1406.0,18617.0,4
HCPCS,55821,Removal of prostate,,,1406.0,18617.0,4
HCPCS,55831,Removal of prostate,,,1406.0,18617.0,4
HCPCS,55840,Extensive prostate surgery,,,428.0,18617.0,6
HCPCS,55842,Extensive prostate surgery,,,1406.0,18617.0,4
HCPCS,55845,Extensive prostate surgery,,,428.0,18617.0,6
HCPCS,55860,Surgical exposure prostate,,,1544.0,18617.0,9
HCPCS,55862,Extensive prostate surgery,,,1406.0,18617.0,4
HCPCS,55865,Extensive prostate surgery,,,1406.0,18617.0,4
HCPCS,55866,Laparo radical prostatectomy,,,428.0,18617.0,9
HCPCS,55867,Laps surg prst8ect smpl stot,,,3291.0,18617.0,9
HCPCS,55868,Lap srg prst8ct lymph nod bx,,,3291.0,18617.0,7
HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,3291.0,18617.0,7
HCPCS,55870,Electroejaculation,,,855.0,3314.0,9
HCPCS,55873,Cryoablate Prostate,,,3560.0,13320.0,9
HCPCS,55874,"HC TRNSPERNEAL PLCMNT BDGRDABL MATRL, PERI-PROSTATIC,  1+  INJ, W/IMAG",18323.0,18323.0,,,0
HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,1544.0,13320.0,9
HCPCS,55875,HC TRANSPERINEAL PROSTATE PLACEMENT NEEDLES/CATHETERS FOR BRACHYTHERAPY,11000.0,11000.0,,,0
HCPCS,55875,Transperi needle place pros,,,3408.0,13320.0,9
HCPCS,55876,"HC PLMT INTERSTITIAL DEVICE RAD THERAPY, PROSTATE, 1/MULTI",5867.0,5867.0,,,0
HCPCS,55876,Place rt device/marker pros,,,1544.0,4097.0,9
HCPCS,55877,Abltj ire prst8 1+ tum perq,,,2816.0,18617.0,7
HCPCS,55880,Abltj mal prst8 tiss hifu,,,2816.0,13320.0,9
HCPCS,55881,Ablt trurl prst8 tis thrm us,,,2816.0,18617.0,4
HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,3408.0,18617.0,7
HCPCS,55899,Genital surgery procedure,,,295.16,18617.0,9
HCPCS,55920,Place needles pelvic for rt,,,1544.0,13320.0,9
HCPCS,55970,Sex transformation m to f,,,1406.0,18617.0,9
HCPCS,55980,Sex transformation f to m,,,1406.0,18617.0,9
HCPCS,56300,Description Not Available,,,1406.0,18617.0,4
HCPCS,56301,Description Not Available,,,1406.0,18617.0,4
HCPCS,56302,Description Not Available,,,1406.0,18617.0,4
HCPCS,56303,Description Not Available,,,1406.0,18617.0,4
HCPCS,56304,Description Not Available,,,1406.0,18617.0,4
HCPCS,56305,Description Not Available,,,1406.0,18617.0,4
HCPCS,56306,Description Not Available,,,1406.0,18617.0,4
HCPCS,56307,Description Not Available,,,1406.0,18617.0,4
HCPCS,56308,Description Not Available,,,1406.0,18617.0,4
HCPCS,56309,Description Not Available,,,1406.0,18617.0,4
HCPCS,56310,Description Not Available,,,1406.0,18617.0,4
HCPCS,56311,Description Not Available,,,1406.0,18617.0,4
HCPCS,56312,Description Not Available,,,1406.0,18617.0,4
HCPCS,56313,Description Not Available,,,1406.0,18617.0,4
HCPCS,56314,Description Not Available,,,1406.0,18617.0,4
HCPCS,56315,Description Not Available,,,1406.0,18617.0,4
HCPCS,56316,Description Not Available,,,1406.0,18617.0,4
HCPCS,56317,Description Not Available,,,1406.0,18617.0,4
HCPCS,56318,Description Not Available,,,1406.0,18617.0,4
HCPCS,56320,Description Not Available,,,1406.0,18617.0,4
HCPCS,56322,Description Not Available,,,1406.0,18617.0,4
HCPCS,56323,Description Not Available,,,1406.0,18617.0,4
HCPCS,56324,Description Not Available,,,1406.0,18617.0,4
HCPCS,56340,Description Not Available,,,1406.0,18617.0,4
HCPCS,56341,Description Not Available,,,1406.0,18617.0,4
HCPCS,56342,Description Not Available,,,1406.0,18617.0,4
HCPCS,56343,Description Not Available,,,1406.0,18617.0,4
HCPCS,56344,Description Not Available,,,1406.0,18617.0,4
HCPCS,56345,Description Not Available,,,1406.0,18617.0,4
HCPCS,56346,Description Not Available,,,1406.0,18617.0,4
HCPCS,56347,Description Not Available,,,1406.0,18617.0,4
HCPCS,56348,Description Not Available,,,1406.0,18617.0,4
HCPCS,56349,Description Not Available,,,1406.0,18617.0,4
HCPCS,56350,Description Not Available,,,1406.0,18617.0,4
HCPCS,56351,Description Not Available,,,1406.0,18617.0,4
HCPCS,56352,Description Not Available,,,1406.0,18617.0,4
HCPCS,56353,Description Not Available,,,1406.0,18617.0,4
HCPCS,56354,Description Not Available,,,1406.0,18617.0,4
HCPCS,56355,Description Not Available,,,1406.0,18617.0,4
HCPCS,56356,Description Not Available,,,1406.0,18617.0,4
HCPCS,56360,Description Not Available,,,1406.0,18617.0,4
HCPCS,56361,Description Not Available,,,1406.0,18617.0,4
HCPCS,56362,Description Not Available,,,1406.0,18617.0,4
HCPCS,56363,Description Not Available,,,1406.0,18617.0,4
HCPCS,56399,Description Not Available,,,1406.0,18617.0,4
HCPCS,56405,HC INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS,638.0,638.0,,,0
HCPCS,56405,I & D of vulva/perineum,,,359.99,4466.0,9
HCPCS,56420,Drainage of gland abscess,,,238.83,3314.0,9
HCPCS,56420,HC INCISION AND DRAINAGE OF BARTHOLIN'S GLAND ABSCESS,638.0,638.0,,,0
HCPCS,56440,Surgery for vulva lesion,,,2816.0,4466.0,9
HCPCS,56441,Lysis of labial lesion(s),,,1544.0,4097.0,9
HCPCS,56442,Hymenotomy,,,1544.0,4097.0,9
HCPCS,56501,Destroy vulva lesions sim,,,1544.0,18617.0,9
HCPCS,56515,Destroy vulva lesion/s compl,,,2437.45,5123.0,9
HCPCS,56605,Biopsy of vulva/perineum,,,1088.08,3314.0,9
HCPCS,56606,Biopsy of vulva/perineum,,,428.0,1866.0,4
HCPCS,56620,Partial removal of vulva,,,3291.0,7422.0,9
HCPCS,56625,Complete removal of vulva,,,3560.0,9918.0,9
HCPCS,56630,Extensive vulva surgery,,,428.0,18617.0,9
HCPCS,56631,Extensive vulva surgery,,,1406.0,18617.0,4
HCPCS,56632,Extensive vulva surgery,,,1406.0,18617.0,4
HCPCS,56633,Extensive vulva surgery,,,1406.0,18617.0,4
HCPCS,56634,Extensive vulva surgery,,,1406.0,18617.0,4
HCPCS,56637,Extensive vulva surgery,,,1406.0,18617.0,4
HCPCS,56640,Extensive vulva surgery,,,1406.0,18617.0,4
HCPCS,56700,Partial removal of hymen,,,1544.0,4097.0,9
HCPCS,56740,Remove vagina gland lesion,,,3408.0,6404.0,9
HCPCS,56800,Repair of vagina,,,3408.0,6404.0,9
HCPCS,56805,Repair clitoris,,,428.0,18617.0,9
HCPCS,56810,Repair of perineum,,,3291.0,7422.0,9
HCPCS,56820,Exam of vulva w/scope,,,238.83,18617.0,9
HCPCS,56821,Exam/biopsy of vulva w/scope,,,359.99,3314.0,9
HCPCS,57000,Exploration of vagina,,,1544.0,5123.0,9
HCPCS,57010,Drainage of pelvic abscess,,,2816.0,6404.0,9
HCPCS,57020,Drainage of pelvic fluid,,,2816.0,6205.1,9
HCPCS,57022,I & d vaginal hematoma pp,,,2138.0,18617.0,9
HCPCS,57023,I & d vag hematoma non-ob,,,1544.0,6404.0,9
HCPCS,57061,Destroy vag lesions simple,,,1544.0,18617.0,9
HCPCS,57065,Destroy vag lesions complex,,,1544.0,5123.0,9
HCPCS,57100,Biopsy of vagina,,,1088.08,3314.0,9
HCPCS,57105,Biopsy of vagina,,,2816.0,5123.0,9
HCPCS,57106,Remove vagina wall partial,,,3408.0,18617.0,9
HCPCS,57107,Remove vagina tissue part,,,2816.0,18617.0,9
HCPCS,57108,Description Not Available,,,1406.0,18617.0,4
HCPCS,57109,Vaginectomy partial w/nodes,,,1544.0,18686.0,9
HCPCS,57110,Remove vagina wall complete,,,3408.0,18617.0,4
HCPCS,57111,Remove vagina tissue compl,,,3408.0,18617.0,4
HCPCS,57120,Closure of vagina,,,3291.0,18617.0,9
HCPCS,57130,Remove vagina lesion,,,2816.0,5123.0,9
HCPCS,57135,Remove vagina lesion,,,2816.0,5123.0,9
HCPCS,57150,Treat vagina infection,,,69.69,18617.0,9
HCPCS,57155,HC INSERT UTERINE TANDEM/OVOIDS,3981.0,3981.0,,,0
HCPCS,57155,Insert uteri tandem/ovoids,,,2816.0,6404.0,9
HCPCS,57156,HC INSERTION VAGINAL RADIATION DEVICE,4805.0,4805.0,,,0
HCPCS,57156,Ins vag brachytx device,,,359.99,4166.0,9
HCPCS,57160,HC FIT AND INSERT PESSARY,638.0,638.0,,,0
HCPCS,57160,Insert pessary/other device,,,238.83,18617.0,9
HCPCS,57170,Fitting of diaphragm/cap,,,238.83,18617.0,9
HCPCS,57180,Treat vaginal bleeding,,,238.83,3314.0,9
HCPCS,57200,HC HC REPAIR OF VAGINA,5869.0,5869.0,,,0
HCPCS,57200,Repair of vagina,,,1544.0,6404.0,9
HCPCS,57210,Repair vagina/perineum,,,2816.0,6404.0,9
HCPCS,57220,Revision of urethra,,,3408.0,11081.0,9
HCPCS,57230,Repair of urethral lesion,,,3408.0,8006.0,9
HCPCS,57240,Repair bladder & vagina,,,3291.0,9420.0,9
HCPCS,57250,Repair rectum & vagina,,,3291.0,9420.0,9
HCPCS,57260,Repair of vagina,,,3291.0,11081.0,9
HCPCS,57265,Extensive repair of vagina,,,4147.0,11081.0,9
HCPCS,57267,Insert mesh/pelvic flr addon,,,428.0,5028.0,4
HCPCS,57268,Repair of bowel bulge,,,3408.0,8006.0,9
HCPCS,57270,Repair of bowel pouch,,,1406.0,18617.0,4
HCPCS,57280,Suspension of vagina,,,3291.0,18617.0,4
HCPCS,57282,Colpopexy extraperitoneal,,,3291.0,18617.0,9
HCPCS,57283,Colpopexy intraperitoneal,,,3291.0,18617.0,9
HCPCS,57284,Repair paravag defect open,,,3291.0,18617.0,9
HCPCS,57285,Repair paravag defect vag,,,4224.0,13320.0,9
HCPCS,57287,Revise/Remove Sling Repair,,,3291.0,18617.0,9
HCPCS,57288,Repair bladder defect,,,3291.0,11081.0,9
HCPCS,57289,Repair bladder & vagina,,,3291.0,11081.0,9
HCPCS,57291,Construction of vagina,,,3291.0,8006.0,9
HCPCS,57292,Construct vagina with graft,,,4224.0,18617.0,9
HCPCS,57295,Revise vag graft via vagina,,,3408.0,6404.0,9
HCPCS,57296,Revise vag graft open abd,,,1406.0,18617.0,4
HCPCS,57300,Repair rectum-vagina fistula,,,3408.0,8006.0,9
HCPCS,57305,Repair rectum-vagina fistula,,,3291.0,18617.0,4
HCPCS,57307,Fistula repair & colostomy,,,1406.0,18617.0,4
HCPCS,57308,Fistula repair transperine,,,1406.0,18617.0,4
HCPCS,57310,Repair urethrovaginal lesion,,,3408.0,11081.0,9
HCPCS,57311,Repair urethrovaginal lesion,,,428.0,18617.0,6
HCPCS,57320,Repair bladder-vagina lesion,,,3408.0,11081.0,9
HCPCS,57330,Repair bladder-vagina lesion,,,1406.0,18617.0,9
HCPCS,57335,Repair vagina,,,3408.0,18617.0,9
HCPCS,57400,Dilation of vagina,,,2816.0,5123.0,9
HCPCS,57410,Pelvic examination,,,2816.0,4466.0,9
HCPCS,57415,Remove vaginal foreign body,,,2816.0,5123.0,9
HCPCS,57420,Exam of vagina w/scope,,,359.99,3314.0,9
HCPCS,57421,Exam/biopsy of vag w/scope,,,1088.08,3314.0,9
HCPCS,57423,Repair paravag defect lap,,,3291.0,17041.0,9
HCPCS,57425,Laparoscopy surg colpopexy,,,3291.0,18617.0,9
HCPCS,57426,Revise prosth vag graft lap,,,3291.0,17041.0,9
HCPCS,57452,Exam of cervix w/scope,,,238.83,4166.0,9
HCPCS,57454,Bx/curett of cervix w/scope,,,359.99,4166.0,9
HCPCS,57455,Biopsy of cervix w/scope,,,359.99,3314.0,9
HCPCS,57456,Endocerv curettage w/scope,,,359.99,3314.0,9
HCPCS,57460,Bx of cervix w/scope leep,,,2816.0,18617.0,9
HCPCS,57461,Conz of cervix w/scope leep,,,3408.0,5044.0,9
HCPCS,57500,Biopsy of cervix,,,1088.08,3314.0,9
HCPCS,57505,Endocervical curettage,,,1088.08,3314.0,9
HCPCS,57510,Cauterization of cervix,,,2816.0,18617.0,9
HCPCS,57511,Cryocautery of cervix,,,359.99,3314.0,9
HCPCS,57513,Laser surgery of cervix,,,2816.0,5123.0,9
HCPCS,57520,Conization of cervix,,,2816.0,5123.0,9
HCPCS,57522,Conization of cervix,,,2816.0,4466.0,9
HCPCS,57530,Removal of cervix,,,3408.0,8006.0,9
HCPCS,57531,Removal of cervix radical,,,1406.0,18617.0,4
HCPCS,57540,Removal of residual cervix,,,1406.0,18617.0,4
HCPCS,57545,Remove cervix/repair pelvis,,,1406.0,18617.0,4
HCPCS,57550,Removal of residual cervix,,,3408.0,13036.0,9
HCPCS,57555,Remove cervix/repair vagina,,,1406.0,18617.0,9
HCPCS,57556,Remove cervix repair bowel,,,3291.0,9420.0,9
HCPCS,57558,D&C oF Cervical Stump,,,3408.0,5098.0,9
HCPCS,57700,Revision of cervix,,,1544.0,5123.0,9
HCPCS,57720,Revision of cervix,,,3408.0,5123.0,9
HCPCS,57800,Dilation of cervical canal,,,1544.0,5123.0,9
HCPCS,58100,Biopsy of uterus lining,,,238.83,18617.0,9
HCPCS,58110,Bx done w/colposcopy add-on,,,428.0,1866.0,4
HCPCS,58120,Dilation and curettage,,,2816.0,4466.0,9
HCPCS,58140,Myomectomy abdom method,,,428.0,18617.0,6
HCPCS,58145,Myomectomy vag method,,,3291.0,7422.0,9
HCPCS,58146,Myomectomy abdom complex,,,1406.0,18617.0,6
HCPCS,58150,Total hysterectomy,,,4147.0,18617.0,6
HCPCS,58152,Total hysterectomy,,,4147.0,18617.0,4
HCPCS,58180,Partial hysterectomy,,,4147.0,18617.0,6
HCPCS,58200,Extensive hysterectomy,,,4147.0,18617.0,4
HCPCS,58210,Extensive hysterectomy,,,4147.0,18617.0,4
HCPCS,58240,Removal of pelvis contents,,,1406.0,18617.0,4
HCPCS,58260,Vaginal hysterectomy,,,3291.0,13320.0,9
HCPCS,58262,Vag hyst including t/o,,,3291.0,13320.0,9
HCPCS,58263,Vag hyst w/t/o & vag repair,,,3291.0,13320.0,9
HCPCS,58267,Vag hyst w/urinary repair,,,1406.0,18617.0,4
HCPCS,58270,Vag hyst w/enterocele repair,,,3291.0,13320.0,9
HCPCS,58275,Hysterectomy/revise vagina,,,428.0,18617.0,6
HCPCS,58280,Hysterectomy/revise vagina,,,1406.0,18617.0,4
HCPCS,58285,Extensive hysterectomy,,,428.0,18617.0,6
HCPCS,58290,Vag hyst complex,,,3291.0,18617.0,9
HCPCS,58291,Vag hyst incl t/o complex,,,3291.0,18617.0,9
HCPCS,58292,Vag hyst t/o & repair compl,,,3291.0,18617.0,9
HCPCS,58294,Vag hyst w/enterocele compl,,,3291.0,18617.0,9
HCPCS,58300,Insert intrauterine device,,,428.0,18617.0,6
HCPCS,58301,HC REMOVE IUD,638.0,638.0,,,0
HCPCS,58301,Remove intrauterine device,,,359.99,3314.0,9
HCPCS,58321,Artificial insemination,,,359.99,3314.0,9
HCPCS,58322,Artificial insemination,,,238.83,3314.0,9
HCPCS,58323,Sperm washing,,,238.83,3314.0,9
HCPCS,58340,Catheter for hysterography,,,428.0,1866.0,4
HCPCS,58340,HC CATHETER FOR HYSTEROGRAPHY,707.0,707.0,,,0
HCPCS,58345,HC INSERT TRANSCERVICAL FALLOPIAN TUBE CATH DX,4524.0,4524.0,,,0
HCPCS,58345,Reopen fallopian tube,,,1544.0,18617.0,9
HCPCS,58346,Insert heyman uteri capsule,,,2816.0,17041.0,9
HCPCS,58350,Reopen fallopian tube,,,3408.0,9420.0,9
HCPCS,58353,Endometr ablate thermal,,,4147.0,9918.0,9
HCPCS,58356,Endometrial cryoablation,,,3291.0,18617.0,9
HCPCS,58400,Suspension of uterus,,,3291.0,18617.0,4
HCPCS,58410,Suspension of uterus,,,1406.0,18617.0,4
HCPCS,58520,Repair of ruptured uterus,,,3291.0,18617.0,4
HCPCS,58540,Revision of uterus,,,4147.0,18617.0,4
HCPCS,58541,Lsh uterus 250 g or less,,,3291.0,13320.0,9
HCPCS,58542,Lsh w/t/o ut 250 g or less,,,3291.0,15339.0,9
HCPCS,58543,LSH Uterus Above 250 g,,,3291.0,13320.0,9
HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,3291.0,15339.0,9
HCPCS,58545,Laparoscopic myomectomy,,,3560.0,13320.0,9
HCPCS,58546,Laparo-myomectomy complex,,,4147.0,17041.0,9
HCPCS,58548,Lap Radical Hyst,,,1406.0,18617.0,4
HCPCS,58550,Laparo-asst vag hysterectomy,,,3560.0,13320.0,9
HCPCS,58552,Laparo-vag hyst incl t/o,,,4147.0,15339.0,9
HCPCS,58553,Laparo-vag hyst complex,,,4147.0,15339.0,9
HCPCS,58554,Laparo-vag hyst w/t/o compl,,,4147.0,17041.0,9
HCPCS,58555,Hysteroscopy dx sep proc,,,1544.0,5123.0,9
HCPCS,58558,Hysteroscopy biopsy,,,3408.0,5123.0,9
HCPCS,58559,Hysteroscopy lysis,,,2816.0,6404.0,9
HCPCS,58560,Hysteroscopy resect septum,,,3408.0,8006.0,9
HCPCS,58561,Hysteroscopy remove myoma,,,3408.0,8006.0,9
HCPCS,58562,Hysteroscopy remove fb,,,3408.0,5123.0,9
HCPCS,58563,Hysteroscopy ablation,,,3291.0,13320.0,9
HCPCS,58565,Hysteroscopy sterilization,,,3408.0,13320.0,9
HCPCS,58570,Tlh uterus 250 g or less,,,3560.0,15339.0,9
HCPCS,58571,Tlh w/t/o 250 g or less,,,3560.0,17041.0,9
HCPCS,58572,Tlh uterus over 250 g,,,3560.0,17041.0,9
HCPCS,58573,Tlh w/t/o uterus over 250 g,,,3560.0,17041.0,9
HCPCS,58575,Laps tot hyst resj mal,,,1406.0,18617.0,4
HCPCS,58578,Laparo proc uterus,,,3408.0,18617.0,9
HCPCS,58579,Hysteroscope procedure,,,238.83,18617.0,9
HCPCS,58580,Transcrv abltj utrn fibrd rf,,,3291.0,18617.0,7
HCPCS,58600,Division of fallopian tube,,,2816.0,7422.0,9
HCPCS,58605,Division of fallopian tube,,,2816.0,18617.0,4
HCPCS,58611,Ligate oviduct(s) add-on,,,1544.0,18617.0,4
HCPCS,58615,Occlude fallopian tube(s),,,3408.0,18617.0,9
HCPCS,58660,Laparoscopy lysis,,,3291.0,8006.0,9
HCPCS,58661,Laparoscopy remove adnexa,,,3291.0,11081.0,9
HCPCS,58662,Laparoscopy excise lesions,,,3291.0,9420.0,9
HCPCS,58670,Laparoscopy tubal cautery,,,3408.0,7498.94,9
HCPCS,58671,Laparoscopy tubal block,,,3408.0,7498.94,9
HCPCS,58672,Laparoscopy fimbrioplasty,,,3291.0,17939.0,9
HCPCS,58673,Laparoscopy salpingostomy,,,3291.0,13185.37,9
HCPCS,58674,Laps abltj uterine fibroids,,,3291.0,17041.0,7
HCPCS,58679,Laparo proc oviduct-ovary,,,3408.0,18617.0,9
HCPCS,58700,Removal of fallopian tube,,,428.0,18617.0,6
HCPCS,58720,Removal of ovary/tube(s),,,3291.0,18617.0,4
HCPCS,58740,Adhesiolysis tube ovary,,,3291.0,18617.0,4
HCPCS,58750,Repair oviduct,,,3291.0,18617.0,6
HCPCS,58752,Revise ovarian tube(s),,,3291.0,18617.0,4
HCPCS,58760,Fimbrioplasty,,,3291.0,18617.0,4
HCPCS,58770,Create new tubal opening,,,428.0,18617.0,9
HCPCS,58800,Drainage of ovarian cyst(s),,,2138.0,5098.0,9
HCPCS,58805,Drainage of ovarian cyst(s),,,2138.0,18617.0,9
HCPCS,58820,Drain ovary abscess open,,,428.0,5098.0,9
HCPCS,58822,Drain ovary abscess percut,,,3408.0,18617.0,4
HCPCS,58823,"HC DRAIN PELVIC ABSCESS, TRANSVAG/TRANSRECT, PERC",1807.0,1807.0,,,0
HCPCS,58825,Transposition ovary(s),,,3408.0,18617.0,4
HCPCS,58900,Biopsy of ovary(s),,,3408.0,5098.0,9
HCPCS,58920,Partial removal of ovary(s),,,3408.0,18617.0,9
HCPCS,58925,Removal of ovarian cyst(s),,,3291.0,18617.0,9
HCPCS,58940,Removal of ovary(s),,,428.0,18617.0,6
HCPCS,58943,Removal of ovary(s),,,1406.0,18617.0,4
HCPCS,58950,Resect ovarian malignancy,,,1406.0,18617.0,4
HCPCS,58951,Resect ovarian malignancy,,,1406.0,18617.0,4
HCPCS,58952,Resect ovarian malignancy,,,1406.0,18617.0,4
HCPCS,58953,Tah rad dissect for debulk,,,1406.0,18617.0,4
HCPCS,58954,Tah rad debulk/lymph remove,,,1406.0,18617.0,4
HCPCS,58956,Bso omentectomy w/tah,,,1406.0,18617.0,4
HCPCS,58957,Resect Recurrent Gyn Mal,,,428.0,18617.0,6
HCPCS,58958,Resect Recur Gyn Mal w/Lym,,,428.0,18617.0,6
HCPCS,58960,Exploration of abdomen,,,428.0,18617.0,6
HCPCS,58970,Retrieval of oocyte,,,1088.08,4097.0,9
HCPCS,58974,Transfer of embryo,,,855.0,3314.0,9
HCPCS,58976,Transfer of embryo,,,359.99,3314.0,9
HCPCS,58999,Genital surgery procedure,,,238.83,18617.0,9
HCPCS,59000,Amniocentesis diagnostic,,,214.64,18617.0,11
HCPCS,59000,"HC AMNIOCENTESIS, DIAGNOSTIC",2704.0,2704.0,,,0
HCPCS,59001,Amniocentesis therapeutic,,,359.99,18617.0,9
HCPCS,59001,HC AMNIOCENTESIS THERAPEUTIC,5698.0,5698.0,,,0
HCPCS,59012,Fetal cord puncture prenatal,,,359.99,18617.0,9
HCPCS,59015,Chorion biopsy,,,1088.08,18617.0,9
HCPCS,59015,HC CHORIONIC VILLUS SAMPLING,3445.0,3445.0,,,0
HCPCS,59020,Fetal contract stress test,,,176.25,18617.0,11
HCPCS,59025,Fetal non-stress test,,,114.4,18617.0,11
HCPCS,59025,HC NON-STRESS TEST,1188.0,1188.0,,,0
HCPCS,59030,Fetal scalp blood sample,,,359.99,18617.0,9
HCPCS,59050,Fetal monitor w/report,,,133.23,18617.0,6
HCPCS,59050,HC DEAC 03/01/2021 FETAL MONITORING DURING LABOR,744.0,744.0,,,0
HCPCS,59050,HC INTRAUTERINE PRESSURE CATH MONITOR (IUPC),621.0,621.0,,,0
HCPCS,59051,Fetal monitor/interpret only,,,428.0,18617.0,6
HCPCS,59070,HC TRANSABD AMNIOINFUSION W US,1074.0,1074.0,,,0
HCPCS,59070,Transabdom amnioinfus w/us,,,359.99,3314.0,9
HCPCS,59072,Umbilical cord occlud w/us,,,359.99,3314.0,9
HCPCS,59074,Fetal fluid drainage w/us,,,359.99,3314.0,9
HCPCS,59074,HC FETAL FLUID DRAINAGE W US GUIDE,2114.0,2114.0,,,0
HCPCS,59076,Fetal shunt placement w/us,,,359.99,3314.0,9
HCPCS,59100,Remove uterus lesion,,,428.0,6205.1,9
HCPCS,59120,Treat ectopic pregnancy,,,3408.0,18617.0,4
HCPCS,59121,Treat ectopic pregnancy,,,4224.0,18617.0,4
HCPCS,59130,Treat ectopic pregnancy,,,1406.0,18617.0,4
HCPCS,59136,Treat ectopic pregnancy,,,1406.0,18617.0,4
HCPCS,59140,Treat ectopic pregnancy,,,1406.0,18617.0,4
HCPCS,59150,Treat ectopic pregnancy,,,4224.0,18617.0,9
HCPCS,59151,HC LAPAROSCOPIC TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY,9552.0,9552.0,,,0
HCPCS,59151,Treat ectopic pregnancy,,,4224.0,18617.0,9
HCPCS,59160,D & c after delivery,,,3408.0,6404.0,9
HCPCS,59160,"HC CURETTAGE, POSTPARTUM",2965.0,2965.0,,,0
HCPCS,59200,Insert cervical dilator,,,359.99,3314.0,9
HCPCS,59300,Episiotomy or vaginal repair,,,2816.0,18617.0,9
HCPCS,59320,Revision of cervix,,,1544.0,5123.0,9
HCPCS,59325,Revision of cervix,,,428.0,18617.0,6
HCPCS,59350,Repair of uterus,,,1406.0,18617.0,4
HCPCS,59400,Obstetrical care,,,1406.0,18617.0,4
HCPCS,59409,Obstetrical care,,,1544.0,18617.0,9
HCPCS,59410,Obstetrical care,,,428.0,18617.0,6
HCPCS,59412,Antepartum manipulation,,,1406.0,4097.0,9
HCPCS,59412,HC EXTERNAL CEPHALIC VERSIONS,2969.0,2969.0,,,0
HCPCS,59414,Deliver placenta,,,1406.0,18617.0,9
HCPCS,59414,HC PLACENTA DELIVERY,2456.0,2456.0,,,0
HCPCS,59425,Antepartum care only,,,428.0,18617.0,6
HCPCS,59426,Antepartum care only,,,1406.0,18617.0,4
HCPCS,59430,Care after delivery,,,428.0,18617.0,6
HCPCS,59510,Cesarean delivery,,,1406.0,18617.0,4
HCPCS,59514,Cesarean delivery only,,,1406.0,18617.0,4
HCPCS,59515,Cesarean delivery,,,3291.0,18617.0,4
HCPCS,59525,Remove uterus after cesarean,,,1406.0,18617.0,4
HCPCS,59610,Vbac delivery,,,1406.0,18617.0,4
HCPCS,59612,Vbac delivery only,,,428.0,18617.0,9
HCPCS,59614,Vbac care after delivery,,,428.0,18617.0,6
HCPCS,59618,Attempted vbac delivery,,,1406.0,18617.0,4
HCPCS,59620,Attempted vbac delivery only,,,1406.0,18617.0,4
HCPCS,59622,Attempted vbac after care,,,1406.0,18617.0,4
HCPCS,59812,Treatment of miscarriage,,,3291.0,7422.0,9
HCPCS,59820,Care of miscarriage,,,3291.0,7422.0,9
HCPCS,59821,Treatment of miscarriage,,,3291.0,7422.0,9
HCPCS,59830,Treat uterus infection,,,428.0,18617.0,6
HCPCS,59840,Abortion,,,3291.0,7422.0,9
HCPCS,59841,Abortion,,,3291.0,7422.0,9
HCPCS,59850,Abortion,,,428.0,4466.0,6
HCPCS,59851,Abortion,,,428.0,4466.0,6
HCPCS,59852,Abortion,,,2816.0,18617.0,4
HCPCS,59855,Abortion,,,428.0,18617.0,6
HCPCS,59856,Abortion,,,428.0,18617.0,6
HCPCS,59857,Abortion,,,2816.0,18617.0,4
HCPCS,59866,Abortion (mpr),,,359.99,3314.0,9
HCPCS,59866,HC MULTIFETAL REDUCTION,1056.0,1056.0,,,0
HCPCS,59870,Evacuate mole of uterus,,,3291.0,7422.0,9
HCPCS,59871,Remove cerclage suture,,,3291.0,7422.0,9
HCPCS,59897,Fetal invas px w/us,,,238.83,18617.0,9
HCPCS,59898,Laparo proc ob care/deliver,,,2138.0,18617.0,9
HCPCS,59899,Maternity care procedure,,,238.83,18617.0,9
HCPCS,60000,Drain thyroid/tongue cyst,,,1544.0,3314.0,9
HCPCS,60100,Biopsy of thyroid,,,836.55,3314.0,9
HCPCS,60100,HC BIOPSY THYROID PERC CORE NEEDLE,1294.0,1294.0,,,0
HCPCS,60200,Remove thyroid lesion,,,2816.0,9420.0,9
HCPCS,60210,Partial thyroid excision,,,4224.0,18617.0,9
HCPCS,60212,Partial thyroid excision,,,4224.0,18617.0,9
HCPCS,60220,Partial removal of thyroid,,,2816.0,11081.0,9
HCPCS,60225,Partial removal of thyroid,,,3408.0,11081.0,9
HCPCS,60240,Removal of thyroid,,,4147.0,18617.0,9
HCPCS,60252,Removal of thyroid,,,4147.0,18617.0,9
HCPCS,60254,Extensive thyroid surgery,,,4147.0,18617.0,4
HCPCS,60260,Repeat thyroid surgery,,,3291.0,18617.0,9
HCPCS,60270,Removal of thyroid,,,428.0,18617.0,6
HCPCS,60271,Removal of thyroid,,,4224.0,18617.0,9
HCPCS,60280,Remove thyroid duct lesion,,,4224.0,8006.0,9
HCPCS,60281,Remove thyroid duct lesion,,,4224.0,9420.0,9
HCPCS,60300,Aspir/inj thyroid cyst,,,836.55,18617.0,9
HCPCS,60300,"HC ASPIRATION AND/OR INJECTION, THYROID CYST",2095.0,2095.0,,,0
HCPCS,60500,Explore parathyroid glands,,,4147.0,18617.0,9
HCPCS,60502,Re-explore parathyroids,,,4147.0,13320.0,9
HCPCS,60505,Explore parathyroid glands,,,1406.0,18617.0,6
HCPCS,60512,Autotransplant parathyroid,,,428.0,5044.0,4
HCPCS,60520,Removal of thymus gland,,,4224.0,18617.0,9
HCPCS,60521,Removal of thymus gland,,,1406.0,18617.0,4
HCPCS,60522,Removal of thymus gland,,,1406.0,18617.0,4
HCPCS,60540,Explore adrenal gland,,,4147.0,18617.0,4
HCPCS,60545,Explore adrenal gland,,,1406.0,18617.0,4
HCPCS,60600,Remove carotid body lesion,,,1406.0,18617.0,4
HCPCS,60605,Remove carotid body lesion,,,1406.0,18617.0,4
HCPCS,60650,Laparoscopy adrenalectomy,,,4224.0,18617.0,4
HCPCS,60659,Laparo proc endocrine,,,3408.0,18617.0,9
HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1544.0,2048.66,5
HCPCS,60661,Abltj 1/+thyr ndul addl prq,,,1544.0,1866.0,2
HCPCS,60699,Endocrine surgery procedure,,,1544.0,18617.0,9
HCPCS,61000,Remove cranial cavity fluid,,,428.0,3314.0,9
HCPCS,61001,Remove cranial cavity fluid,,,428.0,3314.0,9
HCPCS,61020,Remove brain cavity fluid,,,1044.87,3314.0,9
HCPCS,61026,Injection into brain canal,,,833.89,3314.0,9
HCPCS,61050,Remove brain canal fluid,,,362.62,3314.0,9
HCPCS,61055,Injection into brain canal,,,362.62,3314.0,9
HCPCS,61070,Brain canal shunt procedure,,,833.89,3314.0,9
HCPCS,61070,HC PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJECT PROC,4170.0,4170.0,,,0
HCPCS,61105,Twist drill hole,,,1406.0,18617.0,4
HCPCS,61106,Description Not Available,,,1406.0,18617.0,4
HCPCS,61107,Drill skull for implantation,,,1406.0,18617.0,4
HCPCS,61108,Drill skull for drainage,,,1406.0,18617.0,4
HCPCS,61120,Burr hole for puncture,,,1406.0,18617.0,4
HCPCS,61130,Description Not Available,,,1406.0,18617.0,4
HCPCS,61140,Pierce skull for biopsy,,,1406.0,18617.0,4
HCPCS,61150,Pierce skull for drainage,,,1406.0,18617.0,4
HCPCS,61151,Pierce skull for drainage,,,1406.0,18617.0,4
HCPCS,61154,Pierce skull & remove clot,,,1406.0,18617.0,4
HCPCS,61156,Pierce skull for drainage,,,1406.0,18617.0,4
HCPCS,61210,Pierce skull implant device,,,1406.0,18617.0,4
HCPCS,61215,Insert brain-fluid device,,,3408.0,13036.0,9
HCPCS,61250,Pierce skull & explore,,,1406.0,18617.0,4
HCPCS,61253,Pierce skull & explore,,,1406.0,18617.0,4
HCPCS,61304,Open skull for exploration,,,1406.0,18617.0,4
HCPCS,61305,Open skull for exploration,,,1406.0,18617.0,4
HCPCS,61312,Open skull for drainage,,,1406.0,18617.0,4
HCPCS,61313,Open skull for drainage,,,1406.0,18617.0,4
HCPCS,61314,Open skull for drainage,,,1406.0,18617.0,4
HCPCS,61315,Open skull for drainage,,,1406.0,18617.0,4
HCPCS,61316,Implt cran bone flap to abdo,,,1544.0,1866.0,2
HCPCS,61320,Open skull for drainage,,,1406.0,18617.0,4
HCPCS,61321,Open skull for drainage,,,1406.0,18617.0,4
HCPCS,61322,Decompressive craniotomy,,,1406.0,18617.0,4
HCPCS,61323,Decompressive lobectomy,,,1406.0,18617.0,4
HCPCS,61330,Decompress eye socket,,,1406.0,18617.0,9
HCPCS,61333,Explore orbit/remove lesion,,,1406.0,18617.0,4
HCPCS,61340,Subtemporal decompression,,,1406.0,18617.0,4
HCPCS,61343,Incise skull (press relief),,,1406.0,18617.0,4
HCPCS,61345,Relieve cranial pressure,,,1406.0,18617.0,4
HCPCS,61450,Incise skull for surgery,,,1406.0,18617.0,4
HCPCS,61458,Incise skull for brain wound,,,1406.0,18617.0,4
HCPCS,61460,Incise skull for surgery,,,1406.0,18617.0,4
HCPCS,61500,Removal of skull lesion,,,4081.0,18617.0,6
HCPCS,61501,Remove infected skull bone,,,1406.0,18617.0,4
HCPCS,61510,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61512,Remove brain lining lesion,,,1406.0,18617.0,4
HCPCS,61514,Removal of brain abscess,,,1406.0,18617.0,4
HCPCS,61516,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61517,Implt brain chemotx add-on,,,1406.0,18617.0,4
HCPCS,61518,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61519,Remove brain lining lesion,,,1406.0,18617.0,4
HCPCS,61520,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61521,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61522,Removal of brain abscess,,,1406.0,18617.0,4
HCPCS,61524,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61526,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61530,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61531,Implant brain electrodes,,,1406.0,18617.0,4
HCPCS,61533,Implant brain electrodes,,,1406.0,18617.0,4
HCPCS,61534,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61535,Remove brain electrodes,,,1406.0,18617.0,4
HCPCS,61536,Removal of brain lesion,,,1406.0,18617.0,4
HCPCS,61537,Removal of brain tissue,,,1406.0,18617.0,4
HCPCS,61538,Removal of brain tissue,,,1406.0,18617.0,4
HCPCS,61539,Removal of brain tissue,,,1406.0,18617.0,4
HCPCS,61540,Removal of brain tissue,,,1406.0,18617.0,4
HCPCS,61541,Incision of brain tissue,,,1406.0,18617.0,4
HCPCS,61543,Removal of brain tissue,,,1406.0,18617.0,4
HCPCS,61544,Remove & treat brain lesion,,,1406.0,18617.0,4
HCPCS,61545,Excision of brain tumor,,,1406.0,18617.0,4
HCPCS,61546,Removal of pituitary gland,,,1406.0,18617.0,4
HCPCS,61548,Removal of pituitary gland,,,1406.0,18617.0,4
HCPCS,61550,Release of skull seams,,,1406.0,18617.0,4
HCPCS,61552,Release of skull seams,,,1406.0,18617.0,4
HCPCS,61556,Incise skull/sutures,,,1406.0,18617.0,4
HCPCS,61557,Incise skull/sutures,,,1406.0,18617.0,4
HCPCS,61558,Excision of skull/sutures,,,1406.0,18617.0,4
HCPCS,61559,Excision of skull/sutures,,,1406.0,18617.0,4
HCPCS,61563,Excision of skull tumor,,,1406.0,18617.0,4
HCPCS,61564,Excision of skull tumor,,,1406.0,18617.0,4
HCPCS,61566,Removal of brain tissue,,,1406.0,18617.0,4
HCPCS,61567,Incision of brain tissue,,,1406.0,18617.0,4
HCPCS,61570,Remove foreign body brain,,,1406.0,18617.0,4
HCPCS,61571,Incise skull for brain wound,,,1406.0,18617.0,4
HCPCS,61575,Skull base/brainstem surgery,,,1406.0,18617.0,4
HCPCS,61576,Skull base/brainstem surgery,,,1406.0,18617.0,4
HCPCS,61580,Craniofacial approach skull,,,1406.0,18617.0,4
HCPCS,61581,Craniofacial approach skull,,,1406.0,18617.0,4
HCPCS,61582,Craniofacial approach skull,,,1406.0,18617.0,4
HCPCS,61583,Craniofacial approach skull,,,1406.0,18617.0,4
HCPCS,61584,Orbitocranial approach/skull,,,1406.0,18617.0,4
HCPCS,61585,Orbitocranial approach/skull,,,1406.0,18617.0,4
HCPCS,61586,Resect nasopharynx skull,,,1406.0,18617.0,4
HCPCS,61590,Infratemporal approach/skull,,,1406.0,18617.0,4
HCPCS,61591,Infratemporal approach/skull,,,1406.0,18617.0,4
HCPCS,61592,Orbitocranial approach/skull,,,1406.0,18617.0,4
HCPCS,61595,Transtemporal approach/skull,,,1406.0,18617.0,4
HCPCS,61596,Transcochlear approach/skull,,,1406.0,18617.0,4
HCPCS,61597,Transcondylar approach/skull,,,1406.0,18617.0,4
HCPCS,61598,Transpetrosal approach/skull,,,1406.0,18617.0,4
HCPCS,61600,Resect/excise cranial lesion,,,1406.0,18617.0,4
HCPCS,61601,Resect/excise cranial lesion,,,1406.0,18617.0,4
HCPCS,61605,Resect/excise cranial lesion,,,1406.0,18617.0,4
HCPCS,61606,Resect/excise cranial lesion,,,1406.0,18617.0,4
HCPCS,61607,Resect/excise cranial lesion,,,1406.0,18617.0,4
HCPCS,61608,Resect/excise cranial lesion,,,1406.0,18617.0,4
HCPCS,61611,Transect artery sinus,,,1406.0,18617.0,4
HCPCS,61613,Remove aneurysm sinus,,,1406.0,18617.0,4
HCPCS,61615,Resect/excise lesion skull,,,1406.0,18617.0,4
HCPCS,61616,Resect/excise lesion skull,,,1406.0,18617.0,4
HCPCS,61618,Repair dura,,,1406.0,18617.0,4
HCPCS,61619,Repair dura,,,1406.0,18617.0,4
HCPCS,61623,Endovasc tempory vessel occl,,,3560.0,18617.0,9
HCPCS,61624,Transcath occlusion cns,,,4147.0,22738.78,9
HCPCS,61626,Transcath occlusion non-cns,,,3560.0,18686.0,9
HCPCS,61630,Intracranial angioplasty,,,1406.0,5098.0,4
HCPCS,61635,Intracran angioplsty w/stent,,,1406.0,5098.0,4
HCPCS,61640,Dilate ic vasospasm init,,,1406.0,5098.0,4
HCPCS,61641,Dilate ic vasospasm add-on,,,428.0,4466.0,6
HCPCS,61642,Dilate ic vasospasm add-on,,,428.0,4466.0,6
HCPCS,61645,Perq art m-thrombect &/nfs,,,3560.0,18617.0,4
HCPCS,61650,Evasc prlng admn rx agnt 1st,,,428.0,18617.0,6
HCPCS,61650,HC ENDOVASC PROLONG ADMIN RX AGENT 1ST,6430.0,6430.0,,,0
HCPCS,61651,Evasc prlng admn rx agnt add,,,428.0,18617.0,6
HCPCS,61651,HC ENDOVASC PROLONG ADMIN RX AGENT ADD,6430.0,6430.0,,,0
HCPCS,61680,Intracranial vessel surgery,,,1406.0,18617.0,4
HCPCS,61682,Intracranial vessel surgery,,,1406.0,18617.0,4
HCPCS,61684,Intracranial vessel surgery,,,1406.0,18617.0,4
HCPCS,61686,Intracranial vessel surgery,,,1406.0,18617.0,4
HCPCS,61690,Intracranial vessel surgery,,,1406.0,18617.0,4
HCPCS,61692,Intracranial vessel surgery,,,1406.0,18617.0,4
HCPCS,61697,Brain aneurysm repr complx,,,1406.0,18617.0,4
HCPCS,61698,Brain aneurysm repr complx,,,1406.0,18617.0,4
HCPCS,61700,Brain aneurysm repr simple,,,1406.0,18617.0,4
HCPCS,61702,Inner skull vessel surgery,,,1406.0,18617.0,4
HCPCS,61703,Clamp neck artery,,,1406.0,18617.0,4
HCPCS,61705,Revise circulation to head,,,1406.0,18617.0,4
HCPCS,61708,Revise circulation to head,,,1406.0,18617.0,4
HCPCS,61710,Revise circulation to head,,,1406.0,18617.0,4
HCPCS,61711,Fusion of skull arteries,,,1406.0,18617.0,4
HCPCS,61712,Description Not Available,,,1406.0,18617.0,4
HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,3408.0,18617.0,7
HCPCS,61720,Incise skull/brain surgery,,,1406.0,18617.0,9
HCPCS,61735,Incise skull/brain surgery,,,1406.0,18617.0,4
HCPCS,61736,Litt icr 1 traj 1 smpl les,,,1406.0,18617.0,4
HCPCS,61737,Litt icr mlt trj mlt/cplx ls,,,1406.0,18617.0,4
HCPCS,61750,Incise skull/brain biopsy,,,1406.0,18617.0,4
HCPCS,61751,Brain biopsy w/ct/mr guide,,,1406.0,18617.0,4
HCPCS,61760,Implant brain electrodes,,,1406.0,18617.0,4
HCPCS,61770,Incise skull for treatment,,,1406.0,18686.0,9
HCPCS,61781,Scan proc cranial intra,,,1544.0,1866.0,2
HCPCS,61782,Scan proc cranial extra,,,428.0,1866.0,4
HCPCS,61783,Scan proc spinal,,,428.0,1866.0,4
HCPCS,61790,Treat trigeminal nerve,,,2306.84,6404.0,9
HCPCS,61791,Treat trigeminal tract,,,2306.84,6404.0,9
HCPCS,61796,Srs cranial lesion simple,,,428.0,18617.0,6
HCPCS,61797,Srs cran les simple addl,,,428.0,18617.0,6
HCPCS,61798,Srs cranial lesion complex,,,428.0,18617.0,6
HCPCS,61799,Srs cran les complex addl,,,428.0,18617.0,6
HCPCS,61800,Apply srs headframe add-on,,,428.0,18617.0,6
HCPCS,61850,Implant neuroelectrodes,,,1406.0,18617.0,4
HCPCS,61855,Description Not Available,,,1406.0,18617.0,4
HCPCS,61860,Implant neuroelectrodes,,,1406.0,18617.0,4
HCPCS,61863,Implant neuroelectrode,,,1406.0,18617.0,4
HCPCS,61864,Implant neuroelectrde addl,,,1406.0,18617.0,4
HCPCS,61865,Description Not Available,,,1406.0,18617.0,4
HCPCS,61867,Implant neuroelectrode,,,1406.0,18617.0,4
HCPCS,61868,Implant neuroelectrde addl,,,1406.0,18617.0,4
HCPCS,61880,Revise/remove neuroelectrode,,,1406.0,18617.0,9
HCPCS,61885,Insrt/redo neurostim 1 array,,,2816.0,38276.26,9
HCPCS,61886,Implant neurostim arrays,,,3408.0,38276.26,9
HCPCS,61888,Revise/remove neuroreceiver,,,2762.0,13821.53,9
HCPCS,61889,Ins sk-mnt crnl nstm pg/rcvr,,,1406.0,18617.0,4
HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,3408.0,38276.26,7
HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,2816.0,13320.0,7
HCPCS,62000,Treat skull fracture,,,1406.0,18617.0,9
HCPCS,62005,Treat skull fracture,,,1406.0,18617.0,4
HCPCS,62010,Treatment of head injury,,,1406.0,18617.0,4
HCPCS,62100,Repair brain fluid leakage,,,1406.0,18617.0,4
HCPCS,62115,Reduction of skull defect,,,1406.0,18617.0,4
HCPCS,62117,Reduction of skull defect,,,1406.0,18617.0,4
HCPCS,62120,Repair skull cavity lesion,,,1406.0,18617.0,4
HCPCS,62121,Incise skull repair,,,1406.0,18617.0,4
HCPCS,62140,Repair of skull defect,,,1406.0,18617.0,4
HCPCS,62141,Repair of skull defect,,,1406.0,18617.0,4
HCPCS,62142,Remove skull plate/flap,,,1406.0,18617.0,4
HCPCS,62143,Replace skull plate/flap,,,1406.0,18617.0,4
HCPCS,62145,Repair of skull & brain,,,1406.0,18617.0,4
HCPCS,62146,Repair of skull with graft,,,1406.0,18617.0,4
HCPCS,62147,Repair of skull with graft,,,1406.0,18617.0,4
HCPCS,62160,Neuroendoscopy add-on,,,428.0,1866.0,4
HCPCS,62161,Dissect brain w/scope,,,1406.0,18617.0,4
HCPCS,62162,Remove colloid cyst w/scope,,,1406.0,18617.0,4
HCPCS,62164,Remove brain tumor w/scope,,,1406.0,18617.0,4
HCPCS,62165,Remove pituit tumor w/scope,,,1406.0,18617.0,4
HCPCS,62180,Establish brain cavity shunt,,,1406.0,18617.0,4
HCPCS,62190,Establish brain cavity shunt,,,1406.0,18617.0,4
HCPCS,62192,Establish brain cavity shunt,,,1406.0,18617.0,4
HCPCS,62194,Replace/irrigate catheter,,,1544.0,11081.0,9
HCPCS,62200,Establish brain cavity shunt,,,1406.0,18617.0,4
HCPCS,62201,Brain cavity shunt w/scope,,,1406.0,18617.0,4
HCPCS,62220,Establish brain cavity shunt,,,1406.0,18617.0,4
HCPCS,62223,Establish brain cavity shunt,,,1406.0,18617.0,4
HCPCS,62225,Replace/irrigate catheter,,,1544.0,11081.0,9
HCPCS,62230,Replace/revise brain shunt,,,2816.0,13036.0,9
HCPCS,62252,Csf Shunt Reprogram,,,362.84,3314.0,9
HCPCS,62256,Remove brain cavity shunt,,,428.0,18617.0,6
HCPCS,62258,Replace brain cavity shunt,,,1406.0,18617.0,4
HCPCS,62263,Epidural lysis mult sessions,,,1044.87,4097.0,9
HCPCS,62264,Epidural lysis on single day,,,1044.87,3314.0,9
HCPCS,62267,"HC PERQ INTERDISCAL/PARAVERT TISSUE ASPIRATION, DX",3853.0,3853.0,,,0
HCPCS,62267,Interdiscal perq aspir dx,,,836.55,3314.0,9
HCPCS,62268,Drain spinal cord cyst,,,1044.87,3314.0,9
HCPCS,62268,HC PERC ASPIRATION SPINAL CORD CYST,1610.0,1610.0,,,0
HCPCS,62269,Needle biopsy spinal cord,,,1544.0,3314.0,9
HCPCS,62270,HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC; W/O IMG,1001.5,1001.5,,,0
HCPCS,62270,Spinal fluid tap diagnostic,,,833.89,3314.0,9
HCPCS,62272,Drain cerebro spinal fluid,,,833.89,3314.0,9
HCPCS,62272,HC DRAIN CEREBRO SPINAL FLUID; W/O IMG,1420.0,1420.0,,,0
HCPCS,62273,"HC INJECTION, EPIDURAL, OF BLOOD OR CLOT PATCH",1401.0,1401.0,,,0
HCPCS,62273,Inject epidural patch,,,833.89,3314.0,9
HCPCS,62274,Description Not Available,,,1406.0,18617.0,4
HCPCS,62275,Description Not Available,,,1406.0,18617.0,4
HCPCS,62276,Description Not Available,,,1406.0,18617.0,4
HCPCS,62277,Description Not Available,,,1406.0,18617.0,4
HCPCS,62278,Description Not Available,,,1406.0,18617.0,4
HCPCS,62279,Description Not Available,,,1406.0,18617.0,4
HCPCS,62280,Treat spinal cord lesion,,,1044.87,3314.0,9
HCPCS,62281,Treat spinal cord lesion,,,1044.87,3314.0,9
HCPCS,62282,Treat spinal canal lesion,,,1044.87,4097.0,9
HCPCS,62284,"HC MYELOGRAM INJECT, SPINAL NOT C1-C2",1433.0,1433.0,,,0
HCPCS,62284,Injection for myelogram,,,428.0,1866.0,4
HCPCS,62287,HC PERCUTANEOUS DISKECTOMY,10085.0,10085.0,,,0
HCPCS,62287,Percutaneous diskectomy,,,2306.84,13320.0,9
HCPCS,62288,Description Not Available,,,1406.0,18617.0,4
HCPCS,62289,Description Not Available,,,1406.0,18617.0,4
HCPCS,62290,"HC INJECTION DISCOGRAPHY, EACH LEVEL; LUMBAR",481.0,481.0,,,0
HCPCS,62290,Inject for spine disk x-ray,,,428.0,1866.0,4
HCPCS,62291,Inject for spine disk x-ray,,,428.0,1866.0,4
HCPCS,62292,Injection into disk lesion,,,2138.0,4166.0,9
HCPCS,62294,Injection into spinal artery,,,1044.87,5098.0,9
HCPCS,62298,Description Not Available,,,1406.0,18617.0,4
HCPCS,62302,HC MYELOGRAPHY LUMBAR INJECTION; CERVICAL,4248.0,4248.0,,,0
HCPCS,62302,Myelography lumbar injection,,,926.08,6312.0,9
HCPCS,62303,HC MYELOGRAPHY LUMBAR INJECTION; THORACIC,5371.0,5371.0,,,0
HCPCS,62303,Myelography lumbar injection,,,855.0,6312.0,9
HCPCS,62304,HC MYELOGRAPHY LUMBAR INJECTION; LUMBOSACRAL,4050.0,4050.0,,,0
HCPCS,62304,Myelography lumbar injection,,,926.08,6312.0,9
HCPCS,62305,HC MYELOGRAPHY LUMBAR INJECTION; 2 OR MORE REGIONS,5097.0,5097.0,,,0
HCPCS,62305,Myelography lumbar injection,,,926.08,6312.0,9
HCPCS,62310,"HC Inject spine, cervical or thoracic",755.0,755.0,,,0
HCPCS,62311,"HC Inject spine, lumbar or sacral",607.0,607.0,,,0
HCPCS,62320,HC INJECT INTERLAMINAR CRV/THRC; W/O IMG,1527.0,1527.0,,,0
HCPCS,62320,Njx interlaminar crv/thrc,,,833.89,3314.0,9
HCPCS,62321,HC INJECT INTERLAMINAR CRV/THRC; W/IMG,5447.0,5447.0,,,0
HCPCS,62321,Njx interlaminar crv/thrc,,,833.89,3314.0,9
HCPCS,62322,HC INJECT INTERLAMINAR LMBR/SAC; W/O IMG,1527.0,1527.0,,,0
HCPCS,62322,Njx interlaminar lmbr/sac,,,1044.87,3314.0,9
HCPCS,62323,HC INJECT INTERLAMINAR LMBR/SAC; W/IMG,5447.0,5447.0,,,0
HCPCS,62323,Njx interlaminar lmbr/sac,,,833.89,3314.0,9
HCPCS,62324,"HC INJ INFUS/BOLUS, INTERLAMINAR CRV/THRC,W/O IMG",2143.0,2143.0,,,0
HCPCS,62324,Njx interlaminar crv/thrc,,,1044.87,4466.0,9
HCPCS,62325,"HC INJ INFUS/BOLUS, INTERLAMINAR CRV/THRC,W/IMG",6064.0,6064.0,,,0
HCPCS,62325,Njx interlaminar crv/thrc,,,1044.87,4466.0,9
HCPCS,62326,"HC INJ INFUS/BOLUS, INTERLAMINAR LMBR/SAC,W/O IMG",2143.0,2143.0,,,0
HCPCS,62326,Njx interlaminar lmbr/sac,,,1044.87,4466.0,9
HCPCS,62327,"HC INJ INFUS/BOLUS, INTERLAMINAR LMBR/SAC,W/IMG",6064.0,6064.0,,,0
HCPCS,62327,Njx interlaminar lmbr/sac,,,1044.87,4466.0,9
HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,833.89,3314.0,9
HCPCS,62328,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,5447.0,5447.0,,,0
HCPCS,62329,"HC THERAPEUTIC SPINAL PUNCTURE, DRAINAGE CSF W/FLUOR/CT",5447.0,5447.0,,,0
HCPCS,62329,Ther spi pnxr csf fluor/ct,,,833.89,3314.0,9
HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,4224.0,18617.0,7
HCPCS,62331,Dcmprn prq rmv lig flv addl,,,1544.0,1866.0,2
HCPCS,62350,HC IMPL OR REVISE EPID CATH FOR PAIN,5539.0,5539.0,,,0
HCPCS,62350,Implant spinal canal cath,,,2816.0,10885.67,9
HCPCS,62351,Implant spinal canal cath,,,2816.0,13320.0,9
HCPCS,62355,HC REMOVE PREV IMPLANTED EPIDERAL CATH,4225.0,4225.0,,,0
HCPCS,62355,Remove spinal canal catheter,,,2306.84,6404.0,9
HCPCS,62360,Insert spine infusion device,,,2816.0,22357.0,9
HCPCS,62361,Implant spine infusion pump,,,2816.0,22357.0,9
HCPCS,62362,Implant spine infusion pump,,,2816.0,22357.0,9
HCPCS,62365,Remove spine infusion device,,,2816.0,6404.0,9
HCPCS,62367,Analyze spine infus pump,,,362.84,4466.0,9
HCPCS,62368,Analyze sp inf pump w/reprog,,,362.84,4466.0,9
HCPCS,62369,Anal sp inf pmp w/reprg&fill,,,362.84,18617.0,9
HCPCS,62370,Anl sp inf pmp w/mdreprg&fil,,,362.84,18617.0,9
HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,3291.0,13036.0,7
HCPCS,63001,Remove spine lamina 1/2 crvl,,,3560.0,13036.0,9
HCPCS,63003,Remove spine lamina 1/2 thrc,,,3560.0,11081.0,9
HCPCS,63005,Remove spine lamina 1/2 lmbr,,,3291.0,11081.0,9
HCPCS,63011,Remove spine lamina 1/2 scrl,,,3291.0,13036.0,9
HCPCS,63012,Remove lamina/facets lumbar,,,3291.0,11081.0,9
HCPCS,63015,Remove spine lamina >2 crvcl,,,3560.0,13036.0,9
HCPCS,63016,Remove spine lamina >2 thrc,,,3560.0,15339.0,9
HCPCS,63017,Remove spine lamina >2 lmbr,,,4224.0,13036.0,9
HCPCS,63020,Neck spine disk surgery,,,3408.0,11081.0,9
HCPCS,63030,"HC LAMINOTOMY, ONE INTERSPACE, LUMBAR",6812.0,6812.0,,,0
HCPCS,63030,Low back disk surgery,,,3291.0,11081.0,9
HCPCS,63032,Lamot rpr anulr dfct 1 lmbr,,,1544.0,18617.0,4
HCPCS,63035,"HC LAMINOTOMY, EA ADDL INTERSPACE, CERVICAL OR LUMBAR",3258.0,3258.0,,,0
HCPCS,63035,Spinal disk surgery add-on,,,428.0,7555.0,6
HCPCS,63040,Laminotomy single cervical,,,3291.0,13036.0,9
HCPCS,63042,Laminotomy single lumbar,,,3291.0,11081.0,9
HCPCS,63043,Laminotomy addl cervical,,,1544.0,7555.0,4
HCPCS,63044,Laminotomy addl lumbar,,,1544.0,7555.0,4
HCPCS,63045,Remove spine lamina 1 crvl,,,3291.0,13036.0,9
HCPCS,63046,Remove spine lamina 1 thrc,,,3291.0,13036.0,9
HCPCS,63047,Remove spine lamina 1 lmbr,,,3291.0,11081.0,9
HCPCS,63048,Remove spinal lamina add-on,,,428.0,7555.0,6
HCPCS,63050,Cervical laminoplsty 2/> seg,,,1406.0,18617.0,4
HCPCS,63051,C-laminoplasty w/graft/plate,,,1406.0,18617.0,4
HCPCS,63052,Lam facetc/frmt arthrd lum 1,,,428.0,7555.0,6
HCPCS,63053,Lam factc/frmt arthrd lum ea,,,428.0,7555.0,6
HCPCS,63055,Decompress spinal cord thrc,,,3291.0,13320.0,9
HCPCS,63056,Decompress spinal cord lmbr,,,3560.0,13320.0,9
HCPCS,63057,Decompress spine cord add-on,,,428.0,1866.0,4
HCPCS,63064,Decompress spinal cord thrc,,,1406.0,13320.0,9
HCPCS,63066,Decompress spine cord add-on,,,428.0,490.0,2
HCPCS,63075,Neck spine disk surgery,,,3291.0,18617.0,9
HCPCS,63076,Neck spine disk surgery,,,428.0,6253.0,4
HCPCS,63077,Spine disk surgery thorax,,,1406.0,18617.0,4
HCPCS,63078,Spine disk surgery thorax,,,1406.0,18617.0,4
HCPCS,63081,Remove vert body dcmprn crvl,,,1406.0,18617.0,4
HCPCS,63082,Remove vertebral body add-on,,,1406.0,18617.0,4
HCPCS,63085,Remove vert body dcmprn thrc,,,1406.0,18617.0,4
HCPCS,63086,Remove vertebral body add-on,,,1406.0,18617.0,4
HCPCS,63087,Remov vertbr dcmprn thrclmbr,,,1406.0,18617.0,4
HCPCS,63088,Remove vertebral body add-on,,,1406.0,18617.0,4
HCPCS,63090,Remove vert body dcmprn lmbr,,,1406.0,18617.0,4
HCPCS,63091,Remove vertebral body add-on,,,1406.0,18617.0,4
HCPCS,63101,Remove vert body dcmprn thrc,,,1406.0,18617.0,4
HCPCS,63102,Remove vert body dcmprn lmbr,,,1406.0,18617.0,4
HCPCS,63103,Remove vertebral body add-on,,,1406.0,18617.0,4
HCPCS,63170,Incise spinal cord tract(s),,,1406.0,7555.0,4
HCPCS,63172,Drainage of spinal cyst,,,1406.0,7555.0,4
HCPCS,63173,Drainage of spinal cyst,,,1406.0,7555.0,4
HCPCS,63185,Incise spine nrv half segmnt,,,1406.0,7555.0,4
HCPCS,63190,Incise spine nrv >2 segmnts,,,1406.0,7555.0,4
HCPCS,63191,Incise spine accessory nerve,,,1406.0,7555.0,4
HCPCS,63197,Incise spine&cord 2 trx thrc,,,1406.0,7555.0,4
HCPCS,63200,Release spinal cord lumbar,,,1406.0,7555.0,4
HCPCS,63250,Revise spinal cord vsls crvl,,,1406.0,7555.0,4
HCPCS,63251,Revise spinal cord vsls thrc,,,1406.0,7555.0,4
HCPCS,63252,Revise spine cord vsl thrlmb,,,1406.0,7555.0,4
HCPCS,63265,Excise intraspinl lesion crv,,,3291.0,13036.0,9
HCPCS,63266,Excise intrspinl lesion thrc,,,3291.0,13036.0,9
HCPCS,63267,Excise intrspinl lesion lmbr,,,3291.0,13036.0,9
HCPCS,63268,Excise intrspinl lesion scrl,,,3291.0,13036.0,9
HCPCS,63270,Excise intrspinl lesion crvl,,,1406.0,7555.0,4
HCPCS,63271,Excise intrspinl lesion thrc,,,1406.0,7555.0,4
HCPCS,63272,Excise intrspinl lesion lmbr,,,1406.0,7555.0,4
HCPCS,63273,Excise intrspinl lesion scrl,,,1406.0,7555.0,4
HCPCS,63275,Bx/exc xdrl spine lesn crvl,,,1406.0,7555.0,4
HCPCS,63276,Bx/exc xdrl spine lesn thrc,,,1406.0,7555.0,4
HCPCS,63277,Bx/exc xdrl spine lesn lmbr,,,1406.0,7555.0,4
HCPCS,63278,Bx/exc xdrl spine lesn scrl,,,1406.0,7555.0,4
HCPCS,63280,Bx/exc idrl spine lesn crvl,,,1406.0,7555.0,4
HCPCS,63281,Bx/exc idrl spine lesn thrc,,,1406.0,7555.0,4
HCPCS,63282,Bx/exc idrl spine lesn lmbr,,,1406.0,7555.0,4
HCPCS,63283,Bx/exc idrl spine lesn scrl,,,1406.0,7555.0,4
HCPCS,63285,Bx/exc idrl imed lesn cervl,,,1406.0,7555.0,4
HCPCS,63286,Bx/exc idrl imed lesn thrc,,,1406.0,7555.0,4
HCPCS,63287,Bx/exc idrl imed lesn thrlmb,,,1406.0,7555.0,4
HCPCS,63290,Bx/exc xdrl/idrl lsn any lvl,,,1406.0,7555.0,4
HCPCS,63295,Repair laminectomy defect,,,1406.0,7555.0,4
HCPCS,63300,Remove vert xdrl body crvcl,,,1406.0,18617.0,4
HCPCS,63301,Remove vert xdrl body thrc,,,1406.0,18617.0,4
HCPCS,63302,Remove vert xdrl body thrlmb,,,1406.0,18617.0,4
HCPCS,63303,Remov vert xdrl bdy lmbr/sac,,,1406.0,18617.0,4
HCPCS,63304,Remove vert idrl body crvcl,,,1406.0,18617.0,4
HCPCS,63305,Remove vert idrl body thrc,,,1406.0,18617.0,4
HCPCS,63306,Remov vert idrl bdy thrclmbr,,,1406.0,18617.0,4
HCPCS,63307,Remov vert idrl bdy lmbr/sac,,,1406.0,18617.0,4
HCPCS,63308,Remove vertebral body add-on,,,1406.0,18617.0,4
HCPCS,63600,Remove spinal cord lesion,,,2306.84,6312.0,9
HCPCS,63610,Stimulation of spinal cord,,,1544.0,9420.0,9
HCPCS,63620,Srs spinal lesion,,,428.0,18617.0,6
HCPCS,63621,Srs spinal lesion addl,,,428.0,18617.0,6
HCPCS,63650,"HC PERCUTANEOUS IMPLANT NEURO ELECTRODES, EPIDURAL",12049.5,12049.5,,,0
HCPCS,63650,Implant neuroelectrodes,,,2816.0,13320.0,9
HCPCS,63655,Implant neuroelectrodes,,,3560.0,24064.14,9
HCPCS,63661,"HC REMOVE NEURO ELECTRODE PERCUT, W/FLUORO",5772.0,5772.0,,,0
HCPCS,63661,Remove spine eltrd perq aray,,,1544.0,9918.0,9
HCPCS,63662,Remove spine eltrd plate,,,1544.0,9918.0,9
HCPCS,63663,Revise spine eltrd perq aray,,,1544.0,9918.0,9
HCPCS,63664,Revise spine eltrd plate,,,1544.0,13821.53,9
HCPCS,63685,HC INSRT/REPL SPINE NSTIM GENERATOR/RCVR REQ POCKET/CONNECT E. ARRAY,18231.0,18231.0,,,0
HCPCS,63685,Insrt/redo spine n generator,,,2816.0,38276.26,9
HCPCS,63688,HC REVIS/REMVL IMPL NSTIM GENERATOR/RCVR W/DETACH CONNECT E. ARRAY,5825.5,5825.5,,,0
HCPCS,63688,Revise/remove neuroreceiver,,,1544.0,6404.0,9
HCPCS,63690,Description Not Available,,,1406.0,18617.0,4
HCPCS,63691,Description Not Available,,,1406.0,18617.0,4
HCPCS,63700,Repair of spinal herniation,,,1406.0,18617.0,4
HCPCS,63702,Repair of spinal herniation,,,1406.0,18617.0,4
HCPCS,63704,Repair of spinal herniation,,,1406.0,18617.0,4
HCPCS,63706,Repair of spinal herniation,,,1406.0,18617.0,4
HCPCS,63707,Repair spinal fluid leakage,,,1406.0,18617.0,4
HCPCS,63709,Repair spinal fluid leakage,,,1406.0,18617.0,4
HCPCS,63710,Graft repair of spine defect,,,1406.0,18617.0,4
HCPCS,63740,Install spinal shunt,,,1406.0,18617.0,4
HCPCS,63741,Install spinal shunt,,,2816.0,18617.0,9
HCPCS,63744,Revision of spinal shunt,,,3408.0,11081.0,9
HCPCS,63746,Removal of spinal shunt,,,2306.84,8006.0,9
HCPCS,64400,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; TRIGEMINAL NERVE, EA BRCH",952.0,952.0,,,0
HCPCS,64400,N block inj trigeminal,,,362.62,3314.0,9
HCPCS,64402,N block inj facial,,,855.0,984.0,2
HCPCS,64405,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; GREATER OCCIPITAL NERVE",1527.0,1527.0,,,0
HCPCS,64405,N block inj occipital,,,362.62,3314.0,9
HCPCS,64408,"HC INJECTION(S), ANESTHETIC AGENT(S) &/OR STERIOD; VAGUS NERVE",1527.0,1527.0,,,0
HCPCS,64408,N block inj vagus,,,362.62,3314.0,9
HCPCS,64410,N block inj phrenic,,,3563.0,4097.0,2
HCPCS,64413,N block inj cervical plexus,,,855.0,984.0,2
HCPCS,64415,"HC INJ (S), ANESTH AGENT(S) &/OR STERIOD; BRACHIAL PLEXUS, INCL IMG GUIDANCE",4483.0,4483.0,,,0
HCPCS,64415,N block inj brachial plexus,,,1044.87,3314.0,9
HCPCS,64416,N block cont infuse b plex,,,1044.87,3314.0,9
HCPCS,64417,N block inj axillary,,,1044.87,3314.0,9
HCPCS,64418,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; SUPRASCAPULAR NERVE",1967.0,1967.0,,,0
HCPCS,64418,N block inj suprascapular,,,833.89,3314.0,9
HCPCS,64420,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; INTERCOSTAL NERVE, SNGL LEVEL",1527.0,1527.0,,,0
HCPCS,64420,N block inj intercost sng,,,833.89,3314.0,9
HCPCS,64421,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; INTERCOSTAL NERVE EA ADDL LEVEL",1527.0,1527.0,,,0
HCPCS,64421,N block inj intercost mlt,,,1044.87,3314.0,9
HCPCS,64425,"HC INJ(S), ANES AGENT(S)&/OR STERIOD; ILIOINGUINAL, ILIOHYPOGASTRIC  NERVES",1527.0,1527.0,,,0
HCPCS,64425,N block inj ilio-ing/hypogi,,,833.89,3314.0,9
HCPCS,64430,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; PUDENDAL NERVE",2410.0,2410.0,,,0
HCPCS,64430,N block inj pudendal,,,1044.87,3314.0,9
HCPCS,64435,N block inj paracervical,,,833.89,3314.0,9
HCPCS,64440,Description Not Available,,,1406.0,18617.0,4
HCPCS,64441,Description Not Available,,,1406.0,18617.0,4
HCPCS,64442,Description Not Available,,,1406.0,18617.0,4
HCPCS,64443,Description Not Available,,,1406.0,18617.0,4
HCPCS,64445,"HC INJ (S), ANESTH AGENT(S) &/OR STERIOD; SCIATIC NERVE, INCL IMG GUIDANCE",1527.0,1527.0,,,0
HCPCS,64445,N block inj sciatic sng,,,833.89,3314.0,9
HCPCS,64446,N blk inj sciatic cont inf,,,1044.87,3314.0,9
HCPCS,64447,N block inj fem single,,,833.89,3314.0,9
HCPCS,64448,N block inj fem cont inf,,,1044.87,4097.0,9
HCPCS,64449,N block inj lumbar plexus,,,1044.87,3314.0,9
HCPCS,64450,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; OTHER PERIPHER NERVE OR BRCH",1527.0,1527.0,,,0
HCPCS,64450,N block other peripheral,,,833.89,3314.0,9
HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,833.89,3314.0,9
HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,833.89,3314.0,9
HCPCS,64455,N block inj plantar digit,,,362.62,18617.0,9
HCPCS,64461,Pvb thoracic single inj site,,,428.0,18617.0,9
HCPCS,64462,Pvb thoracic 2nd+ inj site,,,428.0,1866.0,4
HCPCS,64463,Pvb thoracic cont infusion,,,428.0,18617.0,9
HCPCS,64466,Thrc fascial pln blk uni njx,,,1544.0,1866.0,2
HCPCS,64467,Thrc fascial pln blk uni nfs,,,1544.0,1866.0,2
HCPCS,64468,Thrc fascial pln blk bi njx,,,1544.0,1866.0,2
HCPCS,64469,Thrc fascial pln blk bi nfs,,,1544.0,1866.0,2
HCPCS,64473,Lwr xtr fscl pln blk uni njx,,,1544.0,1866.0,2
HCPCS,64474,Lwr xtr fscl pln blk uni nfs,,,1544.0,1866.0,2
HCPCS,64479,"HC INJ(S), TRANSFORAMINAL EPIDURAL, CERVICAL/THORACIC, 1 LEVEL",1440.0,1440.0,,,0
HCPCS,64479,Inj foramen epidural c/t,,,1044.87,3314.0,9
HCPCS,64480,"HC INJ(S), TRANSFORAMINAL EPIDURAL, CERVICAL/THORACIC, EA ADDL LEVEL",1212.0,1212.0,,,0
HCPCS,64480,Inj foramen epidural add-on,,,428.0,1866.0,4
HCPCS,64483,"HC INJ(S), TRANSFORAMINAL EPIDURAL, LUMBAR/SACRAL, 1 LEVEL",1527.0,1527.0,,,0
HCPCS,64483,Inj foramen epidural l/s,,,1044.87,3314.0,9
HCPCS,64484,"HC INJ(S), TRANSFORAMINAL EPIDURAL, LUMBAR/SACRAL, EA ADDL LEVEL",1527.0,1527.0,,,0
HCPCS,64484,Inj foramen epidural add-on,,,428.0,1866.0,4
HCPCS,64486,Tap block unil by injection,,,428.0,4166.0,4
HCPCS,64487,Tap block uni by infusion,,,428.0,4166.0,4
HCPCS,64488,Tap block bi injection,,,428.0,4166.0,4
HCPCS,64489,Tap block bi by infusion,,,428.0,4166.0,4
HCPCS,64490,"HC INJ PARAVERTEBRAL FACET, CERVICAL/THORARCIC, 1 LEVEL",2994.0,2994.0,,,0
HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,1044.87,3314.0,9
HCPCS,64491,"HC INJ PARAVERTEBRAL FACET, CERVICAL/THORARCIC, 2 LEVEL",1147.5,1147.5,,,0
HCPCS,64491,Inj paravert f jnt c/t 2 lev,,,428.0,1866.0,4
HCPCS,64492,"HC INJ PARAVERTEBRAL FACET, CERVICAL/THORARCIC, 3 LEVEL",1174.0,1174.0,,,0
HCPCS,64492,Inj paravert f jnt c/t 3 lev,,,428.0,1866.0,4
HCPCS,64493,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 1 LEVEL",2707.0,2707.0,,,0
HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,1044.87,3314.0,9
HCPCS,64494,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 2 LEVEL",1416.0,1416.0,,,0
HCPCS,64494,Inj paravert f jnt l/s 2 lev,,,428.0,1866.0,4
HCPCS,64495,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 3 LEVEL",1515.5,1515.5,,,0
HCPCS,64495,Inj paravert f jnt l/s 3 lev,,,428.0,1866.0,4
HCPCS,64505,"HC INJECTION, ANESTHETIC AGENT; SPHENOPALATINE GANGLION",1527.0,1527.0,,,0
HCPCS,64505,N block spenopalatine gangl,,,362.62,3314.0,9
HCPCS,64510,"HC NERVE BLOCK INJ, STELLATE GANGLION",1527.0,1527.0,,,0
HCPCS,64510,N block stellate ganglion,,,1044.87,3314.0,9
HCPCS,64517,"HC NERVE BLOCK INJ, SUPERIOR HYPOGASTRIC PLEXUS",3308.5,3308.5,,,0
HCPCS,64517,N block inj hypogas plxs,,,1044.87,4466.0,9
HCPCS,64520,"HC NERVE BLOCK INJ, LUMBAR OR THORACIC",1527.0,1527.0,,,0
HCPCS,64520,N block lumbar/thoracic,,,1044.87,3314.0,9
HCPCS,64530,"HC NERVE BLOCK INJ, CELIAC PLEXUS",2994.0,2994.0,,,0
HCPCS,64530,N block inj celiac pelus,,,1044.87,3314.0,9
HCPCS,64550,HC APPLY SURFACE TENS,87.0,87.0,,,0
HCPCS,64553,Implant neuroelectrodes,,,1544.0,13821.53,9
HCPCS,64555,Implant neuroelectrodes,,,1544.0,18617.0,9
HCPCS,64561,Implant neuroelectrodes,,,3408.0,8006.0,9
HCPCS,64566,Neuroeltrd stim post tibial,,,362.62,3314.0,9
HCPCS,64567,Perq elec nrv field stimj cn,,,1071.46,18617.0,7
HCPCS,64568,Inc for vagus n elect impl,,,2816.0,54635.78,9
HCPCS,64569,Revise/repl vagus n eltrd,,,2816.0,13821.53,9
HCPCS,64570,Remove vagus n eltrd,,,1544.0,13320.0,9
HCPCS,64575,Implant neuroelectrodes,,,1544.0,13821.53,9
HCPCS,64580,Implant neuroelectrodes,,,1544.0,24064.14,9
HCPCS,64581,Implant neuroelectrodes,,,3408.0,7905.14,9
HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,2816.0,38276.26,9
HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,2816.0,18617.0,9
HCPCS,64584,Rmvl hpglsl nstim ary pg,,,1544.0,18617.0,9
HCPCS,64585,Revise/remove neuroelectrode,,,1544.0,4336.61,9
HCPCS,64590,Insrt/redo pn/gastr stimul,,,2816.0,24064.14,9
HCPCS,64595,Revise/rmv pn/gastr stimul,,,1544.0,6404.0,9
HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,2816.0,18617.0,7
HCPCS,64597,Ins/rplcm prq eltrd ra pn ea,,,1544.0,1866.0,2
HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,1544.0,13320.0,7
HCPCS,64600,Injection treatment of nerve,,,1044.87,4097.0,9
HCPCS,64605,Injection treatment of nerve,,,1544.0,5123.0,9
HCPCS,64610,Injection treatment of nerve,,,1544.0,5123.0,9
HCPCS,64611,Chemodenerv saliv glands,,,362.62,18617.0,9
HCPCS,64611,"HC CHEMODENERVATION PAROTID & SUBMANDIBULAR SALIVARY GLANDS, BILAT",1757.0,1757.0,,,0
HCPCS,64612,Destroy nerve face muscle,,,362.62,3314.0,9
HCPCS,64612,"HC CHEMODENERVATION MUSCLE(S); MUSCLE(S) INNERVATED BY FACIAL NERVE, UNIL",2488.0,2488.0,,,0
HCPCS,64613,HC CHEMODENERVATION; NECK NERVE MUSCLE(S),704.0,704.0,,,0
HCPCS,64614,HC CHEMODEN; EXTREM/TRUNK NERVE MUSCLE(S),589.0,589.0,,,0
HCPCS,64615,Chemodenerv musc migraine,,,362.62,18617.0,9
HCPCS,64615,"HC CHEMODERVATE FACIAL/TRIGEMINAL/CERVICAL MUSCLE, MIGRAINE",2488.0,2488.0,,,0
HCPCS,64616,Chemodenerv musc neck dyston,,,362.62,18617.0,9
HCPCS,64616,HC CHEMODENERV MUSC NECK DYSTON,1423.0,1423.0,,,0
HCPCS,64617,Chemodener muscle larynx emg,,,833.89,18617.0,9
HCPCS,64617,"HC CHEMODENERV, MUSC(S); LARYNX UNI EMG",2488.0,2488.0,,,0
HCPCS,64620,Injection treatment of nerve,,,1044.87,3314.0,9
HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,1544.0,4097.0,9
HCPCS,64625,Rf abltj nrv nrvtg si jt,,,2306.84,9918.0,9
HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,3291.0,18617.0,7
HCPCS,64629,Trml dstrj ios bvn ea addl,,,1544.0,1866.0,2
HCPCS,64630,Injection treatment of nerve,,,1044.87,4466.0,9
HCPCS,64632,N block inj common digit,,,362.62,18617.0,9
HCPCS,64633,Destroy cerv/thor facet jnt,,,1544.0,4097.0,9
HCPCS,64633,"HC DESTROY CERVICAL OR THORACIC, SINGLE FACET JOINT",4155.5,4155.5,,,0
HCPCS,64634,Destroy c/th facet jnt addl,,,428.0,1866.0,4
HCPCS,64634,"HC DESTROY CERVICAL OR THORACIC, EA ADDL FACET JOINT",2193.0,2193.0,,,0
HCPCS,64635,Destroy lumb/sac facet jnt,,,1544.0,7422.0,9
HCPCS,64635,"HC DESTROY LUMBAR OR SACRAL, SINGLE FACET JOINT",3327.0,3327.0,,,0
HCPCS,64636,Destroy l/s facet jnt addl,,,428.0,1866.0,4
HCPCS,64636,"HC DESTROY LUMBAR OR SACRAL, EA ADDL FACET JOINT",2080.0,2080.0,,,0
HCPCS,64640,"HC DESTROY NEUROLYTIC, OTHER PERIPHERAL NERVE",2173.5,2173.5,,,0
HCPCS,64640,Injection treatment of nerve,,,1044.87,3314.0,9
HCPCS,64642,Chemodenerv 1 extremity 1-4,,,833.89,18617.0,9
HCPCS,64642,HC CHEMODENERV 1 EXTREMITY 1-4,1191.0,1191.0,,,0
HCPCS,64643,Chemodenerv 1 extrem 1-4 ea,,,428.0,1866.0,4
HCPCS,64643,HC CHEMODENERV 1 EXTREM 1-4 EA,1191.0,1191.0,,,0
HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,833.89,18617.0,9
HCPCS,64644,HC CHEMODENERV 1 EXTREM 5/> MUS,1191.0,1191.0,,,0
HCPCS,64645,Chemodenerv 1 extrem 5/> ea,,,428.0,1866.0,4
HCPCS,64645,HC CHEMODENERV 1 EXTREM 5/> EA,1191.0,1191.0,,,0
HCPCS,64646,Chemodenerv trunk musc 1-5,,,833.89,18617.0,9
HCPCS,64646,HC CHEMODENERV TRUNK MUSC 1-5,1191.0,1191.0,,,0
HCPCS,64647,Chemodenerv trunk musc 6/>,,,833.89,18617.0,9
HCPCS,64647,HC CHEMODENERV TRUNK MUSC 6/>,1191.0,1191.0,,,0
HCPCS,64650,Chemodenerv eccrine glands,,,362.62,3314.0,9
HCPCS,64653,Chemodenerv eccrine glands,,,362.62,3314.0,9
HCPCS,64654,1st opn implt bat modulj sys,,,3291.0,54635.78,7
HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3408.0,18617.0,7
HCPCS,64656,Revj/rplcmt bat mod sys pg,,,3408.0,38276.26,7
HCPCS,64657,Rmvl bat modulj sys tot sys,,,2816.0,18617.0,7
HCPCS,64658,Rmvl bat modul sys lead only,,,2816.0,18617.0,7
HCPCS,64659,Rmvl bat modulj sys pg only,,,2816.0,18617.0,7
HCPCS,64680,HC DESTRUCT W NEUROLYTIC AGENT; CELIAC PLEXUS,5981.0,5981.0,,,0
HCPCS,64680,Injection treatment of nerve,,,1044.87,4466.0,9
HCPCS,64681,Injection treatment of nerve,,,1044.87,4466.0,9
HCPCS,64702,Revise finger/toe nerve,,,1544.0,5123.0,9
HCPCS,64704,Revise hand/foot nerve,,,1544.0,5123.0,9
HCPCS,64708,HC NEUROPLASTY MAJOR PRPH NRV ARM/LEG OPEN; OTHER/THAN SPECIFIED,5104.0,5104.0,,,0
HCPCS,64708,Revise arm/leg nerve,,,2306.84,6404.0,9
HCPCS,64712,Revision of sciatic nerve,,,2306.84,11081.0,9
HCPCS,64713,Revision of arm nerve(s),,,2306.84,11081.0,9
HCPCS,64714,Revise low back nerve(s),,,2306.84,9420.0,9
HCPCS,64716,Revision of cranial nerve,,,2306.84,8006.0,9
HCPCS,64718,Revise ulnar nerve at elbow,,,2306.84,5123.0,9
HCPCS,64719,Revise ulnar nerve at wrist,,,2306.84,5123.0,9
HCPCS,64721,Carpal tunnel surgery,,,2306.84,4466.0,9
HCPCS,64722,Relieve pressure on nerve(s),,,1544.0,6404.0,9
HCPCS,64726,Release foot/toe nerve,,,1544.0,4097.0,9
HCPCS,64727,Internal nerve revision,,,428.0,1866.0,4
HCPCS,64728,Dcmprn median nrv carpl tunl,,,2306.84,18617.0,7
HCPCS,64732,Incision of brow nerve,,,2306.84,4466.0,9
HCPCS,64734,Incision of cheek nerve,,,2306.84,5123.0,9
HCPCS,64736,Incision of chin nerve,,,2306.84,5123.0,9
HCPCS,64738,Incision of jaw nerve,,,2306.84,11081.0,9
HCPCS,64740,Incision of tongue nerve,,,2138.0,4466.0,9
HCPCS,64742,Incision of facial nerve,,,2306.84,9420.0,9
HCPCS,64744,Incise nerve back of head,,,2306.84,6404.0,9
HCPCS,64746,Incise diaphragm nerve,,,2306.84,8006.0,9
HCPCS,64755,Incision of stomach nerves,,,1406.0,18617.0,4
HCPCS,64760,Incision of vagus nerve,,,1406.0,18617.0,4
HCPCS,64763,Incise hip/thigh nerve,,,1406.0,17041.0,9
HCPCS,64766,Incise hip/thigh nerve,,,1406.0,5098.0,9
HCPCS,64771,Sever cranial nerve,,,2306.84,6404.0,9
HCPCS,64772,Incision of spinal nerve,,,2306.84,6404.0,9
HCPCS,64774,Remove skin nerve lesion,,,2306.84,6404.0,9
HCPCS,64776,Remove digit nerve lesion,,,2306.84,5098.0,9
HCPCS,64778,Digit nerve surgery add-on,,,428.0,4166.0,4
HCPCS,64782,Remove limb nerve lesion,,,2306.84,5123.0,9
HCPCS,64783,Limb nerve surgery add-on,,,428.0,4166.0,4
HCPCS,64784,Remove nerve lesion,,,2306.84,6404.0,9
HCPCS,64786,Remove sciatic nerve lesion,,,3408.0,8006.0,9
HCPCS,64787,Implant nerve end,,,428.0,4166.0,4
HCPCS,64788,Remove skin nerve lesion,,,2306.84,5123.0,9
HCPCS,64790,Removal of nerve lesion,,,2306.84,8006.0,9
HCPCS,64792,Removal of nerve lesion,,,3408.0,11081.0,9
HCPCS,64795,Biopsy of nerve,,,2306.84,5123.0,9
HCPCS,64802,Sympathectomy cervical,,,2306.84,11081.0,9
HCPCS,64804,Remove sympathetic nerves,,,428.0,18617.0,9
HCPCS,64809,Remove sympathetic nerves,,,1406.0,18617.0,4
HCPCS,64818,Remove sympathetic nerves,,,1406.0,18617.0,4
HCPCS,64820,Sympathectomy digital artery,,,1406.0,18617.0,9
HCPCS,64821,Remove sympathetic nerves,,,3865.36,6404.0,9
HCPCS,64822,Remove sympathetic nerves,,,2816.0,13036.0,9
HCPCS,64823,Sympathectomy supfc palmar,,,2816.0,4466.0,9
HCPCS,64830,Description Not Available,,,1406.0,18617.0,4
HCPCS,64831,Repair of digit nerve,,,2306.84,8006.0,9
HCPCS,64832,Repair nerve add-on,,,428.0,1866.0,4
HCPCS,64834,Repair of hand or foot nerve,,,2816.0,8006.0,9
HCPCS,64835,Repair of hand or foot nerve,,,3408.0,8006.0,9
HCPCS,64836,Repair of hand or foot nerve,,,3408.0,9420.0,9
HCPCS,64837,Repair nerve add-on,,,428.0,1866.0,4
HCPCS,64840,Repair of leg nerve,,,2816.0,10885.67,9
HCPCS,64856,Repair/transpose nerve,,,2816.0,10885.67,9
HCPCS,64857,Repair arm/leg nerve,,,2816.0,8006.0,9
HCPCS,64858,Repair sciatic nerve,,,2306.84,11081.0,9
HCPCS,64859,Nerve surgery,,,428.0,1866.0,4
HCPCS,64861,Repair of arm nerves,,,2306.84,13036.0,9
HCPCS,64862,Repair of low back nerves,,,428.0,5098.0,9
HCPCS,64864,Repair of facial nerve,,,3408.0,17041.0,9
HCPCS,64865,Repair of facial nerve,,,4035.65,11081.0,9
HCPCS,64866,Fusion of facial/other nerve,,,1406.0,18617.0,4
HCPCS,64868,Fusion of facial/other nerve,,,1406.0,18617.0,4
HCPCS,64872,Subsequent repair of nerve,,,428.0,4166.0,4
HCPCS,64874,Repair & revise nerve add-on,,,428.0,5044.0,4
HCPCS,64876,Repair nerve/shorten bone,,,428.0,5044.0,4
HCPCS,64885,Nerve graft head/neck <=4 cm,,,2816.0,17939.0,9
HCPCS,64886,Nerve graft head/neck >4 cm,,,2816.0,17041.0,9
HCPCS,64890,Nerve graft hand/foot <=4 cm,,,2816.0,11081.0,9
HCPCS,64891,Nerve graft hand/foot >4 cm,,,2816.0,10885.67,9
HCPCS,64892,Nerve graft arm/leg <4 cm,,,2816.0,13036.0,9
HCPCS,64893,Nerve graft arm/leg >4 cm,,,2816.0,8006.0,9
HCPCS,64895,Nerve graft hand/foot <=4 cm,,,3408.0,10885.67,9
HCPCS,64896,Nerve graft hand/foot >4 cm,,,3408.0,17041.0,9
HCPCS,64897,Nerve graft arm/leg <=4 cm,,,3408.0,17041.0,9
HCPCS,64898,Nerve graft arm/leg >4 cm,,,3408.0,17041.0,9
HCPCS,64901,Nerve graft add-on,,,428.0,4166.0,4
HCPCS,64902,Nerve graft add-on,,,428.0,4166.0,4
HCPCS,64905,Nerve pedicle transfer,,,2816.0,15339.0,9
HCPCS,64907,Nerve pedicle transfer,,,428.0,10885.67,9
HCPCS,64910,Nerve repair w/allograft,,,2816.0,13036.0,9
HCPCS,64911,Neurorraphy w/vein autograft,,,2816.0,15339.0,9
HCPCS,64912,Nrv rpr w/nrv algrft 1st,,,2816.0,18617.0,9
HCPCS,64913,Nrv rpr w/nrv algrft ea addl,,,428.0,1866.0,4
HCPCS,64999,Nervous system surgery,,,362.62,18617.0,9
HCPCS,65091,Revise eye,,,3408.0,8006.0,9
HCPCS,65093,Revise eye with implant,,,3408.0,8006.0,9
HCPCS,65101,Removal of eye,,,3408.0,8006.0,9
HCPCS,65103,Remove eye/insert implant,,,3408.0,8006.0,9
HCPCS,65105,Remove eye/attach implant,,,4224.0,9420.0,9
HCPCS,65110,Removal of eye,,,3291.0,11081.0,9
HCPCS,65112,Remove eye/revise socket,,,4147.0,17041.0,9
HCPCS,65114,Remove eye/revise socket,,,4147.0,9918.0,9
HCPCS,65125,Revise ocular implant,,,1406.0,7422.0,9
HCPCS,65130,Insert ocular implant,,,3408.0,8006.0,9
HCPCS,65135,Insert ocular implant,,,2816.0,5123.0,9
HCPCS,65140,Attach ocular implant,,,3408.0,11081.0,9
HCPCS,65150,Revise ocular implant,,,2816.0,6404.0,9
HCPCS,65155,Reinsert ocular implant,,,3408.0,8006.0,9
HCPCS,65175,Removal of ocular implant,,,1544.0,5123.0,9
HCPCS,65205,"HC REMOVAL FOREIGN BODY, CONJUNCTIVAL SUPERFICIAL",373.0,373.0,,,0
HCPCS,65205,Remove foreign body from eye,,,157.18,18617.0,9
HCPCS,65210,"HC REMOVAL FOREIGN BODY, CONJUNCTIVAL EMBEDDED",475.0,475.0,,,0
HCPCS,65210,Remove foreign body from eye,,,527.74,18617.0,9
HCPCS,65220,"HC REMOVAL FOREIGN BODY, WITHOUT SLIT LAMP",473.0,473.0,,,0
HCPCS,65220,Remove foreign body from eye,,,527.74,18617.0,9
HCPCS,65222,"HC REMOVAL FOREIGN BODY, WITH SLIT LAMP",146.0,146.0,,,0
HCPCS,65222,Remove foreign body from eye,,,157.18,18617.0,9
HCPCS,65235,Remove foreign body from eye,,,2726.34,4466.0,9
HCPCS,65260,Remove foreign body from eye,,,428.0,5098.0,9
HCPCS,65265,Remove foreign body from eye,,,2726.34,6404.0,9
HCPCS,65270,Repair of eye wound,,,2808.63,5123.0,9
HCPCS,65272,Repair of eye wound,,,2808.63,5123.0,9
HCPCS,65273,Repair of eye wound,,,2816.0,18617.0,4
HCPCS,65275,Repair of eye wound,,,4224.0,9420.0,9
HCPCS,65280,Repair of eye wound,,,4224.0,8006.0,9
HCPCS,65285,Repair of eye wound,,,4224.0,11081.0,9
HCPCS,65286,Repair of eye wound,,,2138.0,4166.0,9
HCPCS,65290,Repair of eye socket wound,,,3408.0,5123.0,9
HCPCS,65400,Removal of eye lesion,,,1177.66,3314.0,9
HCPCS,65410,Biopsy of cornea,,,2808.63,4466.0,9
HCPCS,65420,Removal of eye lesion,,,2808.63,4466.0,9
HCPCS,65426,Removal of eye lesion,,,2808.63,7422.0,9
HCPCS,65430,Corneal smear,,,527.74,18617.0,9
HCPCS,65435,Curette/treat cornea,,,1177.66,3314.0,9
HCPCS,65436,Curette/treat cornea,,,1544.0,18617.0,9
HCPCS,65450,Treatment of corneal lesion,,,374.96,18617.0,9
HCPCS,65600,Revision of cornea,,,1544.0,18617.0,9
HCPCS,65710,Corneal transplant,,,4147.0,9918.0,9
HCPCS,65730,Corneal transplant,,,4147.0,9918.0,9
HCPCS,65750,Corneal transplant,,,4147.0,9918.0,9
HCPCS,65755,Corneal transplant,,,4147.0,9918.0,9
HCPCS,65756,Corneal trnspl endothelial,,,4147.0,13320.0,9
HCPCS,65760,Revision of cornea,,,4147.0,18617.0,4
HCPCS,65765,Revision of cornea,,,4147.0,18617.0,4
HCPCS,65767,Corneal tissue transplant,,,4147.0,18617.0,4
HCPCS,65770,Revise cornea with implant,,,4147.0,18617.0,9
HCPCS,65771,Radial keratotomy,,,4147.0,18617.0,4
HCPCS,65772,Correction of astigmatism,,,1177.66,6312.0,9
HCPCS,65775,Correction of astigmatism,,,2808.63,6312.0,9
HCPCS,65778,Cover eye w/membrane,,,1177.66,4466.0,9
HCPCS,65779,Cover eye w/membrane suture,,,1544.0,8006.0,9
HCPCS,65780,Ocular reconst transplant,,,3291.0,8006.0,9
HCPCS,65781,Ocular reconst transplant,,,3291.0,13036.0,9
HCPCS,65782,Ocular reconst transplant,,,3291.0,7422.0,9
HCPCS,65785,Impltj ntrstrml crnl rng seg,,,428.0,18617.0,9
HCPCS,65800,Drainage of eye,,,1544.0,4097.0,9
HCPCS,65810,Drainage of eye,,,2726.34,5123.0,9
HCPCS,65815,Drainage of eye,,,2726.34,5123.0,9
HCPCS,65820,Relieve inner eye pressure,,,1544.0,6404.0,9
HCPCS,65850,Incision of eye,,,2726.34,6312.0,9
HCPCS,65855,Trabeculoplasty laser surg,,,649.74,4166.0,9
HCPCS,65860,Incise inner eye adhesions,,,649.74,6253.0,9
HCPCS,65865,Incise inner eye adhesions,,,1544.0,5123.0,9
HCPCS,65870,Incise inner eye adhesions,,,2726.34,6312.0,9
HCPCS,65875,Incise inner eye adhesions,,,2726.34,6312.0,9
HCPCS,65880,Incise inner eye adhesions,,,4224.0,6404.0,9
HCPCS,65900,Remove eye lesion,,,2726.34,7422.0,9
HCPCS,65920,Remove implant of eye,,,2726.34,9918.0,9
HCPCS,65930,Remove blood clot from eye,,,2726.34,7422.0,9
HCPCS,66020,Injection treatment of eye,,,1544.0,4097.0,9
HCPCS,66030,Injection treatment of eye,,,1544.0,4097.0,9
HCPCS,66130,Remove eye lesion,,,2808.63,9918.0,9
HCPCS,66150,Glaucoma surgery,,,4224.0,6404.0,9
HCPCS,66155,Glaucoma surgery,,,4224.0,6404.0,9
HCPCS,66160,Glaucoma surgery,,,2726.34,5123.0,9
HCPCS,66170,Glaucoma surgery,,,2726.34,6312.0,9
HCPCS,66172,Incision of eye,,,2726.34,6312.0,9
HCPCS,66174,Translum dil eye canal,,,3291.0,7422.0,9
HCPCS,66175,Trnslum dil eye canal w/stnt,,,3291.0,8006.0,9
HCPCS,66179,Aqueous shunt eye w/o graft,,,4224.0,13320.0,9
HCPCS,66180,Aqueous shunt eye w/graft,,,3291.0,9420.0,9
HCPCS,66183,Insert ant drainage device,,,3408.0,13320.0,9
HCPCS,66184,Revision of aqueous shunt,,,2726.34,13320.0,9
HCPCS,66185,Revise aqueous shunt eye,,,2726.34,8006.0,9
HCPCS,66225,Repair/graft eye lesion,,,4224.0,9420.0,9
HCPCS,66250,Follow-up surgery of eye,,,2808.63,4466.0,9
HCPCS,66500,Incision of iris,,,1544.0,3314.0,9
HCPCS,66505,Incision of iris,,,1544.0,6404.0,9
HCPCS,66600,Remove iris and lesion,,,3408.0,8006.0,9
HCPCS,66605,Removal of iris,,,2726.34,5123.0,9
HCPCS,66625,Removal of iris,,,2138.0,5098.0,9
HCPCS,66630,Removal of iris,,,2726.34,5123.0,9
HCPCS,66635,Removal of iris,,,2726.34,5123.0,9
HCPCS,66680,Repair iris & ciliary body,,,2726.34,5123.0,9
HCPCS,66682,Repair iris & ciliary body,,,2726.34,5123.0,9
HCPCS,66683,Implantation iris prosthesis,,,3291.0,20418.21,7
HCPCS,66700,Destruction ciliary body,,,2726.34,4466.0,9
HCPCS,66710,Ciliary transsleral therapy,,,2808.63,4466.0,9
HCPCS,66711,Ciliary endoscopic ablation,,,2726.34,5123.0,9
HCPCS,66720,Destruction ciliary body,,,2808.63,4466.0,9
HCPCS,66740,Destruction ciliary body,,,2808.63,5123.0,9
HCPCS,66761,Revision of iris,,,649.74,3314.0,9
HCPCS,66762,Revision of iris,,,649.74,3314.0,9
HCPCS,66770,Removal of inner eye lesion,,,649.74,3314.0,9
HCPCS,66820,Incision secondary cataract,,,1544.0,3314.0,9
HCPCS,66821,After cataract laser surgery,,,649.74,4466.0,9
HCPCS,66825,Reposition intraocular lens,,,2726.34,6312.0,9
HCPCS,66830,Removal of lens lesion,,,2138.0,6312.0,9
HCPCS,66840,Removal of lens material,,,2726.34,6312.0,9
HCPCS,66850,Removal of lens material,,,2726.34,9918.0,9
HCPCS,66852,Removal of lens material,,,4224.0,8006.0,9
HCPCS,66920,Extraction of lens,,,2726.34,6312.0,9
HCPCS,66930,Extraction of lens,,,3291.0,8006.0,9
HCPCS,66940,Extraction of lens,,,2138.0,7422.0,9
HCPCS,66982,Cataract surgery complex,,,2726.34,9701.0,9
HCPCS,66983,Cataract surg w/iol 1 stage,,,2726.34,9701.0,9
HCPCS,66984,Cataract surg w/iol 1 stage,,,2726.34,9701.0,9
HCPCS,66985,Insert lens prosthesis,,,2726.34,8190.0,9
HCPCS,66986,Exchange lens prosthesis,,,2726.34,8190.0,9
HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,3560.0,13320.0,9
HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,3560.0,13320.0,9
HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,3560.0,9701.0,9
HCPCS,66990,Ophthalmic endoscope add-on,,,428.0,1866.0,4
HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,3560.0,9701.0,9
HCPCS,66999,Eye surgery procedure,,,1544.0,18617.0,9
HCPCS,67005,Partial removal of eye fluid,,,2726.34,6404.0,9
HCPCS,67010,Partial removal of eye fluid,,,2726.34,8006.0,9
HCPCS,67015,Release of eye fluid,,,1544.0,6404.0,9
HCPCS,67025,Replace eye fluid,,,1544.0,8006.0,9
HCPCS,67027,Implant eye drug system,,,4224.0,18686.0,9
HCPCS,67028,Injection eye drug,,,390.2,3314.0,9
HCPCS,67030,Incise inner eye strands,,,1544.0,6404.0,9
HCPCS,67031,Laser surgery eye strands,,,649.74,4466.0,9
HCPCS,67036,Removal of inner eye fluid,,,4224.0,8006.0,9
HCPCS,67039,Laser treatment of retina,,,4147.0,9918.0,9
HCPCS,67040,Laser treatment of retina,,,4147.0,9918.0,9
HCPCS,67041,Vit for macular pucker,,,3291.0,13320.0,9
HCPCS,67042,Vit for macular hole,,,3291.0,13320.0,9
HCPCS,67043,Vit for membrane dissect,,,4147.0,13320.0,9
HCPCS,67101,Repair detached retina crtx,,,2726.34,6253.0,9
HCPCS,67105,Repair detached retina pc,,,649.74,3972.0,9
HCPCS,67107,Repair detached retina,,,3291.0,8006.0,9
HCPCS,67108,Repair detached retina,,,4147.0,9918.0,9
HCPCS,67110,Repair detached retina,,,1406.0,18617.0,9
HCPCS,67113,Repair retinal detach cplx,,,3291.0,13320.0,9
HCPCS,67115,Release encircling material,,,2816.0,6404.0,9
HCPCS,67120,Remove eye implant material,,,2726.34,5123.0,9
HCPCS,67121,Remove eye implant material,,,2726.34,6404.0,9
HCPCS,67141,Treatment of retina,,,374.96,4466.0,9
HCPCS,67145,Treatment of retina,,,649.74,3314.0,9
HCPCS,67208,Treatment of retinal lesion,,,374.96,3972.0,9
HCPCS,67210,Treatment of retinal lesion,,,649.74,3972.0,9
HCPCS,67218,Treatment of retinal lesion,,,3291.0,8006.0,9
HCPCS,67220,Treatment of choroid lesion,,,649.74,3314.0,9
HCPCS,67221,Ocular Photodynamic Ther,,,649.74,3314.0,9
HCPCS,67225,Eye photodynamic ther add-on,,,428.0,1866.0,4
HCPCS,67227,Dstrj extensive retinopathy,,,1544.0,8006.0,9
HCPCS,67228,Treatment x10sv retinopathy,,,649.74,3314.0,9
HCPCS,67229,Tr retinal les preterm inf,,,649.74,18617.0,9
HCPCS,67250,Reinforce eye wall,,,2808.63,8006.0,9
HCPCS,67255,Reinforce/graft eye wall,,,3408.0,6404.0,9
HCPCS,67299,Eye surgery procedure,,,1406.0,18617.0,9
HCPCS,67311,Revise eye muscle,,,2808.63,5123.0,9
HCPCS,67312,Revise two eye muscles,,,4224.0,6404.0,9
HCPCS,67314,Revise eye muscle,,,2808.63,6312.0,9
HCPCS,67316,Revise two eye muscles,,,2808.63,6404.0,9
HCPCS,67318,Revise eye muscle(s),,,2808.63,6312.0,9
HCPCS,67320,Revise eye muscle(s) add-on,,,4224.0,6253.0,4
HCPCS,67331,Eye surgery follow-up add-on,,,4224.0,6253.0,4
HCPCS,67332,Rerevise eye muscles add-on,,,4224.0,6253.0,4
HCPCS,67334,Revise eye muscle w/suture,,,4224.0,6253.0,4
HCPCS,67335,Eye suture during surgery,,,4224.0,6253.0,4
HCPCS,67340,Revise eye muscle add-on,,,428.0,6253.0,4
HCPCS,67343,Release eye tissue,,,2808.63,9918.0,9
HCPCS,67345,Destroy nerve of eye muscle,,,374.96,3314.0,9
HCPCS,67346,Biopsy eye muscle,,,1544.0,9420.0,9
HCPCS,67399,Unlisted px extraocular musc,,,374.96,18617.0,9
HCPCS,67400,Explore/biopsy eye socket,,,3408.0,6404.0,9
HCPCS,67405,Explore/drain eye socket,,,2808.63,6312.0,9
HCPCS,67412,Explore/treat eye socket,,,2808.63,7422.0,9
HCPCS,67412,HC ORBITOTOMY W/O BONE FLAP; W/REMOVAL LESION,11462.0,11462.0,,,0
HCPCS,67413,Explore/treat eye socket,,,2808.63,7422.0,9
HCPCS,67414,Explr/decompress eye socket,,,3291.0,18617.0,9
HCPCS,67415,Aspiration orbital contents,,,1544.0,6404.0,9
HCPCS,67420,Explore/treat eye socket,,,3291.0,11081.0,9
HCPCS,67430,Explore/treat eye socket,,,2138.0,7422.0,9
HCPCS,67440,Explore/drain eye socket,,,3291.0,7422.0,9
HCPCS,67445,Explr/decompress eye socket,,,3291.0,11081.0,9
HCPCS,67450,Explore/biopsy eye socket,,,3291.0,8006.0,9
HCPCS,67500,Inject/treat eye socket,,,374.96,18617.0,9
HCPCS,67505,Inject/treat eye socket,,,374.96,3314.0,9
HCPCS,67515,Inject/treat eye socket,,,374.96,3314.0,9
HCPCS,67516,Sprchoroidal spc njx rx agt,,,390.2,18617.0,7
HCPCS,67550,Insert eye socket implant,,,4224.0,8006.0,9
HCPCS,67560,Revise eye socket implant,,,2816.0,8006.0,9
HCPCS,67570,Decompress optic nerve,,,4224.0,6404.0,9
HCPCS,67599,Orbit surgery procedure,,,374.96,18617.0,9
HCPCS,67700,Drainage of eyelid abscess,,,374.96,3314.0,9
HCPCS,67700,"HC BLEPHAROTOMY, DRAINAGE OF ABSCESS, EYELID",366.0,366.0,,,0
HCPCS,67710,Incision of eyelid,,,1177.66,3314.0,9
HCPCS,67715,HC CANTHOTOMY,7775.0,7775.0,,,0
HCPCS,67715,Incision of eyelid fold,,,1544.0,4097.0,9
HCPCS,67800,Remove eyelid lesion,,,374.96,3314.0,9
HCPCS,67801,Remove eyelid lesions,,,1177.66,3314.0,9
HCPCS,67805,Remove eyelid lesions,,,374.96,3314.0,9
HCPCS,67808,Remove eyelid lesion(s),,,2808.63,4466.0,9
HCPCS,67810,Biopsy eyelid & lid margin,,,374.96,3314.0,9
HCPCS,67820,Revise eyelashes,,,157.18,18617.0,9
HCPCS,67825,Revise eyelashes,,,374.96,3314.0,9
HCPCS,67830,Revise eyelashes,,,1177.66,4466.0,9
HCPCS,67835,Revise eyelashes,,,2808.63,5123.0,9
HCPCS,67840,Remove eyelid lesion,,,1177.66,4166.0,9
HCPCS,67850,Treat eyelid lesion,,,1177.66,3314.0,9
HCPCS,67875,Closure of eyelid by suture,,,1177.66,3314.0,9
HCPCS,67880,Revision of eyelid,,,2808.63,5098.0,9
HCPCS,67882,Revision of eyelid,,,2808.63,5098.0,9
HCPCS,67900,Repair brow defect,,,2808.63,6312.0,9
HCPCS,67901,Repair eyelid defect,,,2808.63,7422.0,9
HCPCS,67902,Repair eyelid defect,,,3291.0,7422.0,9
HCPCS,67903,Repair eyelid defect,,,2808.63,6312.0,9
HCPCS,67904,Repair eyelid defect,,,2808.63,6312.0,9
HCPCS,67906,Repair eyelid defect,,,3291.0,7422.0,9
HCPCS,67908,Repair eyelid defect,,,2808.63,6312.0,9
HCPCS,67909,Revise eyelid defect,,,2808.63,6312.0,9
HCPCS,67911,Revise eyelid defect,,,2808.63,5123.0,9
HCPCS,67912,Correction eyelid w/implant,,,2808.63,5123.0,9
HCPCS,67914,Repair eyelid defect,,,2808.63,5098.0,9
HCPCS,67915,Repair eyelid defect,,,2762.0,6404.0,9
HCPCS,67916,Repair eyelid defect,,,2808.63,6312.0,9
HCPCS,67917,Repair eyelid defect,,,2808.63,6312.0,9
HCPCS,67921,Repair eyelid defect,,,2808.63,5098.0,9
HCPCS,67922,Repair eyelid defect,,,2138.0,18617.0,9
HCPCS,67923,Repair eyelid defect,,,2808.63,6312.0,9
HCPCS,67924,Repair eyelid defect,,,2808.63,6312.0,9
HCPCS,67930,Repair eyelid wound,,,2138.0,7422.0,9
HCPCS,67935,Repair eyelid wound,,,2808.63,4466.0,9
HCPCS,67938,"HC REMOVAL OF EMBEDDED FOREIGN BODY, EYELID",334.0,334.0,,,0
HCPCS,67938,Remove eyelid foreign body,,,374.96,18617.0,9
HCPCS,67950,Revision of eyelid,,,2808.63,5123.0,9
HCPCS,67961,Revision of eyelid,,,2808.63,5123.0,9
HCPCS,67966,Revision of eyelid,,,2808.63,5123.0,9
HCPCS,67971,Reconstruction of eyelid,,,2808.63,6404.0,9
HCPCS,67973,Reconstruction of eyelid,,,2808.63,6404.0,9
HCPCS,67974,Reconstruction of eyelid,,,3408.0,8006.0,9
HCPCS,67975,Reconstruction of eyelid,,,2808.63,5098.0,9
HCPCS,67999,Revision of eyelid,,,374.96,18617.0,9
HCPCS,68020,Incise/drain eyelid lining,,,855.0,18617.0,9
HCPCS,68040,Treatment of eyelid lesions,,,374.96,18617.0,9
HCPCS,68100,Biopsy of eyelid lining,,,1544.0,5098.0,9
HCPCS,68110,Remove eyelid lining lesion,,,2762.0,4166.0,9
HCPCS,68115,Remove eyelid lining lesion,,,2808.63,5123.0,9
HCPCS,68130,Remove eyelid lining lesion,,,2808.63,6404.0,9
HCPCS,68135,Remove eyelid lining lesion,,,1544.0,4097.0,9
HCPCS,68200,Treat eyelid by injection,,,527.74,18617.0,9
HCPCS,68320,Revise/graft eyelid lining,,,2808.63,6312.0,9
HCPCS,68325,Revise/graft eyelid lining,,,4224.0,8006.0,9
HCPCS,68326,Revise/graft eyelid lining,,,4224.0,6404.0,9
HCPCS,68328,Revise/graft eyelid lining,,,2808.63,6404.0,9
HCPCS,68330,Revise eyelid lining,,,2726.34,6312.0,9
HCPCS,68335,Revise/graft eyelid lining,,,4224.0,8006.0,9
HCPCS,68340,Separate eyelid adhesions,,,2808.63,6404.0,9
HCPCS,68360,Revise eyelid lining,,,2816.0,5123.0,9
HCPCS,68362,Revise eyelid lining,,,2808.63,6404.0,9
HCPCS,68371,Harvest eye tissue alograft,,,2808.63,4466.0,9
HCPCS,68399,Eyelid lining surgery,,,374.96,18617.0,9
HCPCS,68400,Incise/drain tear gland,,,855.0,3314.0,9
HCPCS,68420,Incise/drain tear sac,,,1544.0,7422.0,9
HCPCS,68440,Incise tear duct opening,,,374.96,3314.0,9
HCPCS,68500,Removal of tear gland,,,3408.0,9420.0,9
HCPCS,68505,Partial removal tear gland,,,3408.0,6404.0,9
HCPCS,68510,Biopsy of tear gland,,,1544.0,5123.0,9
HCPCS,68520,Removal of tear sac,,,3408.0,6404.0,9
HCPCS,68525,Biopsy of tear sac,,,1544.0,8006.0,9
HCPCS,68530,Clearance of tear duct,,,374.96,18617.0,9
HCPCS,68540,Remove tear gland lesion,,,2808.63,5098.0,9
HCPCS,68550,Remove tear gland lesion,,,3408.0,11081.0,9
HCPCS,68700,Repair tear ducts,,,2808.63,5123.0,9
HCPCS,68705,Revise tear duct opening,,,374.96,4097.0,9
HCPCS,68720,Create tear sac drain,,,4224.0,6404.0,9
HCPCS,68745,Create tear duct drain,,,4224.0,9420.0,9
HCPCS,68750,Create tear duct drain,,,4224.0,6404.0,9
HCPCS,68760,Close tear duct opening,,,374.96,18617.0,9
HCPCS,68761,Close tear duct opening,,,374.96,18617.0,9
HCPCS,68770,Close tear system fistula,,,2808.63,6312.0,9
HCPCS,68800,Description Not Available,,,1406.0,18617.0,4
HCPCS,68801,Dilate tear duct opening,,,527.74,18617.0,9
HCPCS,68810,Probe nasolacrimal duct,,,374.96,3314.0,9
HCPCS,68811,Probe nasolacrimal duct,,,2808.63,4466.0,9
HCPCS,68815,Probe nasolacrimal duct,,,2808.63,4466.0,9
HCPCS,68816,Probe nl duct w/balloon,,,2808.63,7422.0,9
HCPCS,68820,Description Not Available,,,1406.0,18617.0,4
HCPCS,68825,Description Not Available,,,1406.0,18617.0,4
HCPCS,68830,Description Not Available,,,1406.0,18617.0,4
HCPCS,68840,Explore/irrigate tear ducts,,,374.96,18617.0,9
HCPCS,68841,Insj rx elut implt lac canal,,,1544.0,3314.0,7
HCPCS,68850,Injection for tear sac x-ray,,,428.0,1866.0,4
HCPCS,68899,Tear duct system surgery,,,374.96,18617.0,9
HCPCS,69000,Drain external ear lesion,,,836.55,18617.0,9
HCPCS,69000,"HC DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; SIMPLE",900.0,900.0,,,0
HCPCS,69005,Drain external ear lesion,,,1544.0,18617.0,9
HCPCS,69005,"HC DRAINAGE EXTERNAL EAR, ABSCESS/HEMATOMA; COMPLICATED",7981.0,7981.0,,,0
HCPCS,69020,Drain outer ear canal lesion,,,836.55,18617.0,9
HCPCS,69020,"HC DRAINAGE EXTERNAL AUDITORY CANAL, ABSCESS",4058.0,4058.0,,,0
HCPCS,69090,Pierce earlobes,,,1406.0,18617.0,4
HCPCS,69100,Biopsy of external ear,,,279.8,3314.0,9
HCPCS,69100,HC BIOPSY EXTERNAL EAR,557.0,557.0,,,0
HCPCS,69105,Biopsy of external ear canal,,,1406.0,18617.0,9
HCPCS,69105,HC BIOPSY EXTERNAL AUDITORY CANAL,2222.0,2222.0,,,0
HCPCS,69110,Remove external ear partial,,,1544.0,5123.0,9
HCPCS,69120,Removal of external ear,,,2816.0,8006.0,9
HCPCS,69140,Remove ear canal lesion(s),,,2816.0,8006.0,9
HCPCS,69145,"HC EXCISION SOFT TISSUE LESION, EXTERNAL AUDITORY CANAL",4747.0,4747.0,,,0
HCPCS,69145,Remove ear canal lesion(s),,,2816.0,4466.0,9
HCPCS,69150,Extensive ear canal surgery,,,3408.0,9420.0,9
HCPCS,69155,Extensive ear/neck surgery,,,1406.0,18617.0,4
HCPCS,69200,Clear outer ear canal,,,157.18,18617.0,9
HCPCS,69200,"HC REMOVAL FOREIGN BODY, AUDITORY CANAL, WO ANES",161.0,161.0,,,0
HCPCS,69205,Clear outer ear canal,,,1544.0,4097.0,9
HCPCS,69209,HC REMOVAL IMPACTED CERUMEN IRRIGATION/LAVAGE - UNILAT,214.0,214.0,,,0
HCPCS,69209,Remove impacted ear wax uni,,,69.69,18617.0,7
HCPCS,69210,HC REMOVAL IMPACTED CERUMEN,80.0,80.0,,,0
HCPCS,69210,Remove impacted ear wax uni,,,69.69,18617.0,9
HCPCS,69220,Clean out mastoid cavity,,,237.02,18617.0,9
HCPCS,69220,"HC DEBRIDEMENT MASTOIDECTOMY CAVITY, SIMPLE",883.0,883.0,,,0
HCPCS,69222,Clean out mastoid cavity,,,637.13,18617.0,9
HCPCS,69222,"HC DEBRIDEMENT MASTOIDECTOMY CAVITY, COMPLEX",1560.0,1560.0,,,0
HCPCS,69300,Revise external ear,,,3408.0,6404.0,9
HCPCS,69310,Rebuild outer ear canal,,,3408.0,8006.0,9
HCPCS,69320,Rebuild outer ear canal,,,4147.0,9918.0,9
HCPCS,69399,Outer ear surgery procedure,,,279.8,18617.0,9
HCPCS,69420,HC MYRINGOTOMY INCL ASPIRATION &/OR EUSTACHIAN TUBE INFLATION,1428.0,1428.0,,,0
HCPCS,69420,Incision of eardrum,,,279.8,5044.0,9
HCPCS,69421,Incision of eardrum,,,3408.0,5098.0,9
HCPCS,69424,Remove ventilating tube,,,1544.0,4112.54,9
HCPCS,69433,Create eardrum opening,,,637.13,5044.0,9
HCPCS,69433,HC TYMPANOSTOMY; LOCAL/TOPICAL ANESTHESIA,1503.0,1503.0,,,0
HCPCS,69436,Create eardrum opening,,,1832.96,5098.0,9
HCPCS,69440,Exploration of middle ear,,,3408.0,5123.0,9
HCPCS,69450,Eardrum revision,,,1544.0,5123.0,9
HCPCS,69501,Mastoidectomy,,,4147.0,9918.0,9
HCPCS,69502,Mastoidectomy,,,4147.0,11081.0,9
HCPCS,69505,Remove mastoid structures,,,4147.0,11081.0,9
HCPCS,69511,Extensive mastoid surgery,,,4147.0,13036.0,9
HCPCS,69530,Extensive mastoid surgery,,,4147.0,13036.0,9
HCPCS,69535,Remove part of temporal bone,,,1406.0,18617.0,4
HCPCS,69540,Remove ear lesion,,,1832.96,18617.0,9
HCPCS,69550,Remove ear lesion,,,3291.0,9420.0,9
HCPCS,69552,Remove ear lesion,,,4147.0,11081.0,9
HCPCS,69554,Remove ear lesion,,,1406.0,18617.0,4
HCPCS,69601,Mastoid surgery revision,,,4147.0,11081.0,9
HCPCS,69602,Mastoid surgery revision,,,4147.0,11081.0,9
HCPCS,69603,Mastoid surgery revision,,,4147.0,11081.0,9
HCPCS,69604,Mastoid surgery revision,,,4147.0,11081.0,9
HCPCS,69605,Mastoid surgery revision,,,6962.0,8006.0,2
HCPCS,69610,Repair of eardrum,,,1832.96,18617.0,9
HCPCS,69620,HC MYRINGOPLASTY,18919.0,18919.0,,,0
HCPCS,69620,Repair of eardrum,,,2816.0,5123.0,9
HCPCS,69631,Repair eardrum structures,,,3291.0,8006.0,9
HCPCS,69632,Rebuild eardrum structures,,,3291.0,9420.0,9
HCPCS,69633,Rebuild eardrum structures,,,3291.0,11081.0,9
HCPCS,69635,Repair eardrum structures,,,4147.0,9918.0,9
HCPCS,69636,Rebuild eardrum structures,,,4147.0,9918.0,9
HCPCS,69637,Rebuild eardrum structures,,,4147.0,13036.0,9
HCPCS,69641,Revise middle ear & mastoid,,,4147.0,11081.0,9
HCPCS,69642,Revise middle ear & mastoid,,,4147.0,13036.0,9
HCPCS,69643,Revise middle ear & mastoid,,,4147.0,13036.0,9
HCPCS,69644,Revise middle ear & mastoid,,,4147.0,15339.0,9
HCPCS,69645,Revise middle ear & mastoid,,,4147.0,13036.0,9
HCPCS,69646,Revise middle ear & mastoid,,,4147.0,15339.0,9
HCPCS,69650,Release middle ear bone,,,3916.7,9918.0,9
HCPCS,69660,Revise middle ear bone,,,3291.0,9420.0,9
HCPCS,69661,Revise middle ear bone,,,3291.0,9420.0,9
HCPCS,69662,Revise middle ear bone,,,3291.0,9420.0,9
HCPCS,69666,Repair middle ear structures,,,3916.7,8006.0,9
HCPCS,69667,Repair middle ear structures,,,3916.7,6404.0,9
HCPCS,69670,Remove mastoid air cells,,,3408.0,15339.0,9
HCPCS,69676,Remove middle ear nerve,,,3408.0,6404.0,9
HCPCS,69700,Close mastoid fistula,,,1832.96,5123.0,9
HCPCS,69705,Nps surg dilat eust tube uni,,,1544.0,13320.0,9
HCPCS,69706,Nps surg dilat eust tube bi,,,2816.0,13320.0,9
HCPCS,69710,Implant/replace hearing aid,,,428.0,5098.0,6
HCPCS,69711,Remove/repair hearing aid,,,1544.0,8006.0,9
HCPCS,69714,Implant Temple Bone W/Stimul,,,4062.0,18617.0,9
HCPCS,69715,Temple Bne Implnt W/Stimulat,,,9637.0,11081.0,2
HCPCS,69716,Impltj oi implt skl tc esp,,,4062.0,18617.0,9
HCPCS,69717,Temple Bone Implant Revision,,,4062.0,18617.0,9
HCPCS,69718,Revise Temple Bone Implant,,,13338.0,15339.0,2
HCPCS,69719,Revj/rplcmt oi implt tc esp,,,4062.0,18617.0,9
HCPCS,69720,Release facial nerve,,,3291.0,15339.0,9
HCPCS,69725,Release facial nerve,,,3291.0,18617.0,9
HCPCS,69726,Rmvl oi implt skl perq esp,,,2816.0,9701.0,9
HCPCS,69727,Rmvl oi implt skl tc esp,,,2816.0,9701.0,9
HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,2816.0,18617.0,9
HCPCS,69729,Impl oi implt sk tc esp>=100,,,4062.0,18617.0,9
HCPCS,69730,Rplc oi implt sk tc esp>=100,,,4062.0,18617.0,9
HCPCS,69740,Repair facial nerve,,,428.0,7422.0,9
HCPCS,69745,Repair facial nerve,,,428.0,7422.0,9
HCPCS,69799,"HC UNLISTED PROCEDURE, MIDDLE EAR",394.0,394.0,,,0
HCPCS,69799,Middle ear surgery procedure,,,279.8,18617.0,9
HCPCS,69801,"HC LABYRINTHOTOMY, W/PERFUSION VESTIBULOACTIVE DRUG(S); TRANSCANAL",2682.0,2682.0,,,0
HCPCS,69801,Incise inner ear,,,1832.96,7422.0,9
HCPCS,69805,Explore inner ear,,,4147.0,11081.0,9
HCPCS,69806,Explore inner ear,,,4147.0,9918.0,9
HCPCS,69905,Remove inner ear,,,4147.0,11081.0,9
HCPCS,69910,Remove inner ear & mastoid,,,4147.0,11081.0,9
HCPCS,69915,Incise inner ear nerve,,,3563.0,9918.0,9
HCPCS,69930,Implant cochlear device,,,4147.0,40899.02,9
HCPCS,69949,Inner ear surgery procedure,,,279.8,18617.0,9
HCPCS,69950,Incise inner ear nerve,,,1406.0,18617.0,4
HCPCS,69955,Release facial nerve,,,4224.0,18617.0,9
HCPCS,69960,Release inner ear canal,,,1406.0,18617.0,9
HCPCS,69970,Remove inner ear lesion,,,4224.0,18617.0,9
HCPCS,69979,Temporal bone surgery,,,279.8,18617.0,9
HCPCS,69990,HC OPERATING MICROSCOPE (ADD-ON CODE),900.0,900.0,,,0
HCPCS,69990,Microsurgery add-on,,,428.0,1866.0,4
HCPCS,70010,Contrast x-ray of brain,,,267.79,999.99,7
HCPCS,70015,Contrast x-ray of brain,,,385.81,972.38,7
HCPCS,70015,"HC CISTERNOGRAPHY, POSITIVE CONTRAST, S & I",857.0,857.0,,,0
HCPCS,70030,"HC X-RAY EXAM OF EYE, DETECTION OF FOREIGN BODY",1.0,1.0,,,0
HCPCS,70030,X-ray eye for foreign body,,,86.69,200.69,7
HCPCS,70100,"HC MANDIBLE, LESS THAN 4 VIEWS",467.0,467.0,,,0
HCPCS,70100,X-ray exam of jaw <4views,,,101.15,250.17,7
HCPCS,70110,"HC MANDIBLE, MIN 4 VIEWS",634.0,634.0,,,0
HCPCS,70110,X-ray exam of jaw 4/> views,,,123.5,263.89,7
HCPCS,70120,HC X-RAY EXAM OF MASTOIDS <3 VIEWS,571.0,571.0,,,0
HCPCS,70120,X-ray exam of mastoids,,,116.52,244.7,7
HCPCS,70130,HC X-RAY EXAM OF MASTOIDS 3+ VIEWS,814.0,814.0,,,0
HCPCS,70130,X-ray exam of mastoids,,,123.5,379.42,7
HCPCS,70134,X-ray exam of middle ear,,,158.39,677.78,7
HCPCS,70140,"HC  FACIAL BONES, LESS THAN 3 VIEWS",676.0,676.0,,,0
HCPCS,70140,X-ray exam of facial bones,,,102.81,186.9,7
HCPCS,70150,"HC  FACIAL BONES, MIN 3 VIEWS",726.0,726.0,,,0
HCPCS,70150,X-ray exam of facial bones,,,123.5,288.63,7
HCPCS,70160,"HC  NASAL BONES, MIN 3 VIEWS",500.0,500.0,,,0
HCPCS,70160,X-ray exam of nasal bones,,,99.99,244.7,7
HCPCS,70170,X-ray exam of tear duct,,,181.73,295.96,7
HCPCS,70190,X-ray exam of eye sockets,,,102.81,222.66,7
HCPCS,70200,"HC  ORBITS, MIN 4 VIEWS",806.0,806.0,,,0
HCPCS,70200,X-ray exam of eye sockets,,,123.5,285.93,7
HCPCS,70210,"HC  SINUSES, PARANASAL, LESS THAN 3 VIEWS",609.0,609.0,,,0
HCPCS,70210,X-ray exam of sinuses,,,102.81,197.92,7
HCPCS,70220,"HC  SINUSES, PARANASAL, MIN 3 VIEWS",906.0,906.0,,,0
HCPCS,70220,X-ray exam of sinuses,,,102.81,225.43,7
HCPCS,70240,HC X-RAY SELLA TURCICA,467.0,467.0,,,0
HCPCS,70240,X-ray exam pituitary saddle,,,88.99,197.92,7
HCPCS,70250,"HC  SKULL, LESS THAN 4 VIEWS",961.0,961.0,,,0
HCPCS,70250,X-ray exam of skull,,,123.5,225.43,7
HCPCS,70260,"HC  SKULL, MIN 4 VIEWS",945.0,945.0,,,0
HCPCS,70260,X-ray exam of skull,,,123.5,258.42,7
HCPCS,70300,X-ray exam of teeth,,,54.92,107.95,7
HCPCS,70310,X-ray exam of teeth,,,88.17,295.96,7
HCPCS,70320,Full mouth x-ray of teeth,,,146.14,351.91,7
HCPCS,70328,HC TMJ JOINT - UNILATERAL,609.0,609.0,,,0
HCPCS,70328,X-ray exam of jaw joint,,,97.16,214.41,7
HCPCS,70330,"HC  TEMPOROMANDIBULAR JOINT, BILAT",701.0,701.0,,,0
HCPCS,70330,X-ray exam of jaw joints,,,102.81,343.66,7
HCPCS,70332,HC X-RAY TMJ JOINT ARTHROGRAPHY,2321.5,2321.5,,,0
HCPCS,70332,X-ray exam of jaw joint,,,281.87,483.23,7
HCPCS,70336,HC MRI OF TEMPOROMANDIBULAR JOINT(S),3969.5,3969.5,,,0
HCPCS,70336,Magnetic image jaw joint,,,281.87,2258.84,5
HCPCS,70350,X-ray head for orthodontia,,,57.23,107.95,7
HCPCS,70355,Panoramic x-ray of jaws,,,59.54,142.74,7
HCPCS,70360,"HC  NECK, SOFT TISSUE",399.0,399.0,,,0
HCPCS,70360,X-ray exam of neck,,,86.69,186.9,7
HCPCS,70370,Throat x-ray & fluoroscopy,,,102.81,742.34,7
HCPCS,70371,HC CINE OR VIDEO SPEECH EVAL,1035.0,1035.0,,,0
HCPCS,70371,Speech evaluation complex,,,281.87,563.62,7
HCPCS,70380,X-ray exam of salivary gland,,,102.81,244.7,7
HCPCS,70390,HC X-RAY SIALOGRAM,1230.0,1230.0,,,0
HCPCS,70390,X-ray exam of salivary duct,,,281.87,808.38,7
HCPCS,70450,Ct head/brain w/o dye,,,123.5,998.7,5
HCPCS,70450,"HC CT HEAD OR BRAIN, W/O CONTRAST",2250.0,2250.0,,,0
HCPCS,70460,Ct head/brain w/dye,,,207.21,1219.73,5
HCPCS,70460,"HC CT HEAD OR BRAIN, W CONTRAST",2480.0,2480.0,,,0
HCPCS,70470,Ct head/brain w/o & w/dye,,,207.21,1495.0,5
HCPCS,70470,"HC CT HEAD OR BRAIN, W & W/O CONTRAST",3357.0,3357.0,,,0
HCPCS,70471,Cta h&n c+ w/noncontrast img,,,412.14,432.75,3
HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,207.21,217.57,3
HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,123.5,1087.28,5
HCPCS,70480,"HC CT ORBIT, SELLA, POSTERIOR FOSSA W/O CONTRAST",2541.0,2541.0,,,0
HCPCS,70481,Ct orbit/ear/fossa w/dye,,,207.21,1270.79,5
HCPCS,70481,"HC CT ORBIT, SELLA, POSTERIOR FOSSA W CONTRAST",2696.0,2696.0,,,0
HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,207.21,1531.23,5
HCPCS,70482,"HC CT ORBIT, SELLA, P. FOSSA W/O & W CONTRAST",3357.0,3357.0,,,0
HCPCS,70486,Ct maxillofacial w/o dye,,,123.5,1057.26,5
HCPCS,70486,HC CT MAXILLOFACIAL W/O CONTRAST,1520.5,1520.5,,,0
HCPCS,70487,Ct maxillofacial w/dye,,,207.21,1255.82,5
HCPCS,70487,HC CT MAXILLOFACIAL W/CONTRAST,2696.0,2696.0,,,0
HCPCS,70488,Ct maxillofacial w/o & w/dye,,,207.21,1523.55,5
HCPCS,70488,HC CT MAXILLOFACIAL W/O & W/CONTRAST,3357.0,3357.0,,,0
HCPCS,70490,Ct soft tissue neck w/o dye,,,123.5,1087.28,5
HCPCS,70490,HC CT SOFT TISSUE NECK W/O CONTRAST,2324.0,2324.0,,,0
HCPCS,70491,Ct soft tissue neck w/dye,,,207.21,1270.79,5
HCPCS,70491,HC CT SOFT TISSUE NECK W/CONTRAST,2776.0,2776.0,,,0
HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,207.21,1529.59,5
HCPCS,70492,HC CT SOFT TISSUE NECK W/O & W/CONTRAST,3340.0,3340.0,,,0
HCPCS,70496,Ct angiography head,,,207.21,2211.01,5
HCPCS,70496,HC CT ANGIO HEAD W/CONTRAST MATERIAL(S),3357.0,3357.0,,,0
HCPCS,70498,Ct angiography neck,,,207.21,2211.01,5
HCPCS,70498,HC CT ANGIO NECK W/CONTRAST MATERIAL(S),3340.0,3340.0,,,0
HCPCS,70540,HC MRI ORBIT/FACE/NECK W/O CONTRAST,3241.5,3241.5,,,0
HCPCS,70540,Mri orbit/face/neck w/o dye,,,281.87,2204.56,5
HCPCS,70542,HC MRI ORBIT/FACE/NECK W/CONTRAST,3850.0,3850.0,,,0
HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,412.14,2645.81,5
HCPCS,70543,HC MRI ORBIT/FACE/NECK W/O & W/CONTRAST,4946.0,4946.0,,,0
HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,412.14,4721.29,5
HCPCS,70544,HC MRA HEAD W/O CONTRAST,4328.0,4328.0,,,0
HCPCS,70544,Mr Angiography Head W/O Dye,,,281.87,2200.47,5
HCPCS,70545,HC MRA HEAD W CONTRAST,4328.0,4328.0,,,0
HCPCS,70545,Mr Angiography Head W/Dye,,,412.14,2198.78,5
HCPCS,70546,HC MRA HEAD W & W/O CONTRAST,4946.0,4946.0,,,0
HCPCS,70546,Mr angiograph head w/o&w/dye,,,412.14,4201.72,5
HCPCS,70547,HC MRA NECK W/O CONTRAST,4328.0,4328.0,,,0
HCPCS,70547,Mr Angiography Neck W/O Dye,,,281.87,2198.78,5
HCPCS,70548,HC MRA NECK W CONTRAST,4328.0,4328.0,,,0
HCPCS,70548,Mr Angiography Neck W/Dye,,,412.14,2198.78,5
HCPCS,70549,HC MRA NECK W & W/O CONTRAST,4946.0,4946.0,,,0
HCPCS,70549,Mr angiograph neck w/o&w/dye,,,412.14,4201.72,5
HCPCS,70551,HC MRI BRAIN W/O CONTRAST,3468.5,3468.5,,,0
HCPCS,70551,Mri brain stem w/o dye,,,281.87,2258.84,5
HCPCS,70552,HC MRI BRAIN W CONTRAST,4616.0,4616.0,,,0
HCPCS,70552,Mri brain stem w/dye,,,412.14,2709.97,5
HCPCS,70553,HC MRI BRAIN W & W/O CONTRAST,5814.0,5814.0,,,0
HCPCS,70553,Mri brain stem w/o & w/dye,,,412.14,4825.23,5
HCPCS,70554,Fmri brain by tech,,,281.87,1469.23,5
HCPCS,70555,Fmri brain by phys/psych,,,281.87,1319.06,5
HCPCS,70557,Mri brain w/o dye,,,645.5,1209.3,5
HCPCS,70558,Mri brain w/dye,,,207.21,2989.67,5
HCPCS,70559,Mri brain w/o & w/dye,,,207.21,2262.28,5
HCPCS,71010,"HC CHEST X-RAY SINGLE VIEW, POSTEROANTERIOR",386.0,386.0,,,0
HCPCS,71020,"HC CHEST X-RAY 2 VIEWS, FRONTAL AND LATERAL",407.0,407.0,,,0
HCPCS,71021,HC CHEST X-RAY 2 VIEWS W/APICAL LORDOTIC PROJ,410.0,410.0,,,0
HCPCS,71022,HC CHEST X-RAY 2 VIEWS W/OBLIQUE PROJECTION,519.0,519.0,,,0
HCPCS,71023,HC CHEST X-RAY 2 VIEWS FR&LAT W FLUORO,490.0,490.0,,,0
HCPCS,71030,HC CHEST X-RAY COMPLETE MIN 4 VIEWS,482.0,482.0,,,0
HCPCS,71035,HC CHEST X-RAY SPECIAL VIEW(LATERAL DECUBITUS),309.0,309.0,,,0
HCPCS,71045,HC X-RAY EXAM CHEST 1 VIEW,661.0,661.0,,,0
HCPCS,71045,X-ray exam chest 1 view,,,102.81,347.85,7
HCPCS,71046,HC X-RAY EXAM CHEST 2 VIEWS,698.0,698.0,,,0
HCPCS,71046,X-ray exam chest 2 views,,,102.81,347.85,7
HCPCS,71047,HC X-RAY EXAM CHEST 3 VIEWS,773.0,773.0,,,0
HCPCS,71047,X-ray exam chest 3 views,,,102.81,347.85,7
HCPCS,71048,HC X-RAY EXAM CHEST 4 OR MORE VIEWS,827.0,827.0,,,0
HCPCS,71048,X-ray exam chest 4+ views,,,123.5,347.85,7
HCPCS,71100,HC X-RAY EXAM OF RIBS 2 VIEWS UNILAT,584.0,584.0,,,0
HCPCS,71100,X-ray exam ribs uni 2 views,,,102.81,217.19,7
HCPCS,71101,"HC RIBS X-RAY, UNILAT, MIN 3 VIEWS INCL CHEST",700.0,700.0,,,0
HCPCS,71101,X-ray exam unilat ribs/chest,,,123.5,244.7,7
HCPCS,71110,HC X-RAY EXAM OF RIBS 3 VIEWS BILAT,748.0,748.0,,,0
HCPCS,71110,X-ray exam ribs bil 3 views,,,123.5,250.17,7
HCPCS,71111,"HC RIBS X-RAY, BILAT, MIN 4 VIEWS INCL CHEST",889.0,889.0,,,0
HCPCS,71111,X-ray exam ribs/chest4/> vws,,,123.5,307.9,7
HCPCS,71120,HC STERNUM X-RAY MIN 2 VIEWS,571.0,571.0,,,0
HCPCS,71120,X-ray exam breastbone 2/>vws,,,102.81,200.69,7
HCPCS,71130,HC STERNOCLAVICULAR JT(S) X-RAY MIN 3 VIEWS,846.0,846.0,,,0
HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,102.81,255.65,7
HCPCS,71250,Ct thorax w/o dye,,,123.5,1268.96,5
HCPCS,71250,HC DX CT THORAX W/O CONTRAST,2100.0,2100.0,,,0
HCPCS,71260,Ct thorax w/dye,,,207.21,1488.96,5
HCPCS,71260,HC DX CT THORAX W CONTRAST,3359.0,3359.0,,,0
HCPCS,71270,Ct thorax w/o & w/dye,,,207.21,1825.86,5
HCPCS,71270,HC DX CT THORAX W & W/O CONTRAST,4210.0,4210.0,,,0
HCPCS,71271,Ct thorax lung cancer scr c-,,,123.5,296.09,5
HCPCS,71271,"HC CT THORAX, LOW DOSE LUNG CANCER SCREENING, W/O CONTRAST",1128.0,1128.0,,,0
HCPCS,71275,Ct angiography chest,,,207.21,2234.98,5
HCPCS,71275,HC CTA CHEST W CONTRAST,2798.0,2798.0,,,0
HCPCS,71550,HC MRI CHEST W/O CONTRAST,4528.5,4528.5,,,0
HCPCS,71550,Mri chest w/o dye,,,281.87,2234.98,5
HCPCS,71551,HC MRI CHEST W CONTRAST,4604.0,4604.0,,,0
HCPCS,71551,Mri Chest W/Dye,,,926.08,2676.23,5
HCPCS,71552,HC MRI CHEST W & W/O CONTRAST,4604.0,4604.0,,,0
HCPCS,71552,Mri chest w/o & w/dye,,,412.14,4721.8,5
HCPCS,71555,Mri angio chest w or w/o dye,,,1849.8,2326.55,2
HCPCS,72010,"HC XRAY EXAM, ENTIRE SPINE AP & LAT",649.0,649.0,,,0
HCPCS,72020,"HC  SPINE, SINGLE VIEW, SPECIFY LEVEL",376.0,376.0,,,0
HCPCS,72020,X-ray exam of spine 1 view,,,83.02,137.42,7
HCPCS,72040,"HC  SPINE, CERVICAL, 2 OR 3 VIEWS",730.0,730.0,,,0
HCPCS,72040,X-ray exam neck spine 2-3 vw,,,102.81,239.15,7
HCPCS,72050,"HC  SPINE, CERVICAL, MIN 4 VIEWS",904.0,904.0,,,0
HCPCS,72050,X-ray exam neck spine 4/5vws,,,123.5,338.18,7
HCPCS,72052,"HC  SPINE, CERVICAL, COMPLETE",1084.0,1084.0,,,0
HCPCS,72052,X-ray exam neck spine 6/>vws,,,123.5,398.68,7
HCPCS,72069,HC X-RAY SPINE THORACOLUMBAR STANDING,226.0,226.0,,,0
HCPCS,72070,"HC  SPINE, THORAX, 2 VIEWS",630.0,630.0,,,0
HCPCS,72070,X-ray exam thorac spine 2vws,,,123.5,192.45,7
HCPCS,72072,"HC  SPINE, THORAX, 3 VIEWS",705.0,705.0,,,0
HCPCS,72072,X-ray exam thorac spine 3vws,,,123.5,239.15,7
HCPCS,72074,"HC  SPINE, THORAX, MIN 4 VIEWS",705.0,705.0,,,0
HCPCS,72074,X-ray exam thorac spine4/>vw,,,123.5,272.14,7
HCPCS,72080,"HC  SPINE, THORACOLUMBAR, 2 VIEWS",705.0,705.0,,,0
HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,102.81,203.4,7
HCPCS,72081,"HC X-RAY EXAM ENTIRE SPINE, 1 VW",705.0,705.0,,,0
HCPCS,72081,X-ray exam entire spi 1 vw,,,102.81,250.17,7
HCPCS,72082,"HC X-RAY EXAM ENTIRE SPINE,  2/3 VW",1204.0,1204.0,,,0
HCPCS,72082,X-ray exam entire spi 2/3 vw,,,123.5,456.41,7
HCPCS,72083,"HC X-RAY EXAM ENTIRE SPINE,  4/5 VW",2289.0,2289.0,,,0
HCPCS,72083,X-ray exam entire spi 4/5 vw,,,123.5,514.14,7
HCPCS,72084,"HC X-RAY EXAM ENTIRE SPINE,  6/> VW",2289.0,2289.0,,,0
HCPCS,72084,X-ray exam entire spi 6/> vw,,,123.5,651.56,7
HCPCS,72090,"HC  SPINE, SCOLIOSIS STUDY",381.0,381.0,,,0
HCPCS,72100,"HC  SPINE, LUMBOSACRAL, 2 OR 3 VIEWS",904.0,904.0,,,0
HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,123.5,241.93,7
HCPCS,72110,"HC  SPINE, LUMBOSACRAL, MIN 4 VIEWS",1160.0,1160.0,,,0
HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,123.5,327.17,7
HCPCS,72114,"HC  SPINE, LUMBOSACRAL, MIN 6 VIEWS",1231.0,1231.0,,,0
HCPCS,72114,X-ray exam l-s spine bending,,,123.5,387.66,7
HCPCS,72120,"HC RADIOLOGIC EXAM, SPINE, LUMBOSACRAL; BENDING VIEWS ONLY, 2 OR 3 VIEWS",850.0,850.0,,,0
HCPCS,72120,X-ray bend only l-s spine,,,123.5,247.4,7
HCPCS,72125,Ct neck spine w/o dye,,,123.5,1268.96,5
HCPCS,72125,"HC CT CERVICAL SPINE, W/O CONTRAST",2564.0,2564.0,,,0
HCPCS,72126,Ct neck spine w/dye,,,412.14,1483.11,5
HCPCS,72126,"HC CT CERVICAL SPINE, W CONTRAST",2488.0,2488.0,,,0
HCPCS,72127,Ct neck spine w/o & w/dye,,,207.21,1804.82,5
HCPCS,72127,"HC CT CERVICAL SPINE, W & W/O CONTRAST",4210.0,4210.0,,,0
HCPCS,72128,Ct chest spine w/o dye,,,123.5,1268.96,5
HCPCS,72128,"HC CT  THORACIC SPINE, W/O CONTRAST",2798.0,2798.0,,,0
HCPCS,72129,Ct chest spine w/dye,,,207.21,1484.39,5
HCPCS,72129,"HC CT THORACIC SPINE, W CONTRAST",3357.0,3357.0,,,0
HCPCS,72130,Ct chest spine w/o & w/dye,,,207.21,1804.82,5
HCPCS,72130,"HC CT THORACIC SPINE, W & W/O CONTRAST",4210.0,4210.0,,,0
HCPCS,72131,Ct lumbar spine w/o dye,,,123.5,1268.96,5
HCPCS,72131,"HC CT LUMBAR SPINE, W/O CONTRAST",2891.0,2891.0,,,0
HCPCS,72132,Ct lumbar spine w/dye,,,412.14,1483.11,5
HCPCS,72132,"HC CT  LUMBAR SPINE, W CONTRAST",3357.0,3357.0,,,0
HCPCS,72133,Ct lumbar spine w/o & w/dye,,,207.21,1804.82,5
HCPCS,72133,"HC CT LUMBAR SPINE, W & W/O CONTRAST",4686.0,4686.0,,,0
HCPCS,72141,"HC MRI SPINE CERVICAL, W/O CONTRAST",3607.0,3607.0,,,0
HCPCS,72141,Mri neck spine w/o dye,,,281.87,2283.0,5
HCPCS,72142,"HC MRI SPINE CERVICAL, W CONTRAST",4616.0,4616.0,,,0
HCPCS,72142,Mri neck spine w/dye,,,412.14,2740.02,5
HCPCS,72146,"HC MRI SPINE THORACIC, W/O CONTRAST",3969.5,3969.5,,,0
HCPCS,72146,Mri chest spine w/o dye,,,281.87,2497.18,5
HCPCS,72147,"HC MRI SPINE THORACIC, W CONTRAST",5080.0,5080.0,,,0
HCPCS,72147,Mri chest spine w/dye,,,412.14,2738.34,5
HCPCS,72148,"HC MRI SPINE LUMBAR, W/O CONTRAST",3969.5,3969.5,,,0
HCPCS,72148,Mri lumbar spine w/o dye,,,281.87,2473.03,5
HCPCS,72149,"HC MRI SPINE LUMBAR, W CONTRAST",5080.0,5080.0,,,0
HCPCS,72149,Mri lumbar spine w/dye,,,412.14,2711.66,5
HCPCS,72156,"HC MRI SPINE CERVICAL, W & W/O CONTRAST",5814.0,5814.0,,,0
HCPCS,72156,Mri neck spine w/o & w/dye,,,412.14,4868.82,5
HCPCS,72157,"HC MRI SPINE THORACIC, W & W/O CONTRAST",6398.0,6398.0,,,0
HCPCS,72157,Mri chest spine w/o & w/dye,,,412.14,4865.86,5
HCPCS,72158,"HC MRI SPINE LUMBAR, W & W/O CONTRAST",6398.0,6398.0,,,0
HCPCS,72158,Mri lumbar spine w/o & w/dye,,,412.14,4825.23,5
HCPCS,72159,HC MRA SPINE W OR W/O CONTRAST,4699.0,4699.0,,,0
HCPCS,72159,Mr angio spine w/o&w/dye,,,2254.26,2835.26,2
HCPCS,72170,"HC RAD EXAM PELVIS, 1 OR 2 VIEWS",539.0,539.0,,,0
HCPCS,72170,X-ray exam of pelvis,,,99.99,162.16,7
HCPCS,72190,"HC RAD EXAM PELVIS, MIN 3 VIEWS",705.0,705.0,,,0
HCPCS,72190,X-ray exam of pelvis,,,123.5,250.17,7
HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,207.21,2439.94,5
HCPCS,72191,HC CTA PELVIS W & W/O CONTRAST,4210.0,4210.0,,,0
HCPCS,72192,Ct pelvis w/o dye,,,123.5,1255.42,5
HCPCS,72192,HC CT PELVIS W/O CONTRAST,2798.0,2798.0,,,0
HCPCS,72193,Ct pelvis w/dye,,,207.21,1431.21,5
HCPCS,72193,HC CT PELVIS W CONTRAST,3357.0,3357.0,,,0
HCPCS,72194,Ct pelvis w/o & w/dye,,,207.21,1728.73,5
HCPCS,72194,HC CT PELVIS W & W/O CONTRAST,4210.0,4210.0,,,0
HCPCS,72195,HC MRI PELVIS W/O CONTRAST,4462.0,4462.0,,,0
HCPCS,72195,Mri Pelvis W/O Dye,,,281.87,2236.26,5
HCPCS,72196,HC MRI PELVIS W CONTRAST,3969.5,3969.5,,,0
HCPCS,72196,Mri pelvis w/dye,,,412.14,2676.23,5
HCPCS,72197,HC MRI PELVIS W & W/O CONTRAST,4763.0,4763.0,,,0
HCPCS,72197,Mri pelvis w/o & w/dye,,,412.14,4752.62,5
HCPCS,72198,Mr angio pelvis w/o & w/dye,,,1847.33,2323.44,2
HCPCS,72200,HC X-RAY EXAM SACROILIAC JOINTS <3 VIEWS,521.0,521.0,,,0
HCPCS,72200,X-ray exam si joints,,,99.99,208.94,7
HCPCS,72202,"HC RAD EXAM SACROILIAC JOINTS, 3 OR MORE VIEWS",609.0,609.0,,,0
HCPCS,72202,X-ray exam si joints 3/> vws,,,117.68,236.45,7
HCPCS,72220,"HC RAD EXAM SACRUM AND COCCYX, MIN 2 VIEWS",834.0,834.0,,,0
HCPCS,72220,X-ray exam sacrum tailbone,,,102.81,200.69,7
HCPCS,72240,"HC MYELOGRAPHY, CERVICAL S & I",1989.0,1989.0,,,0
HCPCS,72240,Myelography neck spine,,,474.3,1014.15,7
HCPCS,72255,"HC MYELOGRAPHY, THORACIC S & I",2890.0,2890.0,,,0
HCPCS,72255,Myelography thoracic spine,,,446.81,972.38,7
HCPCS,72265,"HC MYELOGRAPHY, LUMBOSACRAL S & I",1829.0,1829.0,,,0
HCPCS,72265,Myelography l-s spine,,,478.86,972.38,7
HCPCS,72270,"HC MYELOGRAPHY, 2 OR MORE REGIONS S & I",2670.0,2670.0,,,0
HCPCS,72270,Myelogphy 2/> spine regions,,,607.18,1336.08,7
HCPCS,72275,DEAC 1/1/2022 HC EPIDUROGRAM,702.0,702.0,,,0
HCPCS,72285,Discography cerv/thor spine,,,529.28,2422.18,7
HCPCS,72285,"HC DISCOGRAPHY, CERVICAL OR THORACIC S & I",2284.0,2284.0,,,0
HCPCS,72291,HC PERCUT VERTOPLASTY/SACROPLASTY W/FLUORO,656.0,656.0,,,0
HCPCS,72292,HC PERCUT VERTOPLASTY/SACROPLASTY W/CT GUID,656.0,656.0,,,0
HCPCS,72295,"HC DISCOGRAPHY, LUMBAR",3828.0,3828.0,,,0
HCPCS,72295,X-ray of lower spine disk,,,497.17,2422.18,7
HCPCS,73000,"HC RAD EXAM CLAVICLE, COMPLETE",589.0,589.0,,,0
HCPCS,73000,X-ray exam of collar bone,,,97.51,203.4,7
HCPCS,73010,"HC RAD EXAM SCAPULA, COMPLETE",500.0,500.0,,,0
HCPCS,73010,X-ray exam of shoulder blade,,,99.99,129.68,7
HCPCS,73020,"HC RAD EXAM SHOULDER, 1 VIEW",687.0,687.0,,,0
HCPCS,73020,X-ray exam of shoulder,,,89.69,118.16,7
HCPCS,73030,"HC RAD EXAM SHOULDER, MIN 2 VIEWS",752.0,752.0,,,0
HCPCS,73030,X-ray exam of shoulder,,,102.81,214.41,7
HCPCS,73040,Contrast x-ray of shoulder,,,380.51,868.88,7
HCPCS,73040,"HC RAD EXAM SHOULDER, ARTHROGRAPHY",2037.5,2037.5,,,0
HCPCS,73050,"HC RAD EXAM ACROMIOCLAVICULAR JOINTS, BILAT",708.5,708.5,,,0
HCPCS,73050,X-ray exam of shoulders,,,102.81,164.93,7
HCPCS,73060,"HC RAD EXAM HUMERUS, MIN 2 VIEWS",661.5,661.5,,,0
HCPCS,73060,X-ray exam of humerus,,,102.81,200.69,7
HCPCS,73070,"HC RAD EXAM ELBOW, 2 VIEWS",704.5,704.5,,,0
HCPCS,73070,X-ray exam of elbow,,,96.35,175.95,7
HCPCS,73080,"HC RAD EXAM ELBOW, MIN 3 VIEWS",853.0,853.0,,,0
HCPCS,73080,X-ray exam of elbow,,,102.81,203.4,7
HCPCS,73085,Contrast x-ray of elbow,,,382.87,615.87,7
HCPCS,73085,"HC RAD EXAM ELBOW, ARTHROGRAPHY",2277.0,2277.0,,,0
HCPCS,73090,"HC RAD EXAM FOREARM, 2 VIEWS",607.0,607.0,,,0
HCPCS,73090,X-ray exam of forearm,,,97.51,178.66,7
HCPCS,73092,HC RAD EXAM UPPER EXT INFANT MIN 2 VIEWS,1058.5,1058.5,,,0
HCPCS,73092,X-ray exam of arm infant,,,93.5,197.92,7
HCPCS,73100,"HC RAD EXAM WRIST, 2 VIEWS",557.0,557.0,,,0
HCPCS,73100,X-ray exam of wrist,,,93.5,214.41,7
HCPCS,73110,"HC RAD EXAM WRIST, MIN 3 VIEWS",897.0,897.0,,,0
HCPCS,73110,X-ray exam of wrist,,,101.33,272.14,7
HCPCS,73115,Contrast x-ray of wrist,,,310.21,893.62,7
HCPCS,73115,HC RAD EXAM WRIST ARTHROGRAPHY,1923.5,1923.5,,,0
HCPCS,73120,"HC RAD EXAM HAND, 2 VIEWS",566.5,566.5,,,0
HCPCS,73120,X-ray exam of hand,,,93.5,195.15,7
HCPCS,73130,"HC RAD EXAM HAND, MIN 3 VIEWS",647.0,647.0,,,0
HCPCS,73130,X-ray exam of hand,,,101.33,239.15,7
HCPCS,73140,"HC RAD EXAM FINGER(S), MIN 2 VIEWS",276.5,276.5,,,0
HCPCS,73140,X-ray exam of finger(s),,,79.38,261.19,7
HCPCS,73200,Ct upper extremity w/o dye,,,123.5,1088.52,5
HCPCS,73200,HC CT UPPER EXT W/O CONTRAST,3577.5,3577.5,,,0
HCPCS,73201,Ct upper extremity w/dye,,,412.14,1268.96,5
HCPCS,73201,HC CT UPPER EXT W CONTRAST,4459.5,4459.5,,,0
HCPCS,73202,Ct uppr extremity w/o&w/dye,,,207.21,1545.58,5
HCPCS,73202,HC CT UPR EXTREMITY W/WO CONTRAST,5594.5,5594.5,,,0
HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,207.21,2258.99,5
HCPCS,73206,HC CTA UPPER EXT W & W/O CONTRAST,5594.5,5594.5,,,0
HCPCS,73218,HC MRI UPPER EXT NOT JOINT W/O CONTRAST,5626.5,5626.5,,,0
HCPCS,73218,Mri Upper Extremity W/O Dye,,,281.87,2204.56,5
HCPCS,73219,HC MRI UPPER EXT NOT JOINT W/ CONTRAST,5626.5,5626.5,,,0
HCPCS,73219,Mri Upper Extremity W/Dye,,,412.14,2647.5,5
HCPCS,73220,HC MRI UPPER EXT NOT JOINT W & W/O CONTRAST,5443.0,5443.0,,,0
HCPCS,73220,Mri uppr extremity w/o&w/dye,,,412.14,4721.29,5
HCPCS,73221,HC MRI UPPER EXT ANY JOINT W/O CONTRAST,4237.0,4237.0,,,0
HCPCS,73221,Mri joint upr extrem w/o dye,,,281.87,2204.56,5
HCPCS,73222,HC MRI UPPER EXT ANY JOINT W CONTRAST,4237.0,4237.0,,,0
HCPCS,73222,Mri joint upr extrem w/dye,,,926.08,2645.81,5
HCPCS,73223,HC MRI UPPER EXT ANY JOINT W & W/O CONTRAST,6140.0,6140.0,,,0
HCPCS,73223,Mri joint upr extr w/o&w/dye,,,412.14,4721.29,5
HCPCS,73225,HC MRA UPPER EXT W OR W/O CONTRAST,4237.0,4237.0,,,0
HCPCS,73225,Mr angio upr extr w/o&w/dye,,,2197.69,2764.11,2
HCPCS,73500,HC RAD EXAM HIP UNILATERAL 1 VIEW,465.0,465.0,,,0
HCPCS,73501,"HC X-RAY EXAM HIP UNIL, W/PELVIS WHEN PERFORMED,  1 VW",571.0,571.0,,,0
HCPCS,73501,X-ray exam hip uni 1 view,,,102.81,197.92,7
HCPCS,73502,"HC X-RAY EXAM HIP UNIL, W/PELVIS WHEN PERFORMED, 2-3 VW",704.0,704.0,,,0
HCPCS,73502,X-ray exam hip uni 2-3 views,,,102.81,305.2,7
HCPCS,73503,"HC X-RAY EXAM HIP UNIL, W/PELVIS WHEN PERFORMED, 4/> VW",1788.0,1788.0,,,0
HCPCS,73503,X-ray exam hip uni 4/> views,,,119.22,387.66,7
HCPCS,73510,HC RAD EXAM HIP UNILATERAL MIN 2 VIEWS,307.0,307.0,,,0
HCPCS,73520,HC RAD EXAM HIPS BILATERAL MIN 2 VIEWS EACH HIP,381.0,381.0,,,0
HCPCS,73521,"HC X-RAY EXAM HIPS BIL, W/PELVIS WHEN PERFORMED, 2 VW",853.0,853.0,,,0
HCPCS,73521,X-ray exam hips bi 2 views,,,123.5,252.95,7
HCPCS,73522,"HC X-RAY EXAM HIPS BIL, W/PELVIS WHEN PERFORMED, 3-4 VW",1054.0,1054.0,,,0
HCPCS,73522,X-ray exam hips bi 3-4 views,,,123.5,329.94,7
HCPCS,73523,"HC X-RAY EXAM HIPS BIL, W/PELVIS WHEN PERFORMED, 5/> VW",2679.0,2679.0,,,0
HCPCS,73523,X-ray exam hips bi 5/> views,,,123.5,387.66,7
HCPCS,73525,Contrast x-ray of hip,,,381.53,833.12,7
HCPCS,73525,HC RAD EXAM HIP ARTHROGRAPHY,2037.5,2037.5,,,0
HCPCS,73530,HC RAD EXAM DURING OP PROC UP TO 4 STUDIES,1279.5,1279.5,,,0
HCPCS,73540,HC RAD EXAM PELVIS & HIPS INFANT/CHILD MIN 2 VIEW,307.0,307.0,,,0
HCPCS,73550,HC RAD EXAM FEMUR 2 VIEWS,361.5,361.5,,,0
HCPCS,73551,"HC X-RAY EXAM OF FEMUR,  1 VIEW",544.0,544.0,,,0
HCPCS,73551,X-ray exam of femur 1,,,102.81,175.95,7
HCPCS,73552,"HC X-RAY EXAM OF FEMUR,  2/> VIEWS",673.0,673.0,,,0
HCPCS,73552,X-ray exam of femur 2/>,,,102.81,222.66,7
HCPCS,73560,HC RAD EXAM KNEE 1 OR 2 VIEWS,601.5,601.5,,,0
HCPCS,73560,X-ray exam of knee 1 or 2,,,99.99,217.19,7
HCPCS,73562,HC RAD EXAM KNEE 3 VIEWS,630.5,630.5,,,0
HCPCS,73562,X-ray exam of knee 3,,,102.81,263.89,7
HCPCS,73564,HC RAD EXAM KNEE 4 OR MORE VIEWS,630.5,630.5,,,0
HCPCS,73564,X-ray exam knee 4 or more,,,122.48,299.65,7
HCPCS,73565,HC RAD EXAM BOTH KNEES STANDING AP MIN 3 VIEWS,473.0,473.0,,,0
HCPCS,73565,X-ray exam of knees,,,96.0,263.89,7
HCPCS,73580,Contrast x-ray of knee joint,,,412.14,662.65,7
HCPCS,73580,HC RAD EXAM KNEE ARTHROGRAPHY,2684.0,2684.0,,,0
HCPCS,73590,HC RAD EXAM TIBIA AND FIBULA 2 VIEWS,601.5,601.5,,,0
HCPCS,73590,X-ray exam of lower leg,,,99.99,197.92,7
HCPCS,73592,HC RAD EXAM LOWER EXT INFANT MIN 2 VIEWS,520.5,520.5,,,0
HCPCS,73592,X-ray exam of leg infant,,,93.5,197.92,7
HCPCS,73600,HC RAD EXAM ANKLE 2 VIEWS,566.5,566.5,,,0
HCPCS,73600,X-ray exam of ankle,,,93.5,203.4,7
HCPCS,73610,HC RAD EXAM ANKLE MIN 3 VIEWS,884.5,884.5,,,0
HCPCS,73610,X-ray exam of ankle,,,101.33,233.68,7
HCPCS,73615,Contrast x-ray of ankle,,,381.53,833.12,7
HCPCS,73615,HC RAD EXAM ANKLE ARTHROGRAPHY,2321.5,2321.5,,,0
HCPCS,73620,HC X-RAY EXAM OF FOOT; 2 VIEWS,908.0,908.0,,,0
HCPCS,73620,X-ray exam of foot,,,93.5,175.95,7
HCPCS,73630,HC RAD EXAM FOOT MIN 3 VIEWS,1178.5,1178.5,,,0
HCPCS,73630,X-ray exam of foot,,,101.33,217.19,7
HCPCS,73650,HC RAD EXAM CALCANEUS MIN 2 VIEWS,558.5,558.5,,,0
HCPCS,73650,X-ray exam of heel,,,90.85,173.18,7
HCPCS,73660,HC RAD EXAM TOE(S) MIN 2 VIEWS,412.0,412.0,,,0
HCPCS,73660,X-ray exam of toe(s),,,79.38,189.67,7
HCPCS,73700,Ct lower extremity w/o dye,,,123.5,1088.52,5
HCPCS,73700,HC CT LOWER EXT W/O CONTRAST,3730.0,3730.0,,,0
HCPCS,73701,Ct lower extremity w/dye,,,207.21,1268.96,5
HCPCS,73701,HC CT LOWER EXT W CONTRAST,4459.5,4459.5,,,0
HCPCS,73702,Ct lwr extremity w/o&w/dye,,,207.21,1544.3,5
HCPCS,73702,HC CT LOWER EXT W & W/O CONTRAST,5594.5,5594.5,,,0
HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,207.21,2278.39,5
HCPCS,73706,HC CTA LOWER EXT W/O & W CONTRAST,5594.5,5594.5,,,0
HCPCS,73718,HC MRI LOWER EXT NOT JOINT W/O CONTRAST,3702.0,3702.0,,,0
HCPCS,73718,Mri Lower Extremity W/O Dye,,,281.87,2204.56,5
HCPCS,73719,HC MRI LOWER EXT NOT JOINT W CONTRAST,3702.0,3702.0,,,0
HCPCS,73719,Mri Lower Extremity W/Dye,,,412.14,2645.81,5
HCPCS,73720,HC MRI LEXTREM W&WO CONTR,5443.0,5443.0,,,0
HCPCS,73720,Mri lwr extremity w/o&w/dye,,,412.14,4719.64,5
HCPCS,73721,HC MRI ANY JOINT LOWER EXT W/O CONTRAST,3702.0,3702.0,,,0
HCPCS,73721,Mri jnt of lwr extre w/o dye,,,281.87,2204.56,5
HCPCS,73722,HC MRI ANY JOINT LOWER EXT W/CONTRAST,3702.0,3702.0,,,0
HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,926.08,2645.81,5
HCPCS,73723,HC MRI ANY JOINT LOWER EXT W/O & W CON,5443.0,5443.0,,,0
HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,412.14,4721.29,5
HCPCS,73725,Mr ang lwr ext w or w/o dye,,,1850.96,2328.02,2
HCPCS,74000,HC RAD EX ABDOMEN SINGLE AP VIEW,336.0,336.0,,,0
HCPCS,74010,HC RAD EX ABDOMEN AP + OBLIQ & CONE VIEWS,514.0,514.0,,,0
HCPCS,74018,HC X-RAY EXAM ABDOMEN 1 VIEW,531.0,531.0,,,0
HCPCS,74018,X-ray exam abdomen 1 view,,,102.81,178.66,7
HCPCS,74019,HC X-RAY EXAM ABDOMEN 2 VIEWS,807.0,807.0,,,0
HCPCS,74019,X-ray exam abdomen 2 views,,,123.5,214.41,7
HCPCS,74020,HC RAD EX ABDOMEN DECUBITUS AND/OR ERECT VWS,336.0,336.0,,,0
HCPCS,74021,HC X-RAY EXAM ABDOMEN 3 OR MORE VIEWS,1198.0,1198.0,,,0
HCPCS,74021,X-ray exam abdomen 3+ views,,,123.5,250.17,7
HCPCS,74022,"HC RAD EXM; COMPL ACUTE ABD SERIES, INCL 2+ VIEWS ABD, & SNGL VIEW CHEST",1198.0,1198.0,,,0
HCPCS,74022,X-ray exam series abdomen,,,123.5,288.63,7
HCPCS,74150,Ct abdomen w/o dye,,,123.5,1231.81,5
HCPCS,74150,HC CT ABDOMEN W/O CONTRAST,1727.0,1727.0,,,0
HCPCS,74160,Ct abdomen w/dye,,,207.21,1455.18,5
HCPCS,74160,HC CT ABDOMEN W CONTRAST,3256.0,3256.0,,,0
HCPCS,74170,Ct abdomen w/o & w/dye,,,207.21,1766.24,5
HCPCS,74170,HC CT ABDOMEN W & W/O CONTRAST,4036.0,4036.0,,,0
HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,412.14,4896.35,5
HCPCS,74174,HC CT ANGIO ABD&PELV W/O&W/DYE,8244.0,8244.0,,,0
HCPCS,74175,Ct angio abdom w/o & w/dye,,,207.21,2456.41,5
HCPCS,74175,HC CTA ABDOMEN W/O AND W CONTRAST,5012.0,5012.0,,,0
HCPCS,74176,Ct abd & pelvis w/o contrast,,,281.87,3055.51,5
HCPCS,74176,HC CT ABDOMEN AND PELVIS W/O CONTRAST,4523.0,4523.0,,,0
HCPCS,74177,Ct abd & pelv w/contrast,,,412.14,4175.11,5
HCPCS,74177,HC CT ABDOMEN AND PELVIS W CONTRAST,6610.0,6610.0,,,0
HCPCS,74178,Ct abd & pelv 1/> regns,,,412.14,4673.75,5
HCPCS,74178,HC CT ABDOMEN AND PELVIS W & W/O CONTRAST,8244.0,8244.0,,,0
HCPCS,74181,HC MRI ABDOMEN W/O CONTRAST,3969.5,3969.5,,,0
HCPCS,74181,Mri abdomen w/o dye,,,281.87,2234.98,5
HCPCS,74182,HC MRI ABDOMEN W CONTRAST,3969.5,3969.5,,,0
HCPCS,74182,Mri Abdomen W/Dye,,,412.14,2676.23,5
HCPCS,74183,HC MRI ABDOMEN W & W/O CONTRAST,5739.0,5739.0,,,0
HCPCS,74183,Mri abdomen w/o & w/dye,,,412.14,4752.62,5
HCPCS,74185,Mri angio abdom w orw/o dye,,,1847.33,2323.44,2
HCPCS,74190,X-ray exam of peritoneum,,,224.36,677.78,7
HCPCS,74210,Contrst x-ray exam of throat,,,207.21,555.37,7
HCPCS,74220,Contrast x-ray esophagus,,,207.21,571.86,7
HCPCS,74220,"HC RAD EXM; ESOPH, INCL SCOUT RAD(S)&DLY IMG(S), SNGL-CONTRAST STDY",1040.0,1040.0,,,0
HCPCS,74221,X-ray xm esophagus 2cntrst,,,207.21,666.93,7
HCPCS,74230,Cine/vid x-ray throat/esoph,,,207.21,822.11,7
HCPCS,74230,"HC RAD EX, SWALL FUNC W/CIN/VID RAD, INCL SCOUT RAD(S)&IMG(S), CONTR STDY",1068.0,1068.0,,,0
HCPCS,74235,Remove esophagus obstruction,,,559.07,703.16,2
HCPCS,74240,"HC RAD EXM, UGI, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; SNGL STDY",1404.0,1404.0,,,0
HCPCS,74240,X-ray upper gi delay w/o kub,,,207.21,701.11,7
HCPCS,74241,HC RAD EX UPPER GASTROINTESTINAL TRACT W/KUB,1141.0,1141.0,,,0
HCPCS,74245,HC RAD EX UPPER GI W/SMALL INTESTINE SERIES,1652.0,1652.0,,,0
HCPCS,74246,Contrst x-ray uppr gi tract,,,207.21,800.14,7
HCPCS,74246,"HC RAD EXM, UGI, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; DBL STDY",838.0,838.0,,,0
HCPCS,74247,HC RAD EX UPPER GI AIR CONTRAST W/KUB,1344.0,1344.0,,,0
HCPCS,74248,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,1042.0,1042.0,,,0
HCPCS,74248,X-ray sm int f-thru std,,,505.99,636.4,2
HCPCS,74249,HC UGI W AIR & BARIUM W SB,1579.0,1579.0,,,0
HCPCS,74250,"HC RAD EXM, SM INT,INCL MULTI IMGS&SCOUT ABD RAD(S), SNGL-CONTR STDY",1097.0,1097.0,,,0
HCPCS,74250,X-ray exam of small bowel,,,207.21,692.86,7
HCPCS,74251,"HC RAD EXM, SM INT,INCL MULTI IMGS&SCOUT ABD RAD(S), DBL- CONTR STDY",947.0,947.0,,,0
HCPCS,74251,X-ray exam of small bowel,,,207.21,2537.97,7
HCPCS,74261,Ct colonography dx,,,123.5,1093.02,5
HCPCS,74261,"HC CT COLONOGRAPHY, DX W/2D, 3D W/O CON",2798.0,2798.0,,,0
HCPCS,74262,Ct colonography dx w/dye,,,207.21,1354.49,5
HCPCS,74262,"HC CT COLONOGRAPHY, DX W/2D, 3D W/CONTRAST",2798.0,2798.0,,,0
HCPCS,74263,Ct colonography screening,,,281.87,295.96,3
HCPCS,74263,"HC CT COLONOGRAPHY, SCREENING W/2D, 3D",761.0,761.0,,,0
HCPCS,74270,Contrast x-ray exam of colon,,,207.21,866.11,7
HCPCS,74270,"HC RAD EXM, COLON, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; SNGL STDY",1499.0,1499.0,,,0
HCPCS,74280,Contrast x-ray exam of colon,,,207.21,1325.29,7
HCPCS,74280,"HC RAD EXM, COLON,INCL SCOUT ABD RAD(S) & DLY IMG(S), DBL-CONTR STDY",2032.0,2032.0,,,0
HCPCS,74283,Contrast x-ray exam of colon,,,207.21,1289.6,7
HCPCS,74290,Contrast x-ray gallbladder,,,153.71,577.41,7
HCPCS,74300,HC CHOLANGIOGRAPHY/PANCREATOGRAPHY INTRAOP,999.0,999.0,,,0
HCPCS,74300,X-ray bile ducts/pancreas,,,157.95,198.66,2
HCPCS,74301,HC CHOLANGIOGRAM ADDTL INTRAOP,846.0,846.0,,,0
HCPCS,74305,HC CHOLANGIOGRAPHY/PANCREATOGRAPHY POSTOP,705.0,705.0,,,0
HCPCS,74320,HC CHOLANGIOGRAM PERCUTANEOUS TRANSHEPATIC,1267.0,1267.0,,,0
HCPCS,74327,HC POSTOP BILIARY DUCT CALCULUS REMOVAL,1453.0,1453.0,,,0
HCPCS,74328,HC ENDOSCOPIC CATH BILIARY DUCTAL SYSTEM,2209.0,2209.0,,,0
HCPCS,74328,X-ray bile duct endoscopy,,,551.68,693.86,2
HCPCS,74329,HC ENDO CATH PANCREATIC DUCT SYSTEM,1960.0,1960.0,,,0
HCPCS,74329,X-ray for pancreas endoscopy,,,551.68,693.86,2
HCPCS,74330,HC ENDO CATH - BIL & PANCR D,2209.0,2209.0,,,0
HCPCS,74330,X-ray bile/panc endoscopy,,,583.83,734.31,2
HCPCS,74340,HC INTRO LONG GI TUBE INC MULTI FLUORO & FILMS,1833.0,1833.0,,,0
HCPCS,74340,X-ray guide for GI tube,,,451.84,568.29,2
HCPCS,74355,X-ray guide intestinal tube,,,487.63,613.31,2
HCPCS,74360,HC INTRALUMINAL DILATION OF STRICTURES/OBSTRUCTIONS,2091.0,2091.0,,,0
HCPCS,74360,X-ray guide gi dilation,,,527.84,663.89,2
HCPCS,74363,HC PERC TRANSHEPATIC DILATION BILIARY DUCT,3296.0,3296.0,,,0
HCPCS,74363,X-ray bile duct dilation,,,990.86,1246.23,2
HCPCS,74400,Contrst x-ray urinary tract,,,207.21,923.77,7
HCPCS,74400,HC UROGRAPHY IV W OR W/O KUB/TOMOGRAPH,1616.0,1616.0,,,0
HCPCS,74410,Contrst x-ray urinary tract,,,207.21,981.57,7
HCPCS,74410,"HC UROGRAPHY, INFUSION IVP, DRIP/BOLUS",1616.0,1616.0,,,0
HCPCS,74415,Contrst x-ray urinary tract,,,207.21,1058.56,7
HCPCS,74415,HC IVP W TOMOGRAPHY,1767.0,1767.0,,,0
HCPCS,74420,Contrst x-ray urinary tract,,,371.16,532.02,7
HCPCS,74420,HC UROGRAPHY RETROGRADE W OR W/O KUB,1285.0,1285.0,,,0
HCPCS,74425,Contrst x-ray urinary tract,,,241.36,926.61,7
HCPCS,74425,HC UROGRAPHY ANTEGRADE S& I,984.0,984.0,,,0
HCPCS,74430,Contrast x-ray bladder,,,180.99,432.75,7
HCPCS,74430,HC CYSTOGRAPHY MIN 3 VIEWS,902.0,902.0,,,0
HCPCS,74440,HC X-RAY VASOGRAM VESICULOGRAM,966.0,966.0,,,0
HCPCS,74440,X-ray male genital tract,,,218.66,659.87,7
HCPCS,74445,HC X-RAY CORPORA CAVERNOSOGRAM,1539.0,1539.0,,,0
HCPCS,74445,X-ray exam of penis,,,123.5,433.89,7
HCPCS,74450,HC URETHROCYSTOGRAPHY RETROGRADE S & I,1230.0,1230.0,,,0
HCPCS,74450,X-ray urethra/bladder,,,257.54,423.01,7
HCPCS,74455,HC URETHROCYSTOGRAPHY VOIDING S & I,2366.0,2366.0,,,0
HCPCS,74455,X-ray urethra/bladder,,,275.58,731.39,7
HCPCS,74470,HC X-RAY RENAL CYST STUDY,1069.0,1069.0,,,0
HCPCS,74470,X-ray exam of kidney lesion,,,262.16,677.78,7
HCPCS,74475,"HC INSERT INTRACATH OR CATH RENAL PELVIS, PERC",1344.0,1344.0,,,0
HCPCS,74480,HC INSERT URETERAL CATH/STENT THRU RENAL PELV,1344.0,1344.0,,,0
HCPCS,74485,HC DILATE URETER(S) OR URETHRA,1871.0,1871.0,,,0
HCPCS,74485,X-ray guide gu dilation,,,525.2,2592.94,7
HCPCS,74710,X-ray measurement of pelvis,,,202.04,254.11,2
HCPCS,74712,Mri fetal sngl/1st gestation,,,281.87,1001.16,5
HCPCS,74740,HC HYSTEROSALPINGOGRAPHY S & I,1363.0,1363.0,,,0
HCPCS,74740,X-ray female genital tract,,,244.99,624.12,7
HCPCS,74742,HC TRANSCERVICAL CATHETERIZATION OF FALLOPIAN TUBE,1358.0,1358.0,,,0
HCPCS,74742,X-ray fallopian tube,,,537.27,675.75,2
HCPCS,74775,X-ray exam of perineum,,,281.87,425.78,7
HCPCS,75557,Cardiac mri for morph,,,281.87,1127.9,5
HCPCS,75557,HC CARDIAC MRI FOR MORPH & FUNC W/O CONTRAST,3969.5,3969.5,,,0
HCPCS,75559,Cardiac mri w/stress img,,,645.5,1387.73,5
HCPCS,75561,Cardiac mri for morph w/dye,,,412.14,1806.76,5
HCPCS,75563,Card mri w/stress img & dye,,,926.08,2195.12,5
HCPCS,75565,Card mri veloc flow mapping,,,3300.03,4150.55,2
HCPCS,75571,Ct hrt w/o dye w/ca test,,,102.81,209.28,5
HCPCS,75571,HC CT HEART W/O CONTRAST W/CALCIUM QUANT,688.0,688.0,,,0
HCPCS,75572,Ct hrt w/3d image,,,412.14,1500.23,5
HCPCS,75572,HC CT HEART W/CONTRAST INC W/3 D POSTPROC,1534.0,1534.0,,,0
HCPCS,75573,Ct hrt w/3d image congen,,,412.14,2728.02,5
HCPCS,75574,Ct angio hrt w/3d image,,,412.14,2013.95,5
HCPCS,75574,HC CTA HEART W/CON W/3D IMAGE POSTPROCESS,1534.0,1534.0,,,0
HCPCS,75580,N-invas est c ffr sw aly cta,,,1014.47,3649.83,5
HCPCS,75600,Contrast exam thoracic aorta,,,1095.23,3916.58,7
HCPCS,75605,Contrast exam thoracic aorta,,,469.68,6902.26,7
HCPCS,75605,HC AORTOGRAPHY THORACIC BY SERIALOGRAPHY,5493.0,5493.0,,,0
HCPCS,75625,Contrast exam abdominl aorta,,,412.39,3916.58,7
HCPCS,75625,HC AORTOGRAPHY ABDOMINAL BY SERIALOGRAPHY,3116.0,3116.0,,,0
HCPCS,75630,HC AORTOGRAM ABDOMINAL W/ BILATERAL RUNOFF,4790.0,4790.0,,,0
HCPCS,75630,X-ray aorta leg arteries,,,444.44,3916.58,7
HCPCS,75635,Ct Angio Abdominal Arteries,,,207.21,3211.61,5
HCPCS,75635,HC CT ANGIO ABDOMINAL ARTERIES,3557.0,3557.0,,,0
HCPCS,75650,"HC ANGIOGRAPHY CERVICOCEREBRAL, CATHETER",1783.0,1783.0,,,0
HCPCS,75658,HC RETROGRADE BRACHIAL ANGIOGRAM,1220.0,1220.0,,,0
HCPCS,75660,"HC ANGIOGRAPHY EXTERNAL CAROTID, UNILAT",1198.0,1198.0,,,0
HCPCS,75662,"HC ANGIOGRAPHY EXTERNAL CAROTID, BILAT",2394.0,2394.0,,,0
HCPCS,75665,"HC ANGIOGRAPHY, CAROTID, CEREBRAL, UNILAT",1444.0,1444.0,,,0
HCPCS,75671,"HC ANGIOGRAPHY, CAROTID, CEREBRAL, BILAT",2604.0,2604.0,,,0
HCPCS,75676,"HC ANGIOGRAPHY, CAROTID, CERVICAL, UNILAT",1344.0,1344.0,,,0
HCPCS,75680,"HC ANGIOGRAPHY, CAROTID, CERVICAL, BILAT",2263.0,2263.0,,,0
HCPCS,75685,"HC ANGIOGRAPHY, VERTEBRAL, CERVIC/INTRACRAN",1171.0,1171.0,,,0
HCPCS,75705,Artery x-rays spine,,,932.49,6902.26,7
HCPCS,75705,HC ANGIOGRAPHY SPINAL SELECTIVE,6241.0,6241.0,,,0
HCPCS,75710,Artery x-rays arm/leg,,,474.24,3916.58,7
HCPCS,75710,HC ANGIOGRAPHY EXT UNILATERAL S & I,2814.0,2814.0,,,0
HCPCS,75716,Artery x-rays arms/legs,,,494.86,3916.58,7
HCPCS,75716,HC ANGIOGRAPHY EXT BILATERAL S & I,3055.0,3055.0,,,0
HCPCS,75726,Artery x-rays abdomen,,,533.84,6902.26,7
HCPCS,75726,HC ANGIOGRAPHY VISCERAL SELECT/SUPRASELECT,5027.0,5027.0,,,0
HCPCS,75731,Artery x-rays adrenal gland,,,687.28,3916.58,7
HCPCS,75731,HC ANGIOGRAPHY ADRENAL UNILATERAL SELECTIVE,2471.0,2471.0,,,0
HCPCS,75733,Artery x-rays adrenals,,,772.06,3916.58,7
HCPCS,75733,HC ANGIOGRAPHY ADRENAL BILATERAL SELECTIVE,3792.0,3792.0,,,0
HCPCS,75736,Artery x-rays pelvis,,,634.61,6902.26,7
HCPCS,75736,HC ANGIOGRAPHY PELVIC SELECT/SUPRASELECT,4925.0,4925.0,,,0
HCPCS,75741,Artery x-rays lung,,,485.68,3916.58,7
HCPCS,75741,HC ANGIOGRAPHY PULMONARY UNILAT SELECTIVE,2729.0,2729.0,,,0
HCPCS,75743,Artery x-rays lungs,,,494.86,3916.58,7
HCPCS,75743,HC ANGIOGRAPHY PULMONARY BILAT  SELECTIVE,3368.0,3368.0,,,0
HCPCS,75746,Artery x-rays lung,,,570.45,3916.58,7
HCPCS,75746,HC ANGIOGRAPHY PULMONARY NONSEL CATH/INJECT,2869.0,2869.0,,,0
HCPCS,75756,Artery x-rays chest,,,765.19,3916.58,7
HCPCS,75756,HC ANGIOGRAPHY INTERNAL MAMMARY S & I,3194.0,3194.0,,,0
HCPCS,75774,Artery x-ray each vessel,,,1804.64,2269.75,2
HCPCS,75774,HC ANGIOGRAPHY SELECTIVE EA ADDTL VESSEL,824.0,824.0,,,0
HCPCS,75791,HC AV DIALYSIS SHUNT IMAGING,1530.0,1530.0,,,0
HCPCS,75801,Lymph vessel x-ray arm/leg,,,741.06,1689.4,7
HCPCS,75803,Lymph vessel x-ray arms/legs,,,941.41,1952.6,7
HCPCS,75805,HC LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT,2679.0,2679.0,,,0
HCPCS,75805,Lymph vessel x-ray trunk,,,981.14,3916.58,7
HCPCS,75807,Lymph vessel x-ray trunk,,,1037.42,3916.58,7
HCPCS,75809,HC SHUNTOGRAM FOR INDWELL NEUROVASC SHUNT,1358.0,1358.0,,,0
HCPCS,75809,Nonvascular shunt x-ray,,,123.5,489.4,7
HCPCS,75810,Vein x-ray spleen/liver,,,1931.22,3916.58,7
HCPCS,75820,HC VENOGRAPHY EXT UNILATERAL,1629.0,1629.0,,,0
HCPCS,75820,Vein x-ray arm/leg,,,248.4,1952.6,7
HCPCS,75822,HC VENOGRAPHY EXT BILATERAL,1772.0,1772.0,,,0
HCPCS,75822,Vein x-ray arms/legs,,,379.7,1952.6,7
HCPCS,75825,HC VENOGRAPHY CAVAL INFERIOR W/SERIALOGRAPHY,2824.0,2824.0,,,0
HCPCS,75825,Vein x-ray trunk,,,423.89,3916.58,7
HCPCS,75827,HC VENOGRAPHY CAVAL SUPERIOR W/SERIALOGRAPH,1771.0,1771.0,,,0
HCPCS,75827,Vein x-ray chest,,,453.68,2430.28,7
HCPCS,75831,HC VENOGRAPHY RENAL UNILATERAL SELECTIVE,2631.0,2631.0,,,0
HCPCS,75831,Vein x-ray kidney,,,471.93,3916.58,7
HCPCS,75833,HC VENOGRAPHY RENAL BILATERAL SELECTIVE,2839.0,2839.0,,,0
HCPCS,75833,Vein x-ray kidneys,,,545.28,3916.58,7
HCPCS,75840,"HC SELECTIVE ADRENAL VENOGRAM, UNILATERAL",3792.0,3792.0,,,0
HCPCS,75840,Vein x-ray adrenal gland,,,515.48,3916.58,7
HCPCS,75842,"HC SELECTIVE ADRENAL VENOGRAM, BILATERAL",5302.0,5302.0,,,0
HCPCS,75842,Vein x-ray adrenal glands,,,609.44,2500.91,4
HCPCS,75860,HC VENOGRAPHY VENOUS SINUS/JUGULAR CATHETER,3220.0,3220.0,,,0
HCPCS,75860,Vein x-ray neck,,,501.73,3916.58,7
HCPCS,75870,Vein x-ray skull,,,673.6,3916.58,7
HCPCS,75872,Vein x-ray skull epidural,,,515.48,2439.24,7
HCPCS,75880,Vein x-ray eye socket,,,247.38,778.11,7
HCPCS,75885,HC PERCUT TRANSHEPATIC PORTOGRAM W/HDM,3026.0,3026.0,,,0
HCPCS,75885,Vein x-ray liver w/hemodynam,,,497.17,3916.58,7
HCPCS,75887,HC PERCUT TRANSHEPATIC PORTOGRAM W/O HDM,3004.0,3004.0,,,0
HCPCS,75887,Vein x-ray liver w/o hemodyn,,,501.73,3916.58,7
HCPCS,75889,HC HEPATIC VENOGRAPHY W/ HDM,3053.0,3053.0,,,0
HCPCS,75889,Vein x-ray liver w/hemodynam,,,497.17,3916.58,7
HCPCS,75891,HC HEPATIC VENOGRAPHY W/O HDM,3073.0,3073.0,,,0
HCPCS,75891,Vein x-ray liver,,,501.73,3916.58,7
HCPCS,75893,HC VENOUS SAMPLING THRU CATH W/W/O ANGIO,5509.0,5509.0,,,0
HCPCS,75893,Venous sampling by catheter,,,549.84,6902.26,7
HCPCS,75894,HC TRANSCATHETER THERAPY EMBOLIZATION,3664.0,3664.0,,,0
HCPCS,75894,X-rays transcath therapy,,,3561.32,4479.18,2
HCPCS,75896,HC TRANSCATHETER THERAPY INFUSION,1071.0,1071.0,,,0
HCPCS,75898,Follow-up angiography,,,302.15,3916.58,7
HCPCS,75898,"HC ANGIO F/U TRANSCATH TX, EMBOLIZ/INFUSION",1614.0,1614.0,,,0
HCPCS,75900,HC EXCHANGE INTRAVASC CATH DURING THROMB TX,8742.0,8742.0,,,0
HCPCS,75901,HC REMOVE OBSTRUCT FROM CENTRAL VENOUS DEV,212.0,212.0,,,0
HCPCS,75901,Remove cva device obstruct,,,339.34,426.79,2
HCPCS,75902,HC REMOVE INTRALUMIN OBSTRUCT FROM CVD,212.0,212.0,,,0
HCPCS,75902,Remove cva lumen obstruct,,,323.77,407.21,2
HCPCS,75952,HC IR ABD ANEURYSM REPAIR,4517.0,4517.0,,,0
HCPCS,75953,HC ILIAC ANEURYSM ENDOVAS RPR,1956.0,1956.0,,,0
HCPCS,75960,HC TRANSCATH INTRO IV CATH PERC AND/OR OPEN,821.0,821.0,,,0
HCPCS,75961,HC TRANSCATH RETRIEVAL PERC IV FOREIGN BODY,1639.0,1639.0,,,0
HCPCS,75962,HC TRANSLUM BALLOON ANGIOPLAST PERPH ARTERY,1043.0,1043.0,,,0
HCPCS,75964,HC TRANS BALLOON ANGIOPLASTY EA + PER ARTERY,826.0,826.0,,,0
HCPCS,75966,HC TRANS BALLOON ANGIOPLAST RENAL/VISC ARTERY,1952.0,1952.0,,,0
HCPCS,75968,HC TRANS BALLOON ANGIOPLASTY EA + VISC ARTERY,826.0,826.0,,,0
HCPCS,75970,HC TRANSCATHETER BIOPSY,1494.0,1494.0,,,0
HCPCS,75970,Vascular biopsy,,,1736.05,2183.48,2
HCPCS,75978,HC TRANSLUMINAL BALLOON ANGIOPLASTY VENOUS,1678.0,1678.0,,,0
HCPCS,75980,HC PERC TRANSHEP BIL DRAINAGE W/CON MONITOR,1485.0,1485.0,,,0
HCPCS,75982,HC PERC BIL DRAIN CATH PLACEMENT - INT & EXT DR,1412.0,1412.0,,,0
HCPCS,75984,HC CHG PERC TUBE/ DRAIN CATH W/CON MONITOR,2052.0,2052.0,,,0
HCPCS,75984,Xray control catheter change,,,388.02,488.02,2
HCPCS,75989,Abscess drainage under x-ray,,,631.73,794.55,2
HCPCS,75989,HC PERC DRAINAGE CATH PLACEMENT W/ RAD GUID,3233.0,3233.0,,,0
HCPCS,76000,Fluoroscope examination,,,192.42,295.96,7
HCPCS,76000,HC FLUOROSCOPE EXAMINATION UP TO 1 HOUR,1421.5,1421.5,,,0
HCPCS,76010,HC NOSE TO RECTUM FOR FB CHILD,1308.0,1308.0,,,0
HCPCS,76010,X-ray nose to rectum,,,101.15,173.18,7
HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,34.17,35.88,3
HCPCS,76016,Mr safety deter phys/qhp,,,102.81,107.95,3
HCPCS,76017,Mr sfty med physics xm cstmz,,,281.87,295.96,3
HCPCS,76019,Mr safety implt pos&/immoblj,,,69.69,73.17,3
HCPCS,76080,HC RAD EX FISTULA OR SINUS TRACT STUDY S & I,1094.0,1094.0,,,0
HCPCS,76080,X-ray exam of fistula,,,234.49,677.78,7
HCPCS,76098,HC RAD EXAM SURGICAL SPECIMEN,555.0,555.0,,,0
HCPCS,76098,X-ray exam breast specimen,,,84.19,677.78,7
HCPCS,76100,X-ray exam of body section,,,123.5,511.36,7
HCPCS,76120,Cine/video x-rays,,,123.5,816.63,7
HCPCS,76125,Cine/video x-rays add-on,,,153.27,192.77,2
HCPCS,76140,HC CONSULT ON OUTSIDE X-RAY,62.0,62.0,,,0
HCPCS,76145,Med physic dos eval rad exps,,,369.19,4341.44,7
HCPCS,76376,3d render w/intrp postproces,,,278.25,349.97,2
HCPCS,76376,HC 3D RENDERING W/O POSTPROCESS,1597.0,1597.0,,,0
HCPCS,76377,3d render w/intrp postproces,,,382.17,480.67,2
HCPCS,76377,HC 3D RENDERING W POSTPROCESS,1597.0,1597.0,,,0
HCPCS,76380,CAT scan follow-up study,,,102.81,810.91,5
HCPCS,76380,HC CT LIMITED OR LOCALIZED FOLLOW-UP STUDY,1128.0,1128.0,,,0
HCPCS,76390,Mr spectroscopy,,,102.81,2010.18,5
HCPCS,76391,Mr elastography,,,281.87,843.85,5
HCPCS,76496,Fluoroscopic procedure,,,102.81,354.47,7
HCPCS,76497,Ct procedure,,,102.81,147.35,5
HCPCS,76498,HC UNLISTED MAGNETIC RESONANCE PROCEDURE,2792.0,2792.0,,,0
HCPCS,76498,Mri procedure,,,102.81,1160.48,5
HCPCS,76499,HC UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,111.0,111.0,,,0
HCPCS,76499,Radiographic procedure,,,58.0,736.04,7
HCPCS,76506,Echo exam of head,,,123.5,679.14,7
HCPCS,76506,HC ECHOENCEPHALOGRAPHY OF NEONATAL,1288.0,1288.0,,,0
HCPCS,76510,Ophth us b & quant a,,,157.18,717.58,7
HCPCS,76511,Ophth us quant a only,,,123.5,556.76,7
HCPCS,76512,Ophth us b w/non-quant a,,,123.5,525.83,7
HCPCS,76513,Echo exam of eye water bath,,,123.5,414.71,7
HCPCS,76514,Echo exam of eye thickness,,,25.18,49.08,7
HCPCS,76516,Echo exam of eye,,,123.5,333.46,7
HCPCS,76519,Echo exam of eye,,,123.5,348.54,7
HCPCS,76529,Echo exam of eye,,,102.81,445.39,7
HCPCS,76536,"HC ULTRASOUND, SOFT TISSUES HEAD & NECK",1250.0,1250.0,,,0
HCPCS,76536,Us exam of head and neck,,,123.5,692.86,7
HCPCS,76604,HC ULTRASOUND CHEST INCLS MEDIASTINUM,1215.0,1215.0,,,0
HCPCS,76604,Us exam chest,,,123.5,341.26,7
HCPCS,76641,"HC ULTRASOUND BREAST UNILAT, COMPLETE",1187.0,1187.0,,,0
HCPCS,76641,Ultrasound breast complete,,,123.5,563.62,7
HCPCS,76642,"HC ULTRASOUND BREAST UNILAT, LIMITED",1187.0,1187.0,,,0
HCPCS,76642,Ultrasound breast limited,,,102.81,437.14,7
HCPCS,76645,HC ULTRASOUND BREAST(S) UNILAT OR BILAT,705.0,705.0,,,0
HCPCS,76700,HC ULTRASOUND ABDOMEN COMPLETE,1756.0,1756.0,,,0
HCPCS,76700,Us exam abdom complete,,,123.5,648.86,7
HCPCS,76705,Echo exam of abdomen,,,123.5,492.17,7
HCPCS,76705,"HC ULTRASOUND ABDOMEN LIMITED - 1 ORGAN, QUAD",1221.0,1221.0,,,0
HCPCS,76706,HC US ABDOMINAL AORTA SCREEN AAA,692.0,692.0,,,0
HCPCS,76706,Us abdl aorta screen aaa,,,123.5,668.12,7
HCPCS,76770,HC ULTRASOUND RETROPERITONEAL COMPLETE,1712.0,1712.0,,,0
HCPCS,76770,Us exam abdo back wall comp,,,123.5,607.62,7
HCPCS,76775,HC ULTRASOUND RETROPERITONEAL LIMITED,1288.0,1288.0,,,0
HCPCS,76775,Us exam abdo back wall lim,,,123.5,368.27,7
HCPCS,76776,HC ULTRASOUND TRANSPLANTED KIDNEY W/DOPPLER,1288.0,1288.0,,,0
HCPCS,76776,Us exam k transpl w/doppler,,,123.5,923.77,7
HCPCS,76800,HC ULTRASOUND SPINAL CANAL AND CONTENTS,1524.0,1524.0,,,0
HCPCS,76800,Us exam spinal canal,,,123.5,921.14,7
HCPCS,76801,"HC US, SINGLE FETUS < 14 WKS, TRANSABD APPRCH",1524.0,1524.0,,,0
HCPCS,76801,Ob us < 14 wks single fetus,,,123.5,585.65,7
HCPCS,76802,"HC US, FETUS < 14 WKS, EACH ADDTL FETUS",1524.0,1524.0,,,0
HCPCS,76802,Ob us < 14 wks addl fetus,,,290.88,365.85,2
HCPCS,76805,"HC US, SINGLE FETUS > = 14 WKS, TRANSABD APPRCH",1524.0,1524.0,,,0
HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,123.5,734.09,7
HCPCS,76810,"HC US, FETUS > = 14 WKS, EACH ADDTL FETUS",1524.0,1524.0,,,0
HCPCS,76810,Ob us >/= 14 wks addl fetus,,,325.11,408.9,2
HCPCS,76811,"HC US, DETAILED FETAL ANATOMIC EXM, SNGL FETUS",1654.0,1654.0,,,0
HCPCS,76811,Ob us detailed sngl fetus,,,281.87,1053.68,7
HCPCS,76812,"HC US, DETAILED FETAL ANATOMIC EXM, ADDL FETUS",684.0,684.0,,,0
HCPCS,76812,Ob us detailed addl fetus,,,483.76,608.44,2
HCPCS,76813,"HC US, NUCHAL TRANSLUCENCY MEASURE, 1 FETUS",684.0,684.0,,,0
HCPCS,76813,Ob us nuchal meas 1 gest,,,123.5,497.64,7
HCPCS,76814,"HC US NUCHAL TRANSLUCENCY MEASURE,ADDL FETUS",684.0,684.0,,,0
HCPCS,76814,Ob us nuchal meas add-on,,,172.74,217.26,2
HCPCS,76815,HC US LIMITED 1 OR MORE FETUS(S),1276.0,1276.0,,,0
HCPCS,76815,Ob us limited fetus(s),,,123.5,417.88,7
HCPCS,76816,HC US FOLLOW-UP PER FETUS,970.0,970.0,,,0
HCPCS,76816,Ob us follow-up per fetus,,,123.5,577.41,7
HCPCS,76817,HC US OB TRANSVAGINAL,970.0,970.0,,,0
HCPCS,76817,Transvaginal us obstetric,,,123.5,472.9,7
HCPCS,76818,Fetal biophys profile w/nst,,,123.5,571.79,7
HCPCS,76818,HC FETAL BP PROFILE W NON-STRESS TEST,1823.0,1823.0,,,0
HCPCS,76819,Fetal biophys profil w/o nst,,,123.5,445.42,7
HCPCS,76819,HC FETAL BP PROFILE W/O NON-STRESS TEST,1823.0,1823.0,,,0
HCPCS,76820,"HC DOPPLER VELOCIMETRY, FETAL UMB ARTERY",1472.0,1472.0,,,0
HCPCS,76820,Umbilical artery echo,,,123.5,393.63,7
HCPCS,76821,"HC DOPPLER VELOCIMETRY, FETAL; MIDDLE CEREBRAL ARTERY",661.0,661.0,,,0
HCPCS,76821,Middle cerebral artery echo,,,123.5,461.88,7
HCPCS,76825,Echo exam of fetal heart,,,553.95,1514.97,7
HCPCS,76825,HC ECHOCARDIO FETAL CARDIOVASCULAR W/2-D,2253.0,2253.0,,,0
HCPCS,76826,Echo exam of fetal heart,,,237.4,973.32,7
HCPCS,76826,HC ECHOCARDIO FETAL CARDIOVASCULAR F/U STUDY,2253.0,2253.0,,,0
HCPCS,76827,Echo exam of fetal heart,,,123.5,427.05,7
HCPCS,76827,HC DOPPLER ECHOCARDIOLOGY FETAL COMPLETE,684.0,684.0,,,0
HCPCS,76828,Echo exam of fetal heart,,,123.5,318.46,7
HCPCS,76828,HC DOPPLER ECHOCARDIOLOGY FETAL F/U,684.0,684.0,,,0
HCPCS,76830,"HC ULTRASOUND TRANSVAGINAL, NON OB",1606.0,1606.0,,,0
HCPCS,76830,Transvaginal us non-ob,,,123.5,717.6,7
HCPCS,76831,Echo exam uterus,,,281.87,679.14,7
HCPCS,76831,HC SALINE INFUSED SONOHYSTEROGRAM,518.0,518.0,,,0
HCPCS,76856,HC ULTRASOUND PELVIC EXAM COMPLETE NON OB,1420.0,1420.0,,,0
HCPCS,76856,Us exam pelvic complete,,,123.5,604.92,7
HCPCS,76857,HC ULTRASOUND PELVIC EXAM LIMITED NON OB,1218.0,1218.0,,,0
HCPCS,76857,Us exam pelvic limited,,,123.5,372.19,7
HCPCS,76870,HC ULTRASOUND SCROTUM AND CONTRASTENTS,1094.0,1094.0,,,0
HCPCS,76870,Us exam scrotum,,,123.5,580.11,7
HCPCS,76872,HC ULTRASOUND TRANSRECTAL,1606.0,1606.0,,,0
HCPCS,76872,Us transrectal,,,123.5,1396.74,7
HCPCS,76873,Echograp trans r pros study,,,123.5,827.58,7
HCPCS,76873,"HC US TRANSRECTAL-PROSTATE VOL STUDY, BRACHY",1719.0,1719.0,,,0
HCPCS,76881,HC US COMPLETE JOINT,1659.0,1659.0,,,0
HCPCS,76881,Us xtr non-vasc complete,,,75.59,369.73,7
HCPCS,76882,"HC US LIMITED, JOINT OR FOCAL EVAL OF OTHER NONVASCULAR EXTREMITY STRUCTURE(S)",1254.0,1254.0,,,0
HCPCS,76882,Us xtr non-vasc lmtd,,,123.5,369.73,7
HCPCS,76883,Us nrv&acc strux 1xtr compre,,,98.46,234.13,7
HCPCS,76885,HC US INFANT HIPS; DYNAMIC,1139.0,1139.0,,,0
HCPCS,76885,Us exam infant hips dynamic,,,102.81,833.06,7
HCPCS,76886,HC US INFANT HIPS; LIMITED/STATIC,1021.0,1021.0,,,0
HCPCS,76886,Us exam infant hips static,,,102.81,582.88,7
HCPCS,76930,HC US GUIDANCE PERICARDIOCENTESIS,250.0,250.0,,,0
HCPCS,76932,Echo guide for heart biopsy,,,325.57,409.48,2
HCPCS,76936,Echo guide for artery repair,,,255.08,1514.43,7
HCPCS,76936,HC US GUIDED PSA/AVF COMPRESSION REPAIR,1507.0,1507.0,,,0
HCPCS,76937,HC US GUIDANCE VASCULAR ACCESS,1560.0,1560.0,,,0
HCPCS,76937,Us guide vascular access,,,111.92,140.76,2
HCPCS,76940,Us guide tissue ablation,,,579.7,729.11,2
HCPCS,76941,Echo guide for transfusion,,,436.79,549.37,2
HCPCS,76941,HC US GUIDED FETAL TRANSFUSION/CORDOCENTESIS,397.0,397.0,,,0
HCPCS,76942,Echo guide for biopsy,,,494.44,621.87,2
HCPCS,76942,HC US GUIDED NEEDLE PLACEMENT,2140.0,2140.0,,,0
HCPCS,76945,Echo guide villus sampling,,,322.89,406.11,2
HCPCS,76945,HC US GUIDED CHORIONIC VILLUS SAMPLING,1446.0,1446.0,,,0
HCPCS,76946,Echo guide for amniocentesis,,,277.35,348.83,2
HCPCS,76946,HC US GUIDED AMNIOCENTESIS,1183.0,1183.0,,,0
HCPCS,76948,Echo guide ova aspiration,,,276.04,347.19,2
HCPCS,76965,Echo guidance radiotherapy,,,992.14,1247.84,2
HCPCS,76965,HC US GUIDED INTERSTITIAL RADIOELEMENT APPLIC,1505.0,1505.0,,,0
HCPCS,76975,GI endoscopic ultrasound,,,281.87,475.19,7
HCPCS,76977,Us bone density measure,,,32.05,155.73,7
HCPCS,76978,Us trgt dyn mbubb 1st les,,,412.14,1201.52,7
HCPCS,76981,"HC ULTRASOUND, ELASTOGRAPHY; PARENCHYMA (EG, ORGAN)",1265.0,1265.0,,,0
HCPCS,76981,Use parenchyma,,,123.5,629.66,7
HCPCS,76982,"HC ULTRASOUND, ELASTOGRAPHY; FIRST TARGET LESION",655.0,655.0,,,0
HCPCS,76982,Use 1st target lesion,,,123.5,538.88,7
HCPCS,76998,HC US GUIDANCE INTRAOPERATIVE,1056.0,1056.0,,,0
HCPCS,76999,Echo examination procedure,,,102.81,736.04,7
HCPCS,76999,HC UNLISTED ULTRASOUND PROCEDURE,586.0,586.0,,,0
HCPCS,77001,Fluoroguide for Vein Device,,,359.18,451.75,2
HCPCS,77001,HC FLUOROGUIDE CENTRAL VEN ACCESS DEV PLCMNT,1289.0,1289.0,,,0
HCPCS,77002,HC FLUOROSCOPIC GUIDANCE FOR NEEDLE PLCMNT,715.5,715.5,,,0
HCPCS,77002,Needle localization by xray,,,239.11,300.74,2
HCPCS,77003,Fluoroguide for Spine Inject,,,196.92,247.67,2
HCPCS,77003,HC FLUOROSCOPIC GUIDANCE FOR SPINE INJECTION,1735.5,1735.5,,,0
HCPCS,77011,CT Scan for Localization,,,2360.88,2969.36,2
HCPCS,77012,Ct scan for needle biopsy,,,680.77,856.22,2
HCPCS,77012,HC CT SCAN FOR NEEDLE BIOPSY,3884.0,3884.0,,,0
HCPCS,77013,HC CT GUIDANCE TISSUE ABLATION,3884.0,3884.0,,,0
HCPCS,77014,CT Scan for Therapy Guide,,,636.62,800.7,2
HCPCS,77014,HC (SMH MOSAIQ) CT GUIDANCE PLCMNT RAD THERAPY FIELDS,448.0,448.0,,,0
HCPCS,77014,HC CT GUIDANCE PLCMNT RAD THERAPY FIELDS,542.0,542.0,,,0
HCPCS,77021,HC MRI NEEDLE GUIDANCE,1045.0,1045.0,,,0
HCPCS,77021,MR Guidance for Needle Place,,,1548.29,1947.34,2
HCPCS,77031,HC STEREOTACTIC GUID BREAST BX/NEEDLE PLCMNT,1949.0,1949.0,,,0
HCPCS,77032,HC MAMMOGRAPHIC GUID NEEDLE PLCMNT BREAST,1082.0,1082.0,,,0
HCPCS,77032,HC MAMMOGRAPHIC GUID NEEDLE PLCMNT BREAST EACH ADDITIONAL,789.0,789.0,,,0
HCPCS,77046,HC MRI BREAST UNIL W/O CONTRAST,3054.0,3054.0,,,0
HCPCS,77046,Mri breast c- unilateral,,,281.87,3683.5,5
HCPCS,77047,HC MRI BREAST BILAT W/O CONTRAST,5317.0,5317.0,,,0
HCPCS,77047,Mri breast c- bilateral,,,281.87,3965.02,5
HCPCS,77048,Mri breast c-+ w/cad uni,,,2928.68,3683.5,2
HCPCS,77049,Mri breast c-+ w/cad bi,,,3152.52,3965.02,2
HCPCS,77051,HC COMPUTER DX MAMMOGRAM ADD-ON,61.0,61.0,,,0
HCPCS,77052,HC COMP SCREEN MAMMOGRAM ADD-ON,61.0,61.0,,,0
HCPCS,77053,"HC MAMMARY DUCTOGRAM OR GALACTOGRAM, SINGLE",1366.0,1366.0,,,0
HCPCS,77053,X-Ray of Mammary Duct,,,254.33,667.04,7
HCPCS,77054,HC X-RAY OF MAMMARY DUCTS,1697.0,1697.0,,,0
HCPCS,77054,X-ray of mammary ducts,,,281.87,572.9,7
HCPCS,77055,HC MAMMOGRAM ONE BREAST,482.0,482.0,,,0
HCPCS,77061,Breast tomosynthesis uni,,,68.24,720.37,4
HCPCS,77061,HC DIGITAL BREAST TOMOSYNTHESIS; UNILATERAL,172.0,172.0,,,0
HCPCS,77062,Breast tomosynthesis bi,,,68.24,923.77,4
HCPCS,77062,HC DIGITAL BREAST TOMOSYNTHESIS; BILATERAL,172.0,172.0,,,0
HCPCS,77063,Breast tomosynthesis bi,,,27.54,197.99,7
HCPCS,77063,HC SCREENING DIGITAL BREAST TOMOSYNTHESIS; BILATERAL,172.0,172.0,,,0
HCPCS,77065,Dx mammo incl cad uni,,,101.49,720.37,7
HCPCS,77065,HC DX MAMMO INCL CAD; UNILAT,870.0,870.0,,,0
HCPCS,77066,Dx mammo incl cad bi,,,130.19,923.77,7
HCPCS,77066,HC DX MAMMO INCL CAD; BILAT,989.0,989.0,,,0
HCPCS,77067,HC SCREEN MAMMO INCL CAD; BILAT,569.0,569.0,,,0
HCPCS,77067,Scr mammo bi incl cad,,,107.39,761.61,7
HCPCS,77071,X-Ray Stress View,,,102.81,736.04,7
HCPCS,77072,HC BONE AGE STUDIES,576.0,576.0,,,0
HCPCS,77072,X-Rays for Bone Age,,,116.83,172.97,7
HCPCS,77073,HC BONE LENGTH STUDIES,834.0,834.0,,,0
HCPCS,77073,X-rays bone length studies,,,123.5,266.67,7
HCPCS,77074,HC RAD EXAM OSSEOUS SURVEY LIMITED,1442.0,1442.0,,,0
HCPCS,77074,X-rays bone survey limited,,,123.5,368.4,7
HCPCS,77075,HC RAD EXAM OSSEOUS SURVEY COMPLETE,1701.0,1701.0,,,0
HCPCS,77075,X-rays bone survey complete,,,123.5,607.55,7
HCPCS,77076,HC RAD EXAM OSSEOUS SURVEY INFANT,806.0,806.0,,,0
HCPCS,77076,X-rays bone survey infant,,,123.5,613.1,7
HCPCS,77077,Joint survey single view,,,123.5,252.95,7
HCPCS,77078,Ct bone density axial,,,102.81,266.89,5
HCPCS,77080,Dxa bone density axial,,,123.5,268.86,7
HCPCS,77080,"HC DXA BONE DENSITY STUDY, AXIAL 1+ SITES",808.0,808.0,,,0
HCPCS,77081,Dxa bone density/peripheral,,,95.65,184.2,7
HCPCS,77081,"HC DXA BONE DENSITY PERIPHERAL, AXIAL 1+ SITES",808.0,808.0,,,0
HCPCS,77084,"HC MRI, BONE MARROW BLOOD SUPPLY",1682.0,1682.0,,,0
HCPCS,77084,Magnetic image bone marrow,,,281.87,1071.9,5
HCPCS,77085,Dxa bone density study,,,123.5,368.53,7
HCPCS,77086,Fracture assessment via dxa,,,102.81,211.64,7
HCPCS,77086,HC VERTEBRAL FRACTURE ASSESSMENT VIA DXA,706.0,706.0,,,0
HCPCS,77090,Tbs techl prep&transmis data,,,102.81,736.04,5
HCPCS,77091,Tbs techl calculation only,,,102.81,736.04,5
HCPCS,77261,Radiation therapy planning,,,235.88,296.68,2
HCPCS,77262,Radiation therapy planning,,,355.25,446.81,2
HCPCS,77263,Radiation therapy planning,,,527.47,663.41,2
HCPCS,77280,"HC THERA RAD SIMULATE-ADD FIELD SET, SIMPLE",2823.0,2823.0,,,0
HCPCS,77280,Set radiation therapy field,,,158.78,748.4,5
HCPCS,77285,HC SIMULATION; INTERMEDIATE,4353.0,4353.0,,,0
HCPCS,77285,Set radiation therapy field,,,442.33,1188.0,5
HCPCS,77290,"HC THERA RAD SIMULATE-ADD FIELD SET, COMPLX",5086.0,5086.0,,,0
HCPCS,77290,Set radiation therapy field,,,442.33,1456.79,5
HCPCS,77293,HC RESPIRATORY MOTION MGMT SIMULATION,1046.0,1046.0,,,0
HCPCS,77295,3-d radiotherapy plan,,,1635.14,5808.86,5
HCPCS,77295,"HC THERA RAD SIMULATE-ADD FIELD SET, 3D",6897.0,6897.0,,,0
HCPCS,77299,Radiation therapy planning,,,100.98,166.72,5
HCPCS,77300,HC BASIC RADIATION DOSIMETRY CALCULATION,1201.0,1201.0,,,0
HCPCS,77300,Radiation therapy dose plan,,,158.78,361.1,5
HCPCS,77301,HC INTENSITY MODULATED RADIOTHERAPY PLAN,13830.0,13830.0,,,0
HCPCS,77301,Radiotherapy dose plan imrt,,,1635.14,6512.79,5
HCPCS,77305,HC TELETHERAPY ISODOSE PLAN SIMPLE 1-2 PORTS,767.0,767.0,,,0
HCPCS,77306,"HC TELETHERAPY ISODOSE PLAN, SIMPLE",2767.0,2767.0,,,0
HCPCS,77306,Telethx isodose plan simple,,,442.33,623.26,5
HCPCS,77307,"HC TELETHERAPY ISODOSE PLAN, COMPLEX",3865.0,3865.0,,,0
HCPCS,77307,Telethx isodose plan cplx,,,442.33,784.7,5
HCPCS,77310,HC TELETHERAPY ISODOSE PLAN INTERMED 3+ PORTS,1045.0,1045.0,,,0
HCPCS,77315,HC TELETHERAPY ISODOSE PLAN COMPLEX,1315.0,1315.0,,,0
HCPCS,77316,Brachytx isodose plan simple,,,442.33,604.12,5
HCPCS,77316,"HC BRACHYTHERAPY ISODOSE PLAN, SIMPLE",2387.0,2387.0,,,0
HCPCS,77317,Brachytx isodose intermed,,,442.33,889.49,5
HCPCS,77317,"HC BRACHYTHERAPY ISODOSE PLAN, INTERMEDIATE",2837.0,2837.0,,,0
HCPCS,77318,Brachytx isodose complex,,,442.33,1293.66,5
HCPCS,77318,"HC BRACHYTHERAPY ISODOSE PLAN, COMPLEX",3361.0,3361.0,,,0
HCPCS,77321,HC HEMIBODY PARTICLES TOTAL BODY,2512.0,2512.0,,,0
HCPCS,77321,Special teletx port plan,,,442.33,898.82,5
HCPCS,77326,HC BRACHTX ISODOSE PLAN SIMPLE 1-4 SOURCES,628.0,628.0,,,0
HCPCS,77327,HC BRACHTX ISODOSE PLAN INTERM 5-10 SOURCES,803.0,803.0,,,0
HCPCS,77328,HC BRACHTX ISODOSE PLAN COMPLX 10+ SOURCES,980.0,980.0,,,0
HCPCS,77331,HC SPECIAL DOSIMETRY,999.0,999.0,,,0
HCPCS,77331,Special radiation dosimetry,,,158.78,264.98,5
HCPCS,77332,HC TREATMENT DEVICES SIMPLE,1190.0,1190.0,,,0
HCPCS,77332,Radiation treatment aid(s),,,158.78,344.41,5
HCPCS,77333,HC TREATMENT DEVICES INTERMEDIATE,2313.0,2313.0,,,0
HCPCS,77333,Radiation treatment aid(s),,,158.78,503.4,5
HCPCS,77334,HC TREATMENT DEVICES COMPLEX,2682.0,2682.0,,,0
HCPCS,77334,Radiation treatment aid(s),,,442.33,821.52,5
HCPCS,77336,HC QUALITY ASSURANCE CHECK FOR RADIATION THERAPY; PER WEEK BY MED TECHNICIAN,1840.0,1840.0,,,0
HCPCS,77336,Radiation physics consult,,,158.78,519.87,5
HCPCS,77338,Design mlc device for imrt,,,442.33,1355.22,5
HCPCS,77338,HC DESIGN MLC DEVICE FOR INTENSITY MOD RAD TX,2570.0,2570.0,,,0
HCPCS,77370,HC SPECIAL MED RADIATION PHYSICS CONSULTATION,2238.0,2238.0,,,0
HCPCS,77370,Radiation physics consult,,,158.78,607.89,5
HCPCS,77371,Srs multisource,,,8700.95,27935.83,5
HCPCS,77372,"HC SRS LINEAR BASED, 1 SESSION",46308.0,46308.0,,,0
HCPCS,77372,Srs linear based,,,2864.78,9136.0,5
HCPCS,77373,HC SBRT DELIVERY PER FRACTION,18656.0,18656.0,,,0
HCPCS,77373,SBRT Delivery,,,2112.31,6670.83,5
HCPCS,77385,"HC INTENSITY MODULATED RAD TX DELIVERY (IMRT), SIMPLE",3722.0,3722.0,,,0
HCPCS,77385,Ntsty modul rad tx dlvr smpl,,,2408.58,3029.35,2
HCPCS,77386,"HC INTENSITY MODULATED RAD TX DELIVERY (IMRT), COMPLEX",3729.0,3729.0,,,0
HCPCS,77386,Ntsty modul rad tx dlvr cplx,,,2408.58,3029.35,2
HCPCS,77387,Guidance for radiaj tx dlvr,,,392.06,493.11,2
HCPCS,77387,HC GUIDANCE FOR RADIATION TX,486.0,486.0,,,0
HCPCS,77399,External radiation dosimetry,,,158.78,304.07,5
HCPCS,77401,Radiation treatment delivery,,,247.03,310.7,2
HCPCS,77402,HC RAD DELIVERY SINGLE AREA ; UP TO 5 MEV,658.0,658.0,,,0
HCPCS,77402,"HC RADIATION TREATMENT DELIVERY, =>1 MEV; SIMPLE",1257.0,1257.0,,,0
HCPCS,77402,Radiation treatment delivery,,,120.53,310.7,5
HCPCS,77403,HC RAD TX DELIVERY SINGLE AREA 6-10 MEV,649.0,649.0,,,0
HCPCS,77404,HC RAD TX DELIVERY SINGLE AREA 11-19 MEV,671.0,671.0,,,0
HCPCS,77406,HC RAD TX DELIVERY SINGLE AREA 20 MEV/>,694.0,694.0,,,0
HCPCS,77407,"HC RADIATION TREATMENT DELIVERY, =>1 MEV; INTERMEDIATE",1817.0,1817.0,,,0
HCPCS,77407,HC RADIATION TX DELIVERY <= 5 MEV,769.0,769.0,,,0
HCPCS,77407,Radiation treatment delivery,,,290.68,478.42,5
HCPCS,77408,HC RADIATION TX DELIVERY 6-10 MEV,752.0,752.0,,,0
HCPCS,77409,HC RADIATION TX DELIVERY 11-19 MEV,777.0,777.0,,,0
HCPCS,77411,HC RADIATION TX DELIVERY 20+ MEV,800.0,800.0,,,0
HCPCS,77412,"HC RADIATION TREATMENT DELIVERY,=>1 MEV; COMPLEX",1537.0,1537.0,,,0
HCPCS,77412,HC RADIATION TX DELIVERY 3+ AREAS <= 5 MEV,860.0,860.0,,,0
HCPCS,77412,Radiation treatment delivery,,,323.68,685.38,5
HCPCS,77413,HC RAD TX DELIVERY 3+ AREAS 6-10 MEV,856.0,856.0,,,0
HCPCS,77414,HC RAD TX DELIVERY 3+ AREAS 11-19 MEV,881.0,881.0,,,0
HCPCS,77416,HC RAD TX DELIVERY 3+ AREAS 20+ MEV,901.0,901.0,,,0
HCPCS,77417,HC THERAPEUTIC RADIOLOGY PORT FILM(S),648.0,648.0,,,0
HCPCS,77417,Radiology port images(s),,,82.67,103.98,2
HCPCS,77418,HC INTENSITY MODULATED TX DELIVERY/TX SESSION,2124.0,2124.0,,,0
HCPCS,77421,HC STEREOSCOPIC X-RAY GUIDANCE,155.0,155.0,,,0
HCPCS,77423,Neutron beam tx complex,,,652.74,2494.77,5
HCPCS,77424,Io rad tx delivery by x-ray,,,3632.49,9136.0,5
HCPCS,77425,Io rad tx deliver by elctrns,,,3632.49,9136.0,5
HCPCS,77427,Radiation tx management x5,,,541.49,681.05,2
HCPCS,77431,Radiation therapy management,,,309.16,388.84,2
HCPCS,77432,Stereotactic radiation trmt,,,1344.45,1690.96,2
HCPCS,77435,SBRT Management,,,2109.58,2653.28,2
HCPCS,77436,Surf radj ther tx planning,,,44.12,46.33,3
HCPCS,77470,HC SPECIAL RADIATION TREATMENT,3058.0,3058.0,,,0
HCPCS,77470,Special radiation treatment,,,652.74,2374.5,5
HCPCS,77520,HC PROTON TX DELIVERY SIMPLE W/O COMPENSATION,4472.0,4472.0,,,0
HCPCS,77520,Proton trmt simple w/o comp,,,652.74,1240.26,5
HCPCS,77522,HC PROTON TX DELIVERY SIMPLE W/COMPENSATION,7423.0,7423.0,,,0
HCPCS,77522,Proton trmt simple w/comp,,,1476.38,3762.85,5
HCPCS,77523,HC PROTON TX DELIVERY INTERMEDIATE,7548.0,7548.0,,,0
HCPCS,77523,Proton trmt intermediate,,,1476.38,4922.33,5
HCPCS,77525,HC PROTON TX DELIVERY COMPLEX,7555.0,7555.0,,,0
HCPCS,77525,Proton treatment complex,,,1388.54,1746.41,5
HCPCS,77600,Hyperthermia treatment,,,455.64,852.63,5
HCPCS,77605,Hyperthermia treatment,,,822.78,1143.75,5
HCPCS,77610,Hyperthermia treatment,,,652.74,854.32,5
HCPCS,77615,Hyperthermia treatment,,,652.74,1137.35,5
HCPCS,77620,Hyperthermia treatment,,,652.74,871.41,5
HCPCS,77750,HC INFUSION/INSTILLATION RADIOELEMENT SOLUTION,1726.0,1726.0,,,0
HCPCS,77750,Infuse radioactive materials,,,455.64,1241.66,5
HCPCS,77761,Apply intrcav radiat simple,,,652.74,1196.82,5
HCPCS,77762,Apply intrcav radiat interm,,,652.74,1805.26,5
HCPCS,77763,Apply intrcav radiat compl,,,822.78,2544.25,5
HCPCS,77763,HC INTRACAVITARY RAD SOURCE APPLICAT COMPLEX,7228.0,7228.0,,,0
HCPCS,77767,"HC RAD TX, BRACHYTHERAPY, LESION UP TO 2.0 CM/1 CHANNEL",657.0,657.0,,,0
HCPCS,77767,Hdr rdncl skn surf brachytx,,,455.64,711.32,5
HCPCS,77768,"HC RAD TX, BRACHYTHERAPY, LESION > 2.0 CM & 2 + CHANNELS/MULT LESION",983.0,983.0,,,0
HCPCS,77768,Hdr rdncl skn surf brachytx,,,455.64,711.32,5
HCPCS,77770,"HC HDR RDNCL INTERSTITIAL/INTRACAV BRCHTX, 1 CHANNEL",7155.0,7155.0,,,0
HCPCS,77770,Hdr rdncl ntrstl/icav brchtx,,,822.78,4689.48,5
HCPCS,77771,"HC HDR RDNCL INTERSTITIAL/INTRACAV BRCHTX, 2-12 CHANNELS",7155.0,7155.0,,,0
HCPCS,77771,Hdr rdncl ntrstl/icav brchtx,,,822.78,4689.48,5
HCPCS,77772,"HC HDR RDNCL INTERSTITIAL/INTRACAV BRCHTX, OVER 12 CHANNELS",7902.0,7902.0,,,0
HCPCS,77772,Hdr rdncl ntrstl/icav brchtx,,,822.78,4689.48,5
HCPCS,77778,Apply interstit radiat compl,,,822.78,3190.86,5
HCPCS,77778,HC INTERSTITIAL RAD SOURCE APPLICATION COMPLEX,6829.0,6829.0,,,0
HCPCS,77785,HC HDR RADIONUCLIDE BRACHYTX 1 CHANNEL,3747.0,3747.0,,,0
HCPCS,77786,HC HDR RADIONUCLIDE BRACHYTX 2-12 CHANNELS,3747.0,3747.0,,,0
HCPCS,77787,HC HDR RADIONUCLIDE BRACHYTX OVER 12 CHANNEL,4684.0,4684.0,,,0
HCPCS,77789,Apply surf ldr radionuclide,,,120.53,309.34,5
HCPCS,77789,HC SURFACE APPLICATION OF LOW DOSE RATE RADIONUCLIDE SOURCE,1076.0,1076.0,,,0
HCPCS,77790,"HC SUPERVISION, HANDLING, LOADING - RAD SOURCE",1198.0,1198.0,,,0
HCPCS,77790,Radiation handling,,,240.51,302.5,2
HCPCS,77799,Radium/radioisotope therapy,,,120.53,791.15,5
HCPCS,78000,HC THYROID UPTAKE; SINGLE,425.0,425.0,,,0
HCPCS,78001,HC THYROID UPTAKE MULTIPLE DETERMINATIONS,566.0,566.0,,,0
HCPCS,78007,HC THYROID XR W UPTAKE; MULTIPLE,1270.0,1270.0,,,0
HCPCS,78010,HC THYROID IMAGING ONLY,957.0,957.0,,,0
HCPCS,78012,HC THYROID UPTAKE MEASUREMENT,759.0,759.0,,,0
HCPCS,78012,Thyroid uptake measurement,,,472.27,937.07,5
HCPCS,78013,HC THYROID IMAGING W/BLOOD FLOW,970.0,970.0,,,0
HCPCS,78013,Thyroid imaging w/blood flow,,,472.27,937.07,5
HCPCS,78014,HC THYROID IMAGING W/BLOOD FLOW & 1+ UPTAKES,1704.0,1704.0,,,0
HCPCS,78014,Thyroid imaging w/blood flow,,,472.27,937.07,5
HCPCS,78015,Thyroid met imaging,,,467.9,588.49,5
HCPCS,78016,Thyroid met imaging/studies,,,472.27,777.57,5
HCPCS,78018,HC THYROID CARCINOMA METAST IMAG WHOLE BODY,2940.0,2940.0,,,0
HCPCS,78018,Thyroid met imaging body,,,641.43,1125.93,5
HCPCS,78020,Thyroid met uptake,,,288.24,362.52,2
HCPCS,78070,HC PARATHYROID IMAGING,800.0,800.0,,,0
HCPCS,78070,Parathyroid planar imaging,,,472.27,900.95,5
HCPCS,78071,HC PARTHYROID PLANAR IMAGING W/ SPECT,2066.0,2066.0,,,0
HCPCS,78071,Parathyrd planar w/wo subtrj,,,472.27,1178.67,5
HCPCS,78072,Parathyrd planar w/spect&ct,,,641.43,1178.67,5
HCPCS,78075,Adrenal cortex & medulla img,,,874.98,1605.9,5
HCPCS,78075,HC ADRENAL IMAGING CORTEX AND/OR MEDULLA,5330.0,5330.0,,,0
HCPCS,78099,Endocrine nuclear procedure,,,472.27,689.87,5
HCPCS,78102,Bone marrow imaging ltd,,,375.01,495.88,5
HCPCS,78103,Bone marrow imaging mult,,,472.27,709.53,5
HCPCS,78103,HC BONE MARROW IMAGING; MULTIPLE AREAS,5330.0,5330.0,,,0
HCPCS,78104,Bone marrow imaging body,,,472.27,875.69,5
HCPCS,78104,HC BONE MARROW IMAGING; WHOLE BODY,5330.0,5330.0,,,0
HCPCS,78110,Plasma volume single,,,165.03,1605.9,5
HCPCS,78111,Plasma volume multiple,,,393.81,1605.9,5
HCPCS,78120,Red cell mass single,,,280.0,495.88,5
HCPCS,78121,Red cell mass multiple,,,454.66,673.51,5
HCPCS,78122,Blood volume,,,641.43,896.44,5
HCPCS,78130,Red cell survival study,,,472.27,623.3,5
HCPCS,78140,Red cell sequestration,,,472.27,811.57,5
HCPCS,78185,Spleen imaging,,,394.65,496.37,5
HCPCS,78191,Platelet survival,,,472.27,1403.5,5
HCPCS,78195,HC LYMPHATICS AND LYMPH NODE IMAGING,1954.0,1954.0,,,0
HCPCS,78195,Lymph system imaging,,,641.43,961.23,5
HCPCS,78199,Blood/lymph nuclear exam,,,472.27,608.0,5
HCPCS,78201,HC LIVER IMAGE; STATIC ONLY,2567.0,2567.0,,,0
HCPCS,78201,Liver imaging,,,400.59,673.51,5
HCPCS,78202,HC LIVER IMAGING W VASCULAR FLOW,2567.0,2567.0,,,0
HCPCS,78202,Liver imaging with flow,,,481.66,673.51,5
HCPCS,78205,HC LIVER IMAGING (SPECT),2218.0,2218.0,,,0
HCPCS,78206,HC LIVER IMAGING (SPECT) W/VASCULAR FLOW,2218.0,2218.0,,,0
HCPCS,78215,HC LIVER & SPLEEN; STATIC ONLY,1652.0,1652.0,,,0
HCPCS,78215,Liver and spleen imaging,,,472.27,611.26,5
HCPCS,78216,HC LIVER & SPLEEN; W VASC FLOW,2567.0,2567.0,,,0
HCPCS,78216,Liver & spleen image/flow,,,472.27,723.55,5
HCPCS,78226,HC HEPATOBILIARY SYSTEM IMAG INC GALLBLADDER,1896.0,1896.0,,,0
HCPCS,78226,Hepatobiliary system imaging,,,472.27,811.93,5
HCPCS,78227,HC HEPATOBIL SYST IMAGE W/DRUG,2250.0,2250.0,,,0
HCPCS,78227,Hepatobil syst image w/drug,,,641.43,811.93,5
HCPCS,78230,Salivary gland imaging,,,377.78,495.88,5
HCPCS,78231,HC SALIVARY GLAND; W SERIAL IMAGES,1725.0,1725.0,,,0
HCPCS,78231,Serial salivary imaging,,,472.27,661.36,5
HCPCS,78232,Salivary gland function exam,,,472.27,714.03,5
HCPCS,78258,Esophageal motility study,,,472.27,653.97,5
HCPCS,78258,HC ESOPHAGEAL MOTILITY,1268.0,1268.0,,,0
HCPCS,78261,Gastric mucosa imaging,,,472.27,859.7,5
HCPCS,78262,Gastroesophageal reflux exam,,,472.27,881.69,5
HCPCS,78262,HC GASTROESOPHAGEAL REFLUX SCAN,1191.0,1191.0,,,0
HCPCS,78264,Gastric emptying imag study,,,472.27,881.18,5
HCPCS,78264,"HC GASTRIC EMPTYING IMAGING STUDY  (SOLID, LIQUID OR BOTH)",1709.0,1709.0,,,0
HCPCS,78264,"HC GASTRIC EMPTYING STUDY, SOLID",1274.0,1274.0,,,0
HCPCS,78265,Gastric emptying imag study,,,472.27,1217.5,5
HCPCS,78265,HC GASTRIC EMPTYING IMAGING STUDY; W/SMALL BOWEL TRANSIT,1709.0,1709.0,,,0
HCPCS,78266,Gastric emptying imag study,,,641.43,1615.38,5
HCPCS,78266,"HC GASTRIC EMPTYING IMAG STUDY W/SMALL BOWEL & COLON TRANSIT, MULT DAY",2562.0,2562.0,,,0
HCPCS,78267,Breath tst attain/anal c-14,,,11.06,40.19,5
HCPCS,78267,"HC UREA BREATH TEST C-14 (ISOTOPIC), ACQUISTION",106.0,106.0,,,0
HCPCS,78268,Breath test analysis c-14,,,94.41,344.44,5
HCPCS,78268,"HC UREA BREATH TEST C-14 (ISOTOPIC), ANALYSIS",467.0,467.0,,,0
HCPCS,78278,Acute GI blood loss imaging,,,472.27,1052.58,5
HCPCS,78278,HC ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,1725.0,1725.0,,,0
HCPCS,78282,GI protein loss exam,,,472.27,1041.49,5
HCPCS,78290,HC INTESTINE IMAGING E.G. MECKEL'S LOCALIZATION,1889.0,1889.0,,,0
HCPCS,78290,Meckels divert exam,,,472.27,672.93,5
HCPCS,78291,HC PERITONEAL-VENOUS SHUNT PATENCY TEST,1409.0,1409.0,,,0
HCPCS,78291,Leveen/shunt patency exam,,,472.27,716.7,5
HCPCS,78299,GI nuclear procedure,,,472.27,1028.64,5
HCPCS,78299,HC UNLISTED GI PROCEDURE DX NM,1673.0,1673.0,,,0
HCPCS,78300,Bone imaging limited area,,,447.44,562.76,5
HCPCS,78300,"HC BONE AND/OR JOINT IMAGING, LIMITED AREA",3213.0,3213.0,,,0
HCPCS,78305,Bone imaging multiple areas,,,472.27,810.47,5
HCPCS,78305,HC BONE/JOINT; MULTI AREAS,3213.0,3213.0,,,0
HCPCS,78306,Bone imaging whole body,,,472.27,922.58,5
HCPCS,78306,"HC BONE AND/OR JOINT IMAGING, WHOLE BODY",2949.0,2949.0,,,0
HCPCS,78315,Bone imaging 3 phase,,,472.27,1043.54,5
HCPCS,78315,"HC BONE AND/OR JOINT IMAGING , 3 PHASE STUDY",1737.0,1737.0,,,0
HCPCS,78320,HC BONE/JOINT; SPECT (3D),2775.0,2775.0,,,0
HCPCS,78350,Bone mineral single photon,,,140.81,177.11,2
HCPCS,78351,Bone mineral dual photon,,,48.1,60.5,2
HCPCS,78399,Musculoskeletal nuclear exam,,,322.4,495.88,5
HCPCS,78414,Non-imaging heart function,,,594.75,748.03,5
HCPCS,78428,Cardiac shunt imaging,,,444.97,559.65,5
HCPCS,78429,"HC MYOCARDIAL IMG, PET, METABOLIC  EVAL, 1 STUDY CONCURRENT CT",6715.0,6715.0,,,0
HCPCS,78429,Myocrd img pet 1 std w/ct,,,1689.26,5281.71,5
HCPCS,78430,Myocrd img pet rst/strs w/ct,,,1689.26,5281.71,5
HCPCS,78431,Myocrd img pet rst&strs ct,,,2602.25,8236.83,5
HCPCS,78432,Myocrd img pet 2rtracer,,,1792.84,10066.83,5
HCPCS,78433,Myocrd img pet 2rtracer ct,,,2602.25,10066.83,5
HCPCS,78434,Aqmbf pet rest & rx stress,,,1062.15,1335.9,2
HCPCS,78445,HC NON-CARDIAC VASC FLOW,1159.0,1159.0,,,0
HCPCS,78445,Vascular flow imaging,,,340.41,495.88,5
HCPCS,78451,Ht muscle image spect sing,,,1160.45,1605.9,5
HCPCS,78452,HC MYOCARD PERF IMAG SPECT MULTI  REST/STRESS,5860.0,5860.0,,,0
HCPCS,78452,Ht muscle image spect mult,,,1529.43,2362.38,5
HCPCS,78453,HC MYOCARD PERF IMAG PLANAR SGL REST/STRESS,1394.0,1394.0,,,0
HCPCS,78453,Ht muscle image planar sing,,,469.88,1605.9,5
HCPCS,78454,Ht musc image planar mult,,,859.0,1605.9,5
HCPCS,78456,Acute venous thrombus image,,,724.91,1605.9,5
HCPCS,78457,Venous thrombosis imaging,,,496.48,673.51,5
HCPCS,78458,Ven thrombosis images bilat,,,472.27,890.26,5
HCPCS,78459,Heart muscle imaging (PET),,,1529.43,3875.35,5
HCPCS,78466,"HC MYOCARDIAL IMAGE, PLANAR; QUAL/QUAN",1938.0,1938.0,,,0
HCPCS,78466,Heart infarct image,,,472.27,601.45,5
HCPCS,78468,Heart infarct image (ef),,,638.57,803.15,5
HCPCS,78469,Heart infarct image (3D),,,641.43,1100.27,5
HCPCS,78472,Gated heart planar single,,,472.27,1166.48,5
HCPCS,78472,HC CARDO BLD POOL IMAG PLANAR SNG REST/STRESS,1831.0,1831.0,,,0
HCPCS,78473,Gated heart multiple,,,472.27,1745.01,5
HCPCS,78481,Heart first pass single,,,641.43,1118.64,5
HCPCS,78483,Heart first pass multiple,,,641.43,1682.1,5
HCPCS,78491,Heart image (pet) single,,,1689.26,3197.23,5
HCPCS,78492,Heart image (pet) multiple,,,1689.26,3493.25,5
HCPCS,78494,Heart image spect,,,472.27,1473.08,5
HCPCS,78496,Heart first pass add-on,,,1056.36,1328.62,2
HCPCS,78499,Cardiovascular nuclear exam,,,472.27,1331.36,5
HCPCS,78579,HC PULMONARY VENTILATION IMAG (AEROSOL/GAS),1911.0,1911.0,,,0
HCPCS,78579,Lung ventilation imaging,,,472.27,976.38,5
HCPCS,78580,HC PULMONARY PERFUSION IMAGING PARTICULATE,1971.0,1971.0,,,0
HCPCS,78580,Lung perfusion imaging,,,472.27,751.25,5
HCPCS,78582,HC PULMONARY VENTILATION & PERFUSION IMAGING,2251.0,2251.0,,,0
HCPCS,78582,Lung ventilat&perfus imaging,,,641.43,1208.9,5
HCPCS,78597,HC LUNG PERFUSION DIFFERENTIAL,2168.0,2168.0,,,0
HCPCS,78597,Lung perfusion differential,,,472.27,1493.72,5
HCPCS,78598,HC LUNG PERFUSION & VENTILATION DIFFERENTIAL,2829.0,2829.0,,,0
HCPCS,78598,Lung perf&ventilat diferentl,,,641.43,1493.72,5
HCPCS,78599,Respiratory nuclear exam,,,472.27,761.43,5
HCPCS,78600,Brain image < 4 views,,,470.9,592.26,5
HCPCS,78601,Brain image w/flow < 4 views,,,472.27,698.07,5
HCPCS,78605,Brain image 4+ views,,,558.66,702.65,5
HCPCS,78606,Brain image w/flow 4 + views,,,641.43,807.58,5
HCPCS,78606,HC BRAIN IMAGE W/FLOW 4 + VIEWS,2251.0,2251.0,,,0
HCPCS,78607,HC BRAIN IMAGING TOMOGRAPHIC (SPECT),2464.0,2464.0,,,0
HCPCS,78608,Brain imaging (PET),,,1689.26,3746.16,5
HCPCS,78608,"HC BRAIN IMAGING, PET, METABOLIC EVALUATION",8878.0,8878.0,,,0
HCPCS,78609,Brain imaging (PET),,,233.96,294.26,2
HCPCS,78610,Brain flow imaging only,,,271.1,673.51,5
HCPCS,78630,Cerebrospinal fluid scan,,,641.43,1020.48,5
HCPCS,78630,HC CEREBROSPINAL FLUID FLOW IMG CISTERNOGRAM,2579.0,2579.0,,,0
HCPCS,78635,CSF ventriculography,,,455.94,673.51,5
HCPCS,78645,CSF shunt evaluation,,,568.61,715.16,5
HCPCS,78645,HC CEREBROSPINAL FLUID FLOW IMG SHUNT EVAL,2018.0,2018.0,,,0
HCPCS,78650,CSF leakage imaging,,,744.26,1605.9,5
HCPCS,78650,HC CEREBROSPINAL FLUID LEAKAGE IMAGING,2841.0,2841.0,,,0
HCPCS,78660,Nuclear exam of tear flow,,,382.02,495.88,5
HCPCS,78699,Nervous system nuclear exam,,,472.27,899.23,5
HCPCS,78700,HC KIDNEY IMAGING MORPHOLOGY,1477.0,1477.0,,,0
HCPCS,78700,Kidney imaging morphol,,,472.27,624.76,5
HCPCS,78701,Kidney imaging with flow,,,472.27,720.29,5
HCPCS,78707,HC KIDNEY IMAGING W/VASC FLOW & FUNCTION,1710.0,1710.0,,,0
HCPCS,78707,K flow/funct image w/o drug,,,641.43,976.96,5
HCPCS,78708,HC KIDNEY IMAGING W/VASC FLOW & FUNC W/DRUG,2636.0,2636.0,,,0
HCPCS,78708,K flow/funct image w/drug,,,641.43,1029.7,5
HCPCS,78709,HC KIDNEY FLOW/FUNCT IMAGE-MULT W & W/O PHARM INTERV,2636.0,2636.0,,,0
HCPCS,78709,K flow/funct image multiple,,,641.43,1070.11,5
HCPCS,78710,HC KIDNEY IMAGING TOMOGRAPHIC (SPECT),2567.0,2567.0,,,0
HCPCS,78725,Kidney function study,,,311.69,495.88,5
HCPCS,78730,Urinary bladder retention,,,262.34,329.95,2
HCPCS,78740,Ureteral reflux study,,,389.01,495.88,5
HCPCS,78761,HC TESTICULAR IMAGING W/FLOW,1407.0,1407.0,,,0
HCPCS,78761,Testicular imaging w/flow,,,472.27,705.39,5
HCPCS,78799,Genitourinary nuclear exam,,,472.27,984.36,5
HCPCS,78799,HC UNLISTED GU PROCEDURE DIAGNOSTIC NM,2636.0,2636.0,,,0
HCPCS,78800,"HC RADIOPHARM LOCAL TUMOR; PLANAR, SINGLE AREA, SINGLE DAY IMG",1645.0,1645.0,,,0
HCPCS,78800,Tumor imaging limited area,,,472.27,730.83,5
HCPCS,78801,"HC TUMOR LOCAL; PLANAR, 2 + AREAS, 1+ DAYS IMG/SNGL AREA IMG 2+ DAYS",2337.0,2337.0,,,0
HCPCS,78801,Tumor imaging mult areas,,,472.27,901.93,5
HCPCS,78802,"HC RADIOPHARM LOCAL TUMOR ; PLANAR, WHOLE BODY, SINGLE DAY IMG",2857.0,2857.0,,,0
HCPCS,78802,Tumor imaging whole body,,,641.43,1143.97,5
HCPCS,78803,"HC RADIOPHARM LOCAL TUMOR,  SPECT; SINGLE AREA , SINGLE DAY IMG",2857.0,2857.0,,,0
HCPCS,78803,Tumor imaging (3D),,,641.43,1371.15,5
HCPCS,78804,HC TUMOR IMAGING WHOLE BODY 2+ DAYS,4995.0,4995.0,,,0
HCPCS,78804,Tumor imaging whole body,,,641.43,2114.53,5
HCPCS,78805,HC LOCALIZATION OF INFLAMMATORY PROCESS; LIMIT AREA,4750.0,4750.0,,,0
HCPCS,78806,"HC RADIOPHARM LOCALIZE ABSCESS, WHOLE BODY",4750.0,4750.0,,,0
HCPCS,78807,"HC Radiopharmaceutical Localization, Tomographic (SPECT)",3112.0,3112.0,,,0
HCPCS,78808,Iv inj ra drug dx study,,,472.27,1517.8,5
HCPCS,78811,Pet image ltd area,,,1529.43,2744.56,5
HCPCS,78812,Pet image skull-thigh,,,1689.26,3719.0,5
HCPCS,78813,Pet image full body,,,1689.26,4202.45,5
HCPCS,78814,HC PET IMAGE W/CT LMTD AREA,8878.0,8878.0,,,0
HCPCS,78814,Pet image w/ct lmtd,,,1689.26,4329.38,5
HCPCS,78815,HC PET IMAGING W/CT SKULL BASE TO MID-THIGH,8878.0,8878.0,,,0
HCPCS,78815,Pet image w/ct skull-thigh,,,1689.26,3848.31,5
HCPCS,78816,HC PET IMAGING W/CT WHOLE BODY,8878.0,8878.0,,,0
HCPCS,78816,Pet image w/ct full body,,,1689.26,3975.57,5
HCPCS,78830,"HC RADIOPHARM LOCALIZE TUMOR, SPECT, W/CT 1 AREA 1 DAY IMAGE",5918.0,5918.0,,,0
HCPCS,78830,Rp loclzj tum spect w/ct 1,,,1090.46,1605.9,5
HCPCS,78831,"HC RADIOPHARM LOCAL TUMOR, SPECT, 2 AREA 1 DAY IMG OR 1 AREA IMG 2+ DAYS",5918.0,5918.0,,,0
HCPCS,78831,Rp loclzj tum spect 2 areas,,,1090.46,1605.9,5
HCPCS,78832,"HC RADIOPHARM LOCAL TUMOR, SPECT, MIN 2 AREA 1 DAY IMG /1 AREA OR IMG 2+ DAYS",6715.0,6715.0,,,0
HCPCS,78832,Rp loclzj tum spect w/ct 2,,,1090.46,1773.72,5
HCPCS,78835,"HC RADIOPHARMACEUTICAL QUANTIFICATION MEASUREMENT(S), 1 AREA",1714.0,1714.0,,,0
HCPCS,78835,Rp quan meas single area,,,369.95,465.3,2
HCPCS,78999,Nuclear diagnostic exam,,,472.27,901.93,5
HCPCS,79005,"HC RADIOPHARM THERAPY, BY ORAL ADMINISTRATION",2244.0,2244.0,,,0
HCPCS,79005,Nuclear rx oral admin,,,275.65,829.69,5
HCPCS,79101,"HC RADIOPHARM THERAPY, BY IV ADMINISTRATION",2870.0,2870.0,,,0
HCPCS,79101,Nuclear rx iv admin,,,275.65,864.71,5
HCPCS,79200,Nuclear rx intracav admin,,,275.65,873.72,5
HCPCS,79300,Nuclr rx interstit colloid,,,275.65,986.04,5
HCPCS,79403,Hematopoietic nuclear tx,,,275.65,1222.81,5
HCPCS,79440,Nuclear rx intra-articular,,,275.65,877.45,5
HCPCS,79445,Nuclear rx intra-arterial,,,275.65,961.56,5
HCPCS,79999,Nuclear medicine therapy,,,275.65,884.51,5
HCPCS,80047,Metabolic panel ionized ca,,,13.73,50.01,7
HCPCS,80048,HC BM PANEL 80048 W/ CALCIUM,82.0,82.0,,,0
HCPCS,80048,HC BM PANEL 80048 W/CALCIUM,233.0,233.0,,,0
HCPCS,80048,HC METABOLIC PANEL TOTAL CA,162.5,162.5,,,0
HCPCS,80048,Metabolic panel total ca,,,8.46,43.3,7
HCPCS,80050,General health panel,,,126.03,144.03,2
HCPCS,80051,Electrolyte panel,,,7.01,35.87,7
HCPCS,80051,HC ELECTROLYTE PANEL,124.0,124.0,,,0
HCPCS,80053,Comprehen metabolic panel,,,10.56,54.06,7
HCPCS,80053,HC COMP PANEL 80053 W/ CO2 &,94.0,94.0,,,0
HCPCS,80053,HC COMP PANEL 80053 W/CO2&AL,273.0,273.0,,,0
HCPCS,80053,HC COMPREHENSIVE METABOLIC PANEL,190.5,190.5,,,0
HCPCS,80055,Obstetric panel,,,47.81,322.12,7
HCPCS,80061,HC LIPID PANEL,266.0,266.0,,,0
HCPCS,80061,HC LIPID PROFILE 80061,262.0,262.0,,,0
HCPCS,80061,Lipid panel,,,13.39,68.52,7
HCPCS,80069,HC RENAL FNCTNPANEL 80069,218.0,218.0,,,0
HCPCS,80069,HC RENAL FUNCTION PANEL,152.0,152.0,,,0
HCPCS,80069,HC RENAL FUNCTION PANEL 8006,82.0,82.0,,,0
HCPCS,80069,Renal function panel,,,8.68,44.4,7
HCPCS,80074,Acute hepatitis panel,,,47.63,243.54,7
HCPCS,80074,HC ACUTE HEPATITIS PANEL,934.0,934.0,,,0
HCPCS,80076,HC HEPATIC FUNCTION PANEL,150.5,150.5,,,0
HCPCS,80076,HC HEPATIC PANEL 80076 W/ PR,72.0,72.0,,,0
HCPCS,80076,HC HEPATIC PANEL 80076 W/PRO,215.0,215.0,,,0
HCPCS,80076,Hepatic function panel,,,8.17,41.8,7
HCPCS,80081,Obstetric panel,,,74.86,504.35,7
HCPCS,80100,HC DAU SCREEN QL,218.0,218.0,,,0
HCPCS,80100,"HC DRUG SCREEN, BLOOD",1106.0,1106.0,,,0
HCPCS,80100,"HC DRUG SCREEN, URINE QL",268.0,268.0,,,0
HCPCS,80100,"HC DRUG SCREEN,URINE",648.0,648.0,,,0
HCPCS,80102,HC DRUG CONFIRMATION,386.0,386.0,,,0
HCPCS,80102,HC OXYCODONE CONFIRMATION,386.0,386.0,,,0
HCPCS,80143,Drug assay acetaminophen,,,18.64,68.22,7
HCPCS,80143,HC ACETOMINOPHEN,158.0,158.0,,,0
HCPCS,80145,Drug assay adalimumab,,,38.57,141.17,7
HCPCS,80145,HC DRUG ASSAY ADALIMUMAB,116.0,116.0,,,0
HCPCS,80145,HC DRUG ASSAY ADALIMUMAB (265),194.0,194.0,,,0
HCPCS,80150,Assay of amikacin,,,15.08,77.08,7
HCPCS,80150,HC AMIKACIN,460.0,460.0,,,0
HCPCS,80150,HC AMIKACIN PEAK/TROGH 80150,193.0,193.0,,,0
HCPCS,80151,Drug assay amiodarone,,,18.64,68.22,7
HCPCS,80151,HC AMIODARONE,123.0,123.0,,,0
HCPCS,80152,HC AMITRIPTYLENE 80152,211.5,211.5,,,0
HCPCS,80152,HC AMITRIPTYLINE,298.0,298.0,,,0
HCPCS,80154,HC BENZODIAZEPINE 80154,206.0,206.0,,,0
HCPCS,80154,HC KLONOPIN,244.0,244.0,,,0
HCPCS,80154,HC LORAZEPAM,291.0,291.0,,,0
HCPCS,80154,HC VALIUM,292.0,292.0,,,0
HCPCS,80155,Drug assay caffeine,,,38.57,140.46,7
HCPCS,80155,HC DRUG SCREEN QUANT CAFFEINE,168.0,168.0,,,0
HCPCS,80156,Assay carbamazepine total,,,14.57,74.44,7
HCPCS,80156,HC CARBAMAZE 80156,204.5,204.5,,,0
HCPCS,80156,HC CARBAMAZEPINE; TOTAL,257.5,257.5,,,0
HCPCS,80157,Assay carbamazepine free,,,13.25,67.78,7
HCPCS,80157,HC CARBAMAZEPINE; FREE,490.0,490.0,,,0
HCPCS,80158,Drug assay cyclosporine,,,18.05,92.34,7
HCPCS,80158,HC CYCLOSPORIN,282.0,282.0,,,0
HCPCS,80158,HC CYCLOSPORINE,379.0,379.0,,,0
HCPCS,80159,Drug assay clozapine,,,20.15,92.34,7
HCPCS,80159,HC DRUG SCREEN QUANT CLOZAPINE,400.0,400.0,,,0
HCPCS,80160,HC DESIMPRAMINE 80160,291.0,291.0,,,0
HCPCS,80160,HC DESIPRAMINE,291.0,291.0,,,0
HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,18.64,68.22,7
HCPCS,80161,"HC CARBAMAZEPINE;10,11-EPOXIDE",390.0,390.0,,,0
HCPCS,80162,Assay of digoxin total,,,13.28,67.89,7
HCPCS,80162,HC BLOOD DIGOXIN 80162,294.0,294.0,,,0
HCPCS,80162,HC DIGOXIN LEVEL 80162,335.0,335.0,,,0
HCPCS,80162,HC DIGOXIN QUANTITATIVE,564.0,564.0,,,0
HCPCS,80163,Assay of digoxin free,,,13.28,66.14,7
HCPCS,80164,Assay dipropylacetic acd tot,,,13.54,69.28,7
HCPCS,80164,HC DIPROPYLACETIC ACID,196.0,196.0,,,0
HCPCS,80164,HC VALPROIC ACID 80164,218.0,218.0,,,0
HCPCS,80165,Dipropylacetic acid free,,,13.54,67.49,7
HCPCS,80165,HC VALPROIC ACID FREE,367.0,367.0,,,0
HCPCS,80166,HC DOXEPIN,124.0,124.0,,,0
HCPCS,80167,Drug assay felbamate,,,18.64,68.22,7
HCPCS,80167,HC FELBAMATE,95.0,95.0,,,0
HCPCS,80168,Assay of ethosuximide,,,16.34,77.04,7
HCPCS,80168,HC ETHOSUXIMIDE,224.0,224.0,,,0
HCPCS,80169,Drug assay everolimus,,,13.73,68.55,7
HCPCS,80169,HC DRUG SCREEN QUANT EVEROLIMUS,162.0,162.0,,,0
HCPCS,80170,Assay of gentamicin,,,16.38,83.81,7
HCPCS,80170,HC GENTAMICIN,692.0,692.0,,,0
HCPCS,80170,HC GENTAMYCIN BY R 80170,410.0,410.0,,,0
HCPCS,80171,Drug screen quant gabapentin,,,21.67,78.57,7
HCPCS,80171,HC DRUG SCREEN QUANT GABAPENTIN,158.0,158.0,,,0
HCPCS,80173,Assay Of Haloperidol,,,15.78,74.44,7
HCPCS,80173,HC HALOPERIDOL ASSAY,217.0,217.0,,,0
HCPCS,80174,HC IMIPRAMINE,291.0,291.0,,,0
HCPCS,80174,HC IMIPRAMINE 80174,205.0,205.0,,,0
HCPCS,80175,Drug screen quan lamotrigine,,,13.25,66.21,7
HCPCS,80175,HC DRUG SCREEN QUAN LAMOTRIGINE,158.0,158.0,,,0
HCPCS,80176,Assay of lidocaine,,,14.69,75.1,7
HCPCS,80176,HC LIDOCAINE,419.0,419.0,,,0
HCPCS,80176,HC LIDOCAINE 80176,175.5,175.5,,,0
HCPCS,80177,Drug scrn quan levetiracetam,,,13.25,66.21,7
HCPCS,80177,HC DRUG SCRN QUAN LEVETIRACETAM,158.0,158.0,,,0
HCPCS,80178,Assay of lithium,,,6.61,33.82,7
HCPCS,80178,HC LITHIUM,120.5,120.5,,,0
HCPCS,80178,HC LITHIUM-BLOOD 80178,85.5,85.5,,,0
HCPCS,80179,Drug assay salicylate,,,18.64,68.22,7
HCPCS,80179,HC SALICYLATE,158.0,158.0,,,0
HCPCS,80180,Drug scrn quan mycophenolate,,,18.05,90.15,7
HCPCS,80180,HC DRUG SCRN QUAN MYCOPHENOLATE,213.0,213.0,,,0
HCPCS,80181,Drug assay flecainide,,,18.64,68.22,7
HCPCS,80182,HC NORTRIPTYLINE,324.0,324.0,,,0
HCPCS,80182,HC NORTRIPTYLINE 80182,229.5,229.5,,,0
HCPCS,80183,Drug scrn quant oxcarbazepin,,,13.25,66.21,7
HCPCS,80183,HC DRUG SCRN QUANT OXCARBAZEPIN,158.0,158.0,,,0
HCPCS,80184,Assay of phenobarbital,,,15.3,58.6,7
HCPCS,80184,HC PHENOBARBITAL,367.0,367.0,,,0
HCPCS,80184,HC PHENOBARBITAL 80184,218.0,218.0,,,0
HCPCS,80185,Assay of phenytoin total,,,13.25,67.78,7
HCPCS,80185,"HC DILANTIN,QT 80185",205.0,205.0,,,0
HCPCS,80185,HC PHENYTOIN; TOTAL,490.0,490.0,,,0
HCPCS,80186,Assay of phenytoin free,,,13.76,70.38,7
HCPCS,80186,HC PHENYTOIN FREE,154.0,154.0,,,0
HCPCS,80186,HC PHENYTOIN; FREE,259.0,259.0,,,0
HCPCS,80187,Drug assay posaconazole,,,27.11,99.22,7
HCPCS,80187,HC DRUG ASSAY POSACONAZOLE (30),194.0,194.0,,,0
HCPCS,80188,Assay of primidone,,,16.59,84.84,7
HCPCS,80188,HC MYSOLINE LEVEL 80188,112.0,112.0,,,0
HCPCS,80188,HC PRIMIDONE,458.0,458.0,,,0
HCPCS,80188,HC PRIMIDONE 80188,272.0,272.0,,,0
HCPCS,80189,Drug assay itraconzaole,,,27.11,99.22,7
HCPCS,80189,HC ITRACONAZOLE,88.0,88.0,,,0
HCPCS,80190,Assay of procainamide,,,60.0,217.83,7
HCPCS,80190,HC PROCAINAMIDE,720.0,720.0,,,0
HCPCS,80190,HC PROCAINAMIDE 80190,429.0,429.0,,,0
HCPCS,80190,HC PRONESTYL LEVEL 80190,130.0,130.0,,,0
HCPCS,80192,Assay of procainamide,,,16.75,85.68,7
HCPCS,80192,HC N-ACETYL - PROCAINAMIDE,429.0,429.0,,,0
HCPCS,80192,HC N-ACETYL PROCAINAMIDE 801,154.0,154.0,,,0
HCPCS,80192,HC PROCAINAMIDE W METABOLITES,722.0,722.0,,,0
HCPCS,80193,Drug assay leflunomide,,,38.57,141.17,7
HCPCS,80193,HC LEFLUNOMIDE,356.0,356.0,,,0
HCPCS,80194,Assay of quinidine,,,14.6,74.63,7
HCPCS,80194,HC QUINIDINE,593.0,593.0,,,0
HCPCS,80194,"HC QUINIDINE,BLOOD 80194",248.0,248.0,,,0
HCPCS,80195,Assay of sirolimus,,,13.73,71.19,7
HCPCS,80195,HC ASSAY OF SIROLIMUS,452.0,452.0,,,0
HCPCS,80196,HC ASPIRIN TOLER 80196,137.0,137.0,,,0
HCPCS,80196,HC SALICYLATE,118.0,118.0,,,0
HCPCS,80196,HC SALICYLATE 80196,118.0,118.0,,,0
HCPCS,80196,HC SALICYLATE-BLD 80196,38.0,38.0,,,0
HCPCS,80196,HC SALICYLATE-UR-Q80196,59.0,59.0,,,0
HCPCS,80197,Assay of tacrolimus,,,13.73,70.16,7
HCPCS,80197,HC TACROLIMUS,591.0,591.0,,,0
HCPCS,80198,Assay of theophylline,,,14.14,72.36,7
HCPCS,80198,HC AMINOPHYL LEVEL 80198,204.5,204.5,,,0
HCPCS,80198,HC THEOPHYLLINE,490.0,490.0,,,0
HCPCS,80198,HC THEOPHYLLINE-HP 80198,205.0,205.0,,,0
HCPCS,80199,Drug screen quant tiagabine,,,27.11,98.79,7
HCPCS,80200,Assay of tobramycin,,,16.13,82.42,7
HCPCS,80200,HC TOBRA 80200,119.0,119.0,,,0
HCPCS,80200,HC TOBRA PK 80200,119.0,119.0,,,0
HCPCS,80200,HC TOBRAMYCIN,490.0,490.0,,,0
HCPCS,80200,HC TOBRAMYCIN PEAK,291.0,291.0,,,0
HCPCS,80200,HC TOBRAMYCIN THROUGH,291.0,291.0,,,0
HCPCS,80201,Assay of topiramate,,,11.92,60.98,7
HCPCS,80201,HC TOPIRAMATE,343.0,343.0,,,0
HCPCS,80201,HC TOPRIMATE LEVEL,204.0,204.0,,,0
HCPCS,80202,Assay of vancomycin,,,13.54,69.28,7
HCPCS,80202,HC VANCOMYCIN,493.0,493.0,,,0
HCPCS,80202,HC VANCOMYCIN 80202,293.0,293.0,,,0
HCPCS,80203,Drug screen quant zonisamide,,,13.25,66.21,7
HCPCS,80203,HC DRUG SCREEN QUANT ZONISAMIDE,157.0,157.0,,,0
HCPCS,80204,Drug assay methotrexate,,,38.57,141.17,7
HCPCS,80204,HC METHOTREXATE,119.0,119.0,,,0
HCPCS,80210,Drug assay rufinamide,,,27.11,99.22,7
HCPCS,80210,HC RUFINAMIDE,176.0,176.0,,,0
HCPCS,80220,Drug asy hydroxychloroquine,,,18.64,68.22,7
HCPCS,80220,HC DRUG ASSAY HYDROXYCHLOROQUINE,356.0,356.0,,,0
HCPCS,80230,Drug assay infliximab,,,38.57,141.17,7
HCPCS,80230,HC DRUG ASSAY INFLIXIMAB (165),194.0,194.0,,,0
HCPCS,80235,Drug assay lacosamide,,,27.11,99.22,7
HCPCS,80235,HC DRUG ASSAY LACOSAMIDE (80),194.0,194.0,,,0
HCPCS,80280,Drug assay vedolizumab,,,38.57,141.17,7
HCPCS,80285,Drug assay voriconazole,,,27.11,99.22,7
HCPCS,80285,HC DRUG ASSAY VORICONAZOLE (45),194.0,194.0,,,0
HCPCS,80299,HC 10-HYRDROXYCARBAZEPINE,75.0,75.0,,,0
HCPCS,80299,HC ACETAZOLAMIDE (DIAMOX),204.0,204.0,,,0
HCPCS,80299,HC AMIODARONE,123.5,123.5,,,0
HCPCS,80299,HC ATAZANAVIR LEVEL SERUM,204.0,204.0,,,0
HCPCS,80299,HC BROMIDES 80299,112.0,112.0,,,0
HCPCS,80299,HC BROMIDES-BLD 80299,97.0,97.0,,,0
HCPCS,80299,HC BUPROPION,331.0,331.0,,,0
HCPCS,80299,HC BUPROPRION BL,196.0,196.0,,,0
HCPCS,80299,HC BUTAZOLADINE 80299,204.0,204.0,,,0
HCPCS,80299,HC CAFFEINE,92.0,92.0,,,0
HCPCS,80299,HC CHLORAL HYDRATE80299,204.0,204.0,,,0
HCPCS,80299,HC CHLORALHYDRATE 80299,204.0,204.0,,,0
HCPCS,80299,HC CLOMIPRAMINE,180.0,180.0,,,0
HCPCS,80299,HC DABIGATRAN ASSAY,204.0,204.0,,,0
HCPCS,80299,HC DESMETHYCLOMIPROMINE LEVE,106.0,106.0,,,0
HCPCS,80299,HC DIGTOXIN-RIA-B 80299,389.0,389.0,,,0
HCPCS,80299,HC DISOPYRAM 80299,291.0,291.0,,,0
HCPCS,80299,HC DISOPYRAMIDE,490.0,490.0,,,0
HCPCS,80299,HC DRUG LEVEL ANAL80299,291.0,291.0,,,0
HCPCS,80299,HC GABAPENTIN,92.0,92.0,,,0
HCPCS,80299,"HC ITRACONAZOLE, HPLC",204.0,204.0,,,0
HCPCS,80299,"HC KALETRA, QUANTITATION",204.0,204.0,,,0
HCPCS,80299,HC LAMATRIGINE,66.0,66.0,,,0
HCPCS,80299,HC LEVETIRACETAM,152.0,152.0,,,0
HCPCS,80299,HC LIBRIUM-BLD 80299,456.0,456.0,,,0
HCPCS,80299,HC LIBRIUM-UR 80299,456.0,456.0,,,0
HCPCS,80299,HC LORAZEPAM,490.0,490.0,,,0
HCPCS,80299,HC LUDIMIL LEVEL 80299,432.0,432.0,,,0
HCPCS,80299,HC METHOTREXATE 80299,324.0,324.0,,,0
HCPCS,80299,HC PRO-PREDICTR METABLITES*,846.0,846.0,,,0
HCPCS,80299,HC QUANT ASSAY DRUG (265),1281.0,1281.0,,,0
HCPCS,80299,HC QUANTITATION OF DRUG NES,490.0,490.0,,,0
HCPCS,80299,HC QUANTITATIVE ASSAY DRUG (25),125.0,125.0,,,0
HCPCS,80299,HC QUANTITATIVE ASSAY DRUG (30),150.0,150.0,,,0
HCPCS,80299,HC QUANTITATIVE ASSAY DRUG (35),174.0,174.0,,,0
HCPCS,80299,HC QUANTITATIVE ASSAY DRUG (75),374.0,374.0,,,0
HCPCS,80299,HC QUANTITATIVE ASSAY DRUG (85),423.0,423.0,,,0
HCPCS,80299,"HC QUANTITATIVE ASSAY, DRUG",58.0,58.0,,,0
HCPCS,80299,HC SIROLIMUS,268.0,268.0,,,0
HCPCS,80299,"HC SYNTHETIC GLUCOCORTICOID SCREEN, SERUM(91)",313.0,313.0,,,0
HCPCS,80299,HC ZOLOFT,294.0,294.0,,,0
HCPCS,80299,HC ZONISAMIDE,204.0,204.0,,,0
HCPCS,80299,Quantitative assay drug,,,18.64,70.02,7
HCPCS,80301,HC AMPHETAMINE SCREEN,324.0,324.0,,,0
HCPCS,80301,HC CANNABINOID EXLUS/TEST,220.0,220.0,,,0
HCPCS,80301,HC DRUG CLASS A SCREEN IEA;5 DRUG,220.0,220.0,,,0
HCPCS,80301,HC DRUG SCREEN SINGLE,220.0,220.0,,,0
HCPCS,80301,HC DRUG SCREEN SINGLE X 12,508.0,508.0,,,0
HCPCS,80301,HC URINE DRUG SCREEN (8TEST),220.0,220.0,,,0
HCPCS,80304,"HC DRUG SCRN,NOS PRESUMPTIVE",472.0,472.0,,,0
HCPCS,80305,Drug test prsmv dir opt obs,,,12.6,74.37,7
HCPCS,80306,Drug test prsmv instrmnt,,,17.14,74.37,7
HCPCS,80307,Drug test prsmv chem anlyzr,,,62.14,226.17,7
HCPCS,80307,"HC  DRUG SCREEN, INSTRUMENT  8 DRUG",169.0,169.0,,,0
HCPCS,80307,"HC  DRUG SCREEN, INSTRUMENT SINGLE DRUG",296.0,296.0,,,0
HCPCS,80307,HC DRUG SCREEN  MASS SPEC INSTR,632.0,632.0,,,0
HCPCS,80307,"HC DRUG SCREEN, INSTRUMENT 12 DRUG",362.0,362.0,,,0
HCPCS,80307,"HC DRUG SCREEN, INSTRUMENT 5 DRUG",296.0,296.0,,,0
HCPCS,80307,"HC DRUG SCREEN, INSTRUMENT 9 DRUG",511.0,511.0,,,0
HCPCS,80320,Drug screen quantalcohols,,,78.49,88.39,2
HCPCS,80320,HC ALCOHOL,223.0,223.0,,,0
HCPCS,80321,Alcohols biomarkers 1or 2,,,49.08,55.27,2
HCPCS,80321,HC ALCOHOLS BIOMARKERS 1 OR 2,316.0,316.0,,,0
HCPCS,80321,HC ALCOHOLS BIOMARKERS 1 OR 2 (63),316.0,316.0,,,0
HCPCS,80322,Alcohols biomarkers 3/more,,,49.08,55.27,2
HCPCS,80323,Alkaloids nos,,,136.31,153.5,2
HCPCS,80323,HC  ALKALOIDS NOS,282.0,282.0,,,0
HCPCS,80324,Drug screen amphetamines 1/2,,,70.59,79.5,2
HCPCS,80325,Amphetamines 3or 4,,,70.59,79.5,2
HCPCS,80326,Amphetamines 5 or more,,,70.59,79.5,2
HCPCS,80327,Anabolic steroid 1 or 2,,,117.23,132.02,2
HCPCS,80327,"HC ANABOLIC STEROIDS, 1 OR 2",152.0,152.0,,,0
HCPCS,80328,Anabolic steroid 3 or more,,,117.23,132.02,2
HCPCS,80329,Analgesics non-opioid 1 or 2,,,91.91,103.5,2
HCPCS,80329,"HC ANALGESICS,NON-OPIOD 1 OR 2",158.0,158.0,,,0
HCPCS,80330,Analgesics non-opioid 3-5,,,91.91,103.5,2
HCPCS,80331,Analgesics non-opioid 6/more,,,91.91,103.5,2
HCPCS,80332,"HC ANTI-DEPRESS,SEROTO 1-2 (70)",400.0,400.0,,,0
HCPCS,80332,HC FLUOXETIN,442.0,442.0,,,0
HCPCS,80335,Antidepressant tricyclic 1/2,,,81.28,91.54,2
HCPCS,80335,HC ANTIDEPRESSANT 1 OR 2,400.0,400.0,,,0
HCPCS,80336,Antidepressant tricyclic 3-5,,,81.28,91.54,2
HCPCS,80337,Tricyclic & cyclicals 6/more,,,81.28,91.54,2
HCPCS,80338,"HC ANTI-DEPRESS, NOS (60)",249.0,249.0,,,0
HCPCS,80339,Antiepileptics nos 1-3,,,67.31,75.8,2
HCPCS,80339,"HC ANTIEPILEPTICS, NOS 1-3",176.0,176.0,,,0
HCPCS,80340,Antiepileptics nos 4-6,,,67.31,75.8,2
HCPCS,80341,Antiepileptics nos 7/more,,,67.31,75.8,2
HCPCS,80342,Antipsychotics nos 1-3,,,70.72,79.64,2
HCPCS,80342,"HC ANTIPSYCHOTIC, NOS 1-3",176.0,176.0,,,0
HCPCS,80343,Antipsychotics nos 4-6,,,70.72,79.64,2
HCPCS,80344,Antipsychotics nos 7/more,,,70.72,79.64,2
HCPCS,80345,Drug screening barbiturates,,,52.03,58.6,2
HCPCS,80345,HC BARBITURATES,718.0,718.0,,,0
HCPCS,80345,HC BARBITURATES (9),198.0,198.0,,,0
HCPCS,80346,Benzodiazepines1-12,,,71.53,80.56,2
HCPCS,80346,"HC BENZODIAZEPINES, 1-12",392.0,392.0,,,0
HCPCS,80346,"HC BENZODIAZEPINES, 1-12 (19)",198.0,198.0,,,0
HCPCS,80347,Benzodiazepines 13 or more,,,71.53,80.56,2
HCPCS,80348,HC BUPRENORPHINE,258.0,258.0,,,0
HCPCS,80349,"HC  CANNABINOIDS,NATURAL",398.0,398.0,,,0
HCPCS,80349,"HC  CANNABINOIDS,NATURAL (19)",198.0,198.0,,,0
HCPCS,80353,Drug screening cocaine,,,63.34,71.33,2
HCPCS,80353,HC DRUG SCREENING COCAINE (6),198.0,198.0,,,0
HCPCS,80354,HC DRUG SCREENING FENTANYL (38),154.0,154.0,,,0
HCPCS,80356,HC HEROIN METABOLITE (25),294.0,294.0,,,0
HCPCS,80357,HC KETAMINE AND NORKETAMINE (25),294.0,294.0,,,0
HCPCS,80358,Drug screening methadone,,,73.97,83.3,2
HCPCS,80358,HC METHADONE,728.0,728.0,,,0
HCPCS,80358,HC METHADONE (22),198.0,198.0,,,0
HCPCS,80359,HC METHYLENEDIOXYAMPHETAMINES (29),198.0,198.0,,,0
HCPCS,80361,HC OPIATES 1 OR MORE,258.0,258.0,,,0
HCPCS,80361,HC OPIATES 1 OR MORE (7),198.0,198.0,,,0
HCPCS,80361,Opiates 1 or more,,,116.71,131.43,2
HCPCS,80362,HC OPIOIDS AND OPIATE ANALOGS 1/2 (30),294.0,294.0,,,0
HCPCS,80362,Opioids & opiate analogs 1/2,,,88.37,99.52,2
HCPCS,80363,Opioids & opiate analogs 3/4,,,88.37,99.52,2
HCPCS,80364,Opioid &opiate analog 5/more,,,88.37,99.52,2
HCPCS,80365,HC DRUG SCRN OXYCODONE,632.0,632.0,,,0
HCPCS,80365,HC DRUG SCRN OXYCODONE (7),198.0,198.0,,,0
HCPCS,80366,HC PREGABALIN,213.0,213.0,,,0
HCPCS,80367,HC PROPOXYPHENE,258.0,258.0,,,0
HCPCS,80369,Skeletal muscle relaxant 1/2,,,80.05,90.15,2
HCPCS,80370,Skel musc relaxant 3 or more,,,80.05,90.15,2
HCPCS,80373,HC TRAMADOL (30),294.0,294.0,,,0
HCPCS,80375,Drug/substance nos 1-3,,,73.97,83.3,2
HCPCS,80375,HC DRUG/SUBST DEFINITIVE QUAL/QUANT,632.0,632.0,,,0
HCPCS,80377,HC DRUG/SUBSTANCE NOS 7/MORE (135),224.0,224.0,,,0
HCPCS,80377,HC DRUG/SUBSTANCE NOS 7/MORE (30),224.0,224.0,,,0
HCPCS,80377,HC DRUG/SUBSTANCE NOS 7/MORE (40),226.0,226.0,,,0
HCPCS,80400,Acth stimulation panel,,,32.62,166.75,7
HCPCS,80400,HC ACTH STIM; ADRENAL INSUFF,485.0,485.0,,,0
HCPCS,80402,Acth stimulation panel,,,86.96,444.54,7
HCPCS,80406,Acth stimulation panel,,,78.26,400.18,7
HCPCS,80408,Aldosterone suppression eval,,,125.5,641.74,7
HCPCS,80410,Calcitonin stimul panel,,,80.37,410.76,7
HCPCS,80412,CRH stimulation panel,,,801.62,2913.99,7
HCPCS,80414,Testosterone response,,,51.64,264.11,7
HCPCS,80415,Estradiol response panel,,,55.89,285.77,7
HCPCS,80416,Renin stimulation panel,,,209.32,760.65,7
HCPCS,80417,Renin stimulation panel,,,43.99,224.94,7
HCPCS,80418,Pituitary evaluation panel,,,579.48,2963.72,7
HCPCS,80420,Dexamethasone panel,,,161.88,588.03,7
HCPCS,80422,Glucagon tolerance panel,,,46.07,235.63,7
HCPCS,80424,Glucagon tolerance panel,,,50.5,258.25,7
HCPCS,80426,Gonadotropin hormone panel,,,148.41,759.08,7
HCPCS,80428,Growth hormone panel,,,66.7,340.97,7
HCPCS,80430,Growth hormone panel,,,129.33,470.19,7
HCPCS,80430,HC GH SUPPRESSION PANEL,1165.0,1165.0,,,0
HCPCS,80432,Insulin suppression panel,,,165.61,690.75,7
HCPCS,80434,HC INSULIN T PANEL; ACTH INSUFF,1678.0,1678.0,,,0
HCPCS,80434,HC INSULIN TOL RIA 80434,1002.0,1002.0,,,0
HCPCS,80434,Insulin tolerance panel,,,285.03,1035.6,7
HCPCS,80435,Insulin tolerance panel,,,103.0,526.49,7
HCPCS,80436,Metyrapone panel,,,91.16,466.14,7
HCPCS,80438,TRH stimulation panel,,,50.41,257.7,7
HCPCS,80439,TRH stimulation panel,,,67.21,343.6,7
HCPCS,80503,Path clin consltj sf 5-20,,,36.3,64.64,5
HCPCS,80504,Path clin consltj mod 21-40,,,78.23,211.33,5
HCPCS,80505,Path clin consltj high 41-60,,,146.95,211.33,5
HCPCS,80506,Path clin consltj prolng svc,,,70.4,80.46,2
HCPCS,81000,HC N-AUTOM URINE DIP W MICRO,38.0,38.0,,,0
HCPCS,81000,Urinalysis nonauto w/scope,,,4.02,16.21,7
HCPCS,81001,HC AUTOM URINE DIP W MICRO,85.0,85.0,,,0
HCPCS,81001,HC URINALYSIS 81001,24.0,24.0,,,0
HCPCS,81001,"HC URINALYSIS,ROUT 81001",49.0,49.0,,,0
HCPCS,81001,"HC URINALYSIS,ROUTINE 81001",119.0,119.0,,,0
HCPCS,81001,Urinalysis auto w/scope,,,3.17,16.21,7
HCPCS,81002,"HC ALBUMIN, QUAL",27.0,27.0,,,0
HCPCS,81002,"HC GLUCOSE, QUAL",27.0,27.0,,,0
HCPCS,81002,HC N-AUTOM URINALYS WO MICRO,36.0,36.0,,,0
HCPCS,81002,HC OCCULT BLOOD; URINE 82273,27.0,27.0,,,0
HCPCS,81002,HC SPECIFIC GRAVITY,27.0,27.0,,,0
HCPCS,81002,"HC SUGAR, QUANT",16.0,16.0,,,0
HCPCS,81002,Urinalysis nonauto w/o scope,,,3.48,13.08,7
HCPCS,81003,HC AUTOM URINALYSIS WO MICRO,64.0,64.0,,,0
HCPCS,81003,HC IN/OUT URINE 81003,92.0,92.0,,,0
HCPCS,81003,HC POCT AUTOM URINALYSIS WO MICRO,124.0,124.0,,,0
HCPCS,81003,HC SSP URINALYSIS 81003,34.0,34.0,,,0
HCPCS,81003,HC UA SCREEN 81003,92.0,92.0,,,0
HCPCS,81003,Urinalysis auto w/o scope,,,2.25,11.49,7
HCPCS,81005,HC ACETONE CONFIRM 81005,27.0,27.0,,,0
HCPCS,81005,"HC ALBUMIN, QUAL 81005",16.0,16.0,,,0
HCPCS,81005,"HC BILE,QUAL 81005",16.0,16.0,,,0
HCPCS,81005,HC HOMOGETISIC AC 81005,207.5,207.5,,,0
HCPCS,81005,HC MELANIN,103.0,103.0,,,0
HCPCS,81005,HC URINALYSIS; QUAL NOT IA,138.0,138.0,,,0
HCPCS,81005,Urinalysis,,,2.17,11.09,7
HCPCS,81007,Urine screen for bacteria,,,11.67,109.5,7
HCPCS,81015,HC URINALYSIS - MICRO ONLY,124.0,124.0,,,0
HCPCS,81015,"HC URINE, MICROSCOP 81015",59.5,59.5,,,0
HCPCS,81015,Microscopic exam of urine,,,3.05,15.52,7
HCPCS,81020,Urinalysis glass test,,,4.7,18.85,7
HCPCS,81025,HC POCT URINE HCG QL,154.0,154.0,,,0
HCPCS,81025,HC POCT URINE HCG VISUAL COLOR,206.0,206.0,,,0
HCPCS,81025,Urine pregnancy test,,,8.61,32.35,7
HCPCS,81050,HC URINE VOL MEASURE EA,44.0,44.0,,,0
HCPCS,81050,HC VOLUME MEASURE 81050 URIN,33.0,33.0,,,0
HCPCS,81050,Urinalysis volume measure,,,3.64,15.34,7
HCPCS,81099,Urinalysis test procedure,,,24.18,44.82,4
HCPCS,81105,Hpa-1 genotyping,,,122.22,444.0,5
HCPCS,81106,Hpa-2 genotyping,,,122.22,444.0,5
HCPCS,81107,Hpa-3 genotyping,,,122.22,444.0,5
HCPCS,81108,Hpa-4 genotyping,,,122.22,444.0,5
HCPCS,81109,Hpa-5 genotyping,,,122.22,444.0,5
HCPCS,81110,Hpa-6 genotyping,,,122.22,444.0,5
HCPCS,81111,Hpa-9 genotyping,,,122.22,444.0,5
HCPCS,81112,Hpa-15 genotyping,,,122.22,444.0,5
HCPCS,81120,HC IDH1  COMMON VARIANTS (230),929.0,929.0,,,0
HCPCS,81120,Idh1 common variants,,,193.25,702.3,5
HCPCS,81121,HC IDH2  COMMON VARIANTS (230),929.0,929.0,,,0
HCPCS,81121,Idh2 common variants,,,295.79,1074.9,5
HCPCS,81161,DMD dup/delet analysis,,,279.0,1014.18,7
HCPCS,81161,HC DMD DUP/DELET ANALYSIS (1340),8120.0,8120.0,,,0
HCPCS,81162,Brca1&2 seq & full dup/del,,,1824.88,9098.25,7
HCPCS,81163,Brca1&2 gene full seq alys,,,468.0,10696.35,7
HCPCS,81164,Brca1&2 gen ful dup/del alys,,,584.23,10696.35,7
HCPCS,81165,Brca1 gene full seq alys,,,282.88,5604.38,7
HCPCS,81166,Brca1 gene full dup/del alys,,,301.35,5604.38,7
HCPCS,81167,Brca2 gene full dup/del alys,,,282.88,1028.46,5
HCPCS,81168,Ccnd1/igh translocation alys,,,207.31,758.75,7
HCPCS,81170,Abl1 gene,,,300.0,1206.01,7
HCPCS,81170,HC ABL1  GENE (200),1276.0,1276.0,,,0
HCPCS,81171,Aff2 gene detc abnor alleles,,,137.0,497.58,5
HCPCS,81172,Aff2 gene charac alleles,,,274.83,998.7,5
HCPCS,81173,Ar gene full gene sequence,,,301.35,1095.12,5
HCPCS,81174,Ar gene known famil variant,,,185.2,673.74,5
HCPCS,81175,Asxl1 full gene sequence,,,676.5,2459.28,5
HCPCS,81176,Asxl1 gene target seq alys,,,241.9,879.69,5
HCPCS,81177,Atn1 gene detc abnor alleles,,,137.0,497.58,5
HCPCS,81178,Atxn1 gene detc abnor allele,,,137.0,497.58,5
HCPCS,81179,Atxn2 gene detc abnor allele,,,137.0,497.58,5
HCPCS,81180,Atxn3 gene detc abnor allele,,,137.0,497.58,5
HCPCS,81181,Atxn7 gene detc abnor allele,,,137.0,497.58,5
HCPCS,81182,Atxn8os gen detc abnor allel,,,137.0,497.58,5
HCPCS,81183,Atxn10 gene detc abnor allel,,,137.0,497.58,5
HCPCS,81184,Cacna1a gen detc abnor allel,,,137.0,497.58,5
HCPCS,81185,Cacna1a gene full gene seq,,,846.27,3075.9,5
HCPCS,81186,Cacna1a gen known famil vrnt,,,185.2,673.74,5
HCPCS,81187,Cnbp gene detc abnor allele,,,137.0,497.58,5
HCPCS,81188,Cstb gene detc abnor allele,,,137.0,497.58,5
HCPCS,81189,Cstb gene full gene sequence,,,274.83,998.7,5
HCPCS,81190,Cstb gene known famil vrnt,,,185.2,673.74,5
HCPCS,81191,Ntrk1 translocation analysis,,,207.31,758.75,7
HCPCS,81192,Ntrk2 translocation analysis,,,207.31,758.75,7
HCPCS,81193,Ntrk3 translocation analysis,,,207.31,758.75,7
HCPCS,81194,Ntrk translocation analysis,,,518.28,1896.9,7
HCPCS,81195,Cytog genom-wid alys hem mal,,,1863.22,1956.38,3
HCPCS,81195,HC CYTOG GEN-WIDE ALYS HEM MAL STRUX VRNT&CNV OGM (271),4106.0,4106.0,,,0
HCPCS,81200,Aspa gene,,,47.25,548.3,7
HCPCS,81201,Apc gene full sequence,,,780.0,3226.22,7
HCPCS,81202,Apc gene known fam variants,,,280.0,2570.71,7
HCPCS,81203,Apc gene dup/delet variants,,,200.0,1613.91,7
HCPCS,81204,Ar gene charac alleles,,,137.0,497.58,5
HCPCS,81205,Bckdhb gene,,,94.99,526.53,7
HCPCS,81206,Bcr/abl1 gene major bp,,,163.96,596.37,7
HCPCS,81206,HC BCR/ABL MJR BP (275),1288.0,1288.0,,,0
HCPCS,81206,HC BCR/ABL1 GENE MAJOR BP,2931.0,2931.0,,,0
HCPCS,81206,HC BCR/ABL1 GENE MAJOR BP (280),1132.0,1132.0,,,0
HCPCS,81206,HC BCR/ABL1 GENE MAJOR BP (320),1292.0,1292.0,,,0
HCPCS,81207,Bcr/abl1 gene minor bp,,,144.84,526.14,7
HCPCS,81207,HC BCR/ABL1 GENE MINOR BP,2577.0,2577.0,,,0
HCPCS,81207,HC BCR/ABL1 GENE MINOR BP (235),558.0,558.0,,,0
HCPCS,81208,Bcr/abl1 gene other bp,,,214.62,779.7,7
HCPCS,81208,HC BCR/ABL1 GENE OTHER BP,2862.0,2862.0,,,0
HCPCS,81209,Blm gene,,,39.31,170.85,7
HCPCS,81210,Braf gene,,,169.62,638.04,7
HCPCS,81210,HC BRAF GENE,2339.0,2339.0,,,0
HCPCS,81210,HC BRAF GENE (205),828.0,828.0,,,0
HCPCS,81210,HC BRAF GENE (75),1039.0,1039.0,,,0
HCPCS,81210,HC BRAF MUTATION ANALYSIS*,46.0,46.0,,,0
HCPCS,81212,Brca1&2 185&5385&6174 var,,,440.0,1841.46,7
HCPCS,81215,Brca1 gene known fam variant,,,375.25,1521.21,7
HCPCS,81216,Brca2 gene full sequence,,,185.12,6693.23,7
HCPCS,81217,Brca2 gene known fam variant,,,375.25,1521.21,7
HCPCS,81218,Cebpa gene full sequence,,,241.9,1206.01,7
HCPCS,81218,HC CEBPA GENE FULL SEQ (345),2098.0,2098.0,,,0
HCPCS,81218,HC CEBPA GENE FULL SEQUENCE (400),1616.0,1616.0,,,0
HCPCS,81219,Calr gene com variants,,,121.63,606.39,7
HCPCS,81219,HC CALC GENE COM VARIANTS (210),807.0,807.0,,,0
HCPCS,81219,HC CALR GENE COM VARIANTS (240),1453.0,1453.0,,,0
HCPCS,81220,Cftr gene com variants,,,556.6,3060.86,7
HCPCS,81220,HC CFTR GENE COM VARIANTS (70),772.0,772.0,,,0
HCPCS,81220,HC CYSTIC FIBROSIS SCREEN,772.0,772.0,,,0
HCPCS,81221,Cftr gene known fam variants,,,97.22,353.55,7
HCPCS,81222,Cftr gene dup/delet variants,,,435.07,1581.99,7
HCPCS,81223,Cftr gene full sequence,,,499.0,5292.58,7
HCPCS,81224,Cftr gene intron poly t,,,168.75,613.05,7
HCPCS,81225,Cyp2c19 gene com variants,,,291.36,1059.42,7
HCPCS,81225,HC CYP2C19 GENE COM VARIANTS,3804.0,3804.0,,,0
HCPCS,81226,Cyp2d6 gene com variants,,,450.91,1639.14,7
HCPCS,81226,HC CYP2D6 GENE COM VARIANTS,5888.0,5888.0,,,0
HCPCS,81226,"HC CYP2D6, GENE ANALYSIS, COMMON VARIANTS(30)",1519.0,1519.0,,,0
HCPCS,81226,HC TAMOXIFEN P450*,984.0,984.0,,,0
HCPCS,81227,Cyp2c9 gene com variants,,,174.81,635.64,7
HCPCS,81227,"HC CYP2C9, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
HCPCS,81228,Cytogen micrarray copy nmbr,,,900.0,3272.31,7
HCPCS,81229,Cytogen m array copy no&snp,,,1160.0,4217.46,7
HCPCS,81229,HC CHROMOSOMAL MICROARRAY (MICROARRAYDX) (296),661.0,661.0,,,0
HCPCS,81229,HC CYTGN MARRAY COPY NO & SNP (720),5365.0,5365.0,,,0
HCPCS,81229,HC CYTGN MARRAY COPY NO & SNP (815),6045.0,6045.0,,,0
HCPCS,81229,HC CYTOGEN M ARRAY COPY NO & SNP (417),2091.0,2091.0,,,0
HCPCS,81229,HC CYTOGEN M ARRAY COPY NO&SNP,5842.0,5842.0,,,0
HCPCS,81229,HC CYTOGEN M ARRAY COPY NO&SNP (1115),4502.0,4502.0,,,0
HCPCS,81229,HC CYTOGEN M ARRAY COPY NO&SNP (640),4526.0,4526.0,,,0
HCPCS,81229,HC GENOMIC ALT OLIGO SNP ARR,2906.0,2906.0,,,0
HCPCS,81230,Cyp3a4 gene common variants,,,174.81,635.64,5
HCPCS,81230,"HC CYP3A4, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
HCPCS,81231,Cyp3a5 gene common variants,,,174.81,635.64,5
HCPCS,81231,"HC CYP3A5, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
HCPCS,81232,Dpyd gene common variants,,,174.81,635.64,5
HCPCS,81232,"HC DPYD, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
HCPCS,81233,Btk gene common variants,,,175.4,638.04,5
HCPCS,81234,Dmpk gene detc abnor allele,,,137.0,497.58,5
HCPCS,81234,"HC DMPK,MYOTONIC DYSTROPHY,TYPE-1",543.0,543.0,,,0
HCPCS,81235,Egfr gene com variants,,,324.58,1179.66,7
HCPCS,81235,HC EGFR GENE   (220),1586.0,1586.0,,,0
HCPCS,81235,HC EGFR GENE COM VARIANTS,4302.0,4302.0,,,0
HCPCS,81235,HC EGFR GENE COM VARIANTS (390),1576.0,1576.0,,,0
HCPCS,81235,HC EGRF MUTATION ANALYSIS*,1054.0,1054.0,,,0
HCPCS,81236,Ezh2 gene full gene sequence,,,282.88,1028.46,5
HCPCS,81237,Ezh2 gene common variants,,,175.4,638.04,5
HCPCS,81238,F9 full gene sequence,,,600.0,2180.73,5
HCPCS,81239,Dmpk gene charac alleles,,,274.83,998.7,5
HCPCS,81240,F2 gene,,,65.69,239.25,7
HCPCS,81240,HC F2 GENE,92.0,92.0,,,0
HCPCS,81240,HC F2 GENE (40),251.0,251.0,,,0
HCPCS,81240,HC PROTHROMBIN GENE ANALYSIS,148.0,148.0,,,0
HCPCS,81240,HC PROTHROMBIN GENE INTERPRE,18.0,18.0,,,0
HCPCS,81240,HC REF-MOLEC DIAG;ISOLAT/EXT,34.0,34.0,,,0
HCPCS,81241,F5 gene,,,73.37,266.64,7
HCPCS,81241,HC F5 GENE,1093.0,1093.0,,,0
HCPCS,81241,HC F5 GENE (40),291.0,291.0,,,0
HCPCS,81242,Fancc gene,,,36.62,296.68,7
HCPCS,81243,Fmr1 gene detection,,,57.04,800.22,7
HCPCS,81243,HC FMR1 GENE DETECTION,816.0,816.0,,,0
HCPCS,81244,Fmr1 gene characterization,,,44.89,163.08,7
HCPCS,81244,HC FMR1 GENE CHARACTERIZ (20),102.0,102.0,,,0
HCPCS,81245,Flt3 gene,,,165.51,601.14,7
HCPCS,81245,HC FLT3 GENE,2163.0,2163.0,,,0
HCPCS,81245,HC FLT3 GENE (100),676.0,676.0,,,0
HCPCS,81245,HC FLT3 GENE (190),769.0,769.0,,,0
HCPCS,81245,HC FLT3 GENE (795),2748.0,2748.0,,,0
HCPCS,81246,Flt3 gene analysis,,,83.0,303.93,7
HCPCS,81246,HC FLT3 GENE (1),531.0,531.0,,,0
HCPCS,81246,HC FLT3 GENE ANALSYS (455),1838.0,1838.0,,,0
HCPCS,81246,HC FLT3 GENE PART OF PANEL),399.0,399.0,,,0
HCPCS,81247,G6pd gene alys cmn variant,,,174.81,635.64,5
HCPCS,81248,G6pd known familial variant,,,375.25,1364.16,5
HCPCS,81249,G6pd full gene sequence,,,600.0,2180.73,5
HCPCS,81250,G6pc gene,,,58.49,400.7,7
HCPCS,81251,Gba gene,,,47.25,763.15,7
HCPCS,81252,Gjb2 gene full sequence,,,101.12,1040.28,7
HCPCS,81252,HC GJB2 GENE FULL SEQUENCE (470),2863.0,2863.0,,,0
HCPCS,81253,Gjb2 gene known fam variants,,,61.52,366.77,7
HCPCS,81254,Gjb6 gene com variants,,,35.0,127.38,7
HCPCS,81255,Hexa gene,,,51.45,826.06,7
HCPCS,81256,HC HEMOCHROMATOSIS DNA/MUTAT,498.0,498.0,,,0
HCPCS,81256,HC HFE GENE,1165.0,1165.0,,,0
HCPCS,81256,Hfe gene,,,65.36,259.86,7
HCPCS,81257,Hba1/hba2 gene,,,102.26,740.75,7
HCPCS,81258,Hba1/hba2 gene fam vrnt,,,375.25,1364.16,5
HCPCS,81259,Hba1/hba2 full gene sequence,,,600.0,2180.73,5
HCPCS,81260,Ikbkap gene,,,39.31,296.68,7
HCPCS,81261,HC IGH GENE REARRANGE AMP METH,3522.0,3522.0,,,0
HCPCS,81261,HC IGH GENE REARRANGE AMP METH (180),728.0,728.0,,,0
HCPCS,81261,Igh gene rearrange amp meth,,,197.99,720.18,7
HCPCS,81262,Igh gene rearrang dir probe,,,68.55,262.61,7
HCPCS,81263,HC IGH VARI REGIONAL MUTATION,1135.0,1135.0,,,0
HCPCS,81263,Igh vari regional mutation,,,294.52,1070.13,7
HCPCS,81264,HC IGK GENE PART OF PANEL (154),558.0,558.0,,,0
HCPCS,81264,Igk rearrangeabn clonal pop,,,172.73,1373.34,7
HCPCS,81265,HC PRENATAL KNOWN FAMILIAL MUTATION (INCLUDES MCC) (370),826.0,826.0,,,0
HCPCS,81265,HC STR MARKERS SPECIMEN ANAL (260),1049.0,1049.0,,,0
HCPCS,81265,HC STR MARKERS SPECIMEN ANAL (320),1292.0,1292.0,,,0
HCPCS,81265,Str markers specimen anal,,,233.07,847.53,7
HCPCS,81266,Str markers spec anal addl,,,304.81,1108.23,5
HCPCS,81267,Chimerism anal no cell selec,,,207.46,2950.03,7
HCPCS,81267,HC CHIMERISM ANAL NO CELL SELEC,3689.0,3689.0,,,0
HCPCS,81267,HC CHIMERISM ANAL NO CELL SELEC (170),687.0,687.0,,,0
HCPCS,81267,HC CHIMERISM ANAL NO CELL SELEC (300),1212.0,1212.0,,,0
HCPCS,81267,HC CHIMERISM ANAL NO SEL (145),3689.0,3689.0,,,0
HCPCS,81268,Chimerism anal w/cell select,,,260.79,1180.94,7
HCPCS,81268,HC CHIMERISM ANAL W/CELL SELECT,961.0,961.0,,,0
HCPCS,81268,HC CHIMERISM ANAL WI/CELL SELECT (245),909.0,909.0,,,0
HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,202.4,735.63,5
HCPCS,81270,HC JAK2 (V617F) MUTATION,1672.0,1672.0,,,0
HCPCS,81270,HC JAK2 GENE,1740.0,1740.0,,,0
HCPCS,81270,HC JAK2 GENE (125),769.0,769.0,,,0
HCPCS,81270,HC JAK2 MUTATION*,862.0,862.0,,,0
HCPCS,81270,Jak2 gene,,,91.66,333.3,7
HCPCS,81271,Htt gene detc abnor alleles,,,137.0,497.58,5
HCPCS,81272,HC GENE TARGETED SEQUENCE ANALYSIS  (160),1276.0,1276.0,,,0
HCPCS,81272,HC KIT GENE TARGETED SEQ ANALYS (440),1778.0,1778.0,,,0
HCPCS,81272,HC KIT GENE TGT SEQ (415),2098.0,2098.0,,,0
HCPCS,81272,HC KIT GENE TGTD SEQ (1),2098.0,2098.0,,,0
HCPCS,81272,Kit gene targeted seq analys,,,329.51,1206.01,7
HCPCS,81273,Kit gene analys d816 variant,,,124.87,457.02,7
HCPCS,81274,Htt gene charac alleles,,,274.83,998.7,5
HCPCS,81275,HC KRAS GENE,2576.0,2576.0,,,0
HCPCS,81275,HC KRAS MUTATION ANALYSIS*,647.0,647.0,,,0
HCPCS,81275,Kras gene variants exon 2,,,193.25,702.3,7
HCPCS,81276,HC KRAS GENE VAR (1),1257.0,1257.0,,,0
HCPCS,81276,Kras gene addl variants,,,193.25,721.72,7
HCPCS,81277,Cytogenomic neo microra alys,,,1160.0,4217.46,5
HCPCS,81277,HC CYTOGENOMIC NEO MICRORA ALYS (350),1609.0,1609.0,,,0
HCPCS,81278,Igh@/bcl2 translocation alys,,,207.31,758.75,7
HCPCS,81279,Jak2 gene trgt sequence alys,,,185.2,673.74,5
HCPCS,81283,HC IFNL3 GENE (70),654.0,654.0,,,0
HCPCS,81283,Ifnl3 gene,,,73.37,266.64,5
HCPCS,81284,Fxn gene detc abnor alleles,,,137.0,497.58,5
HCPCS,81285,Fxn gene charac alleles,,,274.83,998.7,5
HCPCS,81286,Fxn gene full gene sequence,,,274.83,998.7,5
HCPCS,81287,HC MGMT GENE PMTR MTHYLTN ALYS (355),652.0,652.0,,,0
HCPCS,81287,Mgmt gene methylation anal,,,124.64,453.54,7
HCPCS,81288,Mlh1 gene,,,192.32,698.73,7
HCPCS,81289,Fxn gene known famil variant,,,185.2,673.74,5
HCPCS,81290,Mcoln1 gene,,,39.31,296.68,7
HCPCS,81291,HC MTHFR GENE,404.0,404.0,,,0
HCPCS,81291,HC MTHFR GENE (85),508.0,508.0,,,0
HCPCS,81291,Mthfr gene,,,65.34,268.06,7
HCPCS,81292,Mlh1 gene full seq,,,675.4,2720.77,7
HCPCS,81293,Mlh1 gene known variants,,,230.75,1203.45,7
HCPCS,81294,HC MLH1 GENE DUP/DELETE VARIANT,2486.0,2486.0,,,0
HCPCS,81294,Mlh1 gene dup/delete variant,,,202.4,1461.44,7
HCPCS,81295,Msh2 gene full seq,,,381.7,2439.1,7
HCPCS,81296,Msh2 gene known variants,,,230.75,1227.27,7
HCPCS,81297,Msh2 gene dup/delete variant,,,213.3,1295.97,7
HCPCS,81298,Msh6 gene full seq,,,641.85,3657.07,7
HCPCS,81299,Msh6 gene known variants,,,230.75,1120.14,7
HCPCS,81300,Msh6 gene dup/delete variant,,,238.0,880.23,7
HCPCS,81301,HC MICRO SATELLITE INSTABILI,992.0,992.0,,,0
HCPCS,81301,HC MICROSATELLITE INSTABILITY,5152.0,5152.0,,,0
HCPCS,81301,HC MICROSATELLITE INSTABILITY (275),1112.0,1112.0,,,0
HCPCS,81301,Microsatellite instability,,,348.56,1266.54,7
HCPCS,81302,HC MECP2 GENE FULL SEQ (340),2233.0,2233.0,,,0
HCPCS,81302,Mecp2 gene full seq,,,527.87,1918.86,7
HCPCS,81303,Mecp2 gene known variant,,,29.77,435.66,7
HCPCS,81304,Mecp2 gene dup/delet variant,,,150.0,545.19,7
HCPCS,81305,HC MYD88 GENE P. LEU265PRO VRNT (300),695.0,695.0,,,0
HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,175.4,638.04,5
HCPCS,81306,"HC NUDT15, GENE ANALYSIS, COMMON VARIANTS(30)",1015.0,1015.0,,,0
HCPCS,81306,Nudt15 gene common variants,,,291.36,1059.42,5
HCPCS,81307,Palb2 gene full gene seq,,,676.5,2459.28,5
HCPCS,81308,Palb2 gene known famil vrnt,,,301.35,1095.12,5
HCPCS,81309,Pik3ca gene trgt seq alys,,,274.83,998.7,5
HCPCS,81310,HC NPM1 GENE,3223.0,3223.0,,,0
HCPCS,81310,HC NPM1 GENE (345),3223.0,3223.0,,,0
HCPCS,81310,HC NPM1 GENE (400),1616.0,1616.0,,,0
HCPCS,81310,HC-NPM1 GENE (874),1263.0,1263.0,,,0
HCPCS,81310,Npm1 gene,,,148.23,896.34,7
HCPCS,81311,HC NRAS GENE VAR EXON 2-3 (450),1884.0,1884.0,,,0
HCPCS,81311,HC NRAS GENE VARIANTS EXON 2&3 (475),1920.0,1920.0,,,0
HCPCS,81311,Nras gene variants exon 2&3,,,295.79,1082.59,7
HCPCS,81312,Pabpn1 gene detc abnor allel,,,137.0,497.58,5
HCPCS,81313,Pca3/klk3 antigen,,,255.05,952.55,7
HCPCS,81314,Pdgfra gene,,,329.51,1206.01,7
HCPCS,81315,HC PML RARA,1584.0,1584.0,,,0
HCPCS,81315,HC PML/RARA T 15.17 QT PCR C,352.0,352.0,,,0
HCPCS,81315,HC PML/RARALPHA COM  BREAKPOINTS (320),1252.0,1252.0,,,0
HCPCS,81315,HC PML/RARALPHA COM BREAKPOINTS,3688.0,3688.0,,,0
HCPCS,81315,Pml/raralpha com breakpoints,,,185.67,753.51,7
HCPCS,81316,Pml/raralpha 1 breakpoint,,,207.31,1578.89,7
HCPCS,81317,Pms2 gene full seq analysis,,,676.5,4544.88,7
HCPCS,81318,Pms2 known familial variants,,,325.68,1203.45,7
HCPCS,81319,Pms2 gene dup/delet variants,,,203.5,811.28,7
HCPCS,81320,Plcg2 gene common variants,,,291.36,1059.42,5
HCPCS,81321,HC PTEN GENE FULL SEQUENCE,7833.0,7833.0,,,0
HCPCS,81321,Pten gene full sequence,,,600.0,2180.73,7
HCPCS,81322,HC PTEN GENE KNOWN FAM VARIANT,764.0,764.0,,,0
HCPCS,81322,HC PTN GENE KNOWN (505),225.0,225.0,,,0
HCPCS,81322,Pten gene known fam variant,,,46.6,213.74,7
HCPCS,81323,HC PTEN GENE DUP/DELET VARIANT,1143.0,1143.0,,,0
HCPCS,81323,Pten gene dup/delet variant,,,232.57,1090.38,7
HCPCS,81324,Pmp22 gene dup/delet,,,758.36,3375.4,7
HCPCS,81325,HC PMP22 GENE ANALYSIS,3821.0,3821.0,,,0
HCPCS,81325,Pmp22 gene full sequence,,,769.58,2797.35,5
HCPCS,81326,Pmp22 gene known fam variant,,,46.6,169.02,5
HCPCS,81327,Sept9 methylation analysis,,,192.0,697.56,5
HCPCS,81328,"HC SLCO1BI, GENE ANALYSIS, COMMON VARIANTS(30)",646.0,646.0,,,0
HCPCS,81328,Slco1b1 gene com variants,,,174.81,635.64,5
HCPCS,81329,Smn1 gene dos/deletion alys,,,137.0,497.58,5
HCPCS,81330,Smpd1 gene common variants,,,47.0,511.52,7
HCPCS,81331,HC MGTM GENE METHYLATION ASS,1208.0,1208.0,,,0
HCPCS,81331,Snrpn/ube3a gene,,,51.07,185.7,7
HCPCS,81332,HC SERPINA1 GENE,777.0,777.0,,,0
HCPCS,81332,Serpina1 gene,,,43.65,259.86,7
HCPCS,81333,Tgfbi gene common variants,,,137.0,497.58,5
HCPCS,81334,Runx1 gene targeted seq alys,,,329.51,1197.51,5
HCPCS,81335,HC TPMT  GENE COM VARIANTS,699.0,699.0,,,0
HCPCS,81335,"HC TPMT, GENE ANALYSIS, COMMON VARIANTS(30)",328.0,328.0,,,0
HCPCS,81335,Tpmt gene com variants,,,174.81,635.64,5
HCPCS,81336,Smn1 gene full gene sequence,,,301.35,1095.12,5
HCPCS,81337,Smn1 gen nown famil seq vrnt,,,185.2,673.74,5
HCPCS,81338,Mpl gene common variants,,,150.33,546.39,5
HCPCS,81339,Mpl gene seq alys exon 10,,,185.2,673.74,5
HCPCS,81340,Trb@ gene rearrange amplify,,,208.92,1364.01,7
HCPCS,81341,Trb@ gene rearrange dirprobe,,,49.59,179.73,7
HCPCS,81342,HC TRG GENE REARRANGEMENT ANAL,3585.0,3585.0,,,0
HCPCS,81342,HC TRG GENE REARRANGEMENT ANAL (230),929.0,929.0,,,0
HCPCS,81342,Trg gene rearrangement anal,,,201.5,732.06,7
HCPCS,81343,Ppp2r2b gen detc abnor allel,,,137.0,497.58,5
HCPCS,81344,Tbp gene detc abnor alleles,,,137.0,497.58,5
HCPCS,81345,Tert gene targeted seq alys,,,185.2,673.74,5
HCPCS,81346,Tyms gene com variants,,,174.81,635.64,5
HCPCS,81347,Sf3b1 gene common variants,,,193.25,702.3,5
HCPCS,81348,Srsf2 gene common variants,,,175.4,638.04,5
HCPCS,81349,Cytog alys chrml abnr lw-ps,,,1197.94,4217.46,5
HCPCS,81350,"HC UGT1A1, GENE ANALYSIS, COMMON VARIANTS(85)",773.0,773.0,,,0
HCPCS,81350,Ugt1a1 gene,,,234.0,851.1,7
HCPCS,81351,Tp53 gene full gene sequence,,,641.85,2333.1,5
HCPCS,81352,Tp53 gene trgt sequence alys,,,329.51,1197.51,5
HCPCS,81353,Tp53 gene known famil vrnt,,,308.0,1120.14,5
HCPCS,81354,Cytog alys chrml abnor ogm,,,1263.53,1326.71,3
HCPCS,81355,"DEAC 4/1/2023 HC TPMT, GENE ANALYSIS, COMMON VARIANTS(30)",283.0,283.0,,,0
HCPCS,81355,HC VKORC1 GENE,292.0,292.0,,,0
HCPCS,81355,Vkorc1 gene,,,88.2,320.22,7
HCPCS,81357,U2af1 gene common variants,,,193.25,702.3,5
HCPCS,81360,Zrsr2 gene common variants,,,193.25,702.3,5
HCPCS,81361,Hbb gene com variants,,,174.81,635.64,5
HCPCS,81362,Hbb gene known fam variant,,,375.25,1364.16,5
HCPCS,81363,Hbb gene dup/del variants,,,202.4,735.63,5
HCPCS,81364,Hbb full gene sequence,,,324.58,1179.66,5
HCPCS,81370,Hla i & ii typing lr,,,402.12,1461.75,7
HCPCS,81371,HC HLA I & II TYPE VERIFY LR (150),1262.0,1262.0,,,0
HCPCS,81371,Hla i & ii type verify lr,,,404.52,1470.09,7
HCPCS,81372,HC HLA I TYPING COMPLETE LR (150),3929.0,3929.0,,,0
HCPCS,81372,Hla i typing complete lr,,,403.59,1788.02,7
HCPCS,81373,HC HLA I TYPING 1 LOCUS LR (55),918.0,918.0,,,0
HCPCS,81373,Hla i typing 1 locus lr,,,127.43,606.02,7
HCPCS,81374,HC HLA I TYPING 1 ANTIGEN LR (150),1295.0,1295.0,,,0
HCPCS,81374,Hla i typing 1 antigen lr,,,74.33,606.02,7
HCPCS,81375,HC HLA II TYPING AG EQUIV LR (170),3927.0,3927.0,,,0
HCPCS,81375,Hla ii typing ag equiv lr,,,220.74,802.29,7
HCPCS,81376,HC HLA II TYPING  1 LOC LR (120),1152.0,1152.0,,,0
HCPCS,81376,HC HLA II TYPING 1 LOCUS LR (40),3503.0,3503.0,,,0
HCPCS,81376,HC HLA TYPING CELIAC DISEASE,1742.0,1742.0,,,0
HCPCS,81376,Hla ii typing 1 locus lr,,,122.22,444.0,7
HCPCS,81377,Hla ii type 1 ag equiv lr,,,94.74,344.01,7
HCPCS,81378,Hla i & ii typing hr,,,345.57,1725.47,7
HCPCS,81379,HC HLA I TYPING COMPLETE HR (290),5964.0,5964.0,,,0
HCPCS,81379,Hla i typing complete hr,,,335.38,1218.93,7
HCPCS,81380,Hla i typing 1 locus hr,,,177.25,643.98,7
HCPCS,81381,HC HLA I TYPING 1 ALLELE HR,1684.0,1684.0,,,0
HCPCS,81381,Hla i typing 1 allele hr,,,169.9,617.79,7
HCPCS,81382,HC  HLA II TYPING 1 LOCUS HR (40),2198.0,2198.0,,,0
HCPCS,81382,HC CELIAC GENE TEST,1576.0,1576.0,,,0
HCPCS,81382,HC HLA II TYPING  1 LOC HR (290),2787.0,2787.0,,,0
HCPCS,81382,Hla ii typing 1 loc hr,,,123.68,449.97,7
HCPCS,81383,HC HLA II TYPING 1 ALLELE HR,1943.0,1943.0,,,0
HCPCS,81383,HC MOLECULE NUCLEIC AMPLI 2,138.0,138.0,,,0
HCPCS,81383,Hla ii typing 1 allele hr,,,109.13,396.39,7
HCPCS,81400,HC MO PATH PROCEDUR LEVEL 1  (320),1939.0,1939.0,,,0
HCPCS,81400,HC MOPATH PROCEDUR LEVEL 1 (65),654.0,654.0,,,0
HCPCS,81400,HC MOPATH PROCEDURE LEVEL 1,961.0,961.0,,,0
HCPCS,81400,HC PLASMINOGEN ACTIVATOR*,478.0,478.0,,,0
HCPCS,81400,Mopath procedure level 1,,,63.96,233.95,7
HCPCS,81401,HC ABL KINASE*,776.0,776.0,,,0
HCPCS,81401,HC EML4-ALK GENE FUSION BY P,530.0,530.0,,,0
HCPCS,81401,HC MOLE PROC LEVEL 2 (105),699.0,699.0,,,0
HCPCS,81401,HC MOPATH PROCEDUR LEVEL 2 (260),1561.0,1561.0,,,0
HCPCS,81401,HC MOPATH PROCEDUR LEVEL 2 (275),1662.0,1662.0,,,0
HCPCS,81401,HC MOPATH PROCEDUR LEVEL 2 (320),2153.0,2153.0,,,0
HCPCS,81401,HC MOPATH PROCEDURE LEVEL 2,191.0,191.0,,,0
HCPCS,81401,HC MOPATH PROCEDURE LEVEL 2 (105),424.0,424.0,,,0
HCPCS,81401,HC MOPATH PROCEDURE LEVEL 2 (210),1445.0,1445.0,,,0
HCPCS,81401,HC MOPATH PROCEDURE LEVEL 2 (49),111.0,111.0,,,0
HCPCS,81401,HC MOPATH PROCEDURE LEVEL 2 (555),3389.0,3389.0,,,0
HCPCS,81401,HC MOPATH PROCEDURE LEVEL 2 (99),221.0,221.0,,,0
HCPCS,81401,HC MUTATION ID,70.0,70.0,,,0
HCPCS,81401,Mopath procedure level 2,,,137.0,497.58,7
HCPCS,81402,HC MOPATH PROCEDURE LEVEL 3,1793.0,1793.0,,,0
HCPCS,81402,HC MPL W515 & S505 MUTATION,1783.0,1783.0,,,0
HCPCS,81402,HC S505 MUTATION ANALYSIS*,888.0,888.0,,,0
HCPCS,81402,HC T CELL RECEPTOR GENE*,648.0,648.0,,,0
HCPCS,81402,Mopath procedure level 3,,,150.33,1107.74,7
HCPCS,81403,HC DNA EXTRACT SO,706.0,706.0,,,0
HCPCS,81403,HC DNA EXTRACT SO 1,18.0,18.0,,,0
HCPCS,81403,HC DNA EXTRACT SO 2,18.0,18.0,,,0
HCPCS,81403,"HC MOLECULAR PATH PROC, LEVEL 4  (71)",611.0,611.0,,,0
HCPCS,81403,HC MOPATH PROCEDURE LEVEL 4,257.0,257.0,,,0
HCPCS,81403,HC MOPATH PROCEDURE LEVEL 4 (230),929.0,929.0,,,0
HCPCS,81403,Mopath procedure level 4,,,185.2,673.74,7
HCPCS,81404,HC MOLE PROC LEVEL 5 (450),2470.0,2470.0,,,0
HCPCS,81404,HC MOPATH PROCEDUR LEVEL 5 (435),3074.0,3074.0,,,0
HCPCS,81404,HC MOPATH PROCEDURE LEVEL 5,382.0,382.0,,,0
HCPCS,81404,HC MOPATH PROCEDURE LEVEL 5 (246),551.0,551.0,,,0
HCPCS,81404,HC MPATH PROCEDUR LEVEL 5 (2460),17829.0,17829.0,,,0
HCPCS,81404,HC NRAS MUTATION ANALYSIS*,18.0,18.0,,,0
HCPCS,81404,HC PLATELET DERIVED GRO FCT,842.0,842.0,,,0
HCPCS,81404,Mopath procedure level 5,,,274.83,1418.76,7
HCPCS,81405,HC MO PATH PROCEDUR LEVEL 6  (320),1939.0,1939.0,,,0
HCPCS,81405,HC MOPATH PROCEDURE LEVEL 6 (123),276.0,276.0,,,0
HCPCS,81405,HC MOPATH PROCEDURE LEVEL 6 (99),221.0,221.0,,,0
HCPCS,81405,Mopath procedure level 6,,,301.35,1198.43,7
HCPCS,81406,HC MOPATH PROCEDURE LEVEL 7 (1490),10431.0,10431.0,,,0
HCPCS,81406,HC MOPATH PROCEDURE LEVEL 7 (350),1413.0,1413.0,,,0
HCPCS,81406,HC MOPATH PROCEDURE LEVEL 7 (49),111.0,111.0,,,0
HCPCS,81406,HC MOPATH PROCEDURE LEVEL 7 (83),184.0,184.0,,,0
HCPCS,81406,HC MOPATH PROCEDURE LEVEL 7 (966),985.0,985.0,,,0
HCPCS,81406,Mopath procedure level 7,,,282.88,2601.31,7
HCPCS,81407,HC MOPATH PROC LEVEL 8 (608),4233.0,4233.0,,,0
HCPCS,81407,Mopath procedure level 8,,,846.27,3878.72,7
HCPCS,81408,HC MOPATH PROC LEVEL 9 (778),7851.0,7851.0,,,0
HCPCS,81408,Mopath procedure level 9,,,2000.0,9075.85,7
HCPCS,81410,Aortic dysfunction/dilation,,,504.0,1831.98,5
HCPCS,81411,Aortic dysfunction/dilation,,,1350.19,4907.85,5
HCPCS,81412,Ashkenazi jewish assoc dis,,,2448.56,8901.51,5
HCPCS,81412,HC ASHKENAZI JEWISH ASSOC DIS (730),8960.0,8960.0,,,0
HCPCS,81413,Car ion chnnlpath inc 10 gns,,,584.9,4392.0,7
HCPCS,81413,HC CAR ION CHNNLPATH INC 10 GNS ADDON,3085.0,3085.0,,,0
HCPCS,81413,HC COMBINED CARDIAC  PANEL SEQUENCING AT LEAST 10 GENES (148),331.0,331.0,,,0
HCPCS,81414,Car ion chnnlpath inc 2 gns,,,584.9,2125.98,5
HCPCS,81414,HC COMBINED CARDIAC  PANEL ANALYSIS AT LEAST 2 GENES (148),331.0,331.0,,,0
HCPCS,81415,Exome sequence analysis,,,4780.0,17376.9,5
HCPCS,81415,HC EXOME SEQUENCE ANAL (3670),12133.0,12133.0,,,0
HCPCS,81415,HC EXOME SEQUENCE ANALYSIS (1232),2752.0,2752.0,,,0
HCPCS,81415,HC XOMEDXXPRESS (739),1651.0,1651.0,,,0
HCPCS,81416,Exome sequence analysis,,,12000.0,43624.35,5
HCPCS,81416,HC COMPARATOR EXOME (247),551.0,551.0,,,0
HCPCS,81416,HC COMPARATOR EXOME (375),17828.0,17828.0,,,0
HCPCS,81416,HC COMPARATOR EXOME (493),1101.0,1101.0,,,0
HCPCS,81416,HC COMPARATOR EXOME (515),16639.0,16639.0,,,0
HCPCS,81416,"HC XOMEDXXPRESS SEQ ANALYSIS, EA COMPARATOR EXOME (370)",826.0,826.0,,,0
HCPCS,81417,Exome re-evaluation,,,320.0,1162.98,5
HCPCS,81417,HC EXOME RE-EVALUATION (1840),1116.0,1116.0,,,0
HCPCS,81417,HC EXOME RE-EVALUATION (493),1101.0,1101.0,,,0
HCPCS,81418,HC ACTIONABLE PHARMACOGENOMICS PANEL (284),1510.0,1510.0,,,0
HCPCS,81418,Rx metab gen seq alys pnl 6,,,917.08,3334.2,5
HCPCS,81419,Epilepsy gen seq alys panel,,,2448.56,8901.51,5
HCPCS,81420,Fetal chrmoml aneuploidy,,,759.05,2759.25,5
HCPCS,81422,Fetal chrmoml microdeltj,,,759.05,2759.25,5
HCPCS,81425,Genome sequence analysis,,,5031.2,18289.89,5
HCPCS,81425,HC GENOME SEQUENCE ANALYSIS (1970),4402.0,4402.0,,,0
HCPCS,81425,HC GENOME SEQUENCE ANALYSIS (985),2201.0,2201.0,,,0
HCPCS,81425,HC GENOMEXPRESS (1109),2477.0,2477.0,,,0
HCPCS,81426,Genome sequence analysis,,,2709.95,9851.43,5
HCPCS,81426,"HC GENOME SEQ ANALYSIS, EA CMPRTR (493)",1101.0,1101.0,,,0
HCPCS,81426,"HC GENOME SEQ ANALYSIS, EA CMPRTR (985)",2201.0,2201.0,,,0
HCPCS,81426,"HC GENOMEXPRESS SEQUENCE ANALYSIS, EA COMPARATOR GENOME (554)",1238.0,1238.0,,,0
HCPCS,81427,Genome re-evaluation,,,2337.65,8497.98,5
HCPCS,81430,Hearing loss sequence analys,,,1625.0,5907.75,5
HCPCS,81431,Hearing loss dup/del analys,,,679.57,2469.99,5
HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,1303.95,2468.82,5
HCPCS,81433,Hrdtry brst ca-rlatd dsordrs,,,1395.69,1595.07,2
HCPCS,81434,Hereditary retinal disorders,,,597.91,2173.59,5
HCPCS,81435,Hereditary colon ca dsordrs,,,1303.95,2916.11,7
HCPCS,81436,Hereditary colon ca dsordrs,,,1860.23,2916.11,4
HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,1303.95,1595.07,5
HCPCS,81438,Heredtry nurondcrn tum dsrdr,,,1395.69,1595.07,2
HCPCS,81439,HC CARDIOMYOPATHY  PANEL (296),661.0,661.0,,,0
HCPCS,81439,Inherited cardmypthy 5 gns,,,584.9,2125.98,5
HCPCS,81440,Mitochondrial gene,,,3324.0,12083.34,5
HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,2448.56,8901.51,5
HCPCS,81442,HC NOONAN AND COMPREHENSIVE RASOPATHIES  PANEL (296),661.0,661.0,,,0
HCPCS,81442,Noonan spectrum disorders,,,2143.6,7793.28,5
HCPCS,81443,Genetic tstg severe inh cond,,,2448.56,8901.51,5
HCPCS,81445,HC  TARGETED GEN SEQ 5-50 (460),3450.0,3450.0,,,0
HCPCS,81445,HC TARGETED GEN SEQ 5-50 (435),3458.0,3458.0,,,0
HCPCS,81445,HC TARGETED GENOMIC SEQ ANALYS (480),1939.0,1939.0,,,0
HCPCS,81445,HC TARGETED GENOMIC SEQ ANALYS (530),2141.0,2141.0,,,0
HCPCS,81445,HC TARGETED GENOMIC SEQ ANALYSIS,2306.0,2306.0,,,0
HCPCS,81445,HC TARGETED GENOMIC SEQ ANALYSIS (342),2377.0,2377.0,,,0
HCPCS,81445,Targeted genomic seq analys,,,597.91,2188.35,7
HCPCS,81448,Hrdtry perph neurphy panel,,,584.9,2125.98,5
HCPCS,81449,Tgsap so neo 5-50 rna alys,,,597.91,2173.59,5
HCPCS,81450,HC TARGETED GENOMIC SEQ ANALYS (1150),6628.0,6628.0,,,0
HCPCS,81450,HC TARGETED GENOMIC SEQ ANALYSIS (795),3055.0,3055.0,,,0
HCPCS,81450,Targeted genomic seq analys,,,759.53,2761.65,7
HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,759.53,2761.65,5
HCPCS,81455,HC ONE KNOWN FAMILIAL VARIANT (136),305.0,305.0,,,0
HCPCS,81455,HC TARGETED GENOMIC SEQ ANALYSIS (1000),5304.0,5304.0,,,0
HCPCS,81455,HC TARGETED GENOMIC SEQ ANALYSIS (1426),7631.0,7631.0,,,0
HCPCS,81455,HC TARGETED GENOMIC SEQ ANALYSIS (170),5304.0,5304.0,,,0
HCPCS,81455,HC TARGETED GENOMIC SEQ ANALYSIS (202),7843.0,7843.0,,,0
HCPCS,81455,HC TARGETED GENOMIC SEQ ANALYSIS (263),4653.0,4653.0,,,0
HCPCS,81455,HC TARGETED GENOMIC SEQ ANALYSIS (328),7843.0,7843.0,,,0
HCPCS,81455,HC TARGETED GENOMIC SEQ ANALYSIS (467),7843.0,7843.0,,,0
HCPCS,81455,HC TARGETED GENOMIC SEQ ANALYSIS 51+ (795),4049.0,4049.0,,,0
HCPCS,81455,HC TWO KNOWN FAMILIAL VARIANTS IN A NUCLEAR GENE (98),218.0,218.0,,,0
HCPCS,81455,Targeted genomic seq analys,,,2919.6,10613.25,5
HCPCS,81456,HC TARGETED GENOMIC ANALYSIS(170),7711.0,7711.0,,,0
HCPCS,81456,Tgsap so/hl 51/< rna alys,,,2919.6,10613.25,5
HCPCS,81457,So neo gsap dna mcrstl ins,,,896.87,941.71,3
HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,1098.67,3
HCPCS,81459,So neo gsap dna/dna&rna,,,2989.55,3139.03,3
HCPCS,81460,HC WHOLE MITO GENOME SEQUENCING & DELETION TESTING (148),331.0,331.0,,,0
HCPCS,81460,Whole mitochondrial genome,,,1287.0,4678.11,5
HCPCS,81462,So gsap cll fr dna/dna&rna,,,1195.83,1255.62,3
HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,1345.31,1412.58,3
HCPCS,81464,So gsap cll fr mcrstl ins,,,3288.51,3452.94,3
HCPCS,81465,"HC MITO GENOME SEQUENCING HETEROPLASMY DETECTION, IF PERFRMD (148)",331.0,331.0,,,0
HCPCS,81465,Whole mitochondrial genome,,,936.0,3403.23,5
HCPCS,81470,X-linked intellectual dblt,,,914.0,3322.29,5
HCPCS,81471,X-linked intellectual dblt,,,914.0,3322.29,5
HCPCS,81479,HC ALPHA GLOBIN GENE SEQ*,98.0,98.0,,,0
HCPCS,81479,HC GENETIC EXAMINATION,18.0,18.0,,,0
HCPCS,81479,HC IMMUNOGLOBIN GENE REARANG,574.0,574.0,,,0
HCPCS,81479,HC LOSS OF HETEROZYGOSITY 18,1059.0,1059.0,,,0
HCPCS,81479,HC LYSIS OF TISSUE CELLS,51.0,51.0,,,0
HCPCS,81479,HC MOLECULAR DX ENZYME DIGES,18.0,18.0,,,0
HCPCS,81479,HC MOLECULE DOT/SLOT/BLOT,18.0,18.0,,,0
HCPCS,81479,HC MOLECULE MUTATION ID,70.0,70.0,,,0
HCPCS,81479,HC MOLECULE MUTATION ID 2ND,70.0,70.0,,,0
HCPCS,81479,HC MOLECULE MUTATION ID 3RD,70.0,70.0,,,0
HCPCS,81479,HC MOLECULE MUTATION ID 4TH,70.0,70.0,,,0
HCPCS,81479,HC MTHFR MOLEC ISOLATE NUCLE,752.0,752.0,,,0
HCPCS,81479,HC NUCLEIC ACID AMPLIFICATIO,70.0,70.0,,,0
HCPCS,81479,HC NUCLEIC ACID EXTRACTION*,451.0,451.0,,,0
HCPCS,81479,HC NUCLEIC ACID PROBE 1,18.0,18.0,,,0
HCPCS,81479,HC NUCLEIC ACID PROBE 2,18.0,18.0,,,0
HCPCS,81479,HC NUCLEIC ACID PROBE 3,18.0,18.0,,,0
HCPCS,81479,HC NUCLEIC ACID PROBE 4,18.0,18.0,,,0
HCPCS,81479,"HC NUCLEIC ACID, HI RESOLUTE",70.0,70.0,,,0
HCPCS,81479,HC PCR AMPLIFIED 1 SO*,890.0,890.0,,,0
HCPCS,81479,HC PCR AMPLIFIED 2 SO,70.0,70.0,,,0
HCPCS,81479,HC PCR AMPLIFIED SO 1,70.0,70.0,,,0
HCPCS,81479,HC PCR AMPLIFIED SO 2,70.0,70.0,,,0
HCPCS,81479,HC PROMETHEUS CROHN'S PROGNOSTIC,2122.0,2122.0,,,0
HCPCS,81479,HC REF-MOLEC DIAG;AMP NUC AC,138.0,138.0,,,0
HCPCS,81479,HC REF-MOLECULAR DIAG; INTER,34.0,34.0,,,0
HCPCS,81479,HC SEP GEL ELECTROPHORESIS S,18.0,18.0,,,0
HCPCS,81479,HC SYNOVIAL CARCINOMA*,1077.0,1077.0,,,0
HCPCS,81479,HC THERAGUIDE 5FU,2702.0,2702.0,,,0
HCPCS,81479,HC UNLISTED MOL PATH (1380),83.0,83.0,,,0
HCPCS,81479,HC UNLISTED MOL PATH (200),1250.0,1250.0,,,0
HCPCS,81479,HC UNLISTED MOL PATH (350),2786.0,2786.0,,,0
HCPCS,81479,HC UNLISTED MOL PATH (455),2594.0,2594.0,,,0
HCPCS,81479,HC UNLISTED MOL PATH (480),3393.0,3393.0,,,0
HCPCS,81479,HC UNLISTED MOL PATH (610),4096.0,4096.0,,,0
HCPCS,81479,HC UNLISTED MOLE PROC (1650),5457.0,5457.0,,,0
HCPCS,81479,HC UNLISTED MOLE PROC (900),83.0,83.0,,,0
HCPCS,81479,HC UNLISTED MOLECULAR PATHOLOGY,1321.0,1321.0,,,0
HCPCS,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE (370),826.0,826.0,,,0
HCPCS,81479,Unlisted molecular pathology,,,186.38,213.0,2
HCPCS,81490,Autoimmune rheumatoid arthr,,,840.65,3055.65,5
HCPCS,81493,Cor artery disease mrna,,,1050.0,3817.5,5
HCPCS,81500,Onco (ovar) two proteins,,,260.5,947.52,5
HCPCS,81503,Onco (ovar) five proteins,,,897.0,3260.4,5
HCPCS,81504,Oncology tissue of origin,,,520.0,1890.3,5
HCPCS,81506,Endo assay seven anal,,,68.92,249.99,5
HCPCS,81507,Fetal aneuploidy trisom risk,,,795.0,2890.2,5
HCPCS,81508,Ftl cgen abnor two proteins,,,54.3,197.61,5
HCPCS,81508,"HC FETAL CONGENTIAL ABNORML ASSAY TWO PROTEINS (PAPP-A, HCG) (25)",78.0,78.0,,,0
HCPCS,81509,Ftl cgen abnor 3 proteins,,,1487.37,5406.63,5
HCPCS,81510,Ftl cgen abnor three anal,,,55.54,202.35,5
HCPCS,81511,Ftl cgen abnor four anal,,,153.5,558.27,5
HCPCS,81512,Ftl cgen abnor five anal,,,69.52,252.36,5
HCPCS,81513,Nfct ds bv rna vag flu alg,,,142.63,519.0,5
HCPCS,81514,HC NFCT DS BV&VAGINITIS DNA ALG,1872.0,1872.0,,,0
HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,262.99,955.86,5
HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,262.99,276.14,3
HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,176.19,1829.58,5
HCPCS,81518,Onc brst mrna 11 genes,,,3873.0,14079.6,5
HCPCS,81519,Oncology breast mrna,,,3873.0,14079.6,7
HCPCS,81520,Onc breast mrna 58 genes,,,2510.21,9125.31,5
HCPCS,81521,Onc breast mrna 70 genes,,,3873.0,14079.6,5
HCPCS,81522,Onc breast mrna 12 genes,,,3873.0,14079.6,5
HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,3873.0,14079.6,5
HCPCS,81525,Oncology colon mrna,,,3116.0,11327.49,5
HCPCS,81528,Oncology colorectal scr,,,508.87,1862.46,7
HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,7193.0,26148.66,5
HCPCS,81535,Oncology gynecologic,,,579.46,2866.0,7
HCPCS,81536,Oncology gynecologic,,,177.56,878.18,7
HCPCS,81538,Oncology lung,,,2871.0,10437.09,5
HCPCS,81539,Oncology prostate prob score,,,760.0,2762.82,5
HCPCS,81540,Oncology tum unknown origin,,,3750.0,13632.0,5
HCPCS,81541,Onc prostate mrna 46 genes,,,3873.0,14079.6,5
HCPCS,81542,Onc prostate mrna 22 cnt gen,,,3873.0,14079.6,5
HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,3600.0,13086.84,5
HCPCS,81551,Onc prostate 3 genes,,,2030.0,7380.24,5
HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,7776.0,28268.7,5
HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,5409.6,19994.49,5
HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,3240.0,3402.0,3
HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,640.73,2329.53,5
HCPCS,81595,Cardiology hrt trnspl mrna,,,3240.0,11778.63,5
HCPCS,81596,HC NFCT DS CHRNC HCV 6 ASSAYS (153),320.0,320.0,,,0
HCPCS,81596,HC NFCT DS CHRNC HCV 6 ASSAYS (55),262.0,262.0,,,0
HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,72.19,261.87,5
HCPCS,81599,Unlisted maaa,,,398.16,455.04,2
HCPCS,82003,HC ACETAMINOPHEN,315.0,315.0,,,0
HCPCS,82003,HC ACETAMINOPHINE,206.0,206.0,,,0
HCPCS,82009,HC ACETONE-QL 82009,40.0,40.0,,,0
HCPCS,82009,HC QUAL SERUM ACETONE/KETONES,85.0,85.0,,,0
HCPCS,82009,Test for acetone/ketones,,,4.52,16.68,7
HCPCS,82010,Acetone assay,,,8.17,41.8,7
HCPCS,82010,HC ACETONE-QT  82010,138.0,138.0,,,0
HCPCS,82010,HC ACETONE-QT 82010,46.0,46.0,,,0
HCPCS,82010,HC BETA HYDROXYBUTYRATE,161.0,161.0,,,0
HCPCS,82010,HC QUANT SERUM ACETONES/KETONES,186.0,186.0,,,0
HCPCS,82013,Acetylcholinesterase assay,,,12.29,56.58,7
HCPCS,82013,HC ACETYLCHOLINESTERASE,132.0,132.0,,,0
HCPCS,82016,Acylcarnitines qual,,,16.49,70.89,7
HCPCS,82017,Acylcarnitines quant,,,16.87,86.27,7
HCPCS,82017,HC ACYLCARNITINES; QUAN,199.0,199.0,,,0
HCPCS,82024,Assay of acth,,,38.62,197.53,7
HCPCS,82024,HC ACTH,928.0,928.0,,,0
HCPCS,82024,HC ACTH 82024,489.0,489.0,,,0
HCPCS,82030,Assay of adp & amp,,,25.8,131.94,7
HCPCS,82030,HC CYCLIC ADP OR AMP,305.0,305.0,,,0
HCPCS,82030,HC CYCLIC AMP 82030,402.0,402.0,,,0
HCPCS,82040,Assay of serum albumin,,,4.95,25.33,7
HCPCS,82040,HC ALBUMIN REF,28.0,28.0,,,0
HCPCS,82040,HC ALBUMIN SERUM 82040,64.0,64.0,,,0
HCPCS,82040,HC ASSAY OF SERUM ALBUMIN,123.0,123.0,,,0
HCPCS,82040,HC LYME INDEX CSF*,48.0,48.0,,,0
HCPCS,82042,Assay of urine albumin,,,7.78,28.56,7
HCPCS,82042,HC ALBUMIN CSF REF,46.0,46.0,,,0
HCPCS,82042,HC ALBUMIN; QUAN,62.0,62.0,,,0
HCPCS,82042,HC ASSAY OF URINE ALBUNIM,8.0,8.0,,,0
HCPCS,82043,HC ALBUMIN; URINE QUANT,166.0,166.0,,,0
HCPCS,82043,HC MICROALBUMIN (URINE)*,124.0,124.0,,,0
HCPCS,82043,Microalbumin quantitative,,,5.78,29.61,7
HCPCS,82044,HC BENCE-JONES PRO 82044,94.0,94.0,,,0
HCPCS,82044,HC MICROALBUMIN; URINE SEMIQUAN,126.0,126.0,,,0
HCPCS,82044,Microalbumin semiquant,,,6.23,22.62,7
HCPCS,82045,Albumin ischemia modified,,,33.94,173.59,7
HCPCS,82055,HC ALCOHOL-ETHYL 82055,205.0,205.0,,,0
HCPCS,82055,HC ETHANOL (ALCOHOL); NOT BREATH,291.0,291.0,,,0
HCPCS,82075,Assay of breath ethanol,,,30.0,109.5,7
HCPCS,82077,Assay spec xcp ur&breath ia,,,17.27,63.21,7
HCPCS,82077,HC ASSAY SPEC XCP UR&BREATH IA,406.0,406.0,,,0
HCPCS,82085,Assay of aldolase,,,9.71,49.63,7
HCPCS,82085,HC ALDOLASE,158.0,158.0,,,0
HCPCS,82085,HC ALDOLASE 82085,85.5,85.5,,,0
HCPCS,82088,Assay of aldosterone,,,40.75,208.4,7
HCPCS,82088,HC ALDOSTERON-RIA 82088,598.0,598.0,,,0
HCPCS,82088,HC ALDOSTERONE,790.0,790.0,,,0
HCPCS,82088,HC ALDOSTERONE 82088,400.0,400.0,,,0
HCPCS,82103,Alpha-1-antitrypsin total,,,13.44,68.7,7
HCPCS,82103,HC ALPHA-1-ANTITRY82103,234.0,234.0,,,0
HCPCS,82103,HC ALPHA-1-ANTITRYPSIN; TOTAL,171.0,171.0,,,0
HCPCS,82104,Alpha-1-antitrypsin pheno,,,14.46,73.93,7
HCPCS,82104,HC ALPHA 1 ANTRYPSIN PHENOTY,64.0,64.0,,,0
HCPCS,82104,HC ALPHA-1-ANTITRYPSIN; PHENOTYPE (40),171.0,171.0,,,0
HCPCS,82105,Alpha-fetoprotein serum,,,16.77,85.79,7
HCPCS,82105,HC ALPHA-FETOPROTEIN SERUM,394.0,394.0,,,0
HCPCS,82105,HC ALPHAIFETOPROP SERUM 8210,207.5,207.5,,,0
HCPCS,82106,Alpha-fetoprotein amniotic,,,17.0,85.79,7
HCPCS,82106,HC AFP AMNIO FLUID*,58.0,58.0,,,0
HCPCS,82106,HC ALPHA-FETOPROTEIN AMNIOTIC,393.0,393.0,,,0
HCPCS,82107,Alpha-Fetoprotein L3,,,64.41,333.9,7
HCPCS,82108,Assay of aluminum,,,25.48,130.3,7
HCPCS,82108,HC ALUMINUM ASSAY,224.0,224.0,,,0
HCPCS,82108,HC ALUMINUM WHOLE BLOOD,168.0,168.0,,,0
HCPCS,82120,Amines vaginal fluid qual,,,5.99,21.42,7
HCPCS,82127,Amino acid single qual,,,14.18,70.89,7
HCPCS,82128,Amino acids mult qual,,,13.87,70.89,7
HCPCS,82128,HC AMINO ACIDS; MULTI QUAL EA,164.0,164.0,,,0
HCPCS,82131,Amino acids single quant,,,22.98,86.27,7
HCPCS,82131,HC AMINO ACIDS-BLD,97.0,97.0,,,0
HCPCS,82131,HC AMINO ACIDS-BLD QT,1046.0,1046.0,,,0
HCPCS,82131,HC AMINO ACIDS; SGL QUAN EA,192.0,192.0,,,0
HCPCS,82131,HC CARNITINE FREE,142.0,142.0,,,0
HCPCS,82131,HC CARNITINE TOTAL,142.0,142.0,,,0
HCPCS,82131,"HC CYSTINE, QT BLD 82131",258.0,258.0,,,0
HCPCS,82131,"HC CYSTINE,QT-UR",227.0,227.0,,,0
HCPCS,82135,Assay aminolevulinic acid,,,16.45,84.18,7
HCPCS,82135,HC DELTA ALA,382.0,382.0,,,0
HCPCS,82135,HC DELTA AMINO LEV82135,200.0,200.0,,,0
HCPCS,82136,Amino acids quant 2-5,,,19.61,86.27,7
HCPCS,82136,HC AMINO ACIDS; 2-5 QUAN EA,199.0,199.0,,,0
HCPCS,82139,Amino acids quan 6 or more,,,16.87,86.27,7
HCPCS,82139,HC AMINO ACIDS 6/>  QUAN EA,161.0,161.0,,,0
HCPCS,82139,HC AMINO ACIDS-QUANT,120.0,120.0,,,0
HCPCS,82140,Assay of ammonia,,,14.57,74.52,7
HCPCS,82140,HC AMMONIA,301.0,301.0,,,0
HCPCS,82140,HC AMMONIA 82140,141.0,141.0,,,0
HCPCS,82143,Amniotic fluid scan,,,9.35,35.17,7
HCPCS,82145,HC AMPHETAMINE 82145,194.0,194.0,,,0
HCPCS,82145,HC AMPHETAMINE/METHAMPH,194.0,194.0,,,0
HCPCS,82150,Assay of amylase,,,6.48,33.16,7
HCPCS,82150,HC AMYLASE,91.0,91.0,,,0
HCPCS,82150,HC AMYLASE 82150,131.0,131.0,,,0
HCPCS,82150,HC AMYLASE-BLD 82150,38.0,38.0,,,0
HCPCS,82150,HC ANTI-GAMMA GLOB82150,501.0,501.0,,,0
HCPCS,82154,Androstanediol glucuronide,,,28.83,147.46,7
HCPCS,82154,HC ANDROSTANEDIOL GLUCURONIDE,342.0,342.0,,,0
HCPCS,82157,Assay of androstenedione,,,29.28,149.69,7
HCPCS,82157,HC ANDROSTENDIONE82157,421.0,421.0,,,0
HCPCS,82157,HC ANDROSTENEDIONE,797.0,797.0,,,0
HCPCS,82160,Assay of androsterone,,,25.55,127.88,7
HCPCS,82163,Assay of angiotensin II,,,20.52,104.97,7
HCPCS,82163,HC ANGIOTENSIN II,242.0,242.0,,,0
HCPCS,82164,Angiotensin I enzyme test,,,14.6,74.63,7
HCPCS,82164,HC ANGIO-CONV,138.0,138.0,,,0
HCPCS,82164,HC ANGIO-CONV BLD,331.0,331.0,,,0
HCPCS,82164,HC ANGIOTENSIN I - CONVERTING ENZYME,444.0,444.0,,,0
HCPCS,82164,HC ANGIOTENSION CSF 82164,331.0,331.0,,,0
HCPCS,82166,Assay anti-mullerian horm,,,38.62,141.35,7
HCPCS,82166,HC ANTI-MULLERIAN HORMONE (AMH),157.0,157.0,,,0
HCPCS,82172,Assay of apolipoprotein,,,21.09,79.24,7
HCPCS,82172,HC APOLIPOPROTEIN A,86.0,86.0,,,0
HCPCS,82172,HC APOLIPOPROTEIN B,86.0,86.0,,,0
HCPCS,82172,HC APOLIPOPROTEIN EACH,65.5,65.5,,,0
HCPCS,82172,HC ASSAY OF APOLIPROTEIN,64.0,64.0,,,0
HCPCS,82172,HC HEP C VIRUS FIBROSURE*,417.0,417.0,,,0
HCPCS,82172,HC LIPROPROTEIN,86.0,86.0,,,0
HCPCS,82175,Assay of arsenic,,,18.97,97.03,7
HCPCS,82175,HC ARSENIC,560.0,560.0,,,0
HCPCS,82175,HC ARSENIC 82175,294.0,294.0,,,0
HCPCS,82180,Assay of ascorbic acid,,,9.89,50.54,7
HCPCS,82180,HC ASCORBIC ACID BLOOD,198.0,198.0,,,0
HCPCS,82180,HC VITAMIN C  82180,148.0,148.0,,,0
HCPCS,82180,HC VITAMIN C 82180,38.0,38.0,,,0
HCPCS,82190,Atomic absorption,,,15.9,76.24,7
HCPCS,82205,HC BARBITURATE QUANT/CANNA,536.0,536.0,,,0
HCPCS,82205,HC L S D SCREEN 82205,92.0,92.0,,,0
HCPCS,82232,Assay of beta-2 protein,,,16.18,82.75,7
HCPCS,82232,HC B2 MICROGLOBULIN BLD,48.0,48.0,,,0
HCPCS,82232,HC BETA-2 MICROGLOBULIN,64.0,64.0,,,0
HCPCS,82232,HC BETAMICROGLOBULIN URINE,48.0,48.0,,,0
HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,128.92,135.37,3
HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,128.92,135.37,3
HCPCS,82239,Bile acids total,,,17.12,87.62,7
HCPCS,82239,HC BILE ACIDS,102.0,102.0,,,0
HCPCS,82239,HC BILE ACIDS; TOTAL,88.0,88.0,,,0
HCPCS,82239,"HC BILE, QUAL",65.0,65.0,,,0
HCPCS,82240,Bile acids cholylglycine,,,26.58,135.9,7
HCPCS,82240,HC BILE ACIDS; CHOLYLGLYCINE,315.0,315.0,,,0
HCPCS,82247,Bilirubin total,,,5.02,25.69,7
HCPCS,82247,HC BILIRUBIN TOTAL,22.0,22.0,,,0
HCPCS,82247,"HC BILIRUBIN,TOTA",35.0,35.0,,,0
HCPCS,82247,"HC BILIRUBIN,TOTAL 82247",92.0,92.0,,,0
HCPCS,82247,HC TOTAL BILIRUBIN,63.5,63.5,,,0
HCPCS,82248,Bilirubin direct,,,5.02,25.69,7
HCPCS,82248,"HC BILIRUBIN,DIREC82250",43.0,43.0,,,0
HCPCS,82248,"HC BILIRUBIN,DIRECT 82248",102.0,102.0,,,0
HCPCS,82248,HC DIRECT BILIRUBIN,70.0,70.0,,,0
HCPCS,82252,Fecal bilirubin test,,,4.56,23.24,7
HCPCS,82261,Assay of biotinidase,,,16.87,86.27,7
HCPCS,82261,HC BIOTINIDASE EA SPECIMEN,199.0,199.0,,,0
HCPCS,82270,HC OCCULT BLOOD 82270 3 CARD,24.0,24.0,,,0
HCPCS,82270,HC OCCULT BLOOD FECES,58.0,58.0,,,0
HCPCS,82270,HC OCCULT BLOOD; FECES 82270,43.0,43.0,,,0
HCPCS,82270,Occult blood feces,,,4.38,16.62,7
HCPCS,82271,HC OCCULT BLOOD 82273,94.0,94.0,,,0
HCPCS,82271,HC OCCULT BLOOD OTHER SOURCES,126.0,126.0,,,0
HCPCS,82271,Occult blood other sources,,,5.32,19.05,7
HCPCS,82272,HC OCCULT BLD FECES 1-3 TESTS,15.0,15.0,,,0
HCPCS,82272,HC POCT FECAL OCCULT BLD,10.0,10.0,,,0
HCPCS,82272,HC POCT OCCULT BLD FECES 1-3 TESTS,12.0,12.0,,,0
HCPCS,82272,Occult bld feces 1-3 tests,,,4.23,16.87,7
HCPCS,82274,Assay test for blood fecal,,,15.92,81.33,7
HCPCS,82274,HC OCCULT BLD FHG QUAL 1-3,189.0,189.0,,,0
HCPCS,82286,Assay of bradykinin,,,5.16,35.21,7
HCPCS,82300,Assay of cadmium,,,23.64,118.33,7
HCPCS,82300,HC CADMIUM,275.0,275.0,,,0
HCPCS,82306,HC VITAMIN D 25 HYDROXY,399.5,399.5,,,0
HCPCS,82306,"HC VITAMIN D, 25-HYDROXY",578.0,578.0,,,0
HCPCS,82306,Vitamin d 25 hydroxy,,,29.6,151.38,7
HCPCS,82308,Assay of calcitonin,,,26.79,136.92,7
HCPCS,82308,HC CALCITONIN,481.5,481.5,,,0
HCPCS,82308,HC CALCITONIN RIA 82308,202.0,202.0,,,0
HCPCS,82310,Assay of calcium,,,5.16,26.35,7
HCPCS,82310,HC CALCIUM 82310,92.0,92.0,,,0
HCPCS,82310,HC CALCIUM-BLD 82310,62.0,62.0,,,0
HCPCS,82310,HC CALCIUM-FECES 82310,63.5,63.5,,,0
HCPCS,82310,HC CALCIUM; TOTAL,63.5,63.5,,,0
HCPCS,82330,Assay of calcium,,,13.68,69.87,7
HCPCS,82330,"HC CALCIUM, IONIZE 82330",108.0,108.0,,,0
HCPCS,82330,HC CALCIUM; IONIZED,114.0,114.0,,,0
HCPCS,82331,Calcium infusion test,,,13.34,48.81,7
HCPCS,82331,HC CALCIUM TOLER 82331,346.5,346.5,,,0
HCPCS,82331,HC CALCIUM; AFTER CALCIUM INFUSION,654.0,654.0,,,0
HCPCS,82340,Assay of calcium in urine,,,6.03,30.85,7
HCPCS,82340,HC CALCIUM; URINE QUAN TIMED,73.0,73.0,,,0
HCPCS,82355,Calculus analysis qual,,,11.58,59.18,7
HCPCS,82355,HC STONE ANALYSIS QL 82355,174.0,174.0,,,0
HCPCS,82355,HC STONE; QUALITATIVE ANALYSIS,232.0,232.0,,,0
HCPCS,82360,Calculus assay quant,,,12.87,65.84,7
HCPCS,82360,"HC STONE; QUANTITATIVE ANALYSIS,  CHEMICAL",154.0,154.0,,,0
HCPCS,82365,Calculus spectroscopy,,,12.9,65.92,7
HCPCS,82365,HC STONE; IR SPECTROSCOPY,154.0,154.0,,,0
HCPCS,82370,HC STONE XRAY DIFF 82370,175.5,175.5,,,0
HCPCS,82370,HC STONE; X-RAY DIFFRACTION,298.0,298.0,,,0
HCPCS,82370,X-ray assay calculus,,,12.52,64.09,7
HCPCS,82373,Assay c-d transfer measure,,,18.06,92.34,7
HCPCS,82374,Assay blood carbon dioxide,,,4.88,25.0,7
HCPCS,82374,HC BICARBONATE-CO2 82374,66.5,66.5,,,0
HCPCS,82374,HC CARBON DIOXIDE (CO2),132.0,132.0,,,0
HCPCS,82375,Assay carboxyhb quant,,,12.32,63.03,7
HCPCS,82375,HC ASSAY CARBOXYHB QUANT,390.0,390.0,,,0
HCPCS,82375,HC CARBON MONOXIDES QUANT 82,166.5,166.5,,,0
HCPCS,82375,HC CARBOXY HBG SAT 82375 QT,119.0,119.0,,,0
HCPCS,82375,HC CARBOXY HBG SAT QT 82375,291.0,291.0,,,0
HCPCS,82376,Assay carboxyhb qual,,,14.07,51.18,7
HCPCS,82376,HC ASSAY CARBOXYHB QUAL,71.0,71.0,,,0
HCPCS,82378,Carcinoembryonic antigen,,,18.96,97.03,7
HCPCS,82378,HC CEA,486.0,486.0,,,0
HCPCS,82378,HC CEA 82378,236.0,236.0,,,0
HCPCS,82379,Assay of carnitine,,,16.87,86.27,7
HCPCS,82379,HC CARNITINE QUAN EA,199.0,199.0,,,0
HCPCS,82380,Assay of carotene,,,9.22,47.18,7
HCPCS,82380,HC CAROTENE,228.0,228.0,,,0
HCPCS,82380,HC CAROTENE 82380,119.5,119.5,,,0
HCPCS,82382,Assay urine catecholamines,,,27.3,98.79,7
HCPCS,82382,HC CATECHOLAMINES TOT URINE,229.0,229.0,,,0
HCPCS,82382,HC CATECHOLAMINES; TOTAL URINE,433.0,433.0,,,0
HCPCS,82383,Assay blood catecholamines,,,29.08,128.14,7
HCPCS,82383,HC CATECHOLAMINES BLOOD 8238,411.5,411.5,,,0
HCPCS,82383,HC CATECHOLAMINES; BLOOD,776.0,776.0,,,0
HCPCS,82384,Assay three catecholamines,,,25.25,129.12,7
HCPCS,82384,HC CATECHOLAMINES FRACTIONAT,746.0,746.0,,,0
HCPCS,82384,HC CATECHOLAMINES FRACTIONATED,1000.0,1000.0,,,0
HCPCS,82384,HC CATECHOLAMINES FRECTIONAT,310.0,310.0,,,0
HCPCS,82387,Assay of cathepsin-d,,,18.06,106.4,7
HCPCS,82390,Assay of ceruloplasmin,,,10.74,54.94,7
HCPCS,82390,HC CERULOPLASMIN,382.0,382.0,,,0
HCPCS,82390,"HC CERULOPLASMIN,Q82390",200.0,200.0,,,0
HCPCS,82397,Chemiluminescent assay,,,14.12,72.25,7
HCPCS,82397,HC CHEMILUMINESCENT ASSAY,159.0,159.0,,,0
HCPCS,82397,HC CHROMOGRANIN A,196.0,196.0,,,0
HCPCS,82397,HC PROTEIN 14 CSF,240.0,240.0,,,0
HCPCS,82415,Assay of chloramphenicol,,,12.67,64.78,7
HCPCS,82415,HC CHLORAMPHENICOL,272.0,272.0,,,0
HCPCS,82415,HC CHLORAMPHENICOL82415,204.0,204.0,,,0
HCPCS,82435,Assay of blood chloride,,,4.6,23.5,7
HCPCS,82435,HC CHLORIDE; BLOOD,123.0,123.0,,,0
HCPCS,82435,HC CHLORIDES-BLD 82435,63.5,63.5,,,0
HCPCS,82436,Assay of urine chloride,,,5.75,25.69,7
HCPCS,82436,HC CHLORIDE - URINE 82436,92.0,92.0,,,0
HCPCS,82436,HC CHLORIDE; URINE,123.0,123.0,,,0
HCPCS,82438,Assay other fluid chlorides,,,5.0,25.0,7
HCPCS,82438,HC CHLORIDE; OTHER,123.0,123.0,,,0
HCPCS,82438,HC CHLORIDES-CSF 82438,63.5,63.5,,,0
HCPCS,82441,Test for chlorohydrocarbons,,,6.01,30.67,7
HCPCS,82465,Assay bld/serum cholesterol,,,4.35,22.25,7
HCPCS,82465,"HC ASSAY, BLD/SERUM CHOLOEST",18.0,18.0,,,0
HCPCS,82465,"HC CHOLESTEROL, TOT 82465",92.0,92.0,,,0
HCPCS,82465,"HC CHOLESTEROL,TOT 82465",35.0,35.0,,,0
HCPCS,82465,HC SERUM/WB TOT CHOLEST,64.5,64.5,,,0
HCPCS,82480,Assay serum cholinesterase,,,7.87,37.99,7
HCPCS,82480,HC CHOLINEST SERUM 82480,448.5,448.5,,,0
HCPCS,82480,HC CHOLINESTERASE; SERUM,255.0,255.0,,,0
HCPCS,82482,Assay rbc cholinesterase,,,9.81,39.31,7
HCPCS,82482,HC CHOLINESTERASE; RBC,286.0,286.0,,,0
HCPCS,82482,HC CHOLONESTERASE RBC 82482,204.0,204.0,,,0
HCPCS,82482,HC CLOMIPRAMINE LEVEL,106.0,106.0,,,0
HCPCS,82485,Assay chondroitin sulfate,,,20.65,105.59,7
HCPCS,82489,HC CATHARTIC LAXATIVE PROFIL,416.0,416.0,,,0
HCPCS,82489,HC CATHARTIC LAXATIVE STOOL SCR,414.0,414.0,,,0
HCPCS,82489,HC MUCOPOLYSACCHARIDE(MPS) TLC,416.0,416.0,,,0
HCPCS,82489,HC QUAL THIN LYR CHROMATOGR NES,163.0,163.0,,,0
HCPCS,82491,HC C CHROMATOGR QUAN ANALYT NES,160.0,160.0,,,0
HCPCS,82492,HC C CHROMOTOGR QUAN; MULTI ANALY,298.0,298.0,,,0
HCPCS,82492,HC CLOZAPINE/METABOLITE REF,298.0,298.0,,,0
HCPCS,82492,HC THIOPURINE METABOLITES 6T,735.0,735.0,,,0
HCPCS,82495,Assay of chromium,,,20.28,73.8,7
HCPCS,82495,HC CHROMIUM,118.0,118.0,,,0
HCPCS,82495,HC CHROMIUM SERUM,88.0,88.0,,,0
HCPCS,82507,Assay of citrate,,,27.8,142.19,7
HCPCS,82507,HC CITRATE,328.0,328.0,,,0
HCPCS,82520,HC COCAINE & METABOLITES,80.0,80.0,,,0
HCPCS,82520,HC COCAINE OR METABOLITE ASSAY,112.0,112.0,,,0
HCPCS,82523,Collagen crosslinks,,,18.68,67.86,7
HCPCS,82523,"HC C-TELOPRPTIDE, SERUM",113.0,113.0,,,0
HCPCS,82523,HC COLLAGEN CROSS LINK,65.0,65.0,,,0
HCPCS,82523,HC COLLAGEN CROSS LINKS,59.0,59.0,,,0
HCPCS,82525,Assay of copper,,,12.41,53.29,7
HCPCS,82525,HC COPPER,334.0,334.0,,,0
HCPCS,82525,HC COPPER  82525,250.0,250.0,,,0
HCPCS,82525,HC COPPER 82525,102.0,102.0,,,0
HCPCS,82525,"HC COPPER, URINE 82525",250.0,250.0,,,0
HCPCS,82525,"HC COPPER,URINE 82525",102.0,102.0,,,0
HCPCS,82528,Assay of corticosterone,,,22.52,115.11,7
HCPCS,82528,HC CORTICOSTERONE,266.0,266.0,,,0
HCPCS,82530,Cortisol free,,,16.71,85.46,7
HCPCS,82530,HC CORTISOL; FREE,199.0,199.0,,,0
HCPCS,82533,HC CORTISOL PLASMA TOTAL 825,184.0,184.0,,,0
HCPCS,82533,HC CORTISOL; TOTAL,348.0,348.0,,,0
HCPCS,82533,Total cortisol,,,16.3,83.37,7
HCPCS,82540,Assay of creatine,,,4.64,23.72,7
HCPCS,82540,HC CREATINE,218.0,218.0,,,0
HCPCS,82540,HC CREATINE  82540,163.0,163.0,,,0
HCPCS,82540,HC CREATINE-URINE-24 HRS.825,163.0,163.0,,,0
HCPCS,82540,HC CREATINE-URINE-24HRS.8254,65.0,65.0,,,0
HCPCS,82542,Col chromotography qual/quan,,,24.09,92.34,7
HCPCS,82542,HC CC/MS; QUAN SS & MP,356.0,356.0,,,0
HCPCS,82542,HC MARIJUANA QUANT,90.0,90.0,,,0
HCPCS,82542,HC METHAQUALONE,87.0,87.0,,,0
HCPCS,82542,HC ROHYPNOL,266.0,266.0,,,0
HCPCS,82543,HC CC/MS - SGL ANALYTE QUAN,159.0,159.0,,,0
HCPCS,82544,HC CC/MS - MULTI ANALYTES QUAN,159.0,159.0,,,0
HCPCS,82550,Assay of ck (cpk),,,6.51,33.31,7
HCPCS,82550,HC CPK; TOTAL,106.0,106.0,,,0
HCPCS,82550,HC CREATINE PHOSPH 82550,154.0,154.0,,,0
HCPCS,82552,Assay of cpk in blood,,,13.39,68.48,7
HCPCS,82552,HC CPK ISOENZYMES 82552,320.0,320.0,,,0
HCPCS,82552,HC CPK ISOENZYMES82552,130.0,130.0,,,0
HCPCS,82552,HC CPK: ISOENZYMES,430.0,430.0,,,0
HCPCS,82553,Creatine mb fraction,,,11.55,41.67,7
HCPCS,82553,HC CK MB  82553,235.0,235.0,,,0
HCPCS,82553,HC CK MB 82553,97.0,97.0,,,0
HCPCS,82553,HC CPK: MB FRACTION ONLY,166.0,166.0,,,0
HCPCS,82554,Creatine isoforms,,,11.87,60.68,7
HCPCS,82554,HC CPK; ISOFORMS,140.0,140.0,,,0
HCPCS,82565,Assay of creatinine,,,5.12,26.21,7
HCPCS,82565,HC CREATININE-BLD,152.0,152.0,,,0
HCPCS,82565,HC CREATININE-BLD 82565,62.0,62.0,,,0
HCPCS,82565,HC CREATININE; BLOOD,103.5,103.5,,,0
HCPCS,82565,HC POCT CREATININE W/EFGR,143.0,143.0,,,0
HCPCS,82565,HC POCT CREATININE; BLOOD,192.0,192.0,,,0
HCPCS,82570,Assay of urine creatinine,,,5.18,26.46,7
HCPCS,82570,HC ASSAY OF URINE CREATININE,22.0,22.0,,,0
HCPCS,82570,HC COLLAGEN CROSS LINK OTHER,65.0,65.0,,,0
HCPCS,82570,HC CREATININE-UR OR OTHR SOU,63.5,63.5,,,0
HCPCS,82570,HC CREATININE; NOT BLOOD,65.0,65.0,,,0
HCPCS,82575,Creatinine clearance test,,,9.46,48.31,7
HCPCS,82575,HC CREATINE CLEAR 82575,108.0,108.0,,,0
HCPCS,82575,HC CREATININE; CLEARANCE,207.0,207.0,,,0
HCPCS,82585,Assay of cryofibrinogen,,,14.14,51.18,7
HCPCS,82585,HC CRYFIBRINOGEN 82585,65.0,65.0,,,0
HCPCS,82585,HC CRYOFIBRINOGEN,142.0,142.0,,,0
HCPCS,82595,Assay of cryoglobulin,,,6.47,33.09,7
HCPCS,82595,HC CRYOGLOBULIN - QUAL/SEMI QUAN,228.0,228.0,,,0
HCPCS,82595,HC CRYOGLOBULIN QUAL/SEMIQT,170.0,170.0,,,0
HCPCS,82595,"HC CRYOGLOBULIN,QU82595",154.0,154.0,,,0
HCPCS,82595,"HC CRYOGLOBULIN,QUAL/SEMIQT",62.0,62.0,,,0
HCPCS,82600,Assay of cyanide,,,19.4,99.22,7
HCPCS,82600,HC CYANIDE,430.0,430.0,,,0
HCPCS,82600,HC CYANIDE 82600,225.0,225.0,,,0
HCPCS,82607,HC VITAMIN B-12 82607,208.0,208.0,,,0
HCPCS,82607,HC VITAMIN B-12 LEVEL,233.0,233.0,,,0
HCPCS,82607,Vitamin B-12,,,15.08,77.08,7
HCPCS,82608,B-12 binding capacity,,,14.32,73.24,7
HCPCS,82608,HC VIT  B-12; UNSATURATED BC,90.0,90.0,,,0
HCPCS,82608,HC VIT B12 UNSAT. BNDNG CAPA,67.0,67.0,,,0
HCPCS,82610,Cystatin c,,,18.52,70.46,7
HCPCS,82610,HC CYSTATIN C,162.0,162.0,,,0
HCPCS,82615,HC CYSTINE & HC URINE QUAL,96.0,96.0,,,0
HCPCS,82615,"HC CYSTINE,QL-UR 82615",38.0,38.0,,,0
HCPCS,82615,Test for urine cystines,,,9.55,41.76,7
HCPCS,82626,Dehydroepiandrosterone,,,25.27,129.23,7
HCPCS,82626,HC DHEA,300.0,300.0,,,0
HCPCS,82627,Dehydroepiandrosterone,,,22.23,113.72,7
HCPCS,82627,HC DHEA-S,51.0,51.0,,,0
HCPCS,82633,Desoxycorticosterone,,,30.98,158.4,7
HCPCS,82633,HC DESOXYCORTICOSTERONE 11,384.0,384.0,,,0
HCPCS,82633,HC DESOXYCORTOCOSTERONE REF,286.0,286.0,,,0
HCPCS,82634,Deoxycortisol,,,29.28,149.69,7
HCPCS,82634,HC DEOXYCORTISOL 11,345.0,345.0,,,0
HCPCS,82638,Assay of dibucaine number,,,12.25,59.51,7
HCPCS,82638,HC CHOLINEST&DDIBUC 82638,46.0,46.0,,,0
HCPCS,82638,HC DDIBUC 82638,152.0,152.0,,,0
HCPCS,82638,HC DIBUCAINE NUMBER,203.0,203.0,,,0
HCPCS,82642,Dihydrotestosterone,,,29.28,119.06,7
HCPCS,82642,HC DIHYDROTESTOSTERONE (DHT),152.0,152.0,,,0
HCPCS,82646,HC DIHYDROCODEINONE QUAN,192.0,192.0,,,0
HCPCS,82646,HC HYDROCODONE LEVEL URINE,212.0,212.0,,,0
HCPCS,82649,HC DIHYDROMORPHINONE QUAN,228.0,228.0,,,0
HCPCS,82649,"HC HYDROMORPONE, UR",130.0,130.0,,,0
HCPCS,82651,HC DIHYDROTESTOSTERONE,113.0,113.0,,,0
HCPCS,82652,HC VIT D 1 25-DIHYDROXY,540.0,540.0,,,0
HCPCS,82652,"HC VITAMIN D,1,25-DIHYDROXY",776.0,776.0,,,0
HCPCS,82652,Vit d 1 25-dihydroxy,,,38.5,196.83,7
HCPCS,82653,El-1 fecal quantitative,,,22.97,84.07,7
HCPCS,82653,HC EL-1 FECAL QUANTITATIVE,242.0,242.0,,,0
HCPCS,82656,HC PANCREATIC ELASTASE FECAL,242.0,242.0,,,0
HCPCS,82656,Pancreatic elastase fecal,,,11.53,56.33,7
HCPCS,82657,Enzyme cell activity,,,22.17,92.34,7
HCPCS,82657,"HC ENZYME ACTIVITY BC; NOT RA, EACH SPECIMEN",962.0,962.0,,,0
HCPCS,82657,"HC ENZYME EVAL; ALPHA GALA, EACH SPECIMEN",253.0,253.0,,,0
HCPCS,82657,HC TPMT ENZYME ACTIVITY,718.0,718.0,,,0
HCPCS,82658,Enzyme cell activity ra,,,44.03,159.51,7
HCPCS,82658,HC ENZYME ACTIVITY BC; RA,213.0,213.0,,,0
HCPCS,82664,Electrophoretic test,,,61.5,223.8,7
HCPCS,82664,HC CHYLOMICRONS (FLUID),262.0,262.0,,,0
HCPCS,82664,HC ELECTROPHORESIS NES,227.0,227.0,,,0
HCPCS,82664,HC ELECTROPHORETIC TECHNIQUE,168.0,168.0,,,0
HCPCS,82668,Assay of erythropoietin,,,18.79,88.97,7
HCPCS,82668,HC ERYTHROPOETIN 82668,208.5,208.5,,,0
HCPCS,82668,HC ERYTHROPOIETIN,407.0,407.0,,,0
HCPCS,82670,Assay of estradiol,,,27.94,142.89,7
HCPCS,82670,HC ESTRADIOL BY RI82670,295.0,295.0,,,0
HCPCS,82670,HC ESTRADIOL; TOTAL,292.5,292.5,,,0
HCPCS,82671,Assay of estrogens,,,32.3,165.18,7
HCPCS,82671,HC ESTROGENS; FRACTIONATED,580.0,580.0,,,0
HCPCS,82671,HC EXTROGEN-FRACTIONATED 826,432.0,432.0,,,0
HCPCS,82672,Assay of estrogen,,,21.7,107.13,7
HCPCS,82672,"HC ESTROGEN,TOTAL 82672",255.5,255.5,,,0
HCPCS,82672,HC ESTROGENS(BLOOD) TOTAL,98.0,98.0,,,0
HCPCS,82672,HC ESTROGENS; TOTAL,132.0,132.0,,,0
HCPCS,82677,Assay of estriol,,,24.18,123.67,7
HCPCS,82677,HC ESTRIOL 82677,137.0,137.0,,,0
HCPCS,82677,HC ESTRIOL UNCONJUGATED,184.0,184.0,,,0
HCPCS,82679,Assay of estrone,,,24.95,127.66,7
HCPCS,82679,HC ESTRONE,260.0,260.0,,,0
HCPCS,82681,Assay dir meas fr estradiol,,,27.94,102.26,7
HCPCS,82681,HC ASSAY DIR MEAS FR ESTRADIOL,550.0,550.0,,,0
HCPCS,82690,HC ETHCHLORVYNOL,274.0,274.0,,,0
HCPCS,82690,HC PLACIDYL,197.0,197.0,,,0
HCPCS,82693,Assay of ethylene glycol,,,14.9,65.92,7
HCPCS,82693,HC ETHYLENE GLYCOL,69.0,69.0,,,0
HCPCS,82693,"HC ETHYLENE GLYCOL, BLOOD",52.0,52.0,,,0
HCPCS,82696,Assay of etiocholanolone,,,26.24,120.6,7
HCPCS,82705,Fats/lipids feces qual,,,5.1,26.02,7
HCPCS,82705,HC FAT STAIN QT,123.0,123.0,,,0
HCPCS,82705,HC FAT/LIPIDS FECES; QUAL,123.0,123.0,,,0
HCPCS,82705,HC FECAL FAT QUAL.,63.5,63.5,,,0
HCPCS,82710,Fats/lipids feces quant,,,16.8,85.9,7
HCPCS,82710,"HC FAT, FECAL, TOTAL 82710QT",132.0,132.0,,,0
HCPCS,82710,"HC FAT,FECAL,QUANT 48 HRS 82",322.0,322.0,,,0
HCPCS,82710,"HC FAT,FECAL,QUANT 72 HRS 82",322.0,322.0,,,0
HCPCS,82710,HC FAT/LIPIDS FECES; QUAN,432.0,432.0,,,0
HCPCS,82715,Assay of fecal fat,,,22.97,83.34,7
HCPCS,82715,HC FAT DIFFERENTIAL FECES QUAN,105.0,105.0,,,0
HCPCS,82715,HC FAT STAIN QT,35.0,35.0,,,0
HCPCS,82725,Assay of blood fatty acids,,,18.77,68.08,7
HCPCS,82725,HC FATTY AC FREE 82725,65.0,65.0,,,0
HCPCS,82725,HC FATTY AC FREE Q 82725,134.0,134.0,,,0
HCPCS,82725,HC FATTY ACIDS NONESTERIFIED,124.0,124.0,,,0
HCPCS,82726,HC VERY LONG FATTY ACID CHAINS,213.0,213.0,,,0
HCPCS,82726,Long chain fatty acids,,,19.75,92.34,7
HCPCS,82728,Assay of ferritin,,,13.63,69.65,7
HCPCS,82728,HC FERRITIN,408.0,408.0,,,0
HCPCS,82728,HC FERRITIN ASSAY 82728,215.5,215.5,,,0
HCPCS,82731,Assay of fetal fibronectin,,,64.41,329.36,7
HCPCS,82731,HC FETAL FIBRONECTIN  82731,790.0,790.0,,,0
HCPCS,82731,HC FETAL FIBRONECTIN CV SEMIQUAN,1060.0,1060.0,,,0
HCPCS,82735,Assay of fluoride,,,18.54,94.83,7
HCPCS,82742,HC FLURAZEPAM,329.0,329.0,,,0
HCPCS,82742,HC PROZAC (FLUOXETINE),329.0,329.0,,,0
HCPCS,82746,Assay of folic acid serum,,,14.7,75.18,7
HCPCS,82746,HC FOLIC ACID 82746,90.0,90.0,,,0
HCPCS,82746,HC FOLIC ACID SER 82746,212.0,212.0,,,0
HCPCS,82746,HC FOLIC ACID; SERUM,212.5,212.5,,,0
HCPCS,82747,Assay of folic acid rbc,,,17.65,88.1,7
HCPCS,82747,HC FOLIC ACID; RBC,293.0,293.0,,,0
HCPCS,82747,HC RBC FOLATE,150.0,150.0,,,0
HCPCS,82757,Assay of semen fructose,,,17.34,88.72,7
HCPCS,82757,HC FRUCTOSE SEMEN,206.0,206.0,,,0
HCPCS,82759,Assay of rbc galactokinase,,,21.48,109.84,7
HCPCS,82759,HC GALACTOKINASE RBC,254.0,254.0,,,0
HCPCS,82760,Assay of galactose,,,11.2,57.24,7
HCPCS,82760,HC GALACTOSE,343.0,343.0,,,0
HCPCS,82760,HC GALACTOSE 82760,170.0,170.0,,,0
HCPCS,82760,HC GALACTOSE TOLER 82760,256.0,256.0,,,0
HCPCS,82775,Assay galactose transferase,,,21.07,107.71,7
HCPCS,82775,HC GALACTOSEMIA; QUAN,248.0,248.0,,,0
HCPCS,82776,Galactose transferase test,,,11.74,42.86,7
HCPCS,82777,Galectin-3,,,44.25,160.71,7
HCPCS,82784,Assay iga/igd/igg/igm each,,,9.3,47.54,7
HCPCS,82784,HC ANTI-GAMMA GLOB,195.0,195.0,,,0
HCPCS,82784,HC ASSAY IGA/IGD/IGG/IGM EACH,147.0,147.0,,,0
HCPCS,82784,"HC ASSAY, IG/IGD/IGG/IGM EA",39.0,39.0,,,0
HCPCS,82784,"HC IGA, IGG, IGM-QT EACH 827",195.0,195.0,,,0
HCPCS,82784,"HC IGA,IGD,IGG,IGM,EACH 8278",476.0,476.0,,,0
HCPCS,82784,HC IGG CSF REF,46.0,46.0,,,0
HCPCS,82784,HC IGG INDEX REF,46.0,46.0,,,0
HCPCS,82784,HC IGG SERUM REF,46.0,46.0,,,0
HCPCS,82784,HC IMMUNNGLOB-IGD 82784,140.0,140.0,,,0
HCPCS,82784,HC IMMUNO-IGG-CSF 82784,113.0,113.0,,,0
HCPCS,82784,HC IMMUNOGLOB-IGD 82784,335.0,335.0,,,0
HCPCS,82784,HC IMMUNOGLOBULIN M QT REF,46.0,46.0,,,0
HCPCS,82784,"HC IMMUNOGLOBULINS(IGA,IGG,I",50.0,50.0,,,0
HCPCS,82785,Assay of ige,,,16.46,84.22,7
HCPCS,82785,HC ASSAY OF IGE,430.0,430.0,,,0
HCPCS,82785,HC IGE-QUANT 82785,225.0,225.0,,,0
HCPCS,82787,HC IGG 1 2 3 OR 4 EACH,207.0,207.0,,,0
HCPCS,82787,HC IMMUNOGLOBULIN SUBCLASSES,154.0,154.0,,,0
HCPCS,82787,Igg 1 2 3 or 4 each,,,8.02,40.99,7
HCPCS,82800,Blood pH,,,11.0,43.3,7
HCPCS,82800,HC BLOOD GAS PH ONLY,33.0,33.0,,,0
HCPCS,82800,HC PH,24.0,24.0,,,0
HCPCS,82800,HC PH CORD BLOOD 82800,135.0,135.0,,,0
HCPCS,82803,Blood gases any combination,,,26.07,98.97,7
HCPCS,82803,HC ART BLOOD GASES 82803,335.5,335.5,,,0
HCPCS,82803,HC BLOOD GAS MIXED WO O2 SAT,448.0,448.0,,,0
HCPCS,82803,HC GASES PCO2 82803,114.0,114.0,,,0
HCPCS,82803,"HC GASES, PO2 82803",114.0,114.0,,,0
HCPCS,82803,"HC GASES,BLOOD 82803",176.0,176.0,,,0
HCPCS,82805,Blood gases w/o2 saturation,,,78.77,286.89,7
HCPCS,82805,HC BLOOD GASES W/02 SATURATION,336.0,336.0,,,0
HCPCS,82810,Blood gases o2 sat only,,,9.77,44.65,7
HCPCS,82810,HC BLOOD GASES O2 SAT ONLY,240.0,240.0,,,0
HCPCS,82810,"HC GASES, OXYGEN SA 82792",178.0,178.0,,,0
HCPCS,82820,HC HEMOGLOBIN-OXYGEN AFFINITY,118.0,118.0,,,0
HCPCS,82820,Hemoglobin-oxygen affinity,,,13.34,51.09,7
HCPCS,82930,Gastric analy w/ph ea spec,,,6.71,33.49,7
HCPCS,82930,HC GASTRIC ANALY W/PH EA SPEC,65.0,65.0,,,0
HCPCS,82930,HC GASTRICE PH FREE & TOTAL,43.0,43.0,,,0
HCPCS,82938,Gastrin test,,,17.69,90.48,7
HCPCS,82941,Assay of gastrin,,,17.63,90.18,7
HCPCS,82941,HC GASTRI  82941,284.0,284.0,,,0
HCPCS,82941,HC GASTRIN,382.0,382.0,,,0
HCPCS,82941,HC GASTTRI BY RIA 82941,116.0,116.0,,,0
HCPCS,82943,Assay of glucagon,,,13.07,52.38,7
HCPCS,82943,HC GLUCAGON,89.0,89.0,,,0
HCPCS,82945,Glucose Other Fluid,,,3.93,20.06,7
HCPCS,82945,HC GLUCOSE BODY FLUID NOT BLOOD,123.0,123.0,,,0
HCPCS,82945,HC GLUCOSE-CSF-QT,63.5,63.5,,,0
HCPCS,82945,HC GLUCOSE-UR-QT,35.0,35.0,,,0
HCPCS,82945,HC GLUCOSE;24 HR UR,92.0,92.0,,,0
HCPCS,82945,HC SUGAR-UR-QT,64.0,64.0,,,0
HCPCS,82946,Glucagon tolerance test,,,17.77,77.08,7
HCPCS,82947,Assay glucose blood quant,,,3.93,20.06,7
HCPCS,82947,HC GLUCOSE QUANT,102.0,102.0,,,0
HCPCS,82947,HC GLUCOSE; QUAN BLOOD,70.0,70.0,,,0
HCPCS,82947,HC NASH FIBROSURE*,729.0,729.0,,,0
HCPCS,82948,HC POCT GLUCOSE QT BLD,32.0,32.0,,,0
HCPCS,82948,HC POCT GLUCOSE; BLOOD REAGENT STRIP,44.0,44.0,,,0
HCPCS,82948,Reagent strip/blood glucose,,,5.04,17.85,7
HCPCS,82950,Glucose test,,,4.75,24.3,7
HCPCS,82950,HC GLUCOSE 2HE 82950,92.0,92.0,,,0
HCPCS,82950,HC GLUCOSE; POST GLUCOSE DOSE,123.0,123.0,,,0
HCPCS,82951,Glucose tolerance test (GTT),,,12.87,65.84,7
HCPCS,82951,HC GLUCOSE TOLERANCE TEST (GTT) 3 SPECM,240.0,240.0,,,0
HCPCS,82951,HC GTT 1ST 3 OF 5,242.0,242.0,,,0
HCPCS,82951,HC GTT 1ST 3 OF 6,294.0,294.0,,,0
HCPCS,82951,HC GTT 1ST 3 OF 7,354.0,354.0,,,0
HCPCS,82951,HC GTT-FIRST 3,190.0,190.0,,,0
HCPCS,82951,HC LAC BL SET 82951,132.0,132.0,,,0
HCPCS,82951,HC OB GLUCOSE CHALLENGE,178.0,178.0,,,0
HCPCS,82952,GTT-added samples,,,3.92,14.71,7
HCPCS,82952,HC GTT EACH ADD,61.0,61.0,,,0
HCPCS,82952,HC GTT EACH ADD 5TH,61.0,61.0,,,0
HCPCS,82952,HC GTT EACH ADD 6TH,61.0,61.0,,,0
HCPCS,82952,HC GTT EAD ADD 7TH,61.0,61.0,,,0
HCPCS,82952,HC GTT-ADDED SAMPLES,82.0,82.0,,,0
HCPCS,82952,HC GTT-EACH ADD SP 82952,30.0,30.0,,,0
HCPCS,82952,HC LACTOSE TOL EA 82952,30.0,30.0,,,0
HCPCS,82953,HC GLUCOSE; TOLBUTAMIDE TOLERANCE,209.0,209.0,,,0
HCPCS,82953,HC ORINASE TOLER 82953,158.0,158.0,,,0
HCPCS,82955,Assay of g6pd enzyme,,,9.7,44.73,7
HCPCS,82955,HC C-6-PD,164.0,164.0,,,0
HCPCS,82955,HC G6PD; QUAN,314.0,314.0,,,0
HCPCS,82960,HC G6PD; SCREEN,73.0,73.0,,,0
HCPCS,82960,Test for G6PD enzyme,,,6.05,31.0,7
HCPCS,82962,Glucose blood test,,,3.28,11.97,7
HCPCS,82962,HC GLUCOSE; BLD BY MONITOR DEVICE,27.0,27.0,,,0
HCPCS,82963,Assay of glucosidase,,,21.48,109.84,7
HCPCS,82963,"HC GLUCOSIDASE, BETA",95.0,95.0,,,0
HCPCS,82965,Assay of gdh enzyme,,,13.15,47.61,7
HCPCS,82975,HC GLUTAMINE,126.0,126.0,,,0
HCPCS,82977,Assay of GGT,,,7.2,36.82,7
HCPCS,82977,HC ASSAY OF GGT,32.0,32.0,,,0
HCPCS,82977,HC GG TRANSPEPTID 82977,200.0,200.0,,,0
HCPCS,82977,HC GLUTAMYLTRANSFERASE GAMMA,193.0,193.0,,,0
HCPCS,82978,Assay of glutathione,,,15.45,55.95,7
HCPCS,82979,Assay rbc glutathione,,,9.44,35.21,7
HCPCS,82980,HC GLUTETHIMIDE,322.0,322.0,,,0
HCPCS,82980,HC GLUTETHIMIDE-BL 82980,147.0,147.0,,,0
HCPCS,82980,HC GLUTETHIMIDE-BL82980,357.0,357.0,,,0
HCPCS,82980,HC GLUTETHIMIDE-UR 82980,147.0,147.0,,,0
HCPCS,82980,HC GLUTETHIMIDE-UR82980,357.0,357.0,,,0
HCPCS,82985,Assay of glycated protein,,,16.76,77.08,7
HCPCS,82985,HC FRUCTOSAMINE,42.0,42.0,,,0
HCPCS,82985,HC GLYCATED PROTEIN,56.0,56.0,,,0
HCPCS,83001,Assay of gonadotropin (fsh),,,18.58,95.05,7
HCPCS,83001,HC FSH BY RIA 83001,456.0,456.0,,,0
HCPCS,83001,HC GONADOTROPIN; FSH,321.0,321.0,,,0
HCPCS,83002,Assay of gonadotropin (lh),,,18.52,94.72,7
HCPCS,83002,HC GONADOTROPIN; LUTEINIZING HORMONE,321.0,321.0,,,0
HCPCS,83002,HC L-H BY RIA 83002,318.0,318.0,,,0
HCPCS,83003,Assay growth hormone (hgh),,,16.67,85.24,7
HCPCS,83003,HC GROWTH HORMONE 83003,264.5,264.5,,,0
HCPCS,83003,HC GROWTH HORMONE HUMAN,550.0,550.0,,,0
HCPCS,83006,Growth stimulation gene 2,,,75.6,274.98,7
HCPCS,83009,H pylori (c-13) blood,,,67.36,344.44,7
HCPCS,83010,Assay of haptoglobin quant,,,12.58,64.34,7
HCPCS,83010,HC ASSAY OF HAPTOGLOBIN QT,53.0,53.0,,,0
HCPCS,83010,HC HAPTOGLOBIN 83010 QT,120.0,120.0,,,0
HCPCS,83010,HC HAPTOGLOBIN 83010 QUANT,292.0,292.0,,,0
HCPCS,83010,HC HAPTOGLOBIN; QUAN,392.0,392.0,,,0
HCPCS,83012,Assay of haptoglobins,,,26.89,97.62,7
HCPCS,83013,H pylori (c-13) breath,,,67.36,344.44,7
HCPCS,83013,HC H PYLORI (C-13) BREATH TEST,795.0,795.0,,,0
HCPCS,83014,H pylori drug admin,,,7.86,40.19,7
HCPCS,83015,HC HEAVY METAL; SCREEN,1077.0,1077.0,,,0
HCPCS,83015,HC METAL SCREEN 83015,446.0,446.0,,,0
HCPCS,83015,Heavy metal qual any anal,,,20.94,88.97,7
HCPCS,83018,HC COBALT SERUM/PLASMA QT,118.0,118.0,,,0
HCPCS,83018,HC HEAVY METAL QNT EACH,136.0,136.0,,,0
HCPCS,83018,HC HEAVY METAL; QUAN,158.0,158.0,,,0
HCPCS,83018,Heavy metal quant each nes,,,21.96,112.29,7
HCPCS,83020,HC ELECTROPHOR-HGB83020,207.5,207.5,,,0
HCPCS,83020,HC HGB FRACT & QUAN; EP,394.0,394.0,,,0
HCPCS,83020,Hemoglobin electrophoresis,,,12.87,65.84,7
HCPCS,83021,HC HGB CHROMATOGRAPHY,213.0,213.0,,,0
HCPCS,83021,Hemoglobin chromotography,,,18.06,92.34,7
HCPCS,83026,Hemoglobin copper sulfate,,,4.01,14.28,7
HCPCS,83030,Fetal hemoglobin chemical,,,10.74,42.31,7
HCPCS,83030,"HC HEMOGLOBIN, FETA 83030",78.0,78.0,,,0
HCPCS,83030,"HC HEMOGLOBIN,FETA 83030",192.0,192.0,,,0
HCPCS,83030,HC HGB; FETAL CHEMICAL,258.0,258.0,,,0
HCPCS,83033,Fetal hemoglobin assay qual,,,8.0,29.5,7
HCPCS,83033,HC HGB; FETAL QUAL,68.0,68.0,,,0
HCPCS,83036,Glycosylated hemoglobin test,,,9.71,49.63,7
HCPCS,83036,HC GLYCOSYLATED HEMOGLOBIN TEST,161.0,161.0,,,0
HCPCS,83036,HC HEMOGLOBIN GYLC 83036,90.0,90.0,,,0
HCPCS,83036,HC HEMOGLOBIN GYLC83036,218.0,218.0,,,0
HCPCS,83037,Glycosylated hb home device,,,9.71,50.33,7
HCPCS,83045,Blood methemoglobin test,,,6.49,25.36,7
HCPCS,83045,HC HGB; METHEMOGLOBIN QUAL,58.0,58.0,,,0
HCPCS,83050,Blood methemoglobin assay,,,8.2,29.76,7
HCPCS,83050,"HC HB-METH, SULF, ET 83050",69.0,69.0,,,0
HCPCS,83050,"HC HB-METH, SULF, QT 83050",170.0,170.0,,,0
HCPCS,83050,HC HBG; METHEMOGLOBIN QUAN,228.0,228.0,,,0
HCPCS,83051,Assay of plasma hemoglobin,,,7.31,37.37,7
HCPCS,83051,HC HGB; PLASMA,272.0,272.0,,,0
HCPCS,83051,HC PLASMA HGB,143.0,143.0,,,0
HCPCS,83060,Blood sulfhemoglobin assay,,,8.8,42.31,7
HCPCS,83065,Assay of hemoglobin heat,,,9.0,35.21,7
HCPCS,83068,HC HEMOGLOBIN; UNSTABLE SCREEN,26.0,26.0,,,0
HCPCS,83068,Hemoglobin stability screen,,,9.47,34.53,7
HCPCS,83069,Assay of urine hemoglobin,,,3.95,20.17,7
HCPCS,83070,Assay of hemosiderin qual,,,4.75,24.3,7
HCPCS,83070,HC HEMOSIDERIN QUAL 83070,67.5,67.5,,,0
HCPCS,83070,HC HEMOSIDERIN; QUAL,134.0,134.0,,,0
HCPCS,83071,HC HEMOSIDERIN QUANT 83071,168.0,168.0,,,0
HCPCS,83071,HC HEMOSIDERIN; QUANT,168.0,168.0,,,0
HCPCS,83080,Assay of b hexosaminidase,,,16.87,86.27,7
HCPCS,83080,HC B-HEXOSAMINIDASE EA ASSAY,199.0,199.0,,,0
HCPCS,83088,Assay of histamine,,,29.53,151.01,7
HCPCS,83088,HC HISTAMINE,1090.0,1090.0,,,0
HCPCS,83088,HC HISTAMINE 83088,574.5,574.5,,,0
HCPCS,83090,Assay Of Homocystine,,,17.92,86.27,7
HCPCS,83090,HC ASSAY OF HOMOCYSTINE,523.0,523.0,,,0
HCPCS,83090,"HC HOMOCYSTINE, QUAN.",390.0,390.0,,,0
HCPCS,83150,Assay of homovanillic acid,,,22.41,98.97,7
HCPCS,83150,HC HOMOVANILIC ACI 83150,367.5,367.5,,,0
HCPCS,83150,HC HOMOVANILLIC ACID,696.0,696.0,,,0
HCPCS,83491,Assay of corticosteroids 17,,,17.9,89.56,7
HCPCS,83491,HC 17-HYDROXYCORT,84.0,84.0,,,0
HCPCS,83491,HC 17-HYDROXYCORT 83491,204.0,204.0,,,0
HCPCS,83491,HC 17-OHCS,273.0,273.0,,,0
HCPCS,83491,HC CORTICOSTEROIDS 83491,216.0,216.0,,,0
HCPCS,83497,Assay of 5-hiaa,,,12.9,65.92,7
HCPCS,83497,HC 5-HIAA,327.0,327.0,,,0
HCPCS,83497,HC 5-HIAA QT 83497,171.5,171.5,,,0
HCPCS,83498,Assay of progesterone 17-d,,,27.17,138.9,7
HCPCS,83498,HC 17-HYDROXYPROGESTERONE,136.0,136.0,,,0
HCPCS,83498,HC HYDROXYPROGESTERONE 17-D,182.0,182.0,,,0
HCPCS,83500,Assay free hydroxyproline,,,22.65,115.84,7
HCPCS,83500,HC HYDROXYPROLINE; FREE,380.0,380.0,,,0
HCPCS,83500,HC HYDRXYPRLN FREE 83500,258.0,258.0,,,0
HCPCS,83505,Assay total hydroxyproline,,,24.3,124.29,7
HCPCS,83505,HC HYDROXYPROLINE; TOTAL,381.0,381.0,,,0
HCPCS,83505,HC HYDRXPRLN TOT 83505,232.0,232.0,,,0
HCPCS,83505,HC HYDRXYPRLN TOT 83505,286.0,286.0,,,0
HCPCS,83516,HC ANTI-SM MUSCLE,298.0,298.0,,,0
HCPCS,83516,HC HISTINE ANTIBODY,94.0,94.0,,,0
HCPCS,83516,HC IMMUNOASSAY NONANTIBODY,172.0,172.0,,,0
HCPCS,83516,HC PARIETAL CELL ANTIBODY,62.0,62.0,,,0
HCPCS,83516,HC TISSUE TRANSGLUTIMANASE,195.0,195.0,,,0
HCPCS,83516,Immunoassay nonantibody,,,11.53,56.33,7
HCPCS,83518,HC IMMUNOASSAY DIPSTICK,101.0,101.0,,,0
HCPCS,83518,Immunoassay dipstick,,,9.64,43.37,7
HCPCS,83519,HC ACETYLCHOLINE BLOCKING AB,127.0,127.0,,,0
HCPCS,83519,HC ACETYLCHOLINE MODULATING,127.0,127.0,,,0
HCPCS,83519,HC ALPHA SUB UNIT,272.0,272.0,,,0
HCPCS,83519,HC GLUTAMIC ACID DECARBOXYLA,164.0,164.0,,,0
HCPCS,83519,HC MUSK ANTIBODY*,1412.0,1412.0,,,0
HCPCS,83519,HC PEPSINOGEN,306.0,306.0,,,0
HCPCS,83519,HC PTH-RELATED PROTEIN,248.0,248.0,,,0
HCPCS,83519,HC REF-AUTO ANTI-IGA QT,123.0,123.0,,,0
HCPCS,83519,HC RIA NONANTIBODY,145.0,145.0,,,0
HCPCS,83519,HC TRYPSIN IMMUNOASSAY,276.0,276.0,,,0
HCPCS,83519,HC TRYPSINOGEN IMMUNOASSAY,326.0,326.0,,,0
HCPCS,83519,HC VOLTAGE GATED CALCIUM CHN,230.0,230.0,,,0
HCPCS,83519,Ria nonantibody,,,18.4,69.1,7
HCPCS,83520,HC ACHR/MUSK REFLEX ANTIBODY,74.0,74.0,,,0
HCPCS,83520,"HC ADMARK TAU, CSF",2175.0,2175.0,,,0
HCPCS,83520,HC ANTI GLIADIN 1ST,80.0,80.0,,,0
HCPCS,83520,HC ANTI GLIADIN 2ND,80.0,80.0,,,0
HCPCS,83520,HC ANTI GMB ANTIBODY,193.0,193.0,,,0
HCPCS,83520,HC ANTI MULLERIAN ASSESSR TM,230.0,230.0,,,0
HCPCS,83520,"HC CAFFEINE,SERUM",154.0,154.0,,,0
HCPCS,83520,HC CHYMOPAPAI,420.0,420.0,,,0
HCPCS,83520,HC CYCLIC CITRULLIN PEPTIDE,248.0,248.0,,,0
HCPCS,83520,HC CYTOKINE 13 PANEL (13),26.0,26.0,,,0
HCPCS,83520,HC DHA-DEHYDROAND,550.0,550.0,,,0
HCPCS,83520,HC DIGITOXIN,67.0,67.0,,,0
HCPCS,83520,HC GANGLIOSIDE GM1 FIRST,80.0,80.0,,,0
HCPCS,83520,HC GANGLIOSIDE GM1 SECOND,80.0,80.0,,,0
HCPCS,83520,HC GROWTH HORMONE BINDING PROTEIN,154.0,154.0,,,0
HCPCS,83520,HC IBD IMMONOASSAY QT,54.0,54.0,,,0
HCPCS,83520,HC IBD IMMUNOASSAY QT,54.0,54.0,,,0
HCPCS,83520,HC IBD STEP GENERATION II SO,454.0,454.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB,565.0,565.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (10),40.0,40.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (115),342.0,342.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (130),386.0,386.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (170),505.0,505.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (205),609.0,609.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (240),713.0,713.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (25),99.0,99.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (35),140.0,140.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (40),158.0,158.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (45),154.0,154.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (50),198.0,198.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (65),52.0,52.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (94),372.0,372.0,,,0
HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB (135),401.0,401.0,,,0
HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB (180),534.0,534.0,,,0
HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB (184),458.0,458.0,,,0
HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB (20),79.0,79.0,,,0
HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB (25),99.0,99.0,,,0
HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB (270),802.0,802.0,,,0
HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB (354),1052.0,1052.0,,,0
HCPCS,83520,"HC IMMUNOASSAY, NOS PART OF PANEL",86.0,86.0,,,0
HCPCS,83520,"HC IMMUNOASSAY, NOT OTHERWISE SPECIFIED(12)",52.0,52.0,,,0
HCPCS,83520,"HC IMMUNOASSAY, NOT OTHERWISE SPECIFIED(32)",52.0,52.0,,,0
HCPCS,83520,HC INHIBIN B,273.0,273.0,,,0
HCPCS,83520,HC INHIBIN-B       QUEST,174.0,174.0,,,0
HCPCS,83520,HC PARANEOPLASTIC PROFILE,592.0,592.0,,,0
HCPCS,83520,HC PROTHROMBIN FRAGMENT 1.2,154.0,154.0,,,0
HCPCS,83520,HC RNA POLYMERASE I-III IGG,74.0,74.0,,,0
HCPCS,83520,HC SOLUBLE LIVER ANTIGEN   QUEST,83.0,83.0,,,0
HCPCS,83520,HC SULFATIDE ANTIBODY TEST,440.5,440.5,,,0
HCPCS,83520,HC TRYPTASE,168.0,168.0,,,0
HCPCS,83520,HC VGKC ANTIBODY TEST,502.0,502.0,,,0
HCPCS,83520,Immunoassay quant nos nonab,,,17.27,66.21,7
HCPCS,83521,HC IG LIGHT CHAINS FREE EACH,96.0,96.0,,,0
HCPCS,83521,Ig light chains free each,,,17.27,63.21,7
HCPCS,83525,Assay of insulin,,,11.43,58.49,7
HCPCS,83525,HC INSULIN LEVEL - TOTAL 835,145.0,145.0,,,0
HCPCS,83525,HC INSULIN LEVEL- TOTAL 8352,351.0,351.0,,,0
HCPCS,83525,HC INSULIN; TOTAL,248.5,248.5,,,0
HCPCS,83527,Assay of insulin,,,12.95,66.21,7
HCPCS,83527,HC FREE INSULIN,166.0,166.0,,,0
HCPCS,83527,HC INSULIN FREE,123.0,123.0,,,0
HCPCS,83528,Assay of intrinsic factor,,,19.82,81.33,7
HCPCS,83529,Asay of interleukin-6 (il-6),,,17.27,63.21,7
HCPCS,83529,HC ASSAY OF INTERLEUKIN-6 (IL-6),81.0,81.0,,,0
HCPCS,83540,Assay of iron,,,6.47,33.12,7
HCPCS,83540,HC IRON,136.0,136.0,,,0
HCPCS,83540,HC IRON SAT % 83540,80.0,80.0,,,0
HCPCS,83540,"HC IRON, TOTAL-BLD 83540",69.5,69.5,,,0
HCPCS,83550,HC IRON BINDING CAPACITY,206.0,206.0,,,0
HCPCS,83550,HC IRON UNSAT BNG 83550,43.0,43.0,,,0
HCPCS,83550,"HC IRON, TOTAL BIND 83550",62.0,62.0,,,0
HCPCS,83550,"HC IRON, TOTAL BIND83550",154.0,154.0,,,0
HCPCS,83550,Iron binding test,,,8.74,44.69,7
HCPCS,83570,Assay of idh enzyme,,,8.85,45.24,7
HCPCS,83570,HC ICD-ISOCITRIC 83570,95.0,95.0,,,0
HCPCS,83570,HC ISOCITRIC DEHYDROGENASE,182.0,182.0,,,0
HCPCS,83582,Assay of ketogenic steroids,,,15.47,72.47,7
HCPCS,83582,HC KETOGENIC STEROIDS FRACTIONATION,168.0,168.0,,,0
HCPCS,83586,Assay 17- ketosteroids,,,12.8,65.48,7
HCPCS,83586,HC KETOSTEROIDS 17 TOTAL,255.5,255.5,,,0
HCPCS,83586,HC KETOSTEROIDS 17; TOTAL,484.0,484.0,,,0
HCPCS,83593,Fractionation ketosteroids,,,28.5,134.51,7
HCPCS,83593,HC KETOSTEROIDS 17; FRACTIONATION,312.0,312.0,,,0
HCPCS,83605,Assay of lactic acid,,,11.57,54.61,7
HCPCS,83605,HC LACTATE,161.5,161.5,,,0
HCPCS,83605,HC LACTIC AC BLD=Q 83605,92.0,92.0,,,0
HCPCS,83605,HC LACTIC AC BLD=Q83605,230.0,230.0,,,0
HCPCS,83615,HC LACTATE DEHYDROGENASE,129.0,129.0,,,0
HCPCS,83615,HC LDH  83615,190.0,190.0,,,0
HCPCS,83615,HC LDH (CSF) 83615,137.0,137.0,,,0
HCPCS,83615,HC LDH 83615,76.0,76.0,,,0
HCPCS,83615,"HC LDH, URINE 83615",53.0,53.0,,,0
HCPCS,83615,"HC LDH,URINE 83615",137.0,137.0,,,0
HCPCS,83615,Lactate (LD) (LDH) enzyme,,,6.04,30.89,7
HCPCS,83625,Assay of ldh enzymes,,,12.79,65.44,7
HCPCS,83625,HC LDH ISOZYMES 83625,427.5,427.5,,,0
HCPCS,83625,HC LDH; ISOENZYMES,999.0,999.0,,,0
HCPCS,83630,HC LACTOFERRIN FECAL (QUAL),240.0,240.0,,,0
HCPCS,83630,"HC LACTOFERRIN, STOOL",178.0,178.0,,,0
HCPCS,83630,Lactoferrin fecal (qual),,,19.7,71.43,7
HCPCS,83631,Lactoferrin fecal (quant),,,19.63,101.75,7
HCPCS,83632,HC LACTOGEN MATERNAL SERUM HPL,535.0,535.0,,,0
HCPCS,83632,HC PLACENTAL LACTO 83632,283.0,283.0,,,0
HCPCS,83632,Placental lactogen,,,20.22,103.36,7
HCPCS,83633,Test urine for lactose,,,11.25,40.47,7
HCPCS,83655,Assay of lead,,,12.11,61.89,7
HCPCS,83655,HC LEAD,432.0,432.0,,,0
HCPCS,83655,HC LEAD BLD-QT 83655,229.0,229.0,,,0
HCPCS,83655,HC LEAD UR-QT 83655,227.0,227.0,,,0
HCPCS,83661,HC FETAL LUNG MATURITY; QUAN,646.0,646.0,,,0
HCPCS,83661,HC LECITHIN-SPHING 83661,340.0,340.0,,,0
HCPCS,83661,L/s ratio fetal lung,,,21.99,112.4,7
HCPCS,83662,Foam stability fetal lung,,,18.91,96.73,7
HCPCS,83663,Fluoro polarize fetal lung,,,18.91,96.73,7
HCPCS,83663,HC FETAL LUNG - FLUORESC POLARIZ,224.0,224.0,,,0
HCPCS,83664,HC FETAL LUNG - LB DENSITY,226.0,226.0,,,0
HCPCS,83664,Lamellar bdy fetal lung,,,19.32,96.73,7
HCPCS,83670,Assay of lap enzyme,,,9.81,46.85,7
HCPCS,83670,HC LEUCINE AMINOPE 83670,154.0,154.0,,,0
HCPCS,83670,HC LEUCINE AMINOPEPTIDASE,292.0,292.0,,,0
HCPCS,83690,Assay of lipase,,,6.89,35.21,7
HCPCS,83690,HC LIPASE,94.0,94.0,,,0
HCPCS,83690,HC LIPASE 83690,134.0,134.0,,,0
HCPCS,83690,HC LIPASE-BLD 83690,50.0,50.0,,,0
HCPCS,83695,Assay of lipoprotein(a),,,14.32,67.12,7
HCPCS,83695,HC ASSAY OF LIPOPROTEIN(A),89.5,89.5,,,0
HCPCS,83698,Assay Lipoprotein Pla2,,,46.31,175.97,7
HCPCS,83698,HC ASSAY LIPOPROTEIN PLA2 (35),119.0,119.0,,,0
HCPCS,83700,HC LIPOPRO BLD ELECTROPHORETIC,580.0,580.0,,,0
HCPCS,83700,HC LIPOPROTEIN PHE 83012,432.0,432.0,,,0
HCPCS,83700,Lipopro bld electrophoretic,,,11.26,58.38,7
HCPCS,83701,HC LIPOPROTEIN BLD HR FRACTION,78.0,78.0,,,0
HCPCS,83701,HC VAP CHOLESTOROL,58.0,58.0,,,0
HCPCS,83701,Lipoprotein bld hr fraction,,,33.86,122.61,7
HCPCS,83704,HC LIPOPROFILE NMR*,244.0,244.0,,,0
HCPCS,83704,HC LIPOPROTEIN BLD BY NMR,328.0,328.0,,,0
HCPCS,83704,Lipoprotein bld quan part,,,34.19,163.57,7
HCPCS,83718,Assay of lipoprotein,,,8.19,41.87,7
HCPCS,83718,HC HDL LIPOPROTEIN 83718,215.5,215.5,,,0
HCPCS,83718,HC LIPOPROTEIN; HDL,207.0,207.0,,,0
HCPCS,83719,Assay of blood lipoprotein,,,12.75,59.51,7
HCPCS,83721,Assay of blood lipoprotein,,,10.5,48.79,7
HCPCS,83721,HC ASSAY OF BLOOD LIPOPROTEIN LDL,406.0,406.0,,,0
HCPCS,83721,HC LDL (LOW DENSITY LIPOPRO),302.0,302.0,,,0
HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,34.19,128.32,7
HCPCS,83727,Assay of lrh hormone,,,17.19,87.91,7
HCPCS,83727,HC GONADOTROPIN RELEASING HO,824.0,824.0,,,0
HCPCS,83727,HC LUTEINIZING RELEASING FACTOR,1106.0,1106.0,,,0
HCPCS,83735,Assay of magnesium,,,6.7,34.26,7
HCPCS,83735,HC MAGNESIUM,28.0,28.0,,,0
HCPCS,83735,HC MAGNESIUM (STOOL),96.0,96.0,,,0
HCPCS,83735,HC MAGNESIUM-BLD 83735,114.0,114.0,,,0
HCPCS,83735,HC MAGNESIUM-UR83735,114.0,114.0,,,0
HCPCS,83775,Assay malate dehydrogenase,,,7.37,37.7,7
HCPCS,83785,Assay of manganese,,,26.65,108.01,7
HCPCS,83785,HC MANGANES LEVEL,168.0,168.0,,,0
HCPCS,83785,HC MANGANESE,227.0,227.0,,,0
HCPCS,83788,HC HYPOGLYCEMIC PANEL,472.0,472.0,,,0
HCPCS,83788,HC QUALIT MASS SPECT EA SPECIM,472.0,472.0,,,0
HCPCS,83789,"HC MASS SPECTROMETRY QUAL/QUAN, EA SPECIMEN",216.0,216.0,,,0
HCPCS,83789,Mass spectrometry qual/quan,,,24.11,92.34,7
HCPCS,83805,"HC MAPROBAMATE, UR 83805",138.0,138.0,,,0
HCPCS,83805,HC MEPROBAMATE,298.0,298.0,,,0
HCPCS,83805,"HC MEPROBAMATE, BLD 83805",126.0,126.0,,,0
HCPCS,83805,"HC MEPROBAMATE, UR 83805",331.0,331.0,,,0
HCPCS,83805,"HC MEPROBAMATE,BLD83805",300.0,300.0,,,0
HCPCS,83825,Assay of mercury,,,16.26,83.16,7
HCPCS,83825,HC MERCURY QUAN,532.0,532.0,,,0
HCPCS,83825,HC MERCURY-BLD-QT 83825,396.0,396.0,,,0
HCPCS,83825,HC MERCURY-UR-QT 83825,396.0,396.0,,,0
HCPCS,83835,Assay of metanephrines,,,16.94,86.63,7
HCPCS,83835,HC METANEPHRINES,430.0,430.0,,,0
HCPCS,83835,HC METANEPHRINES (FRACTIONAT,320.0,320.0,,,0
HCPCS,83835,HC METHANESPHRINES 83835,130.0,130.0,,,0
HCPCS,83840,HC METHADONE,543.0,543.0,,,0
HCPCS,83840,HC METHODONE LEVEL URINE,543.0,543.0,,,0
HCPCS,83857,Assay of methemalbumin,,,10.74,54.94,7
HCPCS,83857,HC METHEMALBUMIN,128.0,128.0,,,0
HCPCS,83861,Microfluid analy tears,,,22.48,85.64,7
HCPCS,83864,HC ACID MUCOLYSA 83864 QT,161.0,161.0,,,0
HCPCS,83864,HC ACID MUCOLYSA QT 83864,389.0,389.0,,,0
HCPCS,83864,HC MUCOPOLYSACCH ACID; QUAN,522.0,522.0,,,0
HCPCS,83864,Mucopolysaccharides,,,28.5,103.56,7
HCPCS,83866,HC MUCOPOLYSACCH ACID; SCREEN,78.0,78.0,,,0
HCPCS,83872,Assay synovial fluid mucin,,,5.86,29.98,7
HCPCS,83872,HC MUCIN SYNORVIAL FLUID,210.0,210.0,,,0
HCPCS,83872,HC MUCOPROTEIN-BLD,158.0,158.0,,,0
HCPCS,83872,HC MUCOPROTEIN-SYN,158.0,158.0,,,0
HCPCS,83872,HC MUCOPROTEIN-UR,158.0,158.0,,,0
HCPCS,83873,Assay of csf protein,,,17.2,87.99,7
HCPCS,83873,HC MYELIN BASIC PROTEIN CSF,715.0,715.0,,,0
HCPCS,83873,HC MYELIN BASIC PROTEIN-CSF,533.0,533.0,,,0
HCPCS,83873,HC MYELIN BASIC PROTIEN-CSF,218.0,218.0,,,0
HCPCS,83874,Assay of myoglobin,,,12.92,66.03,7
HCPCS,83874,HC MYOGLOBIN,226.0,226.0,,,0
HCPCS,83874,HC MYOGLOBIN 83874,113.0,113.0,,,0
HCPCS,83876,Assay myeloperoxidase,,,50.86,184.5,7
HCPCS,83880,Assay of natriuretic peptide,,,39.26,173.59,7
HCPCS,83880,HC BRAIN NATRIURETIC PEPTIDE,572.0,572.0,,,0
HCPCS,83880,HC NATRIURETIC PEPTIDE,408.0,408.0,,,0
HCPCS,83883,Assay nephelometry not spec,,,13.6,69.54,7
HCPCS,83883,HC ASSAY NEPHELOMETRY NES,58.0,58.0,,,0
HCPCS,83883,HC C1 ESTERRASE INHIBITION,90.0,90.0,,,0
HCPCS,83883,HC FREE LIGHT CHAINS BL,72.0,72.0,,,0
HCPCS,83883,HC FREE LIGHT CHAINS UR,72.0,72.0,,,0
HCPCS,83883,HC NEPHELOMETRY EA ANALYTE NES,96.0,96.0,,,0
HCPCS,83884,Assay neurflmnt light chain,,,116.23,122.04,3
HCPCS,83885,Assay of nickel,,,24.51,125.28,7
HCPCS,83887,HC NICOTINE,189.0,189.0,,,0
HCPCS,83900,HC WARFARIN SENSITIVITY DETE,726.0,726.0,,,0
HCPCS,83909,HC NUCLEIC ACID HIGH RESOLUTE,46.0,46.0,,,0
HCPCS,83912,HC AAT6 GENE ASSAY,18.0,18.0,,,0
HCPCS,83912,HC ACADM EXON 11 SEQUENCING,862.0,862.0,,,0
HCPCS,83912,HC ANTLEY BIXLER-LIKE SYNDROME,18.0,18.0,,,0
HCPCS,83912,HC BLOOM SYNDROME DNA,2906.0,2906.0,,,0
HCPCS,83912,HC C-KIT MUTATION ANALYSIS,1742.0,1742.0,,,0
HCPCS,83912,HC CORONAL SYNOSTOSIS DNA,130.0,130.0,,,0
HCPCS,83912,HC DEMYELINAT NEUROPATHY PROFILE,96.0,96.0,,,0
HCPCS,83912,HC FAM AMYOTROPHIC LAT SCHLERO,300.0,300.0,,,0
HCPCS,83912,HC HHT KNOWN FAMILIAL MUTATION,498.0,498.0,,,0
HCPCS,83912,"HC HI RESOLUTION HLA DNA (A,B,C)",70.0,70.0,,,0
HCPCS,83912,HC IGVH MUTATION ANALYSIS (CLL),286.0,286.0,,,0
HCPCS,83912,HC KCNJ11(CH) DNA SEQUENCING,212.0,212.0,,,0
HCPCS,83912,HC LOEYS-DIETZ TYPE 1C GENE SMAD3,212.0,212.0,,,0
HCPCS,83912,HC NPM 1 PANEL,42.0,42.0,,,0
HCPCS,83912,HC PREIFFER SYNDROME,284.0,284.0,,,0
HCPCS,83912,HC RAPID RFLP FOR BMT FOLLOW-UP,43.0,43.0,,,0
HCPCS,83912,HC SCA5 SELECT EXON DNA TEST,888.0,888.0,,,0
HCPCS,83912,HC SH3TC2 DNA SEQUENCING TEST,163.0,163.0,,,0
HCPCS,83912,HC SPINAL MUSCULAR ATROPHY DNA,478.0,478.0,,,0
HCPCS,83912,HC SURFAC PROTEIN C DEFICIENCY,158.0,158.0,,,0
HCPCS,83912,HC T CELL ENGRAFTMENT FOLLOWUP,80.0,80.0,,,0
HCPCS,83912,HC TMP1 GENE TEST TROPOMYSIN,363.0,363.0,,,0
HCPCS,83915,Assay of nucleotidase,,,11.15,57.02,7
HCPCS,83915,HC ASSAY OF NUCLEOTIDASE,314.0,314.0,,,0
HCPCS,83915,HC NUCLEOTIDASE - 83915,94.0,94.0,,,0
HCPCS,83915,HC NUCLEOTIDASE-5 83915,234.0,234.0,,,0
HCPCS,83916,HC CSF OLIG BANDIN 83916,478.0,478.0,,,0
HCPCS,83916,HC OLIGOCLONAL BANDS,642.0,642.0,,,0
HCPCS,83916,Oligoclonal bands,,,27.39,102.81,7
HCPCS,83918,HC QUANTITATIVE ORGANIC ACIDS EA SPECIMEN,196.0,196.0,,,0
HCPCS,83918,Organic acids total quant,,,23.6,85.71,7
HCPCS,83919,HC QUAL ORGANIC ACIDS EA SPECIM,196.0,196.0,,,0
HCPCS,83919,Organic acids qual each,,,16.45,84.18,7
HCPCS,83921,"HC METHYL, MALON AC",194.0,194.0,,,0
HCPCS,83921,HC METHYLMALONIC QT,147.0,147.0,,,0
HCPCS,83921,HC ORGANIC ACID  SINGLE QUANTITATIVE,197.0,197.0,,,0
HCPCS,83921,Organic acid single quant,,,21.21,84.18,7
HCPCS,83925,HC MORPHINE,340.0,340.0,,,0
HCPCS,83925,HC OPIATES QUANT,193.0,193.0,,,0
HCPCS,83930,Assay of blood osmolality,,,6.61,32.83,7
HCPCS,83930,HC BLOOD OSMOLALITY,124.0,124.0,,,0
HCPCS,83930,HC OSMOLALITY-BLD 83930,65.0,65.0,,,0
HCPCS,83935,Assay of urine osmolality,,,6.82,34.84,7
HCPCS,83935,HC OSMOLALITY; URINE,150.0,150.0,,,0
HCPCS,83935,HC OSMOLARITY-UR 83935,75.0,75.0,,,0
HCPCS,83937,Assay of osteocalcin,,,29.85,152.66,7
HCPCS,83937,HC OSTEOCALCIN,118.0,118.0,,,0
HCPCS,83945,Assay of oxalate,,,14.45,65.84,7
HCPCS,83945,HC OXALATE,432.0,432.0,,,0
HCPCS,83945,HC OXALATE (URINE) 83945,226.5,226.5,,,0
HCPCS,83950,Oncoprotein her-2/neu,,,64.41,329.36,7
HCPCS,83951,HC ONCOPROTEIN DCP,762.0,762.0,,,0
HCPCS,83951,Oncoprotein dcp,,,64.41,333.9,7
HCPCS,83970,Assay of parathormone,,,41.28,211.07,7
HCPCS,83970,HC PARATHORMONE,980.0,980.0,,,0
HCPCS,83970,HC PTH BY RIA 83970,511.0,511.0,,,0
HCPCS,83970,HC PTH INTACT,730.0,730.0,,,0
HCPCS,83986,Assay ph body fluid nos,,,3.58,15.19,7
HCPCS,83986,HC ASSAY PH BODY FLUID NOS,58.0,58.0,,,0
HCPCS,83986,HC P H OTHER THAN BLOOD 8398,43.0,43.0,,,0
HCPCS,83986,HC PAIN MGMT PROFILE UR*,88.0,88.0,,,0
HCPCS,83986,"HC PH, REACTION 83986",12.0,12.0,,,0
HCPCS,83986,"HC PH, REACTION OTH THAN BLD",27.0,27.0,,,0
HCPCS,83986,HC POCT ASSAY PH BODY FLUID NOS,13.0,13.0,,,0
HCPCS,83986,HC POCT PH BODY FLUID,10.0,10.0,,,0
HCPCS,83987,Exhaled breath condensate,,,3.58,82.31,7
HCPCS,83992,Assay for phencyclidine,,,66.76,130.95,4
HCPCS,83992,HC PCP QUAN ASSAY,348.0,348.0,,,0
HCPCS,83992,HC PHENCYCLIDINE,184.5,184.5,,,0
HCPCS,83993,Assay for calprotectin fecal,,,19.63,101.75,7
HCPCS,83993,HC ASSAY FOR CALPROTECTIN FECAL,242.0,242.0,,,0
HCPCS,84022,HC PHENOTHIAZINES 84022,132.0,132.0,,,0
HCPCS,84030,Assay of blood pku,,,5.5,28.15,7
HCPCS,84030,HC PHENYLALANIE 84030,133.0,133.0,,,0
HCPCS,84030,HC PHENYLALANINE BLOOD,255.0,255.0,,,0
HCPCS,84035,Assay of phenylketones,,,3.98,18.7,7
HCPCS,84060,Assay acid phosphatase,,,7.64,37.77,7
HCPCS,84060,HC ACID PHOS RIA 84060,166.5,166.5,,,0
HCPCS,84060,HC TOTAL ACID PHOSPHATASE,315.0,315.0,,,0
HCPCS,84066,Assay prostate phosphatase,,,9.66,49.41,7
HCPCS,84066,HC PHOS-PROSTAT-AC 84066,94.0,94.0,,,0
HCPCS,84066,HC PROSTATIC ACID PHOSPHATASE,198.0,198.0,,,0
HCPCS,84075,Assay alkaline phosphatase,,,5.18,26.46,7
HCPCS,84075,HC ALKALINE PHOSPHATASE,68.0,68.0,,,0
HCPCS,84075,HC BONE SPECIFIC ALKPHOS,81.0,81.0,,,0
HCPCS,84075,"HC PHOSPHATASE, AL 84075",91.0,91.0,,,0
HCPCS,84078,Assay alkaline phosphatase,,,8.26,37.33,7
HCPCS,84078,HC HT STBL ALKALINE PHOSPHATASE,88.0,88.0,,,0
HCPCS,84080,Assay alkaline phosphatases,,,14.78,75.62,7
HCPCS,84080,HC ALK PHOS ISOENZ 84080,126.0,126.0,,,0
HCPCS,84080,HC ALK PHOS ISOENZ84080,300.0,300.0,,,0
HCPCS,84080,HC ALKALINE PHOSPHATASE ISOENZYM,404.0,404.0,,,0
HCPCS,84081,Assay phosphatidylglycerol,,,16.52,84.51,7
HCPCS,84081,HC PHOSPHATIDYLGLYCEROL,196.0,196.0,,,0
HCPCS,84085,Assay of rbc pg6d enzyme,,,9.44,34.53,7
HCPCS,84087,Assay phosphohexose enzymes,,,10.73,52.78,7
HCPCS,84100,Assay of phosphorus,,,4.74,24.27,7
HCPCS,84100,HC PHOSPHATE,63.5,63.5,,,0
HCPCS,84100,HC PHOSPHORUS BLD 84100,64.0,64.0,,,0
HCPCS,84100,HC PHOSPHORUS(INORGANIC),20.0,20.0,,,0
HCPCS,84105,Assay of urine phosphorus,,,5.78,26.46,7
HCPCS,84105,HC PHOSPHORUS-UR 84105,86.0,86.0,,,0
HCPCS,84105,HC PHOSPORUS-UR 84105,35.0,35.0,,,0
HCPCS,84105,HC URINE PHOSPHATE,114.0,114.0,,,0
HCPCS,84106,HC PORPHOBILINOG QUAL 84106,119.5,119.5,,,0
HCPCS,84106,HC PORPHOBILINOGEN URINE; QUAL,228.0,228.0,,,0
HCPCS,84106,Test for porphobilinogen,,,5.82,21.92,7
HCPCS,84110,Assay of porphobilinogen,,,8.44,43.19,7
HCPCS,84110,HC PORPHOBILINOG-QUANT 84110,242.0,242.0,,,0
HCPCS,84110,HC PORPHOBILINOGEN URINE; QUAN,324.0,324.0,,,0
HCPCS,84110,HC PORPHOBINOG - QUANT 84110,98.0,98.0,,,0
HCPCS,84112,Eval amniotic fluid protein,,,98.11,357.12,7
HCPCS,84112,HC AMNISURE PLACENTAL A1 MIC,242.0,242.0,,,0
HCPCS,84112,HC EVAL AMNIOTIC FLUID PROTEIN,762.0,762.0,,,0
HCPCS,84119,HC COPROPORPH QL U84119,242.0,242.0,,,0
HCPCS,84119,"HC PORPHYRINS, QUAL 84119",212.0,212.0,,,0
HCPCS,84119,HC QUAL URINE PORPHYRINS,284.0,284.0,,,0
HCPCS,84119,Test urine for porphyrins,,,13.36,48.81,7
HCPCS,84120,Assay of urine porphyrins,,,14.71,75.21,7
HCPCS,84120,HC QUAN URINE PORPHYRINS,334.0,334.0,,,0
HCPCS,84120,HC UROPORPHYRINS-QT84120,249.0,249.0,,,0
HCPCS,84120,HC UROPORPHYRINS-QUANT 84120,102.0,102.0,,,0
HCPCS,84126,Assay of feces porphyrins,,,39.11,141.66,7
HCPCS,84126,HC QUAN FECAL PORPHYRINS,302.0,302.0,,,0
HCPCS,84132,Assay of serum potassium,,,4.76,23.5,7
HCPCS,84132,HC ASSAY OF SERUM POTASSIUM,63.5,63.5,,,0
HCPCS,84132,HC POTASSIUM-BLD 84132,63.5,63.5,,,0
HCPCS,84132,HC SSP POTASSIUM 84132,46.0,46.0,,,0
HCPCS,84133,Assay of urine potassium,,,4.73,22.0,7
HCPCS,84133,HC POTASSIUM 24 HR UR 84133,38.0,38.0,,,0
HCPCS,84133,"HC POTASSIUM, 24 HR UR 84133",92.0,92.0,,,0
HCPCS,84133,HC POTASSIUM-URINE 84133,63.5,63.5,,,0
HCPCS,84133,HC URINE POTASSIUM,63.5,63.5,,,0
HCPCS,84134,Assay of prealbumin,,,14.59,74.59,7
HCPCS,84134,HC PREALBUMIN,241.0,241.0,,,0
HCPCS,84134,HC PREALBUMIN  84134,180.0,180.0,,,0
HCPCS,84135,Assay of pregnanediol,,,21.27,97.83,7
HCPCS,84135,HC PREGNANEDIOL,273.0,273.0,,,0
HCPCS,84135,HC PREGNANEDIOL QU 84135,144.0,144.0,,,0
HCPCS,84138,Assay of pregnanetriol,,,21.05,96.84,7
HCPCS,84138,HC PREGNANETRIOL,272.0,272.0,,,0
HCPCS,84138,HC PREGNANETRIOL 84138,144.0,144.0,,,0
HCPCS,84140,Assay of pregnenolone,,,20.67,105.74,7
HCPCS,84140,HC CYCLIC CITRULLIN PEPTIDE,310.0,310.0,,,0
HCPCS,84140,HC PREGNENOLONE,417.0,417.0,,,0
HCPCS,84143,Assay of 17-hydroxypregneno,,,22.81,116.72,7
HCPCS,84143,HC 17-HYDROXYPREGNENOLONE,270.0,270.0,,,0
HCPCS,84144,Assay of progesterone,,,20.86,106.69,7
HCPCS,84144,HC PROGESTERONE ASSAY,58.0,58.0,,,0
HCPCS,84144,HC PROGESTERONE LEVEL,44.0,44.0,,,0
HCPCS,84145,HC PROCALCITONIN (PCT),317.0,317.0,,,0
HCPCS,84145,Procalcitonin (PCT),,,27.22,138.82,7
HCPCS,84146,Assay of prolactin,,,19.38,99.11,7
HCPCS,84146,HC PROLACTIN ASSAY,540.0,540.0,,,0
HCPCS,84146,HC PROLACTIN LEVEL 84146,269.5,269.5,,,0
HCPCS,84150,Assay of prostaglandin,,,41.77,152.37,7
HCPCS,84150,HC PROSTAGLANDIN EACH,294.0,294.0,,,0
HCPCS,84152,Assay of psa complexed,,,18.39,94.06,7
HCPCS,84152,HC PSA - COMPLEXED,218.0,218.0,,,0
HCPCS,84153,Assay of psa total,,,18.39,94.06,7
HCPCS,84153,HC PSA DIAGNOSTIC TOTAL,173.5,173.5,,,0
HCPCS,84153,HC PSA; TOTAL,187.0,187.0,,,0
HCPCS,84154,Assay of psa free,,,18.39,94.06,7
HCPCS,84154,HC FREE PSA,256.0,256.0,,,0
HCPCS,84154,HC PSA; FREE,344.0,344.0,,,0
HCPCS,84155,Assay of protein serum,,,3.67,18.74,7
HCPCS,84155,HC ASSAY OF PROTEIN SERUM,111.5,111.5,,,0
HCPCS,84155,"HC PROTEIN, TOTAL 84155 SERU",35.0,35.0,,,0
HCPCS,84155,HC TOT PROT A/G-BL,163.0,163.0,,,0
HCPCS,84156,Assay of protein urine,,,3.67,18.74,7
HCPCS,84156,HC ASSAY PROTEIN URINE,17.0,17.0,,,0
HCPCS,84156,HC TOT PROTIEN-UR 84156,98.0,98.0,,,0
HCPCS,84156,HC URINE TOTAL PROTEIN,69.5,69.5,,,0
HCPCS,84157,Assay of protein other,,,4.0,18.74,7
HCPCS,84157,HC PROT-SPINAL FLU,86.0,86.0,,,0
HCPCS,84157,"HC PROTEIN, TOTAL OTHER SOUR",92.0,92.0,,,0
HCPCS,84157,HC TOTAL PROTEIN OTHER SPECIMEN,123.0,123.0,,,0
HCPCS,84160,Assay of protein any source,,,5.61,26.46,7
HCPCS,84163,HC PAPPA SERUM,85.0,85.0,,,0
HCPCS,84163,Pappa serum,,,15.05,74.19,7
HCPCS,84165,HC PROTEIN ELECT 84165 SERUM,140.0,140.0,,,0
HCPCS,84165,HC PROTEIN; EP FRACT & QUAN,390.0,390.0,,,0
HCPCS,84165,HC PROTIEN ELECTROPHARISM SE,291.0,291.0,,,0
HCPCS,84165,Protein e-phoresis serum,,,10.74,54.94,7
HCPCS,84166,HC ELECTROPHOR-CSF84165,136.5,136.5,,,0
HCPCS,84166,HC PROTEIN E-PHORESIS/URINE/CSF,450.0,450.0,,,0
HCPCS,84166,HC PROTEIN ELECT 84165 UR,335.0,335.0,,,0
HCPCS,84166,HC PROTEIN ELECT OTHER FLUID,102.0,102.0,,,0
HCPCS,84166,"HC PROTEIN ELECTROPHORESIS, URINE",58.0,58.0,,,0
HCPCS,84166,HC PROTEIN EPHORESIS/URINE/C,71.0,71.0,,,0
HCPCS,84166,Protein e-phoresis/urine/csf,,,17.83,91.21,7
HCPCS,84181,HC NEOCOMP PARANEOPLASTIC PR,5930.0,5930.0,,,0
HCPCS,84181,HC PROTEIN WESTERN BLOT,7954.0,7954.0,,,0
HCPCS,84181,Western blot test,,,17.03,87.11,7
HCPCS,84182,HC BOTULINUM TOXIN A AB,746.0,746.0,,,0
HCPCS,84182,HC PROTEIN WB; IM ID FOR BANDS,1362.0,1362.0,,,0
HCPCS,84182,HC PROTEIN WESTERN BLOT TEST,74.0,74.0,,,0
HCPCS,84182,Protein western blot test,,,29.21,105.93,7
HCPCS,84202,Assay RBC protoporphyrin,,,14.35,73.38,7
HCPCS,84202,HC PROTOPORPHYRIN RBC; QUAN,496.0,496.0,,,0
HCPCS,84202,HC PROTOPORPHYRINES QT 84202,218.0,218.0,,,0
HCPCS,84202,HC PROTOPPRPHY FEC 84202,370.0,370.0,,,0
HCPCS,84203,Test RBC protoporphyrin,,,9.74,44.03,7
HCPCS,84206,Assay of proinsulin,,,26.69,97.62,7
HCPCS,84206,HC PROINSULIN,278.5,278.5,,,0
HCPCS,84207,Assay of vitamin b-6,,,28.1,143.66,7
HCPCS,84207,HC VITAMIN B-6 NPYR 84207,258.0,258.0,,,0
HCPCS,84207,HC VITAMIN B6,524.0,524.0,,,0
HCPCS,84210,Assay of pyruvate,,,14.48,55.52,7
HCPCS,84210,HC PYRUVATE,334.0,334.0,,,0
HCPCS,84210,HC PYRUVIC ACID 84210,249.0,249.0,,,0
HCPCS,84220,Assay of pyruvate kinase,,,9.44,48.24,7
HCPCS,84220,HC PYRUVATE KINASE,112.0,112.0,,,0
HCPCS,84228,Assay of quinine,,,11.63,59.51,7
HCPCS,84233,Assay of estrogen,,,87.88,329.36,7
HCPCS,84233,HC ERA,762.0,762.0,,,0
HCPCS,84233,HC ESTROGEN RECEPT 84233,715.0,715.0,,,0
HCPCS,84234,Assay of progesterone,,,64.88,331.74,7
HCPCS,84234,HC PRA,767.0,767.0,,,0
HCPCS,84234,HC PROGESTERONE RECEPTOR ASS,784.0,784.0,,,0
HCPCS,84234,HC PROGESTERONE-QT 84144,399.0,399.0,,,0
HCPCS,84235,Assay of endocrine hormone,,,71.23,267.62,7
HCPCS,84238,Assay nonendocrine receptor,,,36.57,186.99,7
HCPCS,84238,HC ACETYLCHOLINE RECEPTOR AN,127.0,127.0,,,0
HCPCS,84238,HC ASSAY NONENDOCRINE RECEPTOR,170.0,170.0,,,0
HCPCS,84244,Assay of renin,,,21.99,112.47,7
HCPCS,84244,HC RENIN,556.0,556.0,,,0
HCPCS,84244,HC RENIN BY LEVEL 84244,292.0,292.0,,,0
HCPCS,84252,Assay of vitamin b-2,,,20.24,100.87,7
HCPCS,84252,HC ASSAY OF RIBOFLAVIN (VITAMIN B-2),436.0,436.0,,,0
HCPCS,84252,HC VITAMIN B-2 84252,233.5,233.5,,,0
HCPCS,84255,Assay of selenium,,,25.53,130.55,7
HCPCS,84255,HC SELENIUM,227.0,227.0,,,0
HCPCS,84255,HC SELENIUM LEVEL,168.0,168.0,,,0
HCPCS,84260,Assay of serotonin,,,30.98,158.4,7
HCPCS,84260,HC PLASMA SEROTONI84260,552.0,552.0,,,0
HCPCS,84260,HC PLASMA SEROTONIN 84260,232.0,232.0,,,0
HCPCS,84260,HC SEROTONIN,741.0,741.0,,,0
HCPCS,84270,Assay of sex hormone globul,,,21.73,100.87,7
HCPCS,84270,HC SEX HORMONE BINDING GLOBU,98.0,98.0,,,0
HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN,132.0,132.0,,,0
HCPCS,84275,Assay of sialic acid,,,13.44,68.7,7
HCPCS,84285,Assay of silica,,,25.21,91.65,7
HCPCS,84295,Assay of serum sodium,,,4.81,24.6,7
HCPCS,84295,HC ASSAY OF SERUM SODIUM,123.0,123.0,,,0
HCPCS,84295,HC SODIUM-BLD 84295,63.5,63.5,,,0
HCPCS,84300,Assay of urine sodium,,,5.06,23.79,7
HCPCS,84300,"HC SODIUM, 24 HR UR 84300",92.0,92.0,,,0
HCPCS,84300,"HC SODIUM, URINE 84300",63.5,63.5,,,0
HCPCS,84300,HC SODIUM; URINE,65.0,65.0,,,0
HCPCS,84302,Assay of sweat sodium,,,4.86,23.79,7
HCPCS,84302,HC FECAL ELECTROLYTES*,34.0,34.0,,,0
HCPCS,84302,HC SODIUM NOT SERUM OR URINE,92.0,92.0,,,0
HCPCS,84302,HC SODIUM OTHER SOURCE,46.0,46.0,,,0
HCPCS,84305,Assay of somatomedin,,,21.26,88.94,7
HCPCS,84305,HC SOMATOMEDIN,87.5,87.5,,,0
HCPCS,84305,HC SOMATOMEDIN-C,92.0,92.0,,,0
HCPCS,84307,Assay of somatostatin,,,18.28,88.94,7
HCPCS,84311,HC ADENOSINE DEAMINASE BLOOD,220.0,220.0,,,0
HCPCS,84311,HC ADENOSINE DEAMINASE FLUID,1374.0,1374.0,,,0
HCPCS,84311,HC FUNGITEL(R)(1-3) BDGLUCAN,528.0,528.0,,,0
HCPCS,84311,HC PHENOLPHTHALEIN (STOOL),362.0,362.0,,,0
HCPCS,84311,HC SPECTROPHOTOMETRY,30.0,30.0,,,0
HCPCS,84311,HC SPECTROPHOTOMETRY ANALYTE NES,709.0,709.0,,,0
HCPCS,84311,Spectrophotometry,,,8.1,35.76,7
HCPCS,84315,Body fluid specific gravity,,,3.28,12.81,7
HCPCS,84315,HC NON-URINE SPECIFIC GRAVITY,30.0,30.0,,,0
HCPCS,84375,Chromatogram assay sugars,,,39.0,141.66,7
HCPCS,84375,"HC SUGAR, INDETIFY84375",204.0,204.0,,,0
HCPCS,84375,HC SUGARS CHROMOTOGR TLC/PAPER,273.0,273.0,,,0
HCPCS,84376,HC FECAL REDUCING SUBSTANCE,42.0,42.0,,,0
HCPCS,84376,HC SUGARS; SINGLE QUAL EA SPECIMEN,65.0,65.0,,,0
HCPCS,84376,Sugars single qual,,,5.5,28.15,7
HCPCS,84377,HC SUGARS; MULTI QUAL EA SPECIMEN,65.0,65.0,,,0
HCPCS,84377,Sugars multiple qual,,,5.5,28.15,7
HCPCS,84378,HC GLYCOMARK,96.0,96.0,,,0
HCPCS,84378,HC SUGARS; SINGLE QUAN EA SPECIMEN,136.0,136.0,,,0
HCPCS,84378,Sugars single quant,,,11.53,58.93,7
HCPCS,84379,Sugars multiple quant,,,11.53,58.93,7
HCPCS,84392,Assay of urine sulfate,,,5.49,24.3,7
HCPCS,84392,HC URINE SULFATE,56.0,56.0,,,0
HCPCS,84393,Tau phosphorylated ea,,,128.92,135.37,3
HCPCS,84394,Total tau,,,128.92,135.37,3
HCPCS,84402,Assay of free testosterone,,,25.47,130.19,7
HCPCS,84402,HC TESTOSTERONE FREE,394.0,394.0,,,0
HCPCS,84402,HC TESTOSTERONE; FREE,529.0,529.0,,,0
HCPCS,84403,Assay of total testosterone,,,25.81,132.05,7
HCPCS,84403,HC TESTOSTERONE TOTAL 84403,278.5,278.5,,,0
HCPCS,84403,HC TESTOSTERONE; TOTAL,297.5,297.5,,,0
HCPCS,84403,HC URINE TESTOSTERONE TOTAL,270.0,270.0,,,0
HCPCS,84410,Testosterone bioavailable,,,51.28,186.9,5
HCPCS,84425,Assay of vitamin b-1,,,21.23,108.59,7
HCPCS,84425,HC ASSAY OF THIAMINE (VITAMIN B-1),404.0,404.0,,,0
HCPCS,84425,HC THIAMINE,205.0,205.0,,,0
HCPCS,84425,HC VITAMIN B-1 84425,119.0,119.0,,,0
HCPCS,84430,Assay of thiocyanate,,,11.63,42.84,7
HCPCS,84430,HC THIOCYANATE,55.0,55.0,,,0
HCPCS,84431,HC THROMBOXANE URINE,199.0,199.0,,,0
HCPCS,84431,Thromboxane urine,,,35.11,127.38,7
HCPCS,84432,Assay of thyroglobulin,,,16.06,82.13,7
HCPCS,84432,HC THYROGLOBULIN,191.0,191.0,,,0
HCPCS,84432,HC THYROGLOBULIN 84432,264.0,264.0,,,0
HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,22.17,81.14,7
HCPCS,84436,Assay of total thyroxine,,,6.87,35.17,7
HCPCS,84436,HC T-4 BY RIA,97.0,97.0,,,0
HCPCS,84436,HC T-4 TOTAL,235.0,235.0,,,0
HCPCS,84436,HC THYROXINE; TOTAL,168.0,168.0,,,0
HCPCS,84437,Assay of neonatal thyroxine,,,6.47,33.09,7
HCPCS,84439,Assay of free thyroxine,,,9.02,46.12,7
HCPCS,84439,HC FREE THYROXINE,208.5,208.5,,,0
HCPCS,84439,HC T - 4 - FREE,291.0,291.0,,,0
HCPCS,84439,HC T-4 - FREE,118.0,118.0,,,0
HCPCS,84442,Assay of thyroid activity,,,14.78,75.62,7
HCPCS,84442,HC THY BNG GLOB - R 84442,141.0,141.0,,,0
HCPCS,84442,HC THY BNG GLOB-RI84442,351.0,351.0,,,0
HCPCS,84442,HC THYROXINE BINDING GLOBULIN,472.0,472.0,,,0
HCPCS,84443,Assay thyroid stim hormone,,,16.8,85.9,7
HCPCS,84443,HC THYROID STIMULATING HORMONE,240.0,240.0,,,0
HCPCS,84443,HC TSH 84443,335.0,335.0,,,0
HCPCS,84443,HC TSH BY RIA 84443,140.0,140.0,,,0
HCPCS,84445,Assay of tsi globulin,,,50.86,260.04,7
HCPCS,84445,HC THYRIOD STIM IMMUNOGLOB T,218.0,218.0,,,0
HCPCS,84445,HC THYROID STIMULATING IMMUNOGLOBULINS,292.0,292.0,,,0
HCPCS,84446,Assay of vitamin e,,,14.18,72.5,7
HCPCS,84446,HC TOCOPHEROL ALPHA (VIT E),432.0,432.0,,,0
HCPCS,84446,HC VITAMIN E ASSAY 84446,132.0,132.0,,,0
HCPCS,84446,HC VITAMIN E ASSAY84446,322.0,322.0,,,0
HCPCS,84449,Assay of transcortin,,,18.0,92.05,7
HCPCS,84449,HC TRANSCORTIN,213.0,213.0,,,0
HCPCS,84450,HC AST OR SGOT,94.0,94.0,,,0
HCPCS,84450,HC SGO TRANSAMINAS 84450,95.0,95.0,,,0
HCPCS,84450,HC TRANSFERASE (AST)(SGOT),22.0,22.0,,,0
HCPCS,84450,Transferase (AST) (SGOT),,,5.18,26.43,7
HCPCS,84460,Alanine amino (ALT) (SGPT),,,5.3,27.08,7
HCPCS,84460,HC ALANINE AMINO ALT SGPT,24.0,24.0,,,0
HCPCS,84460,HC SGP TRANSAMINAS 84460,53.0,53.0,,,0
HCPCS,84460,HC SGP TRANSAMINAS84460,137.0,137.0,,,0
HCPCS,84460,HC TRANSFERASE; ALANINE AMINO,94.0,94.0,,,0
HCPCS,84466,Assay of transferrin,,,12.76,54.64,7
HCPCS,84466,HC TRANSFERRIN,291.5,291.5,,,0
HCPCS,84466,HC TRANSFERRIN 86329,102.0,102.0,,,0
HCPCS,84478,Assay of triglycerides,,,5.74,29.43,7
HCPCS,84478,HC ASSAY OF TRIGLYCERIDES,24.0,24.0,,,0
HCPCS,84478,HC TRIGLYCERIDES,70.0,70.0,,,0
HCPCS,84478,HC TRIGLYCERIDES 84478,71.0,71.0,,,0
HCPCS,84479,Assay of thyroid (t3 or t4),,,6.47,33.09,7
HCPCS,84479,HC T-3 UPTAKE 84479,181.0,181.0,,,0
HCPCS,84479,HC T3 OR T4 OR THBR,344.0,344.0,,,0
HCPCS,84480,Assay triiodothyronine (t3),,,14.18,72.5,7
HCPCS,84480,HC T3 84480,291.0,291.0,,,0
HCPCS,84480,HC T3; TOTAL,207.5,207.5,,,0
HCPCS,84481,Free assay (FT-3),,,16.94,86.63,7
HCPCS,84481,HC T3-FREE,34.0,34.0,,,0
HCPCS,84481,HC T3; FREE,38.5,38.5,,,0
HCPCS,84482,HC T3 REVERSE,146.0,146.0,,,0
HCPCS,84482,HC T3; REVERSE,196.0,196.0,,,0
HCPCS,84482,T3 reverse,,,15.76,80.59,7
HCPCS,84484,Assay of troponin quant,,,12.47,45.24,7
HCPCS,84484,HC TROPONIN QUAN,169.0,169.0,,,0
HCPCS,84484,HC TROPONIN-I QUANT 84484,233.0,233.0,,,0
HCPCS,84485,Assay duodenal fluid trypsin,,,7.2,38.39,7
HCPCS,84485,HC TRYPSIN; DUODENAL FLUID,90.0,90.0,,,0
HCPCS,84488,"HC TRYPSIN, QUAL 84488",78.0,78.0,,,0
HCPCS,84488,HC TRYPSIN; FECES QUAL,157.0,157.0,,,0
HCPCS,84488,Test feces for trypsin,,,7.3,37.33,7
HCPCS,84490,Assay of feces for trypsin,,,9.93,38.91,7
HCPCS,84490,"HC TRYPSIN, SEMI 84490 QT",58.0,58.0,,,0
HCPCS,84490,"HC TRYPSIN,SEMI QT 84490",140.0,140.0,,,0
HCPCS,84490,HC TRYPSIN; FECES QUAN 24-HR,186.0,186.0,,,0
HCPCS,84510,Assay of tyrosine,,,10.63,53.18,7
HCPCS,84512,Assay of troponin qual,,,10.09,37.73,7
HCPCS,84512,HC TROPONIN QUAL,88.0,88.0,,,0
HCPCS,84520,Assay of urea nitrogen,,,3.95,20.17,7
HCPCS,84520,HC UREA NITROGEN 84520 QUANT,42.0,42.0,,,0
HCPCS,84520,HC UREA NITROGEN QT 84520,102.0,102.0,,,0
HCPCS,84520,HC UREA NITROGEN; QUAN,70.0,70.0,,,0
HCPCS,84525,Urea nitrogen semi-quant,,,5.13,19.22,7
HCPCS,84540,Assay of urine/urea-n,,,5.56,24.3,7
HCPCS,84540,HC UREA NITROGEN URINE,119.0,119.0,,,0
HCPCS,84545,HC UREA CLEARANCE 84545,99.0,99.0,,,0
HCPCS,84545,HC UREA NITROGEN CLEARANCE,186.0,186.0,,,0
HCPCS,84545,Urea-N clearance test,,,7.2,33.78,7
HCPCS,84550,Assay of blood/uric acid,,,4.52,23.09,7
HCPCS,84550,HC URIC ACID - BLD 84550,35.0,35.0,,,0
HCPCS,84550,HC URIC ACID-BLD 84550,92.0,92.0,,,0
HCPCS,84550,HC URIC ACID; BLOOD,63.5,63.5,,,0
HCPCS,84560,Assay of urine/uric acid,,,5.08,19.05,7
HCPCS,84560,HC URIC ACID (URINE),63.5,63.5,,,0
HCPCS,84560,HC URIC ACID; NOT BLOOD,123.0,123.0,,,0
HCPCS,84577,Assay of feces/urobilinogen,,,16.8,63.79,7
HCPCS,84577,HC UROBILINOGEN FECES QUAN,291.0,291.0,,,0
HCPCS,84577,HC UROBLINO-FEC 84577 QUANT,90.0,90.0,,,0
HCPCS,84577,HC UROBLINO-FEC QT 84577,218.0,218.0,,,0
HCPCS,84578,HC UROBILINOGEN URINE; QUAL,292.0,292.0,,,0
HCPCS,84578,HC UROBILINOGUR-UR-Q84578,218.0,218.0,,,0
HCPCS,84578,HC UROBILINOGUR-UR-QUAL 8457,90.0,90.0,,,0
HCPCS,84578,Test urine urobilinogen,,,4.47,16.68,7
HCPCS,84580,Assay of urine urobilinogen,,,9.55,36.31,7
HCPCS,84580,HC UROBILINOGEN URINE QUAN TIMED SPEC,84.0,84.0,,,0
HCPCS,84583,Assay of urine urobilinogen,,,6.05,25.69,7
HCPCS,84585,Assay of urine vma,,,15.5,79.28,7
HCPCS,84585,HC VMA 84585,280.0,280.0,,,0
HCPCS,84585,HC VMA URINE,532.0,532.0,,,0
HCPCS,84586,Assay of vip,,,35.33,180.69,7
HCPCS,84586,HC VIP,268.0,268.0,,,0
HCPCS,84586,HC VIP - VASOACTIVE INTESTINAL PEPTIDE,359.0,359.0,,,0
HCPCS,84588,Assay of vasopressin,,,33.94,173.59,7
HCPCS,84588,HC ARGININE VASPORESSIN,92.0,92.0,,,0
HCPCS,84588,HC VASOPRESSIN,123.0,123.0,,,0
HCPCS,84590,Assay of vitamin a,,,11.61,59.29,7
HCPCS,84590,HC VITAMIN A,270.0,270.0,,,0
HCPCS,84590,HC VITAMIN A QUAN 84590,130.0,130.0,,,0
HCPCS,84591,Assay Of Nos Vitamin,,,17.06,61.89,7
HCPCS,84591,HC NIACIN,184.0,184.0,,,0
HCPCS,84591,HC VITAMIN NOS,246.0,246.0,,,0
HCPCS,84597,Assay of vitamin k,,,13.72,70.09,7
HCPCS,84597,HC VITAMIN K,615.0,615.0,,,0
HCPCS,84597,HC VITAMIN K1,458.0,458.0,,,0
HCPCS,84600,Assay of volatiles,,,17.11,82.17,7
HCPCS,84600,HC ALCOHOL METHYL 84600,140.0,140.0,,,0
HCPCS,84600,HC VOLATILES,153.0,153.0,,,0
HCPCS,84620,HC XYLOSE ABSORPTION BLOOD &/OR URINE,442.0,442.0,,,0
HCPCS,84620,HC XYLOSE TOLERANC 84620,137.0,137.0,,,0
HCPCS,84620,HC XYLOSE TOLERANC84620,329.0,329.0,,,0
HCPCS,84620,Xylose tolerance test,,,12.91,60.57,7
HCPCS,84630,Assay of zinc,,,11.39,53.29,7
HCPCS,84630,HC ZINC,316.0,316.0,,,0
HCPCS,84630,HC ZINC  84630,236.0,236.0,,,0
HCPCS,84630,HC ZINC 84630,96.0,96.0,,,0
HCPCS,84681,Assay of c-peptide,,,20.81,106.4,7
HCPCS,84681,HC C-PEPTIDE,436.0,436.0,,,0
HCPCS,84681,HC C-PEPTIDE 84681,324.0,324.0,,,0
HCPCS,84702,Chorionic gonadotropin test,,,15.05,74.19,7
HCPCS,84702,HC HCG TUMOR MARKER QUANT,65.0,65.0,,,0
HCPCS,84702,"HC HCG,SERUM QT 84702",324.0,324.0,,,0
HCPCS,84702,HC HCG; QUAN,232.0,232.0,,,0
HCPCS,84703,Chorionic gonadotropin assay,,,7.52,38.39,7
HCPCS,84703,HC HCG QUAL -- SPECIAL 89630,86.0,86.0,,,0
HCPCS,84703,HC HCG QUAL 84703,163.0,163.0,,,0
HCPCS,84703,HC HCG; QUAL,118.0,118.0,,,0
HCPCS,84704,HC HCG FREE BETA CHAIN,85.0,85.0,,,0
HCPCS,84704,Hcg free betachain test,,,15.29,75.21,7
HCPCS,84830,Ovulation tests,,,12.7,51.31,7
HCPCS,84999,Clinical chemistry test,,,36.3,44.82,4
HCPCS,84999,HC GENOMIC ONCOTYPE DX TEST,6260.0,6260.0,,,0
HCPCS,84999,HC OSMOLALITY - STOOL,112.0,112.0,,,0
HCPCS,84999,HC UNLISTED CHEM PROC (1),150.0,150.0,,,0
HCPCS,84999,HC UNLISTED CHEMISTRY (10),150.0,150.0,,,0
HCPCS,85002,Bleeding time test,,,4.82,23.02,7
HCPCS,85002,HC BLEEDING TIME,182.0,182.0,,,0
HCPCS,85002,HC BLEEDING TIME 85002,137.0,137.0,,,0
HCPCS,85004,Automated diff wbc count,,,6.47,33.09,7
HCPCS,85004,HC WBC W AUTO DIFF,87.0,87.0,,,0
HCPCS,85007,Bl smear w/diff wbc count,,,3.8,17.6,7
HCPCS,85007,HC BL SMEAR W/DIFF WBC COUNT,47.5,47.5,,,0
HCPCS,85007,HC BLD CT; MANUAL DIFF WBC C,64.0,64.0,,,0
HCPCS,85008,Bl smear w/o diff wbc count,,,3.43,17.6,7
HCPCS,85008,HC BL SMEAR W/O DIFF WBC COUNT,88.0,88.0,,,0
HCPCS,85008,HC MORPH RBC OTHER 85008,65.0,65.0,,,0
HCPCS,85009,HC MANUAL DIFF WBC COUNT B-COAT,44.0,44.0,,,0
HCPCS,85009,Manual diff wbc count b-coat,,,5.07,19.0,7
HCPCS,85013,HC SPUN HEMATOCRIT,28.0,28.0,,,0
HCPCS,85013,Spun microhematocrit,,,7.0,24.99,7
HCPCS,85014,HC HEMATOCRIT,74.0,74.0,,,0
HCPCS,85014,HC HEMATROCRIT,28.0,28.0,,,0
HCPCS,85014,Hematocrit,,,2.37,12.11,7
HCPCS,85018,HC ART HEMOGLOBIN 85018,121.0,121.0,,,0
HCPCS,85018,HC HEMOGLOBIN,86.0,86.0,,,0
HCPCS,85018,HC HEMOGLOBIN 85018,24.0,24.0,,,0
HCPCS,85018,"HC HEMOGLOBIN, CYAN 85018",24.0,24.0,,,0
HCPCS,85018,"HC HEMOGLOBIN,CYAN85018",75.0,75.0,,,0
HCPCS,85018,Hemoglobin,,,2.37,12.11,7
HCPCS,85025,Complete cbc w/auto diff wbc,,,7.77,39.75,7
HCPCS,85025,HC C B C,58.0,58.0,,,0
HCPCS,85025,HC COMP BLOOD CNT 85025,164.0,164.0,,,0
HCPCS,85025,HC COMPL CBC  W PLT W AUTOM DIFF,116.0,116.0,,,0
HCPCS,85025,HC WBC & DIFF BLD 85025,83.0,83.0,,,0
HCPCS,85027,Complete cbc automated,,,6.47,33.09,7
HCPCS,85027,HC COMPL AUTOM CBC W PLT,104.0,104.0,,,0
HCPCS,85027,HC IN/OUT BLOOD CT85027,148.0,148.0,,,0
HCPCS,85027,HC SSP HEMOGRAM 85021,64.0,64.0,,,0
HCPCS,85032,HC MANUAL CELL COUNT EACH,123.0,123.0,,,0
HCPCS,85032,HC PLATELET MANUAL COUNT 855,92.0,92.0,,,0
HCPCS,85032,Manual cell count each,,,4.31,22.0,7
HCPCS,85041,Automated rbc count,,,3.02,14.71,7
HCPCS,85041,HC AUTOMATED RBC COUNT,101.0,101.0,,,0
HCPCS,85041,HC ERYTHROCYTE CNT 85041,16.0,16.0,,,0
HCPCS,85041,HC ERYTHROCYTE CNT85041,75.0,75.0,,,0
HCPCS,85044,HC MANUAL RETICULOCYTE COUNT,51.0,51.0,,,0
HCPCS,85044,Manual reticulocyte count,,,4.31,22.0,7
HCPCS,85045,Automated reticulocyte count,,,3.99,20.46,7
HCPCS,85045,HC AUTOMATED RETICULOCYTE COUNT,106.0,106.0,,,0
HCPCS,85045,HC RETICULOCYTE CN AUTO,30.0,30.0,,,0
HCPCS,85045,HC RETICULOCYTE CN AUTO 8504,78.0,78.0,,,0
HCPCS,85046,HC RETICYTE/HGB CONCENTRATE,66.0,66.0,,,0
HCPCS,85046,Reticyte/hgb concentrate,,,5.57,28.55,7
HCPCS,85048,Automated leukocyte count,,,2.54,12.99,7
HCPCS,85048,HC AUTOMATED WBC,100.0,100.0,,,0
HCPCS,85048,HC TOTAL EO COUNT 85048,74.0,74.0,,,0
HCPCS,85048,HC WBC ONLY,50.0,50.0,,,0
HCPCS,85049,Automated platelet count,,,4.48,22.88,7
HCPCS,85049,HC AUTOMATED PLATELET COUNT,123.0,123.0,,,0
HCPCS,85049,HC PLATELET COUNT 85049,92.0,92.0,,,0
HCPCS,85055,HC RETICULATED PLATELET ASSAY,316.0,316.0,,,0
HCPCS,85055,Reticulated platelet assay,,,35.74,136.92,7
HCPCS,85060,Blood smear interpretation,,,39.11,98.2,4
HCPCS,85097,Bone marrow interpretation,,,78.78,999.37,7
HCPCS,85097,HC BM SMR INTERP,815.0,815.0,,,0
HCPCS,85097,HC BONE MARROW  85097,86.0,86.0,,,0
HCPCS,85097,HC BONE MARROW EXAM,87.0,87.0,,,0
HCPCS,85130,Chromogenic substrate assay,,,11.89,60.83,7
HCPCS,85130,HC CHROMOGENIC SUBSTRATE ASSAY,142.0,142.0,,,0
HCPCS,85170,Blood clot retraction,,,9.23,59.52,7
HCPCS,85170,HC CLOT RETRACTION,88.0,88.0,,,0
HCPCS,85170,HC CLOT RETRACTION 85170,24.0,24.0,,,0
HCPCS,85170,HC CLOT RETRACTION85170,66.0,66.0,,,0
HCPCS,85175,Blood clot lysis time,,,20.37,73.8,7
HCPCS,85210,Clot factor ii prothrom spec,,,12.98,47.61,7
HCPCS,85210,HC CLOTTING; FACTOR II PROTHROMBIN SPECIF,244.0,244.0,,,0
HCPCS,85210,HC FACTOR II ASSAY 85210,35.0,35.0,,,0
HCPCS,85210,HC FACTOR II ASSAY85210,182.0,182.0,,,0
HCPCS,85220,Blooc clot factor v test,,,17.65,90.26,7
HCPCS,85220,HC CLOTTING; FACTOR V,540.0,540.0,,,0
HCPCS,85220,HC FACTOR 5 LEIDEN,440.0,440.0,,,0
HCPCS,85220,HC FACTOR V ASSAY 85220,150.5,150.5,,,0
HCPCS,85230,Clot factor vii proconvertin,,,17.9,91.57,7
HCPCS,85230,HC CLOTTING; FACTOR VII,356.0,356.0,,,0
HCPCS,85230,HC FACTOR VII ASSA85230,266.0,266.0,,,0
HCPCS,85230,HC FACTOR VII ASSAY 85230,35.0,35.0,,,0
HCPCS,85240,Clot factor viii ahg 1 stage,,,17.9,91.57,7
HCPCS,85240,HC BLOOD CLOT FACTOR VIII TEST,422.0,422.0,,,0
HCPCS,85240,HC FACTOR VIII ASS85240,315.0,315.0,,,0
HCPCS,85240,HC FACTOR VIII ASSAY 85240,119.0,119.0,,,0
HCPCS,85244,Clot factor viii reltd antgn,,,20.42,104.42,7
HCPCS,85244,HC CLOTTING; FACTOR VIII RELATED ANTIGEN,242.0,242.0,,,0
HCPCS,85245,Clot factor viii vw ristoctn,,,22.94,117.34,7
HCPCS,85245,HC CLOTTING; FACTOR VIII RISTOCETIN COFACT,543.0,543.0,,,0
HCPCS,85245,HC RISTOCETIN COFACTOR,404.0,404.0,,,0
HCPCS,85246,Clot factor viii vw antigen,,,22.94,117.34,7
HCPCS,85246,HC CLOTTING: FACTOR VIII VW FACTOR AG,261.0,261.0,,,0
HCPCS,85246,HC VON WILLEBRAND FACTR VIII,194.0,194.0,,,0
HCPCS,85247,Clot factor viii multimetric,,,22.94,117.34,7
HCPCS,85247,HC FACTOR 8 VWF MULTIMRIC,209.0,209.0,,,0
HCPCS,85247,HC VON WILLEBRAND MULTIMERS,156.0,156.0,,,0
HCPCS,85250,Clot factor ix ptc/chrstmas,,,19.04,97.36,7
HCPCS,85250,HC CLOTTING; FACTOR IX,422.0,422.0,,,0
HCPCS,85250,HC FACTOR IX ASSAY,119.0,119.0,,,0
HCPCS,85250,HC FACTOR IX ASSAY85250,315.0,315.0,,,0
HCPCS,85260,Clot factor x stuart-power,,,17.9,91.57,7
HCPCS,85260,HC CLOTTING; FACTOR X,422.0,422.0,,,0
HCPCS,85260,HC FACTOR X ASSAY 85260,217.0,217.0,,,0
HCPCS,85270,Clot factor xi pta,,,17.9,91.57,7
HCPCS,85270,HC CLOTTING; FACTOR XI,422.0,422.0,,,0
HCPCS,85270,HC FACTO XI ASSAY 85270,119.0,119.0,,,0
HCPCS,85270,HC FACTOR XI ASSAY85270,315.0,315.0,,,0
HCPCS,85280,Clot factor xii hageman,,,19.35,98.97,7
HCPCS,85280,HC CLOTTING; FACTOR XII,422.0,422.0,,,0
HCPCS,85280,HC FACTOR XII ASSA85280,315.0,315.0,,,0
HCPCS,85280,HC FACTOR XII ASSAY 85280,119.0,119.0,,,0
HCPCS,85290,Clot factor xiii fibrin stab,,,16.34,59.52,7
HCPCS,85290,HC CLOTTING; FACTOR XIII - FS,154.0,154.0,,,0
HCPCS,85290,HC FACTOR 13,114.0,114.0,,,0
HCPCS,85290,HC FACTOR XIII ASS85290,315.0,315.0,,,0
HCPCS,85290,HC FACTOR XIII ASSAY 85290,119.0,119.0,,,0
HCPCS,85290,HC FACTOR XIII QUEST,45.0,45.0,,,0
HCPCS,85291,Clot factor xiii fibrin scrn,,,9.11,41.39,7
HCPCS,85291,HC CLOTTING; FACTOR XIII SCREEN SOLUBLE,96.0,96.0,,,0
HCPCS,85292,Clot factor fletcher fact,,,18.93,96.84,7
HCPCS,85292,HC CLOTTING: PREKALLIKREIN ASSAY,224.0,224.0,,,0
HCPCS,85293,Clot factor wght kininogen,,,18.93,96.84,7
HCPCS,85293,HC CLOTTING; HMW KININOGEN ASSAY,224.0,224.0,,,0
HCPCS,85300,Antithrombin iii activity,,,11.85,49.48,7
HCPCS,85300,HC ANTITHROMBIN III,108.0,108.0,,,0
HCPCS,85300,HC ANTITHROMBIN III ACTIVITY ASSAY,146.0,146.0,,,0
HCPCS,85300,HC CIRCULATING ANT85300,292.0,292.0,,,0
HCPCS,85300,HC CIRCULATION ANT 85300,50.0,50.0,,,0
HCPCS,85300,HC FACTOR III ASSA85300,302.0,302.0,,,0
HCPCS,85300,HC FACTOR III ASSAY 85300,119.0,119.0,,,0
HCPCS,85301,Antithrombin iii antigen,,,10.81,55.3,7
HCPCS,85301,HC ANTITHROMBIN III ANTIGEN ASSAY,130.0,130.0,,,0
HCPCS,85302,Clot inhibit prot c antigen,,,12.01,61.49,7
HCPCS,85302,HC CLOTTING INHIBITOR; PROTEIN C AG,146.0,146.0,,,0
HCPCS,85302,HC PROTEIN C ANTIGEN,109.0,109.0,,,0
HCPCS,85303,Clot inhibit prot c activity,,,13.84,70.71,7
HCPCS,85303,HC CLOTTING INHIBITOR; PROTEIN C ACTIVITY,406.0,406.0,,,0
HCPCS,85303,HC PROTEIN C ACTIVITY,302.0,302.0,,,0
HCPCS,85305,Clot inhibit prot s total,,,11.61,59.29,7
HCPCS,85305,HC CLOTTING INHIBITOR; PROTEIN S TOTAL,186.0,186.0,,,0
HCPCS,85305,HC PROTEIN S (TOTAL),138.0,138.0,,,0
HCPCS,85305,HC PROTEIN S TOTAL,90.0,90.0,,,0
HCPCS,85306,Clot inhibit prot s free,,,15.32,78.36,7
HCPCS,85306,HC CLOTTING INHIBITOR PROTEIN S FREE,186.0,186.0,,,0
HCPCS,85306,HC PROTEIN S (FREE),138.0,138.0,,,0
HCPCS,85306,HC PROTEIN S FREE,90.0,90.0,,,0
HCPCS,85307,Assay Activated Protein C,,,15.32,78.36,7
HCPCS,85307,HC ACTIVATED PROTEIN C RESIS,185.0,185.0,,,0
HCPCS,85307,HC ACTIVATED PROTEIN C RESISTANCE,248.0,248.0,,,0
HCPCS,85335,Factor inhibitor test,,,12.87,46.41,7
HCPCS,85335,HC FACTOR 8 INHIBITOR,168.0,168.0,,,0
HCPCS,85335,HC FACTOR INHIBITOR TEST,227.0,227.0,,,0
HCPCS,85337,HC THROMBOMODULIN,123.0,123.0,,,0
HCPCS,85337,Thrombomodulin,,,17.27,63.09,7
HCPCS,85345,Coagulation time lee & white,,,4.69,22.0,7
HCPCS,85347,Coagulation time activated,,,4.28,21.78,7
HCPCS,85347,HC COAG TIME; ACTIVATED,430.0,430.0,,,0
HCPCS,85347,HC KAOLIN CLOTTING TIME,322.0,322.0,,,0
HCPCS,85348,Coagulation time otr method,,,4.49,19.03,7
HCPCS,85360,Euglobulin lysis,,,8.41,42.97,7
HCPCS,85360,HC EUGLOBULIN LYSIS,158.0,158.0,,,0
HCPCS,85360,HC EUGLOGULIN CLOT 85360,35.0,35.0,,,0
HCPCS,85360,HC EUGLOGULIN CLOT85360,94.0,94.0,,,0
HCPCS,85362,Fibrin degradation products,,,6.89,35.21,7
HCPCS,85362,HC FIBRIN DEGRADATION PRODUCTS,236.0,236.0,,,0
HCPCS,85362,HC FIBRIN PR 85362,69.0,69.0,,,0
HCPCS,85362,HC FIBRIN SPLIT PR85362,176.0,176.0,,,0
HCPCS,85366,Fibrinogen test,,,39.1,292.83,7
HCPCS,85370,Fibrinogen test,,,12.43,45.24,7
HCPCS,85378,Fibrin degrade semiquant,,,9.72,36.49,7
HCPCS,85378,HC D-DIMER  QUAL/SEMIQT 8537,129.0,129.0,,,0
HCPCS,85378,HC D-DIMER- QUAL/SEMIQUAN,172.0,172.0,,,0
HCPCS,85379,Fibrin degradation quant,,,10.18,41.39,7
HCPCS,85379,HC D-DIMER - QUAN,164.0,164.0,,,0
HCPCS,85379,HC D-DIMER QUANT,222.0,222.0,,,0
HCPCS,85380,Fibrin degradj d-dimer,,,10.18,41.39,7
HCPCS,85384,Fibrinogen activity,,,9.72,43.44,7
HCPCS,85384,HC FACTOR I ASSAY 85384,120.0,120.0,,,0
HCPCS,85384,"HC FIBRINOGEN, ACTIVITY 8538",35.0,35.0,,,0
HCPCS,85384,"HC FIBRINOGEN, QUA 85384 ACT",92.0,92.0,,,0
HCPCS,85384,HC FIBRINOGEN; ACTIVITY,70.0,70.0,,,0
HCPCS,85385,Fibrinogen antigen,,,14.46,52.38,7
HCPCS,85385,HC FIBRINOGEN; ANTIGEN,101.0,101.0,,,0
HCPCS,85390,Fibrinolysins screen i&r,,,15.48,55.95,7
HCPCS,85390,HC FIBRINOLYSINS OR COAG SCREEN,62.0,62.0,,,0
HCPCS,85396,Clotting assay whole blood,,,31.84,36.39,2
HCPCS,85397,Clotting funct activity,,,30.86,118.95,7
HCPCS,85397,HC CLOTTING FUNCT ACTIVITY,272.0,272.0,,,0
HCPCS,85400,Fibrinolytic plasmin,,,7.71,45.24,7
HCPCS,85410,Fibrinolytic antiplasmin,,,7.71,39.42,7
HCPCS,85410,HC ALPHA-2-ANTIPLASMIN,92.0,92.0,,,0
HCPCS,85415,Fibrinolytic plasminogen,,,17.19,74.3,7
HCPCS,85415,HC PLASMINOGEN ACTIVATOR,174.0,174.0,,,0
HCPCS,85420,Fibrinolytic plasminogen,,,6.53,33.42,7
HCPCS,85420,HC FUNCTIONAL PLASMINOGEN,420.0,420.0,,,0
HCPCS,85420,HC PLASMINOGEN FIBRINOLYTIC,314.0,314.0,,,0
HCPCS,85421,Fibrinolytic plasminogen,,,10.18,52.08,7
HCPCS,85421,HC PLASMINOGEN ANTIGEN LEVEL,122.0,122.0,,,0
HCPCS,85441,HC HEINZ BODIES; DIRECT,50.0,50.0,,,0
HCPCS,85441,Heinz bodies direct,,,4.2,21.52,7
HCPCS,85445,HC HEINZ BODIES; INDUCED,68.0,68.0,,,0
HCPCS,85445,Heinz bodies induced,,,6.82,29.5,7
HCPCS,85460,HC APT,49.0,49.0,,,0
HCPCS,85460,HC HEMOGLOBIN FETA 85460,50.0,50.0,,,0
HCPCS,85460,HC HEMOGLOBIN FETA85460,137.0,137.0,,,0
HCPCS,85460,HC K-B STAIN FOR FETAL HGB,184.0,184.0,,,0
HCPCS,85460,Hemoglobin fetal,,,7.73,39.56,7
HCPCS,85461,HC FETAL HEMORRHAGE,100.0,100.0,,,0
HCPCS,85461,HC FETAL HGB SCREENING TEST,134.0,134.0,,,0
HCPCS,85461,Hemoglobin fetal,,,9.36,34.53,7
HCPCS,85475,HC ACID HEMOLYSIS 85475,85.0,85.0,,,0
HCPCS,85475,HC HEMOLYSIN ACID,106.0,106.0,,,0
HCPCS,85475,Hemolysin acid,,,8.87,45.38,7
HCPCS,85520,HC HEPARIN ANTI-XA ASSAY,420.0,420.0,,,0
HCPCS,85520,HC HEPARIN ASSAY,564.0,564.0,,,0
HCPCS,85520,Heparin assay,,,13.09,66.94,7
HCPCS,85525,HC HEPARIN NEUTRALIZATION,141.0,141.0,,,0
HCPCS,85525,Heparin neutralization,,,11.84,60.57,7
HCPCS,85530,HC HEPARIN-PROTAMINE TOLERANCE TEST,168.0,168.0,,,0
HCPCS,85530,HC PROTAMINE SULF 85530,82.5,82.5,,,0
HCPCS,85530,Heparin-protamine tolerance,,,13.09,72.5,7
HCPCS,85536,HC IRON STAIN PERIPHERAL BLOOD,76.0,76.0,,,0
HCPCS,85536,Iron Stain Peripheral Blood,,,6.88,33.09,7
HCPCS,85540,HC ALK PHOS SMEAR 85540,142.0,142.0,,,0
HCPCS,85540,HC ALKPHOS SMEAR 85540,58.0,58.0,,,0
HCPCS,85540,HC LEUKOCYTE ALK PHOS W COUNT,192.0,192.0,,,0
HCPCS,85540,Wbc alkaline phosphatase,,,8.6,43.99,7
HCPCS,85547,RBC mechanical fragility,,,8.6,43.99,7
HCPCS,85549,HC MURAMIDASE,172.0,172.0,,,0
HCPCS,85549,Muramidase,,,18.75,74.22,7
HCPCS,85555,HC OSMOTIC FRAGILITY RBC; UNINCUBATED,76.0,76.0,,,0
HCPCS,85555,RBC osmotic fragility,,,7.47,32.83,7
HCPCS,85557,HC OSMOTIC FRAGILITY RBC; INCUBATED,62.0,62.0,,,0
HCPCS,85557,RBC osmotic fragility,,,13.36,68.3,7
HCPCS,85576,Blood platelet aggregation,,,24.91,109.84,7
HCPCS,85576,HC PLATELET AGGREG,376.0,376.0,,,0
HCPCS,85576,HC PLT AGGREGATION (IN VITRO) EA AGENT,503.0,503.0,,,0
HCPCS,85597,HC PLATELET NEUTRALIZATION,163.0,163.0,,,0
HCPCS,85597,Phospholipid pltlt neutraliz,,,17.98,91.94,7
HCPCS,85598,HC HEXAGNAL PHOSPH PLTLT NEUTRL,213.0,213.0,,,0
HCPCS,85598,Hexagnal phosph pltlt neutrl,,,17.98,93.18,7
HCPCS,85610,HC PROTHROMBIN TIM 85610,36.0,36.0,,,0
HCPCS,85610,HC PROTHROMBIN TIM85610,94.0,94.0,,,0
HCPCS,85610,HC PROTHROMBIN TIME;,67.0,67.0,,,0
HCPCS,85610,Prothrombin time,,,4.29,20.09,7
HCPCS,85611,HC PROTHRO SUB TST 85611,164.0,164.0,,,0
HCPCS,85611,HC PROTHRO SUM TST 85612,62.0,62.0,,,0
HCPCS,85611,HC PT; SUBSTITUTION PLASMA FRACTIONS EA,220.0,220.0,,,0
HCPCS,85611,Prothrombin test,,,3.94,20.17,7
HCPCS,85612,HC RUSSELL VIPER VENOM TIME; UNDILUTED,74.0,74.0,,,0
HCPCS,85612,HC RUSSELLS VIPER VENOM TIME,54.0,54.0,,,0
HCPCS,85612,Viper venom prothrombin time,,,17.49,63.09,7
HCPCS,85613,HC RUSSELL VIPER VENOM TIME; DILUTED,114.0,114.0,,,0
HCPCS,85613,Russell viper venom diluted,,,9.58,48.93,7
HCPCS,85635,HC REPTILASE TEST,84.0,84.0,,,0
HCPCS,85635,Reptilase test,,,9.85,35.76,7
HCPCS,85651,HC NONAUTO ERYTHROCYTE SED RATE,110.0,110.0,,,0
HCPCS,85651,HC SED RATE NON AUTO,54.0,54.0,,,0
HCPCS,85651,Rbc sed rate nonautomated,,,4.27,18.15,7
HCPCS,85652,HC AUTOM ERYTHROCYTE SED RATE,19.0,19.0,,,0
HCPCS,85652,Rbc sed rate automated,,,2.7,13.8,7
HCPCS,85660,HC REF-UNIT SICKLING RBC RED,49.0,49.0,,,0
HCPCS,85660,HC SICKLE CELL PRE 85660,35.0,35.0,,,0
HCPCS,85660,HC SICKLE CELL PRE85660,92.0,92.0,,,0
HCPCS,85660,HC SICKLING OF RBC REDUCTION,123.0,123.0,,,0
HCPCS,85660,RBC sickle cell test,,,5.51,27.82,7
HCPCS,85670,HC THROMBIN TIME PLASMA 8567,32.0,32.0,,,0
HCPCS,85670,HC THROMBIN TIME PLATELET 85,85.0,85.0,,,0
HCPCS,85670,HC THROMBIN TIME; PLASMA,114.0,114.0,,,0
HCPCS,85670,Thrombin time plasma,,,5.77,26.21,7
HCPCS,85675,Thrombin time titer,,,6.85,26.21,7
HCPCS,85705,HC LUPUS ANTICOAGULANT,306.0,306.0,,,0
HCPCS,85705,HC THROMBOPLASTIN INHIBITION TISSUE,410.0,410.0,,,0
HCPCS,85705,Thromboplastin inhibition,,,9.63,43.52,7
HCPCS,85730,HC PARTIAL THROMBO 85730,43.0,43.0,,,0
HCPCS,85730,HC PARTIAL THROMBO85730,106.0,106.0,,,0
HCPCS,85730,HC PTT; PLASMA OR WHOLE BLOOD,77.5,77.5,,,0
HCPCS,85730,Thromboplastin time partial,,,6.01,30.67,7
HCPCS,85732,HC ACT PTT SUB 85732,113.0,113.0,,,0
HCPCS,85732,HC PTT; SUBSTITUTION PLASMA FRACTIONS EA,220.0,220.0,,,0
HCPCS,85732,HC THROMBOPLASTIN SUBSTITUTI,164.0,164.0,,,0
HCPCS,85732,Thromboplastin time partial,,,6.47,33.09,7
HCPCS,85810,Blood viscosity examination,,,11.67,59.73,7
HCPCS,85810,HC VISCOSITY,260.0,260.0,,,0
HCPCS,85810,"HC VISCOSITY, SERUM 85810",136.5,136.5,,,0
HCPCS,85999,HC L.E. CELL PREP 85999,171.0,171.0,,,0
HCPCS,85999,HC SMEAR FOR EOSINOPHIL,100.0,100.0,,,0
HCPCS,85999,Hematology procedure,,,13.23,44.82,4
HCPCS,86000,Agglutinins febrile antigen,,,6.98,35.69,7
HCPCS,86000,HC AGGLUT FEB EA 86000,75.0,75.0,,,0
HCPCS,86000,HC AGGLUTININS FEBRILE,227.0,227.0,,,0
HCPCS,86000,HC ROCKY MTN SPOT 86000,218.0,218.0,,,0
HCPCS,86001,Allergen Specific Igg,,,7.82,28.56,7
HCPCS,86001,HC ALLERG SP  IGG QUAN OR SEMIQUAN,62.0,62.0,,,0
HCPCS,86003,Allergen specific IgE,,,5.22,26.72,7
HCPCS,86003,HC ALLERG SP IGE; QUAN OR SEMIQUAN,272.0,272.0,,,0
HCPCS,86003,HC ALLERGEN SPECIFIC IGE,22.0,22.0,,,0
HCPCS,86003,HC FOOD ALLERGY PROFILE*,41.0,41.0,,,0
HCPCS,86003,HC RAST TEST EACH,203.0,203.0,,,0
HCPCS,86003,HC RESPIRATORY DISEASE PANEL,334.0,334.0,,,0
HCPCS,86005,Allergen specific IgE,,,7.97,28.56,7
HCPCS,86005,HC ALLERGEN SPECIFIC IGE,34.0,34.0,,,0
HCPCS,86008,Allg spec ige recomb ea,,,17.93,65.46,5
HCPCS,86008,HC ALLG SPEC IGE RECOMB EA,124.0,124.0,,,0
HCPCS,86015,Actin antibody each,,,12.05,44.04,7
HCPCS,86015,HC ACTIN ANTIBODY EACH,298.0,298.0,,,0
HCPCS,86021,HC AB ID; LEUKOCYTE AB,750.0,750.0,,,0
HCPCS,86021,HC ANCA PANEL,1211.0,1211.0,,,0
HCPCS,86021,HC ANTIPROTEINASE 3 AB,76.0,76.0,,,0
HCPCS,86021,HC GRANULOCYTE ANTIBODY,508.0,508.0,,,0
HCPCS,86021,HC LEUKOCYTE AB 86021,215.0,215.0,,,0
HCPCS,86021,WBC antibody identification,,,15.05,54.75,7
HCPCS,86022,HC AB ID; PLATELET AB,240.0,240.0,,,0
HCPCS,86022,HC ANTI PLATELET AB INDIRECT,100.0,100.0,,,0
HCPCS,86022,HC HEPERIN INDUCED PLATELET,100.0,100.0,,,0
HCPCS,86022,HC PLATELET ANTIBODY DIRECT,215.0,215.0,,,0
HCPCS,86022,HC PLATELET ANTIBODY INDIREC,405.0,405.0,,,0
HCPCS,86022,HC REF-PLATELET AB SCREEN,126.0,126.0,,,0
HCPCS,86022,HC REF-PLATELET AB XM,684.0,684.0,,,0
HCPCS,86022,HC REF-PLATELET ANTIBODY ID,527.0,527.0,,,0
HCPCS,86022,HC REF-PLATELET ANTIGEN TYPE,30.0,30.0,,,0
HCPCS,86022,HC SERONTONIN RELEASE ASSAY,588.0,588.0,,,0
HCPCS,86022,Platelet antibodies,,,18.37,66.66,7
HCPCS,86023,HC AB ID; PLATELET IG ASSAY,132.0,132.0,,,0
HCPCS,86023,HC ANTI PLATELET AB DIRECT,99.0,99.0,,,0
HCPCS,86023,HC IMMUNOGLOBULIN ASSAY,51.0,51.0,,,0
HCPCS,86023,"HC PLATELET ASSOC AB IGG,IGM",116.0,116.0,,,0
HCPCS,86023,Immunoglobulin assay,,,12.46,63.68,7
HCPCS,86036,Anca screen each antibody,,,12.05,44.1,7
HCPCS,86036,HC ANCA SCREEN EACH ANTIBODY,289.0,289.0,,,0
HCPCS,86037,Anca titer each antibody,,,12.05,44.1,7
HCPCS,86038,Antinuclear antibodies,,,12.09,61.82,7
HCPCS,86038,HC ANTI-NUCLEAR ANTIBODY 860,99.0,99.0,,,0
HCPCS,86038,HC ANTINUCLEAR AB (ANA);,77.0,77.0,,,0
HCPCS,86038,HC LUPUS ERYTHEMATOSIS PROFI,256.0,256.0,,,0
HCPCS,86039,Antinuclear antibodies (ANA),,,11.16,57.1,7
HCPCS,86039,"HC ANA, TITER 86039",100.0,100.0,,,0
HCPCS,86039,HC ANTINUCLEAR AB (ANA); TITER,134.0,134.0,,,0
HCPCS,86041,Acetylcholn rcptr bndng antb,,,18.4,67.34,7
HCPCS,86041,HC ACETYLCHOLINE RECEPTOR (ACHR); BINDING ANTIBODY,137.0,137.0,,,0
HCPCS,86042,Acetylcholn rcptr blckg antb,,,18.4,67.34,7
HCPCS,86042,HC ACETYLCHOLINE RECEPTOR (ACHR); BLOCKING ANTIBODY,233.0,233.0,,,0
HCPCS,86043,Acetylcholn rcptr modlg antb,,,12.05,44.1,7
HCPCS,86043,HC ACETYLCHOLINE RECEPTOR (ACHR); MODULATING ANTIBODY,233.0,233.0,,,0
HCPCS,86051,Aquaporin-4 antb elisa,,,11.53,42.2,7
HCPCS,86052,Aquaporin-4 antb cba each,,,12.05,44.1,7
HCPCS,86052,HC AQUAPORIN-4 ANTB CBA EACH,322.0,322.0,,,0
HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,37.73,136.89,7
HCPCS,86060,Antistreptolysin o titer,,,7.3,37.33,7
HCPCS,86060,HC ANTI-STREPTOLY 86060,178.0,178.0,,,0
HCPCS,86060,HC ANTI-STREPTOLY TITER 8606,70.0,70.0,,,0
HCPCS,86060,HC ASO ; TITER,240.0,240.0,,,0
HCPCS,86063,Antistreptolysin o screen,,,5.77,29.54,7
HCPCS,86063,HC ASO - SCREEN 86063,69.0,69.0,,,0
HCPCS,86063,HC ASO-SCREEN 86063,131.0,131.0,,,0
HCPCS,86063,HC ASO; SCREEN,176.0,176.0,,,0
HCPCS,86063,HC CHAGAS DISEASE SCREEN 860,69.0,69.0,,,0
HCPCS,86077,HC DIFFICULT CROSS MATCH,175.0,175.0,,,0
HCPCS,86077,Phys blood bank serv xmatch,,,34.17,91.95,7
HCPCS,86078,HC INVESTIG TRANSFUS REACTION,163.0,163.0,,,0
HCPCS,86078,HC TRANSFUSION REACTION,91.0,91.0,,,0
HCPCS,86078,Phys blood bank serv reactj,,,80.46,211.33,7
HCPCS,86079,Phys blood bank serv authrj,,,58.63,91.95,7
HCPCS,86140,C-reactive protein,,,5.18,26.46,7
HCPCS,86140,HC C - REACTIVE PROT 86140,35.0,35.0,,,0
HCPCS,86140,HC C-REACTIVE PROT86140,94.0,94.0,,,0
HCPCS,86140,HC C-REACTIVE PROTEIN,22.0,22.0,,,0
HCPCS,86140,"HC CRP, QUAN",218.0,218.0,,,0
HCPCS,86140,HC PROMETHEUS IBD DX W CHROH,1115.0,1115.0,,,0
HCPCS,86141,C-reactive protein hs,,,12.95,66.21,7
HCPCS,86141,HC C-REACTIVE PROTEIN HS,75.5,75.5,,,0
HCPCS,86141,HC CRP CARDIO (HI SENS),94.0,94.0,,,0
HCPCS,86146,Beta-2 glycoprotein antibody,,,25.45,130.08,7
HCPCS,86146,HC BETA 2 GLYCOPROTEIN I AB EA,298.0,298.0,,,0
HCPCS,86146,HC BETA2 GLYCOPROTIEN I,222.0,222.0,,,0
HCPCS,86146,HC GLYCOPROTEIN ANTIBODY,103.0,103.0,,,0
HCPCS,86147,Cardiolipin antibody ea ig,,,25.45,130.08,7
HCPCS,86147,HC ANTICARDIOLIPIN A/B,634.0,634.0,,,0
HCPCS,86147,HC CARDIOLIPIN AB EA IG CLASS,852.0,852.0,,,0
HCPCS,86147,HC CARDIOLIPIN ANTIBODY,103.0,103.0,,,0
HCPCS,86148,Anti-phospholipid antibody,,,16.07,58.32,7
HCPCS,86148,HC ANTI-PHOSPHATIDYLSERINE AB,54.0,54.0,,,0
HCPCS,86148,HC ANTIPHOSPOLIPID AB PANEL*,92.0,92.0,,,0
HCPCS,86148,HC PHOSPHATIDYLSERINE AB*,145.0,145.0,,,0
HCPCS,86148,HC PHOSPHOLIPID ANTIBODY,40.0,40.0,,,0
HCPCS,86148,HC PHYPHATADYLSERINE AB*,146.0,146.0,,,0
HCPCS,86152,Cell enumeration & id,,,250.78,911.82,7
HCPCS,86152,HC CELL ENUMERATION & ID,2014.0,2014.0,,,0
HCPCS,86152,HC CELLSEARCH CIRC TUMOR CEL,1501.0,1501.0,,,0
HCPCS,86153,HC CELL ENUMERATION PHYS INTERP,44.0,44.0,,,0
HCPCS,86153,HC CTC TEST W I&R,32.0,32.0,,,0
HCPCS,86155,Chemotaxis assay,,,15.99,81.73,7
HCPCS,86156,Cold agglutinin screen,,,8.07,32.65,7
HCPCS,86156,HC COLD AGGLUTININ; SCREEN,194.0,194.0,,,0
HCPCS,86157,Cold agglutinin titer,,,8.06,41.25,7
HCPCS,86157,HC COLD AGGLUTININ; TITER,194.0,194.0,,,0
HCPCS,86157,HC COLD AGGULT TITER,95.0,95.0,,,0
HCPCS,86160,Complement antigen,,,12.0,61.41,7
HCPCS,86160,HC COMPLEMENT C - 4 86160,180.0,180.0,,,0
HCPCS,86160,HC COMPLEMENT C-4 86160,434.0,434.0,,,0
HCPCS,86160,"HC COMPLEMENT, C-3 86160",180.0,180.0,,,0
HCPCS,86160,"HC COMPLEMENT,C-3 86160",434.0,434.0,,,0
HCPCS,86160,HC COMPLEMENT; AG EA,583.0,583.0,,,0
HCPCS,86160,HC COMPLIMENT C-4 FLUID,100.0,100.0,,,0
HCPCS,86161,Complement/function activity,,,12.0,61.41,7
HCPCS,86161,HC C1 ESTARRASE FUNCTIONAL,70.0,70.0,,,0
HCPCS,86161,HC COMPLEMENT; FCN ACTIVITY EA,94.0,94.0,,,0
HCPCS,86162,Complement total (ch50),,,20.32,103.91,7
HCPCS,86162,HC C I Q,349.0,349.0,,,0
HCPCS,86162,HC COMPLEMENT TOTAL,205.0,205.0,,,0
HCPCS,86162,HC COMPLEMENT; TOT HEMOLYTIC (CH50),390.0,390.0,,,0
HCPCS,86171,Complement fixation each,,,10.01,49.48,7
HCPCS,86171,HC COMPLEMENT FIXA,50.0,50.0,,,0
HCPCS,86171,HC COMPLEMENT FIXATION EA AG,293.0,293.0,,,0
HCPCS,86171,HC VIRUS (CFT) 86171,138.0,138.0,,,0
HCPCS,86185,HC CIE - BACT ANTIGEN,436.0,436.0,,,0
HCPCS,86185,HC COUNTER IEP EA AG,459.0,459.0,,,0
HCPCS,86200,Ccp antibody,,,12.95,67.12,7
HCPCS,86200,HC CCP ANTIBODY,87.0,87.0,,,0
HCPCS,86215,Deoxyribonuclease antibody,,,13.25,67.75,7
HCPCS,86215,HC DEOXYRIBONUCLEASE ANTIBOD,202.0,202.0,,,0
HCPCS,86215,HC DNA AB,271.0,271.0,,,0
HCPCS,86225,Dna antibody native,,,13.74,70.27,7
HCPCS,86225,HC ANTI - DNA,145.5,145.5,,,0
HCPCS,86225,HC ANTI-DEOXY-NASE 86225,99.0,99.0,,,0
HCPCS,86225,HC ANTI-DEOXY-NASE86225,256.0,256.0,,,0
HCPCS,86225,HC DNA AB; NATIVE OR DS,276.0,276.0,,,0
HCPCS,86225,HC DNA ANTIBODY,56.0,56.0,,,0
HCPCS,86225,HC DNA ANTIBODY SIGNLE STRAN,50.0,50.0,,,0
HCPCS,86226,Dna antibody single strand,,,12.11,61.93,7
HCPCS,86226,HC DNA AB; SS,143.0,143.0,,,0
HCPCS,86231,Ema each ig class,,,12.09,44.25,7
HCPCS,86231,HC EMA EACH IG CLASS,322.0,322.0,,,0
HCPCS,86235,HC ENA ANY METHOD,124.0,124.0,,,0
HCPCS,86235,HC ENA IGG & IGM,352.0,352.0,,,0
HCPCS,86235,HC JO-1 ANTIBODY,104.0,104.0,,,0
HCPCS,86235,HC NUCLEAR ANTIGEN ANTIBODY,72.0,72.0,,,0
HCPCS,86235,HC SCLERODERMA AB SCL-70,68.0,68.0,,,0
HCPCS,86235,HC SJORGENS ANTIBODY SECOND,70.0,70.0,,,0
HCPCS,86235,HC SJORGRENS ANTIBODY FIRST,70.0,70.0,,,0
HCPCS,86235,Nuclear antigen antibody,,,17.93,91.72,7
HCPCS,86255,Fluorescent antibody screen,,,12.05,61.63,7
HCPCS,86255,HC ANTI-NUCLEAR AN 86225,58.0,58.0,,,0
HCPCS,86255,HC ANTINEURONAL A/B,849.0,849.0,,,0
HCPCS,86255,HC CELIAC DISEASE SEROLOGY*,144.0,144.0,,,0
HCPCS,86255,HC ENDOMYSIAL ANITBODY SCREE,193.0,193.0,,,0
HCPCS,86255,HC FLOURESCENT ANTIBODY SCRE,49.0,49.0,,,0
HCPCS,86255,HC FLUORESCENT AB; SCRN EA AB,181.0,181.0,,,0
HCPCS,86255,HC NEURONAL NUCLEAR (HU) AB,240.0,240.0,,,0
HCPCS,86255,HC NEURONAL NUCLEAR (RI) AB,326.0,326.0,,,0
HCPCS,86255,HC PURKINKE CELL CYTOPLAS AB,294.0,294.0,,,0
HCPCS,86256,Fluorescent antibody titer,,,12.05,44.73,7
HCPCS,86256,HC A-MITOCHON,204.5,204.5,,,0
HCPCS,86256,HC ANTI-NUCLEAR TITER 86256,206.0,206.0,,,0
HCPCS,86256,HC ANTI-SM MUSCLE,111.0,111.0,,,0
HCPCS,86256,HC FLUORESCENT AB; TITER EA AB,400.0,400.0,,,0
HCPCS,86258,Dgp antibody each ig class,,,12.05,44.04,7
HCPCS,86258,HC DGP ANTIBODY EACH IG CLASS,322.0,322.0,,,0
HCPCS,86277,Growth hormone antibody,,,15.74,80.48,7
HCPCS,86280,HC HEMAGGLUT INHIBITION TEST,98.0,98.0,,,0
HCPCS,86280,Hemagglutination inhibition,,,8.19,41.87,7
HCPCS,86294,Immunoassay tumor qual,,,25.57,92.85,7
HCPCS,86300,HC CA 15-3,288.0,288.0,,,0
HCPCS,86300,HC CA 27.29,285.0,285.0,,,0
HCPCS,86300,HC IA QUANT; CA 15-3 (27.29),393.0,393.0,,,0
HCPCS,86300,Immunoassay tumor ca 15-3,,,20.81,106.4,7
HCPCS,86301,HC CA 19-9,336.0,336.0,,,0
HCPCS,86301,HC IA QUANT; CA 19-9,450.0,450.0,,,0
HCPCS,86301,Immunoassay tumor ca 19-9,,,20.81,106.4,7
HCPCS,86304,HC CA 125,214.0,214.0,,,0
HCPCS,86304,HC IA QUANT; CA 125,486.0,486.0,,,0
HCPCS,86304,Immunoassay tumor ca 125,,,20.81,106.4,7
HCPCS,86305,Human epididymis protein 4,,,20.81,107.9,7
HCPCS,86308,HC MONO-SCREEN TST 86308,64.5,64.5,,,0
HCPCS,86308,HC QUAL HETEROPHILE AB,126.0,126.0,,,0
HCPCS,86308,Heterophile antibody screen,,,5.18,26.46,7
HCPCS,86309,HC QUAN HETEROPHILE AB,76.0,76.0,,,0
HCPCS,86309,Heterophile antibody titer,,,6.47,33.09,7
HCPCS,86310,HC HETEROPHIL TITE 86310,50.0,50.0,,,0
HCPCS,86310,HC HETEROPHIL TITE86310,138.0,138.0,,,0
HCPCS,86310,HC HETEROPHILE AB; TITER AFTER ABSORPT,186.0,186.0,,,0
HCPCS,86310,Heterophile antibody absrbj,,,7.37,37.7,7
HCPCS,86316,HC IA; OTHER TUMOR AG QUAN EA,246.0,246.0,,,0
HCPCS,86316,Immunoassay tumor other,,,20.81,106.4,7
HCPCS,86317,HC IA INFECTIOUS AGENT AB QUAN,178.0,178.0,,,0
HCPCS,86317,Immunoassay infectious agent,,,14.99,76.68,7
HCPCS,86318,HC IA INFECTIOUS AGENT SGL STEP,154.0,154.0,,,0
HCPCS,86318,Immunoassay infectious agent,,,18.09,66.21,7
HCPCS,86320,HC B-J PROT ELEC-B 86320,218.0,218.0,,,0
HCPCS,86320,HC B-J PROT ELEC-B86320,533.0,533.0,,,0
HCPCS,86320,HC IEP; SERUM,713.0,713.0,,,0
HCPCS,86320,HC IMMUNOELECTRO-Q 86320,375.5,375.5,,,0
HCPCS,86320,Serum immunoelectrophoresis,,,29.92,114.63,7
HCPCS,86325,HC IEP; NOT SERUM,474.0,474.0,,,0
HCPCS,86325,HC IMMUNDELECTROPHARISM,118.0,118.0,,,0
HCPCS,86325,HC IMMUNOELECT-FLDS 86325,569.0,569.0,,,0
HCPCS,86325,HC IMMUNOELECTROPHARISM,291.0,291.0,,,0
HCPCS,86325,Other immunoelectrophoresis,,,23.13,114.34,7
HCPCS,86327,DEAC 01/01/2025 HC IEP; CROSSED,268.0,268.0,,,0
HCPCS,86327,Immunoelectrophoresis assay,,,94.79,116.02,4
HCPCS,86328,Ia nfct ab sarscov2 covid19,,,45.28,165.54,7
HCPCS,86329,HC IMMUNODIFFUSION; NES,552.0,552.0,,,0
HCPCS,86329,HC TEICHOIC ACID TITER 86329,412.0,412.0,,,0
HCPCS,86329,Immunodiffusion nes,,,14.05,54.64,7
HCPCS,86331,HC ID; GEL QUAL; EA AB/AG,67.0,67.0,,,0
HCPCS,86331,HC IMMUNODIFFUSION OUCHTERLO,50.0,50.0,,,0
HCPCS,86331,Immunodiffusion ouchterlony,,,11.98,61.31,7
HCPCS,86332,HC IMMUNE COMPLEX ASSAY;,290.0,290.0,,,0
HCPCS,86332,Immune complex assay,,,24.37,124.62,7
HCPCS,86334,HC SERUM IMMUNOFIXATION ELECTROPHORES,266.0,266.0,,,0
HCPCS,86334,Immunofix e-phoresis serum,,,22.34,114.23,7
HCPCS,86335,HC BENCE-JONES QUANT*,234.0,234.0,,,0
HCPCS,86335,HC IMMUNFIX E-PHORSIS/URINE/CSF,180.0,180.0,,,0
HCPCS,86335,HC PROTEIN ELECTRPHORESIS UR,134.0,134.0,,,0
HCPCS,86335,Immunfix e-phorsis/urine/csf,,,29.35,150.06,7
HCPCS,86336,HC INHIBIN A,89.0,89.0,,,0
HCPCS,86336,Inhibin A,,,15.59,79.68,7
HCPCS,86337,HC INSULIN AB,206.0,206.0,,,0
HCPCS,86337,Insulin antibodies,,,21.41,88.97,7
HCPCS,86340,HC INTRINSIC BLOCKING FACTOR,230.0,230.0,,,0
HCPCS,86340,HC INTRINSIC FACTOR  AB,308.0,308.0,,,0
HCPCS,86340,Intrinsic factor antibody,,,15.08,77.08,7
HCPCS,86341,HC ISLET CELL AB,128.0,128.0,,,0
HCPCS,86341,Islet cell antibody,,,23.57,101.2,7
HCPCS,86343,HC LHR TEST,147.0,147.0,,,0
HCPCS,86343,Leukocyte histamine release,,,12.46,63.72,7
HCPCS,86344,Leukocyte phagocytosis,,,10.39,40.85,7
HCPCS,86352,Cell function assay w/stim,,,135.86,704.29,7
HCPCS,86352,HC CELL FUNCTION ASSAY W/STIM,1606.0,1606.0,,,0
HCPCS,86353,HC LYMPHOCYTE MITOGEN RESPONSE,580.0,580.0,,,0
HCPCS,86353,Lymphocyte transformation,,,49.03,250.67,7
HCPCS,86355,B cells total count,,,37.73,195.55,7
HCPCS,86355,HC B CELLS TOTAL COUNT,447.0,447.0,,,0
HCPCS,86356,HC MONONUCLEAR CELL ANTIGEN,140.0,140.0,,,0
HCPCS,86356,HC PNH BY FLOW CYTOMETRY,104.0,104.0,,,0
HCPCS,86356,Mononuclear cell antigen,,,26.78,138.79,7
HCPCS,86357,HC NK CELLS TOTAL COUNT,447.0,447.0,,,0
HCPCS,86357,Nk cells total count,,,37.73,195.55,7
HCPCS,86359,HC PAN T CD3,179.0,179.0,,,0
HCPCS,86359,HC T CELLS; TOTAL COUNT,191.0,191.0,,,0
HCPCS,86359,T cells total count,,,37.73,192.88,7
HCPCS,86360,"HC T CELL, CD4, CD8, RATIO",106.0,106.0,,,0
HCPCS,86360,"HC T CELLS, CD4, CD8, RATIO",266.0,266.0,,,0
HCPCS,86360,HC T CELLS; ABSOL CD4 AND CD8,221.5,221.5,,,0
HCPCS,86360,T cell absolute count/ratio,,,46.98,240.28,7
HCPCS,86361,HC T CELLS; ABSOL CD4 COUNT,317.0,317.0,,,0
HCPCS,86361,T cell absolute count,,,26.78,136.92,7
HCPCS,86362,HC MOG-IGG1 ANTB CBA EACH,322.0,322.0,,,0
HCPCS,86362,Mog-igg1 antb cba each,,,12.05,44.1,7
HCPCS,86363,"HC MOG-IGG1 ANTIBODY FLOW CYTOMETRY, EA",491.0,491.0,,,0
HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,37.73,136.89,7
HCPCS,86364,HC TISS TRNSGL TMNASE EA IG CLASS,298.0,298.0,,,0
HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,11.53,42.2,7
HCPCS,86366,HC MUSCLE-SPECIFIC KINASE (MUSK) ANTIBODY,233.0,233.0,,,0
HCPCS,86366,Muscle-specific kinase antb,,,18.4,67.34,7
HCPCS,86367,HC STEM CELLS TOTAL COUNT,447.0,447.0,,,0
HCPCS,86367,Stem cells total count,,,77.78,283.32,7
HCPCS,86376,HC ANTI-THYROID PEROXIDASE A,58.0,58.0,,,0
HCPCS,86376,HC LIVER KIDNEY MICROSOME IG,76.0,76.0,,,0
HCPCS,86376,HC MICROSOMAL AB EACH,50.5,50.5,,,0
HCPCS,86376,HC MICROSOMAL ANTI85385,262.0,262.0,,,0
HCPCS,86376,Microsomal antibody each,,,14.55,74.41,7
HCPCS,86381,HC MITOCHONDRIAL ANTIBODY EACH,322.0,322.0,,,0
HCPCS,86381,Mitochondrial antibody each,,,25.45,93.15,7
HCPCS,86382,HC HBNEUT,218.0,218.0,,,0
HCPCS,86382,HC VIRAL NEUTRALIZATION,292.0,292.0,,,0
HCPCS,86382,Neutralization test viral,,,16.91,86.45,7
HCPCS,86384,HC NITROBLUE TETRAZOLIUM DYE TEST,136.0,136.0,,,0
HCPCS,86384,Nitroblue tetrazolium dye,,,13.61,58.23,7
HCPCS,86386,Nuclear matrix protein 22,,,21.78,82.75,7
HCPCS,86403,HC PA; SCREEN EA AB,81.0,81.0,,,0
HCPCS,86403,HC PNEUMO SCRN IMMUNGL EA-AN,47.0,47.0,,,0
HCPCS,86403,HC STREP PNEUMO AG(URINE),60.0,60.0,,,0
HCPCS,86403,HC STREP PNEUMO ANTIGEN BLOO,62.0,62.0,,,0
HCPCS,86403,Particle agglut antbdy scrn,,,11.54,52.12,7
HCPCS,86406,HC PA; TITER EA AB,126.0,126.0,,,0
HCPCS,86406,Particle agglut antbdy titr,,,10.64,54.42,7
HCPCS,86408,Neutrlzg antb sarscov2 scr,,,42.13,154.2,7
HCPCS,86409,Neutrlzg antb sarscov2 titer,,,79.61,385.51,5
HCPCS,86413,Sars-cov-2 antb quantitative,,,51.43,154.2,5
HCPCS,86430,HC QUAL RHEUM FACTOR,73.0,73.0,,,0
HCPCS,86430,HC RA LATEX-QL 86430,63.0,63.0,,,0
HCPCS,86430,Rheumatoid factor test qual,,,6.14,29.02,7
HCPCS,86431,HC QUAN RHEUM FACTOR,35.0,35.0,,,0
HCPCS,86431,HC RA LATEX-QT,92.0,92.0,,,0
HCPCS,86431,HC RHEUMATOID FACTOR QT RF,26.0,26.0,,,0
HCPCS,86431,Rheumatoid factor quant,,,5.67,29.02,7
HCPCS,86480,HC TB GOLD(QUANTIFERON),134.0,134.0,,,0
HCPCS,86480,HC TB TEST CELL IMMUN MEASURE,107.5,107.5,,,0
HCPCS,86480,Tb test cell immun measure,,,61.98,321.31,7
HCPCS,86481,HC TB AG RESPONSE T-CELL SUSP,78.5,78.5,,,0
HCPCS,86481,Tb ag response t-cell susp,,,100.0,388.4,7
HCPCS,86485,Skin test candida,,,24.67,67.86,7
HCPCS,86486,Skin test nos antigen,,,19.77,35.88,7
HCPCS,86490,Coccidioidomycosis skin test,,,238.51,272.58,2
HCPCS,86510,Histoplasmosis skin test,,,23.94,46.33,7
HCPCS,86580,HC SKIN TEST; TB ID,110.0,110.0,,,0
HCPCS,86580,TB intradermal test,,,17.29,36.87,7
HCPCS,86581,"HC STREP PNEUMONIAE IGG AB, 14 SEROTYPES, MULTI IA, QUANT",112.0,112.0,,,0
HCPCS,86581,"HC STREP PNEUMONIAE IGG AB, 23 SEROTYPES, MULTI IA, QUANT",112.0,112.0,,,0
HCPCS,86581,Strptcs pneum antb serot ia,,,92.03,96.63,3
HCPCS,86590,Streptokinase antibody,,,12.66,56.4,7
HCPCS,86592,HC STS. VDRL OR RP QUAL 8659,32.0,32.0,,,0
HCPCS,86592,HC STS. VDRL OR RP86592 QUAL,82.0,82.0,,,0
HCPCS,86592,HC SYPHILIS TEST NON-TREP QUAL,126.0,126.0,,,0
HCPCS,86592,HC V.D.R.L. CSF 86592,64.0,64.0,,,0
HCPCS,86592,HC V.D.R.L. CSF 86592 QUAL,158.0,158.0,,,0
HCPCS,86592,Syphilis test non-trep qual,,,4.27,21.81,7
HCPCS,86593,"HC STS, VDRL OR RP QUANT 865",32.0,32.0,,,0
HCPCS,86593,"HC STS,VDRL OR RP86593 QUANT",94.0,94.0,,,0
HCPCS,86593,HC SYPHILIS TEST NON-TREP QUANT,126.0,126.0,,,0
HCPCS,86593,Syphilis test non-trep quant,,,4.4,22.55,7
HCPCS,86596,"HC VOLTAGE-GATED CALCIUM CHANNEL AB, EA",234.0,234.0,,,0
HCPCS,86596,"HC VOLTAGE-GATED CALCIUM CHANNEL AB, EA (33)",68.0,68.0,,,0
HCPCS,86596,"HC VOLTAGE-GATED CALCIUM CHANNEL AB, EA (49)",99.0,99.0,,,0
HCPCS,86596,Voltage-gtd ca chnl antb ea,,,12.05,67.34,7
HCPCS,86602,Antinomyces antibody,,,10.18,52.05,7
HCPCS,86602,HC AB; ACTINOMYCES,122.0,122.0,,,0
HCPCS,86603,Adenovirus antibody,,,12.87,65.81,7
HCPCS,86603,HC AB; ADENOVIRUS,293.0,293.0,,,0
HCPCS,86603,HC ADENOVIRUS 86603,218.0,218.0,,,0
HCPCS,86603,HC ENCEPHALITIS PANEL(MENIN,2594.0,2594.0,,,0
HCPCS,86603,HC MENINGOENCEPHALITIS PNL S,2542.0,2542.0,,,0
HCPCS,86606,Aspergillus antibody,,,15.05,76.97,7
HCPCS,86606,HC AB; ASPERGILLUS,84.0,84.0,,,0
HCPCS,86606,HC ASPERGILLUS AB 1,62.0,62.0,,,0
HCPCS,86606,HC ASPERGILLUS AB 2,62.0,62.0,,,0
HCPCS,86606,HC ASPERGILLUS AB 3,62.0,62.0,,,0
HCPCS,86606,HC PNEUMONIA SCREEN - ASPERG,47.0,47.0,,,0
HCPCS,86609,Bacterium antibody,,,12.88,65.88,7
HCPCS,86609,HC AB; BACTERIUM NES,50.0,50.0,,,0
HCPCS,86609,HC PNEUMOCOCCAL ANTIBODY,38.0,38.0,,,0
HCPCS,86611,Bartonella Antibody,,,10.18,52.05,7
HCPCS,86611,HC AB; BARTONELLA,56.0,56.0,,,0
HCPCS,86611,HC B HENSELAE IGM,42.0,42.0,,,0
HCPCS,86611,HC B QUINTANA IGG,42.0,42.0,,,0
HCPCS,86611,HC B QUINTANA IGM,42.0,42.0,,,0
HCPCS,86611,HC BARTONELLA ANTIBODY PANEL,34.0,34.0,,,0
HCPCS,86612,Blastomyces antibody,,,12.9,65.99,7
HCPCS,86612,HC AB; BLASTOMYCES,149.0,149.0,,,0
HCPCS,86612,HC BLASTOMYCES 1MM DIFF,111.0,111.0,,,0
HCPCS,86612,HC BLASTOMYCES COMP FIX,111.0,111.0,,,0
HCPCS,86615,Bordetella antibody,,,13.19,67.45,7
HCPCS,86615,HC AB; BORDETELLA,172.0,172.0,,,0
HCPCS,86615,HC BORDETELLA ANTIBODY1,55.0,55.0,,,0
HCPCS,86615,HC BORDETELLA ANTIBODY2,55.0,55.0,,,0
HCPCS,86615,HC BORDETELLA PERTUSSIS IGG/,274.0,274.0,,,0
HCPCS,86617,HC AB; LYME'S (WB) CONFIRM,140.0,140.0,,,0
HCPCS,86617,HC WBLYME IGG,104.0,104.0,,,0
HCPCS,86617,HC WBLYME IGM,104.0,104.0,,,0
HCPCS,86617,Lyme disease antibody,,,15.49,79.2,7
HCPCS,86618,HC AB; LYME'S DISEASE,140.0,140.0,,,0
HCPCS,86618,HC LYME DISEASE ANTIBODY,70.0,70.0,,,0
HCPCS,86618,HC LYMES DISEASE TITER 86618,108.5,108.5,,,0
HCPCS,86618,Lyme disease antibody,,,17.03,87.11,7
HCPCS,86619,Borrelia antibody,,,13.38,68.41,7
HCPCS,86622,Brucella antibody,,,8.93,41.83,7
HCPCS,86622,HC AB; BRUCELLA,240.0,240.0,,,0
HCPCS,86622,HC AGGLUT-BRUCELLA,178.0,178.0,,,0
HCPCS,86625,Campylobacter antibody,,,13.12,67.09,7
HCPCS,86625,HC AB; CAMPYLOBACTER,156.0,156.0,,,0
HCPCS,86628,Candida antibody,,,12.01,54.64,7
HCPCS,86628,HC AB; CANDIDA,126.0,126.0,,,0
HCPCS,86631,Chlamydia antibody,,,11.82,49.45,7
HCPCS,86631,HC AB; CHLAMYDIA,436.0,436.0,,,0
HCPCS,86631,HC CHLMDIA PNEUM TWAR IGG,324.0,324.0,,,0
HCPCS,86631,HC PSITTASCOSIS-CFT 86631,129.0,129.0,,,0
HCPCS,86632,Chlamydia igm antibody,,,12.68,54.64,7
HCPCS,86632,HC AB; CHLAMYDIA IGM,436.0,436.0,,,0
HCPCS,86632,HC CHLAMDIA PNEUM TWAR IGM,287.0,287.0,,,0
HCPCS,86635,Coccidioides antibody,,,11.47,54.64,7
HCPCS,86635,HC AB; COCCIDIOIDES,136.0,136.0,,,0
HCPCS,86635,HC COCCIDIOIDES IMMITIS ANTI,102.0,102.0,,,0
HCPCS,86638,HC AB; COXIELLA BRUNETII,174.0,174.0,,,0
HCPCS,86638,HC Q FEVER 86638,129.0,129.0,,,0
HCPCS,86638,Q fever antibody,,,12.12,62.0,7
HCPCS,86641,Cryptococcus antibody,,,14.41,73.71,7
HCPCS,86641,HC AB; CRYPTOCOCCUS,171.0,171.0,,,0
HCPCS,86644,CMV antibody,,,14.39,73.6,7
HCPCS,86644,HC AB; CMV,410.0,410.0,,,0
HCPCS,86644,HC CMV ANITBODY,60.0,60.0,,,0
HCPCS,86644,HC CMV IGG TITER,306.0,306.0,,,0
HCPCS,86645,Cmv antibody igm,,,16.85,86.16,7
HCPCS,86645,HC AB; CMV  IGM,382.0,382.0,,,0
HCPCS,86645,"HC CMV ANTIBODY, IGM",70.0,70.0,,,0
HCPCS,86645,"HC CMV, IGM TITER 86645",284.0,284.0,,,0
HCPCS,86648,Diphtheria antibody,,,15.21,77.78,7
HCPCS,86648,HC AB; DIPHTHERIA,181.0,181.0,,,0
HCPCS,86651,Encephalitis californ antbdy,,,13.19,67.45,7
HCPCS,86651,HC AB; ENCEPHALITIS CALIF,74.0,74.0,,,0
HCPCS,86651,HC ENCEPH/CAL EQ,129.0,129.0,,,0
HCPCS,86651,HC ENCEPHALITIS AB CALIFORNI,54.0,54.0,,,0
HCPCS,86652,Encephaltis east eqne anbdy,,,13.19,67.45,7
HCPCS,86652,HC AB; ENCEPHALITIS E EQUINE,74.0,74.0,,,0
HCPCS,86652,"HC ENCEPH, EAST EQ 86652",256.0,256.0,,,0
HCPCS,86652,HC ENCEPHALITIS AB EASTERN,54.0,54.0,,,0
HCPCS,86653,Encephaltis st louis antbody,,,13.19,67.45,7
HCPCS,86653,HC AB; ENCEPHALITIS ST. LOUIS,74.0,74.0,,,0
HCPCS,86653,HC ENCEPH/ST. LOUIS 86653,129.0,129.0,,,0
HCPCS,86653,HC ENCEPHALITIS AB ST LOUIS,54.0,54.0,,,0
HCPCS,86654,Encephaltis west eqne antbdy,,,13.19,67.45,7
HCPCS,86654,HC AB; ENCEPHALITIS W EQUINE,174.0,174.0,,,0
HCPCS,86654,"HC ENCEPH, WEST EQ 86654",129.0,129.0,,,0
HCPCS,86654,HC ENCEPHALITIS AB WESTERN,54.0,54.0,,,0
HCPCS,86658,Enterovirus antibody,,,13.03,66.61,7
HCPCS,86658,HC AB; ENTEROVIRUS,1705.0,1705.0,,,0
HCPCS,86658,HC COXSACKIE B1-6/ENTEROVIRU,1271.0,1271.0,,,0
HCPCS,86658,HC ENTEROVIRUS ANTIBODY,54.0,54.0,,,0
HCPCS,86658,HC POLIO-CFT 86658,438.0,438.0,,,0
HCPCS,86663,Epstein-barr antibody,,,13.12,67.09,7
HCPCS,86663,HC AB; EB EARLY AG VIRUS,156.0,156.0,,,0
HCPCS,86664,Epstein-barr nuclear antigen,,,15.29,78.25,7
HCPCS,86664,HC AB; EBNA,186.0,186.0,,,0
HCPCS,86664,HC EBV IGM NA 86664,138.0,138.0,,,0
HCPCS,86664,HC EBVIGG NA 86664,159.0,159.0,,,0
HCPCS,86665,Epstein-barr capsid vca,,,18.14,92.78,7
HCPCS,86665,HC AB; EPSTEIN BARR VCA,196.0,196.0,,,0
HCPCS,86665,HC EBV IGG VCA 86665,154.0,154.0,,,0
HCPCS,86665,HC EBV IGM VCA 86665,138.0,138.0,,,0
HCPCS,86666,Ehrlichia Antibody,,,10.18,52.05,7
HCPCS,86666,HC AB; ERLICHIA,1054.0,1054.0,,,0
HCPCS,86666,HC EHRLICHIA,785.0,785.0,,,0
HCPCS,86666,HC EHRLICHIA ANTIBODY,42.0,42.0,,,0
HCPCS,86666,HC HGA ANAPLASMOSIS*,114.0,114.0,,,0
HCPCS,86668,Francisella tularensis,,,14.16,53.18,7
HCPCS,86668,HC AB; FRANCISELLA TULARENSIS,160.0,160.0,,,0
HCPCS,86668,HC AGGLU TULAREMIA86668,148.0,148.0,,,0
HCPCS,86668,HC FRANCISELLA ANTIBODY,119.0,119.0,,,0
HCPCS,86668,HC TULAREMIA ANTIBODY,120.0,120.0,,,0
HCPCS,86671,Fungus nes antibody,,,12.25,62.7,7
HCPCS,86671,HC  S CEREVISIAE AB,140.0,140.0,,,0
HCPCS,86671,HC AB; FUNGUS NES (5),73.0,73.0,,,0
HCPCS,86671,HC AB; FUNGUS NES (60),423.0,423.0,,,0
HCPCS,86671,HC AB; FUNGUS NES (70),155.0,155.0,,,0
HCPCS,86671,HC FUNGUS AB 1,51.0,51.0,,,0
HCPCS,86671,HC FUNGUS AB 2,51.0,51.0,,,0
HCPCS,86671,HC SACCHAROMYCES IGA,116.0,116.0,,,0
HCPCS,86671,HC SACCHAROMYCES IGG,116.0,116.0,,,0
HCPCS,86674,Giardia lamblia antibody,,,14.72,75.25,7
HCPCS,86677,HC AB; HELICOBACTER PYLORI,211.0,211.0,,,0
HCPCS,86677,HC HELICOBACTOR PLYORI AB IG,58.0,58.0,,,0
HCPCS,86677,HC HELIOCOBACTER AB TITTER I,176.0,176.0,,,0
HCPCS,86677,Helicobacter pylori antibody,,,16.85,74.22,7
HCPCS,86682,HC AB; HELMINTH NES,178.0,178.0,,,0
HCPCS,86682,HC CYSTICERCUS ANTIBODY ELIS,156.0,156.0,,,0
HCPCS,86682,HC HELMINTH SEROLOGY,142.0,142.0,,,0
HCPCS,86682,HC STRONGYLOIDES IGG ANTIBOD,132.0,132.0,,,0
HCPCS,86682,Helminth antibody,,,13.01,66.5,7
HCPCS,86684,HC AB; HEMOPHILUS INFLUENZA,188.0,188.0,,,0
HCPCS,86684,Hemophilus influenza antibdy,,,15.84,81.03,7
HCPCS,86687,HC AB; HTLV-I,264.0,264.0,,,0
HCPCS,86687,HC ANTI HTLVI,196.0,196.0,,,0
HCPCS,86687,Htlv-i antibody,,,9.09,42.9,7
HCPCS,86688,HC AB; HTLV-II,264.0,264.0,,,0
HCPCS,86688,HC HTLV II AB 86688,196.0,196.0,,,0
HCPCS,86688,Htlv-ii antibody,,,14.0,54.02,7
HCPCS,86689,HC AB; HTLV OR HIV WB,415.0,415.0,,,0
HCPCS,86689,HC WESTERN BLOT 86689,559.0,559.0,,,0
HCPCS,86689,Htlv/hiv confirmj antibody,,,19.35,99.0,7
HCPCS,86692,HC AB; HEPATITIS D,162.0,162.0,,,0
HCPCS,86692,HC HEPATITIS D   86692,121.0,121.0,,,0
HCPCS,86692,Hepatitis delta agent antbdy,,,17.16,87.77,7
HCPCS,86694,HC AB; HSV NON-SPECIFIC,186.0,186.0,,,0
HCPCS,86694,HC HERPES SIMPLEX OTHER 8669,138.0,138.0,,,0
HCPCS,86694,HC HERPES SIMPLEX TEST,58.0,58.0,,,0
HCPCS,86694,Herpes simplex nes antbdy,,,14.39,73.6,7
HCPCS,86695,HC AB; HSV 1,206.0,206.0,,,0
HCPCS,86695,HC HERPES SIMPLEX AB 1,154.0,154.0,,,0
HCPCS,86695,HC HERPES SIMPLEX TYPE 1 TES,54.0,54.0,,,0
HCPCS,86695,"HC HERPES SIMPLEX TYPE 1, 86",154.0,154.0,,,0
HCPCS,86695,Herpes simplex type 1 test,,,13.19,67.45,7
HCPCS,86696,HC AB; HSV TYPE 2,106.0,106.0,,,0
HCPCS,86696,HC HERPES SIMPLEX TYPE 2,80.0,80.0,,,0
HCPCS,86696,Herpes simplex type 2 test,,,19.35,99.0,7
HCPCS,86698,HC AB; HISTOPLASMA,472.0,472.0,,,0
HCPCS,86698,HC HISTOPLAS AN 86698,352.0,352.0,,,0
HCPCS,86698,Histoplasma antibody,,,13.79,54.64,7
HCPCS,86701,HC AB; HIV-1,130.0,130.0,,,0
HCPCS,86701,HC HIV 1,171.0,171.0,,,0
HCPCS,86701,Hiv-1antibody,,,8.89,45.42,7
HCPCS,86702,HC AB; HIV-2,135.0,135.0,,,0
HCPCS,86702,HC HIV 2,171.0,171.0,,,0
HCPCS,86702,Hiv-2 antibody,,,13.52,54.02,7
HCPCS,86703,HC ANTI HIV 86703,284.0,284.0,,,0
HCPCS,86703,HC HIV-1/HIV-2 SINGLE RESULT,382.0,382.0,,,0
HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,13.71,70.16,7
HCPCS,86704,HC AB; HBCAB - TOTAL,177.0,177.0,,,0
HCPCS,86704,HC HEP B CORE ANTIBODY,127.0,127.0,,,0
HCPCS,86704,HC HEP SCREEN-HBCAB,98.0,98.0,,,0
HCPCS,86704,Hep b core antibody total,,,12.05,61.63,7
HCPCS,86705,HC AB: HBCAB -  IGM AB,131.5,131.5,,,0
HCPCS,86705,HC HEPATITIS BC ANTIBODY IGM,171.0,171.0,,,0
HCPCS,86705,Hep b core antibody igm,,,11.77,60.17,7
HCPCS,86706,HC AB: HBSAB,119.5,119.5,,,0
HCPCS,86706,HC HEP B SURF ANTI,140.0,140.0,,,0
HCPCS,86706,HC HEP B SURFACE ANTIBODY,126.5,126.5,,,0
HCPCS,86706,Hep b surface antibody,,,10.74,54.94,7
HCPCS,86707,HC AB; HBEAB,266.0,266.0,,,0
HCPCS,86707,HC HEP B ANTIBODY 86707,127.0,127.0,,,0
HCPCS,86707,HC HEP BE ANTIBODY,199.0,199.0,,,0
HCPCS,86707,Hepatitis be antibody,,,11.57,59.15,7
HCPCS,86708,HC AB; HAAB - TOTAL,182.0,182.0,,,0
HCPCS,86708,HC HEP A AB-IGG,149.5,149.5,,,0
HCPCS,86708,HC HEP SCREEN HAAB TOTAL,102.0,102.0,,,0
HCPCS,86708,Hepatitis a antibody,,,12.39,63.35,7
HCPCS,86709,HC AB: HAAB - IGM,178.5,178.5,,,0
HCPCS,86709,HC HEP A AB-IGM,192.0,192.0,,,0
HCPCS,86709,HC HEP SCREEN-HAAB,102.0,102.0,,,0
HCPCS,86709,HC IGM ANTIBODY HEPATITER,335.0,335.0,,,0
HCPCS,86709,Hepatitis a igm antibody,,,11.26,57.57,7
HCPCS,86710,HC AB; INFLUENZA VIRUS,76.0,76.0,,,0
HCPCS,86710,"HC FLU, 3 ANT-2ND 86710",204.0,204.0,,,0
HCPCS,86710,"HC FLU, 3 ANT-ST 86710",274.0,274.0,,,0
HCPCS,86710,HC INFLUENZA VIRUS ANTIBODY,56.0,56.0,,,0
HCPCS,86710,Influenza virus antibody,,,13.55,69.32,7
HCPCS,86711,John cunningham antibody,,,16.89,72.43,7
HCPCS,86713,HC AB; LEGIONELLA,222.0,222.0,,,0
HCPCS,86713,HC LEGIONELLA AB IGG,166.0,166.0,,,0
HCPCS,86713,HC LEGIONELLA EIA 86713,182.0,182.0,,,0
HCPCS,86713,HC LEGIONELLA IGM TITER,141.0,141.0,,,0
HCPCS,86713,Legionella antibody,,,15.3,78.29,7
HCPCS,86717,HC AB; LEISHMANIA,146.0,146.0,,,0
HCPCS,86717,Leishmania antibody,,,12.25,62.66,7
HCPCS,86720,HC AB; LEPTOSPIRA,633.0,633.0,,,0
HCPCS,86720,HC AGG LEPTO DEFIN86597,284.0,284.0,,,0
HCPCS,86720,HC LEPTOSPIRA AB SCREEN,472.0,472.0,,,0
HCPCS,86720,Leptospira antibody,,,16.2,67.45,7
HCPCS,86723,Listeria monocytogenes,,,13.19,67.45,7
HCPCS,86727,HC AB; LCM,242.0,242.0,,,0
HCPCS,86727,HC LYMPH CHORIOMENINGITIS AB,53.0,53.0,,,0
HCPCS,86727,HC LYMPHOCYTIC 86727,180.0,180.0,,,0
HCPCS,86727,Lymph choriomeningitis ab,,,12.87,65.81,7
HCPCS,86729,HC AB; LYMPHOGRANULOMA VENEREUM,202.0,202.0,,,0
HCPCS,86729,HC LYMPHOGRAN VEN,193.0,193.0,,,0
HCPCS,86732,Mucormycosis antibody,,,15.0,67.45,7
HCPCS,86735,HC AB; MUMPS,152.0,152.0,,,0
HCPCS,86735,HC MUMPS (CFT) 86735,218.0,218.0,,,0
HCPCS,86735,HC MUMPS ANTIBODY,54.0,54.0,,,0
HCPCS,86735,HC MUMPS ANTIBODY IGG,53.0,53.0,,,0
HCPCS,86735,Mumps antibody,,,13.05,66.72,7
HCPCS,86738,HC AB; MYCOPLASMA,402.0,402.0,,,0
HCPCS,86738,HC MYCOPLAMS TITER 86738,174.0,174.0,,,0
HCPCS,86738,HC MYCOPLASMA PNEU IGM,265.0,265.0,,,0
HCPCS,86738,HC MYCOPLASMA PNEUM IGG,283.0,283.0,,,0
HCPCS,86738,Mycoplasma antibody,,,13.24,67.75,7
HCPCS,86741,HC AB; NEISSERIA MENINGITIDIS,157.0,157.0,,,0
HCPCS,86741,Neisseria meningitidis,,,13.19,67.45,7
HCPCS,86744,HC AB; NOCARDIA,308.0,308.0,,,0
HCPCS,86744,HC PNEUMONITIS HYPERSENSITIV,230.0,230.0,,,0
HCPCS,86744,Nocardia antibody,,,15.99,67.45,7
HCPCS,86747,HC AB; PARVOVIRUS,66.0,66.0,,,0
HCPCS,86747,HC PARVOVIRUS IGG,50.0,50.0,,,0
HCPCS,86747,HC PARVOVIRUS IGM,50.0,50.0,,,0
HCPCS,86747,Parvovirus antibody,,,15.03,76.86,7
HCPCS,86750,Malaria antibody,,,13.19,67.45,7
HCPCS,86753,HC AB; PROTOZOA NES,68.0,68.0,,,0
HCPCS,86753,HC AB; PROTOZOA NES (20),72.0,72.0,,,0
HCPCS,86753,HC AMOEBA AGGLUTN 86753,315.0,315.0,,,0
HCPCS,86753,HC AMOEBA ANTIBODY,121.0,121.0,,,0
HCPCS,86753,HC BABESIA MICROTI ANTIBODY,422.0,422.0,,,0
HCPCS,86753,HC BABESIA MICROTI IGG/IGM*,190.0,190.0,,,0
HCPCS,86753,HC E HISTOLYTICA AB,162.0,162.0,,,0
HCPCS,86753,HC PROTOZOA ANTIBODY NOS,51.0,51.0,,,0
HCPCS,86753,HC TRYPANOSOMA CRUZI IGG,88.0,88.0,,,0
HCPCS,86753,Protozoa antibody nos,,,12.39,63.39,7
HCPCS,86756,HC AB; RSV,154.0,154.0,,,0
HCPCS,86756,Respiratory virus antibody,,,15.89,65.92,7
HCPCS,86757,HC AB; RICKETTSIA,230.0,230.0,,,0
HCPCS,86757,Rickettsia Antibody,,,19.35,99.0,7
HCPCS,86759,Rotavirus antibody,,,18.23,67.45,7
HCPCS,86762,HC AB; RUBELLA,180.0,180.0,,,0
HCPCS,86762,HC RUBELLA 86762,268.0,268.0,,,0
HCPCS,86762,HC RUBELLA ANTIBODY,114.0,114.0,,,0
HCPCS,86762,HC RUBELLA IGM TIT 86762,249.0,249.0,,,0
HCPCS,86762,Rubella antibody,,,14.39,73.6,7
HCPCS,86765,HC AB; RUBEOLA,161.5,161.5,,,0
HCPCS,86765,HC RUBEOLA 86765,232.0,232.0,,,0
HCPCS,86765,HC RUBEOLA ANTIBODY,41.0,41.0,,,0
HCPCS,86765,Rubeola antibody,,,12.88,50.07,7
HCPCS,86768,HC AB; SALMONELLA,74.0,74.0,,,0
HCPCS,86768,HC SALMONELL ANTIBODY,54.0,54.0,,,0
HCPCS,86768,HC TYPHOID SEROLOGY*,74.0,74.0,,,0
HCPCS,86768,Salmonella antibody,,,13.19,67.45,7
HCPCS,86769,"HC AB; SAR SYNDROME CORONAVIRUS 2 (SARS-COV-2) COVID-19, MULTIPLE STEP",190.0,190.0,,,0
HCPCS,86769,Sars-cov-2 covid-19 antibody,,,42.13,154.2,7
HCPCS,86771,Shigella antibody,,,24.48,89.28,7
HCPCS,86774,HC AB; TETANUS,175.0,175.0,,,0
HCPCS,86774,Tetanus antibody,,,14.8,75.69,7
HCPCS,86777,HC AB; TOXOPLASMA,148.0,148.0,,,0
HCPCS,86777,HC TOXOPLASMA 86777,110.0,110.0,,,0
HCPCS,86777,HC TOXOPLASMA ANTIBODY,58.0,58.0,,,0
HCPCS,86777,Toxoplasma antibody,,,14.39,73.6,7
HCPCS,86778,HC AB; TOXOPLASMA IGM,148.0,148.0,,,0
HCPCS,86778,HC TORCH TOTER PANEL*,58.0,58.0,,,0
HCPCS,86778,HC TOXOPLASMA IGM 86778,110.0,110.0,,,0
HCPCS,86778,Toxoplasma antibody igm,,,14.41,73.64,7
HCPCS,86780,"HC ANITBODIES, FTA BLOOD",256.0,256.0,,,0
HCPCS,86780,HC FTA - BLOOD,190.0,190.0,,,0
HCPCS,86780,HC FTA-BLOOD,76.0,76.0,,,0
HCPCS,86780,HC TREPONEMA PALLIDUM,255.0,255.0,,,0
HCPCS,86780,Treponema pallidum,,,13.24,68.63,7
HCPCS,86784,HC AB; TRICHINELLA,266.0,266.0,,,0
HCPCS,86784,HC AGGLUT TRICHINA,137.5,137.5,,,0
HCPCS,86784,Trichinella antibody,,,12.56,64.23,7
HCPCS,86787,HC AB; VARICELLA-ZOSTER,162.0,162.0,,,0
HCPCS,86787,HC VAR. ZOST TITER 86787,233.0,233.0,,,0
HCPCS,86787,HC VARICELLA-ZOSTER ANTIBODY,53.0,53.0,,,0
HCPCS,86787,Varicella-zoster antibody,,,12.88,65.88,7
HCPCS,86788,HC WEST NILE VIRUS AB IGM,141.0,141.0,,,0
HCPCS,86788,HC WEST NILE VIRUS IGM,136.0,136.0,,,0
HCPCS,86788,West nile virus ab igm,,,16.85,87.33,7
HCPCS,86789,HC WEST NILE VIRUS ANITBODY,80.0,80.0,,,0
HCPCS,86789,HC WEST NILE VIRUS ANTIBODY,182.0,182.0,,,0
HCPCS,86789,HC WEST NILE VIRUS IGG,136.0,136.0,,,0
HCPCS,86789,West Nile Virus Antibody,,,14.39,74.63,7
HCPCS,86790,"DEAC 2/8/2017 HC PARAINFLUENZA AB TYPE 1,2,3",421.0,421.0,,,0
HCPCS,86790,"HC AB, VIRUS NES (165)",710.0,710.0,,,0
HCPCS,86790,"HC AB, VRUS NES (50)",368.0,368.0,,,0
HCPCS,86790,HC AB; VIRUS  NES (15),61.0,61.0,,,0
HCPCS,86790,HC AB; VIRUS NES,154.0,154.0,,,0
HCPCS,86790,HC AB; VIRUS NES (35),142.0,142.0,,,0
HCPCS,86790,HC CHIKUNGUNYA ANTIBODY W REFLEX,290.0,290.0,,,0
HCPCS,86790,"HC DENGUE FEVER ANTIBODY, IGG",564.0,564.0,,,0
HCPCS,86790,HC DENQUE FEVER ANTIBODY PAN,394.0,394.0,,,0
HCPCS,86790,"HC HC AB, VIRUS NES (20)",119.0,119.0,,,0
HCPCS,86790,HC HEP E ANTIBODIES*,339.0,339.0,,,0
HCPCS,86790,HC HEP E IGG,54.0,54.0,,,0
HCPCS,86790,HC HEPATITIS E ANTIBODY IGG,264.0,264.0,,,0
HCPCS,86790,HC HEPATITIS E ANTIBODY IGM,264.0,264.0,,,0
HCPCS,86790,HC PARAINFLUENZA 86790,421.0,421.0,,,0
HCPCS,86790,HC VIRUS ANTIBODY NOS,54.0,54.0,,,0
HCPCS,86790,HC VIRUS NOT ELSEWHERE SPECI,48.0,48.0,,,0
HCPCS,86790,"HC VIRUS,FLUORES 86255",256.0,256.0,,,0
HCPCS,86790,Virus antibody nos,,,12.88,65.88,7
HCPCS,86793,HC AB; YERSINIA,104.0,104.0,,,0
HCPCS,86793,Yersinia antibody,,,13.19,47.61,7
HCPCS,86794,"HC ANTIBODY; ZIKA VIRUS, IGM",710.0,710.0,,,0
HCPCS,86794,Zika virus igm antibody,,,16.85,76.13,7
HCPCS,86800,HC AB: THYROGLOBULIN,105.5,105.5,,,0
HCPCS,86800,HC THYROGLOB ANTI,94.0,94.0,,,0
HCPCS,86800,Thyroglobulin antibody,,,15.91,81.33,7
HCPCS,86803,HC HEP C AB,218.0,218.0,,,0
HCPCS,86803,HC HEP SCREEN-HCAB,125.0,125.0,,,0
HCPCS,86803,HC HEPATITIS C AB,135.5,135.5,,,0
HCPCS,86803,Hepatitis c ab test,,,14.27,72.98,7
HCPCS,86804,HC HCVRIB,414.0,414.0,,,0
HCPCS,86804,HC HEPATITIS C CONFIRMATION,5614.0,5614.0,,,0
HCPCS,86804,Hep c ab test confirm,,,15.49,79.2,7
HCPCS,86805,HC LYMPHOCYTOTOX VC;  W TITRATE,398.0,398.0,,,0
HCPCS,86805,Lymphocytotoxicity assay,,,152.85,689.22,7
HCPCS,86806,Lymphocytotoxicity assay,,,47.59,172.59,7
HCPCS,86807,Cytotoxic antibody screening,,,78.65,285.69,7
HCPCS,86807,HC PRA SCREEN,102.0,102.0,,,0
HCPCS,86807,HC REF-SERUM SCR CYTOTOX PRA,128.5,128.5,,,0
HCPCS,86808,Cytotoxic antibody screening,,,29.68,151.78,7
HCPCS,86808,HC PRA SCREEN; QUICK METHOD,76.0,76.0,,,0
HCPCS,86808,HC REF-SERUM SCR CYTOTOX PRA,96.5,96.5,,,0
HCPCS,86812,HC HLA TYPE; A B C SGL AG,583.0,583.0,,,0
HCPCS,86812,HC HLA-B27,434.0,434.0,,,0
HCPCS,86812,Hla typing a b or c,,,25.81,131.98,7
HCPCS,86813,HC HLA TYPE; A B C MULTI AG,2783.0,2783.0,,,0
HCPCS,86813,"HC HLA TYPING - A,B,C",2075.0,2075.0,,,0
HCPCS,86813,HC REF-HLA TYPING-SEROLOGICA,350.0,350.0,,,0
HCPCS,86813,Hla typing a b or c,,,58.0,296.53,7
HCPCS,86816,HC HLA TYPE; DR/DQ SGL AG,330.0,330.0,,,0
HCPCS,86816,Hla typing dr/dq,,,30.17,142.45,7
HCPCS,86817,HC HLA TYPE; DR/DQ MULTI AG,762.0,762.0,,,0
HCPCS,86817,Hla typing dr/dq,,,106.14,385.68,7
HCPCS,86821,HC HLA TYPE; MLC,668.0,668.0,,,0
HCPCS,86821,Lymphocyte culture mixed,,,36.56,288.7,7
HCPCS,86825,HC HLA X-MATCH NON-CYTOTOXIC,948.0,948.0,,,0
HCPCS,86825,Hla x-math non-cytotoxic,,,109.49,416.36,7
HCPCS,86826,Hla x-match noncytotoxc addl,,,36.53,138.79,7
HCPCS,86828,HC HLA CLASS I&II ANTIBODY QUAL,217.0,217.0,,,0
HCPCS,86828,Hla class i&ii antibody qual,,,64.19,233.31,7
HCPCS,86829,Hla class i/ii antibody qual,,,64.19,233.31,7
HCPCS,86830,HC HLA CLASS I PHENOTYPE QUAL,644.0,644.0,,,0
HCPCS,86830,Hla class i phenotype qual,,,95.52,387.63,7
HCPCS,86831,HC HLA CLASS II PHENOTYPE QUAL,846.0,846.0,,,0
HCPCS,86831,Hla class ii phenotype qual,,,81.88,332.25,7
HCPCS,86832,HC HLA CLASS I HIGH DEFIN QUAL,734.0,734.0,,,0
HCPCS,86832,Hla class i high defin qual,,,323.75,1177.26,7
HCPCS,86833,HC HLA CLAS II HIGH DEFIN QUAL,702.0,702.0,,,0
HCPCS,86833,Hla class ii high defin qual,,,325.8,1184.4,7
HCPCS,86834,Hla class i semiquant panel,,,357.56,1716.65,7
HCPCS,86835,Hla class ii semiquant panel,,,322.96,1550.52,7
HCPCS,86849,HC REF-FLOW CYTOMETRY FOR AB,11.5,11.5,,,0
HCPCS,86849,HC REF-PLATELET ANTIGEN TYPE,30.0,30.0,,,0
HCPCS,86849,Immunology procedure,,,39.22,178.64,4
HCPCS,86850,HC ABO IMMUNE ANTI 86850,146.0,146.0,,,0
HCPCS,86850,HC RBC AB SCRN EA TECHIQ,136.0,136.0,,,0
HCPCS,86850,HC REF-ANTIBODY SCREEN,67.0,67.0,,,0
HCPCS,86850,RBC antibody screen,,,31.24,64.64,7
HCPCS,86860,HC RBC AB ELUTION EA,278.0,278.0,,,0
HCPCS,86860,HC RBC ELUTION,137.0,137.0,,,0
HCPCS,86860,HC REF-RBC ELUTION,94.0,94.0,,,0
HCPCS,86860,RBC antibody elution,,,68.87,211.33,7
HCPCS,86870,HC AB ID RBC EA PANEL EA TECHN,884.0,884.0,,,0
HCPCS,86870,HC ATYPICAL AB 86870,438.0,438.0,,,0
HCPCS,86870,HC ENZYME ANTIBODY IDENTIFIC,438.0,438.0,,,0
HCPCS,86870,HC REF-ANTIBODY ID RBC,123.0,123.0,,,0
HCPCS,86870,RBC antibody identification,,,92.14,444.62,7
HCPCS,86880,Coombs test direct,,,16.67,73.17,7
HCPCS,86880,HC COOMBS; DIRECT,97.0,97.0,,,0
HCPCS,86880,HC DIRECT COOMBS 86880,92.0,92.0,,,0
HCPCS,86880,HC REF-DIRECT COOMBS,32.0,32.0,,,0
HCPCS,86885,Coombs test indirect qual,,,17.72,211.33,7
HCPCS,86885,HC COOMBS TEST INDIRECT QUAL,278.0,278.0,,,0
HCPCS,86885,HC INDIRECT COOMBS 86885,137.0,137.0,,,0
HCPCS,86886,Coombs test indirect titer,,,16.67,211.33,7
HCPCS,86886,HC ANTIBODY TITER,80.0,80.0,,,0
HCPCS,86886,HC COOMBS TEST INDIRECT TITER,125.0,125.0,,,0
HCPCS,86886,HC REF ANTIBODY TITRATION,708.0,708.0,,,0
HCPCS,86890,Autologous blood process,,,166.53,340.44,7
HCPCS,86890,HC AUTOLOG BLOOD PREDEPOSITED,561.0,561.0,,,0
HCPCS,86890,HC AUTOLOGOUS BLOOD,278.0,278.0,,,0
HCPCS,86890,HC AUTOLOGOUS BLOOD COLLECT,384.0,384.0,,,0
HCPCS,86890,HC DIRECTED BLOOD DONOR COLL,351.0,351.0,,,0
HCPCS,86890,HC EXTENDED DONOR TESTING,106.0,106.0,,,0
HCPCS,86891,Autologous blood op salvage,,,66.82,999.37,7
HCPCS,86891,HC AUTOLOG BLOOD OP SALVAGE,1077.0,1077.0,,,0
HCPCS,86900,Blood typing serologic abo,,,9.37,165.03,7
HCPCS,86900,HC ABO CELL GROUP 86900,94.0,94.0,,,0
HCPCS,86900,HC ABO GROUP 86900,94.0,94.0,,,0
HCPCS,86900,HC BLOOD TYPING; ABO,190.0,190.0,,,0
HCPCS,86900,HC REF-ABO TYPE,44.0,44.0,,,0
HCPCS,86901,Blood typing serologic rh(d),,,9.37,46.33,7
HCPCS,86901,HC BLOOD TYPING; RH D,135.0,135.0,,,0
HCPCS,86901,HC REF RBC MOLECULAR PHENO T,296.0,296.0,,,0
HCPCS,86901,HC REF-RH TYPE,34.0,34.0,,,0
HCPCS,86901,"HC TYPING,RHO ONLY 86901",66.0,66.0,,,0
HCPCS,86902,Blood type antigen donor ea,,,19.79,444.62,7
HCPCS,86902,HC ANTIGEN SCR RGT COMPAT UN,224.0,224.0,,,0
HCPCS,86902,HC BLOOD TYPE ANTIGEN DONOR EA,449.0,449.0,,,0
HCPCS,86902,HC REF-UNIT ANTIGN SCRN W/RE,81.0,81.0,,,0
HCPCS,86904,Blood typing patient serum,,,43.16,73.17,7
HCPCS,86904,HC ANTIGEN SCR PT SERUM COMP,121.0,121.0,,,0
HCPCS,86904,HC BLD TYPE; AG SCRN W PT SERUM,81.0,81.0,,,0
HCPCS,86904,HC REF-UNIT ANTIGN SCR W/PT,40.0,40.0,,,0
HCPCS,86905,Blood typing rbc antigens,,,12.5,444.62,7
HCPCS,86905,HC BLD TYPE; RBC AG NOT ABO/RHD,449.0,449.0,,,0
HCPCS,86905,HC GENOTYPING-EA,218.0,218.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREEN PER UN,38.0,38.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREENED 1,156.0,156.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREENED 2,253.0,253.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREENED 3,293.0,293.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREENED 4,434.0,434.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREENED 5,494.0,494.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREENED 6,664.0,664.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREENED 7,750.0,750.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREENED 8,850.0,850.0,,,0
HCPCS,86905,HC REF ANTIGEN SCREENED 9,1024.0,1024.0,,,0
HCPCS,86905,HC REF-PT ANTIGENS,20.0,20.0,,,0
HCPCS,86905,"HC TYPING, NOT ABO 86905",92.0,92.0,,,0
HCPCS,86906,Bld typing serologic rh phnt,,,24.99,46.33,7
HCPCS,86906,HC BLD TYPE; RH PHENOTYPE,159.0,159.0,,,0
HCPCS,86906,HC REF-RH PHENOTYPE COMPLETE,78.0,78.0,,,0
HCPCS,86906,HC TYPING-RH SUBGR 86906,118.0,118.0,,,0
HCPCS,86910,Blood typing paternity test,,,77.07,88.08,2
HCPCS,86911,Blood typing antigen system,,,66.65,76.17,2
HCPCS,86920,Compatibility test spin,,,64.25,211.33,7
HCPCS,86920,HC COMPATIBILITY TEST SPIN,218.0,218.0,,,0
HCPCS,86920,HC CROSS MATCH-SPIN 86920,86.0,86.0,,,0
HCPCS,86920,HC REF-IMMEDIATE SPIN,94.0,94.0,,,0
HCPCS,86921,Compatibility test incubate,,,36.34,211.33,7
HCPCS,86921,HC COMPATIBILITY TEST INCUBATE,254.0,254.0,,,0
HCPCS,86921,HC CROSS MATCH-INCUBATION,125.0,125.0,,,0
HCPCS,86921,HC REF-INCUBATION XM,1.0,1.0,,,0
HCPCS,86922,Compatibility test antiglob,,,71.24,211.33,7
HCPCS,86922,HC COMPATIBILITY TEST ANTIGLOB,254.0,254.0,,,0
HCPCS,86922,HC CROSS MATCH-ANTIGLOBIN,125.0,125.0,,,0
HCPCS,86922,HC REF-ANTIGLOBULIN XM,84.0,84.0,,,0
HCPCS,86923,Compatibility test electric,,,41.34,211.33,7
HCPCS,86923,HC COMPATIBILITY TEST ELECTRIC,420.0,420.0,,,0
HCPCS,86927,HC FFP THAWING EA UNIT,1412.0,1412.0,,,0
HCPCS,86927,HC THAWING COAGULUM,47.0,47.0,,,0
HCPCS,86927,HC THAWING CRYO,47.0,47.0,,,0
HCPCS,86927,HC THAWING CRYOPRECIPITATE,48.0,48.0,,,0
HCPCS,86927,HC THAWING FFP,47.0,47.0,,,0
HCPCS,86927,HC THAWING FP24,47.0,47.0,,,0
HCPCS,86927,HC THAWING PLASMA,91.0,91.0,,,0
HCPCS,86927,Plasma fresh frozen,,,37.02,211.33,7
HCPCS,86930,Frozen blood prep,,,67.37,401.16,7
HCPCS,86930,HC FROZEN BLOOD PREP,728.0,728.0,,,0
HCPCS,86931,Frozen blood thaw,,,134.97,301.17,7
HCPCS,86931,HC FROZEN BLOOD THAW,804.0,804.0,,,0
HCPCS,86932,Frozen blood freeze/thaw,,,17.23,340.44,7
HCPCS,86940,HC HAMS; AUTO SCRN EA,477.0,477.0,,,0
HCPCS,86940,HC REF-HEMO/AGGLUTININ SCRN,236.0,236.0,,,0
HCPCS,86940,Hemolysins/agglutinins auto,,,8.77,32.13,7
HCPCS,86941,HC FETAL SCREEN,216.0,216.0,,,0
HCPCS,86941,Hemolysins/agglutinins,,,12.11,61.93,7
HCPCS,86945,Blood product/irradiation,,,44.12,99.99,7
HCPCS,86945,HC BLOOD PRODCT IRRADTN 8694,159.0,159.0,,,0
HCPCS,86945,HC IRRADIATE BLD PRODUCT EA UNIT,321.0,321.0,,,0
HCPCS,86950,Leukacyte transfusion,,,134.1,260.7,7
HCPCS,86960,HC VOL REDUCTION OF BLOOD/PROD,421.0,421.0,,,0
HCPCS,86960,Vol reduction of blood/prod,,,72.15,211.33,7
HCPCS,86965,HC POOL PLATELETS OR BLD PRODUCT,218.0,218.0,,,0
HCPCS,86965,HC RECONSTITUTING RBC & FFP,39.0,39.0,,,0
HCPCS,86965,Pooling blood platelets,,,56.78,211.33,7
HCPCS,86970,HC PREFIX RBCS INC W/CHEM/DR,136.0,136.0,,,0
HCPCS,86970,HC PRETREAT RBC; CHEM OR DRUGS,127.0,127.0,,,0
HCPCS,86970,HC REF-PRETREATMENT OF RBC'S,62.0,62.0,,,0
HCPCS,86970,Rbc pretx incubatj w/chemicl,,,54.44,99.99,7
HCPCS,86971,HC PRETREAT RBC; ENZYMES,449.0,449.0,,,0
HCPCS,86971,Rbc pretx incubatj w/enzymes,,,55.19,211.33,7
HCPCS,86972,HC PREFIX RBCS DENSITY GRAD,307.0,307.0,,,0
HCPCS,86972,HC PRETREAT RBC; DGS,1457.0,1457.0,,,0
HCPCS,86972,HC REF-RETIC SEPARATION,721.0,721.0,,,0
HCPCS,86972,Rbc pretx incubatj w/density,,,72.8,211.33,7
HCPCS,86975,HC REF-DRUG STUDIES,47.0,47.0,,,0
HCPCS,86975,HC SERUM PRETX; DRUG INCUBATE,523.0,523.0,,,0
HCPCS,86975,Rbc serum pretx incubj drugs,,,91.91,554.12,7
HCPCS,86976,HC REF-TITRATION OF ANTIBODY,51.0,51.0,,,0
HCPCS,86976,HC SERUM PRETX; DILUTION,104.0,104.0,,,0
HCPCS,86976,Rbc serum pretx id dilution,,,34.17,120.24,7
HCPCS,86977,HC REF-INHIBITION STUDIES,72.0,72.0,,,0
HCPCS,86977,HC SERUM PRETX; INHIBITOR INCUBATE,804.0,804.0,,,0
HCPCS,86977,Rbc serum pretx incubj/inhib,,,105.21,211.33,7
HCPCS,86978,HC COLD AUTO ABSOR86978,137.0,137.0,,,0
HCPCS,86978,HC REF-DIFF ABSORBTIONS,110.0,110.0,,,0
HCPCS,86978,HC SERUM PRETX; RC ABSORPT,223.0,223.0,,,0
HCPCS,86978,Rbc pretreatment serum,,,69.69,120.24,7
HCPCS,86985,HC PEDI-PACK ALIQ,102.0,102.0,,,0
HCPCS,86985,HC SPLIT BLD PRODUCT EA UNIT,281.0,281.0,,,0
HCPCS,86985,HC SPLITTING PC,139.0,139.0,,,0
HCPCS,86985,Split blood or products,,,77.07,211.33,7
HCPCS,86999,HC AUTO RED CELL PROCESS FEE,161.0,161.0,,,0
HCPCS,86999,HC DONATH-LANDSTEINER TEST,81.0,81.0,,,0
HCPCS,86999,HC LEUKOREDUCTION,765.0,765.0,,,0
HCPCS,86999,Transfusion procedure,,,27.98,72.65,7
HCPCS,87003,Small animal inoculation,,,16.84,86.08,7
HCPCS,87015,HC CONCENTRATION FOR INFECT AGNT,139.0,139.0,,,0
HCPCS,87015,HC CONCENTRATION T 87015,46.0,46.0,,,0
HCPCS,87015,HC CONCENTRATION T87015,129.0,129.0,,,0
HCPCS,87015,HC CRYPTOSPORDIOSIS(STOOL)*,88.0,88.0,,,0
HCPCS,87015,HC CYCLOSPORA/ISOSPORA*,100.0,100.0,,,0
HCPCS,87015,HC MICROSPORIDIA EXAM*,70.0,70.0,,,0
HCPCS,87015,Specimen infect agnt concntj,,,6.68,31.4,7
HCPCS,87040,Blood culture for bacteria,,,10.32,52.78,7
HCPCS,87040,HC AEROB BACTERIAL BLOOD CULTURE,280.0,280.0,,,0
HCPCS,87040,HC ANTHRAX BLOOD CULT ONLY S,373.0,373.0,,,0
HCPCS,87040,"HC ANTHRAX SCREEN, BLOOD CUL",658.0,658.0,,,0
HCPCS,87040,HC BLOOD CULTURE 87040,136.0,136.0,,,0
HCPCS,87040,HC LEGIONELLA CULTURE,167.5,167.5,,,0
HCPCS,87045,Feces culture aerobic bact,,,9.44,48.24,7
HCPCS,87045,HC AEROB BACTERIA CULTURE STOOL,249.0,249.0,,,0
HCPCS,87045,"HC BACT.CULT, STOOL 87045",168.0,168.0,,,0
HCPCS,87046,HC AEROBIC STOOL CULTR ADDTL PATHOG EA PLATE,69.0,69.0,,,0
HCPCS,87046,HC CULT STOOL E COLI,36.0,36.0,,,0
HCPCS,87046,HC CULT STOOL VIBRIO,36.0,36.0,,,0
HCPCS,87046,Stool cultr aerobic bact ea,,,9.44,48.24,7
HCPCS,87070,Culture othr specimn aerobic,,,8.62,44.03,7
HCPCS,87070,"HC ANTHRAX SCREEN, NASAL CUL",36.0,36.0,,,0
HCPCS,87070,"HC BACT. CULT, OTHER, DEFIN",156.0,156.0,,,0
HCPCS,87070,"HC BACT. CULT, THROAT 87060",138.0,138.0,,,0
HCPCS,87070,HC BACTERIAL CULTURE - OTHR SOURCE,144.0,144.0,,,0
HCPCS,87070,HC CULTURE BACTERI87070,176.0,176.0,,,0
HCPCS,87070,HC CULTURE BACTERIA 87070,76.0,76.0,,,0
HCPCS,87070,"HC CULTURE, TISSUE",273.0,273.0,,,0
HCPCS,87071,Culture aerobic quant other,,,9.89,48.24,7
HCPCS,87071,HC BACT CULT; QUAN AEROBIC,72.5,72.5,,,0
HCPCS,87073,Culture Bacteria Anaerobic,,,9.66,48.24,7
HCPCS,87075,Cultr bacteria except blood,,,9.47,48.39,7
HCPCS,87075,HC ANAEROB BACT CULTURE W ID,314.0,314.0,,,0
HCPCS,87075,HC ANAEROBIC CULT 87075,244.0,244.0,,,0
HCPCS,87075,HC ANAROBIC CULT 87075,108.0,108.0,,,0
HCPCS,87075,"HC BACT CULT, ANAEROBIC 8707",168.0,168.0,,,0
HCPCS,87076,Culture anaerobe ident each,,,8.08,41.32,7
HCPCS,87076,HC BC - ANAEROBE - ADDTL ID,106.0,106.0,,,0
HCPCS,87077,Culture Aerobic Identify,,,8.08,41.32,7
HCPCS,87077,HC BC - AEROBIC - ADDTL ID,94.5,94.5,,,0
HCPCS,87077,"HC BIOCHEM, 1ST PANEL",106.0,106.0,,,0
HCPCS,87077,"HC BIOCHEM, EA ADD'L PANEL",70.0,70.0,,,0
HCPCS,87081,Culture screen only,,,6.63,33.89,7
HCPCS,87081,HC BETA STREP B 87081,208.0,208.0,,,0
HCPCS,87081,HC CARBAPENEMASE RESISTANT ENTEROBACTERIACEAE,57.0,57.0,,,0
HCPCS,87081,HC CULTURE P PATHOG - SCREEN,141.0,141.0,,,0
HCPCS,87081,HC HELICOBCTR SCRN,82.0,82.0,,,0
HCPCS,87081,HC MRSA SCREEN,46.0,46.0,,,0
HCPCS,87081,HC NOROVIRUS RNA/PCR,623.0,623.0,,,0
HCPCS,87081,HC STOOL VRE SCREEN,46.0,46.0,,,0
HCPCS,87081,HC STREP A CULT 87081,82.0,82.0,,,0
HCPCS,87084,Culture of specimen by kit,,,27.07,98.79,7
HCPCS,87086,HC BACT CULTURE - URINE; QUAN COUNT,95.0,95.0,,,0
HCPCS,87086,HC COLONY CNT-URI 87086,114.0,114.0,,,0
HCPCS,87086,HC COLONY CNT-URI 87086 QT,36.0,36.0,,,0
HCPCS,87086,Urine culture/colony count,,,8.07,41.28,7
HCPCS,87088,HC BACT.CULT URIN ID KIT EA,142.0,142.0,,,0
HCPCS,87088,"HC BACT.CULT,URINE, ID KIT",47.0,47.0,,,0
HCPCS,87088,HC URINE BACTERIA CULTURE,212.0,212.0,,,0
HCPCS,87088,Urine bacteria culture,,,8.09,41.39,7
HCPCS,87101,HC CULT FUNGUS W P ID; SKIN HR NL,205.0,205.0,,,0
HCPCS,87101,"HC FUNG CULT, SKIN 87101",138.0,138.0,,,0
HCPCS,87101,Skin fungi culture,,,7.71,39.42,7
HCPCS,87102,Fungus isolation culture,,,8.41,42.97,7
HCPCS,87102,HC COLONY CNT-WATE00000,76.0,76.0,,,0
HCPCS,87102,HC FUNGCULT NOT SKINHAIRNAIL,190.0,190.0,,,0
HCPCS,87102,HC FUNGUS CULT NOT SKIN HAIR,83.0,83.0,,,0
HCPCS,87102,HC FUNGUS CULTURE NOT BLOOD,281.0,281.0,,,0
HCPCS,87103,Blood fungus culture,,,20.46,73.8,7
HCPCS,87103,"HC FUNG CULT, BLOOD 87103",158.0,158.0,,,0
HCPCS,87103,HC FUNGUS CULTURE BLOOD,234.0,234.0,,,0
HCPCS,87106,Fungi identification yeast,,,10.32,52.78,7
HCPCS,87106,HC FUNGUS CULTURE DEF I.D YEAST,281.0,281.0,,,0
HCPCS,87106,HC FUNGUS ID 87106,190.0,190.0,,,0
HCPCS,87106,HC FUNGUS YEAST ID 87106,116.0,116.0,,,0
HCPCS,87107,Fungi identification mold,,,10.32,52.78,7
HCPCS,87107,HC CULT FUNGI DEF LD; MOLD,180.0,180.0,,,0
HCPCS,87107,HC CULT FUNGI DEF LD;MOLD,92.0,92.0,,,0
HCPCS,87107,HC FUNGUS CULTURE DEF ID  MOLD,267.0,267.0,,,0
HCPCS,87109,HC CULTURE MYCOPLASMA,1248.0,1248.0,,,0
HCPCS,87109,HC MYCOPLASMA PNEUM CULT,846.0,846.0,,,0
HCPCS,87109,HC MYCOPLASMS CULTURE 87109,184.0,184.0,,,0
HCPCS,87109,HC MYCOPPLAMA GENITAL CULT,456.0,456.0,,,0
HCPCS,87109,Mycoplasma,,,15.39,78.69,7
HCPCS,87110,Chlamydia culture,,,19.6,100.17,7
HCPCS,87110,HC CHLAMYDIA CULT 87110,281.0,281.0,,,0
HCPCS,87110,HC CHLAMYDIA CULTURE,416.0,416.0,,,0
HCPCS,87110,HC CHLMYDIA PNEUM CULT 87110,486.0,486.0,,,0
HCPCS,87116,HC AFB CULT CONC/ID,98.0,98.0,,,0
HCPCS,87116,HC AFB CULT CONC/ID 87117,225.0,225.0,,,0
HCPCS,87116,HC CONCETRATION PLUS ISOLATI,130.0,130.0,,,0
HCPCS,87116,HC CULTURE AFB - ISOL & ID,333.0,333.0,,,0
HCPCS,87116,Mycobacteria culture,,,10.8,39.27,7
HCPCS,87118,HC AFB ID 87118,169.5,169.5,,,0
HCPCS,87118,HC CULT MYCOBACTERIA DEFIN ID EA,179.0,179.0,,,0
HCPCS,87118,HC MYCOBACTERIUM ID,62.0,62.0,,,0
HCPCS,87118,Mycobacteric identification,,,14.61,55.96,7
HCPCS,87140,Culture type immunofluoresc,,,5.57,28.51,7
HCPCS,87140,HC CULTURE; IF EA ANTISERUM,73.0,73.0,,,0
HCPCS,87143,Culture typing glc/hplc,,,12.52,64.09,7
HCPCS,87143,HC CULTURE; GLC/HPLC,164.0,164.0,,,0
HCPCS,87147,Culture type immunologic,,,5.18,26.46,7
HCPCS,87147,HC CULTURE; IMMUNOLOGIC,281.0,281.0,,,0
HCPCS,87147,"HC TYPING, POLYVAL 87151",190.0,190.0,,,0
HCPCS,87149,Dna/rna direct probe,,,20.05,102.55,7
HCPCS,87149,HC DNA/RNA DIRECT PROBE,161.0,161.0,,,0
HCPCS,87150,Dna/rna amplified probe,,,35.09,181.94,7
HCPCS,87150,HC DNA/RNA AMPLIFIED PROBE,100.0,100.0,,,0
HCPCS,87152,Culture Type Pulse Field Gel,,,7.74,28.56,7
HCPCS,87152,HC CULTURE; PULSE FLD GEL ID,69.0,69.0,,,0
HCPCS,87153,Dna/rna sequencing,,,115.36,598.01,7
HCPCS,87153,HC ADENOVIRUS GENOTYPE,645.0,645.0,,,0
HCPCS,87153,HC CMV GENOTYPE,571.0,571.0,,,0
HCPCS,87153,HC IDENT BY DNA SEQUENCE,518.0,518.0,,,0
HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,218.06,798.1,7
HCPCS,87154,HC CUL TYP D BLD PTHGN 6+TRGT,252.0,252.0,,,0
HCPCS,87158,Culture typing added method,,,7.74,28.56,7
HCPCS,87158,HC CULTURE; OTHER METHODS,69.0,69.0,,,0
HCPCS,87164,Dark field examination,,,10.74,54.94,7
HCPCS,87164,HC DARK FIELD; W SPEC COLLECT,163.0,163.0,,,0
HCPCS,87164,HC DARKFIELD 87164,90.0,90.0,,,0
HCPCS,87166,Dark field examination,,,11.3,57.75,7
HCPCS,87168,HC MACROSCOPIC EXAM ARTHROPOD,118.0,118.0,,,0
HCPCS,87168,HC MACROSCOPIC EXAM;ARTHROPO,60.5,60.5,,,0
HCPCS,87168,HC TICK ID,80.0,80.0,,,0
HCPCS,87168,Macroscopic Exam Arthropod,,,4.27,21.81,7
HCPCS,87169,HC MACROSCOPIC EXAM PARASITE,145.5,145.5,,,0
HCPCS,87169,HC TAPEWORM INDENT,58.0,58.0,,,0
HCPCS,87169,HC TAPEWORM INDENT 87208,178.0,178.0,,,0
HCPCS,87169,Macroscopic exam parasite,,,4.31,21.81,7
HCPCS,87172,HC PIN WORM SLIDE,32.0,32.0,,,0
HCPCS,87172,HC PIN WORM SLIDE 87208,94.0,94.0,,,0
HCPCS,87172,HC PINWORM EXAM,139.0,139.0,,,0
HCPCS,87172,Pinworm Exam,,,4.27,21.81,7
HCPCS,87176,"HC HOMOGENIZATION, TISSUE, FOR CULTURE",76.0,76.0,,,0
HCPCS,87176,Tissue homogenization cultr,,,5.88,30.09,7
HCPCS,87177,HC O&P STOOL EXAM,171.5,171.5,,,0
HCPCS,87177,HC OVA & PARASITES DIR SMR W ID,368.0,368.0,,,0
HCPCS,87177,Ova and parasites smears,,,8.9,32.13,7
HCPCS,87181,HC ETEST ANAEROBE,28.0,28.0,,,0
HCPCS,87181,HC ETEST MIC AEROBE,96.0,96.0,,,0
HCPCS,87181,"HC FUNGI, EA DRUG  87192",336.0,336.0,,,0
HCPCS,87181,HC SENSITIVITY - AGAR DILUTION/AGENT,62.0,62.0,,,0
HCPCS,87181,Microbe susceptible diffuse,,,4.75,24.3,7
HCPCS,87183,Sc std carbapenem resist gen,,,35.09,36.84,3
HCPCS,87184,HC SENSITIVITY - DISK PER PLATE,146.0,146.0,,,0
HCPCS,87184,HC SENSITIVITY KB,69.5,69.5,,,0
HCPCS,87184,Microbe susceptible disk,,,7.48,35.25,7
HCPCS,87185,HC SENSTITIVITY - ENZYME DETECT,62.0,62.0,,,0
HCPCS,87185,Microbe susceptible enzyme,,,4.75,24.3,7
HCPCS,87186,HC AFB SENST 87190,164.0,164.0,,,0
HCPCS,87186,HC AZITHROMYCIN SUSCEPTIBILI,156.0,156.0,,,0
HCPCS,87186,HC MICROBE SUSCEPTIBILITIES MIC,480.5,480.5,,,0
HCPCS,87186,HC SENSITIVITY MIC,358.0,358.0,,,0
HCPCS,87186,HC SUSCEPTIBILITY TEST 2 DRU,171.0,171.0,,,0
HCPCS,87186,HC SUSCEPTIBILITY YEAST PANE,644.0,644.0,,,0
HCPCS,87186,HC SYNERGY STUDIES (EA),354.0,354.0,,,0
HCPCS,87186,Microbe susceptible mic,,,8.65,44.21,7
HCPCS,87187,HC SENSITIVITY - MLC EA PLATE,136.0,136.0,,,0
HCPCS,87187,Microbe susceptible mlc,,,40.17,146.4,7
HCPCS,87188,HC SENSITIVITY - MACROBROTH EA AGNT,75.0,75.0,,,0
HCPCS,87188,Microbe suscept macrobroth,,,6.64,29.06,7
HCPCS,87190,HC AFB SENST 87190,60.0,60.0,,,0
HCPCS,87190,HC SENSITIVITY - MYCOBACT EA AGNT,73.0,73.0,,,0
HCPCS,87190,Microbe suscept mycobacteri,,,7.31,28.91,7
HCPCS,87197,Bactericidal level serum,,,15.02,59.44,7
HCPCS,87197,HC SERUM BACTERICIDAL TITER,449.0,449.0,,,0
HCPCS,87197,HC SERUM BACTERICIDE,132.0,132.0,,,0
HCPCS,87197,HC SERUMBACTERICID,304.0,304.0,,,0
HCPCS,87205,"HC BACT, SMEAR, STA",32.0,32.0,,,0
HCPCS,87205,"HC BACT, SMEAR, STAI",70.0,70.0,,,0
HCPCS,87205,HC SMEAR - GRAM OR GIEMSA,56.5,56.5,,,0
HCPCS,87205,Smear gram stain,,,4.27,21.81,7
HCPCS,87206,HC AFB SMEAR ONLY 87206,59.0,59.0,,,0
HCPCS,87206,HC FLRCNT STAIN FOR BCTRIA/F,130.0,130.0,,,0
HCPCS,87206,HC SMEAR(FLOURESCENT/ACID),24.0,24.0,,,0
HCPCS,87206,HC SMEAR; FLUORESCENT OR AFB STAIN,122.0,122.0,,,0
HCPCS,87206,Smear fluorescent/acid stai,,,5.39,27.45,7
HCPCS,87207,HC BLOOD PARASITES 87207,94.0,94.0,,,0
HCPCS,87207,HC CHLAMIDIA SMEAR 87207,174.0,174.0,,,0
HCPCS,87207,HC FILARIA ID 87207,300.0,300.0,,,0
HCPCS,87207,HC MALARIA ID 87207,270.0,270.0,,,0
HCPCS,87207,HC MALARIA SMEARS 87207,84.0,84.0,,,0
HCPCS,87207,HC SMEAR SPECIAL STAIN,147.5,147.5,,,0
HCPCS,87207,Smear special stain,,,5.99,30.63,7
HCPCS,87209,HC SMEAR COMPLEX STAIN,74.0,74.0,,,0
HCPCS,87209,Smear complex stain,,,17.98,93.18,7
HCPCS,87210,HC POCT SMEAR - INFECTIOUS WET MOUNT,49.0,49.0,,,0
HCPCS,87210,HC POCT SMEAR WET PREP,32.0,32.0,,,0
HCPCS,87210,HC SMEAR - INFECTIOUS WET MOUNT,148.0,148.0,,,0
HCPCS,87210,HC SPECIM OR MAT I 87210,67.5,67.5,,,0
HCPCS,87210,"HC TRICHOMONADS, WE 87210",35.0,35.0,,,0
HCPCS,87210,"HC TRICHOMONADS,WE 87210",100.0,100.0,,,0
HCPCS,87210,Smear wet mount saline/ink,,,5.82,21.81,7
HCPCS,87220,"HC FUNGUS,SMEAR 87220",82.0,82.0,,,0
HCPCS,87220,HC KOH FOR FUNGI/PARASITES/MITES,122.0,122.0,,,0
HCPCS,87220,Tissue exam for fungi,,,4.27,17.68,7
HCPCS,87230,Assay toxin or antitoxin,,,19.74,89.19,7
HCPCS,87230,HC TOXIN ASSAY TISSUE CULTURE,227.0,227.0,,,0
HCPCS,87250,HC VIRUS ISOLATE; EMBRYO EGG INJ,256.0,256.0,,,0
HCPCS,87250,Virus inoculate eggs/animal,,,19.56,99.99,7
HCPCS,87252,HC CMV AMTOGENEMIA,286.0,286.0,,,0
HCPCS,87252,HC ENTEROVIRUS VIRAL CULTURE,286.0,286.0,,,0
HCPCS,87252,HC HERPES CULT 87252,366.0,366.0,,,0
HCPCS,87252,HC HSV RAPID CULTURE,286.0,286.0,,,0
HCPCS,87252,HC INFLUENZA A VIRAL CULTURE,286.0,286.0,,,0
HCPCS,87252,HC INFLUENZA B,286.0,286.0,,,0
HCPCS,87252,HC PARAINFLUENZA VIRAL CULTU,286.0,286.0,,,0
HCPCS,87252,HC RSV VIRAL CULTURE,286.0,286.0,,,0
HCPCS,87252,HC VIRAL CULTURE 87252,240.0,240.0,,,0
HCPCS,87252,HC VIRUS ISOLATE; TISSUE CULT INOC,474.0,474.0,,,0
HCPCS,87252,HC VZV VIRAL CULTURES,286.0,286.0,,,0
HCPCS,87252,Virus inoculation tissue,,,26.07,133.3,7
HCPCS,87253,HC VIRUS ISOLATE; ADDTL OR ID,511.0,511.0,,,0
HCPCS,87253,"HC VIRUS LD;TISS CUL,ADDL ST",262.5,262.5,,,0
HCPCS,87253,Virus inoculate tissue addl,,,20.2,103.29,7
HCPCS,87254,HC ADENO VIRAL CULTURE,286.0,286.0,,,0
HCPCS,87254,HC INFLUENZA VIRUS CULTURE,253.0,253.0,,,0
HCPCS,87254,HC VIRUS ISOL SHELL VIAL TECHN,393.0,393.0,,,0
HCPCS,87254,Virus inoculation shell via,,,19.56,99.99,7
HCPCS,87255,Genet virus isolate hsv,,,33.86,173.15,7
HCPCS,87255,HC GENET VIRUS ISOLATE HSV,445.0,445.0,,,0
HCPCS,87260,Adenovirus ag if,,,14.43,56.33,7
HCPCS,87260,HC ADENOVIRUS AG BY IF,120.5,120.5,,,0
HCPCS,87265,HC BORDATELLA P AG BY DFA,144.0,144.0,,,0
HCPCS,87265,Pertussis ag if,,,11.98,56.33,7
HCPCS,87267,Enterovirus antibody dfa,,,13.42,56.33,7
HCPCS,87269,Giardia ag if,,,13.61,56.33,7
HCPCS,87270,Chlamydia trachomatis ag if,,,11.98,56.33,7
HCPCS,87271,Cytomegalovirus dfa,,,13.42,56.33,7
HCPCS,87272,Cryptosporidium ag if,,,11.98,56.33,7
HCPCS,87272,HC CRYPTOSPOR AG BY IFA,144.0,144.0,,,0
HCPCS,87272,HC CRYPTOSPORIDIUM,96.0,96.0,,,0
HCPCS,87273,Herpes simplex 2 ag if,,,11.98,56.33,7
HCPCS,87274,Herpes simplex 1 ag if,,,11.98,56.33,7
HCPCS,87275,HC INFLUENZA B AG BY IF,120.5,120.5,,,0
HCPCS,87275,Influenza b ag if,,,12.25,56.33,7
HCPCS,87276,HC INFLUENZA A AG BY DFA,120.5,120.5,,,0
HCPCS,87276,Influenza a ag if,,,16.07,58.32,7
HCPCS,87278,HC LEGIONELLA DFA ANTGN,232.0,232.0,,,0
HCPCS,87278,HC LEGIONELLA P AG BY DFA,343.0,343.0,,,0
HCPCS,87278,Legion pneumophilia ag if,,,15.6,57.15,7
HCPCS,87279,HC PARAINFLUENZA AG BY DFA,120.5,120.5,,,0
HCPCS,87279,Parainfluenza ag if,,,16.43,59.52,7
HCPCS,87280,HC RSV AG BY IF,120.5,120.5,,,0
HCPCS,87280,Respiratory syncytial ag if,,,13.42,56.33,7
HCPCS,87281,HC PNEUMOCYSTIS C AG BY IF,146.0,146.0,,,0
HCPCS,87281,Pneumocystis carinii ag if,,,11.98,56.33,7
HCPCS,87283,Rubeola ag if,,,50.02,221.4,7
HCPCS,87285,Treponema pallidum ag if,,,12.18,56.33,7
HCPCS,87290,HC VARICELLA ZOSTER AG BY DFA,146.0,146.0,,,0
HCPCS,87290,Varicella zoster ag if,,,13.42,56.33,7
HCPCS,87299,Antibody detection nos if,,,16.1,58.32,7
HCPCS,87299,HC NOS INFECTIOUS AG BY IF,146.0,146.0,,,0
HCPCS,87300,Ag detection polyval if,,,11.98,56.33,7
HCPCS,87300,HC INF AGENT MULTI ORG AG BY IF,146.0,146.0,,,0
HCPCS,87301,Adenovirus ag ia,,,11.98,56.33,7
HCPCS,87301,HC ADENOVIRUS AG EIA,146.0,146.0,,,0
HCPCS,87305,Aspergillus ag ia,,,11.98,57.06,7
HCPCS,87305,DEAC 2/8/2017 HC GALACTOMANNAN ASSAY,253.0,253.0,,,0
HCPCS,87305,HC ASPERGILLUS AG EIA,372.0,372.0,,,0
HCPCS,87305,HC ASPERGILLUS ANTIGEN,253.0,253.0,,,0
HCPCS,87305,"HC PLATELIA ASPERGILLUS, BAL",375.0,375.0,,,0
HCPCS,87320,Chylmd trach ag ia,,,15.0,56.33,7
HCPCS,87324,Clostridium ag ia,,,11.98,56.33,7
HCPCS,87324,HC CLOSTRIDIUM AG EIA,238.0,238.0,,,0
HCPCS,87324,HC CLOSTRIDIUM OX,421.0,421.0,,,0
HCPCS,87324,HC CLOSTRIDIUM TOXIN,172.0,172.0,,,0
HCPCS,87327,Cryptococcus neoform ag ia,,,13.42,56.33,7
HCPCS,87327,HC CRYPTOCOCCUS NEOFORM AG EIA,144.0,144.0,,,0
HCPCS,87328,Cryptosporidium ag ia,,,13.82,56.33,7
HCPCS,87328,HC CRYPT ANTGEN SCRN,71.0,71.0,,,0
HCPCS,87328,HC CRYPTOSPORIDIUM AG EIA,122.0,122.0,,,0
HCPCS,87328,HC CYPT ANTGN TITER,384.0,384.0,,,0
HCPCS,87329,Giardia ag ia,,,11.98,56.33,7
HCPCS,87329,HC GIARDIA AG EIA,104.0,104.0,,,0
HCPCS,87329,"HC GIARDIA,AG,EIA,STOOL",70.0,70.0,,,0
HCPCS,87332,Cytomegalovirus ag ia,,,11.98,56.33,7
HCPCS,87332,HC CMV ANTIGENT DETECTION DF,145.0,145.0,,,0
HCPCS,87332,HC CYTOMEGALOVIRUS AG EIA,214.0,214.0,,,0
HCPCS,87335,E coli 0157 ag ia,,,12.66,56.33,7
HCPCS,87335,HC E COLI 0157 AG EIA,146.0,146.0,,,0
HCPCS,87336,Entamoeb hist dispr ag ia,,,16.0,58.32,7
HCPCS,87337,Entamoeb hist group ag ia,,,11.98,56.33,7
HCPCS,87337,HC ENTAMOEB HIST GROUP AG EIA,144.0,144.0,,,0
HCPCS,87338,HC H.PYLORI STOOL ANTIGENS,352.0,352.0,,,0
HCPCS,87338,HC HPYLORI STOOL EIA,520.0,520.0,,,0
HCPCS,87338,Hpylori stool ia,,,14.38,56.33,7
HCPCS,87339,H pylori ag ia,,,16.0,58.32,7
HCPCS,87340,HC HEP B SURF ANTI,58.0,58.0,,,0
HCPCS,87340,HC HEP B SURFACE AG,115.5,115.5,,,0
HCPCS,87340,HC HEP SCREEN-HBSAG,86.0,86.0,,,0
HCPCS,87340,HC HEPATITIS B SURFACE AG EIA,108.5,108.5,,,0
HCPCS,87340,HC HEPATITIS B SURFACE ANTIG,204.0,204.0,,,0
HCPCS,87340,Hepatitis b surface ag ia,,,10.33,52.81,7
HCPCS,87341,HC HEPATITIS B SURFACE AG EIA NEUTRALIZATION,136.0,136.0,,,0
HCPCS,87341,Hepatitis b surface ag ia,,,10.33,52.81,7
HCPCS,87350,HC HEP BE ANTIGEN,137.5,137.5,,,0
HCPCS,87350,HC HEPATITIS BE AG EIA,293.0,293.0,,,0
HCPCS,87350,Hepatitis be ag ia,,,11.53,58.93,7
HCPCS,87380,HC HEPATITIS DELTA AG EIA,216.0,216.0,,,0
HCPCS,87380,Hepatitis delta ag ia,,,18.36,83.96,7
HCPCS,87385,HC HISTO AG IMMUNO UR,301.0,301.0,,,0
HCPCS,87385,HC HISTOPLASMA CAPSUL AG EIA,445.0,445.0,,,0
HCPCS,87385,Histoplasma capsul ag ia,,,13.25,56.33,7
HCPCS,87389,HC HIV-1 AG W/HIV-1 & HIV-2 AB,172.5,172.5,,,0
HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,24.08,124.88,7
HCPCS,87390,HC HIV P24 ANTIGEN,391.0,391.0,,,0
HCPCS,87390,HC HIV-1 AG EIA,577.0,577.0,,,0
HCPCS,87390,Hiv-1 ag ia,,,24.06,90.22,7
HCPCS,87391,Hiv-2 ag ia,,,21.9,90.22,7
HCPCS,87400,HC FLU - RAPID A,85.0,85.0,,,0
HCPCS,87400,HC FLU RAPID B,85.0,85.0,,,0
HCPCS,87400,HC INFLUENZA A/B AG EIA,126.0,126.0,,,0
HCPCS,87400,HC RPD FLU ANTIBODY (AREADY,102.0,102.0,,,0
HCPCS,87400,Influenza a/b ag ia,,,14.13,56.33,7
HCPCS,87420,HC RESP SYNCYTIAL AG EIA,80.0,80.0,,,0
HCPCS,87420,HC RSV RAPID TEST,54.0,54.0,,,0
HCPCS,87420,Resp syncytial ag ia,,,13.91,56.33,7
HCPCS,87425,HC ROTAVIRUS AG EIA,80.0,80.0,,,0
HCPCS,87425,HC ROTAVIRUS BY EIA,54.0,54.0,,,0
HCPCS,87425,Rotavirus ag ia,,,11.98,56.33,7
HCPCS,87426,Coronavirus ag ia,,,35.33,165.54,7
HCPCS,87426,HC SARSCOV CORONAVIRUS AG IA,204.0,204.0,,,0
HCPCS,87427,"HC SHIGA TOXINS, STL",143.0,143.0,,,0
HCPCS,87427,HC SHIGA-LIKE TOXIN AG EIA,212.0,212.0,,,0
HCPCS,87427,Shiga-like toxin ag ia,,,11.98,56.33,7
HCPCS,87428,Sarscov & inf vir a&b ag ia,,,70.29,268.97,7
HCPCS,87430,HC STREP A AG EIA,146.0,146.0,,,0
HCPCS,87430,Strep a ag ia,,,16.81,60.72,7
HCPCS,87449,Ag detect nos ia mult,,,11.98,56.33,7
HCPCS,87449,HC CRYPT AG TITER,106.0,106.0,,,0
HCPCS,87449,HC IA BY EIA - MULTI STEP,86.0,86.0,,,0
HCPCS,87449,HC LEGIONELLA AG,86.0,86.0,,,0
HCPCS,87449,HC LEGIONELLA UR ANTIGEN,58.0,58.0,,,0
HCPCS,87449,HC STREP PNUMO AG,90.0,90.0,,,0
HCPCS,87451,Ag detect polyval ia mult,,,10.51,49.01,7
HCPCS,87467,Hepatitis b surface ag quan,,,25.32,55.08,5
HCPCS,87468,Anaplsma phgcytophlm amp prb,,,35.09,128.43,7
HCPCS,87469,Babesia microti amp prb,,,35.09,128.43,7
HCPCS,87471,Bartonella dna amp probe,,,35.09,179.49,7
HCPCS,87471,HC BARTONELLA AMPLIF NAP,458.0,458.0,,,0
HCPCS,87472,Bartonella dna quant,,,42.84,155.94,7
HCPCS,87475,Lyme dis dna dir probe,,,20.05,102.55,7
HCPCS,87476,HC LYME PCR BLOOD,673.0,673.0,,,0
HCPCS,87476,HC LYME PCR FLUID,673.0,673.0,,,0
HCPCS,87476,"HC LYME(B.BURGDORFERI)PCR,CSF QST",116.0,116.0,,,0
HCPCS,87476,HC LYMES AMPLIFIED NA PROBE,994.0,994.0,,,0
HCPCS,87476,Lyme dis dna amp probe,,,35.09,179.49,7
HCPCS,87478,Borrelia miyamotoi amp prb,,,35.09,128.43,7
HCPCS,87478,"HC IAD BY NUCLEIC ACID (DNA OR RNA); BORRELIA MIYAMOTOI, APT (41)",116.0,116.0,,,0
HCPCS,87480,Candida dna dir probe,,,20.05,102.55,7
HCPCS,87481,Candida dna amp probe,,,35.09,179.49,7
HCPCS,87481,HC CANDIDA NA AMPLIFIED PROBE,161.0,161.0,,,0
HCPCS,87482,Candida dna quant,,,55.74,202.35,7
HCPCS,87483,Cns dna amp probe type 12-25,,,416.78,1515.33,5
HCPCS,87484,Ehrlicha chaffeensis amp prb,,,35.09,128.43,7
HCPCS,87485,Chylmd pneum dna dir probe,,,20.05,102.55,7
HCPCS,87485,HC CHLAMYDIA P DIR NA PROBE,265.0,265.0,,,0
HCPCS,87486,Chylmd pneum dna amp probe,,,35.09,179.49,7
HCPCS,87486,HC CHLAMYDIA P AMPLIF NA PROBE,628.0,628.0,,,0
HCPCS,87486,HC CHLAMYDIA PNEUM TWAR,426.0,426.0,,,0
HCPCS,87487,Chylmd pneum dna quant,,,42.84,155.94,7
HCPCS,87490,Chylmd trach dna dir probe,,,22.75,102.55,7
HCPCS,87490,HC CHLAMYDIA T DIR NA PROBE,262.0,262.0,,,0
HCPCS,87490,"HC CHLM TRACHMTS, DIR PROB 8",168.0,168.0,,,0
HCPCS,87491,Chylmd trach dna amp probe,,,35.09,179.49,7
HCPCS,87491,HC CHLAMYDIA T AMPLIF NA PROBE,247.0,247.0,,,0
HCPCS,87491,"HC CHLAMYDIA TRACHOMATIS,AMP",168.0,168.0,,,0
HCPCS,87492,Chylmd trach dna quant,,,53.47,194.04,7
HCPCS,87493,C diff amplified probe,,,37.27,181.94,7
HCPCS,87493,HC C DIFF AMPLIFIED PROBE,319.0,319.0,,,0
HCPCS,87493,HC CLOSTRIDIUM DIFF (PCR),215.0,215.0,,,0
HCPCS,87494,Chlmy trch&neisra gonor mult,,,70.18,73.69,3
HCPCS,87495,Cytomeg dna dir probe,,,30.03,109.5,7
HCPCS,87496,Cytomeg dna amp probe,,,35.09,179.49,7
HCPCS,87496,HC CMV QUANT PCR,712.0,712.0,,,0
HCPCS,87496,HC CYTOMEGALOV AMPLIF NA PROBE,1053.0,1053.0,,,0
HCPCS,87497,Cytomeg dna quant,,,42.84,155.94,7
HCPCS,87497,HC CYTOMEGALOVIRUS NA QUAN,370.0,370.0,,,0
HCPCS,87498,Enterovirus probe&revrs trns,,,35.09,181.94,7
HCPCS,87498,HC ENTEROVIRUS DNA AMP PROBE,804.0,804.0,,,0
HCPCS,87498,HC ENTEROVIRUS PCR,544.0,544.0,,,0
HCPCS,87498,"HC ENTEROVIRUS, DNA, AMP PRO",196.0,196.0,,,0
HCPCS,87500,Vanomycin dna amp probe,,,35.09,181.94,7
HCPCS,87501,HC INFLUENZA DNA AMP PROB 1+,667.0,667.0,,,0
HCPCS,87501,Influenza dna amp prob 1+,,,51.31,266.01,7
HCPCS,87502,HC INFLUENZA DNA AMP PROBE,490.0,490.0,,,0
HCPCS,87502,Influenza dna amp probe,,,95.8,441.1,7
HCPCS,87503,Influenza dna amp prob addl,,,29.22,107.68,7
HCPCS,87505,"HC INFECT AGENT DET,GI 3-5 TARGET",775.0,775.0,,,0
HCPCS,87505,Nfct agent detection gi,,,128.29,638.96,7
HCPCS,87506,"HC INFEC AGENT DET,GI  6-11 TARGETS",1550.0,1550.0,,,0
HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,262.99,1063.05,7
HCPCS,87507,"HC INFEC AGENT DET,GI  12-25 TARGETS",2327.0,2327.0,,,0
HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,416.78,2075.88,7
HCPCS,87510,Gardner vag dna dir probe,,,20.05,102.55,7
HCPCS,87511,Gardner vag dna amp probe,,,35.09,179.49,7
HCPCS,87512,Gardner vag dna quant,,,41.76,152.37,7
HCPCS,87513,H pylri clrthmcn rst amp prb,,,35.09,36.84,3
HCPCS,87516,HC HEP-B AMPLIF NA PROBE,458.0,458.0,,,0
HCPCS,87516,Hepatitis b dna amp probe,,,35.09,179.49,7
HCPCS,87517,HC HEP-B NA QUAN,563.0,563.0,,,0
HCPCS,87517,HC HEPATITIS B DNA PCR QT,657.0,657.0,,,0
HCPCS,87517,Hepatitis b dna quant,,,42.84,155.94,7
HCPCS,87520,Hepatitis c rna dir probe,,,31.22,113.07,7
HCPCS,87521,HC HEP-C AMPLIF NA PROBE,458.0,458.0,,,0
HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,35.09,179.49,7
HCPCS,87522,HC HCVRNA QT,658.0,658.0,,,0
HCPCS,87522,HC HEP-C NA QUAN,540.0,540.0,,,0
HCPCS,87522,Hepatitis c revrs trnscrpj,,,42.84,155.94,7
HCPCS,87523,Hepatitis d quantification,,,42.84,156.79,7
HCPCS,87525,Hepatitis g dna dir probe,,,29.8,108.33,7
HCPCS,87526,Hepatitis g dna amp probe,,,39.26,179.49,7
HCPCS,87527,Hepatitis g dna quant,,,41.76,152.37,7
HCPCS,87528,Hsv dna dir probe,,,20.05,102.55,7
HCPCS,87529,HC HERPES S AMPLIF NA PROBE,590.0,590.0,,,0
HCPCS,87529,HC HERPES SIMPLEX 1,400.0,400.0,,,0
HCPCS,87529,HC HERPES SIMPLEX 2 86696,400.0,400.0,,,0
HCPCS,87529,HC HSV DNA AMP PROBE,132.0,132.0,,,0
HCPCS,87529,HC HSV TYPE 1&2 DNA PCR*,264.0,264.0,,,0
HCPCS,87529,Hsv dna amp probe,,,35.09,179.49,7
HCPCS,87530,HC HERPES S NA QUAN,372.0,372.0,,,0
HCPCS,87530,Hsv dna quant,,,42.84,155.94,7
HCPCS,87531,Hhv-6 dna dir probe,,,58.0,210.69,7
HCPCS,87532,HC HERPES 6 AMPLIF NA PROBE,460.0,460.0,,,0
HCPCS,87532,Hhv-6 dna amp probe,,,35.09,179.49,7
HCPCS,87533,HC HERPES 6 NA QUAN,370.0,370.0,,,0
HCPCS,87533,Hhv-6 dna quant,,,41.76,152.37,7
HCPCS,87534,Hiv-1 dna dir probe,,,21.92,102.55,7
HCPCS,87535,HC HIV RNA QUAL,599.0,599.0,,,0
HCPCS,87535,HC HIV-1 AMPLIF NA PROBE,576.0,576.0,,,0
HCPCS,87535,HC HIV1 DNA BY PCR,390.0,390.0,,,0
HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,35.09,179.49,7
HCPCS,87536,HC HIV- 1 RNA QT,658.0,658.0,,,0
HCPCS,87536,HC HIV-1 NA QUAN,534.0,534.0,,,0
HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,85.1,435.14,7
HCPCS,87537,Hiv-2 dna dir probe,,,21.92,102.55,7
HCPCS,87538,HC HIV-2 PROBE&REVRSE TRNSCRIPJ,458.0,458.0,,,0
HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,35.09,179.49,7
HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,58.62,213.06,7
HCPCS,87540,HC LEGIONELLA DIR NA PROBE,371.0,371.0,,,0
HCPCS,87540,HC LEGIONELLA DNA PROBE,251.0,251.0,,,0
HCPCS,87540,Legion pneumo dna dir prob,,,20.05,102.55,7
HCPCS,87541,HC LEGIONELLA AMPLIF NA PROBE,460.0,460.0,,,0
HCPCS,87541,Legion pneumo dna amp prob,,,35.09,179.49,7
HCPCS,87542,Legion pneumo dna quant,,,41.76,152.37,7
HCPCS,87550,HC MYCOBACTERIA DIR NA PROBE,262.0,262.0,,,0
HCPCS,87550,Mycobacteria dna dir probe,,,20.05,102.55,7
HCPCS,87551,Mycobacteria dna amp probe,,,48.24,179.49,7
HCPCS,87552,Mycobacteria dna quant,,,42.84,155.94,7
HCPCS,87555,HC MYCOBACTERIA T DIR NA PROBE,265.0,265.0,,,0
HCPCS,87555,M.tuberculo dna dir probe,,,26.88,102.55,7
HCPCS,87556,HC MYCOBACTERIA T AMPLIF NA PROBE,489.0,489.0,,,0
HCPCS,87556,HC MYCROBCTR TB AMPLFD PROBE,331.0,331.0,,,0
HCPCS,87556,M.tuberculo dna amp probe,,,41.68,179.49,7
HCPCS,87557,M.tuberculo dna quant,,,42.84,155.94,7
HCPCS,87560,M.avium-intra dna dir prob,,,27.29,102.55,7
HCPCS,87561,HC MYCOBACERIA AVIUMINTERCEL,638.0,638.0,,,0
HCPCS,87561,HC MYCOBACTERIA A AMPLIF NA PROBE,942.0,942.0,,,0
HCPCS,87561,M.avium-intra dna amp prob,,,35.09,179.49,7
HCPCS,87562,M.avium-intra dna quant,,,42.84,155.94,7
HCPCS,87563,HC M. GENITALIUM AMP PROBE,942.0,942.0,,,0
HCPCS,87563,M. genitalium amp probe,,,35.09,128.43,7
HCPCS,87564,Mtb rifampin rst amp prb tq,,,76.77,80.61,3
HCPCS,87580,M.pneumon dna dir probe,,,20.05,102.55,7
HCPCS,87581,HC MYCOPLASMA AMPLIF NA PROBE,460.0,460.0,,,0
HCPCS,87581,M.pneumon dna amp probe,,,35.09,179.49,7
HCPCS,87582,M.pneumon dna quant,,,128.86,1099.89,7
HCPCS,87590,HC NEISSERIA DIR NA PROBE,262.0,262.0,,,0
HCPCS,87590,N.gonorrhoeae dna dir prob,,,26.88,102.55,7
HCPCS,87591,HC NEISSERIA AMPLIF NA PROBE,247.0,247.0,,,0
HCPCS,87591,HC NEISSERIA GONORROHEAE AMP,168.0,168.0,,,0
HCPCS,87591,N.gonorrhoeae dna amp prob,,,35.09,179.49,7
HCPCS,87592,N.gonorrhoeae dna quant,,,42.84,155.94,7
HCPCS,87593,"HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID; ORTHOPOXVIRUS, AMPLIFIED PROBE TECHNIQUE, EA",56.0,56.0,,,0
HCPCS,87593,Orthopoxvirus amp prb each,,,51.31,53.88,3
HCPCS,87594,Pneumcysts jirovecii amp prb,,,35.09,36.84,3
HCPCS,87621,HC HPV AMPLIFIED PROBE*,295.0,295.0,,,0
HCPCS,87621,HC HPV DNA AMP PROBE,145.0,145.0,,,0
HCPCS,87623,Hpv low-risk types,,,35.09,179.49,7
HCPCS,87624,HC HPV HI RISK TYPES,215.0,215.0,,,0
HCPCS,87624,HC HPV HIGH-RISK TYPES (275),701.0,701.0,,,0
HCPCS,87624,Hpv high-risk types,,,35.09,179.49,7
HCPCS,87625,Hpv types 16 & 18 only,,,40.55,179.49,7
HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,70.2,73.71,3
HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,679.77,713.76,3
HCPCS,87631,HC RESP VIRUS 3-5 TARGETS,540.0,540.0,,,0
HCPCS,87631,Resp virus 3-5 targets,,,142.63,645.4,7
HCPCS,87632,HC RESP VIRUS 6-11 TARGETS,2789.0,2789.0,,,0
HCPCS,87632,Resp virus 6-11 targets,,,218.06,1073.73,7
HCPCS,87633,HC RESP VIRUS 12-25 TARGETS,1180.0,1180.0,,,0
HCPCS,87633,Resp virus 12-25 targets,,,416.78,2096.85,7
HCPCS,87634,HC RSV DNA/RNA AMP PROBE (2),359.0,359.0,,,0
HCPCS,87634,Rsv dna/rna amp probe,,,70.2,317.18,7
HCPCS,87635,DEAC 7/1/25 HC SARS-COV-2 (120),254.0,254.0,,,0
HCPCS,87635,HC SARS-COV-2 (24),230.0,230.0,,,0
HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,51.31,187.87,7
HCPCS,87636,Sarscov2 & inf a&b amp prb,,,142.63,522.03,7
HCPCS,87637,DEAC 7/1/25 HC SARSCOV2 &INF A&B & RSV,518.0,518.0,,,0
HCPCS,87637,HC SARSCOV2 &INF A&B & RSV (39),470.0,470.0,,,0
HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,142.63,522.03,7
HCPCS,87640,HC STAPH A DNA AMP PROBE,458.0,458.0,,,0
HCPCS,87640,"HC STAPH A, DNA, AMP PROBE",196.0,196.0,,,0
HCPCS,87640,Staph a dna amp probe,,,35.09,181.94,7
HCPCS,87641,HC MR-STAPH DNA AMP PROBE,291.0,291.0,,,0
HCPCS,87641,"HC MR-STAPH, DNA, AMP PROBE",196.0,196.0,,,0
HCPCS,87641,Mr-staph dna amp probe,,,35.09,181.94,7
HCPCS,87650,Strep a dna dir probe,,,20.05,102.55,7
HCPCS,87651,HC STREP A AMPLIF NA PROBE,337.0,337.0,,,0
HCPCS,87651,Strep a dna amp probe,,,35.09,179.49,7
HCPCS,87652,Strep a dna quant,,,41.76,152.37,7
HCPCS,87653,HC STREP B DNA AMP PROBE,458.0,458.0,,,0
HCPCS,87653,"HC STREP B, DNA, AMP PROBE",196.0,196.0,,,0
HCPCS,87653,Strep b dna amp probe,,,35.09,181.94,7
HCPCS,87660,HC CHL/GC DNA PROBE,168.0,168.0,,,0
HCPCS,87660,HC TRICHOMONAS VAGIN DIR PROBE,249.0,249.0,,,0
HCPCS,87660,Trichomonas vagin dir probe,,,20.05,102.55,7
HCPCS,87661,HC TRICH. VAGINALIS AMP PROBE,1482.0,1482.0,,,0
HCPCS,87661,Trichomonas vaginalis amplif,,,35.09,175.2,7
HCPCS,87662,HC  ZIKA VIRUS DNA/RNA AMP PROBE,705.0,705.0,,,0
HCPCS,87662,Zika virus dna/rna amp probe,,,51.31,231.86,7
HCPCS,87797,Detect agent nos dna dir,,,30.03,109.5,7
HCPCS,87797,HC DIR NA PROBE NOS AGENT,262.0,262.0,,,0
HCPCS,87798,Detect agent nos dna amp,,,35.09,179.49,7
HCPCS,87798,HC ADENOVIRUS PCR/DNA PROBE,178.0,178.0,,,0
HCPCS,87798,HC AMPLIF NA PROBE NOS AGENT,705.0,705.0,,,0
HCPCS,87798,HC B PERTUSSIA/PARAPERTUSSIA,569.0,569.0,,,0
HCPCS,87798,HC BABESIA BY PCR,658.0,658.0,,,0
HCPCS,87798,HC BABESIA MICROTI DNA PCR,264.0,264.0,,,0
HCPCS,87798,HC BARTONELLA HENSELAE PCR,1550.0,1550.0,,,0
HCPCS,87798,"HC DETECT AGENT NOS, DNA, QU",145.0,145.0,,,0
HCPCS,87798,HC HUMAN HERPES VIRUS 8 DNA,338.0,338.0,,,0
HCPCS,87798,HC INFUENZA A H1N1*,464.0,464.0,,,0
HCPCS,87798,HC INFUENZA A/B PCR REFLEX H,186.0,186.0,,,0
HCPCS,87798,HC JC POLYOMA VIRUS DNA PCR,255.0,255.0,,,0
HCPCS,87798,HC PARVOVIRUS B19 DNA PCR,268.0,268.0,,,0
HCPCS,87798,HC TREPONEMA PALLIDUM PCR,473.0,473.0,,,0
HCPCS,87798,HC VZV DNA QL PCR,498.0,498.0,,,0
HCPCS,87798,HC WEST NILE BLOOD PCR,1110.0,1110.0,,,0
HCPCS,87798,HC WEST NILE CSF PCR,1110.0,1110.0,,,0
HCPCS,87799,Detect agent nos dna quant,,,42.84,219.05,7
HCPCS,87799,HC EBV DNA QT PCR,595.0,595.0,,,0
HCPCS,87799,HC NA QUAN NOS AGENT,879.0,879.0,,,0
HCPCS,87800,Detect agnt mult dna direc,,,43.67,205.07,7
HCPCS,87800,HC DIR NA PROBE MULTI ORGANISMS,522.0,522.0,,,0
HCPCS,87801,Detect agnt mult dna ampli,,,70.2,358.94,7
HCPCS,87801,HC DNA/RNA; MULTI ORG - AMP PR,918.0,918.0,,,0
HCPCS,87802,HC STREP B IA W DO,144.0,144.0,,,0
HCPCS,87802,Strep b assay w/optic,,,12.73,56.33,7
HCPCS,87803,Clostridium toxin a w/optic,,,16.0,58.32,7
HCPCS,87803,HC CLOSTRIDIUM DIFF IA W DO,144.0,144.0,,,0
HCPCS,87804,HC INFLUENZA IA W DO,144.0,144.0,,,0
HCPCS,87804,Influenza assay w/optic,,,16.55,60.72,7
HCPCS,87806,Hiv antigen w/hiv antibodies,,,32.77,119.94,7
HCPCS,87807,HC RSV IA W DIR OBSERV,144.0,144.0,,,0
HCPCS,87807,Rsv assay w/optic,,,13.1,56.33,7
HCPCS,87808,HC TRICHOMONAS ASSAY W/OPTIC,84.0,84.0,,,0
HCPCS,87808,TRICHOMONAS RAPID VAGINALIS,57.0,57.0,,,0
HCPCS,87808,Trichomonas assay w/optic,,,15.29,57.06,7
HCPCS,87809,Adenovirus assay w/optic,,,21.76,78.57,7
HCPCS,87810,Chylmd trach assay w/optic,,,35.29,128.55,7
HCPCS,87811,Sars-cov-2 covid19 w/optic,,,41.38,150.0,7
HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,74.48,78.2,3
HCPCS,87850,N. gonorrhoeae assay w/optic,,,24.56,89.28,7
HCPCS,87880,HC STREP A ASSAY W/OPTIC,189.0,189.0,,,0
HCPCS,87880,HC STREP SCREEN 87081,128.0,128.0,,,0
HCPCS,87880,Strep a assay w/optic,,,16.53,59.52,7
HCPCS,87899,Agent nos assay w/optic,,,16.07,58.32,7
HCPCS,87899,HC AGENT NOS ASSAY W/OPTIC,215.0,215.0,,,0
HCPCS,87899,HC COCCIDIO AGGLUT,35.0,35.0,,,0
HCPCS,87900,HC PHENOTYPE IFECT AGENT DRUG (160),762.0,762.0,,,0
HCPCS,87900,HC PHENOTYPE INFECT AGENT DR,515.0,515.0,,,0
HCPCS,87900,HC PHENOTYPE INFECT AGENT DRUG (1),429.0,429.0,,,0
HCPCS,87900,HC PHENOTYPE INFECT AGENT DRUG (80),482.0,482.0,,,0
HCPCS,87900,Phenotype infect agent drug,,,130.35,675.71,7
HCPCS,87901,Genotype dna hiv reverse t,,,257.45,1316.47,7
HCPCS,87901,HC GENOTYPE DNA HIV REVERSE T,1502.0,1502.0,,,0
HCPCS,87901,HC HIV1 GENOTYPE/VIRTUAL PHE,1016.0,1016.0,,,0
HCPCS,87902,Genotype dna/rna hep c,,,257.45,1316.47,7
HCPCS,87902,HC HCV GENOTYPE,763.0,763.0,,,0
HCPCS,87902,HC HEPATITIS C - DNA OR RNA,713.5,713.5,,,0
HCPCS,87903,HC PHENOTYPE DNA HIV W/CULTURE; 1-10 DRUGS,6354.0,6354.0,,,0
HCPCS,87903,Phenotype dna hiv w/culture,,,488.66,2498.76,7
HCPCS,87904,Phenotype dna hiv w/clt add,,,26.07,666.52,7
HCPCS,87905,Sialidase enzyme assay,,,12.22,63.35,7
HCPCS,87906,Genotype dna/rna hiv,,,128.73,667.29,7
HCPCS,87906,HC GENOTYPE DNA HIV OTHER REGION (40),402.0,402.0,,,0
HCPCS,87906,HC GENOTYPE DNA HIV OTHER REGION (75),402.0,402.0,,,0
HCPCS,87906,"HC RALTEGRAVIR RESISITANCE, HIV-1",441.0,441.0,,,0
HCPCS,87910,Genotype cytomegalovirus,,,257.45,1295.2,7
HCPCS,87910,HC CMV QUAL PCR,436.0,436.0,,,0
HCPCS,87910,HC GENOTYPE CYTOMEGALOVIRUS,645.0,645.0,,,0
HCPCS,87912,Genotype dna hepatitis b,,,257.45,1295.2,7
HCPCS,87912,HC GENOTYPE DNA HEPATITIS B,3363.0,3363.0,,,0
HCPCS,87913,Nfct agt gntyp alys sarscov2,,,257.45,942.27,7
HCPCS,87999,HC ARTHROPOD IDENT,267.0,267.0,,,0
HCPCS,87999,Microbiology procedure,,,39.22,1514.87,4
HCPCS,88000,Autopsy (necropsy) gross,,,10.82,12.36,2
HCPCS,88005,Autopsy (necropsy) gross,,,12.6,14.4,2
HCPCS,88007,Autopsy (necropsy) gross,,,13.2,15.09,2
HCPCS,88012,Autopsy (necropsy) gross,,,10.82,12.36,2
HCPCS,88014,Autopsy (necropsy) gross,,,9.92,11.34,2
HCPCS,88016,Autopsy (necropsy) gross,,,13.83,15.81,2
HCPCS,88020,Autopsy (necropsy) complete,,,18.61,21.27,2
HCPCS,88025,Autopsy (necropsy) complete,,,18.01,20.58,2
HCPCS,88027,Autopsy (necropsy) complete,,,19.22,21.96,2
HCPCS,88028,Autopsy (necropsy) complete,,,10.82,12.36,2
HCPCS,88029,Autopsy (necropsy) complete,,,10.82,12.36,2
HCPCS,88036,Limited autopsy,,,5.41,6.18,2
HCPCS,88037,Limited autopsy,,,4.8,5.49,2
HCPCS,88040,Forensic autopsy (necropsy),,,30.03,34.32,2
HCPCS,88045,Coroners autopsy (necropsy),,,2.99,3.42,2
HCPCS,88099,Necropsy (autopsy) procedure,,,39.22,44.82,2
HCPCS,88104,Cytopath fl nongyn smears,,,44.12,174.93,7
HCPCS,88104,HC CYTOLOGY CENTRI 88104,119.0,119.0,,,0
HCPCS,88104,HC CYTOPATH FL NONGYN SMEARS,333.0,333.0,,,0
HCPCS,88106,Cytopath fl nongyn filter,,,34.17,189.21,7
HCPCS,88106,HC CYTOPATH FL NONGYN FILTER,264.0,264.0,,,0
HCPCS,88108,Cytopath concentrate tech,,,44.12,167.82,7
HCPCS,88108,HC CP CONCENTR TECH SMEAR,264.0,264.0,,,0
HCPCS,88112,Cytopath cell enhance tech,,,61.56,147.57,7
HCPCS,88112,HC CYTOPATH CELL ENHANCE TECH,487.0,487.0,,,0
HCPCS,88120,Cytp urne 3-5 probes ea spec,,,201.27,2078.07,7
HCPCS,88120,DEAC 2/8/2017 HC CYTP URNE 3-5 PROBES EA SPEC,436.0,436.0,,,0
HCPCS,88120,"HC CYTOPATH, ISH, URIN C MORPHOM (140)",876.0,876.0,,,0
HCPCS,88121,Cytp urine 3-5 probes cmptr,,,201.27,1727.45,7
HCPCS,88121,HC CYTP URINE 3-5 PROBES CMPTR (122),990.0,990.0,,,0
HCPCS,88125,Forensic cytopathology,,,47.88,64.64,7
HCPCS,88130,HC BUCCAL SMEAR 88130,85.5,85.5,,,0
HCPCS,88130,HC SEX C  ID; BARR BODIES,225.0,225.0,,,0
HCPCS,88130,Sex chromatin identification,,,17.98,76.93,7
HCPCS,88140,Sex chromatin identification,,,7.99,40.88,7
HCPCS,88141,Cytopath c/v interpret,,,40.22,88.83,4
HCPCS,88141,"HC CYTOLOGY, VAGINAL 88151",132.0,132.0,,,0
HCPCS,88141,HC CYTOPATH C/V INTERPRET,344.0,344.0,,,0
HCPCS,88141,HC PAP SMEAR,15.0,15.0,,,0
HCPCS,88142,Cytopath c/v thin layer,,,20.26,103.61,7
HCPCS,88142,HC CP CERV/VAG; ATL; MANUAL SCRN,363.0,363.0,,,0
HCPCS,88143,Cytopath c/v thin layer redo,,,23.04,103.61,7
HCPCS,88147,Cytopath c/v automated,,,50.56,183.33,7
HCPCS,88148,Cytopath c/v auto rescreen,,,18.54,77.7,7
HCPCS,88150,Cytopath c/v manual,,,18.54,64.29,7
HCPCS,88150,HC DX PAP; MANUAL SCREEN,190.0,190.0,,,0
HCPCS,88152,Cytopath c/v auto redo,,,27.64,99.99,7
HCPCS,88153,Cytopath c/v redo,,,24.03,86.91,7
HCPCS,88155,Cytopath c/v index add-on,,,14.65,53.58,7
HCPCS,88155,HC CYTOPATH C/V INDEX ADD-ON,107.0,107.0,,,0
HCPCS,88160,Cytopath smear other source,,,34.17,196.35,7
HCPCS,88160,HC CP SMR OTHR; SCRN & INT,264.0,264.0,,,0
HCPCS,88161,Cytopath smear other source,,,34.17,203.49,7
HCPCS,88161,HC CP SMR OTHR; PREP SCRN INT,442.0,442.0,,,0
HCPCS,88161,"HC CYTOLOGY, OTHER 88161",146.0,146.0,,,0
HCPCS,88162,Cytopath smear other source,,,61.56,323.7,7
HCPCS,88162,HC CP SMR OTHR; > 5 SLIDES,264.0,264.0,,,0
HCPCS,88164,Cytopath tbs c/v manual,,,18.54,64.29,7
HCPCS,88164,HC BETHESDA PAP; MAN SCRN,190.0,190.0,,,0
HCPCS,88165,Cytopath tbs c/v redo,,,42.22,153.57,7
HCPCS,88166,Cytopath tbs c/v auto redo,,,18.54,64.29,7
HCPCS,88167,Cytopath tbs c/v select,,,18.54,64.29,7
HCPCS,88172,Cytp dx eval fna 1st ea site,,,67.67,211.33,7
HCPCS,88172,HC CYTP DX EVAL FNA 1ST EA SITE,314.0,314.0,,,0
HCPCS,88172,HC FNA-CYTO HIST 88172,139.0,139.0,,,0
HCPCS,88173,Cytopath eval fna report,,,61.56,357.03,7
HCPCS,88173,HC EVAL OF FNA; INT & REP,171.0,171.0,,,0
HCPCS,88173,HC FNA-INTERPRET & REPORT 88,106.5,106.5,,,0
HCPCS,88174,Cytopath c/v auto in fluid,,,25.37,109.25,7
HCPCS,88175,Cytopath c/v auto fluid redo,,,26.61,135.46,7
HCPCS,88177,Cytp fna eval ea addl,,,26.04,29.76,2
HCPCS,88182,Cell marker study,,,61.56,464.13,7
HCPCS,88182,HC CELL MARKER STUDY,839.0,839.0,,,0
HCPCS,88182,HC DNA PLOIDY SOLID-TUMOR,646.0,646.0,,,0
HCPCS,88182,HC T & B CELL LYMPHOCYTES,242.5,242.5,,,0
HCPCS,88184,Flowcytometry/ tc 1 marker,,,70.33,444.62,7
HCPCS,88184,HC FLOW CYTOMETRY,2278.0,2278.0,,,0
HCPCS,88184,HC FLOW CYTOMETRY 1ST,40.0,40.0,,,0
HCPCS,88184,HC FLOW CYTOMETRY TC 1ST MARKER,449.0,449.0,,,0
HCPCS,88184,HC FLOW CYTOMETRY*,129.0,129.0,,,0
HCPCS,88185,Flowcytometry/tc add-on,,,49.99,84.51,4
HCPCS,88185,HC FLOW CYTOMETRY 10TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 11TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 12TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 13TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 14TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 15TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 16TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 17TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 18TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 19TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 2ND,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 3RD,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 4TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 5TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 6TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 7TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 8TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY 9TH,40.0,40.0,,,0
HCPCS,88185,HC FLOW CYTOMETRY EA ADDTL MARKER,81.0,81.0,,,0
HCPCS,88187,Flowcytometry/read 2-8,,,29.64,67.05,4
HCPCS,88188,DEAC 4/1/2025 HC FLOW CYTOMETRY INTERP 9-15 MARKERS,893.0,893.0,,,0
HCPCS,88188,Flowcytometry/read 9-15,,,93.93,115.56,4
HCPCS,88188,HC PAROXYSMAL NOCTURNAL HEMO,434.0,434.0,,,0
HCPCS,88188,HC PNH WITH FLAER*,442.0,442.0,,,0
HCPCS,88189,DEAC 4/1/2025 HC FLOW CYTOMETRY INTERP 16 & > MARKERS,485.0,485.0,,,0
HCPCS,88189,Flowcytometry/read 16 & >,,,91.94,156.45,4
HCPCS,88189,HC LYMPHOMA DIAGNOSTIC PANEL,114.0,114.0,,,0
HCPCS,88199,Cytopathology procedure,,,56.28,365.71,7
HCPCS,88199,HC UNLISTED CYTOPATHOLOGY,264.0,264.0,,,0
HCPCS,88230,HC TISSUE CULTURE LYMPHOCYTE,598.0,598.0,,,0
HCPCS,88230,HC TISSUE CULTURE; LYMPHOCYTE,1007.0,1007.0,,,0
HCPCS,88230,Tissue culture lymphocyte,,,116.49,595.74,7
HCPCS,88233,HC TISSUE CULTRE SKN/SOLID B,1234.0,1234.0,,,0
HCPCS,88233,HC TISSUE CULTURE; SKIN OR SOLID BX,2077.0,2077.0,,,0
HCPCS,88233,Tissue culture skin/biopsy,,,140.73,719.67,7
HCPCS,88235,HC CHROMO AMNIO FLUID*,406.0,406.0,,,0
HCPCS,88235,HC TISSUE CULTURE; AMNIOTIC FLUID,2183.0,2183.0,,,0
HCPCS,88235,Tissue culture placenta,,,150.3,753.01,7
HCPCS,88237,"HC TISSUE CULTURE, BONE MARR",508.0,508.0,,,0
HCPCS,88237,HC TISSUE CULTURE; BM BLD CELLS,856.0,856.0,,,0
HCPCS,88237,Tissue culture bone marrow,,,143.75,645.88,7
HCPCS,88239,HC TISSUE CULTURE; OTHER TISSUE,2188.0,2188.0,,,0
HCPCS,88239,Tissue culture tumor,,,147.52,754.4,7
HCPCS,88240,Cell cryopreserve/storage,,,13.07,51.64,7
HCPCS,88240,HC CRYOPRESERVATION EA CELL LINE,150.0,150.0,,,0
HCPCS,88241,Frozen cell preparation,,,12.09,51.64,7
HCPCS,88241,HC THAW FROZEN CELLS/ALIQUOT,150.0,150.0,,,0
HCPCS,88245,Chromosome analysis 20-25,,,173.17,761.21,7
HCPCS,88248,Chromosome analysis 50-100,,,173.17,885.57,7
HCPCS,88248,HC CHROM ANALY; 50-100 CELLS,2568.0,2568.0,,,0
HCPCS,88249,Chromosome analysis 100,,,173.17,885.57,7
HCPCS,88261,Chromosome analysis 5,,,264.34,960.63,7
HCPCS,88261,HC CHROM ANALY; 5 CELLS,2621.0,2621.0,,,0
HCPCS,88262,Chromosome analysis 15-20,,,125.49,637.35,7
HCPCS,88262,HC CHROM ANALY; 15-20 CELLS,3685.0,3685.0,,,0
HCPCS,88262,HC CHROMOSOME ANAL/KAROTYPE1,1781.5,1781.5,,,0
HCPCS,88262,HC CHROMOSOME ANLYSIS 2 KARY,492.0,492.0,,,0
HCPCS,88263,Chromosome analysis 45,,,150.29,768.49,7
HCPCS,88263,HC CHROM ANALY; 45 CELLS,1774.5,1774.5,,,0
HCPCS,88264,Chromosome analysis 20-25,,,144.61,637.35,7
HCPCS,88264,HC CHROM ANALY; 20-25 CELLS,845.0,845.0,,,0
HCPCS,88264,"HC CHROMOSOME ANALYSIS, 20-2",502.0,502.0,,,0
HCPCS,88267,Chromosome analys placenta,,,188.57,919.28,7
HCPCS,88267,HC CHROM ANALY; AF/CV 15 CELLS,2667.0,2667.0,,,0
HCPCS,88269,Chromosome analys amniotic,,,173.66,850.51,7
HCPCS,88269,HC CHROM ANALY; SITU AF CELLS FROM 6-12 COL,2467.0,2467.0,,,0
HCPCS,88269,HC CHROMO AMNIO FLUID 1 KARY,657.0,657.0,,,0
HCPCS,88271,Cytogenetics dna probe,,,21.42,109.54,7
HCPCS,88271,HC CML/FISH*,344.0,344.0,,,0
HCPCS,88271,HC CYTOGENETICS DNA PROBE,86.0,86.0,,,0
HCPCS,88271,HC FISH PRENATAL SCR DNA PRO,531.0,531.0,,,0
HCPCS,88271,HC HER2 FISH CYTGEN DNA PROB,1353.0,1353.0,,,0
HCPCS,88271,HC MCG; DNA PROBE EA,147.0,147.0,,,0
HCPCS,88271,HC MULTIPLE MYELOMA FISH/REF,357.0,357.0,,,0
HCPCS,88271,HC MYELOMA  DNA PROBE(FISH)*,204.0,204.0,,,0
HCPCS,88272,Cytogenetics 3-5,,,40.7,147.6,7
HCPCS,88272,HC MCG; SITU HYBRID 3-5 CELLS,397.0,397.0,,,0
HCPCS,88273,Cytogenetics 10-30,,,34.81,164.3,7
HCPCS,88273,HC MCG; SITU HYBRID 10-30 CELLS,477.0,477.0,,,0
HCPCS,88274,Cytogenetics 25-99,,,42.38,177.99,7
HCPCS,88274,"HC CYTOGENETICS, 25-99 REF",138.0,138.0,,,0
HCPCS,88274,HC MCG; IP SITU 25-99 CELLS,517.0,517.0,,,0
HCPCS,88275,Cytogenetics 100-300,,,51.19,205.36,7
HCPCS,88275,HC ALK FISH*,390.0,390.0,,,0
HCPCS,88275,HC B-CELL LYMPHOMA FISH*,1188.0,1188.0,,,0
HCPCS,88275,HC CYTOGENETICS 100-300,160.0,160.0,,,0
HCPCS,88275,HC FISH LOCUS SPECIFIC PROBE,728.0,728.0,,,0
HCPCS,88275,HC LUNG CANCER MUTATION PANE,1059.0,1059.0,,,0
HCPCS,88275,HC MCG; IP SITU 100-300 CELLS,1714.0,1714.0,,,0
HCPCS,88280,Chromosome karyotype study,,,33.47,128.36,7
HCPCS,88280,HC CHROM ANALY; ADDTL KARYOT EA STUDY,375.0,375.0,,,0
HCPCS,88280,HC CHROMO AMNIO FLUID ADDL K,100.0,100.0,,,0
HCPCS,88280,HC CHROMOSOME ANALYSIS CLL/L,222.0,222.0,,,0
HCPCS,88280,HC CHROMOSOME KARYOTYPE STUD,102.0,102.0,,,0
HCPCS,88283,Chromosome banding study,,,68.6,350.77,7
HCPCS,88283,HC CHROM ANALY; ADDTL BANDING,1018.0,1018.0,,,0
HCPCS,88285,Chromosome count additional,,,26.91,97.62,7
HCPCS,88285,HC CHROM ANALY; ADDTL CELL COUNTS,282.0,282.0,,,0
HCPCS,88289,Chromosome study additional,,,34.43,176.08,7
HCPCS,88289,HC CHROM ANALY; ADDTL HI RESOLN,1002.0,1002.0,,,0
HCPCS,88289,HC CHROMO ANALYSIS ADD HI RE,598.0,598.0,,,0
HCPCS,88291,Cyto/molecular report,,,55.86,63.84,2
HCPCS,88299,Cytogenetic study,,,56.28,76.13,7
HCPCS,88300,"HC GROSS PATH, LEVEL I",52.0,52.0,,,0
HCPCS,88300,"HC GROSS, 2ND DISTINCT SPECI",70.0,70.0,,,0
HCPCS,88300,HC SURG PATH LEVEL-I GROSS ONLY,142.0,142.0,,,0
HCPCS,88300,Surgical path gross,,,34.17,43.59,7
HCPCS,88302,"HC G&M, LEVEL II",86.5,86.5,,,0
HCPCS,88302,HC SURG PATH LVL 2,250.0,250.0,,,0
HCPCS,88302,Tissue exam by pathologist,,,44.12,95.19,7
HCPCS,88304,"HC G& M, LEVEL III",180.0,180.0,,,0
HCPCS,88304,HC G&M LEVEL III  88304,90.0,90.0,,,0
HCPCS,88304,"HC G&M, LEVEL III",90.0,90.0,,,0
HCPCS,88304,HC TISSUE EXAM BY PATHOLOGIST LVL 3,365.0,365.0,,,0
HCPCS,88304,Tissue exam by pathologist,,,61.56,114.24,7
HCPCS,88305,HC B. MARROW 88305,159.0,159.0,,,0
HCPCS,88305,"HC G & M, LEVEL IV",260.0,260.0,,,0
HCPCS,88305,"HC G&M PROSTATE EA SPEC, 1-5",78.0,78.0,,,0
HCPCS,88305,"HC G&M PROSTATE, EA SPEC, 6",74.0,74.0,,,0
HCPCS,88305,"HC G&M, LEVEL IV",152.0,152.0,,,0
HCPCS,88305,HC TISSUE EXAM BY PATHOLOGIST LVL 4,550.0,550.0,,,0
HCPCS,88305,Tissue exam by pathologist,,,61.56,139.48,7
HCPCS,88307,"HC G & M, LEVEL V",342.0,342.0,,,0
HCPCS,88307,"HC G&M, LEVEL V",286.0,286.0,,,0
HCPCS,88307,HC TISSUE EXAM BY PATHOLOGIST LVL 5,692.0,692.0,,,0
HCPCS,88307,Tissue exam by pathologist,,,186.62,746.25,7
HCPCS,88309,HC G & M LEVEL VI,474.0,474.0,,,0
HCPCS,88309,"HC G&M, LEVEL VI",400.0,400.0,,,0
HCPCS,88309,HC TISSUE EXAM BY PATHOLOGIST LVL 6,1032.0,1032.0,,,0
HCPCS,88309,Tissue exam by pathologist,,,244.6,1047.42,7
HCPCS,88311,Decalcify tissue,,,27.06,39.6,4
HCPCS,88311,HC DECALCIFICATION,208.0,208.0,,,0
HCPCS,88311,HC TISSUE DECACIF 88311,94.5,94.5,,,0
HCPCS,88312,HC BROWN & BRENN STAIN 88312,168.0,168.0,,,0
HCPCS,88312,HC GIEMSA STAIN  88312,168.0,168.0,,,0
HCPCS,88312,HC PARASITE STAIN 88312,120.0,120.0,,,0
HCPCS,88312,HC PHOSPHOTUNGSTIC ACID STAI,168.0,168.0,,,0
HCPCS,88312,HC SPEC STAIN GROUP 1,168.0,168.0,,,0
HCPCS,88312,HC SPEC STAIN MICR GRP 1,78.0,78.0,,,0
HCPCS,88312,HC SPECIAL STAIN GROUP1    8,144.0,144.0,,,0
HCPCS,88312,HC SPECIAL STAIN SO,360.0,360.0,,,0
HCPCS,88312,HC SPECIAL STAINS GROUP 1,343.0,343.0,,,0
HCPCS,88312,HC TYSON'S ELASTIC 88312,168.0,168.0,,,0
HCPCS,88312,HC WARTHIN STARRY STAIN 8831,168.0,168.0,,,0
HCPCS,88312,Special stains group 1,,,59.57,310.65,7
HCPCS,88313,HC ACID FAST BACILLI STAIN,168.0,168.0,,,0
HCPCS,88313,HC ALCIAN BLUE STAIN,168.0,168.0,,,0
HCPCS,88313,HC AMYLOID,168.0,168.0,,,0
HCPCS,88313,HC HISTOCHEM - CHEM COMP GRP,127.5,127.5,,,0
HCPCS,88313,HC HISTOCHEM-CHEM COMP GRP 2,273.0,273.0,,,0
HCPCS,88313,HC IRON STAIN  88313,168.0,168.0,,,0
HCPCS,88313,HC MUCICARMINE,168.0,168.0,,,0
HCPCS,88313,HC PERIODIC ACID SCHIFF STAI,168.0,168.0,,,0
HCPCS,88313,HC RETICULUM STAIN,168.0,168.0,,,0
HCPCS,88313,HC SPECIAL STAIN GROUP 2,50.0,50.0,,,0
HCPCS,88313,HC SPECIAL STAIN GROUP 2  88,144.0,144.0,,,0
HCPCS,88313,HC SPECIAL STAINS GROUP 2,343.0,343.0,,,0
HCPCS,88313,HC TRICHROME STAIN 88312,168.0,168.0,,,0
HCPCS,88313,Special stains group 2,,,59.57,254.7,7
HCPCS,88314,Histochemical stains add-on,,,72.15,246.36,4
HCPCS,88319,Enzyme histochemistry,,,163.61,999.37,7
HCPCS,88319,HC ENZYME HISTOCHEMISTRY,2386.0,2386.0,,,0
HCPCS,88321,HC CONSULT REF SLI 88321,117.0,117.0,,,0
HCPCS,88321,HC CONSULT REF SLI88321,50.0,50.0,,,0
HCPCS,88321,HC CONSULT SO REF SLIDE 8832,553.0,553.0,,,0
HCPCS,88321,HC PATH CONSULT SLIDES 88321,75.0,75.0,,,0
HCPCS,88321,HC PATHCONSULT OUTSIDE SLIDE,281.0,281.0,,,0
HCPCS,88321,HC REF CONSULT PREP ELSEWHERE,820.0,820.0,,,0
HCPCS,88321,Microslide consultation,,,44.12,155.79,7
HCPCS,88323,HC CONSULT REF SLIDE PREP 88,604.0,604.0,,,0
HCPCS,88323,HC PATH CONSULT W PREP 88323,312.0,312.0,,,0
HCPCS,88323,HC REF CONSULT W SLIDE PREP,631.0,631.0,,,0
HCPCS,88323,Microslide consultation,,,61.56,114.19,7
HCPCS,88325,Comprehensive review of data,,,183.46,250.29,7
HCPCS,88325,"HC COMP CONSULT, SO REF-88",668.0,668.0,,,0
HCPCS,88325,HC COMPREHENSIVE CONSULT,1098.0,1098.0,,,0
HCPCS,88325,HC COMPRHNSV CONSULT SO REF-,756.0,756.0,,,0
HCPCS,88325,HC COMPRHNSVE PATH CONSULT 8,436.0,436.0,,,0
HCPCS,88325,HC CYTOLOGY CONSULT MISC SO,825.0,825.0,,,0
HCPCS,88325,"HC MUSCLE BX, CONSULTATION A",1166.0,1166.0,,,0
HCPCS,88325,"HC NERVE BX, CONSULTATION AF",856.0,856.0,,,0
HCPCS,88325,"HC RENAL BX,COMPLETE CONSULT",1940.0,1940.0,,,0
HCPCS,88329,HC CONSULT NO FROZ 88329,90.0,90.0,,,0
HCPCS,88329,HC CONSULT NO FROZ88329,106.0,106.0,,,0
HCPCS,88329,"HC GROSS INTRAOP, 2ND SPECIM",106.0,106.0,,,0
HCPCS,88329,HC PATH CONSULT DURING SURGERY,214.0,214.0,,,0
HCPCS,88329,Path consult introp,,,49.24,73.17,7
HCPCS,88331,HC CONSULT W/FROZE 88331,150.0,150.0,,,0
HCPCS,88331,HC SP CONSULT; 1ST TB W FS SGL SP,300.0,300.0,,,0
HCPCS,88331,Path consult intraop 1 bloc,,,96.53,211.33,7
HCPCS,88332,HC ADDITIONAL CONSULT-FROZEN,80.5,80.5,,,0
HCPCS,88332,HC PATH CONSULT INTRAOP ADDL,233.0,233.0,,,0
HCPCS,88332,Path consult intraop addl,,,41.96,89.25,4
HCPCS,88333,HC INTRAOP CYTO PATH CONSULT 1,1057.0,1057.0,,,0
HCPCS,88333,Intraop cyto path consult 1,,,63.12,999.37,7
HCPCS,88334,HC INTRAOP CYTO PATH CONSULT 2,173.5,173.5,,,0
HCPCS,88334,Intraop cyto path consult 2,,,58.53,69.03,4
HCPCS,88341,"HC  IHC ADD SINGLE AB STN,EACH",643.0,643.0,,,0
HCPCS,88341,Immunohisto antb addl slide,,,198.95,227.37,2
HCPCS,88342,HC EGFR IMMUNO 88342,1460.5,1460.5,,,0
HCPCS,88342,HC ERA (PRA BILLED SEPARATE),546.0,546.0,,,0
HCPCS,88342,HC IHC EACH ANTIBODY,648.5,648.5,,,0
HCPCS,88342,HC IMMUNOHISTOCHEMISTRY,108.0,108.0,,,0
HCPCS,88342,HC IMMUNOPEROXIDASE IHC  883,169.0,169.0,,,0
HCPCS,88342,HC IMMUNOPEROXIDASE REFERRED,306.0,306.0,,,0
HCPCS,88342,HC IMMUNOPEROXIDASE SIBLEY 8,306.0,306.0,,,0
HCPCS,88342,HC IMMUNOPEROXIDASE SIBLEY P,262.0,262.0,,,0
HCPCS,88342,"HC IMMUNOPEROXIDASE, ADD'L",238.0,238.0,,,0
HCPCS,88342,"HC IMMUNOPEROXIDASE,REFERRED",262.0,262.0,,,0
HCPCS,88342,HC LEMS AUTOANTIBODY,858.0,858.0,,,0
HCPCS,88342,HC MSI BY IHC ONLY FOR MMR*,1030.0,1030.0,,,0
HCPCS,88342,HC PRA,622.0,622.0,,,0
HCPCS,88342,HC PRA (ERA BILLED SEPARATE),524.0,524.0,,,0
HCPCS,88342,Immunohisto antb 1st stain,,,109.62,258.27,7
HCPCS,88344,HC MULTIPLEX AB STN EACH,643.0,643.0,,,0
HCPCS,88344,Immunohisto antibody slide,,,403.98,485.64,7
HCPCS,88346,HC CELLSEARCH/BREASTCENTER*,2790.0,2790.0,,,0
HCPCS,88346,"HC IF STAIN , INITIAL",1312.0,1312.0,,,0
HCPCS,88346,HC IMMUNOFLOURESCENCE DIRECT,654.0,654.0,,,0
HCPCS,88346,HC IMMUNOFLOURESCENT STUDY E,108.0,108.0,,,0
HCPCS,88346,Immunofluor antb 1st stain,,,96.43,411.81,7
HCPCS,88347,HC IF EA AB; INDIRECT,101.0,101.0,,,0
HCPCS,88347,HC IMMUNOFLOURESCENT STUDY,101.0,101.0,,,0
HCPCS,88348,Electron microscopy,,,547.4,1463.94,7
HCPCS,88348,HC ELECTRN MCRSCPY 88348,1881.0,1881.0,,,0
HCPCS,88348,HC ELECTRON MICRO; DX,3799.0,3799.0,,,0
HCPCS,88350,"HC IMMUNOFLUOR STN, ADD",1375.0,1375.0,,,0
HCPCS,88350,Immunofluor antb addl stain,,,96.85,307.08,4
HCPCS,88355,Analysis skeletal muscle,,,164.54,233.03,7
HCPCS,88356,Analysis nerve,,,61.56,417.66,7
HCPCS,88356,HC MORPHOMETRICS; NERVE,819.0,819.0,,,0
HCPCS,88358,Analysis tumor,,,133.15,317.79,7
HCPCS,88358,HC DNA FLOW CYTOMETRY 88358,924.0,924.0,,,0
HCPCS,88358,HC MORPHOMETRICS; TUMOR,1866.0,1866.0,,,0
HCPCS,88360,HC MANUAL TUMOR IM HISTOCHEM EA AB,487.0,487.0,,,0
HCPCS,88360,Tumor immunohistochem/manual,,,128.9,286.86,7
HCPCS,88361,HC COMPUTER MORPHOMETRIC ANALYSIS EA AB,444.0,444.0,,,0
HCPCS,88361,HC TUMOR IMMUNOHISTOCHEMISTR,164.0,164.0,,,0
HCPCS,88361,Tumor immunohistochem/comput,,,138.91,444.62,7
HCPCS,88362,HC NERVE TEASING PREP,1900.5,1900.5,,,0
HCPCS,88362,Nerve teasing preparations,,,261.85,999.37,7
HCPCS,88363,HC EXM/SLCT RETRIEVED ARCHIV,50.0,50.0,,,0
HCPCS,88363,HC XM ARCHIVE TISSUE MOLEC ANAL,264.0,264.0,,,0
HCPCS,88363,Xm archive tissue molec anal,,,31.29,71.77,7
HCPCS,88364,HC ISH PROBE ADDITIONAL,488.0,488.0,,,0
HCPCS,88364,Insitu hybridization (fish),,,314.53,359.46,2
HCPCS,88365,HC INSITU HYBRIDIZATION FISH,164.0,164.0,,,0
HCPCS,88365,HC ISH FOR EBV VIRUS SO,606.0,606.0,,,0
HCPCS,88365,HC ISH SINGLE PROBE 1ST,488.0,488.0,,,0
HCPCS,88365,Insitu hybridization (fish),,,156.88,485.61,7
HCPCS,88366,HC ISH MULTIPLEX PROBE,448.0,448.0,,,0
HCPCS,88366,Insitu hybridization (fish),,,201.27,758.22,7
HCPCS,88367,HC INSITU HYBRIDIZATION AUTO,449.0,449.0,,,0
HCPCS,88367,Insitu hybridization auto,,,188.79,444.62,7
HCPCS,88368,HC HER2(FISH) REFERRED,1714.0,1714.0,,,0
HCPCS,88368,HC INSITU HYBRIBIZATION MANU,164.0,164.0,,,0
HCPCS,88368,HC INSITU HYBRIDIZATION MANUAL,1898.0,1898.0,,,0
HCPCS,88368,Insitu hybridization manual,,,161.69,444.62,7
HCPCS,88369,M/phmtrc alysishquant/semiq,,,299.96,342.81,2
HCPCS,88371,Protein western blot tissue,,,70.82,113.64,4
HCPCS,88372,Protein analysis w/probe,,,83.32,116.35,4
HCPCS,88373,M/phmtrc alys ishquant/semiq,,,135.37,154.71,2
HCPCS,88374,M/phmtrc alys ishquant/semiq,,,201.27,1009.83,7
HCPCS,88375,Optical endomicroscpy interp,,,78.23,89.4,2
HCPCS,88377,HC M/PHMTRC ALYS ISH QUANT/SEMIQ (50),523.0,523.0,,,0
HCPCS,88377,M/phmtrc alys ishquant/semiq,,,201.27,1191.48,7
HCPCS,88380,Microdissection laser,,,230.13,263.01,2
HCPCS,88381,HC MICRODISSECTION MANUAL,711.0,711.0,,,0
HCPCS,88381,Microdissection manual,,,558.21,637.95,2
HCPCS,88387,HC TISS EXAM MOLECULAR STUDY,1222.0,1222.0,,,0
HCPCS,88387,Tiss exam molecular study,,,22.89,26.16,2
HCPCS,88388,DEAC 01/01/2025 HC TISS EX MOLECUL STUDY ADD-ON,1222.0,1222.0,,,0
HCPCS,88388,Tiss ex molecul study add-on,,,41.63,47.58,2
HCPCS,88399,"HC MORPHOMETRIC ANAL,BONE",264.0,264.0,,,0
HCPCS,88399,HC UNLISTED SURG PATH,264.0,264.0,,,0
HCPCS,88399,Surgical pathology procedure,,,45.37,100.68,7
HCPCS,88720,Bilirubin total transcut,,,5.02,25.69,7
HCPCS,88720,HC BILIRUBIN TOTAL TRANSCUT,60.0,60.0,,,0
HCPCS,88720,HC TRANSCUTANEOUS BILIRUBIN,93.5,93.5,,,0
HCPCS,88738,Hgb quant transcutaneous,,,5.02,25.99,7
HCPCS,88740,HC TRANCSCUTANEOUS CARBOXYHB,45.0,45.0,,,0
HCPCS,88740,Transcutaneous carboxyhb,,,9.37,34.53,7
HCPCS,88741,Transcutaneous methb,,,9.37,34.53,7
HCPCS,88749,In vivo lab service,,,39.22,44.82,2
HCPCS,89049,Chct for mal hyperthermia,,,101.69,211.33,5
HCPCS,89050,Body fluid cell count,,,4.72,24.19,7
HCPCS,89050,HC CELL COUNT NOT BLOOD,41.5,41.5,,,0
HCPCS,89051,Body fluid cell count,,,5.6,28.18,7
HCPCS,89051,HC DIFF CELL COUNT NOT BLOOD,145.0,145.0,,,0
HCPCS,89051,HC FLUID CELL COUNT 89051,59.0,59.0,,,0
HCPCS,89055,HC FECAL LEUKO CNT QUAL/SEMIQUAN,90.0,90.0,,,0
HCPCS,89055,HC WBC STOOL  89055,66.0,66.0,,,0
HCPCS,89055,Leukocyte assessment fecal,,,4.27,21.81,7
HCPCS,89060,Exam synovial fluid crystals,,,7.33,36.56,7
HCPCS,89060,HC EXAM SYNOVIAL FLUID CRYSTALS,159.0,159.0,,,0
HCPCS,89060,HC JOINT FLUID CRY 89060,94.0,94.0,,,0
HCPCS,89125,HC SECRETIONS FAT STAIN,64.0,64.0,,,0
HCPCS,89125,Specimen fat stain,,,5.88,22.07,7
HCPCS,89160,Exam feces for meat fibers,,,4.85,18.85,7
HCPCS,89160,HC MEAT FIBERS FECES,56.0,56.0,,,0
HCPCS,89190,"HC ANTHRAX,NASAL EOSINOPHIL",36.0,36.0,,,0
HCPCS,89190,HC N EOSINOPHIL SMEAR,111.0,111.0,,,0
HCPCS,89190,"HC NASAL SMEAR, EOS89190",66.0,66.0,,,0
HCPCS,89190,Nasal smear for eosinophils,,,5.79,24.3,7
HCPCS,89220,Sputum specimen collection,,,60.4,211.33,7
HCPCS,89230,Collect sweat for test,,,9.35,130.77,7
HCPCS,89230,HC COLLECT SWEAT FOR TEST,304.0,304.0,,,0
HCPCS,89240,HC PATHOLOGY LAB PROCEDURE,221.0,221.0,,,0
HCPCS,89240,Pathology lab procedure,,,24.99,100.68,7
HCPCS,89250,Cultr oocyte/embryo <4 days,,,201.27,3932.94,5
HCPCS,89250,HC CULTURE OOCYTE(S)/EMBRYO(S) < 4 DAYS,1989.0,1989.0,,,0
HCPCS,89251,Cultr oocyte/embryo <4 days,,,201.27,4091.28,5
HCPCS,89253,Embryo hatching,,,201.27,317.34,5
HCPCS,89253,HC ASSIST EMBRYO HATCH MICROTECH,404.0,404.0,,,0
HCPCS,89254,HC OOCYTE ID FOLLICULAR FLUID,1989.0,1989.0,,,0
HCPCS,89254,Oocyte identification,,,201.27,317.34,5
HCPCS,89255,HC EMBRYO TRANSFER PREP,404.0,404.0,,,0
HCPCS,89255,Prepare embryo for transfer,,,61.56,100.68,5
HCPCS,89257,HC SPERM ID FROM ASP,404.0,404.0,,,0
HCPCS,89257,Sperm identification,,,61.56,100.68,5
HCPCS,89258,Cryopreservation embryo(s),,,951.79,1597.62,5
HCPCS,89258,HC CRYOPRESERVATION EMBRYO(S),3081.0,3081.0,,,0
HCPCS,89259,Cryopreservation sperm,,,106.31,317.34,7
HCPCS,89259,HC CRYOPRESERVATION; SPERM,683.0,683.0,,,0
HCPCS,89260,HC SPERM ISOLATION; SIMPLE PREP,404.0,404.0,,,0
HCPCS,89260,Sperm isolation simple,,,48.72,100.68,7
HCPCS,89261,HC SPERM ISOLATION; CMPLX PREP,683.0,683.0,,,0
HCPCS,89261,Sperm isolation complex,,,61.56,224.18,7
HCPCS,89264,HC SPERM ID FROM TESTIS FRESH/CRYOPRESERVE,1989.0,1989.0,,,0
HCPCS,89264,Identify sperm tissue,,,61.56,348.4,7
HCPCS,89268,Insemination of oocytes,,,201.27,317.34,5
HCPCS,89272,Extended culture of oocytes,,,951.79,1597.62,5
HCPCS,89272,HC EXT OOCYTE(S)/EMBRYO(S) CULTURE 4-7 DAYS,1989.0,1989.0,,,0
HCPCS,89280,Assist oocyte fertilization,,,951.79,1597.62,5
HCPCS,89280,HC ASSIST OOCYTE FERTILIZ <= 10 OO,3081.0,3081.0,,,0
HCPCS,89281,Assist oocyte fertilization,,,201.27,317.34,5
HCPCS,89281,HC ASSIST OOCYTE FERTILIZ >10 OO,1989.0,1989.0,,,0
HCPCS,89290,Biopsy oocyte polar body,,,201.27,317.34,5
HCPCS,89290,HC BX OOCYTE POLAR BODY <= 5 EMBRY,1989.0,1989.0,,,0
HCPCS,89291,Biopsy oocyte polar body,,,201.27,317.34,5
HCPCS,89291,HC BX OOCYTE POLAR BODY > 5 EMBRY,1989.0,1989.0,,,0
HCPCS,89300,HC SEMEN; PRESENCE & MOTILITY,134.0,134.0,,,0
HCPCS,89300,Semen analysis w/huhner,,,9.84,45.57,7
HCPCS,89310,HC SEMEN; MOTILITY & COUNT,128.0,128.0,,,0
HCPCS,89310,Semen analysis w/count,,,8.61,44.03,7
HCPCS,89320,HC SEMEN ANAL VOL/COUNT/MOT,107.5,107.5,,,0
HCPCS,89320,Semen anal vol/count/mot,,,12.31,61.63,7
HCPCS,89321,HC SEMEN ANAL SPERM DETECTION,232.0,232.0,,,0
HCPCS,89321,HC SEMEN ANALYSIS POST VAS 8,93.5,93.5,,,0
HCPCS,89321,Semen anal sperm detection,,,12.05,61.63,7
HCPCS,89322,HC SEMEN ANAL STRICT CRITERIA,229.0,229.0,,,0
HCPCS,89322,Semen anal strict criteria,,,15.5,80.37,7
HCPCS,89325,HC ANTISPERMAT ANT 89325,147.0,147.0,,,0
HCPCS,89325,HC SPERM ANTIBODIES,396.0,396.0,,,0
HCPCS,89325,Sperm antibody test,,,10.67,54.57,7
HCPCS,89329,Sperm evaluation test,,,19.59,107.24,7
HCPCS,89330,Evaluation cervical mucus,,,10.38,50.62,7
HCPCS,89331,Retrograde ejaculation anal,,,19.59,101.53,7
HCPCS,89335,Cryopreserve testicular tiss,,,61.56,201.3,7
HCPCS,89337,Cryopreservation oocyte(s),,,201.27,317.34,5
HCPCS,89342,HC STORAGE/YEAR; EMBRYO(S),683.0,683.0,,,0
HCPCS,89342,Storage/year embryo(s),,,201.27,317.34,5
HCPCS,89343,HC STORAGE/YEAR; SPERM/SEMEN,404.0,404.0,,,0
HCPCS,89343,Storage/year sperm/semen,,,201.27,317.34,7
HCPCS,89344,Storage/year reprod tissue,,,201.27,317.34,5
HCPCS,89346,Storage/year oocyte(s),,,201.27,317.34,5
HCPCS,89352,HC THAW CRYOPRESERVED; EMBRYO(S),1989.0,1989.0,,,0
HCPCS,89352,Thawing cryopresrved embryo,,,119.57,317.34,7
HCPCS,89353,HC THAW CRYOPRESERVED; SPERM/ALIQUOT,404.0,404.0,,,0
HCPCS,89353,Thawing cryopresrved sperm,,,61.56,100.68,5
HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,201.27,317.34,5
HCPCS,89356,Thawing cryopresrved oocyte,,,201.27,317.34,5
HCPCS,89398,Unlisted reprod med lab proc,,,61.56,100.68,5
HCPCS,90281,Human ig im,,,199.03,238.86,2
HCPCS,90283,Human ig iv,,,155.67,186.82,2
HCPCS,90284,Human ig sc,,,31.12,37.35,2
HCPCS,90288,Botulism ig iv,,,91029.65,109245.32,2
HCPCS,90291,Cmv ig iv,,,3677.58,4413.48,2
HCPCS,90371,Hep b ig im,,,140.21,397.1,7
HCPCS,90375,Rabies ig im/sc,,,275.18,842.13,7
HCPCS,90376,Rabies ig heat treated,,,352.44,1136.93,5
HCPCS,90377,Rabies ig ht&sol human im/sc,,,242.18,895.76,7
HCPCS,90378,Rsv mab im 50mg,,,436.75,4573.79,5
HCPCS,90380,Rsv monoc antb seasn .5ml im,,,1164.14,1397.1,2
HCPCS,90381,Rsv monoc antb seasnl 1ml im,,,1164.14,1397.1,2
HCPCS,90382,Rsv monoc antb seasn .7ml im,,,1163.86,1396.76,2
HCPCS,90384,Rh ig full-dose im,,,173.39,208.08,2
HCPCS,90385,Rh ig minidose im,,,62.46,84.0,5
HCPCS,90386,Rh ig iv,,,21.59,25.91,2
HCPCS,90389,Tetanus ig im,,,1358.89,1630.82,2
HCPCS,90396,Varicella-zoster ig im,,,2363.25,5729.63,5
HCPCS,90471,"HC IMMUNIZATION ADMIN SQ/IM, SINGLE",124.5,124.5,,,0
HCPCS,90471,Immunization admin,,,83.03,95.08,5
HCPCS,90471,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10)  / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",157.71,157.71,,,0
HCPCS,90471,NDC Description Not Available,161.0,161.0,,,0
HCPCS,90471,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",76.71,76.71,,,0
HCPCS,90472,"HC IMMUNIZATION ADMIN SQ/IM, EA ADDL",77.5,77.5,,,0
HCPCS,90472,Immunization admin each add,,,54.78,62.74,2
HCPCS,90472,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10)  / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",80.0,80.0,,,0
HCPCS,90472,NDC Description Not Available,84.0,84.0,,,0
HCPCS,90473,"HC IMMUNIZATION ADMIN, NASAL/ORAL SINGLE",94.0,94.0,,,0
HCPCS,90473,Immune admin oral/nasal,,,85.06,89.31,3
HCPCS,90474,"HC IMMUNIZATION ADMIN, NASAL/ORAL, EA ADDL",13.0,13.0,,,0
HCPCS,90474,Immune admin oral/nasal addl,,,42.36,48.51,2
HCPCS,90480,Admn sarscov2 vacc 1 dose,,,48.01,71.0,5
HCPCS,90480,"HC IMM ADMN SARSCOV2 VACCINE, SINGLE DOSE",270.0,270.0,,,0
HCPCS,90581,Anthrax vaccine sc or im,,,207.23,248.7,2
HCPCS,90585,Bcg vaccine percut,,,380.92,457.15,2
HCPCS,90586,Bcg vaccine intravesical,,,243.08,457.15,4
HCPCS,90587,Dengue vacc quad 3 dose subq,,,138.16,165.8,2
HCPCS,90589,Chikungunya vaccine live im,,,575.65,690.84,2
HCPCS,90593,Chikungunya vacc recomb im,,,575.65,690.84,2
HCPCS,90611,Smallpox&monkeypox vac 0.5ml,,,0.01,678.28,5
HCPCS,90619,Menacwy-tt vaccine im,,,359.99,432.02,2
HCPCS,90620,Menb rp w/omv vaccine im,,,496.39,595.72,2
HCPCS,90621,Menb rlp vaccine im,,,433.98,520.82,2
HCPCS,90622,Vaccinia vrs vac 0.3 ml perq,,,0.01,0.02,5
HCPCS,90623,Menacwy-tt menb-fhbp vacc im,,,495.9,595.14,2
HCPCS,90624,Menb-4c&menacwy vacc im,,,524.89,629.92,2
HCPCS,90625,Cholera vaccine live oral,,,610.19,732.29,2
HCPCS,90626,Tic-brn enceph vac 0.25ml im,,,636.15,763.45,2
HCPCS,90627,Tic-brn enceph vac 0.5ml im,,,636.15,763.45,2
HCPCS,90632,Hepa vaccine adult im,,,113.14,210.35,4
HCPCS,90633,Hepa vacc ped/adol 2 dose im,,,81.92,98.31,2
HCPCS,90636,Hep a/hep b vacc adult im,,,277.21,332.68,2
HCPCS,90644,Hib-mency vacc 6wk-18m0 im,,,51.73,62.09,2
HCPCS,90647,Hib prp-omp vacc 3 dose im,,,65.88,79.07,2
HCPCS,90648,Hib prp-t vaccine 4 dose im,,,27.57,33.08,2
HCPCS,90649,4vhpv vaccine 3 dose im,,,335.28,402.37,2
HCPCS,90650,2vhpv vaccine 3 dose im,,,277.55,333.09,2
HCPCS,90651,9vhpv vaccine 3 dose im,,,688.88,826.72,2
HCPCS,90653,Iiv adjuvant vaccine im,,,129.95,216.63,4
HCPCS,90655,Iiv3 vacc no prsv 0.25 ml im,,,26.15,31.38,2
HCPCS,90656,Iiv3 vacc no prsv 0.5 ml im,,,34.78,51.48,4
HCPCS,90657,Iiv3 vaccine splt 0.25 ml im,,,17.01,24.47,4
HCPCS,90658,Iiv3 vaccine splt 0.5 ml im,,,34.02,48.94,4
HCPCS,90660,Laiv3 vaccine intranasal,,,44.95,65.79,4
HCPCS,90661,Cciiv3 vac no prsv 0.5 ml im,,,57.35,109.37,4
HCPCS,90662,Iiv no prsv increased ag im,,,129.97,216.63,4
HCPCS,90670,Pcv13 vaccine im,,,401.59,568.82,4
HCPCS,90671,Pcv15 vaccine im,,,406.49,604.47,4
HCPCS,90672,Laiv4 vaccine intranasal,,,51.29,61.55,2
HCPCS,90673,Riv3 vaccine no preserv im,,,129.97,216.63,4
HCPCS,90674,Cciiv4 vac no prsv 0.5 ml im,,,63.0,75.61,2
HCPCS,90675,Rabies vaccine im,,,315.22,1091.8,7
HCPCS,90677,Pcv20 vaccine im,,,487.06,689.83,4
HCPCS,90678,Rsv vacc pref bivalent im,,,642.23,770.74,2
HCPCS,90679,Rsv vacc pref recomb adjt im,,,641.27,769.6,2
HCPCS,90680,Rv5 vacc 3 dose live oral,,,215.07,258.1,2
HCPCS,90681,Rv1 vacc 2 dose live oral,,,307.75,369.33,2
HCPCS,90682,Riv4 vacc recombinant dna im,,,135.04,162.06,2
HCPCS,90683,Rsv vacc mrna lipid nano im,,,607.05,728.53,2
HCPCS,90684,Pcv21 vaccine im,,,510.39,758.92,4
HCPCS,90685,Iiv4 vacc no prsv 0.25 ml im,,,40.0,48.0,2
HCPCS,90686,Iiv4 vacc no prsv 0.5 ml im,,,41.3,49.57,2
HCPCS,90687,Iiv4 vaccine splt 0.25 ml im,,,19.31,23.17,2
HCPCS,90688,Iiv4 vaccine splt 0.5 ml im,,,38.59,46.32,2
HCPCS,90690,Typhoid vaccine oral,,,245.49,294.62,2
HCPCS,90691,Typhoid vaccine im,,,322.16,386.63,2
HCPCS,90694,Vacc aiiv4 no prsrv 0.5ml im,,,142.31,170.78,2
HCPCS,90696,Dtap-ipv vaccine 4-6 yrs im,,,131.5,157.82,2
HCPCS,90697,Dtap-ipv-hib-hepb vaccine im,,,327.84,393.44,2
HCPCS,90698,Dtap-ipv/hib vaccine im,,,251.32,301.62,2
HCPCS,90700,Dtap vaccine < 7 yrs im,,,61.94,74.33,2
HCPCS,90702,Dt vaccine under 7 yrs im,,,138.34,166.03,2
HCPCS,90707,Mmr vaccine sc,,,199.27,239.15,2
HCPCS,90710,Mmrv vaccine sc,,,605.31,726.44,2
HCPCS,90713,Poliovirus ipv sc/im,,,93.64,112.37,2
HCPCS,90714,Td vacc no presv 7 yrs+ im,,,56.61,106.14,4
HCPCS,90715,Tdap vaccine 7 yrs/> im,,,61.81,122.47,4
HCPCS,90716,Var vaccine live subq,,,402.15,482.63,2
HCPCS,90717,Yellow fever vaccine subq,,,492.26,590.76,2
HCPCS,90723,Dtap-hep b-ipv vaccine im,,,216.9,260.3,2
HCPCS,90732,Ppsv23 vacc 2 yrs+ subq/im,,,207.77,294.12,4
HCPCS,90733,Mpsv4 vaccine subq,,,257.83,309.42,2
HCPCS,90734,Mcv4 menacwy vaccine im,,,349.05,418.9,2
HCPCS,90736,Hzv vaccine live subq,,,445.18,534.26,2
HCPCS,90738,Inactivated je vacc im,,,617.69,741.29,2
HCPCS,90739,Hepb vacc 2 dose adult im,,,276.38,391.27,4
HCPCS,90740,Hepb vacc 3 dose immunsup im,,,255.95,492.61,4
HCPCS,90743,Hepb vacc 2 dose adolesc im,,,116.97,181.41,4
HCPCS,90744,Hepb vacc 3 dose ped/adol im,,,49.3,73.48,4
HCPCS,90746,Hepb vaccine 3 dose adult im,,,109.54,181.41,4
HCPCS,90747,Hepb vacc 4 dose immunsup im,,,219.09,362.96,4
HCPCS,90748,Hib-hepb vaccine im,,,88.05,105.67,2
HCPCS,90750,Hzv vacc recombinant im njx,,,451.12,541.39,2
HCPCS,90756,Cciiv4 vacc abx free im,,,59.7,71.64,2
HCPCS,90759,Hep b vac 3ag 10mcg 3 dos im,,,114.91,162.66,4
HCPCS,90785,Psytx complex interactive,,,415.65,475.98,2
HCPCS,90832,Psytx w pt 30 minutes,,,209.68,475.98,5
HCPCS,90833,Psytx w pt w e/m 30 min,,,415.65,475.98,2
HCPCS,90834,Psytx w pt 45 minutes,,,209.68,475.98,5
HCPCS,90836,Psytx w pt w e/m 45 min,,,415.65,475.98,2
HCPCS,90837,Psytx w pt 60 minutes,,,209.68,475.98,5
HCPCS,90838,Psytx w pt w e/m 60 min,,,415.65,475.98,2
HCPCS,90867,HC TCRANIAL MAGN STIM TX PLAN,341.0,341.0,,,0
HCPCS,90867,Tcranial magn stim tx plan,,,255.08,267.83,3
HCPCS,90868,HC TCRANIAL MAGN STIM TX DELI,894.0,894.0,,,0
HCPCS,90868,Tcranial magn stim tx deli,,,255.08,267.83,3
HCPCS,90869,Tcran magn stim redetemine,,,255.08,267.83,3
HCPCS,90870,Electroconvulsive therapy,,,1014.47,1245.77,5
HCPCS,90870,HC ECT TREATMENT PRICE PER MIN,1009.0,1009.0,,,0
HCPCS,90899,Psychiatric service/therapy,,,44.26,189.14,5
HCPCS,90901,HC BIOFEEDBACK TRAINING BY ANY MODALITY,184.0,184.0,,,0
HCPCS,90911,HC BIOFEEDBACK TRAINING W/EMG,461.0,461.0,,,0
HCPCS,90912,Bfb training 1st 15 min,,,40.23,42.24,3
HCPCS,90912,HC BFB TRAING W/EMG &/MANOMETRY; 1ST 15 MIN W/PT CONTACT,131.0,131.0,,,0
HCPCS,90913,Bfb training ea addl 15 min,,,22.65,23.78,3
HCPCS,90913,HC BFB TRAING W/EMG&/MANOMETRY; EA ADDL 15 MIN W/PT CONTACT,54.0,54.0,,,0
HCPCS,90935,HC HEMODIALYSIS ONE EVALUATION,2550.0,2550.0,,,0
HCPCS,90935,Hemodialysis one evaluation,,,181.14,851.31,5
HCPCS,90945,Dialysis one evaluation,,,187.84,517.58,5
HCPCS,91010,Esophagus motility study,,,440.83,1866.0,7
HCPCS,91013,Esophgl motil w/stim/perfus,,,808.95,926.38,2
HCPCS,91020,Gastric motility studies,,,440.83,1866.0,7
HCPCS,91022,Duodenal motility study,,,440.83,1866.0,7
HCPCS,91030,Acid perfusion of esophagus,,,370.83,462.87,5
HCPCS,91034,Gastroesophageal reflux test,,,440.83,802.75,5
HCPCS,91035,G-esoph reflx tst w/electrod,,,1014.47,1595.65,5
HCPCS,91037,Esoph imped function test,,,255.08,502.42,5
HCPCS,91038,Esoph imped funct test > 1hr,,,370.93,462.87,5
HCPCS,91040,Esoph balloon distension tst,,,440.83,1568.56,5
HCPCS,91065,Breath hydrogen/methane test,,,188.08,267.83,5
HCPCS,91110,Gi tract capsule endoscopy,,,1071.46,3310.67,5
HCPCS,91110,HC GI TRACT CAPSULE ENDOSCOPY,5601.0,5601.0,,,0
HCPCS,91111,Esophageal Capsule Endoscopy,,,1071.46,2348.2,5
HCPCS,91112,Gi wireless capsule measure,,,750.45,1125.04,5
HCPCS,91113,Gi trc img intral colon i&r,,,1098.6,1153.53,3
HCPCS,91117,Colon motility 6 hr study,,,255.08,267.83,3
HCPCS,91120,Rectal sensation test,,,1351.82,1548.06,2
HCPCS,91122,Anal pressure record,,,770.93,882.84,2
HCPCS,91124,Rct snsatn tone&cmplianc std,,,255.08,1866.0,5
HCPCS,91125,Anrct mano rct snsatn&balo,,,440.83,1866.0,5
HCPCS,91132,Electrogastrography,,,255.08,749.73,5
HCPCS,91133,Electrogastrography W/Test,,,157.18,749.73,5
HCPCS,91200,Liver elastography,,,152.01,159.61,3
HCPCS,91299,Gastroenterology procedure,,,152.01,491.66,5
HCPCS,91304,Coronavirus vaccine 5,,,251.44,422.92,4
HCPCS,91318,Sarscov2 vac 3mcg trs-suc im,,,102.04,144.45,4
HCPCS,91319,Sarscv2 vac 10mcg trs-suc im,,,136.64,208.91,4
HCPCS,91320,Sarscv2 vac 30mcg trs-suc im,,,242.67,371.01,4
HCPCS,91321,Sarscov2 vac 25 mcg/.25ml im,,,228.92,324.07,4
HCPCS,91322,Sarscov2 vac 50 mcg/0.5ml im,,,251.63,356.23,4
HCPCS,91323,Sarscov2 vac 10 mcg/0.2ml im,,,370.75,444.94,2
HCPCS,92002,Eye exam new patient,,,157.28,343.41,5
HCPCS,92004,Eye exam new patient,,,157.28,278.01,5
HCPCS,92012,Eye exam establish patient,,,123.95,165.14,5
HCPCS,92014,Eye exam&tx estab pt 1/>vst,,,157.28,217.83,5
HCPCS,92018,New eye exam & treatment,,,346.26,2949.06,5
HCPCS,92019,Eye exam & treatment,,,171.19,2949.06,5
HCPCS,92020,Special eye evaluation,,,75.96,165.03,5
HCPCS,92025,Corneal Topography,,,69.69,100.79,5
HCPCS,92060,Special eye evaluation,,,69.69,175.8,5
HCPCS,92065,Orthoptic/pleoptic training,,,98.38,112.66,2
HCPCS,92066,Orthop traing supvj phys/qhp,,,69.69,87.78,5
HCPCS,92081,Visual field examination(s),,,69.69,164.86,5
HCPCS,92082,Visual field examination(s),,,69.69,211.58,5
HCPCS,92083,Visual field examination(s),,,157.18,244.35,5
HCPCS,92100,Serial tonometry exam(s),,,245.72,281.39,2
HCPCS,92132,Cmptr ophth dx img ant segmt,,,69.69,73.17,3
HCPCS,92133,Cmptr ophth img optic nerve,,,69.69,144.22,5
HCPCS,92134,Cptr ophth dx img post segmt,,,69.69,144.22,5
HCPCS,92136,Ophthalmic biometry,,,157.18,283.46,5
HCPCS,92137,Cptrz oph img pst sg rta oct,,,255.08,267.83,3
HCPCS,92145,Corneal hysteresis deter,,,69.69,73.17,3
HCPCS,92201,Opscpy extnd rta draw uni/bi,,,63.31,73.17,5
HCPCS,92202,Opscpy extnd on/mac draw,,,63.31,73.17,5
HCPCS,92227,Remote dx retinal imaging,,,69.69,73.17,3
HCPCS,92228,Remote retinal imaging mgmt,,,44.12,46.33,3
HCPCS,92229,Img rta detc/mntr ds poc aly,,,69.69,495.43,7
HCPCS,92230,Eye exam with photos,,,234.61,462.87,5
HCPCS,92235,Fluorescein angrph uni/bi,,,255.08,438.75,5
HCPCS,92240,Icg angiography uni/bi,,,255.08,926.27,5
HCPCS,92242,Fluorescein icg angiography,,,255.08,267.83,3
HCPCS,92250,Eye exam with photos,,,157.18,250.6,5
HCPCS,92260,Ophthalmoscopy/dynamometry,,,44.12,57.37,5
HCPCS,92265,Eye muscle evaluation,,,69.69,291.16,5
HCPCS,92270,Electro-oculography,,,157.18,295.36,5
HCPCS,92273,Full field erg w/i&r,,,255.08,371.24,5
HCPCS,92273,"HC ELECTRORETINOGRAPHY W INT & REP, FULL FIELD",761.0,761.0,,,0
HCPCS,92274,"HC ELECTRORETINOGRAPHY W INT & REP, MULTIFOCAL",410.0,410.0,,,0
HCPCS,92274,Multifocal erg w/i&r,,,152.01,371.24,5
HCPCS,92283,Color vision examination,,,69.69,130.41,5
HCPCS,92284,Dark adaptation eye exam,,,238.85,554.12,5
HCPCS,92285,Eye photography,,,44.12,153.3,5
HCPCS,92286,Internal eye photography,,,157.18,475.05,5
HCPCS,92287,Internal eye photography,,,157.18,402.88,5
HCPCS,92312,Contact lens fitting,,,157.18,165.03,3
HCPCS,92313,Contact lens fitting,,,157.18,165.03,3
HCPCS,92315,Rx cntact lens aphakia 1 eye,,,157.18,165.03,3
HCPCS,92316,Rx cntact lens aphakia 2 eye,,,157.18,165.03,3
HCPCS,92317,Rx corneoscleral cntact lens,,,44.12,46.33,3
HCPCS,92325,Modification of contact lens,,,157.18,165.03,3
HCPCS,92326,Replacement of contact lens,,,69.69,73.17,3
HCPCS,92352,Fit aphakia spectcl monofocl,,,69.69,73.17,3
HCPCS,92353,Fit aphakia spectcl multifoc,,,69.69,73.17,3
HCPCS,92354,Fit spectacles single system,,,44.12,46.33,3
HCPCS,92355,Fit spectacles compound lens,,,44.12,46.33,3
HCPCS,92358,Aphakia prosth service temp,,,69.69,73.17,3
HCPCS,92371,Repair & adjust spectacles,,,69.69,73.17,3
HCPCS,92499,Eye service or procedure,,,34.17,55.98,5
HCPCS,92502,Ear and throat examination,,,279.25,668.99,5
HCPCS,92504,Ear microscopy examination,,,75.39,86.34,2
HCPCS,92506,HC SLV EVALUATION,411.0,411.0,,,0
HCPCS,92507,"HC SLV THERAPY, INDIVIDUAL",265.0,265.0,,,0
HCPCS,92507,Speech/hearing therapy,,,84.3,233.1,5
HCPCS,92508,"HC SLV TREATMENT GROUP, 2 OR MORE 2-4",280.0,280.0,,,0
HCPCS,92508,Speech/hearing therapy,,,26.94,138.75,5
HCPCS,92511,HC NASOPHARYNGOSCOPY,604.0,604.0,,,0
HCPCS,92511,Nasopharyngoscopy,,,235.8,1866.0,7
HCPCS,92512,Nasal function studies,,,185.4,267.83,5
HCPCS,92516,Facial nerve function test,,,179.5,267.83,5
HCPCS,92517,Vemp test i&r cervical,,,152.01,396.32,5
HCPCS,92518,Vemp test i&r ocular,,,152.01,396.32,5
HCPCS,92519,Vemp tst i&r cervical&ocular,,,255.08,751.04,5
HCPCS,92520,HC LARYNGEAL FUNCTION STUDY,719.0,719.0,,,0
HCPCS,92520,Laryngeal function studies,,,135.43,165.03,5
HCPCS,92521,Evaluation of speech fluency,,,147.69,394.05,5
HCPCS,92521,HC EVALUATION OF SPEECH FLUENCY,609.0,609.0,,,0
HCPCS,92522,Evaluate speech production,,,123.77,394.05,5
HCPCS,92522,HC EVALUATION OF SPEECH SOUND  PRODUCTION,609.0,609.0,,,0
HCPCS,92523,HC EVALUATION OF SPEECH SOUND  PRODUCTION W/LANGUAGE COMPREHENSION,609.0,609.0,,,0
HCPCS,92523,Speech sound lang comprehen,,,250.84,394.05,5
HCPCS,92524,Behavral qualit analys voice,,,121.04,394.05,5
HCPCS,92524,HC BEHAVIORAL & QUALIT ANALYSIS VOICE/RESONANCE,609.0,609.0,,,0
HCPCS,92526,HC TX SWALLOWING DYSFUNCTION,265.0,265.0,,,0
HCPCS,92526,Oral function therapy,,,93.58,277.33,5
HCPCS,92531,Spontaneous nystagmus study,,,72.96,83.55,2
HCPCS,92532,Positional nystagmus test,,,72.96,83.55,2
HCPCS,92533,Caloric vestibular test,,,72.96,83.55,2
HCPCS,92534,Optokinetic nystagmus test,,,72.96,83.55,2
HCPCS,92537,Caloric vstblr test w/rec,,,76.31,159.61,5
HCPCS,92537,"HC CALORIC VSTBLR TEST W/REC, BILATERAL  BITHERMAL",768.0,768.0,,,0
HCPCS,92538,Caloric vstblr test w/rec,,,76.31,267.83,5
HCPCS,92538,"HC CALORIC VSTBLR TEST W/REC, BILATERAL; MONOTHERMAL",768.0,768.0,,,0
HCPCS,92540,Basic vestibular evaluation,,,255.08,1137.31,5
HCPCS,92541,Spontaneous nystagmus test,,,157.18,183.07,5
HCPCS,92542,Positional nystagmus test,,,157.18,188.46,5
HCPCS,92544,Optokinetic nystagmus test,,,130.42,159.61,5
HCPCS,92545,Oscillating tracking test,,,116.11,267.83,5
HCPCS,92546,Sinusoidal rotational test,,,152.01,293.17,5
HCPCS,92547,Supplemental electrical test,,,14.31,16.39,2
HCPCS,92548,Posturography,,,157.18,363.95,5
HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,157.18,309.65,5
HCPCS,92550,HC TYMPANOMETRY & REFLEX THRESH,271.0,271.0,,,0
HCPCS,92550,Tympanometry & reflex thresh,,,210.5,267.83,5
HCPCS,92551,"HC SCREENING TEST, PURE TONE AIR ONLY",314.0,314.0,,,0
HCPCS,92551,Pure tone hearing test air,,,31.42,35.98,2
HCPCS,92552,"HC PURE TONE AUDIOMETRY, AIR ONLY",264.0,264.0,,,0
HCPCS,92552,Pure tone audiometry air,,,53.44,165.03,5
HCPCS,92553,Audiometry air & bone,,,80.15,159.61,5
HCPCS,92553,"HC PURE TONE AUDIOMETRY, AIR & BONE",390.0,390.0,,,0
HCPCS,92555,HC SPEECH AUDIOMETRY THRESHOLD,243.0,243.0,,,0
HCPCS,92555,Speech threshold audiometry,,,46.62,73.17,5
HCPCS,92556,HC SPEECH AUDIOMETRY THESHOLD W/SR,343.0,343.0,,,0
HCPCS,92556,Speech audiometry complete,,,69.69,80.09,5
HCPCS,92557,Comprehensive hearing test,,,145.55,166.68,5
HCPCS,92557,"HC SPEECH AUDIOMETRY W/SR, COMPREHENSIVE",831.0,831.0,,,0
HCPCS,92558,"HC EVOKED AUDITORY TEST QUAL, SCREENING",314.0,314.0,,,0
HCPCS,92562,Loudness balance test,,,50.02,267.83,5
HCPCS,92563,Tone decay hearing test,,,44.12,53.39,5
HCPCS,92565,"HC STENGER TEST, PURE TONE",188.0,188.0,,,0
HCPCS,92565,Stenger test pure tone,,,48.91,73.17,5
HCPCS,92567,HC TYMPANOMETRY (IMP TESTING),243.0,243.0,,,0
HCPCS,92567,Tympanometry,,,44.12,73.58,5
HCPCS,92568,Acoustic refl threshold tst,,,44.12,53.39,5
HCPCS,92568,HC ACOUSTIC REFLEX TESTING,243.0,243.0,,,0
HCPCS,92570,Acoustic immitance testing,,,50.02,159.61,5
HCPCS,92570,HC ACOUSTIC IMMITTANCE TESTING,343.0,343.0,,,0
HCPCS,92571,Filtered speech hearing test,,,44.12,54.7,5
HCPCS,92572,Staggered spondaic word test,,,11.09,159.61,5
HCPCS,92575,Sensorineural acuity test,,,35.81,46.33,5
HCPCS,92576,Synthetic sentence test,,,44.12,62.2,5
HCPCS,92577,Stenger test speech,,,87.84,462.87,5
HCPCS,92579,HC VISUAL REINFORCE AUDIOMETRY,443.0,443.0,,,0
HCPCS,92579,Visual audiometry (vra),,,88.11,267.83,5
HCPCS,92582,Conditioning play audiometry,,,88.11,159.61,5
HCPCS,92582,HC CONDITIONING PLAY AUDIOMETRY,343.0,343.0,,,0
HCPCS,92583,HC SELECT PICTURE AUDIOMETRY,544.0,544.0,,,0
HCPCS,92583,Select picture audiometry,,,69.69,123.68,5
HCPCS,92584,Electrocochleography,,,152.01,342.08,5
HCPCS,92584,HC ELECTROCOCHLEOGRAPHY,1420.0,1420.0,,,0
HCPCS,92585,HC DEAC 01/01/2021  AUDITORY EP - COMPREHENSIVE,1078.0,1078.0,,,0
HCPCS,92586,HC DEAC 01/01/2021  AUDITORY EP - LIMITED,900.0,900.0,,,0
HCPCS,92587,Evoked auditory test limited,,,178.81,267.83,5
HCPCS,92587,HC EVOKED AUDITORY TEST LIMITED,765.0,765.0,,,0
HCPCS,92587,HC EVOKED AUDITORY TEST NEWBORN,238.0,238.0,,,0
HCPCS,92588,Evoked auditory tst complete,,,232.75,462.87,5
HCPCS,92588,HC EVOKED AUDITORY TEST COMPLETE,859.0,859.0,,,0
HCPCS,92590,HC HEARING AID EXAM ONE EAR,509.0,509.0,,,0
HCPCS,92590,Hearing aid exam one ear,,,181.73,208.12,2
HCPCS,92591,HC HEARING AID EXAM BOTH EARS,765.0,765.0,,,0
HCPCS,92591,Hearing aid exam both ears,,,181.73,208.12,2
HCPCS,92592,Hearing aid check one ear,,,181.73,208.12,2
HCPCS,92593,Hearing aid check both ears,,,181.73,208.12,2
HCPCS,92594,Electro hearng aid test one,,,181.73,208.12,2
HCPCS,92594,"HC ELECTRO HEARING AID TEST, MONAURAL",144.0,144.0,,,0
HCPCS,92595,Electro hearng aid tst both,,,181.73,208.12,2
HCPCS,92595,"HC ELECTRO HEARING AID TEST, BINAURAL",193.0,193.0,,,0
HCPCS,92596,Ear protector evaluation,,,44.12,82.7,5
HCPCS,92597,HC EVAL TO USE/FIT VOICE PROSTHETIC,652.0,652.0,,,0
HCPCS,92597,Oral speech device eval,,,78.67,405.15,5
HCPCS,92601,Cochlear implt f/up exam <7,,,152.01,462.04,5
HCPCS,92602,Reprogram cochlear implt 7/>,,,152.01,650.39,5
HCPCS,92603,Cochlear implt f/up exam 7/>,,,152.01,285.22,5
HCPCS,92604,Reprogram cochlear implt 7/>,,,152.01,346.62,5
HCPCS,92607,Ex for speech device rx 1hr,,,136.32,405.44,5
HCPCS,92607,"HC EVAL FOR SPEECH DEVICE RX, 1ST HR",527.0,527.0,,,0
HCPCS,92608,Ex for speech device rx addl,,,53.37,76.48,5
HCPCS,92608,"HC EVAL FOR SPEECH DEVICE RX, EA ADDL 30 MIN",332.0,332.0,,,0
HCPCS,92609,HC THERAPEUTIC SP DEVICE SERVICE,435.0,435.0,,,0
HCPCS,92609,Use of speech device service,,,114.56,120.29,3
HCPCS,92610,Evaluate swallowing function,,,62.66,453.92,5
HCPCS,92610,HC EVALUATE SWALLOWING FUNCTION,809.0,809.0,,,0
HCPCS,92611,"HC MOTION FLUORO SWALLOW FCN, CINE/VIDEO",699.0,699.0,,,0
HCPCS,92611,Motion fluoroscopy/swallow,,,102.27,453.92,5
HCPCS,92612,Endoscopy swallow (fees) vid,,,58.5,503.62,5
HCPCS,92612,HC FEES W CINE OR VIDEO,699.0,699.0,,,0
HCPCS,92613,Endoscopy swallow (fees) i&r,,,119.76,137.14,2
HCPCS,92614,Laryngoscopic sensory vid,,,58.47,472.41,5
HCPCS,92615,Laryngoscopic sensory i&r,,,91.93,105.28,2
HCPCS,92616,Fees w/laryngeal sense test,,,86.31,658.99,5
HCPCS,92617,Fees w/laryngeal sense i&r,,,112.37,128.68,2
HCPCS,92620,Auditory function 60 min,,,134.64,159.61,5
HCPCS,92621,Auditory function + 15 min,,,33.6,38.48,2
HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,152.01,159.61,3
HCPCS,92625,HC TINNITUS ASSESSMENT,573.0,573.0,,,0
HCPCS,92625,Tinnitus assessment,,,132.38,159.61,5
HCPCS,92626,Eval aud rehab status,,,152.01,245.43,5
HCPCS,92626,"HC EVAL AUDITORY FUNCTION, 1ST HR",484.0,484.0,,,0
HCPCS,92627,Eval aud status rehab add-on,,,52.53,60.15,2
HCPCS,92627,"HC EVAL AUDITORY FUNCTION, EA ADDL 15 MIN",125.0,125.0,,,0
HCPCS,92640,Aud brainstem implt programg,,,152.01,159.61,3
HCPCS,92650,Aep scr auditory potential,,,222.23,254.49,2
HCPCS,92650,"HC AUDITORY EVOKED POTENTIALS; SCRN AUDIT POTENT W/STIMULI, AUTO ANALYS",282.0,282.0,,,0
HCPCS,92651,Aep hearing status deter i&r,,,222.23,267.83,5
HCPCS,92651,"HC AUDITORY EVOKED POTENTIALS; HEARING STATUS DETER, BBAND STIMULI, I&R",287.0,287.0,,,0
HCPCS,92652,Aep thrshld est mlt freq i&r,,,255.08,341.23,5
HCPCS,92652,"HC AUDITORY EVOKED POTENTIALS; THRESHOLD ESTIM AT MULTI FREQ, I & R",337.0,337.0,,,0
HCPCS,92653,Aep neurodiagnostic i&r,,,255.08,341.23,5
HCPCS,92653,"HC AUDITORY EVOKED POTENTIALS; NEURODIAGNOSTIC, W/INTRP & RPT",337.0,337.0,,,0
HCPCS,92700,Ent procedure/service,,,34.17,35.88,3
HCPCS,92920,Prq cardiac angioplast 1 art,,,1447.95,7059.88,7
HCPCS,92921,Prq cardiac angio addl art,,,102.28,1866.0,4
HCPCS,92924,Prq card angio/athrect 1 art,,,1750.31,14319.55,7
HCPCS,92925,Prq card angio/athrect addl,,,92.06,1866.0,4
HCPCS,92928,Prq card stent w/angio 1 vsl,,,1653.94,14319.55,7
HCPCS,92929,Prq card stent w/angio addl,,,66.96,1866.0,4
HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,4081.0,22738.78,7
HCPCS,92933,Prq card stent/ath/angio,,,1905.16,22738.78,7
HCPCS,92934,Prq card stent/ath/angio,,,20.46,1866.0,4
HCPCS,92937,Prq revasc byp graft 1 vsl,,,1653.94,14319.55,7
HCPCS,92938,Prq revasc byp graft addl,,,66.02,1866.0,4
HCPCS,92941,Prq card revasc mi 1 vsl,,,1907.22,2184.07,2
HCPCS,92943,Prq card revasc chronic 1vsl,,,1907.22,14319.55,7
HCPCS,92944,Prq card revasc chronic addl,,,22.32,1866.0,4
HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,4081.0,18617.0,7
HCPCS,92950,DEAC 7/1/2018 HCCPR PER 15 MIN,771.5,771.5,,,0
HCPCS,92950,HC CPR PER SESSION,2336.0,2336.0,,,0
HCPCS,92950,Heart/lung resuscitation cpr,,,255.08,475.84,5
HCPCS,92953,HC TEMPORARY TRANSCUTANEOUS PACING,817.0,817.0,,,0
HCPCS,92953,Temporary external pacing,,,780.8,819.84,3
HCPCS,92960,Cardioversion electric ext,,,780.8,1082.41,5
HCPCS,92960,HC CARDIOVERSION ELECTRIC EXT,2415.0,2415.0,,,0
HCPCS,92960,"HC CARDIOVERSION ELECTRICAL CONVERSION, EXTERNAL",3010.0,3010.0,,,0
HCPCS,92960,HC CARDIOVERSION WITH TEE,3010.0,3010.0,,,0
HCPCS,92961,Cardioversion electric int,,,716.99,821.07,5
HCPCS,92972,Perq trluml coronry lithotrp,,,1544.0,1866.0,2
HCPCS,92977,Dissolve clot heart vessel,,,347.42,397.86,2
HCPCS,92978,Endoluminl ivus oct c 1st,,,801.91,918.31,2
HCPCS,92979,Endoluminl ivus oct c ea,,,482.09,552.07,2
HCPCS,92986,Revision of aortic valve,,,4147.0,17574.15,7
HCPCS,92987,Revision of mitral valve,,,4147.0,29154.47,7
HCPCS,92990,Revision of pulmonary valve,,,4147.0,20324.57,7
HCPCS,92997,Pul art balloon repr percut,,,4147.0,31638.59,7
HCPCS,93000,Electrocardiogram complete,,,77.28,88.49,2
HCPCS,93005,Electrocardiogram tracing,,,52.82,73.17,5
HCPCS,93005,HC 12 LEAD EKG; TRACING ONLY,389.5,389.5,,,0
HCPCS,93010,Electrocardiogram report,,,24.45,28.0,2
HCPCS,93015,Cardiovascular stress test,,,308.66,353.47,2
HCPCS,93016,Cardiovascular stress test,,,66.86,76.57,2
HCPCS,93017,Cardiovascular stress test,,,200.31,267.83,5
HCPCS,93017,HC 12 CVSLR STRESS TEST; TRACING,1526.0,1526.0,,,0
HCPCS,93018,Cardiovascular stress test,,,42.93,49.16,2
HCPCS,93024,Cardiac drug stress test,,,304.92,554.12,5
HCPCS,93025,Microvolt t-wave assess,,,152.01,1085.45,5
HCPCS,93040,Rhythm ECG with report,,,40.23,46.06,2
HCPCS,93041,Rhythm ecg tracing,,,17.91,73.17,5
HCPCS,93042,Rhythm ecg report,,,22.32,25.56,2
HCPCS,93050,Art pressure waveform analys,,,34.17,35.88,3
HCPCS,93145,Interrog crtd sins bat ip wo,,,152.01,159.61,3
HCPCS,93146,Interrog crtd sins bat ip w/,,,152.01,159.61,3
HCPCS,93224,Ecg monit/reprt up to 48 hrs,,,482.01,551.98,2
HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,147.73,169.18,5
HCPCS,93225,HC ECG UP TO 48 HRS RECORDING,533.0,533.0,,,0
HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,69.69,297.38,5
HCPCS,93226,HC ECG UP TO 48 HRS SCANNING ANALYSIS REPORT,1115.0,1115.0,,,0
HCPCS,93227,Ecg monit/reprt up to 48 hrs,,,77.77,89.06,2
HCPCS,93228,Remote 30 day ecg rev/report,,,69.07,79.09,2
HCPCS,93229,Remote 30 day ecg tech supp,,,69.07,462.87,5
HCPCS,93241,Ext ecg>48hr<7d rec scan a/r,,,1058.12,1211.71,2
HCPCS,93242,Ext ecg>48hr<7d recording,,,44.12,96.11,5
HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,138.04,165.03,5
HCPCS,93244,Ext ecg>48hr<7d rev&interpj,,,79.56,91.11,2
HCPCS,93245,Ext ecg>7d<15d rec scan a/r,,,1058.12,1211.71,2
HCPCS,93246,Ext ecg>7d<15d recording,,,44.12,158.07,5
HCPCS,93247,Ext ecg>7d<15d scan a/r,,,157.18,317.94,5
HCPCS,93248,Ext ecg>7d<15d rev&interpj,,,79.56,91.11,2
HCPCS,93260,Prgrmg dev eval impltbl sys,,,44.09,96.42,5
HCPCS,93261,Interrogate subq defib,,,44.09,96.42,5
HCPCS,93268,ECG record/review,,,920.33,1053.92,2
HCPCS,93270,Remote 30 day ecg rev/report,,,44.09,169.18,5
HCPCS,93271,Ecg/monitoring and analysis,,,112.31,799.35,5
HCPCS,93272,Ecg/review interpret only,,,74.5,85.31,2
HCPCS,93278,ECG/signal-averaged,,,69.69,202.72,5
HCPCS,93279,"HC PM DEVICE PROGR EVAL, SNGL",430.0,430.0,,,0
HCPCS,93279,Pm device progr eval sngl,,,44.09,201.81,5
HCPCS,93280,"HC PM DEVICE PROGR EVAL, DUAL",430.0,430.0,,,0
HCPCS,93280,Pm device progr eval dual,,,44.09,222.66,5
HCPCS,93281,"HC PM DEVICE PROGR EVAL, MULTI",430.0,430.0,,,0
HCPCS,93281,Pm device progr eval multi,,,44.09,249.86,5
HCPCS,93282,"HC ICD DEVICE PROG EVAL, 1 SINGLE",430.0,430.0,,,0
HCPCS,93282,Prgrmg eval implantable dfb,,,44.09,266.34,5
HCPCS,93283,"HC ICD DEVICE PROGR EVAL, DUAL",430.0,430.0,,,0
HCPCS,93283,Prgrmg eval implantable dfb,,,44.09,295.98,5
HCPCS,93284,"HC ICD DEVICE PROGR EVAL, MULT",430.0,430.0,,,0
HCPCS,93284,Prgrmg eval implantable dfb,,,44.09,313.2,5
HCPCS,93285,Ilr device eval progr,,,44.09,86.71,5
HCPCS,93288,HC PM DEVICE EVAL IN PERSON,487.0,487.0,,,0
HCPCS,93288,Pm device eval in person,,,44.09,142.6,5
HCPCS,93289,HC ICD DEVICE INTERROGATE,487.0,487.0,,,0
HCPCS,93289,Interrog device eval heart,,,44.09,224.7,5
HCPCS,93290,Icm device eval,,,44.09,101.96,5
HCPCS,93291,HC ILR DEVICE INTERROGATE,487.0,487.0,,,0
HCPCS,93291,Ilr device interrogate,,,34.17,168.87,5
HCPCS,93292,Wcd device interrogate,,,44.09,130.19,5
HCPCS,93293,Pm phone r-strip device eval,,,44.09,113.63,5
HCPCS,93294,Pm device interrogate remote,,,160.8,184.15,2
HCPCS,93296,Pm/icd remote tech serv,,,44.09,213.74,5
HCPCS,93297,HC REMOTE INTERROG IMP CARD PHYS MONT SYS UP TO 30 DAYS,487.0,487.0,,,0
HCPCS,93297,Icm device interrogat remote,,,44.09,213.74,5
HCPCS,93298,HC REMOTE INTERROG SUB CARD RHYM MONT SYS UP TO 30 DAYS,487.0,487.0,,,0
HCPCS,93298,Ilr device interrogat remote,,,44.09,213.74,5
HCPCS,93303,Echo transthoracic,,,644.4,737.95,5
HCPCS,93303,HC TTE CONG ABN; COMPLETE,4121.0,4121.0,,,0
HCPCS,93304,Echo transthoracic,,,339.91,677.78,5
HCPCS,93304,HC TTE CONG ABN; LIMITED/F-UP,4121.0,4121.0,,,0
HCPCS,93306,HC TTE W/DOPPLER COMPLETE,4121.0,4121.0,,,0
HCPCS,93306,Tte w/doppler complete,,,645.5,895.88,5
HCPCS,93307,HC TTE W/O DOPPLER COMPLETE,1970.0,1970.0,,,0
HCPCS,93307,Tte w/o doppler complete,,,281.87,677.14,5
HCPCS,93308,HC TTE F-UP OR LMTD,1481.0,1481.0,,,0
HCPCS,93308,Tte f-up or lmtd,,,281.87,353.01,5
HCPCS,93312,Echo transesophageal,,,645.5,879.43,5
HCPCS,93312,HC ECHO TRANSESOPHAGEAL COMPLETE,2988.0,2988.0,,,0
HCPCS,93313,Echo transesophageal,,,122.74,677.78,5
HCPCS,93314,Echo transesophageal,,,635.35,727.58,2
HCPCS,93315,Echo transesophageal,,,645.5,941.2,5
HCPCS,93316,Echo transesophageal,,,125.26,677.78,5
HCPCS,93317,Echo transesophageal,,,121.92,139.61,2
HCPCS,93318,Echo Transesophageal Intraop,,,121.92,677.78,5
HCPCS,93320,Doppler echo exam heart,,,259.95,297.69,2
HCPCS,93320,HC DOPPLER ECHO; COMPLETE,1738.0,1738.0,,,0
HCPCS,93321,Doppler echo exam heart,,,155.45,178.01,2
HCPCS,93321,HC DOPPLER ECHO; LIMITED/ F-UP,1536.0,1536.0,,,0
HCPCS,93325,Doppler color flow add-on,,,358.71,410.78,2
HCPCS,93325,HC DOPPLER COLOR FLOW,416.0,416.0,,,0
HCPCS,93350,HC STRESS TTE ONLY,4121.0,4121.0,,,0
HCPCS,93350,Stress tte only,,,426.11,677.78,5
HCPCS,93351,Stress tte complete,,,645.5,843.45,5
HCPCS,93352,Admin ecg contrast agent,,,112.99,129.39,2
HCPCS,93356,HC MYOCRD STRAIN IMG USING SPECKLE TRCK ASSMT OF MYOCRD MECHAN,915.0,915.0,,,0
HCPCS,93451,Right heart cath,,,1544.0,18617.0,9
HCPCS,93452,Left hrt cath w/ventrclgrphy,,,3829.84,18617.0,9
HCPCS,93453,R&l hrt cath w/ventriclgrphy,,,3829.84,18617.0,9
HCPCS,93454,Coronary artery angio s&i,,,2150.88,18617.0,9
HCPCS,93455,Coronary art/grft angio s&i,,,3829.84,18617.0,9
HCPCS,93456,R hrt coronary artery angio,,,3829.84,18617.0,9
HCPCS,93457,R hrt art/grft angio,,,3829.84,18617.0,9
HCPCS,93458,L hrt artery/ventricle angio,,,3829.84,18617.0,9
HCPCS,93459,L hrt art/grft angio,,,3829.84,18617.0,9
HCPCS,93460,R&l hrt art/ventricle angio,,,3829.84,18617.0,9
HCPCS,93461,R&l hrt art/ventricle angio,,,3829.84,18617.0,9
HCPCS,93462,L hrt cath trnsptl puncture,,,1544.0,1866.0,2
HCPCS,93503,HC INSERT SWAN GANZ CATH BEDSIDE,2716.0,2716.0,,,0
HCPCS,93503,Insert/place heart catheter,,,381.5,18617.0,9
HCPCS,93505,Biopsy of heart lining,,,888.16,18617.0,9
HCPCS,93563,Inject congenital card cath,,,58.48,66.97,2
HCPCS,93564,Inject hrt congntl art/grft,,,62.57,71.65,2
HCPCS,93565,Inject l ventr/atrial angio,,,41.96,48.05,2
HCPCS,93566,Inject r ventr/atrial angio,,,1288.01,1474.98,2
HCPCS,93567,Inject suprvlv aortography,,,36.88,42.23,2
HCPCS,93568,Inject pulm art hrt cath,,,41.96,48.05,2
HCPCS,93571,Heart flow reserve measure,,,798.49,914.39,2
HCPCS,93572,Heart flow reserve measure,,,474.4,543.26,2
HCPCS,93580,Transcath closure of asd,,,4081.0,40714.75,7
HCPCS,93581,Transcath closure of vsd,,,4081.0,34382.97,7
HCPCS,93582,Perq transcath closure pda,,,4081.0,36877.34,7
HCPCS,93583,Perq transcath septal reduxn,,,4081.0,4934.0,2
HCPCS,93584,Vngrph chd anom/persist svc,,,1544.0,1866.0,2
HCPCS,93585,Vngrph chd azygs/hemiazygs,,,1544.0,1866.0,2
HCPCS,93586,Vngrph chd coronary sinus,,,1544.0,1866.0,2
HCPCS,93587,Vngrph chd vnvn cltrl at/abv,,,1544.0,1866.0,2
HCPCS,93588,Vngrph chd vnvn cltrl below,,,1544.0,1866.0,2
HCPCS,93590,Perq transcath cls mitral,,,4081.0,22738.78,5
HCPCS,93591,Perq transcath cls aortic,,,4081.0,22738.78,5
HCPCS,93592,Perq transcath closure each,,,1544.0,1866.0,2
HCPCS,93593,R hrt cath chd nml nt cnj,,,3829.84,18617.0,9
HCPCS,93594,R hrt cath chd abnl nt cnj,,,3829.84,18617.0,9
HCPCS,93595,L hrt cath chd nm/abn nt cnj,,,3829.84,18617.0,9
HCPCS,93596,R&l hrt cath chd nml nt cnj,,,3829.84,18617.0,9
HCPCS,93597,R&l hrt cath chd abnl nt cnj,,,3829.84,18617.0,9
HCPCS,93600,Bundle of His recording,,,549.89,9674.8,7
HCPCS,93602,Intra-atrial recording,,,449.03,9674.8,5
HCPCS,93603,Right ventricular recording,,,516.96,1510.25,5
HCPCS,93609,Map tachycardia add-on,,,1067.44,5028.0,4
HCPCS,93610,Intra-atrial pacing,,,613.18,9674.8,5
HCPCS,93612,Intraventricular pacing,,,643.56,9674.8,5
HCPCS,93613,Electrophys map 3d add-on,,,1078.97,1235.6,2
HCPCS,93615,Esophageal recording,,,168.94,1510.25,5
HCPCS,93616,Esophageal recording,,,241.63,1510.25,5
HCPCS,93618,Heart rhythm pacing,,,1091.27,5028.0,7
HCPCS,93619,Electrophysiology evaluation,,,2017.75,9674.8,7
HCPCS,93620,Electrophysiology evaluation,,,1078.97,9674.8,7
HCPCS,93621,Electrophysiology evaluation,,,1078.97,5028.0,4
HCPCS,93622,Electrophysiology evaluation,,,1078.97,5028.0,4
HCPCS,93624,Electrophysiologic study,,,971.04,9674.8,5
HCPCS,93631,Heart pacing mapping,,,1890.7,2165.16,2
HCPCS,93640,Evaluation heart device,,,1361.5,5028.0,4
HCPCS,93641,Electrophysiology evaluation,,,1713.93,5028.0,4
HCPCS,93642,Electrophysiology evaluation,,,1438.33,5028.0,7
HCPCS,93650,Ablate heart dysrhythm focus,,,1600.72,9674.8,7
HCPCS,93653,Ep & ablate supravent arrhyt,,,4147.0,32421.71,7
HCPCS,93654,Ep & ablate ventric tachy,,,4147.0,32421.71,7
HCPCS,93655,Ablate arrhythmia add on,,,1544.0,27660.15,4
HCPCS,93656,Tx atrial fib pulm vein isol,,,4147.0,32421.71,7
HCPCS,93657,Tx l/r atrial fib addl,,,1544.0,27660.15,4
HCPCS,93660,HC TILT TABLE EVALUATION - STANDARD,3622.0,3622.0,,,0
HCPCS,93660,Tilt table evaluation,,,275.58,462.87,5
HCPCS,93662,Intracardiac Ecg (Ice),,,409.92,469.42,2
HCPCS,93668,Peripheral Vascular Rehab,,,69.69,73.17,3
HCPCS,93701,Bioimpedance cv analysis,,,99.47,165.03,5
HCPCS,93702,Bis xtracell fluid analysis,,,152.01,188.92,5
HCPCS,93724,Analyze pacemaker system,,,362.84,1354.03,5
HCPCS,93740,Temperature gradient studies,,,26.64,159.61,5
HCPCS,93750,Interrogation vad in person,,,112.31,462.69,5
HCPCS,93770,Measure venous pressure,,,23.36,26.75,2
HCPCS,93784,Ambulatory BP monitoring,,,190.89,218.59,2
HCPCS,93786,Ambulatory BP recording,,,89.16,165.03,5
HCPCS,93788,Ambulatory BP analysis,,,49.95,165.03,5
HCPCS,93790,Review/report BP recording,,,51.76,59.27,2
HCPCS,93799,Cardiovascular procedure,,,152.01,234.04,5
HCPCS,93880,Extracranial bilat study,,,281.87,1259.18,7
HCPCS,93880,HC CAROTID DUPLEX SCAN; BILAT,1215.0,1215.0,,,0
HCPCS,93882,Extracranial uni/ltd study,,,123.5,835.83,7
HCPCS,93882,HC CAROTID DUPLEX SCAN; UNIL/LIMIT,741.0,741.0,,,0
HCPCS,93886,HC INTRACRANIAL ARTERY DOPPLER; COMPL,3041.0,3041.0,,,0
HCPCS,93886,Intracranial complete study,,,281.87,1888.91,7
HCPCS,93888,HC INTRACRANIAL ARTERY DOPPLER; LIMITED,2031.0,2031.0,,,0
HCPCS,93888,Intracranial limited study,,,123.5,1116.28,7
HCPCS,93890,Tcd vasoreactivity study,,,768.16,879.66,2
HCPCS,93892,Tcd emboli detect w/o inj,,,123.5,963.13,5
HCPCS,93893,Tcd emboli detect w/inj,,,123.5,960.63,5
HCPCS,93922,HC UPR/L XTREMITY ART 2 LEVELS,390.0,390.0,,,0
HCPCS,93922,Upr/l xtremity art 2 levels,,,157.18,582.81,7
HCPCS,93923,HC UPR/LXTR ART STDY 3+ LVLS,3241.0,3241.0,,,0
HCPCS,93923,Upr/lxtr art stdy 3+ lvls,,,255.08,899.03,7
HCPCS,93924,HC LWR XTR VASC STDY BILAT,1290.0,1290.0,,,0
HCPCS,93924,Lwr xtr vasc stdy bilat,,,255.08,1127.23,7
HCPCS,93925,HC DUPLEX LE ART/BPG; BILAT,1076.0,1076.0,,,0
HCPCS,93925,Lower extremity study,,,281.87,1677.13,7
HCPCS,93926,HC DUPLEX LE ART/BPG; UNIL/LIMIT,652.0,652.0,,,0
HCPCS,93926,Lower extremity study,,,123.5,1000.76,7
HCPCS,93930,HC DUPLEX UE ART/BPG; BILAT,1076.0,1076.0,,,0
HCPCS,93930,Upper extremity study,,,281.87,1325.22,7
HCPCS,93931,HC DUPLEX UE ART/BPG; UNIL/LIMIT,652.0,652.0,,,0
HCPCS,93931,Upper extremity study,,,123.5,830.28,7
HCPCS,93965,"HC Extremity Study, Complete Bilateral",899.0,899.0,,,0
HCPCS,93970,Extremity study,,,281.87,1275.74,7
HCPCS,93970,HC DUPLEX EXT VEINS; BILAT,1015.0,1015.0,,,0
HCPCS,93971,Extremity study,,,123.5,811.09,7
HCPCS,93971,HC DUPLEX EXT VEINS; UNIL/LIMIT,846.0,846.0,,,0
HCPCS,93975,HC DUPLEX ARTERIAL FLOW; COMPL,1999.0,1999.0,,,0
HCPCS,93975,Vascular study,,,281.87,1734.86,7
HCPCS,93976,HC DUPLEX ARTERIAL FLOW; LIMITED,1933.0,1933.0,,,0
HCPCS,93976,Vascular study,,,123.5,1000.76,7
HCPCS,93978,HC DUPLEX A IVC IL/BPG; COMPL,2032.0,2032.0,,,0
HCPCS,93978,Vascular study,,,281.87,1179.49,7
HCPCS,93979,HC DUPLEX A IVC IL/BPG; UNIL/LIM,2032.0,2032.0,,,0
HCPCS,93979,Vascular study,,,123.5,780.8,7
HCPCS,93980,HC DUPLEX FLOW PENILE V; COMPL,1999.0,1999.0,,,0
HCPCS,93980,Penile vascular study,,,123.5,553.54,7
HCPCS,93981,Penile vascular study,,,123.5,455.71,7
HCPCS,93985,Dup-scan hemo compl bi std,,,281.87,1737.63,7
HCPCS,93986,Dup-scan hemo compl uni std,,,123.5,1011.71,7
HCPCS,93990,Doppler flow testing,,,123.5,1022.73,7
HCPCS,93990,HC DUPLEX HEMODIALYSIS ACCESS,1206.0,1206.0,,,0
HCPCS,93998,Noninvas vasc dx study proc,,,34.17,140.98,5
HCPCS,94002,"DEAC 7/1/2018  HC VENTILATOR MGT, INITIAL DAY NICU > 12 HRS",1054.0,1054.0,,,0
HCPCS,94002,"DEAC 7/1/2018 HC VENTILATOR MGT, INITIAL DAY NICU < 12 HRS",1054.0,1054.0,,,0
HCPCS,94002,"DEAC 7/1/2018 HCVENTILATOR MGT, INITIAL DAY < 12 HRS",1054.0,1054.0,,,0
HCPCS,94002,"DEAC 7/1/2018 HCVENTILATOR MGT, INITIAL DAY > 12 HRS",1054.0,1054.0,,,0
HCPCS,94002,"HC VENTILATOR MGT, INITIAL DAY - ADULT",1410.0,1410.0,,,0
HCPCS,94002,"HC VENTILATOR MGT, INITIAL DAY - NICU",1410.0,1410.0,,,0
HCPCS,94002,Vent mgmt inpat init day,,,232.8,766.31,5
HCPCS,94003,"DEAC 7/1/2018  HC VENTILATOR MGT, SUBSEQ DAY > 12 HRS",872.0,872.0,,,0
HCPCS,94003,"DEAC 7/1/2018 HC VENTILATOR MGT, SUBSEQ DAY < 12 HRS",872.0,872.0,,,0
HCPCS,94003,"DEAC 7/1/2018 HC VENTILATOR MGT, SUBSEQ DAY NICU < 12 HRS",872.0,872.0,,,0
HCPCS,94003,"DEAC 7/1/2018 HC VENTILATOR MGT, SUBSEQ DAY NICU > 12 HRS",872.0,872.0,,,0
HCPCS,94003,"HC VENTILATOR MGT, SUBSEQ DAY - ADULT",1168.0,1168.0,,,0
HCPCS,94003,"HC VENTILATOR MGT, SUBSEQ DAY - NICU",1168.0,1168.0,,,0
HCPCS,94003,Vent mgmt inpat subq day,,,387.57,766.31,5
HCPCS,94010,Breathing capacity test,,,95.43,267.83,5
HCPCS,94010,"DEAC 7/1/2018 HC INCENTIVE SPIROMETRY, INITIAL TX",386.0,386.0,,,0
HCPCS,94010,HC SPIROMETRY,640.0,640.0,,,0
HCPCS,94011,Spirometry up to 2 yrs old,,,152.01,159.61,3
HCPCS,94012,Spirmtry w/brnchdil inf-2 yr,,,255.08,267.83,3
HCPCS,94013,Meas lung vol thru 2 yrs,,,440.83,882.96,5
HCPCS,94014,Patient recorded spirometry,,,137.54,554.12,5
HCPCS,94015,Patient recorded spirometry,,,70.66,267.83,5
HCPCS,94016,Review patient spirometry,,,26.96,76.59,5
HCPCS,94060,Evaluation of wheezing,,,158.15,462.87,5
HCPCS,94060,HC SPIROMETRY W/BRONCHODILATOR,1033.0,1033.0,,,0
HCPCS,94070,Evaluation of wheezing,,,163.56,462.87,5
HCPCS,94150,HC TOTAL VITAL CAPACITY,257.0,257.0,,,0
HCPCS,94150,Vital capacity test,,,66.14,159.61,5
HCPCS,94200,Lung function test (MBC/MVV),,,63.41,73.17,5
HCPCS,94375,HB RESPIRATORY FLOW VOLUME LOOP - NON-MARYLAND,955.0,955.0,,,0
HCPCS,94375,Respiratory flow volume loop,,,101.28,267.83,5
HCPCS,94450,Hypoxia response curve,,,139.43,159.66,5
HCPCS,94452,Hast w/report,,,107.33,165.03,5
HCPCS,94453,Hast w/oxygen titrate,,,157.18,182.73,5
HCPCS,94610,HC SURFACTANT ADMIN THRU TUBE,967.0,967.0,,,0
HCPCS,94610,Surfactant Admin Thru Tube,,,258.69,271.62,3
HCPCS,94617,Exercise tst brncspsm,,,157.18,165.03,3
HCPCS,94617,"HC EXERCISE TEST BRONCHOSPASM, INCL PRE & POST SPIRO,W/ECG & PULSE OX",2585.0,2585.0,,,0
HCPCS,94618,"HC PULM STRESS TEST(6 MINUTE WALK) INC HR,OXIMET,OXY TITR, WHEN PERF",2585.0,2585.0,,,0
HCPCS,94618,Pulmonary stress testing,,,157.18,408.96,5
HCPCS,94619,Exercise tst brncspsm wo ecg,,,69.69,158.07,5
HCPCS,94620,"HC Pulmonary stress test, simple",1345.0,1345.0,,,0
HCPCS,94621,"HC CARDIOPULM EXERCISE TEST, INCL MEASURE MIN VENT, CO2, O2  & ECG",1992.0,1992.0,,,0
HCPCS,94621,Pulm stress test/complex,,,208.52,462.87,5
HCPCS,94625,Phy/qhp op pulm rhb w/o mntr,,,69.69,161.45,5
HCPCS,94626,Phy/qhp op pulm rhb w/mntr,,,69.69,161.45,5
HCPCS,94640,Airway inhalation treatment,,,35.81,271.62,5
HCPCS,94640,"DEAC 7/1/2018 HC INHALATION TX SPAG, INITIAL",109.0,109.0,,,0
HCPCS,94640,"DEAC 7/1/2018 HC INHALATION TX SPAG, SUBSEQ DAY",91.0,91.0,,,0
HCPCS,94640,"DEAC 7/1/2018 HC INHALATION TX, CONT NEB W/BROCH, INITIAL DAY",109.0,109.0,,,0
HCPCS,94640,"DEAC 7/1/2018 HC INHALATION TX, HAND HELD NEB, INITIAL TREATMENT",109.0,109.0,,,0
HCPCS,94640,"DEAC 7/1/2018 HC INHALATION TX, HAND HELD NEB, SUBSEQ TREATMENT",109.0,109.0,,,0
HCPCS,94640,"DEAC 7/1/2018 HC INHALATION TX, MDI, INITIAL DAY",109.0,109.0,,,0
HCPCS,94640,"DEAC 7/1/2018 HC INHALATION TX, MDI, SUBSEQ DAY",120.0,120.0,,,0
HCPCS,94640,HC AIRWAY INHALATION TX - INPATIENT ADMISSION,316.0,316.0,,,0
HCPCS,94640,HC AIRWAY INHALATION TX - OUTPATIENT ENCOUNTER,316.0,316.0,,,0
HCPCS,94640,"HC INHALATION TX, ULTRASONIC NEB, INITIAL DAY",311.0,311.0,,,0
HCPCS,94642,Aerosol inhalation treatment,,,258.69,296.78,5
HCPCS,94642,HC AEROSOL PENTAMIDINE FOR P. CARINII,776.0,776.0,,,0
HCPCS,94644,Cbt 1st hour,,,102.08,165.03,5
HCPCS,94644,"HC CONTINUOUS INHALATION TX, 1ST HOUR",214.0,214.0,,,0
HCPCS,94645,Cbt each addl hour,,,133.28,152.62,2
HCPCS,94645,"HC CONTINUOUS INHALATION TX, EA ADD HOUR",214.0,214.0,,,0
HCPCS,94660,"DEAC 7/1/2018 HC POS AIRWAY PRESSURE CPAP, INITIAL DAY < 12 HRS",925.0,925.0,,,0
HCPCS,94660,"DEAC 7/1/2018 HC POS AIRWAY PRESSURE CPAP, INITIAL DAY > 12 HRS",840.0,840.0,,,0
HCPCS,94660,"DEAC 7/1/2018 HC POS AIRWAY PRESSURE CPAP, SUBSEQ DAY < 12 HRS",839.0,839.0,,,0
HCPCS,94660,"DEAC 7/1/2018 HC POS AIRWAY PRESSURE CPAP, SUBSEQ DAY > 12 HRS",839.0,839.0,,,0
HCPCS,94660,"HC POS AIRWAY PRESSURE CPAP, PER DAY",1123.0,1123.0,,,0
HCPCS,94660,Pos airway pressure cpap,,,152.2,271.62,5
HCPCS,94664,Evaluate pt use of inhaler,,,44.0,271.62,5
HCPCS,94664,HC EVALUATE PT USE OF INHALER/PER DAY,316.0,316.0,,,0
HCPCS,94667,Chest wall manipulation,,,61.26,165.03,5
HCPCS,94667,"DEAC 7/1/2018 HC CHEST PT COMPREHENSIVE, 4 POSITIONS, INITIAL TX",102.0,102.0,,,0
HCPCS,94667,"DEAC 7/1/2018 HC CHEST PT LIMITED, 2 POSITIONS, INITIAL TX",112.0,112.0,,,0
HCPCS,94667,"HC CHEST PT,  INITIAL TX",188.0,188.0,,,0
HCPCS,94668,Chest wall manipulation,,,59.89,165.03,5
HCPCS,94668,"DEAC 7/1/2018 HC CHEST PT COMPREHENSIVE, 4 POSITIONS SUBSEQ TX",230.0,230.0,,,0
HCPCS,94668,"DEAC 7/1/2018 HC CHEST PT LIMITED, 2 POSITIONS, SUBSEQ TX",230.0,230.0,,,0
HCPCS,94668,"HC CHEST PT, SUBSEQ TX",422.0,422.0,,,0
HCPCS,94669,Mechanical chest wall oscill,,,258.69,271.62,3
HCPCS,94680,Exhaled air analysis o2,,,152.01,278.15,5
HCPCS,94681,Exhaled air analysis o2/co2,,,317.14,462.87,5
HCPCS,94690,Exhaled air analysis,,,69.69,271.62,5
HCPCS,94726,Pulm funct tst plethysmograp,,,116.26,462.87,5
HCPCS,94727,HC PULMONARY FUNCTION TEST BY GAS,524.0,524.0,,,0
HCPCS,94727,Pulm function test by gas,,,116.26,267.83,5
HCPCS,94728,Pulm funct test oscillometry,,,111.2,159.61,5
HCPCS,94729,Co/membane diffuse capacity,,,367.34,420.66,2
HCPCS,94729,HC CO/MEMBRANE DIFFUSE CAPACITY,550.0,550.0,,,0
HCPCS,94760,HC PULSE OXIMETRY,509.0,509.0,,,0
HCPCS,94760,Measure blood oxygen level,,,6.27,7.19,2
HCPCS,94761,"HC PULSE OX MULTIPLE, EG EXERCISE",611.0,611.0,,,0
HCPCS,94761,Measure blood oxygen level,,,13.17,15.08,2
HCPCS,94762,HC CONTINUOUS PULSE OX,920.0,920.0,,,0
HCPCS,94762,Measure blood oxygen level,,,62.07,159.61,5
HCPCS,94770,"DEAC 7/1/2018 HC CO EXPIRED GAS BY IR, INITIAL DAY",554.0,554.0,,,0
HCPCS,94770,"DEAC 7/1/2018 HC CO EXPIRED GAS BY IR, SUBSEQ DAY",443.0,443.0,,,0
HCPCS,94772,Breath recording infant,,,106.42,462.87,5
HCPCS,94774,Ped home apnea rec compl,,,106.42,121.86,2
HCPCS,94775,Ped home apnea rec hk-up,,,106.42,159.61,5
HCPCS,94776,Ped home apnea rec downld,,,106.42,159.61,5
HCPCS,94777,Ped home apnea rec report,,,106.42,121.86,2
HCPCS,94780,Car seat/bed test 60 min,,,44.12,46.33,3
HCPCS,94799,"DEAC 7/1/2018 HC CONTINUOUS AEROSOL THERAPY, INITIAL DAY",83.0,83.0,,,0
HCPCS,94799,"DEAC 7/1/2018 HC CONTINUOUS AEROSOL THERAPY, SUBSEQ DAY",28.0,28.0,,,0
HCPCS,94799,"DEAC 7/1/2018 HC HEAT HF NASAL CANNULA, INITIAL DAY < 12 HRS",83.0,83.0,,,0
HCPCS,94799,"DEAC 7/1/2018 HC HEAT HF NASAL CANNULA, INITIAL DAY > 12 HRS",83.0,83.0,,,0
HCPCS,94799,"DEAC 7/1/2018 HC HEAT HF NASAL CANNULA, SUBSEQ DAY < 12 HRS",28.0,28.0,,,0
HCPCS,94799,"DEAC 7/1/2018 HC HEAT HF NASAL CANNULA, SUBSEQ DAY > 12 HRS",28.0,28.0,,,0
HCPCS,94799,"DEAC 7/1/2018 HC OXYGEN THERAPY, INITIAL DAY",83.0,83.0,,,0
HCPCS,94799,"DEAC 7/1/2018 HC OXYGEN THERAPY, SUBSEQ DAY",28.0,28.0,,,0
HCPCS,94799,HC BEDSIDE PULMONARY MECHANICS,257.0,257.0,,,0
HCPCS,94799,HC BRONCHOSCOPY RESP COMPONENT,3351.0,3351.0,,,0
HCPCS,94799,HC CO2 EXPIRED GAS BY IR / PER DAY,1015.0,1015.0,,,0
HCPCS,94799,"HC SMH CONTINUOUS AEROSOL THERAPY, INITIAL DAY",200.0,200.0,,,0
HCPCS,94799,"HC SMH CONTINUOUS AEROSOL THERAPY, SUBSEQ DAY",200.0,200.0,,,0
HCPCS,94799,"HC SMH HEAT HF NASAL CANNULA, INITIAL DAY",200.0,200.0,,,0
HCPCS,94799,"HC SMH HEAT HF NASAL CANNULA, SUBSEQ DAY",200.0,200.0,,,0
HCPCS,94799,"HC SMH OXYGEN THERAPY, INITIAL DAY",200.0,200.0,,,0
HCPCS,94799,"HC SMH OXYGEN THERAPY, SUBSEQ DAY",200.0,200.0,,,0
HCPCS,94799,"HC TRACHEOSTOMY TUBE CARE, NON-VENT",257.0,257.0,,,0
HCPCS,94799,Pulmonary service/procedure,,,102.03,159.61,5
HCPCS,95004,Percut allergy skin tests,,,12.23,1065.19,5
HCPCS,95012,Exhaled Nitric Oxide Meas,,,44.12,67.17,5
HCPCS,95017,Perq & icut allg test venoms,,,34.17,55.81,5
HCPCS,95018,Perq&ic allg test drugs/biol,,,44.12,55.81,5
HCPCS,95024,Icut allergy test drug/bug,,,17.91,73.17,5
HCPCS,95027,Icut allergy titrate-airborn,,,17.91,35.88,5
HCPCS,95028,Icut allergy test-delayed,,,26.98,46.33,5
HCPCS,95044,Allergy patch tests,,,41.47,1065.19,5
HCPCS,95052,Photo patch test,,,29.26,73.17,5
HCPCS,95056,Photosensitivity tests,,,20.16,165.03,5
HCPCS,95060,Eye allergy tests,,,41.47,165.03,5
HCPCS,95065,Nose allergy test,,,23.58,46.33,5
HCPCS,95070,Bronchial allergy tests,,,260.6,462.87,5
HCPCS,95076,Ingest challenge ini 120 min,,,126.6,462.87,5
HCPCS,95079,Ingest challenge addl 60 min,,,126.6,144.98,2
HCPCS,95115,Immunotherapy one injection,,,55.32,58.08,3
HCPCS,95117,Immunotherapy injections,,,55.32,72.19,5
HCPCS,95144,Antigen therapy services,,,55.32,58.08,3
HCPCS,95145,Antigen therapy services,,,55.32,58.08,3
HCPCS,95146,Antigen therapy services,,,55.32,58.08,3
HCPCS,95147,Antigen therapy services,,,85.06,89.31,3
HCPCS,95148,Antigen therapy services,,,85.06,89.31,3
HCPCS,95149,Antigen therapy services,,,85.06,89.31,3
HCPCS,95165,Antigen therapy services,,,55.32,58.08,3
HCPCS,95170,Antigen therapy services,,,55.32,58.08,3
HCPCS,95199,Allergy immunology services,,,34.17,35.88,3
HCPCS,95249,Cont gluc mntr pt prov eqp,,,69.69,73.17,3
HCPCS,95250,Glucose monitoring cont,,,157.28,443.95,5
HCPCS,95251,Gluc monitor cont phys i&r,,,106.52,121.98,2
HCPCS,95700,Eeg cont rec w/vid eeg tech,,,255.08,2410.08,5
HCPCS,95700,HC EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,1569.0,1569.0,,,0
HCPCS,95705,Eeg w/o vid 2-12 hr unmntr,,,255.08,2410.08,5
HCPCS,95705,HC EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,1569.0,1569.0,,,0
HCPCS,95706,Eeg wo vid 2-12hr intmt mntr,,,255.08,2410.08,5
HCPCS,95706,HC EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR,1759.0,1759.0,,,0
HCPCS,95707,Eeg w/o vid 2-12hr cont mntr,,,255.08,2410.08,5
HCPCS,95707,HC EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS REAL-TIME MNTR,1954.0,1954.0,,,0
HCPCS,95708,Eeg wo vid ea 12-26hr unmntr,,,440.83,2410.08,5
HCPCS,95708,HC EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED,2247.0,2247.0,,,0
HCPCS,95709,Eeg w/o vid ea 12-26hr intmt,,,440.83,2410.08,5
HCPCS,95709,HC EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR,2538.0,2538.0,,,0
HCPCS,95710,Eeg w/o vid ea 12-26hr cont,,,440.83,2410.08,5
HCPCS,95710,HC EEG W/O VID TECH EA INCR 12-26 HR CONT REAL-TIME MNTR,4213.0,4213.0,,,0
HCPCS,95711,HC VEEG BY TECH 2-12 HOURS UNMONITORED,1569.0,1569.0,,,0
HCPCS,95711,Veeg 2-12 hr unmonitored,,,255.08,2410.08,5
HCPCS,95712,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,1759.0,1759.0,,,0
HCPCS,95712,Veeg 2-12 hr intmt mntr,,,440.83,2410.08,5
HCPCS,95713,HC VEEG BY TECH 2-12 HR CONTINUOUS REAL-TIME MONITORING,2999.0,2999.0,,,0
HCPCS,95713,Veeg 2-12 hr cont mntr,,,440.83,2410.08,5
HCPCS,95714,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,2999.0,2999.0,,,0
HCPCS,95714,Veeg ea 12-26 hr unmntr,,,440.83,2410.08,5
HCPCS,95715,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,3383.0,3383.0,,,0
HCPCS,95715,Veeg ea 12-26hr intmt mntr,,,440.83,2410.08,5
HCPCS,95716,HC VEEG BY TECH EA INCR 12-26 HR CONT REAL-TIME MNTR,5613.0,5613.0,,,0
HCPCS,95716,Veeg ea 12-26hr cont mntr,,,1014.47,2410.08,5
HCPCS,95717,Eeg phys/qhp 2-12 hr w/o vid,,,2104.58,2410.08,2
HCPCS,95718,Eeg phys/qhp 2-12 hr w/veeg,,,2104.58,2410.08,2
HCPCS,95719,Eeg phys/qhp ea incr w/o vid,,,2104.58,2410.08,2
HCPCS,95720,Eeg phy/qhp ea incr w/veeg,,,2104.58,2410.08,2
HCPCS,95721,Eeg phy/qhp>36<60 hr w/o vid,,,2104.58,2410.08,2
HCPCS,95722,Eeg phy/qhp>36<60 hr w/veeg,,,2104.58,2410.08,2
HCPCS,95723,Eeg phy/qhp>60<84 hr w/o vid,,,2104.58,2410.08,2
HCPCS,95724,Eeg phy/qhp>60<84 hr w/veeg,,,2104.58,2410.08,2
HCPCS,95725,Eeg phy/qhp>84 hr w/o vid,,,2104.58,2410.08,2
HCPCS,95726,Eeg phy/qhp>84 hr w/veeg,,,2104.58,2410.08,2
HCPCS,95782,HC POLYSOM <6 YRS 4> PARAMETERS,3837.0,3837.0,,,0
HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,1014.47,2289.41,5
HCPCS,95783,HC POLYSOM <6 YRS CPAP/BILVL,3837.0,3837.0,,,0
HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,1014.47,2289.41,5
HCPCS,95800,"HC SLEEP STUDY - UNATTD, SIMULT REC & SLEEP TIME",924.0,924.0,,,0
HCPCS,95800,Slp stdy unattended,,,255.08,267.83,3
HCPCS,95801,"HC SLEEP STUDY - UNATTENDED, SIMULTANEOUS  RECORDING",924.0,924.0,,,0
HCPCS,95801,Slp stdy unatnd w/anal,,,69.69,73.17,3
HCPCS,95803,Actigraphy testing,,,69.69,121.98,5
HCPCS,95805,HC MSLT- SLEEP LATENCY,3612.0,3612.0,,,0
HCPCS,95805,Multiple sleep latency test,,,1014.47,2499.17,5
HCPCS,95806,HC SLEEP STUDY UNATTENDED & RESP EFFORT,1290.0,1290.0,,,0
HCPCS,95806,Sleep study unatt&resp efft,,,255.08,658.26,5
HCPCS,95807,Sleep study attended,,,440.83,1777.93,5
HCPCS,95808,Polysom any age 1-3> param,,,1014.47,2068.91,5
HCPCS,95810,HC POLYSOMNOGRAPHY W/4> PARAM,6833.0,6833.0,,,0
HCPCS,95810,Polysom 6/> yrs 4/> param,,,1014.47,2730.21,5
HCPCS,95811,"HC CPAP- SLEEP STAGING, >4 PAR",7670.0,7670.0,,,0
HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,1014.47,2983.7,5
HCPCS,95812,Eeg 41-60 minutes,,,255.08,662.83,5
HCPCS,95812,HC EXTENDED EEG 41-60 MIN,1372.0,1372.0,,,0
HCPCS,95813,Eeg over 1 hour,,,255.08,868.93,5
HCPCS,95816,Eeg awake and drowsy,,,255.08,620.23,5
HCPCS,95816,HC EEG AWAKE & DROWSY,920.0,920.0,,,0
HCPCS,95819,Eeg awake and asleep,,,255.08,525.31,5
HCPCS,95819,HC EEG AWAKE & ASLEEP,920.0,920.0,,,0
HCPCS,95822,Eeg coma or sleep only,,,255.08,738.94,5
HCPCS,95822,HC EEG-SLEEP ONLY,920.0,920.0,,,0
HCPCS,95824,Eeg cerebral death only,,,440.83,775.92,5
HCPCS,95824,HC EEG; CEREBRAL SILENCE,1055.0,1055.0,,,0
HCPCS,95829,Surgery electrocorticogram,,,4174.36,4780.32,2
HCPCS,95830,Insert electrodes for EEG,,,550.71,630.65,2
HCPCS,95851,Range of motion measurements,,,7.18,24.45,5
HCPCS,95852,Range of motion measurements,,,5.42,17.84,5
HCPCS,95857,Cholinesterase challenge,,,72.17,267.83,5
HCPCS,95860,HC EMG- ONE EXTREMITY,339.0,339.0,,,0
HCPCS,95860,Muscle test one limb,,,157.18,299.99,5
HCPCS,95861,HC EMG-TWO EXTREMITIES,440.0,440.0,,,0
HCPCS,95861,Muscle test 2 limbs,,,157.18,371.13,5
HCPCS,95863,HC EMG-THREE EXTREMITIES,560.0,560.0,,,0
HCPCS,95863,Muscle test 3 limbs,,,152.01,452.3,5
HCPCS,95864,Muscle test 4 limbs,,,152.01,591.15,5
HCPCS,95865,Muscle test larynx,,,157.18,357.16,5
HCPCS,95866,Muscle test hemidiaphragm,,,152.01,293.09,5
HCPCS,95867,Muscle test cran nerv unilat,,,189.57,267.83,5
HCPCS,95868,Muscle test cran nerve bilat,,,255.08,301.49,5
HCPCS,95869,Muscle test thor paraspinal,,,81.96,267.83,5
HCPCS,95870,Muscle test nonparaspinal,,,81.96,165.03,5
HCPCS,95872,Muscle test one fiber,,,255.08,342.22,5
HCPCS,95875,Limb exercise test,,,152.01,323.67,5
HCPCS,95900,"HC NRV CONDUCTION, MOTOR-EA NERVE",138.0,138.0,,,0
HCPCS,95903,HC NCV EA MOTOR NERVE; W F-WAVE,809.0,809.0,,,0
HCPCS,95904,HC NCV EA SENSORY NERVE,809.0,809.0,,,0
HCPCS,95905,Motor &/ sens nrve cndj test,,,527.74,871.6,5
HCPCS,95907,Nvr cndj tst 1-2 studies,,,175.19,267.83,5
HCPCS,95908,Nrv cndj tst 3-4 studies,,,175.19,267.83,5
HCPCS,95909,Nrv cndj tst 5-6 studies,,,175.19,267.83,5
HCPCS,95910,Nrv cndj test 7-8 studies,,,175.19,462.87,5
HCPCS,95911,Nrv cndj test 9-10 studies,,,175.19,462.87,5
HCPCS,95912,Nrv cndj test 11-12 studies,,,175.19,462.87,5
HCPCS,95913,Nrv cndj test 13/> studies,,,175.19,462.87,5
HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,157.18,165.03,3
HCPCS,95921,Autonomic nrv parasym inervj,,,152.01,199.91,5
HCPCS,95922,Autonomic nrv adrenrg inervj,,,157.18,216.78,5
HCPCS,95923,Autonomic nrv syst funj test,,,157.18,360.82,5
HCPCS,95924,Ans parasymp & symp w/tilt,,,197.98,267.83,5
HCPCS,95925,HC SLS-EPS; PERIPH NRV; UPPER LIMBS,985.0,985.0,,,0
HCPCS,95925,Somatosensory testing,,,190.24,267.83,5
HCPCS,95926,HC SLS-EPS; PERIPH NRV; LOWER LIMBS,985.0,985.0,,,0
HCPCS,95926,Somatosensory testing,,,190.51,267.83,5
HCPCS,95927,Somatosensory testing,,,192.77,267.83,5
HCPCS,95928,C motor evoked uppr limbs,,,498.6,1065.19,5
HCPCS,95929,C motor evoked lwr limbs,,,440.83,595.69,5
HCPCS,95930,"HC VISUAL EVOKED POTENTIAL, CHECKERBD/FLASH TEST, CNS, EXCEPT GLAUCOMA",577.0,577.0,,,0
HCPCS,95930,Visual evoked potential test,,,255.08,333.73,5
HCPCS,95933,Blink reflex test,,,69.69,209.19,5
HCPCS,95937,Neuromuscular junction test,,,141.16,161.65,5
HCPCS,95938,Somatosensory testing,,,1014.47,1065.19,3
HCPCS,95939,C motor evoked upr&lwr limbs,,,1014.47,1065.19,3
HCPCS,95940,Ionm in operatng room 15 min,,,417.11,477.66,2
HCPCS,95941,Ionm remote/>1 pt or per hr,,,417.11,477.66,2
HCPCS,95951,HC EEG 16/> CH; EA 24 HRS,4832.0,4832.0,,,0
HCPCS,95954,EEG monitoring/giving drugs,,,440.83,844.22,5
HCPCS,95955,EEG during surgery,,,382.99,438.58,2
HCPCS,95957,EEG digital analysis,,,504.73,578.0,2
HCPCS,95958,EEG monitoring/function test,,,845.33,1065.19,5
HCPCS,95961,Electrode stimulation brain,,,638.4,1065.19,5
HCPCS,95962,Electrode stim brain add-on,,,656.95,752.32,2
HCPCS,95965,Meg spontaneous,,,586.1,1065.19,5
HCPCS,95966,Meg evoked single,,,586.1,1065.19,5
HCPCS,95967,Meg evoked each addl,,,586.1,671.18,2
HCPCS,95970,Analyze neurostim no prog,,,59.07,165.03,5
HCPCS,95971,Analyze neurostim simple,,,107.83,123.48,5
HCPCS,95971,HC ANALYZE NEUROSTIM SIMPLE,193.0,193.0,,,0
HCPCS,95972,Analyze neurostim complex,,,112.31,234.3,5
HCPCS,95981,Io anal gast n-stim subsq,,,69.69,226.72,5
HCPCS,95983,Alys brn npgt prgrmg 15 min,,,112.31,535.37,5
HCPCS,95984,Alys brn npgt prgrmg addl 15,,,467.5,535.37,2
HCPCS,95990,HC REFILL & MAINTENANCE IMPLANT PUMP/RESERVOIR - DRUG DLVR SPINAL/BRAIN,889.0,889.0,,,0
HCPCS,95990,Spin/brain pump refil & main,,,390.2,409.72,3
HCPCS,95991,HC SPINE/BRAIN PUMP REFILL PHYS,993.0,993.0,,,0
HCPCS,95991,Spin/brain pump refil & main,,,362.62,380.75,3
HCPCS,95992,DEAC 1/1/2020 HC CANALITH REPOSITIONIONG PROCEDURE,200.0,200.0,,,0
HCPCS,95999,Neurological procedure,,,152.01,159.61,3
HCPCS,96000,Motion analysis video/3d,,,232.1,462.87,5
HCPCS,96001,Motion test w/ft press meas,,,273.77,1065.19,5
HCPCS,96002,Dynamic surface emg,,,54.41,267.83,5
HCPCS,96003,Dynamic fine wire emg,,,47.39,54.27,2
HCPCS,96004,Phys review of motion tests,,,296.63,339.69,2
HCPCS,96020,Functional Brain Mapping,,,296.63,339.69,2
HCPCS,96040,DEAC 01/01/2025 HC GENETIC COUNSELING 30 MIN,786.0,786.0,,,0
HCPCS,96040,HC GENETIC COUNSELING ADDITIONAL 30 MIN,272.0,272.0,,,0
HCPCS,96040,HC GENETIC COUNSELING FIRST 30 MIN,428.0,428.0,,,0
HCPCS,96041,"HC GENETIC COUNSELING EA 30 MIN, TOTAL TIME, ENCOUNTER DATE",714.0,714.0,,,0
HCPCS,96105,Assessment of aphasia,,,107.14,112.5,3
HCPCS,96105,HC APHASIA ASSESMENT EACH HR,924.0,924.0,,,0
HCPCS,96110,Developmental screen w/score,,,36.23,41.49,2
HCPCS,96112,Devel tst phys/qhp 1st hr,,,152.01,159.61,3
HCPCS,96116,Neurobehavioral status exam,,,242.0,277.13,5
HCPCS,96125,Cognitive test by hc pro,,,114.06,119.76,3
HCPCS,96125,HC COGNITIVE ASSESSMENT BY HC PRO PER HR,676.0,676.0,,,0
HCPCS,96127,Brief emotional/behav assmt,,,44.12,46.33,3
HCPCS,96130,Psycl tst eval phys/qhp 1st,,,63.76,267.83,5
HCPCS,96131,Psycl tst eval phys/qhp ea,,,63.76,73.02,2
HCPCS,96132,Nrpsyc tst eval phys/qhp 1st,,,63.76,462.87,5
HCPCS,96133,Nrpsyc tst eval phys/qhp ea,,,63.76,73.02,2
HCPCS,96136,Psycl/nrpsyc tst phy/qhp 1st,,,63.76,165.03,5
HCPCS,96137,Psycl/nrpsyc tst phy/qhp ea,,,63.76,73.02,2
HCPCS,96138,Psycl/nrpsyc tech 1st,,,63.76,554.12,5
HCPCS,96139,Psycl/nrpsyc tst tech ea,,,63.76,73.02,2
HCPCS,96146,Psycl/nrpsyc tst auto result,,,34.17,73.02,5
HCPCS,96156,Hlth bhv assmt/reassessment,,,57.86,126.01,5
HCPCS,96158,Hlth bhv ivntj indiv 1st 30,,,59.74,220.17,5
HCPCS,96164,Hlth bhv ivntj grp 1st 30,,,12.47,46.48,5
HCPCS,96165,Hlth bhv ivntj grp ea addl,,,12.47,14.29,2
HCPCS,96167,Hlth bhv ivntj fam 1st 30,,,44.26,61.8,5
HCPCS,96168,Hlth bhv ivntj fam ea addl,,,53.96,61.8,2
HCPCS,96170,Hlth bhv ivntj fam wo pt 1st,,,59.4,68.02,2
HCPCS,96171,Hlth bhv ivntj fam w/o pt ea,,,59.4,68.02,2
HCPCS,96202,Mlt fam grp bhv train 1st 60,,,18.66,19.59,3
HCPCS,96203,Mlt fam grp bhv train ea add,,,5.38,5.65,3
HCPCS,96360,HC HYDRATION IV INFUSION 1ST HOUR,484.0,484.0,,,0
HCPCS,96360,Hydration iv infusion init,,,251.28,551.47,5
HCPCS,96361,HC HYDRATION IV INFUSION ADDL 0.5 HOUR,58.0,58.0,,,0
HCPCS,96361,HC HYDRATION IV INFUSION EACH ADDL HOUR,177.0,177.0,,,0
HCPCS,96361,Hydrate iv infusion add-on,,,55.32,146.94,5
HCPCS,96365,HC IV INFUSION DRUG THERAPY 0.5 HOUR LEVEL 1,442.0,442.0,,,0
HCPCS,96365,HC IV INFUSION DRUG THERAPY 1ST HOUR,828.0,828.0,,,0
HCPCS,96365,HC IV INFUSION DRUG THERAPY 1ST HOUR LEVEL 1,485.0,485.0,,,0
HCPCS,96365,HC IV INFUSION DRUG THERAPY 1ST HOUR LEVEL 2,638.0,638.0,,,0
HCPCS,96365,HC IV INFUSION DRUG THERAPY 1ST HOUR LEVEL 3,750.0,750.0,,,0
HCPCS,96365,HC IV INFUSION DRUG THERAPY HOURS LEVEL 3,638.0,638.0,,,0
HCPCS,96365,Ther/proph/diag iv inf init,,,251.28,774.24,5
HCPCS,96366,HC INFUSION DRUG THERAPY EA ADDL HOUR,368.0,368.0,,,0
HCPCS,96366,HC INFUSION DRUG THERAPY EA ADDL HOUR LEVEL 1,87.0,87.0,,,0
HCPCS,96366,HC INFUSION DRUG THERAPY EA ADDL HOUR LEVEL 2,191.0,191.0,,,0
HCPCS,96366,Ther/proph/diag iv inf addon,,,55.32,178.07,5
HCPCS,96367,"HC HC IV INFUSION, ADDL SEQ UP TO 1 HOUR LEVEL 3",226.0,226.0,,,0
HCPCS,96367,"HC IV INFUSION, ADDL SEQ 0.5 HOUR LEVEL 1",44.0,44.0,,,0
HCPCS,96367,"HC IV INFUSION, ADDL SEQ 0.5 HOUR LEVEL 2",96.0,96.0,,,0
HCPCS,96367,"HC IV INFUSION, ADDL SEQ UP TO 1 HOUR",241.5,241.5,,,0
HCPCS,96367,"HC IV INFUSION, ADDL SEQ UP TO 1 HOUR LEVEL 1",87.0,87.0,,,0
HCPCS,96367,"HC IV INFUSION, ADDL SEQ UP TO 1 HOUR LEVEL 2",191.0,191.0,,,0
HCPCS,96367,Tx/proph/dg addl seq iv inf,,,85.06,89.31,3
HCPCS,96368,"HC IV INFUSION, CONCURRENT",241.5,241.5,,,0
HCPCS,96368,"HC IV INFUSION, CONCURRENT LEVEL 1",87.0,87.0,,,0
HCPCS,96368,"HC IV INFUSION, CONCURRENT LEVEL 2",191.0,191.0,,,0
HCPCS,96368,"HC IV INFUSION, CONCURRENT LEVEL 3",226.0,226.0,,,0
HCPCS,96369,Sc ther infusion up to 1 hr,,,251.28,789.01,5
HCPCS,96370,Sc ther infusion addl hr,,,55.32,494.33,5
HCPCS,96371,Sc ther infusion reset pump,,,85.06,89.31,3
HCPCS,96372,"HC THER/PROPH/DIAG INJ, SC/IM",126.0,126.0,,,0
HCPCS,96372,Ther/proph/diag inj sc/im,,,85.06,175.74,5
HCPCS,96373,Ther/proph/diag inj ia,,,251.28,333.08,5
HCPCS,96374,"HC THER/PROPH/DIAG INJ, IV PUSH",287.0,287.0,,,0
HCPCS,96374,Ther/proph/diag inj iv push,,,251.28,331.43,5
HCPCS,96375,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW",215.0,215.0,,,0
HCPCS,96375,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW DRUG 1",170.0,170.0,,,0
HCPCS,96375,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW DRUG 2",170.0,170.0,,,0
HCPCS,96375,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW DRUG 3",170.0,170.0,,,0
HCPCS,96375,Tx/pro/dx inj new drug addon,,,55.32,200.05,5
HCPCS,96376,"HC TX/PRO/DX INJ EA ADDL SEQ, SAME",90.0,90.0,,,0
HCPCS,96377,Applicaton on-body injector,,,55.32,1866.0,5
HCPCS,96377,HC APPLICATION OF ON-BODY INJECTOR FOR TIMED SUBQ INJECTION,251.0,251.0,,,0
HCPCS,96379,Ther/prop/diag inj/inf proc,,,55.32,58.08,3
HCPCS,96380,HC ADM RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP,133.0,133.0,,,0
HCPCS,96381,HC ADM RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,133.0,133.0,,,0
HCPCS,96401,Chemo anti-neopl sq/im,,,85.06,111.13,5
HCPCS,96401,"HC CHEMOTHERAPY ADMIN, IM/SQ, NON-HORMONAL",516.0,516.0,,,0
HCPCS,96402,Chemo hormon antineopl sq/im,,,85.06,111.13,5
HCPCS,96402,Eligard: 1 Syringe In 1 Carton (62935-461-50)  / .375 Ml In 1 Syringe,288.0,288.0,,,0
HCPCS,96402,"HC CHEMOTHERAPY ADMIN, IM/SQ, HORMONAL",117.0,117.0,,,0
HCPCS,96405,Chemo intralesional up to 7,,,85.06,111.13,5
HCPCS,96405,HC CHEMO INTRALESIONAL UP TO 7,381.0,381.0,,,0
HCPCS,96406,Chemo intralesional over 7,,,251.28,415.32,5
HCPCS,96406,HC CHEMO INTRALESIONAL OVER 7,660.0,660.0,,,0
HCPCS,96409,Chemo iv push sngl drug,,,362.68,415.32,5
HCPCS,96409,"HC CHEMOTHERAPY ADMIN, IVP, SINGLE/INITIAL",495.0,495.0,,,0
HCPCS,96411,Chemo iv push addl drug,,,85.06,212.12,5
HCPCS,96411,"HC CHEMOTHERAPY ADMIN, IVP EA ADDL",662.0,662.0,,,0
HCPCS,96413,Chemo iv infusion 1 hr,,,390.2,621.11,5
HCPCS,96413,"HC CHEMOTHERAPY IV INFUSION, 1ST 0.5 HR",582.0,582.0,,,0
HCPCS,96413,"HC CHEMOTHERAPY IV INFUSION, 1ST HR",678.0,678.0,,,0
HCPCS,96415,Chemo iv infusion addl hr,,,85.06,111.13,5
HCPCS,96415,"HC CHEMOTHERAPY IV INFUSION, EA ADDL HR",357.5,357.5,,,0
HCPCS,96416,Chemo prolong infuse w/pump,,,390.2,409.72,3
HCPCS,96416,HC CHEMO PROLONG 8+ HRS INFUSE W/PUMP,4460.0,4460.0,,,0
HCPCS,96417,Chemo iv infus each addl seq,,,85.06,192.32,5
HCPCS,96417,"HC CHEMOTHERAPY IV INFUSION, EA ADDL SEQ",442.0,442.0,,,0
HCPCS,96420,Chemo ia push tecnique,,,185.23,409.72,5
HCPCS,96420,"HC CHEMOTHERAPY ADM, INTRA-ARTERIAL; PUSH TECHNIQUE",2161.0,2161.0,,,0
HCPCS,96422,Chemo ia infusion up to 1 hr,,,390.2,654.62,5
HCPCS,96423,Chemo ia infuse each addl hr,,,55.32,212.12,5
HCPCS,96425,Chemotherapy infusion method,,,390.2,654.62,5
HCPCS,96425,"HC CHEMOTHER, IA INFUSION TECH >8 HOURS",1318.0,1318.0,,,0
HCPCS,96440,Chemotherapy intracavitary,,,362.68,415.32,5
HCPCS,96446,Chemotx admn prtl cavity,,,362.68,415.32,5
HCPCS,96446,"HC CHEMOTHERAPY ADMIN, PERITONEAL VIA INDWELLING PORT OR CATH",1237.0,1237.0,,,0
HCPCS,96450,Chemotherapy into cns,,,390.2,654.62,5
HCPCS,96450,"HC CHEMOTHERAPY ADMIN, CNS W/LP",1209.0,1209.0,,,0
HCPCS,96521,HC REFILL/MAINT PORTABLE PUMP,1862.0,1862.0,,,0
HCPCS,96521,Refill/maint portable pump,,,251.28,415.32,5
HCPCS,96522,HC REFILL & MAINTENANCE IMPLANT PUMP/RESERVOIR - DRUG DLVR SYSTEMIC,903.0,903.0,,,0
HCPCS,96522,Refill/maint pump/resvr syst,,,251.28,415.32,5
HCPCS,96523,HC IRRIGATION OF IMPLANTED VAD,210.0,210.0,,,0
HCPCS,96523,Irrig drug delivery device,,,69.69,139.53,5
HCPCS,96542,Chemotherapy injection,,,390.2,409.72,3
HCPCS,96549,Chemotherapy unspecified,,,55.32,58.08,3
HCPCS,96567,Photodynamic tx skin,,,237.02,248.87,3
HCPCS,96573,Pdt dstr prmlg les phys/qhp,,,237.02,248.87,3
HCPCS,96574,Dbrdmt prmlg les w/pdt,,,237.02,1866.0,5
HCPCS,96900,Ultraviolet light therapy,,,44.12,405.15,5
HCPCS,96910,Photochemotherapy with UV-B,,,69.69,73.17,3
HCPCS,96912,HC PHOTOCHEMOTHERAPY PUVA,319.0,319.0,,,0
HCPCS,96912,Photochemotherapy with UV-A,,,69.69,73.17,3
HCPCS,96913,Photochemotherapy uv-a or b,,,480.23,504.25,3
HCPCS,96920,Laser tx skin < 250 sq cm,,,237.02,1866.0,5
HCPCS,96921,Laser tx skin 250-500 sq cm,,,237.02,1866.0,5
HCPCS,96922,Laser tx skin >500 sq cm,,,480.23,1866.0,5
HCPCS,96999,Dermatological procedure,,,237.02,248.87,3
HCPCS,97002,HC PHYSICAL THERAPY RE-EVALUATION,463.0,463.0,,,0
HCPCS,97004,HC OCCUPATIONAL THERAPY RE -EVALUATION,463.0,463.0,,,0
HCPCS,97010,HC HOT OR COLD PACKS THERAPY,79.0,79.0,,,0
HCPCS,97012,HC MECHANICAL TRACTION THERAPY,204.0,204.0,,,0
HCPCS,97012,Mechanical traction therapy,,,15.9,111.0,5
HCPCS,97014,Electric stimulation therapy,,,92.32,102.68,2
HCPCS,97016,HC VASOPNEUMATIC DEVICE THERAPY,228.0,228.0,,,0
HCPCS,97016,Vasopneumatic device therapy,,,13.4,119.33,5
HCPCS,97018,HC PARAFFIN BATH THERAPY,238.0,238.0,,,0
HCPCS,97018,Paraffin bath therapy,,,6.81,105.45,5
HCPCS,97022,HC WHIRLPOOL THERAPY,379.0,379.0,,,0
HCPCS,97022,Whirlpool therapy,,,17.77,111.0,5
HCPCS,97024,Diathermy eg microwave,,,8.39,94.35,5
HCPCS,97026,HC INFRARED THERAPY,19.0,19.0,,,0
HCPCS,97026,Infrared therapy,,,7.6,7.98,3
HCPCS,97028,Ultraviolet therapy,,,9.48,102.68,5
HCPCS,97032,Electrical stimulation,,,16.26,99.9,5
HCPCS,97032,HC ELECTRICAL STIMULATION EA 15 MINS,228.0,228.0,,,0
HCPCS,97033,Electric current therapy,,,21.33,113.78,5
HCPCS,97033,HC IONTOPHORESIS THERAPY EA 15 MINS,228.0,228.0,,,0
HCPCS,97034,Contrast bath therapy,,,15.63,91.58,5
HCPCS,97034,HC CONTRAST BATH THERAPY EA 15 MINS,265.0,265.0,,,0
HCPCS,97035,HC ULTRASOUND THERAPY EA 15 MINS,228.0,228.0,,,0
HCPCS,97035,Ultrasound therapy,,,16.03,94.35,5
HCPCS,97036,Hydrotherapy,,,39.74,133.2,5
HCPCS,97037,Appl modality 1+lllt po pain,,,44.12,212.34,5
HCPCS,97110,HC THERAPEUTIC EXERCISES EA 15 MINS,228.0,228.0,,,0
HCPCS,97110,Therapeutic exercises,,,32.35,133.2,5
HCPCS,97112,HC NEUROMUSCULAR REEDUCATION EA 15 MINS,228.0,228.0,,,0
HCPCS,97112,Neuromuscular reeducation,,,36.47,127.65,5
HCPCS,97113,Aquatic therapy/exercises,,,41.66,155.4,5
HCPCS,97113,HC AQUATIC THERAPY/EXERCISE EA 15 MINS,228.0,228.0,,,0
HCPCS,97116,Gait training therapy,,,32.35,122.1,5
HCPCS,97116,HC GAIT TRAINING THERAPY EA 15 MINS,228.0,228.0,,,0
HCPCS,97124,HC MASSAGE THERAPY EA 15 MINS,134.0,134.0,,,0
HCPCS,97124,Massage therapy,,,33.55,111.0,5
HCPCS,97129,HC THER INTERV COG FUNCT/COMP STRATG; DIR CONTACT; 1ST 15 MIN,214.0,214.0,,,0
HCPCS,97129,Ther ivntj 1st 15 min,,,21.12,197.03,5
HCPCS,97130,HC THER INTERV COG FUNCT/COMP STRATG; DIR CONTACT; EA ADDL 15 MIN,214.0,214.0,,,0
HCPCS,97130,Ther ivntj ea addl 15 min,,,19.65,20.63,3
HCPCS,97140,HC MANUAL THERAPY EA 15 MINS,153.5,153.5,,,0
HCPCS,97140,Manual therapy 1/> regions,,,30.85,122.1,5
HCPCS,97150,"DEAC 7/1/2023 HC THERAPUETIC REHAB GROUP (2,3,4 PTS)",144.0,144.0,,,0
HCPCS,97150,Group therapeutic procedures,,,20.02,105.45,5
HCPCS,97150,HC THERAPEUTIC REHAB GROUP 2 OR MORE,159.0,159.0,,,0
HCPCS,97161,HC PT EVAL LOW COMPLEXITY,380.0,380.0,,,0
HCPCS,97161,Pt eval low complex 20 min,,,108.88,333.0,5
HCPCS,97162,HC PT EVAL MODERATE COMPLEXITY,553.0,553.0,,,0
HCPCS,97162,Pt eval mod complex 30 min,,,108.88,333.0,5
HCPCS,97163,HC PT EVAL HIGH COMPLEXITY,729.0,729.0,,,0
HCPCS,97163,Pt eval high complex 45 min,,,108.88,333.0,5
HCPCS,97164,HC PT RE-EVAL EST PLAN CARE,737.0,737.0,,,0
HCPCS,97164,Pt re-eval est plan care,,,75.48,183.15,5
HCPCS,97165,HC OT EVAL LOW COMPLEXITY,380.0,380.0,,,0
HCPCS,97165,Ot eval low complex 30 min,,,112.03,333.0,5
HCPCS,97166,HC OT EVAL MOD COMPLEXITY,553.0,553.0,,,0
HCPCS,97166,Ot eval mod complex 45 min,,,112.03,333.0,5
HCPCS,97167,HC OT EVAL HIGH COMPLEXITY,729.0,729.0,,,0
HCPCS,97167,Ot eval high complex 60 min,,,112.03,333.0,5
HCPCS,97168,HC OT RE-EVAL EST PLAN CARE,737.0,737.0,,,0
HCPCS,97168,Ot re-eval est plan care,,,76.66,183.15,5
HCPCS,97169,Athletic trn eval low cmplx,,,241.72,268.84,2
HCPCS,97170,Athletic trn eval mod cmplx,,,241.72,268.84,2
HCPCS,97171,Athletic trn eval high cmplx,,,241.72,268.84,2
HCPCS,97172,Athletic trn re-eval plan cr,,,241.72,268.84,2
HCPCS,97530,HC THERAPEUTIC ACTIVITY DIR EA 15 MINS,265.0,265.0,,,0
HCPCS,97530,Therapeutic activities,,,39.47,144.3,5
HCPCS,97532,HC COGNITIVE SKILLS DEVELOPMENT EA 15 MINS,174.0,174.0,,,0
HCPCS,97533,HC SENSORY INTEGRATION EA 15 MINS,265.0,265.0,,,0
HCPCS,97533,Sensory Integration,,,69.6,160.01,5
HCPCS,97535,HC ADL/SELF HOME MGMT EA 15 MINS,265.0,265.0,,,0
HCPCS,97535,Self care mngment training,,,36.28,133.2,5
HCPCS,97537,Community/work reintegration,,,35.76,133.2,5
HCPCS,97542,HC WHEELCHAIR MGMT TRAINING EA 15 MINS,265.0,265.0,,,0
HCPCS,97542,Wheelchair mngment training,,,34.58,111.0,5
HCPCS,97597,HC SELECTIVE DEBRIDEMENT 20 SQ CM OR LESS,319.0,319.0,,,0
HCPCS,97597,Rmvl devital tis 20 cm/<,,,237.02,1866.0,7
HCPCS,97598,HC SELECTIVE DEBRIDEMENT EA ADDL SQ CM,319.0,319.0,,,0
HCPCS,97598,Rmvl devital tis addl 20cm/<,,,347.9,1866.0,4
HCPCS,97602,"HC WOUND CARE NON-SELECTIVE, WO ANES, PER SESSION",319.0,319.0,,,0
HCPCS,97602,Wound(s) care non-selective,,,237.02,248.87,3
HCPCS,97605,"HC NEG PRESSURE WOUND TX W/DME, LESS THAN 50 SQ CM",333.0,333.0,,,0
HCPCS,97605,Neg press wound tx <=50 cm,,,180.94,248.87,5
HCPCS,97606,"HC NEG PRESSURE WOUND TX W/DME, GREATER THAN 50 SQ CM",518.0,518.0,,,0
HCPCS,97606,Neg press wound tx >50 cm,,,176.85,504.25,5
HCPCS,97607,HC NEG PRESSURE WND TX NON DME < = 50 SQ CM,518.0,518.0,,,0
HCPCS,97607,Neg press wnd tx <=50 sq cm,,,480.23,504.25,3
HCPCS,97608,HC NEG PRESSURE WND TX NON DME > 50 SQ CM,518.0,518.0,,,0
HCPCS,97608,Neg press wound tx >50 cm,,,480.23,504.25,3
HCPCS,97610,Low frequency non-thermal us,,,237.02,248.87,3
HCPCS,97750,"HC PHYSICAL PERFORMANCE TEST, EA 15 MINS",371.0,371.0,,,0
HCPCS,97750,Physical performance test,,,37.85,205.35,5
HCPCS,97755,Assistive technology assess,,,41.87,208.79,5
HCPCS,97760,"HC ORTHOTIC MGMT & TRAINING, INITIAL ENCOUNTER, EA 15 MINS",344.0,344.0,,,0
HCPCS,97760,Orthotic mgmt and training,,,52.21,183.15,5
HCPCS,97761,"HC PROSTHETIC TRAINING, INITIAL ENCOUNTER,  EA 15 MINS",228.0,228.0,,,0
HCPCS,97761,Prosthetic training,,,45.52,183.15,5
HCPCS,97762,HC C/O ORTHOTIC/PROSTH USE EA 15 MINS,174.0,174.0,,,0
HCPCS,97763,"HC ORTH/PROST MGMT, UP/LOW EXT, AND/OR TRUNK, SUBSQ ENC, EA 15 MIN",228.0,228.0,,,0
HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,57.01,116.55,5
HCPCS,97802,"HC MNT, INDIV, EA 15 MIN, INITIAL ASSESSMENT",63.0,63.0,,,0
HCPCS,97802,Medical nutrition indiv in,,,28.87,30.31,3
HCPCS,97803,"HC MNT, INDIV, EA 15 MIN, RE-ASSESSMENT",63.0,63.0,,,0
HCPCS,97803,Med nutrition indiv subseq,,,24.08,25.28,3
HCPCS,97804,"HC MEDICAL NUTRITION THERAPY, GROUP, EA 30 MIN",102.0,102.0,,,0
HCPCS,97804,Medical nutrition group,,,13.5,14.18,3
HCPCS,97810,Acupunct w/o stimul 15 min,,,34.17,35.88,3
HCPCS,97810,HC ACUPUNCT W/O STIMUL 15 MIN,218.0,218.0,,,0
HCPCS,97811,"HC ACUPUNCTURE W/O ELECTRIC STIMULATION, ADDL 15 MIN W/INSERT NEEDLE(S)",166.0,166.0,,,0
HCPCS,97813,Acupunct w/stimul 15 min,,,34.17,35.88,3
HCPCS,97813,HC ACUPUNCT W/STIMUL 15 MIN,320.0,320.0,,,0
HCPCS,97814,"HC ACUPUNCTURE W/ELECTRIC STIMULATION, ADDL 15 MIN W/INSERT NEEDLE(S)",214.0,214.0,,,0
HCPCS,98925,HC OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS,246.0,246.0,,,0
HCPCS,98975,Rem ther mntr 1st setup&edu,,,157.28,165.14,3
HCPCS,99143,"HC MODERATE SEDATION UNDER 5 YRS, 1ST 30 MIN",316.0,316.0,,,0
HCPCS,99144,"HC Moderate sedation by same phys 5 yrs +, 1st 30 mins",506.0,506.0,,,0
HCPCS,99145,"HC Moderate sedation by same phys, ea addl 15 mins",316.0,316.0,,,0
HCPCS,99148,"HC Moderate sedation diff phys < 5 yrs, 1st 30 min",316.0,316.0,,,0
HCPCS,99149,"HC MODERATE SEDATION 5 YRS & OLDER, 1ST 30 MIN",316.0,316.0,,,0
HCPCS,99150,"HC Moderate sedation diff phys, ea addl 15 mins",316.0,316.0,,,0
HCPCS,99151,HC MOD SED SAME PHYS/QHP <5 YRS; INITL 15 MIN,638.0,638.0,,,0
HCPCS,99152,HC MOD SEDATION SAME PHYS/QHP 5/>YRS; INITL 15 MIN,1131.0,1131.0,,,0
HCPCS,99153,HC MOD SED SAME PHYS/QHP; EA ADDL 15 MIN,638.0,638.0,,,0
HCPCS,99155,HC MOD SED OTHER PHYS/QHP <5 YRS; INITL 15 MIN,1131.0,1131.0,,,0
HCPCS,99156,HC MOD SED OTHER PHYS/QHP 5/>YRS; INITL 15 MIN,638.0,638.0,,,0
HCPCS,99157,HC MOD SED OTHER PHYS/QHP; EA ADDL 15 MIN,638.0,638.0,,,0
HCPCS,99170,Anogenital exam child w imag,,,238.83,250.78,3
HCPCS,99172,Ocular Function Screen,,,256.26,293.46,2
HCPCS,99173,Visual acuity screen,,,7.46,8.55,2
HCPCS,99174,Ocular instrumnt screen bil,,,76.09,87.13,2
HCPCS,99195,HC PHLEBOTOMY THERAPEUTIC,543.0,543.0,,,0
HCPCS,99195,HC THERAPHLEBOTOMY99195,268.0,268.0,,,0
HCPCS,99195,Phlebotomy,,,157.18,242.91,5
HCPCS,99201,"HC MED ONC 1ST OFFICE VISIT,LVL",92.0,92.0,,,0
HCPCS,99201,"HC MED ONC OP CONSULT NEW,LEVEL 1",92.0,92.0,,,0
HCPCS,99202,"HC MED ONC INIT OFFICE VISIT, LEVEL 2",141.0,141.0,,,0
HCPCS,99202,"HC MED ONC OP CONSULT NEW , LEVEL 2",141.0,141.0,,,0
HCPCS,99202,HC OFFICE/OUTPATIENT VISIT NEW LVL 2,331.0,331.0,,,0
HCPCS,99203,"HC MED ONC INIT OFFICE VISIT, LEVEL 3",190.0,190.0,,,0
HCPCS,99203,"HC MED ONC OP CONSULT NEW, LEVEL 3",190.0,190.0,,,0
HCPCS,99203,HC OFFICE/OUTPATIENT VISIT NEW LVL 3,421.0,421.0,,,0
HCPCS,99204,"HC MED ONC INIT OFFICE VISIT, LEVEL 4",239.0,239.0,,,0
HCPCS,99204,"HC MED ONC OP CONSULT NEW, LEVEL 4",239.0,239.0,,,0
HCPCS,99204,HC OFFICE/OUTPATIENT VISIT NEW LVL 4,512.0,512.0,,,0
HCPCS,99205,"HC MED ONC INIT OFFICE VISIT, LEVEL 5",288.0,288.0,,,0
HCPCS,99205,"HC MED ONC OP CONSULT NEW, LEVEL 5",288.0,288.0,,,0
HCPCS,99205,HC OFFICE/OUTPATIENT VISIT NEW LVL 5,605.0,605.0,,,0
HCPCS,99211,HC FOLLOWUP VISIT,53.0,53.0,,,0
HCPCS,99211,HC HOSPITAL OUTPATIENT CLINIC VISIT,218.5,218.5,,,0
HCPCS,99211,"HC MED ONC F/U OFFICE VISIT, LEVEL 1",57.0,57.0,,,0
HCPCS,99211,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 1",57.0,57.0,,,0
HCPCS,99211,HC OFFICE/OUTPATIENT VISIT EST LVL 1,150.0,150.0,,,0
HCPCS,99212,"HC MED ONC F/U OFFICE VISIT, LEVEL 2",77.0,77.0,,,0
HCPCS,99212,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 2",77.0,77.0,,,0
HCPCS,99212,HC OFFICE/OUTPATIENT VISIT EST LVL 2,211.0,211.0,,,0
HCPCS,99213,"HC MED ONC F/U OFFICE VISIT, LEVEL 3",97.0,97.0,,,0
HCPCS,99213,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 3",97.0,97.0,,,0
HCPCS,99213,HC OFFICE/OUTPATIENT VISIT EST LVL 3,348.0,348.0,,,0
HCPCS,99214,"HC MED ONC F/U OFFICE VISIT, LEVEL 4",117.0,117.0,,,0
HCPCS,99214,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 4",117.0,117.0,,,0
HCPCS,99214,HC OFFICE/OUTPATIENT VISIT EST LVL 4,430.0,430.0,,,0
HCPCS,99215,"HC MED ONC F/U OFFICE VISIT, LEVEL 5",137.0,137.0,,,0
HCPCS,99215,"HC MED ONC OP CONSULT ESTABLISHED, LEVEL 5",137.0,137.0,,,0
HCPCS,99215,HC OFFICE/OUTPATIENT VISIT EST LVL 5,510.5,510.5,,,0
HCPCS,99217,HC OBSERVATION CARE DISCHARGE,847.0,847.0,,,0
HCPCS,99218,HC INITIAL OBSERVATION CARE,1058.0,1058.0,,,0
HCPCS,99281,Emergency dept visit,,,99.62,104.6,3
HCPCS,99281,HC EMERGENCY DEPT VISIT LVL 1,406.0,406.0,,,0
HCPCS,99282,Emergency dept visit,,,181.39,190.46,3
HCPCS,99282,HC EMERGENCY DEPT VISIT LVL 2,707.0,707.0,,,0
HCPCS,99283,Emergency dept visit,,,322.48,338.6,3
HCPCS,99283,HC EMERGENCY DEPT VISIT LVL 3,1039.0,1039.0,,,0
HCPCS,99284,Emergency dept visit,,,492.93,517.58,3
HCPCS,99284,HC EMERGENCY DEPT VISIT LVL 4,1451.0,1451.0,,,0
HCPCS,99285,Emergency dept visit,,,703.53,738.7,3
HCPCS,99285,HC EMERGENCY DEPT VISIT LVL 5,1882.0,1882.0,,,0
HCPCS,99291,Critical care first hour,,,975.82,1024.62,3
HCPCS,99291,HC CRITICAL CARE FIRST HOUR,3558.0,3558.0,,,0
HCPCS,99292,HC CRITICAL CARE ADDL 30 MIN,411.0,411.0,,,0
HCPCS,99401,HC PREVENTIVE COUNSELING INDIV 15MIN,140.0,140.0,,,0
HCPCS,99402,HC PREVENTIVE COUNSELING INDIV 30MIN,280.0,280.0,,,0
HCPCS,99403,HC PREVENTIVE COUNSELING INDIV 45MIN,419.0,419.0,,,0
HCPCS,99404,HC PREVENTIVE COUNSELING INDIV 60MIN,558.0,558.0,,,0
HCPCS,99453,Rem mntr physiol param setup,,,157.28,165.14,3
HCPCS,99460,Init nb em per day hosp,,,157.28,165.14,3
HCPCS,99463,Same day nb discharge,,,157.28,165.14,3
HCPCS,99465,Nb resuscitation,,,780.8,819.84,3
HCPCS,99473,Self-meas bp pt educaj/train,,,34.17,35.88,3
HCPCS,99495,Trans care mgmt 14 day disch,,,157.28,165.14,3
HCPCS,99496,Trans care mgmt 7 day disch,,,157.28,165.14,3
HCPCS,99900100,DEAC 10/19/2022 HC AQUATICS DROP-IN SESSION,15.0,15.0,,,0
HCPCS,99900101,"DEAC 10/19/2022 HC AQUATIC 10 WEEK,  2X  PER",160.0,160.0,,,0
HCPCS,99900102,"DEAC 10/19/2022 HC AQUATIC 10WEEK SESSION,3X",200.0,200.0,,,0
HCPCS,99900103,"DEAC 10/19/2022 HC AQUATIC 10 WEEK, EMPLOYEE",100.0,100.0,,,0
HCPCS,99900104,"DEAC 10/19/2022 HC AQUATICS PT,PRIVATE PAY 3",60.0,60.0,,,0
HCPCS,99900105,"DEAC 10/19/2022 HC AQUATIC EXERCISE PRGM,NON",80.0,80.0,,,0
HCPCS,99900106,"DEAC 10/19/2022 HC EXERCISE, MAINT PROGRAM W",200.0,200.0,,,0
HCPCS,99900107,"DEAC 10/19/2022 HC PRIVATE TRAINING, 8 SESSI",280.0,280.0,,,0
HCPCS,99900108,DEAC 10/19/2022 HC INDEPENDENT WALKING 3X,80.0,80.0,,,0
HCPCS,99900109,DEAC 10/19/2022 HC INDEPENDENT WALKING 2X,60.0,60.0,,,0
HCPCS,99900110,DEAC 10/26/2023 HC INDEPENDENT WALKING SAT,15.0,15.0,,,0
HCPCS,99900111,DEAC 10/19/2022 HC LO INTENSITY AEROBICS 2X,70.0,70.0,,,0
HCPCS,99900112,DEAC 10/19/2022 HC PRIVATE PAY PT 30 MIN,60.0,60.0,,,0
HCPCS,A2001,Miscellaneous M >=66.50,,,147.01,2859.83,5
HCPCS,A2004,Miscellaneous M <46.50 and A >=77.50,,,24.78,29.74,2
HCPCS,A2007,"Restrata, per sq cm",,,147.01,461.39,5
HCPCS,A2008,"Theragenesis, per sq cm",,,147.01,339.3,5
HCPCS,A2009,"Symphony, per sq cm",,,147.01,208.89,5
HCPCS,A2013,"Innovamatrix fs, per sq cm",,,147.01,3088.61,5
HCPCS,A2014,Omeza collag per 100 mg,,,244.26,293.14,2
HCPCS,A2019,Kerecis marigen shld sq cm,,,147.01,1362.2,5
HCPCS,A2021,Neomatrix per sq cm,,,147.01,3944.79,5
HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,147.01,3260.2,5
HCPCS,A2023,"Innovamatrix pd, 1 mg",,,30.99,37.19,2
HCPCS,A2025,Miro3d per cubic cm,,,147.01,476.64,5
HCPCS,A2028,Micromatrix flex per mg,,,1491.56,1790.03,2
HCPCS,A2029,Mirotract matrix sheet,,,147.01,953.28,5
HCPCS,A2030,"Miro3d fibers, per mg",,,8.75,10.5,2
HCPCS,A2031,"Mirodry, per sq cm",,,147.01,1143.93,5
HCPCS,A2032,"Myriad matrix, per sq cm",,,32.89,39.48,2
HCPCS,A2033,"Myriad morcells, 4 mg",,,20.97,25.17,2
HCPCS,A4248,Chlorhexidine antisept,,,0.06,0.07,2
HCPCS,A4593,Neuromod sti sys adj rehab,,,48.31,50.73,3
HCPCS,A4642,In111 satumomab,,,2579.41,3095.56,2
HCPCS,A4802,Protamine sulfate per 50 mg,,,25.38,30.46,2
HCPCS,A6520,G com garmnt glove nghttime,,,126.45,132.77,3
HCPCS,A6521,G com garmnt glove nght cust,,,501.75,526.84,3
HCPCS,A6522,G com garment arm nighttime,,,307.26,322.62,3
HCPCS,A6523,G com garment arm nght custm,,,729.02,765.47,3
HCPCS,A6524,G com garmnt lwr leg/ft nght,,,383.34,402.51,3
HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,773.9,812.6,3
HCPCS,A6526,G com garmt full leg/ft nght,,,693.06,727.71,3
HCPCS,A6527,G garmt full leg/ft nght cus,,,1274.45,1338.17,3
HCPCS,A6528,G com garment bra nighttime,,,666.42,699.74,3
HCPCS,A6529,G com garmt bra night custm,,,1053.04,1105.69,3
HCPCS,A6530,Compression stocking bk18-30,,,39.07,41.02,3
HCPCS,A6531,Compression stocking bk30-40,,,61.66,64.74,3
HCPCS,A6532,Compression stocking bk40-50,,,86.88,91.22,3
HCPCS,A6533,Gc stocking thighlngth 18-30,,,54.86,57.6,3
HCPCS,A6534,Gc stocking thighlngth 30-40,,,62.65,65.78,3
HCPCS,A6535,Gc stocking thighlngth 40-50,,,72.13,75.74,3
HCPCS,A6536,Gc stocking full lngth 18-30,,,73.95,77.65,3
HCPCS,A6537,Gc stocking full lngth 30-40,,,87.67,92.05,3
HCPCS,A6538,Gc stocking full lngth 40-50,,,102.65,107.78,3
HCPCS,A6539,Gc stocking waistlngth 18-30,,,97.86,102.75,3
HCPCS,A6540,Gc stocking waistlngth 30-40,,,116.68,122.51,3
HCPCS,A6541,Gc stocking waistlngth 40-50,,,138.21,145.12,3
HCPCS,A6545,Grad comp non-elastic BK,,,121.41,127.48,3
HCPCS,A6552,Grad com stocking bk 30-40,,,57.97,60.87,3
HCPCS,A6553,G com stcking bk 30-40 custm,,,226.38,237.7,3
HCPCS,A6554,Grad com stocking bk 40+,,,79.72,83.71,3
HCPCS,A6555,G com stcking bk 40+ custm,,,226.38,237.7,3
HCPCS,A6556,G com stcking thgh18-30 cust,,,310.25,325.76,3
HCPCS,A6557,G com stcking thgh30-40 cust,,,310.25,325.76,3
HCPCS,A6558,G com stcking thgh 40+ cust,,,320.17,336.18,3
HCPCS,A6562,G com stckng waist18-30 cust,,,1015.37,1066.14,3
HCPCS,A6563,G com stckng waist30-40 cust,,,1015.37,1066.14,3
HCPCS,A6564,G com stckng waist 40+ cust,,,1093.78,1148.47,3
HCPCS,A6565,Grad comp gauntlet custom,,,175.45,184.22,3
HCPCS,A6566,Grad com garment neck/head,,,254.75,267.49,3
HCPCS,A6567,G com garment neck/head cust,,,800.42,840.44,3
HCPCS,A6568,G com garment torso/shldr,,,166.26,174.57,3
HCPCS,A6569,G com garmnt torso/shdr cust,,,946.74,994.08,3
HCPCS,A6570,Grad com garment genital,,,113.28,118.94,3
HCPCS,A6571,G com garment genital custm,,,680.84,714.88,3
HCPCS,A6572,Grad com garment toe caps,,,105.11,110.37,3
HCPCS,A6573,Grad com garmnt toe cap cust,,,249.43,261.9,3
HCPCS,A6574,Custom gradient sleev/glov,,,317.99,333.89,3
HCPCS,A6575,Gradient comp sleev/glov,,,103.05,108.2,3
HCPCS,A6576,Custom grad com sleeve med,,,195.16,204.92,3
HCPCS,A6577,Custom grad cm sleeve heavy,,,161.53,169.61,3
HCPCS,A6578,Gradient comp sleeve,,,79.55,83.53,3
HCPCS,A6579,Custom grad com glove med,,,313.26,328.92,3
HCPCS,A6580,Custom grad com glove heavy,,,310.96,326.51,3
HCPCS,A6581,Gradient comp glove,,,72.99,76.64,3
HCPCS,A6582,Gradient comp gauntlet,,,48.68,51.11,3
HCPCS,A6583,Grad com wrap w straps bk,,,160.13,168.14,3
HCPCS,A6585,Grad com wrap w straps ak,,,189.6,199.08,3
HCPCS,A6586,Grad com wrap w straps leg,,,558.59,586.52,3
HCPCS,A6587,Grad com wrap w straps foot,,,73.17,76.83,3
HCPCS,A6588,Grad com wrap w straps arm,,,243.87,256.06,3
HCPCS,A6589,Grad com wrap w straps bra,,,96.27,101.08,3
HCPCS,A6594,G comp bandge liner lwr extr,,,35.05,36.8,3
HCPCS,A6595,G comp bandge liner upr extr,,,34.48,36.2,3
HCPCS,A6596,G comp bandge conform gauze,,,0.18,0.19,3
HCPCS,A6597,G comp bandage long stretch,,,1.55,1.63,3
HCPCS,A6598,G comp bandage med stretch,,,0.75,0.79,3
HCPCS,A6599,G comp bandage short stretch,,,1.7,1.78,3
HCPCS,A6600,G com bandge hgh dn foam sht,,,3.07,3.22,3
HCPCS,A6601,G com bandge hgh dn foam pad,,,3.45,3.62,3
HCPCS,A6602,G com bandge hgh dn foamroll,,,5.03,5.28,3
HCPCS,A6603,G com bandge low dn foamchnl,,,2.36,2.48,3
HCPCS,A6604,G com bandge low dn foam flt,,,1.38,1.45,3
HCPCS,A6605,G com bandage padded foam,,,1.57,1.65,3
HCPCS,A6606,G com bandage padded textile,,,4.67,4.9,3
HCPCS,A6607,G com bandage tub protct lyr,,,1.25,1.31,3
HCPCS,A6608,G com bandage tub protct pad,,,5.21,5.47,3
HCPCS,A6610,G com stcking bk 18-30 custm,,,226.38,237.7,3
HCPCS,A9154,"Artificial saliva, 1 ml",,,0.41,0.49,2
HCPCS,A9156,Oral mucoadhesive per 1 ml,,,4.62,5.54,2
HCPCS,A9180,"Lice treatment, topical",,,1.7,2.04,2
HCPCS,A9500,Tc99m sestamibi,,,205.57,246.71,2
HCPCS,A9502,Tc99m tetrofosmin,,,162.57,195.1,2
HCPCS,A9503,Tc99m medronate,,,24.78,29.74,2
HCPCS,A9504,Tc99m apcitide,,,808.92,970.79,2
HCPCS,A9505,Tl201 thallium,,,62.26,74.71,2
HCPCS,A9507,In111 capromab,,,1730.29,10057.45,5
HCPCS,A9508,"I131 iodobenguate, dx",,,953.01,1965.03,5
HCPCS,A9509,Iodine I-123 sod iodide mil,,,267.75,321.33,2
HCPCS,A9510,Tc99m disofenin,,,133.45,160.15,2
HCPCS,A9512,Tc99m pertechnetate,,,3.23,3.88,2
HCPCS,A9513,Lutetium lu 177 dotatat ther,,,319.94,697.86,5
HCPCS,A9515,Choline c-11,,,2516.43,11439.3,5
HCPCS,A9516,Iodine I-123 sod iodide mic,,,202.52,243.05,2
HCPCS,A9517,"I131 iodide cap, rx",,,24.07,198.6,5
HCPCS,A9520,Tc99 tilmanocept diag 0.5mci,,,1261.22,1513.6,2
HCPCS,A9521,Tc99m exametazime,,,3267.48,3921.32,2
HCPCS,A9524,"I131 serum albumin, dx",,,712.52,855.1,2
HCPCS,A9526,Nitrogen n-13 ammonia,,,1381.94,1658.47,2
HCPCS,A9527,Iodine I-125 sodium iodide,,,343.82,416.14,5
HCPCS,A9528,"Iodine i-131 iodide cap, dx",,,150.06,180.09,2
HCPCS,A9530,"I131 iodide sol, rx",,,17.48,21.81,5
HCPCS,A9531,I131 max 100uci,,,6.67,8.01,2
HCPCS,A9532,"I125 serum albumin, dx",,,325.82,492.51,5
HCPCS,A9536,Tc99m depreotide,,,1231.9,1478.41,2
HCPCS,A9537,Tc99m mebrofenin,,,105.45,126.55,2
HCPCS,A9538,Tc99m pyrophosphate,,,122.1,146.54,2
HCPCS,A9539,Tc99m pentetate,,,59.73,71.69,2
HCPCS,A9540,Tc99m maa,,,57.19,68.64,2
HCPCS,A9541,Tc99m sulfur colloid,,,509.69,611.69,2
HCPCS,A9542,"In111 ibritumomab, dx",,,6324.92,7590.58,2
HCPCS,A9543,"Y90 ibritumomab, rx",,,56824.55,155132.25,5
HCPCS,A9546,Co57/58,,,2.06,2.47,2
HCPCS,A9547,In111 oxyquinoline,,,831.46,4815.9,5
HCPCS,A9548,In111 pentetate,,,745.62,2025.9,5
HCPCS,A9551,Tc99m succimer,,,659.93,1371.39,5
HCPCS,A9553,Cr51 chromate,,,669.64,2013.86,5
HCPCS,A9554,"I125 iothalamate, dx",,,71.49,682.12,5
HCPCS,A9555,Rb82 rubidium,,,823.31,988.06,2
HCPCS,A9556,Ga67 gallium,,,257.4,308.91,2
HCPCS,A9557,Tc99m bicisate,,,775.52,8388.03,5
HCPCS,A9558,Xe133 xenon 10mci,,,486.31,583.63,2
HCPCS,A9559,Co57 cyano,,,255.94,307.16,2
HCPCS,A9560,Tc99m labeled rbc,,,178.06,213.69,2
HCPCS,A9561,Tc99m oxidronate,,,83.88,100.67,2
HCPCS,A9563,P32 na phosphate,,,278.24,697.51,5
HCPCS,A9564,P32 chromic phosphate,,,240.52,288.65,2
HCPCS,A9567,Technetium tc-99m aerosol,,,32.37,38.85,2
HCPCS,A9568,Technetium tc99m arcitumomab,,,1994.04,2393.06,2
HCPCS,A9569,Technetium TC-99m auto WBC,,,934.13,3921.32,5
HCPCS,A9570,Indium In-111 auto WBC,,,1103.19,9631.8,5
HCPCS,A9571,Indium IN-111 auto platelet,,,8025.79,9631.8,2
HCPCS,A9572,Indium In-111 pentetreotide,,,2000.94,8854.02,5
HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,5.3,7.54,4
HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,0.18,0.25,4
HCPCS,A9576,Inj prohance multipack,,,2.19,3.16,4
HCPCS,A9577,Inj multihance,,,2.71,3.9,4
HCPCS,A9578,Inj multihance multipack,,,2.66,3.84,4
HCPCS,A9579,"Gad-base MR contrast NOS,1ml",,,2.29,3.32,4
HCPCS,A9580,Sodium fluoride F-18,,,571.91,686.36,2
HCPCS,A9581,Gadoxetate disodium inj,,,22.89,33.04,4
HCPCS,A9582,Iodine I-123 iobenguane,,,2317.5,11687.33,5
HCPCS,A9584,Iodine i-123 ioflupane,,,1387.74,5930.13,5
HCPCS,A9585,Gadobutrol injection,,,0.41,0.61,4
HCPCS,A9586,Florbetapir F18,,,1825.64,6537.34,5
HCPCS,A9587,Gallium ga-68,,,49.63,132.18,5
HCPCS,A9588,Fluciclovine f-18,,,322.27,1182.02,5
HCPCS,A9589,Insti hexaminolevulinate hcl,,,2217.12,3199.06,4
HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,610.79,733.01,2
HCPCS,A9591,Fluoroestradiol f 18,,,460.42,1759.75,5
HCPCS,A9592,Copper cu 64 dotatate diag,,,594.28,2202.07,5
HCPCS,A9593,Gallium ga-68 psma-11 ucsf,,,550.13,1779.64,5
HCPCS,A9594,"Gallium ga-68 psma-11, ucla",,,363.5,1742.45,5
HCPCS,A9595,"Piflu f-18, dia 1 millicurie",,,346.49,1407.17,5
HCPCS,A9596,Gallium illuccix 1 millicure,,,478.52,2363.81,5
HCPCS,A9600,Sr89 strontium,,,4146.34,8579.48,5
HCPCS,A9601,Flortaucipir inj 1 millicuri,,,371.0,800.75,5
HCPCS,A9602,Fluorodopa f-18 diag per mci,,,855.55,1141.33,5
HCPCS,A9603,"Inj, pafolacianine, 0.1 mg",,,253.19,303.86,2
HCPCS,A9604,Sm 153 lexidronam,,,3159.8,37252.96,5
HCPCS,A9606,Radium ra223 dichloride ther,,,171.09,386.69,7
HCPCS,A9607,Lutetium lu 177 vipivotide,,,259.6,568.29,5
HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,671.22,1448.73,5
HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,530.0,1143.93,5
HCPCS,A9612,"Inj, fluorescein, 1 mg",,,0.71,0.85,2
HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,37.51,80.95,5
HCPCS,A9616,Gallium gozellix 1 millicuri,,,1171.3,2528.09,5
HCPCS,A9800,Gallium locametz 1 millicuri,,,362.5,1400.44,5
HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,17771.01,18659.56,3
HCPCS,C5271,Low cost skin substitute app,,,2762.0,4166.0,4
HCPCS,C5272,Low cost skin substitute app,,,1544.0,1866.0,2
HCPCS,C5273,Low cost skin substitute app,,,2816.0,13320.0,4
HCPCS,C5274,Low cost skin substitute app,,,1544.0,1866.0,2
HCPCS,C5275,Low cost skin substitute app,,,2762.0,4166.0,4
HCPCS,C5276,Low cost skin substitute app,,,1544.0,1866.0,2
HCPCS,C5277,Low cost skin substitute app,,,2762.0,4166.0,4
HCPCS,C5278,Low cost skin substitute app,,,1544.0,1866.0,2
HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,2816.0,9918.0,4
HCPCS,C7501,Perc bx breast lesions stero,,,2816.0,9918.0,4
HCPCS,C7502,Perc bx breast lesions mr,,,3408.0,9918.0,4
HCPCS,C7503,Open exc cerv node(s) w/ id,,,2816.0,4166.0,2
HCPCS,C7504,Perq cvt&ls inj vert bodies,,,4224.0,6253.0,2
HCPCS,C7505,Perq ls&cvt inj vert bodies,,,4224.0,6253.0,2
HCPCS,C7506,Fusion of finger joints,,,3408.0,5044.0,2
HCPCS,C7507,Perq thor&lumb vert aug,,,3291.0,3972.0,2
HCPCS,C7508,Perq lumb&thor vert aug,,,3291.0,3972.0,2
HCPCS,C7509,Dx bronch w/ navigation,,,3408.0,13320.0,4
HCPCS,C7510,Bronch/lavag w/ navigation,,,3408.0,13320.0,4
HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,3408.0,13320.0,4
HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,3408.0,13320.0,4
HCPCS,C7513,Cath/angio dialcir w/aplasty,,,4147.0,13320.0,4
HCPCS,C7514,Cath/angio dial cir w/stents,,,4147.0,13320.0,4
HCPCS,C7515,Cath/angio dial cir w/embol,,,4147.0,13320.0,4
HCPCS,C7516,Cor angio w/ ivus or oct,,,4081.0,4934.0,2
HCPCS,C7517,Cor angio w/ilic/fem angio,,,4147.0,5028.0,2
HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,4081.0,4934.0,2
HCPCS,C7519,Cor/gft angio w/ flow resrv,,,4147.0,5028.0,2
HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,4147.0,5028.0,2
HCPCS,C7521,R hrt angio w/ ivus or oct,,,4081.0,4934.0,2
HCPCS,C7522,R hrt angio w/flow resrv,,,4147.0,5028.0,2
HCPCS,C7523,L hrt angio w/ ivus or oct,,,4081.0,4934.0,2
HCPCS,C7524,L hrt angio w/flow resrv,,,4147.0,5028.0,2
HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,4081.0,4934.0,2
HCPCS,C7526,L hrt gft ang w/flow resrv,,,4147.0,5028.0,2
HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,4081.0,4934.0,2
HCPCS,C7528,R&l hrt angio w/flow resrv,,,4147.0,5028.0,2
HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,4147.0,5028.0,2
HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,4147.0,5028.0,2
HCPCS,C7531,Angio fem/pop w/ us,,,3291.0,3972.0,2
HCPCS,C7532,Angio w/ us non-coronary,,,4147.0,5028.0,2
HCPCS,C7534,Fem/pop revasc w/arthr & us,,,3291.0,3972.0,2
HCPCS,C7535,Fem/pop revasc w/stent & us,,,3291.0,3972.0,2
HCPCS,C7537,Insrt atril pm w/l vent lead,,,4147.0,5028.0,2
HCPCS,C7538,Insrt vent pm w/l vent lead,,,4147.0,5028.0,2
HCPCS,C7539,Insrt a & v pm w/l vent lead,,,4147.0,5028.0,2
HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,4147.0,5028.0,2
HCPCS,C7541,Ercp w/ pancreatoscopy,,,3408.0,5044.0,2
HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,3408.0,5044.0,2
HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,3408.0,5044.0,2
HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,3408.0,5044.0,2
HCPCS,C7545,Exch bil cath w/ rmv calculi,,,3408.0,5044.0,2
HCPCS,C7546,Rep nph/urt cath w/dil stric,,,2816.0,13320.0,4
HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,2816.0,13320.0,4
HCPCS,C7548,Exch neph cath w/ dil stric,,,2816.0,13320.0,4
HCPCS,C7549,Chge urtr stent w/ dil stric,,,2816.0,13320.0,4
HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,2816.0,13320.0,4
HCPCS,C7551,Exc neuroma w/ implnt nv end,,,3408.0,5044.0,2
HCPCS,C7552,R hrt art/grft ang hrt flow,,,4147.0,5028.0,2
HCPCS,C7553,R&l hrt art/vent ang drg ad,,,4147.0,5028.0,2
HCPCS,C7554,Cystureth blu li cyst fl img,,,2816.0,9918.0,4
HCPCS,C7555,Rmvl thyrd w/autotran parath,,,4147.0,5028.0,2
HCPCS,C7556,Bronch lavage w/ebus,,,2816.0,13320.0,4
HCPCS,C7557,Cor angio/vent w/ffr,,,4081.0,4934.0,2
HCPCS,C7558,Cor angio/vent w/drug admin,,,4081.0,4934.0,2
HCPCS,C7560,Ercp remove forgn body&endo,,,3408.0,13320.0,4
HCPCS,C7562,R&l hrt angio w/ffr & 3d map,,,4081.0,4934.0,2
HCPCS,C7563,Trluml ballo angiop all art,,,4147.0,5028.0,2
HCPCS,C7564,Vein mech throm w/intrvas us,,,4147.0,18617.0,4
HCPCS,C7565,Rpr aa hrn < 3 rdc w/ rmvl,,,4224.0,18617.0,4
HCPCS,C7566,Fuse finger joints w/grafts,,,4224.0,18617.0,4
HCPCS,C7567,Bronch/needle bx(s) w/ nav,,,2816.0,18617.0,4
HCPCS,C7568,Cor angio w/flow resrv,,,4147.0,18617.0,4
HCPCS,C7569,Ptca w/ ivus or oct,,,4081.0,18617.0,4
HCPCS,C7570,Cor angio w/ffr & 3d map,,,1544.0,18617.0,4
HCPCS,C7571,Pcta w/ cor lithotrip,,,4147.0,18617.0,4
HCPCS,C8001,3d anat seg imaging preop,,,152.01,159.61,3
HCPCS,C8002,"Prep skin cell susp, automtd",,,8383.75,8802.94,3
HCPCS,C8003,Imp extar knee shck absrb,,,4224.0,21749.16,7
HCPCS,C8004,Sim ang w/prs cath rad emb,,,13637.67,14319.55,3
HCPCS,C8005,Pef bronch ablt 3d nav ebus,,,4147.0,21247.62,5
HCPCS,C8006,Inst pleu-perit shnt w pump,,,2816.0,8030.21,5
HCPCS,C8007,Opn mplnt hpgls ns ary ps gn,,,36453.58,38276.26,3
HCPCS,C8008,Rv/rpl hpgls ns inc cnt pg,,,13163.37,13821.53,3
HCPCS,C8009,Rmv hpgls ns ary and pg,,,4035.65,4237.43,3
HCPCS,C8011,Opn mplnt hpgls ns ary rec,,,36453.58,38276.26,3
HCPCS,C8012,Rv/rpl hpgls ns ary rec,,,13163.37,13821.53,3
HCPCS,C8013,Rmv hpls ns ary rec,,,4035.65,4237.43,3
HCPCS,C8900,"Mra w/cont, abd",,,412.14,2557.68,5
HCPCS,C8901,"Mra w/o cont, abd",,,281.87,2218.07,5
HCPCS,C8902,"Mra w/o fol w/cont, abd",,,412.14,2808.43,5
HCPCS,C8903,"Mri w/cont, breast,  uni",,,207.21,901.71,5
HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,412.14,1408.0,5
HCPCS,C8906,"Mri w/cont, breast,  bi",,,412.14,2806.05,5
HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,412.14,3002.37,5
HCPCS,C8909,"MRA w/cont, chest",,,412.14,1136.36,5
HCPCS,C8910,"MRA w/o cont, chest",,,281.87,1696.56,5
HCPCS,C8911,"MRA w/o fol w/cont, chest",,,412.14,2314.14,5
HCPCS,C8912,"Mra w/cont, lwr ext",,,412.14,1454.41,5
HCPCS,C8913,"Mra w/o cont, lwr ext",,,281.87,996.0,5
HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,412.14,1381.98,5
HCPCS,C8918,"MRA w/cont, pelvis",,,412.14,1172.96,5
HCPCS,C8919,"MRA w/o cont, pelvis",,,281.87,986.52,5
HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,412.14,2649.62,5
HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,926.08,2139.68,5
HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,926.08,2198.56,5
HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,926.08,1519.51,5
HCPCS,C8924,"2d tte w or w/o fol w/con,fu",,,412.14,1163.75,5
HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,926.08,2389.83,5
HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,926.08,3921.98,5
HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,926.08,3146.41,5
HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,926.08,2868.94,5
HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,926.08,1771.85,5
HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,926.08,2159.71,5
HCPCS,C8931,"MRA, w/dye, spinal canal",,,412.14,1955.17,5
HCPCS,C8932,"MRA, w/o dye, spinal canal",,,281.87,913.35,5
HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,412.14,1286.82,5
HCPCS,C8934,"MRA, w/dye, upper extremity",,,412.14,1777.77,5
HCPCS,C8935,"MRA, w/o dye, upper extr",,,281.87,885.68,5
HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,412.14,2402.57,5
HCPCS,C8957,"Prolonged iv inf, req pump",,,251.28,263.84,3
HCPCS,C9046,Cocaine hcl nasal solution,,,3.21,3.86,2
HCPCS,C9047,"Injection, caplacizumab-yhdp",,,801.26,1782.8,5
HCPCS,C9067,Gallium ga-68 dotatoc,,,3.61,17.34,5
HCPCS,C9089,"Bupivacaine implant, 1 mg",,,1.59,1.91,2
HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,2.47,2.96,2
HCPCS,C9143,Cocaine hcl nasal (numbrino),,,4.28,5.14,2
HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.92,1.1,2
HCPCS,C9145,"Inj, aponvie, 1 mg",,,3.64,4.37,2
HCPCS,C9250,Artiss fibrin sealant,,,143.7,420.72,5
HCPCS,C9254,"Injection, lacosamide",,,0.37,0.45,2
HCPCS,C9257,Bevacizumab injection,,,1.86,4.55,5
HCPCS,C9285,"Patch, lidocaine/tetracaine",,,32.32,38.78,2
HCPCS,C9293,"Injection, glucarpidase",,,449.1,989.12,5
HCPCS,C9305,"Inj, nipocalimab-aahu, 3 mg",,,59.47,71.37,2
HCPCS,C9306,Telisotuzumab vedotin-tllv,,,266.52,319.85,2
HCPCS,C9352,"Neuragen nerve guide, per cm",,,1978.82,2374.8,2
HCPCS,C9353,"Neurawrap nerve protector,cm",,,2110.61,2532.95,2
HCPCS,C9354,"Veritas collagen matrix, cm2",,,36.22,43.47,2
HCPCS,C9355,"Neuromatrix nerve cuff, cm",,,340.61,408.76,2
HCPCS,C9356,"TenoGlide tendon prot, cm2",,,209.42,251.33,2
HCPCS,C9361,NeuroMend nerve wrap,,,331.3,397.59,2
HCPCS,C9363,Integra Meshed Bil Wound Mat,,,128.61,154.36,5
HCPCS,C9364,"Porcine implant, Permacol",,,34.37,41.25,2
HCPCS,C9460,"Injection, cangrelor",,,20.02,45.82,5
HCPCS,C9462,"Injection, delafloxacin",,,0.95,1.14,2
HCPCS,C9482,Sotalol hydrochloride IV,,,46.03,55.25,2
HCPCS,C9488,Conivaptan HCL,,,84.96,101.97,2
HCPCS,C9600,Perc drug-el cor stent sing,,,4081.0,18617.0,7
HCPCS,C9601,Perc drug-el cor stent bran,,,1544.0,1866.0,2
HCPCS,C9602,Perc d-e cor stent ather s,,,4081.0,22738.78,7
HCPCS,C9604,Perc d-e cor revasc t cabg s,,,4081.0,18617.0,7
HCPCS,C9606,Perc d-e cor revasc w AMI s,,,1406.0,18617.0,4
HCPCS,C9607,Perc d-e cor revasc chro sin,,,4081.0,22738.78,7
HCPCS,C9725,Place endorectal app,,,855.0,18617.0,9
HCPCS,C9726,Rxt breast appl place/remov,,,428.0,490.0,2
HCPCS,C9727,Insert palate implants,,,428.0,18617.0,9
HCPCS,C9728,"Place device/marker, non pro",,,1406.0,18617.0,9
HCPCS,C9733,Non-ophthalmic FVA,,,412.14,1163.55,5
HCPCS,C9734,"U/s trtmt, not leiomyomata",,,11101.0,15925.26,5
HCPCS,C9738,Blue light cysto imag agent,,,1544.0,1866.0,2
HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,4224.0,13320.0,9
HCPCS,C9740,Cysto impl 4 or more,,,3291.0,18617.0,9
HCPCS,C9745,Nasal endo eustachian tube,,,9637.0,11081.0,2
HCPCS,C9746,Trans imp balloon cont,,,16249.0,18686.0,2
HCPCS,C9747,"Ablation, HIFU, prostate",,,14820.0,17041.0,2
HCPCS,C9749,Repair nasal stenosis w/imp,,,4457.0,5123.0,2
HCPCS,C9751,"Microwave bronch, 3d, ebus",,,4147.0,18617.0,6
HCPCS,C9756,Fluorescence lymph map w/ICG,,,1544.0,1866.0,2
HCPCS,C9757,Spine/lumbar disk surgery,,,3291.0,17939.0,9
HCPCS,C9760,Non-blind interatrial shunt,,,1406.0,33388.77,7
HCPCS,C9761,"Cysto, litho, vacuum kidney",,,4224.0,13320.0,9
HCPCS,C9762,Cardiac MRI seg dys strain,,,645.5,677.78,3
HCPCS,C9763,Cardiac MRI seg dys stress,,,645.5,677.78,3
HCPCS,C9764,Revasc intravasc lithotripsy,,,4224.0,18617.0,7
HCPCS,C9765,Revasc intra lithotrip-stent,,,4224.0,22738.78,9
HCPCS,C9766,Revasc intra lithotrip-ather,,,3291.0,22738.78,7
HCPCS,C9767,Revasc lithotrip-stent-ather,,,3291.0,22738.78,9
HCPCS,C9768,Endo us-guide hep porto grad,,,1544.0,1866.0,2
HCPCS,C9769,Cysto w/temp pros implant,,,3408.0,13320.0,6
HCPCS,C9772,Revasc lithotrip tibi/perone,,,4224.0,14319.55,5
HCPCS,C9773,Revasc lithotr-stent tib/per,,,4224.0,22738.78,5
HCPCS,C9774,Revasc lithotr-ather tib/per,,,4224.0,22738.78,5
HCPCS,C9775,Revasc lith-sten-ath tib/per,,,4224.0,22738.78,5
HCPCS,C9777,Esophag mucosal integ add-on,,,1544.0,13320.0,7
HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,3291.0,6205.1,5
HCPCS,C9779,ESD endoscopy or colonoscopy,,,3408.0,13320.0,7
HCPCS,C9780,Insert cv cath inf & sup app,,,3408.0,10017.06,5
HCPCS,C9781,Arthro/shoul surg; w/spacer,,,3291.0,18617.0,7
HCPCS,C9782,Blind myocar trpl bon marrow,,,1406.0,21247.62,7
HCPCS,C9783,Blind cor sinus reducer impl,,,4147.0,18617.0,7
HCPCS,C9784,Endo sleeve gastro w/tube,,,3408.0,18617.0,4
HCPCS,C9785,Endo outlet restrict w/tube,,,3408.0,18617.0,7
HCPCS,C9789,Instill pharm renal pelvis,,,1445.95,13320.0,7
HCPCS,C9790,Kidney histotripsy w/image,,,4224.0,6253.0,2
HCPCS,C9792,Blind/nonblind trans atrial,,,4147.0,18617.0,7
HCPCS,C9793,Pre-plan 3d model w/ccta,,,1014.47,1065.19,3
HCPCS,C9796,Rpr intst excl anrect fist,,,2816.0,18617.0,7
HCPCS,C9797,Vasc emb/occ w/prs cath,,,3408.0,22738.78,7
HCPCS,C9901,Endo defect closure GI tract,,,3408.0,13185.37,5
HCPCS,D0120,Periodic oral evaluation,,,157.28,165.14,3
HCPCS,D0140,Limit oral eval problm focus,,,157.28,165.14,3
HCPCS,D0150,Comprehensve oral evaluation,,,157.28,165.14,3
HCPCS,D0160,Extensv oral eval prob focus,,,157.28,165.14,3
HCPCS,D0170,"Re-eval,est pt,problem focus",,,157.28,165.14,3
HCPCS,D0171,Re-eval post-op visit,,,157.28,165.14,3
HCPCS,D0180,Comp periodontal evaluation,,,157.28,165.14,3
HCPCS,D0191,Assessment of a patient,,,157.28,165.14,3
HCPCS,D0210,Intraor complete film series,,,281.87,295.96,3
HCPCS,D0220,Intraoral periapical first,,,102.81,107.95,3
HCPCS,D0240,Intraoral occlusal film,,,102.81,107.95,3
HCPCS,D0250,Extraoral 2d project image,,,102.81,107.95,3
HCPCS,D0251,Extraoral posterior image,,,102.81,107.95,3
HCPCS,D0270,Dental bitewing single image,,,102.81,107.95,3
HCPCS,D0272,Dental bitewings two images,,,102.81,107.95,3
HCPCS,D0273,Bitewings - three images,,,281.87,295.96,3
HCPCS,D0274,Bitewings four images,,,281.87,295.96,3
HCPCS,D0277,Vert bitewings 7 to 8 images,,,281.87,295.96,3
HCPCS,D0310,Dental saliography,,,281.87,295.96,3
HCPCS,D0320,Dental tmj arthrogram incl i,,,281.87,295.96,3
HCPCS,D0321,Other tmj images by report,,,102.81,107.95,3
HCPCS,D0322,Dental tomographic survey,,,123.5,129.68,3
HCPCS,D0330,Panoramic image,,,281.87,295.96,3
HCPCS,D0340,2d cephalometric image,,,102.81,107.95,3
HCPCS,D0350,Oral/facial photo images,,,102.81,107.95,3
HCPCS,D0364,Cone beam ct capt & interp,,,123.5,129.68,3
HCPCS,D0365,Cone beam ct interprete man,,,123.5,129.68,3
HCPCS,D0366,Cone beam ct interprete max,,,123.5,129.68,3
HCPCS,D0367,Cone beam ct interp both jaw,,,123.5,129.68,3
HCPCS,D0368,Cone beam ct interprete TMJ,,,123.5,129.68,3
HCPCS,D0369,Max MRI capture & interprete,,,123.5,129.68,3
HCPCS,D0370,Max ultrasound capt & interp,,,123.5,129.68,3
HCPCS,D0371,Sialoendoscopy capt & interp,,,102.81,107.95,3
HCPCS,D0380,Cone beam ct capture limited,,,123.5,129.68,3
HCPCS,D0381,Cone beam ct capt mandible,,,123.5,129.68,3
HCPCS,D0382,Cone beam ct capt maxilla,,,123.5,129.68,3
HCPCS,D0383,Cone beam ct both jaws,,,123.5,129.68,3
HCPCS,D0384,Cone beam ct capture TMJ,,,123.5,129.68,3
HCPCS,D0385,Max MRI image capture,,,123.5,129.68,3
HCPCS,D0386,Max ultrasound image capture,,,123.5,129.68,3
HCPCS,D0393,Trtmnt simulation 3d image,,,102.81,107.95,3
HCPCS,D0394,Digital sub 2 or more images,,,102.81,107.95,3
HCPCS,D0395,Fusion 2 or more 3d images,,,102.81,107.95,3
HCPCS,D0701,Fracture of lower extremity M >=61.50,,,102.81,107.95,3
HCPCS,D0702,Fracture of lower extremity M >=52.50 and M <61.50,,,102.81,107.95,3
HCPCS,D0703,Fracture of lower extremity M >=41.50 and M <52.50,,,102.81,107.95,3
HCPCS,D0705,Extra oral post radio image,,,102.81,107.95,3
HCPCS,D0706,Intraoral occlus radio image,,,102.81,107.95,3
HCPCS,D0707,Intraoral periap radio image,,,102.81,107.95,3
HCPCS,D0708,Intraoral bite radio image,,,102.81,107.95,3
HCPCS,D0709,Intraoral cmplt radio images,,,102.81,107.95,3
HCPCS,D1110,Dental prophylaxis adult,,,157.28,165.14,3
HCPCS,D3410,Apicoectomy - anterior,,,763.72,18617.0,7
HCPCS,D3421,Root surgery bicuspid,,,763.72,18617.0,7
HCPCS,D3425,Root surgery molar,,,763.72,18617.0,7
HCPCS,D3428,Bone graft peri per tooth,,,763.72,18617.0,7
HCPCS,D3432,Guided tissue regeneration,,,763.72,18617.0,7
HCPCS,D3450,Root amputation,,,763.72,18617.0,7
HCPCS,D3910,Isolation- tooth w rubb dam,,,763.72,18617.0,7
HCPCS,D3920,Tooth splitting,,,763.72,18617.0,7
HCPCS,D3999,Endodontic procedure,,,763.72,18617.0,7
HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,1406.0,18617.0,7
HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,1406.0,18617.0,7
HCPCS,D4212,Gingivectomy/plasty rest,,,1406.0,18617.0,7
HCPCS,D4230,Ana crown exp 4 or> per quad,,,1406.0,18617.0,7
HCPCS,D4231,Ana crown exp 1-3 per quad,,,1406.0,18617.0,7
HCPCS,D4240,Gingival flap proc w/ planin,,,1406.0,18617.0,7
HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,1406.0,18617.0,7
HCPCS,D4245,Apically positioned flap,,,1406.0,18617.0,7
HCPCS,D4249,Crown lengthen hard tissue,,,763.72,18617.0,7
HCPCS,D4260,Osseous surgery 4 or more,,,1406.0,18617.0,7
HCPCS,D4261,Osseous surg 1 to 3 teeth,,,1406.0,18617.0,7
HCPCS,D4263,Bone replce graft first site,,,763.72,18617.0,7
HCPCS,D4266,Guided tiss regen resorble,,,1406.0,18617.0,7
HCPCS,D4267,Guided tiss regen nonresorb,,,1406.0,18617.0,7
HCPCS,D4268,Surgical revision procedure,,,763.72,18617.0,7
HCPCS,D4270,Pedicle soft tissue graft pr,,,1406.0,18617.0,7
HCPCS,D4273,Auto tissue graft 1st tooth,,,1406.0,18617.0,7
HCPCS,D4274,Mesial/distal wedge proc,,,763.72,18617.0,7
HCPCS,D4275,Non-auto graft 1st tooth,,,1406.0,18617.0,7
HCPCS,D4276,Con tissue w dble ped graft,,,1406.0,18617.0,7
HCPCS,D4277,Soft tissue graft firsttooth,,,1406.0,18617.0,7
HCPCS,D4921,Gingival irrigation per quad,,,157.28,165.14,3
HCPCS,D4999,Unspecified periodontal proc,,,279.8,293.79,3
HCPCS,D6010,Odontics endosteal implant,,,1406.0,18617.0,4
HCPCS,D6011,Second stage implant surgery,,,1406.0,18617.0,4
HCPCS,D6012,Endosteal implant,,,1406.0,18617.0,4
HCPCS,D6013,Surgical place mini implant,,,1406.0,18617.0,4
HCPCS,D6040,Odontics eposteal implant,,,1406.0,18617.0,4
HCPCS,D6050,Odontics transosteal implnt,,,1406.0,18617.0,4
HCPCS,D6051,Interim abutment,,,1406.0,18617.0,4
HCPCS,D6103,Bone graft repair perimplant,,,1406.0,18617.0,4
HCPCS,D6104,Bone graft time of implant,,,1406.0,18617.0,4
HCPCS,D7111,Extraction coronal remnants,,,763.72,18617.0,7
HCPCS,D7140,Extraction erupted tooth/exr,,,763.72,18617.0,7
HCPCS,D7210,Rem imp tooth w mucoper flp,,,1406.0,18617.0,7
HCPCS,D7220,Impact tooth remov soft tiss,,,763.72,18617.0,7
HCPCS,D7230,Impact tooth remov part bony,,,763.72,18617.0,7
HCPCS,D7240,Impact tooth remov comp bony,,,763.72,18617.0,7
HCPCS,D7241,Impact tooth rem bony w/comp,,,763.72,18617.0,7
HCPCS,D7250,Tooth root removal,,,763.72,18617.0,7
HCPCS,D7251,Coronectomy,,,1406.0,18617.0,7
HCPCS,D7260,Oral antral fistula closure,,,763.72,18617.0,7
HCPCS,D7261,Primary closure sinus perf,,,763.72,18617.0,7
HCPCS,D7270,Tooth reimplantation,,,763.72,18617.0,7
HCPCS,D7272,Tooth transplantation,,,763.72,18617.0,7
HCPCS,D7280,Exposure of unerupted tooth,,,763.72,18617.0,7
HCPCS,D7282,Mobilize erupted/malpos toot,,,1406.0,18617.0,4
HCPCS,D7283,Place device impacted tooth,,,1406.0,18617.0,4
HCPCS,D7285,Biopsy of oral tissue hard,,,1406.0,18617.0,4
HCPCS,D7286,Biopsy of oral tissue soft,,,1406.0,18617.0,4
HCPCS,D7287,Exfoliative cytolog collect,,,1406.0,18617.0,4
HCPCS,D7288,Brush biopsy,,,1406.0,18617.0,4
HCPCS,D7290,Repositioning of teeth,,,1406.0,18617.0,4
HCPCS,D7291,Transseptal fiberotomy,,,763.72,18617.0,7
HCPCS,D7292,Screw retained plate,,,1406.0,18617.0,4
HCPCS,D7293,Temp anchorage dev w flap,,,1406.0,18617.0,4
HCPCS,D7294,Temp anchorage dev w/o flap,,,1406.0,18617.0,4
HCPCS,D7295,"Bone harvest,auto graft proc",,,1406.0,18617.0,4
HCPCS,D7310,Alveoplasty w/ extraction,,,1406.0,18617.0,7
HCPCS,D7311,Alveoloplasty w/extract 1-3,,,1406.0,18617.0,7
HCPCS,D7320,Alveoplasty w/o extraction,,,1406.0,18617.0,7
HCPCS,D7321,Alveoloplasty not w/extracts,,,1406.0,18617.0,7
HCPCS,D7340,Vestibuloplasty ridge extens,,,1406.0,18617.0,7
HCPCS,D7350,Vestibuloplasty exten graft,,,1406.0,18617.0,7
HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,1406.0,18617.0,7
HCPCS,D7411,Excision benign lesion>1.25c,,,1406.0,18617.0,7
HCPCS,D7412,Excision benign lesion compl,,,1406.0,18617.0,7
HCPCS,D7413,Excision malig lesion<=1.25c,,,1406.0,18617.0,7
HCPCS,D7414,Excision malig lesion>1.25cm,,,1406.0,18617.0,7
HCPCS,D7415,Excision malig les complicat,,,1406.0,18617.0,7
HCPCS,D7440,Malig tumor exc to 1.25 cm,,,1406.0,18617.0,7
HCPCS,D7441,Malig tumor > 1.25 cm,,,1406.0,18617.0,7
HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,1406.0,18617.0,7
HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,1406.0,18617.0,7
HCPCS,D7460,Rem nonodonto cyst to 1.25cm,,,763.72,18617.0,7
HCPCS,D7461,Rem nonodonto cyst > 1.25 cm,,,763.72,18617.0,7
HCPCS,D7465,Lesion destruction,,,1406.0,18617.0,4
HCPCS,D7471,Rem exostosis any site,,,1406.0,18617.0,7
HCPCS,D7472,Removal of torus palatinus,,,763.72,18617.0,7
HCPCS,D7473,Remove torus mandibularis,,,763.72,18617.0,7
HCPCS,D7485,Surg reduct osseoustuberosit,,,1406.0,18617.0,7
HCPCS,D7490,Maxilla or mandible resectio,,,1406.0,18617.0,4
HCPCS,D7510,I&d absc intraoral soft tiss,,,836.55,18617.0,7
HCPCS,D7511,Incision/drain abscess intra,,,836.55,18617.0,7
HCPCS,D7520,I&d abscess extraoral,,,836.55,18617.0,7
HCPCS,D7521,Incision/drain abscess extra,,,836.55,18617.0,7
HCPCS,D7530,Removal fb skin/areolar tiss,,,763.72,18617.0,7
HCPCS,D7540,Removal of fb reaction,,,763.72,18617.0,7
HCPCS,D7550,Removal of sloughed off bone,,,763.72,18617.0,7
HCPCS,D7560,Maxillary sinusotomy,,,1406.0,18617.0,4
HCPCS,D7610,Maxilla open reduct simple,,,1406.0,18617.0,4
HCPCS,D7630,Open red simpl mandible fx,,,1406.0,18617.0,4
HCPCS,D7650,Open red simp malar/zygom fx,,,1406.0,18617.0,4
HCPCS,D7670,Closd rductn splint alveolus,,,3916.7,4112.54,3
HCPCS,D7671,Alveolus open reduction,,,1406.0,18617.0,7
HCPCS,D7680,Reduct simple facial bone fx,,,1406.0,18617.0,4
HCPCS,D7710,Maxilla open reduct compound,,,1406.0,18617.0,4
HCPCS,D7730,Open reduct compd mandble fx,,,1406.0,18617.0,4
HCPCS,D7750,Open red comp malar/zygma fx,,,1406.0,18617.0,4
HCPCS,D7770,Open reduc compd alveolus fx,,,1406.0,18617.0,7
HCPCS,D7771,Alveolus clsd reduc stblz te,,,3916.7,4112.54,3
HCPCS,D7780,Reduct compnd facial bone fx,,,1406.0,18617.0,4
HCPCS,D7810,Tmj open reduct-dislocation,,,1406.0,18617.0,4
HCPCS,D7830,Tmj manipulation under anest,,,1406.0,18617.0,4
HCPCS,D7840,Removal of tmj condyle,,,1406.0,18617.0,4
HCPCS,D7850,Tmj meniscectomy,,,1406.0,18617.0,4
HCPCS,D7852,Tmj repair of joint disc,,,1406.0,18617.0,4
HCPCS,D7854,Tmj excisn of joint membrane,,,1406.0,18617.0,4
HCPCS,D7856,Tmj cutting of a muscle,,,1406.0,18617.0,4
HCPCS,D7858,Tmj reconstruction,,,1406.0,18617.0,4
HCPCS,D7860,Tmj cutting into joint,,,1406.0,18617.0,4
HCPCS,D7865,Tmj reshaping components,,,1406.0,18617.0,4
HCPCS,D7870,Tmj aspiration joint fluid,,,1406.0,18617.0,4
HCPCS,D7871,Lysis + lavage w catheters,,,1406.0,18617.0,4
HCPCS,D7872,Tmj diagnostic arthroscopy,,,1406.0,18617.0,4
HCPCS,D7873,Tmj arthroscopy lysis adhesn,,,1406.0,18617.0,4
HCPCS,D7874,Tmj arthroscopy disc reposit,,,1406.0,18617.0,7
HCPCS,D7875,Tmj arthroscopy synovectomy,,,1406.0,18617.0,4
HCPCS,D7876,Tmj arthroscopy discectomy,,,1406.0,18617.0,4
HCPCS,D7877,Tmj arthroscopy debridement,,,1406.0,18617.0,4
HCPCS,D7910,Dent sutur recent wnd to 5cm,,,1406.0,18617.0,4
HCPCS,D7911,Dental suture wound to 5 cm,,,1406.0,18617.0,4
HCPCS,D7912,Suture complicate wnd > 5 cm,,,1406.0,18617.0,4
HCPCS,D7920,Dental skin graft,,,1406.0,18617.0,4
HCPCS,D7921,Collect & appl blood product,,,1406.0,18617.0,4
HCPCS,D7940,Reshaping bone orthognathic,,,763.72,18617.0,7
HCPCS,D7941,Bone cutting ramus closed,,,1406.0,18617.0,4
HCPCS,D7943,Cutting ramus open w/graft,,,1406.0,18617.0,4
HCPCS,D7944,Bone cutting segmented,,,1406.0,18617.0,4
HCPCS,D7945,Bone cutting body mandible,,,1406.0,18617.0,4
HCPCS,D7946,Reconstruction maxilla total,,,1406.0,18617.0,4
HCPCS,D7947,Reconstruct maxilla segment,,,1406.0,18617.0,4
HCPCS,D7948,Reconstruct midface no graft,,,1406.0,18617.0,4
HCPCS,D7949,Reconstruct midface w/graft,,,1406.0,18617.0,4
HCPCS,D7950,Mandible graft,,,1406.0,18617.0,7
HCPCS,D7951,Sinus aug w bone or bone sub,,,1406.0,18617.0,4
HCPCS,D7952,Sinus augmentation vertical,,,1406.0,18617.0,4
HCPCS,D7953,Bone replacement graft,,,1406.0,18617.0,4
HCPCS,D7955,Repair maxillofacial defects,,,1406.0,18617.0,4
HCPCS,D7963,Frenuloplasty,,,1406.0,18617.0,4
HCPCS,D7970,Excision hyperplastic tissue,,,1406.0,18617.0,4
HCPCS,D7971,Excision pericoronal gingiva,,,1406.0,18617.0,4
HCPCS,D7972,Surg redct fibrous tuberosit,,,1406.0,18617.0,4
HCPCS,D7980,Sialolithotomy,,,1406.0,18617.0,4
HCPCS,D7981,Excision of salivary gland,,,1406.0,18617.0,4
HCPCS,D7982,Sialodochoplasty,,,1406.0,18617.0,4
HCPCS,D7983,Closure of salivary fistula,,,1406.0,18617.0,4
HCPCS,D7990,Emergency tracheotomy,,,1406.0,18617.0,4
HCPCS,D7991,Dental coronoidectomy,,,1406.0,18617.0,4
HCPCS,D7995,Synthetic graft facial bones,,,1406.0,18617.0,4
HCPCS,D7996,Implant mandible for augment,,,1406.0,18617.0,4
HCPCS,D7997,Appliance removal,,,1406.0,18617.0,4
HCPCS,D7998,Intraoral place of fix dev,,,1406.0,18617.0,4
HCPCS,D7999,Oral surgery procedure,,,1406.0,18617.0,4
HCPCS,E0201,Penile contractur devic manu,,,146.52,153.85,3
HCPCS,E0736,Transcut tibial nerv stimula,,,51.29,53.85,3
HCPCS,E0738,Upper extremity rehab,,,2039.64,2141.62,3
HCPCS,E0739,Rehab sys active assist rt,,,1597.66,1677.54,3
HCPCS,E1905,Vr cbt therapy,,,674.77,708.51,3
HCPCS,E2104,Glucose monitor w cartridge,,,54.52,57.25,3
HCPCS,G0008,Admin influenza virus vac,,,55.32,58.08,3
HCPCS,G0008,NDC Description Not Available,74.0,74.0,,,0
HCPCS,G0009,Admin pneumococcal vaccine,,,55.32,58.08,3
HCPCS,G0010,Admin hepatitis b vaccine,,,55.32,58.08,3
HCPCS,G0012,Injection of hiv prep drug,,,85.06,89.31,3
HCPCS,G0027,Semen analysis,,,6.5,33.27,7
HCPCS,G0030,Pt scr tob & cess int,,,256.92,323.14,2
HCPCS,G0031,Pall serv during meas,,,319.4,401.72,2
HCPCS,G0032,2+ antipsy schiz,,,251.6,316.44,2
HCPCS,G0033,2+ benzo seiz,,,322.05,405.05,2
HCPCS,G0034,Pall serv during meas,,,254.57,320.18,2
HCPCS,G0035,Pt ed pos 23,,,319.72,402.12,2
HCPCS,G0036,Pt/ptn decln assess,,,253.23,318.49,2
HCPCS,G0037,Pt not able to participate,,,317.04,398.76,2
HCPCS,G0038,Clin pt no ref,,,249.94,314.36,2
HCPCS,G0039,"Pt no ref, rn spec",,,318.06,400.04,2
HCPCS,G0041,Pt/ptn decln referral,,,319.72,402.12,2
HCPCS,G0042,Ref to therapy,,,259.89,326.87,2
HCPCS,G0043,Pt mech pros ht valv,,,323.39,406.74,2
HCPCS,G0044,Pt mitral stenosis,,,257.24,323.54,2
HCPCS,G0045,mRS 90 days post stk,,,318.38,400.44,2
HCPCS,G0046,No mRS 90 days post stk,,,257.24,323.54,2
HCPCS,G0047,Ped blunt hd traum,,,319.72,402.12,2
HCPCS,G0101,CA screen;pelvic/breast exam,,,120.01,155.18,5
HCPCS,G0102,Prostate ca screening; dre,,,72.63,91.35,2
HCPCS,G0103,PSA Screening,,,19.31,94.06,7
HCPCS,G0104,CA screen;flexi sigmoidscope,,,1098.6,18617.0,9
HCPCS,G0105,Colorectal scrn; hi risk ind,,,1098.6,4466.0,9
HCPCS,G0106,Colon CA screen;barium enema,,,681.99,18617.0,6
HCPCS,G0108,Diab manage trn  per indiv,,,61.89,64.98,3
HCPCS,G0109,Diab manage trn ind/group,,,17.83,18.72,3
HCPCS,G0117,Glaucoma scrn hgh risk direc,,,34.17,121.92,5
HCPCS,G0118,Glaucoma scrn hgh risk direc,,,44.12,146.4,5
HCPCS,G0120,Colon ca scrn; barium enema,,,681.99,18617.0,6
HCPCS,G0121,Colon ca scrn not hi rsk ind,,,1098.6,4466.0,9
HCPCS,G0122,Colon ca scrn; barium enema,,,814.74,1024.73,2
HCPCS,G0123,Screen cerv/vag thin layer,,,20.26,103.61,7
HCPCS,G0127,Trim nail(s),,,69.69,984.0,5
HCPCS,G0130,Single energy x-ray study,,,109.94,138.27,5
HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,27.05,103.61,7
HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,43.97,159.51,7
HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,26.49,135.46,7
HCPCS,G0147,"Scr c/v cyto, automated sys",,,18.54,64.29,7
HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,31.94,116.67,7
HCPCS,G0166,"Extrnl counterpulse, per tx",,,157.18,3314.0,7
HCPCS,G0175,"Opps service,sched team conf",,,492.93,517.58,3
HCPCS,G0183,Software meas of cardiac vol,,,102.81,107.95,3
HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,649.74,3314.0,9
HCPCS,G0235,PET not otherwise specified,,,472.27,495.88,3
HCPCS,G0237,Therapeutic procd strg endur,,,34.17,308.03,5
HCPCS,G0238,"Oth resp proc, indiv",,,34.17,294.15,5
HCPCS,G0239,"Oth resp proc, group",,,44.12,319.13,5
HCPCS,G0245,Initial foot exam pt lops,,,157.28,165.14,3
HCPCS,G0246,Followup eval of foot pt lop,,,157.28,165.14,3
HCPCS,G0247,Routine footcare pt w lops,,,237.02,984.0,5
HCPCS,G0248,Demonstrate use home inr mon,,,157.28,165.14,3
HCPCS,G0249,Provide INR test mater/equip,,,157.28,165.14,3
HCPCS,G0257,Unsched dialysis ESRD pt hos,,,810.77,851.31,3
HCPCS,G0259,Inject for sacroiliac joint,,,1544.0,1866.0,2
HCPCS,G0260,Inj for sacroiliac jt anesth,,,833.89,3314.0,9
HCPCS,G0270,MNT subs tx for change dx,,,24.08,25.28,3
HCPCS,G0271,Group MNT 2 or more 30 mins,,,13.5,14.18,3
HCPCS,G0276,Pild/placebo control clin tr,,,1406.0,18617.0,9
HCPCS,G0277,"Hbot, full body chamber, 30m",,,162.56,355.2,5
HCPCS,G0278,"Iliac art angio,cardiac cath",,,313.77,359.32,2
HCPCS,G0279,"Tomosynthesis, mammo",,,14.95,159.46,5
HCPCS,G0281,Elec stim unattend for press,,,13.0,102.68,5
HCPCS,G0283,Elec stim other than wound,,,14.18,102.68,5
HCPCS,G0293,"Non-cov surg proc,clin trial",,,44.12,2460.0,5
HCPCS,G0294,"Non-cov proc, clinical trial",,,44.12,984.0,5
HCPCS,G0302,Pre-op service LVRS complete,,,440.83,462.87,3
HCPCS,G0303,Pre-op service LVRS 10-15dos,,,255.08,267.83,3
HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,440.83,462.87,3
HCPCS,G0305,Post op service LVRS min 6,,,440.83,462.87,3
HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.77,39.75,7
HCPCS,G0307,CBC without platelet,,,6.47,33.09,7
HCPCS,G0328,Fecal blood scrn immunoassay,,,18.05,81.33,7
HCPCS,G0329,Electromagntic tx for ulcers,,,12.32,33.78,5
HCPCS,G0330,Facility svs dental rehab,,,3916.7,4112.54,3
HCPCS,G0339,"Robot lin-radsurg com, first",,,8185.59,9373.82,2
HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,5839.88,6687.6,2
HCPCS,G0341,Percutaneous islet celltrans,,,1406.0,18617.0,4
HCPCS,G0342,Laparoscopy islet cell trans,,,1406.0,18617.0,4
HCPCS,G0343,Laparotomy islet cell transp,,,1406.0,18617.0,4
HCPCS,G0365,Vessel mapping hemo access,,,855.0,984.0,2
HCPCS,G0379,Direct refer hospital observ,,,703.53,738.7,3
HCPCS,G0398,Home sleep test/type 2 porta,,,255.08,267.83,3
HCPCS,G0399,Home sleep test/type 3 porta,,,255.08,267.83,3
HCPCS,G0400,Home sleep test/type 4 porta,,,255.08,267.83,3
HCPCS,G0402,Initial preventive exam,,,157.28,165.14,3
HCPCS,G0404,EKG tracing for initial prev,,,34.17,35.88,3
HCPCS,G0412,Open tx iliac spine uni/bil,,,3291.0,18617.0,9
HCPCS,G0413,Pelvic ring fracture uni/bil,,,855.0,13320.0,9
HCPCS,G0414,Pelvic ring fx treat int fix,,,3560.0,18617.0,9
HCPCS,G0415,Open tx post pelvic fxcture,,,3560.0,18617.0,9
HCPCS,G0416,"Prostate biopsy, any mthd",,,373.51,684.33,7
HCPCS,G0428,Collagen Meniscus Implant,,,1406.0,18617.0,4
HCPCS,G0429,Dermal filler injection(s),,,1406.0,18617.0,9
HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,19.57,71.43,7
HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,18.29,71.11,7
HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,11.98,57.06,7
HCPCS,G0448,Place perm pacing cardiovert,,,3408.0,18617.0,4
HCPCS,G0452,Molecular pathology interpr,,,10.4,11.88,2
HCPCS,G0455,Fecal microbiota prep instil,,,1098.6,2460.0,7
HCPCS,G0460,Autologous PRP for ulcers,,,2138.0,2559.32,5
HCPCS,G0463,Hospital outpt clinic visit,,,157.28,165.14,3
HCPCS,G0465,Autolog prp diab wound ulcer,,,2437.45,2559.32,3
HCPCS,G0471,Ven blood coll snf/hha,,,11.34,39.27,5
HCPCS,G0472,Hep c screen high risk/other,,,46.35,169.02,7
HCPCS,G0475,Hiv combination assay,,,24.08,88.08,5
HCPCS,G0476,Hpv combo assay ca screen,,,35.09,127.38,5
HCPCS,G0480,Drug test def 1-7 classes,,,114.43,415.44,7
HCPCS,G0481,Drug test def 8-14 classes,,,156.59,608.29,5
HCPCS,G0482,Drug test def 15-21 classes,,,198.74,821.19,5
HCPCS,G0483,Drug test def 22+ classes,,,246.92,1064.51,5
HCPCS,G0498,Chemo extend iv infus w/pump,,,390.2,409.72,3
HCPCS,G0499,Hepb screen high risk indiv,,,28.27,102.36,5
HCPCS,G0516,"Insert drug del implant, >4",,,527.74,3314.0,9
HCPCS,G0517,Remove drug implant,,,527.74,3314.0,9
HCPCS,G0518,Remove w insert drug implant,,,527.74,3314.0,9
HCPCS,G0541,No pt prsnt train initial 30,,,34.17,35.88,3
HCPCS,G0543,Group train w/o patient,,,34.17,35.88,3
HCPCS,G0552,Supply of digital device,,,157.28,165.14,3
HCPCS,G0553,Monthly tx for dmht 20mins,,,157.28,165.14,3
HCPCS,G0555,Replacment pt electronic sys,,,1014.47,1065.19,3
HCPCS,G0561,"Temp tube delivery, unil",,,1544.0,1866.0,2
HCPCS,G0564,365 d implant glucose sensor,,,2816.0,4166.0,2
HCPCS,G0565,Rem/ins glu snsr 365 dif sit,,,2816.0,4166.0,2
HCPCS,G0566,3d bn img algor drvd fr mri,,,152.01,159.61,3
HCPCS,G0567,Screening Hep C detect,,,35.09,36.84,3
HCPCS,G0571,Intraop nerve cryoablation,,,1544.0,1866.0,2
HCPCS,G0659,Drug test def simple all cl,,,62.14,262.9,7
HCPCS,G2000,Blinded conv. Tx MDD clin tr,,,440.83,462.87,3
HCPCS,G2011,Alcohol/sub abuse assess,,,34.17,35.88,3
HCPCS,G2023,Specimen collect COVID-19,,,76.25,85.86,2
HCPCS,G2024,Spec coll SNF/Lab COVID-19,,,82.75,93.18,2
HCPCS,G9143,Warfarin respon genetic test,,,384.33,625.79,4
HCPCS,J0121,"Inj., omadacycline, 1 mg",,,4.13,9.2,7
HCPCS,J0122,"Inj., eravacycline, 1 mg",,,1.29,2.98,7
HCPCS,J0129,Abatacept injection,,,44.72,98.94,7
HCPCS,J0130,Abciximab injection,,,2670.93,3205.4,2
HCPCS,J0131,Acetaminophen injection,,,0.08,0.13,4
HCPCS,J0132,Acetylcysteine injection,,,0.58,0.85,4
HCPCS,J0133,Acyclovir injection,,,0.05,0.09,4
HCPCS,J0134,Inj acetaminophen -fresenius,,,0.08,0.13,4
HCPCS,J0136,"Inj, acetaminophen (b braun)",,,0.08,0.11,4
HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.08,0.11,4
HCPCS,J0138,"Injection, acetaminoph 10 mg",,,0.07,0.35,7
HCPCS,J0153,Adenosine inj 1mg,,,0.71,1.26,4
HCPCS,J0163,Epinephrine in nacl (endo),,,1.81,2.18,2
HCPCS,J0164,Epinephrine in nacl (baxter),,,1.74,2.09,2
HCPCS,J0165,Inj epinephrine nos 0.1 mg,,,0.9,1.08,4
HCPCS,J0166,Inj epinephrine (bpi),,,1.98,3.55,4
HCPCS,J0167,Inj epinephrine (hospira),,,1.16,3.19,4
HCPCS,J0168,Epinephrine (intl med sys),,,3.38,5.7,4
HCPCS,J0169,Inj epinephrine (adrenalin),,,2.06,3.05,4
HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,9.31,13.41,4
HCPCS,J0174,"Inj, lecanemab-irmb",,,1.34,2.96,7
HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,4.14,9.26,7
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,301.18,698.43,7
HCPCS,J0178,Aflibercept injection,,,731.88,1730.61,7
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,353.07,776.32,7
HCPCS,J0180,Agalsidase beta injection,,,227.58,516.23,7
HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.56,21.82,5
HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.69,3.68,7
HCPCS,J0200,Alatrofloxacin mesylate,,,31.75,38.11,2
HCPCS,J0202,"Injection, alemtuzumab",,,2440.42,5450.24,7
HCPCS,J0205,Alglucerase injection,,,78.55,94.27,2
HCPCS,J0206,Inj allopurinol sodium 1 mg,,,3.81,10.59,7
HCPCS,J0207,Amifostine,,,2042.52,2451.24,2
HCPCS,J0208,Inj sodium thiosulfate 100mg,,,95.45,208.96,5
HCPCS,J0209,"Inj, sod thiosulfate (hope)",,,0.88,1.84,5
HCPCS,J0210,Methyldopate hcl injection,,,79.25,95.1,2
HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,2.17,4.49,5
HCPCS,J0215,Alefacept,,,77.83,93.4,2
HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,4.8,5.76,2
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,465.23,1043.51,7
HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,395.6,882.98,7
HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,81.2,181.48,7
HCPCS,J0220,Alglucosidase alfa injection,,,386.32,463.63,2
HCPCS,J0221,Lumizyme injection,,,207.51,463.38,7
HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,100.9,224.23,7
HCPCS,J0223,Inj givosiran 0.5 mg,,,120.98,263.24,7
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,327.72,738.06,7
HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,5019.27,11223.16,7
HCPCS,J0248,"Inj, remdesivir, 1 mg?",,,6.9,15.1,7
HCPCS,J0256,Alpha 1 proteinase inhibitor,,,5.14,12.25,7
HCPCS,J0257,Glassia injection,,,5.66,12.65,7
HCPCS,J0270,Alprostadil for injection,,,19.59,23.51,2
HCPCS,J0275,Alprostadil urethral suppos,,,48.07,57.69,2
HCPCS,J0278,Amikacin sulfate injection,,,0.96,1.41,4
HCPCS,J0280,Aminophyllin 250 MG inj,,,12.92,23.19,4
HCPCS,J0281,Inj aminocaproic acid 1 gram,,,2.33,3.84,4
HCPCS,J0282,Amiodarone HCl,,,0.79,0.96,4
HCPCS,J0283,"Inj, amiodarone (nexterone)",,,4.06,5.85,4
HCPCS,J0285,Amphotericin B,,,53.11,97.37,4
HCPCS,J0287,Amphotericin b lipid complex,,,16.04,23.1,4
HCPCS,J0288,Ampho b cholesteryl sulfate,,,26.17,31.4,2
HCPCS,J0289,Amphotericin b liposome inj,,,22.81,48.18,7
HCPCS,J0290,Ampicillin 500 MG inj,,,0.76,1.23,4
HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.51,7.85,7
HCPCS,J0295,Ampicillin sodium per 1.5 gm,,,2.33,3.12,4
HCPCS,J0300,Amobarbital 125 MG inj,,,349.37,419.28,2
HCPCS,J0330,Succinycholine chloride inj,,,1.72,2.06,2
HCPCS,J0348,Anidulafungin injection,,,0.76,1.17,4
HCPCS,J0349,"Inj, rezafungin, 1 mg",,,10.79,23.84,7
HCPCS,J0360,Hydralazine hcl injection,,,8.07,12.56,4
HCPCS,J0364,Apomorphine hydrochloride,,,66.18,79.42,2
HCPCS,J0365,"Aprotonin, 10,000 kiu",,,4.95,5.94,2
HCPCS,J0380,Inj metaraminol bitartrate,,,2.13,2.56,2
HCPCS,J0391,"Inj, artesunate, 1mg",,,51.83,111.86,5
HCPCS,J0395,Arbutamine HCl injection,,,299.04,358.88,2
HCPCS,J0400,Aripiprazole injection,,,1.4,1.68,2
HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,7.27,16.33,7
HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,6.02,13.53,7
HCPCS,J0456,Azithromycin,,,3.81,4.58,4
HCPCS,J0457,"Injection, aztreonam, 100 mg",,,4.14,5.67,4
HCPCS,J0458,Aztreonam/avibactam 10 mg,,,1.68,3.75,5
HCPCS,J0461,Atropine sulfate injection,,,0.1,0.22,4
HCPCS,J0462,"Atropine sulf, nte, 0.01 mg",,,0.26,0.31,2
HCPCS,J0470,Dimecaprol injection,,,101.95,122.36,2
HCPCS,J0475,Baclofen 10 mg injection,,,178.05,406.48,7
HCPCS,J0476,Baclofen intrathecal trial,,,93.36,112.04,4
HCPCS,J0480,Basiliximab,,,4812.31,10512.6,7
HCPCS,J0485,Belatacept injection,,,3.89,8.73,7
HCPCS,J0490,Belimumab injection,,,57.19,125.77,7
HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,18.31,40.55,7
HCPCS,J0500,Dicyclomine injection,,,18.17,25.48,4
HCPCS,J0515,Inj benztropine mesylate,,,26.88,34.36,4
HCPCS,J0517,"Inj., benralizumab, 1 mg",,,163.36,369.18,7
HCPCS,J0520,Bethanechol chloride inject,,,8.39,10.07,2
HCPCS,J0525,Inj cefotetan disodium 10 mg,,,0.47,0.56,2
HCPCS,J0558,PenG benzathine/procaine inj,,,19.52,43.78,7
HCPCS,J0561,Penicillin g benzathine inj,,,31.46,67.31,7
HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,39.83,89.34,7
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,121.17,268.22,5
HCPCS,J0571,Buprenorphine oral 1mg,,,0.5,0.61,2
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,417.21,943.5,7
HCPCS,J0578,"Inj brixadi, more than 7 day",,,1668.84,3773.94,7
HCPCS,J0582,Bivalirudin (endo) 1 mg,,,0.26,0.31,2
HCPCS,J0583,Bivalirudin,,,0.26,0.38,4
HCPCS,J0584,"Injection, burosumab-twza 1m",,,498.72,1085.93,7
HCPCS,J0585,"Injection,onabotulinumtoxina",,,6.51,14.02,7
HCPCS,J0586,Abobotulinumtoxina,,,8.9,19.63,7
HCPCS,J0587,"Inj, rimabotulinumtoxinb",,,13.28,29.81,7
HCPCS,J0588,Incobotulinumtoxin a,,,5.29,12.49,7
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,3.09,7.07,7
HCPCS,J0591,"Inj deoxycholic acid, 1 mg",,,28.6,34.32,2
HCPCS,J0592,Buprenorphine hydrochloride,,,6.44,9.35,4
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,86.85,195.77,7
HCPCS,J0594,Busulfan injection,,,0.68,2.85,7
HCPCS,J0595,Butorphanol tartrate 1 mg,,,7.87,14.42,4
HCPCS,J0596,"Injection, ruconest",,,36.67,82.48,7
HCPCS,J0597,"C-1 esterase, berinert",,,76.05,170.15,7
HCPCS,J0598,"C-1 esterase, cinryze",,,65.5,147.21,7
HCPCS,J0599,"Inj., haegarda 10 units",,,23.06,27.68,2
HCPCS,J0600,Edetate calcium disodium inj,,,6102.87,14374.0,7
HCPCS,J0601,Sevelamer carbonate 20 mg,,,0.02,0.02,2
HCPCS,J0602,Sevelamer carbonate pdr 20mg,,,0.09,0.11,2
HCPCS,J0603,Sevelamer hydrochloride 20mg,,,0.19,0.22,2
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,0.04,0.04,2
HCPCS,J0605,Sucroferric oxyhydroxide 5mg,,,0.34,0.4,2
HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,2.36,9.44,5
HCPCS,J0607,Lanthanum carbonate oral 5mg,,,0.07,0.09,2
HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.11,0.13,2
HCPCS,J0609,Ferric citrate orl 3 mg iron,,,0.21,0.25,2
HCPCS,J0612,Calcium glucon (fresenius),,,0.07,0.09,4
HCPCS,J0613,Calcium glucon (wg critical),,,0.12,0.2,4
HCPCS,J0614,"Inj, treosulfan, 50 mg",,,31.61,72.52,5
HCPCS,J0615,"Calcium acetate, oral, 23 mg",,,0.04,0.04,2
HCPCS,J0616,Inj metoprolol tartrate 1 mg,,,0.21,0.27,4
HCPCS,J0618,"Inj, calcium chloride, 2 mg",,,0.06,0.07,2
HCPCS,J0620,Calcium glycer & lact/10 ML,,,16.73,20.07,2
HCPCS,J0630,Calcitonin salmon injection,,,1525.1,1830.29,2
HCPCS,J0636,Inj calcitriol per 0.1 mcg,,,1.89,2.27,2
HCPCS,J0637,Caspofungin acetate,,,3.53,7.94,4
HCPCS,J0638,Canakinumab injection,,,149.57,317.61,7
HCPCS,J0640,Leucovorin calcium injection,,,6.02,7.22,4
HCPCS,J0641,Levoleucovorin injection,,,0.05,0.13,4
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,1.75,3.19,4
HCPCS,J0650,"Inj, levothyroxine nos 10mcg",,,11.98,15.41,4
HCPCS,J0651,"Inj, levothyroxine, freskabi",,,6.96,15.32,7
HCPCS,J0652,"Inj, levothyroxine, hikma",,,8.0,11.53,4
HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",,,0.02,0.02,4
HCPCS,J0666,"Inj, bupivacaine liposome",,,1.41,3.3,7
HCPCS,J0668,"Instill, bupivac and meloxic",,,0.83,1.73,5
HCPCS,J0670,Inj mepivacaine HCL/10 ml,,,5.96,8.86,4
HCPCS,J0675,"Inj, carboprost, 0.1 mg",,,15.56,96.65,5
HCPCS,J0681,Inj ceftobipole medocarl 3mg,,,1.1,2.42,5
HCPCS,J0687,Inj cefazolin (wg crit care),,,1.55,2.13,4
HCPCS,J0688,"Inj cefazolin sodium, hikma",,,1.42,2.09,4
HCPCS,J0689,"Inj cefazolin sodium, baxter",,,2.08,2.92,4
HCPCS,J0690,Cefazolin sodium injection,,,1.3,1.79,4
HCPCS,J0691,Inj lefamulin 1 mg,,,1.31,1.57,2
HCPCS,J0692,Cefepime hcl for injection,,,1.91,2.74,4
HCPCS,J0694,Cefoxitin sodium injection,,,7.99,10.72,4
HCPCS,J0695,Inj ceftolozane tazobactam,,,8.84,20.34,7
HCPCS,J0696,Ceftriaxone sodium injection,,,0.74,0.96,4
HCPCS,J0697,Sterile cefuroxime injection,,,3.46,4.15,4
HCPCS,J0698,Cefotaxime sodium injection,,,18.69,22.43,2
HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,2.42,5.43,7
HCPCS,J0701,Inj. cefepime hcl (baxter),,,9.14,13.55,4
HCPCS,J0702,Betamethasone acet&sod phosp,,,10.73,15.61,4
HCPCS,J0703,"Inj, cefepime hcl (b braun)",,,7.9,11.13,4
HCPCS,J0706,Caffeine citrate injection,,,2.3,2.76,2
HCPCS,J0710,Cephapirin sodium injection,,,2.6,3.12,2
HCPCS,J0712,Ceftaroline fosamil inj,,,4.25,9.49,7
HCPCS,J0713,Inj ceftazidime per 500 mg,,,2.56,3.52,4
HCPCS,J0714,Ceftazidime and avibactam,,,104.75,234.91,7
HCPCS,J0715,Ceftizoxime sodium / 500 MG,,,9.79,11.75,2
HCPCS,J0716,Centruroides immune f(ab),,,10001.06,12002.34,2
HCPCS,J0717,Certolizumab pegol inj 1mg,,,3.79,8.77,7
HCPCS,J0720,Chloramphenicol sodium injec,,,92.74,111.3,2
HCPCS,J0725,Chorionic gonadotropin/1000u,,,27.26,41.36,4
HCPCS,J0735,Clonidine hydrochloride,,,27.51,40.76,4
HCPCS,J0736,"Inj, clindamycin phosp 300mg",,,2.61,4.1,4
HCPCS,J0737,"Inj, clindamycin (baxter)",,,2.67,4.96,4
HCPCS,J0738,"Hiv prep, inj, lenacapavir",,,16.1,36.18,5
HCPCS,J0739,"Injection, cabotegravir 1 mg",,,7.14,15.75,7
HCPCS,J0740,Cidofovir injection,,,560.79,1225.33,7
HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,24.18,53.05,7
HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,4.06,5.85,4
HCPCS,J0743,Cilastatin sodium injection,,,10.86,22.99,4
HCPCS,J0744,Ciprofloxacin iv,,,3.61,6.5,4
HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,0.49,3.88,7
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,71.44,159.97,7
HCPCS,J0752,"Hiv prep, oral lenacapavir",,,621.96,1007.17,5
HCPCS,J0759,"Inj, clevidepine, 1 mg",,,2.84,8.07,5
HCPCS,J0770,Colistimethate sodium inj,,,17.72,29.29,4
HCPCS,J0775,"Collagenase, clost hist inj",,,78.35,170.27,7
HCPCS,J0780,Prochlorperazine injection,,,3.38,4.06,4
HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,129.94,290.42,7
HCPCS,J0795,Corticorelin ovine triflutal,,,17.4,20.88,2
HCPCS,J0801,Inj. acthar gel to 40 units,,,4094.26,9273.95,7
HCPCS,J0802,"Inj. (ani), up to 40 units",,,3571.35,7928.11,7
HCPCS,J0834,Cosyntropin cortrosyn inj,,,43.61,56.9,4
HCPCS,J0840,Crotalidae poly immune fab,,,1841.02,4101.8,7
HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,1625.32,2344.27,4
HCPCS,J0850,Cytomegalovirus imm IV /vial,,,1808.61,4056.8,7
HCPCS,J0870,"Injection, imetelstat, 1 mg",,,58.17,127.92,7
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.07,0.09,4
HCPCS,J0873,"Inj, daptomycin (xellia)",,,0.06,0.07,4
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.1,0.13,4
HCPCS,J0875,"Injection, dalbavancin",,,15.0,35.01,7
HCPCS,J0877,"Inj, daptomycin (hospira)",,,0.08,0.13,4
HCPCS,J0878,Daptomycin injection,,,0.05,0.07,4
HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.45,0.54,2
HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,3.07,6.37,7
HCPCS,J0882,"Darbepoetin alfa, esrd use",,,3.07,6.57,7
HCPCS,J0883,Argatroban nonesrd use 1mg,,,1.01,1.79,7
HCPCS,J0884,Argatroban esrd dialysis 1mg,,,1.16,1.79,4
HCPCS,J0885,"Epoetin alfa, non-esrd",,,7.3,19.16,7
HCPCS,J0887,Epoetin beta esrd use,,,2.19,3.3,4
HCPCS,J0888,Epoetin beta non esrd,,,2.19,3.3,4
HCPCS,J0889,Daprodustat oral 1mg esrd,,,7.46,8.95,2
HCPCS,J0890,Peginesatide injection,,,15.33,18.39,2
HCPCS,J0891,Argatroban nonesrd (accord),,,1.82,9.06,5
HCPCS,J0892,Argatroban dialysis (accord),,,7.55,9.06,2
HCPCS,J0893,"Inj, decitabine (sun pharma)",,,1.2,1.75,4
HCPCS,J0894,Decitabine injection,,,2.28,2.74,4
HCPCS,J0895,Deferoxamine mesylate inj,,,14.04,20.21,4
HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,42.75,94.16,7
HCPCS,J0897,Denosumab injection,,,29.51,65.9,7
HCPCS,J0898,Argatroban nonesrd (auromed),,,2.26,3.63,4
HCPCS,J0899,"Argatroban dialysis, auromed",,,2.26,3.63,4
HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.26,0.31,2
HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,5.03,19.07,5
HCPCS,J0945,Brompheniramine maleate inj,,,1.5,1.79,2
HCPCS,J1000,Depo-estradiol cypionate inj,,,73.03,110.54,4
HCPCS,J1010,"Inj, methylpred acetate 1 mg",,,0.18,0.27,4
HCPCS,J1050,Medroxyprogesterone acetate,,,1.07,1.28,2
HCPCS,J1071,Inj testosterone cypionate,,,0.05,0.07,4
HCPCS,J1072,"Inj, testosterone, azmiro",,,0.14,2.98,7
HCPCS,J1095,"Injection, dexamethasone 9%",,,2.19,2.62,2
HCPCS,J1096,Dexametha opth insert 0.1 mg,,,92.55,230.89,7
HCPCS,J1097,Phenylep ketorolac opth soln,,,96.61,269.97,5
HCPCS,J1100,Dexamethasone sodium phos,,,0.17,0.2,4
HCPCS,J1110,Inj dihydroergotamine mesylt,,,112.14,151.11,4
HCPCS,J1120,Acetazolamid sodium injectio,,,26.81,44.5,4
HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,0.39,0.47,2
HCPCS,J1160,Digoxin injection,,,6.22,20.3,4
HCPCS,J1162,Digoxin immune fab (ovine),,,5166.99,11592.34,7
HCPCS,J1163,"Inj, diltiazem hcl, 0.5 mg",,,0.05,0.07,4
HCPCS,J1165,Phenytoin sodium injection,,,0.84,1.02,4
HCPCS,J1171,"Inj, hydromorphone, 0.1 mg",,,0.13,0.2,4
HCPCS,J1190,Dexrazoxane hcl injection,,,49.74,141.44,7
HCPCS,J1200,Diphenhydramine hcl injectio,,,1.4,1.7,4
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,16.92,37.05,7
HCPCS,J1202,Miglustat oral 65 mg,,,63.9,76.69,2
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,92.4,204.58,7
HCPCS,J1205,Chlorothiazide sodium inj,,,62.87,88.49,4
HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,748.98,1679.65,7
HCPCS,J1230,Methadone injection,,,35.67,43.36,4
HCPCS,J1240,Dimenhydrinate injection,,,11.48,13.77,4
HCPCS,J1245,Dipyridamole injection,,,6.01,18.86,4
HCPCS,J1250,Inj dobutamine HCL/250 mg,,,12.42,15.88,4
HCPCS,J1260,Dolasetron mesylate,,,11.53,13.84,2
HCPCS,J1265,Dopamine injection,,,1.02,1.86,4
HCPCS,J1267,Doripenem injection,,,1.64,1.97,2
HCPCS,J1270,"Injection, doxercalciferol",,,0.58,0.79,4
HCPCS,J1271,Inj doxycycline hyclate 1 mg,,,0.18,0.25,4
HCPCS,J1290,Ecallantide injection,,,578.75,1300.87,7
HCPCS,J1299,"Inj, eculizumab, 2 mg",,,44.7,100.53,7
HCPCS,J1301,"Injection, edaravone, 1 mg",,,15.18,47.08,7
HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,19.64,42.3,7
HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,223.68,504.92,7
HCPCS,J1304,Inj tofersen intrathec 1 mg,,,160.01,357.53,7
HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,197.63,434.6,7
HCPCS,J1306,"Injection, inclisiran, 1 mg",,,12.61,27.63,7
HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,551.51,1190.36,5
HCPCS,J1308,"Inj, famotidine, 0.25 mg",,,0.02,0.02,4
HCPCS,J1320,Amitriptyline injection,,,4.19,5.02,2
HCPCS,J1322,"Elosulfase alfa, injection",,,311.95,692.37,7
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,186.79,412.87,7
HCPCS,J1324,Enfuvirtide injection,,,1.27,1.53,2
HCPCS,J1325,Epoprostenol injection,,,25.21,36.34,4
HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,33.65,75.61,7
HCPCS,J1327,Eptifibatide injection,,,3.26,22.88,5
HCPCS,J1330,Ergonovine maleate injection,,,9.1,10.92,2
HCPCS,J1335,Ertapenem injection,,,14.04,22.12,4
HCPCS,J1364,Erythro lactobionate /500 MG,,,116.82,144.94,4
HCPCS,J1370,"Inj, esomeprazole sod, 1 mg",,,0.37,0.45,2
HCPCS,J1380,Estradiol valerate 10 MG inj,,,12.01,16.26,4
HCPCS,J1410,Inj estrogen conjugate 25 MG,,,391.72,879.39,7
HCPCS,J1426,"Injection, casimersen, 10 mg",,,166.2,366.06,5
HCPCS,J1427,Inj. viltolarsen,,,107.52,129.04,2
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,167.51,366.06,5
HCPCS,J1429,Inj golodirsen 10 mg,,,305.02,366.06,2
HCPCS,J1430,Ethanolamine oleate 100 mg,,,518.63,1141.6,7
HCPCS,J1434,"Inj, focinvez, 1mg",,,2.55,6.37,7
HCPCS,J1435,Injection estrone per 1 MG,,,0.45,0.54,2
HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,21.93,49.39,7
HCPCS,J1438,Etanercept injection,,,1943.93,2332.92,2
HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,1.1,2.49,7
HCPCS,J1440,Fecal?microbiota jslm 1 ml,,,64.32,143.19,7
HCPCS,J1442,Inj filgrastim excl biosimil,,,1.02,2.24,7
HCPCS,J1443,Inj ferric pyrophosphate cit,,,0.06,0.07,2
HCPCS,J1444,Fe pyro cit pow 0.1 mg iron,,,0.06,0.07,2
HCPCS,J1445,Inj triferic avnu 0.1mg iron,,,0.34,0.4,2
HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.25,0.63,7
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.49,12.25,7
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,32.87,46.81,7
HCPCS,J1450,Fluconazole,,,3.51,5.07,4
HCPCS,J1451,"Fomepizole, 15 mg",,,6.54,28.91,5
HCPCS,J1452,Intraocular Fomivirsen na,,,396.23,475.52,2
HCPCS,J1453,Fosaprepitant injection,,,0.18,0.22,4
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,524.18,1290.85,7
HCPCS,J1455,Foscarnet sodium injection,,,24.26,36.07,4
HCPCS,J1456,"Inj, fosaprepitant (teva)",,,0.04,2.31,7
HCPCS,J1457,Gallium nitrate injection,,,3.89,4.67,2
HCPCS,J1458,Galsulfase injection,,,513.6,1141.15,7
HCPCS,J1459,Inj IVIG privigen 500 mg,,,49.53,113.81,7
HCPCS,J1460,Gamma globulin 1 CC inj,,,48.95,109.97,7
HCPCS,J1551,Inj cutaquig 100 mg,,,13.93,31.92,7
HCPCS,J1552,"Inj, alyglo, 500 mg",,,123.12,292.13,7
HCPCS,J1554,Inj. asceniv,,,500.93,1114.19,7
HCPCS,J1555,"Inj cuvitru, 100 mg",,,17.58,37.77,7
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,79.44,173.59,7
HCPCS,J1557,Gammaplex injection,,,64.65,142.83,7
HCPCS,J1558,"Inj. xembify, 100 mg",,,15.37,33.29,7
HCPCS,J1559,Hizentra injection,,,14.52,32.16,7
HCPCS,J1560,Gamma globulin > 10 CC inj,,,160.29,382.39,7
HCPCS,J1561,Gamunex-c/gammaked,,,49.73,109.82,7
HCPCS,J1566,"Immune globulin, powder",,,80.4,176.73,7
HCPCS,J1568,Octagam injection,,,47.04,106.59,7
HCPCS,J1569,Gammagard liquid injection,,,49.08,101.63,7
HCPCS,J1570,Ganciclovir sodium injection,,,61.68,88.69,4
HCPCS,J1571,HepaGam B IM injection,,,70.23,149.47,7
HCPCS,J1572,Flebogamma injection,,,90.74,121.12,5
HCPCS,J1573,"Hepagam B intravenous, inj",,,70.23,149.47,7
HCPCS,J1574,"Inj, ganciclovir (exela)",,,95.32,114.39,2
HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,18.8,40.71,7
HCPCS,J1576,"Inj, panzyga, 500 mg",,,73.83,163.74,7
HCPCS,J1580,Garamycin gentamicin inj,,,4.08,4.96,4
HCPCS,J1595,Injection glatiramer acetate,,,119.15,142.99,2
HCPCS,J1596,"Inj, glycopyrrolate, 0.1 mg",,,0.68,1.03,4
HCPCS,J1597,"Inj glycopyrrolate, glyrx-pf",,,3.05,3.66,2
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,2.5,3.01,4
HCPCS,J1599,"Ivig non-lyophilized, NOS",,,284.05,340.89,2
HCPCS,J1600,Gold sodium thiomaleate inj,,,56.35,67.63,2
HCPCS,J1602,Golimumab for iv use 1mg,,,11.29,24.76,7
HCPCS,J1610,Glucagon hydrochloride/1 mg,,,146.33,409.24,7
HCPCS,J1611,"Inj glucagon hcl, fresenius",,,135.0,334.18,7
HCPCS,J1612,Inj glucagon (gvoke) 0.01 mg,,,2.37,5.76,5
HCPCS,J1626,Granisetron hcl injection,,,0.34,0.4,4
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,3.88,9.62,7
HCPCS,J1628,"Inj., guselkumab, 1 mg",,,67.81,170.4,7
HCPCS,J1630,Haloperidol injection,,,1.3,1.79,4
HCPCS,J1631,Haloperidol decanoate inj,,,7.29,9.87,4
HCPCS,J1632,"Inj., brexanolone, 1 mg",,,142.03,170.45,2
HCPCS,J1640,"Hemin, 1 mg",,,35.31,76.67,7
HCPCS,J1642,Inj heparin sodium per 10 u,,,0.03,0.04,4
HCPCS,J1643,"Inj heparin, pfizer, 1000u",,,4.69,6.75,4
HCPCS,J1644,Inj heparin sodium per 1000u,,,0.35,0.47,4
HCPCS,J1645,Dalteparin sodium,,,28.08,37.1,4
HCPCS,J1650,Inj enoxaparin sodium,,,0.89,1.32,4
HCPCS,J1652,Fondaparinux sodium,,,1.12,1.61,4
HCPCS,J1655,Tinzaparin sodium injection,,,6.52,7.83,2
HCPCS,J1670,Tetanus immune globulin inj,,,558.12,1330.1,7
HCPCS,J1675,Histrelin acetate,,,1.53,1.84,2
HCPCS,J1700,Hydrocortisone acetate inj,,,1.21,1.46,2
HCPCS,J1710,Hydrocortisone sodium ph inj,,,8.75,10.5,2
HCPCS,J1720,Hydrocortisone sodium succ i,,,33.0,47.8,4
HCPCS,J1729,Inj hydroxyprogst capoat nos,,,26.0,31.2,2
HCPCS,J1738,Inj. meloxicam 1 mg,,,5.98,7.18,2
HCPCS,J1740,Ibandronate sodium injection,,,47.95,64.17,4
HCPCS,J1741,Ibuprofen injection,,,4.74,6.95,4
HCPCS,J1742,Ibutilide fumarate injection,,,219.22,696.7,5
HCPCS,J1743,Idursulfase injection,,,558.22,1252.63,7
HCPCS,J1744,Icatibant injection,,,88.96,106.77,2
HCPCS,J1745,Infliximab not biosimil 10mg,,,31.04,69.73,7
HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,77.68,177.78,7
HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,65.73,147.43,7
HCPCS,J1748,"Inj, zymfentra, 10 mg",,,510.63,612.81,2
HCPCS,J1749,"Inj, iloprost, 0.1 mcg",,,8.89,12.81,4
HCPCS,J1750,Inj iron dextran,,,18.1,40.62,7
HCPCS,J1756,Iron sucrose injection,,,0.35,0.52,4
HCPCS,J1786,Imuglucerase injection,,,42.82,96.88,7
HCPCS,J1790,Droperidol injection,,,8.35,17.11,4
HCPCS,J1800,Propranolol injection,,,18.58,22.3,2
HCPCS,J1805,"Inj, esmolol hcl, 10mg",,,0.41,0.49,4
HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.64,0.99,4
HCPCS,J1807,"Inj, ethacrynate sod, 1 mg",,,18.27,86.94,5
HCPCS,J1808,"Inj, folic acid, 0.1 mg",,,0.08,0.13,4
HCPCS,J1809,"Inj, fosdenopterin, 0.1mg",,,17.59,38.06,5
HCPCS,J1811,Fiasp for insulin pump use,,,12.08,18.5,4
HCPCS,J1812,Inj. Insulin (fiasp),,,2.77,3.32,2
HCPCS,J1813,Lyumjev for insulin pump use,,,23.78,33.91,4
HCPCS,J1814,Inj. insulin (lyumjev),,,2.62,3.14,2
HCPCS,J1815,Insulin injection,,,0.43,0.52,2
HCPCS,J1817,Insulin for insulin pump use,,,5.03,7.16,4
HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,495.54,1111.52,7
HCPCS,J1826,Interferon Beta-1A inj,,,4116.73,4940.52,2
HCPCS,J1830,Interferon beta-1b / .25 MG,,,1354.6,1625.66,2
HCPCS,J1833,"Injection, isavuconazonium",,,1.01,2.42,5
HCPCS,J1834,"Inj, isoniazid, 1 mg",,,0.3,0.67,5
HCPCS,J1836,"Inj, metronidazole, 10 mg",,,0.05,0.07,4
HCPCS,J1885,Ketorolac tromethamine inj,,,0.34,0.67,7
HCPCS,J1920,"Inj, labetalol hcl, 5mg",,,0.61,0.76,4
HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,2.15,3.1,4
HCPCS,J1930,Lanreotide injection,,,35.72,76.37,7
HCPCS,J1931,Laronidase injection,,,39.95,89.43,7
HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,32.19,66.93,7
HCPCS,J1938,"Inj, furosemide, 1 mg",,,0.03,0.04,4
HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,0.69,0.94,4
HCPCS,J1941,"Inj, furoscix, 20 mg",,,467.34,560.86,2
HCPCS,J1943,"Inj., aristada initio, 1 mg",,,3.25,7.27,7
HCPCS,J1944,Aripirazole lauroxil 1 mg,,,3.32,7.51,7
HCPCS,J1945,Lepirudin,,,1066.34,1279.72,2
HCPCS,J1950,Leuprolide acetate /3.75 mg,,,1765.57,3881.11,7
HCPCS,J1951,Inj fensolvi 0.25 mg,,,140.71,316.24,7
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,39.95,177.02,7
HCPCS,J1953,Levetiracetam injection,,,0.07,0.09,4
HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,343.61,1585.06,7
HCPCS,J1955,Inj levocarnitine per 1 gm,,,37.82,52.96,4
HCPCS,J1956,Levofloxacin injection,,,3.05,5.7,4
HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,22.3,49.68,7
HCPCS,J1980,Hyoscyamine sulfate inj,,,102.94,123.54,2
HCPCS,J1990,Chlordiazepoxide injection,,,39.34,47.22,2
HCPCS,J2002,"Inj, lidocaine in d5w, 1 mg",,,0.02,0.02,4
HCPCS,J2003,"Inj, lidocaine hcl, 1 mg",,,0.02,0.02,2
HCPCS,J2004,"Inj, lidocaine w epinephrine",,,0.02,0.02,2
HCPCS,J2010,Lincomycin injection,,,8.41,10.09,4
HCPCS,J2020,Linezolid injection,,,5.4,8.01,4
HCPCS,J2021,"Inj, linezolid (hospira)",,,9.87,14.22,4
HCPCS,J2060,Lorazepam injection,,,2.05,3.1,4
HCPCS,J2062,Loxapine for inhalation 1 mg,,,28.6,34.32,2
HCPCS,J2150,Mannitol injection,,,3.48,3.48,2
HCPCS,J2151,"Inj, mannitol, 250 mg",,,0.11,0.13,2
HCPCS,J2170,Mecasermin injection,,,700.84,841.08,2
HCPCS,J2175,Meperidine hydrochl /100 MG,,,24.44,35.19,4
HCPCS,J2180,Meperidine/promethazine inj,,,7.08,8.5,2
HCPCS,J2182,"Injection, mepolizumab, 1mg",,,31.82,70.14,7
HCPCS,J2183,Inj meropenem (wg crit care),,,2.52,3.63,4
HCPCS,J2184,"Inj, meropenem (b. braun)",,,3.23,4.64,4
HCPCS,J2185,Meropenem,,,0.68,0.94,4
HCPCS,J2186,"Inj., meropenem, vaborbactam",,,2.17,5.09,5
HCPCS,J2210,Methylergonovin maleate inj,,,34.34,46.47,4
HCPCS,J2212,Methylnaltrexone injection,,,2.71,3.25,2
HCPCS,J2246,"Inj, micafungin (baxter)",,,0.79,1.1,4
HCPCS,J2247,"Inj, micafungin (par pharm)",,,0.56,0.83,4
HCPCS,J2248,Micafungin sodium injection,,,0.48,0.58,4
HCPCS,J2249,"Inj, remimazolam, 1 mg",,,4.19,5.02,2
HCPCS,J2250,Inj midazolam hydrochloride,,,0.25,0.34,4
HCPCS,J2251,Inj midazolam (wg crit care),,,0.26,0.45,4
HCPCS,J2252,Inj midazolam in 0.8% nacl,,,0.13,0.16,2
HCPCS,J2260,Inj milrinone lactate / 5 mg,,,2.18,3.25,4
HCPCS,J2265,Minocycline hydrochloride,,,2.66,5.92,5
HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,42.09,96.56,7
HCPCS,J2270,Morphine sulfate injection,,,4.07,7.08,4
HCPCS,J2272,"Inj, morphine (fresenius)",,,12.66,19.63,4
HCPCS,J2274,In morphine preservativ free,,,16.8,27.03,4
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,26.48,56.57,7
HCPCS,J2278,Ziconotide injection,,,10.46,22.74,7
HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,13.56,20.21,4
HCPCS,J2281,Inj moxifloxacin (fres kabi),,,12.08,16.62,4
HCPCS,J2290,"Inj, nafcillin sodium, 20 mg",,,0.08,0.11,4
HCPCS,J2291,"Inj, nafcillin (baxter) 20mg",,,0.28,0.34,2
HCPCS,J2300,Inj nalbuphine hydrochloride,,,5.48,8.3,4
HCPCS,J2305,"Inj, nitroglycerin, 5 mg",,,2.21,3.34,4
HCPCS,J2312,"Inj naloxone hcl nos, 0.01mg",,,0.1,0.18,4
HCPCS,J2313,"Inj, naloxone (zimhi) 0.01mg",,,0.02,0.04,4
HCPCS,J2315,"Naltrexone, depot form",,,4.25,9.51,7
HCPCS,J2320,Nandrolone decanoate 50 MG,,,7.01,8.41,2
HCPCS,J2323,Natalizumab injection,,,24.32,53.83,7
HCPCS,J2325,Nesiritide injection,,,112.61,135.14,2
HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,1285.78,2789.26,5
HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,14.6,33.51,7
HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,68.75,158.69,7
HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,59.6,133.26,7
HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,46.79,105.94,7
HCPCS,J2353,"Octreotide injection, depot",,,188.35,456.63,7
HCPCS,J2354,"Octreotide inj, non-depot",,,0.94,1.37,4
HCPCS,J2355,Oprelvekin injection,,,797.91,957.58,2
HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,17.58,40.4,7
HCPCS,J2357,Omalizumab injection,,,41.82,100.04,7
HCPCS,J2358,Olanzapine long-acting inj,,,4.54,6.55,4
HCPCS,J2359,"Inj. olanzapine, 0.5mg",,,1.42,1.95,4
HCPCS,J2360,Orphenadrine injection,,,14.7,25.1,4
HCPCS,J2371,Inj phenylephrine hcl 20 mcg,,,0.02,0.02,4
HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.26,0.38,4
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.2,0.31,4
HCPCS,J2401,Chloroprocaine hcl injection,,,0.07,0.09,4
HCPCS,J2402,Chloroprocaine (clorotekal),,,0.58,0.7,2
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.94,1.3,4
HCPCS,J2404,"Inj, nicardipine 0.1 mg",,,0.13,0.16,4
HCPCS,J2405,Ondansetron hcl injection,,,0.15,1.84,4
HCPCS,J2406,"Injection, oritavancin 10 mg",,,43.72,95.28,7
HCPCS,J2407,"Injection, oritavancin",,,28.57,64.33,7
HCPCS,J2410,Oxymorphone hcl injection,,,5.33,6.39,2
HCPCS,J2425,Palifermin injection,,,36.72,79.74,7
HCPCS,J2426,Paliperidone palmitate inj,,,15.08,33.89,7
HCPCS,J2427,"Inj, invega hafyera/trinza",,,12.95,29.16,7
HCPCS,J2428,"Inj, erzofri, 1 mg",,,14.49,37.59,5
HCPCS,J2430,Pamidronate disodium /30 mg,,,17.37,21.62,4
HCPCS,J2440,Papaverin hcl injection,,,71.49,85.79,2
HCPCS,J2460,Oxytetracycline injection,,,1.76,2.11,2
HCPCS,J2468,"Inj, palonosetron (avyxa)",,,55.29,130.63,7
HCPCS,J2469,Palonosetron hcl,,,0.64,0.76,4
HCPCS,J2470,Inj pantoprazole sodium 40mg,,,3.61,4.33,2
HCPCS,J2471,Inj pantoprazole(hikma) 40mg,,,12.39,14.87,2
HCPCS,J2472,"Inj, pantoprazole sodium chl",,,16.8,20.16,2
HCPCS,J2501,Paricalcitol,,,1.04,2.13,4
HCPCS,J2502,"Inj, pasireotide long acting",,,596.3,1285.15,7
HCPCS,J2504,"Pegademase bovine, 25 iu",,,687.72,825.33,2
HCPCS,J2506,Inj pegfilgrast ex bio 0.5mg,,,90.9,200.39,7
HCPCS,J2507,Pegloticase injection,,,3824.52,8211.24,7
HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,223.4,511.76,7
HCPCS,J2510,Penicillin g procaine inj,,,87.6,105.13,2
HCPCS,J2513,Pentastarch 10% solution,,,23.77,28.53,2
HCPCS,J2515,Pentobarbital sodium inj,,,36.84,120.83,5
HCPCS,J2540,Penicillin g potassium inj,,,1.37,1.77,4
HCPCS,J2543,Piperacillin/tazobactam,,,1.73,2.4,4
HCPCS,J2545,Pentamidine non-comp unit,,,128.22,156.4,4
HCPCS,J2547,"Injection, peramivir",,,1.68,3.63,5
HCPCS,J2550,Promethazine hcl injection,,,4.46,6.62,4
HCPCS,J2560,Phenobarbital sodium inj,,,42.59,67.67,4
HCPCS,J2561,"Inj, sezaby, 1 mg",,,1.13,3.05,5
HCPCS,J2562,Plerixafor injection,,,32.74,185.97,7
HCPCS,J2590,Oxytocin injection,,,2.67,3.21,2
HCPCS,J2597,Inj desmopressin acetate,,,6.06,7.9,4
HCPCS,J2598,"Inj, vasopressin, 1 unit",,,1.74,2.09,4
HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,0.74,1.37,4
HCPCS,J2601,"Inj, vasopressin (baxter)",,,1.53,4.57,7
HCPCS,J2650,Prednisolone acetate inj,,,0.97,1.17,2
HCPCS,J2670,Totazoline hcl injection,,,6.43,7.72,2
HCPCS,J2675,Inj progesterone per 50 MG,,,0.97,1.57,4
HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,11.57,16.46,4
HCPCS,J2680,Fluphenazine decanoate 25 MG,,,11.73,16.37,4
HCPCS,J2690,Procainamide hcl injection,,,214.81,660.99,7
HCPCS,J2700,Oxacillin sodium injeciton,,,1.29,1.77,4
HCPCS,J2704,"Inj, propofol, 10 mg",,,0.13,0.2,4
HCPCS,J2710,Neostigmine methylslfte inj,,,1.44,1.73,2
HCPCS,J2720,Inj protamine sulfate/10 MG,,,2.54,3.9,4
HCPCS,J2724,Protein C concentrate,,,15.05,33.73,7
HCPCS,J2725,Inj protirelin per 250 mcg,,,40.71,48.85,2
HCPCS,J2730,Pralidoxime chloride inj,,,165.28,198.35,2
HCPCS,J2760,Phentolaine mesylate inj,,,257.45,969.02,7
HCPCS,J2765,Metoclopramide hcl injection,,,1.55,2.44,4
HCPCS,J2770,Quinupristin/dalfopristin,,,888.39,1066.17,2
HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,32.87,75.99,7
HCPCS,J2778,Ranibizumab injection,,,67.85,193.75,7
HCPCS,J2779,"Inj, susvimo 0.1 mg",,,76.2,177.04,7
HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,147.81,312.18,7
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,103.4,235.78,7
HCPCS,J2783,Rasburicase,,,382.19,846.78,7
HCPCS,J2785,Regadenoson injection,,,4.5,6.77,4
HCPCS,J2786,"Injection, reslizumab, 1mg",,,11.53,24.56,7
HCPCS,J2787,Riboflavin 5?phos opth<=3ml,,,4346.55,5216.32,2
HCPCS,J2788,Rho d immune globulin 50 mcg,,,43.36,57.4,4
HCPCS,J2790,Rho d immune globulin inj,,,128.3,185.2,4
HCPCS,J2791,Rhophylac injection,,,7.74,10.9,4
HCPCS,J2792,"Rho(D) immune globulin h, sd",,,34.26,57.11,7
HCPCS,J2793,Rilonacept injection,,,51.66,62.0,2
HCPCS,J2794,"Risperidone, long acting",,,10.8,24.63,7
HCPCS,J2795,Ropivacaine HCl injection,,,0.09,0.11,4
HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,1.68,2.02,2
HCPCS,J2798,"Inj., perseris, 0.5 mg",,,12.17,27.23,7
HCPCS,J2799,"Inj, uzedy, 1 mg",,,25.16,56.16,7
HCPCS,J2800,Methocarbamol injection,,,7.46,10.74,4
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,13.03,28.13,5
HCPCS,J2802,"Inj, romiplostim 1 microgram",,,11.11,24.7,7
HCPCS,J2804,"Inj, rifampin, 1 mg",,,0.25,0.31,4
HCPCS,J2805,Sincalide injection,,,211.66,276.7,4
HCPCS,J2810,Inj theophylline per 40 MG,,,0.77,0.92,2
HCPCS,J2820,Sargramostim injection,,,61.89,112.98,7
HCPCS,J2840,Inj sebelipase alfa 1 mg,,,540.17,1167.95,5
HCPCS,J2850,Inj secretin synthetic human,,,40.23,94.52,5
HCPCS,J2860,"Injection, siltuximab",,,174.08,371.96,7
HCPCS,J2865,Inj sulfameth/trim 5 mg/1 mg,,,0.08,0.11,4
HCPCS,J2910,Aurothioglucose injeciton,,,45.79,54.95,2
HCPCS,J2916,Na ferric gluconate complex,,,3.4,4.53,4
HCPCS,J2919,"Inj, methylpred sod succ 5mg",,,0.39,0.47,4
HCPCS,J2940,Somatrem injection,,,79.04,94.86,2
HCPCS,J2941,Somatropin injection,,,296.35,355.65,2
HCPCS,J2993,Reteplase injection,,,2904.58,6911.69,5
HCPCS,J2995,Inj streptokinase /250000 IU,,,148.59,178.32,2
HCPCS,J2997,Alteplase recombinant,,,95.09,211.85,7
HCPCS,J2998,Inj plasminogen tvmh 1mg,,,38.39,91.31,5
HCPCS,J3000,Streptomycin injection,,,48.81,82.3,4
HCPCS,J3010,Fentanyl citrate injeciton,,,1.5,2.47,4
HCPCS,J3030,Sumatriptan succinate / 6 MG,,,70.54,84.65,2
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,6.41,7.69,2
HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,20.55,44.79,7
HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,74.88,162.89,7
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,40.66,92.21,7
HCPCS,J3070,Pentazocine injection,,,202.58,243.12,2
HCPCS,J3090,Inj tedizolid phosphate,,,1.96,4.4,7
HCPCS,J3095,Telavancin injection,,,7.03,15.95,7
HCPCS,J3101,Tenecteplase injection,,,197.44,386.29,7
HCPCS,J3105,Terbutaline sulfate inj,,,4.27,16.58,4
HCPCS,J3110,Teriparatide injection,,,88.48,106.18,2
HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,12.19,27.07,7
HCPCS,J3121,Inj testostero enanthate 1mg,,,0.08,0.11,4
HCPCS,J3145,Testosterone undecanoate 1mg,,,2.13,4.64,7
HCPCS,J3230,Chlorpromazine hcl injection,,,42.14,56.68,4
HCPCS,J3240,Thyrotropin injection,,,2125.34,4746.91,7
HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,367.91,805.66,7
HCPCS,J3243,Tigecycline injection,,,0.71,0.85,4
HCPCS,J3244,Inj. tigecycline (accord),,,4.77,5.72,2
HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,118.2,285.87,7
HCPCS,J3246,Tirofiban hcl,,,5.33,7.81,4
HCPCS,J3247,Inj secukinumab intrav 1mg,,,18.04,40.02,7
HCPCS,J3250,Trimethobenzamide hcl inj,,,83.13,128.99,4
HCPCS,J3260,Tobramycin sulfate injection,,,3.83,5.32,4
HCPCS,J3262,Tocilizumab injection,,,5.53,12.81,7
HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,39.99,88.4,7
HCPCS,J3265,Injection torsemide 10 mg/ml,,,4.09,4.91,2
HCPCS,J3280,Thiethylperazine maleate inj,,,8.9,10.68,2
HCPCS,J3285,Treprostinil injection,,,55.18,122.71,7
HCPCS,J3290,"Inj, tranexamic acid 5 mg",,,0.06,0.07,2
HCPCS,J3299,Inj xipere 1 mg,,,47.78,107.6,7
HCPCS,J3300,Triamcinolone A inj PRS-free,,,18.78,54.95,7
HCPCS,J3301,Triamcinolone acet inj nos,,,1.34,1.88,4
HCPCS,J3302,Triamcinolone diacetate inj,,,0.52,0.63,2
HCPCS,J3303,Triamcinolone hexacetonl inj,,,15.49,18.59,2
HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,18.64,41.05,7
HCPCS,J3310,Perphenazine injeciton,,,11.92,14.31,2
HCPCS,J3315,Triptorelin pamoate,,,469.38,1065.07,7
HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,3723.76,8562.16,7
HCPCS,J3320,Spectinomycn di-hcl inj,,,56.22,67.47,2
HCPCS,J3350,Urea injection,,,141.2,169.46,2
HCPCS,J3355,"Urofollitropin, 75 iu",,,118.55,142.27,2
HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,540.31,648.43,2
HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,11.62,29.14,7
HCPCS,J3360,Diazepam injection,,,9.6,16.49,4
HCPCS,J3364,Urokinase 5000 IU injection,,,17.12,20.55,2
HCPCS,J3365,"Urokinase 250,000 IU inj",,,855.5,1026.69,2
HCPCS,J3373,"Inj, vancomycin hcl, 10 mg",,,0.05,0.07,4
HCPCS,J3374,"Inj, vancomycin (mylan) 10mg",,,0.18,0.27,4
HCPCS,J3375,Inj vancomycin (xellia) 10mg,,,0.21,0.31,4
HCPCS,J3380,"Injection, vedolizumab",,,20.98,47.8,7
HCPCS,J3385,Velaglucerase alfa,,,388.16,855.39,7
HCPCS,J3396,Verteporfin injection,,,11.57,25.88,7
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,280.15,621.38,5
HCPCS,J3400,Triflupromazine hcl inj,,,20.65,24.79,2
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1004.58,2263.64,7
HCPCS,J3410,Hydroxyzine hcl injection,,,26.35,34.32,4
HCPCS,J3411,Thiamine hcl 100 mg,,,2.79,4.08,4
HCPCS,J3415,Pyridoxine hcl 100 mg,,,11.31,19.92,4
HCPCS,J3420,Vitamin b12 injection,,,1.47,2.24,4
HCPCS,J3424,Inj hydroxocobalamin iv 25mg,,,5.44,12.0,5
HCPCS,J3425,"Inj, hydroxocobalamin",,,0.02,0.02,4
HCPCS,J3430,Vitamin k phytonadione inj,,,4.42,6.12,4
HCPCS,J3465,"Injection, voriconazole",,,1.2,1.73,4
HCPCS,J3470,Hyaluronidase injection,,,49.12,72.27,4
HCPCS,J3471,"Ovine, up to 999 usp units",,,0.78,1.12,4
HCPCS,J3472,"Ovine, 1000 USP units",,,257.55,309.09,2
HCPCS,J3473,Hyaluronidase recombinant,,,0.56,0.81,4
HCPCS,J3475,Inj magnesium sulfate,,,0.78,1.08,4
HCPCS,J3480,Inj potassium chloride,,,0.21,0.26,4
HCPCS,J3485,Zidovudine,,,1.51,3.39,7
HCPCS,J3486,Ziprasidone mesylate,,,4.88,15.32,4
HCPCS,J3489,Zoledronic acid 1mg,,,8.1,11.35,4
HCPCS,J3520,Edetate disodium per 150 mg,,,2.37,2.85,2
HCPCS,J7030,Normal saline solution infus,,,3.55,4.37,4
HCPCS,J7040,Normal saline solution infus,,,2.15,2.83,4
HCPCS,J7042,5% dextrose/normal saline,,,2.11,3.16,4
HCPCS,J7050,Normal saline solution infus,,,1.11,1.46,4
HCPCS,J7060,5% dextrose/water,,,3.15,4.06,4
HCPCS,J7070,D5w infusion,,,4.74,6.98,4
HCPCS,J7100,Dextran 40 infusion,,,126.89,152.28,2
HCPCS,J7110,Dextran 75 infusion,,,27.14,32.57,2
HCPCS,J7120,Ringers lactate infusion,,,3.83,5.41,4
HCPCS,J7121,5% dextrose in lac ringers,,,15.21,18.26,2
HCPCS,J7131,Hypertonic saline sol,,,0.32,0.38,2
HCPCS,J7165,"Inj, human-lans, per i.u",,,1.72,7.2,5
HCPCS,J7168,Prothrombin complex kcentra,,,2.05,6.82,5
HCPCS,J7169,"Inj andexxa, 10 mg",,,131.16,285.98,5
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,55.64,125.83,7
HCPCS,J7171,"Inj, adzynma, 10 iu",,,35.58,79.83,7
HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,50.19,114.62,7
HCPCS,J7173,"Inj. concizumab-mtci, 0.5 mg",,,83.47,193.82,5
HCPCS,J7174,Injection fitusiran 0.04 mg,,,132.63,295.4,5
HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.95,21.94,7
HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.24,2.76,7
HCPCS,J7178,Human fibrinogen conc inj,,,1.52,3.41,7
HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,1.83,4.15,7
HCPCS,J7180,Factor XIII anti-hem factor,,,10.78,24.13,7
HCPCS,J7181,Factor xiii recomb a-subunit,,,18.33,40.73,7
HCPCS,J7182,Factor viii recomb novoeight,,,1.41,3.45,7
HCPCS,J7183,Wilate injection,,,1.32,2.89,7
HCPCS,J7185,Xyntha inj,,,1.49,3.75,7
HCPCS,J7186,Antihemophilic viii/vwf comp,,,1.25,2.78,7
HCPCS,J7187,"Humate-P, inj",,,1.49,3.34,7
HCPCS,J7188,Factor viii recomb obizur,,,3.24,7.24,7
HCPCS,J7189,Factor viia,,,2.64,5.94,7
HCPCS,J7190,Factor viii,,,1.39,2.44,7
HCPCS,J7192,Factor viii recombinant nos,,,1.57,3.61,7
HCPCS,J7193,Factor ix non-recombinant,,,1.37,3.14,7
HCPCS,J7194,Factor ix complex,,,1.7,3.81,7
HCPCS,J7195,Factor ix recombinant nos,,,1.84,4.15,7
HCPCS,J7196,Antithrombin recombinant,,,267.85,321.44,2
HCPCS,J7197,Antithrombin iii injection,,,4.1,9.2,7
HCPCS,J7198,Anti-inhibitor,,,2.42,5.41,7
HCPCS,J7200,Factor ix recombinan rixubis,,,1.74,3.79,7
HCPCS,J7201,Factor ix alprolix recomb,,,3.58,8.05,7
HCPCS,J7202,Factor ix idelvion inj,,,5.32,11.93,7
HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.5,10.0,7
HCPCS,J7204,Inj recombin esperoct per iu,,,2.22,4.98,7
HCPCS,J7205,Factor viii fc fusion recomb,,,2.46,5.45,7
HCPCS,J7207,Factor viii pegylated recomb,,,2.14,4.71,7
HCPCS,J7208,Inj. jivi 1 iu,,,2.66,5.94,7
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.18,2.51,7
HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.57,3.52,7
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.56,3.52,7
HCPCS,J7212,Factor viia recomb sevenfact,,,2.2,5.32,7
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.97,4.28,7
HCPCS,J7214,Altuviiio per factor viii iu,,,4.49,10.45,7
HCPCS,J7294,Seg acet and eth estr yearly,,,4614.49,5537.88,2
HCPCS,J7295,Eth estr and eton monthly,,,215.93,259.13,2
HCPCS,J7296,"Kyleena, 19.5 mg",,,2315.56,2778.92,2
HCPCS,J7297,"Liletta, 52 mg",,,1776.24,2131.68,2
HCPCS,J7298,"Mirena, 52 mg",,,2315.56,2778.92,2
HCPCS,J7300,Intraut copper contraceptive,,,2170.1,2604.35,2
HCPCS,J7301,"Skyla, 13.5 mg",,,1928.08,2313.9,2
HCPCS,J7306,Levonorgestrel implant sys,,,597.18,716.68,2
HCPCS,J7307,Etonogestrel implant system,,,2315.56,2778.92,2
HCPCS,J7308,Aminolevulinic acid hcl top,,,390.02,879.46,7
HCPCS,J7309,"Methyl aminolevulinate, top",,,156.42,187.72,2
HCPCS,J7310,Ganciclovir long act implant,,,31698.24,38041.28,2
HCPCS,J7311,Fluocinolone acetonide implt,,,338.79,763.32,7
HCPCS,J7312,Dexamethasone intra implant,,,203.79,458.94,7
HCPCS,J7313,Fluocinol acet intravit imp,,,509.81,1117.33,7
HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,529.89,1188.54,7
HCPCS,J7315,Ophthalmic mitomycin,,,819.74,983.78,2
HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,1956.71,2348.26,2
HCPCS,J7318,"Inj, durolane 1 mg",,,6.73,15.19,7
HCPCS,J7320,"Genvisc 850, inj, 1mg",,,3.68,12.94,7
HCPCS,J7321,Hyalgan/supartz inj per dose,,,114.23,160.42,4
HCPCS,J7322,Hymovis injection 1 mg,,,18.13,39.52,7
HCPCS,J7323,Euflexxa inj per dose,,,105.58,252.23,7
HCPCS,J7324,Orthovisc inj per dose,,,109.09,256.91,7
HCPCS,J7325,Synvisc or Synvisc-One,,,6.96,17.83,7
HCPCS,J7326,Gel-one,,,526.79,1187.13,7
HCPCS,J7327,Monovisc inj per dose,,,655.34,1427.87,7
HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.68,1.57,7
HCPCS,J7329,"Inj, trivisc 1 mg",,,3.27,10.52,7
HCPCS,J7330,Cultured chondrocytes implnt,,,133011.31,159627.81,2
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,6.78,8.75,4
HCPCS,J7332,"Inj., triluron, 1 mg",,,10.54,23.04,7
HCPCS,J7336,Capsaicin 8% patch,,,3.42,7.67,7
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,244.04,546.42,7
HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,53.98,64.78,2
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.77,4.01,7
HCPCS,J7351,Inj bimatoprost itc imp 1mcg,,,214.02,479.64,7
HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2943.42,7208.08,5
HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,109.19,131.04,2
HCPCS,J7354,"Cantharidin top, applicator",,,667.07,1468.63,7
HCPCS,J7355,Inj travoprost intra impl,,,196.88,303.93,5
HCPCS,J7356,Inj foscarb/foslevodopa 5 mg,,,1.33,1.59,2
HCPCS,J7402,Mometasone sinus sinuva,,,11.34,25.44,7
HCPCS,J7500,Azathioprine oral 50mg,,,0.11,3.33,4
HCPCS,J7501,Azathioprine parenteral,,,254.76,571.97,5
HCPCS,J7502,Cyclosporine oral 100 mg,,,3.22,4.58,4
HCPCS,J7503,Tacrol envarsus ex rel oral,,,2.85,4.1,4
HCPCS,J7504,Lymphocyte immune globulin,,,5292.43,11518.01,7
HCPCS,J7507,Tacrolimus imme rel oral 1mg,,,0.25,0.38,4
HCPCS,J7508,Tacrol astagraf ex rel oral,,,0.91,1.32,4
HCPCS,J7509,Methylprednisolone oral,,,0.21,0.36,4
HCPCS,J7510,Prednisolone oral per 5 mg,,,0.43,0.52,4
HCPCS,J7511,Antithymocyte globuln rabbit,,,1023.12,2241.59,7
HCPCS,J7512,Prednisone ir or dr oral 1mg,,,0.02,0.02,4
HCPCS,J7514,Mycophenol (myhibbin) 100 mg,,,4.17,5.0,2
HCPCS,J7515,Cyclosporine oral 25 mg,,,1.2,1.79,4
HCPCS,J7516,Cyclosporin parenteral 250mg,,,113.14,162.8,4
HCPCS,J7517,Mycophenolate mofetil oral,,,0.25,0.36,4
HCPCS,J7518,Mycophenolic acid,,,0.58,0.76,4
HCPCS,J7519,Inj. mycophenolate mofetil,,,0.64,0.81,4
HCPCS,J7520,"Sirolimus, oral",,,1.49,1.95,4
HCPCS,J7521,Tacrolim granules oral susp,,,1.95,2.94,4
HCPCS,J7525,Tacrolimus injection,,,259.96,590.25,7
HCPCS,J7527,Oral everolimus,,,2.56,3.09,4
HCPCS,J7601,Ensifentrine inh 3 mg,,,81.13,116.91,4
HCPCS,J7605,Arformoterol non-comp unit,,,1.24,1.59,4
HCPCS,J7606,"Formoterol fumarate, inh",,,3.05,6.12,4
HCPCS,J7608,Acetylcysteine non-comp unit,,,13.84,19.42,4
HCPCS,J7609,Albuterol comp unit,,,0.95,1.14,2
HCPCS,J7610,Albuterol comp con,,,2.3,2.76,2
HCPCS,J7611,Albuterol non-comp con,,,0.25,0.38,4
HCPCS,J7612,Levalbuterol non-comp con,,,0.46,0.61,4
HCPCS,J7613,Albuterol non-comp unit,,,0.12,0.18,4
HCPCS,J7614,Levalbuterol non-comp unit,,,0.13,0.2,4
HCPCS,J7615,Levalbuterol comp unit,,,2.69,3.23,2
HCPCS,J7620,Albuterol ipratrop non-comp,,,0.31,0.45,4
HCPCS,J7626,Budesonide non-comp unit,,,1.98,3.03,4
HCPCS,J7627,Budesonide comp unit,,,0.58,0.7,2
HCPCS,J7628,Bitolterol mesylate comp con,,,0.41,0.49,2
HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.45,0.99,4
HCPCS,J7632,Cromolyn sodium comp unit,,,0.5,0.61,2
HCPCS,J7633,Budesonide non-comp con,,,9.01,10.81,2
HCPCS,J7639,Dornase alfa non-comp unit,,,85.85,123.72,4
HCPCS,J7640,Formoterol comp unit,,,3.23,3.88,2
HCPCS,J7641,Flunisolide comp unit,,,15.92,19.11,2
HCPCS,J7643,Glycopyrrolate comp unit,,,1.42,1.7,2
HCPCS,J7644,Ipratropium bromide non-comp,,,0.61,0.87,4
HCPCS,J7645,Ipratropium bromide comp,,,0.09,0.11,2
HCPCS,J7665,Mannitol for inhaler,,,12.54,15.05,2
HCPCS,J7669,Metaproterenol non-comp unit,,,0.8,0.96,2
HCPCS,J7674,"Methacholine chloride, neb",,,2.69,3.95,4
HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.3,0.43,4
HCPCS,J7680,Terbutaline sulf comp con,,,20.04,24.04,2
HCPCS,J7681,Terbutaline sulf comp unit,,,20.04,24.04,2
HCPCS,J7682,Tobramycin non-comp unit,,,22.51,36.38,4
HCPCS,J7683,Triamcinolone comp con,,,7.2,8.64,2
HCPCS,J7685,Tobramycin comp unit,,,91.99,110.4,2
HCPCS,J7686,"Treprostinil, non-comp unit",,,1245.52,1785.63,4
HCPCS,J8501,Oral aprepitant,,,4.22,6.12,4
HCPCS,J8510,Oral busulfan,,,10.12,314.27,5
HCPCS,J8515,"Cabergoline, oral 0.25mg",,,2.99,3.59,2
HCPCS,J8522,"Capecitabine, oral, 50 mg",,,0.03,0.09,7
HCPCS,J8530,Cyclophosphamide oral 25 MG,,,2.06,3.09,4
HCPCS,J8540,Oral dexamethasone,,,0.03,0.04,4
HCPCS,J8541,"Oral, hemady, 0.25 mg",,,0.69,0.83,2
HCPCS,J8560,Etoposide oral 50 mg,,,86.84,173.74,7
HCPCS,J8565,Gefitinib oral,,,267.29,320.77,2
HCPCS,J8600,Melphalan oral 2 MG,,,17.46,20.95,2
HCPCS,J8610,Methotrexate oral 2.5 MG,,,0.31,0.43,4
HCPCS,J8611,Oral methotrexate (jylamvo),,,18.71,41.43,7
HCPCS,J8612,Oral methotrexate (xatmep),,,22.3,50.87,7
HCPCS,J8650,Nabilone oral,,,74.72,89.68,2
HCPCS,J8655,Netupitant palonosetron oral,,,397.79,948.54,7
HCPCS,J8670,"Rolapitant, oral, 1mg",,,2.43,4.17,4
HCPCS,J8700,Temozolomide,,,0.56,1.01,4
HCPCS,J8705,Topotecan oral,,,125.22,279.99,7
HCPCS,J9000,Doxorubicin hcl injection,,,4.24,6.77,4
HCPCS,J9011,"Datopotamab deruxtecan, 1 mg",,,51.52,115.65,5
HCPCS,J9015,Aldesleukin injection,,,3338.87,13864.43,5
HCPCS,J9017,Arsenic trioxide injection,,,9.12,18.28,4
HCPCS,J9019,Erwinaze injection,,,768.44,922.21,2
HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,56.29,124.42,7
HCPCS,J9022,"Inj, atezolizumab,10 mg",,,94.0,204.88,7
HCPCS,J9023,"Injection, avelumab, 10 mg",,,105.54,224.5,7
HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,31.95,70.83,7
HCPCS,J9025,Azacitidine injection,,,0.33,1.28,4
HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,1567.72,3509.49,7
HCPCS,J9027,Clofarabine injection,,,7.83,22.9,7
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,94.6,212.32,7
HCPCS,J9029,"Inj, adstiladrin, per tx dos",,,64282.3,136598.7,7
HCPCS,J9030,Bcg live intravesical 1mg,,,3.39,7.31,7
HCPCS,J9032,"Injection, belinostat, 10mg",,,53.11,117.69,7
HCPCS,J9033,"Inj., treanda 1 mg",,,2.16,4.22,7
HCPCS,J9034,"Inj., bendeka 1 mg",,,12.9,30.26,7
HCPCS,J9035,Bevacizumab injection,,,74.36,164.19,7
HCPCS,J9036,Inj. belrapzo/bendamustine,,,13.94,27.54,7
HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,55.65,124.82,5
HCPCS,J9039,"Injection, blinatumomab",,,163.96,368.41,7
HCPCS,J9040,Bleomycin sulfate injection,,,32.54,48.27,4
HCPCS,J9041,Bortezomib injection,,,2.48,6.26,4
HCPCS,J9042,Brentuximab vedotin inj,,,268.73,580.13,7
HCPCS,J9043,Cabazitaxel injection,,,231.05,509.79,7
HCPCS,J9045,Carboplatin injection,,,3.28,5.54,4
HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,3.46,104.79,5
HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,56.24,124.82,7
HCPCS,J9048,"Inj, bortezomib freseniuskab",,,6.97,104.79,5
HCPCS,J9049,"Inj, bortezomib, hospira",,,2.41,3.3,4
HCPCS,J9050,Carmustine injection,,,241.8,534.87,7
HCPCS,J9051,"Inj, bortezomib (maia)",,,6.52,7.83,2
HCPCS,J9052,"Inj, carmustine (accord)",,,467.06,560.53,2
HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,25.41,58.65,5
HCPCS,J9055,Cetuximab injection,,,80.46,175.78,7
HCPCS,J9056,"Inj, bendamustine, 1 mg",,,31.74,66.95,7
HCPCS,J9057,"Inj., copanlisib, 1 mg",,,166.92,200.32,2
HCPCS,J9060,Cisplatin 10 mg injection,,,3.04,5.14,4
HCPCS,J9061,"Inj, amivantamab-vmjw",,,22.63,50.56,7
HCPCS,J9063,"Inj, elahere, 1 mg",,,71.13,155.87,7
HCPCS,J9065,Inj cladribine per 1 mg,,,8.73,23.96,7
HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.52,1.41,7
HCPCS,J9072,Inj cyclophos dr.reddy's 5mg,,,9.1,20.41,7
HCPCS,J9073,Inj cyclophosphamd (ingenus),,,0.5,1.8,7
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,3.65,8.84,7
HCPCS,J9075,"Inj, cyclophosphamide, nos",,,0.77,1.08,7
HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,3.72,11.24,7
HCPCS,J9098,Cytarabine liposome inj,,,1174.42,1409.43,2
HCPCS,J9100,Cytarabine hcl 100 mg inj,,,1.25,1.86,4
HCPCS,J9118,Inj. calaspargase pegol-mknl,,,82.08,184.08,7
HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,29.76,65.7,7
HCPCS,J9120,Dactinomycin injection,,,337.67,736.47,7
HCPCS,J9130,Dacarbazine 100 mg inj,,,5.94,7.74,4
HCPCS,J9144,"Daratumumab, hyaluronidase",,,55.03,124.64,7
HCPCS,J9145,"Injection, daratumumab 10 mg",,,70.77,160.08,7
HCPCS,J9150,Daunorubicin injection,,,30.76,48.67,4
HCPCS,J9151,Daunorubicin citrate inj,,,107.77,129.33,2
HCPCS,J9153,"Inj daunorubicin, cytarabine",,,261.2,574.41,7
HCPCS,J9155,Degarelix injection,,,4.46,9.98,7
HCPCS,J9171,Docetaxel injection,,,0.59,1.35,4
HCPCS,J9172,"Docetaxel (ingenus), 1 mg",,,50.61,113.9,7
HCPCS,J9173,"Inj., durvalumab, 10 mg",,,86.15,190.92,7
HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,46.09,102.39,5
HCPCS,J9175,Elliotts b solution per ml,,,19.44,23.33,2
HCPCS,J9176,"Injection, elotuzumab, 1mg",,,8.04,17.7,7
HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,36.71,82.41,7
HCPCS,J9178,"Inj, epirubicin hcl, 2 mg",,,2.48,4.73,4
HCPCS,J9179,Eribulin mesylate injection,,,76.76,200.39,7
HCPCS,J9181,Etoposide injection,,,1.76,2.11,4
HCPCS,J9185,Fludarabine phosphate inj,,,111.52,152.97,4
HCPCS,J9190,Fluorouracil injection,,,2.67,4.46,4
HCPCS,J9196,Inj gemcitabine hcl (accord),,,8.23,11.87,4
HCPCS,J9198,"Inj. infugem, 100 mg",,,72.44,86.94,2
HCPCS,J9200,Floxuridine injection,,,4250.97,9259.15,7
HCPCS,J9201,Gemcitabine hcl injection,,,4.6,7.02,4
HCPCS,J9202,Goserelin acetate implant,,,1142.79,1645.62,4
HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,240.16,530.74,7
HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,253.47,557.39,7
HCPCS,J9205,Inj irinotecan liposome 1 mg,,,66.37,148.04,7
HCPCS,J9206,Irinotecan injection,,,2.18,3.93,4
HCPCS,J9207,Ixabepilone injection,,,139.75,312.25,7
HCPCS,J9208,Ifosfamide injection,,,36.58,56.52,4
HCPCS,J9209,Mesna injection,,,2.08,4.17,4
HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,384.14,863.22,7
HCPCS,J9211,Idarubicin hcl injection,,,57.67,82.25,4
HCPCS,J9212,Interferon alfacon-1 inj,,,12.24,14.69,2
HCPCS,J9213,Interferon alfa-2a inj,,,53.96,64.76,2
HCPCS,J9214,Interferon alfa-2b inj,,,58.59,70.32,2
HCPCS,J9215,Interferon alfa-n3 inj,,,57.42,68.9,2
HCPCS,J9216,Interferon gamma 1-b inj,,,16127.3,19354.49,2
HCPCS,J9217,Leuprolide acetate suspnsion,,,176.2,395.78,7
HCPCS,J9218,Leuprolide acetate injeciton,,,96.1,115.34,2
HCPCS,J9219,Leuprolide acetate implant,,,9008.24,10810.86,2
HCPCS,J9220,Indigotindisulfonate sod 1mg,,,9.3,22.88,5
HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,212.1,464.59,7
HCPCS,J9225,Vantas implant,,,9291.43,11150.72,2
HCPCS,J9226,Supprelin LA implant,,,41173.43,100981.32,7
HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,83.58,183.7,7
HCPCS,J9228,Ipilimumab injection,,,187.17,411.55,7
HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,2816.77,6051.73,7
HCPCS,J9230,Mechlorethamine hcl inj,,,601.29,721.62,2
HCPCS,J9245,Inj melphalan hydrochl 50 MG,,,120.67,215.1,7
HCPCS,J9246,"Inj., evomela, 1 mg",,,19.43,41.5,7
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,795.0,1783.19,7
HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,64.78,139.81,5
HCPCS,J9260,Methotrexate sodium inj,,,3.51,6.33,4
HCPCS,J9261,Nelarabine injection,,,52.71,179.13,7
HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,7.25,8.7,2
HCPCS,J9263,Oxaliplatin,,,0.15,0.18,4
HCPCS,J9264,Paclitaxel protein bound,,,6.02,23.64,7
HCPCS,J9266,Pegaspargase injection,,,28424.06,63755.17,7
HCPCS,J9267,Paclitaxel injection,,,0.17,0.31,4
HCPCS,J9268,Pentostatin injection,,,2626.33,5850.1,7
HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,357.28,800.59,7
HCPCS,J9271,Inj pembrolizumab,,,61.25,135.23,7
HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,247.08,546.64,7
HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,196.12,423.39,7
HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,222.49,486.93,7
HCPCS,J9275,"Inj cosibelimab-ipdl, 2 mg",,,22.92,49.48,5
HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,25.0,56.19,7
HCPCS,J9280,Mitomycin injection,,,28.46,45.65,7
HCPCS,J9281,Mitomycin instillation,,,323.17,714.46,7
HCPCS,J9285,"Inj, olaratumab, 10 mg",,,97.32,116.79,2
HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,2840.68,6208.35,7
HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,27.73,61.37,5
HCPCS,J9292,"Inj, pemetrexed (avyxa) 10mg",,,82.02,184.69,7
HCPCS,J9293,Mitoxantrone hydrochl / 5 MG,,,38.61,53.56,7
HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,5.2,7.96,7
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.73,12.85,7
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.66,21.85,7
HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,1.88,3.93,4
HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,201.76,443.73,7
HCPCS,J9299,"Injection, nivolumab",,,33.62,73.93,7
HCPCS,J9301,Obinutuzumab inj,,,81.81,177.2,7
HCPCS,J9302,Ofatumumab injection,,,62.23,138.03,5
HCPCS,J9303,Panitumumab injection,,,174.39,388.11,7
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,7.99,103.9,7
HCPCS,J9305,Pemetrexed injection,,,4.04,9.78,7
HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,17.02,38.18,7
HCPCS,J9307,Pralatrexate injection,,,392.72,880.67,7
HCPCS,J9308,"Injection, ramucirumab",,,75.47,166.79,7
HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,137.23,306.55,7
HCPCS,J9311,"Inj rituximab, hyaluronidase",,,36.28,82.3,7
HCPCS,J9312,"Inj., rituximab, 10 mg",,,74.16,168.72,7
HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,23.39,50.49,5
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,5.91,34.86,7
HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,60.22,139.29,7
HCPCS,J9317,Sacituzumab govitecan-hziy,,,36.8,81.38,7
HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,28.52,63.97,7
HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,30.8,69.04,7
HCPCS,J9320,Streptozocin injection,,,2478.29,2974.22,2
HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,56.92,125.25,7
HCPCS,J9322,Inj pemetrexed (bluepoint),,,10.6,20.84,5
HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.22,16.1,4
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,70.48,170.04,7
HCPCS,J9325,Inj talimogene laherparepvec,,,73.94,165.85,7
HCPCS,J9328,Temozolomide injection,,,10.4,23.3,7
HCPCS,J9329,"Inj, tislelizumab-jsgr",,,58.27,128.86,7
HCPCS,J9330,Temsirolimus injection,,,30.08,59.91,7
HCPCS,J9331,Inj sirolimus prot part 1 mg,,,87.11,189.69,7
HCPCS,J9332,Inj efgartigimod 2mg,,,32.61,72.11,7
HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,23.4,51.97,7
HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,34.33,76.02,7
HCPCS,J9341,Inj thiotepa (tepylute) 1 mg,,,70.8,84.96,2
HCPCS,J9342,Inj thiotepa nos 1 mg,,,5.74,23.64,7
HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,30.4,68.55,7
HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,143.23,316.04,7
HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,686.09,1538.7,7
HCPCS,J9349,"Inj., tafasitamab-cxix",,,14.17,32.1,7
HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,654.54,1468.34,7
HCPCS,J9351,Topotecan injection,,,2.1,5.7,4
HCPCS,J9352,Injection trabectedin 0.1mg,,,391.07,877.17,7
HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,53.27,117.74,7
HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,42.2,94.56,7
HCPCS,J9355,Trastuzumab injection,,,73.42,168.27,7
HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,59.91,137.81,7
HCPCS,J9357,Valrubicin injection,,,1270.52,2968.27,7
HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,31.26,67.25,7
HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,221.49,486.51,7
HCPCS,J9360,Vinblastine sulfate inj,,,8.23,11.89,4
HCPCS,J9361,"Inj, efbemalenograstim alfa-",,,219.23,263.1,2
HCPCS,J9370,Vincristine sulfate 1 MG inj,,,12.24,18.44,4
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,91.73,197.99,5
HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,34.5,75.3,7
HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,38.39,84.47,7
HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,33.57,73.82,5
HCPCS,J9390,Vinorelbine tartrate inj,,,3.05,17.23,4
HCPCS,J9393,"Inj, fulvestrant (teva)",,,38.13,45.76,5
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,5.16,60.05,7
HCPCS,J9395,"Injection, Fulvestrant",,,10.86,15.1,4
HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,8.61,17.67,7
HCPCS,J9600,Porfimer sodium injection,,,44462.5,53359.76,2
HCPCS,L0112,Cranial cervical orthosis,,,1678.86,1762.8,3
HCPCS,L0113,Cranial cervical torticollis,,,342.07,359.17,3
HCPCS,L0120,Cerv flex n/adj foam pre ots,,,32.13,33.74,3
HCPCS,L0130,Flex thermoplastic collar mo,,,227.12,238.48,3
HCPCS,L0140,Cervical semi-rigid adjustab,,,75.11,78.87,3
HCPCS,L0150,Cerv semi-rig adj molded chn,,,137.78,144.67,3
HCPCS,L0160,Cerv sr wire occ/man pre ots,,,179.98,188.98,3
HCPCS,L0170,Cervical collar molded to pt,,,741.08,778.13,3
HCPCS,L0172,Cerv col sr foam 2pc pre ots,,,160.68,168.71,3
HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,315.67,331.45,3
HCPCS,L0180,Cer post col occ/man sup adj,,,437.72,459.61,3
HCPCS,L0190,Cerv collar supp adj cerv ba,,,569.23,597.69,3
HCPCS,L0200,Cerv col supp adj bar & thor,,,593.42,623.09,3
HCPCS,L0220,Thor rib belt custom fabrica,,,162.05,170.15,3
HCPCS,L0450,Tlso flex trunk/thor pre ots,,,127.31,133.68,3
HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,416.01,436.81,3
HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,236.34,248.16,3
HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1192.99,1252.64,3
HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,677.75,711.64,3
HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1069.75,1123.24,3
HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1204.08,1264.28,3
HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1497.69,1572.57,3
HCPCS,L0464,TLSO 4Mod sacro-scap pre,,,1782.97,1872.12,3
HCPCS,L0466,Tlso r fram soft ant pre cst,,,433.36,455.03,3
HCPCS,L0467,Tlso r fram soft pre ots,,,265.06,278.31,3
HCPCS,L0468,Tlso rig fram pelvic pre cst,,,574.13,602.84,3
HCPCS,L0469,Tlso rig fram pelvic pre ots,,,337.73,354.62,3
HCPCS,L0470,TLSO rigid frame pre subclav,,,732.62,769.25,3
HCPCS,L0472,TLSO rigid frame hyperex pre,,,464.64,487.87,3
HCPCS,L0480,TLSO rigid plastic custom fa,,,1636.27,1718.08,3
HCPCS,L0482,TLSO rigid lined custom fab,,,1900.6,1995.63,3
HCPCS,L0484,TLSO rigid plastic cust fab,,,2042.14,2144.25,3
HCPCS,L0486,TLSO rigidlined cust fab two,,,2166.6,2274.93,3
HCPCS,L0488,TLSO rigid lined pre one pie,,,1204.08,1264.28,3
HCPCS,L0490,TLSO rigid plastic pre one,,,339.33,356.3,3
HCPCS,L0491,TLSO 2 piece rigid shell,,,921.22,967.28,3
HCPCS,L0492,TLSO 3 piece rigid shell,,,605.86,636.15,3
HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,67.12,70.48,3
HCPCS,L0622,Sio flex pelvisacral custom,,,347.06,364.41,3
HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,120.32,126.34,3
HCPCS,L0625,Lo flex l1-below l5 pre ots,,,37.55,39.43,3
HCPCS,L0626,Lo sag rig pnl stays pre cst,,,93.48,98.15,3
HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,493.08,517.73,3
HCPCS,L0628,Lso flex no ri stays pre ots,,,57.18,60.04,3
HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,194.26,203.97,3
HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1231.38,1292.95,3
HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,343.97,361.17,3
HCPCS,L0635,Lso sagit rigid panel prefab,,,1099.93,1154.93,3
HCPCS,L0636,Lso sagittal rigid panel cus,,,1628.31,1709.73,3
HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1288.6,1353.03,3
HCPCS,L0638,Lso sag-coronal panel custom,,,1582.02,1661.12,3
HCPCS,L0639,Lso s/c shell/panel prefab,,,1288.6,1353.03,3
HCPCS,L0640,Lso s/c shell/panel custom,,,1255.19,1317.95,3
HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,53.13,55.79,3
HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,280.18,294.19,3
HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,110.38,115.9,3
HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,699.71,734.7,3
HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,195.46,205.23,3
HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,809.61,850.09,3
HCPCS,L0651,LSO sag-co shell pnl pre ots,,,809.61,850.09,3
HCPCS,L0700,Ctlso a-p-l control molded,,,2349.14,2466.6,3
HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2399.94,2519.94,3
HCPCS,L0720,Ctlso a-p-l control custom,,,2220.69,2331.72,3
HCPCS,L0810,Halo cervical into jckt vest,,,3001.43,3151.5,3
HCPCS,L0820,Halo cervical into body jack,,,2693.97,2828.67,3
HCPCS,L0830,Halo cerv into milwaukee typ,,,3796.61,3986.44,3
HCPCS,L0859,MRI compatible system,,,1582.21,1661.32,3
HCPCS,L0861,Halo repl liner/interface,,,258.53,271.46,3
HCPCS,L0970,Tlso corset front,,,154.52,162.25,3
HCPCS,L0972,Lso corset front,,,138.79,145.73,3
HCPCS,L0974,Tlso full corset,,,206.1,216.4,3
HCPCS,L0976,Lso full corset,,,183.75,192.94,3
HCPCS,L0978,Axillary crutch extension,,,242.53,254.66,3
HCPCS,L0980,Peroneal straps pair pre ots,,,26.47,27.79,3
HCPCS,L0982,Stocking sup grips 4 pre ots,,,18.71,19.65,3
HCPCS,L0984,Protect body sock ea pre ots,,,77.67,81.55,3
HCPCS,L1000,Ctlso milwauke initial model,,,2356.89,2474.73,3
HCPCS,L1005,Tension based scoliosis orth,,,3839.2,4031.16,3
HCPCS,L1010,Ctlso axilla sling,,,77.12,80.98,3
HCPCS,L1020,Kyphosis pad,,,99.33,104.3,3
HCPCS,L1025,Kyphosis pad floating,,,189.6,199.08,3
HCPCS,L1030,Lumbar bolster pad,,,73.1,76.76,3
HCPCS,L1040,Lumbar or lumbar rib pad,,,95.68,100.46,3
HCPCS,L1050,Sternal pad,,,115.32,121.09,3
HCPCS,L1060,Thoracic pad,,,138.32,145.24,3
HCPCS,L1070,Trapezius sling,,,135.06,141.81,3
HCPCS,L1080,Outrigger,,,75.96,79.76,3
HCPCS,L1085,Outrigger bil w/ vert extens,,,205.53,215.81,3
HCPCS,L1090,Lumbar sling,,,135.96,142.76,3
HCPCS,L1100,Ring flange plastic/leather,,,217.13,227.99,3
HCPCS,L1110,Ring flange plas/leather mol,,,293.49,308.16,3
HCPCS,L1120,Covers for upright each,,,49.63,52.11,3
HCPCS,L1200,Furnsh initial orthosis only,,,1800.47,1890.49,3
HCPCS,L1210,Lateral thoracic extension,,,300.68,315.71,3
HCPCS,L1220,Anterior thoracic extension,,,287.24,301.6,3
HCPCS,L1230,Milwaukee type superstructur,,,736.27,773.08,3
HCPCS,L1240,Lumbar derotation pad,,,99.53,104.51,3
HCPCS,L1250,Anterior asis pad,,,99.53,104.51,3
HCPCS,L1260,Anterior thoracic derotation,,,101.63,106.71,3
HCPCS,L1270,Abdominal pad,,,103.23,108.39,3
HCPCS,L1280,Rib gusset (elastic) each,,,118.75,124.69,3
HCPCS,L1290,Lateral trochanteric pad,,,94.0,98.7,3
HCPCS,L1300,Body jacket mold to patient,,,2116.61,2222.44,3
HCPCS,L1310,Post-operative body jacket,,,2174.83,2283.57,3
HCPCS,L1600,Ho flex frejka w/cov pre cst,,,148.08,155.48,3
HCPCS,L1610,Ho frejka cov only pre cst,,,65.35,68.62,3
HCPCS,L1620,Ho flex pavlik harns pre cst,,,185.07,194.32,3
HCPCS,L1630,Abduct control hip semi-flex,,,194.72,204.46,3
HCPCS,L1640,Pelv band/spread bar thigh c,,,592.73,622.37,3
HCPCS,L1650,HO abduction hip adjustable,,,299.95,314.95,3
HCPCS,L1652,HO bi thighcuffs w sprdr bar,,,427.56,448.94,3
HCPCS,L1660,HO abduction static plastic,,,196.66,206.49,3
HCPCS,L1680,Pelvic & hip control thigh c,,,1400.11,1470.12,3
HCPCS,L1681,Ho bilateral hip abduction,,,2638.78,2770.72,3
HCPCS,L1685,Post-op hip abduct custom fa,,,1428.89,1500.33,3
HCPCS,L1686,HO post-op hip abduction,,,1319.39,1385.36,3
HCPCS,L1690,Combination bilateral HO,,,2319.54,2435.52,3
HCPCS,L1700,Leg perthes orth toronto typ,,,1754.84,1842.58,3
HCPCS,L1710,Legg perthes orth newington,,,2054.23,2156.94,3
HCPCS,L1720,Legg perthes orthosis trilat,,,1514.21,1589.92,3
HCPCS,L1730,Legg perthes orth scottish r,,,1300.56,1365.59,3
HCPCS,L1755,Legg perthes patten bottom t,,,2063.91,2167.11,3
HCPCS,L1810,Ko elastic with joints,,,113.17,118.83,3
HCPCS,L1812,Ko elastic w/joints pre ots,,,77.63,81.51,3
HCPCS,L1820,Ko elas w/ condyle pads & jo,,,175.32,184.09,3
HCPCS,L1830,Ko immob canvas long pre ots,,,69.94,73.44,3
HCPCS,L1831,Knee orth pos locking joint,,,353.04,370.69,3
HCPCS,L1832,Ko adj jnt pos r sup pre cst,,,812.69,853.32,3
HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,503.87,529.06,3
HCPCS,L1834,Ko w/0 joint rigid molded to,,,892.02,936.62,3
HCPCS,L1836,Ko rigid w/o joints pre ots,,,98.9,103.85,3
HCPCS,L1840,Ko derot ant cruciate custom,,,1188.2,1247.61,3
HCPCS,L1843,Ko single upright pre cst,,,1076.26,1130.07,3
HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1865.51,1958.79,3
HCPCS,L1845,Ko double upright pre cst,,,1116.88,1172.72,3
HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1369.37,1437.84,3
HCPCS,L1847,Ko dbl upright w/air pre cst,,,689.92,724.42,3
HCPCS,L1848,Ko dbl upright w/air pre ots,,,689.92,724.42,3
HCPCS,L1850,Ko swedish type pre ots,,,227.8,239.19,3
HCPCS,L1851,Ko single upright prefab ots,,,665.06,698.31,3
HCPCS,L1852,Ko double upright prefab ots,,,634.46,666.18,3
HCPCS,L1860,Ko supracondylar socket mold,,,1233.07,1294.72,3
HCPCS,L1900,Afo sprng wir drsflx calf bd,,,310.01,325.51,3
HCPCS,L1902,Afo ankle gauntlet pre ots,,,107.12,112.48,3
HCPCS,L1904,Afo molded ankle gauntlet,,,644.19,676.4,3
HCPCS,L1906,Afo multilig ank sup pre ots,,,138.2,145.11,3
HCPCS,L1907,AFO supramalleolar custom,,,674.95,708.7,3
HCPCS,L1910,Afo sing bar clasp attach sh,,,313.83,329.52,3
HCPCS,L1920,Afo sing upright w/ adjust s,,,401.73,421.82,3
HCPCS,L1930,Afo plastic,,,271.84,285.43,3
HCPCS,L1932,Afo rig ant tib prefab TCF/=,,,1070.39,1123.91,3
HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1070.39,1123.91,3
HCPCS,L1940,Afo molded to patient plasti,,,568.3,596.72,3
HCPCS,L1945,Afo molded plas rig ant tib,,,1358.69,1426.62,3
HCPCS,L1950,Afo spiral molded to pt plas,,,900.87,945.91,3
HCPCS,L1951,AFO spiral prefabricated,,,1007.37,1057.74,3
HCPCS,L1952,Afo spiral prefab ots,,,1007.37,1057.74,3
HCPCS,L1960,Afo pos solid ank plastic mo,,,679.46,713.43,3
HCPCS,L1970,Afo plastic molded w/ankle j,,,817.68,858.56,3
HCPCS,L1971,"AFO w/ankle joint, prefab",,,562.23,590.34,3
HCPCS,L1980,Afo sing solid stirrup calf,,,421.73,442.82,3
HCPCS,L1990,Afo doub solid stirrup calf,,,512.22,537.83,3
HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1213.52,1274.2,3
HCPCS,L2005,KAFO sng/dbl mechanical act,,,4915.21,5160.97,3
HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1132.06,1188.66,3
HCPCS,L2020,Kafo dbl solid stirrup band/,,,1425.4,1496.67,3
HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1293.94,1358.64,3
HCPCS,L2034,Kafo pla sin up w/wo k/a cus,,,2443.99,2566.19,3
HCPCS,L2035,KAFO plastic pediatric size,,,209.89,220.38,3
HCPCS,L2036,Kafo plas doub free knee mol,,,2209.36,2319.83,3
HCPCS,L2037,Kafo plas sing free knee mol,,,2061.21,2164.27,3
HCPCS,L2038,Kafo w/o joint multi-axis an,,,2093.86,2198.55,3
HCPCS,L2040,Hkafo torsion bil rot straps,,,253.95,266.65,3
HCPCS,L2050,Hkafo torsion cable hip pelv,,,547.39,574.76,3
HCPCS,L2060,Hkafo torsion ball bearing j,,,667.17,700.53,3
HCPCS,L2070,Hkafo torsion unilat rot str,,,171.33,179.9,3
HCPCS,L2080,Hkafo unilat torsion cable,,,413.32,433.99,3
HCPCS,L2090,Hkafo unilat torsion ball br,,,503.88,529.07,3
HCPCS,L2106,Afo tib fx cast plaster mold,,,781.31,820.38,3
HCPCS,L2108,Afo tib fx cast molded to pt,,,1360.4,1428.42,3
HCPCS,L2112,Afo tibial fracture soft,,,625.72,657.01,3
HCPCS,L2114,Afo tib fx semi-rigid,,,784.82,824.06,3
HCPCS,L2116,Afo tibial fracture rigid,,,903.01,948.16,3
HCPCS,L2126,Kafo fem fx cast thermoplas,,,1510.57,1586.1,3
HCPCS,L2128,Kafo fem fx cast molded to p,,,2139.06,2246.01,3
HCPCS,L2132,Kafo femoral fx cast soft,,,1159.73,1217.72,3
HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1237.52,1299.4,3
HCPCS,L2136,Kafo femoral fx cast rigid,,,1477.06,1550.91,3
HCPCS,L2180,Plas shoe insert w ank joint,,,137.83,144.72,3
HCPCS,L2182,Drop lock knee,,,114.21,119.92,3
HCPCS,L2184,Limited motion knee joint,,,156.13,163.94,3
HCPCS,L2186,Adj motion knee jnt lerman t,,,216.56,227.39,3
HCPCS,L2188,Quadrilateral brim,,,414.72,435.46,3
HCPCS,L2190,Waist belt,,,107.15,112.51,3
HCPCS,L2192,Pelvic band & belt thigh fla,,,470.55,494.08,3
HCPCS,L2200,Limited ankle motion ea jnt,,,54.63,57.36,3
HCPCS,L2210,Dorsiflexion assist each joi,,,79.09,83.04,3
HCPCS,L2220,Dorsi & plantar flex ass/res,,,94.1,98.8,3
HCPCS,L2230,Split flat caliper stirr & p,,,88.17,92.58,3
HCPCS,L2232,"Rocker bottom, contact AFO",,,119.38,125.35,3
HCPCS,L2240,Round caliper and plate atta,,,109.14,114.6,3
HCPCS,L2250,Foot plate molded stirrup at,,,442.46,464.58,3
HCPCS,L2260,Reinforced solid stirrup,,,230.35,241.87,3
HCPCS,L2265,Long tongue stirrup,,,135.33,142.1,3
HCPCS,L2270,Varus/valgus strap padded/li,,,63.44,66.61,3
HCPCS,L2275,Plastic mod low ext pad/line,,,149.59,157.07,3
HCPCS,L2280,Molded inner boot,,,523.1,549.26,3
HCPCS,L2300,Abduction bar jointed adjust,,,328.01,344.41,3
HCPCS,L2310,Abduction bar-straight,,,164.25,172.46,3
HCPCS,L2320,Non-molded lacer,,,236.44,248.26,3
HCPCS,L2330,Lacer molded to patient mode,,,494.92,519.67,3
HCPCS,L2335,Anterior swing band,,,305.56,320.84,3
HCPCS,L2340,Pre-tibial shell molded to p,,,661.51,694.59,3
HCPCS,L2350,Prosthetic type socket molde,,,1142.48,1199.6,3
HCPCS,L2360,Extended steel shank,,,59.45,62.42,3
HCPCS,L2370,Patten bottom,,,385.26,404.52,3
HCPCS,L2375,Torsion ank & half solid sti,,,162.73,170.87,3
HCPCS,L2380,Torsion straight knee joint,,,141.47,148.54,3
HCPCS,L2385,Straight knee joint heavy du,,,153.92,161.62,3
HCPCS,L2387,Add le poly knee custom kafo,,,221.76,232.85,3
HCPCS,L2390,Offset knee joint each,,,128.89,135.33,3
HCPCS,L2395,Offset knee joint heavy duty,,,179.8,188.79,3
HCPCS,L2397,Suspension sleeve lower ext,,,140.07,147.07,3
HCPCS,L2405,Knee joint drop lock ea jnt,,,104.57,109.8,3
HCPCS,L2415,Knee joint cam lock each joi,,,145.69,152.97,3
HCPCS,L2425,Knee disc/dial lock/adj flex,,,171.93,180.53,3
HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,171.93,180.53,3
HCPCS,L2492,Knee lift loop drop lock rin,,,156.11,163.92,3
HCPCS,L2500,Thi/glut/ischia wgt bearing,,,373.46,392.13,3
HCPCS,L2510,Th/wght bear quad-lat brim m,,,837.92,879.82,3
HCPCS,L2520,Th/wght bear quad-lat brim c,,,552.74,580.38,3
HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1491.28,1565.84,3
HCPCS,L2526,Th/wght bear nar m-l brim cu,,,851.02,893.57,3
HCPCS,L2530,Thigh/wght bear lacer non-mo,,,269.99,283.49,3
HCPCS,L2540,Thigh/wght bear lacer molded,,,485.83,510.12,3
HCPCS,L2550,Thigh/wght bear high roll cu,,,330.04,346.54,3
HCPCS,L2570,Hip clevis type 2 posit jnt,,,547.34,574.71,3
HCPCS,L2580,Pelvic control pelvic sling,,,533.32,559.99,3
HCPCS,L2600,Hip clevis/thrust bearing fr,,,292.05,306.65,3
HCPCS,L2610,Hip clevis/thrust bearing lo,,,309.33,324.8,3
HCPCS,L2620,Pelvic control hip heavy dut,,,347.82,365.21,3
HCPCS,L2622,Hip joint adjustable flexion,,,394.32,414.04,3
HCPCS,L2624,Hip adj flex ext abduct cont,,,380.52,399.55,3
HCPCS,L2627,Plastic mold recipro hip & c,,,2076.41,2180.23,3
HCPCS,L2628,Metal frame recipro hip & ca,,,2042.45,2144.57,3
HCPCS,L2630,Pelvic control band & belt u,,,284.55,298.78,3
HCPCS,L2640,Pelvic control band & belt b,,,386.17,405.48,3
HCPCS,L2650,Pelv & thor control gluteal,,,164.42,172.64,3
HCPCS,L2660,Thoracic control thoracic ba,,,214.17,224.88,3
HCPCS,L2670,Thorac cont paraspinal uprig,,,207.69,218.07,3
HCPCS,L2680,Thorac cont lat support upri,,,192.38,202.0,3
HCPCS,L2750,Plating chrome/nickel pr bar,,,96.05,100.85,3
HCPCS,L2755,Carbon graphite lamination,,,156.7,164.54,3
HCPCS,L2760,Extension per extension per,,,69.82,73.31,3
HCPCS,L2768,Ortho sidebar disconnect,,,156.26,164.07,3
HCPCS,L2780,Non-corrosive finish,,,77.77,81.66,3
HCPCS,L2785,Drop lock retainer each,,,36.57,38.4,3
HCPCS,L2795,Knee control full kneecap,,,99.18,104.14,3
HCPCS,L2800,Knee cap medial or lateral p,,,152.45,160.07,3
HCPCS,L2810,Knee control condylar pad,,,119.67,125.65,3
HCPCS,L2820,Soft interface below knee se,,,99.79,104.78,3
HCPCS,L2830,Soft interface above knee se,,,107.96,113.36,3
HCPCS,L2840,Tibial length sock fx or equ,,,63.82,67.01,3
HCPCS,L2850,Femoral lgth sock fx or equa,,,71.15,74.71,3
HCPCS,L3000,Ft insert ucb berkeley shell,,,376.8,395.64,3
HCPCS,L3001,Foot insert remov molded spe,,,158.66,166.59,3
HCPCS,L3002,Foot insert plastazote or eq,,,193.73,203.42,3
HCPCS,L3003,Foot insert silicone gel eac,,,209.04,219.49,3
HCPCS,L3010,Foot longitudinal arch suppo,,,209.04,219.49,3
HCPCS,L3020,Foot longitud/metatarsal sup,,,237.97,249.87,3
HCPCS,L3030,Foot arch support remov prem,,,91.55,96.13,3
HCPCS,L3031,Foot lamin/prepreg composite,,,146.92,154.27,3
HCPCS,L3040,Ft arch suprt premold longit,,,56.45,59.27,3
HCPCS,L3050,Foot arch supp premold metat,,,56.45,59.27,3
HCPCS,L3060,Foot arch supp longitud/meta,,,88.45,92.87,3
HCPCS,L3070,Arch suprt att to sho longit,,,38.11,40.02,3
HCPCS,L3080,Arch supp att to shoe metata,,,38.11,40.02,3
HCPCS,L3090,Arch supp att to shoe long/m,,,48.83,51.27,3
HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,51.86,54.45,3
HCPCS,L3140,Abduction rotation bar shoe,,,106.8,112.14,3
HCPCS,L3150,Abduct rotation bar w/o shoe,,,97.63,102.51,3
HCPCS,L3170,Foot plas heel stabi pre ots,,,61.04,64.09,3
HCPCS,L3224,Woman's shoe oxford brace,,,76.44,80.26,3
HCPCS,L3225,Man's shoe oxford brace,,,78.49,82.41,3
HCPCS,L3300,Sho lift taper to metatarsal,,,62.55,65.68,3
HCPCS,L3310,Shoe lift elev heel/sole neo,,,97.63,102.51,3
HCPCS,L3330,Lifts elevation metal extens,,,678.86,712.8,3
HCPCS,L3332,Shoe lifts tapered to one-ha,,,88.45,92.87,3
HCPCS,L3334,Shoe lifts elevation heel /i,,,45.78,48.07,3
HCPCS,L3340,Shoe wedge sach,,,102.26,107.37,3
HCPCS,L3350,Shoe heel wedge,,,27.48,28.85,3
HCPCS,L3360,Shoe sole wedge outside sole,,,42.72,44.86,3
HCPCS,L3370,Shoe sole wedge between sole,,,59.46,62.43,3
HCPCS,L3380,Shoe clubfoot wedge,,,59.46,62.43,3
HCPCS,L3390,Shoe outflare wedge,,,59.46,62.43,3
HCPCS,L3400,Shoe metatarsal bar wedge ro,,,48.83,51.27,3
HCPCS,L3410,Shoe metatarsal bar between,,,111.35,116.92,3
HCPCS,L3420,Full sole/heel wedge btween,,,65.62,68.9,3
HCPCS,L3430,Sho heel count plast reinfor,,,192.22,201.83,3
HCPCS,L3440,Heel leather reinforced,,,91.55,96.13,3
HCPCS,L3450,Shoe heel sach cushion type,,,126.64,132.97,3
HCPCS,L3455,Shoe heel new leather standa,,,48.83,51.27,3
HCPCS,L3460,Shoe heel new rubber standar,,,41.16,43.22,3
HCPCS,L3465,Shoe heel thomas with wedge,,,70.16,73.67,3
HCPCS,L3470,Shoe heel thomas extend to b,,,74.74,78.48,3
HCPCS,L3480,Shoe heel pad & depress for,,,74.74,78.48,3
HCPCS,L3500,Ortho shoe add leather insol,,,35.09,36.84,3
HCPCS,L3510,Orthopedic shoe add rub insl,,,35.09,36.84,3
HCPCS,L3520,O shoe add felt w leath insl,,,38.11,40.02,3
HCPCS,L3530,Ortho shoe add half sole,,,38.11,40.02,3
HCPCS,L3540,Ortho shoe add full sole,,,61.04,64.09,3
HCPCS,L3550,O shoe add standard toe tap,,,10.65,11.18,3
HCPCS,L3560,O shoe add horseshoe toe tap,,,27.48,28.85,3
HCPCS,L3570,O shoe add instep extension,,,102.26,107.37,3
HCPCS,L3580,O shoe add instep velcro clo,,,77.81,81.7,3
HCPCS,L3590,O shoe convert to sof counte,,,64.07,67.27,3
HCPCS,L3595,Ortho shoe add march bar,,,50.33,52.85,3
HCPCS,L3600,Trans shoe calip plate exist,,,91.55,96.13,3
HCPCS,L3610,Trans shoe caliper plate new,,,120.51,126.54,3
HCPCS,L3620,Trans shoe solid stirrup exi,,,91.55,96.13,3
HCPCS,L3630,Trans shoe solid stirrup new,,,120.51,126.54,3
HCPCS,L3640,Shoe dennis browne splint bo,,,51.86,54.45,3
HCPCS,L3650,So 8 abd restraint pre ots,,,76.41,80.23,3
HCPCS,L3660,So 8 ab rstr can/web pre ots,,,115.57,121.35,3
HCPCS,L3670,So acro/clav can web pre ots,,,152.73,160.37,3
HCPCS,L3671,SO cap design w/o jnts CF,,,983.68,1032.86,3
HCPCS,L3674,SO airplane w/wo joint CF,,,1290.37,1354.89,3
HCPCS,L3675,So vest canvas/web pre ots,,,191.58,201.16,3
HCPCS,L3702,EO w/o joints CF,,,315.21,330.97,3
HCPCS,L3710,Eo elas w/metal jnts pre ots,,,175.72,184.51,3
HCPCS,L3720,Forearm/arm cuffs free motio,,,784.06,823.26,3
HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,1013.66,1064.34,3
HCPCS,L3740,Cuffs adj lock w/ active con,,,1201.78,1261.87,3
HCPCS,L3760,"EO withjoint, Prefabricated",,,545.9,573.2,3
HCPCS,L3761,"Eo, adj lock joint prefab ot",,,545.9,573.2,3
HCPCS,L3762,Eo rigid w/o joints pre ots,,,117.38,123.25,3
HCPCS,L3763,EWHO rigid w/o jnts CF,,,766.28,804.59,3
HCPCS,L3764,EWHO w/joint(s) CF,,,1000.17,1050.18,3
HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1399.76,1469.75,3
HCPCS,L3766,EWHFO w/joint(s) CF,,,1482.24,1556.35,3
HCPCS,L3806,WHFO w/joint(s) custom fab,,,495.89,520.68,3
HCPCS,L3807,Whfo w/o joints pre cst,,,272.97,286.62,3
HCPCS,L3808,"WHFO, rigid w/o joints",,,408.22,428.63,3
HCPCS,L3809,Whfo w/o joints pre ots,,,272.97,286.62,3
HCPCS,L3900,Hinge extension/flex wrist/f,,,1591.75,1671.34,3
HCPCS,L3901,Hinge ext/flex wrist finger,,,1807.62,1898.0,3
HCPCS,L3904,Whfo electric custom fitted,,,3292.96,3457.61,3
HCPCS,L3905,Who w/nontorsion jnt(s) cf,,,1082.62,1136.75,3
HCPCS,L3906,Who w/o joints cf,,,480.66,504.69,3
HCPCS,L3908,Who cock-up nonmolde pre ots,,,75.64,79.42,3
HCPCS,L3912,Hfo flexion glove pre ots,,,131.04,137.59,3
HCPCS,L3913,HFO w/o joints CF,,,295.66,310.44,3
HCPCS,L3915,Who nontorsion jnts pre cst,,,580.28,609.29,3
HCPCS,L3916,Who nontorsion jnts pre ots,,,580.28,609.29,3
HCPCS,L3917,Metacarp fx orthosis pre cst,,,115.37,121.14,3
HCPCS,L3918,Metacarp fx orthosis pre ots,,,115.37,121.14,3
HCPCS,L3919,HO w/o joints CF,,,295.66,310.44,3
HCPCS,L3921,HFO w/joint(s) CF,,,350.66,368.19,3
HCPCS,L3923,Hfo without joints pre cst,,,105.37,110.64,3
HCPCS,L3924,Hfo without joints pre ots,,,105.37,110.64,3
HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,56.51,59.34,3
HCPCS,L3927,Fo pip dip no jt spr pre ots,,,38.17,40.08,3
HCPCS,L3929,Hfo nontorsion jnts pre cst,,,100.12,105.13,3
HCPCS,L3930,Hfo nontorsion jnts pre ots,,,100.12,105.13,3
HCPCS,L3931,WHFO nontorsion joint prefab,,,205.04,215.29,3
HCPCS,L3933,FO w/o joints CF,,,232.89,244.53,3
HCPCS,L3935,FO nontorsion joint CF,,,241.15,253.21,3
HCPCS,L3960,Sewho airplan desig abdu pos,,,827.16,868.52,3
HCPCS,L3961,Sewho cap design w/o jnts cf,,,1834.09,1925.79,3
HCPCS,L3962,Sewho erbs palsey design abd,,,806.8,847.14,3
HCPCS,L3967,Sewho airplane w/o jnts cf,,,2165.46,2273.73,3
HCPCS,L3971,Sewho cap design w/jnt(s) cf,,,2055.53,2158.31,3
HCPCS,L3973,Sewho airplane w/jnt(s) cf,,,2165.46,2273.73,3
HCPCS,L3975,Sewhfo cap design w/o jnt cf,,,1834.09,1925.79,3
HCPCS,L3976,Sewhfo airplane w/o jnts cf,,,1834.09,1925.79,3
HCPCS,L3977,Sewhfo cap desgn w/jnt(s) cf,,,2055.53,2158.31,3
HCPCS,L3978,Sewhfo airplane w/jnt(s) cf,,,2165.46,2273.73,3
HCPCS,L3980,Up ext fx orthos humeral nos,,,360.07,378.07,3
HCPCS,L3981,Ue fx orth shoul cap forearm,,,1098.83,1153.77,3
HCPCS,L3982,Upper ext fx orthosis rad/ul,,,419.78,440.77,3
HCPCS,L3984,Upper ext fx orthosis wrist,,,387.03,406.38,3
HCPCS,L3995,Sock fracture or equal each,,,40.11,42.12,3
HCPCS,L4000,Repl girdle milwaukee orth,,,1581.89,1660.98,3
HCPCS,L4010,Replace trilateral socket br,,,771.19,809.75,3
HCPCS,L4020,Replace quadlat socket brim,,,1078.54,1132.47,3
HCPCS,L4030,Replace socket brim cust fit,,,580.17,609.18,3
HCPCS,L4040,Replace molded thigh lacer,,,473.43,497.1,3
HCPCS,L4045,Replace non-molded thigh lac,,,376.94,395.79,3
HCPCS,L4050,Replace molded calf lacer,,,474.4,498.12,3
HCPCS,L4055,Replace non-molded calf lace,,,307.2,322.56,3
HCPCS,L4060,Replace high roll cuff,,,365.19,383.45,3
HCPCS,L4070,Replace prox & dist upright,,,323.39,339.56,3
HCPCS,L4080,Repl met band kafo-afo prox,,,132.66,139.29,3
HCPCS,L4090,Repl met band kafo-afo calf/,,,104.67,109.9,3
HCPCS,L4100,Repl leath cuff kafo prox th,,,137.45,144.32,3
HCPCS,L4110,Repl leath cuff kafo-afo cal,,,103.53,108.71,3
HCPCS,L4130,Replace pretibial shell,,,580.6,609.63,3
HCPCS,L4205,Ortho dvc repair per 15 min,,,29.92,31.42,3
HCPCS,L4350,Ankle control ortho pre ots,,,115.02,120.77,3
HCPCS,L4360,Pneumat walking boot pre cst,,,353.59,371.27,3
HCPCS,L4361,Pneuma/vac walk boot pre ots,,,353.59,371.27,3
HCPCS,L4370,Pneum full leg splnt pre ots,,,233.82,245.51,3
HCPCS,L4386,Non-pneum walk boot pre cst,,,190.16,199.67,3
HCPCS,L4387,Non-pneum walk boot pre ots,,,190.16,199.67,3
HCPCS,L4392,Replace AFO soft interface,,,28.22,29.63,3
HCPCS,L4394,Replace foot drop spint,,,20.58,21.61,3
HCPCS,L4396,Static or dynami afo pre cst,,,201.26,211.32,3
HCPCS,L4397,Static or dynami afo pre ots,,,201.26,211.32,3
HCPCS,L4398,Foot drop splint pre ots,,,92.67,97.3,3
HCPCS,L4631,"Afo, walk boot type, cus fab",,,1912.64,2008.27,3
HCPCS,L5000,Sho insert w arch toe filler,,,682.33,716.45,3
HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1490.45,1564.97,3
HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2426.15,2547.46,3
HCPCS,L5050,Ank symes mold sckt sach ft,,,2809.59,2950.07,3
HCPCS,L5060,Symes met fr leath socket ar,,,3381.38,3550.45,3
HCPCS,L5100,Molded socket shin sach foot,,,2926.84,3073.18,3
HCPCS,L5105,Plast socket jts/thgh lacer,,,4645.53,4877.81,3
HCPCS,L5150,Mold sckt ext knee shin sach,,,4299.18,4514.14,3
HCPCS,L5160,Mold socket bent knee shin s,,,4676.12,4909.93,3
HCPCS,L5200,Kne sing axis fric shin sach,,,4073.31,4276.98,3
HCPCS,L5210,No knee/ankle joints w/ ft b,,,2970.73,3119.27,3
HCPCS,L5220,No knee joint with artic ali,,,3376.78,3545.62,3
HCPCS,L5230,Fem focal defic constant fri,,,4657.24,4890.1,3
HCPCS,L5250,Hip canad sing axi cons fric,,,6352.07,6669.67,3
HCPCS,L5270,Tilt table locking hip sing,,,6296.42,6611.24,3
HCPCS,L5280,Hemipelvect canad sing axis,,,6233.46,6545.13,3
HCPCS,L5301,Bk mold socket sach ft endo,,,2810.9,2951.44,3
HCPCS,L5312,"Knee disart, SACH ft, endo",,,4038.17,4240.08,3
HCPCS,L5321,Ak open end sach,,,4023.73,4224.92,3
HCPCS,L5331,Hip disart canadian sach ft,,,5693.73,5978.42,3
HCPCS,L5341,Hemipelvectomy canadian sach,,,6187.3,6496.67,3
HCPCS,L5400,Postop dress & 1 cast chg bk,,,1473.43,1547.1,3
HCPCS,L5410,Postop dsg bk ea add cast ch,,,645.54,677.82,3
HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,1860.88,1953.92,3
HCPCS,L5430,Postop dsg ak ea add cast ch,,,821.42,862.49,3
HCPCS,L5450,Postop app non-wgt bear dsg,,,525.47,551.74,3
HCPCS,L5460,Postop app non-wgt bear dsg,,,774.5,813.22,3
HCPCS,L5500,Init bk ptb plaster direct,,,1572.33,1650.95,3
HCPCS,L5505,Init ak ischal plstr direct,,,2129.35,2235.82,3
HCPCS,L5510,Prep BK ptb plaster molded,,,1782.34,1871.46,3
HCPCS,L5520,Perp BK ptb thermopls direct,,,1760.53,1848.56,3
HCPCS,L5530,Prep BK ptb thermopls molded,,,2228.48,2339.9,3
HCPCS,L5535,Prep BK ptb open end socket,,,2196.14,2305.95,3
HCPCS,L5540,Prep BK ptb laminated socket,,,2319.02,2434.97,3
HCPCS,L5560,Prep AK ischial plast molded,,,2379.43,2498.4,3
HCPCS,L5570,Prep AK ischial direct form,,,2473.76,2597.45,3
HCPCS,L5580,Prep AK ischial thermo mold,,,2887.94,3032.34,3
HCPCS,L5585,Prep AK ischial open end,,,3132.31,3288.93,3
HCPCS,L5590,Prep AK ischial laminated,,,2943.01,3090.16,3
HCPCS,L5595,Hip disartic sach thermopls,,,5173.01,5431.66,3
HCPCS,L5600,Hip disart sach laminat mold,,,5642.33,5924.45,3
HCPCS,L5610,Above knee hydracadence,,,2534.66,2661.39,3
HCPCS,L5611,Ak 4 bar link w/fric swing,,,1972.47,2071.09,3
HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3000.26,3150.27,3
HCPCS,L5614,4-bar link above knee w/swng,,,2028.06,2129.46,3
HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6833.63,7175.31,3
HCPCS,L5616,Ak univ multiplex sys frict,,,1662.72,1745.86,3
HCPCS,L5617,AK/BK self-aligning unit ea,,,672.42,706.04,3
HCPCS,L5618,Test socket symes,,,387.38,406.75,3
HCPCS,L5620,Test socket below knee,,,340.36,357.38,3
HCPCS,L5622,Test socket knee disarticula,,,519.79,545.78,3
HCPCS,L5624,Test socket above knee,,,495.94,520.74,3
HCPCS,L5626,Test socket hip disarticulat,,,697.12,731.98,3
HCPCS,L5628,Test socket hemipelvectomy,,,660.26,693.27,3
HCPCS,L5629,Below knee acrylic socket,,,504.21,529.42,3
HCPCS,L5630,Syme typ expandabl wall sckt,,,549.44,576.91,3
HCPCS,L5631,Ak/knee disartic acrylic soc,,,657.03,689.88,3
HCPCS,L5632,Symes type ptb brim design s,,,271.83,285.42,3
HCPCS,L5634,Symes type poster opening so,,,372.4,391.02,3
HCPCS,L5636,Symes type medial opening so,,,311.94,327.54,3
HCPCS,L5637,Below knee total contact,,,416.68,437.51,3
HCPCS,L5638,Below knee leather socket,,,595.79,625.58,3
HCPCS,L5639,Below knee wood socket,,,1397.7,1467.58,3
HCPCS,L5640,Knee disarticulat leather so,,,850.98,893.53,3
HCPCS,L5642,Above knee leather socket,,,761.85,799.94,3
HCPCS,L5643,Hip flex inner socket ext fr,,,1905.46,2000.73,3
HCPCS,L5644,Above knee wood socket,,,723.09,759.24,3
HCPCS,L5645,Bk flex inner socket ext fra,,,976.81,1025.65,3
HCPCS,L5646,Below knee cushion socket,,,670.77,704.31,3
HCPCS,L5647,Below knee suction socket,,,973.84,1022.53,3
HCPCS,L5648,Above knee cushion socket,,,806.01,846.31,3
HCPCS,L5649,Isch containmt/narrow m-l so,,,2446.95,2569.3,3
HCPCS,L5650,Tot contact ak/knee disart s,,,597.66,627.54,3
HCPCS,L5651,Ak flex inner socket ext fra,,,1470.22,1543.73,3
HCPCS,L5652,Suction susp ak/knee disart,,,533.75,560.44,3
HCPCS,L5653,Knee disart expand wall sock,,,712.51,748.14,3
HCPCS,L5654,Socket insert symes,,,406.02,426.32,3
HCPCS,L5655,Socket insert below knee,,,343.76,360.95,3
HCPCS,L5656,Socket insert knee articulat,,,484.26,508.47,3
HCPCS,L5658,Socket insert above knee,,,471.6,495.18,3
HCPCS,L5661,Multi-durometer symes,,,819.53,860.51,3
HCPCS,L5665,Multi-durometer below knee,,,626.84,658.18,3
HCPCS,L5666,Below knee cuff suspension,,,93.15,97.81,3
HCPCS,L5668,Bk molded distal cushion,,,124.37,130.59,3
HCPCS,L5670,Bk molded supracondylar susp,,,378.61,397.54,3
HCPCS,L5671,Bk/ak locking mechanism,,,608.96,639.41,3
HCPCS,L5672,Bk removable medial brim sus,,,462.6,485.73,3
HCPCS,L5673,Socket insert w lock mech,,,860.1,903.1,3
HCPCS,L5676,Bk knee joints single axis p,,,443.63,465.81,3
HCPCS,L5677,Bk knee joints polycentric p,,,603.62,633.8,3
HCPCS,L5678,Bk joint covers pair,,,48.61,51.04,3
HCPCS,L5679,Socket insert w/o lock mech,,,716.74,752.58,3
HCPCS,L5680,Bk thigh lacer non-molded,,,424.0,445.2,3
HCPCS,L5681,Intl custm cong/latyp insert,,,1580.9,1659.95,3
HCPCS,L5682,Bk thigh lacer glut/ischia m,,,765.63,803.91,3
HCPCS,L5683,Initial custom socket insert,,,1580.9,1659.95,3
HCPCS,L5684,Bk fork strap,,,58.93,61.88,3
HCPCS,L5685,Below knee sus/seal sleeve,,,153.94,161.64,3
HCPCS,L5686,Bk back check,,,79.48,83.45,3
HCPCS,L5688,Bk waist belt webbing,,,74.78,78.52,3
HCPCS,L5690,Bk waist belt padded and lin,,,144.8,152.04,3
HCPCS,L5692,Ak pelvic control belt light,,,168.07,176.47,3
HCPCS,L5694,Ak pelvic control belt pad/l,,,222.1,233.2,3
HCPCS,L5695,Ak sleeve susp neoprene/equa,,,232.98,244.63,3
HCPCS,L5696,Ak/knee disartic pelvic join,,,254.62,267.35,3
HCPCS,L5697,Ak/knee disartic pelvic band,,,103.43,108.6,3
HCPCS,L5698,Ak/knee disartic silesian ba,,,128.64,135.07,3
HCPCS,L5699,Shoulder harness,,,228.26,239.67,3
HCPCS,L5700,Replace socket below knee,,,3526.96,3703.31,3
HCPCS,L5701,Replace socket above knee,,,4375.51,4594.29,3
HCPCS,L5702,Replace socket hip,,,5514.69,5790.42,3
HCPCS,L5703,Symes ankle w/o (sach) foot,,,2560.96,2689.01,3
HCPCS,L5704,Custom shape cover bk,,,719.13,755.09,3
HCPCS,L5705,Custom shape cover ak,,,1318.46,1384.38,3
HCPCS,L5706,Custom shape cvr knee disart,,,1285.99,1350.29,3
HCPCS,L5707,Custom shape cvr hip disart,,,1727.71,1814.1,3
HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,440.31,462.33,3
HCPCS,L5711,Knee-shin exo mnl lock ultra,,,667.95,701.35,3
HCPCS,L5712,Knee-shin exo frict swg & st,,,527.52,553.9,3
HCPCS,L5714,Knee-shin exo variable frict,,,544.01,571.21,3
HCPCS,L5716,Knee-shin exo mech stance ph,,,892.28,936.89,3
HCPCS,L5718,Knee-shin exo frct swg & sta,,,1115.26,1171.02,3
HCPCS,L5722,Knee-shin pneum swg frct exo,,,1163.81,1222.0,3
HCPCS,L5724,Knee-shin exo fluid swing ph,,,1847.9,1940.3,3
HCPCS,L5726,Knee-shin ext jnts fld swg e,,,2426.49,2547.81,3
HCPCS,L5728,Knee-shin fluid swg & stance,,,3023.08,3174.23,3
HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1457.58,1530.46,3
HCPCS,L5781,Lower limb pros vacuum pump,,,4808.77,5049.21,3
HCPCS,L5782,HD low limb pros vacuum pump,,,5069.52,5323.0,3
HCPCS,L5783,Add low ext mec limb vol sys,,,3150.07,3307.57,3
HCPCS,L5785,Exoskeletal bk ultralt mater,,,636.06,667.86,3
HCPCS,L5790,Exoskeletal ak ultra-light m,,,880.26,924.27,3
HCPCS,L5795,Exoskel hip ultra-light mate,,,1314.46,1380.18,3
HCPCS,L5810,Endoskel knee-shin mnl lock,,,611.5,642.08,3
HCPCS,L5811,Endo knee-shin mnl lck ultra,,,892.86,937.5,3
HCPCS,L5812,Endo knee-shin frct swg & st,,,692.06,726.66,3
HCPCS,L5814,Endo knee-shin hydral swg ph,,,4463.44,4686.61,3
HCPCS,L5816,Endo knee-shin polyc mch sta,,,1041.16,1093.22,3
HCPCS,L5818,Endo knee-shin frct swg & st,,,1175.67,1234.45,3
HCPCS,L5822,Endo knee-shin pneum swg frc,,,2280.9,2394.95,3
HCPCS,L5824,Endo knee-shin fluid swing p,,,1877.46,1971.33,3
HCPCS,L5826,Miniature knee joint,,,3790.76,3980.3,3
HCPCS,L5827,Endo knee shin single axis,,,7025.35,7376.62,3
HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3578.82,3757.76,3
HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2542.92,2670.07,3
HCPCS,L5840,Multi-axial knee/shin system,,,4484.12,4708.33,3
HCPCS,L5841,Addition endoskletl knee-shi,,,3053.14,3205.8,3
HCPCS,L5845,Knee-shin sys stance flexion,,,2154.15,2261.86,3
HCPCS,L5848,Knee-shin sys hydraul stance,,,1292.38,1357.0,3
HCPCS,L5850,Endo ak/hip knee extens assi,,,162.6,170.73,3
HCPCS,L5855,Mech hip extension assist,,,378.09,396.99,3
HCPCS,L5856,Elec knee-shin swing/stance,,,28851.23,30293.79,3
HCPCS,L5857,Elec knee-shin swing only,,,10237.55,10749.43,3
HCPCS,L5858,Stance phase only,,,22336.47,23453.29,3
HCPCS,L5859,Knee-shin pro flex/ext cont,,,17437.9,18309.8,3
HCPCS,L5910,Endo below knee alignable sy,,,446.54,468.87,3
HCPCS,L5920,Endo ak/hip alignable system,,,649.58,682.06,3
HCPCS,L5925,Above knee manual lock,,,411.36,431.93,3
HCPCS,L5926,Endoskel posit rotat unit,,,701.46,736.53,3
HCPCS,L5930,High activity knee frame,,,4045.31,4247.58,3
HCPCS,L5940,Endo bk ultra-light material,,,614.1,644.81,3
HCPCS,L5950,Endo ak ultra-light material,,,1037.42,1089.29,3
HCPCS,L5960,Endo hip ultra-light materia,,,1242.67,1304.8,3
HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5569.67,5848.15,3
HCPCS,L5962,Below knee flex cover system,,,719.6,755.58,3
HCPCS,L5964,Above knee flex cover system,,,1288.96,1353.41,3
HCPCS,L5966,Hip flexible cover system,,,1660.39,1743.41,3
HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4367.4,4585.77,3
HCPCS,L5970,Foot external keel sach foot,,,268.76,282.2,3
HCPCS,L5971,"SACH foot, replacement",,,268.76,282.2,3
HCPCS,L5972,Flexible keel foot,,,431.46,453.03,3
HCPCS,L5973,Ank-foot sys dors-plant flex,,,21041.0,22093.05,3
HCPCS,L5974,Foot single axis ankle/foot,,,364.02,382.22,3
HCPCS,L5975,Combo ankle/foot prosthesis,,,557.15,585.01,3
HCPCS,L5976,Energy storing foot,,,685.61,719.89,3
HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,357.27,375.13,3
HCPCS,L5979,Multi-axial ankle/ft prosth,,,2866.86,3010.2,3
HCPCS,L5980,Flex foot system,,,4539.15,4766.11,3
HCPCS,L5981,Flex-walk sys low ext prosth,,,3923.49,4119.66,3
HCPCS,L5982,Exoskeletal axial rotation u,,,707.75,743.14,3
HCPCS,L5984,Endoskeletal axial rotation,,,701.46,736.53,3
HCPCS,L5985,Lwr ext dynamic prosth pylon,,,339.39,356.36,3
HCPCS,L5986,Multi-axial rotation unit,,,779.9,818.9,3
HCPCS,L5987,Shank ft w vert load pylon,,,8645.71,9078.0,3
HCPCS,L5988,Vertical shock reducing pylo,,,2400.94,2520.99,3
HCPCS,L5990,User adjustable heel height,,,2180.41,2289.43,3
HCPCS,L5991,Low pros ext osseo connector,,,11755.04,12342.79,3
HCPCS,L6026,Part hand myo exclu term dev,,,5177.21,5436.07,3
HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2325.6,2441.88,3
HCPCS,L6055,Wrst mold sock w/exp interfa,,,3696.64,3881.47,3
HCPCS,L6100,Elb mold sock flex hinge pad,,,2356.19,2474.0,3
HCPCS,L6110,Elbow mold sock suspension t,,,2499.14,2624.1,3
HCPCS,L6120,Elbow mold doub splt soc ste,,,2912.39,3058.01,3
HCPCS,L6130,Elbow stump activated lock h,,,3169.22,3327.68,3
HCPCS,L6200,Elbow mold outsid lock hinge,,,3339.85,3506.84,3
HCPCS,L6205,Elbow molded w/ expand inter,,,5565.49,5843.76,3
HCPCS,L6250,Elbow inter loc elbow forarm,,,3287.52,3451.9,3
HCPCS,L6300,Shlder disart int lock elbow,,,4561.09,4789.14,3
HCPCS,L6310,Shoulder passive restor comp,,,3750.9,3938.44,3
HCPCS,L6320,Shoulder passive restor cap,,,2092.15,2196.76,3
HCPCS,L6350,Thoracic intern lock elbow,,,4795.29,5035.05,3
HCPCS,L6360,Thoracic passive restor comp,,,3936.67,4133.5,3
HCPCS,L6370,Thoracic passive restor cap,,,2963.68,3111.86,3
HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1600.65,1680.68,3
HCPCS,L6382,Postop dsg cast chg elb dis/,,,1915.4,2011.17,3
HCPCS,L6384,Postop dsg cast chg shlder/t,,,2337.34,2454.21,3
HCPCS,L6386,Postop ea cast chg & realign,,,560.51,588.54,3
HCPCS,L6388,Postop applicat rigid dsg on,,,538.21,565.12,3
HCPCS,L6400,Below elbow prosth tiss shap,,,2846.73,2989.07,3
HCPCS,L6450,Elb disart prosth tiss shap,,,3774.46,3963.18,3
HCPCS,L6500,Above elbow prosth tiss shap,,,3777.54,3966.42,3
HCPCS,L6550,Shldr disar prosth tiss shap,,,4668.36,4901.78,3
HCPCS,L6570,Scap thorac prosth tiss shap,,,5664.32,5947.54,3
HCPCS,L6580,Wrist/elbow bowden cable mol,,,1977.21,2076.07,3
HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1684.94,1769.19,3
HCPCS,L6584,Elbow fair lead cable molded,,,2729.32,2865.79,3
HCPCS,L6586,Elbow fair lead cable dir fo,,,2387.58,2506.96,3
HCPCS,L6588,Shdr fair lead cable molded,,,3941.34,4138.41,3
HCPCS,L6590,Shdr fair lead cable direct,,,3605.22,3785.48,3
HCPCS,L6600,Polycentric hinge pair,,,243.26,255.42,3
HCPCS,L6605,Single pivot hinge pair,,,227.07,238.42,3
HCPCS,L6610,Flexible metal hinge pair,,,203.83,214.02,3
HCPCS,L6611,"Additional switch, ext power",,,494.85,519.59,3
HCPCS,L6615,Disconnect locking wrist uni,,,251.34,263.91,3
HCPCS,L6616,Disconnect insert locking wr,,,105.88,111.17,3
HCPCS,L6620,Flexion/extension wrist unit,,,394.44,414.16,3
HCPCS,L6621,Flex/ext wrist w/wo friction,,,2748.98,2886.43,3
HCPCS,L6623,Spring-ass rot wrst w/ latch,,,902.89,948.03,3
HCPCS,L6624,Flex/ext/rotation wrist unit,,,4526.27,4752.58,3
HCPCS,L6625,Rotation wrst w/ cable lock,,,657.01,689.86,3
HCPCS,L6628,Quick disconn hook adapter o,,,671.42,704.99,3
HCPCS,L6629,Lamination collar w/ couplin,,,179.11,188.07,3
HCPCS,L6630,Stainless steel any wrist,,,263.85,277.04,3
HCPCS,L6632,Latex suspension sleeve each,,,88.01,92.41,3
HCPCS,L6635,Lift assist for elbow,,,244.39,256.61,3
HCPCS,L6637,Nudge control elbow lock,,,507.3,532.67,3
HCPCS,L6638,Elec lock on manual pw elbow,,,3005.49,3155.76,3
HCPCS,L6640,Shoulder abduction joint pai,,,346.19,363.5,3
HCPCS,L6641,Excursion amplifier pulley t,,,230.08,241.58,3
HCPCS,L6642,Excursion amplifier lever ty,,,327.59,343.97,3
HCPCS,L6645,Shoulder flexion-abduction j,,,397.82,417.71,3
HCPCS,L6646,Multipo locking shoulder jnt,,,3790.61,3980.14,3
HCPCS,L6647,Shoulder lock actuator,,,624.04,655.24,3
HCPCS,L6648,Ext pwrd shlder lock/unlock,,,3909.46,4104.93,3
HCPCS,L6650,Shoulder universal joint,,,414.39,435.11,3
HCPCS,L6655,Standard control cable extra,,,91.97,96.57,3
HCPCS,L6660,Heavy duty control cable,,,112.37,117.99,3
HCPCS,L6665,Teflon or equal cable lining,,,64.25,67.46,3
HCPCS,L6670,Hook to hand cable adapter,,,60.91,63.96,3
HCPCS,L6672,Harness chest/shlder saddle,,,206.43,216.75,3
HCPCS,L6675,Harness figure of 8 sing con,,,147.02,154.37,3
HCPCS,L6676,Harness figure of 8 dual con,,,148.47,155.89,3
HCPCS,L6677,UE triple control harness,,,356.52,374.35,3
HCPCS,L6680,Test sock wrist disart/bel e,,,284.03,298.23,3
HCPCS,L6682,Test sock elbw disart/above,,,318.33,334.25,3
HCPCS,L6684,Test socket shldr disart/tho,,,426.74,448.08,3
HCPCS,L6686,Suction socket,,,793.56,833.24,3
HCPCS,L6687,Frame typ socket bel elbow/w,,,706.16,741.47,3
HCPCS,L6688,Frame typ sock above elb/dis,,,683.09,717.24,3
HCPCS,L6689,Frame typ socket shoulder di,,,824.9,866.14,3
HCPCS,L6690,Frame typ sock interscap-tho,,,893.33,938.0,3
HCPCS,L6691,Removable insert each,,,534.24,560.95,3
HCPCS,L6692,Silicone gel insert or equal,,,684.63,718.86,3
HCPCS,L6693,Lockingelbow forearm cntrbal,,,3412.03,3582.63,3
HCPCS,L6694,Elbow socket ins use w/lock,,,860.1,903.1,3
HCPCS,L6695,Elbow socket ins use w/o lck,,,716.74,752.58,3
HCPCS,L6696,Cus elbo skt in for con/atyp,,,1580.9,1659.95,3
HCPCS,L6697,Cus elbo skt in not con/atyp,,,1580.9,1659.95,3
HCPCS,L6698,Below/above elbow lock mech,,,608.96,639.41,3
HCPCS,L6700,Ue add ext power myoel,,,29510.19,30985.7,3
HCPCS,L6703,"Term dev, passive hand mitt",,,432.97,454.62,3
HCPCS,L6704,"Term dev, sport/rec/work att",,,716.96,752.81,3
HCPCS,L6706,Term dev mech hook vol open,,,427.16,448.52,3
HCPCS,L6707,Term dev mech hook vol close,,,1800.33,1890.35,3
HCPCS,L6708,Term dev mech hand vol open,,,1024.05,1075.25,3
HCPCS,L6709,Term dev mech hand vol close,,,1657.35,1740.22,3
HCPCS,L6711,"Ped term dev, hook, vol open",,,808.0,848.4,3
HCPCS,L6712,"Ped term dev, hook, vol clos",,,1487.69,1562.07,3
HCPCS,L6713,"Ped term dev, hand, vol open",,,1877.68,1971.56,3
HCPCS,L6714,"Ped term dev, hand, vol clos",,,1590.35,1669.87,3
HCPCS,L6715,"Term device, multi art digit",,,3794.37,3984.09,3
HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2826.66,2967.99,3
HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2436.81,2558.65,3
HCPCS,L6805,Term dev modifier wrist unit,,,440.68,462.71,3
HCPCS,L6810,Term dev precision pinch dev,,,240.21,252.22,3
HCPCS,L6880,Elec hand ind art digits,,,28715.0,30150.75,3
HCPCS,L6881,Term dev auto grasp feature,,,4913.43,5159.1,3
HCPCS,L6882,Microprocessor control uplmb,,,3727.07,3913.42,3
HCPCS,L6883,Replc sockt below e/w disa,,,1942.73,2039.87,3
HCPCS,L6884,Replc sockt above elbow disa,,,2733.15,2869.81,3
HCPCS,L6885,Replc sockt shldr dis/interc,,,3936.67,4133.5,3
HCPCS,L6890,Prefab glove for term device,,,208.23,218.64,3
HCPCS,L6895,Custom glove for term device,,,757.88,795.77,3
HCPCS,L6900,Hand restorat thumb/1 finger,,,1966.93,2065.28,3
HCPCS,L6905,Hand restoration multiple fi,,,1930.97,2027.52,3
HCPCS,L6910,Hand restoration no fingers,,,1982.27,2081.38,3
HCPCS,L6915,Hand restoration replacmnt g,,,766.41,804.73,3
HCPCS,L6920,Wrist disarticul switch ctrl,,,9436.79,9908.63,3
HCPCS,L6925,Wrist disart myoelectronic c,,,10345.45,10862.72,3
HCPCS,L6930,Below elbow switch control,,,8927.42,9373.79,3
HCPCS,L6935,Below elbow myoelectronic ct,,,10564.05,11092.25,3
HCPCS,L6940,Elbow disarticulation switch,,,11638.52,12220.45,3
HCPCS,L6945,Elbow disart myoelectronic c,,,13017.45,13668.32,3
HCPCS,L6950,Above elbow switch control,,,12334.35,12951.07,3
HCPCS,L6955,Above elbow myoelectronic ct,,,15000.96,15751.01,3
HCPCS,L6960,Shldr disartic switch contro,,,15925.79,16722.08,3
HCPCS,L6965,Shldr disartic myoelectronic,,,18242.96,19155.11,3
HCPCS,L6970,Interscapular-thor switch ct,,,19607.53,20587.91,3
HCPCS,L6975,Interscap-thor myoelectronic,,,21646.96,22729.31,3
HCPCS,L7007,Adult electric hand,,,4440.38,4662.4,3
HCPCS,L7008,Pediatric electric hand,,,7501.44,7876.51,3
HCPCS,L7009,Adult electric hook,,,4540.82,4767.86,3
HCPCS,L7040,Prehensile actuator,,,3561.4,3739.47,3
HCPCS,L7045,Pediatric electric hook,,,1978.79,2077.73,3
HCPCS,L7170,Electronic elbow hosmer swit,,,7178.38,7537.3,3
HCPCS,L7180,Electronic elbow sequential,,,42745.35,44882.62,3
HCPCS,L7181,Electronic elbo simultaneous,,,48155.5,50563.28,3
HCPCS,L7185,Electron elbow adolescent sw,,,7349.48,7716.95,3
HCPCS,L7186,Electron elbow child switch,,,11223.26,11784.42,3
HCPCS,L7190,Elbow adolescent myoelectron,,,9568.74,10047.18,3
HCPCS,L7191,Elbow child myoelectronic ct,,,12088.38,12692.8,3
HCPCS,L7259,Electronic wrist rotator any,,,5104.76,5360.0,3
HCPCS,L7360,Six volt bat otto bock/eq ea,,,365.81,384.1,3
HCPCS,L7362,Battery chrgr six volt otto,,,329.55,346.03,3
HCPCS,L7364,Twelve volt battery utah/equ,,,609.14,639.6,3
HCPCS,L7366,Battery chrgr 12 volt utah/e,,,820.67,861.7,3
HCPCS,L7367,Replacemnt lithium ionbatter,,,467.9,491.3,3
HCPCS,L7368,Lithium ion battery charger,,,606.56,636.89,3
HCPCS,L7400,"Add ue prost be/wd, ultlite",,,368.35,386.77,3
HCPCS,L7401,Add ue prost a/e ultlite mat,,,412.39,433.01,3
HCPCS,L7402,Add ue prost s/d ultlite mat,,,445.33,467.6,3
HCPCS,L7403,Add UE prost b/e acrylic,,,442.58,464.71,3
HCPCS,L7404,Add UE prost a/e acrylic,,,668.02,701.42,3
HCPCS,L7405,Add UE prost s/d acrylic,,,873.65,917.33,3
HCPCS,L7406,Add to upp extr user adj mec,,,3150.07,3307.57,3
HCPCS,L7520,Repair prosthesis per 15 min,,,40.67,42.7,3
HCPCS,L7700,Pros soc insert gasket/seal,,,176.42,185.24,3
HCPCS,L8000,Mastectomy bra,,,44.7,46.94,3
HCPCS,L8001,Breast prosthesis bra & form,,,150.77,158.31,3
HCPCS,L8002,Brst prsth bra & bilat form,,,198.27,208.18,3
HCPCS,L8015,Ext breastprosthesis garment,,,72.05,75.65,3
HCPCS,L8020,Mastectomy form,,,306.3,321.62,3
HCPCS,L8030,Breast prosthes w/o adhesive,,,396.42,416.24,3
HCPCS,L8031,Breast prosthesis w adhesive,,,396.42,416.24,3
HCPCS,L8032,Reusable nipple prosthesis,,,47.08,49.43,3
HCPCS,L8035,Custom breast prosthesis,,,4403.11,4623.27,3
HCPCS,L8040,Nasal prosthesis,,,3063.25,3216.41,3
HCPCS,L8041,Midfacial prosthesis,,,3692.26,3876.87,3
HCPCS,L8042,Orbital prosthesis,,,4148.6,4356.03,3
HCPCS,L8043,Upper facial prosthesis,,,4646.49,4878.81,3
HCPCS,L8044,Hemi-facial prosthesis,,,5144.24,5401.45,3
HCPCS,L8045,Auricular prosthesis,,,3591.11,3770.67,3
HCPCS,L8046,Partial facial prosthesis,,,3318.85,3484.79,3
HCPCS,L8047,Nasal septal prosthesis,,,1700.95,1786.0,3
HCPCS,L8300,Truss single w/ standard pad,,,103.28,108.44,3
HCPCS,L8310,Truss double w/ standard pad,,,163.05,171.2,3
HCPCS,L8320,Truss addition to std pad wa,,,73.1,76.76,3
HCPCS,L8330,Truss add to std pad scrotal,,,60.44,63.46,3
HCPCS,L8400,Sheath below knee,,,21.27,22.33,3
HCPCS,L8410,Sheath above knee,,,28.4,29.82,3
HCPCS,L8415,Sheath upper limb,,,27.93,29.33,3
HCPCS,L8417,Pros sheath/sock w gel cushn,,,90.32,94.84,3
HCPCS,L8420,Prosthetic sock multi ply BK,,,25.08,26.33,3
HCPCS,L8430,Prosthetic sock multi ply AK,,,27.1,28.46,3
HCPCS,L8435,Pros sock multi ply upper lm,,,25.74,27.03,3
HCPCS,L8440,Shrinker below knee,,,51.2,53.76,3
HCPCS,L8460,Shrinker above knee,,,81.59,85.67,3
HCPCS,L8465,Shrinker upper limb,,,72.23,75.84,3
HCPCS,L8470,Pros sock single ply BK,,,8.17,8.58,3
HCPCS,L8480,Pros sock single ply AK,,,11.27,11.83,3
HCPCS,L8485,Pros sock single ply upper l,,,14.16,14.87,3
HCPCS,L8500,Artificial larynx,,,1077.27,1131.13,3
HCPCS,L8501,Tracheostomy speaking valve,,,147.88,155.27,3
HCPCS,L8507,Trach-esoph voice pros pt in,,,50.34,52.86,3
HCPCS,L8509,Trach-esoph voice pros md in,,,131.24,137.8,3
HCPCS,L8510,Voice amplifier,,,303.69,318.87,3
HCPCS,L8511,Indwelling trach insert,,,87.41,91.78,3
HCPCS,L8512,Gel cap for trach voice pros,,,2.59,2.72,3
HCPCS,L8513,Trach pros cleaning device,,,6.24,6.55,3
HCPCS,L8514,Repl trach puncture dilator,,,113.31,118.98,3
HCPCS,L8515,Gel cap app device for trach,,,75.84,79.63,3
HCPCS,L8615,Coch implant headset replace,,,542.05,569.15,3
HCPCS,L8616,Coch implant microphone repl,,,126.26,132.57,3
HCPCS,L8617,Coch implant trans coil repl,,,110.27,115.78,3
HCPCS,L8618,Coch implant tran cable repl,,,31.5,33.08,3
HCPCS,L8619,Coch imp ext proc/contr rplc,,,10248.4,10760.82,3
HCPCS,L8621,Repl zinc air battery,,,0.75,0.79,3
HCPCS,L8622,Repl alkaline battery,,,0.39,0.41,3
HCPCS,L8623,"Lith ion batt cid,non-earlvl",,,77.75,81.64,3
HCPCS,L8624,"Lith ion batt cid, ear level",,,193.82,203.51,3
HCPCS,L8625,Charger coch impl/aoi battry,,,226.97,238.32,3
HCPCS,L8627,CID ext speech process repl,,,8755.4,9193.17,3
HCPCS,L8628,CID ext controller repl,,,1492.93,1567.58,3
HCPCS,L8629,CID transmit coil and cable,,,215.18,225.94,3
HCPCS,L8681,Pt prgrm for implt neurostim,,,1320.72,1386.76,3
HCPCS,L8683,Radiofq trsmtr for implt neu,,,6333.04,6649.69,3
HCPCS,L8684,Radiof trsmtr implt scrl neu,,,972.17,1020.78,3
HCPCS,L8689,External recharg sys intern,,,2073.11,2176.77,3
HCPCS,L8691,Osseointegrated snd proc rpl,,,2069.73,2173.22,3
HCPCS,L8694,Aoi transducer/actuator repl,,,1134.98,1191.73,3
HCPCS,L8695,External recharg sys extern,,,20.0,21.0,3
HCPCS,L8701,Pow ue rom dev ewh uprt cust,,,34970.13,36718.64,3
HCPCS,L8702,Pow ue rom dev ewhf uprt cus,,,68801.71,72241.8,3
HCPCS,P2028,Cephalin floculation test,,,4.95,22.36,5
HCPCS,P2029,Congo red blood test,,,4.95,22.36,5
HCPCS,P2031,Hair analysis,,,19.86,22.36,2
HCPCS,P2033,Blood thymol turbidity,,,4.95,22.36,5
HCPCS,P2038,Blood mucoprotein,,,4.95,25.69,7
HCPCS,P3000,Screen pap by tech w md supv,,,18.54,64.29,7
HCPCS,P9016,Rbc leukocytes reduced,,,184.91,194.16,3
HCPCS,P9037,Plate pheres leukoredu irrad,,,680.61,714.64,3
HCPCS,P9040,RBC leukoreduced irradiated,,,265.41,278.68,3
HCPCS,P9041,"Albumin (human),5%, 50ml",,,10.62,75.03,7
HCPCS,P9043,"Plasma protein fract,5%,50ml",,,8.11,51.52,5
HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,53.08,106.52,7
HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,21.23,63.28,7
HCPCS,P9047,"Albumin (human), 25%, 50ml",,,53.08,102.95,7
HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,35.32,121.01,5
HCPCS,P9073,"Platelets, pathogen reduced",,,607.43,637.8,3
HCPCS,P9100,Pathogen test for platelets,,,69.69,113.64,5
HCPCS,P9612,Catheterize for urine spec,,,9.34,1866.0,9
HCPCS,P9615,Urine specimen collect mult,,,9.75,1866.0,6
HCPCS,Q0035,Cardiokymography,,,44.12,312.03,5
HCPCS,Q0091,Obtaining screen pap smear,,,34.17,35.88,3
HCPCS,Q0111,Wet mounts/ w preparations,,,18.54,64.29,7
HCPCS,Q0112,Potassium hydroxide preps,,,5.83,21.42,7
HCPCS,Q0113,Pinworm examinations,,,4.27,27.67,7
HCPCS,Q0114,Fern test,,,9.74,36.56,7
HCPCS,Q0115,Post-coital mucous exam,,,25.0,90.48,7
HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.23,0.72,7
HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.23,0.72,7
HCPCS,Q0144,"Azithromycin dihydrate, oral",,,42.18,50.62,2
HCPCS,Q0155,Dronabinol (syndros) 0.1 mg,,,6.19,7.42,2
HCPCS,Q0161,Chlorpromazine hcl 5mg oral,,,0.62,0.74,2
HCPCS,Q0162,Ondansetron oral,,,0.02,0.02,4
HCPCS,Q0163,Diphenhydramine HCl 50mg,,,0.04,0.04,2
HCPCS,Q0164,Prochlorperazine maleate 5mg,,,0.65,0.79,2
HCPCS,Q0166,Granisetron HCl 1 mg oral,,,5.72,6.86,2
HCPCS,Q0167,Dronabinol 2.5mg oral,,,2.52,3.03,4
HCPCS,Q0169,Promethazine HCl 12.5mg oral,,,0.17,0.2,2
HCPCS,Q0173,Trimethobenzamide HCl 250mg,,,1.57,1.88,2
HCPCS,Q0174,Thiethylperazine maleate10mg,,,1.18,1.41,2
HCPCS,Q0175,Perphenazine 4mg oral,,,0.9,1.08,2
HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,0.24,0.29,2
HCPCS,Q0180,Dolasetron mesylate oral,,,114.98,137.99,2
HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,11268.26,14528.31,4
HCPCS,Q0235,"Inj, monoclon antibody, 1 mg",,,9.35,11.22,2
HCPCS,Q0237,"Inj, tocilizumab-anoh, hospi",,,8.22,9.87,2
HCPCS,Q0249,Tocilizumab for covid-19,,,11.78,15.19,4
HCPCS,Q0477,Pwr module pt cable lvad rpl,,,932.39,979.01,3
HCPCS,Q0478,"Power adapter, combo vad",,,220.87,231.91,3
HCPCS,Q0479,"Power module combo vad, rep",,,14431.75,15153.34,3
HCPCS,Q0480,"driver pneumatic vad, rep",,,108243.35,113655.52,3
HCPCS,Q0481,"microprcsr cu elec vad, rep",,,17463.78,18336.97,3
HCPCS,Q0482,"microprcsr cu combo vad, rep",,,5469.98,5743.48,3
HCPCS,Q0483,"monitor elec vad, rep",,,22533.92,23660.62,3
HCPCS,Q0484,monitor elec or comb vad rep,,,4376.02,4594.82,3
HCPCS,Q0485,"monitor cable elec vad, rep",,,422.47,443.59,3
HCPCS,Q0486,mon cable elec/pneum vad rep,,,351.65,369.23,3
HCPCS,Q0487,"leads any type vad, rep only",,,410.25,430.76,3
HCPCS,Q0489,"pwr pck base combo vad, rep",,,19535.67,20512.45,3
HCPCS,Q0490,"emr pwr source elec vad, rep",,,845.03,887.28,3
HCPCS,Q0491,emr pwr source combo vad rep,,,1328.48,1394.9,3
HCPCS,Q0492,"emr pwr cbl elec vad, rep",,,107.01,112.36,3
HCPCS,Q0493,"emr pwr cbl combo vad, rep",,,304.77,320.01,3
HCPCS,Q0494,"emr hd pmp elec/combo, rep",,,257.9,270.8,3
HCPCS,Q0495,"charger elec/combo vad, rep",,,5020.16,5271.17,3
HCPCS,Q0496,"battery elec/combo vad, rep",,,1801.82,1891.91,3
HCPCS,Q0497,"bat clps elec/comb vad, rep",,,562.64,590.77,3
HCPCS,Q0498,"holster elec/combo vad, rep",,,617.36,648.23,3
HCPCS,Q0499,belt/vest elec/combo vad rep,,,200.58,210.61,3
HCPCS,Q0500,"filters elec/combo vad, rep",,,36.71,38.55,3
HCPCS,Q0501,"shwr cov elec/combo vad, rep",,,613.75,644.44,3
HCPCS,Q0502,"mobility cart pneum vad, rep",,,781.39,820.46,3
HCPCS,Q0503,battery pneum vad replacemnt,,,1562.84,1640.98,3
HCPCS,Q0504,"pwr adpt pneum vad, rep veh",,,824.68,865.91,3
HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,1026.54,1077.87,3
HCPCS,Q0515,Sermorelin acetate injection,,,3.36,4.04,2
HCPCS,Q2009,Fosphenytoin inj pe,,,1.33,5.88,5
HCPCS,Q2017,"Teniposide, 50 mg",,,4758.23,5710.39,2
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,1.23,2.27,5
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,22.22,26.67,2
HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,16.02,19.22,2
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,32.74,39.3,2
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,22.37,26.85,2
HCPCS,Q2041,Axicabtagene ciloleucel car+,,,531849.12,829788.86,5
HCPCS,Q2042,Tisagenlecleucel car-pos t,,,614180.81,900222.23,5
HCPCS,Q2043,Sipuleucel-t auto cd54+,,,56269.19,123975.81,7
HCPCS,Q2049,Imported Lipodox inj,,,298.74,1140.41,5
HCPCS,Q2050,Doxorubicin inj 10mg,,,71.86,243.3,7
HCPCS,Q2053,Brexucabtagene car pos t,,,489290.6,762300.0,5
HCPCS,Q2054,Lisocabtagene mara car pos t,,,562260.84,843112.1,5
HCPCS,Q2055,Idecabtagene vicleucel car,,,559781.08,842528.05,5
HCPCS,Q2056,Ciltacabtagene car-pos t,,,588494.81,861391.58,5
HCPCS,Q2057,Afamitresgene autoleucel,,,770620.0,1199550.0,5
HCPCS,Q3027,Inj beta interferon im 1 mcg,,,137.22,164.68,2
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,79.36,95.24,2
HCPCS,Q4074,Iloprost non-comp unit dose,,,247.37,356.46,4
HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,1.19,1.91,4
HCPCS,Q4101,Apligraf,,,47.17,154.36,7
HCPCS,Q4102,Oasis wound matrix,,,18.22,154.36,7
HCPCS,Q4103,Oasis burn matrix,,,19.27,154.36,7
HCPCS,Q4104,Integra bmwd,,,83.69,154.36,7
HCPCS,Q4105,Integra drt or omnigraft,,,40.61,154.36,7
HCPCS,Q4106,Dermagraft,,,83.99,100.8,2
HCPCS,Q4107,Graftjacket,,,147.01,192.81,5
HCPCS,Q4108,Integra matrix,,,72.03,154.36,7
HCPCS,Q4110,Primatrix,,,101.81,154.36,7
HCPCS,Q4111,Gammagraft,,,11.07,154.36,7
HCPCS,Q4112,Cymetra injectable,,,1629.92,1956.08,2
HCPCS,Q4113,Graftjacket xpress,,,1425.82,1711.14,2
HCPCS,Q4114,Integra flowable wound matri,,,2400.67,3351.96,4
HCPCS,Q4115,Alloskin,,,22.54,154.36,7
HCPCS,Q4116,Alloderm,,,58.14,154.36,5
HCPCS,Q4117,Hyalomatrix,,,45.58,154.36,5
HCPCS,Q4118,Matristem micromatrix,,,3.98,5.7,4
HCPCS,Q4121,Theraskin,,,76.05,154.36,7
HCPCS,Q4122,Dermacell,,,147.01,230.69,5
HCPCS,Q4123,Alloskin,,,111.38,160.49,7
HCPCS,Q4124,Oasis tri-layer wound matrix,,,3.86,154.36,7
HCPCS,Q4126,Memoderm/derma/tranz/integup,,,93.11,154.36,7
HCPCS,Q4127,Talymed,,,106.61,154.36,7
HCPCS,Q4128,Flexhd/allopatchhd/matrixhd,,,47.78,154.36,7
HCPCS,Q4132,Grafix core,,,138.81,239.33,7
HCPCS,Q4133,Grafix prime,,,147.01,311.19,7
HCPCS,Q4134,hMatrix,,,147.01,363.55,5
HCPCS,Q4137,"Amnioexcel or biodexcel, 1cm",,,147.01,228.16,7
HCPCS,Q4138,"Biodfence dryflex, 1cm",,,147.01,220.06,7
HCPCS,Q4140,Biodfence 1cm,,,147.01,362.51,7
HCPCS,Q4141,"Alloskin ac, 1 cm",,,100.78,239.93,7
HCPCS,Q4143,"Repriza, 1cm",,,52.8,154.36,7
HCPCS,Q4145,"Epifix, inj, 1mg",,,30.33,43.69,4
HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,90.76,154.36,5
HCPCS,Q4148,"Neox 1k, 1cm",,,147.01,277.68,7
HCPCS,Q4149,"Excellagen, 0.1 cc",,,276.43,331.74,2
HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,132.08,175.34,7
HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,147.01,302.56,7
HCPCS,Q4152,Dermapure 1 square cm,,,70.69,154.36,7
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,147.01,309.38,7
HCPCS,Q4154,Biovance 1 square cm,,,147.01,295.85,7
HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,42.5,59.71,4
HCPCS,Q4156,Neox 100 1 square cm,,,103.27,154.36,7
HCPCS,Q4157,Revitalon 1 square cm,,,147.01,399.55,5
HCPCS,Q4158,Marigen 1 square cm,,,103.22,154.36,7
HCPCS,Q4159,Affinity1 square cm,,,147.01,459.73,7
HCPCS,Q4160,Nushield 1 square cm,,,147.01,6245.36,7
HCPCS,Q4161,Bio-connekt per square cm,,,147.01,3567.58,7
HCPCS,Q4162,Amnio bio and woundex flow,,,3495.03,4194.41,2
HCPCS,Q4163,Amnio bio and woundex sq cm,,,147.01,408.63,7
HCPCS,Q4164,"Helicoll, per square cm",,,147.01,3680.61,7
HCPCS,Q4165,"Keramatrix, per square cm",,,84.57,154.36,5
HCPCS,Q4166,"Cytal, per square centimeter",,,32.46,154.36,7
HCPCS,Q4167,"Truskin, per sq centimeter",,,147.01,230.58,5
HCPCS,Q4168,"Amnioband, 1 mg",,,31.87,38.24,2
HCPCS,Q4169,"Artacent wound, per sq cm",,,147.01,4639.58,7
HCPCS,Q4170,"Cygnus, per sq cm",,,64.68,154.36,7
HCPCS,Q4171,"Interfyl, 1 mg",,,16.52,22.63,4
HCPCS,Q4173,Palingen or palingen xplus,,,147.01,782.83,7
HCPCS,Q4174,Palingen or promatrx,,,2373.44,2848.39,2
HCPCS,Q4175,Miroderm,,,105.4,205.32,7
HCPCS,Q4176,"Neopatch, per sq centimeter",,,147.01,362.24,5
HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,285.96,343.18,2
HCPCS,Q4178,"Floweramniopatch, per sq cm",,,144.94,200.55,7
HCPCS,Q4180,"Revita, per sq cm",,,147.01,1696.81,7
HCPCS,Q4182,"Transcyte, per sq centimeter",,,74.98,154.36,5
HCPCS,Q4183,"Surgigraft, 1 sq cm",,,147.01,190.66,5
HCPCS,Q4184,"Cellesta, 1 sq cm",,,124.59,179.53,7
HCPCS,Q4186,Epifix 1 sq cm,,,147.01,339.07,7
HCPCS,Q4187,Epicord 1 sq cm,,,147.01,550.21,7
HCPCS,Q4188,Amnioarmor 1 sq cm,,,147.01,1093.66,7
HCPCS,Q4189,"Artacent ac, 1 mg",,,39.75,47.71,2
HCPCS,Q4190,Artacent ac 1 sq cm,,,147.01,251.93,7
HCPCS,Q4191,Restorigin 1 sq cm,,,147.01,1469.84,7
HCPCS,Q4193,Coll-e-derm 1 sq cm,,,147.01,3124.77,7
HCPCS,Q4194,Novachor 1 sq cm,,,147.01,1488.52,7
HCPCS,Q4195,Puraply 1 sq cm,,,147.01,219.68,7
HCPCS,Q4196,Puraply am 1 sq cm,,,147.01,226.61,7
HCPCS,Q4197,Puraply xt 1 sq cm,,,110.58,158.58,7
HCPCS,Q4199,"Cygnus matrix, per sq cm",,,147.01,249.31,7
HCPCS,Q4201,Matrion 1 sq cm,,,123.32,170.67,7
HCPCS,Q4203,"Derma-gide, 1 sq cm",,,147.01,2361.63,7
HCPCS,Q4204,Xwrap 1 sq cm,,,147.01,8281.47,7
HCPCS,Q4205,Membrane graft or wrap sq cm,,,147.01,2775.22,7
HCPCS,Q4208,Novafix per sq cm,,,147.01,915.14,5
HCPCS,Q4213,"Ascent, 0.5 mg",,,109.52,131.44,2
HCPCS,Q4217,Woundfix biowound plus xplus,,,147.01,713.27,7
HCPCS,Q4218,Surgicord per sq cm,,,147.01,285.98,5
HCPCS,Q4219,Surgigraft dual per sq cm,,,147.01,2287.86,5
HCPCS,Q4221,Amniowrap2 per sq cm,,,147.01,4398.52,7
HCPCS,Q4222,"Progenamatrix, per sq cm",,,147.01,326.33,7
HCPCS,Q4225,"Amniobind, per sq cm",,,147.01,3201.77,7
HCPCS,Q4226,Myown harv prep proc sq cm,,,2287.66,2745.43,2
HCPCS,Q4227,Amniocore per sq cm,,,147.01,2630.05,7
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,147.01,1034.83,7
HCPCS,Q4232,"Corplex, per sq cm",,,147.01,245.47,7
HCPCS,Q4234,"Xcellerate, per sq cm",,,147.01,1242.49,7
HCPCS,Q4235,Amniorepair or altiply sq cm,,,125.28,197.34,7
HCPCS,Q4236,Carepatch per sq cm,,,147.01,1008.03,7
HCPCS,Q4237,"cryo-cord, per sq cm",,,147.01,952.09,5
HCPCS,Q4238,"Derm-maxx, per sq cm",,,147.01,3257.4,7
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,147.01,4267.58,7
HCPCS,Q4246,"Coretext or protext, per cc",,,7673.18,9208.64,2
HCPCS,Q4247,"Amniotext patch, per sq cm",,,147.01,7016.1,5
HCPCS,Q4248,Dermacyte Amn mem allo sq cm,,,147.01,4396.62,7
HCPCS,Q4249,"Amniply, per sq cm",,,147.01,4418.46,7
HCPCS,Q4250,AmnioAMP-MP per sq cm,,,147.01,6683.13,7
HCPCS,Q4251,"Vim, per square centimeter",,,147.01,343.18,5
HCPCS,Q4252,"Vendaje, per square centimet",,,82.5,154.36,7
HCPCS,Q4253,Zenith amniotic membrane psc,,,129.48,170.0,7
HCPCS,Q4254,Novafix dl per sq cm,,,147.01,915.14,5
HCPCS,Q4256,"Mlg complet, per sq cm",,,147.01,1648.72,7
HCPCS,Q4257,"Relese, per sq cm",,,147.01,2052.55,7
HCPCS,Q4258,"Enverse, per sq cm",,,128.29,201.31,7
HCPCS,Q4259,Celera per sq cm,,,147.01,1600.38,7
HCPCS,Q4261,"Tag, per square centimeter",,,147.01,1380.03,5
HCPCS,Q4262,"Dual layer impax, per sq cm",,,97.83,222.12,7
HCPCS,Q4263,"Surgraft tl, per sq cm",,,147.01,4072.79,7
HCPCS,Q4264,"Cocoon membrane, per sq cm",,,147.01,836.39,7
HCPCS,Q4265,Neostim tl per sq cm,,,147.01,3109.81,7
HCPCS,Q4266,Neostim per sq cm,,,147.01,1211.89,7
HCPCS,Q4267,Neostim dl per sq cm,,,147.01,724.96,7
HCPCS,Q4268,Surgraft ft per sq cm,,,147.01,1015.43,5
HCPCS,Q4269,Surgraft xt per sq cm,,,147.01,4048.53,5
HCPCS,Q4270,Complete sl per sq cm,,,147.01,7446.42,7
HCPCS,Q4271,Complete ft per sq cm,,,147.01,2560.03,7
HCPCS,Q4272,"Esano a, per sq cm",,,147.01,667.29,5
HCPCS,Q4274,"Esano ac, per sq cm",,,147.01,4220.2,7
HCPCS,Q4275,"Esano aca, per sq cm",,,147.01,4164.67,5
HCPCS,Q4276,"Orion, per sq cm",,,147.01,609.6,7
HCPCS,Q4278,"Epieffect, per sq cm",,,147.01,472.26,7
HCPCS,Q4279,"Vendaje ac, per sq cm",,,147.01,4761.26,7
HCPCS,Q4280,Xcell amnio matrix per sq cm,,,147.01,5284.17,7
HCPCS,Q4281,Barrera slor dl per sq cm,,,147.01,922.23,7
HCPCS,Q4282,Cygnus dual per sq cm,,,147.01,755.02,7
HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,147.01,1022.22,7
HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,147.01,381.69,5
HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,147.01,408.09,5
HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,147.01,3416.18,7
HCPCS,Q4290,Membrane wrap hydr per sq cm,,,147.01,4187.7,7
HCPCS,Q4291,"Lamellas xt, per sq cm",,,147.01,6657.67,5
HCPCS,Q4292,"Lamellas, per sq cm",,,147.01,2745.43,5
HCPCS,Q4293,"Acesso dl, per sq cm",,,147.01,3554.48,7
HCPCS,Q4294,"Amnio quad-core, per sq cm",,,147.01,7545.03,7
HCPCS,Q4295,"Amnio tri-core, per sq cm",,,147.01,6516.92,7
HCPCS,Q4296,"Rebound matrix, per sq cm",,,147.01,2265.09,7
HCPCS,Q4297,"Emerge matrix, per sq cm",,,147.01,2921.06,7
HCPCS,Q4298,"Amnicore pro, per sq cm",,,147.01,5908.4,7
HCPCS,Q4299,"Amnicore pro+, per sq cm",,,147.01,7090.66,7
HCPCS,Q4300,"Acesso tl, per sq cm",,,147.01,4761.31,7
HCPCS,Q4301,"Activate matrix, per sq cm",,,147.01,4033.16,7
HCPCS,Q4302,"Complete aca, per sq cm",,,147.01,2781.1,7
HCPCS,Q4303,"Complete aa, per sq cm",,,147.01,7555.3,7
HCPCS,Q4304,"Grafix plus, per sq cm",,,147.01,1003.65,7
HCPCS,Q4309,"Via matrix, per sq cm",,,147.01,2036.89,7
HCPCS,Q4310,"Procenta, per 100 mg",,,2050.6,3121.36,4
HCPCS,Q4311,"Acesso, per sq cm",,,147.01,4766.38,5
HCPCS,Q4312,"Acesso ac, per sq cm",,,147.01,5409.58,5
HCPCS,Q4313,"Dermabind fm, per sq cm",,,147.01,7429.98,7
HCPCS,Q4314,"Reeva, per sq cm",,,147.01,5230.68,5
HCPCS,Q4316,"Amchoplast, per sq cm",,,147.01,9483.34,7
HCPCS,Q4317,"Vitograft, per sq cm",,,147.01,10699.11,5
HCPCS,Q4318,"E-graft, per sq cm",,,147.01,3803.57,5
HCPCS,Q4319,"Sanograft, per sq cm",,,147.01,6300.59,5
HCPCS,Q4320,"Pellograft, per sq cm",,,147.01,231.1,5
HCPCS,Q4321,"Renograft, per sq cm",,,147.01,8559.29,5
HCPCS,Q4322,"Caregraft, per sq cm",,,147.01,4094.87,7
HCPCS,Q4323,"Alloply, per sq cm",,,147.01,3506.15,7
HCPCS,Q4324,"Amniotx, per sq cm",,,147.01,3774.97,5
HCPCS,Q4325,"Acapatch, per sq cm",,,147.01,3830.62,7
HCPCS,Q4326,"Woundplus, per sq cm",,,147.01,2383.68,7
HCPCS,Q4328,"Most, per sq cm",,,147.01,7717.33,7
HCPCS,Q4331,"Axolotl graft, per sq cm",,,147.01,3565.72,7
HCPCS,Q4332,"Axolotl dualgraft, per sq cm",,,147.01,3771.22,7
HCPCS,Q4333,"Ardeograft, per sq cm",,,147.01,1715.9,5
HCPCS,Q4339,"Artacent vericlen, per sq cm",,,147.01,4610.13,7
HCPCS,Q4340,"Simpligraft, per sq cm",,,147.01,3090.61,5
HCPCS,Q4341,"Simplimax, per sq cm",,,147.01,7904.58,7
HCPCS,Q4342,"Theramend, per sq cm",,,147.01,5094.28,7
HCPCS,Q4343,Dermacyte ac matrx per sq cm,,,147.01,6621.56,7
HCPCS,Q4344,"Tri membrane wrap, per sq cm",,,147.01,8017.36,7
HCPCS,Q4345,Matrix hd allogrft per sq cm,,,147.01,5943.95,5
HCPCS,Q4346,Shelter dm matrix per sq cm,,,147.01,8217.88,5
HCPCS,Q4347,Rampart dl matrix per sq cm,,,147.01,6952.02,5
HCPCS,Q4348,Sentry sl matrix per sq cm,,,147.01,4564.24,5
HCPCS,Q4349,Mantle dl matrix per sq cm,,,147.01,8007.51,5
HCPCS,Q4350,Palisade dm matrix per sq cm,,,147.01,8092.95,5
HCPCS,Q4351,"Enclose tl matrix, per sq cm",,,147.01,8579.48,5
HCPCS,Q4352,"Overlay sl matrix, per sq cm",,,147.01,4461.33,5
HCPCS,Q4353,Xceed tl matrix per sq cm,,,147.01,9305.85,5
HCPCS,Q4354,Palingen dual-layer sq cm,,,147.01,9504.15,5
HCPCS,Q4355,Abio xpl abio xpl hy p sq cm,,,147.01,6360.52,5
HCPCS,Q4356,Abio mem abio hyd per sq cm,,,147.01,5719.65,5
HCPCS,Q4357,"Xwrap plus, per sq cm",,,147.01,10699.11,7
HCPCS,Q4358,"Xwrap dual, per sq cm",,,147.01,13218.76,5
HCPCS,Q4359,"Choriply, per sq cm",,,147.01,6234.01,5
HCPCS,Q4360,Amchoplast fd per sq cm,,,147.01,5328.81,5
HCPCS,Q4361,"Epixpress, per sq cm",,,147.01,4755.16,7
HCPCS,Q4364,Am bur xp mem xpl hy p sq cm,,,147.01,7064.91,5
HCPCS,Q4367,"Amniocore sl, per sq cm",,,147.01,1687.61,7
HCPCS,Q4368,Amchothick per sq cm,,,147.01,8884.52,5
HCPCS,Q4373,Membrane wrp lt per sq cm,,,147.01,8217.99,5
HCPCS,Q4378,Renew ft matrix per sq cm,,,147.01,8808.26,5
HCPCS,Q4379,Amniodefend ft per sq cm,,,147.01,6520.4,5
HCPCS,Q4387,Neothelium ft per sq cm,,,147.01,4509.37,5
HCPCS,Q4396,Natalin per sq cm,,,147.01,6406.01,5
HCPCS,Q5098,"Inj ustekinumab-srlf, 1 mg",,,16.13,19.36,2
HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,3.2,28.35,5
HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,3.35,56.03,5
HCPCS,Q5101,Inj filgrastim gcsf biosimil,,,0.35,1.03,7
HCPCS,Q5103,"Injection, inflectra",,,26.04,44.84,7
HCPCS,Q5104,"Injection, renflexis",,,26.8,60.56,7
HCPCS,Q5105,Inj Retacrit esrd on dialysi,,,1.17,1.77,4
HCPCS,Q5106,Inj Retacrit non-esrd use,,,7.88,17.61,7
HCPCS,Q5107,Inj mvasi 10 mg,,,23.74,62.49,7
HCPCS,Q5108,"Injection, fulphila",,,79.5,222.35,7
HCPCS,Q5110,Nivestym,,,0.28,0.67,7
HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,135.89,238.5,7
HCPCS,Q5112,Inj ontruzant 10 mg,,,29.81,42.62,7
HCPCS,Q5113,Inj herzuma 10 mg,,,56.02,155.6,7
HCPCS,Q5114,Inj  ogivri 10 mg,,,35.78,90.37,7
HCPCS,Q5115,Inj truxima 10 mg,,,31.28,65.9,7
HCPCS,Q5116,"Inj., trazimera, 10 mg",,,10.42,62.78,7
HCPCS,Q5117,"Inj., kanjinti, 10 mg",,,56.38,106.65,7
HCPCS,Q5118,"Inj., zirabev, 10 mg",,,25.85,57.8,7
HCPCS,Q5119,"Inj ruxience, 10 mg",,,13.69,62.47,7
HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,43.56,125.62,7
HCPCS,Q5121,"Inj. avsola, 10 mg",,,28.04,45.78,7
HCPCS,Q5122,"Inj, nyvepria",,,133.31,294.19,7
HCPCS,Q5123,"Inj. riabni, 10 mg",,,20.26,59.46,7
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,70.9,138.62,7
HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.32,0.85,7
HCPCS,Q5126,Inj alymsys 10 mg,,,51.59,84.83,7
HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,158.26,414.75,7
HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,83.48,193.26,7
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,34.65,89.63,7
HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,112.13,309.47,7
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.26,12.43,7
HCPCS,Q5134,"Inj, tyruko, 1 mg",,,24.32,54.17,5
HCPCS,Q5135,"Inj, tyenne, 1 mg",,,4.44,9.91,7
HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,27.91,61.17,5
HCPCS,Q5137,"Inj, wezlana, sub cu, 1 mg",,,117.95,141.56,2
HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,4.54,26.13,5
HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,24.73,29.67,2
HCPCS,Q5144,"Inj, idacio, 1 mg",,,42.84,51.41,2
HCPCS,Q5146,"Inj, hercessi, 10 mg",,,37.86,118.59,7
HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,821.4,1927.54,7
HCPCS,Q5148,"Inj, nyposi 1 mcg",,,1.03,2.29,5
HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,31.93,69.65,5
HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg?",,,41.79,89.54,5
HCPCS,Q5156,"Inj, tocilizumab-anoh, 1 mg",,,8.22,9.87,2
HCPCS,Q5157,"Inj, denosumab-bmwo, 1 mg",,,26.21,65.2,5
HCPCS,Q5158,"Inj, denosumab-bnht, 1 mg",,,29.8,66.57,5
HCPCS,Q9950,Inj sulf hexa lipid microsph,,,28.94,41.7,4
HCPCS,Q9953,"Inj fe-based mr contrast,1ml",,,115.97,139.18,2
HCPCS,Q9955,"Inj perflexane lip micros,ml",,,24.76,29.72,2
HCPCS,Q9956,"Inj octafluoropropane mic,ml",,,64.14,91.18,4
HCPCS,Q9957,"Inj perflutren lip micros,ml",,,64.14,91.18,4
HCPCS,Q9958,"HOCM <=149 mg/ml iodine, 1ml",,,0.12,0.18,4
HCPCS,Q9960,"HOCM 200-249mg/ml iodine,1ml",,,0.52,0.63,2
HCPCS,Q9961,"HOCM 250-299mg/ml iodine,1ml",,,0.45,0.54,4
HCPCS,Q9962,"HOCM 300-349mg/ml iodine,1ml",,,0.34,0.4,2
HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,0.33,0.49,4
HCPCS,Q9964,"Hocm>= 400mg/ml iodine, 1ml",,,0.54,0.65,2
HCPCS,Q9965,"LOCM 100-199mg/ml iodine,1ml",,,1.79,2.81,4
HCPCS,Q9966,"LOCM 200-299mg/ml iodine,1ml",,,0.69,1.01,4
HCPCS,Q9967,"LOCM 300-399mg/ml iodine,1ml",,,0.23,0.34,4
HCPCS,Q9968,Visualization adjunct,,,5.14,10.8,5
HCPCS,Q9982,flutemetamol f18 diagnostic,,,1944.01,7321.15,5
HCPCS,Q9983,florbetaben f18 diagnostic,,,1584.67,7778.72,5
HCPCS,Q9991,Buprenorph xr 100 mg or less,,,1996.56,4522.83,7
HCPCS,Q9992,Buprenorphine xr over 100 mg,,,1996.56,4522.83,7
HCPCS,Q9996,Ustekinumab- ttwe sub cu inj,,,87.9,105.49,2
HCPCS,Q9997,Ustekinumab-ttwe iv inj 1 mg,,,4.53,20.12,5
HCPCS,Q9998,Ustekinumab-aekn inj,,,11.75,90.51,5
HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,14.05,74.22,5
HCPCS,S0012,"Butorphanal tartrate, nasal spray, 25 mg",,,115.6,138.73,2
HCPCS,S0013,Description Not Available,,,28.41,34.09,2
HCPCS,S0014,"Tacrine HCl, 10mg",,,4.64,5.56,2
HCPCS,S0021,"Injection, cefoperazone sodium, 1 g",,,28.6,34.32,2
HCPCS,S0023,"Injection, cimetidine HCl, 300 mg",,,4.56,5.47,2
HCPCS,S0034,"Injection, ofloxacin, 400 mg",,,41.94,50.33,2
HCPCS,S0040,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 g",,,25.42,30.5,2
HCPCS,S0078,"Injection, fosphenytoin sodium, 750 mg",,,70.37,84.45,2
HCPCS,S0080,"Injection, pentamidine isethonate, 300 mg",,,186.25,223.51,2
HCPCS,S0081,"Injection, piperacillin sodium, 500 mg",,,3.33,3.99,2
HCPCS,S0088,"Imatinib, 100 mg",,,5.66,6.8,2
HCPCS,S0090,"Sildenafil citrate, 25 mg",,,0.5,0.61,2
HCPCS,S0091,"Granisetron HCl, 1mg (for circumstances falling under the Medicare Statute, use Q0166)",,,5.72,6.86,2
HCPCS,S0092,"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)",,,159.03,190.86,2
HCPCS,S0093,"Injection, morphine sulfate, 500mg (loding dose for infusion pump)",,,20.73,24.87,2
HCPCS,S0104,"Zidovudine, oral, 100 mg",,,2.9,3.48,2
HCPCS,S0106,"Buproprion HCl sustained release tablit, 150 mg, per bottle of 60 tablets",,,29.34,35.22,2
HCPCS,S0108,"Mercaptopuine, oral, 50 mg",,,6.21,7.45,2
HCPCS,S0109,"Methadone, oral, 5 mg",,,0.58,0.7,2
HCPCS,S0117,"Tretinoin, topical, 5 g",,,7.87,9.44,2
HCPCS,S0119,Description Not Available,,,0.88,1.05,2
HCPCS,S0122,"Injection, menotropins, 75 IU",,,481.29,577.59,2
HCPCS,S0126,"Injection, follitropin alfa, 75 IU",,,460.41,552.54,2
HCPCS,S0128,"Injection, follitropin beta, 75 IU",,,414.64,497.61,2
HCPCS,S0132,"Injection, ganirelix acetate, 250 mcg",,,358.12,429.78,2
HCPCS,S0136,"Clozapine, 25 mg",,,1.23,1.48,2
HCPCS,S0137,"Didanosine (ddI), 25 mg",,,1.07,1.28,2
HCPCS,S0138,"Finasteride, 5 mg",,,0.28,0.34,2
HCPCS,S0139,"Minoxidil, 10 mg",,,0.88,1.05,2
HCPCS,S0140,"Saquinavir, 200 mg",,,2.32,2.78,2
HCPCS,S0145,"pegylated interferon alfa-2a, 180 mcg/ ml",,,2122.6,2547.35,2
HCPCS,S0148,Peg interferon alfa-2B/10,,,286.78,344.17,2
HCPCS,S0155,"Sterile dilutant for epoprostenol, 50 ml",,,27.64,33.17,2
HCPCS,S0156,"Exemestane, 25 mg",,,3.18,3.81,2
HCPCS,S0157,"Becaplermin gel 0.01%, 0.5 gm",,,86.4,103.69,2
HCPCS,S0160,"Dextoamphetamine sulfate, 5 mg",,,1.33,1.59,2
HCPCS,S0169,Calcitrol,,,0.52,0.63,2
HCPCS,S0170,"Anastrozole, oral, 1 mg",,,0.92,1.1,2
HCPCS,S0172,"Chlorambucil, oral, 2 mg",,,503.56,604.33,2
HCPCS,S0174,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)",,,56.35,67.63,2
HCPCS,S0175,"Flutamide, oral, 125 mg",,,84.91,101.9,2
HCPCS,S0176,"Hydroxyurea, oral, 500 mg",,,0.77,0.92,2
HCPCS,S0177,"Levamisole HCl, oral, 50 mg",,,5.64,6.77,2
HCPCS,S0178,"Lomustine, oral, 10 mg",,,231.61,277.95,2
HCPCS,S0179,"Megestrol acetate, oral, 20 mg",,,0.52,0.63,2
HCPCS,S0182,"Procarbazine HCl, oral, 50 mg",,,283.13,339.79,2
HCPCS,S0183,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)",,,0.65,0.79,2
HCPCS,S0187,"Tamoxifen citrate, oral, 10 mg",,,0.37,0.45,2
HCPCS,S0189,"testosterone pellet, 75 mg",,,200.43,240.54,2
HCPCS,S0190,"Mitepristone, oral, 200 mg",,,68.31,81.98,2
HCPCS,S0191,"Misoprostol, oral, 200 mcg",,,1.85,2.22,2
HCPCS,S0194,"Dialysis/stress vitamin supplement, oral, 100 capsules",,,18.78,22.54,2
HCPCS,S0601,Screening protoscopy,,,1406.0,18617.0,4
HCPCS,S0800,Laser in situ keratomileusis (LASIK),,,1406.0,18617.0,4
HCPCS,S0810,Photorefractive keratectomy (PRK),,,1406.0,18617.0,4
HCPCS,S0812,Phototherapeutic keratectomy (PTK),,,1406.0,18617.0,4
HCPCS,S1091,Description Not Available,,,3288.51,3946.56,2
HCPCS,S2053,"transplant sm. Intest, liver, allograft",,,1406.0,18617.0,4
HCPCS,S2054,Transplant multivisceral organs,,,1406.0,18617.0,4
HCPCS,S2055,"harvesting organs, cadaver donor",,,1406.0,18617.0,4
HCPCS,S2060,Lobar lung transplantation,,,1406.0,18617.0,4
HCPCS,S2061,"Donor lobectomy, live donor",,,1406.0,18617.0,4
HCPCS,S2065,Sim Panc/renal transplant,,,1406.0,18617.0,4
HCPCS,S2066,"Breast reconstruct, GAP",,,1406.0,18617.0,4
HCPCS,S2067,"Breast reconstruct, stacked DEIP or GAP",,,1406.0,18617.0,4
HCPCS,S2068,"Breast reconstruct, DEIP",,,1406.0,18617.0,4
HCPCS,S2070,Cystoerethroscopy,,,1406.0,18617.0,4
HCPCS,S2079,Heller esophagomyotomy,,,1406.0,18617.0,4
HCPCS,S2080,LAUP,,,1406.0,18617.0,4
HCPCS,S2083,"gastric band adjustment, percutaneous",,,1544.0,18617.0,4
HCPCS,S2095,"percut occlusion tumor dest, yttrium-90",,,3408.0,18617.0,4
HCPCS,S2102,"Iselt cell transplant, allogeneic",,,1406.0,18617.0,4
HCPCS,S2103,Adrenal tissue transplant to brain,,,1406.0,18617.0,4
HCPCS,S2112,"arthroscopy, harvest cartilage",,,1406.0,18617.0,4
HCPCS,S2115,"Osteotomy, peracteabular, with internal fixation",,,1406.0,18617.0,4
HCPCS,S2117,"Arthroereisis, subtalar",,,1406.0,18617.0,4
HCPCS,S2205,Minimally invasive direct co,,,1406.0,18617.0,4
HCPCS,S2206,Minimally invasive direct co,,,1406.0,18617.0,4
HCPCS,S2207,Minimally invasive direct co,,,1406.0,18617.0,4
HCPCS,S2208,Minimally invasive direct co,,,1406.0,18617.0,4
HCPCS,S2209,Minimally invasive direct co,,,1406.0,18617.0,4
HCPCS,S2225,"Myringotomy, laser-assisted",,,3408.0,18617.0,4
HCPCS,S2230,Implant semi-imp hear,,,1406.0,18617.0,4
HCPCS,S2235,Implant auditory brain imp,,,1406.0,18617.0,4
HCPCS,S2300,"Arthroscopy, shoulder, surgi",,,1406.0,18617.0,4
HCPCS,S2342,Nasal endoscop po debrid,,,3721.0,4466.0,2
HCPCS,S2350,"Diskectomy, anterior, with d",,,1406.0,18617.0,4
HCPCS,S2351,"Diskectomy, anterior, with d",,,1406.0,18617.0,4
HCPCS,S2400,Fetal surg congen hernia,,,1406.0,18617.0,4
HCPCS,S2401,Fetal surg urin trac obstr,,,1406.0,18617.0,4
HCPCS,S2402,Fetal surg cong cyst malf,,,1406.0,18617.0,4
HCPCS,S2403,Fetal surg pulmon sequest,,,1406.0,18617.0,4
HCPCS,S2404,Fetal surg myelomeningo,,,1406.0,18617.0,4
HCPCS,S2405,Fetal surg sacrococ teratoma,,,1406.0,18617.0,4
HCPCS,S2409,Fetal surg noc,,,1406.0,18617.0,4
HCPCS,S2900,Robotic surgical system,,,1406.0,18617.0,4
HCPCS,S4024,Description Not Available,,,1772.93,2127.71,2
HCPCS,S5010,5% dextrose and 0.45% saline,,,14.99,17.99,2
HCPCS,S5012,5% dextrose with potassium,,,9.06,10.88,2
HCPCS,S5550,Insulin rapid 5 u,,,0.45,0.54,2
HCPCS,S5551,Insulin most rapid 5 u,,,0.69,0.83,2
HCPCS,S5552,Insulin intermed 5 u,,,0.45,0.54,2
HCPCS,S5553,Insulin long acting 5 u,,,1.12,1.35,2
HCPCS,S5561,Insulin reuse pen 3 ml,,,81.66,98.0,2
HCPCS,S5566,Insulin cartridge 300 u,,,51.23,61.48,2
HCPCS,S5570,Insulin dispos pen 1.5 ml,,,190.64,228.79,2
HCPCS,S5571,Insulin dispos pen 3 ml,,,60.65,72.79,2
HCPCS,U0001,2019 nCoV diagnostic P,,,35.92,131.47,7
HCPCS,U0002,COVID-19 lab test non-CDC,,,51.31,187.87,7
HCPCS,U0003,Cov-19 amp prb hgh thruput,,,325.0,366.0,2
HCPCS,U0004,Cov-19 test non-cdc hgh thru,,,325.0,366.0,2
HCPCS,U0005,Infec agen detec ampli probe,,,81.25,91.5,2
HCPCS,V2524,Cntct lens hydrophil photoch,,,186.27,195.58,3
MS-DRG,1,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,239197.91,582616.88,7
MS-DRG,10,Pancreas Transplant,,,61248.16,149182.8,7
MS-DRG,100,Seizures With Mcc,,,16531.55,40266.07,7
MS-DRG,101,Seizures Without Mcc,,,7704.14,18765.05,7
MS-DRG,102,Headaches With Mcc,,,9567.44,23303.51,7
MS-DRG,103,Headaches Without Mcc,,,7138.24,17386.68,7
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,11,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,46553.45,113390.74,7
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,,,20067.81,48879.37,7
MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,11548.53,28128.87,7
MS-DRG,115,Extraocular Procedures Except Orbit,,,13101.13,31910.57,7
MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,15433.03,37590.4,7
MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,9260.16,22555.07,7
MS-DRG,118,Cardiac Pacemaker Device Replacement,,,,,0
MS-DRG,119,Vein ligation & stripping,,,,,0
MS-DRG,12,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,35985.65,87650.64,7
MS-DRG,120,Other circulatory system O.R. procedures,,,,,0
MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,9929.34,24185.01,7
MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,6707.19,16336.78,7
MS-DRG,123,Neurological Eye Disorders,,,6816.45,16602.89,7
MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,11293.32,27507.25,7
MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,6553.55,15962.56,7
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,13,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,24597.59,59912.62,7
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,,,18522.03,45114.3,7
MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,8666.09,21108.09,7
MS-DRG,137,Mouth Procedures With Cc/Mcc,,,12745.2,31043.63,7
MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,7564.16,18424.1,7
MS-DRG,139,Salivary Gland Procedures,,,10547.31,25690.2,7
MS-DRG,14,Allogeneic Bone Marrow Transplant,,,102578.75,249852.14,7
MS-DRG,140,Major Head And Neck Procedures With Mcc,,,36406.45,88675.59,7
MS-DRG,141,Major Head And Neck Procedures With Cc,,,18616.77,45345.07,7
MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,13626.07,33189.16,7
MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,31979.09,77891.81,7
MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,14791.16,36026.99,7
MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,10262.23,24995.82,7
MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,18073.06,44020.75,7
MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,10852.88,26434.49,7
MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,6803.64,16571.71,7
MS-DRG,149,Dysequilibrium,,,6415.28,15625.76,7
MS-DRG,150,Epistaxis With Mcc,,,11365.01,27681.89,7
MS-DRG,151,Epistaxis Without Mcc,,,6265.05,15259.86,7
MS-DRG,152,Otitis Media And Uri With Mcc,,,10090.66,24577.94,7
MS-DRG,153,Otitis Media And Uri Without Mcc,,,6300.9,15347.18,7
MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,13345.25,32505.17,7
MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,7822.78,19054.04,7
MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,5898.88,14367.97,7
MS-DRG,157,Dental And Oral Diseases With Mcc,,,14653.74,35692.27,7
MS-DRG,158,Dental And Oral Diseases With Cc,,,7765.6,18914.74,7
MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,6047.4,14729.72,7
MS-DRG,16,Autologous Bone Marrow Transplant With Cc/Mcc,,,50612.94,123278.46,7
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,,,38254.39,93176.62,7
MS-DRG,164,Major Chest Procedures With Cc,,,21543.59,52473.96,7
MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,16338.65,39796.22,7
MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,31903.13,77706.78,7
MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,15392.92,37492.69,7
MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,11662.9,28407.46,7
MS-DRG,169,Mouth Procedures w/o CC,,,,,0
MS-DRG,17,Autologous Bone Marrow Transplant Without Cc/Mcc,,,46367.38,112937.52,7
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,,,25405.05,61879.36,7
MS-DRG,174,G.I. hemorrhage w CC,,,,,0
MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,11724.36,28557.14,7
MS-DRG,176,Pulmonary Embolism Without Mcc,,,6871.07,16735.95,7
MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,13338.42,32488.53,7
MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,8330.64,20291.04,7
MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,6444.3,15696.45,7
MS-DRG,18,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,368586.65,897770.41,7
MS-DRG,180,Respiratory Neoplasms With Mcc,,,15073.69,36715.14,7
MS-DRG,181,Respiratory Neoplasms With Cc,,,9141.52,22266.09,7
MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,6434.06,15671.5,7
MS-DRG,183,Major Chest Trauma With Mcc,,,13058.46,31806.62,7
MS-DRG,184,Major Chest Trauma With Cc,,,9082.62,22122.64,7
MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,6713.17,16351.34,7
MS-DRG,186,Pleural Effusion With Mcc,,,13302.57,32401.22,7
MS-DRG,187,Pleural Effusion With Cc,,,8442.46,20563.39,7
MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,6121.66,14910.59,7
MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,10544.75,25683.97,7
MS-DRG,19,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,60897.36,148328.33,7
MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,9454.77,23029.08,7
MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,7195.42,17525.97,7
MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,5479.79,13347.18,7
MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,11219.06,27326.38,7
MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,6878.76,16754.66,7
MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,5364.56,13066.52,7
MS-DRG,196,Interstitial Lung Disease With Mcc,,,16108.19,39234.89,7
MS-DRG,197,Interstitial Lung Disease With Cc,,,8101.04,19731.79,7
MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,6113.12,14889.8,7
MS-DRG,199,Pneumothorax With Mcc,,,15057.47,36675.64,7
MS-DRG,2,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,96722.54,235588.12,7
MS-DRG,20,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,67164.12,163592.35,7
MS-DRG,200,Pneumothorax With Cc,,,9383.07,22854.45,7
MS-DRG,201,Pneumothorax Without Cc/Mcc,,,6103.73,14866.93,7
MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,8289.67,20191.25,7
MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,5718.78,13929.3,7
MS-DRG,204,Respiratory Signs And Symptoms,,,6891.56,16785.85,7
MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,15628.49,38066.49,7
MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,8032.76,19565.47,7
MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,54923.36,133777.41,7
MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,23461.52,57145.47,7
MS-DRG,209,Complex Aortic Arch Procedures,,,96611.58,235317.85,7
MS-DRG,21,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,45185.21,110058.1,7
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,,,92815.85,226072.54,7
MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,48711.23,118646.45,7
MS-DRG,214,No Longer Valid,,,,,0
MS-DRG,215,Other Heart Assist System Implant,,,84987.94,207006.03,7
MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,83501.06,203384.41,7
MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,56123.45,136700.49,7
MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,56123.45,136700.49,7
MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,65538.11,159631.86,7
MS-DRG,22,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,27120.69,66058.15,7
MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,45518.1,110868.91,7
MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,43020.61,104785.76,7
MS-DRG,222,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc",,,,,0
MS-DRG,223,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc",,,,,0
MS-DRG,224,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc",,,,,0
MS-DRG,225,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc",,,,,0
MS-DRG,226,Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc,,,,,0
MS-DRG,227,Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc,,,,,0
MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,42228.52,102856.45,7
MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,26882.55,65478.11,7
MS-DRG,23,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,48910.96,119132.94,7
MS-DRG,230,Other cardiothoracic procedures w/o CC/MCC,,,,,0
MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,71953.38,175257.62,7
MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,51747.3,126041.45,7
MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,65255.58,158943.71,7
MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,46626.86,113569.53,7
MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,50091.42,122008.19,7
MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,35753.49,87085.15,7
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,,,42009.15,102322.14,7
MS-DRG,24,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,33390.01,81328.4,7
MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,24330.43,59261.9,7
MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,11816.54,28781.68,7
MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,27252.13,66378.31,7
MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,18188.29,44301.41,7
MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,15427.91,37577.93,7
MS-DRG,245,Aicd Generator Procedures,,,38942.35,94852.3,7
MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0
MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc,,,,,0
MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0
MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc,,,,,0
MS-DRG,25,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,38808.34,94525.89,7
MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,18628.72,45374.18,7
MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,12756.3,31070.66,7
MS-DRG,252,Other Vascular Procedures With Mcc,,,29774.37,72521.76,7
MS-DRG,253,Other Vascular Procedures With Cc,,,22154.74,53962.52,7
MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,15207.69,37041.54,7
MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,23023.65,56078.95,7
MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,14492.42,35299.34,7
MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,9322.47,22706.84,7
MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,26819.38,65324.26,7
MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,17259.63,42039.46,7
MS-DRG,26,Craniotomy And Endovascular Intracranial Procedures With Cc,,,26538.57,64640.27,7
MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,27764.26,67625.71,7
MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,16136.36,39303.5,7
MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,13912.01,33885.62,7
MS-DRG,263,Vein Ligation And Stripping,,,26096.43,63563.35,7
MS-DRG,264,Other Circulatory System O.R. Procedures,,,28513.68,69451.07,7
MS-DRG,265,Aicd Lead Procedures,,,30883.13,75222.38,7
MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,52308.94,127409.44,7
MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,40635.79,98977.03,7
MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,58706.29,142991.54,7
MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,36047.11,87800.33,7
MS-DRG,27,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,21534.21,52451.09,7
MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,45035.84,109694.28,7
MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,30354.79,73935.48,7
MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,21791.12,53076.87,7
MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,35213.19,85769.15,7
MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,28096.3,68434.44,7
MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,60861.51,148241.02,7
MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,51269.32,124877.21,7
MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,39421.19,96018.62,7
MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,47510.28,115721.3,7
MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,30782.42,74977.06,7
MS-DRG,28,Spinal Procedures With Mcc,,,51283.83,124912.56,7
MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,13691.79,33349.24,7
MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,7844.98,19108.09,7
MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,6172.02,15033.25,7
MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,16907.11,41180.83,7
MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,5908.27,14390.84,7
MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,5111.91,12451.13,7
MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,18887.35,46004.11,7
MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,9133.84,22247.38,7
MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,23098.76,56261.9,7
MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,14569.24,35486.45,7
MS-DRG,29,Spinal Procedures With Cc Or Spinal Neurostimulators,,,29119.7,70927.16,7
MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,7935.45,19328.46,7
MS-DRG,291,Heart Failure And Shock With Mcc,,,10957.87,26690.2,7
MS-DRG,292,Heart Failure And Shock With Cc,,,7246.64,17650.71,7
MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,4831.09,11767.14,7
MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,17255.68,22247.09,2
MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,11099.06,14309.6,2
MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,13331.59,32471.9,7
MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,5411.51,13180.86,7
MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,3884.5,9461.53,7
MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,13935.91,33943.83,7
MS-DRG,3,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,181167.63,441271.91,7
MS-DRG,30,Spinal Procedures Without Cc/Mcc,,,18737.12,45638.21,7
MS-DRG,300,Peripheral Vascular Disorders With Cc,,,9111.64,22193.33,7
MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,6143.0,14962.56,7
MS-DRG,302,Atherosclerosis With Mcc,,,10213.58,24877.31,7
MS-DRG,303,Atherosclerosis Without Mcc,,,5746.1,13995.83,7
MS-DRG,304,Hypertension With Mcc,,,10157.24,24740.1,7
MS-DRG,305,Hypertension Without Mcc,,,6445.15,15698.53,7
MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,13450.24,32760.88,7
MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,7794.62,18985.43,7
MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,10276.74,25031.16,7
MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,6279.57,15295.2,7
MS-DRG,31,Ventricular Shunt Procedures With Mcc,,,38243.29,93149.6,7
MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,4831.94,11769.22,7
MS-DRG,311,Angina Pectoris,,,5991.07,14592.5,7
MS-DRG,312,Syncope And Collapse,,,7439.54,18120.56,7
MS-DRG,313,Chest Pain,,,6145.56,14968.8,7
MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,17798.22,43351.31,7
MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,8222.24,20027.01,7
MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,5822.06,14180.86,7
MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,57072.6,139012.34,7
MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,20674.68,50357.54,7
MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,38093.07,92783.69,7
MS-DRG,32,Ventricular Shunt Procedures With Cc,,,18189.14,44303.49,7
MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,20530.43,50006.19,7
MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,23223.38,56565.43,7
MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,15048.08,36652.77,7
MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,36936.51,89966.65,7
MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,26895.35,65509.29,7
MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,27402.36,66744.22,7
MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,42569.94,103688.05,7
MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,20862.46,50814.92,7
MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,13676.43,33311.82,7
MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,39233.41,95561.24,7
MS-DRG,33,Ventricular Shunt Procedures Without Cc/Mcc,,,14193.68,34571.69,7
MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,20461.29,49837.79,7
MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,14364.39,34987.49,7
MS-DRG,332,Rectal Resection With Mcc,,,30904.47,75274.35,7
MS-DRG,333,Rectal Resection With Cc,,,19991.84,48694.34,7
MS-DRG,334,Rectal Resection Without Cc/Mcc,,,13980.29,34051.94,7
MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,30479.41,74239.01,7
MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,17998.8,43839.87,7
MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,13101.99,31912.65,7
MS-DRG,338,Appendectomy With Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,339,Appendectomy With Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,34,Carotid Artery Stent Procedures With Mcc,,,33038.35,80471.85,7
MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,22045.48,53696.41,7
MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,12843.36,31282.71,7
MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,10124.81,24661.1,7
MS-DRG,347,Anal And Stomal Procedures With Mcc,,,19594.09,47725.52,7
MS-DRG,348,Anal And Stomal Procedures With Cc,,,11171.26,27209.95,7
MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,7431.0,18099.77,7
MS-DRG,35,Carotid Artery Stent Procedures With Cc,,,20404.11,49698.5,7
MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,21269.6,51806.6,7
MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,13012.36,31694.36,7
MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,9967.75,24278.56,7
MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,24770.01,60332.58,7
MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,14360.12,34977.1,7
MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,11480.24,27962.55,7
MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,37494.73,91326.31,7
MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,19849.3,48347.15,7
MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,11931.77,29062.34,7
MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,29350.16,71488.49,7
MS-DRG,36,Carotid Artery Stent Procedures Without Cc/Mcc,,,16582.76,40390.81,7
MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,20607.25,50193.3,7
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,,,13587.66,33095.6,7
MS-DRG,369,Major Esophageal Disorders With Cc,,,8537.2,20794.16,7
MS-DRG,37,Extracranial Procedures With Mcc,,,28099.71,68442.76,7
MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,5981.68,14569.63,7
MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,15134.29,36862.75,7
MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,8714.74,21226.59,7
MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,6208.72,15122.65,7
MS-DRG,374,Digestive Malignancy With Mcc,,,18254.87,44463.57,7
MS-DRG,375,Digestive Malignancy With Cc,,,10324.54,25147.58,7
MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,7889.36,19216.2,7
MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,15602.89,38004.12,7
MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,8370.76,20388.75,7
MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,5380.78,13106.02,7
MS-DRG,38,Extracranial Procedures With Cc,,,13849.7,33733.85,7
MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,16748.35,40794.14,7
MS-DRG,381,Complicated Peptic Ulcer With Cc,,,9248.21,22525.97,7
MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,6833.52,16644.47,7
MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,11784.96,28704.75,7
MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,7296.14,17771.29,7
MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,13505.72,32896.02,7
MS-DRG,386,Inflammatory Bowel Disease With Cc,,,8333.21,20297.28,7
MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,5815.23,14164.23,7
MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,12605.22,30702.67,7
MS-DRG,389,Gastrointestinal Obstruction With Cc,,,6741.34,16419.94,7
MS-DRG,39,Extracranial Procedures Without Cc/Mcc,,,10033.48,24438.65,7
MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,4643.31,11309.76,7
MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,10825.57,26367.96,7
MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,6654.27,16207.88,7
MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,13650.82,33249.45,7
MS-DRG,394,Other Digestive System Diagnoses With Cc,,,7986.66,19453.2,7
MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,5539.54,13492.71,7
MS-DRG,396,Red Blood Cell Disorders Age 0-17,,,,,0
MS-DRG,397,Appendix Procedures With Mcc,,,20441.66,49789.97,7
MS-DRG,398,Appendix Procedures With Cc,,,12919.33,31467.74,7
MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,9770.58,23798.31,7
MS-DRG,4,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,118228.58,287970.61,7
MS-DRG,40,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,32957.26,80274.35,7
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,,,34316.97,83586.2,7
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",,,46693.44,113731.7,7
MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,24754.65,60295.16,7
MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,18945.39,46145.48,7
MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,30434.17,74128.82,7
MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,18584.34,45266.07,7
MS-DRG,41,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,18767.0,45710.97,7
MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,13551.81,33008.28,7
MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,28195.31,68675.61,7
MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,17945.88,43710.98,7
MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,14173.19,34521.8,7
MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,30408.56,74066.45,7
MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,17640.31,42966.69,7
MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,11636.44,28343.01,7
MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,20369.11,49613.26,7
MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,14438.65,35168.36,7
MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,11657.78,28394.98,7
MS-DRG,42,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,14746.78,35918.88,7
MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,29081.29,70833.61,7
MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,14830.43,36122.63,7
MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,11945.43,29095.61,7
MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,35447.92,86340.87,7
MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,18674.81,45486.44,7
MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,12805.81,31191.24,7
MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,94071.42,229130.75,7
MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,61614.34,150074.69,7
MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,47986.56,116881.38,7
MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,76901.41,187309.58,7
MS-DRG,43,Hyphema,,,,,0
MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,49225.06,119898.01,7
MS-DRG,431,Childhood Mental Disorders,,,,,0
MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,16799.56,40918.88,7
MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,9015.19,21958.4,7
MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,6081.54,14812.88,7
MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,15677.15,38184.99,7
MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,9654.5,23515.57,7
MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,7283.34,17740.11,7
MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,13914.57,33891.86,7
MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,7180.06,17488.55,7
MS-DRG,44,Acute Major Eye Infections,,,,,0
MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,5303.96,12918.91,7
MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,15318.66,37311.81,7
MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,8239.32,20068.59,7
MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,5972.29,14546.76,7
MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,14261.96,34738.01,7
MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,9341.25,22752.58,7
MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,7061.42,17199.57,7
MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,57030.78,138910.46,7
MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,36197.34,88166.23,7
MS-DRG,449,Poisoning & toxic Effects of Drugs Age >17 w CC,,,,,0
MS-DRG,45,Neurological eye disorders,,,,,0
MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,45490.78,110802.38,7
MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,27573.07,67160.02,7
MS-DRG,452,Complications of treatment w CC,,,,,0
MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,,,0
MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,,,0
MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,,,0
MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,71727.19,174706.69,7
MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,50898.02,123972.85,7
MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,35615.21,86748.35,7
MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,,,0
MS-DRG,46,Other Disorders of the Eye Age >17 w CC,,,,,0
MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,,,0
MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,47141.55,114823.17,7
MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,22704.42,55301.4,7
MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,48648.06,118492.61,7
MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,26585.51,64754.61,7
MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,15566.19,37914.72,7
MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,44430.68,108220.27,7
MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,30101.28,73318.01,7
MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,23455.55,57130.92,7
MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,25889.87,63060.23,7
MS-DRG,47,Other Disorders of the Eye Age >17 w/o CC,,,,,0
MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,16464.12,40101.83,7
MS-DRG,471,Cervical Spinal Fusion With Mcc,,,41215.35,100388.67,7
MS-DRG,472,Cervical Spinal Fusion With Cc,,,25146.43,61249.42,7
MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,20837.71,50754.63,7
MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,36642.03,89249.39,7
MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,19424.23,47311.8,7
MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,10073.59,24536.36,7
MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,29486.73,71821.13,7
MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,20990.49,51126.77,7
MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,15866.64,38646.53,7
MS-DRG,48,Other Disorders of the Eye Age 0-17,,,,,0
MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,24857.93,60546.72,7
MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,17877.6,43544.66,7
MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,13921.4,33908.49,7
MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,23659.54,57627.8,7
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,,,27544.9,67091.41,7
MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,17848.58,43473.97,7
MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,13368.3,32561.3,7
MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,15098.44,36775.43,7
MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,9532.44,23218.27,7
MS-DRG,49,Major Head & Neck Procedures,,,,,0
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",,,31338.93,76332.56,7
MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,21646.87,52725.52,7
MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,17126.47,41715.14,7
MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,30947.15,75378.3,7
MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,15397.18,37503.08,7
MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,10313.44,25120.56,7
MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,25749.89,62719.27,7
MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,17197.32,41887.69,7
MS-DRG,5,Liver Transplant With Mcc Or Intestinal Transplant,,,88005.24,214355.3,7
MS-DRG,50,Sialoadenectomy,,,,,0
MS-DRG,500,Soft Tissue Procedures With Mcc,,,27013.14,65796.19,7
MS-DRG,501,Soft Tissue Procedures With Cc,,,14920.9,36343.0,7
MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,11487.93,27981.26,7
MS-DRG,503,Foot Procedures With Mcc,,,23823.43,58026.97,7
MS-DRG,504,Foot Procedures With Cc,,,15954.55,38860.67,7
MS-DRG,505,Foot Procedures Without Cc/Mcc,,,15302.44,37272.31,7
MS-DRG,506,Major Thumb Or Joint Procedures,,,11516.09,28049.87,7
MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,15418.52,37555.06,7
MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,12926.16,31484.38,7
MS-DRG,509,Arthroscopy,,,24684.09,31824.27,2
MS-DRG,51,Salivary Gland Procedures Except Sialoadenectomy,,,,,0
MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,25781.47,62796.2,7
MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,17748.71,43230.73,7
MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,14129.66,34415.77,7
MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,13437.43,32729.7,7
MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,8725.84,21253.62,7
MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,27201.77,66255.65,7
MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,17737.62,43203.7,7
MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,13116.5,31947.99,7
MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,31899.71,77698.47,7
MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,17072.7,41584.16,7
MS-DRG,52,Spinal Disorders And Injuries With Cc/Mcc,,,15460.35,37656.93,7
MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,12751.18,31058.18,7
MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,24498.58,59671.46,7
MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,18075.62,44026.98,7
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,53,Spinal Disorders And Injuries Without Cc/Mcc,,,8357.96,20357.57,7
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,,,13381.1,32592.48,7
MS-DRG,534,Fractures Of Femur Without Mcc,,,6880.46,16758.82,7
MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,10942.51,26652.78,7
MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,6893.27,16790.0,7
MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,8145.42,19839.9,7
MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,6148.12,14975.04,7
MS-DRG,539,Osteomyelitis With Mcc,,,16812.37,40950.06,7
MS-DRG,54,Nervous System Neoplasms With Mcc,,,13032.85,31744.25,7
MS-DRG,540,Osteomyelitis With Cc,,,11064.56,26950.08,7
MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,6720.85,16370.05,7
MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,15077.96,36725.54,7
MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,8774.49,21372.12,7
MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,6440.89,15688.13,7
MS-DRG,545,Connective Tissue Disorders With Mcc,,,21182.54,51594.54,7
MS-DRG,546,Connective Tissue Disorders With Cc,,,9844.84,23979.19,7
MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,7137.38,17384.6,7
MS-DRG,548,Septic Arthritis With Mcc,,,16481.19,40143.41,7
MS-DRG,549,Septic Arthritis With Cc,,,10304.05,25097.69,7
MS-DRG,55,Nervous System Neoplasms Without Mcc,,,8702.79,21197.48,7
MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,7460.88,18172.54,7
MS-DRG,551,Medical Back Problems With Mcc,,,14306.35,34846.12,7
MS-DRG,552,Medical Back Problems Without Mcc,,,8205.17,19985.43,7
MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,11064.56,26950.08,7
MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,7085.32,17257.78,7
MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,11282.22,27480.22,7
MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,7089.58,17268.17,7
MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,12691.43,30912.65,7
MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,7623.91,18569.63,7
MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,15917.85,38771.27,7
MS-DRG,56,Degenerative Nervous System Disorders With Mcc,,,19828.81,48297.25,7
MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,9611.82,23411.62,7
MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,6861.69,16713.08,7
MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,12161.38,29621.59,7
MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,7643.54,18617.45,7
MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,13175.39,32091.44,7
MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,8316.99,20257.78,7
MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,6395.65,15577.95,7
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,57,Degenerative Nervous System Disorders Without Mcc,,,11058.59,26935.52,7
MS-DRG,570,Skin Debridement With Mcc,,,25103.75,61145.47,7
MS-DRG,571,Skin Debridement With Cc,,,14420.72,35124.71,7
MS-DRG,572,Skin Debridement Without Cc/Mcc,,,9784.24,23831.58,7
MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,55919.45,136203.61,7
MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,29630.12,72170.41,7
MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,15338.29,37359.63,7
MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,41834.18,101895.95,7
MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,22625.04,55108.05,7
MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,13711.42,33397.06,7
MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,27642.21,67328.42,7
MS-DRG,58,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,14591.43,35540.51,7
MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,14749.34,35925.12,7
MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,12317.58,30002.05,7
MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,16444.49,40054.01,7
MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,14718.61,35850.28,7
MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,18271.94,44505.15,7
MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,16465.83,40105.99,7
MS-DRG,59,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,10591.7,25798.31,7
MS-DRG,592,Skin Ulcers With Mcc,,,16518.75,40234.89,7
MS-DRG,593,Skin Ulcers With Cc,,,10125.66,24663.18,7
MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,7398.57,18020.77,7
MS-DRG,595,Major Skin Disorders With Mcc,,,18101.23,44089.35,7
MS-DRG,596,Major Skin Disorders Without Mcc,,,9239.68,22505.18,7
MS-DRG,597,Malignant Breast Disorders With Mcc,,,14229.53,34659.01,7
MS-DRG,598,Malignant Breast Disorders With Cc,,,9656.21,23519.73,7
MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,6567.21,15995.83,7
MS-DRG,6,Liver Transplant Without Mcc,,,39579.1,96403.23,7
MS-DRG,60,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,7850.95,19122.64,7
MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,8890.57,21654.86,7
MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,5163.98,12577.95,7
MS-DRG,602,Cellulitis With Mcc,,,12131.5,29548.83,7
MS-DRG,603,Cellulitis Without Mcc,,,7433.56,18106.01,7
MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,12565.1,30604.96,7
MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,7818.52,19043.64,7
MS-DRG,606,Minor Skin Disorders With Mcc,,,12915.91,31459.43,7
MS-DRG,607,Minor Skin Disorders Without Mcc,,,7736.57,18844.06,7
MS-DRG,61,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,23533.22,57320.11,7
MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,18708.1,45567.52,7
MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,11943.72,29091.45,7
MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,29766.69,72503.05,7
MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,15963.94,38883.54,7
MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,12105.9,29486.46,7
MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,24645.39,60029.05,7
MS-DRG,62,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,14998.58,36532.19,7
MS-DRG,620,O.R. Procedures For Obesity With Cc,,,13659.36,33270.24,7
MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,12874.94,31359.64,7
MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,30379.54,73995.77,7
MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,15311.83,37295.18,7
MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,10685.59,26027.0,7
MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,25778.05,62787.88,7
MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,12798.12,31172.53,7
MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,11337.7,27615.36,7
MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,31810.09,77480.17,7
MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,18597.14,45297.25,7
MS-DRG,63,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,11982.13,29185.0,7
MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,12457.56,30343.01,7
MS-DRG,637,Diabetes With Mcc,,,12262.95,29868.99,7
MS-DRG,638,Diabetes With Cc,,,7649.51,18632.0,7
MS-DRG,639,Diabetes Without Cc/Mcc,,,5302.25,12914.75,7
MS-DRG,64,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,17164.88,41808.69,7
MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,11400.01,27767.12,7
MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,6642.32,16178.78,7
MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,12138.33,29565.46,7
MS-DRG,643,Endocrine Disorders With Mcc,,,14050.28,34222.42,7
MS-DRG,644,Endocrine Disorders With Cc,,,8748.88,21309.75,7
MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,6557.82,15972.96,7
MS-DRG,65,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,8623.41,21004.14,7
MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,40128.78,97742.11,7
MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,31630.84,77043.58,7
MS-DRG,652,Kidney Transplant,,,27565.39,67141.31,7
MS-DRG,653,Major Bladder Procedures With Mcc,,,44353.86,108033.16,7
MS-DRG,654,Major Bladder Procedures With Cc,,,23893.42,58197.45,7
MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,18066.23,44004.11,7
MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,27175.31,66191.2,7
MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,15619.96,38045.7,7
MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,13245.38,32261.92,7
MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,21687.84,52825.31,7
MS-DRG,66,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,5841.69,14228.68,7
MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,11281.37,27478.14,7
MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,8837.65,21525.97,7
MS-DRG,662,Minor Bladder Procedures With Mcc,,,26131.42,63648.59,7
MS-DRG,663,Minor Bladder Procedures With Cc,,,12975.66,31604.96,7
MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,8935.81,21765.05,7
MS-DRG,665,Prostatectomy With Mcc,,,26640.99,64889.75,7
MS-DRG,666,Prostatectomy With Cc,,,14931.14,36367.95,7
MS-DRG,667,Prostatectomy Without Cc/Mcc,,,9441.97,22997.9,7
MS-DRG,668,Transurethral Procedures With Mcc,,,24923.65,60706.8,7
MS-DRG,669,Transurethral Procedures With Cc,,,13247.09,32266.08,7
MS-DRG,67,Precerebral Occlusion Without Infarction With Mcc,,,12536.08,30534.27,7
MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,8341.74,20318.07,7
MS-DRG,671,Urethral Procedures With Cc/Mcc,,,15321.22,37318.05,7
MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,9214.07,22442.81,7
MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,35862.74,87351.26,7
MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,19961.11,48619.49,7
MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,14010.16,34124.71,7
MS-DRG,68,Precerebral Occlusion Without Infarction Without Mcc,,,7378.08,17970.88,7
MS-DRG,682,Renal Failure With Mcc,,,12641.07,30789.99,7
MS-DRG,683,Renal Failure With Cc,,,7475.39,18207.88,7
MS-DRG,684,Renal Failure Without Cc/Mcc,,,5123.86,12480.24,7
MS-DRG,685,Admit For Renal Dialysis,,,,,0
MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,15395.48,37498.92,7
MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,8943.49,21783.76,7
MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,6745.6,16430.34,7
MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,9903.74,24122.64,7
MS-DRG,69,Transient Ischemia Without Thrombolytic,,,6818.15,16607.05,7
MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,6909.48,16829.51,7
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,,,11475.98,27952.16,7
MS-DRG,694,Urinary Stones Without Mcc,,,6672.2,16251.54,7
MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,9762.9,23779.6,7
MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,5880.96,14324.31,7
MS-DRG,697,Urethral Stricture,,,9199.56,22407.46,7
MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,14121.13,34394.98,7
MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,8663.53,21101.85,7
MS-DRG,7,Lung Transplant,,,110536.39,269234.66,7
MS-DRG,70,Other Cerebrovascular Disorders With Mcc,,,14209.9,34611.19,7
MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,5888.64,14343.02,7
MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,17073.55,41586.24,7
MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,13095.16,31896.02,7
MS-DRG,709,Penis Procedures With Cc/Mcc,,,19862.95,48380.41,7
MS-DRG,71,Other Cerebrovascular Disorders With Cc,,,8757.42,21330.54,7
MS-DRG,710,Penis Procedures Without Cc/Mcc,,,11959.94,29130.95,7
MS-DRG,711,Testes Procedures With Cc/Mcc,,,17786.27,43322.2,7
MS-DRG,712,Testes Procedures Without Cc/Mcc,,,9386.49,22862.76,7
MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,12832.27,31255.69,7
MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,9025.43,21983.35,7
MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,19096.47,46513.47,7
MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,12555.72,30582.09,7
MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,16136.36,39303.5,7
MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,11464.03,27923.05,7
MS-DRG,72,Other Cerebrovascular Disorders Without Cc/Mcc,,,6454.54,15721.4,7
MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,15446.69,37623.66,7
MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,9753.51,23756.73,7
MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,5596.73,13632.0,7
MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,9988.24,24328.46,7
MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,6162.63,15010.38,7
MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,12657.29,30829.49,7
MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,6924.0,16864.85,7
MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,9036.53,22010.37,7
MS-DRG,73,Cranial And Peripheral Nerve Disorders With Mcc,,,13693.5,33353.4,7
MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,5735.85,13970.88,7
MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,18180.61,44282.7,7
MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,11484.51,27972.95,7
MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,30510.13,74313.86,7
MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,17588.24,42839.87,7
MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,12534.38,30530.12,7
MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,30580.98,74486.41,7
MS-DRG,74,Cranial And Peripheral Nerve Disorders Without Mcc,,,8798.39,21430.33,7
MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,15445.84,37621.58,7
MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,12172.47,29648.62,7
MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,15660.93,38145.49,7
MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,10589.99,25794.15,7
MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,17490.09,42600.79,7
MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,9709.13,23648.63,7
MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,14827.01,36114.31,7
MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,7337.97,17873.16,7
MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,11841.29,28841.97,7
MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,21915.74,53380.4,7
MS-DRG,75,Viral Meningitis With Cc/Mcc,,,16366.82,39864.83,7
MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,12596.69,30681.88,7
MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,15719.82,38288.94,7
MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,9284.91,22615.36,7
MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,8198.34,19968.8,7
MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,12221.98,29769.2,7
MS-DRG,758,"Infections, Female Reproductive System With Cc",,,8356.25,20353.41,7
MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,5664.16,13796.24,7
MS-DRG,76,Viral Meningitis Without Cc/Mcc,,,7043.49,17155.91,7
MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,8599.51,20945.93,7
MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,4869.5,11860.7,7
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,,,9146.64,22278.56,7
MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,14423.28,35130.94,7
MS-DRG,77,Hypertensive Encephalopathy With Mcc,,,21728.75,28014.05,2
MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,8558.54,20846.13,7
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,,,5588.19,13611.21,7
MS-DRG,777,Ectopic Pregnancy,,,,,0
MS-DRG,778,Threatened Abortion,,,,,0
MS-DRG,779,Abortion Without D&C,,,7180.91,17490.63,7
MS-DRG,78,Hypertensive Encephalopathy With Cc,,,14022.08,18078.14,2
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,,,20955.5,51041.53,7
MS-DRG,784,Cesarean Section With Sterilization With Cc,,,9048.48,22039.48,7
MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,8175.3,19912.66,7
MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,14079.3,34293.11,7
MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,9532.44,23218.27,7
MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,8183.83,19933.45,7
MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,15382.67,37467.74,7
MS-DRG,79,Hypertensive Encephalopathy Without Cc/Mcc,,,9369.14,12079.27,2
MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,50730.73,123565.37,7
MS-DRG,791,Prematurity With Major Problems,,,34645.58,84386.61,7
MS-DRG,792,Prematurity Without Major Problems,,,20905.14,50918.87,7
MS-DRG,793,Full Term Neonate With Major Problems,,,35589.61,86685.98,7
MS-DRG,794,Neonate With Other Significant Problems,,,12597.54,30683.96,7
MS-DRG,795,Normal Newborn,,,1705.39,4153.84,7
MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,9960.92,24261.93,7
MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,8538.91,20798.32,7
MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,8169.32,19898.11,7
MS-DRG,799,Splenic Procedures With Mcc,,,38656.41,94155.83,7
MS-DRG,8,Simultaneous Pancreas And Kidney Transplant,,,47838.05,116519.63,7
MS-DRG,80,Nontraumatic Stupor And Coma With Mcc,,,15449.25,37629.9,7
MS-DRG,800,Splenic Procedures With Cc,,,23979.62,58407.43,7
MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,16293.41,39686.03,7
MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,34006.27,82829.44,7
MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,15866.64,38646.53,7
MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,11574.13,28191.24,7
MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,9211.51,22436.57,7
MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,6435.76,15675.66,7
MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,5754.63,14016.62,7
MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,18845.52,45902.24,7
MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,10805.09,26318.06,7
MS-DRG,81,Nontraumatic Stupor And Coma Without Mcc,,,7644.39,18619.52,7
MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,8933.25,21758.81,7
MS-DRG,811,Red Blood Cell Disorders With Mcc,,,11986.4,29195.4,7
MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,7837.29,19089.38,7
MS-DRG,813,Coagulation Disorders,,,13019.19,31710.99,7
MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,18152.44,44214.09,7
MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,8654.99,21081.06,7
MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,5394.43,13139.28,7
MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,19474.59,47434.46,7
MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,9894.35,24099.77,7
MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,7339.67,17877.32,7
MS-DRG,82,Traumatic Stupor And Coma >1 Hour With Mcc,,,19508.73,47517.62,7
MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,50058.98,121929.19,7
MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,19107.56,46540.49,7
MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,10276.74,25031.16,7
MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,39133.55,95317.99,7
MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,19338.02,47101.82,7
MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,11517.8,28054.03,7
MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,39927.35,97251.46,7
MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,19727.24,48049.85,7
MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,14542.78,35422.0,7
MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,26972.17,65696.4,7
MS-DRG,83,Traumatic Stupor And Coma >1 Hour With Cc,,,11913.85,29018.68,7
MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,12845.92,31288.95,7
MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,10263.93,24999.98,7
MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,6159.21,15002.06,7
MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,4463.21,10871.09,7
MS-DRG,834,Acute Leukemia With Mcc,,,46859.02,114135.02,7
MS-DRG,835,Acute Leukemia With Cc,,,17803.34,43363.78,7
MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,10409.04,25353.41,7
MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,41007.09,99881.4,7
MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,17817.0,43397.05,7
MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,12324.4,30018.68,7
MS-DRG,84,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,8158.23,19871.08,7
MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,27611.48,67253.57,7
MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,13924.81,33916.81,7
MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,8624.27,21006.22,7
MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,17026.61,41471.89,7
MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,10391.11,25309.75,7
MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,7268.83,17704.76,7
MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,22128.28,53898.08,7
MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,11166.14,27197.48,7
MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,7250.05,17659.03,7
MS-DRG,849,Radiotherapy,,,23126.93,56330.51,7
MS-DRG,85,Traumatic Stupor And Coma <1 Hour With Mcc,,,19391.8,47232.8,7
MS-DRG,850,Acute Leukemia With Other Procedures,,,73913.14,180031.01,7
MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,42153.4,102673.49,7
MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,17054.78,41540.5,7
MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,12779.35,31126.79,7
MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,38825.41,94567.47,7
MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,18278.77,44521.79,7
MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,11889.09,28958.39,7
MS-DRG,86,Traumatic Stupor And Coma <1 Hour With Cc,,,11119.19,27083.13,7
MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,15566.19,37914.72,7
MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,8517.57,20746.34,7
MS-DRG,864,Fever And Inflammatory Conditions,,,7576.96,18455.28,7
MS-DRG,865,Viral Illness With Mcc,,,12788.73,31149.66,7
MS-DRG,866,Viral Illness Without Mcc,,,7422.47,18078.98,7
MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,17866.5,43517.63,7
MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,8800.95,21436.57,7
MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,6228.35,15170.46,7
MS-DRG,87,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,7807.42,19016.61,7
MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,58995.65,143696.32,7
MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,16580.2,40384.58,7
MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,8734.37,21274.41,7
MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,32988.84,80351.27,7
MS-DRG,88,Concussion With Mcc,,,11538.28,28103.92,7
MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,8195.78,19962.56,7
MS-DRG,881,Depressive Neuroses,,,8031.05,19561.31,7
MS-DRG,882,Neuroses Except Depressive,,,9165.42,22324.3,7
MS-DRG,883,Disorders Of Personality And Impulse Control,,,16783.35,40879.38,7
MS-DRG,884,Organic Disturbances And Intellectual Disability,,,13732.76,33449.03,7
MS-DRG,885,Psychoses,,,11922.38,29039.47,7
MS-DRG,886,Behavioral And Developmental Disorders,,,17713.72,43145.49,7
MS-DRG,887,Other Mental Disorder Diagnoses,,,9140.66,22264.01,7
MS-DRG,89,Concussion With Cc,,,9377.1,22839.89,7
MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,5265.55,12825.35,7
MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,12082.85,29430.32,7
MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,14895.3,36280.63,7
MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,7535.14,18353.41,7
MS-DRG,9,Bone marrow transplant,,,,,0
MS-DRG,90,Concussion Without Cc/Mcc,,,7026.42,17114.33,7
MS-DRG,901,Wound Debridements For Injuries With Mcc,,,35820.07,87247.31,7
MS-DRG,902,Wound Debridements For Injuries With Cc,,,16341.21,39802.46,7
MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,9983.12,24315.98,7
MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,31351.73,76363.75,7
MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,12661.56,30839.89,7
MS-DRG,906,Hand Procedures For Injuries,,,16766.28,40837.8,7
MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,32770.33,79819.05,7
MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,17030.02,41480.21,7
MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,11204.55,27291.03,7
MS-DRG,91,Other Disorders Of Nervous System With Mcc,,,14990.04,36511.4,7
MS-DRG,913,Traumatic Injury With Mcc,,,13952.12,33983.33,7
MS-DRG,914,Traumatic Injury Without Mcc,,,7558.18,18409.55,7
MS-DRG,915,Allergic Reactions With Mcc,,,14353.29,34960.46,7
MS-DRG,916,Allergic Reactions Without Mcc,,,5687.2,13852.38,7
MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,13387.07,32607.04,7
MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,7315.77,17819.11,7
MS-DRG,919,Complications Of Treatment With Mcc,,,15626.79,38062.33,7
MS-DRG,92,Other Disorders Of Nervous System With Cc,,,8731.81,21268.17,7
MS-DRG,920,Complications Of Treatment With Cc,,,8555.13,20837.82,7
MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,5875.84,14311.84,7
MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,14932.0,36370.03,7
MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,8686.58,21157.98,7
MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,182237.13,443876.9,7
MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,61222.56,149120.43,7
MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,27491.13,66960.43,7
MS-DRG,93,Other Disorders Of Nervous System Without Cc/Mcc,,,6796.82,16555.08,7
MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,33238.93,80960.42,7
MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,18868.57,45958.37,7
MS-DRG,935,Non-Extensive Burns,,,17583.12,42827.4,7
MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,30971.05,75436.52,7
MS-DRG,94,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,30039.83,73168.33,7
MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,19946.6,48584.15,7
MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,17307.43,42155.88,7
MS-DRG,945,Rehabilitation With Cc/Mcc,,,13218.07,32195.39,7
MS-DRG,946,Rehabilitation Without Cc/Mcc,,,9788.51,23841.97,7
MS-DRG,947,Signs And Symptoms With Mcc,,,10834.96,26390.83,7
MS-DRG,948,Signs And Symptoms Without Mcc,,,6832.67,16642.4,7
MS-DRG,949,Aftercare With Cc/Mcc,,,10154.68,24733.86,7
MS-DRG,95,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,22014.75,53621.57,7
MS-DRG,950,Aftercare Without Cc/Mcc,,,5357.73,13049.88,7
MS-DRG,951,Other Factors Influencing Health Status,,,4745.74,11559.24,7
MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,57453.28,139939.57,7
MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,32119.07,78232.77,7
MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,65039.63,158417.72,7
MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,35967.73,87606.98,7
MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,25129.36,61207.84,7
MS-DRG,96,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,22014.75,53621.57,7
MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,23334.34,56835.7,7
MS-DRG,964,Other Multiple Significant Trauma With Cc,,,13081.5,31862.75,7
MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,8027.63,19553.0,7
MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,52248.34,127261.83,7
MS-DRG,97,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,30828.51,75089.32,7
MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,22511.52,54831.55,7
MS-DRG,974,Hiv With Major Related Condition With Mcc,,,24633.44,59999.94,7
MS-DRG,975,Hiv With Major Related Condition With Cc,,,11053.47,26923.05,7
MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,7704.99,18767.13,7
MS-DRG,977,Hiv With Or Without Other Related Condition,,,11076.51,26979.18,7
MS-DRG,98,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,19588.11,47710.97,7
MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,40046.84,97542.52,7
MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,20984.52,51112.22,7
MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,14629.84,35634.06,7
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,,,29263.1,71276.44,7
MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,14028.94,34170.44,7
MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,10235.77,24931.37,7
MS-DRG,99,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,11628.76,28324.3,7
MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0
MS-DRG,999,Ungroupable,,,,,0
NDC,0002-0213-01,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01)  / 3 Ml In 1 Vial, Multi-Dose",0.82,0.82,,,0
NDC,0002-1495-01,NDC Description Not Available,718.59,718.59,,,0
NDC,0002-3240-30,"Cymbalta: 30 Capsule, Delayed Release In 1 Bottle (0002-3240-30)",22.64,22.64,,,0
NDC,0002-7669-01,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7669-01)  / 10 Ml In 1 Vial, Single-Dose",258.9,258.9,,,0
NDC,0002-7678-01,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7678-01)  / 50 Ml In 1 Vial, Single-Dose",268.08,268.08,,,0
NDC,0002-8215-01,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01)  / 10 Ml In 1 Vial, Multi-Dose",0.315,0.315,,,0
NDC,0002-8215-17,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17)  / 3 Ml In 1 Vial, Multi-Dose",4.93,4.93,,,0
NDC,0002-8315-01,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-01)  / 10 Ml In 1 Vial, Multi-Dose",45.045,45.045,,,0
NDC,0002-8799-01,NDC Description Not Available,2.02,2.02,,,0
NDC,0002-8799-59,Humalog Kwikpen: 5 Syringe In 1 Carton (0002-8799-59)  / 3 Ml In 1 Syringe (0002-8799-01),0.34,0.34,,,0
NDC,0002-8803-01,NDC Description Not Available,35.26,35.26,,,0
NDC,0002-8805-01,NDC Description Not Available,36.565,36.565,,,0
NDC,0002-8805-59,Humulin N: 5 Syringe In 1 Carton (0002-8805-59)  / 3 Ml In 1 Syringe (0002-8805-01),1.52,1.52,,,0
NDC,0003-0293-05,"Kenalog-40: 1 Vial, Single-Dose In 1 Carton (0003-0293-05)  / 1 Ml In 1 Vial, Single-Dose",6.43,6.43,,,0
NDC,0003-0371-13,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",8.87,8.87,,,0
NDC,0003-0494-20,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20)  / 5 Ml In 1 Vial, Multi-Dose",5.755,5.755,,,0
NDC,0003-0528-11,Sprycel: 1 Bottle In 1 Carton (0003-0528-11)  / 60 Tablet In 1 Bottle,898.51,898.51,,,0
NDC,0003-0893-21,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0893-21)",4.0,4.0,,,0
NDC,0003-0893-31,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31)  / 10 Tablet, Film Coated In 1 Blister Pack",3.79,3.79,,,0
NDC,0003-0894-21,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0894-21)",3.64,3.64,,,0
NDC,0003-0894-31,"Eliquis: 10 Blister Pack In 1 Carton (0003-0894-31)  / 10 Tablet, Film Coated In 1 Blister Pack",3.8,3.8,,,0
NDC,0003-2187-13,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13)  / 15 Ml In 1 Vial, Single-Use",2640.95,2640.95,,,0
NDC,0003-2291-11,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-2291-11)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",25.725,25.725,,,0
NDC,0003-2327-11,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11)  / 10 Ml In 1 Vial, Single-Use",592.78,592.78,,,0
NDC,0003-2328-22,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22)  / 40 Ml In 1 Vial, Single-Use",587.79,587.79,,,0
NDC,0003-3622-12,"Reyataz: 30 Capsule, Gelatin Coated In 1 Bottle, Plastic (0003-3622-12)",116.95,116.95,,,0
NDC,0003-3734-13,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3734-13)  / 24 Ml In 1 Vial, Single-Dose",116.265,116.265,,,0
NDC,0003-3772-11,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3772-11)  / 4 Ml In 1 Vial, Single-Dose",110.215,110.215,,,0
NDC,0003-3774-12,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12)  / 10 Ml In 1 Vial, Single-Dose",107.62,107.62,,,0
NDC,0003-4522-11,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-4522-11)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",25.25,25.25,,,0
NDC,0003-7125-11,"Opdualag: 1 Vial, Single-Dose In 1 Carton (0003-7125-11)  / 20 Ml In 1 Vial, Single-Dose",682.99,682.99,,,0
NDC,0004-0800-85,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85)  / 10 Capsule In 1 Blister Pack,36.89,36.89,,,0
NDC,0004-0801-85,Tamiflu: 1 Blister Pack In 1 Carton (0004-0801-85)  / 10 Capsule In 1 Blister Pack,33.83,33.83,,,0
NDC,0004-0802-85,Tamiflu: 1 Blister Pack In 1 Carton (0004-0802-85)  / 10 Capsule In 1 Blister Pack,33.73,33.73,,,0
NDC,0005-2000-01,NDC Description Not Available,659.18,659.18,,,0
NDC,0005-2000-02,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02)  / .5 Ml In 1 Syringe (0005-2000-01),692.235,692.235,,,0
NDC,0006-0112-31,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0112-31)",28.96,28.96,,,0
NDC,0006-0221-01,NDC Description Not Available,28.965,28.965,,,0
NDC,0006-0227-61,"Isentress: 60 Tablet, Film Coated In 1 Bottle (0006-0227-61)",91.7,91.7,,,0
NDC,0006-0277-31,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0277-31)",31.48,31.48,,,0
NDC,0006-0951-54,"COZAAR: 90 TABLET, FILM COATED in 1 BOTTLE (0006-0951-54)",2.185,2.185,,,0
NDC,0006-3026-01,NDC Description Not Available,204.68,204.68,,,0
NDC,0006-3026-02,Keytruda: 1 Vial In 1 Carton (0006-3026-02)  / 4 Ml In 1 Vial (0006-3026-01),203.24,203.24,,,0
NDC,0006-3026-04,Keytruda: 2 Vial In 1 Carton (0006-3026-04)  / 4 Ml In 1 Vial (0006-3026-01),194.37,194.37,,,0
NDC,0006-3061-01,NDC Description Not Available,5.89,5.89,,,0
NDC,0006-3069-01,"Pifeltro: 30 Tablet, Film Coated In 1 Bottle (0006-3069-01)",161.3,161.3,,,0
NDC,0006-3075-03,NDC Description Not Available,720.28,720.28,,,0
NDC,0006-3843-71,"Invanz: 10 Vial, Single-Dose In 1 Package (0006-3843-71)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",178.7,178.7,,,0
NDC,0006-4121-01,NDC Description Not Available,451.09,451.09,,,0
NDC,0006-4681-01,NDC Description Not Available,263.59,263.59,,,0
NDC,0006-4827-00,"Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00)  / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)",523.57,523.57,,,0
NDC,0006-4827-01,NDC Description Not Available,497.54,497.54,,,0
NDC,0006-4837-01,NDC Description Not Available,161.0,161.0,,,0
NDC,0006-4897-01,NDC Description Not Available,82.69999999999999,82.69999999999999,,,0
NDC,0006-5423-02,NDC Description Not Available,348.12,348.12,,,0
NDC,0006-5423-12,"Bridion: 10 Vial, Single-Dose In 1 Carton (0006-5423-12)  / 2 Ml In 1 Vial, Single-Dose (0006-5423-02)",350.19,350.19,,,0
NDC,0006-5425-05,NDC Description Not Available,655.04,655.04,,,0
NDC,0008-0923-51,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51)  / 10 Ml In 1 Vial,13.81,13.81,,,0
NDC,0008-4510-01,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01)  / 5 Ml In 1 Vial, Single-Dose",770.2,770.2,,,0
NDC,0009-0011-03,NDC Description Not Available,35.89,35.89,,,0
NDC,0009-0011-04,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04)  / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",48.525000000000006,48.525000000000006,,,0
NDC,0009-0012-01,Cortef: 50 Tablet In 1 Bottle (0009-0012-01),2.475,2.475,,,0
NDC,0009-0039-30,NDC Description Not Available,1.76,1.76,,,0
NDC,0009-0039-33,NDC Description Not Available,1.6949999999999998,1.6949999999999998,,,0
NDC,0009-0047-25,NDC Description Not Available,0.88,0.88,,,0
NDC,0009-0047-27,NDC Description Not Available,0.875,0.875,,,0
NDC,0009-0698-01,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-01)  / 16 Ml In 1 Vial,0.61,0.61,,,0
NDC,0009-0746-30,Depo-Provera: 1 Vial In 1 Carton (0009-0746-30)  / 1 Ml In 1 Vial,0.96,0.96,,,0
NDC,0009-0758-01,Solu-Medrol: 1 Vial In 1 Carton (0009-0758-01)  / 8 Ml In 1 Vial,0.65,0.65,,,0
NDC,0009-0825-01,Solu-Cortef: 1 Vial In 1 Carton (0009-0825-01)  / 2 Ml In 1 Vial,28.04,28.04,,,0
NDC,0009-0902-18,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0902-18)  / 6 Ml In 1 Vial (0009-0902-11),2.485,2.485,,,0
NDC,0009-3073-03,"Depo-Medrol: 25 Vial, Single-Dose In 1 Package (0009-3073-03)  / 1 Ml In 1 Vial, Single-Dose",0.305,0.305,,,0
NDC,0009-3475-01,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3475-01)  / 1 Ml In 1 Vial, Single-Dose",0.28,0.28,,,0
NDC,0009-3794-01,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-01)  / 10 Ml In 1 Vial, Single-Dose",232.34,232.34,,,0
NDC,0009-3794-22,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-22)  / 10 Ml In 1 Vial, Single-Dose",232.34,232.34,,,0
NDC,0009-4541-02,"Detrol: 60 Tablet, Film Coated In 1 Bottle (0009-4541-02)",9.22,9.22,,,0
NDC,0009-7224-01,NDC Description Not Available,11633.17,11633.17,,,0
NDC,0009-7224-02,Atgam: 5 Ampule In 1 Carton (0009-7224-02)  / 5 Ml In 1 Ampule (0009-7224-01),11633.17,11633.17,,,0
NDC,0013-2576-91,"Idamycin Pfs: 1 Vial, Single-Dose In 1 Carton (0013-2576-91)  / 5 Ml In 1 Vial, Single-Dose",230.67,230.67,,,0
NDC,0019-0952-11,"Conray 30: 12 BOTTLE, GLASS in 1 BOX (0019-0952-11)  / 150 mL in 1 BOTTLE, GLASS",0.38,0.38,,,0
NDC,0019-0953-15,NDC Description Not Available,0.61,0.61,,,0
NDC,0019-1323-11,"Optiray 320: 12 Bottle, Glass In 1 Carton (0019-1323-11)  / 100 Ml In 1 Bottle, Glass",0.47,0.47,,,0
NDC,0019-3183-09,"Conray 43: 12 BOTTLE, GLASS in 1 BOX (0019-3183-09)  / 250 mL in 1 BOTTLE, GLASS",3.32,3.32,,,0
NDC,0023-0240-04,1 TUBE in 1 CARTON (0023-0240-04)  / 3.5 g in 1 TUBE,23.725,23.725,,,0
NDC,0023-0403-30,"Refresh Plus: 30 Vial, Single-Use In 1 Carton (0023-0403-30)  / .4 Ml In 1 Vial, Single-Use",0.63,0.63,,,0
NDC,0023-0506-50,"Refresh Classic: 50 Vial, Single-Use In 1 Carton (0023-0506-50)  / .4 Ml In 1 Vial, Single-Use",0.775,0.775,,,0
NDC,0023-0798-15,"Refresh Tears: 1 Bottle, Dropper In 1 Carton (0023-0798-15)  / 15 Ml In 1 Bottle, Dropper",22.465,22.465,,,0
NDC,0023-1145-01,"Botox: 1 Vial In 1 Carton (0023-1145-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",20.04,20.04,,,0
NDC,0023-3921-02,"Botox: 1 Vial In 1 Carton (0023-3921-02)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",19.26,19.26,,,0
NDC,0023-5853-18,"Delzicol: 180 Capsule, Delayed Release In 1 Bottle (0023-5853-18)",9.39,9.39,,,0
NDC,0023-6082-01,NDC Description Not Available,50.27,50.27,,,0
NDC,0023-6082-10,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10)  / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",49.94,49.94,,,0
NDC,0023-9321-05,"Alphagan P: 1 Bottle, Dropper In 1 Carton (0023-9321-05)  / 5 Ml In 1 Bottle, Dropper",5.18,5.18,,,0
NDC,0024-1562-10,"Plaquenil: 100 TABLET, FILM COATED in 1 BOTTLE (0024-1562-10)",4.18,4.18,,,0
NDC,0024-1596-01,"Primaquine Phosphate: 100 Tablet, Film Coated In 1 Bottle (0024-1596-01)",4.96,4.96,,,0
NDC,0024-4142-60,"Multaq: 60 Tablet, Film Coated In 1 Bottle (0024-4142-60)",30.37,30.37,,,0
NDC,0024-5150-10,"Elitek: 3 Kit In 1 Carton (0024-5150-10)  / 1 Kit In 1 Kit *  1 Ml In 1 Vial, Single-Use (0024-5154-11)  *  1 Ml In 1 Ampule (0024-5152-11)",1045.8899999999999,1045.8899999999999,,,0
NDC,0024-5154-11,NDC Description Not Available,1100.79,1100.79,,,0
NDC,0024-5823-15,NDC Description Not Available,792.49,792.49,,,0
NDC,0024-5824-11,"Jevtana: 1 Kit In 1 Carton (0024-5824-11)  *  5.7 Ml In 1 Vial, Glass (0024-5823-15)  *  5.7 Ml In 1 Vial, Glass (0024-5822-01)",812.255,812.255,,,0
NDC,0025-1001-31,"Aldactone: 100 Tablet, Film Coated In 1 Bottle (0025-1001-31)",7.29,7.29,,,0
NDC,0025-1451-60,"Cytotec: 60 Tablet In 1 Bottle, Unit-Dose (0025-1451-60)",1.22,1.22,,,0
NDC,0032-0045-70,"Creon: 70 Capsule, Delayed Release In 1 Bottle (0032-0045-70)",4.76,4.76,,,0
NDC,0032-0046-70,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",5.664999999999999,5.664999999999999,,,0
NDC,0032-1224-01,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-01)",23.06,23.06,,,0
NDC,0032-2636-01,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",22.935,22.935,,,0
NDC,0032-3016-13,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",33.665,33.665,,,0
NDC,0037-6822-10,Proctofoam Hc: 1 Canister In 1 Carton (0037-6822-10)  / 10 G In 1 Canister,456.9,456.9,,,0
NDC,0039-0067-10,Lasix: 100 TABLET in 1 BOTTLE (0039-0067-10),0.615,0.615,,,0
NDC,0046-0872-21,"Premarin Vaginal: 1 Tube, With Applicator In 1 Carton (0046-0872-21)  / 30 G In 1 Tube, With Applicator",1149.8400000000001,1149.8400000000001,,,0
NDC,0046-1100-81,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1100-81)",16.72,16.72,,,0
NDC,0046-1102-81,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1102-81)",18.83,18.83,,,0
NDC,0049-0013-81,NDC Description Not Available,20.82,20.82,,,0
NDC,0049-0520-22,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-22)  / 1 Powder, For Solution In 1 Vial",1.32,1.32,,,0
NDC,0049-0520-84,NDC Description Not Available,1.41,1.41,,,0
NDC,0049-0530-22,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-22)  / 1 Powder, For Solution In 1 Vial",3.78,3.78,,,0
NDC,0049-0530-28,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-28)  / 1 Powder, For Solution In 1 Vial",2.89,2.89,,,0
NDC,0049-3170-30,"Vfend: 30 Tablet, Film Coated In 1 Bottle (0049-3170-30)",37.1,37.1,,,0
NDC,0049-3190-01,"Vfend: 1 Vial, Single-Use In 1 Carton (0049-3190-01)  / 20 Ml In 1 Vial, Single-Use",2.06,2.06,,,0
NDC,0049-3420-30,Diflucan: 30 Tablet In 1 Bottle (0049-3420-30),19.665,19.665,,,0
NDC,0049-4110-66,Glucotrol: 100 TABLET in 1 BOTTLE (0049-4110-66),0.975,0.975,,,0
NDC,0052-0602-02,Tice Bcg: 1 Vial In 1 Carton (0052-0602-02)  / 50 Ml In 1 Vial (0052-0602-01),367.15,367.15,,,0
NDC,0053-7680-32,"Albuminar-25: 1 VIAL, GLASS in 1 CARTON (0053-7680-32)  / 50 mL in 1 VIAL, GLASS (0053-7680-91)",95.0,95.0,,,0
NDC,0054-0010-20,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0010-20)  / 1 Tablet In 1 Blister Pack,1.1,1.1,,,0
NDC,0054-0010-25,Flecainide Acetate: 100 Tablet In 1 Bottle (0054-0010-25),1.5,1.5,,,0
NDC,0054-0011-25,Flecainide Acetate: 100 Tablet In 1 Bottle (0054-0011-25),2.335,2.335,,,0
NDC,0054-0018-20,Prednisone: 10 Blister Pack In 1 Carton (0054-0018-20)  / 10 Tablet In 1 Blister Pack,0.03,0.03,,,0
NDC,0054-0097-20,Oxcarbazepine: 10 BLISTER PACK in 1 BOX (0054-0097-20)  / 10 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
NDC,0054-0176-13,Buprenorphine: 30 Tablet In 1 Bottle (0054-0176-13),1.11,1.11,,,0
NDC,0054-0177-13,Buprenorphine: 30 Tablet In 1 Bottle (0054-0177-13),0.4,0.4,,,0
NDC,0054-0235-24,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24)  / 1 Tablet In 1 Blister Pack,1.23,1.23,,,0
NDC,0054-0235-25,Morphine Sulfate: 100 Tablet In 1 Bottle (0054-0235-25),1.15,1.15,,,0
NDC,0054-0237-63,Morphine Sulfate: 500 Ml In 1 Bottle (0054-0237-63),0.63,0.63,,,0
NDC,0054-0243-24,Codeine Sulfate: 10 Blister Pack In 1 Box (0054-0243-24)  / 10 Tablet In 1 Blister Pack,1.46,1.46,,,0
NDC,0054-0244-24,Codeine Sulfate: 10 Blister Pack In 1 Box (0054-0244-24)  / 10 Tablet In 1 Blister Pack,2.11,2.11,,,0
NDC,0054-0244-25,Codeine Sulfate: 100 Tablet In 1 Bottle (0054-0244-25),1.545,1.545,,,0
NDC,0054-0391-68,Methadone Hydrochloride: 1000 Ml In 1 Bottle (0054-0391-68),1.31,1.31,,,0
NDC,0054-0449-49,"Posaconazole: 1 Bottle, Glass In 1 Carton (0054-0449-49)  / 105 Ml In 1 Bottle, Glass",103.7,103.7,,,0
NDC,0054-0532-22,Droxidopa: 90 CAPSULE in 1 BOTTLE (0054-0532-22),3.7,3.7,,,0
NDC,0054-0603-13,"Desvenlafaxine: 30 Tablet, Film Coated, Extended Release In 1 Bottle (0054-0603-13)",2.49,2.49,,,0
NDC,0054-0660-25,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (0054-0660-25),7.39,7.39,,,0
NDC,0054-0709-20,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0709-20)  / 100 Tablet In 1 Blister Pack,0.5549999999999999,0.5549999999999999,,,0
NDC,0054-1100-58,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (0054-1100-58)",30.5,30.5,,,0
NDC,0054-2527-25,"Lithium Carbonate: 100 Capsule, Gelatin Coated In 1 Bottle (0054-2527-25)",0.55,0.55,,,0
NDC,0054-2527-31,"Lithium Carbonate: 1000 Capsule, Gelatin Coated In 1 Bottle (0054-2527-31)",0.5700000000000001,0.5700000000000001,,,0
NDC,0054-3120-41,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41)  / 15 Ml In 1 Bottle, Glass",32.81,32.81,,,0
NDC,0054-3176-44,"Dexamethasone Intensol: 30 Ml In 1 Bottle, Glass (0054-3176-44)",0.39,0.39,,,0
NDC,0054-3270-99,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99)  / 120 Spray, Metered In 1 Bottle, Glass",21.415,21.415,,,0
NDC,0054-3294-46,Furosemide: 60 Ml In 1 Bottle (0054-3294-46),0.69,0.69,,,0
NDC,0054-3500-49,Lidocaine Viscous: 1 Bottle In 1 Carton (0054-3500-49)  / 100 Ml In 1 Bottle,1.02,1.02,,,0
NDC,0054-3505-47,Lidocaine Hydrochloride: 50 Ml In 1 Bottle (0054-3505-47),101.05,101.05,,,0
NDC,0054-3566-99,"Midazolam Hydrochloride: 118 Ml In 1 Bottle, Glass (0054-3566-99)",1.28,1.28,,,0
NDC,0054-3727-63,"Propranolol Hydrochloride: 500 Ml In 1 Bottle, Plastic (0054-3727-63)",0.63,0.63,,,0
NDC,0054-4182-25,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4182-25)",0.16,0.16,,,0
NDC,0054-4183-25,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4183-25)",0.16,0.16,,,0
NDC,0054-4527-25,Lithium Carbonate: 100 Tablet In 1 Bottle (0054-4527-25),0.51,0.51,,,0
NDC,0054-4581-11,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0054-4581-11)",7.01,7.01,,,0
NDC,0054-4741-25,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0054-4741-25)",0.245,0.245,,,0
NDC,0054-8175-25,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25)  / 1 Tablet In 1 Blister Pack,0.13,0.13,,,0
NDC,0054-8176-25,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25)  / 1 Tablet In 1 Blister Pack,0.19,0.19,,,0
NDC,0054-8179-25,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25)  / 1 Tablet In 1 Blister Pack,0.21,0.21,,,0
NDC,0054-8297-25,Furosemide: 10 Blister Pack In 1 Carton (0054-8297-25)  / 10 Tablet In 1 Blister Pack,0.61,0.61,,,0
NDC,0054-8299-25,Furosemide: 10 Blister Pack In 1 Carton (0054-8299-25)  / 10 Tablet In 1 Blister Pack,0.53,0.53,,,0
NDC,0054-8526-25,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8526-25)",0.47,0.47,,,0
NDC,0054-8528-25,Lithium Carbonate: 10 Tablet In 1 Blister Pack (0054-8528-25),0.5549999999999999,0.5549999999999999,,,0
NDC,0054-8553-24,METHADONE HYDROCHLORIDE: 100 BLISTER PACK in 1 CARTON (0054-8553-24)  / 1 TABLET in 1 BLISTER PACK,0.55,0.55,,,0
NDC,0054-8724-25,Prednisone: 10 Blister Pack In 1 Carton (0054-8724-25)  / 10 Tablet In 1 Blister Pack,0.13,0.13,,,0
NDC,0054-9817-25,Prednisone: 100 Tablet In 1 Bottle (0054-9817-25),0.04,0.04,,,0
NDC,0056-0170-70,COUMADIN: 1 BOTTLE in 1 CARTON (0056-0170-70)  / 100 TABLET in 1 BOTTLE,1.615,1.615,,,0
NDC,0056-0172-70,COUMADIN: 1 BOTTLE in 1 CARTON (0056-0172-70)  / 100 TABLET in 1 BOTTLE,1.8,1.8,,,0
NDC,0065-0416-63,NDC Description Not Available,0.63,0.63,,,0
NDC,0065-0741-14,"Tetracaine Hydrochloride: 12 Blister Pack In 1 Carton (0065-0741-14)  / 1 Bottle, Dropper In 1 Blister Pack / 4 Ml In 1 Bottle, Dropper",1.35,1.35,,,0
NDC,0065-0795-15,Bss: 15 Ml In 1 Bottle (0065-0795-15),10.98,10.98,,,0
NDC,0065-8063-01,"Genteal Tears Moderate Preservative Free: 36 Vial, Single-Dose In 1 Carton (0065-8063-01)  / .9 Ml In 1 Vial, Single-Dose",0.63,0.63,,,0
NDC,0065-8064-01,Genteal Tears Severe: 1 Tube In 1 Carton (0065-8064-01)  / 10 G In 1 Tube,18.77,18.77,,,0
NDC,0067-4346-04,Transderm Scop: 4 POUCH in 1 BOX (0067-4346-04)  / 1 PATCH in 1 POUCH / 3 d in 1 PATCH,32.075,32.075,,,0
NDC,0068-0597-01,"Rifadin Iv: 1 Vial, Glass In 1 Carton (0068-0597-01)  / 10 Ml In 1 Vial, Glass",0.36,0.36,,,0
NDC,0068-0599-01,"Rifadin Iv Novaplus: 1 Vial, Glass In 1 Carton (0068-0599-01)  / 10 Ml In 1 Vial, Glass",0.86,0.86,,,0
NDC,0069-0113-02,HALOPERIDOL: 25 VIAL in 1 CARTON (0069-0113-02)  / 1 mL in 1 VIAL (0069-0113-01),1.5,1.5,,,0
NDC,0069-0207-01,NDC Description Not Available,738.245,738.245,,,0
NDC,0069-0238-01,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01)  / 10 Ml In 1 Vial, Single-Use",183.95,183.95,,,0
NDC,0069-0248-01,1 VIAL in 1 CARTON (0069-0248-01)  / 100 mL in 1 VIAL,0.28,0.28,,,0
NDC,0069-0248-10,Propofol: 10 Vial In 1 Carton (0069-0248-10)  / 100 Ml In 1 Vial,0.28,0.28,,,0
NDC,0069-0249-01,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01)  / 50 Ml In 1 Vial, Single-Use",189.27,189.27,,,0
NDC,0069-0315-01,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0315-01)  / 4 Ml In 1 Vial, Single-Use",164.52,164.52,,,0
NDC,0069-0324-01,Nyvepria: 1 Carton In 1 Carton (0069-0324-01)  / 1 Syringe In 1 Carton / .6 Ml In 1 Syringe,471.7,471.7,,,0
NDC,0069-0342-01,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0342-01)  / 16 Ml In 1 Vial, Single-Use",169.86,169.86,,,0
NDC,0069-0344-01,"Abrysvo: 1 Tray In 1 Carton (0069-0344-01)  / 1 Kit In 1 Tray (0069-0344-21)  *  .5 Ml In 1 Vial, Glass (0069-0207-01)  *  .69 Ml In 1 Syringe, Glass (0069-0250-01)",783.36,783.36,,,0
NDC,0069-0344-05,"Abrysvo: 5 Tray In 1 Carton (0069-0344-05)  / 1 Kit In 1 Tray (0069-0344-21)  *  .5 Ml In 1 Vial, Glass (0069-0207-01)  *  .69 Ml In 1 Syringe, Glass (0069-0250-01)",783.37,783.37,,,0
NDC,0069-0809-01,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01)  / 10 Ml In 1 Vial, Single-Use",136.68,136.68,,,0
NDC,0069-1305-01,NDC Description Not Available,2.84,2.84,,,0
NDC,0069-1307-01,NDC Description Not Available,3.02,3.02,,,0
NDC,0069-1308-01,NDC Description Not Available,2.85,2.85,,,0
NDC,0069-1308-10,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10)  / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",24.67,24.67,,,0
NDC,0069-1309-01,NDC Description Not Available,7.24,7.24,,,0
NDC,0069-1309-04,"Retacrit: 4 Vial, Single-Dose In 1 Carton (0069-1309-04)  / 1 Ml In 1 Vial, Single-Dose (0069-1309-01)",13.760000000000002,13.760000000000002,,,0
NDC,0069-1542-20,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-1542-20)  / 100 Ml In 1 Vial, Multi-Dose",20.02,20.02,,,0
NDC,0069-2432-01,NDC Description Not Available,283.11,283.11,,,0
NDC,0069-2528-01,NDC Description Not Available,265.2,265.2,,,0
NDC,0069-2528-10,"Comirnaty: 10 Syringe, Glass In 1 Carton (0069-2528-10)  / .418 Ml In 1 Syringe, Glass (0069-2528-01)",262.11,262.11,,,0
NDC,0069-3034-20,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-3034-20)  / 100 Ml In 1 Vial, Multi-Dose",17.95,17.95,,,0
NDC,0069-3120-19,Zithromax: 1 Bottle In 1 Carton (0069-3120-19)  / 15 Ml In 1 Bottle,102.38,102.38,,,0
NDC,0069-3150-83,Zithromax: 10 Vial In 1 Carton (0069-3150-83)  / 5 Ml In 1 Vial (0069-3150-84),15.65,15.65,,,0
NDC,0069-4061-89,"Zithromax: 50 Blister Pack In 1 Box, Unit-Dose (0069-4061-89)  / 1 Tablet, Film Coated In 1 Blister Pack",8.36,8.36,,,0
NDC,0069-5045-30,"Paxlovid: 10 Blister Pack In 1 Carton (0069-5045-30)  / 1 Kit In 1 Blister Pack (0069-5045-06)  *  2 Tablet, Film Coated In 1 Blister Pack (0069-2085-02)  *  1 Tablet, Film Coated In 1 Blister Pack (0",132.76,132.76,,,0
NDC,0069-5317-02,NDC Description Not Available,199.15,199.15,,,0
NDC,0069-5317-20,"Paxlovid: 10 Blister Pack In 1 Carton (0069-5317-20)  / 1 Kit In 1 Blister Pack (0069-5317-02)  *  1 Tablet, Film Coated In 1 Blister Pack (0069-2085-11)  *  1 Tablet, Film Coated In 1 Blister Pack (0",199.15,199.15,,,0
NDC,0069-5321-03,NDC Description Not Available,119.965,119.965,,,0
NDC,0069-5321-30,"Paxlovid: 10 Blister Pack In 1 Carton (0069-5321-30)  / 1 Kit In 1 Blister Pack (0069-5321-03)  *  2 Tablet, Film Coated In 1 Blister Pack (0069-2085-02)  *  1 Tablet, Film Coated In 1 Blister Pack (0",123.195,123.195,,,0
NDC,0069-5474-02,"Cerebyx: 10 Vial, Single-Dose In 1 Package (0069-5474-02)  / 10 Ml In 1 Vial, Single-Dose (0069-5474-01)",21.62,21.62,,,0
NDC,0069-5800-43,Tikosyn: 40 Blister Pack In 1 Carton (0069-5800-43)  / 1 Capsule In 1 Blister Pack,29.09,29.09,,,0
NDC,0069-5810-43,Tikosyn: 40 Blister Pack In 1 Carton (0069-5810-43)  / 1 Capsule In 1 Blister Pack,31.42,31.42,,,0
NDC,0069-5810-60,Tikosyn: 60 Capsule In 1 Bottle (0069-5810-60),28.235,28.235,,,0
NDC,0069-6001-02,NDC Description Not Available,15.095,15.095,,,0
NDC,0071-0369-24,Dilantin: 100 Capsule In 1 Bottle (0071-0369-24),4.08,4.08,,,0
NDC,0071-0418-13,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13)  / 25 Tablet In 1 Bottle,103.97,103.97,,,0
NDC,0074-0561-14,"Venclexta: 1 Blister Pack In 1 Carton (0074-0561-14)  / 14 Tablet, Film Coated In 1 Blister Pack",36.45,36.45,,,0
NDC,0074-0566-07,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-07)  / 7 Tablet, Film Coated In 1 Blister Pack",186.04,186.04,,,0
NDC,0074-0566-11,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-11)  / 1 Tablet, Film Coated In 1 Blister Pack",187.95,187.95,,,0
NDC,0074-0576-11,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11)  / 1 Tablet, Film Coated In 1 Blister Pack",347.94,347.94,,,0
NDC,0074-0576-22,"Venclexta: 120 Tablet, Film Coated In 1 Bottle (0074-0576-22)",375.88,375.88,,,0
NDC,0074-0576-30,"Venclexta: 1 Bottle In 1 Carton (0074-0576-30)  / 28 Tablet, Film Coated In 1 Bottle",337.29,337.29,,,0
NDC,0074-2306-30,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2306-30)",556.48,556.48,,,0
NDC,0074-2310-30,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2310-30)",547.2,547.2,,,0
NDC,0074-3041-53,Vicodin: 500 TABLET in 1 BOTTLE (0074-3041-53),8.39,8.39,,,0
NDC,0074-3109-32,Gengraf: 5 Blister Pack In 1 Carton (0074-3109-32)  / 6 Capsule In 1 Blister Pack,8.55,8.55,,,0
NDC,0074-3641-03,Lupron Depot: 1 Kit In 1 Carton (0074-3641-03)  *  1 Ml In 1 Syringe *  1 Ml In 1 Packet,6215.81,6215.81,,,0
NDC,0074-3663-03,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03)  *  1.5 Ml In 1 Syringe *  1 Ml In 1 Packet,5973.95,5973.95,,,0
NDC,0074-4341-90,Synthroid: 90 Tablet In 1 Bottle (0074-4341-90),4.130000000000001,4.130000000000001,,,0
NDC,0074-4378-05,"Nimbex: 5 mL in 1 VIAL, SINGLE-DOSE (0074-4378-05)",30.11,30.11,,,0
NDC,0074-4552-11,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-4552-11)  / 10 Tablet In 1 Blister Pack",4.140000000000001,4.140000000000001,,,0
NDC,0074-4552-90,Synthroid: 90 Tablet In 1 Bottle (0074-4552-90),4.029999999999999,4.029999999999999,,,0
NDC,0074-5015-01,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01)  / 10 Ml In 1 Vial, Single-Dose",46.95,46.95,,,0
NDC,0074-5182-11,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-5182-11)  / 10 Tablet In 1 Blister Pack",4.15,4.15,,,0
NDC,0074-5182-90,Synthroid: 90 Tablet In 1 Bottle (0074-5182-90),4.35,4.35,,,0
NDC,0074-6594-90,Synthroid: 90 Tablet In 1 Bottle (0074-6594-90),4.15,4.15,,,0
NDC,0074-6624-11,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-6624-11)  / 10 Tablet In 1 Blister Pack",4.140000000000001,4.140000000000001,,,0
NDC,0074-6624-90,Synthroid: 90 Tablet In 1 Bottle (0074-6624-90),4.029999999999999,4.029999999999999,,,0
NDC,0074-7068-11,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7068-11)  / 10 Tablet In 1 Blister Pack",4.105,4.105,,,0
NDC,0074-7069-11,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7069-11)  / 10 Tablet In 1 Blister Pack",4.09,4.09,,,0
NDC,0074-7069-90,Synthroid: 90 Tablet In 1 Bottle (0074-7069-90),4.045,4.045,,,0
NDC,0074-7070-90,Synthroid: 90 Tablet In 1 Bottle (0074-7070-90),4.23,4.23,,,0
NDC,0074-7148-11,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7148-11)  / 10 Tablet In 1 Blister Pack",4.175,4.175,,,0
NDC,0074-9296-90,Synthroid: 90 Tablet In 1 Bottle (0074-9296-90),4.105,4.105,,,0
NDC,0075-0621-01,NDC Description Not Available,6.55,6.55,,,0
NDC,0075-8020-01,NDC Description Not Available,2.43,2.43,,,0
NDC,0078-0246-61,NDC Description Not Available,6.96,6.96,,,0
NDC,0078-0358-34,Diovan: 90 Tablet In 1 Bottle (0078-0358-34),4.08,4.08,,,0
NDC,0078-0456-05,"Trileptal: 100 Tablet, Film Coated In 1 Bottle (0078-0456-05)",15.5,15.5,,,0
NDC,0078-0458-05,Lopressor: 100 TABLET in 1 BOTTLE (0078-0458-05),2.38,2.38,,,0
NDC,0078-0467-61,NDC Description Not Available,100.75,100.75,,,0
NDC,0078-0467-91,"Desferal: 4 Vial In 1 Carton (0078-0467-91)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0078-0467-61)",94.66,94.66,,,0
NDC,0078-0509-05,Tegretol: 100 Tablet In 1 Bottle (0078-0509-05),1.44,1.44,,,0
NDC,0078-0568-45,Coartem: 24 Tablet In 1 Bottle (0078-0568-45),14.95,14.95,,,0
NDC,0078-0659-20,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",28.560000000000002,28.560000000000002,,,0
NDC,0078-0685-15,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0685-15)",753.29,753.29,,,0
NDC,0078-0686-55,"Promacta: 14 Tablet, Film Coated In 1 Bottle (0078-0686-55)",1167.91,1167.91,,,0
NDC,0078-0696-20,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0696-20)",28.810000000000002,28.810000000000002,,,0
NDC,0078-0697-19,NDC Description Not Available,753.33,753.33,,,0
NDC,0078-0777-20,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",25.815,25.815,,,0
NDC,0078-0818-81,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0818-81)  *  6 Ml In 1 Vial (0078-0797-61)  *  2 Ml In 1 Syringe,636.1,636.1,,,0
NDC,0078-0825-81,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0825-81)  *  2 Ml In 1 Syringe *  6 Ml In 1 Vial (0078-0804-61),636.53,636.53,,,0
NDC,0078-0841-01,Ciloxan: 3.5 G In 1 Tube (0078-0841-01),658.01,658.01,,,0
NDC,0078-0876-01,Tobradex: 3.5 G In 1 Tube (0078-0876-01),707.04,707.04,,,0
NDC,0085-4324-02,"Noxafil: 60 Tablet, Coated In 1 Bottle (0085-4324-02)",182.47,182.47,,,0
NDC,0087-2771-32,AVAPRO: 90 TABLET in 1 BOTTLE (0087-2771-32),3.55,3.55,,,0
NDC,0088-2219-01,NDC Description Not Available,48.715,48.715,,,0
NDC,0088-2220-33,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33)  / 10 Ml In 1 Vial, Glass",161.85,161.85,,,0
NDC,0088-5020-05,5 SYRINGE in 1 PACKAGE (0088-5020-05)  / 3 mL in 1 SYRINGE (0088-5020-01),210.63,210.63,,,0
NDC,0093-0018-06,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (0093-0018-06)",6.6,6.6,,,0
NDC,0093-0039-01,Lamotrigine: 100 TABLET in 1 BOTTLE (0093-0039-01),0.25,0.25,,,0
NDC,0093-0053-01,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (0093-0053-01),0.5549999999999999,0.5549999999999999,,,0
NDC,0093-0318-01,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0318-01)",0.62,0.62,,,0
NDC,0093-0319-01,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0319-01)",0.58,0.58,,,0
NDC,0093-0810-01,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0810-01),0.61,0.61,,,0
NDC,0093-0811-01,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0811-01),0.565,0.565,,,0
NDC,0093-0812-01,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0812-01),0.545,0.545,,,0
NDC,0093-1061-01,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (0093-1061-01),0.36,0.36,,,0
NDC,0093-1177-01,Neomycin Sulfate: 100 Tablet In 1 Bottle (0093-1177-01),2.08,2.08,,,0
NDC,0093-1714-01,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1714-01),0.63,0.63,,,0
NDC,0093-1715-01,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1715-01),0.63,0.63,,,0
NDC,0093-1721-01,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1721-01),0.47,0.47,,,0
NDC,0093-2064-06,Cilostazol: 60 Tablet In 1 Bottle (0093-2064-06),0.63,0.63,,,0
NDC,0093-2065-06,Cilostazol: 60 Tablet In 1 Bottle (0093-2065-06),0.42,0.42,,,0
NDC,0093-2178-01,Liothyronine Sodium: 100 Tablet In 1 Bottle (0093-2178-01),1.9,1.9,,,0
NDC,0093-2179-01,Liothyronine Sodium: 100 Tablet In 1 Bottle (0093-2179-01),1.1,1.1,,,0
NDC,0093-2203-01,Metoclopramide: 100 Tablet In 1 Bottle (0093-2203-01),0.63,0.63,,,0
NDC,0093-2204-01,Metoclopramide: 100 Tablet In 1 Bottle (0093-2204-01),0.625,0.625,,,0
NDC,0093-2204-05,Metoclopramide: 500 Tablet In 1 Bottle (0093-2204-05),0.61,0.61,,,0
NDC,0093-2210-01,Sucralfate: 100 Tablet In 1 Bottle (0093-2210-01),0.6950000000000001,0.6950000000000001,,,0
NDC,0093-2274-34,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0093-2274-34)",3.425,3.425,,,0
NDC,0093-3123-01,Dicloxacillin Sodium: 100 Capsule In 1 Bottle (0093-3123-01),1.775,1.775,,,0
NDC,0093-3147-01,Cephalexin: 100 Capsule In 1 Bottle (0093-3147-01),0.63,0.63,,,0
NDC,0093-3147-05,Cephalexin: 500 Capsule In 1 Bottle (0093-3147-05),0.63,0.63,,,0
NDC,0093-3422-01,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-3422-01)",0.625,0.625,,,0
NDC,0093-3425-01,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3425-01)",0.58,0.58,,,0
NDC,0093-3426-01,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",0.525,0.525,,,0
NDC,0093-4059-53,Cefadroxil: 50 Tablet In 1 Bottle (0093-4059-53),6.3,6.3,,,0
NDC,0093-4127-73,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),1.45,1.45,,,0
NDC,0093-4145-45,NDC Description Not Available,2.95,2.95,,,0
NDC,0093-4145-56,"Levalbuterol: 6 Pouch In 1 Carton (0093-4145-56)  / 5 Vial, Single-Dose In 1 Pouch (0093-4145-45)  / 3 Ml In 1 Vial, Single-Dose",3.24,3.24,,,0
NDC,0093-4155-73,Amoxicillin: 100 Ml In 1 Bottle (0093-4155-73),0.105,0.105,,,0
NDC,0093-4177-73,Cephalexin: 100 Ml In 1 Bottle (0093-4177-73),5.46,5.46,,,0
NDC,0093-5061-01,"Hydroxyzine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-5061-01)",0.63,0.63,,,0
NDC,0093-5245-19,NDC Description Not Available,3.795,3.795,,,0
NDC,0093-5417-19,NDC Description Not Available,6.39,6.39,,,0
NDC,0093-5767-01,"Olanzapine: 100 TABLET, FILM COATED in 1 BOTTLE (0093-5767-01)",0.63,0.63,,,0
NDC,0093-5850-01,"Escitalopram: 100 TABLET, FILM COATED in 1 BOTTLE (0093-5850-01)",0.63,0.63,,,0
NDC,0093-5907-86,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (0093-5907-86)",7.35,7.35,,,0
NDC,0093-7114-98,"Paroxetine: 90 TABLET, FILM COATED in 1 BOTTLE (0093-7114-98)",0.63,0.63,,,0
NDC,0093-7271-56,Pioglitazone: 30 Tablet In 1 Bottle (0093-7271-56),0.68,0.68,,,0
NDC,0093-7272-98,Pioglitazone: 90 Tablet In 1 Bottle (0093-7272-98),0.63,0.63,,,0
NDC,0093-7296-01,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0093-7296-01)",0.61,0.61,,,0
NDC,0093-7334-01,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),1.655,1.655,,,0
NDC,0093-7384-98,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (0093-7384-98)",0.63,0.63,,,0
NDC,0093-7630-56,"Imatinib Mesylate: 30 Tablet, Film Coated In 1 Bottle (0093-7630-56)",9.2,9.2,,,0
NDC,0093-7704-56,"Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (0093-7704-56)",1.94,1.94,,,0
NDC,0093-8117-56,"Famciclovir: 30 Tablet, Film Coated In 1 Bottle (0093-8117-56)",1.43,1.43,,,0
NDC,0093-8344-01,Glyburide: 100 Tablet In 1 Bottle (0093-8344-01),0.63,0.63,,,0
NDC,0093-8739-01,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (0093-8739-01),2.12,2.12,,,0
NDC,0093-9701-01,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (0093-9701-01),0.63,0.63,,,0
NDC,0113-0141-65,"Good Sense Acid Reducer: 30 Blister Pack In 1 Carton (0113-0141-65)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,0115-1030-01,Primidone: 100 TABLET in 1 BOTTLE (0115-1030-01),0.21000000000000002,0.21000000000000002,,,0
NDC,0115-1031-01,Primidone: 100 TABLET in 1 BOTTLE (0115-1031-01),0.31,0.31,,,0
NDC,0115-1757-01,"Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0115-1757-01)",0.6,0.6,,,0
NDC,0115-1800-01,"Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0115-1800-01)",0.27,0.27,,,0
NDC,0115-1801-01,"Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0115-1801-01)",0.36,0.36,,,0
NDC,0115-4411-01,Dantrolene Sodium: 100 Capsule In 1 Bottle (0115-4411-01),1.43,1.43,,,0
NDC,0115-9811-01,Digoxin: 100 Tablet In 1 Bottle (0115-9811-01),0.63,0.63,,,0
NDC,0116-2001-16,Chlorhexidine Gluconate: 473 Ml In 1 Bottle (0116-2001-16),0.18,0.18,,,0
NDC,0116-4005-15,"Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15)",3.32,3.32,,,0
NDC,0121-0431-30,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",3.425,3.425,,,0
NDC,0121-0581-04,Haloperidol: 120 Ml In 1 Bottle (0121-0581-04),0.35,0.35,,,0
NDC,0121-0638-05,NDC Description Not Available,4.0200000000000005,4.0200000000000005,,,0
NDC,0121-0646-10,"Amantadine Hydrochloride: 10 Tray In 1 Case (0121-0646-10)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",9.46,9.46,,,0
NDC,0121-0759-08,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (0121-0759-08),0.91,0.91,,,0
NDC,0121-0770-01,"Lorazepam: 1 Bottle, Dropper In 1 Carton (0121-0770-01)  / 30 Ml In 1 Bottle, Dropper",0.63,0.63,,,0
NDC,0121-0775-16,Guaifenesin And Codeine Phosphate: 473 Ml In 1 Bottle (0121-0775-16),0.69,0.69,,,0
NDC,0121-0868-05,NDC Description Not Available,4.2,4.2,,,0
NDC,0121-0868-16,Nystatin: 473 Ml In 1 Bottle (0121-0868-16),0.9,0.9,,,0
NDC,0121-0873-16,Lactulose: 473 Ml In 1 Bottle (0121-0873-16),5.44,5.44,,,0
NDC,0121-0893-15,NDC Description Not Available,3.3049999999999997,3.3049999999999997,,,0
NDC,0121-0904-05,NDC Description Not Available,1.65,1.65,,,0
NDC,0121-0914-05,NDC Description Not Available,1.775,1.775,,,0
NDC,0121-0917-05,NDC Description Not Available,1.2000000000000002,1.2000000000000002,,,0
NDC,0121-0948-16,Potassium Chloride: 473 Ml In 1 Bottle (0121-0948-16),3.08,3.08,,,0
NDC,0121-0974-10,NDC Description Not Available,16.45,16.45,,,0
NDC,0121-0977-10,Cefotan: 10 Vial In 1 Tray (0121-0977-10)  / 20 Ml In 1 Vial (0121-0977-55),49.13,49.13,,,0
NDC,0121-0977-55,NDC Description Not Available,51.27,51.27,,,0
NDC,0121-0978-10,NDC Description Not Available,10.03,10.03,,,0
NDC,0121-1012-05,NDC Description Not Available,62.04,62.04,,,0
NDC,0121-1045-16,Nystatin: 473 Ml In 1 Bottle (0121-1045-16),2.29,2.29,,,0
NDC,0121-1154-40,"Lactulose: 4 Tray In 1 Case (0121-1154-40)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose (0121-1154-30)",4.73,4.73,,,0
NDC,0121-1276-10,NDC Description Not Available,3.125,3.125,,,0
NDC,0121-1488-10,NDC Description Not Available,4.0,4.0,,,0
NDC,0121-1744-05,NDC Description Not Available,3.86,3.86,,,0
NDC,0121-1761-30,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",2.4749999999999996,2.4749999999999996,,,0
NDC,0121-1775-05,NDC Description Not Available,6.6850000000000005,6.6850000000000005,,,0
NDC,0121-1781-00,"Childrens Acetaminophen: 10 Tray In 1 Case (0121-1781-00)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-1781-05)",2.3099999999999996,2.3099999999999996,,,0
NDC,0121-1870-10,NDC Description Not Available,2.685,2.685,,,0
NDC,0121-4577-15,NDC Description Not Available,3.59,3.59,,,0
NDC,0121-4675-05,NDC Description Not Available,3.39,3.39,,,0
NDC,0121-4721-05,NDC Description Not Available,9.18,9.18,,,0
NDC,0121-4827-05,NDC Description Not Available,12.36,12.36,,,0
NDC,0121-4948-15,NDC Description Not Available,11.07,11.07,,,0
NDC,0131-1810-67,"Vimpat: 10 Vial, Glass In 1 Carton (0131-1810-67)  / 20 Ml In 1 Vial, Glass",1.39,1.39,,,0
NDC,0131-2477-60,"Vimpat: 6 Blister Pack In 1 Carton (0131-2477-60)  / 10 Tablet, Film Coated In 1 Blister Pack",32.15,32.15,,,0
NDC,0131-2478-60,"Vimpat: 6 Blister Pack In 1 Carton (0131-2478-60)  / 10 Tablet, Film Coated In 1 Blister Pack",50.2,50.2,,,0
NDC,0131-2479-60,"Vimpat: 6 Blister Pack In 1 Carton (0131-2479-60)  / 10 Tablet, Film Coated In 1 Blister Pack",55.715,55.715,,,0
NDC,0131-2480-35,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2480-35)",47.22,47.22,,,0
NDC,0131-5410-70,"465 mL in 1 BOTTLE, PLASTIC (0131-5410-70)",80.78,80.78,,,0
NDC,0132-0079-12,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),0.27,0.27,,,0
NDC,0132-0201-40,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",2.935,2.935,,,0
NDC,0135-0200-01,Abreva: 2 G In 1 Tube (0135-0200-01),51.11,51.11,,,0
NDC,0143-1172-01,Captopril: 100 Tablet In 1 Bottle (0143-1172-01),2.63,2.63,,,0
NDC,0143-1450-05,Phenobarbital: 500 TABLET in 1 BOTTLE (0143-1450-05),0.3,0.3,,,0
NDC,0143-1500-01,Phenobarbital: 100 Tablet In 1 Bottle (0143-1500-01),0.94,0.94,,,0
NDC,0143-1769-01,"Isosorbide Dinitrate: 100 Tablet In 1 Bottle, Plastic (0143-1769-01)",1.04,1.04,,,0
NDC,0143-9006-01,"Acetazolamide: 1 Vial In 1 Carton (0143-9006-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",50.95,50.95,,,0
NDC,0143-9022-01,NDC Description Not Available,9.815000000000001,9.815000000000001,,,0
NDC,0143-9022-02,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0143-9022-02)  / 5 Ml In 1 Syringe, Glass (0143-9022-01)",10.1,10.1,,,0
NDC,0143-9098-01,"Bortezomib: 1 Vial In 1 Carton (0143-9098-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",4.42,4.42,,,0
NDC,0143-9139-01,NDC Description Not Available,2.27,2.27,,,0
NDC,0143-9140-01,NDC Description Not Available,2.325,2.325,,,0
NDC,0143-9162-01,NDC Description Not Available,2.3099999999999996,2.3099999999999996,,,0
NDC,0143-9162-10,Vancomycin Hydrochloride: 10 Vial In 1 Package (0143-9162-10)  / 1025 Mg In 1 Vial (0143-9162-01),0.07,0.07,,,0
NDC,0143-9164-01,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9164-01)  / 10.25 G In 1 Vial, Pharmacy Bulk Package",1.085,1.085,,,0
NDC,0143-9218-01,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9218-01)  / 10 Ml In 1 Vial, Glass",85.785,85.785,,,0
NDC,0143-9219-01,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9219-01)  / 20 Ml In 1 Vial, Glass",104.0,104.0,,,0
NDC,0143-9240-01,"Bleomycin: 1 Vial In 1 Box, Unit-Dose (0143-9240-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",128.02,128.02,,,0
NDC,0143-9245-01,NDC Description Not Available,24.18,24.18,,,0
NDC,0143-9262-01,NDC Description Not Available,0.94,0.94,,,0
NDC,0143-9269-01,Clindamycin In 5 Percent Dextrose: 1 Vial In 1 Carton (0143-9269-01)  / 50 Ml In 1 Vial,3.96,3.96,,,0
NDC,0143-9279-01,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9279-01)  / 40 Ml In 1 Vial",62.2,62.2,,,0
NDC,0143-9280-01,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9280-01)  / 80 Ml In 1 Vial",51.25,51.25,,,0
NDC,0143-9300-01,NDC Description Not Available,7.39,7.39,,,0
NDC,0143-9308-01,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9308-01)  / 20 Ml In 1 Vial, Glass",91.12,91.12,,,0
NDC,0143-9310-01,NDC Description Not Available,3.29,3.29,,,0
NDC,0143-9311-01,NDC Description Not Available,3.59,3.59,,,0
NDC,0143-9315-01,NDC Description Not Available,4.17,4.17,,,0
NDC,0143-9316-01,NDC Description Not Available,2.86,2.86,,,0
NDC,0143-9330-01,NDC Description Not Available,0.09,0.09,,,0
NDC,0143-9333-10,"Bupivacaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0143-9333-10)  / 30 Ml In 1 Vial, Single-Dose (0143-9333-01)",0.02,0.02,,,0
NDC,0143-9338-01,NDC Description Not Available,0.63,0.63,,,0
NDC,0143-9357-01,NDC Description Not Available,2.68,2.68,,,0
NDC,0143-9375-01,NDC Description Not Available,1.88,1.88,,,0
NDC,0143-9375-10,Terbutaline Sulfate: 10 Vial In 1 Carton (0143-9375-10)  / 1 Ml In 1 Vial (0143-9375-01),1.88,1.88,,,0
NDC,0143-9384-01,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01)  / 5 Ml In 1 Vial, Single-Dose",0.44,0.44,,,0
NDC,0143-9385-01,"Decitabine: 1 Vial, Single-Dose In 1 Carton (0143-9385-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",4.16,4.16,,,0
NDC,0143-9392-01,NDC Description Not Available,232.85,232.85,,,0
NDC,0143-9398-01,NDC Description Not Available,29.93,29.93,,,0
NDC,0143-9428-01,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9428-01)  / 5 Ml In 1 Vial, Single-Dose",0.415,0.415,,,0
NDC,0143-9431-01,NDC Description Not Available,0.855,0.855,,,0
NDC,0143-9503-01,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",55.38,55.38,,,0
NDC,0143-9508-01,NDC Description Not Available,14.24,14.24,,,0
NDC,0143-9510-01,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9510-01)  / 5 Ml In 1 Vial",6.65,6.65,,,0
NDC,0143-9519-01,NDC Description Not Available,54.035000000000004,54.035000000000004,,,0
NDC,0143-9552-01,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9552-01)  / 17.5 Ml In 1 Vial",9.23,9.23,,,0
NDC,0143-9554-01,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01)  / 10 Ml In 1 Vial,4.66,4.66,,,0
NDC,0143-9555-01,Leucovorin Calcium: 1 Vial In 1 Box (0143-9555-01)  / 5 Ml In 1 Vial,15.74,15.74,,,0
NDC,0143-9564-01,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01)  / 1 Ml In 1 Vial,1258.715,1258.715,,,0
NDC,0143-9565-01,"Thiotepa: 1 Vial In 1 Box, Unit-Dose (0143-9565-01)  / 1.5 Ml In 1 Vial",416.84,416.84,,,0
NDC,0143-9595-01,NDC Description Not Available,1.2449999999999999,1.2449999999999999,,,0
NDC,0143-9606-01,"Azacitidine: 1 Vial In 1 Carton (0143-9606-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1.35,1.35,,,0
NDC,0143-9633-01,NDC Description Not Available,138.91,138.91,,,0
NDC,0143-9637-01,NDC Description Not Available,4.75,4.75,,,0
NDC,0143-9637-10,"Valproate Sodium: 10 Vial, Single-Dose In 1 Tray (0143-9637-10)  / 5 Ml In 1 Vial, Single-Dose (0143-9637-01)",3.42,3.42,,,0
NDC,0143-9659-01,Testosterone Cypionate: 1 Ml In 1 Vial (0143-9659-01),0.185,0.185,,,0
NDC,0143-9660-01,NDC Description Not Available,1.4,1.4,,,0
NDC,0143-9680-01,NDC Description Not Available,0.665,0.665,,,0
NDC,0143-9682-01,NDC Description Not Available,1.75,1.75,,,0
NDC,0143-9702-01,"Irinotecan Hydrochloride: 2 Ml In 1 Vial, Glass (0143-9702-01)",14.01,14.01,,,0
NDC,0143-9717-01,Folic Acid: 100 TABLET in 1 BOTTLE (0143-9717-01),0.63,0.63,,,0
NDC,0143-9719-01,NDC Description Not Available,3.15,3.15,,,0
NDC,0143-9722-01,NDC Description Not Available,4.25,4.25,,,0
NDC,0143-9729-01,NDC Description Not Available,34.39,34.39,,,0
NDC,0143-9744-01,NDC Description Not Available,0.695,0.695,,,0
NDC,0143-9746-01,NDC Description Not Available,1.89,1.89,,,0
NDC,0143-9753-01,NDC Description Not Available,0.47,0.47,,,0
NDC,0143-9784-01,NDC Description Not Available,7.1,7.1,,,0
NDC,0143-9785-01,NDC Description Not Available,5.31,5.31,,,0
NDC,0143-9786-01,NDC Description Not Available,17.51,17.51,,,0
NDC,0143-9786-10,Enalaprilat: 10 Vial In 1 Carton (0143-9786-10)  / 2 Ml In 1 Vial (0143-9786-01),11.04,11.04,,,0
NDC,0143-9787-01,NDC Description Not Available,18.32,18.32,,,0
NDC,0143-9803-50,"Doxycycline Hyclate: 50 Capsule In 1 Bottle, Plastic (0143-9803-50)",0.625,0.625,,,0
NDC,0143-9837-01,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (0143-9837-01)",0.32,0.32,,,0
NDC,0143-9851-01,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9851-01)",0.11,0.11,,,0
NDC,0143-9856-01,NDC Description Not Available,0.4,0.4,,,0
NDC,0143-9857-01,NDC Description Not Available,0.58,0.58,,,0
NDC,0143-9871-01,"Cladribine: 1 Vial In 1 Box, Unit-Dose (0143-9871-01)  / 10 Ml In 1 Vial",32.48,32.48,,,0
NDC,0143-9875-01,NDC Description Not Available,1.05,1.05,,,0
NDC,0143-9924-90,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),0.94,0.94,,,0
NDC,0143-9983-91,NDC Description Not Available,0.56,0.56,,,0
NDC,0168-0002-15,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0002-15)  / 15 G In 1 Tube,14.04,14.04,,,0
NDC,0168-0003-15,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0003-15)  / 15 G In 1 Tube,5.63,5.63,,,0
NDC,0168-0004-15,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-15)  / 15 G In 1 Tube,6.66,6.66,,,0
NDC,0168-0006-15,Triamcinolone Acetonide: 15 G In 1 Tube (0168-0006-15),6.85,6.85,,,0
NDC,0168-0020-31,Hydrocortisone: 1 Tube In 1 Carton (0168-0020-31)  / 28.35 G In 1 Tube,9.46,9.46,,,0
NDC,0168-0033-15,Betamethasone Valerate: 15 G In 1 Tube (0168-0033-15),21.52,21.52,,,0
NDC,0168-0163-15,Clobetasol Propionate: 15 G In 1 Tube (0168-0163-15),39.1,39.1,,,0
NDC,0169-6339-10,"Novolog: 5 Syringe, Plastic In 1 Carton (0169-6339-10)  / 3 Ml In 1 Syringe, Plastic",24.575000000000003,24.575000000000003,,,0
NDC,0169-7201-01,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01)  *  1 Ml In 1 Vial, Glass (0169-7211-11)  *  1 Ml In 1 Syringe, Glass (0169-7011-98)",6.27,6.27,,,0
NDC,0169-7202-01,"Novoseven Rt: 1 Kit In 1 Kit (0169-7202-01)  *  2 Ml In 1 Vial, Glass (0169-7212-11)  *  2 Ml In 1 Syringe, Glass (0169-7012-98)",6.27,6.27,,,0
NDC,0169-7205-01,"Novoseven Rt: 1 Kit In 1 Kit (0169-7205-01)  *  5 Ml In 1 Vial, Glass (0169-7215-11)  *  5 Ml In 1 Syringe, Glass (0169-7015-98)",6.27,6.27,,,0
NDC,0169-7211-11,NDC Description Not Available,6.27,6.27,,,0
NDC,0169-7501-11,"Novolog: 1 Vial, Glass In 1 Carton (0169-7501-11)  / 10 Ml In 1 Vial, Glass",95.16,95.16,,,0
NDC,0172-2083-60,Hydrochlorothiazide: 100 Tablet In 1 Bottle (0172-2083-60),0.625,0.625,,,0
NDC,0172-2089-60,Hydrochlorothiazide: 100 Tablet In 1 Bottle (0172-2089-60),0.62,0.62,,,0
NDC,0172-3925-60,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),0.62,0.62,,,0
NDC,0172-3925-70,Diazepam: 500 Tablet In 1 Bottle (0172-3925-70),0.63,0.63,,,0
NDC,0172-3926-60,Diazepam: 100 Tablet In 1 Bottle (0172-3926-60),0.605,0.605,,,0
NDC,0172-3927-60,Diazepam: 100 Tablet In 1 Bottle (0172-3927-60),0.63,0.63,,,0
NDC,0172-5728-70,"Famotidine: 500 Tablet, Film Coated In 1 Bottle (0172-5728-70)",0.575,0.575,,,0
NDC,0172-5728-80,"Famotidine: 1000 Tablet, Film Coated In 1 Bottle (0172-5728-80)",0.6,0.6,,,0
NDC,0173-0135-55,"Wellbutrin Sr: 60 Tablet, Film Coated In 1 Bottle (0173-0135-55)",18.87,18.87,,,0
NDC,0173-0682-24,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-24)  / 60 Aerosol, Metered In 1 Inhaler",56.53,56.53,,,0
NDC,0173-0792-20,"RYTHMOL: 100 TABLET, FILM COATED in 1 BOTTLE (0173-0792-20)",0.39,0.39,,,0
NDC,0173-0859-10,Breo Ellipta: 1 Tray In 1 Carton (0173-0859-10)  / 1 Inhaler In 1 Tray / 30 Powder In 1 Inhaler,985.64,985.64,,,0
NDC,0173-0859-14,Breo Ellipta: 1 Tray In 1 Carton (0173-0859-14)  / 1 Inhaler In 1 Tray / 14 Powder In 1 Inhaler,160.46,160.46,,,0
NDC,0173-0869-06,Anoro Ellipta: 1 Tray In 1 Carton (0173-0869-06)  / 1 Inhaler In 1 Tray / 7 Powder In 1 Inhaler,193.89,193.89,,,0
NDC,0173-0874-14,Arnuity Ellipta: 1 Inhaler In 1 Carton (0173-0874-14)  / 14 Powder In 1 Inhaler,174.51,174.51,,,0
NDC,0173-0876-14,Arnuity Ellipta: 1 Inhaler In 1 Carton (0173-0876-14)  / 14 Powder In 1 Inhaler,237.05,237.05,,,0
NDC,0173-0882-14,Breo Ellipta: 1 Tray In 1 Carton (0173-0882-14)  / 1 Inhaler In 1 Tray / 14 Powder In 1 Inhaler,160.17,160.17,,,0
NDC,0173-0898-03,Jemperli: 1 Vial In 1 Carton (0173-0898-03)  / 10 Ml In 1 Vial,820.63,820.63,,,0
NDC,0182-0905-89,Hydralazine Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-0905-89)  / 1 TABLET in 1 BLISTER PACK (0182-0905-00),0.34,0.34,,,0
NDC,0185-0122-01,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (0185-0122-01),1.11,1.11,,,0
NDC,0185-0210-01,Methimazole: 100 TABLET in 1 BOTTLE (0185-0210-01),0.7,0.7,,,0
NDC,0185-0757-01,Sulfadiazine: 100 TABLET in 1 BOTTLE (0185-0757-01),8.84,8.84,,,0
NDC,0186-0370-28,Symbicort: 1 Pouch In 1 Carton (0186-0370-28)  / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,55.28,55.28,,,0
NDC,0186-0372-20,Symbicort: 1 Pouch In 1 Carton (0186-0372-20)  / 1 Canister In 1 Pouch / 120 Aerosol In 1 Canister,4.14,4.14,,,0
NDC,0186-0372-28,Symbicort: 1 Pouch In 1 Carton (0186-0372-28)  / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,9.36,9.36,,,0
NDC,0186-0776-60,Brilinta: 60 Tablet In 1 Bottle (0186-0776-60),20.52,20.52,,,0
NDC,0186-0777-39,"Brilinta: 10 Blister Pack In 1 Box, Unit-Dose (0186-0777-39)  / 10 Tablet In 1 Blister Pack",19.48,19.48,,,0
NDC,0187-0730-30,"Wellbutrin Xl: 30 Tablet, Extended Release In 1 Bottle (0187-0730-30)",167.86,167.86,,,0
NDC,0187-0798-42,"Cardizem Cd: 90 Capsule, Coated, Extended Release In 1 Bottle, Plastic (0187-0798-42)",152.47,152.47,,,0
NDC,0187-1704-05,Mephyton: 1 BOTTLE in 1 CARTON (0187-1704-05)  / 100 TABLET in 1 BOTTLE,120.5,120.5,,,0
NDC,0206-8860-01,NDC Description Not Available,6.74,6.74,,,0
NDC,0206-8860-02,Zosyn In Galaxy Containers: 24 Bag In 1 Box (0206-8860-02)  / 50 Ml In 1 Bag (0206-8860-01),6.75,6.75,,,0
NDC,0223-1760-01,NDC Description Not Available,0.545,0.545,,,0
NDC,0225-0800-47,"Neo-Synephrine Mild: 15 Ml In 1 Bottle, Spray (0225-0800-47)",9.215,9.215,,,0
NDC,0228-2027-10,Alprazolam: 100 Tablet In 1 Bottle (0228-2027-10),0.63,0.63,,,0
NDC,0228-2031-10,Alprazolam: 100 Tablet In 1 Bottle (0228-2031-10),0.45999999999999996,0.45999999999999996,,,0
NDC,0228-2057-10,Lorazepam: 100 TABLET in 1 BOTTLE (0228-2057-10),0.625,0.625,,,0
NDC,0228-2076-10,Temazepam: 100 Capsule In 1 Bottle (0228-2076-10),0.545,0.545,,,0
NDC,0228-2127-10,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2127-10),0.41500000000000004,0.41500000000000004,,,0
NDC,0228-2348-10,Propylthiouracil: 100 Tablet In 1 Bottle (0228-2348-10),1.82,1.82,,,0
NDC,0228-2620-11,Isosorbide Mononitrate: 100 Tablet In 1 Bottle (0228-2620-11),1.33,1.33,,,0
NDC,0228-2637-11,"Gabapentin: 100 Tablet, Film Coated In 1 Bottle (0228-2637-11)",1.865,1.865,,,0
NDC,0228-2891-03,"Duloxetine: 30 Capsule, Delayed Release Pellets In 1 Bottle (0228-2891-03)",3.6550000000000002,3.6550000000000002,,,0
NDC,0228-2892-03,"Duloxetine: 30 Capsule, Delayed Release Pellets In 1 Bottle (0228-2892-03)",3.525,3.525,,,0
NDC,0228-3059-11,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (0228-3059-11)",1.24,1.24,,,0
NDC,0245-0036-42,Prevalite: 42 Packet In 1 Carton (0245-0036-42)  / 5.5 G In 1 Packet (0245-0036-89),5.48,5.48,,,0
NDC,0245-0036-89,NDC Description Not Available,5.46,5.46,,,0
NDC,0245-0071-11,Potassium Citrate: 100 Tablet In 1 Bottle (0245-0071-11),1.24,1.24,,,0
NDC,0245-0144-01,Pacerone: 100 Blister Pack In 1 Carton (0245-0144-01)  / 1 Tablet In 1 Blister Pack (0245-0144-89),1.02,1.02,,,0
NDC,0245-0147-01,Pacerone: 100 Blister Pack In 1 Carton (0245-0147-01)  / 1 Tablet In 1 Blister Pack (0245-0147-89),0.61,0.61,,,0
NDC,0245-0147-60,Pacerone: 60 Tablet In 1 Bottle (0245-0147-60),0.48,0.48,,,0
NDC,0245-0147-89,NDC Description Not Available,0.62,0.62,,,0
NDC,0245-0211-11,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0211-11),0.615,0.615,,,0
NDC,0245-0212-01,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0245-0212-01)  / 1 Tablet In 1 Blister Pack (0245-0212-89),1.99,1.99,,,0
NDC,0245-0212-11,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0212-11),0.7,0.7,,,0
NDC,0245-0212-89,NDC Description Not Available,1.11,1.11,,,0
NDC,0245-0213-11,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0213-11),1.165,1.165,,,0
NDC,0245-0360-89,NDC Description Not Available,2.955,2.955,,,0
NDC,0245-5316-89,NDC Description Not Available,0.68,0.68,,,0
NDC,0245-5317-89,NDC Description Not Available,0.96,0.96,,,0
NDC,0245-5319-10,"Klor-Con M: 1000 Tablet, Extended Release In 1 Bottle (0245-5319-10)",0.39,0.39,,,0
NDC,0245-5319-89,NDC Description Not Available,1.0550000000000002,1.0550000000000002,,,0
NDC,0254-3012-78,NDC Description Not Available,315.16499999999996,315.16499999999996,,,0
NDC,0254-3028-02,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3028-02)",2.11,2.11,,,0
NDC,0254-3029-02,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3029-02)",1.9100000000000001,1.9100000000000001,,,0
NDC,0259-1610-01,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1610-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",14.62,14.62,,,0
NDC,0264-1510-31,Dextrose: 84 Container In 1 Case (0264-1510-31)  / 50 Ml In 1 Container,42.605000000000004,42.605000000000004,,,0
NDC,0264-1510-32,Dextrose: 64 Container In 1 Case (0264-1510-32)  / 100 Ml In 1 Container,41.6,41.6,,,0
NDC,0264-1800-31,Sodium Chloride: 84 Container In 1 Case (0264-1800-31)  / 50 Ml In 1 Container,38.66,38.66,,,0
NDC,0264-1800-32,Sodium Chloride: 64 Container In 1 Case (0264-1800-32)  / 100 Ml In 1 Container,39.6,39.6,,,0
NDC,0264-1800-36,Sodium Chloride: 116 Container In 1 Case (0264-1800-36)  / 25 Ml In 1 Container,45.87,45.87,,,0
NDC,0264-1933-10,Trophamine: 12 Container In 1 Case (0264-1933-10)  / 500 Ml In 1 Container,393.75,393.75,,,0
NDC,0264-2101-00,Sterile Water: 16 Container In 1 Case (0264-2101-00)  / 1000 Ml In 1 Container,36.0,36.0,,,0
NDC,0264-2101-10,Sterile Water: 16 Container In 1 Case (0264-2101-10)  / 500 Ml In 1 Container,37.54,37.54,,,0
NDC,0264-2201-00,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,32.31,32.31,,,0
NDC,0264-2201-10,Sodium Chloride: 16 Container In 1 Case (0264-2201-10)  / 500 Ml In 1 Container,42.92,42.92,,,0
NDC,0264-2304-10,Acetic Acid: 16 Container In 1 Case (0264-2304-10)  / 500 Ml In 1 Container,51.7,51.7,,,0
NDC,0264-3103-11,Cefazolin Sodium: 24 Container In 1 Case (0264-3103-11)  / 50 Ml In 1 Container,11.25,11.25,,,0
NDC,0264-4100-90,Acetaminophen: 24 Container In 1 Case (0264-4100-90)  / 100 Ml In 1 Container,0.14,0.14,,,0
NDC,0264-4204-52,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4204-52)  / 50 Ml In 1 Container,2.22,2.22,,,0
NDC,0264-4400-54,Magnesium Sulfate In Dextrose: 24 Container In 1 Case (0264-4400-54)  / 100 Ml In 1 Container,2.915,2.915,,,0
NDC,0264-4460-00,Nutrilipid I.V. Fat Emulsion: 8 Carton In 1 Case (0264-4460-00)  / 1 Container In 1 Carton / 1000 Ml In 1 Container,168.0,168.0,,,0
NDC,0264-4460-10,Nutrilipid I.V. Fat Emulsion: 12 Carton In 1 Case (0264-4460-10)  / 1 Container In 1 Carton / 500 Ml In 1 Container,300.0,300.0,,,0
NDC,0264-4460-30,Nutrilipid I.V. Fat Emulsion: 12 Carton In 1 Case (0264-4460-30)  / 1 Container In 1 Carton / 250 Ml In 1 Container,300.0,300.0,,,0
NDC,0264-5802-00,Sodium Chloride: 12 Container In 1 Case (0264-5802-00)  / 1000 Ml In 1 Container,29.27,29.27,,,0
NDC,0264-5802-10,Sodium Chloride: 24 Container In 1 Case (0264-5802-10)  / 500 Ml In 1 Container,42.25,42.25,,,0
NDC,0264-5804-00,Sodium Chloride: 12 Container In 1 Case (0264-5804-00)  / 1000 Ml In 1 Container,46.16,46.16,,,0
NDC,0264-7386-50,Sterile Water: 4 Container In 1 Case (0264-7386-50)  / 2000 Ml In 1 Container,57.09,57.09,,,0
NDC,0264-7386-60,Sterile Water: 4 Container In 1 Case (0264-7386-60)  / 3000 Ml In 1 Container,66.0,66.0,,,0
NDC,0264-7388-50,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-50)  / 2000 Ml In 1 Container,14.47,14.47,,,0
NDC,0264-7388-60,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60)  / 3000 Ml In 1 Container,9.9,9.9,,,0
NDC,0264-7510-00,Dextrose: 12 Container In 1 Case (0264-7510-00)  / 1000 Ml In 1 Container,44.87,44.87,,,0
NDC,0264-7510-10,Dextrose: 24 Container In 1 Case (0264-7510-10)  / 500 Ml In 1 Container,41.599999999999994,41.599999999999994,,,0
NDC,0264-7510-20,Dextrose: 24 Container In 1 Case (0264-7510-20)  / 250 Ml In 1 Container,40.4,40.4,,,0
NDC,0264-7520-10,Dextrose: 24 Container In 1 Case (0264-7520-10)  / 500 Ml In 1 Container,43.85,43.85,,,0
NDC,0264-7520-20,Dextrose: 24 Container In 1 Case (0264-7520-20)  / 250 Ml In 1 Container,45.97,45.97,,,0
NDC,0264-7610-00,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7610-00)  / 1000 Ml In 1 Container,21.57,21.57,,,0
NDC,0264-7612-00,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7612-00)  / 1000 Ml In 1 Container,44.629999999999995,44.629999999999995,,,0
NDC,0264-7612-10,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7612-10)  / 500 Ml In 1 Container,41.0,41.0,,,0
NDC,0264-7616-00,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7616-00)  / 1000 Ml In 1 Container,48.4,48.4,,,0
NDC,0264-7625-00,Potassium Chloride In Dextrose: 12 Container In 1 Case (0264-7625-00)  / 1000 Ml In 1 Container,5.16,5.16,,,0
NDC,0264-7635-00,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7635-00)  / 1000 Ml In 1 Container,44.96,44.96,,,0
NDC,0264-7638-00,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7638-00)  / 1000 Ml In 1 Container,51.47,51.47,,,0
NDC,0264-7652-00,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7652-00)  / 1000 Ml In 1 Container,45.89,45.89,,,0
NDC,0264-7750-07,Lactated Ringers: 12 Container In 1 Case (0264-7750-07)  / 1000 Ml In 1 Container,41.71,41.71,,,0
NDC,0264-7750-10,Lactated Ringers: 24 Container In 1 Case (0264-7750-10)  / 500 Ml In 1 Container,51.825,51.825,,,0
NDC,0264-7751-00,Dextrose In Lactated Ringers: 12 Container In 1 Case (0264-7751-00)  / 1000 Ml In 1 Container,45.415000000000006,45.415000000000006,,,0
NDC,0264-7751-10,Dextrose In Lactated Ringers: 24 Container In 1 Case (0264-7751-10)  / 500 Ml In 1 Container,43.69,43.69,,,0
NDC,0264-7800-09,Sodium Chloride: 12 Container In 1 Case (0264-7800-09)  / 1000 Ml In 1 Container,26.67,26.67,,,0
NDC,0264-7800-20,Sodium Chloride: 24 Container In 1 Case (0264-7800-20)  / 250 Ml In 1 Container,38.85,38.85,,,0
NDC,0264-7805-10,Sodium Chloride: 24 Container In 1 Case (0264-7805-10)  / 500 Ml In 1 Container,36.0,36.0,,,0
NDC,0264-7850-00,Sterile Water: 12 Container In 1 Case (0264-7850-00)  / 1000 Ml In 1 Container,37.86,37.86,,,0
NDC,0264-7865-00,Potassium Chloride In Sodium Chloride: 12 Container In 1 Case (0264-7865-00)  / 1000 Ml In 1 Container,7.7,7.7,,,0
NDC,0264-9587-20,Heparin Sodium In Dextrose: 24 Container In 1 Case (0264-9587-20)  / 250 Ml In 1 Container,1.55,1.55,,,0
NDC,0264-9594-10,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9594-10)  / 500 Ml In 1 Container,0.01,0.01,,,0
NDC,0270-0556-15,Kinevac: 10 Vial In 1 Package (0270-0556-15)  / 5 Ml In 1 Vial,108.00999999999999,108.00999999999999,,,0
NDC,0281-0326-08,Nitro-Bid: 48 Packet In 1 Box (0281-0326-08)  / 1 G In 1 Packet,5.61,5.61,,,0
NDC,0281-0326-30,Nitro-Bid: 30 G In 1 Tube (0281-0326-30),85.875,85.875,,,0
NDC,0281-0326-60,Nitro-Bid: 60 G In 1 Tube (0281-0326-60),181.4,181.4,,,0
NDC,0283-0679-02,Hurricaine Topical Anesthetic: 59.7 G In 1 Can (0283-0679-02),82.56,82.56,,,0
NDC,0310-0275-39,"100 BLISTER PACK in 1 CARTON (0310-0275-39)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",5.140000000000001,5.140000000000001,,,0
NDC,0310-1105-01,NDC Description Not Available,22.94,22.94,,,0
NDC,0310-1110-01,NDC Description Not Available,22.61,22.61,,,0
NDC,0310-1350-30,"Tagrisso: 30 Tablet, Film Coated In 1 Bottle (0310-1350-30)",1521.63,1521.63,,,0
NDC,0310-3200-01,NDC Description Not Available,356.375,356.375,,,0
NDC,0310-3200-05,"Andexxa: 5 Vial, Single-Use In 1 Carton (0310-3200-05)  / 20 Ml In 1 Vial, Single-Use (0310-3200-01)",347.68,347.68,,,0
NDC,0310-4500-12,Imfinzi: 1 Vial In 1 Carton (0310-4500-12)  / 2.4 Ml In 1 Vial,287.75,287.75,,,0
NDC,0310-4535-30,Imjudo: 1 Vial In 1 Carton (0310-4535-30)  / 15 Ml In 1 Vial,509.74,509.74,,,0
NDC,0310-4611-50,Imfinzi: 1 Vial In 1 Carton (0310-4611-50)  / 10 Ml In 1 Vial,289.25,289.25,,,0
NDC,0310-6205-30,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6205-30)",33.565,33.565,,,0
NDC,0310-6210-30,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6210-30)",32.84,32.84,,,0
NDC,0338-0003-44,Sterile Water: 14 Bag In 1 Carton (0338-0003-44)  / 1000 Ml In 1 Bag,51.06,51.06,,,0
NDC,0338-0004-02,"Sterile Water: 24 Bottle, Plastic In 1 Carton (0338-0004-02)  / 250 Ml In 1 Bottle, Plastic",36.81,36.81,,,0
NDC,0338-0004-03,"Sterile Water: 18 Bottle, Plastic In 1 Carton (0338-0004-03)  / 500 Ml In 1 Bottle, Plastic",40.43,40.43,,,0
NDC,0338-0004-04,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04)  / 1000 Ml In 1 Bottle, Plastic",36.0,36.0,,,0
NDC,0338-0004-05,"9 BOTTLE, PLASTIC in 1 CARTON (0338-0004-05)  / 1500 mL in 1 BOTTLE, PLASTIC",43.68,43.68,,,0
NDC,0338-0013-04,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),36.26,36.26,,,0
NDC,0338-0017-02,Dextrose: 250 Ml In 1 Bag (0338-0017-02),39.22,39.22,,,0
NDC,0338-0017-03,Dextrose: 500 Ml In 1 Bag (0338-0017-03),38.0,38.0,,,0
NDC,0338-0017-04,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),38.135000000000005,38.135000000000005,,,0
NDC,0338-0017-11,Dextrose: 4 Bag In 1 Pouch (0338-0017-11)  / 50 Ml In 1 Bag,40.585,40.585,,,0
NDC,0338-0017-18,Dextrose: 4 Bag In 1 Pouch (0338-0017-18)  / 100 Ml In 1 Bag,38.2,38.2,,,0
NDC,0338-0017-31,Dextrose: 16 Bag In 1 Pouch (0338-0017-31)  / 50 Ml In 1 Bag,43.1,43.1,,,0
NDC,0338-0017-41,Dextrose: 1 Bag In 1 Package (0338-0017-41)  / 50 Ml In 1 Bag,37.620000000000005,37.620000000000005,,,0
NDC,0338-0017-48,Dextrose: 1 Bag In 1 Package (0338-0017-48)  / 100 Ml In 1 Bag,38.254999999999995,38.254999999999995,,,0
NDC,0338-0023-02,Dextrose: 250 Ml In 1 Bag (0338-0023-02),40.23,40.23,,,0
NDC,0338-0023-03,Dextrose: 500 Ml In 1 Bag (0338-0023-03),40.11,40.11,,,0
NDC,0338-0023-04,Dextrose: 1000 Ml In 1 Bag (0338-0023-04),21.33,21.33,,,0
NDC,0338-0043-04,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),44.61,44.61,,,0
NDC,0338-0047-27,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-27)  / 3000 Ml In 1 Bag,29.345,29.345,,,0
NDC,0338-0048-03,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03)  / 500 Ml In 1 Bottle, Plastic",38.585,38.585,,,0
NDC,0338-0049-02,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),40.864999999999995,40.864999999999995,,,0
NDC,0338-0049-03,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),41.46,41.46,,,0
NDC,0338-0049-04,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),41.285,41.285,,,0
NDC,0338-0049-11,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11)  / 50 Ml In 1 Bag,41.205,41.205,,,0
NDC,0338-0049-18,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18)  / 100 Ml In 1 Bag,38.8,38.8,,,0
NDC,0338-0049-38,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38)  / 100 Ml In 1 Bag,15.39,15.39,,,0
NDC,0338-0049-41,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41)  / 50 Ml In 1 Bag,38.53,38.53,,,0
NDC,0338-0049-48,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48)  / 100 Ml In 1 Bag,40.225,40.225,,,0
NDC,0338-0051-44,Sodium Chloride: 1000 Ml In 1 Bag (0338-0051-44),59.6,59.6,,,0
NDC,0338-0054-03,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03)  / 500 Ml In 1 Bag,37.81,37.81,,,0
NDC,0338-0062-30,Dextrose: 30 Bag In 1 Carton (0338-0062-30)  / 250 Ml In 1 Bag,37.635000000000005,37.635000000000005,,,0
NDC,0338-0063-01,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0063-01)  / 10 Ml In 1 Vial, Single-Use",159.24,159.24,,,0
NDC,0338-0066-20,Dextrose: 20 Bag In 1 Carton (0338-0066-20)  / 500 Ml In 1 Bag,36.21,36.21,,,0
NDC,0338-0067-01,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0067-01)  / 25 Ml In 1 Vial, Single-Use",170.2,170.2,,,0
NDC,0338-0070-10,Dextrose: 10 Bag In 1 Carton (0338-0070-10)  / 1000 Ml In 1 Bag,42.0,42.0,,,0
NDC,0338-0072-25,Ketorolac Tromethamine: 25 Vial In 1 Carton (0338-0072-25)  / 1 Ml In 1 Vial,1.1600000000000001,1.1600000000000001,,,0
NDC,0338-0077-04,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0077-04)  / 1000 Ml In 1 Bag,41.8,41.8,,,0
NDC,0338-0085-03,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0085-03)  / 500 Ml In 1 Bag,39.0,39.0,,,0
NDC,0338-0085-04,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04)  / 1000 Ml In 1 Bag,39.955,39.955,,,0
NDC,0338-0089-04,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04)  / 1000 Ml In 1 Bag,19.01,19.01,,,0
NDC,0338-0117-02,Lactated Ringers: 250 Ml In 1 Bag (0338-0117-02),42.135,42.135,,,0
NDC,0338-0117-03,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),38.84,38.84,,,0
NDC,0338-0117-04,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),38.315,38.315,,,0
NDC,0338-0125-04,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),38.15,38.15,,,0
NDC,0338-0126-12,Myxredlin: 12 Container In 1 Carton (0338-0126-12)  / 100 Ml In 1 Container,2.825,2.825,,,0
NDC,0338-0221-04,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),3.78,3.78,,,0
NDC,0338-0289-47,Glycine: 3000 Ml In 1 Bag (0338-0289-47),4.76,4.76,,,0
NDC,0338-0322-01,Recothrom: 1 Kit In 1 Kit (0338-0322-01)  *  5 Ml In 1 Vial (0338-0324-01)  *  5 Ml In 1 Syringe,102.5,102.5,,,0
NDC,0338-0324-01,NDC Description Not Available,168.78,168.78,,,0
NDC,0338-0357-03,Osmitrol: 500 Ml In 1 Bag (0338-0357-03),107.45,107.45,,,0
NDC,0338-0503-48,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0503-48),9.85,9.85,,,0
NDC,0338-0519-09,Intralipid: 250 Ml In 1 Bag (0338-0519-09),300.0,300.0,,,0
NDC,0338-0519-13,Intralipid: 500 Ml In 1 Bag (0338-0519-13),168.0,168.0,,,0
NDC,0338-0551-11,Dextrose: 50 Ml In 1 Bag (0338-0551-11),6.735,6.735,,,0
NDC,0338-0551-18,Dextrose: 100 Ml In 1 Bag (0338-0551-18),6.3,6.3,,,0
NDC,0338-0553-11,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),40.8,40.8,,,0
NDC,0338-0553-18,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),40.795,40.795,,,0
NDC,0338-0671-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0671-04),43.63,43.63,,,0
NDC,0338-0673-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0673-04),45.0,45.0,,,0
NDC,0338-0675-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0675-04),46.1,46.1,,,0
NDC,0338-0683-04,Potassium Chloride In Dextrose: 1000 Ml In 1 Bag (0338-0683-04),4.2,4.2,,,0
NDC,0338-0691-04,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0691-04)  / 1000 Ml In 1 Bag,4.53,4.53,,,0
NDC,0338-0695-04,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0695-04)  / 1000 Ml In 1 Bag,2.68,2.68,,,0
NDC,0338-0705-41,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-41)  / 50 Ml In 1 Bag,1.545,1.545,,,0
NDC,0338-0709-48,Potassium Chloride: 24 Bag In 1 Carton (0338-0709-48)  / 100 Ml In 1 Bag,2.1,2.1,,,0
NDC,0338-0719-06,Dextrose: 2000 Ml In 1 Bag (0338-0719-06),36.0,36.0,,,0
NDC,0338-0803-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0803-04),47.93,47.93,,,0
NDC,0338-0807-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0807-04),47.41,47.41,,,0
NDC,0338-0811-04,Potassium Chloride In Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0811-04),50.28,50.28,,,0
NDC,0338-1007-02,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02)  / 250 Ml In 1 Bag,4.06,4.06,,,0
NDC,0338-1051-02,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1051-02)  / 250 Ml In 1 Bottle, Glass",2.98,2.98,,,0
NDC,0338-1055-48,Metronidazole: 24 Bag In 1 Carton (0338-1055-48)  / 100 Ml In 1 Bag,0.105,0.105,,,0
NDC,0338-1075-02,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1075-02)  / 250 Ml In 1 Bag,55.87,55.87,,,0
NDC,0338-1148-03,Clinimix E: 1000 Ml In 1 Bag (0338-1148-03),393.75,393.75,,,0
NDC,0338-1305-01,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01)  / 10 Ml In 1 Vial, Multi-Dose",4.275,4.275,,,0
NDC,0338-3503-41,Cefazolin: 24 Bag In 1 Carton (0338-3503-41)  / 50 Ml In 1 Bag,8.52,8.52,,,0
NDC,0338-3508-41,Cefazolin: 12 Bag In 1 Carton (0338-3508-41)  / 100 Ml In 1 Bag,4.029999999999999,4.029999999999999,,,0
NDC,0338-3551-48,Vancomycin Hydrochloride: 100 Ml In 1 Bag (0338-3551-48),17.74,17.74,,,0
NDC,0338-3552-48,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),6.95,6.95,,,0
NDC,0338-3612-50,NDC Description Not Available,7.195,7.195,,,0
NDC,0338-3814-50,NDC Description Not Available,5.995,5.995,,,0
NDC,0338-7034-01,NDC Description Not Available,393.75,393.75,,,0
NDC,0338-9159-30,Sodium Chloride: 100 Ml In 1 Bag (0338-9159-30),41.795,41.795,,,0
NDC,0338-9541-24,Metronidazole: 24 Bag In 1 Carton (0338-9541-24)  / 100 Ml In 1 Bag,0.06,0.06,,,0
NDC,0338-9543-02,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),45.36,45.36,,,0
NDC,0338-9543-04,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),47.150000000000006,47.150000000000006,,,0
NDC,0338-9543-06,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-06),23.785,23.785,,,0
NDC,0338-9555-24,Dexmedetomidine Hydrochloride: 24 Bag In 1 Carton (0338-9555-24)  / 50 Ml In 1 Bag,37.39,37.39,,,0
NDC,0378-0018-01,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0018-01)",0.61,0.61,,,0
NDC,0378-0018-05,"Metoprolol Tartrate: 500 Tablet, Film Coated In 1 Bottle, Plastic (0378-0018-05)",0.62,0.62,,,0
NDC,0378-0032-01,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0032-01)",0.62,0.62,,,0
NDC,0378-0088-01,"Carbidopa And Levodopa: 100 Tablet, Extended Release In 1 Bottle, Plastic (0378-0088-01)",0.79,0.79,,,0
NDC,0378-0181-01,Allopurinol: 100 Tablet In 1 Bottle (0378-0181-01),1.315,1.315,,,0
NDC,0378-0182-01,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-0182-01)",0.37,0.37,,,0
NDC,0378-0222-01,"Chlorthalidone: 100 Tablet In 1 Bottle, Plastic (0378-0222-01)",0.63,0.63,,,0
NDC,0378-0274-93,Tamoxifen Citrate: 30 Tablet In 1 Bottle (0378-0274-93),1.41,1.41,,,0
NDC,0378-0412-01,"Fluvoxamine Maleate: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-0412-01)",0.83,0.83,,,0
NDC,0378-0415-01,"Diphenoxylate Hydrochloride and Atropine Sulfate: 100 TABLET in 1 BOTTLE, PLASTIC (0378-0415-01)",1.71,1.71,,,0
NDC,0378-0871-16,NDC Description Not Available,33.69,33.69,,,0
NDC,0378-0872-16,NDC Description Not Available,53.13,53.13,,,0
NDC,0378-0873-16,NDC Description Not Available,73.405,73.405,,,0
NDC,0378-1145-01,"Buspirone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-1145-01)",1.125,1.125,,,0
NDC,0378-1175-91,"Buspirone Hydrochloride: 60 Tablet In 1 Bottle, Plastic (0378-1175-91)",3.53,3.53,,,0
NDC,0378-1375-78,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle, Plastic (0378-1375-78)",9.395,9.395,,,0
NDC,0378-1937-01,"Lenalidomide: 100 Capsule In 1 Bottle, Plastic (0378-1937-01)",2574.36,2574.36,,,0
NDC,0378-2246-93,"Imatinib Mesylate: 30 Tablet, Film Coated In 1 Bottle, Plastic (0378-2246-93)",12.38,12.38,,,0
NDC,0378-2512-78,"Capecitabine: 120 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-2512-78)",21.81,21.81,,,0
NDC,0378-2586-01,"Hydroxyzine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-2586-01)",0.63,0.63,,,0
NDC,0378-2675-01,"Amitriptyline Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-2675-01)",2.1,2.1,,,0
NDC,0378-3065-77,"Fenofibrate: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-3065-77)",0.63,0.63,,,0
NDC,0378-3547-52,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0378-3547-52)",4.48,4.48,,,0
NDC,0378-3632-01,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3632-01)",0.5700000000000001,0.5700000000000001,,,0
NDC,0378-3635-01,"Cetirizine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3635-01)",0.46499999999999997,0.46499999999999997,,,0
NDC,0378-4250-01,"Doxepin Hydrochloride: 100 Capsule In 1 Bottle, Plastic (0378-4250-01)",2.36,2.36,,,0
NDC,0378-4640-16,NDC Description Not Available,18.69,18.69,,,0
NDC,0378-4643-16,NDC Description Not Available,20.36,20.36,,,0
NDC,0378-5814-77,"Valsartan: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-5814-77)",1.13,1.13,,,0
NDC,0378-6232-01,"Citalopram: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-6232-01)",0.525,0.525,,,0
NDC,0378-6985-01,NDC Description Not Available,0.03,0.03,,,0
NDC,0378-6987-89,NDC Description Not Available,0.93,0.93,,,0
NDC,0378-7150-01,"Celecoxib: 100 CAPSULE in 1 BOTTLE, PLASTIC (0378-7150-01)",4.06,4.06,,,0
NDC,0378-7272-85,NDC Description Not Available,0.28,0.28,,,0
NDC,0378-7734-93,"Ondansetron: 30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (0378-7734-93)",0.26,0.26,,,0
NDC,0378-8270-31,NDC Description Not Available,0.21,0.21,,,0
NDC,0378-8767-93,Buprenorphine And Naloxone: 30 Pouch In 1 Carton (0378-8767-93)  / 1 Film In 1 Pouch (0378-8767-16),5.76,5.76,,,0
NDC,0378-9070-16,NDC Description Not Available,4.08,4.08,,,0
NDC,0378-9071-16,NDC Description Not Available,4.44,4.44,,,0
NDC,0378-9104-16,NDC Description Not Available,1.145,1.145,,,0
NDC,0378-9112-16,NDC Description Not Available,1.56,1.56,,,0
NDC,0378-9119-16,NDC Description Not Available,32.04,32.04,,,0
NDC,0378-9121-16,NDC Description Not Available,15.184999999999999,15.184999999999999,,,0
NDC,0378-9122-16,NDC Description Not Available,25.02,25.02,,,0
NDC,0378-9122-98,Fentanyl: 5 Pouch In 1 Carton (0378-9122-98)  / 1 Patch In 1 Pouch (0378-9122-16)  / 72 H In 1 Patch,26.97,26.97,,,0
NDC,0378-9123-16,NDC Description Not Available,39.55,39.55,,,0
NDC,0378-9125-16,NDC Description Not Available,102.19,102.19,,,0
NDC,0378-9230-93,Mesalamine: 5 PACKAGE in 1 CARTON (0378-9230-93)  / 6 SUPPOSITORY in 1 PACKAGE,38.63,38.63,,,0
NDC,0378-9691-52,Levalbuterol: 1 Pouch In 1 Carton (0378-9691-52)  / 25 Ampule In 1 Pouch (0378-9691-62)  / 3 Ml In 1 Ampule,1.46,1.46,,,0
NDC,0378-9691-62,NDC Description Not Available,1.55,1.55,,,0
NDC,0406-0376-01,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0406-0376-01),0.8,0.8,,,0
NDC,0406-0527-10,"Methadose: 1000 Ml In 1 Bottle, Plastic (0406-0527-10)",1.3199999999999998,1.3199999999999998,,,0
NDC,0406-0552-23,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),0.87,0.87,,,0
NDC,0406-0552-62,Oxycodone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-0552-62),0.595,0.595,,,0
NDC,0406-1142-01,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1142-01),0.41,0.41,,,0
NDC,0406-1144-01,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1144-01),0.68,0.68,,,0
NDC,0406-1236-01,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),0.51,0.51,,,0
NDC,0406-3243-01,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),0.61,0.61,,,0
NDC,0406-3244-01,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3244-01),0.6,0.6,,,0
NDC,0406-5755-23,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5755-23),0.645,0.645,,,0
NDC,0406-5771-23,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),0.71,0.71,,,0
NDC,0406-8315-01,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8315-01)",0.61,0.61,,,0
NDC,0406-8315-23,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8315-23)",1.19,1.19,,,0
NDC,0406-8330-23,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8330-23)",2.335,2.335,,,0
NDC,0406-8530-23,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8530-23),2.6,2.6,,,0
NDC,0406-9025-76,FENTANYL TRANSDERMAL: 5 POUCH in 1 CARTON (0406-9025-76)  / 1 PATCH in 1 POUCH / 72 h in 1 PATCH,14.04,14.04,,,0
NDC,0406-9075-76,FENTANYL TRANSDERMAL: 5 POUCH in 1 CARTON (0406-9075-76)  / 1 PATCH in 1 POUCH / 72 h in 1 PATCH,38.61,38.61,,,0
NDC,0406-9100-76,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9100-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,73.38,73.38,,,0
NDC,0406-9112-76,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9112-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,36.475,36.475,,,0
NDC,0406-9125-76,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9125-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,17.71,17.71,,,0
NDC,0406-9150-76,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9150-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,32.385000000000005,32.385000000000005,,,0
NDC,0406-9960-01,Temazepam: 100 Capsule In 1 Bottle (0406-9960-01),4.89,4.89,,,0
NDC,0407-1411-20,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-20)  / 20 Ml In 1 Vial, Glass",3.2649999999999997,3.2649999999999997,,,0
NDC,0407-1412-10,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-10)  / 10 Ml In 1 Vial, Glass",8.97,8.97,,,0
NDC,0407-1412-20,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20)  / 20 Ml In 1 Vial, Glass",4.9,4.9,,,0
NDC,0407-1413-10,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1413-10)  / 10 Ml In 1 Vial, Glass",9.02,9.02,,,0
NDC,0407-1413-59,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-59)  / 30 Ml In 1 Bottle, Plastic",0.86,0.86,,,0
NDC,0407-1413-61,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61)  / 50 Ml In 1 Bottle, Plastic",0.46499999999999997,0.46499999999999997,,,0
NDC,0407-1413-63,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63)  / 100 Ml In 1 Bottle, Plastic",0.445,0.445,,,0
NDC,0407-1413-65,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-65)  / 150 Ml In 1 Bottle, Plastic",0.49,0.49,,,0
NDC,0407-1414-91,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91)  / 100 Ml In 1 Bottle, Plastic",0.54,0.54,,,0
NDC,0407-1416-12,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1416-12)  / 500 Ml In 1 Bottle, Plastic",24.02,24.02,,,0
NDC,0407-2223-04,"10 BOTTLE, GLASS in 1 BOX (0407-2223-04)  / 200 mL in 1 BOTTLE, GLASS",2.4400000000000004,2.4400000000000004,,,0
NDC,0407-2223-06,"10 BOTTLE, GLASS in 1 BOX (0407-2223-06)  / 50 mL in 1 BOTTLE, GLASS",2.885,2.885,,,0
NDC,0407-2223-17,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17)  / 100 Ml In 1 Bottle, Plastic",0.94,0.94,,,0
NDC,0409-0001-01,NDC Description Not Available,1.36,1.36,,,0
NDC,0409-0040-05,NDC Description Not Available,18.42,18.42,,,0
NDC,0409-0125-01,NDC Description Not Available,0.56,0.56,,,0
NDC,0409-0152-01,NDC Description Not Available,0.095,0.095,,,0
NDC,0409-0181-01,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-01)  / 26.3 Ml In 1 Vial, Single-Dose",34.735,34.735,,,0
NDC,0409-0181-25,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25)  / 26.3 Ml In 1 Vial, Single-Dose",28.060000000000002,28.060000000000002,,,0
NDC,0409-0182-01,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0182-01)  / 52.6 Ml In 1 Vial, Single-Dose",23.77,23.77,,,0
NDC,0409-0183-01,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-01)  / 5.26 Ml In 1 Vial, Single-Dose",21.21,21.21,,,0
NDC,0409-0183-25,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-25)  / 5.26 Ml In 1 Vial, Single-Dose",21.535,21.535,,,0
NDC,0409-0302-01,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01)  / 4 Ml In 1 Vial, Single-Dose",7.725,7.725,,,0
NDC,0409-1159-01,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01)  / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",0.11,0.11,,,0
NDC,0409-1159-02,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-02)  / 30 Ml In 1 Vial, Single-Dose (0409-1159-19)",0.04,0.04,,,0
NDC,0409-1159-09,NDC Description Not Available,0.03,0.03,,,0
NDC,0409-1159-18,NDC Description Not Available,0.1,0.1,,,0
NDC,0409-1159-19,NDC Description Not Available,0.04,0.04,,,0
NDC,0409-1162-02,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02)  / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",0.02,0.02,,,0
NDC,0409-1162-18,NDC Description Not Available,0.065,0.065,,,0
NDC,0409-1162-19,NDC Description Not Available,0.02,0.02,,,0
NDC,0409-1207-03,"Gentamicin Sulfate: 25 Vial, Single-Dose In 1 Tray (0409-1207-03)  / 2 Ml In 1 Vial, Single-Dose (0409-1207-13)",8.955,8.955,,,0
NDC,0409-1207-13,NDC Description Not Available,7.94,7.94,,,0
NDC,0409-1208-11,NDC Description Not Available,42.45,42.45,,,0
NDC,0409-1209-01,Lidocaine Hydrochloride And Epinephrine: 10 Ampule In 1 Tray (0409-1209-01)  / 5 Ml In 1 Ampule (0409-1209-10),8.42,8.42,,,0
NDC,0409-1273-03,NDC Description Not Available,32.435,32.435,,,0
NDC,0409-1283-03,NDC Description Not Available,0.5549999999999999,0.5549999999999999,,,0
NDC,0409-1283-17,NDC Description Not Available,0.98,0.98,,,0
NDC,0409-1283-31,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1283-31)  / 1 Ml In 1 Cartridge (0409-1283-03),0.5,0.5,,,0
NDC,0409-1312-30,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30)  / 1 Ml In 1 Cartridge (0409-1312-03),0.28,0.28,,,0
NDC,0409-1323-05,"Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-1323-05)  / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1323-15)",0.38,0.38,,,0
NDC,0409-1463-01,Nalbuphine Hydrochloride: 10 Ampule In 1 Tray (0409-1463-01)  / 1 Ml In 1 Ampule (0409-1463-71),9.235,9.235,,,0
NDC,0409-1463-69,NDC Description Not Available,9.32,9.32,,,0
NDC,0409-1463-71,NDC Description Not Available,8.46,8.46,,,0
NDC,0409-1559-10,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1559-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1559-18)",0.20500000000000002,0.20500000000000002,,,0
NDC,0409-1560-10,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1560-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1560-18)",0.12,0.12,,,0
NDC,0409-1560-18,NDC Description Not Available,0.13,0.13,,,0
NDC,0409-1582-10,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1582-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1582-18)",0.07500000000000001,0.07500000000000001,,,0
NDC,0409-1626-21,NDC Description Not Available,10.5,10.5,,,0
NDC,0409-1630-15,NDC Description Not Available,0.265,0.265,,,0
NDC,0409-1631-10,"Calcium Chloride: 10 Carton In 1 Container (0409-1631-10)  / 1 Syringe, Plastic In 1 Carton (0409-1631-40)  / 10 Ml In 1 Syringe, Plastic",33.28,33.28,,,0
NDC,0409-1632-21,NDC Description Not Available,20.82,20.82,,,0
NDC,0409-1660-50,Precedex: 20 Bottle In 1 Tray (0409-1660-50)  / 50 Ml In 1 Bottle (0409-1660-55),29.12,29.12,,,0
NDC,0409-1660-55,NDC Description Not Available,26.47,26.47,,,0
NDC,0409-1746-10,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1746-70)",20.36,20.36,,,0
NDC,0409-1746-71,NDC Description Not Available,16.74,16.74,,,0
NDC,0409-1749-10,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1749-70)",10.56,10.56,,,0
NDC,0409-1752-50,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1752-50)  / 50 Ml In 1 Vial, Multi-Dose",2.72,2.72,,,0
NDC,0409-1761-18,NDC Description Not Available,0.48,0.48,,,0
NDC,0409-1775-40,NDC Description Not Available,5.57,5.57,,,0
NDC,0409-1778-05,"Metoprolol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1778-05)  / 5 Ml In 1 Vial, Single-Dose (0409-1778-15)",1.345,1.345,,,0
NDC,0409-1778-15,NDC Description Not Available,1.285,1.285,,,0
NDC,0409-1886-22,NDC Description Not Available,0.07500000000000001,0.07500000000000001,,,0
NDC,0409-1890-01,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01)  / 1 Ml In 1 Cartridge (0409-1890-03),3.91,3.91,,,0
NDC,0409-1890-03,NDC Description Not Available,3.68,3.68,,,0
NDC,0409-1893-03,NDC Description Not Available,4.11,4.11,,,0
NDC,0409-1896-20,"Morphine Sulfate: 1 Vial, Single-Dose In 1 Carton (0409-1896-20)  / 20 Ml In 1 Vial, Single-Dose",0.49,0.49,,,0
NDC,0409-1966-02,NDC Description Not Available,2.48,2.48,,,0
NDC,0409-1985-30,Lorazepam: 10 Cartridge In 1 Carton (0409-1985-30)  / 1 Ml In 1 Cartridge (0409-1985-03),3.43,3.43,,,0
NDC,0409-2011-05,NDC Description Not Available,0.07,0.07,,,0
NDC,0409-2045-01,NDC Description Not Available,10.75,10.75,,,0
NDC,0409-2050-01,NDC Description Not Available,0.39,0.39,,,0
NDC,0409-2305-04,NDC Description Not Available,0.51,0.51,,,0
NDC,0409-2305-16,NDC Description Not Available,1.35,1.35,,,0
NDC,0409-2305-17,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17)  / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",1.13,1.13,,,0
NDC,0409-2305-55,NDC Description Not Available,0.53,0.53,,,0
NDC,0409-2339-24,NDC Description Not Available,4.59,4.59,,,0
NDC,0409-2347-31,NDC Description Not Available,15.03,15.03,,,0
NDC,0409-2347-32,Dobutamine In Dextrose: 12 Pouch In 1 Case (0409-2347-32)  / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-2347-31),17.52,17.52,,,0
NDC,0409-2585-01,"Cefazolin: 25 Vial In 1 Carton (0409-2585-01)  / 1 Injection, Powder, For Solution In 1 Vial (0409-2585-11)",3.34,3.34,,,0
NDC,0409-2596-05,"Midazolam: 10 Vial, Multi-Dose In 1 Carton (0409-2596-05)  / 10 Ml In 1 Vial, Multi-Dose (0409-2596-15)",0.31,0.31,,,0
NDC,0409-2596-15,NDC Description Not Available,0.31,0.31,,,0
NDC,0409-2634-50,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50)  / 50 Ml In 1 Vial, Single-Dose",0.08,0.08,,,0
NDC,0409-2723-01,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01)  / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",0.45,0.45,,,0
NDC,0409-2723-30,NDC Description Not Available,0.46,0.46,,,0
NDC,0409-3177-01,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01)  / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",5.02,5.02,,,0
NDC,0409-3178-01,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01)  / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",4.67,4.67,,,0
NDC,0409-3178-02,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-02)  / 30 Ml In 1 Vial, Multi-Dose (0409-3178-17)",10.01,10.01,,,0
NDC,0409-3178-03,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-03)  / 50 Ml In 1 Vial, Multi-Dose (0409-3178-18)",7.4,7.4,,,0
NDC,0409-3178-17,NDC Description Not Available,9.56,9.56,,,0
NDC,0409-3189-05,NDC Description Not Available,4.07,4.07,,,0
NDC,0409-3299-15,NDC Description Not Available,20.07,20.07,,,0
NDC,0409-3300-01,NDC Description Not Available,6.15,6.15,,,0
NDC,0409-3365-11,NDC Description Not Available,0.165,0.165,,,0
NDC,0409-3375-04,"Levophed: 10 Vial, Single-Dose In 1 Carton (0409-3375-04)  / 4 Ml In 1 Vial, Single-Dose (0409-3375-14)",19.11,19.11,,,0
NDC,0409-3385-13,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3385-13)  / 15 Ml In 1 Vial, Single-Use (0409-3385-11)",8.24,8.24,,,0
NDC,0409-3414-18,NDC Description Not Available,1.88,1.88,,,0
NDC,0409-3414-21,NDC Description Not Available,3.28,3.28,,,0
NDC,0409-3578-11,NDC Description Not Available,7.1,7.1,,,0
NDC,0409-3795-01,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3795-01)  / 1 Ml In 1 Vial, Single-Dose (0409-3795-19)",6.15,6.15,,,0
NDC,0409-3795-19,NDC Description Not Available,1.71,1.71,,,0
NDC,0409-3796-01,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3796-01)  / 2 Ml In 1 Vial, Single-Dose (0409-3796-19)",1.2850000000000001,1.2850000000000001,,,0
NDC,0409-3815-11,NDC Description Not Available,7.91,7.91,,,0
NDC,0409-3815-12,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12)  / 10 Ml In 1 Vial, Glass (0409-3815-11)",4.44,4.44,,,0
NDC,0409-3977-01,NDC Description Not Available,4.21,4.21,,,0
NDC,0409-4031-16,NDC Description Not Available,8.3,8.3,,,0
NDC,0409-4092-01,"Copper: 25 Vial, Single-Dose In 1 Tray (0409-4092-01)  / 10 Ml In 1 Vial, Single-Dose (0409-4092-11)",1.88,1.88,,,0
NDC,0409-4264-11,NDC Description Not Available,1.56,1.56,,,0
NDC,0409-4275-16,NDC Description Not Available,0.63,0.63,,,0
NDC,0409-4276-02,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02)  / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",0.06,0.06,,,0
NDC,0409-4277-01,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-01)  / 20 Ml In 1 Vial, Multi-Dose (0409-4277-16)",0.02,0.02,,,0
NDC,0409-4277-17,NDC Description Not Available,0.01,0.01,,,0
NDC,0409-4279-02,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4279-02)  / 30 Ml In 1 Vial, Single-Dose (0409-4279-16)",2.75,2.75,,,0
NDC,0409-4279-16,NDC Description Not Available,4.54,4.54,,,0
NDC,0409-4282-02,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02)  / 10 Ml In 1 Ampule (0409-4282-12),5.279999999999999,5.279999999999999,,,0
NDC,0409-4282-12,NDC Description Not Available,3.035,3.035,,,0
NDC,0409-4283-11,NDC Description Not Available,0.04,0.04,,,0
NDC,0409-4332-01,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-4332-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-4332-11)",19.67,19.67,,,0
NDC,0409-4346-73,"Aminocaproic Acid: 25 Vial, Single-Dose In 1 Tray (0409-4346-73)  / 20 Ml In 1 Vial, Single-Dose (0409-4346-16)",3.54,3.54,,,0
NDC,0409-4520-02,NDC Description Not Available,0.88,0.88,,,0
NDC,0409-4688-22,NDC Description Not Available,17.77,17.77,,,0
NDC,0409-4699-54,NDC Description Not Available,0.26,0.26,,,0
NDC,0409-4713-02,Lidocaine Hydrochloride: 5 Cello Pack In 1 Package (0409-4713-02)  / 5 Ampule In 1 Cello Pack (0409-4713-26)  / 5 Ml In 1 Ampule (0409-4713-12),2.34,2.34,,,0
NDC,0409-4713-42,NDC Description Not Available,1.88,1.88,,,0
NDC,0409-4755-03,"Ondansetron: 25 Vial, Single-Dose In 1 Tray (0409-4755-03)  / 2 Ml In 1 Vial, Single-Dose (0409-4755-18)",0.59,0.59,,,0
NDC,0409-4755-18,NDC Description Not Available,0.36,0.36,,,0
NDC,0409-4759-01,"Ondansetron: 1 Vial, Multi-Dose In 1 Carton (0409-4759-01)  / 20 Ml In 1 Vial, Multi-Dose",0.255,0.255,,,0
NDC,0409-4887-10,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-10)  / 10 Ml In 1 Vial, Plastic (0409-4887-17)",1.78,1.78,,,0
NDC,0409-4887-24,NDC Description Not Available,4.845000000000001,4.845000000000001,,,0
NDC,0409-4887-25,NDC Description Not Available,23.335,23.335,,,0
NDC,0409-4887-99,"Sterile Water: 25 Vial, Glass In 1 Case (0409-4887-99)  / 100 Ml In 1 Vial, Glass (0409-4887-25)",10.06,10.06,,,0
NDC,0409-4888-01,NDC Description Not Available,6.03,6.03,,,0
NDC,0409-4888-02,NDC Description Not Available,24.244999999999997,24.244999999999997,,,0
NDC,0409-4888-06,NDC Description Not Available,7.59,7.59,,,0
NDC,0409-4888-20,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-20)  / 20 Ml In 1 Vial, Single-Dose (0409-4888-03)",4.83,4.83,,,0
NDC,0409-4888-50,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-50)  / 50 Ml In 1 Vial, Single-Dose (0409-4888-06)",7.3,7.3,,,0
NDC,0409-4903-34,Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-4903-34)  / 1 Syringe In 1 Carton / 5 Ml In 1 Syringe (0409-4903-11),0.17,0.17,,,0
NDC,0409-4911-34,"Atropine Sulfate: 10 Carton In 1 Package (0409-4911-34)  / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4911-11)",0.485,0.485,,,0
NDC,0409-4928-11,NDC Description Not Available,1128.41,1128.41,,,0
NDC,0409-5534-24,NDC Description Not Available,53.03,53.03,,,0
NDC,0409-5738-01,NDC Description Not Available,13.495000000000001,13.495000000000001,,,0
NDC,0409-6102-19,NDC Description Not Available,0.58,0.58,,,0
NDC,0409-6102-20,NDC Description Not Available,2.85,2.85,,,0
NDC,0409-6102-35,NDC Description Not Available,0.515,0.515,,,0
NDC,0409-6102-37,NDC Description Not Available,0.16,0.16,,,0
NDC,0409-6482-01,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01)  / 10 Ml In 1 Vial (0409-6482-11),83.27,83.27,,,0
NDC,0409-6482-11,NDC Description Not Available,89.16,89.16,,,0
NDC,0409-6533-59,NDC Description Not Available,4.3100000000000005,4.3100000000000005,,,0
NDC,0409-6557-01,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6557-01)  / 10 Ml In 1 Vial,0.25,0.25,,,0
NDC,0409-6625-02,Sodium Bicarbonate: 25 VIAL in 1 TRAY (0409-6625-02)  / 50 mL in 1 VIAL,22.75,22.75,,,0
NDC,0409-6625-22,NDC Description Not Available,22.6,22.6,,,0
NDC,0409-6625-30,NDC Description Not Available,22.61,22.61,,,0
NDC,0409-6625-35,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (0409-6625-35)  / 50 Ml In 1 Vial, Single-Dose (0409-6625-30)",22.04,22.04,,,0
NDC,0409-6637-24,NDC Description Not Available,46.07,46.07,,,0
NDC,0409-6637-34,Sodium Bicarbonate: 10 CARTON in 1 PACKAGE (0409-6637-34)  / 1 SYRINGE in 1 CARTON / 50 mL in 1 SYRINGE,17.98,17.98,,,0
NDC,0409-6651-19,NDC Description Not Available,1.36,1.36,,,0
NDC,0409-6727-11,NDC Description Not Available,5.81,5.81,,,0
NDC,0409-6729-03,24 POUCH in 1 CASE (0409-6729-03)  / 1 BAG in 1 POUCH / 500 mL in 1 BAG (0409-6729-21),0.41,0.41,,,0
NDC,0409-6729-11,NDC Description Not Available,2.58,2.58,,,0
NDC,0409-6729-23,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-23)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag (0409-6729-41),1.23,1.23,,,0
NDC,0409-6729-24,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),2.895,2.895,,,0
NDC,0409-6729-41,NDC Description Not Available,1.535,1.535,,,0
NDC,0409-6778-02,"Lorazepam: 10 VIAL, SINGLE-DOSE in 1 CARTON (0409-6778-02)  / 1 mL in 1 VIAL, SINGLE-DOSE (0409-6778-11)",1.52,1.52,,,0
NDC,0409-7295-01,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01)  / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",1.88,1.88,,,0
NDC,0409-7295-11,NDC Description Not Available,24.79,24.79,,,0
NDC,0409-7299-83,NDC Description Not Available,33.05,33.05,,,0
NDC,0409-7332-11,NDC Description Not Available,0.665,0.665,,,0
NDC,0409-7332-20,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-20)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-21)",0.68,0.68,,,0
NDC,0409-7335-03,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",0.76,0.76,,,0
NDC,0409-7335-13,NDC Description Not Available,0.76,0.76,,,0
NDC,0409-7391-72,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72)  / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",15.18,15.18,,,0
NDC,0409-7391-82,NDC Description Not Available,17.15,17.15,,,0
NDC,0409-7517-16,"Dextrose: 10 Carton In 1 Container (0409-7517-16)  / 1 Syringe, Plastic In 1 Carton / 50 Ml In 1 Syringe, Plastic (0409-7517-66)",41.69,41.69,,,0
NDC,0409-7517-66,NDC Description Not Available,36.295,36.295,,,0
NDC,0409-7809-22,Dopamine Hydrochloride In Dextrose: 12 Bag In 1 Carton (0409-7809-22)  / 250 Ml In 1 Bag (0409-7809-11),3.28,3.28,,,0
NDC,0409-8183-11,NDC Description Not Available,1.88,1.88,,,0
NDC,0409-8183-15,NDC Description Not Available,9.2,9.2,,,0
NDC,0409-9042-01,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01)  / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",14.754999999999999,14.754999999999999,,,0
NDC,0409-9093-35,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-35)  / 5 Ml In 1 Ampule (0409-9093-45),1.0,1.0,,,0
NDC,0409-9094-12,NDC Description Not Available,2.125,2.125,,,0
NDC,0409-9094-16,NDC Description Not Available,1.78,1.78,,,0
NDC,0409-9094-18,NDC Description Not Available,1.23,1.23,,,0
NDC,0409-9094-22,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22)  / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",3.8150000000000004,3.8150000000000004,,,0
NDC,0409-9094-25,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-25)  / 5 Ml In 1 Vial, Single-Dose (0409-9094-18)",1.79,1.79,,,0
NDC,0409-9158-31,NDC Description Not Available,6.76,6.76,,,0
NDC,0409-9558-10,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-10)  / 10 Ml In 1 Vial, Multi-Dose (0409-9558-31)",15.34,15.34,,,0
NDC,0409-9735-01,NDC Description Not Available,4.2,4.2,,,0
NDC,0436-0672-16,Dakins Quarter: 473 Ml In 1 Bottle (0436-0672-16),26.1,26.1,,,0
NDC,0436-0936-16,Dakins Half: 473 Ml In 1 Bottle (0436-0936-16),40.44499999999999,40.44499999999999,,,0
NDC,0456-0400-01,NDC Description Not Available,13.315000000000001,13.315000000000001,,,0
NDC,0456-0458-01,Armour Thyroid: 100 Tablet In 1 Bottle (0456-0458-01),2.51,2.51,,,0
NDC,0456-0600-01,NDC Description Not Available,8.780000000000001,8.780000000000001,,,0
NDC,0456-1110-30,Viibryd: 30 Tablet In 1 Bottle (0456-1110-30),29.775,29.775,,,0
NDC,0456-1120-30,Viibryd: 30 Tablet In 1 Bottle (0456-1120-30),30.15,30.15,,,0
NDC,0456-1201-30,"Linzess: 1 Bottle In 1 Carton (0456-1201-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",45.54,45.54,,,0
NDC,0456-1202-30,"Linzess: 1 Bottle In 1 Carton (0456-1202-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",47.489999999999995,47.489999999999995,,,0
NDC,0456-1203-30,"Linzess: 1 Bottle In 1 Carton (0456-1203-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",48.795,48.795,,,0
NDC,0456-2005-01,"Lexapro: 100 Tablet, Film Coated In 1 Bottle (0456-2005-01)",5.835,5.835,,,0
NDC,0456-2700-01,NDC Description Not Available,241.82,241.82,,,0
NDC,0456-3210-60,60 TABLET in 1 BOTTLE (0456-3210-60),6.125,6.125,,,0
NDC,0469-0420-01,"Cresemba: 1 Vial, Single-Dose In 1 Carton (0469-0420-01)  / 5 Ml In 1 Vial, Single-Dose",2.255,2.255,,,0
NDC,0469-0420-99,"Cresemba: 10 Carton In 1 Carton (0469-0420-99)  / 1 Vial, Single-Dose In 1 Carton (0469-0420-01)  / 5 Ml In 1 Vial, Single-Dose",0.26,0.26,,,0
NDC,0469-0520-02,Cresemba: 2 Blister Pack In 1 Carton (0469-0520-02)  / 7 Capsule In 1 Blister Pack,232.93,232.93,,,0
NDC,0469-1425-90,Xospata: 1 Bottle In 1 Carton (0469-1425-90)  / 90 Tablet In 1 Bottle,858.28,858.28,,,0
NDC,0469-2601-30,"Myrbetriq: 1 Bottle In 1 Carton (0469-2601-30)  / 30 Tablet, Film Coated, Extended Release In 1 Bottle",37.15,37.15,,,0
NDC,0469-2601-90,"Myrbetriq: 1 Bottle In 1 Carton (0469-2601-90)  / 90 Tablet, Film Coated, Extended Release In 1 Bottle",40.515,40.515,,,0
NDC,0469-2602-30,"Myrbetriq: 1 Bottle In 1 Carton (0469-2602-30)  / 30 Tablet, Film Coated, Extended Release In 1 Bottle",37.5,37.5,,,0
NDC,0469-3051-30,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",58.08,58.08,,,0
NDC,0469-3425-10,Vyloy: 1 Vial In 1 Box (0469-3425-10)  / 5 Ml In 1 Vial,61.59,61.59,,,0
NDC,0469-4425-30,Vyloy: 1 Vial In 1 Box (0469-4425-30)  / 15 Ml In 1 Vial,118.45,118.45,,,0
NDC,0469-6501-89,"Lexiscan: 5 Ml In 1 Syringe, Plastic (0469-6501-89)",173.525,173.525,,,0
NDC,0472-0235-16,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (0472-0235-16)",1.87,1.87,,,0
NDC,0480-9259-08,"Octreotide Acetate: 1 Kit In 1 Kit (0480-9259-08)  *  8 Ml In 1 Vial, Single-Dose (0480-9258-01)  *  2 Ml In 1 Syringe (0480-9263-21)",578.64,578.64,,,0
NDC,0487-0201-01,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01)  / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",1.01,1.01,,,0
NDC,0487-2784-01,"Asthmanefrin: 30 Pouch In 1 Carton (0487-2784-01)  / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",5.09,5.09,,,0
NDC,0487-5901-99,"S2: 30 Pouch In 1 Carton (0487-5901-99)  / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",5.06,5.06,,,0
NDC,0487-9301-33,NDC Description Not Available,0.76,0.76,,,0
NDC,0487-9501-00,NDC Description Not Available,0.21,0.21,,,0
NDC,0487-9501-01,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9501-01)  / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",0.27,0.27,,,0
NDC,0487-9701-01,Budesonide: 6 Pouch In 1 Carton (0487-9701-01)  / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,26.62,26.62,,,0
NDC,0487-9801-01,"Ipratropium Bromide: 30 Pouch In 1 Carton (0487-9801-01)  / 1 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",0.76,0.76,,,0
NDC,0487-9901-30,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9901-30)  / 1 Vial, Single-Dose In 1 Pouch / .5 Ml In 1 Vial, Single-Dose",0.43,0.43,,,0
NDC,0517-0031-25,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (0517-0031-25)  / 1 Ml In 1 Vial, Multi-Dose (0517-0031-01)",20.29,20.29,,,0
NDC,0517-0374-01,NDC Description Not Available,5.23,5.23,,,0
NDC,0517-0650-01,"Injectafer: 1 Vial, Single-Dose In 1 Box (0517-0650-01)  / 15 Ml In 1 Vial, Single-Dose",3.77,3.77,,,0
NDC,0517-0710-01,Fomepizole: 1 Vial In 1 Carton (0517-0710-01)  / 1.5 Ml In 1 Vial,14.82,14.82,,,0
NDC,0517-0720-01,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Carton (0517-0720-01)  / 5 Ml In 1 Vial, Multi-Dose",13.41,13.41,,,0
NDC,0517-0740-01,NDC Description Not Available,60.95,60.95,,,0
NDC,0517-1001-01,NDC Description Not Available,0.2,0.2,,,0
NDC,0517-1010-25,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-1010-25)  / 1 mL in 1 VIAL, SINGLE-DOSE",0.345,0.345,,,0
NDC,0517-1980-01,NDC Description Not Available,77.32,77.32,,,0
NDC,0517-2310-01,NDC Description Not Available,0.95,0.95,,,0
NDC,0517-2340-01,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01)  / 5 Ml In 1 Vial, Single-Dose",0.96,0.96,,,0
NDC,0517-2340-10,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10)  / 5 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0
NDC,0517-2340-99,"Venofer: 10 Vial, Single-Dose In 1 Carton (0517-2340-99)  / 5 Ml In 1 Vial, Single-Dose",0.865,0.865,,,0
NDC,0517-4300-01,Paclitaxel Protein Bound Particles Albumin Bound: 1 Vial In 1 Carton (0517-4300-01)  / 20 Ml In 1 Vial,34.62,34.62,,,0
NDC,0517-4601-25,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25)  / 1 Ml In 1 Vial, Single-Dose",13.67,13.67,,,0
NDC,0517-4810-25,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25)  / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",1.88,1.88,,,0
NDC,0517-5601-01,NDC Description Not Available,32.46,32.46,,,0
NDC,0517-5601-25,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25)  / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",29.45,29.45,,,0
NDC,0517-5602-01,NDC Description Not Available,17.46,17.46,,,0
NDC,0517-6101-25,Zinc Sulfate: 25 Vial In 1 Tray (0517-6101-25)  / 10 Ml In 1 Vial (0517-6101-01),4.18,4.18,,,0
NDC,0517-6560-01,NDC Description Not Available,5.77,5.77,,,0
NDC,0517-6710-01,NDC Description Not Available,26.76,26.76,,,0
NDC,0517-7504-25,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7504-25)  / 4 Ml In 1 Vial, Glass",20.7,20.7,,,0
NDC,0517-7604-01,NDC Description Not Available,10.36,10.36,,,0
NDC,0517-9120-01,NDC Description Not Available,3.91,3.91,,,0
NDC,0517-9191-01,NDC Description Not Available,4.55,4.55,,,0
NDC,0517-9305-01,NDC Description Not Available,300.0,300.0,,,0
NDC,0517-9702-01,NDC Description Not Available,6.22,6.22,,,0
NDC,0527-0765-37,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0527-0765-37)",0.98,0.98,,,0
NDC,0527-1313-01,"Pilocarpine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0527-1313-01)",0.805,0.805,,,0
NDC,0527-1346-01,"Levothyroxine Sodium: 100 TABLET in 1 BOTTLE, PLASTIC (0527-1346-01)",1.32,1.32,,,0
NDC,0527-1407-01,"Pilocarpine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0527-1407-01)",1.34,1.34,,,0
NDC,0527-1789-01,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0527-1789-01)",6.14,6.14,,,0
NDC,0527-1790-01,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0527-1790-01)",7.8,7.8,,,0
NDC,0527-5250-70,Valproic Acid: 473 Ml In 1 Bottle (0527-5250-70),0.68,0.68,,,0
NDC,0536-1007-15,"Rugby Cal-Gest Antacid Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0536-1007-15)",0.305,0.305,,,0
NDC,0536-1048-15,"Rugby: 150 Tablet, Chewable In 1 Bottle, Plastic (0536-1048-15)",0.345,0.345,,,0
NDC,0536-1106-88,Nicotine Transdermal System Step 3: 14 Patch In 1 Carton (0536-1106-88)  / 24 H In 1 Patch,4.02,4.02,,,0
NDC,0536-1186-12,Rugby Hemorrhoidal: 12 Blister Pack In 1 Carton (0536-1186-12)  / 1 Suppository In 1 Blister Pack,0.63,0.63,,,0
NDC,0536-1211-95,Dibucaine Topical Anesthetic 1% Hemorrhoidal: 1 Tube In 1 Box (0536-1211-95)  / 28 G In 1 Tube,8.725000000000001,8.725000000000001,,,0
NDC,0536-1224-97,"Rugby Eye Wash: 1 Bottle, Dropper In 1 Box (0536-1224-97)  / 118 Ml In 1 Bottle, Dropper",6.72,6.72,,,0
NDC,0536-1228-58,"Rugby Cherry Flavor: 177 Ml In 1 Bottle, Spray (0536-1228-58)",6.445,6.445,,,0
NDC,0536-1232-01,"Aspirin Regular Strength: 1 Bottle, Plastic In 1 Carton (0536-1232-01)  / 100 Tablet, Delayed Release In 1 Bottle, Plastic",0.63,0.63,,,0
NDC,0536-1254-94,Sodium Chlorode Hypertonicity Ophthalmic Solution: 1 Bottle In 1 Carton (0536-1254-94)  / 15 Ml In 1 Bottle,8.82,8.82,,,0
NDC,0536-1268-12,"Rugby Anti-Itch: 212 G In 1 Bottle, Pump (0536-1268-12)",10.11,10.11,,,0
NDC,0536-1286-36,"Stomach Relief Regular Strength: 237 Ml In 1 Bottle, Plastic (0536-1286-36)",0.715,0.715,,,0
NDC,0536-1293-83,Antacid: 355 Ml In 1 Bottle (0536-1293-83),0.63,0.63,,,0
NDC,0536-1297-01,"Meclizine: 100 Tablet In 1 Bottle, Plastic (0536-1297-01)",0.44,0.44,,,0
NDC,0536-1299-01,"Meclizine Hydrochloride: 100 Tablet, Chewable In 1 Bottle (0536-1299-01)",0.63,0.63,,,0
NDC,0536-1303-75,"Infants: 1 Bottle, Dropper In 1 Carton (0536-1303-75)  / 30 Ml In 1 Bottle, Dropper",0.63,0.63,,,0
NDC,0536-1317-83,Regular Strength Antacid/Antigas: 355 Ml In 1 Bottle (0536-1317-83),0.63,0.63,,,0
NDC,0536-1327-01,"Rugby Regular Strength Acetaminophen: 100 Tablet In 1 Bottle, Plastic (0536-1327-01)",0.32,0.32,,,0
NDC,0536-1327-10,"Rugby Regular Strength Acetaminophen: 1000 Tablet In 1 Bottle, Plastic (0536-1327-10)",0.33,0.33,,,0
NDC,0536-1349-57,Rugby Muscle Rub Cream: 1 Tube In 1 Carton (0536-1349-57)  / 85 G In 1 Tube,6.63,6.63,,,0
NDC,0536-1362-23,"Rugby Nicotine Polacrilex Gum, Mint Flavor: 11 Blister Pack In 1 Carton (0536-1362-23)  / 10 Gum, Chewing In 1 Blister Pack",0.63,0.63,,,0
NDC,0536-1362-25,NDC Description Not Available,0.64,0.64,,,0
NDC,0536-1408-94,"Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Drops: 1 Bottle, Dropper In 1 Box (0536-1408-94)  / 15 Ml In 1 Bottle, Dropper",13.81,13.81,,,0
NDC,0536-1995-53,"Rugby Anti-Dandruff: 207 Ml In 1 Bottle, Plastic (0536-1995-53)",5.44,5.44,,,0
NDC,0536-2506-76,NDC Description Not Available,3.12,3.12,,,0
NDC,0536-2525-25,Capsaicin: 1 Tube In 1 Carton (0536-2525-25)  / 60 G In 1 Tube,13.940000000000001,13.940000000000001,,,0
NDC,0536-4306-11,"Fiber Lax: 90 Tablet, Film Coated In 1 Bottle (0536-4306-11)",0.63,0.63,,,0
NDC,0536-4544-10,Sodium Bicarbonate: 1000 TABLET in 1 BOTTLE (0536-4544-10),0.22,0.22,,,0
NDC,0536-5894-88,Nicotine: 14 Pouch In 1 Carton (0536-5894-88)  / 1 H In 1 Pouch,3.6399999999999997,3.6399999999999997,,,0
NDC,0536-5895-88,Nicotine: 14 Pouch In 1 Carton (0536-5895-88)  / 1 H In 1 Pouch,3.42,3.42,,,0
NDC,0536-5896-88,Nicotine: 14 Pouch In 1 Carton (0536-5896-88)  / 1 H In 1 Pouch,3.64,3.64,,,0
NDC,0548-5900-00,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00)  / 1 Ml In 1 Vial,55.665,55.665,,,0
NDC,0555-0033-02,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0033-02),0.37,0.37,,,0
NDC,0555-0066-02,Isoniazid: 100 Tablet In 1 Bottle (0555-0066-02),0.29,0.29,,,0
NDC,0555-0071-02,Isoniazid: 100 Tablet In 1 Bottle (0555-0071-02),0.63,0.63,,,0
NDC,0555-0158-02,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0158-02),0.405,0.405,,,0
NDC,0555-0159-02,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0159-02),0.365,0.365,,,0
NDC,0555-0484-01,Leucovorin Calcium: 30 Tablet In 1 Bottle (0555-0484-01),3.11,3.11,,,0
NDC,0555-0485-27,Leucovorin Calcium: 25 Tablet In 1 Bottle (0555-0485-27),23.59,23.59,,,0
NDC,0555-0606-02,Megestrol Acetate: 100 Tablet In 1 Bottle (0555-0606-02),0.63,0.63,,,0
NDC,0555-0779-02,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0779-02),0.43,0.43,,,0
NDC,0555-0872-02,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0872-02),0.62,0.62,,,0
NDC,0555-0873-02,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0873-02),0.34,0.34,,,0
NDC,0555-0886-02,Estradiol: 100 Tablet In 1 Bottle (0555-0886-02),0.605,0.605,,,0
NDC,0555-0887-02,Estradiol: 100 Tablet In 1 Bottle (0555-0887-02),0.5,0.5,,,0
NDC,0555-0973-02,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0555-0973-02)",0.8999999999999999,0.8999999999999999,,,0
NDC,0555-0997-02,Fludrocortisone Acetate: 100 Tablet In 1 Bottle (0555-0997-02),0.63,0.63,,,0
NDC,0573-2871-93,Preparation H: 1 Tube In 1 Carton (0573-2871-93)  / 28 G In 1 Tube,18.23,18.23,,,0
NDC,0573-2883-11,Preparation H: 12 Blister Pack In 1 Carton (0573-2883-11)  / 1 Suppository In 1 Blister Pack,1.59,1.59,,,0
NDC,0574-0106-01,"Bromocriptine Mesylate: 100 Tablet In 1 Bottle, Plastic (0574-0106-01)",4.49,4.49,,,0
NDC,0574-0107-70,"Clotrimazole: 70 Lozenge In 1 Bottle, Plastic (0574-0107-70)",1.67,1.67,,,0
NDC,0574-0150-04,"Midazolam Hydrochloride: 1 Bottle, Glass In 1 Carton (0574-0150-04)  / 118 Ml In 1 Bottle, Glass",1.08,1.08,,,0
NDC,0574-0222-01,"Liothyronine Sodium: 100 TABLET in 1 BOTTLE, PLASTIC (0574-0222-01)",0.8,0.8,,,0
NDC,0574-0292-01,Amiloride Hydrochloride: 100 Tablet In 1 Bottle (0574-0292-01),0.585,0.585,,,0
NDC,0574-0521-74,Actidose Aqua: 120 Ml In 1 Tube (0574-0521-74),27.055,27.055,,,0
NDC,0574-0866-10,Cyclosporine: 10 AMPULE in 1 CARTON (0574-0866-10)  / 5 mL in 1 AMPULE,29.63,29.63,,,0
NDC,0574-2042-30,Lidocaine And Prilocaine: 1 Tube In 1 Carton (0574-2042-30)  / 30 G In 1 Tube,31.36,31.36,,,0
NDC,0574-4031-25,"Tobramycin And Dexamethasone: 2.5 Ml In 1 Bottle, Plastic (0574-4031-25)",91.09,91.09,,,0
NDC,0574-7034-12,Aspirin: 12 Packet In 1 Carton (0574-7034-12)  / 1 Suppository In 1 Packet,2.99,2.99,,,0
NDC,0574-7050-12,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12)  / 1 Suppository In 1 Blister Pack,0.93,0.93,,,0
NDC,0574-7090-12,Hydrocortisone Acetate: 12 Packet In 1 Box (0574-7090-12)  / 1 Suppository In 1 Packet,7.64,7.64,,,0
NDC,0574-7226-12,Compro: 12 Packet In 1 Carton (0574-7226-12)  / 1 Suppository In 1 Packet,16.88,16.88,,,0
NDC,0574-9855-10,Budesonide: 1 Bottle In 1 Carton (0574-9855-10)  / 100 Capsule In 1 Bottle,2.39,2.39,,,0
NDC,0591-0347-01,"Hydrochlorothiazide: 100 Capsule, Gelatin Coated In 1 Bottle (0591-0347-01)",0.63,0.63,,,0
NDC,0591-0348-01,"Triamterene And Hydrochlorothiazide: 100 Tablet In 1 Bottle, Plastic (0591-0348-01)",0.63,0.63,,,0
NDC,0591-0404-01,"Verapamil Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0404-01)",0.445,0.445,,,0
NDC,0591-2312-45,NDC Description Not Available,301.35,301.35,,,0
NDC,0591-2473-19,"Tamoxifen Citrate: 90 Tablet In 1 Bottle, Plastic (0591-2473-19)",0.97,0.97,,,0
NDC,0591-2679-11,NDC Description Not Available,3.75,3.75,,,0
NDC,0591-3525-11,NDC Description Not Available,3.86,3.86,,,0
NDC,0591-3541-60,"Bupropion Hydrochloride Sr: 60 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (0591-3541-60)",0.61,0.61,,,0
NDC,0591-3659-30,"Desvenlafaxine: 30 Tablet, Extended Release In 1 Bottle (0591-3659-30)",2.465,2.465,,,0
NDC,0591-5052-01,Prednisone: 100 Tablet In 1 Bottle (0591-5052-01),0.12,0.12,,,0
NDC,0591-5347-01,"Probenecid: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-5347-01)",1.15,1.15,,,0
NDC,0591-5543-01,"Allopurinol: 100 Tablet In 1 Bottle, Plastic (0591-5543-01)",0.56,0.56,,,0
NDC,0591-5694-60,"Minocycline Hydrochloride: 60 Capsule In 1 Bottle, Plastic (0591-5694-60)",0.65,0.65,,,0
NDC,0597-0087-17,"Atrovent Hfa: 1 Canister In 1 Carton (0597-0087-17)  / 200 Aerosol, Metered In 1 Canister",852.37,852.37,,,0
NDC,0597-0100-51,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-51)  / 10 Spray, Metered In 1 Cartridge",94.15,94.15,,,0
NDC,0597-0152-30,"Jardiance: 30 Tablet, Film Coated In 1 Bottle (0597-0152-30)",32.55,32.55,,,0
NDC,0597-0152-37,"Jardiance: 30 Blister Pack In 1 Carton (0597-0152-37)  / 1 Tablet, Film Coated In 1 Blister Pack",34.905,34.905,,,0
NDC,0597-0152-90,"Jardiance: 90 Tablet, Film Coated In 1 Bottle (0597-0152-90)",32.56,32.56,,,0
NDC,0597-0153-37,"Jardiance: 30 Blister Pack In 1 Carton (0597-0153-37)  / 1 Tablet, Film Coated In 1 Blister Pack",34.03,34.03,,,0
NDC,0597-0260-10,"GlucaGen: 1 KIT in 1 KIT (0597-0260-10)  *  1 mL in 1 VIAL, GLASS (0597-0053-01)  *  1 mL in 1 VIAL, GLASS (0597-0265-94)",355.02,355.02,,,0
NDC,0597-0355-56,Pradaxa: 60 Blister Pack In 1 Carton (0597-0355-56)  / 1 Capsule In 1 Blister Pack,8.37,8.37,,,0
NDC,0597-0360-82,Pradaxa: 60 Blister Pack In 1 Carton (0597-0360-82)  / 1 Capsule In 1 Blister Pack,8.065000000000001,8.065000000000001,,,0
NDC,0603-0209-22,Magnesium Oxide: 120 Tablet In 1 Bottle (0603-0209-22),0.565,0.565,,,0
NDC,0603-1161-58,"Dicyclomine Hydrochloride: 473 Ml In 1 Bottle, Plastic (0603-1161-58)",0.61,0.61,,,0
NDC,0603-1329-58,"Iophen C NR: 473 mL in 1 BOTTLE, PLASTIC (0603-1329-58)",1.3,1.3,,,0
NDC,0603-1542-58,"Potassium Chloride: 473 Ml In 1 Bottle, Plastic (0603-1542-58)",7.68,7.68,,,0
NDC,0603-1554-10,NDC Description Not Available,8.129999999999999,8.129999999999999,,,0
NDC,0603-1880-10,NDC Description Not Available,5.63,5.63,,,0
NDC,0603-2434-21,"Benztropine Mesylate: 100 Tablet In 1 Bottle, Plastic (0603-2434-21)",0.63,0.63,,,0
NDC,0603-3078-21,"Cyclobenzaprine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0603-3078-21)",0.37,0.37,,,0
NDC,0603-4593-21,"Methylprednisolone: 100 Tablet In 1 Bottle, Plastic (0603-4593-21)",2.85,2.85,,,0
NDC,0603-5338-21,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0603-5338-21)",0.05,0.05,,,0
NDC,0603-5339-28,"Prednisone: 500 Tablet In 1 Bottle, Plastic (0603-5339-28)",0.03,0.03,,,0
NDC,0641-0367-21,NDC Description Not Available,0.23,0.23,,,0
NDC,0641-0367-25,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-0367-25)  / 1 Ml In 1 Vial (0641-0367-21),0.37,0.37,,,0
NDC,0641-0376-21,NDC Description Not Available,1.88,1.88,,,0
NDC,0641-0376-25,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25)  / 1 Ml In 1 Vial (0641-0376-21),1.88,1.88,,,0
NDC,0641-0476-21,NDC Description Not Available,77.82,77.82,,,0
NDC,0641-0928-21,NDC Description Not Available,2.18,2.18,,,0
NDC,0641-0948-31,NDC Description Not Available,2.68,2.68,,,0
NDC,0641-0948-35,Promethazine Hydrochloride: 25 Ampule In 1 Carton (0641-0948-35)  / 1 Ml In 1 Ampule (0641-0948-31),2.4,2.4,,,0
NDC,0641-0955-21,NDC Description Not Available,1.88,1.88,,,0
NDC,0641-1398-31,NDC Description Not Available,52.16,52.16,,,0
NDC,0641-1410-31,NDC Description Not Available,4.225,4.225,,,0
NDC,0641-1495-31,NDC Description Not Available,2.43,2.43,,,0
NDC,0641-6001-01,NDC Description Not Available,2.565,2.565,,,0
NDC,0641-6007-01,NDC Description Not Available,1.14,1.14,,,0
NDC,0641-6008-01,NDC Description Not Available,2.63,2.63,,,0
NDC,0641-6013-01,NDC Description Not Available,2.56,2.56,,,0
NDC,0641-6013-10,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6013-10)  / 5 Ml In 1 Vial (0641-6013-01),3.65,3.65,,,0
NDC,0641-6015-01,NDC Description Not Available,14.96,14.96,,,0
NDC,0641-6015-10,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6015-10)  / 25 Ml In 1 Vial (0641-6015-01),14.96,14.96,,,0
NDC,0641-6019-01,NDC Description Not Available,17.35,17.35,,,0
NDC,0641-6022-01,NDC Description Not Available,0.025,0.025,,,0
NDC,0641-6027-01,NDC Description Not Available,2.02,2.02,,,0
NDC,0641-6029-01,Fentanyl Citrate: 20 Ml In 1 Vial (0641-6029-01),1.82,1.82,,,0
NDC,0641-6030-01,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),1.66,1.66,,,0
NDC,0641-6044-01,NDC Description Not Available,2.28,2.28,,,0
NDC,0641-6052-01,NDC Description Not Available,6.895,6.895,,,0
NDC,0641-6059-01,NDC Description Not Available,0.78,0.78,,,0
NDC,0641-6060-01,NDC Description Not Available,0.09,0.09,,,0
NDC,0641-6061-01,NDC Description Not Available,1.86,1.86,,,0
NDC,0641-6071-01,NDC Description Not Available,10.06,10.06,,,0
NDC,0641-6078-01,NDC Description Not Available,0.38,0.38,,,0
NDC,0641-6079-01,Ondansetron: 20 Ml In 1 Carton (0641-6079-01),0.15,0.15,,,0
NDC,0641-6080-01,NDC Description Not Available,0.46,0.46,,,0
NDC,0641-6084-01,NDC Description Not Available,4.14,4.14,,,0
NDC,0641-6084-25,Phenergan: 25 Vial In 1 Carton (0641-6084-25)  / 1 Ml In 1 Vial (0641-6084-01),2.12,2.12,,,0
NDC,0641-6116-01,NDC Description Not Available,5.54,5.54,,,0
NDC,0641-6117-01,NDC Description Not Available,4.67,4.67,,,0
NDC,0641-6125-01,NDC Description Not Available,6.415,6.415,,,0
NDC,0641-6125-25,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6125-25)  / 1 Ml In 1 Vial, Single-Dose (0641-6125-01)",6.18,6.18,,,0
NDC,0641-6137-01,NDC Description Not Available,3.17,3.17,,,0
NDC,0641-6142-01,NDC Description Not Available,0.01,0.01,,,0
NDC,0641-6145-01,NDC Description Not Available,0.63,0.63,,,0
NDC,0641-6149-01,NDC Description Not Available,0.29,0.29,,,0
NDC,0641-6151-01,NDC Description Not Available,0.135,0.135,,,0
NDC,0641-6174-01,NDC Description Not Available,3.2649999999999997,3.2649999999999997,,,0
NDC,0641-6175-01,NDC Description Not Available,0.97,0.97,,,0
NDC,0641-6184-01,NDC Description Not Available,4.324999999999999,4.324999999999999,,,0
NDC,0641-6188-10,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0641-6188-10)  / 5 Ml In 1 Vial, Pharmacy Bulk Package (0641-6188-01)",0.01,0.01,,,0
NDC,0641-6190-01,NDC Description Not Available,0.1,0.1,,,0
NDC,0641-6228-01,NDC Description Not Available,5.0,5.0,,,0
NDC,0641-6228-25,Thiamine Hydrochloride: 25 Vial In 1 Carton (0641-6228-25)  / 2 Ml In 1 Vial (0641-6228-01),5.01,5.01,,,0
NDC,0641-6238-01,NDC Description Not Available,2.96,2.96,,,0
NDC,0641-6244-01,NDC Description Not Available,32.43,32.43,,,0
NDC,0641-6267-01,NDC Description Not Available,0.72,0.72,,,0
NDC,0641-6286-01,"Ondansetron: 20 Ml In 1 Vial, Multi-Dose (0641-6286-01)",0.16,0.16,,,0
NDC,0641-9217-01,NDC Description Not Available,4.08,4.08,,,0
NDC,0641-9217-10,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-9217-10)  / 5 Ml In 1 Vial (0641-9217-01),5.52,5.52,,,0
NDC,0641-9218-01,NDC Description Not Available,7.83,7.83,,,0
NDC,0641-9218-10,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-9218-10)  / 10 Ml In 1 Vial (0641-9218-01),8.39,8.39,,,0
NDC,0641-9219-01,NDC Description Not Available,14.63,14.63,,,0
NDC,0703-0018-01,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01)  / 50 Ml In 1 Vial,0.06,0.06,,,0
NDC,0703-0113-01,NDC Description Not Available,0.19,0.19,,,0
NDC,0703-3301-04,"Octreotide Acetate: 25 VIAL, SINGLE-USE in 1 TRAY (0703-3301-04)  / 1 mL in 1 VIAL, SINGLE-USE (0703-3301-01)",5.96,5.96,,,0
NDC,0703-3671-01,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3671-01)  / 2 Ml In 1 Vial, Single-Dose",66.665,66.665,,,0
NDC,0703-3985-01,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0703-3985-01)  / 10 Ml In 1 Vial, Single-Use",1.74,1.74,,,0
NDC,0703-4246-01,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4246-01)  / 15 Ml In 1 Vial, Multi-Dose",32.02,32.02,,,0
NDC,0703-4502-01,NDC Description Not Available,2.045,2.045,,,0
NDC,0703-8580-23,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8580-23)  / 1 mL in 1 SYRINGE (0703-8580-21),2.37,2.37,,,0
NDC,0703-9514-01,NDC Description Not Available,0.23,0.23,,,0
NDC,0703-9514-81,NDC Description Not Available,0.24,0.24,,,0
NDC,0703-9514-91,NDC Description Not Available,0.4,0.4,,,0
NDC,0713-0280-31,Bacitracin: 28.4 G In 1 Tube (0713-0280-31),4.39,4.39,,,0
NDC,0713-0503-06,NDC Description Not Available,23.92,23.92,,,0
NDC,0713-0634-15,Mometasone Furoate: 1 Tube In 1 Carton (0713-0634-15)  / 15 G In 1 Tube,29.735,29.735,,,0
NDC,0713-0637-37,Metronidazole: 1 Tube In 1 Carton (0713-0637-37)  / 45 G In 1 Tube,82.69,82.69,,,0
NDC,0713-0655-40,Triamcinolone Acetonide: 1 Tube In 1 Carton (0713-0655-40)  / 5 G In 1 Tube,79.1,79.1,,,0
NDC,0713-0682-15,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0682-15)  / 15 G In 1 Tube,73.12,73.12,,,0
NDC,0713-0683-15,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0683-15)  / 15 G In 1 Tube,95.61,95.61,,,0
NDC,0713-0683-31,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0683-31)  / 30 G In 1 Tube,199.4,199.4,,,0
NDC,0781-1061-01,Alprazolam: 100 Tablet In 1 Bottle (0781-1061-01),0.63,0.63,,,0
NDC,0781-1123-01,Triamterene hydrochlorothiazide: 100 TABLET in 1 BOTTLE (0781-1123-01),0.63,0.63,,,0
NDC,0781-1488-01,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1488-01)",1.22,1.22,,,0
NDC,0781-1489-01,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1489-01)",1.915,1.915,,,0
NDC,0781-1635-01,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (0781-1635-01),0.72,0.72,,,0
NDC,0781-1831-20,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0781-1831-20)",2.4050000000000002,2.4050000000000002,,,0
NDC,0781-1962-60,Clarithromycin: 60 Tablet In 1 Bottle (0781-1962-60),2.37,2.37,,,0
NDC,0781-2074-01,Triamterene And Hydrochlorothiazide: 100 Capsule In 1 Bottle (0781-2074-01),0.62,0.62,,,0
NDC,0781-2103-01,Tacrolimus: 100 Capsule In 1 Bottle (0781-2103-01),1.005,1.005,,,0
NDC,0781-3059-72,NDC Description Not Available,2.46,2.46,,,0
NDC,0781-3098-94,NDC Description Not Available,1.45,1.45,,,0
NDC,0781-3110-90,NDC Description Not Available,3.46,3.46,,,0
NDC,0781-3113-90,NDC Description Not Available,2.6950000000000003,2.6950000000000003,,,0
NDC,0781-3114-91,NDC Description Not Available,2.94,2.94,,,0
NDC,0781-3114-95,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3114-95)  / 20 Ml In 1 Vial, Single-Use (0781-3114-91)",2.94,2.94,,,0
NDC,0781-3150-75,NDC Description Not Available,7.57,7.57,,,0
NDC,0781-3150-95,Cisatracurium Besylate: 10 Box In 1 Carton (0781-3150-95)  / 1 Vial In 1 Box (0781-3150-75)  / 5 Ml In 1 Vial,7.57,7.57,,,0
NDC,0781-3152-70,NDC Description Not Available,14.02,14.02,,,0
NDC,0781-3152-95,"Cisatracurium Besylate: 10 Vial, Multi-Dose In 1 Carton (0781-3152-95)  / 10 Ml In 1 Vial, Multi-Dose (0781-3152-70)",14.02,14.02,,,0
NDC,0781-3156-06,NDC Description Not Available,0.27,0.27,,,0
NDC,0781-3209-90,NDC Description Not Available,0.79,0.79,,,0
NDC,0781-3233-94,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94)  / 25 Ml In 1 Vial, Single-Dose",2.02,2.02,,,0
NDC,0781-3244-94,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94)  / 50 Ml In 1 Vial, Single-Dose",2.33,2.33,,,0
NDC,0781-3269-71,NDC Description Not Available,2.53,2.53,,,0
NDC,0781-3289-91,NDC Description Not Available,10.235,10.235,,,0
NDC,0781-3290-91,NDC Description Not Available,8.315000000000001,8.315000000000001,,,0
NDC,0781-3315-70,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3315-70)  / 10 Ml In 1 Vial, Single-Use",0.46499999999999997,0.46499999999999997,,,0
NDC,0781-3407-78,NDC Description Not Available,1.88,1.88,,,0
NDC,0781-3408-80,NDC Description Not Available,1.71,1.71,,,0
NDC,0781-3411-70,NDC Description Not Available,1.23,1.23,,,0
NDC,0781-3415-75,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3415-75)  / 5 Ml In 1 Vial, Single-Dose",4.35,4.35,,,0
NDC,0781-3440-71,NDC Description Not Available,84.875,84.875,,,0
NDC,0781-3491-94,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0781-3491-94)",1.105,1.105,,,0
NDC,0781-3494-91,NDC Description Not Available,19.18,19.18,,,0
NDC,0781-3494-95,Dexmedetomidine Hydrochloride In 0.9% Sodium Chloride: 10 Bottle In 1 Carton (0781-3494-95)  / 50 Ml In 1 Bottle,19.73,19.73,,,0
NDC,0781-3531-91,"Paclitaxel: 1 Vial, Single-Dose In 1 Carton (0781-3531-91)  / 20 Ml In 1 Vial, Single-Dose",27.32,27.32,,,0
NDC,0781-3755-75,NDC Description Not Available,9.13,9.13,,,0
NDC,0781-3755-95,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (0781-3755-95)  / 4 Ml In 1 Vial, Single-Dose (0781-3755-75)",9.05,9.05,,,0
NDC,0781-5077-01,Loratadine: 100 TABLET in 1 BOTTLE (0781-5077-01),0.63,0.63,,,0
NDC,0781-5189-92,Levothyroxine sodium: 90 TABLET in 1 BOTTLE (0781-5189-92),1.64,1.64,,,0
NDC,0781-5239-06,NDC Description Not Available,0.35,0.35,,,0
NDC,0781-5439-01,"Cefpodoxime Proxetil: 100 Tablet, Film Coated In 1 Bottle (0781-5439-01)",13.155000000000001,13.155000000000001,,,0
NDC,0781-5637-01,"Carbidopa, Levodopa, And Entacapone: 100 Tablet, Film Coated In 1 Bottle (0781-5637-01)",1.29,1.29,,,0
NDC,0781-5668-31,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (0781-5668-31)",3.58,3.58,,,0
NDC,0781-5669-01,"Carbidopa, Levodopa, And Entacapone: 100 Tablet, Film Coated In 1 Bottle (0781-5669-01)",1.59,1.59,,,0
NDC,0781-6039-46,Amoxicillin: 100 Ml In 1 Bottle (0781-6039-46),1.105,1.105,,,0
NDC,0781-6136-94,"Penicillin G Potassium: 1 Vial In 1 Carton (0781-6136-94)  / 1 Injection, Powder, For Solution In 1 Vial",1.23,1.23,,,0
NDC,0781-7144-58,NDC Description Not Available,16.990000000000002,16.990000000000002,,,0
NDC,0781-9053-70,NDC Description Not Available,1.26,1.26,,,0
NDC,0781-9055-12,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-9055-12)  / 5 Ml In 1 Syringe, Glass (0781-9055-01)",18.695,18.695,,,0
NDC,0781-9210-90,NDC Description Not Available,6.84,6.84,,,0
NDC,0781-9210-95,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-9210-95)  / 10 Ml In 1 Vial, Single-Use (0781-9210-90)",7.11,7.11,,,0
NDC,0781-9214-91,NDC Description Not Available,4.83,4.83,,,0
NDC,0781-9250-95,"Ampicillin: 10 Vial, Glass In 1 Package (0781-9250-95)  / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-9250-78)",9.69,9.69,,,0
NDC,0781-9315-70,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-9315-70)  / 10 Ml In 1 Vial, Single-Use",0.6900000000000001,0.6900000000000001,,,0
NDC,0781-9317-80,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-9317-80)  / 20 Ml In 1 Vial, Single-Use",0.51,0.51,,,0
NDC,0781-9404-85,NDC Description Not Available,2.05,2.05,,,0
NDC,0781-9407-78,NDC Description Not Available,7.83,7.83,,,0
NDC,0781-9408-80,NDC Description Not Available,1.71,1.71,,,0
NDC,0799-0001-04,Calmoseptine: 113 G In 1 Tube (0799-0001-04),14.04,14.04,,,0
NDC,0832-0038-89,NDC Description Not Available,1.01,1.01,,,0
NDC,0832-0541-11,Bumetanide: 100 Tablet In 1 Bottle (0832-0541-11),0.66,0.66,,,0
NDC,0832-1211-89,NDC Description Not Available,0.48,0.48,,,0
NDC,0832-1212-89,NDC Description Not Available,0.41,0.41,,,0
NDC,0832-1213-89,NDC Description Not Available,0.79,0.79,,,0
NDC,0832-1214-89,NDC Description Not Available,0.38,0.38,,,0
NDC,0832-1215-00,Jantoven: 100 Tablet In 1 Bottle (0832-1215-00),0.55,0.55,,,0
NDC,0832-1215-89,NDC Description Not Available,0.575,0.575,,,0
NDC,0832-1216-89,NDC Description Not Available,0.5449999999999999,0.5449999999999999,,,0
NDC,0832-1218-00,Jantoven: 100 Tablet In 1 Bottle (0832-1218-00),0.62,0.62,,,0
NDC,0832-1218-01,Jantoven: 100 Blister Pack In 1 Carton (0832-1218-01)  / 1 Tablet In 1 Blister Pack (0832-1218-89),1.55,1.55,,,0
NDC,0832-1218-89,NDC Description Not Available,0.63,0.63,,,0
NDC,0832-5323-11,"Potassium Chloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (0832-5323-11)",0.63,0.63,,,0
NDC,0832-7123-89,NDC Description Not Available,0.62,0.62,,,0
NDC,0832-7124-89,NDC Description Not Available,0.67,0.67,,,0
NDC,0869-0831-43,"Oil: 473 Ml In 1 Bottle, Plastic (0869-0831-43)",3.62,3.62,,,0
NDC,0869-0871-43,"Hydrogen Peroxide: 473 Ml In 1 Bottle, Plastic (0869-0871-43)",26.405,26.405,,,0
NDC,0869-4706-10,NDC Description Not Available,2.49,2.49,,,0
NDC,0904-0428-06,Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0428-06)  / 1 Capsule In 1 Blister Pack,2.975,2.975,,,0
NDC,0904-1313-09,Bismatrol: 236 mL in 1 BOTTLE (0904-1313-09),0.67,0.67,,,0
NDC,0904-1453-61,Metronidazole: 100 BLISTER PACK in 1 CARTON (0904-1453-61)  / 1 TABLET in 1 BLISTER PACK,0.79,0.79,,,0
NDC,0904-2015-59,"Tri-Buffered Aspirin: 1 Bottle, Plastic In 1 Carton (0904-2015-59)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",0.63,0.63,,,0
NDC,0904-2056-61,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-2056-61)  / 10 Capsule In 1 Blister Pack,0.63,0.63,,,0
NDC,0904-2533-21,"Calamine: 177 Ml In 1 Bottle, Plastic (0904-2533-21)",2.955,2.955,,,0
NDC,0904-2725-61,Sulfamethoxazole And Trimethoprim: 100 Blister Pack In 1 Carton (0904-2725-61)  / 1 Tablet In 1 Blister Pack,0.565,0.565,,,0
NDC,0904-2821-61,Oxybutynin Chloride: 100 BLISTER PACK in 1 CARTON (0904-2821-61)  / 1 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
NDC,0904-3854-61,"Carbamazepine: 100 Blister Pack In 1 Carton (0904-3854-61)  / 1 Tablet, Chewable In 1 Blister Pack",1.27,1.27,,,0
NDC,0904-3865-75,NDC Description Not Available,1.8050000000000002,1.8050000000000002,,,0
NDC,0904-5045-61,Captopril: 100 BLISTER PACK in 1 CARTON (0904-5045-61)  / 1 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
NDC,0904-5053-59,"Sudogest: 1 Bottle, Plastic In 1 Carton (0904-5053-59)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",0.345,0.345,,,0
NDC,0904-5306-60,Diphenhydramine Hydrochloride: 100 Capsule In 1 Bottle (0904-5306-60),0.63,0.63,,,0
NDC,0904-5306-61,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-5306-61)  / 10 Capsule In 1 Blister Pack,0.63,0.63,,,0
NDC,0904-5309-20,Ibuprofen: 1 Bottle In 1 Carton (0904-5309-20)  / 120 Ml In 1 Bottle,0.06,0.06,,,0
NDC,0904-5448-61,"Pentoxifylline: 100 Blister Pack In 1 Carton (0904-5448-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-5522-61,Doxazosin: 100 Blister Pack In 1 Carton (0904-5522-61)  / 1 Tablet In 1 Blister Pack,2.105,2.105,,,0
NDC,0904-5523-61,Doxazosin: 100 Blister Pack In 1 Carton (0904-5523-61)  / 1 Tablet In 1 Blister Pack,1.19,1.19,,,0
NDC,0904-5524-61,Doxazosin: 100 Blister Pack In 1 Carton (0904-5524-61)  / 1 Tablet In 1 Blister Pack,2.205,2.205,,,0
NDC,0904-5529-52,"Heartburn Relief Original Strength: 1 Bottle In 1 Carton (0904-5529-52)  / 60 Tablet, Film Coated In 1 Bottle",0.625,0.625,,,0
NDC,0904-5529-87,"Heartburn Relief Original Strength: 30 Blister Pack In 1 Carton (0904-5529-87)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-5676-61,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (0904-5676-61)  / 1 Tablet, Film Coated In 1 Blister Pack",1.2149999999999999,1.2149999999999999,,,0
NDC,0904-5677-61,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (0904-5677-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.625,0.625,,,0
NDC,0904-5784-61,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61)  / 1 Capsule In 1 Blister Pack,0.595,0.595,,,0
NDC,0904-5785-61,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61)  / 1 Capsule In 1 Blister Pack,0.455,0.455,,,0
NDC,0904-5789-61,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61)  / 1 Capsule In 1 Blister Pack,0.5549999999999999,0.5549999999999999,,,0
NDC,0904-5811-61,"lisinopril: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (0904-5811-61)  / 1 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
NDC,0904-5853-40,Ibuprofen: 500 Tablet In 1 Bottle (0904-5853-40),0.56,0.56,,,0
NDC,0904-5853-61,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5853-61)  / 1 Tablet In 1 Blister Pack,0.58,0.58,,,0
NDC,0904-5854-61,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5854-61)  / 1 Tablet In 1 Blister Pack,0.625,0.625,,,0
NDC,0904-5891-61,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61)  / 1 Tablet In 1 Blister Pack",0.7,0.7,,,0
NDC,0904-5892-61,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5892-61)  / 1 Tablet In 1 Blister Pack",0.945,0.945,,,0
NDC,0904-5893-61,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5893-61)  / 1 Tablet In 1 Blister Pack",1.3599999999999999,1.3599999999999999,,,0
NDC,0904-5921-61,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61)  / 1 Tablet In 1 Blister Pack,2.625,2.625,,,0
NDC,0904-5922-61,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61)  / 1 Tablet In 1 Blister Pack,2.38,2.38,,,0
NDC,0904-5925-61,"Haloperidol: 100 TABLET in 1 BOX, UNIT-DOSE (0904-5925-61)",0.39,0.39,,,0
NDC,0904-5929-61,"Labetalol hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-5929-61)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",0.265,0.265,,,0
NDC,0904-5959-61,Clindamycin Hydrochloride: 100 Blister Pack In 1 Carton (0904-5959-61)  / 1 Capsule In 1 Blister Pack,0.47,0.47,,,0
NDC,0904-6007-61,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61)  / 1 Tablet In 1 Blister Pack,0.61,0.61,,,0
NDC,0904-6008-61,Lorazepam: 100 Blister Pack In 1 Carton (0904-6008-61)  / 1 Tablet In 1 Blister Pack,0.47,0.47,,,0
NDC,0904-6019-46,Bicalutamide: 30 Tablet In 1 Bottle (0904-6019-46),0.7,0.7,,,0
NDC,0904-6082-61,Zolpidem Tartrate: 100 Blister Pack In 1 Carton (0904-6082-61)  / 1 Tablet In 1 Blister Pack,7.375,7.375,,,0
NDC,0904-6084-61,"Citalopram: 100 Blister Pack In 1 Carton (0904-6084-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.5549999999999999,0.5549999999999999,,,0
NDC,0904-6085-61,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.445,0.445,,,0
NDC,0904-6088-61,"Sertraline Hydrochloride: 100 TABLET, FILM COATED in 1 BOX, UNIT-DOSE (0904-6088-61)",0.455,0.455,,,0
NDC,0904-6090-61,"Metformin Hydrochloride: 100 TABLET in 1 BOX, UNIT-DOSE (0904-6090-61)",0.3,0.3,,,0
NDC,0904-6093-61,"Bupropion Hydrochloride: 100 TABLET, FILM COATED in 1 BOX, UNIT-DOSE (0904-6093-61)",0.58,0.58,,,0
NDC,0904-6172-61,Carbamazepine: 100 Blister Pack In 1 Carton (0904-6172-61)  / 1 Tablet In 1 Blister Pack,1.215,1.215,,,0
NDC,0904-6221-61,Ursodiol: 100 Blister Pack In 1 Carton (0904-6221-61)  / 1 Capsule In 1 Blister Pack,7.265,7.265,,,0
NDC,0904-6238-61,Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (0904-6238-61)  / 1 Tablet In 1 Blister Pack,0.62,0.62,,,0
NDC,0904-6269-45,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6269-45)  / 1 Capsule In 1 Blister Pack,4.48,4.48,,,0
NDC,0904-6290-61,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.69,0.69,,,0
NDC,0904-6291-61,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6291-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.6,0.6,,,0
NDC,0904-6292-61,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6292-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.55,0.55,,,0
NDC,0904-6294-61,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.62,0.62,,,0
NDC,0904-6300-61,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",0.63,0.63,,,0
NDC,0904-6301-61,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6301-61)",0.5900000000000001,0.5900000000000001,,,0
NDC,0904-6303-61,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6303-61)",0.615,0.615,,,0
NDC,0904-6322-06,"Metoprolol Succinate: 50 Blister Pack In 1 Carton (0904-6322-06)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.03,1.03,,,0
NDC,0904-6322-61,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.52,1.52,,,0
NDC,0904-6323-61,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6323-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",2.08,2.08,,,0
NDC,0904-6358-61,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6358-61)",0.48,0.48,,,0
NDC,0904-6359-61,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6359-61)",0.63,0.63,,,0
NDC,0904-6363-61,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6363-61)  / 1 Tablet, Extended Release In 1 Blister Pack",1.74,1.74,,,0
NDC,0904-6369-61,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61)  / 1 Tablet In 1 Blister Pack,0.595,0.595,,,0
NDC,0904-6370-61,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61)  / 1 Tablet In 1 Blister Pack,0.61,0.61,,,0
NDC,0904-6371-61,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
NDC,0904-6373-61,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6373-61)  / 1 Tablet, Film Coated In 1 Blister Pack",1.15,1.15,,,0
NDC,0904-6407-61,"Bisacodyl: 10 Blister Pack In 1 Box (0904-6407-61)  / 10 Tablet, Delayed Release In 1 Blister Pack",0.39,0.39,,,0
NDC,0904-6412-92,"Major Regular Strength Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0904-6412-92)",0.32,0.32,,,0
NDC,0904-6418-61,Tizanidine: 100 Blister Pack In 1 Carton (0904-6418-61)  / 1 Tablet In 1 Blister Pack,1.09,1.09,,,0
NDC,0904-6426-61,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.525,0.525,,,0
NDC,0904-6427-61,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6427-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.62,0.62,,,0
NDC,0904-6436-04,Temazepam: 30 Blister Pack In 1 Carton (0904-6436-04)  / 1 Capsule In 1 Blister Pack,6.79,6.79,,,0
NDC,0904-6440-61,"Hydralazine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6440-61)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",0.48,0.48,,,0
NDC,0904-6441-61,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6441-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.585,0.585,,,0
NDC,0904-6442-61,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6442-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.315,0.315,,,0
NDC,0904-6449-61,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6449-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.77,0.77,,,0
NDC,0904-6450-61,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6450-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.84,0.84,,,0
NDC,0904-6452-61,"Duloxetine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6452-61)  / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK",3.9,3.9,,,0
NDC,0904-6467-07,"Clopidogrel: 30 Blister Pack In 1 Carton (0904-6467-07)  / 1 Tablet, Film Coated In 1 Blister Pack",19.689999999999998,19.689999999999998,,,0
NDC,0904-6469-61,"Venlafaxine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6469-61)  / 1 CAPSULE, EXTENDED RELEASE in 1 BLISTER PACK",1.4,1.4,,,0
NDC,0904-6474-61,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-6475-61,Baclofen: 100 Blister Pack In 1 Carton (0904-6475-61)  / 1 Tablet In 1 Blister Pack,0.86,0.86,,,0
NDC,0904-6477-61,"Donepezil Hydrochloride: 100 Blister Pack In 1 Carton (0904-6477-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.62,0.62,,,0
NDC,0904-6478-61,"Donepezil Hydrochloride: 100 Blister Pack In 1 Carton (0904-6478-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-6488-38,Major Lubrifresh Pm: 1 Tube In 1 Carton (0904-6488-38)  / 3.5 G In 1 Tube,12.59,12.59,,,0
NDC,0904-6500-61,Fluconazole: 100 Blister Pack In 1 Carton (0904-6500-61)  / 1 Tablet In 1 Blister Pack,2.71,2.71,,,0
NDC,0904-6501-61,Fluconazole: 100 Blister Pack In 1 Carton (0904-6501-61)  / 1 Tablet In 1 Blister Pack,4.115,4.115,,,0
NDC,0904-6503-61,Celecoxib: 100 Blister Pack In 1 Carton (0904-6503-61)  / 1 Capsule In 1 Blister Pack,4.855,4.855,,,0
NDC,0904-6506-61,"Memantine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6506-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.8400000000000001,0.8400000000000001,,,0
NDC,0904-6511-61,Aripiprazole: 100 Blister Pack In 1 Carton (0904-6511-61)  / 1 Tablet In 1 Blister Pack,51.39,51.39,,,0
NDC,0904-6512-04,Aripiprazole: 30 Blister Pack In 1 Carton (0904-6512-04)  / 1 Tablet In 1 Blister Pack,50.504999999999995,50.504999999999995,,,0
NDC,0904-6522-61,"Senna-Lax: 10 Blister Pack In 1 Box (0904-6522-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
NDC,0904-6530-61,Methadone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6530-61)  / 1 Tablet In 1 Blister Pack,0.62,0.62,,,0
NDC,0904-6550-61,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6550-61)  / 1 Tablet In 1 Blister Pack,0.615,0.615,,,0
NDC,0904-6553-04,"Linezolid: 30 Blister Pack In 1 Carton (0904-6553-04)  / 1 Tablet, Film Coated In 1 Blister Pack",9.69,9.69,,,0
NDC,0904-6554-61,Trazodone Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6554-61)  / 1 TABLET in 1 BLISTER PACK,0.425,0.425,,,0
NDC,0904-6557-61,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6557-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.12,1.12,,,0
NDC,0904-6558-61,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6558-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",2.23,2.23,,,0
NDC,0904-6564-61,100 BLISTER PACK in 1 CARTON (0904-6564-61)  / 1 CAPSULE in 1 BLISTER PACK,1.1749999999999998,1.1749999999999998,,,0
NDC,0904-6565-61,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61)  / 1 Tablet, Film Coated In 1 Blister Pack",2.605,2.605,,,0
NDC,0904-6570-61,"Oxybutynin Chloride: 100 Blister Pack In 1 Carton (0904-6570-61)  / 1 Tablet, Extended Release In 1 Blister Pack",3.09,3.09,,,0
NDC,0904-6572-61,Allopurinol: 100 Blister Pack In 1 Carton (0904-6572-61)  / 1 Tablet In 1 Blister Pack,0.925,0.925,,,0
NDC,0904-6583-04,"Lamivudine: 30 Blister Pack In 1 Carton (0904-6583-04)  / 1 Tablet, Film Coated In 1 Blister Pack",13.120000000000001,13.120000000000001,,,0
NDC,0904-6592-04,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04)  / 1 Capsule, Extended Release In 1 Blister Pack",13.02,13.02,,,0
NDC,0904-6599-61,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6599-61)  / 1 Tablet, Film Coated In 1 Blister Pack",1.86,1.86,,,0
NDC,0904-6615-61,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6615-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",1.615,1.615,,,0
NDC,0904-6618-61,"Hydroxyzine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6618-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.69,0.69,,,0
NDC,0904-6619-61,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6619-61)  / 1 Tablet In 1 Blister Pack,1.185,1.185,,,0
NDC,0904-6620-61,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6620-61)  / 1 Tablet In 1 Blister Pack,1.4049999999999998,1.4049999999999998,,,0
NDC,0904-6624-61,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61)  / 1 Capsule In 1 Blister Pack,3.22,3.22,,,0
NDC,0904-6635-61,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6635-61)  / 1 Tablet, Film Coated In 1 Blister Pack",2.13,2.13,,,0
NDC,0904-6636-61,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6636-61)  / 1 Tablet, Film Coated In 1 Blister Pack",3.26,3.26,,,0
NDC,0904-6637-61,Glipizide: 100 Blister Pack In 1 Carton (0904-6637-61)  / 1 Tablet In 1 Blister Pack,0.605,0.605,,,0
NDC,0904-6638-61,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.595,0.595,,,0
NDC,0904-6640-61,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.845,0.845,,,0
NDC,0904-6642-61,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6642-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.655,0.655,,,0
NDC,0904-6663-61,Acetazolamide: 100 Blister Pack In 1 Carton (0904-6663-61)  / 1 Tablet In 1 Blister Pack,7.345000000000001,7.345000000000001,,,0
NDC,0904-6665-61,Gabapentin: 100 Blister Pack In 1 Carton (0904-6665-61)  / 1 Capsule In 1 Blister Pack,0.53,0.53,,,0
NDC,0904-6666-61,Gabapentin: 100 Blister Pack In 1 Carton (0904-6666-61)  / 1 Capsule In 1 Blister Pack,0.495,0.495,,,0
NDC,0904-6667-61,Gabapentin: 100 Blister Pack In 1 Carton (0904-6667-61)  / 1 Capsule In 1 Blister Pack,0.505,0.505,,,0
NDC,0904-6671-04,"Sildenafil: 30 Blister Pack In 1 Carton (0904-6671-04)  / 1 Tablet, Film Coated In 1 Blister Pack",1.63,1.63,,,0
NDC,0904-6671-06,"Sildenafil: 50 Blister Pack In 1 Carton (0904-6671-06)  / 1 Tablet, Film Coated In 1 Blister Pack",1.0950000000000002,1.0950000000000002,,,0
NDC,0904-6681-08,Dofetilide: 40 Blister Pack In 1 Carton (0904-6681-08)  / 1 Capsule In 1 Blister Pack,8.48,8.48,,,0
NDC,0904-6707-82,"Sevelamer Carbonate: 100 Blister Pack In 1 Carton (0904-6707-82)  / 1 Tablet, Film Coated In 1 Blister Pack",9.23,9.23,,,0
NDC,0904-6709-61,Glycopyrrolate: 100 Blister Pack In 1 Carton (0904-6709-61)  / 1 Tablet In 1 Blister Pack,2.85,2.85,,,0
NDC,0904-6717-61,"Cetirizine: 100 Blister Pack In 1 Carton (0904-6717-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-6718-39,"Mucus Relief Er: 100 Blister Pack In 1 Carton (0904-6718-39)  / 1 Tablet, Extended Release In 1 Blister Pack",1.415,1.415,,,0
NDC,0904-6720-40,Acetaminophen: 500 Tablet In 1 Bottle (0904-6720-40),0.32,0.32,,,0
NDC,0904-6730-59,Acetaminophen: 1 Bottle In 1 Carton (0904-6730-59)  / 100 Tablet In 1 Bottle,0.32,0.32,,,0
NDC,0904-6730-60,Acetaminophen: 100 Tablet In 1 Bottle (0904-6730-60),0.25,0.25,,,0
NDC,0904-6730-61,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6730-61)  / 10 Tablet In 1 Blister Pack",0.32,0.32,,,0
NDC,0904-6730-80,Acetaminophen: 1000 Tablet In 1 Bottle (0904-6730-80),0.325,0.325,,,0
NDC,0904-6733-61,Haloperidol: 100 Blister Pack In 1 Carton (0904-6733-61)  / 1 Tablet In 1 Blister Pack,2.33,2.33,,,0
NDC,0904-6751-80,"Aspirin Low Dose: 1000 Tablet, Delayed Release In 1 Bottle, Plastic (0904-6751-80)",0.63,0.63,,,0
NDC,0904-6761-30,"Nasal Decongestant: 1 Bottle, Spray In 1 Carton (0904-6761-30)  / 30 Ml In 1 Bottle, Spray",0.02,0.02,,,0
NDC,0904-6773-61,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61)  / 10 Tablet In 1 Blister Pack",0.33,0.33,,,0
NDC,0904-6778-61,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6778-61)  / 1 Tablet, Coated In 1 Blister Pack",2.02,2.02,,,0
NDC,0904-6781-61,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6781-61)  / 1 Tablet, Coated In 1 Blister Pack",2.55,2.55,,,0
NDC,0904-6782-61,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61)  / 1 Tablet In 1 Blister Pack,1.46,1.46,,,0
NDC,0904-6794-80,"Aspirin Low Dose Chewable Orange: 1000 Tablet, Chewable In 1 Package (0904-6794-80)",0.48,0.48,,,0
NDC,0904-6797-61,Lisinopril: 100 Blister Pack In 1 Carton (0904-6797-61)  / 1 Tablet In 1 Blister Pack,0.625,0.625,,,0
NDC,0904-6798-61,Lisinopril: 100 Blister Pack In 1 Carton (0904-6798-61)  / 1 Tablet In 1 Blister Pack,0.53,0.53,,,0
NDC,0904-6799-61,Lisinopril: 100 Blister Pack In 1 Carton (0904-6799-61)  / 1 Tablet In 1 Blister Pack,0.43,0.43,,,0
NDC,0904-6808-61,"Montelukast Sodium: 100 Blister Pack In 1 Carton (0904-6808-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-6817-61,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6817-61)  / 1 Tablet In 1 Blister Pack,2.2249999999999996,2.2249999999999996,,,0
NDC,0904-6818-61,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6818-61)  / 1 Tablet In 1 Blister Pack,1.47,1.47,,,0
NDC,0904-6823-61,"Gabapentin: 100 Blister Pack In 1 Carton (0904-6823-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.62,0.62,,,0
NDC,0904-6829-60,Major Medi-Pads: 100 Packet In 1 Package (0904-6829-60)  / 2.9 G In 1 Packet,0.08499999999999999,0.08499999999999999,,,0
NDC,0904-6830-61,"Finasteride: 100 Blister Pack In 1 Carton (0904-6830-61)  / 1 Tablet, Film Coated In 1 Blister Pack",2.62,2.62,,,0
NDC,0904-6836-20,Loperamide Hydrochloride: 120 Ml In 1 Bottle (0904-6836-20),0.07500000000000001,0.07500000000000001,,,0
NDC,0904-6852-61,Loratadine: 100 Blister Pack In 1 Carton (0904-6852-61)  / 1 Tablet In 1 Blister Pack,0.64,0.64,,,0
NDC,0904-6860-61,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6860-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.5800000000000001,0.5800000000000001,,,0
NDC,0904-6861-61,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6861-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.59,0.59,,,0
NDC,0904-6861-90,"Divalproex Sodium: 90 Blister Pack In 1 Carton (0904-6861-90)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.735,0.735,,,0
NDC,0904-6868-61,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6868-61)  / 1 Tablet In 1 Blister Pack,0.47,0.47,,,0
NDC,0904-6869-61,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6869-61)  / 1 Tablet In 1 Blister Pack,0.5349999999999999,0.5349999999999999,,,0
NDC,0904-6870-45,"Pantoprazole Sodium: 80 Blister Pack In 1 Carton (0904-6870-45)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-6885-04,"Carbamazepine: 30 Blister Pack In 1 Carton (0904-6885-04)  / 1 Capsule, Extended Release In 1 Blister Pack",5.78,5.78,,,0
NDC,0904-6923-61,Prednisone: 100 Blister Pack In 1 Carton (0904-6923-61)  / 1 Tablet In 1 Blister Pack,0.035,0.035,,,0
NDC,0904-6926-61,"Sertraline Hydrochloride: 100 Blister Pack In 1 Carton (0904-6926-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.87,0.87,,,0
NDC,0904-6927-61,"Spironolactone: 100 Blister Pack In 1 Carton (0904-6927-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.505,0.505,,,0
NDC,0904-6931-86,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),2.85,2.85,,,0
NDC,0904-6939-61,Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61)  / 1 Capsule In 1 Blister Pack,1.66,1.66,,,0
NDC,0904-6966-61,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61)  / 1 Tablet In 1 Blister Pack,0.5700000000000001,0.5700000000000001,,,0
NDC,0904-6985-20,"Diphenhydramine Hcl: 118 Ml In 1 Bottle, Plastic (0904-6985-20)",0.63,0.63,,,0
NDC,0904-6986-40,"Mucus Relief: 500 Tablet, Extended Release In 1 Bottle (0904-6986-40)",0.6,0.6,,,0
NDC,0904-6988-61,Dicyclomine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6988-61)  / 1 Tablet In 1 Blister Pack,0.99,0.99,,,0
NDC,0904-6990-61,"Pseudoephedrine Hcl: 10 Blister Pack In 1 Carton (0904-6990-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.37,0.37,,,0
NDC,0904-6991-61,Pregabalin: 100 Blister Pack In 1 Carton (0904-6991-61)  / 1 Capsule In 1 Blister Pack,1.815,1.815,,,0
NDC,0904-6993-61,Amiodarone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6993-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
NDC,0904-6998-80,"Docusate Sodium: 1000 Capsule In 1 Bottle, Plastic (0904-6998-80)",0.63,0.63,,,0
NDC,0904-7001-61,Pregabalin: 100 Blister Pack In 1 Carton (0904-7001-61)  / 1 Capsule In 1 Blister Pack,0.96,0.96,,,0
NDC,0904-7007-61,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7007-61)  / 1 Tablet In 1 Blister Pack,0.425,0.425,,,0
NDC,0904-7008-61,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7008-61)  / 1 Tablet In 1 Blister Pack,0.36,0.36,,,0
NDC,0904-7016-04,Bumetanide: 30 Blister Pack In 1 Carton (0904-7016-04)  / 1 Tablet In 1 Blister Pack,3.17,3.17,,,0
NDC,0904-7016-61,Bumetanide: 100 Blister Pack In 1 Carton (0904-7016-61)  / 1 Tablet In 1 Blister Pack,1.915,1.915,,,0
NDC,0904-7035-88,"Major Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (0904-7035-88)",2.56,2.56,,,0
NDC,0904-7043-04,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04)  / 1 Capsule, Delayed Release In 1 Blister Pack",2.675,2.675,,,0
NDC,0904-7044-61,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",3.0949999999999998,3.0949999999999998,,,0
NDC,0904-7045-61,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7045-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",1.495,1.495,,,0
NDC,0904-7048-61,"Losartan Potassium: 100 Blister Pack In 1 Carton (0904-7048-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.78,0.78,,,0
NDC,0904-7058-61,Methocarbamol: 100 Blister Pack In 1 Carton (0904-7058-61)  / 1 Tablet In 1 Blister Pack,0.635,0.635,,,0
NDC,0904-7065-61,Hydroxyzine Pamoate: 100 Blister Pack In 1 Carton (0904-7065-61)  / 1 Capsule In 1 Blister Pack,0.81,0.81,,,0
NDC,0904-7076-61,"Venlafaxine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7076-61)  / 1 Capsule, Extended Release In 1 Blister Pack",1.025,1.025,,,0
NDC,0904-7083-61,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7083-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.71,0.71,,,0
NDC,0904-7084-04,"Bupropion Hydrochloride Xl: 30 Blister Pack In 1 Carton (0904-7084-04)  / 1 Tablet, Extended Release In 1 Blister Pack",2.44,2.44,,,0
NDC,0904-7084-61,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7084-61)  / 1 Tablet, Extended Release In 1 Blister Pack",3.42,3.42,,,0
NDC,0904-7103-04,Ezetimibe: 30 Blister Pack In 1 Carton (0904-7103-04)  / 1 Tablet In 1 Blister Pack,19.575,19.575,,,0
NDC,0904-7105-61,Captopril: 100 Blister Pack In 1 Carton (0904-7105-61)  / 1 Tablet In 1 Blister Pack,2.19,2.19,,,0
NDC,0904-7107-61,Rivastigmine Tartrate: 100 Blister Pack In 1 Carton (0904-7107-61)  / 1 Capsule In 1 Blister Pack,5.94,5.94,,,0
NDC,0904-7108-61,"Gabapentin: 100 Blister Pack In 1 Carton (0904-7108-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.77,0.77,,,0
NDC,0904-7109-61,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7109-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.65,0.65,,,0
NDC,0904-7110-61,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7110-61)  / 1 Tablet, Film Coated In 1 Blister Pack",1.08,1.08,,,0
NDC,0904-7119-61,Calcium Acetate: 100 Blister Pack In 1 Carton (0904-7119-61)  / 1 Capsule In 1 Blister Pack,2.46,2.46,,,0
NDC,0904-7120-04,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04)  / 1 Tablet, Film Coated In 1 Blister Pack",12.78,12.78,,,0
NDC,0904-7121-61,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7121-61)  / 1 Tablet In 1 Blister Pack,0.485,0.485,,,0
NDC,0904-7124-61,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7124-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.48,0.48,,,0
NDC,0904-7125-61,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7125-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.615,0.615,,,0
NDC,0904-7126-61,Metronidazole: 100 Blister Pack In 1 Carton (0904-7126-61)  / 1 Tablet In 1 Blister Pack,1.2,1.2,,,0
NDC,0904-7127-61,Prednisone: 100 Blister Pack In 1 Carton (0904-7127-61)  / 1 Tablet In 1 Blister Pack,0.02,0.02,,,0
NDC,0904-7137-61,Nitrofurantoin Monohydrate/ Macrocrystalline: 100 Blister Pack In 1 Carton (0904-7137-61)  / 1 Capsule In 1 Blister Pack,4.82,4.82,,,0
NDC,0904-7145-04,Dronabinol: 30 Blister Pack In 1 Carton (0904-7145-04)  / 1 Capsule In 1 Blister Pack,12.22,12.22,,,0
NDC,0904-7153-61,Benzonatate: 100 Blister Pack In 1 Carton (0904-7153-61)  / 1 Capsule In 1 Blister Pack,0.935,0.935,,,0
NDC,0904-7156-61,Metronidazole: 100 Blister Pack In 1 Carton (0904-7156-61)  / 1 Tablet In 1 Blister Pack,0.815,0.815,,,0
NDC,0904-7162-61,Metformin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7162-61)  / 1 Tablet In 1 Blister Pack,0.56,0.56,,,0
NDC,0904-7177-61,Furosemide: 100 Blister Pack In 1 Carton (0904-7177-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
NDC,0904-7178-61,Furosemide: 100 Blister Pack In 1 Carton (0904-7178-61)  / 1 Tablet In 1 Blister Pack,0.58,0.58,,,0
NDC,0904-7183-61,"Docusate Sodium - Stool Softener Laxative: 10 Blister Pack In 1 Carton (0904-7183-61)  / 10 Capsule, Liquid Filled In 1 Blister Pack",0.625,0.625,,,0
NDC,0904-7187-61,Atenolol: 100 Blister Pack In 1 Carton (0904-7187-61)  / 1 Tablet In 1 Blister Pack,0.6,0.6,,,0
NDC,0904-7193-06,"Famotidine: 50 Blister Pack In 1 Carton (0904-7193-06)  / 1 Tablet, Film Coated In 1 Blister Pack",0.535,0.535,,,0
NDC,0904-7193-61,"Famotidine: 100 Blister Pack In 1 Carton (0904-7193-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.535,0.535,,,0
NDC,0904-7205-46,"Major Bismuth Subsalicylate: 5 Blister Pack In 1 Box (0904-7205-46)  / 6 Tablet, Chewable In 1 Blister Pack",0.405,0.405,,,0
NDC,0904-7214-61,"Bupropion Hydrochloride Sr: 100 Blister Pack In 1 Carton (0904-7214-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.98,0.98,,,0
NDC,0904-7216-61,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7216-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-7218-61,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (0904-7218-61)  / 1 Capsule, Extended Release In 1 Blister Pack",0.71,0.71,,,0
NDC,0904-7219-61,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (0904-7219-61)  / 1 Capsule, Extended Release In 1 Blister Pack",0.87,0.87,,,0
NDC,0904-7224-61,Folic Acid: 100 Blister Pack In 1 Carton (0904-7224-61)  / 1 Tablet In 1 Blister Pack,0.605,0.605,,,0
NDC,0904-7227-61,Clonazepam: 100 Blister Pack In 1 Carton (0904-7227-61)  / 1 Tablet In 1 Blister Pack,1.0,1.0,,,0
NDC,0904-7229-61,Nifedipine: 100 Blister Pack In 1 Carton (0904-7229-61)  / 1 Capsule In 1 Blister Pack,2.245,2.245,,,0
NDC,0904-7236-61,Megestrol Acetate: 100 Blister Pack In 1 Carton (0904-7236-61)  / 1 Tablet In 1 Blister Pack,0.49,0.49,,,0
NDC,0904-7237-60,Diphenhydramine Hydrochloride: 100 Capsule In 1 Bottle (0904-7237-60),0.63,0.63,,,0
NDC,0904-7237-61,"Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (0904-7237-61)  / 10 Capsule In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-7243-61,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7243-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-7244-68,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68)  / 1 Tablet, Film Coated In 1 Blister Pack",2.5300000000000002,2.5300000000000002,,,0
NDC,0904-7245-68,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68)  / 1 Tablet, Film Coated In 1 Blister Pack",4.140000000000001,4.140000000000001,,,0
NDC,0904-7252-60,"Sennosides: 100 Tablet, Film Coated In 1 Bottle (0904-7252-60)",0.325,0.325,,,0
NDC,0904-7252-61,"Sennosides: 10 Blister Pack In 1 Box, Unit-Dose (0904-7252-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
NDC,0904-7252-80,"Sennosides: 1000 Tablet, Film Coated In 1 Bottle (0904-7252-80)",0.32,0.32,,,0
NDC,0904-7265-41,NDC Description Not Available,6.37,6.37,,,0
NDC,0904-7276-41,NDC Description Not Available,2.03,2.03,,,0
NDC,0904-7280-60,"Stool Softener Laxative: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (0904-7280-60)",0.63,0.63,,,0
NDC,0904-7305-61,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7305-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,0904-7306-61,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7306-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.435,0.435,,,0
NDC,0904-7308-61,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7308-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.625,0.625,,,0
NDC,0904-7346-61,Fluoxetine: 100 Blister Pack In 1 Carton (0904-7346-61)  / 1 Capsule In 1 Blister Pack,0.36,0.36,,,0
NDC,0904-7350-06,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06)  / 1 Tablet, Film Coated In 1 Blister Pack",1.59,1.59,,,0
NDC,0904-7350-61,"Azithromycin: 100 Blister Pack In 1 Carton (0904-7350-61)  / 1 Tablet, Film Coated In 1 Blister Pack",3.465,3.465,,,0
NDC,0904-7362-61,"Risperidone: 100 Blister Pack In 1 Carton (0904-7362-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.71,0.71,,,0
NDC,0904-7363-61,"Risperidone: 100 Blister Pack In 1 Carton (0904-7363-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.54,0.54,,,0
NDC,0904-7376-61,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7376-61)  / 1 Tablet In 1 Blister Pack,0.9,0.9,,,0
NDC,0904-7383-61,Tamsulosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7383-61)  / 1 Capsule In 1 Blister Pack,0.6,0.6,,,0
NDC,0904-7413-35,"Varenicline: 56 Tablet, Film Coated In 1 Bottle (0904-7413-35)",12.49,12.49,,,0
NDC,0904-7418-44,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (0904-7418-44)",5.67,5.67,,,0
NDC,0904-7427-30,"Major Nasal Decongestant: 1 Bottle, Pump In 1 Carton (0904-7427-30)  / 30 Ml In 1 Bottle, Pump",0.02,0.02,,,0
NDC,0904-7470-66,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",13.370000000000001,13.370000000000001,,,0
NDC,0904-7727-14,Acid Gone Antacid: 355 Ml In 1 Bottle (0904-7727-14),0.04,0.04,,,0
NDC,0904-7914-61,"Ibuprofen: 10 Blister Pack In 1 Carton (0904-7914-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.325,0.325,,,0
NDC,0941-0424-53,Dianeal Low Calcium With Dextrose: 2500 Ml In 1 Bag (0941-0424-53),111.0,111.0,,,0
NDC,0941-0426-53,Dianeal Pd-2 With Dextrose: 2500 Ml In 1 Bag (0941-0426-53),84.63,84.63,,,0
NDC,0941-0427-53,Dianeal Pd-2 With Dextrose: 2500 Ml In 1 Bag (0941-0427-53),88.37,88.37,,,0
NDC,0941-0429-53,Dianeal Pd-2 With Dextrose: 2500 Ml In 1 Bag (0941-0429-53),84.8,84.8,,,0
NDC,0941-0430-53,Dianeal Low Calcium With Dextrose: 2500 Ml In 1 Bag (0941-0430-53),111.1,111.1,,,0
NDC,0941-0433-53,Dianeal Low Calcium With Dextrose: 2500 Ml In 1 Bag (0941-0433-53),130.38,130.38,,,0
NDC,0944-0493-01,Flexbumin: 12 Bag In 1 Carton (0944-0493-01)  / 50 Ml In 1 Bag (0944-0493-03),95.16,95.16,,,0
NDC,0944-0493-03,NDC Description Not Available,94.49,94.49,,,0
NDC,0944-0495-05,Flexbumin: 2 Bag In 1 Carton (0944-0495-05)  / 250 Ml In 1 Bag (0944-0495-06),44.65,44.65,,,0
NDC,0944-2658-04,Gammagard S/D: 1 Kit In 1 Carton (0944-2658-04)  *  192 Ml In 1 Bottle (0338-0001-37)  *  192 Ml In 1 Bottle (64764-511-92)  *  200 Ml In 1 Bottle (0944-2659-08),214.64,214.64,,,0
NDC,0944-2659-08,NDC Description Not Available,220.825,220.825,,,0
NDC,0944-2700-04,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04)  / 50 Ml In 1 Bottle, Glass (0944-2700-10)",128.61,128.61,,,0
NDC,0944-2700-05,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05)  / 100 Ml In 1 Bottle, Glass (0944-2700-11)",128.61,128.61,,,0
NDC,0944-2700-06,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06)  / 200 Ml In 1 Bottle, Glass (0944-2700-12)",87.61000000000001,87.61000000000001,,,0
NDC,0944-2700-07,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-07)  / 300 Ml In 1 Bottle, Glass (0944-2700-13)",172.63,172.63,,,0
NDC,0944-2700-10,NDC Description Not Available,130.96,130.96,,,0
NDC,0944-2700-12,NDC Description Not Available,88.505,88.505,,,0
NDC,0955-1042-90,"Irbesartan: 90 TABLET, FILM COATED in 1 BOTTLE (0955-1042-90)",1.12,1.12,,,0
NDC,0990-7111-09,Potassium Chloride In Lactated Ringers And Dextrose: 12 Pouch In 1 Case (0990-7111-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,58.0,58.0,,,0
NDC,0990-7116-09,Potassium Chloride In Sodium Chloride: 12 Pouch In 1 Case (0990-7116-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,2.84,2.84,,,0
NDC,0990-7715-13,NDC Description Not Available,6.92,6.92,,,0
NDC,0990-7990-09,Sterile Water: 12 Pouch In 1 Case (0990-7990-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,41.0,41.0,,,0
NDC,0998-0408-15,"Isopto Tears: 15 Ml In 1 Bottle, Dropper (0998-0408-15)",64.62,64.62,,,0
NDC,1000670028,NDC Description Not Available,0.63,0.63,,,0
NDC,10019-079-01,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (10019-079-01)  / 1 Injection In 1 Vial, Multi-Dose",43.73,43.73,,,0
NDC,10019-925-01,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-925-01)  / 20 Ml In 1 Vial, Single-Dose (10019-925-82)",100.115,100.115,,,0
NDC,10019-925-82,NDC Description Not Available,47.785,47.785,,,0
NDC,10019-926-02,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02)  / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",101.695,101.695,,,0
NDC,10019-926-16,NDC Description Not Available,112.89,112.89,,,0
NDC,10019-939-01,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01)  / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",2.55,2.55,,,0
NDC,10019-939-50,NDC Description Not Available,2.12,2.12,,,0
NDC,10019-944-50,NDC Description Not Available,6.45,6.45,,,0
NDC,10122-510-03,"Curosurf: 3 Ml In 1 Vial, Glass (10122-510-03)",2382.58,2382.58,,,0
NDC,10135-106-08,"Isopropyl Alcohol 70 Percent: 473 mL in 1 BOTTLE, PLASTIC (10135-106-08)",5.15,5.15,,,0
NDC,10135-314-01,Sennosides: 1 Bottle In 1 Carton (10135-314-01)  / 100 Tablet In 1 Bottle,0.32,0.32,,,0
NDC,10135-620-01,"Phenazopyridine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE (10135-620-01)",1.57,1.57,,,0
NDC,10135-689-62,Aspirin 81 mg Enteric Coated: 120 TABLET in 1 BOTTLE (10135-689-62),0.625,0.625,,,0
NDC,10135-701-04,Menthol And Zinc Oxide: 113 G In 1 Tube (10135-701-04),6.86,6.86,,,0
NDC,10147-1700-3,Itraconazole: 30 Capsule In 1 Bottle (10147-1700-3),17.97,17.97,,,0
NDC,10481-0112-8,"MONSELS SOLUTION: 8 g in 1 BOTTLE, GLASS (10481-0112-8)",29.9,29.9,,,0
NDC,10511-3001-2,"Cysview: 1 Kit In 1 Carton (10511-3001-2)  *  50 Ml In 1 Syringe, Plastic *  50 Ml In 1 Vial, Glass",3599.1,3599.1,,,0
NDC,10572-302-01,"Peg-3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride: 4 L In 1 Bottle (10572-302-01)",62.545,62.545,,,0
NDC,10702-003-01,Promethazine Hydrochloride: 100 Tablet In 1 Bottle (10702-003-01),0.28,0.28,,,0
NDC,10702-100-01,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (10702-100-01),0.42,0.42,,,0
NDC,10702-107-01,Dexmethylphenidate Hydrochloride: 100 Tablet In 1 Bottle (10702-107-01),0.73,0.73,,,0
NDC,10702-192-01,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (10702-192-01),0.95,0.95,,,0
NDC,1093913944,NDC Description Not Available,0.5900000000000001,0.5900000000000001,,,0
NDC,1093976144,NDC Description Not Available,16.11,16.11,,,0
NDC,1093995734,NDC Description Not Available,0.63,0.63,,,0
NDC,11523-7204-1,A And D First Aid: 1 Tube In 1 Carton (11523-7204-1)  / 42.5 G In 1 Tube,7.74,7.74,,,0
NDC,1184505651,NDC Description Not Available,0.5,0.5,,,0
NDC,11980-180-05,"Pred Forte: 1 Bottle, Dropper In 1 Carton (11980-180-05)  / 5 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
NDC,11980-779-05,"Ocuflox: 1 Bottle, Dropper In 1 Carton (11980-779-05)  / 5 Ml In 1 Bottle, Dropper",316.96,316.96,,,0
NDC,121053005,NDC Description Not Available,5.355,5.355,,,0
NDC,121059515,NDC Description Not Available,11.05,11.05,,,0
NDC,121067716,NDC Description Not Available,2.51,2.51,,,0
NDC,121119030,NDC Description Not Available,12.629999999999999,12.629999999999999,,,0
NDC,1284313105,NDC Description Not Available,0.38,0.38,,,0
NDC,12870-0001-1,Silver Nitrate Applicators: 10 Packet In 1 Box (12870-0001-1)  / 10 Applicator In 1 Packet / 100 Mg In 1 Applicator,1.88,1.88,,,0
NDC,12870-0001-2,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2)  / 100 Mg In 1 Applicator,1.78,1.78,,,0
NDC,13107-001-05,"Mirtazapine: 500 Tablet, Film Coated In 1 Bottle (13107-001-05)",1.4449999999999998,1.4449999999999998,,,0
NDC,13107-001-30,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (13107-001-30)",2.185,2.185,,,0
NDC,13107-068-01,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (13107-068-01)",0.91,0.91,,,0
NDC,13107-073-01,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (13107-073-01)",0.91,0.91,,,0
NDC,13107-084-05,Lorazepam: 500 Tablet In 1 Bottle (13107-084-05),0.5,0.5,,,0
NDC,13107-155-90,"Paroxetine: 90 Tablet, Film Coated In 1 Bottle (13107-155-90)",0.53,0.53,,,0
NDC,132030140,NDC Description Not Available,4.4,4.4,,,0
NDC,13533-318-01,Hyperrab: 1 Vial In 1 Carton (13533-318-01)  / 1 Ml In 1 Vial (13533-318-10),629.95,629.95,,,0
NDC,13533-318-05,Hyperrab: 1 Vial In 1 Carton (13533-318-05)  / 5 Ml In 1 Vial (13533-318-50),653.43,653.43,,,0
NDC,13533-318-10,NDC Description Not Available,619.13,619.13,,,0
NDC,13533-318-50,NDC Description Not Available,684.165,684.165,,,0
NDC,13533-634-02,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02)  / 1 Ml In 1 Syringe, Glass (13533-634-20)",1503.59,1503.59,,,0
NDC,13533-636-03,"Hyperhep B: 1 Syringe, Glass In 1 Carton (13533-636-03)  / .5 Ml In 1 Syringe, Glass (13533-636-30)",226.62,226.62,,,0
NDC,13533-636-30,NDC Description Not Available,226.62,226.62,,,0
NDC,13533-800-12,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-12)  / 10 Ml In 1 Vial, Glass (13533-800-13)",99.985,99.985,,,0
NDC,13533-800-15,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-15)  / 25 Ml In 1 Vial, Glass (13533-800-16)",100.62,100.62,,,0
NDC,13533-800-20,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20)  / 50 Ml In 1 Vial, Glass (13533-800-21)",100.73,100.73,,,0
NDC,13533-800-21,NDC Description Not Available,99.24,99.24,,,0
NDC,13533-800-24,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24)  / 200 Ml In 1 Vial, Glass (13533-800-25)",100.73,100.73,,,0
NDC,13533-800-25,NDC Description Not Available,99.24,99.24,,,0
NDC,13533-800-71,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71)  / 100 Ml In 1 Vial, Glass (13533-800-72)",100.73,100.73,,,0
NDC,13533-800-72,NDC Description Not Available,99.24,99.24,,,0
NDC,13668-009-01,"Citalopram: 100 Tablet, Film Coated In 1 Bottle (13668-009-01)",0.565,0.565,,,0
NDC,13668-086-30,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (13668-086-30)",5.93,5.93,,,0
NDC,13668-091-90,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (13668-091-90),0.535,0.535,,,0
NDC,13668-094-90,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (13668-094-90),0.485,0.485,,,0
NDC,13668-189-30,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (13668-189-30)",2.105,2.105,,,0
NDC,13668-462-01,Anagrelide: 100 Capsule In 1 Bottle (13668-462-01),3.82,3.82,,,0
NDC,13668-581-30,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),2.99,2.99,,,0
NDC,13668-606-01,"Erythromycin: 100 Tablet, Coated In 1 Bottle (13668-606-01)",4.92,4.92,,,0
NDC,13811-706-10,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (13811-706-10)",1.44,1.44,,,0
NDC,14789-116-07,NDC Description Not Available,265.46,265.46,,,0
NDC,14789-122-05,Fluorescein: 10 Vial In 1 Carton (14789-122-05)  / 5 Ml In 1 Vial (14789-122-07),400.95,400.95,,,0
NDC,14789-136-07,NDC Description Not Available,4.02,4.02,,,0
NDC,14789-137-07,NDC Description Not Available,2.885,2.885,,,0
NDC,149003904,NDC Description Not Available,1.74,1.74,,,0
NDC,149003908,NDC Description Not Available,0.7050000000000001,0.7050000000000001,,,0
NDC,15054-0043-1,"Onivyde: 1 Vial, Single-Dose In 1 Carton (15054-0043-1)  / 10 Ml In 1 Vial, Single-Dose",144.705,144.705,,,0
NDC,15054-0530-6,"Dysport: 1 Vial In 1 Carton (15054-0530-6)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",26.145,26.145,,,0
NDC,15054-1120-4,Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4)  / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,145.64,145.64,,,0
NDC,1513702127,NDC Description Not Available,21.51,21.51,,,0
NDC,16252-515-01,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (16252-515-01)",2.1550000000000002,2.1550000000000002,,,0
NDC,16571-137-10,Atorvastatin Calcium: 1000 Tablet In 1 Bottle (16571-137-10),0.5700000000000001,0.5700000000000001,,,0
NDC,16571-401-10,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),0.41500000000000004,0.41500000000000004,,,0
NDC,16571-693-01,"Carbidopa, Levodopa And Entacapone: 100 Tablet, Film Coated In 1 Bottle (16571-693-01)",2.43,2.43,,,0
NDC,16714-006-01,NDC Description Not Available,2.02,2.02,,,0
NDC,16714-008-01,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (16714-008-01),1.12,1.12,,,0
NDC,16714-009-01,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (16714-009-01),1.405,1.405,,,0
NDC,16714-016-01,NDC Description Not Available,1.45,1.45,,,0
NDC,16714-016-10,Enoxaparin Sodium: 10 Syringe In 1 Carton (16714-016-10)  / .4 Ml In 1 Syringe (16714-016-01),1.53,1.53,,,0
NDC,16714-026-01,NDC Description Not Available,1.89,1.89,,,0
NDC,16714-027-01,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-027-01)  / 2 Ml In 1 Vial, Single-Dose",12.67,12.67,,,0
NDC,16714-035-01,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (16714-035-01)",0.5,0.5,,,0
NDC,16714-049-01,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-049-01)",0.32,0.32,,,0
NDC,16714-052-02,Clopidogrel: 90 Tablet In 1 Bottle (16714-052-02),0.585,0.585,,,0
NDC,16714-055-01,Mupirocin: 1 Tube In 1 Carton (16714-055-01)  / 15 G In 1 Tube,273.98,273.98,,,0
NDC,16714-081-10,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-081-10),0.63,0.63,,,0
NDC,16714-116-01,NDC Description Not Available,6.1,6.1,,,0
NDC,16714-117-01,NDC Description Not Available,6.23,6.23,,,0
NDC,16714-137-01,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (16714-137-01)  / 50 Ml In 1 Vial, Multi-Dose",0.72,0.72,,,0
NDC,16714-142-01,Aripiprazole: 30 Tablet In 1 Bottle (16714-142-01),0.5900000000000001,0.5900000000000001,,,0
NDC,16714-145-01,Aripiprazole: 30 Tablet In 1 Bottle (16714-145-01),0.845,0.845,,,0
NDC,16714-166-01,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-166-01),1.045,1.045,,,0
NDC,16714-167-01,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-167-01),1.19,1.19,,,0
NDC,16714-186-01,NDC Description Not Available,21.58,21.58,,,0
NDC,16714-199-01,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (16714-199-01)",13.51,13.51,,,0
NDC,16714-200-10,NDC Description Not Available,0.14,0.14,,,0
NDC,16714-201-10,"Ondansetron: 1 Blister Pack In 1 Carton (16714-201-10)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",0.15,0.15,,,0
NDC,16714-234-01,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (16714-234-01)",0.35,0.35,,,0
NDC,16714-245-30,Mesalamine: 5 Blister Pack In 1 Pouch (16714-245-30)  / 6 Suppository In 1 Blister Pack (16714-245-01),9.92,9.92,,,0
NDC,16714-257-01,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-257-01)",0.44,0.44,,,0
NDC,16714-298-01,Amoxicillin: 100 Capsule In 1 Bottle (16714-298-01),0.265,0.265,,,0
NDC,16714-299-03,Amoxicillin: 100 Capsule In 1 Bottle (16714-299-03),0.625,0.625,,,0
NDC,16714-301-01,NDC Description Not Available,0.69,0.69,,,0
NDC,16714-358-01,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (16714-358-01)",0.76,0.76,,,0
NDC,16714-388-01,Cefadroxil: 50 Capsule In 1 Bottle (16714-388-01),0.8,0.8,,,0
NDC,16714-390-01,Cefadroxil: 75 Ml In 1 Bottle (16714-390-01),9.48,9.48,,,0
NDC,16714-401-01,Cefuroxime Axetil: 20 Tablet In 1 Bottle (16714-401-01),5.45,5.45,,,0
NDC,16714-401-02,Cefuroxime Axetil: 60 Tablet In 1 Bottle (16714-401-02),2.82,2.82,,,0
NDC,16714-443-01,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-443-01),0.45,0.45,,,0
NDC,16714-444-01,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-444-01),0.855,0.855,,,0
NDC,16714-452-02,"Quetiapine: 1000 Tablet, Film Coated In 1 Bottle (16714-452-02)",0.495,0.495,,,0
NDC,16714-454-01,"Quetiapine: 100 Tablet, Film Coated In 1 Bottle (16714-454-01)",0.7,0.7,,,0
NDC,16714-483-01,Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle In 1 Carton (16714-483-01)  / 100 Ml In 1 Bottle,0.54,0.54,,,0
NDC,16714-485-01,"Divalproex Sodium: 100 Tablet, Film Coated, Extended Release In 1 Bottle (16714-485-01)",0.945,0.945,,,0
NDC,16714-532-11,"Sumatriptan: 1 BLISTER PACK in 1 CARTON (16714-532-11)  / 9 TABLET, FILM COATED in 1 BLISTER PACK (16714-532-10)",1.0350000000000001,1.0350000000000001,,,0
NDC,16714-557-01,"Metronidazole: 1 Tube, With Applicator In 1 Carton (16714-557-01)  / 70 G In 1 Tube, With Applicator",164.13,164.13,,,0
NDC,16714-559-01,Pravastatin Sodium: 90 Tablet In 1 Bottle (16714-559-01),0.63,0.63,,,0
NDC,16714-577-01,Allopurinol: 100 Tablet In 1 Bottle (16714-577-01),0.625,0.625,,,0
NDC,16714-590-01,Digoxin: 100 Tablet In 1 Bottle (16714-590-01),0.905,0.905,,,0
NDC,16714-591-01,Digoxin: 100 Tablet In 1 Bottle (16714-591-01),1.01,1.01,,,0
NDC,16714-601-02,"Sertraline Hydrochloride: 1 Bottle, Plastic In 1 Carton (16714-601-02)  / 60 Ml In 1 Bottle, Plastic",3.31,3.31,,,0
NDC,16714-612-04,"Sertraline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-612-04)",0.45999999999999996,0.45999999999999996,,,0
NDC,16714-613-04,"Sertraline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-613-04)",0.5,0.5,,,0
NDC,16714-613-05,"Sertraline Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (16714-613-05)",0.49,0.49,,,0
NDC,16714-621-01,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-621-01)",0.595,0.595,,,0
NDC,16714-622-01,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-622-01)",0.61,0.61,,,0
NDC,16714-661-01,Gabapentin: 100 Capsule In 1 Bottle (16714-661-01),0.505,0.505,,,0
NDC,16714-662-01,Gabapentin: 100 Capsule In 1 Bottle (16714-662-01),0.525,0.525,,,0
NDC,16714-663-01,Gabapentin: 100 Capsule In 1 Bottle (16714-663-01),0.6,0.6,,,0
NDC,16714-681-02,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-681-02)",0.63,0.63,,,0
NDC,16714-682-02,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-682-02)",0.63,0.63,,,0
NDC,16714-683-02,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-683-02)",0.615,0.615,,,0
NDC,16714-684-02,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-684-02)",0.59,0.59,,,0
NDC,16714-691-02,Fluconazole: 100 Tablet In 1 Bottle (16714-691-02),1.7999999999999998,1.7999999999999998,,,0
NDC,16714-696-01,Fluconazole: 1 Bottle In 1 Carton (16714-696-01)  / 35 Ml In 1 Bottle,7.21,7.21,,,0
NDC,16714-700-01,Lamotrigine: 100 Tablet In 1 Bottle (16714-700-01),0.42,0.42,,,0
NDC,16714-704-01,"imatinib mesylate: 90 TABLET, FILM COATED in 1 BOTTLE (16714-704-01)",3.36,3.36,,,0
NDC,16714-717-01,"Entecavir: 30 Tablet, Film Coated In 1 Bottle, Plastic (16714-717-01)",4.47,4.47,,,0
NDC,16714-720-02,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),0.535,0.535,,,0
NDC,16714-721-02,Fluoxetine: 100 Capsule In 1 Bottle (16714-721-02),0.385,0.385,,,0
NDC,16714-732-01,Celecoxib: 100 Capsule In 1 Bottle (16714-732-01),0.63,0.63,,,0
NDC,16714-733-01,Celecoxib: 100 Capsule In 1 Bottle (16714-733-01),0.595,0.595,,,0
NDC,16714-758-01,Atomoxetine: 30 Capsule In 1 Bottle (16714-758-01),5.04,5.04,,,0
NDC,16714-759-01,Atomoxetine: 30 Capsule In 1 Bottle (16714-759-01),5.529999999999999,5.529999999999999,,,0
NDC,16714-795-01,Terbinafine: 30 Tablet In 1 Bottle (16714-795-01),0.63,0.63,,,0
NDC,16714-797-01,Sumatriptan: 1 Blister Pack In 1 Carton (16714-797-01)  / 9 Tablet In 1 Blister Pack,3.525,3.525,,,0
NDC,16714-813-01,Ezetimibe: 30 Tablet In 1 Bottle (16714-813-01),0.63,0.63,,,0
NDC,16714-813-02,Ezetimibe: 90 Tablet In 1 Bottle (16714-813-02),0.63,0.63,,,0
NDC,16714-820-01,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (16714-820-01)",3.55,3.55,,,0
NDC,16714-829-01,"Budesonide: 100 Capsule, Coated Pellets In 1 Bottle (16714-829-01)",4.225,4.225,,,0
NDC,16714-867-01,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (16714-867-01)",7.76,7.76,,,0
NDC,16714-878-01,Lidocaine: 1 Tube In 1 Carton (16714-878-01)  / 35.44 G In 1 Tube,20.8,20.8,,,0
NDC,16714-897-01,Permethrin: 1 Tube In 1 Container (16714-897-01)  / 60 G In 1 Tube,40.475,40.475,,,0
NDC,16714-948-01,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (16714-948-01)",1.38,1.38,,,0
NDC,16714-964-01,"Aspirin And Dipyridamole: 60 Capsule, Extended Release In 1 Bottle (16714-964-01)",1.81,1.81,,,0
NDC,16714-973-02,Phytonadione: 1 Bottle In 1 Carton (16714-973-02)  / 30 Tablet In 1 Bottle,72.64,72.64,,,0
NDC,16714-989-01,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-989-01)",0.435,0.435,,,0
NDC,16714-990-01,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-990-01)",0.565,0.565,,,0
NDC,16714-991-01,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle (16714-991-01)",0.63,0.63,,,0
NDC,16729-023-01,Bicalutamide: 100 Tablet In 1 Bottle (16729-023-01),1.53,1.53,,,0
NDC,16729-023-10,Bicalutamide: 30 Tablet In 1 Bottle (16729-023-10),1.57,1.57,,,0
NDC,16729-035-10,"Anastrozole: 30 Tablet In 1 Bottle, Plastic (16729-035-10)",0.63,0.63,,,0
NDC,16729-073-29,"Capecitabine: 120 Tablet, Film Coated In 1 Bottle, Plastic (16729-073-29)",1.15,1.15,,,0
NDC,16729-094-01,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (16729-094-01),0.63,0.63,,,0
NDC,16729-114-08,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08)  / 25 Ml In 1 Vial, Multi-Dose",7.76,7.76,,,0
NDC,16729-114-11,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11)  / 50 Ml In 1 Vial, Multi-Dose",8.04,8.04,,,0
NDC,16729-136-00,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-136-00)",0.63,0.63,,,0
NDC,16729-136-16,"Clonazepam: 500 Tablet In 1 Bottle, Plastic (16729-136-16)",0.62,0.62,,,0
NDC,16729-137-00,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-137-00)",0.515,0.515,,,0
NDC,16729-151-31,Topotecan Hydrochloride: 1 Vial In 1 Package (16729-151-31)  / 4 Ml In 1 Vial,11.84,11.84,,,0
NDC,16729-183-01,Hydrochlorothiazide: 100 Tablet In 1 Bottle (16729-183-01),0.63,0.63,,,0
NDC,16729-189-29,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (16729-189-29)",0.45,0.45,,,0
NDC,16729-261-29,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (16729-261-29)",0.63,0.63,,,0
NDC,16729-277-30,Methotrexate: 1 Vial In 1 Carton (16729-277-30)  / 2 Ml In 1 Vial,52.025,52.025,,,0
NDC,16729-288-11,Cisplatin: 50 Ml In 1 Vial (16729-288-11),21.740000000000002,21.740000000000002,,,0
NDC,16729-288-38,Cisplatin: 100 Ml In 1 Vial (16729-288-38),15.125,15.125,,,0
NDC,16729-433-10,Ezetimibe: 30 Tablet In 1 Bottle (16729-433-10),0.63,0.63,,,0
NDC,16729-440-10,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-10)",1.22,1.22,,,0
NDC,16729-440-15,"Cinacalcet: 90 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-15)",1.22,1.22,,,0
NDC,16729-456-15,Levothyroxine Sodium: 90 Tablet In 1 Bottle (16729-456-15),0.63,0.63,,,0
NDC,16729-478-01,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (16729-478-01),0.495,0.495,,,0
NDC,16729-479-01,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (16729-479-01),0.45499999999999996,0.45499999999999996,,,0
NDC,16729-493-03,"Succinylcholine Chloride: 1 VIAL, MULTI-DOSE in 1 CARTON (16729-493-03)  / 10 mL in 1 VIAL, MULTI-DOSE",2.075,2.075,,,0
NDC,16864-680-01,Dermoplast Pain Relieving: 78 G In 1 Can (16864-680-01),16.15,16.15,,,0
NDC,16864-680-03,Dermoplast Pain Relieving: 85 G In 1 Can (16864-680-03),14.745000000000001,14.745000000000001,,,0
NDC,17156-021-01,Indium In 111 Oxyquinoline: 1 Vial In 1 Box (17156-021-01)  / 1 Ml In 1 Vial,3321.04,3321.04,,,0
NDC,17156-024-05,"Myoview: 5 Vial In 1 Kit (17156-024-05)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",117.0,117.0,,,0
NDC,17156-522-05,Sodium Iodide: 1 CAPSULE in 1 BOX (17156-522-05),44.92,44.92,,,0
NDC,17238-424-25,NDC Description Not Available,126.22,126.22,,,0
NDC,17238-900-11,Bioglo: 100 Packet In 1 Box (17238-900-11)  / 1 Mg In 1 Packet (17238-900-99),0.62,0.62,,,0
NDC,17238-900-99,NDC Description Not Available,0.61,0.61,,,0
NDC,17271-701-05,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),42.47,42.47,,,0
NDC,17478-030-05,FENTANYL CITRATE: 10 AMPULE in 1 CARTON (17478-030-05)  / 5 mL in 1 AMPULE,1.88,1.88,,,0
NDC,17478-030-55,FENTANYL CITRATE: 25 AMPULE in 1 CARTON (17478-030-55)  / 5 mL in 1 AMPULE,12.35,12.35,,,0
NDC,17478-045-32,Tetracaine: 25 AMPULE in 1 CARTON (17478-045-32)  / 2 mL in 1 AMPULE,47.59,47.59,,,0
NDC,17478-215-02,"Atropine: 1 BOTTLE, DROPPER in 1 CARTON (17478-215-02)  / 2 mL in 1 BOTTLE, DROPPER",1.0,1.0,,,0
NDC,17478-288-10,"Timolol Maleate: 1 BOTTLE, DROPPER in 1 CARTON (17478-288-10)  / 5 mL in 1 BOTTLE, DROPPER",0.24,0.24,,,0
NDC,17478-501-01,Methylergonovine Maleate: 10 AMPULE in 1 CARTON (17478-501-01)  / 1 mL in 1 AMPULE,8.19,8.19,,,0
NDC,17478-503-05,Dehydrated Alcohol: 10 VIAL in 1 CARTON (17478-503-05)  / 5 mL in 1 VIAL,715.32,715.32,,,0
NDC,17478-542-02,Adenosine: 10 Vial In 1 Carton (17478-542-02)  / 2 Ml In 1 Vial,2.89,2.89,,,0
NDC,17478-713-10,"Ofloxacin: 1 BOTTLE, DROPPER in 1 CARTON (17478-713-10)  / 5 mL in 1 BOTTLE, DROPPER",26.22,26.22,,,0
NDC,17478-715-10,"Brimonidine: 1 BOTTLE, DROPPER in 1 CARTON (17478-715-10)  / 5 mL in 1 BOTTLE, DROPPER",38.805,38.805,,,0
NDC,17478-761-06,Dronabinol: 1 BOTTLE in 1 CARTON (17478-761-06)  / 60 CAPSULE in 1 BOTTLE,3.92,3.92,,,0
NDC,17478-953-02,Adenosine: 10 VIAL in 1 CARTON (17478-953-02)  / 2 mL in 1 VIAL,1.1,1.1,,,0
NDC,17856-0306-1,"Sucralfate: 72 Cup, Unit-Dose In 1 Box, Unit-Dose (17856-0306-1)  / 10 Ml In 1 Cup, Unit-Dose",10.37,10.37,,,0
NDC,1785600102,NDC Description Not Available,3.96,3.96,,,0
NDC,18657-117-01,NDC Description Not Available,0.75,0.75,,,0
NDC,18657-117-02,NDC Description Not Available,0.78,0.78,,,0
NDC,19515-810-41,NDC Description Not Available,67.0,67.0,,,0
NDC,19515-904-41,NDC Description Not Available,105.745,105.745,,,0
NDC,19515-904-52,Flulaval 2025/2026: 10 Syringe In 1 Carton (19515-904-52)  / .5 Ml In 1 Syringe (19515-904-41),42.49,42.49,,,0
NDC,1990301021,NDC Description Not Available,1.16,1.16,,,0
NDC,2055500100,NDC Description Not Available,0.52,0.52,,,0
NDC,2055501900,NDC Description Not Available,0.63,0.63,,,0
NDC,2055502500,NDC Description Not Available,0.5,0.5,,,0
NDC,2055502700,NDC Description Not Available,0.63,0.63,,,0
NDC,2055503300,NDC Description Not Available,0.33,0.33,,,0
NDC,2055503600,NDC Description Not Available,0.515,0.515,,,0
NDC,2055503601,NDC Description Not Available,0.45999999999999996,0.45999999999999996,,,0
NDC,2113076062,NDC Description Not Available,0.32,0.32,,,0
NDC,225052547,NDC Description Not Available,7.625,7.625,,,0
NDC,23155-002-01,"Hydralazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (23155-002-01)",0.24,0.24,,,0
NDC,23155-026-01,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (23155-026-01),0.63,0.63,,,0
NDC,23155-043-03,Leflunomide: 30 Tablet In 1 Bottle (23155-043-03),1.935,1.935,,,0
NDC,23155-070-01,Methimazole: 100 Tablet In 1 Bottle (23155-070-01),0.625,0.625,,,0
NDC,23155-071-01,Methimazole: 100 Tablet In 1 Bottle (23155-071-01),0.595,0.595,,,0
NDC,23155-166-31,NDC Description Not Available,6.61,6.61,,,0
NDC,23155-166-41,"Tranexamic Acid: 10 Vial, Glass In 1 Carton (23155-166-41)  / 10 Ml In 1 Vial, Glass (23155-166-31)",6.88,6.88,,,0
NDC,23155-178-01,"Isosorbide Mononitrate: 100 Tablet, Extended Release In 1 Bottle (23155-178-01)",0.84,0.84,,,0
NDC,23155-194-01,Nifedipine: 100 Capsule In 1 Bottle (23155-194-01),0.755,0.755,,,0
NDC,23155-240-31,NDC Description Not Available,2.77,2.77,,,0
NDC,23155-294-31,NDC Description Not Available,4.98,4.98,,,0
NDC,23155-313-31,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",52.46,52.46,,,0
NDC,23155-497-42,Prochlorperazine Edisylate: 10 Vial In 1 Package (23155-497-42)  / 2 Ml In 1 Vial (23155-497-31),10.96,10.96,,,0
NDC,23155-500-01,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-500-01),0.63,0.63,,,0
NDC,23155-501-01,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-501-01),0.5800000000000001,0.5800000000000001,,,0
NDC,23155-547-31,NDC Description Not Available,0.47,0.47,,,0
NDC,23155-548-31,NDC Description Not Available,1.27,1.27,,,0
NDC,23155-549-31,Ondansetron: 1 Vial In 1 Carton (23155-549-31)  / 20 Ml In 1 Vial,0.53,0.53,,,0
NDC,23155-579-01,Desipramine Hydrochloride: 100 Tablet In 1 Bottle (23155-579-01),2.05,2.05,,,0
NDC,23155-594-31,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (23155-594-31)  / 1 Injectable, Liposomal In 1 Vial, Single-Dose",48.065,48.065,,,0
NDC,23155-600-31,NDC Description Not Available,0.93,0.93,,,0
NDC,23155-600-41,"Midazolam Hydrochloride: 25 Vial, Single-Dose In 1 Carton (23155-600-41)  / 2 Ml In 1 Vial, Single-Dose (23155-600-31)",1.5,1.5,,,0
NDC,23155-606-01,Glycopyrrolate: 100 Tablet In 1 Bottle (23155-606-01),0.37,0.37,,,0
NDC,23155-647-31,NDC Description Not Available,583.96,583.96,,,0
NDC,23155-649-41,"Carmustine: 1 Kit In 1 Carton (23155-649-41)  *  3 Ml In 1 Vial (23155-648-31)  *  30 Ml In 1 Vial, Single-Dose (23155-647-31)",554.56,554.56,,,0
NDC,23155-687-31,NDC Description Not Available,3.84,3.84,,,0
NDC,23155-767-01,Tetracycline Hydrochloride: 100 Capsule In 1 Bottle (23155-767-01),4.37,4.37,,,0
NDC,23155-772-01,Enalapril Maleate: 100 Tablet In 1 Bottle (23155-772-01),0.565,0.565,,,0
NDC,23155-833-01,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-833-01),0.545,0.545,,,0
NDC,23155-834-01,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-834-01),0.485,0.485,,,0
NDC,23155-858-78,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (23155-858-78)  / 10 Capsule In 1 Blister Pack,5.12,5.12,,,0
NDC,24201-100-01,NDC Description Not Available,0.15,0.15,,,0
NDC,24201-110-01,NDC Description Not Available,0.15,0.15,,,0
NDC,24201-400-02,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02)  / 2 Ml In 1 Vial, Multi-Dose",1661.97,1661.97,,,0
NDC,24208-277-15,Muro 128: 1 Bottle In 1 Carton (24208-277-15)  / 15 Ml In 1 Bottle,48.3,48.3,,,0
NDC,24208-290-05,"Tobramycin: 1 Bottle, Dropper In 1 Carton (24208-290-05)  / 5 Ml In 1 Bottle, Dropper",28.54,28.54,,,0
NDC,24208-295-25,"Tobramycin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (24208-295-25)  / 2.5 Ml In 1 Bottle, Dropper",97.94,97.94,,,0
NDC,24208-411-05,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (24208-411-05)  / 5 Ml In 1 Bottle, Dropper",36.27,36.27,,,0
NDC,24208-485-10,"Dorzolamide Hcl: 1 Bottle, Dropper In 1 Carton (24208-485-10)  / 10 Ml In 1 Bottle, Dropper",28.85,28.85,,,0
NDC,24208-486-10,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (24208-486-10)  / 10 Ml In 1 Bottle, Dropper",55.67,55.67,,,0
NDC,24208-535-35,"Zirgan: 1 Tube, With Applicator In 1 Carton (24208-535-35)  / 5 G In 1 Tube, With Applicator",1149.18,1149.18,,,0
NDC,24208-580-60,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (24208-580-60)  / 5 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
NDC,24208-635-62,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 1 Bottle, Dropper In 1 Carton (24208-635-62)  / 10 Ml In 1 Bottle, Dropper",163.78,163.78,,,0
NDC,24208-720-02,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02)  / 5 Ml In 1 Bottle, Dropper",107.895,107.895,,,0
NDC,24208-730-06,"Proparacaine Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-730-06)  / 15 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
NDC,24208-735-01,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-01)  / 2 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
NDC,24208-780-55,Neomycin And Polymyxin B Sulfates And Bacitracin Zinc: 1 Tube In 1 Carton (24208-780-55)  / 3.5 G In 1 Tube,121.31,121.31,,,0
NDC,24208-790-62,"Neomycin And Polymyxin B Sulfates And Gramicidin: 1 Bottle, Dropper In 1 Carton (24208-790-62)  / 10 Ml In 1 Bottle, Dropper",96.56,96.56,,,0
NDC,24208-795-35,Neomycin And Polymyxin B Sulfates And Dexamethasone: 1 Tube In 1 Carton (24208-795-35)  / 3.5 G In 1 Tube,32.21,32.21,,,0
NDC,24208-910-19,Erythromycin: 50 Tube In 1 Box (24208-910-19)  / 1 G In 1 Tube,15.48,15.48,,,0
NDC,24338-132-13,Ery-Ped: 100 Ml In 1 Bottle (24338-132-13),60.75,60.75,,,0
NDC,24979-004-06,"Donepezil Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (24979-004-06)",1.55,1.55,,,0
NDC,24979-161-44,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (24979-161-44)",0.42,0.42,,,0
NDC,24979-198-01,Guanfacine Hydrochloride: 100 Tablet In 1 Bottle (24979-198-01),1.035,1.035,,,0
NDC,25010-405-15,Mephyton: 1 BOTTLE in 1 CARTON (25010-405-15)  / 100 TABLET in 1 BOTTLE,12.42,12.42,,,0
NDC,25021-101-67,Cefazolin: 25 VIAL in 1 CARTON (25021-101-67)  / 3 mL in 1 VIAL,1.205,1.205,,,0
NDC,25021-114-87,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,3.87,3.87,,,0
NDC,25021-115-04,Clindamycin: 25 Vial In 1 Carton (25021-115-04)  / 4 Ml In 1 Vial,5.58,5.58,,,0
NDC,25021-121-20,"Cefepime: 10 Vial In 1 Carton (25021-121-20)  / 1 Injection, Powder, For Solution In 1 Vial",6.03,6.03,,,0
NDC,25021-132-83,Levofloxacin: 24 Pouch In 1 Carton (25021-132-83)  / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,6.26,6.26,,,0
NDC,25021-157-99,Vancomycin: 1 Bottle In 1 Carton (25021-157-99)  / 100 Ml In 1 Bottle,12.1,12.1,,,0
NDC,25021-164-30,"Piperacillin, Tazobactam: 10 VIAL in 1 CARTON (25021-164-30)  / 10 mL in 1 VIAL",9.24,9.24,,,0
NDC,25021-180-66,Azithromycin: 10 Vial In 1 Carton (25021-180-66)  / 5 Ml In 1 Vial,8.23,8.23,,,0
NDC,25021-184-66,Fluconazole: 10 Pouch In 1 Carton (25021-184-66)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,9.83,9.83,,,0
NDC,25021-184-82,Fluconazole: 10 Pouch In 1 Carton (25021-184-82)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,9.69,9.69,,,0
NDC,25021-184-87,Fluconazole: 10 Pouch In 1 Carton (25021-184-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,5.92,5.92,,,0
NDC,25021-185-10,Ganciclovir: 25 Vial In 1 Carton (25021-185-10)  / 10 Ml In 1 Vial,56.3,56.3,,,0
NDC,25021-191-10,Micafungin: 1 Vial In 1 Carton (25021-191-10)  / 5 Ml In 1 Vial,0.54,0.54,,,0
NDC,25021-192-82,Ciprofloxacin: 24 Pouch In 1 Carton (25021-192-82)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,6.25,6.25,,,0
NDC,25021-192-87,Ciprofloxacin: 24 Pouch In 1 Carton (25021-192-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,3.99,3.99,,,0
NDC,25021-204-05,Vinorelbine: 1 Vial In 1 Carton (25021-204-05)  / 5 Ml In 1 Vial,32.79,32.79,,,0
NDC,25021-207-51,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-51)  / 100 Ml In 1 Vial,19.525,19.525,,,0
NDC,25021-215-98,Fluorouracil: 1 Bottle In 1 Carton (25021-215-98)  / 50 Ml In 1 Bottle,29.365000000000002,29.365000000000002,,,0
NDC,25021-215-99,Fluorouracil: 1 Bottle In 1 Carton (25021-215-99)  / 100 Ml In 1 Bottle,25.189999999999998,25.189999999999998,,,0
NDC,25021-219-20,Decitabine: 1 Vial In 1 Carton (25021-219-20)  / 20 Ml In 1 Vial,4.74,4.74,,,0
NDC,25021-230-02,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-02)  / 2 Ml In 1 Vial,32.285,32.285,,,0
NDC,25021-248-51,Cyclophosphamide: 1 Vial In 1 Carton (25021-248-51)  / 50 Ml In 1 Vial,1.83,1.83,,,0
NDC,25021-305-66,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-66)  / 18 Ml In 1 Vial,91.74000000000001,91.74000000000001,,,0
NDC,25021-313-82,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-82)  / 100 Ml In 1 Bag,5.43,5.43,,,0
NDC,25021-318-02,Adenosine: 10 Vial In 1 Carton (25021-318-02)  / 2 Ml In 1 Vial,1.27,1.27,,,0
NDC,25021-319-05,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-05)  / 5 Ml In 1 Vial,3.49,3.49,,,0
NDC,25021-402-01,Heparin Sodium: 25 Vial In 1 Carton (25021-402-01)  / 1 Ml In 1 Vial,0.37,0.37,,,0
NDC,25021-500-02,Thiamine Hydrochloride: 25 Vial In 1 Carton (25021-500-02)  / 2 Ml In 1 Vial,4.71,4.71,,,0
NDC,25021-601-03,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03)  / 3 Ml In 1 Vial,0.91,0.91,,,0
NDC,25021-602-03,Caffeine Citrate: 10 Vial In 1 Carton (25021-602-03)  / 3 Ml In 1 Vial,1.79,1.79,,,0
NDC,25021-673-76,Glydo: 10 Syringe In 1 Carton (25021-673-76)  / 6 Ml In 1 Syringe,9.13,9.13,,,0
NDC,25021-673-77,Glydo: 10 Syringe In 1 Carton (25021-673-77)  / 11 Ml In 1 Syringe,11.525,11.525,,,0
NDC,25021-791-20,"Lacosamide: 10 Vial, Glass In 1 Carton (25021-791-20)  / 20 Ml In 1 Vial, Glass",0.14,0.14,,,0
NDC,25021-812-30,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30)  / 30 Ml In 1 Vial,1.82,1.82,,,0
NDC,25021-814-30,Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30)  / 10 Ml In 1 Vial,7.51,7.51,,,0
NDC,25021-814-67,Leucovorin Calcium: 1 VIAL in 1 CARTON (25021-814-67)  / 10 mL in 1 VIAL,3.76,3.76,,,0
NDC,25021-816-30,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30)  / 17.5 Ml In 1 Vial,5.04,5.04,,,0
NDC,25021-826-67,Zoledronic Acid: 1 Bag In 1 Carton (25021-826-67)  / 100 Ml In 1 Bag,17.035,17.035,,,0
NDC,25021-829-02,Fomepizole: 1 Vial In 1 Carton (25021-829-02)  / 1.5 Ml In 1 Vial,8.53,8.53,,,0
NDC,25682-001-01,Soliris: 1 Vial In 1 Carton (25682-001-01)  / 30 Ml In 1 Vial,382.44,382.44,,,0
NDC,25682-025-01,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01)  / 3 Ml In 1 Vial, Glass",638.57,638.57,,,0
NDC,25682-028-01,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-028-01)  / 11 Ml In 1 Vial, Glass",645.65,645.65,,,0
NDC,27241-003-06,Risperidone: 60 Tablet In 1 Bottle (27241-003-06),0.5700000000000001,0.5700000000000001,,,0
NDC,27241-049-10,Entacapone: 100 Tablet In 1 Bottle (27241-049-10),1.26,1.26,,,0
NDC,27241-098-09,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (27241-098-09)",0.64,0.64,,,0
NDC,27241-134-21,NDC Description Not Available,1.94,1.94,,,0
NDC,27808-002-01,"Risperidone: 30 Ml In 1 Bottle, Unit-Dose (27808-002-01)",0.63,0.63,,,0
NDC,27808-114-01,"Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle, Plastic (27808-114-01)",1.02,1.02,,,0
NDC,27808-207-01,Febuxostat: 30 Tablet In 1 Bottle (27808-207-01),2.9000000000000004,2.9000000000000004,,,0
NDC,27808-233-01,Doxycycline: 50 Capsule In 1 Bottle (27808-233-01),0.605,0.605,,,0
NDC,281020536,NDC Description Not Available,1.315,1.315,,,0
NDC,29033-001-01,"Theophylline (Anhydrous): 100 Tablet, Extended Release In 1 Bottle, Plastic (29033-001-01)",3.11,3.11,,,0
NDC,29033-020-12,"Carbamazepine: 120 Capsule, Extended Release In 1 Bottle (29033-020-12)",2.535,2.535,,,0
NDC,29300-124-01,Meloxicam: 100 Tablet In 1 Bottle (29300-124-01),0.5900000000000001,0.5900000000000001,,,0
NDC,29300-126-01,"Bisoprolol Fumarate: 100 Tablet In 1 Bottle, Plastic (29300-126-01)",0.63,0.63,,,0
NDC,29300-126-13,"Bisoprolol Fumarate: 30 Tablet In 1 Bottle, Plastic (29300-126-13)",0.64,0.64,,,0
NDC,29300-127-01,"Bisoprolol Fumarate: 100 Tablet In 1 Bottle, Plastic (29300-127-01)",0.63,0.63,,,0
NDC,29300-131-01,"Zaleplon: 100 Capsule In 1 Bottle, Plastic (29300-131-01)",0.51,0.51,,,0
NDC,29300-136-01,"Clonidine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (29300-136-01)",0.48,0.48,,,0
NDC,29300-138-01,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-138-01)",0.495,0.495,,,0
NDC,29300-140-01,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-140-01)",0.61,0.61,,,0
NDC,29300-171-16,"Memantine Hydrochloride: 60 Tablet, Film Coated In 1 Bottle, Plastic (29300-171-16)",0.5800000000000001,0.5800000000000001,,,0
NDC,29300-226-01,"Metronidazole: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-226-01)",0.405,0.405,,,0
NDC,29300-245-01,"Buspirone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (29300-245-01)",0.5700000000000001,0.5700000000000001,,,0
NDC,29300-355-01,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",0.605,0.605,,,0
NDC,29300-413-01,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",0.45,0.45,,,0
NDC,30698-067-01,Lasix: 100 Tablet In 1 Bottle (30698-067-01),2.045,2.045,,,0
NDC,31722-014-90,Droxidopa: 90 Capsule In 1 Bottle (31722-014-90),1.91,1.91,,,0
NDC,31722-017-01,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (31722-017-01)",0.535,0.535,,,0
NDC,31722-017-10,"Famotidine: 1000 Tablet, Film Coated In 1 Bottle (31722-017-10)",0.5449999999999999,0.5449999999999999,,,0
NDC,31722-141-01,Captopril: 100 Tablet In 1 Bottle (31722-141-01),1.66,1.66,,,0
NDC,31722-186-01,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (31722-186-01)",1.41,1.41,,,0
NDC,31722-203-32,NDC Description Not Available,0.15,0.15,,,0
NDC,31722-308-01,Olanzapine: 1 Vial In 1 Carton (31722-308-01)  / 2 Ml In 1 Vial,1.76,1.76,,,0
NDC,31722-496-18,"Rivaroxaban: 180 Tablet, Film Coated In 1 Bottle (31722-496-18)",8.6,8.6,,,0
NDC,31722-526-30,"Finasteride: 30 Tablet, Film Coated In 1 Bottle (31722-526-30)",0.63,0.63,,,0
NDC,31722-534-01,Methocarbamol: 12 Bottle In 1 Case (31722-534-01)  / 100 Tablet In 1 Bottle,0.63,0.63,,,0
NDC,31722-574-47,Levetiracetam: 473 Ml In 1 Bottle (31722-574-47),1.03,1.03,,,0
NDC,31722-621-60,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-621-60),4.915,4.915,,,0
NDC,31722-622-60,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-622-60),6.595,6.595,,,0
NDC,31722-627-26,Lacosamide: 1 Bottle In 1 Carton (31722-627-26)  / 200 Ml In 1 Bottle,23.48,23.48,,,0
NDC,31722-629-21,Atovaquone: 1 Bottle In 1 Carton (31722-629-21)  / 210 Ml In 1 Bottle,3.69,3.69,,,0
NDC,31722-644-30,"Tadalafil: 30 Tablet, Film Coated In 1 Bottle (31722-644-30)",0.63,0.63,,,0
NDC,31722-681-47,Acyclovir: 473 Ml In 1 Bottle (31722-681-47),1.77,1.77,,,0
NDC,31722-700-90,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (31722-700-90)",0.5449999999999999,0.5449999999999999,,,0
NDC,31722-701-90,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (31722-701-90)",0.45999999999999996,0.45999999999999996,,,0
NDC,31722-712-90,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (31722-712-90)",0.61,0.61,,,0
NDC,31722-717-30,Atomoxetine: 30 Capsule In 1 Bottle (31722-717-30),4.3100000000000005,4.3100000000000005,,,0
NDC,31722-729-90,Irbesartan: 90 Tablet In 1 Bottle (31722-729-90),0.615,0.615,,,0
NDC,31722-730-90,Irbesartan: 90 Tablet In 1 Bottle (31722-730-90),0.63,0.63,,,0
NDC,31722-731-90,Irbesartan: 90 Tablet In 1 Bottle (31722-731-90),0.63,0.63,,,0
NDC,31722-749-20,"Linezolid: 20 Tablet, Film Coated In 1 Bottle (31722-749-20)",6.08,6.08,,,0
NDC,32909-168-02,Liquid Polibar Plus: 1900 mL in 1 JUG (32909-168-02),51.98,51.98,,,0
NDC,33342-047-10,Irbesartan: 90 Tablet In 1 Bottle (33342-047-10),0.63,0.63,,,0
NDC,33342-062-07,"Valsartan: 30 Tablet, Film Coated In 1 Bottle (33342-062-07)",0.49,0.49,,,0
NDC,33342-093-02,NDC Description Not Available,2.415,2.415,,,0
NDC,33342-097-09,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-097-09)",0.87,0.87,,,0
NDC,33342-098-09,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-098-09)",0.87,0.87,,,0
NDC,33342-256-66,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-256-66)  / 10 Capsule In 1 Blister Pack,2.8499999999999996,2.8499999999999996,,,0
NDC,33342-257-66,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-257-66)  / 10 Capsule In 1 Blister Pack,2.9,2.9,,,0
NDC,33342-258-66,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-258-66)  / 10 Capsule In 1 Blister Pack,4.58,4.58,,,0
NDC,35135-01505,NDC Description Not Available,0.63,0.63,,,0
NDC,35573-428-51,NDC Description Not Available,0.63,0.63,,,0
NDC,36000-008-24,Ciprofloxacin: 100 Ml In 1 Bag (36000-008-24),8.34,8.34,,,0
NDC,36000-033-10,Metoprolol: 10 Vial In 1 Carton (36000-033-10)  / 5 Ml In 1 Vial,1.805,1.805,,,0
NDC,36000-162-01,NDC Description Not Available,12.37,12.37,,,0
NDC,36000-282-25,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25)  / 2 Ml In 1 Vial, Single-Dose",0.09,0.09,,,0
NDC,36000-284-25,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-284-25)  / 10 Ml In 1 Vial, Single-Dose",0.03,0.03,,,0
NDC,36000-298-24,Ciprofloxacin: 200 Ml In 1 Bag (36000-298-24),3.28,3.28,,,0
NDC,36000-308-01,NDC Description Not Available,1.54,1.54,,,0
NDC,3660219209,NDC Description Not Available,0.27,0.27,,,0
NDC,37000-023-04,Metamucil Therapy For Regularity: 30 Packet In 1 Carton (37000-023-04)  / 12 G In 1 Packet,1.21,1.21,,,0
NDC,37000-024-04,Metamucil Therapy For Regularity: 30 Packet In 1 Carton (37000-024-04)  / 5.8 G In 1 Packet,1.27,1.27,,,0
NDC,37000-024-10,Metamucil Therapy For Regularity: 5.8 G In 1 Packet (37000-024-10),0.92,0.92,,,0
NDC,3700074108,NDC Description Not Available,0.75,0.75,,,0
NDC,3786486001,NDC Description Not Available,0.625,0.625,,,0
NDC,378699789,NDC Description Not Available,0.67,0.67,,,0
NDC,3848514001,NDC Description Not Available,0.54,0.54,,,0
NDC,39328-020-08,"Senna: 237 Ml In 1 Bottle, Plastic (39328-020-08)",0.75,0.75,,,0
NDC,39328-063-25,NDC Description Not Available,34.61,34.61,,,0
NDC,3932806412,NDC Description Not Available,34.75,34.75,,,0
NDC,39822-0190-1,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1)  / 5 Ml In 1 Vial, Glass",49.72,49.72,,,0
NDC,39822-0412-1,Tobramycin: 1 Vial In 1 Carton (39822-0412-1)  / 30 Ml In 1 Vial,9.57,9.57,,,0
NDC,39822-1100-1,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (39822-1100-1)  / 10 Ml In 1 Vial, Multi-Dose",0.19,0.19,,,0
NDC,39822-2100-2,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (39822-2100-2)  / 1 Ml In 1 Vial, Single-Dose (39822-2100-1)",1012.08,1012.08,,,0
NDC,39822-3015-1,"Nystatin: 15 g in 1 BOTTLE, PLASTIC (39822-3015-1)",39.26,39.26,,,0
NDC,39822-4200-1,NDC Description Not Available,8.05,8.05,,,0
NDC,4110081123,NDC Description Not Available,13.39,13.39,,,0
NDC,4110081124,NDC Description Not Available,4.9,4.9,,,0
NDC,4110081125,NDC Description Not Available,7.85,7.85,,,0
NDC,4110081163,NDC Description Not Available,5.5649999999999995,5.5649999999999995,,,0
NDC,41388-00732,NDC Description Not Available,0.22,0.22,,,0
NDC,4138800730,NDC Description Not Available,0.15,0.15,,,0
NDC,42023-104-01,Aplisol: 1 Vial In 1 Carton (42023-104-01)  / 1 Ml In 1 Vial,33.44,33.44,,,0
NDC,42023-113-10,Ketalar: 10 Vial In 1 Carton (42023-113-10)  / 20 Ml In 1 Vial,6.8,6.8,,,0
NDC,42023-116-25,Pitocin: 25 Vial In 1 Tray (42023-116-25)  / 1 Ml In 1 Vial,9.5,9.5,,,0
NDC,42023-159-25,Adrenalin: 25 Vial In 1 Carton (42023-159-25)  / 1 Ml In 1 Vial (42023-159-01),3.8,3.8,,,0
NDC,42023-164-01,NDC Description Not Available,2.81,2.81,,,0
NDC,42023-168-01,Adrenalin: 1 Vial In 1 Carton (42023-168-01)  / 30 Ml In 1 Vial,1.1,1.1,,,0
NDC,42023-168-99,Adrenalin: 1 Vial In 1 Carton (42023-168-99)  / 30 Ml In 1 Vial,1.13,1.13,,,0
NDC,42023-173-01,NDC Description Not Available,86.94,86.94,,,0
NDC,42023-230-01,NDC Description Not Available,0.66,0.66,,,0
NDC,42192-327-01,Np Thyroid 15: 100 Tablet In 1 Bottle (42192-327-01),1.1549999999999998,1.1549999999999998,,,0
NDC,42192-329-01,Np Thyroid 30: 100 Tablet In 1 Bottle (42192-329-01),1.47,1.47,,,0
NDC,42192-339-01,Hyoscyamine Sulfate Sl: 100 Tablet In 1 Bottle (42192-339-01),0.625,0.625,,,0
NDC,42192-608-06,"Gabapentin: 6 Ml In 1 Cup, Unit-Dose (42192-608-06)",7.85,7.85,,,0
NDC,42291-477-11,NDC Description Not Available,5.8,5.8,,,0
NDC,42291-495-11,NDC Description Not Available,5.8,5.8,,,0
NDC,42291-858-90,Valsartan: 90 Tablet In 1 Bottle (42291-858-90),0.63,0.63,,,0
NDC,42291-923-01,Ursodiol: 100 Capsule In 1 Bottle (42291-923-01),1.17,1.17,,,0
NDC,42292-038-01,NDC Description Not Available,1.24,1.24,,,0
NDC,42367-540-32,Ryanodex Dantrolene Sodium: 1 Vial In 1 Carton (42367-540-32)  / 20 Ml In 1 Vial,2851.7,2851.7,,,0
NDC,42385-947-01,"Metformin Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (42385-947-01)",0.5549999999999999,0.5549999999999999,,,0
NDC,42494-415-01,NDC Description Not Available,35.93,35.93,,,0
NDC,42571-141-26,Dorzolamide Hydrochloride Ophthalmic Solution: 1 Bottle In 1 Carton (42571-141-26)  / 10 Ml In 1 Bottle,49.15,49.15,,,0
NDC,42571-147-26,Dorzolamide Hydrochloride And Timolol Maleate Ophthalmic Solution: 1 Bottle In 1 Carton (42571-147-26)  / 10 Ml In 1 Bottle,129.23000000000002,129.23000000000002,,,0
NDC,42571-161-01,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (42571-161-01)",1.22,1.22,,,0
NDC,42571-161-42,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-161-42)",1.22,1.22,,,0
NDC,42571-162-42,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-162-42)",1.58,1.58,,,0
NDC,42658-010-01,"Cladribine: 1 Ml In 1 Vial, Single-Dose (42658-010-01)",37.42,37.42,,,0
NDC,42658-021-01,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01)  / 4 Ml In 1 Vial,94.725,94.725,,,0
NDC,42658-021-02,Daunorubicin Hydrochloride: 10 Vial In 1 Carton (42658-021-02)  / 4 Ml In 1 Vial,52.075,52.075,,,0
NDC,42702-102-15,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (42702-102-15)  / 15 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
NDC,42747-761-01,"Poteligeo: 1 Vial, Glass In 1 Carton (42747-761-01)  / 5 Ml In 1 Vial, Glass",775.425,775.425,,,0
NDC,42799-119-01,Bumetanide: 100 Tablet In 1 Bottle (42799-119-01),0.895,0.895,,,0
NDC,42799-217-01,"Opium Tincture Deodorized: 118 Ml In 1 Bottle, Plastic (42799-217-01)",4.35,4.35,,,0
NDC,42799-806-01,Ivermectin: 2 Blister Pack In 1 Carton (42799-806-01)  / 10 Tablet In 1 Blister Pack,10.02,10.02,,,0
NDC,42806-102-01,"Ethambutol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (42806-102-01)",1.1749999999999998,1.1749999999999998,,,0
NDC,42806-266-98,NDC Description Not Available,1.99,1.99,,,0
NDC,42806-339-01,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle, Plastic (42806-339-01)",0.72,0.72,,,0
NDC,42806-359-25,Leucovorin Calcium: 25 Tablet In 1 Bottle (42806-359-25),13.81,13.81,,,0
NDC,42806-503-01,Ursodiol: 100 Capsule In 1 Bottle (42806-503-01),2.29,2.29,,,0
NDC,42806-714-01,Benzonatate: 100 Capsule In 1 Bottle (42806-714-01),0.63,0.63,,,0
NDC,42858-001-10,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-001-10)  / 10 Tablet In 1 Blister Pack,0.8,0.8,,,0
NDC,42858-301-01,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-301-01)",0.62,0.62,,,0
NDC,42858-301-25,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25)  / 25 Tablet In 1 Blister Pack,0.53,0.53,,,0
NDC,42858-302-01,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-302-01)",0.83,0.83,,,0
NDC,42858-302-25,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-302-25)  / 25 Tablet In 1 Blister Pack,0.62,0.62,,,0
NDC,42858-304-16,"Hydromorphone Hydrochloride: 473 Ml In 1 Bottle, Plastic (42858-304-16)",3.35,3.35,,,0
NDC,42858-703-03,"Paroxetine: 30 Tablet, Film Coated, Extended Release In 1 Bottle (42858-703-03)",1.675,1.675,,,0
NDC,42858-802-01,"Morphine Sulfate Extended Release: 100 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (42858-802-01)",1.1400000000000001,1.1400000000000001,,,0
NDC,43063-935-01,"Allopurinol: 100 Tablet In 1 Bottle, Plastic (43063-935-01)",0.22,0.22,,,0
NDC,43066-016-10,Cardene Iv: 10 Bag In 1 Carton (43066-016-10)  / 200 Ml In 1 Bag,167.34,167.34,,,0
NDC,43066-360-20,Nexterone: 200 Ml In 1 Bag (43066-360-20),5.98,5.98,,,0
NDC,43066-555-24,Dexmedetomidine Hydrochloride In 0.9% Sodium Chloride: 24 Bag In 1 Carton (43066-555-24)  / 50 Ml In 1 Bag,35.06,35.06,,,0
NDC,43066-993-24,Clindamycin Phosphate: 24 Bag In 1 Case (43066-993-24)  / 50 Ml In 1 Bag,7.02,7.02,,,0
NDC,43066-995-24,Clindamycin Phosphate: 24 Bag In 1 Case (43066-995-24)  / 50 Ml In 1 Bag,5.985,5.985,,,0
NDC,43066-997-01,NDC Description Not Available,6.17,6.17,,,0
NDC,43066-997-10,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (43066-997-10)  / 4 Ml In 1 Vial, Single-Dose (43066-997-01)",6.07,6.07,,,0
NDC,43386-096-60,Clobetasol Propionate: 1 Tube In 1 Carton (43386-096-60)  / 15 G In 1 Tube,31.475,31.475,,,0
NDC,43386-161-01,Misoprostol: 100 Tablet In 1 Bottle (43386-161-01),2.4050000000000002,2.4050000000000002,,,0
NDC,43528-003-01,NDC Description Not Available,401.55499999999995,401.55499999999995,,,0
NDC,43547-268-10,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-268-10)",0.47500000000000003,0.47500000000000003,,,0
NDC,43547-270-10,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-270-10)",0.565,0.565,,,0
NDC,43547-272-10,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-272-10)",0.66,0.66,,,0
NDC,43547-280-10,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-280-10)",0.39,0.39,,,0
NDC,43547-282-10,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-282-10)",0.6,0.6,,,0
NDC,43547-288-10,"Bupropion Hydrochloride Sr: 100 Tablet, Film Coated, Extended Release In 1 Bottle (43547-288-10)",0.61,0.61,,,0
NDC,43547-342-06,Risperidone: 60 Tablet In 1 Bottle (43547-342-06),0.485,0.485,,,0
NDC,43547-345-06,"Levetiracetam: 60 Tablet, Film Coated, Extended Release In 1 Bottle (43547-345-06)",0.72,0.72,,,0
NDC,43547-543-01,NDC Description Not Available,1.18,1.18,,,0
NDC,43547-545-10,Enalapril Maleate: 100 Tablet In 1 Bottle (43547-545-10),0.63,0.63,,,0
NDC,43547-639-01,NDC Description Not Available,1.27,1.27,,,0
NDC,43547-688-10,Ciprofloxacin: 100 Tablet In 1 Bottle (43547-688-10),0.415,0.415,,,0
NDC,43598-051-11,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (43598-051-11)  / 2 Ml In 1 Vial, Multi-Dose",1393.58,1393.58,,,0
NDC,43598-078-11,NDC Description Not Available,18.01,18.01,,,0
NDC,43598-106-11,NDC Description Not Available,18.5,18.5,,,0
NDC,43598-128-11,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-128-11)  / 8 Ml In 1 Vial, Multi-Dose",0.42,0.42,,,0
NDC,43598-130-74,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-130-74)  / 16 Ml In 1 Vial, Multi-Dose",0.18,0.18,,,0
NDC,43598-163-60,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (43598-163-60)",6.145,6.145,,,0
NDC,43598-210-40,Ssd Cream: 400 G In 1 Jar (43598-210-40),140.91,140.91,,,0
NDC,43598-210-55,Ssd Cream: 50 G In 1 Jar (43598-210-55),25.11,25.11,,,0
NDC,43598-283-35,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (43598-283-35)  / 10 Ml In 1 Vial, Single-Dose",593.63,593.63,,,0
NDC,43598-387-11,"Pemetrexed Disodium: 1 Vial, Single-Dose In 1 Carton (43598-387-11)  / 20 Ml In 1 Vial, Single-Dose",6.17,6.17,,,0
NDC,43598-405-11,NDC Description Not Available,5.01,5.01,,,0
NDC,43598-426-60,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (43598-426-60)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",4.49,4.49,,,0
NDC,43598-447-71,NDC Description Not Available,3.835,3.835,,,0
NDC,43598-541-25,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (43598-541-25)  / 25 Ml In 1 Vial, Single-Dose",611.62,611.62,,,0
NDC,43598-549-52,NDC Description Not Available,0.2,0.2,,,0
NDC,43598-628-57,"Carmustine: 1 Kit In 1 Carton (43598-628-57)  *  3 Ml In 1 Vial (43598-860-11)  *  30 Ml In 1 Vial, Single-Dose (43598-861-11)",1229.99,1229.99,,,0
NDC,43598-676-11,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (43598-676-11)  / 5 Ml In 1 Vial, Multi-Dose",6.5,6.5,,,0
NDC,43598-682-35,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (43598-682-35)  / 10 Ml In 1 Vial, Single-Dose",237.46,237.46,,,0
NDC,43598-683-25,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (43598-683-25)  / 25 Ml In 1 Vial, Single-Dose",626.61,626.61,,,0
NDC,43598-698-11,"Carboprost Tromethamine: 1 Vial, Single-Dose In 1 Carton (43598-698-11)  / 1 Ml In 1 Vial, Single-Dose",108.45,108.45,,,0
NDC,43598-725-11,NDC Description Not Available,3.78,3.78,,,0
NDC,43598-750-11,Naloxone Hydrochloride: 1 Syringe In 1 Box (43598-750-11)  / 2 Ml In 1 Syringe,0.15,0.15,,,0
NDC,43598-891-16,NDC Description Not Available,15.219999999999999,15.219999999999999,,,0
NDC,43598-917-11,NDC Description Not Available,111.77,111.77,,,0
NDC,43598-965-30,Aripiprazole: 30 Tablet In 1 Bottle (43598-965-30),1.7149999999999999,1.7149999999999999,,,0
NDC,43825-102-01,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01)  / 100 mL in 1 VIAL, GLASS",0.21,0.21,,,0
NDC,44206-300-01,"Rhophylac: 1 Syringe, Glass In 1 Carton (44206-300-01)  / 2 Ml In 1 Syringe, Glass (44206-300-90)",214.32,214.32,,,0
NDC,44206-300-90,NDC Description Not Available,213.49,213.49,,,0
NDC,44206-310-50,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50)  / 500 Ml In 1 Vial, Glass (44206-310-91)",104.66,104.66,,,0
NDC,44206-310-91,NDC Description Not Available,104.66,104.66,,,0
NDC,44206-438-20,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20)  / 200 Ml In 1 Vial, Glass (44206-438-92)",104.465,104.465,,,0
NDC,44206-438-92,NDC Description Not Available,101.83,101.83,,,0
NDC,44523-410-01,Potassium Citrate: 100 Tablet In 1 Bottle (44523-410-01),0.32,0.32,,,0
NDC,44567-210-10,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-210-10)  / 10 Ml In 1 Vial,5.97,5.97,,,0
NDC,44567-221-10,"Nafcillin: 10 Vial In 1 Carton (44567-221-10)  / 1 Powder, For Solution In 1 Vial",25.44,25.44,,,0
NDC,44567-235-25,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25)  / 1 Injection, Powder, For Solution In 1 Vial",4.05,4.05,,,0
NDC,44567-236-10,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10)  / 1 Injection, Powder, For Solution In 1 Vial",3.95,3.95,,,0
NDC,44567-240-10,Cefepime: 10 Vial In 1 Carton (44567-240-10)  / 20 Ml In 1 Vial,3.56,3.56,,,0
NDC,44567-410-24,Magnesium Sulfate In Dextrose: 24 Bag In 1 Carton (44567-410-24)  / 100 Ml In 1 Bag,4.15,4.15,,,0
NDC,44567-420-24,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,2.8,2.8,,,0
NDC,44567-510-01,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (44567-510-01)  / 100 Ml In 1 Vial, Multi-Dose",15.03,15.03,,,0
NDC,44567-621-01,NDC Description Not Available,0.26,0.26,,,0
NDC,44567-803-10,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-803-10)  / 1 Injection, Powder, For Solution In 1 Vial",3.49,3.49,,,0
NDC,44567-820-01,NDC Description Not Available,24.33,24.33,,,0
NDC,45008002,NDC Description Not Available,0.36,0.36,,,0
NDC,45567-0030-1,Kit For The Prepartion Of Technetium Tc99M Sulfur Colloid: 1 Kit In 1 Package (45567-0030-1)  *  3 Ml In 1 Vial *  3 Ml In 1 Vial *  10 Ml In 1 Vial,366.71,366.71,,,0
NDC,45567-0040-1,"Kit For The Preparation Of Technetium Tc 99M Medronate: 5 Vial, Multi-Dose In 1 Kit (45567-0040-1)  / 10 Ml In 1 Vial, Multi-Dose",39.63,39.63,,,0
NDC,45802-048-35,Nystatin: 1 Tube In 1 Carton (45802-048-35)  / 15 G In 1 Tube,18.995,18.995,,,0
NDC,45802-054-35,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-054-35)  / 15 G In 1 Tube,9.47,9.47,,,0
NDC,45802-056-11,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-11)  / 30 G In 1 Tube,127.82,127.82,,,0
NDC,45802-056-35,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-35)  / 15 G In 1 Tube,76.12,76.12,,,0
NDC,45802-059-35,Nystatin: 1 Tube In 1 Carton (45802-059-35)  / 15 G In 1 Tube,37.06,37.06,,,0
NDC,45802-098-46,Mesalamine: 60 Ml In 1 Bottle (45802-098-46),34.83,34.83,,,0
NDC,45802-143-00,NDC Description Not Available,0.56,0.56,,,0
NDC,45802-143-03,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-03)  / 28 G In 1 Tube,6.92,6.92,,,0
NDC,45802-143-70,Triple Antibiotic: 144 Packet In 1 Carton (45802-143-70)  / .9 G In 1 Packet (45802-143-00),0.28,0.28,,,0
NDC,45802-188-16,Hemorrhoidal: 1 Tube In 1 Carton (45802-188-16)  / 57 G In 1 Tube,5.225,5.225,,,0
NDC,45802-206-25,"Nicotine Polacrilex: 110 Blister Pack In 1 Carton (45802-206-25)  / 1 Gum, Chewing In 1 Blister Pack",0.63,0.63,,,0
NDC,45802-276-03,Hydrocortisone: 1 Tube In 1 Carton (45802-276-03)  / 28 G In 1 Tube,4.23,4.23,,,0
NDC,45802-376-35,Betamethasone Dipropionate: 1 Tube In 1 Carton (45802-376-35)  / 15 G In 1 Tube,7.66,7.66,,,0
NDC,45802-410-59,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59)  / 30 Ml In 1 Bottle, Spray",5.52,5.52,,,0
NDC,45802-433-21,Dextromethorphan Polistirex Extended Release: 1 Bottle In 1 Carton (45802-433-21)  / 89 Ml In 1 Bottle,1.2850000000000001,1.2850000000000001,,,0
NDC,45802-438-03,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03)  / 28 G In 1 Tube,4.130000000000001,4.130000000000001,,,0
NDC,45802-465-64,Ketoconazole: 120 Ml In 1 Bottle (45802-465-64),47.29,47.29,,,0
NDC,45802-730-00,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),0.78,0.78,,,0
NDC,45802-730-33,Acetaminophen Pain Reliever Fever Reducer: 100 Blister Pack In 1 Carton (45802-730-33)  / 1 Suppository In 1 Blister Pack,0.63,0.63,,,0
NDC,45802-732-00,NDC Description Not Available,0.54,0.54,,,0
NDC,45802-758-00,NDC Description Not Available,1.17,1.17,,,0
NDC,45802-759-00,NDC Description Not Available,0.51,0.51,,,0
NDC,45802-827-25,"Nicotine: 110 Blister Pack In 1 Carton (45802-827-25)  / 1 Gum, Chewing In 1 Blister Pack",0.625,0.625,,,0
NDC,45802-868-00,NDC Description Not Available,3.83,3.83,,,0
NDC,45963-438-64,Enulose: 473 Ml In 1 Bottle (45963-438-64),3.23,3.23,,,0
NDC,45963-607-55,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-55)  / 1 Ml In 1 Vial, Single-Dose",54.04,54.04,,,0
NDC,45963-609-55,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55)  / 2 Ml In 1 Vial, Glass",201.97,201.97,,,0
NDC,4601701816,NDC Description Not Available,0.63,0.63,,,0
NDC,4601701840,NDC Description Not Available,0.63,0.63,,,0
NDC,46287-006-60,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60)  / 60 Ml In 1 Bottle, Unit-Dose",61.07,61.07,,,0
NDC,47335-049-40,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-049-40)  / 10 Ml In 1 Vial, Single-Dose",534.28,534.28,,,0
NDC,47335-050-40,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-050-40)  / 25 Ml In 1 Vial, Single-Dose",669.0,669.0,,,0
NDC,47335-703-48,NDC Description Not Available,0.16,0.16,,,0
NDC,47335-993-01,Metronidazole: 1 Bag In 1 Pouch (47335-993-01)  / 100 Ml In 1 Bag,0.14,0.14,,,0
NDC,47781-335-30,"Pyridostigmine Bromide: 30 Tablet, Extended Release In 1 Bottle (47781-335-30)",13.95,13.95,,,0
NDC,47781-423-11,NDC Description Not Available,13.96,13.96,,,0
NDC,47781-424-11,NDC Description Not Available,11.9,11.9,,,0
NDC,47781-426-11,NDC Description Not Available,17.310000000000002,17.310000000000002,,,0
NDC,47781-427-11,NDC Description Not Available,40.585,40.585,,,0
NDC,47781-428-11,NDC Description Not Available,42.235,42.235,,,0
NDC,47781-468-13,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (47781-468-13)  / 10 Capsule In 1 Blister Pack,22.66,22.66,,,0
NDC,47781-562-01,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-562-01),18.98,18.98,,,0
NDC,47781-564-01,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-564-01),18.77,18.77,,,0
NDC,47781-586-29,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (47781-586-29)  / 20 Ml In 1 Vial, Multi-Dose",1.505,1.505,,,0
NDC,47781-651-90,Levothyroxine Sodium: 90 Tablet In 1 Bottle (47781-651-90),0.63,0.63,,,0
NDC,48102-057-11,Erythromycin: 50 Tube In 1 Carton (48102-057-11)  / 1 G In 1 Tube,23.73,23.73,,,0
NDC,48433-202-30,"Mineral Oil: 30 Ml In 1 Cup, Unit-Dose (48433-202-30)",2.29,2.29,,,0
NDC,48433-230-15,Strong Iodine Solution: 14 Ml In 1 Bottle (48433-230-15),53.33,53.33,,,0
NDC,4858200155,NDC Description Not Available,11.52,11.52,,,0
NDC,486112501,NDC Description Not Available,1.96,1.96,,,0
NDC,48783-112-08,"Monsels Solution: 14 G In 1 Vial, Single-Dose (48783-112-08)",36.94,36.94,,,0
NDC,487900330,NDC Description Not Available,1.62,1.62,,,0
NDC,4898500153,NDC Description Not Available,3.25,3.25,,,0
NDC,49281-123-88,NDC Description Not Available,151.075,151.075,,,0
NDC,49281-124-88,NDC Description Not Available,171.10500000000002,171.10500000000002,,,0
NDC,49281-125-65,"Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-125-65)  / .5 Ml In 1 Syringe, Glass (49281-125-88)",162.94,162.94,,,0
NDC,49281-125-88,NDC Description Not Available,162.94,162.94,,,0
NDC,49281-215-88,NDC Description Not Available,113.87,113.87,,,0
NDC,49281-286-58,NDC Description Not Available,83.98,83.98,,,0
NDC,49281-575-00,Beyfortus: 1 Syringe In 1 Carton (49281-575-00)  / .5 Ml In 1 Syringe,1576.13,1576.13,,,0
NDC,49281-590-58,NDC Description Not Available,437.73,437.73,,,0
NDC,49281-860-10,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10)  / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",120.94,120.94,,,0
NDC,49281-860-78,NDC Description Not Available,146.26,146.26,,,0
NDC,49348-179-38,Sunmark Hydrogen Peroxide 3 Percent: 473 Ml In 1 Bottle (49348-179-38),20.775,20.775,,,0
NDC,49348-771-03,Sunmark stay awake: 16 BLISTER PACK in 1 CARTON (49348-771-03)  / 1 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
NDC,49483-340-01,"Acetaminophen: 100 Tablet In 1 Bottle, Plastic (49483-340-01)",0.33,0.33,,,0
NDC,49609-101-01,"Fludeoxyglucose F 18: 30 Ml In 1 Vial, Multi-Dose (49609-101-01)",413.93,413.93,,,0
NDC,49702-205-48,Epivir: 240 Ml In 1 Bottle (49702-205-48),6.16,6.16,,,0
NDC,49702-224-18,"Selzentry: 60 Tablet, Film Coated In 1 Bottle (49702-224-18)",75.22,75.22,,,0
NDC,49702-228-13,"Tivicay: 30 Tablet, Film Coated In 1 Bottle (49702-228-13)",197.575,197.575,,,0
NDC,49702-231-13,"Triumeq: 30 Tablet, Film Coated In 1 Bottle (49702-231-13)",338.96500000000003,338.96500000000003,,,0
NDC,49884-021-01,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (49884-021-01),2.31,2.31,,,0
NDC,49884-212-52,NDC Description Not Available,5.89,5.89,,,0
NDC,49884-212-55,"Risperidone: 5 Blister Pack In 1 Carton (49884-212-55)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack (49884-212-52)",5.63,5.63,,,0
NDC,49884-311-52,NDC Description Not Available,2.31,2.31,,,0
NDC,49884-320-55,"Olanzapine: 3 Blister Pack In 1 Carton (49884-320-55)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack (49884-320-52)",2.115,2.115,,,0
NDC,49884-465-64,NDC Description Not Available,5.09,5.09,,,0
NDC,49884-724-01,Hydroxyurea: 100 Capsule In 1 Bottle (49884-724-01),0.67,0.67,,,0
NDC,49884-768-52,NDC Description Not Available,116.19,116.19,,,0
NDC,50111-328-01,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-328-01),0.57,0.57,,,0
NDC,50111-398-01,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-398-01),0.585,0.585,,,0
NDC,50111-561-01,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-561-01),0.38,0.38,,,0
NDC,50111-789-10,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (50111-789-10)",11.15,11.15,,,0
NDC,50111-915-01,Torsemide: 100 Tablet In 1 Bottle (50111-915-01),0.63,0.63,,,0
NDC,5019014263,NDC Description Not Available,1.55,1.55,,,0
NDC,50228-192-60,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (50228-192-60)",0.21,0.21,,,0
NDC,50228-423-60,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Package (50228-423-60)",0.955,0.955,,,0
NDC,50228-458-01,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-458-01),0.315,0.315,,,0
NDC,50228-459-01,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-459-01),0.56,0.56,,,0
NDC,50228-481-01,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-481-01),0.63,0.63,,,0
NDC,50242-037-06,NDC Description Not Available,474.42,474.42,,,0
NDC,50242-041-64,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64)  / 2 Ml In 1 Vial,267.995,267.995,,,0
NDC,50242-044-06,NDC Description Not Available,256.325,256.325,,,0
NDC,50242-044-13,"Activase: 1 Kit In 1 Carton (50242-044-13)  *  50 Ml In 1 Vial, Single-Use *  50 Ml In 1 Vial, Single-Use",244.25,244.25,,,0
NDC,50242-051-21,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21)  / 10 Ml In 1 Vial, Single-Use",306.37,306.37,,,0
NDC,50242-053-06,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06)  / 50 Ml In 1 Vial, Single-Use",268.87,268.87,,,0
NDC,50242-060-01,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01)  / 4 Ml In 1 Vial, Single-Use",258.99,258.99,,,0
NDC,50242-061-01,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01)  / 16 Ml In 1 Vial, Single-Use",267.41,267.41,,,0
NDC,50242-070-01,"Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01)  / 40 Ml In 1 Vial, Single-Use",263.375,263.375,,,0
NDC,50242-077-01,"Herceptin Hylecta: 1 Vial, Single-Dose In 1 Carton (50242-077-01)  / 5 Ml In 1 Vial, Single-Dose",254.62,254.62,,,0
NDC,50242-085-25,NDC Description Not Available,248.32,248.32,,,0
NDC,50242-085-27,"Activase: 1 Kit In 1 Carton (50242-085-27)  *  100 Ml In 1 Vial, Single-Use *  100 Ml In 1 Vial, Single-Use",244.25,244.25,,,0
NDC,50242-087-01,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-087-01)  / 8 Ml In 1 Vial, Single-Use",101.63,101.63,,,0
NDC,50242-088-01,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-088-01)  / 5 Ml In 1 Vial, Single-Use",103.56,103.56,,,0
NDC,50242-100-39,NDC Description Not Available,140.98,140.98,,,0
NDC,50242-100-40,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40)  / 6 Ampule In 1 Pouch (50242-100-39)  / 2.5 Ml In 1 Ampule,143.06,143.06,,,0
NDC,50242-105-01,"Polivy: 1 Vial, Single-Dose In 1 Carton (50242-105-01)  / 20 Ml In 1 Vial, Single-Dose",383.885,383.885,,,0
NDC,50242-120-47,"Tnkase: 1 Kit In 1 Carton (50242-120-47)  *  1 Vial, Single-Use In 1 Carton (50242-037-06)  / 10 Ml In 1 Vial, Single-Use *  1 Vial, Single-Use In 1 Carton (50242-901-09)  / 10 Ml In 1 Vial, Single-Us",460.57,460.57,,,0
NDC,50242-132-01,"Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01)  / 15 Ml In 1 Vial, Single-Dose",304.47,304.47,,,0
NDC,50242-135-01,"Actemra: 1 Vial, Single-Use In 1 Box (50242-135-01)  / 4 Ml In 1 Vial, Single-Use",18.43,18.43,,,0
NDC,50242-136-01,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01)  / 10 Ml In 1 Vial, Single-Use",18.54,18.54,,,0
NDC,50242-137-01,"Actemra: 1 Vial, Single-Use In 1 Box (50242-137-01)  / 20 Ml In 1 Vial, Single-Use",18.41,18.41,,,0
NDC,50242-145-01,"Perjeta: 1 Vial, Single-Use In 1 Carton (50242-145-01)  / 14 Ml In 1 Vial, Single-Use",57.74,57.74,,,0
NDC,50242-176-01,"Tnkase: 1 Kit In 1 Carton (50242-176-01)  *  1 Vial, Single-Use In 1 Carton (50242-037-06)  / 10 Ml In 1 Vial, Single-Use *  1 Vial, Single-Use In 1 Carton (50242-901-09)  / 10 Ml In 1 Vial, Single-Us",506.62,506.62,,,0
NDC,50242-245-01,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01)  / 15 Ml In 1 Vial, Single-Dose",262.54,262.54,,,0
NDC,50242-260-01,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01)  / 10 Ml In 1 Vial, Single-Dose",261.08500000000004,261.08500000000004,,,0
NDC,50242-901-18,NDC Description Not Available,1.88,1.88,,,0
NDC,50242-917-01,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01)  / 20 Ml In 1 Vial, Single-Use",263.51,263.51,,,0
NDC,50242-918-01,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-918-01)  / 14 Ml In 1 Vial, Single-Use",268.29,268.29,,,0
NDC,50268-061-11,NDC Description Not Available,0.32,0.32,,,0
NDC,50268-062-11,NDC Description Not Available,1.8900000000000001,1.8900000000000001,,,0
NDC,50268-069-11,NDC Description Not Available,2.96,2.96,,,0
NDC,50268-074-13,"30 BLISTER PACK in 1 BOX (50268-074-13)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (50268-074-11)",2.52,2.52,,,0
NDC,50268-075-11,NDC Description Not Available,1.76,1.76,,,0
NDC,50268-087-11,NDC Description Not Available,2.01,2.01,,,0
NDC,50268-088-11,NDC Description Not Available,0.94,0.94,,,0
NDC,50268-089-11,NDC Description Not Available,1.22,1.22,,,0
NDC,50268-095-11,NDC Description Not Available,0.515,0.515,,,0
NDC,50268-105-11,NDC Description Not Available,3.04,3.04,,,0
NDC,50268-131-11,NDC Description Not Available,1.9,1.9,,,0
NDC,50268-151-11,NDC Description Not Available,0.785,0.785,,,0
NDC,50268-191-11,NDC Description Not Available,0.625,0.625,,,0
NDC,50268-195-60,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60)  / 60 G In 1 Tube,8.98,8.98,,,0
NDC,50268-277-11,NDC Description Not Available,3.225,3.225,,,0
NDC,50268-278-11,NDC Description Not Available,2.8,2.8,,,0
NDC,50268-299-11,NDC Description Not Available,0.545,0.545,,,0
NDC,50268-362-11,NDC Description Not Available,1.08,1.08,,,0
NDC,50268-405-11,NDC Description Not Available,2.8,2.8,,,0
NDC,50268-430-11,NDC Description Not Available,0.635,0.635,,,0
NDC,50268-431-11,NDC Description Not Available,0.645,0.645,,,0
NDC,50268-476-11,NDC Description Not Available,1.125,1.125,,,0
NDC,50268-504-11,NDC Description Not Available,0.635,0.635,,,0
NDC,50268-505-11,NDC Description Not Available,0.72,0.72,,,0
NDC,50268-522-11,NDC Description Not Available,0.845,0.845,,,0
NDC,50268-522-15,"Meclizine Hydrochloride: 50 Blister Pack In 1 Box, Unit-Dose (50268-522-15)  / 1 Tablet In 1 Blister Pack (50268-522-11)",0.85,0.85,,,0
NDC,50268-525-11,NDC Description Not Available,0.63,0.63,,,0
NDC,50268-526-11,NDC Description Not Available,0.63,0.63,,,0
NDC,50268-541-11,NDC Description Not Available,0.84,0.84,,,0
NDC,50268-541-15,"Metoprolol Succinate: 50 Blister Pack In 1 Box, Unit-Dose (50268-541-15)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-541-11)",0.845,0.845,,,0
NDC,50268-576-11,NDC Description Not Available,13.76,13.76,,,0
NDC,50268-584-11,NDC Description Not Available,3.55,3.55,,,0
NDC,50268-585-11,NDC Description Not Available,0.63,0.63,,,0
NDC,50268-594-11,NDC Description Not Available,0.5,0.5,,,0
NDC,50268-597-11,NDC Description Not Available,2.0549999999999997,2.0549999999999997,,,0
NDC,50268-604-11,NDC Description Not Available,0.845,0.845,,,0
NDC,50268-604-15,"Nortriptyline Hydrochloride: 50 Blister Pack In 1 Box, Unit-Dose (50268-604-15)  / 1 Capsule In 1 Blister Pack (50268-604-11)",0.84,0.84,,,0
NDC,50268-630-11,NDC Description Not Available,0.46499999999999997,0.46499999999999997,,,0
NDC,50268-630-15,Quetiapine Fumarate: 50 Blister Pack In 1 Box (50268-630-15)  / 1 Tablet In 1 Blister Pack (50268-630-11),0.55,0.55,,,0
NDC,50268-640-11,NDC Description Not Available,0.945,0.945,,,0
NDC,50268-663-11,NDC Description Not Available,0.825,0.825,,,0
NDC,50268-665-11,NDC Description Not Available,0.755,0.755,,,0
NDC,50268-678-15,Polyvinyl Alcohol: 15 Ml In 1 Bottle (50268-678-15),20.99,20.99,,,0
NDC,50268-684-11,NDC Description Not Available,2.15,2.15,,,0
NDC,50268-685-11,NDC Description Not Available,1.22,1.22,,,0
NDC,50268-709-11,NDC Description Not Available,1.42,1.42,,,0
NDC,50268-710-11,NDC Description Not Available,1.67,1.67,,,0
NDC,50268-718-11,NDC Description Not Available,19.44,19.44,,,0
NDC,50268-728-11,NDC Description Not Available,0.63,0.63,,,0
NDC,50268-732-12,Sucralfate: 20 CUP in 1 BOX (50268-732-12)  / 10 mL in 1 CUP (50268-732-11),13.79,13.79,,,0
NDC,50268-745-11,NDC Description Not Available,10.645,10.645,,,0
NDC,50268-754-11,NDC Description Not Available,0.63,0.63,,,0
NDC,50268-755-11,NDC Description Not Available,0.625,0.625,,,0
NDC,50268-756-11,NDC Description Not Available,0.675,0.675,,,0
NDC,50268-757-11,NDC Description Not Available,0.71,0.71,,,0
NDC,50268-872-28,Urea: 28.35 G In 1 Tube (50268-872-28),69.94,69.94,,,0
NDC,5026818311,NDC Description Not Available,7.33,7.33,,,0
NDC,5026818330,NDC Description Not Available,3.27,3.27,,,0
NDC,5026834611,NDC Description Not Available,0.47,0.47,,,0
NDC,5026837511,NDC Description Not Available,0.62,0.62,,,0
NDC,5026852411,NDC Description Not Available,0.32,0.32,,,0
NDC,5026885111,NDC Description Not Available,0.63,0.63,,,0
NDC,5026885211,NDC Description Not Available,0.565,0.565,,,0
NDC,5026885311,NDC Description Not Available,0.485,0.485,,,0
NDC,5026885411,NDC Description Not Available,0.325,0.325,,,0
NDC,5026885911,NDC Description Not Available,0.63,0.63,,,0
NDC,5026886011,NDC Description Not Available,0.62,0.62,,,0
NDC,5026886311,NDC Description Not Available,0.62,0.62,,,0
NDC,50383-363-15,NDC Description Not Available,1.88,1.88,,,0
NDC,50383-705-30,Lorazepam: 1 BOTTLE in 1 CARTON (50383-705-30)  / 30 mL in 1 BOTTLE,0.63,0.63,,,0
NDC,50383-795-16,Lactulose: 473 mL in 1 BOTTLE (50383-795-16),11.82,11.82,,,0
NDC,50383-924-93,Buprenorphine Hydrochloride: 30 Tablet In 1 Bottle (50383-924-93),0.88,0.88,,,0
NDC,50383-930-93,Buprenorphine Hydrochloride: 30 Tablet In 1 Bottle (50383-930-93),0.41,0.41,,,0
NDC,50419-188-01,"Magnevist: 20 CARTON in 1 BOX (50419-188-01)  / 1 VIAL, SINGLE-DOSE in 1 CARTON / 10 mL in 1 VIAL, SINGLE-DOSE",5.57,5.57,,,0
NDC,50419-188-05,"Magnevist: 20 CARTON in 1 BOX (50419-188-05)  / 1 VIAL, SINGLE-DOSE in 1 CARTON / 5 mL in 1 VIAL, SINGLE-DOSE",5.55,5.55,,,0
NDC,50419-188-81,"Magnevist: 2 CARTON in 1 BOX (50419-188-81)  / 10 VIAL, SINGLE-DOSE in 1 CARTON / 5 mL in 1 VIAL, SINGLE-DOSE",24.45,24.45,,,0
NDC,50419-208-01,"Xofigo: 6 Ml In 1 Vial, Single-Dose (50419-208-01)",368.23,368.23,,,0
NDC,50419-252-01,"Adempas: 90 Tablet, Film Coated In 1 Bottle (50419-252-01)",380.66,380.66,,,0
NDC,50419-320-05,"Eovist: 5 Vial, Single-Dose In 1 Box (50419-320-05)  / 10 Ml In 1 Vial, Single-Dose",40.519999999999996,40.519999999999996,,,0
NDC,50419-325-01,NDC Description Not Available,0.635,0.635,,,0
NDC,50419-325-02,NDC Description Not Available,0.69,0.69,,,0
NDC,50419-325-11,"Gadavist: 2 Carton In 1 Box (50419-325-11)  / 10 Vial, Single-Dose In 1 Carton / 7.5 Ml In 1 Vial, Single-Dose",0.65,0.65,,,0
NDC,50419-325-12,"Gadavist: 2 Carton In 1 Box (50419-325-12)  / 10 Vial, Single-Dose In 1 Carton / 10 Ml In 1 Vial, Single-Dose",0.645,0.645,,,0
NDC,50419-325-13,"Gadavist: 2 Carton In 1 Box (50419-325-13)  / 10 Vial, Single-Dose In 1 Carton / 15 Ml In 1 Vial, Single-Dose",0.64,0.64,,,0
NDC,50419-423-01,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),2684.6400000000003,2684.6400000000003,,,0
NDC,50419-424-01,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-01),3427.54,3427.54,,,0
NDC,50458-578-01,NDC Description Not Available,0.63,0.63,,,0
NDC,50458-579-01,NDC Description Not Available,0.63,0.63,,,0
NDC,50458-580-01,NDC Description Not Available,0.63,0.63,,,0
NDC,50458-580-10,"Xarelto: 10 Blister Pack In 1 Carton (50458-580-10)  / 10 Tablet, Film Coated In 1 Blister Pack (50458-580-01)",15.035,15.035,,,0
NDC,50474-470-09,"Briviact: 100 Blister Pack In 1 Carton (50474-470-09)  / 1 Tablet, Film Coated In 1 Blister Pack",64.5,64.5,,,0
NDC,50474-470-66,"Briviact: 1 Bottle In 1 Carton (50474-470-66)  / 60 Tablet, Film Coated In 1 Bottle",65.37,65.37,,,0
NDC,50474-595-40,"Keppra: 120 Tablet, Film Coated In 1 Bottle, Plastic (50474-595-40)",0.625,0.625,,,0
NDC,50474-770-09,"Briviact: 100 Blister Pack In 1 Carton (50474-770-09)  / 1 Tablet, Film Coated In 1 Blister Pack",59.43,59.43,,,0
NDC,50474-770-66,"Briviact: 1 Bottle In 1 Carton (50474-770-66)  / 60 Tablet, Film Coated In 1 Bottle",65.37,65.37,,,0
NDC,50484-010-30,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-30)  / 30 G In 1 Tube,773.54,773.54,,,0
NDC,50580-134-44,Imodium A-D: 120 Ml In 1 Bottle (50580-134-44),0.12,0.12,,,0
NDC,50580-457-11,"Tylenol Extra Strength: 10 Blister Pack In 1 Carton (50580-457-11)  / 10 Tablet, Film Coated In 1 Blister Pack",0.43,0.43,,,0
NDC,50580-458-11,"Tylenol Regular Strength: 10 Blister Pack In 1 Carton (50580-458-11)  / 10 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
NDC,50632-010-01,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",914.935,914.935,,,0
NDC,50632-013-01,NDC Description Not Available,1122.03,1122.03,,,0
NDC,50633-110-12,"Crofab: 2 Vial, Glass In 1 Carton (50633-110-12)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-110-11)",11071.86,11071.86,,,0
NDC,50742-113-01,Desipramine Hydrochloride: 100 Tablet In 1 Bottle (50742-113-01),0.32,0.32,,,0
NDC,50742-184-25,Leucovorin Calcium: 25 Tablet In 1 Bottle (50742-184-25),5.33,5.33,,,0
NDC,50742-249-90,"Diltiazem Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (50742-249-90)",0.5700000000000001,0.5700000000000001,,,0
NDC,50742-505-01,NDC Description Not Available,23.0,23.0,,,0
NDC,50742-505-24,"Scopolamine: 24 Pouch In 1 Carton (50742-505-24)  / 1 Patch, Extended Release In 1 Pouch",13.29,13.29,,,0
NDC,50742-615-01,"Metoprolol Succinate: 100 Tablet, Extended Release In 1 Bottle (50742-615-01)",0.6,0.6,,,0
NDC,50742-616-10,"Metoprolol Succinate: 1000 Tablet, Extended Release In 1 Bottle (50742-616-10)",0.41500000000000004,0.41500000000000004,,,0
NDC,50881-005-60,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-005-60)",803.02,803.02,,,0
NDC,50881-006-03,"Zynyz: 1 Vial, Single-Use In 1 Carton (50881-006-03)  / 20 Ml In 1 Vial, Single-Use",109.06,109.06,,,0
NDC,50881-010-60,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-010-60)",730.02,730.02,,,0
NDC,50881-013-03,Monjuvi: 1 Vial In 1 Carton (50881-013-03)  / 5 Ml In 1 Vial,49.87,49.87,,,0
NDC,5093009802,NDC Description Not Available,14.04,14.04,,,0
NDC,51079-023-01,NDC Description Not Available,5.654999999999999,5.654999999999999,,,0
NDC,51079-024-01,NDC Description Not Available,5.77,5.77,,,0
NDC,51079-051-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-074-01,NDC Description Not Available,0.595,0.595,,,0
NDC,51079-075-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-076-01,NDC Description Not Available,0.705,0.705,,,0
NDC,51079-083-01,NDC Description Not Available,2.75,2.75,,,0
NDC,51079-086-01,NDC Description Not Available,0.51,0.51,,,0
NDC,51079-090-20,"Meclizine Hydrochloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (51079-090-20)  / 1 TABLET in 1 BLISTER PACK (51079-090-01)",0.76,0.76,,,0
NDC,51079-103-01,NDC Description Not Available,0.5549999999999999,0.5549999999999999,,,0
NDC,51079-118-01,NDC Description Not Available,1.26,1.26,,,0
NDC,51079-119-01,NDC Description Not Available,1.2,1.2,,,0
NDC,51079-131-01,NDC Description Not Available,0.345,0.345,,,0
NDC,51079-141-01,NDC Description Not Available,1.365,1.365,,,0
NDC,51079-164-01,NDC Description Not Available,13.02,13.02,,,0
NDC,51079-169-01,NDC Description Not Available,1.85,1.85,,,0
NDC,51079-205-01,NDC Description Not Available,0.64,0.64,,,0
NDC,51079-206-01,NDC Description Not Available,1.565,1.565,,,0
NDC,51079-209-01,NDC Description Not Available,0.7,0.7,,,0
NDC,51079-255-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-284-01,NDC Description Not Available,0.62,0.62,,,0
NDC,51079-285-01,NDC Description Not Available,0.615,0.615,,,0
NDC,51079-285-20,Diazepam: 100 Blister Pack In 1 Carton (51079-285-20)  / 1 Tablet In 1 Blister Pack (51079-285-01),0.615,0.615,,,0
NDC,51079-286-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-294-01,NDC Description Not Available,1.46,1.46,,,0
NDC,51079-374-01,NDC Description Not Available,1.56,1.56,,,0
NDC,51079-375-01,NDC Description Not Available,1.135,1.135,,,0
NDC,51079-418-20,Temazepam: 100 BLISTER PACK in 1 CARTON (51079-418-20)  / 1 CAPSULE in 1 BLISTER PACK (51079-418-01),0.63,0.63,,,0
NDC,51079-434-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-436-01,NDC Description Not Available,1.37,1.37,,,0
NDC,51079-437-01,NDC Description Not Available,1.45,1.45,,,0
NDC,51079-438-01,NDC Description Not Available,1.88,1.88,,,0
NDC,51079-440-01,NDC Description Not Available,1.01,1.01,,,0
NDC,51079-453-01,NDC Description Not Available,1.7599999999999998,1.7599999999999998,,,0
NDC,51079-455-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-499-01,NDC Description Not Available,0.49,0.49,,,0
NDC,51079-542-01,NDC Description Not Available,0.98,0.98,,,0
NDC,51079-574-01,NDC Description Not Available,4.41,4.41,,,0
NDC,51079-597-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-608-01,NDC Description Not Available,5.5600000000000005,5.5600000000000005,,,0
NDC,51079-630-01,NDC Description Not Available,3.145,3.145,,,0
NDC,51079-632-01,NDC Description Not Available,7.23,7.23,,,0
NDC,51079-644-20,"Cyclobenzaprine Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-644-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-644-01)",0.63,0.63,,,0
NDC,51079-670-01,NDC Description Not Available,5.03,5.03,,,0
NDC,51079-684-01,NDC Description Not Available,0.61,0.61,,,0
NDC,51079-685-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-690-01,NDC Description Not Available,1.84,1.84,,,0
NDC,51079-721-01,NDC Description Not Available,1.11,1.11,,,0
NDC,51079-724-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-733-01,NDC Description Not Available,0.5700000000000001,0.5700000000000001,,,0
NDC,51079-734-01,NDC Description Not Available,0.82,0.82,,,0
NDC,51079-735-01,NDC Description Not Available,1.13,1.13,,,0
NDC,51079-759-01,NDC Description Not Available,0.595,0.595,,,0
NDC,51079-776-20,Hydrochlorothiazide: 100 BLISTER PACK in 1 CARTON (51079-776-20)  / 1 CAPSULE in 1 BLISTER PACK (51079-776-01),0.63,0.63,,,0
NDC,51079-789-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-801-01,NDC Description Not Available,0.575,0.575,,,0
NDC,51079-817-20,Tacrolimus: 100 Blister Pack In 1 Carton (51079-817-20)  / 1 Capsule In 1 Blister Pack (51079-817-01),2.67,2.67,,,0
NDC,51079-821-01,NDC Description Not Available,1.41,1.41,,,0
NDC,51079-882-20,Clonazepam: 100 BLISTER PACK in 1 CARTON (51079-882-20)  / 1 TABLET in 1 BLISTER PACK (51079-882-01),0.54,0.54,,,0
NDC,51079-888-01,NDC Description Not Available,2.08,2.08,,,0
NDC,51079-921-01,NDC Description Not Available,1.0,1.0,,,0
NDC,51079-922-01,NDC Description Not Available,2.59,2.59,,,0
NDC,51079-923-01,NDC Description Not Available,1.9,1.9,,,0
NDC,51079-928-20,"Labetalol HCl: 100 BLISTER PACK in 1 CARTON (51079-928-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-928-01)",0.835,0.835,,,0
NDC,51079-930-01,NDC Description Not Available,0.47,0.47,,,0
NDC,51079-943-20,"Bupropion Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-943-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-943-01)",0.19,0.19,,,0
NDC,51079-978-01,NDC Description Not Available,0.64,0.64,,,0
NDC,51079-985-01,NDC Description Not Available,0.3,0.3,,,0
NDC,51079-986-01,NDC Description Not Available,0.63,0.63,,,0
NDC,51079-991-01,NDC Description Not Available,0.61,0.61,,,0
NDC,51079-991-20,"Tramadol Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-991-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-991-01)",0.61,0.61,,,0
NDC,51079-994-01,NDC Description Not Available,1.94,1.94,,,0
NDC,51144-003-01,Tivdak: 1 Vial In 1 Carton (51144-003-01)  / 4 Ml In 1 Vial,607.615,607.615,,,0
NDC,51144-020-01,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-020-01)  / 2 Ml In 1 Vial, Single-Dose",120.94,120.94,,,0
NDC,51144-030-01,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01)  / 3 Ml In 1 Vial, Single-Dose",120.735,120.735,,,0
NDC,51144-050-01,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01)  / 10.5 Ml In 1 Vial, Single-Dose",450.02,450.02,,,0
NDC,51285-523-02,Antabuse: 100 TABLET in 1 BOTTLE (51285-523-02),5.63,5.63,,,0
NDC,5155200556,NDC Description Not Available,3.03,3.03,,,0
NDC,5164576099,NDC Description Not Available,0.63,0.63,,,0
NDC,51672-1267-5,Triamcinolone Acetonide: 1 Tube In 1 Carton (51672-1267-5)  / 5 G In 1 Tube,166.43,166.43,,,0
NDC,51672-1289-1,Nystatin: 1 Tube In 1 Carton (51672-1289-1)  / 15 G In 1 Tube,21.785,21.785,,,0
NDC,51672-1312-0,Mupirocin: 1 Tube In 1 Carton (51672-1312-0)  / 22 G In 1 Tube,16.32,16.32,,,0
NDC,51672-2001-2,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-2)  / 30 G In 1 Tube,6.9350000000000005,6.9350000000000005,,,0
NDC,51672-2035-6,"Miconazole Nitrate: 1 Tube, With Applicator In 1 Carton (51672-2035-6)  / 45 G In 1 Tube, With Applicator",8.02,8.02,,,0
NDC,51672-2080-1,Terbinafine Hydrochloride: 1 Tube In 1 Carton (51672-2080-1)  / 15 G In 1 Tube,12.83,12.83,,,0
NDC,51672-2120-2,Triple Antibiotic: 1 Tube In 1 Carton (51672-2120-2)  / 28.4 G In 1 Tube,3.96,3.96,,,0
NDC,51672-3020-9,Lidocaine: 1 Tube In 1 Carton (51672-3020-9)  / 35.44 G In 1 Tube,22.98,22.98,,,0
NDC,51672-4012-6,Clomipramine Hydrochloride: 30 Capsule In 1 Bottle (51672-4012-6),1.63,1.63,,,0
NDC,51672-4022-1,Acetazolamide: 100 Tablet In 1 Bottle (51672-4022-1),0.67,0.67,,,0
NDC,51672-4037-1,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4037-1),0.63,0.63,,,0
NDC,51672-4038-1,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4038-1),0.58,0.58,,,0
NDC,51672-4069-1,Phenytoin: 237 Ml In 1 Bottle (51672-4069-1),0.79,0.79,,,0
NDC,51672-4111-1,"Phenytoin Sodium: 100 Capsule, Extended Release In 1 Bottle (51672-4111-1)",0.405,0.405,,,0
NDC,51672-4116-6,Metronidazole: 1 Tube In 1 Carton (51672-4116-6)  / 45 G In 1 Tube,96.63,96.63,,,0
NDC,51672-4146-1,"Phenytoin: 100 Tablet, Chewable In 1 Bottle (51672-4146-1)",0.52,0.52,,,0
NDC,51672-4245-1,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4245-1),0.54,0.54,,,0
NDC,51754-0103-1,NDC Description Not Available,20.6,20.6,,,0
NDC,51754-0204-1,NDC Description Not Available,40.69,40.69,,,0
NDC,51754-0501-3,Caffeine Citrate: 10 Vial In 1 Carton (51754-0501-3)  / 3 Ml In 1 Vial,1.47,1.47,,,0
NDC,51754-2001-4,"Potassium Acetate: 25 Vial, Single-Dose In 1 Carton (51754-2001-4)  / 20 Ml In 1 Vial, Single-Dose",12.61,12.61,,,0
NDC,51754-4200-4,"Akovaz: 25 Vial, Single-Dose In 1 Carton (51754-4200-4)  / 1 Ml In 1 Vial, Single-Dose",29.56,29.56,,,0
NDC,51754-5001-1,NDC Description Not Available,15.02,15.02,,,0
NDC,51991-144-99,NDC Description Not Available,45.07,45.07,,,0
NDC,51991-735-99,NDC Description Not Available,9.01,9.01,,,0
NDC,51991-746-90,"Duloxetine Delayed-Release: 90 Capsule, Delayed Release Pellets In 1 Bottle (51991-746-90)",0.44,0.44,,,0
NDC,51991-877-33,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (51991-877-33)",1.435,1.435,,,0
NDC,51991-900-01,Clobazam: 100 Tablet In 1 Bottle (51991-900-01),0.8700000000000001,0.8700000000000001,,,0
NDC,51991-907-01,"Tetracycline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (51991-907-01)",6.33,6.33,,,0
NDC,52015-080-01,"Dificid: 1 Bottle In 1 Carton (52015-080-01)  / 20 Tablet, Film Coated In 1 Bottle",332.03,332.03,,,0
NDC,52268-011-01,NDC Description Not Available,146.04,146.04,,,0
NDC,52268-012-01,"Suprep Bowel Prep: 2 Bottle, Plastic In 1 Carton (52268-012-01)  / 177.4 Ml In 1 Bottle, Plastic",149.53500000000003,149.53500000000003,,,0
NDC,52380-1905-2,60 mL in 1 BOTTLE (52380-1905-2),2.26,2.26,,,0
NDC,52817-319-10,Baclofen: 100 Tablet In 1 Bottle (52817-319-10),0.62,0.62,,,0
NDC,52817-815-08,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (52817-815-08)",14.92,14.92,,,0
NDC,53276-1010-09,NDC Description Not Available,688.4,688.4,,,0
NDC,53329-013-11,Pure And Gentle: 1 Bottle In 1 Box (53329-013-11)  / 133 Ml In 1 Bottle,0.63,0.63,,,0
NDC,53329-800-06,Isopropyl Alcohol: 473 Ml In 1 Bottle (53329-800-06),2.565,2.565,,,0
NDC,53489-145-01,"Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle, Plastic (53489-145-01)",0.63,0.63,,,0
NDC,53489-329-01,"Spironolactone: 100 Tablet, Film Coated In 1 Bottle, Plastic (53489-329-01)",1.02,1.02,,,0
NDC,53489-386-01,Minoxidil: 100 Tablet In 1 Bottle (53489-386-01),0.605,0.605,,,0
NDC,536141501,NDC Description Not Available,0.63,0.63,,,0
NDC,536143607,NDC Description Not Available,0.43,0.43,,,0
NDC,536440801,NDC Description Not Available,0.47,0.47,,,0
NDC,536730001,NDC Description Not Available,0.63,0.63,,,0
NDC,53746-511-10,Spironolactone: 1000 Tablet In 1 Bottle (53746-511-10),0.5,0.5,,,0
NDC,538800924,NDC Description Not Available,0.63,0.63,,,0
NDC,54092-191-12,Pentasa: 120 Capsule In 1 Bottle (54092-191-12),16.17,16.17,,,0
NDC,54092-383-01,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-383-01)",17.25,17.25,,,0
NDC,54288-103-01,NDC Description Not Available,2.435,2.435,,,0
NDC,54288-103-10,Epinephrine: 10 Ampule In 1 Box (54288-103-10)  / 1 Ml In 1 Ampule,2.31,2.31,,,0
NDC,54288-105-02,NDC Description Not Available,1886.91,1886.91,,,0
NDC,54288-120-01,Epinephrine: 1 Vial In 1 Carton (54288-120-01)  / 10 Ml In 1 Vial,1.2,1.2,,,0
NDC,54288-142-10,Papaverine Hydrochloride: 10 Vial In 1 Carton (54288-142-10)  / 2 Ml In 1 Vial (54288-142-01),38.57,38.57,,,0
NDC,54288-600-01,Epinephrine: 1 Vial In 1 Carton (54288-600-01)  / 10 Ml In 1 Vial,1.31,1.31,,,0
NDC,54482-147-01,Carnitor: 5 Vial In 1 Carton (54482-147-01)  / 5 Ml In 1 Vial,160.0,160.0,,,0
NDC,54643-5649-1,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1)  *  5 Ml In 1 Vial (54643-5657-1)  *  5 Ml In 1 Vial (54643-5659-1),28.595,28.595,,,0
NDC,54643-5657-1,NDC Description Not Available,23.255000000000003,23.255000000000003,,,0
NDC,54643-5659-1,NDC Description Not Available,20.04,20.04,,,0
NDC,54643-9023-1,Pediatric Infuvite Multiple Vitamins: 10 Vial In 1 Carton (54643-9023-1)  / 5 Ml In 1 Vial,1.94,1.94,,,0
NDC,5475800628,NDC Description Not Available,3.22,3.22,,,0
NDC,54838-501-40,"Haloperidol: 120 Ml In 1 Bottle, Dropper (54838-501-40)",0.34,0.34,,,0
NDC,54838-506-15,"Hyosyne: 15 Ml In 1 Bottle, Plastic (54838-506-15)",3.03,3.03,,,0
NDC,54838-510-80,"Oxybutynin Chloride: 473 Ml In 1 Bottle, Plastic (54838-510-80)",0.63,0.63,,,0
NDC,54838-512-40,"Doxepin Hydrochloride: 120 Ml In 1 Bottle, Plastic (54838-512-40)",0.81,0.81,,,0
NDC,5483801150,NDC Description Not Available,0.72,0.72,,,0
NDC,54879-003-08,"Dexamethasone: 237 Ml In 1 Bottle, Glass (54879-003-08)",0.56,0.56,,,0
NDC,55111-180-15,Tizanidine: 150 Tablet In 1 Bottle (55111-180-15),0.63,0.63,,,0
NDC,55111-257-60,Ziprasidone: 60 Capsule In 1 Bottle (55111-257-60),1.2850000000000001,1.2850000000000001,,,0
NDC,55111-353-60,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (55111-353-60),1.525,1.525,,,0
NDC,55111-532-01,"Divalproex Sodium: 100 Capsule, Delayed Release In 1 Bottle (55111-532-01)",0.74,0.74,,,0
NDC,55111-678-10,Fondaparinux Sodium: 10 Syringe In 1 Carton (55111-678-10)  / .5 Ml In 1 Syringe (55111-678-11),4.6,4.6,,,0
NDC,55111-685-07,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07)  / 5 Ml In 1 Vial, Glass",3.9450000000000003,3.9450000000000003,,,0
NDC,55111-694-07,"Palonosetron: 1 Vial, Single-Use In 1 Carton (55111-694-07)  / 5 Ml In 1 Vial, Single-Use",5.22,5.22,,,0
NDC,55111-725-90,"Montelukast Sodium: 90 Tablet, Coated In 1 Bottle (55111-725-90)",0.71,0.71,,,0
NDC,55135-132-01,"Trodelvy: 1 Vial In 1 Box (55135-132-01)  / 1 Powder, For Solution In 1 Vial",121.92,121.92,,,0
NDC,55150-114-20,"Ampicillin: 10 Vial In 1 Box (55150-114-20)  / 1 Injection, Powder, For Solution In 1 Vial",1.64,1.64,,,0
NDC,55150-116-20,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-116-20)  / 1 Injection, Powder, For Solution In 1 Vial",5.26,5.26,,,0
NDC,55150-117-20,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20)  / 1 Injection, Powder, For Solution In 1 Vial",1.88,1.88,,,0
NDC,55150-119-30,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-119-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",2.22,2.22,,,0
NDC,55150-120-30,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1.8,1.8,,,0
NDC,55150-121-50,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-121-50)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1.73,1.73,,,0
NDC,55150-123-16,Nafcillin: 10 Vial In 1 Box (55150-123-16)  / 8 Ml In 1 Vial,24.85,24.85,,,0
NDC,55150-154-10,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10)  / 10 Ml In 1 Vial, Single-Dose",0.06,0.06,,,0
NDC,55150-155-20,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20)  / 20 Ml In 1 Vial, Single-Dose",0.06,0.06,,,0
NDC,55150-161-02,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02)  / 2 Ml In 1 Vial, Single-Dose",2.02,2.02,,,0
NDC,55150-162-05,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05)  / 5 Ml In 1 Vial, Single-Dose",2.81,2.81,,,0
NDC,55150-163-30,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30)  / 30 Ml In 1 Vial, Single-Dose",3.46,3.46,,,0
NDC,55150-164-02,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-164-02)  / 2 Ml In 1 Vial, Single-Dose",3.15,3.15,,,0
NDC,55150-165-05,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05)  / 5 Ml In 1 Vial, Single-Dose",0.995,0.995,,,0
NDC,55150-169-10,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-169-10)  / 10 Ml In 1 Vial, Single-Dose",0.045,0.045,,,0
NDC,55150-170-30,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-170-30)  / 30 Ml In 1 Vial, Single-Dose",0.01,0.01,,,0
NDC,55150-173-01,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-01)  / .5 Ml In 1 Vial, Single-Dose",10.12,10.12,,,0
NDC,55150-173-05,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-05)  / .5 Ml In 1 Vial, Single-Dose",10.88,10.88,,,0
NDC,55150-174-10,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.5,5.5,,,0
NDC,55150-188-10,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (55150-188-10)  / 10 Ml In 1 Vial, Single-Dose",6.49,6.49,,,0
NDC,55150-202-00,NDC Description Not Available,3.71,3.71,,,0
NDC,55150-202-10,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",2.82,2.82,,,0
NDC,55150-207-20,"Meropenem: 10 Vial In 1 Carton (55150-207-20)  / 1 Injection, Powder, For Solution In 1 Vial",0.86,0.86,,,0
NDC,55150-208-30,"Meropenem: 10 Vial In 1 Carton (55150-208-30)  / 1 Injection, Powder, For Solution In 1 Vial",0.95,0.95,,,0
NDC,55150-209-02,Dexmedetomidine: 25 Vial In 1 Carton (55150-209-02)  / 2 Ml In 1 Vial,3.64,3.64,,,0
NDC,55150-223-10,"Methocarbamol: 25 Vial, Single-Dose In 1 Carton (55150-223-10)  / 10 Ml In 1 Vial, Single-Dose",9.57,9.57,,,0
NDC,55150-234-10,"Polymyxin B: 10 Vial In 1 Carton (55150-234-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",9.27,9.27,,,0
NDC,55150-235-01,NDC Description Not Available,6.4,6.4,,,0
NDC,55150-282-09,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-09)  / 1 Injection In 1 Vial, Single-Dose",34.87,34.87,,,0
NDC,55150-282-20,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20)  / 1 Injection In 1 Vial, Single-Dose",35.12,35.12,,,0
NDC,55150-337-01,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (55150-337-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.49,5.49,,,0
NDC,55150-365-01,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (55150-365-01)  / 12.5 Ml In 1 Vial, Single-Dose",57.34,57.34,,,0
NDC,55150-431-01,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (55150-431-01)  / 1 Ml In 1 Vial, Single-Dose",1315.0,1315.0,,,0
NDC,55150-435-01,NDC Description Not Available,135.17000000000002,135.17000000000002,,,0
NDC,55150-439-10,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (55150-439-10)  / 10 Ml In 1 Vial, Multi-Dose",2.58,2.58,,,0
NDC,55390-137-05,Midazolam: 10 VIAL in 1 BOX (55390-137-05)  / 5 mL in 1 VIAL,0.4,0.4,,,0
NDC,55494-100-10,"Diclegis: 100 Tablet, Delayed Release In 1 Bottle (55494-100-10)",6.015000000000001,6.015000000000001,,,0
NDC,55513-021-01,NDC Description Not Available,20.455,20.455,,,0
NDC,55513-025-01,NDC Description Not Available,21.46,21.46,,,0
NDC,55513-028-01,Aranesp: 1 Blister Pack In 1 Package (55513-028-01)  / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,16.64,16.64,,,0
NDC,55513-032-01,Aranesp: 1 Blister Pack In 1 Package (55513-032-01)  / 1 Syringe In 1 Blister Pack / 1 Ml In 1 Syringe,19.245,19.245,,,0
NDC,55513-057-01,NDC Description Not Available,19.935000000000002,19.935000000000002,,,0
NDC,55513-111-01,Aranesp: 1 Blister Pack In 1 Package (55513-111-01)  / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,22.18,22.18,,,0
NDC,55513-132-01,"Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01)  / 20 Ml In 1 Vial, Multi-Dose",216.7,216.7,,,0
NDC,55513-160-01,Blincyto: 1 Kit In 1 Package (55513-160-01)  *  3.088 Ml In 1 Vial (55513-150-01)  *  10.6 Ml In 1 Vial (55513-155-01),535.68,535.68,,,0
NDC,55513-190-01,Neulasta: 1 Syringe In 1 Carton (55513-190-01)  / .6 Ml In 1 Syringe,1021.49,1021.49,,,0
NDC,55513-206-01,Mvasi: 1 Vial In 1 Carton (55513-206-01)  / 4 Ml In 1 Vial,170.925,170.925,,,0
NDC,55513-207-01,Mvasi: 1 Vial In 1 Carton (55513-207-01)  / 16 Ml In 1 Vial,170.62,170.62,,,0
NDC,55513-221-01,Nplate: 1 Vial In 1 Carton (55513-221-01)  / .5 Ml In 1 Vial,34.52,34.52,,,0
NDC,55513-222-01,Nplate: 1 Vial In 1 Carton (55513-222-01)  / 1 Ml In 1 Vial,34.4,34.4,,,0
NDC,55513-223-01,"Nplate: 1 Vial, Single-Dose In 1 Carton (55513-223-01)  / .25 Ml In 1 Vial, Single-Dose",38.75,38.75,,,0
NDC,55513-224-01,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-224-01)  / 10 Ml In 1 Vial, Single-Dose",161.25,161.25,,,0
NDC,55513-326-01,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-326-01)  / 50 Ml In 1 Vial, Single-Dose",159.05,159.05,,,0
NDC,55513-670-01,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01)  / 10 Ml In 1 Vial, Single-Dose",128.87,128.87,,,0
NDC,55513-710-01,Prolia: 1 Syringe In 1 Carton (55513-710-01)  / 1 Ml In 1 Syringe,89.275,89.275,,,0
NDC,55513-710-21,Prolia: 1 Syringe In 1 Carton (55513-710-21)  / 1 Ml In 1 Syringe,86.75,86.75,,,0
NDC,55513-730-01,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01)  / 1.7 Ml In 1 Vial, Single-Use",82.97,82.97,,,0
NDC,55513-800-60,"Corlanor: 60 Tablet, Film Coated In 1 Bottle (55513-800-60)",12.01,12.01,,,0
NDC,55513-954-01,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-954-01)  / 5 Ml In 1 Vial, Single-Dose",571.315,571.315,,,0
NDC,55513-956-01,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-956-01)  / 20 Ml In 1 Vial, Single-Dose",576.81,576.81,,,0
NDC,55566-1050-0,NDC Description Not Available,204032.3,204032.3,,,0
NDC,55566-2800-0,NDC Description Not Available,1425.55,1425.55,,,0
NDC,55566-2800-1,Cervidil: 1 Pouch In 1 Carton (55566-2800-1)  / 10 Mg In 1 Pouch (55566-2800-0),1389.58,1389.58,,,0
NDC,55566-8303-1,"Firmagon: 1 Kit In 1 Carton (55566-8303-1)  *  4 Ml In 1 Vial, Glass *  4.2 Ml In 1 Syringe",14.75,14.75,,,0
NDC,55566-8403-1,"Firmagon: 1 Kit In 1 Carton (55566-8403-1)  *  3 Ml In 1 Syringe *  3 Ml In 1 Vial, Glass",15.265,15.265,,,0
NDC,5618412041,NDC Description Not Available,0.63,0.63,,,0
NDC,57237-008-30,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (57237-008-30)",0.4,0.4,,,0
NDC,57237-041-01,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (57237-041-01)",0.63,0.63,,,0
NDC,57237-042-90,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (57237-042-90)",0.68,0.68,,,0
NDC,57237-047-01,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (57237-047-01)",0.535,0.535,,,0
NDC,57237-049-60,"Galantamine: 60 Tablet, Film Coated In 1 Bottle (57237-049-60)",1.27,1.27,,,0
NDC,57237-058-60,"Cefuroxime Axetil: 60 Tablet, Film Coated In 1 Bottle (57237-058-60)",2.28,2.28,,,0
NDC,57237-099-60,Cefdinir: 60 Capsule In 1 Bottle (57237-099-60),2.0999999999999996,2.0999999999999996,,,0
NDC,57237-154-90,Modafinil: 90 Tablet In 1 Bottle (57237-154-90),1.31,1.31,,,0
NDC,57237-156-30,"Moxifloxacin Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (57237-156-30)",14.12,14.12,,,0
NDC,573051330,NDC Description Not Available,0.08499999999999999,0.08499999999999999,,,0
NDC,573286898,NDC Description Not Available,32.64,32.64,,,0
NDC,573287194,NDC Description Not Available,32.02,32.02,,,0
NDC,573475652,NDC Description Not Available,0.63,0.63,,,0
NDC,574030216,NDC Description Not Available,0.41,0.41,,,0
NDC,574030316,NDC Description Not Available,0.63,0.63,,,0
NDC,574031116,NDC Description Not Available,2.39,2.39,,,0
NDC,57664-118-88,"VERAPAMIL HYDROCHLORIDE: 100 TABLET, EXTENDED RELEASE in 1 BOTTLE (57664-118-88)",0.63,0.63,,,0
NDC,57664-510-83,Mirtazapine: 30 Tablet In 1 Bottle (57664-510-83),5.61,5.61,,,0
NDC,57894-054-27,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27)  / 26 Ml In 1 Vial, Single-Use",44.54,44.54,,,0
NDC,57894-160-01,"Infliximab: 1 Vial, Single-Use In 1 Box (57894-160-01)  / 10 Ml In 1 Vial, Single-Use",134.12,134.12,,,0
NDC,57894-449-01,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-449-01)  / 3 Ml In 1 Vial, Single-Dose",87.33,87.33,,,0
NDC,57894-450-01,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01)  / 1.7 Ml In 1 Vial, Single-Dose",79.7,79.7,,,0
NDC,57894-469-01,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-469-01)  / 1.5 Ml In 1 Vial, Single-Dose",169.13,169.13,,,0
NDC,57894-470-01,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-470-01)  / 1 Ml In 1 Vial, Single-Dose",172.485,172.485,,,0
NDC,57894-501-00,NDC Description Not Available,70.04,70.04,,,0
NDC,57894-501-01,"Rybrevant: 1 Vial, Single-Use In 1 Carton (57894-501-01)  / 1 Injection In 1 Vial, Single-Use (57894-501-00)",77.26,77.26,,,0
NDC,57894-503-01,"Darzalex Faspro: 1 Vial, Single-Dose In 1 Box (57894-503-01)  / 15 Ml In 1 Vial, Single-Dose",203.99,203.99,,,0
NDC,57894-505-05,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05)  / 5 Ml In 1 Vial, Single-Dose",285.0,285.0,,,0
NDC,57894-505-20,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-20)  / 20 Ml In 1 Vial, Single-Dose",286.05,286.05,,,0
NDC,57896-101-01,Regular Strength Pain Relief: 100 TABLET in 1 BOTTLE (57896-101-01),0.33999999999999997,0.33999999999999997,,,0
NDC,57896-102-01,Regular Strength Pain Relief: 100 Tablet In 1 Bottle (57896-102-01),0.325,0.325,,,0
NDC,57896-116-03,Analgesic Balm: 1 Tube In 1 Box (57896-116-03)  / 85 G In 1 Tube,7.585,7.585,,,0
NDC,57896-441-01,Stimulant Laxative Enteric Coated: 100 Tablet In 1 Bottle (57896-441-01),0.39,0.39,,,0
NDC,57896-444-01,BISACODYL: 4 BLISTER PACK in 1 CARTON (57896-444-01)  / 25 SUPPOSITORY in 1 BLISTER PACK,0.63,0.63,,,0
NDC,57896-472-08,Gericare Senna Syrup: 237 Ml In 1 Bottle (57896-472-08),1.1,1.1,,,0
NDC,57896-901-01,Aspirin: 100 Tablet In 1 Bottle (57896-901-01),0.63,0.63,,,0
NDC,57896-921-10,"Regular Strength Enteric Coated Aspirin: 1000 Tablet, Coated In 1 Bottle (57896-921-10)",0.595,0.595,,,0
NDC,5789645101,NDC Description Not Available,0.325,0.325,,,0
NDC,5789675201,NDC Description Not Available,0.37,0.37,,,0
NDC,5789686406,NDC Description Not Available,0.33999999999999997,0.33999999999999997,,,0
NDC,5789687503,NDC Description Not Available,0.46499999999999997,0.46499999999999997,,,0
NDC,58151-118-01,"Dilantin: 100 Capsule, Extended Release In 1 Bottle, Plastic (58151-118-01)",3.98,3.98,,,0
NDC,58160-820-43,NDC Description Not Available,59.025,59.025,,,0
NDC,58160-821-01,NDC Description Not Available,147.0,147.0,,,0
NDC,58160-821-43,NDC Description Not Available,140.32,140.32,,,0
NDC,58160-827-03,NDC Description Not Available,336.8,336.8,,,0
NDC,58160-828-03,NDC Description Not Available,572.3299999999999,572.3299999999999,,,0
NDC,58160-842-05,NDC Description Not Available,88.05,88.05,,,0
NDC,58160-842-43,NDC Description Not Available,111.85,111.85,,,0
NDC,58160-842-52,Boostrix: 10 Syringe In 1 Carton (58160-842-52)  / .5 Ml In 1 Syringe (58160-842-43),113.44,113.44,,,0
NDC,58160-976-02,NDC Description Not Available,246.68,246.68,,,0
NDC,58232-0721-3,Desitin Maximum Strength: 1 TUBE in 1 CARTON (58232-0721-3)  / 56 g in 1 TUBE,11.915,11.915,,,0
NDC,5848700672,NDC Description Not Available,0.63,0.63,,,0
NDC,58602-006-40,"Olopatadine Hydrochloride: 1 Bottle, Plastic In 1 Carton (58602-006-40)  / 5 Ml In 1 Bottle, Plastic",19.240000000000002,19.240000000000002,,,0
NDC,58602-604-07,Diclofenac Sodium: 1 Tube In 1 Carton (58602-604-07)  / 100 G In 1 Tube,19.905,19.905,,,0
NDC,58602-702-83,Loratadine: 1 Blister Pack In 1 Carton (58602-702-83)  / 10 Tablet In 1 Blister Pack,0.63,0.63,,,0
NDC,58657-509-16,Guaifenesin: 473 Ml In 1 Bottle (58657-509-16),0.13,0.13,,,0
NDC,58657-675-01,"Ciprofloxacin: 100 Tablet, Coated In 1 Bottle (58657-675-01)",0.495,0.495,,,0
NDC,5865717001,NDC Description Not Available,0.63,0.63,,,0
NDC,5865731216,NDC Description Not Available,5.39,5.39,,,0
NDC,58914-501-01,NDC Description Not Available,93.74,93.74,,,0
NDC,58980-409-12,Stratuscare Glycerin Laxative Pediatric: 12 Suppository In 1 Jar (58980-409-12),0.72,0.72,,,0
NDC,58980-410-12,Stratuscare Adult Glycerin: 12 Suppository In 1 Jar (58980-410-12),0.48,0.48,,,0
NDC,58980-415-01,NDC Description Not Available,0.63,0.63,,,0
NDC,58980-415-50,Stratuscare Bisacodyl: 1 Blister Pack In 1 Box (58980-415-50)  / 50 Suppository In 1 Blister Pack,0.7150000000000001,0.7150000000000001,,,0
NDC,59011-410-20,"Oxycontin: 2 Blister Pack In 1 Carton (59011-410-20)  / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",13.285,13.285,,,0
NDC,59011-420-10,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-420-10)",23.07,23.07,,,0
NDC,59011-420-20,"Oxycontin: 2 Blister Pack In 1 Carton (59011-420-20)  / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",22.685000000000002,22.685000000000002,,,0
NDC,59011-440-20,"Oxycontin: 2 Blister Pack In 1 Carton (59011-440-20)  / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",37.28,37.28,,,0
NDC,59148-020-50,Samsca: 1 Blister Pack In 1 Carton (59148-020-50)  / 10 Tablet In 1 Blister Pack,983.62,983.62,,,0
NDC,59148-036-13,Rexulti: 1 Bottle In 1 Carton (59148-036-13)  / 30 Tablet In 1 Bottle,124.025,124.025,,,0
NDC,59148-037-13,Rexulti: 1 Bottle In 1 Carton (59148-037-13)  / 30 Tablet In 1 Bottle,129.92,129.92,,,0
NDC,59148-039-13,Rexulti: 1 Bottle In 1 Carton (59148-039-13)  / 30 Tablet In 1 Bottle,122.3,122.3,,,0
NDC,59310-302-40,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-302-40)  / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",536.64,536.64,,,0
NDC,59310-304-80,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-304-80)  / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",720.53,720.53,,,0
NDC,59338-775-01,"Feraheme: 1 Vial, Single-Use In 1 Carton (59338-775-01)  / 17 Ml In 1 Vial, Single-Use",0.815,0.815,,,0
NDC,59365-5129-1,Paragard T 380A: 1 Pouch In 1 Carton (59365-5129-1)  / 1 Intrauterine Device In 1 Pouch,3288.87,3288.87,,,0
NDC,59417-101-10,Vyvanse: 100 Capsule In 1 Bottle (59417-101-10),31.7,31.7,,,0
NDC,59417-103-10,Vyvanse: 100 Capsule In 1 Bottle (59417-103-10),32.985,32.985,,,0
NDC,59572-710-30,"Idhifa: 30 Tablet, Film Coated In 1 Bottle (59572-710-30)",2486.98,2486.98,,,0
NDC,59572-711-01,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-711-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",120.45,120.45,,,0
NDC,59572-775-01,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-775-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",118.69,118.69,,,0
NDC,59572-984-01,"Istodax: 1 Kit In 1 Carton (59572-984-01)  *  2.2 Ml In 1 Vial, Glass (59572-962-10)  *  2.4 Ml In 1 Vial, Glass (59572-973-02)",112.945,112.945,,,0
NDC,59584-138-01,"Candin: 1 Ml In 1 Vial, Multi-Dose (59584-138-01)",82.16,82.16,,,0
NDC,59630-266-01,NDC Description Not Available,6.64,6.64,,,0
NDC,59630-266-10,"Fetroja: 10 Vial, Single-Use In 1 Carton (59630-266-10)  / 10 Ml In 1 Vial, Single-Use (59630-266-01)",6.67,6.67,,,0
NDC,59651-026-01,Amoxicillin And Clavulanate Potassium: 100 Ml In 1 Bottle (59651-026-01),13.21,13.21,,,0
NDC,59651-258-01,"Propafenone Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (59651-258-01)",2.62,2.62,,,0
NDC,59651-299-60,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (59651-299-60)",0.44,0.44,,,0
NDC,59651-455-01,Colchicine: 100 Tablet In 1 Bottle (59651-455-01),0.5700000000000001,0.5700000000000001,,,0
NDC,59651-457-01,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (59651-457-01),0.42,0.42,,,0
NDC,59651-484-01,Prednisone: 100 Tablet In 1 Bottle (59651-484-01),0.22,0.22,,,0
NDC,59651-488-01,Prednisone: 100 Tablet In 1 Bottle (59651-488-01),0.025,0.025,,,0
NDC,59651-516-30,"Exemestane: 30 Tablet, Film Coated In 1 Bottle (59651-516-30)",3.44,3.44,,,0
NDC,59676-278-01,"Edurant: 30 Tablet, Film Coated In 1 Bottle (59676-278-01)",125.12,125.12,,,0
NDC,59676-562-01,"Prezista: 60 Tablet, Film Coated In 1 Bottle, Plastic (59676-562-01)",93.94,93.94,,,0
NDC,59676-570-01,"Intelence: 120 Tablet In 1 Bottle, Plastic (59676-570-01)",33.23,33.23,,,0
NDC,59676-575-30,"Prezcobix: 30 Tablet, Film Coated In 1 Bottle (59676-575-30)",207.35000000000002,207.35000000000002,,,0
NDC,59676-610-01,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",802.84,802.84,,,0
NDC,59746-001-06,Methylprednisolone: 100 Tablet In 1 Bottle (59746-001-06),0.86,0.86,,,0
NDC,59746-010-32,"Risperidone: 3 Blister Pack In 1 Carton (59746-010-32)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",1.8,1.8,,,0
NDC,59746-020-22,"Risperidone: 7 Blister Pack In 1 Carton (59746-020-22)  / 4 Tablet, Orally Disintegrating In 1 Blister Pack",2.34,2.34,,,0
NDC,59746-113-06,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (59746-113-06),0.72,0.72,,,0
NDC,59746-175-06,Prednisone: 100 Tablet In 1 Bottle (59746-175-06),0.02,0.02,,,0
NDC,59746-216-01,"Spironolactone: 100 Tablet, Film Coated In 1 Bottle (59746-216-01)",0.63,0.63,,,0
NDC,59762-0074-1,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0074-1),0.77,0.77,,,0
NDC,59762-0075-1,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0075-1),1.24,1.24,,,0
NDC,59762-0104-5,"Sulfasalazine: 1 Bottle In 1 Carton (59762-0104-5)  / 100 Tablet, Delayed Release In 1 Bottle",0.695,0.695,,,0
NDC,59762-0117-1,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (59762-0117-1)",3.575,3.575,,,0
NDC,59762-0245-3,"Donepezil Hydrochloride: 10 BLISTER PACK in 1 CARTON (59762-0245-3)  / 10 TABLET, FILM COATED in 1 BLISTER PACK",0.63,0.63,,,0
NDC,59762-0333-2,"Latanoprost: 1 Bottle, Dropper In 1 Carton (59762-0333-2)  / 2.5 Ml In 1 Bottle, Dropper",5.13,5.13,,,0
NDC,59762-1001-1,"Sirolimus: 100 Tablet, Sugar Coated In 1 Bottle (59762-1001-1)",8.44,8.44,,,0
NDC,59762-1350-1,Rifabutin: 100 Capsule In 1 Bottle (59762-1350-1),33.88,33.88,,,0
NDC,59762-3120-1,Azithromycin: 1 Bottle In 1 Carton (59762-3120-1)  / 15 Ml In 1 Bottle,15.53,15.53,,,0
NDC,59762-3130-1,Azithromycin: 1 Bottle In 1 Carton (59762-3130-1)  / 22.5 Ml In 1 Bottle,2.59,2.59,,,0
NDC,59762-3720-1,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),0.62,0.62,,,0
NDC,59762-3721-1,Alprazolam: 100 Tablet In 1 Bottle (59762-3721-1),0.63,0.63,,,0
NDC,59762-5000-5,Sulfasalazine: 1 Bottle In 1 Carton (59762-5000-5)  / 100 Tablet In 1 Bottle,0.42,0.42,,,0
NDC,59762-5007-2,Misoprostol: 120 Tablet In 1 Bottle (59762-5007-2),1.65,1.65,,,0
NDC,59762-5008-2,Misoprostol: 100 Tablet In 1 Bottle (59762-5008-2),2.4850000000000003,2.4850000000000003,,,0
NDC,60219-1266-1,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (60219-1266-1)  / 10 Capsule In 1 Blister Pack,20.99,20.99,,,0
NDC,60219-1708-1,"Prednisone: 100 Tablet In 1 Bottle, Plastic (60219-1708-1)",0.02,0.02,,,0
NDC,60219-1748-2,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1748-2)  / 2 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
NDC,6025800601,NDC Description Not Available,0.88,0.88,,,0
NDC,6025800615,NDC Description Not Available,0.915,0.915,,,0
NDC,6025816001,NDC Description Not Available,0.63,0.63,,,0
NDC,60267-705-50,"Sodium Thiosulfate: 50 Ml In 1 Vial, Single-Dose (60267-705-50)",296.34,296.34,,,0
NDC,60432-065-75,"Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle, Plastic (60432-065-75)",2.68,2.68,,,0
NDC,60432-092-16,OXYBUTYNIN CHLORIDE: 473 mL in 1 BOTTLE (60432-092-16),0.63,0.63,,,0
NDC,60505-0165-1,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0165-1),0.77,0.77,,,0
NDC,60505-0258-1,Desmopressin Acetate: 100 Tablet In 1 Bottle (60505-0258-1),2.2,2.2,,,0
NDC,60505-0575-1,"Olopatadine Hydrochloride: 1 BOTTLE, PLASTIC in 1 CARTON (60505-0575-1)  / 5 mL in 1 BOTTLE, PLASTIC",96.0,96.0,,,0
NDC,60505-0577-3,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (60505-0577-3)  / 15 Ml In 1 Bottle, Dropper",2.63,2.63,,,0
NDC,60505-0791-4,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (60505-0791-4)  / .3 mL in 1 SYRINGE,4.15,4.15,,,0
NDC,60505-0815-0,"Desmopressin Acetate: 1 Bottle, Spray In 1 Carton (60505-0815-0)  / 50 Spray In 1 Bottle, Spray",229.56,229.56,,,0
NDC,60505-0823-6,"Calcitonin Salmon: 1 Bottle, Glass In 1 Carton (60505-0823-6)  / 30 Spray, Metered In 1 Bottle, Glass",150.125,150.125,,,0
NDC,60505-0829-1,"Fluticasone Propionate: 1 Bottle, Spray In 1 Carton (60505-0829-1)  / 120 Spray, Metered In 1 Bottle, Spray",44.46,44.46,,,0
NDC,60505-0833-5,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (60505-0833-5)  / 200 Spray, Metered In 1 Bottle, Spray",39.545,39.545,,,0
NDC,60505-2805-7,"Carbamazepine: 120 Capsule, Extended Release In 1 Bottle (60505-2805-7)",3.325,3.325,,,0
NDC,60505-3110-0,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0)  / 10 Tablet, Film Coated In 1 Blister Pack",0.575,0.575,,,0
NDC,60505-3111-0,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3111-0)  / 10 Tablet, Film Coated In 1 Blister Pack",0.575,0.575,,,0
NDC,60505-3113-0,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3113-0)  / 10 Tablet, Film Coated In 1 Blister Pack",0.7,0.7,,,0
NDC,60505-3275-0,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",3.55,3.55,,,0
NDC,60505-3275-3,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (60505-3275-3)",1.6949999999999998,1.6949999999999998,,,0
NDC,60505-3438-3,Selegiline Hydrochloride: 60 Tablet In 1 Bottle (60505-3438-3),2.63,2.63,,,0
NDC,60505-3638-3,Tranexamic Acid: 30 TABLET in 1 BOTTLE (60505-3638-3),1.3050000000000002,1.3050000000000002,,,0
NDC,60505-6128-1,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1)  / 5 Ml In 1 Vial, Single-Use",9.934999999999999,9.934999999999999,,,0
NDC,60505-6132-6,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-6)  / 10 Ml In 1 Vial,0.38,0.38,,,0
NDC,60505-6132-7,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-7)  / 20 Ml In 1 Vial,0.4,0.4,,,0
NDC,60505-6144-0,NDC Description Not Available,3.375,3.375,,,0
NDC,60505-6145-0,NDC Description Not Available,3.19,3.19,,,0
NDC,60505-6146-0,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",3.64,3.64,,,0
NDC,60505-6147-0,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",10.26,10.26,,,0
NDC,60505-6156-0,NDC Description Not Available,3.77,3.77,,,0
NDC,60505-6157-0,NDC Description Not Available,3.05,3.05,,,0
NDC,60505-6231-0,NDC Description Not Available,3.2,3.2,,,0
NDC,60505-6287-2,Oxaliplatin: 1 Vial In 1 Carton (60505-6287-2)  / 10 Ml In 1 Vial,0.55,0.55,,,0
NDC,60505-6289-0,"Eribulin Mesylate: 1 Vial, Single-Dose In 1 Carton (60505-6289-0)  / 2 Ml In 1 Vial, Single-Dose",195.45499999999998,195.45499999999998,,,0
NDC,60505-7010-0,NDC Description Not Available,41.7,41.7,,,0
NDC,60505-7061-0,NDC Description Not Available,4.78,4.78,,,0
NDC,60505-7063-0,NDC Description Not Available,4.885,4.885,,,0
NDC,60687-100-11,NDC Description Not Available,7.61,7.61,,,0
NDC,60687-112-11,NDC Description Not Available,1.81,1.81,,,0
NDC,60687-113-11,NDC Description Not Available,0.595,0.595,,,0
NDC,60687-121-95,NDC Description Not Available,4.36,4.36,,,0
NDC,60687-122-11,NDC Description Not Available,0.11,0.11,,,0
NDC,60687-124-11,NDC Description Not Available,0.78,0.78,,,0
NDC,60687-134-11,NDC Description Not Available,0.05,0.05,,,0
NDC,60687-143-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-145-11,NDC Description Not Available,0.025,0.025,,,0
NDC,60687-152-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-155-11,NDC Description Not Available,0.36,0.36,,,0
NDC,60687-157-11,NDC Description Not Available,15.975000000000001,15.975000000000001,,,0
NDC,60687-161-01,"Haloperidol: 100 Blister Pack In 1 Box, Unit-Dose (60687-161-01)  / 1 Tablet In 1 Blister Pack (60687-161-11)",1.61,1.61,,,0
NDC,60687-161-11,NDC Description Not Available,1.635,1.635,,,0
NDC,60687-163-11,NDC Description Not Available,0.65,0.65,,,0
NDC,60687-169-11,NDC Description Not Available,0.91,0.91,,,0
NDC,60687-173-11,NDC Description Not Available,0.78,0.78,,,0
NDC,60687-178-11,NDC Description Not Available,1.49,1.49,,,0
NDC,60687-188-11,NDC Description Not Available,8.38,8.38,,,0
NDC,60687-190-11,NDC Description Not Available,2.025,2.025,,,0
NDC,60687-191-11,NDC Description Not Available,19.689999999999998,19.689999999999998,,,0
NDC,60687-191-21,"Aripiprazole: 30 Blister Pack In 1 Box, Unit-Dose (60687-191-21)  / 1 Tablet In 1 Blister Pack (60687-191-11)",27.11,27.11,,,0
NDC,60687-192-11,NDC Description Not Available,9.1,9.1,,,0
NDC,60687-195-11,NDC Description Not Available,2.045,2.045,,,0
NDC,60687-202-11,NDC Description Not Available,25.415,25.415,,,0
NDC,60687-206-11,NDC Description Not Available,1.98,1.98,,,0
NDC,60687-210-01,"Simvastatin: 100 Blister Pack In 1 Box, Unit-Dose (60687-210-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-210-11)",0.63,0.63,,,0
NDC,60687-210-11,NDC Description Not Available,0.625,0.625,,,0
NDC,60687-211-11,NDC Description Not Available,1.545,1.545,,,0
NDC,60687-215-11,NDC Description Not Available,3.86,3.86,,,0
NDC,60687-217-11,NDC Description Not Available,1.21,1.21,,,0
NDC,60687-224-11,NDC Description Not Available,0.64,0.64,,,0
NDC,60687-227-11,NDC Description Not Available,17.97,17.97,,,0
NDC,60687-228-11,NDC Description Not Available,3.92,3.92,,,0
NDC,60687-229-11,NDC Description Not Available,1.33,1.33,,,0
NDC,60687-230-11,NDC Description Not Available,1.15,1.15,,,0
NDC,60687-231-11,NDC Description Not Available,0.665,0.665,,,0
NDC,60687-234-11,NDC Description Not Available,2.455,2.455,,,0
NDC,60687-242-11,NDC Description Not Available,0.765,0.765,,,0
NDC,60687-245-11,NDC Description Not Available,2.8099999999999996,2.8099999999999996,,,0
NDC,60687-249-40,NDC Description Not Available,9.73,9.73,,,0
NDC,60687-249-67,"Levetiracetam: 5 Tray In 1 Case (60687-249-67)  / 10 Cup, Unit-Dose In 1 Tray (60687-249-46)  / 5 Ml In 1 Cup, Unit-Dose (60687-249-40)",10.21,10.21,,,0
NDC,60687-253-11,NDC Description Not Available,0.9,0.9,,,0
NDC,60687-256-01,"Rosuvastatin Calcium: 100 Blister Pack In 1 Box, Unit-Dose (60687-256-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-256-11)",2.7,2.7,,,0
NDC,60687-256-11,NDC Description Not Available,2.795,2.795,,,0
NDC,60687-272-94,"Cefuroxime Axetil: 20 Blister Pack In 1 Box, Unit-Dose (60687-272-94)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-272-11)",7.395,7.395,,,0
NDC,60687-281-11,NDC Description Not Available,0.71,0.71,,,0
NDC,60687-292-01,"Donepezil: 100 Blister Pack In 1 Box, Unit-Dose (60687-292-01)  / 1 Tablet In 1 Blister Pack (60687-292-11)",0.63,0.63,,,0
NDC,60687-292-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-302-95,NDC Description Not Available,5.63,5.63,,,0
NDC,60687-303-11,NDC Description Not Available,0.625,0.625,,,0
NDC,60687-317-95,NDC Description Not Available,3.8099999999999996,3.8099999999999996,,,0
NDC,60687-319-11,NDC Description Not Available,12.84,12.84,,,0
NDC,60687-325-11,NDC Description Not Available,0.525,0.525,,,0
NDC,60687-327-11,NDC Description Not Available,0.62,0.62,,,0
NDC,60687-340-11,NDC Description Not Available,2.175,2.175,,,0
NDC,60687-345-11,NDC Description Not Available,1.96,1.96,,,0
NDC,60687-356-01,"Benztropine Mesylate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-356-01)  / 1 TABLET in 1 BLISTER PACK (60687-356-11)",1.19,1.19,,,0
NDC,60687-369-11,NDC Description Not Available,0.92,0.92,,,0
NDC,60687-373-11,NDC Description Not Available,18.81,18.81,,,0
NDC,60687-375-11,NDC Description Not Available,17.13,17.13,,,0
NDC,60687-377-11,NDC Description Not Available,0.73,0.73,,,0
NDC,60687-386-11,NDC Description Not Available,17.33,17.33,,,0
NDC,60687-394-79,NDC Description Not Available,0.74,0.74,,,0
NDC,60687-398-11,NDC Description Not Available,1.35,1.35,,,0
NDC,60687-404-11,NDC Description Not Available,1.75,1.75,,,0
NDC,60687-405-79,NDC Description Not Available,1.38,1.38,,,0
NDC,60687-409-25,"Midodrine Hydrochloride: 30 Blister Pack In 1 Box, Unit-Dose (60687-409-25)  / 1 Tablet In 1 Blister Pack (60687-409-95)",2.3,2.3,,,0
NDC,60687-409-95,NDC Description Not Available,2.1550000000000002,2.1550000000000002,,,0
NDC,60687-419-11,NDC Description Not Available,3.79,3.79,,,0
NDC,60687-423-11,NDC Description Not Available,4.505,4.505,,,0
NDC,60687-433-11,NDC Description Not Available,0.865,0.865,,,0
NDC,60687-436-01,Celecoxib: 100 Blister Pack In 1 Carton (60687-436-01)  / 1 Capsule In 1 Blister Pack (60687-436-11),3.225,3.225,,,0
NDC,60687-436-11,NDC Description Not Available,3.61,3.61,,,0
NDC,60687-437-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-438-11,NDC Description Not Available,0.77,0.77,,,0
NDC,60687-439-11,NDC Description Not Available,0.875,0.875,,,0
NDC,60687-443-11,NDC Description Not Available,0.61,0.61,,,0
NDC,60687-444-11,NDC Description Not Available,1.5150000000000001,1.5150000000000001,,,0
NDC,60687-446-11,NDC Description Not Available,0.42,0.42,,,0
NDC,60687-447-11,NDC Description Not Available,4.0649999999999995,4.0649999999999995,,,0
NDC,60687-450-01,"Labetalol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-450-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-450-11)",1.27,1.27,,,0
NDC,60687-450-11,NDC Description Not Available,1.3050000000000002,1.3050000000000002,,,0
NDC,60687-451-11,NDC Description Not Available,7.15,7.15,,,0
NDC,60687-457-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-468-01,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-468-01)  / 1 Tablet In 1 Blister Pack (60687-468-11)",0.63,0.63,,,0
NDC,60687-468-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-481-11,NDC Description Not Available,2.09,2.09,,,0
NDC,60687-484-01,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-484-01)  / 1 Capsule In 1 Blister Pack (60687-484-11)",1.1549999999999998,1.1549999999999998,,,0
NDC,60687-484-11,NDC Description Not Available,1.12,1.12,,,0
NDC,60687-496-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-506-11,NDC Description Not Available,1.145,1.145,,,0
NDC,60687-507-11,NDC Description Not Available,1.225,1.225,,,0
NDC,60687-513-11,NDC Description Not Available,3.2699999999999996,3.2699999999999996,,,0
NDC,60687-518-01,"Gabapentin: 100 Blister Pack In 1 Box, Unit-Dose (60687-518-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-518-11)",0.89,0.89,,,0
NDC,60687-518-11,NDC Description Not Available,0.86,0.86,,,0
NDC,60687-524-79,NDC Description Not Available,19.72,19.72,,,0
NDC,60687-524-83,Budesonide Inhalation: 30 Pouch In 1 Carton (60687-524-83)  / 1 Ampule In 1 Pouch (60687-524-79)  / 2 Ml In 1 Ampule,25.02,25.02,,,0
NDC,60687-526-11,NDC Description Not Available,0.78,0.78,,,0
NDC,60687-544-11,NDC Description Not Available,1.23,1.23,,,0
NDC,60687-550-11,NDC Description Not Available,1.185,1.185,,,0
NDC,60687-555-11,NDC Description Not Available,1.44,1.44,,,0
NDC,60687-559-01,"Methocarbamol: 100 Blister Pack In 1 Box, Unit-Dose (60687-559-01)  / 1 Tablet In 1 Blister Pack (60687-559-11)",0.63,0.63,,,0
NDC,60687-559-11,NDC Description Not Available,0.6,0.6,,,0
NDC,60687-566-40,NDC Description Not Available,13.375,13.375,,,0
NDC,60687-568-11,NDC Description Not Available,0.64,0.64,,,0
NDC,60687-570-11,NDC Description Not Available,0.615,0.615,,,0
NDC,60687-578-11,NDC Description Not Available,10.05,10.05,,,0
NDC,60687-579-11,NDC Description Not Available,0.695,0.695,,,0
NDC,60687-580-01,"Gabapentin: 100 Blister Pack In 1 Box, Unit-Dose (60687-580-01)  / 1 Capsule In 1 Blister Pack (60687-580-11)",0.5700000000000001,0.5700000000000001,,,0
NDC,60687-580-11,NDC Description Not Available,0.475,0.475,,,0
NDC,60687-581-11,NDC Description Not Available,1.95,1.95,,,0
NDC,60687-584-11,NDC Description Not Available,7.1850000000000005,7.1850000000000005,,,0
NDC,60687-585-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-586-11,NDC Description Not Available,4.52,4.52,,,0
NDC,60687-587-11,NDC Description Not Available,0.645,0.645,,,0
NDC,60687-591-11,NDC Description Not Available,0.505,0.505,,,0
NDC,60687-593-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-595-11,NDC Description Not Available,0.595,0.595,,,0
NDC,60687-598-11,NDC Description Not Available,0.935,0.935,,,0
NDC,60687-602-11,NDC Description Not Available,0.5,0.5,,,0
NDC,60687-607-11,NDC Description Not Available,4.15,4.15,,,0
NDC,60687-609-11,NDC Description Not Available,1.125,1.125,,,0
NDC,60687-612-11,NDC Description Not Available,2.22,2.22,,,0
NDC,60687-618-11,NDC Description Not Available,2.505,2.505,,,0
NDC,60687-627-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-628-44,NDC Description Not Available,15.370000000000001,15.370000000000001,,,0
NDC,60687-631-01,"Metoclopramide: 100 Blister Pack In 1 Box, Unit-Dose (60687-631-01)  / 1 Tablet In 1 Blister Pack (60687-631-11)",1.52,1.52,,,0
NDC,60687-633-01,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Blister Pack In 1 Carton (60687-633-01)  / 1 Capsule In 1 Blister Pack (60687-633-11),7.48,7.48,,,0
NDC,60687-633-11,NDC Description Not Available,7.38,7.38,,,0
NDC,60687-634-11,NDC Description Not Available,2.92,2.92,,,0
NDC,60687-638-11,NDC Description Not Available,0.5700000000000001,0.5700000000000001,,,0
NDC,60687-640-11,NDC Description Not Available,0.97,0.97,,,0
NDC,60687-657-11,NDC Description Not Available,0.66,0.66,,,0
NDC,60687-660-11,NDC Description Not Available,0.89,0.89,,,0
NDC,60687-661-11,NDC Description Not Available,0.72,0.72,,,0
NDC,60687-669-11,NDC Description Not Available,1.105,1.105,,,0
NDC,60687-675-11,NDC Description Not Available,0.57,0.57,,,0
NDC,60687-676-11,NDC Description Not Available,4.76,4.76,,,0
NDC,60687-680-11,NDC Description Not Available,1.71,1.71,,,0
NDC,60687-681-01,Folic Acid: 100 Blister Pack In 1 Carton (60687-681-01)  / 1 Tablet In 1 Blister Pack (60687-681-11),0.6,0.6,,,0
NDC,60687-681-11,NDC Description Not Available,0.595,0.595,,,0
NDC,60687-683-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-690-11,NDC Description Not Available,0.625,0.625,,,0
NDC,60687-696-11,NDC Description Not Available,0.89,0.89,,,0
NDC,60687-701-11,NDC Description Not Available,1.105,1.105,,,0
NDC,60687-709-11,NDC Description Not Available,1.4849999999999999,1.4849999999999999,,,0
NDC,60687-711-11,NDC Description Not Available,0.975,0.975,,,0
NDC,60687-717-11,NDC Description Not Available,1.08,1.08,,,0
NDC,60687-720-11,NDC Description Not Available,11.95,11.95,,,0
NDC,60687-721-11,NDC Description Not Available,4.145,4.145,,,0
NDC,60687-723-11,NDC Description Not Available,2.62,2.62,,,0
NDC,60687-725-11,NDC Description Not Available,0.5800000000000001,0.5800000000000001,,,0
NDC,60687-728-11,NDC Description Not Available,1.28,1.28,,,0
NDC,60687-730-11,NDC Description Not Available,1.19,1.19,,,0
NDC,60687-733-11,NDC Description Not Available,2.6900000000000004,2.6900000000000004,,,0
NDC,60687-735-11,NDC Description Not Available,4.0,4.0,,,0
NDC,60687-736-11,NDC Description Not Available,0.63,0.63,,,0
NDC,60687-742-11,NDC Description Not Available,3.475,3.475,,,0
NDC,60687-745-11,NDC Description Not Available,2.08,2.08,,,0
NDC,60687-746-11,NDC Description Not Available,4.3,4.3,,,0
NDC,60687-760-40,NDC Description Not Available,1.4049999999999998,1.4049999999999998,,,0
NDC,60687-782-11,NDC Description Not Available,4.77,4.77,,,0
NDC,60687-788-11,NDC Description Not Available,1.83,1.83,,,0
NDC,60687-795-11,NDC Description Not Available,0.6,0.6,,,0
NDC,60687-807-11,NDC Description Not Available,1.25,1.25,,,0
NDC,60687-822-11,NDC Description Not Available,0.57,0.57,,,0
NDC,60687-833-11,NDC Description Not Available,0.615,0.615,,,0
NDC,60687-836-11,NDC Description Not Available,0.76,0.76,,,0
NDC,60687-882-11,NDC Description Not Available,9.92,9.92,,,0
NDC,60758-119-10,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-10)  / 10 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
NDC,60758-880-05,"Fluorometholone: 1 Bottle, Dropper In 1 Carton (60758-880-05)  / 5 Ml In 1 Bottle, Dropper",196.08,196.08,,,0
NDC,60793-115-01,Cytomel: 100 Tablet In 1 Bottle (60793-115-01),0.365,0.365,,,0
NDC,60793-701-02,NDC Description Not Available,71.08,71.08,,,0
NDC,60793-702-04,NDC Description Not Available,81.92,81.92,,,0
NDC,61269-179-34,Triple Antibiotic: 1 TUBE in 1 CARTON (61269-179-34)  / 14 g in 1 TUBE,5.22,5.22,,,0
NDC,61269-735-56,Miconazole Nitrate: 1 Tube In 1 Carton (61269-735-56)  / 28 G In 1 Tube,4.64,4.64,,,0
NDC,61269-736-07,Miconazole 7: 7 Suppository In 1 Box (61269-736-07),3.07,3.07,,,0
NDC,61269-881-35,Docosanol: 2 G In 1 Tube (61269-881-35),28.45,28.45,,,0
NDC,61269-981-35,Docosanol: 1 Tube In 1 Package (61269-981-35)  / 2 G In 1 Tube,29.5,29.5,,,0
NDC,61314-016-01,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (61314-016-01)  / 15 Ml In 1 Bottle,1.0,1.0,,,0
NDC,61314-126-05,Ketorolac Tromethamine: 1 Bottle In 1 Carton (61314-126-05)  / 5 Ml In 1 Bottle,29.37,29.37,,,0
NDC,61314-203-15,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (61314-203-15)  / 15 Ml In 1 Bottle,162.74,162.74,,,0
NDC,61314-226-05,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-226-05)",6.43,6.43,,,0
NDC,61314-227-05,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",12.22,12.22,,,0
NDC,61314-227-15,"Timolol Maleate: 15 Ml In 1 Bottle, Plastic (61314-227-15)",0.1,0.1,,,0
NDC,61314-245-01,"Betaxolol Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-245-01)  / 5 Ml In 1 Bottle, Plastic",119.58,119.58,,,0
NDC,61314-318-01,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01)  / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,1.88,1.88,,,0
NDC,61314-318-05,NDC Description Not Available,1.78,1.78,,,0
NDC,61314-326-01,Zarxio: 1 Blister Pack In 1 Carton (61314-326-01)  / 1 Syringe In 1 Blister Pack / .8 Ml In 1 Syringe,1.65,1.65,,,0
NDC,61314-326-05,NDC Description Not Available,1.635,1.635,,,0
NDC,61314-547-01,Latanoprost: 1 Bottle In 1 Carton (61314-547-01)  / 2.5 Ml In 1 Bottle,25.93,25.93,,,0
NDC,61314-630-06,"Neomycin And Polymyxin B Sulfates And Dexamethasone: 5 Ml In 1 Bottle, Plastic (61314-630-06)",30.02,30.02,,,0
NDC,61314-631-36,Neomycin And Polymyxin B Sulfates And Dexamethasone: 3.5 G In 1 Tube (61314-631-36),39.13,39.13,,,0
NDC,61314-637-05,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-05)  / 5 Ml In 1 Bottle, Plastic",1.0,1.0,,,0
NDC,61314-641-75,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 7.5 Ml In 1 Bottle, Plastic (61314-641-75)",362.31,362.31,,,0
NDC,61314-647-25,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-25)  / 2.5 Ml In 1 Bottle,76.76,76.76,,,0
NDC,61314-656-05,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-05)  / 5 Ml In 1 Bottle, Plastic",1.0,1.0,,,0
NDC,61314-656-25,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-25)  / 2.5 Ml In 1 Bottle, Plastic",1.0,1.0,,,0
NDC,61442-121-01,Famotidine: 24 Bottle In 1 Box (61442-121-01)  / 100 Tablet In 1 Bottle,0.545,0.545,,,0
NDC,61442-122-01,Famotidine: 24 Bottle In 1 Box (61442-122-01)  / 100 Tablet In 1 Bottle,0.63,0.63,,,0
NDC,61703-305-58,NDC Description Not Available,81.89,81.89,,,0
NDC,61703-309-06,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06)  / 1 Ml In 1 Vial, Single-Dose",82.28,82.28,,,0
NDC,61703-309-16,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16)  / 2 Ml In 1 Vial, Single-Dose",67.525,67.525,,,0
NDC,61703-309-25,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-25)  / 2 Ml In 1 Vial, Single-Dose",56.69,56.69,,,0
NDC,61703-309-26,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-26)  / 1 Ml In 1 Vial, Single-Dose",83.485,83.485,,,0
NDC,61703-319-22,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (61703-319-22)  / 20 Ml In 1 Vial, Single-Dose",23.75,23.75,,,0
NDC,61703-324-18,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-324-18)  / 10 Ml In 1 Vial, Single-Dose",38.69,38.69,,,0
NDC,61703-326-18,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-326-18)  / 10 Ml In 1 Vial, Single-Dose",35.82,35.82,,,0
NDC,61703-332-18,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",184.74,184.74,,,0
NDC,61703-339-50,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50)  / 45 Ml In 1 Vial, Multi-Dose",14.94,14.94,,,0
NDC,61703-339-56,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-56)  / 60 Ml In 1 Vial, Multi-Dose",17.4,17.4,,,0
NDC,61703-342-50,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-50)  / 50 Ml In 1 Vial, Multi-Dose",1.3399999999999999,1.3399999999999999,,,0
NDC,61703-408-41,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41)  / 40 Ml In 1 Vial, Single-Dose",2.34,2.34,,,0
NDC,61748-011-01,"Ethambutol Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (61748-011-01)",0.66,0.66,,,0
NDC,61755-008-01,"Libtayo: 1 Vial, Single-Use In 1 Carton (61755-008-01)  / 7 Ml In 1 Vial, Single-Use",107.405,107.405,,,0
NDC,61874-115-30,"Vraylar: 30 Capsule, Gelatin Coated In 1 Bottle (61874-115-30)",132.10500000000002,132.10500000000002,,,0
NDC,61874-130-11,NDC Description Not Available,131.205,131.205,,,0
NDC,61958-0701-1,"Truvada: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0701-1)",155.845,155.845,,,0
NDC,61958-1201-1,"Stribild: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-1201-1)",392.53,392.53,,,0
NDC,61958-1401-1,"Tybost: 30 Tablet, Film Coated In 1 Bottle (61958-1401-1)",23.98,23.98,,,0
NDC,61958-1901-1,"Genvoya: 30 Tablet In 1 Bottle, Plastic (61958-1901-1)",360.54,360.54,,,0
NDC,61958-2002-1,"Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1)",187.97,187.97,,,0
NDC,61958-2301-1,"Vemlidy: 30 Tablet In 1 Bottle, Plastic (61958-2301-1)",116.32,116.32,,,0
NDC,61958-2501-1,"Biktarvy: 30 Tablet In 1 Bottle, Plastic (61958-2501-1)",352.96500000000003,352.96500000000003,,,0
NDC,61958-2901-2,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",871.325,871.325,,,0
NDC,62175-310-37,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (62175-310-37)",7.98,7.98,,,0
NDC,62327-222-02,NDC Description Not Available,136.5,136.5,,,0
NDC,62332-061-30,Leflunomide: 30 Tablet In 1 Bottle (62332-061-30),2.34,2.34,,,0
NDC,62332-119-90,Pregabalin: 90 Capsule In 1 Bottle (62332-119-90),0.435,0.435,,,0
NDC,62332-122-90,Pregabalin: 90 Capsule In 1 Bottle (62332-122-90),0.545,0.545,,,0
NDC,62332-582-04,Lidocaine And Prilocaine: 1 Tube In 1 Carton (62332-582-04)  / 5 G In 1 Tube,21.314999999999998,21.314999999999998,,,0
NDC,62332-618-31,Cyclophosphamide: 100 Capsule In 1 Bottle (62332-618-31),3.27,3.27,,,0
NDC,62332-745-31,"Guanfacine: 100 Tablet, Extended Release In 1 Bottle (62332-745-31)",0.8,0.8,,,0
NDC,6253000011,NDC Description Not Available,10.23,10.23,,,0
NDC,62541-402-10,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-402-10)  / 100 Capsule, Delayed Release In 1 Bottle, Glass",3.49,3.49,,,0
NDC,62541-405-10,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-405-10)  / 100 Capsule, Delayed Release In 1 Bottle, Glass",16.86,16.86,,,0
NDC,62559-153-04,Opium Tincture Deodorized: 118 Ml In 1 Bottle (62559-153-04),5.25,5.25,,,0
NDC,62559-190-16,"Metoclopramide: 473 Ml In 1 Bottle, Plastic (62559-190-16)",1.04,1.04,,,0
NDC,62559-265-30,Tranexamic Acid: 30 Tablet In 1 Bottle (62559-265-30),6.4399999999999995,6.4399999999999995,,,0
NDC,62559-390-50,Vancomycin Hydrochloride: 50 Capsule In 1 Bottle (62559-390-50),4.0,4.0,,,0
NDC,62559-821-01,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (62559-821-01),1.55,1.55,,,0
NDC,62584-266-11,NDC Description Not Available,0.435,0.435,,,0
NDC,62584-267-11,NDC Description Not Available,0.615,0.615,,,0
NDC,62584-339-11,NDC Description Not Available,0.63,0.63,,,0
NDC,62584-733-11,NDC Description Not Available,0.63,0.63,,,0
NDC,62584-734-11,NDC Description Not Available,0.63,0.63,,,0
NDC,62756-796-88,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-796-88)",0.53,0.53,,,0
NDC,62756-797-88,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-797-88)",0.605,0.605,,,0
NDC,62756-798-88,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-798-88)",0.51,0.51,,,0
NDC,62856-389-01,"Halaven: 1 Vial, Single-Dose In 1 Carton (62856-389-01)  / 2 Ml In 1 Vial, Single-Dose",476.57,476.57,,,0
NDC,62935-227-10,Eligard: 1 Syringe In 1 Carton (62935-227-10)  / .375 Ml In 1 Syringe,336.505,336.505,,,0
NDC,62935-306-40,Eligard: 1 Syringe In 1 Carton (62935-306-40)  / .5 Ml In 1 Syringe,339.03499999999997,339.03499999999997,,,0
NDC,62935-461-50,Eligard: 1 Syringe In 1 Carton (62935-461-50)  / .375 Ml In 1 Syringe,321.99,321.99,,,0
NDC,62935-756-80,Eligard: 1 Syringe In 1 Carton (62935-756-80)  / .25 Ml In 1 Syringe,377.22,377.22,,,0
NDC,63020-049-01,"Velcade: 1 Vial In 1 Carton (63020-049-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",164.48,164.48,,,0
NDC,63090-340-30,"Nuplazid: 30 Capsule In 1 Bottle, Plastic (63090-340-30)",337.23,337.23,,,0
NDC,63304-451-01,"Morphine Sulfate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (63304-451-01)",1.47,1.47,,,0
NDC,63323-010-01,NDC Description Not Available,3.51,3.51,,,0
NDC,63323-010-03,NDC Description Not Available,6.24,6.24,,,0
NDC,63323-012-03,NDC Description Not Available,2.63,2.63,,,0
NDC,63323-012-07,Oxytocin: 25 Vial In 1 Tray (63323-012-07)  / 1 Ml In 1 Vial (63323-012-17),2.715,2.715,,,0
NDC,63323-012-17,NDC Description Not Available,2.7249999999999996,2.7249999999999996,,,0
NDC,63323-013-01,NDC Description Not Available,2.25,2.25,,,0
NDC,63323-024-01,NDC Description Not Available,16.03,16.03,,,0
NDC,63323-044-00,NDC Description Not Available,3.59,3.59,,,0
NDC,63323-064-01,NDC Description Not Available,1.585,1.585,,,0
NDC,63323-064-02,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-02)  / 2 Ml In 1 Vial, Single-Dose",1.88,1.88,,,0
NDC,63323-064-03,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03)  / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",1.6,1.6,,,0
NDC,63323-064-04,NDC Description Not Available,0.76,0.76,,,0
NDC,63323-064-21,NDC Description Not Available,1.52,1.52,,,0
NDC,63323-089-25,NDC Description Not Available,1.44,1.44,,,0
NDC,63323-089-50,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-089-50)  / 50 Ml In 1 Vial, Single-Dose (63323-089-25)",72.08,72.08,,,0
NDC,63323-093-01,NDC Description Not Available,9.1,9.1,,,0
NDC,63323-101-61,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (63323-101-61)  / 100 Ml In 1 Vial, Multi-Dose",17.95,17.95,,,0
NDC,63323-106-00,NDC Description Not Available,0.82,0.82,,,0
NDC,63323-106-02,NDC Description Not Available,2.46,2.46,,,0
NDC,63323-106-15,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-15)  / 500 Ml In 1 Bag,0.26,0.26,,,0
NDC,63323-113-01,NDC Description Not Available,100.06,100.06,,,0
NDC,63323-117-00,NDC Description Not Available,24.455,24.455,,,0
NDC,63323-117-10,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10)  / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",24.65,24.65,,,0
NDC,63323-117-61,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-61)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",15.215,15.215,,,0
NDC,63323-117-69,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-69)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",15.01,15.01,,,0
NDC,63323-120-20,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20)  / 20 Ml In 1 Vial, Single-Dose",6.78,6.78,,,0
NDC,63323-122-50,"Methotrexate: 1 Vial In 1 Carton (63323-122-50)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",10.3,10.3,,,0
NDC,63323-125-53,"Gemcitabine: 1 Vial, Single-Dose In 1 Box (63323-125-53)  / 25 Ml In 1 Vial, Single-Dose",37.05,37.05,,,0
NDC,63323-127-00,NDC Description Not Available,39.5,39.5,,,0
NDC,63323-128-00,NDC Description Not Available,29.325000000000003,29.325000000000003,,,0
NDC,63323-128-20,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20)  / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",21.68,21.68,,,0
NDC,63323-130-02,NDC Description Not Available,48.86,48.86,,,0
NDC,63323-130-03,NDC Description Not Available,2.19,2.19,,,0
NDC,63323-130-11,Doxy 100: 10 Vial In 1 Tray (63323-130-11)  / 10 Ml In 1 Vial (63323-130-02),0.36,0.36,,,0
NDC,63323-140-10,"Cladribine: 1 Vial, Single-Dose In 1 Carton (63323-140-10)  / 10 Ml In 1 Vial, Single-Dose",43.33,43.33,,,0
NDC,63323-142-10,"Ifosfamide: 1 Vial, Single-Dose In 1 Box (63323-142-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",110.72,110.72,,,0
NDC,63323-162-00,NDC Description Not Available,0.95,0.95,,,0
NDC,63323-162-01,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01)  / 1 Ml In 1 Vial, Single-Use (63323-162-00)",1.01,1.01,,,0
NDC,63323-162-02,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-02)  / 2 Ml In 1 Vial, Single-Use (63323-162-03)",0.7649999999999999,0.7649999999999999,,,0
NDC,63323-162-03,NDC Description Not Available,1.22,1.22,,,0
NDC,63323-162-16,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-16)  / 1 Ml In 1 Vial, Single-Use (63323-162-43)",1.13,1.13,,,0
NDC,63323-162-23,NDC Description Not Available,0.94,0.94,,,0
NDC,63323-162-25,NDC Description Not Available,0.905,0.905,,,0
NDC,63323-165-01,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01)  / 1 Ml In 1 Vial (63323-165-02),1.97,1.97,,,0
NDC,63323-173-01,NDC Description Not Available,3.73,3.73,,,0
NDC,63323-173-02,Gentamicin: 25 Vial In 1 Tray (63323-173-02)  / 2 Ml In 1 Vial (63323-173-01),3.1,3.1,,,0
NDC,63323-180-00,NDC Description Not Available,23.04,23.04,,,0
NDC,63323-184-10,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10)  / 10 Ml In 1 Vial, Multi-Dose",0.265,0.265,,,0
NDC,63323-185-07,NDC Description Not Available,11.585,11.585,,,0
NDC,63323-186-01,NDC Description Not Available,34.315,34.315,,,0
NDC,63323-187-30,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-187-30)  / 30 Ml In 1 Vial, Single-Dose",1.88,1.88,,,0
NDC,63323-201-10,Lidocaine: 25 Vial In 1 Tray (63323-201-10)  / 10 Ml In 1 Vial (63323-201-03),0.08,0.08,,,0
NDC,63323-229-01,NDC Description Not Available,5.83,5.83,,,0
NDC,63323-262-09,NDC Description Not Available,0.49,0.49,,,0
NDC,63323-269-10,Diprivan: 10 Vial In 1 Box (63323-269-10)  / 10 Ml In 1 Vial (63323-269-01),0.39,0.39,,,0
NDC,63323-269-25,NDC Description Not Available,0.33,0.33,,,0
NDC,63323-269-29,Diprivan: 10 Vial In 1 Box (63323-269-29)  / 20 Ml In 1 Vial (63323-269-22),0.275,0.275,,,0
NDC,63323-269-37,Diprivan: 10 Vial In 1 Box (63323-269-37)  / 20 Ml In 1 Vial (63323-269-25),0.27,0.27,,,0
NDC,63323-269-65,Diprivan: 10 Vial In 1 Box (63323-269-65)  / 100 Ml In 1 Vial (63323-269-35),0.27,0.27,,,0
NDC,63323-269-67,Diprivan: 10 Vial In 1 Box (63323-269-67)  / 100 Ml In 1 Vial (63323-269-21),0.27,0.27,,,0
NDC,63323-269-69,Diprivan: 10 Vial In 1 Box (63323-269-69)  / 100 Ml In 1 Vial (63323-269-41),0.53,0.53,,,0
NDC,63323-269-94,Diprivan: 10 Vial In 1 Box (63323-269-94)  / 20 Ml In 1 Vial (63323-269-43),0.63,0.63,,,0
NDC,63323-273-01,"Sumatriptan Succinate: 1 Vial, Single-Dose In 1 Carton (63323-273-01)  / .5 Ml In 1 Vial, Single-Dose",15.86,15.86,,,0
NDC,63323-278-10,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10)  / 10 Ml In 1 Vial, Multi-Dose",24.96,24.96,,,0
NDC,63323-280-01,NDC Description Not Available,0.3,0.3,,,0
NDC,63323-280-10,Furosemide: 25 Vial In 1 Tray (63323-280-10)  / 10 Ml In 1 Vial (63323-280-05),0.235,0.235,,,0
NDC,63323-284-01,NDC Description Not Available,0.56,0.56,,,0
NDC,63323-284-20,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20)  / 20 Ml In 1 Vial (63323-284-01),1.88,1.88,,,0
NDC,63323-284-26,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-26)  / 20 Ml In 1 Vial (63323-284-42),8.43,8.43,,,0
NDC,63323-285-03,NDC Description Not Available,0.43,0.43,,,0
NDC,63323-285-07,NDC Description Not Available,0.45,0.45,,,0
NDC,63323-285-13,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-13)  / 10 Ml In 1 Vial, Single-Dose (63323-285-03)",0.45,0.45,,,0
NDC,63323-285-23,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-23)  / 20 Ml In 1 Vial, Single-Dose (63323-285-07)",0.43,0.43,,,0
NDC,63323-285-51,NDC Description Not Available,52.635,52.635,,,0
NDC,63323-285-55,NDC Description Not Available,0.26,0.26,,,0
NDC,63323-285-65,Naropin: 12 Bottle In 1 Case (63323-285-65)  / 100 Ml In 1 Bottle (63323-285-51),0.26,0.26,,,0
NDC,63323-286-23,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-286-23)  / 20 Ml In 1 Vial, Single-Dose (63323-286-05)",0.1,0.1,,,0
NDC,63323-286-93,NDC Description Not Available,0.09,0.09,,,0
NDC,63323-286-95,"Naropin: 25 Vial, Single-Dose In 1 Tray (63323-286-95)  / 30 Ml In 1 Vial, Single-Dose (63323-286-93)",0.09,0.09,,,0
NDC,63323-294-27,"Polocaine-Mpf: 25 Vial, Single-Dose In 1 Tray (63323-294-27)  / 20 Ml In 1 Vial, Single-Dose (63323-294-01)",2.61,2.61,,,0
NDC,63323-303-01,NDC Description Not Available,9.06,9.06,,,0
NDC,63323-303-21,NDC Description Not Available,9.12,9.12,,,0
NDC,63323-303-55,"Tobramycin: 6 Vial, Pharmacy Bulk Package In 1 Tray (63323-303-55)  / 30 Ml In 1 Vial, Pharmacy Bulk Package (63323-303-21)",9.6,9.6,,,0
NDC,63323-306-01,NDC Description Not Available,3.29,3.29,,,0
NDC,63323-306-02,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02)  / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",3.21,3.21,,,0
NDC,63323-306-26,"25 VIAL, MULTI-DOSE in 1 TRAY (63323-306-26)  / 2 mL in 1 VIAL, MULTI-DOSE",4.06,4.06,,,0
NDC,63323-309-26,Piperacillin And Tazobactam: 10 Vial In 1 Box (63323-309-26)  / 10 Ml In 1 Vial,3.34,3.34,,,0
NDC,63323-314-66,Vancomycin Hydrochloride: 1 Bottle In 1 Carton (63323-314-66)  / 100 Ml In 1 Bottle,0.44,0.44,,,0
NDC,63323-315-01,NDC Description Not Available,82.14,82.14,,,0
NDC,63323-320-56,Piperacillin And Tazobactam: 10 Vial In 1 Box (63323-320-56)  / 20 Ml In 1 Vial,3.34,3.34,,,0
NDC,63323-325-10,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10)  / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",0.08,0.08,,,0
NDC,63323-325-24,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-24)  / 20 Ml In 1 Vial, Single-Dose (63323-325-43)",0.09,0.09,,,0
NDC,63323-327-21,NDC Description Not Available,70.71,70.71,,,0
NDC,63323-328-21,NDC Description Not Available,68.6,68.6,,,0
NDC,63323-329-31,"Bacitracin: 10 VIAL in 1 CARTON (63323-329-31)  / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",26.21,26.21,,,0
NDC,63323-360-01,NDC Description Not Available,0.22,0.22,,,0
NDC,63323-374-20,Ondansetron: 1 Vial In 1 Box (63323-374-20)  / 20 Ml In 1 Vial,0.19,0.19,,,0
NDC,63323-376-00,NDC Description Not Available,1.815,1.815,,,0
NDC,63323-377-00,NDC Description Not Available,12.99,12.99,,,0
NDC,63323-385-01,NDC Description Not Available,27.5,27.5,,,0
NDC,63323-385-10,Cefotetan: 10 Vial In 1 Carton (63323-385-10)  / 10 Ml In 1 Vial (63323-385-01),34.08,34.08,,,0
NDC,63323-386-01,NDC Description Not Available,53.43,53.43,,,0
NDC,63323-386-20,Cefotetan: 10 Vial In 1 Carton (63323-386-20)  / 20 Ml In 1 Vial (63323-386-01),54.49,54.49,,,0
NDC,63323-400-05,"Levetiracetam: 10 Vial, Single-Use In 1 Tray (63323-400-05)  / 5 Ml In 1 Vial, Single-Use (63323-400-01)",0.19,0.19,,,0
NDC,63323-401-01,NDC Description Not Available,6.07,6.07,,,0
NDC,63323-401-20,"Aztreonam: 10 Vial In 1 Tray (63323-401-20)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",5.82,5.82,,,0
NDC,63323-401-21,NDC Description Not Available,6.33,6.33,,,0
NDC,63323-402-03,NDC Description Not Available,6.22,6.22,,,0
NDC,63323-402-30,"Aztreonam: 10 Vial In 1 Tray (63323-402-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-402-03)",6.54,6.54,,,0
NDC,63323-406-01,NDC Description Not Available,4.43,4.43,,,0
NDC,63323-406-03,Caffeine Citrate: 5 Vial In 1 Carton (63323-406-03)  / 3 Ml In 1 Vial (63323-406-01),4.43,4.43,,,0
NDC,63323-411-12,Midazolam: 25 Vial In 1 Tray (63323-411-12)  / 2 Ml In 1 Vial (63323-411-15),1.67,1.67,,,0
NDC,63323-411-25,Midazolam: 25 Vial In 1 Tray (63323-411-25)  / 5 Ml In 1 Vial (63323-411-18),0.83,0.83,,,0
NDC,63323-415-10,"Neostigmine Methylsulfate: 10 Vial, Multi-Dose In 1 Tray (63323-415-10)  / 10 Ml In 1 Vial, Multi-Dose (63323-415-01)",0.31,0.31,,,0
NDC,63323-417-01,NDC Description Not Available,10.94,10.94,,,0
NDC,63323-424-05,"Flumazenil: 10 Vial, Multi-Dose In 1 Tray (63323-424-05)  / 5 Ml In 1 Vial, Multi-Dose (63323-424-01)",19.56,19.56,,,0
NDC,63323-434-41,NDC Description Not Available,0.16,0.16,,,0
NDC,63323-451-01,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Box (63323-451-01)  / 1 Ml In 1 Vial, Single-Dose (63323-451-00)",2.93,2.93,,,0
NDC,63323-452-00,NDC Description Not Available,4.8149999999999995,4.8149999999999995,,,0
NDC,63323-462-31,"Sensorcaine Mpf: 5 Vial, Single-Dose In 1 Box (63323-462-31)  / 30 Ml In 1 Vial, Single-Dose (63323-462-02)",22.775,22.775,,,0
NDC,63323-466-01,NDC Description Not Available,0.08,0.08,,,0
NDC,63323-466-37,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-466-37)  / 30 Ml In 1 Vial, Single-Dose (63323-466-01)",0.08,0.08,,,0
NDC,63323-468-01,NDC Description Not Available,8.85,8.85,,,0
NDC,63323-469-01,Haloperidol Decanoate: 1 Vial In 1 Carton (63323-469-01)  / 1 Ml In 1 Vial,19.83,19.83,,,0
NDC,63323-474-00,NDC Description Not Available,2.165,2.165,,,0
NDC,63323-474-01,Haloperidol: 25 Vial In 1 Tray (63323-474-01)  / 1 Ml In 1 Vial (63323-474-00),1.805,1.805,,,0
NDC,63323-477-27,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-477-27)  / 20 Ml In 1 Vial, Single-Dose (63323-477-01)",0.13,0.13,,,0
NDC,63323-478-01,NDC Description Not Available,0.1,0.1,,,0
NDC,63323-478-27,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-478-27)  / 20 Ml In 1 Vial, Single-Dose (63323-478-01)",0.1,0.1,,,0
NDC,63323-481-01,NDC Description Not Available,4.95,4.95,,,0
NDC,63323-482-03,NDC Description Not Available,7.11,7.11,,,0
NDC,63323-482-05,NDC Description Not Available,17.17,17.17,,,0
NDC,63323-482-26,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-26)  / 20 Ml In 1 Vial, Multi-Dose (63323-482-41)",4.56,4.56,,,0
NDC,63323-483-03,NDC Description Not Available,7.11,7.11,,,0
NDC,63323-483-27,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-483-27)  / 20 Ml In 1 Vial, Multi-Dose (63323-483-03)",13.98,13.98,,,0
NDC,63323-486-02,NDC Description Not Available,0.01,0.01,,,0
NDC,63323-486-26,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-26)  / 20 Ml In 1 Vial, Multi-Dose (63323-486-41)",0.01,0.01,,,0
NDC,63323-487-07,NDC Description Not Available,9.46,9.46,,,0
NDC,63323-487-37,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-37)  / 30 Ml In 1 Vial, Single-Dose (63323-487-07)",18.44,18.44,,,0
NDC,63323-489-01,NDC Description Not Available,28.4,28.4,,,0
NDC,63323-489-02,NDC Description Not Available,34.92,34.92,,,0
NDC,63323-489-17,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-17)  / 10 Ml In 1 Vial, Single-Dose (63323-489-01)",12.87,12.87,,,0
NDC,63323-489-27,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-27)  / 20 Ml In 1 Vial, Single-Dose (63323-489-02)",40.03,40.03,,,0
NDC,63323-491-01,NDC Description Not Available,0.38,0.38,,,0
NDC,63323-491-57,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-491-57)  / 50 Ml In 1 Vial, Single-Dose (63323-491-01)",0.16,0.16,,,0
NDC,63323-492-04,NDC Description Not Available,2.37,2.37,,,0
NDC,63323-492-07,NDC Description Not Available,11.934999999999999,11.934999999999999,,,0
NDC,63323-492-09,NDC Description Not Available,10.38,10.38,,,0
NDC,63323-492-27,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27)  / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",2.36,2.36,,,0
NDC,63323-492-31,"Xylocaine Mpf: 5 Vial, Single-Dose In 1 Carton (63323-492-31)  / 30 Ml In 1 Vial, Single-Dose (63323-492-03)",17.66,17.66,,,0
NDC,63323-492-36,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-36)  / 5 Ml In 1 Vial, Single-Dose (63323-492-43)",4.29,4.29,,,0
NDC,63323-494-01,NDC Description Not Available,16.39,16.39,,,0
NDC,63323-494-16,"Valproate Sodium: 10 Vial, Single-Dose In 1 Tray (63323-494-16)  / 5 Ml In 1 Vial, Single-Dose (63323-494-41)",47.1,47.1,,,0
NDC,63323-495-04,NDC Description Not Available,2.6149999999999998,2.6149999999999998,,,0
NDC,63323-495-07,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-07)  / 5 Ml In 1 Vial, Single-Dose (63323-495-04)",3.79,3.79,,,0
NDC,63323-496-03,NDC Description Not Available,2.17,2.17,,,0
NDC,63323-496-97,Xylocaine Mpf: 5 Ampule In 1 Box (63323-496-97)  / 10 Ml In 1 Ampule (63323-496-03),9.6,9.6,,,0
NDC,63323-506-00,NDC Description Not Available,0.335,0.335,,,0
NDC,63323-506-01,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01)  / 1 Ml In 1 Vial (63323-506-00),0.33,0.33,,,0
NDC,63323-507-25,Meropenem: 25 Vial In 1 Carton (63323-507-25)  / 10 Ml In 1 Vial (63323-507-43),2.98,2.98,,,0
NDC,63323-508-21,NDC Description Not Available,1.39,1.39,,,0
NDC,63323-523-01,NDC Description Not Available,0.94,0.94,,,0
NDC,63323-530-21,NDC Description Not Available,36.0,36.0,,,0
NDC,63323-531-90,Enoxaparin Sodium: 10 Cello Pack In 1 Carton (63323-531-90)  / 1 Syringe In 1 Cello Pack (63323-531-01)  / .8 Ml In 1 Syringe,2.45,2.45,,,0
NDC,63323-540-03,NDC Description Not Available,2.28,2.28,,,0
NDC,63323-540-13,Heparin Sodium: 25 Vial In 1 Tray (63323-540-13)  / 1 Ml In 1 Vial (63323-540-03),2.29,2.29,,,0
NDC,63323-559-63,NDC Description Not Available,2.19,2.19,,,0
NDC,63323-564-21,NDC Description Not Available,1.95,1.95,,,0
NDC,63323-564-63,NDC Description Not Available,1.95,1.95,,,0
NDC,63323-566-63,NDC Description Not Available,2.36,2.36,,,0
NDC,63323-566-98,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-566-98)  / 1 Syringe In 1 Blister Pack (63323-566-21)  / .6 Ml In 1 Syringe,2.07,2.07,,,0
NDC,63323-584-63,NDC Description Not Available,2.22,2.22,,,0
NDC,63323-586-21,NDC Description Not Available,2.24,2.24,,,0
NDC,63323-586-63,NDC Description Not Available,2.23,2.23,,,0
NDC,63323-593-03,"Glucagon: 1 Kit In 1 Carton (63323-593-03)  *  1 Ml In 1 Vial, Single-Dose (63323-596-03)  *  1 Ml In 1 Vial, Single-Dose (63323-185-03)",336.305,336.305,,,0
NDC,63323-594-03,"Glucagon: 1 Kit In 1 Carton (63323-594-03)  *  1 Ml In 1 Vial, Single-Dose (63323-596-06)  *  1 Ml In 1 Vial, Single-Dose (63323-185-03)",329.53,329.53,,,0
NDC,63323-596-03,NDC Description Not Available,338.93,338.93,,,0
NDC,63323-596-06,NDC Description Not Available,333.6,333.6,,,0
NDC,63323-597-10,Deferoxamine: 1 Vial In 1 Box (63323-597-10)  / 5.3 Ml In 1 Vial,34.14,34.14,,,0
NDC,63323-599-30,Deferoxamine: 1 Vial In 1 Box (63323-599-30)  / 21.1 Ml In 1 Vial,17.82,17.82,,,0
NDC,63323-604-00,NDC Description Not Available,4.62,4.62,,,0
NDC,63323-614-00,NDC Description Not Available,4.47,4.47,,,0
NDC,63323-614-21,NDC Description Not Available,4.27,4.27,,,0
NDC,63323-614-55,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-614-55)  / 1 Ml In 1 Vial, Single-Dose (63323-614-21)",4.33,4.33,,,0
NDC,63323-616-01,NDC Description Not Available,1.12,1.12,,,0
NDC,63323-616-03,"Amiodarone Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-616-03)  / 3 Ml In 1 Vial, Single-Dose (63323-616-01)",1.09,1.09,,,0
NDC,63323-642-02,NDC Description Not Available,0.71,0.71,,,0
NDC,63323-651-00,NDC Description Not Available,1.2,1.2,,,0
NDC,63323-651-02,"Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02)  / 2 Ml In 1 Vial, Single-Use (63323-651-00)",1.2,1.2,,,0
NDC,63323-658-20,Chlorothiazide: 1 Vial In 1 Box (63323-658-20)  / 18 Ml In 1 Vial,112.14,112.14,,,0
NDC,63323-664-00,NDC Description Not Available,3.96,3.96,,,0
NDC,63323-664-16,Diphenhydramine: 25 Vial In 1 Tray (63323-664-16)  / 1 Ml In 1 Vial (63323-664-41),2.0,2.0,,,0
NDC,63323-665-00,NDC Description Not Available,2.0,2.0,,,0
NDC,63323-694-04,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04)  / 4 Ml In 1 Vial (63323-694-22),13.99,13.99,,,0
NDC,63323-713-03,NDC Description Not Available,7.15,7.15,,,0
NDC,63323-724-01,NDC Description Not Available,349.43,349.43,,,0
NDC,63323-729-01,NDC Description Not Available,0.785,0.785,,,0
NDC,63323-733-11,"Mesna: 1 Vial, Multi-Dose In 1 Box (63323-733-11)  / 10 Ml In 1 Vial, Multi-Dose",29.82,29.82,,,0
NDC,63323-739-11,NDC Description Not Available,0.05,0.05,,,0
NDC,63323-739-12,"Famotidine: 25 Vial, Single-Dose In 1 Tray (63323-739-12)  / 2 Ml In 1 Vial, Single-Dose (63323-739-11)",0.03,0.03,,,0
NDC,63323-739-16,"Famotidine: 25 Vial, Single-Use In 1 Tray (63323-739-16)  / 2 Ml In 1 Vial, Single-Use (63323-739-41)",0.025,0.025,,,0
NDC,63323-751-01,"Phenylephrine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-751-01)  / 1 Ml In 1 Vial, Single-Dose (63323-751-00)",0.06,0.06,,,0
NDC,63323-751-03,NDC Description Not Available,0.01,0.01,,,0
NDC,63323-762-10,Topotecan Hydrochloride: 1 Vial In 1 Box (63323-762-10)  / 4 Ml In 1 Vial,5.07,5.07,,,0
NDC,63323-763-50,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-50)  / 50 Ml In 1 Vial, Multi-Dose",1.75,1.75,,,0
NDC,63323-806-01,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-01)  / 1 Ml In 1 Vial, Single-Dose (63323-806-11)",1.91,1.91,,,0
NDC,63323-806-11,NDC Description Not Available,5.05,5.05,,,0
NDC,63323-806-12,NDC Description Not Available,2.49,2.49,,,0
NDC,63323-820-00,Smoflipid: 10 Bag In 1 Case (63323-820-00)  / 100 Ml In 1 Bag (63323-820-01),300.0,300.0,,,0
NDC,63323-820-50,Smoflipid: 12 Bag In 1 Case (63323-820-50)  / 500 Ml In 1 Bag (63323-820-03),300.0,300.0,,,0
NDC,63323-820-74,Smoflipid: 10 Bag In 1 Case (63323-820-74)  / 250 Ml In 1 Bag (63323-820-04),300.0,300.0,,,0
NDC,63323-850-74,NDC Description Not Available,22.18,22.18,,,0
NDC,63323-852-03,NDC Description Not Available,1.16,1.16,,,0
NDC,63323-853-03,NDC Description Not Available,0.255,0.255,,,0
NDC,63323-881-01,NDC Description Not Available,19.86,19.86,,,0
NDC,63323-884-01,NDC Description Not Available,20.12,20.12,,,0
NDC,63323-885-10,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-885-10)  / 5 Ml In 1 Vial, Single-Dose",110.96,110.96,,,0
NDC,63323-925-17,NDC Description Not Available,97.83,97.83,,,0
NDC,63323-926-88,"Romidepsin: 1 Kit In 1 Carton (63323-926-88)  *  2 Ml In 1 Vial, Single-Dose (63323-925-17)  *  2.2 Ml In 1 Vial, Single-Dose (63323-922-03)",100.71000000000001,100.71000000000001,,,0
NDC,63323-930-00,NDC Description Not Available,1.46,1.46,,,0
NDC,63323-965-02,NDC Description Not Available,0.18,0.18,,,0
NDC,63323-965-03,NDC Description Not Available,0.635,0.635,,,0
NDC,6332325410,NDC Description Not Available,55.09,55.09,,,0
NDC,63402-911-30,"Brovana: 30 POUCH in 1 CARTON (63402-911-30)  / 1 VIAL, SINGLE-DOSE in 1 POUCH (63402-911-01)  / 2 mL in 1 VIAL, SINGLE-DOSE",12.53,12.53,,,0
NDC,63459-101-30,Provigil: 30 Tablet In 1 Bottle (63459-101-30),32.28,32.28,,,0
NDC,63459-103-10,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10)  / 10 Ml In 1 Vial, Single-Use",169.60500000000002,169.60500000000002,,,0
NDC,63459-104-50,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50)  / 50 Ml In 1 Vial, Single-Use",171.51999999999998,171.51999999999998,,,0
NDC,63459-348-04,"Bendeka: 1 Vial, Multi-Dose In 1 Carton (63459-348-04)  / 4 Ml In 1 Vial, Multi-Dose",47.825,47.825,,,0
NDC,63629-8847-1,Proctozone-Hc: 1 Tube In 1 Carton (63629-8847-1)  / 30 G In 1 Tube,40.29,40.29,,,0
NDC,63629-8910-1,Pravastatin Sodium: 90 Tablet In 1 Bottle (63629-8910-1),0.515,0.515,,,0
NDC,63653-1171-3,"Plavix: 10 BLISTER PACK in 1 CARTON (63653-1171-3)  / 10 TABLET, FILM COATED in 1 BLISTER PACK",9.31,9.31,,,0
NDC,6373603751,NDC Description Not Available,11.24,11.24,,,0
NDC,6373612002,NDC Description Not Available,19.075,19.075,,,0
NDC,6373612301,NDC Description Not Available,0.61,0.61,,,0
NDC,63739-046-10,"Carbidopa and Levodopa: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-046-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
NDC,63739-047-10,"Carbidopa and Levodopa: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-047-10)  / 10 TABLET in 1 BLISTER PACK",0.435,0.435,,,0
NDC,63739-048-10,"Carbidopa and Levodopa: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-048-10)  / 10 TABLET in 1 BLISTER PACK",0.38,0.38,,,0
NDC,63739-051-10,Amiodarone Hydrochloride: 10 Blister Pack In 1 Box (63739-051-10)  / 10 Tablet In 1 Blister Pack,0.63,0.63,,,0
NDC,63739-052-57,Sky Oral Rinse: 600 Ml In 1 Package (63739-052-57),4.51,4.51,,,0
NDC,63739-052-74,"Sky Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (63739-052-74)",3.1,3.1,,,0
NDC,63739-060-10,"Clonidine Hydrochloride: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-060-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
NDC,63739-073-10,"Diazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-073-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
NDC,63739-077-10,"Valacyclovir: 10 Blister Pack In 1 Box, Unit-Dose (63739-077-10)  / 10 Tablet, Film Coated In 1 Blister Pack",2.165,2.165,,,0
NDC,63739-159-77,NDC Description Not Available,1.97,1.97,,,0
NDC,63739-198-61,Sky Peg3350: 30 Pouch In 1 Carton (63739-198-61)  / 17 G In 1 Pouch (63739-198-62),2.045,2.045,,,0
NDC,63739-212-02,"Low Dose Aspirin: 30 Blister Pack In 1 Box (63739-212-02)  / 10 Tablet, Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,63739-213-10,"Promethazine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-213-10)  / 10 Tablet In 1 Blister Pack",0.63,0.63,,,0
NDC,63739-225-10,NDC Description Not Available,0.265,0.265,,,0
NDC,63739-263-10,"Clonazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-263-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
NDC,63739-264-10,"Clonazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-264-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
NDC,63739-327-10,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-327-10)  / 10 Tablet In 1 Blister Pack,0.575,0.575,,,0
NDC,63739-328-10,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-328-10)  / 10 Tablet In 1 Blister Pack,0.44999999999999996,0.44999999999999996,,,0
NDC,63739-354-10,NDC Description Not Available,0.625,0.625,,,0
NDC,63739-413-10,Aripiprazole: 100 TABLET in 1 BOTTLE (63739-413-10),51.68000000000001,51.68000000000001,,,0
NDC,63739-479-10,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-479-10)  / 10 Tablet In 1 Blister Pack",0.82,0.82,,,0
NDC,63739-483-10,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-483-10)  / 10 Tablet In 1 Blister Pack",0.625,0.625,,,0
NDC,63739-484-10,"Famotidine: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-484-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
NDC,63739-486-10,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-486-10)  / 10 Tablet In 1 Blister Pack",0.61,0.61,,,0
NDC,63739-518-10,"Prednisone: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-518-10)  / 10 TABLET in 1 BLISTER PACK",0.11,0.11,,,0
NDC,63739-519-10,"Prednisone: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-519-10)  / 10 TABLET in 1 BLISTER PACK",0.06,0.06,,,0
NDC,63739-526-10,"Zolpidem Tartrate: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-526-10)  / 10 TABLET, FILM COATED in 1 BLISTER PACK",0.63,0.63,,,0
NDC,63739-544-10,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10)  / 10 Tablet In 1 Blister Pack",0.575,0.575,,,0
NDC,63739-560-10,"Gabapentin: 10 Blister Pack In 1 Box, Unit-Dose (63739-560-10)  / 10 Tablet, Film Coated In 1 Blister Pack",1.63,1.63,,,0
NDC,63739-564-10,"Pantoprazole Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-564-10)  / 10 Tablet, Delayed Release In 1 Blister Pack",0.64,0.64,,,0
NDC,63739-567-10,"Tamsulosin Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-567-10)  / 10 Capsule In 1 Blister Pack",0.685,0.685,,,0
NDC,63739-570-10,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-570-10)  / 10 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,63739-571-10,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-571-10)  / 10 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
NDC,63739-588-10,"Prednisone: 10 Blister Pack In 1 Box, Unit-Dose (63739-588-10)  / 10 Tablet In 1 Blister Pack",0.03,0.03,,,0
NDC,63739-645-10,"Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10)  / 10 Tablet In 1 Blister Pack",0.545,0.545,,,0
NDC,63739-673-10,"Losortan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-673-10)  / 10 Tablet, Film Coated In 1 Blister Pack",1.05,1.05,,,0
NDC,63739-684-01,Ibuprofen: 25 BLISTER PACK in 1 BOX (63739-684-01)  / 30 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
NDC,63739-686-10,"Losartan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-686-10)  / 10 Tablet, Film Coated In 1 Blister Pack",1.27,1.27,,,0
NDC,63739-724-01,NDC Description Not Available,17.189999999999998,17.189999999999998,,,0
NDC,63739-902-10,Gabapentin: 10 Blister Pack In 1 Carton (63739-902-10)  / 10 Capsule In 1 Blister Pack,0.51,0.51,,,0
NDC,63739-903-10,Gabapentin: 10 Blister Pack In 1 Carton (63739-903-10)  / 10 Capsule In 1 Blister Pack,0.495,0.495,,,0
NDC,63739-904-10,Gabapentin: 10 Blister Pack In 1 Carton (63739-904-10)  / 10 Capsule In 1 Blister Pack,0.485,0.485,,,0
NDC,63739-963-10,"Paroxetine: 10 Blister Pack In 1 Box, Unit-Dose (63739-963-10)  / 10 Tablet, Film Coated In 1 Blister Pack",0.54,0.54,,,0
NDC,63739-972-10,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-972-10)  / 10 Tablet, Extended Release In 1 Blister Pack",1.39,1.39,,,0
NDC,63739-973-10,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-973-10)  / 10 Tablet, Extended Release In 1 Blister Pack",1.5899999999999999,1.5899999999999999,,,0
NDC,63739-976-01,NDC Description Not Available,2.395,2.395,,,0
NDC,63739-984-10,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-984-10)  / 10 CAPSULE in 1 BLISTER PACK",0.605,0.605,,,0
NDC,63739-988-32,"Ziprasidone Hydrochloride: 4 Blister Pack In 1 Box, Unit-Dose (63739-988-32)  / 10 Capsule In 1 Blister Pack",6.03,6.03,,,0
NDC,63739-995-10,"Divalproex Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-995-10)  / 10 Capsule In 1 Blister Pack",1.48,1.48,,,0
NDC,63824-008-50,"Mucinex: 500 Tablet, Extended Release In 1 Bottle (63824-008-50)",0.85,0.85,,,0
NDC,63833-386-02,"Kcentra: 1 Kit In 1 Carton (63833-386-02)  *  20 Ml In 1 Vial, Single-Use (63833-396-01)  *  20 Ml In 1 Vial, Single-Use (63833-761-20)",6.515000000000001,6.515000000000001,,,0
NDC,63833-387-02,"Kcentra: 1 Kit In 1 Carton (63833-387-02)  *  40 Ml In 1 Vial, Single-Use (63833-397-01)  *  40 Ml In 1 Vial, Single-Use (63833-761-40)",6.515,6.515,,,0
NDC,63833-396-01,NDC Description Not Available,6.24,6.24,,,0
NDC,63833-397-01,NDC Description Not Available,6.5600000000000005,6.5600000000000005,,,0
NDC,63833-615-02,"Humate-P: 1 Kit In 1 Carton (63833-615-02)  *  5 Ml In 1 Vial (63833-625-01)  *  5 Ml In 1 Vial, Single-Dose (63833-765-53)",3.43,3.43,,,0
NDC,63833-616-02,"Humate-P: 1 Kit In 1 Carton (63833-616-02)  *  10 Ml In 1 Vial (63833-626-01)  *  10 Ml In 1 Vial, Single-Dose (63833-765-54)",3.43,3.43,,,0
NDC,63833-617-02,"Humate-P: 1 Kit In 1 Carton (63833-617-02)  *  15 Ml In 1 Vial (63833-627-01)  *  15 Ml In 1 Vial, Single-Dose (63833-765-55)",3.43,3.43,,,0
NDC,64193-424-02,"Feiba: 1 Kit In 1 Carton (64193-424-02)  *  20 Ml In 1 Vial, Glass (64193-324-01)  *  20 Ml In 1 Vial, Glass (64764-517-20)",6.29,6.29,,,0
NDC,64253-020-30,"Sterile Water: 60 Syringe, Plastic In 1 Box (64253-020-30)  / 10 Ml In 1 Syringe, Plastic",2.58,2.58,,,0
NDC,64253-900-30,NDC Description Not Available,21.08,21.08,,,0
NDC,6425311130,NDC Description Not Available,1.88,1.88,,,0
NDC,6425311135,NDC Description Not Available,1.88,1.88,,,0
NDC,6425322223,NDC Description Not Available,0.62,0.62,,,0
NDC,6425322233,NDC Description Not Available,0.63,0.63,,,0
NDC,6425333333,NDC Description Not Available,0.06,0.06,,,0
NDC,6425344425,NDC Description Not Available,2.29,2.29,,,0
NDC,64380-720-06,Tacrolimus: 100 Capsule In 1 Container (64380-720-06),0.59,0.59,,,0
NDC,64380-722-06,Tacrolimus: 100 Capsule In 1 Container (64380-722-06),0.43,0.43,,,0
NDC,64380-723-06,Calcitriol: 100 Capsule In 1 Container (64380-723-06),0.625,0.625,,,0
NDC,64380-737-06,"Vitamin D: 100 Capsule In 1 Bottle, Plastic (64380-737-06)",0.63,0.63,,,0
NDC,64380-787-06,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (64380-787-06),0.55,0.55,,,0
NDC,64380-797-01,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-797-01),2.885,2.885,,,0
NDC,64380-799-01,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),4.48,4.48,,,0
NDC,64380-883-04,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",1.19,1.19,,,0
NDC,64380-971-06,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (64380-971-06)",1.105,1.105,,,0
NDC,64679-787-04,"CARBIDOPA, LEVODOPA AND ENTACAPONE: 100 TABLET, FILM COATED in 1 BOTTLE (64679-787-04)",7.29,7.29,,,0
NDC,64764-119-01,"Colcrys: 100 Tablet, Film Coated In 1 Bottle, Plastic (64764-119-01)",6.220000000000001,6.220000000000001,,,0
NDC,64764-240-60,"Amitiza: 60 Capsule, Gelatin Coated In 1 Bottle (64764-240-60)",14.98,14.98,,,0
NDC,64764-300-20,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20)  / 5 Ml In 1 Vial, Single-Dose",107.215,107.215,,,0
NDC,64764-720-30,"Trintellix: 30 Tablet, Film Coated In 1 Bottle (64764-720-30)",45.09,45.09,,,0
NDC,64764-730-30,"Trintellix: 30 Tablet, Film Coated In 1 Bottle (64764-730-30)",43.620000000000005,43.620000000000005,,,0
NDC,64850-511-01,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, And Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (64850-511-01)",1.12,1.12,,,0
NDC,64875-001-01,NDC Description Not Available,124.17,124.17,,,0
NDC,64896-661-01,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-661-01)",10.285,10.285,,,0
NDC,64896-662-01,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-662-01)",10.135,10.135,,,0
NDC,64896-663-01,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-663-01)",10.315,10.315,,,0
NDC,64896-664-01,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-664-01)",12.8,12.8,,,0
NDC,64950-354-05,NDC Description Not Available,14.28,14.28,,,0
NDC,64950-362-04,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (64950-362-04)  / 4 Ml In 1 Bottle, Glass",568.43,568.43,,,0
NDC,64980-220-03,Pyridostigmine Bromide: 30 Tablet In 1 Bottle (64980-220-03),16.06,16.06,,,0
NDC,64980-324-30,Proctozone-Hc: 1 Tube In 1 Carton (64980-324-30)  / 30 G In 1 Tube,49.76,49.76,,,0
NDC,64980-447-15,"Calcitriol: 1 Bottle, Glass In 1 Carton (64980-447-15)  / 15 Ml In 1 Bottle, Glass",32.28,32.28,,,0
NDC,64980-509-24,"Dexamethasone: 237 Ml In 1 Bottle, Plastic (64980-509-24)",0.88,0.88,,,0
NDC,64980-511-10,Clindamycin Palmitate Hydrochloride (Pediatric): 100 Ml In 1 Bottle (64980-511-10),0.44,0.44,,,0
NDC,64980-514-05,Timolol Maleate: 1 Bottle In 1 Carton (64980-514-05)  / 5 Ml In 1 Bottle,12.63,12.63,,,0
NDC,64980-515-05,"Ofloxacin: 1 Bottle, Plastic In 1 Carton (64980-515-05)  / 5 Ml In 1 Bottle, Plastic",32.11,32.11,,,0
NDC,64980-528-10,Sodium Bicarbonate: 1000 Tablet In 1 Bottle (64980-528-10),0.41000000000000003,0.41000000000000003,,,0
NDC,64980-592-48,Lactulose Solution: 473 Ml In 1 Bottle (64980-592-48),4.98,4.98,,,0
NDC,6498033901,NDC Description Not Available,0.57,0.57,,,0
NDC,6498033990,NDC Description Not Available,0.625,0.625,,,0
NDC,65145-151-01,NDC Description Not Available,5.03,5.03,,,0
NDC,65145-151-10,"Phytonadione: 2 Tray In 1 Carton (65145-151-10)  / 5 Vial, Single-Dose In 1 Tray (65145-151-05)  / 1 Ml In 1 Vial, Single-Dose (65145-151-01)",5.03,5.03,,,0
NDC,65162-024-09,Lisdexamfetamine Dimesylate: 90 Capsule In 1 Bottle (65162-024-09),6.785,6.785,,,0
NDC,65162-102-10,Gabapentin: 100 Capsule In 1 Bottle (65162-102-10),0.5249999999999999,0.5249999999999999,,,0
NDC,65162-188-10,Naproxen: 100 Tablet In 1 Bottle (65162-188-10),0.525,0.525,,,0
NDC,65162-189-10,Naproxen: 100 Tablet In 1 Bottle (65162-189-10),0.63,0.63,,,0
NDC,65162-321-09,"Niacin: 90 Tablet, Extended Release In 1 Bottle (65162-321-09)",0.87,0.87,,,0
NDC,65162-351-09,Sildenafil: 90 Tablet In 1 Bottle (65162-351-09),0.43,0.43,,,0
NDC,65162-464-10,Ibuprofen: 100 Tablet In 1 Bottle (65162-464-10),0.54,0.54,,,0
NDC,65162-465-10,Ibuprofen: 100 Tablet In 1 Bottle (65162-465-10),0.625,0.625,,,0
NDC,65162-673-84,Risperidone: 30 Ml In 1 Bottle (65162-673-84),0.81,0.81,,,0
NDC,65162-681-10,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),0.65,0.65,,,0
NDC,65162-682-10,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-682-10),0.96,0.96,,,0
NDC,65162-710-03,Colchicine: 30 Tablet In 1 Bottle (65162-710-03),1.395,1.395,,,0
NDC,65162-749-34,Rivastigmine: 30 Patch In 1 Carton (65162-749-34)  / 24 H In 1 Patch,10.3,10.3,,,0
NDC,65162-778-10,"Budesonide: 100 Capsule, Delayed Release In 1 Bottle (65162-778-10)",5.485,5.485,,,0
NDC,65162-791-04,NDC Description Not Available,4.87,4.87,,,0
NDC,65162-791-08,Lidocaine: 30 Pouch In 1 Carton (65162-791-08)  / 1 Patch In 1 Pouch (65162-791-04),5.625,5.625,,,0
NDC,65162-802-51,Temozolomide: 1 Bottle In 1 Carton (65162-802-51)  / 5 Capsule In 1 Bottle,4.08,4.08,,,0
NDC,65162-803-51,Temozolomide: 1 Bottle In 1 Carton (65162-803-51)  / 5 Capsule In 1 Bottle,3.33,3.33,,,0
NDC,65162-841-06,Lubiprostone: 60 Capsule In 1 Bottle (65162-841-06),2.43,2.43,,,0
NDC,65162-880-03,"Lurasidone Hydrochloride: 30 Tablet, Coated In 1 Bottle (65162-880-03)",1.545,1.545,,,0
NDC,65162-893-74,Aripiprazole: 1 Bottle In 1 Carton (65162-893-74)  / 150 Ml In 1 Bottle,8.88,8.88,,,0
NDC,65162-896-09,Aripiprazole: 90 Tablet In 1 Bottle (65162-896-09),0.645,0.645,,,0
NDC,65162-898-09,Aripiprazole: 90 Tablet In 1 Bottle (65162-898-09),0.64,0.64,,,0
NDC,65162-914-46,Tobramycin: 56 Ampule In 1 Carton (65162-914-46)  / 5 Ml In 1 Ampule,36.13,36.13,,,0
NDC,65162-993-04,NDC Description Not Available,16.53,16.53,,,0
NDC,65174-270-30,"Draximage Maa: 30 Injection, Powder, For Solution In 1 Kit (65174-270-30)",510.07,510.07,,,0
NDC,65174-288-05,NDC Description Not Available,526.47,526.47,,,0
NDC,65197-400-10,Ad First Aid Multipurpose: 1 Tube In 1 Box (65197-400-10)  / 42.5 G In 1 Tube,6.955,6.955,,,0
NDC,65197-401-01,Ad Prevent Original: 1 Tube In 1 Box (65197-401-01)  / 113 G In 1 Tube,7.06,7.06,,,0
NDC,65219-020-03,NDC Description Not Available,5.53,5.53,,,0
NDC,65219-054-29,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (65219-054-29)  / 15 Ml In 1 Vial, Single-Dose (65219-054-09)",84.35,84.35,,,0
NDC,65219-119-01,NDC Description Not Available,47.79,47.79,,,0
NDC,65219-531-01,NDC Description Not Available,300.0,300.0,,,0
NDC,65219-592-10,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10)  / 10 Ml In 1 Vial, Single-Dose",14.56,14.56,,,0
NDC,65219-594-20,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20)  / 20 Ml In 1 Vial, Single-Dose",14.57,14.57,,,0
NDC,65219-658-01,NDC Description Not Available,69.25,69.25,,,0
NDC,65282-1605-1,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (65282-1605-1)  / 5 Ml In 1 Ampule,1.88,1.88,,,0
NDC,65597-201-30,"Savaysa: 30 Tablet, Film Coated In 1 Bottle (65597-201-30)",34.96,34.96,,,0
NDC,65597-406-01,"Enhertu: 1 Vial, Single-Dose In 1 Carton (65597-406-01)  / 5 Ml In 1 Vial, Single-Dose",98.83,98.83,,,0
NDC,65597-801-01,"Datroway: 1 Vial, Single-Dose In 1 Carton (65597-801-01)  / 5 Ml In 1 Vial, Single-Dose",180.7,180.7,,,0
NDC,65628-050-04,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-04)  *  118 Ml In 1 Bottle, Plastic *  .1 G In 1 Bottle, Glass *  ",16.775,16.775,,,0
NDC,65628-080-03,"Lansoprazole: 1 Kit In 1 Container (65628-080-03)  *  .27 G In 1 Bottle, Plastic *  90 Ml In 1 Bottle, Plastic",49.43,49.43,,,0
NDC,65649-303-03,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03)  / 10 Tablet In 1 Blister Pack,143.865,143.865,,,0
NDC,65649-551-02,"Relistor: 1 Vial, Single-Dose In 1 Carton (65649-551-02)  / .6 Ml In 1 Vial, Single-Dose",314.03,314.03,,,0
NDC,65862-018-01,Cephalexin: 100 Capsule In 1 Bottle (65862-018-01),0.32,0.32,,,0
NDC,65862-019-01,Cephalexin: 100 Capsule In 1 Bottle (65862-019-01),0.63,0.63,,,0
NDC,65862-021-06,"Mirtazapine: 5 Blister Pack In 1 Carton (65862-021-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",0.86,0.86,,,0
NDC,65862-073-60,"Abacavir: 60 Tablet, Film Coated In 1 Bottle (65862-073-60)",4.62,4.62,,,0
NDC,65862-076-01,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle (65862-076-01)",0.4,0.4,,,0
NDC,65862-107-01,Zidovudine: 100 Capsule In 1 Bottle (65862-107-01),3.67,3.67,,,0
NDC,65862-149-90,"Finasteride: 90 Tablet, Film Coated In 1 Bottle (65862-149-90)",0.63,0.63,,,0
NDC,65862-185-01,Clindamycin Hydrochloride: 100 Capsule In 1 Bottle (65862-185-01),0.24,0.24,,,0
NDC,65862-202-90,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (65862-202-90)",0.49,0.49,,,0
NDC,65862-218-01,Cefdinir: 1 Bottle In 1 Carton (65862-218-01)  / 100 Ml In 1 Bottle,6.84,6.84,,,0
NDC,65862-218-60,Cefdinir: 1 Bottle In 1 Carton (65862-218-60)  / 60 Ml In 1 Bottle,7.75,7.75,,,0
NDC,65862-296-90,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (65862-296-90)",0.63,0.63,,,0
NDC,65862-301-30,Emtricitabine: 30 Capsule In 1 Bottle (65862-301-30),30.63,30.63,,,0
NDC,65862-357-90,"Clopidogrel: 90 Tablet, Film Coated In 1 Bottle (65862-357-90)",0.625,0.625,,,0
NDC,65862-373-01,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (65862-373-01)",0.5549999999999999,0.5549999999999999,,,0
NDC,65862-390-10,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",0.155,0.155,,,0
NDC,65862-391-10,"Ondansetron: 3 Blister Pack In 1 Carton (65862-391-10)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",0.21,0.21,,,0
NDC,65862-419-01,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (65862-419-01),0.605,0.605,,,0
NDC,65862-420-01,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (65862-420-01),0.63,0.63,,,0
NDC,65862-496-47,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),3.54,3.54,,,0
NDC,65862-503-01,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (65862-503-01)",0.97,0.97,,,0
NDC,65862-528-90,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (65862-528-90)",0.5349999999999999,0.5349999999999999,,,0
NDC,65862-536-50,"Levofloxacin: 50 Tablet, Film Coated In 1 Bottle (65862-536-50)",0.825,0.825,,,0
NDC,65862-559-90,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-559-90)",0.63,0.63,,,0
NDC,65862-560-90,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-560-90)",0.63,0.63,,,0
NDC,65862-574-90,"Montelukast Sodium: 90 Tablet, Film Coated In 1 Bottle (65862-574-90)",0.63,0.63,,,0
NDC,65862-598-01,Tamsulosin Hydrochloride: 100 Capsule In 1 Bottle (65862-598-01),0.575,0.575,,,0
NDC,65862-601-30,Modafinil: 30 Tablet In 1 Bottle (65862-601-30),0.85,0.85,,,0
NDC,65862-603-30,"Moxifloxacin Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-603-30)",5.885,5.885,,,0
NDC,65862-664-30,Aripiprazole: 30 Tablet In 1 Bottle (65862-664-30),0.82,0.82,,,0
NDC,65862-687-30,"Ritonavir: 30 Tablet, Film Coated In 1 Bottle (65862-687-30)",4.63,4.63,,,0
NDC,65862-707-01,Amoxicillin: 100 Ml In 1 Bottle (65862-707-01),0.42,0.42,,,0
NDC,65862-753-60,Valganciclovir Hydrochloride: 60 Tablet In 1 Bottle (65862-753-60),7.725,7.725,,,0
NDC,65862-784-30,"Esomeprazole Magnesium: 30 Capsule, Delayed Release In 1 Bottle (65862-784-30)",0.87,0.87,,,0
NDC,65862-830-30,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65862-830-30)",1.75,1.75,,,0
NDC,65862-898-28,NDC Description Not Available,0.47,0.47,,,0
NDC,65862-908-01,Celecoxib: 100 Capsule In 1 Bottle (65862-908-01),0.62,0.62,,,0
NDC,65862-909-01,Celecoxib: 100 Capsule In 1 Bottle (65862-909-01),0.535,0.535,,,0
NDC,65862-921-27,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (65862-921-27)",0.605,0.605,,,0
NDC,65862-927-30,"Finasteride: 30 Tablet, Film Coated In 1 Bottle (65862-927-30)",0.63,0.63,,,0
NDC,65862-930-08,NDC Description Not Available,3.715,3.715,,,0
NDC,65862-930-90,"Sevelamer Carbonate: 90 Pouch In 1 Carton (65862-930-90)  / 1 Powder, For Suspension In 1 Pouch (65862-930-08)",3.76,3.76,,,0
NDC,65862-946-01,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (65862-946-01)  / 10 Ml In 1 Bottle, Dropper",53.25,53.25,,,0
NDC,66220-207-30,Acetadote: 4 Vial In 1 Carton (66220-207-30)  / 30 Ml In 1 Vial,1.18,1.18,,,0
NDC,66220-637-31,Sancuso: 168 H In 1 Pouch (66220-637-31),1651.0,1651.0,,,0
NDC,66259-146-01,NDC Description Not Available,356.83,356.83,,,0
NDC,66553-002-01,NDC Description Not Available,0.51,0.51,,,0
NDC,66553-004-01,NDC Description Not Available,0.31,0.31,,,0
NDC,66553-008-01,NDC Description Not Available,0.37,0.37,,,0
NDC,66582-414-28,Zetia: 100 BLISTER PACK in 1 CARTON (66582-414-28)  / 1 TABLET in 1 BLISTER PACK (66582-414-29),5.97,5.97,,,0
NDC,66658-234-01,NDC Description Not Available,609.44,609.44,,,0
NDC,66658-234-07,"Kineret: 7 Syringe, Glass In 1 Carton (66658-234-07)  / .67 Ml In 1 Syringe, Glass",568.32,568.32,,,0
NDC,66685-1002-2,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (66685-1002-2)",2.405,2.405,,,0
NDC,66689-020-01,NDC Description Not Available,4.35,4.35,,,0
NDC,66689-037-01,NDC Description Not Available,2.5,2.5,,,0
NDC,66689-039-01,NDC Description Not Available,2.37,2.37,,,0
NDC,66689-047-01,NDC Description Not Available,11.54,11.54,,,0
NDC,66689-048-50,Potassium Chloride: 5 Tray In 1 Case (66689-048-50)  / 10 Cup In 1 Tray / 30 Ml In 1 Cup (66689-048-01),51.43,51.43,,,0
NDC,66689-062-01,NDC Description Not Available,22.32,22.32,,,0
NDC,66689-202-04,"Insta-Char Aqueous Cherry: 120 Ml In 1 Bottle, Plastic (66689-202-04)",64.12,64.12,,,0
NDC,66689-401-01,NDC Description Not Available,3.3,3.3,,,0
NDC,66689-401-50,"Oxycodone Hydrochloride: 5 Tray In 1 Case (66689-401-50)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (66689-401-01)",2.91,2.91,,,0
NDC,66733-948-23,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-948-23)  / 50 Ml In 1 Vial, Single-Dose",230.85,230.85,,,0
NDC,66733-958-23,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-958-23)  / 100 Ml In 1 Vial, Single-Dose",239.43,239.43,,,0
NDC,66758-071-38,Ciloxan: 3.5 G In 1 Tube (66758-071-38),705.07,705.07,,,0
NDC,66794-219-63,NDC Description Not Available,7.52,7.52,,,0
NDC,66794-233-42,"Dexmedetomidine: 25 Vial, Glass In 1 Carton (66794-233-42)  / 2 Ml In 1 Vial, Glass (66794-233-02)",2.42,2.42,,,0
NDC,66993-060-27,"Atovaquone And Proguanil Hcl: 24 Tablet, Film Coated In 1 Dose Pack (66993-060-27)",14.95,14.95,,,0
NDC,66993-078-96,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-078-96)  / 120 Aerosol, Metered In 1 Inhaler",0.04,0.04,,,0
NDC,66993-457-30,"Dapagliflozin: 30 Tablet, Film Coated In 1 Bottle, Plastic (66993-457-30)",31.405,31.405,,,0
NDC,66993-831-02,Triamterene: 100 Capsule In 1 Bottle (66993-831-02),21.61,21.61,,,0
NDC,67066-005-01,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",123.525,123.525,,,0
NDC,67405-475-62,"Doxycycline: 60 mL in 1 BOTTLE, GLASS (67405-475-62)",17.8,17.8,,,0
NDC,67457-153-00,NDC Description Not Available,2.12,2.12,,,0
NDC,67457-153-03,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (67457-153-03)  / 3 Ml In 1 Vial, Glass (67457-153-00)",2.17,2.17,,,0
NDC,67457-153-18,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (67457-153-18)  / 18 Ml In 1 Vial, Glass",1.21,1.21,,,0
NDC,67457-163-00,NDC Description Not Available,212.44,212.44,,,0
NDC,67457-182-00,NDC Description Not Available,1.82,1.82,,,0
NDC,67457-197-00,NDC Description Not Available,212.32,212.32,,,0
NDC,67457-198-03,"Ultiva: 10 Vial, Glass In 1 Carton (67457-198-03)  / 3 Ml In 1 Vial, Glass (67457-198-00)",22.0,22.0,,,0
NDC,67457-210-05,"Cidofovir: 1 Vial, Glass In 1 Carton (67457-210-05)  / 5 Ml In 1 Vial, Glass",669.11,669.11,,,0
NDC,67457-217-20,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20)  / 20 Ml In 1 Vial, Multi-Dose",67.66,67.66,,,0
NDC,67457-220-00,NDC Description Not Available,2438.51,2438.51,,,0
NDC,67457-220-05,"Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05)  / 5 Ml In 1 Vial, Glass (67457-220-00)",1385.52,1385.52,,,0
NDC,67457-292-00,NDC Description Not Available,0.87,0.87,,,0
NDC,67457-299-00,NDC Description Not Available,0.29,0.29,,,0
NDC,67457-299-10,"Naloxone Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (67457-299-10)  / 10 Ml In 1 Vial, Multi-Dose (67457-299-00)",26.05,26.05,,,0
NDC,67457-323-25,Moxifloxacin Hydrochloride: 1 Bag In 1 Carton (67457-323-25)  / 250 Ml In 1 Bag,30.25,30.25,,,0
NDC,67457-339-00,NDC Description Not Available,0.85,0.85,,,0
NDC,67457-340-00,NDC Description Not Available,2.47,2.47,,,0
NDC,67457-340-01,Vancomycin Hydrochloride: 10 Vial In 1 Carton (67457-340-01)  / 20 Ml In 1 Vial (67457-340-00),0.6,0.6,,,0
NDC,67457-351-01,NDC Description Not Available,6.43,6.43,,,0
NDC,67457-418-05,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-418-05)  / 5 Ml In 1 Vial (67457-418-00),0.27,0.27,,,0
NDC,67457-419-00,NDC Description Not Available,0.4,0.4,,,0
NDC,67457-422-00,NDC Description Not Available,0.14,0.14,,,0
NDC,67457-423-00,NDC Description Not Available,0.365,0.365,,,0
NDC,67457-423-12,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12)  / 1 Ml In 1 Vial (67457-423-00),0.38,0.38,,,0
NDC,67457-426-00,NDC Description Not Available,2.0,2.0,,,0
NDC,67457-430-10,Pamidronate Disodium: 1 Vial In 1 Carton (67457-430-10)  / 10 Ml In 1 Vial,25.62,25.62,,,0
NDC,67457-436-50,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (67457-436-50)  / 25 Ml In 1 Vial,126.57000000000001,126.57000000000001,,,0
NDC,67457-437-00,NDC Description Not Available,51.32,51.32,,,0
NDC,67457-438-00,NDC Description Not Available,10.07,10.07,,,0
NDC,67457-441-20,"Ondansetron Hydrochloride: 1 VIAL, MULTI-DOSE in 1 CARTON (67457-441-20)  / 20 mL in 1 VIAL, MULTI-DOSE",0.12,0.12,,,0
NDC,67457-445-60,Rifampin: 1 Vial In 1 Carton (67457-445-60)  / 10 Ml In 1 Vial,0.74,0.74,,,0
NDC,67457-446-10,Pamidronate Disodium: 1 Vial In 1 Carton (67457-446-10)  / 10 Ml In 1 Vial,24.67,24.67,,,0
NDC,67457-530-35,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-530-35)  / 17.5 Ml In 1 Vial, Single-Dose",7.7,7.7,,,0
NDC,67457-582-00,NDC Description Not Available,5.82,5.82,,,0
NDC,67457-645-00,NDC Description Not Available,4.86,4.86,,,0
NDC,67457-657-25,Esmolol Hydrochloride In Sodium Chloride: 1 Bag In 1 Pouch (67457-657-25)  / 250 Ml In 1 Bag,2.77,2.77,,,0
NDC,67457-675-02,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02)  / 2 Ml In 1 Vial, Multi-Dose",2030.41,2030.41,,,0
NDC,67457-781-08,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (67457-781-08)  / 8 Ml In 1 Vial, Multi-Dose",1.59,1.59,,,0
NDC,67457-815-00,NDC Description Not Available,3.65,3.65,,,0
NDC,67457-853-50,Acetazolamide: 1 Vial In 1 Carton (67457-853-50)  / 5 Ml In 1 Vial,105.63,105.63,,,0
NDC,67457-855-00,NDC Description Not Available,0.83,0.83,,,0
NDC,67457-903-00,NDC Description Not Available,6.95,6.95,,,0
NDC,67457-903-20,Etomidate: 10 Vial In 1 Carton (67457-903-20)  / 20 Ml In 1 Vial (67457-903-00),6.42,6.42,,,0
NDC,67457-920-05,Zoledronic acid: 1 VIAL in 1 CARTON (67457-920-05)  / 5 mL in 1 VIAL,23.97,23.97,,,0
NDC,67457-940-10,Acetaminophen: 24 Bag In 1 Carton (67457-940-10)  / 100 Ml In 1 Bag,0.19,0.19,,,0
NDC,67618-150-05,Betadine Solution: 14.8 Ml In 1 Bottle (67618-150-05),3.025,3.025,,,0
NDC,67684-1901-2,Lipiodol: 1 Vial In 1 Carton (67684-1901-2)  / 10 Ml In 1 Vial,4603.99,4603.99,,,0
NDC,67877-124-50,Silver Sulfadiazine: 50 G In 1 Jar (67877-124-50),35.165,35.165,,,0
NDC,67877-197-90,Amlodipine Besylate: 90 Tablet In 1 Bottle (67877-197-90),0.63,0.63,,,0
NDC,67877-198-90,Amlodipine Besylate: 90 Tablet In 1 Bottle (67877-198-90),0.605,0.605,,,0
NDC,67877-225-01,"Mycophenolate Mofetil: 100 Tablet, Film Coated In 1 Bottle (67877-225-01)",0.48,0.48,,,0
NDC,67877-251-45,Triamcinolone Acetonide: 454 G In 1 Jar (67877-251-45),41.3,41.3,,,0
NDC,67877-266-01,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (67877-266-01),0.5,0.5,,,0
NDC,67877-419-33,"Linezolid: 1 Blister Pack In 1 Carton (67877-419-33)  / 10 Tablet, Film Coated In 1 Blister Pack",7.175,7.175,,,0
NDC,67877-539-07,Temozolomide: 5 Capsule In 1 Bottle (67877-539-07),4.28,4.28,,,0
NDC,67877-589-01,Colchicine: 100 Tablet In 1 Bottle (67877-589-01),0.565,0.565,,,0
NDC,67877-638-30,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (67877-638-30)",0.99,0.99,,,0
NDC,67877-717-12,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle (67877-717-12)",3.04,3.04,,,0
NDC,67877-732-95,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),6.0600000000000005,6.0600000000000005,,,0
NDC,67877-754-60,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),4.18,4.18,,,0
NDC,67919-012-01,"Cubicin Rf: 1 Vial, Single-Use In 1 Carton (67919-012-01)  / 10 Ml In 1 Vial, Single-Use",2.41,2.41,,,0
NDC,67919-020-10,Entereg: 6 BLISTER PACK in 1 CARTON (67919-020-10)  / 5 CAPSULE in 1 BLISTER PACK,515.52,515.52,,,0
NDC,67919-030-01,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01)  / 10 Ml In 1 Vial, Single-Dose",24.205,24.205,,,0
NDC,68084-021-11,NDC Description Not Available,17.08,17.08,,,0
NDC,68084-040-11,NDC Description Not Available,4.8,4.8,,,0
NDC,68084-046-11,NDC Description Not Available,2.135,2.135,,,0
NDC,68084-097-11,NDC Description Not Available,0.66,0.66,,,0
NDC,68084-098-11,NDC Description Not Available,0.67,0.67,,,0
NDC,68084-099-11,NDC Description Not Available,0.5700000000000001,0.5700000000000001,,,0
NDC,68084-108-01,"Acyclovir: 100 Blister Pack In 1 Box, Unit-Dose (68084-108-01)  / 1 Tablet In 1 Blister Pack (68084-108-11)",0.52,0.52,,,0
NDC,68084-109-11,NDC Description Not Available,2.21,2.21,,,0
NDC,68084-119-01,"Mirtazapine: 100 Blister Pack In 1 Box, Unit-Dose (68084-119-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-119-11)",0.61,0.61,,,0
NDC,68084-119-11,NDC Description Not Available,0.62,0.62,,,0
NDC,68084-202-11,NDC Description Not Available,2.03,2.03,,,0
NDC,68084-203-11,NDC Description Not Available,1.85,1.85,,,0
NDC,68084-214-11,NDC Description Not Available,0.915,0.915,,,0
NDC,68084-215-11,NDC Description Not Available,4.415,4.415,,,0
NDC,68084-229-11,NDC Description Not Available,1.66,1.66,,,0
NDC,68084-248-11,NDC Description Not Available,0.74,0.74,,,0
NDC,68084-269-11,NDC Description Not Available,3.7800000000000002,3.7800000000000002,,,0
NDC,68084-270-11,NDC Description Not Available,0.61,0.61,,,0
NDC,68084-282-11,NDC Description Not Available,1.855,1.855,,,0
NDC,68084-284-11,NDC Description Not Available,1.67,1.67,,,0
NDC,68084-288-11,NDC Description Not Available,2.12,2.12,,,0
NDC,68084-291-11,NDC Description Not Available,6.16,6.16,,,0
NDC,68084-299-11,NDC Description Not Available,0.865,0.865,,,0
NDC,68084-313-11,NDC Description Not Available,1.63,1.63,,,0
NDC,68084-342-11,NDC Description Not Available,0.605,0.605,,,0
NDC,68084-343-11,NDC Description Not Available,0.825,0.825,,,0
NDC,68084-344-11,NDC Description Not Available,0.845,0.845,,,0
NDC,68084-346-01,"Losartan Potassium: 100 Blister Pack In 1 Box, Unit-Dose (68084-346-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-346-11)",1.02,1.02,,,0
NDC,68084-346-11,NDC Description Not Available,1.065,1.065,,,0
NDC,68084-347-11,NDC Description Not Available,0.73,0.73,,,0
NDC,68084-354-11,NDC Description Not Available,0.955,0.955,,,0
NDC,68084-381-11,NDC Description Not Available,1.02,1.02,,,0
NDC,68084-388-11,NDC Description Not Available,0.87,0.87,,,0
NDC,68084-389-11,NDC Description Not Available,1.42,1.42,,,0
NDC,68084-411-11,NDC Description Not Available,5.81,5.81,,,0
NDC,68084-415-11,NDC Description Not Available,2.76,2.76,,,0
NDC,68084-447-11,NDC Description Not Available,0.63,0.63,,,0
NDC,68084-450-11,NDC Description Not Available,2.94,2.94,,,0
NDC,68084-479-11,NDC Description Not Available,2.7,2.7,,,0
NDC,68084-494-11,NDC Description Not Available,1.99,1.99,,,0
NDC,68084-511-11,NDC Description Not Available,0.62,0.62,,,0
NDC,68084-512-11,NDC Description Not Available,0.625,0.625,,,0
NDC,68084-536-11,NDC Description Not Available,0.625,0.625,,,0
NDC,68084-597-11,NDC Description Not Available,2.92,2.92,,,0
NDC,68084-598-11,NDC Description Not Available,4.66,4.66,,,0
NDC,68084-603-11,NDC Description Not Available,5.92,5.92,,,0
NDC,68084-605-11,NDC Description Not Available,0.4,0.4,,,0
NDC,68084-607-11,NDC Description Not Available,1.39,1.39,,,0
NDC,68084-617-11,NDC Description Not Available,0.62,0.62,,,0
NDC,68084-618-11,NDC Description Not Available,0.795,0.795,,,0
NDC,68084-621-11,NDC Description Not Available,22.240000000000002,22.240000000000002,,,0
NDC,68084-632-11,NDC Description Not Available,1.61,1.61,,,0
NDC,68084-636-95,NDC Description Not Available,7.25,7.25,,,0
NDC,68084-640-11,NDC Description Not Available,0.835,0.835,,,0
NDC,68084-654-11,NDC Description Not Available,2.08,2.08,,,0
NDC,68084-655-11,NDC Description Not Available,1.38,1.38,,,0
NDC,68084-675-21,"Duloxetine: 30 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-675-21)  / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK (68084-675-11)",4.21,4.21,,,0
NDC,68084-683-11,NDC Description Not Available,3.7350000000000003,3.7350000000000003,,,0
NDC,68084-692-11,NDC Description Not Available,2.35,2.35,,,0
NDC,68084-697-11,NDC Description Not Available,1.4449999999999998,1.4449999999999998,,,0
NDC,68084-698-11,NDC Description Not Available,0.96,0.96,,,0
NDC,68084-708-95,NDC Description Not Available,1.38,1.38,,,0
NDC,68084-713-11,NDC Description Not Available,0.935,0.935,,,0
NDC,68084-722-11,NDC Description Not Available,29.23,29.23,,,0
NDC,68084-728-11,NDC Description Not Available,2.51,2.51,,,0
NDC,68084-729-11,NDC Description Not Available,7.925000000000001,7.925000000000001,,,0
NDC,68084-735-11,NDC Description Not Available,5.029999999999999,5.029999999999999,,,0
NDC,68084-737-11,NDC Description Not Available,0.63,0.63,,,0
NDC,68084-750-95,NDC Description Not Available,2.1,2.1,,,0
NDC,68084-753-25,"Cyclobenzaprine Hydrochloride: 30 Blister Pack In 1 Box, Unit-Dose (68084-753-25)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-753-95)",1.01,1.01,,,0
NDC,68084-753-95,NDC Description Not Available,1.005,1.005,,,0
NDC,68084-755-11,NDC Description Not Available,0.63,0.63,,,0
NDC,68084-775-95,NDC Description Not Available,2.1950000000000003,2.1950000000000003,,,0
NDC,68084-776-11,NDC Description Not Available,0.56,0.56,,,0
NDC,68084-782-11,NDC Description Not Available,0.62,0.62,,,0
NDC,68084-790-95,NDC Description Not Available,25.55,25.55,,,0
NDC,68084-805-11,NDC Description Not Available,4.97,4.97,,,0
NDC,68084-808-11,NDC Description Not Available,0.63,0.63,,,0
NDC,68084-813-09,"Pantoprazole Sodium: 80 Blister Pack In 1 Box, Unit-Dose (68084-813-09)  / 1 Tablet, Delayed Release In 1 Blister Pack (68084-813-11)",0.63,0.63,,,0
NDC,68084-843-11,NDC Description Not Available,0.63,0.63,,,0
NDC,68084-844-11,NDC Description Not Available,1.3,1.3,,,0
NDC,68084-854-11,NDC Description Not Available,0.44,0.44,,,0
NDC,68084-856-11,NDC Description Not Available,1.885,1.885,,,0
NDC,68084-882-01,"Levetiracetam: 100 Blister Pack In 1 Box, Unit-Dose (68084-882-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-882-11)",0.51,0.51,,,0
NDC,68084-896-95,NDC Description Not Available,2.625,2.625,,,0
NDC,68084-907-11,NDC Description Not Available,7.85,7.85,,,0
NDC,68084-964-95,NDC Description Not Available,5.345,5.345,,,0
NDC,68084-965-95,NDC Description Not Available,30.87,30.87,,,0
NDC,68084-996-11,NDC Description Not Available,3.015,3.015,,,0
NDC,68094-001-59,NDC Description Not Available,2.11,2.11,,,0
NDC,68094-034-59,NDC Description Not Available,4.6,4.6,,,0
NDC,68094-043-59,NDC Description Not Available,21.84,21.84,,,0
NDC,68094-063-59,NDC Description Not Available,9.58,9.58,,,0
NDC,68094-231-59,NDC Description Not Available,1.74,1.74,,,0
NDC,68094-330-59,NDC Description Not Available,2.4,2.4,,,0
NDC,68094-494-59,NDC Description Not Available,1.4449999999999998,1.4449999999999998,,,0
NDC,68094-750-59,NDC Description Not Available,5.33,5.33,,,0
NDC,68094-750-62,"Diazepam: 3 Tray In 1 Case (68094-750-62)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-750-59)",3.72,3.72,,,0
NDC,68094-853-62,"Naltrexone Hydrochloride: 3 Blister Pack In 1 Carton (68094-853-62)  / 10 Tablet, Film Coated In 1 Blister Pack (68094-853-59)",5.52,5.52,,,0
NDC,6817600011,NDC Description Not Available,1.4249999999999998,1.4249999999999998,,,0
NDC,6817600015,NDC Description Not Available,1.435,1.435,,,0
NDC,68180-152-06,"Mirabegron: 30 Tablet, Film Coated, Extended Release In 1 Bottle (68180-152-06)",28.235,28.235,,,0
NDC,68180-280-01,Ethambutol Hydrochloride: 100 Tablet In 1 Bottle (68180-280-01),0.88,0.88,,,0
NDC,68180-294-07,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (68180-294-07)",0.595,0.595,,,0
NDC,68180-295-06,"Duloxetine: 30 Capsule, Delayed Release In 1 Bottle (68180-295-06)",0.64,0.64,,,0
NDC,68180-296-09,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-296-09)",0.62,0.62,,,0
NDC,68180-319-09,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-319-09)",0.425,0.425,,,0
NDC,68180-377-09,Losartan Potassium: 90 Tablet In 1 Bottle (68180-377-09),0.42500000000000004,0.42500000000000004,,,0
NDC,68180-441-01,Cephalexin: 100 Ml In 1 Bottle (68180-441-01),3.51,3.51,,,0
NDC,68180-604-06,"Desvenlafaxine Succinate: 30 Tablet, Film Coated, Extended Release In 1 Bottle (68180-604-06)",1.89,1.89,,,0
NDC,68180-657-01,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),9.43,9.43,,,0
NDC,68180-658-06,Rifampin: 30 Capsule In 1 Bottle (68180-658-06),1.52,1.52,,,0
NDC,68180-966-09,Levothyroxine Sodium: 90 Tablet In 1 Bottle (68180-966-09),0.615,0.615,,,0
NDC,68180-980-01,Lisinopril: 100 Tablet In 1 Bottle (68180-980-01),0.56,0.56,,,0
NDC,68180-981-01,Lisinopril: 100 Tablet In 1 Bottle (68180-981-01),0.435,0.435,,,0
NDC,68180-984-05,NDC Description Not Available,2.16,2.16,,,0
NDC,68180-984-30,Budesonide Inhalation: 6 Pouch In 1 Carton (68180-984-30)  / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,2.07,2.07,,,0
NDC,68382-023-10,Atenolol: 1000 Tablet In 1 Bottle (68382-023-10),0.63,0.63,,,0
NDC,68382-092-01,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-092-01)",0.625,0.625,,,0
NDC,68382-121-16,Amlodipine Besylate: 90 Tablet In 1 Bottle (68382-121-16),0.62,0.62,,,0
NDC,68382-398-01,"Potassium Chloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68382-398-01)",1.13,1.13,,,0
NDC,68382-537-01,"Potassium Citrate: 100 Tablet, Extended Release In 1 Bottle (68382-537-01)",1.205,1.205,,,0
NDC,68382-538-01,"Potassium Citrate: 100 Tablet, Extended Release In 1 Bottle (68382-538-01)",1.64,1.64,,,0
NDC,68382-771-30,NDC Description Not Available,8.485,8.485,,,0
NDC,68382-772-30,NDC Description Not Available,12.305,12.305,,,0
NDC,68382-805-05,Trazodone Hydrochloride: 500 Tablet In 1 Bottle (68382-805-05),0.49,0.49,,,0
NDC,68382-856-01,Triamterene And Hydrochlorothiazide: 100 Tablet In 1 Bottle (68382-856-01),0.61,0.61,,,0
NDC,68382-910-01,NDC Description Not Available,0.26,0.26,,,0
NDC,68382-918-18,Methylprednisolone: 50 Tablet In 1 Bottle (68382-918-18),1.18,1.18,,,0
NDC,68462-129-01,Zonisamide: 100 Capsule In 1 Bottle (68462-129-01),0.36,0.36,,,0
NDC,68462-157-40,NDC Description Not Available,0.28500000000000003,0.28500000000000003,,,0
NDC,68462-158-40,NDC Description Not Available,0.21,0.21,,,0
NDC,68462-180-22,Mupirocin: 22 G In 1 Tube (68462-180-22),16.34,16.34,,,0
NDC,68462-224-01,Lithium Carbonate Er: 100 Tablet In 1 Bottle (68462-224-01),0.5800000000000001,0.5800000000000001,,,0
NDC,68462-254-01,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (68462-254-01)",0.5549999999999999,0.5549999999999999,,,0
NDC,68462-264-30,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle (68462-264-30)",0.63,0.63,,,0
NDC,68462-265-30,Atomoxetine: 30 Capsule In 1 Bottle (68462-265-30),3.84,3.84,,,0
NDC,68462-292-01,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-292-01)",0.79,0.79,,,0
NDC,68462-293-01,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-293-01)",0.835,0.835,,,0
NDC,68462-304-50,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),1.1949999999999998,1.1949999999999998,,,0
NDC,68462-331-90,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-331-90),0.32,0.32,,,0
NDC,68462-406-01,Indomethacin: 100 Capsule In 1 Bottle (68462-406-01),0.63,0.63,,,0
NDC,68462-421-21,Atovaquone: 210 Ml In 1 Bottle (68462-421-21),4.04,4.04,,,0
NDC,68462-421-69,Atovaquone: 42 Pouch In 1 Carton (68462-421-69)  / 5 Ml In 1 Pouch,71.4,71.4,,,0
NDC,68462-446-26,"Sevelamer Hydrochloride: 360 Tablet, Film Coated In 1 Bottle (68462-446-26)",6.275,6.275,,,0
NDC,68462-469-40,NDC Description Not Available,2.1500000000000004,2.1500000000000004,,,0
NDC,68462-470-40,NDC Description Not Available,1.12,1.12,,,0
NDC,68462-534-35,Tacrolimus: 1 Tube In 1 Carton (68462-534-35)  / 30 G In 1 Tube,212.5,212.5,,,0
NDC,68462-584-40,NDC Description Not Available,16.09,16.09,,,0
NDC,68462-622-10,"Fosphenytoin Sodium: 10 Vial, Single-Dose In 1 Carton (68462-622-10)  / 10 Ml In 1 Vial, Single-Dose (68462-622-64)",3.38,3.38,,,0
NDC,68462-639-25,NDC Description Not Available,5.3100000000000005,5.3100000000000005,,,0
NDC,68462-760-10,"Epinephrine: 1 Vial, Multi-Dose In 1 Carton (68462-760-10)  / 10 Ml In 1 Vial, Multi-Dose",1.09,1.09,,,0
NDC,68462-897-01,NDC Description Not Available,1.07,1.07,,,0
NDC,68462-897-10,Octreotide Acetate: 10 Vial In 1 Carton (68462-897-10)  / 1 Ml In 1 Vial (68462-897-01),1.03,1.03,,,0
NDC,68516-5214-2,Albutein: 1 Vial In 1 Carton (68516-5214-2)  / 500 Ml In 1 Vial (68516-5214-4),49.05,49.05,,,0
NDC,68516-5214-4,NDC Description Not Available,33.89,33.89,,,0
NDC,68516-5214-5,Albutein: 1 Vial In 1 Carton (68516-5214-5)  / 50 Ml In 1 Vial (68516-5214-6),266.725,266.725,,,0
NDC,68516-5214-6,NDC Description Not Available,99.05,99.05,,,0
NDC,68516-5218-0,NDC Description Not Available,125.9,125.9,,,0
NDC,68682-302-10,Pyridostigmine Bromide: 100 Tablet In 1 Bottle (68682-302-10),0.54,0.54,,,0
NDC,68682-920-05,Tetracaine Hydrochloride: 1 Bottle In 1 Carton (68682-920-05)  / 5 Ml In 1 Bottle,68.26,68.26,,,0
NDC,68727-712-01,"Zepzelca: 8 Ml In 1 Vial, Single-Dose (68727-712-01)",744.53,744.53,,,0
NDC,68727-745-01,Vyxeos: 20 Ml In 1 Vial (68727-745-01),850.58,850.58,,,0
NDC,68727-745-02,Vyxeos: 40 Ml In 1 Carton (68727-745-02),846.56,846.56,,,0
NDC,68727-900-01,NDC Description Not Available,172.38,172.38,,,0
NDC,68727-900-03,"Rylaze: 3 Vial, Single-Dose In 1 Carton (68727-900-03)  / .5 Ml In 1 Vial, Single-Dose (68727-900-01)",174.05,174.05,,,0
NDC,68850-012-02,"Myambutol: 10 Blister Pack In 1 Box, Unit-Dose (68850-012-02)  / 10 Tablet, Film Coated In 1 Blister Pack",1.12,1.12,,,0
NDC,68968-3425-1,NDC Description Not Available,19.15,19.15,,,0
NDC,68968-3437-1,NDC Description Not Available,20.77,20.77,,,0
NDC,68968-3450-1,NDC Description Not Available,18.74,18.74,,,0
NDC,68982-643-01,"Albumin (Human): 50 Ml In 1 Bottle, Glass (68982-643-01)",102.895,102.895,,,0
NDC,68992-3010-3,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",0.9,0.9,,,0
NDC,68992-3040-3,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",0.49,0.49,,,0
NDC,68992-3075-3,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",0.51,0.51,,,0
NDC,69097-098-44,Amoxicillin And Clavulanate Potassium: 100 Ml In 1 Bottle (69097-098-44),13.305,13.305,,,0
NDC,69097-128-05,Amlodipine Besylate: 90 Tablet In 1 Bottle (69097-128-05),0.63,0.63,,,0
NDC,69097-168-32,NDC Description Not Available,4.85,4.85,,,0
NDC,69097-168-48,NDC Description Not Available,4.85,4.85,,,0
NDC,69097-168-87,"Arformoterol Tartrate: 6 Pouch In 1 Carton (69097-168-87)  / 5 Vial, Single-Dose In 1 Pouch (69097-168-48)  / 2 Ml In 1 Vial, Single-Dose",4.85,4.85,,,0
NDC,69097-316-02,Exemestane: 30 Tablet In 1 Bottle (69097-316-02),4.04,4.04,,,0
NDC,69097-319-86,NDC Description Not Available,4.68,4.68,,,0
NDC,69097-319-87,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (69097-319-87)  / 5 Ampule In 1 Pouch (69097-319-86)  / 2 Ml In 1 Ampule,4.71,4.71,,,0
NDC,69097-524-44,Diclofenac Sodium: 1 Tube In 1 Carton (69097-524-44)  / 100 G In 1 Tube,38.04,38.04,,,0
NDC,69097-708-31,NDC Description Not Available,4.15,4.15,,,0
NDC,69097-853-07,Naproxen: 100 Tablet In 1 Bottle (69097-853-07),0.32,0.32,,,0
NDC,69097-999-02,Phytonadione: 30 Tablet In 1 Bottle (69097-999-02),19.465,19.465,,,0
NDC,69230-326-01,"Famotidine: 1 Bottle In 1 Carton (69230-326-01)  / 100 Tablet, Film Coated In 1 Bottle",0.63,0.63,,,0
NDC,69238-1056-1,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1056-1)",0.44,0.44,,,0
NDC,69238-1065-1,"Potassium Chloride: 100 Tablet, Extended Release In 1 Bottle (69238-1065-1)",0.45,0.45,,,0
NDC,69238-1100-2,Doxycycline Hyclate: 50 Capsule In 1 Bottle (69238-1100-2),0.68,0.68,,,0
NDC,69238-1532-5,Clobetasol Propionate: 1 Tube In 1 Carton (69238-1532-5)  / 15 G In 1 Tube,10.545,10.545,,,0
NDC,69238-1605-2,Methylergonovine Maleate: 12 Tablet In 1 Bottle (69238-1605-2),35.13,35.13,,,0
NDC,69238-1605-8,Methylergonovine Maleate: 28 Tablet In 1 Bottle (69238-1605-8),32.88,32.88,,,0
NDC,69238-2512-9,"Nitrofurantoin: 1 Bottle, Glass In 1 Carton (69238-2512-9)  / 230 Ml In 1 Bottle, Glass",102.315,102.315,,,0
NDC,69315-134-01,"Imipramine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69315-134-01)",0.475,0.475,,,0
NDC,69315-135-01,"Imipramine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69315-135-01)",0.64,0.64,,,0
NDC,69315-138-01,Benztropine Mesylate: 100 Tablet In 1 Bottle (69315-138-01),0.63,0.63,,,0
NDC,69315-211-01,"Nifedipine: 100 Capsule In 1 Bottle, Plastic (69315-211-01)",1.07,1.07,,,0
NDC,69315-306-15,"Nystatin: 15 G In 1 Bottle, Plastic (69315-306-15)",20.64,20.64,,,0
NDC,69315-312-28,Procto-Med Hc: 1 Tube In 1 Carton (69315-312-28)  / 28 G In 1 Tube,73.455,73.455,,,0
NDC,69315-904-01,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),0.625,0.625,,,0
NDC,69339-136-03,NDC Description Not Available,19.16,19.16,,,0
NDC,69339-138-15,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",3.215,3.215,,,0
NDC,69339-150-01,NDC Description Not Available,3.71,3.71,,,0
NDC,69339-174-02,NDC Description Not Available,1.01,1.01,,,0
NDC,69344-102-33,Indocin: 30 Suppository In 1 Box (69344-102-33),508.15,508.15,,,0
NDC,69367-302-01,Celecoxib: 100 Capsule In 1 Bottle (69367-302-01),0.64,0.64,,,0
NDC,69374-925-10,NDC Description Not Available,1.48,1.48,,,0
NDC,69452-150-20,"Valproic Acid: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-150-20)",0.895,0.895,,,0
NDC,69452-156-74,NDC Description Not Available,1.915,1.915,,,0
NDC,69452-206-20,"Doxylamine Succinate And Pyridoxine Hydrochloride: 100 Tablet, Delayed Release In 1 Bottle (69452-206-20)",3.81,3.81,,,0
NDC,69452-390-98,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (69452-390-98)",3.89,3.89,,,0
NDC,69452-472-20,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (69452-472-20),0.38,0.38,,,0
NDC,69488-001-40,"Netspot: 1 Kit In 1 Kit (69488-001-40)  *  1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",190.665,190.665,,,0
NDC,69488-010-61,"Pluvicto: 1 Vial, Glass In 1 Package (69488-010-61)  / 7.5 Ml In 1 Vial, Glass",603.765,603.765,,,0
NDC,69536-162-88,"Plan B One-Step: 1 Blister Pack In 1 Box, Unit-Dose (69536-162-88)  / 1 Tablet In 1 Blister Pack",89.59,89.59,,,0
NDC,69543-383-90,Olanzapine: 90 Tablet In 1 Bottle (69543-383-90),0.63,0.63,,,0
NDC,69584-684-10,"Primidone: 100 Tablet In 1 Bottle, Plastic (69584-684-10)",0.36,0.36,,,0
NDC,69618-027-01,"Meclizine Hcl 12.5 Mg: 100 Tablet In 1 Bottle, Plastic (69618-027-01)",0.475,0.475,,,0
NDC,69618-059-51,"Infants Gas Relief Drops: 1 Bottle, Dropper In 1 Carton (69618-059-51)  / 30 Ml In 1 Bottle, Dropper",0.63,0.63,,,0
NDC,69918-301-30,Tranexamic Acid: 30 Tablet In 1 Bottle (69918-301-30),5.015000000000001,5.015000000000001,,,0
NDC,69918-560-30,Mesalamine Rectal: 30 Suppository In 1 Box (69918-560-30),12.0,12.0,,,0
NDC,69918-899-01,Desmopressin Acetate: 1 Ml In 1 Ampule (69918-899-01),14.65,14.65,,,0
NDC,69918-899-10,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-10)  / 1 Ml In 1 Ampule,14.719999999999999,14.719999999999999,,,0
NDC,70004-085-44,NDC Description Not Available,20.17,20.17,,,0
NDC,70010-006-01,"Dexmethylphenidate Hydrochloride: 100 Capsule, Extended Release In 1 Bottle (70010-006-01)",3.49,3.49,,,0
NDC,70010-007-01,"Dexmethylphenidate Hydrochloride: 100 Capsule, Extended Release In 1 Bottle (70010-007-01)",4.4,4.4,,,0
NDC,70010-063-01,Metformin Hydrochloride: 100 Tablet In 1 Bottle (70010-063-01),0.48,0.48,,,0
NDC,70010-064-01,Metformin Hydrochloride: 100 Tablet In 1 Bottle (70010-064-01),0.63,0.63,,,0
NDC,70010-135-01,"Potassium Chloride Extended-Release: 100 Tablet, Extended Release In 1 Bottle (70010-135-01)",0.57,0.57,,,0
NDC,70010-162-01,Loratadine: 100 Tablet In 1 Bottle (70010-162-01),0.63,0.63,,,0
NDC,70010-163-09,"Cetirizine Hydrochloride: 90 Tablet, Coated In 1 Bottle (70010-163-09)",0.61,0.61,,,0
NDC,70010-491-01,"Metformin: 100 Tablet, Extended Release In 1 Bottle (70010-491-01)",0.47,0.47,,,0
NDC,70010-492-01,"Metformin: 100 Tablet, Extended Release In 1 Bottle (70010-492-01)",0.63,0.63,,,0
NDC,70069-005-01,NDC Description Not Available,2.63,2.63,,,0
NDC,70069-021-01,NDC Description Not Available,0.43,0.43,,,0
NDC,70069-021-25,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25)  / 1 Ml In 1 Vial (70069-021-01),0.43,0.43,,,0
NDC,70069-051-01,Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle In 1 Carton (70069-051-01)  / 10 Ml In 1 Bottle,3.475,3.475,,,0
NDC,70069-131-01,Tobramycin: 1 Bottle In 1 Carton (70069-131-01)  / 5 Ml In 1 Bottle,9.84,9.84,,,0
NDC,70069-161-01,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01)  / 10 Ml In 1 Vial,20.12,20.12,,,0
NDC,70069-181-01,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (70069-181-01)  / 15 Ml In 1 Bottle,126.65,126.65,,,0
NDC,70069-231-01,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-231-01)  / 5 Ml In 1 Bottle,11.42,11.42,,,0
NDC,70069-362-10,Sulfamethoxazole And Trimethoprim: 10 Vial In 1 Carton (70069-362-10)  / 10 Ml In 1 Vial (70069-362-01),0.11,0.11,,,0
NDC,70069-381-01,"Haloperidol Decanoate: 1 Vial, Single-Dose In 1 Carton (70069-381-01)  / 1 Ml In 1 Vial, Single-Dose",18.93,18.93,,,0
NDC,70069-421-01,Latanoprost: 1 Bottle In 1 Carton (70069-421-01)  / 2.5 Ml In 1 Bottle,0.25,0.25,,,0
NDC,70069-773-01,NDC Description Not Available,21.03,21.03,,,0
NDC,70069-823-01,Potassium Chloride For Oral Solution: 1.58 G In 1 Pouch (70069-823-01),2.03,2.03,,,0
NDC,70092-1068-07,NDC Description Not Available,20.305,20.305,,,0
NDC,70092-1086-44,NDC Description Not Available,12.26,12.26,,,0
NDC,70092-1094-36,NDC Description Not Available,65.16,65.16,,,0
NDC,70092-1133-43,NDC Description Not Available,1.88,1.88,,,0
NDC,70092-1202-75,NDC Description Not Available,106.04,106.04,,,0
NDC,70092-1433-50,NDC Description Not Available,59.47,59.47,,,0
NDC,70092-1475-50,NDC Description Not Available,12.81,12.81,,,0
NDC,70092-1518-75,NDC Description Not Available,10.42,10.42,,,0
NDC,70092-1552-07,NDC Description Not Available,18.755000000000003,18.755000000000003,,,0
NDC,70092-1612-43,NDC Description Not Available,31.32,31.32,,,0
NDC,70095-025-01,NDC Description Not Available,8.99,8.99,,,0
NDC,70095-050-01,NDC Description Not Available,28.96,28.96,,,0
NDC,70100-424-01,NDC Description Not Available,301.38,301.38,,,0
NDC,70100-424-02,"Indocyanine Green: 6 Package In 1 Carton (70100-424-02)  / 1 Kit In 1 Package *  1 Injection, Powder, Lyophilized, For Solution In 1 Vial *  10 Ml In 1 Vial, Plastic (0409-4887-17)",307.06,307.06,,,0
NDC,70100-725-01,NDC Description Not Available,542.22,542.22,,,0
NDC,70114-101-01,Udenyca: 1 Syringe In 1 Carton (70114-101-01)  / .6 Ml In 1 Syringe,518.66,518.66,,,0
NDC,70114-340-01,"Loqtorzi: 1 Vial, Glass In 1 Carton (70114-340-01)  / 6 Ml In 1 Vial, Glass",34451.925,34451.925,,,0
NDC,70121-1049-1,NDC Description Not Available,1.72,1.72,,,0
NDC,70121-1049-2,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2)  / 1 Ml In 1 Vial (70121-1049-1),1.73,1.73,,,0
NDC,70121-1568-1,Releuko: 1 Syringe In 1 Box (70121-1568-1)  / .5 Ml In 1 Syringe,0.64,0.64,,,0
NDC,70121-1570-1,Releuko: 1 Syringe In 1 Box (70121-1570-1)  / .8 Ml In 1 Syringe,0.62,0.62,,,0
NDC,70121-1576-7,Norepinephrine Bitartrate: 10 Vial In 1 Carton (70121-1576-7)  / 4 Ml In 1 Vial (70121-1576-1),10.95,10.95,,,0
NDC,70121-1651-1,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1651-1)  / 1 Ml In 1 Vial,2.23,2.23,,,0
NDC,70121-1694-2,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2)  / 1.2 Ml In 1 Vial, Single-Dose",23.145,23.145,,,0
NDC,70121-1705-1,NDC Description Not Available,0.38,0.38,,,0
NDC,70121-1722-1,NDC Description Not Available,86.65,86.65,,,0
NDC,70121-2309-1,NDC Description Not Available,24.72,24.72,,,0
NDC,70127-100-01,NDC Description Not Available,98.76,98.76,,,0
NDC,70127-100-10,"Epidiolex: 1 Bottle, Glass In 1 Carton (70127-100-10)  / 100 Ml In 1 Bottle, Glass (70127-100-01)",98.76,98.76,,,0
NDC,70377-006-12,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle, Plastic (70377-006-12)",0.525,0.525,,,0
NDC,70436-020-82,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-020-82)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",0.29,0.29,,,0
NDC,70436-021-82,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",0.17,0.17,,,0
NDC,70436-089-55,Ganciclovir: 25 Vial In 1 Carton (70436-089-55)  / 10 Ml In 1 Vial,40.96,40.96,,,0
NDC,70436-227-48,Fluconazole: 1 Bottle In 1 Carton (70436-227-48)  / 35 Ml In 1 Bottle,3.05,3.05,,,0
NDC,70515-260-10,Lanoxin: 10 Ampule In 1 Box (70515-260-10)  / 2 Ml In 1 Ampule,187.88,187.88,,,0
NDC,70515-262-10,Lanoxin: 10 Ampule In 1 Box (70515-262-10)  / 1 Ml In 1 Ampule,1998.17,1998.17,,,0
NDC,70594-112-01,NDC Description Not Available,110.09,110.09,,,0
NDC,70677-1037-1,"Foster And Thrive Nasal: 1 Bottle, Spray In 1 Carton (70677-1037-1)  / 30 Ml In 1 Bottle, Spray",0.04,0.04,,,0
NDC,70677-1111-1,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (70677-1111-1)",4.765000000000001,4.765000000000001,,,0
NDC,70677-1126-1,Stay Awake: 2 Blister Pack In 1 Carton (70677-1126-1)  / 8 Tablet In 1 Blister Pack,0.63,0.63,,,0
NDC,70677-1153-1,Foster And Thrive Earwax Removal Kit Ear Wax Drops: 1 Kit In 1 Kit (70677-1153-1)  *  1 Bottle In 1 Box (70677-1154-1)  / 15 Ml In 1 Bottle,7.13,7.13,,,0
NDC,70677-1154-1,Foster And Thrive Earwax Removal Drops: 1 Bottle In 1 Box (70677-1154-1)  / 15 Ml In 1 Bottle,5.615,5.615,,,0
NDC,70677-1191-1,Foster And Thrive Regular Strength Stomach Relief 527: 236 Ml In 1 Bottle (70677-1191-1),1.13,1.13,,,0
NDC,70677-1192-1,"Foster And Thrive Nicotine: 110 Blister Pack In 1 Carton (70677-1192-1)  / 1 Gum, Chewing In 1 Blister Pack",0.62,0.62,,,0
NDC,70677-1248-1,"Hydrogen Peroxide: 473 Ml In 1 Bottle, Plastic (70677-1248-1)",20.200000000000003,20.200000000000003,,,0
NDC,70700-116-84,NDC Description Not Available,0.39,0.39,,,0
NDC,70700-167-22,NDC Description Not Available,0.72,0.72,,,0
NDC,70700-268-99,Fosfomycin Tromethamine: 1 Powder In 1 Packet (70700-268-99),200.88,200.88,,,0
NDC,70700-289-22,Testosterone Cypionate: 1 Vial In 1 Carton (70700-289-22)  / 1 Ml In 1 Vial,0.12,0.12,,,0
NDC,70700-902-22,NDC Description Not Available,0.69,0.69,,,0
NDC,70710-1014-1,Phytonadione: 1 Bottle In 1 Carton (70710-1014-1)  / 100 Tablet In 1 Bottle,70.485,70.485,,,0
NDC,70710-1110-1,Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle (70710-1110-1),0.86,0.86,,,0
NDC,70710-1159-3,"Mirabegron: 30 Tablet, Extended Release In 1 Bottle (70710-1159-3)",22.61,22.61,,,0
NDC,70710-1359-1,NDC Description Not Available,0.24,0.24,,,0
NDC,70710-1530-1,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1530-1)  / 10 Ml In 1 Vial, Single-Dose",133.325,133.325,,,0
NDC,70710-1531-1,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1531-1)  / 25 Ml In 1 Vial, Single-Dose",145.52,145.52,,,0
NDC,70710-1724-1,Micafungin: 1 Vial In 1 Carton (70710-1724-1)  / 5 Ml In 1 Vial,0.79,0.79,,,0
NDC,70710-1725-1,Micafungin: 1 Vial In 1 Carton (70710-1725-1)  / 5 Ml In 1 Vial,0.76,0.76,,,0
NDC,70710-1838-1,NDC Description Not Available,4.01,4.01,,,0
NDC,70710-1838-5,Methylene Blue: 5 Vial In 1 Carton (70710-1838-5)  / 10 Ml In 1 Vial (70710-1838-1),3.77,3.77,,,0
NDC,70710-1852-6,NDC Description Not Available,513.96,513.96,,,0
NDC,70710-1852-7,Indomethacin: 5 Blister Pack In 1 Carton (70710-1852-7)  / 6 Suppository In 1 Blister Pack (70710-1852-6),480.39,480.39,,,0
NDC,70720-950-36,Zoladex: 1 Pouch In 1 Carton (70720-950-36)  / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2983.415,2983.415,,,0
NDC,70720-951-30,Zoladex: 1 Pouch In 1 Carton (70720-951-30)  / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2645.72,2645.72,,,0
NDC,70748-128-49,"Varenicline: 56 Tablet, Film Coated In 1 Bottle (70748-128-49)",2.88,2.88,,,0
NDC,70748-130-06,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-130-06)",1.005,1.005,,,0
NDC,70748-175-01,NDC Description Not Available,5.96,5.96,,,0
NDC,70748-258-07,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (70748-258-07)",15.46,15.46,,,0
NDC,70748-323-02,NDC Description Not Available,1.06,1.06,,,0
NDC,70748-332-03,Prednisolone Acetate: 1 Bottle In 1 Carton (70748-332-03)  / 10 Ml In 1 Bottle,1.0,1.0,,,0
NDC,70748-339-01,"Doxorubicin Hydrochloride: 1 Vial, Single-Use In 1 Carton (70748-339-01)  / 10 Ml In 1 Vial, Single-Use",593.64,593.64,,,0
NDC,70752-138-12,"Promethazine Hydrochloride: 473 Ml In 1 Bottle, Plastic (70752-138-12)",1.46,1.46,,,0
NDC,70756-604-44,NDC Description Not Available,12.61,12.61,,,0
NDC,70756-604-56,Tobramycin: 14 Pouch In 1 Carton (70756-604-56)  / 4 Ampule In 1 Pouch (70756-604-44)  / 5 Ml In 1 Ampule,10.86,10.86,,,0
NDC,70756-611-82,NDC Description Not Available,2.6,2.6,,,0
NDC,70756-612-12,NDC Description Not Available,4.17,4.17,,,0
NDC,70756-621-82,NDC Description Not Available,0.01,0.01,,,0
NDC,70839-150-30,"Tekturna: 30 Tablet, Film Coated In 1 Bottle (70839-150-30)",27.86,27.86,,,0
NDC,70842-120-01,NDC Description Not Available,5.81,5.81,,,0
NDC,70842-120-06,"Vabomere: 6 Vial, Single-Dose In 1 Carton (70842-120-06)  / 2 G In 1 Vial, Single-Dose (70842-120-01)",5.81,5.81,,,0
NDC,70842-160-01,NDC Description Not Available,7.36,7.36,,,0
NDC,70860-100-41,NDC Description Not Available,7.71,7.71,,,0
NDC,70860-105-20,Vancomycin Hydrochloride: 10 VIAL in 1 CARTON (70860-105-20)  / 20 mL in 1 VIAL (70860-105-41),9.52,9.52,,,0
NDC,70860-125-66,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-125-66)  / 5 Ml In 1 Vial, Single-Dose (70860-125-41)",8.285,8.285,,,0
NDC,70860-215-67,Paclitaxel: 1 Vial In 1 Carton (70860-215-67)  / 16.7 Ml In 1 Vial,0.82,0.82,,,0
NDC,70860-405-41,NDC Description Not Available,2.35,2.35,,,0
NDC,70954-005-10,Oxybutynin Chloride: 100 Tablet In 1 Bottle (70954-005-10),0.63,0.63,,,0
NDC,70954-135-10,Dapsone: 30 Tablet In 1 Bottle (70954-135-10),1.9449999999999998,1.9449999999999998,,,0
NDC,70954-188-10,Acyclovir: 473 Ml In 1 Bottle (70954-188-10),1.94,1.94,,,0
NDC,70954-212-10,Trihexyphenidyl Hydrochloride: 100 Tablet In 1 Bottle (70954-212-10),0.49,0.49,,,0
NDC,70954-240-10,Carbamazepine: 1 Bottle In 1 Carton (70954-240-10)  / 450 Ml In 1 Bottle,0.25,0.25,,,0
NDC,70954-444-20,Misoprostol: 100 Tablet In 1 Bottle (70954-444-20),1.46,1.46,,,0
NDC,70954-496-10,Nitrofurantoin: 230 Ml In 1 Bottle (70954-496-10),150.36,150.36,,,0
NDC,71127-1100-1,NDC Description Not Available,5.99,5.99,,,0
NDC,71205-890-60,Phenobarbital: 60 Tablet In 1 Bottle (71205-890-60),0.79,0.79,,,0
NDC,71258-022-00,NDC Description Not Available,1494.34,1494.34,,,0
NDC,71266-5103-1,NDC Description Not Available,15.63,15.63,,,0
NDC,71285-0422-1,NDC Description Not Available,130.7,130.7,,,0
NDC,71285-6044-1,NDC Description Not Available,10.34,10.34,,,0
NDC,71285-6060-1,NDC Description Not Available,61.52,61.52,,,0
NDC,71285-6074-1,NDC Description Not Available,0.85,0.85,,,0
NDC,71285-6176-1,NDC Description Not Available,9.525,9.525,,,0
NDC,71285-7060-1,NDC Description Not Available,1.23,1.23,,,0
NDC,71288-006-30,"Ampicillin And Sulbactam: 10 Vial, Single-Dose In 1 Carton (71288-006-30)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (71288-006-31)",11.45,11.45,,,0
NDC,71288-016-15,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (71288-016-15)  / 10 Ml In 1 Vial, Single-Dose",0.08,0.08,,,0
NDC,71288-016-95,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (71288-016-95)  / 10 Ml In 1 Vial, Single-Dose",0.09,0.09,,,0
NDC,71288-031-20,NDC Description Not Available,5.76,5.76,,,0
NDC,71288-109-20,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (71288-109-20)  / 20 Ml In 1 Vial, Single-Dose",6.255,6.255,,,0
NDC,71288-117-06,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-06)  / 5.26 Ml In 1 Vial, Single-Dose",13.115,13.115,,,0
NDC,71288-117-28,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28)  / 26.3 Ml In 1 Vial, Single-Dose",18.64,18.64,,,0
NDC,71288-117-54,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-54)  / 52.6 Ml In 1 Vial, Single-Dose",21.525,21.525,,,0
NDC,71288-119-20,"Decitabine: 1 Vial, Single-Dose In 1 Carton (71288-119-20)  / 20 Ml In 1 Vial, Single-Dose",3.7750000000000004,3.7750000000000004,,,0
NDC,71288-138-50,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-138-50)  / 40 Ml In 1 Vial, Single-Dose",334.26,334.26,,,0
NDC,71288-153-95,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-153-95)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",1.45,1.45,,,0
NDC,71288-156-05,"Thiotepa: 1 Vial, Single-Dose In 1 Carton (71288-156-05)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",489.06,489.06,,,0
NDC,71288-157-10,"Thiotepa: 1 Vial, Single-Dose In 1 Carton (71288-157-10)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",18.93,18.93,,,0
NDC,71288-166-10,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-166-10)  / 10 Ml In 1 Vial, Single-Dose",3.915,3.915,,,0
NDC,71288-167-50,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-50)  / 50 Ml In 1 Vial, Single-Dose",4.17,4.17,,,0
NDC,71288-167-95,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-95)  / 50 Ml In 1 Vial, Single-Dose",3.77,3.77,,,0
NDC,71288-203-10,NDC Description Not Available,0.02,0.02,,,0
NDC,71288-402-31,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Carton (71288-402-31)  / 30 Ml In 1 Vial, Multi-Dose (71288-402-30)",0.38,0.38,,,0
NDC,71288-410-83,Enoxaparin Sodium: 10 Syringe In 1 Carton (71288-410-83)  / .4 Ml In 1 Syringe (71288-410-82),3.97,3.97,,,0
NDC,71288-426-03,"Enoxaparin Sodium: 1 Vial, Multi-Dose In 1 Carton (71288-426-03)  / 3 Ml In 1 Vial, Multi-Dose",1.94,1.94,,,0
NDC,71288-427-10,NDC Description Not Available,0.44,0.44,,,0
NDC,71288-432-80,NDC Description Not Available,1.76,1.76,,,0
NDC,71288-433-82,NDC Description Not Available,1.54,1.54,,,0
NDC,71288-434-84,NDC Description Not Available,1.52,1.52,,,0
NDC,71288-435-86,NDC Description Not Available,1.58,1.58,,,0
NDC,71288-436-88,NDC Description Not Available,1.58,1.58,,,0
NDC,71288-600-10,NDC Description Not Available,2.93,2.93,,,0
NDC,71288-700-05,NDC Description Not Available,3.7,3.7,,,0
NDC,71288-700-06,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (71288-700-06)  / 5 Ml In 1 Vial, Multi-Dose (71288-700-05)",2.66,2.66,,,0
NDC,71288-716-11,NDC Description Not Available,10.055,10.055,,,0
NDC,71288-719-10,NDC Description Not Available,0.94,0.94,,,0
NDC,71399-0110-1,Hemorrhoidal Hygiene Pads: 175 Ml In 1 Jar (71399-0110-1),0.11,0.11,,,0
NDC,71399-0122-4,Medpura Vitamin A And D Vitamin A And D: 113 G In 1 Tube (71399-0122-4),5.925,5.925,,,0
NDC,71399-1027-1,Diphenhydramine Hcl: 100 Capsule In 1 Bottle (71399-1027-1),0.625,0.625,,,0
NDC,71506-028-59,NDC Description Not Available,14.78,14.78,,,0
NDC,71656-072-05,NDC Description Not Available,28.94,28.94,,,0
NDC,71699-025-30,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-025-30)",101.37,101.37,,,0
NDC,71699-100-30,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-100-30)",99.65,99.65,,,0
NDC,71699-150-30,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-150-30)",105.42,105.42,,,0
NDC,71699-200-30,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-200-30)",98.07,98.07,,,0
NDC,71837-5843-1,NDC Description Not Available,166.93,166.93,,,0
NDC,71921-226-10,"Dorzolamide Hydrochloride Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (71921-226-10)  / 10 Ml In 1 Bottle, Dispensing",0.33,0.33,,,0
NDC,72078-035-02,"Ultiva: 10 Vial, Glass In 1 Carton (72078-035-02)  / 5 Ml In 1 Vial, Glass (72078-035-00)",159.81,159.81,,,0
NDC,72078-040-08,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (72078-040-08)  / 8 Ml In 1 Vial, Multi-Dose",4.33,4.33,,,0
NDC,7214000021,NDC Description Not Available,29.8,29.8,,,0
NDC,7214045231,NDC Description Not Available,13.245000000000001,13.245000000000001,,,0
NDC,7214063377,NDC Description Not Available,18.75,18.75,,,0
NDC,72196-6074-1,NDC Description Not Available,4.2250000000000005,4.2250000000000005,,,0
NDC,72205-011-90,Pregabalin: 90 Capsule In 1 Bottle (72205-011-90),0.20500000000000002,0.20500000000000002,,,0
NDC,72205-012-90,Pregabalin: 90 Capsule In 1 Bottle (72205-012-90),0.335,0.335,,,0
NDC,72205-028-30,"Febuxostat: 30 Tablet, Film Coated In 1 Bottle (72205-028-30)",1.2149999999999999,1.2149999999999999,,,0
NDC,72205-031-01,"Decitabine: 1 Vial, Single-Use In 1 Carton (72205-031-01)  / 20 Ml In 1 Vial, Single-Use",8.28,8.28,,,0
NDC,72205-036-01,"Decitabine: 1 Vial, Single-Dose In 1 Carton (72205-036-01)  / 10 Ml In 1 Vial, Single-Dose",14.23,14.23,,,0
NDC,72205-039-60,Dofetilide: 60 Capsule In 1 Bottle (72205-039-60),0.65,0.65,,,0
NDC,72205-042-11,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-042-11)  / 10 Capsule In 1 Blister Pack,4.0,4.0,,,0
NDC,72205-051-08,Albendazole: 2 Tablet In 1 Bottle (72205-051-08),62.12,62.12,,,0
NDC,72205-101-01,NDC Description Not Available,2.355,2.355,,,0
NDC,72205-130-11,Tolvaptan: 1 Blister Pack In 1 Carton (72205-130-11)  / 10 Tablet In 1 Blister Pack,159.72,159.72,,,0
NDC,72205-198-01,"Carmustine: 1 Kit In 1 Carton (72205-198-01)  *  3 Ml In 1 Vial (72205-196-01)  *  30 Ml In 1 Vial, Single-Dose (72205-197-01)",297.33,297.33,,,0
NDC,72205-205-01,NDC Description Not Available,15.45,15.45,,,0
NDC,72205-208-30,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (72205-208-30)",1.06,1.06,,,0
NDC,72205-260-30,Vilazodone Hydrochloride: 30 Tablet In 1 Bottle (72205-260-30),2.4,2.4,,,0
NDC,72241-023-05,Celecoxib: 100 Capsule In 1 Bottle (72241-023-05),0.605,0.605,,,0
NDC,72241-024-05,Celecoxib: 100 Capsule In 1 Bottle (72241-024-05),0.495,0.495,,,0
NDC,72266-101-01,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01)  / 50 Ml In 1 Vial,182.62,182.62,,,0
NDC,72266-102-01,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-102-01)  / 20 Ml In 1 Vial, Multi-Dose",0.54,0.54,,,0
NDC,72266-118-01,NDC Description Not Available,1.125,1.125,,,0
NDC,72266-124-01,Ondansetron: 1 Vial In 1 Carton (72266-124-01)  / 20 Ml In 1 Vial,0.265,0.265,,,0
NDC,72266-127-01,NDC Description Not Available,20.71,20.71,,,0
NDC,72266-131-01,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (72266-131-01)  / 20 Ml In 1 Vial, Single-Dose",1.775,1.775,,,0
NDC,72266-152-01,Zoledronic Acid: 1 Bag In 1 Carton (72266-152-01)  / 100 Ml In 1 Bag,11.34,11.34,,,0
NDC,72266-160-01,NDC Description Not Available,17.13,17.13,,,0
NDC,72266-160-41,NDC Description Not Available,16.56,16.56,,,0
NDC,72266-237-01,NDC Description Not Available,0.35,0.35,,,0
NDC,72266-237-05,Doxycycline: 5 Vial In 1 Carton (72266-237-05)  / 10 Ml In 1 Vial (72266-237-01),0.29,0.29,,,0
NDC,72485-422-01,NDC Description Not Available,1.65,1.65,,,0
NDC,72485-507-01,NDC Description Not Available,3.735,3.735,,,0
NDC,72485-507-25,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72485-507-25)  / 2 Ml In 1 Vial, Multi-Dose (72485-507-01)",3.82,3.82,,,0
NDC,72485-510-10,Tranexamic Acid: 10 Vial In 1 Carton (72485-510-10)  / 10 Ml In 1 Vial (72485-510-01),7.9,7.9,,,0
NDC,72485-670-31,Erythromycin: 50 Tube In 1 Carton (72485-670-31)  / 1 G In 1 Tube,10.26,10.26,,,0
NDC,72493-101-40,NDC Description Not Available,866.98,866.98,,,0
NDC,72493-103-03,"Jelmyto: 1 Kit In 1 Carton (72493-103-03)  *  1 Powder, For Solution In 1 Vial, Single-Dose (72493-101-40)  *  20 Ml In 1 Vial, Single-Dose (72493-102-20)",692.92,692.92,,,0
NDC,72516-030-50,"Metoprolol Succinate: 500 Tablet, Extended Release In 1 Bottle (72516-030-50)",0.585,0.585,,,0
NDC,72578-002-01,Acyclovir: 100 Capsule In 1 Bottle (72578-002-01),0.63,0.63,,,0
NDC,72603-103-01,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-103-01)  / 10 Ml In 1 Vial, Single-Dose",188.13,188.13,,,0
NDC,72603-119-02,Memantine: 500 Tablet In 1 Bottle (72603-119-02),0.63,0.63,,,0
NDC,72603-128-01,NDC Description Not Available,5.08,5.08,,,0
NDC,72603-130-01,Dofetilide: 60 Capsule In 1 Bottle (72603-130-01),9.45,9.45,,,0
NDC,72603-133-01,NDC Description Not Available,0.1,0.1,,,0
NDC,72603-134-01,Spironolactone: 100 Tablet In 1 Bottle (72603-134-01),0.51,0.51,,,0
NDC,72603-139-01,NDC Description Not Available,4.05,4.05,,,0
NDC,72603-142-02,"Metoprolol Succinate: 500 Tablet, Film Coated, Extended Release In 1 Bottle (72603-142-02)",0.61,0.61,,,0
NDC,72603-144-01,"Metoprolol Succinate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (72603-144-01)",0.95,0.95,,,0
NDC,72603-146-01,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72603-146-01)  / 20 Ml In 1 Vial, Multi-Dose",0.51,0.51,,,0
NDC,72603-152-01,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (72603-152-01)  / 10 Ml In 1 Vial, Single-Dose",0.07,0.07,,,0
NDC,72603-169-01,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (72603-169-01),0.51,0.51,,,0
NDC,72603-170-01,Fludrocortisone Acetate: 100 Tablet In 1 Bottle (72603-170-01),1.2,1.2,,,0
NDC,72603-187-01,Dexamethasone: 100 Tablet In 1 Bottle (72603-187-01),0.12,0.12,,,0
NDC,72603-200-01,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-200-01)  / 25 Ml In 1 Vial, Single-Dose",228.37,228.37,,,0
NDC,72603-203-01,NDC Description Not Available,3.09,3.09,,,0
NDC,72603-209-01,NDC Description Not Available,19.67,19.67,,,0
NDC,72603-212-01,Dexamethasone: 100 Mg In 1 Bottle (72603-212-01),0.16,0.16,,,0
NDC,72603-216-25,Ropivacaine Hydrochloride: 25 Vial In 1 Carton (72603-216-25)  / 20 Ml In 1 Vial (72603-216-01),0.47,0.47,,,0
NDC,72603-221-01,NDC Description Not Available,1.98,1.98,,,0
NDC,72603-248-01,Atovaquone: 1 Bottle In 1 Carton (72603-248-01)  / 210 Ml In 1 Bottle,3.44,3.44,,,0
NDC,72603-323-01,"Clobetasol Propionate Cream Usp, 0.05% Clobetasol Propionate Cream Usp, 0.05%: 15 G In 1 Tube (72603-323-01)",13.955,13.955,,,0
NDC,72603-350-01,NDC Description Not Available,1.96,1.96,,,0
NDC,72603-412-01,NDC Description Not Available,0.46,0.46,,,0
NDC,72603-590-01,NDC Description Not Available,0.37,0.37,,,0
NDC,72618-3000-2,"Nurtec Odt: 1 Blister Pack In 1 Carton (72618-3000-2)  / 8 Tablet, Orally Disintegrating In 1 Blister Pack",342.47,342.47,,,0
NDC,72694-617-60,"Tibsovo: 1 Bottle In 1 Carton (72694-617-60)  / 60 Tablet, Film Coated In 1 Bottle",1494.02,1494.02,,,0
NDC,72888-009-01,Baclofen: 100 Tablet In 1 Bottle (72888-009-01),0.63,0.63,,,0
NDC,72888-014-01,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (72888-014-01)",0.63,0.63,,,0
NDC,72888-024-06,NDC Description Not Available,3.02,3.02,,,0
NDC,72888-034-01,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-034-01)",0.63,0.63,,,0
NDC,72888-035-01,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-035-01)",0.405,0.405,,,0
NDC,72888-085-01,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (72888-085-01),8.45,8.45,,,0
NDC,72888-125-26,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),1.11,1.11,,,0
NDC,72888-178-30,Tranexamic Acid: 30 Tablet In 1 Bottle (72888-178-30),4.0,4.0,,,0
NDC,72893-001-01,Evomela: 1 Vial In 1 Carton (72893-001-01)  / 20 Ml In 1 Vial,71.46,71.46,,,0
NDC,72893-003-01,Folotyn: 1 Vial In 1 Carton (72893-003-01)  / 1 Ml In 1 Vial,1247.62,1247.62,,,0
NDC,72893-005-01,Folotyn: 1 Vial In 1 Carton (72893-005-01)  / 2 Ml In 1 Vial,1243.81,1243.81,,,0
NDC,72903-853-01,"Elahere: 1 Vial, Single-Use In 1 Carton (72903-853-01)  / 20 Ml In 1 Vial, Single-Use",243.735,243.735,,,0
NDC,72974-120-01,"Orgovyx: 30 Tablet, Film Coated In 1 Bottle, Plastic (72974-120-01)",265.88,265.88,,,0
NDC,73070-100-11,"Insulin Aspart: 1 Vial, Glass In 1 Carton (73070-100-11)  / 10 Ml In 1 Vial, Glass",3.205,3.205,,,0
NDC,73070-103-10,NDC Description Not Available,35.495,35.495,,,0
NDC,73070-103-15,"Insulin Aspart: 5 Syringe, Plastic In 1 Carton (73070-103-15)  / 3 Ml In 1 Syringe, Plastic (73070-103-10)",42.235,42.235,,,0
NDC,73090-420-01,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-420-01)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",500.84,500.84,,,0
NDC,73090-421-01,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-421-01)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",504.94,504.94,,,0
NDC,73177-101-02,NDC Description Not Available,11.41,11.41,,,0
NDC,73177-123-02,NDC Description Not Available,22.62,22.62,,,0
NDC,73293-0001-1,NDC Description Not Available,3.63,3.63,,,0
NDC,73336-075-30,"Gemtesa: 30 Tablet, Film Coated In 1 Bottle (73336-075-30)",36.38,36.38,,,0
NDC,73535-208-01,Monjuvi: 1 Vial In 1 Carton (73535-208-01)  / 5 Ml In 1 Vial,45.78,45.78,,,0
NDC,73562-104-10,Viokace: 1 Bottle In 1 Carton (73562-104-10)  / 100 Tablet In 1 Bottle,10.76,10.76,,,0
NDC,73562-110-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",11.79,11.79,,,0
NDC,73562-111-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-111-01)",15.48,15.48,,,0
NDC,73562-113-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-113-01)",5.64,5.64,,,0
NDC,73562-114-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-114-01)",43.32,43.32,,,0
NDC,73562-116-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-116-01)",27.165,27.165,,,0
NDC,73562-208-10,Viokace: 1 Bottle In 1 Carton (73562-208-10)  / 100 Tablet In 1 Bottle,21.22,21.22,,,0
NDC,7430000070,NDC Description Not Available,7.81,7.81,,,0
NDC,7430000071,NDC Description Not Available,11.65,11.65,,,0
NDC,7431202832,NDC Description Not Available,0.01,0.01,,,0
NDC,74725-100-64,"Illuccix: 1 Kit In 1 Carton (74725-100-64)  *  2.5 Ml In 1 Vial, Multi-Dose (74725-102-25)  *  6.4 Ml In 1 Vial, Multi-Dose (74725-103-64)  *  1 Injection, Powder, Lyophilized, For Solution In 1 Vial,",2463.54,2463.54,,,0
NDC,75826-138-10,"Phenobarbital: 100 Tablet In 1 Bottle, Plastic (75826-138-10)",0.21500000000000002,0.21500000000000002,,,0
NDC,75834-158-01,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-158-01),0.63,0.63,,,0
NDC,75834-159-01,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-159-01),0.63,0.63,,,0
NDC,75834-170-01,Nivagen Zinc Oxide: 28.4 G In 1 Tube (75834-170-01),8.579999999999998,8.579999999999998,,,0
NDC,75834-242-30,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (75834-242-30)",10.84,10.84,,,0
NDC,75834-280-30,"Potassium Iodide: 30 Ml In 1 Bottle, With Applicator (75834-280-30)",11.18,11.18,,,0
NDC,75834-295-01,Erythromycin Ethylsuccinate: 100 Ml In 1 Bottle (75834-295-01),27.29,27.29,,,0
NDC,7583401060,NDC Description Not Available,2.2,2.2,,,0
NDC,7583416724,NDC Description Not Available,2.18,2.18,,,0
NDC,75907-069-01,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",0.325,0.325,,,0
NDC,76045-004-01,NDC Description Not Available,5.83,5.83,,,0
NDC,76045-005-01,NDC Description Not Available,4.15,4.15,,,0
NDC,76045-009-01,NDC Description Not Available,0.7,0.7,,,0
NDC,76045-009-05,Dilaudid: 24 SYRINGE in 1 CARTON (76045-009-05)  / .5 mL in 1 SYRINGE (76045-009-03),1.94,1.94,,,0
NDC,76045-009-11,Dilaudid: 10 Syringe In 1 Carton (76045-009-11)  / 1 Ml In 1 Syringe (76045-009-01),0.75,0.75,,,0
NDC,76045-009-96,NDC Description Not Available,1.5,1.5,,,0
NDC,76045-204-00,NDC Description Not Available,17.66,17.66,,,0
NDC,76075-101-01,"Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01)  / 30 Ml In 1 Vial, Single-Use",198.215,198.215,,,0
NDC,76075-102-01,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01)  / 15 Ml In 1 Vial, Single-Dose",203.745,203.745,,,0
NDC,76075-103-01,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01)  / 10 Ml In 1 Vial, Single-Dose",203.07,203.07,,,0
NDC,76204-100-01,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01)  / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,0.79,0.79,,,0
NDC,76204-100-30,Ipratropium Bromide: 1 Pouch In 1 Carton (76204-100-30)  / 30 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,0.83,0.83,,,0
NDC,76204-200-01,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01)  / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,0.23,0.23,,,0
NDC,76204-600-01,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01)  / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.05,1.05,,,0
NDC,76204-800-11,NDC Description Not Available,2.72,2.72,,,0
NDC,76204-900-11,NDC Description Not Available,3.02,3.02,,,0
NDC,7620430003,NDC Description Not Available,0.24,0.24,,,0
NDC,76282-663-39,Diclofenac Sodium: 1 Tube In 1 Carton (76282-663-39)  / 100 G In 1 Tube,8.67,8.67,,,0
NDC,76310-024-15,NDC Description Not Available,128.77,128.77,,,0
NDC,76310-024-25,Foscavir: 10 Carton In 1 Carton (76310-024-25)  / 1 Bottle In 1 Carton (76310-024-15)  / 250 Ml In 1 Bottle,143.44,143.44,,,0
NDC,76329-1240-1,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1)  / .5 Ml In 1 Syringe,65.32,65.32,,,0
NDC,76329-1469-1,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-1469-1)  / 2 Ml In 1 Syringe,1.36,1.36,,,0
NDC,76329-3011-5,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3011-5)  / 5 Ml In 1 Vial, Single-Use",12.26,12.26,,,0
NDC,76329-3012-5,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3012-5)  / 5 Ml In 1 Vial, Single-Use",11.51,11.51,,,0
NDC,76329-3013-5,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3013-5)  / 10 Ml In 1 Vial, Single-Use",16.225,16.225,,,0
NDC,76329-3302-1,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1)  / 50 Ml In 1 Syringe,36.07,36.07,,,0
NDC,76329-3304-1,Calcium Chloride: 10 Syringe In 1 Package (76329-3304-1)  / 10 Ml In 1 Syringe,25.07,25.07,,,0
NDC,76329-3318-1,Epinephrine: 10 Carton In 1 Package (76329-3318-1)  / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,3.03,3.03,,,0
NDC,76329-3340-1,Atropine Sulfate: 10 Carton In 1 Package (76329-3340-1)  / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,0.27,0.27,,,0
NDC,76329-3352-1,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1)  / 50 Ml In 1 Syringe,34.19,34.19,,,0
NDC,76329-3469-1,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-3469-1)  / 2 Ml In 1 Syringe,0.39,0.39,,,0
NDC,76385-133-01,Nadolol: 100 Tablet In 1 Bottle (76385-133-01),0.575,0.575,,,0
NDC,76385-134-01,Nadolol: 100 Tablet In 1 Bottle (76385-134-01),0.63,0.63,,,0
NDC,77333-031-25,NDC Description Not Available,0.63,0.63,,,0
NDC,77333-812-25,NDC Description Not Available,0.61,0.61,,,0
NDC,77333-827-25,NDC Description Not Available,0.445,0.445,,,0
NDC,77333-844-25,NDC Description Not Available,0.54,0.54,,,0
NDC,7733383110,NDC Description Not Available,0.45,0.45,,,0
NDC,7733394025,NDC Description Not Available,0.605,0.605,,,0
NDC,7733394810,NDC Description Not Available,0.595,0.595,,,0
NDC,7733395125,NDC Description Not Available,0.57,0.57,,,0
NDC,7733398325,NDC Description Not Available,0.625,0.625,,,0
NDC,7811273623,NDC Description Not Available,10.379999999999999,10.379999999999999,,,0
NDC,78206-162-01,"Renflexis: 1 Vial In 1 Carton (78206-162-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (78206-162-99)",110.83500000000001,110.83500000000001,,,0
NDC,78206-162-99,NDC Description Not Available,113.875,113.875,,,0
NDC,7985410005,NDC Description Not Available,0.63,0.63,,,0
NDC,79952-110-01,"Zynlonta: 1 Vial, Single-Dose In 1 Carton (79952-110-01)  / 2 Ml In 1 Vial, Single-Dose",6532.85,6532.85,,,0
NDC,80203-347-01,"Enjaymo: 1 Vial, Single-Dose In 1 Carton (80203-347-01)  / 22 Ml In 1 Vial, Single-Dose",51.38,51.38,,,0
NDC,8068101000,NDC Description Not Available,0.77,0.77,,,0
NDC,8068102000,NDC Description Not Available,0.63,0.63,,,0
NDC,8068102500,NDC Description Not Available,0.605,0.605,,,0
NDC,8068104100,NDC Description Not Available,0.175,0.175,,,0
NDC,8068105700,NDC Description Not Available,0.63,0.63,,,0
NDC,8068109800,NDC Description Not Available,0.565,0.565,,,0
NDC,8068109900,NDC Description Not Available,0.45499999999999996,0.45499999999999996,,,0
NDC,8068113801,NDC Description Not Available,0.59,0.59,,,0
NDC,8068114000,NDC Description Not Available,0.435,0.435,,,0
NDC,8068116900,NDC Description Not Available,0.33499999999999996,0.33499999999999996,,,0
NDC,80803-153-50,"Fyarro: 1 Vial, Single-Use In 1 Carton (80803-153-50)  / 20 Ml In 1 Vial, Single-Use",245.05,245.05,,,0
NDC,80830-1188-1,NDC Description Not Available,0.28,0.28,,,0
NDC,80830-1691-1,NDC Description Not Available,19.94,19.94,,,0
NDC,80830-2365-1,NDC Description Not Available,0.2,0.2,,,0
NDC,80830-2365-7,Propofol: 10 Vial In 1 Carton (80830-2365-7)  / 100 Ml In 1 Vial (80830-2365-1),0.2,0.2,,,0
NDC,81033-220-15,NDC Description Not Available,7.255000000000001,7.255000000000001,,,0
NDC,81033-412-15,NDC Description Not Available,6.06,6.06,,,0
NDC,81284-411-00,NDC Description Not Available,131.16,131.16,,,0
NDC,81284-611-10,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-611-10)  / 10 Ml In 1 Vial, Single-Dose (81284-611-00)",6.01,6.01,,,0
NDC,81284-612-00,NDC Description Not Available,5.28,5.28,,,0
NDC,81284-612-10,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-612-10)  / 10 Ml In 1 Vial, Single-Dose (81284-612-00)",6.23,6.23,,,0
NDC,81298-3890-1,"Eribulin Mesylate: 1 Vial, Single-Dose In 1 Carton (81298-3890-1)  / 2 Ml In 1 Vial, Single-Dose",227.53000000000003,227.53000000000003,,,0
NDC,81298-8552-1,NDC Description Not Available,12.255,12.255,,,0
NDC,81298-8552-3,"Vasopressin In 0.9% Sodium Chloride: 10 Vial, Single-Dose In 1 Carton (81298-8552-3)  / 100 Ml In 1 Vial, Single-Dose (81298-8552-1)",26.56,26.56,,,0
NDC,81481-803-01,"Anktiva: 1 Vial, Glass In 1 Box (81481-803-01)  / .4 Ml In 1 Vial, Glass",330.73,330.73,,,0
NDC,81665-108-10,"Isoniazid: 100 Tablet In 1 Bottle, Plastic (81665-108-10)",6.93,6.93,,,0
NDC,81964-204-07,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (81964-204-07),16.38,16.38,,,0
NDC,82293-004-10,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (82293-004-10),0.4,0.4,,,0
NDC,82347-0505-5,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5)  / 14 G In 1 Pouch (82347-0505-4),5.515,5.515,,,0
NDC,82705-002-01,"Epkinly: 1 Vial, Glass In 1 Carton (82705-002-01)  / .8 Ml In 1 Vial, Glass",206.53,206.53,,,0
NDC,82705-010-01,"Epkinly: 1 Vial, Glass In 1 Carton (82705-010-01)  / .8 Ml In 1 Vial, Glass",184.745,184.745,,,0
NDC,8290306413,NDC Description Not Available,0.63,0.63,,,0
NDC,8290306423,NDC Description Not Available,0.715,0.715,,,0
NDC,8290306424,NDC Description Not Available,0.415,0.415,,,0
NDC,8290306544,NDC Description Not Available,14.785,14.785,,,0
NDC,8290306546,NDC Description Not Available,1.8849999999999998,1.8849999999999998,,,0
NDC,8290306547,NDC Description Not Available,9.985,9.985,,,0
NDC,8290306553,NDC Description Not Available,18.3,18.3,,,0
NDC,82959-111-01,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-111-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",184.77,184.77,,,0
NDC,82959-112-01,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-112-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",182.405,182.405,,,0
NDC,83090-003-10,Lidocaine Hydrochloride: 10 Ampule In 1 Carton (83090-003-10)  / 10 Ml In 1 Ampule (83090-003-01),10.91,10.91,,,0
NDC,83090-011-01,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (83090-011-01)  / 10 Ml In 1 Vial, Single-Dose",0.05,0.05,,,0
NDC,83257-003-11,NDC Description Not Available,146.31,146.31,,,0
NDC,83257-004-12,"Ogivri: 1 Kit In 1 Carton (83257-004-12)  *  20 Ml In 1 Vial, Multi-Dose (83257-003-11)  *  20 Ml In 1 Vial (83257-002-11)",151.39,151.39,,,0
NDC,83257-005-41,Fulphila: 1 Syringe In 1 Carton (83257-005-41)  / .6 Ml In 1 Syringe,384.51,384.51,,,0
NDC,83634-500-41,NDC Description Not Available,2.09,2.09,,,0
NDC,83634-776-10,Fosaprepitant: 1 Vial In 1 Carton (83634-776-10)  / 5 Ml In 1 Vial,0.35,0.35,,,0
NDC,83851-100-30,C20H10Na2O5 Fluorescein Sodium Ophthalmic Strips: 300 Packet In 1 Box (83851-100-30)  / 1 Mg In 1 Packet,0.63,0.63,,,0
NDC,87040203,NDC Description Not Available,0.63,0.63,,,0
NDC,87040501,NDC Description Not Available,0.63,0.63,,,0
NDC,87074002,NDC Description Not Available,1.04,1.04,,,0
NDC,8765176030,NDC Description Not Available,1.33,1.33,,,0
NDC,904052361,NDC Description Not Available,0.485,0.485,,,0
NDC,904053061,NDC Description Not Available,0.63,0.63,,,0
NDC,904113213,NDC Description Not Available,0.63,0.63,,,0
NDC,904188260,NDC Description Not Available,0.455,0.455,,,0
NDC,904208560,NDC Description Not Available,0.63,0.63,,,0
NDC,904227260,NDC Description Not Available,0.63,0.63,,,0
NDC,904506260,NDC Description Not Available,0.44,0.44,,,0
NDC,904522452,NDC Description Not Available,0.25,0.25,,,0
NDC,904530016,NDC Description Not Available,7.64,7.64,,,0
NDC,904582360,NDC Description Not Available,0.63,0.63,,,0
NDC,904598426,NDC Description Not Available,8.11,8.11,,,0
NDC,904719106,NDC Description Not Available,0.63,0.63,,,0
NDC,904723961,NDC Description Not Available,0.495,0.495,,,0
NDC,904759160,NDC Description Not Available,0.63,0.63,,,0
NDC,904759161,NDC Description Not Available,0.63,0.63,,,0
NDC,904775127,NDC Description Not Available,8.79,8.79,,,0
NDC,9697400005,NDC Description Not Available,0.29,0.29,,,0
NDC,9999-1014-51,NDC Description Not Available,100.0,100.0,,,0
NDC,9999-1700-22,NDC Description Not Available,90.96,90.96,,,0
NDC,9999-1700-23,NDC Description Not Available,71.57,71.57,,,0
NDC,9999-1701-26,NDC Description Not Available,66.0,66.0,,,0
NDC,9999-2003-51,NDC Description Not Available,107.78,107.78,,,0
NDC,9999-6144-49,NDC Description Not Available,0.5,0.5,,,0
NDC,9999-6165-49,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6165-51,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6169-29,NDC Description Not Available,0.5,0.5,,,0
NDC,9999-6176-92,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6176-94,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6176-98,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6177-00,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6177-02,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6177-04,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6177-08,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6181-37,NDC Description Not Available,0.33,0.33,,,0
NDC,99999-0100-75,NDC Description Not Available,6.94,6.94,,,0
NDC,99999-1002-46,NDC Description Not Available,358.71,358.71,,,0
NDC,99999-1002-50,NDC Description Not Available,107.93,107.93,,,0
NDC,99999-1002-51,NDC Description Not Available,1340.62,1340.62,,,0
NDC,99999-1002-52,NDC Description Not Available,83.08,83.08,,,0
NDC,99999-1002-56,NDC Description Not Available,276.12,276.12,,,0
NDC,99999-1002-57,NDC Description Not Available,387.91,387.91,,,0
NDC,99999-1002-62,NDC Description Not Available,34.34,34.34,,,0
NDC,99999-1002-63,NDC Description Not Available,59.0,59.0,,,0
NDC,99999-1002-64,NDC Description Not Available,66.53,66.53,,,0
NDC,99999-1003-69,NDC Description Not Available,2982.22,2982.22,,,0
NDC,99999-1003-70,NDC Description Not Available,5350.21,5350.21,,,0
NDC,99999-1003-71,NDC Description Not Available,142.71,142.71,,,0
NDC,99999-1006-33,NDC Description Not Available,1160.34,1160.34,,,0
NDC,99999-1006-34,NDC Description Not Available,733.06,733.06,,,0
NDC,99999-4707-09,NDC Description Not Available,66.0,66.0,,,0
NDC,99999-4707-12,NDC Description Not Available,66.0,66.0,,,0
NDC,ZZ61553-Z685-88,NDC Description Not Available,0.11,0.11,,,0
RC,250,1 TUBE in 1 CARTON (0023-0240-04)  / 3.5 g in 1 TUBE,23.725,23.725,,,0
RC,250,"100 BLISTER PACK in 1 CARTON (0310-0275-39)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",5.17,5.17,,,0
RC,250,100 BLISTER PACK in 1 CARTON (0904-6564-61)  / 1 CAPSULE in 1 BLISTER PACK,1.19,1.19,,,0
RC,250,"30 BLISTER PACK in 1 BOX (50268-074-13)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (50268-074-11)",2.52,2.52,,,0
RC,250,"465 mL in 1 BOTTLE, PLASTIC (0131-5410-70)",80.78,80.78,,,0
RC,250,5 SYRINGE in 1 PACKAGE (0088-5020-05)  / 3 mL in 1 SYRINGE (0088-5020-01),214.76,214.76,,,0
RC,250,60 TABLET in 1 BOTTLE (0456-3210-60),5.49,5.49,,,0
RC,250,60 mL in 1 BOTTLE (52380-1905-2),2.04,2.04,,,0
RC,250,"9 BOTTLE, PLASTIC in 1 CARTON (0338-0004-05)  / 1500 mL in 1 BOTTLE, PLASTIC",43.68,43.68,,,0
RC,250,A And D First Aid: 1 Tube In 1 Carton (11523-7204-1)  / 42.5 G In 1 Tube,7.74,7.74,,,0
RC,250,AVAPRO: 90 TABLET in 1 BOTTLE (0087-2771-32),3.55,3.55,,,0
RC,250,Abreva: 2 G In 1 Tube (0135-0200-01),51.11,51.11,,,0
RC,250,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),0.75,0.75,,,0
RC,250,Acetaminophen Pain Reliever Fever Reducer: 100 Blister Pack In 1 Carton (45802-730-33)  / 1 Suppository In 1 Blister Pack,0.63,0.63,,,0
RC,250,Acetaminophen: 1 Bottle In 1 Carton (0904-6730-59)  / 100 Tablet In 1 Bottle,0.32,0.32,,,0
RC,250,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6730-61)  / 10 Tablet In 1 Blister Pack",0.32,0.32,,,0
RC,250,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61)  / 10 Tablet In 1 Blister Pack",0.32,0.32,,,0
RC,250,"Acetaminophen: 100 Tablet In 1 Bottle, Plastic (49483-340-01)",0.32,0.32,,,0
RC,250,Acetaminophen: 1000 Tablet In 1 Bottle (0904-6730-80),0.32,0.32,,,0
RC,250,Acetaminophen: 500 Tablet In 1 Bottle (0904-6720-40),0.32,0.32,,,0
RC,250,Acetazolamide: 100 Blister Pack In 1 Carton (0904-6663-61)  / 1 Tablet In 1 Blister Pack,6.99,6.99,,,0
RC,250,Acetazolamide: 100 Tablet In 1 Bottle (51672-4022-1),0.67,0.67,,,0
RC,250,Acetic Acid: 16 Container In 1 Case (0264-2304-10)  / 500 Ml In 1 Container,51.7,51.7,,,0
RC,250,Acid Gone Antacid: 355 Ml In 1 Bottle (0904-7727-14),0.04,0.04,,,0
RC,250,Actidose Aqua: 120 Ml In 1 Tube (0574-0521-74),26.13,26.13,,,0
RC,250,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61)  / 1 Capsule In 1 Blister Pack,0.48,0.48,,,0
RC,250,Acyclovir: 100 Capsule In 1 Bottle (72578-002-01),0.63,0.63,,,0
RC,250,Ad First Aid Multipurpose: 1 Tube In 1 Box (65197-400-10)  / 42.5 G In 1 Tube,7.21,7.21,,,0
RC,250,Ad Prevent Original: 1 Tube In 1 Box (65197-401-01)  / 113 G In 1 Tube,8.28,8.28,,,0
RC,250,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-383-01)",17.25,17.25,,,0
RC,250,"Adempas: 90 Tablet, Film Coated In 1 Bottle (50419-252-01)",380.66,380.66,,,0
RC,250,"Akovaz: 25 Vial, Single-Dose In 1 Carton (51754-4200-4)  / 1 Ml In 1 Vial, Single-Dose",29.56,29.56,,,0
RC,250,"Aldactone: 100 Tablet, Film Coated In 1 Bottle (0025-1001-31)",7.29,7.29,,,0
RC,250,Allopurinol: 100 Blister Pack In 1 Carton (0904-6572-61)  / 1 Tablet In 1 Blister Pack,0.93,0.93,,,0
RC,250,Allopurinol: 100 Tablet In 1 Bottle (0378-0181-01),1.24,1.24,,,0
RC,250,Allopurinol: 100 Tablet In 1 Bottle (16714-577-01),0.62,0.62,,,0
RC,250,"Allopurinol: 100 Tablet In 1 Bottle, Plastic (0591-5543-01)",0.49,0.49,,,0
RC,250,"Allopurinol: 100 Tablet In 1 Bottle, Plastic (43063-935-01)",0.22,0.22,,,0
RC,250,"Alphagan P: 1 Bottle, Dropper In 1 Carton (0023-9321-05)  / 5 Ml In 1 Bottle, Dropper",5.18,5.18,,,0
RC,250,Alprazolam: 100 Tablet In 1 Bottle (0228-2027-10),0.63,0.63,,,0
RC,250,Alprazolam: 100 Tablet In 1 Bottle (0228-2031-10),0.45,0.45,,,0
RC,250,Alprazolam: 100 Tablet In 1 Bottle (0781-1061-01),0.63,0.63,,,0
RC,250,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),0.55,0.55,,,0
RC,250,Alprazolam: 100 Tablet In 1 Bottle (59762-3721-1),0.63,0.63,,,0
RC,250,"Amantadine Hydrochloride: 10 Tray In 1 Case (0121-0646-10)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",9.46,9.46,,,0
RC,250,Amiloride Hydrochloride: 100 Tablet In 1 Bottle (0574-0292-01),0.54,0.54,,,0
RC,250,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (0054-1100-58)",30.5,30.5,,,0
RC,250,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (52817-815-08)",14.92,14.92,,,0
RC,250,Amiodarone Hydrochloride: 10 Blister Pack In 1 Box (63739-051-10)  / 10 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,250,Amiodarone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6993-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,250,"Amitiza: 60 Capsule, Gelatin Coated In 1 Bottle (64764-240-60)",14.98,14.98,,,0
RC,250,"Amitriptyline Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-2675-01)",2.1,2.1,,,0
RC,250,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1488-01)",1.22,1.22,,,0
RC,250,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1489-01)",2.0,2.0,,,0
RC,250,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-257-01)",0.38,0.38,,,0
RC,250,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61)  / 1 Tablet In 1 Blister Pack,0.56,0.56,,,0
RC,250,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61)  / 1 Tablet In 1 Blister Pack,0.62,0.62,,,0
RC,250,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,250,Amlodipine Besylate: 90 Tablet In 1 Bottle (67877-197-90),0.63,0.63,,,0
RC,250,Amlodipine Besylate: 90 Tablet In 1 Bottle (67877-198-90),0.62,0.62,,,0
RC,250,Amlodipine Besylate: 90 Tablet In 1 Bottle (68382-121-16),0.62,0.62,,,0
RC,250,Amlodipine Besylate: 90 Tablet In 1 Bottle (69097-128-05),0.63,0.63,,,0
RC,250,Amoxicillin And Clavulanate Potassium: 100 Ml In 1 Bottle (59651-026-01),13.21,13.21,,,0
RC,250,Amoxicillin And Clavulanate Potassium: 100 Ml In 1 Bottle (69097-098-44),13.42,13.42,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (42571-161-01)",1.22,1.22,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (65862-503-01)",0.97,0.97,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (66685-1002-2)",2.51,2.51,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0093-2274-34)",3.43,3.43,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0781-1831-20)",2.41,2.41,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-161-42)",1.22,1.22,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-162-42)",1.58,1.58,,,0
RC,250,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (81964-204-07),16.38,16.38,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle, Plastic (60432-065-75)",2.68,2.68,,,0
RC,250,Amoxicillin: 100 Capsule In 1 Bottle (16714-298-01),0.26,0.26,,,0
RC,250,Amoxicillin: 100 Capsule In 1 Bottle (16714-299-03),0.62,0.62,,,0
RC,250,Amoxicillin: 100 Ml In 1 Bottle (0093-4155-73),0.12,0.12,,,0
RC,250,Amoxicillin: 100 Ml In 1 Bottle (0781-6039-46),0.79,0.79,,,0
RC,250,Amoxicillin: 100 Ml In 1 Bottle (65862-707-01),0.42,0.42,,,0
RC,250,Anagrelide: 100 Capsule In 1 Bottle (13668-462-01),3.82,3.82,,,0
RC,250,Analgesic Balm: 1 Tube In 1 Box (57896-116-03)  / 85 G In 1 Tube,7.36,7.36,,,0
RC,250,"Anastrozole: 30 Tablet In 1 Bottle, Plastic (16729-035-10)",0.63,0.63,,,0
RC,250,Anoro Ellipta: 1 Tray In 1 Carton (0173-0869-06)  / 1 Inhaler In 1 Tray / 7 Powder In 1 Inhaler,193.89,193.89,,,0
RC,250,Antabuse: 100 TABLET in 1 BOTTLE (51285-523-02),5.63,5.63,,,0
RC,250,Antacid: 355 Ml In 1 Bottle (0536-1293-83),0.63,0.63,,,0
RC,250,Aplisol: 1 Vial In 1 Carton (42023-104-01)  / 1 Ml In 1 Vial,33.44,33.44,,,0
RC,250,Aripiprazole: 1 Bottle In 1 Carton (65162-893-74)  / 150 Ml In 1 Bottle,8.88,8.88,,,0
RC,250,Aripiprazole: 100 Blister Pack In 1 Carton (0904-6511-61)  / 1 Tablet In 1 Blister Pack,51.39,51.39,,,0
RC,250,Aripiprazole: 100 TABLET in 1 BOTTLE (63739-413-10),53.09,53.09,,,0
RC,250,"Aripiprazole: 30 Blister Pack In 1 Box, Unit-Dose (60687-191-21)  / 1 Tablet In 1 Blister Pack (60687-191-11)",26.88,26.88,,,0
RC,250,Aripiprazole: 30 Blister Pack In 1 Carton (0904-6512-04)  / 1 Tablet In 1 Blister Pack,50.58,50.58,,,0
RC,250,Aripiprazole: 30 Tablet In 1 Bottle (16714-142-01),0.63,0.63,,,0
RC,250,Aripiprazole: 30 Tablet In 1 Bottle (16714-145-01),0.82,0.82,,,0
RC,250,Aripiprazole: 30 Tablet In 1 Bottle (43598-965-30),1.73,1.73,,,0
RC,250,Aripiprazole: 30 Tablet In 1 Bottle (65862-664-30),0.82,0.82,,,0
RC,250,Aripiprazole: 90 Tablet In 1 Bottle (65162-896-09),0.64,0.64,,,0
RC,250,Aripiprazole: 90 Tablet In 1 Bottle (65162-898-09),0.64,0.64,,,0
RC,250,Armour Thyroid: 100 Tablet In 1 Bottle (0456-0458-01),2.5,2.5,,,0
RC,250,Arnuity Ellipta: 1 Inhaler In 1 Carton (0173-0874-14)  / 14 Powder In 1 Inhaler,174.51,174.51,,,0
RC,250,Arnuity Ellipta: 1 Inhaler In 1 Carton (0173-0876-14)  / 14 Powder In 1 Inhaler,237.05,237.05,,,0
RC,250,Aspirin 81 mg Enteric Coated: 120 TABLET in 1 BOTTLE (10135-689-62),0.62,0.62,,,0
RC,250,"Aspirin And Dipyridamole: 60 Capsule, Extended Release In 1 Bottle (16714-964-01)",1.81,1.81,,,0
RC,250,"Aspirin Low Dose Chewable Orange: 1000 Tablet, Chewable In 1 Package (0904-6794-80)",0.59,0.59,,,0
RC,250,"Aspirin Low Dose: 1000 Tablet, Delayed Release In 1 Bottle, Plastic (0904-6751-80)",0.63,0.63,,,0
RC,250,Aspirin: 100 Tablet In 1 Bottle (57896-901-01),0.63,0.63,,,0
RC,250,Aspirin: 12 Packet In 1 Carton (0574-7034-12)  / 1 Suppository In 1 Packet,2.96,2.96,,,0
RC,250,"Asthmanefrin: 30 Pouch In 1 Carton (0487-2784-01)  / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",5.09,5.09,,,0
RC,250,Atenolol: 100 Blister Pack In 1 Carton (0904-7187-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,250,Atenolol: 1000 Tablet In 1 Bottle (68382-023-10),0.63,0.63,,,0
RC,250,Atomoxetine: 30 Capsule In 1 Bottle (16714-758-01),4.98,4.98,,,0
RC,250,Atomoxetine: 30 Capsule In 1 Bottle (16714-759-01),5.27,5.27,,,0
RC,250,Atomoxetine: 30 Capsule In 1 Bottle (31722-717-30),4.33,4.33,,,0
RC,250,Atomoxetine: 30 Capsule In 1 Bottle (68462-265-30),3.84,3.84,,,0
RC,250,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.67,0.67,,,0
RC,250,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6291-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.59,0.59,,,0
RC,250,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6292-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.55,0.55,,,0
RC,250,Atorvastatin Calcium: 1000 Tablet In 1 Bottle (16571-137-10),0.55,0.55,,,0
RC,250,"Atovaquone And Proguanil Hcl: 24 Tablet, Film Coated In 1 Dose Pack (66993-060-27)",14.95,14.95,,,0
RC,250,Atovaquone: 1 Bottle In 1 Carton (31722-629-21)  / 210 Ml In 1 Bottle,3.69,3.69,,,0
RC,250,Atovaquone: 1 Bottle In 1 Carton (72603-248-01)  / 210 Ml In 1 Bottle,3.56,3.56,,,0
RC,250,Atovaquone: 210 Ml In 1 Bottle (68462-421-21),4.04,4.04,,,0
RC,250,Atovaquone: 42 Pouch In 1 Carton (68462-421-69)  / 5 Ml In 1 Pouch,71.4,71.4,,,0
RC,250,"Atropine: 1 BOTTLE, DROPPER in 1 CARTON (17478-215-02)  / 2 mL in 1 BOTTLE, DROPPER",1.0,1.0,,,0
RC,250,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1748-2)  / 2 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
RC,250,"Atrovent Hfa: 1 Canister In 1 Carton (0597-0087-17)  / 200 Aerosol, Metered In 1 Canister",852.37,852.37,,,0
RC,250,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (60505-0833-5)  / 200 Spray, Metered In 1 Bottle, Spray",39.4,39.4,,,0
RC,250,"Azithromycin: 100 Blister Pack In 1 Carton (0904-7350-61)  / 1 Tablet, Film Coated In 1 Blister Pack",3.49,3.49,,,0
RC,250,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06)  / 1 Tablet, Film Coated In 1 Blister Pack",1.59,1.59,,,0
RC,250,BISACODYL: 4 BLISTER PACK in 1 CARTON (57896-444-01)  / 25 SUPPOSITORY in 1 BLISTER PACK,0.63,0.63,,,0
RC,250,Bacitracin: 28.4 G In 1 Tube (0713-0280-31),4.39,4.39,,,0
RC,250,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-479-10)  / 10 Tablet In 1 Blister Pack",0.82,0.82,,,0
RC,250,Baclofen: 100 Blister Pack In 1 Carton (0904-6475-61)  / 1 Tablet In 1 Blister Pack,0.86,0.86,,,0
RC,250,Baclofen: 100 Tablet In 1 Bottle (52817-319-10),0.61,0.61,,,0
RC,250,Baclofen: 100 Tablet In 1 Bottle (72888-009-01),0.63,0.63,,,0
RC,250,Benzonatate: 100 Blister Pack In 1 Carton (0904-7153-61)  / 1 Capsule In 1 Blister Pack,0.94,0.94,,,0
RC,250,Benzonatate: 100 Capsule In 1 Bottle (42806-714-01),0.63,0.63,,,0
RC,250,"Benztropine Mesylate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-356-01)  / 1 TABLET in 1 BLISTER PACK (60687-356-11)",1.19,1.19,,,0
RC,250,Benztropine Mesylate: 100 Tablet In 1 Bottle (69315-138-01),0.63,0.63,,,0
RC,250,"Benztropine Mesylate: 100 Tablet In 1 Bottle, Plastic (0603-2434-21)",0.63,0.63,,,0
RC,250,Betadine Solution: 14.8 Ml In 1 Bottle (67618-150-05),3.13,3.13,,,0
RC,250,Betamethasone Dipropionate: 1 Tube In 1 Carton (45802-376-35)  / 15 G In 1 Tube,7.66,7.66,,,0
RC,250,Betamethasone Valerate: 15 G In 1 Tube (0168-0033-15),21.52,21.52,,,0
RC,250,"Betaxolol Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-245-01)  / 5 Ml In 1 Bottle, Plastic",115.75,115.75,,,0
RC,250,Bicalutamide: 100 Tablet In 1 Bottle (16729-023-01),1.53,1.53,,,0
RC,250,Bicalutamide: 30 Tablet In 1 Bottle (0904-6019-46),0.7,0.7,,,0
RC,250,Bicalutamide: 30 Tablet In 1 Bottle (16729-023-10),1.52,1.52,,,0
RC,250,"Biktarvy: 30 Tablet In 1 Bottle, Plastic (61958-2501-1)",355.32,355.32,,,0
RC,250,Bioglo: 100 Packet In 1 Box (17238-900-11)  / 1 Mg In 1 Packet (17238-900-99),0.62,0.62,,,0
RC,250,"Bisacodyl: 10 Blister Pack In 1 Box (0904-6407-61)  / 10 Tablet, Delayed Release In 1 Blister Pack",0.46,0.46,,,0
RC,250,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12)  / 1 Suppository In 1 Blister Pack,0.91,0.91,,,0
RC,250,Bismatrol: 236 mL in 1 BOTTLE (0904-1313-09),0.67,0.67,,,0
RC,250,"Bisoprolol Fumarate: 100 Tablet In 1 Bottle, Plastic (29300-126-01)",0.63,0.63,,,0
RC,250,"Bisoprolol Fumarate: 100 Tablet In 1 Bottle, Plastic (29300-127-01)",0.63,0.63,,,0
RC,250,"Bisoprolol Fumarate: 30 Tablet In 1 Bottle, Plastic (29300-126-13)",0.63,0.63,,,0
RC,250,Breo Ellipta: 1 Tray In 1 Carton (0173-0859-10)  / 1 Inhaler In 1 Tray / 30 Powder In 1 Inhaler,985.64,985.64,,,0
RC,250,Breo Ellipta: 1 Tray In 1 Carton (0173-0859-14)  / 1 Inhaler In 1 Tray / 14 Powder In 1 Inhaler,160.46,160.46,,,0
RC,250,Breo Ellipta: 1 Tray In 1 Carton (0173-0882-14)  / 1 Inhaler In 1 Tray / 14 Powder In 1 Inhaler,160.17,160.17,,,0
RC,250,"Bridion: 10 Vial, Single-Dose In 1 Carton (0006-5423-12)  / 2 Ml In 1 Vial, Single-Dose (0006-5423-02)",350.19,350.19,,,0
RC,250,"Brilinta: 10 Blister Pack In 1 Box, Unit-Dose (0186-0777-39)  / 10 Tablet In 1 Blister Pack",19.43,19.43,,,0
RC,250,Brilinta: 60 Tablet In 1 Bottle (0186-0776-60),20.52,20.52,,,0
RC,250,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-231-01)  / 5 Ml In 1 Bottle,11.42,11.42,,,0
RC,250,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (24208-411-05)  / 5 Ml In 1 Bottle, Dropper",36.82,36.82,,,0
RC,250,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (60505-0577-3)  / 15 Ml In 1 Bottle, Dropper",2.63,2.63,,,0
RC,250,"Brimonidine: 1 BOTTLE, DROPPER in 1 CARTON (17478-715-10)  / 5 mL in 1 BOTTLE, DROPPER",38.36,38.36,,,0
RC,250,"Briviact: 100 Blister Pack In 1 Carton (50474-470-09)  / 1 Tablet, Film Coated In 1 Blister Pack",63.65,63.65,,,0
RC,250,"Bromocriptine Mesylate: 100 Tablet In 1 Bottle, Plastic (0574-0106-01)",4.49,4.49,,,0
RC,250,Bss: 15 Ml In 1 Bottle (0065-0795-15),10.98,10.98,,,0
RC,250,Budesonide: 1 Bottle In 1 Carton (0574-9855-10)  / 100 Capsule In 1 Bottle,2.39,2.39,,,0
RC,250,"Budesonide: 100 Capsule, Coated Pellets In 1 Bottle (16714-829-01)",4.41,4.41,,,0
RC,250,"Budesonide: 100 Capsule, Delayed Release In 1 Bottle (65162-778-10)",5.4,5.4,,,0
RC,250,Bumetanide: 100 Blister Pack In 1 Carton (0904-7016-61)  / 1 Tablet In 1 Blister Pack,1.91,1.91,,,0
RC,250,Bumetanide: 100 Tablet In 1 Bottle (0832-0541-11),0.66,0.66,,,0
RC,250,Bumetanide: 100 Tablet In 1 Bottle (42799-119-01),0.89,0.89,,,0
RC,250,Bumetanide: 30 Blister Pack In 1 Carton (0904-7016-04)  / 1 Tablet In 1 Blister Pack,3.17,3.17,,,0
RC,250,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01)  / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",8.95,8.95,,,0
RC,250,"Bupropion Hydrochloride Sr: 100 Blister Pack In 1 Carton (0904-7214-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.98,0.98,,,0
RC,250,"Bupropion Hydrochloride Sr: 100 Tablet, Film Coated, Extended Release In 1 Bottle (43547-288-10)",0.61,0.61,,,0
RC,250,"Bupropion Hydrochloride Sr: 60 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (0591-3541-60)",0.61,0.61,,,0
RC,250,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7084-61)  / 1 Tablet, Extended Release In 1 Blister Pack",3.42,3.42,,,0
RC,250,"Bupropion Hydrochloride Xl: 30 Blister Pack In 1 Carton (0904-7084-04)  / 1 Tablet, Extended Release In 1 Blister Pack",2.44,2.44,,,0
RC,250,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-319-09)",0.43,0.43,,,0
RC,250,"Bupropion Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-943-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-943-01)",0.19,0.19,,,0
RC,250,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6635-61)  / 1 Tablet, Film Coated In 1 Blister Pack",2.16,2.16,,,0
RC,250,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6636-61)  / 1 Tablet, Film Coated In 1 Blister Pack",3.28,3.28,,,0
RC,250,"Bupropion Hydrochloride: 100 TABLET, FILM COATED in 1 BOX, UNIT-DOSE (0904-6093-61)",0.58,0.58,,,0
RC,250,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7121-61)  / 1 Tablet In 1 Blister Pack,0.51,0.51,,,0
RC,250,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (0093-0053-01),0.48,0.48,,,0
RC,250,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (64380-787-06),0.55,0.55,,,0
RC,250,"Buspirone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-1145-01)",1.11,1.11,,,0
RC,250,"Buspirone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (29300-245-01)",0.51,0.51,,,0
RC,250,"Buspirone Hydrochloride: 60 Tablet In 1 Bottle, Plastic (0378-1175-91)",3.53,3.53,,,0
RC,250,C20H10Na2O5 Fluorescein Sodium Ophthalmic Strips: 300 Packet In 1 Box (83851-100-30)  / 1 Mg In 1 Packet,0.63,0.63,,,0
RC,250,"CARBIDOPA, LEVODOPA AND ENTACAPONE: 100 TABLET, FILM COATED in 1 BOTTLE (64679-787-04)",7.29,7.29,,,0
RC,250,COUMADIN: 1 BOTTLE in 1 CARTON (0056-0170-70)  / 100 TABLET in 1 BOTTLE,1.66,1.66,,,0
RC,250,COUMADIN: 1 BOTTLE in 1 CARTON (0056-0172-70)  / 100 TABLET in 1 BOTTLE,1.8,1.8,,,0
RC,250,"COZAAR: 90 TABLET, FILM COATED in 1 BOTTLE (0006-0951-54)",2.16,2.16,,,0
RC,250,"Calamine: 177 Ml In 1 Bottle, Plastic (0904-2533-21)",2.98,2.98,,,0
RC,250,"Calcitonin Salmon: 1 Bottle, Glass In 1 Carton (60505-0823-6)  / 30 Spray, Metered In 1 Bottle, Glass",144.84,144.84,,,0
RC,250,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41)  / 15 Ml In 1 Bottle, Glass",32.81,32.81,,,0
RC,250,"Calcitriol: 1 Bottle, Glass In 1 Carton (64980-447-15)  / 15 Ml In 1 Bottle, Glass",32.28,32.28,,,0
RC,250,Calcitriol: 100 Capsule In 1 Container (64380-723-06),0.62,0.62,,,0
RC,250,Calcium Acetate: 100 Blister Pack In 1 Carton (0904-7119-61)  / 1 Capsule In 1 Blister Pack,2.49,2.49,,,0
RC,250,Calmoseptine: 113 G In 1 Tube (0799-0001-04),14.04,14.04,,,0
RC,250,"Candin: 1 Ml In 1 Vial, Multi-Dose (59584-138-01)",82.16,82.16,,,0
RC,250,"Capecitabine: 120 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-2512-78)",21.81,21.81,,,0
RC,250,"Capecitabine: 120 Tablet, Film Coated In 1 Bottle, Plastic (16729-073-29)",1.11,1.11,,,0
RC,250,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60)  / 60 G In 1 Tube,8.77,8.77,,,0
RC,250,Capsaicin: 1 Tube In 1 Carton (0536-2525-25)  / 60 G In 1 Tube,13.96,13.96,,,0
RC,250,Captopril: 100 BLISTER PACK in 1 CARTON (0904-5045-61)  / 1 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
RC,250,Captopril: 100 Tablet In 1 Bottle (0143-1172-01),2.63,2.63,,,0
RC,250,Carbamazepine: 1 Bottle In 1 Carton (70954-240-10)  / 450 Ml In 1 Bottle,0.25,0.25,,,0
RC,250,"Carbamazepine: 100 Blister Pack In 1 Carton (0904-3854-61)  / 1 Tablet, Chewable In 1 Blister Pack",1.25,1.25,,,0
RC,250,Carbamazepine: 100 Blister Pack In 1 Carton (0904-6172-61)  / 1 Tablet In 1 Blister Pack,1.09,1.09,,,0
RC,250,"Carbamazepine: 120 Capsule, Extended Release In 1 Bottle (29033-020-12)",2.4,2.4,,,0
RC,250,"Carbamazepine: 120 Capsule, Extended Release In 1 Bottle (60505-2805-7)",3.17,3.17,,,0
RC,250,Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (0904-6238-61)  / 1 Tablet In 1 Blister Pack,0.61,0.61,,,0
RC,250,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (0093-9701-01),0.63,0.63,,,0
RC,250,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-458-01),0.32,0.32,,,0
RC,250,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-459-01),0.56,0.56,,,0
RC,250,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (59651-457-01),0.49,0.49,,,0
RC,250,"Carbidopa And Levodopa: 100 Tablet, Extended Release In 1 Bottle, Plastic (0378-0088-01)",0.76,0.76,,,0
RC,250,"Carbidopa and Levodopa: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-046-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,250,"Carbidopa and Levodopa: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-047-10)  / 10 TABLET in 1 BLISTER PACK",0.45,0.45,,,0
RC,250,"Carbidopa and Levodopa: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-048-10)  / 10 TABLET in 1 BLISTER PACK",0.38,0.38,,,0
RC,250,"Carbidopa, Levodopa And Entacapone: 100 Tablet, Film Coated In 1 Bottle (16571-693-01)",2.43,2.43,,,0
RC,250,"Carbidopa, Levodopa, And Entacapone: 100 Tablet, Film Coated In 1 Bottle (0781-5637-01)",1.29,1.29,,,0
RC,250,"Carbidopa, Levodopa, And Entacapone: 100 Tablet, Film Coated In 1 Bottle (0781-5669-01)",1.59,1.59,,,0
RC,250,"Carboprost Tromethamine: 1 Vial, Single-Dose In 1 Carton (43598-698-11)  / 1 Ml In 1 Vial, Single-Dose",108.45,108.45,,,0
RC,250,Cardene Iv: 10 Bag In 1 Carton (43066-016-10)  / 200 Ml In 1 Bag,167.34,167.34,,,0
RC,250,"Cardizem Cd: 90 Capsule, Coated, Extended Release In 1 Bottle, Plastic (0187-0798-42)",152.47,152.47,,,0
RC,250,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7305-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7306-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.43,0.43,,,0
RC,250,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7308-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.62,0.62,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0093-7296-01)",0.59,0.59,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-092-01)",0.62,0.62,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-034-01)",0.63,0.63,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-035-01)",0.43,0.43,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3632-01)",0.51,0.51,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",0.63,0.63,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6301-61)",0.55,0.55,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6303-61)",0.6,0.6,,,0
RC,250,Cefadroxil: 50 Capsule In 1 Bottle (16714-388-01),0.81,0.81,,,0
RC,250,Cefadroxil: 50 Tablet In 1 Bottle (0093-4059-53),6.17,6.17,,,0
RC,250,Cefadroxil: 75 Ml In 1 Bottle (16714-390-01),9.48,9.48,,,0
RC,250,Cefdinir: 1 Bottle In 1 Carton (65862-218-01)  / 100 Ml In 1 Bottle,6.06,6.06,,,0
RC,250,Cefdinir: 1 Bottle In 1 Carton (65862-218-60)  / 60 Ml In 1 Bottle,7.75,7.75,,,0
RC,250,Cefdinir: 60 Capsule In 1 Bottle (57237-099-60),2.11,2.11,,,0
RC,250,"Cefpodoxime Proxetil: 100 Tablet, Film Coated In 1 Bottle (0781-5439-01)",12.16,12.16,,,0
RC,250,"Cefuroxime Axetil: 20 Blister Pack In 1 Box, Unit-Dose (60687-272-94)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-272-11)",7.24,7.24,,,0
RC,250,Cefuroxime Axetil: 20 Tablet In 1 Bottle (16714-401-01),5.21,5.21,,,0
RC,250,Cefuroxime Axetil: 60 Tablet In 1 Bottle (16714-401-02),2.82,2.82,,,0
RC,250,"Cefuroxime Axetil: 60 Tablet, Film Coated In 1 Bottle (57237-058-60)",2.28,2.28,,,0
RC,250,Celecoxib: 100 Blister Pack In 1 Carton (0904-6503-61)  / 1 Capsule In 1 Blister Pack,4.86,4.86,,,0
RC,250,Celecoxib: 100 Blister Pack In 1 Carton (60687-436-01)  / 1 Capsule In 1 Blister Pack (60687-436-11),4.5,4.5,,,0
RC,250,"Celecoxib: 100 CAPSULE in 1 BOTTLE, PLASTIC (0378-7150-01)",4.02,4.02,,,0
RC,250,Celecoxib: 100 Capsule In 1 Bottle (16714-732-01),0.63,0.63,,,0
RC,250,Celecoxib: 100 Capsule In 1 Bottle (16714-733-01),0.6,0.6,,,0
RC,250,Celecoxib: 100 Capsule In 1 Bottle (65862-908-01),0.62,0.62,,,0
RC,250,Celecoxib: 100 Capsule In 1 Bottle (65862-909-01),0.52,0.52,,,0
RC,250,Celecoxib: 100 Capsule In 1 Bottle (69367-302-01),0.64,0.64,,,0
RC,250,Celecoxib: 100 Capsule In 1 Bottle (72241-023-05),0.63,0.63,,,0
RC,250,Celecoxib: 100 Capsule In 1 Bottle (72241-024-05),0.52,0.52,,,0
RC,250,Cephalexin: 100 Capsule In 1 Bottle (0093-3147-01),0.63,0.63,,,0
RC,250,Cephalexin: 100 Capsule In 1 Bottle (65862-018-01),0.32,0.32,,,0
RC,250,Cephalexin: 100 Capsule In 1 Bottle (65862-019-01),0.63,0.63,,,0
RC,250,Cephalexin: 100 Ml In 1 Bottle (0093-4177-73),5.35,5.35,,,0
RC,250,Cephalexin: 100 Ml In 1 Bottle (68180-441-01),3.51,3.51,,,0
RC,250,Cephalexin: 500 Capsule In 1 Bottle (0093-3147-05),0.63,0.63,,,0
RC,250,Cervidil: 1 Pouch In 1 Carton (55566-2800-1)  / 10 Mg In 1 Pouch (55566-2800-0),1380.01,1380.01,,,0
RC,250,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),0.41500000000000004,0.41500000000000004,,,0
RC,250,"Cetirizine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3635-01)",0.5,0.5,,,0
RC,250,"Cetirizine Hydrochloride: 90 Tablet, Coated In 1 Bottle (70010-163-09)",0.63,0.63,,,0
RC,250,"Cetirizine: 100 Blister Pack In 1 Carton (0904-6717-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Childrens Acetaminophen: 10 Tray In 1 Case (0121-1781-00)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-1781-05)",2.03,2.03,,,0
RC,250,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0033-02),0.39,0.39,,,0
RC,250,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0158-02),0.41,0.41,,,0
RC,250,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0159-02),0.36,0.36,,,0
RC,250,Chlorhexidine Gluconate: 473 Ml In 1 Bottle (0116-2001-16),0.18,0.18,,,0
RC,250,"Chlorthalidone: 100 Tablet In 1 Bottle, Plastic (0378-0222-01)",0.63,0.63,,,0
RC,250,Cilostazol: 60 Tablet In 1 Bottle (0093-2064-06),0.63,0.63,,,0
RC,250,Cilostazol: 60 Tablet In 1 Bottle (0093-2065-06),0.42,0.42,,,0
RC,250,Ciloxan: 3.5 G In 1 Tube (0078-0841-01),658.01,658.01,,,0
RC,250,Ciloxan: 3.5 G In 1 Tube (66758-071-38),705.07,705.07,,,0
RC,250,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",1.16,1.16,,,0
RC,250,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-10)",1.22,1.22,,,0
RC,250,"Cinacalcet: 90 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-15)",1.22,1.22,,,0
RC,250,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-05)  / 5 Ml In 1 Bottle, Plastic",1.0,1.0,,,0
RC,250,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-25)  / 2.5 Ml In 1 Bottle, Plastic",1.0,1.0,,,0
RC,250,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7083-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.71,0.71,,,0
RC,250,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7243-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,Ciprofloxacin: 100 Tablet In 1 Bottle (43547-688-10),0.48,0.48,,,0
RC,250,"Ciprofloxacin: 100 Tablet, Coated In 1 Bottle (58657-675-01)",0.54,0.54,,,0
RC,250,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle (65862-076-01)",0.48,0.48,,,0
RC,250,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (16252-515-01)",2.22,2.22,,,0
RC,250,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01)  / 10 Ml In 1 Vial,20.12,20.12,,,0
RC,250,Cisatracurium Besylate: 10 Box In 1 Carton (0781-3150-95)  / 1 Vial In 1 Box (0781-3150-75)  / 5 Ml In 1 Vial,7.57,7.57,,,0
RC,250,"Cisatracurium Besylate: 10 Vial, Multi-Dose In 1 Carton (0781-3152-95)  / 10 Ml In 1 Vial, Multi-Dose (0781-3152-70)",14.02,14.02,,,0
RC,250,"Citalopram: 100 Blister Pack In 1 Carton (0904-6084-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.53,0.53,,,0
RC,250,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.44,0.44,,,0
RC,250,"Citalopram: 100 Tablet, Film Coated In 1 Bottle (13668-009-01)",0.53,0.53,,,0
RC,250,"Citalopram: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-6232-01)",0.42,0.42,,,0
RC,250,Clarithromycin: 60 Tablet In 1 Bottle (0781-1962-60),2.37,2.37,,,0
RC,250,Clindamycin Hydrochloride: 100 Blister Pack In 1 Carton (0904-5959-61)  / 1 Capsule In 1 Blister Pack,0.47,0.47,,,0
RC,250,Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle In 1 Carton (16714-483-01)  / 100 Ml In 1 Bottle,0.54,0.54,,,0
RC,250,Clindamycin Palmitate Hydrochloride (Pediatric): 100 Ml In 1 Bottle (64980-511-10),0.44,0.44,,,0
RC,250,Clinimix E: 1000 Ml In 1 Bag (0338-1148-03),393.75,393.75,,,0
RC,250,Clobazam: 100 Tablet In 1 Bottle (51991-900-01),0.93,0.93,,,0
RC,250,"Clobetasol Propionate Cream Usp, 0.05% Clobetasol Propionate Cream Usp, 0.05%: 15 G In 1 Tube (72603-323-01)",13.92,13.92,,,0
RC,250,Clobetasol Propionate: 1 Tube In 1 Carton (43386-096-60)  / 15 G In 1 Tube,30.99,30.99,,,0
RC,250,Clobetasol Propionate: 1 Tube In 1 Carton (69238-1532-5)  / 15 G In 1 Tube,10.18,10.18,,,0
RC,250,Clobetasol Propionate: 15 G In 1 Tube (0168-0163-15),39.1,39.1,,,0
RC,250,Clomipramine Hydrochloride: 30 Capsule In 1 Bottle (51672-4012-6),1.63,1.63,,,0
RC,250,"Clonazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-263-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,250,"Clonazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-264-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,250,Clonazepam: 100 BLISTER PACK in 1 CARTON (51079-882-20)  / 1 TABLET in 1 BLISTER PACK (51079-882-01),0.45,0.45,,,0
RC,250,Clonazepam: 100 Blister Pack In 1 Carton (0904-7227-61)  / 1 Tablet In 1 Blister Pack,1.04,1.04,,,0
RC,250,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-136-00)",0.63,0.63,,,0
RC,250,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-137-00)",0.48,0.48,,,0
RC,250,"Clonazepam: 500 Tablet In 1 Bottle, Plastic (16729-136-16)",0.61,0.61,,,0
RC,250,"Clonidine Hydrochloride: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-060-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,250,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2127-10),0.4,0.4,,,0
RC,250,"Clonidine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (29300-136-01)",0.48,0.48,,,0
RC,250,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.61,0.61,,,0
RC,250,"Clopidogrel: 30 Blister Pack In 1 Carton (0904-6467-07)  / 1 Tablet, Film Coated In 1 Blister Pack",20.2,20.2,,,0
RC,250,Clopidogrel: 90 Tablet In 1 Bottle (16714-052-02),0.62,0.62,,,0
RC,250,"Clopidogrel: 90 Tablet, Film Coated In 1 Bottle (65862-357-90)",0.62,0.62,,,0
RC,250,"Clotrimazole: 70 Lozenge In 1 Bottle, Plastic (0574-0107-70)",1.67,1.67,,,0
RC,250,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (64950-362-04)  / 4 Ml In 1 Bottle, Glass",568.43,568.43,,,0
RC,250,Codeine Sulfate: 10 Blister Pack In 1 Box (0054-0243-24)  / 10 Tablet In 1 Blister Pack,1.52,1.52,,,0
RC,250,Codeine Sulfate: 10 Blister Pack In 1 Box (0054-0244-24)  / 10 Tablet In 1 Blister Pack,2.09,2.09,,,0
RC,250,Codeine Sulfate: 100 Tablet In 1 Bottle (0054-0244-25),1.54,1.54,,,0
RC,250,Colchicine: 100 Tablet In 1 Bottle (59651-455-01),0.61,0.61,,,0
RC,250,Colchicine: 100 Tablet In 1 Bottle (67877-589-01),0.62,0.62,,,0
RC,250,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04)  / 1 Tablet, Film Coated In 1 Blister Pack",12.78,12.78,,,0
RC,250,Colchicine: 30 Tablet In 1 Bottle (65162-710-03),1.39,1.39,,,0
RC,250,"Colcrys: 100 Tablet, Film Coated In 1 Bottle, Plastic (64764-119-01)",6.15,6.15,,,0
RC,250,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-30)  / 30 G In 1 Tube,772.01,772.01,,,0
RC,250,"Copper: 25 Vial, Single-Dose In 1 Tray (0409-4092-01)  / 10 Ml In 1 Vial, Single-Dose (0409-4092-11)",1.88,1.88,,,0
RC,250,"Corlanor: 60 Tablet, Film Coated In 1 Bottle (55513-800-60)",12.01,12.01,,,0
RC,250,Cortef: 50 Tablet In 1 Bottle (0009-0012-01),2.46,2.46,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",5.77,5.77,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-01)",23.06,23.06,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",23.08,23.08,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",34.01,34.01,,,0
RC,250,"Creon: 70 Capsule, Delayed Release In 1 Bottle (0032-0045-70)",4.9,4.9,,,0
RC,250,Cresemba: 2 Blister Pack In 1 Carton (0469-0520-02)  / 7 Capsule In 1 Blister Pack,232.93,232.93,,,0
RC,250,"Curosurf: 3 Ml In 1 Vial, Glass (10122-510-03)",2382.58,2382.58,,,0
RC,250,"Cyclobenzaprine Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-644-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-644-01)",0.63,0.63,,,0
RC,250,"Cyclobenzaprine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0603-3078-21)",0.37,0.37,,,0
RC,250,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-3422-01)",0.62,0.62,,,0
RC,250,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",0.39,0.39,,,0
RC,250,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (72888-014-01)",0.63,0.63,,,0
RC,250,"Cyclobenzaprine Hydrochloride: 30 Blister Pack In 1 Box, Unit-Dose (68084-753-25)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-753-95)",1.05,1.05,,,0
RC,250,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-01)  / 2 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
RC,250,Cyclosporine: 10 AMPULE in 1 CARTON (0574-0866-10)  / 5 mL in 1 AMPULE,29.63,29.63,,,0
RC,250,"Cymbalta: 30 Capsule, Delayed Release In 1 Bottle (0002-3240-30)",22.64,22.64,,,0
RC,250,Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle (70710-1110-1),0.86,0.86,,,0
RC,250,"Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0115-1757-01)",0.6,0.6,,,0
RC,250,Cytomel: 100 Tablet In 1 Bottle (60793-115-01),0.1,0.1,,,0
RC,250,"Cytotec: 60 Tablet In 1 Bottle, Unit-Dose (0025-1451-60)",1.19,1.19,,,0
RC,250,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-621-60),5.57,5.57,,,0
RC,250,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-622-60),5.88,5.88,,,0
RC,250,Dakins Half: 473 Ml In 1 Bottle (0436-0936-16),39.91,39.91,,,0
RC,250,Dakins Quarter: 473 Ml In 1 Bottle (0436-0672-16),26.1,26.1,,,0
RC,250,Dantrolene Sodium: 100 Capsule In 1 Bottle (0115-4411-01),1.43,1.43,,,0
RC,250,"Dapagliflozin: 30 Tablet, Film Coated In 1 Bottle, Plastic (66993-457-30)",31.56,31.56,,,0
RC,250,Dapsone: 30 Tablet In 1 Bottle (70954-135-10),1.98,1.98,,,0
RC,250,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",3.74,3.74,,,0
RC,250,Dehydrated Alcohol: 10 VIAL in 1 CARTON (17478-503-05)  / 5 mL in 1 VIAL,715.32,715.32,,,0
RC,250,"Delzicol: 180 Capsule, Delayed Release In 1 Bottle (0023-5853-18)",9.39,9.39,,,0
RC,250,Dermoplast Pain Relieving: 78 G In 1 Can (16864-680-01),16.15,16.15,,,0
RC,250,Dermoplast Pain Relieving: 85 G In 1 Can (16864-680-03),14.8,14.8,,,0
RC,250,"Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1)",184.56,184.56,,,0
RC,250,Desipramine Hydrochloride: 100 Tablet In 1 Bottle (23155-579-01),2.05,2.05,,,0
RC,250,Desipramine Hydrochloride: 100 Tablet In 1 Bottle (50742-113-01),0.32,0.32,,,0
RC,250,Desitin Maximum Strength: 1 TUBE in 1 CARTON (58232-0721-3)  / 56 g in 1 TUBE,11.43,11.43,,,0
RC,250,"Desmopressin Acetate: 1 Bottle, Spray In 1 Carton (60505-0815-0)  / 50 Spray In 1 Bottle, Spray",238.33,238.33,,,0
RC,250,Desmopressin Acetate: 100 Tablet In 1 Bottle (60505-0258-1),2.2,2.2,,,0
RC,250,"Desvenlafaxine Succinate: 30 Tablet, Film Coated, Extended Release In 1 Bottle (68180-604-06)",1.89,1.89,,,0
RC,250,"Desvenlafaxine: 30 Tablet, Extended Release In 1 Bottle (0591-3659-30)",2.46,2.46,,,0
RC,250,"Desvenlafaxine: 30 Tablet, Film Coated, Extended Release In 1 Bottle (0054-0603-13)",2.38,2.38,,,0
RC,250,"Detrol: 60 Tablet, Film Coated In 1 Bottle (0009-4541-02)",9.22,9.22,,,0
RC,250,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02)  / 5 Ml In 1 Bottle, Dropper",106.24,106.24,,,0
RC,250,Dexmedetomidine Hydrochloride In 0.9% Sodium Chloride: 10 Bottle In 1 Carton (0781-3494-95)  / 50 Ml In 1 Bottle,19.73,19.73,,,0
RC,250,Dexmedetomidine Hydrochloride In 0.9% Sodium Chloride: 24 Bag In 1 Carton (43066-555-24)  / 50 Ml In 1 Bag,35.06,35.06,,,0
RC,250,Dexmedetomidine Hydrochloride: 24 Bag In 1 Carton (0338-9555-24)  / 50 Ml In 1 Bag,37.39,37.39,,,0
RC,250,Dexmedetomidine: 25 Vial In 1 Carton (55150-209-02)  / 2 Ml In 1 Vial,3.64,3.64,,,0
RC,250,"Dexmedetomidine: 25 Vial, Glass In 1 Carton (66794-233-42)  / 2 Ml In 1 Vial, Glass (66794-233-02)",2.42,2.42,,,0
RC,250,"Dexmethylphenidate Hydrochloride: 100 Capsule, Extended Release In 1 Bottle (70010-006-01)",3.49,3.49,,,0
RC,250,"Dexmethylphenidate Hydrochloride: 100 Capsule, Extended Release In 1 Bottle (70010-007-01)",4.4,4.4,,,0
RC,250,Dexmethylphenidate Hydrochloride: 100 Tablet In 1 Bottle (10702-107-01),0.73,0.73,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (31722-186-01)",1.39,1.39,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (0228-3059-11)",1.24,1.24,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, And Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (64850-511-01)",1.12,1.12,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0527-0765-37)",0.98,0.98,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0555-0973-02)",0.94,0.94,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (13107-068-01)",0.91,0.91,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (13107-073-01)",0.91,0.91,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (16714-948-01)",1.38,1.38,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle, Plastic (42806-339-01)",0.73,0.73,,,0
RC,250,Dextromethorphan Polistirex Extended Release: 1 Bottle In 1 Carton (45802-433-21)  / 89 Ml In 1 Bottle,1.25,1.25,,,0
RC,250,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),38.0,38.0,,,0
RC,250,Dextrose: 20 Bag In 1 Carton (0338-0066-20)  / 500 Ml In 1 Bag,1.0,1.0,,,0
RC,250,Dextrose: 24 Container In 1 Case (0264-7510-10)  / 500 Ml In 1 Container,1.0,1.0,,,0
RC,250,Dextrose: 24 Container In 1 Case (0264-7510-20)  / 250 Ml In 1 Container,1.0,1.0,,,0
RC,250,Dextrose: 4 Bag In 1 Pouch (0338-0017-18)  / 100 Ml In 1 Bag,1.0,1.0,,,0
RC,250,Dextrose: 500 Ml In 1 Bag (0338-0017-03),1.0,1.0,,,0
RC,250,Dianeal Low Calcium With Dextrose: 2500 Ml In 1 Bag (0941-0424-53),111.0,111.0,,,0
RC,250,Dianeal Low Calcium With Dextrose: 2500 Ml In 1 Bag (0941-0430-53),111.1,111.1,,,0
RC,250,Dianeal Low Calcium With Dextrose: 2500 Ml In 1 Bag (0941-0433-53),130.38,130.38,,,0
RC,250,Dianeal Pd-2 With Dextrose: 2500 Ml In 1 Bag (0941-0426-53),84.63,84.63,,,0
RC,250,Dianeal Pd-2 With Dextrose: 2500 Ml In 1 Bag (0941-0427-53),88.37,88.37,,,0
RC,250,Dianeal Pd-2 With Dextrose: 2500 Ml In 1 Bag (0941-0429-53),84.8,84.8,,,0
RC,250,"Diazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-073-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,250,Diazepam: 100 Blister Pack In 1 Carton (51079-285-20)  / 1 Tablet In 1 Blister Pack (51079-285-01),0.6,0.6,,,0
RC,250,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),0.61,0.61,,,0
RC,250,Diazepam: 100 Tablet In 1 Bottle (0172-3926-60),0.6,0.6,,,0
RC,250,Diazepam: 100 Tablet In 1 Bottle (0172-3927-60),0.63,0.63,,,0
RC,250,Diazepam: 500 Tablet In 1 Bottle (0172-3925-70),0.63,0.63,,,0
RC,250,Dibucaine Topical Anesthetic 1% Hemorrhoidal: 1 Tube In 1 Box (0536-1211-95)  / 28 G In 1 Tube,9.07,9.07,,,0
RC,250,"Diclegis: 100 Tablet, Delayed Release In 1 Bottle (55494-100-10)",5.86,5.86,,,0
RC,250,Diclofenac Sodium: 1 Tube In 1 Carton (58602-604-07)  / 100 G In 1 Tube,20.06,20.06,,,0
RC,250,Diclofenac Sodium: 1 Tube In 1 Carton (69097-524-44)  / 100 G In 1 Tube,38.04,38.04,,,0
RC,250,Diclofenac Sodium: 1 Tube In 1 Carton (76282-663-39)  / 100 G In 1 Tube,8.67,8.67,,,0
RC,250,Dicloxacillin Sodium: 100 Capsule In 1 Bottle (0093-3123-01),1.73,1.73,,,0
RC,250,Dicyclomine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6988-61)  / 1 Tablet In 1 Blister Pack,1.0,1.0,,,0
RC,250,"Dicyclomine Hydrochloride: 473 Ml In 1 Bottle, Plastic (0603-1161-58)",0.58,0.58,,,0
RC,250,"Dificid: 1 Bottle In 1 Carton (52015-080-01)  / 20 Tablet, Film Coated In 1 Bottle",324.59,324.59,,,0
RC,250,Diflucan: 30 Tablet In 1 Bottle (0049-3420-30),19.51,19.51,,,0
RC,250,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61)  / 1 Tablet In 1 Blister Pack,2.66,2.66,,,0
RC,250,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61)  / 1 Tablet In 1 Blister Pack,2.37,2.37,,,0
RC,250,Digoxin: 100 Tablet In 1 Bottle (0115-9811-01),0.63,0.63,,,0
RC,250,Digoxin: 100 Tablet In 1 Bottle (16714-590-01),1.0,1.0,,,0
RC,250,Digoxin: 100 Tablet In 1 Bottle (16714-591-01),1.01,1.01,,,0
RC,250,Dilantin: 100 Capsule In 1 Bottle (0071-0369-24),4.08,4.08,,,0
RC,250,"Dilantin: 100 Capsule, Extended Release In 1 Bottle, Plastic (58151-118-01)",3.98,3.98,,,0
RC,250,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6013-10)  / 5 Ml In 1 Vial (0641-6013-01),3.65,3.65,,,0
RC,250,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6015-10)  / 25 Ml In 1 Vial (0641-6015-01),14.96,14.96,,,0
RC,250,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-9217-10)  / 5 Ml In 1 Vial (0641-9217-01),5.52,5.52,,,0
RC,250,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-9218-10)  / 10 Ml In 1 Vial (0641-9218-01),8.39,8.39,,,0
RC,250,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-05)  / 5 Ml In 1 Vial,3.49,3.49,,,0
RC,250,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (0904-7218-61)  / 1 Capsule, Extended Release In 1 Blister Pack",0.7,0.7,,,0
RC,250,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (0904-7219-61)  / 1 Capsule, Extended Release In 1 Blister Pack",0.87,0.87,,,0
RC,250,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-481-01),0.63,0.63,,,0
RC,250,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0318-01)",0.61,0.61,,,0
RC,250,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0319-01)",0.58,0.58,,,0
RC,250,"Diltiazem Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (50742-249-90)",0.59,0.59,,,0
RC,250,Diovan: 90 Tablet In 1 Bottle (0078-0358-34),4.08,4.08,,,0
RC,250,"Diphenhydramine Hcl: 118 Ml In 1 Bottle, Plastic (0904-6985-20)",0.63,0.63,,,0
RC,250,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-04)  *  118 Ml In 1 Bottle, Plastic *  .1 G In 1 Bottle, Glass *  ",18.3,18.3,,,0
RC,250,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),0.44,0.44,,,0
RC,250,"Diphenoxylate Hydrochloride and Atropine Sulfate: 100 TABLET in 1 BOTTLE, PLASTIC (0378-0415-01)",1.71,1.71,,,0
RC,250,"Divalproex Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-995-10)  / 10 Capsule In 1 Blister Pack",1.48,1.48,,,0
RC,250,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6363-61)  / 1 Tablet, Extended Release In 1 Blister Pack",1.82,1.82,,,0
RC,250,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6615-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",1.76,1.76,,,0
RC,250,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6860-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.53,0.53,,,0
RC,250,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6861-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.59,0.59,,,0
RC,250,"Divalproex Sodium: 100 Capsule, Delayed Release In 1 Bottle (55111-532-01)",0.74,0.74,,,0
RC,250,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (57237-047-01)",0.53,0.53,,,0
RC,250,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-796-88)",0.43,0.43,,,0
RC,250,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-797-88)",0.58,0.58,,,0
RC,250,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-798-88)",0.56,0.56,,,0
RC,250,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-138-01)",0.36,0.36,,,0
RC,250,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-140-01)",0.61,0.61,,,0
RC,250,"Divalproex Sodium: 100 Tablet, Film Coated, Extended Release In 1 Bottle (16714-485-01)",0.95,0.95,,,0
RC,250,"Divalproex Sodium: 90 Blister Pack In 1 Carton (0904-6861-90)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.78,0.78,,,0
RC,250,Docosanol: 1 Tube In 1 Package (61269-981-35)  / 2 G In 1 Tube,29.5,29.5,,,0
RC,250,Docosanol: 2 G In 1 Tube (61269-881-35),28.45,28.45,,,0
RC,250,"Docusate Sodium - Stool Softener Laxative: 10 Blister Pack In 1 Carton (0904-7183-61)  / 10 Capsule, Liquid Filled In 1 Blister Pack",0.62,0.62,,,0
RC,250,"Docusate Sodium: 1000 Capsule In 1 Bottle, Plastic (0904-6998-80)",0.63,0.63,,,0
RC,250,Dofetilide: 40 Blister Pack In 1 Carton (0904-6681-08)  / 1 Capsule In 1 Blister Pack,8.48,8.48,,,0
RC,250,Dofetilide: 60 Capsule In 1 Bottle (72205-039-60),0.65,0.65,,,0
RC,250,Dofetilide: 60 Capsule In 1 Bottle (72603-130-01),9.45,9.45,,,0
RC,250,"Donepezil Hydrochloride: 10 BLISTER PACK in 1 CARTON (59762-0245-3)  / 10 TABLET, FILM COATED in 1 BLISTER PACK",0.63,0.63,,,0
RC,250,"Donepezil Hydrochloride: 100 Blister Pack In 1 Carton (0904-6477-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.61,0.61,,,0
RC,250,"Donepezil Hydrochloride: 100 Blister Pack In 1 Carton (0904-6478-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Donepezil Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (24979-004-06)",1.55,1.55,,,0
RC,250,"Donepezil: 100 Blister Pack In 1 Box, Unit-Dose (60687-292-01)  / 1 Tablet In 1 Blister Pack (60687-292-11)",0.63,0.63,,,0
RC,250,"Dorzolamide Hcl: 1 Bottle, Dropper In 1 Carton (24208-485-10)  / 10 Ml In 1 Bottle, Dropper",28.85,28.85,,,0
RC,250,Dorzolamide Hydrochloride And Timolol Maleate Ophthalmic Solution: 1 Bottle In 1 Carton (42571-147-26)  / 10 Ml In 1 Bottle,125.31,125.31,,,0
RC,250,Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle In 1 Carton (70069-051-01)  / 10 Ml In 1 Bottle,2.17,2.17,,,0
RC,250,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (24208-486-10)  / 10 Ml In 1 Bottle, Dropper",55.87,55.87,,,0
RC,250,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (65862-946-01)  / 10 Ml In 1 Bottle, Dropper",53.25,53.25,,,0
RC,250,Dorzolamide Hydrochloride Ophthalmic Solution: 1 Bottle In 1 Carton (42571-141-26)  / 10 Ml In 1 Bottle,49.15,49.15,,,0
RC,250,"Dorzolamide Hydrochloride Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (71921-226-10)  / 10 Ml In 1 Bottle, Dispensing",0.33,0.33,,,0
RC,250,Doxazosin: 100 Blister Pack In 1 Carton (0904-5522-61)  / 1 Tablet In 1 Blister Pack,2.15,2.15,,,0
RC,250,Doxazosin: 100 Blister Pack In 1 Carton (0904-5523-61)  / 1 Tablet In 1 Blister Pack,1.22,1.22,,,0
RC,250,Doxazosin: 100 Blister Pack In 1 Carton (0904-5524-61)  / 1 Tablet In 1 Blister Pack,2.18,2.18,,,0
RC,250,"Doxepin Hydrochloride: 100 Capsule In 1 Bottle, Plastic (0378-4250-01)",2.36,2.36,,,0
RC,250,"Doxepin Hydrochloride: 120 Ml In 1 Bottle, Plastic (54838-512-40)",0.81,0.81,,,0
RC,250,Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0428-06)  / 1 Capsule In 1 Blister Pack,2.96,2.96,,,0
RC,250,Doxycycline Hyclate: 50 Capsule In 1 Bottle (69238-1100-2),0.68,0.68,,,0
RC,250,"Doxycycline Hyclate: 50 Capsule In 1 Bottle, Plastic (0143-9803-50)",0.63,0.63,,,0
RC,250,Doxycycline: 50 Capsule In 1 Bottle (27808-233-01),0.62,0.62,,,0
RC,250,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),10.11,10.11,,,0
RC,250,"Doxycycline: 60 mL in 1 BOTTLE, GLASS (67405-475-62)",17.8,17.8,,,0
RC,250,"Doxylamine Succinate And Pyridoxine Hydrochloride: 100 Tablet, Delayed Release In 1 Bottle (69452-206-20)",3.81,3.81,,,0
RC,250,Droxidopa: 90 CAPSULE in 1 BOTTLE (0054-0532-22),3.7,3.7,,,0
RC,250,Droxidopa: 90 Capsule In 1 Bottle (31722-014-90),1.91,1.91,,,0
RC,250,"Duloxetine Delayed-Release: 90 Capsule, Delayed Release Pellets In 1 Bottle (51991-746-90)",0.46,0.46,,,0
RC,250,"Duloxetine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6452-61)  / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK",3.9,3.9,,,0
RC,250,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",2.98,2.98,,,0
RC,250,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7045-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",1.53,1.53,,,0
RC,250,"Duloxetine: 30 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-675-21)  / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK (68084-675-11)",4.21,4.21,,,0
RC,250,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04)  / 1 Capsule, Delayed Release In 1 Blister Pack",2.86,2.86,,,0
RC,250,"Duloxetine: 30 Capsule, Delayed Release In 1 Bottle (68180-295-06)",0.64,0.64,,,0
RC,250,"Duloxetine: 30 Capsule, Delayed Release Pellets In 1 Bottle (0228-2891-03)",3.65,3.65,,,0
RC,250,"Duloxetine: 30 Capsule, Delayed Release Pellets In 1 Bottle (0228-2892-03)",3.55,3.55,,,0
RC,250,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (68180-294-07)",0.58,0.58,,,0
RC,250,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (27241-098-09)",0.64,0.64,,,0
RC,250,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-296-09)",0.61,0.61,,,0
RC,250,"Edurant: 30 Tablet, Film Coated In 1 Bottle (59676-278-01)",124.95,124.95,,,0
RC,250,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31)  / 10 Tablet, Film Coated In 1 Blister Pack",3.78,3.78,,,0
RC,250,"Eliquis: 10 Blister Pack In 1 Carton (0003-0894-31)  / 10 Tablet, Film Coated In 1 Blister Pack",3.8,3.8,,,0
RC,250,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0893-21)",4.0,4.0,,,0
RC,250,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0894-21)",3.64,3.64,,,0
RC,250,"Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (0093-7704-56)",1.94,1.94,,,0
RC,250,Emtricitabine: 30 Capsule In 1 Bottle (65862-301-30),30.63,30.63,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-443-01),0.45,0.45,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-444-01),0.47,0.47,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (23155-772-01),0.56,0.56,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (43547-545-10),0.63,0.63,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4037-1),0.63,0.63,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4038-1),0.58,0.58,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4245-1),0.54,0.54,,,0
RC,250,Entacapone: 100 Tablet In 1 Bottle (27241-049-10),1.24,1.24,,,0
RC,250,"Entecavir: 30 Tablet, Film Coated In 1 Bottle, Plastic (16714-717-01)",4.47,4.47,,,0
RC,250,Entereg: 6 BLISTER PACK in 1 CARTON (67919-020-10)  / 5 CAPSULE in 1 BLISTER PACK,515.52,515.52,,,0
RC,250,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",27.32,27.32,,,0
RC,250,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0696-20)",29.3,29.3,,,0
RC,250,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",22.1,22.1,,,0
RC,250,Enulose: 473 Ml In 1 Bottle (45963-438-64),3.23,3.23,,,0
RC,250,"Epidiolex: 1 Bottle, Glass In 1 Carton (70127-100-10)  / 100 Ml In 1 Bottle, Glass (70127-100-01)",98.76,98.76,,,0
RC,250,Epivir: 240 Ml In 1 Bottle (49702-205-48),6.16,6.16,,,0
RC,250,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (51991-877-33)",1.44,1.44,,,0
RC,250,Ery-Ped: 100 Ml In 1 Bottle (24338-132-13),60.75,60.75,,,0
RC,250,Erythromycin Ethylsuccinate: 100 Ml In 1 Bottle (75834-295-01),27.29,27.29,,,0
RC,250,"Erythromycin: 100 Tablet, Coated In 1 Bottle (13668-606-01)",4.92,4.92,,,0
RC,250,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (75834-242-30)",10.84,10.84,,,0
RC,250,Erythromycin: 50 Tube In 1 Box (24208-910-19)  / 1 G In 1 Tube,15.48,15.48,,,0
RC,250,Erythromycin: 50 Tube In 1 Carton (48102-057-11)  / 1 G In 1 Tube,23.73,23.73,,,0
RC,250,Erythromycin: 50 Tube In 1 Carton (72485-670-31)  / 1 G In 1 Tube,10.26,10.26,,,0
RC,250,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.5,0.5,,,0
RC,250,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6427-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.61,0.61,,,0
RC,250,"Escitalopram: 100 TABLET, FILM COATED in 1 BOTTLE (0093-5850-01)",0.63,0.63,,,0
RC,250,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-280-10)",0.39,0.39,,,0
RC,250,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-282-10)",0.57,0.57,,,0
RC,250,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (65862-373-01)",0.54,0.54,,,0
RC,250,"Esomeprazole Magnesium: 30 Capsule, Delayed Release In 1 Bottle (65862-784-30)",0.87,0.87,,,0
RC,250,Estradiol: 100 Tablet In 1 Bottle (0555-0886-02),0.58,0.58,,,0
RC,250,Estradiol: 100 Tablet In 1 Bottle (0555-0887-02),0.37,0.37,,,0
RC,250,"Ethambutol Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (61748-011-01)",0.66,0.66,,,0
RC,250,"Ethambutol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (42806-102-01)",1.17,1.17,,,0
RC,250,Exemestane: 30 Tablet In 1 Bottle (69097-316-02),4.04,4.04,,,0
RC,250,"Exemestane: 30 Tablet, Film Coated In 1 Bottle (59651-516-30)",3.44,3.44,,,0
RC,250,Ezetimibe: 30 Blister Pack In 1 Carton (0904-7103-04)  / 1 Tablet In 1 Blister Pack,19.63,19.63,,,0
RC,250,Ezetimibe: 30 Tablet In 1 Bottle (16714-813-01),0.63,0.63,,,0
RC,250,Ezetimibe: 30 Tablet In 1 Bottle (16729-433-10),0.63,0.63,,,0
RC,250,Ezetimibe: 90 Tablet In 1 Bottle (16714-813-02),0.63,0.63,,,0
RC,250,FENTANYL TRANSDERMAL: 5 POUCH in 1 CARTON (0406-9025-76)  / 1 PATCH in 1 POUCH / 72 h in 1 PATCH,14.04,14.04,,,0
RC,250,FENTANYL TRANSDERMAL: 5 POUCH in 1 CARTON (0406-9075-76)  / 1 PATCH in 1 POUCH / 72 h in 1 PATCH,38.61,38.61,,,0
RC,250,"Famciclovir: 30 Tablet, Film Coated In 1 Bottle (0093-8117-56)",1.43,1.43,,,0
RC,250,"Famotidine: 1 Bottle In 1 Carton (69230-326-01)  / 100 Tablet, Film Coated In 1 Bottle",0.63,0.63,,,0
RC,250,"Famotidine: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-484-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,250,"Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10)  / 10 Tablet In 1 Blister Pack",0.505,0.505,,,0
RC,250,"Famotidine: 100 Blister Pack In 1 Carton (0904-7193-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.535,0.535,,,0
RC,250,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (31722-017-01)",0.44,0.44,,,0
RC,250,"Famotidine: 1000 Tablet, Film Coated In 1 Bottle (0172-5728-80)",0.615,0.615,,,0
RC,250,"Famotidine: 1000 Tablet, Film Coated In 1 Bottle (31722-017-10)",0.435,0.435,,,0
RC,250,Famotidine: 24 Bottle In 1 Box (61442-121-01)  / 100 Tablet In 1 Bottle,0.46,0.46,,,0
RC,250,"Famotidine: 50 Blister Pack In 1 Carton (0904-7193-06)  / 1 Tablet, Film Coated In 1 Blister Pack",0.51,0.51,,,0
RC,250,"Famotidine: 500 Tablet, Film Coated In 1 Bottle (0172-5728-70)",0.56,0.56,,,0
RC,250,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6205-30)",33.2,33.2,,,0
RC,250,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6210-30)",32.84,32.84,,,0
RC,250,Febuxostat: 30 Tablet In 1 Bottle (27808-207-01),2.83,2.83,,,0
RC,250,"Febuxostat: 30 Tablet, Film Coated In 1 Bottle (72205-028-30)",1.23,1.23,,,0
RC,250,"Fenofibrate: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-3065-77)",0.63,0.63,,,0
RC,250,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9100-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,73.38,73.38,,,0
RC,250,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9112-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,33.63,33.63,,,0
RC,250,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9125-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,17.73,17.73,,,0
RC,250,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9150-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,32.07,32.07,,,0
RC,250,Fentanyl: 5 Pouch In 1 Carton (0378-9122-98)  / 1 Patch In 1 Pouch (0378-9122-16)  / 72 H In 1 Patch,26.97,26.97,,,0
RC,250,"Fiber Lax: 90 Tablet, Film Coated In 1 Bottle (0536-4306-11)",0.63,0.63,,,0
RC,250,"Finasteride: 100 Blister Pack In 1 Carton (0904-6830-61)  / 1 Tablet, Film Coated In 1 Blister Pack",2.62,2.62,,,0
RC,250,"Finasteride: 30 Tablet, Film Coated In 1 Bottle (31722-526-30)",0.63,0.63,,,0
RC,250,"Finasteride: 30 Tablet, Film Coated In 1 Bottle (65862-927-30)",0.63,0.63,,,0
RC,250,"Finasteride: 90 Tablet, Film Coated In 1 Bottle (65862-149-90)",0.63,0.63,,,0
RC,250,Flecainide Acetate: 100 Tablet In 1 Bottle (0054-0010-25),1.47,1.47,,,0
RC,250,Flecainide Acetate: 100 Tablet In 1 Bottle (0054-0011-25),2.3,2.3,,,0
RC,250,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),0.27,0.27,,,0
RC,250,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",2.92,2.92,,,0
RC,250,Fluconazole: 1 Bottle In 1 Carton (16714-696-01)  / 35 Ml In 1 Bottle,7.85,7.85,,,0
RC,250,Fluconazole: 1 Bottle In 1 Carton (70436-227-48)  / 35 Ml In 1 Bottle,3.05,3.05,,,0
RC,250,Fluconazole: 100 Blister Pack In 1 Carton (0904-6500-61)  / 1 Tablet In 1 Blister Pack,2.84,2.84,,,0
RC,250,Fluconazole: 100 Blister Pack In 1 Carton (0904-6501-61)  / 1 Tablet In 1 Blister Pack,4.1,4.1,,,0
RC,250,Fluconazole: 100 Tablet In 1 Bottle (16714-691-02),1.89,1.89,,,0
RC,250,Fludrocortisone Acetate: 100 Tablet In 1 Bottle (0555-0997-02),0.63,0.63,,,0
RC,250,Fludrocortisone Acetate: 100 Tablet In 1 Bottle (72603-170-01),1.2,1.2,,,0
RC,250,Fluorescein: 10 Vial In 1 Carton (14789-122-05)  / 5 Ml In 1 Vial (14789-122-07),400.95,400.95,,,0
RC,250,"Fluorometholone: 1 Bottle, Dropper In 1 Carton (60758-880-05)  / 5 Ml In 1 Bottle, Dropper",196.08,196.08,,,0
RC,250,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61)  / 1 Capsule In 1 Blister Pack,0.56,0.56,,,0
RC,250,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61)  / 1 Capsule In 1 Blister Pack,0.28,0.28,,,0
RC,250,Fluoxetine: 100 Blister Pack In 1 Carton (0904-7346-61)  / 1 Capsule In 1 Blister Pack,0.32,0.32,,,0
RC,250,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),0.46,0.46,,,0
RC,250,Fluoxetine: 100 Capsule In 1 Bottle (16714-721-02),0.37,0.37,,,0
RC,250,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0527-1789-01)",6.14,6.14,,,0
RC,250,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0527-1790-01)",8.0,8.0,,,0
RC,250,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-078-96)  / 120 Aerosol, Metered In 1 Inhaler",0.04,0.04,,,0
RC,250,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99)  / 120 Spray, Metered In 1 Bottle, Glass",21.35,21.35,,,0
RC,250,"Fluticasone Propionate: 1 Bottle, Spray In 1 Carton (60505-0829-1)  / 120 Spray, Metered In 1 Bottle, Spray",44.46,44.46,,,0
RC,250,"Fluvoxamine Maleate: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-0412-01)",0.83,0.83,,,0
RC,250,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0165-1),0.78,0.78,,,0
RC,250,Folic Acid: 100 Blister Pack In 1 Carton (0904-7224-61)  / 1 Tablet In 1 Blister Pack,0.58,0.58,,,0
RC,250,Folic Acid: 100 Blister Pack In 1 Carton (60687-681-01)  / 1 Tablet In 1 Blister Pack (60687-681-11),0.57,0.57,,,0
RC,250,Folic Acid: 100 TABLET in 1 BOTTLE (0143-9717-01),0.63,0.63,,,0
RC,250,Fosfomycin Tromethamine: 1 Powder In 1 Packet (70700-268-99),194.41,194.41,,,0
RC,250,Foster And Thrive Earwax Removal Drops: 1 Bottle In 1 Box (70677-1154-1)  / 15 Ml In 1 Bottle,5.49,5.49,,,0
RC,250,Foster And Thrive Earwax Removal Kit Ear Wax Drops: 1 Kit In 1 Kit (70677-1153-1)  *  1 Bottle In 1 Box (70677-1154-1)  / 15 Ml In 1 Bottle,7.13,7.13,,,0
RC,250,"Foster And Thrive Nasal: 1 Bottle, Spray In 1 Carton (70677-1037-1)  / 30 Ml In 1 Bottle, Spray",0.04,0.04,,,0
RC,250,"Foster And Thrive Nicotine: 110 Blister Pack In 1 Carton (70677-1192-1)  / 1 Gum, Chewing In 1 Blister Pack",0.61,0.61,,,0
RC,250,Foster And Thrive Regular Strength Stomach Relief 527: 236 Ml In 1 Bottle (70677-1191-1),1.13,1.13,,,0
RC,250,Furosemide: 10 Blister Pack In 1 Carton (0054-8297-25)  / 10 Tablet In 1 Blister Pack,0.61,0.61,,,0
RC,250,Furosemide: 10 Blister Pack In 1 Carton (0054-8299-25)  / 10 Tablet In 1 Blister Pack,0.44500000000000006,0.44500000000000006,,,0
RC,250,Furosemide: 100 Blister Pack In 1 Carton (0904-7177-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,250,Furosemide: 100 Blister Pack In 1 Carton (0904-7178-61)  / 1 Tablet In 1 Blister Pack,0.58,0.58,,,0
RC,250,Furosemide: 60 Ml In 1 Bottle (0054-3294-46),0.69,0.69,,,0
RC,250,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-984-10)  / 10 CAPSULE in 1 BLISTER PACK",0.58,0.58,,,0
RC,250,"Gabapentin: 10 Blister Pack In 1 Box, Unit-Dose (63739-560-10)  / 10 Tablet, Film Coated In 1 Blister Pack",1.63,1.63,,,0
RC,250,Gabapentin: 10 Blister Pack In 1 Carton (63739-902-10)  / 10 Capsule In 1 Blister Pack,0.48,0.48,,,0
RC,250,Gabapentin: 10 Blister Pack In 1 Carton (63739-903-10)  / 10 Capsule In 1 Blister Pack,0.55,0.55,,,0
RC,250,Gabapentin: 10 Blister Pack In 1 Carton (63739-904-10)  / 10 Capsule In 1 Blister Pack,0.53,0.53,,,0
RC,250,"Gabapentin: 100 Blister Pack In 1 Box, Unit-Dose (60687-580-01)  / 1 Capsule In 1 Blister Pack (60687-580-11)",0.56,0.56,,,0
RC,250,Gabapentin: 100 Blister Pack In 1 Carton (0904-6665-61)  / 1 Capsule In 1 Blister Pack,0.53,0.53,,,0
RC,250,Gabapentin: 100 Blister Pack In 1 Carton (0904-6666-61)  / 1 Capsule In 1 Blister Pack,0.54,0.54,,,0
RC,250,Gabapentin: 100 Blister Pack In 1 Carton (0904-6667-61)  / 1 Capsule In 1 Blister Pack,0.38,0.38,,,0
RC,250,"Gabapentin: 100 Blister Pack In 1 Carton (0904-6823-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.61,0.61,,,0
RC,250,"Gabapentin: 100 Blister Pack In 1 Carton (0904-7108-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.77,0.77,,,0
RC,250,Gabapentin: 100 Capsule In 1 Bottle (16714-661-01),0.51,0.51,,,0
RC,250,Gabapentin: 100 Capsule In 1 Bottle (16714-662-01),0.54,0.54,,,0
RC,250,Gabapentin: 100 Capsule In 1 Bottle (16714-663-01),0.6,0.6,,,0
RC,250,Gabapentin: 100 Capsule In 1 Bottle (65162-102-10),0.57,0.57,,,0
RC,250,"Gabapentin: 100 Tablet, Film Coated In 1 Bottle (0228-2637-11)",1.83,1.83,,,0
RC,250,"Gabapentin: 6 Ml In 1 Cup, Unit-Dose (42192-608-06)",8.43,8.43,,,0
RC,250,"Galantamine: 60 Tablet, Film Coated In 1 Bottle (57237-049-60)",1.27,1.27,,,0
RC,250,"Gemtesa: 30 Tablet, Film Coated In 1 Bottle (73336-075-30)",36.38,36.38,,,0
RC,250,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (24208-580-60)  / 5 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
RC,250,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0682-15)  / 15 G In 1 Tube,73.12,73.12,,,0
RC,250,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0683-15)  / 15 G In 1 Tube,95.61,95.61,,,0
RC,250,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0683-31)  / 30 G In 1 Tube,199.4,199.4,,,0
RC,250,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-11)  / 30 G In 1 Tube,127.82,127.82,,,0
RC,250,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-35)  / 15 G In 1 Tube,76.12,76.12,,,0
RC,250,"Genteal Tears Moderate Preservative Free: 36 Vial, Single-Dose In 1 Carton (0065-8063-01)  / .9 Ml In 1 Vial, Single-Dose",0.63,0.63,,,0
RC,250,Genteal Tears Severe: 1 Tube In 1 Carton (0065-8064-01)  / 10 G In 1 Tube,18.77,18.77,,,0
RC,250,"Genvoya: 30 Tablet In 1 Bottle, Plastic (61958-1901-1)",360.54,360.54,,,0
RC,250,Gericare Senna Syrup: 237 Ml In 1 Bottle (57896-472-08),1.09,1.09,,,0
RC,250,Glipizide: 100 Blister Pack In 1 Carton (0904-6637-61)  / 1 Tablet In 1 Blister Pack,0.6,0.6,,,0
RC,250,Glucotrol: 100 TABLET in 1 BOTTLE (0049-4110-66),0.99,0.99,,,0
RC,250,Glycine: 3000 Ml In 1 Bag (0338-0289-47),4.76,4.76,,,0
RC,250,Glycopyrrolate: 100 Blister Pack In 1 Carton (0904-6709-61)  / 1 Tablet In 1 Blister Pack,2.81,2.81,,,0
RC,250,Glycopyrrolate: 100 Tablet In 1 Bottle (23155-606-01),0.42,0.42,,,0
RC,250,Glydo: 10 Syringe In 1 Carton (25021-673-76)  / 6 Ml In 1 Syringe,9.13,9.13,,,0
RC,250,Glydo: 10 Syringe In 1 Carton (25021-673-77)  / 11 Ml In 1 Syringe,11.525,11.525,,,0
RC,250,"Good Sense Acid Reducer: 30 Blister Pack In 1 Carton (0113-0141-65)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,Guaifenesin And Codeine Phosphate: 473 Ml In 1 Bottle (0121-0775-16),0.69,0.69,,,0
RC,250,Guaifenesin: 473 Ml In 1 Bottle (58657-509-16),0.13,0.13,,,0
RC,250,Guanfacine Hydrochloride: 100 Tablet In 1 Bottle (24979-198-01),0.87,0.87,,,0
RC,250,"Guanfacine: 100 Tablet, Extended Release In 1 Bottle (62332-745-31)",0.8,0.8,,,0
RC,250,HALOPERIDOL: 25 VIAL in 1 CARTON (0069-0113-02)  / 1 mL in 1 VIAL (0069-0113-01),1.5,1.5,,,0
RC,250,"Haloperidol: 100 Blister Pack In 1 Box, Unit-Dose (60687-161-01)  / 1 Tablet In 1 Blister Pack (60687-161-11)",1.61,1.61,,,0
RC,250,Haloperidol: 100 Blister Pack In 1 Carton (0904-6733-61)  / 1 Tablet In 1 Blister Pack,2.35,2.35,,,0
RC,250,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61)  / 1 Tablet In 1 Blister Pack,1.46,1.46,,,0
RC,250,"Haloperidol: 100 TABLET in 1 BOX, UNIT-DOSE (0904-5925-61)",0.39,0.39,,,0
RC,250,Haloperidol: 120 Ml In 1 Bottle (0121-0581-04),0.35,0.35,,,0
RC,250,"Haloperidol: 120 Ml In 1 Bottle, Dropper (54838-501-40)",0.34,0.34,,,0
RC,250,Haloperidol: 25 Vial In 1 Tray (63323-474-01)  / 1 Ml In 1 Vial (63323-474-00),1.5,1.5,,,0
RC,250,"Heartburn Relief Original Strength: 1 Bottle In 1 Carton (0904-5529-52)  / 60 Tablet, Film Coated In 1 Bottle",0.63,0.63,,,0
RC,250,"Heartburn Relief Original Strength: 30 Blister Pack In 1 Carton (0904-5529-87)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,Hemorrhoidal Hygiene Pads: 175 Ml In 1 Jar (71399-0110-1),0.11,0.11,,,0
RC,250,Hemorrhoidal: 1 Tube In 1 Carton (45802-188-16)  / 57 G In 1 Tube,5.26,5.26,,,0
RC,250,Heparin Sodium: 25 Vial In 1 Carton (25021-402-01)  / 1 Ml In 1 Vial,0.37,0.37,,,0
RC,250,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-01)  / 10 Ml In 1 Vial, Multi-Dose",52.0,52.0,,,0
RC,250,Humulin N: 5 Syringe In 1 Carton (0002-8805-59)  / 3 Ml In 1 Syringe (0002-8805-01),1.52,1.52,,,0
RC,250,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17)  / 3 Ml In 1 Vial, Multi-Dose",0.06,0.06,,,0
RC,250,Hurricaine Topical Anesthetic: 59.7 G In 1 Can (0283-0679-02),82.56,82.56,,,0
RC,250,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-327-10)  / 10 Tablet In 1 Blister Pack,0.52,0.52,,,0
RC,250,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-328-10)  / 10 Tablet In 1 Blister Pack,0.47,0.47,,,0
RC,250,Hydralazine Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-0905-89)  / 1 TABLET in 1 BLISTER PACK (0182-0905-00),0.34,0.34,,,0
RC,250,"Hydralazine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6440-61)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",0.48,0.48,,,0
RC,250,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6441-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.54,0.54,,,0
RC,250,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6442-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.31,0.31,,,0
RC,250,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-833-01),0.53,0.53,,,0
RC,250,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-834-01),0.45,0.45,,,0
RC,250,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-328-01),0.57,0.57,,,0
RC,250,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-398-01),0.58,0.58,,,0
RC,250,"Hydralazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (23155-002-01)",0.24,0.24,,,0
RC,250,Hydrochlorothiazide: 100 BLISTER PACK in 1 CARTON (51079-776-20)  / 1 CAPSULE in 1 BLISTER PACK (51079-776-01),0.63,0.63,,,0
RC,250,"Hydrochlorothiazide: 100 Capsule, Gelatin Coated In 1 Bottle (0591-0347-01)",0.63,0.63,,,0
RC,250,Hydrochlorothiazide: 100 Tablet In 1 Bottle (0172-2083-60),0.62,0.62,,,0
RC,250,Hydrochlorothiazide: 100 Tablet In 1 Bottle (0172-2089-60),0.61,0.61,,,0
RC,250,Hydrochlorothiazide: 100 Tablet In 1 Bottle (16729-183-01),0.63,0.63,,,0
RC,250,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0406-0376-01),0.79,0.79,,,0
RC,250,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (10702-192-01),1.03,1.03,,,0
RC,250,"Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle, Plastic (27808-114-01)",0.99,0.99,,,0
RC,250,Hydrocortisone Acetate: 12 Packet In 1 Box (0574-7090-12)  / 1 Suppository In 1 Packet,7.64,7.64,,,0
RC,250,Hydrocortisone: 1 Tube In 1 Carton (0168-0020-31)  / 28.35 G In 1 Tube,9.46,9.46,,,0
RC,250,Hydrocortisone: 1 Tube In 1 Carton (45802-276-03)  / 28 G In 1 Tube,4.24,4.24,,,0
RC,250,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03)  / 28 G In 1 Tube,4.19,4.19,,,0
RC,250,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0074-1),0.77,0.77,,,0
RC,250,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0075-1),1.24,1.24,,,0
RC,250,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (64380-971-06)",1.08,1.08,,,0
RC,250,"Hydrogen Peroxide: 473 Ml In 1 Bottle, Plastic (0869-0871-43)",26.73,26.73,,,0
RC,250,"Hydrogen Peroxide: 473 Ml In 1 Bottle, Plastic (70677-1248-1)",19.87,19.87,,,0
RC,250,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),0.56,0.56,,,0
RC,250,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3244-01),0.53,0.53,,,0
RC,250,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-301-01)",0.62,0.62,,,0
RC,250,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-302-01)",0.83,0.83,,,0
RC,250,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25)  / 25 Tablet In 1 Blister Pack,0.43,0.43,,,0
RC,250,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-302-25)  / 25 Tablet In 1 Blister Pack,0.61,0.61,,,0
RC,250,"Hydromorphone Hydrochloride: 473 Ml In 1 Bottle, Plastic (42858-304-16)",3.35,3.35,,,0
RC,250,Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61)  / 1 Capsule In 1 Blister Pack,1.66,1.66,,,0
RC,250,Hydroxyurea: 100 Capsule In 1 Bottle (49884-724-01),0.67,0.67,,,0
RC,250,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-483-10)  / 10 Tablet In 1 Blister Pack",0.62,0.62,,,0
RC,250,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-486-10)  / 10 Tablet In 1 Blister Pack",0.61,0.61,,,0
RC,250,"Hydroxyzine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6618-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.69,0.69,,,0
RC,250,"Hydroxyzine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-2586-01)",0.63,0.63,,,0
RC,250,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-081-10),0.63,0.63,,,0
RC,250,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-500-01),0.63,0.63,,,0
RC,250,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-501-01),0.53,0.53,,,0
RC,250,"Hydroxyzine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-5061-01)",0.63,0.63,,,0
RC,250,Hyoscyamine Sulfate Sl: 100 Tablet In 1 Bottle (42192-339-01),0.625,0.625,,,0
RC,250,"Hyosyne: 15 Ml In 1 Bottle, Plastic (54838-506-15)",3.03,3.03,,,0
RC,250,Ibuprofen: 1 Bottle In 1 Carton (0904-5309-20)  / 120 Ml In 1 Bottle,0.06,0.06,,,0
RC,250,"Ibuprofen: 10 Blister Pack In 1 Carton (0904-7914-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
RC,250,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-468-01)  / 1 Tablet In 1 Blister Pack (60687-468-11)",0.63,0.63,,,0
RC,250,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5853-61)  / 1 Tablet In 1 Blister Pack,0.565,0.565,,,0
RC,250,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5854-61)  / 1 Tablet In 1 Blister Pack,0.625,0.625,,,0
RC,250,Ibuprofen: 100 Tablet In 1 Bottle (65162-464-10),0.52,0.52,,,0
RC,250,Ibuprofen: 100 Tablet In 1 Bottle (65162-465-10),0.62,0.62,,,0
RC,250,Ibuprofen: 25 BLISTER PACK in 1 BOX (63739-684-01)  / 30 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
RC,250,Ibuprofen: 500 Tablet In 1 Bottle (0904-5853-40),0.55,0.55,,,0
RC,250,"Idhifa: 30 Tablet, Film Coated In 1 Bottle (59572-710-30)",2486.98,2486.98,,,0
RC,250,"Imatinib Mesylate: 30 Tablet, Film Coated In 1 Bottle (0093-7630-56)",9.2,9.2,,,0
RC,250,"Imatinib Mesylate: 30 Tablet, Film Coated In 1 Bottle, Plastic (0378-2246-93)",12.38,12.38,,,0
RC,250,"Imipramine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69315-134-01)",0.32,0.32,,,0
RC,250,"Imipramine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69315-135-01)",0.65,0.65,,,0
RC,250,Imodium A-D: 120 Ml In 1 Bottle (50580-134-44),0.12,0.12,,,0
RC,250,Indocin: 30 Suppository In 1 Box (69344-102-33),508.15,508.15,,,0
RC,250,"Indocyanine Green: 6 Package In 1 Carton (70100-424-02)  / 1 Kit In 1 Package *  1 Injection, Powder, Lyophilized, For Solution In 1 Vial *  10 Ml In 1 Vial, Plastic (0409-4887-17)",307.06,307.06,,,0
RC,250,Indomethacin: 100 Capsule In 1 Bottle (68462-406-01),0.63,0.63,,,0
RC,250,Indomethacin: 5 Blister Pack In 1 Carton (70710-1852-7)  / 6 Suppository In 1 Blister Pack (70710-1852-6),480.39,480.39,,,0
RC,250,"Infants Gas Relief Drops: 1 Bottle, Dropper In 1 Carton (69618-059-51)  / 30 Ml In 1 Bottle, Dropper",0.63,0.63,,,0
RC,250,"Infants: 1 Bottle, Dropper In 1 Carton (0536-1303-75)  / 30 Ml In 1 Bottle, Dropper",0.63,0.63,,,0
RC,250,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1)  *  5 Ml In 1 Vial (54643-5657-1)  *  5 Ml In 1 Vial (54643-5659-1),28.595,28.595,,,0
RC,250,"Insta-Char Aqueous Cherry: 120 Ml In 1 Bottle, Plastic (66689-202-04)",69.65,69.65,,,0
RC,250,"Insulin Aspart: 5 Syringe, Plastic In 1 Carton (73070-103-15)  / 3 Ml In 1 Syringe, Plastic (73070-103-10)",78.27,78.27,,,0
RC,250,"Intelence: 120 Tablet In 1 Bottle, Plastic (59676-570-01)",33.23,33.23,,,0
RC,250,Intralipid: 500 Ml In 1 Bag (0338-0519-13),36.0,36.0,,,0
RC,250,"Iophen C NR: 473 mL in 1 BOTTLE, PLASTIC (0603-1329-58)",1.11,1.11,,,0
RC,250,Irbesartan: 90 Tablet In 1 Bottle (31722-729-90),0.6,0.6,,,0
RC,250,Irbesartan: 90 Tablet In 1 Bottle (31722-730-90),0.67,0.67,,,0
RC,250,Irbesartan: 90 Tablet In 1 Bottle (31722-731-90),0.63,0.63,,,0
RC,250,Irbesartan: 90 Tablet In 1 Bottle (33342-047-10),0.63,0.63,,,0
RC,250,"Isentress: 60 Tablet, Film Coated In 1 Bottle (0006-0227-61)",90.95,90.95,,,0
RC,250,Isoniazid: 100 Tablet In 1 Bottle (0555-0066-02),0.29,0.29,,,0
RC,250,Isoniazid: 100 Tablet In 1 Bottle (0555-0071-02),0.63,0.63,,,0
RC,250,"Isoniazid: 100 Tablet In 1 Bottle, Plastic (81665-108-10)",6.93,6.93,,,0
RC,250,"Isopropyl Alcohol 70 Percent: 473 mL in 1 BOTTLE, PLASTIC (10135-106-08)",5.14,5.14,,,0
RC,250,Isopropyl Alcohol: 473 Ml In 1 Bottle (53329-800-06),2.54,2.54,,,0
RC,250,"Isopto Tears: 15 Ml In 1 Bottle, Dropper (0998-0408-15)",64.62,64.62,,,0
RC,250,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6619-61)  / 1 Tablet In 1 Blister Pack,1.19,1.19,,,0
RC,250,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6620-61)  / 1 Tablet In 1 Blister Pack,1.43,1.43,,,0
RC,250,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (0781-1635-01),0.72,0.72,,,0
RC,250,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (16714-008-01),1.12,1.12,,,0
RC,250,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (16714-009-01),1.45,1.45,,,0
RC,250,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (49884-021-01),2.31,2.31,,,0
RC,250,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (72888-085-01),8.45,8.45,,,0
RC,250,"Isosorbide Dinitrate: 100 Tablet In 1 Bottle, Plastic (0143-1769-01)",1.04,1.04,,,0
RC,250,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6449-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.76,0.76,,,0
RC,250,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6450-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.84,0.84,,,0
RC,250,Isosorbide Mononitrate: 100 Tablet In 1 Bottle (0228-2620-11),1.33,1.33,,,0
RC,250,"Isosorbide Mononitrate: 100 Tablet, Extended Release In 1 Bottle (23155-178-01)",0.84,0.84,,,0
RC,250,Itraconazole: 30 Capsule In 1 Bottle (10147-1700-3),17.97,17.97,,,0
RC,250,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-005-60)",803.02,803.02,,,0
RC,250,Jantoven: 100 Blister Pack In 1 Carton (0832-1218-01)  / 1 Tablet In 1 Blister Pack (0832-1218-89),1.55,1.55,,,0
RC,250,Jantoven: 100 Tablet In 1 Bottle (0832-1215-00),0.55,0.55,,,0
RC,250,Jantoven: 100 Tablet In 1 Bottle (0832-1218-00),0.61,0.61,,,0
RC,250,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0112-31)",29.52,29.52,,,0
RC,250,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0277-31)",32.89,32.89,,,0
RC,250,"Jardiance: 30 Blister Pack In 1 Carton (0597-0152-37)  / 1 Tablet, Film Coated In 1 Blister Pack",35.26,35.26,,,0
RC,250,"Jardiance: 30 Blister Pack In 1 Carton (0597-0153-37)  / 1 Tablet, Film Coated In 1 Blister Pack",34.73,34.73,,,0
RC,250,"Jardiance: 30 Tablet, Film Coated In 1 Bottle (0597-0152-30)",32.55,32.55,,,0
RC,250,"Jardiance: 90 Tablet, Film Coated In 1 Bottle (0597-0152-90)",32.57,32.57,,,0
RC,250,"Keppra: 120 Tablet, Film Coated In 1 Bottle, Plastic (50474-595-40)",0.62,0.62,,,0
RC,250,Ketalar: 10 Vial In 1 Carton (42023-113-10)  / 20 Ml In 1 Vial,6.8,6.8,,,0
RC,250,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (55150-439-10)  / 10 Ml In 1 Vial, Multi-Dose",2.58,2.58,,,0
RC,250,Ketoconazole: 120 Ml In 1 Bottle (45802-465-64),47.29,47.29,,,0
RC,250,Ketorolac Tromethamine: 1 Bottle In 1 Carton (61314-126-05)  / 5 Ml In 1 Bottle,29.37,29.37,,,0
RC,250,"Kineret: 7 Syringe, Glass In 1 Carton (66658-234-07)  / .67 Ml In 1 Syringe, Glass",568.32,568.32,,,0
RC,250,"Klor-Con M: 1000 Tablet, Extended Release In 1 Bottle (0245-5319-10)",0.44,0.44,,,0
RC,250,"Labetalol HCl: 100 BLISTER PACK in 1 CARTON (51079-928-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-928-01)",0.82,0.82,,,0
RC,250,"Labetalol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-450-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-450-11)",1.27,1.27,,,0
RC,250,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7109-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.65,0.65,,,0
RC,250,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7110-61)  / 1 Tablet, Film Coated In 1 Blister Pack",1.08,1.08,,,0
RC,250,"Labetalol hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-5929-61)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",0.39,0.39,,,0
RC,250,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),8.08,8.08,,,0
RC,250,Lacosamide: 1 Bottle In 1 Carton (31722-627-26)  / 200 Ml In 1 Bottle,23.48,23.48,,,0
RC,250,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68)  / 1 Tablet, Film Coated In 1 Blister Pack",2.54,2.54,,,0
RC,250,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68)  / 1 Tablet, Film Coated In 1 Blister Pack",4.16,4.16,,,0
RC,250,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (50228-192-60)",0.21,0.21,,,0
RC,250,Lactulose Solution: 473 Ml In 1 Bottle (64980-592-48),4.98,4.98,,,0
RC,250,"Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15)",3.28,3.28,,,0
RC,250,"Lactulose: 4 Tray In 1 Case (0121-1154-40)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose (0121-1154-30)",4.73,4.73,,,0
RC,250,Lactulose: 473 Ml In 1 Bottle (0121-0873-16),10.05,10.05,,,0
RC,250,Lactulose: 473 mL in 1 BOTTLE (50383-795-16),11.82,11.82,,,0
RC,250,"Lamivudine: 30 Blister Pack In 1 Carton (0904-6583-04)  / 1 Tablet, Film Coated In 1 Blister Pack",13.72,13.72,,,0
RC,250,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7007-61)  / 1 Tablet In 1 Blister Pack,0.42,0.42,,,0
RC,250,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7008-61)  / 1 Tablet In 1 Blister Pack,0.39,0.39,,,0
RC,250,Lamotrigine: 100 TABLET in 1 BOTTLE (0093-0039-01),0.27,0.27,,,0
RC,250,Lamotrigine: 100 Tablet In 1 Bottle (16714-700-01),0.42,0.42,,,0
RC,250,"Lansoprazole: 1 Kit In 1 Container (65628-080-03)  *  .27 G In 1 Bottle, Plastic *  90 Ml In 1 Bottle, Plastic",49.43,49.43,,,0
RC,250,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33)  / 10 Ml In 1 Vial, Glass",161.05,161.05,,,0
RC,250,Lasix: 100 TABLET in 1 BOTTLE (0039-0067-10),0.6,0.6,,,0
RC,250,Lasix: 100 Tablet In 1 Bottle (30698-067-01),2.0,2.0,,,0
RC,250,Latanoprost: 1 Bottle In 1 Carton (61314-547-01)  / 2.5 Ml In 1 Bottle,25.93,25.93,,,0
RC,250,Latanoprost: 1 Bottle In 1 Carton (70069-421-01)  / 2.5 Ml In 1 Bottle,0.25,0.25,,,0
RC,250,"Latanoprost: 1 Bottle, Dropper In 1 Carton (59762-0333-2)  / 2.5 Ml In 1 Bottle, Dropper",5.13,5.13,,,0
RC,250,Leflunomide: 30 Tablet In 1 Bottle (23155-043-03),1.91,1.91,,,0
RC,250,Leflunomide: 30 Tablet In 1 Bottle (62332-061-30),2.34,2.34,,,0
RC,250,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-130-06)",1.03,1.03,,,0
RC,250,Leucovorin Calcium: 25 Tablet In 1 Bottle (0555-0485-27),23.59,23.59,,,0
RC,250,Leucovorin Calcium: 25 Tablet In 1 Bottle (42806-359-25),13.81,13.81,,,0
RC,250,Leucovorin Calcium: 25 Tablet In 1 Bottle (50742-184-25),5.33,5.33,,,0
RC,250,Leucovorin Calcium: 30 Tablet In 1 Bottle (0555-0484-01),3.11,3.11,,,0
RC,250,Levalbuterol: 1 Pouch In 1 Carton (0378-9691-52)  / 25 Ampule In 1 Pouch (0378-9691-62)  / 3 Ml In 1 Ampule,1.46,1.46,,,0
RC,250,"Levalbuterol: 6 Pouch In 1 Carton (0093-4145-56)  / 5 Vial, Single-Dose In 1 Pouch (0093-4145-45)  / 3 Ml In 1 Vial, Single-Dose",3.24,3.24,,,0
RC,250,"Levetiracetam: 100 Blister Pack In 1 Box, Unit-Dose (68084-882-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-882-11)",0.51,0.51,,,0
RC,250,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7124-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.48,0.48,,,0
RC,250,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7125-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.61,0.61,,,0
RC,250,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (16714-035-01)",0.37,0.37,,,0
RC,250,Levetiracetam: 473 Ml In 1 Bottle (31722-574-47),0.93,0.93,,,0
RC,250,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (0472-0235-16)",1.87,1.87,,,0
RC,250,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (16714-358-01)",0.76,0.76,,,0
RC,250,"Levetiracetam: 5 Tray In 1 Case (60687-249-67)  / 10 Cup, Unit-Dose In 1 Tray (60687-249-46)  / 5 Ml In 1 Cup, Unit-Dose (60687-249-40)",10.21,10.21,,,0
RC,250,"Levetiracetam: 60 Tablet, Film Coated, Extended Release In 1 Bottle (43547-345-06)",0.72,0.72,,,0
RC,250,"Levofloxacin: 50 Tablet, Film Coated In 1 Bottle (65862-536-50)",0.83,0.83,,,0
RC,250,"Levophed: 10 Vial, Single-Dose In 1 Carton (0409-3375-04)  / 4 Ml In 1 Vial, Single-Dose (0409-3375-14)",19.11,19.11,,,0
RC,250,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-885-10)  / 5 Ml In 1 Vial, Single-Dose",110.96,110.96,,,0
RC,250,"Levothyroxine Sodium: 100 TABLET in 1 BOTTLE, PLASTIC (0527-1346-01)",1.32,1.32,,,0
RC,250,Levothyroxine Sodium: 90 Tablet In 1 Bottle (16729-456-15),0.63,0.63,,,0
RC,250,Levothyroxine Sodium: 90 Tablet In 1 Bottle (47781-651-90),0.63,0.63,,,0
RC,250,Levothyroxine Sodium: 90 Tablet In 1 Bottle (68180-966-09),0.6,0.6,,,0
RC,250,Levothyroxine sodium: 90 TABLET in 1 BOTTLE (0781-5189-92),1.64,1.64,,,0
RC,250,"Lexapro: 100 Tablet, Film Coated In 1 Bottle (0456-2005-01)",5.64,5.64,,,0
RC,250,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5)  / 14 G In 1 Pouch (82347-0505-4),5.52,5.52,,,0
RC,250,Lidocaine And Prilocaine: 1 Tube In 1 Carton (0574-2042-30)  / 30 G In 1 Tube,31.36,31.36,,,0
RC,250,Lidocaine And Prilocaine: 1 Tube In 1 Carton (62332-582-04)  / 5 G In 1 Tube,21.314999999999998,21.314999999999998,,,0
RC,250,Lidocaine Hydrochloride And Epinephrine: 10 Ampule In 1 Tray (0409-1209-01)  / 5 Ml In 1 Ampule (0409-1209-10),8.42,8.42,,,0
RC,250,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01)  / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",5.02,5.02,,,0
RC,250,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01)  / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",4.67,4.67,,,0
RC,250,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-02)  / 30 Ml In 1 Vial, Multi-Dose (0409-3178-17)",10.01,10.01,,,0
RC,250,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-03)  / 50 Ml In 1 Vial, Multi-Dose (0409-3178-18)",7.4,7.4,,,0
RC,250,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30)  / 30 Ml In 1 Vial, Single-Dose",3.46,3.46,,,0
RC,250,Lidocaine Hydrochloride: 10 Ampule In 1 Carton (83090-003-10)  / 10 Ml In 1 Ampule (83090-003-01),10.91,10.91,,,0
RC,250,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02)  / 2 Ml In 1 Vial, Single-Dose",2.02,2.02,,,0
RC,250,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05)  / 5 Ml In 1 Vial, Single-Dose",2.81,2.81,,,0
RC,250,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-164-02)  / 2 Ml In 1 Vial, Single-Dose",3.15,3.15,,,0
RC,250,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05)  / 5 Ml In 1 Vial, Single-Dose",1.96,1.96,,,0
RC,250,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),1.11,1.11,,,0
RC,250,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02)  / 10 Ml In 1 Ampule (0409-4282-12),10.53,10.53,,,0
RC,250,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (65282-1605-1)  / 5 Ml In 1 Ampule,1.88,1.88,,,0
RC,250,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4279-02)  / 30 Ml In 1 Vial, Single-Dose (0409-4279-16)",2.75,2.75,,,0
RC,250,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3011-5)  / 5 Ml In 1 Vial, Single-Use",12.26,12.26,,,0
RC,250,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3012-5)  / 5 Ml In 1 Vial, Single-Use",11.51,11.51,,,0
RC,250,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3013-5)  / 10 Ml In 1 Vial, Single-Use",16.225,16.225,,,0
RC,250,Lidocaine Hydrochloride: 5 Cello Pack In 1 Package (0409-4713-02)  / 5 Ampule In 1 Cello Pack (0409-4713-26)  / 5 Ml In 1 Ampule (0409-4713-12),2.34,2.34,,,0
RC,250,Lidocaine Hydrochloride: 50 Ml In 1 Bottle (0054-3505-47),101.05,101.05,,,0
RC,250,Lidocaine Viscous: 1 Bottle In 1 Carton (0054-3500-49)  / 100 Ml In 1 Bottle,1.02,1.02,,,0
RC,250,Lidocaine: 1 Tube In 1 Carton (16714-878-01)  / 35.44 G In 1 Tube,20.8,20.8,,,0
RC,250,Lidocaine: 1 Tube In 1 Carton (51672-3020-9)  / 35.44 G In 1 Tube,22.98,22.98,,,0
RC,250,Lidocaine: 30 Pouch In 1 Carton (65162-791-08)  / 1 Patch In 1 Pouch (65162-791-04),5.52,5.52,,,0
RC,250,"Linezolid: 1 Blister Pack In 1 Carton (67877-419-33)  / 10 Tablet, Film Coated In 1 Blister Pack",6.89,6.89,,,0
RC,250,"Linezolid: 20 Tablet, Film Coated In 1 Bottle (31722-749-20)",6.08,6.08,,,0
RC,250,"Linezolid: 30 Blister Pack In 1 Carton (0904-6553-04)  / 1 Tablet, Film Coated In 1 Blister Pack",9.69,9.69,,,0
RC,250,"Linzess: 1 Bottle In 1 Carton (0456-1201-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",47.25,47.25,,,0
RC,250,"Linzess: 1 Bottle In 1 Carton (0456-1202-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",47.86,47.86,,,0
RC,250,"Linzess: 1 Bottle In 1 Carton (0456-1203-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",47.21,47.21,,,0
RC,250,"Liothyronine Sodium: 100 TABLET in 1 BOTTLE, PLASTIC (0574-0222-01)",0.8,0.8,,,0
RC,250,Liothyronine Sodium: 100 Tablet In 1 Bottle (0093-2178-01),1.9,1.9,,,0
RC,250,Liothyronine Sodium: 100 Tablet In 1 Bottle (0093-2179-01),1.1,1.1,,,0
RC,250,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-166-01),1.04,1.04,,,0
RC,250,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-167-01),1.19,1.19,,,0
RC,250,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (0054-0660-25),7.39,7.39,,,0
RC,250,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-562-01),18.79,18.79,,,0
RC,250,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-564-01),17.89,17.89,,,0
RC,250,Lisdexamfetamine Dimesylate: 90 Capsule In 1 Bottle (65162-024-09),6.61,6.61,,,0
RC,250,Lisinopril: 100 Blister Pack In 1 Carton (0904-6797-61)  / 1 Tablet In 1 Blister Pack,0.62,0.62,,,0
RC,250,Lisinopril: 100 Blister Pack In 1 Carton (0904-6798-61)  / 1 Tablet In 1 Blister Pack,0.58,0.58,,,0
RC,250,Lisinopril: 100 Blister Pack In 1 Carton (0904-6799-61)  / 1 Tablet In 1 Blister Pack,0.41,0.41,,,0
RC,250,Lisinopril: 100 Tablet In 1 Bottle (68180-980-01),0.57,0.57,,,0
RC,250,Lisinopril: 100 Tablet In 1 Bottle (68180-981-01),0.44,0.44,,,0
RC,250,Lithium Carbonate Er: 100 Tablet In 1 Bottle (68462-224-01),0.53,0.53,,,0
RC,250,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8526-25)",0.31,0.31,,,0
RC,250,Lithium Carbonate: 10 Tablet In 1 Blister Pack (0054-8528-25),0.48,0.48,,,0
RC,250,"Lithium Carbonate: 100 Capsule, Gelatin Coated In 1 Bottle (0054-2527-25)",0.55,0.55,,,0
RC,250,Lithium Carbonate: 100 Tablet In 1 Bottle (0054-4527-25),0.49,0.49,,,0
RC,250,"Lithium Carbonate: 1000 Capsule, Gelatin Coated In 1 Bottle (0054-2527-31)",0.51,0.51,,,0
RC,250,Loperamide Hydrochloride: 120 Ml In 1 Bottle (0904-6836-20),0.07500000000000001,0.07500000000000001,,,0
RC,250,Lopressor: 100 TABLET in 1 BOTTLE (0078-0458-05),2.34,2.34,,,0
RC,250,"Loqtorzi: 1 Vial, Glass In 1 Carton (70114-340-01)  / 6 Ml In 1 Vial, Glass",35249.85,35249.85,,,0
RC,250,Loratadine: 1 Blister Pack In 1 Carton (58602-702-83)  / 10 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,250,Loratadine: 100 Blister Pack In 1 Carton (0904-6852-61)  / 1 Tablet In 1 Blister Pack,0.65,0.65,,,0
RC,250,Loratadine: 100 TABLET in 1 BOTTLE (0781-5077-01),0.63,0.63,,,0
RC,250,Loratadine: 100 Tablet In 1 Bottle (70010-162-01),0.63,0.63,,,0
RC,250,Lorazepam: 1 BOTTLE in 1 CARTON (50383-705-30)  / 30 mL in 1 BOTTLE,0.63,0.63,,,0
RC,250,"Lorazepam: 1 Bottle, Dropper In 1 Carton (0121-0770-01)  / 30 Ml In 1 Bottle, Dropper",0.63,0.63,,,0
RC,250,"Lorazepam: 10 VIAL, SINGLE-DOSE in 1 CARTON (0409-6778-02)  / 1 mL in 1 VIAL, SINGLE-DOSE (0409-6778-11)",1.52,1.52,,,0
RC,250,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61)  / 1 Tablet In 1 Blister Pack,0.61,0.61,,,0
RC,250,Lorazepam: 100 Blister Pack In 1 Carton (0904-6008-61)  / 1 Tablet In 1 Blister Pack,0.47,0.47,,,0
RC,250,Lorazepam: 100 TABLET in 1 BOTTLE (0228-2057-10),0.62,0.62,,,0
RC,250,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),0.62,0.62,,,0
RC,250,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3425-01)",0.605,0.605,,,0
RC,250,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",0.51,0.51,,,0
RC,250,Lorazepam: 500 Tablet In 1 Bottle (13107-084-05),0.52,0.52,,,0
RC,250,"Losartan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-686-10)  / 10 Tablet, Film Coated In 1 Blister Pack",1.28,1.28,,,0
RC,250,"Losartan Potassium: 100 Blister Pack In 1 Box, Unit-Dose (68084-346-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-346-11)",1.04,1.04,,,0
RC,250,"Losartan Potassium: 100 Blister Pack In 1 Carton (0904-7048-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.78,0.78,,,0
RC,250,Losartan Potassium: 90 Tablet In 1 Bottle (68180-377-09),0.45,0.45,,,0
RC,250,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (31722-700-90)",0.6,0.6,,,0
RC,250,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (31722-701-90)",0.43,0.43,,,0
RC,250,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (65862-202-90)",0.49,0.49,,,0
RC,250,"Losortan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-673-10)  / 10 Tablet, Film Coated In 1 Blister Pack",1.01,1.01,,,0
RC,250,"Low Dose Aspirin: 30 Blister Pack In 1 Box (63739-212-02)  / 10 Tablet, Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,Lubiprostone: 60 Capsule In 1 Bottle (65162-841-06),2.43,2.43,,,0
RC,250,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3028-02)",2.11,2.11,,,0
RC,250,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3029-02)",1.99,1.99,,,0
RC,250,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (43598-163-60)",6.3,6.3,,,0
RC,250,"Lurasidone Hydrochloride: 30 Tablet, Coated In 1 Bottle (65162-880-03)",1.47,1.47,,,0
RC,250,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (67877-638-30)",0.99,0.99,,,0
RC,250,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (72205-208-30)",1.06,1.06,,,0
RC,250,METHADONE HYDROCHLORIDE: 100 BLISTER PACK in 1 CARTON (0054-8553-24)  / 1 TABLET in 1 BLISTER PACK,0.55,0.55,,,0
RC,250,"MONSELS SOLUTION: 8 g in 1 BOTTLE, GLASS (10481-0112-8)",29.9,29.9,,,0
RC,250,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",2.38,2.38,,,0
RC,250,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (0904-7418-44)",5.51,5.51,,,0
RC,250,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (69452-390-98)",3.89,3.89,,,0
RC,250,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (70677-1111-1)",4.67,4.67,,,0
RC,250,Magnesium Oxide: 120 Tablet In 1 Bottle (0603-0209-22),0.5,0.5,,,0
RC,250,"Major Bismuth Subsalicylate: 5 Blister Pack In 1 Box (0904-7205-46)  / 6 Tablet, Chewable In 1 Blister Pack",0.49,0.49,,,0
RC,250,Major Lubrifresh Pm: 1 Tube In 1 Carton (0904-6488-38)  / 3.5 G In 1 Tube,12.59,12.59,,,0
RC,250,Major Medi-Pads: 100 Packet In 1 Package (0904-6829-60)  / 2.9 G In 1 Packet,0.09,0.09,,,0
RC,250,"Major Nasal Decongestant: 1 Bottle, Pump In 1 Carton (0904-7427-30)  / 30 Ml In 1 Bottle, Pump",0.02,0.02,,,0
RC,250,"Major Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (0904-7035-88)",2.56,2.56,,,0
RC,250,"Major Regular Strength Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0904-6412-92)",0.32,0.32,,,0
RC,250,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1752-50)  / 50 Ml In 1 Vial, Multi-Dose",2.72,2.72,,,0
RC,250,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1746-70)",7.77,7.77,,,0
RC,250,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1749-70)",8.57,8.57,,,0
RC,250,"Meclizine Hcl 12.5 Mg: 100 Tablet In 1 Bottle, Plastic (69618-027-01)",0.57,0.57,,,0
RC,250,"Meclizine Hydrochloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (51079-090-20)  / 1 TABLET in 1 BLISTER PACK (51079-090-01)",0.76,0.76,,,0
RC,250,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7376-61)  / 1 Tablet In 1 Blister Pack,0.9,0.9,,,0
RC,250,"Meclizine Hydrochloride: 100 Tablet, Chewable In 1 Bottle (0536-1299-01)",0.63,0.63,,,0
RC,250,"Meclizine Hydrochloride: 50 Blister Pack In 1 Box, Unit-Dose (50268-522-15)  / 1 Tablet In 1 Blister Pack (50268-522-11)",0.86,0.86,,,0
RC,250,"Meclizine: 100 Tablet In 1 Bottle, Plastic (0536-1297-01)",0.5,0.5,,,0
RC,250,Medpura Vitamin A And D Vitamin A And D: 113 G In 1 Tube (71399-0122-4),8.61,8.61,,,0
RC,250,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0779-02),0.44,0.44,,,0
RC,250,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0872-02),0.61,0.61,,,0
RC,250,Megestrol Acetate: 100 Blister Pack In 1 Carton (0904-7236-61)  / 1 Tablet In 1 Blister Pack,0.49,0.49,,,0
RC,250,Megestrol Acetate: 100 Tablet In 1 Bottle (0555-0606-02),0.63,0.63,,,0
RC,250,Meloxicam: 100 Tablet In 1 Bottle (29300-124-01),0.63,0.63,,,0
RC,250,"Memantine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6506-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.8,0.8,,,0
RC,250,"Memantine Hydrochloride: 60 Tablet, Film Coated In 1 Bottle, Plastic (29300-171-16)",0.53,0.53,,,0
RC,250,Memantine: 500 Tablet In 1 Bottle (72603-119-02),0.63,0.63,,,0
RC,250,Menthol And Zinc Oxide: 113 G In 1 Tube (10135-701-04),6.86,6.86,,,0
RC,250,Mephyton: 1 BOTTLE in 1 CARTON (25010-405-15)  / 100 TABLET in 1 BOTTLE,13.84,13.84,,,0
RC,250,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0054-4581-11)",7.01,7.01,,,0
RC,250,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0378-3547-52)",4.48,4.48,,,0
RC,250,Mesalamine Rectal: 30 Suppository In 1 Box (69918-560-30),12.0,12.0,,,0
RC,250,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle (67877-717-12)",3.04,3.04,,,0
RC,250,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle, Plastic (0378-1375-78)",9.52,9.52,,,0
RC,250,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (0093-5907-86)",8.17,8.17,,,0
RC,250,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (59762-0117-1)",3.57,3.57,,,0
RC,250,Mesalamine: 5 Blister Pack In 1 Pouch (16714-245-30)  / 6 Suppository In 1 Blister Pack (16714-245-01),9.92,9.92,,,0
RC,250,Mesalamine: 5 PACKAGE in 1 CARTON (0378-9230-93)  / 6 SUPPOSITORY in 1 PACKAGE,38.63,38.63,,,0
RC,250,Metamucil Therapy For Regularity: 30 Packet In 1 Carton (37000-023-04)  / 12 G In 1 Packet,1.21,1.21,,,0
RC,250,Metamucil Therapy For Regularity: 30 Packet In 1 Carton (37000-024-04)  / 5.8 G In 1 Packet,1.28,1.28,,,0
RC,250,Metamucil Therapy For Regularity: 5.8 G In 1 Packet (37000-024-10),0.92,0.92,,,0
RC,250,Metformin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7162-61)  / 1 Tablet In 1 Blister Pack,0.49,0.49,,,0
RC,250,"Metformin Hydrochloride: 100 TABLET in 1 BOX, UNIT-DOSE (0904-6090-61)",0.3,0.3,,,0
RC,250,Metformin Hydrochloride: 100 Tablet In 1 Bottle (70010-063-01),0.5,0.5,,,0
RC,250,Metformin Hydrochloride: 100 Tablet In 1 Bottle (70010-064-01),0.63,0.63,,,0
RC,250,"Metformin Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (42385-947-01)",0.48,0.48,,,0
RC,250,"Metformin: 100 Tablet, Extended Release In 1 Bottle (70010-491-01)",0.44,0.44,,,0
RC,250,"Metformin: 100 Tablet, Extended Release In 1 Bottle (70010-492-01)",0.63,0.63,,,0
RC,250,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0709-20)  / 100 Tablet In 1 Blister Pack,0.57,0.57,,,0
RC,250,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5755-23),0.63,0.63,,,0
RC,250,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),0.69,0.69,,,0
RC,250,Methadone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6530-61)  / 1 Tablet In 1 Blister Pack,0.62,0.62,,,0
RC,250,Methadone Hydrochloride: 1000 Ml In 1 Bottle (0054-0391-68),1.31,1.31,,,0
RC,250,"Methadose: 1000 Ml In 1 Bottle, Plastic (0406-0527-10)",0.98,0.98,,,0
RC,250,Methimazole: 100 TABLET in 1 BOTTLE (0185-0210-01),0.7,0.7,,,0
RC,250,Methimazole: 100 Tablet In 1 Bottle (23155-070-01),0.62,0.62,,,0
RC,250,Methimazole: 100 Tablet In 1 Bottle (23155-071-01),0.56,0.56,,,0
RC,250,"Methocarbamol: 100 Blister Pack In 1 Box, Unit-Dose (60687-559-01)  / 1 Tablet In 1 Blister Pack (60687-559-11)",0.63,0.63,,,0
RC,250,Methocarbamol: 100 Blister Pack In 1 Carton (0904-7058-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,250,Methocarbamol: 12 Bottle In 1 Case (31722-534-01)  / 100 Tablet In 1 Bottle,0.63,0.63,,,0
RC,250,Methylergonovine Maleate: 12 Tablet In 1 Bottle (69238-1605-2),35.13,35.13,,,0
RC,250,Methylergonovine Maleate: 28 Tablet In 1 Bottle (69238-1605-8),33.81,33.81,,,0
RC,250,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1142-01),0.41,0.41,,,0
RC,250,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1144-01),0.68,0.68,,,0
RC,250,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (10702-100-01),0.42,0.42,,,0
RC,250,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (16729-478-01),0.5,0.5,,,0
RC,250,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (16729-479-01),0.48,0.48,,,0
RC,250,"Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0115-1800-01)",0.27,0.27,,,0
RC,250,"Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0115-1801-01)",0.36,0.36,,,0
RC,250,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (13811-706-10)",1.44,1.44,,,0
RC,250,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (62175-310-37)",7.98,7.98,,,0
RC,250,"Metoclopramide: 100 Blister Pack In 1 Box, Unit-Dose (60687-631-01)  / 1 Tablet In 1 Blister Pack (60687-631-11)",1.53,1.53,,,0
RC,250,Metoclopramide: 100 Tablet In 1 Bottle (0093-2203-01),0.63,0.63,,,0
RC,250,Metoclopramide: 100 Tablet In 1 Bottle (0093-2204-01),0.62,0.62,,,0
RC,250,"Metoclopramide: 473 Ml In 1 Bottle, Plastic (62559-190-16)",1.45,1.45,,,0
RC,250,Metoclopramide: 500 Tablet In 1 Bottle (0093-2204-05),0.59,0.59,,,0
RC,250,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.51,1.51,,,0
RC,250,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6323-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",2.08,2.08,,,0
RC,250,"Metoprolol Succinate: 100 Tablet, Extended Release In 1 Bottle (50742-615-01)",0.57,0.57,,,0
RC,250,"Metoprolol Succinate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (72603-144-01)",0.95,0.95,,,0
RC,250,"Metoprolol Succinate: 1000 Tablet, Extended Release In 1 Bottle (50742-616-10)",0.43,0.43,,,0
RC,250,"Metoprolol Succinate: 50 Blister Pack In 1 Box, Unit-Dose (50268-541-15)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-541-11)",0.85,0.85,,,0
RC,250,"Metoprolol Succinate: 50 Blister Pack In 1 Carton (0904-6322-06)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.03,1.03,,,0
RC,250,"Metoprolol Succinate: 500 Tablet, Extended Release In 1 Bottle (72516-030-50)",0.59,0.59,,,0
RC,250,"Metoprolol Succinate: 500 Tablet, Film Coated, Extended Release In 1 Bottle (72603-142-02)",0.61,0.61,,,0
RC,250,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0018-01)",0.6,0.6,,,0
RC,250,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0032-01)",0.61,0.61,,,0
RC,250,"Metoprolol Tartrate: 500 Tablet, Film Coated In 1 Bottle, Plastic (0378-0018-05)",0.61,0.61,,,0
RC,250,Metronidazole: 1 Tube In 1 Carton (0713-0637-37)  / 45 G In 1 Tube,82.69,82.69,,,0
RC,250,Metronidazole: 1 Tube In 1 Carton (51672-4116-6)  / 45 G In 1 Tube,96.63,96.63,,,0
RC,250,"Metronidazole: 1 Tube, With Applicator In 1 Carton (16714-557-01)  / 70 G In 1 Tube, With Applicator",164.13,164.13,,,0
RC,250,Metronidazole: 100 BLISTER PACK in 1 CARTON (0904-1453-61)  / 1 TABLET in 1 BLISTER PACK,0.79,0.79,,,0
RC,250,Metronidazole: 100 Blister Pack In 1 Carton (0904-7126-61)  / 1 Tablet In 1 Blister Pack,1.2,1.2,,,0
RC,250,Metronidazole: 100 Blister Pack In 1 Carton (0904-7156-61)  / 1 Tablet In 1 Blister Pack,0.81,0.81,,,0
RC,250,"Metronidazole: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-226-01)",0.41,0.41,,,0
RC,250,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (0093-8739-01),2.19,2.19,,,0
RC,250,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (62559-821-01),1.55,1.55,,,0
RC,250,Miconazole 7: 7 Suppository In 1 Box (61269-736-07),3.07,3.07,,,0
RC,250,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-2)  / 30 G In 1 Tube,6.72,6.72,,,0
RC,250,Miconazole Nitrate: 1 Tube In 1 Carton (61269-735-56)  / 28 G In 1 Tube,4.64,4.64,,,0
RC,250,"Miconazole Nitrate: 1 Tube, With Applicator In 1 Carton (51672-2035-6)  / 45 G In 1 Tube, With Applicator",8.12,8.12,,,0
RC,250,"Midazolam Hydrochloride: 1 Bottle, Glass In 1 Carton (0574-0150-04)  / 118 Ml In 1 Bottle, Glass",1.08,1.08,,,0
RC,250,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0245-0212-01)  / 1 Tablet In 1 Blister Pack (0245-0212-89),1.99,1.99,,,0
RC,250,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6817-61)  / 1 Tablet In 1 Blister Pack,2.19,2.19,,,0
RC,250,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6818-61)  / 1 Tablet In 1 Blister Pack,1.39,1.39,,,0
RC,250,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0211-11),0.6,0.6,,,0
RC,250,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0212-11),0.7,0.7,,,0
RC,250,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0213-11),1.16,1.16,,,0
RC,250,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (82293-004-10),0.4,0.4,,,0
RC,250,"Midodrine Hydrochloride: 30 Blister Pack In 1 Box, Unit-Dose (60687-409-25)  / 1 Tablet In 1 Blister Pack (60687-409-95)",2.3,2.3,,,0
RC,250,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",3.58,3.58,,,0
RC,250,"Mineral Oil: 30 Ml In 1 Cup, Unit-Dose (48433-202-30)",2.29,2.29,,,0
RC,250,"Minocycline Hydrochloride: 60 Capsule In 1 Bottle, Plastic (0591-5694-60)",0.65,0.65,,,0
RC,250,Minoxidil: 100 Tablet In 1 Bottle (53489-386-01),0.58,0.58,,,0
RC,250,"Mirabegron: 30 Tablet, Extended Release In 1 Bottle (70710-1159-3)",22.67,22.67,,,0
RC,250,"Mirabegron: 30 Tablet, Film Coated, Extended Release In 1 Bottle (68180-152-06)",28.23,28.23,,,0
RC,250,"Mirtazapine: 100 Blister Pack In 1 Box, Unit-Dose (68084-119-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-119-11)",0.61,0.61,,,0
RC,250,Mirtazapine: 30 Tablet In 1 Bottle (57664-510-83),5.61,5.61,,,0
RC,250,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (13107-001-30)",2.18,2.18,,,0
RC,250,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (57237-008-30)",0.5,0.5,,,0
RC,250,"Mirtazapine: 5 Blister Pack In 1 Carton (65862-021-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",0.86,0.86,,,0
RC,250,"Mirtazapine: 500 Tablet, Film Coated In 1 Bottle (13107-001-05)",1.63,1.63,,,0
RC,250,Misoprostol: 100 Tablet In 1 Bottle (43386-161-01),2.43,2.43,,,0
RC,250,Misoprostol: 100 Tablet In 1 Bottle (59762-5008-2),2.47,2.47,,,0
RC,250,Misoprostol: 100 Tablet In 1 Bottle (70954-444-20),1.46,1.46,,,0
RC,250,Misoprostol: 120 Tablet In 1 Bottle (59762-5007-2),1.65,1.65,,,0
RC,250,Modafinil: 30 Tablet In 1 Bottle (65862-601-30),0.85,0.85,,,0
RC,250,Modafinil: 90 Tablet In 1 Bottle (57237-154-90),1.31,1.31,,,0
RC,250,Mometasone Furoate: 1 Tube In 1 Carton (0713-0634-15)  / 15 G In 1 Tube,28.32,28.32,,,0
RC,250,"Monsels Solution: 14 G In 1 Vial, Single-Dose (48783-112-08)",36.94,36.94,,,0
RC,250,"Montelukast Sodium: 100 Blister Pack In 1 Carton (0904-6808-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Montelukast Sodium: 90 Tablet, Coated In 1 Bottle (55111-725-90)",0.71,0.71,,,0
RC,250,"Montelukast Sodium: 90 Tablet, Film Coated In 1 Bottle (65862-574-90)",0.63,0.63,,,0
RC,250,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6557-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.22,1.22,,,0
RC,250,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6558-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",2.23,2.23,,,0
RC,250,"Morphine Sulfate Extended Release: 100 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (42858-802-01)",1.04,1.04,,,0
RC,250,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8315-23)",1.18,1.18,,,0
RC,250,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8330-23)",2.36,2.36,,,0
RC,250,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24)  / 1 Tablet In 1 Blister Pack,1.24,1.24,,,0
RC,250,Morphine Sulfate: 100 Tablet In 1 Bottle (0054-0235-25),1.15,1.15,,,0
RC,250,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8315-01)",0.61,0.61,,,0
RC,250,"Morphine Sulfate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (63304-451-01)",1.47,1.47,,,0
RC,250,Morphine Sulfate: 500 Ml In 1 Bottle (0054-0237-63),0.63,0.63,,,0
RC,250,"Moxifloxacin Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (57237-156-30)",14.12,14.12,,,0
RC,250,"Moxifloxacin Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-603-30)",5.96,5.96,,,0
RC,250,"Mucinex: 500 Tablet, Extended Release In 1 Bottle (63824-008-50)",0.85,0.85,,,0
RC,250,"Mucus Relief Er: 100 Blister Pack In 1 Carton (0904-6718-39)  / 1 Tablet, Extended Release In 1 Blister Pack",1.39,1.39,,,0
RC,250,"Mucus Relief: 500 Tablet, Extended Release In 1 Bottle (0904-6986-40)",0.6,0.6,,,0
RC,250,"Multaq: 60 Tablet, Film Coated In 1 Bottle (0024-4142-60)",32.53,32.53,,,0
RC,250,Mupirocin: 1 Tube In 1 Carton (51672-1312-0)  / 22 G In 1 Tube,16.32,16.32,,,0
RC,250,Mupirocin: 22 G In 1 Tube (68462-180-22),16.34,16.34,,,0
RC,250,Muro 128: 1 Bottle In 1 Carton (24208-277-15)  / 15 Ml In 1 Bottle,48.3,48.3,,,0
RC,250,"Myambutol: 10 Blister Pack In 1 Box, Unit-Dose (68850-012-02)  / 10 Tablet, Film Coated In 1 Blister Pack",1.12,1.12,,,0
RC,250,"Myrbetriq: 1 Bottle In 1 Carton (0469-2601-30)  / 30 Tablet, Film Coated, Extended Release In 1 Bottle",37.16,37.16,,,0
RC,250,"Myrbetriq: 1 Bottle In 1 Carton (0469-2601-90)  / 90 Tablet, Film Coated, Extended Release In 1 Bottle",40.18,40.18,,,0
RC,250,"Myrbetriq: 1 Bottle In 1 Carton (0469-2602-30)  / 30 Tablet, Film Coated, Extended Release In 1 Bottle",37.77,37.77,,,0
RC,250,NDC Description Not Available,4.75,4.75,,,0
RC,250,Nadolol: 100 Tablet In 1 Bottle (76385-133-01),0.61,0.61,,,0
RC,250,Nadolol: 100 Tablet In 1 Bottle (76385-134-01),0.63,0.63,,,0
RC,250,"Naltrexone Hydrochloride: 3 Blister Pack In 1 Carton (68094-853-62)  / 10 Tablet, Film Coated In 1 Blister Pack (68094-853-59)",5.52,5.52,,,0
RC,250,Naproxen: 100 Tablet In 1 Bottle (65162-188-10),0.63,0.63,,,0
RC,250,Naproxen: 100 Tablet In 1 Bottle (65162-189-10),0.63,0.63,,,0
RC,250,"Nasal Decongestant: 1 Bottle, Spray In 1 Carton (0904-6761-30)  / 30 Ml In 1 Bottle, Spray",0.02,0.02,,,0
RC,250,"Neo-Synephrine Mild: 15 Ml In 1 Bottle, Spray (0225-0800-47)",9.1,9.1,,,0
RC,250,Neomycin And Polymyxin B Sulfates And Bacitracin Zinc: 1 Tube In 1 Carton (24208-780-55)  / 3.5 G In 1 Tube,121.31,121.31,,,0
RC,250,Neomycin And Polymyxin B Sulfates And Dexamethasone: 1 Tube In 1 Carton (24208-795-35)  / 3.5 G In 1 Tube,32.21,32.21,,,0
RC,250,Neomycin And Polymyxin B Sulfates And Dexamethasone: 3.5 G In 1 Tube (61314-631-36),39.13,39.13,,,0
RC,250,"Neomycin And Polymyxin B Sulfates And Dexamethasone: 5 Ml In 1 Bottle, Plastic (61314-630-06)",30.02,30.02,,,0
RC,250,"Neomycin And Polymyxin B Sulfates And Gramicidin: 1 Bottle, Dropper In 1 Carton (24208-790-62)  / 10 Ml In 1 Bottle, Dropper",96.56,96.56,,,0
RC,250,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 1 Bottle, Dropper In 1 Carton (24208-635-62)  / 10 Ml In 1 Bottle, Dropper",163.78,163.78,,,0
RC,250,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 7.5 Ml In 1 Bottle, Plastic (61314-641-75)",362.31,362.31,,,0
RC,250,Neomycin Sulfate: 100 Tablet In 1 Bottle (0093-1177-01),2.08,2.08,,,0
RC,250,"Niacin: 90 Tablet, Extended Release In 1 Bottle (65162-321-09)",0.87,0.87,,,0
RC,250,"Nicotine Polacrilex: 110 Blister Pack In 1 Carton (45802-206-25)  / 1 Gum, Chewing In 1 Blister Pack",0.63,0.63,,,0
RC,250,Nicotine Transdermal System Step 3: 14 Patch In 1 Carton (0536-1106-88)  / 24 H In 1 Patch,4.02,4.02,,,0
RC,250,"Nicotine: 110 Blister Pack In 1 Carton (45802-827-25)  / 1 Gum, Chewing In 1 Blister Pack",0.62,0.62,,,0
RC,250,Nicotine: 14 Pouch In 1 Carton (0536-5894-88)  / 1 H In 1 Pouch,3.63,3.63,,,0
RC,250,Nicotine: 14 Pouch In 1 Carton (0536-5895-88)  / 1 H In 1 Pouch,3.42,3.42,,,0
RC,250,Nicotine: 14 Pouch In 1 Carton (0536-5896-88)  / 1 H In 1 Pouch,3.64,3.64,,,0
RC,250,Nifedipine: 100 Blister Pack In 1 Carton (0904-7229-61)  / 1 Capsule In 1 Blister Pack,2.21,2.21,,,0
RC,250,Nifedipine: 100 Capsule In 1 Bottle (23155-194-01),0.76,0.76,,,0
RC,250,"Nifedipine: 100 Capsule In 1 Bottle, Plastic (69315-211-01)",1.08,1.08,,,0
RC,250,"Nimbex: 5 mL in 1 VIAL, SINGLE-DOSE (0074-4378-05)",30.11,30.11,,,0
RC,250,Nitro-Bid: 30 G In 1 Tube (0281-0326-30),85.41,85.41,,,0
RC,250,Nitro-Bid: 48 Packet In 1 Box (0281-0326-08)  / 1 G In 1 Packet,5.61,5.61,,,0
RC,250,Nitro-Bid: 60 G In 1 Tube (0281-0326-60),181.4,181.4,,,0
RC,250,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Blister Pack In 1 Carton (60687-633-01)  / 1 Capsule In 1 Blister Pack (60687-633-11),7.84,7.84,,,0
RC,250,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (0185-0122-01),1.12,1.12,,,0
RC,250,Nitrofurantoin Monohydrate/ Macrocrystalline: 100 Blister Pack In 1 Carton (0904-7137-61)  / 1 Capsule In 1 Blister Pack,4.89,4.89,,,0
RC,250,"Nitrofurantoin: 1 Bottle, Glass In 1 Carton (69238-2512-9)  / 230 Ml In 1 Bottle, Glass",113.28,113.28,,,0
RC,250,Nitrofurantoin: 230 Ml In 1 Bottle (70954-496-10),150.36,150.36,,,0
RC,250,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13)  / 25 Tablet In 1 Bottle,100.3,100.3,,,0
RC,250,Nivagen Zinc Oxide: 28.4 G In 1 Tube (75834-170-01),8.54,8.54,,,0
RC,250,Norepinephrine Bitartrate: 10 Vial In 1 Carton (70121-1576-7)  / 4 Ml In 1 Vial (70121-1576-1),10.95,10.95,,,0
RC,250,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (0781-3755-95)  / 4 Ml In 1 Vial, Single-Dose (0781-3755-75)",9.05,9.05,,,0
RC,250,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (43066-997-10)  / 4 Ml In 1 Vial, Single-Dose (43066-997-01)",6.07,6.07,,,0
RC,250,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),1.19,1.19,,,0
RC,250,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0810-01),0.59,0.59,,,0
RC,250,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0811-01),0.5,0.5,,,0
RC,250,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0812-01),0.46,0.46,,,0
RC,250,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",0.4,0.4,,,0
RC,250,"Nortriptyline Hydrochloride: 50 Blister Pack In 1 Box, Unit-Dose (50268-604-15)  / 1 Capsule In 1 Blister Pack (50268-604-11)",0.84,0.84,,,0
RC,250,"Novolog: 5 Syringe, Plastic In 1 Carton (0169-6339-10)  / 3 Ml In 1 Syringe, Plastic",42.3,42.3,,,0
RC,250,"Noxafil: 60 Tablet, Coated In 1 Bottle (0085-4324-02)",182.47,182.47,,,0
RC,250,Np Thyroid 15: 100 Tablet In 1 Bottle (42192-327-01),1.13,1.13,,,0
RC,250,Np Thyroid 30: 100 Tablet In 1 Bottle (42192-329-01),1.47,1.47,,,0
RC,250,"Nuplazid: 30 Capsule In 1 Bottle, Plastic (63090-340-30)",337.23,337.23,,,0
RC,250,Nutrilipid I.V. Fat Emulsion: 8 Carton In 1 Case (0264-4460-00)  / 1 Container In 1 Carton / 1000 Ml In 1 Container,36.0,36.0,,,0
RC,250,Nystatin: 1 Tube In 1 Carton (45802-048-35)  / 15 G In 1 Tube,19.17,19.17,,,0
RC,250,Nystatin: 1 Tube In 1 Carton (45802-059-35)  / 15 G In 1 Tube,37.06,37.06,,,0
RC,250,Nystatin: 1 Tube In 1 Carton (51672-1289-1)  / 15 G In 1 Tube,22.11,22.11,,,0
RC,250,"Nystatin: 15 G In 1 Bottle, Plastic (69315-306-15)",19.945,19.945,,,0
RC,250,"Nystatin: 15 g in 1 BOTTLE, PLASTIC (39822-3015-1)",38.58,38.58,,,0
RC,250,Nystatin: 473 Ml In 1 Bottle (0121-0868-16),0.9,0.9,,,0
RC,250,Nystatin: 473 Ml In 1 Bottle (0121-1045-16),2.29,2.29,,,0
RC,250,OXYBUTYNIN CHLORIDE: 473 mL in 1 BOTTLE (60432-092-16),0.63,0.63,,,0
RC,250,"Ocuflox: 1 Bottle, Dropper In 1 Carton (11980-779-05)  / 5 Ml In 1 Bottle, Dropper",316.96,316.96,,,0
RC,250,"Ofloxacin: 1 BOTTLE, DROPPER in 1 CARTON (17478-713-10)  / 5 mL in 1 BOTTLE, DROPPER",26.22,26.22,,,0
RC,250,"Ofloxacin: 1 Bottle, Plastic In 1 Carton (64980-515-05)  / 5 Ml In 1 Bottle, Plastic",32.11,32.11,,,0
RC,250,"Oil: 473 Ml In 1 Bottle, Plastic (0869-0831-43)",3.62,3.62,,,0
RC,250,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0)  / 10 Tablet, Film Coated In 1 Blister Pack",0.58,0.58,,,0
RC,250,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3111-0)  / 10 Tablet, Film Coated In 1 Blister Pack",0.57,0.57,,,0
RC,250,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3113-0)  / 10 Tablet, Film Coated In 1 Blister Pack",0.7,0.7,,,0
RC,250,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",3.52,3.52,,,0
RC,250,"Olanzapine: 3 Blister Pack In 1 Carton (49884-320-55)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack (49884-320-52)",2.15,2.15,,,0
RC,250,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (13668-086-30)",5.93,5.93,,,0
RC,250,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (60505-3275-3)",1.7,1.7,,,0
RC,250,Olanzapine: 90 Tablet In 1 Bottle (69543-383-90),0.63,0.63,,,0
RC,250,"Olopatadine Hydrochloride: 1 BOTTLE, PLASTIC in 1 CARTON (60505-0575-1)  / 5 mL in 1 BOTTLE, PLASTIC",96.0,96.0,,,0
RC,250,"Olopatadine Hydrochloride: 1 Bottle, Plastic In 1 Carton (58602-006-40)  / 5 Ml In 1 Bottle, Plastic",19.46,19.46,,,0
RC,250,Opium Tincture Deodorized: 118 Ml In 1 Bottle (62559-153-04),5.25,5.25,,,0
RC,250,"Opium Tincture Deodorized: 118 Ml In 1 Bottle, Plastic (42799-217-01)",4.35,4.35,,,0
RC,250,"Orgovyx: 30 Tablet, Film Coated In 1 Bottle, Plastic (72974-120-01)",265.88,265.88,,,0
RC,250,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-256-66)  / 10 Capsule In 1 Blister Pack,2.84,2.84,,,0
RC,250,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-257-66)  / 10 Capsule In 1 Blister Pack,2.9,2.9,,,0
RC,250,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-258-66)  / 10 Capsule In 1 Blister Pack,4.58,4.58,,,0
RC,250,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (47781-468-13)  / 10 Capsule In 1 Blister Pack,22.66,22.66,,,0
RC,250,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (60219-1266-1)  / 10 Capsule In 1 Blister Pack,20.99,20.99,,,0
RC,250,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-042-11)  / 10 Capsule In 1 Blister Pack,4.0,4.0,,,0
RC,250,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-797-01),2.86,2.86,,,0
RC,250,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),4.48,4.48,,,0
RC,250,Osmitrol: 500 Ml In 1 Bag (0338-0357-03),107.45,107.45,,,0
RC,250,Oxcarbazepine: 10 BLISTER PACK in 1 BOX (0054-0097-20)  / 10 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
RC,250,Oxybutynin Chloride: 100 BLISTER PACK in 1 CARTON (0904-2821-61)  / 1 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
RC,250,"Oxybutynin Chloride: 100 Blister Pack In 1 Carton (0904-6570-61)  / 1 Tablet, Extended Release In 1 Blister Pack",3.11,3.11,,,0
RC,250,Oxybutynin Chloride: 100 Tablet In 1 Bottle (70954-005-10),0.63,0.63,,,0
RC,250,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),0.885,0.885,,,0
RC,250,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8530-23),2.6,2.6,,,0
RC,250,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-001-10)  / 10 Tablet In 1 Blister Pack,0.77,0.77,,,0
RC,250,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61)  / 1 Tablet In 1 Blister Pack,0.535,0.535,,,0
RC,250,Oxycodone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-0552-62),0.615,0.615,,,0
RC,250,"Oxycodone Hydrochloride: 5 Tray In 1 Case (66689-401-50)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (66689-401-01)",3.26,3.26,,,0
RC,250,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-420-10)",23.07,23.07,,,0
RC,250,"Oxycontin: 2 Blister Pack In 1 Carton (59011-410-20)  / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",12.59,12.59,,,0
RC,250,"Oxycontin: 2 Blister Pack In 1 Carton (59011-420-20)  / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",23.86,23.86,,,0
RC,250,"Oxycontin: 2 Blister Pack In 1 Carton (59011-440-20)  / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",37.28,37.28,,,0
RC,250,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59)  / 30 Ml In 1 Bottle, Spray",5.52,5.52,,,0
RC,250,Pacerone: 100 Blister Pack In 1 Carton (0245-0144-01)  / 1 Tablet In 1 Blister Pack (0245-0144-89),1.02,1.02,,,0
RC,250,Pacerone: 100 Blister Pack In 1 Carton (0245-0147-01)  / 1 Tablet In 1 Blister Pack (0245-0147-89),0.59,0.59,,,0
RC,250,Pacerone: 60 Tablet In 1 Bottle (0245-0147-60),0.48,0.48,,,0
RC,250,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (16714-867-01)",7.86,7.86,,,0
RC,250,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-402-10)  / 100 Capsule, Delayed Release In 1 Bottle, Glass",3.49,3.49,,,0
RC,250,"Pantoprazole Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-564-10)  / 10 Tablet, Delayed Release In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Pantoprazole Sodium: 80 Blister Pack In 1 Box, Unit-Dose (68084-813-09)  / 1 Tablet, Delayed Release In 1 Blister Pack (68084-813-11)",0.63,0.63,,,0
RC,250,"Pantoprazole Sodium: 80 Blister Pack In 1 Carton (0904-6870-45)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (31722-712-90)",0.62,0.62,,,0
RC,250,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-559-90)",0.63,0.63,,,0
RC,250,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-560-90)",0.63,0.63,,,0
RC,250,"Paroxetine: 10 Blister Pack In 1 Box, Unit-Dose (63739-963-10)  / 10 Tablet, Film Coated In 1 Blister Pack",0.54,0.54,,,0
RC,250,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (0904-5676-61)  / 1 Tablet, Film Coated In 1 Blister Pack",1.19,1.19,,,0
RC,250,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (0904-5677-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.62,0.62,,,0
RC,250,"Paroxetine: 30 Tablet, Film Coated, Extended Release In 1 Bottle (42858-703-03)",1.73,1.73,,,0
RC,250,"Paroxetine: 90 TABLET, FILM COATED in 1 BOTTLE (0093-7114-98)",0.63,0.63,,,0
RC,250,"Paroxetine: 90 Tablet, Film Coated In 1 Bottle (13107-155-90)",0.43,0.43,,,0
RC,250,"Paxlovid: 10 Blister Pack In 1 Carton (0069-5045-30)  / 1 Kit In 1 Blister Pack (0069-5045-06)  *  2 Tablet, Film Coated In 1 Blister Pack (0069-2085-02)  *  1 Tablet, Film Coated In 1 Blister Pack (0",132.76,132.76,,,0
RC,250,"Paxlovid: 10 Blister Pack In 1 Carton (0069-5321-30)  / 1 Kit In 1 Blister Pack (0069-5321-03)  *  2 Tablet, Film Coated In 1 Blister Pack (0069-2085-02)  *  1 Tablet, Film Coated In 1 Blister Pack (0",125.68,125.68,,,0
RC,250,Pediatric Infuvite Multiple Vitamins: 10 Vial In 1 Carton (54643-9023-1)  / 5 Ml In 1 Vial,1.94,1.94,,,0
RC,250,"Peg-3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride: 4 L In 1 Bottle (10572-302-01)",62.09,62.09,,,0
RC,250,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),1.45,1.45,,,0
RC,250,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (16714-234-01)",0.38,0.38,,,0
RC,250,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (57237-041-01)",0.63,0.63,,,0
RC,250,Pentasa: 120 Capsule In 1 Bottle (54092-191-12),16.17,16.17,,,0
RC,250,"Pentoxifylline: 100 Blister Pack In 1 Carton (0904-5448-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.63,0.63,,,0
RC,250,Permethrin: 1 Tube In 1 Container (16714-897-01)  / 60 G In 1 Tube,40.2,40.2,,,0
RC,250,"Phenazopyridine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE (10135-620-01)",1.59,1.59,,,0
RC,250,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),0.65,0.65,,,0
RC,250,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-682-10),0.96,0.96,,,0
RC,250,Phenobarbital: 100 Tablet In 1 Bottle (0143-1500-01),0.94,0.94,,,0
RC,250,"Phenobarbital: 100 Tablet In 1 Bottle, Plastic (75826-138-10)",0.17,0.17,,,0
RC,250,Phenobarbital: 500 TABLET in 1 BOTTLE (0143-1450-05),0.3,0.3,,,0
RC,250,Phenobarbital: 60 Tablet In 1 Bottle (71205-890-60),0.75,0.75,,,0
RC,250,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (42702-102-15)  / 15 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
RC,250,"Phenytoin Sodium: 100 Capsule, Extended Release In 1 Bottle (51672-4111-1)",0.42,0.42,,,0
RC,250,Phenytoin: 237 Ml In 1 Bottle (51672-4069-1),0.79,0.79,,,0
RC,250,Phytonadione: 1 Bottle In 1 Carton (16714-973-02)  / 30 Tablet In 1 Bottle,72.64,72.64,,,0
RC,250,Phytonadione: 1 Bottle In 1 Carton (70710-1014-1)  / 100 Tablet In 1 Bottle,72.86,72.86,,,0
RC,250,Phytonadione: 30 Tablet In 1 Bottle (69097-999-02),22.37,22.37,,,0
RC,250,"Pifeltro: 30 Tablet, Film Coated In 1 Bottle (0006-3069-01)",159.31,159.31,,,0
RC,250,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (61314-203-15)  / 15 Ml In 1 Bottle,162.74,162.74,,,0
RC,250,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (70069-181-01)  / 15 Ml In 1 Bottle,126.65,126.65,,,0
RC,250,"Pilocarpine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0527-1313-01)",0.81,0.81,,,0
RC,250,"Pilocarpine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0527-1407-01)",1.34,1.34,,,0
RC,250,Pioglitazone: 30 Tablet In 1 Bottle (0093-7271-56),0.68,0.68,,,0
RC,250,Pioglitazone: 90 Tablet In 1 Bottle (0093-7272-98),0.63,0.63,,,0
RC,250,"Plaquenil: 100 TABLET, FILM COATED in 1 BOTTLE (0024-1562-10)",4.06,4.06,,,0
RC,250,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),3.78,3.78,,,0
RC,250,"Plavix: 10 BLISTER PACK in 1 CARTON (63653-1171-3)  / 10 TABLET, FILM COATED in 1 BLISTER PACK",9.31,9.31,,,0
RC,250,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),2.85,2.85,,,0
RC,250,"Polymyxin B: 10 Vial In 1 Carton (55150-234-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",9.27,9.27,,,0
RC,250,Polyvinyl Alcohol: 15 Ml In 1 Bottle (50268-678-15),20.99,20.99,,,0
RC,250,"Posaconazole: 1 Bottle, Glass In 1 Carton (0054-0449-49)  / 105 Ml In 1 Bottle, Glass",103.7,103.7,,,0
RC,250,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (70748-258-07)",15.19,15.19,,,0
RC,250,"Potassium Acetate: 25 Vial, Single-Dose In 1 Carton (51754-2001-4)  / 20 Ml In 1 Vial, Single-Dose",12.61,12.61,,,0
RC,250,"Potassium Chloride Extended-Release: 100 Tablet, Extended Release In 1 Bottle (70010-135-01)",0.575,0.575,,,0
RC,250,Potassium Chloride For Oral Solution: 1.58 G In 1 Pouch (70069-823-01),2.03,2.03,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0671-04),43.63,43.63,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0673-04),45.0,45.0,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0675-04),46.1,46.1,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0803-04),47.93,47.93,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0807-04),47.41,47.41,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7635-00)  / 1000 Ml In 1 Container,44.96,44.96,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7638-00)  / 1000 Ml In 1 Container,51.47,51.47,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7652-00)  / 1000 Ml In 1 Container,45.89,45.89,,,0
RC,250,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-972-10)  / 10 Tablet, Extended Release In 1 Blister Pack",1.2599999999999998,1.2599999999999998,,,0
RC,250,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-973-10)  / 10 Tablet, Extended Release In 1 Blister Pack",1.5,1.5,,,0
RC,250,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7216-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Potassium Chloride: 100 Tablet, Extended Release In 1 Bottle (69238-1065-1)",0.45,0.45,,,0
RC,250,"Potassium Chloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (0832-5323-11)",0.63,0.63,,,0
RC,250,"Potassium Chloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68382-398-01)",1.13,1.13,,,0
RC,250,Potassium Chloride: 473 Ml In 1 Bottle (0121-0948-16),3.08,3.08,,,0
RC,250,"Potassium Chloride: 473 Ml In 1 Bottle, Plastic (0603-1542-58)",8.27,8.27,,,0
RC,250,Potassium Chloride: 5 Tray In 1 Case (66689-048-50)  / 10 Cup In 1 Tray / 30 Ml In 1 Cup (66689-048-01),51.43,51.43,,,0
RC,250,Potassium Citrate: 100 Tablet In 1 Bottle (0245-0071-11),1.24,1.24,,,0
RC,250,Potassium Citrate: 100 Tablet In 1 Bottle (44523-410-01),0.32,0.32,,,0
RC,250,"Potassium Citrate: 100 Tablet, Extended Release In 1 Bottle (68382-537-01)",1.19,1.19,,,0
RC,250,"Potassium Citrate: 100 Tablet, Extended Release In 1 Bottle (68382-538-01)",1.64,1.64,,,0
RC,250,"Potassium Iodide: 30 Ml In 1 Bottle, With Applicator (75834-280-30)",11.18,11.18,,,0
RC,250,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01)  / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",1.88,1.88,,,0
RC,250,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (65219-054-29)  / 15 Ml In 1 Vial, Single-Dose (65219-054-09)",84.35,84.35,,,0
RC,250,Pradaxa: 60 Blister Pack In 1 Carton (0597-0355-56)  / 1 Capsule In 1 Blister Pack,8.37,8.37,,,0
RC,250,Pradaxa: 60 Blister Pack In 1 Carton (0597-0360-82)  / 1 Capsule In 1 Blister Pack,7.91,7.91,,,0
RC,250,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (13668-091-90),0.44,0.44,,,0
RC,250,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (13668-094-90),0.43,0.43,,,0
RC,250,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-331-90),0.32,0.32,,,0
RC,250,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65862-830-30)",1.75,1.75,,,0
RC,250,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61)  / 1 Tablet In 1 Blister Pack",0.7,0.7,,,0
RC,250,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5892-61)  / 1 Tablet In 1 Blister Pack",0.94,0.94,,,0
RC,250,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5893-61)  / 1 Tablet In 1 Blister Pack",1.38,1.38,,,0
RC,250,Pravastatin Sodium: 90 Tablet In 1 Bottle (16714-559-01),0.63,0.63,,,0
RC,250,Pravastatin Sodium: 90 Tablet In 1 Bottle (63629-8910-1),0.45,0.45,,,0
RC,250,Precedex: 20 Bottle In 1 Tray (0409-1660-50)  / 50 Ml In 1 Bottle (0409-1660-55),29.12,29.12,,,0
RC,250,"Pred Forte: 1 Bottle, Dropper In 1 Carton (11980-180-05)  / 5 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
RC,250,Prednisolone Acetate: 1 Bottle In 1 Carton (70748-332-03)  / 10 Ml In 1 Bottle,1.0,1.0,,,0
RC,250,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-10)  / 10 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
RC,250,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-05)  / 5 Ml In 1 Bottle, Plastic",1.0,1.0,,,0
RC,250,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-484-01)  / 1 Capsule In 1 Blister Pack (60687-484-11)",1.14,1.14,,,0
RC,250,Pregabalin: 100 Blister Pack In 1 Carton (0904-6991-61)  / 1 Capsule In 1 Blister Pack,1.69,1.69,,,0
RC,250,Pregabalin: 100 Blister Pack In 1 Carton (0904-7001-61)  / 1 Capsule In 1 Blister Pack,1.05,1.05,,,0
RC,250,Pregabalin: 90 Capsule In 1 Bottle (62332-119-90),0.46,0.46,,,0
RC,250,Pregabalin: 90 Capsule In 1 Bottle (62332-122-90),0.46,0.46,,,0
RC,250,Pregabalin: 90 Capsule In 1 Bottle (72205-011-90),0.24,0.24,,,0
RC,250,Pregabalin: 90 Capsule In 1 Bottle (72205-012-90),0.33,0.33,,,0
RC,250,"Premarin Vaginal: 1 Tube, With Applicator In 1 Carton (0046-0872-21)  / 30 G In 1 Tube, With Applicator",1197.25,1197.25,,,0
RC,250,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1100-81)",16.72,16.72,,,0
RC,250,Preparation H: 1 Tube In 1 Carton (0573-2871-93)  / 28 G In 1 Tube,18.23,18.23,,,0
RC,250,Prevalite: 42 Packet In 1 Carton (0245-0036-42)  / 5.5 G In 1 Packet (0245-0036-89),5.48,5.48,,,0
RC,250,"Prezcobix: 30 Tablet, Film Coated In 1 Bottle (59676-575-30)",206.65,206.65,,,0
RC,250,"Prezista: 60 Tablet, Film Coated In 1 Bottle, Plastic (59676-562-01)",93.94,93.94,,,0
RC,250,"Primaquine Phosphate: 100 Tablet, Film Coated In 1 Bottle (0024-1596-01)",4.96,4.96,,,0
RC,250,Primidone: 100 TABLET in 1 BOTTLE (0115-1030-01),0.28,0.28,,,0
RC,250,Primidone: 100 TABLET in 1 BOTTLE (0115-1031-01),0.3,0.3,,,0
RC,250,"Primidone: 100 Tablet In 1 Bottle, Plastic (69584-684-10)",0.36,0.36,,,0
RC,250,Procto-Med Hc: 1 Tube In 1 Carton (69315-312-28)  / 28 G In 1 Tube,73.88,73.88,,,0
RC,250,Proctofoam Hc: 1 Canister In 1 Carton (0037-6822-10)  / 10 G In 1 Canister,456.9,456.9,,,0
RC,250,Proctozone-Hc: 1 Tube In 1 Carton (63629-8847-1)  / 30 G In 1 Tube,40.29,40.29,,,0
RC,250,Proctozone-Hc: 1 Tube In 1 Carton (64980-324-30)  / 30 G In 1 Tube,49.8,49.8,,,0
RC,250,"Promacta: 14 Tablet, Film Coated In 1 Bottle (0078-0686-55)",1167.91,1167.91,,,0
RC,250,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0685-15)",753.29,753.29,,,0
RC,250,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (61314-016-01)  / 15 Ml In 1 Bottle,1.0,1.0,,,0
RC,250,"Proparacaine Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-730-06)  / 15 Ml In 1 Bottle, Dropper",1.0,1.0,,,0
RC,250,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6550-61)  / 1 Tablet In 1 Blister Pack,0.6,0.6,,,0
RC,250,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-0182-01)",0.59,0.59,,,0
RC,250,"Propranolol Hydrochloride: 500 Ml In 1 Bottle, Plastic (0054-3727-63)",0.63,0.63,,,0
RC,250,Provigil: 30 Tablet In 1 Bottle (63459-101-30),30.74,30.74,,,0
RC,250,"Pseudoephedrine Hcl: 10 Blister Pack In 1 Carton (0904-6990-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.42,0.42,,,0
RC,250,Pure And Gentle: 1 Bottle In 1 Box (53329-013-11)  / 133 Ml In 1 Bottle,0.63,0.63,,,0
RC,250,Pyridostigmine Bromide: 100 Tablet In 1 Bottle (68682-302-10),0.54,0.54,,,0
RC,250,Pyridostigmine Bromide: 30 Tablet In 1 Bottle (64980-220-03),16.06,16.06,,,0
RC,250,"Pyridostigmine Bromide: 30 Tablet, Extended Release In 1 Bottle (47781-335-30)",13.95,13.95,,,0
RC,250,Quetiapine Fumarate: 50 Blister Pack In 1 Box (50268-630-15)  / 1 Tablet In 1 Blister Pack (50268-630-11),0.55,0.55,,,0
RC,250,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.58,0.58,,,0
RC,250,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.84,0.84,,,0
RC,250,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6642-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.65,0.65,,,0
RC,250,"Quetiapine: 100 Tablet, Film Coated In 1 Bottle (16714-454-01)",0.7,0.7,,,0
RC,250,"Quetiapine: 1000 Tablet, Film Coated In 1 Bottle (16714-452-02)",0.55,0.55,,,0
RC,250,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-302-40)  / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",536.64,536.64,,,0
RC,250,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-304-80)  / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",720.53,720.53,,,0
RC,250,"RYTHMOL: 100 TABLET, FILM COATED in 1 BOTTLE (0173-0792-20)",0.37,0.37,,,0
RC,250,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Package (50228-423-60)",0.95,0.95,,,0
RC,250,Recothrom: 1 Kit In 1 Kit (0338-0322-01)  *  5 Ml In 1 Vial (0338-0324-01)  *  5 Ml In 1 Syringe,102.5,102.5,,,0
RC,250,"Refresh Classic: 50 Vial, Single-Use In 1 Carton (0023-0506-50)  / .4 Ml In 1 Vial, Single-Use",0.78,0.78,,,0
RC,250,"Refresh Plus: 30 Vial, Single-Use In 1 Carton (0023-0403-30)  / .4 Ml In 1 Vial, Single-Use",0.63,0.63,,,0
RC,250,"Refresh Tears: 1 Bottle, Dropper In 1 Carton (0023-0798-15)  / 15 Ml In 1 Bottle, Dropper",22.91,22.91,,,0
RC,250,Regular Strength Antacid/Antigas: 355 Ml In 1 Bottle (0536-1317-83),0.63,0.63,,,0
RC,250,"Regular Strength Enteric Coated Aspirin: 1000 Tablet, Coated In 1 Bottle (57896-921-10)",0.56,0.56,,,0
RC,250,Regular Strength Pain Relief: 100 TABLET in 1 BOTTLE (57896-101-01),0.32,0.32,,,0
RC,250,Regular Strength Pain Relief: 100 Tablet In 1 Bottle (57896-102-01),0.325,0.325,,,0
RC,250,"Relistor: 1 Vial, Single-Dose In 1 Carton (65649-551-02)  / .6 Ml In 1 Vial, Single-Dose",314.03,314.03,,,0
RC,250,Rexulti: 1 Bottle In 1 Carton (59148-036-13)  / 30 Tablet In 1 Bottle,117.61,117.61,,,0
RC,250,Rexulti: 1 Bottle In 1 Carton (59148-037-13)  / 30 Tablet In 1 Bottle,129.92,129.92,,,0
RC,250,Rexulti: 1 Bottle In 1 Carton (59148-039-13)  / 30 Tablet In 1 Bottle,122.3,122.3,,,0
RC,250,"Reyataz: 30 Capsule, Gelatin Coated In 1 Bottle, Plastic (0003-3622-12)",116.95,116.95,,,0
RC,250,Rifabutin: 100 Capsule In 1 Bottle (59762-1350-1),33.88,33.88,,,0
RC,250,Rifampin: 30 Capsule In 1 Bottle (68180-658-06),1.52,1.52,,,0
RC,250,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2306-30)",556.48,556.48,,,0
RC,250,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2310-30)",547.2,547.2,,,0
RC,250,"Risperidone: 100 Blister Pack In 1 Carton (0904-7362-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.79,0.79,,,0
RC,250,"Risperidone: 100 Blister Pack In 1 Carton (0904-7363-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.5,0.5,,,0
RC,250,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6358-61)",0.48,0.48,,,0
RC,250,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6359-61)",0.63,0.63,,,0
RC,250,"Risperidone: 3 Blister Pack In 1 Carton (59746-010-32)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",1.8,1.8,,,0
RC,250,Risperidone: 30 Ml In 1 Bottle (65162-673-84),0.81,0.81,,,0
RC,250,"Risperidone: 30 Ml In 1 Bottle, Unit-Dose (27808-002-01)",0.63,0.63,,,0
RC,250,"Risperidone: 5 Blister Pack In 1 Carton (49884-212-55)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack (49884-212-52)",5.63,5.63,,,0
RC,250,Risperidone: 60 Tablet In 1 Bottle (27241-003-06),0.51,0.51,,,0
RC,250,Risperidone: 60 Tablet In 1 Bottle (43547-342-06),0.5,0.5,,,0
RC,250,"Risperidone: 7 Blister Pack In 1 Carton (59746-020-22)  / 4 Tablet, Orally Disintegrating In 1 Blister Pack",2.36,2.36,,,0
RC,250,"Ritonavir: 30 Tablet, Film Coated In 1 Bottle (65862-687-30)",4.63,4.63,,,0
RC,250,"Rivaroxaban: 180 Tablet, Film Coated In 1 Bottle (31722-496-18)",8.6,8.6,,,0
RC,250,Rivastigmine Tartrate: 100 Blister Pack In 1 Carton (0904-7107-61)  / 1 Capsule In 1 Blister Pack,5.94,5.94,,,0
RC,250,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (55111-353-60),1.56,1.56,,,0
RC,250,Rivastigmine: 30 Patch In 1 Carton (65162-749-34)  / 24 H In 1 Patch,10.3,10.3,,,0
RC,250,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-10)  / 10 Ml In 1 Vial, Multi-Dose (0409-9558-31)",15.34,15.34,,,0
RC,250,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (71288-700-06)  / 5 Ml In 1 Vial, Multi-Dose (71288-700-05)",2.66,2.66,,,0
RC,250,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-268-10)",0.4,0.4,,,0
RC,250,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-270-10)",0.5,0.5,,,0
RC,250,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-272-10)",0.1,0.1,,,0
RC,250,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6373-61)  / 1 Tablet, Film Coated In 1 Blister Pack",1.15,1.15,,,0
RC,250,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (68462-254-01)",0.52,0.52,,,0
RC,250,"Rosuvastatin Calcium: 100 Blister Pack In 1 Box, Unit-Dose (60687-256-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-256-11)",2.7,2.7,,,0
RC,250,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6778-61)  / 1 Tablet, Coated In 1 Blister Pack",2.02,2.02,,,0
RC,250,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6781-61)  / 1 Tablet, Coated In 1 Blister Pack",2.55,2.55,,,0
RC,250,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle (16714-991-01)",0.63,0.63,,,0
RC,250,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle (68462-264-30)",0.63,0.63,,,0
RC,250,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-989-01)",0.51,0.51,,,0
RC,250,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-990-01)",0.5,0.5,,,0
RC,250,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (65862-296-90)",0.63,0.63,,,0
RC,250,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle, Plastic (70377-006-12)",0.51,0.51,,,0
RC,250,"Rugby Anti-Dandruff: 207 Ml In 1 Bottle, Plastic (0536-1995-53)",5.44,5.44,,,0
RC,250,"Rugby Anti-Itch: 212 G In 1 Bottle, Pump (0536-1268-12)",10.11,10.11,,,0
RC,250,"Rugby Cal-Gest Antacid Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0536-1007-15)",0.25,0.25,,,0
RC,250,"Rugby Cherry Flavor: 177 Ml In 1 Bottle, Spray (0536-1228-58)",6.39,6.39,,,0
RC,250,"Rugby Eye Wash: 1 Bottle, Dropper In 1 Box (0536-1224-97)  / 118 Ml In 1 Bottle, Dropper",6.72,6.72,,,0
RC,250,Rugby Hemorrhoidal: 12 Blister Pack In 1 Carton (0536-1186-12)  / 1 Suppository In 1 Blister Pack,0.63,0.63,,,0
RC,250,Rugby Muscle Rub Cream: 1 Tube In 1 Carton (0536-1349-57)  / 85 G In 1 Tube,6.63,6.63,,,0
RC,250,"Rugby Nicotine Polacrilex Gum, Mint Flavor: 11 Blister Pack In 1 Carton (0536-1362-23)  / 10 Gum, Chewing In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Drops: 1 Bottle, Dropper In 1 Box (0536-1408-94)  / 15 Ml In 1 Bottle, Dropper",13.74,13.74,,,0
RC,250,"Rugby Regular Strength Acetaminophen: 100 Tablet In 1 Bottle, Plastic (0536-1327-01)",0.32,0.32,,,0
RC,250,"Rugby Regular Strength Acetaminophen: 1000 Tablet In 1 Bottle, Plastic (0536-1327-10)",0.32,0.32,,,0
RC,250,"Rugby: 150 Tablet, Chewable In 1 Bottle, Plastic (0536-1048-15)",0.27,0.27,,,0
RC,250,Ryanodex Dantrolene Sodium: 1 Vial In 1 Carton (42367-540-32)  / 20 Ml In 1 Vial,2851.7,2851.7,,,0
RC,250,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-661-01)",10.51,10.51,,,0
RC,250,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-662-01)",10.15,10.15,,,0
RC,250,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-663-01)",10.28,10.28,,,0
RC,250,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-664-01)",12.9,12.9,,,0
RC,250,"S2: 30 Pouch In 1 Carton (0487-5901-99)  / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",5.06,5.06,,,0
RC,250,Samsca: 1 Blister Pack In 1 Carton (59148-020-50)  / 10 Tablet In 1 Blister Pack,472.68,472.68,,,0
RC,250,Sancuso: 168 H In 1 Pouch (66220-637-31),1651.0,1651.0,,,0
RC,250,"Savaysa: 30 Tablet, Film Coated In 1 Bottle (65597-201-30)",34.96,34.96,,,0
RC,250,"Scopolamine: 24 Pouch In 1 Carton (50742-505-24)  / 1 Patch, Extended Release In 1 Pouch",13.29,13.29,,,0
RC,250,Selegiline Hydrochloride: 60 Tablet In 1 Bottle (60505-3438-3),2.69,2.69,,,0
RC,250,"Selzentry: 60 Tablet, Film Coated In 1 Bottle (49702-224-18)",75.22,75.22,,,0
RC,250,"Senna-Lax: 10 Blister Pack In 1 Box (0904-6522-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
RC,250,"Senna: 237 Ml In 1 Bottle, Plastic (39328-020-08)",0.75,0.75,,,0
RC,250,Sennosides: 1 Bottle In 1 Carton (10135-314-01)  / 100 Tablet In 1 Bottle,0.32,0.32,,,0
RC,250,"Sennosides: 10 Blister Pack In 1 Box, Unit-Dose (0904-7252-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
RC,250,"Sennosides: 100 Tablet, Film Coated In 1 Bottle (0904-7252-60)",0.33,0.33,,,0
RC,250,"Sennosides: 1000 Tablet, Film Coated In 1 Bottle (0904-7252-80)",0.32,0.32,,,0
RC,250,"Sensorcaine Mpf: 5 Vial, Single-Dose In 1 Box (63323-462-31)  / 30 Ml In 1 Vial, Single-Dose (63323-462-02)",23.58,23.58,,,0
RC,250,"Sertraline Hydrochloride: 1 Bottle, Plastic In 1 Carton (16714-601-02)  / 60 Ml In 1 Bottle, Plastic",3.2,3.2,,,0
RC,250,"Sertraline Hydrochloride: 100 Blister Pack In 1 Carton (0904-6926-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.87,0.87,,,0
RC,250,"Sertraline Hydrochloride: 100 TABLET, FILM COATED in 1 BOX, UNIT-DOSE (0904-6088-61)",0.38,0.38,,,0
RC,250,"Sertraline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-612-04)",0.5,0.5,,,0
RC,250,"Sertraline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-613-04)",0.5,0.5,,,0
RC,250,"Sertraline Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (16714-613-05)",0.45,0.45,,,0
RC,250,"Sevelamer Carbonate: 100 Blister Pack In 1 Carton (0904-6707-82)  / 1 Tablet, Film Coated In 1 Blister Pack",9.23,9.23,,,0
RC,250,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (65862-921-27)",0.61,0.61,,,0
RC,250,"Sevelamer Carbonate: 90 Pouch In 1 Carton (65862-930-90)  / 1 Powder, For Suspension In 1 Pouch (65862-930-08)",3.76,3.76,,,0
RC,250,"Sevelamer Hydrochloride: 360 Tablet, Film Coated In 1 Bottle (68462-446-26)",5.56,5.56,,,0
RC,250,"Sildenafil: 50 Blister Pack In 1 Carton (0904-6671-06)  / 1 Tablet, Film Coated In 1 Blister Pack",1.09,1.09,,,0
RC,250,Sildenafil: 90 Tablet In 1 Bottle (65162-351-09),0.43,0.43,,,0
RC,250,Silver Nitrate Applicators: 10 Packet In 1 Box (12870-0001-1)  / 10 Applicator In 1 Packet / 100 Mg In 1 Applicator,1.93,1.93,,,0
RC,250,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2)  / 100 Mg In 1 Applicator,1.77,1.77,,,0
RC,250,Silver Sulfadiazine: 50 G In 1 Jar (67877-124-50),32.65,32.65,,,0
RC,250,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-570-10)  / 10 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-571-10)  / 10 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,250,"Simvastatin: 100 Blister Pack In 1 Box, Unit-Dose (60687-210-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-210-11)",0.63,0.63,,,0
RC,250,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-681-02)",0.63,0.63,,,0
RC,250,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-682-02)",0.63,0.63,,,0
RC,250,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-683-02)",0.6,0.6,,,0
RC,250,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-684-02)",0.59,0.59,,,0
RC,250,"Sky Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (63739-052-74)",3.1,3.1,,,0
RC,250,Sky Oral Rinse: 600 Ml In 1 Package (63739-052-57),4.51,4.51,,,0
RC,250,Sky Peg3350: 30 Pouch In 1 Carton (63739-198-61)  / 17 G In 1 Pouch (63739-198-62),2.04,2.04,,,0
RC,250,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1)  / 50 Ml In 1 Syringe,34.19,34.19,,,0
RC,250,Sodium Bicarbonate: 10 CARTON in 1 PACKAGE (0409-6637-34)  / 1 SYRINGE in 1 CARTON / 50 mL in 1 SYRINGE,17.98,17.98,,,0
RC,250,Sodium Bicarbonate: 1000 TABLET in 1 BOTTLE (0536-4544-10),0.22,0.22,,,0
RC,250,Sodium Bicarbonate: 1000 Tablet In 1 Bottle (64980-528-10),0.31,0.31,,,0
RC,250,Sodium Bicarbonate: 25 VIAL in 1 TRAY (0409-6625-02)  / 50 mL in 1 VIAL,22.75,22.75,,,0
RC,250,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (0409-6625-35)  / 50 Ml In 1 Vial, Single-Dose (0409-6625-30)",22.04,22.04,,,0
RC,250,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-089-50)  / 50 Ml In 1 Vial, Single-Dose (63323-089-25)",72.08,72.08,,,0
RC,250,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),44.61,44.61,,,0
RC,250,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),38.0,38.0,,,0
RC,250,Sodium Chloride: 1000 Ml In 1 Bag (0338-0051-44),127.6,127.6,,,0
RC,250,Sodium Chloride: 12 Container In 1 Case (0264-5802-00)  / 1000 Ml In 1 Container,1.88,1.88,,,0
RC,250,Sodium Chloride: 12 Container In 1 Case (0264-5804-00)  / 1000 Ml In 1 Container,46.16,46.16,,,0
RC,250,Sodium Chloride: 16 Container In 1 Case (0264-2201-10)  / 500 Ml In 1 Container,44.49,44.49,,,0
RC,250,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03)  / 500 Ml In 1 Bottle, Plastic",40.56,40.56,,,0
RC,250,Sodium Chloride: 24 Container In 1 Case (0264-7800-20)  / 250 Ml In 1 Container,1.0,1.0,,,0
RC,250,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-20)  / 20 Ml In 1 Vial, Single-Dose (0409-4888-03)",4.83,4.83,,,0
RC,250,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-50)  / 50 Ml In 1 Vial, Single-Dose (0409-4888-06)",7.3,7.3,,,0
RC,250,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-187-30)  / 30 Ml In 1 Vial, Single-Dose",1.88,1.88,,,0
RC,250,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),1.0,1.0,,,0
RC,250,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),1.0,1.0,,,0
RC,250,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-27)  / 3000 Ml In 1 Bag,50.47,50.47,,,0
RC,250,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11)  / 50 Ml In 1 Bag,1.49,1.49,,,0
RC,250,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18)  / 100 Ml In 1 Bag,1.0,1.0,,,0
RC,250,Sodium Chloride: 64 Container In 1 Case (0264-1800-32)  / 100 Ml In 1 Container,1.88,1.88,,,0
RC,250,Sodium Chloride: 84 Container In 1 Case (0264-1800-31)  / 50 Ml In 1 Container,2.17,2.17,,,0
RC,250,Sodium Chlorode Hypertonicity Ophthalmic Solution: 1 Bottle In 1 Carton (0536-1254-94)  / 15 Ml In 1 Bottle,8.82,8.82,,,0
RC,250,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72)  / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",15.18,15.18,,,0
RC,250,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60)  / 60 Ml In 1 Bottle, Unit-Dose",61.07,61.07,,,0
RC,250,"Sodium Thiosulfate: 50 Ml In 1 Vial, Single-Dose (60267-705-50)",296.34,296.34,,,0
RC,250,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (0093-1061-01),0.36,0.36,,,0
RC,250,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-51)  / 10 Spray, Metered In 1 Cartridge",94.15,94.15,,,0
RC,250,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10)  / 10 Tablet In 1 Blister Pack",0.52,0.52,,,0
RC,250,"Spironolactone: 100 Blister Pack In 1 Carton (0904-6927-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.56,0.56,,,0
RC,250,Spironolactone: 100 Tablet In 1 Bottle (72603-134-01),0.47,0.47,,,0
RC,250,"Spironolactone: 100 Tablet, Film Coated In 1 Bottle (59746-216-01)",0.63,0.63,,,0
RC,250,"Spironolactone: 100 Tablet, Film Coated In 1 Bottle, Plastic (53489-329-01)",0.99,0.99,,,0
RC,250,Spironolactone: 1000 Tablet In 1 Bottle (53746-511-10),0.51,0.51,,,0
RC,250,Sprycel: 1 Bottle In 1 Carton (0003-0528-11)  / 60 Tablet In 1 Bottle,898.51,898.51,,,0
RC,250,Ssd Cream: 400 G In 1 Jar (43598-210-40),140.91,140.91,,,0
RC,250,Ssd Cream: 50 G In 1 Jar (43598-210-55),24.32,24.32,,,0
RC,250,Stay Awake: 2 Blister Pack In 1 Carton (70677-1126-1)  / 8 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,250,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),36.26,36.26,,,0
RC,250,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04)  / 1000 Ml In 1 Bottle, Plastic",36.0,36.0,,,0
RC,250,Sterile Water: 12 Container In 1 Case (0264-7850-00)  / 1000 Ml In 1 Container,37.86,37.86,,,0
RC,250,Sterile Water: 12 Pouch In 1 Case (0990-7990-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,41.0,41.0,,,0
RC,250,Sterile Water: 14 Bag In 1 Carton (0338-0003-44)  / 1000 Ml In 1 Bag,51.06,51.06,,,0
RC,250,Sterile Water: 16 Container In 1 Case (0264-2101-00)  / 1000 Ml In 1 Container,36.0,36.0,,,0
RC,250,Sterile Water: 16 Container In 1 Case (0264-2101-10)  / 500 Ml In 1 Container,37.54,37.54,,,0
RC,250,"Sterile Water: 18 Bottle, Plastic In 1 Carton (0338-0004-03)  / 500 Ml In 1 Bottle, Plastic",40.43,40.43,,,0
RC,250,"Sterile Water: 24 Bottle, Plastic In 1 Carton (0338-0004-02)  / 250 Ml In 1 Bottle, Plastic",36.81,36.81,,,0
RC,250,"Sterile Water: 25 Vial, Glass In 1 Case (0409-4887-99)  / 100 Ml In 1 Vial, Glass (0409-4887-25)",10.06,10.06,,,0
RC,250,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-10)  / 10 Ml In 1 Vial, Plastic (0409-4887-17)",1.78,1.78,,,0
RC,250,Sterile Water: 4 Container In 1 Case (0264-7386-50)  / 2000 Ml In 1 Container,57.09,57.09,,,0
RC,250,Sterile Water: 4 Container In 1 Case (0264-7386-60)  / 3000 Ml In 1 Container,66.0,66.0,,,0
RC,250,"Sterile Water: 60 Syringe, Plastic In 1 Box (64253-020-30)  / 10 Ml In 1 Syringe, Plastic",2.58,2.58,,,0
RC,250,Stimulant Laxative Enteric Coated: 100 Tablet In 1 Bottle (57896-441-01),0.43,0.43,,,0
RC,250,"Stomach Relief Regular Strength: 237 Ml In 1 Bottle, Plastic (0536-1286-36)",0.72,0.72,,,0
RC,250,"Stool Softener Laxative: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (0904-7280-60)",0.63,0.63,,,0
RC,250,Stratuscare Adult Glycerin: 12 Suppository In 1 Jar (58980-410-12),0.48,0.48,,,0
RC,250,Stratuscare Bisacodyl: 1 Blister Pack In 1 Box (58980-415-50)  / 50 Suppository In 1 Blister Pack,0.67,0.67,,,0
RC,250,Stratuscare Glycerin Laxative Pediatric: 12 Suppository In 1 Jar (58980-409-12),0.72,0.72,,,0
RC,250,"Stribild: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-1201-1)",392.53,392.53,,,0
RC,250,Strong Iodine Solution: 14 Ml In 1 Bottle (48433-230-15),53.33,53.33,,,0
RC,250,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",13.4,13.4,,,0
RC,250,Sucralfate: 100 Tablet In 1 Bottle (0093-2210-01),0.68,0.68,,,0
RC,250,Sucralfate: 20 CUP in 1 BOX (50268-732-12)  / 10 mL in 1 CUP (50268-732-11),14.0,14.0,,,0
RC,250,"Sucralfate: 72 Cup, Unit-Dose In 1 Box, Unit-Dose (17856-0306-1)  / 10 Ml In 1 Cup, Unit-Dose",10.37,10.37,,,0
RC,250,"Sudogest: 1 Bottle, Plastic In 1 Carton (0904-5053-59)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",0.35,0.35,,,0
RC,250,Sulfadiazine: 100 TABLET in 1 BOTTLE (0185-0757-01),8.84,8.84,,,0
RC,250,Sulfamethoxazole And Trimethoprim: 100 Blister Pack In 1 Carton (0904-2725-61)  / 1 Tablet In 1 Blister Pack,0.5,0.5,,,0
RC,250,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (65862-419-01),0.58,0.58,,,0
RC,250,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (65862-420-01),0.63,0.63,,,0
RC,250,"Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle, Plastic (53489-145-01)",0.63,0.63,,,0
RC,250,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),3.56,3.56,,,0
RC,250,"Sulfasalazine: 1 Bottle In 1 Carton (59762-0104-5)  / 100 Tablet, Delayed Release In 1 Bottle",0.69,0.69,,,0
RC,250,Sulfasalazine: 1 Bottle In 1 Carton (59762-5000-5)  / 100 Tablet In 1 Bottle,0.42,0.42,,,0
RC,250,"Sumatriptan Succinate: 1 Vial, Single-Dose In 1 Carton (63323-273-01)  / .5 Ml In 1 Vial, Single-Dose",15.86,15.86,,,0
RC,250,"Sumatriptan: 1 BLISTER PACK in 1 CARTON (16714-532-11)  / 9 TABLET, FILM COATED in 1 BLISTER PACK (16714-532-10)",1.05,1.05,,,0
RC,250,Sumatriptan: 1 Blister Pack In 1 Carton (16714-797-01)  / 9 Tablet In 1 Blister Pack,3.55,3.55,,,0
RC,250,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-01)  / .5 Ml In 1 Vial, Single-Dose",10.12,10.12,,,0
RC,250,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-05)  / .5 Ml In 1 Vial, Single-Dose",10.71,10.71,,,0
RC,250,Sunmark Hydrogen Peroxide 3 Percent: 473 Ml In 1 Bottle (49348-179-38),20.69,20.69,,,0
RC,250,Sunmark stay awake: 16 BLISTER PACK in 1 CARTON (49348-771-03)  / 1 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
RC,250,"Suprep Bowel Prep: 2 Bottle, Plastic In 1 Carton (52268-012-01)  / 177.4 Ml In 1 Bottle, Plastic",148.86,148.86,,,0
RC,250,Symbicort: 1 Pouch In 1 Carton (0186-0370-28)  / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,55.28,55.28,,,0
RC,250,Symbicort: 1 Pouch In 1 Carton (0186-0372-20)  / 1 Canister In 1 Pouch / 120 Aerosol In 1 Canister,4.14,4.14,,,0
RC,250,Symbicort: 1 Pouch In 1 Carton (0186-0372-28)  / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,9.36,9.36,,,0
RC,250,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-4552-11)  / 10 Tablet In 1 Blister Pack",4.17,4.17,,,0
RC,250,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-5182-11)  / 10 Tablet In 1 Blister Pack",4.12,4.12,,,0
RC,250,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-6624-11)  / 10 Tablet In 1 Blister Pack",4.16,4.16,,,0
RC,250,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7068-11)  / 10 Tablet In 1 Blister Pack",4.07,4.07,,,0
RC,250,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7069-11)  / 10 Tablet In 1 Blister Pack",4.1,4.1,,,0
RC,250,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7148-11)  / 10 Tablet In 1 Blister Pack",4.18,4.18,,,0
RC,250,Synthroid: 90 Tablet In 1 Bottle (0074-4341-90),4.15,4.15,,,0
RC,250,Synthroid: 90 Tablet In 1 Bottle (0074-4552-90),4.05,4.05,,,0
RC,250,Synthroid: 90 Tablet In 1 Bottle (0074-5182-90),4.29,4.29,,,0
RC,250,Synthroid: 90 Tablet In 1 Bottle (0074-6594-90),4.11,4.11,,,0
RC,250,Synthroid: 90 Tablet In 1 Bottle (0074-6624-90),4.05,4.05,,,0
RC,250,Synthroid: 90 Tablet In 1 Bottle (0074-7069-90),4.07,4.07,,,0
RC,250,Synthroid: 90 Tablet In 1 Bottle (0074-7070-90),4.21,4.21,,,0
RC,250,Synthroid: 90 Tablet In 1 Bottle (0074-9296-90),4.17,4.17,,,0
RC,250,Tacrolimus: 1 Tube In 1 Carton (68462-534-35)  / 30 G In 1 Tube,212.5,212.5,,,0
RC,250,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),3.1,3.1,,,0
RC,250,"Tadalafil: 30 Tablet, Film Coated In 1 Bottle (31722-644-30)",0.63,0.63,,,0
RC,250,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85)  / 10 Capsule In 1 Blister Pack,37.01,37.01,,,0
RC,250,Tamiflu: 1 Blister Pack In 1 Carton (0004-0801-85)  / 10 Capsule In 1 Blister Pack,33.83,33.83,,,0
RC,250,Tamiflu: 1 Blister Pack In 1 Carton (0004-0802-85)  / 10 Capsule In 1 Blister Pack,33.73,33.73,,,0
RC,250,Tamoxifen Citrate: 30 Tablet In 1 Bottle (0378-0274-93),1.41,1.41,,,0
RC,250,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (59651-299-60)",0.44,0.44,,,0
RC,250,"Tamoxifen Citrate: 90 Tablet In 1 Bottle, Plastic (0591-2473-19)",0.97,0.97,,,0
RC,250,"Tamsulosin Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-567-10)  / 10 Capsule In 1 Blister Pack",0.66,0.66,,,0
RC,250,Tamsulosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7383-61)  / 1 Capsule In 1 Blister Pack,0.59,0.59,,,0
RC,250,Tamsulosin Hydrochloride: 100 Capsule In 1 Bottle (65862-598-01),0.56,0.56,,,0
RC,250,Tegretol: 100 Tablet In 1 Bottle (0078-0509-05),1.44,1.44,,,0
RC,250,"Tekturna: 30 Tablet, Film Coated In 1 Bottle (70839-150-30)",27.86,27.86,,,0
RC,250,Temazepam: 100 BLISTER PACK in 1 CARTON (51079-418-20)  / 1 CAPSULE in 1 BLISTER PACK (51079-418-01),0.63,0.63,,,0
RC,250,Temazepam: 100 Capsule In 1 Bottle (0228-2076-10),0.46,0.46,,,0
RC,250,Temazepam: 100 Capsule In 1 Bottle (0406-9960-01),4.89,4.89,,,0
RC,250,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (16714-820-01)",3.55,3.55,,,0
RC,250,Terbinafine Hydrochloride: 1 Tube In 1 Carton (51672-2080-1)  / 15 G In 1 Tube,13.15,13.15,,,0
RC,250,Terbinafine: 30 Tablet In 1 Bottle (16714-795-01),0.63,0.63,,,0
RC,250,Tetracaine Hydrochloride: 1 Bottle In 1 Carton (68682-920-05)  / 5 Ml In 1 Bottle,68.26,68.26,,,0
RC,250,"Tetracaine Hydrochloride: 12 Blister Pack In 1 Carton (0065-0741-14)  / 1 Bottle, Dropper In 1 Blister Pack / 4 Ml In 1 Bottle, Dropper",1.35,1.35,,,0
RC,250,Tetracaine: 25 AMPULE in 1 CARTON (17478-045-32)  / 2 mL in 1 AMPULE,47.59,47.59,,,0
RC,250,Tetracycline Hydrochloride: 100 Capsule In 1 Bottle (23155-767-01),4.37,4.37,,,0
RC,250,"Tetracycline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (51991-907-01)",6.33,6.33,,,0
RC,250,"Theophylline (Anhydrous): 100 Tablet, Extended Release In 1 Bottle, Plastic (29033-001-01)",3.26,3.26,,,0
RC,250,"Tibsovo: 1 Bottle In 1 Carton (72694-617-60)  / 60 Tablet, Film Coated In 1 Bottle",1494.02,1494.02,,,0
RC,250,Tikosyn: 40 Blister Pack In 1 Carton (0069-5800-43)  / 1 Capsule In 1 Blister Pack,29.09,29.09,,,0
RC,250,Tikosyn: 40 Blister Pack In 1 Carton (0069-5810-43)  / 1 Capsule In 1 Blister Pack,31.42,31.42,,,0
RC,250,Tikosyn: 60 Capsule In 1 Bottle (0069-5810-60),28.3,28.3,,,0
RC,250,"Timolol Maleate: 1 BOTTLE, DROPPER in 1 CARTON (17478-288-10)  / 5 mL in 1 BOTTLE, DROPPER",0.24,0.24,,,0
RC,250,Timolol Maleate: 1 Bottle In 1 Carton (64980-514-05)  / 5 Ml In 1 Bottle,12.63,12.63,,,0
RC,250,"Timolol Maleate: 15 Ml In 1 Bottle, Plastic (61314-227-15)",0.1,0.1,,,0
RC,250,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-226-05)",6.43,6.43,,,0
RC,250,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",12.22,12.22,,,0
RC,250,"Tivicay: 30 Tablet, Film Coated In 1 Bottle (49702-228-13)",195.09,195.09,,,0
RC,250,Tizanidine: 100 Blister Pack In 1 Carton (0904-6418-61)  / 1 Tablet In 1 Blister Pack,1.09,1.09,,,0
RC,250,Tizanidine: 150 Tablet In 1 Bottle (55111-180-15),0.63,0.63,,,0
RC,250,Tobradex: 3.5 G In 1 Tube (0078-0876-01),707.04,707.04,,,0
RC,250,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-25)  / 2.5 Ml In 1 Bottle,76.76,76.76,,,0
RC,250,"Tobramycin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (24208-295-25)  / 2.5 Ml In 1 Bottle, Dropper",97.94,97.94,,,0
RC,250,"Tobramycin And Dexamethasone: 2.5 Ml In 1 Bottle, Plastic (0574-4031-25)",91.09,91.09,,,0
RC,250,Tobramycin: 1 Bottle In 1 Carton (70069-131-01)  / 5 Ml In 1 Bottle,9.84,9.84,,,0
RC,250,"Tobramycin: 1 Bottle, Dropper In 1 Carton (24208-290-05)  / 5 Ml In 1 Bottle, Dropper",28.54,28.54,,,0
RC,250,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04)  / 1 Capsule, Extended Release In 1 Blister Pack",12.99,12.99,,,0
RC,250,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (13668-189-30)",2.12,2.12,,,0
RC,250,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (0093-0018-06)",6.6,6.6,,,0
RC,250,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-097-09)",0.87,0.87,,,0
RC,250,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-098-09)",0.86,0.86,,,0
RC,250,Tolvaptan: 1 Blister Pack In 1 Carton (72205-130-11)  / 10 Tablet In 1 Blister Pack,159.72,159.72,,,0
RC,250,Torsemide: 100 Tablet In 1 Bottle (50111-915-01),0.63,0.63,,,0
RC,250,"Tramadol Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-991-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-991-01)",0.59,0.59,,,0
RC,250,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",0.6,0.6,,,0
RC,250,Tranexamic Acid: 10 Vial In 1 Carton (72485-510-10)  / 10 Ml In 1 Vial (72485-510-01),7.9,7.9,,,0
RC,250,"Tranexamic Acid: 10 Vial, Glass In 1 Carton (23155-166-41)  / 10 Ml In 1 Vial, Glass (23155-166-31)",6.88,6.88,,,0
RC,250,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (55150-188-10)  / 10 Ml In 1 Vial, Single-Dose",6.49,6.49,,,0
RC,250,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-611-10)  / 10 Ml In 1 Vial, Single-Dose (81284-611-00)",6.01,6.01,,,0
RC,250,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-612-10)  / 10 Ml In 1 Vial, Single-Dose (81284-612-00)",6.23,6.23,,,0
RC,250,Tranexamic Acid: 30 TABLET in 1 BOTTLE (60505-3638-3),1.54,1.54,,,0
RC,250,Tranexamic Acid: 30 Tablet In 1 Bottle (62559-265-30),6.6,6.6,,,0
RC,250,Tranexamic Acid: 30 Tablet In 1 Bottle (69918-301-30),4.98,4.98,,,0
RC,250,Tranexamic Acid: 30 Tablet In 1 Bottle (72888-178-30),4.0,4.0,,,0
RC,250,Transderm Scop: 4 POUCH in 1 BOX (0067-4346-04)  / 1 PATCH in 1 POUCH / 3 d in 1 PATCH,32.01,32.01,,,0
RC,250,Trazodone Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6554-61)  / 1 TABLET in 1 BLISTER PACK,0.47,0.47,,,0
RC,250,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6868-61)  / 1 Tablet In 1 Blister Pack,0.47,0.47,,,0
RC,250,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6869-61)  / 1 Tablet In 1 Blister Pack,0.49,0.49,,,0
RC,250,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-561-01),0.4,0.4,,,0
RC,250,Trazodone Hydrochloride: 500 Tablet In 1 Bottle (68382-805-05),0.45,0.45,,,0
RC,250,"Tri-Buffered Aspirin: 1 Bottle, Plastic In 1 Carton (0904-2015-59)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",0.63,0.63,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0002-15)  / 15 G In 1 Tube,14.04,14.04,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0003-15)  / 15 G In 1 Tube,5.63,5.63,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-15)  / 15 G In 1 Tube,6.73,6.73,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (0713-0655-40)  / 5 G In 1 Tube,79.1,79.1,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-054-35)  / 15 G In 1 Tube,9.47,9.47,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (51672-1267-5)  / 5 G In 1 Tube,166.43,166.43,,,0
RC,250,Triamcinolone Acetonide: 15 G In 1 Tube (0168-0006-15),6.68,6.68,,,0
RC,250,Triamcinolone Acetonide: 454 G In 1 Jar (67877-251-45),41.3,41.3,,,0
RC,250,Triamterene And Hydrochlorothiazide: 100 Capsule In 1 Bottle (0781-2074-01),0.61,0.61,,,0
RC,250,Triamterene And Hydrochlorothiazide: 100 Tablet In 1 Bottle (68382-856-01),0.59,0.59,,,0
RC,250,"Triamterene And Hydrochlorothiazide: 100 Tablet In 1 Bottle, Plastic (0591-0348-01)",0.63,0.63,,,0
RC,250,Triamterene hydrochlorothiazide: 100 TABLET in 1 BOTTLE (0781-1123-01),0.63,0.63,,,0
RC,250,Triamterene: 100 Capsule In 1 Bottle (66993-831-02),21.61,21.61,,,0
RC,250,Trihexyphenidyl Hydrochloride: 100 Tablet In 1 Bottle (70954-212-10),0.49,0.49,,,0
RC,250,"Trileptal: 100 Tablet, Film Coated In 1 Bottle (0078-0456-05)",15.5,15.5,,,0
RC,250,"Trintellix: 30 Tablet, Film Coated In 1 Bottle (64764-720-30)",45.09,45.09,,,0
RC,250,"Trintellix: 30 Tablet, Film Coated In 1 Bottle (64764-730-30)",44.67,44.67,,,0
RC,250,Triple Antibiotic: 1 TUBE in 1 CARTON (61269-179-34)  / 14 g in 1 TUBE,5.22,5.22,,,0
RC,250,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-03)  / 28 G In 1 Tube,6.92,6.92,,,0
RC,250,Triple Antibiotic: 1 Tube In 1 Carton (51672-2120-2)  / 28.4 G In 1 Tube,3.96,3.96,,,0
RC,250,Triple Antibiotic: 144 Packet In 1 Carton (45802-143-70)  / .9 G In 1 Packet (45802-143-00),0.28,0.28,,,0
RC,250,"Triumeq: 30 Tablet, Film Coated In 1 Bottle (49702-231-13)",332.05,332.05,,,0
RC,250,Trophamine: 12 Container In 1 Case (0264-1933-10)  / 500 Ml In 1 Container,393.75,393.75,,,0
RC,250,"Truvada: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0701-1)",151.91,151.91,,,0
RC,250,"Tybost: 30 Tablet, Film Coated In 1 Bottle (61958-1401-1)",23.98,23.98,,,0
RC,250,"Tylenol Extra Strength: 10 Blister Pack In 1 Carton (50580-457-11)  / 10 Tablet, Film Coated In 1 Blister Pack",0.43,0.43,,,0
RC,250,"Tylenol Regular Strength: 10 Blister Pack In 1 Carton (50580-458-11)  / 10 Tablet, Film Coated In 1 Blister Pack",0.36,0.36,,,0
RC,250,"Ultiva: 10 Vial, Glass In 1 Carton (67457-198-03)  / 3 Ml In 1 Vial, Glass (67457-198-00)",22.0,22.0,,,0
RC,250,"Ultiva: 10 Vial, Glass In 1 Carton (72078-035-02)  / 5 Ml In 1 Vial, Glass (72078-035-00)",159.81,159.81,,,0
RC,250,Urea: 28.35 G In 1 Tube (50268-872-28),66.61,66.61,,,0
RC,250,Ursodiol: 100 Blister Pack In 1 Carton (0904-6221-61)  / 1 Capsule In 1 Blister Pack,7.35,7.35,,,0
RC,250,Ursodiol: 100 Capsule In 1 Bottle (42291-923-01),1.17,1.17,,,0
RC,250,Ursodiol: 100 Capsule In 1 Bottle (42806-503-01),2.33,2.33,,,0
RC,250,"VERAPAMIL HYDROCHLORIDE: 100 TABLET, EXTENDED RELEASE in 1 BOTTLE (57664-118-88)",0.63,0.63,,,0
RC,250,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61)  / 1 Tablet, Film Coated In 1 Blister Pack",2.6,2.6,,,0
RC,250,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (57237-042-90)",0.68,0.68,,,0
RC,250,"Valacyclovir: 10 Blister Pack In 1 Box, Unit-Dose (63739-077-10)  / 10 Tablet, Film Coated In 1 Blister Pack",2.18,2.18,,,0
RC,250,Valganciclovir Hydrochloride: 60 Tablet In 1 Bottle (65862-753-60),7.76,7.76,,,0
RC,250,"Valproate Sodium: 10 Vial, Single-Dose In 1 Tray (0143-9637-10)  / 5 Ml In 1 Vial, Single-Dose (0143-9637-01)",3.42,3.42,,,0
RC,250,"Valproate Sodium: 10 Vial, Single-Dose In 1 Tray (63323-494-16)  / 5 Ml In 1 Vial, Single-Dose (63323-494-41)",47.1,47.1,,,0
RC,250,"Valproic Acid: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-150-20)",0.89,0.89,,,0
RC,250,Valproic Acid: 473 Ml In 1 Bottle (0527-5250-70),0.68,0.68,,,0
RC,250,"Valsartan: 30 Tablet, Film Coated In 1 Bottle (33342-062-07)",0.49,0.49,,,0
RC,250,Valsartan: 90 Tablet In 1 Bottle (42291-858-90),0.63,0.63,,,0
RC,250,"Valsartan: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-5814-77)",1.14,1.14,,,0
RC,250,Vancomycin Hydrochloride: 10 VIAL in 1 CARTON (70860-105-20)  / 20 mL in 1 VIAL (70860-105-41),20.03,20.03,,,0
RC,250,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-4332-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-4332-11)",19.67,19.67,,,0
RC,250,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-26)  / 20 Ml In 1 Vial (63323-284-42),11.59,11.59,,,0
RC,250,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (23155-858-78)  / 10 Capsule In 1 Blister Pack,5.12,5.12,,,0
RC,250,Vancomycin Hydrochloride: 50 Capsule In 1 Bottle (62559-390-50),4.0,4.0,,,0
RC,250,"Varenicline: 56 Tablet, Film Coated In 1 Bottle (0904-7413-35)",12.49,12.49,,,0
RC,250,"Varenicline: 56 Tablet, Film Coated In 1 Bottle (70748-128-49)",2.88,2.88,,,0
RC,250,"Vemlidy: 30 Tablet In 1 Bottle, Plastic (61958-2301-1)",116.32,116.32,,,0
RC,250,"Venclexta: 1 Blister Pack In 1 Carton (0074-0561-14)  / 14 Tablet, Film Coated In 1 Blister Pack",36.45,36.45,,,0
RC,250,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-07)  / 7 Tablet, Film Coated In 1 Blister Pack",186.04,186.04,,,0
RC,250,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-11)  / 1 Tablet, Film Coated In 1 Blister Pack",187.95,187.95,,,0
RC,250,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11)  / 1 Tablet, Film Coated In 1 Blister Pack",354.23,354.23,,,0
RC,250,"Venclexta: 1 Bottle In 1 Carton (0074-0576-30)  / 28 Tablet, Film Coated In 1 Bottle",337.29,337.29,,,0
RC,250,"Venclexta: 120 Tablet, Film Coated In 1 Bottle (0074-0576-22)",375.88,375.88,,,0
RC,250,"Venlafaxine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6469-61)  / 1 CAPSULE, EXTENDED RELEASE in 1 BLISTER PACK",1.4,1.4,,,0
RC,250,"Venlafaxine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7076-61)  / 1 Capsule, Extended Release In 1 Blister Pack",1.04,1.04,,,0
RC,250,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (0093-7384-98)",0.63,0.63,,,0
RC,250,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (65862-528-90)",0.5,0.5,,,0
RC,250,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-24)  / 60 Aerosol, Metered In 1 Inhaler",56.53,56.53,,,0
RC,250,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (23155-026-01),0.63,0.63,,,0
RC,250,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-158-01),0.63,0.63,,,0
RC,250,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-159-01),0.63,0.63,,,0
RC,250,"Verapamil Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0404-01)",0.63,0.63,,,0
RC,250,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-292-01)",0.75,0.75,,,0
RC,250,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-293-01)",0.81,0.81,,,0
RC,250,"Vfend: 30 Tablet, Film Coated In 1 Bottle (0049-3170-30)",37.1,37.1,,,0
RC,250,Vicodin: 500 TABLET in 1 BOTTLE (0074-3041-53),8.12,8.12,,,0
RC,250,Viibryd: 30 Tablet In 1 Bottle (0456-1110-30),30.12,30.12,,,0
RC,250,Viibryd: 30 Tablet In 1 Bottle (0456-1120-30),30.85,30.85,,,0
RC,250,Vilazodone Hydrochloride: 30 Tablet In 1 Bottle (72205-260-30),2.4,2.4,,,0
RC,250,"Vimpat: 6 Blister Pack In 1 Carton (0131-2477-60)  / 10 Tablet, Film Coated In 1 Blister Pack",32.15,32.15,,,0
RC,250,"Vimpat: 6 Blister Pack In 1 Carton (0131-2478-60)  / 10 Tablet, Film Coated In 1 Blister Pack",50.14,50.14,,,0
RC,250,"Vimpat: 6 Blister Pack In 1 Carton (0131-2479-60)  / 10 Tablet, Film Coated In 1 Blister Pack",52.88,52.88,,,0
RC,250,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2480-35)",47.22,47.22,,,0
RC,250,Viokace: 1 Bottle In 1 Carton (73562-208-10)  / 100 Tablet In 1 Bottle,21.22,21.22,,,0
RC,250,"Vitamin D: 100 Capsule In 1 Bottle, Plastic (64380-737-06)",0.63,0.63,,,0
RC,250,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (0781-5668-31)",3.58,3.58,,,0
RC,250,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (16714-199-01)",13.51,13.51,,,0
RC,250,"Vraylar: 30 Capsule, Gelatin Coated In 1 Bottle (61874-115-30)",129.5,129.5,,,0
RC,250,Vyloy: 1 Vial In 1 Box (0469-4425-30)  / 15 Ml In 1 Vial,16152.71,16152.71,,,0
RC,250,Vyvanse: 100 Capsule In 1 Bottle (59417-101-10),31.7,31.7,,,0
RC,250,Vyvanse: 100 Capsule In 1 Bottle (59417-103-10),31.55,31.55,,,0
RC,250,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1714-01),0.63,0.63,,,0
RC,250,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1715-01),0.63,0.63,,,0
RC,250,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1721-01),0.47,0.47,,,0
RC,250,"Wellbutrin Sr: 60 Tablet, Film Coated In 1 Bottle (0173-0135-55)",18.87,18.87,,,0
RC,250,"Wellbutrin Xl: 30 Tablet, Extended Release In 1 Bottle (0187-0730-30)",167.86,167.86,,,0
RC,250,"Xarelto: 10 Blister Pack In 1 Carton (50458-580-10)  / 10 Tablet, Film Coated In 1 Blister Pack (50458-580-01)",15.75,15.75,,,0
RC,250,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-025-30)",101.37,101.37,,,0
RC,250,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-100-30)",99.65,99.65,,,0
RC,250,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-150-30)",105.42,105.42,,,0
RC,250,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-200-30)",98.07,98.07,,,0
RC,250,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03)  / 10 Tablet In 1 Blister Pack,142.79,142.79,,,0
RC,250,Xospata: 1 Bottle In 1 Carton (0469-1425-90)  / 90 Tablet In 1 Bottle,871.33,871.33,,,0
RC,250,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27)  / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",4.0,4.0,,,0
RC,250,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-36)  / 5 Ml In 1 Vial, Single-Dose (63323-492-43)",4.29,4.29,,,0
RC,250,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-07)  / 5 Ml In 1 Vial, Single-Dose (63323-495-04)",3.79,3.79,,,0
RC,250,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-37)  / 30 Ml In 1 Vial, Single-Dose (63323-487-07)",18.44,18.44,,,0
RC,250,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-17)  / 10 Ml In 1 Vial, Single-Dose (63323-489-01)",12.87,12.87,,,0
RC,250,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-27)  / 20 Ml In 1 Vial, Single-Dose (63323-489-02)",40.03,40.03,,,0
RC,250,Xylocaine Mpf: 5 Ampule In 1 Box (63323-496-97)  / 10 Ml In 1 Ampule (63323-496-03),9.6,9.6,,,0
RC,250,"Xylocaine Mpf: 5 Vial, Single-Dose In 1 Carton (63323-492-31)  / 30 Ml In 1 Vial, Single-Dose (63323-492-03)",17.66,17.66,,,0
RC,250,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-26)  / 20 Ml In 1 Vial, Multi-Dose (63323-482-41)",4.56,4.56,,,0
RC,250,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-483-27)  / 20 Ml In 1 Vial, Multi-Dose (63323-483-03)",13.98,13.98,,,0
RC,250,"Zaleplon: 100 Capsule In 1 Bottle, Plastic (29300-131-01)",0.53,0.53,,,0
RC,250,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",11.79,11.79,,,0
RC,250,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-111-01)",15.48,15.48,,,0
RC,250,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-113-01)",5.64,5.64,,,0
RC,250,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-114-01)",43.32,43.32,,,0
RC,250,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-116-01)",28.24,28.24,,,0
RC,250,Zetia: 100 BLISTER PACK in 1 CARTON (66582-414-28)  / 1 TABLET in 1 BLISTER PACK (66582-414-29),5.97,5.97,,,0
RC,250,Zidovudine: 100 Capsule In 1 Bottle (65862-107-01),3.67,3.67,,,0
RC,250,Zinc Sulfate: 25 Vial In 1 Tray (0517-6101-25)  / 10 Ml In 1 Vial (0517-6101-01),4.18,4.18,,,0
RC,250,"Ziprasidone Hydrochloride: 4 Blister Pack In 1 Box, Unit-Dose (63739-988-32)  / 10 Capsule In 1 Blister Pack",6.03,6.03,,,0
RC,250,Ziprasidone: 60 Capsule In 1 Bottle (55111-257-60),1.23,1.23,,,0
RC,250,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6269-45)  / 1 Capsule In 1 Blister Pack,4.48,4.48,,,0
RC,250,"Zithromax: 50 Blister Pack In 1 Box, Unit-Dose (0069-4061-89)  / 1 Tablet, Film Coated In 1 Blister Pack",8.36,8.36,,,0
RC,250,"Zolpidem Tartrate: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-526-10)  / 10 TABLET, FILM COATED in 1 BLISTER PACK",0.63,0.63,,,0
RC,250,Zolpidem Tartrate: 100 Blister Pack In 1 Carton (0904-6082-61)  / 1 Tablet In 1 Blister Pack,7.49,7.49,,,0
RC,250,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-621-01)",0.57,0.57,,,0
RC,250,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-622-01)",0.6,0.6,,,0
RC,250,Zonisamide: 100 Capsule In 1 Bottle (68462-129-01),0.36,0.36,,,0
RC,250,Zosyn In Galaxy Containers: 24 Bag In 1 Box (0206-8860-02)  / 50 Ml In 1 Bag (0206-8860-01),6.75,6.75,,,0
RC,250,"imatinib mesylate: 90 TABLET, FILM COATED in 1 BOTTLE (16714-704-01)",3.36,3.36,,,0
RC,250,"lisinopril: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (0904-5811-61)  / 1 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,255,"10 BOTTLE, GLASS in 1 BOX (0407-2223-04)  / 200 mL in 1 BOTTLE, GLASS",2.4400000000000004,2.4400000000000004,,,0
RC,255,"10 BOTTLE, GLASS in 1 BOX (0407-2223-06)  / 50 mL in 1 BOTTLE, GLASS",2.885,2.885,,,0
RC,255,"Conray 30: 12 BOTTLE, GLASS in 1 BOX (0019-0952-11)  / 150 mL in 1 BOTTLE, GLASS",0.38,0.38,,,0
RC,255,"Conray 43: 12 BOTTLE, GLASS in 1 BOX (0019-3183-09)  / 250 mL in 1 BOTTLE, GLASS",3.32,3.32,,,0
RC,255,"Eovist: 5 Vial, Single-Dose In 1 Box (50419-320-05)  / 10 Ml In 1 Vial, Single-Dose",40.519999999999996,40.519999999999996,,,0
RC,255,"Gadavist: 2 Carton In 1 Box (50419-325-11)  / 10 Vial, Single-Dose In 1 Carton / 7.5 Ml In 1 Vial, Single-Dose",0.65,0.65,,,0
RC,255,"Gadavist: 2 Carton In 1 Box (50419-325-12)  / 10 Vial, Single-Dose In 1 Carton / 10 Ml In 1 Vial, Single-Dose",0.645,0.645,,,0
RC,255,"Gadavist: 2 Carton In 1 Box (50419-325-13)  / 10 Vial, Single-Dose In 1 Carton / 15 Ml In 1 Vial, Single-Dose",0.64,0.64,,,0
RC,255,Lipiodol: 1 Vial In 1 Carton (67684-1901-2)  / 10 Ml In 1 Vial,4603.99,4603.99,,,0
RC,255,Liquid Polibar Plus: 1900 mL in 1 JUG (32909-168-02),51.98,51.98,,,0
RC,255,"Magnevist: 2 CARTON in 1 BOX (50419-188-81)  / 10 VIAL, SINGLE-DOSE in 1 CARTON / 5 mL in 1 VIAL, SINGLE-DOSE",24.45,24.45,,,0
RC,255,"Magnevist: 20 CARTON in 1 BOX (50419-188-01)  / 1 VIAL, SINGLE-DOSE in 1 CARTON / 10 mL in 1 VIAL, SINGLE-DOSE",5.57,5.57,,,0
RC,255,"Magnevist: 20 CARTON in 1 BOX (50419-188-05)  / 1 VIAL, SINGLE-DOSE in 1 CARTON / 5 mL in 1 VIAL, SINGLE-DOSE",5.55,5.55,,,0
RC,255,NDC Description Not Available,0.64,0.64,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-59)  / 30 Ml In 1 Bottle, Plastic",0.86,0.86,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61)  / 50 Ml In 1 Bottle, Plastic",0.46499999999999997,0.46499999999999997,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63)  / 100 Ml In 1 Bottle, Plastic",0.445,0.445,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-65)  / 150 Ml In 1 Bottle, Plastic",0.49,0.49,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91)  / 100 Ml In 1 Bottle, Plastic",0.54,0.54,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1416-12)  / 500 Ml In 1 Bottle, Plastic",24.02,24.02,,,0
RC,255,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-20)  / 20 Ml In 1 Vial, Glass",3.2649999999999997,3.2649999999999997,,,0
RC,255,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-10)  / 10 Ml In 1 Vial, Glass",8.97,8.97,,,0
RC,255,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20)  / 20 Ml In 1 Vial, Glass",4.9,4.9,,,0
RC,255,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1413-10)  / 10 Ml In 1 Vial, Glass",9.02,9.02,,,0
RC,255,"Optiray 320: 12 Bottle, Glass In 1 Carton (0019-1323-11)  / 100 Ml In 1 Bottle, Glass",0.47,0.47,,,0
RC,255,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17)  / 100 Ml In 1 Bottle, Plastic",0.94,0.94,,,0
RC,258,Carnitor: 5 Vial In 1 Carton (54482-147-01)  / 5 Ml In 1 Vial,160.0,160.0,,,0
RC,258,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17)  / 3 Ml In 1 Vial, Multi-Dose",212.5,212.5,,,0
RC,258,Intralipid: 250 Ml In 1 Bag (0338-0519-09),300.0,300.0,,,0
RC,258,Intralipid: 500 Ml In 1 Bag (0338-0519-13),300.0,300.0,,,0
RC,258,NDC Description Not Available,300.0,300.0,,,0
RC,258,Nutrilipid I.V. Fat Emulsion: 12 Carton In 1 Case (0264-4460-10)  / 1 Container In 1 Carton / 500 Ml In 1 Container,300.0,300.0,,,0
RC,258,Nutrilipid I.V. Fat Emulsion: 12 Carton In 1 Case (0264-4460-30)  / 1 Container In 1 Carton / 250 Ml In 1 Container,300.0,300.0,,,0
RC,258,Nutrilipid I.V. Fat Emulsion: 8 Carton In 1 Case (0264-4460-00)  / 1 Container In 1 Carton / 1000 Ml In 1 Container,300.0,300.0,,,0
RC,258,Smoflipid: 10 Bag In 1 Case (63323-820-00)  / 100 Ml In 1 Bag (63323-820-01),300.0,300.0,,,0
RC,258,Smoflipid: 10 Bag In 1 Case (63323-820-74)  / 250 Ml In 1 Bag (63323-820-04),300.0,300.0,,,0
RC,258,Smoflipid: 12 Bag In 1 Case (63323-820-50)  / 500 Ml In 1 Bag (63323-820-03),300.0,300.0,,,0
RC,279,Cefazolin: 24 Bag In 1 Carton (0338-3503-41)  / 50 Ml In 1 Bag,8.52,8.52,,,0
RC,279,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7610-00)  / 1000 Ml In 1 Container,21.0,21.0,,,0
RC,279,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25)  / 1 Ml In 1 Vial (0641-0376-21),1.88,1.88,,,0
RC,279,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01)  / 10 Ml In 1 Vial, Multi-Dose",0.26,0.26,,,0
RC,279,Magnesium Sulfate In Dextrose: 24 Container In 1 Case (0264-4400-54)  / 100 Ml In 1 Container,2.87,2.87,,,0
RC,279,Myxredlin: 12 Container In 1 Carton (0338-0126-12)  / 100 Ml In 1 Container,2.78,2.78,,,0
RC,279,NDC Description Not Available,3.61,3.61,,,0
RC,279,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1.75,1.75,,,0
RC,279,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3385-13)  / 15 Ml In 1 Vial, Single-Use (0409-3385-11)",8.07,8.07,,,0
RC,279,Potassium Chloride: 24 Bag In 1 Carton (0338-0709-48)  / 100 Ml In 1 Bag,2.06,2.06,,,0
RC,279,Prednisone: 100 Tablet In 1 Bottle (59651-488-01),0.03,0.03,,,0
RC,279,Sodium Chloride: 100 Ml In 1 Bag (0338-9159-30),41.8,41.8,,,0
RC,279,Sodium Chloride: 12 Container In 1 Case (0264-5802-00)  / 1000 Ml In 1 Container,24.0,24.0,,,0
RC,279,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18)  / 100 Ml In 1 Bag,40.4,40.4,,,0
RC,279,Sodium Chloride: 64 Container In 1 Case (0264-1800-32)  / 100 Ml In 1 Container,39.6,39.6,,,0
RC,343,"Draximage Maa: 30 Injection, Powder, For Solution In 1 Kit (65174-270-30)",510.07,510.07,,,0
RC,343,"Fludeoxyglucose F 18: 30 Ml In 1 Vial, Multi-Dose (49609-101-01)",413.93,413.93,,,0
RC,343,"Illuccix: 1 Kit In 1 Carton (74725-100-64)  *  2.5 Ml In 1 Vial, Multi-Dose (74725-102-25)  *  6.4 Ml In 1 Vial, Multi-Dose (74725-103-64)  *  1 Injection, Powder, Lyophilized, For Solution In 1 Vial,",2463.54,2463.54,,,0
RC,343,Indium In 111 Oxyquinoline: 1 Vial In 1 Box (17156-021-01)  / 1 Ml In 1 Vial,3321.04,3321.04,,,0
RC,343,"Kit For The Preparation Of Technetium Tc 99M Medronate: 5 Vial, Multi-Dose In 1 Kit (45567-0040-1)  / 10 Ml In 1 Vial, Multi-Dose",39.63,39.63,,,0
RC,343,Kit For The Prepartion Of Technetium Tc99M Sulfur Colloid: 1 Kit In 1 Package (45567-0030-1)  *  3 Ml In 1 Vial *  3 Ml In 1 Vial *  10 Ml In 1 Vial,366.71,366.71,,,0
RC,343,"Myoview: 5 Vial In 1 Kit (17156-024-05)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",117.0,117.0,,,0
RC,343,NDC Description Not Available,629.765,629.765,,,0
RC,343,"Netspot: 1 Kit In 1 Kit (69488-001-40)  *  1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",190.665,190.665,,,0
RC,343,"Pluvicto: 1 Vial, Glass In 1 Package (69488-010-61)  / 7.5 Ml In 1 Vial, Glass",603.765,603.765,,,0
RC,343,Sodium Iodide: 1 CAPSULE in 1 BOX (17156-522-05),44.92,44.92,,,0
RC,344,"Xofigo: 6 Ml In 1 Vial, Single-Dose (50419-208-01)",368.23,368.23,,,0
RC,632,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04)  / 4 Ml In 1 Vial (63323-694-22),0.63,0.63,,,0
RC,632,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-125-66)  / 5 Ml In 1 Vial, Single-Dose (70860-125-41)",8.5,8.5,,,0
RC,632,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Carton (0517-0720-01)  / 5 Ml In 1 Vial, Multi-Dose",13.05,13.05,,,0
RC,632,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01)  / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",0.1,0.1,,,0
RC,632,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (43598-051-11)  / 2 Ml In 1 Vial, Multi-Dose",897.4,897.4,,,0
RC,632,Cefazolin: 12 Bag In 1 Carton (0338-3508-41)  / 100 Ml In 1 Bag,4.01,4.01,,,0
RC,632,Cefazolin: 25 VIAL in 1 CARTON (25021-101-67)  / 3 mL in 1 VIAL,1.18,1.18,,,0
RC,632,Clindamycin Phosphate: 24 Bag In 1 Case (43066-995-24)  / 50 Ml In 1 Bag,5.82,5.82,,,0
RC,632,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-418-05)  / 5 Ml In 1 Vial (67457-418-00),0.27,0.27,,,0
RC,632,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01)  / 1 Ml In 1 Vial (63323-165-02),1.99,1.99,,,0
RC,632,Dextrose In Lactated Ringers: 12 Container In 1 Case (0264-7751-00)  / 1000 Ml In 1 Container,46.2,46.2,,,0
RC,632,Dextrose: 50 Ml In 1 Bag (0338-0551-11),6.73,6.73,,,0
RC,632,"Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (0904-7237-61)  / 10 Capsule In 1 Blister Pack",0.63,0.63,,,0
RC,632,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25)  / 1 Ml In 1 Vial (0641-0376-21),1.88,1.88,,,0
RC,632,Diprivan: 10 Vial In 1 Box (63323-269-29)  / 20 Ml In 1 Vial (63323-269-22),0.27,0.27,,,0
RC,632,Diprivan: 10 Vial In 1 Box (63323-269-37)  / 20 Ml In 1 Vial (63323-269-25),0.26,0.26,,,0
RC,632,Diprivan: 10 Vial In 1 Box (63323-269-65)  / 100 Ml In 1 Vial (63323-269-35),0.27,0.27,,,0
RC,632,Eligard: 1 Syringe In 1 Carton (62935-461-50)  / .375 Ml In 1 Syringe,300.78,300.78,,,0
RC,632,"Famotidine: 25 Vial, Single-Use In 1 Tray (63323-739-16)  / 2 Ml In 1 Vial, Single-Use (63323-739-41)",0.03,0.03,,,0
RC,632,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22)  / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",4.48,4.48,,,0
RC,632,Flexbumin: 12 Bag In 1 Carton (0944-0493-01)  / 50 Ml In 1 Bag (0944-0493-03),90.85,90.85,,,0
RC,632,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10)  / 10 Ml In 1 Vial, Multi-Dose",0.19,0.19,,,0
RC,632,"GlucaGen: 1 KIT in 1 KIT (0597-0260-10)  *  1 mL in 1 VIAL, GLASS (0597-0053-01)  *  1 mL in 1 VIAL, GLASS (0597-0265-94)",453.97,453.97,,,0
RC,632,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01)  / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",0.39,0.39,,,0
RC,632,"Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05)  / 5 Ml In 1 Vial, Glass (67457-220-00)",1385.52,1385.52,,,0
RC,632,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01)  / 1 Ml In 1 Vial, Single-Use (63323-162-00)",0.94,0.94,,,0
RC,632,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (47781-586-29)  / 20 Ml In 1 Vial, Multi-Dose",1.46,1.46,,,0
RC,632,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),38.0,38.0,,,0
RC,632,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),38.26,38.26,,,0
RC,632,Lactated Ringers: 12 Container In 1 Case (0264-7750-07)  / 1000 Ml In 1 Container,41.71,41.71,,,0
RC,632,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02)  / 10 Ml In 1 Ampule (0409-4282-12),0.03,0.03,,,0
RC,632,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,2.79,2.79,,,0
RC,632,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),2.83,2.83,,,0
RC,632,"Meropenem: 10 Vial In 1 Carton (55150-208-30)  / 1 Injection, Powder, For Solution In 1 Vial",0.96,0.96,,,0
RC,632,Metronidazole: 24 Bag In 1 Carton (0338-1055-48)  / 100 Ml In 1 Bag,0.12,0.12,,,0
RC,632,Metronidazole: 24 Bag In 1 Carton (0338-9541-24)  / 100 Ml In 1 Bag,0.06,0.06,,,0
RC,632,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17)  / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",1.13,1.13,,,0
RC,632,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12)  / 10 Ml In 1 Vial, Glass (0409-3815-11)",5.48,5.48,,,0
RC,632,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),1.71,1.71,,,0
RC,632,NDC Description Not Available,3.13,3.13,,,0
RC,632,Nalbuphine Hydrochloride: 10 Ampule In 1 Tray (0409-1463-01)  / 1 Ml In 1 Ampule (0409-1463-71),9.9,9.9,,,0
RC,632,"Naropin: 25 Vial, Single-Dose In 1 Tray (63323-286-95)  / 30 Ml In 1 Vial, Single-Dose (63323-286-93)",0.09,0.09,,,0
RC,632,"Neostigmine Methylsulfate: 10 Vial, Multi-Dose In 1 Tray (63323-415-10)  / 10 Ml In 1 Vial, Multi-Dose (63323-415-01)",0.3,0.3,,,0
RC,632,"Ondansetron: 25 Vial, Single-Dose In 1 Tray (0409-4755-03)  / 2 Ml In 1 Vial, Single-Dose (0409-4755-18)",0.63,0.63,,,0
RC,632,Oxytocin: 25 Vial In 1 Tray (63323-012-07)  / 1 Ml In 1 Vial (63323-012-17),2.82,2.82,,,0
RC,632,"Phenylephrine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-751-01)  / 1 Ml In 1 Vial, Single-Dose (63323-751-00)",0.06,0.06,,,0
RC,632,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1)  / .5 Ml In 1 Syringe,65.08,65.08,,,0
RC,632,Potassium Chloride: 24 Bag In 1 Carton (0338-0709-48)  / 100 Ml In 1 Bag,2.27,2.27,,,0
RC,632,Prednisone: 100 Blister Pack In 1 Carton (0904-6923-61)  / 1 Tablet In 1 Blister Pack,0.03,0.03,,,0
RC,632,Prednisone: 100 Tablet In 1 Bottle (0591-5052-01),0.13,0.13,,,0
RC,632,Prednisone: 100 Tablet In 1 Bottle (59651-488-01),0.03,0.03,,,0
RC,632,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",864.72,864.72,,,0
RC,632,Ropivacaine Hydrochloride: 25 Vial In 1 Carton (72603-216-25)  / 20 Ml In 1 Vial (72603-216-01),0.47,0.47,,,0
RC,632,Sodium Chloride: 100 Ml In 1 Bag (0338-9159-30),41.8,41.8,,,0
RC,632,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),42.89,42.89,,,0
RC,632,Sodium Chloride: 1000 Ml In 1 Bag (0338-0051-44),58.0,58.0,,,0
RC,632,Sodium Chloride: 12 Container In 1 Case (0264-5802-00)  / 1000 Ml In 1 Container,30.29,30.29,,,0
RC,632,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03)  / 500 Ml In 1 Bottle, Plastic",39.0,39.0,,,0
RC,632,Sodium Chloride: 24 Container In 1 Case (0264-5802-10)  / 500 Ml In 1 Container,44.0,44.0,,,0
RC,632,Sodium Chloride: 24 Container In 1 Case (0264-7800-20)  / 250 Ml In 1 Container,38.85,38.85,,,0
RC,632,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),43.0,43.0,,,0
RC,632,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11)  / 50 Ml In 1 Bag,52.93,52.93,,,0
RC,632,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18)  / 100 Ml In 1 Bag,38.8,38.8,,,0
RC,632,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),44.0,44.0,,,0
RC,632,Sodium Chloride: 64 Container In 1 Case (0264-1800-32)  / 100 Ml In 1 Container,42.24,42.24,,,0
RC,632,"Succinylcholine Chloride: 1 VIAL, MULTI-DOSE in 1 CARTON (16729-493-03)  / 10 mL in 1 VIAL, MULTI-DOSE",1.75,1.75,,,0
RC,632,Tacrolimus: 100 Capsule In 1 Bottle (0781-2103-01),1.03,1.03,,,0
RC,632,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9164-01)  / 10.25 G In 1 Vial, Pharmacy Bulk Package",2.05,2.05,,,0
RC,632,Vancomycin Hydrochloride: 10 VIAL in 1 CARTON (70860-105-20)  / 20 mL in 1 VIAL (70860-105-41),9.52,9.52,,,0
RC,632,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),11.16,11.16,,,0
RC,632,Zoledronic Acid: 1 Bag In 1 Carton (25021-826-67)  / 100 Ml In 1 Bag,17.0,17.0,,,0
RC,636,1 VIAL in 1 CARTON (0069-0248-01)  / 100 mL in 1 VIAL,0.28,0.28,,,0
RC,636,24 POUCH in 1 CASE (0409-6729-03)  / 1 BAG in 1 POUCH / 500 mL in 1 BAG (0409-6729-21),0.41,0.41,,,0
RC,636,"25 VIAL, MULTI-DOSE in 1 TRAY (63323-306-26)  / 2 mL in 1 VIAL, MULTI-DOSE",4.06,4.06,,,0
RC,636,"Abrysvo: 1 Tray In 1 Carton (0069-0344-01)  / 1 Kit In 1 Tray (0069-0344-21)  *  .5 Ml In 1 Vial, Glass (0069-0207-01)  *  .69 Ml In 1 Syringe, Glass (0069-0250-01)",783.36,783.36,,,0
RC,636,"Abrysvo: 5 Tray In 1 Carton (0069-0344-05)  / 1 Kit In 1 Tray (0069-0344-21)  *  .5 Ml In 1 Vial, Glass (0069-0207-01)  *  .69 Ml In 1 Syringe, Glass (0069-0250-01)",783.37,783.37,,,0
RC,636,Acetadote: 4 Vial In 1 Carton (66220-207-30)  / 30 Ml In 1 Vial,1.18,1.18,,,0
RC,636,Acetaminophen: 24 Bag In 1 Carton (67457-940-10)  / 100 Ml In 1 Bag,0.19,0.19,,,0
RC,636,Acetaminophen: 24 Container In 1 Case (0264-4100-90)  / 100 Ml In 1 Container,0.14,0.14,,,0
RC,636,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",55.38,55.38,,,0
RC,636,"Acetazolamide: 1 Vial In 1 Carton (0143-9006-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",50.95,50.95,,,0
RC,636,Acetazolamide: 1 Vial In 1 Carton (67457-853-50)  / 5 Ml In 1 Vial,105.63,105.63,,,0
RC,636,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1)  / 5 Ml In 1 Vial, Glass",49.72,49.72,,,0
RC,636,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",52.46,52.46,,,0
RC,636,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04)  / 4 Ml In 1 Vial (63323-694-22),27.35,27.35,,,0
RC,636,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7504-25)  / 4 Ml In 1 Vial, Glass",20.7,20.7,,,0
RC,636,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30)  / 30 Ml In 1 Vial,1.82,1.82,,,0
RC,636,"Actemra: 1 Vial, Single-Use In 1 Box (50242-135-01)  / 4 Ml In 1 Vial, Single-Use",18.43,18.43,,,0
RC,636,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01)  / 10 Ml In 1 Vial, Single-Use",18.54,18.54,,,0
RC,636,"Actemra: 1 Vial, Single-Use In 1 Box (50242-137-01)  / 20 Ml In 1 Vial, Single-Use",18.41,18.41,,,0
RC,636,"Activase: 1 Kit In 1 Carton (50242-044-13)  *  50 Ml In 1 Vial, Single-Use *  50 Ml In 1 Vial, Single-Use",244.25,244.25,,,0
RC,636,"Activase: 1 Kit In 1 Carton (50242-085-27)  *  100 Ml In 1 Vial, Single-Use *  100 Ml In 1 Vial, Single-Use",244.25,244.25,,,0
RC,636,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10)  / 10 Ml In 1 Vial, Single-Dose",0.06,0.06,,,0
RC,636,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20)  / 20 Ml In 1 Vial, Single-Dose",0.06,0.06,,,0
RC,636,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10)  / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",0.08,0.08,,,0
RC,636,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-24)  / 20 Ml In 1 Vial, Single-Dose (63323-325-43)",0.09,0.09,,,0
RC,636,"Acyclovir: 100 Blister Pack In 1 Box, Unit-Dose (68084-108-01)  / 1 Tablet In 1 Blister Pack (68084-108-11)",0.52,0.52,,,0
RC,636,Acyclovir: 473 Ml In 1 Bottle (31722-681-47),1.77,1.77,,,0
RC,636,Acyclovir: 473 Ml In 1 Bottle (70954-188-10),1.94,1.94,,,0
RC,636,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01)  / 10.5 Ml In 1 Vial, Single-Dose",450.02,450.02,,,0
RC,636,Adenosine: 10 VIAL in 1 CARTON (17478-953-02)  / 2 mL in 1 VIAL,1.1,1.1,,,0
RC,636,Adenosine: 10 Vial In 1 Carton (17478-542-02)  / 2 Ml In 1 Vial,2.89,2.89,,,0
RC,636,Adenosine: 10 Vial In 1 Carton (25021-318-02)  / 2 Ml In 1 Vial,1.27,1.27,,,0
RC,636,"Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02)  / 2 Ml In 1 Vial, Single-Use (63323-651-00)",1.2,1.2,,,0
RC,636,Adrenalin: 1 Vial In 1 Carton (42023-168-01)  / 30 Ml In 1 Vial,1.1,1.1,,,0
RC,636,Adrenalin: 1 Vial In 1 Carton (42023-168-99)  / 30 Ml In 1 Vial,1.13,1.13,,,0
RC,636,Adrenalin: 25 Vial In 1 Carton (42023-159-25)  / 1 Ml In 1 Vial (42023-159-01),3.8,3.8,,,0
RC,636,"Albumin (Human): 50 Ml In 1 Bottle, Glass (68982-643-01)",102.895,102.895,,,0
RC,636,"Albuminar-25: 1 VIAL, GLASS in 1 CARTON (0053-7680-32)  / 50 mL in 1 VIAL, GLASS (0053-7680-91)",95.0,95.0,,,0
RC,636,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50)  / 500 Ml In 1 Vial, Glass (44206-310-91)",104.66,104.66,,,0
RC,636,Albutein: 1 Vial In 1 Carton (68516-5214-2)  / 500 Ml In 1 Vial (68516-5214-4),49.05,49.05,,,0
RC,636,Albutein: 1 Vial In 1 Carton (68516-5214-5)  / 50 Ml In 1 Vial (68516-5214-6),266.725,266.725,,,0
RC,636,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9501-01)  / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",0.27,0.27,,,0
RC,636,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9901-30)  / 1 Vial, Single-Dose In 1 Pouch / .5 Ml In 1 Vial, Single-Dose",0.43,0.43,,,0
RC,636,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01)  / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,0.23,0.23,,,0
RC,636,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",58.08,58.08,,,0
RC,636,"Aminocaproic Acid: 25 Vial, Single-Dose In 1 Tray (0409-4346-73)  / 20 Ml In 1 Vial, Single-Dose (0409-4346-16)",3.54,3.54,,,0
RC,636,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (67457-153-18)  / 18 Ml In 1 Vial, Glass",1.21,1.21,,,0
RC,636,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (67457-153-03)  / 3 Ml In 1 Vial, Glass (67457-153-00)",2.17,2.17,,,0
RC,636,"Amiodarone Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-616-03)  / 3 Ml In 1 Vial, Single-Dose (63323-616-01)",1.09,1.09,,,0
RC,636,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (23155-594-31)  / 1 Injectable, Liposomal In 1 Vial, Single-Dose",48.065,48.065,,,0
RC,636,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (55150-365-01)  / 12.5 Ml In 1 Vial, Single-Dose",57.34,57.34,,,0
RC,636,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-210-10)  / 10 Ml In 1 Vial,5.97,5.97,,,0
RC,636,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-116-20)  / 1 Injection, Powder, For Solution In 1 Vial",5.26,5.26,,,0
RC,636,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20)  / 1 Injection, Powder, For Solution In 1 Vial",1.88,1.88,,,0
RC,636,"Ampicillin And Sulbactam: 10 Vial, Single-Dose In 1 Carton (71288-006-30)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (71288-006-31)",11.45,11.45,,,0
RC,636,"Ampicillin: 10 Vial In 1 Box (55150-114-20)  / 1 Injection, Powder, For Solution In 1 Vial",1.64,1.64,,,0
RC,636,"Ampicillin: 10 Vial, Glass In 1 Package (0781-9250-95)  / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-9250-78)",9.69,9.69,,,0
RC,636,"Andexxa: 5 Vial, Single-Use In 1 Carton (0310-3200-05)  / 20 Ml In 1 Vial, Single-Use (0310-3200-01)",347.68,347.68,,,0
RC,636,"Anktiva: 1 Vial, Glass In 1 Box (81481-803-01)  / .4 Ml In 1 Vial, Glass",330.73,330.73,,,0
RC,636,Aranesp: 1 Blister Pack In 1 Package (55513-028-01)  / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,16.64,16.64,,,0
RC,636,Aranesp: 1 Blister Pack In 1 Package (55513-032-01)  / 1 Syringe In 1 Blister Pack / 1 Ml In 1 Syringe,19.245,19.245,,,0
RC,636,Aranesp: 1 Blister Pack In 1 Package (55513-111-01)  / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,22.18,22.18,,,0
RC,636,"Arformoterol Tartrate: 6 Pouch In 1 Carton (69097-168-87)  / 5 Vial, Single-Dose In 1 Pouch (69097-168-48)  / 2 Ml In 1 Vial, Single-Dose",4.85,4.85,,,0
RC,636,Atgam: 5 Ampule In 1 Carton (0009-7224-02)  / 5 Ml In 1 Ampule (0009-7224-01),11633.17,11633.17,,,0
RC,636,"Atropine Sulfate: 10 Carton In 1 Package (0409-4911-34)  / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4911-11)",0.485,0.485,,,0
RC,636,Atropine Sulfate: 10 Carton In 1 Package (76329-3340-1)  / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,0.27,0.27,,,0
RC,636,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-1010-25)  / 1 mL in 1 VIAL, SINGLE-DOSE",0.345,0.345,,,0
RC,636,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01)  / 4 Ml In 1 Vial, Single-Use",258.99,258.99,,,0
RC,636,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01)  / 16 Ml In 1 Vial, Single-Use",267.41,267.41,,,0
RC,636,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01)  / 10 Ml In 1 Vial, Single-Dose",128.87,128.87,,,0
RC,636,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0781-3491-94)",1.105,1.105,,,0
RC,636,"Azacitidine: 1 Vial In 1 Carton (0143-9606-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1.35,1.35,,,0
RC,636,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-153-95)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",1.45,1.45,,,0
RC,636,Azithromycin: 1 Bottle In 1 Carton (59762-3120-1)  / 15 Ml In 1 Bottle,15.53,15.53,,,0
RC,636,Azithromycin: 1 Bottle In 1 Carton (59762-3130-1)  / 22.5 Ml In 1 Bottle,2.59,2.59,,,0
RC,636,Azithromycin: 10 Vial In 1 Carton (25021-180-66)  / 5 Ml In 1 Vial,8.23,8.23,,,0
RC,636,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.5,5.5,,,0
RC,636,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-125-66)  / 5 Ml In 1 Vial, Single-Dose (70860-125-41)",8.07,8.07,,,0
RC,636,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (50111-789-10)",11.15,11.15,,,0
RC,636,"Aztreonam: 10 Vial In 1 Tray (63323-401-20)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",5.82,5.82,,,0
RC,636,"Aztreonam: 10 Vial In 1 Tray (63323-402-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-402-03)",6.54,6.54,,,0
RC,636,"Bacitracin: 10 VIAL in 1 CARTON (63323-329-31)  / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",26.21,26.21,,,0
RC,636,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (10019-079-01)  / 1 Injection In 1 Vial, Multi-Dose",43.73,43.73,,,0
RC,636,"Bendeka: 1 Vial, Multi-Dose In 1 Carton (63459-348-04)  / 4 Ml In 1 Vial, Multi-Dose",47.825,47.825,,,0
RC,636,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Carton (0517-0720-01)  / 5 Ml In 1 Vial, Multi-Dose",13.77,13.77,,,0
RC,636,Beyfortus: 1 Syringe In 1 Carton (49281-575-00)  / .5 Ml In 1 Syringe,1576.13,1576.13,,,0
RC,636,"Bleomycin: 1 Vial In 1 Box, Unit-Dose (0143-9240-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",128.02,128.02,,,0
RC,636,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",184.74,184.74,,,0
RC,636,Blincyto: 1 Kit In 1 Package (55513-160-01)  *  3.088 Ml In 1 Vial (55513-150-01)  *  10.6 Ml In 1 Vial (55513-155-01),535.68,535.68,,,0
RC,636,Boostrix: 10 Syringe In 1 Carton (58160-842-52)  / .5 Ml In 1 Syringe (58160-842-43),113.44,113.44,,,0
RC,636,"Bortezomib: 1 Vial In 1 Carton (0143-9098-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",4.42,4.42,,,0
RC,636,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (43598-426-60)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",4.49,4.49,,,0
RC,636,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (55150-337-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.49,5.49,,,0
RC,636,"Botox: 1 Vial In 1 Carton (0023-1145-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",20.04,20.04,,,0
RC,636,"Botox: 1 Vial In 1 Carton (0023-3921-02)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",19.26,19.26,,,0
RC,636,"Brovana: 30 POUCH in 1 CARTON (63402-911-30)  / 1 VIAL, SINGLE-DOSE in 1 POUCH (63402-911-01)  / 2 mL in 1 VIAL, SINGLE-DOSE",12.53,12.53,,,0
RC,636,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (69097-319-87)  / 5 Ampule In 1 Pouch (69097-319-86)  / 2 Ml In 1 Ampule,4.71,4.71,,,0
RC,636,Budesonide Inhalation: 30 Pouch In 1 Carton (60687-524-83)  / 1 Ampule In 1 Pouch (60687-524-79)  / 2 Ml In 1 Ampule,25.02,25.02,,,0
RC,636,Budesonide Inhalation: 6 Pouch In 1 Carton (68180-984-30)  / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,2.07,2.07,,,0
RC,636,Budesonide: 6 Pouch In 1 Carton (0487-9701-01)  / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,26.62,26.62,,,0
RC,636,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01)  / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",20.56,20.56,,,0
RC,636,"Bupivacaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0143-9333-10)  / 30 Ml In 1 Vial, Single-Dose (0143-9333-01)",0.02,0.02,,,0
RC,636,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-169-10)  / 10 Ml In 1 Vial, Single-Dose",0.045,0.045,,,0
RC,636,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-170-30)  / 30 Ml In 1 Vial, Single-Dose",0.01,0.01,,,0
RC,636,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01)  / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",0.11,0.11,,,0
RC,636,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-02)  / 30 Ml In 1 Vial, Single-Dose (0409-1159-19)",0.04,0.04,,,0
RC,636,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02)  / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",0.02,0.02,,,0
RC,636,Buprenorphine Hydrochloride: 30 Tablet In 1 Bottle (50383-924-93),0.88,0.88,,,0
RC,636,Buprenorphine Hydrochloride: 30 Tablet In 1 Bottle (50383-930-93),0.41,0.41,,,0
RC,636,Buprenorphine: 30 Tablet In 1 Bottle (0054-0176-13),1.11,1.11,,,0
RC,636,Buprenorphine: 30 Tablet In 1 Bottle (0054-0177-13),0.4,0.4,,,0
RC,636,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03)  / 3 Ml In 1 Vial,0.91,0.91,,,0
RC,636,Caffeine Citrate: 10 Vial In 1 Carton (25021-602-03)  / 3 Ml In 1 Vial,1.79,1.79,,,0
RC,636,Caffeine Citrate: 10 Vial In 1 Carton (51754-0501-3)  / 3 Ml In 1 Vial,1.47,1.47,,,0
RC,636,Caffeine Citrate: 5 Vial In 1 Carton (63323-406-03)  / 3 Ml In 1 Vial (63323-406-01),4.43,4.43,,,0
RC,636,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02)  / 2 Ml In 1 Vial, Multi-Dose",1661.97,1661.97,,,0
RC,636,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (43598-051-11)  / 2 Ml In 1 Vial, Multi-Dose",1889.76,1889.76,,,0
RC,636,"Calcium Chloride: 10 Carton In 1 Container (0409-1631-10)  / 1 Syringe, Plastic In 1 Carton (0409-1631-40)  / 10 Ml In 1 Syringe, Plastic",33.28,33.28,,,0
RC,636,Calcium Chloride: 10 Syringe In 1 Package (76329-3304-1)  / 10 Ml In 1 Syringe,25.07,25.07,,,0
RC,636,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4246-01)  / 15 Ml In 1 Vial, Multi-Dose",32.02,32.02,,,0
RC,636,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50)  / 45 Ml In 1 Vial, Multi-Dose",14.94,14.94,,,0
RC,636,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-56)  / 60 Ml In 1 Vial, Multi-Dose",17.4,17.4,,,0
RC,636,"Carmustine: 1 Kit In 1 Carton (23155-649-41)  *  3 Ml In 1 Vial (23155-648-31)  *  30 Ml In 1 Vial, Single-Dose (23155-647-31)",554.56,554.56,,,0
RC,636,"Carmustine: 1 Kit In 1 Carton (43598-628-57)  *  3 Ml In 1 Vial (43598-860-11)  *  30 Ml In 1 Vial, Single-Dose (43598-861-11)",1229.99,1229.99,,,0
RC,636,"Carmustine: 1 Kit In 1 Carton (72205-198-01)  *  3 Ml In 1 Vial (72205-196-01)  *  30 Ml In 1 Vial, Single-Dose (72205-197-01)",297.33,297.33,,,0
RC,636,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64)  / 2 Ml In 1 Vial,267.995,267.995,,,0
RC,636,Cefazolin Sodium: 24 Container In 1 Case (0264-3103-11)  / 50 Ml In 1 Container,11.25,11.25,,,0
RC,636,Cefazolin: 12 Bag In 1 Carton (0338-3508-41)  / 100 Ml In 1 Bag,4.029999999999999,4.029999999999999,,,0
RC,636,Cefazolin: 24 Bag In 1 Carton (0338-3503-41)  / 50 Ml In 1 Bag,8.545,8.545,,,0
RC,636,Cefazolin: 25 VIAL in 1 CARTON (25021-101-67)  / 3 mL in 1 VIAL,1.205,1.205,,,0
RC,636,"Cefazolin: 25 Vial In 1 Carton (0409-2585-01)  / 1 Injection, Powder, For Solution In 1 Vial (0409-2585-11)",3.34,3.34,,,0
RC,636,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),0.94,0.94,,,0
RC,636,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",3.64,3.64,,,0
RC,636,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",10.26,10.26,,,0
RC,636,"Cefepime: 10 Vial In 1 Carton (25021-121-20)  / 1 Injection, Powder, For Solution In 1 Vial",6.03,6.03,,,0
RC,636,Cefepime: 10 Vial In 1 Carton (44567-240-10)  / 20 Ml In 1 Vial,3.56,3.56,,,0
RC,636,Cefotan: 10 Vial In 1 Tray (0121-0977-10)  / 20 Ml In 1 Vial (0121-0977-55),49.13,49.13,,,0
RC,636,Cefotetan: 10 Vial In 1 Carton (63323-385-10)  / 10 Ml In 1 Vial (63323-385-01),34.08,34.08,,,0
RC,636,Cefotetan: 10 Vial In 1 Carton (63323-386-20)  / 20 Ml In 1 Vial (63323-386-01),54.49,54.49,,,0
RC,636,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10)  / 1 Injection, Powder, For Solution In 1 Vial",3.95,3.95,,,0
RC,636,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25)  / 1 Injection, Powder, For Solution In 1 Vial",4.05,4.05,,,0
RC,636,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-20)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-21)",0.68,0.68,,,0
RC,636,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",0.76,0.76,,,0
RC,636,"Cerebyx: 10 Vial, Single-Dose In 1 Package (0069-5474-02)  / 10 Ml In 1 Vial, Single-Dose (0069-5474-01)",21.62,21.62,,,0
RC,636,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",123.525,123.525,,,0
RC,636,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-66)  / 18 Ml In 1 Vial,91.74000000000001,91.74000000000001,,,0
RC,636,Chlorothiazide: 1 Vial In 1 Box (63323-658-20)  / 18 Ml In 1 Vial,112.14,112.14,,,0
RC,636,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-049-01)",0.32,0.32,,,0
RC,636,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1056-1)",0.44,0.44,,,0
RC,636,"Cidofovir: 1 Vial, Glass In 1 Carton (67457-210-05)  / 5 Ml In 1 Vial, Glass",669.11,669.11,,,0
RC,636,Ciprofloxacin: 100 Ml In 1 Bag (36000-008-24),8.34,8.34,,,0
RC,636,Ciprofloxacin: 200 Ml In 1 Bag (36000-298-24),3.28,3.28,,,0
RC,636,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,3.87,3.87,,,0
RC,636,Ciprofloxacin: 24 Pouch In 1 Carton (25021-192-82)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,6.25,6.25,,,0
RC,636,Ciprofloxacin: 24 Pouch In 1 Carton (25021-192-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,3.99,3.99,,,0
RC,636,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (44567-510-01)  / 100 Ml In 1 Vial, Multi-Dose",15.03,15.03,,,0
RC,636,Cisplatin: 100 Ml In 1 Vial (16729-288-38),15.125,15.125,,,0
RC,636,Cisplatin: 50 Ml In 1 Vial (16729-288-11),21.740000000000002,21.740000000000002,,,0
RC,636,"Cladribine: 1 Ml In 1 Vial, Single-Dose (42658-010-01)",37.42,37.42,,,0
RC,636,"Cladribine: 1 Vial In 1 Box, Unit-Dose (0143-9871-01)  / 10 Ml In 1 Vial",32.48,32.48,,,0
RC,636,"Cladribine: 1 Vial, Single-Dose In 1 Carton (63323-140-10)  / 10 Ml In 1 Vial, Single-Dose",43.33,43.33,,,0
RC,636,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0902-18)  / 6 Ml In 1 Vial (0009-0902-11),2.485,2.485,,,0
RC,636,Clindamycin In 5 Percent Dextrose: 1 Vial In 1 Carton (0143-9269-01)  / 50 Ml In 1 Vial,3.96,3.96,,,0
RC,636,Clindamycin Phosphate: 24 Bag In 1 Case (43066-993-24)  / 50 Ml In 1 Bag,7.02,7.02,,,0
RC,636,Clindamycin Phosphate: 24 Bag In 1 Case (43066-995-24)  / 50 Ml In 1 Bag,5.985,5.985,,,0
RC,636,Clindamycin: 25 Vial In 1 Carton (25021-115-04)  / 4 Ml In 1 Vial,5.58,5.58,,,0
RC,636,"Comirnaty: 10 Syringe, Glass In 1 Carton (0069-2528-10)  / .418 Ml In 1 Syringe, Glass (0069-2528-01)",262.11,262.11,,,0
RC,636,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00)  / 1 Ml In 1 Vial,55.665,55.665,,,0
RC,636,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-01)  / 10 Ml In 1 Vial, Single-Dose",232.34,232.34,,,0
RC,636,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-22)  / 10 Ml In 1 Vial, Single-Dose",232.34,232.34,,,0
RC,636,"Cresemba: 1 Vial, Single-Dose In 1 Carton (0469-0420-01)  / 5 Ml In 1 Vial, Single-Dose",2.255,2.255,,,0
RC,636,"Cresemba: 10 Carton In 1 Carton (0469-0420-99)  / 1 Vial, Single-Dose In 1 Carton (0469-0420-01)  / 5 Ml In 1 Vial, Single-Dose",0.26,0.26,,,0
RC,636,"Crofab: 2 Vial, Glass In 1 Carton (50633-110-12)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-110-11)",11071.86,11071.86,,,0
RC,636,"Cubicin Rf: 1 Vial, Single-Use In 1 Carton (67919-012-01)  / 10 Ml In 1 Vial, Single-Use",2.41,2.41,,,0
RC,636,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (0517-0031-25)  / 1 Ml In 1 Vial, Multi-Dose (0517-0031-01)",20.29,20.29,,,0
RC,636,Cyclophosphamide: 1 Vial In 1 Carton (25021-248-51)  / 50 Ml In 1 Vial,1.83,1.83,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94)  / 25 Ml In 1 Vial, Single-Dose",2.02,2.02,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94)  / 50 Ml In 1 Vial, Single-Dose",2.33,2.33,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01)  / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",2.55,2.55,,,0
RC,636,Cyclophosphamide: 100 Capsule In 1 Bottle (62332-618-31),3.27,3.27,,,0
RC,636,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7669-01)  / 10 Ml In 1 Vial, Single-Dose",258.9,258.9,,,0
RC,636,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7678-01)  / 50 Ml In 1 Vial, Single-Dose",268.08,268.08,,,0
RC,636,"Cysview: 1 Kit In 1 Carton (10511-3001-2)  *  50 Ml In 1 Syringe, Plastic *  50 Ml In 1 Vial, Glass",3599.1,3599.1,,,0
RC,636,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (61703-319-22)  / 20 Ml In 1 Vial, Single-Dose",23.75,23.75,,,0
RC,636,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20)  / 20 Ml In 1 Vial, Single-Dose",6.78,6.78,,,0
RC,636,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (71288-109-20)  / 20 Ml In 1 Vial, Single-Dose",6.255,6.255,,,0
RC,636,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20)  / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",21.68,21.68,,,0
RC,636,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (39822-2100-2)  / 1 Ml In 1 Vial, Single-Dose (39822-2100-1)",1012.08,1012.08,,,0
RC,636,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (55150-431-01)  / 1 Ml In 1 Vial, Single-Dose",1315.0,1315.0,,,0
RC,636,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (71288-016-15)  / 10 Ml In 1 Vial, Single-Dose",0.08,0.08,,,0
RC,636,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (71288-016-95)  / 10 Ml In 1 Vial, Single-Dose",0.09,0.09,,,0
RC,636,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (72603-152-01)  / 10 Ml In 1 Vial, Single-Dose",0.07,0.07,,,0
RC,636,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (83090-011-01)  / 10 Ml In 1 Vial, Single-Dose",0.05,0.05,,,0
RC,636,"Darzalex Faspro: 1 Vial, Single-Dose In 1 Box (57894-503-01)  / 15 Ml In 1 Vial, Single-Dose",203.99,203.99,,,0
RC,636,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05)  / 5 Ml In 1 Vial, Single-Dose",285.0,285.0,,,0
RC,636,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-20)  / 20 Ml In 1 Vial, Single-Dose",286.05,286.05,,,0
RC,636,"Datroway: 1 Vial, Single-Dose In 1 Carton (65597-801-01)  / 5 Ml In 1 Vial, Single-Dose",180.7,180.7,,,0
RC,636,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01)  / 4 Ml In 1 Vial,94.725,94.725,,,0
RC,636,Daunorubicin Hydrochloride: 10 Vial In 1 Carton (42658-021-02)  / 4 Ml In 1 Vial,52.075,52.075,,,0
RC,636,Decitabine: 1 Vial In 1 Carton (25021-219-20)  / 20 Ml In 1 Vial,4.74,4.74,,,0
RC,636,"Decitabine: 1 Vial, Single-Dose In 1 Carton (0143-9385-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",4.16,4.16,,,0
RC,636,"Decitabine: 1 Vial, Single-Dose In 1 Carton (71288-119-20)  / 20 Ml In 1 Vial, Single-Dose",3.7750000000000004,3.7750000000000004,,,0
RC,636,"Decitabine: 1 Vial, Single-Dose In 1 Carton (72205-036-01)  / 10 Ml In 1 Vial, Single-Dose",14.23,14.23,,,0
RC,636,"Decitabine: 1 Vial, Single-Use In 1 Carton (72205-031-01)  / 20 Ml In 1 Vial, Single-Use",8.28,8.28,,,0
RC,636,Deferoxamine: 1 Vial In 1 Box (63323-597-10)  / 5.3 Ml In 1 Vial,34.14,34.14,,,0
RC,636,Deferoxamine: 1 Vial In 1 Box (63323-599-30)  / 21.1 Ml In 1 Vial,17.82,17.82,,,0
RC,636,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3475-01)  / 1 Ml In 1 Vial, Single-Dose",0.28,0.28,,,0
RC,636,"Depo-Medrol: 25 Vial, Single-Dose In 1 Package (0009-3073-03)  / 1 Ml In 1 Vial, Single-Dose",0.305,0.305,,,0
RC,636,Depo-Provera: 1 Vial In 1 Carton (0009-0746-30)  / 1 Ml In 1 Vial,0.96,0.96,,,0
RC,636,"Desferal: 4 Vial In 1 Carton (0078-0467-91)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0078-0467-61)",94.66,94.66,,,0
RC,636,Desmopressin Acetate: 1 Ml In 1 Ampule (69918-899-01),14.65,14.65,,,0
RC,636,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-10)  / 1 Ml In 1 Ampule,14.719999999999999,14.719999999999999,,,0
RC,636,"Dexamethasone Intensol: 30 Ml In 1 Bottle, Glass (0054-3176-44)",0.39,0.39,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-0367-25)  / 1 Ml In 1 Vial (0641-0367-21),0.37,0.37,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-418-05)  / 5 Ml In 1 Vial (67457-418-00),0.22000000000000003,0.22000000000000003,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12)  / 1 Ml In 1 Vial (67457-423-00),0.38,0.38,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25)  / 1 Ml In 1 Vial (70069-021-01),0.43,0.43,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01)  / 1 Ml In 1 Vial (63323-165-02),1.935,1.935,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01)  / 1 Ml In 1 Vial (63323-506-00),0.33,0.33,,,0
RC,636,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25)  / 1 Tablet In 1 Blister Pack,0.13,0.13,,,0
RC,636,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25)  / 1 Tablet In 1 Blister Pack,0.19,0.19,,,0
RC,636,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25)  / 1 Tablet In 1 Blister Pack,0.21,0.21,,,0
RC,636,Dexamethasone: 100 Mg In 1 Bottle (72603-212-01),0.16,0.16,,,0
RC,636,Dexamethasone: 100 Tablet In 1 Bottle (72603-187-01),0.12,0.12,,,0
RC,636,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4182-25)",0.16,0.16,,,0
RC,636,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4183-25)",0.16,0.16,,,0
RC,636,"Dexamethasone: 237 Ml In 1 Bottle, Glass (54879-003-08)",0.56,0.56,,,0
RC,636,"Dexamethasone: 237 Ml In 1 Bottle, Plastic (64980-509-24)",0.88,0.88,,,0
RC,636,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01)  / 50 Ml In 1 Vial,182.62,182.62,,,0
RC,636,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7610-00)  / 1000 Ml In 1 Container,22.14,22.14,,,0
RC,636,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7612-00)  / 1000 Ml In 1 Container,44.629999999999995,44.629999999999995,,,0
RC,636,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7616-00)  / 1000 Ml In 1 Container,48.4,48.4,,,0
RC,636,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0077-04)  / 1000 Ml In 1 Bag,41.8,41.8,,,0
RC,636,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04)  / 1000 Ml In 1 Bag,39.955,39.955,,,0
RC,636,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04)  / 1000 Ml In 1 Bag,19.01,19.01,,,0
RC,636,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0085-03)  / 500 Ml In 1 Bag,39.0,39.0,,,0
RC,636,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7612-10)  / 500 Ml In 1 Container,41.0,41.0,,,0
RC,636,Dextrose In Lactated Ringers: 12 Container In 1 Case (0264-7751-00)  / 1000 Ml In 1 Container,44.63,44.63,,,0
RC,636,Dextrose In Lactated Ringers: 24 Container In 1 Case (0264-7751-10)  / 500 Ml In 1 Container,43.69,43.69,,,0
RC,636,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1)  / 50 Ml In 1 Syringe,36.07,36.07,,,0
RC,636,Dextrose: 1 Bag In 1 Package (0338-0017-41)  / 50 Ml In 1 Bag,37.620000000000005,37.620000000000005,,,0
RC,636,Dextrose: 1 Bag In 1 Package (0338-0017-48)  / 100 Ml In 1 Bag,38.254999999999995,38.254999999999995,,,0
RC,636,Dextrose: 10 Bag In 1 Carton (0338-0070-10)  / 1000 Ml In 1 Bag,42.0,42.0,,,0
RC,636,"Dextrose: 10 Carton In 1 Container (0409-7517-16)  / 1 Syringe, Plastic In 1 Carton / 50 Ml In 1 Syringe, Plastic (0409-7517-66)",41.69,41.69,,,0
RC,636,Dextrose: 100 Ml In 1 Bag (0338-0551-18),6.3,6.3,,,0
RC,636,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),38.27,38.27,,,0
RC,636,Dextrose: 1000 Ml In 1 Bag (0338-0023-04),21.33,21.33,,,0
RC,636,Dextrose: 12 Container In 1 Case (0264-7510-00)  / 1000 Ml In 1 Container,44.87,44.87,,,0
RC,636,Dextrose: 16 Bag In 1 Pouch (0338-0017-31)  / 50 Ml In 1 Bag,43.1,43.1,,,0
RC,636,Dextrose: 20 Bag In 1 Carton (0338-0066-20)  / 500 Ml In 1 Bag,39.769999999999996,39.769999999999996,,,0
RC,636,Dextrose: 2000 Ml In 1 Bag (0338-0719-06),36.0,36.0,,,0
RC,636,Dextrose: 24 Container In 1 Case (0264-7510-10)  / 500 Ml In 1 Container,42.97,42.97,,,0
RC,636,Dextrose: 24 Container In 1 Case (0264-7510-20)  / 250 Ml In 1 Container,40.48,40.48,,,0
RC,636,Dextrose: 24 Container In 1 Case (0264-7520-10)  / 500 Ml In 1 Container,43.85,43.85,,,0
RC,636,Dextrose: 24 Container In 1 Case (0264-7520-20)  / 250 Ml In 1 Container,45.97,45.97,,,0
RC,636,Dextrose: 250 Ml In 1 Bag (0338-0017-02),39.22,39.22,,,0
RC,636,Dextrose: 250 Ml In 1 Bag (0338-0023-02),40.23,40.23,,,0
RC,636,Dextrose: 30 Bag In 1 Carton (0338-0062-30)  / 250 Ml In 1 Bag,37.635000000000005,37.635000000000005,,,0
RC,636,Dextrose: 4 Bag In 1 Pouch (0338-0017-11)  / 50 Ml In 1 Bag,40.585,40.585,,,0
RC,636,Dextrose: 4 Bag In 1 Pouch (0338-0017-18)  / 100 Ml In 1 Bag,38.635000000000005,38.635000000000005,,,0
RC,636,Dextrose: 50 Ml In 1 Bag (0338-0551-11),6.74,6.74,,,0
RC,636,Dextrose: 500 Ml In 1 Bag (0338-0017-03),41.39,41.39,,,0
RC,636,Dextrose: 500 Ml In 1 Bag (0338-0023-03),40.11,40.11,,,0
RC,636,Dextrose: 64 Container In 1 Case (0264-1510-32)  / 100 Ml In 1 Container,41.6,41.6,,,0
RC,636,Dextrose: 84 Container In 1 Case (0264-1510-31)  / 50 Ml In 1 Container,42.605000000000004,42.605000000000004,,,0
RC,636,Dilaudid: 10 Syringe In 1 Carton (76045-009-11)  / 1 Ml In 1 Syringe (76045-009-01),0.75,0.75,,,0
RC,636,Dilaudid: 24 SYRINGE in 1 CARTON (76045-009-05)  / .5 mL in 1 SYRINGE (76045-009-03),1.94,1.94,,,0
RC,636,Diphenhydramine Hcl: 100 Capsule In 1 Bottle (71399-1027-1),0.625,0.625,,,0
RC,636,"Diphenhydramine Hcl: 118 Ml In 1 Bottle, Plastic (0904-6985-20)",0.63,0.63,,,0
RC,636,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-2056-61)  / 10 Capsule In 1 Blister Pack,0.63,0.63,,,0
RC,636,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-5306-61)  / 10 Capsule In 1 Blister Pack,0.63,0.63,,,0
RC,636,"Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (0904-7237-61)  / 10 Capsule In 1 Blister Pack",0.63,0.63,,,0
RC,636,Diphenhydramine Hydrochloride: 100 Capsule In 1 Bottle (0904-5306-60),0.63,0.63,,,0
RC,636,Diphenhydramine Hydrochloride: 100 Capsule In 1 Bottle (0904-7237-60),0.63,0.63,,,0
RC,636,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25)  / 1 Ml In 1 Vial (0641-0376-21),1.88,1.88,,,0
RC,636,Diphenhydramine: 25 Vial In 1 Tray (63323-664-16)  / 1 Ml In 1 Vial (63323-664-41),2.0,2.0,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-10)  / 10 Ml In 1 Vial (63323-269-01),0.39,0.39,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-29)  / 20 Ml In 1 Vial (63323-269-22),0.275,0.275,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-37)  / 20 Ml In 1 Vial (63323-269-25),0.28,0.28,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-65)  / 100 Ml In 1 Vial (63323-269-35),0.27,0.27,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-67)  / 100 Ml In 1 Vial (63323-269-21),0.27,0.27,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-69)  / 100 Ml In 1 Vial (63323-269-41),0.53,0.53,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-94)  / 20 Ml In 1 Vial (63323-269-43),0.63,0.63,,,0
RC,636,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1075-02)  / 250 Ml In 1 Bag,55.87,55.87,,,0
RC,636,Dobutamine In Dextrose: 12 Pouch In 1 Case (0409-2347-32)  / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-2347-31),17.52,17.52,,,0
RC,636,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (67457-781-08)  / 8 Ml In 1 Vial, Multi-Dose",1.59,1.59,,,0
RC,636,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (72078-040-08)  / 8 Ml In 1 Vial, Multi-Dose",4.33,4.33,,,0
RC,636,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02)  / 250 Ml In 1 Bag,4.06,4.06,,,0
RC,636,Dopamine Hydrochloride In Dextrose: 12 Bag In 1 Carton (0409-7809-22)  / 250 Ml In 1 Bag (0409-7809-11),3.28,3.28,,,0
RC,636,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0063-01)  / 10 Ml In 1 Vial, Single-Use",159.24,159.24,,,0
RC,636,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0067-01)  / 25 Ml In 1 Vial, Single-Use",170.2,170.2,,,0
RC,636,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-51)  / 100 Ml In 1 Vial,19.525,19.525,,,0
RC,636,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (67457-436-50)  / 25 Ml In 1 Vial,126.57000000000001,126.57000000000001,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-1542-20)  / 100 Ml In 1 Vial, Multi-Dose",20.02,20.02,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-3034-20)  / 100 Ml In 1 Vial, Multi-Dose",17.95,17.95,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (63323-101-61)  / 100 Ml In 1 Vial, Multi-Dose",17.95,17.95,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (43598-541-25)  / 25 Ml In 1 Vial, Single-Dose",611.62,611.62,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (43598-683-25)  / 25 Ml In 1 Vial, Single-Dose",626.61,626.61,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1530-1)  / 10 Ml In 1 Vial, Single-Dose",133.325,133.325,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1531-1)  / 25 Ml In 1 Vial, Single-Dose",145.52,145.52,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (43598-283-35)  / 10 Ml In 1 Vial, Single-Dose",593.63,593.63,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (43598-682-35)  / 10 Ml In 1 Vial, Single-Dose",237.46,237.46,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-049-40)  / 10 Ml In 1 Vial, Single-Dose",534.28,534.28,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-050-40)  / 25 Ml In 1 Vial, Single-Dose",669.0,669.0,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-103-01)  / 10 Ml In 1 Vial, Single-Dose",188.13,188.13,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-200-01)  / 25 Ml In 1 Vial, Single-Dose",228.37,228.37,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Use In 1 Carton (70748-339-01)  / 10 Ml In 1 Vial, Single-Use",593.64,593.64,,,0
RC,636,Doxy 100: 10 Vial In 1 Tray (63323-130-11)  / 10 Ml In 1 Vial (63323-130-02),0.36,0.36,,,0
RC,636,Doxycycline: 5 Vial In 1 Carton (72266-237-05)  / 10 Ml In 1 Vial (72266-237-01),0.29,0.29,,,0
RC,636,Dronabinol: 1 BOTTLE in 1 CARTON (17478-761-06)  / 60 CAPSULE in 1 BOTTLE,3.92,3.92,,,0
RC,636,Dronabinol: 30 Blister Pack In 1 Carton (0904-7145-04)  / 1 Capsule In 1 Blister Pack,12.22,12.22,,,0
RC,636,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),4.18,4.18,,,0
RC,636,"Dysport: 1 Vial In 1 Carton (15054-0530-6)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",26.145,26.145,,,0
RC,636,"Elahere: 1 Vial, Single-Use In 1 Carton (72903-853-01)  / 20 Ml In 1 Vial, Single-Use",243.735,243.735,,,0
RC,636,Eligard: 1 Syringe In 1 Carton (62935-227-10)  / .375 Ml In 1 Syringe,336.505,336.505,,,0
RC,636,Eligard: 1 Syringe In 1 Carton (62935-306-40)  / .5 Ml In 1 Syringe,339.03499999999997,339.03499999999997,,,0
RC,636,Eligard: 1 Syringe In 1 Carton (62935-461-50)  / .375 Ml In 1 Syringe,325.82,325.82,,,0
RC,636,Eligard: 1 Syringe In 1 Carton (62935-756-80)  / .25 Ml In 1 Syringe,377.22,377.22,,,0
RC,636,"Elitek: 3 Kit In 1 Carton (0024-5150-10)  / 1 Kit In 1 Kit *  1 Ml In 1 Vial, Single-Use (0024-5154-11)  *  1 Ml In 1 Ampule (0024-5152-11)",1045.8899999999999,1045.8899999999999,,,0
RC,636,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-2291-11)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",25.725,25.725,,,0
RC,636,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-4522-11)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",25.25,25.25,,,0
RC,636,Enalaprilat: 10 Vial In 1 Carton (0143-9786-10)  / 2 Ml In 1 Vial (0143-9786-01),11.04,11.04,,,0
RC,636,"Enhertu: 1 Vial, Single-Dose In 1 Carton (65597-406-01)  / 5 Ml In 1 Vial, Single-Dose",98.83,98.83,,,0
RC,636,"Enjaymo: 1 Vial, Single-Dose In 1 Carton (80203-347-01)  / 22 Ml In 1 Vial, Single-Dose",51.38,51.38,,,0
RC,636,"Enoxaparin Sodium: 1 Vial, Multi-Dose In 1 Carton (71288-426-03)  / 3 Ml In 1 Vial, Multi-Dose",1.94,1.94,,,0
RC,636,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-566-98)  / 1 Syringe In 1 Blister Pack (63323-566-21)  / .6 Ml In 1 Syringe,2.07,2.07,,,0
RC,636,Enoxaparin Sodium: 10 Cello Pack In 1 Carton (63323-531-90)  / 1 Syringe In 1 Cello Pack (63323-531-01)  / .8 Ml In 1 Syringe,2.45,2.45,,,0
RC,636,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8580-23)  / 1 mL in 1 SYRINGE (0703-8580-21),2.37,2.37,,,0
RC,636,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (60505-0791-4)  / .3 mL in 1 SYRINGE,4.15,4.15,,,0
RC,636,Enoxaparin Sodium: 10 Syringe In 1 Carton (16714-016-10)  / .4 Ml In 1 Syringe (16714-016-01),1.53,1.53,,,0
RC,636,Enoxaparin Sodium: 10 Syringe In 1 Carton (71288-410-83)  / .4 Ml In 1 Syringe (71288-410-82),3.97,3.97,,,0
RC,636,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20)  / 5 Ml In 1 Vial, Single-Dose",107.215,107.215,,,0
RC,636,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",0.9,0.9,,,0
RC,636,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",0.49,0.49,,,0
RC,636,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",0.51,0.51,,,0
RC,636,Epinephrine: 1 Vial In 1 Carton (54288-120-01)  / 10 Ml In 1 Vial,1.2,1.2,,,0
RC,636,Epinephrine: 1 Vial In 1 Carton (54288-600-01)  / 10 Ml In 1 Vial,1.31,1.31,,,0
RC,636,"Epinephrine: 1 Vial, Multi-Dose In 1 Carton (68462-760-10)  / 10 Ml In 1 Vial, Multi-Dose",1.09,1.09,,,0
RC,636,Epinephrine: 10 Ampule In 1 Box (54288-103-10)  / 1 Ml In 1 Ampule,2.31,2.31,,,0
RC,636,Epinephrine: 10 Carton In 1 Package (76329-3318-1)  / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,3.03,3.03,,,0
RC,636,"Epkinly: 1 Vial, Glass In 1 Carton (82705-002-01)  / .8 Ml In 1 Vial, Glass",206.53,206.53,,,0
RC,636,"Epkinly: 1 Vial, Glass In 1 Carton (82705-010-01)  / .8 Ml In 1 Vial, Glass",184.745,184.745,,,0
RC,636,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-948-23)  / 50 Ml In 1 Vial, Single-Dose",230.85,230.85,,,0
RC,636,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-958-23)  / 100 Ml In 1 Vial, Single-Dose",239.43,239.43,,,0
RC,636,"Eribulin Mesylate: 1 Vial, Single-Dose In 1 Carton (60505-6289-0)  / 2 Ml In 1 Vial, Single-Dose",195.45499999999998,195.45499999999998,,,0
RC,636,"Eribulin Mesylate: 1 Vial, Single-Dose In 1 Carton (81298-3890-1)  / 2 Ml In 1 Vial, Single-Dose",227.53000000000003,227.53000000000003,,,0
RC,636,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-09)  / 1 Injection In 1 Vial, Single-Dose",34.87,34.87,,,0
RC,636,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20)  / 1 Injection In 1 Vial, Single-Dose",35.12,35.12,,,0
RC,636,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01)  / 10 Ml In 1 Vial (0409-6482-11),83.27,83.27,,,0
RC,636,Esmolol Hydrochloride In Sodium Chloride: 1 Bag In 1 Pouch (67457-657-25)  / 250 Ml In 1 Bag,2.77,2.77,,,0
RC,636,Etomidate: 10 Vial In 1 Carton (67457-903-20)  / 20 Ml In 1 Vial (67457-903-00),6.42,6.42,,,0
RC,636,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9510-01)  / 5 Ml In 1 Vial",6.65,6.65,,,0
RC,636,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08)  / 25 Ml In 1 Vial, Multi-Dose",7.76,7.76,,,0
RC,636,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11)  / 50 Ml In 1 Vial, Multi-Dose",8.04,8.04,,,0
RC,636,Evomela: 1 Vial In 1 Carton (72893-001-01)  / 20 Ml In 1 Vial,71.46,71.46,,,0
RC,636,FENTANYL CITRATE: 10 AMPULE in 1 CARTON (17478-030-05)  / 5 mL in 1 AMPULE,1.88,1.88,,,0
RC,636,FENTANYL CITRATE: 25 AMPULE in 1 CARTON (17478-030-55)  / 5 mL in 1 AMPULE,12.35,12.35,,,0
RC,636,"Famotidine: 25 Vial, Single-Dose In 1 Tray (63323-739-12)  / 2 Ml In 1 Vial, Single-Dose (63323-739-11)",0.03,0.03,,,0
RC,636,"Famotidine: 25 Vial, Single-Use In 1 Tray (63323-739-16)  / 2 Ml In 1 Vial, Single-Use (63323-739-41)",0.025,0.025,,,0
RC,636,"Feiba: 1 Kit In 1 Carton (64193-424-02)  *  20 Ml In 1 Vial, Glass (64193-324-01)  *  20 Ml In 1 Vial, Glass (64764-517-20)",6.29,6.29,,,0
RC,636,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-35)  / 5 Ml In 1 Ampule (0409-9093-45),1.0,1.0,,,0
RC,636,Fentanyl Citrate: 20 Ml In 1 Vial (0641-6029-01),1.82,1.82,,,0
RC,636,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-01)  / 1 Ml In 1 Vial, Single-Dose (63323-806-11)",1.91,1.91,,,0
RC,636,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22)  / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",3.15,3.15,,,0
RC,636,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-25)  / 5 Ml In 1 Vial, Single-Dose (0409-9094-18)",1.79,1.79,,,0
RC,636,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),1.66,1.66,,,0
RC,636,"Feraheme: 1 Vial, Single-Use In 1 Carton (59338-775-01)  / 17 Ml In 1 Vial, Single-Use",0.815,0.815,,,0
RC,636,"Fetroja: 10 Vial, Single-Use In 1 Carton (59630-266-10)  / 10 Ml In 1 Vial, Single-Use (59630-266-01)",6.67,6.67,,,0
RC,636,"Firmagon: 1 Kit In 1 Carton (55566-8303-1)  *  4 Ml In 1 Vial, Glass *  4.2 Ml In 1 Syringe",14.75,14.75,,,0
RC,636,"Firmagon: 1 Kit In 1 Carton (55566-8403-1)  *  3 Ml In 1 Syringe *  3 Ml In 1 Vial, Glass",15.265,15.265,,,0
RC,636,Flexbumin: 12 Bag In 1 Carton (0944-0493-01)  / 50 Ml In 1 Bag (0944-0493-03),95.34,95.34,,,0
RC,636,Flexbumin: 2 Bag In 1 Carton (0944-0495-05)  / 250 Ml In 1 Bag (0944-0495-06),44.65,44.65,,,0
RC,636,Fluconazole: 10 Pouch In 1 Carton (25021-184-66)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,9.83,9.83,,,0
RC,636,Fluconazole: 10 Pouch In 1 Carton (25021-184-82)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,9.69,9.69,,,0
RC,636,Fluconazole: 10 Pouch In 1 Carton (25021-184-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,5.92,5.92,,,0
RC,636,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55)  / 2 Ml In 1 Vial, Glass",201.97,201.97,,,0
RC,636,Flulaval 2025/2026: 10 Syringe In 1 Carton (19515-904-52)  / .5 Ml In 1 Syringe (19515-904-41),42.49,42.49,,,0
RC,636,"Flumazenil: 10 Vial, Multi-Dose In 1 Tray (63323-424-05)  / 5 Ml In 1 Vial, Multi-Dose (63323-424-01)",19.56,19.56,,,0
RC,636,Fluorouracil: 1 Bottle In 1 Carton (25021-215-98)  / 50 Ml In 1 Bottle,29.365000000000002,29.365000000000002,,,0
RC,636,Fluorouracil: 1 Bottle In 1 Carton (25021-215-99)  / 100 Ml In 1 Bottle,25.189999999999998,25.189999999999998,,,0
RC,636,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-61)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",15.215,15.215,,,0
RC,636,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-69)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",15.01,15.01,,,0
RC,636,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10)  / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",24.65,24.65,,,0
RC,636,"Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-125-65)  / .5 Ml In 1 Syringe, Glass (49281-125-88)",162.94,162.94,,,0
RC,636,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (39822-1100-1)  / 10 Ml In 1 Vial, Multi-Dose",0.19,0.19,,,0
RC,636,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10)  / 10 Ml In 1 Vial, Multi-Dose",0.265,0.265,,,0
RC,636,Folotyn: 1 Vial In 1 Carton (72893-003-01)  / 1 Ml In 1 Vial,1247.62,1247.62,,,0
RC,636,Folotyn: 1 Vial In 1 Carton (72893-005-01)  / 2 Ml In 1 Vial,1243.81,1243.81,,,0
RC,636,Fomepizole: 1 Vial In 1 Carton (0517-0710-01)  / 1.5 Ml In 1 Vial,14.82,14.82,,,0
RC,636,Fomepizole: 1 Vial In 1 Carton (25021-829-02)  / 1.5 Ml In 1 Vial,8.53,8.53,,,0
RC,636,Fondaparinux Sodium: 10 Syringe In 1 Carton (55111-678-10)  / .5 Ml In 1 Syringe (55111-678-11),4.6,4.6,,,0
RC,636,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01)  / 5 Ml In 1 Vial, Single-Dose",0.44,0.44,,,0
RC,636,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9428-01)  / 5 Ml In 1 Vial, Single-Dose",0.415,0.415,,,0
RC,636,Fosaprepitant: 1 Vial In 1 Carton (83634-776-10)  / 5 Ml In 1 Vial,0.35,0.35,,,0
RC,636,Foscavir: 10 Carton In 1 Carton (76310-024-25)  / 1 Bottle In 1 Carton (76310-024-15)  / 250 Ml In 1 Bottle,143.44,143.44,,,0
RC,636,"Fosphenytoin Sodium: 10 Vial, Single-Dose In 1 Carton (68462-622-10)  / 10 Ml In 1 Vial, Single-Dose (68462-622-64)",3.38,3.38,,,0
RC,636,Fulphila: 1 Syringe In 1 Carton (83257-005-41)  / .6 Ml In 1 Syringe,384.51,384.51,,,0
RC,636,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0143-9022-02)  / 5 Ml In 1 Syringe, Glass (0143-9022-01)",10.1,10.1,,,0
RC,636,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-9055-12)  / 5 Ml In 1 Syringe, Glass (0781-9055-01)",18.695,18.695,,,0
RC,636,Furosemide: 25 Vial In 1 Tray (63323-280-10)  / 10 Ml In 1 Vial (63323-280-05),0.235,0.235,,,0
RC,636,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25)  / 2 Ml In 1 Vial, Single-Dose",0.09,0.09,,,0
RC,636,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-284-25)  / 10 Ml In 1 Vial, Single-Dose",0.03,0.03,,,0
RC,636,"Fyarro: 1 Vial, Single-Use In 1 Carton (80803-153-50)  / 20 Ml In 1 Vial, Single-Use",245.05,245.05,,,0
RC,636,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04)  / 50 Ml In 1 Bottle, Glass (0944-2700-10)",128.61,128.61,,,0
RC,636,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05)  / 100 Ml In 1 Bottle, Glass (0944-2700-11)",128.61,128.61,,,0
RC,636,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06)  / 200 Ml In 1 Bottle, Glass (0944-2700-12)",87.61000000000001,87.61000000000001,,,0
RC,636,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-07)  / 300 Ml In 1 Bottle, Glass (0944-2700-13)",172.63,172.63,,,0
RC,636,Gammagard S/D: 1 Kit In 1 Carton (0944-2658-04)  *  192 Ml In 1 Bottle (0338-0001-37)  *  192 Ml In 1 Bottle (64764-511-92)  *  200 Ml In 1 Bottle (0944-2659-08),214.64,214.64,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-12)  / 10 Ml In 1 Vial, Glass (13533-800-13)",99.985,99.985,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-15)  / 25 Ml In 1 Vial, Glass (13533-800-16)",100.62,100.62,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20)  / 50 Ml In 1 Vial, Glass (13533-800-21)",100.73,100.73,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24)  / 200 Ml In 1 Vial, Glass (13533-800-25)",100.73,100.73,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71)  / 100 Ml In 1 Vial, Glass (13533-800-72)",100.73,100.73,,,0
RC,636,Ganciclovir: 25 Vial In 1 Carton (25021-185-10)  / 10 Ml In 1 Vial,56.3,56.3,,,0
RC,636,Ganciclovir: 25 Vial In 1 Carton (70436-089-55)  / 10 Ml In 1 Vial,40.96,40.96,,,0
RC,636,"Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01)  / 40 Ml In 1 Vial, Single-Use",263.375,263.375,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Box (63323-125-53)  / 25 Ml In 1 Vial, Single-Dose",37.05,37.05,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-01)  / 26.3 Ml In 1 Vial, Single-Dose",34.735,34.735,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25)  / 26.3 Ml In 1 Vial, Single-Dose",28.060000000000002,28.060000000000002,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0182-01)  / 52.6 Ml In 1 Vial, Single-Dose",23.77,23.77,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-01)  / 5.26 Ml In 1 Vial, Single-Dose",21.21,21.21,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-25)  / 5.26 Ml In 1 Vial, Single-Dose",21.535,21.535,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-06)  / 5.26 Ml In 1 Vial, Single-Dose",13.115,13.115,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28)  / 26.3 Ml In 1 Vial, Single-Dose",18.64,18.64,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-54)  / 52.6 Ml In 1 Vial, Single-Dose",21.525,21.525,,,0
RC,636,Gengraf: 5 Blister Pack In 1 Carton (0074-3109-32)  / 6 Capsule In 1 Blister Pack,8.55,8.55,,,0
RC,636,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0503-48),9.85,9.85,,,0
RC,636,"Gentamicin Sulfate: 25 Vial, Single-Dose In 1 Tray (0409-1207-03)  / 2 Ml In 1 Vial, Single-Dose (0409-1207-13)",8.955,8.955,,,0
RC,636,Gentamicin: 25 Vial In 1 Tray (63323-173-02)  / 2 Ml In 1 Vial (63323-173-01),3.1,3.1,,,0
RC,636,"GlucaGen: 1 KIT in 1 KIT (0597-0260-10)  *  1 mL in 1 VIAL, GLASS (0597-0053-01)  *  1 mL in 1 VIAL, GLASS (0597-0265-94)",339.28,339.28,,,0
RC,636,"Glucagon: 1 Kit In 1 Carton (63323-593-03)  *  1 Ml In 1 Vial, Single-Dose (63323-596-03)  *  1 Ml In 1 Vial, Single-Dose (63323-185-03)",336.305,336.305,,,0
RC,636,"Glucagon: 1 Kit In 1 Carton (63323-594-03)  *  1 Ml In 1 Vial, Single-Dose (63323-596-06)  *  1 Ml In 1 Vial, Single-Dose (63323-185-03)",329.53,329.53,,,0
RC,636,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25)  / 1 Ml In 1 Vial, Single-Dose",13.67,13.67,,,0
RC,636,HALOPERIDOL: 25 VIAL in 1 CARTON (0069-0113-02)  / 1 mL in 1 VIAL (0069-0113-01),1.5,1.5,,,0
RC,636,"Halaven: 1 Vial, Single-Dose In 1 Carton (62856-389-01)  / 2 Ml In 1 Vial, Single-Dose",476.57,476.57,,,0
RC,636,Haloperidol Decanoate: 1 Vial In 1 Carton (63323-469-01)  / 1 Ml In 1 Vial,19.83,19.83,,,0
RC,636,"Haloperidol Decanoate: 1 Vial, Single-Dose In 1 Carton (70069-381-01)  / 1 Ml In 1 Vial, Single-Dose",18.93,18.93,,,0
RC,636,Haloperidol: 25 Vial In 1 Tray (63323-474-01)  / 1 Ml In 1 Vial (63323-474-00),2.11,2.11,,,0
RC,636,Heparin Sodium In Dextrose: 24 Container In 1 Case (0264-9587-20)  / 250 Ml In 1 Container,1.55,1.55,,,0
RC,636,Heparin Sodium: 25 Vial In 1 Carton (25021-402-01)  / 1 Ml In 1 Vial,0.37,0.37,,,0
RC,636,Heparin Sodium: 25 Vial In 1 Tray (63323-540-13)  / 1 Ml In 1 Vial (63323-540-03),2.29,2.29,,,0
RC,636,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Carton (71288-402-31)  / 30 Ml In 1 Vial, Multi-Dose (71288-402-30)",0.38,0.38,,,0
RC,636,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01)  / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",0.51,0.51,,,0
RC,636,"Herceptin Hylecta: 1 Vial, Single-Dose In 1 Carton (50242-077-01)  / 5 Ml In 1 Vial, Single-Dose",254.62,254.62,,,0
RC,636,"Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01)  / 15 Ml In 1 Vial, Single-Dose",304.47,304.47,,,0
RC,636,Humalog Kwikpen: 5 Syringe In 1 Carton (0002-8799-59)  / 3 Ml In 1 Syringe (0002-8799-01),0.34,0.34,,,0
RC,636,"Humate-P: 1 Kit In 1 Carton (63833-615-02)  *  5 Ml In 1 Vial (63833-625-01)  *  5 Ml In 1 Vial, Single-Dose (63833-765-53)",3.43,3.43,,,0
RC,636,"Humate-P: 1 Kit In 1 Carton (63833-616-02)  *  10 Ml In 1 Vial (63833-626-01)  *  10 Ml In 1 Vial, Single-Dose (63833-765-54)",3.43,3.43,,,0
RC,636,"Humate-P: 1 Kit In 1 Carton (63833-617-02)  *  15 Ml In 1 Vial (63833-627-01)  *  15 Ml In 1 Vial, Single-Dose (63833-765-55)",3.43,3.43,,,0
RC,636,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01)  / 3 Ml In 1 Vial, Multi-Dose",0.82,0.82,,,0
RC,636,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01)  / 10 Ml In 1 Vial, Multi-Dose",0.35,0.35,,,0
RC,636,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17)  / 3 Ml In 1 Vial, Multi-Dose",4.93,4.93,,,0
RC,636,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-614-55)  / 1 Ml In 1 Vial, Single-Dose (63323-614-21)",4.33,4.33,,,0
RC,636,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01)  / 50 Ml In 1 Vial,0.06,0.06,,,0
RC,636,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50)  / 50 Ml In 1 Vial, Single-Dose",0.08,0.08,,,0
RC,636,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1283-31)  / 1 Ml In 1 Cartridge (0409-1283-03),0.5,0.5,,,0
RC,636,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30)  / 1 Ml In 1 Cartridge (0409-1312-03),0.28,0.28,,,0
RC,636,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25)  / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",29.45,29.45,,,0
RC,636,Hydroxyzine Pamoate: 100 Blister Pack In 1 Carton (0904-7065-61)  / 1 Capsule In 1 Blister Pack,0.81,0.81,,,0
RC,636,"Hyperhep B: 1 Syringe, Glass In 1 Carton (13533-636-03)  / .5 Ml In 1 Syringe, Glass (13533-636-30)",226.62,226.62,,,0
RC,636,Hyperrab: 1 Vial In 1 Carton (13533-318-01)  / 1 Ml In 1 Vial (13533-318-10),629.95,629.95,,,0
RC,636,Hyperrab: 1 Vial In 1 Carton (13533-318-05)  / 5 Ml In 1 Vial (13533-318-50),653.43,653.43,,,0
RC,636,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02)  / 1 Ml In 1 Syringe, Glass (13533-634-20)",1503.59,1503.59,,,0
RC,636,"Idamycin Pfs: 1 Vial, Single-Dose In 1 Carton (0013-2576-91)  / 5 Ml In 1 Vial, Single-Dose",230.67,230.67,,,0
RC,636,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9218-01)  / 10 Ml In 1 Vial, Glass",85.785,85.785,,,0
RC,636,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9219-01)  / 20 Ml In 1 Vial, Glass",104.0,104.0,,,0
RC,636,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9308-01)  / 20 Ml In 1 Vial, Glass",91.12,91.12,,,0
RC,636,"Ifosfamide: 1 Vial, Single-Dose In 1 Box (63323-142-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",110.72,110.72,,,0
RC,636,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-925-01)  / 20 Ml In 1 Vial, Single-Dose (10019-925-82)",100.115,100.115,,,0
RC,636,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02)  / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",101.695,101.695,,,0
RC,636,Imfinzi: 1 Vial In 1 Carton (0310-4500-12)  / 2.4 Ml In 1 Vial,287.75,287.75,,,0
RC,636,Imfinzi: 1 Vial In 1 Carton (0310-4611-50)  / 10 Ml In 1 Vial,289.25,289.25,,,0
RC,636,Imjudo: 1 Vial In 1 Carton (0310-4535-30)  / 15 Ml In 1 Vial,509.74,509.74,,,0
RC,636,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10)  / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",49.94,49.94,,,0
RC,636,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01)  / 10 Ml In 1 Vial, Single-Use",136.68,136.68,,,0
RC,636,"Infliximab: 1 Vial, Single-Use In 1 Box (57894-160-01)  / 10 Ml In 1 Vial, Single-Use",134.12,134.12,,,0
RC,636,"Injectafer: 1 Vial, Single-Dose In 1 Box (0517-0650-01)  / 15 Ml In 1 Vial, Single-Dose",3.77,3.77,,,0
RC,636,"Insulin Aspart: 1 Vial, Glass In 1 Carton (73070-100-11)  / 10 Ml In 1 Vial, Glass",6.585,6.585,,,0
RC,636,"Insulin Aspart: 5 Syringe, Plastic In 1 Carton (73070-103-15)  / 3 Ml In 1 Syringe, Plastic (73070-103-10)",6.2,6.2,,,0
RC,636,"Invanz: 10 Vial, Single-Dose In 1 Package (0006-3843-71)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",178.7,178.7,,,0
RC,636,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10)  / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",120.94,120.94,,,0
RC,636,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01)  / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",1.01,1.01,,,0
RC,636,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01)  / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.05,1.05,,,0
RC,636,Ipratropium Bromide: 1 Pouch In 1 Carton (76204-100-30)  / 30 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,0.83,0.83,,,0
RC,636,"Ipratropium Bromide: 30 Pouch In 1 Carton (0487-9801-01)  / 1 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",0.76,0.76,,,0
RC,636,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01)  / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,0.79,0.79,,,0
RC,636,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-02)  / 2 Ml In 1 Vial,32.285,32.285,,,0
RC,636,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-027-01)  / 2 Ml In 1 Vial, Single-Dose",12.67,12.67,,,0
RC,636,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1)  / 5 Ml In 1 Vial, Single-Use",9.934999999999999,9.934999999999999,,,0
RC,636,"Irinotecan Hydrochloride: 2 Ml In 1 Vial, Glass (0143-9702-01)",14.01,14.01,,,0
RC,636,"Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05)  / 5 Ml In 1 Vial, Glass (67457-220-00)",1379.94,1379.94,,,0
RC,636,"Istodax: 1 Kit In 1 Carton (59572-984-01)  *  2.2 Ml In 1 Vial, Glass (59572-962-10)  *  2.4 Ml In 1 Vial, Glass (59572-973-02)",112.945,112.945,,,0
RC,636,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-010-60)",730.02,730.02,,,0
RC,636,"Jelmyto: 1 Kit In 1 Carton (72493-103-03)  *  1 Powder, For Solution In 1 Vial, Single-Dose (72493-101-40)  *  20 Ml In 1 Vial, Single-Dose (72493-102-20)",692.92,692.92,,,0
RC,636,Jemperli: 1 Vial In 1 Carton (0173-0898-03)  / 10 Ml In 1 Vial,820.63,820.63,,,0
RC,636,"Jevtana: 1 Kit In 1 Carton (0024-5824-11)  *  5.7 Ml In 1 Vial, Glass (0024-5823-15)  *  5.7 Ml In 1 Vial, Glass (0024-5822-01)",812.255,812.255,,,0
RC,636,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-087-01)  / 8 Ml In 1 Vial, Single-Use",101.63,101.63,,,0
RC,636,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-088-01)  / 5 Ml In 1 Vial, Single-Use",103.56,103.56,,,0
RC,636,"Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01)  / 20 Ml In 1 Vial, Multi-Dose",216.7,216.7,,,0
RC,636,"Kcentra: 1 Kit In 1 Carton (63833-386-02)  *  20 Ml In 1 Vial, Single-Use (63833-396-01)  *  20 Ml In 1 Vial, Single-Use (63833-761-20)",6.515000000000001,6.515000000000001,,,0
RC,636,"Kcentra: 1 Kit In 1 Carton (63833-387-02)  *  40 Ml In 1 Vial, Single-Use (63833-397-01)  *  40 Ml In 1 Vial, Single-Use (63833-761-40)",6.515,6.515,,,0
RC,636,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20)  / 5 Ml In 1 Vial, Multi-Dose",5.755,5.755,,,0
RC,636,"Kenalog-40: 1 Vial, Single-Dose In 1 Carton (0003-0293-05)  / 1 Ml In 1 Vial, Single-Dose",6.43,6.43,,,0
RC,636,Ketorolac Tromethamine: 25 Vial In 1 Carton (0338-0072-25)  / 1 Ml In 1 Vial,1.1600000000000001,1.1600000000000001,,,0
RC,636,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3795-01)  / 1 Ml In 1 Vial, Single-Dose (0409-3795-19)",6.15,6.15,,,0
RC,636,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3796-01)  / 2 Ml In 1 Vial, Single-Dose (0409-3796-19)",1.2850000000000001,1.2850000000000001,,,0
RC,636,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01)  / 1 Ml In 1 Vial, Single-Use (63323-162-00)",1.07,1.07,,,0
RC,636,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-02)  / 2 Ml In 1 Vial, Single-Use (63323-162-03)",0.7649999999999999,0.7649999999999999,,,0
RC,636,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-16)  / 1 Ml In 1 Vial, Single-Use (63323-162-43)",1.13,1.13,,,0
RC,636,Keytruda: 1 Vial In 1 Carton (0006-3026-02)  / 4 Ml In 1 Vial (0006-3026-01),203.24,203.24,,,0
RC,636,Keytruda: 2 Vial In 1 Carton (0006-3026-04)  / 4 Ml In 1 Vial (0006-3026-01),194.37,194.37,,,0
RC,636,Kinevac: 10 Vial In 1 Package (0270-0556-15)  / 5 Ml In 1 Vial,108.00999999999999,108.00999999999999,,,0
RC,636,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-01),3427.54,3427.54,,,0
RC,636,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01)  / 15 Ml In 1 Vial, Single-Dose",203.745,203.745,,,0
RC,636,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01)  / 10 Ml In 1 Vial, Single-Dose",203.07,203.07,,,0
RC,636,"Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01)  / 30 Ml In 1 Vial, Single-Use",198.215,198.215,,,0
RC,636,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (47781-586-29)  / 20 Ml In 1 Vial, Multi-Dose",1.55,1.55,,,0
RC,636,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-102-01)  / 20 Ml In 1 Vial, Multi-Dose",0.54,0.54,,,0
RC,636,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72603-146-01)  / 20 Ml In 1 Vial, Multi-Dose",0.51,0.51,,,0
RC,636,"Lacosamide: 10 Vial, Glass In 1 Carton (25021-791-20)  / 20 Ml In 1 Vial, Glass",0.14,0.14,,,0
RC,636,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),38.3,38.3,,,0
RC,636,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),38.37,38.37,,,0
RC,636,Lactated Ringers: 12 Container In 1 Case (0264-7750-07)  / 1000 Ml In 1 Container,42.315,42.315,,,0
RC,636,Lactated Ringers: 24 Container In 1 Case (0264-7750-10)  / 500 Ml In 1 Container,51.825,51.825,,,0
RC,636,Lactated Ringers: 250 Ml In 1 Bag (0338-0117-02),42.135,42.135,,,0
RC,636,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),38.84,38.84,,,0
RC,636,Lanoxin: 10 Ampule In 1 Box (70515-260-10)  / 2 Ml In 1 Ampule,187.88,187.88,,,0
RC,636,Lanoxin: 10 Ampule In 1 Box (70515-262-10)  / 1 Ml In 1 Ampule,1998.17,1998.17,,,0
RC,636,"Lenalidomide: 100 Capsule In 1 Bottle, Plastic (0378-1937-01)",2574.36,2574.36,,,0
RC,636,Leucovorin Calcium: 1 VIAL in 1 CARTON (25021-814-67)  / 10 mL in 1 VIAL,3.76,3.76,,,0
RC,636,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01)  / 10 Ml In 1 Vial,4.66,4.66,,,0
RC,636,Leucovorin Calcium: 1 Vial In 1 Box (0143-9555-01)  / 5 Ml In 1 Vial,15.74,15.74,,,0
RC,636,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9552-01)  / 17.5 Ml In 1 Vial",9.23,9.23,,,0
RC,636,Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30)  / 10 Ml In 1 Vial,7.51,7.51,,,0
RC,636,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30)  / 17.5 Ml In 1 Vial,5.04,5.04,,,0
RC,636,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-530-35)  / 17.5 Ml In 1 Vial, Single-Dose",7.7,7.7,,,0
RC,636,"Levetiracetam: 10 Vial, Single-Use In 1 Tray (63323-400-05)  / 5 Ml In 1 Vial, Single-Use (63323-400-01)",0.19,0.19,,,0
RC,636,Levofloxacin: 24 Pouch In 1 Carton (25021-132-83)  / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,6.26,6.26,,,0
RC,636,"Lexiscan: 5 Ml In 1 Syringe, Plastic (0469-6501-89)",173.525,173.525,,,0
RC,636,"Libtayo: 1 Vial, Single-Use In 1 Carton (61755-008-01)  / 7 Ml In 1 Vial, Single-Use",107.405,107.405,,,0
RC,636,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9594-10)  / 500 Ml In 1 Container,0.01,0.01,,,0
RC,636,"Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-1323-05)  / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1323-15)",0.38,0.38,,,0
RC,636,Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-4903-34)  / 1 Syringe In 1 Carton / 5 Ml In 1 Syringe (0409-4903-11),0.17,0.17,,,0
RC,636,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05)  / 5 Ml In 1 Vial, Single-Dose",0.03,0.03,,,0
RC,636,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02)  / 10 Ml In 1 Ampule (0409-4282-12),0.03,0.03,,,0
RC,636,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02)  / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",0.06,0.06,,,0
RC,636,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-01)  / 20 Ml In 1 Vial, Multi-Dose (0409-4277-16)",0.02,0.02,,,0
RC,636,Lidocaine: 25 Vial In 1 Tray (63323-201-10)  / 10 Ml In 1 Vial (63323-201-03),0.08,0.08,,,0
RC,636,"Loqtorzi: 1 Vial, Glass In 1 Carton (70114-340-01)  / 6 Ml In 1 Vial, Glass",33654.0,33654.0,,,0
RC,636,Lorazepam: 10 Cartridge In 1 Carton (0409-1985-30)  / 1 Ml In 1 Cartridge (0409-1985-03),3.43,3.43,,,0
RC,636,"Lorazepam: 10 VIAL, SINGLE-DOSE in 1 CARTON (0409-6778-02)  / 1 mL in 1 VIAL, SINGLE-DOSE (0409-6778-11)",1.52,1.52,,,0
RC,636,Lupron Depot: 1 Kit In 1 Carton (0074-3641-03)  *  1 Ml In 1 Syringe *  1 Ml In 1 Packet,6215.81,6215.81,,,0
RC,636,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03)  *  1.5 Ml In 1 Syringe *  1 Ml In 1 Packet,5973.95,5973.95,,,0
RC,636,Magnesium Sulfate In Dextrose: 24 Bag In 1 Carton (44567-410-24)  / 100 Ml In 1 Bag,4.15,4.15,,,0
RC,636,Magnesium Sulfate In Dextrose: 24 Container In 1 Case (0264-4400-54)  / 100 Ml In 1 Container,2.96,2.96,,,0
RC,636,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4204-52)  / 50 Ml In 1 Container,2.22,2.22,,,0
RC,636,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,2.81,2.81,,,0
RC,636,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-23)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag (0409-6729-41),1.23,1.23,,,0
RC,636,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),2.96,2.96,,,0
RC,636,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-15)  / 500 Ml In 1 Bag,0.26,0.26,,,0
RC,636,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03)  / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",1.6,1.6,,,0
RC,636,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-02)  / 2 Ml In 1 Vial, Single-Dose",1.88,1.88,,,0
RC,636,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1746-70)",32.95,32.95,,,0
RC,636,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1749-70)",12.55,12.55,,,0
RC,636,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1559-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1559-18)",0.20500000000000002,0.20500000000000002,,,0
RC,636,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1560-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1560-18)",0.12,0.12,,,0
RC,636,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1582-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1582-18)",0.07500000000000001,0.07500000000000001,,,0
RC,636,"Meropenem: 10 Vial In 1 Carton (55150-207-20)  / 1 Injection, Powder, For Solution In 1 Vial",0.86,0.86,,,0
RC,636,"Meropenem: 10 Vial In 1 Carton (55150-208-30)  / 1 Injection, Powder, For Solution In 1 Vial",0.94,0.94,,,0
RC,636,Meropenem: 25 Vial In 1 Carton (63323-507-25)  / 10 Ml In 1 Vial (63323-507-43),2.98,2.98,,,0
RC,636,"Mesna: 1 Vial, Multi-Dose In 1 Box (63323-733-11)  / 10 Ml In 1 Vial, Multi-Dose",29.82,29.82,,,0
RC,636,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01)  / 10 Ml In 1 Vial, Multi-Dose",4.275,4.275,,,0
RC,636,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20)  / 20 Ml In 1 Vial, Multi-Dose",67.66,67.66,,,0
RC,636,"Methocarbamol: 25 Vial, Single-Dose In 1 Carton (55150-223-10)  / 10 Ml In 1 Vial, Single-Dose",9.57,9.57,,,0
RC,636,Methotrexate: 1 Vial In 1 Carton (16729-277-30)  / 2 Ml In 1 Vial,52.025,52.025,,,0
RC,636,"Methotrexate: 1 Vial In 1 Carton (63323-122-50)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",10.3,10.3,,,0
RC,636,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3671-01)  / 2 Ml In 1 Vial, Single-Dose",66.665,66.665,,,0
RC,636,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41)  / 40 Ml In 1 Vial, Single-Dose",2.34,2.34,,,0
RC,636,Methylene Blue: 5 Vial In 1 Carton (70710-1838-5)  / 10 Ml In 1 Vial (70710-1838-1),3.77,3.77,,,0
RC,636,Methylergonovine Maleate: 10 AMPULE in 1 CARTON (17478-501-01)  / 1 mL in 1 AMPULE,8.19,8.19,,,0
RC,636,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9851-01)",0.11,0.11,,,0
RC,636,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-128-11)  / 8 Ml In 1 Vial, Multi-Dose",0.42,0.42,,,0
RC,636,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-130-74)  / 16 Ml In 1 Vial, Multi-Dose",0.18,0.18,,,0
RC,636,Methylprednisolone: 100 Tablet In 1 Bottle (59746-001-06),0.86,0.86,,,0
RC,636,"Methylprednisolone: 100 Tablet In 1 Bottle, Plastic (0603-4593-21)",2.85,2.85,,,0
RC,636,Methylprednisolone: 50 Tablet In 1 Bottle (68382-918-18),1.18,1.18,,,0
RC,636,"Metoprolol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1778-05)  / 5 Ml In 1 Vial, Single-Dose (0409-1778-15)",1.345,1.345,,,0
RC,636,Metoprolol: 10 Vial In 1 Carton (36000-033-10)  / 5 Ml In 1 Vial,1.805,1.805,,,0
RC,636,Metronidazole: 1 Bag In 1 Pouch (47335-993-01)  / 100 Ml In 1 Bag,0.14,0.14,,,0
RC,636,Metronidazole: 24 Bag In 1 Carton (0338-1055-48)  / 100 Ml In 1 Bag,0.105,0.105,,,0
RC,636,Metronidazole: 24 Bag In 1 Carton (0338-9541-24)  / 100 Ml In 1 Bag,0.06,0.06,,,0
RC,636,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02)  / 2 Ml In 1 Vial, Multi-Dose",2030.41,2030.41,,,0
RC,636,Micafungin: 1 Vial In 1 Carton (25021-191-10)  / 5 Ml In 1 Vial,0.54,0.54,,,0
RC,636,Micafungin: 1 Vial In 1 Carton (70710-1724-1)  / 5 Ml In 1 Vial,0.79,0.79,,,0
RC,636,Micafungin: 1 Vial In 1 Carton (70710-1725-1)  / 5 Ml In 1 Vial,0.76,0.76,,,0
RC,636,"Midazolam Hydrochloride: 25 Vial, Single-Dose In 1 Carton (23155-600-41)  / 2 Ml In 1 Vial, Single-Dose (23155-600-31)",1.5,1.5,,,0
RC,636,Midazolam: 10 VIAL in 1 BOX (55390-137-05)  / 5 mL in 1 VIAL,0.4,0.4,,,0
RC,636,"Midazolam: 10 Vial, Multi-Dose In 1 Carton (0409-2596-05)  / 10 Ml In 1 Vial, Multi-Dose (0409-2596-15)",0.31,0.31,,,0
RC,636,Midazolam: 25 Vial In 1 Tray (63323-411-12)  / 2 Ml In 1 Vial (63323-411-15),1.67,1.67,,,0
RC,636,Midazolam: 25 Vial In 1 Tray (63323-411-25)  / 5 Ml In 1 Vial (63323-411-18),0.83,0.83,,,0
RC,636,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17)  / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",1.21,1.21,,,0
RC,636,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-82)  / 100 Ml In 1 Bag,5.43,5.43,,,0
RC,636,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),2684.6400000000003,2684.6400000000003,,,0
RC,636,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9279-01)  / 40 Ml In 1 Vial",62.2,62.2,,,0
RC,636,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9280-01)  / 80 Ml In 1 Vial",51.25,51.25,,,0
RC,636,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-138-50)  / 40 Ml In 1 Vial, Single-Dose",334.26,334.26,,,0
RC,636,Monjuvi: 1 Vial In 1 Carton (50881-013-03)  / 5 Ml In 1 Vial,49.87,49.87,,,0
RC,636,Monjuvi: 1 Vial In 1 Carton (73535-208-01)  / 5 Ml In 1 Vial,45.78,45.78,,,0
RC,636,"Morphine Sulfate: 1 Vial, Single-Dose In 1 Carton (0409-1896-20)  / 20 Ml In 1 Vial, Single-Dose",0.49,0.49,,,0
RC,636,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01)  / 1 Ml In 1 Cartridge (0409-1890-03),3.91,3.91,,,0
RC,636,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Box (63323-451-01)  / 1 Ml In 1 Vial, Single-Dose (63323-451-00)",2.93,2.93,,,0
RC,636,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6125-25)  / 1 Ml In 1 Vial, Single-Dose (0641-6125-01)",6.18,6.18,,,0
RC,636,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12)  / 10 Ml In 1 Vial, Glass (0409-3815-11)",3.4,3.4,,,0
RC,636,Moxifloxacin Hydrochloride: 1 Bag In 1 Carton (67457-323-25)  / 250 Ml In 1 Bag,30.25,30.25,,,0
RC,636,Mvasi: 1 Vial In 1 Carton (55513-206-01)  / 4 Ml In 1 Vial,170.925,170.925,,,0
RC,636,Mvasi: 1 Vial In 1 Carton (55513-207-01)  / 16 Ml In 1 Vial,170.62,170.62,,,0
RC,636,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),1.6,1.6,,,0
RC,636,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (16729-094-01),0.63,0.63,,,0
RC,636,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (67877-266-01),0.5,0.5,,,0
RC,636,"Mycophenolate Mofetil: 100 Tablet, Film Coated In 1 Bottle (67877-225-01)",0.48,0.48,,,0
RC,636,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (16729-189-29)",0.45,0.45,,,0
RC,636,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (16729-261-29)",0.63,0.63,,,0
RC,636,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (24979-161-44)",0.42,0.42,,,0
RC,636,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01)  / 5 Ml In 1 Vial, Single-Dose",770.2,770.2,,,0
RC,636,Myxredlin: 12 Container In 1 Carton (0338-0126-12)  / 100 Ml In 1 Container,2.87,2.87,,,0
RC,636,NDC Description Not Available,6.265,6.265,,,0
RC,636,Nafcillin: 10 Vial In 1 Box (55150-123-16)  / 8 Ml In 1 Vial,24.85,24.85,,,0
RC,636,"Nafcillin: 10 Vial In 1 Carton (44567-221-10)  / 1 Powder, For Solution In 1 Vial",25.44,25.44,,,0
RC,636,Nalbuphine Hydrochloride: 10 Ampule In 1 Tray (0409-1463-01)  / 1 Ml In 1 Ampule (0409-1463-71),8.57,8.57,,,0
RC,636,Naloxone Hydrochloride: 1 Syringe In 1 Box (43598-750-11)  / 2 Ml In 1 Syringe,0.15,0.15,,,0
RC,636,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-1469-1)  / 2 Ml In 1 Syringe,1.36,1.36,,,0
RC,636,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-3469-1)  / 2 Ml In 1 Syringe,0.39,0.39,,,0
RC,636,"Naloxone Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (67457-299-10)  / 10 Ml In 1 Vial, Multi-Dose (67457-299-00)",26.05,26.05,,,0
RC,636,Naropin: 12 Bottle In 1 Case (63323-285-65)  / 100 Ml In 1 Bottle (63323-285-51),0.26,0.26,,,0
RC,636,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-13)  / 10 Ml In 1 Vial, Single-Dose (63323-285-03)",0.45,0.45,,,0
RC,636,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-23)  / 20 Ml In 1 Vial, Single-Dose (63323-285-07)",0.43,0.43,,,0
RC,636,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-286-23)  / 20 Ml In 1 Vial, Single-Dose (63323-286-05)",0.1,0.1,,,0
RC,636,"Naropin: 25 Vial, Single-Dose In 1 Tray (63323-286-95)  / 30 Ml In 1 Vial, Single-Dose (63323-286-93)",0.09,0.09,,,0
RC,636,"Neostigmine Methylsulfate: 10 Vial, Multi-Dose In 1 Tray (63323-415-10)  / 10 Ml In 1 Vial, Multi-Dose (63323-415-01)",0.575,0.575,,,0
RC,636,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-477-27)  / 20 Ml In 1 Vial, Single-Dose (63323-477-01)",0.13,0.13,,,0
RC,636,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-478-27)  / 20 Ml In 1 Vial, Single-Dose (63323-478-01)",0.1,0.1,,,0
RC,636,Neulasta: 1 Syringe In 1 Carton (55513-190-01)  / .6 Ml In 1 Syringe,1021.49,1021.49,,,0
RC,636,Nexterone: 200 Ml In 1 Bag (43066-360-20),5.98,5.98,,,0
RC,636,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1051-02)  / 250 Ml In 1 Bottle, Glass",2.98,2.98,,,0
RC,636,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25)  / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",1.88,1.88,,,0
RC,636,"Novolog: 1 Vial, Glass In 1 Carton (0169-7501-11)  / 10 Ml In 1 Vial, Glass",6.12,6.12,,,0
RC,636,"Novolog: 5 Syringe, Plastic In 1 Carton (0169-6339-10)  / 3 Ml In 1 Syringe, Plastic",7.3149999999999995,7.3149999999999995,,,0
RC,636,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01)  *  1 Ml In 1 Vial, Glass (0169-7211-11)  *  1 Ml In 1 Syringe, Glass (0169-7011-98)",6.27,6.27,,,0
RC,636,"Novoseven Rt: 1 Kit In 1 Kit (0169-7202-01)  *  2 Ml In 1 Vial, Glass (0169-7212-11)  *  2 Ml In 1 Syringe, Glass (0169-7012-98)",6.27,6.27,,,0
RC,636,"Novoseven Rt: 1 Kit In 1 Kit (0169-7205-01)  *  5 Ml In 1 Vial, Glass (0169-7215-11)  *  5 Ml In 1 Syringe, Glass (0169-7015-98)",6.27,6.27,,,0
RC,636,Nplate: 1 Vial In 1 Carton (55513-221-01)  / .5 Ml In 1 Vial,34.52,34.52,,,0
RC,636,Nplate: 1 Vial In 1 Carton (55513-222-01)  / 1 Ml In 1 Vial,34.4,34.4,,,0
RC,636,"Nplate: 1 Vial, Single-Dose In 1 Carton (55513-223-01)  / .25 Ml In 1 Vial, Single-Dose",38.75,38.75,,,0
RC,636,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",8.87,8.87,,,0
RC,636,Nyvepria: 1 Carton In 1 Carton (0069-0324-01)  / 1 Syringe In 1 Carton / .6 Ml In 1 Syringe,471.7,471.7,,,0
RC,636,"Octreotide Acetate: 1 Kit In 1 Kit (0480-9259-08)  *  8 Ml In 1 Vial, Single-Dose (0480-9258-01)  *  2 Ml In 1 Syringe (0480-9263-21)",578.64,578.64,,,0
RC,636,Octreotide Acetate: 10 Vial In 1 Carton (68462-897-10)  / 1 Ml In 1 Vial (68462-897-01),1.03,1.03,,,0
RC,636,"Octreotide Acetate: 25 VIAL, SINGLE-USE in 1 TRAY (0703-3301-04)  / 1 mL in 1 VIAL, SINGLE-USE (0703-3301-01)",5.96,5.96,,,0
RC,636,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01)  / 100 mL in 1 VIAL, GLASS",0.21,0.21,,,0
RC,636,"Ogivri: 1 Kit In 1 Carton (83257-004-12)  *  20 Ml In 1 Vial, Multi-Dose (83257-003-11)  *  20 Ml In 1 Vial (83257-002-11)",151.39,151.39,,,0
RC,636,Olanzapine: 1 Vial In 1 Carton (31722-308-01)  / 2 Ml In 1 Vial,1.76,1.76,,,0
RC,636,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91)  / 100 Ml In 1 Bottle, Plastic",0.44,0.44,,,0
RC,636,"Ondansetron Hydrochloride: 1 VIAL, MULTI-DOSE in 1 CARTON (67457-441-20)  / 20 mL in 1 VIAL, MULTI-DOSE",0.12,0.12,,,0
RC,636,"Ondansetron: 1 Blister Pack In 1 Carton (16714-201-10)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",0.15,0.15,,,0
RC,636,Ondansetron: 1 Vial In 1 Box (63323-374-20)  / 20 Ml In 1 Vial,0.19,0.19,,,0
RC,636,Ondansetron: 1 Vial In 1 Carton (23155-549-31)  / 20 Ml In 1 Vial,0.53,0.53,,,0
RC,636,Ondansetron: 1 Vial In 1 Carton (72266-124-01)  / 20 Ml In 1 Vial,0.265,0.265,,,0
RC,636,"Ondansetron: 1 Vial, Multi-Dose In 1 Carton (0409-4759-01)  / 20 Ml In 1 Vial, Multi-Dose",0.255,0.255,,,0
RC,636,Ondansetron: 20 Ml In 1 Carton (0641-6079-01),0.15,0.15,,,0
RC,636,"Ondansetron: 20 Ml In 1 Vial, Multi-Dose (0641-6286-01)",0.16,0.16,,,0
RC,636,"Ondansetron: 25 Vial, Single-Dose In 1 Tray (0409-4755-03)  / 2 Ml In 1 Vial, Single-Dose (0409-4755-18)",0.515,0.515,,,0
RC,636,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",0.155,0.155,,,0
RC,636,"Ondansetron: 3 Blister Pack In 1 Carton (65862-391-10)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",0.21,0.21,,,0
RC,636,"Ondansetron: 30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (0378-7734-93)",0.26,0.26,,,0
RC,636,"Onivyde: 1 Vial, Single-Dose In 1 Carton (15054-0043-1)  / 10 Ml In 1 Vial, Single-Dose",144.705,144.705,,,0
RC,636,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3734-13)  / 24 Ml In 1 Vial, Single-Dose",116.265,116.265,,,0
RC,636,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3772-11)  / 4 Ml In 1 Vial, Single-Dose",110.215,110.215,,,0
RC,636,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12)  / 10 Ml In 1 Vial, Single-Dose",107.62,107.62,,,0
RC,636,"Opdualag: 1 Vial, Single-Dose In 1 Carton (0003-7125-11)  / 20 Ml In 1 Vial, Single-Dose",682.99,682.99,,,0
RC,636,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13)  / 15 Ml In 1 Vial, Single-Use",2640.95,2640.95,,,0
RC,636,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-6)  / 10 Ml In 1 Vial,0.38,0.38,,,0
RC,636,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-7)  / 20 Ml In 1 Vial,0.4,0.4,,,0
RC,636,Oxaliplatin: 1 Vial In 1 Carton (60505-6287-2)  / 10 Ml In 1 Vial,0.55,0.55,,,0
RC,636,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0703-3985-01)  / 10 Ml In 1 Vial, Single-Use",1.74,1.74,,,0
RC,636,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3315-70)  / 10 Ml In 1 Vial, Single-Use",0.46499999999999997,0.46499999999999997,,,0
RC,636,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-9315-70)  / 10 Ml In 1 Vial, Single-Use",0.6900000000000001,0.6900000000000001,,,0
RC,636,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-9317-80)  / 20 Ml In 1 Vial, Single-Use",0.51,0.51,,,0
RC,636,Oxytocin: 25 Vial In 1 Tray (63323-012-07)  / 1 Ml In 1 Vial (63323-012-17),2.61,2.61,,,0
RC,636,Paclitaxel Protein Bound Particles Albumin Bound: 1 Vial In 1 Carton (0517-4300-01)  / 20 Ml In 1 Vial,34.62,34.62,,,0
RC,636,Paclitaxel: 1 Vial In 1 Carton (70860-215-67)  / 16.7 Ml In 1 Vial,0.82,0.82,,,0
RC,636,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (16714-137-01)  / 50 Ml In 1 Vial, Multi-Dose",0.72,0.72,,,0
RC,636,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-50)  / 50 Ml In 1 Vial, Multi-Dose",1.3399999999999999,1.3399999999999999,,,0
RC,636,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-50)  / 50 Ml In 1 Vial, Multi-Dose",1.75,1.75,,,0
RC,636,"Paclitaxel: 1 Vial, Single-Dose In 1 Carton (0781-3531-91)  / 20 Ml In 1 Vial, Single-Dose",27.32,27.32,,,0
RC,636,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-020-01)  / 2 Ml In 1 Vial, Single-Dose",120.94,120.94,,,0
RC,636,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01)  / 3 Ml In 1 Vial, Single-Dose",120.735,120.735,,,0
RC,636,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3415-75)  / 5 Ml In 1 Vial, Single-Dose",4.35,4.35,,,0
RC,636,"Palonosetron: 1 Vial, Single-Use In 1 Carton (55111-694-07)  / 5 Ml In 1 Vial, Single-Use",5.22,5.22,,,0
RC,636,Pamidronate Disodium: 1 Vial In 1 Carton (67457-430-10)  / 10 Ml In 1 Vial,25.62,25.62,,,0
RC,636,Pamidronate Disodium: 1 Vial In 1 Carton (67457-446-10)  / 10 Ml In 1 Vial,24.67,24.67,,,0
RC,636,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-324-18)  / 10 Ml In 1 Vial, Single-Dose",38.69,38.69,,,0
RC,636,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-326-18)  / 10 Ml In 1 Vial, Single-Dose",35.82,35.82,,,0
RC,636,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",2.82,2.82,,,0
RC,636,Papaverine Hydrochloride: 10 Vial In 1 Carton (54288-142-10)  / 2 Ml In 1 Vial (54288-142-01),38.57,38.57,,,0
RC,636,Paragard T 380A: 1 Pouch In 1 Carton (59365-5129-1)  / 1 Intrauterine Device In 1 Pouch,3288.87,3288.87,,,0
RC,636,"Pemetrexed Disodium: 1 Vial, Single-Dose In 1 Carton (43598-387-11)  / 20 Ml In 1 Vial, Single-Dose",6.17,6.17,,,0
RC,636,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-166-10)  / 10 Ml In 1 Vial, Single-Dose",3.915,3.915,,,0
RC,636,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-50)  / 50 Ml In 1 Vial, Single-Dose",4.17,4.17,,,0
RC,636,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-95)  / 50 Ml In 1 Vial, Single-Dose",3.77,3.77,,,0
RC,636,"Penicillin G Potassium: 1 Vial In 1 Carton (0781-6136-94)  / 1 Injection, Powder, For Solution In 1 Vial",1.23,1.23,,,0
RC,636,"Perjeta: 1 Vial, Single-Use In 1 Carton (50242-145-01)  / 14 Ml In 1 Vial, Single-Use",57.74,57.74,,,0
RC,636,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6599-61)  / 1 Tablet, Film Coated In 1 Blister Pack",1.86,1.86,,,0
RC,636,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-22)  / 1 Powder, For Solution In 1 Vial",3.78,3.78,,,0
RC,636,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-28)  / 1 Powder, For Solution In 1 Vial",2.89,2.89,,,0
RC,636,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-22)  / 1 Powder, For Solution In 1 Vial",1.32,1.32,,,0
RC,636,Phenergan: 25 Vial In 1 Carton (0641-6084-25)  / 1 Ml In 1 Vial (0641-6084-01),2.12,2.12,,,0
RC,636,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01)  / 1 Ml In 1 Vial,1258.715,1258.715,,,0
RC,636,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0641-6188-10)  / 5 Ml In 1 Vial, Pharmacy Bulk Package (0641-6188-01)",0.01,0.01,,,0
RC,636,"Phenylephrine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-751-01)  / 1 Ml In 1 Vial, Single-Dose (63323-751-00)",0.07,0.07,,,0
RC,636,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01)  / 15 Ml In 1 Vial, Single-Dose",262.54,262.54,,,0
RC,636,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01)  / 10 Ml In 1 Vial, Single-Dose",261.08500000000004,261.08500000000004,,,0
RC,636,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1)  / .5 Ml In 1 Syringe,65.56,65.56,,,0
RC,636,"Phytonadione: 2 Tray In 1 Carton (65145-151-10)  / 5 Vial, Single-Dose In 1 Tray (65145-151-05)  / 1 Ml In 1 Vial, Single-Dose (65145-151-01)",5.03,5.03,,,0
RC,636,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-803-10)  / 1 Injection, Powder, For Solution In 1 Vial",3.49,3.49,,,0
RC,636,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-119-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",2.22,2.22,,,0
RC,636,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1.85,1.85,,,0
RC,636,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-121-50)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1.73,1.73,,,0
RC,636,Piperacillin And Tazobactam: 10 Vial In 1 Box (63323-309-26)  / 10 Ml In 1 Vial,3.34,3.34,,,0
RC,636,Piperacillin And Tazobactam: 10 Vial In 1 Box (63323-320-56)  / 20 Ml In 1 Vial,3.34,3.34,,,0
RC,636,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3385-13)  / 15 Ml In 1 Vial, Single-Use (0409-3385-11)",8.41,8.41,,,0
RC,636,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3114-95)  / 20 Ml In 1 Vial, Single-Use (0781-3114-91)",2.94,2.94,,,0
RC,636,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-9210-95)  / 10 Ml In 1 Vial, Single-Use (0781-9210-90)",7.11,7.11,,,0
RC,636,"Piperacillin, Tazobactam: 10 VIAL in 1 CARTON (25021-164-30)  / 10 mL in 1 VIAL",9.24,9.24,,,0
RC,636,Pitocin: 25 Vial In 1 Tray (42023-116-25)  / 1 Ml In 1 Vial,9.5,9.5,,,0
RC,636,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2)  / 1.2 Ml In 1 Vial, Single-Dose",23.145,23.145,,,0
RC,636,"Polivy: 1 Vial, Single-Dose In 1 Carton (50242-105-01)  / 20 Ml In 1 Vial, Single-Dose",383.885,383.885,,,0
RC,636,"Polocaine-Mpf: 25 Vial, Single-Dose In 1 Tray (63323-294-27)  / 20 Ml In 1 Vial, Single-Dose (63323-294-01)",2.61,2.61,,,0
RC,636,Potassium Chloride In Dextrose: 1000 Ml In 1 Bag (0338-0683-04),4.2,4.2,,,0
RC,636,Potassium Chloride In Dextrose: 12 Container In 1 Case (0264-7625-00)  / 1000 Ml In 1 Container,5.16,5.16,,,0
RC,636,Potassium Chloride In Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0811-04),50.28,50.28,,,0
RC,636,Potassium Chloride In Lactated Ringers And Dextrose: 12 Pouch In 1 Case (0990-7111-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,58.0,58.0,,,0
RC,636,Potassium Chloride In Sodium Chloride: 12 Container In 1 Case (0264-7865-00)  / 1000 Ml In 1 Container,7.7,7.7,,,0
RC,636,Potassium Chloride In Sodium Chloride: 12 Pouch In 1 Case (0990-7116-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,2.84,2.84,,,0
RC,636,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0691-04)  / 1000 Ml In 1 Bag,4.53,4.53,,,0
RC,636,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0695-04)  / 1000 Ml In 1 Bag,2.68,2.68,,,0
RC,636,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-41)  / 50 Ml In 1 Bag,1.545,1.545,,,0
RC,636,Potassium Chloride: 24 Bag In 1 Carton (0338-0709-48)  / 100 Ml In 1 Bag,2.09,2.09,,,0
RC,636,"Poteligeo: 1 Vial, Glass In 1 Carton (42747-761-01)  / 5 Ml In 1 Vial, Glass",775.425,775.425,,,0
RC,636,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (0121-0759-08),0.91,0.91,,,0
RC,636,"Prednisone: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-518-10)  / 10 TABLET in 1 BLISTER PACK",0.11,0.11,,,0
RC,636,"Prednisone: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-519-10)  / 10 TABLET in 1 BLISTER PACK",0.06,0.06,,,0
RC,636,"Prednisone: 10 Blister Pack In 1 Box, Unit-Dose (63739-588-10)  / 10 Tablet In 1 Blister Pack",0.03,0.03,,,0
RC,636,Prednisone: 10 Blister Pack In 1 Carton (0054-0018-20)  / 10 Tablet In 1 Blister Pack,0.03,0.03,,,0
RC,636,Prednisone: 10 Blister Pack In 1 Carton (0054-8724-25)  / 10 Tablet In 1 Blister Pack,0.13,0.13,,,0
RC,636,Prednisone: 100 Blister Pack In 1 Carton (0904-6923-61)  / 1 Tablet In 1 Blister Pack,0.035,0.035,,,0
RC,636,Prednisone: 100 Blister Pack In 1 Carton (0904-7127-61)  / 1 Tablet In 1 Blister Pack,0.02,0.02,,,0
RC,636,Prednisone: 100 Tablet In 1 Bottle (0054-9817-25),0.04,0.04,,,0
RC,636,Prednisone: 100 Tablet In 1 Bottle (0591-5052-01),0.11,0.11,,,0
RC,636,Prednisone: 100 Tablet In 1 Bottle (59651-484-01),0.22,0.22,,,0
RC,636,Prednisone: 100 Tablet In 1 Bottle (59651-488-01),0.02,0.02,,,0
RC,636,Prednisone: 100 Tablet In 1 Bottle (59746-175-06),0.02,0.02,,,0
RC,636,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0054-4741-25)",0.245,0.245,,,0
RC,636,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0603-5338-21)",0.05,0.05,,,0
RC,636,"Prednisone: 100 Tablet In 1 Bottle, Plastic (60219-1708-1)",0.02,0.02,,,0
RC,636,"Prednisone: 500 Tablet In 1 Bottle, Plastic (0603-5339-28)",0.03,0.03,,,0
RC,636,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02)  / .5 Ml In 1 Syringe (0005-2000-01),692.235,692.235,,,0
RC,636,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20)  / 200 Ml In 1 Vial, Glass (44206-438-92)",104.465,104.465,,,0
RC,636,Prochlorperazine Edisylate: 10 Vial In 1 Package (23155-497-42)  / 2 Ml In 1 Vial (23155-497-31),10.96,10.96,,,0
RC,636,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (59746-113-06),0.72,0.72,,,0
RC,636,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (69452-472-20),0.38,0.38,,,0
RC,636,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (72603-169-01),0.51,0.51,,,0
RC,636,Prolia: 1 Syringe In 1 Carton (55513-710-01)  / 1 Ml In 1 Syringe,89.275,89.275,,,0
RC,636,Prolia: 1 Syringe In 1 Carton (55513-710-21)  / 1 Ml In 1 Syringe,86.75,86.75,,,0
RC,636,"Promethazine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-213-10)  / 10 Tablet In 1 Blister Pack",0.63,0.63,,,0
RC,636,Promethazine Hydrochloride: 100 Tablet In 1 Bottle (10702-003-01),0.28,0.28,,,0
RC,636,Promethazine Hydrochloride: 25 Ampule In 1 Carton (0641-0948-35)  / 1 Ml In 1 Ampule (0641-0948-31),2.4,2.4,,,0
RC,636,"Promethazine Hydrochloride: 473 Ml In 1 Bottle, Plastic (70752-138-12)",1.46,1.46,,,0
RC,636,Propofol: 10 Vial In 1 Carton (0069-0248-10)  / 100 Ml In 1 Vial,0.28,0.28,,,0
RC,636,Propofol: 10 Vial In 1 Carton (80830-2365-7)  / 100 Ml In 1 Vial (80830-2365-1),0.2,0.2,,,0
RC,636,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51)  / 10 Ml In 1 Vial,13.81,13.81,,,0
RC,636,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40)  / 6 Ampule In 1 Pouch (50242-100-39)  / 2.5 Ml In 1 Ampule,143.06,143.06,,,0
RC,636,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",983.9549999999999,983.9549999999999,,,0
RC,636,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-711-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",120.45,120.45,,,0
RC,636,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-775-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",118.69,118.69,,,0
RC,636,Releuko: 1 Syringe In 1 Box (70121-1568-1)  / .5 Ml In 1 Syringe,0.64,0.64,,,0
RC,636,Releuko: 1 Syringe In 1 Box (70121-1570-1)  / .8 Ml In 1 Syringe,0.62,0.62,,,0
RC,636,"Renflexis: 1 Vial In 1 Carton (78206-162-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (78206-162-99)",110.83500000000001,110.83500000000001,,,0
RC,636,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10)  / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",24.67,24.67,,,0
RC,636,"Retacrit: 4 Vial, Single-Dose In 1 Carton (0069-1309-04)  / 1 Ml In 1 Vial, Single-Dose (0069-1309-01)",13.760000000000002,13.760000000000002,,,0
RC,636,"Rhophylac: 1 Syringe, Glass In 1 Carton (44206-300-01)  / 2 Ml In 1 Syringe, Glass (44206-300-90)",214.32,214.32,,,0
RC,636,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-224-01)  / 10 Ml In 1 Vial, Single-Dose",161.25,161.25,,,0
RC,636,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-326-01)  / 50 Ml In 1 Vial, Single-Dose",159.05,159.05,,,0
RC,636,"Rifadin Iv Novaplus: 1 Vial, Glass In 1 Carton (0068-0599-01)  / 10 Ml In 1 Vial, Glass",0.86,0.86,,,0
RC,636,"Rifadin Iv: 1 Vial, Glass In 1 Carton (0068-0597-01)  / 10 Ml In 1 Vial, Glass",0.36,0.36,,,0
RC,636,Rifampin: 1 Vial In 1 Carton (67457-445-60)  / 10 Ml In 1 Vial,0.74,0.74,,,0
RC,636,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21)  / 10 Ml In 1 Vial, Single-Use",306.37,306.37,,,0
RC,636,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06)  / 50 Ml In 1 Vial, Single-Use",268.87,268.87,,,0
RC,636,"Romidepsin: 1 Kit In 1 Carton (63323-926-88)  *  2 Ml In 1 Vial, Single-Dose (63323-925-17)  *  2.2 Ml In 1 Vial, Single-Dose (63323-922-03)",100.71000000000001,100.71000000000001,,,0
RC,636,Ropivacaine Hydrochloride: 25 Vial In 1 Carton (72603-216-25)  / 20 Ml In 1 Vial (72603-216-01),0.47,0.47,,,0
RC,636,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01)  / 10 Ml In 1 Vial, Single-Use",183.95,183.95,,,0
RC,636,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01)  / 50 Ml In 1 Vial, Single-Use",189.27,189.27,,,0
RC,636,"Rybrevant: 1 Vial, Single-Use In 1 Carton (57894-501-01)  / 1 Injection In 1 Vial, Single-Use (57894-501-00)",77.26,77.26,,,0
RC,636,"Rylaze: 3 Vial, Single-Dose In 1 Carton (68727-900-03)  / .5 Ml In 1 Vial, Single-Dose (68727-900-01)",174.05,174.05,,,0
RC,636,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-111-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",184.77,184.77,,,0
RC,636,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-112-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",182.405,182.405,,,0
RC,636,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0818-81)  *  6 Ml In 1 Vial (0078-0797-61)  *  2 Ml In 1 Syringe,636.1,636.1,,,0
RC,636,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0825-81)  *  2 Ml In 1 Syringe *  6 Ml In 1 Vial (0078-0804-61),636.53,636.53,,,0
RC,636,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-466-37)  / 30 Ml In 1 Vial, Single-Dose (63323-466-01)",0.08,0.08,,,0
RC,636,"Sensorcaine Mpf: 5 Vial, Single-Dose In 1 Box (63323-462-31)  / 30 Ml In 1 Vial, Single-Dose (63323-462-02)",21.97,21.97,,,0
RC,636,"Sirolimus: 100 Tablet, Sugar Coated In 1 Bottle (59762-1001-1)",8.44,8.44,,,0
RC,636,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01)  / 10 Ml In 1 Vial, Single-Dose",46.95,46.95,,,0
RC,636,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-50)  / 2000 Ml In 1 Container,14.47,14.47,,,0
RC,636,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60)  / 3000 Ml In 1 Container,9.9,9.9,,,0
RC,636,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41)  / 50 Ml In 1 Bag,38.53,38.53,,,0
RC,636,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48)  / 100 Ml In 1 Bag,40.225,40.225,,,0
RC,636,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),40.795,40.795,,,0
RC,636,Sodium Chloride: 100 Ml In 1 Bag (0338-9159-30),41.795,41.795,,,0
RC,636,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),41.285,41.285,,,0
RC,636,Sodium Chloride: 1000 Ml In 1 Bag (0338-0051-44),59.6,59.6,,,0
RC,636,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-06),23.785,23.785,,,0
RC,636,Sodium Chloride: 116 Container In 1 Case (0264-1800-36)  / 25 Ml In 1 Container,45.87,45.87,,,0
RC,636,Sodium Chloride: 12 Container In 1 Case (0264-5802-00)  / 1000 Ml In 1 Container,34.35,34.35,,,0
RC,636,Sodium Chloride: 12 Container In 1 Case (0264-7800-09)  / 1000 Ml In 1 Container,26.67,26.67,,,0
RC,636,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38)  / 100 Ml In 1 Bag,15.39,15.39,,,0
RC,636,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,32.31,32.31,,,0
RC,636,Sodium Chloride: 16 Container In 1 Case (0264-2201-10)  / 500 Ml In 1 Container,41.35,41.35,,,0
RC,636,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03)  / 500 Ml In 1 Bottle, Plastic",37.085,37.085,,,0
RC,636,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03)  / 500 Ml In 1 Bag,37.81,37.81,,,0
RC,636,Sodium Chloride: 24 Container In 1 Case (0264-5802-10)  / 500 Ml In 1 Container,41.489999999999995,41.489999999999995,,,0
RC,636,Sodium Chloride: 24 Container In 1 Case (0264-7800-20)  / 250 Ml In 1 Container,38.95,38.95,,,0
RC,636,Sodium Chloride: 24 Container In 1 Case (0264-7805-10)  / 500 Ml In 1 Container,36.0,36.0,,,0
RC,636,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),41.22,41.22,,,0
RC,636,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),45.36,45.36,,,0
RC,636,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),44.445,44.445,,,0
RC,636,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-27)  / 3000 Ml In 1 Bag,8.22,8.22,,,0
RC,636,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11)  / 50 Ml In 1 Bag,41.205,41.205,,,0
RC,636,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18)  / 100 Ml In 1 Bag,41.56,41.56,,,0
RC,636,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),40.8,40.8,,,0
RC,636,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),41.2,41.2,,,0
RC,636,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),47.150000000000006,47.150000000000006,,,0
RC,636,Sodium Chloride: 64 Container In 1 Case (0264-1800-32)  / 100 Ml In 1 Container,40.815,40.815,,,0
RC,636,Sodium Chloride: 84 Container In 1 Case (0264-1800-31)  / 50 Ml In 1 Container,41.32,41.32,,,0
RC,636,Soliris: 1 Vial In 1 Carton (25682-001-01)  / 30 Ml In 1 Vial,382.44,382.44,,,0
RC,636,Solu-Cortef: 1 Vial In 1 Carton (0009-0825-01)  / 2 Ml In 1 Vial,28.04,28.04,,,0
RC,636,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04)  / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",48.525000000000006,48.525000000000006,,,0
RC,636,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-01)  / 16 Ml In 1 Vial,0.61,0.61,,,0
RC,636,Solu-Medrol: 1 Vial In 1 Carton (0009-0758-01)  / 8 Ml In 1 Vial,0.65,0.65,,,0
RC,636,Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4)  / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,145.64,145.64,,,0
RC,636,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27)  / 26 Ml In 1 Vial, Single-Use",44.54,44.54,,,0
RC,636,"Succinylcholine Chloride: 1 VIAL, MULTI-DOSE in 1 CARTON (16729-493-03)  / 10 mL in 1 VIAL, MULTI-DOSE",2.4,2.4,,,0
RC,636,Sulfamethoxazole And Trimethoprim: 10 Vial In 1 Carton (70069-362-10)  / 10 Ml In 1 Vial (70069-362-01),0.11,0.11,,,0
RC,636,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-420-01)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",500.84,500.84,,,0
RC,636,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-421-01)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",504.94,504.94,,,0
RC,636,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61)  / 1 Capsule In 1 Blister Pack,3.22,3.22,,,0
RC,636,Tacrolimus: 100 Blister Pack In 1 Carton (51079-817-20)  / 1 Capsule In 1 Blister Pack (51079-817-01),2.67,2.67,,,0
RC,636,Tacrolimus: 100 Capsule In 1 Bottle (0781-2103-01),0.98,0.98,,,0
RC,636,Tacrolimus: 100 Capsule In 1 Container (64380-720-06),0.59,0.59,,,0
RC,636,Tacrolimus: 100 Capsule In 1 Container (64380-722-06),0.43,0.43,,,0
RC,636,"Tagrisso: 30 Tablet, Film Coated In 1 Bottle (0310-1350-30)",1521.63,1521.63,,,0
RC,636,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-469-01)  / 1.5 Ml In 1 Vial, Single-Dose",169.13,169.13,,,0
RC,636,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-470-01)  / 1 Ml In 1 Vial, Single-Dose",172.485,172.485,,,0
RC,636,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01)  / 20 Ml In 1 Vial, Single-Use",263.51,263.51,,,0
RC,636,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-918-01)  / 14 Ml In 1 Vial, Single-Use",268.29,268.29,,,0
RC,636,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-449-01)  / 3 Ml In 1 Vial, Single-Dose",87.33,87.33,,,0
RC,636,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01)  / 1.7 Ml In 1 Vial, Single-Dose",79.7,79.7,,,0
RC,636,Temozolomide: 1 Bottle In 1 Carton (65162-802-51)  / 5 Capsule In 1 Bottle,4.08,4.08,,,0
RC,636,Temozolomide: 1 Bottle In 1 Carton (65162-803-51)  / 5 Capsule In 1 Bottle,3.33,3.33,,,0
RC,636,Temozolomide: 5 Capsule In 1 Bottle (67877-539-07),4.28,4.28,,,0
RC,636,Terbutaline Sulfate: 10 Vial In 1 Carton (0143-9375-10)  / 1 Ml In 1 Vial (0143-9375-01),1.88,1.88,,,0
RC,636,Testosterone Cypionate: 1 Ml In 1 Vial (0143-9659-01),0.185,0.185,,,0
RC,636,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6557-01)  / 10 Ml In 1 Vial,0.25,0.25,,,0
RC,636,Testosterone Cypionate: 1 Vial In 1 Carton (70700-289-22)  / 1 Ml In 1 Vial,0.12,0.12,,,0
RC,636,Thiamine Hydrochloride: 25 Vial In 1 Carton (0641-6228-25)  / 2 Ml In 1 Vial (0641-6228-01),5.01,5.01,,,0
RC,636,Thiamine Hydrochloride: 25 Vial In 1 Carton (25021-500-02)  / 2 Ml In 1 Vial,4.71,4.71,,,0
RC,636,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72485-507-25)  / 2 Ml In 1 Vial, Multi-Dose (72485-507-01)",3.82,3.82,,,0
RC,636,"Thiotepa: 1 Vial In 1 Box, Unit-Dose (0143-9565-01)  / 1.5 Ml In 1 Vial",416.84,416.84,,,0
RC,636,"Thiotepa: 1 Vial, Single-Dose In 1 Carton (71288-156-05)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",489.06,489.06,,,0
RC,636,"Thiotepa: 1 Vial, Single-Dose In 1 Carton (71288-157-10)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",18.93,18.93,,,0
RC,636,Tice Bcg: 1 Vial In 1 Carton (0052-0602-02)  / 50 Ml In 1 Vial (0052-0602-01),367.15,367.15,,,0
RC,636,Tivdak: 1 Vial In 1 Carton (51144-003-01)  / 4 Ml In 1 Vial,607.615,607.615,,,0
RC,636,"Tnkase: 1 Kit In 1 Carton (50242-120-47)  *  1 Vial, Single-Use In 1 Carton (50242-037-06)  / 10 Ml In 1 Vial, Single-Use *  1 Vial, Single-Use In 1 Carton (50242-901-09)  / 10 Ml In 1 Vial, Single-Us",460.57,460.57,,,0
RC,636,"Tnkase: 1 Kit In 1 Carton (50242-176-01)  *  1 Vial, Single-Use In 1 Carton (50242-037-06)  / 10 Ml In 1 Vial, Single-Use *  1 Vial, Single-Use In 1 Carton (50242-901-09)  / 10 Ml In 1 Vial, Single-Us",506.62,506.62,,,0
RC,636,Tobramycin: 1 Vial In 1 Carton (39822-0412-1)  / 30 Ml In 1 Vial,9.57,9.57,,,0
RC,636,Tobramycin: 14 Pouch In 1 Carton (70756-604-56)  / 4 Ampule In 1 Pouch (70756-604-44)  / 5 Ml In 1 Ampule,10.86,10.86,,,0
RC,636,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02)  / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",3.21,3.21,,,0
RC,636,Tobramycin: 56 Ampule In 1 Carton (65162-914-46)  / 5 Ml In 1 Ampule,36.13,36.13,,,0
RC,636,"Tobramycin: 6 Vial, Pharmacy Bulk Package In 1 Tray (63323-303-55)  / 30 Ml In 1 Vial, Pharmacy Bulk Package (63323-303-21)",9.6,9.6,,,0
RC,636,Topotecan Hydrochloride: 1 Vial In 1 Box (63323-762-10)  / 4 Ml In 1 Vial,5.07,5.07,,,0
RC,636,Topotecan Hydrochloride: 1 Vial In 1 Package (16729-151-31)  / 4 Ml In 1 Vial,11.84,11.84,,,0
RC,636,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01)  / 4 Ml In 1 Vial, Single-Dose",7.725,7.725,,,0
RC,636,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2)  / 1 Ml In 1 Vial (70121-1049-1),1.73,1.73,,,0
RC,636,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1651-1)  / 1 Ml In 1 Vial,2.23,2.23,,,0
RC,636,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (43598-676-11)  / 5 Ml In 1 Vial, Multi-Dose",6.5,6.5,,,0
RC,636,"Trodelvy: 1 Vial In 1 Box (55135-132-01)  / 1 Powder, For Solution In 1 Vial",121.92,121.92,,,0
RC,636,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10)  / 10 Ml In 1 Vial, Single-Use",169.60500000000002,169.60500000000002,,,0
RC,636,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50)  / 50 Ml In 1 Vial, Single-Use",171.51999999999998,171.51999999999998,,,0
RC,636,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10)  / 10 Ml In 1 Vial, Single-Dose",14.56,14.56,,,0
RC,636,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20)  / 20 Ml In 1 Vial, Single-Dose",14.57,14.57,,,0
RC,636,Udenyca: 1 Syringe In 1 Carton (70114-101-01)  / .6 Ml In 1 Syringe,518.66,518.66,,,0
RC,636,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01)  / 3 Ml In 1 Vial, Glass",638.57,638.57,,,0
RC,636,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-028-01)  / 11 Ml In 1 Vial, Glass",645.65,645.65,,,0
RC,636,"Vabomere: 6 Vial, Single-Dose In 1 Carton (70842-120-06)  / 2 G In 1 Vial, Single-Dose (70842-120-01)",5.81,5.81,,,0
RC,636,Vancomycin Hydrochloride: 1 Bottle In 1 Carton (63323-314-66)  / 100 Ml In 1 Bottle,0.44,0.44,,,0
RC,636,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9164-01)  / 10.25 G In 1 Vial, Pharmacy Bulk Package",0.12,0.12,,,0
RC,636,Vancomycin Hydrochloride: 10 VIAL in 1 CARTON (70860-105-20)  / 20 mL in 1 VIAL (70860-105-41),9.2,9.2,,,0
RC,636,Vancomycin Hydrochloride: 10 Vial In 1 Carton (67457-340-01)  / 20 Ml In 1 Vial (67457-340-00),0.6,0.6,,,0
RC,636,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-020-82)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",0.29,0.29,,,0
RC,636,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",0.17,0.17,,,0
RC,636,Vancomycin Hydrochloride: 10 Vial In 1 Package (0143-9162-10)  / 1025 Mg In 1 Vial (0143-9162-01),0.07,0.07,,,0
RC,636,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20)  / 20 Ml In 1 Vial (63323-284-01),1.88,1.88,,,0
RC,636,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-26)  / 20 Ml In 1 Vial (63323-284-42),5.27,5.27,,,0
RC,636,Vancomycin Hydrochloride: 100 Ml In 1 Bag (0338-3551-48),17.74,17.74,,,0
RC,636,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),2.74,2.74,,,0
RC,636,Vancomycin: 1 Bottle In 1 Carton (25021-157-99)  / 100 Ml In 1 Bottle,12.1,12.1,,,0
RC,636,"Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00)  / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)",523.57,523.57,,,0
RC,636,"Vasopressin In 0.9% Sodium Chloride: 10 Vial, Single-Dose In 1 Carton (81298-8552-3)  / 100 Ml In 1 Vial, Single-Dose (81298-8552-1)",26.56,26.56,,,0
RC,636,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-954-01)  / 5 Ml In 1 Vial, Single-Dose",571.315,571.315,,,0
RC,636,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-956-01)  / 20 Ml In 1 Vial, Single-Dose",576.81,576.81,,,0
RC,636,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",871.325,871.325,,,0
RC,636,"Velcade: 1 Vial In 1 Carton (63020-049-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",164.48,164.48,,,0
RC,636,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01)  / 5 Ml In 1 Vial, Single-Dose",0.96,0.96,,,0
RC,636,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10)  / 5 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0
RC,636,"Venofer: 10 Vial, Single-Dose In 1 Carton (0517-2340-99)  / 5 Ml In 1 Vial, Single-Dose",0.865,0.865,,,0
RC,636,"Vfend: 1 Vial, Single-Use In 1 Carton (0049-3190-01)  / 20 Ml In 1 Vial, Single-Use",2.06,2.06,,,0
RC,636,"Vimpat: 10 Vial, Glass In 1 Carton (0131-1810-67)  / 20 Ml In 1 Vial, Glass",1.39,1.39,,,0
RC,636,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10)  / 10 Ml In 1 Vial, Multi-Dose",24.96,24.96,,,0
RC,636,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06)  / 1 Ml In 1 Vial, Single-Dose",82.28,82.28,,,0
RC,636,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16)  / 2 Ml In 1 Vial, Single-Dose",67.525,67.525,,,0
RC,636,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-25)  / 2 Ml In 1 Vial, Single-Dose",56.69,56.69,,,0
RC,636,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-26)  / 1 Ml In 1 Vial, Single-Dose",83.485,83.485,,,0
RC,636,Vinorelbine: 1 Vial In 1 Carton (25021-204-05)  / 5 Ml In 1 Vial,32.79,32.79,,,0
RC,636,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-55)  / 1 Ml In 1 Vial, Single-Dose",54.04,54.04,,,0
RC,636,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (72266-131-01)  / 20 Ml In 1 Vial, Single-Dose",1.775,1.775,,,0
RC,636,Vyloy: 1 Vial In 1 Box (0469-3425-10)  / 5 Ml In 1 Vial,61.59,61.59,,,0
RC,636,Vyloy: 1 Vial In 1 Box (0469-4425-30)  / 15 Ml In 1 Vial,118.405,118.405,,,0
RC,636,Vyxeos: 20 Ml In 1 Vial (68727-745-01),850.58,850.58,,,0
RC,636,Vyxeos: 40 Ml In 1 Carton (68727-745-02),846.56,846.56,,,0
RC,636,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1610-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",14.62,14.62,,,0
RC,636,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01)  / 1.7 Ml In 1 Vial, Single-Use",82.97,82.97,,,0
RC,636,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27)  / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",0.72,0.72,,,0
RC,636,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-491-57)  / 50 Ml In 1 Vial, Single-Dose (63323-491-01)",0.16,0.16,,,0
RC,636,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-26)  / 20 Ml In 1 Vial, Multi-Dose (63323-486-41)",0.01,0.01,,,0
RC,636,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11)  / 10 Ml In 1 Vial, Single-Use",592.78,592.78,,,0
RC,636,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22)  / 40 Ml In 1 Vial, Single-Use",587.79,587.79,,,0
RC,636,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",802.84,802.84,,,0
RC,636,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01)  / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,1.88,1.88,,,0
RC,636,Zarxio: 1 Blister Pack In 1 Carton (61314-326-01)  / 1 Syringe In 1 Blister Pack / .8 Ml In 1 Syringe,1.65,1.65,,,0
RC,636,"Zepzelca: 8 Ml In 1 Vial, Single-Dose (68727-712-01)",744.53,744.53,,,0
RC,636,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01)  / 10 Ml In 1 Vial, Single-Dose",24.205,24.205,,,0
RC,636,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0315-01)  / 4 Ml In 1 Vial, Single-Use",164.52,164.52,,,0
RC,636,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0342-01)  / 16 Ml In 1 Vial, Single-Use",169.86,169.86,,,0
RC,636,Zithromax: 1 Bottle In 1 Carton (0069-3120-19)  / 15 Ml In 1 Bottle,102.38,102.38,,,0
RC,636,Zithromax: 10 Vial In 1 Carton (0069-3150-83)  / 5 Ml In 1 Vial (0069-3150-84),15.65,15.65,,,0
RC,636,Zoladex: 1 Pouch In 1 Carton (70720-950-36)  / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2983.415,2983.415,,,0
RC,636,Zoladex: 1 Pouch In 1 Carton (70720-951-30)  / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2645.72,2645.72,,,0
RC,636,Zoledronic Acid: 1 Bag In 1 Carton (25021-826-67)  / 100 Ml In 1 Bag,17.07,17.07,,,0
RC,636,Zoledronic Acid: 1 Bag In 1 Carton (72266-152-01)  / 100 Ml In 1 Bag,11.34,11.34,,,0
RC,636,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07)  / 5 Ml In 1 Vial, Glass",3.9450000000000003,3.9450000000000003,,,0
RC,636,Zoledronic acid: 1 VIAL in 1 CARTON (67457-920-05)  / 5 mL in 1 VIAL,23.97,23.97,,,0
RC,636,Zosyn In Galaxy Containers: 24 Bag In 1 Box (0206-8860-02)  / 50 Ml In 1 Bag (0206-8860-01),6.75,6.75,,,0
RC,636,"Zynlonta: 1 Vial, Single-Dose In 1 Carton (79952-110-01)  / 2 Ml In 1 Vial, Single-Dose",6532.85,6532.85,,,0
RC,636,"Zynyz: 1 Vial, Single-Use In 1 Carton (50881-006-03)  / 20 Ml In 1 Vial, Single-Use",109.06,109.06,,,0
RC,637,1 TUBE in 1 CARTON (0023-0240-04)  / 3.5 g in 1 TUBE,24.78,24.78,,,0
RC,637,"100 BLISTER PACK in 1 CARTON (0310-0275-39)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",5.11,5.11,,,0
RC,637,100 BLISTER PACK in 1 CARTON (0904-6564-61)  / 1 CAPSULE in 1 BLISTER PACK,1.16,1.16,,,0
RC,637,"30 BLISTER PACK in 1 BOX (50268-074-13)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (50268-074-11)",2.52,2.52,,,0
RC,637,5 SYRINGE in 1 PACKAGE (0088-5020-05)  / 3 mL in 1 SYRINGE (0088-5020-01),206.5,206.5,,,0
RC,637,60 TABLET in 1 BOTTLE (0456-3210-60),6.76,6.76,,,0
RC,637,60 mL in 1 BOTTLE (52380-1905-2),2.48,2.48,,,0
RC,637,"Abacavir: 60 Tablet, Film Coated In 1 Bottle (65862-073-60)",4.62,4.62,,,0
RC,637,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),0.81,0.81,,,0
RC,637,Acetaminophen Pain Reliever Fever Reducer: 100 Blister Pack In 1 Carton (45802-730-33)  / 1 Suppository In 1 Blister Pack,0.63,0.63,,,0
RC,637,Acetaminophen: 1 Bottle In 1 Carton (0904-6730-59)  / 100 Tablet In 1 Bottle,0.32,0.32,,,0
RC,637,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6730-61)  / 10 Tablet In 1 Blister Pack",0.32,0.32,,,0
RC,637,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61)  / 10 Tablet In 1 Blister Pack",0.33,0.33,,,0
RC,637,Acetaminophen: 100 Tablet In 1 Bottle (0904-6730-60),0.25,0.25,,,0
RC,637,"Acetaminophen: 100 Tablet In 1 Bottle, Plastic (49483-340-01)",0.33,0.33,,,0
RC,637,Acetaminophen: 1000 Tablet In 1 Bottle (0904-6730-80),0.325,0.325,,,0
RC,637,Acetaminophen: 500 Tablet In 1 Bottle (0904-6720-40),0.32,0.32,,,0
RC,637,Acetazolamide: 100 Blister Pack In 1 Carton (0904-6663-61)  / 1 Tablet In 1 Blister Pack,7.7,7.7,,,0
RC,637,Actidose Aqua: 120 Ml In 1 Tube (0574-0521-74),27.98,27.98,,,0
RC,637,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61)  / 1 Capsule In 1 Blister Pack,0.63,0.63,,,0
RC,637,Ad First Aid Multipurpose: 1 Tube In 1 Box (65197-400-10)  / 42.5 G In 1 Tube,6.7,6.7,,,0
RC,637,Ad Prevent Original: 1 Tube In 1 Box (65197-401-01)  / 113 G In 1 Tube,5.84,5.84,,,0
RC,637,Albendazole: 2 Tablet In 1 Bottle (72205-051-08),62.12,62.12,,,0
RC,637,Allopurinol: 100 Blister Pack In 1 Carton (0904-6572-61)  / 1 Tablet In 1 Blister Pack,0.92,0.92,,,0
RC,637,Allopurinol: 100 Tablet In 1 Bottle (0378-0181-01),1.39,1.39,,,0
RC,637,Allopurinol: 100 Tablet In 1 Bottle (16714-577-01),0.63,0.63,,,0
RC,637,"Allopurinol: 100 Tablet In 1 Bottle, Plastic (0591-5543-01)",0.63,0.63,,,0
RC,637,Alprazolam: 100 Tablet In 1 Bottle (0228-2027-10),0.63,0.63,,,0
RC,637,Alprazolam: 100 Tablet In 1 Bottle (0228-2031-10),0.47,0.47,,,0
RC,637,Alprazolam: 100 Tablet In 1 Bottle (0781-1061-01),0.63,0.63,,,0
RC,637,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),0.625,0.625,,,0
RC,637,Amiloride Hydrochloride: 100 Tablet In 1 Bottle (0574-0292-01),0.63,0.63,,,0
RC,637,Amiodarone Hydrochloride: 10 Blister Pack In 1 Box (63739-051-10)  / 10 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1489-01)",1.83,1.83,,,0
RC,637,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-257-01)",0.5,0.5,,,0
RC,637,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61)  / 1 Tablet In 1 Blister Pack,0.5900000000000001,0.5900000000000001,,,0
RC,637,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Amlodipine Besylate: 90 Tablet In 1 Bottle (67877-197-90),0.63,0.63,,,0
RC,637,Amlodipine Besylate: 90 Tablet In 1 Bottle (67877-198-90),0.59,0.59,,,0
RC,637,Amlodipine Besylate: 90 Tablet In 1 Bottle (68382-121-16),0.62,0.62,,,0
RC,637,Amlodipine Besylate: 90 Tablet In 1 Bottle (69097-128-05),0.63,0.63,,,0
RC,637,Amoxicillin And Clavulanate Potassium: 100 Ml In 1 Bottle (69097-098-44),13.19,13.19,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (42571-161-01)",1.22,1.22,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (65862-503-01)",0.97,0.97,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (66685-1002-2)",2.3,2.3,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0093-2274-34)",3.42,3.42,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0781-1831-20)",2.4,2.4,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-162-42)",1.58,1.58,,,0
RC,637,Amoxicillin: 100 Capsule In 1 Bottle (16714-298-01),0.27,0.27,,,0
RC,637,Amoxicillin: 100 Capsule In 1 Bottle (16714-299-03),0.63,0.63,,,0
RC,637,Amoxicillin: 100 Ml In 1 Bottle (0093-4155-73),0.09,0.09,,,0
RC,637,Amoxicillin: 100 Ml In 1 Bottle (0781-6039-46),1.42,1.42,,,0
RC,637,Analgesic Balm: 1 Tube In 1 Box (57896-116-03)  / 85 G In 1 Tube,7.81,7.81,,,0
RC,637,Antacid: 355 Ml In 1 Bottle (0536-1293-83),0.63,0.63,,,0
RC,637,Aripiprazole: 100 TABLET in 1 BOTTLE (63739-413-10),50.27,50.27,,,0
RC,637,"Aripiprazole: 30 Blister Pack In 1 Box, Unit-Dose (60687-191-21)  / 1 Tablet In 1 Blister Pack (60687-191-11)",27.34,27.34,,,0
RC,637,Aripiprazole: 30 Blister Pack In 1 Carton (0904-6512-04)  / 1 Tablet In 1 Blister Pack,50.43,50.43,,,0
RC,637,Aripiprazole: 30 Tablet In 1 Bottle (16714-142-01),0.55,0.55,,,0
RC,637,Aripiprazole: 30 Tablet In 1 Bottle (16714-145-01),0.87,0.87,,,0
RC,637,Aripiprazole: 30 Tablet In 1 Bottle (43598-965-30),1.7,1.7,,,0
RC,637,Aripiprazole: 30 Tablet In 1 Bottle (65862-664-30),0.82,0.82,,,0
RC,637,Aripiprazole: 90 Tablet In 1 Bottle (65162-896-09),0.65,0.65,,,0
RC,637,Aripiprazole: 90 Tablet In 1 Bottle (65162-898-09),0.64,0.64,,,0
RC,637,Armour Thyroid: 100 Tablet In 1 Bottle (0456-0458-01),2.52,2.52,,,0
RC,637,Aspirin 81 mg Enteric Coated: 120 TABLET in 1 BOTTLE (10135-689-62),0.63,0.63,,,0
RC,637,"Aspirin Low Dose Chewable Orange: 1000 Tablet, Chewable In 1 Package (0904-6794-80)",0.37,0.37,,,0
RC,637,"Aspirin Low Dose: 1000 Tablet, Delayed Release In 1 Bottle, Plastic (0904-6751-80)",0.63,0.63,,,0
RC,637,"Aspirin Regular Strength: 1 Bottle, Plastic In 1 Carton (0536-1232-01)  / 100 Tablet, Delayed Release In 1 Bottle, Plastic",0.63,0.63,,,0
RC,637,Aspirin: 100 Tablet In 1 Bottle (57896-901-01),0.63,0.63,,,0
RC,637,Aspirin: 12 Packet In 1 Carton (0574-7034-12)  / 1 Suppository In 1 Packet,3.02,3.02,,,0
RC,637,Atenolol: 100 Blister Pack In 1 Carton (0904-7187-61)  / 1 Tablet In 1 Blister Pack,0.57,0.57,,,0
RC,637,Atomoxetine: 30 Capsule In 1 Bottle (16714-758-01),5.1,5.1,,,0
RC,637,Atomoxetine: 30 Capsule In 1 Bottle (16714-759-01),5.79,5.79,,,0
RC,637,Atomoxetine: 30 Capsule In 1 Bottle (31722-717-30),4.29,4.29,,,0
RC,637,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.71,0.71,,,0
RC,637,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6291-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.61,0.61,,,0
RC,637,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6292-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.55,0.55,,,0
RC,637,Atorvastatin Calcium: 1000 Tablet In 1 Bottle (16571-137-10),0.59,0.59,,,0
RC,637,Atovaquone: 1 Bottle In 1 Carton (31722-629-21)  / 210 Ml In 1 Bottle,3.69,3.69,,,0
RC,637,Atovaquone: 1 Bottle In 1 Carton (72603-248-01)  / 210 Ml In 1 Bottle,3.32,3.32,,,0
RC,637,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (60505-0833-5)  / 200 Spray, Metered In 1 Bottle, Spray",39.69,39.69,,,0
RC,637,"Azithromycin: 100 Blister Pack In 1 Carton (0904-7350-61)  / 1 Tablet, Film Coated In 1 Blister Pack",3.44,3.44,,,0
RC,637,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06)  / 1 Tablet, Film Coated In 1 Blister Pack",1.59,1.59,,,0
RC,637,Baclofen: 100 Blister Pack In 1 Carton (0904-6475-61)  / 1 Tablet In 1 Blister Pack,0.87,0.87,,,0
RC,637,Baclofen: 100 Tablet In 1 Bottle (52817-319-10),0.63,0.63,,,0
RC,637,Baclofen: 100 Tablet In 1 Bottle (72888-009-01),0.63,0.63,,,0
RC,637,Benzonatate: 100 Blister Pack In 1 Carton (0904-7153-61)  / 1 Capsule In 1 Blister Pack,0.93,0.93,,,0
RC,637,Benzonatate: 100 Capsule In 1 Bottle (42806-714-01),0.63,0.63,,,0
RC,637,Benztropine Mesylate: 100 Tablet In 1 Bottle (69315-138-01),0.63,0.63,,,0
RC,637,Betadine Solution: 14.8 Ml In 1 Bottle (67618-150-05),2.92,2.92,,,0
RC,637,"Betaxolol Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-245-01)  / 5 Ml In 1 Bottle, Plastic",123.41,123.41,,,0
RC,637,Bicalutamide: 30 Tablet In 1 Bottle (16729-023-10),1.62,1.62,,,0
RC,637,"Biktarvy: 30 Tablet In 1 Bottle, Plastic (61958-2501-1)",350.61,350.61,,,0
RC,637,"Bisacodyl: 10 Blister Pack In 1 Box (0904-6407-61)  / 10 Tablet, Delayed Release In 1 Blister Pack",0.32,0.32,,,0
RC,637,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12)  / 1 Suppository In 1 Blister Pack,0.94,0.94,,,0
RC,637,"Bisoprolol Fumarate: 100 Tablet In 1 Bottle, Plastic (29300-127-01)",0.63,0.63,,,0
RC,637,"Bisoprolol Fumarate: 30 Tablet In 1 Bottle, Plastic (29300-126-13)",0.65,0.65,,,0
RC,637,"Brilinta: 10 Blister Pack In 1 Box, Unit-Dose (0186-0777-39)  / 10 Tablet In 1 Blister Pack",19.53,19.53,,,0
RC,637,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-231-01)  / 5 Ml In 1 Bottle,11.42,11.42,,,0
RC,637,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (24208-411-05)  / 5 Ml In 1 Bottle, Dropper",35.935,35.935,,,0
RC,637,"Brimonidine: 1 BOTTLE, DROPPER in 1 CARTON (17478-715-10)  / 5 mL in 1 BOTTLE, DROPPER",39.25,39.25,,,0
RC,637,"Briviact: 1 Bottle In 1 Carton (50474-470-66)  / 60 Tablet, Film Coated In 1 Bottle",65.37,65.37,,,0
RC,637,"Briviact: 1 Bottle In 1 Carton (50474-770-66)  / 60 Tablet, Film Coated In 1 Bottle",65.37,65.37,,,0
RC,637,"Briviact: 100 Blister Pack In 1 Carton (50474-470-09)  / 1 Tablet, Film Coated In 1 Blister Pack",65.35,65.35,,,0
RC,637,"Briviact: 100 Blister Pack In 1 Carton (50474-770-09)  / 1 Tablet, Film Coated In 1 Blister Pack",59.43,59.43,,,0
RC,637,Budesonide: 1 Bottle In 1 Carton (0574-9855-10)  / 100 Capsule In 1 Bottle,2.39,2.39,,,0
RC,637,"Budesonide: 100 Capsule, Coated Pellets In 1 Bottle (16714-829-01)",4.04,4.04,,,0
RC,637,"Budesonide: 100 Capsule, Delayed Release In 1 Bottle (65162-778-10)",5.57,5.57,,,0
RC,637,Bumetanide: 100 Blister Pack In 1 Carton (0904-7016-61)  / 1 Tablet In 1 Blister Pack,1.92,1.92,,,0
RC,637,Bumetanide: 100 Tablet In 1 Bottle (0832-0541-11),0.66,0.66,,,0
RC,637,Bumetanide: 100 Tablet In 1 Bottle (42799-119-01),0.9,0.9,,,0
RC,637,Buprenorphine And Naloxone: 30 Pouch In 1 Carton (0378-8767-93)  / 1 Film In 1 Pouch (0378-8767-16),5.76,5.76,,,0
RC,637,"Bupropion Hydrochloride Sr: 60 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (0591-3541-60)",0.61,0.61,,,0
RC,637,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7084-61)  / 1 Tablet, Extended Release In 1 Blister Pack",3.42,3.42,,,0
RC,637,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-319-09)",0.42,0.42,,,0
RC,637,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6635-61)  / 1 Tablet, Film Coated In 1 Blister Pack",2.1,2.1,,,0
RC,637,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6636-61)  / 1 Tablet, Film Coated In 1 Blister Pack",3.24,3.24,,,0
RC,637,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7121-61)  / 1 Tablet In 1 Blister Pack,0.46,0.46,,,0
RC,637,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (0093-0053-01),0.63,0.63,,,0
RC,637,"Buspirone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-1145-01)",1.14,1.14,,,0
RC,637,"Buspirone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (29300-245-01)",0.63,0.63,,,0
RC,637,"Buspirone Hydrochloride: 60 Tablet In 1 Bottle, Plastic (0378-1175-91)",3.53,3.53,,,0
RC,637,COUMADIN: 1 BOTTLE in 1 CARTON (0056-0170-70)  / 100 TABLET in 1 BOTTLE,1.57,1.57,,,0
RC,637,"COZAAR: 90 TABLET, FILM COATED in 1 BOTTLE (0006-0951-54)",2.21,2.21,,,0
RC,637,"Calamine: 177 Ml In 1 Bottle, Plastic (0904-2533-21)",2.93,2.93,,,0
RC,637,"Calcitonin Salmon: 1 Bottle, Glass In 1 Carton (60505-0823-6)  / 30 Spray, Metered In 1 Bottle, Glass",155.41,155.41,,,0
RC,637,Calcitriol: 100 Capsule In 1 Container (64380-723-06),0.63,0.63,,,0
RC,637,Calcium Acetate: 100 Blister Pack In 1 Carton (0904-7119-61)  / 1 Capsule In 1 Blister Pack,2.43,2.43,,,0
RC,637,"Capecitabine: 120 Tablet, Film Coated In 1 Bottle, Plastic (16729-073-29)",1.19,1.19,,,0
RC,637,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60)  / 60 G In 1 Tube,9.19,9.19,,,0
RC,637,Capsaicin: 1 Tube In 1 Carton (0536-2525-25)  / 60 G In 1 Tube,13.92,13.92,,,0
RC,637,Captopril: 100 Blister Pack In 1 Carton (0904-7105-61)  / 1 Tablet In 1 Blister Pack,2.19,2.19,,,0
RC,637,Captopril: 100 Tablet In 1 Bottle (31722-141-01),1.66,1.66,,,0
RC,637,"Carbamazepine: 100 Blister Pack In 1 Carton (0904-3854-61)  / 1 Tablet, Chewable In 1 Blister Pack",1.29,1.29,,,0
RC,637,Carbamazepine: 100 Blister Pack In 1 Carton (0904-6172-61)  / 1 Tablet In 1 Blister Pack,1.34,1.34,,,0
RC,637,"Carbamazepine: 120 Capsule, Extended Release In 1 Bottle (29033-020-12)",2.67,2.67,,,0
RC,637,"Carbamazepine: 120 Capsule, Extended Release In 1 Bottle (60505-2805-7)",3.48,3.48,,,0
RC,637,"Carbamazepine: 30 Blister Pack In 1 Carton (0904-6885-04)  / 1 Capsule, Extended Release In 1 Blister Pack",5.78,5.78,,,0
RC,637,Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (0904-6238-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-458-01),0.31,0.31,,,0
RC,637,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (59651-457-01),0.35,0.35,,,0
RC,637,"Carbidopa And Levodopa: 100 Tablet, Extended Release In 1 Bottle, Plastic (0378-0088-01)",0.82,0.82,,,0
RC,637,"Carbidopa and Levodopa: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-047-10)  / 10 TABLET in 1 BLISTER PACK",0.42,0.42,,,0
RC,637,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7305-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7306-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.44,0.44,,,0
RC,637,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7308-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0093-7296-01)",0.63,0.63,,,0
RC,637,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-092-01)",0.63,0.63,,,0
RC,637,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-034-01)",0.63,0.63,,,0
RC,637,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-035-01)",0.38,0.38,,,0
RC,637,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3632-01)",0.63,0.63,,,0
RC,637,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",0.63,0.63,,,0
RC,637,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6301-61)",0.63,0.63,,,0
RC,637,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6303-61)",0.63,0.63,,,0
RC,637,Cefadroxil: 50 Capsule In 1 Bottle (16714-388-01),0.79,0.79,,,0
RC,637,Cefadroxil: 50 Tablet In 1 Bottle (0093-4059-53),6.43,6.43,,,0
RC,637,Cefdinir: 1 Bottle In 1 Carton (65862-218-01)  / 100 Ml In 1 Bottle,7.62,7.62,,,0
RC,637,Cefdinir: 60 Capsule In 1 Bottle (57237-099-60),2.09,2.09,,,0
RC,637,"Cefpodoxime Proxetil: 100 Tablet, Film Coated In 1 Bottle (0781-5439-01)",14.15,14.15,,,0
RC,637,"Cefuroxime Axetil: 20 Blister Pack In 1 Box, Unit-Dose (60687-272-94)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-272-11)",7.55,7.55,,,0
RC,637,Cefuroxime Axetil: 20 Tablet In 1 Bottle (16714-401-01),5.69,5.69,,,0
RC,637,Cefuroxime Axetil: 60 Tablet In 1 Bottle (16714-401-02),2.82,2.82,,,0
RC,637,"Cefuroxime Axetil: 60 Tablet, Film Coated In 1 Bottle (57237-058-60)",2.28,2.28,,,0
RC,637,Celecoxib: 100 Blister Pack In 1 Carton (0904-6503-61)  / 1 Capsule In 1 Blister Pack,4.85,4.85,,,0
RC,637,Celecoxib: 100 Blister Pack In 1 Carton (60687-436-01)  / 1 Capsule In 1 Blister Pack (60687-436-11),1.95,1.95,,,0
RC,637,"Celecoxib: 100 CAPSULE in 1 BOTTLE, PLASTIC (0378-7150-01)",4.1,4.1,,,0
RC,637,Celecoxib: 100 Capsule In 1 Bottle (16714-732-01),0.63,0.63,,,0
RC,637,Celecoxib: 100 Capsule In 1 Bottle (16714-733-01),0.59,0.59,,,0
RC,637,Celecoxib: 100 Capsule In 1 Bottle (65862-908-01),0.61,0.61,,,0
RC,637,Celecoxib: 100 Capsule In 1 Bottle (65862-909-01),0.55,0.55,,,0
RC,637,Celecoxib: 100 Capsule In 1 Bottle (69367-302-01),0.64,0.64,,,0
RC,637,Celecoxib: 100 Capsule In 1 Bottle (72241-023-05),0.58,0.58,,,0
RC,637,Celecoxib: 100 Capsule In 1 Bottle (72241-024-05),0.47,0.47,,,0
RC,637,Cephalexin: 100 Capsule In 1 Bottle (0093-3147-01),0.63,0.63,,,0
RC,637,Cephalexin: 100 Capsule In 1 Bottle (65862-018-01),0.32,0.32,,,0
RC,637,Cephalexin: 100 Capsule In 1 Bottle (65862-019-01),0.63,0.63,,,0
RC,637,Cephalexin: 100 Ml In 1 Bottle (0093-4177-73),5.57,5.57,,,0
RC,637,Cephalexin: 500 Capsule In 1 Bottle (0093-3147-05),0.63,0.63,,,0
RC,637,Cervidil: 1 Pouch In 1 Carton (55566-2800-1)  / 10 Mg In 1 Pouch (55566-2800-0),1399.15,1399.15,,,0
RC,637,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),0.43500000000000005,0.43500000000000005,,,0
RC,637,"Cetirizine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3635-01)",0.43,0.43,,,0
RC,637,"Cetirizine Hydrochloride: 90 Tablet, Coated In 1 Bottle (70010-163-09)",0.59,0.59,,,0
RC,637,"Cetirizine: 100 Blister Pack In 1 Carton (0904-6717-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Childrens Acetaminophen: 10 Tray In 1 Case (0121-1781-00)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-1781-05)",2.59,2.59,,,0
RC,637,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0033-02),0.35,0.35,,,0
RC,637,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0158-02),0.4,0.4,,,0
RC,637,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0159-02),0.37,0.37,,,0
RC,637,Cilostazol: 60 Tablet In 1 Bottle (0093-2064-06),0.63,0.63,,,0
RC,637,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",1.22,1.22,,,0
RC,637,"Cinacalcet: 90 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-15)",1.22,1.22,,,0
RC,637,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7243-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,Ciprofloxacin: 100 Tablet In 1 Bottle (43547-688-10),0.35,0.35,,,0
RC,637,"Ciprofloxacin: 100 Tablet, Coated In 1 Bottle (58657-675-01)",0.45,0.45,,,0
RC,637,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle (65862-076-01)",0.32,0.32,,,0
RC,637,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (16252-515-01)",2.09,2.09,,,0
RC,637,"Citalopram: 100 Blister Pack In 1 Carton (0904-6084-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.58,0.58,,,0
RC,637,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.45,0.45,,,0
RC,637,"Citalopram: 100 Tablet, Film Coated In 1 Bottle (13668-009-01)",0.6,0.6,,,0
RC,637,"Citalopram: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-6232-01)",0.63,0.63,,,0
RC,637,Clindamycin Hydrochloride: 100 Blister Pack In 1 Carton (0904-5959-61)  / 1 Capsule In 1 Blister Pack,0.47,0.47,,,0
RC,637,Clindamycin Hydrochloride: 100 Capsule In 1 Bottle (65862-185-01),0.24,0.24,,,0
RC,637,Clindamycin Palmitate Hydrochloride (Pediatric): 100 Ml In 1 Bottle (64980-511-10),0.44,0.44,,,0
RC,637,Clobazam: 100 Tablet In 1 Bottle (51991-900-01),0.81,0.81,,,0
RC,637,"Clobetasol Propionate Cream Usp, 0.05% Clobetasol Propionate Cream Usp, 0.05%: 15 G In 1 Tube (72603-323-01)",13.99,13.99,,,0
RC,637,Clobetasol Propionate: 1 Tube In 1 Carton (43386-096-60)  / 15 G In 1 Tube,31.96,31.96,,,0
RC,637,Clobetasol Propionate: 1 Tube In 1 Carton (69238-1532-5)  / 15 G In 1 Tube,10.91,10.91,,,0
RC,637,"Clonazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-263-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,637,Clonazepam: 100 BLISTER PACK in 1 CARTON (51079-882-20)  / 1 TABLET in 1 BLISTER PACK (51079-882-01),0.63,0.63,,,0
RC,637,Clonazepam: 100 Blister Pack In 1 Carton (0904-7227-61)  / 1 Tablet In 1 Blister Pack,0.96,0.96,,,0
RC,637,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-136-00)",0.63,0.63,,,0
RC,637,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-137-00)",0.55,0.55,,,0
RC,637,"Clonazepam: 500 Tablet In 1 Bottle, Plastic (16729-136-16)",0.63,0.63,,,0
RC,637,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2127-10),0.43,0.43,,,0
RC,637,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Clopidogrel: 30 Blister Pack In 1 Carton (0904-6467-07)  / 1 Tablet, Film Coated In 1 Blister Pack",19.18,19.18,,,0
RC,637,Clopidogrel: 90 Tablet In 1 Bottle (16714-052-02),0.55,0.55,,,0
RC,637,"Clopidogrel: 90 Tablet, Film Coated In 1 Bottle (65862-357-90)",0.63,0.63,,,0
RC,637,Coartem: 24 Tablet In 1 Bottle (0078-0568-45),14.95,14.95,,,0
RC,637,Codeine Sulfate: 10 Blister Pack In 1 Box (0054-0243-24)  / 10 Tablet In 1 Blister Pack,1.4,1.4,,,0
RC,637,Codeine Sulfate: 10 Blister Pack In 1 Box (0054-0244-24)  / 10 Tablet In 1 Blister Pack,2.13,2.13,,,0
RC,637,Codeine Sulfate: 100 Tablet In 1 Bottle (0054-0244-25),1.55,1.55,,,0
RC,637,Colchicine: 100 Tablet In 1 Bottle (59651-455-01),0.53,0.53,,,0
RC,637,Colchicine: 100 Tablet In 1 Bottle (67877-589-01),0.51,0.51,,,0
RC,637,Colchicine: 30 Tablet In 1 Bottle (65162-710-03),1.4,1.4,,,0
RC,637,"Colcrys: 100 Tablet, Film Coated In 1 Bottle, Plastic (64764-119-01)",6.29,6.29,,,0
RC,637,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-30)  / 30 G In 1 Tube,775.07,775.07,,,0
RC,637,Compro: 12 Packet In 1 Carton (0574-7226-12)  / 1 Suppository In 1 Packet,16.88,16.88,,,0
RC,637,Cortef: 50 Tablet In 1 Bottle (0009-0012-01),2.49,2.49,,,0
RC,637,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",5.56,5.56,,,0
RC,637,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",22.79,22.79,,,0
RC,637,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",33.32,33.32,,,0
RC,637,"Creon: 70 Capsule, Delayed Release In 1 Bottle (0032-0045-70)",4.62,4.62,,,0
RC,637,"Cyclobenzaprine Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-644-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-644-01)",0.63,0.63,,,0
RC,637,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-3422-01)",0.63,0.63,,,0
RC,637,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",0.51,0.51,,,0
RC,637,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (72888-014-01)",0.63,0.63,,,0
RC,637,"Cyclobenzaprine Hydrochloride: 30 Blister Pack In 1 Box, Unit-Dose (68084-753-25)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-753-95)",0.97,0.97,,,0
RC,637,Cytomel: 100 Tablet In 1 Bottle (60793-115-01),0.63,0.63,,,0
RC,637,"Cytotec: 60 Tablet In 1 Bottle, Unit-Dose (0025-1451-60)",1.25,1.25,,,0
RC,637,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-621-60),4.26,4.26,,,0
RC,637,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-622-60),7.31,7.31,,,0
RC,637,Dakins Half: 473 Ml In 1 Bottle (0436-0936-16),40.98,40.98,,,0
RC,637,"Dapagliflozin: 30 Tablet, Film Coated In 1 Bottle, Plastic (66993-457-30)",31.25,31.25,,,0
RC,637,Dapsone: 30 Tablet In 1 Bottle (70954-135-10),1.91,1.91,,,0
RC,637,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",2.69,2.69,,,0
RC,637,Dermoplast Pain Relieving: 85 G In 1 Can (16864-680-03),14.69,14.69,,,0
RC,637,"Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1)",191.38,191.38,,,0
RC,637,Desipramine Hydrochloride: 100 Tablet In 1 Bottle (50742-113-01),0.32,0.32,,,0
RC,637,Desitin Maximum Strength: 1 TUBE in 1 CARTON (58232-0721-3)  / 56 g in 1 TUBE,12.4,12.4,,,0
RC,637,"Desmopressin Acetate: 1 Bottle, Spray In 1 Carton (60505-0815-0)  / 50 Spray In 1 Bottle, Spray",220.79,220.79,,,0
RC,637,"Desvenlafaxine: 30 Tablet, Extended Release In 1 Bottle (0591-3659-30)",2.47,2.47,,,0
RC,637,"Desvenlafaxine: 30 Tablet, Film Coated, Extended Release In 1 Bottle (0054-0603-13)",2.6,2.6,,,0
RC,637,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02)  / 5 Ml In 1 Bottle, Dropper",109.55,109.55,,,0
RC,637,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (31722-186-01)",1.43,1.43,,,0
RC,637,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, And Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (64850-511-01)",1.12,1.12,,,0
RC,637,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0527-0765-37)",0.98,0.98,,,0
RC,637,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0555-0973-02)",0.86,0.86,,,0
RC,637,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle, Plastic (42806-339-01)",0.71,0.71,,,0
RC,637,Dextromethorphan Polistirex Extended Release: 1 Bottle In 1 Carton (45802-433-21)  / 89 Ml In 1 Bottle,1.32,1.32,,,0
RC,637,"Diazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-073-10)  / 10 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,637,Diazepam: 100 Blister Pack In 1 Carton (51079-285-20)  / 1 Tablet In 1 Blister Pack (51079-285-01),0.63,0.63,,,0
RC,637,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),0.63,0.63,,,0
RC,637,Diazepam: 100 Tablet In 1 Bottle (0172-3926-60),0.61,0.61,,,0
RC,637,"Diazepam: 3 Tray In 1 Case (68094-750-62)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-750-59)",3.72,3.72,,,0
RC,637,Dibucaine Topical Anesthetic 1% Hemorrhoidal: 1 Tube In 1 Box (0536-1211-95)  / 28 G In 1 Tube,8.38,8.38,,,0
RC,637,"Diclegis: 100 Tablet, Delayed Release In 1 Bottle (55494-100-10)",6.17,6.17,,,0
RC,637,Diclofenac Sodium: 1 Tube In 1 Carton (58602-604-07)  / 100 G In 1 Tube,19.75,19.75,,,0
RC,637,Dicloxacillin Sodium: 100 Capsule In 1 Bottle (0093-3123-01),1.82,1.82,,,0
RC,637,Dicyclomine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6988-61)  / 1 Tablet In 1 Blister Pack,0.98,0.98,,,0
RC,637,"Dicyclomine Hydrochloride: 473 Ml In 1 Bottle, Plastic (0603-1161-58)",0.64,0.64,,,0
RC,637,"Dificid: 1 Bottle In 1 Carton (52015-080-01)  / 20 Tablet, Film Coated In 1 Bottle",339.47,339.47,,,0
RC,637,Diflucan: 30 Tablet In 1 Bottle (0049-3420-30),19.82,19.82,,,0
RC,637,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61)  / 1 Tablet In 1 Blister Pack,2.59,2.59,,,0
RC,637,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61)  / 1 Tablet In 1 Blister Pack,2.39,2.39,,,0
RC,637,Digoxin: 100 Tablet In 1 Bottle (16714-590-01),0.81,0.81,,,0
RC,637,Dilantin: 100 Capsule In 1 Bottle (0071-0369-24),4.08,4.08,,,0
RC,637,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (0904-7218-61)  / 1 Capsule, Extended Release In 1 Blister Pack",0.72,0.72,,,0
RC,637,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (0904-7219-61)  / 1 Capsule, Extended Release In 1 Blister Pack",0.87,0.87,,,0
RC,637,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0318-01)",0.63,0.63,,,0
RC,637,"Diltiazem Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (50742-249-90)",0.55,0.55,,,0
RC,637,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-04)  *  118 Ml In 1 Bottle, Plastic *  .1 G In 1 Bottle, Glass *  ",15.25,15.25,,,0
RC,637,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),0.56,0.56,,,0
RC,637,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6363-61)  / 1 Tablet, Extended Release In 1 Blister Pack",1.66,1.66,,,0
RC,637,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6615-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",1.47,1.47,,,0
RC,637,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6860-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (57237-047-01)",0.54,0.54,,,0
RC,637,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-796-88)",0.63,0.63,,,0
RC,637,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-797-88)",0.63,0.63,,,0
RC,637,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-798-88)",0.46,0.46,,,0
RC,637,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-138-01)",0.63,0.63,,,0
RC,637,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-140-01)",0.61,0.61,,,0
RC,637,"Divalproex Sodium: 100 Tablet, Film Coated, Extended Release In 1 Bottle (16714-485-01)",0.94,0.94,,,0
RC,637,"Divalproex Sodium: 90 Blister Pack In 1 Carton (0904-6861-90)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.69,0.69,,,0
RC,637,"Docusate Sodium - Stool Softener Laxative: 10 Blister Pack In 1 Carton (0904-7183-61)  / 10 Capsule, Liquid Filled In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Docusate Sodium: 1000 Capsule In 1 Bottle, Plastic (0904-6998-80)",0.63,0.63,,,0
RC,637,Dofetilide: 60 Capsule In 1 Bottle (72205-039-60),0.65,0.65,,,0
RC,637,"Donepezil Hydrochloride: 100 Blister Pack In 1 Carton (0904-6477-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,Dorzolamide Hydrochloride And Timolol Maleate Ophthalmic Solution: 1 Bottle In 1 Carton (42571-147-26)  / 10 Ml In 1 Bottle,133.15,133.15,,,0
RC,637,Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle In 1 Carton (70069-051-01)  / 10 Ml In 1 Bottle,4.78,4.78,,,0
RC,637,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (24208-486-10)  / 10 Ml In 1 Bottle, Dropper",55.47,55.47,,,0
RC,637,Doxazosin: 100 Blister Pack In 1 Carton (0904-5522-61)  / 1 Tablet In 1 Blister Pack,2.06,2.06,,,0
RC,637,Doxazosin: 100 Blister Pack In 1 Carton (0904-5523-61)  / 1 Tablet In 1 Blister Pack,1.16,1.16,,,0
RC,637,Doxazosin: 100 Blister Pack In 1 Carton (0904-5524-61)  / 1 Tablet In 1 Blister Pack,2.23,2.23,,,0
RC,637,Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0428-06)  / 1 Capsule In 1 Blister Pack,2.99,2.99,,,0
RC,637,Doxycycline Hyclate: 50 Capsule In 1 Bottle (69238-1100-2),0.68,0.68,,,0
RC,637,"Doxycycline Hyclate: 50 Capsule In 1 Bottle, Plastic (0143-9803-50)",0.625,0.625,,,0
RC,637,Doxycycline: 50 Capsule In 1 Bottle (27808-233-01),0.59,0.59,,,0
RC,637,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),8.75,8.75,,,0
RC,637,"Doxylamine Succinate And Pyridoxine Hydrochloride: 100 Tablet, Delayed Release In 1 Bottle (69452-206-20)",3.81,3.81,,,0
RC,637,"Duloxetine Delayed-Release: 90 Capsule, Delayed Release Pellets In 1 Bottle (51991-746-90)",0.42,0.42,,,0
RC,637,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",3.21,3.21,,,0
RC,637,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7045-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",1.46,1.46,,,0
RC,637,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04)  / 1 Capsule, Delayed Release In 1 Blister Pack",2.49,2.49,,,0
RC,637,"Duloxetine: 30 Capsule, Delayed Release In 1 Bottle (68180-295-06)",0.64,0.64,,,0
RC,637,"Duloxetine: 30 Capsule, Delayed Release Pellets In 1 Bottle (0228-2891-03)",3.66,3.66,,,0
RC,637,"Duloxetine: 30 Capsule, Delayed Release Pellets In 1 Bottle (0228-2892-03)",3.5,3.5,,,0
RC,637,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (68180-294-07)",0.61,0.61,,,0
RC,637,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (27241-098-09)",0.64,0.64,,,0
RC,637,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-296-09)",0.63,0.63,,,0
RC,637,"Edurant: 30 Tablet, Film Coated In 1 Bottle (59676-278-01)",125.29,125.29,,,0
RC,637,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31)  / 10 Tablet, Film Coated In 1 Blister Pack",3.8,3.8,,,0
RC,637,"Eliquis: 10 Blister Pack In 1 Carton (0003-0894-31)  / 10 Tablet, Film Coated In 1 Blister Pack",3.73,3.73,,,0
RC,637,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0893-21)",4.0,4.0,,,0
RC,637,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0894-21)",3.64,3.64,,,0
RC,637,"Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (0093-7704-56)",1.94,1.94,,,0
RC,637,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-444-01),1.24,1.24,,,0
RC,637,Enalapril Maleate: 100 Tablet In 1 Bottle (23155-772-01),0.57,0.57,,,0
RC,637,Entacapone: 100 Tablet In 1 Bottle (27241-049-10),1.28,1.28,,,0
RC,637,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",29.8,29.8,,,0
RC,637,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0696-20)",28.32,28.32,,,0
RC,637,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",29.53,29.53,,,0
RC,637,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (51991-877-33)",1.43,1.43,,,0
RC,637,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.55,0.55,,,0
RC,637,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6427-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-282-10)",0.63,0.63,,,0
RC,637,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (65862-373-01)",0.57,0.57,,,0
RC,637,Estradiol: 100 Tablet In 1 Bottle (0555-0886-02),0.63,0.63,,,0
RC,637,Estradiol: 100 Tablet In 1 Bottle (0555-0887-02),0.63,0.63,,,0
RC,637,Ethambutol Hydrochloride: 100 Tablet In 1 Bottle (68180-280-01),0.88,0.88,,,0
RC,637,"Ethambutol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (42806-102-01)",1.18,1.18,,,0
RC,637,Ezetimibe: 30 Blister Pack In 1 Carton (0904-7103-04)  / 1 Tablet In 1 Blister Pack,19.52,19.52,,,0
RC,637,Ezetimibe: 30 Tablet In 1 Bottle (16714-813-01),0.63,0.63,,,0
RC,637,Ezetimibe: 90 Tablet In 1 Bottle (16714-813-02),0.63,0.63,,,0
RC,637,"Famotidine: 1 Bottle In 1 Carton (69230-326-01)  / 100 Tablet, Film Coated In 1 Bottle",0.63,0.63,,,0
RC,637,"Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10)  / 10 Tablet In 1 Blister Pack",0.5900000000000001,0.5900000000000001,,,0
RC,637,"Famotidine: 100 Blister Pack In 1 Carton (0904-7193-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.565,0.565,,,0
RC,637,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (31722-017-01)",0.63,0.63,,,0
RC,637,"Famotidine: 1000 Tablet, Film Coated In 1 Bottle (0172-5728-80)",0.59,0.59,,,0
RC,637,"Famotidine: 1000 Tablet, Film Coated In 1 Bottle (31722-017-10)",0.605,0.605,,,0
RC,637,Famotidine: 24 Bottle In 1 Box (61442-121-01)  / 100 Tablet In 1 Bottle,0.63,0.63,,,0
RC,637,Famotidine: 24 Bottle In 1 Box (61442-122-01)  / 100 Tablet In 1 Bottle,0.63,0.63,,,0
RC,637,"Famotidine: 50 Blister Pack In 1 Carton (0904-7193-06)  / 1 Tablet, Film Coated In 1 Blister Pack",0.56,0.56,,,0
RC,637,"Famotidine: 500 Tablet, Film Coated In 1 Bottle (0172-5728-70)",0.59,0.59,,,0
RC,637,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6205-30)",33.93,33.93,,,0
RC,637,Febuxostat: 30 Tablet In 1 Bottle (27808-207-01),2.97,2.97,,,0
RC,637,"Febuxostat: 30 Tablet, Film Coated In 1 Bottle (72205-028-30)",1.2,1.2,,,0
RC,637,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9112-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,39.32,39.32,,,0
RC,637,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9125-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,17.69,17.69,,,0
RC,637,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9150-76)  / 1 Patch In 1 Pouch / 72 H In 1 Patch,32.7,32.7,,,0
RC,637,"Finasteride: 100 Blister Pack In 1 Carton (0904-6830-61)  / 1 Tablet, Film Coated In 1 Blister Pack",2.62,2.62,,,0
RC,637,"Finasteride: 30 Tablet, Film Coated In 1 Bottle (31722-526-30)",0.63,0.63,,,0
RC,637,"Finasteride: 30 Tablet, Film Coated In 1 Bottle (65862-927-30)",0.63,0.63,,,0
RC,637,"Finasteride: 90 Tablet, Film Coated In 1 Bottle (65862-149-90)",0.63,0.63,,,0
RC,637,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0010-20)  / 1 Tablet In 1 Blister Pack,1.1,1.1,,,0
RC,637,Flecainide Acetate: 100 Tablet In 1 Bottle (0054-0010-25),1.53,1.53,,,0
RC,637,Flecainide Acetate: 100 Tablet In 1 Bottle (0054-0011-25),2.37,2.37,,,0
RC,637,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),0.27,0.27,,,0
RC,637,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",2.95,2.95,,,0
RC,637,Fluconazole: 1 Bottle In 1 Carton (16714-696-01)  / 35 Ml In 1 Bottle,6.57,6.57,,,0
RC,637,Fluconazole: 100 Blister Pack In 1 Carton (0904-6500-61)  / 1 Tablet In 1 Blister Pack,2.58,2.58,,,0
RC,637,Fluconazole: 100 Blister Pack In 1 Carton (0904-6501-61)  / 1 Tablet In 1 Blister Pack,4.13,4.13,,,0
RC,637,Fluconazole: 100 Tablet In 1 Bottle (16714-691-02),1.71,1.71,,,0
RC,637,Fludrocortisone Acetate: 100 Tablet In 1 Bottle (0555-0997-02),0.63,0.63,,,0
RC,637,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61)  / 1 Capsule In 1 Blister Pack,0.63,0.63,,,0
RC,637,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61)  / 1 Capsule In 1 Blister Pack,0.63,0.63,,,0
RC,637,Fluoxetine: 100 Blister Pack In 1 Carton (0904-7346-61)  / 1 Capsule In 1 Blister Pack,0.4,0.4,,,0
RC,637,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),0.61,0.61,,,0
RC,637,Fluoxetine: 100 Capsule In 1 Bottle (16714-721-02),0.4,0.4,,,0
RC,637,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0527-1790-01)",7.6,7.6,,,0
RC,637,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99)  / 120 Spray, Metered In 1 Bottle, Glass",21.48,21.48,,,0
RC,637,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0165-1),0.76,0.76,,,0
RC,637,Folic Acid: 100 Blister Pack In 1 Carton (0904-7224-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Folic Acid: 100 Blister Pack In 1 Carton (60687-681-01)  / 1 Tablet In 1 Blister Pack (60687-681-11),0.63,0.63,,,0
RC,637,Fosfomycin Tromethamine: 1 Powder In 1 Packet (70700-268-99),207.35,207.35,,,0
RC,637,Foster And Thrive Earwax Removal Drops: 1 Bottle In 1 Box (70677-1154-1)  / 15 Ml In 1 Bottle,5.74,5.74,,,0
RC,637,"Foster And Thrive Nicotine: 110 Blister Pack In 1 Carton (70677-1192-1)  / 1 Gum, Chewing In 1 Blister Pack",0.63,0.63,,,0
RC,637,Furosemide: 10 Blister Pack In 1 Carton (0054-8297-25)  / 10 Tablet In 1 Blister Pack,0.585,0.585,,,0
RC,637,Furosemide: 10 Blister Pack In 1 Carton (0054-8299-25)  / 10 Tablet In 1 Blister Pack,0.53,0.53,,,0
RC,637,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-984-10)  / 10 CAPSULE in 1 BLISTER PACK",0.63,0.63,,,0
RC,637,Gabapentin: 10 Blister Pack In 1 Carton (63739-902-10)  / 10 Capsule In 1 Blister Pack,0.54,0.54,,,0
RC,637,Gabapentin: 10 Blister Pack In 1 Carton (63739-903-10)  / 10 Capsule In 1 Blister Pack,0.44,0.44,,,0
RC,637,Gabapentin: 10 Blister Pack In 1 Carton (63739-904-10)  / 10 Capsule In 1 Blister Pack,0.44,0.44,,,0
RC,637,"Gabapentin: 100 Blister Pack In 1 Box, Unit-Dose (60687-518-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-518-11)",0.89,0.89,,,0
RC,637,"Gabapentin: 100 Blister Pack In 1 Box, Unit-Dose (60687-580-01)  / 1 Capsule In 1 Blister Pack (60687-580-11)",0.58,0.58,,,0
RC,637,Gabapentin: 100 Blister Pack In 1 Carton (0904-6665-61)  / 1 Capsule In 1 Blister Pack,0.55,0.55,,,0
RC,637,Gabapentin: 100 Blister Pack In 1 Carton (0904-6666-61)  / 1 Capsule In 1 Blister Pack,0.45,0.45,,,0
RC,637,Gabapentin: 100 Blister Pack In 1 Carton (0904-6667-61)  / 1 Capsule In 1 Blister Pack,0.63,0.63,,,0
RC,637,"Gabapentin: 100 Blister Pack In 1 Carton (0904-6823-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Gabapentin: 100 Blister Pack In 1 Carton (0904-7108-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.77,0.77,,,0
RC,637,Gabapentin: 100 Capsule In 1 Bottle (16714-661-01),0.5,0.5,,,0
RC,637,Gabapentin: 100 Capsule In 1 Bottle (16714-662-01),0.51,0.51,,,0
RC,637,Gabapentin: 100 Capsule In 1 Bottle (65162-102-10),0.48,0.48,,,0
RC,637,"Gabapentin: 100 Tablet, Film Coated In 1 Bottle (0228-2637-11)",1.9,1.9,,,0
RC,637,"Gabapentin: 6 Ml In 1 Cup, Unit-Dose (42192-608-06)",7.27,7.27,,,0
RC,637,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-35)  / 15 G In 1 Tube,76.12,76.12,,,0
RC,637,Gericare Senna Syrup: 237 Ml In 1 Bottle (57896-472-08),1.11,1.11,,,0
RC,637,Glipizide: 100 Blister Pack In 1 Carton (0904-6637-61)  / 1 Tablet In 1 Blister Pack,0.61,0.61,,,0
RC,637,Glucotrol: 100 TABLET in 1 BOTTLE (0049-4110-66),0.96,0.96,,,0
RC,637,Glyburide: 100 Tablet In 1 Bottle (0093-8344-01),0.63,0.63,,,0
RC,637,Glycopyrrolate: 100 Blister Pack In 1 Carton (0904-6709-61)  / 1 Tablet In 1 Blister Pack,2.89,2.89,,,0
RC,637,Glycopyrrolate: 100 Tablet In 1 Bottle (23155-606-01),0.32,0.32,,,0
RC,637,"Good Sense Acid Reducer: 30 Blister Pack In 1 Carton (0113-0141-65)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,Guanfacine Hydrochloride: 100 Tablet In 1 Bottle (24979-198-01),1.2,1.2,,,0
RC,637,Haloperidol: 100 Blister Pack In 1 Carton (0904-6733-61)  / 1 Tablet In 1 Blister Pack,2.31,2.31,,,0
RC,637,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61)  / 1 Tablet In 1 Blister Pack,1.46,1.46,,,0
RC,637,"Heartburn Relief Original Strength: 1 Bottle In 1 Carton (0904-5529-52)  / 60 Tablet, Film Coated In 1 Bottle",0.62,0.62,,,0
RC,637,"Heartburn Relief Original Strength: 30 Blister Pack In 1 Carton (0904-5529-87)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,Hemorrhoidal: 1 Tube In 1 Carton (45802-188-16)  / 57 G In 1 Tube,5.19,5.19,,,0
RC,637,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-01)  / 10 Ml In 1 Vial, Multi-Dose",38.09,38.09,,,0
RC,637,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-327-10)  / 10 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-328-10)  / 10 Tablet In 1 Blister Pack,0.43,0.43,,,0
RC,637,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6441-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6442-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
RC,637,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-833-01),0.56,0.56,,,0
RC,637,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-834-01),0.52,0.52,,,0
RC,637,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-398-01),0.59,0.59,,,0
RC,637,Hydrochlorothiazide: 100 BLISTER PACK in 1 CARTON (51079-776-20)  / 1 CAPSULE in 1 BLISTER PACK (51079-776-01),0.63,0.63,,,0
RC,637,"Hydrochlorothiazide: 100 Capsule, Gelatin Coated In 1 Bottle (0591-0347-01)",0.63,0.63,,,0
RC,637,Hydrochlorothiazide: 100 Tablet In 1 Bottle (0172-2083-60),0.63,0.63,,,0
RC,637,Hydrochlorothiazide: 100 Tablet In 1 Bottle (0172-2089-60),0.63,0.63,,,0
RC,637,Hydrochlorothiazide: 100 Tablet In 1 Bottle (16729-183-01),0.63,0.63,,,0
RC,637,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0406-0376-01),0.815,0.815,,,0
RC,637,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (10702-192-01),0.47,0.47,,,0
RC,637,"Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle, Plastic (27808-114-01)",1.05,1.05,,,0
RC,637,Hydrocortisone: 1 Tube In 1 Carton (45802-276-03)  / 28 G In 1 Tube,4.22,4.22,,,0
RC,637,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03)  / 28 G In 1 Tube,4.07,4.07,,,0
RC,637,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0075-1),1.24,1.24,,,0
RC,637,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (64380-971-06)",1.13,1.13,,,0
RC,637,"Hydrogen Peroxide: 473 Ml In 1 Bottle, Plastic (0869-0871-43)",26.08,26.08,,,0
RC,637,"Hydrogen Peroxide: 473 Ml In 1 Bottle, Plastic (70677-1248-1)",20.53,20.53,,,0
RC,637,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),0.62,0.62,,,0
RC,637,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3244-01),0.615,0.615,,,0
RC,637,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-301-01)",0.62,0.62,,,0
RC,637,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-302-01)",0.83,0.83,,,0
RC,637,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25)  / 25 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-302-25)  / 25 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-483-10)  / 10 Tablet In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-486-10)  / 10 Tablet In 1 Blister Pack",0.61,0.61,,,0
RC,637,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-081-10),0.63,0.63,,,0
RC,637,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-500-01),0.63,0.63,,,0
RC,637,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-501-01),0.63,0.63,,,0
RC,637,Hyoscyamine Sulfate Sl: 100 Tablet In 1 Bottle (42192-339-01),0.63,0.63,,,0
RC,637,"Ibuprofen: 10 Blister Pack In 1 Carton (0904-7914-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.33,0.33,,,0
RC,637,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-468-01)  / 1 Tablet In 1 Blister Pack (60687-468-11)",0.63,0.63,,,0
RC,637,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5853-61)  / 1 Tablet In 1 Blister Pack,0.605,0.605,,,0
RC,637,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5854-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Ibuprofen: 100 Tablet In 1 Bottle (65162-464-10),0.56,0.56,,,0
RC,637,Ibuprofen: 100 Tablet In 1 Bottle (65162-465-10),0.63,0.63,,,0
RC,637,Ibuprofen: 25 BLISTER PACK in 1 BOX (63739-684-01)  / 30 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
RC,637,Ibuprofen: 500 Tablet In 1 Bottle (0904-5853-40),0.57,0.57,,,0
RC,637,"Imipramine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69315-134-01)",0.63,0.63,,,0
RC,637,"Imipramine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69315-135-01)",0.63,0.63,,,0
RC,637,"Infants: 1 Bottle, Dropper In 1 Carton (0536-1303-75)  / 30 Ml In 1 Bottle, Dropper",0.63,0.63,,,0
RC,637,"Insta-Char Aqueous Cherry: 120 Ml In 1 Bottle, Plastic (66689-202-04)",58.59,58.59,,,0
RC,637,"Insulin Aspart: 1 Vial, Glass In 1 Carton (73070-100-11)  / 10 Ml In 1 Vial, Glass",0.15000000000000002,0.15000000000000002,,,0
RC,637,"Insulin Aspart: 5 Syringe, Plastic In 1 Carton (73070-103-15)  / 3 Ml In 1 Syringe, Plastic (73070-103-10)",78.27,78.27,,,0
RC,637,"Iophen C NR: 473 mL in 1 BOTTLE, PLASTIC (0603-1329-58)",1.49,1.49,,,0
RC,637,"Irbesartan: 90 TABLET, FILM COATED in 1 BOTTLE (0955-1042-90)",1.12,1.12,,,0
RC,637,Irbesartan: 90 Tablet In 1 Bottle (31722-729-90),0.63,0.63,,,0
RC,637,Irbesartan: 90 Tablet In 1 Bottle (31722-730-90),0.59,0.59,,,0
RC,637,Irbesartan: 90 Tablet In 1 Bottle (31722-731-90),0.63,0.63,,,0
RC,637,"Isentress: 60 Tablet, Film Coated In 1 Bottle (0006-0227-61)",92.45,92.45,,,0
RC,637,"Isopropyl Alcohol 70 Percent: 473 mL in 1 BOTTLE, PLASTIC (10135-106-08)",5.16,5.16,,,0
RC,637,Isopropyl Alcohol: 473 Ml In 1 Bottle (53329-800-06),2.59,2.59,,,0
RC,637,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6619-61)  / 1 Tablet In 1 Blister Pack,1.18,1.18,,,0
RC,637,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6620-61)  / 1 Tablet In 1 Blister Pack,1.38,1.38,,,0
RC,637,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (16714-008-01),1.12,1.12,,,0
RC,637,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (16714-009-01),1.36,1.36,,,0
RC,637,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6449-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.78,0.78,,,0
RC,637,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6450-61)  / 1 Tablet, Extended Release In 1 Blister Pack",0.84,0.84,,,0
RC,637,"Isosorbide Mononitrate: 100 Tablet, Extended Release In 1 Bottle (23155-178-01)",0.84,0.84,,,0
RC,637,Ivermectin: 2 Blister Pack In 1 Carton (42799-806-01)  / 10 Tablet In 1 Blister Pack,10.02,10.02,,,0
RC,637,Jantoven: 100 Tablet In 1 Bottle (0832-1218-00),0.63,0.63,,,0
RC,637,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0112-31)",28.4,28.4,,,0
RC,637,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0277-31)",30.07,30.07,,,0
RC,637,"Jardiance: 30 Blister Pack In 1 Carton (0597-0152-37)  / 1 Tablet, Film Coated In 1 Blister Pack",34.55,34.55,,,0
RC,637,"Jardiance: 30 Blister Pack In 1 Carton (0597-0153-37)  / 1 Tablet, Film Coated In 1 Blister Pack",33.33,33.33,,,0
RC,637,"Jardiance: 90 Tablet, Film Coated In 1 Bottle (0597-0152-90)",32.55,32.55,,,0
RC,637,"Keppra: 120 Tablet, Film Coated In 1 Bottle, Plastic (50474-595-40)",0.63,0.63,,,0
RC,637,"Klor-Con M: 1000 Tablet, Extended Release In 1 Bottle (0245-5319-10)",0.38,0.38,,,0
RC,637,"Labetalol HCl: 100 BLISTER PACK in 1 CARTON (51079-928-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-928-01)",0.85,0.85,,,0
RC,637,"Labetalol hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-5929-61)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",0.14,0.14,,,0
RC,637,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),4.04,4.04,,,0
RC,637,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68)  / 1 Tablet, Film Coated In 1 Blister Pack",2.52,2.52,,,0
RC,637,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68)  / 1 Tablet, Film Coated In 1 Blister Pack",4.12,4.12,,,0
RC,637,"Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15)",3.36,3.36,,,0
RC,637,Lactulose: 473 Ml In 1 Bottle (0121-0873-16),0.83,0.83,,,0
RC,637,"Lamivudine: 30 Blister Pack In 1 Carton (0904-6583-04)  / 1 Tablet, Film Coated In 1 Blister Pack",12.52,12.52,,,0
RC,637,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7007-61)  / 1 Tablet In 1 Blister Pack,0.43,0.43,,,0
RC,637,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7008-61)  / 1 Tablet In 1 Blister Pack,0.33,0.33,,,0
RC,637,Lamotrigine: 100 TABLET in 1 BOTTLE (0093-0039-01),0.23,0.23,,,0
RC,637,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33)  / 10 Ml In 1 Vial, Glass",166.815,166.815,,,0
RC,637,Lasix: 100 TABLET in 1 BOTTLE (0039-0067-10),0.63,0.63,,,0
RC,637,Lasix: 100 Tablet In 1 Bottle (30698-067-01),2.09,2.09,,,0
RC,637,Leflunomide: 30 Tablet In 1 Bottle (23155-043-03),1.96,1.96,,,0
RC,637,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-130-06)",0.98,0.98,,,0
RC,637,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7124-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.48,0.48,,,0
RC,637,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7125-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.62,0.62,,,0
RC,637,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (16714-035-01)",0.63,0.63,,,0
RC,637,Levetiracetam: 473 Ml In 1 Bottle (31722-574-47),1.13,1.13,,,0
RC,637,"Levofloxacin: 50 Tablet, Film Coated In 1 Bottle (65862-536-50)",0.82,0.82,,,0
RC,637,Levothyroxine Sodium: 90 Tablet In 1 Bottle (16729-456-15),0.63,0.63,,,0
RC,637,Levothyroxine Sodium: 90 Tablet In 1 Bottle (68180-966-09),0.63,0.63,,,0
RC,637,"Lexapro: 100 Tablet, Film Coated In 1 Bottle (0456-2005-01)",6.03,6.03,,,0
RC,637,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5)  / 14 G In 1 Pouch (82347-0505-4),5.51,5.51,,,0
RC,637,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),1.4900000000000002,1.4900000000000002,,,0
RC,637,Lidocaine: 30 Pouch In 1 Carton (65162-791-08)  / 1 Patch In 1 Pouch (65162-791-04),5.73,5.73,,,0
RC,637,"Linezolid: 1 Blister Pack In 1 Carton (67877-419-33)  / 10 Tablet, Film Coated In 1 Blister Pack",7.46,7.46,,,0
RC,637,"Linzess: 1 Bottle In 1 Carton (0456-1201-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",43.83,43.83,,,0
RC,637,"Linzess: 1 Bottle In 1 Carton (0456-1202-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",47.12,47.12,,,0
RC,637,"Linzess: 1 Bottle In 1 Carton (0456-1203-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",50.38,50.38,,,0
RC,637,Liothyronine Sodium: 100 Tablet In 1 Bottle (0093-2179-01),1.1,1.1,,,0
RC,637,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-166-01),1.05,1.05,,,0
RC,637,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-167-01),1.19,1.19,,,0
RC,637,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (0054-0660-25),7.39,7.39,,,0
RC,637,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-562-01),19.17,19.17,,,0
RC,637,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-564-01),19.65,19.65,,,0
RC,637,Lisdexamfetamine Dimesylate: 90 Capsule In 1 Bottle (65162-024-09),6.96,6.96,,,0
RC,637,Lisinopril: 100 Blister Pack In 1 Carton (0904-6797-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Lisinopril: 100 Blister Pack In 1 Carton (0904-6798-61)  / 1 Tablet In 1 Blister Pack,0.48,0.48,,,0
RC,637,Lisinopril: 100 Blister Pack In 1 Carton (0904-6799-61)  / 1 Tablet In 1 Blister Pack,0.45,0.45,,,0
RC,637,Lisinopril: 100 Tablet In 1 Bottle (68180-980-01),0.55,0.55,,,0
RC,637,Lisinopril: 100 Tablet In 1 Bottle (68180-981-01),0.43,0.43,,,0
RC,637,Lithium Carbonate Er: 100 Tablet In 1 Bottle (68462-224-01),0.63,0.63,,,0
RC,637,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8526-25)",0.63,0.63,,,0
RC,637,Lithium Carbonate: 10 Tablet In 1 Blister Pack (0054-8528-25),0.63,0.63,,,0
RC,637,Lithium Carbonate: 100 Tablet In 1 Bottle (0054-4527-25),0.53,0.53,,,0
RC,637,"Lithium Carbonate: 1000 Capsule, Gelatin Coated In 1 Bottle (0054-2527-31)",0.63,0.63,,,0
RC,637,Lopressor: 100 TABLET in 1 BOTTLE (0078-0458-05),2.42,2.42,,,0
RC,637,Loratadine: 1 Blister Pack In 1 Carton (58602-702-83)  / 10 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Loratadine: 100 Blister Pack In 1 Carton (0904-6852-61)  / 1 Tablet In 1 Blister Pack,0.64,0.64,,,0
RC,637,Loratadine: 100 Tablet In 1 Bottle (70010-162-01),0.63,0.63,,,0
RC,637,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61)  / 1 Tablet In 1 Blister Pack,0.5449999999999999,0.5449999999999999,,,0
RC,637,Lorazepam: 100 TABLET in 1 BOTTLE (0228-2057-10),0.63,0.63,,,0
RC,637,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),0.63,0.63,,,0
RC,637,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3425-01)",0.565,0.565,,,0
RC,637,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",0.54,0.54,,,0
RC,637,Lorazepam: 500 Tablet In 1 Bottle (13107-084-05),0.48,0.48,,,0
RC,637,"Losartan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-686-10)  / 10 Tablet, Film Coated In 1 Blister Pack",1.26,1.26,,,0
RC,637,"Losartan Potassium: 100 Blister Pack In 1 Box, Unit-Dose (68084-346-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-346-11)",1.0,1.0,,,0
RC,637,"Losartan Potassium: 100 Blister Pack In 1 Carton (0904-7048-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.78,0.78,,,0
RC,637,Losartan Potassium: 90 Tablet In 1 Bottle (68180-377-09),0.4,0.4,,,0
RC,637,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (31722-700-90)",0.49,0.49,,,0
RC,637,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (31722-701-90)",0.49,0.49,,,0
RC,637,"Losortan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-673-10)  / 10 Tablet, Film Coated In 1 Blister Pack",1.09,1.09,,,0
RC,637,"Low Dose Aspirin: 30 Blister Pack In 1 Box (63739-212-02)  / 10 Tablet, Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,Lubiprostone: 60 Capsule In 1 Bottle (65162-841-06),2.43,2.43,,,0
RC,637,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3029-02)",1.83,1.83,,,0
RC,637,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (43598-163-60)",5.99,5.99,,,0
RC,637,"Lurasidone Hydrochloride: 30 Tablet, Coated In 1 Bottle (65162-880-03)",1.62,1.62,,,0
RC,637,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",2.57,2.57,,,0
RC,637,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (0904-7418-44)",5.83,5.83,,,0
RC,637,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (70677-1111-1)",4.86,4.86,,,0
RC,637,Magnesium Oxide: 120 Tablet In 1 Bottle (0603-0209-22),0.63,0.63,,,0
RC,637,"Major Bismuth Subsalicylate: 5 Blister Pack In 1 Box (0904-7205-46)  / 6 Tablet, Chewable In 1 Blister Pack",0.32,0.32,,,0
RC,637,Major Medi-Pads: 100 Packet In 1 Package (0904-6829-60)  / 2.9 G In 1 Packet,0.08,0.08,,,0
RC,637,"Major Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (0904-7035-88)",2.56,2.56,,,0
RC,637,"Meclizine Hcl 12.5 Mg: 100 Tablet In 1 Bottle, Plastic (69618-027-01)",0.38,0.38,,,0
RC,637,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7376-61)  / 1 Tablet In 1 Blister Pack,0.9,0.9,,,0
RC,637,"Meclizine Hydrochloride: 50 Blister Pack In 1 Box, Unit-Dose (50268-522-15)  / 1 Tablet In 1 Blister Pack (50268-522-11)",0.84,0.84,,,0
RC,637,"Meclizine: 100 Tablet In 1 Bottle, Plastic (0536-1297-01)",0.38,0.38,,,0
RC,637,Medpura Vitamin A And D Vitamin A And D: 113 G In 1 Tube (71399-0122-4),3.24,3.24,,,0
RC,637,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0779-02),0.42,0.42,,,0
RC,637,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0872-02),0.63,0.63,,,0
RC,637,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0873-02),0.34,0.34,,,0
RC,637,Meloxicam: 100 Tablet In 1 Bottle (29300-124-01),0.55,0.55,,,0
RC,637,"Memantine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6506-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.88,0.88,,,0
RC,637,"Memantine Hydrochloride: 60 Tablet, Film Coated In 1 Bottle, Plastic (29300-171-16)",0.63,0.63,,,0
RC,637,Memantine: 500 Tablet In 1 Bottle (72603-119-02),0.63,0.63,,,0
RC,637,Mephyton: 1 BOTTLE in 1 CARTON (0187-1704-05)  / 100 TABLET in 1 BOTTLE,120.5,120.5,,,0
RC,637,Mephyton: 1 BOTTLE in 1 CARTON (25010-405-15)  / 100 TABLET in 1 BOTTLE,11.0,11.0,,,0
RC,637,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle, Plastic (0378-1375-78)",9.27,9.27,,,0
RC,637,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (0093-5907-86)",6.53,6.53,,,0
RC,637,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (59762-0117-1)",3.58,3.58,,,0
RC,637,Mesalamine: 60 Ml In 1 Bottle (45802-098-46),34.83,34.83,,,0
RC,637,Metamucil Therapy For Regularity: 30 Packet In 1 Carton (37000-024-04)  / 5.8 G In 1 Packet,1.26,1.26,,,0
RC,637,Metamucil Therapy For Regularity: 5.8 G In 1 Packet (37000-024-10),0.92,0.92,,,0
RC,637,Metformin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7162-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Metformin Hydrochloride: 100 Tablet In 1 Bottle (70010-063-01),0.46,0.46,,,0
RC,637,"Metformin Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (42385-947-01)",0.63,0.63,,,0
RC,637,"Metformin: 100 Tablet, Extended Release In 1 Bottle (70010-491-01)",0.5,0.5,,,0
RC,637,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0709-20)  / 100 Tablet In 1 Blister Pack,0.54,0.54,,,0
RC,637,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5755-23),0.66,0.66,,,0
RC,637,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),0.73,0.73,,,0
RC,637,"Methadose: 1000 Ml In 1 Bottle, Plastic (0406-0527-10)",1.66,1.66,,,0
RC,637,Methimazole: 100 TABLET in 1 BOTTLE (0185-0210-01),0.7,0.7,,,0
RC,637,Methimazole: 100 Tablet In 1 Bottle (23155-070-01),0.63,0.63,,,0
RC,637,Methimazole: 100 Tablet In 1 Bottle (23155-071-01),0.63,0.63,,,0
RC,637,Methocarbamol: 100 Blister Pack In 1 Carton (0904-7058-61)  / 1 Tablet In 1 Blister Pack,0.64,0.64,,,0
RC,637,Methylergonovine Maleate: 28 Tablet In 1 Bottle (69238-1605-8),31.95,31.95,,,0
RC,637,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (16729-478-01),0.49,0.49,,,0
RC,637,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (16729-479-01),0.43,0.43,,,0
RC,637,"Metoclopramide: 100 Blister Pack In 1 Box, Unit-Dose (60687-631-01)  / 1 Tablet In 1 Blister Pack (60687-631-11)",1.51,1.51,,,0
RC,637,Metoclopramide: 100 Tablet In 1 Bottle (0093-2203-01),0.63,0.63,,,0
RC,637,Metoclopramide: 100 Tablet In 1 Bottle (0093-2204-01),0.63,0.63,,,0
RC,637,"Metoclopramide: 473 Ml In 1 Bottle, Plastic (62559-190-16)",0.63,0.63,,,0
RC,637,Metoclopramide: 500 Tablet In 1 Bottle (0093-2204-05),0.63,0.63,,,0
RC,637,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.53,1.53,,,0
RC,637,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6323-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",2.08,2.08,,,0
RC,637,"Metoprolol Succinate: 100 Tablet, Extended Release In 1 Bottle (50742-615-01)",0.63,0.63,,,0
RC,637,"Metoprolol Succinate: 1000 Tablet, Extended Release In 1 Bottle (50742-616-10)",0.4,0.4,,,0
RC,637,"Metoprolol Succinate: 50 Blister Pack In 1 Box, Unit-Dose (50268-541-15)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-541-11)",0.84,0.84,,,0
RC,637,"Metoprolol Succinate: 500 Tablet, Extended Release In 1 Bottle (72516-030-50)",0.58,0.58,,,0
RC,637,"Metoprolol Succinate: 500 Tablet, Film Coated, Extended Release In 1 Bottle (72603-142-02)",0.61,0.61,,,0
RC,637,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0018-01)",0.62,0.62,,,0
RC,637,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0032-01)",0.63,0.63,,,0
RC,637,"Metoprolol Tartrate: 500 Tablet, Film Coated In 1 Bottle, Plastic (0378-0018-05)",0.63,0.63,,,0
RC,637,Metronidazole: 1 Tube In 1 Carton (51672-4116-6)  / 45 G In 1 Tube,96.63,96.63,,,0
RC,637,Metronidazole: 100 Blister Pack In 1 Carton (0904-7156-61)  / 1 Tablet In 1 Blister Pack,0.82,0.82,,,0
RC,637,"Metronidazole: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-226-01)",0.4,0.4,,,0
RC,637,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (0093-8739-01),2.05,2.05,,,0
RC,637,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-2)  / 30 G In 1 Tube,7.15,7.15,,,0
RC,637,"Miconazole Nitrate: 1 Tube, With Applicator In 1 Carton (51672-2035-6)  / 45 G In 1 Tube, With Applicator",7.92,7.92,,,0
RC,637,"Midazolam Hydrochloride: 118 Ml In 1 Bottle, Glass (0054-3566-99)",1.28,1.28,,,0
RC,637,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6817-61)  / 1 Tablet In 1 Blister Pack,2.26,2.26,,,0
RC,637,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6818-61)  / 1 Tablet In 1 Blister Pack,1.55,1.55,,,0
RC,637,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0211-11),0.63,0.63,,,0
RC,637,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0212-11),0.7,0.7,,,0
RC,637,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0213-11),1.17,1.17,,,0
RC,637,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",3.27,3.27,,,0
RC,637,Minoxidil: 100 Tablet In 1 Bottle (53489-386-01),0.63,0.63,,,0
RC,637,"Mirabegron: 30 Tablet, Extended Release In 1 Bottle (70710-1159-3)",22.55,22.55,,,0
RC,637,"Mirabegron: 30 Tablet, Film Coated, Extended Release In 1 Bottle (68180-152-06)",28.24,28.24,,,0
RC,637,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (13107-001-30)",2.19,2.19,,,0
RC,637,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (57237-008-30)",0.3,0.3,,,0
RC,637,"Mirtazapine: 5 Blister Pack In 1 Carton (65862-021-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",0.86,0.86,,,0
RC,637,"Mirtazapine: 500 Tablet, Film Coated In 1 Bottle (13107-001-05)",1.26,1.26,,,0
RC,637,Misoprostol: 100 Tablet In 1 Bottle (43386-161-01),2.38,2.38,,,0
RC,637,Misoprostol: 100 Tablet In 1 Bottle (59762-5008-2),2.5,2.5,,,0
RC,637,Misoprostol: 100 Tablet In 1 Bottle (70954-444-20),1.46,1.46,,,0
RC,637,Mometasone Furoate: 1 Tube In 1 Carton (0713-0634-15)  / 15 G In 1 Tube,31.15,31.15,,,0
RC,637,"Montelukast Sodium: 100 Blister Pack In 1 Carton (0904-6808-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Montelukast Sodium: 90 Tablet, Film Coated In 1 Bottle (65862-574-90)",0.63,0.63,,,0
RC,637,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6557-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.02,1.02,,,0
RC,637,"Morphine Sulfate Extended Release: 100 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (42858-802-01)",1.24,1.24,,,0
RC,637,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8315-23)",1.2,1.2,,,0
RC,637,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8330-23)",2.31,2.31,,,0
RC,637,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24)  / 1 Tablet In 1 Blister Pack,1.22,1.22,,,0
RC,637,Morphine Sulfate: 100 Tablet In 1 Bottle (0054-0235-25),1.15,1.15,,,0
RC,637,Morphine Sulfate: 500 Ml In 1 Bottle (0054-0237-63),0.63,0.63,,,0
RC,637,"Moxifloxacin Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-603-30)",5.81,5.81,,,0
RC,637,"Mucinex: 500 Tablet, Extended Release In 1 Bottle (63824-008-50)",0.85,0.85,,,0
RC,637,"Mucus Relief Er: 100 Blister Pack In 1 Carton (0904-6718-39)  / 1 Tablet, Extended Release In 1 Blister Pack",1.44,1.44,,,0
RC,637,"Mucus Relief: 500 Tablet, Extended Release In 1 Bottle (0904-6986-40)",0.6,0.6,,,0
RC,637,"Multaq: 60 Tablet, Film Coated In 1 Bottle (0024-4142-60)",28.21,28.21,,,0
RC,637,Mupirocin: 1 Tube In 1 Carton (16714-055-01)  / 15 G In 1 Tube,273.98,273.98,,,0
RC,637,"Myrbetriq: 1 Bottle In 1 Carton (0469-2601-30)  / 30 Tablet, Film Coated, Extended Release In 1 Bottle",37.14,37.14,,,0
RC,637,"Myrbetriq: 1 Bottle In 1 Carton (0469-2601-90)  / 90 Tablet, Film Coated, Extended Release In 1 Bottle",40.85,40.85,,,0
RC,637,"Myrbetriq: 1 Bottle In 1 Carton (0469-2602-30)  / 30 Tablet, Film Coated, Extended Release In 1 Bottle",37.23,37.23,,,0
RC,637,NDC Description Not Available,2.7350000000000003,2.7350000000000003,,,0
RC,637,Nadolol: 100 Tablet In 1 Bottle (76385-133-01),0.54,0.54,,,0
RC,637,Nadolol: 100 Tablet In 1 Bottle (76385-134-01),0.63,0.63,,,0
RC,637,Naproxen: 100 Tablet In 1 Bottle (65162-188-10),0.42,0.42,,,0
RC,637,Naproxen: 100 Tablet In 1 Bottle (69097-853-07),0.32,0.32,,,0
RC,637,"Neo-Synephrine Mild: 15 Ml In 1 Bottle, Spray (0225-0800-47)",9.33,9.33,,,0
RC,637,Nicotine Transdermal System Step 3: 14 Patch In 1 Carton (0536-1106-88)  / 24 H In 1 Patch,4.02,4.02,,,0
RC,637,"Nicotine: 110 Blister Pack In 1 Carton (45802-827-25)  / 1 Gum, Chewing In 1 Blister Pack",0.63,0.63,,,0
RC,637,Nicotine: 14 Pouch In 1 Carton (0536-5894-88)  / 1 H In 1 Pouch,3.65,3.65,,,0
RC,637,Nicotine: 14 Pouch In 1 Carton (0536-5896-88)  / 1 H In 1 Pouch,3.64,3.64,,,0
RC,637,Nifedipine: 100 Blister Pack In 1 Carton (0904-7229-61)  / 1 Capsule In 1 Blister Pack,2.28,2.28,,,0
RC,637,Nifedipine: 100 Capsule In 1 Bottle (23155-194-01),0.75,0.75,,,0
RC,637,"Nifedipine: 100 Capsule In 1 Bottle, Plastic (69315-211-01)",1.06,1.06,,,0
RC,637,Nitro-Bid: 30 G In 1 Tube (0281-0326-30),86.34,86.34,,,0
RC,637,Nitro-Bid: 48 Packet In 1 Box (0281-0326-08)  / 1 G In 1 Packet,5.61,5.61,,,0
RC,637,Nitro-Bid: 60 G In 1 Tube (0281-0326-60),181.4,181.4,,,0
RC,637,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Blister Pack In 1 Carton (60687-633-01)  / 1 Capsule In 1 Blister Pack (60687-633-11),7.12,7.12,,,0
RC,637,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (0185-0122-01),1.1,1.1,,,0
RC,637,Nitrofurantoin Monohydrate/ Macrocrystalline: 100 Blister Pack In 1 Carton (0904-7137-61)  / 1 Capsule In 1 Blister Pack,4.75,4.75,,,0
RC,637,"Nitrofurantoin: 1 Bottle, Glass In 1 Carton (69238-2512-9)  / 230 Ml In 1 Bottle, Glass",91.35,91.35,,,0
RC,637,Nitrofurantoin: 230 Ml In 1 Bottle (70954-496-10),150.36,150.36,,,0
RC,637,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13)  / 25 Tablet In 1 Bottle,107.64,107.64,,,0
RC,637,Nivagen Zinc Oxide: 28.4 G In 1 Tube (75834-170-01),8.62,8.62,,,0
RC,637,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),1.2,1.2,,,0
RC,637,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0810-01),0.63,0.63,,,0
RC,637,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0811-01),0.63,0.63,,,0
RC,637,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0812-01),0.63,0.63,,,0
RC,637,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",0.25,0.25,,,0
RC,637,"Novolog: 1 Vial, Glass In 1 Carton (0169-7501-11)  / 10 Ml In 1 Vial, Glass",184.2,184.2,,,0
RC,637,"Novolog: 5 Syringe, Plastic In 1 Carton (0169-6339-10)  / 3 Ml In 1 Syringe, Plastic",41.7,41.7,,,0
RC,637,Np Thyroid 15: 100 Tablet In 1 Bottle (42192-327-01),1.18,1.18,,,0
RC,637,Np Thyroid 30: 100 Tablet In 1 Bottle (42192-329-01),1.47,1.47,,,0
RC,637,"Nurtec Odt: 1 Blister Pack In 1 Carton (72618-3000-2)  / 8 Tablet, Orally Disintegrating In 1 Blister Pack",342.47,342.47,,,0
RC,637,Nystatin: 1 Tube In 1 Carton (45802-048-35)  / 15 G In 1 Tube,18.82,18.82,,,0
RC,637,Nystatin: 1 Tube In 1 Carton (51672-1289-1)  / 15 G In 1 Tube,21.46,21.46,,,0
RC,637,"Nystatin: 15 G In 1 Bottle, Plastic (69315-306-15)",20.64,20.64,,,0
RC,637,"Nystatin: 15 g in 1 BOTTLE, PLASTIC (39822-3015-1)",39.94,39.94,,,0
RC,637,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0)  / 10 Tablet, Film Coated In 1 Blister Pack",0.57,0.57,,,0
RC,637,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3111-0)  / 10 Tablet, Film Coated In 1 Blister Pack",0.58,0.58,,,0
RC,637,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3113-0)  / 10 Tablet, Film Coated In 1 Blister Pack",0.7,0.7,,,0
RC,637,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",3.58,3.58,,,0
RC,637,"Olanzapine: 100 TABLET, FILM COATED in 1 BOTTLE (0093-5767-01)",0.63,0.63,,,0
RC,637,"Olanzapine: 3 Blister Pack In 1 Carton (49884-320-55)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack (49884-320-52)",2.08,2.08,,,0
RC,637,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (13668-086-30)",5.93,5.93,,,0
RC,637,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (60505-3275-3)",1.69,1.69,,,0
RC,637,"Olopatadine Hydrochloride: 1 BOTTLE, PLASTIC in 1 CARTON (60505-0575-1)  / 5 mL in 1 BOTTLE, PLASTIC",96.0,96.0,,,0
RC,637,"Olopatadine Hydrochloride: 1 Bottle, Plastic In 1 Carton (58602-006-40)  / 5 Ml In 1 Bottle, Plastic",19.02,19.02,,,0
RC,637,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-256-66)  / 10 Capsule In 1 Blister Pack,2.86,2.86,,,0
RC,637,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-258-66)  / 10 Capsule In 1 Blister Pack,4.58,4.58,,,0
RC,637,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (47781-468-13)  / 10 Capsule In 1 Blister Pack,22.66,22.66,,,0
RC,637,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (60219-1266-1)  / 10 Capsule In 1 Blister Pack,20.99,20.99,,,0
RC,637,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-042-11)  / 10 Capsule In 1 Blister Pack,4.0,4.0,,,0
RC,637,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-797-01),2.91,2.91,,,0
RC,637,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),4.48,4.48,,,0
RC,637,Oxcarbazepine: 10 BLISTER PACK in 1 BOX (0054-0097-20)  / 10 TABLET in 1 BLISTER PACK,0.63,0.63,,,0
RC,637,"Oxybutynin Chloride: 100 Blister Pack In 1 Carton (0904-6570-61)  / 1 Tablet, Extended Release In 1 Blister Pack",3.07,3.07,,,0
RC,637,Oxybutynin Chloride: 100 Tablet In 1 Bottle (70954-005-10),0.63,0.63,,,0
RC,637,"Oxybutynin Chloride: 473 Ml In 1 Bottle, Plastic (54838-510-80)",0.63,0.63,,,0
RC,637,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),0.87,0.87,,,0
RC,637,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-001-10)  / 10 Tablet In 1 Blister Pack,0.81,0.81,,,0
RC,637,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61)  / 1 Tablet In 1 Blister Pack,0.59,0.59,,,0
RC,637,Oxycodone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-0552-62),0.58,0.58,,,0
RC,637,"Oxycodone Hydrochloride: 5 Tray In 1 Case (66689-401-50)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (66689-401-01)",2.56,2.56,,,0
RC,637,"Oxycontin: 2 Blister Pack In 1 Carton (59011-410-20)  / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",13.98,13.98,,,0
RC,637,"Oxycontin: 2 Blister Pack In 1 Carton (59011-420-20)  / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",21.51,21.51,,,0
RC,637,Pacerone: 100 Blister Pack In 1 Carton (0245-0144-01)  / 1 Tablet In 1 Blister Pack (0245-0144-89),1.02,1.02,,,0
RC,637,Pacerone: 100 Blister Pack In 1 Carton (0245-0147-01)  / 1 Tablet In 1 Blister Pack (0245-0147-89),0.63,0.63,,,0
RC,637,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (16714-867-01)",7.66,7.66,,,0
RC,637,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-405-10)  / 100 Capsule, Delayed Release In 1 Bottle, Glass",16.86,16.86,,,0
RC,637,"Pantoprazole Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-564-10)  / 10 Tablet, Delayed Release In 1 Blister Pack",0.65,0.65,,,0
RC,637,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Pantoprazole Sodium: 80 Blister Pack In 1 Box, Unit-Dose (68084-813-09)  / 1 Tablet, Delayed Release In 1 Blister Pack (68084-813-11)",0.63,0.63,,,0
RC,637,"Pantoprazole Sodium: 80 Blister Pack In 1 Carton (0904-6870-45)  / 1 Tablet, Delayed Release In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (31722-712-90)",0.6,0.6,,,0
RC,637,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-559-90)",0.63,0.63,,,0
RC,637,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-560-90)",0.63,0.63,,,0
RC,637,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (0904-5676-61)  / 1 Tablet, Film Coated In 1 Blister Pack",1.24,1.24,,,0
RC,637,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (0904-5677-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Paroxetine: 30 Tablet, Film Coated, Extended Release In 1 Bottle (42858-703-03)",1.62,1.62,,,0
RC,637,"Paroxetine: 90 Tablet, Film Coated In 1 Bottle (13107-155-90)",0.63,0.63,,,0
RC,637,"Paxlovid: 10 Blister Pack In 1 Carton (0069-5045-30)  / 1 Kit In 1 Blister Pack (0069-5045-06)  *  2 Tablet, Film Coated In 1 Blister Pack (0069-2085-02)  *  1 Tablet, Film Coated In 1 Blister Pack (0",132.76,132.76,,,0
RC,637,"Paxlovid: 10 Blister Pack In 1 Carton (0069-5317-20)  / 1 Kit In 1 Blister Pack (0069-5317-02)  *  1 Tablet, Film Coated In 1 Blister Pack (0069-2085-11)  *  1 Tablet, Film Coated In 1 Blister Pack (0",199.15,199.15,,,0
RC,637,"Paxlovid: 10 Blister Pack In 1 Carton (0069-5321-30)  / 1 Kit In 1 Blister Pack (0069-5321-03)  *  2 Tablet, Film Coated In 1 Blister Pack (0069-2085-02)  *  1 Tablet, Film Coated In 1 Blister Pack (0",120.71,120.71,,,0
RC,637,"Peg-3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride: 4 L In 1 Bottle (10572-302-01)",63.0,63.0,,,0
RC,637,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),1.45,1.45,,,0
RC,637,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (0143-9837-01)",0.32,0.32,,,0
RC,637,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (16714-234-01)",0.32,0.32,,,0
RC,637,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (57237-041-01)",0.63,0.63,,,0
RC,637,Permethrin: 1 Tube In 1 Container (16714-897-01)  / 60 G In 1 Tube,40.75,40.75,,,0
RC,637,"Phenazopyridine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE (10135-620-01)",1.55,1.55,,,0
RC,637,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),0.65,0.65,,,0
RC,637,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-682-10),0.95,0.95,,,0
RC,637,"Phenobarbital: 100 Tablet In 1 Bottle, Plastic (75826-138-10)",0.26,0.26,,,0
RC,637,Phenobarbital: 60 Tablet In 1 Bottle (71205-890-60),0.83,0.83,,,0
RC,637,"Phenytoin Sodium: 100 Capsule, Extended Release In 1 Bottle (51672-4111-1)",0.39,0.39,,,0
RC,637,"Phenytoin: 100 Tablet, Chewable In 1 Bottle (51672-4146-1)",0.52,0.52,,,0
RC,637,Phenytoin: 237 Ml In 1 Bottle (51672-4069-1),0.79,0.79,,,0
RC,637,Phytonadione: 1 Bottle In 1 Carton (70710-1014-1)  / 100 Tablet In 1 Bottle,68.11,68.11,,,0
RC,637,Phytonadione: 30 Tablet In 1 Bottle (69097-999-02),16.56,16.56,,,0
RC,637,"Pifeltro: 30 Tablet, Film Coated In 1 Bottle (0006-3069-01)",163.29,163.29,,,0
RC,637,"Pilocarpine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0527-1313-01)",0.8,0.8,,,0
RC,637,Pioglitazone: 90 Tablet In 1 Bottle (0093-7272-98),0.63,0.63,,,0
RC,637,"Plan B One-Step: 1 Blister Pack In 1 Box, Unit-Dose (69536-162-88)  / 1 Tablet In 1 Blister Pack",89.59,89.59,,,0
RC,637,"Plaquenil: 100 TABLET, FILM COATED in 1 BOTTLE (0024-1562-10)",4.3,4.3,,,0
RC,637,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),2.88,2.88,,,0
RC,637,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (70748-258-07)",15.73,15.73,,,0
RC,637,"Potassium Chloride Extended-Release: 100 Tablet, Extended Release In 1 Bottle (70010-135-01)",0.565,0.565,,,0
RC,637,Potassium Chloride For Oral Solution: 1.58 G In 1 Pouch (70069-823-01),2.03,2.03,,,0
RC,637,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-972-10)  / 10 Tablet, Extended Release In 1 Blister Pack",1.49,1.49,,,0
RC,637,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-973-10)  / 10 Tablet, Extended Release In 1 Blister Pack",1.68,1.68,,,0
RC,637,"Potassium Chloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (0832-5323-11)",0.63,0.63,,,0
RC,637,"Potassium Chloride: 473 Ml In 1 Bottle, Plastic (0603-1542-58)",7.09,7.09,,,0
RC,637,"Potassium Citrate: 100 Tablet, Extended Release In 1 Bottle (68382-537-01)",1.22,1.22,,,0
RC,637,Pradaxa: 60 Blister Pack In 1 Carton (0597-0360-82)  / 1 Capsule In 1 Blister Pack,8.22,8.22,,,0
RC,637,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (13668-091-90),0.63,0.63,,,0
RC,637,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (13668-094-90),0.54,0.54,,,0
RC,637,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61)  / 1 Tablet In 1 Blister Pack",0.7,0.7,,,0
RC,637,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5892-61)  / 1 Tablet In 1 Blister Pack",0.95,0.95,,,0
RC,637,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5893-61)  / 1 Tablet In 1 Blister Pack",1.34,1.34,,,0
RC,637,Pravastatin Sodium: 90 Tablet In 1 Bottle (16714-559-01),0.63,0.63,,,0
RC,637,Pravastatin Sodium: 90 Tablet In 1 Bottle (63629-8910-1),0.58,0.58,,,0
RC,637,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-484-01)  / 1 Capsule In 1 Blister Pack (60687-484-11)",1.17,1.17,,,0
RC,637,Pregabalin: 100 Blister Pack In 1 Carton (0904-6991-61)  / 1 Capsule In 1 Blister Pack,1.94,1.94,,,0
RC,637,Pregabalin: 100 Blister Pack In 1 Carton (0904-7001-61)  / 1 Capsule In 1 Blister Pack,0.87,0.87,,,0
RC,637,Pregabalin: 90 Capsule In 1 Bottle (62332-119-90),0.41,0.41,,,0
RC,637,Pregabalin: 90 Capsule In 1 Bottle (62332-122-90),0.63,0.63,,,0
RC,637,Pregabalin: 90 Capsule In 1 Bottle (72205-011-90),0.17,0.17,,,0
RC,637,Pregabalin: 90 Capsule In 1 Bottle (72205-012-90),0.34,0.34,,,0
RC,637,"Premarin Vaginal: 1 Tube, With Applicator In 1 Carton (0046-0872-21)  / 30 G In 1 Tube, With Applicator",1102.43,1102.43,,,0
RC,637,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1102-81)",18.83,18.83,,,0
RC,637,Preparation H: 12 Blister Pack In 1 Carton (0573-2883-11)  / 1 Suppository In 1 Blister Pack,1.59,1.59,,,0
RC,637,"Prezcobix: 30 Tablet, Film Coated In 1 Bottle (59676-575-30)",208.05,208.05,,,0
RC,637,Primidone: 100 TABLET in 1 BOTTLE (0115-1030-01),0.14,0.14,,,0
RC,637,Primidone: 100 TABLET in 1 BOTTLE (0115-1031-01),0.32,0.32,,,0
RC,637,"Probenecid: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-5347-01)",1.15,1.15,,,0
RC,637,Procto-Med Hc: 1 Tube In 1 Carton (69315-312-28)  / 28 G In 1 Tube,73.03,73.03,,,0
RC,637,Proctozone-Hc: 1 Tube In 1 Carton (63629-8847-1)  / 30 G In 1 Tube,40.29,40.29,,,0
RC,637,Proctozone-Hc: 1 Tube In 1 Carton (64980-324-30)  / 30 G In 1 Tube,49.72,49.72,,,0
RC,637,"Propafenone Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (59651-258-01)",2.62,2.62,,,0
RC,637,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6550-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-0182-01)",0.15,0.15,,,0
RC,637,Propylthiouracil: 100 Tablet In 1 Bottle (0228-2348-10),1.82,1.82,,,0
RC,637,Provigil: 30 Tablet In 1 Bottle (63459-101-30),33.82,33.82,,,0
RC,637,"Pseudoephedrine Hcl: 10 Blister Pack In 1 Carton (0904-6990-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
RC,637,Pure And Gentle: 1 Bottle In 1 Box (53329-013-11)  / 133 Ml In 1 Bottle,0.63,0.63,,,0
RC,637,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.61,0.61,,,0
RC,637,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.85,0.85,,,0
RC,637,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6642-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.66,0.66,,,0
RC,637,"Quetiapine: 1000 Tablet, Film Coated In 1 Bottle (16714-452-02)",0.44,0.44,,,0
RC,637,"RYTHMOL: 100 TABLET, FILM COATED in 1 BOTTLE (0173-0792-20)",0.41,0.41,,,0
RC,637,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Package (50228-423-60)",0.96,0.96,,,0
RC,637,"Refresh Classic: 50 Vial, Single-Use In 1 Carton (0023-0506-50)  / .4 Ml In 1 Vial, Single-Use",0.77,0.77,,,0
RC,637,"Refresh Plus: 30 Vial, Single-Use In 1 Carton (0023-0403-30)  / .4 Ml In 1 Vial, Single-Use",0.63,0.63,,,0
RC,637,"Refresh Tears: 1 Bottle, Dropper In 1 Carton (0023-0798-15)  / 15 Ml In 1 Bottle, Dropper",22.02,22.02,,,0
RC,637,Regular Strength Antacid/Antigas: 355 Ml In 1 Bottle (0536-1317-83),0.63,0.63,,,0
RC,637,"Regular Strength Enteric Coated Aspirin: 1000 Tablet, Coated In 1 Bottle (57896-921-10)",0.63,0.63,,,0
RC,637,Regular Strength Pain Relief: 100 TABLET in 1 BOTTLE (57896-101-01),0.33999999999999997,0.33999999999999997,,,0
RC,637,Regular Strength Pain Relief: 100 Tablet In 1 Bottle (57896-102-01),0.325,0.325,,,0
RC,637,Rexulti: 1 Bottle In 1 Carton (59148-036-13)  / 30 Tablet In 1 Bottle,130.44,130.44,,,0
RC,637,Rifampin: 30 Capsule In 1 Bottle (68180-658-06),1.52,1.52,,,0
RC,637,"Risperidone: 100 Blister Pack In 1 Carton (0904-7362-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Risperidone: 100 Blister Pack In 1 Carton (0904-7363-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.58,0.58,,,0
RC,637,Risperidone: 60 Tablet In 1 Bottle (27241-003-06),0.63,0.63,,,0
RC,637,Risperidone: 60 Tablet In 1 Bottle (43547-342-06),0.47,0.47,,,0
RC,637,"Risperidone: 7 Blister Pack In 1 Carton (59746-020-22)  / 4 Tablet, Orally Disintegrating In 1 Blister Pack",2.32,2.32,,,0
RC,637,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (55111-353-60),1.49,1.49,,,0
RC,637,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-268-10)",0.55,0.55,,,0
RC,637,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-270-10)",0.63,0.63,,,0
RC,637,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-272-10)",1.22,1.22,,,0
RC,637,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (68462-254-01)",0.59,0.59,,,0
RC,637,"Rosuvastatin Calcium: 100 Blister Pack In 1 Box, Unit-Dose (60687-256-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-256-11)",2.7,2.7,,,0
RC,637,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle (16714-991-01)",0.63,0.63,,,0
RC,637,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle (68462-264-30)",0.63,0.63,,,0
RC,637,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-989-01)",0.36,0.36,,,0
RC,637,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-990-01)",0.63,0.63,,,0
RC,637,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (65862-296-90)",0.63,0.63,,,0
RC,637,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle, Plastic (70377-006-12)",0.54,0.54,,,0
RC,637,"Rugby Cal-Gest Antacid Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0536-1007-15)",0.33,0.33,,,0
RC,637,"Rugby Cherry Flavor: 177 Ml In 1 Bottle, Spray (0536-1228-58)",6.5,6.5,,,0
RC,637,Rugby Muscle Rub Cream: 1 Tube In 1 Carton (0536-1349-57)  / 85 G In 1 Tube,6.63,6.63,,,0
RC,637,"Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Drops: 1 Bottle, Dropper In 1 Box (0536-1408-94)  / 15 Ml In 1 Bottle, Dropper",13.88,13.88,,,0
RC,637,"Rugby Regular Strength Acetaminophen: 100 Tablet In 1 Bottle, Plastic (0536-1327-01)",0.32,0.32,,,0
RC,637,"Rugby Regular Strength Acetaminophen: 1000 Tablet In 1 Bottle, Plastic (0536-1327-10)",0.33,0.33,,,0
RC,637,"Rugby: 150 Tablet, Chewable In 1 Bottle, Plastic (0536-1048-15)",0.42,0.42,,,0
RC,637,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-661-01)",10.06,10.06,,,0
RC,637,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-662-01)",10.12,10.12,,,0
RC,637,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-663-01)",10.35,10.35,,,0
RC,637,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-664-01)",12.7,12.7,,,0
RC,637,Samsca: 1 Blister Pack In 1 Carton (59148-020-50)  / 10 Tablet In 1 Blister Pack,1494.56,1494.56,,,0
RC,637,"Scopolamine: 24 Pouch In 1 Carton (50742-505-24)  / 1 Patch, Extended Release In 1 Pouch",13.29,13.29,,,0
RC,637,Selegiline Hydrochloride: 60 Tablet In 1 Bottle (60505-3438-3),2.57,2.57,,,0
RC,637,"Senna-Lax: 10 Blister Pack In 1 Box (0904-6522-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
RC,637,Sennosides: 1 Bottle In 1 Carton (10135-314-01)  / 100 Tablet In 1 Bottle,0.32,0.32,,,0
RC,637,"Sennosides: 10 Blister Pack In 1 Box, Unit-Dose (0904-7252-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.32,0.32,,,0
RC,637,"Sennosides: 100 Tablet, Film Coated In 1 Bottle (0904-7252-60)",0.32,0.32,,,0
RC,637,"Sennosides: 1000 Tablet, Film Coated In 1 Bottle (0904-7252-80)",0.32,0.32,,,0
RC,637,"Sertraline Hydrochloride: 1 Bottle, Plastic In 1 Carton (16714-601-02)  / 60 Ml In 1 Bottle, Plastic",3.42,3.42,,,0
RC,637,"Sertraline Hydrochloride: 100 TABLET, FILM COATED in 1 BOX, UNIT-DOSE (0904-6088-61)",0.53,0.53,,,0
RC,637,"Sertraline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-612-04)",0.42,0.42,,,0
RC,637,"Sertraline Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (16714-613-05)",0.53,0.53,,,0
RC,637,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (65862-921-27)",0.6,0.6,,,0
RC,637,"Sevelamer Hydrochloride: 360 Tablet, Film Coated In 1 Bottle (68462-446-26)",6.99,6.99,,,0
RC,637,"Sildenafil: 30 Blister Pack In 1 Carton (0904-6671-04)  / 1 Tablet, Film Coated In 1 Blister Pack",1.63,1.63,,,0
RC,637,"Sildenafil: 50 Blister Pack In 1 Carton (0904-6671-06)  / 1 Tablet, Film Coated In 1 Blister Pack",1.1,1.1,,,0
RC,637,Silver Nitrate Applicators: 10 Packet In 1 Box (12870-0001-1)  / 10 Applicator In 1 Packet / 100 Mg In 1 Applicator,1.83,1.83,,,0
RC,637,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2)  / 100 Mg In 1 Applicator,1.79,1.79,,,0
RC,637,Silver Sulfadiazine: 50 G In 1 Jar (67877-124-50),37.68,37.68,,,0
RC,637,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-571-10)  / 10 Tablet, Film Coated In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Simvastatin: 100 Blister Pack In 1 Box, Unit-Dose (60687-210-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-210-11)",0.63,0.63,,,0
RC,637,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-682-02)",0.63,0.63,,,0
RC,637,"Simvastatin: 90 Tablet, Film Coated In 1 Bottle (16714-683-02)",0.63,0.63,,,0
RC,637,Sky Peg3350: 30 Pouch In 1 Carton (63739-198-61)  / 17 G In 1 Pouch (63739-198-62),2.05,2.05,,,0
RC,637,Sodium Bicarbonate: 1000 Tablet In 1 Bottle (64980-528-10),0.51,0.51,,,0
RC,637,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (0093-1061-01),0.36,0.36,,,0
RC,637,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10)  / 10 Tablet In 1 Blister Pack",0.63,0.63,,,0
RC,637,"Spironolactone: 100 Blister Pack In 1 Carton (0904-6927-61)  / 1 Tablet, Film Coated In 1 Blister Pack",0.45,0.45,,,0
RC,637,Spironolactone: 100 Tablet In 1 Bottle (72603-134-01),0.55,0.55,,,0
RC,637,"Spironolactone: 100 Tablet, Film Coated In 1 Bottle (59746-216-01)",0.63,0.63,,,0
RC,637,"Spironolactone: 100 Tablet, Film Coated In 1 Bottle, Plastic (53489-329-01)",1.05,1.05,,,0
RC,637,Spironolactone: 1000 Tablet In 1 Bottle (53746-511-10),0.49,0.49,,,0
RC,637,Ssd Cream: 50 G In 1 Jar (43598-210-55),25.9,25.9,,,0
RC,637,Stay Awake: 2 Blister Pack In 1 Carton (70677-1126-1)  / 8 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Stimulant Laxative Enteric Coated: 100 Tablet In 1 Bottle (57896-441-01),0.35,0.35,,,0
RC,637,"Stomach Relief Regular Strength: 237 Ml In 1 Bottle, Plastic (0536-1286-36)",0.71,0.71,,,0
RC,637,"Stool Softener Laxative: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (0904-7280-60)",0.63,0.63,,,0
RC,637,Stratuscare Adult Glycerin: 12 Suppository In 1 Jar (58980-410-12),0.48,0.48,,,0
RC,637,Stratuscare Bisacodyl: 1 Blister Pack In 1 Box (58980-415-50)  / 50 Suppository In 1 Blister Pack,0.76,0.76,,,0
RC,637,"Stribild: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-1201-1)",392.53,392.53,,,0
RC,637,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",13.34,13.34,,,0
RC,637,Sucralfate: 100 Tablet In 1 Bottle (0093-2210-01),0.71,0.71,,,0
RC,637,Sucralfate: 20 CUP in 1 BOX (50268-732-12)  / 10 mL in 1 CUP (50268-732-11),13.58,13.58,,,0
RC,637,"Sudogest: 1 Bottle, Plastic In 1 Carton (0904-5053-59)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",0.34,0.34,,,0
RC,637,Sulfamethoxazole And Trimethoprim: 100 Blister Pack In 1 Carton (0904-2725-61)  / 1 Tablet In 1 Blister Pack,0.63,0.63,,,0
RC,637,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (65862-419-01),0.63,0.63,,,0
RC,637,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),3.52,3.52,,,0
RC,637,"Sulfasalazine: 1 Bottle In 1 Carton (59762-0104-5)  / 100 Tablet, Delayed Release In 1 Bottle",0.7,0.7,,,0
RC,637,"Sumatriptan Succinate: 1 Vial, Single-Dose In 1 Carton (63323-273-01)  / .5 Ml In 1 Vial, Single-Dose",15.86,15.86,,,0
RC,637,"Sumatriptan: 1 BLISTER PACK in 1 CARTON (16714-532-11)  / 9 TABLET, FILM COATED in 1 BLISTER PACK (16714-532-10)",1.02,1.02,,,0
RC,637,Sumatriptan: 1 Blister Pack In 1 Carton (16714-797-01)  / 9 Tablet In 1 Blister Pack,3.5,3.5,,,0
RC,637,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-01)  / .5 Ml In 1 Vial, Single-Dose",10.12,10.12,,,0
RC,637,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-05)  / .5 Ml In 1 Vial, Single-Dose",11.05,11.05,,,0
RC,637,Sunmark Hydrogen Peroxide 3 Percent: 473 Ml In 1 Bottle (49348-179-38),20.86,20.86,,,0
RC,637,"Suprep Bowel Prep: 2 Bottle, Plastic In 1 Carton (52268-012-01)  / 177.4 Ml In 1 Bottle, Plastic",150.21,150.21,,,0
RC,637,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-4552-11)  / 10 Tablet In 1 Blister Pack",4.11,4.11,,,0
RC,637,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-5182-11)  / 10 Tablet In 1 Blister Pack",4.28,4.28,,,0
RC,637,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-6624-11)  / 10 Tablet In 1 Blister Pack",4.12,4.12,,,0
RC,637,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7068-11)  / 10 Tablet In 1 Blister Pack",4.14,4.14,,,0
RC,637,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7069-11)  / 10 Tablet In 1 Blister Pack",4.08,4.08,,,0
RC,637,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7148-11)  / 10 Tablet In 1 Blister Pack",4.17,4.17,,,0
RC,637,Synthroid: 90 Tablet In 1 Bottle (0074-4341-90),4.11,4.11,,,0
RC,637,Synthroid: 90 Tablet In 1 Bottle (0074-4552-90),4.01,4.01,,,0
RC,637,Synthroid: 90 Tablet In 1 Bottle (0074-5182-90),4.41,4.41,,,0
RC,637,Synthroid: 90 Tablet In 1 Bottle (0074-6594-90),4.19,4.19,,,0
RC,637,Synthroid: 90 Tablet In 1 Bottle (0074-6624-90),4.01,4.01,,,0
RC,637,Synthroid: 90 Tablet In 1 Bottle (0074-7069-90),4.02,4.02,,,0
RC,637,Synthroid: 90 Tablet In 1 Bottle (0074-7070-90),4.25,4.25,,,0
RC,637,Synthroid: 90 Tablet In 1 Bottle (0074-9296-90),4.04,4.04,,,0
RC,637,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),2.88,2.88,,,0
RC,637,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85)  / 10 Capsule In 1 Blister Pack,36.77,36.77,,,0
RC,637,Tamiflu: 1 Blister Pack In 1 Carton (0004-0801-85)  / 10 Capsule In 1 Blister Pack,33.83,33.83,,,0
RC,637,Tamoxifen Citrate: 30 Tablet In 1 Bottle (0378-0274-93),1.41,1.41,,,0
RC,637,"Tamoxifen Citrate: 90 Tablet In 1 Bottle, Plastic (0591-2473-19)",0.97,0.97,,,0
RC,637,"Tamsulosin Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-567-10)  / 10 Capsule In 1 Blister Pack",0.71,0.71,,,0
RC,637,Tamsulosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7383-61)  / 1 Capsule In 1 Blister Pack,0.61,0.61,,,0
RC,637,Tamsulosin Hydrochloride: 100 Capsule In 1 Bottle (65862-598-01),0.59,0.59,,,0
RC,637,Tegretol: 100 Tablet In 1 Bottle (0078-0509-05),1.44,1.44,,,0
RC,637,Temazepam: 100 Capsule In 1 Bottle (0228-2076-10),0.63,0.63,,,0
RC,637,Temazepam: 30 Blister Pack In 1 Carton (0904-6436-04)  / 1 Capsule In 1 Blister Pack,6.79,6.79,,,0
RC,637,Terbinafine Hydrochloride: 1 Tube In 1 Carton (51672-2080-1)  / 15 G In 1 Tube,12.51,12.51,,,0
RC,637,Terbinafine: 30 Tablet In 1 Bottle (16714-795-01),0.63,0.63,,,0
RC,637,"Theophylline (Anhydrous): 100 Tablet, Extended Release In 1 Bottle, Plastic (29033-001-01)",2.96,2.96,,,0
RC,637,Tikosyn: 60 Capsule In 1 Bottle (0069-5810-60),28.17,28.17,,,0
RC,637,"Tivicay: 30 Tablet, Film Coated In 1 Bottle (49702-228-13)",200.06,200.06,,,0
RC,637,Tizanidine: 100 Blister Pack In 1 Carton (0904-6418-61)  / 1 Tablet In 1 Blister Pack,1.09,1.09,,,0
RC,637,Tizanidine: 150 Tablet In 1 Bottle (55111-180-15),0.63,0.63,,,0
RC,637,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04)  / 1 Capsule, Extended Release In 1 Blister Pack",13.05,13.05,,,0
RC,637,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (13668-189-30)",2.09,2.09,,,0
RC,637,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-098-09)",0.88,0.88,,,0
RC,637,"Tramadol Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-991-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-991-01)",0.61,0.61,,,0
RC,637,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",0.61,0.61,,,0
RC,637,Tranexamic Acid: 30 TABLET in 1 BOTTLE (60505-3638-3),1.07,1.07,,,0
RC,637,Tranexamic Acid: 30 Tablet In 1 Bottle (62559-265-30),6.28,6.28,,,0
RC,637,Tranexamic Acid: 30 Tablet In 1 Bottle (69918-301-30),5.05,5.05,,,0
RC,637,Tranexamic Acid: 30 Tablet In 1 Bottle (72888-178-30),4.0,4.0,,,0
RC,637,Transderm Scop: 4 POUCH in 1 BOX (0067-4346-04)  / 1 PATCH in 1 POUCH / 3 d in 1 PATCH,32.14,32.14,,,0
RC,637,Trazodone Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6554-61)  / 1 TABLET in 1 BLISTER PACK,0.38,0.38,,,0
RC,637,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6868-61)  / 1 Tablet In 1 Blister Pack,0.47,0.47,,,0
RC,637,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6869-61)  / 1 Tablet In 1 Blister Pack,0.58,0.58,,,0
RC,637,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-561-01),0.36,0.36,,,0
RC,637,Trazodone Hydrochloride: 500 Tablet In 1 Bottle (68382-805-05),0.53,0.53,,,0
RC,637,"Tri-Buffered Aspirin: 1 Bottle, Plastic In 1 Carton (0904-2015-59)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",0.63,0.63,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-15)  / 15 G In 1 Tube,6.59,6.59,,,0
RC,637,Triamcinolone Acetonide: 15 G In 1 Tube (0168-0006-15),7.02,7.02,,,0
RC,637,Triamterene And Hydrochlorothiazide: 100 Capsule In 1 Bottle (0781-2074-01),0.63,0.63,,,0
RC,637,Triamterene And Hydrochlorothiazide: 100 Tablet In 1 Bottle (68382-856-01),0.63,0.63,,,0
RC,637,"Triamterene And Hydrochlorothiazide: 100 Tablet In 1 Bottle, Plastic (0591-0348-01)",0.63,0.63,,,0
RC,637,Triamterene hydrochlorothiazide: 100 TABLET in 1 BOTTLE (0781-1123-01),0.63,0.63,,,0
RC,637,"Trintellix: 30 Tablet, Film Coated In 1 Bottle (64764-730-30)",42.57,42.57,,,0
RC,637,"Triumeq: 30 Tablet, Film Coated In 1 Bottle (49702-231-13)",345.88,345.88,,,0
RC,637,"Truvada: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0701-1)",159.78,159.78,,,0
RC,637,"Tylenol Regular Strength: 10 Blister Pack In 1 Carton (50580-458-11)  / 10 Tablet, Film Coated In 1 Blister Pack",0.28,0.28,,,0
RC,637,Urea: 28.35 G In 1 Tube (50268-872-28),73.27,73.27,,,0
RC,637,Ursodiol: 100 Blister Pack In 1 Carton (0904-6221-61)  / 1 Capsule In 1 Blister Pack,7.18,7.18,,,0
RC,637,Ursodiol: 100 Capsule In 1 Bottle (42806-503-01),2.25,2.25,,,0
RC,637,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61)  / 1 Tablet, Film Coated In 1 Blister Pack",2.61,2.61,,,0
RC,637,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (57237-042-90)",0.68,0.68,,,0
RC,637,"Valacyclovir: 10 Blister Pack In 1 Box, Unit-Dose (63739-077-10)  / 10 Tablet, Film Coated In 1 Blister Pack",2.15,2.15,,,0
RC,637,Valganciclovir Hydrochloride: 60 Tablet In 1 Bottle (65862-753-60),7.69,7.69,,,0
RC,637,"Valproic Acid: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-150-20)",0.9,0.9,,,0
RC,637,"Valsartan: 30 Tablet, Film Coated In 1 Bottle (33342-062-07)",0.49,0.49,,,0
RC,637,"Valsartan: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-5814-77)",1.12,1.12,,,0
RC,637,Vancomycin Hydrochloride: 50 Capsule In 1 Bottle (62559-390-50),4.140000000000001,4.140000000000001,,,0
RC,637,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11)  / 1 Tablet, Film Coated In 1 Blister Pack",341.65,341.65,,,0
RC,637,"Venlafaxine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6469-61)  / 1 CAPSULE, EXTENDED RELEASE in 1 BLISTER PACK",1.4,1.4,,,0
RC,637,"Venlafaxine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7076-61)  / 1 Capsule, Extended Release In 1 Blister Pack",1.01,1.01,,,0
RC,637,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (0093-7384-98)",0.63,0.63,,,0
RC,637,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (65862-528-90)",0.57,0.57,,,0
RC,637,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-159-01),0.63,0.63,,,0
RC,637,"Verapamil Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0404-01)",0.26,0.26,,,0
RC,637,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-292-01)",0.83,0.83,,,0
RC,637,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-293-01)",0.86,0.86,,,0
RC,637,Vicodin: 500 TABLET in 1 BOTTLE (0074-3041-53),8.66,8.66,,,0
RC,637,Viibryd: 30 Tablet In 1 Bottle (0456-1110-30),29.43,29.43,,,0
RC,637,Viibryd: 30 Tablet In 1 Bottle (0456-1120-30),29.45,29.45,,,0
RC,637,"Vimpat: 6 Blister Pack In 1 Carton (0131-2478-60)  / 10 Tablet, Film Coated In 1 Blister Pack",50.26,50.26,,,0
RC,637,"Vimpat: 6 Blister Pack In 1 Carton (0131-2479-60)  / 10 Tablet, Film Coated In 1 Blister Pack",58.55,58.55,,,0
RC,637,Viokace: 1 Bottle In 1 Carton (73562-104-10)  / 100 Tablet In 1 Bottle,10.76,10.76,,,0
RC,637,"Vitamin D: 100 Capsule In 1 Bottle, Plastic (64380-737-06)",0.63,0.63,,,0
RC,637,"Vraylar: 30 Capsule, Gelatin Coated In 1 Bottle (61874-115-30)",134.71,134.71,,,0
RC,637,Vyvanse: 100 Capsule In 1 Bottle (59417-103-10),34.42,34.42,,,0
RC,637,"Xarelto: 10 Blister Pack In 1 Carton (50458-580-10)  / 10 Tablet, Film Coated In 1 Blister Pack (50458-580-01)",14.32,14.32,,,0
RC,637,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03)  / 10 Tablet In 1 Blister Pack,144.94,144.94,,,0
RC,637,Xospata: 1 Bottle In 1 Carton (0469-1425-90)  / 90 Tablet In 1 Bottle,845.23,845.23,,,0
RC,637,"Zaleplon: 100 Capsule In 1 Bottle, Plastic (29300-131-01)",0.49,0.49,,,0
RC,637,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",11.79,11.79,,,0
RC,637,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-116-01)",26.09,26.09,,,0
RC,637,Ziprasidone: 60 Capsule In 1 Bottle (55111-257-60),1.34,1.34,,,0
RC,637,"Zirgan: 1 Tube, With Applicator In 1 Carton (24208-535-35)  / 5 G In 1 Tube, With Applicator",1149.18,1149.18,,,0
RC,637,Zolpidem Tartrate: 100 Blister Pack In 1 Carton (0904-6082-61)  / 1 Tablet In 1 Blister Pack,7.26,7.26,,,0
RC,637,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-621-01)",0.62,0.62,,,0
RC,637,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-622-01)",0.62,0.62,,,0
RC,637,"lisinopril: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (0904-5811-61)  / 1 TABLET in 1 BLISTER PACK",0.63,0.63,,,0
RC,771,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10)  / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",118.855,118.855,,,0
RC,771,NDC Description Not Available,155.06,155.06,,,0
RC,771,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",76.71,76.71,,,0