code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
,,Bilateral Procedures,,,,,0
,,Bilateral Services,,,,,0
,,CT services furnished with equipment that don't meet NEMA standard,,,,,0
,,Computed radiography x-ray,,,,,0
,,Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (NEMA) XR-29-2013 standard,,,,,0
,,Discontinued OP Hospital/ASC Procedure Prior to Administration of Anesthesia,,,,,0
,,Discontinued Procedure,,,,,0
,,Excepted off-campus service,,,,,0
,,Non-excepted off-campus service,,,,,0
,,X-ray taken using film,,,,,0
,,X-ray was performed using film,,,,,0
,,X-ray was taken using computed radiography technology/cassette-based imaging,,,,,0
CDM,00280013,OBSERV PER HR - NICU,181.0,,63.6,2436.0,57
CDM,00290003,ROOM & BED CHARGE NICU,5465.0,,1864.0,7500.0,76
CDM,00490003,ROOM & BED CHARGE CCN,5673.0,,1864.0,7500.0,114
CDM,00580013,OBSERV PER HR - CCU,135.0,,63.6,2436.0,57
CDM,00590003,ROOM & BED CHARGE CCU,5221.0,,1864.0,7500.0,114
CDM,00680013,OBSERV PER HR - CICU,181.0,,63.6,2436.0,57
CDM,00690003,ROOM & BED CHARGE CICU,7344.0,,1864.0,7500.0,38
CDM,00780013,OBSERV PER HR - SICU,196.0,,63.6,2436.0,57
CDM,00790003,ROOM & BED CHARGE SICU,6103.0,,1864.0,7500.0,38
CDM,00880013,OBSERV PER HR - MICU,181.0,,63.6,2436.0,57
CDM,00890003,ROOM & BED CHARGE MICU,5709.0,,1864.0,7500.0,38
CDM,00980013,OBSERV PER HR - GYNX,80.0,,40.0,2436.0,57
CDM,00990003,ROOM & BED CHARGE - GYNX,2117.0,,1058.5,7500.0,38
CDM,01000002,ANES MAC/REGION/SPINE/EPI-INIT,2399.0,,1199.5,2159.1,56
CDM,01000003,ANES MAC/REGION/SPINE/EPI-ADDL,357.0,,178.5,321.3,56
CDM,01000004,ANES GEN 1-INIT HR,3415.0,,1707.5,3073.5,56
CDM,01000005,ANES GEN 1-ADDL 15 MIN,457.0,,228.5,411.3,56
CDM,01000006,ANES GEN 2-INITIAL HR,5256.0,,2628.0,4730.4,56
CDM,01000007,ANES GEN 2-ADDL 15 MIN,592.0,,296.0,532.8,56
CDM,01000008,ANES ACUTE CARE/EMERGENCY-INIT,6795.0,,3397.5,6115.5,56
CDM,01000009,ANES ACUTE CARE/EMERGENCY-ADDL,768.0,,384.0,691.2,56
CDM,01000010,ANES CV/THORACIC-INITIAL HR,9458.0,,4729.0,8512.2,56
CDM,01000011,ANES CV/THORACIC-ADDL 15 MIN,1001.0,,500.5,900.9,56
CDM,01010079,ARTERIAL LINE INSERTION KIT,166.0,,83.0,149.4,56
CDM,01010080,STIMUCATH CONT NRV BLOCK KIT,355.0,,177.5,319.5,56
CDM,01019994,BLADE CMAC LARYNGOSCOPE DISP,57.0,,28.5,51.3,56
CDM,01021001,ANESTHESIA ADD 15 MIN,457.0,,228.5,411.3,56
CDM,01021002,ANESTHESIA 1ST HR,3415.0,,1707.5,3073.5,56
CDM,01021003,EPIDURAL CONT PER ASSESSMENT,427.0,,213.5,384.3,56
CDM,01580013,OBSERV PER HR - P9,80.0,,40.0,2436.0,57
CDM,01590003,ROOM & BED CHARGE P9,2117.0,,1058.5,7500.0,38
CDM,01780013,OBSERV PER HR - S5S,80.0,,40.0,2436.0,57
CDM,01790003,ROOM & BED CHARGE S5S,2117.0,,559.0,7500.0,114
CDM,01980013,OBSERV PER HR - HROB,80.0,,40.0,2436.0,57
CDM,01990003,ROOM & BED CHARGE HROB,1712.5,,654.0,7500.0,76
CDM,02091001,CONSULT PATH SURGERY CYTO INIT,177.0,,53.84,1005.63,68
CDM,02091002,CONSULT PATH SURGERY EA ADDL,120.0,,28.79,108.0,56
CDM,02091020,MD - RECURR. MISCARRIAGE,799.0,,47.58,719.1,68
CDM,02091025,"MD - F&P GROSS/MICRO, LTD",373.0,,15.94,335.7,68
CDM,02091028,MAYO-MLH1 HYPERMETHYLATION,1382.0,,176.93,1243.8,68
CDM,02091029,"MAYO-COPPER, LIVER TISSUE",345.0,,6.71,310.5,68
CDM,02091030,"MD - F&P EXAM, FULL",824.0,,58.07,1005.63,68
CDM,02091031,"MAYO-IRON, LIVER TISSUE",343.0,,2.26,308.7,68
CDM,02091033,UW MED-BACTERIAL DETECTION-PCR,1002.0,,64.58,901.8,68
CDM,02091034,UW MED-FUNGAL DETECTION-PCR,1538.0,,64.58,1384.2,68
CDM,02091035,"MD - FETAL EXAM, FULL",824.0,,58.07,1005.63,68
CDM,02091036,UW MED-NON TB MYCOBACTERIA-PCR,1094.0,,44.38,984.6,68
CDM,02091037,UW MED-MTB COMPLEX-PCR,779.0,,38.35,701.1,68
CDM,02091038,NEOGENOMICS PDL-1,431.0,,63.13,387.9,68
CDM,02091040,"MD - PLACENTAL EXAM2,FULL",463.0,,33.87,416.7,69
CDM,02091045,"MD - PLACENTAL EXAM3, FULL",799.0,,47.58,719.1,68
CDM,02091109,RUO RETRIEVE/REFILE BLKS/LVLS,15.0,,2.94,13.5,56
CDM,02091120,SURG PATH SPEC PROCESSING-RUO,28.0,,5.49,25.2,56
CDM,02091205,CONSULT COMPLEX,576.0,,24.32,518.4,68
CDM,02091400,ORAL PATH BIOPSY,487.0,,33.87,438.3,69
CDM,02091416,G&M PROSTATE BIOPSY 10-20 SPEC,1446.0,,296.3,1301.4,68
CDM,02091425,ORAL PATHOLOGY LEVEL 3,373.0,,15.94,335.7,68
CDM,02091700,GROSS EXAM LEVEL I,124.0,,9.62,111.6,68
CDM,02091705,GROSS AND MICRO LEVEL II,299.0,,15.93,269.1,68
CDM,02091710,GROSS AND MICRO LEVEL III,373.0,,15.94,335.7,68
CDM,02091715,GROSS AND MICRO LEVEL IV.,487.0,,33.87,438.3,69
CDM,02091720,GROSS AND MICRO LEVEL V,799.0,,47.58,719.1,68
CDM,02091724,UNSTAINED SLIDE (RESEARCH),4.0,,2.0,3.6,56
CDM,02091725,GROSS AND MICRO LEVEL VI,824.0,,58.07,1005.63,68
CDM,02091727,EMBED (RUO),12.0,,2.35,10.8,56
CDM,02091728,H & E STAIN (RUO),7.0,,3.5,6.3,56
CDM,02091729,SPECIAL STAIN (RUO),28.0,,5.49,25.2,56
CDM,02091730,DECALCIFICATION OF TISSUE,128.0,,9.5,115.2,56
CDM,02091732,"DECALCIFICATION OF TISSUE, BM",128.0,,9.5,115.2,56
CDM,02091735,GROUP I STAIN,320.0,,12.75,288.0,68
CDM,02091740,GROUP II/OTHER STAIN,291.0,,12.67,261.9,69
CDM,02091755,STAIN FOR ENZYMES,836.0,,24.11,1005.63,68
CDM,02091766,CNSLT PATH REVIEW/RPT-88325,0.01,,0.00196,0.009,56
CDM,02091768,INTRAOPERATIVE CONSULT,374.0,,48.93,336.6,68
CDM,02091770,CONSULT DURING SURGERY,424.0,,36.69,381.6,68
CDM,02091775,ADDIT BLOCK W/ FROZEN SEC,170.0,,8.0,153.0,56
CDM,02091800,GYN BIOPSY LIMITED,487.0,,33.87,438.3,69
CDM,02091807,SKIN PLASTIC REPAIR,327.0,,15.93,294.3,68
CDM,02091810,SKIN CYST/TAG,373.0,,15.94,335.7,68
CDM,02091815,SKIN BIOPSY,487.0,,33.87,438.3,69
CDM,02091831,BONE MARROW BX/PATHOLOGY,487.0,,33.87,438.3,69
CDM,02280013,OBSERV PER HR - GMID,80.0,,40.0,2436.0,57
CDM,02290003,ROOM & BED CHARGE GMID,1450.5,,559.0,7500.0,152
CDM,02380013,OBSERV PER HR - GISU,80.0,,40.0,2436.0,57
CDM,02390003,ROOM & BED CHARGE GISU,1801.0,,559.0,7500.0,228
CDM,02480013,OBSERV PER HR - M7,80.0,,40.0,2436.0,57
CDM,02490003,ROOM & BED CHARGE M7,2076.0,,559.0,7500.0,152
CDM,02522003,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,02522005,BIOPSY RENAL PERC NDL/TROCR LT,3064.0,,1225.6,2757.6,56
CDM,02522006,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,56
CDM,02580014,OBSERV PER HR - ABTX,80.0,,40.0,2436.0,57
CDM,02590004,ROOM & BED CHARGE - ABTX,2092.5,,754.5,7500.0,152
CDM,02780013,OBSERV PER HR - W8N,80.0,,40.0,2436.0,57
CDM,02790003,ROOM & BED CHARGE W8N,2117.0,,1030.0,7500.0,114
CDM,02980013,OBSERV PER HR - HEM/ONC UNIT,80.0,,40.0,2436.0,57
CDM,02990003,ROOM & BED CHARGE HEM/ONC UNIT,1479.0,,559.0,7500.0,190
CDM,03000102,BARTONELLA DNA DETECT BY PCR,1445.0,,32.28,1300.5,68
CDM,03000103,LEGIONELLA DNA DETECT BY PCR,1075.0,,64.58,967.5,68
CDM,03000104,T. WHIPPLEI DNA DETECT BY PCR,1033.0,,32.28,929.7,69
CDM,03000105,FUNGAL DNA DETECT BY PCR,1540.0,,64.58,1386.0,68
CDM,03000106,TOXOPLASMA DNA DETECT BY PCR,1033.0,,32.28,929.7,69
CDM,03000107,LEISHMANIA SP DNA DETECT PCR,1154.0,,64.58,1038.6,68
CDM,03000129,ACANTHAMOEBA & BALAMUTHIA PCR,1154.0,,64.58,1038.6,68
CDM,03000130,BACTERIAL DNA DETECT BY PCR,1007.0,,64.58,906.3,68
CDM,03000131,BACTERIAL DETECTION BY 16S NGS,3249.0,,64.58,2924.1,68
CDM,03000133,ENTEROBACTERALES DNA DETECTION,808.0,,64.58,1038.6,68
CDM,03000133,ER Only-ENTEROBACTERALES DNA DETECTION,1154.0,,64.58,1038.6,50
CDM,03000134,MTBC DNA DETECT PCR,786.0,,38.35,707.4,68
CDM,03000136,NONTUBERCULOUS MYCOBACT DNA,1101.0,,44.38,990.9,68
CDM,03000137,M. AVIUM COMPLEX DNA PCR,786.0,,32.28,707.4,68
CDM,03000596,KARIUS MNGS TEST-BLOOD ONLY,5658.0,,1956.1,5092.2,68
CDM,03000597,DELVE BIO MNGS TEST-CSF ONLY,8188.0,,350.58,7369.2,56
CDM,03000598,HEXOSAMINIDASE PERCENT A,140.0,,24.7,126.0,56
CDM,03000610,M-NMO EVALUATION INITIAL,913.0,,18.07,821.7,68
CDM,03000611,M-NMO EVALUATION REFLEX,1104.0,,18.07,993.6,68
CDM,03001000,Q-NORTRIPTYLINE,217.0,,45.78,247.69,68
CDM,03001001,Q-PHENYTOIN- FREE,216.0,,12.31,194.4,68
CDM,03001002,Q-LAMOTRIGINE (LAMICTAL),413.0,,12.19,371.7,68
CDM,03001003,Q-FELBAMATE (FELBATOL),487.0,,17.15,438.3,68
CDM,03001007,Q-COPPER 24 HR URINE,223.0,,6.71,200.7,68
CDM,03001009,Q-DHEA,419.0,,23.25,377.1,68
CDM,03001010,Q-DHEA-SULFATE,368.0,,12.18,331.2,68
CDM,03001011,Q-GLYCATED PROT (FRUCTOSAMINE),196.0,,15.42,176.4,68
CDM,03001013,Q-VITAMIN B-2 (RIBOFLAVIN),613.0,,18.62,551.7,68
CDM,03001014,Q-VITAMIN K,551.0,,12.62,495.9,68
CDM,03001015,Q-CHROMOGRANIN A,601.0,,15.88,540.9,68
CDM,03001025,ALPHA-2-ANTIPLASMIN,505.0,,6.83,454.5,68
CDM,03001041,Q-ANTISTREPTOLYSIN O- TITER,312.0,,3.42,280.8,68
CDM,03001042,Q-TREPONEMA P ANTIBODY CONFIRM,273.0,,12.18,245.7,68
CDM,03001050,Q-CHLAMYDIA ANTIBODY,286.0,,5.55,257.4,68
CDM,03001053,TRIGLYCERIDE FOR VAP,104.0,,2.31,93.6,68
CDM,03001054,N-ACETYL PROCAINAMIDE,453.0,,15.41,407.7,68
CDM,03001056,PROCAINAMIDE,288.0,,19.03,259.2,68
CDM,03001057,MUMPS ANTIBODY IGM,237.0,,5.56,213.3,68
CDM,03001058,MUMPS ANTIBODY IGG,237.0,,5.56,213.3,68
CDM,03001059,PNEUMOCOCCAL ANTIBODY,355.0,,13.79,319.5,68
CDM,03001061,ANTI-COXSACKIE A AB,244.0,,5.63,219.6,68
CDM,03001062,ANTI-COXSACKIE B AB,244.0,,5.63,219.6,68
CDM,03001063,Q-RECEPTOR ASSAY ACETYLCHOLINE,505.0,,16.93,454.5,68
CDM,03001064,Q-PHOSPHATASE ALKALINE,348.0,,2.25,313.2,68
CDM,03001065,Q-CYANIDE,145.0,,11.26,130.5,68
CDM,03001068,Q-BILE ACIDS- FX AND TOTAL,619.0,,22.16,557.1,68
CDM,03001069,Q-C1 INHIBITOR- FUNCTIONAL,349.0,,5.61,314.1,68
CDM,03001071,ECHOVIRUS,244.0,,5.63,219.6,68
CDM,03001072,COMPLEMENT COMPONENT 2,551.0,,5.59,495.9,68
CDM,03001073,Q-CARNITINE- FREE AND TOTAL,595.0,,15.52,535.5,68
CDM,03001075,Q-ETHOSUXIMIDE,200.0,,11.25,180.0,68
CDM,03001076,Q-CREATININE OTHER SOURCE,159.0,,3.35,143.1,68
CDM,03001077,Q-Q FEVER PHASE 1 AB IGG,202.0,,5.55,181.8,68
CDM,03001081,Q-NEPHELOMETRY EACH ANALYTE,325.0,,15.89,292.5,68
CDM,03001087,Q-ESTRONE,256.0,,16.58,230.4,68
CDM,03001088,Q-GASTRIC PARIETAL CELL AB,388.0,,10.61,349.2,68
CDM,03001089,Q-HISTONE ANTIBODY,470.0,,10.61,423.0,68
CDM,03001090,Q-GLUCAGON,308.0,,13.15,277.2,68
CDM,03001094,Q-HIV-1 AMP PROBE (NON-FDA),639.0,,32.28,575.1,68
CDM,03001096,Q-HYDROXY PROGESTERONE 17-D,259.0,,23.5,233.1,68
CDM,03001097,Q-SEROTONIN,450.0,,28.5,405.0,68
CDM,03001102,Q-CAROTENE,199.0,,4.57,179.1,68
CDM,03001107,Q-VITAMIN B-1 (THIAMINE),314.0,,9.43,282.6,68
CDM,03001110,Q-VITAMIN C (ASCORBIC ACID),244.0,,9.1,219.6,68
CDM,03001112,Q-VITAMIN E (TOCOPHEROL ALPHA),236.0,,13.05,212.4,68
CDM,03001137,Q-CYSTATIN C,161.0,,17.04,144.9,68
CDM,03001139,Q-PROGESTERONE,343.0,,13.48,308.7,68
CDM,03001149,M-PHOSPHATIDYLETHANOL (PETH),489.0,,45.78,440.1,68
CDM,03001152,"Q-JC VIRUS DNA, QNT, PCR, CSF",923.0,,39.41,830.7,68
CDM,03001153,Q-GAD-65 ANTIBODIES,186.0,,12.53,167.4,68
CDM,03001154,Q-MANNOSE-BINDING LECTIN SERUM,341.0,,11.36,306.9,68
CDM,03001155,Q-MERCURY BLOOD- QUANT,255.0,,14.96,229.5,68
CDM,03001162,Q-ALBUMIN SERUM**,50.0,,2.32,45.0,68
CDM,03001163,Q-ALBUMIN CSF**,25.0,,7.16,22.5,68
CDM,03001164,Q-GAMMAGLOBULIN IGG SERUM**,92.0,,7.88,82.8,68
CDM,03001166,Q-GAMMAGLOBULIN IGG CSF**,92.0,,7.88,82.8,68
CDM,03001167,Q-OLIGOCLONAL BANDS CSF**,202.0,,20.02,181.8,68
CDM,03001168,Q-PANCREATIC ELASTASE-1,385.0,,21.13,346.5,68
CDM,03001169,Q-VASC ENDOTHELIAL GROTH FX,459.0,,11.36,413.1,68
CDM,03001171,Q-VITAMIN B-6 (PYRIDOXAL PHOS),526.0,,18.53,473.4,68
CDM,03001174,Q-ALPHA-1 ANTITRYPSIN PHENO,200.0,,10.19,180.0,68
CDM,03001178,Q-BORDETELLA PERTUSSIS,186.0,,32.28,167.4,69
CDM,03001179,Q-BORDETELLA PARAPERTUSSIS,186.0,,32.28,167.4,69
CDM,03001181,HERPES SIMPLEX HSV 1M,260.0,,5.74,234.0,68
CDM,03001182,HERPES SIMPLEX HSV 2M,379.0,,17.8,341.1,68
CDM,03001184,Q-LEPTIN,379.0,,3.34,341.1,68
CDM,03001186,Q-COENZYME Q10,266.0,,22.16,239.4,68
CDM,03001187,Q-TOXOCARA AB (ELISA) SERUM,259.0,,5.69,233.1,68
CDM,03001189,Q-LACOSAMIDE (LC/MS/MS),446.0,,16.27,401.4,68
CDM,03001192,Q-TUMOR NECROS FACTOR-ALPHA,385.0,,11.36,346.5,68
CDM,03001204,Q-STREP PNEUMO AG URINE,193.0,,14.78,173.7,68
CDM,03001205,Q-PNH WITH FLAER (HS),655.0,,43.49,589.5,68
CDM,03001206,"Q-AMPHETAMINE, QN, URINE",186.0,,45.78,247.69,68
CDM,03001207,"Q-BARBITURATE, QN, URINE",186.0,,45.78,247.69,68
CDM,03001208,Q-GAMMAGLOBULIN IGD,218.0,,7.88,196.2,68
CDM,03001210,Q-INTRINSIC FACTOR ANTIBODIES,509.0,,7.99,458.1,68
CDM,03001211,Q-INHIBIN A,722.0,,14.34,649.8,68
CDM,03001216,Q-PYRUVATE,325.0,,11.29,292.5,68
CDM,03001217,Q-Q FEVER PHASE 1 AB IGM,202.0,,5.55,181.8,68
CDM,03001218,Q-IGE SHRIMP (F24),172.0,,4.59,154.8,68
CDM,03001219,Q-ALBUMIN,85.0,,2.32,76.5,68
CDM,03001221,Q-PROTEIN TOTAL SERUM,154.0,,2.35,138.6,68
CDM,03001222,Q-WEST NILE VIRUS ANTIBODY IGM,364.0,,15.5,327.6,68
CDM,03001223,Q-WEST NILE VIRUS ANTIBODY,364.0,,13.24,327.6,68
CDM,03001225,Q-PARVOVIRUS B19 AB EA,275.0,,5.56,247.5,68
CDM,03001226,Q-Q FEVER PHASE 2 AB IGM,202.0,,5.55,181.8,56
CDM,03001227,Q-Q FEVER PHASE 2 AB IGG,202.0,,5.55,181.8,56
CDM,03001235,PROTOPORPHYRINS RBC QN,177.0,,8.97,159.3,68
CDM,03001242,"Q-BENZODIAZEPINES, QN, URINE",186.0,,45.78,247.69,68
CDM,03001243,"Q-BUPRENORPHINE, QN, URINE",186.0,,45.78,247.69,68
CDM,03001244,"Q-COCAINE METABOLITE QN, URINE",186.0,,45.78,247.69,68
CDM,03001245,Q-SELENIUM ASSAY,326.0,,12.33,293.4,68
CDM,03001246,"Q-MARIJUANA METABOLITE QN, UR",186.0,,45.78,247.69,68
CDM,03001247,"Q-MDMA/MDA QN, URINE",186.0,,45.78,247.69,68
CDM,03001248,"Q-METHADONE METABOLITE QN, UR",186.0,,45.78,247.69,68
CDM,03001249,"Q-PHENCYCLIDINE QN, URINE",186.0,,45.78,247.69,68
CDM,03001250,Q-THYROID STM IMMUN GLOB (TSI),759.0,,16.64,683.1,68
CDM,03001252,Q-OPIOIDS AND OPIATE ANALOGS**,354.0,,45.78,318.6,68
CDM,03001253,Q-OXYCODONE**,354.0,,9.9,318.6,56
CDM,03001254,"Q-OXYCODONE QN, URINE",186.0,,45.78,247.69,68
CDM,03001257,Q-TRICYCLIC ANTIDEPRESSANT QN,186.0,,45.78,247.69,68
CDM,03001259,"Q-HEROIN METABOLITE QN, URINE",186.0,,45.78,247.69,68
CDM,03001260,Q-VASOACTIV INTEST POLYPEPT,416.0,,14.41,374.4,68
CDM,03001261,Q-STEREOISOMER ALYS 1 DRUG,186.0,,45.78,247.69,68
CDM,03001262,T SPOT (TB TEST),422.0,,92.0,379.8,68
CDM,03001263,Q-EBV QNT NON-BLOOD,664.0,,39.41,597.6,68
CDM,03001265,HYDROXYCORTICOSTEROID 17,179.0,,16.47,161.1,68
CDM,03001266,Q-CEBPA MUTATION ANALYSIS,891.0,,222.55,801.9,68
CDM,03001267,Q-ANALYSIS GENE JAK2,770.0,,170.38,693.0,68
CDM,03001268,"Q-EXONS 12, 13 (REFLEX)",770.0,,170.38,693.0,68
CDM,03001269,Q-ANALYSIS GENE NPM1 EXON 12,857.0,,226.8,771.3,68
CDM,03001273,Q-STONE ANALYSIS INFRARED,186.0,,8.89,167.4,68
CDM,03001274,Q-FLUOR AB SCR STRIATED MUSCLE,186.0,,11.09,167.4,68
CDM,03001275,Q-FLUOR AB TTR STRIATED MUSCLE,186.0,,6.58,167.4,68
CDM,03001276,Q-ANALY GENE SERPINA1 COM VAR*,418.0,,40.16,376.2,68
CDM,03001277,Q-ANALY PML/RAR COMM BRKPOINT*,1158.0,,123.0,1042.2,68
CDM,03001279,Q-HLA TYPING I HR 1 ALLELE**,648.0,,148.39,583.2,68
CDM,03001281,NUCLEIC ACID QN INFECT AGENT**,748.0,,39.41,673.2,68
CDM,03001287,Q-MOPATH PROCEDURE LEVEL 1**,866.0,,160.83,779.4,68
CDM,03001289,Q-ACCUTYPE(R) IL28B**,562.0,,67.5,505.8,68
CDM,03001293,Q-ANLYS GENE FLT3 ITD VARIANTS,1690.0,,228.63,1521.0,68
CDM,03001297,Q-MECONIUM DRUG SCREEN,595.0,,57.17,535.5,68
CDM,03001298,Q-MECONIUM DRUG CONFIRMATION,615.0,,45.78,553.5,68
CDM,03001300,Q-COPPER SERUM,223.0,,6.71,200.7,68
CDM,03001303,ANTI-ISLET CELL ANTIBODY,256.0,,12.53,230.4,68
CDM,03001304,LYME DISEASE,347.0,,5.74,312.3,68
CDM,03001310,Q-CITRATE URINE,534.0,,25.58,480.6,68
CDM,03001312,Q-LYME DZ CONFIRM EA ADDL,329.0,,5.73,296.1,56
CDM,03001313,Q-TROPHERYMA WHIPPLEI DNA QL,461.0,,32.28,414.9,69
CDM,03001315,Q-LEGIONELLA AB- INITIAL,297.0,,5.67,267.3,68
CDM,03001316,Q-LEGIONELLA AB- EA ADDL,297.0,,5.67,267.3,56
CDM,03001318,Q-CMV ANTIBODY**,390.0,,5.58,351.0,68
CDM,03001319,Q-HIV-1/HIV-2 SGL RESULT AB**,373.0,,5.71,335.7,68
CDM,03001320,Q-VARICELLA-ZOSTER IGM AB,337.0,,5.63,303.3,68
CDM,03001322,Q-Q FEVER TITER 1 AB IGG,246.0,,5.55,221.4,56
CDM,03001323,Q-Q FEVER TITER 1 AB IGM,259.0,,5.55,233.1,56
CDM,03001324,Q-Q FEVER TITER 2 AB IGG,246.0,,5.55,221.4,56
CDM,03001325,Q-TETANUS ANTIBODY,362.0,,5.61,325.8,68
CDM,03001330,Q-TRIIODOTHYRONINE T3 REVERSE,326.0,,3.34,293.4,68
CDM,03001331,Q-HEPATITIS B CORE AB**,241.0,,5.36,216.9,68
CDM,03001332,Q-TREPONEMA PALLIDUM AB**,360.0,,12.18,324.0,68
CDM,03001333,Q-VIRUS NOT ELSEWHERE SPEC**,350.0,,5.59,315.0,68
CDM,03001334,Q-HEPATITIS C ANTIBODY**,348.0,,13.13,313.2,68
CDM,03001335,Q-ALK PHOS ISOENZYMES,223.0,,13.43,200.7,68
CDM,03001336,Q-EIA HEPAT B SURF AG QL/SQ**,280.0,,7.91,252.0,68
CDM,03001337,Q-NUCLEIC ACID AMP INFECTIOUS*,613.0,,32.28,551.7,69
CDM,03001338,Q-NUCLEIC ACID AMP MLT ORG**,1222.0,,64.58,1099.8,68
CDM,03001339,Q-DONOR CHAGAS DZ SCREEN,293.0,,5.63,263.7,68
CDM,03001343,Q-DONOR HIV-1/HBV/HCV NAT,1254.0,,64.58,1128.6,68
CDM,03001344,Q-TPMT ACTIVITY,693.0,,15.93,623.7,68
CDM,03001346,Q-THEOPHYLLINE,265.0,,13.01,238.5,68
CDM,03001348,BK VIRUS DNA QUANT PCR,931.0,,39.41,837.9,68
CDM,03001358,JC VIRUS,819.0,,39.41,737.1,68
CDM,03001378,NEPHELOMETRY- EA ANALYTE **,325.0,,15.89,292.5,68
CDM,03001379,HAPTOGLOBIN- QUANTITATIVE **,70.0,,11.57,63.0,68
CDM,03001380,Q-ANTI-DIURETIC HORMONE,359.0,,14.22,323.1,68
CDM,03001381,APOLIPOPROTEIN- EACH **,329.0,,4.56,296.1,68
CDM,03001382,GLUTAMYLTRANSFERASE- GAMMA **,174.0,,6.3,156.6,68
CDM,03001383,BILIRUBIN- TOTAL **,92.0,,4.62,82.8,68
CDM,03001384,TRANSFERASE- ALANINE AMINO **,70.0,,2.34,63.0,68
CDM,03001398,ENZ ACT NONRAD SUBS (TMPT) **,478.0,,20.4,430.2,68
CDM,03001399,CHROMATO QN TMPT **,612.0,,22.16,550.8,68
CDM,03001403,HPLC QN 6-TGN IN PERIPH RBC **,612.0,,22.16,550.8,68
CDM,03001404,HPLC QN 6-MMPN IN PERIPH RBC *,612.0,,24.6,550.8,56
CDM,03001406,Q-ADENOVIRUS DNA QUANT PCR,931.0,,39.41,837.9,68
CDM,03001407,Q-5-HIAA URINE,256.0,,11.87,230.4,68
CDM,03001408,MONKEYPOX,367.0,,47.21,330.3,68
CDM,03001410,PORPHYRINS FRACT UR,194.0,,13.53,174.6,68
CDM,03001411,IMMUNO QN- INIT **,341.0,,11.36,306.9,68
CDM,03001413,IMMUNO QNT- EA ADDL **,341.0,,11.36,306.9,56
CDM,03001414,IF INDIRECT- EA AB **,350.0,,37.73,436.89,69
CDM,03001415,PORPHOBILINOGEN URINE QN,152.0,,7.76,136.8,68
CDM,03001423,Q-AMITRIPTYLINE (ELAVIL),241.0,,45.78,247.69,68
CDM,03001427,Q-MEXILETINE SERUM/PLASMA,439.0,,11.13,395.1,68
CDM,03001428,Q-IMIPRAMINE,270.0,,45.78,247.69,68
CDM,03001429,Q-DESIPRAMINE (NORPRAMIN),222.0,,45.78,247.69,68
CDM,03001430,Q-GROWTH HORMONE,273.0,,15.34,245.7,68
CDM,03001454,Q-METHYLMALONIC ACID,508.0,,19.51,457.2,68
CDM,03001455,Q-METANEPHRINES URINE,402.0,,7.92,361.8,68
CDM,03001456,Q-COLLAGEN CROSS LINKS **,228.0,,17.19,205.2,68
CDM,03001457,Q-VANILLYMANDELIC ACID (VMA),288.0,,6.62,259.2,68
CDM,03001458,Q-CREATININE OTHER SOURCE **,159.0,,3.35,143.1,68
CDM,03001459,Q-OXCARBAZEPINE METABOLITE,384.0,,12.19,345.6,68
CDM,03001460,Q-ANGIOTENSIN CONV ENZYME,330.0,,13.43,297.0,68
CDM,03001473,Q-CMV QUANT BY NUCLEIC ACID **,888.0,,39.41,799.2,68
CDM,03001474,Q-LEVETIRACETAM (KEPPRA) LEVEL,424.0,,12.19,381.6,68
CDM,03001477,Q-FLECAINIDE (TAMBOCOR) LEVEL,315.0,,17.15,283.5,68
CDM,03001478,Q-VITAMIN A (RETINOL),295.0,,9.79,265.5,68
CDM,03001484,"VDRL, SERUM",210.0,,3.36,189.0,68
CDM,03001486,TOXOPLASMA IGG  CSF,346.0,,5.59,311.4,68
CDM,03001489,THYROGLOBULIN TO USC ENDOCRINE,290.0,,3.34,261.0,68
CDM,03001490,THRYOGLOBULIN ANTIBODY XX,364.0,,14.64,327.6,68
CDM,03001494,Q-VITAMIN B3 (NIACIN),394.0,,13.1,354.6,68
CDM,03001497,ANTI-NEURONAL NUCLEAR ANTIBODY,330.0,,11.09,297.0,68
CDM,03001500,PORPHYRIN FRACTIONS BY HPLC,341.0,,22.16,306.9,68
CDM,03001504,HERPES CULTURE,310.0,,17.75,279.0,68
CDM,03001505,CMV CULTURE,275.0,,5.06,247.5,68
CDM,03001506,CHLAMYDIA CULTURE,150.0,,15.47,135.0,68
CDM,03001507,VIRUS CULTURE,310.0,,18.58,279.0,68
CDM,03001509,VARICELLA CULTURE,310.0,,17.75,279.0,68
CDM,03001510,ROTAVIRUS ANTIGENS,190.0,,11.02,171.0,68
CDM,03001514,HERPES SIMPLEX VIRUS TYPE 1,58.0,,11.02,52.2,68
CDM,03001531,ISLET CELL AB 512 (LABCORP),460.0,,12.53,414.0,68
CDM,03001532,RESP VIR PNL-ADENO,148.0,,13.28,133.2,68
CDM,03001534,RESP VIR PNL-INF A,156.0,,14.78,140.4,68
CDM,03001535,RESP VIR PNL-INF B,156.0,,11.27,140.4,68
CDM,03001536,RESP VIR PNL-PARA 1,156.0,,15.12,140.4,68
CDM,03001537,RESP VIR PNL-PARA 2,156.0,,15.12,140.4,68
CDM,03001538,RESP VIR PNL-PARA 3,156.0,,15.12,140.4,68
CDM,03001539,RESP VIR PNL-RSV,152.0,,8.49,136.8,68
CDM,03001546,Q-CULTURE STOOL YERSINIA,174.0,,3.05,156.6,68
CDM,03001550,HSV (CSF) BY PCR (EXTRACTION),586.0,,32.28,527.4,68
CDM,03001559,CONCENTRATION ANY TYPE **,114.0,,2.24,102.6,68
CDM,03001565,IF CYTOMEGALO AG **,156.0,,12.35,140.4,68
CDM,03001585,M-RENIN ACTIVITY- PLASMA,346.0,,20.23,311.4,68
CDM,03001586,M-ALDOSTERONE- SERUM,514.0,,37.49,462.6,68
CDM,03001587,M-ISLET CELL AB (GAD65 ASSAY),500.0,,12.53,450.0,68
CDM,03001588,M-METANEPH- FX- FREE PLASMA,468.0,,7.92,421.2,68
CDM,03001589,M-ALDOSTERONE- 24 HR URINE,514.0,,37.49,462.6,68
CDM,03001591,M-ALPHA GLYCOPROTEIN SUBUNIT,341.0,,3.34,306.9,68
CDM,03001592,M-PTH RELATED PEPTIDE,362.0,,3.34,325.8,68
CDM,03001595,M-ORGANIC ACID SCREEN QL- UR,459.0,,15.13,413.1,68
CDM,03001596,M-CRMP-5-IGG WESTERN BLOT,701.0,,13.41,630.9,68
CDM,03001597,M-ACYLCARNITINES QNT PLASMA,322.0,,15.52,289.8,68
CDM,03001598,HEXOSAMINIDASE A AND TOT SERUM,351.0,,15.52,315.9,68
CDM,03001600,ALA-D URINE,210.0,,6.56,189.0,68
CDM,03001601,M-BETA-2 TRANSFERRIN BODY FLD,708.0,,27.0,637.2,68
CDM,03001605,Q-ALDOLASE,193.0,,6.73,173.7,68
CDM,03001617,M-ACYLGLYCINES- QNT- UR,649.0,,22.16,584.1,68
CDM,03001618,M-THYROTROPIN RECEPTOR AB- S**,372.0,,11.36,334.8,68
CDM,03001620,Q-ZINC PLASMA,199.0,,10.48,179.1,68
CDM,03001641,M-ALPHA-1-ANTITRYPSIN CL**,387.0,,10.14,348.3,68
CDM,03001642,Q-IMMUNO TUMOR AG CA 15-3,295.0,,19.15,265.5,68
CDM,03001650,Q-CALCITONIN,374.0,,16.83,336.6,68
CDM,03001652,Z*M-ALBUMIN SERUM**,85.0,,2.32,76.5,68
CDM,03001659,M-GAD65 AB ASSAY CSF**,394.0,,12.53,354.6,68
CDM,03001680,Q-FAT FECES QUANTITATIVE,465.0,,13.61,418.5,68
CDM,03001700,Q-LEAD BLOOD,197.0,,7.91,177.3,68
CDM,03001703,Q-MAGNESIUM RBC,200.0,,6.16,180.0,68
CDM,03001708,M-ARSENIC URINE**,177.0,,12.39,159.3,68
CDM,03001709,M-CADMIUM URINE**,202.0,,14.56,181.8,68
CDM,03001711,M-LEAD URINE**,128.0,,7.91,115.2,68
CDM,03001712,M-MERCURY URINE**,159.0,,14.96,143.1,68
CDM,03001715,Q-OXALATE URINE,178.0,,12.37,160.2,68
CDM,03001721,M-FACTOR VIII VW MULTIMETRIC,527.0,,10.94,474.3,68
CDM,03001722,M-THYROXINE (T-4) FREE SERUM,312.0,,6.61,280.8,68
CDM,03001735,Q-MYELIN BASIC PROTEIN (CSF),291.0,,5.49,261.9,68
CDM,03001741,M-BETAHYDROXYBUTYRATE SR QN,270.0,,2.33,243.0,68
CDM,03001745,Q-VITAMIN D 25-HYDROXY,451.0,,27.23,405.9,68
CDM,03001747,M-ARSENIC BLOOD**,177.0,,12.39,159.3,68
CDM,03001748,M-CADMIUM BLOOD**,202.0,,14.56,181.8,68
CDM,03001749,M-LEAD BLOOD**,128.0,,7.91,115.2,68
CDM,03001751,M-MERCURY BLOOD**,159.0,,14.96,143.1,68
CDM,03001763,M-HTLV-I/II AB CONFIRMATION- S,994.0,,17.8,894.6,68
CDM,03001764,M-HTLV-I/II AB SCREEN- SERUM,308.0,,5.59,277.2,68
CDM,03001765,"Q-1,25-DIHYDROXY VITAMIN D3",563.0,,35.42,506.7,68
CDM,03001767,M-PROLACTIN TOTAL SERUM**,232.0,,7.9,208.8,68
CDM,03001768,M-PROLACTIN UNPRECIPITATED S**,232.0,,7.9,208.8,56
CDM,03001769,M-MITOCHONDRIAL AB (M2) S**,259.0,,23.41,233.1,68
CDM,03001771,M-NMO IGG CSF,1102.0,,18.07,991.8,68
CDM,03001781,M-ACHR MODULATING AB,543.0,,7.92,488.7,68
CDM,03001782,M-ACHR GANGLIONIC NEURONAL AB,631.0,,7.92,567.9,68
CDM,03001785,Q-INSULIN ANTIBODIES,276.0,,12.45,248.4,68
CDM,03001790,M-ACHR (MUSC) BINDING AB**,280.0,,27.6,252.0,56
CDM,03001791,M-ACHR (MUSC) MODULATING AB**,280.0,,7.92,252.0,56
CDM,03001792,M-P/Q TYPE CA CHANNEL AB**,280.0,,7.92,252.0,56
CDM,03001793,M-N-TYPE CA CHANNEL AB**,280.0,,7.92,252.0,56
CDM,03001794,M-STRIATED MUSCLE AB**,276.0,,11.36,248.4,68
CDM,03001802,M-PARANEOPLASTIC AB CSF**,1107.0,,13.41,996.3,68
CDM,03001810,Q-ALUMINUM SERUM,322.0,,21.73,289.8,68
CDM,03001816,Q-AMIODARONE,362.0,,17.15,325.8,68
CDM,03001823,M-TSH SENSITIVE SERUM,325.0,,10.09,292.5,68
CDM,03001827,M-ACHR (MUSC) BINDING AB**,267.0,,27.6,240.3,56
CDM,03001828,M-ACHR (MUSC) MODULATING AB**,280.0,,7.92,252.0,56
CDM,03001829,M-STRIATED MUSCLE AB**,276.0,,11.36,248.4,68
CDM,03001830,Q-ANTI-GBM ANTIBODY,460.0,,11.36,414.0,68
CDM,03001835,Q-ANTI-SCLERODERMA AB (SCL-70),575.0,,12.19,517.5,68
CDM,03001836,TRYPANOSOMA CRUZI AB TOTAL,341.0,,5.63,306.9,68
CDM,03001838,EJ (MAYOMARKER PANEL),65.0,,10.61,58.5,68
CDM,03001839,FIBRILLARIN (U3 RPN),65.0,,13.6,58.5,56
CDM,03001841,KU (MAYOMARKER),65.0,,13.6,58.5,56
CDM,03001842,MI-2 (MAYOMARKER),65.0,,13.6,58.5,56
CDM,03001843,OJ (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,03001844,PL-12 (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,03001846,PL-7 (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,03001847,SRP (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,03001848,U2 SNRNP (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,03001849,MDA-5 (P140) (CADM-140),78.0,,11.36,70.2,68
CDM,03001851,"HISTAMINE, BLOOD",387.0,,27.17,348.3,68
CDM,03001852,Q-HISTAMINE URINE,387.0,,27.17,348.3,68
CDM,03001853,NXP-2 (P140)(MAYOMARKER PANEL),78.0,,11.36,70.2,56
CDM,03001854,TIF1 GAMMA (P155/140),78.0,,11.36,70.2,56
CDM,03001856,ANTI-JO 1 AB(MAYOMARKER PANEL),132.0,,12.19,118.8,68
CDM,03001857,ANTI-PM/SCL AB (MAYOMARKER),132.0,,12.19,118.8,56
CDM,03001858,"ANTI SS-A 52 KD A, IGG",132.0,,12.19,118.8,56
CDM,03001859,ANTI-U1_RNP AB (MAYOMARKER),132.0,,12.19,118.8,56
CDM,03001862,"CALPROTECTIN, FECES",585.0,,18.06,526.5,68
CDM,03001863,Q-VALPROIC ACID FREE,197.0,,12.46,177.3,68
CDM,03001864,Q-BETA-2 MICROGLOBULIN URINE,246.0,,14.89,221.4,68
CDM,03001866,IMMUNE CELL FUNCTION,726.0,,94.4,653.4,68
CDM,03001867,M-LEFLUNOMIDE METABOLITE SERUM,615.0,,35.48,553.5,68
CDM,03001868,Q-ABL KINASE DOMAIN MUT-BLOOD,1382.0,,276.0,1243.8,68
CDM,03001869,Q-ABL KINASE DOMAIN MUT-BM,1382.0,,276.0,1243.8,68
CDM,03001870,MYCOPLASMA CULTURE,260.0,,6.73,234.0,69
CDM,03001871,UREAPLASMA CULTURE,260.0,,6.73,234.0,69
CDM,03001873,MYCOPLASMA MIC,354.0,,5.68,400.0,69
CDM,03001882,ONC AML DNA GNTYP INT TANDEM,1574.0,,228.63,1416.6,68
CDM,03001883,Z*FLT3 GENE ANALY TKD VARIANT*,585.0,,76.36,526.5,68
CDM,03001884,UNIVERSAL FUSION EXPRESSION PF,6081.0,,2686.03,6319.47,68
CDM,03001887,IMMUNO QNT- INIT**,137.0,,11.36,123.3,68
CDM,03001888,INF NUC ACID VIR 12-25 TARG**,1076.0,,299.88,968.4,68
CDM,03001889,IMMUNO QNT- EA ADDL**,137.0,,11.36,123.3,56
CDM,03001891,CHEMILUMINESCENT ASSAY- INIT**,75.0,,3.34,67.5,68
CDM,03001893,CHEMILUMINESCENT ASSY-EA ADD**,75.0,,3.34,67.5,56
CDM,03001894,C-REACTIVE PROTEIN**,56.0,,3.36,50.4,68
CDM,03001896,IF 1ST ANTIBODY STAIN**,390.0,,37.73,436.89,69
CDM,03001897,IF PER SPEC- EA ADDL STAIN**,299.0,,66.27,269.1,56
CDM,03001898,UNLISTED MOLEC PATH PROC**,0.01,,0.00196,350.58,56
CDM,03001899,COLLAGEN TYPE I C-TELOPEPTIDE,219.0,,17.19,197.1,68
CDM,03001901,ADAMTS13 ACTIVITY,876.0,,28.39,788.4,68
CDM,03001902,ADAMTS13 INHIBITOR,585.0,,11.33,526.5,68
CDM,03001903,ADAMTS13 ANTIBODY,676.0,,11.36,608.4,68
CDM,03001904,ENTEROVIRUS,645.0,,17.57,580.5,68
CDM,03001907,ADALIMUMAB ACTIVITY-LABCORP,865.0,,23.14,778.5,68
CDM,03001908,ADALIMUMAB AB-LABCORP,865.0,,3.34,778.5,56
CDM,03001909,INFLIXIMAB ACTIVITY,640.0,,15.42,576.0,68
CDM,03001912,INFLIXIMAB AB,640.0,,3.34,576.0,56
CDM,03001913,AMYLASE BODY FLUID-LABCORP,241.0,,4.55,216.9,68
CDM,03001914,PROTEIN TOTAL BODY FLD (ARUP),148.0,,3.68,133.2,68
CDM,03001919,GLUCOSE BODY FLUID (ARUP),89.0,,3.62,80.1,68
CDM,03001921,DRUG TEST DEFIN 22+ CLASSES,1222.0,,227.17,1099.8,68
CDM,03001922,Q-MUSK ANTIBODY TEST,1996.0,,16.93,1796.4,68
CDM,03001925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,03001926,STREP PNEUMO 23 AB ARUP INIT*,308.0,,60.37,277.2,56
CDM,03001941,Q-ADRENAL TITER (REFLEX TEST),210.0,,6.58,189.0,68
CDM,03001942,Q-PROINSULIN,412.0,,20.21,370.8,68
CDM,03001943,Q-NT-PROBNP,452.0,,36.12,406.8,68
CDM,03001944,Q-TROPONIN T,219.0,,10.69,197.1,68
CDM,03001946,Q-SERUM DRUG CONFIRMATION,615.0,,45.78,553.5,68
CDM,03001947,Q-COPEPTIN,301.0,,11.09,270.9,68
CDM,03001948,SERUM DRUG SCREENS,332.0,,57.17,298.8,68
CDM,03001949,SERUM DRUG SCREENS CONFIRM,431.0,,45.78,387.9,68
CDM,03001952,MYCOBACTERIUM TUBERC PANEL,165.0,,5.68,400.0,69
CDM,03001954,M-KAPPA FREE LIGHT CHAIN CSF**,580.0,,15.89,522.0,68
CDM,03001958,M-OLIGOCOLONAL BAND SERUM**,128.0,,20.02,115.2,68
CDM,03001959,M-OLIGOCOLONAL BAND CSF**,128.0,,20.02,115.2,68
CDM,03001961,"AMPHIPHYSIN WESTERN BLOT, S",923.0,,13.41,830.7,68
CDM,03001962,"NMDA-R AB CBA, S",923.0,,11.09,830.7,68
CDM,03001963,"AMPA-R AB CBA, S",923.0,,11.09,830.7,68
CDM,03001964,"GABA-B-R AB CBA, S",923.0,,11.09,830.7,68
CDM,03001965,"NMDA-R AB IF TITER ASSAY, S",923.0,,6.58,830.7,68
CDM,03001966,"AMPA-R AB IF TITER ASSAY, S",923.0,,6.58,830.7,68
CDM,03001967,"GABA-B-R AB IF TITER ASSAY, S",923.0,,6.58,830.7,68
CDM,03001969,"LGI1-IGG CBA, S",923.0,,11.09,830.7,68
CDM,03001970,"CASPR2-IGG CBA, S",923.0,,11.09,830.7,68
CDM,03001971,INORGANIC ARSENIC (TOXIC),326.0,,12.39,293.4,56
CDM,03001972,FENTANYL AND NORFENTANYL?,406.0,,45.78,365.4,68
CDM,03001984,Q-DEB FANCONI ANEM CHROM ANYL,293.0,,44.01,263.7,68
CDM,03001986,CHLYMD PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,68
CDM,03001987,MYCOPL PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,69
CDM,03001989,MANNAN-BINDING LECTIN,645.0,,5.61,580.5,68
CDM,03001992,Q-C. TRACHOMATIS UROGENITAL**,241.0,,32.28,216.9,68
CDM,03001993,Q-N. GONORRHOEAE UROGENITAL**,241.0,,23.29,216.9,68
CDM,03001997,M-CHROMOGRANIN A,269.0,,15.88,242.1,68
CDM,03002000,Q-RAST ALLERGEN IGE QN SQ EA*,138.0,,4.59,124.2,68
CDM,03002001,Q-RUBEOLA ANTIBODY IGG,271.0,,5.65,243.9,68
CDM,03002002,Q-EIA QL HISTOPLASMA ANTIGEN,537.0,,12.19,483.3,68
CDM,03002003,Q-RUBEOLA ANTIBODY IGM,506.0,,5.65,455.4,68
CDM,03002004,Q-TOXOPLASMA ANTIBODY IGG,376.0,,5.59,338.4,68
CDM,03002005,Q-IMMUNOASSAY QN TRYPTASE,276.0,,11.36,248.4,68
CDM,03002006,Q-RECEPTOR ASSAY TRANSFERRIN,693.0,,33.64,623.7,68
CDM,03002007,Q-ZONISAMIDE,298.0,,12.19,268.2,68
CDM,03002008,Q-FACTOR XIII FUNCTIONAL,868.0,,7.72,781.2,68
CDM,03002009,Q-ACHR BLOCKING AB,298.0,,16.93,268.2,68
CDM,03002011,Q-BRUCELLA ANTIBODY IGG**,205.0,,5.55,184.5,68
CDM,03002012,Q-BRUCELLA ANTIBODY IGM**,205.0,,5.55,184.5,68
CDM,03002013,Q-SOMATOMEDIN,224.0,,3.45,201.6,68
CDM,03002014,Q-ANDROSTENEDIONE,285.0,,26.94,256.5,68
CDM,03002017,Q-RICKETTSIA AB IGG**,241.0,,5.62,216.9,68
CDM,03002018,Q-RICKETTSIA AB IGM**,241.0,,5.62,216.9,68
CDM,03002019,Q-HELMINTH AB NOT SPECIFIED,445.0,,5.69,400.5,68
CDM,03002020,Q-RNA POLYMERASE III AB,357.0,,11.36,321.3,68
CDM,03002022,Q-OSTEOCALCIN,200.0,,12.42,180.0,68
CDM,03002023,Q-BLASTOMYCES QNT AG EIA,556.0,,11.02,500.4,68
CDM,03002024,Q-DEXAMETHASONE,221.0,,11.13,198.9,68
CDM,03002026,Q-BARTONELLA AB IGG**,168.0,,8.47,151.2,68
CDM,03002027,Q-BARTONELLA AB IGM**,168.0,,8.47,151.2,56
CDM,03002029,Q-COCCIDIOIDES AB CF**,222.0,,5.54,199.8,68
CDM,03002030,Q-COCCIDIOIDES AB ID**,222.0,,5.54,199.8,56
CDM,03002031,Q-COLD AGGLUTININ TITER,166.0,,4.46,149.4,68
CDM,03002032,Q-FLUORESCENT AB SCRN ADRENAL,244.0,,11.09,219.6,68
CDM,03002033,Q-HEPATITIS DELTA AGENT AB,267.0,,5.78,240.3,68
CDM,03002035,Q-EHRLICHIA AB IGG**,222.0,,8.42,199.8,68
CDM,03002036,Q-EHRLICHIA AB IGM**,222.0,,8.42,199.8,56
CDM,03002038,Q-CHLORIDE STOOL**,88.0,,2.38,79.2,68
CDM,03002039,Q-SODIUM STOOL**,110.0,,4.47,99.0,68
CDM,03002040,Q-SPECTROPHOTOMETRY**,88.0,,3.37,79.2,68
CDM,03002041,Q-AGGLUTININS FEBRILE FRANCIS,389.0,,5.68,350.1,68
CDM,03002042,Q-INHIBIN-B,499.0,,11.36,449.1,68
CDM,03002043,Q-AMINO ACIDS 6+ ACIDS PLASMA,414.0,,15.52,372.6,68
CDM,03002048,Q-IMMUNO QL/SQ GLIADIN IGA**,361.0,,11.09,324.9,68
CDM,03002049,Q-IMMUNO QL/SQ GLIADIN IGG**,361.0,,17.3,324.9,56
CDM,03002053,Q-MICROSOMAL AB LIVER-KIDNEY,377.0,,13.39,339.3,68
CDM,03002054,Q-ADENOSINE DEAMINASE FLD,312.0,,3.37,280.8,68
CDM,03002056,Q-GABAPENTIN (NEURONTIN),308.0,,19.94,277.2,68
CDM,03002058,Q-HYDROXYLASE-21 AB,560.0,,7.92,504.0,68
CDM,03002059,Q-NUCLEOTIDASE 5,137.0,,9.06,123.3,68
CDM,03002060,Q-HYDROCHOLESTEROL 7 PLASMA,791.0,,22.16,711.9,68
CDM,03002061,Q-ACHR MODULATING AB,748.0,,11.09,673.2,68
CDM,03002065,Q-ADENOSINE DEAMINASE BLOOD,192.0,,3.37,172.8,68
CDM,03002066,Q-ADENOSINE DEAMINASE PLEU FLD,312.0,,3.37,280.8,68
CDM,03002067,Q-ADIPONECTIN,752.0,,11.36,676.8,68
CDM,03002068,Q-ANTI-MULLERIAN HORMONE,631.0,,35.53,567.9,68
CDM,03002069,Q-APOLIPOPROTEIN A1,143.0,,4.56,128.7,68
CDM,03002070,Q-APOLIPOPROTEIN B,143.0,,4.56,128.7,68
CDM,03002086,Q-ARSENIC BLOOD,228.0,,12.39,205.2,68
CDM,03002088,Q-ASPERGILLUS FLAVUS AB**,168.0,,5.7,151.2,68
CDM,03002089,Q-ASPERGILLUS FUMIGATUS AB**,168.0,,5.7,151.2,56
CDM,03002090,Q-ASPERGILLUS NIGER AB**,168.0,,5.7,151.2,56
CDM,03002091,Q-ASPERGILLUS FUMIGATUS IGG,274.0,,7.19,246.6,68
CDM,03002097,Q-BARTONELLA HENSELAE AB IGG**,141.0,,8.47,126.9,68
CDM,03002099,Q-BARTONELLA HENSELAE AB IGM**,141.0,,8.47,126.9,56
CDM,03002101,Q-BETA 2 GLYCOPROTEIN I AB IGG,250.0,,23.41,225.0,68
CDM,03002102,Q-BETA 2 GLYCOPROTEIN I AB IGM,250.0,,23.41,225.0,68
CDM,03002103,Q-CARBON DIOXIDE (BICARB) UR,386.0,,2.31,347.4,68
CDM,03002104,Q-B. BURGDORFERI IGG AB CSF,654.0,,5.74,588.6,68
CDM,03002106,Q-C1 INHIBITOR PROTEIN,253.0,,5.59,227.7,68
CDM,03002107,Q-C4 BINDING PROTEIN SERUM,511.0,,11.39,459.9,68
CDM,03002111,Q-CHLORIDE FECES,156.0,,2.38,140.4,68
CDM,03002113,Z*Q-CHOLINESTERASE PLASMA**,129.0,,5.69,116.1,68
CDM,03002114,Z*Q-CHOLINESTERASE RBC**,124.0,,5.6,111.6,68
CDM,03002115,Q-CHROMIUM SERUM,270.0,,4.6,243.0,68
CDM,03002117,Q-TISSUE CULT NONNEO LYMPH**,621.0,,90.3,558.9,68
CDM,03002118,Q-CHROM ANLYS BREAKAGE**,930.0,,96.78,837.0,68
CDM,03002119,Q-CLOST DIFFICILE AB NEUTRAL,368.0,,18.16,331.2,68
CDM,03002120,Q-CLOZAPINE (CLOZARIL),358.0,,18.54,322.2,68
CDM,03002122,Q-COUMADIN (WARFARIN),246.0,,11.13,221.4,68
CDM,03002124,Q-DIHYDROTESTOSTERONE,255.0,,45.78,247.69,68
CDM,03002125,Q-DNASE-B ANTIBODY,246.0,,8.91,221.4,68
CDM,03002134,Q-COCCIDIOIDES ANTIBODY**,215.0,,5.54,193.5,68
CDM,03002135,Q-PROTOZOA E HISTOLYTICA AB,204.0,,5.63,183.6,68
CDM,03002139,Q-(1-3)-BETA-D-GLUCAN ASSAY,865.0,,11.02,778.5,68
CDM,03002146,Q-GANGLIOSIDE GQ1B AB IGG EIA,467.0,,11.36,420.3,68
CDM,03002150,Q-HERPESVIRUS 6 DNA QNT RT PCR,777.0,,38.42,699.3,68
CDM,03002166,M-CORTISOL FREE URINE**,118.0,,11.01,106.2,68
CDM,03002167,M-MASS SPECTOMETRY QN**,124.0,,15.93,111.6,68
CDM,03002168,VORICONAZOLE LC-MS/MS,370.0,,24.94,333.0,68
CDM,03002169,Q-CFTR GENE COM VARIANTS**,1712.0,,150.0,1540.8,68
CDM,03002170,"M-EVEROLIMUS, BLOOD",814.0,,12.63,732.6,68
CDM,03002171,Q-ANALY GENE F2 20210G>A VAR**,337.0,,57.5,303.3,68
CDM,03002172,Q-ANALY GENE F5 LIDEN VAR**,337.0,,50.0,303.3,68
CDM,03002175,Q-ANALY GENE HFE COMMON VAR**,726.0,,60.13,653.4,68
CDM,03002177,Q-P190 BCR/ABL1,624.0,,133.25,561.6,68
CDM,03002178,Q-P210 BCR/ABL1,751.0,,150.84,675.9,68
CDM,03002180,IGH SOMATIC HYPERMUT IN B-CLL,1975.0,,130.9,1777.5,68
CDM,03002181,SMITH-LEMLI-OPITZ SCREEN,385.0,,22.16,346.5,68
CDM,03002182,KIT ASP816VAL MUTATION ANALYS,2166.0,,114.88,1949.4,68
CDM,03002183,"KIT ASP816VAL MUTAT ANALY, BM",2166.0,,114.88,1949.4,68
CDM,03002184,"CNS DEMYELINATING DZ EVAL, S1",1136.0,,18.07,1022.4,68
CDM,03002185,"CNS DEMYELINATING DZ EVAL, S2",1136.0,,18.07,1022.4,68
CDM,03002186,"NMO/AQP4 FACS, S",662.0,,18.07,595.8,68
CDM,03002188,"NMO/AQP4 FACS, CSF",662.0,,18.07,595.8,68
CDM,03002189,"NMO/AQP4 FACS TITER, CSF",385.0,,18.07,346.5,68
CDM,03002190,"MOG FACS, S",1766.0,,18.07,1589.4,68
CDM,03002191,"MOG FACS TITER, S",385.0,,18.07,346.5,68
CDM,03002193,"PARANEOPLASTIC INTERP, CSF**",123.0,,11.09,110.7,68
CDM,03002194,"ANTI-GLIAL NUC AB, TYPE 1**",123.0,,11.09,110.7,68
CDM,03002195,"AMPHIPHYSIN AB, CSF**",123.0,,11.09,110.7,68
CDM,03002196,"ANTI-NEURONAL NUC AB, TYPE 1**",123.0,,11.09,110.7,68
CDM,03002197,"ANTI-NEURONAL NUC AB, TYPE 2**",123.0,,11.09,110.7,68
CDM,03002198,"ANTI-NEURONAL NUC AB, TYPE 3**",123.0,,11.95,110.7,56
CDM,03002199,"CRMP-5-IGG, CSF**",123.0,,11.95,110.7,56
CDM,03002200,"PURKINJE CELL CYTO AB,TYPE 1**",123.0,,11.95,110.7,56
CDM,03002201,"PURKINJE CELL CYTO AB,TYPE 2**",123.0,,11.95,110.7,56
CDM,03002202,"PURKINJE CELL CYTO AB,TYPE TR*",123.0,,11.95,110.7,56
CDM,03002204,"VGK-COMPLEX AB IPA, CSF",1060.0,,7.92,954.0,68
CDM,03002205,"AMPHIPHYSIN WESTERN BLOT, CSF",953.0,,13.41,857.7,68
CDM,03002206,"CRMP-5-IGG WESTERN BLOT, CSF",953.0,,13.41,857.7,68
CDM,03002207,"PARANEOPLAS AUTO AB WBLOT, CSF",953.0,,13.41,857.7,68
CDM,03002208,"NMO/AQP4-IGG FACS, CSF",662.0,,18.07,595.8,68
CDM,03002209,"AMPA-R AB CBA, CSF",1538.0,,11.09,1384.2,68
CDM,03002210,"GABA-B-R AB CBA, CSF",1538.0,,11.09,1384.2,68
CDM,03002211,"NMDA-R AB CBA, CSF",1538.0,,11.09,1384.2,68
CDM,03002212,"NMO/AQP4-IGG FACS TITER, CSF",662.0,,18.07,595.8,68
CDM,03002213,"AMPA-R AB IF TITER ASSAY, CSF",431.0,,6.58,387.9,68
CDM,03002214,"GABA-B-R AB IF TITER ASSAY,CSF",431.0,,6.58,387.9,68
CDM,03002215,"NMDA-R AB IF TITER ASSAY, CSF",431.0,,6.58,387.9,68
CDM,03002216,"LGI1-IGG CBA, CSF",923.0,,11.09,830.7,68
CDM,03002217,"CASPR2-IGG CBA, CSF",923.0,,11.09,830.7,68
CDM,03002218,"GAD65 AB ASSAY, CSF",295.0,,12.53,265.5,68
CDM,03002220,ACYLCARNITINES QN EA SPEC**,215.0,,15.52,193.5,68
CDM,03002221,MASS SPECTROMETRY QL**,274.0,,15.93,246.6,68
CDM,03002222,CHROMATOGR/SPECT QL/QN**,274.0,,22.16,246.6,68
CDM,03002224,AMINO ACIDS 6+ ACIDS QN**,953.0,,15.52,857.7,68
CDM,03002225,CREATININE OTHER SOURCE**,288.0,,3.35,259.2,68
CDM,03002226,AMINO ACID ANALYSIS (PLASMA),1153.0,,15.52,1037.7,68
CDM,03002227,AMINO ACID ANALYSIS (CSF),1153.0,,15.52,1037.7,68
CDM,03002229,CREATININE OTHER SOURCE***,84.0,,3.35,75.6,68
CDM,03002230,ORGANIC ACIDS TOTAL QN**,340.0,,19.1,306.0,68
CDM,03002231,ORGANIC ACIDS QL**,265.0,,15.13,238.5,68
CDM,03002232,CHROMATOGR/SPECT QL/QN**,345.0,,22.16,310.5,68
CDM,03002233,FREE ESTERIFIED CARNITINE ANAL,845.0,,15.52,760.5,68
CDM,03002234,Q-UGT1A1 GENE POLYMORPHISM,810.0,,140.4,729.0,68
CDM,03002235,Q-MYD88 MUTATION ANALYSIS,1518.0,,161.37,1366.2,68
CDM,03002236,Q-BETA GLOBIN GENE SEQUENCING,2252.0,,298.61,2026.8,68
CDM,03002237,Q-HUNTINGTON DISEASE,1106.0,,126.04,995.4,68
CDM,03002238,PORPHOBILINOGEN DEAMINASE-PBGD,370.0,,20.4,333.0,68
CDM,03002239,PORPHOBILINOGEN (PBGD) SERUM,354.0,,7.76,318.6,68
CDM,03002240,TOTAL PORPHYRINS PLASMA,340.0,,3.37,306.0,68
CDM,03002241,TOTAL PORPHYRINS FECES,340.0,,8.94,306.0,68
CDM,03002243,M-ACHR GNG NRL AB**,394.0,,7.92,354.6,68
CDM,03002244,M-N-TYPE**,394.0,,7.92,354.6,68
CDM,03002245,M-P/Q-TYPE**,394.0,,7.92,354.6,68
CDM,03002246,M-AMPA-R AB**,291.0,,11.09,261.9,68
CDM,03002247,M-AMPHIPHYSIN AB**,291.0,,11.09,261.9,68
CDM,03002248,M-AGNA-1**,291.0,,11.09,261.9,68
CDM,03002249,M-ANNA-1**,291.0,,11.09,261.9,68
CDM,03002250,M-ANNA-2**,291.0,,11.09,261.9,68
CDM,03002251,M-ANNA-3**,291.0,,11.09,261.9,68
CDM,03002252,M-CASPR2-IGG**,291.0,,11.09,261.9,68
CDM,03002253,M-CRMP-5-IGG**,291.0,,11.09,261.9,68
CDM,03002254,"M-DPPX AB CBA, S**",291.0,,11.09,261.9,68
CDM,03002255,M-GABA-B-R AB**,291.0,,11.09,261.9,68
CDM,03002256,M-GFAP**,291.0,,11.09,261.9,68
CDM,03002257,"M-IGLON5 CBA, S**",291.0,,11.09,261.9,68
CDM,03002258,M-LGI1-IGG**,291.0,,11.09,261.9,68
CDM,03002259,M-MGLUR1 AB**,291.0,,11.09,261.9,68
CDM,03002260,M-NIF IFA**,291.0,,11.09,261.9,68
CDM,03002261,M-NMDA-R AB**,291.0,,11.09,261.9,68
CDM,03002262,M-PCA-1**,291.0,,11.09,261.9,68
CDM,03002263,M-PCA-2**,291.0,,11.09,261.9,68
CDM,03002264,M-PCA-TYPE TR**,291.0,,11.09,261.9,68
CDM,03002265,M-GAD65 AB**,465.0,,12.53,418.5,68
CDM,03002267,COVID-19 PCR (BAL OR CSF),368.0,,30.6,331.2,70
CDM,03002268,M-AMPA-R AB CBA CSF**,255.0,,11.09,229.5,68
CDM,03002269,M-AMPHIPHYSIN AB CSF**,255.0,,11.09,229.5,68
CDM,03002270,M-AGNA-1 CSF**,255.0,,11.09,229.5,68
CDM,03002271,M-ANNA-1 CSF**,255.0,,11.09,229.5,68
CDM,03002272,M-ANNA-2 CSF**,255.0,,11.09,229.5,68
CDM,03002273,M- ANNA-3 CSF**,255.0,,11.09,229.5,68
CDM,03002274,M-CASPR2-IGG CBA CSF**,255.0,,11.09,229.5,68
CDM,03002275,M-CRMP-5 IGG CSF**,255.0,,11.09,229.5,68
CDM,03002276,M-DPPX AB CBA CSF**,255.0,,11.09,229.5,68
CDM,03002278,M-GABA-B-R AB CBA CSF**,255.0,,11.09,229.5,68
CDM,03002279,M-GFAP IFA CSF**,255.0,,11.09,229.5,68
CDM,03002280,M-IGLON5 CBA CSF**,255.0,,11.09,229.5,68
CDM,03002281,M-LGI1-IGG CBA CSF**,255.0,,11.09,229.5,68
CDM,03002282,M-MGLUR1 AB IFA CSF**,255.0,,11.09,229.5,68
CDM,03002283,M-NIF IFA CSF**,255.0,,11.09,229.5,68
CDM,03002284,M-NMDA-R AB CBA CSF**,255.0,,11.09,229.5,68
CDM,03002285,M-PCA-TR CSF**,255.0,,11.09,229.5,68
CDM,03002286,M-PCA-1 CSF**,255.0,,11.09,229.5,68
CDM,03002287,M-PCA-2 CSF**,255.0,,11.09,229.5,68
CDM,03002288,M-GAD65 AB ASSAY CSF**,394.0,,12.53,354.6,68
CDM,03002290,M-ACH RECEPTOR MUSC MOD AB,255.0,,7.92,229.5,68
CDM,03002291,M-AGNA-1 IMMUNOBLOT CSF,953.0,,13.41,857.7,68
CDM,03002292,M-AGNA-1 IMMUNOBLOT S,431.0,,13.41,387.9,68
CDM,03002293,M-AMPHIPLYSIN IMMUNOBLOT S,431.0,,13.41,387.9,68
CDM,03002294,M-ANNA-1 IMMUNOBLOTT S,431.0,,13.41,387.9,68
CDM,03002295,M-ANNA-2 IMMUNOBLOTT S,431.0,,13.41,387.9,68
CDM,03002296,M-CRMP-5-IGG WESTERN BLOT S,431.0,,13.41,387.9,68
CDM,03002297,M-PCA-1 IMMUNOBLOT S,431.0,,13.41,387.9,68
CDM,03002298,M-PCA-TR IMMUNOBLOT S,431.0,,13.41,387.9,68
CDM,03002299,M-ALPHA INTERNEXIN CBA S,1568.0,,11.09,1411.2,68
CDM,03002300,M-DPPX AB S,1568.0,,11.09,1411.2,68
CDM,03002301,M-GFAP S,1568.0,,11.09,1411.2,68
CDM,03002302,M-IGLON5 CBA S,1568.0,,11.09,1411.2,68
CDM,03002303,M-MGLUR1 AB S,1568.0,,11.09,1411.2,68
CDM,03002304,M-NIF HEAVY CHAIN CBA S,1568.0,,11.09,1411.2,68
CDM,03002305,M-NIF LIGHT CHAIN CBA S,1568.0,,11.09,1411.2,68
CDM,03002306,M-AMPA-R AB IF TITER ASSAY,400.0,,6.58,360.0,68
CDM,03002307,M-DPPX AB TITER S,400.0,,6.58,360.0,68
CDM,03002308,M-GABA-B-R AB IF TITER ASSAY S,400.0,,6.58,360.0,68
CDM,03002309,M-GFAP TITER S,400.0,,6.58,360.0,68
CDM,03002310,M-IGLON5 IFA TITER S,400.0,,6.58,360.0,68
CDM,03002311,M-MGLUR1 AB TITER S,400.0,,6.58,360.0,68
CDM,03002312,M-NIF IFA TITER S,400.0,,6.58,360.0,68
CDM,03002313,M-NMDA-R AB IF TITER ASSAYS,400.0,,6.58,360.0,68
CDM,03002314,M-AMPHIPHYSIN IMMUNOBLOT CSF,953.0,,13.41,857.7,68
CDM,03002315,M-ANNA-1 IMMUNOBLOT CSF,953.0,,13.41,857.7,68
CDM,03002316,M-ANNA-2 IMMUNOBLOT CSF,953.0,,13.41,857.7,68
CDM,03002317,M-CRMP-5-IGG WESTERN BLOT CSF,953.0,,13.41,857.7,68
CDM,03002318,M-PCA-1 IMMUNOBLOT CSF,953.0,,13.41,857.7,68
CDM,03002319,M-PCA-TR IMMUNOBLOT CSF,953.0,,13.41,857.7,68
CDM,03002320,M-ALPHA INTERNEXIN CBA CSF,1568.0,,11.09,1411.2,68
CDM,03002321,M-DPPX AB CSF-MAYO,1568.0,,11.09,1411.2,68
CDM,03002322,M-GFAP CSF-MAYO,1568.0,,11.09,1411.2,68
CDM,03002323,M-IGLON5 CBA CSF,1568.0,,11.09,1411.2,68
CDM,03002324,M-MGLUR1 AB CSF-MAYO,1568.0,,11.09,1411.2,68
CDM,03002325,M-NIF HEAVY CHAIN CBA CSF,1568.0,,11.09,1411.2,68
CDM,03002326,M-NIF LIGHT CHAIN CBA CSF,1568.0,,11.09,1411.2,68
CDM,03002327,M-AMPA-R AB IF TITER ASSAY CSF,400.0,,6.58,360.0,68
CDM,03002328,M-DPPX AB TITER CSF-MAYO,400.0,,6.58,360.0,68
CDM,03002329,M-GABA-B-R AB IF TIT ASSAY CSF,400.0,,6.58,360.0,68
CDM,03002330,M-GFAP TITER CSF-MAYO,400.0,,6.58,360.0,68
CDM,03002331,M-IGLON5 IFA TITER CSF,400.0,,6.58,360.0,68
CDM,03002332,M-MGLUR1 AB TITER CSF-MAYO,400.0,,6.58,360.0,68
CDM,03002333,M-NIF IFA TITER CSF,400.0,,6.58,360.0,68
CDM,03002334,M-NMDA-R AB IF TITER ASSAY CSF,400.0,,6.58,360.0,68
CDM,03002335,Q-HERPES VIRUS 8 DNA QUANT PCR,664.0,,39.41,597.6,68
CDM,03005001,Q-CN-1A ANTIBODY IGG,844.0,,10.61,759.6,68
CDM,03005062,EIA HISTOPLASMA ANTIGEN QL/SQ,370.0,,12.19,333.0,68
CDM,03005063,POSACONAZOLE-VIARCOR,423.0,,24.94,380.7,68
CDM,03005064,+M-VEDOLIZUMAB ACTIVITY,762.0,,23.14,685.8,68
CDM,03005065,M-VEDOLIZUMAB AB**,348.0,,3.34,313.2,68
CDM,03005066,CMV QUANT BY NUCLEIC ACID,288.0,,39.41,259.2,68
CDM,03005067,ADOLESCENT HCV AB,147.0,,13.13,132.3,68
CDM,03005069,Q-COVID-19 PCR,368.0,,30.6,331.2,70
CDM,03005100,TISSUE CULT NONNEO LYMPH,1538.0,,90.3,1384.2,68
CDM,03005102,TISSUE CULT AMNIOTIC/CHORIONIC,1793.0,,52.8,1613.7,68
CDM,03005103,TISSUE CULT FOR CHRM ANAL,1666.0,,36.96,1499.4,68
CDM,03005111,CHRM ANAL-15-20CELL-2 KAR,1546.0,,88.84,1391.4,68
CDM,03005115,EACH ADDIT HIGH RES BAND,449.0,,24.14,404.1,68
CDM,03005123,M-ACTH,554.0,,33.53,498.6,68
CDM,03005124,Q-C. TRACHOMATIS RECTAL SWAB**,241.0,,32.28,216.9,68
CDM,03005125,Q-N. GONORRHOEAE RECTAL SWAB**,241.0,,23.29,216.9,68
CDM,03005126,Q-TRICHOMONAS VAGINALIS RNA QL,460.0,,18.4,414.0,68
CDM,03005127,Q-TRICHOMONAS VAGINALIS-MALE,460.0,,18.4,414.0,68
CDM,03005128,M-PORPHYRINS TOTAL PLASMA,322.0,,3.37,289.8,68
CDM,03005129,M-PORPHYRINS FX PLASMA REFLEX,349.0,,22.16,314.1,68
CDM,03005131,M-PROTOPORPHYRINS FX WHOLE BLD,515.0,,22.16,463.5,68
CDM,03005132,M-UROPORPHY DECARBOX WHOLE BLD,702.0,,20.4,631.8,68
CDM,03005133,M-AMINOLEVULINIC ACID (ALA) UR,538.0,,6.56,484.2,68
CDM,03005134,M-PORPHOBIL DEAMINASE WHL BLD,381.0,,20.4,342.9,68
CDM,03005135,Q-CATECHOLAMINE- FRACT (URINE),428.0,,23.23,385.2,68
CDM,03005136,Q-CATECHOLAMINE- FRACT (PL),428.0,,23.23,385.2,68
CDM,03005137,M-PORPHOBIL QNT RANDOM UR,226.0,,7.76,203.4,68
CDM,03005138,M-PORPHYRINS FECES,594.0,,8.94,534.6,68
CDM,03005154,M-QUANTITATION AND FRACTION**,211.0,,13.53,189.9,68
CDM,03005156,M-QUANTITATIVE**,186.0,,7.76,167.4,68
CDM,03005158,M-QUANTITATION AND FRACTION**,211.0,,13.53,189.9,68
CDM,03005159,M-QUANTITATIVE**,186.0,,7.76,167.4,68
CDM,03005167,IFE SERUM**,533.0,,20.55,479.7,68
CDM,03005168,IMMUNOGLOBULIN G QN SERUM**,219.0,,7.88,197.1,68
CDM,03005169,IMMUNOGLOBULIN A QN SERUM**,219.0,,7.88,197.1,68
CDM,03005171,IMMUNOGLOBULIN M QN SERUM**,219.0,,7.88,197.1,68
CDM,03005172,INTERLEUKIN 2 RECEPTOR,426.0,,11.36,383.4,68
CDM,03005173,INTERLEUKIN 6 SERUM,426.0,,15.89,383.4,68
CDM,03005174,M-PORPHOBILINOGEN PLASMA,730.0,,22.16,657.0,68
CDM,03005176,M-AMINOLEVULINIC ACID PLASMA,544.0,,6.56,489.6,68
CDM,03005178,Q-RAST ALLERGIN IGE QN SQ EA**,35.0,,4.59,31.5,68
CDM,03005179,Q-IMMUNOGLOBULIN IGE**,107.0,,7.31,96.3,68
CDM,03005181,Q-LYMES DZ AB (IGG) IBL (CSF),375.0,,5.73,337.5,68
CDM,03005182,M-METHOTREX POST GLUCARPIDASE,917.0,,35.48,825.3,68
CDM,03005183,M-ALPHA-GALACTOSIDASE SERUM,468.0,,20.4,421.2,68
CDM,03005184,M-CLOBAZAM AND METABOLITE SER,411.0,,45.78,369.9,68
CDM,03005185,Q-TOPIRAMATE,318.0,,10.23,286.2,68
CDM,03005186,M-HYPOGLYCEMIC AGENT SCREEN S,426.0,,57.17,383.4,68
CDM,03005187,M-HMG-COA REDUCTASE AB SERUM,799.0,,3.34,719.1,68
CDM,03005189,M-USTEKINUMAB QN SERUM**,491.0,,11.13,441.9,68
CDM,03005191,M-USTEKINUMAB AB SERUM**,491.0,,11.36,441.9,68
CDM,03005193,M-PHOSPHOLIP A2 RECEPT IFA,655.0,,11.09,589.5,68
CDM,03005194,M-PHOSPHOLIP A2 RECEPT ELISA,940.0,,11.36,846.0,68
CDM,03005197,DRUG TEST(S) PRESUMPTIVE**,205.0,,57.17,184.5,68
CDM,03005198,DRUG TEST(S) DEFINITIVE**,515.0,,144.06,463.5,68
CDM,03005201,M-ACH RECEPTOR (MUSC) BIND AB*,351.0,,16.93,315.9,68
CDM,03005202,M-P/Q-TYPE CALCIUM CHANNEL AB*,351.0,,11.09,315.9,68
CDM,03005203,M-ACHR MODULATE FLOW CYTOMETRY,375.0,,11.09,337.5,68
CDM,03005204,M-MUSK AUTOANTIBODY SERUM,2136.0,,16.93,1922.4,68
CDM,03005206,Q-ZINC TRANSPORTER 8 (ZNT8) AB,344.0,,12.53,309.6,68
CDM,03005207,Q-TP53 SOMATIC MUTATION,3217.0,,303.15,2895.3,68
CDM,03005208,Q-PROCOLLAGEN TYPE 1 INTACT N,542.0,,7.92,487.8,68
CDM,03005209,Q-LIPOPROTEIN (A),221.0,,13.17,198.9,68
CDM,03005212,Q-CA VI IGG ABS**,197.0,,11.36,177.3,68
CDM,03005213,Q-CA VI IGA ABS**,197.0,,11.36,177.3,68
CDM,03005214,Q-CA VI IGM ABS**,197.0,,11.36,177.3,68
CDM,03005216,Q-PSP IGG ABS**,197.0,,11.36,177.3,68
CDM,03005217,Q-PSP IGA ABS**,197.0,,11.36,177.3,68
CDM,03005218,Q-PSP IGM ABS**,197.0,,11.36,177.3,68
CDM,03005219,Q-SP-1 IGG ABS**,197.0,,11.36,177.3,68
CDM,03005221,Q-SP-1 IGA ABS**,197.0,,11.36,177.3,68
CDM,03005222,Q-SP-1 IGM ABS**,197.0,,11.36,177.3,68
CDM,03005224,Q-PHENOTYPE INFECT AGENT**,578.0,,119.92,520.2,68
CDM,03005226,Q-GENOTYPE DNA HIV REVERSE T**,861.0,,236.85,774.9,68
CDM,03005227,M-BRIVARACETAM PLASMA,543.0,,11.13,488.7,68
CDM,03005228,M-CANNABIDIOL SERUM,847.0,,11.13,762.3,68
CDM,03005229,M-CYTOCHROME P450 2C19 GENOT,1829.0,,268.05,1646.1,68
CDM,03005230,KIT (D816V) MUTATION BY DDPCR,1056.0,,114.88,950.4,68
CDM,03005231,IMMATURE PLATELET FRACTION,159.0,,32.88,143.1,68
CDM,03005232,COBALT SERUM/PLASMA,162.0,,8.92,145.8,68
CDM,03005233,ALLERGEN FOOD ALPHA-GAL IGE,246.0,,16.5,221.4,68
CDM,03005234,VZV ANTIBODY IGG CSF,174.0,,5.63,156.6,68
CDM,03005236,VZV ANTIBODY IGM CSF,174.0,,5.63,156.6,68
CDM,03005238,BARTONELLA QUINTANA AB IGM**,106.0,,8.47,95.4,68
CDM,03005239,BARTONELLA QUINTANA AB IGG**,106.0,,8.47,95.4,68
CDM,03005241,PERAMPANEL QUANT SERUM/PLASMA,704.0,,45.78,633.6,68
CDM,03005242,PREGABALIN SERUM/PLASMA,276.0,,45.78,248.4,68
CDM,03005310,Q-JO 1 ANTIBODY,363.0,,12.19,326.7,68
CDM,03005326,Q-LEAD CAPILLARY,195.0,,7.91,175.5,68
CDM,03005327,Q-ESLICARBAZEPINE,319.0,,11.13,287.1,68
CDM,03005328,Q-RUFINAMIDE,319.0,,24.94,287.1,68
CDM,03005329,Q-LYSOZYME (MURAMIDASE),215.0,,14.43,193.5,68
CDM,03005332,M-ACHR (MUSC) BINDING AB**,134.0,,27.6,120.6,56
CDM,03005333,M-ACHR GANGLIONIC NEURON AB**,134.0,,7.92,120.6,56
CDM,03005334,M-NEURONAL VGKC AUTOANTIBODY**,134.0,,7.92,120.6,56
CDM,03005335,M-N-TYPE CALCIUM CHANNEL AB**,134.0,,26.07,120.6,56
CDM,03005336,M-P/Q-TYPE CALCIUM CHANEL AB*,134.0,,26.07,120.6,56
CDM,03005337,M-STRIATED MUSCLE ANTIBODY**,128.0,,11.36,115.2,68
CDM,03005338,M-FLUOR AB TITER AGNA-1**,143.0,,6.58,128.7,68
CDM,03005339,M-FLUOR AB TITER AMPHIPHYSIN**,143.0,,6.58,128.7,56
CDM,03005340,M-FLUOR AB TITER ANNA-1**,143.0,,6.58,128.7,56
CDM,03005341,M-FLUOR AB TITER ANNA-2**,143.0,,6.58,128.7,56
CDM,03005342,M-FLUOR AB TITER ANNA-3**,143.0,,6.58,128.7,56
CDM,03005343,M-FLUOR AB TITER CRMP-5-IGG**,143.0,,6.58,128.7,56
CDM,03005344,M-FLUOR AB TITER PCA-1**,143.0,,6.58,128.7,56
CDM,03005345,M-FLUOR AB TITER PCA-2**,143.0,,6.58,128.7,56
CDM,03005346,M-FLUOR AB TITER PCA-TR**,143.0,,6.58,128.7,56
CDM,03005361,ARP PROFILE,271.0,,57.17,243.9,68
CDM,03005371,PHOSPHATIDYLETHANOL (PETH),350.0,,45.78,315.0,68
CDM,03005443,BILIRUBIN TOTAL BODY FLUID,161.0,,4.62,144.9,68
CDM,03005778,14-3-3 PROTEIN**,100.0,,13.41,90.0,68
CDM,03005779,TAU PROTEIN**,51.0,,13.79,45.9,68
CDM,03005780,RT-QUIC NEURO CSF PRION**,1801.0,,497.71,1620.9,68
CDM,03005781,CARCINOEMBRYONIC AG-ARUP 20742,269.0,,10.02,242.1,68
CDM,03005782,Q-EBV NUCLEAR AG ANTIBODY IGG,353.0,,5.54,317.7,68
CDM,03005784,CELL FUNCTION ASSAY W/STIM**,550.0,,94.4,495.0,68
CDM,03005785,ASPERGILLUS SPECIES PCR,353.0,,32.28,317.7,69
CDM,03005786,MUCORALES PCR,353.0,,32.28,317.7,69
CDM,03005787,PNEUMOCYSTIS PNEUMONIA PCR,353.0,,32.28,317.7,69
CDM,03005789,INFECT AGENT GENOTYPE ANLYS**,3187.0,,114.42,2868.3,68
CDM,03005790,CNS DNA AMP PROBE TYPE 12-25,928.0,,383.44,902.13,68
CDM,03005792,Q-PANCREATIC POLYPEPTIDE ECL,383.0,,11.36,344.7,68
CDM,03005793,Q-CURV SPICIFERA/BIPOLARIS IGE,253.0,,4.59,227.7,68
CDM,03005794,Q-FENTANYL AND NORFENTANYL U,213.0,,45.78,247.69,68
CDM,03005795,Q-NOROVIRUS RNA QUAL RT PCR,747.0,,32.28,672.3,69
CDM,03005796,Q-ANTI-CN-1A (NT5C1A) IBM RDL,586.0,,11.36,527.4,68
CDM,03005797,Q-RETINOL BINDING PROTEIN,256.0,,3.44,230.4,68
CDM,03005798,Q-CBFB/MYH11 INV(16) QNT RTPCR,928.0,,126.04,835.2,68
CDM,03005799,Q-AML1/ETO T(8;21) QNT RT PCR,803.0,,126.04,722.7,68
CDM,03005875,COXSACKIE A AB**,121.0,,5.63,108.9,68
CDM,03005877,COXSACKIE B AB**,121.0,,5.63,108.9,68
CDM,03005879,HUMAN ERYTHROCYTE ANTIGEN**,2016.0,,662.4,1814.4,68
CDM,03005880,RHD GENOTYPE**,568.0,,170.38,511.2,68
CDM,03005881,M-AGNA-1 TITER S,340.0,,6.58,306.0,68
CDM,03005882,M-AMPHIPHYSIN AB TITER S,340.0,,6.58,306.0,68
CDM,03005883,M-ANNA-1 TITER S,340.0,,6.58,306.0,68
CDM,03005884,M-ANNA-2 TITER S,340.0,,6.58,306.0,68
CDM,03005885,M-ANNA-3 TITER S,340.0,,6.58,306.0,68
CDM,03005886,M-CRMP-5-IGG TITER S,340.0,,6.58,306.0,68
CDM,03005887,M-PCA-1 TITER S,340.0,,6.58,306.0,68
CDM,03005888,M-PCA-2 TITER S,340.0,,6.58,306.0,68
CDM,03005889,M-PCA-TR TITER S,340.0,,6.58,306.0,68
CDM,03005890,M-NEUROCHONDRIN CBA S,1367.0,,11.09,1230.3,68
CDM,03005891,M-NEUROCHONDRIN IFA TITER S,340.0,,6.58,306.0,68
CDM,03005892,M-SEPTIN-7 CBA S,1367.0,,11.09,1230.3,68
CDM,03005893,M-SEPTIN-7 IFA TITER S,340.0,,6.58,306.0,68
CDM,03005894,M-AGNA-1 TITER CSF,341.0,,6.58,306.9,68
CDM,03005895,M-AMPHIPHYSIN AB TITER CSF,341.0,,6.58,306.9,68
CDM,03005896,M-ANNA-1 TITER CSF,341.0,,6.58,306.9,68
CDM,03005897,M-ANNA-2 TITER CSF,341.0,,6.58,306.9,68
CDM,03005898,M-ANNA-3 TITER CSF,341.0,,6.58,306.9,68
CDM,03005899,M-CRMP-5-IGG TITER CSF,341.0,,6.58,306.9,68
CDM,03005900,M-PCA-1 TITER CSF,341.0,,6.58,306.9,68
CDM,03005901,M-PCA-2 TITER CSF,341.0,,6.58,306.9,68
CDM,03005902,M-PCA-TR TITER CSF,341.0,,6.58,306.9,68
CDM,03005903,M-NEUROCHONDRIN CBA CSF,1367.0,,11.09,1230.3,68
CDM,03005904,M-NEUROCHONDRIN IFA TITER CSF,341.0,,6.58,306.9,68
CDM,03005905,M-SEPTIN-7 CBA CSF,1367.0,,11.09,1230.3,68
CDM,03005906,M-SEPTIN-7 TITER CSF,341.0,,6.58,306.9,68
CDM,03005908,M-AMPHIPHYSIN AB SERUM**,101.0,,11.09,90.9,68
CDM,03005909,M-ANTI-GLIAL NUC AB TYPE 1**,101.0,,11.09,90.9,68
CDM,03005910,M-ANTI-NEURONAL NUC AB TYPE 1*,101.0,,11.09,90.9,68
CDM,03005911,M-ANTI-NEURONAL NUC AB TYPE 2*,101.0,,11.09,90.9,68
CDM,03005912,M-ANTI-NEURONAL NUC AB TYPE 3*,101.0,,11.09,90.9,68
CDM,03005913,M-CRMP-5-IGG SERUM**,101.0,,11.09,90.9,68
CDM,03005914,M-NEURONAL VGK+ CHANNEL AB S**,171.0,,7.92,153.9,68
CDM,03005915,M-P/Q-TYPE CALCIUM CHANNEL AB*,101.0,,11.09,90.9,68
CDM,03005916,M-PCA-1 AB SERUM**,101.0,,11.09,90.9,68
CDM,03005917,M-PCA-2 AB SERUM**,101.0,,11.09,90.9,68
CDM,03005918,M-PCA-TR AB SERUM**,101.0,,11.09,90.9,68
CDM,03005919,M-NEUROCHONDRIN IFA CSF**,255.0,,6.6,229.5,68
CDM,03005920,M-SEPTIN IFA CSF**,255.0,,11.09,229.5,68
CDM,03005921,M-NEUROCHONDRIN IFA SERUM**,291.0,,11.09,261.9,68
CDM,03005922,M-SEPTIN-7 IFA SERUM**,291.0,,11.09,261.9,68
CDM,03005926,M-IMMUNO QL/SQ MLT**,139.0,,10.61,125.1,68
CDM,03005927,M-IMMUNO QL/SQ MLT (MOD 91)**,139.0,,13.6,125.1,56
CDM,03005928,TOXOPLASMA GONDII IGG PED ARUP,174.0,,5.59,156.6,68
CDM,03005929,TOXOPLASMA GONDII IGM PED ARUP,174.0,,6.4,156.6,68
CDM,03005933,Q-CHRONIC URTICARIA**,109.0,,11.46,98.1,68
CDM,03005934,Q-IGE ANTIBODY**,150.0,,11.36,135.0,68
CDM,03005935,Q-THYROGLOBULIN ANTIBODY**,139.0,,14.64,125.1,68
CDM,03005936,Q-THYROID PEROXIDASE ABS(TPO)*,125.0,,13.39,112.5,68
CDM,03005937,Q-THYROID STIMULATING HORMONE*,146.0,,10.09,131.4,68
CDM,03005938,PROBRAIN NATRIURETIC PEPTIDE,345.0,,36.12,310.5,68
CDM,03005940,DIPTHERIA AB IGG**,117.0,,13.79,105.3,68
CDM,03005941,TETANUS AB IGG**,117.0,,13.79,105.3,68
CDM,03005942,RHEUMATOID FACTOR BODY FLUID,168.0,,5.22,151.2,68
CDM,03005943,BILIRUBIN TOTAL BODY FLUID,161.0,,4.62,144.9,68
CDM,03005944,MANNOSE BINDING LECTIN-LABCORP,436.0,,11.36,392.4,68
CDM,03005945,IGF-2-LABCORP,325.0,,7.92,292.5,68
CDM,03005946,GI PROFILE STOOL PCR-LABCORP,1983.0,,383.44,1784.7,68
CDM,03005947,Q-ENHANCE LIVER FIBROSIS (ELF),622.0,,162.09,559.8,68
CDM,03005948,CENOBAMATE (XCOPRI)-LABCORP,519.0,,11.13,467.1,68
CDM,03005949,IGF-1-LABCORP,258.0,,3.45,232.2,68
CDM,03005950,BILE ACIDS TOTAL BODY FLD-UIDL,276.0,,6.55,248.4,68
CDM,03005952,CHLMYD TRACH DNA AMP PROBE**,362.0,,32.28,325.8,68
CDM,03005953,N. GONORRHOEAE DNA AMP PROBE**,362.0,,23.29,325.8,68
CDM,03005954,HIV 1/2 PLUS O AB SCR**,155.0,,5.71,139.5,68
CDM,03005955,HEP B SURFACE AG**,117.0,,7.91,105.3,68
CDM,03005956,HEP B CORE AB TOTAL**,125.0,,5.36,112.5,68
CDM,03005957,HEP C AB**,150.0,,13.13,135.0,68
CDM,03005958,HIV/HCV/HBV NAT**,795.0,,64.58,715.5,68
CDM,03005959,WEST NILE VIRUS NAT**,362.0,,32.28,325.8,69
CDM,03005960,SYPHILIS IGG AB**,139.0,,12.18,125.1,68
CDM,03005962,CHLMYD TRACH DNA AMP PROB**,398.0,,32.28,358.2,68
CDM,03005963,N. GONORRHOEAE DNA AMP PROBE**,398.0,,23.29,358.2,68
CDM,03005964,HIV 1/2 PLUS O AB SCR**,155.0,,5.71,139.5,68
CDM,03005965,HEP B SURFACE AG**,117.0,,7.91,105.3,68
CDM,03005966,HEP B CORE ANTIBODY TOTAL**,136.0,,5.36,122.4,68
CDM,03005967,HEPATITIS C AB**,163.0,,13.13,146.7,68
CDM,03005968,HIV/HCV/HBV NAT**,795.0,,64.58,715.5,68
CDM,03005969,WEST NILE VIRUS NAT**,398.0,,32.28,358.2,69
CDM,03005970,HTLV-I/II ANTIBODY SCREEN**,146.0,,5.59,131.4,68
CDM,03005971,CMV TOTAL ANTIBODIES**,163.0,,5.58,146.7,68
CDM,03005972,SYPHILIS IGG ANTIBODY**,150.0,,12.18,135.0,68
CDM,03005976,"M-AP3B2 CBA, S",1367.0,,11.09,1230.3,68
CDM,03005977,"M-AP3B2 IFA TITER, S",340.0,,6.58,306.0,68
CDM,03005979,"ACHR GANGLIONIC NEURONAL AB,S*",204.0,,7.92,183.6,68
CDM,03005980,ANTI-NEURONAL NUC AB TYPE 1**,133.0,,11.09,119.7,68
CDM,03005981,"AP3B2 IFA, S**",133.0,,11.09,119.7,68
CDM,03005982,"CRMP-5-IGG, S**",133.0,,11.09,119.7,68
CDM,03005983,"CASPR2-IGG CBA, S**",133.0,,11.09,119.7,68
CDM,03005984,"DPPX AB, S**",133.0,,11.09,119.7,68
CDM,03005985,"LG/1-IGG CBA, S**",133.0,,11.95,119.7,56
CDM,03005986,PURKINJE CELL CYTO AB TYPE 2**,133.0,,11.95,119.7,56
CDM,03005988,CREATININE RANDOM U**,185.0,,3.35,166.5,68
CDM,03005989,LEUKOTRIENE E4 RANDOM U**,853.0,,22.16,767.7,68
CDM,03005990,M-INSULIN ABS S,242.0,,12.45,217.8,68
CDM,03005991,M-NEUROFILAMENT LIGHT CHAIN P,2242.0,,106.93,2017.8,68
CDM,03005992,M-LYSOSOMAL ACID LIPASE B,1542.0,,20.4,1387.8,68
CDM,03005993,M-ALPHA-GALACTOSIDASE LEUKOCYT,1318.0,,20.4,1186.2,68
CDM,03005994,M-CYP2C9 V,1910.0,,30.0,1719.0,68
CDM,03005995,CONSTITUTIONAL ARRAY CGH,4597.0,,1067.2,4137.3,68
CDM,03005996,ONCOLOGY ARRAY CGH,4597.0,,1067.2,4137.3,68
CDM,03005997,M-BETA-TRACE PROTEIN BF,352.0,,3.44,316.8,68
CDM,03006012,WUSTL IMMUNO QUANT AB**,166.0,,11.36,149.4,68
CDM,03006013,WUSTL IMMUNO QUANT AB-EA ADDL*,166.0,,11.36,149.4,56
CDM,03006014,WUSTL WBLOT S**,312.0,,13.41,280.8,68
CDM,03006018,INFECT AGENT GENOTYPE ANALYS**,2916.0,,114.42,2624.4,68
CDM,03006020,BETA 2-GLYCOPROTEIN 1 IGG**,92.0,,23.41,82.8,68
CDM,03006021,BETA 2-GLYCOPROTEIN 1 IGM**,92.0,,23.41,82.8,68
CDM,03006022,CARDIOLIPIN IGG**,92.0,,5.58,82.8,68
CDM,03006023,CARDIOLIPIN IGM**,92.0,,5.58,82.8,68
CDM,03006024,CENP ELISA**,92.0,,12.19,82.8,68
CDM,03006025,ANTI-CCP-IGG**,446.0,,11.91,401.4,68
CDM,03006026,DNA ANTIBODY**,92.0,,6.6,82.8,68
CDM,03006027,JO-1 ELISA**,92.0,,12.19,82.8,68
CDM,03006028,ANA IIF**,68.0,,7.84,61.2,68
CDM,03006029,ANA**,68.0,,7.85,61.2,68
CDM,03006030,RNP70 ELISA**,92.0,,12.19,82.8,68
CDM,03006031,SCL-70 ELISA**,92.0,,12.19,82.8,68
CDM,03006032,ANTI-SMITH ELISA**,92.0,,12.19,82.8,68
CDM,03006033,SS-B/LA ELISA**,92.0,,12.19,82.8,68
CDM,03006034,THYROGLOBULIN IGG**,68.0,,14.64,61.2,68
CDM,03006035,THYROID PEROXIDASE IGG**,68.0,,13.39,61.2,68
CDM,03006036,U 1RNP ELISA**,92.0,,12.19,82.8,68
CDM,03006037,FLOCYTO TC 1 MARKER**,570.0,,43.49,513.0,68
CDM,03006038,RHEUMATOID FACTOR IGA**,68.0,,5.22,61.2,68
CDM,03006039,RHEUMATOID FACTOR IGM**,68.0,,5.22,61.2,68
CDM,03006040,ANTI-RO52 IGG**,89.0,,12.19,80.1,68
CDM,03006041,ANTI-RO60 IGG**,89.0,,12.19,80.1,68
CDM,03006042,ANTI-RNA POL III IGG**,331.0,,10.61,297.9,68
CDM,03006043,FLOWCYTO TC ADD-ON,260.0,,21.38,234.0,56
CDM,03006044,FLOWCYTO READY 2-8,456.0,,54.96,410.4,56
CDM,03006046,WUSTL IMMUNO QUANT AB**,156.0,,11.36,140.4,68
CDM,03006047,WUSTL IMMUNO QUANT AB-EA ADD**,156.0,,11.36,140.4,56
CDM,03006048,WUSTL WBLOT S**,312.0,,13.41,280.8,56
CDM,03006050,WUSTL IMMUNO QUANT AB**,156.0,,11.36,140.4,68
CDM,03006051,WUSTL IMMUNO QUANT AB-EA ADD**,156.0,,11.36,140.4,56
CDM,03006053,WUSTL IMMUNO QUANT AB**,198.0,,11.36,178.2,68
CDM,03006054,WUSTL IMMUNO QUANT AB-EA ADD**,198.0,,11.36,178.2,56
CDM,03006055,WUSTL IMMUNO QL/SQ AB**,442.0,,10.61,397.8,68
CDM,03006057,WUSTL IMMUNO QUANT AB**,186.0,,11.36,167.4,68
CDM,03006058,WUSTL IMMUNO QUANT AB-EA ADD**,186.0,,11.36,167.4,56
CDM,03006059,WUSTL IMMUNO QL/SQ AB**,442.0,,10.61,397.8,68
CDM,03006061,WUSTL IMMUNO QUANT AB**,172.0,,11.36,154.8,68
CDM,03006062,WUSTL IMMUNO QUANT AB-EA ADD**,172.0,,11.36,154.8,56
CDM,03006063,WUSTL WBLOT S**,312.0,,13.41,280.8,56
CDM,03006065,WUSTL IMMUNO QUANT AB**,214.0,,11.36,192.6,68
CDM,03006066,WUSTL IMMUNO QUANT AB EA ADD**,214.0,,11.36,192.6,56
CDM,03006067,WUSTL WBLOT S**,312.0,,13.41,280.8,68
CDM,03006068,WUSTL IMMUNO QL/SQ AB**,442.0,,10.61,397.8,68
CDM,03006070,WUSTL WBLOT S**,312.0,,13.41,280.8,68
CDM,03006071,M-GI PATHOGEN PANEL PCR F,1215.0,,383.44,1093.5,68
CDM,03006072,CMV ANTIVIRAL RESISTANCE,843.0,,119.92,758.7,68
CDM,03006073,CMV GENOTYPE ANALYSIS,1590.0,,114.42,1431.0,68
CDM,03006074,HERPES SIMPLEX VIRUS TYPE 2,58.0,,11.02,52.2,68
CDM,03006076,CYTOPLASMIC NEUTROPHIL AB IBD,208.0,,11.09,187.2,68
CDM,03006077,SACCHAROMYCE CEREVISIAE AB IGA,208.0,,5.4,187.2,68
CDM,03006078,SACCHAROMYCE CEREVISIAE AB IGG,208.0,,5.4,187.2,68
CDM,03006080,"IMMUNOGLOBULIN A (IGA), S",113.0,,7.88,101.7,68
CDM,03006081,CELIAC DISEASE INTERPRETATION,416.0,,112.44,374.4,68
CDM,03006082,HLA-DQ TYPING,416.0,,112.44,374.4,68
CDM,03006084,"GLIADIN (DEAMIDATED) AB, IGG S",172.0,,11.09,154.8,68
CDM,03006085,"GLIADIN (DEAMIDATED) AB, IGA S",172.0,,11.09,154.8,68
CDM,03006086,TISSUE TRANSGLT AB IGG S,136.0,,10.61,122.4,68
CDM,03006087,"TISSUE TRANSGLT AB,S(IGA)",136.0,,10.61,122.4,68
CDM,03006088,ENDOMYSIAL ANTIBODY (IGA),203.0,,11.12,182.7,68
CDM,03006089,"EMA TITER, S (IGA)",539.0,,11.12,485.1,68
CDM,03006090,"THIOPURINE METABOLITES, WB",940.0,,11.13,846.0,68
CDM,03006091,"M-TRIM46 AB CBA, C",1314.0,,11.09,1182.6,68
CDM,03006092,"M-TRIM46 AB IFA TITER, C",326.0,,6.58,293.4,68
CDM,03006093,"M- PDE10A AB IFA TITER, C",326.0,,6.58,293.4,68
CDM,03006094,"M-TRIM46 AB CBA, S",1314.0,,11.09,1182.6,68
CDM,03006095,"M-TRIM46 AB IFA TITER, S",326.0,,6.58,293.4,68
CDM,03006097,"M-PDE10A AB IFA, CSF",255.0,,11.09,229.5,68
CDM,03006098,"M-TRIM46 AB IFA, CSF",255.0,,11.09,229.5,68
CDM,03006099,"M-PDE10A AB IFA, S**",291.0,,11.09,261.9,68
CDM,03006100,"M-TRIM46 AB IFA, S**",291.0,,11.09,261.9,68
CDM,03006101,T CRUZI AB IGG - ARUP,130.0,,5.63,117.0,68
CDM,03006102,H. INFLUENZAE B AB IGG**,117.0,,13.79,105.3,68
CDM,03006104,ALLG SPEC IGE FEL D 1**,92.0,,16.5,82.8,68
CDM,03006105,ALLG SPEC IGE FEL D 2**,92.0,,16.5,82.8,68
CDM,03006106,ALLG SPEC IGE FEL D 4**,92.0,,16.5,82.8,68
CDM,03006107,ALLG SPEC IGE FEL D 7**,92.0,,16.5,82.8,68
CDM,03006109,ALLG SPEC IGE CAN F 1**,92.0,,16.5,82.8,68
CDM,03006110,ALLG SPEC IGE CAN F 2**,92.0,,16.5,82.8,68
CDM,03006111,ALLG SPEC IGE CAN F 3**,92.0,,16.5,82.8,68
CDM,03006112,ALLG SPEC IGE CAN F 4**,92.0,,16.5,82.8,68
CDM,03006113,ALLG SPEC IGE CAN F 5**,92.0,,16.5,82.8,68
CDM,03006114,ALLG SPEC IGE CAN F 6**,92.0,,16.5,82.8,68
CDM,03006121,Q-HYDROXYCHLOROQUINE,468.0,,17.15,421.2,68
CDM,03006122,Q-HCV RNA GENOTYPE LIPA,720.0,,13.2,648.0,68
CDM,03006123,Q-ADALIMUMAB LEVEL IBD,450.0,,23.14,405.0,68
CDM,03006124,Q-ADALIMUMAB AB IBD**,450.0,,11.36,405.0,68
CDM,03006125,Q-INFLIXIMAB LEVEL IBD,450.0,,15.42,405.0,68
CDM,03006126,Q-INFLIXIMAB AB IBD**,450.0,,11.36,405.0,68
CDM,03006127,Q-AD DETECT P-TAU 217,750.0,,11.36,675.0,68
CDM,03006128,Q-AD DETECT BETA-AMYLOID 42/40,873.0,,171.11,785.7,56
CDM,03006129,Q-NEUROFILAMENT LIGHT CHAIN,625.0,,11.36,562.5,68
CDM,03006130,Q-AD DETECT APOE ISOFORM,375.0,,22.16,337.5,68
CDM,03006139,APOLIPOPROTEIN E (APOE) PLASMA,873.0,,22.16,785.7,68
CDM,03006140,Q-BETA-AMYLOID 42/40 RATIO PLA,873.0,,171.11,785.7,56
CDM,03006141,PHOSPHORYLATED TAU217 PLASMA,750.0,,147.0,675.0,56
CDM,03006142,Q-BETA-AMYLOID 1-42**,873.0,,171.11,785.7,56
CDM,03006143,M-SCB59,363.0,,5.59,326.7,68
CDM,03006145,Q-THYROGLOBULIN ANTIBODY,178.0,,14.64,160.2,68
CDM,03006146,THYROGLOBULIN,173.0,,3.34,155.7,68
CDM,03006147,THYROGLOBULIN LC/MS/MS,475.0,,3.34,427.5,68
CDM,03006149,Q-INSULIN AUTOANTIBODY**,175.0,,12.45,157.5,68
CDM,03006150,Q-GLUTAMIC ACID DECARBOX 65 AB,100.0,,12.53,90.0,68
CDM,03006151,Q-ISLET CELL AB (IA-2 AB)**,130.0,,12.53,117.0,68
CDM,03006152,Q-ZINC TRANSPORTER 8(ZNT8)AB**,293.0,,12.53,263.7,68
CDM,03006154,FLUORESCENT AB SCREEN SER**,105.0,,11.09,94.5,68
CDM,03006155,"CHEMILUMINESCENT ASSAY, SER**",120.0,,3.34,108.0,68
CDM,03006156,"EXTRACTABLE NUC AG EA AB,SER**",145.0,,12.19,130.5,68
CDM,03006157,"PROT WESTERN BLOT BAND, SERUM",620.0,,13.41,558.0,68
CDM,03006158,"FLUORESCENT AB TITER, SERUM",325.0,,6.58,292.5,68
CDM,03007001,A/A 2-5 ACIDS QN-STATE**,200.0,,18.04,180.0,68
CDM,03007002,CARNITINE TTL FREE QN-STATE**,194.0,,15.52,174.6,68
CDM,03007003,HEMOGLOBIN FRACT QN-STATE**,216.0,,9.07,194.4,68
CDM,03007004,ORGANIC ACIDS QL-STATE**,292.0,,15.13,262.8,68
CDM,03007005,GALACTOSE TRANSF QN-STATE**,251.0,,15.68,225.9,68
CDM,03007006,THYROXINE (T4) ELUTION-STATE**,123.0,,3.5,110.7,68
CDM,03007007,THYROID STIM HORMONE-STATE**,219.0,,10.09,197.1,68
CDM,03007008,HYDROXYPROGEST 17-D-STATE**,310.0,,23.5,279.0,68
CDM,03007009,BIOTINIDASE EA SPECIMEN-STATE*,194.0,,15.52,174.6,68
CDM,03007010,ANALY GENE CFRT COM VAR-STATE*,1712.0,,150.0,1540.8,68
CDM,03007135,BACTERIAL VAGINOSIS SMEAR,150.0,,3.39,135.0,68
CDM,03007137,"Q-CORTISOL, SALIVA, LC/MS/MS",263.0,,11.01,236.7,68
CDM,03007139,"Q-ITRACONAZOLE, HPLC",385.0,,24.94,346.5,68
CDM,03007140,"Q-DONOR, WEST NILE VIRUS, NAT",1253.0,,32.28,1127.7,69
CDM,03007141,EIA QL H PYLORI ANTIGEN STOOL,290.0,,13.23,261.0,68
CDM,03007142,"Q-CALRETICULIN, MUT ANALYSIS",1573.0,,31.7,1415.7,68
CDM,03007143,Q-ERYTHROPOIETIN (EPO),243.0,,16.52,218.7,68
CDM,03008725,INF DIS CHRNC HCV 6 ASSAYS**,676.0,,66.41,608.4,68
CDM,03009096,"M- PDE10A AB IFA TITER, S",326.0,,6.58,293.4,68
CDM,03009803,SPEC COLLECT COVID-19 CLINIC,81.0,,15.88,72.9,56
CDM,03009885,M-ANNA-3 TITER S,340.0,,6.58,306.0,68
CDM,03013231,Q-T CRUZI AB CONFIRM,510.0,,16.64,459.0,68
CDM,03020508,Q-GASTRIN ASSAY,280.0,,13.5,252.0,68
CDM,03040054,INF AGNT DETECT DNA COV FLU,518.0,,131.22,466.2,68
CDM,03088271,MCG DNA PROBE- EA (FISH),218.0,,19.71,196.2,68
CDM,03088275,MCG INTERPHASE INSITU 100-300,500.0,,47.09,450.0,68
CDM,03180014,OBSERV PER HR - W6NW,80.0,,40.0,2436.0,57
CDM,03190004,ROOM & BED CHARGE W6NW,1657.0,,828.5,7500.0,38
CDM,03380013,OBSERV PER HR - RNIC,117.0,,58.5,2436.0,57
CDM,03390003,ROOM & BED CHARGE RNIC,5673.0,,1864.0,7500.0,114
CDM,03780013,OBSERV PER HR - TBNU,80.0,,40.0,2436.0,57
CDM,03790003,ROOM & BED CHARGE TBNU,1825.5,,559.0,7500.0,152
CDM,03880013,OBSERV PER HR - HNPU,80.0,,40.0,2436.0,57
CDM,03890003,ROOM & BED CHARGE HNPU,2166.5,,808.5,7500.0,152
CDM,03980013,OBSERV PER HR - M8,80.0,,40.0,2436.0,57
CDM,03990003,ROOM & BED CHARGE M8,2117.0,,1058.5,7500.0,38
CDM,04080000,PLASMA CRYO REDUCED PATH (RUO),85.0,,42.5,166.38,67
CDM,04080001,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,04080005,CROSSMATCH IMMEDIATE SPIN,304.0,,2.2,273.6,68
CDM,04080007,COMPAT TEST ELECTRONIC,210.0,,1.76,223.74,68
CDM,04080009,STUDY PLASMA PROCESSING,370.0,,185.0,333.0,56
CDM,04080013,BLOOD TYPING RH (D),108.0,,2.75,97.2,68
CDM,04080014,BLOOD TYPING ABO,72.0,,2.75,158.68,68
CDM,04080025,BLOOD PRODUCT IRRADIATION,326.0,,1.83,293.4,68
CDM,04080026,"IRRAD, RED BLOOD CELLS",1323.0,,122.91,1190.7,68
CDM,04080030,RBC ANTIBODY SCREEN,161.0,,5.63,144.9,68
CDM,04080035,RBC AB IDENTIFICATION PANEL,434.0,,2.7,442.83,68
CDM,04080036,VWF-HUMATE-P PER 1U,7.0,,1.21,6.3,68
CDM,04080041,FACTOR VII-NOVO7 PER 500MCG*,2537.0,,2.25,2283.3,68
CDM,04080045,ANTIBODY TITRATION,181.0,,4.77,210.95,68
CDM,04080046,COOMBS DIRECT,140.0,,4.4,126.0,68
CDM,04080049,ACID ELUTION,350.0,,7.11,315.0,68
CDM,04080050,RBC ANTIBODY ELUTION,445.0,,1.96,400.5,68
CDM,04080059,LIQUID PLASMA,271.0,,58.56,243.9,68
CDM,04080060,RBC PRETREAT ABSORPTION,509.0,,2.2,458.1,68
CDM,04080066,DONOR RBC AG TYPING NON ABO/RH,344.0,,3.52,309.6,68
CDM,04080090,BLOOD PROCESSING AUTOLOGOUS,1211.0,,6.19,1089.9,68
CDM,04080092,ANTIGEN SCREEN-DONOR UNIT EA,198.0,,5.21,178.2,68
CDM,04080093,"AG SCRN REF-(E,S)",198.0,,5.21,178.2,68
CDM,04080094,"AG SCRN REF-(KPB,V,VEL)",198.0,,5.21,178.2,68
CDM,04080125,CROSSMATCH ANTIGLOBULIN (AHG),432.0,,2.33,388.8,68
CDM,04080132,PROTHROMBIN COMP CONC VL 1U,13.6,,1.97,12.24,68
CDM,04080135,FETAL SCREEN,206.0,,8.04,185.4,68
CDM,04080146,DAT IGG,140.0,,4.4,126.0,68
CDM,04080155,BLOOD PRODUCT POOL,237.0,,2.03,213.3,68
CDM,04080160,SPLITTING BLOOD UNIT,219.0,,1.6,223.74,68
CDM,04080175,SCREEN FOR HGB           81003,186.0,,2.07,167.4,68
CDM,04080177,OCTOPHARMA FIBRYGA VL 1MG,9.3,,1.07,8.37,68
CDM,04080180,WASHING RBC-TRACKING ONLY,0.01,,0.005,0.009,56
CDM,04080205,RBC AG TYPING NON ABO/RH,357.0,,3.52,321.3,68
CDM,04080251,COVID-19 CONVALESCENT PLASMA,1688.0,,350.58,1519.2,68
CDM,04080265,SICKLE CELL RBC,88.0,,3.46,79.2,68
CDM,04080603,BLOOD PRODUCTS RED CELLS,873.0,,149.9,785.7,68
CDM,04080608,FRESH FROZEN PLASMA EACH UNIT,498.0,,69.42,448.2,68
CDM,04080609,CRYOPRECIPITATE EA UNIT,303.0,,52.36,272.7,68
CDM,04080610,CRYOPRECIPIT-POOR PLASMA,372.0,,121.33,334.8,68
CDM,04080621,"WHOLE BLOOD, LEUKO REDUCED",873.0,,149.9,785.7,68
CDM,04080692,NEONATAL PRESTOR RBC,574.0,,116.79,516.6,68
CDM,04080694,CRYOPRECIPITATE EACH UNIT **,303.0,,52.36,272.7,68
CDM,04080710,SPLIT UNIT OF FFP        00000,574.0,,116.79,516.6,68
CDM,04080791,GRANULOCYTE CONC PHERES,2962.0,,1481.0,2665.8,56
CDM,04080796,PLT APHER/PHER L/R EA,3489.0,,401.21,3140.1,68
CDM,04080804,DITHIOTHREITOL (DTT),231.0,,1.83,207.9,68
CDM,04080809,LEUKO-REDUCED DEGLYCED RBC,2782.0,,199.7,2503.8,68
CDM,04080820,CMV TESTING OF BLOOD COMP,334.0,,5.58,300.6,68
CDM,04080825,DIRECTED DONOR SERVICE,664.0,,20.18,597.6,68
CDM,04080860,"CROSSMATCH, PREWARM",594.0,,1.96,534.6,68
CDM,04080876,NEO PRE-STOR LEUKORED PLT,2892.0,,116.79,2602.8,68
CDM,04080921,ALPHANATE/VON WILLEBRAND FX 1U,8.7,,1.14,7.83,68
CDM,04080922,RHO (D) IVIG RHOPHYLAC 100IU,26.8,,4.73,24.12,55
CDM,04080925,FACTOR VIII (RECOMB) PER 1IU,10.1,,1.38,9.09,68
CDM,04080945,ANTI-INHIBITOR-FEIBA PER 1U,12.0,,2.05,10.8,68
CDM,04080954,FACTOR IX (RECOMB) PER 1IU,12.0,,1.53,10.8,68
CDM,04080956,FACTOR IX-PROFILNINE PER 1IU,7.0,,1.49,6.3,68
CDM,04080965,AT III (THROMBATE) PER 1IU,22.0,,3.5,19.8,68
CDM,04086880,DAT IGG,140.0,,4.4,126.0,68
CDM,04180013,OBSERV PER HR - UNSN,80.0,,40.0,2436.0,57
CDM,04190003,ROOM & BED CHARGE UNSN,2117.0,,1058.5,7500.0,38
CDM,04380013,OBSERVATION CHG ADDL HR - S6S,80.0,,40.0,2436.0,57
CDM,04390003,ROOM & BED CHARGE - S6S,1856.0,,581.5,7500.0,152
CDM,04412076,HEPARIN PLATELET ANTIBODY,539.0,,16.9,485.1,68
CDM,04412077,HEPARIN PLATELET AB IGG,804.0,,19.98,723.6,56
CDM,04412078,HEPARIN PLATELET AB IGA,883.0,,19.98,794.7,56
CDM,04412079,HEPARIN PLATELET AB IGM,883.0,,19.98,794.7,56
CDM,04412081,HEPARIN DEPEND PLT AB UNFRACT,1374.0,,19.98,1236.6,56
CDM,04436006,VWF ACTIVITY GP1B,228.0,,28.39,205.2,68
CDM,04436011,HEP-INDUCE THROMBOCYTOPENIA,1089.0,,16.9,980.1,68
CDM,04500109,MOLECULAR ABO TYPING,281.0,,20.18,252.9,68
CDM,04500110,FLOW CROSSMATCH DSA,1586.0,,100.73,1427.4,68
CDM,04500114,LUM IMM LMID CL I TRTD SERA,935.0,,87.88,841.5,68
CDM,04500115,LUM IMM LMID CL II TRTD SERA,779.0,,75.33,701.1,68
CDM,04500117,LUM IMM LSA CL I TRTD SERA,955.0,,168.3,859.5,68
CDM,04500118,LUM IMM LSA CL II TRTD SERA,955.0,,153.0,859.5,68
CDM,04500121,LUM SAB CL I SUPP DSA**,955.0,,168.3,859.5,68
CDM,04500122,LUM SAB CL II SUPP DSA**,955.0,,153.0,859.5,68
CDM,04500208,LUMINEX SGL AG 1 TREATED SERA,955.0,,168.3,859.5,68
CDM,04500211,LUMINEX SGL AG 2 TREATED SERA,955.0,,153.0,859.5,68
CDM,04501200,HLA TYPING I LOW RES,654.0,,117.24,588.6,68
CDM,04501201,HLA TYPING I LOW RES,654.0,,117.24,588.6,68
CDM,04501202,HLA TYPING I LOW RES,654.0,,117.24,588.6,68
CDM,04501204,HLA TYPING I HIGH RES 1 LOCUS,981.0,,163.07,882.9,68
CDM,04501205,HLA TYPING I HIGH RES 1 LOCUS,981.0,,163.07,882.9,68
CDM,04501206,HLA TYPING II HIGH RES,560.0,,113.79,504.0,68
CDM,04501207,HLA TYPING II HIGH RES,560.0,,113.79,504.0,68
CDM,04501208,LUMINEX SGL AG 1 TREATED SERA,955.0,,168.3,859.5,68
CDM,04501211,LUMINEX SGL AG 2 TREATED SERA,955.0,,153.0,859.5,68
CDM,04501214,FLOW PRA CLASS 2 TREATED SERA,1138.0,,59.05,1024.2,68
CDM,04501217,HLA TYPING II HIGH RES 1 LOCUS,560.0,,113.79,504.0,68
CDM,04501265,ANALYSIS GENE STR,662.0,,214.42,595.8,68
CDM,04501267,ANALYSIS CHIMERISM W/O CELL,350.0,,175.0,449.05,68
CDM,04501269,ANALYSIS CHIMERISM W/CELL,545.0,,149.72,564.47,68
CDM,04501270,ANALYSIS CHIMERISM W/CELL,545.0,,149.72,564.47,68
CDM,04501271,ANALYSIS CHIMERISM W/CELL,545.0,,149.72,564.47,68
CDM,04501272,ANALYSIS CHIMERISM W/CELL,545.0,,149.72,564.47,68
CDM,04501273,STR CELL SUBSET CD34,545.0,,149.72,564.47,68
CDM,04501301,LUMINEX SGL AG 1 TREATED SERA,955.0,,168.3,859.5,68
CDM,04501370,HLA TYPING I & II LOW RES,4076.0,,123.0,3668.4,68
CDM,04501373,HLA TYPING I LOW RES 1 LOCUS,654.0,,117.24,588.6,68
CDM,04501375,HLA TYPING II LOW RES AG EQUIV,1667.0,,203.08,1500.3,68
CDM,04501376,HLA TYPING II LOW RES 1 LOCUS,654.0,,112.44,588.6,68
CDM,04501380,HLA TYPING I HIGH RES 1 LOCUS,981.0,,163.07,882.9,68
CDM,04501382,HLA TYPING II HIGH RES 1 LOCUS,560.0,,113.79,504.0,68
CDM,04506050,LUMINEX MIX 1/2,712.0,,25.68,640.8,68
CDM,04506052,LUMINEX PHENOTYPE BEADS I,935.0,,87.88,841.5,68
CDM,04506055,LUMINEX PHENOTYPE II,779.0,,75.33,701.1,68
CDM,04506058,LUMINEX SINGLE ANTIGEN 1,955.0,,168.3,859.5,68
CDM,04506061,LUMINEX SINGLE ANTIGEN 2,955.0,,153.0,859.5,68
CDM,04506065,LUMINEX SGL AG I EXPLEX**,994.0,,168.3,894.6,68
CDM,04506066,LUMINEX SGL AG II EXPLEX**,994.0,,153.0,894.6,68
CDM,04506832,LUMINEX SAB AUTO,955.0,,168.3,859.5,68
CDM,04511208,LUMINEX SGL AG 1 TREATED SERA,955.0,,168.3,859.5,68
CDM,04511211,LUMINEX SGL AG 2 TREATED SERA,955.0,,153.0,859.5,68
CDM,04511214,FLOW PRA CLASS 2 TREATED SERA,1138.0,,59.05,1024.2,68
CDM,04511373,HLA TYPING I LOW RES 1 LOCUS,654.0,,117.24,588.6,68
CDM,04511376,HLA TYP II LOW RES 1 LOCUS,654.0,,112.44,588.6,68
CDM,04511380,HLA TYPING I HIGH RES 1 LOCUS,981.0,,163.07,882.9,68
CDM,04511382,HLA TYPING II HIGH RES 1 LOCUS,560.0,,113.79,504.0,68
CDM,04515550,FLOW CROSSMATCH 01,1586.0,,100.73,1427.4,68
CDM,04516050,LUMINEX MIX 1/2,712.0,,25.68,640.8,68
CDM,04516058,LUMINEX SINGLE ANTIGEN 1 C1Q,955.0,,168.3,859.5,68
CDM,04516061,LUMINEX SINGLE ANTIGEN 2 C1Q,955.0,,153.0,859.5,68
CDM,04516065,LUMINEX SGL AG I EXPLEX MTH**,994.0,,168.3,894.6,68
CDM,04516066,LUMINEX SGL AG II EXPLEX MTH**,994.0,,153.0,894.6,68
CDM,04520380,HLA TYPING I HIGH RES 1 LOCUS,981.0,,163.07,882.9,68
CDM,04521208,LUMINEX SGL AG 1 TREATED SERA,955.0,,168.3,859.5,68
CDM,04521211,LUMINEX SGL AG 2 TREATED SERA,955.0,,153.0,859.5,68
CDM,04521373,HLA TYPING I LOW RES 1 LOCUS,654.0,,117.24,588.6,68
CDM,04521376,HLA TYPING II LOW RES 1 LOCUS,654.0,,112.44,588.6,68
CDM,04521382,HLA TYPING II HIGH RES 1 LOCUS,560.0,,113.79,504.0,68
CDM,04525550,FLOW CROSSMATCH 02,1586.0,,100.73,1427.4,68
CDM,04526050,LUMINEX MIX 1/2,712.0,,25.68,640.8,68
CDM,04526058,LUMINEX SGL ANTIGEN 1 DILUTED,955.0,,168.3,859.5,68
CDM,04526061,LUMINEX SGL ANTIGEN 2 DILUTED,955.0,,153.0,859.5,68
CDM,04526065,LUMINEX SGL AG I EXPLEX DSA**,994.0,,168.3,894.6,68
CDM,04526066,LUMINEX SGL AG II EXPLEX DSA**,994.0,,153.0,894.6,68
CDM,04531208,LUMINEX SGL AG 1 TREATED SERA,955.0,,168.3,859.5,68
CDM,04531370,HLA TYPING I & II LOW RES,4076.0,,123.0,3668.4,68
CDM,04531373,HLA TYPING I LOW RES 1 LOCUS,654.0,,34.02,588.6,68
CDM,04531376,HLA TYPING LOW RES 1 LOCUS,654.0,,112.44,588.6,68
CDM,04535550,FLOW CROSSMATCH 03,1586.0,,100.73,1427.4,68
CDM,04541373,HLA TYPING I LOW RES,654.0,,117.24,588.6,68
CDM,04546065,LUMINEX SINGLE ANTIGEN I MTH,994.0,,168.3,894.6,68
CDM,04546066,LUMINEX SINGLE ANTIGEN I DSA,994.0,,168.3,894.6,68
CDM,04546067,LUMINEX SINGLE ANTIGEN I,994.0,,168.3,894.6,68
CDM,04556065,LUMINEX SINGLE ANTIGEN II MTH,994.0,,153.0,894.6,68
CDM,04556066,LUMINEX SINGLE ANTIGEN II DSA,994.0,,153.0,894.6,68
CDM,04556067,LUMINEX SINGLE ANTIGEN II,994.0,,153.0,894.6,68
CDM,04575550,FLOW CROSSMATCH 04,1586.0,,100.73,1427.4,68
CDM,04575555,X-MATCH/FLOW 03 INIT**,1586.0,,100.73,1427.4,68
CDM,04575556,X-MATCH/FLOW 03 ADDL**,115.0,,33.61,103.5,68
CDM,04575557,X-MATCH/FLOW 03 ADDL W/MOD**,115.0,,54.8,103.5,56
CDM,04575645,ABO CONFIRMATION,72.0,,2.75,158.68,68
CDM,04581372,HLA TYPING 1 LOW RES COMPLETE,979.0,,371.3,881.1,68
CDM,04581375,HLA TYPING II LOW RES AG EQUIV,1667.0,,203.08,1500.3,68
CDM,04581378,HLA TYPING I & II HIGH RES,4502.0,,205.0,4051.8,68
CDM,04581382,HLA TYPING II HIGH RES 1 LOCUS,560.0,,113.79,504.0,68
CDM,04586832,LUMINEX SGL AG 1 C1Q DSA,955.0,,168.3,859.5,68
CDM,04586833,LUMINEX SGL AG 2 C1Q DSA**,955.0,,153.0,859.5,68
CDM,05000431,INJ ANTEGRDE NEPH/URET COMP RT,2643.0,,1057.2,2378.7,56
CDM,05000554,DRAIN CHEST OASIS SINGLE 3600,107.0,,53.5,96.3,56
CDM,05000600,DRAIN/INJ SM JT W/O US LT,1911.0,,764.4,1719.9,56
CDM,05000605,DRAIN/INJ MED JT W/O US LT,2143.0,,857.2,1928.7,56
CDM,05000610,DRAIN/INJ MAJ JT W/O US LT,5387.0,,2154.8,4848.3,56
CDM,05001045,CHEST X-RAY 1 V FRONTAL IN OR,526.0,,13.97,473.4,68
CDM,05001600,DRAIN/INJ SM JT W/O US RT,1911.0,,764.4,1719.9,56
CDM,05001605,DRAIN/INJ MED JT W/O US RT,1986.0,,794.4,1787.4,56
CDM,05001610,DRAIN/INJ MAJ JT W/O US RT,5387.0,,2154.8,4848.3,56
CDM,05002600,DRAIN/INJ SM JT W/O US BIL,2867.0,,1146.8,2580.3,56
CDM,05002605,DRAIN/INJ MED JT W/O US BIL,2978.0,,1191.2,2680.2,56
CDM,05002610,DRAIN/INJ MAJ JT W/O US BIL,8078.0,,3231.2,7270.2,56
CDM,05003060,XR HUMERUS 2+V,654.0,,30.0,588.6,68
CDM,05003551,XR FEMUR 1 VIEW,489.0,,16.2,440.1,68
CDM,05005020,CORONARY FFR FROM CTA DATA TRA,3335.0,,1334.0,3001.5,56
CDM,05010007,FNA BX W/FLUOR GDN 1ST LES,1920.0,,579.53,1728.0,68
CDM,05010008,FNA BX W/FLUOR GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,05010030,FLUID COLLECT ST PERC IMAGE,2450.0,,579.53,2205.0,68
CDM,05010100,XR ANKLE 2V BI LTD,1018.0,,26.0,916.2,56
CDM,05010101,XR ANKLE 2V LT LTD,604.0,,26.0,543.6,56
CDM,05010102,XR ANKLE 2V RT LTD,604.0,,26.0,543.6,56
CDM,05010103,XR ELBOW 2V BI LTD,905.0,,29.0,814.5,56
CDM,05010104,XR ELBOW 2V LT LTD,641.0,,29.0,576.9,56
CDM,05010105,XR ELBOW 2V RT LTD,641.0,,29.0,576.9,56
CDM,05010109,XR FOOT 2V BI LTD,1176.0,,18.0,1058.4,56
CDM,05010110,XR FOOT 2V LT LTD,701.0,,18.0,630.9,56
CDM,05010111,XR FOOT 2V RT LTD,701.0,,18.0,630.9,56
CDM,05010112,XR FOREARM 2V BILATERAL,1100.0,,29.0,990.0,56
CDM,05010113,XR FOREARM 2V LT LTD,743.0,,29.0,668.7,56
CDM,05010114,XR FOREARM 2V RT LTD,743.0,,29.0,668.7,56
CDM,05010115,XR HAND 2V BI LTD,850.0,,18.0,765.0,56
CDM,05010116,XR HAND 2V LT LTD,684.0,,18.0,615.6,56
CDM,05010117,XR HAND 2V RT LTD,684.0,,18.0,615.6,56
CDM,05010118,XR HUMERUS 2V BI LTD,308.0,,30.0,277.2,56
CDM,05010119,XR HUMERUS 2V LT LTD,654.0,,30.0,588.6,56
CDM,05010120,XR HUMERUS 2V RT LTD,654.0,,30.0,588.6,56
CDM,05010121,XR KNEE 1-2V BI LTD,1085.0,,24.0,976.5,56
CDM,05010122,XR KNEE 1-2V LT LTD,680.0,,24.0,612.0,56
CDM,05010123,XR KNEE 1-2V RT LTD,680.0,,24.0,612.0,56
CDM,05010124,XR TIBIA & FIBULA 2V BI LTD,1089.0,,30.0,980.1,56
CDM,05010125,XR TIBIA & FIBULA 2V LT LTD,730.0,,30.0,657.0,56
CDM,05010126,XR TIBIA & FIBULA 2V RT LTD,730.0,,30.0,657.0,56
CDM,05010127,XR WRIST 2V BI LTD,902.0,,21.0,811.8,56
CDM,05010128,XR WRIST 2V LT LTD,586.0,,21.0,527.4,56
CDM,05010129,XR WRIST 2V RT LTD,586.0,,21.0,527.4,56
CDM,05010160,ASP ABSC/HEMA/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,05010431,INJ ANTEGRDE NEPH/URET COMP LT,2643.0,,1057.2,2378.7,56
CDM,05010656,PRE-EMPLOYMENT CHEST X-RAY,62.0,,13.97,229.12,68
CDM,05011575,CATH CENTESIS ONE-STEP 5FR,73.0,,36.5,66.39,57
CDM,05013502,XR HIP UNILAT 2-3 VIEWS RT,508.0,,22.5,457.2,56
CDM,05013503,XR HIP UNILAT 4+ VIEWS RT,1034.0,,46.8,930.6,56
CDM,05013551,XR FEMUR 1 VIEW LT,489.0,,16.2,440.1,56
CDM,05013552,XR FEMUR MIN 2 VIEWS LT,530.0,,29.41,477.0,56
CDM,05015461,CATH PNEUMOTHORAX KIT ARROW,266.0,,133.0,239.4,56
CDM,05019282,PERQ DEVICE BREAST ADD IMAG,1721.0,,688.4,1548.9,56
CDM,05020431,INJ ANTEGRADE NEPH/URET BIL,3737.0,,1494.8,3363.3,56
CDM,05020501,INJ TRACT SINOGRAM,463.0,,185.2,416.7,56
CDM,05020552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,05020600,ARTHROCENT ASP/INJ JT SMALL RT,1911.0,,764.4,1719.9,56
CDM,05020602,ARTHROCENT ASP/INJ JT SMALL LT,1911.0,,764.4,1719.9,56
CDM,05020605,ARTHROCENT ASP/INJ JNT INTRMED,1986.0,,243.14,1787.4,68
CDM,05020606,ARTHROCENT JT INTER W/US,2036.0,,570.41,1832.4,68
CDM,05020610,"DRAIN/INJ,JOINT/BURSA MAJ RT",4987.0,,1994.8,4488.3,56
CDM,05020611,"DRAIN/INJ,JOINT/BURSA MAJ LT",4987.0,,1994.8,4488.3,56
CDM,05023350,INJECT ARTHROGRAM SHOULDER RT,767.0,,306.8,690.3,56
CDM,05023351,INJECT ARTHROGRAM SHOULDR LT,767.0,,306.8,690.3,56
CDM,05023501,XR HIP LTD 1V LT,530.0,,17.67,477.0,56
CDM,05023551,XR FEMUR 1 VIEW RT,489.0,,16.2,440.1,56
CDM,05023552,XR FEMUR MIN 2 VIEWS RT,530.0,,29.41,477.0,56
CDM,05024220,INJ ARTHROGRAM ELBOW RT,748.0,,299.2,673.2,56
CDM,05024221,INJ ARTHROGRAM ELBOW LT,748.0,,299.2,673.2,56
CDM,05025246,INJECT ARTHROGRAM WRIST RT,740.0,,296.0,666.0,56
CDM,05025247,INJECT ARTHROGRAM WRIST LT,740.0,,296.0,666.0,56
CDM,05027094,INJ ARTHROGM HIP W/O ANES LT,656.0,,262.4,590.4,56
CDM,05027096,INJ ARTHROGRAM SACROILIAC RT,2347.0,,319.33,2112.3,57
CDM,05027369,NJX CNTRST KNEE ARTHG,694.0,,277.6,624.6,56
CDM,05032557,PLEUR DRAIN W/INSRT CATH W/IMG,2416.0,,966.4,2174.4,68
CDM,05033501,XR HIP LTD 1V RT,530.0,,17.67,477.0,56
CDM,05033551,XR FEMUR 1 VIEW BILAT,734.0,,16.2,660.6,56
CDM,05033552,XR FEMUR MIN 2 VIEWS BILAT,1056.0,,29.41,950.4,56
CDM,05036589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,05036598,INJ CONTR W/FLUORO EVAL CV DEV,1082.0,,173.54,973.8,68
CDM,05038222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,05043752,PLACE TUBE NASO/OROGASTRIC MD,1144.0,,328.68,1029.6,68
CDM,05043761,REPOSITION G-TUBE,2407.0,,200.33,2166.3,68
CDM,05044500,INTRO TUBE GI LONG,1034.0,,413.6,1154.17,68
CDM,05047531,INJ PROC CHOLANGIOGRAM,2226.0,,890.4,4344.41,68
CDM,05049083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,68
CDM,05049185,SCLEROTX FLUID COLLECTION PERQ,2511.0,,1004.4,2259.9,68
CDM,05049405,FLUID COLLXN DRAIN CATH VISC,5691.0,,1334.55,5121.9,68
CDM,05049406,FLUID COLL DRAIN CATH PERI,9553.0,,1334.55,8597.7,68
CDM,05049423,EXCHG CATH ABSC/CYST DRAIN,5277.0,,1562.51,4749.3,68
CDM,05049424,INJ CONTRAST ABSC/CYST,1502.0,,751.0,1351.8,55
CDM,05049440,PERCUT PLACE GASTRO TUBE FLURO,2336.0,,934.4,2335.27,68
CDM,05049465,INJ CNTR W/FLUOR EVAL G/D/J TB,925.0,,199.1,832.5,68
CDM,05050684,INJECT URETEROGRAPHY,1228.0,,491.2,1105.2,56
CDM,05050690,INJ ILEAL CONDUIT,695.0,,278.0,625.5,56
CDM,05051600,INJ CYSTOGRAM,1129.0,,451.6,1016.1,56
CDM,05051610,INJ URETHROCYSTOGRAM RETRO,1362.0,,544.8,1225.8,56
CDM,05061050,C-1/C-2 PUNCTURE,1615.0,,243.14,1453.5,68
CDM,05061055,C-1/C-2 PUNCTURE W/INJECT,2134.0,,243.14,1920.6,68
CDM,05062268,DRAIN SPINAL CORD CYST,1985.0,,733.31,1786.5,68
CDM,05062270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,05062284,INJECTION PROC/MYELOGM/CT,1908.0,,763.2,1717.2,56
CDM,05062302,MYELO LUMBAR INJ CERVICAL,5136.0,,650.75,4622.4,68
CDM,05062303,MYELO LUMBAR INJ THORACIC,4416.0,,650.75,3974.4,68
CDM,05062304,MYELO LUMBAR INJ LUMBOSACRAL,4521.0,,650.75,4068.9,68
CDM,05062305,INJ MYEL LUMBAR >1 INCL,5051.0,,650.75,4545.9,68
CDM,05062321,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,68
CDM,05062323,NJX INTERLAMINAR LMBR/SAC,2539.0,,570.41,2285.1,68
CDM,05062328,SPINAL PUNCT LUM DX W/FLUOR/CT,2992.0,,570.41,2692.8,67
CDM,05062329,SPINAL PUNCT LUM TX W/FLUOR/CT,2992.0,,570.41,2692.8,67
CDM,05070100,MANDIBLE 1-3 VIEWS,654.0,,27.0,588.6,68
CDM,05070110,XR MANDIBLE MIN 4 VIEWS,878.0,,37.0,790.2,68
CDM,05070120,XR MASTOIDS <3V,433.0,,26.0,389.7,68
CDM,05070130,MASTOIDS MIN 3 VIEWS/SIDE,641.0,,22.0,576.9,68
CDM,05070140,FACIAL BONES 1 OR 2 VIEWS,510.0,,11.0,459.0,68
CDM,05070150,FACIAL BONES MIN 3 VIEWS,794.0,,35.0,714.6,68
CDM,05070160,XR NASAL CMPL 3+V,760.0,,16.0,684.0,68
CDM,05070200,XR ORBITS MIN 4 VIEWS,786.0,,28.0,707.4,68
CDM,05070220,XR PARANASAL SINUS MIN 3 VWS,996.0,,37.0,896.4,68
CDM,05070250,XR SKULL 1-3 VIEWS,857.0,,28.0,771.3,68
CDM,05070260,XR SKULL MIN 4 VIEWS,1132.0,,45.0,1018.8,68
CDM,05070328,TEMPOROMANDIBLE JOINT UNI RT,516.0,,27.0,464.4,56
CDM,05070330,TEMPOROMANDIBLE JOINT BIL,645.0,,33.0,580.5,68
CDM,05070360,NECK SOFT TISSUE,649.0,,19.0,584.1,68
CDM,05070429,TEMPOROMANDIBLE JOINT UNI LT,516.0,,27.0,464.4,56
CDM,05071045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,68
CDM,05071046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,05071047,CHEST X-RAY 3 VIEWS,686.0,,72.52,617.4,68
CDM,05071048,CHEST X-RAY 4/> VIEWS,698.0,,87.59,628.2,68
CDM,05071100,XR RIBS 2V UNI RT,742.0,,33.0,667.8,56
CDM,05071101,XR RIBS 2V UNI LT,742.0,,33.0,667.8,56
CDM,05071110,XR RIBS 3 VIEWS BILAT,918.0,,37.0,826.2,68
CDM,05071120,XR STERNUM 2+ VIEWS,739.0,,32.0,665.1,68
CDM,05071130,XR STERNOCLAVIC JT 3+VIEWS,739.0,,37.0,665.1,68
CDM,05072020,XR SPINE 1 VIEW ANY LEVEL,569.0,,16.0,512.1,68
CDM,05072040,XR C-SPINE 2 OR 3V,793.0,,33.0,713.7,68
CDM,05072050,XR C-SPINE 4 OR 5 VIEWS,1031.0,,52.0,927.9,68
CDM,05072052,XR-C-SPINE 6 OR MORE VIEWS,1194.0,,59.0,1074.6,68
CDM,05072070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,68
CDM,05072072,XR THORACIC SPINE 3 VIEWS,949.0,,38.0,854.1,68
CDM,05072074,"SPINE THORACIC, MINIMUM 4 VIEW",767.0,,49.0,690.3,68
CDM,05072080,XR THORACOLUMBAR SPINE 2 VIEWS,976.0,,22.0,878.4,68
CDM,05072081,XR T-L SPINE INCL SKULL 1 VIEW,668.0,,72.52,601.2,68
CDM,05072082,XR T-L SPINE 2 OR 3 VIEWS,721.0,,56.48,648.9,68
CDM,05072083,XR T-L SPINE 4 OR 5 VIEWS,656.0,,24.57,590.4,68
CDM,05072084,XR T-L SPINE INCL SKLL 6+ VIEW,668.0,,73.39,601.2,68
CDM,05072100,XR LUMBAR SPINE 2 OR 3 VIEWS,930.0,,38.0,837.0,68
CDM,05072110,XR LUMBAR SPINE 4+ VIEWS,1246.0,,52.0,1121.4,68
CDM,05072114,XR L-SPINE CMPL W/BENDING V,1318.0,,82.0,1186.2,68
CDM,05072120,XR L-SPINE BENDING ONLY 2/3,1060.0,,63.0,954.0,68
CDM,05072170,XR PELVIS 1-2V,695.0,,27.0,625.5,68
CDM,05072190,PELVIS MIN 3 VIEWS,861.0,,44.0,774.9,68
CDM,05072200,SACROILIAC JOINTS 1-2 VWS,462.0,,41.0,415.8,68
CDM,05072202,XR SACROILIAC JT 3+V,759.0,,43.0,683.1,68
CDM,05072220,XR SACRUM/COCCYX 2+V,732.0,,31.0,658.8,68
CDM,05072240,MYELOGRAM CERV,2336.0,,175.0,2102.4,68
CDM,05073000,CLAVICAL COMP RT,704.0,,21.0,633.6,56
CDM,05073001,CLAVICAL COMP LT,704.0,,21.0,633.6,56
CDM,05073002,CLAVICAL COMP BIL,1168.0,,21.0,1051.2,56
CDM,05073010,SCAPULA COMP RT,737.0,,29.0,663.3,56
CDM,05073011,SCAPULA COMP LT,737.0,,29.0,663.3,56
CDM,05073012,SCAPULA COMP BIL,1288.0,,29.0,1159.2,56
CDM,05073020,SHOULDER 1 VIEW RT,642.0,,21.0,577.8,56
CDM,05073021,XR SHOULDER 1 VIEW LT,642.0,,21.0,577.8,56
CDM,05073022,SHOULDER 1 VIEW BIL,1190.0,,21.0,1071.0,56
CDM,05073030,XR SHOULDER CMPL 2+ VIEWS RT,783.0,,30.0,704.7,56
CDM,05073031,XR SHOULDER CMPL 2+V LT,783.0,,30.0,704.7,56
CDM,05073032,XR SHOULDER CMPL 2+V BILAT,1358.0,,30.0,1222.2,56
CDM,05073050,ACRO-CLAV JOINTS-BIL,680.0,,29.0,612.0,68
CDM,05073060,XR HUMERUS 2+V RT,654.0,,30.0,588.6,56
CDM,05073061,XR HUMERUS 2+V LT,654.0,,30.0,588.6,56
CDM,05073062,XR HUMERUS 2+V BILAT,1202.0,,30.0,1081.8,56
CDM,05073070,ELBOW AP&L RT,641.0,,29.0,576.9,56
CDM,05073071,ELBOW AP&L LT,641.0,,29.0,576.9,56
CDM,05073072,ELBOW AP&L BIL,1095.0,,29.0,985.5,56
CDM,05073080,ELBOW MIN 3 VIEWS RT,724.0,,32.0,651.6,56
CDM,05073081,ELBOW MIN 3 VIEWS LT,724.0,,32.0,651.6,56
CDM,05073082,ELBOW MIN 3 VIEWS BIL,1373.0,,32.0,1235.7,56
CDM,05073090,FOREARM AP&L RT,743.0,,29.0,668.7,56
CDM,05073092,UPPER EXTREM INFANT MIN 2 VWS,438.0,,23.0,394.2,68
CDM,05073093,UPPER EXTREM INFANT MIN 2 VWS,438.0,,23.0,394.2,56
CDM,05073094,UPPER EXT INFANT MIN 2 VWS BIL,656.0,,23.0,590.4,56
CDM,05073100,WRIST AP&L,586.0,,21.0,527.4,68
CDM,05073101,XR WRIST 2V LT,586.0,,21.0,527.4,56
CDM,05073102,XR WRIST 2V BILAT,1157.0,,21.0,1041.3,56
CDM,05073110,XR WRIST CMPL 3+V RT,723.0,,31.0,650.7,56
CDM,05073111,XR WRIST CMPL 3+V LT,723.0,,31.0,650.7,56
CDM,05073112,XR WRIST CMPL3+V BI,1003.0,,31.0,902.7,56
CDM,05073120,HAND 2 VIEWS RT,684.0,,18.0,615.6,56
CDM,05073121,HAND 2 VIEWS LT,684.0,,18.0,615.6,56
CDM,05073122,HAND 2 VIEWS BIL,1029.0,,18.0,926.1,56
CDM,05073130,XR HAND CMPL 3+V RT,739.0,,27.0,665.1,56
CDM,05073131,XR HAND CMPL 3+V LT,739.0,,27.0,665.1,56
CDM,05073132,XR HAND CMPL 3V BI,1192.0,,27.0,1072.8,56
CDM,05073140,FINGER(S) MIN 2 VIEWS RT,574.0,,18.0,516.6,56
CDM,05073141,ARTHROGRAM SHOULDER LT,932.0,,127.0,929.34,56
CDM,05073191,FOREARM AP&L LT,743.0,,29.0,668.7,56
CDM,05073192,FOREARM AP&L BIL,1187.0,,29.0,1068.3,56
CDM,05073241,FINGER(S) MIN 2 VIEWS LT,574.0,,18.0,516.6,56
CDM,05073502,XR HIP UNILAT 2-3 VIEWS LT,508.0,,22.5,457.2,56
CDM,05073503,XR HIP UNILAT 4+ VIEWS LT,1034.0,,46.8,930.6,56
CDM,05073521,XR HIP BILAT W/PELVIS 2 VIEWS,862.0,,35.91,775.8,68
CDM,05073522,XR HIP BILAT W/PELVIS 3-4 VIEW,1459.0,,44.35,1313.1,68
CDM,05073523,XR HIP BILAT W/PELVIS 5+ VIEWS,1459.0,,51.41,1313.1,68
CDM,05073560,XR KNEE 1-2V RT,680.0,,24.0,612.0,56
CDM,05073562,XR KNEE 3V RT,757.0,,27.0,681.3,56
CDM,05073564,XR KNEE CMPL 4+V RT,811.0,,40.0,729.9,56
CDM,05073565,XR KNEE STAND BOTH KNEES,720.0,,56.0,648.0,68
CDM,05073590,XR TIBIA/FIBULA 2V RT,730.0,,30.0,657.0,56
CDM,05073592,LOWER EXT INFANT MIN 2 VWS RT,168.0,,21.0,229.12,56
CDM,05073600,ANKLE AP&L RT,604.0,,26.0,543.6,56
CDM,05073601,ANKLE AP&L LT,604.0,,26.0,543.6,56
CDM,05073602,ANKLE AP&L BIL,1018.0,,26.0,916.2,56
CDM,05073610,ANKLE COMP MIN 3 VIEWS RT,720.0,,34.0,648.0,56
CDM,05073611,ANKLE COMP MIN 3 VIEWS LT,720.0,,34.0,648.0,56
CDM,05073612,ANKLE COMP MIN 3 VIEWS BIL,1264.0,,34.0,1137.6,56
CDM,05073620,FOOT AP&L RT,701.0,,18.0,630.9,56
CDM,05073621,FOOT AP&L LT,701.0,,18.0,630.9,56
CDM,05073622,FOOT AP&L BIL,1176.0,,18.0,1058.4,56
CDM,05073630,XR FOOT CMPL 3+V RT,793.0,,34.0,713.7,56
CDM,05073631,XR FOOT COMPLETE 3+V LT,793.0,,34.0,713.7,56
CDM,05073632,XR FOOT CMPL 3+V BILAT,1268.0,,34.0,1141.2,56
CDM,05073650,XR CALCANEUS 2+ V RT,590.0,,25.0,531.0,56
CDM,05073651,XR CALCANEUS 2+V LT,590.0,,25.0,531.0,56
CDM,05073652,XR CALCANEUS 2+V BILAT,965.0,,25.0,868.5,56
CDM,05073660,XR TOE(S) 2+V RT,499.0,,17.0,449.1,56
CDM,05073661,XR KNEE 1-2V LT,680.0,,24.0,612.0,56
CDM,05073662,XR KNEE 1-2V BIL,1085.0,,24.0,976.5,56
CDM,05073663,XR KNEE 3V LT,757.0,,27.0,681.3,56
CDM,05073664,XR KNEE 3V BILAT,1358.0,,27.0,1222.2,56
CDM,05073665,XR KNEE CMPL 4+V LT,811.0,,40.0,729.9,56
CDM,05073666,XR KNEE CMPL 4+V BILAT,1482.0,,40.0,1333.8,56
CDM,05073691,XR TIBIA/FIBULA 2V LT,730.0,,30.0,657.0,56
CDM,05073692,XR TIBIA/FIBULA 2V BILAT,1089.0,,30.0,980.1,56
CDM,05073693,LOWER EXT INFANT MIN 2 VWS LT,168.0,,21.0,229.12,56
CDM,05073694,LOWER EXT INFANT MIN 2 VWS BIL,330.0,,21.0,297.0,56
CDM,05073761,XR TOE(S) 2+V LT,499.0,,17.0,449.1,56
CDM,05074018,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,68
CDM,05074019,X-RAY EXAM ABDOMEN 2 VIEWS,935.0,,20.71,841.5,68
CDM,05074021,X-RAY EXAM ABDOMEN 3+ VIEWS,1107.0,,14.76,996.3,68
CDM,05074022,ACUTE ABDOMEN SERIES COMPLETE,1196.0,,49.0,1076.4,68
CDM,05074220,XR ESOPHAGUS,1151.0,,52.0,1035.9,68
CDM,05074221,XR ESOPHAGUS DOUBLE CONTRAST,1273.0,,40.13,1145.7,68
CDM,05074230,XR SWALLOW CINE/VIDEO,1162.0,,24.0,1045.8,68
CDM,05074240,XR UGI W/O KUB,1511.0,,57.0,1359.9,68
CDM,05074246,XR UGI W/AIR W/O KUB,1936.0,,78.0,1742.4,68
CDM,05074248,XR SM INTEST F-THRU,2218.0,,1109.0,1996.2,55
CDM,05074250,XR SMALL INTESTINE,1591.0,,57.0,1431.9,68
CDM,05074270,XR EMENA BARIUM,1726.0,,57.0,1553.4,68
CDM,05074280,COLON BARIUM ENEMA W/AIR,2102.0,,72.0,1891.8,68
CDM,05074340,INTRODUCTION LONG GI TUBE S&I,709.0,,113.95,638.1,56
CDM,05074415,XR UROGRAM W/NEPHROTOMOGRAM,1741.0,,112.0,1566.9,68
CDM,05074420,XR UROGRAM RETROGRADE,1728.0,,56.0,1555.2,68
CDM,05074425,XR UROGRAM ANTEGRADE,1314.0,,70.0,1182.6,68
CDM,05074430,CYSTOGRAM MIN 3VWS,1320.0,,71.0,1188.0,68
CDM,05074450,XR CYSTOURETHROGRAM RETROGRADE,1162.0,,76.0,1045.8,68
CDM,05074455,XR CYSTOURETHROGRAM VOIDING,1469.0,,59.0,1322.1,68
CDM,05075710,ANGIOGM EXTREMITY UNI,5732.0,,196.0,8190.45,68
CDM,05075984,CATH DRAIN CHANGE PERC,2474.0,,50.0,2226.6,55
CDM,05076000,FLUORO UP TO 1 HOUR,1116.0,,10.0,1004.4,68
CDM,05076080,SINUS TRACT/FISTULA.STUDY,1047.0,,10.0,1426.8,68
CDM,05076098,XR SURGICAL SPECIMEN (RIGHT),1002.0,,28.0,1426.8,68
CDM,05076099,XR SURGICAL SPECIMEN (LEFT),1002.0,,28.0,1426.8,68
CDM,05076120,XR CINE/VIDEO RAD,1020.0,,87.59,918.0,68
CDM,05077001,FLURO GUIDE CVA PLCMT/REMOVAL,1861.0,,51.49,1674.9,55
CDM,05077002,XR FLUORO NEEDLE PLACEMENT,1355.0,,78.0,1219.5,55
CDM,05077003,FLURO GUIDE NDLE/CATH DX/THERP,1463.0,,84.35,1316.7,55
CDM,05077072,XR BONE AGE STUDIES,478.0,,34.0,430.2,68
CDM,05077073,BONE LENGTH STUDIES,719.0,,54.5,647.1,68
CDM,05077075,XR BONE SURVEY COMPLETE,1792.0,,87.59,1612.8,68
CDM,05077076,RADIOLOGIC EXAM OSSEOUS INFANT,1232.0,,87.59,1108.8,68
CDM,05084558,DRAIN CHEST SAHARA,124.0,,62.0,111.6,61
CDM,05090070,CATHETER PIGTAIL,289.0,,144.5,260.1,56
CDM,05090080,GUIDEWIRE AMPLATZ,138.0,,27.95,124.2,57
CDM,05090110,TEMNO BIOPSY SET,276.0,,138.0,248.4,56
CDM,05096450,CHEMO CNS,1812.0,,154.0,1630.8,68
CDM,05480013,OBSERV PER HR - OSCU,80.0,,40.0,2436.0,57
CDM,05517295,SET RADIATION THERAPY FIELD,13358.0,,297.0,25000.0,73
CDM,05531635,BRONCHOSC W/REM FB,5205.0,,1420.41,4684.5,68
CDM,05531640,BRONCHOSC W/EXCISION TUMR,8858.0,,3036.86,7972.2,68
CDM,05531645,BRONCHOSC W/ASP TREE INITIAL,4906.0,,1420.41,4415.4,68
CDM,05540001,BASIC DOSIMETRY CALCULATION,1305.0,,62.0,25000.0,73
CDM,05540009,"RAD THRPY DOSEPLAN,IMRT",11395.0,,1127.0,10255.5,68
CDM,05540031,SPEC.TELETHERAPY PORT,2428.0,,217.0,2185.2,68
CDM,05540032,TRMT DEVICES SIMPLE,1277.0,,100.0,1149.3,68
CDM,05540033,TRMT DEVICES INTERMED,1486.0,,109.0,1337.4,68
CDM,05540034,TRMT DEVICES COMPLEX,2580.0,,215.0,25000.0,73
CDM,05540410,SPECIAL TREATMENT PROCEDURE,3480.0,,241.0,3132.0,68
CDM,05541061,BRACHY INTERSTITIAL: COMPLEX,7845.0,,553.0,7060.5,68
CDM,05541125,SIMULATOR-SIMPLE,1869.0,,109.36,1682.1,68
CDM,05541126,SIMULATOR-INTERMEDIATE,2195.0,,301.52,1975.5,68
CDM,05541127,SIMULATOR-COMPLEX,3440.0,,297.0,3096.0,68
CDM,05541185,BRACHY SURFACE APPLICATION,721.0,,90.2,648.9,68
CDM,05541190,"BRACHY SUPERVISE,HANDLE,LOAD",1048.0,,46.0,943.2,56
CDM,05543255,EGD W/CONTROL BLEED,5199.0,,1562.51,4679.1,68
CDM,05544550,PORT VERIFICATION FILM(S),834.0,,16.0,750.6,56
CDM,05544735,THERASPHERE BRACHYTX SEED Y-90,106740.0,,14402.06,96066.0,73
CDM,05544755,BRACHYTHER SEED HDR IRIDIUM192,2119.0,,282.02,1907.1,73
CDM,05544784,RADPH TPY INTRA-ARTICULAR(P32),1373.0,,184.61,1235.7,68
CDM,05544800,ISOTOPE YTTRIUM 90 ZEVALINI,142498.0,,52278.59,128248.2,67
CDM,05544811,ADMIN THPY IN-111 IBRITUMOMAB,3064.0,,184.61,2757.6,68
CDM,05545330,SIGMOIDOSCOPY FLEX,2360.0,,750.95,2124.0,68
CDM,05549411,PLMT NTRSTL DEV PRQ IABDL IPEL,5709.0,,1127.0,5138.1,68
CDM,05555874,TRNSPER PLC BIODEG MATRL PROST,13679.0,,4187.25,12311.1,68
CDM,05555875,PLACE NDL/CATH PROSTATE,14171.0,,4187.25,12753.9,68
CDM,05555876,PL DEV/MKR RAD THPY PROST 1/1+,3153.0,,1127.0,2837.7,68
CDM,05555920,PL NDLE/CTH PLV/GNTL,10685.0,,4066.03,9616.5,68
CDM,05557155,INS UTERINE TNDM/VAGINAL OVOID,10581.0,,4066.03,9522.9,68
CDM,05557156,INS VAG RAD AFLD APPARATUS,2415.0,,250.55,2173.5,68
CDM,05576942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,05576965,US GUIDED INTERSTITIAL THERAPY,2181.0,,130.0,1962.9,56
CDM,05577014,CT GUID PLACE RAD THRPY FIELDS,3166.0,,170.16,2849.4,55
CDM,05577086,XR FRAC ASSESS DUAL ENERGY,489.0,,72.52,440.1,68
CDM,05577280,SIMULATOR-SIMPLE,1869.0,,109.36,1682.1,68
CDM,05577290,THER RAD SIMULAJ COMPLEX,4449.0,,297.0,4004.1,68
CDM,05577293,RESP MOTION MGMT SIMULATION,2491.0,,753.01,2241.9,56
CDM,05577295,PLAN RAD 3D W/ DOSE VOL HISTOG,14413.0,,297.0,25000.0,73
CDM,05577300,BASIC DOSIMETRY CALCULATION,1305.0,,62.0,25000.0,73
CDM,05577301,RAD THRPY DOSEPLAN IMRT,11395.0,,1127.0,10255.5,68
CDM,05577306,TELETHX ISODOSE PLAN SIMPLE,1489.0,,301.52,1340.1,68
CDM,05577307,TELETHX ISODOSE PLAN CPLX,3376.0,,262.63,3038.4,68
CDM,05577316,BRACHYTX ISODOSE PLAN SIMPLE,2131.0,,301.52,1917.9,67
CDM,05577317,BRACHYTX ISODOSE INTERMED,2492.0,,301.52,2242.8,67
CDM,05577318,BRACHYTX ISODOSE COMPLEX,3384.0,,301.52,3045.6,67
CDM,05577331,DOSIMETRY CALCULATION SPECIAL,1488.0,,109.36,1339.2,68
CDM,05577332,TREATMENT DEVICE SMP,1056.0,,100.0,950.4,68
CDM,05577333,TRMT DEVICES INTERMED,1486.0,,109.0,1337.4,68
CDM,05577334,TREATMENT DEVICE CPLX,2943.0,,215.0,25000.0,73
CDM,05577336,CONTINUING MEDICAL PHYSIC,1458.0,,71.0,1312.2,68
CDM,05577338,MLC DEVICE(S) FOR IMRT 01,2202.0,,301.52,1981.8,68
CDM,05577370,SPECIAL MEDICAL PHYSICS,1835.0,,94.0,1651.5,68
CDM,05577372,STEREOTACTIC RADIOSURG CMPL LB,65401.0,,777.0,58860.9,68
CDM,05577373,STEREO BODY RAD THERAPY DEL,17162.0,,1446.3,15445.8,68
CDM,05577385,INTENSITY MOD RAD TX SIMPLE,3926.0,,476.47,3533.4,68
CDM,05577386,INTENSITY MOD RAD TX COMPLEX,3926.0,,348.38,3533.4,68
CDM,05577387,STEREOTACTIC XR GUIDANCE,875.0,,66.81,787.5,57
CDM,05577402,RAD THRPY SIMPLE >/=1 MEV,1332.0,,90.2,1198.8,68
CDM,05577407,RAD THRPY INTERMED >/=1 MEV,1005.0,,169.0,904.5,68
CDM,05577412,RAD THRPY CPLX >/=1 MEV,2047.0,,200.0,1842.3,68
CDM,05577435,STEREO BODY RAD THERAPY MANAG,3135.0,,1567.5,2821.5,56
CDM,05577470,SPECIAL TREATMENT PROCEDURE,3480.0,,241.0,3132.0,68
CDM,05577767,HRD RDNCL SKN SURF BRACHY UP,4380.0,,216.61,3942.0,68
CDM,05577768,HRD RDNCL SKN SURF BRACHY >2,2810.0,,216.61,2529.0,68
CDM,05577770,HDR RDNCL INTRST/INTR BRACH 1,5854.0,,294.18,5268.6,68
CDM,05577771,HDR RDNCL NTR/ICAV BRACH 2-12,6883.0,,571.48,6194.7,68
CDM,05577772,HDR RDNCL NTR/ICAV BRACH 12+,7728.0,,570.49,6955.2,68
CDM,05577799,INTERSTITIAL BRACHY SMP,7002.0,,90.2,6301.8,68
CDM,05581001,URINALYSIS AUTO W/SCOPE,139.0,,2.92,125.1,68
CDM,05581025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,05581261,ANALYSIS GENE REARRANG IGH AMP,1037.0,,182.15,933.3,68
CDM,05581264,ANALYSIS GENE IGK,1234.0,,158.91,1110.6,68
CDM,05584165,PROTEIN ELECTROP SERUM,201.0,,7.95,180.9,68
CDM,05585007,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,05585025,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,05585027,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,05585097,BONE MARROW SMEAR INTERP,1697.0,,17.58,1527.3,68
CDM,05586334,IMMUNOFIXATION SERUM ELEC,491.0,,20.55,441.9,68
CDM,05587086,COLONY COUNT URINE,218.0,,6.77,196.2,68
CDM,05588104,CYTOPATH FLD SMEAR,353.0,,13.99,317.7,68
CDM,05588173,FNA INTERPRET & REPORT,407.0,,29.62,366.3,68
CDM,05588187,FLOWCYTO READY 2-8,456.0,,54.96,410.4,56
CDM,05588188,FLOW CYTOMETRY INTERP 9-15 MRK,460.0,,94.22,414.0,56
CDM,05588189,FLOW CYTOMETRY INTERP 16+ MRK,393.0,,127.71,353.7,56
CDM,05595718,EEG PHYS/QHP 2-12 HR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,05599024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,05599204,OP VISIT E&M 45-59 MIN,479.0,,102.2,431.1,68
CDM,05599205,OP VISIT E&M NEW 60 MIN,632.0,,102.2,568.8,68
CDM,05599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,05599214,VISIT ESTAB LVL IV,535.0,,102.2,481.5,68
CDM,05599215,VISIT ESTAB PT LVL V,603.0,,102.2,542.7,68
CDM,05780013,OBSERV PER HR - POST ANES,82.0,,41.0,2436.0,57
CDM,05790003,ROOM & BED CHARGE POST ANES AM,1994.5,,338.0,7500.0,152
CDM,05880013,OBSERV PER HR - LDR,125.0,,62.5,2436.0,57
CDM,05890003,ROOM & BED CHARGE LDR,2883.5,,1111.0,7500.0,76
CDM,06003014,TELEHEALTH FACILITY FEE-NUCM,78.0,,10.66,70.2,57
CDM,06009606,RA-223 DICHLORIDE TX PER UCI,765.7,,158.44,689.13,68
CDM,06009898,NM INPT STAY RADIOLABELED ITEM,0.01,,0.005,0.3,55
CDM,06010331,NM MYOCARD SYMP NERVE,3275.0,,1075.3,2947.5,67
CDM,06010332,NM MYOCARD SYMP NERVE W/SPECT,3033.0,,1075.3,2729.7,67
CDM,06018808,INJ LOC NON IMAGE CALLAHAN,402.0,,56.0,1045.64,68
CDM,06019528,I-131 NAI CAP DIAG PER MCI,382.0,,115.23,343.8,56
CDM,06019531,I-131 NAI DIAG/ 0-100 UCI,239.0,,5.14,215.1,56
CDM,06019537,TC99M HIDA MEBROFENIN 0-15 MCI,344.0,,51.08,309.6,56
CDM,06019538,TC99M PYP PER DOSE 0-25 MCI,239.0,,20.78,215.1,56
CDM,06019540,TC99M MAA PER DOSE 0-10 MCI,181.0,,18.68,162.9,56
CDM,06019548,IN-111 DTPA PER 0.5 MCI,3172.0,,658.07,2854.8,67
CDM,06019556,GA-67 CITRATE DIAG PER MCI,348.0,,26.84,313.2,56
CDM,06019558,XE-133 GAS DIAG 0-10 MCI,269.0,,134.5,361.88,56
CDM,06019560,TC99M LABELED RBC 0-30 MCI,667.0,,75.27,600.3,56
CDM,06019562,TC99M MAG3 0-15 MCI,1124.0,,523.76,1011.6,56
CDM,06019565,IN-111 PENTETREOTIDE UPTO 6MCI,12228.0,,1761.44,11005.2,67
CDM,06019567,TC99M DTPA AEROSOL 0-75 MCI,360.0,,24.86,324.0,56
CDM,06019569,TC99M CERETEC WBC,5652.0,,2.0,5086.8,67
CDM,06019604,NM SM 153 LEXIDRONAM TO 150MCI,17977.0,,3969.72,16179.3,67
CDM,06029500,TC 99M SESTAM CALLAHAN,410.0,,72.6,549.71,56
CDM,06038792,INJ NODE SENTINEL ID,1545.0,,280.0,1390.5,67
CDM,06049400,INJ AIR/CONTR PERITONEAL CAV,1473.0,,589.2,1325.7,56
CDM,06050004,IOFLUPANE I 123 INJ PER DOSE,5760.0,,1276.98,5184.0,67
CDM,06051000,"I-123 (CAPSULE), PER 100 UCI",383.0,,119.43,344.7,56
CDM,06051003,I-131 NAI DIAG SOLN PER MCI,144.0,,6.47,129.6,55
CDM,06051751,MIBG DOSE 0-.5 MCI,6067.0,,767.48,5460.3,56
CDM,06052010,"TC99M NATC04, PER MCI",129.0,,13.02,116.1,56
CDM,06052050,I-131 NAI THER CAPSULE PER MCI,312.0,,21.28,280.8,67
CDM,06052065,TC99M HMPAO CERETEC UD,3756.0,,738.15,3380.4,67
CDM,06052077,I-131 NAI THER SOLN PER MCI,117.0,,19.21,105.3,67
CDM,06074190,PERITONEOGRAM S&I,1279.0,,40.0,1426.8,68
CDM,06078012,NM THYROID UP SGL/MULTIPLE,1527.0,,84.41,1374.3,68
CDM,06078013,NM THYROID SCAN W/FLOW WHEN PE,1538.0,,213.1,1384.2,68
CDM,06078014,NM THYROID SCAN W/UP SGL/MULTI,3365.0,,246.38,3028.5,68
CDM,06078018,THYROID CARCI M.IMAG-WHOLE BOD,3432.0,,172.0,3088.8,68
CDM,06078070,PARATHYROID SCAN,3237.0,,185.0,2913.3,68
CDM,06078071,NM PARATHYROID W/TOMOGRAPHIC,3236.0,,330.98,2912.4,68
CDM,06078072,NM PARATHYROID W/TOMOGR & SPC,4409.0,,364.18,3968.1,68
CDM,06078102,BONE MARROW IMAGING LTD,1892.0,,206.0,1702.8,68
CDM,06078103,BONE MARROW IMAG MULTI,1689.0,,257.0,1520.1,68
CDM,06078195,LYMPHATIC SCAN,3102.0,,230.0,2791.8,68
CDM,06078201,NM LIVER,2485.0,,198.0,2236.5,68
CDM,06078202,NM LIVER W/FLOW,2997.0,,360.0,2697.3,68
CDM,06078215,LIVER AND SPLEEN SCAN,2670.0,,233.0,2403.0,68
CDM,06078226,NM HEPATOBILIARY SYSTEM IMG,4280.0,,289.37,3852.0,68
CDM,06078227,NM HEPATOBILIARY SYSTEM IMG W/,4280.0,,443.36,3852.0,68
CDM,06078258,NM ESOPHAGEAL MOTILITY,1731.0,,68.0,1557.9,68
CDM,06078264,GASTRIC EMPTYING STUDY,3736.0,,125.0,3362.4,68
CDM,06078265,NM GASTRIC EMPTYING IMG STD,3204.0,,330.98,2883.6,68
CDM,06078266,NM GASTRIC EMPTYING IMG STD,6180.0,,443.36,5562.0,68
CDM,06078278,GI BLOOD LOSS IMAGING,2938.0,,196.0,2644.2,68
CDM,06078290,BOWEL SCAN,923.0,,266.0,1045.64,68
CDM,06078291,NM PERITONEAL-VENOUS SHUNT,2212.0,,251.0,1990.8,68
CDM,06078300,BONE/JOINT SCAN LTD,2080.0,,242.0,1872.0,68
CDM,06078305,BONE/JOINT SCAN - MULTI,2481.0,,275.0,2232.9,68
CDM,06078306,BONE/JOINT SCAN WHL BODY,4627.0,,296.0,4164.3,68
CDM,06078315,BONE/JOINT SCAN 3 PHASE,4708.0,,129.0,4237.2,68
CDM,06078429,MYOCRD IMG PET 1 STD W/CT,9807.0,,1201.41,8826.3,68
CDM,06078430,MYOCRD IMG PET RST/STRS W/CT,6051.0,,1201.41,5445.9,68
CDM,06078431,MYOCRD IMG PET RST&STRS W/CT,6051.0,,1853.68,5856.26,68
CDM,06078432,MYOCRD IMG PET 2RTRACER,6051.0,,1524.21,5501.0,68
CDM,06078433,MYOCRD IMG PET 2RTRACER CT,6051.0,,1606.58,5501.0,68
CDM,06078434,NM PET MYOCARD ABS QUANT,6051.0,,129.56,5445.9,56
CDM,06078451,NM HRT MUSC IMAGE- SPECT SNGL,7183.0,,587.0,6464.7,68
CDM,06078452,NM HRT MUSC IMAGE- SPECT MULT,2392.0,,875.0,3397.12,68
CDM,06078453,NM HRT MUSC IMAGE- PLANAR SNGL,4612.0,,1075.3,4150.8,68
CDM,06078454,NM HRT MUSC IMAGE- PLANAR MULT,5753.0,,395.0,5177.7,68
CDM,06078466,NM MYOCARD INFARCT,2574.0,,262.0,2316.6,68
CDM,06078472,CARD BLD PL GTD REST-MUGA SGL,2924.0,,218.0,2631.6,68
CDM,06078473,NM MUGA RESTING MULTI,3950.0,,313.0,3555.0,68
CDM,06078494,NM MUGA RESTING W/SPECT,4246.0,,328.0,3821.4,68
CDM,06078579,NM PULM VENT IMG AERO/GAS,2503.0,,330.98,2252.7,68
CDM,06078580,LUNG SCAN -PERFUSION,2605.0,,212.0,2344.5,68
CDM,06078582,NM PULM VENT/PERF IMAGING,4573.0,,93.0,4115.7,68
CDM,06078597,NM PULM PERF QUAN DIFFERENTIAL,3503.0,,330.98,3152.7,68
CDM,06078598,NM PULM PERF/VENT QUAN DIFF,4573.0,,279.64,4115.7,68
CDM,06078600,BRAIN SCAN-LTD.-STATIC,1817.0,,229.0,1635.3,68
CDM,06078601,NM BRAIN W/FLOW < 4 VIEWS STAT,2369.0,,289.0,2132.1,68
CDM,06078606,NM BRAIN W/FLOW 4 + VIEWS STAT,2917.0,,421.0,2625.3,68
CDM,06078610,NM BRAIN IMAGE- VASC FLOW ONLY,1713.0,,179.0,1541.7,68
CDM,06078645,CSF SHUNT EVALUATION,2056.0,,139.0,1850.4,68
CDM,06078650,CSF LEAK STUDY,2383.0,,175.0,3397.12,68
CDM,06078707,KID VASC FUNC SGL W/O PHARM,4096.0,,332.0,3686.4,68
CDM,06078708,KID VASC FUNC W/PHARM SNGL,4332.0,,148.0,3898.8,68
CDM,06078709,KID VASC FUNC MULTI W&WO PHARM,4028.0,,346.0,3625.2,68
CDM,06078725,KIDNEY FUNCTION CLEARANCE,2947.0,,89.0,2652.3,68
CDM,06078800,NM TUMOR LOC LTD,3428.0,,114.0,3085.2,68
CDM,06078801,NM TUMR LOC 2+A 1+D/1A 2+D,3497.0,,232.0,3147.3,68
CDM,06078802,TUMOR LOCAL/WHOLE BODY,4994.0,,350.0,4494.6,68
CDM,06078803,NM TUMR LOC SPECT 1 AREA 1 DAY,6516.0,,159.0,5864.4,68
CDM,06078804,TUMOR IMAGING WHL BODY 2OR>DAY,5767.0,,540.0,5190.3,68
CDM,06078808,NM IV INJ LOC NON IMAGE PROBE,1034.0,,56.0,1045.64,68
CDM,06078830,RP LOCLZJ TUM SPECT W/CT 1,3907.0,,182.67,3516.3,68
CDM,06078831,RP LOCLZJ TUM SPECT 2 AREAS,3907.0,,1075.3,3516.3,68
CDM,06078832,RP LOCLZJ TUM SPECT W/CT 2,4433.0,,1201.41,3989.7,68
CDM,06078835,RP QUAN MEAS SINGLE AREA,4433.0,,2216.5,3989.7,55
CDM,06079000,THERAPY HYPERTHYROID INITIAL,3117.0,,102.56,2805.3,68
CDM,06079005,RADIOPHARM THERAPY PO,3117.0,,102.56,2805.3,66
CDM,06079035,THERAPY METASTASES THYRD,3117.0,,102.56,2805.3,68
CDM,06079101,NM RADIOPHARM THERAPY IV,2628.0,,184.61,2365.2,68
CDM,06079403,NM MONOCLONAL ANTIBODY THERAPY,2785.0,,184.61,2506.5,68
CDM,06079445,RADIOPHARM THRPY INTRA-ART,2717.0,,184.61,2445.3,68
CDM,06096365,IV INFUS THPY/PROPH/DX INTL UP,728.0,,72.0,655.2,56
CDM,06096366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,06096374,THERAPYPRO//DX IV PUSH INITIAL,540.0,,173.54,486.0,68
CDM,06098000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,06098001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,06098002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,06098003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,06098004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,06098005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,06098006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,06098007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,06098008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,06098009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,06098010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,06098011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,06098012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,06098013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,06098014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,06098015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,06098016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,06099202,VISIT NEW PT LEVEL II 20 MIN,345.0,,102.2,310.5,68
CDM,06099203,VISIT NEW PT LEVEL III 30 MIN,345.0,,102.2,310.5,68
CDM,06099204,VISIT NEW PT LEVEL IV 45 MIN,345.0,,102.2,310.5,68
CDM,06099213,VISIT ESTAB PT LEVEL III 15MIN,372.0,,102.2,334.8,68
CDM,06099214,VISIT ESTAB PT LEVEL IV 25,345.0,,102.2,310.5,68
CDM,06200544,MRA HEAD W/O CONTRAST-XS MOD,2380.0,,199.1,2142.0,68
CDM,06206490,MR QUANT TISSUE COMPOSIT W/M,3126.0,,782.9,2813.4,67
CDM,06208400,LEVSIN SUB-LINGUAL 0.125MG TAB,2.0,,0.512,1.8,55
CDM,06209791,MRI HYPERPOLARIZED XENON 129,3252.0,,1030.0,3254.05,68
CDM,06210011,FNA BX W/MR GDN 1ST LES,1920.0,,579.53,1728.0,68
CDM,06210012,FNA BX W/MR GDN EA ADDL,1920.0,,161.86,1728.0,57
CDM,06210553,MRI BRAIN WO/FOL W/CONT,5949.0,,294.16,5354.1,68
CDM,06211560,MRA W/CONT CHEST  MYOCARDIUM,3805.0,,294.16,3424.5,68
CDM,06211562,MRA CHEST W/ OR W/O CONTRAST,6949.0,,294.16,6254.1,68
CDM,06212147,MRI SPINE THOR W/CONTRAST,9035.0,,294.16,8131.5,68
CDM,06212148,MRI SPINE LUMBAR WO/CONTRAST,4002.0,,199.1,3601.8,68
CDM,06212151,MRI SPINE SACRUM WO/CONTRAST,3461.0,,199.1,3114.9,68
CDM,06212156,MRI C-SPINE W&W/O CON,10567.0,,294.16,9510.3,68
CDM,06212157,MRI SPINE THOR WO/FOL/W,10567.0,,294.16,9510.3,68
CDM,06212158,MRI SPINE LUMB WO/FOL/W,5624.0,,294.16,5061.6,68
CDM,06212160,MRI SPINE SACRUM WO/FOL/W,10567.0,,294.16,9510.3,68
CDM,06212199,MRA PELVIS W/CONTRAST,4452.0,,294.16,4006.8,68
CDM,06212200,"MRA W/O CONT, PELVIS",4282.0,,199.1,3853.8,68
CDM,06212201,MRA PELVIS W/ OR W/O CONTRAST,6288.0,,294.16,5659.2,68
CDM,06213731,MRA LWR EXT W&W/O CONT RT,7577.0,,736.24,6819.3,57
CDM,06213733,MRA W/O FOL W/CONT LWR EXT BIL,11367.0,,294.16,10230.3,68
CDM,06220544,MRA HEAD W/O CONTRAST-P STDY,655.0,,327.5,629.0,56
CDM,06223218,MRI UPPER EXT. W/O CONTRAST (L,6159.0,,417.0,5543.1,56
CDM,06223220,MRI UPPER EXT. WO/FOL/W (LT),7679.0,,300.0,6911.1,56
CDM,06223221,MRI JOINT UPPER EXT W/O CONTR,6658.0,,300.0,5992.2,56
CDM,06223222,MRI JOINT UPPER EXT W/CONTR,7093.0,,349.0,6383.7,56
CDM,06223223,MRI JOINT UPPER EXT WO/FOL/W (,8431.0,,433.0,7587.9,56
CDM,06223718,MRI LOWER EXT WO/CONTRAST (LT),6863.0,,460.26,6176.7,56
CDM,06223719,MRI LOWER EXT W/CONTRAST (LT),5453.0,,300.0,4907.7,56
CDM,06223720,MRI LOWER EXT WO/FOL/W (LT),8376.0,,300.0,7538.4,56
CDM,06223721,MRI JOINT LOWER EXT. WO/CONTRA,3677.0,,300.0,3309.3,56
CDM,06223722,MRI LWR EXT JNT W/CON LT,8654.0,,957.88,7788.6,56
CDM,06223723,MRI JOINT LOWER EXT WO/FOL/W (,8651.0,,736.24,7785.9,56
CDM,06227369,NJX CNTRST KNEE ARTHG MRI,694.0,,277.6,624.6,56
CDM,06233218,MRI UPPER EXT. W/O CONTRAST BI,9238.0,,417.0,8314.2,56
CDM,06233219,MRI UPPER EXT. W/CONTRAST BIL,8265.0,,300.0,7438.5,56
CDM,06233220,MRI UPPER EXT. WO/FOL/W (BIL),11517.0,,300.0,10365.3,56
CDM,06233221,MRI JOINT UPPER EXT W/O CONTR,7275.0,,300.0,6547.5,56
CDM,06233222,MRI UPR EXT JNT W/CON BILAT,9850.0,,349.0,8865.0,56
CDM,06233223,MRI JOINT UPPER EXT WO/FOL/W,11709.0,,433.0,10538.1,56
CDM,06233718,MRI LOWER EXT WO CONTRAST (BIL,10763.0,,460.26,9686.7,56
CDM,06233720,MRI LOWER EXT WO/FOL/W (BIL),17106.0,,300.0,15395.4,56
CDM,06233721,MRI JOINT LOWER EXT. WO/CONTRA,5516.0,,300.0,4964.4,56
CDM,06233722,MRI JOINT LOWER EXT. W/CON BIL,12019.0,,957.88,10817.1,56
CDM,06233723,MRI JOINT LOWER EXT WO/FOL/W (,10510.0,,736.24,9459.0,56
CDM,06240336,MRI TMJ UNILAT OR BILAT,4026.0,,199.1,3623.4,68
CDM,06240551,MRI BRAIN WO/CONTRAST,3894.0,,199.1,3504.6,68
CDM,06242141,MRI SPINE CERV WO/CONTR,3894.0,,199.1,3504.6,68
CDM,06244181,MRI ABDOMEN W/O CONRAST,7850.0,,199.1,7065.0,68
CDM,06263226,MRA UPPER EXT WO/FOL/W LT,2850.0,,461.7,2565.0,56
CDM,06264182,MRI ABDOMEN W/CONTRAST,6350.0,,294.16,5715.0,68
CDM,06264183,MRI ABDOMEN WO FOL W CONTRAST,4543.0,,294.16,4088.7,68
CDM,06270540,MRI ORBIT/FACE/NECK W/O CON,8507.0,,199.1,7656.3,68
CDM,06270542,MRI ORBIT/FACE/NECK W/CONTRAST,3789.0,,294.16,3410.1,68
CDM,06270543,MRI ORBIT FACE & NECK WO/FOL/W,8507.0,,294.16,7656.3,68
CDM,06270544,MRA HEAD W/O CONTRAST,2380.0,,199.1,2142.0,68
CDM,06270545,MRA HEAD W/CONTRAST,5184.0,,294.16,4665.6,68
CDM,06270546,MRA HEAD W&W/O CONTRAST,7015.0,,294.16,6313.5,68
CDM,06270547,MRA NECK W/O CONTRAST,4858.0,,199.1,4372.2,68
CDM,06270548,MRA NECK W/CONTRAST,5172.0,,294.16,4654.8,68
CDM,06270549,MRA NECK WO/FOL/W CONTRAST,3028.0,,294.16,2725.2,68
CDM,06270551,MRI BRAIN W/O CONTRAST,3894.0,,199.1,3504.6,68
CDM,06270554,FUNCTIONAL MRI BRAIN TECH,5325.0,,199.1,4792.5,68
CDM,06271550,MRI CHEST W/O CONTRAST,6854.0,,199.1,6168.6,68
CDM,06271552,MRI CHEST W&W/O CON,10255.0,,294.16,9229.5,68
CDM,06272159,MRA SPINAL CANAL WO/FOL/W CONT,4919.0,,300.0,4427.1,57
CDM,06272195,MRI PELVIS W/O CONTRAST,3461.0,,199.1,3114.9,68
CDM,06272197,MRI PELVIS W&W/O CON,10567.0,,294.16,9510.3,68
CDM,06273218,MRI UPPER EXT. W/O CONTRAST (R,6650.0,,417.0,5985.0,56
CDM,06273219,MRI UPPER EXT. W/CONTRAST RT,5509.0,,300.0,4958.1,56
CDM,06273220,MRI UPPER EXT. WO/FOL/W (RT),8293.0,,300.0,7463.7,56
CDM,06273221,MRI JOINT UPPER EXT W/O CONTR,6658.0,,300.0,5992.2,56
CDM,06273222,MRI JNT UPPER EXT W/CONT RT,7093.0,,349.0,6383.7,56
CDM,06273223,MRI JOINT UPPER EXT WO/FOL/W (,7809.0,,433.0,7028.1,56
CDM,06273718,MRI LOWER EXT WO/CONTRAST (RT),6863.0,,460.26,6176.7,56
CDM,06273719,MRI LOWER EXT W/CONTRAST RT,5453.0,,300.0,4907.7,56
CDM,06273720,MRI LOWER EXT WO/FOL/W (RT),8376.0,,300.0,7538.4,56
CDM,06273721,MRI JOINT LOWER EXT. WO/CONTRA,3677.0,,300.0,3309.3,56
CDM,06273722,MRI LWR EXT JNT W/CON RT,8654.0,,957.88,7788.6,56
CDM,06273723,MRI JOINT LOWER EXT WO/FOL/W (,9341.0,,736.24,8406.9,56
CDM,06274181,MRA ABDOMEN W/O CONTRAST,3833.0,,199.1,3449.7,68
CDM,06274183,MRA ABDOMEN WO/FOL/W,6724.0,,294.16,6051.6,68
CDM,06274712,MRI FETAL SINGLE 1ST GESTATION,6012.0,,199.1,5410.8,68
CDM,06274713,MRI FETAL EACH ADDL GESTATION,6350.0,,289.08,5715.0,55
CDM,06275565,MRI CARDIAC W/O CONTRAST QUANT,6779.0,,85.45,6101.1,55
CDM,06276015,MR SFTY MPLT&/FB ASMT STF EA,0.01,,0.004,0.009,56
CDM,06276377,MRI 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,06276390,MAGNETIC RESONANCE SPECTROSCPY,5039.0,,72.52,4535.1,68
CDM,06276391,MR ELASTOGRAPHY,7850.0,,130.18,7065.0,68
CDM,06277021,MRI GUIDE NEEDLE PLACE,4965.0,,613.0,4468.5,55
CDM,06277046,MRI BREAST W/O CONTRAST UNILAT,5011.0,,199.1,4509.9,68
CDM,06277047,MRI BREAST W/O CONTRAST BILAT,7518.0,,199.1,6766.2,68
CDM,06277048,MRI BREAST W/O&W CONT UNILAT,6295.0,,363.95,5665.5,56
CDM,06277049,MRI BREAST BILAT W&W/O CON CAD,6343.0,,294.16,5708.7,68
CDM,06280552,MRI BRAIN W/CONTRAST,7992.0,,294.16,7192.8,68
CDM,06282142,MRI SPINE CERV W/CONTRAST,8148.0,,294.16,7333.2,68
CDM,06286000,MR ABDOMEN W/O CON-P STDY,882.0,,439.83,793.8,56
CDM,06286001,MR C-SPINE W/O CON-P STDY,3894.0,,460.26,3504.6,56
CDM,06286003,MRI BRAIN W/O CON-P STDY,3894.0,,300.0,3504.6,56
CDM,06286004,MR L-SPINE W/O CON-P STDY,4002.0,,300.0,3601.8,56
CDM,06286006,MR PELVIS W/O CON-P STDY,3461.0,,441.0,3114.9,56
CDM,06286007,MR UPR EXT NON JNT W/O-P STY,2085.0,,417.0,1876.5,56
CDM,06286008,MR T-SPINE W/O CON-P STDY,3786.0,,300.0,3407.4,56
CDM,06286009,MR UPR EXT JNT W/O CON-P STDY,2276.0,,300.0,2048.4,56
CDM,06286015,MR LWR EXT JNT W/O CON-P STDY,3677.0,,300.0,3309.3,56
CDM,06286016,MR LWR EXT NON JNT-P STDY,2153.0,,460.26,1937.7,56
CDM,06286100,MR ANGIO HEAD-P STDY,1789.0,,497.0,1610.1,56
CDM,06286101,MR ANGIO NECK-P STDY,3028.0,,472.0,2725.2,56
CDM,06286102,MR ANGIO ABDOMEN-P STDY,3276.0,,460.26,2948.4,57
CDM,06286104,MR ANGIO CHEST-P STDY,1229.0,,294.9,1106.1,57
CDM,06291610,GLUCAGON HCL RECOMB KIT 1MG,279.86,,139.93,251.87,68
CDM,06292146,MRI THOR WO/CONTR,3786.0,,199.1,3407.4,68
CDM,06292149,MRI SPINE LUMBAR W/CONTR,8627.0,,294.16,7764.3,68
CDM,06292151,MRI PELVIS W/CONTRAST,5681.0,,294.16,5112.9,68
CDM,06480013,OBSERV PER HR - BMT,142.0,,63.6,2436.0,57
CDM,06490003,ROOM & BED CHARGE BMT,5861.0,,1864.0,7500.0,114
CDM,06510050,NDL EMG 1 EXT W/WO PARASP,785.0,,35.0,706.5,68
CDM,06510140,BIOPSY OF NERVE,5510.0,,1608.45,4959.0,68
CDM,06511104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,06511105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,06511106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,06511107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,06520050,NDL EMG 1 EXT W/WO PARASP (59),785.0,,35.0,706.5,56
CDM,06520055,NDL EMG 2 EXT W/WO PARASP (59),1049.0,,63.0,944.1,56
CDM,06520060,NDL EMG 3 EXT W/WO PARASP (59),1118.0,,81.0,1006.2,56
CDM,06520065,NDL EMG 4 EXT W/WO PARASP (59),1215.0,,140.0,1093.5,56
CDM,06520067,MUSCLE TEST CRAN NERV UNI (59),499.0,,40.0,449.1,56
CDM,06520070,NDL EMG THOR PARASP MSCLS (59),387.0,,37.0,348.3,56
CDM,06520082,NDL EMG LTD 1EXTR/NONLIMB (59),494.0,,37.0,444.6,56
CDM,06520110,SOM-SENS EVOK POT UP EXTR (59),2301.0,,1150.5,2070.9,56
CDM,06520115,SOM-SENS EVOK POT LOW LMB (59),2255.0,,36.0,2029.5,56
CDM,06520200,BX MUSCLE SUPERFICIAL,6154.0,,1334.55,5538.6,68
CDM,06520205,DEEP MUSCLE BIOPSY,4643.0,,1857.2,4178.7,68
CDM,06562270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,06564795,BIOPSY OF NERVE,5510.0,,1608.45,4959.0,68
CDM,06588305,GROSS & MICRO LEVEL IV,487.0,,33.87,438.3,69
CDM,06588313,SPECIAL STAIN II,291.0,,12.67,261.9,69
CDM,06588314,SPECIAL HISTOCHEM STAIN W/FROZ,315.0,,110.62,283.5,56
CDM,06588319,"SPECIAL STAIN, GROUP III ENZYM",836.0,,24.11,1005.63,68
CDM,06588332,CONSULT PATH SURGERY EA ADD,170.0,,8.0,153.0,56
CDM,06588342,IMMUNOHISTO/CYTOCHEM,431.0,,37.69,387.9,68
CDM,06588348,ELECTRON MICROSCOPY DIAGNOSTIC,2103.0,,21.0,1892.7,69
CDM,06588356,MORPHO ANLYS NERVE,667.0,,44.01,600.3,68
CDM,06588362,NERVE TEASING PREPARATIONS,975.0,,198.54,1005.63,68
CDM,06592516,AUD FACIAL NERVE FUNC STUDY,444.0,,45.0,399.6,68
CDM,06592650,AEP SCR AUDITORY POTENTIAL,509.0,,23.0,458.1,57
CDM,06592652,AEP THRSHLD EST MLT FREQ I&R,1313.0,,256.5,1181.7,68
CDM,06592653,AEP NEURODIAGNOSTIC I&R,1313.0,,256.5,1181.7,68
CDM,06593660,TILT TABLE EVAL,2725.0,,80.0,2452.5,69
CDM,06595700,EEG CONT REC W/VID EEG TECH,2922.0,,128.87,2629.8,68
CDM,06595705,EEG W/O VID 2-12 HR UNMNTR,2922.0,,256.5,2629.8,68
CDM,06595706,EEG W/O VID 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,68
CDM,06595707,EEG W/O VID 2-12 HR CONT MNTR,2922.0,,256.5,2629.8,68
CDM,06595708,EEG W/O VID EA 12-26 HR UNMNTR,2922.0,,437.05,2629.8,68
CDM,06595709,EEG W/O VID EA 12-26 HR INTMT,2922.0,,437.05,2629.8,68
CDM,06595710,EEG W/O VID EA 12-26 HR CONT,2922.0,,437.05,2629.8,68
CDM,06595711,VEEG 2-12 HR UNMONITORED,2922.0,,256.5,2629.8,68
CDM,06595712,VEEG 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,68
CDM,06595713,VEEG 2-12 HR CONT MNTR,2922.0,,437.05,2629.8,68
CDM,06595714,VEEG 12-26 HR UNMNTR,2922.0,,437.05,2629.8,68
CDM,06595715,VEEG 12-26 HR INTMT MNTR,2922.0,,437.05,2629.8,68
CDM,06595716,VEEG EA 12-26 HR CONT MNTR,2922.0,,838.0,2629.8,68
CDM,06595717,EEG PHYS/QHP 2-12 HR W/O VID,2922.0,,1461.0,2629.8,56
CDM,06595718,EEG PHYS/QHP 2-12 HR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,06595719,EEG PHYS/QHP EA INCR W/O VID,2922.0,,1461.0,2629.8,56
CDM,06595720,EEG PHYS/QHP EA INCR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,06595721,EEG PHYS/QHP>26,2922.0,,1461.0,2629.8,56
CDM,06595722,EEG PHYS/QHP>36,2922.0,,1461.0,2629.8,56
CDM,06595723,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,56
CDM,06595724,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,56
CDM,06595725,EEG PHYS/QHP>84HR W/O VID,2922.0,,1461.0,2629.8,56
CDM,06595726,EEG PHYS/QHP>84HR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,06595860,EMG 1 EXTREMITY,949.0,,35.0,854.1,68
CDM,06595861,NDL EMG 2 EXT W/WO PARASP,1154.0,,63.0,1038.6,68
CDM,06595863,NDL EMG 3 EXT W/WO PARASP,1118.0,,81.0,1006.2,68
CDM,06595864,NDL EMG 4 EXT W/WO PARASP,1215.0,,128.87,1093.5,68
CDM,06595866,EMG HEMIDIAPHRAGM,668.0,,128.87,601.2,68
CDM,06595867,MUSCLE TEST CRAN NERV UNI,593.0,,40.0,533.7,68
CDM,06595868,EMG CRANIAL NERVE BILAT,1028.0,,57.0,925.2,68
CDM,06595869,NDL EMG THOR PARASP MSCLS,567.0,,37.0,510.3,68
CDM,06595870,NDL EMG LTD 1EXTR/NONLIMB,645.0,,37.0,580.5,68
CDM,06595872,"EMG, SINGLE-FIBER",1008.0,,31.0,907.2,68
CDM,06595885,"EMG EA EXTM W/NRV COND, LTD",532.0,,57.71,478.8,56
CDM,06595886,"EMG EA EXTM W/NRV COND, COMP",777.0,,92.08,699.3,56
CDM,06595887,EMG NON-EXTM W/NERVE COND,643.0,,321.5,578.7,56
CDM,06595907,NERVE CONDUCTION STUDIES 1-2,1347.0,,89.14,1212.3,68
CDM,06595908,NERVE CONDUCTION STUDIES 3-4,2904.0,,122.7,2613.6,68
CDM,06595909,NERVE CONDUCTION STUDIES 5-6,4366.0,,146.92,3929.4,68
CDM,06595910,NERVE CONDUCTION STUDIES 7-8,5817.0,,193.5,5235.3,68
CDM,06595911,NERVE CONDUCTION STUDIES 9-10,7266.0,,234.58,6539.4,68
CDM,06595912,NERVE CONDUCTION STUDIES 11-12,8722.0,,239.2,7849.8,68
CDM,06595913,NERVE CONDUCTION STUDIES 13/>,9987.0,,277.27,8988.3,68
CDM,06595921,AUTONOMIC FUNCTION CARDIOVAGAL,962.0,,21.0,865.8,68
CDM,06595922,AUTONOMIC FUNCTION VASOMOTOR,731.0,,21.0,657.9,68
CDM,06595923,AUTONOMIC FUNCTION SUDOMOTOR,870.0,,21.0,783.0,68
CDM,06595924,TEST ANS FUNC PARASYMP&SYMP,775.0,,142.58,697.5,68
CDM,06595925,SOM-SENS EVOK POT UP EXTR,2781.0,,256.5,2502.9,68
CDM,06595926,SOM-SENS EVOK POT LOW LMB,2681.0,,36.0,2412.9,68
CDM,06595927,SSEP TRUNK/HEAD,2141.0,,36.0,1926.9,68
CDM,06595930,VISUAL EVOKED POTENTIAL,1947.0,,94.0,1752.3,68
CDM,06595933,BLINK REFLEX,532.0,,48.93,478.8,68
CDM,06595937,"REP.NERVE STIMUL,EA.N.",856.0,,78.0,770.4,68
CDM,06595938,SOMATOSENSORY STDY UP&LOW LIMB,4089.0,,182.8,3680.1,68
CDM,06595940,IONM 1 ON 1 IN OR W/ATTEND 15M,411.0,,205.5,369.9,56
CDM,06599213,VISIT EMG ESTAB LEVEL III,372.0,,102.2,334.8,68
CDM,06710020,SETUP 1 TRANSDUCER,213.0,,106.5,191.7,56
CDM,06710021,SETUP 3 TRANSDUCERS,908.0,,454.0,817.2,56
CDM,06710022,SETUP 2 TRANSDUCERS,685.0,,342.5,616.5,56
CDM,06710434,SODIUM VBG,107.0,,2.38,96.3,68
CDM,06720111,"PROBES FLOTRAC 84""/213CM",541.0,,270.5,486.9,56
CDM,06810002,CARBOXYHEMOGLOBIN,242.0,,4.55,217.8,70
CDM,06810004,METHEMOGLOBIN,219.0,,7.54,197.1,68
CDM,06810005,ABG WITH CALC O2 SAT,376.0,,13.29,338.4,68
CDM,06810006,VBG WITH CALC O2 SAT.,376.0,,13.29,338.4,68
CDM,06810007,ELECTROL.-SERUM K+POTASS,110.0,,2.35,99.0,68
CDM,06810008,IONIZED CALCIUM,214.0,,2.31,192.6,68
CDM,06810009,ELECTROL.-SERUM NA SODIUM,107.0,,2.38,96.3,68
CDM,06810010,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,06810011,ELCT-SERUM IONIZ CALC CAH,214.0,,2.31,192.6,68
CDM,06810014,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,06810015,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,06810016,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,06810017,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,06810018,MIXED VENOUS BLOOD GAS,376.0,,13.29,338.4,68
CDM,06810019,PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,70
CDM,06810020,SETUP 4 TRANSDUCERS,880.0,,440.0,792.0,56
CDM,06810021,FIBRINOGEN ACTIVITY,265.0,,5.74,238.5,68
CDM,06810024,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,06810347,COAG TIME ACTIVATED (ACT),250.0,,3.94,225.0,68
CDM,06810384,FIBRINOGEN-ACTIVITY TEG,265.0,,5.74,238.5,68
CDM,06810390,FIBRINOLYSINS SCR INTERP RPT,259.0,,3.43,233.1,68
CDM,06810434,SODIUM VBG,107.0,,2.38,96.3,68
CDM,06810545,SETUP 1 TRANSDUCER,213.0,,106.5,191.7,56
CDM,06810575,SETUP 2 TRANSDUCERS,685.0,,342.5,616.5,56
CDM,06810590,SETUP 3 TRANSDUCERS,908.0,,454.0,817.2,56
CDM,06836003,VERIFYNOW ASPIRIN TEST,260.0,,21.97,234.0,68
CDM,06836004,VERIFYNOW PRU TEST (P2Y12),260.0,,21.97,234.0,68
CDM,06836210,ANTI-XA,478.0,,9.0,430.2,70
CDM,06855188,POTASSIUM VBG,110.0,,2.35,99.0,68
CDM,06855288,POTASSIUM ABG,110.0,,2.35,99.0,68
CDM,06855380,CVLBG WITH CALC O2 SAT.,376.0,,13.29,338.4,68
CDM,06882435,CHLORIDE BLOOD,73.0,,2.34,65.7,68
CDM,06885396,FIBRINOLYSIS ASSAY WHOLE BLOOD,416.0,,29.84,374.4,56
CDM,06885576,PLATELET AGG EA AGENT,260.0,,21.97,234.0,68
CDM,06910360,ULTRASOUND RESIDUAL,223.0,,38.0,200.7,67
CDM,07010135,TCD STUDY COMPLETE,2332.0,,82.0,2098.8,68
CDM,07010136,TCD STUDY LIMITED,1012.0,,17.0,910.8,68
CDM,07010146,DUPLEX SCAN EXTRACRAN ART COMP,1852.0,,165.0,1666.8,68
CDM,07010147,DUPLEX SCAN EXTRACRAN LTD,1257.0,,65.0,1131.3,68
CDM,07093890,DOPPLER INTRACRANIAL VASOREACT,1704.0,,852.0,1533.6,56
CDM,07093892,DOPPLER INTRACRANIAL EMBOL W/O,1520.0,,87.59,1368.0,68
CDM,07093893,DOPPLER INTRACRAN EMBOLI W/INJ,1426.0,,87.59,1283.4,68
CDM,07188175,THIN PREP- IMAGED W/INTERP,318.0,,24.37,286.2,68
CDM,07192001,CONSULT PATH SURGERY CYTO INIT,177.0,,53.84,1005.63,68
CDM,07192002,CONSULT PATH SURGERY EA ADDL,120.0,,28.79,108.0,56
CDM,07192205,CONSULT COMPLEX,576.0,,24.32,518.4,68
CDM,07192500,CYTOPATH FLD/WASH/BRUSH,270.0,,10.59,243.0,68
CDM,07192501,"PAP SMEAR, 1-3 SLIDES",109.0,,10.5,98.1,68
CDM,07192508,"THINPREP, NON-GYN W/ INTERP.",285.0,,44.01,256.5,68
CDM,07192520,CYTOPATH PREP/SCRN/INTERP,199.0,,17.77,179.1,68
CDM,07192535,CYTP FNA EVAL DX 1ST EACH SITE,173.0,,36.8,223.74,68
CDM,07192536,CTYP FNA EVAL EACH ADDL,173.0,,10.99,155.7,56
CDM,07192540,FNA INTERPRET & REPORT,407.0,,29.62,366.3,68
CDM,07192545,CELL BLOCK PREP/INTERPRET,487.0,,33.87,438.3,69
CDM,07192550,CONSULT COMPREHENSIVE,836.0,,36.64,752.4,68
CDM,07510261,EYE FOUNDATION HOSPITAL SURG,4688.0,,1875.2,4219.2,56
CDM,07510263,CHILDREN'S HOSPITAL,15424.0,,6169.6,13881.6,56
CDM,07519999,DENTAL SCHL SPEC SERV NON-RTN,272.0,,136.0,244.8,56
CDM,07601058,MUMPS ANTIBODY IGG,237.0,,5.56,213.3,68
CDM,07602266,COVID-19 IGG,129.0,,8.13,116.1,68
CDM,07620033,SOMATOMEDIN C (IGF-1),386.0,,3.45,347.4,68
CDM,07620468,C-PEPTIDE,166.0,,17.89,149.4,68
CDM,07620469,C-PEPTIDE EACH ADDITIONAL,166.0,,17.89,149.4,56
CDM,07620507,TOTAL IGE,273.0,,7.31,245.7,68
CDM,07620509,BETA-2 MICROGLOBULIN,266.0,,14.89,239.4,68
CDM,07655005,VARICELLA-ZOSTER ANTIBODY IGG,298.0,,5.63,268.2,68
CDM,07660001,ANA (POSITIVE TITER) COMPANION,289.0,,7.85,260.1,68
CDM,07660012,TREPONEMA PALLIDUM HA,263.0,,12.18,236.7,68
CDM,07660013,TREPONEMA PALLIDUM ANTIBODY,263.0,,12.18,236.7,68
CDM,07660015,CHLAMYDIA URINE,333.0,,32.28,299.7,68
CDM,07660016,N. GONORHEA SWAB,309.0,,23.29,278.1,68
CDM,07660017,"N, GONORHEA URINE",309.0,,23.29,278.1,68
CDM,07660018,MEASLES IGG,195.0,,5.65,175.5,68
CDM,07660019,COVID-19 IGG SPIKE AB,129.0,,8.13,116.1,68
CDM,07660021,CMV IGG AB,334.0,,5.58,300.6,68
CDM,07660022,RUBELLA ANTIBODY,253.0,,5.64,227.7,68
CDM,07660023,TOXOPLASMA IGG ANTIBODY,329.0,,5.59,296.1,68
CDM,07660024,TOXOPLASMA IGM,330.0,,6.4,297.0,68
CDM,07660027,HELICOBACTER PYLORI ANTIBODY,308.0,,5.68,277.2,68
CDM,07660028,DNA DOUBLE STRAND AB-POSITIVE,292.0,,6.6,262.8,68
CDM,07660029,DS-DNA (POS TITER) COMPANION,472.0,,6.58,424.8,68
CDM,07660031,ANA (NEGATIVE) SCREEN,255.0,,7.84,229.5,68
CDM,07660033,ANA (POSITIVE) SCREEN,255.0,,7.84,229.5,68
CDM,07660034,VARICELLA-ZOSTER ANTIBODY IGG,298.0,,5.63,268.2,68
CDM,07660070,MONOTEST SCREEN MONOSPOT,402.0,,2.28,361.8,68
CDM,07660076,ALDOSTERONE SERUM,288.0,,37.49,259.2,68
CDM,07660077,RENIN DIRECT,156.0,,20.23,140.4,68
CDM,07660078,GROWTH HORMONE (HGH),118.0,,15.34,106.2,68
CDM,07660079,INSULIN-LIKE GROWTH FACTOR,150.0,,3.45,135.0,68
CDM,07660084,GAMMAGLOBULIN IGG,218.0,,7.88,196.2,68
CDM,07660091,HIV TYPE 1 ANTIBODY **,312.0,,18.0,280.8,68
CDM,07660092,HIV TYPE 2 ANTIBODY **,312.0,,18.0,280.8,68
CDM,07660111,HEPATITIS A AB IGG,196.0,,5.68,176.4,68
CDM,07660112,HEP B SURF AG NEUTRALIZATION,196.0,,9.5,176.4,68
CDM,07660113,HIV 1 HIV 2 AB AG SGL RESULT,250.0,,22.15,225.0,68
CDM,07660134,CHLAMYDIA SWAB,333.0,,32.28,299.7,68
CDM,07660135,"MYELOPEROXIDASE AB, IGG (MPO)",259.0,,10.61,233.1,68
CDM,07660140,RPR SERUM,210.0,,3.36,189.0,68
CDM,07660143,VDRL CSF,210.0,,3.36,189.0,68
CDM,07660155,THYROGLOBULIN ANTIBODY,364.0,,14.64,327.6,68
CDM,07660176,DNA DOUBLE STRAND AB-NEGATIVE,292.0,,6.6,262.8,68
CDM,07660180,CH50 (COMPLEMENT),639.0,,13.27,575.1,68
CDM,07660181,C4 SERUM,237.0,,5.59,213.3,68
CDM,07660235,C3 (COMPLEMENT),237.0,,5.59,213.3,68
CDM,07660251,IGM SERUM,218.0,,7.88,196.2,68
CDM,07660252,IGA SERUM,218.0,,7.88,196.2,68
CDM,07660253,IGG SERUM,218.0,,7.88,196.2,68
CDM,07660255,CRYOGLOBULIN,128.0,,3.44,115.2,68
CDM,07660259,"SERINE PROTEASE 3 AB, IGG PR3",259.0,,10.61,233.1,68
CDM,07660260,ENA AB SS-A (RO),370.0,,12.19,333.0,68
CDM,07660261,ENA AB SS-B (LA),370.0,,12.19,333.0,68
CDM,07660262,ANTI-SMITH,370.0,,12.19,333.0,68
CDM,07660264,ANTI-RNP,370.0,,12.19,333.0,68
CDM,07660265,ANTI-TRYPSIN ALPHA-1,226.0,,10.14,203.4,68
CDM,07660278,HEPATITIS A IGM,221.0,,5.69,198.9,68
CDM,07660282,HEPATITIS B SURF ANTIGEN,218.0,,7.91,196.2,68
CDM,07660283,HEPATITIS B SURF ANTIBOD,267.0,,5.72,240.3,68
CDM,07660284,HEP B CORE AB IGM,305.0,,5.71,274.5,68
CDM,07660286,HEPATITIS BE ANTIGEN,279.0,,7.92,251.1,68
CDM,07660287,HEPATITIS BE ANTIBODY,594.0,,5.73,534.6,68
CDM,07660289,HEPATITIS C ANTIBODY,309.0,,8.0,278.1,68
CDM,07660291,ACUTE HEPATITIS PANEL,778.0,,20.3,700.2,68
CDM,07660292,HEPATITIS B CORE AB- TOTAL,172.0,,5.36,154.8,68
CDM,07660296,HSV IGG-I AB,260.0,,5.74,234.0,68
CDM,07660297,HSV IGG-II AB,379.0,,17.8,341.1,68
CDM,07660300,MITOCHONDRIAL ANTBDY TITE,472.0,,23.41,424.8,68
CDM,07660301,ANTI-SMOOTH MUSCLE AB,472.0,,11.09,424.8,68
CDM,07660304,CERULOPLASMIN,177.0,,9.04,159.3,68
CDM,07660307,ANTI NEUTROPHIL CYTOPLASMA AB,472.0,,11.09,424.8,68
CDM,07660308,ASPERGILLUS GALACTOMANNAN EIA,684.0,,11.02,615.6,68
CDM,07660311,CARDIOLIPIN IGG ANTIBODIES,535.0,,5.58,481.5,68
CDM,07660312,CARDIOLIPIN IGM ANTIBODIES,535.0,,5.58,481.5,68
CDM,07660322,ANA SCREEN,255.0,,7.84,229.5,68
CDM,07660326,ENDOMYSIAL AUTOANTIBODIES SCRE,237.0,,11.12,213.3,68
CDM,07660327,ENDOMYSIAL AUTOANTIBODIES TITE,472.0,,11.12,424.8,68
CDM,07660328,ANTI-TISSUE TRANSGLUTAMINASE,259.0,,10.61,233.1,68
CDM,07660376,ANTI-THYROID PEROXIDASE ABS,289.0,,13.39,260.1,68
CDM,07660485,ALBUMIN SERUM,85.0,,2.32,76.5,68
CDM,07660522,EBV ANTIBODY (VCA) IGG,374.0,,5.55,336.6,68
CDM,07660523,EBV ANTIBODY (VCA) IGM,374.0,,5.55,336.6,68
CDM,07660524,EBV ANTIBODY (NA) IGG,315.0,,5.54,283.5,68
CDM,07660532,CMV IGM AB,406.0,,5.5,365.4,68
CDM,07660533,ANTI CCP,245.0,,11.91,220.5,68
CDM,07660593,RPR TITER,210.0,,3.37,189.0,68
CDM,07660661,TRICHOMONAS SWAB,256.0,,18.4,230.4,68
CDM,07660787,IMMUNOGLOBULIN SUBCLASSES EA,179.0,,7.38,161.1,68
CDM,07660883,NEPHELOMETRY FREE KAPPA,325.0,,15.89,292.5,68
CDM,07660884,NEPHELOMETRY FREE LAMBDA,325.0,,25.91,292.5,56
CDM,07661101,EH HIV1 HIV2 AB AG SGL RESULT,63.0,,12.35,56.7,56
CDM,07700120,BCID GP ID RX RESIST DNA**,670.0,,144.21,603.0,68
CDM,07700442,CULTURE ESBL,153.0,,4.47,137.7,68
CDM,07701929,RAPID AFB SUSCEPT PER PLATE,165.0,,5.68,400.0,69
CDM,07701951,SLOW AFB SUSCEPT PER PLATE,165.0,,5.68,400.0,69
CDM,07701952,MYCOBACTERIUM TUBERC PANEL,165.0,,5.68,400.0,69
CDM,07706116,CULT STOOL SALMONELLA/SHIGELLA,50.0,,8.68,45.0,68
CDM,07706117,CULT STOOL CAMPYLOBACTER**,50.0,,3.05,45.0,68
CDM,07706118,CULT STOOL YERSINIA**,50.0,,3.05,45.0,68
CDM,07706119,E-TEST SUSCEPT - ADDL,35.0,,5.69,31.5,56
CDM,07706120,PM 38 SUSCEPTIBILITY PER PLATE,173.0,,5.68,400.0,69
CDM,07706132,SHIGELLA SPP. TYPING**,38.0,,3.39,34.2,68
CDM,07706133,SHIGELLA SPP. TYPING-91**,38.0,,3.39,34.2,56
CDM,07706135,MICRO -TISSUE HOMOGENIZATION,180.0,,5.41,162.0,68
CDM,07710002,"CULTURE, BLOOD, AER AND ANA",232.0,,9.49,208.8,68
CDM,07710005,CULTURE BLD AEROBIC,142.0,,9.49,127.8,68
CDM,07710008,AFB CONCENTRATION PROCEDURE,114.0,,2.24,102.6,68
CDM,07710009,"CULTURE, CERVIX",238.0,,7.93,214.2,68
CDM,07710010,CULTURE CSF,238.0,,7.93,214.2,68
CDM,07710011,"CULTURE, BODY FLUID, ANAEROBIC",238.0,,8.71,214.2,68
CDM,07710012,"CULTURE, BODY FLUID, AEROBIC",238.0,,7.93,214.2,68
CDM,07710015,CULT STOOL SALMONELLA/SHIGELLA,182.0,,8.68,163.8,68
CDM,07710016,CYSTIC FIBROSIS PANEL (BROTH),180.0,,5.68,400.0,69
CDM,07710017,CYSTIC FIBROSIS PANEL (ETEST),81.0,,4.37,72.9,68
CDM,07710020,CULTURE FUNGUS,264.0,,6.5,237.6,68
CDM,07710021,CULTURE FUNGUS/BLD,264.0,,6.71,237.6,68
CDM,07710022,CRYPTO AG DETECTION LFA,193.0,,14.78,173.7,68
CDM,07710023,CULTURE FOR GC,153.0,,4.47,137.7,68
CDM,07710025,CULTURE OTHER SOURCE,238.0,,7.93,214.2,68
CDM,07710026,CULTURE WOUND,238.0,,7.93,214.2,68
CDM,07710028,"CULTURE, CYSTIC FIBROSIS, MISC",238.0,,7.93,214.2,68
CDM,07710030,CULTURE N-P,153.0,,4.47,137.7,68
CDM,07710032,E-TEST MINOCYCLINE SUSCEPT,81.0,,4.37,72.9,68
CDM,07710033,E-TEST TIGECYCLINE SUSCEPT,81.0,,4.37,72.9,68
CDM,07710034,CRYPTOCOCCUS AG-TITER LFA,193.0,,14.78,173.7,68
CDM,07710035,CULTURE SPUTUM,238.0,,7.93,214.2,68
CDM,07710037,E-TEST ERTAPENEM SUSCEPT,81.0,,4.37,72.9,68
CDM,07710040,"CULTURE, TB, SCREEN",248.0,,3.37,223.2,68
CDM,07710041,CULTURE SCREEN C. AURIS,153.0,,4.47,137.7,68
CDM,07710046,"CULTURE, STREP",153.0,,4.47,137.7,68
CDM,07710047,VANCO RESIST ENTEROCOCCUS SCRN,153.0,,4.47,137.7,68
CDM,07710050,CULTURE ANAEROBIC,283.0,,8.71,254.7,68
CDM,07710054,COLONY COUNT OTHER QN,262.0,,6.1,235.8,68
CDM,07710055,COLONY COUNT URINE,218.0,,6.77,196.2,68
CDM,07710057,AFB ID BY NUCLEIC ACID PROBE,276.0,,18.45,248.4,68
CDM,07710058,FUNGUS ID BY NUCLEIC ACID PRBE,276.0,,18.45,248.4,68
CDM,07710060,ACID FAST STAIN DIRECT,125.0,,4.51,112.5,68
CDM,07710067,CANDIDA SPECIES DNA BY PCR**,340.0,,32.28,306.0,68
CDM,07710068,CANDIDA SPECIES DNA BY PCR-59*,340.0,,52.63,306.0,56
CDM,07710069,BCID FP ID DNA 15 TARGETS**,670.0,,144.21,603.0,68
CDM,07710071,BCID GN ID RX RESIST DNA**,670.0,,144.21,603.0,68
CDM,07710081,STREP PNEUMONIAE AG URINE,193.0,,14.78,173.7,68
CDM,07710084,"CULTURE, BLOOD",142.0,,9.49,127.8,68
CDM,07710085,"CULTURE, AFB, BLOOD",248.0,,3.37,223.2,68
CDM,07710100,GRAM STAIN,150.0,,3.39,135.0,68
CDM,07710101,CHYLMD PNEU DNA AMP PROBE**,263.0,,32.28,236.7,68
CDM,07710102,MYCOPL PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,69
CDM,07710104,EPLEX IADNA VIR 18 BAC 2**,813.0,,253.32,731.7,68
CDM,07710107,MOLD ID BY MALDI-TOF,226.0,,9.49,203.4,68
CDM,07710118,SURVEY CULTURE/OTHER,238.0,,7.93,214.2,68
CDM,07710130,SUSCEPTIBILITY MIC PER PLATE,180.0,,5.68,400.0,69
CDM,07710131,SUSCEPT. MIC PER PLATE EA ADDL,180.0,,5.68,400.0,57
CDM,07710132,LEGIONELLA PNEUMOPHILIA AG UR,245.0,,14.78,220.5,68
CDM,07710186,NM 56 SUSCEPTIBILITY PER PLATE,231.0,,5.68,400.0,69
CDM,07710212,AFB NOCARDIA ID BY MALDI-TOF,248.0,,12.24,223.2,68
CDM,07710237,CULTURE BLOOD FOR AFB**,248.0,,3.37,223.2,68
CDM,07710238,CULTURE BLOOD FOR SBE**,232.0,,11.07,208.8,56
CDM,07710239,CULTURE BLOOD FOR FUNGUS**,264.0,,6.71,237.6,56
CDM,07710301,SUSCEPT DISK KIRY BAUER,148.0,,6.88,133.2,68
CDM,07710320,WATER/DIALYSIS CULTURE,238.0,,7.93,214.2,68
CDM,07710321,KB GNR ANTIBIOTIC PANEL,178.0,,6.88,160.2,68
CDM,07710322,KB STREP ANTIBIOTIC PANEL,178.0,,6.88,160.2,68
CDM,07710323,KB PNEUMO ANTIBIOTIC PANEL,604.0,,6.88,543.6,68
CDM,07710326,SUSCEPTIBILITY- MIC EACH PLATE,180.0,,5.68,400.0,69
CDM,07710327,SUSCEPT BETA LACTAMASE,118.0,,4.37,106.2,68
CDM,07710493,AMP PROBE CLOSTRIDIUM,413.0,,34.29,371.7,68
CDM,07710529,CULTURE TYPING-STREPTEX,97.0,,3.39,87.3,68
CDM,07710531,SMEAR CALCOFLUOR STAIN,125.0,,4.51,112.5,68
CDM,07710567,CULTURE EYE,238.0,,7.93,214.2,68
CDM,07710999,INF NUC ACID VIR 12-25 TARG*,1076.0,,299.88,968.4,68
CDM,07711001,E-TEST SULBACTAM-DURLOBACTAM,81.0,,4.37,72.9,68
CDM,07711008,CF AFB CONCENTRATION PROCEDURE,114.0,,2.24,102.6,56
CDM,07711011,COMPLEX SPEC STAIN O&P TRIC**,204.0,,16.54,183.6,68
CDM,07711015,CONCENTRATION ANY TYPE **,114.0,,2.24,102.6,68
CDM,07711025,E-TEST CEFTOLOZAN/TAZOBACTAN,81.0,,4.37,72.9,68
CDM,07711026,E-TEST DALBAVANCIN SUSCEPT,73.0,,4.37,65.7,68
CDM,07711031,CULTURE FUNGUS ID MOLD,226.0,,9.49,203.4,68
CDM,07711410,FAT FECES QUAL,123.0,,5.41,110.7,68
CDM,07711415,WBC/PUS FECES,102.0,,3.93,91.8,68
CDM,07711428,PARASITE IDENTIFICATION,114.0,,4.52,102.6,68
CDM,07711431,+OVA AND PARASITES **,179.0,,8.19,161.1,68
CDM,07711435,+MALARIA SMEAR **,158.0,,4.52,142.2,68
CDM,07711439,PHARMACY QC SOLUTION CULTURE,238.0,,7.93,214.2,68
CDM,07711442,GIARDIA AG DFA,153.0,,12.52,137.7,68
CDM,07711444,CRYPTOSPORIDIUM/GIARDIA AG DFA,166.0,,11.02,149.4,68
CDM,07711445,PARTICLE AGG SCR CRYPTO,193.0,,10.62,173.7,68
CDM,07711447,AER ORGANISM ID - VITEK,181.0,,7.43,162.9,68
CDM,07711552,"CULTURE, LEGIONELLA",153.0,,4.47,137.7,68
CDM,07711561,"C DIFF TOXINS A AND B, EIA",267.0,,9.96,240.3,68
CDM,07711562,"C DIFF (GDH) ANTIGEN, EIA",245.0,,11.02,220.5,68
CDM,07711565,KB STAPH ANTIBIOTIC PANEL,178.0,,6.88,160.2,68
CDM,07711571,"PANEL, KB ESBL",178.0,,6.88,160.2,68
CDM,07720411,THROAT CULTURE,238.0,,7.93,214.2,68
CDM,07721447,AER ORGANISM ID - BRUKER,181.0,,7.43,162.9,68
CDM,07731447,YEAST ORGANISM ID - BRUKER,141.0,,8.64,126.9,68
CDM,07735069,CRYPTOCOCCAL TITER- EA AB,241.0,,3.34,216.9,68
CDM,07740054,INF AGNT DETECT DNA COV FLU,518.0,,131.22,466.2,68
CDM,07740635,COVID-19 (SARS-COV-2)-PCR,368.0,,30.6,331.2,70
CDM,07750012,CONC STOOL,114.0,,2.24,102.6,68
CDM,07750014,AER ORGANISM ID-CRYSTAL GP,181.0,,7.43,162.9,68
CDM,07750016,AER ORGANISM ID-RAPID CB,181.0,,7.43,162.9,68
CDM,07750018,AER ORGANISM ID-RAPID NH,181.0,,7.43,162.9,68
CDM,07750020,AER ORGANISM ID-RAPID NF,181.0,,7.43,162.9,68
CDM,07750028,E-TEST CEFTAZIDIEM SUSCEPT,81.0,,4.37,72.9,68
CDM,07750029,E-TEST CEFOTAXIME SUSCEPT,81.0,,4.37,72.9,68
CDM,07750031,E-TEST CEFEPIME SUSCEPT,81.0,,4.37,72.9,68
CDM,07750032,E-TEST CLIDAMYCIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750033,E-TEST CIPROFLOXACIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750034,E-TEST DAPTOMYCIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750036,E-TEST GENTAMICIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750037,E-TEST IMIPENEM SUSCEPT,81.0,,4.37,72.9,68
CDM,07750038,E-TEST LINEZOLID SUSCEPT,81.0,,4.37,72.9,68
CDM,07750039,E-TEST MEROPENEM SUSCEPT,81.0,,4.37,72.9,68
CDM,07750040,E-TEST MOXIFLOXACIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750041,E-TEST PENICILLIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750043,E-TEST PIPERACILLIN/TAZO,81.0,,4.37,72.9,68
CDM,07750044,E-TEST TETRACYCLINE SUSCEPT,81.0,,4.37,72.9,68
CDM,07750045,E-TEST LEVOFLOXACIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750047,E-TEST BACTRIM SUSCEPT,81.0,,4.37,72.9,68
CDM,07750048,E-TEST VANCOMYCIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750049,YEAST ORGANISM ID,197.0,,8.64,177.3,68
CDM,07750050,AER ORGANISM ID-CRYSTAL GN,181.0,,7.43,162.9,68
CDM,07750053,STREPTOCOCCUS BIOCHEM ID,97.0,,7.43,87.3,68
CDM,07750056,ANAEROBIC ORGANISM ID,141.0,,6.64,126.9,68
CDM,07750058,E-TEST AMIKACIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750059,E-TEST AMPICILLIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750064,E-TEST AZTREONAM SUSCEPT,81.0,,4.37,72.9,68
CDM,07750065,E-TEST CEFTRIAXONE SUSCEPT,81.0,,4.37,72.9,68
CDM,07750067,E-TEST TOBRAMYCIN SUSCEPT,81.0,,4.37,72.9,68
CDM,07750068,E-TEST CEFTAZIDIME/AVIBACTAM,81.0,,4.37,72.9,68
CDM,07750079,RT PCR CULTURE TYPING CARBA-R*,185.0,,32.28,166.5,68
CDM,07750081,RT PCR INF AGENT DETECT CARBR*,185.0,,32.28,166.5,69
CDM,07750093,SUSCEPT MACROBROTH ADDL,269.0,,4.59,242.1,56
CDM,07750109,COVID-19(SARS-COV-2)AG/FIA**,215.0,,32.5,193.5,68
CDM,07750110,FLU A**,195.0,,15.23,175.5,68
CDM,07750111,FLU B**,195.0,,15.23,175.5,68
CDM,07750116,MALARIA INF AGENT AG DETECTION,193.0,,14.78,173.7,68
CDM,07750165,M. TUBERCULO DNA AMP PROBE,318.0,,70.63,286.2,68
CDM,07750166,INFECT AGENT DETECT RIF,301.0,,32.28,270.9,69
CDM,07750196,CULTURE TYPING-PBP2A,97.0,,3.39,87.3,68
CDM,07750203,SUSC MACROBROTH EA ADD AGENT**,100.0,,4.59,90.0,56
CDM,07750204,SUSC MACROBROTH INIT AGENT**,100.0,,4.59,90.0,68
CDM,07750300,SUSCEPT MACROBROTH EA AGENT,269.0,,4.59,242.1,68
CDM,07751056,ANAEROBIC ORGANISM ID - BRUKER,141.0,,6.64,126.9,68
CDM,07780998,EIA SHIGA TOXIN AG QL/SQ STX1,204.0,,11.02,183.6,68
CDM,07780999,EIA SHIGA TOXIN AG QL/SQ STX2,204.0,,17.97,183.6,56
CDM,07787481,DNA BY PCR- T2 CANDIDA PANEL,340.0,,32.28,306.0,68
CDM,07801009,Q-DHEA,419.0,,23.25,377.1,68
CDM,07801010,Q-DHEA-SULFATE,368.0,,12.18,331.2,68
CDM,07801011,Z*Q-GLYCATED PROT (FRUCTOSAMIN,148.0,,15.42,133.2,68
CDM,07801019,Q-TREPONEMA P ANTIBODY CONFIRM,273.0,,12.18,245.7,68
CDM,07801050,Q-CHLAMYDIA ANTIBODY,286.0,,5.55,257.4,68
CDM,07801063,Q-RECEPT ASSAY ACETYLCHOLINE,505.0,,16.93,454.5,68
CDM,07801064,Q-PHOSPHATASE ALKALINE,348.0,,2.25,313.2,68
CDM,07801068,Q-BILE ACIDS- FX AND TOTAL,619.0,,22.16,557.1,68
CDM,07801069,Q-C1 INHIBITOR; FUNCTIONAL,349.0,,5.61,314.1,68
CDM,07801087,Q-ESTRONE,256.0,,16.58,230.4,68
CDM,07801088,Q-GASTRIC PARIETAL CELL AB,388.0,,10.61,349.2,68
CDM,07801089,Q-HISTONE ANTIBODY,470.0,,10.61,423.0,68
CDM,07801096,Q-HYDROXY PROGESTERONE 17-D,259.0,,23.5,233.1,68
CDM,07801097,Q-SEROTONIN,450.0,,28.5,405.0,68
CDM,07801102,Q-CAROTENE,199.0,,4.57,179.1,68
CDM,07801139,Q-PROGESTERONE,343.0,,13.48,308.7,68
CDM,07801210,Q-INTRINSIC FACTOR ANTIBODIES,509.0,,7.99,458.1,68
CDM,07801216,Q-PYRUVATE,325.0,,11.29,292.5,68
CDM,07801225,Q-PARVOVIRUS B19 AB EA,275.0,,5.56,247.5,68
CDM,07801250,Q-THYROID STM IMMUN GLOB (TSI),759.0,,16.64,683.1,68
CDM,07801300,Q-COPPER SERUM,223.0,,6.71,200.7,68
CDM,07801320,Q-VARICELLA-ZOSTER IGM AB,337.0,,5.63,303.3,68
CDM,07801325,Q-TETANUS ANTIBODY,362.0,,5.61,325.8,68
CDM,07801406,Q-ADENOVIRUS DNA QUANT PCR,931.0,,39.41,837.9,68
CDM,07801430,Q-GROWTH HORMONE,273.0,,15.34,245.7,68
CDM,07801605,Q-ALDOLASE,193.0,,6.73,173.7,68
CDM,07801620,Q-ZINC PLASMA,199.0,,10.48,179.1,68
CDM,07801680,Q-FAT FECES QUANTITATIVE,465.0,,13.61,418.5,68
CDM,07801703,Q-MAGNESIUM RBC,200.0,,6.16,180.0,68
CDM,07801765,"Q-1,25-DIHYDROXY VITAMIN D3",563.0,,35.42,506.7,68
CDM,07801816,Q-AMIODARONE,362.0,,17.15,325.8,68
CDM,07801835,Q-ANTI-SCLERODERMA AB (SCL-70),575.0,,12.19,517.5,68
CDM,07801851,"HISTAMINE, BLOOD",387.0,,27.17,348.3,68
CDM,07801925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,07805102,TISSUE CULT AMNIOTIC/CHORIONIC,1793.0,,52.8,1613.7,68
CDM,07805310,Q-JO 1 ANTIBODY,363.0,,12.19,326.7,68
CDM,07805317,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,07810111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,07810112,ALL KOH PREPARATIONS,165.0,,4.25,148.5,68
CDM,07820013,ALBUMIN (MICROALBUMIN)  URINE,150.0,,5.32,135.0,68
CDM,07820014,ALBUMIN (MICROALBUMIN)  URINE,150.0,,5.32,135.0,68
CDM,07820024,GLUCAGON TOL PANEL INSULINOMA,428.0,,23.83,385.2,68
CDM,07820025,GLUCOSE BLOOD- EACH ADDITIONAL,80.0,,5.89,72.0,56
CDM,07820505,IRON SERUM,117.0,,2.26,105.3,68
CDM,07820911,INSULIN SERUM- EACH ADDITIONAL,186.0,,12.37,167.4,56
CDM,07825005,KETONES URINE,142.0,,2.07,127.8,68
CDM,07825200,GLUCOSE UR QUAL,142.0,,2.07,127.8,68
CDM,07835015,MAGNESIUM,140.0,,6.16,126.0,68
CDM,07835020,ALT/SGPT,70.0,,2.34,63.0,68
CDM,07835030,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,07835035,ALBUMIN SERUM,85.0,,2.32,76.5,68
CDM,07835049,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,07835050,AMYLASE SERUM,213.0,,4.55,191.7,68
CDM,07835055,HDL CHOLESTEROL,187.0,,3.44,168.3,68
CDM,07835056,"LDL CHOLESTEROL, DIRECT",156.0,,2.21,140.4,68
CDM,07835065,LDH SERUM,145.0,,2.36,130.5,68
CDM,07835080,ALKALINE PHOSPHATASE,110.0,,2.25,99.0,68
CDM,07835085,BICARBONATE SERUM,117.0,,2.31,105.3,68
CDM,07835090,BILIRUBIN TOTAL SERUM,92.0,,4.62,82.8,68
CDM,07835092,BILIRUBIN DIRECT,67.0,,4.62,60.3,68
CDM,07835095,UREA NITROGEN QUANTITATIVE,90.0,,2.35,81.0,68
CDM,07835100,CALCIUM SERUM,82.0,,2.3,73.8,68
CDM,07835105,CHLORIDE SERUM.,73.0,,2.34,65.7,68
CDM,07835110,CHOLESTEROL,113.0,,2.33,101.7,68
CDM,07835115,CREATINE KINASE (CPK) TOTAL,91.0,,3.45,81.9,68
CDM,07835120,CREATININE,80.0,,2.3,72.0,68
CDM,07835121,CREATININE CLEARANCE,145.0,,4.2,130.5,68
CDM,07835125,GGT/GGTP,109.0,,6.3,98.1,68
CDM,07835130,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,07835137,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,07835145,PHOSPHORUS SERUM,83.0,,2.27,74.7,68
CDM,07835150,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,07835155,PROTEIN TOTAL SERUM,85.0,,2.35,76.5,68
CDM,07835160,AST/SGOT,69.0,,2.29,62.1,68
CDM,07835165,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,07835170,TRIGLYCERIDES,104.0,,2.31,93.6,68
CDM,07835175,URIC ACID BLOOD,110.0,,2.25,99.0,68
CDM,07835180,GTT-FIRST 3 SPEC,164.0,,5.41,147.6,68
CDM,07835185,GTT-EACH ADDL SPEC,80.0,,2.41,72.0,68
CDM,07835190,URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,68
CDM,07835196,URINALYSIS WITH MICROSCOPIC,153.0,,2.92,137.7,68
CDM,07835205,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,07835210,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,07835215,RED CELL COUNT,108.0,,1.21,97.2,68
CDM,07835220,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,07835245,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,07835246,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,07835250,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,07835274,OCCULT BLOOD FECES IMMUNO QL,174.0,,14.65,156.6,68
CDM,07835301,LIPID PANEL,187.0,,10.21,168.3,68
CDM,07835405,CREATININE URINE,142.0,,3.35,127.8,68
CDM,07835420,PHOSPHORUS URINE,142.0,,3.3,127.8,68
CDM,07835425,POTASSIUM URINE,104.0,,2.24,93.6,68
CDM,07835430,SODIUM URINE,139.0,,2.25,125.1,68
CDM,07835435,CALCIUM URINE QUANT,130.0,,3.44,117.0,68
CDM,07835445,PROTEIN TOTAL URINE,85.0,,3.38,76.5,68
CDM,07835450,CHLORIDE URINE,134.0,,2.32,120.6,68
CDM,07835470,SPECIFIC GRAVITY UR,57.0,,2.07,51.3,68
CDM,07835475,PH URINE,142.0,,2.07,127.8,68
CDM,07835480,PROTEIN UR QUAL,142.0,,2.07,127.8,68
CDM,07835481,C-REACTIVE PROTEIN,210.0,,3.36,189.0,68
CDM,07835482,C-REACTIVE PROTEIN HIGH SENS,273.0,,10.5,245.7,68
CDM,07835483,LIPASE SERUM,132.0,,4.54,118.8,68
CDM,07835515,IRON BINDING CAPACITY,151.0,,2.37,135.9,68
CDM,07839500,ELECTROLYTE PANEL,178.0,,3.21,160.2,68
CDM,07839506,HEPATIC FUNCTION PANEL,232.0,,7.0,208.8,68
CDM,07839511,BASIC METABOLIC PANEL,340.0,,7.2,306.0,68
CDM,07839517,COMPREHENSIVE METABOLIC PANEL,456.0,,9.6,410.4,68
CDM,07839520,RENAL FUNCTION PANEL,248.0,,5.0,223.2,68
CDM,07850059,AUTOMATED WBC W/AUTO DIFF,158.0,,5.95,142.2,68
CDM,07855430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,07909344,HPV CYTOLOGY REFLEX DUAL STAIN,401.0,,64.24,442.83,68
CDM,07991000,IN SITU HYBRIDIZATION-EA PROBE,466.0,,141.15,419.4,68
CDM,07991004,MORPHO ANLYS INSITU HYBRID MAN,766.0,,178.79,689.4,68
CDM,07991006,RUO ISH MORPH ANALY MAN MULTI,387.0,,117.55,683.35,68
CDM,07991008,RUO ISH MORPH ANALY EA PROBE,186.0,,93.0,278.65,68
CDM,07991046,AP SO IHC PER ADD ANTIBODY,234.0,,61.39,210.6,56
CDM,07991047,AP SO IHC EA ANTIBODY (INIT),234.0,,37.69,223.74,68
CDM,07991048,AP SO IHC SEMI-QUANT EA AB,234.0,,63.13,223.74,68
CDM,07991049,AP SO ISH ADD SNGL PROBE,234.0,,87.42,210.6,56
CDM,07991053,AP SO ISH EA PROBE,234.0,,117.0,278.65,68
CDM,07991054,AP SO INIT SINGLE PROBE AUTO,399.0,,129.62,442.83,68
CDM,07991056,AP SO MORPHO ANLYS IS MANUAL,223.0,,111.5,205.13,56
CDM,07991057,AP SO ADD SINGLE PROBE AUTO,223.0,,69.7,200.7,56
CDM,07991058,AP SO EA PROBE MULTI PLEX AUTO,386.0,,141.15,487.31,68
CDM,07991059,AP SO MORPHO ANLYS IS MAN,351.0,,117.55,683.35,68
CDM,07991201,HPV HR ISH,546.0,,141.15,491.4,68
CDM,07991202,HPV HR ISH EA ADTL,524.0,,87.42,471.6,56
CDM,07991203,HPV LR ISH,546.0,,141.15,491.4,68
CDM,07991204,HPV LR ISH EA ADTL,524.0,,87.42,471.6,56
CDM,07991341,IMMUNOHISTO/CYTO PER ANTIBODY,401.0,,61.39,360.9,56
CDM,07991342,IHC EA AB-LAB DEVELOPED TEST,431.0,,37.69,387.9,68
CDM,07991343,NML IHC PER SPEC/EA ADDL AB,401.0,,61.39,360.9,56
CDM,07991344,IMMUNOHISTOCHEMISTRY EA AB,401.0,,64.24,442.83,68
CDM,07991350,IF PER SPECIMEN EA ADDL STAIN,350.0,,66.27,315.0,56
CDM,07991364,IN SITU HYBRID ADD SNGL PROBE,431.0,,87.42,387.9,56
CDM,07991369,MORPHO ANLYS IN SITU MANUAL,509.0,,128.76,458.1,56
CDM,07991377,MORPHO ANLYS IN SITU MANUAL,530.0,,117.55,683.35,68
CDM,07991701,ELECT MICRO DIAG-REDUCED SVC,1000.0,,21.0,984.23,57
CDM,07991737,IMMUNOHISTOCHEMISTRY AB (RSU),50.0,,25.0,223.74,68
CDM,07991741,IHC SEMI-QUANT EA AB,401.0,,63.13,360.9,68
CDM,07991743,NEO MORPHO ANLYS MANUAL MULTI,370.0,,117.55,683.35,68
CDM,07991744,NEO MORPHO ANLYS COMPUTER,370.0,,141.15,487.31,68
CDM,07991746,NEO MORPHO ANLYS INSITU HYBRID,197.0,,98.5,442.83,68
CDM,07991747,NEO MORPHO ANLYS COMPUTER,197.0,,69.7,177.3,56
CDM,07991780,IMMUNOCYTOCHEM EA ANTIBOD,431.0,,37.69,387.9,68
CDM,07991785,IMMUNOFLUORESC EA ANTIBOD,418.0,,37.73,436.89,69
CDM,07991789,ELECTRON MICROSCOPY SCANNING,1036.0,,21.0,1005.63,69
CDM,07991790,ELECTRON MICROSCOPY DIAG.,2736.0,,21.0,2462.4,69
CDM,07991851,MCG DNA PROBE,410.0,,19.71,369.0,68
CDM,07991852,MCG INTERPHASE INSITU 25,486.0,,38.99,437.4,68
CDM,08010005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,08010015,CV STRESS TEST(GXT)IN DEPT,1377.0,,49.0,1239.3,69
CDM,08010016,CV STRESS TEST IN NUC MED,1377.0,,49.0,1239.3,69
CDM,08093005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,08093017,STRESS TEST TRACING ONLY,1377.0,,49.0,1239.3,69
CDM,08093225,ECG MONITOR/RPT 48 HRS REC,991.0,,37.8,891.9,68
CDM,08093226,ECG MONITOR/REPORT 48 HR ANLYS,1428.0,,48.93,1285.2,68
CDM,08099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,08100397,PERFLUTREN VL 6.52MG/ML 2ML,553.0,,50.26,497.7,55
CDM,08100471,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,55
CDM,08108921,ECHO TRANSTHO W OR W/O CONT,3913.0,,650.75,3521.7,69
CDM,08108922,TEE W/ OR W/O CONT FOL W/CONT,1969.0,,650.75,1772.1,69
CDM,08108923,ECHO TRANSTHORACIC W/WO FOL W/,3198.0,,650.75,2878.2,69
CDM,08108924,ECHO TRANSTHORACIC W/WO FOL W,2078.0,,294.16,1870.2,69
CDM,08108925,ECHO TEE 2D W/WO CONT FOL W/CO,4183.0,,650.75,3764.7,69
CDM,08108926,ECHO TEE W/WO CONT FOL W/CONT,5315.0,,650.75,4783.5,69
CDM,08108927,ECHO TEE W/WO CONT FOL W/CONT,4321.0,,650.75,3888.9,69
CDM,08108929,ECHO TRANSTHO W/WO W/CONT,3848.0,,650.75,3463.2,69
CDM,08108930,ECHO TRANSTHO W/CONT 2D W/WO,4278.0,,650.75,3850.2,69
CDM,08110032,ECHO DOPPLER CMPL,720.0,,105.0,648.0,57
CDM,08110034,ECHO DOPPLER COLOR FLOW,243.0,,101.31,218.7,57
CDM,08110037,PERFLUTREN VL 6.52MG/ML 2ML,474.0,,50.26,426.6,55
CDM,08110058,TRANSESOPHAGEAL ECHOCARDIOGRAM,3802.0,,225.0,3421.8,69
CDM,08110075,ECHO 2D FOLLOWUP/LIMITED STUDY,1526.0,,124.0,1373.4,69
CDM,08176376,US 3D REND W/INTERP W/O POSTPR,1464.0,,126.0,1317.6,55
CDM,08193005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,08193280,PROG DEV EVAL DUAL LEAD PM,466.0,,30.72,419.4,69
CDM,08193303,ECHO CONGENITAL ANOMALY COMPL,3510.0,,182.0,3159.0,69
CDM,08193304,ECHO CONGENITAL ANOMALY LTD,1969.0,,161.0,1772.1,69
CDM,08193306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,08193307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,08193308,ECHO 2D/W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,08193312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,69
CDM,08193315,ECHO TEE ANOMALY CMPL,4650.0,,293.0,4185.0,69
CDM,08193318,ECHO TEE MONITORING,3656.0,,451.62,3290.4,69
CDM,08193319,3D ECHO IMG CGEN CAR ANOMAL,720.0,,360.0,648.0,57
CDM,08193320,ECHO DOPPLER CMPL,720.0,,105.0,648.0,57
CDM,08193321,ECHO DOP PULSE WAVE/FOLLOW-UP,828.0,,57.0,745.2,57
CDM,08193325,ECHO COLOR FLOW MAPPING,243.0,,101.31,218.7,57
CDM,08193351,ECHO REST & STRESS MON,4278.0,,268.0,3850.2,69
CDM,08193352,ECHO STRESS CONTRAST AGENT,322.0,,161.0,289.8,57
CDM,08193355,ECHO TRANSESOP CARD/CRT VESSEL,5970.0,,2985.0,5373.0,57
CDM,08193356,MYOCARDIAL STRAIN IMAGING,1095.0,,22.17,985.5,57
CDM,08194618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,08196374,INJECTION IV PUSH,540.0,,173.54,486.0,68
CDM,08199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,08202576,PLATELET AGGREGATION (MAXAMP),260.0,,21.97,234.0,68
CDM,08202577,MA ACTIVATED,260.0,,21.97,234.0,56
CDM,08202578,MA ADP,260.0,,21.97,234.0,56
CDM,08202579,MA AA,260.0,,21.97,234.0,56
CDM,08210434,SODIUM VBG,107.0,,2.38,96.3,68
CDM,08220101,THROMBELASTOGRAPH,416.0,,29.84,374.4,56
CDM,08220103,SETUP 1 TRANSDUCER,350.0,,175.0,315.0,56
CDM,08220104,SETUP 2 TRANSDUCERS,395.0,,197.5,355.5,56
CDM,08220105,SETUP 3 TRANSDUCERS,950.0,,475.0,855.0,56
CDM,08220112,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,08220113,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,08220114,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,08220115,CALCIUM IONIZED,214.0,,2.31,192.6,68
CDM,08220204,ADD HEMO SUPPLY DAY-2 TRANSD,363.0,,181.5,326.7,56
CDM,08220205,ADD HEMO SUPPLIES DAY-3 TRANSD,364.0,,182.0,327.6,56
CDM,08220231,BLOOD SALVAGE INTRA-OP,3241.0,,8.76,2916.9,68
CDM,08220232,SUCTION ASSEMBLY,1205.0,,602.5,1084.5,56
CDM,08220233,BLOOD COLLECTION RESERVOIR 01,476.0,,238.0,428.4,56
CDM,08220235,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,08220236,PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,70
CDM,08220237,FIBRINOGEN ACTIVITY,265.0,,5.74,238.5,68
CDM,08220239,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,08220240,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,08220241,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,08220244,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,08220310,MAGNESIUM,140.0,,6.16,126.0,68
CDM,08220320,SODIUM CITRATE,233.45,,59.76,210.1,55
CDM,08220347,COAG TIME ACTIVATED (ACT),250.0,,3.94,225.0,68
CDM,08220384,FIBRINOGEN-ACTIVITY TEG,265.0,,5.74,238.5,68
CDM,08220390,FIBRINOLYSINS SCR INTERP RPT,259.0,,3.43,233.1,68
CDM,08220576,PLATELET AGGREGATION EA,260.0,,21.97,234.0,68
CDM,08220836,LIVER CK-R (REACTION TIME),154.0,,3.94,138.6,68
CDM,08220837,LIVER CK-MA (PLT AGGREGATION),354.0,,21.97,318.6,68
CDM,08220838,LIVER CKH-R (REACTION TIME),154.0,,6.42,138.6,56
CDM,08220839,LIVER CRTH-MA (PLT AGG),351.0,,21.97,315.9,56
CDM,08220846,LIVER-CFFH-MA,285.0,,5.74,256.5,68
CDM,08220847,LIVER-CKH-LY30,273.0,,3.43,245.7,68
CDM,08221238,FLD MANAGEMENT SYS(FMS 2000),788.0,,394.0,709.2,56
CDM,08255188,POTASSIUM VBG,110.0,,2.35,99.0,68
CDM,08255286,HEMOGLOBIN ABG,94.0,,2.18,84.6,68
CDM,08255287,HEMOGLOBIN VBG,94.0,,2.18,84.6,68
CDM,08255288,POTASSIUM ABG,110.0,,2.35,99.0,68
CDM,08255380,CVLBG WITH O2 CALC 02 SAT.,376.0,,13.29,338.4,68
CDM,08282435,CHLORIDE BLOOD,73.0,,2.34,65.7,68
CDM,08285101,ABG WITH CALC O2 SAT,376.0,,13.29,338.4,68
CDM,08285102,CARBOXYHEMOGLOBIN QNT,242.0,,4.55,217.8,70
CDM,08285103,METHEMOGLOBIN QN,219.0,,7.54,197.1,68
CDM,08285201,VBG WITH CALC O2 SAT,376.0,,13.29,338.4,68
CDM,08301213,ON-Q DISP PUMP**,1110.0,,555.0,999.0,56
CDM,08301215,Z*ON-Q BUPIVACAINE PUMP #1**,461.0,,230.5,414.9,56
CDM,08301217,ON-Q ROPIVACAINE PUMP #1**,1136.0,,568.0,1022.4,56
CDM,08301236,NERVE BLOCK PROCEDURE,2672.0,,1068.8,2404.8,56
CDM,08302140,STETH ESOPHAGEAL PACEMAKER,130.0,,65.0,117.0,56
CDM,08320206,JET VENTILATION PROCEDURE,145.0,,72.5,130.5,56
CDM,08320400,ECHO TEE MONITORING INTRAOP,3195.0,,451.62,2875.5,69
CDM,08320410,ECHO TEE CMPL W/PF DIAG,2963.0,,225.0,2666.7,69
CDM,08328503,HEADREST PRONEVIEW DISP,108.0,,54.0,97.2,56
CDM,08330008,JET VENTILATION SPEC CANNULA,129.0,,64.5,116.1,56
CDM,08330010,BIS SENSOR,137.0,,68.5,123.3,56
CDM,08330090,CRYOSURGERY TECH SUPPORT,2288.0,,1144.0,2059.2,56
CDM,08340011,COOK EXCHANGE CATH,397.0,,198.5,357.3,56
CDM,08340012,BOYCE KIT,178.0,,89.0,160.2,56
CDM,08340106,CV CONTINUOUS CO PA CATH,1368.0,,684.0,1231.2,56
CDM,08340107,ACT CARTRIDGE,63.0,,31.5,56.7,56
CDM,08340108,Z*Z*PROBE ADULT CEREB OXI- EA,337.0,,168.5,303.3,56
CDM,08340109,PROBE PED CEREB OXIMETRY; EA,575.0,,287.5,517.5,56
CDM,08340300,EPIDURAL SUPPLY,179.0,,89.5,161.1,56
CDM,08340301,SPINAL KIT  BUPIFICAINE,114.0,,57.0,102.6,56
CDM,08340303,WHITAKER NEEDLE,78.0,,39.0,70.2,56
CDM,08340304,STD REGIONAL NEEDLE,66.0,,33.0,59.4,56
CDM,08340305,SPROTT NEEDLE 24GX4 3/4,69.0,,34.5,62.1,56
CDM,08352869,SENSOR HEMODYNAMIC CHEETAH,442.0,,221.0,397.8,56
CDM,08363500,BAIR HUGGER UNDERBODY,110.0,,55.0,99.0,56
CDM,08580013,OBSERV PER HR - ICVU,109.0,,54.5,2436.0,57
CDM,08590003,ROOM & BED CHARGE ICVU,3235.0,,1462.5,7500.0,76
CDM,08690003,ROOM & BED CHARGE NBN,3898.0,,1009.5,7500.0,114
CDM,08810001,EDUCATION-SCH.TIME 2HRS,309.0,,154.5,278.1,56
CDM,08810002,EDUCATION-SCH.TIME 1HR,205.0,,102.5,184.5,56
CDM,08900003,CHROME DR MRI ICD SYS,27144.0,,13572.0,24429.6,62
CDM,08900004,CROME DR MRI ICD GENERATOR,20592.0,,10296.0,19286.78,62
CDM,08900005,CROME SR VR MRI ICD SYS,26302.0,,13151.0,23671.8,62
CDM,08900006,CROME SR VR MRI ICD GENERATOR,18720.0,,9360.0,20790.36,62
CDM,08900007,GDWIRE FIXED CORE,80.0,,27.95,72.0,57
CDM,08900020,PATCH PRECISION ENSITE,2751.0,,1375.5,2475.9,56
CDM,08900023,CATH GRID BI-D,5290.0,,1844.63,4761.0,57
CDM,08900051,RETREIVAL DEVICE MEDTRONIC,2158.0,,70.07,1942.2,57
CDM,08900060,SYS ACCESS WATCHMAN,3096.0,,1548.0,2786.4,56
CDM,08900074,CATHETER PFA FARAWAVE 31MM,11610.0,,2904.62,10449.0,57
CDM,08900076,SHEATH FARADRIVE STEERABLE,2340.0,,1170.0,2106.0,57
CDM,08900077,CABLE PFA RX FARAPULSE,400.0,,200.0,360.0,56
CDM,08900088,CATH FLEX ADVANCE SHEATH,2369.0,,1184.5,2132.1,57
CDM,08900089,CATH GUIDING ACUITY PRO SYS,1849.0,,102.65,1664.1,57
CDM,08900107,NANOSTIM LEADLESS PM W/DEL SYS,20131.0,,10065.5,18117.9,56
CDM,08900113,SHEATH DEL COHEREX WAVECREST,0.01,,0.005,0.009,56
CDM,08900120,INTRODUCER STEER AGILIS NXT,3188.0,,1301.27,2869.2,57
CDM,08900128,PCMKR VALITUDE X4 GEN,14447.0,,7223.5,13002.3,62
CDM,08900129,PCMKR VALITUDE X4 SYS,17736.0,,8868.0,15962.4,62
CDM,08900138,CRT-D MOMENTUM X4 IS4 DF1,40906.0,,20453.0,36815.4,62
CDM,08900147,ICD  EVERA S VR SYS,33633.0,,16816.5,30269.7,62
CDM,08900200,CAUTERY PEAK PLASMABLADE 4.0,667.0,,333.5,600.3,56
CDM,08900209,S-ICD EMBLEM GEN,47963.0,,20790.36,43166.7,62
CDM,08900212,NEEDLE TRANSSEPTAL BAYLIS,993.0,,496.5,893.7,56
CDM,08900220,PCMKR VISIONIST LV-1 CRT-P GEN,11097.0,,5548.5,9987.3,62
CDM,08900221,PCMKR VISIONIST X4 CRT-P SYS,13921.0,,6960.5,12528.9,62
CDM,08900228,PCMKR VISIONIST X4 CRT-P SYS,13921.0,,6960.5,12528.9,62
CDM,08900247,VIGILANT X4 CRT-D GEN,40906.0,,20453.0,36815.4,62
CDM,08900248,VIGILANT X4 CRT-D SYS,50087.0,,25043.5,45078.3,62
CDM,08900286,RETRACTOR,199.0,,99.5,179.1,56
CDM,08900289,CABLE ADVISOR HD GRID X,1710.0,,506.18,1539.0,57
CDM,08900302,SHEATH LASER SPECTRANETICS/SLS,7213.0,,78.91,6491.7,57
CDM,08900321,PCMKR ACCOLADE DR EL GEN,8849.0,,4424.5,7964.1,62
CDM,08900324,PCMKR ESSENTIO MRI SR SYS,8526.0,,4263.0,9037.98,62
CDM,08900400,LEAD PCMKR TENDRIL MRI,920.0,,460.0,922.22,62
CDM,08900440,SHEATH EXCEL IMPELLA,468.0,,46.81,421.2,57
CDM,08900500,ICD DEFIB GALLANT HF CRT GEN,27000.0,,13500.0,25180.55,62
CDM,08900624,SHEATH DIL TIGHTRAIL,5048.0,,70.07,4543.2,57
CDM,08900627,SHEATH DIL TIGHTRAIL MINI,3898.0,,70.07,3508.2,57
CDM,08900629,SHEATH DIL TIGHTRAIL SUB-C,3898.0,,70.07,3508.2,57
CDM,08900636,Z*Z*PCMKR REVO MRI RVDR01**,12554.0,,6277.0,11298.6,62
CDM,08900637,LEAD CAPSUREFIX MRI SURESCAN,1151.0,,575.5,6536.61,62
CDM,08900797,CATH ABL DIAMONDTEMP,0.01,,0.005,3221.18,57
CDM,08900810,CATH GUIDING ACUITY PRO 9,965.0,,102.65,868.5,57
CDM,08900893,CATH ABLAT TACTICATH (STUDY),0.01,,0.005,3221.18,57
CDM,08900988,CATH DECANAV MAPPING 7F,2103.0,,1051.5,3462.32,57
CDM,08900993,CATHETER-ANGIOGRAPHIC,530.0,,102.65,477.0,57
CDM,08901001,LEAD ICD ENDOTAK RELIANCE SG,16812.0,,6043.04,15130.8,62
CDM,08901002,LEAD ICD ENDOTAK RELIANCE G,12548.0,,5404.17,11293.2,62
CDM,08901010,CATH DIAG U/S SOUNDSTAR 3D,5136.0,,2568.0,4622.4,57
CDM,08901021,TUBING METRIQ IRRIGATION,264.0,,132.0,237.6,56
CDM,08901059,CATH DIAGNOSTIC US ACUNAV,4801.0,,2400.5,4320.9,57
CDM,08901160,SHEATH CARTO VIZIGO BI-DIRECT,1895.0,,947.5,1705.5,57
CDM,08901200,LEAD PACING ST JUDE,949.0,,474.5,922.22,62
CDM,08901241,PACEMAKER ATTESTA MRI SR,6318.0,,3159.0,9037.98,62
CDM,08901257,ICD FORTIFY VR 40 GEN,22719.0,,11359.5,20790.36,62
CDM,08901295,LEAD ICD RELIANCE 4-FRONT,7739.0,,3869.5,6965.1,62
CDM,08901299,EMBLEM S-ICD ELECTRODE DEL SYS,2213.0,,46.81,1991.7,62
CDM,08901357,Z*ICD FORTIFY VR 40 SYS,23225.0,,11612.5,20902.5,62
CDM,08901458,LEAD QUARTET LV,4559.0,,2279.5,4103.1,62
CDM,08901500,CATH PNEUMOTHORAX KIT 8F 16CM,275.0,,137.5,247.5,56
CDM,08901551,POWDER HEMOSTAT SURGICEL 3GRAM,368.0,,184.0,331.2,56
CDM,08901556,GUIDEWIRE,0.01,,0.005,27.95,57
CDM,08901577,CATH GUIDE CPS AIM SL INNER 59,491.0,,102.65,441.9,57
CDM,08901721,ICD EVERA MRI S DR SYS,46800.0,,19286.78,42120.0,62
CDM,08901764,RECORDER BIOMONITOR 2-AF,9657.0,,4828.5,8691.3,62
CDM,08901878,CABLE PATIENT DISP 6FT,202.0,,101.0,181.8,56
CDM,08901996,PCMKR ESSENTIO MRI DR SYS,9961.0,,4980.5,8964.9,62
CDM,08902008,LEAD PCMKR LV QUICKFLEX 1258,7695.0,,3299.38,6925.5,62
CDM,08902014,LEAD PCMKR LV ATTAIN,4940.0,,2470.0,4446.0,62
CDM,08902075,ICD MOMENTUM EL VR 1 LD,24543.0,,12271.5,22088.7,62
CDM,08902082,ICD DEFIB VIGILANT EL DR DF4,30955.0,,15477.5,27859.5,62
CDM,08902083,SYS ICD VIGILANT EL DR DF4 1LD,30955.0,,15477.5,27859.5,62
CDM,08902084,ICD DEFIB VIGILANT EL VR DF4,24543.0,,12271.5,22088.7,62
CDM,08902086,SYS ICD VIGILANT X4 IS4 DF4,50087.0,,25043.5,45078.3,62
CDM,08902087,ICD DEFIB MOMENTUM EL VR GEN,23217.0,,11608.5,20895.3,62
CDM,08902088,ICD MOMENTUM EL DR,26532.0,,13266.0,23878.8,62
CDM,08902091,ICD DEFIB VIGILANT EL VR DF4,23217.0,,11608.5,20895.3,62
CDM,08902092,ICD DEFIB VIGILANT EL DR DF4,26532.0,,13266.0,23878.8,62
CDM,08902097,CRT-D MOMENTUM IS1 DF4,40906.0,,20453.0,36815.4,62
CDM,08902098,CRT-D BIV MOMENTUM GEN,41150.0,,20575.0,37035.0,62
CDM,08902102,CRT-D VIGILANT X4 IS4 DF4,40906.0,,20453.0,36815.4,62
CDM,08902103,ICD DEFIB GALLANT HF CRT-D GEN,36446.0,,18223.0,32801.4,62
CDM,08902104,ICD DEFIB GALLANT VR CRT-D SYS,21463.0,,10731.5,20790.36,62
CDM,08902105,ICD DEFIB GALLANT VR CRT-D GEN,20248.0,,10124.0,20790.36,62
CDM,08902106,ICD DEFIB GALLANT DR CRT-D SYS,27335.0,,13667.5,24601.5,62
CDM,08902107,ICD DEFIB GALLANT DR CRT-D GEN,23285.0,,11642.5,20956.5,62
CDM,08902141,SENSOR TEMP ESOPH ENSOETEM,5758.0,,2879.0,5182.2,56
CDM,08902170,INTRO LEAD SAFESHEATH,1200.0,,97.78,1080.0,57
CDM,08902188,CATH ABL DIAMONDTEMP,0.01,,0.005,3221.18,57
CDM,08902199,PCMKR ADAPTA SINGLE CHAMBER,5750.0,,2875.0,9037.98,62
CDM,08902228,PACEMKR VISIONIST X4 CRT-P,11097.0,,5548.5,9987.3,62
CDM,08902266,LEAD PLEXA PRO MRI,7818.0,,3909.0,7036.2,62
CDM,08902270,PCMKR PERCEPTA CRT-P MR IIS-4,9540.0,,4770.0,8995.58,62
CDM,08902279,PCMKR PERCEPTA CRT-P MR IIS-1,9540.0,,4770.0,8995.58,62
CDM,08902287,ENVELOPE PACEMAKER ELUPRO,1791.0,,895.5,1611.9,61
CDM,08902300,ICD DEFIB RESONATE HF VR GEN,19800.0,,9900.0,20790.36,62
CDM,08902484,ELECT SUBCUTANEOUS EMBLEM-N/C,0.01,,0.005,6536.61,57
CDM,08902502,CARDIAC MONITOR REVEAL LINQ,12305.0,,6152.5,11074.5,62
CDM,08902510,INTRO FEM CURVED OUTER,1225.0,,256.64,1102.5,57
CDM,08902515,CATH ABLATION TCOOL STSF BI-D,7301.0,,3462.32,6570.9,57
CDM,08902621,PCMKR SERENA QUAD CRT-P MRI,16938.0,,8469.0,15244.2,62
CDM,08902628,CATHETER OCCLUSION,1881.0,,208.48,1692.9,57
CDM,08902703,ICD CROME CRT-D MRI QUAD,42120.0,,21060.0,37908.0,62
CDM,08902704,CROME QUAD MRI CRT-D GENERATOR,31263.0,,15631.5,28136.7,62
CDM,08902705,CROME MRI CRT-D SYSTEM,96117.0,,25180.55,86505.3,62
CDM,08902706,CROME MRI CRT-D-GENERATOR,30701.0,,15350.5,27630.9,62
CDM,08902707,ICD COBALT XT HF QUAD-SYSTEM,42120.0,,21060.0,37908.0,62
CDM,08902989,ICD RESONATE HF DR4 GEN,21600.0,,10800.0,19440.0,62
CDM,08903000,PCMKR ASSURITY MRI SR GEN,6899.0,,3449.5,9037.98,62
CDM,08903023,CRT-D RESONATE HF X4 DF4 GEN,28800.0,,14400.0,25920.0,62
CDM,08903026,CATH DIAG REPROCESS SOUNDSTAR,2425.0,,1212.5,2936.22,57
CDM,08903074,ICD DEFIB MOMENTUM EL DR,24300.0,,12150.0,21870.0,62
CDM,08903166,WATCHMAN FLX PROCEDURE DEVICE,35798.0,,17899.0,32218.2,61
CDM,08903219,CATH MAP-IT W/GDWIRE TIP-EVA,0.01,,0.005,579.93,57
CDM,08903232,ICD DEFIB VIVA S CRT-D DTBB1D1,54192.0,,25180.55,48772.8,62
CDM,08903242,PCMKR ALLURE QUADRA RF CRT-P,14447.0,,7223.5,13002.3,62
CDM,08903257,CRT-D UNIFY ASSURA GEN,44836.0,,22418.0,40352.4,62
CDM,08903262,CRT-PCMKR QUADRA ALLURE SYS,16397.0,,8198.5,14757.3,62
CDM,08903369,CRT-D QUADRA ASSURA MP SYS,52699.0,,25180.55,47429.1,62
CDM,08903370,LEAD ICD ENDOCARD DBL COIL,0.01,,0.005,5404.17,62
CDM,08903372,LEAD ICD NOT ENDOCARD,0.01,,0.005,6536.61,62
CDM,08903446,IRRIGATION IRRISEPT 0.055,191.0,,95.5,171.9,56
CDM,08903500,PCMKR ASSURITY MRI DR GEN,8049.0,,4024.5,7244.1,62
CDM,08903501,PCMKR ASSURITY MRI SR SYS,8049.0,,4024.5,9037.98,62
CDM,08903530,ICD VISIA AF SVR GEN,35873.0,,17936.5,32285.7,62
CDM,08903531,ICD VISIA AF SVR SYS,36102.0,,18051.0,32491.8,62
CDM,08903750,GUIDEWIRE AMPLATZ,78.0,,27.95,70.2,57
CDM,08903830,LEAD PCMKR SELECTSECURE,1382.0,,691.0,1243.8,62
CDM,08903850,PCMKR ASSURITY MRI DR SYS,9207.0,,4603.5,8286.3,62
CDM,08904019,CRT-D INTICA NEO HF-T DX MRI,35798.0,,17899.0,32218.2,62
CDM,08904022,SYS ICD ILIVIA NEO VR-T PROMRI,21268.0,,10634.0,20790.36,62
CDM,08904074,CATHETER PFA FARAWAVE 31MM,15444.0,,2904.62,13899.6,57
CDM,08904075,CATHETER PFA FARAWAVE 35MM,15444.0,,2904.62,13899.6,57
CDM,08904173,MONITOR CARDIAC LUX-DX M301,9476.0,,4738.0,8528.4,62
CDM,08904303,CATH WEBSTER DEFLECT,894.0,,447.0,804.6,57
CDM,08904304,CATH DIAGNOSTIC EP WEBSTER,566.0,,283.0,579.93,57
CDM,08904622,ICD ILIVIA PRO MRI GEN,25294.0,,12647.0,22764.6,62
CDM,08904635,GDWIRE HI-TORQUE WHISPER .014,253.0,,27.95,227.7,57
CDM,08905043,Z*Z*GUIDEWIRE IMPELLA 018 2.5,0.01,,0.005,27.95,57
CDM,08905188,CATH EP QUAD JOS REPROCESSED,120.0,,60.0,579.93,57
CDM,08905801,SYSTEM CLOSURE VASCADE VCS,456.0,,228.0,410.4,57
CDM,08906133,IMPL ENVELOP NEURO TYRX ABSORB,2288.0,,1144.0,2059.2,61
CDM,08906215,CATH ATTAIN VENOGRAM,328.0,,164.0,295.2,56
CDM,08906250,CATH ATTAIN COMM SRVALV,1355.0,,102.65,1219.5,57
CDM,08906573,CATH ABLAT INTELLANAV,4715.0,,2357.5,4243.5,57
CDM,08906641,LUX-DX CARD MONITOR INSERTABLE,0.01,,0.005,7180.83,57
CDM,08906703,CABLE CATH CONNECTOR,451.0,,225.5,405.9,56
CDM,08906704,AVEIR LEADLESS DR PF 32.2MM,22770.0,,11385.0,20493.0,61
CDM,08906841,INTRO FAST CATH SWARTZ SL2,419.0,,209.5,377.1,57
CDM,08906937,LEAD ICD TRANSVENE 6937A,2759.0,,1379.5,6536.61,62
CDM,08907000,LEAD EPSILA EV 63CM,9702.0,,4851.0,8731.8,56
CDM,08907001,TUNNELING LEAD EPSILA STERNAL,1080.0,,540.0,972.0,56
CDM,08907002,TUNNELER LEAD EPSILA EV DEFIB,1080.0,,540.0,972.0,56
CDM,08907003,CATH DIAGNOSTIC POLARIS X 6F,974.0,,487.0,876.6,57
CDM,08907145,CRT-P EDORA PROMRI GEN DR,6899.0,,3449.5,6456.68,62
CDM,08907208,PCMKR NANOSTIM LEADLESS,19546.0,,9037.98,17591.4,57
CDM,08907336,DERMABOND PREINO SYS 22CM,208.0,,104.0,187.2,56
CDM,08907731,LEAD PCMKR INGEVITY,1049.0,,524.5,944.1,62
CDM,08908635,WIRE RF VERSACROSS,1889.0,,944.5,1700.1,56
CDM,08908637,IMPLANTABLE SYS FOR REMODULIN,24765.0,,12382.5,22288.5,62
CDM,08908642,KIT CONN RF WIRE 180?230CM,1850.0,,925.0,1665.0,57
CDM,08908703,CATH VIEWFLEX XTRA ICE 9F 3.22,5023.0,,2511.5,4520.7,57
CDM,08908718,LEAD SENTUS PRO MRI,4141.0,,2070.5,3726.9,62
CDM,08908803,OPTIMIZER SMART MINI,54080.0,,16935.47,48672.0,62
CDM,08908966,INTRO FEM CURVED INNER,550.0,,256.64,495.0,57
CDM,08909050,PM PERCEPTA CRT-P MRI SURESCAN,12763.0,,6381.5,11486.7,62
CDM,08909081,CATH SELECT PACING,884.0,,102.65,795.6,57
CDM,08909200,AMPLATZER AMULET,36446.0,,12273.7,32801.4,62
CDM,08909470,CATH OPTRELL D-F CURVE,4162.0,,579.93,3745.8,62
CDM,08909529,RECORDER CARDIAC EVENT REVEAL,8290.0,,4145.0,7461.0,62
CDM,08910040,ELECTRODE ENSITE XEP,2434.0,,1217.0,2190.6,56
CDM,08910069,LEAD ICD SPRINT QUATTRO SGL,10372.0,,5186.0,9334.8,62
CDM,08910070,LEAD ICD SPRINT QUATTRO DUAL,10348.0,,5174.0,9313.2,62
CDM,08910134,CATH N-STAR CARTO 3/XP,4477.0,,2238.5,4029.3,57
CDM,08910135,DVC CLOSURE ANGIO-SEAL,568.0,,284.0,511.2,57
CDM,08910145,ICD EVERA MRI XT DR SYS,49025.0,,19286.78,44122.5,62
CDM,08910148,CRT-D AMPLIA MRI SYS,66506.0,,25180.55,59855.4,62
CDM,08910149,CRT-D AMPLIA MRI GEN,52613.0,,25180.55,47351.7,62
CDM,08910150,CRT-D AMPLIA MRI QUAD SYS,68773.0,,25180.55,61895.7,62
CDM,08910187,CATH MAPPING INTELLAMAP ORION,6038.0,,579.93,5434.2,57
CDM,08910188,LOC REF PATCH KIT RHYTHMIA,1233.0,,616.5,1109.7,56
CDM,08910590,ICD LEAD DURATA SJ4 7122Q*,10314.0,,5157.0,9282.6,62
CDM,08910593,CATH N-STAR 8MM BIDIR NAV,8623.0,,2904.62,7760.7,57
CDM,08910598,HEMOSTAT- D-STAT FLOWABLE,354.0,,177.0,318.6,56
CDM,08910622,LLD ACCESSORY KIT,322.0,,161.0,289.8,56
CDM,08910627,CRYOCATH UMBILICAL CONNECTOR,688.0,,344.0,619.2,56
CDM,08910630,SURE VENTLINE H SET,129.0,,64.5,116.1,56
CDM,08910636,SLITTER UNIVERSAL MEDTRONIC,166.0,,83.0,149.4,56
CDM,08911020,HEMOSTAT VASC BAND,63.0,,31.5,56.7,56
CDM,08911668,SYS SHEATH FIXED CURVE,1872.0,,46.81,1684.8,57
CDM,08911707,CATH ABLAT TACTIFLEX,7114.0,,3221.18,6402.6,57
CDM,08911806,FORCEP GRASPING RAPTOR,320.0,,160.0,288.0,56
CDM,08911932,CATH NAVISTAR BIDIR ABLATION,6899.0,,3449.5,6209.1,57
CDM,08912100,DVC RETRIEVAL ONO LAAO,17789.0,,70.07,16010.1,57
CDM,08912134,GUIDEWIRE CONFIANZA,507.0,,27.95,456.3,57
CDM,08912170,CATH EMBOLECTOMY ALPHAVAC SYS,13500.0,,6750.0,12150.0,56
CDM,08912340,CATH ABLAT DIAMONDTEMP,5791.0,,2895.5,5211.9,57
CDM,08912355,INTRODUCER SHEATH MICRA,1326.0,,46.81,1193.4,57
CDM,08912357,ICD FORTIFY DR 40 GEN,32448.0,,16224.0,29203.2,62
CDM,08912530,PCMKR ACCOLADE SR MRI GEN,7360.0,,3680.0,9037.98,62
CDM,08912857,FARAPULSE PULSED FIELD ABLAT,0.01,,0.005,46.81,57
CDM,08913031,TUBING IRRIG SMARTABLATE,231.0,,115.5,207.9,56
CDM,08913250,SYS PACING TRANSCATH MICRA AV,29297.0,,9037.98,26367.3,62
CDM,08913270,CATH ABLAT THERMOCOOL 8F 115CM,6220.0,,2904.62,5598.0,57
CDM,08913369,CRT-D QUADRA ASSURA MP GEN,40974.0,,20487.0,36876.6,62
CDM,08913520,CRT-P SERENA MRI GEN,15784.0,,7892.0,14205.6,62
CDM,08913590,CATH ABLATION EP CELSIUS FLTR,1738.0,,869.0,2904.62,57
CDM,08913793,CATH EP QDOT MICRO BI TC F-J,6704.0,,3352.0,6033.6,57
CDM,08913794,CATH EP QDOT MICRO BI TC D-F,6704.0,,3352.0,6033.6,57
CDM,08913795,CABLE EP QDOT MICRO,1624.0,,812.0,1461.6,56
CDM,08913796,NUVISION ULTRASOUND 10F CATH,5991.0,,2936.22,5391.9,57
CDM,08913993,EXT CABLE W/SAFE CONNECT DISP,63.0,,31.5,727.5,57
CDM,08914039,ICD COBALT DR MRI DF4 DUAL SYS,27144.0,,13572.0,24429.6,62
CDM,08914040,COBALT SR VR MRI ICD SYS,26302.0,,13151.0,23671.8,62
CDM,08914042,ICD COBALT DR MRI DF4 DUAL GEN,20592.0,,10296.0,19286.78,62
CDM,08914044,COBALT SR VR MRI ICD GENERATOR,18720.0,,9360.0,20790.36,62
CDM,08914045,COBALT MRI CRT-D W/LV LEAD SYS,40997.0,,20498.5,36897.3,62
CDM,08914047,COBALT MRI CRT-D W/LV LEAD SYS,40997.0,,20498.5,36897.3,62
CDM,08914074,CATHETER PFA FARAWAVE (SOC),15819.0,,2904.62,14237.1,57
CDM,08914076,SHEATH FARADRIVE STEERABLE,2434.0,,1217.0,2190.6,57
CDM,08914671,LEAD LV ACUITY X4,4559.0,,2279.5,4103.1,62
CDM,08915303,CATH SNDSTAR ECO REPROCESS,2917.0,,1458.5,2936.22,57
CDM,08915331,ICD FORTIFY DR 40 SYS,38318.0,,19159.0,34486.2,62
CDM,08915338,CRT-D UNIFY ASSURA SYS,54294.0,,25180.55,48864.6,62
CDM,08916390,CATH DELIVERY AVEIR PACEMAKER,3150.0,,1575.0,2835.0,61
CDM,08916391,KIT INTRODUCER AVEIR,1080.0,,46.81,972.0,57
CDM,08916392,AVEIR DR CHAMBER PACER SYS,43470.0,,21735.0,39123.0,61
CDM,08916393,AVEIR CATH RETRIEVAL LEADLESS,5400.0,,2700.0,4860.0,56
CDM,08916739,PACEMAKER SYS AVEIR LL AR,27000.0,,13500.0,24300.0,61
CDM,08916920,CATH ABL CARDIAC SPHERE 9 US,19800.0,,2904.62,17820.0,57
CDM,08916921,TUBING AFFERA HEXAPULSE,500.0,,250.0,450.0,56
CDM,08916922,CABLE CATHETER EXT SPHERE 9,3600.0,,1800.0,3240.0,56
CDM,08916923,KIT PATCH EP REFERENCE,2250.0,,1125.0,2025.0,56
CDM,08916998,AURORA SGL ICD-EV DEFIB SYS,38700.0,,19350.0,34830.0,62
CDM,08916999,LEAD EPSILA EV 52CM,9702.0,,4851.0,8731.8,56
CDM,08917022,CATH FLEXABILITY SE (STUDY),0.01,,0.005,3221.18,57
CDM,08917916,CRT-PCMKR QUADRA ALLURE GEN,14028.0,,7014.0,12625.2,62
CDM,08920000,CARDIOFIT SYSTEM (N/C),0.01,,0.005,0.009,56
CDM,08920060,RETREIVAL DEVICE ENSNARE,736.0,,70.07,662.4,57
CDM,08920067,ICD DEFIB PROMOTE CRT-DN/C**,0.01,,0.005,25180.55,62
CDM,08920101,LEAD ICD OPTISURE DUAL,8049.0,,4024.5,7244.1,62
CDM,08920143,DILATOR COONS TAPER,59.0,,29.5,53.1,56
CDM,08920284,CATH CARDIO CRYO ARCTIC FRONT,9948.0,,2904.62,8953.2,57
CDM,08920301,CATH THERMOCOOL SMARTTOUCH SF,0.01,,0.005,0.009,56
CDM,08920352,DYNAGEN DR SYS,29894.0,,14947.0,26904.6,62
CDM,08920466,GDWIRE TRANSSEPTAL SAFESEPT,451.0,,27.95,405.9,57
CDM,08920618,DVC VASC CLOSURE ANGIO-SEAL,4050.0,,397.68,3645.0,57
CDM,08920768,CATH OCTARAY 8F,4328.0,,1844.63,3895.2,57
CDM,08920771,CABLE CARTO SPLIT HDL 9FT,2306.0,,1153.0,2075.4,56
CDM,08920901,SHEATH LASER CAVACLEAR,6065.0,,78.91,5458.5,62
CDM,08921101,CONFORM (LAAC) SYSTEM,0.01,,0.005,0.009,56
CDM,08921104,PACEMAKER ATTESTA MR DR ATDRS1,5852.0,,2926.0,6456.68,62
CDM,08921167,DVC WATCHMAN FLX PRO LAAC,35798.0,,17899.0,32218.2,61
CDM,08921404,ICD COBALT GEN QUAD CRT-D MRI,31263.0,,15631.5,28136.7,62
CDM,08921405,COBALT QUAD MRI CRT-D GEN,30701.0,,15350.5,27630.9,62
CDM,08922001,GUIDEWIRE MAILMAN W/ICE,243.0,,27.95,218.7,57
CDM,08922035,CRT-D AMPLIA MRI QUAD GEN,53808.0,,25180.55,48427.2,62
CDM,08922530,PCMKR ACCOLADE SR MRI SYS,8609.0,,4304.5,9037.98,62
CDM,08923008,PCMKR LEADLESS AVEIR VR SYS,20005.0,,9037.98,18004.5,57
CDM,08923748,SHEATH DILATOR EVOLUTION 9F,2946.0,,70.07,2651.4,57
CDM,08925365,ICD EVERA MRI S DR GEN,40888.0,,19286.78,36799.2,62
CDM,08926550,STYLET LOCKING LIBERATOR,1242.0,,70.07,1117.8,57
CDM,08929532,CRT RIVACOR HF-T QP PRO,37588.0,,18794.0,33829.2,62
CDM,08929534,ICD RIVACOR DR-T DF-4 PRO,24322.0,,12161.0,21889.8,62
CDM,08931502,CATH RIGHTSITE,1012.0,,102.65,910.8,57
CDM,08931929,COIL COMPRESSION ONE-TIE,568.0,,284.0,511.2,56
CDM,08932038,INTRODCR SAFESHEATH WORLEY,1253.0,,97.78,1127.7,57
CDM,08932530,PCMKR ACCOLADE DR MRI GEN,8509.0,,4254.5,7658.1,62
CDM,08937717,LEAD SOLIA S,986.0,,493.0,922.22,62
CDM,08940101,LEAD ICD OPTISURE SNGL,8623.0,,4311.5,7760.7,62
CDM,08940102,CATH THERMOCOOL SMARTTOUCH-N/C,0.01,,0.005,3462.32,57
CDM,08940216,VASCADE MVP XL (VVCS),0.01,,0.005,397.68,57
CDM,08940850,INTRODUCER ENGAGE,30.0,,15.0,46.81,57
CDM,08942129,SYS ICD RIVACOR VR-T DF4 PRO,22332.0,,11166.0,20790.36,62
CDM,08942530,PCMKR ACCOLADE DR MRI SYS,9685.0,,4842.5,8716.5,62
CDM,08945420,LEAD EXTENDER BULLDOG,641.0,,320.5,576.9,56
CDM,08948008,SET INTRO STIFF 21GAX7CM,154.0,,46.81,138.6,57
CDM,08948101,SYS ICD ACTICOR DX PRO MRI,24876.0,,12438.0,22388.4,62
CDM,08950005,CATH CELSIUS TCOOL NONNAV,16635.0,,3462.32,14971.5,57
CDM,08950022,"PATCH,ELECTRODE,ST.JUDE ENSITE",6364.0,,3182.0,5727.6,56
CDM,08950040,REFERENCE PATCH EXTERNAL,646.0,,323.0,581.4,56
CDM,08951505,Z*INTRO ABBOTT**,52.0,,26.0,97.78,57
CDM,08951506,Z*GWIRE ABBOTT**,52.0,,26.0,46.8,57
CDM,08952240,CATH VASC EXTRACTION PRONTO,757.0,,314.82,681.3,62
CDM,08952484,ELECT SUBCUTANEOUS EMBLEM,9950.0,,4975.0,8955.0,62
CDM,08952524,TOOL INSERTON ELECTRODE EMBLEM,2213.0,,1106.5,1991.7,56
CDM,08952529,S-ICD EMBLEM SYS,53808.0,,20790.36,48427.2,62
CDM,08952545,PCMKR ACCOLADE SR SYS,8278.0,,4139.0,9037.98,62
CDM,08952546,PCMKR ACCOLADE DR EL SYS,9313.0,,4656.5,8381.7,62
CDM,08952556,CRT-P VALITUDE IS-1 SYS,15868.0,,7934.0,14281.2,62
CDM,08952584,CRT-P VALITUDE IS-1 GEN,13026.0,,6513.0,11723.4,62
CDM,08953066,CATH CELSIUS BIDIR NONNAV 4MM,1700.0,,850.0,3462.32,57
CDM,08953146,CATH ABLAT TACTICATH,6412.0,,3206.0,5770.8,57
CDM,08953195,CRT-P ALLURE RF GEN,12316.0,,6158.0,11084.4,62
CDM,08953204,CRT-P ALLURE RF SYS,15162.0,,7581.0,13645.8,62
CDM,08953263,ICD FORTIFY ASSURA VR-40 GEN,21846.0,,10923.0,20790.36,62
CDM,08953553,LEAD CRT ATTAIN ABLITY,4940.0,,2470.0,4446.0,62
CDM,08953646,ICD EVERA S DR SYS,49036.0,,19286.78,44132.4,62
CDM,08953683,INFLATION DEVICE,215.0,,107.5,193.5,56
CDM,08953726,ICD INVENTRA DX PRO MRI GEN,23570.0,,11785.0,21213.0,62
CDM,08954306,FORCEP JAWZ ENDOMYOCARD BIOPSY,378.0,,189.0,340.2,56
CDM,08955035,PERICARDIOCENTESIS KIT (ONLY),460.0,,230.0,414.0,56
CDM,08955397,ACCESSORY KIT BRIDGE,1086.0,,543.0,977.4,56
CDM,08955994,GDWIRE FIXED CORE,80.0,,27.95,72.0,57
CDM,08958340,CATH/INTRO SALINE/CONTRAST SIS,736.0,,294.4,662.4,56
CDM,08961210,DVC VASC CLOSURE VASCADE MVP,575.0,,287.5,517.5,57
CDM,08961297,RETREIVAL SET MULTI-SNARE,620.0,,70.07,558.0,57
CDM,08965297,EP CATH BSX 5086TN4,1594.0,,797.0,3462.32,57
CDM,08965318,NEEDLE TRANSSEPTAL ST JUDE 01,1862.0,,931.0,1675.8,56
CDM,08965320,CATH ATTAIN LDS,839.0,,102.65,755.1,57
CDM,08965390,CATH DIAG BIDIR NONNAV,1270.0,,579.93,1143.0,57
CDM,08965392,EP CATH BIOWEB LASSO,5204.0,,579.93,4683.6,57
CDM,08965394,EP CATH BARD QUAD,1078.0,,539.0,970.2,57
CDM,08965395,EP CATH BARD HEX,1094.0,,547.0,984.6,57
CDM,08965399,INTRO ATTAIN LDS,1148.0,,46.81,1033.2,57
CDM,08965402,INTRO DIAG TRANSSEPTAL,1654.0,,256.64,1488.6,57
CDM,08965407,EP CATH BIOWEB CELCIUS,4012.0,,2006.0,3610.8,57
CDM,08965418,INTRODUCER AGILIS,3864.0,,1301.27,3477.6,57
CDM,08965434,LEAD LOCKING SPECTRANETICS,3415.0,,70.07,3073.5,57
CDM,08965446,CATH ABLATION IBI DUAL,7831.0,,2904.62,7047.9,57
CDM,08965467,CATH VARIABLE EP LASSO NAV ECO,6442.0,,3221.0,5797.8,57
CDM,08970113,WAVECREST LAAO DEVICE,0.01,,0.005,0.009,56
CDM,08971151,CATH DECA MAPPING/POLARIS 6F,888.0,,444.0,799.2,57
CDM,08974072,DILATOR COOK,124.0,,62.0,111.6,56
CDM,08974720,SYSTEM CLOSURE VASC PERCLOSE,1970.0,,397.68,1773.0,57
CDM,08974740,XR HYSTEROSALPINGOGRAM,1326.0,,101.0,1193.4,68
CDM,08978019,INTRO MINI STICK**,62.0,,31.0,55.8,56
CDM,08978020,GWIRE MINI STICK**,62.0,,27.95,55.8,57
CDM,08980176,CATH ABLAT QDOT MICRO STUDY,0.01,,0.005,3462.32,57
CDM,08980953,PHOTONGUIDE WIDE FLAT,634.0,,317.0,570.6,56
CDM,08981179,CATH CARDIO CRYO MAX,3828.0,,1914.0,3445.2,57
CDM,08981278,GDWIRE WHISPER VIEW EDS CSJ,222.0,,27.95,199.8,57
CDM,08982000,SAFEGUARD PRESSURE DRESSING,194.0,,97.0,174.6,56
CDM,08983154,PCMKR ADAPTA SR SYSTEM,6634.0,,3317.0,9037.98,62
CDM,08984185,SYS EN SNARE 6F 9-15MM,673.0,,70.07,605.7,57
CDM,08985389,CATH DIAG US ACUNAV REPROCESS,1714.0,,857.0,2936.22,57
CDM,08985740,PCMKR LEADLESS MICRA,25708.0,,9037.98,23137.2,62
CDM,08985741,INTRO INACT MICRA HYDROPHILIC,1124.0,,46.81,1011.6,57
CDM,08985785,TUB IRRIG COOL POINT 260CM,267.0,,133.5,240.3,56
CDM,08989517,GUIDEWIRE PIGTAIL PROTRACK,498.0,,27.95,448.2,57
CDM,08989664,SNARE NEEDLES EYE G26517,2759.0,,70.07,2483.1,57
CDM,08989803,CRT-D INTICA QP MRI GEN,39092.0,,19546.0,35182.8,62
CDM,08990063,CATH EP MAPPING ACHIEVE,1778.0,,579.93,1600.2,57
CDM,08990972,CATH N-STAR 4MM BIDIR NAV,4322.0,,2161.0,3889.8,57
CDM,08991108,CATH INTELLATIP MIFI,4484.0,,2242.0,4035.6,57
CDM,08991876,SEALER BIPOLAR AQUAMANTYS 2.3,1138.0,,569.0,1024.2,56
CDM,08992831,GUIDE WIRE GLIDEWIRE,969.0,,27.95,872.1,57
CDM,08993451,CATH RIGHT HEART,11262.0,,775.0,10135.8,69
CDM,08993452,CATH LEFT HEART W/ VENTRCLGRPH,17853.0,,1216.0,16067.7,69
CDM,08994595,DILATOR SET COOK,253.0,,126.5,227.7,56
CDM,08994796,GUIDEWIRE VERSACORE HI-TORQUE,245.0,,27.95,220.5,57
CDM,08996573,CATH ABLAT INTELLANAV MIFI OI,6094.0,,3047.0,5484.6,57
CDM,08999790,CRT-P SOLARA MRI SYS,21846.0,,8995.58,19661.4,62
CDM,08999797,PM-AZURE DR MRI GEN,10923.0,,5461.5,9830.7,62
CDM,08999799,PM-AZURE SR MRI,9197.0,,4598.5,9037.98,62
CDM,08999801,SYS PM-AZURE DR MRI SYS,13222.0,,6456.68,11899.8,62
CDM,08999803,PM-AZURE SR MRI SYS,10348.0,,5174.0,9313.2,62
CDM,08999978,CRT-P EDORA PROMRI SYS DR,8049.0,,4024.5,7244.1,62
CDM,08999979,CRT-P EDORA PROMRI GEN SR,5978.0,,2989.0,9037.98,62
CDM,09000025,OCCLUDER SEPTAL CARDIOFORM,17231.0,,8615.5,15507.9,62
CDM,09000060,SYS ACCESS WATCHMAN,3096.0,,1548.0,2786.4,56
CDM,09000092,CATH BALLOON CUTTING/SCORING,2278.0,,257.51,2050.2,57
CDM,09000125,OCCLUDER AMPLATZ CRIB,13040.0,,6520.0,12273.7,62
CDM,09000137,PLUG VASC AMPLATZER II,1970.0,,985.0,1773.0,61
CDM,09000142,CATH DIAGNOSTIC US ACUNAV 8F,5143.0,,2571.5,4628.7,57
CDM,09000146,CATH HEARTRAIL III,226.0,,102.65,203.4,57
CDM,09000148,OCCLUDER AMPLATZ MUSC VSD,16652.0,,8326.0,14986.8,62
CDM,09000152,OCCLUDER AMPLATZ SEPTAL,15912.0,,7956.0,14320.8,62
CDM,09000200,SYSTEM HF CARDIOMEMS,40241.0,,20120.5,36216.9,62
CDM,09000202,CANISTER PENUMBRA ENGINE,818.0,,409.0,736.2,56
CDM,09000203,CATH PENUMBRA INDIGO ASP SYS,3981.0,,314.82,3582.9,57
CDM,09000212,NEEDLE RF TRANSSEPTAL NRG RF,993.0,,496.5,893.7,56
CDM,09000322,CATH PTA STERLING OTW 135CM,548.0,,257.51,493.2,57
CDM,09000416,DEL CATH SYS ENVPRO 18FR/20FR,9304.0,,4652.0,8373.6,56
CDM,09000418,COMPRESSION LOADING SYY ENVPRO,955.0,,477.5,859.5,56
CDM,09000440,SHEATH EXCEL IMPELLA,468.0,,46.81,421.2,57
CDM,09000483,IMPL/REM TMVI PERC W/PUNC,31518.0,,1218.38,28366.2,57
CDM,09000575,CATH IAB SENS PLUS 8F 50CC,2453.0,,1226.5,2207.7,56
CDM,09000637,LEAD CAPSUREFIX MRI SURESCAN,1151.0,,575.5,6536.61,62
CDM,09000684,CATH INSERT SENSATION PLUS KIT,2397.0,,27.95,2157.3,57
CDM,09000687,VLV EDWARDS SAPIEN 3,4680.0,,2340.0,4212.0,61
CDM,09000791,STENT SYNERGY MR 48MM (N/C),0.01,,0.005,1667.17,57
CDM,09000853,STENT CORONARY ONYX,2129.0,,1064.5,1916.1,62
CDM,09000888,CATH MAHURKAR**,139.0,,69.5,125.1,62
CDM,09000889,"GDWIRE J/STRAIGHT 70CM 0.035""*",139.0,,27.95,125.1,57
CDM,09000896,CATH LUTONIX DCB,3348.0,,1674.0,3013.2,57
CDM,09001020,HEMOSTAT VASC BAND,63.0,,31.5,56.7,56
CDM,09001035,CATH SAPPHIRE CORONARY BALLOON,491.0,,245.5,441.9,57
CDM,09001119,APOLLO INTREPID VLV DVC TTVR,0.01,,0.005,0.009,56
CDM,09001252,STNT CORONARY ALPINE SYS-TRIAL,3322.0,,1661.0,2989.8,57
CDM,09001310,GDWIRE CHOICE ES,236.0,,27.95,212.4,57
CDM,09001362,GDWIRE OMNIWIRE 185CM,1493.0,,27.95,1343.7,57
CDM,09001367,GDWIRE STARTER.035INX150CM BEN,57.0,,27.95,51.3,57
CDM,09001392,CATH PTA ARMADA 35 10X40X135CM,1051.0,,257.51,945.9,57
CDM,09001416,DEL CATH SYS ENVPRO 18F/20F,9883.0,,4941.5,8894.7,56
CDM,09001418,COMPRESSION LOADING SYS ENVPRO,1129.0,,564.5,1016.1,56
CDM,09001426,GWIRE AMPLATZER 0.035MM 260CM,169.0,,27.95,152.1,57
CDM,09001442,INTRODUCER FLEXOR SIDE ARM 5FR,309.0,,46.81,278.1,57
CDM,09001483,STENT PK PAPYRUS SYSTEM,6634.0,,1667.17,5970.6,62
CDM,09001521,CATH PTA Z-MED II 18MMX4CM,1124.0,,257.51,1011.6,57
CDM,09001523,CATH PTV Z-MED 3.0X4.0,1604.0,,257.51,1443.6,57
CDM,09001527,CATH PTA MUSTANG 135CM 01,562.0,,257.51,505.8,57
CDM,09001528,CATH PTA MUSTANG 75CM,457.0,,228.5,411.3,57
CDM,09001529,SYS SENTINEL CEREBRAL PROTECT,8844.0,,1461.69,7959.6,62
CDM,09001530,CATH PTA STERLING OTW 150CM 01,535.0,,257.51,481.5,62
CDM,09001531,STENT VASC EPIC SE SYS 75CM,1971.0,,985.5,1773.9,62
CDM,09001532,STNT BILI-ILIAC EXPRESS LD 135,2249.0,,1124.5,2024.1,62
CDM,09001533,STENT EXPRESS SD 150CM,2317.0,,1158.5,2085.3,62
CDM,09001534,CATH DIAG PIGTAIL INFINITY.038,117.0,,58.5,136.97,62
CDM,09001547,CATH PTA MUSTANG 5F 135CM,557.0,,257.51,501.3,62
CDM,09001553,CATH PTA MUSTANG 135CM 02,457.0,,228.5,411.3,57
CDM,09001583,CATH BLLN TRAPLINER 6F,1370.0,,257.51,1233.0,57
CDM,09001670,CATHETER SUPERCROSS,1075.0,,102.65,967.5,57
CDM,09001799,CATH EXPO FL4 100CM SST,143.0,,71.5,128.7,56
CDM,09001835,DVC EXCHANGE TRAPPER 6-8F 112,665.0,,257.51,598.5,57
CDM,09001878,CABLE PATIENT DISP 6FT,202.0,,101.0,181.8,56
CDM,09001892,INTRODUCER/SHEATH PRELUDE SNAP,109.0,,54.5,98.1,57
CDM,09001897,CATH LUTONIX II DCB,3910.0,,1955.0,3519.0,57
CDM,09001928,APOLLO INTREPID TMVR SYSTEM,0.01,,0.005,0.009,56
CDM,09001989,CATH DIAG INFINITI 4F 100CM,56.0,,28.0,50.4,56
CDM,09002004,CATH CORONARY BALLOON-ABBOTT,531.0,,257.51,477.9,57
CDM,09002028,SHEATH DRYSEAL 12-16F 33CM,581.0,,46.81,522.9,57
CDM,09002030,SHEATH DRYSEAL 20-26F 33CM,784.0,,46.81,705.6,57
CDM,09002032,SHEATH DRYSEAL 20-26F 65CM,1189.0,,46.81,1070.1,57
CDM,09002038,CATH MICROCATH MAMBA FLEX,1148.0,,257.51,1033.2,57
CDM,09002048,CATHETER LANGSTON,923.0,,102.65,830.7,57
CDM,09002051,FLOWTRIEVER THROMBECTOMY SYS,24322.0,,314.82,21889.8,57
CDM,09002052,CATHETER CLOTTRIEVER FXD LNG,13268.0,,314.82,11941.2,57
CDM,09002053,SHEATH THROMBO CLOTTRIEVER,4423.0,,2211.5,3980.7,56
CDM,09002111,CATH EMBOLI FLOWTRIEVER,0.01,,0.005,314.82,57
CDM,09002114,CATH FLOWSAVER,0.01,,0.005,314.82,57
CDM,09002116,CATH GUIDE ASPIRATION INARI,0.01,,0.005,314.82,57
CDM,09002148,CATH BLN AGENT DC,10577.0,,2417.59,9519.3,57
CDM,09002170,CATH EMBOLECTOMY ALPHAVAC SYS,13500.0,,314.82,12150.0,57
CDM,09002202,DELIVERY CATH HARMONY SYSTEM,20248.0,,10124.0,18223.2,56
CDM,09002208,VALVE HARMONY TPV25,80484.0,,40242.0,72435.6,61
CDM,09002326,VALVE TAVR EVOLUT,66332.0,,33166.0,59698.8,61
CDM,09002500,AGENTTM PACLITAXEL BALL CATH,0.01,,0.005,0.009,56
CDM,09002683,ENDOPR WALLSTENT MR 135CM,5113.0,,1642.91,4601.7,62
CDM,09002702,STNT SYNERGY MEGATRON,1685.0,,842.5,1667.17,62
CDM,09003120,CATH LITHO SHOCKWAVE C2 12MM,9897.0,,4948.5,8907.3,57
CDM,09003166,WATCHMAN FLX PROCEDURE DEVICE,35798.0,,17899.0,32218.2,61
CDM,09003331,VLV CONTROL BLEEDBACK COPILOT,108.0,,54.0,97.2,56
CDM,09003356,GDWIRE STORQ,231.0,,27.95,207.9,57
CDM,09003400,CATH GUID VISTA BRITE 6F 100CM,189.0,,94.5,170.1,57
CDM,09003491,CATH INDIGO DYNAMIC HTORQ115,13769.0,,314.82,12392.1,57
CDM,09003524,STNT BIL-ILIAC EXPRESS LD 75CM,2249.0,,1124.5,2024.1,62
CDM,09003533,CATH PTA STERLING OTW 150CM 02,672.0,,257.51,604.8,57
CDM,09003540,STENT CORONARY XIENCE SIERRA,1840.0,,920.0,1667.17,62
CDM,09003553,STENT VASC INNOVA 130CM 03,2106.0,,1053.0,1895.4,62
CDM,09003564,STNT DRG-ELT ELUVIA 60MM 130CM,4833.0,,1667.17,4349.7,62
CDM,09003567,STNT DRUG-ELT ELUVIA 120MM 130,6096.0,,1667.17,5486.4,62
CDM,09003599,OCCLUDER PFO AMPLATZER,19546.0,,9773.0,17591.4,62
CDM,09003750,GUIDEWIRE AMPLATZ,78.0,,27.95,70.2,57
CDM,09003902,ENDOPROSTH VIABAHN 10X13X135,6282.0,,1667.17,5653.8,62
CDM,09004051,DILATOR TAPERED 18F,48.0,,24.0,43.2,56
CDM,09004939,CATH ROTAPRO PRE-CONN,3970.0,,1985.0,3771.46,57
CDM,09005042,SYSTEM CARD IMPELLA LP 2.5,43801.0,,21900.5,39420.9,56
CDM,09005043,GUIDEWIRE IMPELLA 018 2.5,0.01,,0.005,27.95,57
CDM,09005060,CATH LITHOPLASTY SHOCKWAVE,6081.0,,257.51,5472.9,57
CDM,09005102,STENT CORO SYNERGY XD MR US 01,844.0,,422.0,1667.17,62
CDM,09005103,STENT CORO SYNERGY XD MR US 02,2025.0,,1012.5,1822.5,62
CDM,09005197,STENT ARTERIAL XIENCE SKYPOINT,1417.0,,708.5,1667.17,62
CDM,09005418,INTRODUCER AGILIS,3864.0,,1301.27,3477.6,57
CDM,09005801,SYSTEM CLOSURE VASCADE VCS,456.0,,228.0,410.4,57
CDM,09005900,CATH EAGLE EYE PLATINUM,1603.0,,801.5,1442.7,57
CDM,09006101,SEPTAL OCCLUDER CARDIOFORM,0.01,,0.005,12273.7,57
CDM,09006841,INTRO FAST CATH SWARTZ SL2,419.0,,209.5,377.1,57
CDM,09006896,AMPLATZER VALVULAR PLUG III,21058.0,,10529.0,18952.2,56
CDM,09006975,CATH BALL PTCA AGENT MONORAIL,0.01,,0.005,257.51,57
CDM,09007203,VLV AORTIC TRANSCAT SAPIEN 3,56160.0,,28080.0,50544.0,61
CDM,09007211,NEEDLE TRANSSEPTAL ST JUDE 02,701.0,,350.5,630.9,56
CDM,09007308,CATH INDIGO DYNAMIC XTORQ 130,11359.0,,314.82,10223.1,57
CDM,09007369,INTRODUCER CHECK-FLO,207.0,,46.81,186.3,57
CDM,09007417,INTRODUCER CHECK FLO,161.0,,46.81,144.9,57
CDM,09007430,OCCLUDER AMULET AMPLATZER LAA,25270.0,,12635.0,22743.0,56
CDM,09007493,CATH BLLN PTA CHARGER OTW,340.0,,170.0,306.0,57
CDM,09007574,INTRO CHECK-FLO PERFORMER 9.0F,151.0,,46.81,135.9,57
CDM,09007687,VALVE AORTIC TRANSCATH SAPIEN,80056.0,,40028.0,72050.4,61
CDM,09008080,CATH VISION PV 0.035 DIGIT,2250.0,,1125.0,2025.0,57
CDM,09008120,CATH BALLOON EMERGE OTW 01,165.0,,82.5,257.51,57
CDM,09008122,CATH NC QUANTUM APEX MONORAIL,347.0,,173.5,312.3,57
CDM,09008349,CATH PTA COYOTE MR 150CM 01,557.0,,257.51,501.3,57
CDM,09008353,CATH PTA COYOTE MR 150CM 02,696.0,,257.51,626.4,57
CDM,09008635,WIRE RF VERSACROSS,1889.0,,944.5,1700.1,56
CDM,09008642,KIT CONN RF WIRE 180?230CM,1850.0,,256.64,1665.0,57
CDM,09008650,CATH FINECROSS MG 150CM,1036.0,,102.65,932.4,57
CDM,09008887,INTRODUCER AXCESS,134.0,,46.81,120.6,57
CDM,09009090,VALVE TAVI NAVITOR VISION,43200.0,,21600.0,38880.0,61
CDM,09009091,SYS DEL FLEXNAV SM NAVITOR,2700.0,,1350.0,2430.0,56
CDM,09009092,SYS DEL FLEXNAV LG NAVITOR,2700.0,,1350.0,2430.0,56
CDM,09009093,SYS LOAD FLEXNAV SM NAVITOR,900.0,,450.0,810.0,56
CDM,09009094,SYS LOAD FLEXNAV LG NAVITOR,900.0,,450.0,810.0,56
CDM,09009095,SYS LOAD FLEXNAV LG/TITAN NAVI,900.0,,450.0,810.0,56
CDM,09009600,VLV SAPIEN 3 PULMONIC SYS,0.01,,0.005,0.009,61
CDM,09009630,VLV SAPIEN 3 TRANSCATH 29MM,84028.0,,42014.0,75625.2,61
CDM,09010020,"GUIDEWIRE TORAY 0.025""X175CM",856.0,,27.95,770.4,57
CDM,09010021,GDWIRE VIPERWIRE VRP-GW-FT14,511.0,,27.95,459.9,57
CDM,09010053,GUIDEWIRE HI-TQ WHISPER MS,281.0,,27.95,252.9,57
CDM,09010101,CATH STEERABLE GUIDE W/DILATOR,73898.0,,102.65,66508.2,57
CDM,09010118,GDWIRE ASAHI FIELDER FC,470.0,,27.95,423.0,57
CDM,09010120,CATH RADIAL OPTITORQUE,108.0,,54.0,102.65,57
CDM,09010135,DVC CLOSURE ANGIO-SEAL,568.0,,284.0,511.2,57
CDM,09010151,CATH ATHER STEALTH 360 SOLID,8041.0,,3771.46,7236.9,57
CDM,09010335,ALLEVIATE ALV1 SYSTEM,0.01,,0.005,0.009,56
CDM,09010485,GUIDEWIRE HI-TORQUE PILOT,280.0,,27.95,252.0,57
CDM,09010501,CATH PERIPH SPECTRANETICS,6439.0,,3062.72,5795.1,57
CDM,09010502,CATH CORONARY SPECTRANETICS,6698.0,,3062.72,6028.2,57
CDM,09010607,IVUS PULLBACK SLED FOR MD5,141.0,,70.5,126.9,56
CDM,09010853,STENT CORONARY ONYX 2.0 OR XLV,2301.0,,1150.5,2070.9,62
CDM,09011010,CATH DIAG U/S SOUNDSTAR 3D,5136.0,,2568.0,4622.4,62
CDM,09011018,DILATOR VASCULAR COONS 20-22F,441.0,,220.5,396.9,56
CDM,09011054,SPYRAL-AFFIRM,0.01,,0.005,0.009,56
CDM,09011165,DVC FEMOSTOP GOLD,328.0,,164.0,295.2,56
CDM,09011297,SNARE RETRIEVAL KIT BARD SRK30,527.0,,70.07,474.3,57
CDM,09011668,SYS SHEATH FIXED CURVE,1872.0,,46.81,1684.8,57
CDM,09011731,"GUIDEWIRE 0.35"" J/STRAIGHT",0.01,,0.005,27.95,57
CDM,09012001,GUIDEWIRE MAILMAN W/ICE,243.0,,27.95,218.7,57
CDM,09012003,GDWIRE ASAHI PERIPH ASTATO,450.0,,27.95,405.0,57
CDM,09012038,CATH BAL DILAT PTV NUCLEUS-X,2299.0,,257.51,2069.1,57
CDM,09012058,GUIDEWIRE AERIS PRESSURE WIRE,1568.0,,27.95,1411.2,57
CDM,09012100,DVC RETRIEVAL ONO LAAO,17789.0,,70.07,16010.1,57
CDM,09012133,GUIDEWIRE LUGE/CHOICE HYDROPH,271.0,,27.95,243.9,57
CDM,09012134,GDWIRE ASAHI CONFIANZA,507.0,,27.95,456.3,57
CDM,09012170,CATH EMBOLECTOMY ALPHAVAC SYS,13500.0,,314.82,12150.0,57
CDM,09012590,CATH BALLOON DILAT PTCA APEX,295.0,,147.5,265.5,57
CDM,09012830,INTRO CHECK-FLO X LARGE 20F 40,801.0,,46.81,720.9,57
CDM,09013519,CATHETER CARAVEL,1018.0,,102.65,916.2,57
CDM,09013543,CATH ARTHERECTOMY JETSTREAM XC,6739.0,,3369.5,6065.1,57
CDM,09013902,ENDOPROSTH VIABAHN 11X16X135,6282.0,,1667.17,5653.8,62
CDM,09013921,PASCAL PRECISION MITRALCLIP SY,55080.0,,27540.0,49572.0,61
CDM,09013993,EXT CABLE W/SAFE CONNECT DISP,63.0,,31.5,727.5,57
CDM,09014001,GDWIRE ASAHI SION,423.0,,27.95,380.7,57
CDM,09014023,GDWIRE GLADIUS MONGO,340.0,,27.95,306.0,57
CDM,09014230,DVC INFLATION ANALOG BASIX,145.0,,72.5,130.5,56
CDM,09014334,IMPELLA RP PUMP SET,61581.0,,30790.5,55422.9,56
CDM,09014369,CATH PREVAIL DRUG COATED PTCA,0.01,,0.005,2417.59,57
CDM,09014760,SYS CLIP DELIVERY TRICUSPID,67392.0,,33696.0,60652.8,61
CDM,09014761,TRICLIP SYSTEM (COMPONENT),0.01,,0.005,0.009,61
CDM,09014796,GUIDEWIRE SILVERWAY 260CM,117.0,,27.95,105.3,57
CDM,09015004,BLN OPN HI PRESS BALLOON,2430.0,,367.53,2187.0,57
CDM,09015074,CATH DIAG U/S VERISIGHT PRO,6365.0,,2936.22,5728.5,62
CDM,09015114,CATH RENAL SYMPLICITY SPYRAL,2996.0,,1498.0,2696.4,56
CDM,09015259,CATH PTA DILAT ULTRAVERSE 035,347.0,,173.5,312.3,57
CDM,09015884,CATH SWAN GANZ CCOMBO,522.0,,261.0,469.8,61
CDM,09016023,BUMA SUPREME STENT G160235,0.01,,0.005,1667.17,57
CDM,09016051,RENALGUARD SGL USE SET (N/C),0.01,,0.005,0.009,56
CDM,09016659,CATH PACIFIC PLUS,519.0,,257.51,467.1,57
CDM,09016723,CATH ANGIOJET ZELANTE DVT,6530.0,,314.82,5877.0,57
CDM,09016731,CATH ADMIRAL XTREME 250-300MM,361.0,,180.5,324.9,57
CDM,09016800,CATH INDIGO LT BLT TRQ 7X130,14400.0,,314.82,12960.0,62
CDM,09016803,CATH INDIGO LT BLT HTRQ 12X115,17496.0,,314.82,15746.4,62
CDM,09016805,CATH LT FLASH HTRQ 100CM,17586.0,,314.82,15827.4,62
CDM,09017016,PASCAL TRANSCATH MIRAL VLV,66332.0,,33166.0,59698.8,56
CDM,09017026,INARI THROMBECTOMY DVT PPP,16200.0,,314.82,14580.0,62
CDM,09017493,CATH BALLOON PACLITAXEL COATED,2629.0,,1314.5,2417.59,62
CDM,09018461,SHEATH GUID R2P DESTN SLENDER,597.0,,102.65,537.3,57
CDM,09020004,INFLATOR OPN NC HI PRESSURE,159.0,,79.5,143.1,56
CDM,09020060,RETREIVAL DEVICE ENSNARE,736.0,,70.07,662.4,57
CDM,09020100,SYS CLIP DELIVERY TRICUSPID,0.01,,0.005,0.009,56
CDM,09020101,SYS CLIP DELIVERY MITRACLIP,0.01,,0.005,0.009,61
CDM,09020143,DILATOR COONS TAPER,59.0,,29.5,53.1,56
CDM,09020145,INTRO PERFORMER HYDRO 12FX13CM,189.0,,46.81,170.1,57
CDM,09020269,OCCLUDER AMPLATZ POST MUSC VSD,14461.0,,7230.5,13014.9,62
CDM,09020618,DVC VASC CLOSURE ANGIO-SEAL,4050.0,,397.68,3645.0,57
CDM,09020911,VLV AORTIC TRANSCATH SAPIEN3,66194.0,,33097.0,59574.6,61
CDM,09021006,SHEATH GUIDE PROTRIEVE 20FR,0.01,,0.005,46.81,62
CDM,09021167,DVC WATCHMAN FLX PRO LAAC,35798.0,,17899.0,32218.2,61
CDM,09021679,CATH INDIGO 7X50 W/ ASP TUBING,17586.0,,314.82,15827.4,62
CDM,09021680,CATH LT FLASH HTRQ 80CM,17586.0,,314.82,15827.4,62
CDM,09021709,MITRACLIP G5 SYSTEM,59400.0,,29700.0,53460.0,61
CDM,09022230,SHEATH EXPANDABLE CONFIDA,0.01,,0.005,46.81,57
CDM,09022768,CATH AND BURR ROTALINK,2802.0,,1401.0,3771.46,57
CDM,09023375,GUIDEWIRE COPE MANDRIL,98.0,,27.95,88.2,57
CDM,09024334,IMPELLA RP PUMP SET:STEMI-DTU,64043.0,,32021.5,57638.7,56
CDM,09025393,INTRODUCER/SHEATH NON EP/LASER,0.01,,0.005,46.81,57
CDM,09026957,GWIRE REUTER TIP DEFLECTING,217.0,,27.95,195.3,57
CDM,09028003,IMPELLA CP ST SN-PMP:STEMI DTU,64043.0,,32021.5,57638.7,56
CDM,09029404,VLV TAVR SAPIEN3 29MM W/ALTERA,74700.0,,37350.0,67230.0,61
CDM,09030101,SYS CLIP DEL MITRACLIP (N/C),0.01,,0.005,0.009,56
CDM,09034358,CATH GUIDING EAUCATH,499.0,,102.65,449.1,57
CDM,09035136,CATH GUIDING ASAHI EAUCATH-N/C,0.01,,0.005,102.65,57
CDM,09035393,GUIDEWIRE,0.01,,0.005,27.95,57
CDM,09039031,CATH BALLOON STERLING BOST SCI,621.0,,257.51,558.9,57
CDM,09039114,STENT PROMUS ELITE,2071.0,,1035.5,1863.9,62
CDM,09039242,GUIDEWIRE GUIDEZILLA,1138.0,,27.95,1024.2,57
CDM,09040302,GDWIRE ASAHI FIELDER XT,351.0,,27.95,315.9,57
CDM,09040850,INTRODUCER ENGAGE,30.0,,15.0,46.81,57
CDM,09041669,EVOLUT PRO+ SYSTEM,60743.0,,30371.5,54668.7,56
CDM,09042003,GDWIRE ASAHI PERIPH GLADIUS,450.0,,27.95,405.0,57
CDM,09046501,GDEWIRE AMPLATZ SUPER STIFF J,193.0,,27.95,173.7,57
CDM,09046502,GDWIRE FIXED CORE,80.0,,27.95,72.0,57
CDM,09048003,IMPELLA CP SET PUMP,64043.0,,32021.5,57638.7,56
CDM,09048008,SET INTRO STIFF 21GAX7CM,154.0,,46.81,138.6,57
CDM,09049392,CATH BLN NC EMERGE MONORAIL,312.0,,156.0,280.8,57
CDM,09050003,CATH SWAN GANZ/PRESS,201.0,,100.5,180.9,56
CDM,09050005,INTRO DIAG TRANSSEPTAL,1591.0,,256.64,1431.9,57
CDM,09050020,DVC EMBOL PROT SPIDERFX,2993.0,,1461.69,2693.7,62
CDM,09051529,SYSTEM CLOSURE VASC MYNX,511.0,,255.5,459.9,57
CDM,09052003,GDWIRE ASAHI SUOH,351.0,,27.95,315.9,57
CDM,09052240,CATH VASC EXTRACTION PRONTO LP,757.0,,314.82,681.3,57
CDM,09052279,CATH KODAMA HDI IVUS,1476.0,,738.0,1340.69,62
CDM,09052915,CATHETER CORONARY DIAMBCK,8152.0,,3771.46,7336.8,57
CDM,09053683,INFLATION DEVICE,215.0,,107.5,193.5,56
CDM,09053689,CATH NANOCROSS 150MM-210MM,1007.0,,257.51,906.3,57
CDM,09053822,CATH THROMBECTOMY INDIGO 8,6845.0,,314.82,6160.5,57
CDM,09053824,SEPARATOR INDIGO 8,4453.0,,314.82,4007.7,57
CDM,09053950,INTRODUCER TRANSSEPTAL,238.0,,46.81,214.2,62
CDM,09055034,CATH IVUS OPTICROSS,1602.0,,801.0,1441.8,57
CDM,09055035,PERICARDIOCENTESIS KIT (ONLY),460.0,,230.0,414.0,56
CDM,09055047,BAND TR RADIAL ARTERY COMP DEV,124.0,,62.0,111.6,56
CDM,09055050,MITRAL BALOON CATH-INOUE,7449.0,,257.51,6704.1,57
CDM,09055990,CANNULA FEM ARTERIAL,511.0,,255.5,459.9,56
CDM,09055994,GUIDE WIRE FIXED-CORE COOK MED,350.0,,27.95,315.0,57
CDM,09055995,CATHETER-PACING,1450.0,,725.0,1305.0,56
CDM,09055999,CATH THROMBECTOMY ANGIOJET,4196.0,,314.82,3776.4,57
CDM,09056165,CATH BALL DILAT PTA ATLAS GOLD,590.0,,257.51,531.0,62
CDM,09056290,FORCEP BIOPSY ENDOMYOCARDIAL,413.0,,206.5,371.7,56
CDM,09056555,CATH ATLAS GLD PTA DIL 20,1266.0,,257.51,1139.4,62
CDM,09056565,CATH CONQUEST 40 PTA DILATION,498.0,,249.0,448.2,57
CDM,09057123,CATH GUIDING GUIDELINER,1000.0,,102.65,900.0,57
CDM,09060502,ENDOPROSTH VIABAHN 6X5X120,6536.0,,1667.17,5882.4,62
CDM,09060603,CATH TORCON NB ADV 5F 125CM,63.0,,31.5,102.65,57
CDM,09061297,RETREIVAL SET MULTI-SNARE,621.0,,70.07,558.9,57
CDM,09063692,GDWIRE ASAHI GAIA,390.0,,27.95,351.0,57
CDM,09063694,GDWIRE EXTENSION ASAHI 014X165,250.0,,27.95,225.0,57
CDM,09067728,FILTER IVC OPTION ELITE 5F 70C,2323.0,,1161.5,2090.7,62
CDM,09070118,SYS TRICUS STEERABLE GUIDW/DI,66332.0,,33166.0,59698.8,56
CDM,09070227,VALVE TRANSFEM AORTIC ACURATE,61910.0,,30955.0,55719.0,61
CDM,09074436,GDWIRE ASAHI PROWATER,250.0,,27.95,225.0,57
CDM,09074720,SYSTEM CLOSURE VASC PERCLOSE,1970.0,,397.68,1773.0,57
CDM,09074939,STENT SYNERGY MR,3435.0,,1667.17,3091.5,62
CDM,09075753,GDWIRE ASAHI MIRACLEBRO,794.0,,27.95,714.6,57
CDM,09076471,DILATOR HYDROPHILIC,124.0,,62.0,111.6,56
CDM,09077007,CATH BERMAN ANGIO,403.0,,201.5,362.7,56
CDM,09077008,CATH BERMAN WEDGE,192.0,,96.0,172.8,56
CDM,09078019,INTRO MINI STICK**,62.0,,31.0,55.8,57
CDM,09078020,GWIRE MINI STICK**,62.0,,27.95,55.8,57
CDM,09078600,GUIDE WIRE THRUWAY,239.0,,27.95,215.1,57
CDM,09078876,GWIRE LUNDERQUIST G31453,387.0,,27.95,348.3,57
CDM,09079180,GWIRE LUNDERQUIST .035INX300CM,300.0,,27.95,270.0,57
CDM,09079596,CATH PTA Z-MED II 14MMX4CM,1061.0,,257.51,954.9,57
CDM,09079603,CATH PTA Z-MED II 20MMX4CM,1218.0,,257.51,1096.2,57
CDM,09079605,CATH PTA Z-MED II 22MMX4CM,1218.0,,257.51,1096.2,57
CDM,09079608,CATH PTA Z-MED II 25MMX4CM,1170.0,,257.51,1053.0,57
CDM,09080502,ENDOPROSTH VIABAHN 8X5X120,6282.0,,1667.17,5653.8,62
CDM,09080708,GWIRE CONFIDA .035X260CM,527.0,,27.95,474.3,57
CDM,09080734,GWIRE RUNTHROUGH HYPERCOAT,330.0,,27.95,297.0,57
CDM,09080788,CATH BALLOON EUPHORA,320.0,,160.0,288.0,57
CDM,09081010,DVC OCCLUDER AMPLATZER DUCT,3863.0,,1931.5,12273.7,62
CDM,09081331,"RETRIEVAL DEVICE, SNARE",644.0,,70.07,579.6,57
CDM,09081549,DILATOR VASCULAR COONS 14F,332.0,,166.0,298.8,56
CDM,09081550,DILATOR VASCULAR COONS 45CM,441.0,,220.5,396.9,56
CDM,09082000,SAFEGUARD PRESSURE DRESSING,194.0,,97.0,174.6,56
CDM,09083505,INTRODUCER FLEXOR SIDE ARM 6FR,298.0,,46.81,268.2,57
CDM,09083511,CATH SUPPORT QUICK-CROSS 01,574.0,,102.65,516.6,57
CDM,09083537,BALLOON AMPLATZER SIZING,554.0,,277.0,498.6,56
CDM,09085002,GUIDE WIRE BSX ROTAWIRE,866.0,,27.95,779.4,57
CDM,09085083,FILTERWIRE EX,4832.0,,1461.69,4348.8,62
CDM,09085091,GDWIRE ASAHI GRNDSLAM,394.0,,27.95,354.6,57
CDM,09085092,GUIDING CATHETER MDT,994.0,,102.65,894.6,57
CDM,09085095,MEDTRONIC COUGAR WIRE,461.0,,27.95,414.9,57
CDM,09085202,GDWIRE SPARTACORE 14,267.0,,27.95,240.3,57
CDM,09085389,CATH DIAG US ACUNAV REPORCESS,1714.0,,857.0,2936.22,57
CDM,09086005,LUBRICANT ROTAGLIDE 20ML,286.0,,143.0,257.4,56
CDM,09089517,GUIDEWIRE PIGTAIL PROTRACK,498.0,,27.95,448.2,57
CDM,09090267,GWIRE RUNTHROUGH,264.0,,27.95,237.6,57
CDM,09091154,CATH LUTONIX DCB>120CM,3428.0,,1714.0,3085.2,57
CDM,09091506,CATH TAKERU PTCA BALLOON 1.5MM,0.01,,0.005,257.51,57
CDM,09092688,CATH POWER-TRIALYSIS 5605150,475.0,,237.5,427.5,61
CDM,09092831,GUIDE WIRE GLIDEWIRE,969.0,,27.95,872.1,57
CDM,09092832,GUIDE WIRE BSX V-18,262.0,,27.95,235.8,57
CDM,09092833,GUIDEWIRE JNJ SV,225.0,,27.95,202.5,57
CDM,09092842,CATH IABP DATASCOPE W/INS KIT,1647.0,,823.5,1482.3,56
CDM,09092943,CATH HEMODIAL SHORT-TERM,406.0,,98.18,365.4,62
CDM,09092995,CATH ROTALINK,2259.0,,1129.5,3771.46,57
CDM,09093818,GDWIRE ABBOTT BALANCE,394.0,,27.95,354.6,57
CDM,09094803,CATH BALLOON SPRINTER,320.0,,160.0,288.0,57
CDM,09094979,CATH IAB SENSATION PLUS,1960.0,,980.0,1764.0,56
CDM,09094980,CATH IABP DATASCOPE W/INS KIT,1960.0,,980.0,1764.0,56
CDM,09095352,SNARE RETRIEVAL KIT PFM 147305,564.0,,70.07,507.6,57
CDM,09180013,OBSERV PER HR - GISO,80.0,,40.0,2436.0,57
CDM,09190003,ROOM & BED CHARGE - GISO,1794.0,,654.0,7500.0,190
CDM,09210002,CARBOXYHEMOGLOBIN,242.0,,4.55,217.8,70
CDM,09210004,METHEMOGLOBIN,219.0,,7.54,197.1,68
CDM,09210005,ABG WITH CALC O2 SAT,376.0,,13.29,338.4,68
CDM,09210006,VBG WITH CALC O2 SAT.,376.0,,13.29,338.4,68
CDM,09210007,ELECTROL K+POTASS,110.0,,2.35,99.0,68
CDM,09210008,IONIZED CALCIUM,214.0,,2.31,192.6,68
CDM,09210009,ELECTROL NA SODIUM,107.0,,2.38,96.3,68
CDM,09210010,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,09210011,ELCT-IONIZ CALC CAH,214.0,,2.31,192.6,68
CDM,09210014,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,09210015,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,09210016,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,09210017,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,09210018,MIXED VENOUS BLOOD GAS,376.0,,13.29,338.4,68
CDM,09210019,PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,70
CDM,09210020,SETUP 4 TRANSDUCERS,880.0,,440.0,792.0,56
CDM,09210021,FIBRINOGEN ACTIVITY,265.0,,5.74,238.5,68
CDM,09210024,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,09210347,COAG TIME ACTIVATED (ACT),250.0,,3.94,225.0,68
CDM,09210384,FIBRINOGEN-ACTIVITY TEG,265.0,,5.74,238.5,68
CDM,09210390,FIBRINOLYSINS SCR INTERP RPT,259.0,,3.43,233.1,68
CDM,09210434,SODIUM VBG,107.0,,2.38,96.3,68
CDM,09210545,SETUP 1 TRANSDUCER,213.0,,106.5,191.7,56
CDM,09210575,SETUP 2 TRANSDUCERS,685.0,,342.5,616.5,56
CDM,09210590,SETUP 3 TRANSDUCERS,908.0,,454.0,817.2,56
CDM,09236210,ANTI-XA,478.0,,9.0,430.2,70
CDM,09255188,POTASSIUM VBG,110.0,,2.35,99.0,68
CDM,09255288,POTASSIUM ABG,110.0,,2.35,99.0,68
CDM,09255380,CVLBG WITH CALC O2 SAT.,376.0,,13.29,338.4,68
CDM,09282435,CHLORIDE BLOOD,73.0,,2.34,65.7,68
CDM,09285576,PLATELET AGG EA AGENT,260.0,,21.97,234.0,68
CDM,09380013,OBSERV PER HR C5N PSYCH,59.0,,29.5,2436.0,57
CDM,09700408,INS/REP CARD SYS GEN/ELECT,75134.0,,26408.35,67620.6,68
CDM,09700571,INS/REP DEFIB SUBSTERNAL ELECT,69401.0,,26408.35,62460.9,68
CDM,09700572,INS DEFIB SUBSTERNAL ELECT,17919.0,,6816.72,16127.1,68
CDM,09700573,REM DEFIB SUBSTERNAL ELECT,7878.0,,2997.61,7090.2,68
CDM,09700574,REPOS DEFIB SS ELECT,7878.0,,2997.61,7090.2,68
CDM,09700644,TRANSCATH REM/DEBULK CARDIAC M,15110.0,,4696.2,13599.0,68
CDM,09700795,INS TCATH DUAL CHAMBER LEADLES,46414.0,,15708.46,41772.6,68
CDM,09703380,TRNSCTH RNL SYMP DNRV PERC UNI,13570.0,,4696.2,12213.0,68
CDM,09703390,TRNSCTH RNL SYMP DNRV PERC BI,13570.0,,4696.2,12213.0,68
CDM,09703451,CATH RIGHT HEART (59 MOD),10431.0,,775.0,9387.9,57
CDM,09703999,COIL EMB PERI-DVC LEAK L ATRIL,27075.0,,509.25,24367.5,68
CDM,09707990,REM TCATH DUAL CHAMBER LEADLES,6813.0,,2592.52,6131.7,68
CDM,09708230,INS PERM 1 CHAMBER LEADLESS PA,49840.0,,15708.46,44856.0,69
CDM,09708250,REM PERM 1 CHAMBER LEADLESS PA,41281.0,,15708.46,37152.9,68
CDM,09708924,ECHO TRANSTHORACIC W/WO FOL W,2078.0,,294.16,1870.2,69
CDM,09710060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,09710101,DEL-PULM ART HYPERTENSION STDY,13358.0,,6679.0,12022.2,61
CDM,09710120,INCISION/REM FB SUBQ SMP,634.0,,253.6,570.6,68
CDM,09710140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,09711042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,09711199,GLOBE PULSED FIELD SYSTEM,19469.0,,9734.5,17522.1,56
CDM,09713603,RIGHT VENTRICULAR RECORDING,6723.0,,999.94,6050.7,69
CDM,09733016,PERICARDIOCENTESIS W/IMAGING,6087.0,,1279.53,5478.3,68
CDM,09733017,PRCRD DRG 6YR+ W/O CGEN CAR,7276.0,,2910.4,6548.4,56
CDM,09733018,PRCRD DRG 0-5YR OR W/ANOMLY,6087.0,,2434.8,5478.3,56
CDM,09733019,PERICARD DRN W/CATH & CT GUIDE,6087.0,,2434.8,5478.3,56
CDM,09733206,INS/REPL PACMKR PERM ATRIAL,28318.0,,8620.04,25486.2,68
CDM,09733207,INS/REPL PACEMKR PERM VENT,29820.0,,8620.04,26838.0,68
CDM,09733208,INS/REPL PACEMKR PERM A/V,33557.0,,8620.04,30201.3,68
CDM,09733210,INS/REPL ELECT CARDIAC SGL,13428.0,,5371.2,12085.2,68
CDM,09733211,INS/REPL ELECT CARDIAC DUAL,9350.0,,3740.0,10188.03,68
CDM,09733212,INSERT PACEMAKER GEN SINGLE,16869.0,,6747.6,15182.1,68
CDM,09733213,INSERT PACEMKR GEN DUAL,28378.0,,8620.04,25540.2,68
CDM,09733214,UPGRADE PACEMKR IMPLANT,20703.0,,8281.2,18632.7,68
CDM,09733215,REPOSITION PACEMKR RT SIDE,8230.0,,2592.52,7407.0,68
CDM,09733216,INS ELEC TRANVEN SGL CHAMB,11143.0,,4457.2,10188.03,68
CDM,09733217,INS ELEC TRANVEN DUAL CHMB,8024.0,,3209.6,10188.03,68
CDM,09733218,REPAIR SGL TRANSV ELECTRODE,9832.0,,2997.61,8848.8,68
CDM,09733220,REPAIR 2 TRANSV ELECTRODES,4368.0,,1747.2,4480.12,68
CDM,09733221,INS PCMKR GEN W/EXISTING MLT,56389.0,,15708.46,50750.1,68
CDM,09733222,REV PCKT SKIN FOR PACEMKR,4478.0,,1506.69,4030.2,68
CDM,09733223,REV PCKT SKIN FOR DEFIB,4141.0,,1506.69,3726.9,68
CDM,09733224,INS LEAD TO PREV PACEMKR,13411.0,,5364.4,12883.21,68
CDM,09733225,INS LEAD W/INS PCMKR/DEFIB,10943.0,,4377.2,9848.7,56
CDM,09733226,REPOSITION PACEMKR LT SIDE,7057.0,,2592.52,6351.3,68
CDM,09733227,RMV/RPLC PERM PM GEN SGL SYS,22868.0,,6816.72,20581.2,68
CDM,09733228,RMV/RPLC PERM PM GEN DUAL SYS,25610.0,,8620.04,23049.0,68
CDM,09733229,RMV/RPLC PERM PM GEN MLT SYS,26298.0,,10519.2,23668.2,68
CDM,09733231,INS CARDIO-DEFIB GENER W/MULTI,47504.0,,19001.6,42753.6,68
CDM,09733233,REM PACEMKR PULSE GENER,6396.0,,2558.4,10188.03,68
CDM,09733234,REM LEAD TRANSVENOUS SGL,5704.0,,2281.6,5133.6,68
CDM,09733235,REM LEAD TRANSVEN DUAL,8421.0,,2997.61,7578.9,68
CDM,09733240,INSERT ICD GEN ONLY SNGL CHMBR,21488.0,,8595.2,27632.1,68
CDM,09733241,REM DEFIB PULSE GEN SUB,8600.0,,2997.61,7740.0,68
CDM,09733244,REM DEFIB LEAD TRANSVEN,10580.0,,2997.61,9522.0,68
CDM,09733249,INS/REP DEFIB W/LEAD SGL/DUAL,71462.0,,26408.35,64315.8,68
CDM,09733262,REMV & REPLC CVD GEN SINGLE,57459.0,,18488.38,51713.1,68
CDM,09733263,REMV & REPLC CVD GEN DUAL,65156.0,,18488.38,58640.4,68
CDM,09733264,REMV & REPLC CVD GEN MULTIPLE,68260.0,,26408.35,61434.0,68
CDM,09733270,INS/REP DEFIB SYS W/SUBQ ELECT,45633.0,,18253.2,41069.7,68
CDM,09733271,INSERT SUBQ DEFIB ELECTRODE,19409.0,,6816.72,17468.1,68
CDM,09733272,REMOVE SUBQ DEFIB ELECTRODE,7742.0,,2997.61,6967.8,68
CDM,09733273,REPOS SUBQ DEFIB ELECTRODE,7828.0,,2997.61,7045.2,68
CDM,09733274,TCAT INS/RPL PERM LDLS PCMKR,41841.0,,15708.46,37656.9,68
CDM,09733275,TCAT RMVL PERM LDLS PCMKR,5306.0,,2122.4,4775.4,68
CDM,09733285,INSJ SUBQ CARD RHYTHM MNTR,8393.0,,3357.2,10188.03,68
CDM,09733286,RMVL SUBQ CARD RHYTHM MNTR,3882.0,,579.53,3493.8,68
CDM,09733340,PERQ CLSR TCAT L ATR APNDG,27075.0,,10830.0,24367.5,56
CDM,09733967,IABP INSERTION,8063.0,,3225.2,7256.7,56
CDM,09733990,INST VENT ASST DEVICE PERC ART,10116.0,,4046.4,9104.4,56
CDM,09733991,IMPL VENT ASST DEVICE SGL DUAL,19833.0,,7933.2,17849.7,56
CDM,09733993,REPOS PERC DVC VENTIC SEP/DIST,7588.0,,3035.2,6829.2,56
CDM,09736251,PLACE CATH RENAL 1ST ORDER UNI,7815.0,,2592.52,7033.5,68
CDM,09736252,PLACE CATH RENAL 1ST ORDER BIL,8886.0,,2592.52,7997.4,68
CDM,09736556,INS CATH CV NON-TUNL >/=5YRS,4244.0,,1697.6,3874.7,68
CDM,09736569,INS PICC WO SUBQ PORT/PUMP >5Y,3258.0,,1279.53,2932.2,68
CDM,09736589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,09736590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,09737187,PERCUT TRANSLUM MECH THROMBECT,15110.0,,6044.0,13960.66,68
CDM,09737197,RETRV FB TRANSCATH PERC,9952.0,,2592.52,8956.8,68
CDM,09737248,TRLUML BALO ANGIOP 1ST VEIN,13199.0,,4696.2,11879.1,68
CDM,09775820,XR VENOGRAM EXTREMITY UNILAT,2661.0,,142.0,4042.37,68
CDM,09776000,XR FLUORO <1HR,941.0,,10.0,846.9,68
CDM,09792960,CARDIOVERSION ELECTV EXT,2884.0,,205.0,2595.6,69
CDM,09793260,EVAL SUBQ LEAD DEFIB SYSTEM,1807.0,,30.72,1626.3,69
CDM,09793261,INTERR DEVICE EVAL SUBQ DEFIB,286.0,,30.72,257.4,69
CDM,09793286,PERI-PROC DEVICE EVAL PM,409.0,,204.5,368.1,57
CDM,09793287,PERI-PROC DEVICE EVAL ICD,419.0,,35.0,377.1,57
CDM,09793288,INTERROG EVAL IMPL PM,383.0,,30.72,344.7,69
CDM,09793289,INTERROG EVAL IMPL CARD ICD,558.0,,30.72,502.2,69
CDM,09793308,ECHO 2D W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,09793318,ECHO TEE MONITORING,3656.0,,451.62,3290.4,69
CDM,09793355,ECHO TRANSESOP CARD/CRT VESSEL,5970.0,,2985.0,5373.0,57
CDM,09793356,MYOCARDIAL STRAIN IMAGING,1095.0,,22.17,985.5,57
CDM,09793451,CATH RIGHT HEART,11262.0,,775.0,10135.8,69
CDM,09793452,CATH LEFT HEART W/ VENTRCLGRPH,17853.0,,1216.0,16067.7,69
CDM,09793453,CATH RT/LT HEART W/ VENT,25180.0,,1530.0,22662.0,69
CDM,09793454,CORONARY ARTERY ANGIO S&I,16794.0,,1251.0,15114.6,69
CDM,09793455,CORONARY ARTERY/GRAFT ANGIO,19983.0,,1741.0,17984.7,69
CDM,09793456,RT HRT CORONARY ARTERY ANGIO,28059.0,,2649.28,25253.1,69
CDM,09793457,RT HRT ARTERY/GRAFT ANGIO,30686.0,,2059.5,27617.4,69
CDM,09793458,LT HRT ART/VENTRICLE ANGIO,23177.0,,1054.97,20859.3,69
CDM,09793459,LT HRT ARTERY/GRAFT ANGIO,28639.0,,2075.0,25775.1,69
CDM,09793460,RT&LT HRT ART/VENTRICLE ANGIO,29966.0,,1899.0,26969.4,69
CDM,09793462,CATH LT HRT TRANSPT/ TRANSAP,5057.0,,337.0,4551.3,57
CDM,09793503,INSERTION SWAN GANZ,5064.0,,1279.53,4557.6,69
CDM,09793505,BIOPSY ENDOMYOCARDIAL,9151.0,,451.0,8235.9,69
CDM,09793583,PERC TRANSCATH SEPTAL RED THPY,18161.0,,7264.4,16344.9,56
CDM,09793602,INTRA-ATRIAL RECORDING,7668.0,,3834.0,9341.24,69
CDM,09793609,TACHYCARDIA SITE MAPPING,16033.0,,353.08,14429.7,58
CDM,09793610,EP INTRA-ATRIAL PACING,6565.0,,3282.5,9341.24,69
CDM,09793613,EP INTRACARDIAC 3-D MAPPING,20055.0,,367.68,18049.5,57
CDM,09793620,EP COMPREH W/ARRHYTHMIA,28857.0,,919.21,25971.3,69
CDM,09793621,INTRACARDIAC EP,20017.0,,110.15,18015.3,58
CDM,09793622,EP COMPREHENSIVE W/LT VENT,23220.0,,162.55,20898.0,58
CDM,09793623,EP IV DRUG INFUSION PACING,11303.0,,149.3,10172.7,58
CDM,09793624,EP FOLLOW UP,16892.0,,6250.14,15202.8,69
CDM,09793641,EP EVAL CARDIO/DEFIB GEN,4444.0,,126.0,3999.6,58
CDM,09793642,EP EVAL CARD/DEFIB SGL/DUAL,5057.0,,126.0,4551.3,69
CDM,09793644,EP EVAL DEFIB W/PROG PARAM,12149.0,,6074.5,10934.1,57
CDM,09793650,ABLAT ATRIOVENTRIC FUNCT,29809.0,,6250.14,26828.1,69
CDM,09793653,EPHYS EVAL W/ABLATION SUPRA,85301.0,,822.68,76770.9,69
CDM,09793654,EPHYS EVAL W/ABLATION VENTRIC,114411.0,,1097.92,102969.9,69
CDM,09793655,ICAR CATHETER ABLATION ARRHYTH,57208.0,,411.34,51487.2,57
CDM,09793656,EPHYS EVL TRNSPTL TX ATRIAL,94783.0,,1098.26,85304.7,69
CDM,09793657,ABLAT L/R ATRIAL FIBRIL W/IS,45183.0,,411.68,40664.7,57
CDM,09793662,EP INTRACARD ECHO INTERVEN,6647.0,,329.89,5982.3,58
CDM,09793724,ANLYS PCMKR ANTITACHYCARDIA,1350.0,,39.0,1215.0,69
CDM,09796374,THERAPY/PRO/DX IV PUSH INIT,466.0,,173.54,419.4,68
CDM,09800003,MISC SURGICAL PROCEDURE,0.01,,0.004,0.009,56
CDM,09800099,TRANSCATH TRICUSP VLV RPR INIT,44465.0,,509.25,40018.5,68
CDM,09800338,TRNSCTH RNL SYMP DNRV PERC UNI,5258.0,,2629.0,7018.78,68
CDM,09800339,TRNSCTH RNL SYMP DNRV PERC BIL,5258.0,,2629.0,7018.78,68
CDM,09800483,IMPL/REM TMVI PERC W/PUNC,31518.0,,1218.38,28366.2,57
CDM,09800644,TRANSCATH REM/DEBULK CARDIAC M,15110.0,,4696.2,13599.0,68
CDM,09800646,TTVI REPLACE PROSTHETIC VALVE,31518.0,,1016.37,28366.2,57
CDM,09800687,PERC TRANSCATH CLS SEPTL DEFCT,42971.0,,128.87,38673.9,68
CDM,09800799,ASPIRATION THROMBECTOMY,3282.0,,128.87,2953.8,68
CDM,09800999,TRANSCATH MITRAL VALVE REPAIR,41173.0,,509.25,37055.7,68
CDM,09801318,INS LT HRT VENT PERC-ECMO/ECLS,22406.0,,509.25,20165.4,68
CDM,09801335,ALLAY TRANSCATH SHUNT CREATE,3353.0,,509.25,3017.7,68
CDM,09802006,ANGIOGRAPHY ILIAC DURING CATH,4257.0,,2128.5,3831.3,55
CDM,09802007,PL CATH ABD/PEL 1ST (MOD 59),3792.0,,1516.8,3412.8,56
CDM,09802015,INJ VENOGRAM EXTREMITY,1971.0,,788.4,1773.9,56
CDM,09802016,PLACE CATH THOR/BRAC 2ND ORDER,5288.0,,2115.2,4759.2,56
CDM,09802017,PLACE CATH THOR/BRAC 2ND ORDER,5288.0,,2115.2,4759.2,56
CDM,09802027,XR ANGIO EXTREMITY LT,5732.0,,196.0,8190.45,56
CDM,09802028,XR ANGIO EXTREMITY RT,5732.0,,196.0,8190.45,56
CDM,09802058,XR ANGIO EXTREMITY UNI,5732.0,,196.0,8190.45,68
CDM,09802978,IVUS INIT VESSEL-UNLSTD PROC,9712.0,,128.87,8740.8,69
CDM,09802979,IVUS ADDL VESSEL-UNLSTD PROC,4101.0,,128.87,3690.9,69
CDM,09803380,TRNSCTH RNL SYMP DNRV PERC UNI,13570.0,,4696.2,12213.0,68
CDM,09803390,TRNSCTH RNL SYMP DNRV PERC BI,13570.0,,4696.2,12213.0,68
CDM,09803451,CATH RIGHT HEART (59 MOD),10431.0,,775.0,9387.9,57
CDM,09803505,BIOPSY ENDOMYOCARDIAL (59),7006.0,,451.0,6305.4,57
CDM,09803571,PRESSURE WIRE INIT-UNLSTD PROC,2453.0,,128.87,2207.7,69
CDM,09803572,PRESSURE WIRE ADDL-UNLSTD PROC,782.0,,128.87,703.8,69
CDM,09803580,PTC W/IMPLNT ATRIAL-CLIN TRIAL,37962.0,,18981.0,34165.8,56
CDM,09803990,INST VENT ASST DVC PERC ART RT,9365.0,,509.25,8428.5,68
CDM,09803999,VSD AMPLATZ MUSC OCCLUDER PROC,16931.0,,509.25,15237.9,68
CDM,09805020,CORONARY FFR FROM CTA DATA TRA,3335.0,,1334.0,3001.5,56
CDM,09805690,TTVR PERC APPROACH 1ST PROSTHE,45558.0,,805.06,41002.2,57
CDM,09805700,TTVR PERC APPROACH ADD PROSTHE,31592.0,,389.05,28432.8,57
CDM,09806460,TTVI RPLC PROSTH VLV (TRIAL),11300.0,,1016.37,10170.0,57
CDM,09806497,OPTICAL COHERENCE TOMOGRAPHY,4073.0,,72.52,3665.7,68
CDM,09807150,PERQ TRLUML CORONARY LITHOTRP,15214.0,,6085.6,13692.6,56
CDM,09807799,PLCMT HYPOTHERMIA COOLING CATH,3929.0,,509.25,3536.1,68
CDM,09807990,REM TCATH DUAL CHAMBER LEADLES,6813.0,,2592.52,6131.7,68
CDM,09808924,ECHO TRANSTHORACIC W/WO FOL W,2078.0,,294.16,1870.2,69
CDM,09808925,ECHO TEE 2D W/WO CONT FOL W/CO,4183.0,,650.75,3764.7,69
CDM,09809130,PTCA THER RX INTRACORONARY BAL,17105.0,,4696.2,15394.5,68
CDM,09809140,PTCA THER RX INTRACORONARY BAL,10150.0,,4060.0,9135.0,56
CDM,09809600,PL STNT DRG ELUT I/C W/PL SGL,45521.0,,9340.95,40968.9,68
CDM,09809601,PL STNT DRG ELUT I/C W/PL ADDL,29587.0,,7243.24,26628.3,57
CDM,09809602,ATHEREC COR STNT W/PL SGL,61705.0,,14790.52,55534.5,68
CDM,09809603,ATHEREC COR STNT W/PL ADDL,42696.0,,6097.15,38426.4,57
CDM,09809604,REVASC COR BYP GRAFT ANY SGL,66643.0,,9340.95,59978.7,68
CDM,09809605,REVASC COR BYP GRAFT ANY ADDL,43470.0,,6493.14,39123.0,57
CDM,09809606,REVASC OCCLUSN ACUTE MI SGL,84067.0,,12260.04,75660.3,57
CDM,09809607,REVASC OCCLUSN CHRONIC SGL,84067.0,,14790.52,75660.3,68
CDM,09809764,REVASC  INTRAVASC LITHOTRIPSY,15214.0,,6085.6,13960.66,68
CDM,09809765,REVASC INTRAVASC LITHO STENT,45101.0,,14790.52,40590.9,68
CDM,09809766,REVASC INTRAVASC LITHO ATHER,45072.0,,14790.52,40564.8,68
CDM,09810037,PERFLUTREN VL 6.52MG/ML 2ML,474.0,,50.26,426.6,55
CDM,09810999,TRANSCATH TRICUSP VLV RPR ADDL,36385.0,,509.25,32746.5,68
CDM,09813799,MITRAL PARAVALV LEAK CLOSURE,34249.0,,128.87,30824.1,69
CDM,09817211,THPY INFS THROM NON-COR INT BI,14376.0,,5750.4,12938.4,56
CDM,09826005,INJ VENOGRAM EXTREMITY BILAT,3195.0,,1278.0,2875.5,56
CDM,09833016,PERICARDIOCENTESIS W/IMAGING,6087.0,,1279.53,5478.3,68
CDM,09833017,PRCRD DRG 6YR+ W/O CGEN CAR,7276.0,,2910.4,6548.4,56
CDM,09833018,PRCRD DRG 0-5YR OR W/ANOMLY,6087.0,,2434.8,5478.3,56
CDM,09833019,PERICARD DRN W/CATH & CT GUIDE,6087.0,,2434.8,5478.3,56
CDM,09833210,INS/REPL ELECT CARDIAC SGL,13428.0,,5371.2,12085.2,68
CDM,09833289,TCAT IMPL WRLS P-ART PRES SNR,31246.0,,12498.4,34996.33,68
CDM,09833340,PERQ CLSR TCAT L ATR APNDG,27075.0,,10830.0,24367.5,56
CDM,09833361,TAVR/TAVI W/PROS VALVE PERC FE,31038.0,,12415.2,27934.2,56
CDM,09833362,TAVR/TAVI W/PROS OPEN FE,37674.0,,15069.6,33906.6,56
CDM,09833363,TAVR/TAVI W/PROS VALVE OPEN AX,44311.0,,17724.4,39879.9,56
CDM,09833365,TAVR/TAVI W/PROS VALVE TRNSARO,60601.0,,24240.4,54540.9,56
CDM,09833418,TRANSCATH MITRAL VLV RPR INIT,44465.0,,17786.0,40018.5,56
CDM,09833419,TRANSCATH MITRAL VALVE RPR ADD,36385.0,,14554.0,32746.5,56
CDM,09833463,VALVULOPL TRICUSPID W/O RING,21418.0,,8567.2,19276.2,56
CDM,09833477,IMPL CATH-DELIV PULM VALVE,46520.0,,18608.0,41868.0,56
CDM,09833647,RPR DEF ATRIAL/VENTR CLOSE,10929.0,,4371.6,9836.1,56
CDM,09833741,TAS CONG CARDIAC ANOMALIES,2006.0,,802.4,1805.4,56
CDM,09833745,TIS CONG CARDIAC ANOMALIE 1ST,12224.0,,4889.6,11001.6,56
CDM,09833880,E/V RPR TAA + THOR AORT EXT,20724.0,,8289.6,18651.6,56
CDM,09833946,ECMO/ECLS INIT VENO-VENOUS,22018.0,,8807.2,19816.2,56
CDM,09833947,ECMO/ECLS INIT VENO-ARTERIAL,19609.0,,7843.6,17648.1,56
CDM,09833952,ECMO/ECLS INS CANN PRC 6+,10958.0,,4383.2,9862.2,56
CDM,09833958,ECMO/ECLS REP CANN PRC 6+,5005.0,,2002.0,4504.5,56
CDM,09833966,ECMO/ECLS REM CANN PRC 6+,11841.0,,4736.4,10656.9,56
CDM,09833967,IABP INSERTION,8063.0,,3225.2,7256.7,56
CDM,09833968,IABP REMOVAL,2328.0,,931.2,2095.2,56
CDM,09833990,INST VENT ASST DEVICE PERC ART,10116.0,,4046.4,9104.4,56
CDM,09833991,IMPL VENT ASST DEVICE SGL DUAL,19833.0,,7933.2,17849.7,56
CDM,09833992,REM PERC DVC VENTIC SEP/DIST,6849.0,,2739.6,6164.1,56
CDM,09833993,REPOS PERC DVC VENTIC SEP/DIST,7588.0,,3035.2,6829.2,56
CDM,09833995,INSJ PERQ VAD R HRT VENOUS,8920.0,,3568.0,8028.0,56
CDM,09833997,RMVL PERQ RIGHT HEART VAD,6849.0,,2739.6,6164.1,56
CDM,09833998,TRANSCATH TRICUSP UNLISTED,2516.0,,509.25,2264.4,68
CDM,09834713,PERQ ACCESS & CLSR FEM ART,5272.0,,2108.8,4744.8,56
CDM,09836002,INJ TX PSEUDOANEUR EXTREM PERC,1823.0,,509.25,1640.7,68
CDM,09836005,INJECT CONTRAST VENOGM,2577.0,,1030.8,2319.3,56
CDM,09836010,INTRO CATH VENA CAVA SUP/INF,3104.0,,1241.6,2793.6,56
CDM,09836012,PLACE CATH VENOUS 2ND ORDER,4159.0,,1663.6,3743.1,56
CDM,09836013,INTRO CATH ARTERY HEART/PULM,1630.0,,652.0,1467.0,56
CDM,09836014,PLACE CATH ARTERY PULM L/R,3526.0,,1410.4,3173.4,56
CDM,09836015,CATH SEL SUB/SEG PULM ART,3760.0,,1504.0,3384.0,56
CDM,09836116,PLACE CATH ARTERY PULM L/R BIL,4894.0,,1957.6,4404.6,56
CDM,09836140,NEEDLE/CATH EXT ARTERY,1667.0,,666.8,1500.3,56
CDM,09836200,INTRO CATH AORTA,2670.0,,1068.0,2403.0,56
CDM,09836215,PLACE CATH THOR/BRAC 1ST ORDER,3660.0,,1464.0,3294.0,56
CDM,09836221,NONSLCTV CATH THOR AORTA ANGIO,7916.0,,2592.52,7124.4,68
CDM,09836223,SLCTV CATH CAROTID/INNOM ART,25817.0,,4452.54,23235.3,68
CDM,09836225,SLCTV CATH SUBCLAVIAN ART ANGI,17672.0,,2592.52,15904.8,68
CDM,09836226,SLCTV CATH VERT ART ANGIO,16113.0,,4452.54,14501.7,68
CDM,09836245,PL CATH ABD/PEL 1ST ORDER,3861.0,,1544.4,3474.9,56
CDM,09836246,PLACE CATH ABD/PEL 2ND ORDER,5644.0,,2257.6,5079.6,56
CDM,09836247,PLACE CATH ABD/PEL 3RD ORDER,6041.0,,2416.4,5436.9,56
CDM,09836248,PLACE CATH ABD/PEL ADD,3749.0,,1499.6,3374.1,56
CDM,09836251,PLACE CATH RENAL 1ST ORDER UNI,7815.0,,2592.52,7033.5,68
CDM,09836252,PLACE CATH RENAL 1ST ORDER BIL,8886.0,,2592.52,7997.4,68
CDM,09836253,PLACE CATH RENAL 2ND+ ORD UNI,11723.0,,4452.54,10550.7,68
CDM,09836254,PLACE CATH RENAL 2ND+ ORD BIL,12207.0,,2592.52,10986.3,68
CDM,09836556,INS CATH CV NON-TUNL >/=5YRS,4244.0,,1697.6,3874.7,68
CDM,09836580,RPLCMT CMPL/NONTUNN CVC WO SBQ,4730.0,,1279.53,4257.0,68
CDM,09836589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,09836590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,09836620,CATH/CANNULATION ARTERY,1176.0,,470.4,1058.4,56
CDM,09836902,INTRO CATH DIALYSIS CIRCUIT,16819.0,,4696.2,15137.1,68
CDM,09837084,PRIM PERC THROMB INITIAL BIL,24074.0,,9629.6,21666.6,56
CDM,09837184,PRIM PERC THROMB INIT VESSEL,16051.0,,6420.4,22105.39,68
CDM,09837185,PRIM PERC THROMB EA ADD,6406.0,,2562.4,5765.4,56
CDM,09837187,PERCUT TRANSLUM MECH THROMBECT,15110.0,,6044.0,13960.66,68
CDM,09837188,THROMBECT VEN MECH EA ADD,12200.0,,2592.52,10980.0,68
CDM,09837191,INS VENA CAVA FILTER ENDOVASC,11515.0,,4452.54,10363.5,68
CDM,09837193,REMOVAL VENA CAVA FILTER ENDO,8080.0,,2592.52,7272.0,68
CDM,09837197,RETR FB TRANSCATH PERC,9952.0,,2592.52,8956.8,68
CDM,09837200,TRANSCATH BIOPSY,4633.0,,1853.2,6654.61,68
CDM,09837211,THPY INF THROM NON-COR INT DAY,8874.0,,3549.6,7986.6,68
CDM,09837212,THPY THROM VENOUS INT,7586.0,,2592.52,6827.4,68
CDM,09837213,THPY INFS THROM NON-COR SUB,8792.0,,2592.52,7912.8,68
CDM,09837214,THPY INFS THROM VEN SUB DAY,7119.0,,2592.52,6407.1,68
CDM,09837215,PL STENT TRNSCATH CAROT W/,21356.0,,844.53,19220.4,57
CDM,09837220,REVASC ILIAC ARTERY UNILATERAL,13388.0,,4696.2,12049.2,68
CDM,09837221,REVSC ILIAC ARTERY UNI W/STENT,31146.0,,9340.95,28031.4,68
CDM,09837222,REVSC ILIAC ARTERY UNI EA ADDL,15134.0,,6053.6,13620.6,56
CDM,09837223,REVSC ILIAC ART UNI EA ADDL,22576.0,,9030.4,20318.4,56
CDM,09837224,REVSC FEM/POP ARTERY UNI,19509.0,,4696.2,17558.1,68
CDM,09837225,REVSC FEM/POP ART W/ATHRC,39425.0,,14790.52,35482.5,68
CDM,09837226,REVSC FEM/POP ART W/STENT,39226.0,,9340.95,35303.4,68
CDM,09837227,REVSC FEM/POP W/STENT & ARTHC,57926.0,,14790.52,52133.4,68
CDM,09837228,REVSC TIBL PRNL ARTERY,19716.0,,7886.4,17744.4,68
CDM,09837231,REVSC TIBL PRNL W/STENT & ARTH,48737.0,,14790.52,43863.3,68
CDM,09837232,REVSC TIBL PRNL EACH ADDL,17476.0,,6990.4,15728.4,56
CDM,09837233,REVSC TIBL PRNL W/ATHRC EA ADD,26117.0,,10446.8,23505.3,56
CDM,09837235,REVSC TIBL ADDL W/STENT & ARTH,25609.0,,10243.6,23048.1,56
CDM,09837236,OPEN/PERQ PLCMT STENT 1ST ART,36804.0,,9340.95,33123.6,68
CDM,09837237,TRANSCATH INTRVSC STNT OPN/PER,21254.0,,8501.6,19128.6,56
CDM,09837238,OPEN/PERQ PLCMT STENT SAME,37134.0,,9340.95,33420.6,68
CDM,09837239,OPEN/PERQ PLACE STENT ADD VEIN,18485.0,,7394.0,16636.5,56
CDM,09837241,VASC EMBOLIZE/OCCLUDE VENOUS,16931.0,,6772.4,15237.9,68
CDM,09837242,VASC EMBOLIZE/OCCLUDE ARTERY,18285.0,,7314.0,22105.39,68
CDM,09837244,VASC EMBOLIZ/OCCLSN ART/VEN HM,27776.0,,9340.95,24998.4,68
CDM,09837246,TRLUML BALO ANGIOP 1ST ART,14151.0,,4696.2,12735.9,68
CDM,09837247,TRLUML BALO ANGIOP ADDL ART,11145.0,,4458.0,10030.5,56
CDM,09837248,TRLUML BALO ANGIOP 1ST VEIN,13199.0,,4696.2,11879.1,68
CDM,09837249,TRLUML BALO ANGIOP ADDL VEIN,9779.0,,3911.6,8801.1,56
CDM,09837252,US VASCULAR NON-CORONARY INIT,11413.0,,4565.2,10271.7,56
CDM,09837253,US VASCULAR NON-CORON ADD EA,6546.0,,2618.4,5891.4,56
CDM,09844799,CLOSURE FISTULA ENTERCUTANEOUS,7681.0,,772.25,6912.9,68
CDM,09849405,FLUID COLLXN DRAIN CATH VISC,5691.0,,1334.55,5121.9,68
CDM,09875605,XR AORTOGRM THORAC W/SER,8731.0,,384.0,14066.75,68
CDM,09875625,XR AORTOGRAM ABDOMEN INI,6025.0,,435.0,8190.45,68
CDM,09875630,XR AORTOGRM ABD W/RUNOFF,7355.0,,339.0,8190.45,68
CDM,09875716,XR ANGIO EXTREMITY BILAT,7575.0,,299.0,8190.45,68
CDM,09875726,ANGIOGM VISCERAL,7224.0,,489.0,14066.75,68
CDM,09875741,ANGIOGM PULMONARY UNI,6335.0,,276.0,8190.45,68
CDM,09875743,ANGIOGM PULMONARY BILAT,7258.0,,52.0,8190.45,68
CDM,09875746,XR ANGIO PULMONARY NONSELECT,3617.0,,276.0,8190.45,68
CDM,09875756,ANGIOGM MAMMARY INTERNAL,4604.0,,328.0,8190.45,68
CDM,09875774,XR ANGIO EA ADD VESSEL,4355.0,,151.0,3919.5,55
CDM,09875820,XR VENOGRAM EXTREMITY UNILAT,2661.0,,142.0,4042.37,68
CDM,09875822,XR VENOGRAM EXTREMITY BILAT,3301.0,,187.0,4042.37,68
CDM,09875825,VENOGM CAVAL INFERIOR,4824.0,,199.0,8190.45,68
CDM,09875827,VENOGM CAVAL SUPERIOR,4902.0,,195.0,4411.8,68
CDM,09875860,VENOGM SINUS/JUGULAR CATH,3608.0,,236.0,8190.45,68
CDM,09875889,VENOGM HEPATIC W/HEMODYN.,7340.0,,415.0,8190.45,68
CDM,09875891,VENOGM HEPATIC WO/HEMODYN,3787.0,,415.0,8190.45,68
CDM,09875898,ANGIOGM EXIST CATH F/U TRSCATH,2726.0,,374.0,8190.45,68
CDM,09875902,XR REM CV INTRALUM OBSTRUCTION,1386.0,,693.0,1247.4,55
CDM,09875956,ENDOVASC RPR THORACIC W/LT,5640.0,,912.87,5076.0,57
CDM,09875970,BIOPSY TRANSCATH,6167.0,,114.0,5550.3,56
CDM,09876000,FLUOROSCOPY ONLY,1034.0,,10.0,930.6,68
CDM,09876496,XR FLUORO UNLISTED PROCEDURE,1051.0,,72.52,945.9,68
CDM,09876937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,09876942,US GUIDED NEEDLE BX,1891.0,,91.0,1701.9,55
CDM,09877001,FLURO GUIDE CVA PLCMT/REMOVAL,1861.0,,51.49,1674.9,55
CDM,09892920,PTCA SINGLE ARTERY/BRANCH,14060.0,,4696.2,12654.0,68
CDM,09892921,PTCA EACH ADDL BRANCH MAJ ART,12599.0,,292.5,11339.1,57
CDM,09892924,PRQ TRLUML CORONARY ANGI 1 ART,19486.0,,7794.4,17537.4,68
CDM,09892925,PRQ TRLUML CORONARY ANGI ADD,14701.0,,292.02,13230.9,57
CDM,09892928,PRQ TRLUML CORONARY STENT,26996.0,,9340.95,24296.4,68
CDM,09892929,PRQ TRLUML CORONARY STENT ADDL,16967.0,,347.4,15270.3,57
CDM,09892933,PRQ TRLUML CORONARY ANGIO/ATHE,30193.0,,12077.2,27173.7,68
CDM,09892934,PRQ TRLUML CORONARY ANGIO/ATHE,17859.0,,267.01,16073.1,57
CDM,09892937,PRQ TRLUML COR BYP GRFT,33212.0,,9340.95,29890.8,68
CDM,09892938,PRQ TRLUML COR BYP GRFT ADDL,19919.0,,302.11,17927.1,57
CDM,09892941,PRQ TRLUML COR TOT OCCLUS,56864.0,,22745.6,51177.6,56
CDM,09892943,PRQ TRLUML COR CHRONIC OCC,56864.0,,9340.95,51177.6,68
CDM,09892944,PRQ TRLUML COR CHRON OCC ADDL,33212.0,,502.29,29890.8,57
CDM,09892960,"CARDIOVERSION, STANDALONE",2884.0,,205.0,2595.6,69
CDM,09892973,CORONARY THROMBECTOMY,3419.0,,1709.5,3077.1,57
CDM,09892978,IVUS INITIAL VESSEL,8993.0,,253.59,8093.7,58
CDM,09892979,IVUS ADDITIONAL VESSEL,4511.0,,87.0,4059.9,58
CDM,09892986,AORTIC VALVULOPLASTY,21418.0,,3229.0,19276.2,69
CDM,09892987,MITRAL VALVULOPLASTY,22768.0,,2973.0,20491.2,69
CDM,09892990,VALVULOPLASTY PULMONARY VALVE,26371.0,,3229.0,23733.9,69
CDM,09892997,ANGIOPLASTY PULM ART 1ST VESL,21900.0,,1615.0,19710.0,69
CDM,09892998,ANGIOPLASTY PULM ART ADD VESL,11040.0,,785.0,9936.0,57
CDM,09893306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,09893307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,09893308,ECHO 2D W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,09893312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,69
CDM,09893315,ECHO TEE ANOMALY CMPL,4650.0,,293.0,4185.0,69
CDM,09893318,ECHO TEE MONITORING,3656.0,,451.62,3290.4,69
CDM,09893355,ECHO TRANSESOP CARD/CRT VESSEL,5970.0,,2985.0,5373.0,57
CDM,09893356,MYOCARDIAL STRAIN IMAGING,1095.0,,22.17,985.5,57
CDM,09893451,CATH RIGHT HEART,11262.0,,775.0,10135.8,69
CDM,09893452,CATH LEFT HEART W/ VENTRCLGRPH,17853.0,,1216.0,16067.7,69
CDM,09893453,CATH RT/LT HEART W/ VENT,27690.0,,1530.0,24921.0,69
CDM,09893454,CORONARY ARTERY ANGIO S&I,16794.0,,1251.0,15114.6,69
CDM,09893455,CORONARY ARTERY/GRAFT ANGIO,19983.0,,1741.0,17984.7,69
CDM,09893456,RT HRT CORONARY ARTERY ANGIO,28059.0,,2649.28,25253.1,69
CDM,09893457,RT HRT ARTERY/GRAFT ANGIO,30686.0,,2059.5,27617.4,69
CDM,09893458,LT HRT ART/VENTRICLE ANGIO,23177.0,,1054.97,20859.3,69
CDM,09893459,LT HRT ARTERY/GRAFT ANGIO,28639.0,,2075.0,25775.1,69
CDM,09893460,RT&LT HRT ART/VENTRICLE ANGIO,29966.0,,1899.0,26969.4,69
CDM,09893461,RT&LT HRT ART/VENT ANGIO BYP,32236.0,,2389.0,29012.4,69
CDM,09893462,CATH LT HRT TRANSPT/ TRANSAP,5057.0,,337.0,4551.3,57
CDM,09893463,DRUG ADMIN & HEMODYNAMIC MEAS,4682.0,,2341.0,4213.8,57
CDM,09893464,EXERCISE W/ HEMODYNAMIC MEAS,4562.0,,303.53,4105.8,57
CDM,09893503,INSERTION SWAN GANZ,5064.0,,1279.53,4557.6,69
CDM,09893505,BIOPSY ENDOMYOCARDIAL,9151.0,,451.0,8235.9,69
CDM,09893564,INJ CONGENITAL HRT ART/ GRAFT,5262.0,,2631.0,4735.8,57
CDM,09893565,INJ LT ATRIAL/VENTRIC ANGIO,4358.0,,256.0,3922.2,57
CDM,09893566,INJ RT ATRIAL/VENTRIC ANGIO,4358.0,,302.0,3922.2,57
CDM,09893567,INJ SUPRAVALVULAR AORTOGRAPHY,6262.0,,3131.0,5635.8,57
CDM,09893568,INJ PULMONARY ANGIO DUR CARD,7022.0,,197.5,6319.8,57
CDM,09893571,PRESSURE WIRE INITIAL VESSEL,2698.0,,235.27,2428.2,58
CDM,09893572,PRESSURE WIRE ADD VESSEL,857.0,,78.0,771.3,58
CDM,09893580,PTC W/IMPLNT ASD/PFO,37962.0,,2793.0,34165.8,69
CDM,09893581,VSD CLOSURE,42971.0,,14790.52,38673.9,69
CDM,09893582,PTC CLOS PAT DUCT ARTERIOSUS,44024.0,,14790.52,39621.6,68
CDM,09893583,PERC TRANSCATH SEPTAL RED THPY,18161.0,,7264.4,16344.9,56
CDM,09893590,PTC CLOS PARA LEAK MITRAL,46819.0,,14790.52,42137.1,69
CDM,09893591,PTC CLOS PARA LEAK AORTIC,46819.0,,14790.52,42137.1,69
CDM,09893592,PTC CLOS PARA LEAK EA ADDL,21671.0,,10835.5,19503.9,57
CDM,09893595,CATH LEFT HEART CHD NORMAL/AB,13973.0,,2649.28,12575.7,69
CDM,09893596,CATH RIGHT & LEFT HEART CHD NO,20236.0,,2649.28,18212.4,69
CDM,09893597,CATH RIGHT & LEFT HEART CHD AB,26544.0,,2649.28,23889.6,69
CDM,09893598,CARDIAC OUTPUT MEASURE DURING,8330.0,,4165.0,7497.0,57
CDM,09893642,EP EVAL CARD/DEFIB SGL/DUAL,5057.0,,126.0,4551.3,69
CDM,09893662,INTRACARDIAC ECHO,6647.0,,329.89,5982.3,58
CDM,09893750,INTERROG VAD WITH PHYS/QUAL,680.0,,52.5,612.0,69
CDM,09893799,CARDIOVASC UNLISTED,0.01,,0.005,192.61,69
CDM,09893922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,68
CDM,09893926,DUPLEX ARTRL LWR EXT UNILT/LMT,1404.0,,31.0,1263.6,68
CDM,09893971,DUPLEX VENOUS EXT UNILAT/LMTD,1611.0,,56.0,1449.9,68
CDM,09893976,DUPLEX SCAN IN/OUTFLO LTD,1300.0,,65.0,1170.0,68
CDM,09908921,ECHO TRANSTHO W OR W/O CONT,3913.0,,650.75,3521.7,69
CDM,09908922,TEE W/ OR W/O CONT FOL W/CONT,1969.0,,650.75,1772.1,69
CDM,09908923,ECHO TRANSTHORACIC W/WO FOL W/,3198.0,,650.75,2878.2,69
CDM,09908924,ECHO TRANSTHORACIC W/WO FOL W,2078.0,,294.16,1870.2,69
CDM,09908925,ECHO TEE 2D W/WO CONT FOL W/CO,4183.0,,650.75,3764.7,69
CDM,09908926,ECHO TEE W/WO CONT FOL W/CONT,5315.0,,650.75,4783.5,69
CDM,09908927,ECHO TEE W/WO CONT FOL W/CONT,4321.0,,650.75,3888.9,69
CDM,09908929,ECHO TRANSTHO W/WO W/ CONT,3848.0,,650.75,3463.2,69
CDM,09908930,ECHO TRANSTHO W/CONT 2D W/WO,4278.0,,650.75,3850.2,69
CDM,09976825,FETAL ECHO W/W/O M-MODE,2711.0,,104.0,2439.9,69
CDM,09976826,FETAL ECHO W/WO M F/U,1570.0,,124.0,1413.0,69
CDM,09976827,DPPLR ECHOCARD FETAL CMPL,1348.0,,87.59,1213.2,69
CDM,09976828,FETAL DOPPLER ECHO F/U,973.0,,87.59,875.7,69
CDM,09993303,ECHO CONGENITAL ANOMALY COMPL,3510.0,,182.0,3159.0,69
CDM,09993304,ECHO CONGENITAL ANOMALY LTD,1969.0,,161.0,1772.1,69
CDM,09993306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,09993307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,09993308,ECHO 2D W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,09993312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,69
CDM,09993315,ECHO TEE ANOMALY CMPL,4650.0,,293.0,4185.0,69
CDM,09993316,ECHO TEE ANOMALY PROBE PLCMT,2574.0,,1.0,2316.6,69
CDM,09993317,ECHO TEE ANOMALY IMAGE W/PF,2097.0,,1.0,1887.3,58
CDM,09993318,ECHO TEE MONITORING,3656.0,,451.62,3290.4,69
CDM,09993319,3D ECHO IMG CGEN CAR ANOMAL,720.0,,360.0,648.0,57
CDM,09993320,ECHO DOPPLER CMPL,720.0,,105.0,648.0,57
CDM,09993325,ECHO COLOR VELOCITY,243.0,,101.31,218.7,57
CDM,09993351,ECHO REST & STRESS MON,4278.0,,268.0,3850.2,69
CDM,09993352,ECHO STRESS CONTRAST AGENT,322.0,,161.0,289.8,57
CDM,09993355,ECHO TRANSESOP CARD/CRT VESSEL,5970.0,,2985.0,5373.0,57
CDM,09993356,MYOCARDIAL STRAIN IMAGING,1095.0,,22.17,985.5,57
CDM,10011129,PT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,10011136,PT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,10011137,PT GAIT TRAINING (15 MIN),199.0,,11.0,179.1,57
CDM,10012000,EVALUATION - HIGH,395.0,,81.02,355.5,57
CDM,10012010,EVALUATION - MODERATE,395.0,,76.28,355.5,57
CDM,10012012,RE-EVALUATION,316.0,,53.56,284.4,57
CDM,10121004,HOME EVALUATION (15 MIN),211.0,,18.0,189.9,57
CDM,10121101,GAIT TRAINING (15 MIN),199.0,,11.0,179.1,57
CDM,10121102,PT-GROUP (15 MINS),114.0,,8.0,102.6,57
CDM,10121106,AQUATIC THERAPY (15 MIN),170.0,,11.0,153.0,57
CDM,10121114,AQUATIC THERAPY GROUP (15 MIN),116.0,,8.0,104.4,57
CDM,10121135,PT TREATMENT (1-15 MIN),231.0,,11.0,207.9,57
CDM,10121136,SEATING EVALUATION,410.0,,81.02,369.0,57
CDM,10121160,NEUROMUSCULAR RE-ED 15 MIN,231.0,,11.0,207.9,57
CDM,10122001,EVALUATION - HIGH,395.0,,81.02,355.5,57
CDM,10122006,EVALUATION - MODERATE,395.0,,76.28,355.5,57
CDM,10122011,RE-EVALUATION,316.0,,53.56,284.4,57
CDM,10541101,OT ORTHOTIC FIT/TRAIN (15MIN),222.0,,111.0,199.8,56
CDM,10541103,OT SELF-CARE/ADL (15MIN),173.0,,16.0,155.7,57
CDM,10541105,OT-TREATMENT GROUP (15 MIN),126.0,,8.0,113.4,57
CDM,10541135,OT TREATMENT (15MIN),206.0,,103.0,185.4,56
CDM,10541500,CUSTOM SPLINT SMALL 01,141.0,,14.4,126.9,57
CDM,10541501,CUSTOM SPLINT MEDIUM 01,280.0,,14.4,252.0,57
CDM,10541502,CUSTOM SPLINT LARGE 01,456.0,,14.4,410.4,57
CDM,10541530,SUPPLY A,30.0,,15.0,27.0,56
CDM,10541531,SUPPLY B,60.0,,30.0,54.0,56
CDM,10541532,SUPPLY C,97.0,,48.5,87.3,56
CDM,10541533,SUPPLY D,147.0,,73.5,132.3,56
CDM,10541534,SUPPLY E,299.0,,149.5,269.1,56
CDM,10542001,EVALUATION - HIGH,395.0,,96.83,355.5,57
CDM,10542003,EVALUATION - MODERATE,395.0,,74.05,355.5,57
CDM,10542010,RE-EVALUATION,316.0,,48.82,284.4,57
CDM,10581136,OT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,10680013,OBSERV PER HR - TRU,86.0,,43.0,2436.0,57
CDM,10690003,ROOM & BED CHARGE TRU,2117.0,,1058.5,7500.0,38
CDM,10705816,CIMT-UE REFINEMENT-90 MINUTES,300.0,,150.0,270.0,56
CDM,10705817,CIMT-LE REFINEMENT-90 MINUTES,319.0,,159.5,287.1,56
CDM,10731100,OP THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,10731101,OP GAIT TRAINING (15 MIN),156.0,,11.0,140.4,57
CDM,10731104,OP WHLCHAIR MGMT 15 MIN,213.0,,16.0,191.7,57
CDM,10731106,OP AQUATIC THERAPY (15MIN),156.0,,11.0,140.4,57
CDM,10731108,OP ORTHOTIC FIT/TRAN (15MIN),222.0,,33.13,199.8,57
CDM,10731110,MANUAL THERAPY 15 MIN,263.0,,14.0,236.7,57
CDM,10731111,OP PROSTHETIC TRAIN (15MIN),125.0,,26.5,112.5,57
CDM,10731113,NEUROMUSCULAR RE-ED 15 MIN,231.0,,11.0,207.9,57
CDM,10731116,OP PHYSICAL PERF TEST (15MIN),211.0,,18.0,189.9,57
CDM,10731117,OP THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,10731120,APPL HOT PACK/COLD PACK,52.0,,5.82,46.8,57
CDM,10731122,EVALUATION-MODERATE,395.0,,11.75,355.5,57
CDM,10731123,E-STIM ATTENDED 15 MIN,234.0,,11.0,210.6,57
CDM,10731126,OP ULTRASOUND/PHONO (15MIN),164.0,,10.0,147.6,57
CDM,10731128,OP COMPRESSION PUMP,70.0,,11.0,63.0,57
CDM,10731129,OP MECHANICAL TRACTION,98.0,,13.8,88.2,57
CDM,10731131,IONTOPHORESIS 15 MIN,205.0,,14.0,184.5,57
CDM,10731156,INFRARED,69.0,,6.27,62.1,57
CDM,10731160,LOCOMOTOR TRAINING (15MIN),231.0,,11.0,207.9,57
CDM,10733002,PT EVAL HIGH COMPLEXITY 45MN,293.0,,81.02,263.7,57
CDM,10733007,PT EVAL LOW COMPLEXITY 20MN,293.0,,81.02,263.7,57
CDM,10733008,PT EVAL MOD COMPLEXITY 30MN,372.0,,76.28,334.8,57
CDM,10733009,RE-EVALUATION,316.0,,53.56,284.4,57
CDM,10733051,ALS EVAL - MODERATE,395.0,,76.28,355.5,57
CDM,10781100,CIMT ADMISSION ASSESS (90 MIN),554.0,,277.0,498.6,56
CDM,10781101,CIMT REASSESSMENT (30 MIN),123.0,,61.5,110.7,56
CDM,10781102,CIMT REMOTE ASSESSMENT(30 MIN),246.0,,123.0,221.4,56
CDM,10781103,CIMT ADMISSION ASSESSMENT (60),399.0,,199.5,359.1,56
CDM,10781110,CIMT-UE (2 WEEK) (2400 MIN),7985.0,,3992.5,7186.5,56
CDM,10781111,CIMT-UE (3 WEEK) (3600 MIN),11978.0,,5989.0,10780.2,56
CDM,10781112,CIMT LE (2 WEEK) (2400 MIN),8475.0,,4237.5,7627.5,56
CDM,10781113,CIMT LE (3 WEEK) (3600 MIN),12714.0,,6357.0,11442.6,56
CDM,10781114,CIMT-UE 1 WK REFINE (1200 MIN),3994.0,,1997.0,3594.6,56
CDM,10781115,CIMT-LE 1 WK REFINE (1200 MIN),4240.0,,2120.0,3816.0,56
CDM,10781116,CIMT 3 WK G 5 PROGRAM(3600MIN),13820.0,,6910.0,12438.0,56
CDM,10781117,CIMT 2 WK G 5 REFINE PGM(2400),9214.0,,4607.0,8292.6,56
CDM,10797763,ORTHC/PROSTC MGMT SBSQ ENC 15M,134.0,,28.49,120.6,56
CDM,10905348,ACT-LOW RANGE,92.0,,4.13,82.8,68
CDM,10910006,BED SIDE SODIUM,107.0,,2.38,96.3,68
CDM,10910007,BED SIDE POTASSIUM,110.0,,2.35,99.0,68
CDM,10910011,I-STAT IONIZED CALCIUM,214.0,,2.31,192.6,68
CDM,10910012,BED SIDE CREATININE- BLOOD,80.0,,2.3,72.0,68
CDM,10910020,HEMATOCRIT BED SIDE,94.0,,2.18,84.6,68
CDM,10910025,BED SIDE BG W/INDIR. O2 SAT,462.0,,13.29,415.8,68
CDM,10910026,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,10910110,"GLUCOSE QUANTITATIVE, BLOOD",62.0,,3.02,55.8,68
CDM,10910130,ACTIVATED CLOTTING FACTOR,108.0,,3.94,97.2,68
CDM,10910151,URINALYSIS AUTO W/O MICRO,141.0,,2.07,126.9,68
CDM,10915348,ACT-HIGH RANGE,92.0,,4.13,82.8,68
CDM,10920061,BICARBONATE SERUM,117.0,,2.31,105.3,68
CDM,10920094,TROPONIN QN,146.0,,10.69,131.4,68
CDM,10920120,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,10920244,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,10936010,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,10950109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,10950428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,10955080,RAPID STREP. A TEST,195.0,,15.21,175.5,68
CDM,10955081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,10955084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,10955430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,10980047,BASIC METABOLIC PANEL CALCIUM,340.0,,7.2,306.0,68
CDM,10980306,URINE DRUG SCREEN-80306,116.0,,15.77,104.4,68
CDM,10982435,CHLORIDE BLOOD I-STAT,73.0,,2.34,65.7,68
CDM,10982947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,10984520,UREA NITROGEN BLOOD QNT I-STAT,90.0,,2.35,81.0,68
CDM,10990025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,11000101,ACETAMINOPHEN TAB 325MG UD,2.0,,0.512,1.8,55
CDM,11000619,ASPIRIN TAB  325MG UD,2.0,,0.512,1.8,55
CDM,11001189,MOUTHWASH ANESTHETIC 180ML MP,2.0,,0.512,1.8,55
CDM,11002444,IBUPROFEN TAB 200MG UD,2.0,,0.512,1.8,55
CDM,11003888,ASPIRIN TAB BABY 81MG UD,2.0,,0.512,1.8,55
CDM,11005555,ASPIRIN TAB BABY 40.5MG UP,4.14,,1.06,3.73,55
CDM,11005556,ASPIRIN TAB BABY 20.25MG,4.14,,1.06,3.73,55
CDM,11005558,ASPIRIN TAB EC 81MG UD,4.14,,1.06,3.73,55
CDM,11010162,VORICONAZOLE STUDY DRUG INJECT,0.01,,0.00256,0.009,55
CDM,11020003,LUGOLS SOLN 14ML MP,155.7,,39.86,140.13,55
CDM,11020022,TIMOLOL OPHTH DROP 0.25% 5ML,10.95,,2.8,9.86,55
CDM,11020024,TIMOLOL OPHTH DROP 0.5% 5ML,24.0,,6.14,21.6,55
CDM,11020059,BENZOYL PEROX GEL  5% 60GM,49.9,,12.77,44.91,55
CDM,11020062,NAPHAZOLINE/PHENIRAMIN OPDR15M,52.7,,13.49,47.43,55
CDM,11020063,HYDROCORTISONE 1% CREAM 30GM,27.6,,7.07,24.84,55
CDM,11020065,HYDROCORTISONE 1% OINT 30GM,7.65,,1.96,6.88,55
CDM,11020067,BETAMETHASONE DIPROP CR 15GM,13.8,,3.53,12.42,55
CDM,11020069,BETAMETHASONE DIPROP CR 45GM,31.7,,8.12,28.53,55
CDM,11020073,BETAMETHASONE DIPROP OINT 15GM,180.85,,46.3,162.76,55
CDM,11020074,BELLADONNA-OPIUM 30MG SUPP,101.25,,25.92,91.12,55
CDM,11020075,BETAMETHASONE DIPROP OINT 45GM,452.3,,115.79,407.07,55
CDM,11020079,FLUOCINONIDE 0.05% GEL 15GM,109.75,,28.1,98.78,55
CDM,11020093,TRETINOIN GEL 0.025% 15GM,232.6,,59.55,209.34,55
CDM,11020110,AQUAPHOR OINT 480GM,61.1,,15.64,54.99,55
CDM,11020112,EUCERIN CREAM 454GM,3.53,,0.90368,3.18,55
CDM,11020134,HEMORRHOIDAL HC CREAM 30GM,29.9,,7.65,26.91,55
CDM,11020146,POT IODIDE SAT DROPS 30ML,86.2,,22.07,77.58,55
CDM,11020148,EPINEPHRIN TOP SOL 1MG/ML 30ML,1147.55,,293.77,1032.8,55
CDM,11020187,DEXAMETHASONE OPTH SUS 15ML*NF,317.25,,81.22,285.52,55
CDM,11020203,SOOTH LOTION (SARNA) 240ML,19.05,,4.88,17.14,55
CDM,11020385,FLUOCINOLONE SOLN .01% 60ML,70.95,,18.16,63.85,55
CDM,11020434,NEOMY/POLY/HC OTIC SUSP 10MLMP,292.95,,75.0,263.65,55
CDM,11020435,NICOTINE TRANSDERM-LOW,9.17,,2.35,8.25,55
CDM,11020436,NICOTINE TRANSDERM-INTERMED,6.32,,1.62,5.69,55
CDM,11020437,NICOTINE TRANSDERM-STANDARD,6.32,,1.62,5.69,55
CDM,11020449,AMLODIPINE TAB 2.5MG,2.0,,0.512,1.8,55
CDM,11020468,GENTIAN VIOLET 1% 30ML,15.68,,4.01,14.11,55
CDM,11020512,SILVER SULFADIAZINE 1% CR 25GM,15.25,,3.9,13.72,55
CDM,11020526,CHLORHEXIDINE ORL RNS .12%480M,6.55,,1.68,5.89,55
CDM,11020577,ISOFLURANE FOR INHALAT100ML,69.4,,17.77,62.46,55
CDM,11020585,CLINDAMYCIN TOP SOL 1% 60ML*NF,102.3,,26.19,92.07,55
CDM,11020633,TOBRAMYCIN INJ PWDR 1.2GM V*NF,345.51,,3.0,310.96,55
CDM,11020652,ATROPINE SO4 OPHTH SOLN 1% 5ML,152.6,,39.07,137.34,55
CDM,11020667,COLLAGENASE OINT 30GM      *NF,1364.5,,349.31,1228.05,55
CDM,11020682,BUDESONIDE PWDR INHAL 180MCG,1216.5,,60.73,1094.85,55
CDM,11020690,NORFLURANE (PAINEASE MD) 3.5OZ,148.6,,38.04,133.74,55
CDM,11020691,SALIVA SUBST 1% SOL 120ML,11.06,,2.83,9.95,56
CDM,11020695,LEVONORGES IU SYS 52MG 5 YR,4656.1,,1036.22,4190.49,56
CDM,11020708,KETORALAC OPTH SOL .5% 5ML NF,53.6,,13.72,48.24,55
CDM,11020710,INSULIN GLARG 100IU/ML 3ML PEN,88.87,,0.6832,79.98,56
CDM,11020713,CYCLOMYDRIL OPHT SOL PF 2ML,146.8,,37.58,132.12,55
CDM,11020714,ALBUTEROL INHALER 8GM,103.4,,26.47,93.06,55
CDM,11020716,ERYTHROMYCIN OPTH OINT 1GM,28.19,,7.22,25.37,55
CDM,11020720,BACITRACIN OINT 30GM,14.55,,3.72,13.1,55
CDM,11020723,BALANCED SALT SOLN OPHTH 15ML,27.28,,6.98,24.55,55
CDM,11020725,INSULIN REG HUMAN 100U 3ML VL,72.25,,0.6832,65.03,56
CDM,11020726,TREPROSTINIL 1.75MG/2.9ML INH,4367.88,,642.99,3931.09,55
CDM,11020727,MAFENIDE ACET PWDR 5% 50GM,150.0,,38.4,135.0,55
CDM,11020733,DAKIN'S SOLN 0.125% 480ML,62.5,,16.0,56.25,55
CDM,11020737,DAKIN'S SOLTN 0.0125% 480ML,40.63,,10.4,36.57,55
CDM,11020740,VANCOMYCIN ENEMA 500MG,89.2,,22.84,80.28,55
CDM,11020741,EPINEPHRIN TOP SOL 15MCG/ML 1L,390.8,,100.04,351.72,55
CDM,11020742,MICONAZOL OSTOMY PWDR 90GM,10.34,,2.65,9.31,55
CDM,11020743,CYCLOSPORIN OPTH SOL 0.4ML,49.55,,12.68,44.59,55
CDM,11020744,MOVI-PREP GI LAVAGE SOLN 2L,578.7,,148.15,520.83,55
CDM,11020749,SILVER NITRATE APPLICATOR (10),34.64,,8.87,31.18,55
CDM,11020754,INDOMETHACIN SUPP 50MG UD,995.13,,254.75,895.62,55
CDM,11020759,CALAMINE LOTION 180ML,2.0,,0.512,1.8,55
CDM,11020764,CREON 24 CAPSULE 100CT,4107.65,,1051.56,3696.89,55
CDM,11020767,PHENYLEPHRINE OPH SOL 2.5% 2ML,119.5,,30.59,107.55,55
CDM,11020768,BACITRACIN-POLYMX OINT 15GM,27.2,,6.96,24.48,55
CDM,11020769,PHENYLEPH OPH SOL 2.5% 15ML,331.0,,84.74,297.9,55
CDM,11020772,BALSAM PERU/CAST OIL OINT 60GM,108.85,,27.87,97.97,55
CDM,11020784,MG AL/DIPH/LIDO MOUTHWASH 4OZ,413.8,,105.93,372.42,55
CDM,11020785,HEXAMINOLEVULINATE 100MG KIT,6535.0,,1737.68,5881.5,55
CDM,11020787,NITROGLYCERIN ORAL SPRAY 4.9GM,624.45,,159.86,562.0,55
CDM,11020790,HYALURONATE SOD PFS 0.55ML IO,826.25,,211.52,743.62,55
CDM,11020792,ACETYLCHOLINE CHL 1% 2ML IO,390.35,,99.93,351.31,55
CDM,11020793,CHONDR SULF A/HYALURON SYR IO,876.45,,224.37,788.8,55
CDM,11020794,TRIAMCIN INTRAOCULR 40MG/1ML,104.25,,26.69,93.83,55
CDM,11020798,ALBUTEROL INHALER 8.5GM,103.4,,51.7,93.06,55
CDM,11020800,PEG-ELECTROLYTE GI LAVAGE SOLN,92.7,,23.73,83.43,55
CDM,11020802,CIPROFLOXACIN 0.2% OTIC 0.25ML,30.4,,7.78,27.36,55
CDM,11020804,THROMBIN TOPICAL 20000UN VL,861.3,,220.49,775.17,55
CDM,11020805,CYCLOMYDRIL OPTH SOL 0.5ML UP,36.7,,9.4,33.03,55
CDM,11020806,SILIKON 1000 OIL 8.5ML VIAL,3076.5,,787.58,2768.85,55
CDM,11020807,BALANCED SALT SOLUTION 500ML,52.33,,13.4,47.1,55
CDM,11020808,OCUCOAT OPHTHALMIC VISCOS 1ML,307.0,,78.59,276.3,55
CDM,11020812,CALCIUM GLUCONATE GEL 5OZ UP,151.2,,38.71,136.08,55
CDM,11020813,PHENYLEPHRINE OPH SOL 10% 5ML,123.5,,31.62,111.15,55
CDM,11020814,PERFLUORON PROCEDURE KIT 7ML,3426.15,,370.25,3083.53,55
CDM,11020815,OXYMETAZOLINE NASAL SPRAY 30ML,8.25,,2.11,7.42,55
CDM,11020816,TETRACAINE 0.5% OPHTH DROP 5ML,109.8,,28.11,98.82,55
CDM,11020817,LIDOCAINE HCL TOP SLN 4% 4ML,130.48,,33.4,117.43,55
CDM,11020819,ALBUTEROL INHALER 18GM,262.15,,67.11,235.94,55
CDM,11020820,TETRACAINE 0.5% OPHTH DROP 4ML,54.0,,13.82,48.6,55
CDM,11020822,MICONAZOLE 2% TOP CREAM 142GM,8.55,,2.19,7.7,55
CDM,11020826,DICLOFENAC TOP GEL 1% 100GM,36.65,,9.38,32.98,55
CDM,11020828,GLYCERIN SUPP PEDIATRIC 12CT,2.47,,0.63232,2.22,55
CDM,11020829,POVIDONE-IODINE OINT 30GM,5.5,,1.41,4.95,55
CDM,11020832,MOXIFLOXACIN 0.5% OPH DRP 3ML,153.9,,39.4,138.51,55
CDM,11020833,CIPROFLOXACIN OPTH SOLN 2.5ML,48.25,,12.35,43.42,55
CDM,11020835,CARBOXYMETHYLCEL OPTH 15ML GEL,43.4,,11.11,39.06,55
CDM,11020836,LEVONORGES IU SYS 52MG LILETTA,4436.8,,772.62,3993.12,56
CDM,11020837,SOD POLYSTYRENE POWDER 15GM,27.68,,7.09,24.91,55
CDM,11020839,COPPER INTRAUTERINE DEVICE IUD,4963.9,,888.5,4467.51,57
CDM,11020840,ETONOGESTREL 68MG IMPLANT,5781.4,,869.0,5203.26,56
CDM,11020841,VANCOMYCIN OPH 31MG/ML 15ML PA,89.2,,44.6,80.28,54
CDM,11020842,GLYCERIN SUPP ADULT 12CT,6.05,,1.55,5.45,55
CDM,11020843,POVIDINE-IODINE 5% OP SLN 30ML,47.1,,12.06,42.39,55
CDM,11020844,VARIABLE RATE PUMP-CB004,1368.95,,684.48,1232.06,56
CDM,11020846,SILVER NIT 0.5% TOP SOLN 960ML,302.15,,77.35,271.94,55
CDM,11020847,COAL TAR 0.5% SHAMPOO 8.5OZ,5.66,,1.45,5.09,55
CDM,11020848,TALC STERILE 2GM PWD VIAL,560.0,,143.36,504.0,55
CDM,11020849,CETACAINE TOPICAL SPRAY 20GM,613.65,,157.09,552.28,55
CDM,11020850,NORFLURANE 3.5OZ-PAINEASE MIST,148.6,,38.04,133.74,55
CDM,11020851,LIDO 2%/PHENYL .5% TOP SOL10ML,107.35,,53.67,96.61,54
CDM,11020853,LUGOLS TOPICAL IODINE SOLN 8ML,12.92,,3.31,11.63,55
CDM,11020856,TIOTROPIUM INH 2.5MCG 10 SPRAY,172.4,,44.13,155.16,55
CDM,11020857,BARIUM SULF 40% ORAL 20ML,35.85,,9.18,32.27,55
CDM,11020858,MICONAZOLE 2% TOUCHLESS TOPSPR,34.6,,8.86,31.14,55
CDM,11020859,IPRATROPRIUM/ALBUTEROL INH 4GM,1867.25,,478.02,1680.53,55
CDM,11020860,BETAMETHASONE DIP AF .05%CR 50,13.8,,3.53,12.42,55
CDM,11020861,DIPHENHYDRAMINE 2% CREAM 30GM,7.9,,2.02,7.11,55
CDM,11020862,MAFENIDE ACETATE 8.5% CRM 2OZ,333.0,,85.25,299.7,55
CDM,11020863,PEG-3350 GI SOLUTION POWDER,248.8,,63.69,223.92,55
CDM,11020864,SALMETEROL DISKS 50MCG 60 DOSE,1946.85,,60.73,1752.16,55
CDM,11020865,BENGAY ULTRA STRENGTH 57GM,22.15,,5.67,19.93,55
CDM,11020866,SOD/POT/MAG SULBOWEL PREP KIT,531.85,,136.15,478.67,55
CDM,11020867,POTASSIUM ALUM 10GM STER PWD,324.68,,83.12,292.21,55
CDM,11020868,LIDOCAINE DENT 1-100T 10PK UP,218.2,,55.86,196.38,55
CDM,11020869,BENZOCAINE 10% GEL TOPICAL 7GM,19.45,,4.98,17.5,55
CDM,11020870,BENZOIN TINCTURE 120ML SPRAY,29.19,,7.47,26.27,55
CDM,11020871,LIDO 2%/PHENYL 0.5% SPRAY 10ML,32.0,,8.19,28.8,55
CDM,11020872,GLYCERIN SUPP PEDIATRIC 25CT,2.0,,1.0,46.8,56
CDM,11020873,GLYCERIN SUPP ADULT 25CT,14.75,,7.38,85.86,55
CDM,11020874,GLYCERIN SUPP ADULT 24CT,10.1,,2.59,9.09,55
CDM,11020876,MINERAL OIL 473ML ORAL,10.63,,2.72,9.57,55
CDM,11020878,PTROPINE SO4 OPTH SOLN 1% 2ML,152.6,,39.07,137.34,55
CDM,11020879,PRASUGREL 10MG TABLET 30CT,137.95,,35.32,124.16,55
CDM,11020880,PRASUGREL 5MG TABLET 30CT,2.99,,0.76544,2.69,55
CDM,11020884,FLUTIC/SALMEL INH 100/50 60DS,344.65,,60.73,310.19,55
CDM,11020886,FLUTIC/SALMEL INH 250/50 60DS,428.25,,60.73,385.43,55
CDM,11020891,TALC STERILE 5GM UP,795.0,,203.52,715.5,55
CDM,11020892,FLUTIC/SALMEL INH 500/50 60DS,563.25,,60.73,506.93,55
CDM,11020893,ADATO SILICONE OIL 5000 10ML,2299.75,,588.74,2069.78,55
CDM,11020894,TRYPAN BLUE 0.06% OP SYR 0.5ML,400.5,,102.53,360.45,55
CDM,11020895,INSULIN ISOP/REG 70/30 PEN 3ML,87.99,,0.6832,79.19,56
CDM,11020896,INSULIN ISOP/REG 70/30 VL 3ML,72.25,,0.6832,65.03,56
CDM,11020897,MICONAZOLE OSTOMY CR 57GM,12.65,,3.24,11.38,55
CDM,11020898,FLUOR/BENOX .3%/.4% OP SOL 5ML,110.3,,28.24,99.27,55
CDM,11020899,ERYTHROMYCN OP OINT 1GM CANADA,55.9,,14.31,50.31,55
CDM,11020901,BENZO/MEN/ZINC ORAL GEL 11.9GM,29.4,,7.53,26.46,55
CDM,11020903,DIMETHYL SULF 99% TOP 5ML UP,10.27,,2.63,9.24,55
CDM,11020904,BENZO/MEN/ZINC ORAL GEL 5.1GM,19.2,,4.92,17.28,55
CDM,11020909,TALC STERILE 4GM UP,795.0,,203.52,715.5,55
CDM,11020938,ALBUTEROL INH SOLN 0.5% 20MLMP,220.8,,0.1952,198.72,55
CDM,11020997,POLYMIX B/TRIMETH OPT SOL0.1%F,49.4,,12.65,44.46,55
CDM,11021028,PREDNISOLONE AC OPHTH 1% 5ML,203.45,,52.08,183.1,55
CDM,11021050,THROMBIN  TOPICAL  5000U V,218.4,,55.91,196.56,55
CDM,11021058,EYESTREAM OP SOLN 30ML  *NF,99.7,,25.52,89.73,55
CDM,11021106,MAALOX/DIPHEN/LIDO MOUTHWASH,574.7,,147.12,517.23,55
CDM,11021174,BENZOCAINE ORAL SPRAY 60ML MP,146.75,,37.57,132.07,55
CDM,11021338,CLOTRIMAZOLE TOP CR 1% 30GM,6.25,,1.6,5.62,55
CDM,11021339,CLOTRIMAZOLE SOLN 1% 30ML,205.85,,52.7,185.26,55
CDM,11021358,MICONAZOLE OSTOMY CR 92GM,11.39,,2.92,10.25,55
CDM,11021361,BETAMETHASONE DIP AF .05%CR 15,13.8,,3.53,12.42,55
CDM,11021365,BETAMETHASONE DIP .05% OINT 15,243.35,,62.3,219.01,55
CDM,11021392,ESTRADIOL VAG CR.01% 42.5GM,313.9,,80.36,282.51,55
CDM,11021407,CEFTAZIDIME OPTH 50MG/ML 30ML,13.42,,6.71,12.08,54
CDM,11021552,NEOMY/POLY/HC OTIC SOLN 10MLMP,292.95,,75.0,263.65,55
CDM,11021553,NEOMY/POLY/HC OPTH SUSP7.5MLMP,688.15,,176.17,619.34,55
CDM,11021628,CYCLOPENTOLATE OPH SOL 2% 5ML,303.85,,77.79,273.46,55
CDM,11021645,LAC-HYDRIN LOTION 150ML *NF,22.0,,5.63,19.8,55
CDM,11021848,BENZOCAINE TOP.ANES SPRA 60GM,19.45,,4.98,17.5,55
CDM,11021887,MYCOPHENOLATE CAP 250MG,2.0,,0.1952,1.8,55
CDM,11021891,BRIMONIDINE .15%OPHTH S 5MLNF,705.05,,180.49,634.54,55
CDM,11021900,APRACLONIDINE OP 0.5% DRP5ML,295.4,,75.62,265.86,55
CDM,11022110,DEXTROMETH POLISTIREX 90ML,11.95,,3.06,10.76,55
CDM,11022439,SIMETHICONE DROP 2000MG/30ML,8.0,,2.05,7.2,55
CDM,11022451,FERRIC SUB SUL TOP SOLTN/1ML,2.35,,0.6016,2.12,55
CDM,11022537,FLUOROURACIL CREAM 5% 40GM *CD,275.85,,70.62,248.26,55
CDM,11022609,SOD CHLOR OPT SOLN 2% 15ML NF,158.9,,40.68,143.01,55
CDM,11022613,LATANOPROST OP SOL.005%2.5MLNF,82.75,,21.18,74.47,55
CDM,11022621,CHARCOAL SUSP AQ 25GM/120ML,30.21,,7.73,27.19,55
CDM,11022851,VAG ANTIFUNGAL CR 45GM W/APPL,7.77,,1.99,6.99,55
CDM,11022936,MAXITROL OPHTH SOLN 5ML,54.3,,13.9,48.87,55
CDM,11023001,TACROLIMUS CAP 5MG -,20.71,,0.183,18.64,55
CDM,11023002,TACROLIMUS CAP 1MG +,5.29,,0.183,4.76,55
CDM,11023058,HEMORRHD PHENYLEPH OINT 60GM,30.48,,7.8,27.43,55
CDM,11023104,PHENOL LIQ USP 10ML BTL,2.0,,0.512,1.8,55
CDM,11023122,SODIUM CHLORIDE NAS SPY .65%30,2.31,,0.59136,2.08,55
CDM,11023140,OMEPRAZOLE SR CAP 20MG NF,2.0,,0.512,1.8,55
CDM,11023244,NITROGLYCERIN HT 0.4MG 25'S,9.56,,2.45,8.6,55
CDM,11023369,OXYMETAZOLINE NASAL SPRAY 15ML,8.25,,2.11,7.42,55
CDM,11023404,TRIAMCINOLONE ACET 0.1% 15GM,7.35,,1.88,6.62,55
CDM,11023595,GENTAMICIN OPH DROPS 5ML MP,50.65,,12.97,45.59,55
CDM,11023605,GENTAMICIN OPH OINT 3.5GM,145.3,,37.2,130.77,55
CDM,11023830,GLUCOSE ORAL PASTE 15GM UD,14.52,,3.72,13.07,55
CDM,11023925,PILOCARPINE OPHTH SOL 1% 15ML,288.55,,73.87,259.69,55
CDM,11024022,TRIAMCINOLONE ORABASE OINT 5GM,296.4,,75.88,266.76,55
CDM,11024027,TERCONAZOLE VAG CR.8% 20GM NF,95.35,,24.41,85.81,55
CDM,11024080,OCULAR LUBRICANT NP OINT 1GM,26.95,,6.9,24.25,55
CDM,11024081,OCULAR LUBRICANT SOP ONT 3.5GM,26.95,,6.9,24.25,55
CDM,11024369,MAXITROL OPHTH OINT 3.5GM,65.9,,16.87,59.31,55
CDM,11024706,ACETYLCYSTEINE 20% 30ML MP,43.97,,11.26,39.57,55
CDM,11024766,NYSTATIN/TRIAMCIN OINT 15GM*NF,76.85,,19.67,69.17,55
CDM,11024772,NYSTATIN/TRIAMCIN CREAM15GM*NF,76.85,,19.67,69.17,55
CDM,11024781,NYSTATIN CR 100000U/GM 15GM,20.8,,5.32,18.72,55
CDM,11024783,NYSTATIN POWDER 15GM MP,23.9,,6.12,21.51,55
CDM,11024784,CALCITONIN NASAL SPRY 3.7MLNF,268.4,,68.71,241.56,55
CDM,11024787,NYSTATIN OINT 100000U/GM 15GM,34.0,,8.7,30.6,55
CDM,11024790,TROPICAMIDE OPHTH SOLN 1% 15ML,67.1,,17.18,60.39,55
CDM,11024801,DORZOLAMIDE 2% SOL 5ML    NF,229.9,,58.85,206.91,55
CDM,11025000,CILOSTAZOL TAB 100MG       *NF,2.0,,0.512,1.8,55
CDM,11025001,CILOSTAZOL TAB 50MG       *NF,2.0,,0.512,1.8,55
CDM,11025078,NEOMYCIN/BACI/POLY OINT 15GM,14.6,,3.74,13.14,55
CDM,11025080,NEOMY/BACI POLY OP OINT 3.5GM,65.9,,16.87,59.31,55
CDM,11025091,PHENYLEPHRIN NOS SPY 1/2% 15ML,17.35,,4.44,15.62,55
CDM,11025105,FLUTICASONE NSL SPY .05% 120DS,39.05,,10.0,35.15,55
CDM,11025107,PHENYLEPHRIN NOSE DR 0.25%15ML,17.35,,4.44,15.62,55
CDM,11025167,NITROGLYCERIN OINT 2% 30GM,156.6,,40.09,140.94,55
CDM,11025304,MUPIROCIN OINT 2% 22GM     *NF,28.3,,7.24,25.47,55
CDM,11025555,CYCLOPENTOLATE OPH SOL 1%-15ML,103.75,,26.56,93.38,55
CDM,11026254,BACITRACIN-POLYMX OP OINT3.5GM,27.2,,6.96,24.48,55
CDM,11026258,BACITRACIN-POLYMX OINT 30GM,40.35,,10.33,36.31,55
CDM,11026400,ESTROGENS CONJUG VAG CR 42.5GM,2069.1,,529.69,1862.19,55
CDM,11026964,SELENIUM SULFIDE SUSP 120ML MP,29.4,,7.53,26.46,55
CDM,11027045,SILVER SULFADIAZINE 1% CR400GM,11.19,,2.86,10.07,55
CDM,11027361,SULFACETAMDE OPTH SOL 10% 15ML,179.3,,45.9,161.37,55
CDM,11027536,TRIAMCINOLONE ACET .1% CR 80GM,19.45,,4.98,17.5,55
CDM,11027540,TRIAMCINOLONE ACET 0.1% O 15GM,19.95,,5.11,17.95,55
CDM,11027541,TRIAMCINOLONE ACET 0.1% O 80GM,19.45,,4.98,17.5,55
CDM,11027542,DESMOPRESSIN 0.01% 5ML NAS SPY,658.2,,168.5,592.38,55
CDM,11027888,CARBAMIDE PEROXD OTIC 6.5%15ML,10.25,,2.62,9.22,55
CDM,11027905,TETRACYCLINE CAP 500MG,15.1,,3.87,13.59,55
CDM,11027999,TERBINAFINE CRM 1% 24GM     NF,35.0,,8.96,31.5,55
CDM,11028088,CIPROFLOXACIN OPTH OINT 3.5GM,1249.85,,319.96,1124.87,55
CDM,11028090,EUCERIN LOTION 480ML,3.53,,0.90368,3.18,55
CDM,11028184,TOBRAMYCIN IRRIGATION 80MG/50M,56.69,,14.51,51.02,55
CDM,11028251,TOBRAMYCIN NASAL SPY 24MG/30ML,155.2,,77.6,139.68,54
CDM,11028373,TRIFLURIDINE OPTH SOLN 1%,720.95,,184.56,648.86,55
CDM,11028555,LIDOCAINE TD PATCH 5% UD*NF,10.32,,2.64,9.29,55
CDM,11028717,TETRAHYDROZOLINE OPTH SOL 15ML,21.0,,5.38,18.9,55
CDM,11028777,AMPHOTERICIN B OPH 2MG/ML 15ML,34.71,,17.36,31.24,54
CDM,11028778,CEFAZOLIN OPHTH 50MG/ML 15ML,71.71,,35.85,64.54,54
CDM,11028779,GENTAMICIN OPH DROPS 14/ML,50.65,,25.32,45.59,54
CDM,11028781,TOBRAMYCIN FORT OP 14MG/ML 5ML,4.38,,2.19,3.94,54
CDM,11028820,LIDOCAINE HCL TOP SLN 4%  50ML,183.9,,47.08,165.51,55
CDM,11028827,LIDOCAINE HCL JELLY 2% 30ML,593.1,,151.83,533.79,55
CDM,11028942,HYDROCORTISONE FOAM 10% 15GM,2016.45,,516.21,1814.81,55
CDM,11028943,HYDROCORITSONE 1% LOTION 120ML,17.15,,4.39,15.44,55
CDM,11029021,TOBRAMYCIN OPTH OINT 3.5GM NF,1171.35,,299.87,1054.21,55
CDM,11029074,TRETINOIN CR 0.1% 20GM MP,503.7,,128.95,453.33,55
CDM,11029101,TALC POWDER 2.5OZ MP       *NF,6.41,,1.64,5.77,55
CDM,11029114,ERYTHROMYCIN OPHTH OINT 3.5GM,55.9,,14.31,50.31,55
CDM,11029340,FLUTICASONE 44MCG INH 10.6GM,611.25,,305.62,550.12,54
CDM,11029341,FLUTICASONE 110MCG INH 12GM,818.3,,209.48,736.47,55
CDM,11029342,FLUTICASONE 220MCG INH 12GM,1271.05,,325.39,1143.94,55
CDM,11029343,HYDROCORTISONE 2.5% CR 30GM,7.65,,1.96,6.88,55
CDM,11029459,EMLA CREAM 5GM             *NF,69.35,,17.75,62.41,55
CDM,11029558,DORZOLAM/TIMOLOL OPTH SOL 10ML,229.9,,58.85,206.91,55
CDM,11029571,KETOCONAZOLE CRM 30GM      *NF,174.9,,44.77,157.41,55
CDM,11029575,BEN-GAY GREASELESS CR 57GM*NF,11.08,,2.84,9.97,55
CDM,11029576,CAPSAICIN 0.025% CREAM 60GM*NF,12.78,,3.27,11.5,55
CDM,11029577,TOBRA/DEXA OPT SUSP 5ML    *NF,765.75,,196.03,689.17,55
CDM,11029578,TOBRA/DEXAM OPT OINT 3.5GM *NF,1247.05,,319.24,1122.35,55
CDM,11029579,CIPROFLOXACIN OPTH SOLN 5ML*NF,64.35,,16.47,57.91,55
CDM,11029600,TOBRAMYCIN OPH DROPS 0.3% 5ML-,18.35,,4.7,16.52,55
CDM,11029701,FLUOROMETHALONE 0.1% OPTH 5ML,356.05,,91.15,320.44,55
CDM,11029744,PERMETHRIN CREAM 5% 60GM   *NF,455.15,,116.52,409.63,55
CDM,11029748,DIPHENHYDRAMINE CRM 1% 30GM,17.95,,4.6,16.16,55
CDM,11029749,ASPIRIN TAB BABY 81MG.,20.7,,5.3,18.63,55
CDM,11029756,PERMETHRIN 1% TOP SOLTN 59ML,22.25,,5.7,20.02,55
CDM,11029800,CHARCOAL W/SORBITOL SUSP 120ML,30.21,,7.73,27.19,55
CDM,11029816,HEMORRHD PHENYLEPHRINE CR 27GM,34.65,,8.87,31.18,55
CDM,11029888,INSULIN ASPART 1000UNITS/10MLV,349.4,,0.6832,314.46,56
CDM,11029997,IPRATROPIUM INHALER 14GM,2170.3,,555.6,1953.27,55
CDM,11030018,DOBUTAMINE INJ  250MG/20ML V-,30.94,,5.69,27.85,55
CDM,11030022,CISPLATIN INJ 200MG/200ML VLCD,22.07,,1.71,19.86,56
CDM,11030026,SKIN TEST TRICHOPHYTON 0.1ML,15.4,,3.94,13.86,55
CDM,11030027,ALPROSTADIL INJ 500MCG/ML A,834.12,,0.5856,750.71,56
CDM,11030031,ACYCLOVIR INJ 500MG/10ML VIAL,30.9,,0.0366,27.81,55
CDM,11030032,VACCINE MEASLE-MUMP-RUB 0.5ML,612.86,,89.53,551.57,56
CDM,11030033,IMIPENEM/CILA INJ 500MG ADDVNF,68.68,,6.33,61.81,55
CDM,11030034,INDOMETHACIN INJ 1MG VIAL,1866.55,,477.84,1679.89,55
CDM,11030042,TRACE ELEMENTS SOLUTION 4ML UP,74.66,,19.11,67.19,55
CDM,11030044,POT PHOSPHATE INJ 20MM/6.66ML,73.25,,18.75,65.92,55
CDM,11030046,PENTAMIDINE INJ 300MG/3ML V*NF,315.32,,115.18,283.79,55
CDM,11030047,VAC COVID COMIRNATY SYRINGE,746.66,,190.2,671.99,55
CDM,11030048,SODIUM BICARB INJ  25MEQ/25ML,55.29,,14.15,49.76,55
CDM,11030050,VAC COVID COMIRNATY VIAL,746.66,,190.2,671.99,55
CDM,11030053,NEOSTIGMINE INJ 0.5MG/ML 10ML,51.49,,0.09,46.34,56
CDM,11030054,BUMETANIDE INJ .25MG/ML 10MLNF,13.2,,0.3404,11.88,68
CDM,11030057,NA HYALURONATE INTRA 25MG,1526.77,,79.81,1374.09,55
CDM,11030058,SOD PHOS INJ 45MM/15ML,116.16,,29.74,104.54,55
CDM,11030059,VAC COVID PFIZER (5-11 Y) VIAL,495.88,,107.09,446.29,55
CDM,11030060,SKIN TEST CANDIDA 0.1ML,200.16,,51.24,180.14,55
CDM,11030067,VAC COVID PFIZER 3MCG (6M-4 Y),1110.9,,79.97,999.81,55
CDM,11030069,TRIAMCIN ACE VL 40MG/ML 1ML,60.27,,1.05,54.24,55
CDM,11030071,CAFFEINE CIT INJ  20MG/ML 3MLV,41.86,,0.55,37.67,56
CDM,11030072,FAMOTIDINE INJ 20MG/2ML UP*NF,4.44,,2.22,4.0,54
CDM,11030077,VINCRISTINE SO4 INJ 2MG V,67.55,,5.34,60.8,56
CDM,11030080,DEXTROSE 10%  INJ 5ML AMP,2.8,,0.7168,2.52,55
CDM,11030082,DIHYDROERGOT MES INJ 1MG/ML A-,312.17,,55.97,280.95,55
CDM,11030084,RISPERIDONE INJ LA 37.5MG,5814.97,,10.1,5233.47,68
CDM,11030085,VARICELLA VACC VL 0.5ML,1217.22,,167.32,1095.5,56
CDM,11030088,DIP/TET/ACE PERT VACC > 7YR IM,152.4,,43.91,137.16,55
CDM,11030093,PENTOSTATIN INJ 10MG VIAL 5ML,16364.95,,2060.28,14728.45,68
CDM,11030097,MEPIVACAINE INJ 2% 20ML VIAL,43.32,,3.0,38.99,55
CDM,11030106,MITOMYCIN INJ 20MG/50MLVL CD,1067.15,,18.72,960.43,68
CDM,11030110,FUROSEMIDE PED INJ 1MG/ML -,6.57,,0.4,5.91,56
CDM,11030111,RIFAMPIN INJ600MG/10ML V,492.35,,246.18,443.12,54
CDM,11030112,POT ACETATE INJ 40MEQ/20ML V,20.41,,5.22,18.37,55
CDM,11030114,FLUCONAZOLE INJ 2MG/ML,2.0,,1.0,3.43,55
CDM,11030115,LINEZOLID INJ 2MG/ML,2.02,,1.01,7.51,55
CDM,11030117,HYDROCORTIS NA INJ 100MG/2MLV-,100.45,,14.15,90.41,55
CDM,11030121,HYDROCORTIS NA INJ  PED 2.5/1-,17.23,,8.62,25.86,55
CDM,11030134,SODIUM CHLORIDE 0.9%   10ML V,6.05,,1.55,5.45,55
CDM,11030141,METOPROLOL INJ 5MG/ML AMP,3.89,,1.95,3.5,54
CDM,11030153,ACYCLOVIR PED INJ 5MG/ML,18.73,,0.0366,16.86,55
CDM,11030154,AMIKACIN PED INJ 5MG/ML    *NF,2.89,,0.7564,2.6,55
CDM,11030155,AMINOPHYLLINE INJ PED 1MG/1ML-,10.18,,5.09,10.13,55
CDM,11030156,AMPHOTERICIN PED INJ 0.1MG/ML,24.3,,12.15,75.23,68
CDM,11030160,PENICILLIN G K INJ  5MU,28.51,,1.07,25.66,55
CDM,11030161,CEFTAZIDIME PED INJ 20MG/ML,18.79,,1.95,16.91,55
CDM,11030162,CEFTRIAXONE PED INJ 20MG/ML NF,6.34,,0.5856,5.71,55
CDM,11030169,RISPERIDONE INJ LA 50MG,7753.62,,10.1,6978.26,68
CDM,11030171,CHLOROTHIAZIDE PED 5MG/ML,10.14,,5.07,54.79,55
CDM,11030172,HEPATITIS B IMMUNE GLOB 1ML VL,829.64,,123.45,746.68,68
CDM,11030173,DEXAMETHASONE PED INJ .1MG/ML-,2.0,,0.13,1.8,55
CDM,11030178,DIGOXIN NEO INJ 5MCG/ML-,19.76,,4.88,17.78,55
CDM,11030181,GENTAMICIN INJ  NEO 1MG/1ML-,40.15,,10.28,36.13,55
CDM,11030182,GENTAMICIN INJ  PED 10MG/ML-,13.32,,3.41,11.99,55
CDM,11030184,TOBRAMYCIN INJ 80MG/2ML V -,18.62,,3.0,16.76,55
CDM,11030190,"EPOETIN INJ ESRD 10,000U/1ML V",975.82,,0.9394,878.24,55
CDM,11030191,EPOETIN INJ ESRD  2000U/1ML V,221.98,,0.9394,199.78,55
CDM,11030192,CLINDAMYCIN INJ 600MG/4ML,13.24,,3.39,11.92,55
CDM,11030194,DOXORUBICIN INJ 50MG/25ML,107.87,,2.7,97.08,56
CDM,11030195,EPOETIN INJ ESRD  3000U/1ML V,332.98,,0.9394,299.68,55
CDM,11030198,DANTROLENE SOD INJ 20MG V,621.72,,159.16,559.55,55
CDM,11030199,EPOETIN INJ ESRD  4000U/1ML V,443.98,,0.9394,399.58,55
CDM,11030205,PENICILLIN G PED 50000U/ML,10.1,,2.59,9.09,55
CDM,11030207,CARBOPLATIN INJ 150MG VL*C,43.7,,2.57,122.25,56
CDM,11030210,METOCLOPRAMIDE INJ 10MG/2ML V-,4.37,,1.04,3.93,55
CDM,11030212,CEFOTETAN INJ 1GRAM VIAL,64.56,,16.53,58.1,55
CDM,11030215,PHENYTOIN INJ  PED 2.5MG/ML,8.49,,0.5,7.64,55
CDM,11030216,LIDOCAINE HCL INJ  1% 30ML PFV,17.83,,4.56,16.05,55
CDM,11030220,AMPICIL/SULBAC INJ 3GM VL  *NF,24.27,,1.82,21.84,55
CDM,11030221,TOBRAMYCIN INJ  NEO 1MG/ML,15.8,,3.0,14.22,55
CDM,11030222,AMPICIL/SULBAC INJ 1.5GM VL*NF,13.52,,1.82,12.17,55
CDM,11030224,LABETALOL INJ  20MG/4ML UD,44.77,,0.4758,40.29,56
CDM,11030231,VANCOMYCIN INJ  PED 5MG/ML -,11.26,,0.0366,10.13,55
CDM,11030250,GENTAMICIN INTRA INJ4MG/ML,13.32,,1.79,11.99,55
CDM,11030251,TOBRAMYCIN INJ  20MG,31.6,,3.0,28.44,55
CDM,11030261,FENTANYL INJ 2.5MG/50ML VIAL+,108.71,,0.78,97.84,55
CDM,11030263,HEPARIN SOD INJ   500U/0.5ML,34.05,,0.2684,30.64,55
CDM,11030265,HEPARIN SOD INJ 20000U/2ML,29.6,,0.2684,26.64,55
CDM,11030268,MULTIVITAMIN-12 INJ 10ML V,65.32,,16.72,58.79,55
CDM,11030269,CIPROFLOXACIN 400MG/40ML VIAL,18.62,,1.0,16.76,55
CDM,11030287,MAGNESIUM SO4 INJ  16MEQ/4ML,7.34,,0.42,6.61,55
CDM,11030290,AZTREONAM INJ 2GM VIAL     *NF,382.65,,97.96,344.38,55
CDM,11030291,CEFTRIAXONE INJ 2GM ADDV NF,15.57,,0.5856,14.01,55
CDM,11030297,GLYCERIN STERILE 30ML UP   *NF,8.72,,2.23,7.85,55
CDM,11030299,MAGNESIUM SO4 INJ  24MEQ/6ML,7.34,,0.42,6.61,55
CDM,11030311,NITROGLYCERIN INJ  50MG/10ML V,78.14,,39.07,70.33,54
CDM,11030313,NOREPINEPHRINE INJ  8MG/8ML,26.97,,6.9,24.27,55
CDM,11030322,METRONIDAZOLE HCL RTU INJ .5GM,10.25,,0.0366,9.22,55
CDM,11030324,SODIUM BICARB INJ 4.2% 10ML UD,115.86,,29.66,104.27,55
CDM,11030328,VERAPAMIL INJ  5MG/2ML AMP,19.7,,5.04,17.73,55
CDM,11030341,AMIKACIN INJ 1000MG/4MLV*NF,28.9,,0.7564,26.01,55
CDM,11030344,SODIUM BICARB INJ 100MEQ/100ML,55.29,,14.15,49.76,55
CDM,11030345,SODIUM BICARB INJ 150MEQ/150ML,102.08,,26.13,91.87,55
CDM,11030347,PENICILLIN G SOD NEO 100000U/M,5.05,,1.29,4.54,55
CDM,11030348,BACLOFEN IT KIT 10MG/20MLA*NF+,2100.0,,166.72,1890.0,68
CDM,11030350,MILRINONE INJ 20MG/20ML VL*NF+,38.62,,1.51,34.76,55
CDM,11030356,CLONIDINE VL 100MCG/ML 10ML,160.93,,21.56,144.84,55
CDM,11030358,RISPERIDONE INJ LA 12.5MG,1938.44,,10.1,1744.6,68
CDM,11030360,INSULIN REGULAR HUMAN 10U/ML,10.12,,0.6832,9.11,56
CDM,11030364,PIPERACILLIN/TAZO 3.375GM ADDV,18.19,,1.35,16.37,55
CDM,11030366,AMINOPHYLLINE INJ 500MG/20ML V,50.89,,9.02,45.8,55
CDM,11030368,MEROPENEM PED INJ 20MG/ML,18.6,,0.5368,16.74,55
CDM,11030370,ENOXAPARIN INJ 40MG UD SYRINGE,54.96,,0.69,49.46,55
CDM,11030371,ENOXAPARIN INJ 60MG UD SYRINGE,28.22,,0.69,25.4,55
CDM,11030372,ENOXAPARIN INJ 80MG UD SYRINGE,43.32,,0.69,38.99,55
CDM,11030373,ENOXAPARIN INJ 100MG UD SYR,96.55,,0.69,86.89,55
CDM,11030374,ENOXAPARIN INJ 120MG/0.8ML UD,115.86,,0.69,104.27,55
CDM,11030377,ENOXAPARIN INJ 150MG,79.53,,0.69,71.58,55
CDM,11030380,SECRETIN SYNTHETIC VL 16MCG,4498.2,,34.78,4048.38,68
CDM,11030383,SULFAMETHOX/TRIMETHO INJ 10ML,80.72,,20.66,72.65,55
CDM,11030385,AMPICILLIN SOD INJ 1 GM VIAL,5.66,,0.5978,5.09,55
CDM,11030386,AMPICILLIN SOD INJ 2 GM VIAL,5.66,,0.5978,5.09,55
CDM,11030388,HYDRALAZINE DIL INJ 0.2MG/1ML,21.76,,3.38,19.58,55
CDM,11030391,IBUTILIDE INJ 1MG/ML 10ML  V,566.79,,158.53,510.11,68
CDM,11030392,CEFTRIAXONE INJ 250MG VIAL NF,3.54,,0.5856,3.19,55
CDM,11030393,ENOXAPARIN PED INJ 20MG/ML,19.05,,0.69,17.14,55
CDM,11030394,ANAKINRA INJ 100MG,1379.69,,353.2,1241.72,55
CDM,11030395,IRON SUCROSE INJ 100MG,228.53,,0.22,205.68,56
CDM,11030398,AMIODARONE HCL INJ 50MG/ML 9ML,35.14,,0.23,31.63,55
CDM,11030399,PED MVI INJ FOR BABY TPN,65.32,,16.72,58.79,55
CDM,11030400,PYRIDOXINE HCL INJ 100MG/1ML,77.95,,7.82,70.16,55
CDM,11030404,TROPHAMINE 10%INJ FOR BABYTPN,68.97,,17.66,62.07,55
CDM,11030407,DEXTROSE INJ FOR BABY TPN,102.79,,26.31,92.51,55
CDM,11030408,CA GLUCONATE INJ FOR BABY TPN,12.86,,0.0488,11.57,56
CDM,11030409,MAGNESIUM SO4 INJ FOR BABY TPN,4.59,,0.42,4.13,55
CDM,11030410,POT ACETATE INJ FOR BABY TPN,20.41,,5.22,18.37,55
CDM,11030411,POT CHLORIDE INJ FOR BABY TPN,3.22,,0.15,2.9,55
CDM,11030412,POT PHOSPHATE INJ FOR BABY TPN,18.31,,4.69,16.48,55
CDM,11030414,SOD ACETATE INJ FOR BABY TPN,11.33,,2.9,10.2,55
CDM,11030415,SOD CHLORIDE INJ FOR BABY TPN,2.0,,0.512,1.8,55
CDM,11030416,SOD PHOSPHATE INJ FOR BABY TPN,14.52,,3.72,13.07,55
CDM,11030417,NEO TRACE ELEMENT FOR BABY TPN,48.53,,12.42,43.68,55
CDM,11030418,CYSTEINE INJ FOR BABY TPN,11.77,,3.01,10.59,55
CDM,11030419,HEPARIN INJ FOR BABY TPN,25.49,,0.2684,22.94,55
CDM,11030420,LIPID FOR BABY TPN,13.52,,3.46,12.17,55
CDM,11030423,CALFACTANT VL 35MG/ML 3ML,2577.68,,659.89,2319.91,55
CDM,11030424,CALFACTANT VL 35MG/ML 6ML,4562.46,,1167.99,4106.21,55
CDM,11030428,EPINEPHRINE INJ 1MG**,90.11,,1.61,81.1,55
CDM,11030432,AMIFOSTINE VL 500MG 10ML,7492.35,,407.25,6743.11,57
CDM,11030437,DECITABINE VL 50MG,450.59,,1.94,405.53,55
CDM,11030442,LEVOFLOXACIN 750MG/150ML BAG,21.67,,0.4,19.5,55
CDM,11030452,OXALIPLATIN INJ 100MG/20ML VL,126.14,,0.1098,113.53,56
CDM,11030456,HUMULIN R CON 500U/ML INJ- 1U,19.91,,0.6832,17.92,56
CDM,11030457,PENICILLIN G SOD INJ 6000U/ML,2.0,,0.512,1.8,55
CDM,11030458,PENICILLIN (PRE-PEN) SKIN TEST,1087.77,,278.47,978.99,55
CDM,11030459,HISTAMINE INJ 0.1MG/ML,2408.0,,616.45,2167.2,55
CDM,11030460,HISTAMINE INJ 6.0MG/ML,277.2,,70.96,249.48,55
CDM,11030464,SOD PHENYL/SOD BENZ SOL 50ML,26713.12,,6838.56,24041.81,55
CDM,11030465,PIPER/TAZO 2.25GM VL,10.58,,1.35,9.52,55
CDM,11030468,AMIKACIN INJ 500MG/2ML,49.88,,0.7564,44.89,55
CDM,11030473,DOXORUBICIN INJ 10MG/5ML,557.13,,2.7,501.42,56
CDM,11030477,ANTIVEN SNAKE CROTALIDAE 1G VL,21621.5,,1682.42,19459.35,68
CDM,11030478,EPI/LIDO VL 1:100000-2% 20ML,30.38,,7.78,27.34,55
CDM,11030479,ROPIVACAINE 0.2% 100ML**,122.29,,0.07,110.06,55
CDM,11030480,DIGOXIN PED INJ 100MCG/1ML,797.85,,4.88,718.07,55
CDM,11030485,PHENYLEPH INJ 0.4MG/10ML SYR,7.32,,1.87,6.59,55
CDM,11030487,PHENYLEPHRINE INJ 1MG/10ML,22.54,,0.0122,20.29,55
CDM,11030490,ZINC SULF VL 5MG/ML 5ML,288.18,,73.77,259.36,55
CDM,11030492,HEPARIN NA FLUSH 30U/3ML SYR,4.54,,0.01,4.09,55
CDM,11030502,ETHIODIZED OIL INJ 4.8GM/10ML,9583.0,,2453.25,8624.7,55
CDM,11030504,AMPHO B (LIPID) 50MG INHALATIO,675.85,,173.02,608.26,55
CDM,11030505,AMPHOTERICIN B 1MG/10ML IRRIG,242.97,,38.93,218.67,55
CDM,11030510,HALOPERIDOL DEC 100MG/ML 1ML V,54.74,,5.71,49.27,55
CDM,11030511,ZICONOTIDE 500MCG/20ML IT VIAL,73.97,,8.17,66.57,68
CDM,11030512,ZICONOTIDE 100MCG/1ML IT VIAL,7793.52,,8.17,7014.17,68
CDM,11030513,ZICONOTIDE 500MCG/5ML IT VIAL,73.97,,8.17,66.57,68
CDM,11030515,HALOPERIDOL DECA 50MG/0.5ML UP,54.74,,5.71,49.27,55
CDM,11030516,INDOMETHACIN INJ 0.1MG UP,186.66,,47.78,167.99,55
CDM,11030525,CEFUROXIME INJ 750MG VIAL,12.17,,1.94,10.95,55
CDM,11030527,NEOSTIGMINE INJ 1MG/ML SYR 3ML,80.91,,0.09,72.82,56
CDM,11030530,ROCURONIUM STUDY 50MG/5ML VL,2.0,,0.512,1.8,55
CDM,11030531,DANTROLENE SOD 250MG/5ML VIAL,21668.36,,5547.1,19501.52,55
CDM,11030532,GLYCERIN STERILE 10ML VIAL,1118.95,,286.45,1007.05,55
CDM,11030534,PHYTONADIONE INJ 1MG/0.5M AMP-,61.45,,3.46,55.3,55
CDM,11030536,PHYTONADIONE INJ 10MG/ML AMP,122.29,,3.46,110.06,55
CDM,11030537,VACC HEP B/DP(A)T-POL PEDIARIX,451.91,,22.0,406.72,56
CDM,11030538,VAC DP(A)TPOL/HIB C-T PENTACEL,451.91,,109.26,406.72,56
CDM,11030540,CALCIUM GLUC INJ 13.95MEQ SBS,51.43,,0.0488,46.29,56
CDM,11030546,DEXAMETHASONE INJ 10MG/ML UD V,5.23,,0.13,4.71,55
CDM,11030553,HEPARIN NA FLUSH 50U/5ML SYR,2.56,,0.01,2.3,55
CDM,11030556,SUCCINYLCH CL INJ 20MG/ML 10ML,57.93,,0.15,52.14,56
CDM,11030563,MYCOPHENOLATE INJ 1000MG-,444.8,,113.87,400.32,55
CDM,11030569,VACCINE MENINGOCOCCAL 1DOSE,1169.5,,101.42,1052.55,56
CDM,11030570,POT CL INJ 20MEQ/10ML UP,12.87,,0.15,11.58,55
CDM,11030576,SELENIOUS A INJ 400MCG/10ML*NF,104.59,,26.78,94.13,55
CDM,11030582,ATROPINE SO4 INJ 1MG/10ML UD,66.88,,0.0854,60.19,55
CDM,11030583,CLEVIDIPINE VL 0.5MG/ML 50ML,539.73,,3.51,485.76,57
CDM,11030584,CLEVIDIPINE VL 0.5MG/ML 100ML,1079.42,,3.51,971.48,57
CDM,11030590,TOBRAMYCIN 80MG SBS 2G/50ML,314.09,,3.0,282.68,55
CDM,11030591,TOBRAMYCIN 80MG SBS 1.2GM/30ML,79.36,,3.0,71.42,55
CDM,11030592,SUGAMMADEX SOD 200MG/2ML INJ,834.53,,213.64,751.08,55
CDM,11030595,ASCORBIC ACID INJ 500MG/1ML,34.41,,8.81,30.97,55
CDM,11030601,EPHEDRINE SO4 5MG/ML SYR 5ML,75.63,,19.36,68.07,55
CDM,11030602,EPINEPHRINE 10MCG/ML SYR 10ML,55.87,,1.61,50.28,55
CDM,11030603,CEFAZOLIN 250MG INJ UP SBS,3.86,,0.97,3.47,55
CDM,11030604,HEPARIN SOD INJ 3000U/3ML SBS,12.68,,0.2684,11.41,55
CDM,11030605,HEPARIN SOD INJ 4000U/4ML SBS,12.68,,0.2684,11.41,55
CDM,11030606,HEPARIN SOD INJ 7000U/7ML SBS,12.68,,0.2684,11.41,55
CDM,11030607,CALC GLUC INJ 46.5MEQ SBS APHE,247.61,,0.0488,222.85,56
CDM,11030608,SOD ACETATE INJ 4MEQ/ML 100ML,56.64,,14.5,50.98,55
CDM,11030615,NITROPRUSSIDE INJ 50MG/100ML,273.56,,70.03,246.2,55
CDM,11030619,LIDOCAINE HCL INJ 1% 5ML VIAL,7.33,,1.88,6.6,55
CDM,11030621,HEPARIN SOD INJ 2000U/2ML SBS,12.68,,0.2684,11.41,55
CDM,11030622,INSULIN REG HUMAN 100U/1ML UP,5.06,,0.6832,4.55,56
CDM,11030623,GLYCERIN STERILE 2ML VIAL,223.79,,57.29,201.41,55
CDM,11030624,BUPIVACAINE 0.5% 3ML SYG UP,9.94,,2.04,8.95,56
CDM,11030625,LIDOCAINE HCL INJ 1% 5ML SYG,70.81,,18.13,63.73,55
CDM,11030627,KETAMINE 20MG/2ML SYR SBS,74.02,,18.95,66.62,55
CDM,11030629,LIDOCAINE HCL INJ 1% 2ML VIAL,12.1,,3.1,10.89,55
CDM,11030630,IBUPROFEN INJ 800MG/8ML VIAL,152.54,,3.71,137.29,55
CDM,11030631,BUPIVACAINE 0.75% 30ML VIAL,48.47,,12.41,43.62,55
CDM,11030632,LIDOCAINE HCL INJ 2% 2ML VL,17.83,,4.56,16.05,55
CDM,11030635,TROMETHAMINE 0.3 MOLAR 50ML,149.76,,38.34,134.78,55
CDM,11030636,HYDRALAZINE INJ  20MG/1ML V-,21.76,,3.38,19.58,55
CDM,11030637,CHLOROPROCAINE INJ 1% 30MLVL,109.16,,0.0488,98.24,56
CDM,11030642,SOD PHOS INJ 15MM/5ML,116.16,,29.74,104.54,55
CDM,11030643,HEPARIN SOD INJ 5000U/1ML VL,6.31,,0.2684,5.68,55
CDM,11030645,ATROPINE SO4 INJ .5/5ML,97.26,,0.0854,87.53,55
CDM,11030649,SODIUM BICARB INJ 4.2% 5ML VL,151.39,,38.76,136.25,55
CDM,11030650,LIDOCAINE HCL INJ 2% 5ML VIAL,13.58,,3.48,12.22,55
CDM,11030651,ANGIOTENSIN II 2.5MG/ML INJ VL,11339.65,,2902.95,10205.68,55
CDM,11030652,ATROPINE SO4 INJ 0.4MG/ML VIAL,26.75,,0.0854,24.07,55
CDM,11030658,NEOSTIGMINE INJ 1MG/ML SYR 5ML,40.45,,0.09,36.41,56
CDM,11030663,HEPARIN SOD INJ 2500U/0.5ML UP,6.31,,0.2684,5.68,55
CDM,11030664,VACC HEPATITIS A 1440U/ML SYR,469.29,,88.67,422.36,55
CDM,11030665,AMIKACIN INJ PF 500MG FOR INH,49.88,,0.7564,44.89,55
CDM,11030666,AMIKACIN INJ PF 250MG FOR INH,9.98,,0.7564,8.98,55
CDM,11030667,GLUCAGON 1MG INJ HYPOKIT,794.01,,167.85,714.61,68
CDM,11030668,LIDOCAINE HCL INJ 1% 20ML VIAL,5.66,,1.45,5.09,55
CDM,11030669,PHENYLEPHRINE 40MG/250ML BAG,218.45,,0.0122,196.6,55
CDM,11030671,EPINEPHRINE 0.3MG AUTO INJECT,785.82,,1.61,707.24,55
CDM,11030672,EPINEPHRINE 0.15MG AUTO INJECT,965.48,,1.61,868.93,55
CDM,11030673,CARBOPROST TROMET 250MCG/ML VL,463.43,,118.64,417.09,55
CDM,11030675,NOREPINEPHRINE INJ 4MG/4ML VL,26.97,,6.9,24.27,55
CDM,11030678,TRIAMCINOLONE ACE INJ400MG/10M,145.95,,1.05,131.35,55
CDM,11030679,INSULIN REG 100UN/100ML BAG,107.76,,0.6832,96.98,56
CDM,11030680,ALPROSTADIL INJ 20MCG SYRINGE,681.14,,0.5856,613.03,56
CDM,11030681,LIDOCAINE 2% JEL UROJET 5ML,32.05,,8.2,28.84,55
CDM,11030684,HALOPERIDOL INJ 5MG/ML SYR,3.57,,0.91,3.21,55
CDM,11030685,CALCIUM GLUC 1000MG/5OML BAG,55.47,,0.0488,49.92,56
CDM,11030686,CALCIUM GLUC 2000MG/100ML BAG,117.04,,0.0488,105.34,56
CDM,11030687,FAT EMULS 20% SMOFLIPID 250ML,166.64,,42.66,149.98,55
CDM,11030688,"HEPARIN 3,333UNITS/ML INHAL UP",9.14,,2.34,8.23,55
CDM,11030696,PHYTONADIONE PF 1MG/0.5ML SYR,153.64,,3.46,138.28,55
CDM,11030702,SOD TETRADECYL  INJ 3% 2ML,450.56,,115.34,405.5,55
CDM,11030705,SOD PHOS INJ 0.1MM/0.3ML UP,2.0,,0.512,1.8,55
CDM,11030713,SUCCINYLCHOLINE 200MG/10ML SYR,173.53,,44.42,156.18,55
CDM,11030714,FAT EMULS 10% OMEGAVEN 100ML,551.74,,141.25,496.57,55
CDM,11030715,METHYLPRED INJ 1GM/8ML PF VL,387.94,,0.1932,349.15,68
CDM,11030717,METHYLPRED SOD INJ 1GM VIAL,125.65,,0.1932,113.08,68
CDM,11030718,ESMOLOL 2GM/100ML MULTI FLUID,653.3,,167.24,587.97,55
CDM,11030720,FAT EMULS 10% OMEGAVEN 15ML UP,82.76,,21.19,74.48,55
CDM,11030721,VORICONAZOLE 700MCG/0.7ML IVIT,2.0,,0.9516,1.8,55
CDM,11030722,VANCOMYCIN 7MG/0.7ML IVIT,12.49,,0.0366,11.24,55
CDM,11030723,EVUSHELD 300MG MULTI VIAL EUA,0.07,,0.01792,0.063,55
CDM,11030724,DOPAMINE 400MG/10ML VIAL,35.78,,0.56,32.2,55
CDM,11030726,DIMERCAPROL 300MG/3ML INJ AMP,1184.9,,59.81,1066.41,56
CDM,11030727,LIDOCAINE 1% INJ 10ML MULTI PK,38.3,,9.8,34.47,55
CDM,11030728,LIDOCAINE 2% INJ 10ML MULTI PK,13.39,,3.43,12.05,55
CDM,11030729,BEBTELOVIMAB 175MG/ML VL EUA,14700.0,,4.98,13230.0,57
CDM,11030730,PENICILLIN G POT INJ 6000U/ML,2.0,,1.0,1.8,55
CDM,11030731,LEUCOVORIN CA INJ 200MG VIAL,104.23,,2.8,93.81,56
CDM,11030732,PHYTONADIONE INJ 1MG/0.5ML VL,16.48,,3.46,14.83,55
CDM,11030734,BUPIVACAINE INJ 0.25% EPI 50ML,57.47,,14.71,51.72,55
CDM,11030735,BUPIVACAINE INJ 0.5% EPI 50ML,67.55,,17.29,60.8,55
CDM,11030739,NEOSTIGMINE INJ 3MG/3ML SYR,52.14,,0.09,46.93,56
CDM,11030744,OXYTOCIN INJ 300U/30ML VIAL,347.51,,0.53,312.76,56
CDM,11030747,CEFTAZADIME INJ SBS MLTDSE 1GM,105.9,,1.95,95.31,55
CDM,11030748,IRON SUCROSE INJ 200MG/10ML VL,458.64,,0.22,412.78,56
CDM,11030749,CLINDAMYCIN 600MG/50ML BAGMULT,33.61,,8.6,30.25,55
CDM,11030750,CLINDAMYCIN 900MG/50ML BAGMULT,33.61,,8.6,30.25,55
CDM,11030753,CISPLATIN INJ 100MG/100ML VL,220.71,,3.98,198.64,56
CDM,11030755,FLUOROURACIL INJ 2.5GM/50ML,57.05,,14.6,51.34,55
CDM,11030763,ROSUVASTATIN TAB 40MG UD,6.0,,1.54,5.4,55
CDM,11030764,TISSUEBLUE OPTH .025%/0.5MLSYR,1101.8,,282.06,991.62,55
CDM,11030768,NIRSEVIMAB-ALIP INJ 50MG/0.5ML,3052.77,,781.51,2747.49,55
CDM,11030769,NIRSEVIMAB-ALIP INJ 100MG/ML,3052.77,,781.51,2747.49,55
CDM,11030775,INSULIN REG NUM 5U/0.05ML UP,2.0,,0.6832,1.8,56
CDM,11030780,VACC FLU TRIVALENT / AFLURIA,94.5,,20.5,85.05,56
CDM,11030781,VACC FLU TRIVALADJUVANT/FLUAD,386.75,,66.05,348.07,56
CDM,11030782,VACC FLU TRIVALENT / FLAURIX,105.35,,11.74,94.81,56
CDM,11030783,DIPHENHYDRAMINE INJ50MG/1MLUD-,3.35,,0.65,3.02,55
CDM,11030784,DEXAMETHASONE PED INJ .01MG/ML,1.11,,0.13,0.999,55
CDM,11030792,ARGININE 10% INJ 1GM 10ML SBS,10.5,,2.69,9.45,55
CDM,11030793,NIVOLUMAB 1MG BU/120MG VIAL,161.5,,28.56,145.35,68
CDM,11030796,DICYCLOMINE INJ 20MG/2ML VL NF,541.04,,14.25,486.94,55
CDM,11030850,THIAMINE HCL INJ100MG/ML 2ML A,26.39,,2.18,23.75,55
CDM,11030885,PENICILLIN G BEN INJ 1.2MU UD-,1962.89,,15.16,1766.6,68
CDM,11030900,BETAMETHASONE INJ 30MG/5ML V,238.77,,6.55,214.89,55
CDM,11030902,BETAMETHASONE INJ 12MG/2ML,238.77,,6.55,214.89,55
CDM,11030935,BLEOMYCIN INJ 15U V       *CD+,128.94,,25.5,164.25,56
CDM,11030938,ONDANSETRON INJ 4MG/2ML,2.9,,0.09,6.0,56
CDM,11030939,VACC PNEUMOC INJ 0.5ML UD >5YR,2.0,,1.0,162.83,55
CDM,11030940,PENICILLIN G BEN  INJ 600TU U-,1133.27,,15.16,1019.94,68
CDM,11030942,DOPAMINE HCL INJ 400MG/5ML VL,18.45,,0.56,16.61,55
CDM,11030944,NALOXONE INJ 1MG/2ML AMP-,134.85,,0.0854,121.36,55
CDM,11030951,AMPICILLIN INJ 0.0005MG/ML,5.66,,0.5978,5.09,55
CDM,11030952,AMPICILLIN INJ 0.005MG/ML,5.66,,0.5978,5.09,55
CDM,11030953,AMPICILLIN INJ 0.1MG/ML,5.66,,0.5978,5.09,55
CDM,11030954,AMPICILLIN INJ 1MG/ML,5.66,,0.5978,5.09,55
CDM,11030955,AMPICILLIN INJ 100MG/ML,5.66,,0.5978,5.09,55
CDM,11030956,REGADENOSON INJ 0.4MG,414.77,,3.53,373.29,55
CDM,11030961,VANCOMYCIN 2.5GM IV UED RXW,112.63,,0.0366,101.37,55
CDM,11030962,VANCOMYCIN 3GM IV UED RXW,79.88,,0.0366,71.89,55
CDM,11030963,SMZ/TMP DESEN 4MG-0.8MG/ML INJ,20.18,,10.09,18.16,54
CDM,11030964,ZOLEDRONIC ACID BAG 4MG/100ML,160.86,,6.34,144.77,55
CDM,11030976,AMPICILLIN SOD INJ 250MG VIAL,4.99,,0.5978,4.49,55
CDM,11031005,BUPIVACAINE INJ 0.25% 30ML,10.33,,0.0122,9.3,55
CDM,11031006,BUPIVACAINE INJ 0.25% EPI 30ML,68.23,,17.47,61.41,55
CDM,11031007,BUPIVACAINE INJ 0.5% 30ML,9.8,,2.51,8.82,55
CDM,11031008,BUPIVACAINE INJ 0.5% EPI 30ML,73.51,,18.82,66.16,55
CDM,11031024,EPOPROSTENOL INJ 1.5MG VIAL,218.12,,16.31,196.31,55
CDM,11031048,CALCIUM CL INJ 10% 10ML VIAL,52.33,,13.4,47.1,55
CDM,11031052,CALCIUM CL INJ 10% 10ML UD,61.15,,15.65,55.03,55
CDM,11031065,CEFEPIME INJ 1 GM VIAL NF,16.18,,1.5,14.56,55
CDM,11031066,BACLOFEN IT INJ50MCG/MLT NF +,210.0,,51.21,189.0,55
CDM,11031067,CISATRACURIUM INJ 10MG/ML 20ML,332.44,,85.1,299.2,55
CDM,11031069,CALCIUM CHLOR INJ 40.8MEQ SBS,171.21,,43.83,154.09,55
CDM,11031070,CEFEPIME INJ 1GM ADD VIAL,18.63,,1.5,16.77,55
CDM,11031078,ADENOSINE INJ 6MG/2ML VIAL-,12.05,,0.5612,10.85,55
CDM,11031088,VACC TDAP>7YR IM-UED USE ONLY,265.23,,43.91,238.71,55
CDM,11031096,MEPIVACAINE INJ 2% 50ML VIAL,56.32,,3.0,50.69,55
CDM,11031099,CARMUSTINE INJ 100MG V    *CD+,16975.56,,211.84,15278.0,68
CDM,11031101,DEXTROSE 5% 2ML UP,12.17,,2.04,10.95,55
CDM,11031119,ROCURONIUM INJ 10MG/ML 50MG V,10.3,,2.64,9.27,55
CDM,11031126,ALTEPLASE INJ 50MG/50ML V*+,29753.99,,24.75,26778.59,69
CDM,11031129,ALTEPLASE(OPEN CATH) 2MG/2MLI+,1192.45,,24.75,1073.2,69
CDM,11031145,OCTREOTIDE INJ 100MCG/ML AMP,16.09,,0.7442,14.48,55
CDM,11031146,OCTREOTIDE INJ 500MCG/1ML AMP,75.57,,0.7442,68.01,55
CDM,11031147,OCTREOTIDE INJ 50MCG/1ML A,13.52,,0.7442,12.17,55
CDM,11031150,MESNA INJ 1000MG/10ML AMP CD,52.71,,1.62,47.44,56
CDM,11031151,PHENYTOIN INJ 250MG/5ML AMP,8.49,,0.5,7.64,55
CDM,11031154,CEFAZOLIN SODIUM INJ 1GM,6.13,,0.97,5.52,55
CDM,11031200,NICARDIPINE INJ 2.5MG/ML10MLNF,74.94,,0.1098,67.45,55
CDM,11031210,INSULIN LISPRO 75/25 100U/ML10,348.32,,0.6832,313.49,56
CDM,11031212,CARBOPLATIN 450MG/45ML VL CD,405.79,,2.57,365.21,56
CDM,11031222,CEFOTETAN INJ 2 GRAM VIAL,129.18,,33.07,116.26,55
CDM,11031234,TROPHAMINE 4%/D10W 100ML,199.85,,51.16,179.87,55
CDM,11031235,NELARABINE INJ 250MG/50ML VL,5201.77,,73.47,4681.59,68
CDM,11031255,CHLOROPROCAINE INJ 2% 20ML V-,128.92,,0.0488,116.03,56
CDM,11031270,ADENOSINE INJ 90MG/30ML VIAL,735.98,,0.5612,662.38,55
CDM,11031344,CALCIUM GLUCONATE INJ4.65MEQA-,51.43,,0.0488,46.29,56
CDM,11031345,DEXAMETHASONE PEDI 1MG/ML INJ+,3.13,,0.13,2.82,55
CDM,11031346,CALCIUM GLUC INJ 46.5MEQ/100ML,247.61,,0.0488,222.85,56
CDM,11031359,VIT A INJ 5000UNITS,462.62,,118.43,416.36,55
CDM,11031367,BENZTROPINE INJ 2MG/2ML A,157.7,,17.27,141.93,55
CDM,11031369,GANCICLOVIR NA INJ 500MG V+,321.83,,12.84,289.65,55
CDM,11031381,NALBUP HCL INJ 10MG/1 AMP-,21.95,,3.07,19.75,55
CDM,11031390,RIFAMPIN PED INJ 5MG/ML  NF,4.09,,1.05,3.68,55
CDM,11031395,COLISTIMETHATE INJ 150MG VIAL-,70.7,,13.9,63.63,55
CDM,11031404,CEFAZOLIN INJ IM(330MG/ML)1GM,6.13,,0.97,5.52,55
CDM,11031407,CEFTAZIDIME INJ IM 1GM/3.58ML,18.79,,1.95,16.91,55
CDM,11031410,CEFTRIAXONE INJ IM 250MG/ML NF,3.54,,0.5856,3.19,55
CDM,11031421,ENOXAPARIN PEDI INJ 10MG/ML,4.66,,0.69,4.19,55
CDM,11031422,CEFTRIAXONE INJ 1GM VIAL,6.34,,0.5856,5.71,55
CDM,11031424,METHYLNALTREXONE BR 12MG 0.6ML,1031.8,,2.33,928.62,57
CDM,11031427,INSULIN REG HUM DIL 0.1U/ML,5.06,,0.6832,4.55,56
CDM,11031428,INSULIN REG HUM DIL 10U/ML,10.12,,0.6832,9.11,56
CDM,11031429,INSULIN REG HUM DIL 1U/ML,33.68,,0.6832,30.31,56
CDM,11031430,LACOSAMIDE VL 10MG/ML 20ML,622.19,,0.89,559.97,55
CDM,11031433,CEFAZOLIN ONC LOCK 50MG/5ML,6.13,,0.97,5.52,55
CDM,11031434,CEFTAZIDIME ONC 50MG/5ML,9.4,,1.95,8.46,55
CDM,11031435,GENTAMICIN ONC LOCK 5MG/5ML,16.06,,1.79,14.45,55
CDM,11031436,VANCOMYCIN ONC LOCK 25MG/5ML,42.82,,0.0366,38.54,55
CDM,11031440,CYTARABINE INJ 2000MG/20ML VL,119.91,,0.68,107.92,55
CDM,11031444,NALOXONE INJ 2MG/2ML SYRINGE,90.11,,0.0854,81.1,55
CDM,11031446,CHORIONIC GONAD INJ1000U,155.55,,21.36,140.0,55
CDM,11031447,HYALURONIDASE VL 150U/ML 1ML,273.32,,21.2,245.99,55
CDM,11031448,MAGNESIUM SULFATE INJ NEO 40MG,7.34,,0.42,6.61,55
CDM,11031450,ROPIVACAINE 0.2% (200MG/100ML),245.63,,0.07,221.07,55
CDM,11031451,ROPIVACAINE 0.2% (400MG/200ML),457.01,,0.07,411.31,55
CDM,11031453,KCL 2MEQ+CACL 1MEQ SYR(12.1ML),12.87,,3.29,11.58,55
CDM,11031455,MAGNESIUM SO4 PEDI 80MG/ML INJ,7.34,,0.42,6.61,55
CDM,11031456,METOCLOPRAMIDE INJ PED 0.5MG,4.37,,1.04,3.93,55
CDM,11031458,METOCLOPRAMIDE INJ NEO .1MG/ML,4.37,,1.04,3.93,55
CDM,11031459,ORPHENADRINE AMP 30MG/ML 2ML,46.67,,5.29,42.0,55
CDM,11031467,VACC PNEUMOCOCCAL 13 VALENT IM,791.67,,314.75,712.5,55
CDM,11031468,BUPIVACAINE VL 0.25% 10ML,9.4,,2.41,8.46,55
CDM,11031469,BUPIVACAINE VL 0.5% 10ML,9.85,,2.52,8.87,55
CDM,11031470,ROPIVACAINE INJ 0.2% 20ML,42.1,,0.07,37.89,55
CDM,11031471,ROPIVACAINE INJ 0.5% 30ML,28.32,,0.07,25.49,55
CDM,11031472,INSULIN NPH 100 IU/ML 3ML PEN,123.19,,0.6832,110.87,56
CDM,11031473,DOCETAXEL INJ 20MG/ML 1ML VL,151.27,,0.4636,136.14,55
CDM,11031483,TRANEXAMIC ACID INJ 100MG/10ML,27.62,,7.07,24.86,55
CDM,11031490,EPINEPHRINE 8MG/D5W 250ML BAG,202.15,,1.61,181.94,55
CDM,11031493,DOXERCALCIFEROL INJ 2MCG/ML,8.65,,0.33,7.79,55
CDM,11031494,TOBRAMYCIN INJ 80MG/2ML VL,18.62,,3.0,16.76,55
CDM,11031498,PROCAINAMIDE INJ 1000ML/10ML V,417.09,,71.73,405.2,68
CDM,11031500,ESMOLOL INJ 100MG/ML 10ML SYR,35.91,,17.95,32.32,54
CDM,11031504,INSULIN ISOP/REG 70/30 3ML PEN,90.5,,0.6832,81.45,56
CDM,11031511,GEMCITABINE VL 1GM/26.3ML,187.18,,3.61,168.46,56
CDM,11031512,GEMCITABINE VL 200MG/5.26ML,187.18,,3.61,168.46,56
CDM,11031513,MITOMYCIN INJ 40MG VL,1016.93,,18.72,915.24,68
CDM,11031514,SILDENAFIL INJ 10MG/12.5ML VL,1747.69,,447.41,1572.92,55
CDM,11031515,CAFFINE CITRATE 5MG/ML PED INJ,41.86,,0.55,37.67,57
CDM,11031516,CEFOTETAN INJ 1GM VL *NF*,64.56,,16.53,58.1,55
CDM,11031517,CEFOTETAN INJ 2GM VL *NF*,129.18,,33.07,116.26,55
CDM,11031518,ACETAMIN INJ 10MG/ML 100ML,36.56,,0.061,32.9,55
CDM,11031519,SODIUM CL INJ 2.5MEQ/ML 40MLVL,42.24,,0.05,38.02,56
CDM,11031520,ECULIZUMAB INJ 300MG/30ML VL,45661.0,,224.63,41094.9,57
CDM,11031523,CARFILZOMIB INJ 60MG,22923.95,,39.2,20631.56,68
CDM,11031524,TETRACAINE AMP 1% 2ML,241.37,,61.79,217.23,55
CDM,11031525,DASATINIB TAB 20MG,1088.2,,278.58,979.38,55
CDM,11031527,APIXABAN TAB 2.5MG,9.66,,2.47,8.69,55
CDM,11031528,APIXABAN TAB 5MG,9.66,,2.47,8.69,55
CDM,11031531,DEXMEDETOMIDINE VL 200MCG/2ML,12.49,,3.2,11.24,55
CDM,11031536,IRINOTECAN VL 20MG/ML 5ML,90.09,,1.71,126.0,56
CDM,11031537,TRANEXAMIC ACID 100MG/ML 10ML,27.62,,7.07,24.86,55
CDM,11031539,PANTOPRAZOLE PED INJ 0.8MG/ML,20.5,,10.25,29.0,56
CDM,11031545,METHOXSALEN INJ 20MCG/ML 10ML,4399.33,,1126.23,3959.4,55
CDM,11031546,MEPIVACAINE INJ 1.5% 30ML VIAL,52.91,,3.0,47.62,55
CDM,11031549,BENDAMUSTINE VL 100MG-BENDEKA,14011.9,,12.41,12610.71,68
CDM,11031550,BENDAMUSTINE VL 25MG-BENDEKA,3502.98,,12.41,3152.68,68
CDM,11031556,VANCOMYCIN INJ 1000MG VL,90.16,,0.0366,81.14,55
CDM,11031557,VANCOMYCIN INJ 250MG RXWORKS,51.11,,0.0366,46.0,55
CDM,11031560,COPPER CHL SOL 0.4MG/ML 10ML,166.06,,42.51,149.45,55
CDM,11031561,VACC FLU VIRUS QUAD,94.5,,11.74,85.05,56
CDM,11031564,INDOCYANINE GREEN VL 25MG,1023.54,,262.03,921.19,55
CDM,11031565,IFOSFAMIDE INJ 1GM PWD VIAL,373.31,,26.31,335.98,56
CDM,11031567,VARICELLA IMMUNE GLOB 125IU VL,14949.48,,2172.87,13454.53,68
CDM,11031568,ISOPROTERENOL INJ 0.2MG/ML 1ML,1284.72,,328.89,1156.25,55
CDM,11031569,CHLOROTHIAZIDE INJ 25MG UP,10.14,,5.07,54.79,55
CDM,11031570,IDARUCIZUMAB 2.5GM/50ML VL INJ,17085.71,,4373.94,15377.14,55
CDM,11031571,TOCILIZUMAB VL 200MG/10ML IV,8979.32,,5.25,8081.39,68
CDM,11031572,BRIVARACETAM INJ 50MG/5ML,31.71,,8.12,28.54,55
CDM,11031573,CAFF+SOD BENZ 250MG/ML INJ 2ML,193.16,,49.45,173.84,55
CDM,11031574,LEUCOVORIN CA INJ 100MG SBS,44.38,,2.8,39.94,56
CDM,11031575,LEUCOVORIN CA INJ 5MG SBS,7.01,,2.8,6.31,56
CDM,11031579,MICAFUNGIN INJ 100MG,1203.65,,0.3782,1083.29,55
CDM,11031580,MORPHINE INJ 5MG/10ML AMPULE,186.24,,1.87,167.62,55
CDM,11031581,+ROPIVACAINE 0.2% 550ML ON-Q,997.66,,0.07,897.89,55
CDM,11031586,DILTIAZEM INJ 5MG/ML 5ML VIAL,13.48,,3.45,12.13,55
CDM,11031592,ALPROSTADIL INJ 500MCG/ML VL,834.12,,0.5856,750.71,56
CDM,11031593,REMDESIVIR INJ 100MG VIAL****,4196.36,,1074.27,3776.72,55
CDM,11031597,MICAFUNGIN NA PED INJ 1MG/ML,6.02,,0.3782,5.42,55
CDM,11031598,LEVETIRACETAM PED INJ 10MG/ML,8.41,,0.061,7.57,55
CDM,11031599,LEVOTHYROXINE INJ 100MCG,541.1,,138.52,486.99,55
CDM,11031601,FOSAPREPITANT INJ 150MG VL,153.51,,0.1342,138.16,55
CDM,11031602,CHLOROPROCAINE INJ 3% 20ML,135.42,,0.0488,121.88,56
CDM,11031603,INFLIXIMAB10MG INTRAARTICULR,789.29,,28.6,710.36,68
CDM,11031604,HEPAT B IMM GLOB IM 40MCG/1ML,766.36,,61.31,689.72,68
CDM,11031605,HEPAT B IMM GLOB IM 10MCG/1ML,324.19,,61.31,291.77,68
CDM,11031609,CYANOCOBALAMIN INJ 100MCG UD -,2.0,,1.0,1.84,55
CDM,11031610,CYANOCOBALAMIN INJ 1000MCG UD-,28.97,,1.16,26.07,55
CDM,11031618,FLUDARABINE PO4 INJ 50MG/2ML,265.93,,62.74,294.0,69
CDM,11031623,PAMIDRONATE INJ 90MG/10ML +,210.77,,11.52,221.25,56
CDM,11031624,GLYCOPYROL PED INJ 3.3MCG/ML,2.0,,0.4232,1.8,68
CDM,11031625,CYANOCOBALAMIN PEDINJ50MCG/ML-,2.0,,1.0,1.84,55
CDM,11031626,CEFEPIME PEDI INJ 20MG/ML   NF,4.05,,1.5,3.65,55
CDM,11031629,BUSULFAN INJ 6MG/ML 10MLAMPCD+,215.43,,0.8096,193.89,68
CDM,11031632,CEFTAROLINE VL 600MG,1262.58,,3.32,1136.32,68
CDM,11031635,BACLOFEN IT 40MG/20ML VL,4491.06,,166.72,4041.95,68
CDM,11031639,BENDAMUSTINE INJ 45MG-BENDEKA,6305.36,,12.41,5674.82,68
CDM,11031640,BENDAMUSTINE INJ 180MG-BENDEKA,25221.42,,12.41,22699.28,68
CDM,11031644,CEFTRIAXONE INJ 2GM VIAL,15.57,,0.5856,14.01,55
CDM,11031647,CA GLUCONATE INJ100MG/ML50ML,123.84,,0.0488,111.46,56
CDM,11031648,TOCILIZUMAB VL 80MG/4ML IV,3591.7,,5.25,3232.53,68
CDM,11031650,DEXAMETHASONE INJ 10MG/ML PF V,11.07,,0.13,9.96,55
CDM,11031651,ERTAPENEM INJ 0.5GM/10ML SBS,160.91,,11.0,144.82,55
CDM,11031652,AZTREONAM 500MG INJ SBS,95.66,,47.83,86.09,54
CDM,11031654,CYTARABINE INJ   100MG V  *CD+,80.01,,0.68,72.01,55
CDM,11031656,TROPHAMINE 4%/D10W 250ML,199.85,,51.16,179.87,55
CDM,11031658,SUMATRIPTAN 6MG/0.5ML UD -,38.71,,19.36,199.79,56
CDM,11031667,PROMETHAZINE INJ 25MG/1ML INJ,10.62,,2.31,9.56,55
CDM,11031671,SOD BICARB INJ 10MEQ/10ML AUS,159.82,,40.91,143.84,55
CDM,11031673,POT PHOSPHATE INJ 15MM/5ML VL,73.25,,18.75,65.92,55
CDM,11031674,VACC HEPB ENGERX 20MCG/ML ADLT,313.29,,156.65,281.96,55
CDM,11031675,VACC HEPB ENGERX 10MCG/0.5 PED,135.83,,38.64,122.25,55
CDM,11031676,BUPIVACAINE INJ 0.75% EPI 30ML,82.58,,21.14,74.32,55
CDM,11031677,DEXTROSE 25% INJ 10ML UD,102.79,,26.31,92.51,55
CDM,11031682,BUMETANIDE INJ 0.25MG/ML 4ML,12.17,,0.3404,10.95,68
CDM,11031684,LIDOCAINE 2% INJ 5ML VL,10.04,,2.57,9.04,55
CDM,11031685,DOPAMINE HCL INJ 200MG/5ML VL,18.45,,0.56,16.61,55
CDM,11031687,POT CHLORIDE 20MEQ/50ML BAG,26.43,,0.15,23.79,55
CDM,11031689,ETOPOSIDE INJ 100MG PWD VIAL,62.86,,0.77,56.57,56
CDM,11031691,VINCRISTINE SO4 INJ 1MG/ML VL,36.4,,5.34,35.25,56
CDM,11031692,ETOPOSIDE INJ 10MG/0.5ML SBS,62.86,,0.77,56.57,56
CDM,11031695,PORACTANT 120MG/1.5ML IT VIAL,3853.29,,986.44,3467.96,55
CDM,11031696,PORACTANT 240MG/3ML IT VIAL,7499.17,,1919.79,6749.25,55
CDM,11031700,VACC MENINGOCCAL B INJ BEXSERO,1169.5,,197.48,1052.55,56
CDM,11031701,POT CHLORIDE 10MEQ/100ML BAG,32.89,,0.15,29.6,55
CDM,11031703,ISOPROTERENOL 0.2MG/50ML NS UP,518.46,,132.73,466.61,55
CDM,11031704,AMIODARONE HCL 900MG/18ML VL,86.66,,0.23,77.99,55
CDM,11031705,DOXERCALCIFEROL INJ 4MCG/2ML,8.65,,0.33,7.79,55
CDM,11031706,DEXMEDETOMIDIN INJ 400MCG/100M,106.53,,27.27,95.88,55
CDM,11031707,METHYLNALTREXONE INJ 12MG SYR,1032.86,,2.33,929.57,57
CDM,11031708,METHYLNALTREXONE INJ 8MG SYR,1032.86,,2.33,929.57,57
CDM,11031709,ESMOLOL 20MG/ML 100ML H2O BAG,653.3,,167.24,587.97,55
CDM,11031710,LEUCOVORIN CA INJ 100MG VIAL,44.38,,2.8,39.94,56
CDM,11031712,BUPIVACAINE LIPO VL 133MG/10ML,1382.96,,354.04,1244.66,55
CDM,11031716,HYOSCYAMINE INJ 0.5MG/1ML VL,308.95,,11.05,278.06,56
CDM,11031719,LEVOCARNITINE FOR BABY TPN,6.11,,1.56,5.5,55
CDM,11031720,SELENIUM FOR BABY TPN,2.0,,0.512,1.8,55
CDM,11031722,DESMOPRESSIN INJ 4MCG/ML AMP,138.27,,3.24,124.44,68
CDM,11031724,DEHYDRATED ALCOHOL 99% 5ML AMP,5277.93,,1351.15,4750.14,55
CDM,11031726,ALPROSTADIL INJ 20MCG VIAL,677.27,,0.5856,609.54,56
CDM,11031728,VACC FLU VIRUS QUAD HIGH DOSE,386.75,,20.5,348.07,56
CDM,11031729,AMIKACIN ITRAVITREAL 40MG/10ML,49.88,,0.7564,44.89,55
CDM,11031730,FAT EMULS 20% SMOFLIPID 15MLUP,20.99,,5.37,18.89,55
CDM,11031731,FAT EMULSION 20% 15ML UP,5.04,,1.29,4.54,55
CDM,11031733,LEVETIRACETAM 1000MG/100ML BAG,61.15,,0.061,55.03,55
CDM,11031734,LEVETIRACETAM 1500MG/100ML BAG,68.68,,0.061,61.81,55
CDM,11031735,VANCOMYCIN INJ 750MG VIAL,59.36,,0.0366,53.42,55
CDM,11031738,VANCOMYCIN 1.75GM/500ML NS BAG,149.25,,0.0366,134.32,55
CDM,11031739,AMIODARONE INJ 150MG/100ML BAG,98.24,,0.23,88.42,55
CDM,11031740,AMIODARONE INJ 360MG/200ML BAG,123.29,,0.23,110.96,55
CDM,11031741,LIDOCAINE 1% W/EPI 1-100K 20ML,8.34,,2.14,7.51,55
CDM,11031742,ARTESUNATE 110MG INJ VIAL,37649.5,,9638.27,33884.55,55
CDM,11031743,IBUPROFEN PEDI INJ 4MG/ML,19.07,,3.71,17.16,55
CDM,11031746,REMDESIVIR 1.25MG/ML PED,41.96,,10.74,37.76,55
CDM,11031750,FAT EMULS 20% SMOFLIPID 500ML,206.27,,52.81,185.64,55
CDM,11031753,VANCOMYCIN INJ 1500MG VIAL,155.23,,0.0366,139.71,55
CDM,11031755,VANCOMYCIN 2GM/500ML 0.9% NACL,224.97,,0.061,202.47,55
CDM,11031756,LABETALOL INJ 200MG/40ML VIAL,30.52,,0.4758,27.47,55
CDM,11031758,SODIUM ACET INJ 200MEQ/100ML,40.55,,10.38,36.49,55
CDM,11031759,ZINC SULFATE FOR BABY TPN,2.0,,0.512,1.8,55
CDM,11031760,COPPER CHLORIDE FOR BABY TPN,2.0,,0.512,1.8,55
CDM,11031761,CHROMIUM FOR BABY TPN,21.42,,5.48,19.28,55
CDM,11031762,LEUCOVORIN CA INJ 500MG VIAL,289.59,,2.8,260.63,56
CDM,11031763,CEFTRIAXONE INJ 500MG VIAL,4.38,,0.5856,3.94,55
CDM,11031764,VACC MENINGOCOCCAL B-MENQUADFI,1169.5,,163.98,1052.55,56
CDM,11031766,SOD PHOS INJ 0.15MM/0.05ML UP,3.76,,0.96256,3.38,55
CDM,11031769,AMINOPHYLLINE INJ 250MG/10ML,78.87,,9.02,70.98,55
CDM,11031770,FAT EMULS 10% OMEGAVEN 50ML,193.16,,49.45,173.84,55
CDM,11031771,CEFTAZIDIME 14MG/0.7ML IVIT,4.7,,1.95,4.23,55
CDM,11031772,VASOPRESSIN INJ 20U/100ML VIAL,289.65,,74.15,260.69,55
CDM,11031773,CLINDAMYCIN 600MG/50ML D5W BAG,33.61,,8.6,30.25,55
CDM,11031774,GLYCERIN STERILE INJ 5GM/10ML,223.79,,57.29,201.41,55
CDM,11031778,NICARDIPINE 40MG/200ML PREMIX,315.39,,0.1098,283.85,55
CDM,11031779,PIPER/TAZO PEDI INJ 80MG-10MG,0.88,,0.44,1.65,55
CDM,11031780,VAC HEPLISAV-B 20MCG/0.5ML SYR,883.74,,216.62,795.37,55
CDM,11031781,VACC PNEUMOCOCCAL 20 VALENT IM,1592.49,,381.74,1433.24,55
CDM,11031786,TESTOSTERONE CYPN INJ 200MG UD,152.81,,0.03,137.53,55
CDM,11031818,PENICILLIN G 50000U/ML DESENS,2.52,,0.64512,2.27,55
CDM,11031819,INSULIN REG HUMAN 1UN/ML UP,2.0,,0.6832,1.8,56
CDM,11031820,LIDOCAINE 1% INJ 5ML MULTI PKG,7.33,,1.88,6.6,55
CDM,11031821,LIDOCAINE 2% INJ 2ML MULTI PKG,13.58,,3.48,12.22,55
CDM,11031822,ACETYLCHOLINE 540MCG/30ML ICSY,16.39,,4.2,14.75,55
CDM,11031823,ACETYLCHOLINE 5.4MCG/30ML ICSY,2.0,,0.512,1.8,55
CDM,11031824,LIDOCAINE 1% INJ 2ML MULTI PKG,7.33,,1.88,6.6,55
CDM,11031825,LIDOCAINE 2% INJ 5ML MULTI PKG,13.58,,3.48,12.22,55
CDM,11031832,METHYLPRED ACETAT INJ40MG/MLV-,24.08,,0.1104,21.67,68
CDM,11031845,PROCHLORPERAZINE INJ 10MG/2 V-,17.7,,3.07,15.93,55
CDM,11031849,HEPARIN 5000UN/5ML MULTI PACK,4.7,,0.01,4.23,55
CDM,11031850,HEPARIN 5000UN/5ML INJ SYR,3.61,,0.01,3.25,55
CDM,11031851,CLINDAMYCIN 900MG/50ML D5W BAG,94.07,,24.08,84.66,55
CDM,11031859,DEFEROXAMINE INJ 500MG/2ML A+,60.87,,8.44,54.78,55
CDM,11031861,SOD CL 3% FOR INHL 15ML VL,4.89,,1.25,4.4,55
CDM,11031862,LIDO HCL 1% EP 1-100T 10ML,22.27,,5.7,20.04,55
CDM,11031870,LEVOTHYROXINE 100MCG/5ML VIAL,459.27,,117.57,413.34,55
CDM,11031880,DEXMEDET 400MCG/100ML MLTFLUID,113.28,,29.0,101.95,55
CDM,11031881,DEXMEDETOMIDIN 400MCG/100ML NS,113.28,,29.0,101.95,55
CDM,11031882,ESMOLOL 20MG/ML 100ML NS BAG,859.01,,219.91,773.11,55
CDM,11031883,NAFCILLIN INJ 100MG UP SBS,32.63,,8.35,29.37,55
CDM,11031884,CEFTRIAXONE PED INJ 35MG/0.1ML,2.0,,0.512,1.8,55
CDM,11031885,VANCOMYCIN INJ 1.25GM VIAL,125.51,,0.0366,112.96,55
CDM,11031886,DOCETAXEL INJ 20MG/ML 4ML VL,2.56,,0.4636,2.3,55
CDM,11031887,DEXAMETHASONE INJ 4MG/ML,3.13,,0.13,2.82,55
CDM,11031888,HEPARIN SOD INJ 20000U/1ML V,74.02,,0.2684,66.62,55
CDM,11031889,HEPARIN FLUSH 100U/ML 5ML  V,2.9,,0.01,2.61,55
CDM,11031892,POT CL INJ 60MEQ/30ML VIAL,22.14,,0.15,19.93,55
CDM,11031894,INSULIN LISPRO 100U/ML 3ML PEN,131.67,,3.95,118.5,55
CDM,11031900,CEFAZOLIN INJ NA 2GM,80.52,,0.97,72.47,55
CDM,11031908,DEXTROSE 50% INJ  50ML VIAL,26.52,,6.79,23.87,55
CDM,11031909,DEXTROSE 50% INJ  50ML UD,98.55,,25.23,88.69,55
CDM,11031911,BETASERON I 0.3MG NF,4748.29,,119.3,4273.46,55
CDM,11031913,ACYCLOVIR INJ 1GM/20ML VL,28.9,,0.0366,26.01,55
CDM,11031915,SODIUM CHLORIDE 3% INJ 1ML,16.48,,0.05,14.83,56
CDM,11031922,DIGOXIN PED INJ 100MCG/1ML AMP,886.5,,4.88,797.85,55
CDM,11031923,POLIDOCANOL INJ 1% 20MG/2ML,145.46,,37.24,130.91,55
CDM,11031925,VAC VARICEL-ZOST 50MCG/0.5MLVL,1298.02,,332.29,1168.22,55
CDM,11031926,CEFAZOLIN SODIUM INJ 3GM,33.41,,0.97,30.07,55
CDM,11031927,REMIMAZOLAM INJ 20MG VIAL,260.76,,3.0,234.68,56
CDM,11031929,FOSPHENYTOIN INJ 25MG/ML PED,8.26,,4.13,21.0,57
CDM,11031930,ACETAZOLAMIDE INJ 500MG V--,202.72,,21.02,182.45,55
CDM,11031931,ETHIODIZED OIL 4.8GM/10ML VIAL,9583.0,,2453.25,8624.7,55
CDM,11031932,NICARDIPINE INJ 25MG/10ML PFVL,169.32,,0.1098,152.39,55
CDM,11031933,TROPHAMINE 10% INJ 500ML,287.28,,73.54,258.55,55
CDM,11031934,MIDAZOLAM INJ 10MG/2ML PF VIAL,6.44,,0.13,5.8,55
CDM,11031935,SODIUM ACETATE INJ 100MEQ/50ML,116.93,,29.93,105.24,55
CDM,11031936,IODIXANOL INJ 320MG/ML 500ML,1126.39,,0.06,1013.75,55
CDM,11031938,TERLIPRESSIN INJ 0.85MG VIAL,6583.5,,1685.38,5925.15,55
CDM,11031941,VACC HEPB ENGERX 20MCG/ML SYR,313.29,,80.2,281.96,55
CDM,11031946,TACROLIMUS INJ 0.1MG / ML SBS,1593.68,,211.97,1434.31,68
CDM,11031947,ON-Q DRUG PHARMACY TRACKING,0.01,,0.00256,0.009,55
CDM,11031952,LETERMOVIR INJ 480MG/24ML VIAL,2656.08,,679.96,2390.47,55
CDM,11031958,SULBACTAM 1G/DURLOBACTA 1G INJ,3493.0,,894.21,3143.7,55
CDM,11031964,PAFOLACIANINE INJ 3.2MG /1.6ML,19337.5,,123.16,17403.75,55
CDM,11031965,SULBACTAM 1G/DURLOBACTA 1G INJ,3493.0,,894.21,3143.7,55
CDM,11031966,ACETAMIN 1000MG/ 100ML BAG,51.59,,0.0732,46.43,55
CDM,11031971,GLUCARPIDASE INJ 1000 UNIT VL,288218.0,,144109.0,259396.2,54
CDM,11031976,XACDURO KIT / DURLOBACTAM CMP,0.01,,0.00256,0.009,55
CDM,11031979,GLYCERIN STERILE 50% 100ML VL,553.0,,141.57,497.7,55
CDM,11032015,ONDANSETRON HCL INJ 1MG+,2.9,,0.09,6.0,56
CDM,11032020,FOSCARNET INJ 1000MG*NF,345.62,,14.79,311.06,68
CDM,11032030,IDARUBICIN HCL INJ 5MG +,356.72,,37.66,321.05,55
CDM,11032041,PHENYTOIN INJ  50MG/1ML-,8.49,,0.5,7.64,55
CDM,11032042,PHENYTOIN INJ 100MG UD,8.49,,0.5,7.64,55
CDM,11032070,CLADRIBINE INJ 1MG +,695.17,,9.83,625.65,69
CDM,11032075,PACLITAXEL INJ 300MG,258.44,,0.1342,232.6,55
CDM,11032085,VINBLASTINE INJ 1MG+,34.25,,8.77,30.82,55
CDM,11032090,METHOTREXATE S(PF) 50MG INJ +,7.76,,2.33,7.5,56
CDM,11032106,CHLOROTHIAZIDE INJ 500MG VIAL-,202.72,,49.26,182.45,55
CDM,11032115,"EPOETIN ESRD 40,000U/1ML V",3903.43,,0.9394,3513.09,55
CDM,11032123,CALCIUM GLUCONATE INJ 15MEQ,51.43,,0.0488,46.29,56
CDM,11032131,AMPHOTERICIN B INJ 10MG,48.59,,24.3,43.73,55
CDM,11032135,OXYTOCIN INJ 100U/10ML V,40.77,,0.53,36.69,56
CDM,11032146,LEVOFLOXACIN INJ 500MG/100ML,10.81,,0.4,9.73,55
CDM,11032156,POT CHLORIDE 20MEQ/100ML BAG,26.43,,0.15,23.79,55
CDM,11032158,ACTHREL INJ 100MCG/6ML SDVNF++,6170.71,,5.14,5553.64,56
CDM,11032180,MEPIVACAINE INJ 1% PF 30ML,39.0,,3.0,35.1,55
CDM,11032185,DOXYCYCLINE INJ 100MG VIAL,106.14,,53.07,95.53,54
CDM,11032192,CEFTAZIDIME INJ 2GM VIAL,37.65,,1.95,33.88,55
CDM,11032222,CLINDAMYCIN INJ 900MG/6ML VIAL,17.56,,4.5,15.8,55
CDM,11032231,ETHACRYNIC ACID INJ 50MG VK*NF,5571.16,,1426.22,5014.04,55
CDM,11032318,EPHEDRINE SO4 INJ 50MG/1ML,66.29,,16.97,59.66,55
CDM,11032403,VANCOMYCIN INJ-IT 10MG QS 2ML-,11.26,,0.0366,10.13,55
CDM,11032412,QUINUPRTL/DALFO INJ 500MG V NF,2999.47,,3.92,2699.52,68
CDM,11032413,FOLIC ACID INJ 1MG/0.2ML,2.97,,0.76032,2.67,55
CDM,11032422,POT PHOSPHATE INJ 40MM/13.33,73.25,,18.75,65.92,55
CDM,11032428,FOSCARNET INJ 6000MG/250BTL*NF,2738.68,,14.79,2464.81,68
CDM,11032504,LIDOCAINE 1%W/EPI 1-100 50ML,14.46,,3.7,13.01,55
CDM,11032505,LIDOCAINE 2%W/EPI 1-100T 50ML,56.77,,14.53,51.09,55
CDM,11032527,FLUORESCEIN INJ 10% 5ML A  *NF,734.6,,188.06,661.14,55
CDM,11032538,FLUOROURACIL INJ 500MG/10 VCD+,12.36,,1.53,11.12,56
CDM,11032539,FLUOROURACIL INJ 1GM/20ML,30.9,,7.91,27.81,55
CDM,11032574,AMPHOTERICIN B  TEST DOSE 1MG,4.86,,2.43,41.63,55
CDM,11032575,AMPHOTERICIN B INJ 50MG V-,242.97,,38.93,218.67,55
CDM,11032606,DIGOXIN INJ 0.5MG/2ML UD -,19.76,,4.88,17.78,55
CDM,11032682,GLUCAGON INJ 1MG/ML 1ML VIAL-,794.01,,167.85,714.61,68
CDM,11032700,DROPERIDOL INJ  2.5MG/ML 2ML,50.98,,2.14,45.88,55
CDM,11032702,MEDROXYPROGE AC INJ 150MG/MLV-,353.71,,0.56,318.34,56
CDM,11032703,SODIUM THIOSULFATE 25% 50ML VL,679.0,,173.82,611.1,55
CDM,11032729,HALOPERIDOL INJ 5MG/ML AMP-,3.57,,0.91,3.21,55
CDM,11032732,HEPARIN FLUSH SOLN 100U/10ML V,5.41,,0.01,4.87,55
CDM,11032734,HEPARIN SOD INJ  5000U/0.5MLUD,16.16,,0.2684,14.54,55
CDM,11032738,HEPARIN PORCINE 1000U/ML30ML,55.15,,0.2684,49.63,55
CDM,11032842,CHLORPROMAZINE INJ 25MG/1ML A-,176.65,,33.03,158.99,55
CDM,11032893,ALTEPLASE INJ 100MG V+,59508.05,,24.75,53557.25,69
CDM,11032899,ALTEPLASE INJ 10MG+,5950.8,,24.75,5355.72,69
CDM,11032918,LIDO HCL 1% EP 1-100T30ML,36.5,,9.34,32.85,55
CDM,11033008,FLUPHENAZNE DEC INJ125MG/5ML V,997.43,,9.19,897.69,55
CDM,11033009,FLUPHENAZINE 2.5MG/ML VL 10ML,706.02,,6.75,635.42,68
CDM,11033011,FUROSEMIDE INJ  40MG/4ML UP,4.63,,0.0244,4.17,55
CDM,11033081,RABIES VACC IM VL 2.5IU/ML/1ML,2369.85,,288.59,2132.86,68
CDM,11033093,PROPOFOL INJ 1000MG/100ML VL,70.81,,18.13,63.73,55
CDM,11033192,WATER FOR INJ 10ML VIAL (N/C),3.79,,0.97024,3.41,55
CDM,11033193,METHOTREXATE INJ 1GM/40ML PFVL,77.63,,2.33,69.87,56
CDM,11033194,METHOTREXATE INJ 250MG/10MLVPF,29.54,,2.33,26.59,56
CDM,11033197,HYALURONIDASE INJ 150U/ML 1ML+,273.32,,21.2,245.99,55
CDM,11033320,TET-IMMUNE GLOB HUMAN 250U UD+,3684.17,,943.15,3315.75,56
CDM,11033323,DEXAMETHASONE INJ  20MG/5ML V+,3.13,,0.13,2.82,55
CDM,11033327,EPINEPHRINE INJ  1-1000/30ML V,1094.24,,1.61,984.82,55
CDM,11033328,EPINEPHRINE INJ  1-1000 1MLA-,90.11,,1.61,81.1,55
CDM,11033329,COSYNTROPIN INJ 0.25MG VIAL-,516.21,,34.18,464.59,55
CDM,11033330,EPINEPHRINE INJ 1-10T 21GA UD-,66.94,,1.61,60.25,55
CDM,11033332,EPINEPHRINE INJ 1-10T IC  UD-,66.94,,1.61,60.25,55
CDM,11033333,METHYLPRED NA SUC PED INJ12.5-,8.14,,0.1932,7.33,68
CDM,11033338,EPINEPHRINE INJ  1-1000 1MLUD-,90.11,,1.61,81.1,55
CDM,11033339,SODIUM BICARB INJ 8.4% 10ML*CV,141.67,,36.27,127.5,55
CDM,11033345,LIDOCAINE HCL INJ 2% 100/5 *CV,42.48,,10.87,38.23,55
CDM,11033354,ROPIVACAINE INJ 5MG/ML 30ML V,28.32,,0.07,25.49,55
CDM,11033362,TOBRAMYCIN INJ  PED 10MG/ML,15.8,,3.0,14.22,55
CDM,11033370,CIDOFOVIR INJ 375MG/5ML VL  NF,4183.76,,502.59,3765.38,68
CDM,11033373,PHYTONADIONE INJ 10MG/ML 5ML V,122.29,,3.46,110.06,55
CDM,11033384,KETOROLAC TROM INJ 15MG/1MLUD,4.25,,0.2484,3.83,67
CDM,11033385,KETOROLAC TROM INJ 30MG/1MLUD,4.83,,0.2484,4.35,67
CDM,11033572,HEPARIN SOD INJ 1000U/ML 10ML,12.68,,0.2684,11.41,55
CDM,11033573,HEPARIN INJ 1000UNITS/ML 30ML,31.22,,0.2684,28.1,55
CDM,11033576,GENTAMICIN INJ  80MG/2ML V -,21.24,,5.44,19.12,55
CDM,11033581,GRANISETRON INJ 1MG/1ML VL NF,15.16,,0.2806,16.5,56
CDM,11033582,PIPERACILLIN/TAZO INJ 3.375GM+,12.83,,1.35,11.55,55
CDM,11033583,PIPERACILLIN/TAZO INJ 4.5GM V+,44.18,,1.35,39.76,55
CDM,11033584,PIPERACILLIN/TAZO 2.25GM ADDV,10.58,,1.35,9.52,55
CDM,11033660,VANCOMYCIN INJ 2000MG,275.52,,0.0366,247.97,55
CDM,11033661,VANCOMYCIN INJ 1750MG,241.08,,0.0366,216.97,55
CDM,11033752,AMINOCAPRO ACD INJ5000MG/20MLV,51.49,,1.83,46.34,55
CDM,11033777,PROPOFOL INJ 500MG/50ML VIAL,2.0,,0.1098,1.8,55
CDM,11033779,PROPOFOL INJ 200MG/20ML VIAL,12.23,,0.1098,11.01,55
CDM,11033789,ASCORBIC ACID INJ 500MG V^,1720.48,,440.44,1548.43,55
CDM,11033790,CA GLUCONATE PED INJ .23MEQ/ML,15.43,,0.0488,13.89,56
CDM,11033791,GANCICLOVIR PED INJ 5MG/ML,3.22,,1.61,48.34,55
CDM,11033792,CEFAZOLIN PED INJ 20MG/ML,6.13,,0.97,5.52,55
CDM,11033793,CALCIUM CL PED INJ .272MEQ/ML,12.23,,3.13,11.01,55
CDM,11033824,IRON DEXTRAN 165 INJ 100MG/2ML,228.43,,15.01,205.59,68
CDM,11033954,BIVALIRUDIN INJ 250MG V     +,482.74,,0.2074,434.47,55
CDM,11033982,ISOPROTERENOL INJ 1-5000 5ML A,444.12,,113.69,399.71,55
CDM,11034021,TRIAMCINOLONE ACET INJ  50/5 V,77.84,,1.05,70.06,55
CDM,11034023,KETAMINE HCL INJ 200MG/20ML V,74.02,,18.95,66.62,55
CDM,11034026,KETAMINE HCL INJ 500MG/ 5ML V,45.06,,11.54,40.55,55
CDM,11034027,VACCINE POLIO INACT VIR .5ML A,185.33,,26.0,166.8,56
CDM,11034032,MEROPENEM INJ 500MG 20ML VL NF,18.6,,0.5368,16.74,55
CDM,11034033,MEROPENEM INJ 1GM 30ML VL NF,24.07,,0.5368,21.66,55
CDM,11034104,FUROSEMIDE INJ  20MG/2ML V-,3.38,,0.0244,3.04,55
CDM,11034105,LIDOCAINE HCL 2% EP 1-200T20ML,125.96,,32.25,113.36,55
CDM,11034108,FUROSEMIDE INJ 100MG/10ML V,8.51,,0.0244,7.66,55
CDM,11034112,CHLOROTHIAZIDE NEO INJ0.5MG/ML,203.49,,49.26,183.14,55
CDM,11034141,CYCLOSPORINE INJ  250MG/5ML A+,440.32,,112.72,396.29,55
CDM,11034142,NOREPINEPHRINE INJ  4MG/4ML A,26.97,,6.9,24.27,55
CDM,11034167,VALPROATE SOD INJ 500MG/5ML V,15.14,,3.88,13.63,55
CDM,11034182,PHENYLEPHRINE INJ 50MG/5MLV,31.47,,0.0122,28.32,55
CDM,11034235,AMPICILLIN SOD INJ  125MG VL,5.66,,0.5978,5.09,55
CDM,11034320,FLUCONAZOLE INJ200/100MLNSPBU-,46.26,,2.76,41.63,55
CDM,11034321,ZIDOVUDINE INJ 200MG/20ML V+,187.88,,1.51,169.09,55
CDM,11034324,MAGNESIUM SO4 INJ   8MEQ/2ML A,7.34,,0.42,6.61,55
CDM,11034327,TRACE ELEMENT INJ PED 5ML,112.0,,28.67,100.8,55
CDM,11034340,MANNITOL INJ 25% 12.5GM/50MLV-,12.04,,2.07,10.84,55
CDM,11034350,SEVOFLURANE INHAL LQD,2.0,,0.512,1.8,55
CDM,11034390,PYRIDOSTIGMINE INJ 10MG/2 A*NF,193.77,,49.61,174.39,55
CDM,11034448,SULFAMETHOX/TRIMETH PED INJ 1M,15.13,,3.87,13.62,55
CDM,11034456,ETHANOLAMINE OLEATE 5% 2ML AMP,3092.11,,444.1,2782.9,68
CDM,11034528,METHYLERGONOVIN INJ .2MG/1MLA-,105.88,,19.57,95.29,55
CDM,11034536,METHOTREXATE NAINJ 50/2 V*CD+,21.59,,2.33,19.43,56
CDM,11034567,TREPROSTINIL INJ 20MG/20ML V +,2773.89,,50.33,2496.5,68
CDM,11034580,GENTAMICIN INJ 160MG,40.15,,1.79,36.13,55
CDM,11034728,AMIODARONE INJ 150MG/3ML,4.6,,0.23,4.14,55
CDM,11034740,DIPHENHYDRAMINE INJ 5MG/ML-,2.0,,0.65,1.8,55
CDM,11034866,NALOXONE INJ 0.4MG/1ML AMP,28.7,,0.0854,25.83,55
CDM,11035121,PHENYLEPHRINE INJ  10MG/M AMP-,7.92,,0.0122,7.13,55
CDM,11035141,CLINDAMYCIN INJ PED 10MG/ML,2.0,,0.512,1.8,55
CDM,11035150,COLISTIMETHATE INJ 75MG,70.7,,13.9,63.63,55
CDM,11035170,NITROPRUSSIDE INJ  50MG/2ML V,450.59,,115.35,405.53,55
CDM,11035201,IMIPENEM/CILAS IM INJ 500MG,174.3,,6.33,156.87,55
CDM,11035203,SODIUM CL 0.22%INJ 2ML RNIC,42.24,,10.81,38.02,55
CDM,11035241,AZITHROMYCIN INJ 500MG-,12.87,,3.18,11.58,55
CDM,11035321,PALIFERMIN INJ 6.25MG/ML V NF,23192.95,,22.81,20873.65,68
CDM,11035329,VINORELBINE VL 50MG/5ML,218.82,,2.39,196.94,56
CDM,11035500,LINEZOLID INJ 600MG/300ML*NF+,160.92,,4.23,144.83,55
CDM,11035531,FLUCONAZOLE INJ 400MG/200MLBAG,28.32,,2.76,25.49,55
CDM,11035542,MYCOPHENOLATE INJ 500MG VIAL-,444.8,,113.87,400.32,55
CDM,11035544,PAPAVERINE INJ 60MG/2ML AMP,107.01,,1.28,96.31,56
CDM,11035547,LEVOCARNITINE INJ 1GM/5ML A NF,244.26,,20.82,219.83,55
CDM,11035549,ZIDOVUDINE NEONAT INJ 2MG/ML,9.39,,1.51,8.45,55
CDM,11035551,LEVETIRACETAM INJ 500MG VL,8.41,,0.061,7.57,55
CDM,11035554,DEXMEDOTOMIDE200MCG/2MLVNF,12.49,,3.2,11.24,55
CDM,11035555,MOXIFLOXACIN INJ 400MG/250MLBG,188.84,,9.36,169.96,55
CDM,11035588,TRISODIUM CITRATE FLUSH 4% 5ML,21.35,,5.47,19.21,55
CDM,11035625,PENICILLIN G SOD INJ 5MU VIAL,252.39,,64.61,227.15,55
CDM,11035642,AZACITIDINE INJ 100MG VIAL,222.04,,0.2562,199.84,56
CDM,11035656,VORICONAZOLE INJ 200MG/20ML NF,91.14,,0.9516,82.03,55
CDM,11035658,ERTAPENEM SOD INJ 1GM/20ML VNF,321.83,,11.0,289.65,55
CDM,11035678,TREPROSTINIL INJ 50MG/20ML V,6434.12,,50.33,5790.71,68
CDM,11035695,PENICILLIN G K INJ  1MU,7.61,,1.07,6.85,55
CDM,11035848,RISPERIDONE LA INJ 25MG UD,3876.53,,10.1,3488.88,68
CDM,11035879,DAPTOMYCIN INJ 500MG VIAL,102.97,,0.0366,92.67,55
CDM,11035897,ROPIVACAINE 1% INJ 20ML AMP,146.1,,0.07,131.49,55
CDM,11035959,GLATIRAMER ACETATE INJ 20MG NF,417.96,,67.64,376.16,68
CDM,11036100,PROMETHAZINE INJ 25MG/1ML AMP-,9.62,,2.31,8.66,55
CDM,11036178,VASOPRESSIN INJ 20U/ML 1ML AMP,138.38,,35.43,124.54,55
CDM,11036245,AMPICILLIN SOD INJ  500MG V--,5.66,,0.5978,5.09,55
CDM,11036255,POLYMYXIN B SO4 INJ 500000U V,21.88,,5.6,19.69,55
CDM,11036302,POT CL INJ 20MEQ/10ML VIAL,12.87,,0.15,11.58,55
CDM,11036330,POT PHOSPHATE INJ 45MM/15MLV,73.25,,18.75,65.92,55
CDM,11036515,ESMOLOL HCL INJ 10MG/ML 10ML V,28.32,,7.25,25.49,55
CDM,11036540,PROTAMINE SO4 INJ 1%  5ML AMP,70.09,,1.08,63.08,55
CDM,11036541,PROTAMINE SO4 INJ 1% 25ML VIAL,210.63,,1.08,189.57,55
CDM,11036544,PRALIDOXIME CL INJ 1GM/20 VL,559.16,,91.9,503.24,56
CDM,11036550,EPOETIN NESRD 10000U/ML 1ML,975.82,,7.86,878.24,69
CDM,11036620,CLINDAMYCIN NEO INJ (2MG/ML),4.54,,2.27,4.09,54
CDM,11036660,ZIPRASIDONE INJ 20MG/ML V   NF,37.01,,3.83,33.31,55
CDM,11036665,DARBEPOETIN INJ NESRD 100MCG,2353.17,,2.7,2117.85,69
CDM,11036670,SODIUM CL 23.4% INJ 30ML VIAL,28.83,,0.05,25.95,56
CDM,11036688,TREPROSTINIL INJ 100MG/20ML V,12868.24,,50.33,11581.42,68
CDM,11036987,ESOMEPRAZOLE INJ 40MG UD,23.56,,6.03,21.2,55
CDM,11037000,VANCOMYCIN INJ 500MG  -,15.19,,0.0366,13.67,55
CDM,11037091,SODIUM ACETATE INJ 2MEQ/1 20ML,20.27,,5.19,18.24,55
CDM,11037095,SODIUM BICARB INJ 8.4% 50ML UD,103.95,,26.61,93.56,55
CDM,11037096,SODIUM BICARB INJ 8.4% 50ML V,55.29,,14.15,49.76,55
CDM,11037099,SODIUM BICARB INJ 8.4% 10ML UD,35.4,,9.06,31.86,55
CDM,11037140,METHYLPRED SOD SUC INJ 40MG VL,32.58,,0.1932,29.32,68
CDM,11037141,METHYLPRED SOD SUC INJ  500MGV,153.09,,0.1932,137.78,68
CDM,11037142,METHYLPRED SOD SUC INJ 1000MGV,125.65,,0.1932,113.08,68
CDM,11037166,ENALAPRIL INJ 2.5MG/2ML VL,53.83,,13.78,48.45,55
CDM,11037167,HYDROCORTIS NA IT  INJ 250/2 V,136.29,,14.15,122.66,55
CDM,11037169,METHYLPRED SOD SUC INJ 125MGV,51.84,,0.1932,46.66,68
CDM,11037548,OXYTOCIN INJ  10U/1ML UD-,23.17,,0.53,20.85,56
CDM,11037665,DARBEPOETIN INJ ESRD 100MCGUD,2353.17,,2.7,2117.85,68
CDM,11037699,TERBUTALINE INJ 1MG/1ML AMP -,10.17,,2.6,9.15,55
CDM,11037777,VACCINE HEMOPHILUS 0.5ML V,81.75,,28.27,73.58,56
CDM,11037778,TREPROSTINIL INJ 200MG/20ML VL,25736.55,,50.33,23162.9,68
CDM,11037829,TETANUS-DIPHT ADLT TOX.5MLUD,265.23,,44.37,238.71,55
CDM,11037835,FUROSEMIDE INJ 10MG/1ML-,3.38,,0.0244,3.04,55
CDM,11037888,SOD TETRADECYL  INJ 1% 2ML,477.53,,122.25,429.78,55
CDM,11037902,CEFUROXIME INJ  750MG ADDV*NF,12.17,,1.94,10.95,55
CDM,11037903,VACC DTP (ACELLULAR) 0.5ML UD,493.77,,43.91,444.39,55
CDM,11037906,CEFTAZIDIME INJ 1GM,18.79,,1.95,16.91,55
CDM,11037922,PROGESTERONE INJ 50MG/ML  *N,197.12,,0.7686,177.41,55
CDM,11037982,DARBEPOETIN INJ ESRD 60MCG,1411.9,,361.45,1270.71,56
CDM,11037984,DARBEPOETIN INJ ESRD 25MCG,588.3,,150.6,529.47,56
CDM,11038005,AMPHOTERICIN B LIPID 100MG I,675.85,,9.36,608.26,68
CDM,11038006,CISATRACURIUM INJ 20MG/10ML,25.42,,6.51,22.88,55
CDM,11038008,NITROGLYCERIN 2MG/D5W 20ML INJ,78.14,,20.0,70.33,55
CDM,11038089,ZOLEDRONIC ACID INJ 4MG VIAL+,39.34,,6.34,35.41,55
CDM,11038555,FONDAPARINUX 2.5MG INJ UD  *NF,51.21,,0.8784,46.09,55
CDM,11038556,FONDAPARINUX INJ 5MG *NF,206.11,,0.8784,185.5,55
CDM,11038557,FONDAPARINUX INJ 7.5MG *NF,206.11,,0.8784,185.5,55
CDM,11038558,FONDAPARINUX INJ 10MG *NF,177.97,,0.8784,160.17,55
CDM,11038622,FLUMAZENIL INJ 0.1MG/ML 5ML V,17.3,,4.43,15.57,55
CDM,11038822,LIDOCAINE HCL INJ  1% 50ML V,9.4,,2.41,8.46,55
CDM,11038824,LIDOCAINE HCL INJ 2%  50ML V,23.81,,6.1,21.43,55
CDM,11038829,LIDOCAINE DENTAL 1-100T 1.8ML,6.11,,1.56,5.5,55
CDM,11038831,LIDOCAINE HCL INJ  1%  5ML AMP,1.4,,0.3584,1.26,55
CDM,11038835,LIDOCAINE HCL IV 2GM/50ML V,19.6,,5.02,17.64,55
CDM,11038846,LIDOCAINE HCL INJ 100MG/5MLUD,42.48,,10.87,38.23,55
CDM,11038877,MICAFUNGIN INJ 50MG,601.79,,0.3782,541.61,55
CDM,11038884,INSULIN GLARGINE 100U/ML 10ML,414.68,,0.6832,373.21,56
CDM,11038885,HEPARIN SOD PF INJ 1000U/ML2ML,34.05,,0.2684,30.64,55
CDM,11038896,INSULIN ASP 100UNITS/ML 3MLPEN,104.44,,0.6832,94.0,56
CDM,11038897,INSULIN DET 100 UNIT/ML 3MLPEN,127.71,,0.6832,114.94,56
CDM,11038985,DARBEPOETIN INJ NESRD 200MCGUD,4706.38,,2.7,4235.74,69
CDM,11038990,CEFEPIME INJ 2GRAM VL,30.38,,1.5,27.34,55
CDM,11038999,CEFEPIME INJ 2GM ADDVANTAGE NF,38.94,,9.97,35.05,55
CDM,11039090,METHOTREXATE SOD INJ PER 5MG+,2.0,,0.23,1.8,55
CDM,11039102,FOSPHENYTOIN INJ 500MG/10ML*NF,82.64,,8.92,74.38,57
CDM,11039128,HEPARIN FLUSH PF 100U/10ML V,18.09,,0.01,16.28,55
CDM,11039149,OCTREOTIDE INJ PER 1MG +,151.13,,0.7442,136.02,55
CDM,11039397,LIDOCAINE HCL INJ  .5% 50M SDV,14.61,,3.74,13.15,55
CDM,11039398,SKIN TEST TUBERCUL 0.1ML UP,50.47,,12.92,45.42,55
CDM,11039402,GLYCOPYRROLATE INJ 0.2MG/1 5ML,14.93,,0.4232,13.44,68
CDM,11039404,GLYCOPYRROLATE INJ 0.2MG/ML,3.99,,0.4232,3.59,68
CDM,11039427,INSULIN REG HUMAN U-100 10ML,101.15,,0.6832,91.03,56
CDM,11039428,INSULIN ISOPHANE HUMAN U10010M,101.15,,0.6832,91.03,56
CDM,11039507,SODIUM CL IRRIGAT  30ML UP,0.51,,0.13056,0.459,55
CDM,11039521,ETOMIDATE INJ 2MG/ML 10ML AMP,33.99,,8.7,30.59,55
CDM,11039530,BUMETANIDE INJ 0.25MG/ML 2MLNF,13.2,,0.3404,11.88,68
CDM,11039542,ETOPOSIDE INJ 100MG/5ML VL,80.0,,0.77,72.0,56
CDM,11039544,ETOPOSIDE 500MG/25ML INJ VLCD,130.76,,0.77,117.68,56
CDM,11039547,VECURONIUM BROMIDE 10MG/10MLV,36.68,,9.39,33.01,55
CDM,11039548,OLANZAPINE INJ 10MG/2ML SDV,124.04,,31.75,111.64,55
CDM,11039602,DOXY SCLEROSING INJ--GM/--ML,106.14,,27.17,95.53,55
CDM,11039606,DESMOPRESSIN INJ 40MCG/10ML V,1079.61,,3.24,971.65,68
CDM,11039632,ENOXAPARIN INJ 30MG/0.3ML UD,28.97,,0.69,26.07,55
CDM,11039664,DACARBAZINE INJ PER 10MG CD ++,34.11,,4.46,30.7,55
CDM,11039702,MULTIVITAMIN PEDIATRIC INJ 10M,55.55,,14.22,49.99,55
CDM,11039720,PENICILLIN G K INJ  5MU VIAL,28.51,,1.07,25.66,55
CDM,11039721,PENICILLIN G K INJ 20MU VL,152.18,,1.07,136.96,55
CDM,11039800,MILRINONE INJ 10MG/10ML V *NF+,26.26,,1.51,23.63,55
CDM,11039843,MITOXANTRONE INJ 20MG/10MLV CD,625.87,,21.97,563.28,69
CDM,11039948,PANTOPRAZOLE INJ 40MG UD+,41.0,,11.64,36.9,56
CDM,11039955,DILTIAZEM INJ 125MG/25ML VIAL,35.85,,17.93,32.27,54
CDM,11039988,LIDOCAINE .5%/EPI 1:200TH 50ML,48.92,,12.52,44.03,55
CDM,11039989,FOMEPIZOLE 1.5GM VIAL   +,3626.07,,5.78,3263.46,68
CDM,11040014,MIDAZOLAM INJ  10MG/2ML UD,5.8,,0.13,5.22,55
CDM,11040016,METHADONE PED INJ 1MG/ML 1ML,13.76,,6.88,27.95,55
CDM,11040025,MORPHINE PF 1MG/ML 2ML AMP,186.24,,1.87,167.62,55
CDM,11040026,PHENOBARBITAL INJ 65MG/ML,93.97,,33.38,84.57,55
CDM,11040028,FENTANYL INJ 0.5MG/10ML,7.85,,0.78,7.07,55
CDM,11040030,METHOHEXITAL INJ 50MG SYR,59.28,,15.18,53.35,55
CDM,11040031,KETAMINE SYR 10MG/ML 5ML,74.02,,18.95,66.62,55
CDM,11040033,KETAMINE HCL INJ 500MG/10ML VL,37.09,,9.5,33.38,55
CDM,11040035,BUPRENORPHINE 0.3MG/ML 1ML VL,83.22,,4.48,74.9,55
CDM,11040037,MIDAZOLAM 1MG/ML 100ML NS BAG,119.74,,0.13,107.77,55
CDM,11040039,DIAZEPAM INJ 5MG/ML 10MLVIAL,233.84,,6.05,210.46,55
CDM,11040040,HYDROMORPHONE 500MG/50ML SDV,666.19,,0.1098,599.57,56
CDM,11040041,HYDROMORPHONE 1MG/ML CPJ SYR,11.96,,0.1098,10.76,56
CDM,11040042,HYDROMORPHONE 0.5MG/ML-NS SYR,16.74,,0.1098,15.07,56
CDM,11040043,HYDROMORPHONE 1MG/ML INJ SYR,16.74,,0.1098,15.07,56
CDM,11040044,FENTANYL INJ 5MG/100ML SBS,3.8,,0.78,3.42,55
CDM,11040045,HYDROMORPHONE 0.5MG/0.5ML INJ,16.74,,0.1098,15.07,56
CDM,11040046,KETAMINE HCL INJ 1000MG/10ML,74.92,,19.18,67.43,55
CDM,11040047,PHENOBARBITAL INJ 130MG/ML,252.31,,33.38,227.08,55
CDM,11040048,HYDROMORPHONE 0.5MG/0.5ML SYR,66.62,,0.1098,59.96,56
CDM,11040049,REMIFENTANIL INJ 2MG/5ML VL,827.8,,211.92,745.02,55
CDM,11040050,FENTANYL INJ 10MCG/ML 3ML SYR,45.29,,0.78,40.76,55
CDM,11040052,FENTANYL PCA SYR 1250MCG/25ML,108.71,,0.78,97.84,55
CDM,11040053,FENTANYL INJ 0.1MG/2ML VIAL,3.8,,0.78,3.42,55
CDM,11040054,BUTORPHANOL INJ 2MG/ML VIAL,54.65,,2.89,49.19,55
CDM,11040055,HYDROMORPHONE INJ 10MG/ML AMP,60.63,,0.1098,54.57,56
CDM,11040056,HYDROMORPHONE INJ 10MG/ML VL,60.63,,0.1098,54.57,56
CDM,11040057,MORPHINE INJ 5MG/10ML VIAL,50.29,,1.87,45.26,55
CDM,11040059,METHADONE INJ 0.1MG/ML 1ML UP,2.0,,0.512,1.8,55
CDM,11040060,MIDAZOLAM INJ 1MG/ML 10ML VIAL,14.13,,0.13,12.72,55
CDM,11040062,BUPRENORPHINE 100MG ER INJ SYR,14115.64,,1855.11,12704.08,68
CDM,11040063,METHOHEXITAL INJ 100MG/10ML SY,118.57,,30.35,106.71,55
CDM,11040065,HYDROMORPHO 100MG/100ML NS BAG,56.04,,0.1098,50.44,56
CDM,11040068,FENTANYL INJ 0.25MG/5ML VIAL,7.19,,0.78,6.47,55
CDM,11040069,REMIFENTANIL INJ 1MG/3ML VL,160.77,,41.16,144.69,55
CDM,11040070,MORPHINE INJ 10MG/10ML VIAL,52.58,,1.87,47.32,55
CDM,11040073,METHADONE HCL INJ 20MG/2ML,2751.56,,17.55,2476.4,55
CDM,11040074,MIDAZOLAM INJ 5MG/1ML VIAL,2.0,,0.13,1.8,55
CDM,11040075,HYDROMORPHONE INJ 2MG/ML CPJT,2.0,,0.1098,1.8,56
CDM,11040076,PHENOBARBITAL INJ 100MG PF VL,791.14,,202.53,712.03,55
CDM,11040078,HYDROMORPHONE INJ 10MG/ML PFVL,6.66,,0.1098,5.99,56
CDM,11040079,PHENOBARB INJ 10MG/ML PED UP,79.11,,33.38,71.2,55
CDM,11040155,FENTANYL INJ 0.1MG/2ML AMP+,3.67,,0.78,3.3,55
CDM,11040200,PENTOBARB (FLD) INJ 2500MG,6726.16,,31.0,6053.54,56
CDM,11040300,MIDAZOLAM INJ 5MG/1ML PF VIAL,5.8,,0.13,5.22,55
CDM,11040301,MIDAZOLAM INJ 1MG/ML 2ML VIAL,3.52,,0.13,3.17,55
CDM,11040303,REMIFENTANIL INJ 5MG/10ML V NF,2007.42,,513.9,1806.68,55
CDM,11040971,PENTOBARB INJ 1000MG/20ML VIAL,4602.08,,31.0,4141.87,56
CDM,11041240,MIDAZOLAM INJ  50MG/10ML VIAL,10.69,,0.13,9.62,55
CDM,11042112,METHADONE HCL INJ 10MG/1ML,137.58,,17.55,123.82,55
CDM,11042321,MIDAZOLAM INJ   5MG/5ML VIAL,8.95,,0.13,8.05,55
CDM,11042440,FENTANYL  INJ 0.25MG/5ML AMP+,7.19,,0.78,6.47,55
CDM,11042442,FENTANYL  INJ 1MG/20ML VIAL+,22.98,,0.78,20.68,55
CDM,11042556,HYDROMORPHONE HP 30MG PCA SYR,16.74,,0.1098,15.07,56
CDM,11043677,HYDROMORPHONE HCL INJ 2MG/MLUD,2.98,,0.1098,2.68,56
CDM,11044460,HYDROMORPHONE FLD INJ 50MG/5ML,60.63,,0.1098,54.57,56
CDM,11044461,MEPERIDINE HCL INJ  25MG/ML UD,12.99,,6.5,19.14,55
CDM,11044471,MEPERIDINE HCL INJ 100MG/MLUD-,14.82,,7.41,19.14,55
CDM,11044705,MORPHINE SO4 INJ  4MG/ML UD-,10.01,,1.87,9.01,55
CDM,11044708,MORPHINE EPIDURAL INJ10MG/10M+,186.24,,10.4,167.62,55
CDM,11044709,MORPHINE SO4 INJ  2MG/1ML UD-,10.01,,1.87,9.01,55
CDM,11044710,MORPHINE SO4 INJ 10MG/1ML UD-,16.33,,1.87,14.7,55
CDM,11044712,MORPHINE SO4 INJ 30MG/30ML SYR,21.45,,1.87,19.3,55
CDM,11044713,MORPHINE INJ 15MG/ML 20ML,50.29,,1.87,45.26,55
CDM,11046124,LORAZEPAM INJ 2MG/ML UD-,6.69,,0.75,6.02,55
CDM,11046126,LORAZEPAM INJ 2MG/ML 10MLVL,60.43,,0.75,54.39,55
CDM,11047556,MORPHINE (FLD-EPIDU)500MG/20ML,2253.51,,1.87,2028.16,55
CDM,11047558,MORPHINE SULF INJ 200MG/20ML,1325.31,,1.87,1192.78,55
CDM,11048493,DIAZEPAM  INJ 5MG/ML  2ML UD,153.19,,6.05,137.87,55
CDM,11048995,SUFENTANYL INJ 0.1MG/2ML AMP,93.33,,23.89,84.0,55
CDM,11049000,SUFENTANYL INJ 0.25MG/5ML A,93.33,,23.89,84.0,55
CDM,11050005,"SCOPOLAMINE,TRANSDERM PATCH UD",58.53,,14.98,52.68,55
CDM,11050006,TRIAMTERENE 75/HCTZ 50 TAB UD,2.0,,0.512,1.8,55
CDM,11050009,ENALAPRIL TAB  5MG UD,2.0,,0.512,1.8,55
CDM,11050012,AZATHIOPRINE TAB 25MG/.5TAB UP,3.11,,1.16,2.8,55
CDM,11050014,ALLOPURINOL SUSP  20MG/1ML,2.9,,0.7424,2.61,55
CDM,11050015,MAGNESIUM GLUCO TAB 500MGUP*NF,2.0,,0.512,1.8,55
CDM,11050017,AMOXICILLIN SUSP  50MG/ML,2.0,,0.512,1.8,55
CDM,11050020,AMINOPHYLLINE LIQ  25MG/ML UP,36.35,,9.31,32.72,55
CDM,11050031,AMOXICILLIN/CLAV '250'SUSP 1ML,2.0,,0.512,1.8,55
CDM,11050035,CLONIDINE PATCH 0.1MG UD,60.94,,15.6,54.85,55
CDM,11050036,DICYCLOMINE SYRUP 2MG/1ML  *NF,2.0,,0.512,1.8,55
CDM,11050041,LISINOPRIL TAB 20MG UD     *NF,2.0,,0.512,1.8,55
CDM,11050045,UROSDIOL CAP 300MG UP,12.63,,3.23,11.37,55
CDM,11050051,ENALAPRIL TAB 10MG UD,2.0,,0.512,1.8,55
CDM,11050052,CLONIDINE PATCH 0.2MG UD,96.91,,24.81,87.22,55
CDM,11050053,CLONIDINE PATCH 0.3MG UD,123.24,,31.55,110.92,55
CDM,11050058,FLUCYTOSINE SUSP   50MG/1ML,73.56,,18.83,66.2,55
CDM,11050059,MELOXICAM TAB 7.5MG,2.0,,0.512,1.8,55
CDM,11050060,FLUOXETINE SYRUP  4MG/1ML*NF,2.0,,0.512,1.8,55
CDM,11050061,DEXAMETHASONE TAB 2MG UD,2.84,,0.0244,2.56,55
CDM,11050064,FOLIC ACID SOLN  1MG/1ML UP,3.64,,0.93184,3.28,55
CDM,11050072,METOCLOPRAMIDE ORAL SOLN1MG/ML,2.97,,1.49,2.67,54
CDM,11050078,CALCITRIOL CAP 0.25MCG UP,2.0,,0.512,1.8,55
CDM,11050082,CARBAMAZEPINE TAB 100MG(1/2) T,2.0,,0.512,1.8,55
CDM,11050086,ACYCLOVIR ORAL SUSP   40MG/1ML,2.94,,0.75264,2.65,55
CDM,11050090,SULFAMETHOX/TRIMETHO DS TAB UD,2.0,,0.512,1.8,55
CDM,11050092,CYCLOBENZAPRINE HCL 10MG UD*NF,2.0,,0.512,1.8,55
CDM,11050093,IBUPROFEN TAB 600MG UD,2.0,,0.512,1.8,55
CDM,11050095,METRONIDAZOLE TAB 500MG UD,2.34,,0.59904,2.11,55
CDM,11050097,L-HYOSCYAMINE SBL TAB 0.125MG,2.0,,0.512,1.8,55
CDM,11050098,DILTIAZEM CD CAP 180MG UD,2.76,,0.70656,2.48,55
CDM,11050100,DILTIAZEM CD CAP 240MG UD,3.91,,1.0,3.52,55
CDM,11050103,DILTIAZEM CD CAP 300MG UD,7.31,,1.87,6.58,55
CDM,11050108,FLUCONAZOLE TAB 200MG UD,6.12,,1.57,5.51,55
CDM,11050110,HYDROXYZINE TAB 10MG UD,2.0,,0.512,1.8,55
CDM,11050112,LEVOTHYROXINE TAB 0.15MG UD,3.13,,0.80128,2.82,55
CDM,11050115,"VITAMIN A CAP 10,000U UP",2.0,,0.512,1.8,55
CDM,11050117,METOCLOPRAMIDE ORAL10MG/10MLUD,14.83,,7.42,13.35,54
CDM,11050118,METOLAZONE TAB  5MG UD,11.38,,2.91,10.24,55
CDM,11050119,CLIMARA TRANSDM PATCH0.1MGNF,87.7,,22.45,78.93,55
CDM,11050121,MINOXIDIL TAB 10MG UP,2.35,,0.6016,2.12,55
CDM,11050122,RISPERIDONE TAB 2MG UD,2.0,,0.512,1.8,55
CDM,11050125,SULFAMETHO/TRIMETH SUSP 1ML,9.84,,2.52,8.86,55
CDM,11050127,DIPHENHYDRAMINE EL 2.5MG/ML,17.28,,0.35,15.55,56
CDM,11050134,PHYTONADIONE TAB 5MG UP,146.97,,37.62,132.27,55
CDM,11050142,PRIMIDONE TAB  50MG UP,3.74,,0.95744,3.37,55
CDM,11050146,SULFADIAZINE TAB 500MG UP,73.84,,18.9,66.46,55
CDM,11050149,KETORALAC TAB 10MG UD      *NF,4.96,,1.27,4.46,55
CDM,11050151,OLANZAPINE TAB 10MG UD      NF,2.0,,0.512,1.8,55
CDM,11050152,OLANZAPINE TAB 5MG UD       NF,2.0,,0.512,1.8,55
CDM,11050154,ERGOCALCIFEROL DROPS 1ML,2.26,,0.57856,2.03,55
CDM,11050158,OLANZAPINE TAB 7.5MG UD     NF,2.0,,0.512,1.8,55
CDM,11050162,PROPRANOLOL  TAB  5MG(1/2TAB),2.0,,0.512,1.8,55
CDM,11050176,LOXAPINE CAP 10MG UD,2.0,,0.512,1.8,55
CDM,11050177,ZIDOVUDINE TAB 300MG UP,2.0,,0.512,1.8,55
CDM,11050178,CETIRIZINE TAB 5MG UP       NF,2.0,,0.512,1.8,55
CDM,11050183,CETIRIZINE TAB 10MG UP      NF,2.0,,0.512,1.8,55
CDM,11050184,METOPROLOL TAB 50MG UD,2.0,,0.512,1.8,55
CDM,11050186,METOPROLOL TAB 100MG UD,2.0,,0.512,1.8,55
CDM,11050188,DOXEPIN CAP  10MG UD,2.15,,0.5504,1.94,55
CDM,11050195,MAGNESIUM SO4 ORAL 50% 1ML,2.0,,0.512,1.8,55
CDM,11050200,METAXALONE TAB 800MG UP NF,6.9,,1.77,6.21,55
CDM,11050202,PHENYTOIN SUSP  25MG/ML,2.0,,0.512,1.8,55
CDM,11050203,MIDODRINE TAB 5MG,3.77,,0.96512,3.39,55
CDM,11050204,LITHIUM CARB CAP 150MG UD,2.0,,0.512,1.8,55
CDM,11050210,VIT E DROPS 50U/ML 1ML,3.36,,0.86016,3.02,55
CDM,11050211,CLINDAMYCIN SOLN 15MG/1ML,2.0,,0.512,1.8,55
CDM,11050212,DEXAMETHASONE SOLN 0.1MG/ML,2.0,,0.0244,1.8,55
CDM,11050219,ACEBUTOLOL CAP 200MG UD    *NF,2.59,,0.66304,2.33,55
CDM,11050223,PENICILLIN VK SOL  50MG/1ML,2.0,,0.512,1.8,55
CDM,11050231,PROMETHAZINE SYRUP 1.25MG/ML,2.3,,0.3416,2.07,56
CDM,11050236,FLUOXETINE HCL CAP 20MG UD*NF,2.0,,0.512,1.8,55
CDM,11050238,NORGES 0.3/ETHIN EST 30 TAB UP,2.0,,0.512,1.8,55
CDM,11050241,ZIDOVUDINE SYRUP 10MG/ML,20.74,,5.31,18.67,55
CDM,11050242,RIFAMPIN SUSP 25MG/1ML,8.55,,2.19,7.7,55
CDM,11050243,SHOHL'S SOLN  1ML,2.0,,0.512,1.8,55
CDM,11050248,PROPRANOLOL  TAB 80MG UD,2.0,,0.512,1.8,55
CDM,11050252,PROPRANOLOL  TAB 20MG UD,2.0,,0.512,1.8,55
CDM,11050258,MECLIZINE TAB 25MG UD,2.16,,0.55296,1.94,55
CDM,11050259,VALPROIC ACID SYR   50MG/1ML,2.0,,0.512,1.8,55
CDM,11050264,MEGESTROL ACET TAB 20MG UD *CD,2.0,,0.512,1.8,55
CDM,11050266,MEGESTROL ACET TAB 40MG UD *CD,2.0,,0.512,1.8,55
CDM,11050277,BENAZEPRIL TAB 5MG UD NF,2.0,,0.512,1.8,55
CDM,11050278,AMOXICILLIN CAP 500MG UD,2.0,,0.512,1.8,55
CDM,11050279,AMLODIPINE TAB 2.5MG UP,2.0,,0.512,1.8,55
CDM,11050280,AMLODIPINE TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11050285,DEXTROAMPHETAMINE/AMPHET TABNF,2.0,,0.512,1.8,55
CDM,11050289,ENALAPRIL TAB 1.25MG (1/2) UP,11.38,,2.91,10.24,55
CDM,11050291,MIDODRINE TAB 2.5MG,2.0,,0.512,1.8,55
CDM,11050304,CARBIDOPA/LEVO TAB 10/100 UD,2.0,,0.512,1.8,55
CDM,11050305,IBUPROFEN SUSP 400MG/20ML UP,8.54,,2.19,7.69,55
CDM,11050306,IBUPROFEN SUSP 600MG/30ML UP,8.54,,2.19,7.69,55
CDM,11050312,LEVOTHYROXINE TAB 0.025MG UP,2.0,,0.512,1.8,55
CDM,11050319,AMANTADINE SYRUP 100MG/10ML,16.52,,4.23,14.87,55
CDM,11050323,NALTREXONE TAB 25MG,2.77,,0.70912,2.49,55
CDM,11050325,QUININE CAP 324MG,25.99,,6.65,23.39,55
CDM,11050328,ROTAVIRUS (ORAL) VACC VL 2ML,710.25,,95.4,639.23,56
CDM,11050341,SPIRONOLACTONE TAB  25MG UD,2.0,,0.512,1.8,55
CDM,11050342,SPIRONOLACTONE TAB 100MG UD,2.69,,0.68864,2.42,55
CDM,11050344,ACETIC ACID 3% SOLN 30ML UP,15.24,,3.9,13.72,55
CDM,11050351,ALLOPURINOL TAB 300MG UD,2.0,,0.512,1.8,55
CDM,11050356,ARIPIPRAZOLE TAB 2MG,2.0,,0.512,1.8,55
CDM,11050357,PALIPERIDONE TAB ER 3MG,56.29,,14.41,50.66,55
CDM,11050358,METOLAZONE TAB  2.5MG UD,10.02,,2.57,9.02,55
CDM,11050359,PALIPERIDONE TAB ER 6MG,62.75,,16.06,56.48,55
CDM,11050361,PALIPERIDONE TAB ER 9MG,14.54,,3.72,13.09,55
CDM,11050373,RENA-VITE TAB,2.0,,0.512,1.8,55
CDM,11050377,SITAGLIPTAN TAB 50MG,87.81,,22.48,79.03,55
CDM,11050379,TACROLIMUS 0.1% OINT 30GM TUBE,459.75,,117.7,413.77,55
CDM,11050381,RANOLAZINE TAB 500MG,2.0,,0.512,1.8,55
CDM,11050386,BROMOCRIPTINE TAB 2.5MG UP,8.51,,2.18,7.66,55
CDM,11050394,AMBRISENTAN TAB 5MG,191.81,,49.1,172.63,55
CDM,11050395,AMPICILLIN CAPSULE 250MG UD,2.0,,0.512,1.8,55
CDM,11050397,AMBRISENTAN TAB 10MG,191.81,,49.1,172.63,55
CDM,11050400,NORTRIPTYLINE CAP 10MG UD,2.0,,0.512,1.8,55
CDM,11050405,AMPICILLIN CAPSULE 500MG UD,2.0,,0.512,1.8,55
CDM,11050411,CABERGOLINE TAB 0.5MG,26.89,,5.85,24.2,56
CDM,11050413,DOFETILIDE CAP 500MCG,26.48,,6.78,23.83,55
CDM,11050414,SIROLIMUS ORAL SOLN 1MG/ML 1ML,45.06,,1.17,40.55,55
CDM,11050415,PHOS-NAK POWDER 1.5GM PKTS UD,2.0,,0.512,1.8,55
CDM,11050417,PREGABALIN CAP 50MG,51.17,,13.1,46.05,55
CDM,11050418,PREGABALIN CAP 75MG,2.0,,0.512,1.8,55
CDM,11050419,CLOPIDOGREL TAB 300MG,36.39,,9.32,32.75,55
CDM,11050420,CLOZAPINE TAB 200MG,12.21,,3.13,10.99,55
CDM,11050421,RALTEGRAVIR TAB 400MG,153.31,,39.25,137.98,55
CDM,11050423,LANTHANUM CARBONATE TAB 500MG,20.41,,5.22,18.37,55
CDM,11050424,LANTHANUM CARBONATE TAB 750MG,25.15,,6.44,22.64,55
CDM,11050429,BUDESONID RESPULE 0.25MG/2ML,11.6,,2.97,10.44,55
CDM,11050434,DARUNAVIR TAB 600MG,165.7,,42.42,149.13,55
CDM,11050438,FLUCONAZOLE SUSP 10MG/ML 1ML,2.0,,0.512,1.8,55
CDM,11050443,ETH ESTRAD/NORETH TAB,2.31,,0.59136,2.08,55
CDM,11050446,CREON 12 CAP (UD),20.06,,10.03,18.05,54
CDM,11050448,CREON 24 CAP (UD),39.76,,19.88,35.78,54
CDM,11050450,SEVELAMER CARBONATE TAB 800MG,8.48,,4.24,7.63,54
CDM,11050452,ETRAVIRINE TAB 100MG,57.16,,28.58,51.44,54
CDM,11050453,LACOSAMIDE TAB 50MG,4.53,,1.16,4.08,55
CDM,11050454,LACOSAMIDE TAB 100MG,7.56,,1.94,6.8,55
CDM,11050457,FLUCYTOSINE CAP 500MG UP,260.26,,66.63,234.23,55
CDM,11050459,NADOLOL TAB  20MG UD       *NF,3.2,,0.8192,2.88,55
CDM,11050464,CARBAMAZEPINE CHW TAB 100MG UD,2.35,,0.6016,2.12,55
CDM,11050467,LEVOTHYROXINE TAB 75MCG,2.53,,0.64768,2.28,55
CDM,11050473,DESMOPRESSIN TAB 0.05MG,11.24,,2.88,10.12,55
CDM,11050474,ALBUTEROL  INH 0.083% 3ML UD,2.0,,0.04,1.8,55
CDM,11050477,ENTECAVIR TAB 0.5MG,7.92,,2.03,7.13,55
CDM,11050478,ISONIAZID TABLET 300MG UD,3.74,,0.95744,3.37,55
CDM,11050480,FUROSEMIDE TAB 80MG UD,2.0,,0.512,1.8,55
CDM,11050482,SOD PHENYLBUTYRATE PWDR 1GM,66.2,,16.95,59.58,55
CDM,11050483,CEPHALEXIN SUSPENSION 50MG/ML,2.0,,0.512,1.8,55
CDM,11050485,SPIRONOLACTONE SUSP 5MG/ML,6.62,,1.69,5.96,55
CDM,11050487,MECLIZINE TAB 12.5MG UD,2.0,,1.0,1.8,54
CDM,11050489,CAPTOPRIL ORAL LIQ 1MG/1ML,8.66,,2.22,7.79,55
CDM,11050494,RIVASTIGMINE PATCH 4.6MG/24HR,62.08,,15.89,55.87,55
CDM,11050495,RIVASTIGMINE PATCH 9.5MG/24HR,7.59,,1.94,6.83,55
CDM,11050497,PRASUGREL TAB 5MG,2.99,,0.76544,2.69,55
CDM,11050500,HEMORRHOIDAL HC SUPP UD,52.85,,13.53,47.56,55
CDM,11050502,PRASUGREL TAB 10MG,3.03,,0.77568,2.73,55
CDM,11050503,HYDROXYCHLOROQUINE TAB 200MGUP,6.88,,1.76,6.19,55
CDM,11050504,L-HYOSCYAMINE SR TAB 0.375MG,2.0,,0.512,1.8,55
CDM,11050505,DRONEDARON TAB 400MG,60.04,,15.37,54.04,55
CDM,11050506,NIACIN TAB 100MG,2.0,,0.512,1.8,55
CDM,11050509,BOSENTAN ORAL SUSP 15.6MG,89.31,,22.86,80.38,55
CDM,11050512,RIFAXIMIN TAB 550MG,250.85,,64.22,225.76,55
CDM,11050513,HYDRALAZINE TAB 25MG UD,2.0,,0.512,1.8,55
CDM,11050514,IPRATROP/ALBUT 0.5MG/3MG 3MLUD,2.3,,0.5888,2.07,55
CDM,11050515,CINACALCET TAB 30MG,6.89,,1.76,6.2,55
CDM,11050516,CINACALCET TAB 60MG,6.74,,1.73,6.07,55
CDM,11050517,HYDRALAZINE TAB 10MG UP,2.0,,0.512,1.8,55
CDM,11050519,HYDRALAZINE TAB 50MG UD,2.0,,0.512,1.8,55
CDM,11050520,RITONAVIR TAB 100MG,39.02,,9.99,35.12,55
CDM,11050524,DABIGATRAN CAP 75MG,14.47,,3.7,13.02,55
CDM,11050525,DABIGATRAN CAP 150MG,14.47,,3.7,13.02,55
CDM,11050527,TADALAFIL TAB 20MG,3.07,,0.78592,2.76,55
CDM,11050529,POT CHLORIDE 10%  1.35MEQ/MLUP,2.0,,0.512,1.8,55
CDM,11050531,OSELTAMIVIR 6MG/ML ORAL SUSP,2.3,,0.5888,2.07,55
CDM,11050533,CAPTOPRIL TAB 6.25MG PER 1/2,4.66,,1.19,4.19,55
CDM,11050534,CHLORHEXIDINE ORAL RINSE 15ML,40.71,,10.42,36.64,55
CDM,11050535,FIDAXOMICIN TAB 200MG,561.03,,143.62,504.93,55
CDM,11050536,VALGANCICLOVIR LIQ 50MG/ML 1ML,33.55,,8.59,30.2,55
CDM,11050537,ARGININE TAB 500MG UP,2.0,,0.512,1.8,55
CDM,11050538,ENALAPRIL TAB  2.5MG UD,11.38,,2.91,10.24,55
CDM,11050539,SOD CL 7% FOR INHL 4ML VL,2.0,,0.512,1.8,55
CDM,11050542,NEVIRAPINE ORAL SUSP 4MG/0.4ML,4.33,,1.11,3.9,55
CDM,11050543,ACETAMIN 160MG/5ML ORAL SYR,4.13,,1.06,3.72,55
CDM,11050544,IVERMECTIN TAB 3MG,19.04,,4.87,17.14,55
CDM,11050545,GLUCOSE TAB 4GM UP,2.0,,0.512,1.8,55
CDM,11050547,ATOVAQUONE/PROGNL TB 250-100MG,26.3,,6.73,23.67,55
CDM,11050548,RIVAROXABAN TAB 10MG,2.0,,0.512,1.8,55
CDM,11050549,RIVAROXABAN TAB 15MG,2.0,,0.512,1.8,55
CDM,11050550,RIVAROXABAN TAB 20MG,2.0,,0.512,1.8,55
CDM,11050551,EVEROLIMUS TAB 0.25MG,48.55,,2.43,43.7,55
CDM,11050552,EVEROLIMUS TAB 0.5MG,97.1,,2.43,87.39,55
CDM,11050553,EVEROLIMUS TAB 0.75MG,145.66,,2.43,131.09,55
CDM,11050555,FLECAINIDE TAB 100MG UD    *NF,4.31,,1.1,3.88,55
CDM,11050557,CYCLOPHOSPHAMIDE ORAL10MG/ML,25.76,,2.02,23.18,55
CDM,11050558,CARBID/ENTACA/LEVO12.5-200-50,2.89,,0.73984,2.6,55
CDM,11050559,CARBID/ENTAC/LEVO 18.75-200-75,2.89,,0.73984,2.6,55
CDM,11050560,CARBID/ENTACA/LEVO 25-200-100,2.89,,0.73984,2.6,55
CDM,11050561,CARBID/ENTAC/LEV 31.25-200-125,2.89,,0.73984,2.6,55
CDM,11050562,CARBID/ENTAC/LEVO 37.5-200-150,2.89,,0.73984,2.6,55
CDM,11050563,CARBID/ENTAC/LEVO 50-200-200,2.89,,0.73984,2.6,55
CDM,11050565,HYDROCORTISONE 2MG/ML ORL SUS,2.0,,0.512,1.8,55
CDM,11050566,SOD CL 3% FOR INHL 4ML VL,2.92,,0.74752,2.63,55
CDM,11050567,LIDOCAINE VISC SOLN 2% 100ML,40.45,,10.36,36.41,55
CDM,11050568,TICAGRELOR TAB 90MG UD,34.4,,8.81,30.96,55
CDM,11050569,RILPIVIRINE TAB 25MG,227.1,,58.14,204.39,55
CDM,11050570,OXYCHLOROSENE PWDR 2GM,28.0,,7.17,25.2,55
CDM,11050572,SILDENAFIL TAB 20MG,2.0,,0.512,1.8,55
CDM,11050573,DARUNAVIR ETHAN TAB 800MG,330.41,,84.58,297.37,55
CDM,11050575,PROGESTERONE VAG SUPP 100MG,64.33,,16.47,57.9,55
CDM,11050576,NITAZOXANIDE TAB 500MG,618.36,,158.3,556.52,55
CDM,11050588,MESALAMINE CAP 400MG,6.72,,1.72,6.05,55
CDM,11050592,VIT B3 (NIACIN) TAB 500MG,2.0,,0.512,1.8,55
CDM,11050594,SOD CHL ORAL SOLN 1MEQ,30.17,,7.72,27.15,55
CDM,11050595,SOD CHL ORAL SOLN 2MEQ,30.17,,7.72,27.15,55
CDM,11050596,SOD CHL ORAL SOLN 3MEQ,30.17,,7.72,27.15,55
CDM,11050597,SOD CHL ORAL SOLN 4MEQ,30.17,,7.72,27.15,55
CDM,11050598,CLARITHROMYCIN TAB 250MG UD,4.32,,1.11,3.89,55
CDM,11050599,ASCORBIC ACID TAB 500MG UD,2.0,,0.512,1.8,55
CDM,11050601,ASCORBIC ACID TAB 250MG UD,2.0,,0.512,1.8,55
CDM,11050602,HYDRALAZINE TAB 100MG,2.0,,0.512,1.8,55
CDM,11050606,ROTIGOTINE PATCH 2MG,129.04,,33.03,116.14,55
CDM,11050607,ROTIGOTINE PATCH 4MG,129.04,,33.03,116.14,55
CDM,11050608,ROTIGOTINE PATCH 6MG,129.04,,33.03,116.14,55
CDM,11050609,ROTIGOTINE PATCH 8MG,129.04,,33.03,116.14,55
CDM,11050610,ASPIRIN SUPP 300MG UD,5.36,,1.37,4.82,55
CDM,11050612,CROMOLYN SOD INH SOL 20MG/2ML,12.45,,0.3538,11.21,55
CDM,11050618,POT CITRA/CITRIC ACID ORAL 1ML,2.0,,0.512,1.8,55
CDM,11050622,PANTOPRAZOLE TAB 20MG,2.0,,0.512,1.8,55
CDM,11050623,RUFINAMIDE TAB 200MG,60.44,,15.47,54.4,55
CDM,11050627,ACYCLOVIR TAB 400MG,2.0,,0.512,1.8,55
CDM,11050630,ARIPIPRAZOLE TAB 7.5MG 1/2 UP,2.0,,0.512,1.8,55
CDM,11050633,VIT E CAP 400IU UP,2.0,,0.512,1.8,55
CDM,11050634,CHOLECALCIFEROL TAB 1000UNITS,2.0,,0.512,1.8,55
CDM,11050635,PREDNISONE TAB 10MG UD,2.0,,0.01,1.8,55
CDM,11050638,TRIMETHOBENZ CAP 300MG,82.67,,0.793,74.4,56
CDM,11050644,AMIODARONE TAB 200MG UD,2.0,,0.512,1.8,55
CDM,11050645,THYROID TAB 15MG UP (1/2 TAB),3.77,,0.96512,3.39,55
CDM,11050648,ELTROMBOPAG TAB 25MG,1206.57,,308.88,1085.91,55
CDM,11050651,ASENAPINE TAB SL 5MG,92.15,,23.59,82.94,55
CDM,11050652,STRIBILD 150-200MG TAB,639.38,,163.68,575.44,55
CDM,11050654,BISACODYL IN PEG 10MG SUPP,2.0,,0.512,1.8,55
CDM,11050655,DIAZOXIDE SUSP 50MG/ML 1ML,67.99,,17.41,61.19,55
CDM,11050656,DOLUTEGRAVIR SODIUM TAB 50MG,345.61,,88.48,311.05,55
CDM,11050658,ACETYLCYSTEINE 20% 2ML MP,25.29,,6.47,22.76,55
CDM,11050659,MESALAMINE ENEMA 60ML MP,61.54,,15.75,55.39,55
CDM,11050660,METFORMIN TAB 500MG UD,23.4,,5.99,21.06,55
CDM,11050661,DASATINIB TAB 50MG,1554.57,,397.97,1399.11,55
CDM,11050662,AMINOPHYLLINE LIQ 2MG/0.4ML,36.35,,9.31,32.72,55
CDM,11050663,AMINOPHYLLINE LIQ 3MG/0.6ML,36.35,,9.31,32.72,55
CDM,11050665,AMINOPHYLLINE LIQ 4MG/0.8ML,36.35,,9.31,32.72,55
CDM,11050668,AMINOPHYLLINE LIQ 6MG/1.2ML,36.35,,9.31,32.72,55
CDM,11050676,MYCOPHENOLATE SUSP 500MG/2.5ML,81.01,,0.1952,72.91,55
CDM,11050677,MYCOPHENOLATE SUSP 1000MG/5ML,150.73,,0.1952,135.66,55
CDM,11050684,NORTRIPTYLINE CAP 25MG UD,2.0,,0.512,1.8,55
CDM,11050690,LACTULOSE ENEMA 300ML UP,2.0,,0.512,1.8,55
CDM,11050691,PROPRANOLOL PED SOL0.4MG/1UP,2.0,,0.512,1.8,55
CDM,11050698,MAGNESIUM/PROTEIN TAB 133MG,2.0,,0.512,1.8,55
CDM,11050699,IBUPROFEN SUSP 20MG/1ML UP,2.0,,0.512,1.8,55
CDM,11050701,VANCOMYCIN 50MG ORAL LIQUID,3.03,,0.77568,2.73,55
CDM,11050705,SULFASALAZINE TAB 500MG UD,2.0,,0.512,1.8,55
CDM,11050706,SMZ/TMP 0.02-0.004MG/ML ORAL,9.84,,2.52,8.86,55
CDM,11050707,SMZ/TMP 0.2MG-0.04MG/ML ORAL,9.84,,2.52,8.86,55
CDM,11050708,PENICILLIN VK TAB 500MG UD,2.0,,0.512,1.8,55
CDM,11050709,SMZ/TMP 2MG-0.4MG/ML ORAL,9.84,,2.52,8.86,55
CDM,11050710,SMZ/TMP 20MG-4MG/ML ORAL,9.84,,2.52,8.86,55
CDM,11050713,CALCIUM CARBONATE TAB 600MG,2.0,,0.512,1.8,55
CDM,11050716,POSACONAZOLE TAB 100MG,52.01,,13.31,46.81,55
CDM,11050717,CYCLOPHOSPHAMIDE CAP 25MG,34.43,,2.02,30.99,55
CDM,11050718,CYCLOPHOSPHAMIDE CAP 50MG,63.19,,2.02,56.87,55
CDM,11050719,POLYETHYLENE GLYCOL PWD 1GMUP,3.88,,0.99328,3.49,55
CDM,11050720,ERYTHROMYCIN SUSP 80MG/1ML,19.74,,5.05,17.77,55
CDM,11050721,ERYTHROMYCIN SUSP 400MG/5ML,98.71,,25.27,88.84,55
CDM,11050722,OSELTAMIVIR ORAL CAP 30MG,7.59,,1.94,6.83,55
CDM,11050726,FLUCYTOSINE SUSP 500MG/10ML,260.26,,66.63,234.23,55
CDM,11050727,RIVASTIGMINE PATCH 13.3MG/24HR,62.08,,15.89,55.87,55
CDM,11050730,NORELG/E.ESTRAD 150/35MCG TDSY,187.01,,47.87,168.31,55
CDM,11050732,DASATINIB TAB 70MG,1554.57,,397.97,1399.11,55
CDM,11050734,LURASIDONE 40MG ORAL TABLET,184.62,,47.26,166.16,55
CDM,11050735,SMZ/TMP 0.08-0.016MG/ML ORAL,9.84,,2.52,8.86,55
CDM,11050736,SMZ/TMP 2.5-0.512MG/ML ORAL,9.84,,2.52,8.86,55
CDM,11050739,ATORVASTATIN 80MG TABLET,2.0,,0.512,1.8,55
CDM,11050740,AMINOPHYLLINE PED LIQ 7MG,9.09,,2.33,8.18,55
CDM,11050741,AMINOPHYLLINE PED LIQ 8MG,9.09,,2.33,8.18,55
CDM,11050742,AMINOPHYLLINE PED LIQ 9MG,9.09,,2.33,8.18,55
CDM,11050743,AMINOPHYLLINE PED LIQ 10MG,9.09,,2.33,8.18,55
CDM,11050747,AMINOPHYLLINE PED LIQ 11MG,9.09,,2.33,8.18,55
CDM,11050748,AMINOPHYLLINE PED LIQ 12MG,9.09,,2.33,8.18,55
CDM,11050750,PILOCARPINE TAB 5MG UD NF,2.0,,0.512,1.8,55
CDM,11050751,FUROSEMIDE PED LIQ 1MG,2.12,,0.54272,1.91,55
CDM,11050752,FUROSEMIDE PED LIQ 2MG,2.12,,0.54272,1.91,55
CDM,11050753,FUROSEMIDE PED LIQ 3MG,2.12,,0.54272,1.91,55
CDM,11050755,FUROSEMIDE PED LIQ 5MG,2.12,,0.54272,1.91,55
CDM,11050759,FUROSEMIDE PED LIQ 7MG,2.12,,0.54272,1.91,55
CDM,11050760,FUROSEMIDE PED LIQ 8MG,2.12,,0.54272,1.91,55
CDM,11050762,CHLOROTHIAZIDE PED LIQ 5MG,12.68,,3.25,11.41,55
CDM,11050763,CHLOROTHIAZIDE PED LIQ 20MG,12.68,,3.25,11.41,55
CDM,11050764,CIPROFLOXACIN HCL TAB 500MG UD,2.0,,0.512,1.8,55
CDM,11050765,CHLOROTHIAZIDE PED LIQ 25MG,12.68,,3.25,11.41,55
CDM,11050766,CIPROFLOXACIN HCL TAB 750MG UD,2.0,,0.512,1.8,55
CDM,11050767,CHLOROTHIAZIDE PED LIQ 30MG,12.68,,3.25,11.41,55
CDM,11050769,MULTIVIT W/IRON DROPS 1ML,4.1,,1.05,3.69,55
CDM,11050771,DIVALPROEX SOD DR TAB 250MG UD,2.0,,0.512,1.8,55
CDM,11050772,DIVALPROEX SOD DR TAB 500MG UD,2.0,,0.512,1.8,55
CDM,11050774,CHLOROTHIAZIDE PED LIQ 35MG,12.68,,3.25,11.41,55
CDM,11050775,CHLOROTHIAZIDE PED LIQ 45MG,12.68,,3.25,11.41,55
CDM,11050777,DIPHENHYDRAMINE CAP 50MG UD-,2.0,,0.35,1.8,56
CDM,11050778,DIPHENHYDRAMINE EL 25MG/10M UD,17.28,,0.35,15.55,56
CDM,11050779,CHLOROTHIAZIDE PED LIQ 80MG,12.68,,3.25,11.41,55
CDM,11050780,CHLOROTHIAZIDE PED LIQ 100MG,7.92,,2.03,7.13,55
CDM,11050781,CHLOROTHIAZIDE PED LIQ 120MG,12.68,,3.25,11.41,55
CDM,11050782,CHLOROTHIAZIDE PED LIQ 140MG,12.68,,3.25,11.41,55
CDM,11050784,ERGOCALCIFEROL PED DRP 400UN,13.55,,3.47,12.2,55
CDM,11050785,AZATHIOPRINE SUSP 50MG/1ML,3.11,,1.16,2.8,55
CDM,11050786,METRONIDAZOLE SUSP 50MG/1ML,3.45,,0.8832,3.1,55
CDM,11050791,CIPROFLOXACIN SUSP 100MG/ML,7.0,,1.79,6.3,55
CDM,11050796,MINERAL OIL TOP-STERILE 10ML,91.81,,23.5,82.63,55
CDM,11050797,DICYCLOMINE HCL TAB 20MG UP,2.0,,0.512,1.8,55
CDM,11050798,AMIODARONE ORAL SUSP 40MG/ML,2.0,,0.512,1.8,55
CDM,11050799,FLECAINIDE ORAL SUSP 20MG/ML,4.31,,1.1,3.88,55
CDM,11050800,VERAPAMIL ORAL SUSP 50MG/ML,2.0,,0.512,1.8,55
CDM,11050801,PHYTONADIONE 2.5MG ORAL SOL UP,87.35,,22.36,78.61,55
CDM,11050802,ALVIMOPAN 12MG CAPSULE,573.43,,146.8,516.09,55
CDM,11050804,GENVOYA ORAL ARV COMBO TABLET,609.51,,156.03,548.56,55
CDM,11050806,THEOPHYLLINE ER 100MG CAPSULE,16.19,,4.14,14.57,55
CDM,11050807,THEOPHYLLINE ER 200MG CAPSULE,24.06,,6.16,21.65,55
CDM,11050808,THEOPHYLLINE ER 300MG CAPSULE,29.57,,7.57,26.61,55
CDM,11050810,SOD CHL ORAL SOLN 5MEQ,30.17,,7.72,27.15,55
CDM,11050811,POT CHLORIDE 10% SOLN 5MEQ,2.0,,0.512,1.8,55
CDM,11050815,ACYCLOVIR 400MG TABLET,2.0,,0.512,1.8,55
CDM,11050816,TREPROSTINIL ER 0.125MG TABLET,40.62,,10.4,36.56,55
CDM,11050817,TREPROSTINIL ER 0.25MG TABLET,81.24,,20.8,73.12,55
CDM,11050818,TREPROSTINIL ER 1MG TABLET,324.98,,83.19,292.48,55
CDM,11050819,BRIVARACETAM TABLET 25MG,110.11,,28.19,99.1,55
CDM,11050820,BRIVARACETAM TABLET 50MG,110.11,,28.19,99.1,55
CDM,11050822,SOD CL 0.9% FOR INHL 3ML VL,2.0,,0.512,1.8,55
CDM,11050823,METFORMIN TAB 850MG UP,2.0,,0.512,1.8,55
CDM,11050825,GRANISETRON TAB 1MG UD  NF-,16.55,,1.66,62.95,56
CDM,11050826,CALCIUM ACETATE CAPSULE 667MG,5.12,,1.31,4.61,55
CDM,11050827,BUPROPION XL TABLET 150MG,4.59,,1.18,4.13,55
CDM,11050828,BUPROPION XL TABLET 300MG,2.0,,0.512,1.8,55
CDM,11050831,CYCLOSPOR MICRO SOLN 100MG/ML,9.27,,1.79,8.34,55
CDM,11050832,MVW COMPLETE FORM MULTIVI SFGL,2.73,,0.69888,2.46,55
CDM,11050833,HYDRALAZINE TAB 12.5MG UP,2.0,,0.512,1.8,55
CDM,11050836,WARFARIN SOD TAB 1.25MG,2.0,,0.512,1.8,55
CDM,11050837,WARFARIN SOD TAB 3.75MG,2.0,,0.512,1.8,55
CDM,11050841,TENOFOVIR ALAF FUM 25MG TABLET,220.7,,56.5,198.63,55
CDM,11050842,MAGNESIUM CHLORIDE TAB 70MG,2.0,,0.512,1.8,55
CDM,11050844,CEFDINIR ORAL SOLN 25MG/ML UP,2.0,,0.512,1.8,55
CDM,11050845,RIOCIGUAT ORAL TABLET 0.5MG,768.47,,196.73,691.62,55
CDM,11050846,RIOCIGUAT ORAL TABLET 2MG,768.47,,196.73,691.62,55
CDM,11050847,RIOCIGUAT ORAL TABLET 2.5MG,768.47,,196.73,691.62,55
CDM,11050850,POT PHOSPHATE 250MG ORAL TAB,3.4,,0.8704,3.06,55
CDM,11050851,MIDOSATAURIN 25MG ORAL CAPSULE,918.91,,235.24,827.02,55
CDM,11050852,SACUBITR/VALSART 24MG/26MG TAB,52.3,,13.39,47.07,55
CDM,11050853,SACUBITR/VALSART 49MG/51MG TAB,52.3,,13.39,47.07,55
CDM,11050854,SACUBIT/VALSART 97MG/103MG TAB,52.3,,13.39,47.07,55
CDM,11050855,LURASIDONE 20MG ORAL TABLET,184.62,,47.26,166.16,55
CDM,11050856,LURASIDONE 60MG ORAL TABLET,184.62,,47.26,166.16,55
CDM,11050857,LURASIDONE 80MG ORAL TABLET,184.62,,47.26,166.16,55
CDM,11050858,LURASIDONE 120MG ORAL TABLET,275.58,,70.55,248.02,55
CDM,11050859,CAFFINE ORAL SOL 20MG/ML SBS,9.96,,2.55,8.96,55
CDM,11050863,HALOPERIDOL ORAL CONC 0.5MG,2.0,,0.512,1.8,55
CDM,11050866,HALOPERIDOL CONC 0.5MG/0.25ML,2.0,,0.512,1.8,55
CDM,11050867,ZINC SULF ORAL SOLN 44MG/1ML,3.23,,0.82688,2.91,55
CDM,11050868,ZINC SULF ORAL SOLN 220MG/5ML,16.13,,4.13,14.52,55
CDM,11050869,DIAZOXIDE ORAL SUSP 1MG/0.02ML,2.0,,0.512,1.8,55
CDM,11050870,ISAVUCONAZONIUM 186MG ORAL CAP,520.62,,133.28,468.56,55
CDM,11050872,MELATONIN 3MG ORAL TABLET,2.0,,0.512,1.8,55
CDM,11050874,CALCIUM CARB SUSP 250MG/ML,2.0,,0.512,1.8,55
CDM,11050875,ELTROMBOPAG TAB 50MG,2183.5,,558.98,1965.15,55
CDM,11050878,SIROLIMUS TAB 1MG UD NF,23.13,,1.17,20.82,55
CDM,11050879,MVW COMPLETE FORM D5000 SFGL,2.73,,0.69888,2.46,55
CDM,11050880,FOSFOMYCIN 3GM POWDER PKT,369.25,,94.53,332.32,55
CDM,11050883,PREDNISOLONE 15MG/5ML ORAL UP,29.86,,0.12,26.87,55
CDM,11050886,BOSENTAN TAB 62.5MG *NF,71.05,,18.19,63.95,55
CDM,11050888,BOSENTAN TAB 125MG *NF,101.81,,26.06,91.63,55
CDM,11050890,CHOLECALCIFEROL 5000U TAB,2.0,,0.512,1.8,55
CDM,11050891,MIDODRINE TAB 10MG,4.38,,1.12,3.94,55
CDM,11050892,ZINC SULFATE ORAL TABLET 220MG,2.0,,0.512,1.8,55
CDM,11050895,CLONIDINE 1MCG/1ML ORAL SUSP,2.0,,0.512,1.8,55
CDM,11050896,LIDOCAINE VISC SOLN 2% 15ML UD,17.18,,4.4,15.46,55
CDM,11050897,CHERRY SYRUP 5ML UP,3.84,,1.92,3.46,54
CDM,11050899,METOPROLOL SUSP 10MG/ML UP,7.5,,1.92,6.75,55
CDM,11050900,CACO3/MG HYDROXIDE 675/135MGTB,4.98,,1.27,4.48,55
CDM,11050901,SOD ZIRCONIUM CYCL 10GM ORLSUS,21.36,,5.47,19.22,55
CDM,11050903,SOD ZIRCONIUM CYCL 5GM ORALSUS,21.16,,5.42,19.04,55
CDM,11050904,DEXTROMETHORPHAN 15MG ORAL CAP,2.0,,0.512,1.8,55
CDM,11050905,ASPIRIN ORAL SOLN 0.1MG/0.1ML,2.0,,0.512,1.8,55
CDM,11050906,BICTE/EMTRI/TENO 50-200-25 TAB,609.51,,156.03,548.56,55
CDM,11050907,ZINC SULFATE ORAL TABLET 50MG,2.0,,0.512,1.8,55
CDM,11050909,VENETOCLAX 100MG ORAL TABLET,642.4,,164.45,578.16,55
CDM,11050911,OLANZAPINE DISSOLVE  5MG UD NF,7.15,,1.83,6.43,55
CDM,11050913,VENETOCLAX 50MG ORAL TABLET,321.35,,82.27,289.21,55
CDM,11050915,VENETOCLAX 10MG ORAL TABLET,64.22,,16.44,57.8,55
CDM,11050917,PROBIOTIC 3BILLION CFU CHEW TB,2.0,,0.512,1.8,55
CDM,11050919,EMPAGLIFLOZIN 10MG TABLET,61.75,,15.81,55.58,55
CDM,11050920,EMPAGLIFLOZIN 25MG TABLET,61.75,,15.81,55.58,55
CDM,11050921,TACROLIMUS ER 0.75MG TABLET,25.62,,1.38,23.06,55
CDM,11050922,TACROLIMUS ER 1MG TABLET,5.29,,1.38,4.76,55
CDM,11050923,TACROLIMUS ER 4MG TABLET,15.87,,1.38,14.28,55
CDM,11050928,GLECAPR/PIBRENT 100MG-40MG TAB,728.24,,186.43,655.42,55
CDM,11050929,CYCLOSPOR 100MG/ML SOL-GENGRAF,20.19,,1.79,18.17,55
CDM,11050930,ESLICARBAZEPINE ACET 200MG TAB,194.07,,49.68,174.66,55
CDM,11050931,ESLICARBAZEPINE ACET 400MG TAB,194.07,,49.68,174.66,55
CDM,11050932,ESLICARBAZEPINE ACET 600MG TAB,194.65,,49.83,175.19,55
CDM,11050933,ESLICARBAZEPINE ACET 800MG TAB,194.07,,49.68,174.66,55
CDM,11050934,MINERAL OIL 30ML ORAL UD,8.65,,2.21,7.79,55
CDM,11050935,RIVAROXABAN TAB 2.5MG,2.0,,0.512,1.8,55
CDM,11050937,BACLOFEN 5MG TABLET,2.0,,0.512,1.8,55
CDM,11050938,BACLOFEN 2.5MG TABLET,2.0,,0.512,1.8,55
CDM,11050939,MONTELUKAST TABLET 2.5MG,2.0,,0.512,1.8,55
CDM,11050940,PROBIOTIC 1.5BILLION CFU 1/2TB,2.0,,0.512,1.8,55
CDM,11050941,PATIROMER 8.4GM ORAL PWD PKT,110.65,,28.33,99.58,55
CDM,11050942,PATIROMER 16.8GM ORAL PWD PKT,110.65,,28.33,99.58,55
CDM,11050943,PATIROMER 25.2GM ORAL PWD PKT,110.65,,28.33,99.58,55
CDM,11050944,POT CL 20MEQ ORAL POWDER PKT,11.58,,2.96,10.42,55
CDM,11050945,LETERMOVIR 240MG TABLET,1317.05,,337.16,1185.35,55
CDM,11050946,LETERMOVIR 480MG TABLET,1317.05,,337.16,1185.35,55
CDM,11050947,NITROFURANTOIN MONO 100MG CAP,13.52,,3.46,12.17,55
CDM,11050948,VARENICLINE 0.5MG ORAL TABLET,3.64,,0.93184,3.28,55
CDM,11050949,VARENICLINE 1MG ORAL TABLET,47.83,,12.24,43.05,55
CDM,11050950,POVIDONE-IODINE TOP SOL 22.5ML,47.1,,12.06,42.39,55
CDM,11050951,HYDROXYCHLOROQ 25MG/ML ORL SUS,3.44,,0.88064,3.1,55
CDM,11050952,NIMODIPINE 30MG/5ML ORAL SOLN,241.21,,61.75,217.09,55
CDM,11050953,NIMODIPINE 60MG/10ML ORAL SOLN,480.13,,122.91,432.12,55
CDM,11050954,PENICILLAMINE 250MG ORAL TAB,213.92,,54.76,192.53,55
CDM,11050955,SUCCIMER 100MG ORAL CAPSULE,110.17,,28.2,99.15,55
CDM,11050956,ZINC ELEMENTAL ORAL TAB 50MG,2.0,,0.512,1.8,55
CDM,11050957,ARTEMET/LUMEFAN 20MG-120MG TAB,26.02,,6.66,23.42,55
CDM,11050958,COBICISTAT 150MG ORAL TABLET,45.5,,11.65,40.95,55
CDM,11050959,AMINOLEVULIN ACID 30MG/ML ORAL,319.6,,81.82,287.64,55
CDM,11050960,HYDROCHLOROTHIAZ 5MG/ML ORAL S,2.0,,0.512,1.8,55
CDM,11050961,CANNABIDIOL ORAL SOLN 100MG/ML,81.75,,20.93,73.58,55
CDM,11050962,MINERAL OIL TOP-STERILE 2ML,79.44,,20.34,71.5,55
CDM,11050963,LEVOTHYROXINE TAB 137MCG,3.05,,0.7808,2.75,55
CDM,11050964,LEVOTHYROXINE TAB 175MCG,3.13,,0.80128,2.82,55
CDM,11050965,LEVOTHYROXINE TAB 200MCG,7.25,,1.86,6.53,55
CDM,11050966,LIOTHYRONINE SOD TAB 5MCG UP,2.0,,0.512,1.8,55
CDM,11050967,CENOBAMATE 50MG ORAL TABLET,180.65,,46.25,162.59,55
CDM,11050968,LAMOTRIGINE TAB 12.5MG,2.0,,0.512,1.8,55
CDM,11050969,CEFPODOXIME 100MG TABLET,13.45,,3.44,12.11,55
CDM,11050970,ULIPRISTAL 30MG TABLET,178.15,,45.61,160.34,55
CDM,11050971,MISOPROSTOL TABLET 100MCG,3.05,,0.7808,2.75,55
CDM,11050972,"HEPARIN 10,000UN/3ML NEBULIZAT",16.18,,4.14,14.56,55
CDM,11050973,CEFADROXIL 500MG ORAL CAPSULE,2.0,,0.512,1.8,55
CDM,11050974,CEFADROXIL ORAL SUSP 100MG/ML,2.0,,0.512,1.8,55
CDM,11050975,MIFEPRISTONE 200MG TABLET,215.0,,55.04,193.5,55
CDM,11050976,TICAGRELOR TABLET 60MG,34.47,,8.82,31.02,55
CDM,11050977,FAMOTIDINE ORAL 0.1MG/0.0125ML,2.0,,0.512,1.8,55
CDM,11050978,SACUB/VALSAR 1.96-2.04/ML SUSP,3.13,,0.80128,2.82,55
CDM,11050979,BARICITINIB 1MG ORAL TABLET,449.37,,115.04,404.43,55
CDM,11050980,BARICITINIB 2MG ORAL TABLET,449.37,,115.04,404.43,55
CDM,11050981,ATOMOXETINE CAP 60MG UP,21.91,,5.61,19.72,55
CDM,11050982,CLOZAPINE TAB 50MG UP,3.06,,0.78336,2.75,55
CDM,11050983,LACOSAMIDE 50MG/5ML ORAL SOLN,52.53,,13.45,47.28,55
CDM,11050984,LACOSAMIDE PED 5MG/0.5ML ORAL,5.25,,1.34,4.72,55
CDM,11050985,MULTIVITAMIN W/MINERALS TABLET,52.95,,13.56,47.66,55
CDM,11050986,HYDROXYZINE 25MG ORAL TAB/CAP,2.0,,0.512,1.8,55
CDM,11050987,IBUPROFEN TAB 800MG UD,2.0,,0.512,1.8,55
CDM,11050989,TRIKAFTA 100-50-75MG MULTI TAB,1592.76,,407.75,1433.48,55
CDM,11050990,TRIKAFTA 150MG IVACAFTOR TAB,1592.76,,407.75,1433.48,55
CDM,11050996,PSYLLIUM MUCILLOID SF 3.4GM PK,2.29,,0.58624,2.06,55
CDM,11050997,PSYLLIUM MUCILLOID 3.4GM PACK,2.29,,0.58624,2.06,55
CDM,11050998,MARIBAVIR 200MG TABLET,1114.27,,285.25,1002.84,55
CDM,11050999,GUANFACINE 0.5MG HALF TAB UP,2.0,,0.512,1.8,55
CDM,11051001,ONDANSETRON 4MG/5ML ORAL SOLN,6.11,,1.56,5.5,55
CDM,11051002,AMOXICILLIN/CLAV'200' CHEW TAB,10.63,,2.72,9.57,55
CDM,11051003,HALOPERIDOL TAB 2.5MG UP,2.0,,0.512,1.8,55
CDM,11051004,MIRTAZAPINE TABLET 7.5MG,3.98,,1.02,3.58,55
CDM,11051005,HYDROXYUREA 100MG/ML ORAL SUSP,2.0,,0.512,1.8,55
CDM,11051007,UREA 15GM ORAL POWDER PACKET,18.13,,4.64,16.32,55
CDM,11051008,ERGOCALCIFEROL DROP 0.2MG/ML,2.26,,0.57856,2.03,55
CDM,11051009,ERGOCALCIFER DRP 0.01MG/0.05ML,2.0,,0.512,1.8,55
CDM,11051010,ERGOCALCIFEROL CAP 1.25MG UP,2.0,,0.512,1.8,55
CDM,11051011,RISPERIDONE DISINTEGRT TAB 4MG,10.6,,2.71,9.54,55
CDM,11051012,SITAGLIPTAN TAB 25MG,87.81,,22.48,79.03,55
CDM,11051013,TORSEMIDE 5MG TABLET,2.0,,0.512,1.8,55
CDM,11051014,IVABRADINE 5MG ORAL TABLET,45.76,,11.71,41.18,55
CDM,11051015,IVABRADINE 7.5MG ORAL TABLET,45.76,,11.71,41.18,55
CDM,11051016,BROMOCRIPTINE CAPSULE 5MG,20.38,,5.22,18.34,55
CDM,11051019,SOD CL 3.5% FOR INHL 4ML VL,3.38,,0.86528,3.04,55
CDM,11051023,ACAMPROSATE 333MG TABLET,8.26,,2.11,7.43,55
CDM,11051025,TRIAMTERENE 37.5/HCTZ 25 CAP,2.0,,0.512,1.8,55
CDM,11051026,DEXTROMETH POLISTIREX 5ML UD,2.0,,0.512,1.8,55
CDM,11051028,MAGNESIUM GLUC ORL 200MG/ML,3.66,,0.93696,3.29,55
CDM,11051031,CENOBAMATE TABLET 200MG,180.65,,46.25,162.59,55
CDM,11051038,CENOBAMATE TABLET 150MG,180.65,,46.25,162.59,55
CDM,11051039,GUANFACINE TABLET EXT REL 1MG,2.0,,0.512,1.8,55
CDM,11051041,COLCHICINE TAB 0.3MG (1/2),6.84,,1.75,6.16,55
CDM,11051042,METHIMAZOLE TAB 2.5MG (1/2),2.0,,0.512,1.8,55
CDM,11051045,ERGOCALCIFEROL TAB 1.25MG UP,2.0,,0.512,1.8,55
CDM,11051046,NALOXONE 1MG/ML ORAL UP,12.28,,3.14,11.05,55
CDM,11051047,DESMOPRESSIN TABLET 0.2MG,3.79,,0.97024,3.41,55
CDM,11051051,PANCRELIPASE CAP (CREON 6000),10.04,,2.57,9.04,55
CDM,11051052,AMITRIPTYLINE TAB 5MG (1/2),2.0,,0.512,1.8,55
CDM,11051053,AMITRIPTYLINE TAB 12.5MG (1/2),2.0,,0.512,1.8,55
CDM,11051054,ATORVASTATIN TABLET 5MG (1/2),2.0,,0.512,1.8,55
CDM,11051057,ESCITALOPRAM TAB 2.5MG (1/2),2.0,,0.512,1.8,55
CDM,11051058,CARBIDOPA/LEVO TAB 25/100 UD,2.0,,0.512,1.8,55
CDM,11051059,FUROSEMIDE TAB 10MG (1/2),2.0,,0.512,1.8,55
CDM,11051061,ISOSORBIDE MONO TAB 60MG UD,2.0,,0.512,1.8,55
CDM,11051065,POLYCARBOPHIL TAB 625MG UD  NF,2.0,,0.512,1.8,55
CDM,11051068,FORMOTEROL 20MCG/2ML VIAL,45.09,,2.4,40.58,55
CDM,11051069,REVEFENACIN 175MCG/3ML NEB VL,31.54,,0.2,28.39,55
CDM,11051073,HYDRALAZINE TAB 5MG (1/2),2.0,,0.512,1.8,55
CDM,11051075,HYDROXYCHLOROQ TAB 100MG (1/2),3.19,,0.81664,2.87,55
CDM,11051077,ISOSORB MONO ER TAB 15MG (1/2),2.0,,0.512,1.8,55
CDM,11051078,PHENAZOPYRIDINE TAB 200MG UP,2.0,,0.512,1.8,55
CDM,11051079,PRIMIDONE TAB 25MG (1/2),2.0,,0.512,1.8,55
CDM,11051080,SERTALINE TAB 1.25MG (1/2),2.0,,0.512,1.8,55
CDM,11051081,SILDENAFIL TAB 10MG (1/2),2.0,,0.512,1.8,55
CDM,11051082,TRIHEXPHENIDYL TAB 1MG (1/2),2.0,,0.512,1.8,55
CDM,11051083,ESOMEPRAZOLE DR ORAL SUS 2.5MG,43.94,,11.25,39.55,55
CDM,11051084,RUXOLITINIB TAB 5MG,1429.15,,365.86,1286.23,55
CDM,11051085,RUXOLITINIB TAB 10MG,1429.15,,365.86,1286.23,55
CDM,11051086,N-ACETYL-L-CYSTEINE CAP 600MG,2.0,,0.512,1.8,55
CDM,11051087,VIT E DROP 22.5MG/ML SYNTH 1ML,3.36,,0.86016,3.02,55
CDM,11051088,TRANEXAMIC ACID TABLET 650MG,13.5,,3.46,12.15,55
CDM,11051089,CAFFINE ORAL 10MG/0.5ML SBS,4.99,,1.28,4.49,55
CDM,11051090,CAFFINE ORAL 15MG/0.75ML SBS,7.48,,1.91,6.73,55
CDM,11051091,CAFFINE ORAL 25MG/1.25ML SBS,12.46,,3.19,11.21,55
CDM,11051092,CAFFINE ORAL 35MG/1.75ML SBS,29.9,,7.65,26.91,55
CDM,11051095,DILTIAZEM SR CAP  90MG UD,13.33,,3.41,12.0,55
CDM,11051096,DILTIAZEM SR CAP 120MG UD,17.38,,4.45,15.64,55
CDM,11051099,LEVOFLOXACIN TAB 750MG,2.02,,0.51712,1.82,55
CDM,11051100,PONATINIB TAB 15MG,3624.54,,927.88,3262.09,55
CDM,11051101,LETROZOLE TAB 2.5MG UP *CD,2.0,,0.512,1.8,55
CDM,11051102,PONATINIB TAB 30MG,3624.54,,927.88,3262.09,55
CDM,11051103,PONATINIB TAB 45MG,3624.54,,927.88,3262.09,55
CDM,11051104,UPADACITINIB TAB ER 15MG,984.6,,252.06,886.14,55
CDM,11051105,UPADACITINIB TAB ER 30MG,984.6,,252.06,886.14,55
CDM,11051106,UPADACITINIB TAB ER 45MG,1970.36,,504.41,1773.32,55
CDM,11051107,AMOXICILLIN TAB CHEW 250MG,2.0,,0.512,1.8,55
CDM,11051108,SOFOSB 400MG/VELPATA 100MG TAB,4091.8,,1047.5,3682.62,55
CDM,11051109,RIMEGEPANT TAB ODT 75MG,591.35,,151.39,532.22,55
CDM,11051110,DORAVIRINE TAB 100MG,281.95,,72.18,253.75,55
CDM,11051112,BUPROPION TAB 50MG (1/2) UP,3.0,,0.768,2.7,55
CDM,11051118,CLIMARA TRANSDM PATCH 0.05MGNF,87.7,,22.45,78.93,55
CDM,11051120,CLIMARA TRANSDM PATCH 0.025MG,62.08,,15.89,55.87,55
CDM,11051121,CLIMARA TRANSDM PATCH 0.0375MG,67.24,,17.21,60.52,55
CDM,11051144,CEPHALEXIN CAP 250MG UD,2.0,,0.512,1.8,55
CDM,11051145,CEPHALEXIN CAP 500MG UD,2.0,,0.512,1.8,55
CDM,11051151,K-LYTE TAB 25MEQ UD    *NF,2.85,,0.7296,2.56,55
CDM,11051152,DICLOXACILLIN CAP 250MG UD,3.14,,0.80384,2.83,55
CDM,11051164,GLYCOPYRROLATE ORAL SOL 200MCG,2.85,,0.7296,2.56,55
CDM,11051204,ERGOCALCIFEROL PED DROP 10MCG,6.78,,1.74,6.1,55
CDM,11051205,CALCITRIOL PED ORAL .25MCG/ML,10.99,,2.81,9.89,55
CDM,11051235,CYCLOBENZAPRINE 5MG/.5TAB NF,2.0,,0.512,1.8,55
CDM,11051264,CHLORPHENIRAMIN TAB  4MG UD,2.0,,0.512,1.8,55
CDM,11051302,NICARDIPINE CAP 30MG UD    *NF,53.07,,13.59,47.76,55
CDM,11051305,DANAZOL CAP 100MG UP       *NF,11.82,,3.03,10.64,55
CDM,11051308,POT CL SR TAB 20MEQ UD,2.0,,0.512,1.8,55
CDM,11051311,CALCIUM OYS SHELL+D 250MG UPNF,2.0,,0.512,1.8,55
CDM,11051312,NITROGLYCERIN PATCH 0.2MG/HRUD,2.02,,0.51712,1.82,55
CDM,11051313,CLONIDINE HCL TAB .05MG(1/2)UP,2.0,,0.512,1.8,55
CDM,11051314,DICYCLOMINE HCL CAP 10MG UD,2.0,,0.512,1.8,55
CDM,11051315,NITROGLYCERIN PATCH 0.4MG/HRUD,2.85,,0.7296,2.56,55
CDM,11051318,NITROGLYCERIN PATCH 0.1MG/HRUD,2.08,,0.53248,1.87,55
CDM,11051335,CLINDAMYCIN CAP 150MG UP,2.0,,0.512,1.8,55
CDM,11051336,CLONIDINE HCL TAB 0.1MG UD,2.0,,0.512,1.8,55
CDM,11051337,CLONIDINE HCL TAB 0.2MG UD,2.0,,0.512,1.8,55
CDM,11051339,NITROGLYCERIN PATCH 0.6MG/HRUD,3.51,,0.89856,3.16,55
CDM,11051365,BENZTROPINE TAB 1MG UD,2.0,,0.512,1.8,55
CDM,11051370,BENZTROPINE TAB 2MG UD,2.0,,0.512,1.8,55
CDM,11051371,PHENYTOIN CAP 30MG UP,6.67,,1.71,6.0,55
CDM,11051380,COLCHICINE TAB 0.6MG UP,22.03,,5.64,19.83,55
CDM,11051383,DILTIAZEM SR CAP  60MG UD,11.67,,2.99,10.5,55
CDM,11051388,DOCUSATE MINI ENEMA 5ML NF,8.85,,2.27,7.96,55
CDM,11051390,TIAGABINE TAB   4MG UP   NF,14.19,,3.63,12.77,55
CDM,11051391,ROPINIROLE TAB 0.25MG UP,2.0,,0.512,1.8,55
CDM,11051392,ROPINIROLE TAB 1MG UP,2.0,,0.512,1.8,55
CDM,11051393,QUETIAPINE TAB 25MG UD   NF,2.0,,0.512,1.8,55
CDM,11051394,QUETIAPINE TAB  100MG UD NF,2.0,,0.512,1.8,55
CDM,11051398,RAMIPRIL CAP 10MG UP,2.0,,0.512,1.8,55
CDM,11051400,CEFUROXIME TAB 250MG UD    *NF,3.15,,0.8064,2.83,55
CDM,11051402,CEFUROXIME TAB 500MG UD *NF,5.37,,1.37,4.83,55
CDM,11051421,CITALOPRAM TAB 20MG UD NF,2.0,,0.512,1.8,55
CDM,11051422,MONTELUKAST TAB 10MG UD,2.0,,0.512,1.8,55
CDM,11051423,MONTELUKAST TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11051424,PROCHLORPERAZINE SUPP 25MG UD,32.03,,8.2,28.83,55
CDM,11051425,TERBINAFINE TAB 250MG UD NF,2.0,,0.512,1.8,55
CDM,11051426,CITALOPRAM TAB 40MG UD NF,2.0,,0.512,1.8,55
CDM,11051432,NIFEDIPINE SR TAB 30MG UD,3.67,,0.93952,3.3,55
CDM,11051434,NIFEDIPINE SR TAB 60MG UD,8.25,,2.11,7.42,55
CDM,11051438,PREDNISOLONE TAB 5MG UP  *NF-,41.74,,0.12,37.57,55
CDM,11051455,CITALOPRAM TAB 10MG (1/2) NF,2.0,,0.512,1.8,55
CDM,11051488,URSODIOL SUSP 60MG/ML,12.63,,3.23,11.37,55
CDM,11051544,ACETAZOLAMIDE  PED SUSP 5MG/ML,16.6,,4.25,14.94,55
CDM,11051561,WARFARIN SOD TAB  2 MG UD,2.0,,0.512,1.8,55
CDM,11051562,WARFARIN SOD TAB  2.5MG UD,2.0,,0.512,1.8,55
CDM,11051563,WARFARIN SOD TAB  7.5MG UD,2.0,,0.512,1.8,55
CDM,11051567,WARFARIN SOD TAB  5MG UD,2.0,,0.512,1.8,55
CDM,11051600,CHOLESTYRAMINE RESIN/4GM PKT,3.68,,0.94208,3.31,55
CDM,11051658,LIOTHYRONINE SOD TAB 25MCG UP,4.04,,1.03,3.64,55
CDM,11051676,DANTROLENE CAP  25MG UP,2.5,,0.64,2.25,55
CDM,11051677,DANTROLENE CAP 100MG UP,5.08,,1.3,4.57,55
CDM,11051862,PROCHLORPERAZINE  TAB  5MG UD-,2.0,,0.9028,1.8,55
CDM,11051866,PROCHLORPERAZINE  TAB 10MG UD-,2.41,,0.9028,2.17,55
CDM,11051873,VERAPAMIL SR TAB 180MG UD,2.0,,0.512,1.8,55
CDM,11051874,IMIQUIMOD CR 5% .25 GM UD   NF,7.3,,1.87,6.57,55
CDM,11051877,CEFPODOXIME TAB 200MG UD    NF,21.34,,5.46,19.21,55
CDM,11051878,NITROGLYCERIN OINT 2% 1GM UD,10.21,,2.61,9.19,55
CDM,11051882,OLANZAPINE TAB 2.5MG UD     NF,2.0,,0.512,1.8,55
CDM,11051885,DEXAMETHASONE TAB 4MG UD,3.69,,0.0244,3.32,55
CDM,11051886,DEXAMETHASONE TAB 6MG UD,2.0,,0.0244,1.8,55
CDM,11051887,MYCOPHENOLATE CAP 250MG,2.0,,0.1952,1.8,55
CDM,11051890,DEXAMETHASONE TAB 0.75MG UD,2.0,,0.0244,1.8,55
CDM,11051891,DEXAMETHASONE TAB 0.5MG UD,2.0,,0.0244,1.8,55
CDM,11051892,ATOVAQUONE SUSP 150MG/ML    NF,7.36,,1.88,6.62,55
CDM,11051898,BICALUTAMIDE TAB 50MG UD    NF,2.79,,0.71424,2.51,55
CDM,11051900,SUMATRIPTAN TAB 25MG UD NF,4.08,,1.04,3.67,55
CDM,11051904,SUMATRIPTAN TAB 50MG UD NF,3.6,,0.9216,3.24,55
CDM,11051907,VALACYCLOVIR TAB 500MG UD NF,14.02,,3.59,12.62,55
CDM,11051910,SULFAMETHO/TRIMETH SUSP 5MLUP,9.84,,2.52,8.86,55
CDM,11051914,PHENYTOIN SUSP 300MG/12ML UP,20.98,,5.37,18.88,55
CDM,11051919,AMOXICILLIN/CLAV '875' TAB UD,2.0,,0.512,1.8,55
CDM,11051929,ACETAZOLAMIDE TAB 250MG UD,16.6,,4.25,14.94,55
CDM,11051954,MEMANTINE TAB 5MG UD      NF,2.0,,0.512,1.8,55
CDM,11051955,PRAVASTATIN TAB 40MG UD,3.82,,0.97792,3.44,55
CDM,11051956,MEMANTINE TAB 10MG UD       NF,2.0,,0.512,1.8,55
CDM,11051957,SPIRONOLACTN TAB 12.5MG(1/2)UP,2.0,,0.512,1.8,55
CDM,11051980,ESTROGENS CONJUG TAB 0.9MG UP,31.75,,8.13,28.57,55
CDM,11051982,PAROXETINE TAB 10MG UP NF,3.68,,0.94208,3.31,55
CDM,11051983,PAROXETINE TAB 5MG(1/2) UP NF,3.68,,0.94208,3.31,55
CDM,11051987,SOTALOL TAB 60MG(1/2TAB) UP,2.0,,0.512,1.8,55
CDM,11051999,MYCOPHENOLIC EC TAB 180MG,13.61,,0.4514,12.25,55
CDM,11052003,PIOGLITAZONE TAB 30MG UP  *NF,2.0,,0.512,1.8,55
CDM,11052004,PIOGLITAZONE TAB 15MG UD NF,2.0,,0.512,1.8,55
CDM,11052018,DIGOXIN EL  125MCG/2.5ML PP,25.75,,6.59,23.18,55
CDM,11052023,TRIHEXYPHENIDYL HCL TAB 2MG UD,2.0,,0.512,1.8,55
CDM,11052024,DIGOXIN EL   50MCG/ML 1ML PP,9.65,,2.47,8.69,55
CDM,11052035,PHENYTOIN  INFATAB 50MG UD,10.28,,2.63,9.25,55
CDM,11052036,PHENYTOIN SUSP 100MG/4ML PP,2.1,,0.5376,1.89,55
CDM,11052052,DONEPEZIL TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11052054,NAMBUMETONE TAB 750MG UD NF,2.0,,0.512,1.8,55
CDM,11052055,PREDNISOLONE CONC 3MG/ML NF,48.27,,0.12,43.44,55
CDM,11052056,MYCOPHENOLATE SUSP 200MG/ML-,31.6,,8.09,28.44,55
CDM,11052057,THIAMINE TAB 50MG (1/2TAB)UP,2.0,,0.512,1.8,55
CDM,11052075,METOCLOPRAMIDE TAB 10MG UD,2.0,,1.0,1.8,54
CDM,11052079,CAPTOPRIL TABLET 50MG UD,8.66,,2.22,7.79,55
CDM,11052081,CAPTOPRIL TABLET 25MG UD,5.6,,1.43,5.04,55
CDM,11052082,CAPTOPRIL TABLET 12.5MG UD,4.66,,1.19,4.19,55
CDM,11052083,PENICILLIN VK ORAL.0625MG/ML,6.21,,1.59,5.59,55
CDM,11052084,PENICILLIN VK ORAL 0.25MG/ML,6.21,,1.59,5.59,55
CDM,11052085,PENICILLIN VK ORAL 4MG/ML,6.21,,1.59,5.59,55
CDM,11052087,PANCRELIPASE CAP (ZENPEP 20),38.7,,9.91,34.83,55
CDM,11052088,PANCRELIPASE CAP (ZENPEP 15),28.49,,7.29,25.64,55
CDM,11052089,PANCRELIPASE CAP (ZENPEP 10),38.7,,9.91,34.83,55
CDM,11052090,PANCRELIPASE CAP (ZENPEP 5),9.98,,2.55,8.98,55
CDM,11052093,ITRACONAZOLE 65MG ORAL CAPSULE,158.82,,40.66,142.94,55
CDM,11052107,CHLOROTHIAZIDE SUS  50MG/ML,2.0,,0.512,1.8,55
CDM,11052118,BLUBORO POWDER/PACKET UD,3.15,,0.8064,2.83,55
CDM,11052120,TRAZODONE TAB  50MG UD,2.0,,0.512,1.8,55
CDM,11052121,ROSUVASTATIN TAB 20MG UD NF,5.12,,1.31,4.61,55
CDM,11052125,CALCIUM CARB SUSP 1250MG/5ML,2.8,,0.7168,2.52,55
CDM,11052174,DOXEPIN CAP  50MG UD,3.56,,0.91136,3.2,55
CDM,11052176,DOXEPIN CAP  25MG UD,2.83,,0.72448,2.55,55
CDM,11052182,BACLOFEN TAB DS 20MG UD,2.44,,0.62464,2.2,55
CDM,11052183,DIMENHYDRINATE TAB 50MG UP,2.0,,1.0,1.8,54
CDM,11052187,DOXYCYCLINE CAP  50MG UD,2.0,,0.512,1.8,55
CDM,11052188,DOXYCYCLINE CAP 100MG UD,2.0,,0.512,1.8,55
CDM,11052190,CLOPIDOGREL TAB 75MG UD,2.0,,0.512,1.8,55
CDM,11052195,AMINOPHYLLINE LIQ  PED 5/1 UP,9.09,,2.33,8.18,55
CDM,11052205,DILTIAZEM CD CAP 120MG UD,2.0,,0.512,1.8,55
CDM,11052207,LITHIUM CARBONATE CR 450MG UP,2.0,,0.512,1.8,55
CDM,11052209,SOTALOL TAB 80MG UD,3.95,,1.01,3.56,55
CDM,11052212,SOTALOL ORAL SUSP 5MG/ML,4.5,,1.15,4.05,55
CDM,11052227,IBUPROFEN SUSP 100MG/5ML,2.0,,0.512,1.8,55
CDM,11052241,EPINEPHRIN RACE SOL 2.25% .5ML,9.19,,2.35,8.27,55
CDM,11052247,AMITRIPTYLINE HCL TAB  25MG UD,2.0,,0.512,1.8,55
CDM,11052249,AMITRIPTYLINE HCL TAB  10MG UD,2.0,,0.512,1.8,55
CDM,11052252,AMITRIPTYLINE HCL TAB  50MG UD,2.0,,0.512,1.8,55
CDM,11052268,DIPYRIDAMOL ER/ASPIRIN200/25CP,4.61,,1.18,4.15,55
CDM,11052276,DILTIAZEM  TAB 90MG UD,2.0,,0.512,1.8,55
CDM,11052277,CIPROFLOXACIN HCL TAB 250MG UD,2.0,,0.512,1.8,55
CDM,11052310,ESTRADERM PATCH 0.05MG UD  *NF,33.19,,8.5,29.87,55
CDM,11052315,ESTRADERM PATCH 0.1MG UD   *NF,33.4,,8.55,30.06,55
CDM,11052323,AL&MG HYDROX-SIMETH REG 30MLUD,14.53,,3.72,13.08,55
CDM,11052327,GUANFACINE TAB 1MG UD      *NF,2.0,,0.512,1.8,55
CDM,11052328,CARBAMAZEPINE SUS 200MG/10MLUD,6.95,,1.78,6.25,55
CDM,11052344,FLUDROCORTISN TAB 0.05MG (1/2),2.52,,0.64512,2.27,55
CDM,11052345,ERYTHROMYCIN TAB 250MG UD,26.65,,6.82,23.98,55
CDM,11052356,ESCITALOPRAM OXAL TAB 5MGUD,2.0,,0.512,1.8,55
CDM,11052367,ROPINIROLE TAB 5MG UP,2.0,,0.512,1.8,55
CDM,11052424,DULOXETINE HCL CAP 20MG UP,7.38,,1.89,6.64,55
CDM,11052426,DULOXETINE HCL CAP 30MG UP,5.27,,1.35,4.74,55
CDM,11052427,DULOXETINE CAP 60MG  UP  NF,2.76,,0.70656,2.48,55
CDM,11052428,ETHAMBUTOL TAB 400MG UD,2.24,,0.57344,2.02,55
CDM,11052453,FERROUS SO4 DR 15MG/0.6MLEL-FE,2.0,,0.512,1.8,55
CDM,11052487,FERROUS SO4 LIQ 300MG/5ML UD,9.61,,2.46,8.65,55
CDM,11052489,FERROUS SO4 TAB 325MG UD,2.0,,0.512,1.8,55
CDM,11052500,PRIMAQUIN TAB 26.3MG UP  NF,6.15,,1.57,5.54,55
CDM,11052502,ENEMA OIL RETENTION 128ML UD,2.2,,0.5632,1.98,55
CDM,11052504,ENEMA PHOSPHATE PED 67.5ML,3.04,,0.77824,2.74,55
CDM,11052505,METRONIDAZOLE TAB 250MG UD,2.0,,0.512,1.8,55
CDM,11052509,GLIPIZIDE XL TAB 10MG UP,5.1,,1.31,4.59,55
CDM,11052517,VENLAFAXINE TAB 25MG UP,2.0,,0.512,1.8,55
CDM,11052519,LAMOTRIGINE TAB 150MG UP,2.0,,0.512,1.8,55
CDM,11052520,ISOSORBIDE MONO TAB 10MG UP,2.23,,0.57088,2.01,55
CDM,11052521,LEVOTHYROXINE TAB 112MCG UP,2.71,,0.69376,2.44,55
CDM,11052524,FLUDROCORTISONE TAB 0.1MG UP,2.52,,0.64512,2.27,55
CDM,11052525,FLUCONAZOLE ORAL SUSP 40MG/ML,2.71,,0.69376,2.44,55
CDM,11052526,FLUORESCEIN SOD STRIP 1MG/APP,2.0,,0.512,1.8,55
CDM,11052550,TOPIRAMATE TAB 25MG UP,2.0,,0.512,1.8,55
CDM,11052551,TOPIRAMATE TAB 100MG UP,2.0,,0.512,1.8,55
CDM,11052553,CARBAMAZAPINE SR TAB 100MG UD,7.41,,1.9,6.67,55
CDM,11052554,CARBAMAZAPINE SR TAB 200MG UD,2.53,,0.64768,2.28,55
CDM,11052555,CARBAMAZAPINE SR TAB 400MG UD,7.16,,1.83,6.44,55
CDM,11052556,BUPROPION SR TAB 100MG UP,2.55,,0.6528,2.29,55
CDM,11052557,BUPROPION SR TAB 150MG UP,2.0,,0.512,1.8,55
CDM,11052558,MIRTAZAPINE TAB 15MG UD NF,2.0,,0.512,1.8,55
CDM,11052559,MIRTAZAPINE TAB 30MG UD NF,2.0,,0.512,1.8,55
CDM,11052560,GLIMEPIRIDE TAB 1MG UP NF,2.0,,0.512,1.8,55
CDM,11052561,GLIMEPIRIDE TAB 2MG UD NF,2.0,,0.512,1.8,55
CDM,11052562,GLIMEPIRIDE TAB 4MG UD NF,2.05,,0.5248,1.84,55
CDM,11052563,ANASTROZOLE TAB 1MG UP NF,2.0,,0.512,1.8,55
CDM,11052564,CALCIUM CITRATE TAB 950MG UP,2.0,,0.512,1.8,55
CDM,11052600,TAMOXIFEN CIT TAB 10MG UD  *CD,2.0,,0.512,1.8,55
CDM,11052602,DOXAZOSIN TAB 4MG UD,3.93,,1.01,3.54,55
CDM,11052603,SERTRALINE TAB 25MG UP,2.0,,0.512,1.8,55
CDM,11052607,DIGOXIN TAB 0.25MG UD,4.4,,1.13,3.96,55
CDM,11052610,TOLTERODINE TAB 1MG UD NF,3.07,,0.78592,2.76,55
CDM,11052611,TOLTERODINE TAB 2MG UD NF,11.79,,3.02,10.61,55
CDM,11052612,ANAGRELIDE CAP .5MG UP NF,3.83,,0.98048,3.45,55
CDM,11052613,DIGOXIN TAB 0.125MG UD,4.72,,1.21,4.25,55
CDM,11052615,ITRACONAZOLE SOLN 10MG/ML,6.78,,1.74,6.1,55
CDM,11052616,LAMOTRIGINE TAB 200MG UP,2.0,,0.512,1.8,55
CDM,11052618,WARFARIN TAB 3MG UD,2.0,,0.512,1.8,55
CDM,11052624,PHENYTOIN CAP 100MG UD,8.54,,2.19,7.69,55
CDM,11052635,ALENDRONATE WEEKLY TAB 70MG UP,2.24,,0.57344,2.02,55
CDM,11052636,BUDESONIDE CAP 3MG UP,8.06,,2.06,7.25,55
CDM,11052658,VORICONAZOLE TAB 50MG UP   *NF,24.7,,6.32,22.23,55
CDM,11052672,ISOSORBIDE MONO TAB 30MG UD,2.0,,0.512,1.8,55
CDM,11052673,ATORVASTAT TABLET 10MG UD,2.0,,0.512,1.8,55
CDM,11052675,ATORVASTAT TABLET 20MG UD,2.0,,0.512,1.8,55
CDM,11052676,ATORVASTAT TABLET 40MG UD,2.0,,0.512,1.8,55
CDM,11052687,GLUCOSE TOLERANCE SOL 300ML MP,2.0,,0.512,1.8,55
CDM,11052692,"GLYCERIN SUPP, PEDIATRIC UD",2.0,,0.512,1.8,55
CDM,11052694,"GLYCERIN SUPP, ADULT UD",2.0,,0.512,1.8,55
CDM,11052696,AMLODIPINE TAB 10MG UD,2.0,,0.512,1.8,55
CDM,11052698,METOPROLOL TAB EXT REL 50MG UP,3.85,,0.9856,3.46,55
CDM,11052701,BISMUTH SUBSAL TAB 262MG UP,2.0,,0.512,1.8,55
CDM,11052702,WARFARIN SOD TAB  1MG UD,2.0,,0.512,1.8,55
CDM,11052703,ITRACONAZOLE CAP 100MG UD,15.31,,3.92,13.78,55
CDM,11052725,HALOPERIDOL TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11052735,HALOPERIDOL TAB 2MG UD,2.32,,0.59392,2.09,55
CDM,11052789,ALENDRONATE WEEKLY TAB 35MGUP,2.0,,0.512,1.8,55
CDM,11052817,NIACIN EXT REL TAB 500MG UP NF,2.0,,0.512,1.8,55
CDM,11052820,RAMIPRIL CAP 1.25MG UD,2.0,,0.512,1.8,55
CDM,11052821,RAMIPRIL CAP 2.5MG UD,2.0,,0.512,1.8,55
CDM,11052822,BISACODYL TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11052823,RAMIPRIL CAP 5MG UD,2.0,,0.512,1.8,55
CDM,11052825,BENAZEPRIL TAB 20MG UD NF,2.31,,0.59136,2.08,55
CDM,11052827,FOSINOPRIL TAB 10MG UD     *NF,2.0,,0.512,1.8,55
CDM,11052828,FOSINOPRIL TAB 20MG UD     *NF,2.0,,0.512,1.8,55
CDM,11052834,BISACODYL SUPP 10MG UD,4.1,,1.05,3.69,55
CDM,11052835,SERTRALINE TAB 100MG UD,2.0,,0.512,1.8,55
CDM,11052836,SERTRALINE TAB 50MG UD,2.0,,0.512,1.8,55
CDM,11052838,NAMBUMETONE TAB 500MG UD   *NF,2.13,,0.54528,1.92,55
CDM,11052839,PRAVASTATIN TAB 10MG UD,2.0,,0.512,1.8,55
CDM,11052840,PRAVASTATIN TAB 20MG UD,2.0,,0.512,1.8,55
CDM,11052842,NALTREXONE TAB 50MG UD,2.77,,0.70912,2.49,55
CDM,11052844,FOLIC ACID TABLET 1MG UD,2.0,,0.512,1.8,55
CDM,11052851,CHOLECALCIFEROL TAB 400 UNITS,2.0,,0.512,1.8,55
CDM,11052865,HYDROCORTISONE ENEMA .17% 60ML,98.62,,25.25,88.76,55
CDM,11052876,NIMODIPINE CAP 30MG UD,4.03,,1.03,3.63,55
CDM,11052887,PROPRANOLOL  TAB 10MG UD,2.0,,0.512,1.8,55
CDM,11052888,PROPRANOLOL  TAB 40MG UD,2.0,,0.512,1.8,55
CDM,11052933,MAGNESIUM CIT SOLN 300ML MP,7.75,,1.98,6.97,55
CDM,11052950,PSYLLIUM MUCILLOID 5.8GM PACK,2.0,,0.512,1.8,55
CDM,11052952,OXYBUTYNIN XL TAB 5MG UD NF,9.64,,2.47,8.68,55
CDM,11052955,METHYLERGONOVINE TAB 0.2MG UD,60.66,,15.53,54.59,55
CDM,11052960,MILK OF MAGNESIA 30ML UD,8.97,,2.3,8.07,55
CDM,11052969,MINERAL OIL TOP-STERIL 25ML UD,91.81,,23.5,82.63,55
CDM,11052975,NAPROXEN TAB 250MG UD,2.0,,0.512,1.8,55
CDM,11052998,TACROLIMUS CAP 1MG UD +,5.29,,0.183,4.76,55
CDM,11052999,TACROLIMUS CAP 5MG UD -,20.71,,5.3,18.64,55
CDM,11053001,PRAZOSIN CAP 1MG UD NF,2.47,,0.63232,2.22,55
CDM,11053006,GEMFIBROZIL TAB 600MG UD,2.0,,0.512,1.8,55
CDM,11053010,FLUPHENAZINE TAB 1MG UD,6.89,,1.76,6.2,55
CDM,11053011,FLUPHENAZINE TAB 2.5MG UD,10.67,,2.73,9.6,55
CDM,11053012,FLUPHENAZINE TAB 5MG UD,14.43,,3.69,12.99,55
CDM,11053024,DIPYRIDAMOLE TAB 25MG UD,2.0,,0.512,1.8,55
CDM,11053031,PROMETHAZINE SUPP 50MG UD,123.27,,31.56,110.94,55
CDM,11053085,GLYCOPYRROLATE TAB 1MG UP,4.98,,1.27,4.48,55
CDM,11053101,SHOHL'S SOLN 30ML UD,24.37,,6.24,21.93,55
CDM,11053109,SODIUM BICARBONATE TAB 650MGUP,2.0,,0.512,1.8,55
CDM,11053111,SODIUM BICARBONATE TAB 325MGUP,2.0,,0.512,1.8,55
CDM,11053116,RISPERIDONE TAB 3MG UD,2.0,,0.512,1.8,55
CDM,11053117,RISPERIDONE TAB 1MG UD,2.0,,0.512,1.8,55
CDM,11053118,TACROLIMUS ORAL SUSP .5MG/ML,20.71,,0.183,18.64,55
CDM,11053212,ALLOPURINOL TAB 100MG UD,2.0,,0.512,1.8,55
CDM,11053213,CARBAMAZEPINE TAB 200MG UD,2.0,,0.512,1.8,55
CDM,11053226,CLARITHROMYCIN TAB 500MG UD,8.23,,2.11,7.41,55
CDM,11053233,DIVALPROEX CAP 125MG UD*NF,2.0,,0.512,1.8,55
CDM,11053244,NITROGLYCERIN HT 0.4MG,2.0,,0.512,1.8,55
CDM,11053260,MISOPROSTOL TAB 200MCG UD,8.11,,2.08,7.3,55
CDM,11053303,HYDROCHLOROTHIAZIDE TAB 25MGUD,2.0,,0.512,1.8,55
CDM,11053304,SIMETHICONE TAB 80MG UD,2.0,,0.512,1.8,55
CDM,11053309,DESIPRAMINE HCL TAB 25MG UD,5.15,,1.32,4.63,55
CDM,11053310,RILUZOLE TAB  50MG UP NF,2.45,,0.6272,2.21,55
CDM,11053315,HYDROCORTISONE TAB  5MG UP,2.0,,0.512,1.8,55
CDM,11053316,ALENDRONATE TAB 5MG UP,2.0,,0.512,1.8,55
CDM,11053317,HYDROCORTISONE TAB 10MG UP,2.0,,0.512,1.8,55
CDM,11053318,VENLAFAXINE XR CAP 150MG UD,2.0,,0.512,1.8,55
CDM,11053320,SELENIUM TAB 50MCG UP NF,2.0,,0.512,1.8,55
CDM,11053322,TAMSULOSIN CAP 0.4MG UP,2.0,,0.512,1.8,55
CDM,11053332,LEVOTHYROXINE SUSP 25MCG/ML,2.0,,0.512,1.8,55
CDM,11053365,AMANTADINE CAP 100MG UD,5.5,,1.41,4.95,55
CDM,11053370,AMINOCAPROIC ACID TAB 500MG UP,27.4,,7.01,24.66,55
CDM,11053378,PROBENECID TAB 500MG UP,2.19,,0.56064,1.97,55
CDM,11053381,NIFEDIPINE CAP 10MG UD,3.93,,1.01,3.54,55
CDM,11053385,NADOLOL TAB  40MG UD       *NF,11.69,,2.99,10.52,55
CDM,11053400,MINOXIDIL TAB  2.5MG UP,2.39,,0.61184,2.15,55
CDM,11053403,LEUCOVORIN CA SOLN 10MG/ML,3.17,,0.81152,2.85,55
CDM,11053405,FERROUS SO4 PED DROP 2.5MG/M,2.0,,0.512,1.8,55
CDM,11053409,NEVIRAPINE TAB 200MG UD NF,2.0,,0.512,1.8,55
CDM,11053411,ALBENDAZOLE TAB 200MG UP NF,445.15,,113.96,400.63,55
CDM,11053412,DESMOPRESSIN TAB .1MG UP NF,4.82,,1.23,4.34,55
CDM,11053413,CARVEDILOL TAB 3.125MG UP NF,2.0,,0.512,1.8,55
CDM,11053414,CARVEDILOL TAB 6.25MG UP    NF,2.0,,0.512,1.8,55
CDM,11053415,CARVEDILOL TAB 12.5MG UP NF,2.0,,0.512,1.8,55
CDM,11053416,CARVEDILOL TAB 25MG UP    NF,2.0,,0.512,1.8,55
CDM,11053419,TIZANIDINE TAB 4MG UP NF,2.0,,0.512,1.8,55
CDM,11053421,LEVOTHYROXINE TAB 0.125MG UD,3.05,,0.7808,2.75,55
CDM,11053427,CLOZAPINE TAB 25MG UP      *NF,2.0,,0.512,1.8,55
CDM,11053428,CLOZAPINE TAB 100MG UP     *NF,7.68,,1.97,6.91,55
CDM,11053444,CLOZAPINE 12.5MG/0.5TAB UP,2.0,,0.512,1.8,55
CDM,11053512,ALLOPURINOL TAB 150MG UP,2.0,,0.512,1.8,55
CDM,11053517,CARVEDILOL SUSP 0.1MG/ML UP,13.07,,3.35,11.76,55
CDM,11053540,VERAPAMIL  TAB  80MG UD,2.0,,0.512,1.8,55
CDM,11053542,VERAPAMIL  TAB 120MG UD,2.0,,0.512,1.8,55
CDM,11053602,HYDROXYUREA CAP 500MG UP   *CD,3.13,,0.80128,2.82,55
CDM,11053740,CHLORTHALIDONE TAB  50MG UD,2.9,,0.7424,2.61,55
CDM,11053751,POT CHLORIDE 10% SOLN 3MEQ,2.65,,0.6784,2.38,55
CDM,11053752,POT CHLORIDE 10% SOLN 4MEQ,2.65,,0.6784,2.38,55
CDM,11053829,AZATHIOPRINE TAB 50MG UD+,3.11,,1.16,2.8,55
CDM,11053831,INDOMETHACIN CAP 25MG UD,2.0,,0.512,1.8,55
CDM,11053832,INDOMETHACIN CAP 50MG UD,2.0,,0.512,1.8,55
CDM,11053878,DIGOXIN TAB 0.0625MG (1/2) UP,2.36,,0.60416,2.12,55
CDM,11053898,OMEPRAZOLE SUS 2MG/1MLNF,8.41,,2.15,7.57,55
CDM,11053909,AMILORIDE TAB 5MG UP       *NF,2.0,,0.512,1.8,55
CDM,11053910,BENZTROPINE TAB 0.5MG UD,2.0,,0.512,1.8,55
CDM,11053911,BUSPIRONE HCL TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11053914,ETHAMBUTOL TAB 100MG UP,2.0,,0.512,1.8,55
CDM,11053917,HYDROCORTISONE TAB  2.5/.5TABU,2.0,,0.512,1.8,55
CDM,11053919,ISOSORBIDE DINIT TM 20MG(1/2),3.55,,0.9088,3.19,55
CDM,11053920,LEUCOVORIN CA TAB  5MG UD,5.36,,1.37,4.82,55
CDM,11053923,TRIAMTERENE 37.5/HCTZ 25 TABUD,2.0,,0.512,1.8,55
CDM,11053924,MEDROXYPROGESTRN TAB  2.5MG UP,2.0,,0.512,1.8,55
CDM,11053926,METOCLOPRAMIDE TAB  5MG UD,2.0,,1.0,1.8,54
CDM,11053932,BUSPIRONE HCL TAB 2.5MG (1/2),2.0,,0.512,1.8,55
CDM,11053937,SODIUM CHLORIDE TAB 1GM UP,2.0,,0.512,1.8,55
CDM,11053941,VERAPAMIL  TAB  40MG UD,2.0,,0.512,1.8,55
CDM,11053942,VERAPAMIL SR TAB 240MG UD,2.0,,0.512,1.8,55
CDM,11053944,FLECAINIDE TAB 50MG (1/2TAB)NF,2.64,,0.67584,2.38,55
CDM,11053945,FLECAINIDE TAB 25MG/1/4TBUP*NF,2.64,,0.67584,2.38,55
CDM,11053947,MAGNESIUM OXIDE TAB 400MGUP,2.0,,0.512,1.8,55
CDM,11053952,ABACAVIR TABLET 300MG UP,32.4,,8.29,29.16,55
CDM,11053959,ISOSORBIDE DINI ORL TAB 20MGUD,3.55,,0.9088,3.19,55
CDM,11053966,ISOSORBIDE DINI ORL TAB  5MGUD,3.62,,0.92672,3.26,55
CDM,11053968,ISOSORBIDE DINI ORL TAB 10MGUD,2.35,,0.6016,2.12,55
CDM,11053969,ISOSORBIDE DINIT TMBID 40MG UP,15.43,,3.95,13.89,55
CDM,11053970,AZITHROMYCIN TAB 600MG UP,21.15,,5.41,19.04,55
CDM,11053973,PRAMIPEXOLE TAB 0.25MG UP,2.0,,0.512,1.8,55
CDM,11053974,IRBESARTAN TAB 300MG UP,2.0,,0.512,1.8,55
CDM,11053975,IRBESARTAN TAB 150MG UD,2.0,,0.512,1.8,55
CDM,11053989,PRAMIPEXOLE TAB 0.125MG UP,2.0,,0.512,1.8,55
CDM,11054001,POLYSTYRENE/SORB SUSP 15GM UD,110.99,,28.41,99.89,55
CDM,11054002,BACLOFEN TAB 10MG UD,2.0,,0.512,1.8,55
CDM,11054027,LACTULOSE LIQ 30ML UP,2.0,,0.512,1.8,55
CDM,11054035,CARISOPRODOL TAB 350MG UD  *NF,2.0,,0.512,1.8,55
CDM,11054078,LACTINEX GRANULES 1GM UD,4.78,,1.22,4.3,55
CDM,11054080,LACTINEX TAB UP,2.0,,0.512,1.8,55
CDM,11054081,LACTAID TAB             *NF,2.0,,0.512,1.8,55
CDM,11054101,FUROSEMIDE TAB 40MG UD,2.0,,0.512,1.8,55
CDM,11054109,FUROSEMIDE TAB 20MG UD,2.0,,0.512,1.8,55
CDM,11054122,VALGANCICLOVIR TAB 450MG UD,14.63,,3.75,13.17,55
CDM,11054158,CLINDINIUM/CHLORDIAZ CAP UD*NF,2.0,,0.512,1.8,55
CDM,11054166,RISPERIDONE TAB 4MG UD,8.11,,2.08,7.3,55
CDM,11054171,MESALAMINE CR CAP 250MG UP,14.07,,3.6,12.66,55
CDM,11054178,AMOXICIL/CLAV'400/57/5ML'1MLNF,2.0,,0.512,1.8,55
CDM,11054179,CAFFEINE TAB 200MG       UP NF,2.0,,0.512,1.8,55
CDM,11054182,INDAPAMIDE TAB 1.25MG UP    NF,2.0,,0.512,1.8,55
CDM,11054185,LEVOFLOXACIN TAB 500MG,2.0,,0.512,1.8,55
CDM,11054187,LITHIUM CARB CAP 300MG UD,2.0,,0.512,1.8,55
CDM,11054236,LOXAPINE CAP 25MG UD,2.65,,0.6784,2.38,55
CDM,11054296,NITROFURANTO MACRO CAP  50MGUD,2.0,,0.512,1.8,55
CDM,11054297,NITROFURANTO MACRO CAP 100MGUD,13.52,,3.46,12.17,55
CDM,11054410,RALOXIFENE TABLET 60MG     *NF,17.76,,4.55,15.98,55
CDM,11054415,METHYLPREDNISOLONE TAB 4MG UD-,2.0,,0.25,1.8,55
CDM,11054420,METHYLPREDNISOLONE TAB 16MG UP,13.02,,0.25,11.72,55
CDM,11054496,PYRIDOSTIGMINE TAB  60MG UP,6.18,,1.58,5.56,55
CDM,11054497,PYRIDOSTIGMINE TAB 30MG (1/2),6.72,,1.72,6.05,55
CDM,11054498,PYRIDOSTIGMINE TAB LA 180MG UP,26.46,,6.77,23.81,55
CDM,11054545,IRBESARTAN TAB 75MG,2.0,,0.512,1.8,55
CDM,11054560,METHOTREXATE TAB 2.5MG UP *CD+,9.18,,0.15,8.26,55
CDM,11054645,CHLORTHALIDONE TAB 25MG UD,7.0,,1.79,6.3,55
CDM,11054646,GALANTAMINE ER CAP 8MG,6.89,,1.76,6.2,55
CDM,11054706,ACETYLCYSTEINE 20% 0.8GM UD,25.29,,6.47,22.76,55
CDM,11054707,DIVALPROEX ER TAB 500MGUD,2.0,,0.512,1.8,55
CDM,11054784,NYSTATIN TAB 500000 UNITS UP,4.61,,1.18,4.15,55
CDM,11054786,LAMIVUDINE TAB 150MG UP,2.46,,0.62976,2.21,55
CDM,11054787,LAMIVUDINE SOLN 10MG/ML   UP,3.19,,0.81664,2.87,55
CDM,11054789,SIMVASTATIN TAB 20MG UD NF,2.0,,0.512,1.8,55
CDM,11054790,SIMVASTATIN TAB 40MG UP,2.0,,0.512,1.8,55
CDM,11054795,CARBIDOPA/LEVO TAB LA 25/100UD,2.89,,0.73984,2.6,55
CDM,11054803,ALENDRONATE TAB 10MG UD,2.0,,0.512,1.8,55
CDM,11054810,PRIMIDONE TAB 250MG UD,2.38,,0.60928,2.14,55
CDM,11054847,PRAMIPEXOLE TAB 0.5MG UP,2.0,,0.512,1.8,55
CDM,11054872,MULTIVITAMIN PRENATAL TAB UD,2.0,,0.512,1.8,55
CDM,11054873,PAROXETINE TAB 20MG UD     *NF,2.0,,0.512,1.8,55
CDM,11054887,ELETRIPTAN 20MG TAB,372.08,,95.25,334.87,55
CDM,11054907,ACETYLCYSTEINE 20% 4ML MP,25.29,,6.47,22.76,55
CDM,11054951,OXYBUTYNIN XL TAB 15MG UD NF,3.49,,0.89344,3.14,55
CDM,11054952,PANTOPRAZOLE TAB 40MG UD,2.0,,0.512,1.8,55
CDM,11054988,DIVALPROEX ER TAB 250MG,5.57,,1.43,5.01,55
CDM,11055045,NEOMYCIN SO4 TABLET 500MG UD,3.58,,0.91648,3.22,55
CDM,11055100,TRETINOID CAP 10MG UP,85.15,,21.8,76.64,55
CDM,11055140,EFAVIRENZ CAP 200MG UP *NF,3.27,,0.83712,2.94,55
CDM,11055221,CLOMIPRAMINE CAP 25MG UD,11.79,,3.02,10.61,55
CDM,11055282,NYSTATIN SUSP  500000U/5ML UD,3.36,,0.86016,3.02,55
CDM,11055283,NYSTATIN SUSP  100000U/1ML PP,3.36,,0.86016,3.02,55
CDM,11055301,PROPRANOLOL SOLN   4MG/ML UP,11.06,,2.83,9.95,55
CDM,11055312,QUETIAPINE TAB  200MG UD NF,4.83,,1.24,4.35,55
CDM,11055411,RIFABUTIN CAP 150MG UP     *NF,64.34,,16.47,57.91,55
CDM,11055427,PREDNISONE CONCNTRATE   5MG/ML,3.12,,0.01,2.81,55
CDM,11055447,SOTALOL TAB 40MG(1/2TAB)UP,3.95,,1.01,3.56,55
CDM,11055459,NADOLOL TAB 10MG (1/2TAB)UPNF,3.2,,0.8192,2.88,55
CDM,11055510,ALLOPURINOL TAB 50MG (1/2) UP,2.0,,0.512,1.8,55
CDM,11055520,RIBAVIRIN 200MG CAP UD,6.18,,1.58,5.56,55
CDM,11055547,LEVOCARNITINE ORL SOL 100MG/ML,2.0,,0.512,1.8,55
CDM,11055553,PREDNISONE SOLN 1MG/ML,13.12,,0.01,11.81,55
CDM,11055556,TOLTERODINE TAB LA 4MG UD NF,25.51,,6.53,22.96,55
CDM,11055557,TENOFOVIR TAB 300MG UD NF,4.16,,1.06,3.74,55
CDM,11055566,ATAZANAVIR CAP 200MG UP,13.68,,3.5,12.31,55
CDM,11055589,ATOMOXETINE CAP 10MG UP,8.57,,2.19,7.71,55
CDM,11055591,ATOMOXETINE CAP 25MG UP,9.07,,2.32,8.16,55
CDM,11055592,ATOMOXETINE CAP 40MG UP,8.79,,2.25,7.91,55
CDM,11055631,VENLAFAXINE TAB 75MG UD,3.44,,0.88064,3.1,55
CDM,11055633,VENLAFAXINE TAB 37.5MG UD,2.0,,0.512,1.8,55
CDM,11055637,ENALAPRIL TAB 20MG UD,2.0,,0.512,1.8,55
CDM,11055656,VORICONAZOLE TAB 200MG UP  *NF,34.45,,8.82,31.0,55
CDM,11055658,MEGESTROL ACET SUSP 40MG/ML CD,19.22,,4.92,17.3,55
CDM,11055666,MESALAMINE SUPP 1000MG UD,177.87,,45.53,160.08,55
CDM,11055689,PRIMIDONE TAB 125MG/0.5TAB UP,2.38,,0.60928,2.14,55
CDM,11055717,PROPAFENONE CAP SR 425MG UD,17.28,,4.42,15.55,55
CDM,11055718,PROPAFENONE CAP SR 325MG UD,12.8,,3.28,11.52,55
CDM,11055719,PROPAFENONE CAP SR 225MG UD,10.1,,2.59,9.09,55
CDM,11055752,RASAGILINE 0.5MG TABLET,31.58,,8.08,28.42,55
CDM,11055757,LEVETIRACETAM ORL SOL 100MG/ML,2.0,,0.512,1.8,55
CDM,11055758,LEVETIRACETAM ORL SOL500MG/5ML,2.0,,0.512,1.8,55
CDM,11055879,BUSPIRONE HCL TAB 7.5MG UP,2.0,,0.512,1.8,55
CDM,11056021,FLUOXETINE CAP 10MG UD*NF,2.0,,0.512,1.8,55
CDM,11056022,CYPROHEPTADINE TAB 4MG UD,2.0,,0.512,1.8,55
CDM,11056051,VALPROIC ACID SOLN 250MG/5MLUP,5.39,,1.38,4.85,55
CDM,11056111,PROMETHAZINE TAB 25MG UD -,2.0,,0.512,1.8,55
CDM,11056115,PROMETHAZINE SUPP 12.5MG UD,27.52,,7.05,24.77,55
CDM,11056118,PROMETHAZINE TAB 12.5MG UP -,2.0,,0.3416,1.8,56
CDM,11056119,PROMETHAZINE SUPP 25MG UD,44.79,,11.47,40.31,55
CDM,11056125,PENICILLIN VK TAB 250MG UD,2.0,,0.512,1.8,55
CDM,11056318,FUROSEMIDE SOLN 10MG/1ML,2.0,,0.512,1.8,55
CDM,11056369,PREDNISONE TAB  1MG UD,2.0,,0.01,1.8,55
CDM,11056370,PREDNISONE TAB  5MG UD -,2.0,,0.01,1.8,55
CDM,11056379,PREDNISONE TAB 20MG UD,2.0,,0.01,1.8,55
CDM,11056381,PREDNISONE TAB 50MG UD,2.0,,0.01,1.8,55
CDM,11056398,ESTROGENS CONJUG TAB 0.625MGUD,31.75,,8.13,28.57,55
CDM,11056412,PREPARATION H SUPP UD      *NF,2.0,,0.512,1.8,55
CDM,11056524,PROPYLTHIOURACIL TAB 50MG UP,2.9,,0.7424,2.61,55
CDM,11056530,DINOPROSTONE(PGE2)SUPP 20MG UD,4818.0,,1233.41,4336.2,55
CDM,11056542,ZIPRASIDONE CAP 40MG UD*NF,8.54,,2.19,7.69,55
CDM,11056547,EFAVIRENZ TAB 600MG UP,9.8,,2.51,8.82,55
CDM,11056553,MEDROXYPROGESTRN TAB 10MG UP,2.0,,0.512,1.8,55
CDM,11056555,MOXIFLOXACIN TABLET 400MG UD,10.75,,2.75,9.68,55
CDM,11056565,DOFETILIDE CAP 250MCG UD NF,14.06,,3.6,12.65,55
CDM,11056568,SILDENAFIL ORAL SUSP 2.5MG/ML,6.15,,1.57,5.54,55
CDM,11056609,PHENAZOPYRIDINE TAB 100MG UP,2.0,,0.512,1.8,55
CDM,11056617,PYRIDOXINE HCL TAB 50MG UD,52.5,,13.44,47.25,55
CDM,11056623,CELECOXIB CAP 100MG UD NF,5.55,,1.42,5.0,55
CDM,11056624,CELECOXIB CAP 200MG UD NF,9.16,,2.34,8.24,55
CDM,11056643,QUINIDINE SO4 TAB 200MG UD,44.13,,11.3,39.72,55
CDM,11056655,ETHACRYNIC ACID TAB 25MG UP NF,8.28,,2.12,7.45,55
CDM,11056660,LINEZOLID SOLN 100MG/5ML NF,45.97,,11.77,41.37,55
CDM,11056670,LINEZOLID SOLN 600MG/30ML UPNF,275.84,,70.62,248.26,55
CDM,11056760,RIFAMPIN CAP 300MG UP,8.55,,2.19,7.7,55
CDM,11056795,METHOCARBAMOL TAB 500MG UD,2.0,,0.512,1.8,55
CDM,11056796,METHOCARBAMOL TAB 750MG UD,2.0,,0.512,1.8,55
CDM,11056981,SENNA CONC TAB UD,2.0,,0.512,1.8,55
CDM,11057010,LEVETIRACETAM TAB 250MG UD,2.0,,0.512,1.8,55
CDM,11057015,LEVETIRACETAM TAB 500MG UD,2.0,,0.512,1.8,55
CDM,11057062,CARBIDOPA/LEVO TAB 25/250 UD,2.0,,0.512,1.8,55
CDM,11057089,ARIPIPRAZOLE TAB 5MG UP NF,3.22,,0.82432,2.9,55
CDM,11057197,SORBITOL 70% SOLN 30ML UD,12.78,,3.27,11.5,55
CDM,11057254,TRIFLUOPERAZINE TAB 1MG UP,2.81,,0.71936,2.53,55
CDM,11057257,TRIFLUOPERAZINE TAB 5MG UD,5.22,,1.34,4.7,55
CDM,11057308,QUETIAPINE TAB 12.5MG/0.5TABUP,2.0,,0.512,1.8,55
CDM,11057334,PSEUDOEPHEDRINE  TAB 30MG UD,2.0,,0.512,1.8,55
CDM,11057372,RISPERIDONE DISINTEGRT TAB1MG,9.96,,2.55,8.96,55
CDM,11057373,RISPERIDONE DISINTEGRT TAB2MG,13.21,,3.38,11.89,55
CDM,11057374,RISPERIDONE DISINT TAB 0.5MG,3.37,,0.86272,3.03,55
CDM,11057375,MISOPROSTOL TAB 25MCG,3.05,,0.7808,2.75,55
CDM,11057391,SULFAMETHOX/TRIMETHO TAB UD,2.0,,0.512,1.8,55
CDM,11057400,NEORAL CAP 25MG UD,12.3,,3.15,11.07,55
CDM,11057401,NEORAL CAP 100MG UD,49.14,,12.58,44.23,55
CDM,11057410,CYCLOSPOR MICROEM CAP 25MG UD-,3.95,,0.64,3.56,55
CDM,11057415,CYCLOSPOR MICRO CAP 100MG UD+,20.19,,1.79,18.17,55
CDM,11057573,LEVOTHYROXINE TAB 0.05MG UD,7.25,,1.86,6.53,55
CDM,11057574,LEVOTHYROXINE TAB 0.1MG UD,7.25,,1.86,6.53,55
CDM,11057621,METHIMAZOLE TAB 10MG UP,2.86,,0.73216,2.57,55
CDM,11057700,TERBUTALINE TAB 2.5MG UD,20.02,,5.13,18.02,55
CDM,11057730,CARBIDOPA/LEVO TAB 12.5/ 50UD,2.7,,0.6912,2.43,55
CDM,11057731,CARBIDOPA/LEVO TAB 12.5/125UD,2.0,,0.512,1.8,55
CDM,11057732,AMIODARONE TAB 100MG (1/2) UP,2.0,,0.512,1.8,55
CDM,11057734,DAPSONE TAB 100MG UP       *NF,3.97,,1.02,3.57,55
CDM,11057740,METOPROLOL TAB 25MG UD,2.0,,0.512,1.8,55
CDM,11057742,MINOCYCLINE CAP 50MG UP    *NF,2.0,,0.512,1.8,55
CDM,11057744,LABETALOL TAB  50MG(1/2)UP,2.0,,0.512,1.8,55
CDM,11057748,POT CHLORIDE 10%   1MEQ/0.75UP,2.65,,0.6784,2.38,55
CDM,11057750,POT CHLORIDE 10%  2MEQ/1.5MLUP,2.65,,0.6784,2.38,55
CDM,11057752,PYRIDOXINE HCL TAB 25MG/.5TABU,2.0,,0.512,1.8,55
CDM,11057756,VERAPAMIL SR TAB 120MG UP,2.0,,0.512,1.8,55
CDM,11057758,CYANOCOBALAMIN TAB 100MCG UP,2.0,,0.512,1.8,55
CDM,11057760,VENLAFAXINE TAB 50MG UD,2.0,,0.512,1.8,55
CDM,11057761,LISINOPRIL TAB 2.5MG UD     NF,2.0,,0.512,1.8,55
CDM,11057878,EZETIMIBE TAB 10MG UD,42.1,,10.78,37.89,55
CDM,11057879,FENOFIBRATE TAB 48MG UP NF,4.57,,1.17,4.11,55
CDM,11057886,ELETRIPTAN 40MG TAB,43.82,,11.22,39.44,55
CDM,11057889,FENOFIBRATE TAB 145MG UP NF,33.48,,8.57,30.13,55
CDM,11057894,OXYBUTYNIN TAB 2.5MG(1/2)UP*NF,2.0,,0.512,1.8,55
CDM,11057896,AZITHROMYCIN SUSP 40MG/ML,8.56,,2.19,7.7,55
CDM,11057956,BUSPIRONE TAB 15MG UP,2.0,,0.512,1.8,55
CDM,11057962,ESOMEPRAZOLE CAP 40MG UPNF,3.87,,0.99072,3.48,55
CDM,11057963,ESTRADIOL MICRO TAB .5MGUP1/2),2.0,,0.512,1.8,55
CDM,11057964,FAMOTIDINE TAB 10MG UP,2.0,,0.512,1.8,55
CDM,11057966,GLIPIZIDE XL TAB 2.5MG UD,4.66,,1.19,4.19,55
CDM,11057967,LAMIVUDINE TAB 100MG UP,33.86,,8.67,30.47,55
CDM,11057968,METHIMAZOLE TAB 5MG (1/2TAB)UP,2.0,,0.512,1.8,55
CDM,11057969,POT CL SR TAB 10MEQ UD,2.0,,0.512,1.8,55
CDM,11057971,METOPROLOL TAB EXT REL 25MG UP,2.68,,0.68608,2.41,55
CDM,11057975,NIACIN TAB 250MG UP,2.0,,0.512,1.8,55
CDM,11057976,OXCARBAZEPINE TAB 150MG UD NF,2.0,,0.512,1.8,55
CDM,11057978,RISPERIDONE TAB 0.25MG UP,2.0,,0.512,1.8,55
CDM,11057980,SOTALOL TAB 120MG UD,2.0,,0.512,1.8,55
CDM,11057987,VIT E CAP 200IU UP,2.0,,0.512,1.8,55
CDM,11057988,WARFARIN SOD TAB 0.5MG(1/2TAB),2.0,,0.512,1.8,55
CDM,11057990,ZIPRASIDONE CAP 60MG UP  NF,12.73,,3.26,11.46,55
CDM,11057991,ZIPRASIDONE CAP 80MG UP     NF,12.73,,3.26,11.46,55
CDM,11057997,PRAMIPEXOLE TAB 1MG UP,2.0,,0.512,1.8,55
CDM,11058001,TORSEMIDE TAB 10MG UD    NF,2.0,,0.512,1.8,55
CDM,11058002,GLIPIZIDE XL TAB 5MG UD,2.21,,0.56576,1.99,55
CDM,11058003,FLUVOXAMINE TAB 50MG UD    *NF,2.0,,0.512,1.8,55
CDM,11058004,LAMOTRIGINE TAB 25MG UD,2.0,,0.512,1.8,55
CDM,11058005,LEVOTHYROXINE TAB 88MCG UD,2.0,,0.512,1.8,55
CDM,11058007,CHOLESTYRAMIN RESN LIGHT 4GM,9.45,,2.42,8.51,55
CDM,11058011,TORSEMIDE TAB 100MG UD     NF,2.0,,0.512,1.8,55
CDM,11058012,LAMOTRIGINE TAB 100MG UD,2.0,,0.512,1.8,55
CDM,11058013,FLUVOXAMINE TAB 100MG UD   *NF,2.0,,0.512,1.8,55
CDM,11058026,THIAMINE HCL TAB 100MG UD,2.0,,0.512,1.8,55
CDM,11058056,CHLORPROMAZINE TAB  10MG UD-,12.83,,1.4,11.55,55
CDM,11058059,CHLORPROMAZINE TAB  50MG UD,23.75,,1.4,21.38,55
CDM,11058060,NIFEDIPINE CAP 20MG UD,3.05,,0.7808,2.75,55
CDM,11058077,CHLORPROMAZINE TAB 100MG UD,45.93,,1.4,41.34,55
CDM,11058081,CHLORPROMAZINE TAB  25MG UD-,3.92,,1.4,3.53,55
CDM,11058089,CALCITRIOL SOL 1MCG/ML UD,44.11,,11.29,39.7,55
CDM,11058092,HALOPERIDOL CONC 5MG,2.0,,0.512,1.8,55
CDM,11058094,MEGESTROL ACETATE SUSP 400MGCD,19.22,,4.92,17.3,55
CDM,11058095,METOPROLOL SUSP 6.25MG,7.5,,1.92,6.75,55
CDM,11058096,METOPROLOL SUSP 25MG,7.5,,1.92,6.75,55
CDM,11058102,URSODIOL SUSPENSION 300MG,12.63,,3.23,11.37,55
CDM,11058103,THYROID TAB  60MG UD,4.92,,1.26,4.43,55
CDM,11058111,TORSEMIDE TAB 50MG (1/2TAB) NF,2.0,,0.512,1.8,55
CDM,11058142,IMIPRAMINE HCL TAB 10MG UP,2.0,,0.512,1.8,55
CDM,11058143,IMIPRAMINE HCL TAB 25MG UD,2.0,,0.512,1.8,55
CDM,11058263,LEVOTHYROXINE TAB 12.5MCG,2.0,,0.512,1.8,55
CDM,11058274,TRIPLE DYE SOLN 0.5ML UD APPL,17.07,,4.37,15.36,55
CDM,11058447,BETHANECHOL CL TAB  5MG UD,2.0,,0.512,1.8,55
CDM,11058449,BETHANECHOL CL TAB 25MG UD,2.0,,0.512,1.8,55
CDM,11058554,ATAZANAVIR CAP 150MG  UP  NF,13.68,,3.5,12.31,55
CDM,11058555,ESCITALOPRAM OXAL TAB 10MGUD,2.0,,0.512,1.8,55
CDM,11058556,ROSUVASTATIN TAB 10MG UD NF,5.15,,1.32,4.63,55
CDM,11058565,EMTRICITABINE CAP 200MG UP NF,82.14,,21.03,73.93,55
CDM,11058587,HYDROCHLOROTHIAZIDE CAP 12.5MG,2.0,,0.512,1.8,55
CDM,11058700,VALPROIC ACID SYR 1000MG/20ML,5.39,,1.38,4.85,55
CDM,11058721,HYDROXYZINE TABLET 25MG UD,2.0,,0.512,1.8,55
CDM,11058726,HYDROXYZINE PAM CAP 50MG,2.0,,0.512,1.8,55
CDM,11058765,METOPROLOL SUSP 50MG/5MLUP,7.5,,1.92,6.75,55
CDM,11058768,BACLOFEN SUSP  5MG/ML UP,12.0,,3.07,10.8,55
CDM,11058777,LAMIVUDINE TAB 50MG (1/2) UP,33.86,,8.67,30.47,55
CDM,11058878,ENTACAPONE 200MG TAB NF UD,15.13,,3.87,13.62,55
CDM,11058884,METFORMIN  XR TAB 500MG UD NF,2.0,,0.512,1.8,55
CDM,11058886,MIRTAZAPINE SOL TAB 15MG UP NF,2.0,,0.512,1.8,55
CDM,11058887,IMATINIB TAB 100MG UP NF,24.45,,6.26,22.0,55
CDM,11058888,ESOMEPRAZOLE CAP 20MG UP  NF,3.87,,0.99072,3.48,55
CDM,11058889,OXYBUTYNIN TAB 5MG UD      *NF,2.0,,0.512,1.8,55
CDM,11058909,ONDANSETRON OD TAB 8MG,2.91,,0.74496,2.62,55
CDM,11058918,PREDNISONE TAB  2.5MG UD,2.0,,0.01,1.8,55
CDM,11058919,HALOPERIDOL TAB 0.5MG UD,2.0,,0.512,1.8,55
CDM,11058920,HALOPERIDOL TAB 1MG UD,2.0,,0.512,1.8,55
CDM,11058960,ENEMA PHOSPHATE 135ML UD,2.0,,0.512,1.8,55
CDM,11058967,FUROSEMIDE PED SOLN 1MG/ML,2.12,,0.54272,1.91,55
CDM,11058973,CYCLOSPORINE CAP  25MG UD-,20.2,,0.64,18.18,55
CDM,11058974,CYCLOSPORINE CAP 100MG UD +,80.61,,1.79,72.55,55
CDM,11058975,DEMECLOCYCLINE TAB 150MG UP,23.29,,5.96,20.96,55
CDM,11058987,VENLAFAXINE XR CAP 75MG UD,3.44,,0.88064,3.1,55
CDM,11058988,VENLAFAXINE XR CAP 37.5MG,2.0,,0.512,1.8,55
CDM,11058989,ARIPIPRAZOLE TAB 2.5MG (1/2),2.0,,0.512,1.8,55
CDM,11058990,ARIPIPRAZOLE TAB 10MG UD NF,2.0,,0.512,1.8,55
CDM,11058991,ARIPIPRAZOLE TAB 15MG UD NF,2.0,,0.512,1.8,55
CDM,11058999,ONDANSETRON OD TAB 4MG,2.0,,0.0122,1.8,55
CDM,11059004,ARIPIPRAZOLE TAB 20MG UD NF,2.0,,0.512,1.8,55
CDM,11059080,COLESEVELAM TAB 625MG NF,2.0,,0.512,1.8,55
CDM,11059086,TOLTERODINE TAB LA 2MG UD   NF,24.47,,6.26,22.02,55
CDM,11059087,POLYETHYLENE GLYCOL PWD 17GMUD,5.7,,1.46,5.13,55
CDM,11059091,OXCARBAZEPINE TAB 300MG UD NF,2.74,,0.70144,2.47,55
CDM,11059093,LAMIVUDINE/ZIDO 150/300TAB UD,10.25,,2.62,9.22,55
CDM,11059234,ROSUVASTATIN TAB 5MG UP,4.64,,1.19,4.18,55
CDM,11059240,ESTROGENS CONJUG TAB 0.3MG UP,31.75,,8.13,28.57,55
CDM,11059242,SUCRALFATE TAB 1000MG UD,2.0,,0.512,1.8,55
CDM,11059374,SULFAMETHO/TRIMETH SUSP 20MLUP,9.84,,2.52,8.86,55
CDM,11059503,PINDOLOL TAB 5MG UP        *NF,3.24,,0.82944,2.92,55
CDM,11059508,DILTIAZEM  TAB 30MG UD,2.0,,0.512,1.8,55
CDM,11059509,DILTIAZEM  TAB 60MG UD,2.0,,0.512,1.8,55
CDM,11059510,CYCLOSPORINE SOL 100MG/ML UP+,477.35,,1.79,429.62,55
CDM,11059511,FELBAMATE TAB 400MG UD     *NF,3.7,,0.9472,3.33,55
CDM,11059512,FELBAMATE TAB 600MG UD     *NF,8.32,,2.13,7.49,55
CDM,11059556,LEFLUNOMIDE TAB 10MG UP NF,3.37,,0.86272,3.03,55
CDM,11059557,LEFLUNOMIDE TAB 20MG UP NF,4.02,,1.03,3.62,55
CDM,11059559,RIBOFLAVIN TAB 100MG UP NF,2.0,,0.512,1.8,55
CDM,11059560,GALANTAMINE TAB 4MG,2.41,,0.61696,2.17,55
CDM,11059562,OSELTAMIVIR PHOS CAP 75MG NF,8.51,,2.18,7.66,55
CDM,11059565,OLANZAPINE DISSOLVE 10MG UD NF,10.5,,2.69,9.45,55
CDM,11059566,TOBRAMYCIN INH SOLN 300MG/5ML,26.48,,6.78,23.83,55
CDM,11059596,DOFETILIDE CAP 125MCG UD NF,27.08,,6.93,24.37,55
CDM,11059628,BUMETANIDE TAB 0.5MG UD*NF,2.07,,0.52992,1.86,55
CDM,11059630,BUMETANIDE TAB 1MG UD*NF,2.0,,0.512,1.8,55
CDM,11059668,ZONISAMIDE CAP 100MG UD NF,2.06,,0.52736,1.85,55
CDM,11059671,KRISTALOSE POWDER 20GM UD NF,45.25,,11.58,40.73,55
CDM,11059672,LACTULOSE  POWDER 10GM UD NF,43.67,,11.18,39.3,55
CDM,11059679,ZONISAMIDE CAP 25MG UP NF,2.0,,0.512,1.8,55
CDM,11059701,AMOXICILLIN/CLAV '250' TAB UD,15.26,,3.91,13.73,55
CDM,11059702,AMOXICILLIN/CLAV '500' TAB UD,2.3,,0.5888,2.07,55
CDM,11059707,LABETALOL TAB 100MG UD,2.0,,0.512,1.8,55
CDM,11059715,NORETHIND/ET.ESTRAD. 1/35-1 UP,2.31,,0.59136,2.08,55
CDM,11059717,PHENELZINE SULFATE TAB 15MG,2.21,,0.56576,1.99,55
CDM,11059719,PSEUDOEPHEDRINE LA CAP 120MGUP,2.0,,0.512,1.8,55
CDM,11059721,FAMOTIDINE TAB 20MG UD,2.0,,0.512,1.8,55
CDM,11059726,ISOSORBIDE MONO TAB 20MG UD,2.82,,0.72192,2.54,55
CDM,11059739,MEXILETINE HCL CAP 150MG UD,3.88,,0.99328,3.49,55
CDM,11059740,FINASTERIDE TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11059741,MEXILETINE HCL CAP 200MG UD,7.23,,1.85,6.51,55
CDM,11059742,SIMVASTATIN TAB 10MG UD NF,2.0,,0.512,1.8,55
CDM,11059744,LISINOPRIL TAB 10MG UD     *NF,71.45,,18.29,64.31,55
CDM,11059745,LISINOPRIL TAB 5MG UD      *NF,2.0,,0.512,1.8,55
CDM,11059754,SODIUM CHLORIDE ORAL 2.5MEQ/ML,30.17,,7.72,27.15,55
CDM,11059796,GLIPIZIDE TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11059800,GLYBURIDE TAB 2.5MG UD,2.0,,0.512,1.8,55
CDM,11059801,GLYBURIDE TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11059802,LABETALOL TAB 200MG UD,2.0,,0.512,1.8,55
CDM,11059803,LABETALOL TAB 300MG UD,2.82,,0.72192,2.54,55
CDM,11059808,DEXAMETHASONE SOLN 1MG/1ML,3.17,,0.0244,2.85,55
CDM,11059818,PENTOXIFYLLINE TAB 400MG UD,2.0,,0.512,1.8,55
CDM,11059826,ACYCLOVIR CAP 200MG UD,2.0,,0.512,1.8,55
CDM,11059828,CLOTRIMAZOLE TROCHE 10MG UD,8.92,,2.28,8.03,55
CDM,11059834,NICOTINE  GUM 2MG UD       *NF,2.0,,0.512,1.8,55
CDM,11059838,DOXAZOSIN TAB 1MG UP,3.9,,0.9984,3.51,55
CDM,11059839,DOXAZOSIN TAB 2MG UP,2.15,,0.5504,1.94,55
CDM,11059845,CYANOCOBALAMIN TAB 250MCG UP,2.0,,0.512,1.8,55
CDM,11059846,CYANOCOBALAMIN TAB 500MCG UP,2.0,,0.512,1.8,55
CDM,11059849,DAPSONE TAB  25MG UP       *NF,3.61,,0.92416,3.25,55
CDM,11059850,PYRIMETHAMINE TAB 25MG UP,1070.44,,274.03,963.4,55
CDM,11059852,FLUCONAZOLE TAB 50MG UP,2.65,,0.6784,2.38,55
CDM,11059853,FLUCONAZOLE TAB 100MG UD,4.89,,1.25,4.4,55
CDM,11059854,DIVALPROEX SOD DR TAB 125MG UD,2.0,,0.512,1.8,55
CDM,11059856,SELEGILINE TAB 5MG UP      *NF,4.89,,1.25,4.4,55
CDM,11059860,LITHIUM CARB TAB 300MG*NF,2.0,,0.512,1.8,55
CDM,11059861,ESTRADIOL MICRO TAB 1MG UP *NF,2.0,,0.512,1.8,55
CDM,11059863,ETHOSUXIMIDE CAP 250MG UP,2.0,,0.512,1.8,55
CDM,11059872,HYDROCORTISONE TAB 20MG UP,2.0,,0.512,1.8,55
CDM,11059877,LITHIUM CARB TAB ER 300MG*NF,2.0,,0.512,1.8,55
CDM,11059881,LORAZEPAM TAB 0.5MG UP,2.0,,0.512,1.8,55
CDM,11059894,NIACIN EXT REL TAB 750MG UP*NF,2.81,,0.71936,2.53,55
CDM,11059895,NIFEDIPINE SR TAB 90MG UD,10.61,,2.72,9.55,55
CDM,11059896,NORETHINDR ACET TAB 5MG UP *NF,8.52,,2.18,7.67,55
CDM,11059898,PIMOZIDE TAB 2MG UP        *NF,6.54,,1.67,5.89,55
CDM,11059902,CALCIUM OYS SHELL+D 500MG UPNF,2.0,,0.512,1.8,55
CDM,11059911,PROPAFENONE TAB 150MG UD,2.0,,0.512,1.8,55
CDM,11059916,MERCAPTOPURINE TAB 50MG UPNFCD,14.57,,3.73,13.11,55
CDM,11059917,PYRAZINAMIDE TAB 500MG UD,20.94,,5.36,18.85,55
CDM,11059924,CARBIDOPA/LEVO TAB LA 50/200UD,2.68,,0.68608,2.41,55
CDM,11059925,MAG CHLORIDE TAB 64MG,2.0,,0.512,1.8,55
CDM,11059928,BENZONATATE PERLES 100MG UP,2.0,,0.512,1.8,55
CDM,11059941,TRAZODONE TAB 100MG UD,2.0,,0.512,1.8,55
CDM,11059942,PERPHENAZINE TAB 2MG UP    *NF,4.28,,0.793,3.85,56
CDM,11059943,PERPHENAZINE TAB 4MG UP    *NF,5.34,,0.793,4.81,56
CDM,11059944,PERPHENAZINE TAB 8MG UP    *NF,4.77,,1.22,4.29,55
CDM,11059945,TRIMETHOPRIM TAB 100MG UD  *NF,6.85,,1.75,6.17,55
CDM,11059946,FLAVOXATE TAB 100MG UD     *NF,5.09,,1.3,4.58,55
CDM,11059949,BUPROPION TAB 75MG UP,3.98,,1.02,3.58,55
CDM,11059950,BUPROPION TAB 100MG UP,6.0,,1.54,5.4,55
CDM,11059951,CARBAMAZEPINE TAB  50MG(1/4) T,2.0,,0.512,1.8,55
CDM,11059955,ENALAPRIL ORAL LIQ 1MG/ML,10.13,,2.59,9.12,55
CDM,11059977,ROPINIROLE TAB 0.5MG UP,2.0,,0.512,1.8,55
CDM,11059978,RISPERIDONE TAB 0.5MG UD,2.0,,0.512,1.8,55
CDM,11059979,PRAMIPEXOLE TAB 1.5MG UP,2.0,,0.512,1.8,55
CDM,11059980,LINEZOLID TAB 600MG UD     NF,28.32,,7.25,25.49,55
CDM,11059983,TIZANIDINE TAB 2MG UP NF,2.0,,0.512,1.8,55
CDM,11059989,ZIPRASIDONE CAP 20MG UD NF,9.67,,2.48,8.7,55
CDM,11059990,RIVASTIGMINE CAP 1.5MG NF,11.13,,2.85,10.02,55
CDM,11059997,TACROLIMUS CAP 0.5MG UP,16.51,,0.183,14.86,55
CDM,11059998,DESMOPRESSIN 10MCG/ML ORAL SOL,126.82,,32.47,114.14,55
CDM,11060001,MORPHINE SO4 SR TAB 100MG UD,12.46,,3.19,11.21,55
CDM,11060010,METHADONE ELIX 10MG/5ML UP,12.68,,3.25,11.41,55
CDM,11060012,MORPHINE ORAL SOL 10MG/5ML UD,6.24,,1.6,5.62,55
CDM,11060016,METHADONE HCL TABLET 10MG UD,2.0,,0.512,1.8,55
CDM,11060033,TRIAZOLAM TAB 0.125MG UD,2.76,,0.70656,2.48,55
CDM,11060046,OXYCODONE IR TAB 15MG UD,3.15,,0.8064,2.83,55
CDM,11060047,PHENOBARB TAB 16.2MG,2.0,,0.512,1.8,55
CDM,11060048,PHENOBARB TAB 32.4MG,2.0,,0.512,1.8,55
CDM,11060057,HYDROCOD/APAP 5MG/325MG TAB,2.0,,0.512,1.8,55
CDM,11060058,HYDROCOD/APAP 7.5MG/325MG TAB,2.0,,0.512,1.8,55
CDM,11060059,HYDROCOD/APAP 10MG/325MG TAB,2.0,,0.512,1.8,55
CDM,11060061,HYDROCOD/APAP 7.5/325MG 15MLUD,15.21,,3.89,13.69,55
CDM,11060062,PERAMPANEL TAB 2MG,95.07,,24.34,85.56,55
CDM,11060064,CLOBAZAM TAB 10MG,137.08,,35.09,123.37,55
CDM,11060065,OPIUM TINC ORAL 6MG/0.6ML,17.59,,4.5,15.83,55
CDM,11060066,METHADONE PED ELIX 1MG/0.5MLUP,12.68,,3.25,11.41,55
CDM,11060067,TRAMADOL 50MG TAB,2.0,,0.512,1.8,55
CDM,11060069,KETAMINE 10MG/ML 1ML ORAL UP,3.34,,0.85504,3.01,55
CDM,11060070,ACETAMIN 325MG/OXYCODN 10MG TB,7.9,,2.02,7.11,55
CDM,11060072,OXYCODONE CR TAB 20MG,38.45,,9.84,34.6,55
CDM,11060073,MIDAZOLAM ORL SYRP 10MG/5ML UD,28.07,,7.19,25.26,55
CDM,11060074,OXYCODONE CR ORAL TABLET 15MG,30.36,,7.77,27.32,55
CDM,11060077,MODAFINIL 100MG TABLET,40.21,,10.29,36.19,55
CDM,11060079,COCAINE 4% NASAL SOLN 4ML,1351.65,,1.31,1216.48,55
CDM,11060080,BUPRENORPHINE 20MCG/HR PATCH,567.79,,145.35,511.01,55
CDM,11060081,BUPRENORPHINE 75MCG ORAL FILM,32.86,,8.41,29.57,55
CDM,11060083,BUPRENORPHINE 150MCG ORAL FILM,32.86,,8.41,29.57,55
CDM,11060084,BUPRENORPHINE 300MCG ORAL FILM,51.61,,13.21,46.45,55
CDM,11060085,BUPRENORPHINE 450MCG ORAL FILM,70.13,,17.95,63.12,55
CDM,11060086,BUPRENORPHINE 750MCG ORAL FILM,78.69,,20.14,70.82,55
CDM,11060089,BUPRENORPHINE 5MCG/HR PATCH,246.84,,63.19,222.16,55
CDM,11060092,GABAPENTIN CAP 100MG UD,2.0,,0.512,1.8,55
CDM,11060093,GABAPENTIN CAP 300MG UD,2.0,,0.512,1.8,55
CDM,11060094,GABAPENTIN CAP 400MG UP,2.0,,0.512,1.8,55
CDM,11060095,GABAPENTIN TAB 600MG UD,2.4,,0.6144,2.16,55
CDM,11060096,GABAPENTIN TAB 800MG UD,2.0,,0.512,1.8,55
CDM,11060097,GABAPENTIN SOLN 50MG/ML,2.57,,0.65792,2.31,55
CDM,11060098,GABAPENTIN SOLN 300MG,2.0,,0.512,1.8,55
CDM,11060099,METHADONE ELIX 0.1MG/0.5ML UP,2.0,,0.512,1.8,55
CDM,11060100,BUPRENORPHINE 7.5MCG/HR PATCH,345.58,,88.47,311.02,55
CDM,11060101,BUPRENORPHINE 10MCG/HR PATCH,370.26,,94.79,333.23,55
CDM,11060102,BUPRENORPHINE 15MCG/HR PATCH,534.1,,136.73,480.69,55
CDM,11060103,CENOBAMATE 100MG ORAL TABLET,180.65,,46.25,162.59,55
CDM,11060104,QUETIAPINE TAB 50MG UD,2.0,,0.512,1.8,55
CDM,11060106,METHADONE 10MG/10ML ORAL LIQ,2.2,,0.5632,1.98,55
CDM,11060107,METHADONE 0.4MG/0.4ML ORAL LIQ,2.0,,0.512,1.8,55
CDM,11060109,ALPRAZOLAM 1MG ODT TABLET,6.6,,1.69,5.94,55
CDM,11060110,ALPRAZOLAM 0.25MG ODT TABLET,3.95,,1.01,3.56,55
CDM,11060111,METHADONE 10MG/ML ORAL SOLN,2.42,,0.61952,2.18,55
CDM,11060112,METHADONE 50MG/5ML ORAL SOLN,12.19,,3.12,10.97,55
CDM,11060113,OXYCODONE TABLET 10MG,2.16,,0.55296,1.94,55
CDM,11060114,CENOBAMATE TABLET 25MG,180.65,,46.25,162.59,55
CDM,11060155,FENTANYL  INJ 0.1MG/2ML AMP+,30.81,,0.78,27.73,55
CDM,11060670,OXYCODONE CONTROL RELEASE 10MG,20.64,,5.28,18.58,55
CDM,11060671,OXYCODONE CONTROL RELEASE 40MG,65.83,,16.85,59.25,55
CDM,11060702,OXYCODONE TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11060704,HYDROMORPHONE HCL TAB 4MG UD,2.0,,0.512,1.8,55
CDM,11060707,DRONABINOL CAP 5MG UD NF,14.3,,3.66,12.87,55
CDM,11060787,CLONAZEPAM WAFER 0.5MG,2.49,,0.63744,2.24,55
CDM,11061001,METHHYLPHENIDATE TAB 18MG UPNF,18.04,,4.62,16.24,55
CDM,11061023,ZOLPIDEM TAB 5MG UD,2.0,,0.512,1.8,55
CDM,11061202,DIAZEPAM RECT GEL PED 10MG NF,697.4,,178.53,627.66,55
CDM,11061354,CODEINE SO4 TABLET 15MG UD,2.64,,0.67584,2.38,55
CDM,11061818,METHADONE HCL TABLET  5MG UD,2.0,,0.512,1.8,55
CDM,11062001,LOPERAMIDE HCL CAP 2MG UD,2.49,,0.63744,2.24,55
CDM,11062002,MORPHINE SO4 SR TAB  15MG UD,2.23,,0.57088,2.01,55
CDM,11062233,BUPRENORPHINE SL TAB 2MG,12.28,,1.54,11.05,56
CDM,11062326,PREGABALIN CAP 25MG  UP,46.48,,11.9,41.83,55
CDM,11062345,BUPRENORPHINE SL TAB 8MG,5.7,,1.54,5.13,56
CDM,11062356,BUPRENORP 2MG/NALOXE 0.5MG TAB,12.28,,5.0,11.05,56
CDM,11062425,PREGABALIN CAP 100MG UP,51.17,,13.1,46.05,55
CDM,11063000,TEMAZEPAM CAP 7.5MG UD,12.68,,3.25,11.41,55
CDM,11063678,HYDROMORPHONE HCL TAB 2MG UD,2.0,,0.512,1.8,55
CDM,11064161,CHLORDIAZEPOXIDE CAP  5MG UD,2.0,,0.512,1.8,55
CDM,11064167,CHLORDIAZEPOXIDE CAP 25MG UD,2.0,,0.512,1.8,55
CDM,11064188,MORPHINE SO4 TAB 15MG UD,2.77,,0.70912,2.49,55
CDM,11064227,DIPHENOXYLATE/ATROPINE TAB UD,2.0,,0.512,1.8,55
CDM,11065058,FENTANYL PATCH 12MCG/HR UD,26.03,,6.66,23.43,55
CDM,11065115,HYDROCOD/CHLORPH 12HR LIQ5MLNF,8.88,,2.27,7.99,55
CDM,11065117,METHADONE ELIX 30MG/15ML UP,12.68,,3.25,11.41,55
CDM,11065120,OXYCODONE ORAL SOL 5MG/5ML UD,16.13,,4.13,14.52,55
CDM,11065454,BUPRENORP 8MG/NALOXN 2MG TABUP,15.89,,7.95,14.3,56
CDM,11065550,METHYLPHENIDATE 24HRCAP 10MGNF,10.48,,2.68,9.43,55
CDM,11065658,MORPHINE ORAL CONC SOL20MG/ML,10.37,,2.65,9.33,55
CDM,11065921,PHENOBARBITAL EL  10MG/2.5 PP,2.61,,0.66816,2.35,55
CDM,11065927,DIAZEPAM ORAL SOLN 5MG/5ML.UP.,17.6,,4.51,15.84,55
CDM,11066776,METHYLPHENIDATE TAB  5MG UP,2.0,,0.512,1.8,55
CDM,11067087,CLONAZEPAM WAFER 1MG,4.85,,1.24,4.37,55
CDM,11067088,CLONAZEPAM WAFER 0.25MG,4.26,,1.09,3.83,55
CDM,11067888,MORPHINE SO4 SR TAB  30MG UD,4.38,,1.12,3.94,55
CDM,11067889,BUTALBITAL/ACET/CAFF TAB UD,7.4,,1.89,6.66,55
CDM,11067968,METHYLPHENIDATE 24HRTAB 27MGNF,60.79,,15.56,54.71,55
CDM,11068491,DIAZEPAM TABLET  2MG UD,2.0,,0.512,1.8,55
CDM,11068498,DIAZEPAM TABLET  5MG UD,2.0,,0.512,1.8,55
CDM,11068515,CLONAZEPAM TAB 1MG UD,2.0,,0.512,1.8,55
CDM,11068516,CLONAZEPAM SUSP 0.1MG/MLUP,2.0,,0.512,1.8,55
CDM,11068909,CLONAZEPAM WAFER 0.125MG UD,2.45,,0.6272,2.21,55
CDM,11069560,ACETAMINOPHEN C OXYCODN TAB UD,2.0,,0.512,1.8,55
CDM,11069570,ACETAMINOPHEN-COD TAB 300/30UD,2.0,,0.512,1.8,55
CDM,11069583,LORAZEPAM TAB 1MG UD,2.0,,0.512,1.8,55
CDM,11069585,LORAZEPAM TAB 2MG,2.0,,0.512,1.8,55
CDM,11069606,CLORAZEPATE DIPOT 7.5MG UD *NF,6.41,,1.64,5.77,55
CDM,11069809,FENTANYL PATCH 25MCG/HR UD,20.87,,5.34,18.78,55
CDM,11069810,FENTANYL PATCH 50MCG/HR UD,32.42,,8.3,29.18,55
CDM,11069811,FENTANYL PATCH 75MCG/HR UD,72.15,,18.47,64.94,55
CDM,11069812,FENTANYL PATCH 100MCG/HR UD,76.89,,19.68,69.2,55
CDM,11070004,DOBUTAMINE 1000MG/DEXT5% 250ML,262.96,,5.69,236.66,55
CDM,11070007,ACETIC ACID IRRIG 0.25% 250ML,176.59,,45.21,158.93,55
CDM,11070013,CARDIOPLEG BUCKBERG 5 SOLN,385.09,,98.58,346.58,55
CDM,11070072,DOPAMINE400MG/DEXT5% 250ML BAG,212.59,,0.56,191.33,55
CDM,11070073,DOPAMINE800MG/DEXT 5% 250ML BG,231.31,,0.56,208.18,55
CDM,11070093,MGSO4 40MG/ML 1000ML STRL H20,198.69,,0.42,178.82,55
CDM,11070094,MAG SO4 INJ 80MG/ML 50ML BAG,171.17,,0.42,154.05,55
CDM,11070096,DEXTROSE 7.5% WATER 250ML,185.58,,47.51,167.02,55
CDM,11070097,DEXTROSE 12.5% WATER 250ML,185.58,,47.51,167.02,55
CDM,11070098,DEXTROSE 15% WATER 250ML,185.58,,47.51,167.02,55
CDM,11070102,DEXTROSE 20% WATER 250ML,185.58,,47.51,167.02,55
CDM,11070103,DEXTROSE 25% WATER 250ML,185.58,,47.51,167.02,55
CDM,11070106,DEXTROSE 12.5% WATER 500ML,185.31,,47.44,166.78,55
CDM,11070107,DEXTROSE 15% WATER 500ML,185.31,,47.44,166.78,55
CDM,11070109,DEXTROSE 25% WATER 500ML,185.31,,47.44,166.78,55
CDM,11070110,DEXTROSE 10% WATER 1/2NS 250ML,174.13,,44.58,156.72,55
CDM,11070111,DEXTROSE 10% WATER 1/2NS 500ML,174.13,,44.58,156.72,55
CDM,11070122,OXYTOCIN 60UNITS/1000ML NS,228.15,,0.53,205.34,56
CDM,11070123,OXYTOCIN 80UNITS/500ML NS,186.26,,0.53,167.63,56
CDM,11070127,NICARDIPINE40MG/200ML0.83%NACL,376.11,,0.1098,338.5,55
CDM,11070128,FAT EMULSION 20% 250ML,222.62,,56.99,200.36,55
CDM,11070131,MAG SO4 INJ 40MG/ML 50ML BAG,179.46,,0.42,161.51,55
CDM,11070132,MAG SO4 INJ 10MG/ML 100ML BAG,175.59,,0.42,158.03,55
CDM,11070134,SOD BICARB 150MEQ/1000ML D5W,243.94,,62.45,219.55,55
CDM,11070139,HIGH BICARB W/CA CRRT 5L BAG,221.58,,56.72,199.42,55
CDM,11070143,CARDIOPLEGIC SOLUTION 500ML,428.49,,109.69,385.64,55
CDM,11070145,HEPARIN SOD INJ 10000U/500ML,179.04,,0.2684,161.14,55
CDM,11070146,ANTICOAG CIT DEXT SOL 1000ML,207.42,,53.1,186.68,55
CDM,11070149,ACETIC ACID IRRIG 0.25% 1000ML,176.59,,45.21,158.93,55
CDM,11070150,MANNITOL INJ 6.25GM/31.25ML UP,172.56,,44.18,155.3,55
CDM,11070154,DEXTRAN 40 10%  D5W INJ500ML-,255.55,,17.77,230.0,56
CDM,11070155,HEPARIN 25000U/DEXT 5% 250MLBG,210.93,,0.2684,189.84,55
CDM,11070162,CMV IMMUNE INJ 2.5GM/50ML,6439.64,,1496.95,5795.68,68
CDM,11070164,ANTICOAG CIT DEXT SOL 500ML,186.51,,47.75,167.86,55
CDM,11070178,CARDIOPLEGIA WARM IND HIGH KCL,455.89,,116.71,410.3,55
CDM,11070179,CARDIOPLEGIA REPERFUS LOW KCL,454.26,,116.29,408.83,55
CDM,11070181,CARDIOPLEGIA DELNIDO 1052.8ML,428.49,,109.69,385.64,55
CDM,11070182,PHOXILLUM B22K4/0 CRRT SOLN 5L,500.44,,128.11,450.4,55
CDM,11070183,FENTANYL 250MCG/BUPI0.1% 100ML,224.31,,57.42,201.88,55
CDM,11070184,HEPARIN 1000U/NACL 0.9% 500ML,177.41,,0.2684,159.67,55
CDM,11070186,HEPARIN 1000U/NACL 0.9% 1000ML,177.41,,0.2684,159.67,55
CDM,11070187,FENT/BUPI 2MCG/ML-.0625%/NS250,288.42,,73.84,259.58,55
CDM,11070189,MAG SO4 INJ 40MG/ML 500ML BAG,177.86,,0.42,160.07,55
CDM,11070191,MILRINONE 20MG/DEXT 5% 100ML,204.54,,1.51,184.09,55
CDM,11070194,AMINO ACID INJ 50GM/1000ML BAG,895.0,,447.5,805.5,54
CDM,11070195,ANTICOAG CIT DEXT SOL 750ML,214.59,,54.94,193.13,55
CDM,11070196,TRISODIUM CIT 0.5L/NS-H2O 4LTR,197.67,,50.6,177.9,55
CDM,11070198,LETERMOVIR INJ 240MG/12ML VIAL,1484.26,,379.97,1335.83,55
CDM,11070199,NICARDIPINE 40MG/ML 0.9% NS,329.45,,0.1098,296.5,55
CDM,11070200,SOD CHL/SOD CIT CRRT 5L BAG,304.28,,77.9,273.85,55
CDM,11070210,AMINOSYN II 10% 2000ML,268.34,,68.7,241.51,55
CDM,11070211,AMINOSYN-PF 10% SF 1000ML,413.3,,105.8,371.97,55
CDM,11070212,HEPARIN 25THUN/FLUID 250ML BAG,200.44,,0.2684,180.4,55
CDM,11070214,DOBUTAMINE 250MG/250ML BAG,240.23,,5.69,216.21,55
CDM,11070215,DOBUTAMINE 500MG/250ML BAG,298.9,,5.69,269.01,55
CDM,11070216,OXYTOCIN 30UNITS/500ML NS,228.15,,0.53,205.34,56
CDM,11070217,EPINEPHRINE 8MG 250ML BAG MULT,460.65,,1.61,414.58,55
CDM,11070218,LIDOCAINE 0.8% / D5W 250ML,183.66,,47.02,165.29,55
CDM,11070229,HEPARIN 30000U / NS 1000ML SBS,182.37,,0.2684,164.13,55
CDM,11070230,ANTICOAG CIT DEXT SOL 250ML,298.59,,76.44,268.73,55
CDM,11070890,NOREPINEPHRINE 8MG/D5W 250ML B,262.66,,67.24,236.39,55
CDM,11071009,LIDOCAINE 0.4%/DEXT 5% 500ML,183.66,,47.02,165.29,55
CDM,11071064,CIPROFLOXACIN 200MG/100ML D5W,172.71,,1.0,155.44,55
CDM,11071065,CIPROFLOXACIN 400MG/200ML D5W,174.71,,1.0,157.24,55
CDM,11071068,FAT EMULSION 20% 500ML,237.99,,60.93,214.19,55
CDM,11071100,HEPARIN 25THU/SOD CL.45%500MLB,199.41,,0.2684,179.47,55
CDM,11071101,HEPARIN 25000U/DEXT 5% 500MLBG,200.33,,0.2684,180.3,55
CDM,11071105,DOPAMINE200MG/DEXT5% 250ML BAG,204.08,,0.56,183.67,55
CDM,11071111,TEST SVC FEE - INSULIN ISO,165.04,,42.25,148.54,55
CDM,11071112,ARGININE 10% INJ 300ML,179.07,,45.84,161.16,55
CDM,11071113,HEPARIN 25THU/SOD CL.45%250MLB,199.85,,0.2684,179.87,55
CDM,11071118,AMINO ACID SOLN 15% 1000ML,261.62,,66.97,235.46,55
CDM,11071920,DEXTROSE 50% WATER 500ML BAG,185.31,,47.44,166.78,55
CDM,11071949,EVACUATED FLASK 1000ML,207.0,,103.5,186.3,56
CDM,11071962,DEXTROSE 70% WATER  500ML,192.15,,49.19,172.94,55
CDM,11072224,FENTANYL 500MCG/BUPI0.1% 200ML,270.3,,69.2,243.27,55
CDM,11073352,MILRINONE 40MG/DEXT 5% 200ML +,204.54,,1.51,184.09,55
CDM,11073700,MANNITOL INJ 20% 500ML BAG,227.94,,58.35,205.15,55
CDM,11074121,DEXT 5% 1/2NS + 20K 1000ML BAG,173.99,,44.54,156.59,55
CDM,11076110,SODIUM CL 0.9% + 20K 1000MBAG,199.86,,51.16,179.87,55
CDM,11076117,DOXY 500MG SCLEROSING NS100,220.34,,56.41,198.31,55
CDM,11076118,DOXY 500MG/LIDO 100MG/QS NS100,220.34,,56.41,198.31,55
CDM,11077011,AMINO ACID 10% 1000ML,413.3,,105.8,371.97,55
CDM,11078882,SOD BICARB REPLACE CVVHD 4L,278.15,,71.21,250.34,55
CDM,11078883,TRISODIUM CITRATE/W ANTICOAG4L,278.15,,71.21,250.34,55
CDM,11079074,CARDIOPLEG INDUCT HIGH KCL SOL,455.89,,116.71,410.3,55
CDM,11079075,CARDIOPLEGIAMAINT LOW KCL SOLN,454.26,,116.29,408.83,55
CDM,11079305,NITROGLYCRN 50MG/DEXT5% 250MLB,240.58,,61.59,216.52,55
CDM,11079310,NITROGLYCRN 100MG/DEXT5% 250ML,247.46,,63.35,222.71,55
CDM,11079705,NORMOSOL-R  1000ML BAG,183.39,,46.95,165.05,55
CDM,11079805,NORMOSOL-R PH 7.4 1000ML BAG,183.39,,46.95,165.05,55
CDM,11079912,HEPARIN 250U/SOD CL .22% 100ML,171.61,,0.2684,154.45,55
CDM,11079913,SODIUM CHLORIDE 3% 500ML,173.59,,0.05,156.23,56
CDM,11079914,HEPARIN 2000U/NACL 0.9% 1000ML,179.04,,0.2684,161.14,55
CDM,11079915,SODIUM CHLORIDE 0.22% 1000ML**,181.43,,46.45,163.29,55
CDM,11079930,SODIUM CL 0.9% ABBOTT BG200ML*,286.22,,73.27,257.6,55
CDM,11079959,DIALYSIS ULTRA1.5% L CA 2.5L,581.25,,148.8,523.12,55
CDM,11089000,NON-ROUTINE ITEMS,0.01,,0.00256,0.009,55
CDM,11090002,ACETAMINOPHEN TABLET 500MG,2.0,,0.512,1.8,55
CDM,11090036,POVIDONE-IODINE  OINT 1GM UD,37.22,,9.53,33.5,55
CDM,11090101,ACETAMINOPHN TAB 325MG UD,148.5,,38.02,133.65,55
CDM,11090103,ACETAMINOPHN SUPP 120MG UD,2.26,,0.57856,2.03,55
CDM,11090105,ACETAMINOPHN SUPP 650MG UD,2.6,,0.6656,2.34,55
CDM,11090106,ACETAMINOPHN LQ 650/20.3ML UD,14.18,,3.63,12.76,55
CDM,11095000,BACITRACIN-POLYMX OINT 0.9GMUD,2.0,,0.512,1.8,55
CDM,11096000,NEOMYCIN/BACI/POLY OINT  .9 UD,2.0,,0.512,1.8,55
CDM,11099070,PHARM OVERHEAD (SEC. 7),2.0,,0.512,1.8,55
CDM,11099120,PHARM OVERHEAD NURSING CARE,2.0,,0.512,1.8,55
CDM,11099140,PHARM OVERHEAD ID PO FEE=N,2.0,,0.512,1.8,55
CDM,11099220,PHARM OVERHEAD NF BULK,2.0,,0.512,1.8,55
CDM,11100008,FLU VACC ADMIN-PHARMACY,69.0,,15.61,62.1,68
CDM,11100009,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,11100218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,11199100,SERVICE FEE (O.P.),7.0,,1.79,6.3,55
CDM,11210084,KCENTRA/PLACEBO CSL-TAP STUDY,0.01,,0.00256,0.009,55
CDM,11230007,ANTITHYM HORSE/250MG BU 250MG,28343.0,,2257.67,25508.7,68
CDM,11230024,ABATACEPT/10MG BU 250MG VIAL,395.57,,40.58,356.01,68
CDM,11230030,IDARUBICIN HCL/5MG BU 10MG,178.36,,37.66,160.52,55
CDM,11230057,SOD HYALURON PER DOSE BU 25MG,1526.77,,79.81,1374.09,55
CDM,11230084,RISPERIDONE LA/0.5MG BU 37.5MG,77.34,,10.1,69.61,68
CDM,11230093,PENTOSTATIN PER 10MG BU 10MG V,16364.95,,2060.28,14728.45,68
CDM,11230106,MITOMYCIN PER 5MG BU 20MG VL,266.79,,18.72,240.11,68
CDM,11230115,LINEZOLID PER 200MG BU 2MG/1ML,2.0,,0.512,1.8,55
CDM,11230169,RISPERIDONE PER 0.5MG BU 50MG,77.54,,10.1,69.79,68
CDM,11230172,HEP B IMMUNE GLOB/1ML BU 1ML V,829.64,,123.45,746.68,68
CDM,11230177,DACTINOMYCN/0.5MG BU 0.5ML V,3218.25,,302.07,2896.43,68
CDM,11230183,HEPAT B IMM GLOB/IM USE BU 5ML,3630.9,,123.45,3267.81,68
CDM,11230233,FILGRASTIM/1MCG BU 480MCG,6.77,,0.92,6.09,68
CDM,11230348,BACLOFEN IT PER 10MG BU 10MG,2100.0,,166.72,1890.0,68
CDM,11230358,RISPERIDONE LA/0.5MG BU 12.5MG,77.54,,10.1,69.79,68
CDM,11230380,SECRETIN SYNTH/1MCG BU 16MCG,281.14,,34.78,253.03,68
CDM,11230387,ACETYLCYST 20%/100MG BU 6GM VL,11.89,,0.4514,10.7,55
CDM,11230391,IBUTILIDE PER 1MG BU 10MG VIAL,566.79,,158.53,510.11,68
CDM,11230432,AMIFOSTINE/500MG BU 500MG VL,3163.72,,407.25,2847.35,57
CDM,11230433,VACC RABIES IMM/150IU BU 300IU,1541.12,,257.46,1387.01,68
CDM,11230434,BEVACIZUMAB PER 10MG BU 100MG,474.18,,51.0,426.76,69
CDM,11230437,DECITABINE PER 1MG BU 50MG VL,9.01,,1.94,8.11,55
CDM,11230445,PEGASPARGASE PER SDV BU 3750IU,178767.68,,19717.76,160890.91,68
CDM,11230452,OXALIPLATIN PER 0.5MG BU 100MG,2.0,,0.1098,7.5,56
CDM,11230469,DAUNORUBICIN PER 10MG BU 20MG,172.41,,19.96,155.17,68
CDM,11230476,DOXORUB LIPO/10MG BU 50MGV,1448.23,,486.55,1303.41,68
CDM,11230477,ANTIVENIN SNAKE /1GM BU 1GM VL,21621.5,,1682.42,19459.35,68
CDM,11230483,CLOFARABINE PER 1MG BU 20MG VL,279.99,,3.85,251.99,68
CDM,11230497,EPOETIN NESRD/1000U BU 40000U,97.59,,7.86,87.83,69
CDM,11230501,TOCILIZUMAB PER 1MG BU 400MG V,44.9,,5.25,40.41,68
CDM,11230503,BRENTUXIMAB PER 1MG BU 50MG VL,1643.88,,175.28,1479.49,68
CDM,11230511,ZICONOTIDE/1MCG BU 500MCG/20ML,77.94,,8.17,70.15,68
CDM,11230512,ZICONOTIDE/1MCG BU 100MGC/1ML,77.94,,8.17,70.15,68
CDM,11230513,ZICONOTIDE/1MCG BU 500MCG/5ML,77.94,,8.17,70.15,68
CDM,11230521,VEDOLIZUMAB PER 1MG BU 300MG V,200.2,,19.61,180.18,68
CDM,11230522,TBO-FILGRASTIM/1MCG BU 10MCG,3.69,,0.2576,3.32,68
CDM,11230523,TBO-FILGRASTIM/1MCG BU 20MCG,3.69,,0.2576,3.32,68
CDM,11230524,TBO-FILGRASTIM/1MCG BU 50MCG,3.69,,0.2576,3.32,68
CDM,11230543,NALTREXONE ER/1MG BU 380MG VL,27.46,,3.26,24.71,68
CDM,11230545,METHYLENE BLU/1MG BU 0.5% 50MG,12.87,,6.43,12.0,68
CDM,11230547,METHYLENE BLU/1MG BU 0.5% 10MG,12.87,,6.43,12.0,68
CDM,11230554,MINOCYCLINE INJ/1MG BU 100MG V,17.54,,2.46,15.79,68
CDM,11230555,DOXORUBICIN/10MG BU 200MG VL,1448.23,,99.79,1303.41,68
CDM,11230566,DESMOPRESSN/1MCG BU .05MCG PED,2.0,,0.512,1.8,55
CDM,11230569,MENINGOCOCCAL VACC PER DOSE BU,1169.5,,101.42,1052.55,56
CDM,11230572,EPOETIN NESRD/1000U BU 10000U,97.58,,7.86,87.82,69
CDM,11230579,METHYLENE BLUE/1MG BU 0.5% 5MG,12.87,,6.43,12.0,68
CDM,11230583,CLEVIDIPINE PER 1MG BU 25MG VL,21.59,,3.51,19.43,57
CDM,11230584,CLEVIDIPINE PER 1MG BU 50MG VL,21.59,,3.51,19.43,57
CDM,11230594,GLUCAGON/1MG BU 0.5MG PED,397.01,,101.63,357.31,55
CDM,11230609,PANITUMUMAB/10MG BU 400MG VL,1166.59,,123.55,1049.93,68
CDM,11230612,TRASTUZUMAB/10MG BU 150MG VIAL,618.48,,54.75,556.63,69
CDM,11230614,PEN G BEN/75000UN/0.125ML PED,113.33,,29.01,102.0,55
CDM,11230616,KCENTRA 1IU/400-620IU VIAL,14.98,,3.83,13.48,55
CDM,11230617,KCENTRA 1IU/800-1240IU VIAL,14.98,,3.83,13.48,55
CDM,11230618,INFLECTRA PFZ/10MG BU 100MG VL,389.74,,18.39,350.77,68
CDM,11230625,DOXORUBICIN/10MG BU 50MG PWD V,1448.23,,99.79,1303.41,68
CDM,11230646,GEMTUZUMAB/0.1MG BU 4.5MG VL,1537.93,,205.38,1384.14,68
CDM,11230653,RITUXIMAB PER 10MG BU 100MG VL,559.01,,69.2,503.11,68
CDM,11230654,RITUXIMAB PER 10MG BU 500MG VL,559.01,,69.2,503.11,68
CDM,11230660,ARIPIPRAZOLE ER/1MGBU 300MG SY,43.12,,5.7,38.81,68
CDM,11230661,ARIPIPRAZOLE ER/1MGBU 400MG SY,43.56,,5.7,39.2,68
CDM,11230670,THIOTEPA INJ 15MG VIAL,1062.04,,9.7,955.84,68
CDM,11230676,CAPLACIZUMAB-YHDP/1MG BU 11MG,4200.12,,2100.06,3780.11,55
CDM,11230677,RITUXIMAB-ABBS/10MG BU 100MG,327.85,,27.03,295.06,68
CDM,11230678,RITUXIMAB-ABBS/10MG BU 500MG,327.85,,27.03,295.06,68
CDM,11230682,LEUPROLIDE 3.75MGBU/3.75MG INJ,11040.82,,1347.56,9936.74,68
CDM,11230689,HEP B IMMUNE GLOB/0.5ML BU 1ML,264.43,,61.31,237.99,68
CDM,11230693,HEP B IMMUNE GLOB/0.5ML BU 5ML,363.09,,61.31,326.78,68
CDM,11230697,ALTEPLASE PER 1MG BU 1MG,596.23,,24.75,536.61,69
CDM,11230711,SOTALOL INJ 1MG BU-150MG/10ML,154.58,,23.05,139.12,68
CDM,11230719,TAGRAXOFUSP-ERZS 10MCG BU/1MG,2250.44,,270.59,2025.4,68
CDM,11230733,AMPHOT B LIPOS/10MG BU 50MG VL,133.03,,19.76,119.73,68
CDM,11230736,AMBISOME INJ/NEO 0.2MG/ML,9.98,,2.55,8.98,55
CDM,11230737,AMBISOME INJ/PED 0.5MG/ML,19.29,,4.94,17.36,55
CDM,11230742,VACC RABAVERT 1ML BU/1ML PFS,2300.41,,288.59,2070.37,68
CDM,11230743,ANTIV ANAVIP 120MG BU/120MG VL,8578.92,,961.54,7721.03,68
CDM,11230745,BEVACIZUMAB-BVZR/10MG BU 100MG,370.69,,23.71,333.62,68
CDM,11230746,BEVACIZUMAB-BVZR/10MG BU 400MG,370.69,,23.71,333.62,68
CDM,11230751,TECLISTAMAB-CQYV/0.5MG BU153MG,164.41,,19.9,147.97,68
CDM,11230752,TECLISTAMAB-CQYV/0.5MG BU 30MG,164.71,,19.9,148.24,68
CDM,11230754,TBO-FILGRASTIM/1MCG BU 300 VL,3.35,,0.2576,3.02,68
CDM,11230756,ALPHA1-PROT INJ HU/10MG BU 1GM,2.0,,1.0,7.51,68
CDM,11230757,DIMERCAPROL/100MG BU 300MG VL,355.47,,59.81,319.92,56
CDM,11230758,FLUDARABINE/50MG BU 50MG VL,265.93,,62.74,294.0,69
CDM,11230759,FOSCARNET/1GM BU 6GM VIAL,457.36,,14.79,411.62,68
CDM,11230760,SOD THIOSULFATE/100MGBU 12.5GM,5.43,,2.71,130.78,68
CDM,11230761,REMDESIVIR/1MG BU 100MG VIAL,41.96,,6.19,37.76,68
CDM,11230765,HYPERRAB/150IU BU 300IU/1ML VL,2213.44,,257.46,1992.1,68
CDM,11230766,HYPERRAB/150IU BU 1500IU/5ML V,2213.45,,257.46,1992.11,68
CDM,11230767,EDETATE CA DIS/1000MG BU 1GMVL,40228.13,,5594.42,36205.32,68
CDM,11230770,ARTESUNATE/1MG BU 110MG INJ VL,685.22,,47.68,616.7,68
CDM,11230771,TALQUETAMAB-TGVS/0.25MG BU 3MG,342.91,,66.81,308.62,68
CDM,11230772,TALQUETAMAB-TGVS/0.25MGBU 40MG,342.91,,66.81,308.62,68
CDM,11230773,ELRANATAMAB-BCMM/1MGBU 44MG PD,1247.42,,169.34,1122.68,68
CDM,11230774,ELRANATAMAB-BCMM/1MG BU 76MG V,1252.92,,169.34,1127.63,68
CDM,11230777,METRONIDAZOLE INJ/10MGBU 500MG,2.0,,0.0366,1.8,56
CDM,11230778,REZAFUNGIN INJ/1MG BU 200MG VL,70.3,,9.78,63.27,68
CDM,11230779,HYDROXOCOBALAMIN/ 25MG BU 5GM,32.12,,4.77,28.91,68
CDM,11230786,TOCILIZUMAB-AAZG/ 1MG BU 200MG,32.08,,4.07,28.87,68
CDM,11230787,TOCILIZUMAB-AAZG/ 1MG BU 80MG,32.08,,4.07,28.87,68
CDM,11230788,TOCILIZUMAB-AAZG/ 1MG BU 400MG,32.08,,4.07,28.87,68
CDM,11230791,METHYL BLUE 1%/1MG BU 20MG SYR,9.66,,4.83,12.0,68
CDM,11230793,NIVOLUMAB 1MG BU/120MG VIAL,227.15,,28.56,204.44,68
CDM,11230885,PENCILN G BN/100000U BU 1.2MU,162.92,,15.16,146.63,68
CDM,11230940,PEN G BEN/100000 BU 600000 UD,1133.27,,15.16,1019.94,68
CDM,11230964,ZOLEDRONIC ACID/1MG BU 4MG BAG,2.0,,1.0,9.71,55
CDM,11231066,BALCOFEN IT PER 50MCG BU 50MCG,210.0,,51.21,189.0,55
CDM,11231099,CARMUSTINE/100MG BU 100MG V,16975.56,,211.84,15278.0,68
CDM,11231126,ALTEPLASE PER 1MG BU 50MG VL,595.08,,24.75,535.57,69
CDM,11231129,ALTEPLASE PER 1MG BU 2MG,596.23,,24.75,536.61,69
CDM,11231164,PORFIMER NA PER 75MG BU 75MG,163261.0,,3004.74,146934.9,68
CDM,11231235,NELARABINE PER 50MG BU 250MG,1040.35,,73.47,936.32,68
CDM,11231275,INDIGOTINDISUL/1MG BU 40MG AMP,56.7,,9.16,51.03,68
CDM,11231437,PLERIXAFOR PER 1MG BU 24MG VL,53.26,,23.3,365.29,68
CDM,11231446,CHORION GONAD/1000U BU 1000U V,155.55,,21.36,140.0,55
CDM,11231454,C1 ESTER INHIBIT/10IU BU 500U,476.47,,54.13,428.82,68
CDM,11231461,PALIPERIDONE PER 1MG BU 78MG,93.62,,12.1,84.26,68
CDM,11231462,PALIPERIDONE PER 1MG BU 117MG,93.26,,12.1,83.93,68
CDM,11231463,PALIPERIDONE PER 1MG BU 156MG,93.63,,12.1,84.27,68
CDM,11231464,PALIPERIDONE PER 1MG BU 234MG,94.35,,12.1,84.92,68
CDM,11231465,DOXORUBICIN LIPO/10MG BU 20MG,1448.23,,486.55,1303.41,68
CDM,11231478,DOCETAXEL PER 1MG BU 20MG,8.69,,0.4636,7.82,55
CDM,11231505,DESMOPRESSN/1MCG BU 0.5MCG PED,138.27,,35.4,124.44,55
CDM,11231506,DESMOPRESSN/1MCG BU 0.2MCG PED,138.27,,35.4,124.44,55
CDM,11231513,MITOMYCIN PER 5MG BU 40MG VIAL,266.79,,18.72,240.11,68
CDM,11231520,ECULIZUMAB PER 10MG BU 300MG V,1520.51,,224.63,1368.46,57
CDM,11231523,CARFILZOMIB PER 1MG BU 60MG,382.83,,39.2,344.55,68
CDM,11231549,BENDAMUSTINE PER 1MG BU 100MG,140.12,,12.41,126.11,68
CDM,11231550,BENDAMUSTINE PER 1MG BU 25MG V,140.12,,12.41,126.11,68
CDM,11231552,CEFTAROLINE/10MG BU 400MG VIAL,31.56,,3.32,28.4,68
CDM,11231563,ASPARA ERW/10000IU BU 10000 VL,35906.41,,427.27,32315.77,57
CDM,11231565,IFOSFAMIDE PER 1GM BU 1GM VL,373.31,,26.31,335.98,56
CDM,11231567,VARICELLA ZOS IMM/125IU BU VL,112.71,,56.35,3247.5,68
CDM,11231569,CHLOROTHIAZIDE/500MG BU 25MG,202.72,,51.9,182.45,55
CDM,11231571,TOCILIZUMAB PER 1MG BU 200MG V,44.9,,5.25,40.41,68
CDM,11231577,ORITAVANCIN/10MG BU 400MG VIAL,185.67,,23.8,167.1,68
CDM,11231578,DAUNO-CYTAR/3.27MG BU 144MG VL,402.28,,197.79,362.05,68
CDM,11231582,APREPITANT INJ/1MG BU 130MG VL,12.43,,1.51,11.19,68
CDM,11231583,CLADRIBINE INJ/1MG BU 10MG VL,69.52,,9.83,62.57,69
CDM,11231588,DEXRAZOXANE INJ/250MG BU 500MG,499.45,,39.15,449.5,68
CDM,11231589,ANDEXXA INJ/10MG BU 200MG VL,851.91,,120.87,766.72,68
CDM,11231594,BEVACIZUMAB-AWWB/10MG BU 400MG,370.69,,25.63,333.62,68
CDM,11231595,DENOSUMAB/1MG BU 120MG (XGEVA),184.38,,20.12,165.94,68
CDM,11231601,FOSAPREPITANT PER 1MG BU 150MG,14.43,,0.1342,12.99,55
CDM,11231604,HEPAT B 40MCG/0.5ML BU 1ML VL,469.29,,61.31,422.36,68
CDM,11231605,HEPAT B 10MCG/0.5ML BU 1ML VL,135.83,,61.31,122.25,68
CDM,11231628,BOTULINUM TOX PER UNIT 100UNIT,45.22,,5.98,40.7,68
CDM,11231629,BUSULFAN PER 1MG BU 60MG AMP,3.62,,0.8096,3.41,68
CDM,11231630,ANTITHYM RABBIT/25MG BU 25MG V,5224.17,,817.12,4701.75,68
CDM,11231632,CEFTAROLINE PER 10MG BU 600MG,21.09,,3.32,18.98,68
CDM,11231635,BACLOFEN IT PER 10MG BU 40MG V,2100.0,,166.72,1890.0,68
CDM,11231639,BENDAMUSTINE PER 1MG BU 45MG V,140.12,,12.41,126.11,68
CDM,11231640,BENDAMUSTINE 1MG BU 180MG,140.12,,12.41,126.11,68
CDM,11231641,BLINATUMOMAB/1MCG BU 35MCG,1029.96,,118.59,926.96,68
CDM,11231648,TOCILIZUMAB PER 1MG BU 80MG VL,44.9,,5.25,40.41,68
CDM,11231653,FERRIC CARBOXY/1MG BU 750MG VL,8.54,,1.02,7.69,68
CDM,11231662,DENOSUMAB PER 1MG BU 60MG,201.7,,20.12,181.53,68
CDM,11231666,PALIVIZUMAB/50MG BU 1MG PED,254.89,,65.25,229.4,55
CDM,11231668,DIMETHYL SULF/50%-50ML BU 50ML,4473.21,,635.67,4025.89,68
CDM,11231669,AMPHOT B LIPD/10MG BU 1MG PED,4.86,,1.24,4.37,55
CDM,11231670,IBUTILIDE/1MG BU 1MG/10ML VL,566.79,,158.53,510.11,68
CDM,11231672,HEMIN PER 1MG BU 350MG VIAL,217.1,,24.44,195.39,68
CDM,11231678,TREPROSTINIL/1MG BU 5MG/1ML,138.69,,50.33,124.82,68
CDM,11231679,TREPROSTINIL/1MG BU 1MG/1ML,138.69,,50.33,124.82,68
CDM,11231680,TREPROSTINIL/1MG BU 10MG/1ML,138.69,,50.33,124.82,68
CDM,11231681,TREPROSTINIL/1MG BU 2.5MG/1ML,138.69,,50.33,124.82,68
CDM,11231683,METHYLENE BLUE/1MG BU 1% 10MG,12.87,,6.43,12.0,68
CDM,11231686,DALBAVANCIN INJ/5MG BU 500MG V,64.37,,14.36,57.93,68
CDM,11231693,CEFTOL-TAZOBA/75MG BU 1.5GM VL,33.7,,6.49,30.33,68
CDM,11231694,CEFTAZ-AVIBA/625MG BU 2.5GM VL,604.72,,92.0,544.25,68
CDM,11231699,ISAVUCONAZONIUM/1MG BU 372MG V,6.65,,0.9292,5.99,68
CDM,11231702,PEGFILGRAST-CBQV/0.5MGBU 6MG,1814.12,,97.82,1632.71,68
CDM,11231711,THROMBATE 1IU/500IU +/- VIAL,24.57,,3.5,22.11,68
CDM,11231713,NOVOSEVEN MIXPRO/1MCG BU 1MG,15.05,,2.25,13.54,68
CDM,11231714,NOVOSEVEN MIXPRO/1MCG BU 2MG,15.05,,2.25,13.54,68
CDM,11231715,NOVOSEVEN MIXPRO/1MCG BU 5MG,15.05,,2.25,13.54,68
CDM,11231717,THIOTEPA INJ/15MG BU 15MG UP,1062.04,,9.7,955.84,68
CDM,11231718,THIOTEPA INJ/15MG BU 15MG VL,1062.04,,9.7,955.84,68
CDM,11231721,BEVACIZUMAB-AWWB/10MG BU 100MG,457.11,,25.63,411.4,68
CDM,11231722,DESMOPRESSIN PER 1MCG BU 4MCG,34.57,,3.24,31.11,68
CDM,11231748,ETANERCEPT 25MG BU-25MG/0.5ML,6444.11,,994.41,5799.7,68
CDM,11231757,CALCITONIN 400U BU-400U/2ML VL,5310.13,,446.17,4779.12,68
CDM,11231765,FIBRYGA 1MG BU/700-1300MG VIAL,5.46,,1.07,4.91,68
CDM,11231767,REMDESIVIR 1MG BU/100MG VIAL,41.96,,6.19,37.76,68
CDM,11231775,INFLIXIMAB INJ 10MG BU/100MG V,789.29,,28.6,710.36,68
CDM,11231776,RITUXIMAB-PVVR/10MG BU 500MG,364.18,,25.62,327.76,68
CDM,11231777,RITUXIMAB-PVVR/10MG BU 100MG,364.18,,25.62,327.76,68
CDM,11231784,INFLIXIMAB-AXXQ 10MG BU 100MG,284.12,,18.78,255.71,68
CDM,11231785,CEFIDEROCOL INJ/10MG BU 1GM VL,14.14,,2.23,12.73,68
CDM,11231790,PEGFILGRASTIM-APGF/0.5MGBU 6MG,942.77,,120.67,848.49,68
CDM,11231804,KOGENATE 1IU/500-999IU VIAL,9.03,,1.38,8.13,68
CDM,11231805,KOGENATE 1IU/1000-1999IU VIAL,9.03,,1.38,8.13,68
CDM,11231806,KOGENATE 1IU/2000-2999IU VIAL,9.03,,1.38,8.13,68
CDM,11231807,FEIBA 1IU/400-650IU VIAL,13.79,,2.05,12.41,68
CDM,11231808,FEIBA 1IU/651-1200IU VIAL,13.79,,2.05,12.41,68
CDM,11231809,FEIBA 1IU/1750-3250IU VIAL,13.79,,2.05,12.41,68
CDM,11231810,HUMATE-P 1IU/500-999IU VIAL,6.27,,1.21,5.64,68
CDM,11231811,HUMATE-P 1IU/1000-1600IU VIAL,6.27,,1.21,5.64,68
CDM,11231812,HUMATE-P 1IU/1600-3000IU VIAL,6.27,,1.21,5.64,68
CDM,11231813,BENEFIX 1IU/500-999IU VIAL,2.0,,0.512,1.8,55
CDM,11231814,BENEFIX 1IU/1000-1999IU VIAL,7.0,,1.53,6.3,68
CDM,11231815,BENEFIX 1IU/3000IU+ VIAL,7.0,,1.53,6.3,68
CDM,11231817,BORTEZOMIB 0.1MG BU/3.5MG VL,320.92,,1.94,288.83,57
CDM,11231826,ATEZOLIZUMAB 10MG BU/1200MG VL,634.69,,78.28,571.22,68
CDM,11231827,ATEZOLIZUMAB 10MG BU/840MG VL,642.34,,78.28,578.11,68
CDM,11231828,CETUZIMAB 10MG BU/100MG VIAL,543.73,,45.0,489.36,69
CDM,11231829,CETUXIMAB 10MG BU/200MG VIAL,543.73,,45.0,489.36,69
CDM,11231830,PALONOSETRON 25MCG BU/250MCGVL,13.51,,0.549,27.75,56
CDM,11231831,APREPITANT 1MG BU/130MG VIAL A,12.43,,1.51,11.19,68
CDM,11231833,CARFILZOMIB 1MG BU/10MG VIAL,382.07,,39.2,343.86,68
CDM,11231834,CARFILZOMIB 1MG BU/30MG VIAL,381.68,,39.2,343.51,68
CDM,11231835,CARFILZOMIB 1MG BU/60MG VIAL,381.68,,39.2,343.51,68
CDM,11231836,PEMBROLIZUMAB 1MG BU/100MG VL,404.75,,50.85,364.27,68
CDM,11231837,NIVOLUMAB 1MG BU/40MG VIAL,222.68,,28.56,200.41,68
CDM,11231838,NIVOLUMAB 1MG BU/100MG VIAL,222.68,,28.56,200.41,68
CDM,11231840,NIVOLUMAB 1MG BU/240MG VIAL,222.32,,28.56,200.09,68
CDM,11231841,KANJINTI 10MG BU/150MG VIAL,594.31,,43.75,534.88,68
CDM,11231844,PERTUZUMAB 1MG BU/420MG VIAL,109.65,,12.95,98.69,68
CDM,11231848,DARAT HYAL-FIHJ 10MG BU/1800MG,390.92,,51.12,351.83,68
CDM,11231852,CEFIDEROCOL INJ 10MG BU/1GM VL,14.14,,2.23,12.73,68
CDM,11231853,KOVALTRY 1IU/500-999IU VIAL,9.03,,1.22,8.13,68
CDM,11231854,KOVALTRY 1IU/1000-1999IU VIAL,9.03,,1.22,8.13,68
CDM,11231855,KOVALTRY 1IU/2000-2999IU VIAL,9.03,,1.22,8.13,68
CDM,11231857,KOVALTRY 1IU/250-499IU VIAL,9.03,,1.22,8.13,68
CDM,11231858,FILGRASTIM-SNDZ 1MCG/480MCG SY,2.76,,0.4232,2.48,68
CDM,11231860,FILGRASTIM-SNDZ 1MCG/300MCG SY,2.84,,0.4232,2.56,68
CDM,11231863,PEGFILGRASTIM-JMDB/0.5MGBU 6MG,998.74,,91.2,898.87,68
CDM,11231864,CEFTAROLINE INJ/PED 10MG/ML UP,37.88,,9.7,34.09,55
CDM,11231865,TRABECTEDIN/0.1MG BU 1MG VIAL,2413.59,,318.93,2172.23,68
CDM,11231866,CETIRIZINE INJ/0.5MG BU 10MGVL,119.24,,15.2,107.32,68
CDM,11231867,PEGFILGRASTIN-BMEZ/0.5MGBU 6MG,946.18,,27.89,851.56,68
CDM,11231868,TRASTUZUMAB-DKST/10MG BU 150MG,386.54,,37.07,347.89,68
CDM,11231869,XIPERE INJ/1MG BU 40MG VIAL,288.75,,44.13,259.88,68
CDM,11231873,RETACRIT NESRD/1000U BU 2000U,59.73,,7.22,53.76,68
CDM,11231874,RETACRIT NESRD/1000U BU 3000U,59.67,,7.22,53.7,68
CDM,11231876,RETACRIT NESRD/1000U BU 4000U,59.73,,7.22,53.76,68
CDM,11231877,RETACRIT NESRD/1000U BU 10000U,59.73,,7.22,53.76,68
CDM,11231878,RETACRIT NESRD/1000U BU 20000U,59.73,,7.22,53.76,68
CDM,11231879,RETACRIT NESRD/1000U BU 40000U,59.73,,7.22,53.76,68
CDM,11231895,BUPIVACAINE/0.5MG BU 25MG VL,2.0,,0.0122,1.8,55
CDM,11231896,BUPIVACAINE/0.5MG BU 75MG VL,2.0,,0.0122,1.8,55
CDM,11231897,BUPIVACAINE/0.5MG BU 50MG VL,2.48,,0.0122,2.23,55
CDM,11231898,BUPIVACAINE/0.5MG BU 150MG VL,2.0,,0.0122,1.8,55
CDM,11231899,BUPIVACAINE/0.5MG BU 15MG VL,2.0,,0.0122,1.8,55
CDM,11231901,TACROLIMUS PER 5MG BU 5MG AMP,1593.68,,211.97,1434.31,68
CDM,11231903,BUPIVACAINE/0.5MG BU 225MG VL,2.0,,0.0122,1.8,55
CDM,11231904,CLINDAMYCIN/ 300MG BU 600MG VL,6.62,,2.04,5.96,56
CDM,11231905,CLINDAMY/300MG BU 600MG D5W BG,38.51,,2.04,34.66,56
CDM,11231906,CLINDAMYCIN/ 300MG BU 900MG VL,5.84,,2.04,5.26,56
CDM,11231907,CLINDAMY/300MG BU 900MG D5W BG,12.36,,2.04,11.12,56
CDM,11231911,BETASERON I PER 0.25MG BU .3MG,3956.91,,119.3,3561.22,55
CDM,11231916,RETACRIT ESRD/100U BU 2000U,5.97,,0.7268,5.37,68
CDM,11231917,RETACRIT ESRD/100U BU 3000U,5.91,,0.7268,5.32,68
CDM,11231918,RETACRIT ESRD/100U BU 4000U,5.97,,0.7268,5.37,68
CDM,11231919,RETACRIT ESRD/100U BU 10000U,5.97,,0.7268,5.37,68
CDM,11231920,RETACRIT ESRD/100U BU 20000U,5.97,,0.7268,5.37,68
CDM,11231921,RETACRIT ESRD/100U BU 40000U,5.97,,0.7268,5.37,68
CDM,11231928,CAMPATH INJ / 1MG BU 30MG VIAL,2.0,,1.0,3341.1,68
CDM,11231937,DEXRAZOXANE INJ/250MG BU 250MG,499.45,,39.15,449.5,68
CDM,11231939,CYCLOPHOSPH INJ/5MG BU 500MG,4.91,,0.4416,4.42,68
CDM,11231940,CYCLOPHOSPH INJ/5MG BU 1000MG,6.58,,0.4416,5.92,68
CDM,11231942,CLINDAMYCIN/ 300MG BU 10MG PED,6.62,,2.04,5.96,56
CDM,11231943,CLINDAMYCIN/ 300MG BU 2MG NEO,6.62,,2.04,5.96,56
CDM,11231949,HEPZATO/1MGBU 250MG VL 62MMKIT,5250.0,,731.4,4725.0,68
CDM,11231951,BENDAMUS/BELRAPZO/1MG BU 100MG,135.38,,11.3,121.84,68
CDM,11231955,ROMIPLOSTIM/1MCG BU 250MCG SDV,77.08,,10.13,69.37,68
CDM,11231956,ROMIPLOSTIM/1MCG BU 500MCG SDV,77.08,,10.13,69.37,68
CDM,11231957,ADALIMUMAB PER 1MG BU 40MG PFS,1170.27,,84.39,1053.24,68
CDM,11231959,METHYLPRED SOD / 5MG BU 40MG,2.0,,0.1932,1.8,68
CDM,11231960,METHYLPRED SOD / 5MG BU 125MG,2.0,,0.1932,1.8,68
CDM,11231961,METHYLPRED SOD / 5MG BU 500MG,2.0,,0.1932,1.8,68
CDM,11231962,METHYLPRED SOD / 5MG BU 1000MG,2.0,,0.1932,1.8,68
CDM,11231963,METHYLPRED SOD/5MGBU 1000MG PF,2.0,,0.1932,1.8,68
CDM,11231967,ECULIZUMAB PER 2MG BU 300MG VL,304.41,,41.23,273.97,67
CDM,11231968,RISPERIDONE ER/1MG BU 50MG INJ,169.05,,23.04,152.15,68
CDM,11231969,RISPERIDONE ER/1MG BU 75MG INJ,169.05,,23.04,152.15,68
CDM,11231970,RISPERIDONE ER/1MGBU 100MG INJ,169.05,,23.04,152.15,68
CDM,11231972,TRASTUZUMAB-QYYP/10MG BU 150MG,401.41,,25.75,361.27,68
CDM,11231973,RISPERIDONE ER/1MGBU 125MG INJ,169.05,,23.04,152.15,68
CDM,11231974,ALDESLEUKIN PER SDV 22MM U INJ,42420.0,,605.25,38178.0,69
CDM,11231975,HEPZATO/1MGBU 250MG VL 50MMKIT,5250.0,,731.4,4725.0,68
CDM,11231977,KETOROLAC INJ/15MG BU 15MG VL,5.25,,0.2484,4.72,68
CDM,11231978,KETOROLAC INJ/15MG BU 30MG VL,1.54,,0.2484,1.39,68
CDM,11231980,CANGRELOR INJ / 1MG BU 50MG VL,128.52,,18.38,115.67,68
CDM,11232010,ERYTHROMYCIN/500MG BU 500MG,369.46,,76.85,332.51,56
CDM,11232030,IDARUBICIN HCL PER 5MG BU 5MG,356.72,,37.66,321.05,55
CDM,11232070,CLADRIBINE PER 1MG BU 1MG INJ,695.17,,9.83,625.65,69
CDM,11232106,CHLOROTHIAZIDE/500MG BU 500MGV,202.72,,49.26,182.45,55
CDM,11232158,ACTHREL PER 1MCG BU 100MCG VL,61.71,,5.14,55.54,56
CDM,11232400,DIG IMMUNE FAB PER VL BU 40MG,32342.66,,3972.14,29108.39,68
CDM,11232412,QUINUPRTL/DALFO/500MG BU 500MG,2999.47,,3.92,2699.52,68
CDM,11232602,AMIFOSTINE/500MG BU 500MG INJ,3163.72,,407.25,2847.35,57
CDM,11232603,DIGOXIN PER 0.5MG BU 0.125MG,19.76,,5.06,17.78,55
CDM,11232606,DIGOXIN INJ/0.5MG BU 0.5MG AMP,19.76,,4.88,17.78,55
CDM,11232682,GLUCAGON PER 1MG BU 1MG VL,794.01,,167.85,714.61,68
CDM,11232893,ALTEPLASE PER 1MG BU 100MG VL,595.08,,24.75,535.57,69
CDM,11232899,ALTEPLACE PER 1MG BU 10MG INJ,595.08,,24.75,535.57,69
CDM,11232973,MITOMYCIN PER 5MG BU 5MG VL,266.79,,18.72,240.11,68
CDM,11233172,INTEGRILIN PER 5MG BU 20MG VL,128.66,,27.58,115.79,57
CDM,11233320,TET-IMMUN GLOB/250U BU 250U VL,3684.17,,476.57,3315.75,68
CDM,11233370,CIDOFOVIR/375MG BU  375MG VL,4183.76,,502.59,3765.38,68
CDM,11233824,IRON DEXTRAN/50MG BU 100MG AMP,114.22,,15.01,102.8,68
CDM,11234520,MELPHALAN PER 50MG BU 50MG VL,599.34,,88.23,539.41,68
CDM,11234548,METHYLENE BLU/1MG BU 1% 100MG,12.87,,6.43,12.0,68
CDM,11234567,TREPROSTINIL PER 1MG BU 20MG V,138.69,,50.33,124.82,68
CDM,11235321,PALIFERMIN/50MCG BU 6.25MG VL,222.67,,22.81,200.4,68
CDM,11235455,RASBURICASE PER 0.5MG BU 1.5MG,2506.95,,300.94,2256.26,68
CDM,11235500,LINEZOLID PER 200MG BU 600MG,53.59,,4.23,48.23,55
CDM,11235642,AZACITIDINE PER 1MG BU 100MG V,2.77,,0.2562,4.5,56
CDM,11235656,VORICONAZOLE/10MG BU 200MG VL,4.56,,0.9516,4.1,55
CDM,11235678,TREPROSTINIL PER 1MG BU 50MG V,138.69,,50.33,124.82,68
CDM,11235848,RISPERIDONE LA/0.5MG BU 25MG,77.53,,10.1,69.78,68
CDM,11235959,GLATIRAMER ACE/20MG BU 20MG VL,417.96,,67.64,376.16,68
CDM,11236396,ESTROGENS CON/25MG BU  25MG VL,2368.94,,325.62,2132.05,68
CDM,11236568,TIGECYCLINE PER 1MG BU 50MG,4.51,,0.6222,4.06,55
CDM,11236663,ARSENIC TRIOXIDE/1MG BU 10MGV,31.61,,7.15,33.0,69
CDM,11236665,DARBEPOTN NESRD/1MCG BU 100MCG,23.53,,2.7,21.18,69
CDM,11236688,TREPROSTINIL/1MG BU 100MG VIAL,138.69,,50.33,124.82,68
CDM,11236694,PHENTOLAMINE INJ/5MG BU 5MG VL,2996.0,,359.14,2696.4,68
CDM,11237665,DARBPOE ESRD/1MCG BU 100MCG,23.53,,2.7,21.18,68
CDM,11237759,PEGFILGRAST/0.5MG BU ONPRO 6MG,2610.78,,71.25,2349.7,68
CDM,11237778,TREPROSTINIL/1MG BU 200MG VIAL,138.69,,50.33,124.82,68
CDM,11237927,FILGRASTIM/1MCG BU 300MCG,7.02,,0.92,6.32,68
CDM,11237935,CORTICORELIN/1MCG BU 100MCG,61.71,,5.14,55.54,56
CDM,11237982,DARBEPOETIN ESRD/1MCG BU 60MCG,94.31,,2.7,84.88,68
CDM,11237983,DARBEPOETIN ESRD/1MCG BU 40MCG,23.53,,2.7,21.18,68
CDM,11237984,DARBEPOETIN ESRD/1MCG BU 25MCG,23.53,,2.7,21.18,68
CDM,11237985,DARBEPOE ESRD/1MCG BU 200MCG,23.53,,2.7,21.18,68
CDM,11238005,AMPHOT B LIPD/10MG BU 100MG VL,67.59,,9.36,60.83,68
CDM,11238089,ZOLEDRONIC ACID PER 1MG BU 4MG,2.0,,1.0,9.71,55
CDM,11238191,EPOETIN NESRD/1000U BU 2000U,110.99,,7.86,99.89,69
CDM,11238195,EPOETIN NESRD/1000U BU 3000U,110.88,,7.86,99.79,69
CDM,11238199,EPOETIN NESRD/1000U BU 4000U,110.99,,7.86,99.89,69
CDM,11238886,BASILIXIMAB PER 20MG BU 20MG V,30224.6,,4005.19,27202.14,68
CDM,11238982,DARBEPOETN NESRD/1MCG BU 60MCG,23.72,,2.7,21.35,69
CDM,11238983,DARBEPOETN NESRD/1MCG BU 40MCG,23.53,,2.7,21.18,69
CDM,11238984,DARBEPOETN NESRD/1MCG BU 25MCG,23.53,,2.7,21.18,69
CDM,11238985,DARBEPOE NESRD/1MCG BU 200MCG,23.53,,2.7,21.18,69
CDM,11239071,ADALIMUMAB PER 20MG BU 40MG,11702.69,,909.22,10532.42,56
CDM,11239173,EPTIFIBATIDE PER 5MG BU 75MG V,26.37,,13.19,36.52,57
CDM,11239220,OCTREOTIDE LA PER 1MG BU 20MG,1470.78,,78.75,1323.7,69
CDM,11239606,DESMOPRESSIN/1MCG BU 40MCG VL,26.99,,3.24,24.29,68
CDM,11239843,MITOXANTRONE PER 5MG BU 20MG,625.87,,21.97,563.28,69
CDM,11239950,TENECTEPLASE PER 1MG BU 50MG V,1058.6,,129.26,952.74,68
CDM,11239989,FOMEPIZOLE PER 15MG BU 1.5GM,36.26,,5.78,32.63,68
CDM,11240061,BUPRENORPH ER INJ/BU 300MG 300,14115.64,,1855.11,12704.08,68
CDM,11240071,PHENOBARBITAL/65MG BU 65MG VL,137.36,,33.38,123.62,55
CDM,11240072,PHENOBARBITAL/65MG BU 130MG VL,174.56,,33.38,157.1,55
CDM,11250830,ETOPOSIDE ORAL/50MG BU 50MG CP,346.33,,75.49,311.7,56
CDM,11251027,MITOMYCIN INSTILL/1MG BU 80MG,38.11,,19.05,437.98,68
CDM,11251094,ANACAULASE-BCDB/ 1G BU 55G GEL,286.65,,53.65,257.99,68
CDM,11270002,"ALBUMIN/5%,250ML BU 5% 250ML",286.44,,48.83,257.8,68
CDM,11270148,GAMUNEX-C PER 500MG BU 10GM,364.84,,42.19,328.36,68
CDM,11270162,CMV IMMUNE PER VIAL BU 2.5GM,6439.64,,1496.95,5795.68,68
CDM,11270201,GAMMAGARD 500MG BU-10GM/100ML,300.72,,41.69,270.65,68
CDM,11270202,GAMMAGARD 500MG BU-20GM/200ML,300.72,,41.69,270.65,68
CDM,11270203,GAMMAGARD 500MG BU-30GM/300ML,300.99,,41.69,270.89,68
CDM,11270204,GAMMAGARD 500MG BU-5GM/50ML,300.72,,41.69,270.65,68
CDM,11270205,GAMMAGARD 500MG BU-2.5GM/25ML,300.71,,41.69,270.64,68
CDM,11270206,GAMMAGARD 500MG BU-1GM/10ML,300.73,,41.69,270.66,68
CDM,11270207,GAMMAGARD/1MG PED>500MG BU,2.0,,0.512,1.8,55
CDM,11270208,GAMMAGARD SD 500MG BU-10GM/192,436.19,,41.69,392.57,68
CDM,11270209,GAMMAGARD SD 500MG BU-5GM/96ML,436.19,,41.69,392.57,68
CDM,11270222,ALBUMIN 25% PER 50ML BU 50ML V,286.44,,64.76,257.8,56
CDM,11270223,ALBUMIN PER 50ML BU 25% 100ML,286.44,,64.76,257.8,56
CDM,11271012,ALBUMIN/250ML BU 5% 500ML,286.44,,48.83,257.8,68
CDM,11289000,NON-ROUTINE ITEMS,0.01,,0.00256,0.009,55
CDM,11302104,KATEFARMS STD 1.0/TETRA/325ML,18.0,,4.61,16.2,55
CDM,11302105,KATEFARMS STD1.0/CS/12 CARTONS,214.0,,54.78,192.6,55
CDM,11302106,KATEFARMS NUTRSHAK/TETRA/325ML,20.0,,5.12,18.0,55
CDM,11350001,PEDIASURE/CAN/8OZ,17.0,,4.35,15.3,55
CDM,11350002,BANANA FLAKES/PKG/1PKG,3.0,,0.768,2.7,55
CDM,11350008,PROMOTE WITH FIBER/RTH/1L,35.0,,8.96,31.5,55
CDM,11350009,GLUCERNA SHAKE/CAN/8OZ,5.0,,1.28,4.5,55
CDM,11350013,TWOCAL HN/CAN/8OZ,4.0,,1.02,3.6,55
CDM,11350015,TWOCAL HN/RTH/1L,25.0,,6.4,22.5,55
CDM,11350017,PEPTAMEN AF/RTH/1L,287.0,,73.47,258.3,55
CDM,11350018,PROSTAT SF/CONTAIN/30ML (1OZ),17.0,,4.35,15.3,55
CDM,11350020,PEDIASURE ENTERAL/CAN/8OZ,17.0,,4.35,15.3,55
CDM,11350021,RESOURCE DIABETSHIELD/BRIK/8OZ,16.0,,4.1,14.4,55
CDM,11350025,ENSURE PUDDING/4 OZ CONTNER,4.0,,1.02,3.6,55
CDM,11350026,GLUCERNA 1.5 CAL/CAN/8OZ,9.0,,2.3,8.1,55
CDM,11350027,GLUCERNA 1.5 CAL/RTH/1L,60.0,,15.36,54.0,55
CDM,11350028,ENSURE PLANT/CARTON/11OZ,23.0,,5.89,20.7,55
CDM,11350031,CARNATION BFAST/CAN/11OZ,21.0,,5.38,18.9,55
CDM,11350033,MIGHTY SHAKE/BRIK/6OZ,3.0,,0.768,2.7,55
CDM,11350036,PIVOT 1.5 CAL/CAN/250ML,33.0,,8.45,29.7,55
CDM,11350037,PIVOT 1.5 CAL/RTH/1L,193.0,,49.41,173.7,55
CDM,11350039,ENSURE COMPACT/BOT/4OZ,2.0,,0.512,1.8,55
CDM,11350040,ENSURE COMPLETE/BOT/8OZ,4.0,,1.02,3.6,55
CDM,11350041,ENSURE HI PROTEIN/BOT/237ML,3.0,,0.768,2.7,55
CDM,11350043,PEPTAMEN INTENSE VHP/RTH/1L,227.0,,58.11,204.3,55
CDM,11350044,PEPTAMEN W/PREBIO/RTH/1L,306.0,,78.34,275.4,55
CDM,11350046,PEPTIDE 1.5/CARTON/325 ML,78.0,,19.97,70.2,55
CDM,11350047,PEPTIDE 1.5/CASE/12 CARTONS,928.0,,237.57,835.2,55
CDM,11350048,ENSURE ENLIVE/BOT/8OZ,3.0,,0.768,2.7,55
CDM,11350049,ENSURE HARVEST/BOT/8OZ,42.0,,10.75,37.8,55
CDM,11350050,CARNATION INST BFAST/PKT/1PKT,12.0,,3.07,10.8,55
CDM,11350051,PEPTAMEN 1.5/RTH/1L,324.0,,82.94,291.6,55
CDM,11350052,PEPTAMEN 1.5/CARTON/250ML,77.0,,19.71,69.3,55
CDM,11350100,VITAL AF 1.2 CAL/CAN/8OZ,36.0,,9.22,32.4,55
CDM,11350101,VITAL AF 1.2 CAL/RTH/1L,158.0,,40.45,142.2,55
CDM,11350102,VITAL HIGH PROTEIN/CAN/8OZ,37.0,,9.47,33.3,55
CDM,11350103,VITAL HIGH PROTEIN/RTH/1L,152.0,,38.91,136.8,55
CDM,11350942,VITAL 1.5 CAL/CAN/250ML,29.0,,7.42,26.1,55
CDM,11350943,VITAL 1.5 CAL/RTH/1L,168.0,,43.01,151.2,55
CDM,11360941,PEDIASURE PEPTIDE CAN/8OZ,57.0,,14.59,51.3,55
CDM,11361050,NUTRIHEP/CAN/250ML,126.0,,32.26,113.4,55
CDM,11370025,MICROLIPID/89ML BOTTLE/1ML,0.2,,0.0512,0.18,55
CDM,11370112,ENSURE CLEAR/BRIK/6.8OZ,9.0,,2.3,8.1,55
CDM,11370213,JEVITY 1.5 CAL 8OZ CAN,6.0,,1.54,5.4,55
CDM,11370214,JEVITY 1.5 CAL/RTH/1L,31.0,,7.94,27.9,55
CDM,11370215,LIQUACEL/PKT/30ML,12.0,,3.07,10.8,55
CDM,11371811,NUTREN 2.0/RTH/1L,24.0,,6.14,21.6,55
CDM,11373662,BAG/TF DOUBLE BAG SET,78.0,,39.0,70.2,56
CDM,11390023,MCT OIL/QUART BOTTLE/1ML,1.0,,0.256,0.9,55
CDM,11390031,BOOST VHC/BRIK/237ML,12.0,,3.07,10.8,55
CDM,11390038,OSMOLITE 1.5/RTH/1L,30.0,,7.68,27.0,55
CDM,11390039,OSMOLITE 1.5/CAN/8OZ,4.0,,1.02,3.6,55
CDM,11390044,BENEPROTEIN/CAN/GM,0.44,,0.11264,0.396,55
CDM,11390920,BOOST PLUS/CAN/8OZ,9.0,,2.3,8.1,55
CDM,11399029,PORTAGEN/CAN/454GM (1LB),225.0,,57.6,202.5,55
CDM,11399030,PORTAGEN/CAN/SCOOP (9.4GM),4.0,,1.02,3.6,55
CDM,11399062,KETO-CAL/CAN/GM,1.0,,0.256,0.9,55
CDM,11399063,KETOCAL4:1 MULTIFIBER/UN 237ML,51.0,,13.06,45.9,55
CDM,11399115,GLUTASOLVE/PKG/1PKG (10GM),17.0,,4.35,15.3,55
CDM,11399135,OXEPA/RTH/1L,246.0,,62.98,221.4,55
CDM,11399148,JUVEN/1 PKT (23GM),29.0,,7.42,26.1,55
CDM,11399162,NEPRO W/CARB STEADY/CAN/8OZ,12.0,,3.07,10.8,55
CDM,11399163,NEPRO WITH CARB STEADY/RTH/1L,66.0,,16.9,59.4,55
CDM,11536556,INS CATH CV NON-TUNL >/=5YRS,4244.0,,1697.6,3874.7,68
CDM,11536569,INS CATH PERIPH CV W/O PORT >5,3258.0,,1279.53,2932.2,68
CDM,11536575,RPR CATH CV W/O PORT/PUMP,2852.0,,509.25,2566.8,68
CDM,11536584,REPL PICC W/O PORT/PUMP S&I,4067.0,,1279.53,3660.3,68
CDM,11536593,DECLOT PORT W/THROMB AGENT,701.0,,273.2,630.9,68
CDM,12000042,DRSG WRAP ASSIST 4X48,177.0,,88.5,159.3,56
CDM,12000043,DRSG SHEET ASSIST 6X6,67.0,,33.5,60.3,56
CDM,12000120,LINER BK CUSHION W/LOCK,1502.0,,751.0,1351.8,61
CDM,12000156,KIT CVP MONITORING,188.0,,94.0,169.2,56
CDM,12000169,DRSG AFM AG ASSIST 8INX20IN,159.0,,11.93,143.1,57
CDM,12000193,SET PD W/CASSETTE 4 PRONG LL,65.0,,32.5,58.5,56
CDM,12000622,DRSG LG VERAFLO,562.0,,281.0,505.8,56
CDM,12000655,BRACE CUSTOM FILLER TOE,843.0,,421.5,758.7,61
CDM,12000657,TUBE SET DUO VERA TRAC,246.0,,123.0,221.4,56
CDM,12000658,CASSETTE V.A.C. VERALINK,189.0,,94.5,170.1,56
CDM,12000659,DRSG MEDIUM VERAFLO CLEAN CHO,398.0,,199.0,358.2,56
CDM,12000661,DRSG LG VERAFLO CLEANSE CHOICE,611.0,,305.5,549.9,56
CDM,12000663,DRSG MED VERAFLO,332.0,,166.0,298.8,56
CDM,12001152,INTRODUCER SET MICRO PUNCH 5FR,102.0,,46.81,91.8,57
CDM,12001254,Z*ORTHO SHOE XXL,236.0,,13.5,212.4,57
CDM,12001463,KIT FLEXI-SEAL SIGNAL,645.0,,322.5,580.5,56
CDM,12001522,CATH PICC NEONATE 1.9F X 50CM,190.0,,95.0,171.0,57
CDM,12001836,SHOE ORTHOWEDGE LG,140.0,,70.0,126.0,56
CDM,12001855,VACUUM EXTRACTOR KIWI,108.0,,54.0,97.2,56
CDM,12001985,BOOT ROOKE SOFT AFO,341.0,,170.5,306.9,56
CDM,12002009,SYSTEM NASAL BRIDLE PRO 8-10F,238.0,,119.0,214.2,56
CDM,12002010,SYSTEM NASAL BRIDLE PRO 12-14F,238.0,,119.0,214.2,56
CDM,12002011,SYSTEM NASAL BRIDLE PRO 16-18F,238.0,,119.0,214.2,56
CDM,12002060,CATH PNEUMOTHORAX WAYNE SET,445.0,,222.5,400.5,56
CDM,12002164,ORTH OSCI DYNAPRO TORTICOLLIS,485.0,,242.5,436.5,61
CDM,12002510,TUBE TRACH BIVONA ADULT 5.0MM,197.0,,98.5,177.3,61
CDM,12002511,TUBE TRACH BIVONA ADULT 6.0MM,206.0,,103.0,185.4,61
CDM,12002512,TUBE TRACH BIVONA ADULT 8.0MM,206.0,,103.0,185.4,61
CDM,12002680,DRSG PREVENA PEEL-PLACE KIT,1044.0,,522.0,939.6,57
CDM,12002884,SOLUTION VASHE WOUND CLNS 16OZ,100.0,,50.0,90.0,56
CDM,12003477,DSG NEG PRESSURE PICO 15X20CM,475.0,,237.5,581.11,57
CDM,12003517,DOUBLE ACTION JOINTA725M,281.0,,140.5,252.9,56
CDM,12003524,SOFT INTERFACE MOLDED PLA KNEE,159.0,,79.5,506.18,57
CDM,12004404,BAG EDMS DRAINAGE,119.0,,59.5,107.1,56
CDM,12004975,BLUE RHINO G2 PERC TRACH,778.0,,27.95,700.2,57
CDM,12004976,TRACH TUBE SHILEY W CUFF 8.5MM,132.0,,66.0,118.8,61
CDM,12005314,DRSG PLUROGEL WOUND 14.1 OZ,1324.0,,662.0,1191.6,56
CDM,12005315,DRSG PLUROGEL WOUND 1.75 OZ,259.0,,129.5,233.1,56
CDM,12006026,BOOT ECMO W/WEDGE,133.0,,66.5,119.7,56
CDM,12007338,DROP LOCK JOINT FOR KNEE BRACE,226.0,,113.0,203.4,61
CDM,12007706,TRACH BLUSELECT UNCUFF 7.0,91.0,,45.5,81.9,56
CDM,12007723,MTC BRACE W/O THUMB SPICA,509.0,,254.5,458.1,56
CDM,12008616,BRA SUPPORT POST SURGICAL XL,110.0,,55.0,99.0,56
CDM,12008617,BRA SUPPORT POST SURGICAL XXXL,110.0,,55.0,99.0,56
CDM,12009139,AFO WITH ANTERIOR SHELL,1105.0,,552.5,994.5,61
CDM,12009140,AFO SPIRAL PLASTIC PREFAB,655.0,,327.5,589.5,61
CDM,12009141,LSO LUMBAR SPECIFIC,541.0,,270.5,486.9,56
CDM,12009357,PILLOW ABDUCTION,81.0,,40.5,72.9,56
CDM,12010070,PLEURX CATH ACCESS KIT 50-7280,107.0,,53.5,96.3,56
CDM,12010153,SENSOR OXYALERT NIR,293.0,,146.5,263.7,56
CDM,12010341,SHOE DH PRESSURE RELIEF MD,180.0,,90.0,162.0,56
CDM,12010381,TRANSDUCER STD SGL BP3 MV3,119.0,,59.5,107.1,56
CDM,12010582,INTRO CATH PICC PEEL AWAY 1.4F,125.0,,62.5,112.5,57
CDM,12010839,CATH PICC SGL-LUMEN 1.4F KIT,295.0,,136.97,265.5,62
CDM,12010847,POWDER HEMOSTATIC STATSEAL,75.0,,37.5,67.5,56
CDM,12011253,NDL BONE MARROW 8GAX100MM,96.0,,48.0,86.4,56
CDM,12011608,DANDLE WRAP M,59.0,,29.5,53.1,56
CDM,12011609,DANDLE WRAP L,69.0,,34.5,62.1,56
CDM,12011610,DANDLE WRAP XL,75.0,,37.5,67.5,56
CDM,12011611,DANDLE WRAP 2XL,94.0,,47.0,84.6,56
CDM,12011874,SWIFT AFO SPIRAL PLASTIC,1376.0,,688.0,1238.4,61
CDM,12011875,ORTH LE VAR/VAL STRAP/MALL PAD,108.0,,54.0,97.2,61
CDM,12011876,ORTH LE MOLDED INNER BOOT,628.0,,314.0,565.2,61
CDM,12013444,SOCK MULTIPLE PLY AK,72.0,,36.0,64.8,61
CDM,12013838,KIT PRESSURE INJECT 5FR X 15CM,369.0,,184.5,332.1,56
CDM,12013839,KIT PRESSURE INJECT 6FR X 20CM,369.0,,184.5,332.1,56
CDM,12013840,KIT PRESSURE INJECT 6FR X 25CM,369.0,,184.5,332.1,56
CDM,12014088,NDL ASPIRATION 15GA X 2.688 IN,71.0,,35.5,63.9,56
CDM,12014132,BOOT WITH PNEUMATIC PUMP,643.0,,321.5,578.7,56
CDM,12014745,SOL DIANEAL PD2 DEXT 4.25% 5L,189.49,,94.75,170.54,54
CDM,12014747,SOL DIANEAL PD DEXT 1.5% 5L,181.23,,90.61,163.11,54
CDM,12014883,SOL DIANEAL ULTRA 1.5% 2.5L,159.67,,79.83,143.7,54
CDM,12014884,SOL DIANEAL ULTRA 2.5% 2.5L,164.29,,82.14,147.86,54
CDM,12015086,INTRA ABD BLDR PRESSURE,243.0,,121.5,218.7,56
CDM,12015098,TRAY INSERT UMB CATH,126.0,,63.0,113.4,56
CDM,12015401,SET TRAPSYSTEM 11GX150MM,128.0,,64.0,115.2,56
CDM,12015554,TRACHBLU SELECT CUFF 7.0,100.0,,50.0,90.0,56
CDM,12016544,TFO WRIST SPLINT,385.0,,192.5,346.5,56
CDM,12016545,COLLAR CERVICAL HEADMASTER,309.0,,154.5,278.1,56
CDM,12016558,KIT THORAGUARD DRAINAGE,328.0,,164.0,295.2,56
CDM,12016825,WRAP TRUBUTE FOR TRACHEOSTOMY,382.0,,191.0,343.8,56
CDM,12016905,ELECTROLARYNX ORAL ADAPTER,90.0,,45.0,81.0,56
CDM,12017391,CATH AIRWAY EXCH RAPIT-FIT 14F,167.0,,83.5,150.3,56
CDM,12017989,KT SERVOX DIGITAL PROSTHESIS,1140.0,,570.0,1026.0,61
CDM,12018356,PAD ASPEN REPLACEMENT,74.0,,37.0,66.6,56
CDM,12018359,STOCKING COMPRESS THIGH LG,149.0,,74.5,134.1,56
CDM,12019619,BRACE CTO MINERVA,798.0,,399.0,718.2,61
CDM,12021171,BRACE KNEE HYPEREXTENSION SM,217.0,,108.5,195.3,56
CDM,12038614,SPRAY ADHESIVE 6 OZ,72.0,,36.0,64.8,56
CDM,12039777,POUCH WOUND DRAINAGE LG,247.0,,123.5,222.3,56
CDM,12041000,KIT MEDIPORT ACCESS,275.0,,137.5,247.5,56
CDM,12041360,KIT BREAST PUMP ACCESSORY,112.0,,56.0,100.8,56
CDM,12042150,KIT CAVITY DRAINAGE,583.0,,291.5,524.7,56
CDM,12043710,PACK D&C,161.0,,80.5,144.9,56
CDM,12043720,PACK TUBAL LIGATION BILATERAL,506.0,,253.0,455.4,56
CDM,12043900,TRAY PARACENTESIS,262.0,,131.0,235.8,56
CDM,12045400,TRAY THORACENTESIS,197.0,,98.5,177.3,56
CDM,12045510,KIT TRANSCERVICAL INTRAUTERINE,177.0,,88.5,159.3,56
CDM,12046007,CATH CV 3-LUM 12FRX16CM,990.0,,136.97,891.0,62
CDM,12046013,CATH CV 3-LUM ARROWGARD 20CM,827.0,,136.97,744.3,57
CDM,12046014,CATH CV 3-LUM ARROWGARD 16CM,827.0,,136.97,744.3,57
CDM,12049005,TRAY VENTRICULOSTOMY DISP,1184.0,,592.0,1065.6,56
CDM,12050845,KIT LUMBAR DRAIN MONITOR,538.0,,269.0,484.2,56
CDM,12050960,AFO GROUND REACTION CUSTOM,1174.0,,587.0,1056.6,61
CDM,12051298,PURACYN PLUS WND IRRIGATE 32OZ,116.0,,12.19,104.4,57
CDM,12052125,PURACYN PLUS WND IRRIGATE 16OZ,87.0,,12.19,78.3,57
CDM,12052677,POSITIONER FLUIDIZED 16X24,304.0,,152.0,273.6,56
CDM,12052690,KIT LARYNGECTOMY SMALL,778.0,,389.0,700.2,61
CDM,12052691,KIT LARYNGECTOMY LARGE,778.0,,389.0,700.2,61
CDM,12052692,TUBE LARYTUBE PROVOX 9/36,342.0,,171.0,307.8,61
CDM,12052693,TUBE LARYTUBE PROVOX 10/36,342.0,,171.0,307.8,61
CDM,12052694,HOLDER TUBEHOLDER PROVOX,78.0,,39.0,70.2,56
CDM,12052869,SENSOR CHEETAH,470.0,,235.0,423.0,56
CDM,12053806,DIALYSIS ULTR LO CAL 1.5% 2.5L,160.16,,41.0,144.14,55
CDM,12055407,CATH ICY ZOLL LUER KIT,1764.0,,136.97,1587.6,57
CDM,12055408,CATH QUATTRO ZOLL LUER KIT,2103.0,,1051.5,1892.7,56
CDM,12055409,START-UP KIT CUST ZOLL LUER,470.0,,235.0,423.0,56
CDM,12056400,SOL DIANEAL PD DEXT 2.5% 5L,181.23,,90.61,163.11,56
CDM,12056401,SOL DIANEAL PD DEXT 1.5% 5L LL,181.23,,90.61,163.11,54
CDM,12056402,SOL DIANEAL PD DEXT 4.25% 5L,189.63,,94.81,170.67,54
CDM,12056404,SOL DIANEAL PD DEXT 2.5% 3L,158.62,,79.31,142.76,54
CDM,12056413,DIALYSIS ULTRA LO CA 2.5% 2.5L,159.47,,79.73,143.52,54
CDM,12058407,KIT MICROSENSOR SKULL BOLT,1553.0,,776.5,1397.7,56
CDM,12059448,BRACE MULTIPODUS MED,784.0,,392.0,705.6,61
CDM,12059705,PAD CPM LEG ONE TIME CHARGE,137.0,,68.5,123.3,56
CDM,12061373,PERCUSSOR INTERNAL FLUTTER,56.0,,28.0,50.4,56
CDM,12061390,SET PNEUMOTHORAX,762.0,,381.0,685.8,56
CDM,12061742,KIT VACUUM DELIVERY MITYVAC,147.0,,73.5,132.3,56
CDM,12061900,SUPPORT MAMMARY SM,309.0,,154.5,278.1,56
CDM,12061901,SUPPORT MAMMARY MED,382.0,,191.0,343.8,56
CDM,12061902,SUPPORT MAMMARY LG,359.0,,179.5,323.1,56
CDM,12061904,SUPPORT MAMMARY XLG,363.0,,181.5,326.7,56
CDM,12061920,SUPPORT CHIN/NECK MED,156.0,,78.0,140.4,56
CDM,12061921,SUPPORT CHIN/NECK LG,171.0,,85.5,153.9,56
CDM,12061967,COMPRESSAR ART FEMSTOP,421.0,,210.5,378.9,56
CDM,12063153,BOOT REVAS UNISIZE,303.0,,151.5,272.7,61
CDM,12063385,GEO MATT,310.0,,155.0,279.0,56
CDM,12063399,FOOT WAFFLE MED,221.0,,110.5,198.9,56
CDM,12063517,BRACE DBL ACTION ANKLE JOINT,285.0,,142.5,256.5,61
CDM,12063550,"IMMOBILIZER KNEE 28""",295.0,,96.68,265.5,61
CDM,12063555,"IMMOBILIZER KNEE 24""",222.0,,96.68,199.8,61
CDM,12063560,IMMOBILIZER KNEE 20 IN,223.0,,96.68,200.7,61
CDM,12063565,IMMOBILIZER KNEE 26 IN,328.0,,96.68,295.2,61
CDM,12063880,SLEEVE SCD THIGH,424.0,,212.0,381.6,61
CDM,12063885,SLEEVE SCD THIGH XL,516.0,,258.0,464.4,56
CDM,12063905,PACK PBDS C-SECTION,810.0,,405.0,729.0,56
CDM,12063908,PACK PBDS VAG DELIVERY,535.0,,267.5,481.5,56
CDM,12064015,TUBE BLAKEMORE 20FR,1334.0,,667.0,1200.6,56
CDM,12064195,TUBE CLOG ZAPPER,282.0,,141.0,253.8,56
CDM,12065090,TUBE TRACH PORTEX 7MM X-LONG,714.0,,357.0,642.6,61
CDM,12065095,TUBE TRACH PORTEX 8MM XLNG,638.0,,319.0,574.2,61
CDM,12065345,CANNULA SHILEY 6 LPC 6,211.0,,105.5,189.9,56
CDM,12065350,CANNULA SHILEY 8 LPC 8,215.0,,107.5,193.5,56
CDM,12065400,TUBE LARYNGECTOMY DISP 9/36MM,603.0,,301.5,542.7,56
CDM,12065402,TUBE LARYNGECTOMY DISP 10/36MM,514.0,,257.0,462.6,61
CDM,12065403,TUBE LARYNGECTOMY DISP 10/55MM,514.0,,257.0,462.6,61
CDM,12065612,VALVE TRACH SPEAKING VENT,453.0,,226.5,407.7,61
CDM,12066497,SET IV FLD HIGH FLOW LEVEL 1,850.0,,425.0,765.0,56
CDM,12066887,KIT INTRAVASCULAR CATHETER,305.0,,152.5,274.5,56
CDM,12067196,CATH UMBILICAL 2-LUM 3.5FR,303.0,,151.5,272.7,56
CDM,12067197,CATH UMBILICAL 2-LUM 5FR,304.0,,152.0,273.6,56
CDM,12067382,CREAM GLUCAN PRO 3.5OZ,191.73,,49.08,172.56,55
CDM,12067621,CATH CV 2-LUM MAC,727.0,,136.97,654.3,62
CDM,12067847,PROBE TEMP FOLEY CATH 12FR,101.0,,50.5,90.9,56
CDM,12067848,PROBE TEMP FOLEY CATH 14FR,96.0,,48.0,86.4,56
CDM,12067990,CATH WORD,179.0,,89.5,161.1,56
CDM,12068051,CATH THERMODILUTION HTICU,1112.0,,556.0,1000.8,61
CDM,12068055,KIT ACCESSORY IABP,115.0,,57.5,103.5,56
CDM,12068070,SET CATH VENT HERMETIC,509.0,,254.5,458.1,56
CDM,12068200,CATH CV 4-LUM,994.0,,136.97,894.6,62
CDM,12068536,TRANSDUCER DBL,281.0,,140.5,252.9,56
CDM,12068537,TRANSDUCER TRIPLE,400.0,,200.0,360.0,56
CDM,12068540,CIPER SYSTEM DISP,1095.0,,547.5,985.5,56
CDM,12068618,CATH CV 1 LUMEN 8FR X 15CM,503.0,,136.97,452.7,57
CDM,12069017,CAP DIALYSIS MINI TRANSFER,286.0,,143.0,257.4,56
CDM,12069100,CONNECTOR DIALYSIS TITANIUM 01,1155.0,,577.5,1039.5,56
CDM,12069205,TRAY VAS ACCESS SUBCLAVIAN,453.0,,226.5,407.7,56
CDM,12069480,BAG DRAIN VENT 700ML,193.0,,96.5,173.7,56
CDM,12070006,BRACE MULTIPODUS XL,786.0,,393.0,707.4,61
CDM,12071203,CATH IABP LINEAR 7.5F 34CC,1527.0,,763.5,1374.3,56
CDM,12071204,CATH IABP LINEAR 7.5FR 40CC,1629.0,,814.5,1466.1,56
CDM,12071535,VAS CATH 24CM DIALYSIS,560.0,,280.0,504.0,61
CDM,12072023,DRSG EXUDRY LEG,44.0,,22.0,39.6,56
CDM,12072626,BIOPINCE BIOPSY DEVICE 18GAX10,292.0,,146.0,262.8,56
CDM,12073753,TUBE FEEDING ULTRA LITE 10FR,93.0,,46.5,83.7,56
CDM,12073755,TUBE FEEDING 10FRX42 NONWEIGHT,84.0,,42.0,75.6,56
CDM,12074806,WRAP COMPRESSION FOOT,685.0,,342.5,616.5,56
CDM,12074894,SET CRICOTHYROTOMY MELKER 9C,1070.0,,535.0,963.0,56
CDM,12075929,PAD DEFIB ADULT MEDTRO,104.0,,52.0,93.6,56
CDM,12077635,DIAL SOL PRISMA BICARB 22,155.0,,39.68,139.5,55
CDM,12077858,INTRO SHEATH PERCUT,214.0,,107.0,192.6,56
CDM,12079502,SET FLUDIC BELMONT FMS 2000,402.0,,201.0,361.8,56
CDM,12080006,BOOT ANKLE CONTRACTURE LG,784.0,,392.0,705.6,61
CDM,12080238,TUBE TRACH CUFFED XL 5.0 PRO,302.0,,151.0,271.8,61
CDM,12080239,TUBE TRACH CUFFED XL 6.0 DIS,271.0,,135.5,243.9,61
CDM,12080240,TUBE TRACH CUFFED XL 6.0 PRO,264.0,,132.0,237.6,61
CDM,12080243,TUBE TRACH CUFFED XL 8.0 DIS,260.0,,130.0,234.0,61
CDM,12080244,TUBE TRACH CUFFED XL 8.0 PRO,264.0,,132.0,237.6,61
CDM,12080295,TRAY PERICARDIOCENTESIS 5.0,619.0,,309.5,557.1,56
CDM,12080471,DIAL SOL NO K HI BICARB 5.0L,155.5,,39.81,139.95,55
CDM,12080974,TRACH PERC BLUE RHINO 8,701.0,,27.95,630.9,57
CDM,12082758,DIALYSIS SOL 3MEQ/L CALCIUM 5L,155.0,,77.5,139.5,54
CDM,12083031,INTR TRACHEOS RHINO TRAY,701.0,,27.95,630.9,57
CDM,12083181,CLOTH SKIN FOLD W/AG,187.0,,2.05,168.3,57
CDM,12083341,COMPRESS STOCKING THIGH,242.0,,121.0,217.8,56
CDM,12083343,COLLAR CERVICAL ASPEN VISTA,508.0,,254.0,457.2,61
CDM,12083344,LUMBAR SACRAL ORTHOSIS (LSO),4568.0,,2284.0,4111.2,61
CDM,12083348,HIP ABDUCT ROTA ORTHO (HARO),2859.0,,1429.5,2573.1,61
CDM,12083349,KNEE ORTHOSIS ELASTIC,323.0,,161.5,290.7,61
CDM,12083350,KNEE ORTHOSIS (T-SCOPE),1559.0,,779.5,1403.1,61
CDM,12083351,AFO PREFAB PLASTIC,608.0,,304.0,547.2,61
CDM,12083352,AFO PREFAB CARBON,1823.0,,911.5,1640.7,61
CDM,12083353,AFO CUSTOM PLASTIC W/ANKLE,1885.0,,942.5,1696.5,61
CDM,12083354,AFO KNEE CUSTOM,3159.0,,1579.5,2843.1,61
CDM,12083355,ADDITION TO LOWER EXTREMITY,151.0,,75.5,135.9,61
CDM,12083358,SHOULDER ORTHOSIS,285.0,,142.5,256.5,61
CDM,12083359,CATH 4-LUM 8.5FR 16CM PI,453.0,,136.97,407.7,62
CDM,12083360,WALKING BOOT,784.0,,392.0,705.6,61
CDM,12083361,AFO PHASE II MULTI PODUS,1062.0,,531.0,955.8,61
CDM,12083362,POST-OP KNEE IMMOBILIZER,883.0,,441.5,794.7,61
CDM,12083363,TRANS-FEMORAL SOCKET,1801.0,,900.5,1620.9,61
CDM,12083364,SOCK BELOW KNEE MULTI PLY,83.0,,41.5,74.7,61
CDM,12083365,LABOR TO REPAIR DEVICE 15 MIN,86.0,,22.5,77.4,57
CDM,12083366,KNEE ORTHOSIS DOUBLE UPRIGHT,1807.0,,903.5,1626.3,61
CDM,12083367,AFO POSTERIOR ANKLE,1602.0,,801.0,1441.8,61
CDM,12083368,ADD TO LOWER EXT VARUS/VALGUS,370.0,,185.0,333.0,61
CDM,12083369,FOOT INSERT CUSTOM,427.0,,213.5,384.3,61
CDM,12083370,ORTHO SHOE,123.0,,61.5,110.7,61
CDM,12083371,SARMIENTO BRACE HUMERAL FRACT,909.0,,454.5,818.1,61
CDM,12083372,Z*PYLON AND PROSTHETIC FOOT IP,2999.0,,1499.5,2699.1,61
CDM,12083373,ADD TO LOWER EXT BELOW KNEE,169.0,,84.5,152.1,61
CDM,12083374,ARM COMPRESS/MASECTOMY SLEEVE,273.0,,40.5,245.7,62
CDM,12083375,PROSTHETIC SHRINKER BELOW KNEE,402.0,,201.0,361.8,61
CDM,12083376,PROSTHETIC SHRINKER ABOVE KNEE,374.0,,187.0,336.6,61
CDM,12083377,PROSTHETIC SOCK ABOVE KNEE,33.0,,16.5,29.7,61
CDM,12083492,KIT BIOPSY RENAL DISP,117.0,,58.5,105.3,56
CDM,12083596,SHOE DH PRESSURE RELIEF LG,180.0,,90.0,162.0,56
CDM,12083621,SLEEVE KNEE NEOPRINE SM,83.0,,41.5,74.7,56
CDM,12083623,SLEEVE KNEE NEOPRINE LG,83.0,,41.5,74.7,56
CDM,12083632,SHOE ORTHOWEDGE XL,140.0,,70.0,126.0,56
CDM,12083637,SHOE POST-OP MEN LARGE,140.0,,70.0,126.0,56
CDM,12083639,SLING AND SWATHE,214.0,,107.0,192.6,56
CDM,12083649,T-SCOPE ELBO LEFT,273.0,,136.5,245.7,56
CDM,12084558,DRAIN CHEST PLEUR EVAC ADULT,239.0,,119.5,215.1,56
CDM,12084965,SLEEVE SCD KNEE LG,180.0,,90.0,162.0,56
CDM,12084976,INTRO MICRO 5FR NITINOL WIRE,254.0,,127.0,228.6,56
CDM,12085613,KIT CATH ACCUCATH 18GA 1.25IN,98.0,,49.0,88.2,56
CDM,12085614,KIT CATH ACCUCATH 20GA 1.25IN,98.0,,49.0,88.2,56
CDM,12085615,KIT CATH ACCUCATH 18GA 2.25IN,177.0,,88.5,159.3,56
CDM,12085616,KIT CATH ACCUCATH 20GA 2.25IN,177.0,,88.5,159.3,56
CDM,12085709,SET PNEUMOTHORAX ASPIRATION,217.0,,108.5,195.3,56
CDM,12085742,CATH POLYURETHANE 1.4FR 1-LUM,116.0,,58.0,136.97,62
CDM,12085743,CATH SILICONE 1.9FR,110.0,,55.0,136.97,62
CDM,12085744,CATH SILICONE 1.9FR 43CM,119.0,,59.5,136.97,62
CDM,12086291,KIT DRAIN W/1000ML BOTTLE,221.0,,110.5,198.9,56
CDM,12089419,KIT TUBE CORGRIP NG/NI 10F,245.0,,122.5,220.5,56
CDM,12089672,GEL IODOSORB 40GM TUBE,315.0,,80.64,283.5,55
CDM,12089673,POSITIONER Z-FLO FLUIDIZED,129.0,,64.5,116.1,56
CDM,12090006,BRACE MULTIPODUS SM,790.0,,395.0,711.0,61
CDM,12090355,CANISTER RENASYS KIT 300CC,81.0,,40.5,72.9,56
CDM,12090356,CANISTER RENASYS KIT 800CC,84.0,,42.0,75.6,56
CDM,12090357,DRESSING RENASYS-F KIT SMALL,106.0,,53.0,95.4,56
CDM,12090358,DRESSING RENASYS-F KIT MEDIUM,123.0,,61.5,110.7,56
CDM,12090359,DRESSING RENASYS-F KIT LARGE,174.0,,87.0,156.6,56
CDM,12090360,DRESSING RENASYS-AB KIT W/PORT,264.0,,132.0,237.6,56
CDM,12090361,PORT SOFT RENASYS STAND ALONE,61.0,,30.5,54.9,56
CDM,12090362,DRESSING RENASYS-G KIT LARGE,111.0,,55.5,99.9,56
CDM,12090366,DGS FOAM HYDROPHILIC WHITE,76.0,,38.0,68.4,56
CDM,12090464,KNEE IMMOBILIZER TRI-PANEL 221,93.0,,46.5,96.68,61
CDM,12090466,KNEE IMMOBILIZER TRI-PANEL 161,85.0,,42.5,96.68,61
CDM,12090467,FOAM ARM CRADLE POSITIONER,78.0,,39.0,70.2,56
CDM,12091020,WALKER INLINE AIR-MEDIUM,170.0,,85.0,153.0,61
CDM,12091026,CATHETER ER-REBOA ER7232A,4502.0,,208.48,4051.8,57
CDM,12091123,BRACE FLA JEWETT HYPEREXTEND,2926.0,,1463.0,2633.4,61
CDM,12091124,LINER HALO,1369.0,,684.5,1232.1,61
CDM,12091125,PROTECTOR SOFT STUMP AK/BK 02,1164.0,,582.0,1047.6,61
CDM,12091126,SOCK BELOW KNEE SINGLE PLY,31.0,,15.5,27.9,61
CDM,12091128,"COLLAR CERVICAL SOFT 2""",93.0,,46.5,83.7,61
CDM,12091133,ADD TO KNEE FOR ADJ KNEE FLEX,639.0,,319.5,575.1,61
CDM,12091134,ORTHOSIS KNEE PREFAB,233.0,,116.5,209.7,61
CDM,12091135,INGUINAL TRUSS,332.0,,166.0,298.8,61
CDM,12091185,CATH 2-LUM PICC 2.6FR,246.0,,123.0,221.4,62
CDM,12091186,INTRODUCER CATH PICC 2.8FR,116.0,,46.81,104.4,57
CDM,12091293,SYS SUBDURAL EVAC PORT KIT,3347.0,,1673.5,3012.3,56
CDM,12092300,TRAY FULL POWER TRIALYSIS 20CM,608.0,,98.18,547.2,57
CDM,12092688,TRAY FULL POWER TRIALYSIS 15CM,679.0,,98.18,611.1,57
CDM,12092852,TRAY FULL POWER TRIALYSIS 24CM,679.0,,98.18,611.1,62
CDM,12093116,CANISTER THOPAZ 0.8 LITER,112.0,,56.0,100.8,56
CDM,12093117,TUBING SINGLE THOPAZ,107.0,,53.5,96.3,56
CDM,12093176,NDL BONE MARROW 11GAX100MM,124.0,,62.0,111.6,56
CDM,12093431,PROBE CLARIE TEE (DISP),2588.0,,1294.0,2329.2,56
CDM,12093466,KIT SHEATH/INTRO PACING 6F,407.0,,46.81,366.3,57
CDM,12093467,KIT SHEATH/INTRO PACING 5F,400.0,,46.81,360.0,57
CDM,12093838,PAD GEL ARCTIC SUN KIT SM,1867.0,,933.5,1680.3,56
CDM,12093839,PAD GEL ARCTIC SUN KIT MED,2189.0,,1094.5,1970.1,56
CDM,12093840,PAD GEL ARCTIC SUN KIT LG,2145.0,,1072.5,1930.5,56
CDM,12093841,PAD GEL ARCTIC SUN UNIVERSAL,610.0,,305.0,549.0,56
CDM,12094070,DRSG MEPILEX AG 8X8IN,120.0,,19.48,108.0,56
CDM,12094204,LEG POSITIONER W/FOOT STRAP 01,196.0,,98.0,176.4,56
CDM,12094327,BINDER ABDOMEN X-LARGE,198.0,,99.0,178.2,56
CDM,12094537,CATH AIRWAY EXCHANGE RAPI-FIT,182.0,,91.0,163.8,56
CDM,12094567,DRSG MEPILEX AG 6X6IN,78.0,,20.34,70.2,56
CDM,12094759,DRAIN LINE SET,88.0,,44.0,79.2,56
CDM,12095045,PROTECTOR ROOKE BK,721.0,,360.5,648.9,56
CDM,12096113,SHOE LIFT PER INCH,202.0,,101.0,181.8,61
CDM,12096190,SPLINT WRIST,42.0,,21.0,44.14,61
CDM,12096191,ASO ANKLE STABILIZER,66.0,,33.0,59.4,61
CDM,12096192,AFO JOINTS,178.0,,89.0,160.2,61
CDM,12096193,BELOW KNEE MOLDED DIST CUSHION,243.0,,121.5,218.7,61
CDM,12096518,HAND PIECE CUSTOM,821.0,,410.5,738.9,56
CDM,12096587,ORTHOTIC FOOT HEEL ELEVATE,166.0,,83.0,149.4,61
CDM,12099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,12099658,PUSH BLOCK,876.0,,438.0,788.4,56
CDM,12099711,HELMET HARD SHELL,359.0,,179.5,323.1,54
CDM,12099764,KNEE ORTHOSIS PREFAB J BRACE,263.0,,131.5,236.7,61
CDM,12099984,BRACE CUSTOM TURTLE SHELL,2779.0,,1389.5,2501.1,56
CDM,12203882,DUPLEX EXTRACRANIAL UNILAT RT,1257.0,,65.0,1131.3,56
CDM,12203926,DUPLEX ARTERIAL LWR EXT UNI RT,985.0,,31.0,886.5,56
CDM,12203931,DUPLEX ARTERIAL UPR EXT UNI RT,1079.0,,9.0,971.1,56
CDM,12203971,DUPLEX VENOUS EXT UNILAT RT,1132.0,,56.0,1018.8,55
CDM,12213882,DUPLEX EXTRACRANIAL UNILAT LT,1257.0,,65.0,1131.3,56
CDM,12213926,DUPLEX ARTERIAL LWR EXT LT,985.0,,31.0,886.5,56
CDM,12213931,DUPLEX ARTERIAL UPR EXT UNI LT,1079.0,,9.0,971.1,56
CDM,12213971,DUPLEX VENOUS EXT UNILAT LT,1132.0,,56.0,1018.8,56
CDM,12276706,US ABDL AORTA SCREEN AAA,890.0,,87.59,801.0,68
CDM,12293880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,68
CDM,12293882,DUPLEX EXTRACRANIAL UNILAT,1257.0,,65.0,1131.3,68
CDM,12293922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,68
CDM,12293923,DOPPLER ARTERIAL EXT CMPL BIL,1673.0,,81.0,1505.7,68
CDM,12293924,DOPPLER ART EXT W/STRESS BIL,2387.0,,91.0,2148.3,68
CDM,12293925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,12293926,DUPLEX ARTRL LWR EXT UNILT/LMT,1404.0,,31.0,1263.6,68
CDM,12293930,DUPLEX ARTERIAL UPR EXT BILAT,2010.0,,47.0,1809.0,68
CDM,12293931,DUPLEX ART UPR EXT UNILAT/LMTD,1540.0,,9.0,1386.0,68
CDM,12293970,DUPLEX VENOUS EXT BILAT,2291.0,,169.0,2061.9,68
CDM,12293971,DUPLEX VENOUS EXT UNILAT/LMTD,1611.0,,56.0,1449.9,68
CDM,12293975,DUPLEX ABD/PEL/RETRO CMPL,2301.0,,199.1,2070.9,68
CDM,12293976,DUPLEX ABD/PEL/RETRO LTD,1300.0,,65.0,1170.0,67
CDM,12293978,DUPLEX AORTA/IVC/GRAFT CMPL,1424.0,,199.1,1281.6,68
CDM,12293979,DUPLEX AORTA/IVC/GRAFT LTD,1342.0,,87.59,1207.8,67
CDM,12580013,OBSERV PER HR - CPCC,181.0,,63.6,2436.0,57
CDM,12590003,ROOM & BED CHARGE CPCC,7344.0,,1864.0,7500.0,38
CDM,12710361,OXYGEN/DAY,468.0,,234.0,421.2,56
CDM,12803014,TELEHEALTH FACILITY FEE-MEU,78.0,,10.66,70.2,57
CDM,12810003,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,12810060,I&D OF ABSCESS SIMPLE,450.0,,70.0,405.0,68
CDM,12811505,FETAL NON-STRESS TEST,292.0,,67.0,262.8,68
CDM,12811600,US PREG FOLLOWUP PER FETUS,244.0,,32.0,276.71,68
CDM,12811602,FETAL BIO PROFILE W/O NST,1304.0,,87.59,1173.6,68
CDM,12811605,US PREG 1 OR MORE FETUSES LTD,935.0,,45.0,841.5,68
CDM,12811610,US PREG > 14 WKS EA ADDL GEST,1175.0,,32.0,1057.5,55
CDM,12812005,FETAL CONTRACTION STRESS TEST,900.0,,84.0,810.0,68
CDM,12812020,US PREG > 14 WKS SGL/1ST GEST,1230.0,,60.0,1107.0,68
CDM,12876818,FETAL BIOPHYSICAL PF W/NST,1475.0,,55.0,1327.5,68
CDM,12880013,OBSERV PER HR - MEU,80.0,,40.0,2436.0,57
CDM,12890003,ROOM & BED CHARGE MEU,1592.0,,796.0,7500.0,38
CDM,12896365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,68
CDM,12896366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,12896367,IV INFUS THPY/PROP/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,12898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,12898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,12898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,12898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,12898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,12898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,12898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,12898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,12898008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,12898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,12898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,12898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,12898012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,12898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,12898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,12898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,12898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,12899202,VISIT NEW LEVEL II,318.0,,102.2,286.2,68
CDM,12899203,VISIT NEW LEVEL III,431.0,,102.2,387.9,68
CDM,12899204,VISIT NEW LEVEL IV,559.0,,102.2,503.1,68
CDM,12899205,VISIT NEW LEVEL V,632.0,,102.2,568.8,68
CDM,12899211,VISIT ESTAB LEVEL I,205.0,,102.2,184.5,68
CDM,12899212,VISIT ESTAB LEVEL II,290.0,,102.2,261.0,68
CDM,12899213,VISIT ESTAB LEVEL III,372.0,,102.2,334.8,68
CDM,12899214,VISIT ESTAB LEVEL IV,535.0,,102.2,481.5,68
CDM,12899215,VISIT ESTAB LEVEL V,603.0,,102.2,542.7,68
CDM,13100301,NONPRESS INHAL TX-INITIAL**,279.0,,29.0,251.1,68
CDM,13100302,MECH CHEST WALL OSCIL-INIT**,259.0,,29.37,250.39,68
CDM,13100401,NONPRESS INHAL TX-SUBSEQUENT**,279.0,,29.0,251.1,68
CDM,13100402,MECH CHEST WALL OSCIL-SUBSEQ**,259.0,,29.37,250.39,68
CDM,13104618,PULMONARY STRESS TEST SIMPLE,641.0,,32.55,576.9,68
CDM,13110080,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,13110090,SPIROMETRY/PFT PRE&POST BRONCH,1099.0,,77.0,989.1,68
CDM,13110305,INCENTIVE SPIROMETRY/TRT.,285.0,,20.0,256.5,68
CDM,13110306,VITAL CAPACITY- TOTAL,312.0,,4.0,280.8,68
CDM,13110307,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,13110309,VENT MGMT ED INITIAL DAY,2281.0,,544.53,2052.9,68
CDM,13110310,CHEST PT TREATMENT INITIAL 01,310.0,,29.37,279.0,68
CDM,13110311,CHEST PT CF PATIENT INITIAL,310.0,,29.37,279.0,68
CDM,13110312,CHEST PT VIA VEST INITIAL,310.0,,29.37,279.0,68
CDM,13110314,NITRIC OXIDE BABY INITL 12HRS,7136.0,,1826.82,6422.4,55
CDM,13110315,VENT MGMT INITIAL DAY,2452.0,,544.53,2206.8,68
CDM,13110316,VENT MGMT SUBSEQ DAY,2168.0,,43.0,1951.2,68
CDM,13110321,ET SUCTION,437.0,,167.53,393.3,68
CDM,13110322,NT SUCTION,437.0,,167.53,393.3,68
CDM,13110323,OXYGEN HI FLOW W/CANNULA/DAY,544.0,,272.0,489.6,56
CDM,13110329,CPAP/BIPAP INITIAL 12HRS,1422.0,,119.0,1279.8,68
CDM,13110330,CPAP/BIPAP SUBSEQUENT 12HRS,903.0,,119.0,812.7,68
CDM,13110341,AEROSOL/DAY,542.0,,271.0,487.8,56
CDM,13110345,COUGH ASSIST,279.0,,29.37,251.1,68
CDM,13110462,"SPUTUM,OBTAIN SPEC,AEROSOL IND",279.0,,29.0,251.1,68
CDM,13110530,NEB MEDICATION TX INITIAL,279.0,,29.0,251.1,68
CDM,13110540,MECHANICS OF VENTILATION,775.0,,23.0,697.5,68
CDM,13110565,RESUSCITATION SUPPLIES,269.0,,134.5,242.1,56
CDM,13110605,PULSE OXIMETRY/SINGLE,116.0,,3.2,104.4,57
CDM,13110606,PULSE OXIMETRY/MULTIPLE,350.0,,3.47,315.0,57
CDM,13110607,PULSE OXIMETRY/OVERNIGHT,472.0,,128.87,424.8,68
CDM,13110711,"MDI TREATMENT, INITIAL",279.0,,29.0,251.1,68
CDM,13111025,BRONCHOSCOPY KIT,200.0,,100.0,180.0,56
CDM,13120010,"OXYGEN UPTAKE, REST, INDIRECT",810.0,,39.0,729.0,68
CDM,13120310,CHEST PT TREATMENTSUBSEQ,275.0,,29.37,250.39,68
CDM,13120311,CHEST PT CF PATIENT SUBSEQUENT,275.0,,29.37,250.39,68
CDM,13120312,CHEST PT VIA VEST SUBSEQUENT,275.0,,29.37,250.39,68
CDM,13120314,NITRIC OXIDE BABY SUBSQ 12HRS,6084.0,,1557.5,5475.6,55
CDM,13120319,HI FREQ VENT MGMT SUBSEQ DAY,2168.0,,43.0,1951.2,68
CDM,13120345,"IPV TREATMENT, INITIAL",279.0,,29.37,251.1,68
CDM,13120346,"IPV TREATMENT, SUBSEQUENT",279.0,,29.37,251.1,68
CDM,13120530,NEB MEDICATION TX SUBSEQ,279.0,,29.0,251.1,56
CDM,13120561,"INTUBATION, ENDOTRACH EMERG",1005.0,,191.28,904.5,68
CDM,13120580,ASSIST W/BRONCH AT BEDSIDE,2485.0,,994.0,2236.5,56
CDM,13120603,BAL LUNG LAVAGE SPEC COLLECT,3564.0,,1782.0,3207.6,56
CDM,13120711,"MDI-TREATMENT, SUBSEQ",279.0,,29.0,251.1,68
CDM,13120720,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,13120721,ARTERIAL PUNCTURE,232.0,,64.0,208.8,68
CDM,13182803,ARTERIAL BLOOD GAS,462.0,,13.29,415.8,68
CDM,13182805,VBG WITH DIRECT O2 SAT,376.0,,41.0,338.4,68
CDM,13183605,LACTATE/LACTIC ACID BLOOD,254.0,,7.91,228.6,68
CDM,13194618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,13194640,NEBULIZER TREATMENT IN ED,279.0,,29.0,251.1,68
CDM,13194645,CONTINUOUS INHAL TX EA ADDL HR,411.0,,205.5,369.9,56
CDM,13300538,OR LVL 1 INIT HR,10779.0,,4311.6,9701.1,56
CDM,13300544,OR LVL 1 ADDL 15 MIN,2194.0,,877.6,1974.6,56
CDM,13400022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,13400452,MTNC EXERCISE PROG PER MONTH,70.0,,35.0,63.0,56
CDM,13400453,MTNC SPVD EXERCISE PRGM/MONTH,103.0,,51.5,92.7,56
CDM,13400455,MTNC CARD/PULM PER SESSION,43.0,,21.5,38.7,56
CDM,13400456,RESP STRENGTH/ENDURANCE 15 MIN,229.0,,7.37,206.1,68
CDM,13400461,RESP FUNCTION 15 MIN,392.0,,13.2,352.8,68
CDM,13400462,RESP FUNCTION GROUP,302.0,,13.9,271.8,68
CDM,13404625,OP PUL RHB W/O CONT OX MNTR-KX,470.0,,235.0,423.0,56
CDM,13404626,OP PUL REHAB W/CONT OX MNTR-KX,470.0,,235.0,423.0,56
CDM,13410001,KX*CRD NO MONITOR SESSION,259.0,,19.25,233.1,56
CDM,13410010,MTNC EXERCISE PRGM W/PARKING,103.0,,51.5,92.7,56
CDM,13410013,"MTNC EXERCISE PRGM TU,FR",55.0,,27.5,49.5,56
CDM,13410014,CARDIAC REHAB-MAINTENANCE NEW,50.0,,25.0,192.61,68
CDM,13410237,RESP STRENGTH/ENDURANCE 15 MIN,252.0,,7.37,226.8,68
CDM,13413797,KX*CRD NO MON SAMEDAY W/93798,259.0,,19.25,233.1,56
CDM,13419530,CARD REHAB-MAINTENANCE RETURN,8.0,,4.0,192.61,68
CDM,13420001,CRD NO MONITOR SESSION,259.0,,19.25,233.1,68
CDM,13460002,WALK TEST MAINTENANCE,151.0,,75.5,135.9,56
CDM,13460006,SUPERVISED EXERCISE SESSION,47.0,,23.5,192.61,68
CDM,13493005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,13493041,ECG RHYTHM TRACING ONLY,271.0,,7.0,243.9,68
CDM,13493306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,13493797,OP CARD REHAB W/O CONT ECG,259.0,,19.25,233.1,68
CDM,13493798,OP CARD REHAB W/ CONT ECG,259.0,,26.37,233.1,68
CDM,13494618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,13494625,OP PULM REHAB W/O CONT OX MNTR,470.0,,48.93,423.0,68
CDM,13494626,OP PULM REHAB W/CONT OX MNTR,470.0,,48.93,423.0,68
CDM,13494642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,13499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,13499406,SMOK CESS COUN INTER >3MIN,92.0,,24.54,82.8,68
CDM,13499407,SMOK CESS COUN INTEN >10 MIN,125.0,,24.54,112.5,68
CDM,13501029,SIROLIMUS (RAPAMYCIN) BLOOD,395.0,,9.85,355.5,68
CDM,13501521,DRUG TEST DEFIN 22+ CLASSES,1222.0,,227.17,1099.8,68
CDM,13520001,HEMOGLOBIN ELECTROPHORESIS CAP,259.0,,9.07,233.1,68
CDM,13520004,"RHEUMATOID FACTOR, QUANT.",211.0,,5.22,189.9,68
CDM,13520006,AMYLASE URINE,213.0,,4.55,191.7,68
CDM,13520009,AMYLASE FLUID,213.0,,4.55,191.7,68
CDM,13520010,AMYLASE SERUM,213.0,,4.55,191.7,68
CDM,13520011,ALBUMIN SERUM,85.0,,2.32,76.5,68
CDM,13520012,ALBUMIN BODY FLUID,119.0,,7.16,107.1,68
CDM,13520013,ALBUMIN (MICROALBUMIN) URINE,150.0,,5.32,135.0,68
CDM,13520014,ALBUMIN (MICROALBUMIN)  URINE,150.0,,5.32,135.0,68
CDM,13520015,BILIRUBIN TOTAL SERUM,92.0,,4.62,82.8,68
CDM,13520017,BILIRUBIN FLUID,92.0,,4.62,82.8,68
CDM,13520018,BILIRUBIN DIRECT,67.0,,4.62,60.3,68
CDM,13520023,C4 SERUM,237.0,,5.59,213.3,68
CDM,13520024,GLUCAGON TOL PANEL INSULINOMA,428.0,,23.83,385.2,68
CDM,13520025,GLUCOSE BLOOD- EACH ADDITIONAL,80.0,,5.89,72.0,56
CDM,13520026,C3 (COMPLEMENT),237.0,,5.59,213.3,68
CDM,13520028,THYROXINE (T-4) TOTAL,140.0,,3.38,126.0,68
CDM,13520029,IGM SERUM,218.0,,7.88,196.2,68
CDM,13520030,IGA SERUM,218.0,,7.88,196.2,68
CDM,13520031,IGG SERUM,218.0,,7.88,196.2,68
CDM,13520032,DIGOXIN (LANOXIN),196.0,,11.23,176.4,68
CDM,13520033,SOMATOMEDIN C (IGF-1),386.0,,3.45,347.4,68
CDM,13520034,ANTI-TRYPSIN ALPHA-1,226.0,,10.14,203.4,68
CDM,13520042,CERULOPLASMIN,177.0,,9.04,159.3,68
CDM,13520045,CALCIUM SERUM,82.0,,2.3,73.8,68
CDM,13520049,LIPID PANEL,187.0,,10.21,168.3,68
CDM,13520060,CHLORIDE SERUM,73.0,,2.34,65.7,68
CDM,13520061,BICARBONATE SERUM,117.0,,2.31,105.3,68
CDM,13520062,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,13520063,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,13520070,CHLORIDE URINE,134.0,,2.32,120.6,68
CDM,13520075,CHOLESTEROL,113.0,,2.33,101.7,68
CDM,13520076,HDL CHOLESTEROL,187.0,,3.44,168.3,68
CDM,13520077,"LDL CHOLESTEROL, DIRECT",156.0,,2.21,140.4,68
CDM,13520080,ACETAMINOPHEN,279.0,,17.15,251.1,68
CDM,13520081,AMMONIA BLOOD,190.0,,13.4,171.0,68
CDM,13520086,ALCOHOL (ETOH) BLOOD,279.0,,45.78,251.1,68
CDM,13520092,CREATINE KINASE (CPK) TOTAL,91.0,,3.45,81.9,68
CDM,13520093,CREATINE KINASE (CPK) MB ONLY,152.0,,3.38,136.8,68
CDM,13520094,TROPONIN QN,146.0,,10.69,131.4,68
CDM,13520095,CREATININE,80.0,,2.3,72.0,68
CDM,13520096,CREATININE BODY FLUID,142.0,,3.35,127.8,68
CDM,13520097,SALICYLATE,279.0,,17.15,251.1,68
CDM,13520100,CREATININE URINE,142.0,,3.35,127.8,68
CDM,13520111,DRUG SCREEN METHADONE**,116.0,,15.77,104.4,68
CDM,13520115,CEA,312.0,,10.02,280.8,68
CDM,13520120,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,13520121,CREATININE CLEARANCE,145.0,,4.2,130.5,68
CDM,13520124,TOXOPLASMA IGG ANTIBODY,329.0,,5.59,296.1,68
CDM,13520125,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,13520126,GLUCOSE QNT (1HR POST GLUCOLA),90.0,,2.17,81.0,68
CDM,13520127,RUBELLA ANTIBODY,253.0,,5.64,227.7,68
CDM,13520130,GLUCOSE CSF,89.0,,3.62,80.1,68
CDM,13520131,GLUCOSE BODY FLUID,89.0,,3.62,80.1,68
CDM,13520144,GTT-EACH ADDIT SPEC,80.0,,2.41,72.0,68
CDM,13520145,GTT-FIRST 3 SPEC,164.0,,5.41,147.6,68
CDM,13520149,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,13520150,LIPASE SERUM,132.0,,4.54,118.8,68
CDM,13520155,LDH SERUM,145.0,,2.36,130.5,68
CDM,13520156,LDH BODY FLUID,145.0,,2.36,130.5,68
CDM,13520157,ALPHA-FETOPROTEIN-SERUM,270.0,,7.45,243.0,68
CDM,13520158,LUTEINIZING HORMONE,379.0,,5.48,341.1,68
CDM,13520159,FOLLICLE STIMULATION HORMONE,379.0,,9.78,341.1,68
CDM,13520161,CA 125,382.0,,13.2,343.8,68
CDM,13520162,ESTRADIOL,404.0,,25.7,363.6,68
CDM,13520163,CA 19-9,382.0,,7.2,343.8,68
CDM,13520164,CA (BR) 15-3 (27-29),382.0,,19.15,343.8,68
CDM,13520170,ALKALINE PHOSPHATASE,110.0,,2.25,99.0,68
CDM,13520175,PHOSPHORUS SERUM,83.0,,2.27,74.7,68
CDM,13520177,B-TYPE NATRIURETIC PEPTIDE,426.0,,36.12,383.4,68
CDM,13520180,PHOSPHORUS URINE,142.0,,3.3,127.8,68
CDM,13520205,POTASSIUM URINE,104.0,,2.24,93.6,68
CDM,13520215,PROTEIN TOTAL CSF OTHER SOURCE,148.0,,3.68,133.2,68
CDM,13520220,PROTEIN TOTAL BODY FLUID O/S,148.0,,3.68,133.2,68
CDM,13520246,PROCALCITONIN (PCT),376.0,,25.04,338.4,68
CDM,13520250,SODIUM URINE,139.0,,2.25,125.1,68
CDM,13520251,URINE DRUG SCREEN,323.0,,57.17,290.7,68
CDM,13520252,URINE DRUG CONFIRMATION,431.0,,45.78,387.9,68
CDM,13520255,XYLOSE BLOOD.,196.0,,7.88,176.4,68
CDM,13520260,XYLOSE URINE.,196.0,,7.88,176.4,68
CDM,13520261,"IMMUNOFIXATION, URINE ELECT",584.0,,27.0,525.6,68
CDM,13520262,IMMUNOFIXATION SERUM ELEC,491.0,,20.55,441.9,68
CDM,13520265,CALCIUM URINE QUANT,130.0,,3.44,117.0,68
CDM,13520270,AST/SGOT,69.0,,2.29,62.1,68
CDM,13520271,ALT/SGPT,70.0,,2.34,63.0,68
CDM,13520272,GGT/GGTP,109.0,,6.3,98.1,68
CDM,13520280,UREA NITROGEN QUANTITATIVE,90.0,,2.35,81.0,68
CDM,13520281,UREA NITROGEN QUANT BODY FLUID,90.0,,2.35,81.0,68
CDM,13520285,UREA NITROGEN URINE,123.0,,3.34,110.7,68
CDM,13520290,URIC ACID BLOOD,110.0,,2.25,99.0,68
CDM,13520291,URIC ACID OTHER SOURCE,201.0,,2.26,180.9,68
CDM,13520299,MYCOPHENOLIC ACID (CHEM),468.0,,16.61,421.2,68
CDM,13520300,LITHIUM,172.0,,4.58,154.8,68
CDM,13520301,TESTOSTERONE TOTAL,418.0,,12.34,376.2,68
CDM,13520306,VITAMIN D 25 HYDROXY,384.0,,27.23,345.6,68
CDM,13520316,ACTH,554.0,,33.53,498.6,68
CDM,13520320,FERRITIN                82728,225.0,,8.96,202.5,68
CDM,13520335,HCG QN SERUM,309.0,,10.01,278.1,68
CDM,13520350,HEMOGLOBIN ELECT ACID PH,259.0,,9.07,233.1,68
CDM,13520356,HEMOGLOBIN ELECT ALK PH,259.0,,9.07,233.1,68
CDM,13520360,PROTEIN TOTAL SERUM,85.0,,2.35,76.5,68
CDM,13520362,PROTEIN ELECTROP SERUM,201.0,,7.95,180.9,68
CDM,13520364,PROTEIN ELECTROP URINE,273.0,,16.4,245.7,68
CDM,13520379,HAPTOGLOBIN QN,150.0,,11.57,135.0,68
CDM,13520380,PROSTATE SPECIFIC AG TOTAL,361.0,,13.4,324.9,68
CDM,13520381,PROSTATE CNCR SCRN- PSA- TOTAL,475.0,,17.77,427.5,68
CDM,13520383,PROSTATE SPECIFIC AG FREE,199.0,,16.92,179.1,68
CDM,13520385,TRIIODOTHYRONINE (T-3) TOTAL,232.0,,6.68,208.8,68
CDM,13520387,TRIIODOTHYRONINE (T-3) FREE,277.0,,8.71,249.3,68
CDM,13520400,THYROID STIMULATING HORMONE,243.0,,10.09,218.7,68
CDM,13520405,THYROXINE (T-4) FREE,138.0,,6.61,124.2,68
CDM,13520420,PTH INTACT N-TERM.,598.0,,21.24,538.2,68
CDM,13520421,PARATHYROID HORMONE INTRAOPER,598.0,,21.24,538.2,68
CDM,13520455,CORTISOL SERUM,270.0,,12.7,243.0,68
CDM,13520468,C-PEPTIDE,166.0,,17.89,149.4,68
CDM,13520469,C-PEPTIDE EACH ADDITIONAL,166.0,,17.89,149.4,56
CDM,13520470,INSULIN SERUM,186.0,,10.52,167.4,68
CDM,13520475,PROLACTIN,320.0,,7.9,288.0,68
CDM,13520481,C-REACTIVE PROTEIN,210.0,,3.36,189.0,68
CDM,13520482,C-REACTIVE PROTEIN HIGH SENS,273.0,,10.5,245.7,68
CDM,13520491,PREALBUMIN,225.0,,10.07,202.5,68
CDM,13520492,HEMOGLOBIN PLASMA,192.0,,6.73,172.8,68
CDM,13520505,IRON SERUM              83540,117.0,,2.26,105.3,68
CDM,13520506,TOXOPLASMA IGM,330.0,,6.4,297.0,68
CDM,13520507,TOTAL IGE,273.0,,7.31,245.7,68
CDM,13520508,GASTRIN ASSAY,280.0,,13.5,252.0,68
CDM,13520509,BETA-2 MICROGLOBULIN,266.0,,14.89,239.4,68
CDM,13520512,VALPROIC ACID FREE,340.0,,12.46,306.0,68
CDM,13520515,IRON BINDING CAPACITY   83550,151.0,,2.37,135.9,68
CDM,13520530,CMV IGG AB,334.0,,5.58,300.6,68
CDM,13520545,MAGNESIUM,140.0,,6.16,126.0,68
CDM,13520546,MAGNESIUM URINE,117.0,,6.16,105.3,68
CDM,13520557,OSMOLALITY SERUM,146.0,,5.73,131.4,70
CDM,13520558,OSMOLALITY URINE,146.0,,5.46,131.4,70
CDM,13520578,PROTEIN TOTAL URINE,85.0,,3.38,76.5,68
CDM,13520580,TRIGLYCERIDES,104.0,,2.31,93.6,68
CDM,13520601,SICKLE CELL RBC,88.0,,3.46,79.2,68
CDM,13520611,CYSTATIN C,249.0,,17.04,224.1,68
CDM,13520630,VANCOMYCIN,226.0,,11.26,203.4,68
CDM,13520640,DIPROPYLACETIC ACID (VALPROIC),202.0,,9.85,181.8,68
CDM,13520665,GENTAMICIN RANDOM,245.0,,13.04,220.5,68
CDM,13520670,TOBRAMYCIN,238.0,,11.29,214.2,68
CDM,13520695,METHOTREXATE,358.0,,35.48,322.2,68
CDM,13520700,LIDOCAINE SERUM.,263.0,,13.51,236.7,68
CDM,13520755,AMIKACIN SERUM.,277.0,,7.86,249.3,70
CDM,13520782,HEMOGLOBIN S AND C,88.0,,3.46,79.2,68
CDM,13520785,CYCLOSPORIN SERUM.      80158,562.0,,10.07,505.8,68
CDM,13520795,PHENOBARBITAL,216.0,,8.94,194.4,68
CDM,13520800,PHENYTOIN (DILANTIN) TOTAL,196.0,,12.19,176.4,68
CDM,13520805,CARBAMAZEPINE (TEGRETOL) TOTAL,217.0,,10.14,195.3,68
CDM,13520826,TACROLIMUS II (FK506),457.0,,12.63,411.3,68
CDM,13520830,VITAMIN B12,232.0,,6.71,208.8,68
CDM,13520835,"FOLIC ACID, PLASMA",175.0,,5.6,157.5,68
CDM,13520841,"HOMOCYSTEINE, PLASMA",319.0,,16.49,287.1,68
CDM,13520862,NICOTINE URINE (UAB CHEM DEPT),104.0,,15.77,93.6,68
CDM,13520905,TRANSFERRIN,173.0,,2.3,155.7,68
CDM,13520911,INSULIN SERUM- EACH ADDITIONAL,186.0,,12.37,167.4,56
CDM,13520929,SEX HORMONE BINDING GLOBULIN,223.0,,3.36,200.7,68
CDM,13520996,HEPATITIS A IGM,221.0,,5.69,198.9,68
CDM,13520999,HEPATITIS B CORE IGM,305.0,,5.71,274.5,68
CDM,13529500,ELECTROLYTE PANEL,178.0,,3.21,160.2,68
CDM,13529506,HEPATIC FUNCTION PANEL,232.0,,7.0,208.8,68
CDM,13529511,BASIC METABOLIC PANEL,340.0,,7.2,306.0,68
CDM,13529517,COMPREHENSIVE METABOLIC PANEL,456.0,,9.6,410.4,68
CDM,13529520,RENAL FUNCTION PANEL,248.0,,5.0,223.2,68
CDM,13529550,DRUGS OF ABUSE PROFILE,1221.0,,15.77,1098.9,68
CDM,13555031,BETA-HYDROXYBUTYRATE,197.0,,2.33,177.3,68
CDM,13650001,ASP BONE MARROW ONLY,1516.0,,606.4,1994.58,68
CDM,13650005,BM GROUP II PAS STAIN,291.0,,12.67,261.9,69
CDM,13650020,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,13650022,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,13650024,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,13650025,CELL COUNT BODY FLUID W/DIFF,88.0,,2.19,79.2,68
CDM,13650026,VISCOSITY,288.0,,10.01,259.2,68
CDM,13650030,CELL COUNT CSF W/DIFF,88.0,,2.19,79.2,68
CDM,13650051,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,13650055,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,13650057,EOSINOPHIL SMEAR URINE,150.0,,3.39,135.0,68
CDM,13650059,AUTOMATED WBC W/AUTO DIFF,158.0,,5.95,142.2,68
CDM,13650066,G6PD ENZYME SCREEN,174.0,,5.57,156.6,68
CDM,13650070,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,13650085,LEUKOCYTE ALK PHOS W/COUNT,152.0,,7.83,136.8,68
CDM,13650089,"IRON STAIN, BONE MARROW",291.0,,12.67,261.9,69
CDM,13650095,OSMOTIC FRAGILITY,397.0,,12.29,357.3,68
CDM,13650100,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,13650101,BONE MARROW- BIOPSY,2276.0,,910.4,2048.4,68
CDM,13650120,RED BLOOD CELL COUNT,108.0,,1.21,97.2,68
CDM,13650125,BLOOD COUNT RETICULOCYTE AUTO,113.0,,3.67,101.7,68
CDM,13650129,SED RATE RBC AUTO,179.0,,2.33,161.1,68
CDM,13650150,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,13650222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,13650250,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,13650295,"MYOGLOBIN, URINE",174.0,,11.89,156.6,68
CDM,13670005,KETONES URINE,142.0,,2.07,127.8,68
CDM,13670100,"HEMOSIDERIN, URINE",82.0,,4.37,73.8,68
CDM,13670102,FETAL FIBRONECTIN,819.0,,59.26,737.1,68
CDM,13670115,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,13670140,PH URINE,142.0,,2.07,127.8,68
CDM,13670145,PH BODY FLUID,57.0,,3.29,51.3,68
CDM,13670165,PROTEIN UR QUAL,142.0,,2.07,127.8,68
CDM,13670180,URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,68
CDM,13670181,URINALYSIS WITH MICROSCOPIC,153.0,,2.92,137.7,68
CDM,13670190,SPECIFIC GRAVITY FLUID,35.0,,2.21,31.5,68
CDM,13670195,SPECIFIC GRAVITY URINE,142.0,,2.07,127.8,68
CDM,13670200,SUGAR URINE QUAL,142.0,,2.07,127.8,68
CDM,13670215,CRYSTAL LIGHT ID MICROSCOPY,108.0,,6.74,97.2,68
CDM,13780013,OBSERV PER HR - PRE7,80.0,,40.0,2436.0,57
CDM,13790003,ROOM & BED CHARGE PRE7 AM ADMI,1599.5,,541.0,7500.0,76
CDM,13802400,BRIOVAD SYSTEM,165357.0,,82678.5,148821.3,61
CDM,13833979,INS DVC VENTRIC INTRACORP SGL,10116.0,,4046.4,9104.4,56
CDM,13915680,LEA-UEA BILAT EXTREMITIES,1673.0,,81.0,1505.7,68
CDM,13915682,DOPPLER ARTERIAL EXT LTD,775.0,,81.0,697.5,68
CDM,13919020,REGIONAL BLOCK PLCMT/15MIN,923.0,,369.2,830.7,56
CDM,13940011,PREP RECOVERY STEPDOWN ADDL 15,419.0,,209.5,377.1,56
CDM,13980013,OBSERV PER HR - PRE5,82.0,,41.0,2436.0,57
CDM,13990003,ROOM & BED CHARGE-PRE5 AM ADM,2117.0,,1058.5,7500.0,38
CDM,14000001,MISC IMPLANT,0.01,,0.005,0.009,61
CDM,14000011,TA-55 4.8 STAPLE LOADING UNIT,169.0,,84.5,152.1,56
CDM,14000017,CATH INNERVISION 15CM,384.0,,192.0,345.6,56
CDM,14000026,BRUSH CYTOLOGY BX SET 3.2F 115,255.0,,127.5,229.5,56
CDM,14000032,LIGATOR DUETTE MUSCOSECTOMY 01,594.0,,297.0,534.6,56
CDM,14000058,DRAIN JACKSON PRATT 7MM FLAT,98.0,,49.0,88.2,56
CDM,14000060,DERMA CARRIERS MESH 1-1/2 TO,290.0,,145.0,261.0,56
CDM,14000062,DERMACARRIER II 3:1,89.0,,44.5,80.1,56
CDM,14000066,PK ACCESSORY VASOVIEW VH-2004,401.0,,200.5,360.9,56
CDM,14000090,GDWIRE ASNIS THRD 3.2X300 01,325.0,,162.5,292.5,56
CDM,14000091,CATH FUSION TITAN 4MM,604.0,,302.0,543.6,56
CDM,14000094,CLAMP CRUTCHFIELD CAROTID,697.0,,348.5,627.3,56
CDM,14000097,VALVE HEART ST JUDE,8362.0,,4181.0,7525.8,61
CDM,14000111,CATHETER EMBOLIZATION,219.0,,109.5,314.82,57
CDM,14000128,CATH FOGARTY EMBOLECT 3FR 80C,94.0,,47.0,314.82,57
CDM,14000135,SYS SEAL LOAD HEARTSTRING 3,1328.0,,664.0,1195.2,56
CDM,14000139,CATH SET VENTRICULAR HERMETIC,552.0,,276.0,496.8,56
CDM,14000142,TUBE SALIVARY MONTGOMERY 10MM,518.0,,259.0,466.2,61
CDM,14000149,FELT TEFLON STRIPS 6X1X1/16,1076.0,,538.0,968.4,56
CDM,14000155,"COLLAGEN SPONGE BICOL 3X4""",228.0,,114.0,205.2,56
CDM,14000167,STAPLE ECHELON RELOAD 60MM,451.0,,225.5,405.9,56
CDM,14000187,VALVE HEART AORTIC EDWARDS,18973.0,,9486.5,17075.7,61
CDM,14000189,BLOWER/MISTER AXIUS CB-1000,177.0,,88.5,159.3,56
CDM,14000200,SEALER BIPOL AQUAMANTYS 9.5 XL,1430.0,,715.0,1287.0,56
CDM,14000202,RESERVOIR SALMON-RICKMAN 11MM,993.0,,496.5,893.7,56
CDM,14000207,REAMER TRINKLE 510MM,958.0,,479.0,862.2,56
CDM,14000209,PEN CARDIOBLATE,1960.0,,980.0,1764.0,56
CDM,14000211,VALVE MOSAIC,11565.0,,5782.5,10408.5,61
CDM,14000212,BAND DURAN 620B,2865.0,,1432.5,2578.5,61
CDM,14000214,PROTECTOR NERVE AXOGUARD,4675.0,,2337.5,4207.5,61
CDM,14000215,NERVE PROBE VERI STIM DISP,242.0,,121.0,217.8,56
CDM,14000218,CARDIOBLATE ABLATION DEVICE,8686.0,,4343.0,7817.4,56
CDM,14000239,PACK LARYNGECTOMY,1622.0,,811.0,1459.8,56
CDM,14000254,VLV AORTIC REGENT FLEXCUFF,7313.0,,3656.5,6581.7,61
CDM,14000267,ABLATION DEVICE BI/MONOPOLAR,8755.0,,4377.5,7879.5,56
CDM,14000271,NEEDLE SPINAL ANES 25GAX3.5,17.0,,8.5,15.3,56
CDM,14000274,GIA-80 4.8 STAPLE RELOAD UNIT,300.0,,150.0,270.0,56
CDM,14000276,CATH GUID CORONARY LAUNCHER 6F,168.0,,84.0,151.2,57
CDM,14000277,STAPLE ENDO GIA 45 RELOAD 2.5,674.0,,337.0,606.6,56
CDM,14000278,STAPLE ENDO GIA 45 RELOAD 3.5,662.0,,331.0,595.8,56
CDM,14000282,SUTURE 01,50.0,,25.0,45.0,56
CDM,14000283,SUTURE 10,101.0,,50.5,90.9,56
CDM,14000284,SUTURE 20,151.0,,75.5,135.9,56
CDM,14000285,SUTURE 30,201.0,,100.5,180.9,56
CDM,14000286,SUTURE 40,252.0,,126.0,226.8,56
CDM,14000287,SUTURE 50,323.0,,161.5,290.7,56
CDM,14000288,SUTURE 75,433.0,,216.5,389.7,56
CDM,14000289,SUTURE 100,539.0,,269.5,485.1,56
CDM,14000290,SUTURE 125,621.0,,310.5,558.9,56
CDM,14000291,SUTURE 150,757.0,,378.5,681.3,56
CDM,14000292,SUTURE 175,865.0,,432.5,778.5,56
CDM,14000293,STAPLE ENDO GIA 60 RELOAD 3.5,934.0,,467.0,840.6,56
CDM,14000295,DEVICE LIGASURE VASCULAR 5MM,1183.0,,591.5,1064.7,56
CDM,14000296,KIT ENDOPATH LAPAROSCOPIC,938.0,,469.0,844.2,56
CDM,14000306,CLAMP INSERT SOFTJAW 61MM,126.0,,63.0,113.4,56
CDM,14000384,PAK NEEDLE SEXTANT,649.0,,324.5,584.1,56
CDM,14000386,CASSETTE CORE IRRIGATION,179.0,,89.5,161.1,56
CDM,14000387,SEALER LAPAROSCOPIC AQUAMANTYS,2354.0,,1177.0,2118.6,56
CDM,14000389,TUBE ENDOBRONCH LEFT 32F,154.0,,77.0,138.6,56
CDM,14000391,CATH MUSTANG 5F 6X20X75CM,514.0,,257.0,462.6,62
CDM,14000392,COIL AZUR DETACH 18 12MMX20CM,2014.0,,1007.0,1812.6,61
CDM,14000393,COIL AZUR DETACH 35 20MMX30CM,2983.0,,1491.5,2684.7,61
CDM,14000395,COIL AXZUR DETACH 18 10MMX15CM,2014.0,,1007.0,1812.6,61
CDM,14000399,ENDO GIA ROTICULATOR 45,612.0,,306.0,550.8,56
CDM,14000400,ENDO GIA ROTICULATOR 60,889.0,,444.5,800.1,56
CDM,14000401,STAPLE RELOAD CRVD GIA 60,1053.0,,526.5,947.7,56
CDM,14000402,ENDO GIA ROTICULATOR 45 2.5,312.0,,156.0,280.8,56
CDM,14000410,GUIDEWIRE THR GUIDE 2.0X150M,210.0,,105.0,189.0,56
CDM,14000411,TUBE ASPIRATING 8 FT 24-510,214.0,,107.0,192.6,56
CDM,14000417,COIL AZUR DETACHABLE 18 8X10,2014.0,,1007.0,1812.6,61
CDM,14000422,WASHER CANNULATED SCREW SS 635,121.0,,60.5,108.9,61
CDM,14000434,RELIAVAC SUCT DRAINAGE ROUND,138.0,,69.0,124.2,56
CDM,14000440,FORCEP GRASPER LONG TIP,671.0,,335.5,603.9,56
CDM,14000453,GRAFT TAG THORACIC TGU373720,32030.0,,16015.0,28827.0,56
CDM,14000480,VACURETTE CURVED 9MM STERILE,63.0,,31.5,56.7,56
CDM,14000510,BIT 125,621.0,,310.5,558.9,56
CDM,14000511,BIT 150,727.0,,363.5,654.3,56
CDM,14000518,BIT 450,2161.0,,1080.5,1944.9,56
CDM,14000523,BIT DRILL COUNTERSINK 4MM,584.0,,292.0,525.6,56
CDM,14000526,APPLIER ENDOCLIP 5MM SNGL,1655.0,,827.5,1489.5,56
CDM,14000527,BAND ANNULOPLASTY FLEXIBLE 27,4916.0,,2458.0,4424.4,61
CDM,14000530,CATH CARDIAC 58CM,452.0,,226.0,406.8,56
CDM,14000531,CATH MUSTANG 5F 4X80X135CM,518.0,,257.51,466.2,57
CDM,14000532,CATH MUSTANG 5F 6.0X80X75CM,514.0,,257.0,462.6,57
CDM,14000533,CATH VENTRICULAR SHUNT 6.5CM,428.0,,214.0,385.2,56
CDM,14000534,FORCEP BIOPSY 2.8MMX150CM,96.0,,48.0,86.4,56
CDM,14000535,FUSION OMNI-TOME PRE-LOADED SP,695.0,,347.5,625.5,56
CDM,14000536,GWIRE VERSACORE .035X260 MOD J,305.0,,27.95,274.5,57
CDM,14000538,OR LVL 1 INIT HR,10779.0,,4311.6,9701.1,56
CDM,14000539,OR LVL 2 INIT HR,10952.0,,4380.8,9856.8,56
CDM,14000540,OR LVL 3 INIT HR,11767.0,,4706.8,10590.3,56
CDM,14000541,OR LVL 4 INIT HR,12471.0,,4988.4,11223.9,56
CDM,14000542,OR LVL 5 INIT HR,14224.0,,5689.6,12801.6,56
CDM,14000543,OR LVL 6 INIT HR,14680.0,,5872.0,13212.0,56
CDM,14000544,OR LVL 1 ADDL 15 MIN,2194.0,,877.6,1974.6,56
CDM,14000545,OR LVL 2 ADDL 15 MIN,2281.0,,912.4,2052.9,56
CDM,14000546,OR LVL 3 ADDL 15 MIN,2456.0,,982.4,2210.4,56
CDM,14000547,OR LVL 4 ADDL 15 MIN,2500.0,,1000.0,2250.0,56
CDM,14000548,OR LVL 5 ADDL 15 MIN,2540.0,,1016.0,2286.0,56
CDM,14000549,OR LVL 6 ADDL 15 MIN,2584.0,,1033.6,2325.6,56
CDM,14000550,HOOD FLYTE W/PEELAWAY STERISH,130.0,,65.0,117.0,56
CDM,14000551,ILLUMINATOR LIGHTMAT UA2550,246.0,,123.0,221.4,56
CDM,14000553,INTRO CHECK-FLO RAABE 9X70,205.0,,46.81,184.5,57
CDM,14000554,IRRIG HANDPIECE INTERPULS,137.0,,68.5,123.3,56
CDM,14000556,PLATE 01,32.0,,16.0,506.18,62
CDM,14000557,PLATE 10,58.0,,29.0,506.18,62
CDM,14000569,PLATE 300,977.0,,488.5,879.3,62
CDM,14000570,PLATE 350,1116.0,,506.18,1004.4,62
CDM,14000571,PLATE 400,1257.0,,506.18,1131.3,62
CDM,14000572,PLATE 450,1397.0,,506.18,1257.3,62
CDM,14000574,PLATE 600,1631.0,,506.18,1467.9,62
CDM,14000575,PLATE 700,1864.0,,506.18,1677.6,62
CDM,14000576,PLATE 800,2093.0,,506.18,1883.7,62
CDM,14000577,PLATE 900,2333.0,,506.18,2099.7,62
CDM,14000591,PLATE 4500,8599.0,,506.18,7739.1,62
CDM,14000597,LEAD WIRE PACING TEMP MYOCARD,193.0,,96.5,727.5,62
CDM,14000603,SYS VISUALIZATION CLEARIFY,165.0,,82.5,148.5,56
CDM,14000607,TROCAR OPTICAL FIXATION 12MM,232.0,,116.0,208.8,56
CDM,14000608,TROCAR OPTICAL FIXATION 5MM,199.0,,99.5,179.1,56
CDM,14000612,WASHER ASNIS III 6.5/8-SCW ST,229.0,,114.5,206.1,61
CDM,14000614,WIRE KIRSCHNER GAMMA3 3.2X450M,318.0,,159.0,506.18,62
CDM,14000615,WSHR 9MM ASNS 3 ORTH SS 8IN,116.0,,58.0,104.4,61
CDM,14000617,CARTRIDGE PUMP ERBEJET,314.0,,157.0,282.6,56
CDM,14000620,CATH PROGREAT MICRO 2.8FRX130,1242.0,,102.65,1117.8,57
CDM,14000623,COIL CONTROLLER DETACHMENT,509.0,,254.5,458.1,56
CDM,14000625,DRAIN CHEST OASIS PEDIA,140.0,,70.0,126.0,56
CDM,14000627,EXTRACTOR BASKET NCIRCLE 3F,531.0,,265.5,477.9,56
CDM,14000631,KNEE IMMOB TRI-PANEL 22,76.0,,38.0,96.68,61
CDM,14000634,ROSEN WIRE .035 260,72.0,,27.95,64.8,57
CDM,14000636,SET PUNCTURE BLOM-SINGER,620.0,,310.0,558.0,56
CDM,14000637,STAPLER LINEAR RELOAD 60T,446.0,,223.0,401.4,56
CDM,14000638,GUIDEWIRE STRAIGHT AMPLATZ EXT,65.0,,27.95,58.5,57
CDM,14000639,GDWIRE AMPLATZ STIFF,118.0,,27.95,106.2,57
CDM,14000646,COMPONENT TIBIAL CR ALL POLY 1,3068.0,,1534.0,2761.2,62
CDM,14000647,DVC TROCHANTERIC REATTACHMENT,6187.0,,3093.5,5568.3,56
CDM,14000648,DVC TROCHANTERIC REATTACHMENT,4295.0,,2147.5,3865.5,56
CDM,14000649,FIBER LASER ENDOSTAT 0.4MX12FT,741.0,,370.5,666.9,56
CDM,14000653,IMP FEM COMPONENT ANTHOLOGY,7572.0,,2374.28,6814.8,62
CDM,14000654,IMP FEM CRUCIATE RETAINING,4141.0,,2070.5,3726.9,62
CDM,14000656,IMP HIP STEM CORIN,4682.0,,2341.0,4213.8,62
CDM,14000657,IMP INSERT KNEE TIBIAL 01,2406.0,,1203.0,2374.28,62
CDM,14000658,IMPL HIP FEM HEAD BIOLOX DELTA,1349.0,,674.5,2374.28,62
CDM,14000659,IMPL HIP STEM PRESS-FIT,9287.0,,2374.28,8358.3,62
CDM,14000660,IMPLANT HIP STEM PROSTALAC,6853.0,,2374.28,6167.7,62
CDM,14000663,INSERTER SCREW,182.0,,91.0,163.8,56
CDM,14000667,SLING ULTRA II AB SMALL,150.0,,75.0,135.0,56
CDM,14000671,SUTURE NICELOOP,187.0,,93.5,168.3,56
CDM,14000672,WASHER SMALL 7MM,90.0,,45.0,81.0,61
CDM,14000673,WASHER SPIKED ARTHREX AR-1349,291.0,,145.5,261.9,61
CDM,14000763,LC MENIS BEARING SM 10MM,2022.0,,1011.0,2374.28,62
CDM,14000764,DBX PLIAFX FLOW 10CC,1485.0,,742.5,1336.5,61
CDM,14000765,NDL 11GA BONE ACCESS BEVEL,88.0,,44.0,79.2,56
CDM,14000766,CONNECTING TUBE BLUE PATIENT,161.0,,80.5,144.9,56
CDM,14000767,TRAY 15/3 ONE STEP,5707.0,,2853.5,5136.3,56
CDM,14000768,RESOLUTION CLIP 235CM BX/20,275.0,,137.5,247.5,56
CDM,14000769,GENERATOR IMPLANTABLE VER V,38880.0,,19440.0,34992.0,62
CDM,14000770,SLEEVE SCREW BONE,1665.0,,832.5,1498.5,61
CDM,14000771,SLEEVE SCREW BONE,1665.0,,832.5,1498.5,61
CDM,14000772,SLEEVE SCREW BONE,75.0,,37.5,67.5,61
CDM,14000773,MODEL BONE ORGAN ACCUMODEL CUS,1910.0,,955.0,1719.0,56
CDM,14000774,MODEL BONE ORGAN ACCUMODEL CUS,1958.0,,979.0,1762.2,56
CDM,14000775,CAP SCREW,1080.0,,540.0,972.0,61
CDM,14000776,MESH SURG BIOBRACE REINFORCED,5400.0,,608.95,4860.0,62
CDM,14000777,ANCHOR SUTURE,952.0,,476.0,856.8,62
CDM,14000778,ANCHOR SUTURE KNOTLESS 4.5MM,952.0,,476.0,856.8,62
CDM,14000802,AMDS HYBRID PROSTHESIS,39483.0,,19741.5,35534.7,56
CDM,14000971,MESH KNITTED VICRYL VKML 12X12,3056.0,,608.95,2750.4,62
CDM,14001144,VICRYL SZ-0 J346H SUTURE,25.0,,12.5,22.5,56
CDM,14001257,SMO ALLOGRAFT,4023.0,,2011.5,3620.7,61
CDM,14001258,HEALICOIL PK 4.5MM W2 MT BL/CB,810.0,,405.0,729.0,62
CDM,14001259,HEALICOIL RG DIL 4.75MM DISP,482.0,,241.0,433.8,56
CDM,14001260,SET ACCESS LIVERTY TIPS,1890.0,,945.0,1701.0,56
CDM,14001261,ADV COLLAGEN MATRIX MP00334,5850.0,,2925.0,5265.0,61
CDM,14001262,DOCKING TOP LUMIGUIDE,264.0,,132.0,237.6,56
CDM,14001263,CATH LUMIGUIDE NAV BUNDLE 01,17975.0,,8987.5,16177.5,61
CDM,14001264,DAVINCI SUREFORM 45 RELOAD GRA,454.0,,227.0,408.6,56
CDM,14001265,CLIP ATRICLIP PROV 40MM,9900.0,,4950.0,8910.0,61
CDM,14001266,TI RIB CLIP ROTATABLE CONNECT,3859.0,,1929.5,3473.1,61
CDM,14001267,ADV COLLAGEN MATRIX MP00337,7582.0,,3791.0,6823.8,61
CDM,14001268,ALTIVATE ANATOMIC GUIDE WIRE,536.0,,268.0,482.4,56
CDM,14001269,DYNACLIP STERILE PRELOADED,4239.0,,506.18,3815.1,62
CDM,14001270,ALTIVATE REV GLENOID CANN TAP,1260.0,,630.0,2374.28,62
CDM,14001271,RSP SEMICONSTRAINED HUM SOCKET,1541.0,,770.5,2374.28,62
CDM,14001272,VANGARD SSK 360 R FEM,16417.0,,8208.5,14775.3,56
CDM,14001273,SYNTHECURE BONE VOID FILLER KI,1971.0,,506.18,1773.9,62
CDM,14001280,SUTURE ANCHOR W/SUTURE SNARE,1071.0,,506.18,963.9,62
CDM,14001281,OSSI PUNCH PACK,747.0,,373.5,672.3,56
CDM,14001282,STIMULATOR EVOKE 60CM LEADS CL,43500.0,,21750.0,39150.0,61
CDM,14001284,PREPARATION KIT,8022.0,,4011.0,7219.8,61
CDM,14001285,CEMENT PUSHER,206.0,,103.0,2557.29,62
CDM,14001286,BEVEL STYLET,123.0,,61.5,110.7,56
CDM,14001287,ACCESS CANNULA,149.0,,74.5,134.1,56
CDM,14001288,SYNTHECURE BONE VOID FILL 5CC,1305.0,,506.18,1174.5,62
CDM,14001289,SYNTHECURE BONE VOID FILL 20CC,3645.0,,506.18,3280.5,62
CDM,14001290,NEUROMONITORING KIT,720.0,,360.0,648.0,61
CDM,14001304,ADV COLLAGEN MATRIX MP00333,5198.0,,2599.0,4678.2,61
CDM,14001305,AVITUS BONE DEBRIDER,5265.0,,2632.5,4738.5,56
CDM,14001306,IFUSE TORQ TNT IMPLANT,5220.0,,2610.0,4698.0,61
CDM,14001307,DRAINAGE CATHETER,143.0,,66.39,128.7,57
CDM,14001308,THORAGUARD DRAINAGE KIT,328.0,,164.0,295.2,56
CDM,14001309,ADVANCED COLLAGEN MATRIX 8X12,8640.0,,4320.0,7776.0,61
CDM,14001310,FIBERGRAFT BG PUTTY,1786.0,,506.18,1607.4,62
CDM,14001311,IMPLANT 2 QUADRANT PREPROSTH,34749.0,,17374.5,31274.1,61
CDM,14001312,SHIM LIF INTRADISCAL 35MM,450.0,,225.0,405.0,56
CDM,14001313,CLIP STIMULATING SAFEOP STER,350.0,,175.0,315.0,56
CDM,14001314,DILATOR KIT SAFEOP INSULATED S,810.0,,405.0,729.0,56
CDM,14001315,PROBE BALLTIP SAFEOP STIMULAT,350.0,,175.0,315.0,56
CDM,14001316,8MM STAPLER,454.0,,227.0,408.6,56
CDM,14001317,8MM SUREFORM 30 STAPLER,590.0,,295.0,531.0,56
CDM,14001318,EASYFUSE STAPLE MTP SNITINOL,3578.0,,506.18,3220.2,62
CDM,14001319,DYNAMIC COMPRESSION SYSTEM,581.0,,290.5,522.9,56
CDM,14001320,GUIDEWIRE DJO,420.0,,210.0,378.0,56
CDM,14001321,GRAVITY SYNCHFIX SYNDESMOSIS,1971.0,,506.18,1773.9,62
CDM,14001322,TAP MOMENT 7.5MM,112.0,,56.0,100.8,56
CDM,14001323,GLOBAL UNITE HEAD,1980.0,,990.0,2374.28,62
CDM,14001338,TRNSCTH RNL SYMP DNRV PERC UNI,5258.0,,2629.0,7018.78,68
CDM,14001378,CUTTER BONE TOMCAT 5.5MM,181.0,,90.5,162.9,56
CDM,14001413,DEVICE LIGASURE LS1500,1004.0,,502.0,903.6,56
CDM,14001420,MESH RESTORELLE Y SHAPED 24X4,2065.0,,608.95,1858.5,62
CDM,14001530,SYSTEM DBS INFINITY,0.01,,0.005,0.009,56
CDM,14001547,"WALKER INLINE DEROYAL SM,LG,XL",186.0,,93.0,167.4,61
CDM,14001654,IMPL TMJ NARROW MANDIBULAR,10603.0,,5301.5,9542.7,61
CDM,14001660,PRIMATRIX SOLID SM 6X6CM,3074.0,,79.8,2766.6,56
CDM,14001737,DVC LIGASURE MARYLAND JAW 37CM,1229.0,,614.5,1106.1,56
CDM,14001800,STENT BILIARY SOF-FLEX 7-10F,179.0,,89.5,187.52,62
CDM,14001863,CRANIO NEUROELEC W/O 1ST ARRAY,0.01,,0.005,0.009,56
CDM,14001864,CRANIO NEUROELEC W/O ADD ARRAY,0.01,,0.005,0.009,56
CDM,14001880,PRIMATRIX SOLID SM 8X8CM,4969.0,,79.8,4472.1,56
CDM,14001928,APOLLO INTREPID TMVR SYSTEM,0.01,,0.005,0.009,56
CDM,14002080,CATH GLIDE 5FX65CM C2,247.0,,123.5,222.3,56
CDM,14002081,ACUCLIP OMS-A8,739.0,,369.5,665.1,56
CDM,14002083,TAPE GLOW-N-TELL 20/BX,199.0,,99.5,179.1,56
CDM,14002096,COAGULATING SHEARS 14CM,584.0,,292.0,525.6,56
CDM,14002116,SHEARS CRVD HARMONIC 5MMX36CM,791.0,,395.5,711.9,56
CDM,14002125,FORCEP BAYONET DISP W/O CORD,290.0,,145.0,261.0,56
CDM,14002133,INSERT AOC01,65.0,,32.5,58.5,56
CDM,14002134,INSERT AOC02,65.0,,32.5,58.5,56
CDM,14002137,INTRO FAST CATH 12F 12CM,75.0,,37.5,256.64,57
CDM,14002139,KIT BONE MARROW COLLECTION,1105.0,,552.5,994.5,56
CDM,14002140,SYS GYNECARE TVT W/SLING GRAFT,2804.0,,1402.0,2523.6,62
CDM,14002142,LIGACLIP EXTRA LS-100,63.0,,31.5,56.7,56
CDM,14002145,PUMP INF IMPL NON-PROGRAM,14164.0,,7082.0,12747.6,62
CDM,14002147,NEEDLE BPSY TRU-CUT 6 IN,179.0,,89.5,161.1,56
CDM,14002171,PUNCH MDP AORTIC 3.6MM,177.0,,88.5,159.3,56
CDM,14002176,SET TUBING SUCTION OLYMPUS,100.0,,50.0,90.0,56
CDM,14002178,SHUNT CAROTID 8888-577775,321.0,,160.5,288.9,61
CDM,14002181,SNARES OLYMPUS,440.0,,220.0,396.0,56
CDM,14002186,STOPPER TRACH ST,32.0,,16.0,28.8,56
CDM,14002192,TUBE LAVACUATOR EDLICH LAVAGE,104.0,,52.0,93.6,56
CDM,14002195,TUBE T 8FR,172.0,,86.0,154.8,56
CDM,14002198,TUBE TRACH SHILEY DCT 10,112.0,,56.0,100.8,56
CDM,14002209,POUCH ENDO PRO46,384.0,,192.0,345.6,56
CDM,14002214,BLADE SAW SAG 90X21X1.37MM,187.0,,93.5,168.3,56
CDM,14002215,CATH MUSTANG 7F 12X40 75CM,535.0,,257.51,481.5,57
CDM,14002217,COIL AZUR DETACH 35 6MMX10CM,2469.0,,1234.5,2222.1,61
CDM,14002219,ELECT SHORT SIDE VAPR STER 2.3,710.0,,355.0,639.0,56
CDM,14002220,GRAFT ARTEGRAFT 7X15CM,1838.0,,919.0,1654.2,62
CDM,14002223,MARKER FIDUCIAL COBRA,503.0,,78.0,452.7,62
CDM,14002224,NEEDLE TRANSBRONCHIAL WANG,188.0,,94.0,169.2,56
CDM,14002226,SEALER TISSUE ENSEAL SUPER JAW,1610.0,,805.0,1449.0,56
CDM,14002229,COIL AZUR DETACH 35 8MMX15CM,2587.0,,1293.5,2328.3,61
CDM,14002231,TROCAR BLADELESS STBL 12X100,125.0,,62.5,112.5,56
CDM,14002232,TROCAR BLADELESS STBL 12X150,138.0,,69.0,124.2,56
CDM,14002233,TROCAR BLADELESS STBL 15X100,135.0,,67.5,121.5,56
CDM,14002234,TROCAR BLUNT TIP ENDOPATH,118.0,,59.0,106.2,56
CDM,14002235,TROCAR DIL TIP STABILITY 12MM,119.0,,59.5,107.1,56
CDM,14002236,TROCAR ENDO DILATING TIP 5X100,78.0,,39.0,70.2,56
CDM,14002237,TROCAR ENDOPATH XCEL 11X100MM,120.0,,60.0,108.0,56
CDM,14002238,TROCAR ENDOPATH XCEL 5X150MM,96.0,,48.0,86.4,56
CDM,14002239,TROCAR ENDOPATH XCEL DIL 11MM,109.0,,54.5,98.1,56
CDM,14002240,TROCAR XCEL 5X100MM,89.0,,44.5,80.1,56
CDM,14002244,WAND REFLEX ULTRA PTR,643.0,,321.5,578.7,56
CDM,14002245,BINDER WAIST CAROMED XL 12IN,181.0,,23.63,162.9,57
CDM,14002250,CATH MUSTANG 6F 10X40X75CM,535.0,,257.51,481.5,57
CDM,14002252,BAG TISSUE RETRVL W/INTRO 15MM,424.0,,212.0,381.6,56
CDM,14002257,REAMER TRNKL 8MM SHFT MOD,218.0,,109.0,196.2,56
CDM,14002262,DEVICE TK TI-KNOT 5MM,5913.0,,2956.5,5321.7,56
CDM,14002264,TROCAR LOCKING CANNULA 5.5MM,231.0,,115.5,207.9,56
CDM,14002266,WRAP NEUROMEND 4MMX2.5CM,3426.0,,1474.51,3083.4,62
CDM,14002268,VLV AORTIC MAGNA EASE 19-29MM,15439.0,,7719.5,13895.1,61
CDM,14002271,BIOGLUE SYR 10ML BG3510-5-US,2072.0,,1036.0,1864.8,56
CDM,14002272,CABLE STERNAL PIONEER SYSTEM,726.0,,363.0,653.4,61
CDM,14002273,GRAFT TAG THORACIC TGU454520,31060.0,,15530.0,27954.0,61
CDM,14002274,GRAFT VALVED AORTIC 25VAVGJ515,4599.0,,2299.5,4139.1,61
CDM,14002276,SEALANT PLEURAL PROGEL,1919.0,,285.61,1727.1,62
CDM,14002279,SEALANT FLOSEAL KIT 5ML,495.72,,126.9,446.15,55
CDM,14002280,ATTACH ENDOSCOPE DISTAL,94.0,,47.0,84.6,56
CDM,14002283,BRUSH CYSTLOGY NEEDLE TIP,195.0,,97.5,175.5,56
CDM,14002284,CATH GLIDECATH,188.0,,94.0,169.2,57
CDM,14002287,CLIP INSERTS FOGERTY 86MM,83.0,,41.5,74.7,56
CDM,14002288,COIL AZUR 18D 2X4,1841.0,,920.5,1656.9,61
CDM,14002289,COIL AZUR 18D 3X2,1841.0,,920.5,1656.9,61
CDM,14002290,COIL AZUR 18D3X5C,1841.0,,920.5,1656.9,61
CDM,14002291,COIL AZUR 35D 6X20,2692.0,,1346.0,2422.8,61
CDM,14002300,GW ORTH 6IN .054IN ACTRK HND,194.0,,97.0,174.6,56
CDM,14002304,NDL INJECT VARIABLE 7F 25G,112.0,,56.0,100.8,56
CDM,14002305,NDL MICRO DISSECT COLO 30MM,164.0,,82.0,147.6,56
CDM,14002306,POSITIONER HEART URCHIN,1744.0,,872.0,1569.6,56
CDM,14002307,RESECTOR TRIVEX 4.5MM,819.0,,409.5,737.1,56
CDM,14002308,RETRACTOR SOFT TISSUE MEDIUM,678.0,,339.0,610.2,56
CDM,14002309,RETRACTOR XSMALL,165.0,,82.5,148.5,56
CDM,14002310,RING ANNULOPLASTY TRI-AD 28MM,7267.0,,3633.5,6540.3,61
CDM,14002312,SEALANT FIBRIN EVICEL 5ML,600.53,,153.74,540.48,55
CDM,14002314,SHTH PINN DEST 5X45 CC ST,270.0,,102.65,243.0,57
CDM,14002317,TROCAR ENDOPATH XCEL BLDLS 5MM,89.0,,44.5,80.1,56
CDM,14002320,WIRE STERNOTOMY KIT #7,83.0,,41.5,74.7,56
CDM,14002323,IMPL RING SIMULUS FLX-C 31MM,4916.0,,2458.0,4424.4,61
CDM,14002324,RING ANNULOPLASTY TRI-AD26MM,6523.0,,3261.5,5870.7,61
CDM,14002325,CANNULA SHOULDER SET 70MM,64.0,,32.0,57.6,56
CDM,14002326,CEMENT BNE COBALT W/GENTAM 40G,602.0,,301.0,541.8,62
CDM,14002328,CATH INTRATHECAL 8731SC,1706.0,,88.85,1535.4,57
CDM,14002329,PROBE ABLATION FLEX 10,6251.0,,3125.5,5625.9,56
CDM,14002330,BRUSH CYTOLOGY 1.7X120,96.0,,48.0,86.4,56
CDM,14002332,SYS MYNXGRIP 5F GREY,581.0,,290.5,522.9,57
CDM,14002333,GWIRE HYDRO REG ANG 035X450,507.0,,27.95,456.3,57
CDM,14002334,ELECTRODE VAPR SIDE EFFECT 3.5,721.0,,360.5,648.9,56
CDM,14002335,FORCEP ADSON BIPOLAR 4.75IN,659.0,,329.5,593.1,56
CDM,14002338,NEEDLE INJECTION CYSTO 23GX4MM,120.0,,60.0,108.0,56
CDM,14002339,INTRODUCER 20FRX15 CUSTOM,342.0,,46.81,307.8,57
CDM,14002341,NDL CYSTO WILLIAMS 5F 23G,76.0,,38.0,68.4,56
CDM,14002342,GRAFT FABRIC SAUVAGE 2X2,186.0,,93.0,167.4,61
CDM,14002350,STENT ICAST 8X59X120,6153.0,,1667.17,5537.7,62
CDM,14002351,STENT GRAFT VIABAHN 13MMX5X120,6534.0,,1667.17,5880.6,62
CDM,14002352,STENT GRAFT VIABAHN 13X10X120,7289.0,,1667.17,6560.1,62
CDM,14002354,BRUSH CYTO TRIPLE NEEDLE 10MM,394.0,,197.0,354.6,56
CDM,14002356,KWIRE MICRO ASNIS 8X100 STER,112.0,,56.0,506.18,62
CDM,14002357,FORCEP GRASPING RAPTOR 2.4MM,332.0,,166.0,298.8,56
CDM,14002359,CAP APEX 5MM DISPOSABLE,165.0,,82.5,148.5,56
CDM,14002360,CONDUIT NEUROFLEX 2.5X3.0,2558.0,,1279.0,2302.2,61
CDM,14002361,GRAFT GEL PLEXUS 4-B 28 BORE,4353.0,,1092.42,3917.7,62
CDM,14002362,VALVE MITRAL MASTERS 31MM,6898.0,,3449.0,6208.2,61
CDM,14002363,PRECLUDE PERICARDIAL 15X20CM,3523.0,,1761.5,3170.7,61
CDM,14002366,DVC SUTURING QUICK LOAD EACH 1,153.0,,76.5,137.7,56
CDM,14002367,DVC SUTURING QUICK LOAD EACH 2,632.0,,316.0,568.8,56
CDM,14002368,STENT TRACHEAL AERO 22F 18X40,5921.0,,1667.17,5328.9,62
CDM,14002369,CATH MUSTANG 6F 8X20X75CM,535.0,,257.51,481.5,57
CDM,14002370,GUIDE VAG 17-15CM,392.0,,196.0,352.8,56
CDM,14002372,KIT TIGHTROPE SYNDESMOSIS SS,2114.0,,506.18,1902.6,62
CDM,14002373,NDL SS 17-20CM,179.0,,89.5,161.1,56
CDM,14002374,NDL INTRAOSS DIECKMANN 16G,165.0,,82.5,148.5,56
CDM,14002378,FORCEP BIOPSY SUPERTRAX,234.0,,117.0,210.6,56
CDM,14002380,GDWIRE ROADRUNNER ANG 018X480,345.0,,27.95,310.5,57
CDM,14002382,CLIP FOGARTY SAFEJAW 33MM,83.0,,41.5,74.7,56
CDM,14002397,CONNECTOR NERVE AXOGUARD 15MM,3047.0,,1478.44,2742.3,62
CDM,14002400,PRESIDIO ULF SCS SYSTEM,0.01,,0.00256,0.009,56
CDM,14002405,CATH MUSTANG 6F 8X40X75CM,499.0,,249.5,449.1,57
CDM,14002410,IMPL MEMBRANE COLLAGEN 30X40,429.0,,214.5,386.1,61
CDM,14002411,RMR BIXCUT MOD TRNKL SHFT 510,1065.0,,532.5,958.5,56
CDM,14002412,DVC EMBOLIZATION 3X320/190,3131.0,,1461.69,2817.9,62
CDM,14002413,TUBE PEG24 PULL 24F 150CM,251.0,,27.9,225.9,62
CDM,14002416,VLV C-E PRMNT MAGNA MITRAL 25,15273.0,,7636.5,13745.7,61
CDM,14002417,VLV C-E PRMNT MAGNA MITRAL 27,15273.0,,7636.5,13745.7,61
CDM,14002418,VLV C-E PRMNT MAGNA MITRAL 29,15273.0,,7636.5,13745.7,61
CDM,14002419,VLV C-E PRMNT MAGNA MITRAL 31,15273.0,,7636.5,13745.7,61
CDM,14002420,VLV C-E PRMNT MAGNA MITRAL 33,15273.0,,7636.5,13745.7,61
CDM,14002425,IMPL RING C-E PHYSIO MITRAL 32,4496.0,,2248.0,4046.4,56
CDM,14002426,IMPL RING C-E PHYSIO MITRAL 34,4496.0,,2248.0,4046.4,61
CDM,14002427,IMPL RING C-E PHYSIO MITRAL 36,4496.0,,2248.0,4046.4,61
CDM,14002428,IMPL RING C-E PHYSIO MITRAL 38,4496.0,,2248.0,4046.4,56
CDM,14002438,IMPL BAND SIMULUS FLX-C 25MM,4632.0,,2316.0,4168.8,61
CDM,14002439,IMPL BAND SIMULUS FLX-C 33MM,4817.0,,2408.5,4335.3,61
CDM,14002440,IMPL BAND SIMULUS FLX-C 35MM,4308.0,,2154.0,3877.2,61
CDM,14002442,IMPL BAND TRI-AD TRICUSP 30MM,7055.0,,3527.5,6349.5,61
CDM,14002443,IMPL BAND TRI-AD TRICUSP 32MM,7338.0,,3669.0,6604.2,56
CDM,14002446,IMPL RING SIMULUS FLX-O 27MM,4144.0,,2072.0,3729.6,61
CDM,14002447,IMPL RING SIMULUS FLX-O 29MM,4324.0,,2162.0,3891.6,61
CDM,14002448,IMPL RING SIMULUS FLX-O 31MM,4144.0,,2072.0,3729.6,61
CDM,14002464,GRFT VLVED AORTIC PIVOT 21MM,5518.0,,2759.0,4966.2,61
CDM,14002465,GRFT VLVED AORTIC PIVOT 23MM,5518.0,,2759.0,4966.2,61
CDM,14002466,GRFT VLVED AORTIC PIVOT 25MM,18332.0,,9166.0,16498.8,61
CDM,14002468,VLV AORTIC OPEN PIVOT AVG 29MM,5518.0,,2759.0,4966.2,61
CDM,14002494,GRFT LIMB ENDURANT 16X10X124,10121.0,,1642.91,9108.9,62
CDM,14002501,GRFT LIMB ENDURANT 16X28X124,10121.0,,1642.91,9108.9,62
CDM,14002511,GRFT STNT VALNT VAMC,39630.0,,19815.0,35667.0,61
CDM,14002513,GRFT EXCLUDER C3 23X3.3,6054.0,,3027.0,5448.6,61
CDM,14002522,GRFT EXCLUDER C3 23X14.5X16,23673.0,,1667.17,21305.7,57
CDM,14002526,GRFT EXCLUDER C3 26X12X16,21047.0,,1667.17,18942.3,62
CDM,14002539,GRFT EXCLUDER C3 28.5X12X14,19460.0,,9730.0,17514.0,56
CDM,14002543,GRFT EXCLUDER C3 28.5X12X18,22763.0,,1667.17,20486.7,62
CDM,14002545,GRFT EXCLUD C3 28.5X14.5X12,22763.0,,1667.17,20486.7,62
CDM,14002548,GRFT EXCLUDER C3 28.5X14.5X16,19499.0,,1667.17,17549.1,62
CDM,14002549,GRFT EXCLUD C3 28.5X14.5X18,22763.0,,1667.17,20486.7,62
CDM,14002552,GRFT STNT AORT EXT 25X25X49,8629.0,,4314.5,7766.1,61
CDM,14002560,"PINS STEINMAN 1/8"" X 9""",23.0,,11.5,506.18,62
CDM,14002564,VLV AORTIC SAPIEN ASCENDRA 29,74733.0,,37366.5,67259.7,61
CDM,14002600,PAPILLOTOME NEEDLE KNIFE ZIMM,305.0,,152.5,274.5,56
CDM,14002607,APPLICATOR ACCULIS MED 19CM,4784.0,,2392.0,4305.6,56
CDM,14002608,APPLICATOR ACCULIS LONG 29CM,4784.0,,2392.0,4305.6,56
CDM,14002609,APPLICATOR ACCULIS STRD 14CM,4784.0,,2392.0,4305.6,56
CDM,14002610,BAND FACIAL OCCIPITAL UNIVRSAL,70.0,,35.0,63.0,56
CDM,14002612,BRUSH CYTO NDL TIP 1.7X120MM,215.0,,107.5,193.5,56
CDM,14002615,CATH MUSTANG 5F 5X20X135CM,535.0,,257.51,481.5,57
CDM,14002619,EXTRACTOR NCIRCLE 1.5FX115,537.0,,268.5,483.3,56
CDM,14002620,FORCEP RADIAL JAW4 160CM PED,255.0,,127.5,229.5,56
CDM,14002621,GWIRE ADVANTAGE .035X180,450.0,,27.95,405.0,57
CDM,14002622,GWIRE AMPLATZ SS .038X180,152.0,,27.95,136.8,57
CDM,14002625,MESH COMP SYMBOTEX ELIP 20X12,1693.0,,608.95,1523.7,62
CDM,14002626,MESH COMP SYMBOTEX ELIP 217X10,1115.0,,557.5,1003.5,62
CDM,14002629,MESH COMP SYMBOTEX RECT 15X10,1065.0,,532.5,958.5,62
CDM,14002630,MESH COMP SYMBOTEX RECT 20X15,1693.0,,608.95,1523.7,62
CDM,14002635,MESH COMP SYMBOTEX RECT 25X20,2726.0,,608.95,2453.4,62
CDM,14002637,MESH COMP SYMBOTEX RECT 37X28,4216.0,,608.95,3794.4,62
CDM,14002645,MESH COMPOSITE SYMBOTEX RND 12,1179.0,,589.5,1061.1,62
CDM,14002646,MESH COMPOSITE SYMBOTEX RND 15,1640.0,,608.95,1476.0,62
CDM,14002647,MESH COMPOSITE SYMBOTEX RND 9,895.0,,447.5,805.5,62
CDM,14002648,MESH HERNIA PARIETEX 15X10 LGH,210.0,,105.0,608.95,62
CDM,14002649,MESH HERNIA PARIETEX 15X15 LW,237.0,,118.5,608.95,62
CDM,14002652,MESH HERNIA PARIETEX 30X30 LW,644.0,,322.0,608.95,62
CDM,14002655,MESH PARIETEX LEFT 4X6IN,428.0,,214.0,608.95,62
CDM,14002656,MESH PARIETEX PLUG & PATCH 6X3,327.0,,163.5,608.95,62
CDM,14002657,MESH PARIETEX PLUG & PATCH 8X3,345.0,,172.5,608.95,62
CDM,14002658,MESH PARIETEX PROGRIP 12X8 L,623.0,,311.5,608.95,62
CDM,14002659,MESH PARIETEX PROGRIP 12X8 R,598.0,,299.0,608.95,62
CDM,14002663,MESH PARIETEX PROGRIP 15X9,588.0,,294.0,608.95,62
CDM,14002666,MESH PARIETEX VENT PATCH 4.6CM,949.0,,474.5,854.1,62
CDM,14002667,MESH PARIETEX VENT PATCH 6.6CM,1126.0,,563.0,1013.4,62
CDM,14002668,MESH PARIETEX VENT PATCH 8.6CM,1450.0,,608.95,1305.0,62
CDM,14002669,MESH PROGRIP ANAT LAP 10X15 LT,1087.0,,543.5,978.3,62
CDM,14002670,MESH PROGRIP ANAT LAP 10X15 RT,1095.0,,547.5,985.5,62
CDM,14002675,NEEDLE BIOPSY MAXCORE 18GX16,438.0,,219.0,394.2,56
CDM,14002680,SHUNT SNAP ASSEMBLY,251.0,,125.5,225.9,61
CDM,14002681,SNARE POLYP EXACTO COLD,66.0,,33.0,59.4,56
CDM,14002690,IMPL NEUROMEND 4MMX5.0CM,3723.0,,1474.51,3350.7,62
CDM,14002691,STENT GRAFT VIABAHN VBJ 8X2.5,6845.0,,1667.17,6160.5,62
CDM,14002693,FORCEP HOT BIOSPY 2.4X230,67.0,,33.5,60.3,56
CDM,14002697,SYSTEM ATRICLIP STD 40MM,3168.0,,1584.0,2851.2,61
CDM,14002698,IMP BAND SIMULUS FLX-C 29MM,4998.0,,2499.0,4498.2,61
CDM,14002699,COIL AZUR DETACH,1956.0,,978.0,1760.4,61
CDM,14002702,BAG TISSUE RETRVL W/INTRO 10MM,226.0,,113.0,203.4,56
CDM,14002703,NDL INJECTOR VARICES DISP,120.0,,60.0,108.0,56
CDM,14002704,BLADE OSC 25X13MMX0.381MM,164.0,,82.0,147.6,56
CDM,14002706,DVC BONE COLLECTOR SHEEHY,138.0,,69.0,124.2,56
CDM,14002712,CATH ANGIOJET SOLENT PROXI SET,3708.0,,314.82,3337.2,57
CDM,14002713,CATH INF UNIFUSE 5FX135X10,422.0,,211.0,379.8,57
CDM,14002714,Z*CATH MUSTANG 5F 4X200X135CM,627.0,,257.51,564.3,62
CDM,14002715,CATHETER MUSTANG 6F 9X30X135,514.0,,257.0,462.6,57
CDM,14002716,DERMABOND PRINEO SYS 01,385.0,,192.5,346.5,56
CDM,14002717,DIL BALLOON QUANTUM 18X5.5,228.0,,114.0,367.53,57
CDM,14002721,GEN INTERSTIM II 3058,26849.0,,13424.5,24164.1,62
CDM,14002723,INTR ARROW-FLEX SET 6FR 35CM,217.0,,46.81,195.3,57
CDM,14002730,TEMPLATE BRACHYTHERAPY BLU,612.0,,306.0,550.8,56
CDM,14002736,WAND COBLATOR PROCISE MAX,649.0,,324.5,584.1,56
CDM,14002739,CAP HEALING BAHA 30MM,63.0,,31.5,56.7,56
CDM,14002743,LOOP VESSEL BLUE MAXI,78.0,,39.0,70.2,56
CDM,14002744,NEEDLE BIOPSY MAXCORE 18GX25,119.0,,59.5,107.1,56
CDM,14002748,CATH MUSTANG 5F 7X80X75CM,518.0,,257.51,466.2,57
CDM,14002749,COLLAR O-RING SERIER-17,259.0,,129.5,233.1,61
CDM,14002755,PATCH SUPPLE PERI-GUARD 6X8,996.0,,498.0,896.4,61
CDM,14002769,SYS LAA EXCL ATRICLIP PRO 50,2929.0,,1464.5,2636.1,56
CDM,14002770,CATH EAGLE EYE PLATINUM,1787.0,,893.5,1608.3,57
CDM,14002774,CATH PTA PACIF PLUS 3.0X60X130,481.0,,240.5,432.9,62
CDM,14002776,CATH PTA PACIF PLUS 4.0X20X130,500.0,,250.0,450.0,57
CDM,14002777,CATH PTA PACIF PLUS 4.0X40X130,500.0,,250.0,450.0,57
CDM,14002778,CATH PTA PACIF PLUS 7.0X20X130,486.0,,243.0,437.4,57
CDM,14002787,FORCEP RADIAL JAW4 BIOPSY  2.0,255.0,,127.5,229.5,56
CDM,14002795,GWIRE GLIDEWIRE-HC STD 038 ANG,153.0,,27.95,137.7,57
CDM,14002798,CATH URETERAL CONETIP,72.0,,34.16,64.8,57
CDM,14002876,ASSEMBLY TUBE RIA 520MM,961.0,,480.5,864.9,56
CDM,14002881,GRAFT ZENITH SPIRAL-Z AAA,7600.0,,3800.0,6840.0,61
CDM,14002885,PEG KIT SILICONE 000330,428.0,,27.9,385.2,57
CDM,14002944,CANNULA W/ STYLET TUNGSTEN SS,581.0,,290.5,522.9,56
CDM,14002950,CATH PTA ARMADA 35 14X40X80,637.0,,257.51,573.3,57
CDM,14002952,CATH MUSTANG 4.0X20 135CM,514.0,,257.0,462.6,57
CDM,14002953,CATH MUSTANG 7.0X40 135CM,499.0,,249.5,449.1,57
CDM,14002962,CUFF AMS 800 W/ INHIBITOR,11056.0,,5528.0,9950.4,62
CDM,14002963,DIL ENDOVASCULAR SET 20/22F,530.0,,265.0,477.0,56
CDM,14002964,DRESSING BURN SUPRATHEL,660.0,,330.0,594.0,56
CDM,14002965,FIBER FIBERLASE CO2,2364.0,,1182.0,2127.6,56
CDM,14002967,FORCEP RAT TOOTH DISP,333.0,,166.5,299.7,56
CDM,14002970,GUIDEWIRE .059 STAINLES STEEL,186.0,,27.95,167.4,57
CDM,14002971,INJECTOR TRIVASCULAR AUTOINJEC,308.0,,154.0,277.2,56
CDM,14002972,INSERT FORCEPS BIPOLAR,644.0,,322.0,579.6,56
CDM,14002973,INSERT KNIFE POINTED MICRO,395.0,,197.5,355.5,56
CDM,14002976,KIT SYRINGE VERTECEM V+,486.0,,243.0,437.4,56
CDM,14002981,NEEDLE INTERJECT 25GX200CM,214.0,,107.0,192.6,56
CDM,14003004,SHEATH DRYSEAL GORE 16F,684.0,,46.81,615.6,57
CDM,14003007,SYS STENT EXPRESS LD 135 07X37,2759.0,,1379.5,2483.1,62
CDM,14003008,SYS ATRICLIP STRD 35MM,3168.0,,1584.0,2851.2,56
CDM,14003010,SYS INFLATION DEVICE VBS,435.0,,217.5,391.5,56
CDM,14003012,TOOL TUNNELING DBS KIT 3755,426.0,,213.0,383.4,56
CDM,14003016,CATH PACIFIC + PTA 5.0X20X130,506.0,,253.0,455.4,57
CDM,14003017,CATH PACIFIC + PTA 5.0X60X130,500.0,,250.0,450.0,57
CDM,14003021,CATH STERLING 4.5X20X135CM,616.0,,257.51,554.4,57
CDM,14003031,COIL AZUR 18D 4MMX13CM,1793.0,,896.5,1613.7,61
CDM,14003035,COIL AZUR 35D 12MMX20CM,2773.0,,1386.5,2495.7,61
CDM,14003036,COIL AZUR 35D,2773.0,,1386.5,2495.7,61
CDM,14003037,COIL AZUR DETACH 35 8MMX20CM,2438.0,,1219.0,2194.2,61
CDM,14003038,COIL AZUR FRAMING 18D 10X26,2619.0,,1309.5,2357.1,61
CDM,14003039,COIL AZUR FRAMING 35D 8X20,2323.0,,1161.5,2090.7,56
CDM,14003041,ELECTRDE DEPTH PRBE 10 CONTA,829.0,,414.5,746.1,56
CDM,14003069,STENT TRACHEAL AERO OTW,6159.0,,1667.17,5543.1,62
CDM,14003070,STENT TRACHEAL AERO 16F 10X40,6159.0,,1667.17,5543.1,62
CDM,14003071,SYS CLOSURE VASC MYNX GREEN,586.0,,293.0,527.4,57
CDM,14003074,TAP SCREW 5MMX180MM,317.0,,158.5,285.3,61
CDM,14003075,TROCAR KII BLUNT TIP 12X100,112.0,,56.0,100.8,56
CDM,14003104,PASSING NEEDLE W/OBTURATOR,295.0,,147.5,265.5,56
CDM,14003105,CABLE W/CRIMP SINGLE LEAD,617.0,,308.5,555.3,61
CDM,14003112,GRAFT INTERGARD KNITTED 7X40,646.0,,323.0,581.4,56
CDM,14003115,STAPLE ROSTRAL 21MM,1224.0,,506.18,1101.6,62
CDM,14003121,DRILL BIT 3.5MM QUICK CONNECT,586.0,,293.0,527.4,56
CDM,14003124,SLING SMART LARGE,172.0,,86.0,154.8,56
CDM,14003125,STENT I-CAST 5X22X120,5576.0,,1667.17,5018.4,62
CDM,14003127,COIL AZUR 18D 4MMX10CM,1959.0,,979.5,1763.1,61
CDM,14003132,GUIDEWIRE STR RUNTHROUGH 180CM,264.0,,27.95,237.6,57
CDM,14003133,SPLNT INTRANASAL POSISEP X 2IN,275.0,,137.5,247.5,56
CDM,14003134,GDWIRE ERCP VISIGLID 025X270CM,445.0,,27.95,400.5,57
CDM,14003135,GUIDE SHEATHNAVIGUS,2606.0,,1303.0,2345.4,56
CDM,14003136,PROBE CYBERWAND RENAL,1625.0,,812.5,1462.5,56
CDM,14003138,GEN NEUROSTIM ACTIVA SC37603,21182.0,,10591.0,22201.12,62
CDM,14003139,ANCHOR INJEX BI-WING,633.0,,316.5,569.7,56
CDM,14003141,PROGRAMMER PT HAND HELD ADJ,2377.0,,1188.5,2139.3,56
CDM,14003143,EZ DERM,487.0,,22.0,438.3,62
CDM,14003151,APPLICATOR SURGIFLO 34CM,320.0,,160.0,288.0,56
CDM,14003152,PROBE FIAPC STR FIRE 220CM,542.0,,271.0,487.8,56
CDM,14003153,CONNECTOR PUMP SUTURELESS,435.0,,217.5,391.5,56
CDM,14003157,TAP SCREW 6MM,243.0,,121.5,218.7,61
CDM,14003158,CATH CHOLANGIOGRAM LAP 23CM,327.0,,163.5,294.3,56
CDM,14003159,CATHETER PASSER,325.0,,162.5,292.5,56
CDM,14003162,PERI-STRIPS DRY WITH TIP,487.0,,243.5,438.3,56
CDM,14003163,KIT CARDIAC CATHETERIZATION,309.0,,154.5,278.1,56
CDM,14003166,ANCHOR MITEK,1120.0,,506.18,1008.0,62
CDM,14003167,APPLICATOR PROGEL EXT 11IN,806.0,,403.0,725.4,56
CDM,14003171,CATH MUSTANG 5F 6.0X80X135CM,480.0,,240.0,432.0,62
CDM,14003172,CATH PACIFIC PLUS 7X60X130,481.0,,240.5,432.9,57
CDM,14003173,DRILL BIT 2.0MM QUICK CONNECT,398.0,,199.0,358.2,56
CDM,14003174,CATH SCORE ANGIOSCULPT 3X100,2702.0,,257.51,2431.8,57
CDM,14003179,GEN NEUROSTIM ACTIVA 37612,54192.0,,19449.14,48772.8,62
CDM,14003180,IMPL SALINE SMTH RND MOD PLUS,143.0,,71.5,1864.67,62
CDM,14003183,INTRODUCER CHECK-FLO FLEXOR,267.0,,46.81,240.3,57
CDM,14003185,PATCH WITTMAN,7174.0,,3587.0,6456.6,61
CDM,14003187,REAMER TRIPLE DHS STANDARD,3929.0,,1964.5,3536.1,56
CDM,14003198,VALVE CSF POLARIS 10-140,9618.0,,4809.0,8656.2,61
CDM,14003200,CATH COYOTE 4F 3X60X150CM,826.0,,257.51,743.4,57
CDM,14003201,CATH GLIDECATH ANGLED 5F 65,173.0,,86.5,155.7,57
CDM,14003202,CATH MUSTANG 5F 4X100X135CM,514.0,,257.0,462.6,57
CDM,14003203,CATH MUSTANG 6F 8X40X135CM,518.0,,257.51,466.2,62
CDM,14003207,FILLER BONE VITOSS BA2X,5995.0,,506.18,5395.5,62
CDM,14003208,FILTER GRAFT RIA GRADUATED PLU,723.0,,361.5,650.7,56
CDM,14003213,TAP SCREW 7MM,239.0,,119.5,215.1,61
CDM,14003214,ANCHOR QUICKANCHOR PLUS MITEK,1135.0,,506.18,1021.5,62
CDM,14003223,CAGE PYRAMESH 16X90,18351.0,,9175.5,16515.9,56
CDM,14003224,CANNULA SCHAITKIN SALIVARY 2.0,511.0,,255.5,459.9,56
CDM,14003232,IMPL FEM C-TAPER LFIT,1253.0,,626.5,2374.28,62
CDM,14003235,NEEDLE INJECTION SIDEKICK 21G,173.0,,86.5,155.7,56
CDM,14003246,CATH COYOTE OTW 2X150X150,900.0,,257.51,810.0,57
CDM,14003248,COLLAR PHIL SM,62.0,,31.0,55.8,56
CDM,14003249,CONNECTOR CROSSLINK SYNTHES,1876.0,,938.0,1688.4,61
CDM,14003250,DILATOR STIMULATOR NIM SET,1865.0,,932.5,1678.5,56
CDM,14003251,ELECTRODE FLEXBILE MONOPOLAR,334.0,,167.0,300.6,56
CDM,14003254,EXTENSION LEAD ACTIVA 37086,1797.0,,727.5,1617.3,62
CDM,14003257,GUIDEWIRE MAXXWIRE SUPER STIFF,332.0,,27.95,298.8,57
CDM,14003258,GWIRE ACROBAT .035X450,364.0,,182.0,327.6,56
CDM,14003259,IMPLANT SYNFIX LR,7114.0,,3557.0,6402.6,61
CDM,14003262,MAMMARY GEL ROUND 590CC,1812.0,,906.0,1630.8,61
CDM,14003263,NEEDLE BONE MARROW ASP 11X15,433.0,,216.5,389.7,56
CDM,14003264,PROBE BALL TIP 175MM,511.0,,255.5,459.9,56
CDM,14003269,TUBE FEEDING FLOW-20 20F 260CM,248.0,,124.0,223.2,56
CDM,14003271,STEM HIP SECURFIT MAX 132 6,5330.0,,2374.28,4797.0,62
CDM,14003274,BONE PRESS HENSLER,932.0,,466.0,838.8,56
CDM,14003275,BRACE BLEDSOE REG 20 IN,335.0,,167.5,301.5,61
CDM,14003276,CAP MATRIX LOCKING W/O SADDLE,317.0,,158.5,285.3,61
CDM,14003282,CATH BLN SCORING 3.5X40X137,2309.0,,257.51,2078.1,57
CDM,14003290,CANNULATOME COTTON MONO 6FX320,478.0,,239.0,430.2,56
CDM,14003292,CATH INTRATHECAL ASCENDA 8780,2261.0,,88.85,2034.9,57
CDM,14003298,LEAD PACING CAPSURE EPI,3110.0,,922.22,2799.0,62
CDM,14003300,PATCH CV PERI-GUARD 6CMX8CM,986.0,,493.0,887.4,61
CDM,14003310,STAPLE RELOAD CRVD GIA 60,1053.0,,526.5,947.7,56
CDM,14003311,STENT ENDOMAXX OTW ESOPHAGEAL,5722.0,,1667.17,5149.8,62
CDM,14003312,SYS OMNISPAN MENISCAL 12DEG,838.0,,419.0,754.2,62
CDM,14003320,CATH POWER-TRIALLYSIS 15 DISP,526.0,,263.0,473.4,61
CDM,14003321,CATH STERLING MONORAIL3X20X135,616.0,,257.51,554.4,57
CDM,14003322,CATH STERLING MONORAIL5X20X135,597.0,,257.51,537.3,57
CDM,14003343,MICROVASIVE DEVICE ANAST 2.0M,1659.0,,829.5,1493.1,56
CDM,14003345,CATH EMBOL THRU LUMEN FOGARTY,265.0,,132.5,314.82,57
CDM,14003346,CATH MUSTANG 6F 8X60X75CM,499.0,,249.5,449.1,57
CDM,14003347,COIL AZUR 18D 10X10,1828.0,,914.0,1645.2,61
CDM,14003348,COIL AZUR 35D 10X20 HELICAL,2805.0,,1402.5,2524.5,61
CDM,14003349,COIL AZUR 35D 14X34 FRAMING,2960.0,,1480.0,2664.0,61
CDM,14003351,CONNECTOR DOMINO TI,1894.0,,947.0,1704.6,56
CDM,14003356,DVC INFLAT ENCORE,138.0,,69.0,124.2,56
CDM,14003358,ELEC RESECT ROLLER BALL,1022.0,,511.0,919.8,56
CDM,14003362,FORCEP HEMO COAGRASPER 5X165,546.0,,273.0,491.4,56
CDM,14003364,GRAFT GELWEAVE GELATIN 24X30,1251.0,,625.5,1125.9,62
CDM,14003371,STENT I-CAST 6X22X120,5576.0,,1667.17,5018.4,62
CDM,14003375,WASHER SYNTHES,100.0,,50.0,90.0,61
CDM,14003376,WRENCH TORQUE MEDTRONIC,199.0,,99.5,179.1,56
CDM,14003377,CATH AIRWAY EXCHANGE COOK 14F,180.0,,90.0,162.0,56
CDM,14003387,MARKER ENDOSCOPIC SPOT,119.0,,59.5,107.1,56
CDM,14003388,SLEEVE CERVICAL 40MM,110.0,,55.0,99.0,56
CDM,14003392,LEAD EXTRACTION W/PMP 1ST HR,0.01,,0.005,0.009,56
CDM,14003398,WASHER 13MM,222.0,,111.0,199.8,61
CDM,14003400,LEAD EXTRACT W/PMP ADDL 15 MIN,0.01,,0.005,0.009,56
CDM,14003405,STRUT TELESCOPIC LONG HOFFMANN,3012.0,,1506.0,2710.8,61
CDM,14003406,TRACER POINTER,1332.0,,666.0,1198.8,56
CDM,14003408,CATH GLIDECATH COBRA2 4X65,173.0,,86.5,155.7,57
CDM,14003419,FILLER BONE VITOSS BA2X 5.0CC,3133.0,,506.18,2819.7,62
CDM,14003420,GEN SURESCAN RESTORSNSR 97714,37068.0,,18534.0,33361.2,62
CDM,14003427,RECHARGER NEUROSTIM 97754,3588.0,,1794.0,3229.2,56
CDM,14003434,CATH PACIFIC PLUS 4X120X130,500.0,,250.0,450.0,57
CDM,14003435,CATH PACIFIC PLUS PTA 6X80X130,500.0,,250.0,450.0,57
CDM,14003437,ELECT BUGBEE 2FX105 LONG TIP,322.0,,161.0,289.8,56
CDM,14003438,EXTRACT SCRW ASNIS III,596.0,,298.0,536.4,61
CDM,14003443,KIT PROCEDURE EDGE 180 TIP,2862.0,,1431.0,2575.8,56
CDM,14003444,KWIRE 1.4,211.0,,105.5,506.18,62
CDM,14003452,RESERVOIR PEN LP 100ML,4512.0,,2256.0,12059.64,62
CDM,14003454,PROTECTOR ALEXIS SMALL/MEDIUM,453.0,,226.5,407.7,56
CDM,14003456,SPACER SOLITAIRE,10838.0,,5419.0,9754.2,61
CDM,14003459,WASHER STRYKER,114.0,,57.0,102.6,61
CDM,14003461,CATH FLEX-NECK COILED CF-5560,1058.0,,395.6,952.2,62
CDM,14003467,ECHO TIP PRO CORE NEEDLE -,706.0,,353.0,635.4,56
CDM,14003469,IMPLANT ZERO-P LORDOTIC,6219.0,,3109.5,5597.1,61
CDM,14003470,KIT TUMOR RESECTION 973-3607,484.0,,242.0,435.6,56
CDM,14003471,NEEDLE INJECTION CARR LOCKE,141.0,,70.5,126.9,56
CDM,14003473,SLEEVE FIXATION NAIL T2 LONG,309.0,,154.5,278.1,61
CDM,14003475,VALVE CONTROL BLEEDBAK COPILOT,108.0,,54.0,97.2,56
CDM,14003484,KIT ACCESSORY SPINAL PED NIM,2288.0,,1144.0,2059.2,56
CDM,14003485,KIT WOOT WRENCH TORQUE,644.0,,322.0,579.6,56
CDM,14003489,LEAD CUFF INSPIRE,5052.0,,2526.0,4546.8,62
CDM,14003490,LEAD SENSING INSPIRE,7907.0,,3953.5,7116.3,62
CDM,14003501,WIRE K KIRSCHNER OLIVE STOP,66.0,,33.0,59.4,61
CDM,14003510,STNT RX HERCULINK ELITE 12-18,2759.0,,1379.5,2483.1,62
CDM,14003512,CATH PACIFIC PLUS 5X120X130,486.0,,243.0,437.4,57
CDM,14003513,CATH PACIFIC PLUS 7X40X130,500.0,,250.0,450.0,57
CDM,14003514,COIL AZUR DETACH 35 20MMX50CM,3141.0,,1570.5,2826.9,61
CDM,14003516,NEEDLE 25GA X 1.5 MONOJECT,21.0,,10.5,18.9,56
CDM,14003518,HOOK OFFSET,974.0,,487.0,876.6,61
CDM,14003519,RETRACTOR SCROTAL SYSTEM,749.0,,374.5,674.1,56
CDM,14003521,SLING SMART REG,172.0,,86.0,154.8,56
CDM,14003523,DVC EKOSONIC MACH 4,6685.0,,314.82,6016.5,57
CDM,14003529,CATH DIALYSIS GLIDEPATH,435.0,,217.5,395.6,62
CDM,14003535,INTRODCR CHECK-FLO FLEXOR 70CM,267.0,,46.81,240.3,57
CDM,14003537,INTRODCR CHECK-FLO FLEXOR 55CM,231.0,,46.81,207.9,57
CDM,14003550,CATH PACIFIC PLUS  2X120X130,486.0,,243.0,437.4,57
CDM,14003551,CATH PACIFIC PLUS  4X80X130,519.0,,257.51,467.1,57
CDM,14003553,COIL AZUR 18D 16MMX39CM,1725.0,,862.5,1552.5,61
CDM,14003554,COIL AZUR 18D 20MMX40CM,1725.0,,862.5,1552.5,61
CDM,14003555,COIL AZUR 18D,1778.0,,889.0,1600.2,61
CDM,14003559,KIT ACHILLES SUTURE PARS,1256.0,,628.0,1130.4,61
CDM,14003562,CAGE PYRAMESH 16X30,9261.0,,4630.5,8334.9,61
CDM,14003565,CAST SHOE ROCKER,3201.0,,1600.5,2880.9,56
CDM,14003569,CATH PACIFIC PLUS  6X120X130,500.0,,250.0,450.0,57
CDM,14003573,SEAL CANNULA DAVINCI,83.0,,41.5,74.7,56
CDM,14003577,CORD ENDOSCOPY ACTIVE DISPOSAB,77.0,,38.5,69.3,56
CDM,14003578,GRAFT ZENITH SPIRAL-Z,7220.0,,3610.0,6498.0,61
CDM,14003580,HOOK LAMINAR,1233.0,,616.5,1109.7,61
CDM,14003582,IMPL ELBOW RADIAL HEAD ACUMED,6843.0,,2374.28,6158.7,62
CDM,14003583,IMPL ZIPFIX 08.501.001.05S,291.0,,145.5,261.9,61
CDM,14003585,KIT DELIVERY MARKER PULMO SD,298.0,,78.0,268.2,62
CDM,14003586,K-WIRE 3.2X450 MM,194.0,,97.0,506.18,57
CDM,14003588,LEAD NEUROSTIMULATOR VAGUS VNS,16819.0,,4266.13,15137.1,62
CDM,14003589,PLUG VASCULAR AMPLATZER,1610.0,,805.0,1449.0,61
CDM,14003590,PROBE PEDICLE BALL TIP NIM,559.0,,279.5,503.1,56
CDM,14003591,PROS PENILE INFLAT AMS 700,19479.0,,9739.5,17531.1,62
CDM,14003592,RETRACTOR ALEXIS WOUND XXSMALL,123.0,,61.5,110.7,56
CDM,14003593,STEM RADIAL HEAD ACUMED,7769.0,,2374.28,6992.1,62
CDM,14003596,TUBE ET TRIVANTAGE NIM 8MM,739.0,,369.5,665.1,56
CDM,14003600,SCREW 10,67.0,,33.5,506.18,62
CDM,14003601,SCREW 20,102.0,,51.0,506.18,62
CDM,14003602,SCREW 30,137.0,,68.5,506.18,62
CDM,14003603,SCREW 40,170.0,,85.0,506.18,62
CDM,14003604,SCREW  50,219.0,,109.5,506.18,62
CDM,14003605,SCREW  75,291.0,,145.5,506.18,62
CDM,14003606,SCREW  100,363.0,,181.5,506.18,62
CDM,14003607,SCREW  125,437.0,,218.5,506.18,62
CDM,14003608,SCREW  150,509.0,,254.5,506.18,62
CDM,14003609,SCREW  175,581.0,,290.5,522.9,62
CDM,14003610,SCREW  200,727.0,,363.5,654.3,62
CDM,14003611,SCREW  250,870.0,,435.0,783.0,62
CDM,14003612,SCREW  300,1017.0,,506.18,915.3,62
CDM,14003613,SCREW  350,1161.0,,506.18,1044.9,62
CDM,14003614,SCREW  400,1306.0,,506.18,1175.4,62
CDM,14003615,SCREW  450,1452.0,,506.18,1306.8,62
CDM,14003616,SCREW  500,1452.0,,506.18,1306.8,62
CDM,14003617,SCREW  600,1722.0,,506.18,1549.8,62
CDM,14003618,SCREW  700,1938.0,,506.18,1744.2,62
CDM,14003619,SCREW  800,2176.0,,506.18,1958.4,62
CDM,14003620,SCREW  900,2418.0,,506.18,2176.2,62
CDM,14003621,SCREW  1000,2901.0,,506.18,2610.9,62
CDM,14003622,SCREW  1200,3386.0,,506.18,3047.4,62
CDM,14003623,SCREW  1400,3832.0,,506.18,3448.8,62
CDM,14003624,SCREW  1600,4397.0,,506.18,3957.3,62
CDM,14003625,SCREW  1800,4300.0,,506.18,3870.0,62
CDM,14003626,SCREW  2000,4730.0,,506.18,4257.0,62
CDM,14003627,SCREW  2200,5365.0,,506.18,4828.5,62
CDM,14003629,SCREW  2600,6020.0,,506.18,5418.0,62
CDM,14003631,SCREW  3000,5831.0,,506.18,5247.9,62
CDM,14003632,SCREW  3500,6300.0,,506.18,5670.0,62
CDM,14003633,SCREW  4000,8127.0,,506.18,7314.3,62
CDM,14003634,SCREW  4500,8189.0,,506.18,7370.1,62
CDM,14003642,WIRE KIRSCHNER GAMMA3 3.2X45,227.0,,113.5,506.18,62
CDM,14003644,TUBE FEED JEJ FLOW-20 9F 60CM,305.0,,152.5,274.5,56
CDM,14003645,TUBE G FLOW-20F-PULL PEG KIT,374.0,,187.0,336.6,61
CDM,14003646,CATH WORKING CHANNEL EDGE,2932.0,,1466.0,2638.8,56
CDM,14003647,BATT PACK DRILL QUIK DRIVE,738.0,,369.0,664.2,56
CDM,14003649,GRAFT VASC ACUSEAL ECH060040A,3154.0,,1092.42,2838.6,62
CDM,14003651,IMPLANT VBR SYNMESH,10332.0,,5166.0,9298.8,61
CDM,14003653,GUIDEWIRE ASAHI GRAND SLAM,260.0,,27.95,234.0,57
CDM,14003657,GUIDEWIRE ROADRUNNER G07640,217.0,,27.95,195.3,62
CDM,14003658,GUIDEWIRE VERSACORE HI-TORQUE,254.0,,27.95,228.6,57
CDM,14003661,CABLE PACER CONNECTOR,72.0,,36.0,64.8,56
CDM,14003662,SHEATH/INTRODUCER BRITE TIP,84.0,,42.0,75.6,62
CDM,14003666,CATH EMBOLECTOMY ART LEM,290.0,,145.0,314.82,57
CDM,14003669,APPL DURASEAL EXTENDED 8CM,315.0,,157.5,283.5,56
CDM,14003670,CUFF 3.5CM AMS 800 W/INHIBITOR,11056.0,,5528.0,9950.4,62
CDM,14003674,HOOK SHARP,260.0,,130.0,234.0,56
CDM,14003675,INTR CHECK-FLO 4FR 90 G48188,330.0,,46.81,297.0,57
CDM,14003676,RESERVOIR PEN AMS 65ML,4783.0,,2391.5,12059.64,62
CDM,14003677,SHEATH DRYSEAL GORE,684.0,,46.81,615.6,57
CDM,14003678,SLEEVE SCD THIGH,66.0,,33.0,59.4,56
CDM,14003679,SNARE GOOSENECK KIT EV3 GN2500,644.0,,70.07,579.6,57
CDM,14003683,WASHER SCREW ASNIS III 7.0MM,92.0,,46.0,82.8,61
CDM,14003685,WIRE K KIRSCHNER AXSOS 315MM,194.0,,97.0,506.18,62
CDM,14003687,KIT SYNDESMOSIS THIGTROPE,2194.0,,506.18,1974.6,62
CDM,14003688,LEAD ICD DEFIB CAPSURE EPI4968,7224.0,,922.22,6501.6,62
CDM,14003692,SLEEVE CABLE D-M VITAL 2.0MM,684.0,,342.0,615.6,61
CDM,14003694,WAND PLASMA PROCISE,925.0,,462.5,832.5,56
CDM,14003695,LEAD DEPTH RNS NEUROSTIM,10098.0,,4266.13,9088.2,62
CDM,14003713,CONNECTOR DOMINO CLOSED,2280.0,,1140.0,2052.0,61
CDM,14003720,IMPL RING TRICUSPID MC3 28MM,8049.0,,4024.5,7244.1,61
CDM,14003722,NDL ECHOTIP ULTRA 22G G31518,348.0,,174.0,313.2,56
CDM,14003735,CABLE PACING/THRESHOLD W/ADPTR,83.0,,41.5,74.7,56
CDM,14003737,CABLE SCREENING INTERSTIM,248.0,,124.0,223.2,56
CDM,14003741,BUGBEE FULGURATING ELETRODE 6,229.0,,114.5,206.1,56
CDM,14003746,CUFF TOURNIQ BIER BLK SZ 18,622.0,,311.0,559.8,56
CDM,14003753,GDEWIRE SUPER STIFFS.035X180,152.0,,27.95,136.8,57
CDM,14003756,KIT ACCESSORY WITH SCREWS,206.0,,103.0,185.4,56
CDM,14003757,STENT URETERAL DBL-J OLYMPUS,274.0,,137.0,246.6,62
CDM,14003761,DILATOR SERIAL MIC 18F,305.0,,152.5,274.5,56
CDM,14003763,GELATIN SPG ABSORB GL 8X3CM 5S,80.0,,40.0,72.0,56
CDM,14003765,PENILE PUMP PRECON 700CX 16X9,19479.0,,9739.5,17531.1,62
CDM,14003774,STENT ICAST 7X22X120MM,5576.0,,1667.17,5018.4,62
CDM,14003777,TUBE TRACH CUFFED SHILEY,139.0,,69.5,125.1,56
CDM,14003779,WASHER SYNTHES 179722200,308.0,,154.0,277.2,61
CDM,14003788,GUIDEWIRE SMOOTH T2 2.2X800,302.0,,151.0,271.8,56
CDM,14003796,MCNEALY VISCERA RETAINER MED,134.0,,67.0,120.6,56
CDM,14003798,SHEATH PINNACLE 8F 25CM RSS806,102.0,,46.81,91.8,57
CDM,14003799,TUBE TRACH SHILEY XLT 6.0MM,222.0,,111.0,199.8,61
CDM,14003802,TOOL DISSECTING LEGEND MC30,435.0,,217.5,391.5,56
CDM,14003803,CAP END-CAP 8MM STRYKER,457.0,,228.5,411.3,61
CDM,14003804,COIL AZUR DETACH 18 6MMX10CM,1902.0,,951.0,1711.8,56
CDM,14003805,SYSTEM EN SNARE,863.0,,70.07,776.7,57
CDM,14003806,CATH STERLING 7.0X100X135,641.0,,257.51,576.9,57
CDM,14003811,PROBE TEMP FOLEY CATH 8FR,114.0,,57.0,102.6,56
CDM,14003817,MESH PLATING PROFILE ZERO,823.0,,411.5,740.7,62
CDM,14003819,BLADE BONE MILL MEDIUM,517.0,,258.5,465.3,56
CDM,14003820,CEMENT BONE KYPHX HV-R,444.0,,222.0,506.18,62
CDM,14003822,FIBER LASER HOLMIUM 273,889.0,,444.5,800.1,56
CDM,14003823,FIBER LASER HOLMIUM 365,688.0,,344.0,619.2,56
CDM,14003824,FIBER LASER HOLMIUM 550,939.0,,469.5,845.1,56
CDM,14003828,GDWIRE KIRSCHNER FIXOS 1.4X150,190.0,,95.0,506.18,57
CDM,14003837,MILL BONE MIDAS REX LEGEND BM2,526.0,,263.0,473.4,56
CDM,14003841,RETRACTOR WOUND LARGE C8303,221.0,,110.5,198.9,56
CDM,14003848,RETRACTOR WOUND SMALL C8301,156.0,,78.0,140.4,56
CDM,14003850,RETRACTOR WOUND XLARGE C8404,958.0,,479.0,862.2,56
CDM,14003855,SO P.A.D. II LARGE,120.0,,60.0,108.0,61
CDM,14003857,STAPLE PROXIMATE TX 30V DLU,182.0,,91.0,163.8,56
CDM,14003860,GEN NEUROSTIM DEMIPULSE 104,53630.0,,22201.12,48267.0,62
CDM,14003883,DRAIN EXT MON DUET CSF,491.0,,245.5,441.9,56
CDM,14003888,GUIDEWIRE ORTHOPEDIC BALL TIP,431.0,,215.5,387.9,56
CDM,14003894,INTRO FLEXOR CHECK-FLO 8F 70CM,260.0,,46.81,234.0,57
CDM,14003896,IMPL VBR CENTERPIECE OBELISC,11843.0,,5921.5,10658.7,61
CDM,14003897,IMPL VBR END PIECE OBELISC 01,1184.0,,592.0,1065.6,61
CDM,14003902,STENT GRAFT ENDOVASC TREOVANCE,27593.0,,13796.5,24833.7,61
CDM,14003904,NEEDLE INCISING FASCIAL 18G,118.0,,59.0,106.2,56
CDM,14003905,PLUG SPINAL LINEUM HELICAL,328.0,,164.0,295.2,61
CDM,14003918,SYST EMBOLC PROTECTIVE ACCUNET,3819.0,,1461.69,3437.1,62
CDM,14003924,CATH MUSTANG 5F 5X20X75CM,514.0,,257.0,462.6,57
CDM,14003937,CATH PACIFIC PLUS 7X120X130,486.0,,243.0,437.4,57
CDM,14003955,INTRO ANSEL CF MP 6F 2.2X55,214.0,,46.81,192.6,57
CDM,14003956,KIT ACC STIM BOOTS AND ANCHORS,295.0,,147.5,265.5,56
CDM,14003976,PENILE PMP LGX PRECON MS 21C,19247.0,,9623.5,17322.3,62
CDM,14003980,STENT GRAFT VIABAHN 10X10,7580.0,,1667.17,6822.0,62
CDM,14003981,STENT ICAST 7X38X80MM,5490.0,,1667.17,4941.0,62
CDM,14004024,INSERT LOCKING 5MM AXSOS,186.0,,93.0,167.4,61
CDM,14004031,LEAD VECTRIS SURESCAN 977A260,5371.0,,2685.5,4833.9,62
CDM,14004033,THROMBIN NG 5000UNITS/V,177.0,,45.31,159.3,55
CDM,14004049,CATH STERLING OTW SL 2.5X150,974.0,,257.51,876.6,62
CDM,14004054,CATH STERLING OTW SL 4X150,1012.0,,257.51,910.8,57
CDM,14004056,SEALANT COSEAL 4ML,1521.96,,389.62,1369.76,55
CDM,14004070,CABLE/SLEEVE BEADED D-M 1.6M,628.0,,314.0,565.2,57
CDM,14004075,CAGE PYRAMESH 16X60,16257.0,,8128.5,14631.3,61
CDM,14004082,ELECTRODE SUBDERMAL PAIRED,448.0,,224.0,403.2,56
CDM,14004097,REAMER DRIVE SHAFT MOD 8X284,619.0,,309.5,557.1,56
CDM,14004124,IMPL MACROPLASTIQUE 2.5ML,1220.0,,610.0,1098.0,61
CDM,14004125,PROBE PIERCER OSCAR 6-8-10,1854.0,,927.0,1668.6,56
CDM,14004126,PROBE SCRAPER OSCAR 6-8-10,1835.0,,917.5,1651.5,56
CDM,14004132,CATH MUSTANG 4X40X135,535.0,,257.51,481.5,57
CDM,14004133,CATH PACIFIC PLUS 2.5X150X130,500.0,,250.0,450.0,57
CDM,14004148,COUPLER MICROVASCULAR,2272.0,,1136.0,2044.8,61
CDM,14004149,EXTRACTOR CONICAL 2.5,978.0,,489.0,880.2,56
CDM,14004150,EXTRACTOR CONICAL 3.5,903.0,,451.5,812.7,56
CDM,14004151,GDWIRE AMPLATZ ULTRA 038X145,80.0,,27.95,72.0,57
CDM,14004152,GRAFT ENDURANT II STENT BIFURC,22607.0,,11303.5,20346.3,61
CDM,14004154,MESH DYNAMIC 1.7MM,3443.0,,608.95,3098.7,62
CDM,14004155,SHEATH DRYSEAL GORE 20F,845.0,,46.81,760.5,57
CDM,14004156,SHEATH DRYSEAL GORE 22F,845.0,,46.81,760.5,57
CDM,14004157,STIMULATOR CORTICAL OJEMANN,1491.0,,745.5,1341.9,56
CDM,14004165,CEMENT HYDROSET INJ 15CC,7072.0,,506.18,6364.8,62
CDM,14004166,IMMOB KNEE CUTAWAY UNIVER 20IN,88.0,,44.0,96.68,61
CDM,14004167,IMMOB KNEE CUTAWAY UNIVER 24IN,108.0,,54.0,97.2,61
CDM,14004173,CATH PACIFIC PLUS OTW 4X60X130,500.0,,250.0,450.0,57
CDM,14004174,DILATOR BALLOON QUANTUM TTC,316.0,,158.0,367.53,57
CDM,14004175,ELECT RESECTION HIGH FREQ MED,266.0,,133.0,239.4,56
CDM,14004176,GDWIRE V-18 CONTROLWIRE,281.0,,27.95,252.9,57
CDM,14004177,GRASPER LAPAROSCOPIC DOUBLE FE,554.0,,277.0,498.6,56
CDM,14004178,GUIDEWIRE THREADED 1.1MMX150MM,114.0,,27.95,102.6,57
CDM,14004179,GWIRE GLIDEWIRE-HC STF 035 A,173.0,,27.95,155.7,62
CDM,14004180,HYDROSET INJ 10CC,5781.0,,506.18,5202.9,62
CDM,14004181,PROBE ABLATION NANOKNIFE,4784.0,,2392.0,4305.6,56
CDM,14004189,CATHETER FOLEY 01,48.0,,24.0,43.2,56
CDM,14004190,CATHETER FOLEY 10,97.0,,48.5,87.3,56
CDM,14004191,CATHETER FOLEY 20,145.0,,72.5,130.5,56
CDM,14004192,CATHETER FOLEY 30,195.0,,97.5,175.5,56
CDM,14004200,ELECT NEEDLE BIPOLAR COAGULAT,731.0,,365.5,657.9,56
CDM,14004203,GIRDLE ABOVE THE KNEE LARGE,236.0,,118.0,212.4,56
CDM,14004204,PAK NEEDLE SEXANT BEVEL TIP,601.0,,300.5,540.9,56
CDM,14004209,CATH SILVERSOAKER ON-Q  12.5CM,211.0,,105.5,189.9,56
CDM,14004212,GRAFT BIODESIGN TISSUE 4X7,1176.0,,588.0,1478.44,62
CDM,14004213,NEEDLE BIOPSY MAXCORE 18GX20,119.0,,59.5,107.1,56
CDM,14004214,PLATFORM ACCESS GELPOINT ADV,1410.0,,705.0,1269.0,56
CDM,14004216,SYSTEM EXTRACTION W/GELPOINT,1723.0,,861.5,1550.7,56
CDM,14004217,TUBE TRACHEOSTOMY CUFFED SHILE,139.0,,69.5,125.1,61
CDM,14004219,CATH BERENSTEIN .038 4FX65CM,147.0,,73.5,132.3,56
CDM,14004220,CATH MUSTANG 5F 5.0X60X135CM,514.0,,257.0,462.6,57
CDM,14004221,CATH PACIFIC PLUS 3X120X130,500.0,,250.0,450.0,57
CDM,14004222,COUPLER ROD-TO-ROD HFMN3 01,1135.0,,567.5,1021.5,61
CDM,14004223,COUPLR PIN TO ROD INVRT HOFF 3,1135.0,,567.5,1021.5,61
CDM,14004225,DRAIN CHANNEL RND W/TROCAR 10F,60.0,,30.0,54.0,56
CDM,14004226,GLENOIDSPHERE BASPLATE 25MM,7276.0,,2374.28,6548.4,62
CDM,14004228,KNIFE BAYONET LONG 188M,1179.0,,589.5,1061.1,56
CDM,14004231,PROST CX PRECONNECT 15CM PS-IZ,19666.0,,9833.0,17699.4,62
CDM,14004244,POST ANGLED HOFF 3 30 DEG 11MM,277.0,,138.5,249.3,61
CDM,14004272,SUTURE FIBER FORCE SZ5 WT/BK,132.0,,66.0,118.8,56
CDM,14004275,TRINKLE MODIFIED REAMER 885MM,1031.0,,515.5,927.9,56
CDM,14004277,FORCEP BX PIRANHA 1MM 115CM,1274.0,,637.0,1146.6,56
CDM,14004287,PIN REDUCTION 5X150MM,394.0,,197.0,506.18,62
CDM,14004288,SCREWDRIVER OSTEODRIVER2 DISP,195.0,,97.5,175.5,56
CDM,14004289,STENT EXPRESS LD PM SYS 08X37,2628.0,,1314.0,2365.2,62
CDM,14004290,STENT TRACHEOBRONCH AERO SYS,6159.0,,1667.17,5543.1,62
CDM,14004292,CATH PACIFIC PLUS 3.0X80X130CM,500.0,,250.0,450.0,57
CDM,14004295,GUIDE ANCHOR HELI-FX 01,3674.0,,1837.0,3306.6,56
CDM,14004301,CONNECTOR CROSSLINK MEDTRONIC,1739.0,,869.5,1565.1,61
CDM,14004302,GEN NEUROSTIM ENTERRA,21431.0,,10715.5,22201.12,62
CDM,14004304,KIT AIRWAY SIZING,639.0,,319.5,575.1,56
CDM,14004307,VALVE IBV JIS-V5-V8,6337.0,,3168.5,5703.3,61
CDM,14004308,DRESSING SILON DUAL-DRESS,710.0,,355.0,639.0,56
CDM,14004309,CLIP ANEURYSM MIZUHO 01,801.0,,400.5,720.9,61
CDM,14004311,ANCHOR SUT PUSHLOCK MINI 2.5X8,870.0,,435.0,783.0,62
CDM,14004313,IMPL PROS PENILE MALL GEN 11MM,19437.0,,914.36,17493.3,62
CDM,14004314,KIT INST DISPOSABLES SUTURETAK,533.0,,266.5,479.7,56
CDM,14004316,CATH MUSTANG 5F 7X100X75CM,514.0,,257.0,462.6,57
CDM,14004318,CATH PTA MONORAIL 7X20X135,616.0,,257.51,554.4,57
CDM,14004320,CONNECTOR SHUNT ACCU-FLO,300.0,,150.0,270.0,61
CDM,14004324,GUIDEWIRE BLUNT TIP VIPER 2 1.,264.0,,27.95,237.6,57
CDM,14004325,STOPCOCK PLAIN 3-WAY,48.0,,24.0,43.2,56
CDM,14004326,GUIDEWIRE 2.2MMX500MM,502.0,,27.95,451.8,57
CDM,14004328,HUM INS ASCEND FLEX RET 36 +6,2722.0,,1361.0,2449.8,62
CDM,14004329,HUM TRAY ASCEND REV HO +6,4295.0,,2147.5,3865.5,62
CDM,14004330,IMP PEEK CRANIAL 150-200SQ CM,15372.0,,7686.0,13834.8,61
CDM,14004331,IMP PEEK CRANIAL 200-100SQ CM,15035.0,,7517.5,13531.5,61
CDM,14004335,INSERTER KWIRE T2 RECON,841.0,,22.5,756.9,57
CDM,14004336,NDLE KNIFE ZIMMON 5F .035X200,612.0,,306.0,550.8,56
CDM,14004339,RESERVOIR CSF STD 2.5CM,1237.0,,618.5,1113.3,56
CDM,14004340,SPHERE GLENOID AEQUALIS REV 36,7205.0,,2374.28,6484.5,62
CDM,14004343,STENT ICAST 6X16X120MM,5343.0,,1667.17,4808.7,62
CDM,14004345,SUT FORCE FIBER 2 SMS100501,96.0,,48.0,86.4,56
CDM,14004347,BRACE KNEE T-SCOPE UNIVERSAL,275.0,,137.5,247.5,61
CDM,14004349,CATH BALLOON PTA DORADO,498.0,,249.0,448.2,57
CDM,14004350,DILATOR SALIVARY DUCT,229.0,,114.5,206.1,56
CDM,14004351,EXT FIX BOLT RING 4933-1-702,64.0,,32.0,57.6,61
CDM,14004352,EXT FIX BOLT WIRE LONG 1.5-2MM,251.0,,125.5,225.9,61
CDM,14004353,EXT FIX BOLT WIRE MED 1.5-2MM,251.0,,125.5,225.9,61
CDM,14004354,EXT FIX NUT CONNECT SHORT,64.0,,32.0,57.6,61
CDM,14004355,EXT FIX RING FT ARCH 155MM,3078.0,,1539.0,2770.2,61
CDM,14004356,EXTERNAL FIXATOR NUT,62.0,,31.0,55.8,61
CDM,14004357,EXTERNAL FIXATR HINGE COUPLING,707.0,,353.5,636.3,61
CDM,14004358,FOOT RING LONG 155MM,3542.0,,1771.0,3187.8,61
CDM,14004363,HUM INS ASCEND FLEX RET 36 +6,3851.0,,1925.5,3465.9,62
CDM,14004364,HUM TRAY ASCEND REV HO +0,4446.0,,2223.0,4001.4,62
CDM,14004365,KT EXTERNAL ROTATING SLING,171.0,,85.5,153.9,56
CDM,14004369,RING HOFFMAN FULL CARBON 155MM,2882.0,,1441.0,2593.8,61
CDM,14004373,SPACER PERIMETER,9853.0,,4926.5,8867.7,61
CDM,14004374,STEM ASCEND FLEX PTC STD SZ 8B,9238.0,,2374.28,8314.2,62
CDM,14004376,SYS CLOSE PORT ENDO CARTER-THM,326.0,,163.0,293.4,56
CDM,14004378,WASHER SCREW 4MM BLUE,135.0,,67.5,121.5,61
CDM,14004379,WASHER SCREW 7MM RED,140.0,,70.0,126.0,61
CDM,14004383,WIRE KIRSCHNER BALL TIP T2 3X2,321.0,,160.5,506.18,62
CDM,14004384,WIRE KIRSCHNER W/GUIDE,244.0,,122.0,506.18,62
CDM,14004401,NAIL  450,1291.0,,645.5,1161.9,61
CDM,14004402,NAIL  500,1291.0,,645.5,1161.9,61
CDM,14004403,NAIL  600,1504.0,,752.0,1353.6,61
CDM,14004404,NAIL  700,1721.0,,860.5,1548.9,61
CDM,14004416,NAIL  2800,6706.0,,3353.0,6035.4,61
CDM,14004420,NAIL  4500,7572.0,,3786.0,6814.8,61
CDM,14004422,NAIL  5500,8177.0,,4088.5,7359.3,61
CDM,14004509,NAIL  6500,9540.0,,4770.0,8586.0,61
CDM,14004554,BALLOON TAMPONADE BRONCH B5-2C,657.0,,328.5,591.3,56
CDM,14004557,CONNECTOR UNIV MRC MEDTRONIC,1739.0,,869.5,1565.1,61
CDM,14004561,GUIDEWIRE GLIDEWIRE GT,498.0,,27.95,448.2,57
CDM,14004563,KNIFE BAYONET BIPOL NIM XL 190,2049.0,,1024.5,1844.1,56
CDM,14004565,KWIRE 0.045X5IN,66.0,,33.0,506.18,62
CDM,14004570,PROS RESER TITAN CLOVRLEAF 125,3694.0,,1847.0,12059.64,62
CDM,14004573,WIRE TENDON CANTHAL W/BARB,322.0,,161.0,289.8,61
CDM,14004576,TA-55 4.8 MULTIFIRE STAPLE,1698.0,,849.0,1528.2,56
CDM,14004601,ELECTRDE SEEG DEPTH 10 CONTACT,1493.0,,746.5,1343.7,56
CDM,14004602,ELECTRDE SEEG DEPTH 12 CONTACT,1568.0,,784.0,1411.2,56
CDM,14004604,ELECTRDE SEEG DEPTH 14 CONTACT,1627.0,,813.5,1464.3,56
CDM,14004606,ELECTRDE SEEG DEPTH 16 CONTACT,1739.0,,869.5,1565.1,56
CDM,14004609,ELECTRDE SEEG DEPTH 8 CONTACT,1442.0,,721.0,1297.8,56
CDM,14004610,GUIDE STYLET SEEG DEPTH PLCMNT,308.0,,154.0,277.2,56
CDM,14004613,DRILL END 1.6X115MM,581.0,,290.5,522.9,56
CDM,14004615,GRAFT STRIP CHRONOS 25X50X3MM,1939.0,,506.18,1745.1,62
CDM,14004616,DRILL TWIST 1.6X50X5MM STOP,398.0,,199.0,358.2,56
CDM,14004620,DRILL KIT AND STOP AD-TECH,2458.0,,1229.0,2212.2,56
CDM,14004622,GRAFT PROPATEN 01,4371.0,,2185.5,3933.9,61
CDM,14004627,CATH STERLING MR 4X30X130,616.0,,257.51,554.4,57
CDM,14004641,EXPANDER MAMM SMOOTH RECTANGLE,1256.0,,628.0,1864.67,62
CDM,14004642,EXPANDER MAMM SMOOTH ROUND,1317.0,,658.5,1864.67,62
CDM,14004655,ANCHOR PEEK CORKSCREW 4.5X14,709.0,,354.5,638.1,62
CDM,14004656,ANCHOR SWIVELOCK 4.75X19.1 CLS,907.0,,453.5,816.3,62
CDM,14004662,TPV-30 STAPLE RELOADABLE UNIT,794.0,,397.0,714.6,56
CDM,14004673,INSERT TIBIAL REV MC COLUMBUS,3648.0,,1824.0,3283.2,62
CDM,14004674,NDL PASSER SUT SCORP MULTIFIRE,517.0,,258.5,465.3,56
CDM,14004675,ORTHOPEDIC HIP PREP PLUG KIT,246.0,,123.0,221.4,56
CDM,14004676,PROBE SERFAS ENERGY,476.0,,238.0,428.4,56
CDM,14004677,SUTURE LASSO HIP ARTH 90 DEG,426.0,,213.0,383.4,56
CDM,14004679,CATH NEPHROSTOMY FLEXIMA,267.0,,66.39,240.3,57
CDM,14004682,CEMENT RESTRICTOR BONE 01,517.0,,258.5,465.3,61
CDM,14004684,"DERMA CARRIERS 8""",120.0,,60.0,108.0,56
CDM,14004685,"DERMA CARRIERS 16""",178.0,,89.0,160.2,56
CDM,14004723,GDWIRE SENSOR DUAL FLX 035X150,676.0,,27.95,608.4,57
CDM,14004797,NAIL G-K RT FEMUR 13MM X 4,1004.0,,502.0,903.6,62
CDM,14004942,IMP AUGMENT ACETABULAR 01,5421.0,,2710.5,4878.9,61
CDM,14005111,IMP HEAD FEMORAL LFIT V40 TAP,1184.0,,592.0,2374.28,62
CDM,14005162,IMP HIP FEM HEAD DELTA CERAMIC,1151.0,,575.5,2374.28,62
CDM,14005239,INSERT CONSTRAINED AEQUALIS,4804.0,,2374.28,4323.6,62
CDM,14005240,INSERTER 9411300 13MM,8049.0,,4024.5,7244.1,56
CDM,14005241,LINER ARCOMXL ALL-POLY HIP,2906.0,,1453.0,2615.4,62
CDM,14005245,PLIERS BENDING ADERER,262.0,,131.0,235.8,56
CDM,14005247,SCAFFOLD BONE MOZAIK 15ML,3185.0,,734.6,2866.5,56
CDM,14005420,STEM ASCEND FLEX PTC STD SZ3B,9607.0,,2374.28,8646.3,62
CDM,14005504,STEM HIP REVELATION MICROMAX,4599.0,,2299.5,4139.1,62
CDM,14005540,SUCTION TIP FRAZIER 10F 9IN,190.0,,95.0,171.0,56
CDM,14005572,SCREW 214.048 4.5X48MM CORTE,64.0,,32.0,57.6,61
CDM,14005817,PIN 20,89.0,,44.5,506.18,62
CDM,14005834,PIN  700,1697.0,,848.5,1527.3,61
CDM,14005836,PIN  900,2203.0,,506.18,1982.7,62
CDM,14005843,PIN  2200,4914.0,,2457.0,4422.6,61
CDM,14005848,PIN  3500,7572.0,,506.18,6814.8,62
CDM,14005850,PIN  4500,8943.0,,506.18,8048.7,62
CDM,14005867,IMPL HIP STEM SECUR-FIT MAX,5330.0,,2374.28,4797.0,62
CDM,14005870,INTRODUCER CHECK-FLO PERFORMER,269.0,,46.81,242.1,57
CDM,14005871,K-WIRE 1.6MM,96.0,,48.0,506.18,62
CDM,14005872,K-WIRE 2.3MM,253.0,,126.5,506.18,62
CDM,14005873,K-WIRE SYNTHES 292.58,341.0,,170.5,506.18,62
CDM,14005874,STENT GRAFT VIABAHN VBJ 8X10,7524.0,,1667.17,6771.6,62
CDM,14005878,SYSTEM POS ACROBAT XP-5000,1575.0,,787.5,1417.5,56
CDM,14005879,ANCHOR SUTURE JUGGERKNOT  01,1254.0,,506.18,1128.6,62
CDM,14005880,BIT DRILL CENTRAL 3.2MM,308.0,,154.0,277.2,56
CDM,14005881,DRIVER CANNULATED TX,673.0,,336.5,605.7,56
CDM,14005886,IMP SHOULDER GLENOSPHERE REVER,2979.0,,1489.5,2681.1,62
CDM,14005887,IMP SHOULDER HUMERAL STEM REV,13169.0,,2374.28,11852.1,62
CDM,14005892,MARKER BONE FIDUCIAL FM-4010,189.0,,78.0,205.26,62
CDM,14005895,ANCHOR HEALIX W/ORTHOCORD,871.0,,435.5,783.9,61
CDM,14005897,COLUMBUS REV F HC GLID SURF 16,3581.0,,1790.5,3222.9,62
CDM,14005898,FEMUR CARB COLUMBUS AS REV,9378.0,,4689.0,8440.2,61
CDM,14005900,HEAD FEMORAL DEPUY,1787.0,,893.5,1608.3,61
CDM,14005901,IMP HEAD FEM MOD BIPOLAR ENC,1659.0,,829.5,1493.1,61
CDM,14005902,IMP HIP ACE SHELL CLUSTER TRIT,2631.0,,1315.5,2367.9,61
CDM,14005903,IMP HIP ACETAB SHIM TM,1937.0,,968.5,1743.3,61
CDM,14005910,IMP HIP FEMORAL HEAD,1578.0,,789.0,1420.2,61
CDM,14005925,IMP KNEE TIB INS ROT PLATFORM,2488.0,,1244.0,2239.2,61
CDM,14005926,IMP STEM TPRD TRIFIT CEMENTLES,4821.0,,2410.5,4338.9,61
CDM,14005928,IMPL HIP ACETAB LINER X3 MDM,3385.0,,1692.5,3046.5,61
CDM,14005929,IMPL HIP FEM HEAD BIOLOX DELTA,1355.0,,677.5,1219.5,61
CDM,14005931,IMPL MAMM GEL HIGH PROFILE,1778.0,,889.0,1600.2,61
CDM,14005952,IMPLANT TESTICULAR SALINE TORO,3977.0,,1988.5,3579.3,61
CDM,14005954,INP HIP INSERT RESTORATION ADM,1964.0,,982.0,1767.6,61
CDM,14005955,KIT BIO-TENODESIS DISPOSABLES,533.0,,266.5,479.7,61
CDM,14005956,KIT PREP BONE BIOPREP,325.0,,162.5,292.5,56
CDM,14005958,KWIRE 1.25MM TROCAR 150MM,301.0,,150.5,270.9,61
CDM,14005959,NUT FOR FEMUR STEM NEUTRAL,1198.0,,599.0,1078.2,61
CDM,14005963,SLEEVE FEMORAL S-ROM ZTT PROX,1607.0,,803.5,1446.3,61
CDM,14005965,STEM S-ROM LAT/STD NECK 11/13,3552.0,,1776.0,3196.8,61
CDM,14005966,STEM TIBIA OFFSET COLUMBUS AS,5167.0,,2583.5,4650.3,61
CDM,14005967,SYS OUTFLOW TUBE SET HYSTERO,401.0,,200.5,360.9,56
CDM,14005970,ACETABULAR LINER HIGH WALL E1,2156.0,,1078.0,2374.28,62
CDM,14005972,CATH HAKIM BARIUM SILICONE BAC,1849.0,,924.5,1664.1,61
CDM,14005973,FEMUR CARB COLUMBUS AS REV,8717.0,,2374.28,7845.3,62
CDM,14005974,GUIDE DRILL THREADED 01,800.0,,400.0,720.0,56
CDM,14005976,IMP HIP FEM HEAD BIOLOX,1680.0,,840.0,2374.28,62
CDM,14005977,IMP HIP STEM FEM REDUCED PROX,4830.0,,2374.28,4347.0,62
CDM,14005979,IMP KNEE HINGE ROTATNG FEMORAL,19489.0,,2374.28,17540.1,62
CDM,14005981,IMP KNEE ROTATNG HINGE ARTSURF,4280.0,,2140.0,3852.0,62
CDM,14005983,IMP KNEE STEM SHRP FLUTED,2118.0,,1059.0,2374.28,62
CDM,14005985,IMPL KNEE ART SURFACE NEXGEN,4246.0,,2123.0,3821.4,62
CDM,14005988,K-WIRE 1.6MM CAROFIX,76.0,,38.0,506.18,62
CDM,14005991,NEEDLE UROPLASTY,124.0,,62.0,111.6,56
CDM,14005994,SPACER FEM POST COLUMB REV,3074.0,,1537.0,2766.6,61
CDM,14005996,TIBIA INSERT POLY COLUMBUS REV,4131.0,,2065.5,3717.9,62
CDM,14005997,TIBIA OFFSET COLUMB AS REV T3,7592.0,,2374.28,6832.8,62
CDM,14005998,VALVE PROGRAM HAKIM W/SIPHON,8769.0,,4384.5,7892.1,61
CDM,14006001,IMPL HIP ACET LINER TRILOGY,5743.0,,2374.28,5168.7,62
CDM,14006002,IMPL HIP FEM HEAD COCR 12/14,1306.0,,653.0,2374.28,62
CDM,14006004,KIT REPAIR LIGAMENT AGUM INTER,2962.0,,506.18,2665.8,62
CDM,14006011,"BURR, BIT, BLADE 01",47.0,,23.5,42.3,56
CDM,14006012,"BURR, BIT, BLADE 10",94.0,,47.0,84.6,56
CDM,14006013,"BURR, BIT, BLADE 20",141.0,,70.5,126.9,56
CDM,14006014,"BURR, BIT, BLADE 30",190.0,,95.0,506.18,57
CDM,14006016,"BURR, BIT, BLADE 40",236.0,,118.0,212.4,56
CDM,14006017,"BURR, BIT, BLADE  50",332.0,,166.0,298.8,56
CDM,14006018,"BURR, BIT, BLADE  75",444.0,,222.0,399.6,56
CDM,14006019,"BURR, BIT, BLADE  100",556.0,,278.0,500.4,56
CDM,14006020,"BURR, BIT, BLADE  125",666.0,,333.0,599.4,56
CDM,14006021,"BURR, BIT, BLADE  150",772.0,,386.0,694.8,57
CDM,14006022,"BURR, BIT, BLADE  175",889.0,,444.5,800.1,56
CDM,14006023,"BURR, BIT, BLADE  200",967.0,,483.5,870.3,57
CDM,14006024,"BURR, BIT, BLADE  250",1163.0,,581.5,1046.7,56
CDM,14006025,"BURR, BIT, BLADE  300",1369.0,,684.5,1232.1,56
CDM,14006026,"BURR, BIT, BLADE  350",1551.0,,775.5,1395.9,56
CDM,14006027,"BURR, BIT, BLADE  400",1725.0,,862.5,1552.5,56
CDM,14006028,"BURR, BIT, BLADE  450",1936.0,,968.0,1742.4,56
CDM,14006029,"BURR, BIT, BLADE  500",2078.0,,1039.0,1870.2,56
CDM,14006030,"BURR, BIT, BLADE  600",2418.0,,1209.0,2176.2,56
CDM,14006031,"BURR, BIT, BLADE  700",2786.0,,1393.0,2507.4,56
CDM,14006032,"BURR, BIT, BLADE  800",3079.0,,1539.5,2771.1,56
CDM,14006033,"BURR, BIT, BLADE  900",3455.0,,1727.5,3109.5,56
CDM,14006034,"BURR, BIT, BLADE  1000",4106.0,,2053.0,3695.4,56
CDM,14006035,"BURR, BIT, BLADE  1200",4650.0,,2325.0,4185.0,56
CDM,14006036,"BURR, BIT, BLADE  1400",5111.0,,2555.5,4599.9,56
CDM,14006037,"BURR, BIT, BLADE  1600",5750.0,,2875.0,5175.0,56
CDM,14006038,"BURR, BIT, BLADE  1800",6387.0,,3193.5,5748.3,56
CDM,14006039,BURR  BIT  BLADE  2000,5405.0,,2702.5,4864.5,56
CDM,14006040,"BURR, BIT, BLADE  2200",6133.0,,3066.5,5519.7,56
CDM,14006041,"BURR, BIT, BLADE  2400",6643.0,,3321.5,5978.7,56
CDM,14006045,BURR  BIT  BLADE  3500,10527.0,,5263.5,9474.3,56
CDM,14006047,"BURR, BIT, BLADE  4500",12775.0,,6387.5,11497.5,56
CDM,14006059,ROD 01,28.0,,14.0,25.2,61
CDM,14006061,ROD 20,84.0,,42.0,75.6,61
CDM,14006062,ROD 30,112.0,,56.0,100.8,61
CDM,14006063,ROD 40,143.0,,71.5,128.7,61
CDM,14006064,ROD  50,200.0,,100.0,180.0,61
CDM,14006065,ROD  75,262.0,,131.0,235.8,61
CDM,14006066,ROD  100,334.0,,167.0,300.6,61
CDM,14006067,ROD  125,412.0,,206.0,370.8,61
CDM,14006068,ROD  150,470.0,,235.0,423.0,61
CDM,14006069,ROD  175,537.0,,268.5,483.3,61
CDM,14006070,ROD  200,608.0,,304.0,547.2,61
CDM,14006071,ROD  250,727.0,,363.5,654.3,61
CDM,14006072,ROD  300,845.0,,422.5,760.5,61
CDM,14006073,ROD  350,967.0,,483.5,870.3,61
CDM,14006074,ROD  400,1035.0,,517.5,931.5,61
CDM,14006075,ROD  450,1198.0,,599.0,1078.2,61
CDM,14006076,ROD  500,1217.0,,608.5,1095.3,61
CDM,14006077,ROD  600,1417.0,,708.5,1275.3,61
CDM,14006084,ROD  700,1574.0,,787.0,1416.6,56
CDM,14006085,STAPLER SKIN PROXIMATE TLC75,641.0,,320.5,576.9,56
CDM,14006086,TCR-75 STAPLE RELOADING UNIT,368.0,,184.0,331.2,56
CDM,14006095,ROD  800,1824.0,,912.0,1641.6,61
CDM,14006098,ROD  900,2108.0,,1054.0,1897.2,61
CDM,14006102,ROD  1000,2456.0,,1228.0,2210.4,61
CDM,14006111,ROD  1200,2839.0,,1419.5,2555.1,56
CDM,14006113,Z*ROD  1400,3243.0,,1621.5,2918.7,56
CDM,14006114,ROD  1600,3683.0,,1841.5,3314.7,61
CDM,14006126,ROD  1800,4053.0,,2026.5,3647.7,61
CDM,14006130,BOVIE PENCIL MONOPOL W/CORD,248.0,,124.0,223.2,56
CDM,14006134,ROD  2400,4650.0,,2325.0,4185.0,56
CDM,14006135,ROD  2600,4883.0,,2441.5,4394.7,56
CDM,14006140,MICROVAS ANAST DEVICE 2.5MM,1634.0,,817.0,1470.6,56
CDM,14006141,MICROVAS ANAST DEVICE 1.0MM,2181.0,,1090.5,1962.9,56
CDM,14006142,MICROVAS ANAST DEVICE 1.5MM,1593.0,,796.5,1433.7,56
CDM,14006153,ROD  2800,5158.0,,2579.0,4642.2,56
CDM,14006154,Z*ROD  3000,6253.0,,3126.5,5627.7,56
CDM,14006161,ROD  5500,9657.0,,4828.5,8691.3,61
CDM,14006220,ANCHOR VERSALOK W/ORTHOCORD,1121.0,,506.18,1008.9,62
CDM,14006223,CATH PTA ATLAS 01,728.0,,257.51,655.2,62
CDM,14006224,CATH STERLIN MONORAIL 4X20X135,616.0,,257.51,554.4,57
CDM,14006228,GUIDEWIRE ACCESS,419.0,,27.95,377.1,57
CDM,14006229,GUIDEWIRE BALL TIP,277.0,,27.95,249.3,57
CDM,14006231,GUIDEWIRE FIXED CORE,83.0,,27.95,74.7,57
CDM,14006234,IMP FEMORAL COMP CEMENTED,13853.0,,2374.28,12467.7,62
CDM,14006235,IMP HIP ACETAB CAGE PROTRUSIO,4723.0,,2361.5,4250.7,61
CDM,14006236,IMP SHLDR HUM STEM COMPREHEN,7665.0,,2374.28,6898.5,62
CDM,14006237,IMP TIBIA COMP OFFSET CEMENTED,6697.0,,2374.28,6027.3,62
CDM,14006238,IMPL RESURF AEQUALIS 48X18,7101.0,,2374.28,6390.9,62
CDM,14006239,IMPL SHOULDER GLENOID PEGGED,5205.0,,2374.28,4684.5,62
CDM,14006240,IMPLANT SHOULDER HUMERAL HEAD,9607.0,,2374.28,8646.3,62
CDM,14006241,KIT ACL FIXATION EXTERNAL RECO,630.0,,315.0,567.0,61
CDM,14006242,KIT PEDICLE ACCESS PAK NEEDLE,1317.0,,658.5,1185.3,56
CDM,14006243,MENISCAL COMPONENT AS ENDURO,2885.0,,1442.5,2596.5,61
CDM,14006244,PASSER SUTURE EXPRESSEW III,489.0,,244.5,440.1,56
CDM,14006246,SPACER FEM AS ENDURO POST/DIST,2014.0,,1007.0,1812.6,61
CDM,14006247,SPACER VERTE CAPSTONE 26X12,9191.0,,4595.5,8271.9,56
CDM,14006250,SYST DELIVERY ACL TIGHTROPE RT,863.0,,431.5,776.7,62
CDM,14006252,WIRE FX 1.2MM 100MM ASNS KRSH,106.0,,53.0,506.18,62
CDM,14006253,CUP FUSION,3669.0,,1834.5,3302.1,61
CDM,14006254,FILLER VIT STRIP BA 25X100X8MM,8025.0,,506.18,7222.5,62
CDM,14006255,GUIDEWIRE 2.8,158.0,,27.95,142.2,57
CDM,14006256,GUIDEWIRE BALL TIPPED STERILE,462.0,,27.95,415.8,57
CDM,14006258,HEAD FEM V40 COCR 28 -4,920.0,,460.0,2374.28,62
CDM,14006260,IMP FEM COMPONENT PROX NEUTRAL,10128.0,,2374.28,9115.2,62
CDM,14006264,IMP HIP FEM STEM EXTEN GMRS,5632.0,,2374.28,5068.8,62
CDM,14006266,IMP STEM HUMERAL INTERCAL MRS,5325.0,,2374.28,4792.5,62
CDM,14006267,IMPLANT HIP STEM CEMENTED,5681.0,,2374.28,5112.9,62
CDM,14006278,INSERT TRIATHLON PS X3 6 13MM,2463.0,,1231.5,2374.28,62
CDM,14006286,DART CHONDRAL,342.0,,171.0,506.18,62
CDM,14006288,SET OSTEOCHONDRAL FLAP REPAIR,524.0,,262.0,471.6,56
CDM,14006308,"TEFLON FELT PATCH 6X6"" 007837",138.0,,69.0,124.2,61
CDM,14006309,"TEFLON FELT PATCH 4X4"" 7836",156.0,,78.0,140.4,61
CDM,14006310,AUGMENT WEDGE ACETABULAR,3738.0,,1869.0,3364.2,61
CDM,14006313,PUMP INF SYNCHROMED 8637-20,24859.0,,12429.5,22373.1,62
CDM,14006325,BLADE OSCILLATING PRECISION,593.0,,296.5,533.7,56
CDM,14006347,CATH PERITONEAL FLEX-NECK,403.0,,201.5,395.6,62
CDM,14006348,COIL AZUR DETACH 18 4MMX20CM,2034.0,,1017.0,1830.6,61
CDM,14006349,COUPLR PIN TO ROD INVRT HOFF 3,1542.0,,771.0,1387.8,61
CDM,14006363,FILLER BONE VITOSS FOAM 5CC,2511.0,,506.18,2259.9,62
CDM,14006364,GUIDEIWIRE BAL TIP 3MMX1250MM,424.0,,27.95,381.6,57
CDM,14006366,GUIDEWIRE ACCUTRAK,174.0,,87.0,156.6,56
CDM,14006368,VENTRICULAR-SPINAL FL CATH23,265.0,,132.5,238.5,56
CDM,14006369,IMP ELBOW RADIAL HEAD,7283.0,,2374.28,6554.7,62
CDM,14006370,IMP ELBOW RADIAL STEM,6471.0,,2374.28,5823.9,62
CDM,14006371,IMP HEAD FEMORAL 32MM +5,1429.0,,714.5,2374.28,62
CDM,14006372,IMP HIP FEM HEAD ULTAMET ARTIC,1680.0,,840.0,2374.28,62
CDM,14006386,CATH CSF FLOW MED PRESS REQ,1616.0,,808.0,1454.4,56
CDM,14006392,IMP HUM HEAD FLEX HIGHOFFSET,7384.0,,2374.28,6645.6,62
CDM,14006399,IMP KNEE FEM ROTATE HINGE SROM,14110.0,,2374.28,12699.0,62
CDM,14006405,IMP TIB INS UNIV LPS HING XSM,6324.0,,2374.28,5691.6,62
CDM,14006407,IMPL HIP ACETAB LINER ALTRX,1910.0,,955.0,2374.28,62
CDM,14006408,IMPL NEUROMEND 12MMX5CM,3758.0,,1474.51,3382.2,62
CDM,14006414,PLATE ORBITAL RESORB-X 0.6X25,1556.0,,778.0,1400.4,61
CDM,14006418,2.5MM GUIDEWIRE LONG SYNTHES,981.0,,490.5,882.9,56
CDM,14006419,CBL BNE COCR TIT CRIMP 750X1.7,1174.0,,587.0,1056.6,61
CDM,14006420,CONE BODY STEM PROX,12215.0,,6107.5,10993.5,61
CDM,14006421,DISP INSTRUMENTS ARTHROSURFACE,656.0,,328.0,590.4,56
CDM,14006423,GUIDEWIRE 2.5 SYNTHES,223.0,,111.5,200.7,56
CDM,14006424,IMP ANKLE INSERT TM PROLONG,3737.0,,1868.5,3363.3,62
CDM,14006427,IMP FEM STEM ARCOS STS DISTAL,6296.0,,2374.28,5666.4,62
CDM,14006429,IMP HIP ACET LINER TRINITY,1725.0,,862.5,2374.28,62
CDM,14006431,IMP HIP ACETABULAR LINER 40X62,6832.0,,2374.28,6148.8,62
CDM,14006433,IMP HIP STEM SYNTHES,6986.0,,2374.28,6287.4,62
CDM,14006434,IMP INSERT TIBIAL UNITY KNEE,1742.0,,871.0,2374.28,62
CDM,14006435,IMP KNEE FEM BEGA AS PS CEM,3862.0,,1931.0,3475.8,62
CDM,14006436,IMP KNEE FEM SPACER DISTAL,2065.0,,1032.5,1858.5,61
CDM,14006437,IMP KNEE TIBIAL VEGA AS PS CEM,2751.0,,1375.5,2475.9,62
CDM,14006440,IMPL KNEE PATELLA 3 PINS 3PEG,1207.0,,603.5,2374.28,62
CDM,14006442,IMPLANT KNEE GLIDING SURFACE,2249.0,,1124.5,2374.28,62
CDM,14006444,K-WIRE 1.25 SYNTHES 292.12,281.0,,140.5,506.18,62
CDM,14006446,PACK SUTURE PARS AR-8860DS TBV,1659.0,,829.5,1493.1,56
CDM,14006454,SLEEVE FEMORAL LCS SIGMA,4995.0,,2497.5,4495.5,61
CDM,14006456,SLEEVE SCD THIGH XL,78.0,,39.0,70.2,56
CDM,14006457,SO P.A.D. II MEDIUM,126.0,,63.0,113.4,61
CDM,14006460,STEM ASCEND FLEX PTC STD SZ 5B,9702.0,,2374.28,8731.8,62
CDM,14006461,STEM ASCEND FLEX PTC STD SZ1B,10464.0,,2374.28,9417.6,62
CDM,14006464,STENT LARYNGEAL MONTGOMERY SM,342.0,,171.0,307.8,61
CDM,14006465,WASHER ASNIS III SS 6.5/8.0MM,121.0,,60.5,108.9,61
CDM,14006467,ANCHOR CORKSCREW AR-1928SNF-2,630.0,,315.0,567.0,62
CDM,14006468,CANNULA TWIST-IN 7MM,104.0,,52.0,93.6,56
CDM,14006469,CAP END CAP MEDTRONIC,1148.0,,574.0,1033.2,61
CDM,14006476,IMP FEMORAL STEM PROXIMAL,5173.0,,2374.28,4655.7,62
CDM,14006479,KIT FIXATION TIGHTROPE MINI,1220.0,,506.18,1098.0,62
CDM,14006487,COIL AZUR DETACH 0.018X7X24,1849.0,,924.5,1664.1,61
CDM,14006910,DILATOR SALIVARY DUCT 01,597.0,,298.5,537.3,56
CDM,14006913,IMP HIP ACET LINER X-ALT,1610.0,,805.0,2374.28,62
CDM,14007035,IMP HIP ACET SHELL TRITANIUM,5737.0,,2374.28,5163.3,62
CDM,14007036,IMP HIP CONE BODY RESTORATION,8014.0,,4007.0,7212.6,61
CDM,14007042,IMP HIP FEM STEM ACROS,7031.0,,2374.28,6327.9,62
CDM,14007068,IMP HIP FEMORAL HEAD COCR,1184.0,,592.0,2374.28,62
CDM,14007091,IMPL HEAD FEM DELTA CERMIC 36M,3552.0,,1776.0,3196.8,62
CDM,14007092,IMPL HIP STEM DIST REST MOD,6138.0,,2374.28,5524.2,62
CDM,14007176,IMPL HIP STEM TAPERFILL,4926.0,,2374.28,4433.4,62
CDM,14007220,INSERT TIB ROTATE PLATFORM 01,4770.0,,2374.28,4293.0,62
CDM,14007221,PROTECTOR TENDON TENOGLIDE 4X5,9344.0,,1161.48,8409.6,62
CDM,14007226,SYSTEM FEMORAL COMPRESSION,328.0,,164.0,295.2,56
CDM,14007313,DILATOR SALIVARY DUCT 02,535.0,,267.5,481.5,56
CDM,14007314,DRAIN JP ROUND SIL 7F,120.0,,60.0,108.0,56
CDM,14007317,ELECTRODE LOOP UTAH,66.0,,33.0,59.4,56
CDM,14007320,FLIPCUTTER,812.0,,406.0,730.8,56
CDM,14007323,IMP HUM HEAD AEQUALIS LOWOFFST,6727.0,,2374.28,6054.3,62
CDM,14007324,IMP TISSUE EXPANDER,2702.0,,1351.0,2431.8,62
CDM,14007325,IMP TMJ MANDILBE COMPONENT,10197.0,,5098.5,9177.3,61
CDM,14007326,IMPL MAMMARY MENTOR,813.0,,406.5,1864.67,62
CDM,14007327,INTROD SALIVARY ACCESS KLOENDA,426.0,,213.0,383.4,61
CDM,14007333,PUMP PAIN SYNCHROMED II,24619.0,,12309.5,22157.1,62
CDM,14007334,SHLDR BSPLT AEQUALIS REVII 3,7314.0,,2374.28,6582.6,62
CDM,14007347,SUT FIBERSTICK 2 50 AR-7209,178.0,,89.0,160.2,56
CDM,14007348,SUTURE ANCHOR HEALIX BR 3 6.5,1210.0,,506.18,1089.0,62
CDM,14007349,SUTURE FIBER FORCE,91.0,,45.5,81.9,56
CDM,14007357,TAP SCREW MONSTER 4.5MM,488.0,,244.0,439.2,61
CDM,14007368,TUBE TRACHEOSTOMY CUFFED *LPC,171.0,,85.5,153.9,61
CDM,14007370,CAP HEALING 14MM,246.0,,123.0,221.4,56
CDM,14007417,IMPL COCHLEAR ABUTMENT STD 4MM,1034.0,,517.0,930.6,61
CDM,14007420,PIN STEINMAN 5/64IN X 9IN,62.0,,31.0,506.18,57
CDM,14007423,PIN STEINMAN 3/16IN X 9IN,43.0,,21.5,506.18,62
CDM,14007438,CONNECTOR W/5.5 ROD,3476.0,,1738.0,3128.4,61
CDM,14007439,CONNECTOR O/C 5.5/6.3,3521.0,,1760.5,3168.9,61
CDM,14007444,IMPL OSTEOMATCH PEEK 100-150,15074.0,,7537.0,13566.6,61
CDM,14007445,ANCHOR JUGGERKNOT DBLE LOADED,827.0,,413.5,744.3,62
CDM,14007447,AUG TIB BMT 360 75X75MM,1455.0,,727.5,1309.5,61
CDM,14007449,BEARING HUML COMPREHENSIVE REV,3344.0,,1672.0,3009.6,62
CDM,14007450,BEARING TIB KNEE REV VANGUARD,3778.0,,1889.0,3400.2,62
CDM,14007451,BEARING TIB VANGUARD COMP REV,1495.0,,747.5,2374.28,62
CDM,14007452,BEARING TIB VANGUARD COMP REV2,4222.0,,2111.0,3799.8,62
CDM,14007453,BEARING TIB VANGUARD COMP REV,1554.0,,777.0,2374.28,62
CDM,14007454,CONE TIB TRABECULAR,9401.0,,2374.28,8460.9,62
CDM,14007459,FEM COMPONENT KNEE REV VANGURD,11555.0,,2374.28,10399.5,62
CDM,14007460,GLENOSPHER VERSA-DIAL COMP REV,3424.0,,1712.0,3081.6,62
CDM,14007461,GWIRE TROC TIP W/LASER LINE,78.0,,27.95,70.2,57
CDM,14007462,IMP DERMALOCK ABUTMENT BAHA,6389.0,,3194.5,5750.1,61
CDM,14007463,IMP FEM COMPONENT CONTRAINED,13172.0,,2374.28,11854.8,62
CDM,14007464,IMP INSERT REV HUM RETENTIVE,4362.0,,2181.0,3925.8,62
CDM,14007477,IMP INSERT TOTAL KNEE LEGION 1,2710.0,,1355.0,2439.0,62
CDM,14007478,IMP INSERT TOTAL KNEE LEGION 2,2773.0,,1386.5,2495.7,62
CDM,14007479,IMP KNEE INSERT LOCKING BAR,316.0,,158.0,2374.28,62
CDM,14007480,IMP KNEE PATELLA AUGMNT NEXGEN,6685.0,,2374.28,6016.5,62
CDM,14007482,IMP PATELLA COMPONENT S&N,863.0,,431.5,2374.28,62
CDM,14007483,IMP STEM PRESSFIT LEGION,2432.0,,1216.0,2374.28,62
CDM,14007493,IMPL SHOULDER INTERSPACE,6057.0,,2374.28,5451.3,57
CDM,14007495,KIT ACUSINCH REPAIR,2877.0,,506.18,2589.3,62
CDM,14007499,NEEDLE DELIVERY FAST-FIX,1126.0,,506.18,1013.4,62
CDM,14007547,PUSHER/CUTTER FAST-FIX 360,416.0,,208.0,374.4,56
CDM,14007549,SHLDR BSPLT AEQUALIS REVII 25,7276.0,,2374.28,6548.4,62
CDM,14007550,STEM HUM COMPREHENSIVE REVERSE,9059.0,,2374.28,8153.1,62
CDM,14007551,STEM SPLINED KNEE 02,2564.0,,1282.0,2374.28,62
CDM,14007552,STEM SPLINED KNEE 01,2388.0,,1194.0,2374.28,62
CDM,14007571,TRAY TIBIAL KNEE REV VANGUARD,4311.0,,2155.5,3879.9,62
CDM,14007578,SHEATH INTRO SENTRANT HC 01,397.0,,97.78,357.3,57
CDM,14007579,SPACER VERTEBRAL MEDTRONIC,9110.0,,4555.0,8199.0,56
CDM,14007583,BAND ID FAST FX STRUT,817.0,,408.5,735.3,61
CDM,14007599,EXT FIXATOR POST MALE SST 2H,364.0,,182.0,327.6,61
CDM,14007600,EXT FIXATOR POST MALE SST 3H,383.0,,191.5,344.7,61
CDM,14007631,FRAME RING SPATIAL TAYLOR TSF,3154.0,,1577.0,2838.6,61
CDM,14007632,FRAME RING SPATIAL TAYLOR TSF,2667.0,,1333.5,2400.3,61
CDM,14007634,GUIDE DRILL BAHA,478.0,,239.0,430.2,56
CDM,14007636,GUIDEWIRE BALL NOSE,503.0,,27.95,452.7,57
CDM,14007638,IMP HIP ACET LINER R3 XLPE,3117.0,,1558.5,2805.3,62
CDM,14007639,IMP HIP ACETABULAR SHELL R3,4010.0,,2005.0,3609.0,62
CDM,14007640,IMP HIP ACETABULAR SHELL R3,4006.0,,2003.0,3605.4,62
CDM,14007641,IMP HIP ACETABULAR SHELL R3,2752.0,,1376.0,2476.8,62
CDM,14007642,IMP MAMM TISSUE EXPANDER,2895.0,,1447.5,2605.5,62
CDM,14007646,IMPL HIP STEM SUMMIT,4141.0,,2070.5,3726.9,62
CDM,14007647,INTRODUCER CHECK-FLO PERFORMER,312.0,,46.81,280.8,57
CDM,14007650,PLATE HOLDING TAK,125.0,,62.5,112.5,61
CDM,14007651,PORT POWERPORT MRI 8F CHRONOFL,1040.0,,520.0,936.0,61
CDM,14007653,STAPLE RELOAD ECHELON,488.0,,244.0,439.2,56
CDM,14007654,STPLR ECHELON FLX PWERD 35X320,867.0,,433.5,780.3,56
CDM,14007655,STRUT TAYLOR SPATIAL FRAME,2564.0,,1282.0,2307.6,61
CDM,14007675,CATH BLN VLVULOPLAST Z-MEDII,1160.0,,580.0,1044.0,56
CDM,14007677,IMPL THYROPLASTY FEMALE 9MM,831.0,,415.5,961.91,62
CDM,14007678,KIT FEMALE MEASURING DEVICE,304.0,,152.0,273.6,56
CDM,14007684,STENT GRAFT THORACIC RELAY 01,35642.0,,17821.0,32077.8,61
CDM,14007685,STENT GRAFT THORACIC RELAY 02,31043.0,,15521.5,27938.7,61
CDM,14007687,VALVE AORTIC TRANSCATH SAPIEN,80056.0,,40028.0,72050.4,61
CDM,14007694,CHARGE SUTURE MEDIUM,96.0,,48.0,86.4,56
CDM,14007699,KWIRE FX 1.8X310MM,291.0,,145.5,506.18,62
CDM,14007700,NEEDLE CLEFT PALATE LANES SZ3,619.0,,309.5,557.1,56
CDM,14007707,COUNTERSINK MNSTR MINI HEADLSS,386.0,,193.0,347.4,56
CDM,14007710,IMP COMPONENT ARTICULAR HEMI,10256.0,,2374.28,9230.4,62
CDM,14007713,K-WIRE SYNTHES 900.726,276.0,,138.0,506.18,62
CDM,14007714,POST TAPER HEMICAP ARTHROSUR,1335.0,,667.5,1201.5,61
CDM,14007715,PRIMATRIX MESHED 10X25CM,15546.0,,79.8,13991.4,56
CDM,14007716,PROBE ARGON ABC 2.3 230CM,504.0,,252.0,453.6,56
CDM,14007719,FIBER LASER DISPOSABLE,2309.0,,1154.5,2078.1,56
CDM,14007722,PRIMATRIX MESHED 20X25CM,29894.0,,14947.0,26904.6,61
CDM,14007724,PRIMATRIX MESHED 6X6CM,2927.0,,79.8,2634.3,56
CDM,14007725,PRIMATRIX MESHED 8X12CM,7807.0,,79.8,7026.3,56
CDM,14007726,PRIMATRIX MESHED 8X8CM,5361.0,,79.8,4824.9,56
CDM,14007730,CLIP TUBE GAMMA3 CLOSED STE,341.0,,170.5,306.9,56
CDM,14007731,GRAFT STENT ZENITH AAA FEN 01,20925.0,,10462.5,18832.5,61
CDM,14007736,IMPLANT EAR TUBE T GOODE,94.0,,47.0,84.6,61
CDM,14007741,VSP ORTHOGNATHIC BUNDLE,3319.0,,1659.5,2987.1,56
CDM,14007743,IMP KNEE FEM COMPONENT LEGION,4463.0,,2231.5,4016.7,62
CDM,14007744,IMP KNEE STEM EXT LEGION,1449.0,,724.5,2374.28,62
CDM,14007745,IMP KNEE TIB BASEPLATE GENESIS,2218.0,,1109.0,2374.28,62
CDM,14007746,IMP KNEE TIB BASEPLATE LEGION,5265.0,,2374.28,4738.5,62
CDM,14007747,IMPL KNEE TIBIAL INSERT LEGION,2530.0,,1265.0,2374.28,62
CDM,14007749,SCREW WEDGE LEGION,3503.0,,506.18,3152.7,62
CDM,14007750,SCREW WEDGE LEGION,2391.0,,506.18,2151.9,62
CDM,14007752,ARISTA AH 3 GRAM,538.0,,269.0,484.2,56
CDM,14007753,BOOT DARCO ORTHOWEDGE,65.0,,11.7,58.5,57
CDM,14007754,DRIVER SCREW ATTACHMENT,645.0,,322.5,580.5,56
CDM,14007755,DRIVER TIP SCREW TORNIER,472.0,,236.0,424.8,56
CDM,14007757,GUIDEWIRE ANCHORAGE 1.2X70MM,102.0,,51.0,91.8,56
CDM,14007758,IMP FEM HEAD G7 FREEDOM,2663.0,,1331.5,2396.7,62
CDM,14007761,IMPL HIP ACET LINER FREEDOM,4411.0,,2205.5,3969.9,62
CDM,14007764,STAPLE MULTIFIRE GIA RELOAD,480.0,,240.0,432.0,56
CDM,14007767,CATH STERLING MR 6X20X135,597.0,,257.51,537.3,57
CDM,14007770,FILTER VENA CAVA CELECT G34502,3668.0,,1834.0,3301.2,62
CDM,14007771,GRFT GELWEAV COSELLI BORE-24,415.0,,207.5,1092.42,62
CDM,14007773,GUIDEWIRE ROSEN G01253,94.0,,27.95,84.6,57
CDM,14007777,IMP HIP SHELL HEMISPHERICAL,2186.0,,1093.0,2374.28,62
CDM,14007780,IMP SHOULDER BASEPLATE AEQ,5204.0,,2374.28,4683.6,62
CDM,14007782,IMPLANT SIZER BREAST,153.0,,76.5,137.7,56
CDM,14007787,BALLOON FUSION QUATTRO,441.0,,220.5,396.9,56
CDM,14007826,CATH NEPHROSTOMY NEPHROMAX KIT,1047.0,,367.53,942.3,57
CDM,14007827,CATH SOAKER EXPANSN KIT,195.0,,97.5,175.5,56
CDM,14007896,TWIST DRILL 1.1MMX50MM 01-7142,264.0,,132.0,237.6,56
CDM,14007898,TWIST DRILL 1.1MMX50MM 01-71,253.0,,126.5,227.7,56
CDM,14007901,CURETTE QUIK-USE ZIMMER,584.0,,292.0,525.6,56
CDM,14007905,END RING,312.0,,156.0,280.8,61
CDM,14007908,IMP HIP ACETABULAR SHELL,2379.0,,1189.5,2374.28,62
CDM,14007912,IMPL HIP ACETABULAR LINER,2328.0,,1164.0,2374.28,62
CDM,14007913,IMPL HIP HEAD CERA BIOLOXD,9360.0,,2374.28,8424.0,62
CDM,14007917,INTRODUCER SET 8FR,215.0,,97.78,193.5,57
CDM,14007919,KIT SPINAL ASCENDA,1034.0,,517.0,930.6,56
CDM,14007920,KWIRE 1.6,152.0,,76.0,506.18,62
CDM,14007922,PATCH GORE-TEX SOFT TISSUE,4895.0,,608.95,4405.5,62
CDM,14007923,PHYSICIAN PROGRAMMER INSPIRE,5934.0,,2025.45,5340.6,57
CDM,14007928,STEM ASCEND FLEX PTC 01,11208.0,,2374.28,10087.2,62
CDM,14007929,SUTURE FIBERLOOP,179.0,,89.5,161.1,56
CDM,14007933,COUPLER CLAMP PIN TO ROD,657.0,,328.5,591.3,61
CDM,14007934,COUPLER ROD TO ROD HFMN3,1059.0,,529.5,953.1,61
CDM,14007936,FORCEP BX OVAL 3.3F 115CM,741.0,,370.5,666.9,56
CDM,14007938,FORCEP JEWELERS BIOMET,138.0,,69.0,124.2,56
CDM,14007939,GUIDEWIRE 2.3MM BLUE,85.0,,27.95,76.5,57
CDM,14007940,SPACER X-STOP INTERSPINOUS,9366.0,,2130.03,8429.4,62
CDM,14007942,STENT CAROTID PROTEGE RX,4619.0,,1642.91,4157.1,62
CDM,14007946,ACCESS PORT BLADELESS 5X100,263.0,,131.5,236.7,56
CDM,14007947,ACCESS PORT BLADELESS 5X120,271.0,,135.5,243.9,56
CDM,14007948,ACCESS PORT BLADELESS 12X100,264.0,,132.0,237.6,56
CDM,14007949,ACCESS PORT BLADELESS 12X120,281.0,,140.5,252.9,56
CDM,14007950,ACCESS PORT BLADELESS 12X150,270.0,,135.0,243.0,56
CDM,14007953,ACCESS PORT LOWPRO 8X100,259.0,,129.5,233.1,56
CDM,14007954,ACCESS PORT LOWPRO 8X120,270.0,,135.0,243.0,56
CDM,14007955,ACCESS SMOOTH PORT 5X150,274.0,,137.0,246.6,56
CDM,14007958,INTRODUCER STENT BILIARY SET,248.0,,124.0,223.2,56
CDM,14007984,ENDOPRO VIABAHN HEP 7F8X5X120,6582.0,,1667.17,5923.8,62
CDM,14007988,GRFT ENDURANT LIMB 16X16X82,9752.0,,4876.0,8776.8,61
CDM,14008013,IMPL HIP ACETABULAR LINER,2982.0,,1491.0,2683.8,57
CDM,14008014,IMPL HIP BEARING,3447.0,,1723.5,3102.3,61
CDM,14008020,IMPL LINER CONSTRAINED LOCKING,1610.0,,805.0,2374.28,62
CDM,14008023,STAPLE CEEA29 TITANIUM STAPLE,898.0,,449.0,808.2,56
CDM,14008027,IMPL SYS RECONSTRUCTION ANKLE,4025.0,,506.18,3622.5,62
CDM,14008028,IMPLANT TENDON HUNTER,2406.0,,1203.0,2165.4,61
CDM,14008034,PROBE NERVE BIPOLAR CONCENTRIC,375.0,,187.5,337.5,56
CDM,14008035,PROBE PRASS PAIRD ELECT 18MM,376.0,,188.0,338.4,56
CDM,14008039,SYSTEM BONE CEMENT,1307.0,,653.5,1176.3,61
CDM,14008068,SUTURE FIBERTAPE 7237-7,190.0,,95.0,171.0,56
CDM,14008073,EXFIX RING HOFFMANN LRF,2559.0,,1279.5,2303.1,61
CDM,14008080,CATH IVUS VISIONS PV .035,2362.0,,1181.0,2125.8,57
CDM,14008082,DRILL KIT JUGGERKNOT,632.0,,316.0,568.8,56
CDM,14008083,DRIVER SCR ATTACHMENT TUFFNEK,730.0,,365.0,657.0,56
CDM,14008086,EXTRACTOR STONE 11573M,820.0,,410.0,738.0,56
CDM,14008087,FILLER BONE OPTECURE 652-00-10,4390.0,,2195.0,3951.0,56
CDM,14008092,IMP HUM MOD HEAD BIXCUT 9MM,631.0,,315.5,2374.28,62
CDM,14008093,IMPL HIP FEM STEM BI-METRIC EC,5333.0,,2374.28,4799.7,62
CDM,14008094,IMPL HIP FEMORAL HEAD OXINIUM,2595.0,,1297.5,2374.28,62
CDM,14008096,IMPLANT FEMORAL HEAD TAPER M,2688.0,,1344.0,2419.2,62
CDM,14008098,K-WIRE PARAGON,250.0,,125.0,506.18,62
CDM,14008099,K-WIRE SYNTHES 292.73,70.0,,35.0,506.18,62
CDM,14008101,NEEDLE ORO-TRACHEAL LARYNGEAL,82.0,,41.0,73.8,56
CDM,14008102,RING DURALOC DYNAMIC LOCKING,665.0,,332.5,2374.28,62
CDM,14008103,SHAFT HEXDRIVER 2.0,340.0,,170.0,306.0,56
CDM,14008105,SYSTEM DEL COREVALVE,1257.0,,628.5,1131.3,56
CDM,14008106,SYSTEM THERABITE JAW REHAB,874.0,,437.0,786.6,56
CDM,14008107,VALVE AORTIC COREVALVE,73898.0,,36949.0,66508.2,61
CDM,14008108,CATH DELIVERY SYS EVOLUT R,11009.0,,5504.5,9908.1,56
CDM,14008110,DRILL WIDENING W/COUNTERSINK 4,556.0,,278.0,500.4,56
CDM,14008113,IMPL MAMM MEMORYGEL,1725.0,,862.5,1552.5,61
CDM,14008115,KWIRE WITH TROCAR 3.2X320MM,414.0,,207.0,506.18,62
CDM,14008116,SYSTEM CPR MINI-SCORPION DX,2145.0,,506.18,1930.5,57
CDM,14008128,IMP KNEE FEM COMPONENT DISTAL,15033.0,,2374.28,13529.7,62
CDM,14008129,IMP KNEE FEM ROTAT HINGE AXLE,2156.0,,1078.0,2374.28,62
CDM,14008131,IMPL KNEE BUMPER INSERT HRHK 1,1303.0,,651.5,2374.28,62
CDM,14008133,PACK DITAL FEMUR POLY MRH/GMRS,3393.0,,1696.5,3053.7,56
CDM,14008136,REAMER COMBIN SHFT HALL CPLING,491.0,,245.5,441.9,56
CDM,14008144,IMMOB KNEE TRI PANEL 19IN,63.0,,31.5,96.68,61
CDM,14008147,KWIRE 228MM WRIGHT MEDICAL,91.0,,45.5,506.18,62
CDM,14008151,PURACYN PLUS WND IRRIGATE 16OZ,87.0,,12.19,78.3,57
CDM,14008154,PAD FOAM FERKEL,247.0,,123.5,222.3,56
CDM,14008157,GUIDEWIRE SHARP SEXTANT II,276.0,,27.95,248.4,57
CDM,14008160,CATH BALLN SCORING ANGIOSCULPT,2895.0,,257.51,2605.5,62
CDM,14008161,CATH BILIARY DRAINAGE FLEXIMA,280.0,,66.39,252.0,57
CDM,14008162,DRIVR TORQUE NEXEL TOTAL ELBOW,697.0,,348.5,627.3,56
CDM,14008163,GUIDEWIRE DOUBLE ENDED TROCAR,116.0,,27.95,104.4,57
CDM,14008164,PROBE ABLAT CRYOICE 10CM,5069.0,,257.96,4562.1,57
CDM,14008167,IMPL HIP ACET LINER RINGLOC,4202.0,,2101.0,3781.8,62
CDM,14008169,DVC FIXATION ABSORBATACK 5MM,1184.0,,592.0,1065.6,61
CDM,14008175,SET MICROPUNCTURE,148.0,,74.0,133.2,56
CDM,14008179,BOLT EXTRACTION,312.0,,156.0,280.8,56
CDM,14008180,CATH STERLING OTW 5.0X20X135,616.0,,257.51,554.4,57
CDM,14008181,CATHETER DIAGNOSTIC 6FR,140.0,,70.0,126.0,56
CDM,14008183,CONCENTRTR PLASMA PLASMAX PLUS,2221.0,,1110.5,1998.9,56
CDM,14008184,DISC CERVICAL PRESITGE 6X14MM,8761.0,,2374.28,7884.9,62
CDM,14008185,DRIVER SCR HEX W/AO COUPLINNG,563.0,,281.5,506.7,61
CDM,14008189,GDWIRE RUNTHROUGH NS 014X150,204.0,,27.95,183.6,62
CDM,14008191,GUIDEWIRE COUGAR XT STRAIGHT,222.0,,27.95,199.8,57
CDM,14008192,IMP ANKLE INSERT INFINITY POLY,3925.0,,1962.5,3532.5,62
CDM,14008193,IMP HIP TROCHANTER STANMORE,11031.0,,2374.28,9927.9,62
CDM,14008195,IMP KNEE FEM STEM TRIATHLON,2483.0,,1241.5,2374.28,62
CDM,14008198,IMP KNEE TIB BEARING COMPONENT,6514.0,,2374.28,5862.6,62
CDM,14008199,IMP KNEE TIB BEARING VANGUARD,3778.0,,1889.0,3400.2,62
CDM,14008202,IMPL KNEE ADAPTER OFFSET,1356.0,,678.0,1220.4,61
CDM,14008204,PATELLA VANGUARD PEG,1007.0,,503.5,2374.28,62
CDM,14008205,SET IR-600 LVL I 300MM,186.0,,93.0,167.4,56
CDM,14008206,SHEATH SUPER ARROW-FLEX 6FX45,250.0,,46.81,225.0,57
CDM,14008209,TIBIAL TRAY INFINITY,10779.0,,2374.28,9701.1,62
CDM,14008212,CANNULA W/STYLET NEUROPROBE,522.0,,261.0,469.8,56
CDM,14008214,ELECTRODE SHIELDED TUNGSTEN 01,485.0,,242.5,436.5,56
CDM,14008217,GRAFT VASC ACUSEAL ECH470045A,3692.0,,1092.42,3322.8,62
CDM,14008220,IMP KNEE FEM ADAPTR PFC SIGMA,4253.0,,2126.5,3827.7,61
CDM,14008221,IMP KNEE FEM ADAPTR PFC SIGMA,660.0,,330.0,594.0,61
CDM,14008222,IMP KNEE SIGMA FEM COMPONENT,3873.0,,1936.5,3485.7,62
CDM,14008223,IMP MODULAR FEM HEAD TRINITY,1355.0,,677.5,2374.28,62
CDM,14008225,PRIMATRIX SOLID LG 20X25CM,29894.0,,79.8,26904.6,56
CDM,14008228,PENILE PUMP PRECONN 700CX 12CM,18360.0,,9180.0,16524.0,62
CDM,14008229,RETRACTOR VBAS 12-28MM SM-LG,1648.0,,824.0,1483.2,56
CDM,14008230,SCREW BONE REMOVER INBONE,374.0,,187.0,336.6,56
CDM,14008246,PUMP PENILE INHIBIZONE AMS,9925.0,,4962.5,12059.64,62
CDM,14008251,VSP ORTHOGNATHIC BUNDLE,7144.0,,3572.0,6429.6,56
CDM,14008252,PROSTHESIS PENILE CXP AMS,24931.0,,12059.64,22437.9,62
CDM,14008253,CABLE BONE COCR ACCORD W/CLAMP,958.0,,479.0,862.2,62
CDM,14008254,FD MARKER TISSUE IMPLANTABLE,254.0,,78.0,228.6,62
CDM,14008255,GDWRE AMPLATZ XS CRV .035X260,76.0,,27.95,68.4,57
CDM,14008257,IMP KNEE FEM JOURNY UNI OXINUM,3219.0,,1609.5,2897.1,62
CDM,14008258,SYRINGE ASSIST SYSTEM,476.0,,238.0,428.4,56
CDM,14008259,URETERAL OCC/BALLOON CATH,824.0,,34.16,741.6,57
CDM,14008261,IMP KNEE TIB BASE JOURNEY UNI,1840.0,,920.0,2374.28,62
CDM,14008262,IMPL ELBOW PIN/BUSHING REPLACE,1839.0,,919.5,1655.1,61
CDM,14008265,PERFORATOR FENESTRATE BONE P28,488.0,,244.0,439.2,56
CDM,14008266,SUCTION TIP FRAZIER ANG 10X1,190.0,,95.0,171.0,56
CDM,14008267,IMP HIP MOD HEAD G7 TYPE-1,986.0,,493.0,2374.28,62
CDM,14008270,CATH CENTRAL VEN DUAL-LUMEN 02,100.0,,50.0,136.97,62
CDM,14008271,CATH PTA ATLAS 02,801.0,,257.51,720.9,62
CDM,14008274,CEMENT CEMEX SYSTEM,496.0,,248.0,506.18,62
CDM,14008275,COIL EMBOLIZATION AZUR 01,2759.0,,1379.5,2483.1,56
CDM,14008276,COIL EMBOLIZATION AZUR 02,1771.0,,885.5,1593.9,61
CDM,14008320,URETERAL CATH OPEN TIP/INJ 5F,132.0,,34.16,118.8,57
CDM,14008348,CATH PTCA COYOTE 40-100MM,860.0,,257.51,774.0,57
CDM,14008349,CATH PTCA COYOTE 120-150MM,934.0,,257.51,840.6,57
CDM,14008455,INTRODUCER PEEL-AWAY,271.0,,97.78,243.9,57
CDM,14008480,SET QUICK PRESSURE MONITOR 295,245.0,,122.5,220.5,56
CDM,14008484,CANNULA TWO-PIECE SLOTTED,2606.0,,1303.0,2345.4,56
CDM,14008489,ANCHOR SWIVELOCK 4.75X19.1 CLS,1125.0,,506.18,1012.5,62
CDM,14008490,ANCHOR TIGHTROPE BTB LIGAMENT,1049.0,,506.18,944.1,62
CDM,14008491,BLOCK CUTTING VISIONAIRE,692.0,,346.0,622.8,56
CDM,14008492,BUTTON TIGHTROPE ABS 8X12MM,437.0,,218.5,506.18,62
CDM,14008495,CANNULA PASSPORT BUTTON 01,124.0,,62.0,111.6,56
CDM,14008500,IMP ACE LINR LONGEVITY ELEVATE,2364.0,,1182.0,2374.28,62
CDM,14008501,IMP KNEE FEM COMPONENT TC3 REV,10530.0,,2374.28,9477.0,62
CDM,14008504,IMPLANT HIP FEMORAL HEAD COCR,1719.0,,859.5,2374.28,62
CDM,14008505,IMPLANT HIP FEMORAL HEAD COCR,920.0,,460.0,2374.28,62
CDM,14008507,KIT PRO-DENSE CDK 15ML,11208.0,,506.18,10087.2,62
CDM,14008508,NDLE BX BONE MARROW JAMSHIDI,64.0,,32.0,57.6,56
CDM,14008510,TIGHTROPE ABS NO BUTTON UHMWPE,509.0,,254.5,506.18,62
CDM,14008515,ENDOPRO VIABAHN HEP 5X25X120,14839.0,,1667.17,13355.1,62
CDM,14008521,IMPL RING TRICUSPID MC3 30MM,8290.0,,4145.0,7461.0,61
CDM,14008522,INTEGRA BIL MATRIX 4X5IN,7254.0,,65.59,6528.6,56
CDM,14008523,PACK ACCESSORY NCP VAGUS NERVE,1403.0,,701.5,1262.7,56
CDM,14008524,REAMER STEPPED 8/12MM,1182.0,,591.0,1063.8,56
CDM,14008528,CATH CUTTING PCB OTW 3X1.5X140,1914.0,,257.51,1722.6,57
CDM,14008589,GDWIRE HIWIRE STD 035X150 01,130.0,,27.95,117.0,57
CDM,14008590,IMP CAP ULNAR LATITUDE,2865.0,,1432.5,2578.5,62
CDM,14008591,IMP HIP ACET LINEER PINNACLE 1,7123.0,,2374.28,6410.7,62
CDM,14008626,ANCHOR PEEK-SWIVELOCK 5.5X19,949.0,,474.5,854.1,62
CDM,14008627,BALLOON DISSECT PERITONEAL KID,726.0,,363.0,653.4,57
CDM,14008653,BRA POST OP SURGICAL,245.0,,122.5,220.5,56
CDM,14008654,ENDOPROS VIABAHN 11MMX10X120CM,7764.0,,1667.17,6987.6,62
CDM,14008657,GDWIRE VIPERWIRE VPR-GW-FT14,511.0,,27.95,459.9,57
CDM,14008705,RESERVOIR SUCTION JACKSON PRA,93.0,,46.5,83.7,56
CDM,14008709,IMPL SPEEDBRIDGE SYS ACHILLES,4285.0,,506.18,3856.5,62
CDM,14008713,TROCAR BALLOON STRUCTURAL,480.0,,240.0,432.0,56
CDM,14008717,GDWIRE GLIDEWIRE ADVANTAGE 01,603.0,,27.95,542.7,57
CDM,14008720,NDL BIO ASP SPRTRX 21GAX2MM,304.0,,152.0,273.6,56
CDM,14008723,SHEATH URETERAL ACCESS FLEXOR,332.0,,46.81,298.8,57
CDM,14008724,STAPLER INTRALUMINAL STEALTH,753.0,,376.5,677.7,56
CDM,14008727,AUGMENT FEMORAL GRIPTION,4696.0,,2348.0,4226.4,61
CDM,14008732,COMPONENT TIBIAL CR ALL POLY,3089.0,,1544.5,2780.1,62
CDM,14008733,FORCEP BX BIGOPSY 2.4F 115CM,816.0,,408.0,734.4,56
CDM,14008736,STAINLESS STEEL 28GA WIRE,439.0,,219.5,395.1,56
CDM,14008774,HUM INS ASCEND FLEX RET REV 01,2803.0,,1401.5,2522.7,62
CDM,14008780,IMP HIP ACE LINR DUAL MOBILITY,3204.0,,1602.0,2883.6,62
CDM,14008781,IMP HIP ACET INS TRIDENT CONST,5525.0,,2374.28,4972.5,62
CDM,14008785,IMP KNEE FEM LEGION CR OXINIUM,3941.0,,1970.5,3546.9,62
CDM,14008792,IMP KNEE FEMORAL STEM PRESSFIT,9015.0,,2374.28,8113.5,62
CDM,14008794,IMPL FEM VANGUARD CR INTERLOK,3853.0,,1926.5,3467.7,62
CDM,14008797,IMPL KNEE TIBIAL INSERT LEGION,2606.0,,1303.0,2374.28,62
CDM,14008803,SPHERE GLEN 25MM BSPLT 25MM,7606.0,,2374.28,6845.4,62
CDM,14008811,TUBE LARYN BLOM-SINGER SZ9,251.0,,125.5,225.9,61
CDM,14008812,COIL EMBOL AZUR CX 35D 20X39,3450.0,,1725.0,3105.0,61
CDM,14008815,COIL EMBOL AZUR CX 35D 8X24,3317.0,,1658.5,2985.3,61
CDM,14008844,CATH AIRWAY EXCHANGE,188.0,,94.0,169.2,56
CDM,14008848,INTEGRA DERMAL REGEN TEMPLATE,32022.0,,16011.0,28819.8,61
CDM,14008851,SPACER INTERBODY ZYSTON,9327.0,,4663.5,8394.3,61
CDM,14008857,VALVE HEART MITRAL ON-X,13104.0,,6552.0,11793.6,61
CDM,14008861,BEARING TIB VANGUARD COMP RE,1254.0,,627.0,2374.28,62
CDM,14008869,COUNTERSINK CANNULATED 2.0X2.5,375.0,,187.5,337.5,56
CDM,14008877,LINER ACET 20D XLPE REFLECTION,3282.0,,1641.0,2953.8,62
CDM,14008878,PROGRAMMER NEUROSTIM EXT,949.0,,474.5,2025.45,57
CDM,14008882,COOK CATH INTRODUCER 13.0FR,210.0,,97.78,189.0,57
CDM,14008884,SCISSOR METZENBAUM BLD SWITCH,239.0,,119.5,215.1,56
CDM,14008885,SYS FAT PROCESSING REVOLVE,1109.0,,554.5,998.1,56
CDM,14008889,SPLINT NASAL BREATHE EASY,96.0,,48.0,86.4,56
CDM,14008890,IMP HIP ACETABULAR SHELL R3,2301.0,,1150.5,2374.28,62
CDM,14008894,IMP HIP FEM HD REV BIOLOX DLTA,2261.0,,1130.5,2374.28,62
CDM,14008901,IMP HIP STEM EMPERION 01,4027.0,,2013.5,3624.3,62
CDM,14008904,IMPL ABUTMENT HEALING VXA300,1429.0,,714.5,1286.1,61
CDM,14008910,SCREWDRIVER CANN ASNIS 2MM,508.0,,254.0,457.2,56
CDM,14008964,STAPLER SKIN PRECISE VISTA,101.0,,50.5,90.9,56
CDM,14008973,STNT SET URETERL SOFT UNIVERSA,259.0,,129.5,233.1,62
CDM,14008979,ALEXIS GELPOINT,1229.0,,614.5,1106.1,56
CDM,14008982,MCNEALY VISCERA RETAINER LARGE,138.0,,69.0,124.2,56
CDM,14008985,IMP KNEE PAT DOME,1036.0,,518.0,2374.28,62
CDM,14008986,IMPL KNEE FEMORAL TC3 COMPONEN,11640.0,,2374.28,10476.0,62
CDM,14008987,IMPL KNEE TIBIAL INSERT TC3,5228.0,,2374.28,4705.2,62
CDM,14008988,IMPL KNEE TIBIAL TRAY M.B.T.,9734.0,,2374.28,8760.6,62
CDM,14008991,CLIP LIGACLIP LARGE YELLOW,63.0,,31.5,56.7,56
CDM,14008997,GUIDEWIRE THRUWAY 49-297,358.0,,27.95,322.2,57
CDM,14008998,INTRODUCER AAA AFX SYSTEM,801.0,,46.81,720.9,57
CDM,14008999,RETRACTOR WEITLANER SHARP 2X3,574.0,,287.0,516.6,56
CDM,14009000,SUTURE PASSER REVOLUTION,544.0,,272.0,489.6,56
CDM,14009002,SYSTEM EN SNARE,898.0,,70.07,808.2,57
CDM,14009003,SYSTEM SLING MALE ADVANCE,12383.0,,1948.58,11144.7,62
CDM,14009010,IMP KNEE TIBIAL INSERT SIGMA,2288.0,,1144.0,2374.28,62
CDM,14009014,CAGE PYRAMESH 22X30MM,9588.0,,4794.0,8629.2,61
CDM,14009015,SHUNT PS MED VALVE LOW PRESS,5468.0,,2734.0,4921.2,61
CDM,14009017,SHUNT PS MED EDM LUMB CATH 80,276.0,,138.0,248.4,56
CDM,14009021,CLAMP EXTERNAL FIX MULTI PIN,1023.0,,511.5,920.7,61
CDM,14009023,COUPLER ROD-TO-ROD HFMN3 02,1049.0,,524.5,944.1,61
CDM,14009024,FORCEP PRECISR EXL OVL 2.3X230,119.0,,59.5,107.1,56
CDM,14009026,INST BX MONOPTY 22MM 18G 16CM,93.0,,46.5,83.7,56
CDM,14009027,KWIRE STRYKER 3X285MM,299.0,,149.5,506.18,62
CDM,14009029,SCREWDRIVER HEXAGONAL,788.0,,394.0,709.2,56
CDM,14009030,SHUNT PRUITT F3 CAROTID,2023.0,,1011.5,1820.7,61
CDM,14009032,CATH STRLING MONORAIL 6X30X135,597.0,,257.51,537.3,57
CDM,14009034,FORCEP RAT TOOTH ENDO 2.5X230,110.0,,55.0,99.0,56
CDM,14009035,GEN NEUROSTIM HF SENZA,116590.0,,26415.23,104931.0,62
CDM,14009036,IMP HIP STEM CORIN REVISION,6664.0,,2374.28,5997.6,62
CDM,14009042,IMP KNEE FEM STEM GMRS CEMENT,7839.0,,2374.28,7055.1,62
CDM,14009043,IMP KNEE TIB INSERT GMRS,2328.0,,1164.0,2374.28,62
CDM,14009045,IMPL HIP STEM PRESS-FIT,6219.0,,2374.28,5597.1,62
CDM,14009046,IMPL KNEE AXLE FEMUR DISTAL,1982.0,,991.0,2374.28,57
CDM,14009047,IMPL KNEE FEMORAL BUSHING,654.0,,327.0,588.6,61
CDM,14009049,IPG TEMPLATE KIT SENZA,375.0,,187.5,337.5,56
CDM,14009050,KIT ANCHOR DEEP BRAIN STIMULAT,531.0,,265.5,477.9,56
CDM,14009051,KIT PATIENT CHARGER SENZA,3966.0,,1983.0,3569.4,56
CDM,14009052,LEAD NEUROSTIM LINEAR PERCUTAN,2356.0,,1178.0,4266.13,62
CDM,14009055,PLUG VASCULAR AMPLATZER,1970.0,,985.0,1773.0,61
CDM,14009056,SHELL ACETABULR BIPOLAR TANDEM,2207.0,,1103.5,2374.28,62
CDM,14009057,ARM REMOVABLE EXTENSION,1913.0,,956.5,1721.7,56
CDM,14009060,CATH MUSTANG BOST SCIENTIFIC02,535.0,,257.51,481.5,57
CDM,14009061,CATH STERLING OTW 6.0X20X135,848.0,,257.51,763.2,57
CDM,14009062,DIST REMOTE RELEASE ACTIVATOR,2414.0,,1207.0,2172.6,56
CDM,14009064,DISTRACTOR ZURICH RAMUS,12697.0,,6348.5,11427.3,56
CDM,14009067,VSP ORTHOGNATHIC BUNDLE GUIDE,2391.0,,1195.5,2151.9,56
CDM,14009071,ANCHOR SUT NANOTACK 1.4MM,1082.0,,506.18,973.8,62
CDM,14009073,BLOCK AUGMENTATION TIBIAL 01,1956.0,,978.0,1760.4,61
CDM,14009074,CANNULA ARTHRO TRANSPORT,295.0,,147.5,265.5,56
CDM,14009075,CANNULA FLOW-PORT II 165MM,973.0,,486.5,875.7,56
CDM,14009076,CATH PACING BIPOLAR PACEL,276.0,,138.0,248.4,56
CDM,14009086,ELECTRODE VAPR 2-PC 2.3 WEDGE,364.0,,182.0,327.6,56
CDM,14009090,ENTRY PORTAL KIT CAT00241,779.0,,389.5,701.1,56
CDM,14009092,GUIDEWIRE NITINOL,243.0,,27.95,218.7,57
CDM,14009093,IMP FEM COMPONENT UNITY KNEE,4300.0,,2150.0,3870.0,62
CDM,14009094,IMP HIP ACE SHELL CLUSTER HOLE,2684.0,,1342.0,2415.6,62
CDM,14009095,IMP HIP ACETAAB LINER TRINITY,2058.0,,1029.0,2374.28,62
CDM,14009155,IMPL KNEE STEM EXT NEXGEN,2215.0,,1107.5,1993.5,56
CDM,14009159,INTRO SHEATH FLEXOR ANSEL,330.0,,46.81,297.0,57
CDM,14009160,KIT CRUCIATE FIX ANT/POST,589.0,,294.5,530.1,56
CDM,14009161,KIT PUMP ASSY TITAN CYLINDER S,1108.0,,554.0,12059.64,62
CDM,14009163,NUT LOCKING SPINAL,1464.0,,732.0,1317.6,61
CDM,14009164,PENILE WILSON KIT TLC-5042-M,686.0,,343.0,617.4,56
CDM,14009166,SPACER SPINAL IMPLANT ACIS,2134.0,,1067.0,1920.6,56
CDM,14009167,SUTURE PASSER NANOPASS REACH,711.0,,355.5,639.9,56
CDM,14009173,LEAD VECTRIS SURESCAN 977A17,5317.0,,2658.5,4785.3,62
CDM,14009174,LEAD VECTRIS SURESCAN 977A275,5164.0,,2582.0,4647.6,62
CDM,14009183,ANCHOR SUT MINI BIO-CORKSCR FT,702.0,,351.0,631.8,62
CDM,14009184,BOLT SKULL MICROSENSOR KIT,1999.0,,999.5,1799.1,56
CDM,14009185,CATH VENTRICULAR BARIUM,432.0,,216.0,388.8,61
CDM,14009186,CONN EXPEDIUM SIDE BY SIDE,2210.0,,1105.0,1989.0,61
CDM,14009210,FORCEP SPETZLER-MALIS 0.5X9.0,919.0,,459.5,827.1,56
CDM,14009226,OBTURATOR BLADELESS DAVINCI,102.0,,51.0,91.8,56
CDM,14009287,WIRE K KIRSCHNER FIXOS 1.0X7,97.0,,48.5,506.18,62
CDM,14009289,ANCHOR SUTURE JUGGERKNOT 03,740.0,,370.0,666.0,62
CDM,14009297,RETRACTOR EIGR WAVEGUIDE,678.0,,339.0,610.2,56
CDM,14009309,GRAFT EPIDERMAL EPICEL,8953.0,,4476.5,8057.7,61
CDM,14009310,NEEDLE HOLDER WEBSTER,305.0,,152.5,274.5,56
CDM,14009311,DIL 3 STAGE HERCULES,522.0,,261.0,469.8,57
CDM,14009312,DRAIN CHANNEL,114.0,,57.0,102.6,56
CDM,14009313,GUIDEWIRE 2.8 SYNTHES,120.96,,27.95,108.86,62
CDM,14009315,IMPLANT HIP STEM SPECTRON,14757.0,,2374.28,13281.3,62
CDM,14009316,LINER ACET 20D XLPE REFLECTION,3282.0,,1641.0,2953.8,62
CDM,14009317,LINER ACET BIP TANDEM 28X44M,4417.0,,2208.5,3975.3,62
CDM,14009318,MESH SONICWELD RX 40X40,1747.0,,873.5,1572.3,61
CDM,14009326,SCREW TENODESIS BIOCOMPOSITE,851.0,,425.5,765.9,62
CDM,14009334,WASHER SCREW ASNIS III STRYKER,83.0,,41.5,74.7,61
CDM,14009336,ADAPTER OSS COMPRESS TAPER,1428.0,,714.0,1285.2,61
CDM,14009344,FORCEP REDUCTION SERRATED JAW,1957.0,,978.5,1761.3,56
CDM,14009347,IMP HIP ACET LINEER PINNACLE 2,7085.0,,2374.28,6376.5,62
CDM,14009348,IMP HIP FEM HEAD MOD BIO-MOORE,986.0,,493.0,2374.28,62
CDM,14009362,IMP KNEE SPINDLE COMPRES SHORT,7990.0,,2374.28,7191.0,62
CDM,14009366,IMP KNEE STEM LEGION PRESSFIT,2506.0,,1253.0,2374.28,62
CDM,14009367,IMP KNEE TIBIA STEM OSS CEMENT,3851.0,,1925.5,3465.9,62
CDM,14009369,NUT COMPRESSION CPS,666.0,,333.0,599.4,61
CDM,14009371,SEGMENT DIAPHYSEAL OSS,12300.0,,2374.28,11070.0,62
CDM,14009372,SLEEVE CENTERING COMPRESS,793.0,,396.5,713.7,56
CDM,14009376,ANCHOR SUT SWIVELOCK BIOCOMP,936.0,,468.0,842.4,62
CDM,14009378,DIL COLONIC QUANTUM TTC 14X5.5,273.0,,136.5,367.53,57
CDM,14009379,DRESSING NASAL NASOPORE 02,342.0,,171.0,307.8,56
CDM,14009380,LEAD NEUROSTIM LINEAR PERCUT,1831.0,,915.5,4266.13,62
CDM,14009381,PROBE MEASUREMENT ARTHRO 60DEG,526.0,,263.0,473.4,56
CDM,14009383,CABLE/SLEEVE DALL-MILES,664.0,,332.0,597.6,61
CDM,14009385,CABLE INSTRUMENT FIBER OPTIC,949.0,,474.5,854.1,56
CDM,14009388,FORCEP DAVINCI 470093,603.0,,301.5,542.7,56
CDM,14009389,IMP HIP BUTTRESS GRIPTION TF,5159.0,,2374.28,4643.1,62
CDM,14009393,DRILL SHANK OPENING T2 SPI D12,758.0,,379.0,682.2,56
CDM,14009404,IMP KNEE TIB SLEEVE TRAY MBT,5351.0,,2675.5,4815.9,61
CDM,14009407,IMP KNEE TIBIAL STEM EXTENSION,3032.0,,1516.0,2728.8,61
CDM,14009408,IMPL ACET LINER CONTINUUM,3079.0,,1539.5,2771.1,62
CDM,14009409,IMPL HIP FEM HEAD BIOLOX DELTA,920.0,,460.0,2374.28,62
CDM,14009410,IMPL KNEE FEM SLEEVE UNIVERSAL,5902.0,,2951.0,5311.8,61
CDM,14009412,IMPL TIB TRAY 360 75MM,4419.0,,2209.5,3977.1,62
CDM,14009413,KWIRE .045X6 KBL TRO 6PK NS,253.0,,126.5,506.18,62
CDM,14009416,LIMB LENGTHEN MICRO HOFFMAN II,5474.0,,2737.0,4926.6,56
CDM,14009418,SNARE POLYPECTOMY CAPTIFLEX,51.0,,25.5,45.9,56
CDM,14009421,THUMBWHEEL HOFFMAN II MICRO,370.0,,185.0,333.0,56
CDM,14009428,CANNULA FLOW-PORT II,973.0,,486.5,875.7,56
CDM,14009429,CATH BLN NUCLEUS-X VALVULOPLAS,2074.0,,1037.0,1866.6,56
CDM,14009432,IMP HIP ACETABULAR SHELL G7,5959.0,,2374.28,5363.1,62
CDM,14009433,IMPL HIP ACET LINER LONGEVITY,2820.0,,1410.0,2538.0,62
CDM,14009434,LUKENS 900 BONE WAX,63.0,,31.5,56.7,56
CDM,14009463,DELTA SHUNT VALVE LEVEL 1,2476.0,,1238.0,2228.4,61
CDM,14009474,INTEGRA BILAYER MATRIX BMW2021,5211.0,,65.59,4689.9,56
CDM,14009515,STAPLE PROXIMATE CDL33 STAPLE,649.0,,324.5,584.1,56
CDM,14009517,STAPLE ENDOPATH ECS29 STAPLER,1876.0,,938.0,1688.4,56
CDM,14009519,LIGACLIP ERCA20 MED/LRG ROTAT,321.0,,160.5,288.9,56
CDM,14009521,ENDOPATH BLUNT CHERRY DISSECT,65.0,,32.5,58.5,56
CDM,14009523,XENDOPATH SCISSORS DCS12,697.0,,348.5,627.3,56
CDM,14009527,ENDOPATH BLUNT TIP DISSECTOR,69.0,,34.5,62.1,56
CDM,14009528,ENDOPATH CLAW EXTRACTOR DEX,411.0,,205.5,369.9,56
CDM,14009537,TOOL TUNNELING NEVRO,389.0,,194.5,350.1,56
CDM,14009539,WRENCH HEX TORQUE NEVRO,375.0,,187.5,337.5,56
CDM,14009540,APPLIER CLIP INTUITIVE,65.0,,32.5,58.5,56
CDM,14009541,CATHETER VENTRICULAR,575.0,,287.5,517.5,56
CDM,14009542,FILLER BONE OPTECURE 650-00-02,904.0,,452.0,813.6,56
CDM,14009545,STAPLER ENDOWRIST 45,422.0,,211.0,379.8,56
CDM,14009553,CATH PTA PACIFIC PLUS OTW,500.0,,250.0,450.0,62
CDM,14009555,SENSOR PLUS OXIMETER DISP,141.0,,15.3,126.9,57
CDM,14009557,ANCHOR SUTURE FIBERWIRE 02,699.0,,349.5,629.1,62
CDM,14009572,IMP HIP ACET CUP PINNAC SECTOR,1970.0,,985.0,2374.28,62
CDM,14009588,IMP HIP ACETAB SHELL CONTINUUM,4864.0,,2374.28,4377.6,62
CDM,14009591,IMP PROXIMAL BODY SRS,9665.0,,2374.28,8698.5,62
CDM,14009594,IMP HIP FEMORAL STEM CORAIL,5023.0,,2374.28,4520.7,62
CDM,14009595,IMP KNEE SEGMENT INTERCALARY,14273.0,,7136.5,12845.7,61
CDM,14009596,IMPLANT KNEE PATELLA DOME,1350.0,,675.0,2374.28,62
CDM,14009597,IMPLANT KNEE PATELLA DOME,3127.0,,1563.5,2814.3,62
CDM,14009601,MESH PLATE 3D TITANIUM,3130.0,,608.95,2817.0,62
CDM,14009603,SHAFT DRIVER MINI CRUCIFORM,683.0,,341.5,614.7,56
CDM,14009614,GUIDEWIRE HIWIRE G36286,130.0,,27.95,117.0,57
CDM,14009624,IMP HIP STEM LPS 01,8066.0,,2374.28,7259.4,62
CDM,14009625,IMP KNEE FEM PEPLMNT COMP LPS,19173.0,,2374.28,17255.7,62
CDM,14009626,IMP KNEE SEGMENTAL COMP LPS 01,3322.0,,1661.0,2989.8,62
CDM,14009651,IMPL COCHLEAR CONTOUR ADVANCE,38392.0,,19196.0,34552.8,61
CDM,14009664,LIGACLIP APPLR MCS20,364.0,,182.0,327.6,56
CDM,14009665,LIGACLIP APPLR MCL20,343.0,,171.5,308.7,56
CDM,14009674,TLC-55 STAPLE RELOADABLE UNIT,300.0,,150.0,270.0,56
CDM,14009676,TCR-55 STAPLE RELOADING UNIT,491.0,,245.5,441.9,56
CDM,14009685,BALLOON PSTPRTM BAKRI 24FX54,641.0,,320.5,576.9,56
CDM,14009686,COTTON PATTIE 3 1/2 X 6 COD,70.0,,35.0,63.0,56
CDM,14009691,IMP KNEE FEM WEDGE LEGION,2280.0,,1140.0,2052.0,61
CDM,14009692,SLEEVE CANNULA ABDOMINAL ACCES,83.0,,41.5,74.7,56
CDM,14009695,STENT TRACBRNCL SIZING DEVICE,530.0,,265.0,477.0,56
CDM,14009696,WASHER SYNTHES 498.047,308.0,,154.0,277.2,61
CDM,14009697,APPLIER CLIP DAVINCI,116.0,,58.0,104.4,56
CDM,14009698,CABLE BONE CABLE-READY,826.0,,413.0,743.4,61
CDM,14009701,THROMBIN SPRY KIT 20000IU,512.0,,131.07,460.8,55
CDM,14009703,WIRE K MAXLOCK EXTREME NS,63.0,,31.5,506.18,62
CDM,14009706,CAP END-CAP TITANIUM,465.0,,232.5,418.5,56
CDM,14009708,GUIDEWIRE PACK K2M,546.0,,27.95,491.4,57
CDM,14009713,DRILL SLEEVE LOCKING MED 3.1MM,490.0,,245.0,441.0,56
CDM,14009715,ROD EXTRACTION CONICAL T2,561.0,,280.5,504.9,56
CDM,14009719,CATH BLN PTA STERLING MONORAIL,641.0,,257.51,576.9,57
CDM,14009721,IMP ACETAB LINER DUR MAR DEPUY,3865.0,,1932.5,3478.5,62
CDM,14009722,IMP HIP FEM HEAD DELTA TS REV,4526.0,,2263.0,4073.4,62
CDM,14009726,REAMER BIXCUT MODULAR HEAD,631.0,,315.5,567.9,56
CDM,14009727,RELOAD STAPLER ENDOWRIST 30,511.0,,255.5,459.9,56
CDM,14009728,RETRACTOR LIP DISPOSABLE,143.0,,71.5,128.7,56
CDM,14009729,TEMPLATE BENDING X-FIX,788.0,,394.0,709.2,56
CDM,14009744,TA-30 2.5 MULTIFIRE ENDO ST,1768.0,,884.0,1591.2,56
CDM,14009748,CATH FOLLOWER HEYMAN,106.0,,53.0,95.4,56
CDM,14009749,CATH PNEUMOTHORAX KIT ARROW,266.0,,133.0,239.4,56
CDM,14009751,IMPL HIP SELF CENTERING,1604.0,,802.0,2374.28,62
CDM,14009753,IMP KNEE KEM REPLMT COMP LPS,10116.0,,2374.28,9104.4,62
CDM,14009754,COUNTERSINK AO 2.7/3.5MM,305.0,,152.5,274.5,56
CDM,14009756,DEVICE INFLATION SE ACCLARENT,266.0,,133.0,239.4,56
CDM,14009760,IMP HIP FEM HEAD DELTA CERAMIC,3156.0,,1578.0,2840.4,62
CDM,14009762,CORD ABC HANDPIECE NOZZLE,213.0,,106.5,191.7,56
CDM,14009766,KIT WOUND DERMACLOSE,2276.0,,1138.0,2048.4,56
CDM,14009770,CORD TRACTION SPOOL 100YD,69.0,,34.5,62.1,56
CDM,14009775,IMP KNEE TIBIA STEM PFC SIGMA,1982.0,,991.0,2374.28,62
CDM,14009798,WASHER SCREW FLAT,330.0,,165.0,297.0,61
CDM,14009799,ANCHOR BIO-PUSHLOCK,986.0,,493.0,887.4,62
CDM,14009800,BONE WEDGE EVANS 01,3616.0,,1808.0,3254.4,61
CDM,14009803,IMP FEMORAL HEAD COCR,1380.0,,690.0,2374.28,62
CDM,14009805,IMP SHOULDER PROST TAPER INS,1507.0,,753.5,2374.28,62
CDM,14009809,KIT SYRINGE BONE MARROW ASP,706.0,,353.0,635.4,56
CDM,14009812,BUTTRESS ACE COLUMN AUGMENT,6133.0,,3066.5,5519.7,61
CDM,14009822,CLIP ANEURYSM MIZUHO 02,769.0,,384.5,692.1,61
CDM,14009826,EXT FIX PIN BOLT APEX 3.4X5.6M,458.0,,229.0,506.18,62
CDM,14009827,IMP KNEE PATELLA COMPONENT,1089.0,,544.5,2374.28,62
CDM,14009828,FILLER BONE OPTECURE 650-00-10,3265.0,,1632.5,2938.5,56
CDM,14009829,CATH TAUT 20018-M55,316.0,,158.0,284.4,56
CDM,14009836,IMPL BAHA B1300 4MM,3267.0,,1633.5,2940.3,61
CDM,14009838,NEEDLE ECHOGENIC,135.0,,67.5,121.5,56
CDM,14009839,ARISTA AH 1 GRAM,279.0,,139.5,251.1,56
CDM,14009840,CATH ANGIOGRAPHY BLIND-END 01,142.0,,71.0,127.8,56
CDM,14009841,CEMENT BONE COBALT 40G W/GENT,519.0,,259.5,506.18,62
CDM,14009842,ENDOPROSTH EXCLUDER GRAFT,10098.0,,1667.17,9088.2,62
CDM,14009843,ENDOPROSTH EXCLUDER GRAFT 02,23673.0,,1667.17,21305.7,62
CDM,14009844,EXTRACTOR STONE NGAGE,533.0,,266.5,479.7,56
CDM,14009851,VLVE HEART PERICARDIAL AORTIC,76975.0,,38487.5,69277.5,61
CDM,14009852,DISSECTR ULTRASONIC SONICISION,808.0,,404.0,727.2,56
CDM,14009853,DISSECTR ULTRASONIC SONICISION,950.0,,475.0,855.0,56
CDM,14009854,DISSECTR ULTRASONIC SONICISION,1073.0,,536.5,965.7,56
CDM,14009860,ELECTRODE CHANNEL CABLE 01,562.0,,281.0,505.8,56
CDM,14009865,FOGARTY CLAMP INSERT 33MM SOF,59.0,,29.5,53.1,56
CDM,14009866,CATH VENTRIC ARES ANTIBIOTIC,925.0,,462.5,832.5,56
CDM,14009871,SCREWDRIVER HEXAGONAL,679.0,,339.5,611.1,56
CDM,14009874,CUFF AMS 800 W/INHIBITOR,11653.0,,5826.5,10487.7,62
CDM,14009899,IMP KNEE K3 PF/HYBRID TOTL SYS,9084.0,,2374.28,8175.6,62
CDM,14009903,TUNNELER VNS MODEL 402,1024.0,,512.0,921.6,56
CDM,14009913,EXTRACTOR STONE G23797-G23798,617.0,,308.5,555.3,56
CDM,14009915,GRAFT GORE-TEX 20020020,1775.0,,887.5,1597.5,61
CDM,14009917,IMP AUG HEMI WEDGE ENDURO,2140.0,,1070.0,1926.0,61
CDM,14009936,BLADE SAW SAGITTAL NARROW/S,856.0,,428.0,770.4,56
CDM,14009938,BLADE SAW RECIP 77.5X6.25X0.,156.0,,78.0,140.4,56
CDM,14009966,EXT FIX CLAMP COMBINATION 01,1367.0,,683.5,1230.3,61
CDM,14010034,EXT FIX CLAMP COMBINATION 02,1186.0,,593.0,1067.4,61
CDM,14010036,GFT THOR ENDOVASC ZENITH ALPHA,38179.0,,19089.5,34361.1,61
CDM,14010080,CLIP SUNDT SLIM GRAFT 20-1762,2304.0,,1152.0,2073.6,56
CDM,14010087,GUIDEWIRE LUNDERQUIST G53971,310.0,,27.95,279.0,57
CDM,14010124,GWIRE TRACER METRO DIRECT .035,332.0,,27.95,298.8,57
CDM,14010126,APPLICATOR FLEXITIP XL,64.0,,32.0,57.6,56
CDM,14010130,IMP KNEE ART SURFACE NEXGEN,1304.0,,652.0,2374.28,62
CDM,14010132,IMP KNEE FEM NEXGEN LCCK LT/RT,10670.0,,2374.28,9603.0,62
CDM,14010134,IMP KNEE TIBIAL TRAY CORIN,1970.0,,985.0,2374.28,62
CDM,14010138,CATH MUSTANG BOSTON SCIENTIFIC,631.0,,257.51,567.9,62
CDM,14010271,Z*ACET CAGE RECONSTRUCTION MAX,8096.0,,4048.0,7286.4,61
CDM,14010274,ELECT SUBDURAL STRIP 4 CONTACT,1835.0,,917.5,1651.5,56
CDM,14010275,IMP ARCH BAR PREFORMED MMF,1129.0,,564.5,1016.1,61
CDM,14010666,CLIP SUNDT SLIM GRAFT 20-1803,1238.0,,619.0,1114.2,56
CDM,14010667,CLIP SUNDT SLIM GRAFT 20-1804,1238.0,,619.0,1114.2,56
CDM,14010668,CLIP SUNDT SLIM GRAFT 20-1805,1202.0,,601.0,1081.8,56
CDM,14010757,COLLECTION SYS BERKLEY SOF,173.0,,86.5,155.7,56
CDM,14010759,GRAFTON SYRINGE 5CC,1687.0,,843.5,1518.3,56
CDM,14010777,GUIDE WIRE .038X145,121.0,,27.95,108.9,57
CDM,14010789,GUIDEWIRE BENTSON STR .035X145,83.0,,27.95,74.7,57
CDM,14010790,SYSTEM BRAIN ACCESS VIEWSITE,1524.0,,762.0,1371.6,56
CDM,14010792,STAPLER ECHELON FLEX PWD 45MM,873.0,,436.5,785.7,56
CDM,14010793,STAPLER ECHELON FLEX PWD 60MM,1039.0,,519.5,935.1,56
CDM,14010872,CLIP SPRING SOFT/FIBRA,65.0,,32.5,58.5,56
CDM,14010944,FOGARTY CLAMP INSERT 45MM SOF,88.0,,44.0,79.2,56
CDM,14010948,CROUCH CORNEAL PROTECTOR,179.0,,89.5,161.1,56
CDM,14010964,SCREW SPINE 8.0MM X 50MM TI,1010.0,,505.0,909.0,61
CDM,14010981,PROST PENILE PUMP PRECONNECT,20637.0,,10318.5,18573.3,62
CDM,14010988,GUIDEWIRE AMPLATZ,277.0,,27.95,249.3,62
CDM,14010989,ELECTRODE MONOPOLAR FLEXIBLE,383.0,,191.5,344.7,56
CDM,14010997,NEEDLE BIOPSY MAXCORE 14GX16CM,218.0,,109.0,196.2,56
CDM,14011006,BLADE INCISOR TRUCLEAR PLUS,472.0,,236.0,424.8,56
CDM,14011167,GRAFT VALVED AORTIC MASTERS HP,4737.0,,2368.5,4263.3,61
CDM,14011171,FIBRIN PATCH EVARREST 2X4IN,1550.0,,396.8,1395.0,55
CDM,14011181,GUIDES OR BLOCKS PT SPECIFIC,2104.0,,1052.0,1893.6,56
CDM,14011192,SUTURE FIBERWIRE,193.0,,96.5,173.7,56
CDM,14011194,GEN NEUROSTIM ASPIRESR 106,60915.0,,22201.12,54823.5,62
CDM,14011195,IMPL KNEE TIBIAL CRUCIATE TRAY,2463.0,,1231.5,2374.28,62
CDM,14011197,IMP FEMORAL HEAD CERAMIC,3226.0,,1613.0,2903.4,62
CDM,14011253,DRAIN BLAKE 10FR 2186,166.0,,83.0,149.4,56
CDM,14011254,ADAPTOR TOUHY-BORST,59.0,,29.5,53.1,56
CDM,14011261,NEEDLE 11GA LEE LOK BONE MARR,595.0,,297.5,535.5,56
CDM,14011295,PROSTH BUCKET HANDLE TI .4X4,499.0,,249.5,449.1,61
CDM,14011299,CATH INTRODUCER COOK 10FR,304.0,,46.81,273.6,57
CDM,14011356,CATH THROMBOLYTIC ANGIOJET,6997.0,,314.82,6297.3,57
CDM,14011373,CONNECTOR EXPEDIUM,2824.0,,1412.0,2541.6,61
CDM,14011489,IMP HIP FEM HEAD ISODUR,526.0,,263.0,2374.28,62
CDM,14011494,RETRACTOR-ELEVATOR VCARE CUP,1647.0,,823.5,1482.3,56
CDM,14011563,PLATE LC DCP 4.5/10 HOLE 22,410.0,,205.0,369.0,61
CDM,14011571,WASHER SCREW ASNIS III,251.0,,125.5,225.9,61
CDM,14011596,DOPPLER PROBE VAS TECH DISP,567.0,,283.5,510.3,56
CDM,14011616,CATH ATHERECTOMY STEALTH 360,8362.0,,3771.46,7525.8,57
CDM,14011688,IMP HIP MEM STEM EXCIA,2606.0,,1303.0,2374.28,62
CDM,14011689,IMP TIBIA INSERT PROFIX CONFRM,2606.0,,1303.0,2374.28,62
CDM,14011691,IMPLANT KNEE TIBIAL INSERT AMK,2860.0,,1430.0,2574.0,62
CDM,14011695,SYSTEM DESARA SLING,1968.0,,984.0,1948.58,62
CDM,14011703,WASHER 10MM 219.91 SS,121.0,,60.5,108.9,61
CDM,14011750,IMP HIP BALL JOINT HOFFMAN,1935.0,,967.5,2374.28,62
CDM,14011751,COUNTERSINK CANN 3.5/4MM,994.0,,497.0,894.6,56
CDM,14011805,CATH PTA STERLING OTW 02,632.0,,257.51,568.8,57
CDM,14011859,IMPL KNEE PATELLA GENESIS,863.0,,431.5,2374.28,62
CDM,14011956,PIN K-WIRE 1.6 X 150MM,48.0,,24.0,506.18,62
CDM,14011957,IMPL CONTIGEN BARD COLLAGEN,629.0,,314.5,566.1,61
CDM,14011960,IMPLANT HIP,635.0,,317.5,2374.28,62
CDM,14012086,VALVE CSF POLARIS,7993.0,,3996.5,7193.7,61
CDM,14012102,NDL ECHOTIP ULTRA 25G G31519,531.0,,265.5,477.9,56
CDM,14012129,STENT BILIARY ZIMMON,189.0,,94.5,187.52,62
CDM,14012141,CATH URETERAL CONE TIP,52.0,,26.0,46.8,57
CDM,14012146,BLLN CTRL AMS800 71-80CM H20,5919.0,,2959.5,9236.94,62
CDM,14012148,COUNTERSINK 4.5 HEADED,413.0,,206.5,371.7,56
CDM,14012167,IMP HIP ACETAB LINER VIVACIT E,3031.0,,1515.5,2727.9,62
CDM,14012169,IMPL HIP STEM FLUTED,2127.0,,1063.5,2374.28,62
CDM,14012184,IMP HIP STEM TAPERLOC,4974.0,,2374.28,4476.6,62
CDM,14012195,PIN FIX TROCAR GENESIS 1/8X3,109.0,,54.5,506.18,62
CDM,14012199,IMP HIP ACETAB SHELL CONTINUUM,3886.0,,1943.0,3497.4,62
CDM,14012211,IMP HIP FEM HEAD SROM,1476.0,,738.0,2374.28,62
CDM,14012212,GUIDE DRILL AXSOS,1391.0,,695.5,1251.9,56
CDM,14012213,IMPL FEM C-TAPER LFIT,986.0,,493.0,2374.28,62
CDM,14012214,COUNTERSINK STRYKER,756.0,,378.0,680.4,56
CDM,14012215,SCREWDRIVER SHAFT PROFILE ZERO,298.0,,149.0,268.2,56
CDM,14012217,CATH URETERAL LASER,69.0,,34.16,62.1,57
CDM,14012218,PUNCT TRACHEAL W/INJ/ASP PERC,9851.0,,2671.24,8865.9,68
CDM,14012219,FILLER PRO-DENSE 10ML,6737.0,,506.18,6063.3,62
CDM,14012220,IMP ACETAB CUP RINGLOC,920.0,,460.0,2374.28,62
CDM,14012221,IMP HIP ACET LINER FREEDOM,3803.0,,1901.5,3422.7,62
CDM,14012225,HARMONIC PROLAPSE HEMORRHOI,3331.0,,1665.5,2997.9,56
CDM,14012233,GRAFT BONE INFUSE SMALL,9812.0,,4906.0,8830.8,61
CDM,14012238,SLING URETHRAL OBTRYX CURVED,3021.0,,1510.5,2718.9,62
CDM,14012245,CAP DIALYSIS MINI TRANSFER,607.0,,303.5,546.3,56
CDM,14012247,RETRACTOR RING LONE STAR,267.0,,133.5,240.3,56
CDM,14012248,RETRACTOR WOUND ALEXIS,169.0,,84.5,152.1,56
CDM,14012249,CAUTERY JEWELERS FORCEP,146.0,,73.0,131.4,56
CDM,14012261,STAPLER 60MM COMPACT ECHELON,839.0,,419.5,755.1,56
CDM,14012293,EXT FIXATOR POST OUTRIGGER,333.0,,166.5,299.7,56
CDM,14012295,IMP HIP INSERT TRIDENT X3,1725.0,,862.5,2374.28,62
CDM,14012296,IMP HIP SHELL GRIPTION MULTI 3,5434.0,,2374.28,4890.6,62
CDM,14012304,BASEPLT COMPREHENSIVE MINI 25,4244.0,,2122.0,3819.6,62
CDM,14012362,TUBE TRACHEAL 7MM 31FR,929.0,,464.5,836.1,61
CDM,14012366,IMP HIP STEM LPS 02,7404.0,,2374.28,6663.6,62
CDM,14012367,IMP KNEE SEGMENTAL COMP LPS 02,3279.0,,1639.5,2951.1,62
CDM,14012368,IMP KNEE TIBIA STEM PFC SIGMA,1681.0,,840.5,2374.28,62
CDM,14012370,IMP FEM C-TAPER LFIT,986.0,,493.0,2374.28,62
CDM,14012371,IMP FEM HEAD UHR BIPOLAR,1849.0,,924.5,2374.28,62
CDM,14012372,IMP HIP ACETAB LINER ALTRX,1601.0,,800.5,2374.28,62
CDM,14012373,IMPLANT HIP STEM SECUR-FIT,5296.0,,2374.28,4766.4,62
CDM,14012374,SLEEVE CERVICAL,110.0,,55.0,99.0,56
CDM,14012375,STAPLE RELOAD RELIATACK,1303.0,,651.5,1172.7,56
CDM,14012376,STEM HUM COMPREHENSIVE REVERSE,8202.0,,2374.28,7381.8,62
CDM,14012377,WASHER ARTHREX AR-7000-15,193.0,,96.5,173.7,61
CDM,14012379,CONNECTOR ROD TRANSVERSE,1064.0,,532.0,957.6,61
CDM,14012380,IMP HEAD FEMORAL LFIT V40 TAP,986.0,,493.0,2374.28,62
CDM,14012381,IMP HEAD FEMORAL FFIT V40 TAP,1077.0,,538.5,2374.28,62
CDM,14012382,IMP KNEE FEM STEM GMRS CEMENT,5813.0,,2374.28,5231.7,62
CDM,14012383,KIT ACUTE AC W/DOG BN BUTTON,2665.0,,1332.5,2398.5,56
CDM,14012384,PASSER CATH TUNNEL ROD 38CM,302.0,,151.0,271.8,56
CDM,14012389,HOOK CD HORIZON OFFSET,986.0,,493.0,887.4,61
CDM,14012390,STEM KNEE UNIV PF FLUTE 12X115,1414.0,,707.0,2374.28,62
CDM,14012393,IMPL FEM V40 TAPER 36MM 0MM,2464.0,,1232.0,2374.28,62
CDM,14012394,HIP ACET SHELL PINNACLE,6667.0,,2374.28,6000.3,62
CDM,14012395,ACET LINER DURALOC CONST,7024.0,,2374.28,6321.6,62
CDM,14012398,KNEE STEM OSS STR CMT 17X150,7549.0,,2374.28,6794.1,62
CDM,14012399,IMPL KNEE TIB COLUMBUS,2522.0,,1261.0,2374.28,57
CDM,14012428,FILLER BONE B-TCP VITOSS,4561.0,,506.18,4104.9,62
CDM,14012451,LOCKING CAP TI 3-D HEAD,1579.0,,789.5,1421.1,56
CDM,14012458,BONE PLUG INTRAMEDULLARY 12MM,277.0,,138.5,249.3,61
CDM,14012493,BLADE SPIRAL TI SYNTHES,1290.0,,645.0,1161.0,61
CDM,14012497,BOLT WIRE FIXATION SLOTTED,33.06,,16.53,29.75,56
CDM,14012506,CABLE 1.7X750,1752.0,,876.0,1576.8,56
CDM,14012507,CABLE 1X750,1266.0,,633.0,1139.4,61
CDM,14012533,CENTRALIZER DISTAL 10MM,300.0,,150.0,270.0,61
CDM,14012534,CENTRALIZER INVIS DIST 9MM,165.0,,82.5,148.5,61
CDM,14012536,CLAMP COMBO MED,831.0,,415.5,747.9,56
CDM,14012539,CLAMP MULTI PIN,1619.0,,809.5,1457.1,61
CDM,14012542,CLAMP OPEN ADJ,3212.0,,1606.0,2890.8,61
CDM,14012552,CONNECTOR TRANSVERSE TI,2043.0,,1021.5,1838.7,61
CDM,14012564,CUBE RANCHO ILIZAROV,385.0,,192.5,346.5,61
CDM,14012579,FEMORAL COMPONENT SZ12,2765.0,,1382.5,2488.5,62
CDM,14012589,GUIDEWIRE 3.2MM,557.0,,27.95,501.3,57
CDM,14012595,HINGE MALE,189.0,,94.5,170.1,56
CDM,14012599,HOOK EXTRACTION FOR TI CANN,444.0,,222.0,399.6,61
CDM,14012666,KIT IM ENHANCED TOTAL HIP PREP,484.0,,242.0,435.6,56
CDM,14012693,PIN SKING SHOT CROSS6.5X50MM,488.0,,244.0,439.2,61
CDM,14012695,PIN STEINMAN 3.5-4.0M,312.0,,156.0,506.18,62
CDM,14012696,PIN STEINMAN 4.5-5.0M,513.0,,256.5,506.18,62
CDM,14012697,PIN STEINMANN CTRL THR,518.0,,259.0,506.18,62
CDM,14012699,PIN TI CERCLAGE,378.0,,189.0,340.2,61
CDM,14012722,ROD ATTACHMENT FOR MULTI PIN,878.0,,439.0,790.2,61
CDM,14012724,ROD CARBON 11/500M,457.0,,228.5,411.3,61
CDM,14012725,ROD CARBON 11M > 500M,1188.0,,594.0,1069.2,61
CDM,14012727,ROD CARBON FIBER 8MMX240MM,380.0,,190.0,342.0,61
CDM,14012730,ROD CARBON FIBER 400M,1458.0,,729.0,1312.2,61
CDM,14012743,ROD THREADED 120MM,90.0,,45.0,81.0,56
CDM,14012745,ROD THREADED 200MM,110.0,,55.0,99.0,56
CDM,14012747,ROD THREADED 400MM,142.0,,71.0,127.8,61
CDM,14012778,WASHER 6.5MM SYNTHES,110.0,,55.0,99.0,56
CDM,14012779,FORCEP OVAL CUP TRACKED,1438.0,,719.0,1294.2,56
CDM,14012787,WIRE FIX CORT BAY POINT 370MM,167.0,,83.5,150.3,61
CDM,14012797,WIRE KIRSCHNER 0.8 DIA X 70MM,211.0,,105.5,506.18,62
CDM,14012804,GUIDEWIRE 1.6MM,213.0,,27.95,191.7,57
CDM,14012829,MESH 1.2 90 X .6MM,1854.0,,608.95,1668.6,62
CDM,14012833,PLATE HEMI MANDIBULAR 5+17H LT,2181.0,,1090.5,1962.9,61
CDM,14012838,IMPL HIP STEM RESTORATION,5942.0,,2374.28,5347.8,62
CDM,14012843,NEEDLE FLEXIBLE SPINFLEX,2113.0,,1056.5,1901.7,56
CDM,14012847,TITANIUM MESH PANEL SM GRID,1438.0,,608.95,1294.2,62
CDM,14012849,WIRE STAINLESS ROLL 22G,60.0,,30.0,54.0,56
CDM,14012858,DILATOR SET 20FR/24FR,745.0,,59.45,670.5,57
CDM,14012862,GLIDEWIRE .035 180 ANG,239.0,,27.95,215.1,57
CDM,14012873,COMPACT GIA/OPEN 45MM,919.0,,459.5,827.1,56
CDM,14012877,ENDO GIA 30II RELOAD 30425,2410.0,,1205.0,2169.0,56
CDM,14012884,STAPLER ENDO GIA,958.0,,479.0,862.2,56
CDM,14012886,STAPLER RELOAD XR60B,226.0,,113.0,203.4,56
CDM,14012887,STAPLER RELOAD XR30B,377.0,,188.5,339.3,56
CDM,14012894,ENDO GIA II 030422,539.0,,269.5,485.1,56
CDM,14012925,CATH VENT 6CM,762.0,,381.0,685.8,56
CDM,14012930,DRAIN LUMBAR,561.0,,280.5,504.9,56
CDM,14012932,END RING 10-15MM DIA TI,355.0,,177.5,319.5,56
CDM,14012939,KIT LUMBAR DRAIN MONITOR,538.0,,269.0,484.2,56
CDM,14012964,"SHUNT SNAP REG L,M,H 90CM",2174.0,,1087.0,1956.6,61
CDM,14012968,Y CONNECTOR 82-1520,641.0,,320.5,576.9,56
CDM,14012980,ELECTRODE CUTTING LOOP GU,433.0,,216.5,389.7,56
CDM,14012997,PROGRAMMER HAND PATIENT,5566.0,,2025.45,5009.4,57
CDM,14012999,RETRIEVEL STONE GEMINI 330-110,1553.0,,776.5,1397.7,56
CDM,14013000,SET CATH PERC SUPRAPUBIC,302.0,,151.0,271.8,56
CDM,14013028,FILM SEPRAFILM 5086-02,1007.0,,464.73,906.3,62
CDM,14013037,SHEATH 5FR/10  10/BX,892.0,,46.81,802.8,57
CDM,14013047,CATH WORD TELEFLEX 564000,110.0,,55.0,99.0,56
CDM,14013049,BALLOON CATH NEPHROMAX,1082.0,,367.53,973.8,57
CDM,14013050,CATH ANGIO SIZING PIGTAIL 5F,487.0,,243.5,438.3,56
CDM,14013053,CATH BALL OCCLUSION 40MM,540.0,,208.48,486.0,57
CDM,14013061,CATH CV 3-LUM 12FRX16CM,979.0,,136.97,881.1,62
CDM,14013063,CATH FOGARTY ADHERENT CLOT 8MM,490.0,,245.0,441.0,57
CDM,14013080,INTRODUCER SHEATH 9F/10CM 10/B,923.0,,46.81,830.7,57
CDM,14013088,SNARE AMPLATZ 35MM,1540.0,,70.07,1386.0,57
CDM,14013089,STENT WALLSTENT ENDOPROSTHESIS,2398.0,,1199.0,2158.2,62
CDM,14013097,ROD 6.0X45MM,1687.0,,843.5,1518.3,56
CDM,14013104,RETRACTOR PELVIC,10987.0,,5493.5,9888.3,56
CDM,14013105,STAPLER SKIN PROXIMATE TX30G,299.0,,149.5,269.1,56
CDM,14013114,GUIDE NDLE BIOPSY SPINPERC KIT,909.0,,454.5,818.1,56
CDM,14013115,INSERT TIB ROTATE PLATFORM 02,4697.0,,2348.5,4227.3,62
CDM,14013116,LINER RINGLOC E-POLY HW,2156.0,,1078.0,2374.28,62
CDM,14013118,TUBING ARTHROSCOPY PUMP,293.0,,146.5,263.7,56
CDM,14013125,GUIDEWIRE FIXED CORE,83.0,,27.95,74.7,57
CDM,14013152,LEAD VAGUS NERVE STIMULATOR,17498.0,,4266.13,15748.2,62
CDM,14013168,OILER/AIR DIFFUSER,98.0,,49.0,88.2,56
CDM,14013173,EXTENSION LOW PROFILE DBS,1748.0,,727.5,1573.2,62
CDM,14013181,CANNULA TWIST-IN 8.25 ARTHREX,85.0,,42.5,76.5,56
CDM,14013182,FIBERWIRE #5,161.0,,80.5,144.9,56
CDM,14013193,SUTURE LASSO BANANA,286.0,,143.0,257.4,56
CDM,14013194,WASHER SPIKED 18M,334.0,,167.0,300.6,61
CDM,14013205,CATH STRAIGHT TAPER 5FR,3084.0,,27.95,2775.6,57
CDM,14013208,SHEATH PINNACLE BOSTON SCI,502.0,,102.65,451.8,62
CDM,14013211,DERMABOND HVN6,530.0,,265.0,477.0,56
CDM,14013213,MESH PROLENE 12X12,909.0,,454.5,818.1,62
CDM,14013214,STAPLER LINEAR RELOAD TL90,3505.0,,1752.5,3154.5,56
CDM,14013216,CATH BACTISEAL KIT,1846.0,,923.0,1661.4,56
CDM,14013248,IMPL HIP HEAD FEMORL C-TAPER,920.0,,460.0,2374.28,62
CDM,14013252,PUMP INCISIONAL XS/SM,503.0,,251.5,452.7,56
CDM,14013257,GRAFT KNITTED ST 20X20,450.0,,225.0,1092.42,62
CDM,14013265,CANNULA SEALS,264.0,,132.0,237.6,56
CDM,14013266,STENT PALMAZ CORDIS,2578.0,,217.64,2320.2,62
CDM,14013280,CATH VENTRICULAR 6CM,470.0,,235.0,423.0,56
CDM,14013283,KIT LEAD INTRODUCER 3550-18,934.0,,467.0,840.6,56
CDM,14013284,LEAD QUADRIPOLAR INTERSTIM,9383.0,,4266.13,8444.7,62
CDM,14013286,SHNT SNP ASSY STRATA RG BIO,9147.0,,4573.5,8232.3,61
CDM,14013293,GUIDEWIRE ZEBRA,168.0,,27.95,151.2,62
CDM,14013299,ANCHR GII PLUS W/#2 ETHBND,1109.0,,506.18,998.1,62
CDM,14013300,ANCHR RC PLUS W/#2 ETHBND,1729.0,,506.18,1556.1,62
CDM,14013314,KIT CANNULA THREAD,54.0,,27.0,48.6,56
CDM,14013318,ROD GUIDE 2MM S&N,422.0,,211.0,379.8,56
CDM,14013325,ROD REAMING BALL TIP 2.5X950MM,524.0,,262.0,471.6,61
CDM,14013350,RELOAD ENDO GIA 60-3.5,1476.0,,738.0,1328.4,56
CDM,14013351,SUTURE PROTACKER PTACK 30,965.0,,482.5,868.5,56
CDM,14013358,ENDOPROSTHESIS VIABAHN 15CM,8615.0,,1667.17,7753.5,62
CDM,14013360,GRAFT ENDO AAA PXC GORE,8302.0,,4151.0,7471.8,61
CDM,14013371,TUBE ENDOTRACHEAL EMG,467.0,,233.5,420.3,56
CDM,14013376,WIRE BENTSON 180CM,216.0,,27.95,194.4,57
CDM,14013382,LIGACLIP ALLPORT 5MM,485.0,,242.5,436.5,56
CDM,14013383,DEVICE ANASTAMOTIC 3.0MM,715.0,,357.5,643.5,61
CDM,14013386,FIBER LASER 100MM,1525.0,,762.5,1372.5,56
CDM,14013408,PANT COMPRESSION PROCARE,94.0,,47.0,84.6,56
CDM,14013409,STAPLER SKIN PROXIMATE,298.0,,149.0,268.2,56
CDM,14013410,STENT BILIARY EXPRESS BOSTON,5553.0,,1642.91,4997.7,62
CDM,14013412,GRAFT BONE INFUSE MEDIUM,31776.0,,15888.0,28598.4,61
CDM,14013416,STIMULATOR BONE GROWTH EBI,18283.0,,9141.5,16454.7,56
CDM,14013421,SEALER DISSECTING,2759.0,,1379.5,2483.1,56
CDM,14013431,BALLOON CUT PERIPH OTW 5MM,1554.0,,257.51,1398.6,57
CDM,14013436,KIT ACCESSORY PENILE AMS,1395.0,,697.5,1255.5,56
CDM,14013439,FIBERWIRE #2,106.0,,53.0,95.4,56
CDM,14013443,ENDO GIA ROTICULATOR 30 3.5,458.0,,229.0,412.2,56
CDM,14013457,RESERVOIR JACKSON PRATT 400ML,107.0,,53.5,96.3,56
CDM,14013460,RELOAD BLUE 45MM 6-ROW,705.0,,352.5,634.5,56
CDM,14013461,SUCTION FLOOR WATERBUG,308.0,,154.0,277.2,56
CDM,14013463,SHEATH ACCESS URETERAL,657.0,,46.81,591.3,57
CDM,14013465,IMPL HIP STEM RECLAIM DISTAL,6240.0,,2374.28,5616.0,62
CDM,14013471,CATHETER SET VENTRI HERMATIC,589.0,,294.5,530.1,56
CDM,14013473,MARKERS PASSIVE REFLECTIVE,273.0,,136.5,245.7,56
CDM,14013474,FILTER HEATER 6198,314.0,,157.0,282.6,56
CDM,14013478,VALVE FLOW CONTROL LOW,97.0,,48.5,87.3,56
CDM,14013479,STEM FEMUR OFFSET COLUMBUS AS,4222.0,,2111.0,3799.8,62
CDM,14013480,MILL BONE DISP,986.0,,493.0,887.4,56
CDM,14013485,MENISCUS MENDER II,427.0,,213.5,384.3,56
CDM,14013487,ILLUMINATOR LIGHTMAT,511.0,,255.5,459.9,56
CDM,14013489,COUPLER ANASTAMOTIC SYNOVIS,697.0,,348.5,627.3,61
CDM,14013499,PROBE STIMULATOR MONOPOLAR,407.0,,203.5,366.3,56
CDM,14013509,SUTURING DEVICE ENDO STICTCH 1,702.0,,351.0,631.8,56
CDM,14013510,IMP HIP BUTTRESS GRIPTION TF,4293.0,,2146.5,3863.7,62
CDM,14013514,INTERPULSE HANDPIECE,692.0,,346.0,622.8,56
CDM,14013521,GUIDEWIRE 0.38 150 CM,72.0,,27.95,64.8,57
CDM,14013522,FIBERWIRE 3-0 - H,87.0,,43.5,78.3,56
CDM,14013528,CANNULA TWIST-IN PURPLE 7MM,116.0,,58.0,104.4,56
CDM,14013534,PIN PROTECTOR BB-SERIES .045,129.0,,64.5,116.1,56
CDM,14013553,PROTRACTOR ALEXIS,169.0,,84.5,152.1,56
CDM,14013554,IRRIGATOR LPRSCPC HYDRO-SURG,172.0,,86.0,154.8,56
CDM,14013557,CATHETER URETERAL WT5FRX70CM,202.0,,34.16,181.8,57
CDM,14013558,PACK CUSTOM BASIC LOWER,229.0,,114.5,206.1,56
CDM,14013561,NDL MICROLITE DISP 24GA,236.0,,118.0,212.4,56
CDM,14013566,CATHETER URETERAL CT 8FRX70CM,292.0,,34.16,262.8,57
CDM,14013568,CUTTER STRYKER 6MM,276.0,,138.0,248.4,56
CDM,14013573,CUTTING LOOP 24FR,379.0,,189.5,341.1,56
CDM,14013578,KNIFE GRAFT ACL 10MM,342.0,,171.0,307.8,56
CDM,14013586,STONE EXTRACTOR PERC  10F,438.0,,219.0,394.2,56
CDM,14013588,PACK CYSTO,413.0,,206.5,371.7,56
CDM,14013590,TROCAR ENDOPATH XCEL BLDLS 5MM,75.0,,37.5,67.5,56
CDM,14013591,PROBE ELECTROTHERMAL LIGAMENT,508.0,,254.0,457.2,56
CDM,14013601,KIT KNIFE ECTR DISPOSABLE,502.0,,251.0,451.8,56
CDM,14013603,PROBE ELECTROTHERM MICROABLALA,519.0,,259.5,467.1,56
CDM,14013610,NITINOL WIRES,269.0,,134.5,242.1,56
CDM,14013613,RETRACTOR ENDO DISP,490.0,,245.0,441.0,56
CDM,14013625,ADAPTOR ELLIK EVACUATOR,488.0,,244.0,439.2,56
CDM,14013627,SINGLE ACTION PUMPING SYSTEM,152.0,,76.0,136.8,56
CDM,14013638,CAPIO SUTURE,1025.0,,512.5,922.5,56
CDM,14013640,BOWL CEMENT MIXING,506.0,,253.0,455.4,56
CDM,14013743,SPACER PEEK LUMBAR ELEVATE,11085.0,,5542.5,9976.5,61
CDM,14013748,GUIDEWIRE ZIMMER,192.0,,27.95,172.8,62
CDM,14013749,GUIDEWIRE GLIDEWIRE GR1806,186.0,,27.95,167.4,57
CDM,14013750,MESH HERNIA PROGRIP 10X15CM,929.0,,464.5,836.1,62
CDM,14013751,STENT ENDOPROSTH VIABAHN,14839.0,,1667.17,13355.1,62
CDM,14013752,TEMPLATE ROD,731.0,,365.5,657.9,56
CDM,14013753,WASHER ZIMMER 00114709500,139.0,,69.5,506.18,62
CDM,14013755,IMPL HIP FEM STEM ACCOLADE,5296.0,,2374.28,4766.4,62
CDM,14013756,STENT BILIARY PROTEGE SYSTEM,4619.0,,1642.91,4157.1,62
CDM,14013757,PROS IPP CYLINDER/PUMP TITAN 1,19213.0,,9606.5,17291.7,62
CDM,14013765,IMPL HIP STEM OMNIFIT HFX,1894.0,,947.0,2374.28,62
CDM,14013769,CAGE EXPANSION TOWER CAPRI,10611.0,,5305.5,9549.9,61
CDM,14013770,CAGE HOUSING EXTERNAL CAPRI,4547.0,,2273.5,4092.3,61
CDM,14013771,CROSSLINK,1049.0,,506.18,944.1,62
CDM,14013779,K-WIRE TROCAR POINT END,254.0,,127.0,506.18,62
CDM,14013781,RETRACTOR RHINIOLOGY,363.0,,181.5,326.7,56
CDM,14013789,GUIDEWIRE DRILL TIP,639.0,,27.95,575.1,57
CDM,14013790,IMP KNEE FEM COMPONENT LEGION,2990.0,,1495.0,2691.0,62
CDM,14013791,IMP KNEE SEGMENTAL COMP LPS,3332.0,,1666.0,2998.8,62
CDM,14013796,ELECT SUBDURAL STRIP 6 CONTACT,1970.0,,985.0,1773.0,56
CDM,14013798,GUIDEWIRE SYNTHES 02.207.007,271.0,,27.95,243.9,57
CDM,14013802,NDL NJECT ACUJECT VARIABLE 2,107.0,,53.5,96.3,56
CDM,14013803,QUICKCLOT Z-FOLD,167.0,,83.5,150.3,56
CDM,14013815,DILATOR BALLOON QUANTUM TTC,270.0,,135.0,367.53,57
CDM,14013816,GUIDEWIRE STRYKER 702461,118.0,,27.95,106.2,57
CDM,14013817,IMPL NEUROMEND 6MMX2.5CM,3426.0,,1474.51,3083.4,62
CDM,14013818,SLEEVE DRILL STRYKER 703965,1452.0,,726.0,1306.8,56
CDM,14013819,TOP TORQUE CLOSURE,186.0,,93.0,167.4,56
CDM,14013820,WIRE KWIRE BIOMET KW062SS,97.0,,48.5,506.18,62
CDM,14013823,MESH RESORB-X SONICWELD RX,1467.0,,608.95,1320.3,62
CDM,14013824,INTRO MICRO-INTRODUCER KIT,70.0,,35.0,63.0,57
CDM,14013826,ALLOGRAFT SHAFT CORTICAL SMALL,1675.0,,837.5,1507.5,61
CDM,14013827,BAG PLUS STERILE MDU5 POLARIS,45.0,,22.5,40.5,56
CDM,14013829,EXTRACTOR SCREW,917.0,,458.5,825.3,61
CDM,14013830,IMP HIP ACETAB CUP PLASMAFIT,3317.0,,1658.5,2985.3,62
CDM,14013831,IMP HIP FEM STEM METHA,3673.0,,1836.5,3305.7,62
CDM,14013832,IMP HIP ACET LINER VITELENE,2369.0,,1184.5,2374.28,62
CDM,14013838,CATH CV DUAL-LUMEN MAC,321.0,,136.97,288.9,62
CDM,14013841,GRAFT GELWEAVE VASCUTEK 733020,1166.0,,583.0,1092.42,62
CDM,14013842,GUIDEWIRE GLIDEWIRE ADVANTAGE,148.0,,27.95,133.2,57
CDM,14013844,IMP KNEE FEMORAL COMPONENT MRH,10524.0,,2374.28,9471.6,62
CDM,14013845,IMPLANT HIP STEM VERSYS,1317.0,,658.5,2374.28,62
CDM,14013846,KWIRE SMITH & NEWPHEW,120.0,,60.0,506.18,62
CDM,14013849,STEM KNEE UNIV PF FLUTE,2572.0,,1286.0,2374.28,62
CDM,14013851,STNT SET URETERL SOFT UNIVERSA,259.0,,129.5,233.1,62
CDM,14013853,CEMENT BONE DIRECTINJECT 3CC,2566.0,,506.18,2309.4,62
CDM,14013854,CEMENT BONE DIRECTINJECT 5CC,4048.0,,506.18,3643.2,62
CDM,14013855,CEMENT BONE DIRECTINJECT 10CC,7864.0,,506.18,7077.6,62
CDM,14013856,GUIDEWIRE GLIDEWIRE GR3506,188.0,,27.95,169.2,57
CDM,14013863,LEAD CAPSUREFIX 5076-58,1184.0,,592.0,1065.6,62
CDM,14013872,GUIDEWIRE ASAHI ASTATO,1972.0,,27.95,1774.8,57
CDM,14013873,GUIDEWIRE ASAHI REGALIA XS,422.0,,27.95,379.8,57
CDM,14013874,IMP HIP FEMORAL HEAD CORAIL,3751.0,,1875.5,3375.9,62
CDM,14013875,IMP HIP STEM PLUS,4114.0,,2057.0,3702.6,62
CDM,14013878,70MM TIBIAL KNEE CEMENT MOLD,2982.0,,1491.0,2683.8,62
CDM,14013880,FORCEP BIOPSY,100.0,,50.0,90.0,56
CDM,14013882,CATH SUPPORT QUICK-CROSS 02,484.0,,102.65,435.6,57
CDM,14013886,IMPL HIP ACET LINER RINGLOC,1783.0,,891.5,2374.28,62
CDM,14013888,SHEATH STEERABLE TOURGUIDE,1106.0,,46.81,995.4,57
CDM,14013889,SLEEVE DRILL,452.0,,226.0,406.8,56
CDM,14013890,STENT COL/DUOD WALLSTENT,2218.0,,1109.0,1996.2,62
CDM,14013891,ACETABULAR LINER HIGH WALL E1,1836.0,,918.0,2374.28,62
CDM,14013892,ADAPTER SLEEVE FEM LPS,1101.0,,550.5,990.9,61
CDM,14013893,IMP HIP ACETABULAR LINER,3143.0,,1571.5,2828.7,62
CDM,14013896,BASKET RETRIEVAL FALCON,310.0,,155.0,279.0,56
CDM,14013897,CATH BALLOON OCCLUSION CODA,976.0,,208.48,878.4,57
CDM,14013899,DIL ENDOVASCULAR SET,509.0,,254.5,458.1,56
CDM,14013900,GUIDEWIRE STEERABLE STORQ,172.0,,27.95,154.8,57
CDM,14013903,SCISSORS POTTS INTUITIVE,514.0,,257.0,462.6,56
CDM,14013904,STAPLER SKIN PROXIMATE,168.0,,84.0,151.2,56
CDM,14013905,WASHER SCREW T2 ROUND,411.0,,205.5,369.9,61
CDM,14013907,ELECTRODE CUTTING LOOP,844.0,,422.0,759.6,56
CDM,14013908,GRAFT ENDO AFX2 AAA 01,27589.0,,1667.17,24830.1,62
CDM,14013909,IMP EYE SPHERE ORBITAL MEDPOR,1256.0,,628.0,1130.4,61
CDM,14013911,FORCEP PLATE HOLDING,696.0,,348.0,626.4,56
CDM,14013912,IMP KNEE FEM NATURAL-KNEE FLEX,4677.0,,2338.5,4209.3,62
CDM,14013913,RETRACTOR CHEEK,427.0,,213.5,384.3,56
CDM,14013914,IMPLANT HIP STEM OMNIFIT EON,4188.0,,2094.0,3769.2,62
CDM,14013917,DEVICE INFLATION SPHERE G31027,112.0,,56.0,100.8,56
CDM,14013918,DILATOR BALLOON PULM CRE,912.0,,367.53,820.8,57
CDM,14013924,KIT SHOULDER STABILIZATION,224.0,,112.0,201.6,56
CDM,14013930,STENT WALLFLEX BOSTON,6868.0,,1667.17,6181.2,62
CDM,14013934,BRUSH CYTOLOGY TIP TRACK,1257.0,,628.5,1131.3,56
CDM,14013935,CABLE TRIAL MULTI-LEAD 01,563.0,,281.5,506.7,56
CDM,14013938,DIL ENDOVASCULAR SET,385.0,,192.5,346.5,56
CDM,14013939,FORCEP SERRATED AOTT,1257.0,,628.5,1131.3,56
CDM,14013943,IMP HEAD BIPOLAR EUROCONE TAPR,1476.0,,738.0,2374.28,62
CDM,14013944,IMP HIP ACETAB SHELL PROTRUSIO,3568.0,,1784.0,3211.2,62
CDM,14013946,IMPL HIP STEM RESTORATION,6271.0,,2374.28,5643.9,62
CDM,14013950,LEAD NEUROSTIMULATOR OCTRODE,4926.0,,2463.0,4433.4,62
CDM,14013953,NEEDLE CYTO ALAYS ON TRACK 21G,1257.0,,628.5,1131.3,56
CDM,14013956,NEEDLE TIP TRACKED,503.0,,251.5,452.7,56
CDM,14013957,PATCH COLLAGEN XENOSURE E8P14,1484.0,,742.0,1335.6,61
CDM,14013967,BNE GRND CORTICL DE-MINERALIZD,322.0,,161.0,506.18,62
CDM,14013970,DRIVER SCREW RATCHET SMARTLOCK,1328.0,,664.0,1195.2,56
CDM,14013972,ENDOPROSTH EXCLUDER ILIAC,7390.0,,1667.17,6651.0,62
CDM,14013973,ENDOPROSTH EXCLUDER ILIAC,25462.0,,1667.17,22915.8,62
CDM,14013974,EX FIX FOOT ARCH,2869.0,,1434.5,2582.1,61
CDM,14013977,EXTERNAL FIXATOR WASHER,120.0,,60.0,108.0,61
CDM,14013979,Z*FORCEP BIOPSY RADIAL JAW 01,84.0,,42.0,75.6,56
CDM,14013980,FORCEP BIOPSY RADIAL JAW 02,285.0,,142.5,256.5,56
CDM,14013981,FORCEP BRONCHOSCOPY BX DISP,246.0,,123.0,221.4,56
CDM,14013984,INTEGRA BIL MATRIX MESH 2X2,7128.0,,297.8,6415.2,62
CDM,14013985,INTEGRA BIL MATRIX MESH 4X10,18120.0,,297.8,16308.0,62
CDM,14013986,INTEGRA BIL MATRIX MESH 4X5,12353.0,,297.8,11117.7,62
CDM,14013987,INTEGRA BIL MATRIX MESH 8X10,30126.0,,297.8,27113.4,62
CDM,14013988,NEEDLEKNIFE MICROKNIFE XL,511.0,,255.5,459.9,56
CDM,14013989,RING SEGMENT HOFFMANN CARBON,2584.0,,1292.0,2325.6,61
CDM,14013991,SYSTEM ATRICLIP FLEX 45MM,3139.0,,1569.5,2825.1,61
CDM,14013992,ANCHOR SUTURE JUGGERKNOT 04,710.0,,355.0,639.0,62
CDM,14013996,IMP KNEE FEM COMPONENT DIST,15005.0,,2374.28,13504.5,62
CDM,14013999,SCREWDRIVER BODY BLUE METAL,484.0,,242.0,435.6,56
CDM,14014000,FORCEP DEBAKEY INTUITIVE,511.0,,255.5,459.9,56
CDM,14014001,FORCEP LONG TIP INTUITIVE,644.0,,322.0,579.6,56
CDM,14014002,FORCEPS BLACK DIAMOND MICRO,719.0,,359.5,647.1,56
CDM,14014005,CABLE ORTHOPEDIC CERCLAGE,1207.0,,603.5,1086.3,61
CDM,14014012,KIT DISPOSABLE Q-FIX 2.8MM,723.0,,361.5,650.7,61
CDM,14014017,STNT BILIARY EXPRESS LD SYSTEM,2707.0,,1353.5,2436.3,62
CDM,14014018,CATH BALLN SCORING ANGIOSCULPT,2895.0,,257.51,2605.5,57
CDM,14014019,CLAMP BULLDOG,593.0,,296.5,533.7,56
CDM,14014021,GUIDEWIRE TAVR CONFIDA BRECKER,548.0,,27.95,493.2,57
CDM,14014023,IMP HIP STEM LPS 03,7722.0,,2374.28,6949.8,62
CDM,14014025,NEEDLE ASPIRATION OVUM,140.0,,70.0,126.0,56
CDM,14014028,WIRE COMPRESSION,168.0,,84.0,506.18,62
CDM,14014040,CATH ANGIO SOFT-VU,62.0,,31.0,55.8,56
CDM,14014041,GUIDEWIRE NON-THREADED,269.0,,27.95,242.1,57
CDM,14014043,STENT TRACHEOBRONCHIAL ICAST,4657.0,,1667.17,4191.3,62
CDM,14014046,IMPLANT TOTAL SHOULDER 01,14000.0,,2374.28,12600.0,62
CDM,14014049,LIGAT MULT-BND SAEED SHRT SHOT,119.0,,59.5,107.1,56
CDM,14014050,CONNECTOR ROD,1049.0,,524.5,944.1,61
CDM,14014051,DISSECTOR BALLOON SPACEMAKER,697.0,,348.5,627.3,57
CDM,14014056,IMPLANT BASEPLATE TIBIA MRH,6767.0,,2374.28,6090.3,62
CDM,14014057,TRACER POINTER,1102.0,,551.0,991.8,56
CDM,14014058,BALLOON ENDO OLYMPUS MAJ-1351,110.0,,55.0,99.0,56
CDM,14014059,FILLER BONE OPTECURE 5CC,2697.0,,1348.5,2427.3,56
CDM,14014064,NDL ASPIRATION VIZISHOT 4021,340.0,,170.0,306.0,56
CDM,14014065,NDL ASPIRATION VIZISHOT 4022,254.0,,127.0,228.6,56
CDM,14014067,CONNECTOR DOMINO 14-500765,1108.0,,554.0,997.2,61
CDM,14014071,STENT BILIARY COTTON-LEUNG,177.0,,88.5,187.52,62
CDM,14014073,IMP SHLDR HEM LINR TM REV POLY,2099.0,,1049.5,2374.28,62
CDM,14014074,IMP SHLDR HUM STEM TM REV POLY,10825.0,,2374.28,9742.5,62
CDM,14014075,IMPLANT ELBOW HUMERAL SPOOL,6687.0,,2374.28,6018.3,62
CDM,14014076,ORGANIZER SUTURE GABBAY-FRATER,285.0,,142.5,256.5,56
CDM,14014078,STEM HUMERAL REVERSED FRACTU,5839.0,,2374.28,5255.1,62
CDM,14014082,CATH PTA LUTONIX 0.035IN 01,4146.0,,2073.0,3731.4,57
CDM,14014086,RETRACTOR RONNAU,494.0,,247.0,444.6,56
CDM,14014089,GWIRE SAVARY GILLIARD 200CM,320.0,,27.95,288.0,57
CDM,14014090,CAM SHAFT J&J,1213.0,,606.5,1091.7,56
CDM,14014091,CATH GUIDING LAUNCHER,159.0,,79.5,143.1,57
CDM,14014092,CATH PTA EVERCROSS OTW 01,395.0,,197.5,355.5,57
CDM,14014093,CONNECTOR CROSSLINK CS3810-02,1034.0,,517.0,930.6,61
CDM,14014094,EXTERNAL FIXATOR POST STRAIGHT,294.0,,147.0,264.6,61
CDM,14014097,GUIDEWIRE STRYKER 1806-0080,247.0,,27.95,222.3,57
CDM,14014098,INTRODUCER STEER AGILIS NXT,1849.0,,924.5,1664.1,57
CDM,14014099,KWIRE 1.6/065 TRIMED,64.0,,32.0,506.18,62
CDM,14014107,PROBE LITHOTRIPSY SHOCKPLUS SE,1547.0,,773.5,1392.3,56
CDM,14014111,WEDGE PROFIX,1428.0,,714.0,1285.2,61
CDM,14014114,CATH BALL DILAT PTA NANOCROSS1,828.0,,257.51,745.2,57
CDM,14014115,EXTRACTOR NAIL 71631320,574.0,,287.0,516.6,56
CDM,14014119,IMP TIBIAL INSERT SURFACE VEGA,1380.0,,690.0,2374.28,62
CDM,14014120,IMPLANT KNEE TIBIAL SLEEVE,4449.0,,2224.5,4004.1,56
CDM,14014121,PROBE FIAPC STRT FIRE 2.3X300,586.0,,293.0,527.4,56
CDM,14014123,TUBE GASTROSTOMY,119.0,,27.9,107.1,57
CDM,14014124,ADAPTER VALVE HEMOSTASIS,75.0,,37.5,67.5,56
CDM,14014125,CATH BALL DILAT PTA NANOCROSS2,621.0,,257.51,558.9,57
CDM,14014126,DRILL SCREW FLEXIBLE,450.0,,225.0,405.0,56
CDM,14014127,FILLER BONE MASTERGRAFT,848.0,,424.0,763.2,62
CDM,14014130,KIT REFILL SYNCHROMED 8551,96.0,,48.0,86.4,57
CDM,14014135,STENT BILIARY PROTEGE EVERFLEX,1914.0,,957.0,1722.6,62
CDM,14014138,VALVE AORTIC INTUITY ELITE,28697.0,,14348.5,25827.3,61
CDM,14014140,CANN PERF CORONARY ART W/BALLN,237.0,,118.5,213.3,56
CDM,14014144,GENERATOR PROCLAIM ELITE IPG 2,40644.0,,20322.0,36579.6,62
CDM,14014145,GFT THOR ENDOVASC ZENITH ALPHA,55164.0,,27582.0,49647.6,61
CDM,14014148,NDL ASPIRATION VIZISHOT 4019,618.0,,309.0,556.2,56
CDM,14014149,PATCH COLLAGEN XENOSURE E0.8P8,511.0,,255.5,459.9,61
CDM,14014150,PUMP INTRATHECAL CATH SEG KIT,920.0,,460.0,828.0,56
CDM,14014151,SCREWDRIVER CANNULATED,435.0,,217.5,391.5,56
CDM,14014153,STENT BILIARY PROTEGE SYSTEM,2071.0,,1035.5,1863.9,62
CDM,14014154,STENT BONASTENT ESOPHAGEAL,4253.0,,1667.17,3827.7,62
CDM,14014156,CATH PTA STERLING OTW 03,765.0,,257.51,688.5,57
CDM,14014158,COUNTERSINK 7.0 HEADLESS,563.0,,281.5,506.7,56
CDM,14014159,DEV FASCIAL CLOSURE EFX SHIELD,320.0,,160.0,397.68,57
CDM,14014162,ENDO LUBE KIT,64.0,,32.0,57.6,56
CDM,14014163,GRAFT ENDO AFX2 AAA 02,7174.0,,1667.17,6456.6,62
CDM,14014164,GWIRE NITINOL,119.0,,27.95,107.1,57
CDM,14014165,IMPL HIP ACET RING RINGLOC,100.0,,50.0,2374.28,62
CDM,14014166,IMPL HIP FEMORAL STEM CORAIL,13285.0,,2374.28,11956.5,62
CDM,14014171,STNT C-FLEX PIGTAIL DOUBLE SET,319.0,,159.5,287.1,62
CDM,14014172,TRANSCONN NATRL BRIDGE LP,1077.0,,538.5,969.3,56
CDM,14014174,CATH PTA EVERCROSS OTW 02,468.0,,234.0,421.2,57
CDM,14014176,CEMENTRALIZER FEMORAL SUMMIT,125.0,,62.5,112.5,61
CDM,14014177,IMP HIP STEM M/L TAPER PROSTH,4830.0,,2374.28,4347.0,62
CDM,14014179,GWRE ESOPH MARK SPRING TIP 210,691.0,,27.95,621.9,57
CDM,14014182,CLIP ANEURYSM MIZUHO 03,1552.0,,776.0,1396.8,56
CDM,14014185,DEVICE INFLATION SPHERE G34903,130.0,,65.0,117.0,56
CDM,14014186,CAGE CLYDESDALE SYSTEM 02,10225.0,,5112.5,9202.5,61
CDM,14014187,IMP HIP ACETABULAR SHELL G7,4676.0,,2338.0,4208.4,62
CDM,14014188,IMP HIP STEM APS NATURAL SYS,4830.0,,2374.28,4347.0,62
CDM,14014192,CATH PTA EVERCROSS OTW 03,351.0,,175.5,315.9,57
CDM,14014194,BOOT ROOKE PROTECTOR KNEE,664.0,,332.0,597.6,61
CDM,14014195,APPLICATOR BALLOON BRONCHOSCOP,252.0,,126.0,226.8,56
CDM,14014196,IMP HIP FEM HEAD ARTICUL/EZE M,597.0,,298.5,2374.28,62
CDM,14014197,IMP HUM STEM COMPREHENSIVE SEG,6629.0,,2374.28,5966.1,62
CDM,14014198,TUBE TRACH MONTG SAFE-T-TUBE,504.0,,252.0,453.6,61
CDM,14014200,STENT NEPH TAMPONADE KAYE**,276.0,,138.0,248.4,62
CDM,14014201,CATH NEPHROST KAYE TAMPONADE,276.0,,66.39,248.4,57
CDM,14014204,IMP HIP REVIVAL DISTAL COMP,7367.0,,2374.28,6630.3,62
CDM,14014205,IMP HIP REVIVAL PROX COMP,3595.0,,1797.5,3235.5,62
CDM,14014210,CANISTER SUCT W/PUMP INDIGO,768.0,,384.0,691.2,56
CDM,14014211,CATH THROMBECTOMY INDIGO,6911.0,,314.82,6219.9,57
CDM,14014212,DVC VASC CLSR ANGIO-SEAL,533.0,,266.5,479.7,57
CDM,14014214,INTRODUCER PEEL-AWAY,302.0,,97.78,271.8,57
CDM,14014218,WASHER PARAGON,295.0,,147.5,265.5,61
CDM,14014219,CATH BALL DILAT PTA NANOCROSS3,740.0,,257.51,666.0,57
CDM,14014221,ELECTRODE FULGURATING BUGBEE,227.0,,113.5,204.3,56
CDM,14014223,NEEDLE INJECTION CARR LOCKE,141.0,,70.5,126.9,56
CDM,14014225,PLATE WIRE FORM WASHER,364.0,,182.0,506.18,62
CDM,14014227,FILLER BONE MIMIX,3294.0,,506.18,2964.6,62
CDM,14014228,IMP INSERT KNEE TIBIAL 03,2359.0,,1179.5,2374.28,62
CDM,14014234,CATH EAGLE EYE GOLD,1495.0,,747.5,1345.5,57
CDM,14014235,CATH MICRO DEL LANTERN,1495.0,,747.5,1345.5,56
CDM,14014237,COIL RUBY PENUMBRA RBY2C1035,2967.0,,1483.5,2670.3,61
CDM,14014239,DEVICE WOUND CLOSURE V-LOC,100.0,,50.0,90.0,56
CDM,14014240,DRIVER MINI QK CONNECT MDTP,232.0,,116.0,208.8,56
CDM,14014242,GFT THOR ENDOVASC ZENITH ALPHA,38179.0,,19089.5,34361.1,61
CDM,14014247,KIT BUTTON PEC LARGE,3172.0,,506.18,2854.8,62
CDM,14014248,KIT CUSTOMSEAL OVATION PRIME,1151.0,,575.5,1035.9,56
CDM,14014250,PEG VOLAR THREADED NS,337.0,,168.5,506.18,62
CDM,14014254,CUFF BALLOON ULTRASOUND 01,92.0,,46.0,82.8,56
CDM,14014255,GWIRE AEQUALIS PERFORM+,309.0,,27.95,278.1,57
CDM,14014257,DRESSING NEG PRESS PICO 10X1,503.0,,251.5,581.11,57
CDM,14014259,IMP TISSUE EXPANDER,1091.0,,545.5,1864.67,62
CDM,14014260,INS TIB FIX BEAR STAB,3282.0,,1641.0,2953.8,62
CDM,14014261,LIGATOR SHOOTER MBL-U-6,519.0,,259.5,467.1,56
CDM,14014263,STENT PALMAZ BLUE TRANS SYSTEM,1783.0,,891.5,1642.91,62
CDM,14014264,SYRINGE KYPHON XPANDER II,300.0,,150.0,270.0,56
CDM,14014267,ALLOGRAFT BONE WEDGE EVANS,4196.0,,506.18,3776.4,62
CDM,14014268,ENDOPROSTH VIABAHN SYS VBX 01,7485.0,,1667.17,6736.5,62
CDM,14014270,IMPL HIP STEM AVENIR,10450.0,,2374.28,9405.0,62
CDM,14014274,TIGHTROPE BUTTON EXT,428.0,,214.0,506.18,62
CDM,14014277,CATH ROYAL FLUSH BEACON TIP,62.0,,31.0,55.8,56
CDM,14014278,COIL EMBOLIZATION AZUR 03,2613.0,,1306.5,2351.7,61
CDM,14014281,HANDLE COIL DETACHMENT,610.0,,305.0,549.0,56
CDM,14014283,HUM TRAY ASCEND REV LO,3419.0,,1709.5,3077.1,62
CDM,14014284,IMPL FEM HEAD V40 CER,1077.0,,538.5,2374.28,62
CDM,14014285,IMPL MAMM MEMORYGEL,301.0,,150.5,270.9,61
CDM,14014286,SYS SET OTSC OVESCO 100.12,1213.0,,606.5,1091.7,56
CDM,14014288,WASHER MICRO ASNIS 3.0MM,166.0,,83.0,149.4,56
CDM,14014290,COUNTERSINK 7.0 HEADED,540.0,,270.0,486.0,56
CDM,14014293,MESH Y SACROCOLPOPEXY VERTESSA,1755.0,,608.95,1579.5,62
CDM,14014296,RESERVOIR PEN SPH AMS 100ML,4089.0,,2044.5,12059.64,62
CDM,14014297,SUTURE RETRIEVER KINGFISHER,3439.0,,1719.5,3095.1,56
CDM,14014298,TUBE SPLINTING SINGLE USE,603.0,,301.5,542.7,56
CDM,14014300,WIRE K KIRSCHNER NITINOL,96.0,,48.0,506.18,62
CDM,14014301,WIRE KIRSCHNER TROCAR 2.3X230,91.0,,45.5,506.18,62
CDM,14014304,GUIDEWIRE CHOICE,262.0,,27.95,235.8,57
CDM,14014305,INTROD 20FR MIC J/TJ KIT 18F,561.0,,280.5,504.9,56
CDM,14014306,KIT NEEDLE ASSEMBLY XPAK METRX,434.0,,217.0,390.6,56
CDM,14014307,PATCH COLLAGEN XENOSUREE2.5P,955.0,,477.5,859.5,61
CDM,14014308,ACET INSR TRIDENT XFIRE,1634.0,,817.0,2374.28,62
CDM,14014310,IMP KNEE FEM TRIATHLON PS CEM,4065.0,,2032.5,3658.5,62
CDM,14014311,IMPL KNEE PATELLAR,838.0,,419.0,2374.28,62
CDM,14014312,INSERT TRIATHLON PS X3 3,2391.0,,1195.5,2374.28,62
CDM,14014314,CEMENT BONE SIMPLEX P TOBRA,104.0,,52.0,506.18,62
CDM,14014315,IMP KNEE BASEPLT TIB TRIATHLON,2391.0,,1195.5,2374.28,62
CDM,14014318,ANCHOR SWIFT-LOCK,395.0,,197.5,506.18,62
CDM,14014319,CABLE TRIAL MULTI-LEAD 02,575.0,,287.5,517.5,56
CDM,14014322,IMP HIP ACETAB SHELL TM,7338.0,,2374.28,6604.2,62
CDM,14014323,IMPL HIP ACET LINER LONGEVITY,2537.0,,1268.5,2374.28,62
CDM,14014324,IMPL HIP ACET LINER LONGEVIT,2969.0,,1484.5,2672.1,62
CDM,14014328,INST TIB ROTATING COMPONENT,5527.0,,2374.28,4974.3,62
CDM,14014331,GUIDEWIRE J&J,96.0,,27.95,86.4,57
CDM,14014332,GUIDEWIRE NON THREADED,166.0,,27.95,149.4,57
CDM,14014333,GUIDEWIRE SYNTHES 292.722,109.0,,27.95,98.1,57
CDM,14014334,GUIDEWIRE SYNTHES 292.727,114.0,,27.95,102.6,57
CDM,14014339,CAGE SPINAL CASCADIA LOR 7IN,1969.0,,984.5,1772.1,61
CDM,14014340,CATH EMBOLECTOMY,254.0,,127.0,314.82,57
CDM,14014345,HEAD MOD RINGLOC THA,920.0,,460.0,2374.28,62
CDM,14014348,NEEDLE KNIFE HUIBERGTSE 5F,376.0,,188.0,338.4,56
CDM,14014349,SEALER JAW LIGASURE MARYLAND 1,1193.0,,596.5,1073.7,56
CDM,14014350,SEALER JAW LIGASURE MARYLAND 2,982.0,,491.0,883.8,56
CDM,14014351,TUBE TRANSGASTRIC-JEJUN FEED,618.0,,27.9,556.2,62
CDM,14014352,WRENCH DRILL STOP,188.0,,94.0,169.2,56
CDM,14014354,IMP KNEE TIBIAL INSERT DURASUL,1266.0,,633.0,2374.28,62
CDM,14014355,PATCH DURAMATER DURA-GUARD,377.0,,188.5,339.3,61
CDM,14014357,TROCAR ENDOPATH XCEL,119.0,,59.5,107.1,56
CDM,14014359,AUG KNEE CONE TRIATHLON,7546.0,,3773.0,6791.4,61
CDM,14014363,DISSECTOR CVD BIPOLAR DAVINCI,645.0,,322.5,580.5,56
CDM,14014366,ENDOPROSTH VIABAHN SYS VBX 02,5840.0,,1667.17,5256.0,62
CDM,14014368,GLIDEWIRE STIFF ANG .020X450CM,476.0,,27.95,428.4,57
CDM,14014370,GUIDEWIRE ERCP ACROBAT,351.0,,27.95,315.9,57
CDM,14014372,IMPL KNEE FEM STEM TRIATHILON,2199.0,,1099.5,2374.28,62
CDM,14014373,IMPL KNEE PAT NEX PRO ALL-POLY,1018.0,,509.0,2374.28,62
CDM,14014376,KIT ACL DISPOSABLE CM-1501,1151.0,,575.5,1035.9,61
CDM,14014378,LEAD NEUROSTIMULATOR AXIUM,2300.0,,1150.0,4266.13,62
CDM,14014379,PUNCH PUSHLOCK FUR DISPOSABLE,260.0,,130.0,234.0,56
CDM,14014380,REAMER SHAFT FLEXIBLE,2734.0,,1367.0,2460.6,56
CDM,14014381,SET URETERAL COOK 810,143.0,,71.5,128.7,61
CDM,14014382,SPHINCTER DASH AC-GW 6F 25X450,840.0,,420.0,756.0,56
CDM,14014383,STENT ESOPH EVOLUTION 18-20MM,3686.0,,1642.91,3317.4,62
CDM,14014384,SYSTEM EN SNARE,898.0,,70.07,808.2,57
CDM,14014385,TIB INSERT TRIATHLON TS+,4198.0,,2099.0,3778.2,62
CDM,14014386,TISS CARTILAGE COSTAL,1421.0,,710.5,2084.51,57
CDM,14014390,ENDOPROSTH VIABAHN SYS VBX 03,6796.0,,1667.17,6116.4,62
CDM,14014392,IMP KNEE FEM COMP TRIATHILON,4065.0,,2032.5,3658.5,62
CDM,14014393,KWIRE TRIMED WIRE-0.8/120,80.0,,40.0,506.18,62
CDM,14014394,K-WIRE TROCAR POINT1642-06-062,410.0,,205.0,506.18,62
CDM,14014395,MESH RESORB-X SONICWELD RX,5700.0,,608.95,5130.0,62
CDM,14014396,SEALER JAW LIGASURE MARYLAND 3,1102.0,,551.0,991.8,56
CDM,14014398,BINDER WAIST CAROMED 12IN XXL,158.0,,79.0,142.2,56
CDM,14014402,PUMP PAIN ON-Q KIT SILVER 10IN,424.0,,212.0,381.6,56
CDM,14014403,PUMP ON-Q KIT SILVER 7.5IN,360.0,,180.0,324.0,56
CDM,14014405,PURACYN PLUS WND IRRIGATE,123.0,,12.19,110.7,57
CDM,14014406,CATH ERCP OMNI FUSION 7F 200CM,266.0,,133.0,239.4,56
CDM,14014410,INTRODUCER SHEATH DRYSEAL GORE,1032.0,,46.81,928.8,57
CDM,14014411,PROBE BIPOLAR DSP NICOLET,791.0,,395.5,711.9,56
CDM,14014412,PROG NEUROSTIM PATIENT AXIUM,2990.0,,1495.0,2691.0,57
CDM,14014415,K WIRE 062.,148.0,,74.0,506.18,62
CDM,14014416,AVENIR MULLER STANDARD STEM 5,4830.0,,2374.28,4347.0,62
CDM,14014418,HOOK SPINAL SHEPHERD NICO,255.0,,127.5,229.5,61
CDM,14014419,IMP HIP REVIVAL DISTAL COMP,2391.0,,1195.5,2374.28,62
CDM,14014420,IMP HIP REVIVAL PORX COMP,2154.0,,1077.0,2374.28,62
CDM,14014422,IMP INSERT KNEE TRIATHLON,2391.0,,1195.5,2374.28,62
CDM,14014426,OVERTUBE ENDOSCOPE EN-450T5-01,535.0,,267.5,481.5,56
CDM,14014429,SHEATH BRAIN PATH NICO STERILE,2381.0,,46.81,2142.9,57
CDM,14014430,STENT COTTON-HUIBRGTSE 10F,171.0,,85.5,187.52,62
CDM,14014431,SYSTEM BILIARY INTRO OA-10,188.0,,94.0,169.2,56
CDM,14014432,TAP SCREW K2M 5101-90007,188.0,,94.0,506.18,62
CDM,14014433,ACET SHELL TRIDENT PSL HA,2391.0,,1195.5,2374.28,62
CDM,14014436,IMP DISTL STEM COLLAR EXACTECH,2760.0,,1380.0,2484.0,62
CDM,14014437,IMP FEMORAL HEAD EXACTECH,1135.0,,567.5,2374.28,62
CDM,14014439,IMP HIP STEM PERSONA,2391.0,,1195.5,2374.28,62
CDM,14014440,IMP HUM STEM DISTAL EXACTECH,8596.0,,2374.28,7736.4,62
CDM,14014441,IMP KNEE FEM AUGMENT LOGIC,1724.0,,862.0,1551.6,61
CDM,14014444,IMP STEM FEM MONOBLOC,12435.0,,2374.28,11191.5,62
CDM,14014445,IMPL ACET CUP NOVATION CROWN,1863.0,,931.5,2374.28,62
CDM,14014446,IMPL KNEE ART SURF PERSONA PS,1554.0,,777.0,2374.28,62
CDM,14014447,IMPL KNEE FEM COMP PERSONA,4006.0,,2003.0,3605.4,62
CDM,14014448,IMPL KNEE FEM COMPONENT LOGIC,10331.0,,2374.28,9297.9,62
CDM,14014449,IMPL KNEE PATELLA PERSONA 01,1018.0,,509.0,2374.28,62
CDM,14014451,IMPL KNEE TIBIAL CONE,6887.0,,3443.5,6198.3,61
CDM,14014452,IMPLANT TOTAL KNEE DEPUY,8393.0,,2374.28,7553.7,62
CDM,14014455,SYSTEM PRECISION TARGETING COR,3257.0,,1628.5,2931.3,56
CDM,14014456,SYSTEM PRECISION TARGETING COR,2694.0,,1347.0,2424.6,56
CDM,14014457,WIRE K GO-EZ,137.0,,68.5,506.18,57
CDM,14014461,HUM INS ASCEND FLEX RET REV 02,2404.0,,1202.0,2374.28,62
CDM,14014464,ALLOGRAFT WEDGE COTTON PLANTAR,3654.0,,1827.0,3288.6,61
CDM,14014470,IMP HIP STEM CPT,3794.0,,1897.0,3414.6,62
CDM,14014471,INTRODUCER SHEATH DRYSEAL GORE,1287.0,,46.81,1158.3,57
CDM,14014473,PLATFORM ACCESS GELPOINT ADV,1972.0,,986.0,1774.8,56
CDM,14014475,SYSTEM SET OTSC OVESCO 100.27,1217.0,,608.5,1095.3,56
CDM,14014478,GUIDEWIRE,96.0,,27.95,86.4,57
CDM,14014480,IMPLANT BAND SPINAL NILE,1196.0,,598.0,1076.4,61
CDM,14014482,CATH BALLOON CUTTING,1840.0,,257.51,1656.0,57
CDM,14014486,SPACER SPINAL CONCORDE,5978.0,,2989.0,5380.2,56
CDM,14014490,EXT FIX CMF RED II COMP,21884.0,,506.18,19695.6,62
CDM,14014491,IMP FEMORAL HEAD EXACTECH,652.0,,326.0,2374.28,62
CDM,14014492,IMP FEMORAL STEM EXACTECH,4791.0,,2374.28,4311.9,62
CDM,14014493,LEAD SPECIFY SURESCAN 977C165,11957.0,,4266.13,10761.3,62
CDM,14014495,SCREWDRIVER RED II SYSTEM,1305.0,,652.5,1174.5,56
CDM,14014496,SCREWDRIVER RED II SYSTEM,1397.0,,698.5,1257.3,56
CDM,14014498,SYS RIGID EXTERNAL DISTRACT,431.0,,215.5,387.9,61
CDM,14014499,ANCHOR SUTURE FIBERTAK 01,778.0,,389.0,700.2,62
CDM,14014501,GLENOSPHERE ECCENTRIC,6634.0,,2374.28,5970.6,62
CDM,14014502,IMP KNEE TIB INSRT OPTETRAK PS,1430.0,,715.0,2374.28,62
CDM,14014503,IMPL AUG DIST,2089.0,,1044.5,1880.1,61
CDM,14014504,IMPL AUG DIST LEFT,1990.0,,995.0,1791.0,61
CDM,14014505,IMPL AUG DIST LEFT,2193.0,,1096.5,1973.7,61
CDM,14014507,IMPL AUG POSTERIOR SZ 3 5MM,2009.0,,1004.5,1808.1,56
CDM,14014508,IMPL FEM HEAD C TAPER CERAMIC,1034.0,,517.0,2374.28,62
CDM,14014509,IMPL FEMUR TRI TS LEFT SZ 3,11156.0,,2374.28,10040.4,62
CDM,14014510,IMPL STEM CEMENTED,2013.0,,1006.5,2374.28,62
CDM,14014512,KIT FIBERTAK AR-3600DC,518.0,,259.0,466.2,61
CDM,14014519,CAP END-CAP LOCKING,100.0,,50.0,90.0,56
CDM,14014522,FEM COMP NEXGEN ROT,4904.0,,2374.28,4413.6,62
CDM,14014524,IMP BIOLOX DELTA 12/14 -3MM,172.0,,86.0,2374.28,62
CDM,14014526,IMPL HUM BODY DISTAL,17063.0,,8531.5,15356.7,61
CDM,14014527,IMPL KNEE BUSHING FEM HRHK,606.0,,303.0,545.4,61
CDM,14014528,IMPL KNEE TIBIAL SLEEVE,1001.0,,500.5,900.9,61
CDM,14014533,IMPLANT HIP FEMORAL HEAD,3267.0,,1633.5,2940.3,62
CDM,14014534,SPACER TIB GUARDIAN,3606.0,,1803.0,3245.4,61
CDM,14014535,STEM EXTENSION FLUTED,2314.0,,1157.0,2082.6,61
CDM,14014537,ALLOGRAFT ARTERY AORTOILIAC,55947.0,,27973.5,50352.3,61
CDM,14014540,IMP KNEE SEGMENT INTERCALARY,10448.0,,5224.0,9403.2,61
CDM,14014541,IMPL SHOULDER HUMERAL STEM,6375.0,,2374.28,5737.5,62
CDM,14014542,SHEATH GUIDE KIT,342.0,,171.0,307.8,56
CDM,14014543,STAPLE ENDOWRIST 30 DAVINCI,957.0,,478.5,861.3,56
CDM,14014545,STENT TRACHEOBRONCHIAL ICAST,5412.0,,1667.17,4870.8,62
CDM,14014547,TROCAR MODUALR HEX 3INCH,243.0,,121.5,218.7,56
CDM,14014548,WIRE KIRSCHNER WRIGHT MED,72.0,,36.0,506.18,62
CDM,14014549,REAMER ONE STEP,2151.0,,1075.5,1935.9,56
CDM,14014564,SHEATH GUIDING PERFORMER,301.0,,46.81,270.9,57
CDM,14014565,DRESSING MEPILEX,101.0,,8.26,90.9,56
CDM,14014566,DRILL FIBULA ROD INTRAMEDULLAR,892.0,,446.0,802.8,56
CDM,14014567,DRIVER HEX NUT,545.0,,272.5,490.5,56
CDM,14014570,GRAFT STENT ZENITH AAA G32595,8250.0,,1667.17,7425.0,62
CDM,14014571,IMPLANT TMJ FOSSA,8300.0,,4150.0,7470.0,61
CDM,14014572,MARKER FIDUCIAL,244.0,,78.0,219.6,62
CDM,14014573,SURGICEL SNOW,267.0,,133.5,240.3,56
CDM,14014574,TEMPLATE CRANIECTOMY KIT,863.0,,431.5,776.7,56
CDM,14014577,COVER BURR HOLE GUARDIAN,1840.0,,920.0,1656.0,61
CDM,14014578,FORCEP BIPOLAR IRRIGATING DISP,1266.0,,633.0,1139.4,56
CDM,14014579,LD NEUROSTIM DBS ST JUDE,6899.0,,727.5,6209.1,62
CDM,14014580,SYSTEM ANGIASSIST,292.0,,146.0,262.8,56
CDM,14014582,BUTTON TIGHTROPE ABS 14,546.0,,273.0,506.18,62
CDM,14014587,IMPL SHOULDR HUM LINER EQUINOX,1435.0,,717.5,2374.28,62
CDM,14014588,IMPL SHLDR HUMERAL STEM,10518.0,,2374.28,9466.2,62
CDM,14014589,K-WIRE DOUBLE TROCAR BIOMET,77.0,,38.5,506.18,62
CDM,14014593,IMPLANT HIP FEMORAL HEAD,1089.0,,544.5,2374.28,62
CDM,14014594,IMPLANT HIP FEMORAL STEM,6281.0,,2374.28,5652.9,62
CDM,14014595,IMPL KNEE STEM EXT CEM,11726.0,,5863.0,10553.4,61
CDM,14014596,FEM STEM OSS IM CMT,3921.0,,1960.5,3528.9,62
CDM,14014597,BIPOLAR INLINE W/ELECTRODE 8MM,320.0,,160.0,288.0,56
CDM,14014600,LEAD EXTENSION DBS INFINITY,1725.0,,727.5,1552.5,62
CDM,14014601,MAGNET COIL COCHLEAR INFINITY,422.0,,45.62,379.8,62
CDM,14014604,VALVE HEART AORTIC ON-X,11498.0,,5749.0,10348.2,61
CDM,14014606,PROBE STIMUL BIPO SIDE BY SIDE,376.0,,188.0,338.4,56
CDM,14014609,TAP SCREW SYNTHES 2797-002-600,374.0,,187.0,336.6,61
CDM,14014610,IMP SHOULDER SPACER TM REVERSE,1322.0,,661.0,1189.8,61
CDM,14014612,FASTENER COR-KNOT MINI COMBO,1807.0,,903.5,1626.3,56
CDM,14014613,GRAFT GORE-TEX PROPATEN 05,2829.0,,1414.5,2546.1,61
CDM,14014615,IMP KNEE ADAPTER OSS SEGMENT,371.0,,185.5,333.9,61
CDM,14014616,IMP KNEE FEMORAL STEM OSS,3382.0,,1691.0,3043.8,62
CDM,14014620,K-WIRE TROCAR POINT 829016006,134.0,,67.0,506.18,62
CDM,14014622,SLEEVE PROTECTION SUPRAPATELLA,450.0,,225.0,405.0,56
CDM,14014623,GRAFT HEMASHIELD GOLD,826.0,,413.0,743.4,61
CDM,14014626,GUIDEWIRE THRUWAY M001492921,248.0,,27.95,223.2,57
CDM,14014628,CONNECTOR TRANSVERSE,4573.0,,2286.5,4115.7,61
CDM,14014631,CATH IMPELLA 005062,57488.0,,28744.0,51739.2,56
CDM,14014634,GUIDE PIN PATIENT SPECIFIC,1380.0,,690.0,1242.0,56
CDM,14014636,IMPL KNEE TRIATHLON,1986.0,,993.0,2374.28,62
CDM,14014639,INTRO CHECK-FLO RADIO,72.0,,36.0,64.8,57
CDM,14014640,KIT ACL DISPOSABLE MCPDISSTR,786.0,,393.0,707.4,61
CDM,14014643,CONNECTOR CROSS BIOMET,911.0,,455.5,819.9,61
CDM,14014646,IMP HIP CUP MULTIHOLE INTEGRIP,5625.0,,2374.28,5062.5,62
CDM,14014647,IMP KNEE PATELLA TRIATHLON,838.0,,419.0,2374.28,62
CDM,14014648,IMPL TOE HEMI METAL,1874.0,,937.0,2374.28,62
CDM,14014651,Z*BEAM FUSION SALVATION,3124.0,,1562.0,2811.6,56
CDM,14014652,CATH INFUSION UNIFUSE,394.0,,197.0,354.6,57
CDM,14014653,CONNECTOR-T INTEGRA,676.0,,338.0,608.4,61
CDM,14014654,HOOK SKIN DISP,316.0,,158.0,284.4,56
CDM,14014657,SET ACCESS LIVER ROSCH-UCHIDA,952.0,,476.0,856.8,61
CDM,14014659,SOLN IGL COLD STORAGE 1000ML,444.0,,113.66,399.6,55
CDM,14014660,GLENOID AEQUALIS PERFORM,6609.0,,2374.28,5948.1,62
CDM,14014661,KIT KYPHON EXPRESS KYPHOPAK,7441.0,,3720.5,6696.9,56
CDM,14014662,ELECTRODE L HOOK LAPROSCOPIC,107.0,,53.5,96.3,56
CDM,14014663,"CASSETTE HEAD DISP 12,14,16",320.0,,160.0,288.0,56
CDM,14014664,IMPLANT SPINAL CAGE VBR,11478.0,,5739.0,10330.2,61
CDM,14014668,ALLOGRAFT CELLULAR VIVIGEN 01,12499.0,,6249.5,11249.1,61
CDM,14014670,DVC TR BAND RAD LNG,118.0,,59.0,106.2,56
CDM,14014673,ALLOGRAFT CELLULAR VIVIGEN 02,1266.0,,633.0,1139.4,61
CDM,14014674,ALLOGRAFT CELLULAR VIVIGEN 03,5628.0,,2814.0,5065.2,61
CDM,14014675,ALLOGRAFT CELLULAR VIVIGEN,10043.0,,5021.5,9038.7,61
CDM,14014676,CATH TRUE DILATATION,260.0,,130.0,234.0,56
CDM,14014677,CLIP ANEURYSM YASARGIL,793.0,,396.5,713.7,56
CDM,14014678,IMP HUM HEAD AEQUALIS LOWOFFST,7525.0,,2374.28,6772.5,62
CDM,14014679,IMP STEM FEM MONOBLOC,14716.0,,2374.28,13244.4,62
CDM,14014681,DILATOR RENAL AMPLATZ G17957,89.0,,44.5,80.1,57
CDM,14014682,FIBRIN SEALANT HUM SYRINGE 4ML,844.4,,130.54,759.96,68
CDM,14014683,FIBRIN SEALNT HUM SYRINGE 10ML,1266.6,,130.54,1139.94,68
CDM,14014685,GRAFT HEMAGARD INTERVASCULAR,793.0,,396.5,713.7,61
CDM,14014686,IMP AUG CRUCIATE WING VANGUARD,1120.0,,560.0,1008.0,61
CDM,14014689,STENT GRAFT THORACIC RELAY 03,29894.0,,14947.0,26904.6,61
CDM,14014690,STENT GRAFT THORACIC RELAY 04,36793.0,,18396.5,33113.7,61
CDM,14014691,WIRE KIRSCHNER WRIGHT MED,112.0,,56.0,506.18,62
CDM,14014692,ANCH JUGGERKNOT SHORT KIT,949.0,,474.5,854.1,62
CDM,14014693,CATH PTA ULTRAVERSE 014,465.0,,232.5,418.5,57
CDM,14014694,CATH PTA ULTRAVERSE 035,312.0,,156.0,280.8,57
CDM,14014695,FEM KNEE COMP MRH,1424.0,,712.0,2374.28,62
CDM,14014702,IMP TIBIAL STEM PERSONA,2301.0,,1150.5,2374.28,62
CDM,14014703,IMPL ANKLE STEM TALAR,2562.0,,1281.0,2374.28,62
CDM,14014704,STAPLER RELOAD GST BLUE,444.0,,222.0,399.6,56
CDM,14014705,TUBING INSUF AIRSEAL SIM-TUBE,62.0,,31.0,55.8,56
CDM,14014706,BIOPROSTHESIS VEIN VASCULAR,4484.0,,2242.0,4035.6,61
CDM,14014708,BIOPROSTHESIS VEIN VASCULAR 02,2415.0,,1207.5,2173.5,61
CDM,14014709,BIOPROSTHEISI VEIN VASCULAR 01,1725.0,,862.5,1552.5,61
CDM,14014711,CATH PTA ULTRAVERSE 018,465.0,,232.5,418.5,57
CDM,14014713,DILATOR BALLOON PULM ELATION,511.0,,255.5,459.9,57
CDM,14014714,INTRO SHEATH FLEXOR ANSEL,217.0,,46.81,195.3,57
CDM,14014715,PATCH COLLAGEN XENOSURE E1P6,450.0,,225.0,405.0,61
CDM,14014716,PERFORATOR CRANIAL EASYDRILL,465.0,,232.5,418.5,56
CDM,14014718,SHEATH GUIDING DESTINO,1266.0,,102.65,1139.4,57
CDM,14014720,CABLE IMPELLA,634.0,,317.0,570.6,56
CDM,14014721,CATH PTA LUTONIX 0.035IN 02,3450.0,,1725.0,3105.0,57
CDM,14014722,STNT ENDOPROSTH BILIARY VIABIL,4732.0,,1667.17,4258.8,62
CDM,14014726,FORCEP BIPOLAR IRRIGATING DISP,608.0,,304.0,547.2,56
CDM,14014727,FORCEP MICRO DISP,581.0,,290.5,522.9,56
CDM,14014730,PROBE BALL TIP,236.0,,118.0,212.4,56
CDM,14014732,MODEL MAX/MAND CLEARVIEW 05,10345.0,,5172.5,9310.5,56
CDM,14014735,GRAFT ENDO UNIBODY,7818.0,,1667.17,7036.2,62
CDM,14014737,IMP SHLDR EQUINOXE MID SEGMENT,17570.0,,506.18,15813.0,62
CDM,14014738,IMPL SHOULDER GLENOSPHERE REV,2301.0,,1150.5,2374.28,62
CDM,14014740,INTEGRAL GTR LONG W/4 CABLES,5347.0,,2673.5,4812.3,56
CDM,14014742,CATH ANGIO GLIDECATH,173.0,,86.5,155.7,57
CDM,14014743,DEVICE STRATAFIX SPIRAL PDS,101.0,,50.5,90.9,56
CDM,14014744,ELECTRODE CHANNEL CABLE 02,982.0,,491.0,883.8,56
CDM,14014745,ELECTRODE SHIELDED TUNGSTEN 02,628.0,,314.0,565.2,56
CDM,14014747,CAGE PYRAMESH 02,8499.0,,4249.5,7649.1,61
CDM,14014749,IMPL FEMORAL HEAD COCR,806.0,,403.0,2374.28,62
CDM,14014750,IMPL HEART BAND/RING ANNULOP,6887.0,,3443.5,6198.3,61
CDM,14014753,CATH DRAINAGE DAWSON-MUELLER,245.0,,66.39,220.5,57
CDM,14014761,PROS IP CYLINDER/PUMP TITAN 2,23685.0,,11842.5,21316.5,62
CDM,14014764,IMP TIB HINGE COMPONENT ELEOS,4715.0,,2357.5,4243.5,62
CDM,14014765,IMP TIBIAL SPACER POLY ELEOS,3702.0,,1851.0,3331.8,61
CDM,14014766,IMPL KNEE AUG TIB TRIATHLON,1720.0,,860.0,1548.0,61
CDM,14014767,MODEL MANDIBULAR PLANNED OUTCO,4172.0,,2086.0,3754.8,56
CDM,14014770,STENT BILIARY PROTEGE GPS,2071.0,,1035.5,1863.9,62
CDM,14014773,CATH PTA ULTRAVERSE 014,524.0,,257.51,471.6,57
CDM,14014774,FIBRIN SEALANT HUMAN ARTISS,1303.0,,130.54,1172.7,68
CDM,14014775,GLENOID AEQUALIS PERFORM,6609.0,,2374.28,5948.1,62
CDM,14014776,IMPL MEMBRANE COLLAGEN BIOMEND,253.0,,126.5,227.7,61
CDM,14014777,MESH HERNIA MACROPOR PARIETENE,132.0,,66.0,608.95,62
CDM,14014787,IMP HEAD HUMERAL VERSA-DIAL,3326.0,,1663.0,2993.4,62
CDM,14014788,IMP KNEE BOLT-SLEEVE LEGION HK,1812.0,,906.0,1630.8,61
CDM,14014789,IMP TBIAL INSERT LEGION,4133.0,,2066.5,3719.7,62
CDM,14014792,IMP ANKLE INSERT INFINITY POLY,4846.0,,2374.28,4361.4,62
CDM,14014793,IMPL ANKLE TALAR DOME INFINITY,10867.0,,2374.28,9780.3,62
CDM,14014794,TIBIAL TRAY INFINITY,10242.0,,2374.28,9217.8,62
CDM,14014797,TAP SCREW DEPUY 286715500,616.0,,308.0,554.4,61
CDM,14014798,COIL EMBOLIZATION VORTX,189.0,,94.5,170.1,56
CDM,14014800,INTRODUCER CHECK-FLO FLEXOR,740.0,,46.81,666.0,57
CDM,14014801,SHEATH DRYSEAL GORE,840.0,,46.81,756.0,57
CDM,14014803,KWIRE STANDARD TIP,104.0,,52.0,506.18,62
CDM,14014804,LEAD NEUROSTIM LINEAR PERCUTAN,7404.0,,3702.0,6663.6,62
CDM,14014805,NEEDLE BIOPSY MAXCORE 18GX10CM,110.0,,55.0,99.0,56
CDM,14014806,TUBE TRANSGASTRIC-JEJUN FEED,742.0,,27.9,667.8,62
CDM,14014809,INFLATOR DVC BASIXTOUCH,116.0,,58.0,104.4,56
CDM,14014810,INTRODUCER GUIDING FAST-CATH,437.0,,218.5,393.3,57
CDM,14014814,DVC SUTURE SLINGSHOT 70 DEG,723.0,,361.5,650.7,56
CDM,14014819,ANCHOR SUT DYNOMITE,694.0,,347.0,624.6,62
CDM,14014822,ANCHOR BIO-SWIVELOCK PSLC,863.0,,431.5,776.7,62
CDM,14014824,IMP ANKLE TIBIAL STEM INBONE 1,1248.0,,624.0,2374.28,62
CDM,14014825,IMP ANKLE TIBIAL STEM INBONE 2,1332.0,,666.0,2374.28,62
CDM,14014826,IMP ANKLE TIBIAL STEM INBONE 3,1359.0,,679.5,2374.28,62
CDM,14014827,IMP FEM COMPONENT UNITY KNEE,1924.0,,962.0,2374.28,62
CDM,14014829,IMP KNEE TIBIAL BASE LEGION,7869.0,,2374.28,7082.1,62
CDM,14014830,IMP ANKLE SULCUS INSERT INBONE,3228.0,,1614.0,2905.2,62
CDM,14014831,IMP ANK SULCUS TALR INBN DOME,8014.0,,2374.28,7212.6,62
CDM,14014832,IMPL ANKLE TIBIAL TRAY INBONE,3152.0,,1576.0,2836.8,62
CDM,14014834,KWIRE WRIGHT MEDICAL,228.0,,114.0,506.18,62
CDM,14014835,MESH PREFORMED STRYKER,20261.0,,10130.5,18234.9,56
CDM,14014836,NEEDLE ARCPOINT PULMONARY,486.0,,243.0,437.4,56
CDM,14014837,PLT CMF PAT SPEC MANDBLE RECON,9288.0,,506.18,8359.2,62
CDM,14014838,SET PUNCTURE PROVOX VEGA,861.0,,430.5,774.9,56
CDM,14014840,STEM HUM COMPREHENSIVE REVERSE,7894.0,,2374.28,7104.6,62
CDM,14014842,BONE WEDGE EVANS 02,6209.0,,3104.5,5588.1,61
CDM,14014844,CANNULA ARTHRO TWIST-IN,96.0,,48.0,86.4,56
CDM,14014845,GUIDEWIRE AMPLATZ BOSTON,146.0,,27.95,131.4,57
CDM,14014850,SYSTEM DISTAL BICEPS REPAIR,2530.0,,506.18,2277.0,62
CDM,14014853,WASHER ORTHO STRYKER 619920,109.0,,54.5,98.1,61
CDM,14014857,TIB TRAY LOGIC FIT 4.0F,2158.0,,1079.0,2374.28,62
CDM,14014858,FEM CONE BODY,8004.0,,4002.0,7203.6,61
CDM,14014861,IMPL FLANGE W/SCREW SYSTEM,1381.0,,506.18,1242.9,62
CDM,14014862,SET TUBING ENDO-SCRUB 2,159.0,,79.5,143.1,56
CDM,14014863,SPONGE SURGICEL,114.0,,57.0,102.6,56
CDM,14014864,WIRE KIRSCHNER WRIGHT MED,89.0,,44.5,506.18,62
CDM,14014869,IMP LINER SHOULDER EQUINOXE,1725.0,,862.5,2374.28,62
CDM,14014871,IMPL HIP FEMUR PROXIMAL MID,5661.0,,2374.28,5094.9,62
CDM,14014872,IMPL KNEE STEM EXTENSION ELEOS,2226.0,,1113.0,2003.4,61
CDM,14014873,AMBIENT HIPVAC S&N 72290004,908.0,,454.0,817.2,56
CDM,14014874,BRUSH CYTOLOGY URETERAL BIOPSY,245.0,,122.5,220.5,56
CDM,14014875,CONNECTOR CROSSLINK NUVASIVE,1034.0,,517.0,930.6,61
CDM,14014876,GRAFT STENT ZENITH RENU,14230.0,,1667.17,12807.0,62
CDM,14014877,GUIDEWIRE PRIMEWIRE PRESTIGE,1552.0,,27.95,1396.8,57
CDM,14014879,IMP KNEE FEM DIST WEDGE LEGION,2079.0,,1039.5,1871.1,61
CDM,14014880,IMPL KNEE TIBIAL SLEEVE,1001.0,,500.5,900.9,61
CDM,14014881,IMPL MCP SR PROXIMAL,5469.0,,2734.5,4922.1,61
CDM,14014883,IMPL PIP SR DISTAL,3504.0,,1752.0,3153.6,61
CDM,14014884,LEAD PACING MYOPORE 35CM SJM,920.0,,460.0,922.22,62
CDM,14014885,NEEDLE TRANSORAL,217.0,,108.5,195.3,56
CDM,14014889,SUTURE PASSER LASSO,394.0,,197.0,354.6,56
CDM,14014890,WAND AMBIENT SUPER MULTIVAC 50,394.0,,197.0,354.6,56
CDM,14014891,CAP LOCKING NUVASIVE,179.0,,89.5,161.1,61
CDM,14014894,IMP HYDROGEL GEL RENU 1.5CC,537.0,,268.5,961.91,62
CDM,14014898,GUIDEWIRE PIGTAIL PROTRACK,498.0,,27.95,448.2,57
CDM,14014900,KIT COSEAL SPRAY DISPOSABLE,163.0,,41.73,146.7,55
CDM,14014901,ALLOGRAFT SOFT TISSUE AVIVE,3828.0,,1914.0,3445.2,61
CDM,14014903,EXTERNAL FIX TL-HEX RING 3/8,1162.0,,581.0,1045.8,61
CDM,14014907,IMP STEM CEMENT LEGION,2570.0,,1285.0,2374.28,62
CDM,14014908,MORCELLATOR,768.0,,378.9,691.2,57
CDM,14014909,SET BLOCKER ENDOBRONCHIAL,453.0,,226.5,407.7,56
CDM,14014914,GENERATOR PROCLAIM ELITE IPG 3,43691.0,,21845.5,39321.9,62
CDM,14014917,STAPLE BONE NITINOL SYSTEM,3879.0,,506.18,3491.1,62
CDM,14014918,MESH PHASIX,15609.0,,608.95,14048.1,62
CDM,14014925,IMP FEMORAL HEAD ELEOS,2766.0,,1383.0,2489.4,62
CDM,14014926,IMPL RING TRICUSPID MC3,8049.0,,4024.5,7244.1,61
CDM,14014927,INTRODUCER SHEATH DRYSEAL GORE,604.0,,46.81,543.6,57
CDM,14014928,KIT INSERTION PERCUTANEOUS,499.0,,249.5,449.1,56
CDM,14014929,SKAFFOLD RENU INJECT 10CC,5366.0,,506.18,4829.4,57
CDM,14014934,SHEARS HARMONIC FOCUS,1148.0,,574.0,1033.2,56
CDM,14014935,SIZING TEMPLATE ARCUS,236.0,,118.0,212.4,56
CDM,14014936,STAPLE BONE ARCUS SYSTEM,1851.0,,506.18,1665.9,62
CDM,14014937,TUBE TRACH SHILEY XLT,205.0,,102.5,184.5,61
CDM,14014939,ALLOGRAFT TISS DERMIS CORTIVA,8938.0,,4469.0,8044.2,61
CDM,14014940,ALLOGRAFT TISS DERMIS CORTIVA,2234.0,,95.49,2010.6,62
CDM,14014941,ALLOGRAFT TISS DERMIS CORTIVA,451.0,,225.5,405.9,61
CDM,14014942,ALLOGRAFT TISS DERMIS CORTIVA,2032.0,,1016.0,1828.8,61
CDM,14014943,ALLOGRAFT TISS DERMIS CORTIVA,17874.0,,8937.0,16086.6,61
CDM,14014944,MESH PHASIX 10.2X15.2 CM,4622.0,,608.95,4159.8,62
CDM,14014947,MESH PHASIX ST 15X20 CM,11819.0,,608.95,10637.1,62
CDM,14014948,MESH PHASIX 20X25 CM,18948.0,,608.95,17053.2,62
CDM,14014950,MESH PHASIX 25X30 CM,28432.0,,608.95,25588.8,62
CDM,14014957,TAP SCREW ULRICH,351.0,,175.5,315.9,61
CDM,14014958,VALVE AORTIC INSPIRIS,17476.0,,8738.0,15728.4,61
CDM,14014960,ALLOGRFT TISS DERMIS CORTIVA1,16248.0,,8124.0,14623.2,61
CDM,14014963,GLENOID POST MODULAR HYBRID,861.0,,430.5,2374.28,62
CDM,14014966,IMPL GLENOID BASE MOD HYBRID,2951.0,,1475.5,2655.9,62
CDM,14014967,IMPL HIP STEM RECLAIM DISTAL,6414.0,,2374.28,5772.6,62
CDM,14014969,ALLOGRFT TISS DERMIS FORTIVA1,12803.0,,6401.5,11522.7,61
CDM,14014970,ALLOGRFT TISS DERMIS FORTIVA2,4001.0,,2000.5,3600.9,61
CDM,14014971,ALLOGRFT TISS DERMIS FORTIVA3,6403.0,,3201.5,5762.7,61
CDM,14014972,ALLOGRFT TISS DERMIS FORTIVA4,20005.0,,10002.5,18004.5,61
CDM,14014973,ALLOGRFT TISS DERMIS FORTIVA5,36012.0,,18006.0,32410.8,61
CDM,14014974,ALLOGRFT TISS DERMIS FORTIVA6,49015.0,,24507.5,44113.5,61
CDM,14014978,COBLATION FLOW 50 S&N 72290004,588.0,,294.0,529.2,56
CDM,14014980,EXTRACTOR NAIL 1407-4006,407.0,,203.5,366.3,56
CDM,14014981,FEM LPS-FLEX PRECOAT,3853.0,,1926.5,3467.7,62
CDM,14014982,FILLER PRO-DENSE 20CC 87SR0420,8791.0,,506.18,7911.9,62
CDM,14014983,FILTER VENA CAVA CELECT G34309,2527.0,,1263.5,2274.3,62
CDM,14014985,IMPL PIP SR DISTAL,2608.0,,1304.0,2347.2,61
CDM,14014986,IMPL POST TRI AUGMENT,2010.0,,1005.0,1809.0,61
CDM,14014988,PREP ENHANCED TOTAL HIP,436.0,,218.0,506.18,62
CDM,14014991,SUTURE LABRALTAPE,232.0,,116.0,208.8,56
CDM,14014992,TUBE REAMER SPARE,619.0,,309.5,557.1,56
CDM,14014994,ALLOGRAFT VEIN SAPHENOUS 02,23982.0,,1092.42,21583.8,62
CDM,14014995,ALLOGRFT TISS DERMIS CORTIVA2,6498.0,,3249.0,5848.2,61
CDM,14014996,ALLOGRFT TISS DERMIS CORTIVA3,8835.0,,4417.5,7951.5,61
CDM,14014997,ALLOGRFT TISS DERMIS CORTIVA 4,7276.0,,3638.0,6548.4,61
CDM,14015027,IMPEDE FX RAPIDFILL,0.01,,0.005,0.009,56
CDM,14015045,GRAFT ENDO AAA COOK ESBE-28-29,3703.0,,1851.5,3332.7,61
CDM,14015056,SEALER BIPOLAR,1338.0,,669.0,1204.2,56
CDM,14015058,IMPL HIP STEM S-ROM +8 36,3254.0,,1627.0,2928.6,62
CDM,14015067,GPS DUAL SPRAY APPLICATOR TIP,171.0,,85.5,153.9,56
CDM,14015069,GPS SINGLE TUBE KIT W/ACDA,3882.0,,1941.0,3493.8,56
CDM,14015070,GPS SPRAY APPLICATOR KIT,171.0,,85.5,153.9,56
CDM,14015086,POUCH ENDO,424.0,,212.0,381.6,56
CDM,14015091,NEEDLE DRIVER DAVINCI,698.0,,349.0,628.2,56
CDM,14015092,HOOK CAUTERY DAVINCI,514.0,,257.0,462.6,56
CDM,14015093,CADIERE FORCEPS DAVINCI,618.0,,309.0,556.2,56
CDM,14015114,IRRIGATOR ENDO STRYKEFLOW2,224.0,,112.0,201.6,56
CDM,14015123,VALVE SHUNT PROGRAM NSC 42365,6027.0,,3013.5,5424.3,61
CDM,14015124,SHUNT NONBIO PROGRAM REG 27605,8858.0,,4429.0,7972.2,61
CDM,14015126,CATHETER VASCUTRAK 01,1380.0,,257.51,1242.0,57
CDM,14015133,VITOSS FOAM STRIP,8202.0,,506.18,7381.8,62
CDM,14015157,INTRODUCE NEEDLE T-PEEL 8IN,78.0,,39.0,70.2,56
CDM,14015167,INSERT FOGARTY #33,47.0,,23.5,42.3,56
CDM,14015172,FELT 6X6,263.0,,131.5,236.7,61
CDM,14015182,MANIFOLD SET,332.0,,166.0,298.8,56
CDM,14015200,TUBING SET CO2 CARBOJET,367.0,,183.5,330.3,56
CDM,14015212,VENT TUBE BEVELED,67.0,,33.5,60.3,56
CDM,14015214,VENT T-TUBE,83.0,,41.5,74.7,56
CDM,14015243,SHEETING SILICONE,281.0,,140.5,252.9,61
CDM,14015245,DRAIN SILICONE ROUND 19FR,153.0,,76.5,137.7,56
CDM,14015247,LIGACLIP ERCA LARGE,498.0,,249.0,448.2,56
CDM,14015248,RELOAD CUTTER LINEAR-STD 100MM,392.0,,196.0,352.8,56
CDM,14015251,STAPLE INTRALUMINAL CURVED21,639.0,,319.5,575.1,56
CDM,14015258,CATH IRRIGATION DUAL LUMEN 4FR,290.0,,145.0,314.82,57
CDM,14015259,VALVULOTOME EXPANDABLE,2191.0,,1095.5,1971.9,56
CDM,14015263,PENILE INSERTER AMS,121.0,,60.5,108.9,56
CDM,14015265,SHUNT SNAP ASSEMBLY 37106,192.0,,96.0,172.8,61
CDM,14015266,CATH INTRODUCE TIP ASSEM NEURO,1442.0,,721.0,1297.8,56
CDM,14015275,SMOKE EVACUATION SYSTEM,299.0,,149.5,269.1,56
CDM,14015276,TIP FEMORAL CANAL,69.0,,34.5,62.1,56
CDM,14015299,PURSTRING 65,252.0,,126.0,226.8,56
CDM,14015303,STAPLER ENDO GIA XL,1407.0,,703.5,1266.3,56
CDM,14015324,STAPLER CURVED CONTOUR,1108.0,,554.0,997.2,56
CDM,14015325,RELOAD CURVED CONTOUR,632.0,,316.0,568.8,56
CDM,14015327,STRYKEFLOW II TIP FLEX SPRAY,108.0,,54.0,97.2,56
CDM,14015331,STAPLER GIA TLC10 LONG,634.0,,317.0,570.6,56
CDM,14015332,STAPLE PROXIMATE RELOAD 30MM,179.0,,89.5,161.1,56
CDM,14015333,STENT PANCREATIC COOK,211.0,,105.5,189.9,61
CDM,14015338,SUPPORT MAMMARY,173.0,,86.5,155.7,56
CDM,14015341,SURGIFOAM GELATIN POWDER 1GM,224.0,,112.0,201.6,56
CDM,14015342,GELATIN SPG ABSORB SZ 100,87.0,,43.5,78.3,56
CDM,14015344,GELATIN SPG ABSORB SZ 50,89.0,,44.5,80.1,56
CDM,14015345,SURGICEL 4X8 HEMOSTAT,188.0,,94.0,169.2,56
CDM,14015346,SURGICEL FIBRILLAR 1X2,218.0,,109.0,196.2,56
CDM,14015347,THROMBIN 5000 UNITS/V,145.0,,37.12,130.5,55
CDM,14015349,GELFILM 12.5 SQ CM,301.0,,77.06,270.9,55
CDM,14015350,SURGIFOAM HEMORRHOID SPG 8X3,89.0,,44.5,80.1,56
CDM,14015351,SURGICEL NU-KNIT 3X4,172.0,,86.0,154.8,56
CDM,14015352,AVITENE POWDER 1GM,480.0,,240.0,432.0,56
CDM,14015353,TROCAR BLUNT TIP OMS,552.0,,276.0,496.8,56
CDM,14015355,RELOAD ECHELON 60,811.0,,405.5,729.9,56
CDM,14015368,PROBE ABC,646.0,,323.0,581.4,56
CDM,14015377,NEUROPEN 2120-025,1498.0,,749.0,1348.2,56
CDM,14015380,TRACH CUFFIESS 8,225.0,,112.5,202.5,61
CDM,14015381,CATHETER HEMATURIA MENTOR,33.0,,16.5,29.7,56
CDM,14015382,CATHETER HEMATURIA AB6A24,31.0,,15.5,27.9,56
CDM,14015386,BIOPSY FORCEP DISP FB-220,197.0,,98.5,177.3,56
CDM,14015396,LIGACLIP TITANIUM LT100,35.0,,17.5,31.5,56
CDM,14015411,GRAFT SURGISIS COOK LEVEL II,1337.0,,668.5,1478.44,62
CDM,14015418,GEL INJECTABLE DEFLUX,3134.0,,8.08,2820.6,62
CDM,14015421,NOVASURE ABLATION DEVICE,7674.0,,3837.0,6906.6,56
CDM,14015424,INTEGRA BILAYER MATRIX LV II,5491.0,,65.59,4941.9,55
CDM,14015449,CATHETER FOGARTY BALLOON,148.0,,74.0,133.2,56
CDM,14015453,NEEDLE BONE MARROW LEE,318.0,,159.0,286.2,56
CDM,14015463,"MANIPULATOR V CARE S,M & L",277.0,,138.5,249.3,56
CDM,14015473,CONNECTOR ACCU-FLO 3-WAY,628.0,,314.0,565.2,61
CDM,14015477,CONNECTOR LUERLOCK 23021,247.0,,123.5,222.3,56
CDM,14015481,PATCH SOFT TISSUE 10X5X1,914.0,,457.0,822.6,62
CDM,14015483,PTCH ACUSEAL CARDIO 5X7.5CM,782.0,,391.0,1092.42,62
CDM,14015484,VALVE PROGRAMMABLE DELTA 42866,7116.0,,3558.0,6404.4,61
CDM,14015489,CONNECTOR R ANGLE NL850-1902,154.0,,77.0,138.6,56
CDM,14015490,GRAFT BONE INFUSE KIT 7510800,15271.0,,7635.5,13743.9,61
CDM,14015491,ELECTRO-LUBE,109.0,,54.5,98.1,56
CDM,14015495,DILATOR BALLOON QUANTUM TTC,286.0,,143.0,367.53,57
CDM,14015498,SHUNT NSC SNAP MEDTRONIC,5813.0,,2906.5,5231.7,61
CDM,14015499,CATH BALLOON ULTRA UROMAX,627.0,,313.5,564.3,62
CDM,14015500,KIT BALLOON ULTRA UROMAX,1490.0,,367.53,1341.0,57
CDM,14015502,CATHETER UNI-FUSE,438.0,,219.0,394.2,57
CDM,14015503,COVER TIP ACCESSORY DAVINCI,90.0,,45.0,81.0,56
CDM,14015504,SCISSORS MONOPOLAR/CVD DAVIN,827.0,,413.5,744.3,56
CDM,14015506,OBTURATOR BLADELESS 8MM DAVINC,108.0,,54.0,97.2,56
CDM,14015511,KIT POWER PULSE,116.0,,58.0,104.4,56
CDM,14015516,SHUNT LOW PRES 27102 MEDTRONIC,1980.0,,990.0,1782.0,61
CDM,14015517,CATHETER VENTRICULAR STD 27546,350.0,,175.0,315.0,56
CDM,14015519,REAMERS ACORN  7MM-11MM,705.0,,352.5,634.5,56
CDM,14015524,INTRODUCER SHEATH COOK,539.0,,46.81,485.1,57
CDM,14015526,INTRODUCER FLEXOR CHECK-FLOW,329.0,,46.81,296.1,57
CDM,14015529,CATHETER BALLOON CODA,1351.0,,208.48,1215.9,57
CDM,14015533,NEEDLE DRIVER 5MM DAVINCI,1480.0,,740.0,1332.0,56
CDM,14015534,CAUTERY 5 MM DAVINCI,1401.0,,700.5,1260.9,56
CDM,14015535,DISSECT MARYLAND 5MM DAVINCI,1547.0,,773.5,1392.3,56
CDM,14015556,CATHETER GLIDECATH,172.0,,86.0,154.8,57
CDM,14015564,CATHETER RC1 5FR,78.0,,39.0,102.65,57
CDM,14015568,NEEDLE ENTRY BSDN-19UT-7.0,34.0,,17.0,30.6,56
CDM,14015571,GUIDEWIRE AMPLATZ ST,444.0,,27.95,399.6,57
CDM,14015576,IMPLANT LVL 1 REV 0278,202.0,,101.0,181.8,56
CDM,14015581,FORCEP PROGRASP DAVINCI,639.0,,319.5,575.1,56
CDM,14015582,FORCEP PK DISSECTING DAVINCI,723.0,,361.5,650.7,56
CDM,14015586,SEALANT FIBRIN EVICEL 5M,600.53,,153.74,540.48,55
CDM,14015587,SEALANT FIBRIN EVICEL 2ML,652.0,,166.91,586.8,55
CDM,14015589,DRAINS W/TROCARS 15F-19F,106.0,,53.0,95.4,56
CDM,14015591,SPRAY MASTISOL,37.0,,18.5,33.3,56
CDM,14015594,DEVICE EXTRACTION N COOK,1053.0,,526.5,947.7,56
CDM,14015596,FORCEPS BIOPSY CAPTURA COOK,123.0,,61.5,110.7,56
CDM,14015597,SNARE POLYPECTOMY ACUSNARE COO,93.0,,46.5,83.7,56
CDM,14015598,CORD ENDOSCOPY ACTIVE DISP,215.0,,107.5,193.5,56
CDM,14015606,DERMABEADER STRAIGHT 4MM-7MM,419.0,,209.5,377.1,56
CDM,14015615,CATH PASSPORT SYSTEM 12X2X2,789.0,,367.53,710.1,57
CDM,14015618,PUMP MICROVASIVE 720-100,170.0,,85.0,153.0,56
CDM,14015620,SHEATH URETERAL ACCESS BOSTON,302.0,,151.0,271.8,56
CDM,14015624,SEALER LIGASURE IMPACT LF4200,1810.0,,905.0,1629.0,56
CDM,14015627,KIT LASER CATHETER,513.0,,256.5,461.7,56
CDM,14015634,SYSTEM EN SNARE,856.0,,70.07,770.4,57
CDM,14015639,SHEARS HARMONIC CVD DAVINCI,2530.0,,1265.0,2277.0,56
CDM,14015651,CLIP APPLIER ALLPORT ETHICON,491.0,,245.5,441.9,56
CDM,14015658,SEALER LIGASURE LS1037,2013.0,,1006.5,1811.7,56
CDM,14015665,TOOL SCREW REMOVAL,511.0,,255.5,459.9,56
CDM,14015668,SEALER LIGASURE LS1120,1341.0,,670.5,1206.9,56
CDM,14015673,DEVICE CLOSURE VASCULAR,801.0,,397.68,720.9,57
CDM,14015678,STENT URETERAL METALLIC COOK,2224.0,,187.52,2001.6,62
CDM,14015685,DEVICE INFLATION COOK,168.0,,84.0,151.2,56
CDM,14015768,CATHETER TURBO BOOSTER 7-8F,945.0,,102.65,850.5,57
CDM,14015770,IMPLANT EYELID GOLD 1.4-1.8G,762.0,,381.0,685.8,61
CDM,14015772,SIZER MAMMARY INAMED,239.0,,119.5,215.1,56
CDM,14015773,SURGICEL FIBRILLAR 4X4,350.0,,175.0,315.0,56
CDM,14015774,SURGICEL NU-KNIT 6X9,368.0,,184.0,331.2,56
CDM,14015776,STAPLER LONG 45A ETHICON,1878.0,,939.0,1690.2,56
CDM,14015796,EXTRACTOR N-COMPASS COOK,711.0,,355.5,639.9,56
CDM,14015797,EXTRACTOR NITINOL COOK,869.0,,434.5,782.1,56
CDM,14015799,CATH DUAL LUMEN ENDOLOGIX,554.0,,277.0,498.6,56
CDM,14015801,FORCEP DEBAKEY DAVINCI,760.0,,380.0,684.0,56
CDM,14015805,PORT POWERPORT VASC. ACCESS,258.0,,129.0,548.78,62
CDM,14015808,APPLICATOR EVICEL,101.0,,50.5,90.9,56
CDM,14015809,NEEDLE SPINAL 25 GA,32.0,,16.0,28.8,56
CDM,14015810,FORCEP BIPOLAR MARYLAND 420172,708.0,,354.0,637.2,56
CDM,14015811,FORCEP BIPOLAR FEN ENDOWRIST,724.0,,362.0,651.6,56
CDM,14015813,CLIP APPLIER HEM-O-LOK DAVINCI,538.0,,269.0,484.2,56
CDM,14015814,RETRACTOR DAUL BLADE DAVINCI,270.0,,135.0,243.0,56
CDM,14015817,DRAPE CAM ARM DAVINCI,178.0,,89.0,160.2,56
CDM,14015818,WAND COBLATOR EZ-VIEW,778.0,,389.0,700.2,56
CDM,14015819,TROCAR KII OPTICAL ACCESS SYS,248.0,,124.0,223.2,56
CDM,14015828,PATCH HEMOSTASIS SYVEK NT,232.0,,116.0,208.8,56
CDM,14015835,STONEBASKET LEVEL 1,509.0,,254.5,458.1,56
CDM,14015837,CATHETER SIM1 COOK,60.0,,30.0,102.65,57
CDM,14015838,GRAFT SURGISIS COOK LEVEL I,803.0,,401.5,1478.44,62
CDM,14015843,CATHETER PTA BALLOON EV3,363.0,,181.5,326.7,57
CDM,14015848,TENDON SEMITENDONOSUS IRRAD,2749.0,,1374.5,2474.1,61
CDM,14015850,TIBIAL TRAY INBONE,3520.0,,1760.0,3168.0,62
CDM,14015851,CATHETER PROGREAT TERUMO,936.0,,102.65,842.4,57
CDM,14015853,APPLIER HEMOCLIP,542.0,,271.0,487.8,56
CDM,14015855,CATHETER EVERCROSS EV3,384.0,,192.0,345.6,57
CDM,14015859,NEEDLE DEFLUX,164.0,,82.0,147.6,56
CDM,14015860,COVER SPATULA DAVINCI,251.0,,125.5,225.9,56
CDM,14015861,INFUSE BONE GRAFT XXSM,3853.0,,1926.5,3467.7,61
CDM,14015865,TRAY VENTRICULOSTOMY,641.0,,320.5,576.9,56
CDM,14015867,TRACKER PATIENT FUSION,559.0,,279.5,503.1,56
CDM,14015868,TRACKER INSTRUMENT FUSION,470.0,,235.0,423.0,56
CDM,14015870,GUIDEWIRE VIPERWIRE,344.0,,27.95,309.6,57
CDM,14015873,GRASPER BOWEL DAVINCI,697.0,,348.5,627.3,56
CDM,14015874,PAD DEFIBRILLATOR MEDTRONIC,140.0,,70.0,126.0,56
CDM,14015876,CATHETER ANGIOSCULPT 20MM-40MM,2768.0,,257.51,2491.2,57
CDM,14015877,CLIP HEMOCLIP ENDO INSTINCT,384.0,,192.0,345.6,56
CDM,14015878,DEVICE VASCULAR CLOSURE MYNX,575.0,,287.5,517.5,57
CDM,14015883,TUBING SET CONNECTION EDMS,192.0,,96.0,172.8,56
CDM,14015901,KIT IR MANIFOLD MERIT,120.0,,60.0,108.0,56
CDM,14015905,PROBE BIPOLAR STIMULATING,965.0,,482.5,868.5,56
CDM,14015925,CAGE X-MESH EXPANDABLE,11037.0,,5518.5,9933.3,61
CDM,14015926,GWIRE ACROBAT CALIBRATED-TIP,439.0,,27.95,395.1,57
CDM,14015927,LYP KNEE TIB INS NEXGEN ALPOLO,2213.0,,1106.5,2374.28,62
CDM,14015929,INTRO MINI STICK MAX KIT,65.0,,32.5,58.5,56
CDM,14015930,RETRACTOR WOUND XXLARGE C8405,340.0,,170.0,306.0,56
CDM,14015935,FORCEP DISP. DAVINCI,738.0,,369.0,664.2,56
CDM,14015936,INTRODUCER 5MM DAVINCI,1189.0,,594.5,1070.1,56
CDM,14015947,WIRE GUIDE TEAR DROP,442.0,,221.0,397.8,56
CDM,14015949,ANCHOR SUTURE FIBERTAK 02,908.0,,454.0,817.2,62
CDM,14015951,TISS CARTILAGE COSTAL,963.0,,481.5,2084.51,62
CDM,14015952,TIB BLCK AUG NEXGN RL/LM SZ6,1820.0,,910.0,1638.0,61
CDM,14015954,APPLIER CLIP HELIZ-FX 114CM,14295.0,,7147.5,12865.5,56
CDM,14015956,CAGE SPINAL CASCADIA LOR 7DEG,6439.0,,3219.5,5795.1,61
CDM,14015960,DEV COR-KNOT MIS COMBO KIT,1840.0,,920.0,1656.0,56
CDM,14015965,FASTENER COR-KNOT MINI,806.0,,403.0,725.4,56
CDM,14015967,GUIDE ANCHOR HELI-FX 02,5284.0,,2642.0,4755.6,56
CDM,14015971,IMPL KNEE TIBIAL PROXIMAL,9917.0,,2374.28,8925.3,62
CDM,14015980,TOOL DISSECTING,210.0,,105.0,189.0,56
CDM,14015981,TRAY KYPHOPAK SINGLE USE,7250.0,,3625.0,6525.0,56
CDM,14015983,WASHER ORTHO STRYKER 40-30900S,180.0,,90.0,162.0,61
CDM,14015986,GRAFT ILIAC CREST CERVICAL,1727.0,,863.5,1554.3,61
CDM,14015987,GUIDEWIRE ENROUTE,491.0,,27.95,441.9,57
CDM,14015989,ILIAC CREST WEDGE 01,1967.0,,983.5,1770.3,61
CDM,14015990,IMP HIP ACET SHELL RESTORATI,4208.0,,2104.0,3787.2,62
CDM,14015991,IMPL HIP STEM RESTORATION,2301.0,,1150.5,2374.28,62
CDM,14015992,IMPL SPEEDBRIDGE SYS ACHILLES,2243.0,,506.18,2018.7,62
CDM,14015993,KT MICRO INTRDUCER KIT ENROUTE,308.0,,46.81,277.2,57
CDM,14015998,SHAFT SCREWDRIVER STARDRIVE,607.0,,303.5,546.3,56
CDM,14016000,SHEATH ARTERICAL ANGLED-TIP,7245.0,,46.81,6520.5,57
CDM,14016007,STENT TRANSCAROTID NEURO,5633.0,,1642.91,5069.7,62
CDM,14016008,WAND REFLEX COBLATION,634.0,,317.0,570.6,56
CDM,14016009,WASHER EVOS S&N 72442127,119.0,,59.5,506.18,62
CDM,14016010,WASHER EVOS S&N 72442235,215.0,,107.5,506.18,62
CDM,14016012,IMP FEMORAL HEAD COCR,1090.0,,545.0,2374.28,62
CDM,14016014,S-ICD DEFIB EMBLEM,41391.0,,20695.5,37251.9,62
CDM,14016016,TIBIAL ANKLE FOOT ORTHOSES,247.0,,123.5,222.3,56
CDM,14016019,DEV REATTACH TROCHANTERIC,3358.0,,1679.0,3022.2,61
CDM,14016023,IMPL FEM KNEE SAL GUARD MIDSEC,8163.0,,2374.28,7346.7,62
CDM,14016025,VLV HRT TRANSCATHETER SAPIEN3,0.01,,0.005,0.009,56
CDM,14016026,NEEDLE BIOPSY CORE,174.0,,87.0,156.6,56
CDM,14016028,SCORPIO TS FEM W/LFIT,9313.0,,2374.28,8381.7,62
CDM,14016031,STEM HUMERAL EQUINOXE,14869.0,,2374.28,13382.1,62
CDM,14016036,EFX SUTURE PASSER 14GA,73.0,,36.5,65.7,56
CDM,14016037,FEM HD BIOL D OPT 28 3.5,2852.0,,1426.0,2566.8,62
CDM,14016038,HOOK PEDICLE M,863.0,,431.5,776.7,61
CDM,14016040,KIT SHUNT CRANIAL NON-INVASIVE,1335.0,,667.5,1201.5,56
CDM,14016044,ARTHREX ACP KIT SERIES,491.0,,245.5,441.9,56
CDM,14016045,IMPL SHOULDER GLENOID HEAD,1946.0,,973.0,2374.28,62
CDM,14016047,ALLOGRAFT TIBIA DISTAL FRESH,20685.0,,10342.5,18616.5,61
CDM,14016048,ALLOGRFT TISSUE DERMIS CORTIVA,63.0,,31.5,56.7,61
CDM,14016053,IMMOBILIZER HAND ALUMINUM XL,138.0,,69.0,124.2,56
CDM,14016054,IMPL KNEE FEM TRULIANT PS CEM,3996.0,,1998.0,3596.4,62
CDM,14016056,INSERTION SLEEVE 8-11,218.0,,109.0,196.2,56
CDM,14016057,INSTR KIT GLENOID INFERIOR,754.0,,377.0,678.6,56
CDM,14016058,INST KIT GLENOID SUPERIOR,506.0,,253.0,455.4,56
CDM,14016059,NDL ACCESS PEDICLE 11G BEVELED,292.0,,146.0,262.8,56
CDM,14016060,NDL BEVELP ASSEMBLY 8G,308.0,,154.0,277.2,56
CDM,14016064,REST MOD CONICAL DISTAL STEM,5238.0,,2374.28,4714.2,62
CDM,14016068,WIRE K KIRSCHNER T2 RECON COCR,269.0,,134.5,506.18,62
CDM,14016073,DEVICE BALLOON CUTTING PERIPHE,1619.0,,257.51,1457.1,57
CDM,14016074,ELECTRODE DEPTH DEPTHALON,1914.0,,957.0,1722.6,56
CDM,14016075,ELECTRODE DEPTH DEPTHALON 01,1840.0,,920.0,1656.0,56
CDM,14016078,K-WIRE OSTEOMED 316-0119,108.0,,54.0,506.18,62
CDM,14016079,K-WIRE ZIMMER 110018526,108.0,,54.0,506.18,62
CDM,14016081,MONOPOLAR ELECTRODE STERILE,330.0,,165.0,297.0,56
CDM,14016082,OSS SEGMENT ADAPTER,10688.0,,5344.0,9619.2,61
CDM,14016086,TAPERED INT IMP RBT,472.0,,236.0,424.8,56
CDM,14016088,ALLOGRAFT ORTHBLST PASTE 1.0CC,478.0,,239.0,430.2,61
CDM,14016089,ALLOGRAFT ORTHBLST PASTE 3.0CC,907.0,,453.5,816.3,61
CDM,14016094,CEMENT BONE GENTAMICIN,486.0,,243.0,506.18,62
CDM,14016097,IMPL AUG DIST,1913.0,,956.5,1721.7,61
CDM,14016098,IMPL FEMUR TRI,10727.0,,2374.28,9654.3,62
CDM,14016099,IMPL KNEE ART SURF PERS CPS VE,1495.0,,747.5,2374.28,62
CDM,14016100,IMPL MAMM MEMORYGEL,1495.0,,747.5,1345.5,61
CDM,14016101,LEG POSITIONER W/FOOT STRAP 02,142.0,,71.0,127.8,56
CDM,14016102,PATCH PERICARDIUM BOVINE,1719.0,,859.5,1547.1,61
CDM,14016103,SET GUIDE PROPHECY INFINITY,851.0,,425.5,765.9,56
CDM,14016105,SNARE ELITE EXPRO,800.0,,70.07,720.0,57
CDM,14016106,STAPLE RELOAD ECHELON,300.0,,150.0,270.0,56
CDM,14016108,STAPLER ENDO GIA ULTRA,355.0,,177.5,319.5,56
CDM,14016111,ALGRAFT AVIVE 3X4 T00417,5633.0,,2816.5,5069.7,61
CDM,14016112,ALGRAFT AVIVE 3X6 T00418,6899.0,,3449.5,6209.1,61
CDM,14016113,ALGRAFT AVIVE 2X4 T00416,3910.0,,1955.0,3519.0,61
CDM,14016114,CAGE BENGAL STACK STD,11498.0,,5749.0,10348.2,61
CDM,14016115,STENT BONASTENT ESOPHAGEAL,5738.0,,2869.0,5164.2,61
CDM,14016118,IMP KNEE STEM LEGION PRESSFIT,2720.0,,1360.0,2448.0,62
CDM,14016127,CATH INSERTION INTRA AORTIC,7644.0,,3822.0,6879.6,56
CDM,14016128,FEM CONE TRABECULAR METAL,10627.0,,5313.5,9564.3,61
CDM,14016130,IMPL KNEE TIB INSERT LOGIC,3312.0,,1656.0,2980.8,62
CDM,14016132,IMPLANT SILICONE BLOCK,726.0,,363.0,653.4,61
CDM,14016133,KIT INSERTION NEEDLE ARTERIAL,145.0,,72.5,130.5,56
CDM,14016137,STENT BILIARY PROTEGE EVERFLEX,2071.0,,1035.5,1863.9,62
CDM,14016138,TIBIAL CONE TRABECULAR METAL,8812.0,,4406.0,7930.8,61
CDM,14016139,CAGE SPINAL CASCADIA LUM LOR,6439.0,,3219.5,5795.1,61
CDM,14016140,DEVICE LIGAMENT AUGMENTATION,2473.0,,506.18,2225.7,57
CDM,14016143,KIT INST DISPOSABLES SUTURETAK,409.0,,204.5,368.1,56
CDM,14016146,ARCUS STAPLE ASSEMBLY STERILE,1659.0,,506.18,1493.1,57
CDM,14016149,GELWEAVE AORTIC GRAFT 01,4353.0,,1092.42,3917.7,62
CDM,14016151,IMPL HIP ACE SHELL CLUSTER,2530.0,,1265.0,2374.28,62
CDM,14016154,IMPLANT STEM ULNAR STANDARD,10522.0,,2374.28,9469.8,62
CDM,14016156,P-15L BONE GRAFT (STUDY),0.01,,0.005,0.009,56
CDM,14016157,CAGE SPINAL EXPANDABLE,10348.0,,5174.0,9313.2,61
CDM,14016158,CATH LITHOPLASTY SHOCKWAVE,6324.0,,3162.0,5691.6,56
CDM,14016159,CATH PTA DCB LUTONIX 035,3794.0,,1897.0,3414.6,57
CDM,14016161,IMPL HIP ACET LIN CONST RG GR2,1861.0,,930.5,2374.28,62
CDM,14016162,IMPL HIP ACET LINER CONSTRAIN,3455.0,,1727.5,3109.5,62
CDM,14016163,IMPL HUM BODY DISTAL,11089.0,,5544.5,9980.1,61
CDM,14016165,VSP ORTHOGNATHIC BUNDLE,8615.0,,4307.5,7753.5,56
CDM,14016166,ARISTA AH,550.0,,275.0,495.0,56
CDM,14016168,CATH PTA DILITATION ULTRAVERSE,499.0,,249.5,449.1,57
CDM,14016170,COUPLING HOFFMAN HINGE,2390.0,,1195.0,2151.0,61
CDM,14016172,HYALURONIC ACID JUVEDERM XC,779.0,,389.5,701.1,56
CDM,14016174,IMPL CMF MED ENOPHTHALMS WEDGE,1064.0,,506.18,957.6,62
CDM,14016175,IMPL ELBOW HUMERAL STEM,12992.0,,2374.28,11692.8,62
CDM,14016177,IMPL KNEE TIB WEDGE LEGION HEM,2480.0,,1240.0,2232.0,61
CDM,14016180,IMP EMERG HEALING ABUTMENT,139.0,,45.62,125.1,62
CDM,14016181,KII OPTICAL ACCESS SYSTEM,199.0,,99.5,179.1,56
CDM,14016182,STENT ENDOPROSTHESIS VIABAHN,8549.0,,1667.17,7694.1,62
CDM,14016183,VSP RECONSTRUCTION BUNDLE,12188.0,,6094.0,10969.2,56
CDM,14016184,ANCHOR SUTURE FIBERTAK 04,1034.0,,506.18,930.6,62
CDM,14016185,BATTERY POWER DRIVER,133.0,,66.5,119.7,56
CDM,14016186,CATH PTA DCB LUTONIX 02,3219.0,,1609.5,2897.1,57
CDM,14016188,FERRULE KIT,1552.0,,776.0,1396.8,56
CDM,14016189,GRAFT ENDO AFX AAA BDY,24535.0,,1667.17,22081.5,62
CDM,14016190,HYDROSET XT 01,10129.0,,506.18,9116.1,62
CDM,14016192,IMPL HIP FEM HEAD DEL C-TAPER,1034.0,,517.0,2374.28,62
CDM,14016193,IMPL KNEE FEM WEDGE LEGION,9197.0,,4598.5,8277.3,61
CDM,14016194,LITHOTRIPSY PROBE STERILE,1500.0,,750.0,1350.0,56
CDM,14016196,COUPLER HUMERAL SEG COMP,14288.0,,7144.0,12859.2,61
CDM,14016197,GRAFT ILIAC CREST,1670.0,,835.0,1503.0,61
CDM,14016198,GRFT GELWEAVE 4 BRANCH,7513.0,,1092.42,6761.7,62
CDM,14016199,IMP HIP FEM HEAD DELTA TS REV,3565.0,,1782.5,3208.5,62
CDM,14016202,IMPL HUM HEAD BIO-MODULAR EAS,4219.0,,2109.5,3797.1,62
CDM,14016205,IMPL SHOULDER TUMOR PROSTHESIS,8358.0,,2374.28,7522.2,62
CDM,14016209,CANNULA ACCUPORT END DEL,1138.0,,569.0,1024.2,56
CDM,14016210,CANN ACCUPORT SIDE DEL 307.032,1138.0,,569.0,1024.2,56
CDM,14016211,ELEOS STEM EXT CANAL FILLING,2226.0,,1113.0,2003.4,61
CDM,14016213,IMPL HUMERAL CUP DELTA XTEND,2384.0,,1192.0,2374.28,62
CDM,14016214,IMPL KNEE TIB WEDGE LEGION,2778.0,,1389.0,2500.2,61
CDM,14016215,K-WIRE THREADED,77.0,,38.5,506.18,62
CDM,14016219,SPACER HUMERAL DELTA XTEND,3425.0,,1712.5,3082.5,61
CDM,14016221,STENT PERIPHL SELF-EXPANDING,2186.0,,1093.0,1967.4,56
CDM,14016223,SYS PLATLET CONC BIOCUE DISP,2186.0,,1093.0,1967.4,56
CDM,14016225,CAGE SPINAL ALEUTIAN,8509.0,,4254.5,7658.1,61
CDM,14016227,ELECTRODE MONOPOLAR SEMI RIGID,707.0,,353.5,636.3,56
CDM,14016230,IMPL KNEE TIB INSERT PROFIX AP,2071.0,,1035.5,2374.28,62
CDM,14016231,IMPL MEDPOR TITAN SHEET,1345.0,,506.18,1210.5,62
CDM,14016233,CATH INTEGRA NEUROBALLOON,1266.0,,633.0,1139.4,56
CDM,14016236,SCREWDRIVER SHAFT STARDRIVE T8,1132.0,,566.0,1018.8,56
CDM,14016237,SELF EXPANDING STENT SYSTEM,1956.0,,978.0,1760.4,61
CDM,14016238,SHEATH GUIDING DESTINO,1034.0,,102.65,930.6,57
CDM,14016241,STENT TRACHEOBRONCH AERO SYS,5290.0,,1667.17,4761.0,62
CDM,14016242,TRI-STAPLE INTELLIGENT RELOAD,489.0,,244.5,440.1,56
CDM,14016243,EVICEL SPRAYER ACCESSORY,190.0,,95.0,171.0,56
CDM,14016244,FILLER PRO-DENSE 10ML,7669.0,,506.18,6902.1,62
CDM,14016245,IMPLANT MANDIBULAR COMPONENT,9042.0,,4521.0,8137.8,61
CDM,14016246,INFLATION DEVICE,250.0,,125.0,225.0,56
CDM,14016247,MESH RESTORELLE POST,2692.0,,608.95,2422.8,62
CDM,14016248,RETRACT SYS NEEDLE KIT ASSMBLY,219.0,,109.5,197.1,56
CDM,14016250,CATH DEPLOYMENT & LOADER C26N,2301.0,,1150.5,2070.9,56
CDM,14016252,GUIDEWIRE WITH TROCAR TIP,62.0,,31.0,55.8,56
CDM,14016255,IMPL HIP FEM STEM RESTO MOD,6164.0,,2374.28,5547.6,62
CDM,14016256,IMPL HIP PROX BODY MODULAR,10680.0,,2374.28,9612.0,62
CDM,14016257,IMPL SHOUL GLENOSPHERE REVERSE,2990.0,,1495.0,2691.0,62
CDM,14016258,SPLINT AQUAPLAST,205.0,,14.4,184.5,57
CDM,14016259,VALVE IBV HUS-V9,7933.0,,3966.5,7139.7,61
CDM,14016260,WASHER CANNULATED SCREW,188.0,,94.0,169.2,61
CDM,14016261,WASHER STAINLESS,116.0,,58.0,104.4,56
CDM,14016262,CATH ANGIOGR BERMAN,117.0,,58.5,105.3,56
CDM,14016263,HEMOSTATIC SEALANT SURGIFLO,445.0,,222.5,400.5,56
CDM,14016264,IMPL STEM GLOBAL ADV FX,13636.0,,2374.28,12272.4,62
CDM,14016266,IMPL ACETABULAR/BEARING,486.0,,243.0,437.4,61
CDM,14016268,K WIRE DBL TRO 6PK NS,270.0,,135.0,506.18,62
CDM,14016269,MESH MONO VERSATEX,566.0,,283.0,608.95,62
CDM,14016276,MATRIX HEMOSTAT SURGIFLO,318.0,,159.0,286.2,56
CDM,14016278,SUREFORM RELOAD BLUE,588.0,,294.0,529.2,56
CDM,14016279,SUREFORM RELOAD GREEN 48360G,588.0,,294.0,529.2,56
CDM,14016281,ELECTRODE CORTICAL GRID,2903.0,,1451.5,2612.7,56
CDM,14016282,ELECTRODE EEG CORTICAL,3872.0,,1936.0,3484.8,56
CDM,14016292,CATH ARTERIAL PRESSURE MONIT,116.0,,58.0,104.4,61
CDM,14016296,IMPL HIP ACET LINER NEUTRAL,9265.0,,2374.28,8338.5,62
CDM,14016297,IMPL LINER ACETABULAR CONSTRAI,4890.0,,2374.28,4401.0,62
CDM,14016299,KIT BALLOON PUMP TUBING,931.0,,465.5,837.9,56
CDM,14016303,KNITTED VASCULAR GRAFT,1162.0,,581.0,1045.8,61
CDM,14016306,SUREFORM STAPLER 60,1219.0,,609.5,1097.1,56
CDM,14016307,ZYGOMA IMPLANT RP 50MM,713.0,,356.5,641.7,61
CDM,14016308,IMPL TITAN 0 DEG INFRAPUB 22CM,22342.0,,11171.0,20107.8,62
CDM,14016310,APPLICATOR HEMOSTAT HEMOSPRAY,3369.0,,1684.5,3032.1,56
CDM,14016311,CENTRALIZER DISTAL INVIS,179.0,,89.5,161.1,61
CDM,14016313,CATH GUIDE MICRO MAESTRO,593.0,,102.65,533.7,57
CDM,14016316,INTRATHECAL CATH SPINAL SEG,692.0,,88.85,622.8,57
CDM,14016318,IMPL HIP LINER AML/TL,5330.0,,2374.28,4797.0,62
CDM,14016319,IMPL TIBIAL LEGION GUIDE MOTIO,3932.0,,1966.0,3538.8,62
CDM,14016320,COUGAR LS CAGE SYSTEM,8181.0,,4090.5,7362.9,61
CDM,14016322,IMP HIP FEM STEM REDAPT MOD PF,33975.0,,2374.28,30577.5,62
CDM,14016324,ANCHOR SUT BIO COMP,748.0,,374.0,673.2,62
CDM,14016326,CLAMP INSERTS STEALTH,62.0,,31.0,55.8,56
CDM,14016329,WIRE K TROCAR POINT,66.0,,33.0,506.18,62
CDM,14016331,CAGE SPINAL SANTORINI,10612.0,,5306.0,9550.8,61
CDM,14016332,CANNULA TRANSPORT,315.0,,157.5,283.5,56
CDM,14016334,CATH BALLN OCCLUSION ER-REBOA,4589.0,,208.48,4130.1,57
CDM,14016338,DILATOR RENAL AMPLATZ,112.0,,46.81,100.8,57
CDM,14016339,GRAFT VASCULAR STANDARD PROPAT,2836.0,,1092.42,2552.4,62
CDM,14016340,GUIDEWIRE PTFE COATED,64.0,,27.95,57.6,57
CDM,14016343,IMPL HIP FEMORAL COMPONENT,10402.0,,2374.28,9361.8,62
CDM,14016344,IMPL KNEE POST TAPER HEMICAP,1157.0,,578.5,2374.28,62
CDM,14016346,INTEGRAL SHORT GTR W/2 CABLES,3359.0,,1679.5,3023.1,61
CDM,14016352,ELECTROBLADE 5.5MM,966.0,,483.0,869.4,56
CDM,14016353,ELECTROBLADE 4.5MM,3011.0,,1505.5,2709.9,56
CDM,14016354,TRIVEX SYSTEM RESECTOR KIT 5.,2599.0,,1299.5,2339.1,56
CDM,14016358,VIAL IC GREEN 25MG,723.85,,185.31,651.47,55
CDM,14016360,STAPLER ENDO ECHELON 45,863.0,,431.5,776.7,56
CDM,14016361,RELOAD ECHELON 45,412.0,,206.0,370.8,56
CDM,14016362,DRESSING BURN WRAP SILVERLON,227.0,,113.5,204.3,56
CDM,14016363,PROSTH BUCKET HANDLE,487.0,,243.5,438.3,61
CDM,14016365,DRSG MEPILEX AG 8X8IN,120.0,,19.48,108.0,56
CDM,14016366,DRESSING BURN WRAPS CURA,442.0,,221.0,397.8,56
CDM,14016367,SET PERCUTANEOUS EXTENSION,561.0,,280.5,504.9,56
CDM,14016368,PACK NASAL FOAM RAPID RHINO,238.0,,119.0,214.2,56
CDM,14016371,SPEEDBRIDGE ACHILLES MIDSUBST,2243.0,,506.18,2018.7,62
CDM,14016373,STENT BILIARY EXP VALEO,1266.0,,633.0,1642.91,62
CDM,14016378,SUTURE FIBERTAPE AR-7237-17LN,179.0,,89.5,161.1,56
CDM,14016380,ANCHOR SUTURE FIBERTAK 05,966.0,,483.0,869.4,62
CDM,14016382,GRAFT OUTFLOW HMIII,11037.0,,5518.5,9933.3,61
CDM,14016383,IMPL CARTILAGE CARTIVA,8278.0,,4139.0,7450.2,61
CDM,14016384,IMPLANT MEDPOR TITAN,4019.0,,506.18,3617.1,62
CDM,14016385,PACK BATTERY QUIKDRIVE,167.0,,83.5,150.3,56
CDM,14016389,WRENCH KIT,163.0,,81.5,146.7,56
CDM,14016392,ADAPTOR VERSA-DIAL TAPER,308.0,,154.0,277.2,61
CDM,14016394,ANCHOR CORKSCREW BIO-COMPOSITE,817.0,,408.5,735.3,62
CDM,14016398,BONE CORTICAL RING,2151.0,,1075.5,1935.9,61
CDM,14016401,CARTILAGE COSTAL,743.0,,371.5,668.7,61
CDM,14016402,COIL AZUR 18D FRAMING 10X26,1760.0,,880.0,1584.0,61
CDM,14016403,DBM PUTTY K5005DP,254.0,,127.0,228.6,61
CDM,14016404,DBM PUTTY K5025DP,254.0,,127.0,228.6,61
CDM,14016405,DUAL MOBILITY COCR LINER,1495.0,,747.5,2374.28,62
CDM,14016406,DUAL MOBILITY TRINITY LINER,1266.0,,633.0,2374.28,62
CDM,14016418,NEUROSTIMULATOR RNS EPILEPSY,73469.0,,22201.12,66122.1,62
CDM,14016419,OLIVE WIRE,312.0,,156.0,280.8,61
CDM,14016420,PAD NON-SLIP MEDI-GRIP,80.0,,40.0,72.0,56
CDM,14016424,STAPLE MOTOCLIP HIMAX KIT,2530.0,,506.18,2277.0,62
CDM,14016425,STAPLE MOTOCLIP MAX KIT,2301.0,,506.18,2070.9,62
CDM,14016429,POSTPARTUM HEMO INTRAUTERINE,0.01,,0.005,0.009,56
CDM,14016436,CABLE ORTHO COCR,817.0,,408.5,735.3,61
CDM,14016438,CEMENT GUN KIT,679.0,,339.5,611.1,56
CDM,14016457,HARVESTER OATS SET,1196.0,,598.0,1076.4,56
CDM,14016461,IMP KNEE TIB INS TRULIANT LOP,1375.0,,687.5,2374.28,62
CDM,14016464,INST PT SPEC BLUEPRINT,2301.0,,1150.5,2070.9,56
CDM,14016465,INST TI ALLOY MOTOBAND CP,1266.0,,633.0,1139.4,56
CDM,14016466,KIT ASPIR BONE MARROW PLATELET,2129.0,,1064.5,1916.1,56
CDM,14016472,SHUNT SNAP ASSEMBLY,416.0,,208.0,374.4,61
CDM,14016478,GRAFT ARTEGRAFT,2435.0,,1092.42,2191.5,62
CDM,14016480,IMPL TIBIAL LEGION GUIDE MOTIO,3695.0,,1847.5,3325.5,62
CDM,14016484,SNARE ACCU-SNARE DUCK BILL,77.0,,38.5,69.3,56
CDM,14016485,SYS SLV GASTRMY VISIGI W/BU,2277.0,,1138.5,2049.3,56
CDM,14016488,CAGE SPINAL FUSION,5750.0,,2875.0,5175.0,61
CDM,14016491,DRILL CANNULATED P99-110-1712,411.0,,205.5,369.9,56
CDM,14016495,SUCTION CUP ACETABULAR STERILE,285.0,,142.5,256.5,56
CDM,14016496,SYS DISC CERVICAL PRESTIGE,237.0,,118.5,213.3,61
CDM,14016498,BALLOON DILATATION CATH KIT,1071.0,,535.5,963.9,56
CDM,14016499,BONE-RESECTION ORTHO REAMER,806.0,,403.0,725.4,56
CDM,14016501,CATHETER VASCUTRAK 02,1438.0,,257.51,1294.2,57
CDM,14016509,SET CANALICULUS INTUB GUIBOR,329.0,,164.5,296.1,56
CDM,14016513,CATH CLEANER SYSTEM 02,1370.0,,314.82,1233.0,57
CDM,14016514,CENTERED REVERSED TRAY,3181.0,,1590.5,2862.9,62
CDM,14016518,KIT INSERTION PERCUTANEOUS,563.0,,281.5,506.7,56
CDM,14016519,PERIP/CORNRY VASC MICROCATH,351.0,,175.5,315.9,56
CDM,14016520,RESERVOIR HEMOVAC,65.0,,32.5,58.5,56
CDM,14016527,DRILL CANNULATED 114702800,1239.0,,619.5,1115.1,56
CDM,14016528,POROUS STEM BOWED,5332.0,,2374.28,4798.8,62
CDM,14016530,TITAN RIPPENKLAMMER ROT CONNEC,3836.0,,1918.0,3452.4,56
CDM,14016531,TITANIUM 3D RIB CLIP,5082.0,,2541.0,4573.8,61
CDM,14016533,TITANIUM CONNECTING BAR,2905.0,,1452.5,2614.5,61
CDM,14016536,ALIGN RADIAL HEAD,4068.0,,2034.0,3661.2,62
CDM,14016537,ALIGN RADIAL STEM 01,4324.0,,2162.0,3891.6,62
CDM,14016538,ANATOMIC RADIAL HEAD SYS,5738.0,,2374.28,5164.2,62
CDM,14016539,ANATOMIC RADIAL HEAD SYS STEM,6658.0,,2374.28,5992.2,62
CDM,14016541,BUTTERFLY WASHER,315.0,,157.5,283.5,61
CDM,14016544,DIRECTIONAL ATHERECTOMY SYSTEM,7808.0,,3605.81,7027.2,57
CDM,14016545,CYSTO/PYELOSC INSERT STNT,19323.0,,4187.25,17390.7,68
CDM,14016549,LITHOTRIPSY LASER,1126.0,,563.0,1013.4,56
CDM,14016552,PRGM PAIN PTM INT PAPER LIT,3450.0,,1725.0,3105.0,56
CDM,14016553,RECHRGR RTM PAIN INT PAPR LIT,2288.0,,1144.0,2059.2,56
CDM,14016561,VIPER PRIME NAVIGATION STYLET,1174.0,,587.0,1056.6,56
CDM,14016562,APPLICATOR TIP,806.0,,403.0,725.4,56
CDM,14016565,CEMENTED POLARCUP SHELL,2301.0,,1150.5,2374.28,62
CDM,14016569,GDWIRE SENSOR DF PTFE-NITIN HT,250.0,,27.95,225.0,57
CDM,14016570,HUMERAL CUP,7048.0,,2374.28,6343.2,62
CDM,14016572,K-WIRE WRIGHT MEDICAL 24900091,85.0,,42.5,506.18,62
CDM,14016575,NON-CEMENTED POLARCUP INSERT,2301.0,,1150.5,2374.28,62
CDM,14016576,PASSIVE CATHETER INTRODUCER,912.0,,46.81,820.8,57
CDM,14016577,PLASMA OVAL BUTTON,1257.0,,628.5,1131.3,56
CDM,14016578,RETENTIVE REVERSED INSERT,4085.0,,2042.5,3676.5,62
CDM,14016581,STENT GRAFT THORACIC RELAY 05,22995.0,,11497.5,20695.5,61
CDM,14016584,TIBIAL JOURNEY BASE NP,2071.0,,1035.5,2374.28,62
CDM,14016585,TRULIANT TIB IMP PS INSERT,2606.0,,1303.0,2374.28,62
CDM,14016586,X3 HUMERAL INSERT,5635.0,,2374.28,5071.5,62
CDM,14016588,KWIRE DOUB T-TIP,88.0,,44.0,506.18,62
CDM,14016589,FEMORAL HEAD TAPER,1417.0,,708.5,2374.28,62
CDM,14016590,ALLOGRAFT ANTERIOR-LUMBAR 01,6669.0,,3334.5,6002.1,61
CDM,14016593,EQUX REVERSE HUM CONST LINER,1725.0,,862.5,2374.28,62
CDM,14016595,JOUST BEAM CANN HDLESS MED THD,2967.0,,506.18,2670.3,62
CDM,14016597,ALLOGRAFT ANTERIOR-LUMBAR 02,8403.0,,4201.5,7562.7,61
CDM,14016598,GENIUS PRP SYSTEM,1326.0,,663.0,1193.4,56
CDM,14016602,LIFESTENT STENT,1603.0,,801.5,1642.91,62
CDM,14016603,SIZER BREAST GEL MENTOR,575.0,,287.5,517.5,56
CDM,14016605,STENT BILIARY PROTEGE EVERFLEX,1991.0,,995.5,1791.9,62
CDM,14016617,FEM STEM MEGASYSTEM-C SUPPORT,1593.0,,796.5,1433.7,61
CDM,14016620,IMPL PATELLA NEXGEN,940.0,,470.0,2374.28,62
CDM,14016625,MODULAR CUP OFFSET LNR,1714.0,,857.0,2374.28,62
CDM,14016627,SPACER HIP DIAPHYSEAL COUPLING,12612.0,,6306.0,11350.8,61
CDM,14016628,STEM CEMENTLESS,11325.0,,2374.28,10192.5,62
CDM,14016630,SUREFORM RELOAD WHITE 48360W,565.0,,282.5,508.5,56
CDM,14016633,CONDYLE KIT WITH SCREWS,6934.0,,2374.28,6240.6,62
CDM,14016635,LATERAL ACCESS KIT,3317.0,,1658.5,2985.3,56
CDM,14016636,LATERAL MONITORING KIT,3317.0,,1658.5,2985.3,56
CDM,14016638,ROUND WASHER,215.0,,107.5,193.5,61
CDM,14016640,SPINAL NEEDLE,139.0,,69.5,125.1,56
CDM,14016642,GRAFT ENDOVASCULAR ZENITH,6559.0,,3279.5,5903.1,61
CDM,14016645,FILLER PRO-DENSE 20ML 87SR0120,12501.0,,506.18,11250.9,62
CDM,14016647,BOLT MONTERIS MINI,2205.0,,1102.5,1984.5,56
CDM,14016648,NEUROBLATE OPTIC FF LASE,19819.0,,9909.5,17837.1,56
CDM,14016649,NEUROBLATE ROBOT PROBE DRIVER,6628.0,,3314.0,5965.2,56
CDM,14016650,VALVE MOSIAC AORTIC,10945.0,,5472.5,9850.5,61
CDM,14016656,DELIVERY CATHETER,1106.0,,553.0,995.4,56
CDM,14016657,CHARTIS CATHETER,2102.0,,1051.0,1891.8,56
CDM,14016658,IMP KNEE FEM ROTATE HINGE SROM,1210.0,,605.0,2374.28,62
CDM,14016659,IMPLANT MEDPOR TITAN,1172.0,,506.18,1054.8,62
CDM,14016662,METALIC FEMORAL HEAD,884.0,,442.0,2374.28,62
CDM,14016663,DISPOSABLE INSTRUMENT,295.0,,147.5,265.5,56
CDM,14016665,POLYMERIC URETERAL STENT,325.0,,162.5,292.5,62
CDM,14016666,KIT PRO-DENSE CDK 7ML,8271.0,,506.18,7443.9,62
CDM,14016668,V92 CELLULAR BONE MATRIX,1452.0,,726.0,1306.8,56
CDM,14016674,STIMLOC BURR HOLE COVER,996.0,,498.0,896.4,61
CDM,14016675,TRIATHLON CR TIBIAL INSERT,2213.0,,1106.5,2374.28,62
CDM,14016676,GLENOJET ALLOGRAFT,8844.0,,4422.0,7959.6,61
CDM,14016677,ANGEL PRP KIT,720.0,,360.0,648.0,56
CDM,14016678,ATRION QL2530 INFLATION DEV,142.0,,71.0,127.8,56
CDM,14016679,BALLOON DILATION CATHETER,691.0,,345.5,621.9,57
CDM,14016680,CANNULA BIO-MEDICUS,929.0,,464.5,836.1,56
CDM,14016681,CATH PTA DCB LUTONIX 03,4644.0,,2322.0,4179.6,57
CDM,14016682,CMRP PLATE,16902.0,,506.18,15211.8,62
CDM,14016683,DRESSING WOUND VAC LRG,207.0,,103.5,186.3,56
CDM,14016684,DUAL LUMEN URETERAL CATHETER,102.0,,34.16,91.8,57
CDM,14016685,ELECT RESECTION HI FREQ,976.0,,488.0,878.4,56
CDM,14016686,ELECTRDE SEEG DEPTH 6 CONTACT,1518.0,,759.0,1366.2,56
CDM,14016687,GDWIRE DREAMWIRE ANG,603.0,,27.95,542.7,57
CDM,14016688,GRAFT GELWEAVE VLSALVA,4600.0,,1092.42,4140.0,62
CDM,14016696,INFUSE BONE GRAFT,11377.0,,5688.5,10239.3,61
CDM,14016699,LPS C FEM STEM BOW,7050.0,,2374.28,6345.0,62
CDM,14016702,MTP DISC,5462.0,,506.18,4915.8,62
CDM,14016703,MULTI UNIT ABUTMENT ST COLLAR,285.0,,45.62,256.5,62
CDM,14016704,PRE-DENSE IMPLANT KIT,5523.0,,506.18,4970.7,62
CDM,14016705,REDAPT SLVLS MONO STEM,16987.0,,2374.28,15288.3,62
CDM,14016706,REFOBACIN BONE CEMENT,603.0,,301.5,542.7,61
CDM,14016708,SHEATH GUIDING BI-DIRECTIONAL,1881.0,,940.5,1692.9,57
CDM,14016710,STENT ULTRAFLEX PROXIMAL,6261.0,,1667.17,5634.9,62
CDM,14016711,SUTURE ANCHOR S&N 25-1810,390.0,,195.0,506.18,62
CDM,14016713,TENDON PROTECTOR SHEET,5464.0,,1161.48,4917.6,62
CDM,14016715,TIBIAL INSERT,4082.0,,2041.0,3673.8,62
CDM,14016716,TUOPHY BORST CATH INTRODUCER,92.0,,46.0,82.8,57
CDM,14016720,INSERT VGPS TIB BRNG,1438.0,,719.0,2374.28,62
CDM,14016722,PERSONA CEM FEM TIB/VE SURF,8293.0,,2374.28,7463.7,62
CDM,14016723,CRYOPRESERVED PLACENTAL TISSUE,4201.0,,166.14,3780.9,56
CDM,14016724,NEURO CABRIO CABLE SYS,491.0,,245.5,441.9,56
CDM,14016727,BURR HOLE COV W/TAB 10MM,378.0,,189.0,340.2,61
CDM,14016728,BURR HOLE COV W/TAB 14MM,379.0,,189.5,341.1,61
CDM,14016729,HYDROPHILIC COATED ANGIO CATH,175.0,,87.5,157.5,56
CDM,14016730,VSP RECONSTRUCTION JIAD,23211.0,,11605.5,20889.9,56
CDM,14016731,ALIGN RADIAL STEM 02,4324.0,,2162.0,3891.6,62
CDM,14016732,DRIVER UNIVERSAL QC,229.0,,114.5,206.1,56
CDM,14016737,KIT CATH CONV ER-REBOA,375.0,,187.5,337.5,56
CDM,14016738,INTEGRA BILAYER MATRIX 54051T,8383.0,,4191.5,7544.7,61
CDM,14016740,COIL EMBOLIZATION AZUR 04,2654.0,,1327.0,2388.6,61
CDM,14016742,AEQUALIS FLX REV PTC PROX BODY,10780.0,,2374.28,9702.0,62
CDM,14016743,ELECT RESECTION HIGH FREQ MED,66.0,,33.0,59.4,56
CDM,14016744,JUGGERLOC SOFT TISSUE,1049.0,,506.18,944.1,62
CDM,14016747,ORTHO DOUBLE JAW PLATE,2157.0,,506.18,1941.3,62
CDM,14016748,STAPLE RELOAD GIA MED,403.0,,201.5,362.7,56
CDM,14016749,REAMER,511.0,,255.5,459.9,56
CDM,14016750,JOURNEY XLPE ART INSERT,2432.0,,1216.0,2374.28,62
CDM,14016753,GRAFT VASCULAR STANDARD PROPAT,8079.0,,1092.42,7271.1,62
CDM,14016754,IMP HIP REVIVAL DISTAL COMP,2213.0,,1106.5,2374.28,62
CDM,14016757,BEAM SOLID HDLESS FULL THREAD,4113.0,,506.18,3701.7,62
CDM,14016758,CMC MINI TIGHTROPE,1980.0,,506.18,1782.0,62
CDM,14016759,DBM PUTTY K5010DP,374.0,,187.0,336.6,61
CDM,14016760,DUAL MOBILITY SYSTEM 01,3040.0,,1520.0,2736.0,62
CDM,14016761,DUAL MOBILITY SYSTEM 02,5673.0,,2374.28,5105.7,62
CDM,14016762,ELEOS MALE-FEMALE MIDSECTION,6235.0,,2374.28,5611.5,62
CDM,14016763,EQUINOXE CAGEGLENOID POST AUG,1106.0,,553.0,2374.28,62
CDM,14016766,GEN SURESCAN RESTORSNSR,34272.0,,17136.0,30844.8,62
CDM,14016768,IMPL HUM STEM PRESS-FIT 02,11569.0,,2374.28,10412.1,62
CDM,14016769,INNATE INSTRUMENT KIT,505.0,,252.5,454.5,56
CDM,14016770,INTRO MICRO-INTORDUCER KIT,112.0,,46.81,100.8,57
CDM,14016771,JOURNEY PF IMPLANT MED RT,29.0,,14.5,2374.28,62
CDM,14016775,"LONG, GUIDE WIRE",154.0,,27.95,138.6,57
CDM,14016780,PRO-STIM INJECTABLE,11964.0,,5982.0,10767.6,61
CDM,14016781,REDAPT SLVLS MONO STEM,19674.0,,2374.28,17706.6,62
CDM,14016782,REDAPT STAPLE AUGMENT,3626.0,,506.18,3263.4,62
CDM,14016783,STENT GRAFT VAL NAV CS,34758.0,,1667.17,31282.2,62
CDM,14016784,T15 SCREW DRIVER,875.0,,437.5,787.5,56
CDM,14016789,CARDIAC TRASSEPTAL NEEDLE XS,590.0,,295.0,531.0,56
CDM,14016792,MANDIBLE MODEL,4568.0,,2284.0,4111.2,56
CDM,14016793,NEUROPACE REMOTE MONITOR,6192.0,,3096.0,5572.8,56
CDM,14016795,SUTURE PACING WIRE,89.0,,44.5,80.1,56
CDM,14016796,SYNTHETIC BONE WAX,3307.0,,1653.5,2976.3,56
CDM,14016797,ADHERUS AUTOSPRAY SEALANT,1463.0,,731.5,1316.7,56
CDM,14016798,CLIP ATRICLIP LONG,2929.0,,1464.5,2636.1,56
CDM,14016799,GWIRE TEMP BIPOLAR MC STR,94.0,,27.95,84.6,57
CDM,14016800,HEMOSTATIC 3GM OXIDIZED PWDR,412.0,,206.0,370.8,56
CDM,14016801,INTRODUCER SET MICRO PUNCH,108.0,,46.81,97.2,57
CDM,14016802,PACK UAB OPEN HEART,762.0,,381.0,685.8,56
CDM,14016803,PATIENT TRACKER NON INVASIVE,472.0,,236.0,424.8,56
CDM,14016808,VALVE HEART MITRAL EPIC,9056.0,,4528.0,8150.4,61
CDM,14016809,WIRE MYO MONO STERNO SUTURE,681.0,,340.5,612.9,56
CDM,14016812,FIBERLINK ARTHREX AR-7235,175.0,,87.5,157.5,56
CDM,14016815,REDAPT FULLY POROUS SHELL,5944.0,,2374.28,5349.6,62
CDM,14016817,SCORPION NEEDLE KNEE,480.0,,240.0,432.0,56
CDM,14016818,TIGERSTICK,172.0,,86.0,154.8,56
CDM,14016819,TIGHTROPE ABS IMPLANT,477.0,,238.5,506.18,62
CDM,14016820,TRIATHLON PRESS-FIT STEM,2117.0,,1058.5,2374.28,62
CDM,14016822,ABD MES COMPOSITE-POLYMER,935.0,,467.5,841.5,62
CDM,14016824,CATHETER ER-REBOA,4624.0,,208.48,4161.6,62
CDM,14016825,CLIP ATRICLIP PRO2,8293.0,,4146.5,7463.7,56
CDM,14016826,COIL AZUR 05,1712.0,,856.0,1540.8,61
CDM,14016827,DUREPAIR GRAFT 12.5CM X 20CM,5255.0,,608.95,4729.5,62
CDM,14016828,DUREPAIR GRAFT 2.5CM X 7.5CM,571.0,,285.5,608.95,62
CDM,14016830,FMRL OSS 7CM FIN STYL PROX LT,11244.0,,5622.0,10119.6,61
CDM,14016832,OSS 7CM SEGMENTAL FEMORAL LT,15202.0,,2374.28,13681.8,62
CDM,14016833,OSS AXLE,891.0,,445.5,2374.28,62
CDM,14016834,OSS POLY FEMORAL BUSHINGS,449.0,,224.5,404.1,61
CDM,14016835,OSS POLY TIBIAL BEARING,2220.0,,1110.0,2374.28,62
CDM,14016836,OSS POLY TIBIAL BUSHINGS,587.0,,293.5,528.3,61
CDM,14016837,OSS REINFORCED YOKE,2075.0,,1037.5,2374.28,62
CDM,14016838,SUREFORM RELOAD BLUE,491.0,,245.5,441.9,56
CDM,14016839,SUREFORM ROBOTIC STAPLER,1018.0,,509.0,916.2,56
CDM,14016840,TOTAL FEMORAL COUPLER,11340.0,,5670.0,10206.0,61
CDM,14016841,VALVE MOSAIC MITRAL,10502.0,,5251.0,9451.8,61
CDM,14016842,VASCULAR PROBE,229.0,,114.5,206.1,56
CDM,14016843,WAND SUCTION,65.0,,32.5,58.5,56
CDM,14016844,DUREPAIR,2098.0,,608.95,1888.2,62
CDM,14016846,PATELLA TENDON,10404.0,,5202.0,9363.6,61
CDM,14016849,SUREFORM RELOAD GREEN 48345G,491.0,,245.5,441.9,56
CDM,14016850,TROCAR THORACOPORT,174.0,,87.0,156.6,56
CDM,14016852,CANNULA SOFT FLOW,222.0,,111.0,199.8,56
CDM,14016853,CATH DBL LUM 16CM PRESS-INJ,321.0,,136.97,288.9,62
CDM,14016856,COMP VRS BONE AND IMP MDL,3539.0,,1769.5,3185.1,56
CDM,14016858,DRILL FOR FIBER TAK,285.0,,142.5,506.18,57
CDM,14016861,GELWEAVE AORTIC GRAFT 02,5642.0,,1092.42,5077.8,62
CDM,14016862,GENIUS B/MC SYSTEM 60ML,3208.0,,1604.0,2887.2,56
CDM,14016863,GLIDESHEATH SLENDER,175.0,,46.81,157.5,57
CDM,14016864,HMRL BEARING 36MM STD VITE,2270.0,,1135.0,2374.28,62
CDM,14016865,HMRL TRAY STD STD,3317.0,,1658.5,2985.3,62
CDM,14016868,HYDROCYLIC WIRE GUIDE,109.0,,27.95,98.1,57
CDM,14016869,Z*K-WIRE 2.3MMX300 PARAGON,75.0,,37.5,506.18,62
CDM,14016871,MY PTM HANDSET KIT,1615.0,,807.5,2025.45,57
CDM,14016873,OMNIFLUSH ANGIOGRAPHIC CATH,169.0,,84.5,152.1,57
CDM,14016875,PTC DISTAL STEM,9703.0,,2374.28,8732.7,62
CDM,14016876,SCREW MONSTER CS 7.2MM,612.0,,306.0,550.8,62
CDM,14016877,STM KNEE SPLIN V2 11X40-170674,2102.0,,1051.0,2374.28,62
CDM,14016878,SUREFORM RELOAD WHITE 48345W,491.0,,245.5,441.9,56
CDM,14016880,CANNULA PASSPORT BUTTON 02,193.0,,96.5,173.7,56
CDM,14016882,CATHETER KIT ANTIMICROBIAL,1435.0,,136.97,1291.5,57
CDM,14016885,DVC TR BAND RAD REG,114.0,,57.0,102.6,56
CDM,14016887,BIBERTAPE BLU W/NDLS,224.0,,112.0,201.6,56
CDM,14016888,IMPLANTABLE PULSE GENERATOR,6634.0,,3317.0,9037.98,62
CDM,14016890,MENTOR CPX WITH SUTURE,2598.0,,1299.0,2338.2,62
CDM,14016891,PROBE & CONNECTOR,3362.0,,1681.0,3025.8,56
CDM,14016893,SURGICAL CABLE DISP SM CLIP,92.0,,46.0,82.8,56
CDM,14016894,SUTURE ANCHOR,940.0,,470.0,846.0,62
CDM,14016895,TACHOSIL FIBRIN PATCH,787.0,,201.47,708.3,55
CDM,14016896,TRACHEAL STENT,984.0,,492.0,885.6,61
CDM,14016897,TRACHEAL/BRONCHIAL STENT,1296.0,,648.0,1667.17,62
CDM,14016901,GUIDEWIRE ASAHI REGALIA XT,406.0,,27.95,365.4,57
CDM,14016902,VALVE OPEN PIVOT AORTIC,5518.0,,2759.0,4966.2,61
CDM,14016903,VALVE OPEN PIVOT MITRAL,5518.0,,2759.0,4966.2,61
CDM,14016904,SYS TRUESPAN MENISCAL,1293.0,,506.18,1163.7,62
CDM,14016905,DUREPAIR GRAFT,1099.0,,549.5,989.1,62
CDM,14016906,COATED SHLDER HUM STEM PROST,7955.0,,2374.28,7159.5,62
CDM,14016907,GRAFT GELWEAVE VASCUTEK 733026,1281.0,,640.5,1152.9,62
CDM,14016909,SET INTRO STIFF,154.0,,46.81,138.6,57
CDM,14016910,GLIDESHEATH SLENDER,175.0,,46.81,157.5,57
CDM,14016911,RING HALF TL PLUS,894.0,,447.0,804.6,62
CDM,14016912,CANISTER INFOV.A.C. W/ GEL,128.0,,64.0,115.2,56
CDM,14016913,DRESSING MED VERAFLO,694.0,,347.0,624.6,56
CDM,14016917,SUTURE ANCHOR S&N 72201881,213.0,,106.5,506.18,62
CDM,14016919,HEATED INSUFFLATION TUBING,187.0,,93.5,168.3,56
CDM,14016922,SWAN-GANZ COMBO CATH,568.0,,284.0,511.2,61
CDM,14016923,DILATOR COONS TAPER,59.0,,29.5,53.1,56
CDM,14016927,AEQUALIS FLX REV  SPACER,6467.0,,3233.5,5820.3,61
CDM,14016930,DUREPAIR 62111,295.0,,147.5,608.95,62
CDM,14016931,DUREPAIR 62100,595.0,,297.5,608.95,62
CDM,14016933,FELT PTFE,590.0,,295.0,531.0,61
CDM,14016934,FEN OPEN CANNULA A STERILE,694.0,,347.0,624.6,57
CDM,14016935,INFLAT PENILE PROS PRECONNECT,16506.0,,8253.0,14855.4,62
CDM,14016937,MICROPUNCTURE INTRODUCER,89.0,,44.5,80.1,56
CDM,14016939,REDAPT MODULAR SLEEVE,5462.0,,2374.28,4915.8,62
CDM,14016940,TACHOSIL FIBRIN PATCH,1173.0,,300.29,1055.7,55
CDM,14016942,VALVE TAVR SAPIEN3 W/ DELIV,71858.0,,35929.0,64672.2,61
CDM,14016943,VERSE CORRECTION KEY,615.0,,307.5,553.5,61
CDM,14016944,VOL INFLATION DEVICE,168.0,,84.0,151.2,56
CDM,14016946,BEAD DEVICE LINX 13,12370.0,,6185.0,11133.0,61
CDM,14016947,COMPR VRS BONE & IMPLANT MODEL,467.0,,233.5,420.3,56
CDM,14016948,CONTACT EXTENSION KIT,1106.0,,553.0,995.4,62
CDM,14016949,DBS DIRECTIONAL LEAD KIT,6523.0,,3261.5,5870.7,61
CDM,14016951,IRRIGATION INTERPULSE,348.0,,174.0,313.2,56
CDM,14016962,"DBX PUTTY 100, 5CC",1210.0,,605.0,1089.0,56
CDM,14016976,CHRONOS SYNTHES 5CC,1303.0,,506.18,1172.7,62
CDM,14016979,GUIDEWIRE NITINOL MITEK,144.0,,27.95,129.6,57
CDM,14016983,DEVICE INFLATION BREEZE,449.0,,224.5,404.1,56
CDM,14016984,DRILL TIP RECON K-WIRE,428.0,,214.0,506.18,62
CDM,14017004,FIBERWIRE 2-0 AR-7220,82.0,,41.0,73.8,56
CDM,14017007,BLOCK CHRONOS 12.5X12.5X10MM,758.0,,379.0,682.2,62
CDM,14017022,PLATE FEMUR PROXIMAL 2H-8H,3155.0,,506.18,2839.5,62
CDM,14017026,NAIL CANN TIBIAL EX 10MM,3494.0,,506.18,3144.6,62
CDM,14017027,SCREW LOCKING 4.0 STRDRV,607.0,,303.5,546.3,62
CDM,14017028,SCREW LOCKING 5.0 STRDRV,623.0,,311.5,560.7,62
CDM,14017029,SCREW LOCKING 6.0MM STRDRV,382.0,,191.0,506.18,57
CDM,14017030,END CAP RAFN-EX SPRL BLD LCKG,386.0,,193.0,347.4,56
CDM,14017036,GUIDE NERVE NEURAGEN,2274.0,,1137.0,2398.4,62
CDM,14017043,PLATE ARCH 2.0 MM SGL BEND,876.0,,438.0,788.4,56
CDM,14017049,ROD OCCIPITAL PRE-BENT SYNTHES,1388.0,,694.0,1249.2,61
CDM,14017051,TI END CAP T40 SD O EXT-S FEM,517.0,,258.5,465.3,61
CDM,14017052,END CAP TI EX T40 STER SYNTHES,597.0,,298.5,537.3,61
CDM,14017053,COLLAGEN NERVE CUFF NEUROFLEX,4192.0,,2096.0,3772.8,61
CDM,14017060,INTRACEREBRAL CANNULA,516.0,,258.0,464.4,56
CDM,14017067,VITOSS FOAM PACK 10CC,3478.0,,506.18,3130.2,62
CDM,14017069,CLAMP EX FIX MR SAFE,2234.0,,1117.0,2010.6,61
CDM,14017102,LEGION FEM CONE ID 20MM RIGHT,11719.0,,5859.5,10547.1,61
CDM,14017107,RETENTIVE REVERSED INSERT,2129.0,,1064.5,2374.28,62
CDM,14017108,SIZING TOOLS LINX,1751.0,,875.5,1575.9,56
CDM,14017109,SPIRAL-Z AAA ILIAC LEG GRAFT,7022.0,,3511.0,6319.8,61
CDM,14017110,SURETEK BURR HOLE COVER KIT,1106.0,,553.0,995.4,61
CDM,14017111,SURGICAL VESSEL LOOPS,222.0,,111.0,199.8,56
CDM,14017113,VERCISE PC IMPLANT PULSE GEN,37588.0,,18794.0,33829.2,62
CDM,14017114,CABLE HF MONOPOLAR,535.0,,267.5,481.5,56
CDM,14017115,LINK MODULAR STEM CEMENTLESS,5274.0,,2374.28,4746.6,62
CDM,14017118,3 HOLE CUBE,526.0,,263.0,473.4,61
CDM,14017119,BUSHING,273.0,,136.5,245.7,61
CDM,14017121,CATH ANGIO DX INFINITI,117.0,,58.5,105.3,56
CDM,14017122,COIL AXIUM PRIME 3D,4311.0,,2155.5,3879.9,61
CDM,14017123,DD-MATRIXPRO DRIVER BATTERY,540.0,,270.0,486.0,56
CDM,14017124,INTRODUCER PEEL AWAY,159.0,,79.5,143.1,57
CDM,14017125,KNEE SYS REV CRS FEM CMNTED RT,10613.0,,2374.28,9551.7,62
CDM,14017126,KNEE SYS REV CRS ROTAT PLAFORM,4741.0,,2370.5,4266.9,62
CDM,14017127,KNEE SYS REV ROTA TIB BASE CEM,7943.0,,2374.28,7148.7,62
CDM,14017128,KNEE SYS REVI PRESSFIT STEM,2649.0,,1324.5,2384.1,62
CDM,14017129,REV TIBIAL SLEEVE PART COATED,5843.0,,2921.5,5258.7,61
CDM,14017130,REV TIBIAL SLEEVE PART COATED,5176.0,,2588.0,4658.4,61
CDM,14017133,SHORT WIRE POST PREASSEMBLED,634.0,,317.0,570.6,61
CDM,14017135,THORACIC STENT GRAFT,34758.0,,1667.17,31282.2,62
CDM,14017137,GRAFIX PL PRIME 3 X 4CM,2624.0,,166.14,2361.6,55
CDM,14017140,THORACIC STENT GRAFT SYSTEM,36638.0,,1667.17,32974.2,62
CDM,14017141,ACCU-PASS SUTURE SHUTTLE,354.0,,177.0,318.6,56
CDM,14017142,ACETAB LINER G7 DUAL-MOB,1438.0,,719.0,2374.28,62
CDM,14017143,BIO KNOTLESS SUTURE ANCHOR,665.0,,332.5,598.5,62
CDM,14017144,CLEAR TRAC COMPLTE HIP CANNULA,92.0,,46.0,82.8,56
CDM,14017145,HIP PAC DISPOSABLE,505.0,,252.5,454.5,56
CDM,14017146,HMRL BEARING 40MM STD PRLNG,1593.0,,796.5,2374.28,62
CDM,14017147,IMPLANT VBR SYNMESH,5872.0,,2936.0,5284.8,61
CDM,14017148,INJECTOR NEEDLE CARTRIDGE,653.0,,326.5,587.7,56
CDM,14017149,LOOP VASCULAR RETRACTING,58.0,,29.0,52.2,56
CDM,14017150,SYNVISC INJECTION PREF SYRINGE,438.0,,112.13,394.2,56
CDM,14017151,TROCAR TIP WIRE 1.4MM C 100MM,139.0,,69.5,506.18,62
CDM,14017152,ULTRABRAID #2 COBRAID,80.0,,40.0,506.18,62
CDM,14017153,VAC VERALINK CASSETTE,187.0,,93.5,168.3,56
CDM,14017155,CATH CONQUEST,446.0,,223.0,401.4,57
CDM,14017156,CATH THROMBO CLOTTRIEVER,13635.0,,314.82,12271.5,57
CDM,14017157,CLOT TRIEVER SHEATH,4423.0,,2211.5,3980.7,56
CDM,14017159,NEO MTA PLUS BIOCERAMIC,292.0,,146.0,262.8,61
CDM,14017160,REVERSE SHOULDER PROST CUP,3317.0,,1658.5,2985.3,62
CDM,14017161,STENT XIENCE SIERRA,1768.0,,884.0,1667.17,62
CDM,14017162,GRAFT GELWEAVE ANTE-FLO,2447.0,,1092.42,2202.3,62
CDM,14017166,TITANIUM RIB CLIP XL,4269.0,,2134.5,3842.1,61
CDM,14017167,STAPLE BONE,1991.0,,506.18,1791.9,62
CDM,14017168,SALVAGE SYS CANAL FILL,6578.0,,3289.0,5920.2,61
CDM,14017169,SUTURE TAPE W/TAILS WHITE,120.0,,60.0,108.0,56
CDM,14017171,FEM COMP JOURNEY II BCS,3539.0,,1769.5,3185.1,62
CDM,14017172,CLIP ANEUR STD FEN L T2,801.0,,400.5,720.9,61
CDM,14017173,ASAHI CORSAIR PRO,1881.0,,102.65,1692.9,57
CDM,14017174,STNT SET URETERL SOFT UNIVERSA,298.0,,149.0,268.2,62
CDM,14017176,KIT ANCHOR PELVIC ANCHORSURE,940.0,,470.0,1140.67,62
CDM,14017177,PATCH SUPPLY PERI-GUARD,1124.0,,562.0,1011.6,61
CDM,14017181,STNT SET URETERL SOFT UNIVERSA,222.0,,111.0,199.8,62
CDM,14017182,SUREFORM RELOAD BLACK 48360T,565.0,,282.5,508.5,56
CDM,14017184,IMP HUMERAL STEM,8725.0,,2374.28,7852.5,62
CDM,14017189,DRESSING HEMOSTATIC,458.0,,229.0,412.2,56
CDM,14017190,JOUST BEAM CANN HDLESS,2673.0,,506.18,2405.7,62
CDM,14017191,K-WIRE SEND T-TIP,109.0,,54.5,506.18,62
CDM,14017192,IMPLANT MEDPOR CUSTOM,26699.0,,506.18,24029.1,62
CDM,14017194,CATH PTA ULTRAVERSE 035,312.0,,156.0,280.8,57
CDM,14017195,COCHLEAR BACKUP IMPLANT,32061.0,,16030.5,28854.9,61
CDM,14017196,IMP HUMER REVERS TRAY,3037.0,,1518.5,2733.3,62
CDM,14017197,IMP PATELLA KNEE POLYETH,1425.0,,712.5,2374.28,62
CDM,14017198,KIT IRRIGATION,155.74,,77.87,140.17,56
CDM,14017200,CONSTRAINED HUMERAL LINER,4589.0,,2294.5,4130.1,62
CDM,14017202,GLENOSPHERE 40MM,8639.0,,2374.28,7775.1,62
CDM,14017204,TRANSVERSE PROCESS HOOK,829.0,,414.5,746.1,61
CDM,14017207,K-WIRE 3.2X285MM,333.0,,166.5,506.18,62
CDM,14017208,AUD BRAINSTEM IMPLT PROGRAMG,370.0,,128.87,333.0,68
CDM,14017210,MEDICAL IRRIGATION KIT,1324.0,,662.0,1191.6,56
CDM,14017211,OSTEOTOMY SURGICAL INSERT,1766.0,,883.0,1589.4,56
CDM,14017212,VALVE IBV SVS-V6-00,5086.0,,2543.0,4577.4,61
CDM,14017213,HMRL BEARING 36MM STD VITE,2078.0,,1039.0,2374.28,62
CDM,14017215,CATH TROCAR 24F,58.0,,29.0,52.2,56
CDM,14017218,MICROMATRIX MATRISTEM PRT 1000,4153.0,,3.12,3737.7,56
CDM,14017219,IMPL UNCOATED KNEE FEMUR,4469.0,,2234.5,4022.1,62
CDM,14017220,BEARING TIB OXFORD PART,3185.0,,1592.5,2866.5,62
CDM,14017221,FEM COMP OXFORD PARTIAL,6236.0,,2374.28,5612.4,62
CDM,14017222,FENESTRATED SLEEVE,554.0,,277.0,506.18,57
CDM,14017223,GDWIRE CONTROL WIRE V-18,243.0,,27.95,218.7,57
CDM,14017224,GUIDEWIRE AMPLATZER,169.0,,27.95,152.1,57
CDM,14017225,IMP CUSTOMIZED CRANIAL PEEK,37937.0,,18968.5,34143.3,61
CDM,14017226,SEGMENT DIST FEM,758.0,,379.0,2374.28,62
CDM,14017227,STRATOSPHERE END CAP,665.0,,332.5,598.5,61
CDM,14017228,TIB COMP OXFORD PART,4379.0,,2189.5,3941.1,62
CDM,14017230,ARTICULATION KIT SZ 5,2874.0,,1437.0,2586.6,62
CDM,14017231,BONE CEMENT,224.0,,112.0,506.18,62
CDM,14017232,C/M 16MM X 25MM PLUG W/NOZZLE,477.0,,238.5,429.3,61
CDM,14017233,COMPACT VACUUM CMNT MIXING S,631.0,,315.5,567.9,56
CDM,14017234,HUMERAL SCREW KIT,775.0,,387.5,697.5,62
CDM,14017235,PRODENSE CORE DECOMPRESS KIT,8578.0,,506.18,7720.2,62
CDM,14017236,ULNAR STEM,10392.0,,2374.28,9352.8,62
CDM,14017238,IMPL SHLDR GLENOSPHERE DXTEN,3262.0,,1631.0,2935.8,62
CDM,14017239,GUIDEWIRE BENTSON STRAIGHT,63.0,,27.95,56.7,57
CDM,14017241,CATH IMPELLA VENT CP 4LT/M 14F,51106.0,,25553.0,45995.4,61
CDM,14017244,KNEE ENDO MODEL,17678.0,,2374.28,15910.2,57
CDM,14017246,EXPANSION BOLT,615.0,,307.5,553.5,61
CDM,14017247,EXT FIX POST OUTRIGGER 390.011,611.0,,305.5,549.9,61
CDM,14017248,HIP PROSTHESIS STEM,7617.0,,2374.28,6855.3,62
CDM,14017249,MODULAR PROSTHESIS HEAD,4515.0,,2257.5,4063.5,62
CDM,14017250,NECK SEGMENT XXL W/O COLLAR,9557.0,,2374.28,8601.3,62
CDM,14017251,REGULAR FLUTED STEM,1731.0,,865.5,2374.28,62
CDM,14017254,SWANSON MTP JOINT PROSTHESIS,1741.0,,870.5,2374.28,62
CDM,14017258,CEMENT BONE PALACOS,532.0,,266.0,506.18,62
CDM,14017260,GLENOSPHERE CONCENTRIC,7968.0,,2374.28,7171.2,62
CDM,14017261,GRAFT GEL PLEXUS 4-B 28 BORE,4353.0,,1092.42,3917.7,62
CDM,14017262,HIP PROSTHESIS STEM,8381.0,,2374.28,7542.9,62
CDM,14017263,IMPL AUGMENT SHIM 15 DEG,1394.0,,697.0,1254.6,61
CDM,14017264,IMPL AUGMENT SHIM 5D,1394.0,,697.0,1254.6,61
CDM,14017265,IMPL KNEE BOLT COCRMO ALLOY,557.0,,278.5,501.3,61
CDM,14017266,IMPL SPACER PROXIMAL,623.0,,311.5,560.7,61
CDM,14017268,KWIRE 1.6MMX 102MM,59.0,,29.5,506.18,62
CDM,14017270,SHEATH ARROW-FLEX 8F 11CM,100.0,,46.81,90.0,57
CDM,14017272,STENT GRAFT THORACIC RELAY 06,22970.0,,11485.0,20673.0,61
CDM,14017275,GUIDEWIRE REOWAVE,290.0,,27.95,261.0,57
CDM,14017276,MODEL PREOP MANDIBLE CLEARVIEW,5190.0,,2595.0,4671.0,56
CDM,14017277,MODEL MAX/MAND CLEARVIEW 06,9705.0,,4852.5,8734.5,56
CDM,14017281,MAIN OR 5FPR - 1ST HOUR,1229.0,,491.6,1106.1,56
CDM,14017289,CRYOABLATION PROBE 11 IN,5528.0,,257.96,4975.2,57
CDM,14017292,NEEDLE PACK SHORT EVEREST FEN,406.0,,203.0,365.4,56
CDM,14017293,PLUNGER PACK SHORT EVEREST FEN,406.0,,203.0,365.4,56
CDM,14017294,COUNTERSINK Q-C,318.0,,159.0,286.2,61
CDM,14017296,EVITHROM 2ML,111.0,,28.42,99.9,55
CDM,14017297,STAPLE 24MM,1217.0,,506.18,1095.3,62
CDM,14017298,TISSUE TENDON GRACILIS,3302.0,,1651.0,2971.8,61
CDM,14017301,FEM COMP LEGION CEM CR,6357.0,,2374.28,5721.3,62
CDM,14017302,GRAFIX PL PRIME 1.5 X 2CM,1946.0,,166.14,1751.4,56
CDM,14017303,IMPL KNEE TIB COLUMBUS CR DD,2654.0,,1327.0,2388.6,62
CDM,14017306,TEMP SENSING FOLEY CATH TRAY,109.0,,54.5,98.1,56
CDM,14017307,SUPERCABLE,962.0,,481.0,865.8,61
CDM,14017308,BONE END CAP PCTV TIP BRN,94.0,,47.0,84.6,61
CDM,14017309,SUBDURAL GRID ELECTRODE,2906.0,,1453.0,2615.4,61
CDM,14017311,GRAFT STENT ENDURANT AAA,25523.0,,2374.28,22970.7,62
CDM,14017318,BIOZORB LP MARKER,2213.0,,78.0,1991.7,62
CDM,14017319,EXTRACTOR CONICAL MALE,611.0,,305.5,549.9,56
CDM,14017320,EXTRACTOR CONICAL FEMALE,531.0,,265.5,477.9,56
CDM,14017322,BONE CANCELLOUS CHIPS,896.0,,448.0,806.4,61
CDM,14017323,STNT PIG DBL SOF-FLEX,281.0,,140.5,252.9,62
CDM,14017326,CANNULA ACCUPORT END,1173.0,,586.5,1055.7,56
CDM,14017327,SEALANT COSEAL 8ML,2355.4,,602.98,2119.86,55
CDM,14017328,ASST ATTACH W/STABLESOFT TECH,554.0,,277.0,498.6,56
CDM,14017329,HIP NAT POROUS COLLARD 3 RT,4644.0,,2322.0,4179.6,62
CDM,14017336,GRAFT DURAL SURGISIS 2X3,554.0,,277.0,1478.44,62
CDM,14017338,DRSG OPSITE POST OP 11.75X4I,62.0,,31.0,55.8,56
CDM,14017341,GLENOSPHERE 36MM,8897.0,,2374.28,8007.3,62
CDM,14017342,IMPL ASCEND HUM HEAD 51MMX20MM,5924.0,,2374.28,5331.6,62
CDM,14017346,PRE-SUT LATERAL ANK FZN,2938.0,,1469.0,2644.2,61
CDM,14017347,TALAR REAMER 10 MM,456.0,,228.0,410.4,56
CDM,14017348,TRI CEMENTED STEM,1861.0,,930.5,2374.28,62
CDM,14017349,WIRE GUIDE 2.5MM,427.0,,213.5,506.18,62
CDM,14017351,SYSTEM FIXATION SPINAL,2079.0,,1039.5,1871.1,61
CDM,14017353,CLAMP INSERT SOFTJAW 61MM,59.0,,29.5,53.1,56
CDM,14017354,FORCEP BIPOLAR SPETZLER MAL 03,1046.0,,523.0,941.4,56
CDM,14017355,IMP HUMERAL FRACTURE STEM,6691.0,,2374.28,6021.9,62
CDM,14017356,DVC INFL ENCORE 26 20ML,188.0,,94.0,169.2,56
CDM,14017357,PATELLA COMPONENT DOME,1991.0,,995.5,2374.28,62
CDM,14017359,TIP APPLCTR BIOGLUE,398.0,,199.0,358.2,56
CDM,14017360,VENOUS STENT SYS-VENUL14160,3384.0,,1642.91,3045.6,62
CDM,14017361,VENOUS STENT SYS-VENUL14120,3007.0,,1503.5,2706.3,62
CDM,14017369,GUIDEWIRE HUMERAL BALL TIP,389.0,,27.95,350.1,57
CDM,14017370,COMP SRS NEXEL DST BODY,12264.0,,2374.28,11037.6,62
CDM,14017371,PACEMAKER ADAPTA SR ADSR01,5528.0,,2764.0,9037.98,62
CDM,14017372,ALTEON HA FEMORAL STEM PF,21474.0,,2374.28,19326.6,62
CDM,14017373,ANCH PEEK-SWIVELOCK 1,884.0,,442.0,795.6,62
CDM,14017374,ANCHOR SUTURE FIBERTAK KIT 01,473.0,,236.5,506.18,62
CDM,14017375,"CORKSCREW FT, PEEK, SUTURETAPE",697.0,,348.5,627.3,62
CDM,14017381,IMP MODULAR FEM HEAD TRINITY,1106.0,,553.0,2374.28,62
CDM,14017384,KIT DRAPE SURG C-ARMOR W/C-ARM,120.0,,60.0,108.0,56
CDM,14017385,LIGAMENT DELTOID RECON SYST,4324.0,,506.18,3891.6,62
CDM,14017388,MENISCUS MENDER II DISPOSABLE,400.0,,200.0,360.0,56
CDM,14017389,SIZER MAMMARY IMPLANT,653.0,,326.5,587.7,56
CDM,14017390,SUREFORM RELOAD BLACK 48345T,491.0,,245.5,441.9,56
CDM,14017391,TRI CEMENTED STEM,1861.0,,930.5,2374.28,62
CDM,14017392,CANISTER 30ML W/SOLIDIFIER,80.0,,40.0,72.0,56
CDM,14017393,CLIP HEMOCLIP ENDO INSTINCT,354.0,,177.0,318.6,56
CDM,14017394,GWIRE PLAT PLUS ST,224.0,,27.95,201.6,57
CDM,14017398,AORTIC PUNCH,104.0,,52.0,93.6,56
CDM,14017400,IMP TISSUE EXPANDER W/DOME,1106.0,,553.0,1864.67,62
CDM,14017403,STENT GRAF ENDURIIS BIF,20292.0,,1667.17,18262.8,62
CDM,14017406,TRY KYPHPK XPNDR 15/3 KPT1503,6911.0,,3455.5,6219.9,56
CDM,14017407,DORNHOFFER PARTIAL,924.0,,462.0,831.6,56
CDM,14017408,STEM KNEE SPLINED,2102.0,,1051.0,2374.28,62
CDM,14017409,SET ENDOBRONCHIAL BLOCKER,431.0,,215.5,387.9,56
CDM,14017410,CYLINDER SET ZERO ANG,9314.0,,4657.0,12059.64,62
CDM,14017411,IMP ANKLE SULCUS INBONE,4196.0,,2098.0,3776.4,62
CDM,14017412,PROS RESER CLOVERLEAF,4955.0,,2477.5,12059.64,62
CDM,14017413,PUMP ASSEM TITAN TOUCH,11279.0,,5639.5,12059.64,62
CDM,14017414,ANCHOR SUTURE FIBERTAK KIT 02,461.0,,230.5,414.9,61
CDM,14017417,LAMINA OTOLOGIC EPIFILM,503.0,,251.5,1478.44,62
CDM,14017421,CONDUIT ALIF CAGE,6302.0,,3151.0,5671.8,61
CDM,14017423,POSITIONER HEART HP3000,979.0,,489.5,881.1,56
CDM,14017425,RNS NEUROSTIMULATOR KIT,73469.0,,22201.12,66122.1,62
CDM,14017426,CATH TAL PALINDROME SPRTPCK 19,406.0,,203.0,365.4,61
CDM,14017428,WAND MAGNET,340.0,,170.0,306.0,56
CDM,14017430,PACEMAKER AZURE XT DR MRI,10502.0,,5251.0,9451.8,62
CDM,14017431,SYRINGE DOUBLE ACP,406.0,,203.0,365.4,56
CDM,14017432,END CAP NAIL BONE,419.0,,209.5,377.1,61
CDM,14017433,GUIDEWIRE SHEATHED BALL TIP,327.0,,27.95,294.3,57
CDM,14017434,GDWIRE TROCAR TIP ODI-D102,274.0,,27.95,246.6,57
CDM,14017435,KWIRE OSTEOMED,78.0,,39.0,506.18,62
CDM,14017437,DVC FIXATION ANKLE ZIPTIGHT,1761.0,,506.18,1584.9,62
CDM,14017438,CONNECTOR INTRN SPINAL FIX SYS,884.0,,442.0,795.6,61
CDM,14017439,CABLE BIPOLAR,57.0,,28.5,51.3,56
CDM,14017440,H/W INTERNALBRACE LIG RPR KIT,3307.0,,1653.5,2976.3,61
CDM,14017441,IMPL VBR END PIECE OBELISC 02,615.0,,307.5,553.5,61
CDM,14017442,KIT TIMBERLINE ACCESS DISP,2654.0,,1327.0,2388.6,56
CDM,14017444,PROPHECY INBONE,7188.0,,3594.0,6469.2,56
CDM,14017445,ZIPTHGHT ANKLE SYN,2144.0,,506.18,1929.6,62
CDM,14017448,IMPL HIP FEMORAL HEAD CERAMIC,1286.0,,643.0,2374.28,62
CDM,14017449,GEN NEUROSTIM DEMIPULSE 104,56409.0,,22201.12,50768.1,62
CDM,14017450,LOGICAL ACETABULAR SHELL,2146.0,,1073.0,2374.28,62
CDM,14017451,LOGICAL CUP LINER,713.0,,356.5,2374.28,62
CDM,14017452,REMEDY HIP STEM,4146.0,,2073.0,3731.4,62
CDM,14017457,INDIGO CATH KIT,4292.0,,314.82,3862.8,57
CDM,14017458,INFUSE BONE GRAFT,6190.0,,3095.0,5571.0,61
CDM,14017460,PACEMAKER ADAPTA SRSRK2,6634.0,,3317.0,9037.98,62
CDM,14017461,POLYMERIC SPINAL FUSION CAGE,7188.0,,3594.0,6469.2,61
CDM,14017462,TUBING PERF CUSTOM SET CARDIO,300.0,,150.0,270.0,56
CDM,14017463,BLOOD COLLECTION RESERVOIR 02,98.0,,49.0,88.2,56
CDM,14017467,TUBE FEEDING JEJUNAL MIC-KEY,351.0,,27.9,315.9,62
CDM,14017469,STENT LIFESTENT 5F 7X040MMX080,1991.0,,995.5,1791.9,62
CDM,14017470,GRAFT ENDOVASCULAR BIFURCATED,19245.0,,1667.17,17320.5,62
CDM,14017471,STEM LINEAR LATERAL OFFSET 19,3760.0,,1880.0,3384.0,62
CDM,14017473,RSP HUM SOCKET INSERT,2045.0,,1022.5,2374.28,62
CDM,14017474,Z*RSP HUM SOCKET SHELL,2453.0,,1226.5,2374.28,62
CDM,14017475,SCP FOOT ANKLE KIT,6931.0,,506.18,6237.9,62
CDM,14017476,TIB KNEE WEDGE LEG HEMI,2538.0,,1269.0,2284.2,61
CDM,14017479,GDE ORTHOG/MAND MARK 00197 POL,1493.0,,746.5,1343.7,56
CDM,14017481,CATH LUTONIX 035 DRUG COATED,3185.0,,1592.5,2866.5,57
CDM,14017483,THORACOABDOM BRANCH ENDOPROTH,0.01,,0.005,1667.17,57
CDM,14017484,MAX VPC K-WIRE,78.0,,39.0,506.18,62
CDM,14017485,GRFT STRETCH GORTEX W/REM RING,3543.0,,1092.42,3188.7,62
CDM,14017490,ATRICLIP PRO 35MM,5860.0,,2930.0,5274.0,56
CDM,14017491,BOSTON SCIENTIFIC ADVANCE XP,12292.0,,1948.58,11062.8,62
CDM,14017494,INTR CATH SET CHECK-FLO,190.0,,46.81,171.0,62
CDM,14017495,NOZZLE HUMERAL TIPS CEMENT,69.0,,34.5,62.1,56
CDM,14017496,PNEUMOTHRAX CATH TRAY,404.0,,202.0,363.6,56
CDM,14017497,SPLINT DENTAL,2157.0,,14.4,1941.3,57
CDM,14017498,HYBRID KNIFE,1125.0,,562.5,1012.5,56
CDM,14017499,IMP FEM COMPONENT,3760.0,,1880.0,3384.0,62
CDM,14017500,IMP NARROW EMERT HEAL ABUTMENT,119.0,,45.62,107.1,62
CDM,14017501,KNITTED VASCULAR GRAFT,1183.66,,591.83,1065.29,61
CDM,14017503,STAPLER SKIN REFLEX ONE,117.0,,58.5,105.3,56
CDM,14017505,ACL FIBERTAG TIGHTROPE IMPLANT,823.0,,411.5,740.7,62
CDM,14017506,ACL FIBERTAG TIGHTROPE IMPLANT,1161.0,,506.18,1044.9,62
CDM,14017507,ANCHOR FIBERTAK AR-3633,851.0,,425.5,765.9,62
CDM,14017508,FEM HEAD MOD BIPOLAR I,2213.0,,1106.5,2374.28,62
CDM,14017509,SURETEK BURR HOLE COVER SP KIT,554.0,,277.0,498.6,61
CDM,14017511,OMNIFIT CEMENTED LONG STEM,8855.0,,2374.28,7969.5,62
CDM,14017513,CRYO PLACENTAL TISSUE,7407.0,,166.14,6666.3,56
CDM,14017517,NANO CORKSCREW FT,940.0,,470.0,846.0,62
CDM,14017518,STENT ENDOPORSTHESIS VIABAHN,7179.0,,1667.17,6461.1,62
CDM,14017519,STERNAL STERNALOCK 360,8894.0,,506.18,8004.6,62
CDM,14017521,VALVE AORTIC ON-X ASCENDING,21888.0,,10944.0,19699.2,61
CDM,14017522,IMP SHOULDER REVERSE DELTA EXT,8250.0,,2374.28,7425.0,62
CDM,14017523,DRESS PREVENA PEEL AND PLACE,734.0,,367.0,660.6,57
CDM,14017526,GAUGE DPTH CONTOUR ADV,775.0,,387.5,697.5,56
CDM,14017534,IMPL CARTILAGE CARTIVA,10149.0,,1478.44,9134.1,62
CDM,14017536,NUGRAFT COTTON WEDGE,3379.0,,1689.5,3041.1,61
CDM,14017537,SURG INSTRUMENT SET,1016.0,,508.0,914.4,56
CDM,14017538,CONNECTOR CROSSLINK 3602536,884.0,,442.0,795.6,61
CDM,14017539,IMPL HIP STEM,5978.0,,2374.28,5380.2,62
CDM,14017540,KIT BAYONET BIPOLAR,1053.0,,526.5,947.7,56
CDM,14017541,SUTURE TAPE WH/BL,207.0,,103.5,186.3,56
CDM,14017542,CEMENT PALACOS,207.0,,103.5,186.3,61
CDM,14017543,HERITAGE PROX CENTRLZR,163.0,,81.5,2374.28,62
CDM,14017544,GRAFT GELWEAVE BAVARIA 02,7950.0,,1092.42,7155.0,62
CDM,14017546,END CAP TIBIA,490.0,,245.0,441.0,61
CDM,14017549,IMPL FEMORAL STEM GMRS,9346.0,,2374.28,8411.4,62
CDM,14017550,SILICONE SHEET,78.0,,39.0,70.2,56
CDM,14017551,ELEOS SALVAGE SYS CEMENTED 02,7960.0,,2374.28,7164.0,62
CDM,14017552,OCCULAR CONFORMER,227.0,,113.5,506.18,62
CDM,14017553,TISSEEL KIT W/DUPLOJECT SYSTEM,993.0,,496.5,893.7,56
CDM,14017554,CATH BEACON TIP TORCON NB ADV,88.0,,44.0,79.2,56
CDM,14017556,IMPL BREAST MEMORYGEL,1438.0,,719.0,1294.2,61
CDM,14017557,PLASMA LOOP MEDIUM,5118.0,,2559.0,4606.2,56
CDM,14017559,RETRACTOR RADIAL SURGICAL,480.0,,240.0,432.0,56
CDM,14017560,STEM WAGNER CONE PROS 135D 15M,4620.0,,2310.0,4158.0,62
CDM,14017561,KWIRE CARBOFIX,264.0,,27.95,237.6,57
CDM,14017562,OSSIOFIBER HAMMER TOE FIX SYS,2543.0,,1271.5,2374.28,62
CDM,14017564,TIGHTROPE ABS BUTTON,551.0,,275.5,506.18,62
CDM,14017565,STENT LIFESTENT,1991.0,,995.5,1791.9,62
CDM,14017566,CAGE PYRAMESH,10392.0,,5196.0,9352.8,61
CDM,14017567,PARIETECH HYDRO 3D MESH,80.0,,40.0,608.95,62
CDM,14017570,SPACER SPINAL ALIF CHESAPEAKE,9287.0,,4643.5,8358.3,61
CDM,14017571,IMP KNEE TOTAL SYSTEM,8293.0,,2374.28,7463.7,62
CDM,14017572,IMPL G7 FREEDOM LINGER 36G,3332.0,,1666.0,2998.8,62
CDM,14017573,HEAD FMRL 12/14 COCR 28MM +7,884.0,,442.0,2374.28,62
CDM,14017574,INS GNS II CON SZ5-6 13MM,2432.0,,1216.0,2188.8,61
CDM,14017575,PACK LEWIS CV,1438.0,,719.0,1294.2,56
CDM,14017576,GRAFT STENT ZENITH AAA G38171,35541.0,,1667.17,31986.9,62
CDM,14017577,DRILL WIDENING W/COUNTERSINK,498.0,,249.0,448.2,56
CDM,14017580,KWIRE SHORT,406.0,,203.0,506.18,62
CDM,14017583,LATARJET KIT,2308.0,,506.18,2077.2,62
CDM,14017585,SUTURE PASSER BRAIDED NITINOL,567.0,,283.5,510.3,56
CDM,14017589,DBM PUTTY K5100DP,1921.0,,960.5,1728.9,61
CDM,14017590,IMPL FEM KNEE STEM MODULAR,3616.0,,1808.0,3254.4,62
CDM,14017591,KWIRE THREAD BLUNT,120.0,,60.0,506.18,62
CDM,14017592,MINI ACCESS KIT NON VASC,245.0,,122.5,220.5,56
CDM,14017594,CONNECTOR CATHETER STAIGHT,92.0,,46.0,82.8,56
CDM,14017595,CONNECTOR STEPDOWN 22063,222.0,,111.0,199.8,56
CDM,14017596,CATHETER PASSER BACLOFEN 8583,291.0,,145.5,261.9,56
CDM,14017598,KIT RESERVOIR VENTRI MEDTRONIC,519.0,,259.5,467.1,56
CDM,14017601,PERFORATOR CRANIAL DISP 7MM,853.0,,426.5,767.7,56
CDM,14017602,GUIDEWIRE THREADED,683.0,,27.95,614.7,57
CDM,14017603,VALVE CSF CONTROL LL 23093,1355.0,,677.5,1219.5,61
CDM,14017605,KIT TRAJECTORY GUIDE MEDTRONIC,2365.0,,1182.5,2128.5,56
CDM,14017616,DURASEAL DURAL SEALANT,1823.0,,911.5,1640.7,56
CDM,14017617,SHUNT EDWARDS BARBARO PERITON,1866.0,,933.0,1679.4,61
CDM,14017622,NEEDLE CRANIAL BIOPSY MEDTRONI,1689.0,,844.5,1520.1,56
CDM,14017643,HYDROSET BONE VOID FILLER 5CC,2949.0,,506.18,2654.1,62
CDM,14017650,CURRETTE LATTITDE 6.5 MM,506.0,,253.0,455.4,56
CDM,14017652,SYS NDL BX CHRONOS 11GX15CM,357.0,,178.5,321.3,56
CDM,14017653,VALVE CSF CONTROL 42314,1502.0,,751.0,1351.8,61
CDM,14017667,SCREW TI POLYAXIAL SYNAPSE,1800.0,,900.0,1620.0,61
CDM,14017678,CATH CARDIAC SHUNT 15CM 27875,519.0,,259.5,467.1,61
CDM,14017710,DRILL BIT SPINE BIOMET,290.0,,145.0,261.0,56
CDM,14017751,ELECTRODE RECORDING ALPHA OMEG,351.0,,175.5,315.9,56
CDM,14017753,PEDICLE SCREW PROBE,226.0,,113.0,203.4,56
CDM,14017754,SPACER MPP PEEK,7188.0,,3594.0,6469.2,61
CDM,14017756,GENERATOR SENTIVA,65509.0,,22201.12,58958.1,62
CDM,14017757,GRAFT DURAL SURGISIS,1460.0,,730.0,1478.44,62
CDM,14017763,STENT CP COVERED 3.9CM,15715.0,,1667.17,14143.5,62
CDM,14017764,KWIRE FX 1.5MM 450MM KRSH SS,130.0,,65.0,506.18,62
CDM,14017765,LAP DUAL FLEX APPLICATOR,179.0,,89.5,161.1,56
CDM,14017766,MESH PRE-FORMED,24273.0,,12136.5,21845.7,61
CDM,14017768,STENT ENDOPROSTH VIABAHN,7447.0,,1667.17,6702.3,62
CDM,14017769,ANCHOR SUT PEEK PUSHLOCK SP,863.0,,431.5,776.7,62
CDM,14017771,ILIAC CREST WEDGE 03,2878.0,,1439.0,2590.2,61
CDM,14017773,RESORB XG TITANIUM TEMPLATE,199.0,,99.5,506.18,57
CDM,14017774,RETRACTOR SOFT TISSUE SMALL,619.0,,309.5,557.1,56
CDM,14017776,RIB CLIP TI STR STD ROTATE CON,5141.0,,2570.5,4626.9,61
CDM,14017777,CLIP LIG VESOLOCK LRG,128.0,,64.0,115.2,56
CDM,14017778,IMP JOURNEY XLPE ARTICULAR INS,7497.0,,2374.28,6747.3,62
CDM,14017780,RELOADING STAPLE UNIT BLUE,302.0,,151.0,271.8,56
CDM,14017782,BABY GORILLA WASHER,283.0,,141.5,254.7,61
CDM,14017784,LINER DUR MAR 36Z62 +4 10 DEG,3214.0,,1607.0,2892.6,62
CDM,14017785,REDAPT FULLY POROUS SHELL,5944.0,,2374.28,5349.6,62
CDM,14017787,TIBIAL INSRT ROTATNG POSTERIOR,2415.0,,1207.5,2374.28,62
CDM,14017788,ZENITH AAA GRAFT ILIAC LEG,8077.0,,4038.5,7269.3,61
CDM,14017790,IMPLANT MEDPOR TITAN,5042.0,,506.18,4537.8,62
CDM,14017791,IMPLANT TMJ UNILATERAL BUNDLE,20716.0,,10358.0,18644.4,61
CDM,14017793,CLIP LIG VESOLOCK POLY LRG,169.0,,84.5,152.1,56
CDM,14017794,REAMER HEAD RIA-DEPUY,1525.0,,762.5,1372.5,56
CDM,14017795,RIA2 BONE HARVESTING KIT,6236.0,,3118.0,5612.4,56
CDM,14017804,C/M PIN/BUSHING REV KIT,2577.0,,1288.5,2374.28,62
CDM,14017806,SUCTION/IRRIGATION TUBING SET,349.0,,174.5,314.1,56
CDM,14017809,STEM TIB MEGASYSTEM-C MALE TPR,3102.0,,1551.0,2791.8,62
CDM,14017810,COVER CAP INTERNAL 3.5MM,63.0,,31.5,56.7,61
CDM,14017811,IMPL FEM NECK SEG 126 DEG 65MM,11496.0,,506.18,10346.4,62
CDM,14017812,IMPL FEMUR COUPLING,4434.0,,2217.0,3990.6,61
CDM,14017813,ORBITAL FLOOR MEDPOR TITAN MAX,2036.0,,506.18,1832.4,62
CDM,14017814,IMPL TOTAL HIP SIGNATURE THA,8293.0,,2374.28,7463.7,62
CDM,14017817,COMP SRS/NEXEL ELBOW DST BODY,12264.0,,2374.28,11037.6,62
CDM,14017818,COMPREHENSIVE SRS IC SEG 90MM,19040.0,,2374.28,17136.0,62
CDM,14017819,SUTURE CAPIO,532.0,,266.0,478.8,56
CDM,14017821,ABUTMENT BA 400 12MM,3786.0,,1893.0,3407.4,61
CDM,14017826,IMPL FEM HEAD BIOLOX DELTA,3152.0,,1576.0,2836.8,62
CDM,14017828,K-WIRE TL-HEX OLIVE,355.0,,177.5,506.18,57
CDM,14017830,REAMER TREPHINE-ZIMMER,1039.0,,519.5,935.1,56
CDM,14017834,ULNAR ASSMLY PLASMA REG LT,8091.0,,2374.28,7281.9,62
CDM,14017840,IMPLANT SYS FIBERTAK BICEPS,1382.0,,506.18,1243.8,62
CDM,14017842,STAPLER ECHELON CIRCULAR 29MM,824.0,,412.0,741.6,56
CDM,14017845,EXT FIX BAR JET-X,356.0,,178.0,506.18,62
CDM,14017846,GRAFT ARTEGRAFT VASC4MMX40CM,5508.0,,1092.42,4957.2,62
CDM,14017847,EXT FIX CLAMP JET-X 10.5-5.0MM,767.0,,383.5,690.3,62
CDM,14017849,SYS OCT CROSSCONNECT H2H,1106.0,,553.0,995.4,61
CDM,14017850,SYS OCT LOCKING NUT,295.0,,147.5,265.5,61
CDM,14017851,ROD CONNECTOR ALTIUS M-INI,884.0,,442.0,795.6,61
CDM,14017853,FUSION CAGE ELEVATE,8844.0,,4422.0,7959.6,61
CDM,14017854,PROSTH FEM HEAD FREEDOM,2071.0,,1035.5,2374.28,62
CDM,14017855,HUMERUS SHAFT LIFELINK,1768.0,,884.0,1591.2,61
CDM,14017857,STEM FEM MRS W/O BODY,7323.0,,2374.28,6590.7,62
CDM,14017860,GDWIRE TROCAR TIP A0S 0109-150,206.0,,27.95,185.4,57
CDM,14017861,CATH CXI SUPPORT,456.0,,102.65,410.4,57
CDM,14017863,CONDYLE RIGHT LATERAL,24310.0,,12155.0,21879.0,61
CDM,14017864,WIRE GUIDE HYDROPHILIC,382.0,,27.95,343.8,57
CDM,14017866,SYS ACC BRAIN VEWSITE 21X15X5,3074.0,,1537.0,2766.6,56
CDM,14017868,GRFT STENT ZENITH DSC BARE,30955.0,,1667.17,27859.5,62
CDM,14017869,GDWIRE W/ICE HYDROPHILIC COAT,218.0,,27.95,196.2,57
CDM,14017870,SYS VASOVIEW HEMPRO EVH,1994.0,,997.0,1794.6,56
CDM,14017871,PATCH XENOSURE 2X9,934.0,,467.0,840.6,61
CDM,14017874,DVC FUSION COUPLING 15-0028/08,12284.0,,506.18,11055.6,62
CDM,14017875,GRAFTFIX PL PRIME,5970.0,,1528.32,5373.0,56
CDM,14017876,RING GRADUAL CORRECT HOFFMANN,302.0,,151.0,271.8,61
CDM,14017877,CROSSLINK SYNTHES 1020-24-004,1382.0,,691.0,1243.8,61
CDM,14017879,GDWIRE METRO DIRECT ANG G25657,344.0,,27.95,309.6,57
CDM,14017885,CATHETER BALLOON AERIS,1254.0,,627.0,1128.6,56
CDM,14017888,"MESH SOFT MESH BARD 12""X12""",524.0,,262.0,608.95,62
CDM,14017890,STEM REDAPT PF-240MM SZ 25,20565.0,,2374.28,18508.5,62
CDM,14017891,GRAFT VENAFLO STEPPED 45CM,1502.0,,751.0,1351.8,62
CDM,14017893,IMPL COPAL EXCHANGE G HIP,10613.0,,2374.28,9551.7,62
CDM,14017894,COUPLING COMPOUND POLY LARGE,3129.0,,1564.5,2816.1,56
CDM,14017895,FEM AUGMENT DISTAL LARGE,2241.0,,1120.5,2016.9,61
CDM,14017898,ALLOGRAFT VEIN FEMORAL 10-30CM,12382.0,,1092.42,11143.8,62
CDM,14017899,CLIP 360 ENDO RESOLUTION 235CM,743.0,,371.5,668.7,56
CDM,14017900,SLEEVE COMPRESSION FRAG-LOC,588.0,,294.0,529.2,56
CDM,14017903,SALVATION FRAME ASSEMBLY,23145.0,,506.18,20830.5,62
CDM,14017904,HEART VALVE W/CONFORM-X RING,9950.0,,4975.0,8955.0,61
CDM,14017905,D-WASHER SEF33000,89.0,,44.5,80.1,56
CDM,14017906,WIRE 2MM SEF20000,460.0,,230.0,506.18,62
CDM,14017907,WIRE BOLT 2MM PREASSEMBLED,530.0,,265.0,477.0,61
CDM,14017908,RESERVOIR SALMON-RICKMAN,868.0,,434.0,781.2,56
CDM,14017909,CAGE INTERBODY SYNFIX,8403.0,,4201.5,7562.7,61
CDM,14017910,VAD HM GRAFT OUTFLOW 102,3332.0,,1666.0,2998.8,61
CDM,14017913,ROTATIONAL KNEE JOINT FEM COMP,14806.0,,2374.28,13325.4,62
CDM,14017915,ANCHOR KNOTLESS LINK,791.0,,395.5,711.9,62
CDM,14017916,CONNECTOR LATERAL OFFSET,940.0,,470.0,846.0,61
CDM,14017918,IMPL VERT MANDIBULAR ANGLE,554.0,,277.0,498.6,61
CDM,14017919,PNEUMATIC INFLATOR BOSTON SCI,556.0,,278.0,500.4,56
CDM,14017920,SNARE SNAREMASTER 230U,78.0,,39.0,70.2,56
CDM,14017922,CANNULA AORTIC ARGYLE 21F STR,75.0,,37.5,67.5,56
CDM,14017924,CASSETTE S/I SONOPET,972.0,,486.0,874.8,56
CDM,14017925,GRAFT TAG THORACIC TGM343420,38483.0,,19241.5,34634.7,61
CDM,14017927,CYLINDER TITAN SET W/PUMP 22CM,23459.0,,11729.5,21113.1,62
CDM,14017929,TIB INS JOURNEY RM-LL 3-4 9MM,2654.0,,1327.0,2388.6,62
CDM,14017930,VSP RECON BUNDLE W/O INSERTS,9950.0,,4975.0,8955.0,56
CDM,14017932,ORTHOG SINGLE JAW,1991.0,,995.5,1791.9,56
CDM,14017935,CUTTING LOOP ELECT BIBOLAR,804.0,,402.0,723.6,56
CDM,14017936,IMPL ACT PINNACLE ALTRX 36MM,1438.0,,719.0,2374.28,62
CDM,14017937,ANCHOR JUGGERKNOT 2.9MM DL,731.0,,365.5,657.9,62
CDM,14017939,PIN CLAMP 5-HOLE,874.0,,437.0,786.6,61
CDM,14017940,CUTTING GUIDE W/PLAN RECON,8834.0,,4417.0,7950.6,56
CDM,14017941,CUTTING GUIDE RECON XSM,2638.0,,1319.0,2374.2,56
CDM,14017942,ADPTER HEMI-PROS 36MM AEQUAL,4676.0,,2338.0,4208.4,61
CDM,14017943,HUMERAL HEAD 50X16MM AEQUALIS,4278.0,,2139.0,3850.2,62
CDM,14017944,K-WIRE DRILL,406.0,,203.0,506.18,62
CDM,14017945,DSG MICROMATRIX COLLAGEN 10X15,4079.0,,1044.22,3671.1,56
CDM,14017946,PROBE & CONNECTOR TIMBERLINE,2018.0,,1009.0,1816.2,56
CDM,14017953,ABUTMENT ZYGOMA MULTI UNIT,421.0,,210.5,378.9,56
CDM,14017957,K-LESS T-ROPE W/DRV,3307.0,,506.18,2976.3,62
CDM,14017959,AUGMENT BLOCK DISTAL,2257.0,,1128.5,2031.3,61
CDM,14017960,DOMINO VARIABLE ANGLE,884.0,,442.0,795.6,62
CDM,14017962,FULL SKULL ADULT CLEARVIEW,10555.0,,5277.5,9499.5,56
CDM,14017964,INSERT TIBIAL NEXGEN,3465.0,,1732.5,3118.5,62
CDM,14017965,SYS OSSIOFIBER HAMMER TOE FIX,3650.0,,1825.0,6043.04,62
CDM,14017966,MESH CRANIOFACIAL PITTSBURGH,1281.0,,608.95,1152.9,62
CDM,14017968,TIBIAL CONE 15-2993/03,10773.0,,5386.5,9695.7,61
CDM,14017971,VALVE AORTIC ON-X ASCENDING,21888.0,,10944.0,19699.2,61
CDM,14017972,VSP RECONSTRUCTION TRAUMA,14371.0,,7185.5,12933.9,56
CDM,14017973,IMP ORTHO ARH SOLUTIONS 2 HEAD,8750.0,,4375.0,7875.0,61
CDM,14017975,IMP FEMORAL SEGMENT 15-2971/17,2106.0,,1053.0,1895.4,61
CDM,14017976,IMPLANT MEDPOR TITAN 81020,2165.0,,506.18,1948.5,62
CDM,14017977,CEMENT ORTHOPEADIC OTOMIMIX,783.0,,391.5,704.7,62
CDM,14017981,WOUND MATRIX WSM0710,2267.0,,580.35,2040.3,56
CDM,14017982,PCMKR VALITUDE CRT-P X4 U125,12161.0,,6080.5,10944.9,62
CDM,14017983,SYSTEM INTERBODY CASCADIA,8403.0,,4201.5,7562.7,61
CDM,14017984,WIRE K KIRSHNER K10NS220,147.0,,73.5,506.18,62
CDM,14017987,FAST FIX CURVED NDL SYSTEM,1033.0,,516.5,929.7,56
CDM,14017988,JET-X 4 HOLE PIN CLAMP,659.0,,329.5,593.1,61
CDM,14017989,JET-X FREEDOM POST,795.0,,397.5,715.5,61
CDM,14017990,JET-X QUICK CLAMP,1206.0,,603.0,1085.4,61
CDM,14017991,REAMER CONCAVE MTP,1049.0,,524.5,944.1,56
CDM,14017993,SURGICAL SYS HANDPIECE TIP,1774.0,,887.0,1596.6,56
CDM,14017994,2/3 RING 205MM,2456.0,,1228.0,2210.4,61
CDM,14017995,MESH 3DMAX LEFT 12.4 X 17.3CM,450.0,,225.0,608.95,62
CDM,14017996,3D MAX MESH X-LARGE,604.0,,302.0,608.95,62
CDM,14017997,CABLE BUTTON,411.0,,205.5,369.9,61
CDM,14017998,COCHLEAR BACKUP IMPLANT,29360.0,,14680.0,26424.0,61
CDM,14017999,COLLARLESS BEADED MIDCOAT STD,4644.0,,2322.0,4179.6,62
CDM,14018001,IMPL SYS FIXATION SWIVLCK,1603.0,,506.18,1442.7,62
CDM,14018003,SCR HEMI ST TIBIAL WEDGE,2574.0,,506.18,2316.6,62
CDM,14018004,EXT FIXATOR ILIZAROV RING,2456.0,,1228.0,2210.4,61
CDM,14018005,IMPLANT BONE VOID FILLER 01,7729.0,,506.18,6956.1,62
CDM,14018007,LOW PROFILE MALE HINGE,318.0,,159.0,286.2,61
CDM,14018009,BOLT FOR FEMORAL NECK SYSTEM,876.0,,438.0,788.4,62
CDM,14018010,STINT SILICONEURETERO-INTEST,468.0,,187.52,421.2,62
CDM,14018011,ALLOSYNC DBM GEL,2654.0,,1327.0,2388.6,61
CDM,14018012,BIOCARTILAGE KIT LARGE,603.0,,301.5,542.7,56
CDM,14018013,CRANIAL CURVE POLYETHYLENE,2572.0,,1286.0,2374.28,62
CDM,14018015,MODULAR PROSTHESIS HEAD,2916.0,,1458.0,2624.4,62
CDM,14018018,WIRE PACING,2765.0,,1382.5,2488.5,56
CDM,14018019,EXT FIX BAR JET-X,567.0,,283.5,510.3,61
CDM,14018020,GRAFT ENDO TAG THORACIC,27427.0,,13713.5,24684.3,61
CDM,14018021,HINGE EXT FIX LOW PROFILE,317.0,,158.5,285.3,61
CDM,14018023,CONDUIT RESILIA AORTIC VALVED,30955.0,,15477.5,27859.5,61
CDM,14018025,DOWELL RESOLUTION CANNULATED,2538.0,,1269.0,2284.2,61
CDM,14018031,DVC INFLAT DISP BRYAN QL2530,154.0,,77.0,138.6,56
CDM,14018034,IMP FEM COMPONENT S&N 71306115,3760.0,,1880.0,3384.0,62
CDM,14018035,KIT HAMMERTOE HAMMERTUBE,3588.0,,1794.0,3229.2,61
CDM,14018036,DRSG MICROMATRIX COLLAGEN 500,2560.0,,3.12,2304.0,55
CDM,14018037,SONOPET APEX 360 STER,10608.0,,5304.0,9547.2,56
CDM,14018039,WIRE KIRSCHNER SNGL-END,104.0,,52.0,506.18,62
CDM,14018040,6 HOLE PIN CLAMP,1253.0,,626.5,1127.7,61
CDM,14018043,EIT ALIF CAGE,6302.0,,3151.0,5671.8,61
CDM,14018050,MODULAR STEM LINK 15-8524/57,4824.0,,2374.28,4341.6,62
CDM,14018052,INSERT OR3O DM XLPE,3317.0,,1658.5,2985.3,62
CDM,14018053,LINER OR3O DUAL MOBILITY,4423.0,,2211.5,3980.7,62
CDM,14018056,IMPL MEDIPOR TITAN BTB-81025,13040.0,,506.18,11736.0,62
CDM,14018058,EXT FIX POST JET-X ANGLED 30D,345.0,,172.5,310.5,61
CDM,14018059,TIP FLUTED GUIDE PIN COCR,295.0,,147.5,265.5,56
CDM,14018060,GUIDEWIRE ENDOLOGIX 0.035IN,406.0,,27.95,365.4,57
CDM,14018062,IMPL NEXEL ULNAR STEM,10149.0,,2374.28,9134.1,62
CDM,14018063,GDWIRE BALL TIP 2.4MM 70CM,388.0,,27.95,349.2,57
CDM,14018064,COLLAGEN VASC GRAFT BOVINE,2831.0,,1092.42,2547.9,62
CDM,14018066,GDWIRE DRILL TIP,229.0,,27.95,206.1,57
CDM,14018067,IMPL HUMERAL STEM ASCEND FLEX,5608.0,,2374.28,5047.2,62
CDM,14018068,IMPLANT SPINAL DISC PRODISC-C,19695.0,,9847.5,17725.5,61
CDM,14018069,EXT FIX BAR JET-X 400MM,563.0,,281.5,506.7,62
CDM,14018072,LEAD NEURO DBS DIRECT,7971.0,,229.5,7173.9,62
CDM,14018073,MARKER TISSUE IMPLANTABLE,2765.0,,78.0,2488.5,62
CDM,14018074,MODULAR STEM W/FEMALE TAPER,3102.0,,1551.0,2791.8,62
CDM,14018075,MODULAR STEM W/MALE TAPER,3359.0,,1679.5,3023.1,62
CDM,14018076,MODULAR TIBIAL JOINT COMP,7077.0,,2374.28,6369.3,62
CDM,14018077,RIBFIX ADV SHORT BRIDGE POST,8489.0,,3605.81,7640.1,62
CDM,14018078,RIBFIX ADVANTAGE GUIDE CABLE,621.0,,310.5,558.9,56
CDM,14018079,XRL MED IMPL INTEGRATED CAGE,9357.0,,4678.5,8421.3,61
CDM,14018086,IMP HIP STEM PRESS-FIT L BOWED,8990.0,,2374.28,8091.0,62
CDM,14018087,CONNECTOR LAT OFFSET SIDELOAD,940.0,,470.0,846.0,61
CDM,14018088,MENISCAL REPAIR SYSTEM 4722,1051.0,,506.18,945.9,62
CDM,14018091,DBM PUTTY,360.0,,180.0,324.0,61
CDM,14018094,LGN HK LINK ASSY SZ 2-5 FEM,1866.0,,933.0,2374.28,62
CDM,14018095,SPACER SOVEREIGN 24 DEG,8933.0,,4466.5,8039.7,61
CDM,14018098,LINER REV 10 DEGREE,2852.0,,1426.0,2566.8,62
CDM,14018100,LUNG DENERVATION SYSTEM (N/C),0.01,,0.005,0.009,56
CDM,14018103,FORCEPS BIPOLAR STRAIGHT TIP,1631.0,,815.5,1467.9,56
CDM,14018105,IMP COMP ARTICULAR 8252-0025 W,9585.0,,2374.28,8626.5,62
CDM,14018106,KIT NEEDLE PAK 2 TROCAR,301.0,,150.5,270.9,56
CDM,14018107,STNT DIV BANDER OPEN,170.0,,85.0,288.9,62
CDM,14018108,DEVICE BONE FILLER,726.0,,363.0,653.4,56
CDM,14018109,IMPLANT CERV CONVEX,1438.0,,719.0,1294.2,61
CDM,14018110,CATH CARDIAC VALVULOPLASTY,1124.0,,562.0,1011.6,56
CDM,14018111,COBLATION WAND,642.0,,321.0,577.8,56
CDM,14018112,EXT FIX BAR JET-X,356.0,,178.0,320.4,61
CDM,14018113,EXT FIX BAR JET-X 600MM,458.0,,229.0,412.2,61
CDM,14018115,SYS SENTINEL CEREBRAL PROTECT,8844.0,,1461.69,7959.6,62
CDM,14018117,GRAFT INFUSE BONE LARGE II,13068.0,,6534.0,11761.2,61
CDM,14018118,MESH 3DMAX MID ANATOMICAL,546.0,,273.0,608.95,62
CDM,14018119,MESH 3DMAX MID ANATOMICAL,604.0,,302.0,608.95,62
CDM,14018120,CAGE ANTERIOR CERVICAL,2068.0,,1034.0,1861.2,61
CDM,14018121,PUMP COLOPLAST 90-9000KC,9314.0,,4657.0,12059.64,62
CDM,14018122,SOLUTION BONE BASIC KIT,5307.0,,2653.5,4776.3,56
CDM,14018123,CATH URET BALLOON DILATION,585.0,,292.5,526.5,57
CDM,14018124,VENOUS STENT SYSTEM VENUL12100,3539.0,,1642.91,3185.1,62
CDM,14018127,STENT DUMON,1423.0,,711.5,1280.7,61
CDM,14018128,SYS MINIBUNION IMPLANT,1159.0,,579.5,1043.1,61
CDM,14018129,SYSTEM VEIN HARVEST VH-2400,2097.0,,1048.5,1887.3,56
CDM,14018130,ANTERIOR SPINAL CAGE,1969.0,,984.5,1772.1,61
CDM,14018131,HEAD FEM G7 FREEDOM COCR,2071.0,,1035.5,2374.28,62
CDM,14018132,BALL REAMER,1464.0,,732.0,1317.6,56
CDM,14018133,GLENOJET DRILL GUIDE/PIN PKG,466.0,,233.0,419.4,56
CDM,14018134,GLENOJET REAMER,670.0,,335.0,603.0,56
CDM,14018135,HEX DRIVER,375.0,,187.5,337.5,56
CDM,14018136,INTERNAL COVER CAP,62.0,,31.0,55.8,56
CDM,14018137,OPENING REAMER,1468.0,,734.0,1321.2,56
CDM,14018138,RING ANNULOPLASTY,6528.0,,3264.0,5875.2,56
CDM,14018139,SCREW DRIVER ATTACHMENT,510.0,,255.0,459.0,56
CDM,14018140,IMPLANT BONE VOID FILLER 02,5055.0,,506.18,4549.5,62
CDM,14018141,LEAD PACING MYOPORE,843.0,,421.5,922.22,62
CDM,14018142,OMNIPORE ORBITAL SPHERE,1028.0,,514.0,925.2,61
CDM,14018145,IMPELLA 5.5 WITH SMARTASSIST,73702.0,,36851.0,66331.8,61
CDM,14018146,MMG BALL TIP PFR,888.0,,444.0,799.2,56
CDM,14018147,MMG SENSORS W/GROUND,1778.0,,889.0,1600.2,56
CDM,14018148,GRAFT BIFURCATED GELSOFT PLUS,2559.0,,1092.42,2303.1,62
CDM,14018149,IMPLANT EYELID PLATINUM 1.2G,1881.0,,940.5,1692.9,61
CDM,14018150,PROSTHESIS PENILE PUMP PREC,442.0,,221.0,12059.64,62
CDM,14018151,BONE CEMENT,1654.0,,506.18,1488.6,62
CDM,14018152,CAGE ALEUTIAN LAT PAR,6844.0,,506.18,6159.6,62
CDM,14018153,ANCHOR JUGGERKNOT SOFT,1193.0,,506.18,1073.7,62
CDM,14018154,QUICK CLAMP,692.0,,346.0,622.8,61
CDM,14018155,RIB SHORT BRIDGE LOCKING POSTS,8837.0,,4418.5,7953.3,61
CDM,14018156,RIB GUIDE CABLE,591.0,,295.5,531.9,56
CDM,14018157,DVC VERTEBRAL BODY REPLCMT,12634.0,,6317.0,11370.6,61
CDM,14018158,IMPL BONE VOID FILLER 03,6001.0,,506.18,5400.9,62
CDM,14018159,DILATOR BALLOON URETERAL 24,1054.0,,367.53,948.6,57
CDM,14018160,ENDOVASCULAR STENT GRAFT SYS,16733.0,,1667.17,15059.7,62
CDM,14018161,ENDOVASCULAR STENT GRAFT SYS,7954.0,,1667.17,7158.6,62
CDM,14018164,BIFURCATED ILLUMINATOR NIAGARA,281.0,,140.5,252.9,56
CDM,14018166,IMP BIOINDUCTIVE W/ART DEL MED,5475.0,,2737.5,4927.5,61
CDM,14018167,GUIDEWIRE PACK SINGLE-USE,281.0,,27.95,252.9,57
CDM,14018168,NV IPAS III DIAMOND TIP,466.0,,233.0,419.4,56
CDM,14018169,PROBE STIMULATING MONOPOLAR,445.0,,222.5,400.5,56
CDM,14018170,ANCHOR TENDON S&N 2504-1,1264.0,,506.18,1137.6,62
CDM,14018171,MATRIX DURAL DURAM-ONLAY 1X3,1435.0,,717.5,1291.5,61
CDM,14018172,IMPL COCHLEAR W/SLIM ELECTRODE,32640.0,,16320.0,29376.0,61
CDM,14018173,INTRODUCER PEEL-AWAY GUIDANT,684.0,,97.78,615.6,57
CDM,14018174,MINI HOOK UPPER THOR ANGLE,737.0,,368.5,663.3,61
CDM,14018175,SPACER MPF TIMBERLINE,6844.0,,3422.0,6159.6,61
CDM,14018176,OSTEOCRETE BONE VOID FILLER,3159.0,,506.18,2843.1,62
CDM,14018177,SUTURE PASSER PARAGON,556.0,,278.0,500.4,56
CDM,14018178,EXT FIX BAR 200MM,331.0,,165.5,297.9,61
CDM,14018180,IMPL SHOULDER DLENOID RET,2527.0,,1263.5,2374.28,62
CDM,14018181,PALINDROME EMERALD 19/36 SP VT,923.0,,395.6,830.7,62
CDM,14018182,PALINDROME H-P SP VT 23CM,386.0,,193.0,395.6,62
CDM,14018183,EXT FIXATOR PIN CUBE 5MM 2H,466.0,,233.0,419.4,61
CDM,14018184,COPAL EXCHANGE G TRIALS,821.0,,410.5,738.9,56
CDM,14018185,NDL MICRO DISSECT COLO 4CM STR,153.0,,76.5,137.7,56
CDM,14018186,ROD SPINAL EXPEDIUM 5.5,386.0,,193.0,347.4,61
CDM,14018187,EXT FIX SALVATION FT POSITION,239.0,,119.5,506.18,62
CDM,14018188,EXT FIX SALVATION LEG POSITION,568.0,,284.0,511.2,61
CDM,14018189,MEDIAL OFFSET CONNECTOR,2390.0,,1195.0,2151.0,61
CDM,14018192,BONE ANCHOR S&N 4403,1264.0,,506.18,1137.6,62
CDM,14018193,BONE DOWEL REVISION KIT 12MM,1032.0,,516.0,928.8,61
CDM,14018194,CARDIOBLATE CYROFLEX 60CM1,8750.0,,4375.0,7875.0,56
CDM,14018195,EIT ALIF CAGE SYNTHES TUI80928,5685.0,,2842.5,5116.5,61
CDM,14018197,IMPL HIP ACETAB LINER G7,3159.0,,1579.5,2843.1,62
CDM,14018198,IMPL FIBERTAK BICEP,843.0,,421.5,758.7,62
CDM,14018199,HOOK LAMINAR POLARIS,715.0,,357.5,643.5,61
CDM,14018200,IMPL ELBOW DISCOVERY SYSTEM,12170.0,,2374.28,10953.0,62
CDM,14018201,KT CONDYLE W/HEXALOBULA,4901.0,,2374.28,4410.9,62
CDM,14018202,STEM MODULAR PRESSFIT CONICAL,5492.0,,2374.28,4942.8,62
CDM,14018203,GDWIRE 0.8MM/100MM LENGTH,219.0,,109.5,197.1,56
CDM,14018204,IMPL BREAST MEMORYGEL SMPX-240,1768.0,,884.0,1591.2,61
CDM,14018205,NERVE CAP AXOGUARD 3MM,3159.0,,1579.5,2843.1,61
CDM,14018206,OSTEOCRETE MIXING AND DEL SYS,1473.0,,736.5,1325.7,56
CDM,14018207,CATH THORACIC PLEUR-EVAC 8020,123.0,,61.5,110.7,57
CDM,14018208,SYS SLING MALE ADVANCE XP,13636.0,,1948.58,12272.4,62
CDM,14018209,CATH LEFT VENT SUMP ARGYLE 14F,154.0,,77.0,138.6,56
CDM,14018210,IMPL CUSTOM CRANIAL MEDPOR SM,22395.0,,506.18,20155.5,62
CDM,14018211,VSP RECONSTRUCT CASE BUNDLE,19303.0,,9651.5,17372.7,56
CDM,14018213,STENT TRACHEAL/BRONCHIAL,1423.0,,711.5,1667.17,62
CDM,14018214,GDWIRE ANGIO PTFE EXCHANGE.035,171.0,,27.95,153.9,57
CDM,14018215,IMPL KNEE FEM CONE,10260.0,,5130.0,9234.0,61
CDM,14018217,K-WIRE 3 X 285MM STRYKER,318.0,,159.0,506.18,62
CDM,14018218,"NEEDLE FORAMEN INTERSTIM 5.0""",182.0,,91.0,163.8,56
CDM,14018219,RIB LOCKING CAPX-DRIVE,684.0,,342.0,615.6,61
CDM,14018220,RIB WASHER ZIMMER 323.1290,504.0,,252.0,453.6,61
CDM,14018221,PCMKR SERENA CRT-P MRI,13898.0,,6949.0,12508.2,62
CDM,14018222,DRAIN EXT MONT LIMITORR 20ML,904.0,,452.0,813.6,56
CDM,14018223,GDWIRE TIP FLUTED 400MM LGTH,527.0,,263.5,474.3,56
CDM,14018224,IMPL COCHLEAR OSIA,9149.0,,4574.5,8234.1,61
CDM,14018225,MICRO MESH STRYKER 54-00272,530.0,,265.0,506.18,62
CDM,14018226,NDL SUT ABD KEITH STRT 4.016IN,632.0,,316.0,568.8,56
CDM,14018227,PIN-PLUG KIT CONNECT IS-1,281.0,,140.5,252.9,56
CDM,14018228,BLADE TREPHINE STEINLESS STEEL,993.0,,496.5,893.7,56
CDM,14018230,SYS BOWL MGMT CONVATECH 418000,292.0,,146.0,262.8,56
CDM,14018231,CATH X-FORCE U30 8X4CM,597.0,,298.5,537.3,57
CDM,14018232,DVC INFLAT SPHERE 20CC 30ATM,163.0,,81.5,146.7,56
CDM,14018233,DVC INFLAT SPHERE 40CC 15ATM,178.0,,89.0,160.2,56
CDM,14018234,IMPL FEM HEAD UNITRAX 49MM,948.0,,474.0,2374.28,62
CDM,14018235,KIT HERO ACCESS SUPERHERO,8424.0,,4212.0,7581.6,61
CDM,14018236,MINI BUNION REAMER KIT,948.0,,474.0,853.2,56
CDM,14018237,SLEEVE UNITRAX NECK ADJUSTMENT,258.0,,129.0,232.2,61
CDM,14018238,VSP RECONSTRUCTION PLAN,5398.0,,2699.0,4858.2,56
CDM,14018239,WIRE REDUCTION THREAD LG STOP,449.0,,224.5,506.18,62
CDM,14018240,TAPERED SMOOTH KNEE FEMUR STEM,2689.0,,1344.5,2420.1,62
CDM,14018243,IMPL FEM AUGMENT DIST PC,3159.0,,1579.5,2843.1,61
CDM,14018244,IMPL FEM AUGMENT DISTAL ONLY,4023.0,,2011.5,3620.7,61
CDM,14018245,NCB LOCKING SCREW CAP,343.0,,171.5,308.7,61
CDM,14018246,TIB INSERT ITOTAL IPOLY XE CR1,1854.0,,927.0,2374.28,62
CDM,14018247,TIB INSERT ITOTAL IPOLY XE CR2,927.0,,463.5,2374.28,62
CDM,14018248,1.6 KWIRE,332.0,,166.0,506.18,62
CDM,14018249,FRESH PLUG LIFENET RFP10,5371.0,,2685.5,4833.9,61
CDM,14018250,BOLT EXTRACTION CONICAL,764.0,,382.0,687.6,56
CDM,14018251,FRCP BROKEN SCREW REMOVAL,2196.0,,1098.0,1976.4,56
CDM,14018252,STENT GRAFT NEXUS AORTIC ARCH,0.01,,0.005,1667.17,57
CDM,14018254,CATH INSERT IAB KIT/CONNECTOR,1358.0,,679.0,1222.2,56
CDM,14018255,TUBE EAR DURAVENT,72.0,,36.0,64.8,61
CDM,14018257,CATH BALLOON STENT GRAFT Q50,1051.0,,257.51,945.9,57
CDM,14018259,CAGE CORPECTOMY K2M,9897.0,,4948.5,8907.3,61
CDM,14018260,IMPL TMJ COMP NRW RT TI 50M,1384.0,,692.0,1245.6,61
CDM,14018261,STABILIZER OCTOPUS NUVO,3780.0,,1890.0,3402.0,56
CDM,14018262,NUT LOCKING SYMPHONY OCT SYSTE,283.0,,141.5,254.7,61
CDM,14018263,CYLINDER PEEK TEMP HEXED 3.5MM,109.0,,54.5,98.1,56
CDM,14018265,GRAFT GENTRIX-MATRISTEM,907.0,,453.5,816.3,62
CDM,14018266,ABUTMENT HEALING BMK SYST RP,139.0,,45.62,125.1,62
CDM,14018268,LINER ACET NON-CONSTRAINED,3159.0,,1579.5,2843.1,62
CDM,14018269,SYSTEM DIAPHRAGM PACING,109344.0,,22201.12,98409.6,62
CDM,14018270,BONE CEMENT MIXING SYS HERAEUS,790.0,,395.0,711.0,56
CDM,14018271,FEMORAL STEM TAPER DEPUY,4423.0,,2211.5,3980.7,62
CDM,14018272,BONE STAPLE NITINOL HIMAX,2949.0,,506.18,2654.1,62
CDM,14018273,IMPL JOURNEY II UNI TIB BASE,4750.0,,2374.28,4275.0,62
CDM,14018274,IMPL JOURNEY II UNI TIB XLPE,2372.0,,1186.0,2374.28,62
CDM,14018275,FIBRIN SEALANT HUMAN 10ML,1400.13,,358.43,1260.12,55
CDM,14018276,IMPL RING BARD SIMUPLUS FLEX,3946.0,,1973.0,3551.4,61
CDM,14018277,BUTTON DISTAL CLAVICLE PLATE,737.0,,368.5,663.3,62
CDM,14018278,GRAFT SURGISIS 4 LAYER G12580,2264.0,,1132.0,2037.6,62
CDM,14018279,STENT LIFESTENT 5F VASC SYSTEM,3265.0,,1632.5,2938.5,62
CDM,14018280,IMPL SPEEDBUTTON AND INST KIT,1209.0,,604.5,1088.1,61
CDM,14018282,CATH BREVIA 11F 20CM,291.0,,98.18,261.9,62
CDM,14018283,ALLOSYNC DBM GEL 5CC,1685.0,,842.5,1516.5,61
CDM,14018285,KIT IMPL HAMMERTOE CCI,3866.0,,1933.0,3479.4,61
CDM,14018286,MATRIX BONE BIO4 10.0CC,7727.0,,2084.51,6954.3,62
CDM,14018287,IMPL FEM CRUC ATTUNE SZ 7 RT,4297.0,,2148.5,3867.3,62
CDM,14018288,IMPL KNEE ATTUNE BASE,1895.0,,947.5,2374.28,62
CDM,14018290,PATELLA ATTUNE MED ANAT,948.0,,474.0,2374.28,62
CDM,14018291,PATELLA ATTUNE MED ANAT 35MM,1257.0,,628.5,2374.28,62
CDM,14018292,VLV AORTIC W/CONFORM-X RING 23,15374.0,,7687.0,13836.6,61
CDM,14018293,CATH SPYGLASS DISCOVER DIGITAL,7713.0,,3856.5,6941.7,56
CDM,14018295,MATRIX PLACENTA AMINOFILL250MG,1106.0,,553.0,995.4,61
CDM,14018296,ALLOGRAFT MEMBRANE AMNIOTIC,7361.0,,346.5,6624.9,62
CDM,14018297,WOUND KIT NPWT PICO 7 10X30CM,139.0,,69.5,125.1,56
CDM,14018298,FEM ARTERY HUMAN ALLOGRAFT,9056.0,,4528.0,8150.4,61
CDM,14018299,MAXBRAID SUTURE KIT,856.0,,428.0,770.4,62
CDM,14018300,OMNIGUIDE BEAMPATH OTO-S,1759.0,,879.5,1583.1,56
CDM,14018301,WOUND KIT NPWT PICO 14 10X30CM,595.0,,297.5,535.5,56
CDM,14018302,NEEDLE TROCAR X-PAK LONG,200.0,,100.0,180.0,56
CDM,14018303,CAGE SPINAL LLIF EIT LUI80844,8424.0,,4212.0,7581.6,61
CDM,14018304,DILATOR INSULATED 8X13X18MM,1044.0,,522.0,939.6,56
CDM,14018305,K-WIRE BLUNT SYNTHES MLD0301,386.0,,193.0,506.18,62
CDM,14018306,CLIP MULTI STAGE MMG STIM,586.0,,293.0,527.4,56
CDM,14018307,SPIKE SHIM BLUNT MLD0513,586.0,,293.0,527.4,56
CDM,14018308,IMPL HUM HEAD AEQUALIS,6660.0,,2374.28,5994.0,62
CDM,14018309,IMPL VBR SYNMESH 22MMX28MM TI,4138.0,,2069.0,3724.2,61
CDM,14018310,IMPL MEDPOR ULTRA THIN SHEET,737.0,,368.5,663.3,62
CDM,14018312,CAGE SPINAL EIT CIF,2000.0,,1000.0,1800.0,61
CDM,14018313,CANN VEN SGL STAGE MALL 32F,106.0,,53.0,95.4,56
CDM,14018314,FIBERSTITCH IMPLANT CURVED,1044.0,,506.18,939.6,62
CDM,14018315,GUIDEWIRE RF POWERWIRE,2633.0,,27.95,2369.7,57
CDM,14018316,PORTAL SKID ARTHREX AR-4505,147.0,,73.5,132.3,56
CDM,14018317,STENT LIFESTENT VASC,3791.0,,1642.91,3411.9,62
CDM,14018318,SUTURE TENSIONER-CUTTER,451.0,,225.5,405.9,56
CDM,14018319,TMJ DIAMOND RASP COARSE,574.0,,287.0,516.6,56
CDM,14018320,IMPL AVENIR COMPLETE FEM STEM,6228.0,,2374.28,5605.2,62
CDM,14018321,GUIDEWIRE DRILL TIP SYNTHES,334.0,,27.95,300.6,57
CDM,14018322,IMPL SALVAGE SEGMENTAL FEM,4814.0,,2374.28,4332.6,62
CDM,14018324,HEX DRIVER 2.5MM SYNTHES,2145.0,,1072.5,1930.5,56
CDM,14018325,MATRIX BONE BIO4 5.0CC,4056.0,,2028.0,3650.4,61
CDM,14018326,BONE ANCHOR S&N 2503-S,843.0,,421.5,758.7,62
CDM,14018327,FILLER DERMAL RESTYLANE,682.0,,341.0,613.8,61
CDM,14018328,KIT PROCEDURE HYSTEROLUX,770.0,,385.0,693.0,56
CDM,14018329,IMPL BIO4 2.5CC VIABL,2216.0,,1108.0,1994.4,61
CDM,14018334,CAGE ANTERIOR CERV TRITANIUM C,6001.0,,3000.5,5400.9,61
CDM,14018335,CONNECTOR CROSSLINK BIOMET,843.0,,421.5,758.7,61
CDM,14018336,TWIST OFF FINISHING DRIVER AO,237.0,,118.5,213.3,56
CDM,14018337,IMPL AVENIR CMPL HA HO SZ 7.5,6231.0,,2374.28,5607.9,62
CDM,14018338,GRFT VASC BIOLINE FUSION,2780.0,,1092.42,2502.0,62
CDM,14018339,KIT HYDROSET XT FINAL 3CC,1950.0,,506.18,1755.0,62
CDM,14018340,HEMOSTAT PUTTY BONE MONTAGE,4736.0,,2368.0,4262.4,61
CDM,14018341,PLUG PERFIX LIGHT LRG,410.0,,205.0,608.95,62
CDM,14018342,TUBE G TRITON 24F,132.0,,27.9,118.8,62
CDM,14018343,SYMMETRY VNS KIT,54487.0,,27243.5,49038.3,56
CDM,14018344,TRUCLEAR ELITE HYSTEROSCOPE,57.0,,28.5,51.3,56
CDM,14018345,PROS PENILE TACTRA 9.5MM,19245.0,,914.36,17320.5,62
CDM,14018346,NARROW BASE REAR TIP EXTENDERS,794.0,,397.0,12059.64,62
CDM,14018347,IMPL ARTICUL/EZE FEM HEAD 32MM,1264.0,,632.0,2374.28,62
CDM,14018348,ALLOGRAFT AMNIOTIC EPIFIX 4X4,5527.8,,183.4,4975.02,55
CDM,14018349,PROSTH PENLE TITAN TOUCH 18CM,19373.0,,9686.5,17435.7,62
CDM,14018350,BFLEX 3.8 FLEXIBLE BRONCHOSCOP,590.0,,295.0,531.0,56
CDM,14018351,COMPR FX HMRL POS SLV,488.0,,244.0,439.2,61
CDM,14018352,CPR FRACTR STEM PPS,7088.0,,2374.28,6379.2,62
CDM,14018353,IMPL BIO4 1CC VIABLE,1013.0,,506.5,911.7,61
CDM,14018355,PALAMIX MIXING SYSTEM,1433.0,,716.5,1289.7,56
CDM,14018356,INTRODUCER SAFESHEATH II,198.0,,46.81,178.2,57
CDM,14018357,UROLIFT SYS W/HAND RELEASE,2053.0,,1026.5,1847.7,61
CDM,14018358,CLIP SPRING LATIS/LATIS 6MM,63.0,,31.5,56.7,56
CDM,14018359,UNITY TIBIAL INSERT PS FIXED,2106.0,,1053.0,2374.28,62
CDM,14018360,LARYNGOS FLEX W/INJ T-O/PERC,634.0,,191.28,570.6,68
CDM,14018361,ANAT MODEL GRADT SITE CLR,2977.0,,1488.5,2679.3,56
CDM,14018362,CATH ANGIO BEACON TIP,202.0,,101.0,181.8,56
CDM,14018364,CEMENT VERTAPLEX HV,2711.0,,506.18,2439.9,62
CDM,14018365,GASTROSTOMY PEG KIT 20FR,253.0,,27.9,227.7,62
CDM,14018366,GUIDE MIDFACE/MNDBL TRUMATCH,8044.0,,4022.0,7239.6,56
CDM,14018367,IMPL KNEE FEM COMPONENT,4292.0,,2146.0,3862.8,62
CDM,14018368,IMPL HIP ACET LINER G7 FREEDOM,3332.0,,1666.0,2998.8,62
CDM,14018370,KIT PICO DRESSING S&N 66022003,430.0,,215.0,387.0,56
CDM,14018371,GRFT VASC KNITTED COLLAGEN STR,562.0,,281.0,1092.42,62
CDM,14018373,ASCENDING STENT GRAFT,34990.0,,9037.98,31491.0,62
CDM,14018374,CABLE SEEG CONN,496.0,,248.0,446.4,56
CDM,14018375,DESCENDING STENT GRAFT,20952.0,,10476.0,18856.8,61
CDM,14018376,DEVICE CLOSURE SKIN ZIPLINE,360.0,,180.0,324.0,56
CDM,14018377,EXT FIX RING FOOT SHORT,3019.0,,1509.5,2717.1,61
CDM,14018378,LOGICAL CUP LINER,1306.0,,653.0,2374.28,62
CDM,14018379,LUER ADAPTER CONG CEMENT,322.0,,161.0,289.8,56
CDM,14018380,SET INTUBATION CRAWFORD,237.0,,118.5,213.3,56
CDM,14018381,VIVACIT-E DM BEARING,1843.0,,921.5,2374.28,62
CDM,14018382,WMS M&IB DI 30MM,13192.0,,6596.0,11872.8,56
CDM,14018383,MESH ABDOMINAL SURGICAL,158.0,,79.0,608.95,62
CDM,14018384,ANTERIOR CANNULAARTHREX,386.0,,193.0,347.4,56
CDM,14018385,CANNULA ARTHROSCOPIC MID POST,386.0,,193.0,347.4,56
CDM,14018386,STEM BIOMET SMOOTH KNEE,2000.0,,1000.0,2374.28,62
CDM,14018387,CANISTER SNPT SUCTION DIS,98.0,,49.0,88.2,56
CDM,14018388,DENTAL IMPLANT SUPRASTRUCTURE,102.0,,51.0,91.8,61
CDM,14018389,FIBERWIRE MENISCAL NEEDLES SM,219.0,,109.5,197.1,56
CDM,14018390,IMPLANT MANDIBLE KLS,15920.0,,506.18,14328.0,62
CDM,14018391,MENISCAL ROOT REPAIR KIT,2937.0,,1468.5,2643.3,56
CDM,14018392,CATH BALL MOLDING & OCCLUSION,964.0,,208.48,867.6,57
CDM,14018393,ZONE NAVIGATOR ARTHREX AR-7900,586.0,,293.0,527.4,56
CDM,14018394,8 CONTACT PUSH BUTTON OR CABLE,386.0,,193.0,347.4,56
CDM,14018395,DURACLIP LARGE,374.0,,187.0,336.6,56
CDM,14018396,FOOT/ANKL SCP SIDE DEL 11GA 12,7033.0,,506.18,6329.7,62
CDM,14018397,INTERBODY FUSION CAGE ZIMMER,6844.0,,3422.0,6159.6,61
CDM,14018398,MODULAR GLENOID SYSTEM,843.0,,421.5,2374.28,62
CDM,14018399,PLASMA LOOP MEDIUM,929.0,,464.5,836.1,56
CDM,14018400,PTC DISTAL STEM,16204.0,,2374.28,14583.6,62
CDM,14018401,SYSTEM FIXATION SPINAL TORNIER,562.0,,281.0,505.8,61
CDM,14018402,TUOHY NEEDLE SHORT ARTHRES,171.0,,85.5,153.9,56
CDM,14018403,GRAFT VASCULAR EPTFE F10,640.0,,320.0,1092.42,62
CDM,14018404,IMP FEM COMP PERSONA CR PLS,23282.0,,2374.28,20953.8,62
CDM,14018405,KIT PREP STAPLE DYNAFORCE 18MM,1159.0,,579.5,1043.1,56
CDM,14018406,CAGE SPINAL INTERBODY FUSION,8003.0,,4001.5,7202.7,61
CDM,14018407,INS TIB CCK REVISION,7633.0,,2374.28,6869.7,62
CDM,14018408,WASHER OSTEOCENTRIC 300-0701,75.0,,37.5,67.5,61
CDM,14018411,ELECT BIPOLAR PSS QUICK-FIRE,589.0,,294.5,530.1,56
CDM,14018412,SUCTION WAVEGUIDE,684.0,,342.0,615.6,56
CDM,14018413,SYS RPR MEN NOVOSTITCH PRO,1159.0,,579.5,1043.1,56
CDM,14018414,SUTURE MANAGER NOVOCUT,451.0,,225.5,405.9,56
CDM,14018415,SYMPHONY OCT SYS MULTI ADAPTER,1433.0,,716.5,1289.7,61
CDM,14018416,SYMPHONY OCT SYS MULTI ADAPTER,1433.0,,716.5,1289.7,61
CDM,14018418,SEALANT FIBRIN VISTASEAL,459.0,,229.5,413.1,56
CDM,14018419,TOOL TUNNELING 3.5CM DB-4254,322.0,,161.0,289.8,56
CDM,14018421,GLENOSPHERE UNIVERS REV,4044.0,,2022.0,3639.6,62
CDM,14018422,IMP HUMERAL INSERT AR-9503M-06,1901.0,,950.5,2374.28,62
CDM,14018423,MENISCAL BEARING OXFORD,3033.0,,1516.5,2729.7,62
CDM,14018424,IMPL MODULAR POST AR-9582-35,2565.0,,1282.5,2374.28,62
CDM,14018425,PATELLA TEMPLATE KIT ANTERIOR,493.0,,246.5,443.7,56
CDM,14018426,IMPL HUMERAL STEM REVERSE,4350.0,,2175.0,3915.0,62
CDM,14018427,IMPL REVERSE SUTURE CUP,3342.0,,1671.0,3007.8,62
CDM,14018428,SUTURE CINCH,252.0,,126.0,226.8,56
CDM,14018429,ARCUS 8X8 STAPLE KIT STERILE,2173.0,,506.18,1955.7,57
CDM,14018431,IMPL FEM CRUC ATTUNE,14320.0,,2374.28,12888.0,62
CDM,14018432,KN AUG CONE TIB PERSONA TR,8895.0,,2374.28,8005.5,62
CDM,14018433,K-WIRE WITH STOP 1.6MM L 150M,239.0,,119.5,506.18,62
CDM,14018434,PSN REV FEM CMT CCR STD SIZE 3,12176.0,,2374.28,10958.4,62
CDM,14018435,PSN REV TAPERED SMOOTH STEM,2796.0,,1398.0,2516.4,62
CDM,14018437,REVISION CRS FEMORAL CEMENTED,12078.0,,2374.28,10870.2,62
CDM,14018438,TUBE FEEDING JEJUNAL MIC 16X45,504.0,,252.0,453.6,61
CDM,14018439,VSP RECONSTRUCTION BUNDLE,15920.0,,7960.0,14328.0,56
CDM,14018440,PIN SET UNIVERS REVERS,843.0,,421.5,758.7,62
CDM,14018441,BIOCARTILAGE 1CC,2064.0,,1032.0,1857.6,61
CDM,14018442,SUTURE ANCHOR SWIVELOCK PEEK,917.0,,458.5,825.3,62
CDM,14018444,EXCLUDE CONFORM AAA TRNK ENDO,30107.0,,15053.5,27096.3,61
CDM,14018447,IMP ATTUNE TIB INS RP CRUCIATE,1685.0,,842.5,2374.28,62
CDM,14018449,IMPL FEM KNEE COMP ATTUNE,12078.0,,2374.28,10870.2,62
CDM,14018450,ANCHOR HTO IBALANCE CANCELLOUS,527.0,,263.5,506.18,62
CDM,14018451,ANCHOR HTO IBALANCE CORTICAL,527.0,,263.5,506.18,62
CDM,14018452,IMPL HTO IBALANCE LG,4001.0,,506.18,3600.9,62
CDM,14018453,IMPL TIB INSERT RP POSTERIOR,1685.0,,842.5,2374.28,62
CDM,14018454,KIT INSTRUMENT STRATUM STD,575.0,,287.5,517.5,56
CDM,14018455,TIB AUG KNEE ATTUNE CEM UNIVER,2790.0,,1395.0,2511.0,61
CDM,14018457,KIT 10MM SNGL USE OATS DISP,1370.0,,685.0,1233.0,56
CDM,14018458,VASCULAR PLUG 4,1948.0,,974.0,1753.2,61
CDM,14018459,SURFACE ACETAB TRIFLANGE RT,28008.0,,2374.28,25207.2,62
CDM,14018460,GUID ADPT VISIONAIRE LEGION PR,1053.0,,526.5,947.7,56
CDM,14018462,PLUG BONE INTERMEDULLARY SM,442.0,,221.0,506.18,62
CDM,14018463,TUBE EAR VENT DURAVENT 1.27,72.0,,36.0,64.8,61
CDM,14018464,IMPL FEM KNEE ATTUNE PS CMSZ5,3370.0,,1685.0,3033.0,62
CDM,14018465,TISSUE TUTOPLAST PERICARDIUM,4364.0,,2182.0,3927.6,61
CDM,14018466,KWIRE 0.6 SINGLE ENDED TROCAR,98.0,,49.0,506.18,62
CDM,14018467,KIT ARTERIAL CATHERIZATION,173.0,,86.5,155.7,56
CDM,14018468,ASSEMBLY STRATA II SNAP SHUNT,8298.0,,4149.0,7468.2,61
CDM,14018469,BONE FEM SHAFT SPLIT,2266.0,,1133.0,2039.4,61
CDM,14018470,CATH VASCUTRAK 5F 3.5X200MM,1317.0,,257.51,1185.3,57
CDM,14018472,STEM FEM SECUR-FIT 127DEG SZ6,4528.0,,2264.0,4075.2,62
CDM,14018473,GRAFT DEBAKEY 6X6CM,81.0,,40.5,72.9,61
CDM,14018474,GUIDEWIRE ASAHI SION BLACK,267.0,,27.95,240.3,57
CDM,14018475,GUIDEWIRE BLUNT TIP K2M,88.0,,27.95,79.2,57
CDM,14018476,IMP HEAD FEM DELTA CERMIC 40MM,3002.0,,1501.0,2701.8,62
CDM,14018478,KIT REPAIR TIGHTROPE SYNDES,3536.0,,506.18,3182.4,62
CDM,14018479,MAXILLA CLEAR VIEW,7799.0,,3899.5,7019.1,56
CDM,14018482,CATH TAPERED SILICONE IP37957,1159.0,,102.65,1043.1,57
CDM,14018483,KIT BURR HOLE DEV ACCY LJ53,586.0,,293.0,527.4,61
CDM,14018484,KIT BURR HOLE DEC EMANLJ53,1053.0,,526.5,947.7,61
CDM,14018485,LEAD SENSIGHT 1.5MM EMANLJ53,6844.0,,3422.0,6159.6,61
CDM,14018486,KIT ACCESSORY PASSING ELEVATOR,322.0,,161.0,289.8,56
CDM,14018488,INJECTOR TRIVASCULAR,737.0,,368.5,663.3,56
CDM,14018489,HA WILDCAT FIXED LENGTH TOTAL,826.0,,413.0,743.4,61
CDM,14018490,SIZER CENTERED ALTO TOTAL,821.0,,410.5,738.9,56
CDM,14018491,CLAMP VASCU-STATT SURG BULLDOG,260.0,,130.0,234.0,56
CDM,14018492,TAP 5.0MM CFX THREAD,329.0,,164.5,506.18,62
CDM,14018493,CATH STERLING OTW 6X200X150,672.0,,257.51,604.8,57
CDM,14018494,CANNULATED REVISION DOWEL,2987.0,,1493.5,2688.3,61
CDM,14018495,DIMD BU TUBE BI-DIRMX DEV6AL4V,1493.0,,746.5,1343.7,56
CDM,14018496,ENDO TUBE TENAX LASER W/STYLET,450.0,,225.0,405.0,56
CDM,14018498,PERCUTANEOUS EXTENDER TABS,1329.0,,664.5,1196.1,61
CDM,14018499,SHEATH CHECK-FLO RAABE 5F 90CM,182.0,,46.81,163.8,57
CDM,14018500,STENT PRECISE PRO RX 6X30X135,3791.0,,1642.91,3411.9,62
CDM,14018502,EAR VENT TUBE MODIFIED T 1.32,75.0,,37.5,67.5,61
CDM,14018503,PATCH MESH HERNIA VENTRALEX ST,927.0,,463.5,834.3,62
CDM,14018504,HARPOON BEATING HEART MVR SYS,52644.0,,26322.0,47379.6,56
CDM,14018505,ANKLE TALUS-RTLIFENET ATR80,13530.0,,2374.28,12177.0,62
CDM,14018506,CANNULATED REVISION DOWEL,1200.0,,600.0,1080.0,61
CDM,14018508,ELECTRODE BIPOLAR PSS QUICK-FI,386.0,,193.0,347.4,56
CDM,14018510,ELECTRODE LARGE LOOP,589.0,,294.5,530.1,56
CDM,14018511,BATTERY INST STRYKER,80.0,,40.0,72.0,56
CDM,14018512,SUTURE TAPE 0.9MM,132.0,,66.0,118.8,56
CDM,14018513,TIB INS SIGMA HP UNI FB,1685.0,,842.5,2374.28,62
CDM,14018514,TIB TRAY SIGMA HP UNI FB,1685.0,,842.5,2374.28,62
CDM,14018515,TIB BRAY SIGMA HP UNI FB,3791.0,,1895.5,3411.9,62
CDM,14018516,SYS ACCLARENT AERA 6.0X16,4234.0,,2117.0,3810.6,56
CDM,14018517,CATH INNERVISION 15CM,385.0,,192.5,346.5,56
CDM,14018518,FIBER LASER 200 MICRON,778.0,,389.0,700.2,56
CDM,14018519,WIRE BOLT OFFSET SHORT,178.0,,89.0,160.2,61
CDM,14018520,WIRE SMOOTH 1.8MM 400MM,236.0,,118.0,506.18,62
CDM,14018521,INS STAB/DISTR DVC LUMB SGL,1780.0,,890.0,1602.0,56
CDM,14018523,DELIVERY NEEDLE 10GAX10CM,187.0,,93.5,168.3,56
CDM,14018524,FILLER NORIAN INJECT 5CC,2950.0,,506.18,2655.0,62
CDM,14018525,PROTECTION SLEEVE FOR NAILS,684.0,,342.0,615.6,56
CDM,14018526,TRANSVERSE CONNCECTOR,896.0,,448.0,806.4,61
CDM,14018528,KIT INSERTION BIO-MEDICUS ART,223.0,,111.5,200.7,56
CDM,14018529,GRAFTON DBM MATRIX,3650.0,,1825.0,3285.0,61
CDM,14018530,CATH EMB ARTERIAL FOGARTY 7F,112.0,,56.0,314.82,57
CDM,14018531,CATH VENTRIC ENDO BACTISEAL,1172.0,,586.0,1054.8,56
CDM,14018533,GRAFT EXCLUDER AAA GORE C3,8720.0,,4360.0,7848.0,61
CDM,14018534,GRAFT CARBOFLO STRAIGHT 10CM,421.0,,210.5,1092.42,62
CDM,14018535,IMPL TISS EXPAND CPX 4 PLUS,451.0,,225.5,1864.67,62
CDM,14018536,CONTROLLER HEARTMATE II PCKT,11582.0,,5791.0,10423.8,61
CDM,14018538,IMPL ARH SOLUTIONS 2 HEAD 18MM,9166.0,,2374.28,8249.4,62
CDM,14018539,CATH LUMBAR HERMETIC INS-5010,540.0,,270.0,486.0,56
CDM,14018540,CARTRIDGE SUT NOVOSTITCH (2-0),1053.0,,526.5,947.7,56
CDM,14018541,TRAY KYPHPK XPNDR 15/3 KPT1504,4412.0,,2206.0,3970.8,56
CDM,14018542,CATH POWER TRIALYSIS 13X24CM,283.0,,98.18,254.7,62
CDM,14018544,KIT DRILL GUIDE/PIN JUGGERLOC,1889.0,,944.5,1700.1,56
CDM,14018545,KIT IMPL LEAD AXONICS 1801,759.0,,379.5,683.1,56
CDM,14018546,LEAD TINED AXONICS 1201,7371.0,,3685.5,6633.9,62
CDM,14018547,SYS NEUROMODUL SACRAL AXONICS,23732.0,,11866.0,21358.8,62
CDM,14018548,DVC DEL GRAFT ANGLE BIOXPRESS,1804.0,,902.0,1623.6,56
CDM,14018549,TISSUE TUTOPLAST 2X7CM,1804.0,,902.0,1623.6,61
CDM,14018550,BONE FEM SHAFTG SPLIT,2267.0,,1133.5,2040.3,61
CDM,14018552,MESH VENTRALEX ST LARGE CIRCLE,1425.0,,608.95,1282.5,62
CDM,14018553,ALLOGRAFT OATS DISP KIT,2527.0,,1263.5,2274.3,56
CDM,14018554,SYS ATRICLIP FLEX,3579.0,,1789.5,3221.1,61
CDM,14018555,RINGLOC REPLACEMENT RING SZ23,88.0,,44.0,2374.28,62
CDM,14018557,CEMENT BONE SIMPLEX HV 40G,433.0,,216.5,389.7,61
CDM,14018558,INTRODUCER CATH D'VILL 14FR,543.0,,46.81,488.7,57
CDM,14018559,KIT SYR CEMENT TRAUMACEM V+,402.0,,201.0,361.8,61
CDM,14018561,CEMENT INJECTABLE TRAUMACEM,985.0,,492.5,886.5,62
CDM,14018562,CANNULA INJECTION TRAUMACEM V+,891.0,,445.5,801.9,56
CDM,14018565,IMPL SYNMESH 12MM DIA HT TI,1811.0,,905.5,1629.9,61
CDM,14018566,MICROPUNCTURE SET ANGIODYNAMIC,1036.0,,518.0,932.4,56
CDM,14018567,CABLE BONE COCR ACCORD W/CLAMP,316.0,,158.0,284.4,61
CDM,14018568,IMPL SYS ECLIPSE SPEEDSCAP,6054.0,,506.18,5448.6,62
CDM,14018569,IMPL PRESS-FIT HUMERAL,8318.0,,2374.28,7486.2,62
CDM,14018570,CONN SPNL TRANSLACE 5.6/6.0MM,4106.0,,2053.0,3695.4,61
CDM,14018571,MESH CMF DYNAMIC,4726.0,,506.18,4253.4,62
CDM,14018572,SYS SPINAL FIX TEETHER,3106.0,,1553.0,2795.4,61
CDM,14018573,CATH PUSHING COOK G21774,85.0,,42.5,76.5,56
CDM,14018574,NEEDLE BIOPSY FLEXISION,586.0,,293.0,527.4,56
CDM,14018575,CONNECTOR SWIVEL OXYGEN,330.0,,165.0,297.0,56
CDM,14018576,PROBE PERIPHERAL VISION ION,70.0,,35.0,63.0,56
CDM,14018577,PACEMAKER ASSURITY DR RF,7371.0,,3685.5,6633.9,62
CDM,14018578,IMPL OSSIC ALTO PARTIAL,821.0,,410.5,738.9,61
CDM,14018580,FORCEP RESCUE RAT,305.0,,152.5,274.5,56
CDM,14018581,IMPL HUM DISCOVERY,9730.0,,2374.28,8757.0,62
CDM,14018583,SPINEMASK (TM) TRACKER,574.0,,287.0,516.6,56
CDM,14018585,DVC BONE FILLER MEDTRONIC F06A,269.0,,134.5,242.1,61
CDM,14018586,TAPER HUMERAL MODULE STRYKER,4696.0,,2348.0,4226.4,62
CDM,14018587,IMPL SYS FIBERTAK BUTTON,1598.0,,799.0,1438.2,61
CDM,14018588,KIT COLON DECOMPRESSION COOK,344.0,,172.0,309.6,56
CDM,14018590,REVERSE MODULAR REPLC ADAPTOR,31385.0,,2374.28,28246.5,62
CDM,14018592,TRIFLANGE LEFT HARBISON SZ 25,27790.0,,2374.28,25011.0,62
CDM,14018593,CABLE INTERCONNECTION 4 CONTAC,399.0,,199.5,359.1,56
CDM,14018594,CABLE INTERCONNECTION 6 CONTAC,427.0,,213.5,384.3,56
CDM,14018595,LPS PROX TIB REPLC C XSM,13029.0,,2374.28,11726.1,62
CDM,14018596,IMPL ACET LINER G7 HW,3030.0,,1515.0,2727.0,62
CDM,14018598,GENERATOR NEUROSTIM VNS,56770.0,,22201.12,51093.0,62
CDM,14018600,IMPL KIT INSTAFIX,1757.0,,506.18,1581.3,62
CDM,14018601,STENT ENDOPROSTHESIS VIABAHN,7100.0,,1667.17,6390.0,62
CDM,14018602,HEX DRIVER TIP 1.55MM HPC-0015,376.0,,188.0,338.4,56
CDM,14018603,AIMING GUIDE PDG-AIM-015,94.0,,47.0,84.6,56
CDM,14018604,FORCEP BX COVIDIEN AKI00133-01,251.0,,125.5,225.9,56
CDM,14018605,PROSTH CAP COTTON-LORENZ,277.0,,138.5,249.3,61
CDM,14018606,FORCEP MINI BX CAPTURA,85.0,,42.5,76.5,56
CDM,14018607,CATH REPERFUSION INDIGO CAT6,4566.0,,314.82,4109.4,57
CDM,14018608,CATH REPERFUSION INDIGO CAT7D,11359.0,,314.82,10223.1,57
CDM,14018609,DOMINO 3603635 OFFSET,811.0,,405.5,729.9,61
CDM,14018610,FACIAL ID-RECON-2PLATES,17165.0,,8582.5,15448.5,61
CDM,14018611,MESH HERNIA VENTRALIGHT,2567.0,,608.95,2310.3,62
CDM,14018612,IMPL HUMERAL INSERT SOCKET RSP,2548.0,,1274.0,2374.28,62
CDM,14018613,SYS INDIGO PENUMBRA SEP7,3402.0,,1701.0,3061.8,56
CDM,14018614,KIT FIBERTAPE TENDON BRIDGE,1215.0,,607.5,1093.5,61
CDM,14018616,PTFE FELT BARD 007977,72.0,,36.0,64.8,61
CDM,14018617,IMPL STEM MONOBLOCK RSP REV,3066.0,,1533.0,2759.4,62
CDM,14018618,VSP RECON GUIDES TITANIUM,4860.0,,2430.0,4374.0,56
CDM,14018619,IMPL CHIN/MANDIBULAR,3635.0,,1817.5,3271.5,61
CDM,14018621,PERFORATOR CRANIAL DGR-I 14/11,432.0,,216.0,388.8,56
CDM,14018622,POD RUBY 14 PENUMBRA RBYPOD14,3625.0,,1812.5,3262.5,61
CDM,14018623,STENT GRFT ENDOVASC TREOVANCE,18235.0,,9117.5,16411.5,61
CDM,14018624,STENT GRFT ENDOVASC TREOVANCE,9804.0,,4902.0,8823.6,61
CDM,14018626,WIRE FX 1.6MM 200MM KRSH SS FT,92.0,,46.0,506.18,62
CDM,14018627,XCELL STEM WOUND POWDER 1000MG,3548.0,,1774.0,3193.2,56
CDM,14018628,XCELL STEM WOUND POWDER500MG,1779.0,,12.14,1601.1,57
CDM,14018629,ALLODERM EXTRA THIN LIFECELL,1038.0,,95.49,934.2,56
CDM,14018630,EXCLUDER TRUNK GORE CXT261412,23650.0,,11825.0,21285.0,61
CDM,14018632,SHARPVAC DEBRIDEMENT PROBE,973.0,,486.5,875.7,56
CDM,14018633,TUBING VERSA CUT MORCELLATOR,97.0,,48.5,378.9,57
CDM,14018634,BATTERY PACK POWERED DR MATRIX,671.0,,335.5,603.9,56
CDM,14018636,HAEMATOLOCICAL SYS PREP KIT,484.0,,242.0,435.6,56
CDM,14018638,SYS FIX TROCHLEOPLASTY,1012.0,,506.0,910.8,62
CDM,14018639,XCELL STEM WOUND POWDER 250MG,917.0,,458.5,825.3,56
CDM,14018640,INTRO TRACH TRAY BLUE RHINO,778.0,,27.95,700.2,57
CDM,14018641,SHTH PINN DEST 7X90CM ST,62.0,,31.0,102.65,57
CDM,14018642,PINK PAD XOMED 40585,639.0,,319.5,575.1,56
CDM,14018643,SYS NEUROSTIM EXTERNAL 97725,2633.0,,1316.5,2369.7,57
CDM,14018644,INTRO FLEXOR SHUTTLE 5FR 90CM,282.0,,46.81,253.8,57
CDM,14018645,STNT ESP TAEWOONG NITI-S COOK,4111.0,,1667.17,3699.9,62
CDM,14018646,PROBE PERIPH VISION INTUITIVE,769.0,,384.5,692.1,56
CDM,14018647,HARVESTER BONE QUADPRO ARTHREX,862.0,,431.0,775.8,56
CDM,14018649,STIMULATOR INC TRIAL EXT PULSE,496.0,,248.0,446.4,56
CDM,14018650,INS 977006 PAIN PC MRI US EMAN,31385.0,,15692.5,28246.5,61
CDM,14018651,PATIENT STIM REMOTEMEDTRONIC,5062.0,,2531.0,4555.8,61
CDM,14018652,COROENT XLT NUVASIVE 6990840,6581.0,,3290.5,5922.9,61
CDM,14018654,DILATOR KIT NVM5 XLIF,507.0,,253.5,456.3,56
CDM,14018655,DVC CHARGING AXONICS 1401,1904.0,,952.0,19449.14,57
CDM,14018657,INS TIBIAL REV CCK ART SURF VE,4171.0,,2085.5,3753.9,62
CDM,14018658,PSN REV STRAIGHT SPLINE STEM,2884.0,,1442.0,2595.6,62
CDM,14018659,ADAPTER VISION PROBE & SUCTION,159.0,,79.5,143.1,56
CDM,14018660,FRESH LT TALUS RTI 002680,18214.0,,9107.0,16392.6,61
CDM,14018661,THREADED SOCKET (SST) 60MM,213.0,,106.5,191.7,56
CDM,14018662,ROCKER RING S&N 7107-0365,1572.0,,786.0,1414.8,61
CDM,14018663,SHOULDER BOLT SPATIAL FRAME,141.0,,70.5,126.9,61
CDM,14018664,SURGICAL ROTATING AORTIC PUNCH,114.0,,57.0,102.6,56
CDM,14018665,PASSIVE SPHERE MEDTRON 8801075,103.0,,51.5,92.7,56
CDM,14018666,PAD THERMAL UNIVERSAL HALYARD,758.0,,379.0,682.2,56
CDM,14018667,AUTOLOGOUS TISSUE COLLECTOR,780.0,,390.0,702.0,56
CDM,14018668,CORTICAL POST ARTHREX,248.0,,124.0,506.18,62
CDM,14018669,ORTHEX INDICATOR CAP STRUT,180.0,,90.0,162.0,56
CDM,14018672,XRAY BALL ATTACHMENT R-BALL,534.0,,267.0,480.6,56
CDM,14018673,ORTHEX FULL LRG RING R100-155,2127.0,,1063.5,1914.3,61
CDM,14018674,POST MALE ORTHOPED 420-M2,259.0,,129.5,233.1,61
CDM,14018675,BOLT WIRE ORTHOPED 600-50,494.0,,247.0,444.6,61
CDM,14018676,SHARP BAYONET WIRE K300-15BN,473.0,,236.5,506.18,62
CDM,14018677,SHARP BAYONET WIRE K400-18BNA,801.0,,400.5,720.9,62
CDM,14018680,STRUT TELESCOPING AS137-295,2936.0,,1468.0,2642.4,61
CDM,14018681,PIX FIX CUBE ORTHEX QUIN,563.0,,281.5,506.7,56
CDM,14018682,ACCESS HIP KIT SYNTHES 260012,1097.0,,548.5,987.3,56
CDM,14018683,ANCHOR SUTURE ALL Q-FIX,608.0,,304.0,547.2,62
CDM,14018686,EIT PLIF FUSION CAGE,5467.0,,2733.5,4920.3,61
CDM,14018688,LEAD B3300542 SENSIGHT 0.5MM,5770.0,,229.5,5193.0,62
CDM,14018689,IMPL MENISCAL JUGGERSTITCH,691.0,,345.5,621.9,62
CDM,14018690,CANNULA JUGGERSTITCH 110027358,252.0,,126.0,226.8,56
CDM,14018691,IMPL KNEE TIB BRNG VANGUARD,1317.0,,658.5,2374.28,62
CDM,14018692,IMPL PEEK LRG STRYKER 78-50030,29863.0,,14931.5,26876.7,61
CDM,14018693,RECLAIM ASSEMBLY TENSIL BAR,1010.0,,505.0,909.0,56
CDM,14018694,IMP SHOULDER INTERSPACE CEMEX,8302.0,,2374.28,7471.8,62
CDM,14018696,ALLODERM X-THIN IMPLANTABLE,2280.0,,95.49,2052.0,56
CDM,14018698,KIT SP ACCESS PORT LG INTUIT,962.0,,481.0,865.8,56
CDM,14018699,SIZER MEMORY GEL MENTOR,473.0,,236.5,425.7,56
CDM,14018701,GUIDEWIRE ALTA TRACK PHILIPS,2329.0,,102.65,2096.1,57
CDM,14018702,ADVANCED TRIAL PACKAGE AXONICS,8464.0,,4232.0,7617.6,62
CDM,14018703,IMPL IPS MODEL DENTAL,1138.0,,569.0,1024.2,61
CDM,14018706,GDWIRE LUNDERQUIST X-STIFF,318.0,,27.95,286.2,57
CDM,14018707,MARKER BONE FIDUCIAL FM-4007,202.0,,78.0,205.26,62
CDM,14018708,CEMENT RESTRICTOR XS,260.0,,130.0,234.0,61
CDM,14018709,AMBENT HPVAC 50 IFS,1600.0,,800.0,1440.0,56
CDM,14018710,BOOT INSERT PAD S&N 72200635,271.0,,135.5,243.9,56
CDM,14018711,RIB SHORT BRIDGE LOCKING POST,7772.0,,3886.0,6994.8,61
CDM,14018713,FRESH LEFT MEDIAL CONDYLE,22263.0,,11131.5,20036.7,61
CDM,14018714,CATH CENTESIS ONE1STEP,63.0,,31.5,66.39,57
CDM,14018716,PSN REV TIB HALF BLOCK,1838.0,,919.0,2374.28,62
CDM,14018720,SP KNOTLESS FIBERTAK,912.0,,456.0,820.8,62
CDM,14018721,STNT GRFT SYS RELAY PRO THORAC,38369.0,,1667.17,34532.1,62
CDM,14018725,IMPL HIP FEM PROX ELEOS ONKOS,7199.0,,2374.28,6479.1,62
CDM,14018726,IMPL INSERT TIBIAL HINGE ONKOS,5035.0,,2374.28,4531.5,62
CDM,14018727,UNITRAX MODULAR ENDO HEAD,3039.0,,1519.5,2735.1,62
CDM,14018728,LOW PROFILE AC REPAIR SYS,2372.0,,1186.0,2134.8,56
CDM,14018729,CUSTOMIZED MAND RECON PLATE,16583.0,,8291.5,14924.7,61
CDM,14018730,NEEDLE MAXBRAID PE LRG ZIMMER,591.0,,295.5,531.9,56
CDM,14018731,CANNULA LOW PROFILE ARTHREX,85.0,,42.5,76.5,56
CDM,14018732,CANNULA TWIST-IN ARTHREX,85.0,,42.5,76.5,56
CDM,14018736,SOMAGEN MATRIX MESHED,6063.0,,297.8,5456.7,56
CDM,14018737,STENT GRAFT CONFORM THORACIC,29540.0,,14770.0,26586.0,61
CDM,14018739,CAGE CERVICAL PROTI360SYNTHES,1417.0,,708.5,1275.3,61
CDM,14018740,SPINAL PARALLEL TI BIOMET,811.0,,405.5,729.9,61
CDM,14018742,TIBIAL BASEPLATE ELEOS ONKOS,8747.0,,2374.28,7872.3,62
CDM,14018743,ENTRY REAMER S&N 71631116,303.0,,151.5,272.7,56
CDM,14018744,FEMUR HEAD FZ LIFELINK 24B002,2650.0,,1325.0,2385.0,61
CDM,14018745,IMP FEMUR RESURFCE ELEOS ONKOS,11007.0,,2374.28,9906.3,62
CDM,14018746,STENT THORACIC RELAY PRO,50619.0,,25309.5,45557.1,61
CDM,14018747,TIBIAL BASE POROCOAT RP SYNTHE,1823.0,,911.5,2374.28,62
CDM,14018748,FEM KNEE COMP ATTUNE SYNTHES,3847.0,,1923.5,3462.3,62
CDM,14018749,ZONE NAVIGATORARTHREX,372.0,,186.0,506.18,57
CDM,14018752,FAST-FIX FLEX CRVD NDL BDR CAN,846.0,,423.0,761.4,61
CDM,14018753,ASPIRATOR BONE MARROW KLS,2227.0,,1113.5,2004.3,56
CDM,14018757,TUTOPLAST PERICARDIUM,3548.0,,1774.0,3193.2,61
CDM,14018758,CONNECTOR ROD SPINAL SYS,1003.0,,501.5,902.7,62
CDM,14018759,IMPL KNEE REV SET SHULKA,3240.0,,1620.0,2916.0,62
CDM,14018760,SYS RECHARGER ACTIVA MEDTRONIC,3609.0,,1804.5,3248.1,56
CDM,14018761,ABSORB MED MR ENVELOPE,4040.0,,2020.0,3636.0,61
CDM,14018762,SIZER MOLDED OTOLOGIC,473.0,,236.5,425.7,56
CDM,14018763,DRYSEAL FLEXSHEATH WL GORE,578.0,,46.81,520.2,57
CDM,14018764,CRT-D MOMENTUM IS1 DF4,40906.0,,20453.0,36815.4,62
CDM,14018765,TAPER MORSE LONG STEM ACUMED,5469.0,,2374.28,4922.1,62
CDM,14018766,PROBE NEURO ALPHA OMEGA,553.0,,276.5,497.7,56
CDM,14018767,ELECTRODE CABLE ALPHA OMEGA,865.0,,432.5,778.5,56
CDM,14018769,SYS INSPACE US SMALL STRYKER,13769.0,,6884.5,12392.1,61
CDM,14018770,PROSTHESIS TESTICULAR SMALL,3965.0,,1982.5,3568.5,61
CDM,14018771,SWITCH DRAPE TENET S&N,156.0,,78.0,506.18,57
CDM,14018772,SPACER SPINAL ALEUTIAN CONVEX,4556.0,,506.18,4100.4,62
CDM,14018775,CATH THORACIC STR W CLOTSTOP,57.0,,28.5,51.3,56
CDM,14018777,WASHER TI ARTHREX AR-8945W,217.0,,108.5,195.3,61
CDM,14018778,LEAD PERENNIAFLEX 304 3MM,14212.0,,4266.13,12790.8,62
CDM,14018779,CATH VENT STD INCL SNAP BASE,373.0,,186.5,335.7,56
CDM,14018780,DEVICE COLPASSIST BOST SCI,997.0,,498.5,897.3,56
CDM,14018781,DISC HUM 4X150MM RT FLANGED C,11702.0,,2374.28,10531.8,62
CDM,14018782,PASSER SUTURE ACCU-PASS S&N,540.0,,270.0,486.0,56
CDM,14018783,PROBE NEUROSIGN MONOPOLAR DISP,146.0,,73.0,131.4,56
CDM,14018785,IMP PROS EAR PRECISE CNTR PART,828.0,,414.0,745.2,61
CDM,14018786,IMP KNEE STEM EXTENSION SPLINE,2884.0,,1442.0,2595.6,61
CDM,14018787,KIT PREP BONE BIOPREPSTRYKER,245.0,,122.5,220.5,56
CDM,14018789,PATELLAR LIGAMENT PSJRF ORTHO,7492.0,,506.18,6742.8,62
CDM,14018790,IMPL 4 PEG MOD GLEN,3256.0,,1628.0,2930.4,62
CDM,14018791,FORCEP DAVINCI GRASPING,294.0,,147.0,264.6,56
CDM,14018792,IMPL MODULAR POST,959.0,,479.5,2374.28,62
CDM,14018794,IMPL SPEEDBRG SYS W/PEEKSWVL,3240.0,,506.18,2916.0,62
CDM,14018795,CATH CAT12 100XTORQ SHAPE PLUS,13789.0,,314.82,12410.1,57
CDM,14018796,GUIDE CABLE BIOMET 323-1090,569.0,,284.5,512.1,56
CDM,14018798,PROBE LASER NEUROBLATE SF DIR,18147.0,,9073.5,16332.3,56
CDM,14018799,EXT FIXATOR RING HALF,2113.0,,506.18,1901.7,62
CDM,14018800,STENT DRUG-ELUTING BOST SCI,5751.0,,1667.17,5175.9,62
CDM,14018801,STENT VENOUS ZILVER COOK MED,3644.0,,1642.91,3279.6,62
CDM,14018802,CATH IINFU W/RADIO PAQUE TIP,132.0,,66.0,136.97,62
CDM,14018805,DECOMPRESSION SPINOUS X-STOP,618.0,,309.0,2130.03,62
CDM,14018807,CANISTER VAC LARGE 1000ML,210.0,,105.0,189.0,56
CDM,14018810,DRESSING ABD ABTHERA ADVANCE,1162.0,,581.0,1045.8,56
CDM,14018811,MODULAR STEM FEMORAL,5533.0,,2374.28,4979.7,62
CDM,14018812,GLOBAL UNITE REV STEM SIZE 6,8092.0,,2374.28,7282.8,62
CDM,14018813,IMPL KNEE TIB INSERT GENESIS,2227.0,,1113.5,2374.28,62
CDM,14018815,IMPL LESSER HEAD METATARSAL,6829.0,,2374.28,6146.1,62
CDM,14018816,IMP LIPPY BUCKET HANDL W/NOTCH,499.0,,249.5,449.1,61
CDM,14018817,T-TUBE TRACHAEL MONTGOMERY,433.0,,216.5,389.7,61
CDM,14018818,PUSHER KNOT CUTTER SUTURE,194.0,,97.0,174.6,56
CDM,14018819,SUTURE SHUTTLE IDEAL DEPUY,563.0,,281.5,506.7,56
CDM,14018820,CATH PTA ARMADA 35 ABBOTT,530.0,,257.51,477.0,57
CDM,14018822,IMPL TIB INSERT UNITY SEMI-CON,1215.0,,607.5,2374.28,62
CDM,14018823,ELECT BIPOLAR PSS QUICK-FIRE,566.0,,283.0,509.4,56
CDM,14018824,STROKE FAST PACK STRYKER,16191.0,,8095.5,14571.9,56
CDM,14018825,KIT EXTENSION SENSIGHT,2033.0,,1016.5,1829.7,61
CDM,14018826,KIT EXT TUNNELER SENSIGHT,546.0,,273.0,491.4,56
CDM,14018829,TROCAR TIP WIRE,78.0,,39.0,70.2,56
CDM,14018830,CATH UTD BALL BS M001164630,516.0,,257.51,464.4,57
CDM,14018831,STENT BILIARY EXP VALEO,2227.0,,1113.5,2004.3,62
CDM,14018832,CATH TAPERED CODMAN IP-37957,674.0,,337.0,606.6,56
CDM,14018833,WASHER OSTEOCENTRIC 300-601,72.0,,36.0,64.8,61
CDM,14018834,CANISTERS HI-FLOW 3000CC,342.0,,171.0,307.8,56
CDM,14018835,ACERTABULAR LINER,1570.0,,785.0,2374.28,62
CDM,14018836,CABLE NEURO OMEGA HEADSTAGE,851.0,,425.5,765.9,56
CDM,14018838,STENT EVOLUTION BILIARY,2803.0,,1401.5,2522.7,62
CDM,14018839,IB KIT MINI PEEK JUMPSTART,3028.0,,506.18,2725.2,62
CDM,14018840,IMPL HUM BODY ANATOMIC,1317.0,,658.5,1185.3,61
CDM,14018841,QFIX 1.8 MINI SUTURE ANCHOR,648.0,,324.0,583.2,62
CDM,14018843,SLEEVE UNI FEM FULL POROUS 40M,4534.0,,2267.0,4080.6,61
CDM,14018844,IMPL UNI STEM FLUTED 115X14MM,2176.0,,1088.0,2374.28,62
CDM,14018846,CATH PTA ADVANCE 35LP,259.0,,129.5,257.51,57
CDM,14018847,CLAMP HYDRAGRIP FOGARTY STR,407.0,,203.5,366.3,56
CDM,14018848,INST SET DISP WRIGHT MTK-08,1006.0,,503.0,905.4,56
CDM,14018849,FEM SLEEVE ATTUNE LAT POR,4535.0,,2267.5,4081.5,61
CDM,14018850,IMPL FEM STEM PRESSFIT SYNTHES,2178.0,,1089.0,2374.28,62
CDM,14018851,IMPL KNEE CONE TIB FULL LINK,7012.0,,2374.28,6310.8,62
CDM,14018852,IMPL KNEE FEM CONE LINK,9422.0,,2374.28,8479.8,62
CDM,14018853,INSERT TIB ATTUNE RP CRS,3861.0,,1930.5,3474.9,62
CDM,14018855,REPROCESSING ACCESSORY KIT,6834.0,,3417.0,6150.6,56
CDM,14018856,TIBIAL CONE HALF SMALL,9422.0,,4711.0,8479.8,61
CDM,14018858,GDWIRE 3.2MM SYNTHE 03.010.115,269.0,,27.95,242.1,57
CDM,14018859,IMP ATTUNE REV RP TIB BASE SZ5,6919.0,,2374.28,6227.1,62
CDM,14018860,IMPL CONE BODY STEM PROX,8481.0,,4240.5,7632.9,61
CDM,14018861,ELECTRODE BIPOLAR PSS QUICK-FI,566.0,,283.0,509.4,56
CDM,14018862,IMPL FEM HIP STEM ATIS DUO,3493.0,,1746.5,3143.7,62
CDM,14018863,IMPL STEM SEGMENT MEGASYSTEM-C,9603.0,,2374.28,8642.7,62
CDM,14018864,KNEE ENDO MODL POREX SML FEMUR,13194.0,,2374.28,11874.6,57
CDM,14018865,KNEE ENDO MODEL PORX SMLTIBIA,5883.0,,2374.28,5294.7,62
CDM,14018866,STEM TIB MEGASYSTM-C ML TPR,4012.0,,2006.0,3610.8,62
CDM,14018869,FORCEP BIOPSY ENDOMYOCARDIAL,413.0,,206.5,371.7,56
CDM,14018870,IMPL FEMORAL HEAD CERAMIC,1256.0,,628.0,2374.28,62
CDM,14018871,IMPL LOGICAL CUP LINER,1181.0,,590.5,2374.28,62
CDM,14018872,K-WIRE 3.2MM THD SHORT,416.0,,208.0,506.18,62
CDM,14018873,ANCHOR OSTEORAPTOR W/1UB 2.3,608.0,,304.0,547.2,62
CDM,14018874,CATHETER GUIDE INTUITIVE,1215.0,,607.5,1093.5,56
CDM,14018875,CONNECTOR SPINAL OFFSET,912.0,,456.0,820.8,61
CDM,14018876,IMPL KNEE FEMUR 3D EMPOWER,12251.0,,2374.28,11025.9,62
CDM,14018877,IMPL KNEE 3D KNEE TM INS EMPWR,6460.0,,2374.28,5814.0,62
CDM,14018878,CAGE GLENOID MED EQUINOXE,1519.0,,759.5,2374.28,62
CDM,14018879,IMPL EQUINOXE HUMERAL HD SHT,2633.0,,1316.5,2374.28,62
CDM,14018880,IMPL EQUINOXE PRESERVE STEM,14870.0,,2374.28,13383.0,62
CDM,14018881,FEM HIP STEM S-ROM 11/13,3037.0,,1518.5,2733.3,62
CDM,14018882,GUARD POPPER 13MM MEDTRONIC,1292.0,,646.0,1162.8,56
CDM,14018883,IMPL SHOULDER INSPACE US,13769.0,,2374.28,12392.1,62
CDM,14018884,IMPL LINER ACET NEUTRAL ALTRX,1114.0,,557.0,2374.28,62
CDM,14018885,LINER PINNACLE MAR +4,1317.0,,658.5,2374.28,62
CDM,14018886,PINN BANTAM W/GRIPTION 44MM,1621.0,,810.5,2374.28,62
CDM,14018887,IMPL SLEEVE PROX SPA CONE,1317.0,,658.5,1185.3,61
CDM,14018888,IMPL KNEE TRI-PEG PATELLA,2871.0,,1435.5,2583.9,62
CDM,14018889,ACETABULAR LINER,39483.0,,2374.28,35534.7,62
CDM,14018890,LINER POLYAMIDE ACETAB ANATOMY,6480.0,,2374.28,5832.0,62
CDM,14018891,LINER ACETABULAR PSI POLYAMIDE,4860.0,,2374.28,4374.0,62
CDM,14018892,SPACER ANGLED DELTA CUP,1519.0,,759.5,1367.1,61
CDM,14018893,IMPL ACET LINER DUAL MOB,1519.0,,759.5,2374.28,62
CDM,14018894,LINER DELTA CUP-LIMAVIT MOBLIE,1519.0,,759.5,2374.28,62
CDM,14018895,CEMENT FEM KNEE ATTUNE PS,2430.0,,1215.0,2374.28,62
CDM,14018896,IMPL FEM HIP STEM SYNERGY,2532.0,,1266.0,2374.28,62
CDM,14018897,IMPL KNEE TIBIAL ATTUNE BASE,2430.0,,1215.0,2374.28,62
CDM,14018898,IMPL TIB INSERT ATTUNE RP CR,1621.0,,810.5,2374.28,62
CDM,14018899,IMPL VALVE STENTED TISSUE,9061.0,,4530.5,8154.9,61
CDM,14018900,ALLOGRAFT COTTON WEDGE,3093.0,,1546.5,2783.7,61
CDM,14018901,CATH MICROCATH PROGREAT,722.0,,102.65,649.8,57
CDM,14018902,IMPL FEMUR FOUNDATION N-POR PS,17220.0,,2374.28,15498.0,62
CDM,14018903,IMPL HUM INSERT SOCKET RSP,1368.0,,684.0,2374.28,62
CDM,14018904,IMPL HUM STEM ALTIVATE,11050.0,,2374.28,9945.0,62
CDM,14018905,IMPL GLENOID BP TM REV,2532.0,,1266.0,2374.28,62
CDM,14018907,NUT BONE INTERNAL FX FIXATION,159.0,,79.5,143.1,61
CDM,14018908,SILHOUETTE ALLOGRAFT CORTIVA,16996.0,,8498.0,15296.4,61
CDM,14018909,SLEEVE LOCK THR SYNFIX EVOL,608.0,,304.0,547.2,61
CDM,14018910,SPACER SYNFIX EVOLUTION SM,7695.0,,3847.5,6925.5,61
CDM,14018911,TOOL TROCHANTERIC ACTIVATION,229.0,,114.5,206.1,56
CDM,14018913,SYS ARCOS MODULAR REV HIP,5710.0,,2374.28,5139.0,62
CDM,14018914,EMPOWER TIBIA PORUS COATED RT,13369.0,,6684.5,12032.1,61
CDM,14018915,ENDOBUTTON 4.0MM X 12MM,334.0,,167.0,506.18,62
CDM,14018916,APPLICATOR ENDOSCOPIC ETHICON,58.0,,29.0,52.2,56
CDM,14018917,FEMUR KNEE 3D N-POREMPOWER,17221.0,,2374.28,15498.9,62
CDM,14018918,IMPL GLENOSPHERE BASEPLATE,5306.0,,2374.28,4775.4,62
CDM,14018919,GRAFT ZENITH ALPHA TERUMO,34319.0,,1667.17,30887.1,62
CDM,14018920,IMPL SHOULDER TRAY ASCEND,2466.0,,1233.0,2374.28,62
CDM,14018921,IMPL SHOULDER HUMERAL HEAD CE,8778.0,,2374.28,7900.2,62
CDM,14018922,IMPL SHOULDER GLENOSPHERE,5011.0,,2374.28,4509.9,62
CDM,14018923,IMPL HIP STEM PRESS-FI,2430.0,,1215.0,2374.28,62
CDM,14018924,IMPL KN BASE TIB EMPOWER LT 6,9033.0,,2374.28,8129.7,62
CDM,14018925,INSERT TIB PRTL KNEE E-PLUS,9430.0,,2374.28,8487.0,62
CDM,14018927,MARKER BONE FIDUCIAL,709.0,,78.0,638.1,57
CDM,14018928,IMPL KNEE PATELLA ONKOS,1581.0,,790.5,2374.28,62
CDM,14018929,CABLE SADDLE PERI-LOC PFP SHRT,331.0,,165.5,297.9,56
CDM,14018930,HUMERAL STEM SHOULDER SHORT,5786.0,,2374.28,5207.4,62
CDM,14018931,IMPL SHOULDER TRAYU REV OFFSET,4932.0,,2374.28,4438.8,62
CDM,14018932,IMPL SPHERE GLENOID REVERSE,1993.0,,996.5,2374.28,62
CDM,14018934,IMPL TAPER POST 10MM X 31MM LG,1044.0,,522.0,2374.28,62
CDM,14018935,ENDOPROSTHESIS BILIARY VIABIL,5648.0,,1667.17,5083.2,62
CDM,14018936,HOLE MALE POST ORTHO 420-M1,397.0,,198.5,357.3,61
CDM,14018937,WIRE BAYONET HA COATED 1.8MM,1334.0,,667.0,1200.6,61
CDM,14018938,SOCKET 10MM PED 910-CW-10L,1760.0,,880.0,1584.0,56
CDM,14018939,FULL RING 205MMPED R100-205,3731.0,,1865.5,3357.9,61
CDM,14018940,TOE RING 205MM PED R025-205,2446.0,,1223.0,2201.4,61
CDM,14018941,WASHER SQ 2MM PED R635-02SQ,156.0,,78.0,140.4,61
CDM,14018943,GDWIRE BALL NOSE ADV ORTHO,510.0,,255.0,459.0,56
CDM,14018944,HYALURONIC ACID VOBELLA 1ML,1479.0,,739.5,1331.1,61
CDM,14018945,RPR PK MENISCAL ROOT ULTRATAPE,1722.0,,861.0,1549.8,56
CDM,14018946,OLIVE WIRE 1.25MM STERILE,426.0,,213.0,506.18,62
CDM,14018947,PROBE STEREOTACTIC NEXPROBE,648.0,,324.0,583.2,56
CDM,14018948,CATH BILIARY LOCKING RESOLVE,175.0,,66.39,157.5,57
CDM,14018949,HIP STEM SPARTAN SIGNATURE,3542.0,,1771.0,3187.8,62
CDM,14018950,SYS STEROTACTIC NEXFRAME,1540.0,,770.0,1386.0,56
CDM,14018952,WIRE FIXATION BOLT PED 600-50,741.0,,370.5,666.9,61
CDM,14018953,CATH HEMOSPRAY 10FR,3028.0,,1086.32,2725.2,57
CDM,14018954,STEM 54X18 HIGH OS ASCFLEXST,6911.0,,2374.28,6219.9,62
CDM,14018955,MESH PLUG PERFIX MEDIUM,565.0,,282.5,608.95,62
CDM,14018957,RADIFOCUS GLIDECATH SIDEWINDER,546.0,,102.65,491.4,57
CDM,14018958,TISSELL-ARTISS SPRAY SET,461.0,,230.5,414.9,56
CDM,14018959,IMPL PYRA MESH CAGE,7695.0,,3847.5,6925.5,61
CDM,14018960,ALLOGRAFT MESHED STRAVIX,6014.0,,166.14,5412.6,56
CDM,14018961,LEAD NEUROSTIM PERENNIA FLEX,16465.0,,4266.13,14818.5,62
CDM,14018963,IMPL CLUSTER HOLE SHELL,1519.0,,759.5,2374.28,62
CDM,14018964,IMPL SHOULDER INSERT E-DUR,1215.0,,607.5,2374.28,62
CDM,14018965,IMPL HIP PROS STEM TAPER,3646.0,,1823.0,3281.4,62
CDM,14018966,IMPL MODULAR PROS HEAD,1215.0,,607.5,2374.28,62
CDM,14018967,SYS ANTAOMIC BIPLANAR IMPLANTS,10719.0,,506.18,9647.1,62
CDM,14018968,IMPL UNCOATED KNEE TIBIA PROS,4260.0,,2130.0,3834.0,62
CDM,14018969,IMPL KNEE FEMUR STEM PROS,2689.0,,1344.5,2420.1,62
CDM,14018970,IMPL AUG FEM TRIATHLON DIST,1838.0,,919.0,1654.2,61
CDM,14018971,GDWIRE ORTHO TROCAR TIP,720.0,,360.0,648.0,56
CDM,14018972,CAGE SPINAL COROENT,6581.0,,3290.5,5922.9,61
CDM,14018974,PLAN MODEL LINEAR DISTRACT,5361.0,,2680.5,4824.9,56
CDM,14018975,GDWIRE REUTER TIP-DEFLECTING,175.0,,27.95,157.5,57
CDM,14018976,IMPL APEX HUMERAL STEM,4041.0,,2020.5,3636.9,62
CDM,14018977,IMPL VAULTLOCK GLENOID MEDIUM,1524.0,,762.0,2374.28,62
CDM,14018978,IMPL HUMERAL HEAD 44MMX17MM,1695.0,,847.5,2374.28,62
CDM,14018979,IMPL ECLIPSE TRUNION 41MM CAP,4376.0,,2188.0,3938.4,62
CDM,14018980,IMPL ANCHOR JUGGERKNOT SOFT,922.0,,461.0,829.8,62
CDM,14018981,SUTURE UNIT 90 DEG EZ PASS UP,483.0,,241.5,434.7,56
CDM,14018985,RETRACTOR CARDIAC FINGER HEART,405.0,,202.5,364.5,56
CDM,14018987,HUMERAL STEM APEX AR-9100-06S,4041.0,,2020.5,3636.9,62
CDM,14018989,USP HUMERAL HEAD ARTHREX,1695.0,,847.5,2374.28,62
CDM,14018994,PLATE KIT 1.5 SHORT FA REP,1012.0,,506.0,910.8,61
CDM,14018996,KIT IMPLANT GPS V2 EXACTECH,1012.0,,506.0,910.8,56
CDM,14018997,IMPL LARGE PEC BUTTON ARTHREX,881.0,,440.5,792.9,62
CDM,14018998,SONOTRODE STANDARD STRAIGHT,676.0,,338.0,608.4,56
CDM,14018999,K-WIRE RELINE MAS NITROL BLUNT,397.0,,198.5,506.18,62
CDM,14019000,EMPOWER 3D KNEE TIB INSERT,3662.0,,1831.0,3295.8,62
CDM,14019001,VISIONAIRE ADAPTIVE GUIDE KIT,1012.0,,506.0,910.8,56
CDM,14019002,VIRTUAL SURG PLANNING GUIDE,2282.0,,1141.0,2053.8,56
CDM,14019003,ADD A FOLEY URINE METER TRAY,72.0,,36.0,64.8,56
CDM,14019004,CATH PTA BALLOON DILATION,527.0,,257.51,474.3,57
CDM,14019005,PERI-LOC 4.5MM HOLE INSERT,202.0,,101.0,2374.28,62
CDM,14019007,RETAINER NOSTRIL STRYKER 7248,327.0,,163.5,294.3,56
CDM,14019009,IMPL FEM COMP PERSONA CR STD,11891.0,,2374.28,10701.9,62
CDM,14019011,WAND IRRIGATION RF WEREWOLF,639.0,,319.5,575.1,56
CDM,14019012,GRAFT ENDO AAA ZENITH,23610.0,,1667.17,21249.0,62
CDM,14019014,PALACOS MV + G PRO 80,1003.0,,501.5,902.7,61
CDM,14019015,VERSAJET 15 DEGREE 14MM,6024.0,,3012.0,5421.6,56
CDM,14019017,GRAFT VASC VENAFLO II BARD,1818.0,,909.0,1636.2,61
CDM,14019018,ENDOPROS VIABAHN VBX BLLN EXP,6575.0,,1667.17,5917.5,62
CDM,14019019,MPF LAT MOD PLATE FIXATION SYS,6581.0,,3290.5,5922.9,61
CDM,14019021,SHEATH AVANTI PLUS 5F,117.0,,46.81,105.3,57
CDM,14019022,IMPL REV SHOIULDER PROSTH HEAD,2633.0,,1316.5,2374.28,62
CDM,14019023,IMPL HUM STEM PRESS-FIT,4050.0,,2025.0,3645.0,62
CDM,14019024,TENDON CONNECT PRE-SUTURE,2478.0,,1239.0,2230.2,56
CDM,14019025,GUIDEWIRE/TROCAR 1.1MM,804.0,,402.0,723.6,56
CDM,14019026,PUTTY CRANIOS FAST SET 5CC,2893.0,,506.18,2603.7,62
CDM,14019029,IMPL PATELLA COMPONENT,372.0,,186.0,2374.28,62
CDM,14019030,IMPL ARTICULATING SURFACES CR,1621.0,,810.5,2374.28,62
CDM,14019031,IMP TIBIAL COMPONENT MONOBLOCK,2333.0,,1166.5,2374.28,62
CDM,14019032,IMPL FEMORAL COMPONENT CR,3139.0,,1569.5,2825.1,62
CDM,14019033,IMPL SYS PROXIMAL TENODESIS,1368.0,,506.18,1231.2,62
CDM,14019034,NEUROPROBE SONUS ST 234M,553.0,,276.5,497.7,56
CDM,14019035,CATH CLOSED WOUND DRAIN,163.0,,81.5,146.7,56
CDM,14019036,ABUT ZYGOMA MULTI 5MM,297.0,,45.62,267.3,62
CDM,14019037,ABUT ZYGOMA MULTI 3MM,280.0,,45.62,252.0,62
CDM,14019038,IMPL KNEE FEM REVISION EXPRT,4556.0,,2278.0,4100.4,62
CDM,14019039,IMPL STEM TAPERED DJO,962.0,,481.0,2374.28,62
CDM,14019040,IMPL STEM FEM STRAIGHT DJO,2025.0,,1012.5,2374.28,62
CDM,14019041,CONNECTOR HERO GRAFT,4860.0,,2430.0,4374.0,61
CDM,14019042,IMPL FEM HIP STEM SECUR-FIT,4354.0,,2177.0,3918.6,62
CDM,14019043,SET CATH ARTERIAL ARROW,58.0,,29.0,52.2,56
CDM,14019045,LOCKING ATTACH WASHER SYNTHES,2633.0,,1316.5,2369.7,61
CDM,14019047,FROZEN RADIUS RTI 730001,4455.0,,2227.5,4009.5,61
CDM,14019048,CLEANSER DEBRIMENT IRRISEPT,191.0,,95.5,171.9,56
CDM,14019051,SCOPE VALET DISP OLYMPUS,418.0,,209.0,376.2,56
CDM,14019052,CATH ANGIOJET SOLENT DISTA,3929.0,,314.82,3536.1,57
CDM,14019053,BOLT ANCHOR DIXI ASC-025SMS-10,309.0,,154.5,278.1,61
CDM,14019054,ELECT MICRODEEP DEPTH D08-18AM,1681.0,,840.5,1512.9,56
CDM,14019055,ELECT MICRODEEP DEPTH D08-15AM,1570.0,,785.0,1413.0,56
CDM,14019056,GDWIRE 1 BENTSON 0.025,98.0,,27.95,88.2,57
CDM,14019057,ANCHOR SOFT FIBERTAK 2.6,800.0,,400.0,720.0,62
CDM,14019058,HANDPIECE SAVI SCOUT DISP,540.0,,270.0,486.0,56
CDM,14019059,BONE CUTTER ACENSION DISP PACK,1022.0,,511.0,919.8,56
CDM,14019060,CLIP LIGATING HORIZON TI SMALL,107.0,,53.5,96.3,56
CDM,14019061,ADHESIVE SKIN DERMABOND PRINEO,217.0,,108.5,195.3,56
CDM,14019062,FIBER LASER 550 MICRON KIT,1164.0,,582.0,1047.6,56
CDM,14019063,IMPL KNEE AUG LCS COMP DISTAL,1515.0,,757.5,1363.5,61
CDM,14019065,GRAFT VASC 6MMX40CM GORE,786.0,,393.0,1092.42,62
CDM,14019066,MAXBRAID WH/BL 3/8 ZIMMER,591.0,,295.5,531.9,61
CDM,14019067,IMPL MEDPOR CUSTOM MIDFACE,27465.0,,506.18,24718.5,62
CDM,14019069,CABLE ORTHO W/CRIMP 1.7X750MM,1024.0,,512.0,921.6,61
CDM,14019070,DSG ABD ABTHERA ADVANCE,1162.0,,581.0,1045.8,56
CDM,14019071,PSN REV TAPERED SMOOTH STEM,11891.0,,2374.28,10701.9,62
CDM,14019072,VALVE INSPIRIS RESILIA EDWARDS,15388.0,,7694.0,13849.2,61
CDM,14019074,INTRODUC SHEATH PERITONEAL,498.0,,46.81,448.2,57
CDM,14019076,IMPL TIB AUG BLOCK NEXGEN,4550.0,,2275.0,4095.0,61
CDM,14019077,K-WIRE 2.0MM X 150MM ORTHOFIX,94.0,,47.0,506.18,57
CDM,14019078,END CAP,563.0,,281.5,506.7,61
CDM,14019079,SNARE POLYPECTOMY HOT COOK,111.0,,55.5,99.9,56
CDM,14019080,CATH VENT W/ANTIBIOTIC,524.0,,262.0,471.6,56
CDM,14019081,STENT LIFESTAR 8X40MM BARD,1114.0,,557.0,1642.91,62
CDM,14019082,HANDPIECE SUC W/FAN INTERPULSE,114.0,,57.0,102.6,56
CDM,14019083,IMPL TIB INSERT SALTO TALARIS,3159.0,,1579.5,2843.1,62
CDM,14019084,MAS NEEDLE FENESTRATED,561.0,,280.5,504.9,56
CDM,14019086,IMPL MAMM SALINE SMOOTH RD MOD,1722.0,,861.0,1864.67,62
CDM,14019089,TUBE LARYTUBE PROVOXATOS-7610,334.0,,167.0,300.6,61
CDM,14019090,PATELLA LIGAMENT PRESHAPED,6277.0,,3138.5,5649.3,61
CDM,14019091,NDL BM ASPIRATION BEVELED,211.0,,105.5,189.9,56
CDM,14019092,GRAFT GELWEAVE BAVARIA TERUMO,5535.0,,1092.42,4981.5,62
CDM,14019093,TUBE TRACHEAL SMOOTH 11MM,433.0,,216.5,389.7,61
CDM,14019094,ART SURF PERSONA CR PLY,1621.0,,810.5,2374.28,62
CDM,14019095,IMPL FEMORAL COMPONENT CR,3139.0,,1569.5,2825.1,62
CDM,14019096,NEEDLE SUTURE PASSER,446.0,,223.0,401.4,56
CDM,14019097,PATELLA COMPONENT 3-PEG,372.0,,186.0,2374.28,62
CDM,14019098,KNEE STEM EXTENSION UNITY,811.0,,405.5,2374.28,62
CDM,14019099,MICROSPHERE REPORTER CONT,444.0,,222.0,399.6,61
CDM,14019101,IMPL KNEE TIBIAL FIXED BEARING,2537.0,,1268.5,2374.28,62
CDM,14019102,IMPL TIBIAL BASE FIXED BEARING,1823.0,,911.5,2374.28,62
CDM,14019103,IMPL HAMMER TUBE 2.75MM CANN,2495.0,,1247.5,2245.5,61
CDM,14019104,IMPL TIBIAL INSERT SZ 5X12MM,8812.0,,2374.28,7930.8,62
CDM,14019105,E-DUR INSERT SHOULDER 5MM,1215.0,,607.5,2374.28,62
CDM,14019106,PROSTHESIS HEAD LINK,1215.0,,607.5,2374.28,62
CDM,14019107,GLENOSPHERE LINK 320-31-40,2633.0,,1316.5,2374.28,62
CDM,14019109,ENDOBUTTON CL ULTRA 60MM,558.0,,279.0,506.18,62
CDM,14019110,IMPL MEDPOR CUSTOM STRYKER,29554.0,,506.18,26598.6,62
CDM,14019111,CATH BALL UROMAX ULTRA 24F,918.0,,367.53,826.2,57
CDM,14019112,STEM FLUTED EXTENDER GMRS,19438.0,,9719.0,17494.2,61
CDM,14019113,PROBE PIERCER OSCAR ORTHOFIX,1510.0,,755.0,1359.0,56
CDM,14019114,DSG ENDOFRM TEMPLATE,73.0,,23.24,65.7,56
CDM,14019115,GDWIRE 2.7MM,219.0,,27.95,197.1,57
CDM,14019116,STENT GRAFT THORACIC RELAY,912.0,,456.0,820.8,61
CDM,14019117,TENDON PATELLAR BIOCLEANSE,7998.0,,3999.0,7198.2,61
CDM,14019118,FULL RING ORTHEX R100-155,3593.0,,1796.5,3233.7,61
CDM,14019119,NUT 10MMX6MM ORTHO PED 610-106,97.0,,48.5,87.3,61
CDM,14019120,CONNECTING BLOCK ORTHEX,455.0,,227.5,409.5,61
CDM,14019121,GDWIRE TROCAR TIP 0102-150,221.0,,110.5,506.18,57
CDM,14019122,ALIGNMENT LOCKING BOLT ARTHREX,285.0,,142.5,256.5,61
CDM,14019123,CARTRIDGE DEFLUX GEL 1ML,1270.0,,8.08,1143.0,62
CDM,14019124,BONE CORT SEGMENT 66-99M,1389.0,,694.5,1250.1,61
CDM,14019125,PROBE PRASS STIMULATIONG STAN,368.0,,184.0,331.2,56
CDM,14019126,SET GASSERIAN GANGLION OWL,102.0,,51.0,91.8,56
CDM,14019127,SYS ICD DEFIB COBALT XLT,54669.0,,27334.5,49202.1,61
CDM,14019128,TRAY TIBIAL FIXED BEARING UNIT,4485.0,,2242.5,4036.5,62
CDM,14019129,ANCHOR BIOCOMPOSITE SWIVELOCK,1621.0,,506.18,1458.9,62
CDM,14019131,IMPL TRUNNION ECLIPSE,9112.0,,4556.0,8200.8,61
CDM,14019133,VALVE 42355 FP STRATA NSC SM,6460.0,,3230.0,5814.0,61
CDM,14019134,TENDON SEMI-TENDINOSUS LIFENET,3063.0,,1531.5,2756.7,61
CDM,14019135,LINE ASSY BT725 SUCT ANTICOAG,739.0,,369.5,665.1,56
CDM,14019136,TICAP SHELL CLUSTER HOLE 50MM,3544.0,,1772.0,3189.6,62
CDM,14019137,RIGID FIX SYS X CABLE PLT KI,2995.0,,506.18,2695.5,62
CDM,14019138,STERNAL PLATE AUX CABLE KIT,2218.0,,506.18,1996.2,62
CDM,14019139,RETAINING NASAL TUBE SYSTEM,222.0,,111.0,199.8,56
CDM,14019140,ANCHOR SUTURE SOFT JUGGERKNOT,1317.0,,506.18,1185.3,62
CDM,14019141,CANN VENOUS SINGLE STAGE DLP,96.0,,48.0,86.4,56
CDM,14019143,PROBE PEDICILE BALL TIP,244.0,,122.0,219.6,56
CDM,14019144,TUBE TRACH CUFFED BLUE LINE,113.0,,56.5,101.7,61
CDM,14019145,FHL/FDL IMPL SYS ARTHREX,3028.0,,506.18,2725.2,62
CDM,14019146,FIBER LASER MICRON 940,1368.0,,684.0,1231.2,56
CDM,14019147,CATH ALTA TRACK ANGIO W/FORS,4050.0,,2025.0,3645.0,56
CDM,14019148,SUCTION LINE ATS FRESENIUS,2558.0,,1279.0,2302.2,56
CDM,14019149,PROBE NANOKNIFE SGL ANGIO DYN,8100.0,,4050.0,7290.0,56
CDM,14019150,SHEATH SUPER CB DE FR BOST SCI,222.0,,46.81,199.8,57
CDM,14019151,IMPL KNEE FEMORAL CMPNT,3139.0,,1569.5,2825.1,62
CDM,14019152,IMPL PATELLAR COMPONENT 3-PEG,372.0,,186.0,2374.28,62
CDM,14019153,IMPL KNEE ART SURF LINK,1283.0,,641.5,2374.28,62
CDM,14019154,IMPL KNEE FIXED BEARING LINK,2333.0,,1166.5,2374.28,62
CDM,14019155,IMPL KNEE PATELLA ALL-POLY,372.0,,186.0,2374.28,62
CDM,14019156,IMPL FEM KNEE COMP PS REV DJO,4252.0,,2126.0,3826.8,62
CDM,14019157,IMPL INSERT TIBIAL REVIS,2025.0,,1012.5,2374.28,62
CDM,14019158,GEN IPG VERCISE GENUS BD-1416,22171.0,,11085.5,19953.9,62
CDM,14019159,ANCHOR PRECISION TACK KIT,114.0,,57.0,1140.67,57
CDM,14019160,IMP SYS TIGHTROPE RT W/FLIPCUT,2137.0,,506.18,1923.3,62
CDM,14019161,X-PAC CAGE SPINAL LORDOTIC,7290.0,,3645.0,6561.0,61
CDM,14019162,ALLOGRFT TENDON SEMITENDINOSUS,2430.0,,1215.0,2187.0,61
CDM,14019163,ALLOGRAFT WEDGE LAPIDUS,2956.0,,1478.0,2660.4,61
CDM,14019164,ANCHOR SUTURE SWIVELOCK,1545.0,,506.18,1390.5,62
CDM,14019165,ANCHOR SUTURE ULTRATAPE BLU,175.0,,87.5,506.18,62
CDM,14019166,IMPL KNEE FEM REVISION EXPRT,3544.0,,715.23,3189.6,73
CDM,14019167,IMPL KNEE TIB INS REV EXPRT,1687.0,,843.5,2374.28,62
CDM,14019169,IMPL KNEE PARTIAL ZIMMER,5400.0,,2374.28,4860.0,62
CDM,14019170,KIT TENODESIS GRAFT,498.0,,249.0,448.2,56
CDM,14019172,MIRROR PRONEVIEW ADJ MIZUHO,548.0,,274.0,493.2,56
CDM,14019173,SUTURE FIBERLINK ARTHREX,256.0,,128.0,230.4,56
CDM,14019174,SYSTEM IMPLANT FHL ARTHREX,2522.0,,506.18,2269.8,62
CDM,14019175,SYS NASAL BRIDLE PRO,693.0,,346.5,623.7,56
CDM,14019176,IMPL HIP FEM STEM MOD,2792.0,,1396.0,2512.8,62
CDM,14019177,ADAPTOR VERSA-DIAL TAPER,202.0,,101.0,181.8,61
CDM,14019178,GEN NEUROSTIM IMPL N/RECHRG,23655.0,,11827.5,22201.12,62
CDM,14019179,KIT TENODESIS BC LOOP N TACK,1741.0,,506.18,1566.9,62
CDM,14019180,SLEEVE PROT INSRT INST FEM NEC,850.0,,425.0,765.0,56
CDM,14019181,MICROSENSOR KIT CODMAN,2344.0,,1172.0,2109.6,56
CDM,14019182,NEUROPACE RNS SYSTEM,0.01,,0.005,22201.12,57
CDM,14019183,IMPL COMP ARTICULAR HEMICAP,8778.0,,2374.28,7900.2,62
CDM,14019184,IMPL MEDPOR BARRIER SHEET,984.0,,492.0,885.6,62
CDM,14019185,IMPL MEDPOR SHEET STRYKER 9562,2190.0,,506.18,1971.0,62
CDM,14019186,IMPL MEDPOR NASAL DORSUM,984.0,,492.0,885.6,61
CDM,14019187,THD LIGHTSCOPE MAXI-RECTO LED,1923.0,,961.5,1730.7,56
CDM,14019188,URETERO STANDARD DEFLECTION,3796.0,,1898.0,3416.4,56
CDM,14019189,IMPL PROXIMAL TENODESIS SYS,1368.0,,506.18,1231.2,62
CDM,14019190,CANN NAVIGATED BRAIN BIOPSY,760.0,,380.0,684.0,56
CDM,14019191,IMPL TAPER POST,1044.0,,522.0,2374.28,62
CDM,14019192,MENISCAL ROOT REPAIR KIT,3442.0,,1721.0,3097.8,61
CDM,14019193,IMPL RT LATERAL CONDYLE,22263.0,,11131.5,20036.7,61
CDM,14019194,KIT FOR BIOUNI DISP ARTHREX,608.0,,304.0,547.2,56
CDM,14019195,KIT CUTTING BIOUNI DISP,1823.0,,911.5,1640.7,56
CDM,14019196,ANCHOR SUTURE FIBERTAK DX,1206.0,,506.18,1085.4,62
CDM,14019197,KIT FOR DX KNOTLESS FIBERTAK,558.0,,279.0,502.2,56
CDM,14019198,IMPL KNEE FEM ROTATION STD,18363.0,,2374.28,16526.7,62
CDM,14019199,QUICKFIRE 45 DEG NEEDLE ELECT,2831.0,,1415.5,2547.9,56
CDM,14019200,STENT GRAFT RELAY PRO,36344.0,,18172.0,32709.6,61
CDM,14019202,K-WIRE 1.6MMX6INCROSSROADS,271.0,,135.5,506.18,62
CDM,14019203,PROSTH EMPOWER KNEE TIBIA,3403.0,,1701.5,3062.7,62
CDM,14019204,EMPOWER FEMUR NON PORUS SZT LT,2569.0,,1284.5,2374.28,62
CDM,14019205,IMPL KNEE PATELLA ALL-POLY DOM,645.0,,322.5,2374.28,62
CDM,14019206,IMPL EMPOWERED 3D TIBIAL INSRT,1382.0,,691.0,2374.28,62
CDM,14019207,BOOT ROOKE OSBORN MED HFS-102,219.0,,109.5,197.1,56
CDM,14019208,IMPL BONE DOWEL CANN REVISION,2930.0,,1465.0,2637.0,61
CDM,14019209,IMPL SHOULDER HUMERAL HEAD,4050.0,,2025.0,3645.0,62
CDM,14019210,IMPL EAR BASE MEDPOR LT EXTEND,4804.0,,506.18,4323.6,62
CDM,14019211,IMPL EAR HELICAL RIM MEDPOR,1619.0,,506.18,1457.1,62
CDM,14019212,KIT ALLOGRAFT REVISION BONE,1114.0,,557.0,1002.6,61
CDM,14019213,KIT ARTHRO TIGHTROPE ARTHREX,1104.0,,506.18,993.6,62
CDM,14019214,SYS TRANSFER AUTOGRAFT ARTHREX,1053.0,,526.5,947.7,56
CDM,14019215,SIZER SALINE ROUND HIGH 380CC,271.0,,135.5,243.9,56
CDM,14019216,ENSEAL SEALER 35CM JAW,876.0,,438.0,788.4,56
CDM,14019217,ICD DEFIB AMPLIA MRI SURESCAN,33207.0,,16603.5,29886.3,62
CDM,14019218,ALLOGRAFT HUMAN DERMAL,2430.0,,1215.0,2187.0,56
CDM,14019219,GRAFT SPREADER ARTHREX,760.0,,380.0,684.0,56
CDM,14019220,ANCHOR TENDON ABSORBABLE,1773.0,,506.18,1595.7,62
CDM,14019221,SUTURE ANCHOR HEALICOIL,2810.0,,506.18,2529.0,62
CDM,14019222,ACETABULAR LINER G7 VIV-E,1468.0,,734.0,2374.28,62
CDM,14019223,DRESSING RENASYS-F KIT W/SP MD,430.0,,215.0,387.0,56
CDM,14019224,IMPL HUM STEM SHOULDER RSP,30372.0,,2374.28,27334.8,62
CDM,14019225,IMPL HUM INSERT SCCKIT RSP,6075.0,,2374.28,5467.5,62
CDM,14019226,VALVE AORTIC EVOLUT PRO,8297.0,,4148.5,7467.3,61
CDM,14019227,ANCHOR SUTURE HEALICOIL,734.0,,367.0,660.6,62
CDM,14019228,IMPL HUM HEAD DELTA CTA XTEND,6127.0,,2374.28,5514.3,62
CDM,14019229,IMPL FINGER SWANSON W/GROMMETS,1696.0,,848.0,1526.4,61
CDM,14019230,NEEDLE 8787 CATHETER LONG,134.0,,67.0,120.6,56
CDM,14019231,TARGET GUIDE DISTAL CLAVICLE,2109.0,,1054.5,1898.1,56
CDM,14019232,AWL TAPERED 3.8MM DISP,148.0,,74.0,133.2,56
CDM,14019233,HEALICOIL 5.5MM W/UB2-CBR BLK,850.0,,425.0,765.0,62
CDM,14019234,IMPL DISTAL FEMORAL AUGMENT,2532.0,,1266.0,2278.8,61
CDM,14019236,FIBERTAPE CERCLAGE W/O NEEDLE,962.0,,481.0,865.8,56
CDM,14019237,TIGERTAPE CERCLAGE W/O NEEDLE,962.0,,481.0,865.8,56
CDM,14019238,IMPL ACETAB LINER ALTRX,1114.0,,557.0,2374.28,62
CDM,14019239,CASSETTE S/I SONOPET,972.0,,486.0,874.8,56
CDM,14019241,CEMENT MIXER KYPHON A07A,211.0,,105.5,189.9,56
CDM,14019242,VERT BODY SOLIDITY CP TURQ,12149.0,,6074.5,10934.1,61
CDM,14019243,VERT BODY SOLIDITY END CAP,563.0,,281.5,506.7,61
CDM,14019244,IMPL FEM HIP STEM SUMMIT,3493.0,,1746.5,3143.7,62
CDM,14019245,CANNULA ADTECH NEUROPACE,2169.0,,1084.5,1952.1,56
CDM,14019246,STENT BILI-VAS LIFESTENT,3796.0,,1642.91,3416.4,62
CDM,14019247,TIP ASPIRATOR US STR,1883.0,,941.5,1694.7,56
CDM,14019248,FLUTED EXTENSION STEM MEDACTA,2958.0,,1479.0,2662.2,61
CDM,14019249,IMPL GMK HINGE TIBIAL INSERT,4199.0,,2099.5,3779.1,62
CDM,14019250,PATELLA RESURFACINGMEDACTA,608.0,,304.0,2374.28,62
CDM,14019251,GMK HINGE TIBIAL TRAY MEDACTA,6850.0,,2374.28,6165.0,62
CDM,14019252,GMK HINGE FEMORAL COMPONENT,13086.0,,2374.28,11777.4,62
CDM,14019253,GENERAL MIS SPHERE INST SET,159.0,,79.5,143.1,56
CDM,14019254,IMPL LAMINAR LIGAPASS,10588.0,,5294.0,9529.2,61
CDM,14019255,IMPL CONNECTOR LIGAPASS 2.0,7022.0,,3511.0,6319.8,61
CDM,14019256,GRAFT CERV CORNERSTONE,1417.0,,708.5,1275.3,61
CDM,14019257,IMPL HEAD HUM EQUINOXE STMLS,10823.0,,2374.28,9740.7,62
CDM,14019258,IMPL ACET LINER PE DUAL MOB,1368.0,,684.0,2374.28,62
CDM,14019259,IMPL KN BASE TIB EMPOWER,16335.0,,2374.28,14701.5,62
CDM,14019260,IMPL SHOULDER CAGE INTEGRIP,18896.0,,9448.0,17006.4,61
CDM,14019261,IMP LIN ACET LINR BI MENTUM PE,1368.0,,684.0,2374.28,62
CDM,14019263,VAULTLOCK AUGMENTED LARGE,6226.0,,2374.28,5603.4,62
CDM,14019264,UNIVERS VAULTLOCK GLENOID SM,3189.0,,1594.5,2870.1,62
CDM,14019265,LOGICAL G SERIES CUP SHELL,10581.0,,2374.28,9522.9,62
CDM,14019266,IMPL FEMORAL HEAD CERAMIC 02,8585.0,,2374.28,7726.5,62
CDM,14019267,IMPL SPEEDBRG SYS W/PEEK SWVL,4354.0,,506.18,3918.6,62
CDM,14019268,DRIVER CANNULATED HEXAGONAL,539.0,,269.5,485.1,56
CDM,14019269,IMPL MEMORY GEL MOD PLUS 150CC,760.0,,380.0,684.0,61
CDM,14019270,SCR CMF X-DRIVE HIGH-TORQ LAG,6581.0,,506.18,5922.9,62
CDM,14019271,GRAFT VASC IMPRA PTFEBARD,372.0,,186.0,1092.42,62
CDM,14019272,EMPOWER 3D FEMUR PORUS COATED,20273.0,,2374.28,18245.7,62
CDM,14019275,STENT TRACHEOBRONCHIAL ICAST,4380.0,,1667.17,3942.0,62
CDM,14019276,IMPL LINER LOGICAL XLPE HOODED,7978.0,,2374.28,7180.2,62
CDM,14019277,TEMP SENSOR MYOCARDIAL,574.0,,287.0,516.6,56
CDM,14019278,ALLOGRAFT BTB HEMI SHAPED BONE,5973.0,,506.18,5375.7,62
CDM,14019279,TEMPERATURE PROBE TMP-1308,94.0,,47.0,84.6,56
CDM,14019280,LAPAROSCOPIC LASSO TUBING,372.0,,186.0,334.8,56
CDM,14019281,FIBER LASER INNOVOYCE,680.0,,340.0,612.0,56
CDM,14019285,IDE GRF TAG THORACIC SB,9091.0,,4545.5,8181.9,61
CDM,14019286,PROBE ABLATION NEUWAVE SR25CM,4050.0,,107.58,3645.0,57
CDM,14019287,DSG ENDOFRM MYRIAD,1763.72,,23.24,1587.35,54
CDM,14019288,THERASKIN LIFENET 101TSS,2278.0,,1139.0,2050.2,56
CDM,14019289,GRAFT SOMAGEN HT W22812,10012.0,,5006.0,9010.8,61
CDM,14019290,CATH BI FLANGED FISTULA PROSTH,850.0,,425.0,765.0,61
CDM,14019291,WASHER MNTR SUP OC LATERAL,986.0,,493.0,887.4,61
CDM,14019292,SIZER MOLDED TOLOGIC,473.0,,236.5,425.7,61
CDM,14019293,THERASKIN LIFENET 102TSL,2724.0,,1362.0,2451.6,56
CDM,14019294,ALLOGRAFT OSTEO CHONDRAL SYS,1570.0,,785.0,1413.0,61
CDM,14019295,TISSUE BASED WOUD CARE STRAVIS,3463.0,,1731.5,3116.7,61
CDM,14019296,INST SEAL TISSUE ENSEAL,1515.0,,757.5,1363.5,56
CDM,14019297,ELECT NEEDLE BIPOLAR,743.0,,371.5,668.7,56
CDM,14019298,CORD BIPOLAR LAP HF,424.0,,212.0,381.6,56
CDM,14019299,CAGE LUMBAR ANT AERO-AL,8504.0,,4252.0,7653.6,61
CDM,14019300,CUTTING GUIDE ORTHOG COMPLEX,8930.0,,4465.0,8037.0,56
CDM,14019304,MODULAR HEAD RHHDLG,3544.0,,1772.0,3189.6,62
CDM,14019305,MODULAR STEM RHSTMD,3544.0,,1772.0,3189.6,62
CDM,14019306,QUADLINK IMPL SYS ARTHREX,4405.0,,2202.5,3964.5,61
CDM,14019307,TISSUE STRAVIX AMNION,602.0,,301.0,541.8,61
CDM,14019308,REVISION TIBIAL STEM ZIMMER,1888.0,,944.0,2374.28,62
CDM,14019310,GRAFT AORTA THORAFLEX HYBRID,70867.0,,35433.5,63780.3,61
CDM,14019311,ADAPTER OSS/COMPRESS BIOMET,980.0,,490.0,882.0,62
CDM,14019312,IMPL TIB BEARING OSS SAVAGE,1640.0,,820.0,2374.28,62
CDM,14019313,IMPL KNEE FEM STEM OSS,12850.0,,2374.28,11565.0,62
CDM,14019314,IMPL TIB BASEPLATE OSS,5994.0,,2374.28,5394.6,62
CDM,14019315,IMPL KNEE BRUSHING OSS RS,723.0,,361.5,650.7,61
CDM,14019316,IMPL SEGMENT DIAPHYSEAL OSS,9958.0,,2374.28,8962.2,62
CDM,14019317,IMPL TIB BRNG AGC TRAD PRIM,1072.0,,536.0,2374.28,62
CDM,14019319,COMPRS SHORT ANCHOR PLUG,2769.0,,1384.5,2492.1,61
CDM,14019320,CURRETTE KIT MISONIX,1365.0,,682.5,1228.5,56
CDM,14019321,DSG ENDOFRM MYRIAD AROAECM,3527.46,,23.24,3174.71,54
CDM,14019322,TRAY NERVE BLOCK W/ULTRA TRAN,78.0,,39.0,70.2,56
CDM,14019323,DSG ENDOFRM MYRIADAROAECM,1289.0,,644.5,1478.44,57
CDM,14019324,SPEED ANCHOR XBRAID SUT TAPE,867.0,,433.5,780.3,57
CDM,14019325,PEEK KNOTLESS ANCHOR SYSTEM,819.0,,409.5,737.1,62
CDM,14019326,VALVE TAVR SAPIEN3 29MM W/ALT,80796.0,,40398.0,72716.4,56
CDM,14019327,CATH SHOCKWAVE IVL,5354.0,,257.51,4818.6,57
CDM,14019328,IRRIGATION TUBING SET,94.0,,47.0,84.6,56
CDM,14019330,ICONIX 2 NDLS ANCHOR W/2STRAND,926.0,,463.0,833.4,57
CDM,14019331,FENESTRATED EXTENDER MEDTRONIC,487.0,,243.5,438.3,61
CDM,14019332,PRE-SHAPED PATELLA TENDON,7102.0,,3551.0,6391.8,61
CDM,14019333,SONIC ONE AND TUBE SET,1260.0,,630.0,1134.0,56
CDM,14019334,ZB 12/14 COCR FEMORAL HEAD,585.0,,292.5,2374.28,62
CDM,14019335,JUGGERSTITCH SUTURE CUTTER,406.0,,203.0,365.4,56
CDM,14019336,SCREW SPINAL SERRATOPOLYAXIAL,1655.0,,827.5,1489.5,61
CDM,14019337,SET TUBING IRRIGATION SURGICAL,387.0,,193.5,348.3,56
CDM,14019338,VERSYS CEMENTED STEM 15X140STD,2921.0,,1460.5,2628.9,62
CDM,14019340,DSG ENDOFORM MYRIAD AROA BIO,1192.0,,596.0,1072.8,56
CDM,14019341,IMPL BONE TISS LEVEL,371.0,,185.5,333.9,61
CDM,14019343,INS TIB FIX BEAR ULT CONS,3498.0,,1749.0,3148.2,62
CDM,14019344,PUTTY BONE AMB IFACTOR 5CC,5354.0,,506.18,4818.6,57
CDM,14019346,VIVACIT FREEDOM CONSTRAINED,9733.0,,2374.28,8759.7,62
CDM,14019347,TIB INSERT TRIATHLON AP PSS,2336.0,,1168.0,2374.28,62
CDM,14019348,SNARE CRESENT OLYMPUS,415.0,,207.5,373.5,56
CDM,14019349,SPACE OAR VUE SYSTEM BOST SCI,6707.0,,3353.5,6036.3,61
CDM,14019350,ABUTMENT HEALING IE3,141.0,,45.62,126.9,62
CDM,14019351,CATH DCB LUTONIX 035 5F,4479.0,,2239.5,4031.1,62
CDM,14019352,IMPL FEM STEM PRESSFIT DJO,3218.0,,1609.0,2896.2,62
CDM,14019353,IMPL KNEE PATELLA DOMED E+,855.0,,427.5,2374.28,62
CDM,14019354,IMPL KNEE BASE EMPOWR 3D,2122.0,,1061.0,2374.28,62
CDM,14019355,SET TUBE DRAINAGE CSF,13142.0,,6571.0,11827.8,56
CDM,14019358,IMPLANT CRANIAL PEEK,27860.0,,13930.0,25074.0,61
CDM,14019359,IMPLANT CRANIAL PEEK,20851.0,,10425.5,18765.9,61
CDM,14019360,PATENTED MULTI STAGE CLIP,159.0,,79.5,143.1,56
CDM,14019361,IMPL IFUSE TORQ 10070T,6328.0,,506.18,5695.2,62
CDM,14019362,COUNTERSINK CANN AO/QC,723.0,,361.5,650.7,56
CDM,14019363,FEM COMP PERSONA PS STD,2921.0,,1460.5,2628.9,62
CDM,14019364,HEMOSTATIC HANDLE HEMOSTATIX,494.0,,247.0,444.6,56
CDM,14019365,IMP W FLANGE TAPER,1751.0,,875.5,1575.9,56
CDM,14019366,PROBE NIM BIPOLAR STIM,202.0,,101.0,181.8,56
CDM,14019368,XCM BIO TISSUE MATRIX SYNTHES,27860.0,,319.04,25074.0,56
CDM,14019369,SEALENT DURAL SYS DURASEAL 5ML,1361.0,,680.5,1224.9,56
CDM,14019370,THERASKIN LIFENET 26TS,2483.0,,1241.5,2234.7,56
CDM,14019371,ATTACHMENT ENDO DISTAL OLYMPUS,76.0,,38.0,68.4,56
CDM,14019372,HANAROSTENT ESOPHAGUS MI TECH,2804.0,,1402.0,2523.6,62
CDM,14019373,DRESSING DERML ENDOFORM MYRIAD,3969.0,,23.24,3572.1,54
CDM,14019374,CATH BALLOON DIL OPTILUME,4079.0,,367.53,3671.1,57
CDM,14019375,EMPHASYS FEMORAL STEMDEPUY,3359.0,,1679.5,3023.1,62
CDM,14019376,BI MENTUM PRESSFIT CUP,2318.0,,1159.0,2374.28,62
CDM,14019377,IMPL KNEE PATELLA PERSONA 02,585.0,,292.5,2374.28,62
CDM,14019379,TISSUE BASED WND CARE STRAVIS,237.0,,118.5,213.3,56
CDM,14019380,IMPL LOSPA PATELLAR COMPONENT,433.0,,216.5,2374.28,62
CDM,14019381,IMPL EXULT TIBIAL INSERT 01,1217.0,,608.5,2374.28,62
CDM,14019382,IMPL EXULT FEM COMPONENT PS,2532.0,,1266.0,2374.28,62
CDM,14019383,BTB HEMI SHAPED BONE ALLOGRAFT,6914.0,,3457.0,6222.6,61
CDM,14019384,GRAFT ENDO TAG THORACIC,62301.0,,31150.5,56070.9,61
CDM,14019385,TAG TBE THORACIC SIDE BRANCH,15187.0,,7593.5,13668.3,61
CDM,14019386,CABLE CERCLAGE ASSEMBLY,779.0,,389.5,701.1,61
CDM,14019388,PLATELET RICH PLASMA KIT APEX,1168.0,,584.0,1051.2,56
CDM,14019389,BONE MARROW CONCENTRATION 60ML,2823.0,,1411.5,2540.7,56
CDM,14019390,NVM5 NEED MODULE EMG,1363.0,,681.5,1226.7,56
CDM,14019391,LVL ONE NEURO FRONTOTEMP PARIE,9899.0,,4949.5,8909.1,61
CDM,14019392,G7 OSSEOTI ACETABULAR SHELL,2142.0,,1071.0,2374.28,62
CDM,14019393,IMPL FINGER NEUFLEX PIP,1566.0,,783.0,1409.4,61
CDM,14019394,IMPL ADM/MDM X3 STRYKER,1558.0,,779.0,2374.28,62
CDM,14019395,SYS SUTURE ENDO APOLLO ENDO,2265.0,,1132.5,2038.5,56
CDM,14019397,RSP MONOBLOCK HEMI ADAPTER DJO,2146.0,,1073.0,1931.4,61
CDM,14019398,IMPL HUMERAL HEAD DJO,2040.0,,1020.0,2374.28,62
CDM,14019399,ARCH STENT GRAFT NEXUS,40787.0,,1667.17,36708.3,62
CDM,14019400,ASCENDING STENT GRAFT NEXUS,29106.0,,1667.17,26195.4,62
CDM,14019402,CATH PIGTAIL COOK G11272,49.0,,24.5,44.1,56
CDM,14019403,OUTFLOW TUBING SET MEDTRONIC,324.0,,162.0,291.6,56
CDM,14019405,AANOTACK TT SUTUREANCHOR,905.0,,452.5,814.5,62
CDM,14019406,TIGHTROPE IMPLANT SYS ARTHREX,1898.0,,506.18,1708.2,62
CDM,14019407,TRACHEOBRONXANE DUMON STENT,905.0,,452.5,814.5,61
CDM,14019408,EASYFUSE DYNAMIC COMPRESSIO SY,1168.0,,506.18,1051.2,62
CDM,14019409,EASYFUSE STAPLE FFS21512,5549.0,,2774.5,4994.1,61
CDM,14019410,EASYFUSE STAPLE FFS4MTPS,7301.0,,3650.5,6570.9,61
CDM,14019411,IMPL KNEE TIB MEDIAL BIOMET,2921.0,,1460.5,2628.9,62
CDM,14019412,IMPL KNEE FEM PARTIAL BIOMET,1558.0,,779.0,2374.28,62
CDM,14019413,KNEE TIB INSERT PERSO VIVACITE,1363.0,,681.5,2374.28,62
CDM,14019414,CATH ANGIO GUIDE SOFT-VU,111.0,,55.5,102.65,57
CDM,14019415,IMPL FEM HIP STEM WAGNER SL,7869.0,,2374.28,7082.1,62
CDM,14019416,GRAFT FUSION BIOLINE MAQUET,3155.0,,1092.42,2839.5,62
CDM,14019417,IMPL ENVELOPE NEURO MEDTRONIC,3885.0,,1942.5,3496.5,61
CDM,14019418,IMPL ATTUNE FEM POR CR LT SZ 9,2726.0,,1363.0,2453.4,62
CDM,14019419,TISSUE PROTECTION SLEEVE,1085.0,,542.5,976.5,56
CDM,14019421,SURGICAL MATRIX THIN INTEGRA,2348.0,,608.95,2113.2,62
CDM,14019422,GDWIRE FLUTED TIP SYNTHES,1286.0,,27.95,1157.4,57
CDM,14019423,GDWIRE TROCAR TIP SYNTHES,891.0,,27.95,801.9,57
CDM,14019424,MODULAR CROSS CONNECTOR8785,360.0,,180.0,506.18,62
CDM,14019425,TUBE VENT ENT BOBBIN 1.00X1.00,136.0,,68.0,122.4,56
CDM,14019428,PROBE CRYO FLEX 1.1MM,793.0,,257.96,713.7,57
CDM,14019429,STENT TRACHEOBRONCHIAL DVS,346.0,,173.0,1667.17,62
CDM,14019430,IMPL FEM HIP STEM SUMMIT,2677.0,,1338.5,2409.3,62
CDM,14019431,IMPL ASPHERE M-SPEC SYNTHES,1412.0,,706.0,2374.28,62
CDM,14019432,IMPL KNEE FEM STEM BIOMET,14189.0,,2374.28,12770.1,62
CDM,14019433,LEAD NEUROSTIM KIT MEDTRONIC,769.0,,384.5,692.1,56
CDM,14019435,CAGE SPINAL FUSION MODULUS,7788.0,,3894.0,7009.2,61
CDM,14019436,TITANIUM 3D RIB CLIP MEDXPERT,4302.0,,2151.0,3871.8,61
CDM,14019437,GDWIRE BAPP TIP ZIMMER,333.0,,27.95,299.7,57
CDM,14019438,ATTUNE PINNING SYSTEM SYNTHES,1466.0,,506.18,1319.4,62
CDM,14019439,PASSPORT DIVIDER ARTHREX,169.0,,84.5,152.1,56
CDM,14019441,IMPL TIBIAL COMPONENT MODULAR,4240.0,,2120.0,3816.0,62
CDM,14019442,IMPL ARTICULATING SURFACES PS,2701.0,,1350.5,2430.9,62
CDM,14019443,FRAGMENT CONTROL SLEEVE,500.0,,250.0,450.0,56
CDM,14019445,IMPL SACROILIAC INFUSE,5841.0,,2920.5,5256.9,61
CDM,14019447,REAMER HEAD ANGLED ARTHREX,553.0,,276.5,497.7,56
CDM,14019448,GLENOID CALIBRATOR ARTHREX,1558.0,,779.0,1402.2,56
CDM,14019449,UNIVERS REVERS APEX STEM,4162.0,,2081.0,3745.8,62
CDM,14019450,BB-TAK THREADED ARTHREX,221.0,,110.5,198.9,56
CDM,14019451,EXTRACTION SHAFT STRYKER,923.0,,461.5,830.7,56
CDM,14019452,Y-STENT HOOD Y-12-S,539.0,,269.5,485.1,61
CDM,14019453,IMPL SPACEOAR SYSTEM BOST SCI,6707.0,,3353.5,6036.3,61
CDM,14019454,EXTENDED 4 HOLE GTR CABLES,6193.0,,3096.5,5573.7,56
CDM,14019455,CABLE READY CABLE ASS COCR,818.0,,409.0,736.2,61
CDM,14019456,CABLE READY GTR CABLE COCR,513.0,,256.5,461.7,61
CDM,14019457,DSG MATRIX MYRIAD MORCELLS 500,965.0,,482.5,868.5,56
CDM,14019459,IMPL COREHIP STD CEMENTLESS,2045.0,,1022.5,2374.28,62
CDM,14019460,DISP KIT FOR SHORT PUSHLOCK,416.0,,208.0,506.18,57
CDM,14019461,IMPL LEFT TRIFLANGE BIOMET,26049.0,,2374.28,23444.1,62
CDM,14019462,ULTRASONIC SURG SYS STANDARD,1688.0,,844.0,1519.2,56
CDM,14019463,IMPL ORTHPAEDIC ADAPTOR ZIMMER,214.0,,107.0,2374.28,62
CDM,14019464,BONE ANAT MODEL SURG GUIDE KIT,1168.0,,584.0,1051.2,56
CDM,14019465,NEEDLE HOLDER LITCHENBERG,3619.0,,1809.5,3257.1,56
CDM,14019467,NEEDLE NAV PACK TROCAR,1266.0,,633.0,1139.4,56
CDM,14019468,NUT CERV PRODISC C-RETAINER,260.0,,130.0,234.0,61
CDM,14019469,VIGENEX UMBILICAL MEMBRANE 3X,3320.0,,1660.0,2988.0,61
CDM,14019470,TRUE LOCK PLUG COLOPLAST 9471S,281.0,,140.5,252.9,56
CDM,14019471,RADIOPAQUE POLYPROYL CONNECTOR,404.0,,202.0,363.6,61
CDM,14019472,VLV ENDOSCOPIC BX ADJ UROSEAL,202.0,,101.0,181.8,56
CDM,14019473,SCOPE UTEROSCOPE STERIS,1947.0,,778.73,1752.3,62
CDM,14019474,ANCHOR JUGGERKNOT DBL ZIMMER,611.0,,305.5,549.9,62
CDM,14019476,CATH DCB LUTONIX 018BARD,5939.0,,2417.59,5345.1,62
CDM,14019478,IMPL CUSTOM CHEEK IMPL,12850.0,,6425.0,11565.0,61
CDM,14019479,KIT PEDICLE ACCESS PAK NEEDLE,633.0,,316.5,569.7,56
CDM,14019483,CONNECTOR SYMPHONY SYNTHES,974.0,,487.0,876.6,61
CDM,14019484,IMPL FEM KNEE COMP ADV REV,9458.0,,2374.28,8512.2,62
CDM,14019485,IMPL FEM STEM PRESSFIT LINK,1903.0,,951.5,2374.28,62
CDM,14019486,IMPL HIP ACE LINER 0 DEG,3345.0,,1672.5,3010.5,62
CDM,14019487,IMPL SPINAL DOMINO SIDE TOP,4479.0,,2239.5,4031.1,61
CDM,14019488,GDWIRE BEVELED ARTHREX,247.0,,123.5,506.18,57
CDM,14019489,PRE-SHAPED ACHILLES TENDON FF,6795.0,,3397.5,6115.5,61
CDM,14019490,ENCOMPASS CLAMP AND GUIDE SYS,10514.0,,5257.0,9462.6,61
CDM,14019491,EVACUATOR SMOKE PENCIL STRYKER,85.0,,42.5,76.5,56
CDM,14019493,CATH VENTRIC SHUNT CODMAN,1188.0,,594.0,1069.2,61
CDM,14019494,CATH PERITONEAL CODMAN 82-3074,1188.0,,594.0,1069.2,61
CDM,14019495,INJ NEEDLE ENDOSCOPIC OLYMPUS,164.0,,82.0,147.6,56
CDM,14019496,IMPL AUGMENT TIBIAL LINK,1791.0,,895.5,1611.9,61
CDM,14019497,IMPL CMF CUSTOM CRANIAL KLS,3495.0,,506.18,3145.5,62
CDM,14019498,IMPL FEM AUG DISTAL LINK,1791.0,,895.5,1611.9,61
CDM,14019499,KWIRE PIN STEINMAN DIAM SGL PT,121.0,,60.5,506.18,57
CDM,14019500,MOD STEM CYLINDRICAL PRESS-FIT,1903.0,,951.5,2374.28,62
CDM,14019501,IMPL STEM DISTAL CONICAL MOD,1903.0,,951.5,2374.28,62
CDM,14019502,EMPOWER TIB PORROUS COATEDRT,1558.0,,779.0,2374.28,62
CDM,14019503,XS PROX BODY EXACTECH,14104.0,,2374.28,12693.6,62
CDM,14019504,BIOLOX DELTA FEM HEADZIMMER,1753.0,,876.5,2374.28,62
CDM,14019505,RETRIEVER NET OLYMPUS ET 2014,250.0,,125.0,225.0,56
CDM,14019506,DSG MATRIX MYRIAD MORCELLS,3169.0,,1584.5,2852.1,56
CDM,14019507,HOOK LAMINA MATRIX TI SYNTHES,779.0,,389.5,701.1,56
CDM,14019508,EXTRACTION HOOK LG STRYKER,385.0,,192.5,346.5,56
CDM,14019509,Y STENT ENDOCHOICE,9726.0,,1667.17,8753.4,62
CDM,14019510,ALPHAVENT SUT ANCHOR W/PEEK,809.0,,404.5,728.1,62
CDM,14019511,CATH SIZING AUROUS COOK G11916,274.0,,137.0,246.6,56
CDM,14019512,TRISTAPLE 2.0 BLK INTELLIGENT,1429.0,,714.5,1286.1,56
CDM,14019513,2.0 MM LACTO ADJ SD TAP,571.0,,285.5,513.9,62
CDM,14019515,PROVU HANDPIECE ACESSA HEALTH,6717.0,,3358.5,6045.3,56
CDM,14019516,ELECT 6 CONTACT 10MM AD TECH,563.0,,281.5,506.7,56
CDM,14019518,MTX TI TPR SLEEVE WRIGHT MED,360.0,,180.0,324.0,61
CDM,14019519,ELEV RDHDL ST C7MMTP15CM5,232.0,,116.0,208.8,56
CDM,14019520,TRACH TUBE BLUSELECT UNCUFF 7,94.0,,47.0,84.6,56
CDM,14019522,NANOBITER STR TIP ARTHREX,516.0,,258.0,464.4,56
CDM,14019523,NANOSCOPE HANDPIECE ARTHREX,1283.0,,641.5,1154.7,56
CDM,14019524,NANOSCOPE HI FLOW SHEATH KIT,184.0,,92.0,165.6,56
CDM,14019526,AUTOPLEX SYS W/O NDL STRYKER,556.0,,278.0,506.18,57
CDM,14019527,VIRTUE MALE SLING COLOPLAST,9964.0,,1948.58,8967.6,62
CDM,14019528,UNIT NAV ORTHALIGN PLUS,1354.0,,677.0,1218.6,56
CDM,14019529,GLASS FIBER BAR 11MM X 350MM,413.0,,206.5,371.7,56
CDM,14019530,GLASS FIBER BAR 11MM X 400MM,435.0,,217.5,391.5,56
CDM,14019531,DOMINO OPEN OPEN MEDTRONIC,3408.0,,1704.0,3067.2,61
CDM,14019532,DOMINO SIDE OPEN MEDTRONIC,3408.0,,1704.0,3067.2,61
CDM,14019533,CONNECTOR TI AXL CL5.5 OP6.35,779.0,,389.5,701.1,61
CDM,14019534,TUBING SMOKE EVAC VACUUM,406.0,,203.0,365.4,56
CDM,14019535,CUSTOM PEEK IMPLANT OSTEOMED,15576.0,,7788.0,14018.4,61
CDM,14019536,SNARE CRESCENT OLYMPUS,415.0,,207.5,373.5,56
CDM,14019537,RICHNHAM RESERVOR CODMAN,922.0,,461.0,829.8,61
CDM,14019538,PK SUTURE PARS W/SUTURE TAPE,1461.0,,730.5,1314.9,56
CDM,14019539,HOFFMAN XPRESS INSTRUMENT KIT,9134.0,,4567.0,8220.6,56
CDM,14019540,VSP CUSTOMIZED BUNDLE STRYKER,1005.0,,502.5,904.5,61
CDM,14019541,NV I-PAS III BEVELED TIP,431.0,,215.5,387.9,56
CDM,14019542,IMPL TIB INS GII PS AP,10407.0,,2374.28,9366.3,62
CDM,14019543,IMPL TIB INS JOURNEY II BCS,7353.0,,2374.28,6617.7,62
CDM,14019544,IMPL TIB INSERT EMPWR VVC DJO,9156.0,,2374.28,8240.4,62
CDM,14019545,IMPL KNEE BASEPLATE EMPOWR,16874.0,,2374.28,15186.6,62
CDM,14019546,RESTYLANE 1CC,596.0,,298.0,536.4,61
CDM,14019547,STRUCTURED BREAST IMPLANT,1947.0,,973.5,1752.3,61
CDM,14019548,REVERSED INSERT TORNIER,4406.0,,2203.0,3965.4,62
CDM,14019549,IMPL HUMERAL STEM STD SHORT,7973.0,,2374.28,7175.7,62
CDM,14019550,THROMBIN RECOMB,148.0,,74.0,133.2,55
CDM,14019551,PROBE PR XT 15GA NEUWAVE MED,3894.0,,107.58,3504.6,62
CDM,14019552,PRESHAPED QUAD TENDON W/BONE,4283.0,,2141.5,3854.7,61
CDM,14019553,ICD EVERA MRI S DR D1 CONNECT,21416.0,,10708.0,19286.78,62
CDM,14019555,KNOTLESS TENSIONTIGH BUTTON,1704.0,,506.18,1533.6,62
CDM,14019556,STRATUM STND INSTRUMENTKIT,532.0,,266.0,478.8,56
CDM,14019557,ANASTOMOSIS VESSEL INDVL 0.7MM,195.0,,97.5,175.5,56
CDM,14019558,IMPL ACERTAB SHELL TANDEM BP,585.0,,292.5,2374.28,62
CDM,14019559,IMPL FEM NECK SEGMENT LINK,9192.0,,2374.28,8272.8,62
CDM,14019560,PUMP INF IMPL N/PROGRAM,26283.0,,8169.0,23654.7,62
CDM,14019561,IMPL RING ACET RINGLOCBIOMET,248.0,,124.0,2374.28,62
CDM,14019562,SPACER CERVICAL ACIS SYNTHES,1850.0,,925.0,1665.0,61
CDM,14019564,IMPL GMK SPHERE KNEE MEDACTA,6230.0,,2374.28,5607.0,62
CDM,14019565,INPL KNEE FEM DISTAL OSS,12048.0,,2374.28,10843.2,62
CDM,14019566,MESH RESTORELLE COLOPLAST,1885.0,,608.95,1696.5,62
CDM,14019567,IMPL PSN STRAIGHT HYB STEM,2563.0,,1281.5,2374.28,62
CDM,14019569,JOURNEYII CR FEMORAL OXIMUM NP,2921.0,,1460.5,2628.9,62
CDM,14019570,AVENIR COMPL HIP HIGH OFFSET,3602.0,,1801.0,3241.8,62
CDM,14019571,IMPL OSTEOVIEW MANDILE STRYKER,2072.0,,506.18,1864.8,62
CDM,14019572,MEDICAL MODELING CUST MODEL,1115.0,,506.18,1003.5,62
CDM,14019573,STERILE LEADCONFIRM,1110.0,,555.0,999.0,56
CDM,14019574,CANISTER VAC 500ML KCI,152.0,,76.0,136.8,56
CDM,14019575,IMPL FEM COMP IBALANCE ARTHREX,9268.0,,2374.28,8341.2,62
CDM,14019576,IMPL KNEE PATELLA DOME ARTHREX,1704.0,,852.0,2374.28,62
CDM,14019577,KIT BLADE PFJ IBALANCE ARTHREX,355.0,,177.5,319.5,56
CDM,14019579,TUBE SUCTION YANKAUER TI KLS,56.0,,28.0,50.4,56
CDM,14019580,IMPL SUBTALAR SUBFIX 10.0MM,2310.0,,1155.0,2079.0,61
CDM,14019581,IMPL COLLAGEN SURGIMEND 10X15,5841.0,,509.08,5256.9,62
CDM,14019583,NEUROPEN 15.5CM 2120-25,2142.0,,1071.0,1927.8,56
CDM,14019584,TIBIAL CORTICAL STRUT,1628.0,,814.0,1465.2,61
CDM,14019585,FIBERRING W/SHUTTLE LOOP,346.0,,173.0,311.4,61
CDM,14019586,OMEGA PEEK KNOTLESS ANCHOR SYS,433.0,,216.5,506.18,62
CDM,14019587,MICRORAPTOR REGENESORB ANCHOR,716.0,,358.0,644.4,62
CDM,14019589,TORNADO EMBOLIZATION COIL,385.0,,192.5,346.5,61
CDM,14019590,ACET SHELL TRIDENT II,4613.0,,2306.5,4151.7,62
CDM,14019591,DSG OVINE COLLAGEN,241.0,,23.24,216.9,56
CDM,14019592,IMPL FEM COMP PERSONA PS STD,9063.0,,2374.28,8156.7,62
CDM,14019593,IMPL HEAD FEMORAL C TAPER,927.0,,463.5,2374.28,62
CDM,14019594,IMPL KNEE FEM EMPOWR 3D NP RT,2997.0,,1498.5,2697.3,62
CDM,14019595,IMPL KNEE TIBIAL TRAY,4468.0,,2234.0,4021.2,62
CDM,14019596,IMPL PATELLA RESURFACING,828.0,,414.0,2374.28,62
CDM,14019597,IMPL TIB INS EMPOWR E RT,1642.0,,821.0,2374.28,62
CDM,14019598,PORT POWERPORT KIT CLEARVUE,536.0,,268.0,482.4,61
CDM,14019599,IMPL TIB INS JOURNEY II XLPE,1753.0,,876.5,2374.28,62
CDM,14019600,IMPL TIB INS SIGMA HP UNI AP,1246.0,,623.0,2374.28,62
CDM,14019601,TIBIAL TRAY MRH KEEL,4069.0,,2034.5,3662.1,62
CDM,14019602,MOBI-C IMPL CERV DISC PROS,9735.0,,4867.5,8761.5,61
CDM,14019603,TENDON GRAFT VERSAGRAFT SEMI T,2512.0,,1256.0,2260.8,61
CDM,14019604,JOURNEY CR FEM OX NP LT,2921.0,,1460.5,2628.9,62
CDM,14019605,JOURNEY 7.5 RND RSRF PAT,585.0,,292.5,2374.28,62
CDM,14019606,IMPL DELTA V40 CERAMIC HEAD,4117.0,,2058.5,3705.3,62
CDM,14019607,IMPL INSIGNIA COLLARED STD,4117.0,,2058.5,3705.3,62
CDM,14019609,HUM STEM PLUS SHORT PROSTH,21743.0,,2374.28,19568.7,62
CDM,14019610,SPF-PLUS 60/M SPINAL FU STIM,11682.0,,5841.0,10513.8,56
CDM,14019611,CLIP 360 ENDO RESOLUTION 235CM,656.0,,328.0,590.4,61
CDM,14019612,DURACLIP CONMED DC0235W,322.0,,161.0,289.8,56
CDM,14019613,SMOKE EVACUATION PENCIL,85.0,,42.5,76.5,56
CDM,14019614,MENISCUS RIGHT LATERAL LIFENET,9161.0,,4580.5,8244.9,61
CDM,14019616,BOOT ROOKE SOFT AFO,334.0,,167.0,300.6,56
CDM,14019617,CATH TRACH CARE KIT NEO,398.0,,199.0,358.2,56
CDM,14019618,IMPL FEM KNEE COMP GMK SPHERE,2921.0,,1460.5,2628.9,62
CDM,14019619,IMPL KNEE FIXED BEARING,1558.0,,779.0,2374.28,62
CDM,14019620,IMPL KNEE TIBIAL PS AP,1753.0,,876.5,2374.28,62
CDM,14019621,IMPL KNEE TIBIAL TRAY MEDACTA,1344.0,,672.0,2374.28,62
CDM,14019622,PACK PUMP PERFUSION CUSTOM,485.0,,242.5,436.5,56
CDM,14019623,PENCIL ELECTRO VALLEYLAB,168.0,,84.0,151.2,56
CDM,14019624,SET INST CONVENTIONAL MEDACTA,152.0,,76.0,136.8,56
CDM,14019625,SET INST FEMORAL MEDACTA,152.0,,76.0,136.8,56
CDM,14019626,STAPLE ASSEMBLY ANGLED PARAGON,2565.0,,506.18,2308.5,62
CDM,14019628,IMPL TIB INSERT GMK SPHERE,1168.0,,584.0,2374.28,62
CDM,14019629,IMPL TIB INST FIX GMK MEDACTA,152.0,,76.0,2374.28,62
CDM,14019630,CATH PTA Z-MED II,1499.0,,257.51,1349.1,57
CDM,14019631,CATH DCB LUTONIX 018,3874.0,,1937.0,3486.6,57
CDM,14019632,IMPL ENVELOPE NEURO TYRX ABSO,2288.0,,1144.0,2059.2,61
CDM,14019633,IMPL TIB COMP PERSONA STEM,1655.0,,827.5,2374.28,62
CDM,14019634,IMPL CUP HUMERAL PERFORM,13458.0,,2374.28,12112.2,62
CDM,14019635,IMPL OSTEOCHONDRAL CORE,5647.0,,2823.5,5082.3,61
CDM,14019637,MTO CEMENT MOLD STEM,298.0,,149.0,2374.28,62
CDM,14019638,ACET INSERT TRIDENT X3,1109.0,,554.5,2374.28,62
CDM,14019639,IMPL FEM STEM SPARTAN,3900.0,,1950.0,3510.0,62
CDM,14019640,REAMER OPENING 13MM,1704.0,,852.0,1533.6,61
CDM,14019641,RETRACTOR MAXCESS 4 KIT,1947.0,,973.5,1752.3,56
CDM,14019642,SHEATH DRYSEAL FLEX,1130.0,,46.81,1017.0,62
CDM,14019643,TIBIAL AUG RT LAT LT MEDIAL,2434.0,,1217.0,2190.6,61
CDM,14019644,TIBIAL AUG RT LAT LT LATERAL,2434.0,,1217.0,2190.6,61
CDM,14019645,SURGIFOAM ABSORB GELATIN POWDR,145.0,,72.5,130.5,56
CDM,14019646,XLPE INSERT DUAL MOBILITY,5529.0,,2374.28,4976.1,62
CDM,14019647,FLANGED HUMERAL STEM RIGHT,4501.0,,2250.5,4050.9,62
CDM,14019648,IMPL AVENIR STANDARD STEM,3602.0,,1801.0,3241.8,62
CDM,14019650,CAVUX SPINAL SYSTEM X,1635.0,,817.5,1471.5,61
CDM,14019651,CAVUX CERVICAL CAGE X,3505.0,,1752.5,3154.5,61
CDM,14019652,ISOLATOR CLAMP ENCOMPASS LONG,10514.0,,5257.0,9462.6,56
CDM,14019653,IMPL COMPR SRS IC SEG,10786.0,,2374.28,9707.4,62
CDM,14019654,COMPRESS SRS MIN 4CM TPR ADAPT,1437.0,,718.5,1293.3,61
CDM,14019656,MODULUS XLW,6328.0,,3164.0,5695.2,61
CDM,14019658,CANN ACCUPORT SIDE DEL 307.034,818.0,,409.0,736.2,56
CDM,14019660,FEM COMP PERSONA PS STD,3408.0,,1704.0,3067.2,62
CDM,14019661,GRAFT THORACO-ABD COSELLI,6795.0,,1092.42,6115.5,62
CDM,14019662,INSERT CLAMP FOGARTY SET,128.0,,64.0,115.2,56
CDM,14019663,IMPL HIP STEM AVENIR,3602.0,,1801.0,3241.8,62
CDM,14019664,TENDON HEMI BONE QUADRICEP,6036.0,,3018.0,5432.4,61
CDM,14019665,IMPL TIBIAL TRAY HRH KEEL,1947.0,,973.5,2374.28,62
CDM,14019666,CORNEAL PATCH GRAFT,6717.0,,3358.5,6045.3,61
CDM,14019667,QUICKPASS TENDON SHUTTLE SMALL,221.0,,110.5,198.9,56
CDM,14019668,HIFLEX FIBER UNIVERSAL CNTRING,1433.0,,716.5,1289.7,56
CDM,14019669,KIT RPR SYNDESMOSIS FIBULINK,2992.0,,506.18,2692.8,62
CDM,14019670,STENT ESOPHAGEAL,9726.0,,4863.0,8753.4,61
CDM,14019671,CATH WILSON J TUBE SET,403.0,,201.5,362.7,56
CDM,14019672,METALLIC SPINAL FUSION CAGE,5062.0,,2531.0,4555.8,61
CDM,14019673,T15 DRIVER SHORT,941.0,,470.5,846.9,56
CDM,14019674,T15 DRIVER,1090.0,,545.0,981.0,56
CDM,14019675,X3 HUMERAL INSERT 36MM 4M STND,3092.0,,1546.0,2782.8,62
CDM,14019676,PROXIMAL TIBIAL SPACER,1936.0,,968.0,1742.4,61
CDM,14019677,SPHERE FEMORAL S4 INST SET,433.0,,216.5,389.7,56
CDM,14019678,REV FEMUR PS CEMENTED LT SZ 3,9697.0,,2374.28,8727.3,62
CDM,14019679,REV TIBIAL TRAY LR SZ 4,4772.0,,2374.28,4294.8,62
CDM,14019680,INST SEMICONSTRAINED 20MM SZ 4,3345.0,,1672.5,3010.5,62
CDM,14019681,OVATION IX ILIAC STENT GRAFT,7788.0,,3894.0,7009.2,61
CDM,14019682,DEPTH ELECTRODE,532.0,,266.0,478.8,56
CDM,14019683,TUNGSTEN MICRODISECT NDL STRT,110.0,,55.0,99.0,56
CDM,14019684,SIZER GEL ROUND HIGH 275,380.0,,190.0,342.0,56
CDM,14019685,CONNECTOR PLUG DBS,585.0,,292.5,526.5,61
CDM,14019686,MODULAR FEM COMPONENT-PS-LT-05,7788.0,,2374.28,7009.2,62
CDM,14019687,STEM EXTENSION-CEMENT-D09-L030,536.0,,268.0,2374.28,62
CDM,14019688,WIRE SHARPE BAYONET OLIVE 400,682.0,,341.0,613.8,56
CDM,14019689,TUBING AIRSEAL IFS BIFUR,256.0,,128.0,230.4,56
CDM,14019690,TBMTL FULL BLOCK TIB AUG,7403.0,,3701.5,6662.7,61
CDM,14019691,BRONCHOSCOPE DISP H-STERI XL,575.0,,287.5,517.5,56
CDM,14019692,IMPL AS B/F ADAPTOR 48 DEG,1848.0,,924.0,2374.28,62
CDM,14019693,KIT TENODESIS BC LOOP N TACK,1753.0,,506.18,1577.7,62
CDM,14019694,SUTURETAPE TIGERLINK 1.3WH/BLK,221.0,,110.5,198.9,56
CDM,14019699,BEVELED VENT TUBE GROM TYPE ID,227.0,,113.5,204.3,61
CDM,14019700,IMPL MEDPOR TITAN MAX STRYKER,4327.0,,506.18,3894.3,62
CDM,14019701,STENT BILI-VAS LIFESTENT,1850.0,,925.0,1665.0,62
CDM,14019702,CATH DCB LUT0NIX,3213.0,,1606.5,2891.7,62
CDM,14019704,CABLE ALLIGATOR CLIP VIVENTRIC,75.0,,37.5,67.5,56
CDM,14019705,LEAD PERENNIAFLEX 304,13692.0,,4266.13,12322.8,62
CDM,14019706,IMPL PATELLA RESURFACING,455.0,,227.5,2374.28,62
CDM,14019707,IMPL SHELL ACET LOGICAL G-SERI,2925.0,,1462.5,2632.5,62
CDM,14019708,IMPL SHELL ACETAB LOGIC G-SERI,1537.0,,768.5,2374.28,62
CDM,14019709,IMPL SHELL ACET LOGICAL G-SERI,2544.0,,1272.0,2374.28,62
CDM,14019710,GRFT BONE PUTTY I-FACTOR 2.5ML,2726.0,,1363.0,2453.4,61
CDM,14019711,ACETAB VIVACIT E PE G7,3081.0,,1540.5,2772.9,62
CDM,14019713,CONN SPINAL RELINE NUVASIVE,876.0,,438.0,788.4,61
CDM,14019714,ELECTRODE ELECTROSURGICAL,82.0,,41.0,73.8,56
CDM,14019715,KIT NERVE BLOCK CNT STIM,187.0,,93.5,168.3,61
CDM,14019716,PLATE BONE CUSTOM STRYKER,26823.0,,506.18,24140.7,62
CDM,14019717,SHUNT STRATA LP NSC,7727.0,,3863.5,6954.3,61
CDM,14019718,STEM FEM FULL STANDARD,3602.0,,1801.0,3241.8,62
CDM,14019719,RESERVOIR SHUNT VENTRICULOST,288.0,,144.0,259.2,56
CDM,14019720,CORNEAL TISSUE V0127000,633.0,,316.5,569.7,61
CDM,14019721,HEALIX PEEK DS #2 DYNACORD,832.0,,416.0,748.8,62
CDM,14019723,ADJUSTABLE BX PORT SEAL BPS-A,58.0,,29.0,52.2,56
CDM,14019724,PROBE NERVE MONITORING SYSTEM,1288.0,,644.0,1159.2,56
CDM,14019725,UNIVERSAL CUP HUM UNIVERS REV,2989.0,,1494.5,2690.1,62
CDM,14019726,IMPL HUMERAL SPACER ARTHREX,1363.0,,681.5,1226.7,61
CDM,14019727,CAGE X-CORE 2 EXP NUVASIVE,7594.0,,3797.0,6834.6,61
CDM,14019728,ENDCAP SPINAL X-CORE NUVASIVE,779.0,,389.5,701.1,61
CDM,14019729,ELECTRODE MODULE M5 RM SSEP,1363.0,,681.5,1226.7,56
CDM,14019730,ACETAB CUP BHR HAP W/IMP,6815.0,,2374.28,6133.5,62
CDM,14019731,ANCHOR SUTURE KNOTLESS INSITE,513.0,,256.5,506.18,62
CDM,14019732,GRAFT VASCULAR COLLAGEN AG-740,3658.0,,1092.42,3292.2,62
CDM,14019733,IMPL ACET LINER TPR ECIMA TRIN,1558.0,,779.0,2374.28,62
CDM,14019734,IMP SHELL ACET REV HEMISPHERIC,5895.0,,2374.28,5305.5,62
CDM,14019735,GLENOSPHERE VERSA-DIAL,4254.0,,2127.0,3828.6,62
CDM,14019736,STRATOSPHERE ENDCAP 13MM 15DEG,8761.0,,4380.5,7884.9,61
CDM,14019737,IMPL CORENTEC TOTAL KNEE,19460.0,,2374.28,17514.0,62
CDM,14019738,VALVE BIOPHROSTHETIC SUPRA,7973.0,,3986.5,7175.7,61
CDM,14019739,BONE CEMENT 40GM RALLY MV,121.0,,60.5,506.18,62
CDM,14019740,FACIAL CLOSURE SYS SECURUS,655.0,,327.5,589.5,56
CDM,14019741,SPACER SABLE 1172.4121S,10708.0,,5354.0,9637.2,61
CDM,14019742,CANNULA SCALPEL PERFECT 63IN,357.0,,178.5,321.3,56
CDM,14019743,CLIP ENDO RESOLUTION,614.0,,307.0,552.6,56
CDM,14019744,OPEN-OPEN SADDLE,779.0,,389.5,701.1,61
CDM,14019745,KIT BEACH CHAIR TRIMANO,212.0,,106.0,190.8,56
CDM,14019746,ALPHAVENT AND OMEGA AWL,423.0,,211.5,380.7,56
CDM,14019747,PROBE CALDWELL BALL TIP 160CM,1397.0,,698.5,1257.3,56
CDM,14019748,HARNESS CERVICAL VISUALIZATION,195.0,,97.5,175.5,56
CDM,14019749,STENT AXIOS W/DEL SYS BOST SCI,12354.0,,1667.17,11118.6,62
CDM,14019750,MATRIX DERMAL MATRIDERM,8544.0,,4272.0,7689.6,61
CDM,14019751,GDWIRE SPRING TIP MARKED,121.0,,27.95,108.9,57
CDM,14019752,SHEATH CLEAN ENDO-SCRUB 2,158.0,,79.0,142.2,56
CDM,14019753,SHEETING SILICONE IMPL,69.0,,34.5,62.1,61
CDM,14019754,SYS NEUROMODULSACRAL AXONICS,21825.0,,10912.5,19642.5,62
CDM,14019755,SCREWDRIVER SHAFT,325.0,,162.5,292.5,56
CDM,14019756,ALLOGRAFT ULNA WHOLE RIGHT,7866.0,,3933.0,7079.4,61
CDM,14019757,GUIDE SCREW TAP NOBEL PARALLEL,340.0,,170.0,506.18,62
CDM,14019758,IMPL INTERBODY SYS TRELLOSS-C,1753.0,,876.5,1577.7,61
CDM,14019759,MESH DYNAMIC 200X200X1.0MM,12489.0,,608.95,11240.1,62
CDM,14019760,MAGNET NEUROSTIMULATOR,260.0,,130.0,234.0,56
CDM,14019761,NDL INTRAOSS KIT BIOPLASTY,1120.0,,560.0,1008.0,61
CDM,14019762,STENT BRONCHIAL DUMON BO,905.0,,452.5,814.5,61
CDM,14019763,ENDOPROS VIABAHN VBX BLLN EXP,5868.0,,1667.17,5281.2,62
CDM,14019764,FORCEPS COREDX MINI,1595.0,,797.5,1435.5,56
CDM,14019765,DILATOR ESOPH EZDIALTE WG,409.0,,204.5,368.1,62
CDM,14019766,NEEDLE ELECTRODE NEUROSIGN,164.0,,82.0,147.6,56
CDM,14019767,APPLICATOR FIBRIJET DUALSPRAY,682.0,,341.0,613.8,56
CDM,14019768,BARRIER ADHESION INTERCEED,518.0,,259.0,466.2,62
CDM,14019769,IMPL HUMERAL STEM REVERSE,3223.0,,1611.5,2900.7,62
CDM,14019770,IMPL KNEE PATELLA DOME,2311.0,,1155.5,2374.28,62
CDM,14019771,IMPL KNEE TIBIAL BEARING RS,1072.0,,536.0,2374.28,62
CDM,14019772,MANIPULATOR UTERINE CLEARVIEW,383.0,,191.5,344.7,56
CDM,14019773,CLOT TRIEVER CATH 80CM,11682.0,,314.82,10513.8,62
CDM,14019774,SYS FISTULA/WOUND MGMT,56.0,,28.0,50.4,56
CDM,14019776,TEMPORARY CONDYLAR IMPL TLTS,993.0,,496.5,893.7,56
CDM,14019777,ARM SLEEVE SHLDR SUSP SYSTEM,263.0,,131.5,236.7,56
CDM,14019778,INST SYNCHROSEAL ROBOT,1344.0,,672.0,1209.6,56
CDM,14019779,DRESSING RENASYS-F KIT W/SP XL,221.0,,110.5,198.9,56
CDM,14019780,IMPL FIX SYS SFT TISS TENOTAC,1869.0,,506.18,1682.1,62
CDM,14019781,IMPL FIX SFT TISS TENOTAC FML,994.0,,497.0,894.6,62
CDM,14019782,IMPL FIX SFT TISS TENOTAC ML,994.0,,497.0,894.6,62
CDM,14019784,ANCHOR SUTURE ICONIX,952.0,,476.0,856.8,62
CDM,14019785,CATH DCB LUTONIX 018,3796.0,,1898.0,3416.4,62
CDM,14019786,INST BENDING ROD SPINAL,2004.0,,1002.0,1803.6,56
CDM,14019787,ENDOBRONCHIAL U/S BX NEEDLE,563.0,,281.5,506.7,56
CDM,14019788,IMPL FIX SFT TISS TENOTAC FML,994.0,,497.0,894.6,62
CDM,14019789,ARTHROSCOPIC PROCEDURE KIT DIS,575.0,,287.5,517.5,56
CDM,14019790,IMPL TIB WEDGE ADVANCE TIP,2191.0,,1095.5,1971.9,61
CDM,14019791,IMPL WEDGE FEMORAL POSTERIOR,1879.0,,939.5,1691.1,61
CDM,14019792,IMPL FEM AUGMENTATION DISTAL,1879.0,,939.5,1691.1,61
CDM,14019793,CUSTOM BONE FLAP GUIDE,1986.0,,993.0,1787.4,61
CDM,14019796,IMPL CORENTEC TOTAL KNEE,5832.0,,2374.28,5248.8,62
CDM,14019798,IMPL BIA400 4MM ABUTMENT,5527.0,,2763.5,4974.3,61
CDM,14019800,MAVERICK SWIVEL CLAMP,1315.0,,657.5,1183.5,61
CDM,14019801,MAVERICK CURVED BAR,893.0,,446.5,803.7,61
CDM,14019802,TUBEROSITY REPAIR SYSTEM,1947.0,,973.5,1752.3,61
CDM,14019803,CONN OPEN/CLOSED 5.5X5.5TI,876.0,,438.0,788.4,61
CDM,14019804,CENTRED 3DMETAL TIBIAL CONE XS,6052.0,,3026.0,5446.8,61
CDM,14019805,QUADLINK CONSTRUCT TENDON,5113.0,,2556.5,4601.7,61
CDM,14019806,BEAR IMPL MICAH 1000,9784.0,,2374.28,8805.6,62
CDM,14019807,IMPL DELTA HEAD,1023.0,,511.5,2374.28,62
CDM,14019808,BEARING PERSONA,1363.0,,681.5,2374.28,62
CDM,14019809,BIOL MGFT PUTTY,317.0,,158.5,285.3,61
CDM,14019810,CAP HEALING,107.0,,53.5,96.3,56
CDM,14019811,CATH IVUS VISIONS,1850.0,,925.0,1665.0,62
CDM,14019813,DRIVER HEX 2.5,1635.0,,817.5,1471.5,56
CDM,14019814,FEM PERSONA CR STD CMT,2921.0,,1460.5,2628.9,62
CDM,14019815,GRAFT I FACTOR PEPTIDE,1072.0,,536.0,964.8,61
CDM,14019817,HANDLE SLEEVE FOR SUPRAPATELLA,2343.0,,1171.5,2108.7,56
CDM,14019818,IMPL FEM HEAD G7 FREEDOM COCR,1823.0,,911.5,2374.28,62
CDM,14019820,IMPL KNEE TIBIAL,1558.0,,779.0,1402.2,61
CDM,14019821,INSRT SCREW HOLE NCB,201.0,,100.5,506.18,57
CDM,14019822,KNEE ENDO MODEL UNICONDYLAR SL,11838.0,,2374.28,10654.2,62
CDM,14019823,SCAFFOLD SOFT TISSUE,5150.0,,1318.4,4635.0,55
CDM,14019824,SCOPE SIGMOIDOSCOPE RECTO MINI,115.0,,57.5,103.5,56
CDM,14019825,SEALER JAW LIGASURE MARYLAND,982.0,,491.0,883.8,56
CDM,14019826,STENT URETERAL PORGES,312.0,,156.0,280.8,62
CDM,14019827,WIRE K INCORE,424.0,,212.0,506.18,57
CDM,14019828,REVISION FEMUR PS CEMENTED RT,9697.0,,2374.28,8727.3,62
CDM,14019829,REVISION TIBIAL TRAY RIGHT,4772.0,,2374.28,4294.8,62
CDM,14019830,MAVERICK EXT FIX BAR/PIN CLAMP,1023.0,,511.5,920.7,61
CDM,14019831,MAVERICK UNILAT FIXATOR BAR,731.0,,365.5,657.9,61
CDM,14019832,MAVERICK CLMP EXT FIX PIN,905.0,,452.5,814.5,61
CDM,14019833,MAVERICK UNILATERAL FIX BAR,556.0,,278.0,500.4,61
CDM,14019834,TENDON TIBIALIS ANTERIOR,3845.0,,1922.5,3460.5,61
CDM,14019835,FW BPB SUTRURE BLU W/NEEDLE,121.0,,60.5,108.9,56
CDM,14019836,DEPTH COUNTERSINK .045 G-WIRE,541.0,,270.5,486.9,61
CDM,14019837,CALIBRATED MEASURE WIRE 1.1M,121.0,,60.5,108.9,56
CDM,14019838,INTRO STIMULAN AND BULLET MAT,1461.0,,730.5,1314.9,56
CDM,14019839,ELIPTICL SEGMNTL FMRL LT 8.5CM,13921.0,,2374.28,12528.9,62
CDM,14019840,SCAFFOLD SOFT TISSUE BB23X30,7496.0,,608.95,6746.4,62
CDM,14019841,DOUBLE LOOP URETERAL STENT KIT,634.0,,187.52,570.6,62
CDM,14019842,STENT BILIARY STERILE 10F,172.0,,86.0,451.3,62
CDM,14019843,KNEE REVISION FEMUR NON-PORUS,10903.0,,2374.28,9812.7,62
CDM,14019844,POSTERIOR FEMORAL AUGMENT UNIV,2336.0,,1168.0,2374.28,62
CDM,14019845,IMPL TIBIAL EMPOWER PS INSERT,2609.0,,1304.5,2374.28,62
CDM,14019846,BRA SUPPORT XL,110.0,,55.0,99.0,56
CDM,14019847,MEDPOR CRANIAL XL,32919.0,,715.23,29627.1,73
CDM,14019848,BUTTON CHIN MED,1056.0,,528.0,950.4,61
CDM,14019849,KIT ACCESS BONE OSTEOCOOL,736.0,,368.0,662.4,56
CDM,14019850,SWIVEL SCREWDRIVER HANDLE,1526.0,,763.0,1373.4,56
CDM,14019851,ANTI ROTATION PEG,529.0,,264.5,476.1,56
CDM,14019852,TIP PIEZO MT2L-4,777.0,,388.5,699.3,56
CDM,14019853,INSERT TIB RM/LL UNI,1363.0,,681.5,2374.28,62
CDM,14019854,KNEE FEM JOURNEY UNI OXN RM/LL,2434.0,,1217.0,2374.28,62
CDM,14019855,CONFIDENCE INTRO NEEDLE,247.0,,123.5,506.18,57
CDM,14019856,SHEATH GUIDING CAROTID,240.0,,120.0,216.0,56
CDM,14019857,SCOPE RECTO MAXI BULB DISP,115.0,,57.5,103.5,56
CDM,14019858,EXT FIXATOR XTRAFIX CLAMP,2041.0,,506.18,1836.9,62
CDM,14019859,EXT FIXATOR BAR JET-X,413.0,,206.5,371.7,61
CDM,14019861,SUTURE PASSER STERILE 12 INCH,99.0,,49.5,89.1,56
CDM,14019862,MATRIX DERMAL MATRIDERM,7345.0,,57.68,6610.5,62
CDM,14019869,ENDCAP SPINAL X-CORE 2,7139.0,,3569.5,6425.1,61
CDM,14019870,ENDCAP SPINAL X-COREII,779.0,,389.5,701.1,61
CDM,14019871,CROSSFIX DISP PROCEDURE KIT,485.0,,242.5,436.5,56
CDM,14019872,INTRACARD SUCKER FLUTED TIP,107.0,,53.5,96.3,56
CDM,14019873,SCAFFOLD SOFT TISSUE BB5X250,5013.0,,608.95,4511.7,62
CDM,14019874,ENDOVASC AORTIC BDY SYSTEM,25097.0,,1667.17,22587.3,62
CDM,14019875,ENDOVASC ILIAC LM SYS OX,23986.0,,11993.0,21587.4,61
CDM,14019877,MATRIX DERMAL MATRIDERM 2,4252.0,,57.68,3826.8,57
CDM,14019878,BODY ASPIRATION NEEDLE,592.0,,296.0,532.8,56
CDM,14019879,KIT SMARTFRAME XG TWISTPOINT,12040.0,,6020.0,10836.0,56
CDM,14019880,M6 BOLT DRIVE WITH T HANDLE,477.0,,238.5,429.3,56
CDM,14019881,SMARTFRAME WHAREN CENTER GUIDE,10954.0,,5477.0,9858.6,56
CDM,14019882,BALL TIP NERVE STIM PROBE,585.0,,292.5,526.5,56
CDM,14019883,SUTURE PASSERETHICON9893,124.0,,62.0,111.6,56
CDM,14019884,LEAD NSTIM TEST INTERSTIM PNE,789.0,,394.5,1232.69,57
CDM,14019885,PNE LEAD AXONICS 1901,121.0,,60.5,1232.69,62
CDM,14019886,SPLINT ORTHOGNATIC IPS DBL JAW,2070.0,,1035.0,1863.0,56
CDM,14019887,HANAROSTENT FULL COVERED,4479.0,,1667.17,4031.1,62
CDM,14019888,GRAFT DISS ZENITH TX2,33039.0,,1667.17,29735.1,62
CDM,14019890,HANDLE WITH QUICK COUPLINGSM,5162.0,,2581.0,4645.8,56
CDM,14019891,CERVICAL CAGE 6MM,3885.0,,1942.5,3496.5,61
CDM,14019892,GRAFT RELAYPRO STR 36X200,37380.0,,1667.17,33642.0,62
CDM,14019893,TRIPLE DAM CANN 7MMX7CM VALVED,111.0,,55.5,99.9,56
CDM,14019894,IMPL WRAP TENDON BIOINTEGRAV,6055.0,,3027.5,5449.5,61
CDM,14019895,IMPL HAMMERTOE HAMMERTUBE,974.0,,487.0,876.6,62
CDM,14019896,CATH INFINITY DILATION 23MMX55,1186.0,,367.53,1067.4,62
CDM,14019898,COSTAL CARTILAGE SHEET MEDIUM,1864.0,,932.0,1677.6,61
CDM,14019899,LOOP ELECTRODE 2.0CMX2.5CM RND,50.0,,25.0,45.0,56
CDM,14019900,BAG SPEC RETRIEVAL INZII,197.0,,98.5,177.3,56
CDM,14019901,GDWIRE DRILL TIP,211.0,,27.95,189.9,57
CDM,14019902,STENT URETERAL DBL-J,264.0,,132.0,237.6,62
CDM,14019903,LATERAL TRACTION SLING,169.0,,84.5,152.1,56
CDM,14019904,IMPL CORENTEC TOTAL HIP,7204.0,,2374.28,6483.6,62
CDM,14019905,GLUTEUS MEDIUS TENDON RPR KIT,2473.0,,1236.5,2225.7,56
CDM,14019906,CERCLAGE TENSIONER DISP,536.0,,268.0,482.4,56
CDM,14019907,QUAD TENDON W/10MM PRESHAPED,4434.0,,2217.0,3990.6,61
CDM,14019908,TF2 SMALL RIGHT,2370.0,,506.18,2133.0,62
CDM,14019909,DIALATOR ACHALASIA,643.0,,321.5,578.7,57
CDM,14019910,STAPLE SYS NITINOL DYNANITE,3689.0,,506.18,3320.1,62
CDM,14019911,AFX STERILE INSTRUMENT KIT,628.0,,314.0,565.2,56
CDM,14019912,CAGE CERV INTERBODY,357.0,,178.5,321.3,61
CDM,14019913,CATH BLLN LITHOPLASTY,6717.0,,257.51,6045.3,57
CDM,14019914,GRAFT VASCULAR BIFURCATED,23363.0,,1092.42,21026.7,62
CDM,14019915,LATARA NASAL IMPL,4663.0,,2331.5,4196.7,61
CDM,14019916,XENOGRAFT DURAMATRIX,3603.0,,1801.5,3242.7,61
CDM,14019917,LOSPA TIBIAL INSERT,7594.0,,2374.28,6834.6,62
CDM,14019920,MINEROSS X 1CC,213.0,,106.5,191.7,61
CDM,14019923,ALTEON CUP G3,1537.0,,768.5,2374.28,62
CDM,14019924,MICRO DEPTH ELECTRODE,1622.0,,811.0,1459.8,56
CDM,14019925,ANCHOR BOLT KIT LSB STYLE,1110.0,,506.18,999.0,57
CDM,14019927,UROLIFT 2 IMPLANT CARTRIDGE,2093.0,,1046.5,1883.7,56
CDM,14019928,UROLIFT 2 IMPL CART HANDLE KIT,2093.0,,1046.5,1883.7,56
CDM,14019929,KIT DISPOSABLES FIBERTAK,423.0,,211.5,506.18,57
CDM,14019930,BIOCERRM DENTAL CEMENT NEOMTA2,274.0,,137.0,246.6,56
CDM,14019931,CLIP ATRICLIP FLEX V 35M,3505.0,,1752.5,3154.5,61
CDM,14019932,CLIP MONIT EMG DYNAMIC STIM,779.0,,389.5,701.1,56
CDM,14019933,DBL LOAD KNEE FIBERTAK W/NDLE,828.0,,414.0,745.2,56
CDM,14019934,KIT KNEE FIBERTAKS DISP,531.0,,265.5,477.9,56
CDM,14019935,DRIVER HEX 1.2X55MM W/AO CANN,463.0,,231.5,416.7,56
CDM,14019936,IMPL FEMUR KNEE 3D N-POR,3115.0,,1557.5,2803.5,62
CDM,14019937,IMPL HUM STEM STEM BIO-MODULAR,4315.0,,2157.5,3883.5,62
CDM,14019938,IMPL SHLDER REVERSE PRSTH SYS,4605.0,,2302.5,4144.5,62
CDM,14019939,KIT INST PREP ORTHOLOC 2,1105.0,,552.5,994.5,56
CDM,14019940,KIT PROCESS BONE MARROW ANGEL,1909.0,,954.5,1718.1,56
CDM,14019941,LORENZ PECTUS SUPPORT BAR 16.5,2738.0,,1369.0,2464.2,61
CDM,14019942,SPACER SPINAL CRESCENT,7866.0,,3933.0,7079.4,61
CDM,14019944,IMPL TIGHTROPE OPEN ABS II,1412.0,,506.18,1270.8,62
CDM,14019945,IMPL EYELID PLATINUM 1.2G,857.0,,428.5,771.3,61
CDM,14019946,SHEATH NAVIGATOR 12-14FR 46CM,306.0,,46.81,275.4,57
CDM,14019947,CVAC ASPIRATION SYSTEM,4770.0,,778.73,4293.0,62
CDM,14019948,VALVE AORTIC TRANSCATH SAPIEN,63274.0,,31637.0,56946.6,61
CDM,14019949,SILICONE SHEATH SUMP DRAIN,92.0,,46.0,82.8,56
CDM,14019950,INFLATION DEVICE ATRION,107.0,,53.5,96.3,56
CDM,14019951,ENDOSCOPIC NEEDLE INJECTOR,164.0,,82.0,147.6,56
CDM,14019952,SUPERELASTIC COMPRESSON STAPLE,1965.0,,506.18,1768.5,62
CDM,14019953,SUPERELASTIC COMPRESSN STAPLE,1729.0,,506.18,1556.1,62
CDM,14019954,LORENZ PECTUS SUPPORT BAR,2738.0,,1369.0,2464.2,61
CDM,14019955,CREO MODULAR POLYAXIAL TULIP,585.0,,292.5,526.5,62
CDM,14019956,CREO MIS LOCKING CAP,121.0,,60.5,108.9,61
CDM,14019957,BONE CLAMP W/SURVEILLANCE MARK,2892.0,,1446.0,2602.8,56
CDM,14019958,COHERE SPINAL FUSION CAGE,6328.0,,3164.0,5695.2,61
CDM,14019959,HEX DRIVER CANN,397.0,,198.5,357.3,56
CDM,14019961,FENESTRATED SCREW SET MAS CCM,5696.0,,506.18,5126.4,62
CDM,14019962,IMPL HIP BALL MOD TAPER,1167.0,,583.5,2374.28,62
CDM,14019963,TUBE G MIC-KEY KIT 20F 2.5,240.0,,120.0,216.0,56
CDM,14019964,IMPL ACET SHELL CONTINUUM UH,1704.0,,852.0,2374.28,62
CDM,14019965,IMPL RING CONTOUR,3500.0,,1750.0,3150.0,62
CDM,14019966,SET SYS STENTFIX OTSC,871.0,,435.5,783.9,61
CDM,14019967,TISS REMOVAL TRUCLEAR MINI,1174.0,,587.0,1056.6,56
CDM,14019968,QUATTRO SPIKE MEDIUM,2892.0,,1446.0,2602.8,56
CDM,14019969,PEDICLE AWL GPS,1809.0,,904.5,1628.1,61
CDM,14019970,CATH DRAINAGE BILIARY LOCKING,168.0,,66.39,151.2,57
CDM,14019971,IMPL KNEE TIB INS EMPOWR E+,3990.0,,1995.0,3591.0,62
CDM,14019972,IMPL KNEE FEM EMPOWR,3700.0,,1850.0,3330.0,62
CDM,14019973,TUBING VERA T.R.A.C.,212.0,,106.0,190.8,56
CDM,14019975,STRAIGHT POST COMPACT,164.0,,82.0,147.6,61
CDM,14019976,TISSUE TENDON ACHILLES,4364.0,,2182.0,3927.6,61
CDM,14019977,VASCU-STATT SURG BULLDOG CLAMP,503.0,,251.5,452.7,56
CDM,14019978,TOTAL HIP REVISIONCORENTEC,13823.0,,2374.28,12440.7,62
CDM,14019979,IMPL HUM STEM PERFORM,23265.0,,2374.28,20938.5,62
CDM,14019980,IMPL TOTAL HIP REVISION,17190.0,,2374.28,15471.0,62
CDM,14019981,SYSTEM ENDO ACCESS OVERTUBE,479.0,,239.5,431.1,56
CDM,14019982,CANN FEM ART BIO-MEDICUS,597.0,,298.5,537.3,56
CDM,14019983,GRAFT ENDO AFX2 AAA,23986.0,,1667.17,21587.4,62
CDM,14019984,GRAFT STNT VELA PROX SYS SUPRA,6426.0,,1667.17,5783.4,62
CDM,14019985,IMPL KN TIB EMPOWR,1492.0,,746.0,2374.28,62
CDM,14019986,IMPL KNEE FEM EMPOWR,2725.0,,1362.5,2452.5,62
CDM,14019987,HUMERAL STEM STANDARD,8956.0,,2374.28,8060.4,62
CDM,14019988,HUMERAL TRAY NEURTAL EXT,4702.0,,2351.0,4231.8,62
CDM,14019989,ALPHAVENT PUNCH TAP,401.0,,200.5,360.9,56
CDM,14019990,DTP ACCESS KIT,1606.0,,803.0,1445.4,61
CDM,14019991,LTP ACCESS KIT,1510.0,,755.0,1359.0,61
CDM,14019992,PTP PATIENT POSITIONER,974.0,,487.0,876.6,56
CDM,14019993,SAFE OP SSEP/EMG NDL ELECTRODE,2921.0,,1460.5,2628.9,56
CDM,14019994,ARCUS GUIDE ACCESS SYS BEV TIP,682.0,,341.0,613.8,56
CDM,14019995,LIF POROUS TI SPACER,6328.0,,3164.0,5695.2,61
CDM,14019996,TROCAR TIP NITINOL GUIDEWIRE,121.0,,60.5,108.9,56
CDM,14019998,QUAD TENDON W/30MM PATELLA PLU,3981.0,,1990.5,3582.9,61
CDM,14019999,IMPL TENDON LIGAMENT BONE ANCH,1863.0,,506.18,1676.7,62
CDM,14020003,STENT GRAFT AORTIC INCRAFT SYS,30653.0,,15326.5,27587.7,56
CDM,14020016,CATH GUID DEFL HELIFX 16F 62CM,3798.0,,102.65,3418.2,57
CDM,14020020,APPLIER HELIFX W/ANCHOR CASSET,10966.0,,5483.0,9869.4,61
CDM,14020023,KWIRE 2.0MM STE,190.0,,95.0,506.18,57
CDM,14020024,KWIRE SA OUTRIGGER LNG NS,141.0,,70.5,506.18,57
CDM,14020025,SA THD WIRE STE,245.0,,122.5,506.18,57
CDM,14020026,IMPL KNEE TIB COMP OXFORD PART,2153.0,,1076.5,2374.28,62
CDM,14020027,IMPL SI IFUSE TORQ,5616.0,,506.18,5054.4,62
CDM,14020028,ENDOPROS VIABAHN STENT,4184.0,,1667.17,3765.6,62
CDM,14020033,ALLOGRAFT WEDGE EVANS,3179.0,,1589.5,2861.1,61
CDM,14020034,ALLOGRAFT WEDGE EVANS AWE108,3179.0,,1589.5,2861.1,61
CDM,14020037,SYS ENDOVASC EN SNARE,702.0,,351.0,631.8,56
CDM,14020038,STENT BRONCHIAL DUMON BO,890.0,,445.0,801.0,61
CDM,14020039,PROBE DEPTH MEASURE DIST RADUS,379.0,,189.5,341.1,56
CDM,14020041,STIMULATOR SPINAL CORD LEAD,36504.0,,18252.0,32853.6,61
CDM,14020042,BATTERY CHARGER NEUROSTIMUL,3276.0,,1638.0,2948.4,56
CDM,14020044,TOOL TUNNELING SALUDA 3012,250.0,,125.0,225.0,56
CDM,14020046,BELT ACCESSORY SALUDA 3039,117.0,,58.5,105.3,56
CDM,14020047,CONTROLLER NEUROSTIM,1685.0,,842.5,1516.5,56
CDM,14020048,KIT ACCESS ANCHOR,406.0,,203.0,506.18,62
CDM,14020051,IMPLANT MANDIBLE,12468.0,,506.18,11221.2,62
CDM,14020052,ARC WRIST TOWER,1966.0,,983.0,1769.4,56
CDM,14020053,ANCH FIBERSTITCH CURV,1325.0,,506.18,1192.5,62
CDM,14020054,ANCHOR FIBERTAK DBL LOADED,983.0,,491.5,884.7,62
CDM,14020055,IMPL HUMERAL ADAPTER,1206.0,,603.0,1085.4,61
CDM,14020056,IMPL SHOULDER GLENOID,2453.0,,1226.5,2374.28,62
CDM,14020057,IMPL SHOULDER HUMERAL HEAD,3492.0,,1746.0,3142.8,62
CDM,14020060,ACUMEN IQ SENSOR FLOTRAC,600.0,,300.0,540.0,56
CDM,14020061,DSG ACTICOAT 16X16IN,315.0,,157.5,283.5,56
CDM,14020062,IMPL KIT INSTAFIX  15X10MM,2689.0,,506.18,2420.1,62
CDM,14020063,IMPL KIT INSTAFIX 10X10MM,1968.0,,506.18,1771.2,62
CDM,14020064,ANCHOR BIO-SWIVELOCK 4.75MM,1232.0,,506.18,1108.8,62
CDM,14020065,TRABECULINK 3-ZONES FEM CONES,9726.0,,2374.28,8753.4,62
CDM,14020066,NORIAN INJECT,3580.0,,506.18,3222.0,62
CDM,14020067,BUTTON INSERTER,321.0,,160.5,288.9,56
CDM,14020068,DYNANITE NITI STAPLE W/INSTRS,4297.0,,506.18,3867.3,62
CDM,14020069,INCORE SUBTALAR RIGHT TITANIUM,8235.0,,4117.5,7411.5,61
CDM,14020072,SINGLE USE BIOPSY FORCEPS,1494.0,,747.0,1344.6,56
CDM,14020074,DISPOSABLE MONOPOLAR PROBE,604.0,,302.0,543.6,56
CDM,14020075,IMPL RADIAL HEAD,7254.0,,2374.28,6528.6,62
CDM,14020076,APOLLO RF H50 ASPIRAT ABLATOR,487.0,,243.5,438.3,56
CDM,14020077,GATEWAY SILICONE CANNULA,145.0,,72.5,130.5,56
CDM,14020078,HUMERAL STEM STANDARD,5897.0,,2374.28,5307.3,62
CDM,14020079,FRESH RIGHT TALUS,18524.0,,9262.0,16671.6,61
CDM,14020081,OFFSET CONNECTOR,3653.0,,1826.5,3287.7,61
CDM,14020082,CATH SIM2 5F 038INX65CM,72.0,,36.0,64.8,56
CDM,14020084,TUBE GASTRO BLLN 18,160.0,,27.9,144.0,57
CDM,14020085,GLENOSPHERE,4306.0,,2153.0,3875.4,62
CDM,14020086,SPS BENDING SLEEVE - SLO,1996.0,,998.0,1796.4,56
CDM,14020088,FEMORAL CONDYLE MED RT,23026.0,,11513.0,20723.4,61
CDM,14020089,TAP CANN DUAL LEAD VIPER,2359.0,,1179.5,2123.1,56
CDM,14020090,FIBERED INTERLOCK OCCLUSION,614.0,,307.0,552.6,61
CDM,14020091,FOREMAN LONG NEEDLE,192.0,,96.0,172.8,56
CDM,14020093,STEM BIO POR FEM LAT,3464.0,,1732.0,3117.6,62
CDM,14020094,CARTIMAX ALLOGRAFT CARTILAGE,8986.0,,4493.0,8087.4,61
CDM,14020095,STAPLE SIZER,250.0,,125.0,225.0,56
CDM,14020096,LEAD TRIAL COMPACT,1498.0,,749.0,1348.2,62
CDM,14020097,NEUROSTIMULATOR BOOT,207.0,,103.5,186.3,56
CDM,14020099,HYDROSET 15ML,13971.0,,506.18,12573.9,62
CDM,14020101,CUSTOM DSG BURN PAD DEROYAL,71.0,,35.5,63.9,56
CDM,14020102,IMPL PLUG APICAL HOLE ONKOS,899.0,,449.5,809.1,61
CDM,14020120,CATH PIONEER+ 120CM,5092.0,,1340.69,4582.8,57
CDM,14020122,MATRIX DERMAL MATRIDERM,21817.0,,57.68,19635.3,62
CDM,14020123,SFC OUTER COMPONENT 28MM,543.0,,271.5,488.7,56
CDM,14020124,STENT ILIAC WALL ENDO,3819.0,,1642.91,3437.1,62
CDM,14020125,GENERATOR PULSE MAINSTAY 5100,21875.0,,10937.5,22201.12,62
CDM,14020126,INTRODUCER PERC MAINSTAY,146.0,,46.81,131.4,57
CDM,14020127,LEAD REACTIV8,4377.0,,2188.5,4266.13,62
CDM,14020128,TUNNELER MAINSTAY,353.0,,176.5,317.7,56
CDM,14020129,DEG CURVE STRT QUICKPASS LASSO,367.0,,183.5,330.3,56
CDM,14020130,FORCEPS ALLIGATOR CONMED,136.0,,68.0,122.4,56
CDM,14020131,CAGE CERVICAL INTERBODY,1826.0,,913.0,1643.4,61
CDM,14020132,IMPL TESTICULAR TORSA,4035.0,,2017.5,3631.5,61
CDM,14020133,KIT PT CARE SPINAL CORD,1091.0,,545.5,981.9,56
CDM,14020134,MAGNET STIMULATOR SAFETY,190.0,,95.0,171.0,56
CDM,14020135,HERCULES SYNDESMOSIS IMPLANT,2270.0,,506.18,2043.0,62
CDM,14020136,KIT LIFPACK CR2,266.0,,133.0,239.4,56
CDM,14020137,EXTRACTOR TAPERED PRECICE,957.0,,478.5,861.3,56
CDM,14020138,DISTRACTOR SPINAL VERTEX,2060.0,,1030.0,1854.0,56
CDM,14020140,FEM HEAD BILOX DELTA,637.0,,318.5,2374.28,62
CDM,14020146,CATH HICKMAN TRIFUSION,983.0,,136.97,884.7,62
CDM,14020148,CONFORM CUBE 17MM,1345.0,,672.5,1210.5,61
CDM,14020150,IMPL CUB HUMERAL PERFORM,13846.0,,2374.28,12461.4,62
CDM,14020152,MATRIX FIBERGRAFT BIOACT,5805.0,,506.18,5224.5,62
CDM,14020154,STENT VASC DRUG-ELUT ELUVIA,7479.0,,1667.17,6731.1,62
CDM,14020158,FIBERGRAFT BG MATRIX S,1548.0,,506.18,1393.2,62
CDM,14020170,KYPHOPAK TRAY,9810.0,,4905.0,8829.0,56
CDM,14020176,KYPHON CEMENT MIXER,359.0,,179.5,323.1,56
CDM,14020200,CLAMP PIN 5H HOFF 4/5/6MM,1371.0,,685.5,1233.9,61
CDM,14020262,PLATE VECTRA-T 2 LEVEL,6067.0,,3033.5,5460.3,61
CDM,14020267,ROD PANGEA 6.0MM CURVED,834.0,,417.0,750.6,56
CDM,14020284,FIBERGRAFT BG MATRIX L,5805.0,,506.18,5224.5,62
CDM,14020285,IMPL EYELID PLATINUM,803.0,,401.5,722.7,61
CDM,14020286,ARGON 45MM SNARE,702.0,,351.0,631.8,56
CDM,14020288,SWIFT LOCK ANCHOR,309.0,,154.5,506.18,62
CDM,14020289,TRIAL LEAD KIT OCTRODE,1872.0,,936.0,1684.8,62
CDM,14020290,FIBERGRAFT BG MATRIX M,6063.0,,506.18,5456.7,62
CDM,14020291,INTERGRO DBM 5CC,1217.0,,608.5,1095.3,61
CDM,14020292,CLOT TRIEVER BOLD CATHETER,11232.0,,314.82,10108.8,62
CDM,14020293,INST TIBIAL ATTUNE FB PS,2060.0,,1030.0,2374.28,62
CDM,14020294,STAPLER ECHELON 3000,1947.0,,973.5,1752.3,56
CDM,14020295,TAP 8350425 OSTEOGRIP THIN,897.0,,448.5,807.3,56
CDM,14020336,ANCHOR SUTURE ALL Q-FIX,787.0,,393.5,708.3,62
CDM,14020337,CAGE SPINAL COHERE POLYAX XLW,6084.0,,3042.0,5475.6,61
CDM,14020338,DVC PERCLOSE PROGLIDE,468.0,,234.0,421.2,57
CDM,14020339,GLENOID UNIVERS II,2297.0,,1148.5,2374.28,62
CDM,14020340,GUIDE DRILL SPEEDGUIDE,412.0,,206.0,370.8,56
CDM,14020341,HEX DRIVER 2.5MM,353.0,,176.5,506.18,62
CDM,14020342,IMPL HUM TRUNION ECLIPSE,6571.0,,3285.5,5913.9,61
CDM,14020344,KIT HEADER EXTERNAL PLS,1124.0,,562.0,1011.6,56
CDM,14020345,GUIDEWIRE VIPER NITINOL 1.45MM,149.0,,27.95,134.1,57
CDM,14020346,TITAN 0 DEG NARROW SCROTAL,16151.0,,8075.5,14535.9,62
CDM,14020347,MACH 1 7F LIMA GUIDECATHETER,193.0,,96.5,173.7,62
CDM,14020348,CYSTOTOME OPTIMOS 6FR,1311.0,,655.5,1179.9,56
CDM,14020349,EVOKE CAP12 TRL PERCUTAN LEAD,1779.0,,889.5,1601.1,62
CDM,14020397,KIT CABLE TRIAL AND LEAD ID,1124.0,,562.0,1011.6,56
CDM,14020422,GEN NEUROSTIM CLOSED LOOP RE,416.0,,208.0,29815.78,62
CDM,14020424,TIP ASPIRATOR US STR,1777.0,,888.5,1599.3,56
CDM,14020426,ALLOGRAFT TENDON SEMI,3370.0,,1685.0,3033.0,61
CDM,14020427,BENCOX MIRABO PF LINER,3546.0,,1773.0,3191.4,62
CDM,14020428,GRAFT BOVINE PHOTOFIX,506.0,,253.0,455.4,61
CDM,14020429,IMPL HUMERAL SPACER +6MM 36MM,918.0,,459.0,826.2,62
CDM,14020430,IMPL MEDPOR TITAN 3D LRG RT,4399.0,,506.18,3959.1,62
CDM,14020431,PRSTH NSL BLOM-SINGER,515.0,,257.5,463.5,56
CDM,14020433,MICROVASCULAR CLAMP,176.0,,88.0,158.4,56
CDM,14020434,BAYONET PENCIL ELECTORSURG,286.0,,143.0,257.4,56
CDM,14020437,RETRACTOR SELF RETAINING,646.0,,323.0,581.4,56
CDM,14020439,KIT QUICK PLACE V,362.0,,181.0,325.8,56
CDM,14020441,MESH DURASORB BIOSYN,10296.0,,608.95,9266.4,62
CDM,14020442,SUTURE CAPIO TC-43 DA GRN 48IN,871.0,,435.5,783.9,56
CDM,14020443,PASSPORT STEERABLE SHEATH 7F,983.0,,491.5,1301.27,62
CDM,14020446,CANNULA GRAFT BONE GPS 200MM,468.0,,234.0,421.2,56
CDM,14020447,CANNULA GRAFT BONE GPS 11CC,682.0,,341.0,613.8,56
CDM,14020448,IMPL FEM COMP XT ROT,19342.0,,2374.28,17407.8,62
CDM,14020449,IMPLDENTAL ABUTMENT TEMP,99.0,,49.5,89.1,61
CDM,14020450,IMPL KNEE SEG SALVAGE,787.0,,393.5,2374.28,62
CDM,14020451,MODULE POSITIONING ATEC,936.0,,468.0,842.4,56
CDM,14020452,OSTEOTOME TRITOME,1030.0,,515.0,927.0,56
CDM,14020453,PUTTY FIBERGRAFT BIOACT 01,3179.0,,506.18,2861.1,62
CDM,14020454,PUTTY FIBERGRAFT BIOACT 02,2952.0,,506.18,2656.8,62
CDM,14020456,SPACER SPINAL PEEK LIF,6084.0,,3042.0,5475.6,61
CDM,14020457,SPACER SPINAL IDENTITI,6084.0,,3042.0,5475.6,61
CDM,14020458,CONN ROD SPINAL TOP LOADING,1288.0,,644.0,1159.2,61
CDM,14020459,DRIVER QUICK CONNECT T15,728.0,,364.0,655.2,56
CDM,14020460,FEM COMP PERSONA CR PLS,11764.0,,2374.28,10587.6,62
CDM,14020461,CENTER PIECE VERT BODY PROSTH,9641.0,,4820.5,8676.9,61
CDM,14020462,2.5MM HEX DRIVER,888.0,,444.0,799.2,56
CDM,14020463,CATH ANGIO HNBR 5FR HN5,89.0,,44.5,80.1,56
CDM,14020467,DEPTH GAUGE OSTEOCENTRIC,502.0,,251.0,451.8,56
CDM,14020468,PT SPEC BLUEPRINT REV INST,2247.0,,1123.5,2022.3,56
CDM,14020469,HYALUR ACID VOLBELLA 0.55ML,427.0,,213.5,384.3,61
CDM,14020473,INTRACEPT ACCESS 2VB,3370.0,,1685.0,3033.0,56
CDM,14020474,PROBE RADIOFREQUENCY,7863.0,,3931.5,7076.7,56
CDM,14020475,RF GENERATOR,515.0,,257.5,463.5,56
CDM,14020476,CATH ULTRAVERSE 014,2252.0,,257.51,2026.8,62
CDM,14020477,DURASORB MONOFILAMENT MESH,2200.0,,608.95,1980.0,62
CDM,14020481,INSERT 3D EX 4RT 11MM,1311.0,,655.5,2374.28,62
CDM,14020482,CANNULATED BONE TAP AO STERILE,553.0,,276.5,497.7,56
CDM,14020483,FACIAL ID ORTHOG 2 PLATES,19193.0,,9596.5,17273.7,61
CDM,14020484,VSP ORTHOG GUIDES TITANIUM,4628.0,,2314.0,4165.2,56
CDM,14020485,CATH IV ANGIOCATH STRL ORN,1403.0,,102.65,1262.7,57
CDM,14020486,BENDER SUTURING UNIT,136.0,,68.0,506.18,57
CDM,14020487,FIBULOCK IMPLANT SYSTEM,1384.0,,506.18,1245.6,62
CDM,14020488,INSERT DISP MICROSAW MT1412+,986.0,,493.0,887.4,56
CDM,14020489,DILATOR CLEANGUIDE OTW 7MM,163.0,,81.5,146.7,56
CDM,14020491,IMPL SPEEDBRIDGE SYS,4858.0,,506.18,4372.2,62
CDM,14020492,IMPL TIB CRUCIATE RETAIN,7301.0,,2374.28,6570.9,62
CDM,14020493,INS TIB CR TETAIN SCORPIO,1473.0,,736.5,2374.28,62
CDM,14020494,RING ANNULOPLASTY 38MM,4905.0,,2452.5,4414.5,61
CDM,14020495,SHEATH STEER SUREFLEX,1854.0,,927.0,1668.6,62
CDM,14020496,SKIN SEALANT PROTECTANT,138.0,,2.05,124.2,57
CDM,14020498,TIBIAL COMPONENT MODULAR,5094.0,,2374.28,4584.6,62
CDM,14020499,LEFT FEMUR COMPONENT,11368.0,,2374.28,10231.2,62
CDM,14020500,ORTHEX STRUT TELESCOPING,3464.0,,1732.0,3117.6,61
CDM,14020501,ACERTAB CLIP SHELL,3688.0,,1844.0,3319.2,62
CDM,14020503,CONNECTOR LUER LOCK PHILLIPS,18694.0,,9347.0,16824.6,56
CDM,14020523,FEM BODY EXPRT STD PROX,4929.0,,2374.28,4436.1,62
CDM,14020524,FEM HEAD BIOLOX DEL CER,2734.0,,1367.0,2460.6,62
CDM,14020525,IMPL HIP FEM STEM REV EXPRT,2464.0,,1232.0,2374.28,62
CDM,14020526,IMPL ACET LINER XLPE HOODED,3590.0,,1795.0,3231.0,62
CDM,14020527,KTP LASER FIBER 600,820.0,,410.0,738.0,56
CDM,14020528,FIBER LASER HOLMIUM,1155.0,,577.5,1039.5,56
CDM,14020529,FIBERLOCK SUSPENSION SYSTEM,2986.0,,506.18,2687.4,62
CDM,14020530,IMPL WRAP TENDON BIOINTE,4643.0,,1478.44,4178.7,62
CDM,14020531,MARGIN MARK INK KIT,351.0,,175.5,315.9,56
CDM,14020532,WASHER P65 ST050,294.0,,147.0,264.6,61
CDM,14020533,ADDITIONAL VB KIT GEN 3,1245.0,,622.5,1120.5,56
CDM,14020534,AZUR HYDRO PERIPHERAL COIL SYS,2520.0,,1260.0,2268.0,61
CDM,14020545,IMPL SYS SUTURELOC ANCHOR,3744.0,,506.18,3369.6,62
CDM,14020546,INTRACK INSERT SETS DOUBLE,81.0,,40.5,72.9,56
CDM,14020547,MISCARRIAGE MANAGEMENT KIT,243.0,,121.5,218.7,56
CDM,14020548,PROBE PRASS STIMULATING STD,388.0,,194.0,349.2,56
CDM,14020552,VIPERWIRE FLEX ADV 0.014,377.0,,27.95,339.3,62
CDM,14020553,EMPHASYS ACET SHELL MULTI-HOLE,6385.0,,2374.28,5746.5,62
CDM,14020554,TOURNIQUET 79006 7IN,406.0,,203.0,365.4,56
CDM,14020555,URETHRAL CATH ROBINSON MODEL,138.0,,69.0,124.2,56
CDM,14020556,GUIDE ENDONASAL ACCESS LARGE,1065.0,,532.5,958.5,56
CDM,14020557,6MM BONE GRAFT 2 KIT,2808.0,,1404.0,2527.2,61
CDM,14020558,ANCHOR SUTURE 1.4MM XBRAID,880.0,,440.0,792.0,62
CDM,14020559,CRANIAL CMF CUSTOM MANDIBLE,16680.0,,506.18,15012.0,62
CDM,14020560,KIT POLYMER STENT GRAFT,1870.0,,935.0,1683.0,56
CDM,14020563,TAG TBE THORACIC AORTIC EXT,20592.0,,1667.17,18532.8,62
CDM,14020564,NON IRRADIATED QUAD TENDON,6927.0,,3463.5,6234.3,61
CDM,14020565,ACET HIP LNR BI-MENTUM ALTRX,1638.0,,819.0,2374.28,62
CDM,14020566,DVC CLOSURE V-LOC PBT,1332.0,,666.0,1198.8,56
CDM,14020567,FELT CV PTFE,450.0,,225.0,405.0,61
CDM,14020568,IMPL HIP ACETAB LINER PINNACLE,1638.0,,819.0,2374.28,62
CDM,14020569,OSS RS TIB AUG UNIV,1631.0,,815.5,2374.28,62
CDM,14020570,SMARTBOND ECONOMY KIT,596.0,,298.0,536.4,56
CDM,14020571,DRIVER 3.0 PLS T 10,246.0,,123.0,221.4,56
CDM,14020572,TIB INSERT EVOLUTION CS,6221.0,,2374.28,5598.9,62
CDM,14020574,DURAMATRIX ONLAY 2X2,659.0,,329.5,593.1,61
CDM,14020575,EPIDURAL NEEDLE ABBOTT 1114,136.0,,68.0,122.4,56
CDM,14020576,CATH DRAIN ULTRATHANE,191.0,,66.39,171.9,57
CDM,14020577,IMPL SHELL PINN REV GRIPTON,3262.0,,1631.0,2935.8,62
CDM,14020578,AACP MAX PRP SYS W/ACDA,860.0,,430.0,774.0,56
CDM,14020580,CAGE SPINAL T-LIF LOOP,6552.0,,3276.0,5896.8,61
CDM,14020581,CELLERATERX SURGICAL POWDER,2799.0,,1399.5,2519.1,56
CDM,14020582,FEMORAL HEAD CERAMIC 36MM,889.0,,444.5,2374.28,62
CDM,14020583,HANDPIECE BEND-A-BEAM ABC,489.0,,244.5,440.1,56
CDM,14020584,IMPL HUM STEM COMPREHENSIVE PP,6679.0,,2374.28,6011.1,62
CDM,14020585,IMPL SYSTEM CPR VIPER,2050.0,,506.18,1845.0,62
CDM,14020586,NEEDLE BOLUS STRAIGHT 1-3/8,187.0,,93.5,168.3,56
CDM,14020588,TRICORTICAL ILIUM STRIP,3651.0,,1825.5,3285.9,61
CDM,14020589,IMPL FEM HEAD BIOLOX DELTA,2649.0,,1324.5,2384.1,62
CDM,14020590,IMPL KNEE FEM DISTAL OSSLT,12099.0,,2374.28,10889.1,62
CDM,14020592,IMPL SEGMENT DIAPHYSEAL OSS,10057.0,,2374.28,9051.3,62
CDM,14020593,TRIATHLON HINGE FEMORAL COMP,11902.0,,2374.28,10711.8,62
CDM,14020594,IMPL TIBIAL BEARING COMPONENT,7097.0,,2374.28,6387.3,62
CDM,14020595,TRIATHLON BUSING & AXEL ASSY,3541.0,,1770.5,3186.9,61
CDM,14020596,TRIATHLON HINGE BUMPER 3 DEG,6461.0,,2374.28,5814.9,62
CDM,14020597,WEDGE KIT INBONES C0150004,604.0,,302.0,543.6,56
CDM,14020598,COTTON WEDGE IN2BONES AWC106,3179.0,,1589.5,2861.1,56
CDM,14020599,ANCHOR ASSEMBLY W/BOLT,960.0,,480.0,864.0,62
CDM,14020602,CABEL CONN LIGHT WEIGHT CABRIO,630.0,,315.0,567.0,56
CDM,14020603,ELECTRODE MACRO-MICRO DEPTH,1559.0,,779.5,1403.1,56
CDM,14020604,TRIMANO FORTIS KNEE KIT,117.0,,58.5,105.3,56
CDM,14020606,BACTISURE WOUND LAVAGE,1404.0,,702.0,1263.6,56
CDM,14020607,ANCHOR BIO-SWIVELOCK SP,1545.0,,506.18,1390.5,62
CDM,14020608,CONNECTOR SPINAL REVISION OPEN,693.0,,346.5,623.7,61
CDM,14020609,END-CAP 13MM,12543.0,,6271.5,11288.7,61
CDM,14020612,ENDCAP SPINAL CAGE T2,2247.0,,1123.5,2022.3,61
CDM,14020613,SET IRRIGATION/BIPOLAR CORD,88.0,,44.0,79.2,56
CDM,14020614,SPCR SPINAL IDENTITI,7114.0,,3557.0,6402.6,61
CDM,14020615,STENT VASC ELUVIA 6X100MM,4858.0,,1667.17,4372.2,62
CDM,14020616,STENT VASC ELUVIA 6X120MM,8855.0,,1667.17,7969.5,62
CDM,14020617,STENT VASC ELUVIA 7X40MM 130CM,6730.0,,1667.17,6057.0,62
CDM,14020618,MENISCAL REPAIR SYSTEM,2272.0,,506.18,2044.8,62
CDM,14020619,STENT VASC DRUG-ELUTED ELUVIA,3735.0,,1667.17,3361.5,62
CDM,14020625,FIBULAR STRUT,5642.0,,1667.17,5077.8,62
CDM,14020626,ENDOVASC STNT GRFT DRUG COATED,5642.0,,370.25,5077.8,62
CDM,14020627,EXULT TIBIAL INSERT,4570.0,,2285.0,4113.0,62
CDM,14020629,AXOGUARD HA+ PROTECTOR AGHA36,6073.0,,3036.5,5465.7,61
CDM,14020632,AXOGUARD HA+ PROTECTOR AGHA48,8540.0,,2699.81,7686.0,62
CDM,14020634,BIOPSY CAP AND GUIDEWIRE,81.0,,40.5,72.9,56
CDM,14020635,ABC BOND-A-BEAM HANDPIECE,490.0,,245.0,441.0,56
CDM,14020637,BARRIGEL SYRINGE KIT,2402.0,,1201.0,2161.8,56
CDM,14020639,ONYX LIQ EMBOLIC SYS,3913.0,,1956.5,3521.7,61
CDM,14020640,UCL INTERNAL BRACE IMPL SYSTEM,2207.0,,506.18,1986.3,62
CDM,14020641,SHEATH PROTRIEVE 20F,7488.0,,46.81,6739.2,62
CDM,14020642,SR CORTICAL BLOCK,1273.0,,636.5,1145.7,61
CDM,14020643,BOLT FUSION IDENTITI IB,936.0,,468.0,842.4,61
CDM,14020644,CONN SPINAL SYMPHONY OCT SYS,927.0,,463.5,834.3,61
CDM,14020645,GRAFT STENT ENDURANT II,9398.0,,4699.0,8458.2,61
CDM,14020647,CONNECTOR DUAL MONARCH CDR,843.0,,421.5,758.7,61
CDM,14020648,STAPLE SYS NITINOL DYNANITE,2799.0,,506.18,2519.1,62
CDM,14020649,REAMER SURG PHANTOM CANN,796.0,,398.0,716.4,56
CDM,14020651,FIBERSTITCH 1.5 24 DEGREE CURV,1030.0,,506.18,927.0,62
CDM,14020653,PYROCARBON HUM HEAD DIA 43MM,43342.0,,2374.28,39007.8,62
CDM,14020654,RELINE O X-CONNECTOR,693.0,,346.5,623.7,61
CDM,14020655,CATH VENTRICULAR INTEGRA,7975.0,,3987.5,7177.5,61
CDM,14020656,MESHED DERMAL REGEN TEMP,9569.0,,4784.5,8612.1,61
CDM,14020659,FIRSTPASS MINI LEFT,484.0,,242.0,435.6,56
CDM,14020660,KIT NAVITRACKER KNEE-SPINE A,925.0,,462.5,832.5,56
CDM,14020661,PERSONA TIBIAL INSERT,3857.0,,1928.5,3471.3,62
CDM,14020662,UC ACUFEX DIRECTOR ELITE,2856.0,,1428.0,2570.4,56
CDM,14020663,IMPL TOTAL SHOULDER,14040.0,,2374.28,12636.0,62
CDM,14020664,ACTIS DUOFIX HIP PROSTH STEM,3230.0,,1615.0,2907.0,62
CDM,14020665,EMPHASYS ACETABULAR CEMENTLESS,1779.0,,889.5,2374.28,62
CDM,14020667,TOTAL SHOULDER LINKFTS01,15912.0,,2374.28,14320.8,62
CDM,14020668,IMPLANT TIBIAL NSERT LEFT,4838.0,,2374.28,4354.2,62
CDM,14020669,PROBE NEUROBLATE ROBOTIC,17787.0,,8893.5,16008.3,56
CDM,14020670,REM IMPL WIRE SUPERFIC/BEDSIDE,4332.0,,1334.55,3898.8,68
CDM,14020671,TISS TENDON TIBIALIS ANTERIOR,2734.0,,1367.0,2460.6,61
CDM,14020672,ASPEN VISTA COLLAR,106.0,,53.0,95.4,56
CDM,14020674,LUMBAR DRAIN KIT,418.0,,209.0,376.2,56
CDM,14020675,CAPSULE PH MONITORING BRAVO,551.0,,275.5,495.9,56
CDM,14020676,CATH HIGHLANDER 014 PTA DILAT,396.0,,198.0,356.4,56
CDM,14020677,GELPOINT VNOTE 9.5CM,1404.0,,702.0,1263.6,56
CDM,14020678,LIVERTY TIPS ACCES SET,1966.0,,983.0,1769.4,56
CDM,14020679,STEERABLE GUIDEWIRE BOST SCI,158.0,,27.95,142.2,62
CDM,14020680,STRATAMR VALVE 42965MR,7947.0,,3973.5,7152.3,61
CDM,14020681,ALLOGRAFT CARTILAGE COSTAL,2052.0,,1026.0,1846.8,61
CDM,14020682,ARISTA AH,1730.0,,865.0,1557.0,56
CDM,14020683,DRSG ACTICOAT,170.0,,85.0,153.0,56
CDM,14020684,FIBERSTITCH IMPL DEGREE CURVE,1718.0,,506.18,1546.2,62
CDM,14020686,IMPL IFUSE BEDROCK GRANITE,5897.0,,2948.5,5307.3,61
CDM,14020687,IMPL ACET LINER EMPHASYS AOX,936.0,,468.0,2374.28,62
CDM,14020688,IMPL PROLONG TIBIAL INSERT,1030.0,,515.0,2374.28,62
CDM,14020689,CONN CROSSLINK SMALL,749.0,,374.5,674.1,61
CDM,14020690,APPL FIX SYSTEM EXTERNL UNIPLN,11438.0,,4575.2,10294.2,68
CDM,14020691,ULTRA CONGRUENT TIB ARTICULAR,3932.0,,1966.0,3538.8,62
CDM,14020692,T8 SOLID DRIVER,344.0,,172.0,309.6,56
CDM,14020694,ACETAB INSERT CROSSFIRE II,1779.0,,889.5,2374.28,62
CDM,14020695,ALLOAID KIT,604.0,,302.0,543.6,61
CDM,14020696,ALLOGRAFT ALLOAID PIP,1662.0,,831.0,1495.8,61
CDM,14020697,BI WING ANCHOR,468.0,,234.0,506.18,62
CDM,14020698,ECHO POR FEMORAL FPP NC,3464.0,,1732.0,3117.6,62
CDM,14020699,BOOT WITH PNEUMATIC PUMP,423.0,,211.5,380.7,61
CDM,14020701,CARB HANDPIECE SET W/NOZZEL,427.0,,213.5,384.3,56
CDM,14020702,NEUROPACE REMOTE MONITOR,6543.0,,3271.5,5888.7,61
CDM,14020703,VERTIGRAFT VG LAMINOPLASTY,1504.0,,752.0,1353.6,61
CDM,14020705,GELSOFT PL BIF 45CM 14X7MM,2528.0,,1092.42,2275.2,62
CDM,14020708,NUT THREAD COUPLING,410.0,,205.0,369.0,61
CDM,14020709,RELINE-O X-CONNECTOR,2703.0,,1351.5,2432.7,61
CDM,14020712,OSS SMOOTH STM W/SRW,3460.0,,1730.0,3114.0,62
CDM,14020713,INTEGRA DERMAL REGEN TEMPLATE,5914.0,,31.83,5322.6,56
CDM,14020714,FULL RING 180MM,2803.0,,1401.5,2522.7,61
CDM,14020716,ARCH RING 180MM,1343.0,,671.5,1208.7,61
CDM,14020717,THREADED PILLAR 200MM,995.0,,497.5,895.5,56
CDM,14020718,WIRE SMOOTH HALF POINT,336.0,,168.0,506.18,57
CDM,14020719,WIRE REDUCTION HALF POINT,369.0,,184.5,506.18,57
CDM,14020720,BOLT FIXATION WIRE,369.0,,184.5,332.1,61
CDM,14020721,BOLT CONNECTION PARAGON,57.0,,28.5,51.3,61
CDM,14020722,POST 2 HOLE W/THREADED ATTCHMT,523.0,,261.5,470.7,61
CDM,14020723,EXTERNAL FIXATION POST 3 HOLE,579.0,,289.5,521.1,61
CDM,14020724,EXTERNAL FIXPOST 4H,731.0,,365.5,657.9,61
CDM,14020726,RANCHO CUBE,733.0,,366.5,659.7,61
CDM,14020727,EXTENSION NUT P45-941-0010,154.0,,77.0,138.6,61
CDM,14020728,WASHER 4.0MM,369.0,,184.5,332.1,61
CDM,14020729,FIBERGRAFT MATRIX 125CC,6966.0,,506.18,6269.4,62
CDM,14020730,FORNISEE DEVICE FS-40,298.0,,149.0,268.2,56
CDM,14020731,DRIVER BIOSURE 72203742,960.0,,480.0,864.0,56
CDM,14020732,MESH DURASORB BIOSYN,4446.0,,608.95,4001.4,62
CDM,14020734,UNIVERSAL PIN CLAMP PARAGON,431.0,,215.5,387.9,61
CDM,14020735,CIRCULAR BEVEL NUT PARAGON,47.0,,23.5,42.3,61
CDM,14020736,MINI-OPEN/ARTHRO-ASST LATARJET,2621.0,,1310.5,2358.9,61
CDM,14020737,FIBERGRAFT AERIDYAN,3638.0,,506.18,3274.2,62
CDM,14020738,TITANIUM 3D RIB CLIP,3831.0,,1915.5,3447.9,61
CDM,14020739,PEEK IMPLANT SMALL STRYKER,22805.0,,11402.5,20524.5,61
CDM,14020741,4.5MM MULTI UNIT ABUTMENT,435.0,,45.62,391.5,62
CDM,14020743,ASCENSION DISPOSABLE PACK,614.0,,307.0,552.6,56
CDM,14020744,UNIVERSAL II TORQUE DRIVER,3932.0,,1966.0,3538.8,56
CDM,14020747,DILATOR AND SHEATH AXONICS,1681.0,,256.64,1512.9,62
CDM,14020748,DISTAL FEMORAL COMPONENT,907.0,,453.5,2374.28,62
CDM,14020749,IMPL HIP FEM HEAD C-TAP COCR,562.0,,281.0,2374.28,62
CDM,14020750,IMPL INBONE POLY 6 13MM SULCUS,3838.0,,1919.0,3454.2,62
CDM,14020751,K-WIRE GUIDE 1.6,482.0,,241.0,506.18,62
CDM,14020752,MANDIBLE RECONS KIT,9426.0,,4713.0,8483.4,61
CDM,14020753,POLARSTEM STEM STD TI/HA,2996.0,,1498.0,2696.4,62
CDM,14020755,PRECEPT NIT K-WIRE BEVEL TIP,241.0,,120.5,506.18,57
CDM,14020756,SPACER SPINAL IDENTITI TI 10,4119.0,,2059.5,3707.1,61
CDM,14020769,AIMING GUIDES,824.0,,412.0,741.6,56
CDM,14020773,CABLE DIN 10-LEAD,852.0,,426.0,766.8,56
CDM,14020774,OBTURATOR AD-TECH,613.0,,306.5,551.7,56
CDM,14020775,PROBE ELECTRODE DEPTH SPENCER,1098.0,,549.0,988.2,56
CDM,14020776,IMPL GLENOSPHERE UNIVERS REV,6152.0,,2374.28,5536.8,62
CDM,14020777,IMPL SPEEDBRIDGE SYS ACHILLES,8582.0,,506.18,7723.8,62
CDM,14020778,INST SET ACHILLES REPAIR PARS,8582.0,,4291.0,7723.8,56
CDM,14020779,SET CATH OCCLUSION ROTAREX,5982.0,,208.48,5383.8,62
CDM,14020780,PUMP PENILE TITAN TOUCH,34871.0,,12059.64,31383.9,62
CDM,14020781,IMPL HEAD FEM DELTA,3376.0,,1688.0,3038.4,62
CDM,14020782,SYSTEM LAVAGE CARBOJET,384.0,,192.0,345.6,56
CDM,14020783,IMPL KNEE FEM STEM,2732.0,,1366.0,2458.8,62
CDM,14020784,SPACER FUSION INTERBODY CATALY,8424.0,,4212.0,7581.6,61
CDM,14020785,SUTURE MINITAPE BLUE,383.0,,191.5,344.7,56
CDM,14020787,IMPL SHOULDER HUM STEM SHORT,4801.0,,2374.28,4320.9,62
CDM,14020788,IMPL GLENOSPHERE OFFSET36MM,3756.0,,1878.0,3380.4,62
CDM,14020789,IMPL SHLDER REVERSE PRSTH SYS,1883.0,,941.5,2374.28,62
CDM,14020790,IMPL HUMERAL BEARING,1386.0,,693.0,2374.28,62
CDM,14020791,IMPL INSERT REVERSED SHLD,6036.0,,2374.28,5432.4,62
CDM,14020792,IMPL HUMERAL SPACER PERFORM,2973.0,,1486.5,2675.7,62
CDM,14020793,CLIP MANTIS 235CM,682.0,,341.0,613.8,56
CDM,14020796,CENTRAL POST MODULAR,1779.0,,889.5,2374.28,62
CDM,14020797,DELIVERING CANNULA,286.0,,143.0,257.4,56
CDM,14020798,SIDE INTEL NATUS CSF RESERVOIR,1376.0,,688.0,1238.4,61
CDM,14020799,EVOS 4.5MM CABLE SADDLE,1524.0,,762.0,1371.6,61
CDM,14020803,HOOK 5541188 5.5/6.0 THOR ANGL,637.0,,318.5,573.3,61
CDM,14020809,HTO WEDGE 16MM,2094.0,,1047.0,1884.6,61
CDM,14020812,"SCR KIT SMART PROGRAMMER, PLUG",18745.0,,2025.45,16870.5,57
CDM,14020813,DRYSEAL HYDRO FLEX SHEATH,1825.0,,46.81,1642.5,62
CDM,14020818,GRAFT RINGED 14MMX30CM,1955.0,,977.5,1759.5,62
CDM,14020819,NAIL ANKLE TTC FUSION 12X26CM,33741.0,,506.18,30366.9,57
CDM,14020820,PROBE CRYOPROBE,2363.0,,257.96,2126.7,57
CDM,14020821,KIT DISPOSABLES BIOUNI,585.0,,292.5,526.5,56
CDM,14020822,KIT CUTTING DISPOSABLES BIOUNI,1756.0,,878.0,1580.4,56
CDM,14020823,NEEDLE JAMSHIDI,293.0,,146.5,263.7,56
CDM,14020825,EMBRYO REPLACEMENT CATHETER,1107.0,,553.5,996.3,56
CDM,14020826,ALLOGRAFT FASCIA ACECONNEX CDV,5814.0,,2907.0,5232.6,61
CDM,14020827,CATH BEACON TIP,571.0,,285.5,513.9,56
CDM,14020828,TAP CANN QUICK CONNECT 3.5MM,976.0,,488.0,878.4,56
CDM,14020830,RING FOOT LONG DIA 180MM,3988.0,,1994.0,3589.2,61
CDM,14020833,RING HALF SIDEKICK 180,3373.0,,1686.5,3035.7,61
CDM,14020870,STANDARD OPTICAL FIBER,2970.0,,1485.0,2673.0,56
CDM,14020871,PERFORMANCE OPTICAL FIBER,5760.0,,2880.0,5184.0,56
CDM,14020872,ENDCAP SCREW SPINAL ROUND 14MM,810.0,,405.0,729.0,61
CDM,14020873,CAGE SPINAL X-CORE MINI,6300.0,,3150.0,5670.0,61
CDM,14020874,KIT PREP CEMENT,1350.0,,675.0,1215.0,56
CDM,14020878,STIMULATOR NEURO REMOTE CONTRL,19260.0,,9630.0,17334.0,61
CDM,14020879,CUSTOM MIDFACE LOCKING LG LP,21411.0,,10705.5,19269.9,61
CDM,14020880,SYS SPACER PROSTATE PERIRECTAL,6030.0,,3015.0,5427.0,56
CDM,14020881,GDWIRE EXCHANGE TUBE,240.0,,120.0,216.0,56
CDM,14020882,ANCHOR SUTURE TI,850.0,,425.0,765.0,62
CDM,14020883,VLV PULMONARY CRYOVALVE,45000.0,,22500.0,40500.0,61
CDM,14020884,IMPL STEM RADIAL HEAD,5400.0,,2374.28,4860.0,62
CDM,14020886,IMPL HEAD RADIAL TRIAL,900.0,,450.0,810.0,56
CDM,14020887,GRAFT ZEN ALPHA 2,28800.0,,1667.17,25920.0,62
CDM,14020888,GUIDEWIRE BALL TIP,332.0,,27.95,298.8,57
CDM,14020936,IMPLANT CRANIAL PEEK CUSTOM MD,19278.0,,9639.0,17350.2,61
CDM,14020937,IMPLANT CRANIAL MED,22518.0,,11259.0,20266.2,61
CDM,14020938,WASHER SCREW,192.0,,96.0,172.8,61
CDM,14020939,CONNECTOR CATHETER 3 WAY 15X23,373.0,,186.5,335.7,61
CDM,14020940,KIT MONO SURGERY 4MM,200.0,,100.0,180.0,56
CDM,14020941,SCREW CRANIOFACIAL,5605.0,,506.18,5044.5,62
CDM,14020942,YKNOT ALL SUTURE ANCHOR,675.0,,337.5,607.5,62
CDM,14020943,ARGO KNOTLESS WITH 1MM RIBBON,675.0,,337.5,607.5,62
CDM,14020944,ULTRATHANE SIMP LOC DRAIN CATH,299.0,,66.39,269.1,62
CDM,14020945,ARCOS CON SZ A HI 70MM,1960.0,,980.0,2374.28,62
CDM,14020946,RETRIEVAL SYSTEM,363.0,,181.5,326.7,56
CDM,14020947,KNEE FIBERTAK BUTTON,966.0,,483.0,869.4,56
CDM,14020948,CODMAN CERTAS PROGRAM VALVE,8051.0,,4025.5,7245.9,61
CDM,14020949,VISION AIR 3D STENT,8991.0,,4495.5,8091.9,61
CDM,14020951,OGMEND IMPLANT MEDIUM,1665.0,,832.5,1498.5,61
CDM,14020955,OGMEND INSERTER,75.0,,37.5,67.5,61
CDM,14020956,VERVE MEDICAL RPD SYSTEM,0.01,,0.005,0.009,56
CDM,14020959,1240CC MEMORY GEL ENHANCE,4140.0,,2070.0,3726.0,56
CDM,14020961,WASHER ORTHO IFUSE TORQ,90.0,,45.0,81.0,61
CDM,14020962,PHOTODYNAMIC BONE STABIL SYS,8487.0,,4243.5,7638.3,56
CDM,14020963,PHOTODYNAMIC BONE STABIL SYS,10091.0,,5045.5,9081.9,56
CDM,14020964,DEEP TISSUE SCORER,312.0,,156.0,280.8,56
CDM,14020966,SET SHEATH DILATOR ILLUMINOSS,120.0,,46.81,108.0,62
CDM,14020968,BALL TIPPED GUIDEWIRE,334.0,,27.95,300.6,62
CDM,14020973,PROPHECY PS REPORT,2261.0,,1130.5,2034.9,56
CDM,14020974,ALT REVERSE SM HEMI ADAPTER,3222.0,,1611.0,2899.8,61
CDM,14020975,REVERSE SHOULDER REVISION,31673.0,,2374.28,28505.7,62
CDM,14020976,MONTAGE CT 7CC,4048.0,,2024.0,3643.2,61
CDM,14020977,8G IVAS BONE BIOPSY,226.0,,113.0,203.4,56
CDM,14020978,CURETTE 11G,1192.0,,596.0,1072.8,56
CDM,14020979,STYLET SPECIAL CONNECTOR,75.0,,37.5,67.5,56
CDM,14020981,NOSTRIL RETAINER,308.0,,154.0,277.2,56
CDM,14020992,FORCEPS EYEMAX ALLI 1.0 OD,585.0,,292.5,526.5,56
CDM,14021006,TAMBE,3091.0,,509.25,2781.9,68
CDM,14021007,BBTAK THREADED,246.0,,123.0,221.4,56
CDM,14021008,DX KNOTLESS FIBERTAK IMPLANT K,3415.0,,1707.5,3073.5,61
CDM,14021009,NEEDLE BIOPSY 2.1MM X 257MM,1125.0,,562.5,1012.5,56
CDM,14021010,CATH RENAL COBRA 6FRX65CM,74.0,,37.0,66.6,56
CDM,14021011,ARVIS REVERSE SHOULDER NAV SYS,1800.0,,900.0,1620.0,61
CDM,14021033,HEMOPRO2 ADAPTOR,209.0,,104.5,188.1,56
CDM,14021034,KT SAMPLE PREP COBAS 480,1037.0,,518.5,933.3,56
CDM,14021035,CONNECTOR STRAIGHT,428.0,,214.0,385.2,56
CDM,14021037,TECH SHOULDER PACK,1800.0,,900.0,1620.0,56
CDM,14021038,TOTAL HIP,7470.0,,2374.28,6723.0,62
CDM,14021039,CEMENT BONE COBALT GHV 40G,684.0,,342.0,615.6,62
CDM,14021041,TOTAL CS EDGE SHOULDER,10620.0,,2374.28,9558.0,62
CDM,14021042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,14021043,CUSA TIP EXTENDED LAPRA,2133.0,,1066.5,1919.7,56
CDM,14021044,PLIAFX FLOWABLE 0.5 CC,216.0,,108.0,194.4,61
CDM,14021045,PLIAFX FLOWABLE 0.5 CC,240.0,,120.0,216.0,61
CDM,14021046,INACT IMPACTOR 6661112,1440.0,,720.0,1296.0,56
CDM,14021047,HOOK TRANS PROCESS W 8MM,612.0,,306.0,550.8,61
CDM,14021049,BARRIGEL PROCEDURE PACK,5130.0,,2565.0,4617.0,56
CDM,14021051,NDL INJ LARYNGEAL RENU,240.0,,120.0,216.0,56
CDM,14021052,ACCUPASS STR SHUTTLE STRAIGHT,329.0,,164.5,296.1,56
CDM,14021053,4C INSTABILITY SHOULDER,1440.0,,720.0,1296.0,56
CDM,14021054,ULTRABRACE KIT,2776.0,,1388.0,2498.4,56
CDM,14021055,SCAFFOLD CARTIHEAL 7.5MM,10440.0,,5220.0,9396.0,61
CDM,14021057,SCAFFOLD CARTIHEAL 7.5MM 3PK,3840.0,,1920.0,3456.0,61
CDM,14021058,CARTIHEAL MINI TOOLSET,900.0,,450.0,810.0,56
CDM,14021059,INACT KIT AXIUM 50CM TRIAL LEA,1080.0,,540.0,972.0,61
CDM,14021061,IMPLANT CRANIAL PROTHESIS,27576.0,,506.18,24818.4,62
CDM,14021065,MIDFOOT FUSION BOLT,1147.0,,573.5,1032.3,61
CDM,14021066,MAXFRAME FULL RING,2537.0,,1268.5,2283.3,61
CDM,14021067,CANNULA,846.0,,423.0,761.4,56
CDM,14021068,FIBERGRAFT BG MATRIX,5072.0,,2536.0,4564.8,61
CDM,14021069,GRAFT BONE 6ML MED FIBERGRAFT,6341.0,,506.18,5706.9,62
CDM,14021071,TUBE INNER EAR 1.02MM,52.0,,26.0,46.8,61
CDM,14021074,CONFORMABLE THORAC STENT GRAFT,40138.0,,20069.0,36124.2,61
CDM,14021076,ADAPTER MOMENT INJECT 0.6C,652.0,,326.0,586.8,56
CDM,14021077,ANCHOR PEEK-SWIVELOCK CRKSCW 2,3744.0,,506.18,3369.6,57
CDM,14021078,BAG SPECIMEN RETRIEVAL 8MM LG,197.0,,98.5,177.3,56
CDM,14021079,CLIP PENDITURE,4680.0,,2340.0,4212.0,61
CDM,14021080,CLUTCHCUTTER EMR 5.0MM,1129.0,,564.5,1016.1,56
CDM,14021081,CNNLA VNS 25FR76.2CM,740.0,,370.0,666.0,61
CDM,14021082,COVERED CP STENT 8Z 3.9CM,13304.0,,1667.17,11973.6,62
CDM,14021083,CUTTING GUIDE ORTHOG COMPLEX,5200.0,,2600.0,4680.0,56
CDM,14021084,G-WIRE W/TRCR TIP,125.0,,62.5,112.5,56
CDM,14021085,HOOK 5541188 5.5/6.0 THOR ANGL,637.0,,318.5,573.3,61
CDM,14021086,IMPL LGN HK DIS FEM WEDGE,1614.0,,807.0,1452.6,61
CDM,14021087,LINER OBLIQUE C LNN 32 X 62,1358.0,,679.0,2374.28,62
CDM,14021088,MIXER AUTOPLEX CEMENT,2343.0,,1171.5,2108.7,56
CDM,14021089,PSN FEM CR CMT CCR NRW,2808.0,,1404.0,2527.2,62
CDM,14021090,RITECLIP 16MM 235CM,176.0,,88.0,158.4,56
CDM,14021091,VALVE MITRAL ON-X 25/33MM,13104.0,,6552.0,11793.6,61
CDM,14021092,VIABIL NO HOLES 8MM X 10CM,4212.0,,1667.17,3790.8,62
CDM,14021093,LATERAL MENISCUS LEFT,9360.0,,4680.0,8424.0,61
CDM,14021094,ZENITH T BRANCH ENDOVASC GRAFT,33907.0,,1667.17,30516.3,62
CDM,14021095,INTEGRA 4X10 MESHED,15637.0,,7818.5,14073.3,56
CDM,14021096,SUTURE ANCHOR 1.4 BLK/WHT,835.0,,417.5,751.5,62
CDM,14021097,IMP SYS INTBRACE KNEE LIG AUG,3197.0,,506.18,2877.3,62
CDM,14021098,MEDIUM ROTATING HINGE,31937.0,,2374.28,28743.3,62
CDM,14021099,VISTASEAL FIBRIN SEALANT 10ML,839.0,,214.78,755.1,55
CDM,14021102,CRESCENT LASSO ARTHREX,367.0,,183.5,330.3,56
CDM,14021103,PATCH PERICARD PERI-GUARD 01,796.0,,398.0,716.4,61
CDM,14021104,SYS FT-TRII FCIII FIBERLINK,3885.0,,1942.5,3496.5,56
CDM,14021105,IMPL TOTAL REVERSE SHOULDER,15912.0,,7956.0,14320.8,61
CDM,14021106,BRUSH TISSUE EXTRACTOR,286.0,,143.0,257.4,56
CDM,14021107,CORE KIT OPTIMESH,1138.0,,569.0,1024.2,61
CDM,14021108,KIT EMG NEURAL,1025.0,,512.5,922.5,56
CDM,14021109,OPTIMESH IMPLANT SMALL,8424.0,,4212.0,7581.6,61
CDM,14021110,PROBE NEURO 4MM,1011.0,,505.5,909.9,61
CDM,14021111,RAKE EXPANDABLE TOOTHED,1779.0,,889.5,1601.1,56
CDM,14021112,TUBE PRE-FILLED ALLOGRAFT,433.0,,216.5,389.7,61
CDM,14021115,OGMEND IMPLANT LARGE,1665.0,,832.5,1498.5,61
CDM,14021123,TAPESTRY RC INSERTER ANCHOR,1966.0,,506.18,1769.4,62
CDM,14021124,BARRIER SHEET IMPL RECTANGLE,942.0,,471.0,847.8,62
CDM,14021126,5.5MM QUICK RELEASE AWL,753.0,,376.5,677.7,56
CDM,14021127,EMPHASYS DUAL MOBILITY LINER,4365.0,,2182.5,3928.5,62
CDM,14021128,EMPHASYS MOBILE BEARING HEAD,3629.0,,1814.5,3266.1,62
CDM,14021129,FIBERGRAFT 8G PUTTY,1239.0,,506.18,1115.1,62
CDM,14021130,FOOT ROCKER KIT,2803.0,,1401.5,2522.7,61
CDM,14021131,INFCTN SHLD PN PROTECT SOPNG,782.0,,391.0,703.8,56
CDM,14021132,INTEGRAL/X POR STANDARD 10MM,3464.0,,1732.0,3117.6,62
CDM,14021133,MANDRECON SURG PLAN KIT,9426.0,,4713.0,8483.4,61
CDM,14021134,SLEEVE LIMB PRES FEMORAL ADAPT,851.0,,425.5,765.9,56
CDM,14021135,SMALL BLUE BUSH,176.0,,88.0,158.4,56
CDM,14021136,TUBE TRACH PORTEX 8MM XLNG,249.0,,124.5,224.1,61
CDM,14021137,VALVE AORTIC EPIC MAX 25MM,8923.0,,4461.5,8030.7,61
CDM,14021138,K WIRE TAPERED TIP,510.0,,255.0,506.18,57
CDM,14021139,AVITUS BONE HARVESTER,4914.0,,2457.0,4422.6,56
CDM,14021140,IMPL MULTI STERNAL SYSTEM,7530.0,,506.18,6777.0,62
CDM,14021141,IMPL OFFSET HUMERAL HEAD,4666.0,,2333.0,4199.4,62
CDM,14021142,IMPL SHOULDER GLENOID,3110.0,,1555.0,2799.0,62
CDM,14021143,IMP POROUS TI HUMERAL STEMLESS,7570.0,,2374.28,6813.0,62
CDM,14021144,KNOTLESS SUTURETAK,1484.0,,506.18,1335.6,62
CDM,14021145,BOOT LINER 72205287,668.0,,334.0,601.2,56
CDM,14021146,IMPL ORBITAL KLS 60-004-40-09,14771.0,,7385.5,13293.9,61
CDM,14021147,ROTATIONAL KNEE JOINT PROSTH,10067.0,,2374.28,9060.3,62
CDM,14021148,VALVE HOMOGRAFT CRYO SG,46800.0,,23400.0,42120.0,61
CDM,14021149,GUIDEWIRE 1.5MM 500MM LENGTH,117.0,,27.95,105.3,57
CDM,14021150,ENDOFLIP CATH NASAL TIP,839.0,,419.5,755.1,56
CDM,14021151,SYS CRT-D QUADRA ASSURA 40,41652.0,,20826.0,37486.8,62
CDM,14021152,VRSADIALL 38X19X39 HMRL HEAD,1498.0,,749.0,1348.2,61
CDM,14021153,LGN HK AXLE PLUG,236.0,,118.0,212.4,61
CDM,14021154,STEM OFFSET 16 DIA,2035.0,,1017.5,2374.28,62
CDM,14021155,V92 CELLULAR BONE MATRIX,2977.0,,1488.5,2679.3,56
CDM,14021157,RECOTHROM 20000 IU VIAL,615.9,,157.67,554.31,55
CDM,14021158,IMPL HEAD FEMORAL 28 + 5,970.0,,485.0,2374.28,62
CDM,14021159,SGL USE ELECTROSURGICAL KNIFE,970.0,,485.0,873.0,56
CDM,14021160,VALVE AORTIC ON-X 25MM,14040.0,,7020.0,12636.0,61
CDM,14021161,PARADER 4X8 CM DERMAL MATRIX,4615.0,,2307.5,4153.5,61
CDM,14021162,KIT PROBE LITHOCLAST 3.9X350MM,2718.0,,1359.0,2446.2,56
CDM,14021163,CATH CSF-VENT STANDARD,244.0,,122.0,219.6,56
CDM,14021164,ICAST COVERED STNT 85455/85451,4268.0,,1667.17,3841.2,62
CDM,14021165,CATH THROMBECTOMY REVCORE,12168.0,,314.82,10951.2,62
CDM,14021166,TRAY PERICARDIOCENTESIS 8.3FR,273.0,,136.5,245.7,56
CDM,14021167,SYS NEUROSTIMULATOR EXTERNAL,416.0,,208.0,2025.45,57
CDM,14021168,ILIUM STRIP TRICORTICAL,2808.0,,1404.0,2527.2,61
CDM,14021169,BP PMI BONE MODEL,311.0,,155.5,279.9,56
CDM,14021170,CLIP LOCKADO 22MM 235CM,373.0,,186.5,335.7,56
CDM,14021171,OSTEOCHONDRAL CORE FRESH ASEPT,689.0,,344.5,620.1,61
CDM,14021172,12MM SGL USE OATS DISP KIT,1872.0,,936.0,1684.8,56
CDM,14021173,IMPL HIP FEM STEM AMISTEM,3464.0,,1732.0,3117.6,62
CDM,14021174,IMPL BIOLOX DELTA HEAD S,936.0,,468.0,2374.28,62
CDM,14021176,IMPL DOUBLE MOBILITY HC LINER,1404.0,,702.0,2374.28,62
CDM,14021177,IMPL MPACT DM ACETABULAR SHELL,1685.0,,842.5,2374.28,62
CDM,14021186,ANCHOR TISSUE RETRIEVAL SYSTEM,355.0,,177.5,319.5,56
CDM,14021187,DENTAL IMPL INTERNAL 5.7 CAP,55.0,,27.5,49.5,61
CDM,14021190,MECH EXPANDED CUFF HREART VLV,4460.0,,2230.0,4014.0,61
CDM,14021191,INTEGRA THIN 4X10,12532.0,,59.93,11278.8,55
CDM,14021192,CROSS C0NNECTOR SYS LATERAL,890.0,,445.0,801.0,61
CDM,14021193,ACU LOC GUIDE NARROW,3677.0,,1838.5,3309.3,61
CDM,14021194,FLAT PE HC LINER,936.0,,468.0,2374.28,62
CDM,14021195,MPACT 3D METAL SHELL MULT HOLE,3744.0,,1872.0,3369.6,62
CDM,14021196,DM CONVERTER D DMB TIN COATED,2060.0,,1030.0,1854.0,61
CDM,14021197,BLN W/BAND EN-450P5/20,74.0,,37.0,66.6,56
CDM,14021198,BLN TRI-EX MULTIPLE SZ E,352.0,,176.0,316.8,56
CDM,14021199,AGILIS NXT 8.5 71CM,1026.0,,513.0,1301.27,62
CDM,14021200,TAH PEDICLE HOOK - SMALL TI,612.0,,306.0,550.8,61
CDM,14021201,IMPLANT MIDFACE/ORTHOG,612.0,,306.0,550.8,61
CDM,14021202,FLASH ASPIRATION CATHETER,17586.0,,314.82,15827.4,62
CDM,14021203,QUICK ADJUST STRUTS,2272.0,,1136.0,2044.8,61
CDM,14021205,STRUT LOCKING CLIPS,357.0,,178.5,321.3,61
CDM,14021206,INFLATION DEVICE INFINITY DISP,196.0,,98.0,176.4,56
CDM,14021207,NERVE PROTECT PLUS 20 X 20MM,4021.0,,2010.5,3618.9,61
CDM,14021208,ZENITH FEN ENDOVAS GRAFT SYS,14500.0,,7250.0,13050.0,56
CDM,14021209,GORE ASCENDING STENT GRAFT,24500.0,,12250.0,22050.0,56
CDM,14021210,LIMFLOW SYSTEM KIT,45000.0,,22500.0,40500.0,61
CDM,14021212,INVISION TALAR BONE,12568.0,,2374.28,11311.2,62
CDM,14021213,FASCIA LATA 2X5CM FROZEN,665.0,,332.5,598.5,61
CDM,14021214,TIBIAL INSERT HINGE,4421.0,,2210.5,3978.9,62
CDM,14021215,RSA AUGMENT SHOULDER GD AND BM,2052.0,,1026.0,1846.8,56
CDM,14021216,DERMASPAN,4208.0,,72.97,3787.2,55
CDM,14021217,VERSATIE PET BAND 5.5MM MALLEA,1080.0,,540.0,972.0,61
CDM,14021218,LARGE COMBINATION CLAMP,968.0,,484.0,871.2,61
CDM,14021219,MULTI PIN CLAMP LARGE,780.0,,390.0,702.0,61
CDM,14021220,STRAIGHT ATTACHMENT ARM,298.0,,149.0,268.2,56
CDM,14021221,AMNIOGRAFT,9000.0,,4500.0,8100.0,61
CDM,14021222,MICA DEPTH GAUGE,287.0,,143.5,258.3,56
CDM,14021223,MICA FIRST MET TRANSLATOR STER,286.0,,143.0,257.4,56
CDM,14021224,SET TUBING IRRIGATION SURGICAL,187.0,,93.5,168.3,56
CDM,14021225,CITREFIX XPRESS IMPLANT SYSTEM,2074.0,,506.18,1866.6,62
CDM,14021226,TT REV CONE CENTRAL TIBIA,8505.0,,4252.5,7654.5,61
CDM,14021227,TT REV CONE BICONDYLAR FEMUR,9639.0,,4819.5,8675.1,61
CDM,14021229,ANTERIOR TIBIALIS,3555.0,,1777.5,3199.5,61
CDM,14021231,IDENTITI PS POROUS TI SPACER,3960.0,,1980.0,3564.0,61
CDM,14021232,PROPATEN VASCULAR GRAFT,3865.0,,1932.5,3478.5,61
CDM,14021233,CUST ORGAN/BONE ANATOMY MODEL,4697.0,,2348.5,4227.3,61
CDM,14021234,VENUS STENT SYSTEM,2250.0,,1125.0,2025.0,61
CDM,14021235,STIMULATION SUCTION PROBE,286.0,,143.0,257.4,56
CDM,14021236,PERFORM STEM RSA REV LAT AUG,21060.0,,10530.0,18954.0,61
CDM,14021237,ICAST COVERED STENT 42522,5406.0,,1667.17,4865.4,62
CDM,14021238,GRAPPLER R3FLEX SGL IMPL KIT,2700.0,,506.18,2430.0,62
CDM,14021239,STIMULATION SYSTEM PULSE GEN,39600.0,,19800.0,35640.0,62
CDM,14021241,NEEDLE BIOPSY 18GAX11CM,108.0,,54.0,97.2,56
CDM,14021242,CATH LUMIGUIDE CONNECTOR 02,17955.0,,8977.5,16159.5,56
CDM,14021243,DOCKING TOP LUMIGUIDE,264.0,,132.0,237.6,56
CDM,14021244,DISPOSABLE M5 WEDGE INSERTER,630.0,,315.0,567.0,56
CDM,14021245,SHOULDER CUST INSTRUMENTATIO,2331.0,,1165.5,2097.9,56
CDM,14021246,GLENOSPHERE,2691.0,,1345.5,2421.9,62
CDM,14021247,CUSTOM RESTOR3D BASEPLATE,28791.0,,2374.28,25911.9,62
CDM,14021250,GUIDE FOR CORRECTIVE OSTEOTOMY,8910.0,,4455.0,8019.0,56
CDM,14021251,NEXUS AORTIC ARCH STENT GRAFT,37710.0,,18855.0,33939.0,61
CDM,14021252,NEXUS AORTIC ARCH STENT GRAFT,17910.0,,8955.0,16119.0,61
CDM,14021254,PECA KWIRE COCR,60.0,,30.0,506.18,57
CDM,14021255,SUTURE WASHER,298.0,,149.0,268.2,56
CDM,14021256,ALLOGRAT DISTAL TIBIA,12330.0,,6165.0,11097.0,61
CDM,14021257,1.2MM GUIDE WIRE,221.0,,27.95,198.9,62
CDM,14021258,HANDSET AND COMMUNICATOR KIT,2700.0,,1350.0,2430.0,56
CDM,14021259,SYSTEM RECHARGER,1791.0,,895.5,29815.78,62
CDM,14021261,ACTIVBRAID SUTURE TAPE,374.0,,187.0,336.6,56
CDM,14021262,WASHER-MEDARTIS,134.0,,67.0,120.6,61
CDM,14021263,K-WIRE-MEDARTIS,231.0,,70.07,207.9,62
CDM,14021265,FIBULA SHAFT 12CM,1625.0,,812.5,1462.5,61
CDM,14021266,SMOOTH GUIDE WIRE,140.0,,27.95,126.0,62
CDM,14021267,TOTAL REVERSE SHOULDER,14400.0,,2374.28,12960.0,62
CDM,14021268,DEEP BRAIN STIM PHYS SPARE KIT,450.0,,225.0,405.0,56
CDM,14021269,BONE HARVESTER,949.0,,474.5,854.1,56
CDM,14021271,PATELLA BONE-TENDON-BONE,10440.0,,5220.0,9396.0,61
CDM,14021299,ARTELON FLEXPATCH,3578.0,,1789.0,3220.2,56
CDM,14021300,GORE ENDOPROSTH EXCLUDER,52200.0,,26100.0,46980.0,61
CDM,14021301,R2P DESTINATION SLENDER SHEATH,511.0,,102.65,459.9,62
CDM,14021302,GLIDECATH ANGLED TAPER,136.0,,68.0,122.4,57
CDM,14021303,VERSATIE CLAMP,1080.0,,540.0,972.0,56
CDM,14021304,1.6MM MINI BOLT AND CAP,2302.0,,1151.0,2071.8,56
CDM,14021305,CLEARPOINT FIDUCIAL MARKER,551.0,,78.0,495.9,62
CDM,14021306,VALVE 27554-1 DELTA SM EXTRACT,2768.0,,1384.0,2491.2,61
CDM,14021309,TMJ BILATERAL IMPLANTS,34596.0,,17298.0,31136.4,61
CDM,14021310,BIOBRACE 40X60,7200.0,,3600.0,6480.0,56
CDM,14021311,MAGNET MAINSTAY MED 4000,182.0,,91.0,163.8,56
CDM,14021312,OFFSET CONNECTOR LENGTH 15MM,666.0,,333.0,599.4,61
CDM,14021313,CATH ANGIO PIG MB 5F 100,195.0,,97.5,175.5,56
CDM,14021314,LEAD TRIAL EVOKE 60CM,3600.0,,1800.0,3240.0,61
CDM,14021315,VANGARD FEMORAL SSK,14617.0,,7308.5,13155.3,56
CDM,14021316,BIODEGRADABLE WOUND MATRIX,12238.0,,6119.0,11014.2,56
CDM,14021317,RF PROBERELIEVANT RLV 0015,7956.0,,3978.0,7160.4,56
CDM,14021318,LARGE OPEN SUTURE REPAIR KIT,1665.0,,506.18,1498.5,62
CDM,14021328,RECLAIM MONOBLOC REV FEM STEM,15565.0,,2374.28,14008.5,62
CDM,14021329,NSK POWER BOX,542.0,,271.0,487.8,56
CDM,14021330,CURVED LATERAL,4500.0,,2250.0,4050.0,56
CDM,14021331,STRAIGHT MEDIAL,4500.0,,2250.0,4050.0,56
CDM,14021332,COSTAL CARTILAGE,2783.0,,1391.5,2504.7,61
CDM,14021333,NOVASURE V5,2374.0,,1187.0,2136.6,56
CDM,14021334,MINITAPE COBRAID BLUE,1089.0,,544.5,980.1,56
CDM,14021335,OSSIO OSI300 IMPLANT,8541.0,,4270.5,7686.9,61
CDM,14021336,15X120 STEM,5868.0,,2374.28,5281.2,62
CDM,14021337,BIOGRIP COLLAR,10515.0,,2374.28,9463.5,62
CDM,14021338,VENAFLO II EPTFE VASC GRAFT,2969.0,,1484.5,2672.1,61
CDM,14021339,DURAMESH,945.0,,472.5,850.5,61
CDM,14021341,STRAIGHT DEPTH GAUGE,650.0,,325.0,585.0,56
CDM,14021347,ALLOGRAFT MATRIX AMNION 4X4CM,2168.0,,1084.0,1951.2,61
CDM,14021348,ARCH/BRIDGE FIX/STAPLE 12MM,315.0,,157.5,506.18,62
CDM,14021350,CATH BLLN 9X12MM 200CM 7-6FR,328.0,,164.0,2904.62,62
CDM,14021351,CHOLANGIOSCOPE EYEMAX 3.2MM,4770.0,,2385.0,4293.0,56
CDM,14021353,CONNECTING TUBE BLUE PATIENT,161.0,,80.5,144.9,56
CDM,14021354,DBX PLIAFX FLOW 2.5CC,450.0,,225.0,405.0,61
CDM,14021355,GDE RECON CUT X LG TI-6AL-4V,4500.0,,2250.0,4050.0,56
CDM,14021356,FORCEPS EYEMAX ALLI 1.0 OD,585.0,,292.5,526.5,56
CDM,14021357,NDL CYSTO INJETAK 70CM,169.0,,84.5,152.1,56
CDM,14021358,HYDRA-JAG/.035/260CM/ANG,352.0,,176.0,316.8,56
CDM,14021359,CAP GLOSHIELD STRYKER/STORZ,58.0,,29.0,52.2,56
CDM,14021397,AUTOTOME RX 44 SPHINCT. 30MM,430.0,,215.0,387.0,56
CDM,14021398,CNTRSNK SURG 2.7X2.4X2MM MINI,261.0,,130.5,234.9,56
CDM,14021399,COIL POD RUBY J SOFT 15CM,1782.0,,891.0,1603.8,61
CDM,14021400,CYSTOSCOPE DISP 5.4MM X 15.5IN,407.0,,203.5,366.3,56
CDM,14021401,DRAPE PATIENT IMRIS,463.0,,231.5,416.7,56
CDM,14021402,ELE AIACH SUCT18CM7IN,222.0,,111.0,199.8,56
CDM,14021403,TI ANCHR 3.5 0 SUTUR GRA,508.0,,254.0,506.18,57
CDM,14021404,NEEDLE ENDO 30 DEG 25GA 165CM,106.0,,53.0,95.4,56
CDM,14021405,SPYGLASS RETRIEVAL BASKET,522.78,,261.39,470.5,56
CDM,14021406,STENT BIL 2.3X3.2MM 0.035IN PE,296.0,,148.0,288.9,62
CDM,14021407,STENT PANC PIGT LB 5F 2CM,189.0,,94.5,288.9,62
CDM,14021408,TIB BLOCK AUG 20X63/67 ML/LR,1785.0,,892.5,1606.5,61
CDM,14021417,HEMOSTASIS VALVE ADAPTER,187.0,,93.5,168.3,56
CDM,14021418,CARBON BAR,725.0,,362.5,652.5,61
CDM,14021419,PROTECTIVE CAP,106.0,,53.0,95.4,56
CDM,14021420,FRAZIER SUCTION,1260.0,,630.0,1134.0,56
CDM,14021421,FLEXBAND TWIST,8276.0,,506.18,7448.4,62
CDM,14021422,JAMSHIDI BONE MARROW,130.0,,65.0,117.0,56
CDM,14021423,CANNULA AND BLADDER STERILE,363.0,,181.5,326.7,56
CDM,14021424,"DJO EMPOWR KNEE TM, UNIVERSAL",5391.0,,2695.5,4851.9,61
CDM,14021425,"EMPOWR KNEE, STEM EXTENDER",3744.0,,1872.0,3369.6,62
CDM,14021426,STRAIGHT DEPTH GUAGE,650.0,,325.0,585.0,61
CDM,14021427,FEMALE POST,385.0,,192.5,346.5,56
CDM,14021428,K-WIRE,400.0,,200.0,360.0,56
CDM,14021429,HOTSPOT CONTROLLER,1611.0,,805.5,1449.9,56
CDM,14021430,TRUVIC TUBESET,500.0,,250.0,450.0,56
CDM,14021431,REVOLVE BONE ACCESS,192.0,,96.0,172.8,56
CDM,14021432,AVITUS DRAGONWING AUTOGR DEL,3645.0,,1822.5,3280.5,56
CDM,14021433,AVITUS ARCHIMIS AUTOGR DEL,3402.0,,1701.0,3061.8,56
CDM,14021434,ADTPR LEKSELL NON-XY,2822.0,,1411.0,2539.8,56
CDM,14021435,SHEATH INTRO 12FR 25CM CBDE,223.0,,46.81,200.7,62
CDM,14021436,KIT PROBE LITHOCLAST 3.9X440MM,2612.0,,1306.0,2350.8,56
CDM,14021437,ENTUIT START SET LARGE,209.0,,104.5,188.1,61
CDM,14021438,ILIAC LIM SYS O IX 14-14-160,22176.0,,11088.0,19958.4,61
CDM,14021439,BOTTLE COLLECT URO STONE,118.0,,59.0,106.2,56
CDM,14021443,FORCEPS EYEMAX ALLI 1.6 OD,330.0,,165.0,297.0,56
CDM,14021444,CEMENT OTOLOGIC 2GM HA CAPH,636.0,,318.0,572.4,61
CDM,14021447,RUBY COIL,3042.0,,1521.0,2737.8,61
CDM,14021448,RUBY COIL SOFT,1782.0,,891.0,1603.8,61
CDM,14021449,DRAPE PACK HYDROS,374.0,,149.6,336.6,56
CDM,14021450,HANDPIECE HYDROS,6390.0,,3195.0,5751.0,62
CDM,14021451,REMOTE MONITORING FOR PACERS,286.0,,143.0,257.4,56
CDM,14021452,SPEEDLOCK SLEEVE 170,1580.0,,790.0,1422.0,56
CDM,14021453,ACL DISP PK SOFT TISS FIXATION,830.0,,415.0,747.0,61
CDM,14021454,PROCINCH ADJUSTABLE LOOP IMPL,1035.0,,506.18,931.5,62
CDM,14021455,XBRAID S SZ 2  XPASS SUT,253.0,,126.5,227.7,56
CDM,14021456,XBRAID S NEEDLE MO-6 TAPER .5C,101.0,,50.5,90.9,56
CDM,14021457,4.75 ALPHAVENT AND OMEGA,385.0,,192.5,346.5,56
CDM,14021458,DEPLOYMENT MECHANISM KIT NA,844.0,,422.0,759.6,56
CDM,14021459,DRAPE ROSA,126.0,,63.0,113.4,56
CDM,14021508,"ENDOBUTTON CL ULTRA, 35MM",677.0,,338.5,609.3,62
CDM,14021509,CLIP LOCKADO 22MM 235CM,341.0,,170.5,306.9,56
CDM,14021510,KNEE HINGE ADV,2833.0,,1416.5,2549.7,61
CDM,14021511,OSS MOD TIBIAL 67MM,5645.0,,2374.28,5080.5,62
CDM,14021512,RS 3CM RESURFACING FMRL LT,10377.0,,2374.28,9339.3,62
CDM,14021513,TROCAR LAP 100MM SS STRL DISP,846.0,,423.0,761.4,56
CDM,14021514,8.5CM SEGMENTAL FMRL LEFT,12375.0,,2374.28,11137.5,62
CDM,14021515,CMPRSS CENTERING SLEEVE 17MM,595.0,,297.5,535.5,61
CDM,14021516,CMPRSS SM SHRT SPNDL W/PNS 800,5978.0,,2989.0,5380.2,61
CDM,14021517,COMPRS SHRT ANCHOR PLUG 16MM,2560.0,,1280.0,2304.0,61
CDM,14021518,HOLD SLV LG - USE W/03.503.068,1509.0,,754.5,1358.1,56
CDM,14021519,OSS RS TIB AUG 10X55/59 UNIV,1568.0,,784.0,1411.2,61
CDM,14021523,FOOT RING LONG DIA 180 MM - AL,1926.0,,963.0,1733.4,61
CDM,14021524,IPG PROTEGE MRI,26100.0,,13050.0,23490.0,62
CDM,14021525,GRAFT BONE 6ML MED FIBERGRAFT,6975.0,,506.18,6277.5,62
CDM,14021526,SET PUMP IMPELLA 2.5 13FR 10CC,36000.0,,18000.0,32400.0,56
CDM,14021527,GRAFT ALPHA 2 P-38-117-W,28800.0,,1667.17,25920.0,62
CDM,14021528,GLOBAL UNITE BODY SZ 10 -5,21081.0,,2374.28,18972.9,62
CDM,14021529,TRACH BLUSELECT UNCUF FEN 6.0,106.0,,53.0,95.4,61
CDM,14021530,TRAY LUMBAR PUNCTURE ADULT,77.0,,38.5,69.3,56
CDM,14021531,LINER ELEVATE C L JJ 28 X 54,1305.0,,652.5,1174.5,56
CDM,14021532,CONNECTOR AXIAL 3.5/4MM,729.0,,364.5,656.1,61
CDM,14021533,OMEGA PLUS T-H&LE QK COUP,515.0,,257.5,463.5,56
CDM,14021534,FEM HD BIOL D OPT 36 0,2547.0,,1273.5,2374.28,62
CDM,14021559,BLOCK CONNECTOR EEG,308.0,,154.0,277.2,56
CDM,14021560,ELECT EEG SUBDURAL AD-TECH,3055.0,,1527.5,2749.5,56
CDM,14021561,ELECTRODE DEPTH DEPTHALON 02,1472.0,,736.0,1324.8,56
CDM,14021562,WIRE K BIODRIVE MICRO,1463.0,,506.18,1316.7,62
CDM,14021563,TISSUE REINFORCEMENT FLEXBAND,5632.0,,2816.0,5068.8,61
CDM,14021564,CANNULA ARTERIAL KIT,576.0,,288.0,518.4,61
CDM,14021565,IMPL SHOULDER HUM INST PROMOS,1827.0,,913.5,2374.28,62
CDM,14021566,SYS STIM NERVE PERIPH STIMQ,28350.0,,14175.0,25515.0,61
CDM,14021567,NEEDLE FINE BX ACQUIRE,976.0,,488.0,878.4,56
CDM,14021568,BLN W/BAND EN-450P5/20,74.0,,37.0,66.6,56
CDM,14021569,IMPL STAPES PISTON ECLIPSE NIT,651.0,,325.5,585.9,61
CDM,14021570,CAGE ANT LUMBAR STAND-AL,7398.0,,3699.0,6658.2,61
CDM,14021571,SUTURE MESH,900.0,,450.0,810.0,62
CDM,14021572,MANDREL CLEARANCE MINI-B,2295.0,,1147.5,2065.5,56
CDM,14021573,HANAROSTENT COL UNCVRD,3807.0,,1667.17,3426.3,62
CDM,14021574,STAPLE COMPRESSION,3775.0,,506.18,3397.5,62
CDM,14021575,EXT FIX RING 5/8 TRUELK 180MM,2106.0,,1053.0,1895.4,61
CDM,14021576,BALL JOINT BLOCK FOR HOL,2862.0,,1431.0,2575.8,56
CDM,14021577,EXT FIX PILLAR THREADED,907.0,,453.5,816.3,56
CDM,14021578,IMPL TIBIAL TRAY INFINITY,11849.0,,2374.28,10664.1,62
CDM,14021579,WRENCH EXT FIX HOFFMANN,319.0,,159.5,287.1,56
CDM,14021580,FORCEP BIPOLAR NON-STICK BAYON,711.0,,355.5,639.9,56
CDM,14021581,THORAFLEX HYB ANT 100 24X26MM,63000.0,,31500.0,56700.0,61
CDM,14021582,BALL JOINT STRUT,2624.0,,1312.0,2361.6,61
CDM,14021583,QUICK RELEASE LOCKING NUT,490.0,,245.0,441.0,61
CDM,14021584,INFINITY ADAPTIS TIB,11849.0,,2374.28,10664.1,62
CDM,14021585,INFINITY ADAPTIS TALDOME,13075.0,,2374.28,11767.5,62
CDM,14021586,INFINITY ADAPTIS TOT ANKLE SYS,6446.0,,2374.28,5801.4,62
CDM,14021587,HIGH FREQUENCY BIPOLAR CABLES,417.0,,208.5,375.3,56
CDM,14021588,INTERFERENCE SCREW INSERT KIT,279.0,,139.5,251.1,56
CDM,14021589,UNI REVERSE HUM RESECT GUIDE,4992.0,,2374.28,4492.8,62
CDM,14021590,30MM CENTRAL POST MODULAR,1854.0,,927.0,2374.28,62
CDM,14021591,JOURNEY II UNI OXINIUM FEM COM,2621.0,,1310.5,2374.28,62
CDM,14021609,SHELL HEMI W/O SCRW HOLE 60MM,1710.0,,855.0,2374.28,62
CDM,14021610,CONN 5-6/5-6MM 4H IN-LINE,666.0,,333.0,599.4,61
CDM,14021611,CONN 5-6/5-6MM 4H PARAL MED,666.0,,333.0,599.4,61
CDM,14021612,KIT SPINEJACK CASE 5.8MM,8022.0,,2548.84,7219.8,57
CDM,14021613,K-WIRE OLIVE TIP ?1.6 100,356.0,,178.0,506.18,62
CDM,14021614,PICO-14 10 X 20 CM,481.0,,240.5,581.11,57
CDM,14021615,CAP GLOSHIELD OLYMPUS,58.0,,29.0,52.2,56
CDM,14021616,CAP WATER BTL FUJI TUBING SE,56.0,,28.0,50.4,56
CDM,14021617,EXTRACTOR PRO XL 9-12 MM ABOVE,224.0,,112.0,201.6,56
CDM,14021618,LIGATOR MBL-6,509.0,,254.5,458.1,56
CDM,14021619,NEEDLE EUS FNB ACQUIR 19GA,236.0,,118.0,212.4,56
CDM,14021620,RESCUE RAT TOOTH GI FORCEPS 5,185.0,,92.5,166.5,56
CDM,14021621,STENT RX BILI PRELOAD 10F 7CM,296.0,,148.0,288.9,62
CDM,14021626,UNIV 2-HOLE SHL 70MM LINER,3476.0,,1738.0,3128.4,62
CDM,14021627,HOOK SPINAL OFFSE RT LARGE,900.0,,450.0,810.0,61
CDM,14021628,NEEDLE FINE BX ACQUIRE 22G,976.0,,488.0,878.4,56
CDM,14021631,KIT CODMAN REFILL,135.0,,67.5,121.5,56
CDM,14021632,BONE CANCELLOUS 10X10MM,952.0,,476.0,856.8,61
CDM,14021633,CLIP PENDITURE LAAC40,3240.0,,1620.0,2916.0,61
CDM,14021634,PERFORMA ANGIO CATHETER,228.0,,114.0,205.2,61
CDM,14021635,AGENT LIFTING BLUE BOOST 10ML,156.0,,78.0,140.4,56
CDM,14021636,HANAROSTENT COL UNCVRD 25X12,3807.0,,1667.17,3426.3,62
CDM,14021637,STENT HANARO 24X18X24 120CM,2592.0,,1296.0,2332.8,62
CDM,14021638,SPHINCTEROTOME CLEVERCUT 3.9FR,302.0,,151.0,271.8,56
CDM,14021640,CANNULA 5.5 NO HOLE,137.0,,68.5,123.3,56
CDM,14021641,ANCHOR FOOTPRINT ULTRA,293.0,,146.5,506.18,62
CDM,14021642,HEAD FEMORAL 48MM,7200.0,,2374.28,6480.0,62
CDM,14021643,STENT EXPRESS 2 OTW 3.5,1960.0,,980.0,1764.0,62
CDM,14021644,ABUTMENT HEALING,140.0,,70.0,126.0,61
CDM,14021645,TROCAR FOR 62-00330,222.0,,111.0,506.18,62
CDM,14021646,GLENOID FOSSA PROSTHESIS,3510.0,,1755.0,3159.0,62
CDM,14021647,BRAIDED NONABSORB SUT LOOP,1123.0,,561.5,1010.7,56
CDM,14021648,INBONE POLY TAL DOME 5 TIBIAL,3659.0,,1829.5,3293.1,62
CDM,14021649,SALVATION ORTHO FIXATION SYS,398.0,,199.0,358.2,61
CDM,14021650,CORETRAK STERIPACK SHORT,4577.0,,2288.5,4119.3,61
CDM,14021651,SPR M HING FEM RT 2 5 MD,2527.0,,1263.5,2374.28,62
CDM,14021652,ARECONNE PRE SUTURED FASCIA,7866.0,,3933.0,7079.4,56
CDM,14021653,3.0MM COVER CAP,52.0,,26.0,46.8,56
CDM,14021654,GEL DEFLUX,5949.0,,2974.5,5354.1,56
CDM,14021655,PERITONEAL CATH STD 110CM NO M,268.0,,134.0,241.2,56
CDM,14021656,PROBE THORACIC,2970.0,,1485.0,2673.0,56
CDM,14021657,V BD M CLR 18X160 STDBDY,3780.0,,1890.0,3402.0,62
CDM,14021658,ASPIRATION TUBING,223.0,,111.5,200.7,56
CDM,14021659,SPF XL IMPL SPINAL FUSION STIM,10800.0,,5400.0,9720.0,61
CDM,14021660,PROPHECY INVISION,2027.0,,1013.5,1824.3,56
CDM,14021661,ROTATOR CUFF AUGMENT IMPL,5951.0,,506.18,5355.9,62
CDM,14021662,HOWARD ELEVATOR,1530.0,,765.0,1377.0,56
CDM,14021663,PROXIMAL BDY IMPL STD W/ HOLES,5400.0,,2700.0,4860.0,61
CDM,14021664,DIST STEM 13MM 140MM STR 4 DEG,3600.0,,1800.0,3240.0,61
CDM,14021665,IMPL FEM HEAD CERAMIC,900.0,,450.0,2374.28,62
CDM,14021666,MODEL BONE TIB MYKNEE LEFT,140.0,,70.0,126.0,56
CDM,14021667,MIS FEMUR BONE MODEL LT MEDIAL,140.0,,70.0,126.0,56
CDM,14021668,COMPRESSION STAPLE SYSTEM,3475.0,,506.18,3127.5,62
CDM,14021669,SHOULDER STABILIZATION KIT,187.0,,93.5,168.3,56
CDM,14021670,TISSUE PROTECTION SLEEVE LONG,312.0,,156.0,280.8,56
CDM,14021671,FIXED-BEARING ANKLE PROSTH,4768.0,,2374.28,4291.2,62
CDM,14021672,ANCHOR ICONIX 2.3MM XBR,801.0,,400.5,720.9,62
CDM,14021673,FLEXBAND PLUS,2954.0,,1477.0,2658.6,61
CDM,14021674,MIS STERILE INSTRUMENT PACK,536.0,,268.0,482.4,56
CDM,14021675,CITREFIX XPRESS SYSTEM,2074.0,,506.18,1866.6,62
CDM,14021676,TM REVERSE SPACER,1710.0,,855.0,1539.0,56
CDM,14021677,ECHELON 3000 60MM STD STAPLER,749.0,,374.5,674.1,56
CDM,14021678,GORE-TEX SOFT TISSUE PATCH,1039.0,,519.5,935.1,62
CDM,14021679,SPY-PHI KIT,6977.0,,3488.5,6279.3,56
CDM,14021680,PYROCARBON HUM HEAD,9000.0,,2374.28,8100.0,62
CDM,14021681,SET CATH OCCL ROTAREX,5751.0,,208.48,5175.9,62
CDM,14021682,MIS HND PIECE & AO CONNECT KIT,2117.0,,1058.5,1905.3,56
CDM,14021683,LAPIPLSTY SPEEDPLATE ANAT QUAD,5872.0,,506.18,5284.8,62
CDM,14021684,LEAD  ISTIM EMANUAL NO SCREEN,5913.0,,2956.5,5321.7,56
CDM,14021685,BILAYER MATRIX WND DRESS,20129.0,,65.59,18116.1,56
CDM,14021686,POWER T HANDLE,1620.0,,810.0,1458.0,56
CDM,14021687,AMNIOGRAFT 10CM X 5CM,9000.0,,4500.0,8100.0,61
CDM,14021688,LOW PROF PTA BALL DILAT CATH,360.0,,180.0,324.0,62
CDM,14021689,ZILVER VENA VEN SELF-EXP STNT,3150.0,,1575.0,2835.0,62
CDM,14021690,PEEK SPACER,1170.0,,585.0,1053.0,61
CDM,14021691,ENDOVASCULAR GRAFT,9450.0,,4725.0,8505.0,61
CDM,14021692,MOLDING OCCLUSION BALLOON CATH,882.0,,208.48,793.8,62
CDM,14021693,PARALLEL ROD CONNECTOR,729.0,,364.5,656.1,61
CDM,14021694,MANDIBLE IMPLANT ORTHOG,4042.0,,2021.0,3637.8,61
CDM,14021695,IFUSE BONE XX SMALL,2039.0,,506.18,1835.1,62
CDM,14021696,ODL SPCR PARALLEL 6MM FZ DRIED,1710.0,,855.0,1539.0,61
CDM,14021697,PERCEPT NIT K WIRE BEVEL TIP,231.0,,115.5,506.18,62
CDM,14021698,HEX DRIVER CANNULATED FIXED,608.0,,304.0,547.2,56
CDM,14021699,MODULAR BALL JOINT,490.0,,245.0,2374.28,62
CDM,14021700,PATCH PERICARD PERI-GUARD 02,567.0,,283.5,510.3,61
CDM,14021701,GUIDEWIRE,60.0,,27.95,54.0,62
CDM,14021702,TORQ TNT 16.0MM WASHER,90.0,,45.0,81.0,61
CDM,14021703,IMPLANT HALF JOG STRAIGHT,5580.0,,2790.0,5022.0,61
CDM,14021704,MESH DYNAMIC,26181.0,,13090.5,23562.9,61
CDM,14021705,SPHERE OCULAR IMPLANT SU-POR,702.0,,351.0,631.8,61
CDM,14021706,HAMMER GUIDE,1626.0,,813.0,1463.4,56
CDM,14021707,APICAL CUFF,1098.0,,549.0,988.2,61
CDM,14021708,CATHETER C/P STD,268.0,,134.0,241.2,56
CDM,14021709,GELATIN IMPREG VASC BIFURCATE,2430.0,,1092.42,2187.0,62
CDM,14021710,ROD CONNECTOR LATERAL,3591.0,,1795.5,3231.9,61
CDM,14021711,VITALITY WIDE LAMINAR HOOK MD,2700.0,,1350.0,2430.0,61
CDM,14021712,SPACER PEEK,5850.0,,2925.0,5265.0,61
CDM,14021713,ACTIVBRAID COLLAGEN SUTURE TAP,374.0,,187.0,336.6,56
CDM,14021714,ANAT MODEL SKULL AND MANDIBLE,17820.0,,506.18,16038.0,62
CDM,14021715,MAND RECON TITANIUM SURG GUIDE,6876.0,,506.18,6188.4,62
CDM,14021716,ORTHOGNATHIC SURG PLAN KIT,35653.0,,17826.5,32087.7,61
CDM,14021717,IMPL OSS PATELLAR COMPONENT,2196.0,,1098.0,2374.28,62
CDM,14021718,IMPL KNEE INSERT 02,2196.0,,1098.0,2374.28,62
CDM,14021719,ADAPTER COCRMO ENDO MODEL SL,4158.0,,2079.0,3742.2,56
CDM,14021720,SALVAGE SEGMENTED STEM,9351.0,,2374.28,8415.9,62
CDM,14021721,HD SCORPION NEEDLE,423.0,,211.5,380.7,56
CDM,14021722,SP FBRTAK RC FBRTPE BLK/BLU,888.0,,444.0,799.2,62
CDM,14021723,EXTRACTOR TIP CONICAL REMOVAL,450.0,,225.0,405.0,56
CDM,14021724,END CAP EASY OUT,441.0,,220.5,396.9,61
CDM,14021725,EXPLANT ATTACHMENT TTC ONLY,896.0,,448.0,806.4,56
CDM,14021726,HUMERAL BODY,3499.0,,1749.5,3149.1,62
CDM,14021727,REVERSE LINER,1841.0,,920.5,2374.28,62
CDM,14021728,SUTURE ANCHOR 2.4MM PEEK,680.0,,340.0,612.0,57
CDM,14021729,KT PERC BIOP 16GX1.7MM,111.0,,55.5,99.9,56
CDM,14021730,ASP CATH HTORQ TIP  ASP TUBING,17586.0,,8793.0,15827.4,56
CDM,14021731,MESH PHASIX ST RECTANGLE 7X10,4489.0,,608.95,4040.1,62
CDM,14021732,SET AUTOTRANSFUSION FRES,206.0,,103.0,185.4,56
CDM,14021733,IMPL HUMERAL HEAD COMP STD,2368.0,,1184.0,2374.28,62
CDM,14021734,TISSUE TENDON PERONEUS LONGUS,3109.0,,1554.5,2798.1,61
CDM,14021735,THERASKIN MESHED SHEET,6665.0,,3332.5,5998.5,56
CDM,14021736,IMPL INSERT TIBIAL REV,5292.0,,2374.28,4762.8,62
CDM,14021737,CAP END-CAP NAIL,545.0,,272.5,490.5,61
CDM,14021738,SUT XPASS XBRAID S WHT/BLU,253.0,,126.5,227.7,56
CDM,14021739,IMPLIMPL TRAY HUMERAL NEUTRAL,3780.0,,1890.0,3402.0,62
CDM,14021740,OXINIUM LEGION HK FEM ASSEMBLY,34016.0,,2374.28,30614.4,62
CDM,14021741,OXINIUM LEGION HK TI TIB BASE,17010.0,,2374.28,15309.0,62
CDM,14021742,OFFSET DELTA WIRE GUIDE,1247.0,,27.95,1122.3,62
CDM,14021743,HUMERAL STEM SZ5 20MM LG,8262.0,,2374.28,7435.8,62
CDM,14021744,TENDON HARVESTER AND DILATOR,2155.0,,1077.5,1939.5,56
CDM,14021745,DUALCOMP HINDFOOT NAIL,24390.0,,12195.0,21951.0,61
CDM,14021746,WIRE K-WIRE G-WIRE BALL TIP,771.0,,385.5,693.9,57
CDM,14021747,GUIDEWIRE TROCAR TIP,488.0,,244.0,439.2,56
CDM,14021748,SUTURE PASSER FIRSTPASS ST SLF,414.0,,207.0,372.6,56
CDM,14021749,CANNULA THREADED,127.0,,63.5,114.3,56
CDM,14021750,CLOSE MED STERNTOMY SEPARAT,3981.0,,1592.4,3582.9,56
CDM,14021751,INDIRECT TRANSFER COPING,108.0,,54.0,97.2,56
CDM,14021752,WIRE COMMAND .018LT 25CM 300CM,330.0,,27.95,297.0,57
CDM,14021753,THERASKIN CRYOPRESERVED,6665.0,,3332.5,5998.5,56
CDM,14021754,ADVANCED COLLAGEN MATRIX,3600.0,,1800.0,3240.0,61
CDM,14021755,OSSIOFIBER SUTURE ANCHOR SYS,2565.0,,1282.5,2308.5,61
CDM,14021756,SUCT  MALLEABLE STD TIP 12-FR,467.0,,233.5,420.3,56
CDM,14021757,BALLN EXPAND STENT GRAFT SYS,2880.0,,1440.0,2592.0,62
CDM,14021758,ILIAC TAP MOMENT 8.0MM CAN,112.0,,56.0,100.8,56
CDM,14021759,MAGNIFY STANDALONE ALIF SPACER,1206.0,,603.0,1085.4,61
CDM,14021760,STERILIZATION K WIRE CNTNR,354.0,,177.0,506.18,62
CDM,14021761,IMPL PREE FIT STEM FEMORAL,990.0,,495.0,2374.28,62
CDM,14021762,BIO-MOD BIPOLAR SHOULDER,1814.0,,907.0,2374.28,62
CDM,14021763,"MARK GUIDE, W/PLAN RECON/DIST",5931.0,,2965.5,5337.9,61
CDM,14021764,CATH BILIARY REGULAR 14 FR 35C,185.0,,92.5,166.5,61
CDM,14021765,GDE RECON/DIST MARK X LG POLY,2016.0,,1008.0,1814.4,61
CDM,14021766,IPSSUPPLEMENTAL MODEL HALF,2030.0,,1015.0,1827.0,56
CDM,14021767,GRAFT PHASIX 3IN DIAMETER,2709.0,,608.95,2438.1,62
CDM,14021768,CANNULA TARGET 15MM,411.0,,205.5,369.9,56
CDM,14021769,CAVUS FACET FIXATION SYSTEM,5040.0,,2520.0,4536.0,61
CDM,14021770,IMPL HEAD HUM PYROCAR,11250.0,,2374.28,10125.0,62
CDM,14021771,IMPL SHLDR HUMERAL STEM,4826.0,,2413.0,4343.4,61
CDM,14021772,IMPL HUMERAL BODY SMR,1440.0,,720.0,2374.28,62
CDM,14021773,PACK ACL FIX DISP SOFT TISS,830.0,,415.0,747.0,61
CDM,14021774,FIXATION LOOP PROCINCH,1035.0,,506.18,931.5,62
CDM,14021775,XBRAID S SZ 2 WHITE BLUE  SUT,193.0,,96.5,173.7,61
CDM,14021776,COMP AUG ROTATE GUIDE AND BONE,2052.0,,1026.0,1846.8,61
CDM,14021777,MATRIX BONE CELLULAR,5292.0,,2646.0,4762.8,61
CDM,14021778,WIRE K KIRSCHNER STANDARD,126.0,,63.0,506.18,57
CDM,14021779,NCB SPACER,220.0,,110.0,506.18,62
CDM,14021780,ELECTROLARYNX ORAL ADAPTER,90.0,,45.0,81.0,56
CDM,14021781,HOOK OFFSET ANGLE RIGHT 5MM,720.0,,360.0,648.0,61
CDM,14021782,SURG COLAGEN PARTICULATE 500MG,1440.0,,720.0,1296.0,56
CDM,14021783,LASER PROBE,20779.0,,10389.5,18701.1,56
CDM,14021784,LIF ILLUMINATION SYSTEM,527.0,,263.5,474.3,56
CDM,14021785,NOMINAL ANATOMICAL IMPLANT,34200.0,,17100.0,30780.0,61
CDM,14021786,CRYOFLEX PROBE 10CM,4347.0,,2173.5,3912.3,56
CDM,14021787,IPG3000 KIT GENERATOR,29336.0,,14668.0,26402.4,62
CDM,14021788,SURGIFOAM SIZE 100,55.0,,27.5,49.5,56
CDM,14021789,KNOTLES TENSION FIBERTAK BICEP,1122.0,,506.18,1009.8,62
CDM,14021790,ANCHOR SWIVELOCK 4.75 LNT,1590.0,,506.18,1431.0,62
CDM,14021791,MYKNEE TIBIAL CUT LEFT MEDIAL,180.0,,90.0,162.0,56
CDM,14021792,MYKNEE MIS DISTAL CUT FEM,180.0,,90.0,162.0,56
CDM,14021793,NECK HUMERAL NEUTRAL,598.0,,299.0,538.2,61
CDM,14021794,IMPL HUM STEM PRIMARY 6X115M,3697.0,,1848.5,3327.3,62
CDM,14021795,ALTIVATE ANATOM OFFSET HUM HD,2390.0,,1195.0,2374.28,62
CDM,14021796,ALTIVATE REVERSE SMALL SPACER,2126.0,,1063.0,1913.4,61
CDM,14021797,AVENIR CMPL HA VAR NC,3330.0,,1665.0,2997.0,61
CDM,14021798,IMPL HUMERAL BEARING,4140.0,,2070.0,3726.0,62
CDM,14021799,TIBIAL TRAY FIXED CEMENTED,1350.0,,675.0,2374.28,62
CDM,14021800,TIBIA DISTAL RIGHT,4635.0,,2317.5,4171.5,61
CDM,14021801,SURG COLLAGEN PARTICULATE 500M,1440.0,,720.0,1296.0,56
CDM,14021802,PATIENT SPECIFIC INST & GUIDES,3591.0,,1795.5,3231.9,56
CDM,14021803,CUSTOM DEVICE MAXILLA RIGHT,25191.0,,12595.5,22671.9,61
CDM,14021804,CUSTOM DEVICE MAXILLA LEFT,25191.0,,12595.5,22671.9,61
CDM,14021805,ITOTAL IDENTITY CR JIGS RIGHT,970.0,,485.0,2374.28,62
CDM,14021806,IMPL KN FEM ITOTAL IDENTITY CR,3881.0,,1940.5,3492.9,62
CDM,14021807,ITOTAL IDENT  TIB TRAY TI CEM,2907.0,,1453.5,2616.3,62
CDM,14021808,ITOTAL IDENT TIBIAL INSERT  XE,949.0,,474.5,2374.28,62
CDM,14021809,PACK NASAL NOVAPAK ENT,352.0,,176.0,316.8,56
CDM,14021811,BIPOLAR ELECTRODE,661.0,,330.5,594.9,56
CDM,14021812,TMJ BILATERAL IMPLANTS,34596.0,,17298.0,31136.4,61
CDM,14021813,WEDGE ILIAC CREST 18H,2344.0,,1172.0,2109.6,61
CDM,14021814,BLADE SHAPER OPTIMESH,608.0,,304.0,547.2,56
CDM,14021815,OPTIVAC TOT HIP KIT 40GM&80GM,239.0,,119.5,215.1,56
CDM,14021816,TISSUE HELIX,629.0,,314.5,566.1,56
CDM,14021817,PATCH XENO PHOTOFIX 6X8CM,1755.0,,877.5,1579.5,61
CDM,14021818,PROSTHESIS AMDS HYBRID 40C,52020.0,,26010.0,46818.0,61
CDM,14021819,SYNVISC ONE HYLAN G-F 20,772.0,,197.63,694.8,56
CDM,14021821,TUBE E PORTAL,360.0,,180.0,324.0,56
CDM,14021822,SPACER FUSION HEDRON,1530.0,,765.0,1377.0,61
CDM,14021823,ROTATING HINGED TOT KNEE PROS,21976.0,,2374.28,19778.4,62
CDM,14021824,IMP KN TIB INS TRITHLN,3698.0,,1849.0,3328.2,62
CDM,14021825,OSCAR PRO TI CEMENT SCRAPER,1791.0,,895.5,1611.9,56
CDM,14021826,FLEXBAND TWIST .12,7376.0,,506.18,6638.4,62
CDM,14021827,ALLOGRAFT CORT CANC 15CC,370.0,,185.0,333.0,61
CDM,14021828,STERNAL CLOSURE KIT,2586.0,,1293.0,2327.4,61
CDM,14021829,SYR CONTROL W/ STOPCOCK,98.0,,49.0,88.2,56
CDM,14021830,SUTURE ANCHOR 5.5MM BLU/WHT,810.0,,405.0,729.0,62
CDM,14021831,SUT FIBERLOOP #2 BLU,137.0,,68.5,123.3,56
CDM,14021832,ARTIX PPP PROCEDURE,13500.0,,6750.0,12150.0,56
CDM,14021836,DEPTH DEVICE LOW PRO,966.0,,483.0,869.4,56
CDM,14021837,DEPTH GAUGE,742.0,,371.0,667.8,56
CDM,14021838,KIT IMPELLA W/SMARTASSIST,73800.0,,36900.0,66420.0,56
CDM,14021839,FLEXBAND DYNAMIC MATRIX,3504.0,,1752.0,3153.6,61
CDM,14021840,MATRIX BONE CELLULAR V92,10260.0,,5130.0,9234.0,61
CDM,14021841,DOME NUT,666.0,,333.0,599.4,61
CDM,14021842,CLOSURE TOP HEAD/HEAD TRANS CO,666.0,,333.0,599.4,61
CDM,14021843,HUMERAL STEM,5984.0,,2374.28,5385.6,62
CDM,14021844,EXTRACTOR TIP NAIL REMOVAL,435.0,,217.5,391.5,56
CDM,14021845,AC JOINT PROCEDURE SYSTEM,1089.0,,506.18,980.1,62
CDM,14021846,IMPL AC JOINT ZIPTIGHT ZIPLOOP,1356.0,,506.18,1220.4,62
CDM,14021847,SHUTTLE NITINOL,187.0,,93.5,168.3,56
CDM,14021848,AMF TT CONES CENTRAL FEMUR,14355.0,,7177.5,12919.5,61
CDM,14021849,CHOLANGIOSCOPE EYEMAX 3.9MM,4770.0,,2385.0,4293.0,56
CDM,14021851,CSUA TORQUE WRENCH,225.0,,112.5,202.5,56
CDM,14021852,CUSA NOSE CONE CEM,880.0,,440.0,792.0,56
CDM,14021853,CUSA TIP STANDARD,1522.0,,761.0,1369.8,56
CDM,14021854,CUSA TUBING SET,826.0,,413.0,743.4,56
CDM,14021855,DBL KNEE FIBERTAK W/ NDLS,221.0,,110.5,198.9,56
CDM,14021856,DERMABOND PRINEO,196.0,,98.0,176.4,56
CDM,14021857,ELECTRODE LOOP 24FR 12/30 DEG,682.0,,341.0,613.8,56
CDM,14021858,GUIDEWIRE IMN INST,465.0,,27.95,418.5,57
CDM,14021859,KIT CELL HARVEST RECELL GO,12375.0,,2023.43,11137.5,57
CDM,14021860,INDIRECT SCOOP COPING 3.5MM W,104.0,,52.0,93.6,61
CDM,14021861,INDIRECT SCOOP COPE 3.5MM REG,104.0,,52.0,93.6,56
CDM,14021862,NAVITRACKER ROSA KT,738.0,,369.0,664.2,56
CDM,14021863,TALAR STEM 14MM LG,2005.0,,1002.5,1804.5,61
CDM,14021864,SHEATH CLEARPETRA 12-14FR 36CM,1350.0,,46.81,1215.0,62
CDM,14021865,SHEATH CLEARPETRA 12-14FR 55CM,1350.0,,46.81,1215.0,62
CDM,14021866,STENT ELUVIA 6MMX120MMX130CM,5571.0,,1642.91,5013.9,62
CDM,14021867,STENT ZILVER VENA 16MX140MM,3238.0,,1619.0,2914.2,61
CDM,14022283,TUBING STONE CATCHER 840-750,197.0,,98.5,177.3,56
CDM,14022400,CLAMP PIN 5H W/2 30 DEG POSTS,1656.0,,828.0,1490.4,61
CDM,14024060,ZENITH UNIVERSAL DISTAL BODY,0.01,,0.005,0.009,56
CDM,14024061,BELGRAFT BRIDGING STENT SYSTEM,0.01,,0.005,0.009,56
CDM,14024656,IMPL TMJ RT FOSSA COMP,8890.0,,4445.0,8001.0,61
CDM,14027304,VITARIA 7304 LEAD/PROGRAM SYS,0.01,,0.005,4266.13,57
CDM,14029239,SELECTIVE CYTOPHERETIC DEVICE,0.01,,0.005,0.009,56
CDM,14030183,AEROLITH ACOUSTIC ENHANCER,0.01,,0.005,0.009,56
CDM,14030358,SYS RHEOX BRONCHIAL RHEOPLASTY,0.01,,0.005,0.009,56
CDM,14030453,ENDO GIA ROTICULATOR 45 2.0,580.0,,290.0,522.0,56
CDM,14030760,DRAIN CHANNEL ROUND 15F FULL,67.0,,33.5,60.3,56
CDM,14031600,TRACHEOSTOMY,6470.0,,2588.0,5823.0,68
CDM,14031622,BRONCHOSCOPY DX/BEDSIDE,4644.0,,1420.41,4179.6,68
CDM,14032100,SHUNT INTRALUMINAL FLO-THRU,238.0,,119.0,214.2,61
CDM,14033423,POINTER TRACER AXIEM,1319.0,,659.5,1187.1,56
CDM,14037191,INS VENA CAVA FILTER ENDOVASC,11515.0,,4452.54,10363.5,68
CDM,14037659,VALVE VENOUS ANTIREFLUX-STUDY,0.01,,0.005,0.009,56
CDM,14040130,CATH PTA PACIFIC PLUS 3X40X1,499.0,,249.5,449.1,57
CDM,14040258,CLAMP ABLAT ISOLATOR LONG JAW,6460.0,,3230.0,5814.0,56
CDM,14040259,CLAMP ABLAT ISOLATOR STD JAW,6403.0,,3201.5,5762.7,56
CDM,14042805,GRASPER CROCODILE SGL DA VINCI,1619.0,,809.5,1457.1,56
CDM,14049391,CATH BLLN MUSTANG 7.0 X80 75CM,683.0,,257.51,614.7,57
CDM,14049440,PERCUT PLACE GASTRO TUBE FLURO,2336.0,,934.4,2335.27,68
CDM,14050008,GORE ASCENDING STENT GRAFT,43200.0,,21600.0,38880.0,56
CDM,14050126,"COCHLEAR IMPLANT, NUCLEUS C124",35917.0,,17958.5,32325.3,61
CDM,14050742,MODULE ENT BASIN SET,316.0,,158.0,284.4,56
CDM,14050806,IMPLANTTUNNELINGTOOL400NCP,1056.0,,528.0,950.4,56
CDM,14051785,EMG NDL ANAL/URETHRAL SPHINTER,1725.0,,200.33,1552.5,68
CDM,14052210,CATH PTCA COYOTE 220MM,1034.0,,257.51,930.6,57
CDM,14057713,GRFT AAA ZENITH FLEX18F26X96MM,15351.0,,1667.17,13815.9,57
CDM,14057881,BIOMEND 15MMX20MM,533.0,,266.5,479.7,61
CDM,14057902,"NEURO, IMPLANTABLE",2476.0,,1238.0,4266.13,62
CDM,14057950,"CLIP, ANEURYSM",876.0,,438.0,788.4,61
CDM,14058012,VENTRICULAR CATHETER,292.0,,146.0,262.8,56
CDM,14058014,VALVE DELTA SMALL NEURO,2438.0,,1219.0,2194.2,56
CDM,14058015,VALVE DELTA REG NEURO,2554.0,,1277.0,2298.6,61
CDM,14058023,STRIP CONTACT NEURO 4,1115.0,,557.5,1003.5,56
CDM,14058100,DOPPLER PROBE DP-SDP001,1182.0,,591.0,1063.8,56
CDM,14058104,ELECTRODE 4 CONTACT AD-TECH,870.0,,435.0,783.0,56
CDM,14058105,ELECTRODE 6 CONTACT AD-TECH,1220.0,,610.0,1098.0,56
CDM,14058502,"IMPLANT, PLATE LEVEL II",1260.0,,630.0,1134.0,61
CDM,14058503,"IMPLANT, PLATE LEVEL III",863.0,,431.5,776.7,61
CDM,14058504,"IMPLANT, PLATE LEVEL IV",1238.0,,619.0,1114.2,61
CDM,14058552,IMPL NAIL LEVEL II,3917.0,,1958.5,3525.3,61
CDM,14058555,VAN CR ILOK FEM RT/LT KNEE,3967.0,,1983.5,3570.3,62
CDM,14058556,IMPL KNEE VANGUARD RT/LT 70M,3544.0,,1772.0,3189.6,62
CDM,14058564,BEAR TIB VANGUARD PLS 79/83X12,1370.0,,685.0,2374.28,62
CDM,14058850,STAPLER ILA-75 RELOADABLE,1137.0,,568.5,1023.3,56
CDM,14058854,"STAPLER,RELOADABLE LINEAR 30MM",794.0,,397.0,714.6,56
CDM,14058855,"STAPLER,RELOADABLE LINEAR 60MM",410.0,,205.0,369.0,56
CDM,14058863,STAPLER PROXIMATE SKIN WIDE,106.0,,53.0,95.4,56
CDM,14058900,STAPLER ENDO 45W/RELOAD ATW-45,861.0,,430.5,774.9,56
CDM,14058903,RELOAD FOR ATW45 STAPLER,498.0,,249.0,448.2,56
CDM,14058906,STAPLER 45MM W/ RELOAD,1592.0,,796.0,1432.8,56
CDM,14061885,"ILIZAROV, CENTERING SLEEVE 6MM",850.0,,425.0,765.0,61
CDM,14064568,INC IMPLT CRNL NRS NSTIM,86115.0,,25100.37,77503.5,68
CDM,14064917,"DRILL TWIST, 1.5 X 50 X 5MM",551.0,,275.5,495.9,56
CDM,14065221,"DRILL BIT,3.2MM3FL,QC230/200",967.0,,483.5,870.3,56
CDM,14065232,GUIDEWIRE SHEATH 7F 10CM,251.0,,46.81,225.9,57
CDM,14065233,GUIDEWIRE SPARTACORE GUIDANT,791.0,,27.95,711.9,57
CDM,14065234,GUIDEWIRE V-18,428.0,,27.95,385.2,57
CDM,14065236,ELECTRODE EMG SUBDERMAL 12MM,290.0,,145.0,261.0,56
CDM,14065251,GRAFT VASC COLLAGEN ARTEGRAFT,3264.0,,1092.42,2937.6,62
CDM,14065252,CONVERTER ENDO AAA COOK ESC,6966.0,,3483.0,6269.4,56
CDM,14065256,CATH BALLOON TRI-LOBE TAG,1441.0,,257.51,1296.9,57
CDM,14065276,INTRODUCER SHEATH PINNACLE,171.0,,46.81,153.9,57
CDM,14065288,INTRODUCER SHEATH 15-716,226.0,,113.0,203.4,56
CDM,14065289,DILATOR 8FR G00980,25.0,,12.5,22.5,56
CDM,14065290,DILATOR 10FR G00993,24.0,,12.0,21.6,56
CDM,14065298,CATHETER PIGTAIL 13709803,342.0,,171.0,307.8,56
CDM,14065299,CATHETER PIGTAIL 13709805,320.0,,160.0,288.0,56
CDM,14065304,CATHETER BERT G12168,251.0,,125.5,367.53,57
CDM,14065309,STENT COVERED ICAST 38MM,4974.0,,1667.17,4476.6,62
CDM,14065317,BALLOON CUTTING PERIPHERAL BS,2290.0,,257.51,2061.0,57
CDM,14065318,FILTER VENA CAVA TULIP 01,3522.0,,1761.0,3169.8,62
CDM,14065320,CATH OMNIFLUSH 5CM,353.0,,176.5,317.7,56
CDM,14065321,GUIDEWIRE MEIER .035X185,102.0,,27.95,91.8,57
CDM,14065326,SHEATH GUIDING 7FR 90CM,876.0,,438.0,788.4,56
CDM,14065328,SHEATH PINNACLE 11FR 25CM,69.0,,34.5,62.1,62
CDM,14065337,CATHETER QUICK CROSS,506.0,,102.65,455.4,57
CDM,14065341,STENT COVERED ICAST 59MM,5704.0,,1667.17,5133.6,62
CDM,14065344,CATHETER ANGIOJET XMIPLUS,3071.0,,314.82,2763.9,57
CDM,14065362,STENT NITINOL PORTEGE GPS EV3,1697.0,,848.5,1642.91,62
CDM,14065364,STENT EVERFLEX EV3 60-100MM,1704.0,,852.0,1642.91,62
CDM,14065365,STENT VISI-PRO EV3,1854.0,,927.0,1668.6,62
CDM,14065366,GRAFT VIABAHN .035 5X2.5X120,6959.0,,1667.17,6263.1,62
CDM,14065378,ENDURANT STENT GRAFT PROCEDURE,33803.0,,16901.5,30422.7,56
CDM,14065385,HYDROCOIL AZUR DETACH 18 10CM-,2568.0,,1284.0,2311.2,61
CDM,14065397,FILTER CAROTID NAV6 ABBOTT,4007.0,,1461.69,3606.3,57
CDM,14065403,STENT LIFESTENT BARD,4046.0,,1642.91,3641.4,62
CDM,14065416,GRAFT SYSTEM FENESTRATED VENTA,48290.0,,24145.0,43461.0,56
CDM,14074331,ADAPTER FOR REVERSE BODY,2536.0,,1268.0,2282.4,56
CDM,14074332,HUMERAL HEAD,8647.0,,2374.28,7782.3,62
CDM,14074333,EXT TUNNEL DBS,463.0,,231.5,416.7,56
CDM,14074334,INS B35300 PERCEPT RC V1,42134.0,,21067.0,37920.6,56
CDM,14074335,TMJ UNILATERAL IMPLANT,191919.0,,95959.5,172727.1,61
CDM,14074336,NDL SHEATH 6 FR  150MM LONG,299.0,,149.5,269.1,56
CDM,14074939,CATH STERLING ES OTW,668.0,,257.51,601.2,57
CDM,14075365,CATH NEPH FLEXIMA 8F 25CM,325.0,,66.39,292.5,57
CDM,14075625,AORTOGRM ABD SER,5579.0,,435.0,8190.45,68
CDM,14075710,ANGIOGM EXTREMITY UNI,5732.0,,196.0,8190.45,68
CDM,14075716,XR ANGIO EXTREMITY BILAT,7575.0,,299.0,8190.45,68
CDM,14076459,NET RETRIEVAL ROTH STANDARD,297.0,,148.5,267.3,56
CDM,14076593,SYS LAPROSCOPIC GELPORT 120MM,1375.0,,687.5,1237.5,56
CDM,14076890,TUBE SALIVARY MONTGOMERY,517.0,,258.5,465.3,61
CDM,14076937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,14076968,IRRIGATOR HYDROLINE SUCTION,124.0,,62.0,111.6,56
CDM,14077020,STENT GRAFT VIABAHN 07X25X120,6864.0,,1667.17,6177.6,62
CDM,14077045,PATCH ACUSEAL .8X7.5CM,595.0,,297.5,1092.42,62
CDM,14078445,DVC BALLOON CUT FLEXTOME OTW,1840.0,,257.51,1656.0,57
CDM,14081000,ROD CONNECTG HOFF 3 11X100MM,666.0,,333.0,599.4,61
CDM,14081500,ROD CONNECTING HOFF 3 11X150MM,757.0,,378.5,681.3,61
CDM,14082000,ROD CONNECTING HOFF 3 11X200MM,777.0,,388.5,699.3,61
CDM,14082261,GRAFT VIABAHN .035 9X5X120,6863.0,,1667.17,6176.7,62
CDM,14082741,DVC ANGIO-SEAL EVOLUTION 6F,546.0,,273.0,491.4,57
CDM,14084558,DRAIN CHEST PLEUR-EVAC ADULT,138.0,,69.0,124.2,56
CDM,14085254,LEAD PACING TEMP BIPOLAR,201.0,,100.5,180.9,56
CDM,14086013,COIL HYDROCOIL AZUR DETACHABLE,2034.0,,1017.0,1830.6,61
CDM,14087884,MANIFOLD NEPTUNE SYS 4 PORT,138.0,,69.0,124.2,56
CDM,14090870,ELECTROCONVULSIVE THERAPY,2450.0,,138.0,2205.0,68
CDM,14091224,ABSORBABLE VENA CAVA FILTER SY,0.01,,0.005,0.009,56
CDM,14091897,GRAFT GORE-TEX STD RING 16X30,2530.0,,1265.0,2277.0,61
CDM,14091926,SYS VASOVIEW HEMOPRO EVH,2206.0,,1103.0,1985.4,56
CDM,14092127,IMPLANT BAHA BIA300 W/ABTMNTS,6146.0,,3073.0,5531.4,61
CDM,14092141,DRILL WIDEN W/COUNTERSINK BAHA,556.0,,278.0,500.4,56
CDM,14092652,AEP THRSHLD EST MLT FREQ I&R,1313.0,,256.5,1181.7,68
CDM,14092653,AEP NEURODIAGNOSTIC I&R,1313.0,,256.5,1181.7,68
CDM,14092798,"DRAIN WOUND 15F 3/16"" W/TROCAR",67.0,,33.5,60.3,56
CDM,14093204,DRIVER NDL LARGE ENDOWRIST 02,678.0,,339.0,610.2,56
CDM,14093991,BLADE SAW INTRAORAL 11.5X12MM,316.0,,158.0,284.4,56
CDM,14094029,HANDSET VERSAJET 45DEGX8MM,1425.0,,712.5,1282.5,56
CDM,14094030,HANDSET VERSAJET 45DEGX14MM,1425.0,,712.5,1282.5,56
CDM,14094314,KIT SHOULDER SUSPENSION,265.0,,132.5,238.5,56
CDM,14094496,DRESSING PAD SILVERLON 2X10IN,88.0,,44.0,79.2,56
CDM,14094568,INC IMPLT CRNL NRS NSTIM ELTRD,12775.0,,6387.5,37514.14,68
CDM,14094577,WIRE PACING KEITH M-25,46.0,,23.0,41.4,56
CDM,14094627,MATERIAL HEMOSTASIS OSTENE,253.0,,126.5,227.7,56
CDM,14094649,SHEATH DRYSEAL GORE 18F X 28CM,845.0,,46.81,760.5,57
CDM,14095083,SHEATH DRYSEAL GORE 12F X 28CM,711.0,,46.81,639.9,57
CDM,14095216,SHEATH DRYSEAL GORE 24F X 28CM,845.0,,46.81,760.5,57
CDM,14095372,PUNCH AORTIC ROTATING 4.8MM,73.0,,36.5,65.7,56
CDM,14095400,SHEATH ACCESS FLEXOR 9.5FX35CM,386.0,,46.81,347.4,57
CDM,14095566,COUPLING ROD/ROD HOFFMAN II,721.0,,360.5,648.9,61
CDM,14095748,PIN HALF APEX S/DRILL 4X30X120,319.0,,159.5,506.18,62
CDM,14095812,EEG MONITORING 41-60 MIN,2659.0,,136.0,2393.1,68
CDM,14095813,EEG MONITORING 61 MINS OR >,2632.0,,136.0,2368.8,68
CDM,14095822,EEG INTRAOP(SVC PRVD BY OUTSID,997.0,,82.0,897.3,68
CDM,14095860,EMG 1 EXTREMITY,949.0,,35.0,854.1,68
CDM,14095861,EMG 2 EXTREMITIES,1369.0,,63.0,1232.1,68
CDM,14095864,NDL EMG 4 EXT W/WO PARASP,1215.0,,128.87,1093.5,68
CDM,14095865,EMG LARYNX,435.0,,106.17,391.5,68
CDM,14095867,MUSCLE TEST CRAN NERV UNI,604.0,,40.0,543.6,68
CDM,14095868,EMG CRANIAL NERVE BILAT,1028.0,,57.0,925.2,68
CDM,14095869,EMG THORACIC PARASPINAL,567.0,,37.0,510.3,68
CDM,14095870,EMG EXTREMITY LIMITED,645.0,,37.0,580.5,68
CDM,14095885,"EMG EA EXTM W/NRV COND, LTD",532.0,,57.71,478.8,56
CDM,14095887,EMG NON-EXTM W/NERVE COND,550.0,,275.0,495.0,56
CDM,14095905,MOTOR/SENS NRV CONDUCT TEST,438.0,,219.0,491.23,68
CDM,14095907,NERVE CONDUCTION STUDIES 1-2,1347.0,,89.14,1212.3,68
CDM,14095908,NERVE CONDUCTION STUDIES 3-4,2904.0,,122.7,2613.6,68
CDM,14095925,SSEP UPPER LIMB(PRVD BY OUTSID,3005.0,,256.5,2704.5,68
CDM,14095926,SOM-SENS EVOK POT LOW LMB,2681.0,,36.0,2412.9,68
CDM,14095928,CMEP UPR LIMBS,1655.0,,827.5,1489.5,68
CDM,14095929,CMEP LWR LIMBS,1861.0,,437.05,1674.9,68
CDM,14095930,VISUAL EVOKED POTENTIAL,1947.0,,256.5,1752.3,68
CDM,14095937,NEUROMUSCULAR JUNCTION TEST,764.0,,78.0,687.6,68
CDM,14095938,SSEP LIMBS(PRVD BY OUTSIDE SVC,4089.0,,182.8,3680.1,68
CDM,14095939,CEN MOTOR EVOKED STUDY LIMBS,2330.0,,838.0,2097.0,68
CDM,14095940,IONM 1 ON 1 OR W/ATTEND 15M,460.0,,230.0,414.0,56
CDM,14095941,IONM REMOTE/NEARBY/>1 CASE,234.0,,117.0,251.53,57
CDM,14095955,EEG INTRAOP(SVC PRVD BY OUTSID,1681.0,,132.0,1512.9,56
CDM,14095961,CORTICAL MAP 1ST HR,2250.0,,89.0,2025.0,68
CDM,14095962,CORTICAL MAP ADD HR,1860.0,,89.0,1674.0,56
CDM,14096029,ROD HOFFMAN II CARBON 5X150MM,319.0,,159.5,287.1,61
CDM,14097832,PIN HALF APEX S/DRILL 3X20X80,248.0,,124.0,506.18,62
CDM,14099077,POST ANG EXT FIX HOFF 30DEG,173.0,,86.5,155.7,61
CDM,14099078,CLAMP PIN EXT FIX 4H HOFFMN,632.0,,316.0,568.8,61
CDM,14099082,ROD HOFFMAN II CARBON 5X200MM,316.0,,158.0,284.4,61
CDM,14099115,CLAMP PIN EXT FIX HOFFMAN II S,1854.0,,927.0,1668.6,61
CDM,14100842,STENT BILIARY ZILVER 635,2669.0,,1334.5,2402.1,62
CDM,14101037,SET DRAIN BIL NASAL 7F 250CM,308.0,,66.39,277.2,57
CDM,14101044,STENT ZILVER FUSION 8-10MM,2875.0,,1437.5,2587.5,62
CDM,14101078,CATH PUSHING BILIARY 5-7F 320,280.0,,140.0,252.0,56
CDM,14101079,DILATOR BALLOON QUANTUM TTC,698.0,,349.0,628.2,57
CDM,14101147,DIL COLONIC QUANTUM TTC 18X5.5,273.0,,136.5,367.53,57
CDM,14101148,DIL COLONIC QUANTUM TTC 16X5.5,273.0,,136.5,367.53,57
CDM,14101149,DIL COLONIC QUANTUM TTC 14X5.5,273.0,,136.5,367.53,57
CDM,14101800,STENT BILIARY SOF-FLEX 7-10F,179.0,,89.5,187.52,62
CDM,14102009,BALLN ENDO DOUBLE FUJINON 8.7,109.0,,54.5,98.1,56
CDM,14102262,STENT PIGTAIL PANCREAT 5F 2CM,180.0,,90.0,187.52,62
CDM,14102297,FORCEP HOT BIOSPY 2.4X230,67.0,,33.5,60.3,56
CDM,14102298,FS OMNI 35 - PRE - LOADED,705.0,,27.95,634.5,57
CDM,14102302,RECET SYSTEM,0.01,,0.005,0.009,56
CDM,14102322,NDL INJECT VARIABLE 7F 25G,112.0,,56.0,100.8,56
CDM,14102365,FORCEP GRASPING RAPTOR 2.4MM,332.0,,166.0,298.8,56
CDM,14102400,FORCEP HEMO COAGRASPER 5X165,546.0,,273.0,491.4,56
CDM,14102401,MARKER GOLD KIT 0.8MM 782-1,107.0,,53.5,96.3,61
CDM,14102402,SNARE POLYP EXACTO COLD,66.0,,33.0,59.4,56
CDM,14102580,ATTACHMENT ENDO DISTAL 11.8,546.0,,273.0,491.4,56
CDM,14102582,BALLN HERCULES 3 STG 8-10 5.5,571.0,,285.5,513.9,57
CDM,14102585,BASKET MEMORY 8-WIRE 5F 2X4CM,375.0,,187.5,337.5,56
CDM,14102587,DILATOR ESOPH ACHALASIA 30MM,634.0,,317.0,570.6,57
CDM,14102588,DILATOR ESOPH ACHALASIA 35MM,656.0,,328.0,590.4,57
CDM,14102589,FIBER LASER SLIMLINE 365MIC,1172.0,,586.0,1054.8,56
CDM,14102590,GDWIRE DREAMWIRE ANG 450CM,665.0,,27.95,598.5,62
CDM,14102591,GUIDEWIRE VISIGLIDE 025X450,450.0,,27.95,405.0,57
CDM,14102592,GWIRE SAVARY GILLIARD 200CM,320.0,,27.95,288.0,57
CDM,14102593,HOOD PROTECTOR FOREIGN BODY,57.0,,28.5,51.3,56
CDM,14102594,LIGATOR SHOOTER MBL-U-6,519.0,,259.5,467.1,56
CDM,14102597,NDL INJ ACUJECT VARIABLE 23G,94.0,,47.0,84.6,56
CDM,14102598,NEEDLE KNIFE FUSION,487.0,,243.5,438.3,56
CDM,14102601,SNARE ACCU-SNARE DUCK BILL 15,83.0,,41.5,74.7,56
CDM,14102602,SNARE ACCU-SNARE DUCK BILL 25,554.0,,277.0,498.6,56
CDM,14102603,STENT PANCREATIC ZIMMON 5F 5CM,180.0,,90.0,187.52,62
CDM,14102604,STNT PANCREATIC ZIMMON 5F 7CM,153.0,,76.5,187.52,62
CDM,14102605,STNT BILI ZIMMON SET 7F 7CM,153.0,,76.5,288.9,62
CDM,14102606,TUBE FEED JEJ FLOW-20 9F 60CM,305.0,,152.5,274.5,56
CDM,14102688,NDL 25G ECHOTIP ULTRA ULTRASOU,557.0,,278.5,501.3,56
CDM,14102727,SNARE POLYP LARIAT 260CM,64.0,,32.0,57.6,56
CDM,14102741,GLIDEWIRE HYDRO 35X450 STD ANG,532.0,,27.95,478.8,57
CDM,14102742,GWIRE TRACER MET DIR 21X260,345.0,,27.95,310.5,57
CDM,14102751,NDL ASP ULTRASND ECHOTIP 22G,786.0,,393.0,707.4,56
CDM,14102765,SPHINCTER DASH AC-GW 6F 25X450,840.0,,420.0,756.0,56
CDM,14103078,TUBE FEEDING GASTRO 20FX260,251.0,,125.5,225.9,61
CDM,14103079,FORCEP PRECISR EXL OVL 2.3X230,119.0,,59.5,107.1,56
CDM,14103080,LIGAT MULT-BND SAEED SHRT SHOT,119.0,,59.5,107.1,56
CDM,14103118,DVC INFLATION ENDOTEK ANALOG,451.0,,225.5,405.9,56
CDM,14103294,GLIDEWIRE STIFF ANG .020X450CM,476.0,,27.95,428.4,57
CDM,14103429,TUBE FEEDING ULTRA LITE 10FR,78.0,,39.0,70.2,56
CDM,14103462,SURGICEL NU-KNIT 3X4 1943,145.0,,72.5,130.5,56
CDM,14103692,BASKET LITHOTRIP FUSION 3X6CM,674.0,,337.0,606.6,56
CDM,14103745,DIL 3 STAGE HERCULES 12-13.5,594.0,,297.0,534.6,57
CDM,14103752,SNARE ACUSNARE HEXAGONAL 7F,63.0,,31.5,56.7,56
CDM,14103812,DIL 3 STAGE HERCULES 18-20,522.0,,261.0,469.8,57
CDM,14103818,GWIRE TRACER METRO DIRECT .035,332.0,,27.95,298.8,57
CDM,14103919,TRAY BIOPSY JAMSHIDI,76.0,,22.5,68.4,57
CDM,14104069,SPHINCTEROTOME OMNI-TOM FUSION,669.0,,334.5,602.1,56
CDM,14104359,FORCEP BIOPSY SPYBITE,1466.0,,733.0,1319.4,56
CDM,14104368,PROBE FIAPC STRT FIRE 2.3X300,586.0,,293.0,527.4,56
CDM,14105098,STENT COTTON-HUIBREGTSE 7F,189.0,,94.5,187.52,62
CDM,14105100,STENT COTTON-HUIBREGTSE 10F,171.0,,85.5,187.52,62
CDM,14105102,STENT PANCREATIC GENEEN 5-7F,189.0,,94.5,187.52,62
CDM,14105104,NDL INJECTOR VARICES DISP,120.0,,60.0,108.0,56
CDM,14105942,NEEDLE KNIFE HUIBERGTSE 5F,376.0,,188.0,338.4,56
CDM,14106290,TUBE BLAKEMORE ESOPHAGEAL 20FR,812.0,,406.0,730.8,56
CDM,14106466,TUBE SPLINTING SINGLE USE,603.0,,301.5,542.7,56
CDM,14107572,STENT AXIOS W/DELIVERY SYSTEM,12197.0,,288.9,10977.3,62
CDM,14107703,CLIP QUICKCLIP PRO HEMOSTASIS,424.0,,212.0,381.6,56
CDM,14107716,PROBE ARGON ABC 2.3 230CM,504.0,,252.0,453.6,56
CDM,14107766,STENT TAEWOONG TTS FC 18X100,5142.0,,1667.17,4627.8,62
CDM,14107803,SPHINCTEROTOME BILLROTH II,389.0,,194.5,350.1,56
CDM,14107805,CATH BALLOON EXTRACT TRI-EX,499.0,,249.5,449.1,56
CDM,14107811,PEG KIT SILICONE 000330,428.0,,27.9,385.2,62
CDM,14107825,TUBE G TRITON 24F,148.0,,27.9,133.2,62
CDM,14107862,CLIP NITINOL OTSC 11/3A 165CM,1029.0,,514.5,926.1,56
CDM,14107863,CLIP NITINOL OTSC 11/6A 165C,895.0,,447.5,805.5,56
CDM,14107865,CLIP NITINOL OTSC12/6A 220CM,1023.0,,511.5,920.7,56
CDM,14107866,CLIP NITINOL OTSC 11/6T 165CM,895.0,,447.5,805.5,56
CDM,14107867,CLIP NITINOL OTSC 12/6T 220CM,1118.0,,559.0,1006.2,56
CDM,14107868,CLIP NITINOL OTSC 12/6T 165CM,1146.0,,573.0,1031.4,56
CDM,14107869,CLIP NITINOL OTSC 12/6A 165CM,1146.0,,573.0,1031.4,56
CDM,14107986,INTRODUCER STENT FUSION OASIS,299.0,,149.5,269.1,56
CDM,14107987,"GUIDEWIRE ROADRUNNER.018""",361.0,,27.95,324.9,57
CDM,14107991,STENT BILIARY SOLUS,345.0,,172.5,310.5,62
CDM,14108048,DEVICE CAPSULE DELIVRY ADVANCE,491.0,,245.5,441.9,56
CDM,14108049,GUIDEWIRE TRACER METRO 035X260,320.0,,27.95,288.0,57
CDM,14108059,GUIDEWIRE SAVARY GILLIARD 36,362.0,,27.95,325.8,62
CDM,14108168,KIT COLON DECOMPRESSION 14X175,389.0,,194.5,350.1,56
CDM,14108179,CATH GLO- TIP ERCP 320CM,343.0,,171.5,308.7,56
CDM,14108184,LIGATOR MULTI BAND MUCOSECTOMY,643.0,,321.5,578.7,56
CDM,14108185,RETRIEVER STENT SOEHENDRA,320.0,,160.0,288.0,56
CDM,14108187,ATTACHMENT DISTAL 13.4X4MM,660.0,,330.0,594.0,56
CDM,14108193,KNIFE ELECTROSURGICAL OLYMPUS,1503.0,,751.5,1352.7,56
CDM,14108196,OVERTUBE ENDO GARDUS-ESOPHAGUS,514.0,,257.0,462.6,56
CDM,14108198,OVERTUBE ENDO GARDUS-GASTRIC,571.0,,285.5,513.9,56
CDM,14108202,DEVICE GRASPING TALON,407.0,,70.07,366.3,57
CDM,14108267,TUBE FEED JEJUNAL MIC 16X45,465.0,,27.9,418.5,62
CDM,14108415,STNT DUODENAL EVOLUTION 22X12,4663.0,,1642.91,4196.7,62
CDM,14108416,STNT COLONIC EVOLUTION 25X10,4663.0,,1642.91,4196.7,62
CDM,14108417,STENT ESOPH EVOLUTION 20X25X8,3410.0,,1667.17,3069.0,62
CDM,14108418,STENT ESOPH EVOLUTION 20X25X10,3410.0,,1667.17,3069.0,62
CDM,14108419,STENT ESOPH EVOLUTION 20X25X15,3410.0,,1642.91,3069.0,62
CDM,14108420,STNT ESOPH CVRD EVOLUTION 20X8,3410.0,,1667.17,3069.0,62
CDM,14108425,STENT BILIARY EVOLUTION 10X4,3214.0,,1607.0,2892.6,62
CDM,14108426,STENT BILIARY EVOLUTION 10X6,3343.0,,1642.91,3008.7,62
CDM,14108427,STENT BILIARY EVOLUTION 10X8,3214.0,,1607.0,2892.6,62
CDM,14108428,STENT BILIARY EVOLUTION 10X10,3214.0,,1607.0,2892.6,62
CDM,14108488,TUBE GASTROSTOMY PEG KIT,456.0,,27.9,410.4,62
CDM,14108489,TUBE INTESTINAL ABBVIE J 9FR,275.0,,27.9,247.5,62
CDM,14108616,STENT BILIARY ZIMMON,189.0,,94.5,187.52,62
CDM,14108620,STENT PANCREATIC ZIMMON,166.0,,83.0,187.52,62
CDM,14108714,CATH PUSHING FUSION,188.0,,94.0,169.2,56
CDM,14108717,GUIDEWIRE TRACER HYBRID,304.0,,27.95,273.6,57
CDM,14108732,DIL 3 STAGE HERCULES 18-19-20,450.0,,225.0,405.0,57
CDM,14109374,SYSTEM ISNARE,152.0,,76.0,136.8,56
CDM,14109409,STENT ESOPH EVOLUTION 22-25MM,5042.0,,1642.91,4537.8,62
CDM,14109410,STENT ESOPH EVOLUTION 18-20MM,3686.0,,1642.91,3317.4,62
CDM,14109490,SNARE POLYPECTOMY CAPTIFLEX,57.0,,28.5,51.3,56
CDM,14109541,DIL 3 STAGE HERCULES,522.0,,261.0,469.8,57
CDM,14109613,CATH DILATION GRADUATED GEENEN,179.0,,89.5,161.1,56
CDM,14109775,LOOP CUTTER OLYMPUS FS-5U-1,1017.0,,508.5,915.3,56
CDM,14109777,TUBE J-TUBE PEG24 12-21-S,243.0,,121.5,218.7,61
CDM,14109861,STENT AXIOS ELECTROCAUTERY,13752.0,,1667.17,12376.8,62
CDM,14109866,DEVICE LIGATION SINGLE USE,270.0,,135.0,243.0,56
CDM,14109868,GDWIRE VISIGLIDE G-240-2545A,450.0,,27.95,405.0,57
CDM,14110136,ANCHOR OTSC,940.0,,470.0,846.0,56
CDM,14110138,SYSTEM GRASPER OTSC,1332.0,,666.0,1198.8,56
CDM,14110203,NDL NEURO CELIAC PLEXUS CPN,581.0,,290.5,522.9,56
CDM,14110204,NEEDLE ECHOTIP ULTRA ENDO US,759.0,,379.5,683.1,56
CDM,14110208,NET RETRIEVAL ROTH STANDARD,297.0,,148.5,267.3,56
CDM,14110277,CATH ABL HALO 360,2915.0,,107.58,2623.5,57
CDM,14110372,NDLE INJ CARR LOCKE,141.0,,70.5,126.9,56
CDM,14110780,CATH DILAT BILIARY SOEHENDRA,269.0,,134.5,242.1,56
CDM,14110781,STENT BIL COMPASS BDS PLASTIC,173.0,,86.5,288.9,62
CDM,14110800,GUIDEWIRE ERCP ACROBAT,351.0,,27.95,315.9,57
CDM,14110841,TROCAR ENDOPATH XCEL 5X100MM,104.0,,52.0,93.6,56
CDM,14111191,KIT INST BIOPSY MONOPTY,153.0,,76.5,137.7,56
CDM,14111806,FORCEP GRASPING RAPTOR,320.0,,160.0,288.0,56
CDM,14112214,NET POLYP MAXI,323.0,,161.5,290.7,56
CDM,14112379,GUIDEWIRE TRACER METRO,319.0,,27.95,287.1,57
CDM,14112636,TUBE PEG-24-PULL-S 24F 150CM,566.0,,283.0,509.4,56
CDM,14113116,NDL ENDOSCOP ULTRASND ECHOTIP,786.0,,393.0,707.4,56
CDM,14113836,ATTACHMENT ENDOSCOPE DISTAL,94.0,,47.0,84.6,56
CDM,14113853,CATH DILATION BILIARY COTTON,186.0,,93.0,167.4,56
CDM,14113896,BASKET RETRIEVAL FALCON,310.0,,155.0,279.0,56
CDM,14113913,CATH ACCESS & DELIV SPYSCOPE,8371.0,,4185.5,7533.9,56
CDM,14113917,FORCEP RADIAL JAW4 160CM PED,255.0,,127.5,229.5,56
CDM,14113918,DILATOR BALLOON PULM CRE,912.0,,367.53,820.8,62
CDM,14113926,NEEDLE INTERJECT 25GX200CM,197.0,,98.5,177.3,56
CDM,14113930,STENT WALLFLEX BOSTON,6868.0,,1667.17,6181.2,62
CDM,14113965,FD MARKER TISSUE IMPLANTABLE,254.0,,78.0,228.6,62
CDM,14113971,DVC HANDLE INFLAT ALLIANCE II,1122.0,,561.0,1009.8,56
CDM,14113979,FORCEP BIOPSY RADIAL JAW 01,88.0,,44.0,79.2,56
CDM,14113980,FORCEP BIOPSY RADIAL JAW 02,198.0,,99.0,178.2,56
CDM,14113982,GUIDEWIRE JAGWIRE M00556621,420.0,,27.95,378.0,62
CDM,14113990,SPHINCTEROTOME ULTRATOME,466.0,,233.0,419.4,56
CDM,14113998,OVERTUBE ENDOSCOPE EN-450T5-02,115.0,,57.5,103.5,56
CDM,14114054,SPHINCTEROTOME FUSION OMNI,507.0,,27.95,456.3,57
CDM,14114066,PROBE PLASMA APC ENDO SIDEFIRE,579.0,,289.5,521.1,56
CDM,14114109,TUBE NASOJEJUNAL 10F 240CM,253.0,,126.5,227.7,56
CDM,14114123,TUBE GASTROSTOMY,110.0,,27.9,99.0,62
CDM,14114185,DEVICE INFLATION SPHERE G34903,130.0,,65.0,117.0,56
CDM,14114214,PUMP HAND ACHALASIA PNEUMATIC,531.0,,265.5,477.9,56
CDM,14114225,SYSTEM BILIARY INTRO OA-10,188.0,,94.0,169.2,56
CDM,14114230,NEEDLE INJECTION CARR LOCKE,141.0,,70.5,126.9,56
CDM,14114254,DERMABOND PRINEO SYS,385.0,,192.5,346.5,56
CDM,14114286,SYSTEM SET OTSC OVESCO 100.14,1382.0,,397.68,1243.8,57
CDM,14114406,CATH BALN RFA 360 EXPRSS BARRX,5262.0,,107.58,4735.8,57
CDM,14114475,SYSTEM SET OTSC OVESCO 100.27,1382.0,,397.68,1243.8,57
CDM,14114488,TUBE ENTUIT START SET,170.0,,85.0,153.0,56
CDM,14114539,BRUSH FUSION CYTOLOGY,294.0,,147.0,264.6,56
CDM,14114540,CANNULATOME COTTON MONO 6FX320,478.0,,239.0,430.2,56
CDM,14114541,CATH ERCP CLASSIC,137.0,,68.5,2904.62,57
CDM,14114542,CATH FUSION TITAN,514.0,,257.0,462.6,62
CDM,14114543,CORD ENDOSCOPY ACTIVE DISP,215.0,,107.5,193.5,56
CDM,14114544,DIL 3 STAGE HERCULES,522.0,,261.0,469.8,57
CDM,14114545,DILATOR BALLOON QUANTUM TTC,286.0,,143.0,367.53,57
CDM,14114547,ECHO TIP PRO CORE NEEDLE,706.0,,353.0,635.4,56
CDM,14114549,EXTRACTOR NCIRCLE 1.5FX115,537.0,,268.5,483.3,61
CDM,14114550,FORCEP BIOPSY 2.8MMX150CM,96.0,,48.0,86.4,56
CDM,14114552,FORCEPS BIOPSY CAPTURA COOK,123.0,,61.5,110.7,56
CDM,14114555,GDWIRE VISIGLIDE G-240-2527S,433.0,,27.95,389.7,57
CDM,14114558,SET TUBING/CAP PUMP ENDO ERBEF,83.0,,41.5,74.7,56
CDM,14114559,SPHINCTEROTOME TRI-TOME,360.0,,180.0,324.0,56
CDM,14114605,DEV CLOS TISSUE PADLOCK CLIP,990.0,,397.68,891.0,57
CDM,14114722,STNT ENDOPROSTH BILIARY VIABIL,4732.0,,1667.17,4258.8,62
CDM,14114725,STNT ENDOPROSTH BILIARY VIABIL,6413.0,,1667.17,5771.7,62
CDM,14114930,STNT ESOPHAGEAL TAEWONG TTS FC,4949.0,,2474.5,4454.1,61
CDM,14115010,NON-ROUTINE LVL 10 REV 0272,2292.0,,1146.0,2062.8,56
CDM,14115011,PILL CAM SB 3,1012.0,,506.0,910.8,56
CDM,14115012,VIABIL W HOLES 10MMX10CM,4140.0,,2070.0,3726.0,61
CDM,14115013,OTSC ANCHOR TT 220CM,952.0,,476.0,856.8,56
CDM,14115280,CARTRIDGE NITROUS OXIDE C2,199.0,,99.5,179.1,56
CDM,14115281,CATH CRYOBALLON FOCAL PEAR SYS,5750.0,,2875.0,5175.0,57
CDM,14115845,SYSTEM CRYOBALLOON C2,4484.0,,257.96,4035.6,57
CDM,14115944,CATH ERCP GLO-TIP,197.0,,98.5,177.3,56
CDM,14115950,GUIDEWIRE METRO DIRECT 480CM,402.0,,27.95,361.8,57
CDM,14115951,GUIDEWIRE METRO DIRECT 600CM,595.0,,27.95,535.5,57
CDM,14115955,BALLOON FUSION QUATTRO,441.0,,220.5,396.9,56
CDM,14115995,NDL ENDOSCOP ULTRASND ECHOTIP,416.0,,208.0,374.4,56
CDM,14116141,EXTRACTOR STONE WIRE ATLAS,406.0,,203.0,365.4,56
CDM,14116144,NEEDLE INJECTOR LARYNGEAL,89.0,,44.5,80.1,56
CDM,14116228,ENDO FINE NEEDLE BIOPSY,1081.0,,540.5,972.9,56
CDM,14116293,COIL EMB NESTER,264.0,,132.0,237.6,61
CDM,14116301,KNIFE ELECTROSURGICAL 01,1337.0,,668.5,1203.3,56
CDM,14116302,KNIFE ELECTROSURGICAL 02,1193.0,,596.5,1073.7,56
CDM,14116304,NEEDLE BIOPSY EZ SHOT 3 PLUS,644.0,,322.0,579.6,56
CDM,14116325,APPLICATOR HEMOSTAT HEMOSPRAY,3369.0,,1684.5,3032.1,56
CDM,14116341,GUIDEWIRE SAVORY,278.0,,27.95,250.2,57
CDM,14116359,NEEDLE FINE BX ACQUIRE,908.0,,454.0,817.2,56
CDM,14116387,STENT AXIOS,14687.0,,1667.17,13218.3,62
CDM,14116388,TUBE ENTUIT START SET,170.0,,27.9,153.0,57
CDM,14116535,TUBE FEEDING GASTRO,163.0,,27.9,146.7,62
CDM,14116543,DEVICE SUTURING HELIX TISSUE,486.0,,243.0,437.4,56
CDM,14116556,SUTURE 2-0 POLYDIO,217.0,,108.5,195.3,56
CDM,14116557,SUTURE 2-0 POLYPRO,182.0,,91.0,163.8,56
CDM,14116558,SUTURE CINCH,232.0,,116.0,208.8,56
CDM,14116559,SYSTEM ACCESS ENDO OVERTUBE,461.0,,230.5,414.9,56
CDM,14116560,SYSTEM SUTURE ENDO,2013.0,,1006.5,1811.7,56
CDM,14116564,CARTRIDGE PUMP ERBEJET,314.0,,157.0,282.6,56
CDM,14116566,CLIP HEMOCLIP ENDO INSTINCT,354.0,,177.0,318.6,56
CDM,14116568,DUAL KNIFE ELECTROSURGICAL,1778.0,,889.0,1600.2,56
CDM,14116571,HYBRID KNIFE,1125.0,,562.5,1012.5,56
CDM,14116626,NEEDLE MASTER INJECTION NEEDLE,130.0,,65.0,117.0,56
CDM,14116690,HANAROSTENT BIL UNCOVERED,2122.0,,288.9,1909.8,62
CDM,14116691,HANAROSTENT DUO UNCOVERED,4676.0,,1642.91,4208.4,62
CDM,14116777,NEEDLE INJECTION CARR LOCKE,141.0,,70.5,126.9,56
CDM,14116829,ENDOSCOPIC SCISSORS,665.0,,332.5,598.5,56
CDM,14116848,STENT TAEWOONG TTS FC,5197.0,,217.64,4677.3,62
CDM,14116881,CATHETER INTERSCOPE 10-01-OP,1593.0,,107.58,1433.7,57
CDM,14116899,CATHETER INTERSCOPE ER 10-03,2765.0,,107.58,2488.5,57
CDM,14116938,PLASMA COAG PROBE AXIAL,472.0,,236.0,424.8,56
CDM,14117059,GWIRE ACROBAT CALIBRATED-TIP,439.0,,27.95,395.1,57
CDM,14117170,IMPL ANKLE STEM TALAR,2562.0,,1281.0,2374.28,62
CDM,14117199,RFA ABLATION CATH,3879.0,,107.58,3491.1,57
CDM,14117206,SNARE DISPOSABLE ELECT SURG,514.0,,257.0,462.6,56
CDM,14117274,HEMOSTASIS CLIP DURACLIP,364.0,,182.0,327.6,56
CDM,14117275,GUIDEWIRE REOWAVE,290.0,,27.95,261.0,57
CDM,14117335,GWIRE ACROBAT CALIBRATED-TIP,439.0,,27.95,395.1,57
CDM,14117340,FORCEP RAT TOOTH DISP,333.0,,166.5,299.7,56
CDM,14117343,ATTACHMENT ENDOSCOPE DISTAL,87.0,,43.5,78.3,56
CDM,14117428,ENDO ELECTROSURGICAL KNIFE 0,1830.0,,915.0,1647.0,56
CDM,14117429,NEEDLE FINE BX ACQUIRE,1217.0,,608.5,1095.3,56
CDM,14117478,BIL STONE RETRIEVAL BALLN CA,400.0,,200.0,360.0,56
CDM,14117480,LIG MULTIBND MUCOSECTMY DUETTE,579.0,,289.5,521.1,56
CDM,14117532,BALLOON EXTRACT MULTI-3V,243.0,,121.5,367.53,57
CDM,14117547,ENDOCLIP CATH NASAL TIP,791.0,,395.5,711.9,56
CDM,14117761,SPHINCTEROTOME 3-LUM V-SYSTEM,315.0,,157.5,283.5,56
CDM,14117762,GDWIRE VISIGLIDE ANG 025X270,456.0,,27.95,410.4,57
CDM,14117839,CATHETER ENDOFLIPEF-325N,880.0,,440.0,792.0,56
CDM,14117844,TAPER MALLORY HEAD RADIAL,4437.0,,2218.5,3993.3,62
CDM,14117848,STENT ESOPH METAL FULL COVER,1768.0,,884.0,1667.17,62
CDM,14117899,CLIP 360 ENDO RESOLUTION 235CM,743.0,,371.5,668.7,56
CDM,14117911,DVC GRASPING TALON 2.5MMX160CM,376.0,,70.07,338.4,57
CDM,14117917,CATHETER ENDOROTOR ER 60-01,295.0,,147.5,265.5,56
CDM,14117974,CLIP RESOLUTION M00521241,440.0,,220.0,396.0,56
CDM,14118041,CAPSULE PH MONITORING BRAVO,649.0,,324.5,584.1,56
CDM,14118051,STENT OASIS ONE ACTION SYS,285.0,,142.5,256.5,61
CDM,14118055,STENT BILIARY COTTON-LEUNG,164.0,,82.0,506.18,62
CDM,14118099,SYS DEL ADVANCED CAPSULE,446.0,,223.0,401.4,56
CDM,14118114,STENT HANAROSTENT FULL COVERED,4755.0,,1667.17,4279.5,62
CDM,14118125,BLADE MAS FACIAL,775.0,,387.5,697.5,56
CDM,14118179,GRFT GORE-TEX VASC STD 6X40,817.0,,408.5,1092.42,62
CDM,14118191,DVC BIOPINCE BIOPSY,144.0,,72.0,129.6,56
CDM,14118212,ANCHOR LEAD CINCH ST JUDE,239.0,,119.5,215.1,61
CDM,14118216,DVC BALLOON INFLAT CONMED,228.0,,114.0,205.2,56
CDM,14118264,STNT ENDOPROSTH BILIARY VIABIL,2900.0,,1450.0,2610.0,62
CDM,14118284,CYSTOTOME COOK MED G30550,527.0,,263.5,474.3,56
CDM,14118332,LIGATOR SIX SHOOTER SAEED MULT,348.0,,174.0,313.2,56
CDM,14118480,NEEDLE BX SHARKCORE 22GA,977.0,,488.5,879.3,56
CDM,14118497,NEEDLE BX SHARKCORE FNB,1506.0,,753.0,1355.4,56
CDM,14118507,CATH RFA FOCAL BARRX 90,2522.0,,107.58,2269.8,57
CDM,14118522,INJECTOR SUBMUCOSAL ELEVIEW 10,227.0,,113.5,204.3,56
CDM,14118527,DVC INFLAT SPHERE 60CC 15ATM,100.0,,50.0,90.0,56
CDM,14118532,DVC INFLAT SPHERE 40CC 15ATM,178.0,,89.0,160.2,56
CDM,14118543,HUM STEM BIGLIANI/FLATOW,2202.0,,1101.0,2374.28,62
CDM,14118564,SYS GASTRODUODENAL FRTD KIT,2905.0,,1452.5,2614.5,56
CDM,14118584,BIPOLAR COAGULATION PROBE,309.0,,154.5,278.1,56
CDM,14118589,NEEDLE ECHOTIP INSIGHT COOK,3978.0,,1989.0,3580.2,56
CDM,14118591,STENT AXIOS HOT,13450.0,,1667.17,12105.0,62
CDM,14118597,BASKET RETRIEVAL SPYGLASS,1357.0,,678.5,1221.3,56
CDM,14118695,CATH SPYGLASS DISCOVER,7417.0,,3708.5,6675.3,56
CDM,14118750,STM PRO NEUT 14X150 SLOT,2359.0,,1179.5,2374.28,62
CDM,14118751,DIL QUANTUM TTC BIL BALLOON,323.0,,161.5,367.53,57
CDM,14118806,SPHINCTEROTOME OMNI-TOME FUS,643.0,,27.95,578.7,57
CDM,14118807,CANN PROFORMA STR SHORT TAPER,93.0,,46.5,83.7,56
CDM,14118809,DILUMEN ENDOMENAL INTER 130CM,3037.0,,1518.5,2733.3,56
CDM,14118821,CATHETER ENDOROTOR INTERSCOPE,2936.0,,1468.0,2642.4,56
CDM,14118827,PROBE BIPOLAR DUAL PLUG 7FR,370.0,,185.0,333.0,56
CDM,14118837,CATHETER 3.2MMX1240MM,1621.0,,810.5,1458.9,56
CDM,14118842,CATH BALLN EXTRACT TRI-EX,273.0,,136.5,245.7,56
CDM,14118942,SNARE POLYPECTOMY ACUSNARE,229.0,,114.5,206.1,56
CDM,14118951,ENDOPROSTH BILIARY VIABIL,5648.0,,1667.17,5083.2,62
CDM,14118962,ENDOROTOR PURGE KIT,271.0,,135.5,243.9,56
CDM,14119044,X-TACK ENDOSCOPIC HELIX,1357.0,,678.5,1221.3,56
CDM,14119068,CANNULA STAR TIP OLYMPUS,249.0,,124.5,224.1,56
CDM,14119087,NEEDLE NEURO ECOTIP ULTRA CPN,541.0,,270.5,486.9,56
CDM,14119108,SPHINCTEROTOME 7MM 4FR PRELOAD,598.0,,299.0,538.2,56
CDM,14119201,BASKET TALON XTRA BOST SCI,466.0,,233.0,419.4,56
CDM,14119240,CATH ANGIO COBRA 2 SOFT-VU 035,162.0,,81.0,145.8,57
CDM,14119262,EVOLUTION DUODENAL STENT SYS,3948.0,,1642.91,3553.2,62
CDM,14119273,GDWIRE TRACER METRO,542.0,,27.95,487.8,57
CDM,14119274,LIGATOR MULTI-BAND SAEED,477.0,,238.5,429.3,56
CDM,14119318,NET RETRIEVAL POLYO TRAP,925.0,,462.5,832.5,56
CDM,14119339,INFLATION DEVICE CONMED 100851,212.0,,106.0,190.8,56
CDM,14119378,RETRIEVER NET OLYMPUS ET 2014,250.0,,125.0,225.0,56
CDM,14119396,PERC ENDOSCOP GASTROSTOMY SET,199.0,,27.9,179.1,57
CDM,14119420,ELEVATOR 301 NAKASHIMA MOD,189.0,,94.5,170.1,56
CDM,14119426,BLUE BEACON TISSUE MARKER,103.0,,51.5,205.26,57
CDM,14119427,CATH SAFE-T-CENTISIS TRAY 6F,427.0,,213.5,384.3,56
CDM,14119458,SPHINCTEROTOME V-SYS CLEVERCUT,363.0,,27.95,326.7,57
CDM,14119481,TUBE FEED GM WEIGHT 10FRX42,142.0,,71.0,127.8,56
CDM,14119482,CATH ENDOROTOR 6.0 INTERSCOPE,3894.0,,1947.0,3504.6,61
CDM,14119525,SHARKCORE FNB NEEDLE COVIDIEN,487.0,,243.5,438.3,56
CDM,14119536,SNARE CRESCENT OLYMPUS,415.0,,207.5,373.5,56
CDM,14119554,TUBE GASTROSTOMY HALYARD,119.0,,59.5,107.1,61
CDM,14119568,SNARE RETRIEVAL SPYGLASS,1305.0,,652.5,1174.5,61
CDM,14119578,SNARE CRESCENT OLYMPUS,415.0,,207.5,373.5,61
CDM,14119582,TRACH BLUSELECT CUFF,112.0,,56.0,100.8,56
CDM,14119627,STENT ESOPH ENDOMAXX MERIT MED,4283.0,,1667.17,3854.7,62
CDM,14119636,SNARE ELECTROSURGICAL,83.0,,41.5,74.7,56
CDM,14119649,KNIFE ENDO SB JR,218.0,,109.0,196.2,56
CDM,14119695,ENDOCLOT PHS,2336.0,,1168.0,2102.4,56
CDM,14119696,DISP OTW ESOPHAGEAL DIALATORS,169.0,,84.5,152.1,56
CDM,14119697,ESOFLIP DILATION CATHETER,3923.0,,367.53,3530.7,62
CDM,14119698,SB KNIFE,1556.0,,778.0,1400.4,56
CDM,14119775,ENDOCLOT INJECTION SYS OLYMPUS,260.0,,130.0,234.0,56
CDM,14119794,CLIP MANTIS 235CM,682.0,,341.0,613.8,56
CDM,14119863,SYRINGE INFLATION QL2530 25ML,152.0,,76.0,136.8,56
CDM,14119864,NDLE UROPLASTY RIGID ENDOSCPIC,110.0,,55.0,99.0,56
CDM,14119865,GDWIRE MARKED SPRING TIP,121.0,,27.95,108.9,57
CDM,14119866,STENT COATED/COV W/DEL SYS,4381.0,,1667.17,3942.9,62
CDM,14119867,ENDOPROSTH VIABIL PERQ,5430.0,,1667.17,4887.0,62
CDM,14119887,GLO-TIP ERCP CATH,174.0,,87.0,156.6,56
CDM,14119921,ELECTROSURGICAL KNIFE,1556.0,,778.0,1400.4,56
CDM,14119922,ENDOCAPSULE SM INTEST CAPSULE,870.0,,435.0,783.0,56
CDM,14119974,INFLATION DEVICE ATRION,107.0,,53.5,96.3,56
CDM,14119997,DVC CLOSURE DUAL ACTION TISSUE,656.0,,328.0,590.4,56
CDM,14120040,ENDO PACU 1ST HOUR,4018.0,,2009.0,3616.2,56
CDM,14120041,ENDO PACU EACH ADDL 15 MINUTES,448.0,,224.0,403.2,56
CDM,14120070,NEEDLE ORO-TRACHEAL LARYNGEAL,70.0,,35.0,63.0,56
CDM,14120256,TUBE G FLOW-20FR-PULL PEG KIT,644.0,,322.0,579.6,61
CDM,14120423,FORCEP POLYGRAB,577.0,,288.5,519.3,56
CDM,14120438,CYSTOTOME OPTIMOS 6FR,1311.0,,655.5,1179.9,56
CDM,14120478,FIBER LASER HOLMIUM G25294,494.0,,247.0,444.6,56
CDM,14120479,FIBER LASER HOLMIUM G25296,643.0,,321.5,578.7,56
CDM,14120480,FUSION WIRE GUIDE LOCKING DVC,47.0,,23.5,42.3,57
CDM,14120502,BLUE BOOST SUBMUCOS INJ SOLN,163.0,,81.5,146.7,56
CDM,14120528,FIBER LASER HOLMIUM,1155.0,,577.5,1039.5,56
CDM,14120543,EZ CLIP 3MM POSITIONING PIN,230.0,,115.0,207.0,56
CDM,14120544,EZ CLIP LONG,198.0,,99.0,178.2,56
CDM,14120549,RITECLIP 11MM 235CM,176.0,,88.0,158.4,56
CDM,14120550,RITECLIP 11MM 235CMRT30660,176.0,,88.0,158.4,56
CDM,14120551,SURECLIP 16MM 235CM,190.0,,95.0,171.0,56
CDM,14120573,RX LOCKING DEVICE W/BIOPSY CAP,85.0,,42.5,76.5,56
CDM,14120628,HEMOSTAT PURASTAT 3ML,1217.0,,608.5,1095.3,56
CDM,14120650,STENT WALLFLEX RX SYS,6871.0,,1667.17,6183.9,62
CDM,14120658,HEMOSTAT PURASTAT 3ML,1217.0,,608.5,1095.3,56
CDM,14120704,SCOPE VALET DISPOSABLE,386.0,,193.0,347.4,56
CDM,14120706,CATH DBL LUM 16CM PRESS-INJ,321.0,,136.97,288.9,57
CDM,14120707,CATH BIPOLAR RADIOFREQUENCY,4493.0,,2246.5,4043.7,56
CDM,14120746,CLUTCHCUTTER EMR 3.5MM,1129.0,,564.5,1016.1,56
CDM,14121018,GUIDEWIRE .025 X 450CM ANG TIP,253.0,,27.95,227.7,62
CDM,14121019,SPHINCTEROTOME 44 .035X450CM,561.0,,27.95,504.9,62
CDM,14121020,SPHNTM ENDO 4.4FR 20MM W/GWIRE,526.0,,27.95,473.4,62
CDM,14121021,SPHNTM ENDO 4.4FR 30MM W/GWIRE,710.0,,27.95,639.0,62
CDM,14121022,SPYGLASS RETRIEVAL BASKET,941.0,,470.5,846.9,56
CDM,14121023,STENT BIL 2.3X15MM 0.035IN 7FR,296.0,,148.0,266.4,61
CDM,14121024,CLIP ENDO 2.8MM LG MANTIS,680.0,,340.0,612.0,56
CDM,14121062,AUTOTOME RX 39 WIRE,747.0,,27.95,672.3,57
CDM,14121063,STENT BIL WALLSTENT RP 10X60,4711.0,,1642.91,4239.9,62
CDM,14121073,ENDOSCOPIC GASTRONOMY PEG KIT,216.0,,108.0,194.4,61
CDM,14121080,CLUTCHCUTTER EMR 5.0MM,1129.0,,564.5,1016.1,56
CDM,14121092,VIABIL NO HOLES 8MM X 10CM,4212.0,,1667.17,3790.8,62
CDM,14121116,KIT KNIFE ECTR DISPOSABL,414.0,,207.0,372.6,56
CDM,14121125,PNEUMOTHORAX CATH TRAY,491.0,,245.5,441.9,61
CDM,14121188,STENT PANCR 5FR GPSO-5-5,168.0,,84.0,151.2,61
CDM,14121189,PROBE 7FR BIPOLAR HEMO,332.0,,166.0,298.8,56
CDM,14121240,PROBE HEMOSTASIS BIPOLAR,313.0,,156.5,281.7,56
CDM,14121307,NESTER EMBOLIZATION COIL,231.0,,115.5,207.9,61
CDM,14121308,BLN OPN HI PRESS 2.5MMX10MM,2160.0,,257.51,1944.0,62
CDM,14121340,HEMOCLIP,1980.0,,990.0,1782.0,56
CDM,14121441,FORCEPS EYEMAX ALLI 1.0 OD,585.0,,292.5,526.5,56
CDM,14121629,STENT SOF FLEX COTTON 10FX12,164.0,,82.0,187.52,62
CDM,14121630,OMNIPAQUE 350 USB 10X500ML,812.0,,406.0,730.8,56
CDM,14121639,STENT QUICKPLACEV BILIARY 7X90,118.0,,59.0,187.52,62
CDM,14121850,TUBE VENT GOODE 1.14X12MM,74.25,,37.12,66.83,56
CDM,14121856,DERMABOND PRINEO,196.0,,98.0,176.4,56
CDM,14141227,FORCEP MICRO MORAY,1196.0,,598.0,1076.4,56
CDM,14143302,ENDOSCOPIC SCISSORS,657.0,,328.5,591.3,56
CDM,14143303,EXTRACTOR PRO XL 9-12 MM ABOVE,224.0,,112.0,201.6,61
CDM,14143304,SPHNTM ENDO 260CM 3.9FR 20MM,747.0,,27.95,672.3,62
CDM,14143305,SUTURE CAPIO,223.0,,111.5,200.7,56
CDM,14145356,CATH BLLN 9X12MM 200CM 7-6FR,328.0,,164.0,295.2,56
CDM,14145357,CATH INFINITY DILATION 23MMX55,1242.0,,621.0,1117.8,56
CDM,14145358,CATH PUSHING 5FR STENT,131.0,,65.5,117.9,56
CDM,14145359,FORCEPS EYEMAX ALLI 1.0 OD,585.0,,292.5,526.5,56
CDM,14145360,FRCPS ENDO 2.8X9X2.4MM RESCUE,185.0,,92.5,166.5,56
CDM,14145361,OMNIPAQUE 300 USB IBP 10,692.0,,346.0,622.8,56
CDM,14145362,SPHINCTEROTOME 44 .035X4260CM,561.0,,280.5,504.9,61
CDM,14145363,SPHNTM ENDO 4.4FR 260CM STRL,4491.0,,2245.5,4041.9,61
CDM,14151036,CATH PUSHING BILIARY 5F 170CM,142.0,,71.0,127.8,56
CDM,14151037,CATH PUSHING BILIARY 7F 170CM,142.0,,71.0,127.8,56
CDM,14151076,BASKET MEMORY SOFT 7F 2X4CM,639.0,,319.5,575.1,56
CDM,14154178,PROBE FILTER INTEGRATED APC,587.0,,293.5,528.3,56
CDM,14154202,SPHINC OMNI-TOME FUSION 5.5F,522.0,,261.0,469.8,56
CDM,14160706,CUFF BALLOON ULTRASOUND 03,92.0,,46.0,82.8,56
CDM,14161341,CATH ERCP OMNI FUSION 7F 200CM,266.0,,133.0,239.4,56
CDM,14180895,SUTURE 4-0 SILK ETHICONK881H,23.0,,11.5,20.7,56
CDM,14182930,CAPSULE ENDOSCOPY,5738.0,,2869.0,5164.2,56
CDM,14186159,TUBE NASAL JEJUNAL 8/10F 240CM,264.0,,132.0,237.6,56
CDM,14186221,GUIDEWIRE THSF,330.0,,27.95,297.0,57
CDM,14186273,MARKER ENDOSCOPIC SPOT 5ML,96.0,,48.0,86.4,56
CDM,14187884,MANIFOLD NEPTUNE SYS 4 PORT,138.0,,69.0,124.2,56
CDM,14202930,GASTRIC ACID ANALY W/PH EA SPE,147.0,,6.17,132.3,68
CDM,14300240,HCG QL SERUM,264.0,,6.92,237.6,68
CDM,14310241,COV-2/FLU/RSV XPERT,448.0,,131.22,403.2,68
CDM,14320150,LIPASE SERUM,132.0,,4.54,118.8,68
CDM,14320177,B-TYPE NATRIURETIC PEPTIDE,426.0,,36.12,383.4,68
CDM,14350109,COVID-19(SARS-COV-2)AG**,215.0,,32.5,193.5,68
CDM,14350110,FLU A**,195.0,,15.23,175.5,68
CDM,14350111,FLU B**,195.0,,15.23,175.5,68
CDM,14350206,PLATELET AGGREGATION (MAXAMP),260.0,,21.97,234.0,68
CDM,14350207,MA ACTIVATED,260.0,,21.97,234.0,56
CDM,14350208,MA ADP,260.0,,21.97,234.0,56
CDM,14350209,MA AA,260.0,,21.97,234.0,56
CDM,14350428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,14355000,HIV 1 HIV 2 AB AG SGL RESULT,250.0,,22.15,225.0,68
CDM,14355005,ALCOHOL (ETOH) BLOOD,279.0,,45.78,251.1,68
CDM,14355015,UREA NITROGEN QUANTITATIVE,90.0,,2.35,81.0,68
CDM,14355031,BETA-HYDROXYBUTYRATE,197.0,,2.33,177.3,68
CDM,14355035,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,14355036,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,14355040,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,14355045,CREATININE,80.0,,2.3,72.0,68
CDM,14355065,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,14355070,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,14355080,STAT STREP A.UED,195.0,,15.21,175.5,68
CDM,14355081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,14355082,RAPID HIV ANTIBODY,312.0,,16.83,280.8,68
CDM,14355084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,14355085,URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,68
CDM,14355086,URINALYSIS WITH MICROSCOPIC,153.0,,2.92,137.7,68
CDM,14355090,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,14355100,AMYLASE SERUM,213.0,,4.55,191.7,68
CDM,14355110,CALCIUM SERUM,82.0,,2.3,73.8,68
CDM,14355111,DRUG SCREEN METHADONE**,116.0,,15.77,104.4,68
CDM,14355115,PHOSPHORUS SERUM,83.0,,2.27,74.7,68
CDM,14355120,MAGNESIUM,140.0,,6.16,126.0,68
CDM,14355130,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,14355135,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,14355140,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,14355149,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,14355180,ABG WITH CALC O2 SAT.,376.0,,13.29,338.4,68
CDM,14355185,KETONES URINE,142.0,,2.07,127.8,68
CDM,14355188,POTASSIUM VBG,110.0,,2.35,99.0,68
CDM,14355205,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,14355210,CHLORIDE SERUM,73.0,,2.34,65.7,68
CDM,14355215,BICARBONATE,117.0,,2.31,105.3,68
CDM,14355216,LDH SERUM,145.0,,2.36,130.5,68
CDM,14355217,BILIRUBIN DIRECT,67.0,,4.62,60.3,68
CDM,14355218,ALT/SGPT,70.0,,2.34,63.0,68
CDM,14355219,PROTEIN TOTAL SERUM,85.0,,2.35,76.5,68
CDM,14355220,SPECIFIC GRAVITY URINE,142.0,,2.07,127.8,68
CDM,14355221,ALBUMIN SERUM,85.0,,2.32,76.5,68
CDM,14355225,PH URINE,142.0,,2.07,127.8,68
CDM,14355230,PROTEIN UR QUAL,142.0,,2.07,127.8,68
CDM,14355250,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,14355262,BILIRUBIN TOTAL SERUM,92.0,,4.62,82.8,68
CDM,14355263,ALKALINE PHOSPHATASE,110.0,,2.25,99.0,68
CDM,14355264,AST/SGOT,69.0,,2.29,62.1,68
CDM,14355265,GGT/GGTP,109.0,,6.3,98.1,68
CDM,14355271,CREATINE KINASE (CPK) TOTAL,91.0,,3.45,81.9,68
CDM,14355272,TROPONIN QN,146.0,,10.69,131.4,68
CDM,14355273,CREATINE KINASE (CPK) MB ONLY,152.0,,3.38,136.8,68
CDM,14355285,"CARBOXYHEMOGLOBIN, ABG",242.0,,4.55,217.8,70
CDM,14355286,HEMOGLOBIN ABG,94.0,,2.18,84.6,68
CDM,14355287,SODIUM ABG,107.0,,2.38,96.3,68
CDM,14355288,POTASSIUM ABG,110.0,,2.35,99.0,68
CDM,14355289,"CALCIUM, IONIZED, ABG",214.0,,2.31,192.6,68
CDM,14355290,"METHEMOGLOBIN, ABG",219.0,,7.54,197.1,68
CDM,14355291,"PH, BLOOD",138.0,,4.05,124.2,68
CDM,14355295,PH BODY FLUID,57.0,,3.29,51.3,68
CDM,14355335,HCG QN SERUM,309.0,,10.01,278.1,68
CDM,14355347,COAG TIME ACTIVATED (ACT),250.0,,3.94,225.0,68
CDM,14355370,MONOSPOT SCREEN MONOSPOT,402.0,,2.28,361.8,68
CDM,14355380,CVLBG WITH CALC O2 SAT.,376.0,,13.29,338.4,68
CDM,14355384,FIBRINOGEN-ACTIVITY TEG,265.0,,5.74,238.5,68
CDM,14355390,FIBRINOLYSINS SCR INTERP RPT,259.0,,3.43,233.1,68
CDM,14355430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,14355506,HEPATIC FUNCTION PANEL,232.0,,7.0,208.8,68
CDM,14355517,COMPREHENSIVE METABOLIC PANEL,456.0,,9.6,410.4,68
CDM,14355520,RENAL FUNCTION PANEL,248.0,,5.0,223.2,68
CDM,14355550,DRUGS OF ABUSE PROFILE,1221.0,,15.77,1098.9,68
CDM,14355576,PLATELET AGGREGATION EA,260.0,,21.97,234.0,68
CDM,14355900,VBG WITH CALC 02 SAT,376.0,,13.29,338.4,68
CDM,14359081,AMMONIA BLOOD,190.0,,13.4,171.0,68
CDM,14359500,ELECTROLYTE PANEL,178.0,,3.21,160.2,68
CDM,14359511,BASIC METABOLIC PANEL,340.0,,7.2,306.0,68
CDM,14360091,HIV TYPE 1 ANTIBODY**,312.0,,18.0,280.8,68
CDM,14360092,HIV TYPE 2 ANTIBODY**,312.0,,18.0,280.8,68
CDM,14360289,HEPATITIS C ANTIBODY,309.0,,8.0,278.1,68
CDM,14382435,CHLORIDE BLOOD,73.0,,2.34,65.7,68
CDM,14520010,HEART ACQUISITION,145868.0,,72934.0,131281.2,54
CDM,14520012,HEART/LUNG ACQUISITION,279492.0,,139746.0,251542.8,54
CDM,14600382,TISSUE CARTILAGE COSTAL,1163.0,,581.5,2084.51,62
CDM,14600671,TISS TENDON SEMITENDINOSUS FZ,2724.0,,1362.0,2451.6,61
CDM,14602048,ALLODERM READY TO USE 4X12CM,3361.0,,95.49,3024.9,62
CDM,14602210,SPACER RTI PARALLEL 14X14MM,1871.0,,935.5,1683.9,61
CDM,14602390,GRFT NERVE AVANCE 1-5MMX15MM,4056.0,,2028.0,3650.4,61
CDM,14602391,GRAFT NERVE AVANCE 1-5MMX30MM,5384.0,,367.53,4845.6,62
CDM,14602392,GRAFT NERVE AVANCE 1-3MMX50MM,7636.0,,3818.0,6872.4,61
CDM,14602393,GRAFT NERVE AVANCE 3-5MMX50MM,8872.0,,4436.0,7984.8,61
CDM,14602394,GRAFT NERVE AVANCE 1-3MMX70MM,11606.0,,5803.0,10445.4,61
CDM,14602395,GRAFT NERVE AVANCE 3-5MMX70MM,10098.0,,367.53,9088.2,62
CDM,14602737,WEDGE ILIUM TRICORTICAL FROZEN,1125.0,,562.5,1012.5,61
CDM,14603082,TENDON ACHILLES W/STRUT,3468.0,,1734.0,3121.2,61
CDM,14603085,BONE CANCELLOUS 1-4MM 30CC,1122.0,,561.0,1009.8,61
CDM,14603092,SPACER RTI CONVEX 10X14X11MM,1260.0,,630.0,1134.0,56
CDM,14603296,GRAFT TISSUE DENOVO NT,10023.0,,5011.5,9020.7,61
CDM,14607973,ALLODERM THIN IMPLANTABLE 2X4,1125.0,,95.49,1012.5,56
CDM,14608070,TISS SEMITENDINOSUS W/GRACILIS,4206.0,,2103.0,3785.4,56
CDM,14608073,TISSUE TENDON TIBIALIS ANTER,3995.0,,1997.5,3595.5,61
CDM,14609311,ALLOGRAFT WDGE ILIAC CREST LRG,2217.0,,1108.5,1995.3,61
CDM,14609772,SHAFT FEMORAL HEMI,2422.0,,1211.0,2179.8,61
CDM,14609773,TISS BNE CANCELOUS 4-10MM 30CC,1155.0,,577.5,1039.5,61
CDM,14612310,30CC CANCELLOUS,1126.0,,563.0,1013.4,61
CDM,14613956,PROKERA BIO-TISSUE,2412.0,,346.5,2170.8,62
CDM,14616207,TISS TENDON SEMITENDINOSUS,2749.0,,1374.5,2474.1,61
CDM,14616272,ALLGRAFT PLACENTAL STRAVIX,2071.0,,166.14,1863.9,56
CDM,14616280,ALLOGRAFT SPACER CERVICAL LO,2456.0,,1228.0,2210.4,61
CDM,14616289,ALLOGRAFT TENDON GRAFTLINK,5277.0,,2638.5,4749.3,61
CDM,14616290,ALLOGRAFT TENDON GRAFTLINK,5330.0,,2084.51,4797.0,62
CDM,14616294,DERMIS ACELLULAR DERMAMATRIX,8943.0,,139.0,8048.7,56
CDM,14616393,ALLOGRAFT WDGE ILIAC CREST SM,1563.0,,781.5,1406.7,61
CDM,14616395,BIODFENCE G3 2.0CM X 6.0CM,6728.0,,3364.0,6055.2,61
CDM,14616396,BIODRESTORE,6243.0,,3121.5,5618.7,61
CDM,14616397,BIODRESTORE MEDIUM,1341.0,,670.5,1206.9,61
CDM,14616415,INTEGRA WOULD MATRIX,5027.0,,59.93,4524.3,56
CDM,14616430,ALLOGRAFT AMNION BIODFACTOR  L,6247.0,,3123.5,5622.3,61
CDM,14616431,ALLOGRAFT AMNION BIODFACTOR  M,3156.0,,1578.0,2840.4,61
CDM,14616433,ALLOGRAFT AMNION BIODFACTO  XL,9685.0,,2084.51,8716.5,62
CDM,14616434,ALLOGRAFT AMNION BIODFACT  XXL,13788.0,,6894.0,12409.2,61
CDM,14616445,GRAFT BIODFENCE G3 1.5X2CM,3432.0,,201.1,3088.8,56
CDM,14616446,GRAFT BIODFENCE G3 2X2CM,3560.0,,201.1,3204.0,56
CDM,14616447,GRAFT BIODFENCE G3 2X3CM,4370.0,,201.1,3933.0,56
CDM,14616448,GRAFT BIODFENCE G3 2X4CM,4982.0,,201.1,4483.8,56
CDM,14616449,GRAFT BIODFENCE G3 3X6CM,8189.0,,346.5,7370.1,56
CDM,14616450,GRAFT BIODFENCE G3 4X4CM,8196.0,,201.1,7376.4,56
CDM,14616451,GRAFT BIODFENCE G3 4X8CM,9657.0,,4828.5,8691.3,61
CDM,14616453,GRAFT BIODRESTOR L,2530.0,,1265.0,2277.0,61
CDM,14616455,GRAFT BIODRESTORE XL,4481.0,,2240.5,4032.9,61
CDM,14616456,GRFT ZEN ALPHA,35541.0,,1667.17,31986.9,62
CDM,14617472,VALVE HOMOGRAFT CRYO SG,32061.0,,16030.5,28854.9,61
CDM,14620148,VLV AORTIC HOMOGRAFT 10MM,29241.0,,14620.5,26316.9,56
CDM,14641031,COSTAL CARTILAGE,1076.0,,538.0,968.4,61
CDM,14642001,DBX MIX 10CC,2613.0,,1306.5,2351.7,61
CDM,14642010,DBX PUTTY 0.5CC,315.0,,157.5,283.5,61
CDM,14642011,DBX PUTTY 1CC,493.0,,246.5,443.7,61
CDM,14642012,DBX PUTTY 5CC,1625.0,,812.5,1462.5,61
CDM,14642013,DBX PUTTY 10CC,2557.0,,1278.5,2301.3,61
CDM,14642014,CONVEX ACF SPACER,2738.0,,1369.0,2464.2,61
CDM,14642015,DBM CRUNCH 15CC,1763.0,,881.5,1586.7,61
CDM,14642016,DBM MATRIX PLF 10CM,5737.0,,2868.5,5163.3,61
CDM,14642042,SPACER ACF ADVANCED,2768.0,,1384.0,2491.2,61
CDM,14642051,PATELLA TENDON (WHOLE),6425.0,,3212.5,5782.5,61
CDM,14642060,PLIF SPACER,5473.0,,2736.5,4925.7,61
CDM,14642104,SPACER ARCH ODL ANGLED,2525.0,,1262.5,2272.5,61
CDM,14642108,DBM CRUNCH 5CC,2080.0,,1040.0,1872.0,61
CDM,14642113,DBX PUTTY 2.5CC,890.0,,445.0,801.0,61
CDM,14642121,DBM MATRIX STRIPS,3113.0,,1556.5,2801.7,61
CDM,14642123,SEMI TENDINOSUS W/GRACILIS FZ,3092.0,,1546.0,2782.8,61
CDM,14642129,VALVE AORTIC CRYOLIFE,30292.0,,15146.0,27262.8,56
CDM,14642132,GRAFT NERVE AVANCE 30MM,1091.0,,545.5,981.9,56
CDM,14642134,TIBIALIS ANTERIOR TN,4949.0,,2474.5,4454.1,61
CDM,14642135,30CC CANCELLOUS MIAMI,998.0,,499.0,898.2,61
CDM,14642137,DBM ORTHOBLEND 5CC,2215.0,,1107.5,1993.5,61
CDM,14642142,SPACER ALIF MTF,7360.0,,3680.0,6624.0,61
CDM,14642414,DERMAMATRIX 4X7,1926.0,,608.95,1733.4,62
CDM,14642423,SPACER ALIF LUMINARY,11013.0,,5506.5,9911.7,56
CDM,14642429,ALLODERM 2X4,595.0,,95.49,535.5,62
CDM,14642437,MEMBRANE AMNIOTIC,2146.0,,346.5,1931.4,62
CDM,14642438,CUBE CONFORM SYNTHES 9MM,2309.0,,1154.5,2078.1,61
CDM,14642441,15CC CANCELLOUS,660.0,,330.0,594.0,61
CDM,14642448,ALLODERM THIN 4X7,662.0,,95.49,595.8,56
CDM,14642452,GRACILIS TENDON,2858.0,,1429.0,2572.2,61
CDM,14642455,TENDON PATELLA W/STRUT HEMI,4849.0,,2424.5,4364.1,61
CDM,14642456,TENDON PATELLA W/STRUT WHOLE,7566.0,,3783.0,6809.4,61
CDM,14642463,TRICORTICAL BLOCK 5.0+,4157.0,,2078.5,3741.3,61
CDM,14643103,PUTTY DBM ASEPTIC GRAFTON 2.5C,255.0,,127.5,229.5,61
CDM,14720011,LUNG ACQUISITION - CADAV,105098.0,,52549.0,94588.2,54
CDM,14720022,DOUBLE LUNG ACQUISITION,133624.0,,66812.0,120261.6,54
CDM,14820090,INTESTINE ACQUISITION CADAVER,148768.0,,74384.0,133891.2,54
CDM,14830090,LOCAL LIVER ACQUISITION CADAVE,119256.0,,59628.0,107330.4,54
CDM,14901925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,15010040,RECOVERY 1ST HR-RECOVERY WARD,4257.0,,2128.5,3831.3,56
CDM,15010041,RECOVERY EACH ADDL 15 MINS,475.0,,237.5,427.5,56
CDM,15010400,ELECTROCONVULSIVE THERAPY,2450.0,,138.0,2205.0,68
CDM,15040011,PACU RECOVERY STEPDOWN ADDL 15,395.0,,197.5,355.5,56
CDM,15090003,ROOM & BED CHARGE VPR5,2117.0,,1058.5,7500.0,38
CDM,15090004,ROOM & BED CHARGE VPR7,2117.0,,1058.5,7500.0,38
CDM,15092640,AUD ANALYSIS BRNSTM IMPLNT/HR,275.0,,128.87,247.5,68
CDM,15100104,COLON CANCER SCR SIGMOIDOSCOPY,1789.0,,715.6,1610.1,68
CDM,15100105,COLON CANCER SCR COLON HR,3653.0,,750.95,3287.7,68
CDM,15100121,COLON CANCER SCR NON-HR,3149.0,,750.95,2834.1,68
CDM,15100500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,15131624,BRONCHOSC W/LAVAGE ALVEOLAR,3595.0,,1420.41,3235.5,68
CDM,15143180,ESOPHAGOSC RIGID W/DIVER/MYOT,14876.0,,4872.59,13388.4,68
CDM,15143196,ESOPHAGOSC RIGID W/GW,7364.0,,1562.51,6627.6,68
CDM,15143197,ESOPHAGOSC FLEX SPECIMEN,2547.0,,772.25,2292.3,68
CDM,15143198,ESOPHAGOSC FLEX W/BX,2547.0,,772.25,2292.3,68
CDM,15143200,ESOPHAGOSC FLEX TRANSOR DX,3902.0,,772.25,3511.8,68
CDM,15143201,ESOPHAGOSC W/SUBMUCOSAL INJ,2633.0,,1053.2,2369.7,68
CDM,15143202,ESOPHAGOSC FLEX W/BIOPSY,5218.0,,1562.51,4696.2,68
CDM,15143204,ESOPHAGOSC W/SCLERO INJECT,4246.0,,1562.51,3821.4,68
CDM,15143205,ESOPHAGOSC W/BAND VARICES,4624.0,,1562.51,4161.6,68
CDM,15143206,ESOPHAGOSC FLEX W/OPTICAL,3215.0,,1286.0,2893.5,68
CDM,15143210,EGD FLEX W/ESOPH FUNDOPL,15642.0,,6256.8,14077.8,68
CDM,15143211,ESOPHAGOSC FLEX W/RESECT,2547.0,,1018.8,2335.27,68
CDM,15143212,ESOPHAGOSC FLEX W/STENT,7548.0,,3019.2,7328.13,68
CDM,15143213,ESOPHAGOSC FLEX RETRO,4107.0,,1562.51,3696.3,68
CDM,15143214,ESOPHAGOSC FLEX DIL 30,1790.0,,716.0,2335.27,68
CDM,15143215,ESOPHAGOSC W/REMOVE FB,3299.0,,1319.6,2969.1,68
CDM,15143216,ESOPHAGOSC W/HOT BX FORCEPS,3418.0,,1367.2,3076.2,68
CDM,15143217,ESOPHAGOSC REM LESION BY SNARE,3261.0,,1304.4,2934.9,68
CDM,15143220,ESOPHAGOSC W/DILAT BALLOON,3623.0,,1449.2,3260.7,68
CDM,15143226,ESOPHAGOSC W/DILAT GD WIRE,3278.0,,1311.2,2950.2,68
CDM,15143227,ESOPHAGOSC W/CONTROL BLEED,3365.0,,1346.0,3028.5,68
CDM,15143229,ESOPHAGOSC FLEX W/ABLAT,7451.0,,2980.4,6705.9,68
CDM,15143231,ESOPHAG FLEX TRAN W/ENDO US,3835.0,,1534.0,3451.5,68
CDM,15143232,ESOPHAGOSC W/ASP/BX,4180.0,,1562.51,3762.0,68
CDM,15143233,EGD W/DILAT ESOPH BALLOON 30,3468.0,,1387.2,3121.2,68
CDM,15143235,EGD DX W/BRUSHING/WASHING,4400.0,,772.25,3960.0,68
CDM,15143236,EGD W/SUBMUCOSAL INJECTION,4035.0,,772.25,3631.5,68
CDM,15143237,EGD W/US EXAM ESOPHAGUS,4616.0,,1562.51,4154.4,68
CDM,15143238,EGD W/US GUIDED FNA/BX,5988.0,,1562.51,5389.2,68
CDM,15143239,EGD FLEX W/BIOPSY,4844.0,,772.25,4359.6,68
CDM,15143240,EGD W/DRAIN PSEUDOCYST,5456.0,,2182.4,7328.13,68
CDM,15143241,EGD FLEX W/INS TUBE/CATH,3966.0,,1562.51,3569.4,68
CDM,15143242,EGD FLEX W/US ASP/BX,7526.0,,1562.51,6773.4,68
CDM,15143243,EGD W/SCLEROIS INJ ESOPH/GAST,4014.0,,1562.51,3612.6,68
CDM,15143244,EGD W/LIG VARICES ESOPH/GAST,5243.0,,1562.51,4718.7,68
CDM,15143245,EGD W/DILATION GASTRIC STRICT,4244.0,,1562.51,3819.6,68
CDM,15143246,EGD W/PLACE G-TUBE,3694.0,,1477.6,3324.6,68
CDM,15143247,EGD W/REMOVE FB,4275.0,,772.25,3847.5,68
CDM,15143248,EGD W/DILAT ESOPH GD WIRE,4653.0,,772.25,4187.7,68
CDM,15143249,EGD FLEX W/BALLOON DIL,4510.0,,1562.51,4059.0,68
CDM,15143250,EGD REM TUMR/POLYP FORCEP,3548.0,,1419.2,3193.2,68
CDM,15143251,EGD REM TUMR/POLYP SNARE,4118.0,,1562.51,3706.2,68
CDM,15143252,EGD W/OPTICAL ENDOMICROSCOPY,10342.0,,1562.51,9307.8,68
CDM,15143253,EGD W/US INJ/MARKER,4087.0,,1562.51,3678.3,68
CDM,15143254,EGD W/MUCOSAL RESECTION,4456.0,,1562.51,4010.4,68
CDM,15143255,EGD W/CONTROL BLEED,5199.0,,1562.51,4679.1,68
CDM,15143257,EGD FLEX W/THRML TX GERD,8769.0,,3133.7,7892.1,68
CDM,15143259,EGD W/ENDO US DUO/JEJUNUM,7468.0,,1562.51,6721.2,68
CDM,15143260,ERCP DIAGNOSTIC,6360.0,,2544.0,5724.0,68
CDM,15143261,ERCP W/BIOPSY,6484.0,,2593.6,5835.6,68
CDM,15143262,ERCP W/SPHINCT/PAPILLOTOMY,9202.0,,3133.7,8281.8,68
CDM,15143263,ERCP W/PRESS MEASR SPHNCHTR,6823.0,,1562.51,6140.7,68
CDM,15143264,ERCP W/REM CALCULI/DEBR/DUCTS,9518.0,,3133.7,8566.2,68
CDM,15143265,ERCP DESTCALCULI ANY METHOD,7458.0,,2983.2,7328.13,68
CDM,15143266,EGD W/ENDOSCOPIC STENT PLACE,7080.0,,2832.0,7328.13,68
CDM,15143270,EGD W/ABLAT TUMR/POLYP/LESN,5195.0,,1562.51,4675.5,68
CDM,15143273,ENDO PANCREATOSCOPY DIR VIS,7293.0,,2917.2,6563.7,56
CDM,15143274,ERCP W/INS STENT/TUBE,8696.0,,3478.4,7826.4,68
CDM,15143275,ERCP W/FB/STENT REMOVAL,7492.0,,1562.51,6742.8,68
CDM,15143276,ERCP W/STENT EXCHANGE,7875.0,,3150.0,7328.13,68
CDM,15143277,ERCP W/DILATION BALLOON,7391.0,,2956.4,6651.9,68
CDM,15143278,ERCP W/ABLAT TUMR/POLYP/LESN,5322.0,,2128.8,4789.8,68
CDM,15143289,ESOPHAGUS LAPAROSCOPY UNLSTD,14844.0,,4805.62,13359.6,68
CDM,15143450,DIL ESOPH SOUND OR BOUGIE,2582.0,,772.25,2323.8,68
CDM,15143453,DIL ESOPH OVER GUIDEWIRE,2743.0,,1097.2,2468.7,68
CDM,15143497,TRANSORAL LOWER ESOPH MYOTOMY,8820.0,,3528.0,7938.0,68
CDM,15143499,ESOPHAGUS UNLSTD PROC,2218.0,,772.25,1996.2,68
CDM,15143752,PLACE TUBE NASOGASTRIC,1144.0,,328.68,1029.6,68
CDM,15143757,DX DUOL INTUBAJ & ASPIR MLT,2202.0,,772.25,1981.8,68
CDM,15143761,REPOSITION G-TUBE,2407.0,,200.33,2166.3,68
CDM,15143762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,15143763,RPLC GTUBE REVJ GSTRST TRC,1143.0,,200.33,1028.7,68
CDM,15143999,STOMACH UNLSTD PROC-ENDL,2053.0,,772.25,1847.7,68
CDM,15144360,ENDO SMALL INTESTINE,3655.0,,1462.0,3289.5,68
CDM,15144361,ENDO SMALL INTEST W/BIOPSY,3814.0,,1525.6,3432.6,68
CDM,15144363,ENDO SMALL INTEST W/REM FB(S),3750.0,,1500.0,3375.0,68
CDM,15144364,ENDO SMALL INTEST W/REM SNARE,3581.0,,1432.4,3222.9,68
CDM,15144365,ENDO SMALL INTEST W/REM FORCEP,3625.0,,1450.0,3262.5,68
CDM,15144366,ENDO SMALL INTEST CNTRL BLD,5471.0,,1562.51,4923.9,68
CDM,15144369,ENDO SMALL INTEST ABLAT TUMR,3712.0,,1484.8,3340.8,68
CDM,15144370,ENDO SMALL INTEST W/PL STENT,5846.0,,2338.4,7328.13,68
CDM,15144372,ENDO SMALL INTEST W/PL J-TUBE,4285.0,,1562.51,3856.5,68
CDM,15144373,ENDO SMALL INTEST G-J,3562.0,,1424.8,3205.8,68
CDM,15144376,ENDO SMALL INTEST/ILIUM,3924.0,,1562.51,3531.6,68
CDM,15144377,ENDO SMALL INTEST/ILIUM W/BX,5011.0,,1562.51,4509.9,68
CDM,15144378,ENDO SMALL INTEST/ILIUM BLEED,5035.0,,1562.51,4531.5,68
CDM,15144379,ENDO SMALL INTEST/ILIUM STENT,7313.0,,2925.2,7328.13,68
CDM,15144380,ILEOSCOPY THRU STOMA,2986.0,,772.25,2687.4,68
CDM,15144381,ILEOSCOPY STOMA W/DIL,2510.0,,1004.0,2335.27,68
CDM,15144382,ILEOSCOPY THRU STOMA W/BX,3994.0,,772.25,3594.6,68
CDM,15144384,ILEOSCOPY THRU STOMA W/STENT,5404.0,,1562.51,4863.6,68
CDM,15144385,ENDO EVAL SMALL INTEST POUCH,3493.0,,750.95,3143.7,68
CDM,15144386,ENDO EVAL SM INTEST POUCH W/BX,4349.0,,750.95,3914.1,68
CDM,15144388,COLONOSCOPY THRU STOMA,3505.0,,750.95,3154.5,68
CDM,15144389,COLONOSCOPY STOMA W/BIOPSY,4099.0,,971.18,3689.1,68
CDM,15144390,COLONOSCOPY STOMA W/REM FB,3440.0,,750.95,3096.0,68
CDM,15144391,COLONOSCOPY STOMA CNTRL BLEED,5456.0,,971.18,4910.4,68
CDM,15144392,COLONOSCOPY STOMA W/FORCEP,4207.0,,971.18,3786.3,68
CDM,15144394,COLONOSCOPY STOMA W/SNARE,4028.0,,971.18,3625.2,68
CDM,15144401,COLONOSCOPY STOMA W/ABLAT,4257.0,,971.18,3831.3,68
CDM,15144402,COLONOSCOPY STOMA STENT PLACE,5336.0,,2134.4,7328.13,68
CDM,15144403,COLONOSCOPY STOMA W/RESECT,2663.0,,971.18,2396.7,68
CDM,15144404,COLONOSCOPY STOMA W/INJECT,2511.0,,971.18,2259.9,68
CDM,15144405,COLONOSCOPY STOMA W/DILAT,2511.0,,971.18,2259.9,68
CDM,15144406,COLONOSCOPY STOMA W U/S,2511.0,,971.18,2259.9,68
CDM,15144407,COLONOSCOPY STOMA W/FNA/BX,2511.0,,971.18,2259.9,68
CDM,15144408,COLONOSCOPY STOMA W/DECOMP,2511.0,,750.95,2259.9,68
CDM,15144705,PREPARE FECAL MICROBIOTA FOR,4960.0,,98.69,4464.0,57
CDM,15144799,SM INTESTINE UNLISTED PROCED,7681.0,,772.25,6912.9,68
CDM,15145100,BX WALL ANORECTAL RECTAL APPR,5044.0,,2017.6,4539.6,68
CDM,15145190,DEST TUMR RECTAL,6782.0,,2258.84,6103.8,68
CDM,15145300,PROCTOSIGMOID RIGID,1755.0,,702.0,1579.5,68
CDM,15145303,PROCTOSIGMOID W/DILAT,3565.0,,971.18,3208.5,68
CDM,15145305,PROCTOSIGMOID W/BIOPSY,3213.0,,971.18,2891.7,68
CDM,15145307,PROCTOSIGMOID W/REM FB,1738.0,,695.2,3375.98,68
CDM,15145308,PROCTOSIGMOID TUM/POLYP FORCEP,1971.0,,788.4,3375.98,68
CDM,15145309,PROCTOSIGMOID TUM/POLYP SNARE,1973.0,,789.2,1775.7,68
CDM,15145315,PROCTOSIGMOID TUM/POLYP HOT BX,3685.0,,971.18,3316.5,68
CDM,15145317,PROCTOSIGMOID CONTROL BLEED,2786.0,,971.18,2507.4,68
CDM,15145320,PROCTOSIGMOID ABLAT TUM/POLYP,5570.0,,2228.0,5013.0,68
CDM,15145321,PROCTOSIGMOID DECOMP,4222.0,,1688.8,3799.8,68
CDM,15145327,PROCTOSIGMOID PL STENT,5838.0,,2335.2,7328.13,68
CDM,15145330,SIGMOIDOSCOPY FLEX,2360.0,,750.95,2124.0,68
CDM,15145331,SIGMOIDOSCOPY W/BIOPSY,2755.0,,750.95,2479.5,68
CDM,15145332,SIGMOIDOSCOPY W/REM FB(S),3316.0,,971.18,2984.4,68
CDM,15145333,SIGMOIDOSCOPY REM LES FORCEP,3457.0,,750.95,3111.3,68
CDM,15145334,SIGMOIDOSCOPY W/CONTROL BLEED,3239.0,,971.18,2915.1,68
CDM,15145335,SIGMOIDOSCOPY W/SUBMUCOSAL INJ,2700.0,,750.95,2430.0,68
CDM,15145337,SIGMOIDOSCOPY W/DECOMPRESSION,3158.0,,750.95,2842.2,68
CDM,15145338,SIGMOIDOSCOPY TUM/POLYP SNARE,3156.0,,971.18,2840.4,68
CDM,15145340,SIGMOIDOSCOPY W/BALLOON DIL,3386.0,,971.18,3047.4,68
CDM,15145341,SIGMOIDOSCOPY W/ULTRASOUND,5555.0,,750.95,4999.5,68
CDM,15145342,SIGMOIDOSCOPY W/NDL ASP/BX,5453.0,,971.18,4907.7,68
CDM,15145346,SIGMOIDOSCOPY ABL TUM/POLYP,4821.0,,971.18,4338.9,68
CDM,15145347,SIGMOIDOSCOPY PLACE STENT,7300.0,,2920.0,7328.13,68
CDM,15145349,SIGMOIDOSCOPY W/RESECTION,5693.0,,2258.84,5123.7,68
CDM,15145350,SIGMOIDOSCOPY W/BAND LIGATION,4328.0,,971.18,3895.2,68
CDM,15145378,COLONOSCOPY FLEXIBLE,4960.0,,750.95,4464.0,68
CDM,15145379,COLONOSCOPY FLEX W/REM FB,4557.0,,971.18,4101.3,68
CDM,15145380,COLONOSCOPY FLEX W/BIOPSY,5186.0,,971.18,4667.4,68
CDM,15145381,COLONOSCOPY FLEX W/INJ SUBMUC,4737.0,,971.18,4263.3,68
CDM,15145382,COLONOSCOPY FLEX W/CNTRL BLEED,4893.0,,971.18,4403.7,68
CDM,15145384,COLONOSCOPY FLEX W/REM FORCEP,5635.0,,971.18,5071.5,68
CDM,15145385,COLONOSCOPY FLEX W/REM SNARE,5635.0,,971.18,5071.5,68
CDM,15145386,COLONOSCOPY FLEX W/BLLN DILAT,4246.0,,971.18,3821.4,68
CDM,15145388,COLONOSCOPY FLEX W/ABLAT TUMR,5106.0,,971.18,4595.4,68
CDM,15145389,COLONOSC FLEX W/ENDO STENT PLA,9265.0,,3706.0,8338.5,68
CDM,15145390,COLONOSCOPY FLEXI W/ENDO RESEC,2821.0,,1128.4,3375.98,68
CDM,15145391,COLONOSCOPY FLEX W/US,3919.0,,971.18,3527.1,68
CDM,15145392,COLONOSCOPY FLEX W/TRANS US,4736.0,,971.18,4262.4,68
CDM,15145393,COLONOS W/DECOMPRESSION,2511.0,,971.18,2259.9,68
CDM,15145398,COLONOS W/BAND LIGATION,3787.0,,971.18,3408.3,68
CDM,15145399,UNLISTED PROCEDURE COLON,2403.0,,750.95,2162.7,68
CDM,15145499,UNLISTED LAP PROC RECTUM,13218.0,,4805.62,11896.2,68
CDM,15145905,DIL SPHINCTER ANAL W/ANES,3629.0,,971.18,3266.1,68
CDM,15145910,DIL STRICT RECTAL W/ANES,4091.0,,971.18,3681.9,68
CDM,15145999,RECTUM UNLSTD PROC,3453.0,,750.95,3107.7,68
CDM,15146221,HEMORRHOIDECTOMY,1957.0,,750.95,1761.3,68
CDM,15146500,SCLEROTHERAPY HEMORRHOIDS,2255.0,,750.95,2029.5,68
CDM,15146600,ANOSCOPY,493.0,,106.17,443.7,68
CDM,15146601,ANOSCOPY HRA DX W/ COLLECTION,576.0,,230.4,518.4,68
CDM,15146606,ANOSCOPY W/BIOPSY,2203.0,,881.2,1982.7,68
CDM,15146608,ANOSCOPY W/REM FB,1771.0,,708.4,1593.9,68
CDM,15146610,ANOSCOPY REM TUM/POLYP FORCEP,3426.0,,1370.4,3375.98,68
CDM,15146611,ANOSCOPY REM TUM/POLYP SNARE,1813.0,,725.2,1631.7,68
CDM,15146614,ANOSCOPY W/CONTROL BLEEDING,2626.0,,971.18,2363.4,68
CDM,15146615,ANOSCOPY W/ABLAT TUMR/POLYP,4882.0,,1952.8,4393.8,68
CDM,15146930,DEST HEMORRHOID THERMAL ENERGY,2652.0,,971.18,2386.8,68
CDM,15146945,LIG HEMORRHOID INTRNL SNGL,2457.0,,982.8,3375.98,68
CDM,15146946,LIG HEMORRHOID INTRNL 2/MORE,3194.0,,1277.6,3375.98,68
CDM,15147000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,68
CDM,15147531,INJ PROC CHOLANGIOGRAM,1355.0,,542.0,4344.41,68
CDM,15147999,BILIARY TRACT UNLSTD PROC,2053.0,,772.25,1847.7,68
CDM,15148105,RESECT/DEBR PANCREAS,3496.0,,1398.4,3146.4,56
CDM,15148999,PANCREAS UNLSTD PROC,1708.0,,579.53,1537.2,68
CDM,15149084,PERITONEAL LAVAGE W/ IMAGING,2642.0,,772.25,2377.8,68
CDM,15149422,REMOVE CATH INTRAPERITONEAL,6982.0,,2592.52,6283.8,68
CDM,15149441,INSERT DUODEN/JEJUN TBE FLUORO,2053.0,,821.2,2335.27,68
CDM,15149446,CHG G-TB TO GJ-TB PERC FLUORO,3766.0,,1506.4,3389.4,68
CDM,15149450,RPLC G/CEC/OTH TB UNDER FLUO,2680.0,,772.25,2412.0,68
CDM,15149451,RPLC DUODEN/JEJUN TB FLUORO,2183.0,,772.25,1964.7,68
CDM,15149452,RPLC GASTRO-JEJUN TB FLUORO,2985.0,,772.25,2686.5,68
CDM,15164680,DEST NRV CELIAC PLEXUS,4642.0,,733.31,4177.8,68
CDM,15164999,NERVOUS SYS UNLSTD PROC-ENDO,679.0,,243.14,611.1,68
CDM,15174220,XR ESOPHAGUS,1151.0,,52.0,1035.9,68
CDM,15174328,XR CATH BILIARY ONLY,1810.0,,143.6,1629.0,56
CDM,15174329,XR CATH PANCREATIC ONLY,1990.0,,141.76,1791.0,56
CDM,15174330,XR ERCP CATH BILIARY&PANCREAS,3380.0,,61.0,3042.0,56
CDM,15174360,XR DILATION STRICTURE,1390.0,,24.0,1251.0,56
CDM,15175984,XR CHANGE TUBE/DRAINAGE CATH,1579.0,,50.0,1421.1,55
CDM,15176000,XR FLUORO,1051.0,,10.0,945.9,68
CDM,15176496,XR FLUORO UNLSTD PROC,164.0,,72.52,229.12,68
CDM,15176872,US TRANSRECTAL PROSTATE,1553.0,,87.59,1397.7,68
CDM,15176942,US GUIDED NEEDLE BX,1891.0,,91.0,1701.9,55
CDM,15177012,CT GUIDED NEEDLE PLACEMENT,4475.0,,378.0,4027.5,55
CDM,15183013,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,15191034,ACID REFLUX TEST NASAL PH ELEC,2203.0,,183.0,1982.7,68
CDM,15191035,ACID REFLUX TEST MUCOSAL ELECT,1571.0,,437.05,1413.9,68
CDM,15191037,ACID REFLUX TEST NASAL INTLUM,1922.0,,169.3,1729.8,68
CDM,15191038,ACID REFLUX TEST INTLUM PROLON,2216.0,,321.13,1994.4,68
CDM,15191040,ESOPHAG BALLOON DISTENT STUDY,2186.0,,437.05,1967.4,68
CDM,15191110,IMAGE GI TRACT ESOPH W/REP,4389.0,,686.0,3950.1,68
CDM,15191120,TEST RECTAL SENSATION TONE COM,1910.0,,120.0,1719.0,68
CDM,15193976,DUPLEX ABD/PEL/RETRO LTD,1300.0,,65.0,1170.0,67
CDM,15196570,PHOTODYNAMIC THRPY 1ST 30 MIN,777.0,,310.8,699.3,56
CDM,15196571,PHOTODYNAMIC THRPY ADD 15 MIN,359.0,,143.6,323.1,56
CDM,15199153,CONSC SED BY SAME MD EA ADD 15,290.0,,145.0,261.0,56
CDM,15280013,OBSERV PER HR - MCCU,181.0,,63.6,2436.0,57
CDM,15290003,ROOM & BED CHARGE MCCU,5709.0,,1864.0,7500.0,38
CDM,15500001,SARNS VENT,59.0,,29.5,53.1,56
CDM,15500002,PRESS MONITOR SET-UP CLOSED,1289.0,,644.5,1160.1,56
CDM,15500004,DLP CP NEEDLE,444.0,,222.0,399.6,56
CDM,15500005,CELL SAVER SUCTION TUBING,120.0,,60.0,108.0,56
CDM,15500006,DLP ART CANN,319.0,,159.5,287.1,56
CDM,15500007,DLP VENOUS CANN,281.0,,140.5,252.9,56
CDM,15500008,PACER CABLE,320.0,,160.0,288.0,56
CDM,15500010,PERFUSION LINE 1/4 X 1/4,76.0,,38.0,68.4,56
CDM,15500011,DLP 5 HOLE VENOUS CANN,431.0,,215.5,387.9,56
CDM,15500012,HAND HELD CANN,159.0,,79.5,143.1,56
CDM,15500013,BIOMEDICUS PUMP HEAD,517.0,,258.5,465.3,56
CDM,15500014,PERCUTANEOUS CANN,685.0,,342.5,616.5,56
CDM,15500015,CP ACCESSORY PACK,267.0,,133.5,240.3,56
CDM,15500035,ARGYLE ART CANNULA,315.0,,157.5,283.5,56
CDM,15500036,RMP CANNULA,198.0,,99.0,178.2,56
CDM,15500037,TOURNIQUET,80.0,,40.0,72.0,56
CDM,15500052,SENSOR CEREBRAL OX ADULT,372.0,,186.0,334.8,56
CDM,15500057,KIT INSERTION MEDTRONIC (MC3),1404.0,,702.0,1263.6,56
CDM,15500146,GDWIRE PLATINUM PLUS,190.0,,27.95,171.0,57
CDM,15500149,GUIDEWIRE PLATINUM PLUS,213.0,,27.95,191.7,57
CDM,15500201,HEADBAND RIGID(ECMO PATIENT),554.0,,277.0,498.6,56
CDM,15500211,DVC CYTOSORB 300ML COVID-19,2654.0,,1327.0,2388.6,56
CDM,15500300,CANN 30FR STR ANG LIGHT HOUSE,80.0,,40.0,72.0,56
CDM,15500322,RP FLEX W/SMART ASST SET US,46800.0,,23400.0,42120.0,56
CDM,15500420,HVAD CONTROLLER MEDTRONIC 1420,11896.0,,5948.0,10706.4,56
CDM,15500450,ALARM ADAPTER MEDTRONIC 1450,558.0,,279.0,502.2,56
CDM,15500466,GUIDEWIRE FIXED CORE,37.0,,18.5,33.3,57
CDM,15500701,CATH JUGULAR CRESCENT DUAL LUM,5750.0,,136.97,5175.0,62
CDM,15500760,STABILIZATION BELT MED/LRG,271.0,,135.5,243.9,61
CDM,15501007,BELT STABILIZATION HEARTMATE,281.0,,140.5,252.9,56
CDM,15501017,CANNULA LIFE SUPPORT 17 FR,802.0,,401.0,721.8,56
CDM,15501031,CANNULA DUAL LUMEN 27F / 31F,13500.0,,6750.0,12150.0,56
CDM,15501042,VEST HOLSTER HEARTMATE II (PC),730.0,,365.0,657.0,61
CDM,15501049,PUMP BLD CENTRIFUGAL CP37V-VO,404.0,,202.0,363.6,56
CDM,15501050,APICAL CORING KNIFE,1112.0,,556.0,1000.8,56
CDM,15501065,ECMO PACK DYNJ51065A,170.0,,85.0,153.0,56
CDM,15501100,DRIVELINE EXT CABLE HEARTWARE,4701.0,,2350.5,4230.9,61
CDM,15501103,PUMP HEARTWARE HVAD,197588.0,,98794.0,177829.2,61
CDM,15501121,PACK PERFUSION PUMP**,1615.0,,807.5,1453.5,56
CDM,15501122,PACK PERFUSION NURSE**,337.0,,168.5,303.3,56
CDM,15501125,GRAFT OUTFLOW 10MM HEARTWARE,5225.0,,2612.5,4702.5,61
CDM,15501220,GRAFT HEMAGARD KNIT STR 20CM,562.0,,281.0,505.8,61
CDM,15501260,CASE TRAVEL HEARTMATE II (PC),331.0,,165.5,297.9,56
CDM,15501340,HEARTMATE II POWER MODULE,12418.0,,6209.0,11176.2,61
CDM,15501401,CONTROLLER HEARTWARE,16732.0,,8366.0,15058.8,61
CDM,15501425,CONTROLLER AC ADAPTER HRTWARE,2587.0,,1293.5,2328.3,61
CDM,15501430,ADAPTER CONTROLLER AC 1430US,2025.0,,1012.5,1822.5,56
CDM,15501435,CONTROLLER DC ADAPTER HRTWARE,3917.0,,1958.5,3525.3,61
CDM,15501440,HEARTMATE II BATTERY CHARGER,11463.0,,5731.5,10316.7,56
CDM,15501450,ALARM ADAPTER HEARTWARE,721.0,,360.5,648.9,61
CDM,15501465,AMPL SUPER STIFF GUIDEWIRE,89.0,,27.95,80.1,57
CDM,15501468,CONTROL WIRE V-18 TM,214.0,,27.95,192.6,57
CDM,15501475,PATIENT CARRY CASE HEARTWARE,1112.0,,556.0,1000.8,56
CDM,15501480,CUST PK CB11L48R1 PARALLEL OXY,168.0,,84.0,151.2,56
CDM,15501491,STARTER GUIDEWIRE M001491770,204.0,,27.95,183.6,55
CDM,15501600,BATTERY CHARGER HEARTWARE,10707.0,,5353.5,9636.3,56
CDM,15501650,BATTERY LI ION HEARTWARE EACH,1902.0,,373.88,1711.8,61
CDM,15501728,TOOLS SURGICAL PUMP HVAD EXT L,5062.0,,2531.0,4555.8,56
CDM,15501911,ECMO MANAGEMENT-DAILY,21958.0,,10979.0,19762.2,57
CDM,15501913,KIT INSERT LINEAR W/GUIDEWIRE,316.0,,27.95,284.4,57
CDM,15502000,SHOWER BAG HEARTWARE,756.0,,378.0,680.4,61
CDM,15502001,CARDIOPLEGIA PROPLEGE PERIPH,7200.0,,3600.0,6480.0,56
CDM,15502002,CATH PULM THIN WALL ENDOVENT,3429.0,,1714.5,3086.1,56
CDM,15502050,PACK WAIST HEARTWARE,1071.0,,535.5,963.9,56
CDM,15502060,PACK SHOULDER HEARTWARE HVAD,1120.0,,560.0,1008.0,61
CDM,15502225,CABLE POWER MODULE THORATEC,2213.0,,1106.5,1991.7,61
CDM,15502230,CABLE POWER EMERG VAD THORATEC,561.0,,280.5,504.9,61
CDM,15502465,BATTERY VAD THORATEC GO-GEAR,1574.0,,787.0,1416.6,61
CDM,15502600,CUSTOM PACK CB9G37R1 L VD AC,92.0,,46.0,82.8,56
CDM,15502628,SHEATH DRYSEAL GORE 26F,748.0,,46.81,673.2,57
CDM,15502665,SHEATH DRYSEAL FLEX 26F 65CM,1189.0,,46.81,1070.1,57
CDM,15502865,SET CLIP BATTERY LVAD GOGEAR,2514.0,,1257.0,2262.6,61
CDM,15502994,TUBING PUMP CARMEDA COATED,132.0,,66.0,118.8,56
CDM,15502995,TUB CARMEDA COAT LIV SHUNT,738.0,,369.0,664.2,56
CDM,15503508,GDWIRE ANGLED GR3508,117.0,,27.95,105.3,57
CDM,15503631,KIT PROTEKDUO W/31F CANNULA,38694.0,,19347.0,34824.6,56
CDM,15503831,CATH BALLOON CODA,976.0,,208.48,878.4,57
CDM,15503859,SYSTEM MONITOR TO POWER MODULE,930.0,,465.0,837.0,61
CDM,15504025,SPRING WIRE GUIDE,30.0,,15.0,27.95,57
CDM,15504232,BAG SHOWER HEARTMATE II (PC),745.0,,372.5,670.5,61
CDM,15504629,CANN PROTEK DUO ECLS 29FR,22501.0,,11250.5,20250.9,56
CDM,15504683,KIT IMPELLA 5.0 PUMP CATHETER,82764.0,,41382.0,74487.6,56
CDM,15504800,KIT CATH IABP LINEAR 7.5F 40CC,1728.0,,864.0,1555.2,56
CDM,15504949,CANN SOFT-FLOW EXTENDED BODY,267.0,,133.5,240.3,56
CDM,15505170,HOLSTER VOYAGER FOR PUMP,1423.0,,711.5,1280.7,61
CDM,15505184,LUNG TX CUSTOM PACK MEDTRONIC,559.0,,279.5,503.1,56
CDM,15505401,ECG/EKG LEADWIRE  CURBELL,65.0,,32.5,58.5,56
CDM,15505437,ECMO CIRCUIT,1415.0,,707.5,1273.5,56
CDM,15505500,DVC IMPELLA 5.5 W/SMARTASSIST,79823.0,,39911.5,71840.7,61
CDM,15505710,TANDEMHEART PROCEDURE KIT,44839.0,,22419.5,40355.1,56
CDM,15505711,BLD PUMP CENTRIFUG TANDEMHEART,22111.0,,11055.5,19899.9,56
CDM,15505712,CANNULA TRANSSEPT TANDEMHEART,21005.0,,10502.5,18904.5,56
CDM,15505720,PROTEK DUO KIT-DL21,46633.0,,23316.5,41969.7,56
CDM,15505761,CANN SOFT-FLOW ANG WIRE REINF,132.0,,66.0,118.8,56
CDM,15505877,MINI APICAL CUFF KIT W/HOLDER,1098.0,,549.0,1478.44,62
CDM,15506128,BATTERY LI HEARTMATE II (PC),903.0,,451.5,812.7,61
CDM,15506129,KIT ACCESSORY HEARTMATE II,434.0,,217.0,390.6,56
CDM,15506361,ECMO CHANGEOUT PACK DYNJ56361A,88.0,,44.0,79.2,56
CDM,15506501,GDWIRE AMPLATZ SPR STIFF,135.0,,27.95,121.5,57
CDM,15506522,HEARTMATE 3 APICAL CUFF,2700.0,,1350.0,2430.0,61
CDM,15506535,CANN FEM ART BIO-MED CB96535,829.0,,414.5,746.1,56
CDM,15506762,CONTROLLER HEARTMATE II (PC),22102.0,,11051.0,19891.8,61
CDM,15506809,GDWIRE VERSACORE .035X260MODJ,182.0,,27.95,163.8,57
CDM,15507050,CARDIOHELP CIRCUT,18689.0,,9344.5,16820.1,56
CDM,15507100,VALVE RETROGUARD,78.0,,39.0,70.2,61
CDM,15507611,SHEATH SUPER ARROW-FLEX,116.0,,46.81,104.4,57
CDM,15507754,HEARTMATE III MOBILE POWER UNI,17689.0,,8844.5,15920.1,61
CDM,15508686,PUMP BLOOD PEDIMAG,22995.0,,11497.5,20695.5,56
CDM,15509021,RED BLOOD CELLS EACH UNIT,368.0,,118.87,331.2,68
CDM,15509655,KIT INSERTION BIO-MEDICUS,938.0,,469.0,844.2,56
CDM,15510001,CANNULA INFLOW CV EVAHEART,13296.0,,6648.0,11966.4,56
CDM,15510008,DISSECTOR EXPLANT EVAHEART,1071.0,,535.5,963.9,56
CDM,15510025,IMPELLA SIDEARM RETAINER,202.0,,101.0,181.8,56
CDM,15510026,CUSTOM PACK ECCOR2,251.0,,125.5,225.9,56
CDM,15510027,CATH BI-CAVAL AVALONELITE 27F,6139.0,,3069.5,5525.1,56
CDM,15510028,CUST PK HY11Q10R2 LUNG TX CI,817.0,,408.5,735.3,56
CDM,15510031,CATH BI-CAVAL AVALONELITE 31F,6231.0,,3115.5,5607.9,56
CDM,15510048,CATH IMPELLA VENT CP 4LT/M 14F,55276.0,,27638.0,49748.4,56
CDM,15510111,DRAIN TUBING OUTFLOW LASSO 3/8,19.0,,9.5,17.1,56
CDM,15510123,CANN FEM VEN PERC BIO-MED 23F,994.0,,497.0,894.6,56
CDM,15510330,KIT CUSTOM CEREBRAL PERFUSION,164.0,,82.0,147.6,56
CDM,15510422,VEST HOLSTER HEARTMATE,860.0,,430.0,774.0,61
CDM,15510612,WEARABLE ACCESSORY KIT LVAD,389.0,,194.5,350.1,56
CDM,15510644,BAG CONSOLIDATED HEARTMATE II,647.0,,323.5,582.3,61
CDM,15510801,EXTERNAL PACEMAKER 1-4 DAYS,1785.0,,714.0,1606.5,56
CDM,15510852,PUMP MGMT,11143.0,,4457.2,10028.7,56
CDM,15510853,BALLOON PUMP MGMT,10592.0,,4236.8,9532.8,56
CDM,15510854,HYBRID LUNG TX MNGT,20114.0,,8045.6,18102.6,56
CDM,15511000,CELL SAVER,3241.0,,8.76,2916.9,68
CDM,15511005,AUTOTRANSFUSION MGMT,5257.0,,2102.8,4731.3,56
CDM,15511120,THERMO CHEM HT2000 PROC KIT,8404.0,,4202.0,7563.6,56
CDM,15511121,THERMO CHEM ACCESSORY KIT,4278.0,,2139.0,3850.2,56
CDM,15511122,MYOCARDIAL TEMP SENSOR,1215.0,,607.5,1093.5,56
CDM,15511915,LIVER TRANSPLANT MONITORING,3049.0,,1524.5,2744.1,57
CDM,15511950,HEMOFILITRATION,918.0,,459.0,826.2,56
CDM,15511951,OXYGENATR MEMBRANEUNIVOXADLT,2551.0,,1275.5,2295.9,56
CDM,15512210,KIT AVALONELITE 210CM,476.0,,27.95,428.4,57
CDM,15513006,PRESSURE SUPPLIES,2416.0,,1208.0,2174.4,56
CDM,15513733,RESERVOIR CARDIOTOMY 4L,164.0,,82.0,147.6,56
CDM,15515383,CANN ARTERIAL FEM-FLEX II,450.0,,225.0,405.0,56
CDM,15518686,PUMP BLOOD CENTRIMAG,46475.0,,23237.5,41827.5,56
CDM,15518974,CANNULA ARTERIAL OPTISITE,466.0,,233.0,419.4,56
CDM,15520002,CONNECTR CABLE WHITE IMPELLA,610.0,,305.0,549.0,56
CDM,15520027,CANN DUAL LUMEN 27FR DL27F-VO,14602.0,,7301.0,13141.8,56
CDM,15520031,CATH DUAL LUM 31FR DL31F-V0,14602.0,,7301.0,13141.8,56
CDM,15525200,CANNULA ANGIOVAC F18 85 PG,24336.0,,314.82,21902.4,57
CDM,15528553,OXYGENATOR QUADROX ADULT,2137.0,,1068.5,1923.3,56
CDM,15530003,PURGE CASSETTE IMPELLA ABIOMED,580.0,,290.0,522.0,56
CDM,15531453,GUIDEWIRE X-STIFF STRAIGHT,265.0,,27.95,238.5,57
CDM,15532000,KIT XLUNG 230,16038.0,,8019.0,14434.2,56
CDM,15536430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,15536822,INSERTION CANNULA(S) ECMO,20681.0,,8272.4,18612.9,56
CDM,15537799,REVISION/REMOVAL CANN(S) ECMO,13127.0,,5250.8,11814.3,56
CDM,15540101,CATH ENDOCLAMP AORTIC 100CM,7761.0,,3880.5,6984.9,56
CDM,15540102,CANNULA ARTERIAL ENDORETURN,1152.0,,576.0,1036.8,56
CDM,15540103,INTRODUC SHEATH ENDOCLAMP,870.0,,46.81,783.0,57
CDM,15540104,CANNULA VENOUS FEM QUICKDRAW,1179.0,,589.5,1061.1,56
CDM,15540108,KIT INSERTION ARTERIAL PERC,168.0,,84.0,151.2,56
CDM,15540109,KIT INSERTION VENOUS PERC,169.0,,84.5,152.1,56
CDM,15540110,KIT VAC ASSISTED VENOUS DRAIN,399.0,,199.5,359.1,56
CDM,15540600,HEMOLUNG 15.5 FR FEM CATH KIT,2921.0,,98.18,2628.9,62
CDM,15540900,HEMOLUNG 15.5 FR JUG CATH KIT,2921.0,,136.97,2628.9,62
CDM,15548135,OXY NAUTILUS SMART ECMO/BALANC,7264.0,,3632.0,6537.6,56
CDM,15548145,OXYGENATOR NAUTILUS BALANCE,4400.0,,2200.0,3960.0,56
CDM,15550010,KIT SYNCARD TAH ART HEART 70CC,389376.0,,194688.0,350438.4,56
CDM,15550017,KIT SYNCARDIA TAH SPARE 70CC,4770.0,,2385.0,4293.0,56
CDM,15550067,CANNULA DRAINAGE CMAG 34F KIT,2843.0,,1421.5,2558.7,56
CDM,15550068,CANNULA RETURN CMAG 24F KIT,2843.0,,1421.5,2558.7,56
CDM,15550860,GDWIRE GLIDEWIRE TERUMO GR1806,179.0,,27.95,161.1,57
CDM,15551000,INFUSION PACK TANDEM HEART,241.0,,120.5,216.9,56
CDM,15551700,KIT VOYAGER MOBILTY TANDEMLUNG,3307.0,,1653.5,2976.3,56
CDM,15551920,CANN W/DIL ANGIOVAC 20 ANGKIT,32022.0,,16011.0,28819.8,56
CDM,15551930,CANNULA W/DILATOR ANGIOVAC 20,28744.0,,14372.0,25869.6,56
CDM,15552140,GRFT HEMASHIELD GOLD 6X15CM,969.0,,484.5,872.1,61
CDM,15567528,CANNULA 28FR RT ANGLE,92.0,,46.0,82.8,56
CDM,15577418,CANNULA EOPA CAP VENTED 18F,188.0,,94.0,169.2,56
CDM,15589856,HM3 LVAD KIT W/LVAD CONTROLLER,229777.0,,114888.5,206799.3,56
CDM,15589857,HM3 LVAD CONTROLLER,12648.0,,6324.0,11383.2,61
CDM,15589858,HM3 LVAD MODULAR CABLE,11382.0,,5691.0,10243.8,61
CDM,15589859,HM3 LVAD OUTFLOW GRAFT,11037.0,,5518.5,9933.3,61
CDM,15589861,HM3 LVAD SURGICAL HAND TOOLS,5290.0,,2645.0,4761.0,61
CDM,15591429,CANN VEN MC2X 3 STAGE 29/29/29,146.0,,73.0,131.4,56
CDM,15594533,CANNULA RETROGRADE CP,947.0,,473.5,852.3,56
CDM,15596670,CANN FEM VEN BIO-MEDICUS 96670,844.0,,422.0,759.6,56
CDM,15599904,CHARGER BATT/POWER PACK DH**,25555.0,,12777.5,22999.5,61
CDM,15599905,BATTERY LVAD RPLCMT DH**,2520.0,,1260.0,2268.0,61
CDM,15599914,CABL CHARGE/CONT DURAHEART**,732.0,,366.0,658.8,56
CDM,15599936,BERLIN HEART CANNULA,6992.0,,3496.0,6292.8,56
CDM,15599943,FILTER LEUKOCYTE LUKA GUARD,486.0,,243.0,437.4,56
CDM,15599956,CANNULA BIOMEDICUS 96880-019,1200.0,,600.0,1080.0,56
CDM,15599957,CANNULA BIOMEDICUS 96880-021,1233.0,,616.5,1109.7,56
CDM,15599958,CANNULA BIOMEDICUS 96880-025,1193.0,,596.5,1073.7,56
CDM,15599959,CANNULA BIOMEDICUS 96880-023,969.0,,484.5,872.1,56
CDM,15599961,CUVETTE 1/2 SAT/HCT**,107.0,,53.5,96.3,56
CDM,15599964,ADAPTER Y TYPE,39.0,,19.5,35.1,56
CDM,15599966,DIFFUSER LARGE CO2,64.0,,32.0,57.6,56
CDM,15599968,CANN CORNRY ART PERF W/BALLOON,274.0,,137.0,246.6,56
CDM,15800102,BARTONELLA DNA DETECT BY PCR,1445.0,,32.28,1300.5,68
CDM,15800103,LEGIONELLA DNA DETECT BY PCR,1075.0,,64.58,967.5,68
CDM,15800104,T. WHIPPLEI DNA DETECT BY PCR,1033.0,,32.28,929.7,69
CDM,15800105,FUNGAL DNA DETECT BY PCR,1540.0,,64.58,1386.0,68
CDM,15800106,TOXOPLASMA DNA DETECT BY PCR,1033.0,,32.28,929.7,69
CDM,15800107,LEISHMANIA SP DNA DETECT PCR,1154.0,,64.58,1038.6,68
CDM,15800120,BCID GP ID RX RESIST DNA**,670.0,,144.21,603.0,68
CDM,15800129,ACANTHAMOEBA & BALAMUTHIA PCR,1154.0,,64.58,1038.6,68
CDM,15800130,BACTERIAL DNA DETECT BY PCR,1007.0,,64.58,906.3,68
CDM,15800131,BACTERIAL DETECTION BY 16S NGS,3249.0,,64.58,2924.1,68
CDM,15800133,ENTEROBACTERALES DNA DETECTION,808.0,,64.58,1038.6,68
CDM,15800133,ER Only-ENTEROBACTERALES DNA DETECTION,1154.0,,64.58,1038.6,50
CDM,15800134,MTBC DNA DETECT PCR,786.0,,38.35,707.4,68
CDM,15800136,NONTUBERCULOUS MYCOBACT DNA,1101.0,,44.38,990.9,68
CDM,15800137,M. AVIUM COMPLEX DNA PCR,786.0,,32.28,707.4,68
CDM,15800311,CARDIOLIPIN IGG ANTIBODIES,535.0,,5.58,481.5,68
CDM,15800442,CULTURE ESBL,153.0,,4.47,137.7,68
CDM,15800596,KARIUS MNGS TEST-BLOOD ONLY,5658.0,,1956.1,5092.2,68
CDM,15800597,DELVE BIO MNGS TEST-CSF ONLY,8188.0,,350.58,7369.2,56
CDM,15800598,HEXOSAMINIDASE PERCENT A,140.0,,24.7,126.0,56
CDM,15800610,M-NMO EVALUATION INITIAL,913.0,,18.07,821.7,68
CDM,15801000,Q-NORTRIPTYLINE,217.0,,45.78,247.69,68
CDM,15801002,Q-LAMOTRIGINE (LAMICTAL),413.0,,12.19,371.7,68
CDM,15801003,Q-FELBAMATE (FELBATOL),487.0,,17.15,438.3,68
CDM,15801007,Q-COPPER 24 HR URINE,223.0,,6.71,200.7,68
CDM,15801009,Q-DHEA,419.0,,23.25,377.1,68
CDM,15801010,Q-DHEA-SULFATE,368.0,,12.18,331.2,68
CDM,15801011,Q-GLYCATED PROT (FRUCTOSAMINE),196.0,,15.42,176.4,68
CDM,15801013,Q-VITAMIN B-2 (RIBOFLAVIN),613.0,,18.62,551.7,68
CDM,15801014,Q-VITAMIN K,551.0,,12.62,495.9,68
CDM,15801019,Q-TREPONEMA P ANTIBODY CONFIRM,273.0,,12.18,245.7,68
CDM,15801020,BETA 2-GLYCOPROTEIN 1 IGG,125.0,,23.41,112.5,68
CDM,15801025,ALPHA-2-ANTIPLASMIN,505.0,,6.83,454.5,68
CDM,15801029,SIROLIMUS (RAPAMYCIN) BLOOD,395.0,,9.85,355.5,68
CDM,15801035,ANTI-NEU CYTOPLASMA ANTI,221.0,,11.09,198.9,68
CDM,15801039,LEAD BLOOD - STATE,56.0,,7.91,50.4,68
CDM,15801041,Q-ANTISTREPTOLYSIN O- TITER,312.0,,3.42,280.8,68
CDM,15801053,TRIGLYCERIDE FOR VAP,104.0,,2.31,93.6,68
CDM,15801058,MUMPS ANTIBODY IGG,237.0,,5.56,213.3,68
CDM,15801059,PNEUMOCOCCAL ANTIBODY,355.0,,13.79,319.5,68
CDM,15801063,Q-RECEPTOR ASSAY ACETYLCHOLINE,505.0,,16.93,454.5,68
CDM,15801064,Q-PHOSPHATASE ALKALINE,348.0,,2.25,313.2,68
CDM,15801068,Q-BILE ACIDS- FX AND TOTAL,619.0,,22.16,557.1,68
CDM,15801069,Q-C1 INHIBITOR; FUNCTIONAL,349.0,,5.61,314.1,68
CDM,15801072,COMPLEMENT COMPONENT 2,551.0,,5.59,495.9,68
CDM,15801075,Q-ETHOSUXIMIDE,200.0,,11.25,180.0,68
CDM,15801076,Q-CREATININE OTHER SOURCE,159.0,,3.35,143.1,68
CDM,15801077,Q-Q FEVER PHASE 1 AB IGG,202.0,,5.55,181.8,68
CDM,15801081,Q-NEPHELOMETRY EACH ANALYTE,325.0,,15.89,292.5,68
CDM,15801087,Q-ESTRONE,256.0,,16.58,230.4,68
CDM,15801088,Q-GASTRIC PARIETAL CELL AB,388.0,,10.61,349.2,68
CDM,15801089,Q-HISTONE ANTIBODY,470.0,,10.61,423.0,68
CDM,15801090,Q-GLUCAGON,308.0,,13.15,277.2,68
CDM,15801094,HIV-1 AMP PROBE (NON-FDA),639.0,,32.28,575.1,68
CDM,15801096,Q-HYDROXY PROGESTERONE 17-D,259.0,,23.5,233.1,68
CDM,15801097,Q-SEROTONIN,450.0,,28.5,405.0,68
CDM,15801102,Q-CAROTENE,199.0,,4.57,179.1,68
CDM,15801107,Q-VITAMIN B-1 (THIAMINE),314.0,,9.43,282.6,68
CDM,15801110,Q-VITAMIN C (ASCORBIC ACID),244.0,,9.1,219.6,68
CDM,15801112,Q-VITAMIN E (TOCOPHEROL ALPHA),236.0,,13.05,212.4,68
CDM,15801137,Q-CYSTATIN C,161.0,,17.04,144.9,68
CDM,15801139,Q-PROGESTERONE,343.0,,13.48,308.7,68
CDM,15801149,M-PHOSPHATIDYLETHANOL (PETH),489.0,,45.78,440.1,68
CDM,15801153,Q-GAD-65 ANTIBODIES,186.0,,12.53,167.4,68
CDM,15801154,Q-MANNOSE-BINDING LECTIN SER,341.0,,11.36,306.9,68
CDM,15801155,Q-MERCURY BLOOD- QUANT,255.0,,14.96,229.5,68
CDM,15801162,Q-ALBUMIN SERUM**,50.0,,2.32,45.0,68
CDM,15801163,Q-ALBUMIN CSF**,25.0,,7.16,22.5,68
CDM,15801164,Q-GAMMAGLOBULIN IGG SERUM**,92.0,,7.88,82.8,68
CDM,15801166,Q-GAMMAGLOBULIN IGG CSF**,92.0,,7.88,82.8,68
CDM,15801167,Q-OLIGOCLONAL BANDS CSF**,202.0,,20.02,181.8,68
CDM,15801168,Q-PANCREATIC ELASTASE-1,385.0,,21.13,346.5,68
CDM,15801169,Q-VASC ENDOTHELIAL GROWTH FX,459.0,,11.36,413.1,68
CDM,15801171,Q-VITAMIN B-6 (PYRIDOXAL PHOS),526.0,,18.53,473.4,68
CDM,15801174,Q-ALPHA-1 ANTITRYPSIN PHENO,200.0,,10.19,180.0,68
CDM,15801184,Q-LEPTIN,379.0,,3.34,341.1,68
CDM,15801186,Q-COENZYME Q10,266.0,,22.16,239.4,68
CDM,15801187,Q-TOXOCARA AB (ELISA) SERUM,259.0,,5.69,233.1,68
CDM,15801189,Q-LACOSAMIDE (LC/MS/MS),446.0,,16.27,401.4,68
CDM,15801192,Q-TUMOR NECORS FACTOR-ALPHA,385.0,,11.36,346.5,68
CDM,15801205,Q-PNH WITH FLAER (HS),655.0,,43.49,589.5,68
CDM,15801206,"Q-AMPHETAMINE, QN, URINE",186.0,,45.78,247.69,68
CDM,15801207,"Q-BARBITURATE, QN, URINE",186.0,,45.78,247.69,68
CDM,15801208,Q-GAMMAGLOBULIN IGD,218.0,,7.88,196.2,68
CDM,15801210,Q-INTRINSIC FACTOR ANTIBODIES,509.0,,7.99,458.1,68
CDM,15801216,Q-PYRUVATE,325.0,,11.29,292.5,68
CDM,15801217,Q-Q FEVER PHASE 1 AB IGM,202.0,,5.55,181.8,68
CDM,15801222,Q-WEST NILE VIR ANTIBODY IGM,364.0,,15.5,327.6,68
CDM,15801223,Q-WEST NILE VIRUS ANTIBODY,364.0,,13.24,327.6,68
CDM,15801225,Q-PARVOVIRUS B19 AB EA,275.0,,5.56,247.5,68
CDM,15801226,Q-Q FEVER PHASE 2 AB IGM,202.0,,5.55,181.8,56
CDM,15801227,Q-Q FEVER PHASE 2 AB IGG,202.0,,5.55,181.8,56
CDM,15801242,"Q-BENZODIAZEPINES, QN, URINE",186.0,,45.78,247.69,68
CDM,15801243,"Q-BUPRENORPHINE, QN, URINE",186.0,,45.78,247.69,68
CDM,15801244,"Q-COCAINE METABOLITE QN, URINE",186.0,,45.78,247.69,68
CDM,15801245,Q-SELENIUM ASSAY,326.0,,12.33,293.4,68
CDM,15801246,"Q-MARIJUANA METABOLITE QN, UR",186.0,,45.78,247.69,68
CDM,15801247,"Q-MDMA/MDA QN, URINE",186.0,,45.78,247.69,68
CDM,15801248,"Q-METHADONE METABOLITE QN, UR",186.0,,45.78,247.69,68
CDM,15801249,"Q-PHENCYCLIDINE QN, URINE",186.0,,2.4,167.4,57
CDM,15801250,Q-THYROID STM IMMUN GLOB (TSI),759.0,,16.64,683.1,68
CDM,15801252,Q-OPIOIDS AND OPIATE ANALOGS**,354.0,,45.78,318.6,68
CDM,15801253,Q-OXYCODONE**,354.0,,45.78,318.6,68
CDM,15801254,"Q-OXYCODONE QN, URINE",186.0,,45.78,247.69,68
CDM,15801257,Q-TRICYCLIC ANTIDEPRESSANT QN,186.0,,45.78,247.69,68
CDM,15801260,Q-VASOACTIV INTEST POLYPEP,416.0,,14.41,374.4,68
CDM,15801261,Q-STEREOISOMER ALYS 1 DRUG,186.0,,45.78,247.69,68
CDM,15801262,T SPOT (TB TEST),422.0,,92.0,379.8,68
CDM,15801263,Q-EBV QNT NON-BLOOD,664.0,,39.41,597.6,68
CDM,15801267,Q-ANALYSIS GENE JAK2,770.0,,170.38,693.0,68
CDM,15801273,Q-STONE ANALYSIS INFRARED,186.0,,8.89,167.4,68
CDM,15801274,Q-FLUOR AB SCR STRIATED MUSCLE,186.0,,11.09,167.4,68
CDM,15801276,Q-ANALY GENE SERPINA1 COM VAR*,418.0,,40.16,376.2,68
CDM,15801277,Q-ANALY PML/RAR COMM BRKPOINT*,1158.0,,123.0,1042.2,68
CDM,15801279,Q-HLA TYPING I HR 1 ALLELE**,648.0,,148.39,583.2,68
CDM,15801281,NUCLEIC ACID QN INFECT AGENT**,748.0,,39.41,673.2,68
CDM,15801285,M-ANALY GENE REARRANG IGH AM,506.0,,182.15,455.4,68
CDM,15801289,Q-ACCUTYPE(R) IL28B**,562.0,,67.5,505.8,68
CDM,15801293,Q-ANLYS GENE FLT3 ITD VARIANTS,1690.0,,228.63,1521.0,68
CDM,15801298,Q-MECONIUM DRUG CONFIRMATION,615.0,,45.78,553.5,68
CDM,15801300,Q-COPPER SERUM,223.0,,6.71,200.7,68
CDM,15801303,ANTI-ISLET CELL ANTIBODY,256.0,,12.53,230.4,68
CDM,15801304,LYME DISEASE,347.0,,5.74,312.3,68
CDM,15801310,Q-CITRATE URINE,534.0,,25.58,480.6,68
CDM,15801312,Q-LYME DZ CONFIRM EA ADDL,329.0,,5.73,296.1,56
CDM,15801318,Q-CMV ANTIBODY**,390.0,,5.58,351.0,68
CDM,15801319,Q-HIV-1/HIV-2 SGL RESULT AB**,373.0,,5.71,335.7,68
CDM,15801320,Q-VARICELLA-ZOSTER IGM AB,337.0,,5.63,303.3,68
CDM,15801325,Q-TETANUS ANTIBODY,362.0,,5.61,325.8,68
CDM,15801330,Q-TRIIODOTHYRONINE T3 REVERSE,326.0,,3.34,293.4,68
CDM,15801331,Q-HEPATITIS B CORE AB**,241.0,,5.36,216.9,68
CDM,15801332,Q-TREPONEMA PALLIDUM AB**,360.0,,12.18,324.0,68
CDM,15801333,Q-VIRUS NOT ELSEWHERE SPEC**,350.0,,5.59,315.0,68
CDM,15801334,Q-HEPATITIS C ANTIBODY**,348.0,,13.13,313.2,68
CDM,15801335,Q-ALK PHOS ISOENZYMES,223.0,,13.43,200.7,68
CDM,15801336,Q-EIA HEPAT B SURF AG QL/SQ**,280.0,,7.91,252.0,68
CDM,15801337,Q-NUCLEIC ACID AMP INFECTIOUS*,613.0,,32.28,551.7,69
CDM,15801338,Q-NUCLEIC ACID AMP MLT ORG**,1222.0,,64.58,1099.8,68
CDM,15801339,Q-DONOR CHAGAS DZ SCREEN,293.0,,5.63,263.7,68
CDM,15801343,Q-DONOR HIV-1/HBV/HCV NAT,1254.0,,64.58,1128.6,68
CDM,15801344,Q-TPMT ACTIVITY,693.0,,15.93,623.7,68
CDM,15801346,Q-THEOPHYLLINE,265.0,,13.01,238.5,68
CDM,15801348,BK VIRUS DNA QUANT PCR,931.0,,39.41,837.9,68
CDM,15801358,JC VIRUS,819.0,,39.41,737.1,68
CDM,15801376,ANTI-THYROID PEROXIDASE ABS,289.0,,13.39,260.1,68
CDM,15801378,NEPHELOMETRY- EA ANALYTE **,325.0,,15.89,292.5,68
CDM,15801379,HAPTOGLOBIN- QUANTITATIVE **,70.0,,11.57,63.0,68
CDM,15801380,Q-ANTI-DIURETIC HORMONE,359.0,,14.22,323.1,68
CDM,15801381,APOLIPOPROTEIN- EACH **,329.0,,4.56,296.1,68
CDM,15801382,GLUTAMYLTRANSFERASE- GAMMA **,174.0,,6.3,156.6,68
CDM,15801383,BILIRUBIN- TOTAL **,92.0,,4.62,82.8,68
CDM,15801384,TRANSFERASE- ALANINE AMINO **,108.0,,2.34,97.2,68
CDM,15801406,Q-ADENOVIRUS DNA QUANT PCR,931.0,,39.41,837.9,68
CDM,15801407,Q-5-HIAA URINE,256.0,,11.87,230.4,68
CDM,15801408,MONKEYPOX,367.0,,47.21,330.3,68
CDM,15801423,Q-AMITRIPTYLINE (ELAVIL),241.0,,45.78,247.69,68
CDM,15801428,Q-IMIPRAMINE,270.0,,45.78,247.69,68
CDM,15801429,Q-DESIPRAMINE (NORPRAMIN),222.0,,45.78,247.69,68
CDM,15801430,Q-GROWTH HORMONE,273.0,,15.34,245.7,68
CDM,15801454,Q-METHYLMALONIC ACID,508.0,,19.51,457.2,68
CDM,15801455,Q-METANEPHRINES URINE,402.0,,7.92,361.8,68
CDM,15801456,Q-COLLAGEN CROSS LINKS **,228.0,,17.19,205.2,68
CDM,15801457,Q-VANILLYMANDELIC ACID (VMA),288.0,,6.62,259.2,68
CDM,15801458,Q-CREATININE OTHER SOURCE **,159.0,,3.35,143.1,68
CDM,15801459,Q-OXCARBAZEPINE METABOLITE,384.0,,12.19,345.6,68
CDM,15801460,Q-ANGIOTENSIN CONV ENZYME,330.0,,13.43,297.0,68
CDM,15801474,Q-LEVETIRACETAM (KEPPRA) LEVEL,424.0,,12.19,381.6,68
CDM,15801478,Q-VITAMIN A (RETINOL),295.0,,9.79,265.5,68
CDM,15801484,"VDRL, SERUM",210.0,,3.36,189.0,68
CDM,15801489,THRYOGLOBULIN TO USC ENDOCRINE,290.0,,3.34,261.0,68
CDM,15801490,THRYOGLOBULIN ANTIBODY XX,364.0,,14.64,327.6,68
CDM,15801504,HERPES CULTURE,310.0,,17.75,279.0,68
CDM,15801505,CMV CULTURE,275.0,,5.06,247.5,68
CDM,15801506,CHLAMYDIA CULTURE,150.0,,15.47,135.0,68
CDM,15801507,"CULTURE,VIRUS,SCREEN",310.0,,18.58,279.0,68
CDM,15801509,"VARICELLA,CULTURE",310.0,,17.75,279.0,68
CDM,15801514,HERPES SIMPLEX VIRUS TYPE 1,58.0,,11.02,52.2,68
CDM,15801531,ISLET CELL AB 512 (LABCORP),460.0,,12.53,414.0,68
CDM,15801532,RESP VIR PNL - ADENO,148.0,,13.28,133.2,68
CDM,15801534,RESP VIR PNL - INF A,156.0,,14.78,140.4,68
CDM,15801536,RESP VIR PNL - PARA 1,156.0,,15.12,140.4,68
CDM,15801537,RESP VIR PNL - PARA 2,156.0,,15.12,140.4,68
CDM,15801538,RESP VIR PNL - PARA 3,156.0,,15.12,140.4,68
CDM,15801539,RESP VIR PNL - RSV,152.0,,8.49,136.8,68
CDM,15801550,HSV (CSF) BY PCR (EXTRACTION),586.0,,32.28,527.4,68
CDM,15801585,M-RENIN ACTIVITY- PLASMA,346.0,,20.23,311.4,68
CDM,15801586,M-ALDOSTERONE- SERUM,514.0,,37.49,462.6,68
CDM,15801587,M-ISLET CELL AB (GAD65 ASSAY),500.0,,12.53,450.0,68
CDM,15801588,M-METANEPH- FX- FREE PLASMA,468.0,,7.92,421.2,68
CDM,15801589,M-ALDOSTERONE- 24 HR URINE,514.0,,37.49,462.6,68
CDM,15801591,M-ALPHA GLYCOPROTEIN SUBUNIT,341.0,,3.34,306.9,68
CDM,15801592,M-PTH RELATED PEPTIDE,362.0,,3.34,325.8,68
CDM,15801597,M-ACYLCARNITINES QNT PLASMA,322.0,,15.52,289.8,68
CDM,15801598,HEXOSAMINIDASE A & TOT SERUM,351.0,,15.52,315.9,68
CDM,15801601,M-BETA-2 TRANSFERRIN BDY FLD,708.0,,27.0,637.2,68
CDM,15801605,Q-ALDOLASE,193.0,,6.73,173.7,68
CDM,15801618,M-THYROTROPIN RECEPTOR AB- S**,372.0,,11.36,334.8,68
CDM,15801620,Q-ZINC PLASMA,199.0,,10.48,179.1,68
CDM,15801641,M-ALPHA-1-ANTITRYPSIN CLEAR,387.0,,10.14,348.3,68
CDM,15801642,Q-IMMUNO TUMOR AG CA 15-3,295.0,,19.15,265.5,68
CDM,15801650,Q-CALCITONIN,374.0,,16.83,336.6,68
CDM,15801652,Z*M-ALBUMIN SERUM**,85.0,,2.32,76.5,68
CDM,15801700,Q-LEAD BLOOD,197.0,,7.91,177.3,68
CDM,15801703,Q-MAGNESIUM RBC,200.0,,6.16,180.0,68
CDM,15801715,Q-OXALATE URINE,178.0,,12.37,160.2,68
CDM,15801721,M-FACTOR VIII VW MULTIMETRIC,527.0,,10.94,474.3,68
CDM,15801722,M-THYROXINE (T-4) FREE SERUM,312.0,,6.61,280.8,68
CDM,15801735,Q-MYELIN BASIC PROTEIN (CSF),291.0,,5.49,261.9,68
CDM,15801741,M-BETAHYDROXYBUTYRATE SR QN,270.0,,2.33,243.0,68
CDM,15801747,M-ARSENIC BLOOD**,177.0,,12.39,159.3,68
CDM,15801748,M-CADMIUM BLOOD**,202.0,,14.56,181.8,68
CDM,15801749,M-LEAD BLOOD**,128.0,,7.91,115.2,68
CDM,15801751,Z*M-MERCURY BLOOD**,159.0,,14.96,143.1,68
CDM,15801763,M-HTLV-I/II AB CONFIRM; SERUM,994.0,,17.8,894.6,68
CDM,15801764,M-HTLV-I/II AB SCREEN- SERUM,308.0,,8.36,277.2,68
CDM,15801765,"Q-1,25-DIHYDROXY VITAMIN D3",563.0,,35.42,506.7,68
CDM,15801769,M-MITOCHONDRIAL AB (M2) S**,259.0,,23.41,233.1,68
CDM,15801785,Q-INSULIN ANTIBODIES,276.0,,12.45,248.4,68
CDM,15801790,M-ACHR (MUSC) BINDING AB**,280.0,,27.6,252.0,56
CDM,15801791,M-ACHR (MUSC) MODULATING AB**,280.0,,7.92,252.0,56
CDM,15801792,M-P/Q TYPE CA CHANNEL AB**,280.0,,7.92,252.0,56
CDM,15801793,M-N-TYPE CA CHANNEL AB**,280.0,,7.92,252.0,56
CDM,15801794,M-STRIATED MUSCLE AB**,276.0,,11.36,248.4,68
CDM,15801812,Z*M-ALBUMIN SERUM**,85.0,,2.32,76.5,68
CDM,15801816,Q-AMIODARONE,362.0,,17.15,325.8,68
CDM,15801830,Q-ANTI-GBM ANTIBODY,460.0,,11.36,414.0,68
CDM,15801835,Q-ANTI-SCLERODERMA AB (SCL-70),575.0,,12.19,517.5,68
CDM,15801836,TRYPANOSOMA CRUZI AB TOTAL,341.0,,5.63,306.9,68
CDM,15801838,EJ (MAYOMARKER PANEL),65.0,,10.61,58.5,68
CDM,15801839,FIBRILLARIN (U3 RPN),65.0,,13.6,58.5,56
CDM,15801841,KU (MAYOMARKER),65.0,,13.6,58.5,56
CDM,15801842,MI-2 (MAYOMARKER),65.0,,13.6,58.5,56
CDM,15801843,OJ (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,15801844,PL-12 (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,15801846,PL-7 (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,15801847,SRP (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,15801848,U2 SNRNP (MAYOMARKER PANEL),65.0,,13.6,58.5,56
CDM,15801849,MDA-5 (P140) (CADM-140),78.0,,11.36,70.2,68
CDM,15801853,NXP-2 (P140)(MAYOMARKER PANEL),78.0,,11.36,70.2,56
CDM,15801854,TIF1 GAMMA (P155/140),78.0,,11.36,70.2,56
CDM,15801856,ANTI-JO 1 AB(MAYOMARKER PANEL),132.0,,12.19,118.8,68
CDM,15801857,ANTI-PM/SCL AB (MAYOMARKER),132.0,,12.19,118.8,56
CDM,15801858,"ANTI SS-A 52 KD A, IGG",132.0,,12.19,118.8,56
CDM,15801859,ANTI-U1_RNP AB (MAYOMARKER),132.0,,12.19,118.8,56
CDM,15801862,"CALPROTECTIN, FECES",585.0,,18.06,526.5,68
CDM,15801863,Q-VALPROIC ACID FREE,197.0,,12.46,177.3,68
CDM,15801866,IMMUNE CELL FUNCTION,726.0,,94.4,653.4,68
CDM,15801867,M-LEFLUNOMIDE METABOLITE SERUM,615.0,,35.48,553.5,68
CDM,15801868,Q-ABL KINASE DOMAIN MUT-BLOOD,1382.0,,276.0,1243.8,68
CDM,15801869,Q-ABL KINASE DOMAIN MUT-BM,1382.0,,276.0,1243.8,68
CDM,15801870,MYCOPLASMA CULTURE,260.0,,6.73,234.0,69
CDM,15801871,"UREAPLASMA,CULTURE",260.0,,6.73,234.0,69
CDM,15801882,ONC AML DNA GNTYP INT TANDEM,1574.0,,228.63,1416.6,68
CDM,15801884,UNIVERSAL FUSION EXPRESSION PF,6081.0,,2686.03,6319.47,68
CDM,15801888,INF NUC ACID VIR 12-25 TARG**,1076.0,,299.88,968.4,68
CDM,15801899,COLLAGEN TYPE I C-TELOPEPTIDE,219.0,,17.19,197.1,68
CDM,15801901,ADAMTS13 ACTIVITY,876.0,,28.39,788.4,68
CDM,15801902,ADAMTS13 INHIBITOR,585.0,,11.33,526.5,68
CDM,15801904,ENTEROVIRUS,645.0,,17.57,580.5,68
CDM,15801907,ADALIMUMAB ACTIVITY-LABCORP,865.0,,23.14,778.5,68
CDM,15801908,ADALIMUMAB AB-LABCORP,865.0,,3.34,778.5,56
CDM,15801909,INFLIZIMAB ACTIVITY,640.0,,15.42,576.0,68
CDM,15801912,INFLIXIMAB AB,640.0,,3.34,576.0,56
CDM,15801913,AMYLASE BODY FLUID-LABCORP,241.0,,4.55,216.9,68
CDM,15801914,PROTEIN TOTAL BODY FLD (ARUP),148.0,,3.68,133.2,68
CDM,15801919,GLUCOSE BODY FLUID (ARUP),89.0,,3.62,80.1,68
CDM,15801921,DRUG TEST DEFIN 22+ CLASSES,1222.0,,227.17,1099.8,68
CDM,15801922,Q-MUSK ANTIBODY TEST,1996.0,,16.93,1796.4,68
CDM,15801925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,15801926,STREP PNEUMO 23 AB ARUP INIT**,308.0,,60.37,277.2,56
CDM,15801929,RAPID AFB SUSCEPT PER PLATE,165.0,,5.68,400.0,69
CDM,15801941,Q-ADRENAL TITER (REFLEX TEST),210.0,,6.58,189.0,68
CDM,15801942,Q-PROINSULIN,412.0,,20.21,370.8,68
CDM,15801943,Q-NT-PROBNP,452.0,,36.12,406.8,68
CDM,15801944,Q-TROPONIN T,219.0,,10.69,197.1,68
CDM,15801946,Q-SERUM DRUG CONFIRMATION,615.0,,45.78,553.5,68
CDM,15801947,Q-COPEPTIN,301.0,,11.09,270.9,68
CDM,15801948,SERUM DRUG SCREENS,332.0,,57.17,298.8,68
CDM,15801949,SERUM DRUG SCREENS CONFIRM,431.0,,45.78,387.9,68
CDM,15801951,SLOW AFB SUSCEPT PER PLATE,165.0,,5.68,400.0,69
CDM,15801952,MYCOBACTERIUM TUBERC PANEL,165.0,,5.68,400.0,69
CDM,15801954,M-KAPPA FREE LIGHT CHAIN CSF**,580.0,,15.89,522.0,68
CDM,15801958,M-OLIGOCOLONAL BAND SERUM**,128.0,,20.02,115.2,68
CDM,15801959,M-OLIGOCOLONAL BAND CSF**,128.0,,20.02,115.2,68
CDM,15801972,FENTANYL AND NORFENTANYL?,406.0,,45.78,365.4,68
CDM,15801984,Q-DEB BANCONI ANEM CHROM ANYL,293.0,,44.01,263.7,68
CDM,15801986,CHLYMD PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,68
CDM,15801987,MYCOPL PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,69
CDM,15801989,MANNAN-BINDING LECTIN,645.0,,5.61,580.5,68
CDM,15801992,Q-C. TRACHOMATIS UROGENITAL**,241.0,,32.28,216.9,68
CDM,15801993,Q-N. GONORRHOEAE UROGENITAL**,241.0,,23.29,216.9,68
CDM,15801997,M-CHROMOGRANIN A,269.0,,15.88,242.1,68
CDM,15802134,Q-COCCIDIOIDES ANTIBODY**,215.0,,5.54,193.5,68
CDM,15802166,M-CORTISOL FREE URINE**,118.0,,11.01,106.2,68
CDM,15802167,M-MASS SPECTOMETRY QN**,124.0,,15.93,111.6,68
CDM,15802168,VORICONAZOLE LC-MS/MS,370.0,,24.94,333.0,68
CDM,15802170,"M-EVEROLIMUS, BLOOD",814.0,,12.63,732.6,68
CDM,15802175,Q-ANALY GENE HFE COMMON VAR**,726.0,,60.13,653.4,68
CDM,15802177,Q-P190 BCR/ABL1,624.0,,133.25,561.6,68
CDM,15802178,Q-P210 BCR/ABL1,751.0,,150.84,675.9,68
CDM,15802234,Q-UGT1A1 GENE POLYMORPHISM,810.0,,140.4,729.0,68
CDM,15802235,Q-MYD88 MUTATION ANALYSIS,1518.0,,161.37,1366.2,68
CDM,15802236,Q-BETA GLOBIN GENE SEQUENCING,2252.0,,298.61,2026.8,68
CDM,15802237,Q-HUNTINGTON DISEASE,1106.0,,126.04,995.4,68
CDM,15802238,PORPHOBILINOGEN DEAMINASE-PBGD,370.0,,20.4,333.0,68
CDM,15802239,PORPHOBILINOGEN (PBGD) SERUM,354.0,,7.76,318.6,68
CDM,15802240,TOTAL PORPHYRINS PLASMA,340.0,,3.37,306.0,68
CDM,15802241,TOTAL PORPHYRINS FECES,340.0,,8.94,306.0,68
CDM,15802266,COVID-19 IGG,129.0,,8.13,116.1,68
CDM,15802267,COVID-19 BY PCR (BAL OR CSF),368.0,,30.6,331.2,70
CDM,15802335,Q-HERPES 8 DNA QUANT PCR,664.0,,39.41,597.6,68
CDM,15803021,BETA 2-GLYCOPROTEIN 1 IGM,125.0,,23.41,112.5,68
CDM,15805001,Q-CN-1A ANTIBODY IGG,844.0,,10.61,759.6,68
CDM,15805062,EIA HISTOPLASMA ANTIGEN QL/SQ,370.0,,12.19,333.0,68
CDM,15805063,POSACONAZOLE-VIRACOR,423.0,,24.94,380.7,68
CDM,15805064,+M-VEDOLIZUMAB ACTIVITY,762.0,,23.14,685.8,68
CDM,15805065,M-VEDOLIZUMAB AB**,348.0,,3.34,313.2,68
CDM,15805067,ADOLESCENT HCV AB,147.0,,13.13,132.3,68
CDM,15805069,Q-COVID-19 PCR,368.0,,30.6,331.2,70
CDM,15805102,TISSUE CLUT FOR CHRM ANAL,1793.0,,52.8,1613.7,68
CDM,15805123,M-ACTH,554.0,,33.53,498.6,68
CDM,15805124,Q-C. TRACHOMATIS RECTAL SWAB**,241.0,,32.28,216.9,68
CDM,15805125,Q-N. GONORRHOEAE RECTAL SWAB**,241.0,,23.29,216.9,68
CDM,15805126,Q-TRICHOMONAS VAGINALIS RNA QL,460.0,,18.4,414.0,68
CDM,15805127,Q-TRICHOMONAS VAGINALIS-MALE,460.0,,18.4,414.0,68
CDM,15805128,M-PORPHYRINS TOTAL PLASMA,322.0,,3.37,289.8,68
CDM,15805129,M-PORPHYRINS FX PLASMA REFLEX,349.0,,22.16,314.1,68
CDM,15805131,M-PROTOPORPHYRINS FX WHOLE BLD,515.0,,22.16,463.5,68
CDM,15805132,M-UROPORPHY DECARBOX WHOLE BLD,702.0,,20.4,631.8,68
CDM,15805133,M-AMINOLEVULINIC ACID (ALA) UR,538.0,,6.56,484.2,68
CDM,15805134,M-PORPHOBIL DEAMINASE WHL BLDQ,381.0,,20.4,342.9,68
CDM,15805135,Q-CATECHOLAMINE- FRACT (URINE),428.0,,23.23,385.2,68
CDM,15805136,Q-CATECHOLAMINE- FRACT (PL),428.0,,23.23,385.2,68
CDM,15805137,M-PORPHOBIL QNT RANDOM UR,226.0,,7.76,203.4,68
CDM,15805138,M-PORPHYRINS FECES,594.0,,8.94,534.6,68
CDM,15805154,M-QUANTITATION AND FRACTION**,211.0,,13.53,189.9,68
CDM,15805156,M-QUANTITATIVE**,186.0,,7.76,167.4,68
CDM,15805158,M-QUANTITATION AND FRACTION**,211.0,,13.53,189.9,68
CDM,15805159,M-QUANTITATIVE**,186.0,,7.76,167.4,68
CDM,15805167,IFE SERUM**,533.0,,20.55,479.7,68
CDM,15805168,IMMUNOGLOBULIN G QN SERUM**,219.0,,7.88,197.1,68
CDM,15805169,IMMUNOGLOBULIN A QN SERUM**,219.0,,7.88,197.1,68
CDM,15805171,IMMUNOGLOBULIN M QN SERUM**,219.0,,7.88,197.1,68
CDM,15805172,INTERLEUKIN 2 RECEPTOR,426.0,,11.36,383.4,68
CDM,15805173,INTERLEUKIN 6 SERUM,426.0,,15.89,383.4,68
CDM,15805174,M-PORPHOBILINOGEN PLASMA,730.0,,22.16,657.0,68
CDM,15805176,M-AMINOLEVULINIC ACID PLASMA,544.0,,6.56,489.6,68
CDM,15805178,Q-RAST ALLERGEN IGE QN SQ EA**,35.0,,4.59,31.5,68
CDM,15805179,Q-IMMUNOGLOBULIN IGE**,107.0,,7.31,96.3,68
CDM,15805181,Q-LYME DZ AB ((IGG) IBL (CSF),375.0,,5.73,337.5,68
CDM,15805182,M-METHOTREX POST GLUCARPIDASE,917.0,,35.48,825.3,68
CDM,15805183,M-ALPHA-GALACTOSIDASE SERUM,468.0,,20.4,421.2,68
CDM,15805184,M-CLOBAZAM AND METABOLITE SER,411.0,,45.78,369.9,68
CDM,15805185,Q-TOPIRAMATE,318.0,,10.23,286.2,68
CDM,15805186,M-HYPOGLYCEMIC AGENT SCREEN S,426.0,,57.17,383.4,68
CDM,15805187,M-HMG-COA REDUCTASE AB SERUM,799.0,,3.34,719.1,68
CDM,15805189,M-USTEKINUMAB QN SERUM**,491.0,,11.13,441.9,68
CDM,15805191,M-USTEKINUMAB AB SERUM**,491.0,,11.36,441.9,68
CDM,15805193,M-PHOSPHOLIP A2 RECEPT IFA,655.0,,11.09,589.5,68
CDM,15805194,M-PHOSPHOLIP A2 RECEPT ELISA,940.0,,11.36,846.0,68
CDM,15805197,DRUG TEST(S) PRESUMPTIVE**,205.0,,57.17,184.5,68
CDM,15805198,DRUG TEST(S) DEFINITIVE**,515.0,,144.06,463.5,68
CDM,15805201,M-ACH RECEPTOR (MUSC) BIND AB*,351.0,,16.93,315.9,68
CDM,15805202,M-P/Q-TYPE CALCIUM CHANNEL AB*,351.0,,11.09,315.9,68
CDM,15805203,M-ACHR MODULATE FLOW CYTOMETRY,375.0,,11.09,337.5,68
CDM,15805204,M-MUSK AUTOANTIBODY SERUM,2136.0,,16.93,1922.4,68
CDM,15805206,Q-ZINC TRANSPORTER 8 (ZNT8) AB,344.0,,12.53,309.6,68
CDM,15805207,Q-TP53 SOMATIC MUTATION,3217.0,,303.15,2895.3,68
CDM,15805208,Q-PROCOLLAGEN TYPE 1 INTACT N,542.0,,7.92,487.8,68
CDM,15805209,Q-LIPOPROTEIN (A),221.0,,13.17,198.9,68
CDM,15805212,Q-CA VI IGG ABS**,197.0,,11.36,177.3,68
CDM,15805213,Q-CA VI IGA ABS**,197.0,,11.36,177.3,68
CDM,15805214,Q-CA VI IGM ABS**,197.0,,11.36,177.3,68
CDM,15805216,Q-PSP IGG ABS**,197.0,,11.36,177.3,68
CDM,15805217,Q-PSP IGA ABS**,197.0,,11.36,177.3,68
CDM,15805218,Q-PSP IGM ABS**,197.0,,11.36,177.3,68
CDM,15805219,Q-SP-1 IGG ABS**,197.0,,11.36,177.3,68
CDM,15805221,Q-SP-1 IGA ABS**,197.0,,11.36,177.3,68
CDM,15805222,Q-SP-1 IGM ABS**,197.0,,11.36,177.3,68
CDM,15805224,Q-PHENOTYPE INFECT AGENT**,578.0,,119.92,520.2,68
CDM,15805226,Q-GENOTYPE DNA HIV REVERSE T**,861.0,,236.85,774.9,68
CDM,15805227,M-BRIVARACETAM PLASMA,543.0,,11.13,488.7,68
CDM,15805228,M-CANNABIDIOL SERUM,847.0,,11.13,762.3,68
CDM,15805229,M-CYTOCHROME P450 2C19 GENOT,1829.0,,268.05,1646.1,68
CDM,15805230,KIT (D816V) MUTATION BY DDPCR,1056.0,,114.88,950.4,68
CDM,15805231,IMMATURE PLATELET FRACTION,159.0,,32.88,143.1,68
CDM,15805232,COBALT SERUM/PLASMA,162.0,,8.92,145.8,68
CDM,15805233,ALLERGEN FOOD ALPHA-GAL IGE,246.0,,16.5,221.4,68
CDM,15805234,VZV ANTIBODY IGG CSF,174.0,,5.63,156.6,68
CDM,15805236,VZV ANTIBODY IGM CSF,174.0,,5.63,156.6,68
CDM,15805238,BARTONELLA QUINTANA AB IGM**,106.0,,8.47,95.4,68
CDM,15805239,BARTONELLA QUINTANA AB IGG**,106.0,,8.47,95.4,68
CDM,15805241,PERAMPANEL QUANT SERUM/PLASMA,704.0,,45.78,633.6,68
CDM,15805242,PREGABALIN SERUM/PLASMA,276.0,,45.78,248.4,68
CDM,15805310,Q-JO 1 ANTIBODY,363.0,,12.19,326.7,68
CDM,15805317,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,15805326,Q-LEAD CAPILLARY,195.0,,7.91,175.5,68
CDM,15805327,Q-ESLICARBAZEPINE,319.0,,11.13,287.1,68
CDM,15805328,Q-RUFINAMIDE,319.0,,24.94,287.1,68
CDM,15805329,Q-LYSOZYME (MURAMIDASE),215.0,,14.43,193.5,68
CDM,15805332,M-ACHR (MUSC) BINDING AB**,134.0,,27.6,120.6,56
CDM,15805333,M-ACHR GANGLIONIC NEURON AB**,134.0,,7.92,120.6,56
CDM,15805334,M-NEURONAL VGKC AUTOANTIBODY**,134.0,,7.92,120.6,56
CDM,15805337,M-STRIATED MUSCLE ANTIBODY**,128.0,,11.36,115.2,68
CDM,15805338,M-FLUOR AB TITER AGNA-1**,143.0,,6.58,128.7,68
CDM,15805339,M-FLUOR AB TITER AMPHIPHYSIN**,143.0,,6.58,128.7,56
CDM,15805340,M-FLUOR AB TITER ANNA-1**,143.0,,6.58,128.7,56
CDM,15805341,M-FLUOR AB TITER ANNA-2**,143.0,,6.58,128.7,56
CDM,15805342,M-FLUOR AB TITER ANNA-3**,143.0,,6.58,128.7,56
CDM,15805343,M-FLUOR AB TITER CRMP-5-IGG**,143.0,,6.58,128.7,56
CDM,15805344,M-FLUOR AB TITER PCA-1**,143.0,,6.58,128.7,56
CDM,15805345,M-FLUOR AB TITER PCA-2**,143.0,,6.58,128.7,56
CDM,15805346,M-FLUOR AB TITER PCA-TR**,143.0,,6.58,128.7,56
CDM,15805778,14-3-3 PROTEIN**,100.0,,13.41,90.0,68
CDM,15805779,TAU PROTEIN**,51.0,,13.79,45.9,68
CDM,15805780,RT-QUIC NEURO CSF PRION**,1801.0,,497.71,1620.9,68
CDM,15805781,CARCINOEMBRYONIC AG-ARUP 20742,269.0,,10.02,242.1,68
CDM,15805782,Q-EBV NUCLEAR AG ANTIBODY IGG,353.0,,5.54,317.7,68
CDM,15805784,CELL FUNCTION ASSAY W/STIM**,550.0,,94.4,495.0,68
CDM,15805785,ASPERGILLUS SPECIES PCR,353.0,,32.28,317.7,69
CDM,15805786,MUCORALES PCR,353.0,,32.28,317.7,69
CDM,15805787,PNEUMOCYSTIS PNEUMONIA PCR,353.0,,32.28,317.7,69
CDM,15805789,INFECT AGENT GENOTYPE ANLYS**,3187.0,,114.42,2868.3,68
CDM,15805790,CNS DNA AMP PROBE TYPE 12-25,928.0,,383.44,902.13,68
CDM,15805792,Q-PANCREATIC POLYPEPTIDE ECL,383.0,,11.36,344.7,68
CDM,15805794,Q-FENTANYL AND NORFENTANYL U,213.0,,45.78,247.69,68
CDM,15805795,Q-NOROVIRUS RNA QUAL RT PCR,747.0,,32.28,672.3,69
CDM,15805796,Q-ANTI-CN-1A (NT5C1A) IBM RDL,586.0,,11.36,527.4,68
CDM,15805797,Q-RETINOL BINDING PROTEIN,256.0,,3.44,230.4,68
CDM,15805798,Q-CBFB/MYH11 INV(16) QNT RTPCR,928.0,,126.04,835.2,68
CDM,15805799,Q-AML1/ETO T(8;21) QNT RT PCR,803.0,,126.04,722.7,68
CDM,15805875,COXSACKIE A AB**,121.0,,5.63,108.9,68
CDM,15805877,COXSACKIE B AB**,121.0,,5.63,108.9,68
CDM,15805879,HUMAN ERYTHROCYTE ANTIGEN**,2016.0,,662.4,1814.4,68
CDM,15805880,RHD GENOTYPE**,568.0,,170.38,511.2,68
CDM,15805926,M-IMMUNO QL/SQ MLT**,139.0,,10.61,125.1,68
CDM,15805927,M-IMMUNO QL/SQ MLT (MOD 91)**,139.0,,13.6,125.1,56
CDM,15805928,TOXOPLASMA GONDII IGG PEDARUP,174.0,,5.59,156.6,68
CDM,15805929,TOXOPLASMA GONDII IGM PED ARUP,174.0,,6.4,156.6,68
CDM,15805933,Q-CHRONIC URTICARIA**,109.0,,11.46,98.1,68
CDM,15805934,Q-IGE ANTIBODY**,150.0,,11.36,135.0,68
CDM,15805935,Q-THYROGLOBULIN ANTIBODY**,139.0,,14.64,125.1,68
CDM,15805936,Q-THYROID PEROXIDASE ABS(TPO)*,125.0,,13.39,112.5,68
CDM,15805937,Q-THYROID STIMULATING HORMONE*,146.0,,10.09,131.4,68
CDM,15805938,PROBRAIN NATRIURETIC PEPTIDE,345.0,,36.12,310.5,68
CDM,15805940,DIPTHERIA AB IGG**,117.0,,13.79,105.3,68
CDM,15805941,TETANUS AB IGG**,117.0,,13.79,105.3,68
CDM,15805942,RHEUMATOID FACTOR BODY FLUID,168.0,,5.22,151.2,68
CDM,15805943,BILIRUBIN TOTAL BODY FLUID,161.0,,4.62,144.9,68
CDM,15805944,MANNOSE BINDING LECTIN-LABCORP,436.0,,11.36,392.4,68
CDM,15805945,IGF-2-LABCORP,325.0,,7.92,292.5,68
CDM,15805946,GI PROFILE STOOL PCR-LABCORP,1983.0,,383.44,1784.7,68
CDM,15805947,Q-ENHANCE LIVER FIBROSIS (ELF),622.0,,162.09,559.8,68
CDM,15805948,CENOBAMATE (XCOPRI)-LABCORP,519.0,,11.13,467.1,68
CDM,15805949,IGF-1-LABCORP,258.0,,3.45,232.2,68
CDM,15805950,BILE ACIDS TOTAL BODY FLD-UIDL,276.0,,6.55,248.4,68
CDM,15805952,CHLMYD TRACH DNA AMP PROBE**,362.0,,32.28,325.8,68
CDM,15805953,N. GONORRHOEAE DNA AMP PROBE**,362.0,,23.29,325.8,68
CDM,15805954,HIV 1/2 PLUS O AB SCR**,155.0,,5.71,139.5,68
CDM,15805955,HEP B SURFACE AG**,117.0,,7.91,105.3,68
CDM,15805956,HEP B CORE AB TOTAL**,125.0,,5.36,112.5,68
CDM,15805957,HEP C AB**,150.0,,13.13,135.0,68
CDM,15805958,HIV/HCV/HBV NAT**,795.0,,64.58,715.5,68
CDM,15805959,WEST NILE VIRUS NAT**,362.0,,32.28,325.8,69
CDM,15805960,SYPHILIS IGG AB**,139.0,,12.18,125.1,68
CDM,15805962,CHLMYD TRACH DNA AMP PROB**,398.0,,32.28,358.2,68
CDM,15805963,N. GONORRHOEAE DNA AMP PROB**,398.0,,23.29,358.2,68
CDM,15805964,HIV 1/2 PLUS O AB SCR**,155.0,,5.71,139.5,68
CDM,15805965,HEP B SURFACE AG**,117.0,,7.91,105.3,68
CDM,15805966,HEP B CORE ANTIBODY TOTAL**,136.0,,5.36,122.4,68
CDM,15805967,HEPATITIS C AB**,163.0,,13.13,146.7,68
CDM,15805968,HIV/HCV/HBV NAT**,795.0,,64.58,715.5,68
CDM,15805969,WEST NILE VIRUS NAT**,398.0,,32.28,358.2,69
CDM,15805970,HTLV-I/II ANTIBODY SCREEN**,146.0,,5.59,131.4,68
CDM,15805971,CMV TOTAL ANTIBODIES**,163.0,,5.58,146.7,68
CDM,15805972,SYPHILIS IGG ANTIBODY**,150.0,,12.18,135.0,68
CDM,15805976,"M-AP3B2 CBA, S",1367.0,,11.09,1230.3,68
CDM,15805977,"M-AP3B2 IFA TITER, S",340.0,,6.58,306.0,68
CDM,15805979,"ACHR GANGLIONIC NEURONAL AB,S*",204.0,,7.92,183.6,68
CDM,15805980,ANTI-NEURONAL NUC AB TYPE 1**,133.0,,11.09,119.7,68
CDM,15805981,"AP3B2 IFA, S**",133.0,,11.09,119.7,68
CDM,15805982,"CRMP-5-IGG, S**",133.0,,11.09,119.7,68
CDM,15805983,"CASPR2-IGG CBA, S**",133.0,,11.09,119.7,68
CDM,15805984,"DPPX AB, S**",133.0,,11.09,119.7,68
CDM,15805985,"LG/1-IGG CBA, S**",133.0,,11.95,119.7,56
CDM,15805986,PURKINJE CELL CYTO AB TYPE 2**,133.0,,11.95,119.7,56
CDM,15805988,CREATININE RANDOM U**,185.0,,3.35,166.5,68
CDM,15805989,LEUKOTRIENE E4 RANDOM U**,853.0,,22.16,767.7,68
CDM,15805990,M-INSULIN ABS S,242.0,,12.45,217.8,68
CDM,15805991,M-NEUROFILAMENT LIGHT CHAIN P,2242.0,,106.93,2017.8,68
CDM,15805992,M-LYSOSOMAL ACID LIPASE B,1542.0,,20.4,1387.8,68
CDM,15805993,M-ALPHA-GALACTOSIDASE LEUKOCYT,1318.0,,20.4,1186.2,68
CDM,15805994,M-CYP2C9 GENOTYPE V,1910.0,,30.0,1719.0,68
CDM,15805995,CONSTITUTIONAL ARRAY CGH,4597.0,,1067.2,4137.3,68
CDM,15805996,ONCOLOGY ARRAY CGH,4597.0,,1067.2,4137.3,68
CDM,15805997,M-BETA-TRACE PROTEIN BF,352.0,,3.44,316.8,68
CDM,15806015,MLH1 METHYLATION PCR,930.0,,176.93,837.0,68
CDM,15806018,INFECT AGENT GENOTYPE ANALYS**,2916.0,,114.42,2624.4,68
CDM,15806020,BETA 2-GLYCOPROTEIN 1 IGG**,92.0,,23.41,82.8,68
CDM,15806021,BETA 2-GLYCOPROTEIN 1 IGM**,92.0,,23.41,82.8,68
CDM,15806022,CARDIOLIPIN IGG**,92.0,,5.58,82.8,68
CDM,15806023,CARDIOLIPIN IGM**,92.0,,5.58,82.8,68
CDM,15806024,CENP ELISA**,92.0,,12.19,82.8,68
CDM,15806025,ANTI-CCP-IGG**,446.0,,11.91,401.4,68
CDM,15806026,DNA ANTIBODY**,92.0,,6.6,82.8,68
CDM,15806027,JO-1 ELISA**,92.0,,12.19,82.8,68
CDM,15806028,ANA IIF**,68.0,,7.84,61.2,68
CDM,15806029,ANA**,68.0,,7.85,61.2,68
CDM,15806030,RNP70 ELISA**,92.0,,12.19,82.8,68
CDM,15806031,SCL-70 ELISA**,92.0,,12.19,82.8,68
CDM,15806032,ANTI-SMITH ELISA**,92.0,,12.19,82.8,68
CDM,15806033,SS-B/LA ELISA**,92.0,,12.19,82.8,68
CDM,15806034,THYROGLOBULIN IGG**,68.0,,14.64,61.2,68
CDM,15806035,THYROID PEROXIDASE IGG**,68.0,,13.39,61.2,68
CDM,15806036,U 1RNP ELISA**,92.0,,12.19,82.8,68
CDM,15806037,FLOWCYTO TC 1 MARKER**,570.0,,43.49,513.0,68
CDM,15806038,RHEUMATOID FACTOR IGA**,68.0,,5.22,61.2,68
CDM,15806039,RHEUMATOID FACTOR IGM**,68.0,,5.22,61.2,68
CDM,15806040,ANTI-RO52 IGG**,89.0,,12.19,80.1,68
CDM,15806041,ANTI-RO60 IGG**,89.0,,12.19,80.1,68
CDM,15806042,ANTI-RNA POL III IGG**,331.0,,10.61,297.9,68
CDM,15806043,FLOWCYTO TC ADD-ON,260.0,,21.38,234.0,56
CDM,15806044,FLOWCYTO READY 2-8,456.0,,54.96,410.4,56
CDM,15806071,M-GI PATHOGEN PANEL PCR F,1215.0,,383.44,1093.5,68
CDM,15806072,CMV ANTIVIRAL RESISTANCE,843.0,,119.92,758.7,68
CDM,15806073,CMV GENOTYPE ANALYSIS,1590.0,,114.42,1431.0,68
CDM,15806074,HERPES SIMPLEX VIRUS TYPE 2,58.0,,11.02,52.2,68
CDM,15806076,CYTOPLASMIC NEUTROPHIL AB IBD,208.0,,11.09,187.2,68
CDM,15806077,SACCHAROMYCE CEREVISIAE AB IGA,208.0,,5.4,187.2,68
CDM,15806078,SACCHAROMYCE CEREVISIAE AB IGG,208.0,,5.4,187.2,68
CDM,15806080,"IMMUNOGLOBULIN A (IGA), S",113.0,,7.88,101.7,68
CDM,15806081,CELIAC DISEASE INTERPRETATION,416.0,,112.44,374.4,68
CDM,15806082,HLA-DQ TYPING,416.0,,112.44,374.4,68
CDM,15806084,"GLIADIN (DEAMIDATED) AB, IGG S",172.0,,11.09,154.8,68
CDM,15806085,"GLIADIN (DEAMIDATED) AB, IGA S",172.0,,11.09,154.8,68
CDM,15806086,TISSUE TRANSGLT AB IGG S,136.0,,10.61,122.4,68
CDM,15806087,"TISSUE TRANSGLT AB,S(IGA)",136.0,,10.61,122.4,68
CDM,15806088,ENDOMYSIAL ANTIBODY (IGA),203.0,,11.12,182.7,68
CDM,15806089,"EMA TITER, S (IGA)",539.0,,11.12,485.1,68
CDM,15806090,"THIOPURINE METABOLITES, WB",940.0,,11.13,846.0,68
CDM,15806091,"M-TRIM46 AB CBA, C",1314.0,,11.09,1182.6,68
CDM,15806092,"M-TRIM46 AB IFA TITER, C",326.0,,6.58,293.4,68
CDM,15806093,"M- PDE10A AB IFA TITER, C",326.0,,6.58,293.4,68
CDM,15806094,"M-TRIM46 AB CBA, S",1314.0,,11.09,1182.6,68
CDM,15806095,"M-TRIM46 AB IFA TITER, S",326.0,,6.58,293.4,68
CDM,15806096,"M- PDE10A AB IFA TITER, S",326.0,,6.58,293.4,68
CDM,15806101,T CRUZI AB IGG - ARUP,130.0,,5.63,117.0,68
CDM,15806102,H. INFLUENZAE B AB IGG**,117.0,,13.79,105.3,68
CDM,15806104,ALLG SPEC IGE FEL D 1**,92.0,,16.5,82.8,68
CDM,15806105,ALLG SPEC IGE FEL D 2**,92.0,,16.5,82.8,68
CDM,15806106,ALLG SPEC IGE FEL D 4**,92.0,,16.5,82.8,68
CDM,15806107,ALLG SPEC IGE FEL D 7**,92.0,,16.5,82.8,68
CDM,15806109,ALLG SPEC IGE CAN F 1**,92.0,,16.5,82.8,68
CDM,15806110,ALLG SPEC IGE CAN F 2**,92.0,,16.5,82.8,68
CDM,15806111,ALLG SPEC IGE CAN F 3**,92.0,,16.5,82.8,68
CDM,15806112,ALLG SPEC IGE CAN F 4**,92.0,,16.5,82.8,68
CDM,15806113,ALLG SPEC IGE CAN F 5**,92.0,,16.5,82.8,68
CDM,15806114,ALLG SPEC IGE CAN F 6**,92.0,,16.5,82.8,68
CDM,15806116,CULT STOOL SALMONELLA/SHIGELLA,50.0,,8.68,45.0,68
CDM,15806117,CULT STOOL CAMPYLOBACTER**,50.0,,3.05,45.0,68
CDM,15806118,CULT STOOL YERSINIA**,50.0,,3.05,45.0,68
CDM,15806119,E-TEST SUSCEPT - ADDL,35.0,,5.69,31.5,56
CDM,15806120,PM 38 SUSCEPTIBILITY PER PLATE,180.0,,5.68,400.0,69
CDM,15806121,Q-HYDROXYCHLOROQUINE,468.0,,17.15,421.2,68
CDM,15806122,Q-HCV RNA GENOTYPE LIPA,720.0,,13.2,648.0,68
CDM,15806123,Q-ADALIMUMAB LEVEL IBD,450.0,,23.14,405.0,68
CDM,15806124,Q-ADALIMUMAB AB IBD**,450.0,,11.36,405.0,68
CDM,15806125,Q-INFLIXIMAB LEVEL IBD,450.0,,15.42,405.0,68
CDM,15806126,Q-INFLIXIMAB AB IBD**,450.0,,11.36,405.0,68
CDM,15806127,Q-AD DETECT P-TAU 217,750.0,,11.36,675.0,68
CDM,15806128,Q-AD DETECT BETA-AMYLOID 42/40,873.0,,171.11,785.7,56
CDM,15806129,Q-NEUROFILAMENT LIGHT CHAIN,625.0,,11.36,562.5,68
CDM,15806130,Q-AD DETECT APOE ISOFORM,375.0,,22.16,337.5,68
CDM,15806132,SHIGELLA SPP. TYPING**,38.0,,3.39,34.2,68
CDM,15806133,SHIGELLA SPP. TYPING-91**,38.0,,3.39,34.2,56
CDM,15806135,MICRO -TISSUE HOMOGENIZATION,180.0,,5.41,162.0,68
CDM,15806139,APOLIPOPROTEIN E (APOE) PLASMA,873.0,,22.16,785.7,68
CDM,15806140,Q-BETA-AMYLOID 42/40 RATIO PLA,873.0,,171.11,785.7,56
CDM,15806141,PHOSPHORYLATED TAU217 PLASMA,750.0,,147.0,675.0,56
CDM,15806142,Q-BETA-AMYLOID 1-42**,873.0,,171.11,785.7,56
CDM,15806143,M-SCB59,363.0,,5.59,326.7,68
CDM,15806145,Q-THYROGLOBULIN ANTIBODY,178.0,,14.64,160.2,68
CDM,15806146,THYROGLOBULIN,173.0,,3.34,155.7,68
CDM,15806147,THYROGLOBULIN LC/MS/MS,475.0,,3.34,427.5,68
CDM,15806149,Q-INSULIN AUTOANTIBODY**,175.0,,12.45,157.5,68
CDM,15806150,Q-GLUTAMIC ACID DECARBOX 65 AB,100.0,,12.53,90.0,68
CDM,15806151,Q-ISLET CELL AB (IA-2 AB)**,130.0,,12.53,117.0,68
CDM,15806152,Q-ZINC TRANSPORTER 8(ZNT8)AB**,293.0,,12.53,263.7,68
CDM,15806154,FLUORESCENT AB SCREEN SER**,105.0,,11.09,94.5,68
CDM,15806155,"CHEMILUMINESCENT ASSAY, SER**",120.0,,3.34,108.0,68
CDM,15806156,"EXTRACTABLE NUC AG EA AB,SER**",145.0,,12.19,130.5,68
CDM,15806157,"PROT WESTERN BLOT BAND, SERUM",620.0,,13.41,558.0,68
CDM,15806158,"FLUORESCENT AB TITER, SERUM",325.0,,6.58,292.5,68
CDM,15807137,"Q-CORTISOL, SALIVA, LC/MS/MS",263.0,,11.01,236.7,68
CDM,15807139,"Q-ITRACONAZOLE, HPLC",385.0,,24.94,346.5,68
CDM,15807141,EIA QL H PYLORI ANTIGEN STOOL,290.0,,13.23,261.0,68
CDM,15807143,Q-ERYTHROPOIETIN (EPO),243.0,,16.52,218.7,68
CDM,15808725,INF DIS CHRNC HCV 6 ASSAYS,676.0,,66.41,608.4,68
CDM,15809344,HPV CYTOLOGY REFLEX DUAL STAIN,401.0,,64.24,442.83,68
CDM,15810002,"CULTURE, BLOOD, AER AND ANA",232.0,,9.49,208.8,68
CDM,15810005,"CULT, BLOOD AEROBIC,SCRN",142.0,,9.49,127.8,68
CDM,15810008,AFB CONCENTRATION PROCEDURE,114.0,,2.24,102.6,68
CDM,15810009,"CULTURE, CERVIX",238.0,,7.93,214.2,68
CDM,15810010,"CULTURE, CSF, SCREEN",238.0,,7.93,214.2,68
CDM,15810011,"CULTURE, BODY FLUID, ANAEROBIC",238.0,,8.71,214.2,68
CDM,15810012,"CULTURE, BODY FLUID, AEROBIC",238.0,,7.93,214.2,68
CDM,15810015,CULT STOOL SALMONELLA/SHIGELLA,182.0,,8.68,163.8,68
CDM,15810016,CYSTIC FIBROSIS PANEL (BROTH),180.0,,5.68,400.0,69
CDM,15810020,"CULTURE, FUNGUS, SCREEN",264.0,,6.5,237.6,68
CDM,15810021,"CULTURE, FUNGUS/BLOOD,SCRE",264.0,,6.71,237.6,68
CDM,15810022,CRYPTO AG DETECTION LFA,193.0,,14.78,173.7,68
CDM,15810023,"CULTURE, FOR GC, SCREEN",153.0,,4.47,137.7,68
CDM,15810025,CULTURE OTHER SOURCE,238.0,,7.93,214.2,68
CDM,15810026,"CULTURE, WOUND,SCREEN",238.0,,7.93,214.2,68
CDM,15810028,"CULTURE, CYSTIC FIBROSIS, MISC",238.0,,7.93,214.2,68
CDM,15810030,"CULTURE, NASOPHARYNX",153.0,,4.47,137.7,68
CDM,15810032,E-TEST MINOCYCLINE SUSCEPT,81.0,,4.37,72.9,68
CDM,15810034,CRYPTOCOCCUS AG-TITER LFA,193.0,,14.78,173.7,68
CDM,15810035,"CULTURE, SPUTUM",238.0,,7.93,214.2,68
CDM,15810040,"CULTURE, TB, SCREEN",248.0,,3.37,223.2,68
CDM,15810041,CULTURE SCREEN C. AURIS,153.0,,4.47,137.7,68
CDM,15810050,"CULT,ANAEROBE SCREEN",283.0,,8.71,254.7,68
CDM,15810054,COLONY COUNT OTHER QN,262.0,,6.1,235.8,68
CDM,15810055,"COLONY COUNT, URINE",218.0,,6.77,196.2,68
CDM,15810057,AFB ID BY NUCLEIC ACID PROBE,276.0,,18.45,248.4,68
CDM,15810060,ACID FAST STAIN DIRECT,125.0,,4.51,112.5,68
CDM,15810067,CANDIDA SPECIES DNA BY PCR**,340.0,,32.28,306.0,68
CDM,15810068,CANDIDA SPECIES DNA BY PCR-59*,340.0,,52.63,306.0,56
CDM,15810069,BCID FP ID DNA 15 TARGETS**,670.0,,144.21,603.0,68
CDM,15810071,BCID GN ID RX RESIST DNA**,670.0,,144.21,603.0,68
CDM,15810081,STREP PNEUMONIAE AG URINE,193.0,,14.78,173.7,68
CDM,15810085,"CULTURE,AFB,BLOOD",248.0,,3.37,223.2,68
CDM,15810100,GRAM STAIN,150.0,,3.39,135.0,68
CDM,15810101,CHLYMD PNEU DNA AMP PROBE**,263.0,,32.28,236.7,68
CDM,15810102,MYCOPL PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,69
CDM,15810104,EPLEX IADNA VIR 18 BAC 2**,813.0,,253.32,731.7,68
CDM,15810107,MOLD ID BY MALDI-TOF,226.0,,9.49,203.4,68
CDM,15810130,SUSCEPTIBILITY MIC PER PLATE,180.0,,5.68,400.0,69
CDM,15810132,LEGIONELLA PNEUMOPHILIA AG UR,245.0,,14.78,220.5,68
CDM,15810186,NM 56 SUSCEPTIBILITY PER PLATE,231.0,,5.68,400.0,69
CDM,15810212,AFB NOCARDIA ID BY MALDI-TOF,248.0,,12.24,223.2,68
CDM,15810237,CULTURE BLOOD FOR AFB**,248.0,,3.37,223.2,68
CDM,15810238,CULTURE BLOOD FOR SBE**,232.0,,11.07,208.8,56
CDM,15810239,CULTURE BLOOD FOR FUNGUS**,264.0,,6.71,237.6,56
CDM,15810301,SUSCEPT DISK KIRBY BAUER,148.0,,6.88,133.2,68
CDM,15810322,KB STREP ANTIBIOTIC PANEL,178.0,,6.88,160.2,68
CDM,15810323,KB PNEUMO ANTIBIOTIC PANEL,604.0,,6.88,543.6,68
CDM,15810326,SUSCEPTIBILITY- MIC EACH PLATE,180.0,,5.68,400.0,69
CDM,15810529,CULTURE TYPING-STREPTEX,97.0,,3.39,87.3,68
CDM,15810531,SMEAR CALCOFLUOR STAIN,125.0,,4.51,112.5,68
CDM,15810999,INF NUC ACID VIR 12-25 TARG**,1076.0,,299.88,968.4,68
CDM,15811001,E-TEST SULBACTAM-DURLOBACTAM,81.0,,4.37,72.9,68
CDM,15811011,COMPLEX SPEC STAIN O&P TRIC **,204.0,,16.54,183.6,68
CDM,15811015,CONCENTRATION ANY TYPE **,114.0,,2.24,102.6,68
CDM,15811025,E-TEST CEFTOLOZAN/TAZOBACTAM,81.0,,4.37,72.9,68
CDM,15811026,E-TEST DALBAVANCIN SUSCEPT,73.0,,4.37,65.7,68
CDM,15811031,CULTURE FUNGUS ID MOLD,226.0,,9.49,203.4,68
CDM,15811327,SUSCEPT BETA LACTAMASE,118.0,,4.37,106.2,68
CDM,15811410,FAT FECES QUALITATIVE,123.0,,5.41,110.7,68
CDM,15811415,"FECES,WHITE BLOOD COUNT",102.0,,3.93,91.8,68
CDM,15811428,PARASITE IDENTIFICATION,114.0,,4.52,102.6,68
CDM,15811431,+OVA AND PARASITES **,179.0,,8.19,161.1,68
CDM,15811435,+MALARIA SMEAR **,158.0,,4.52,142.2,68
CDM,15811442,GIARDIA AG DFA,153.0,,12.52,137.7,68
CDM,15811444,CRYPTOSPORIDIUM/GIARDIA AG DFA,166.0,,11.02,149.4,68
CDM,15811445,PARTICLE AGG SCR CRYPTO,193.0,,10.62,173.7,68
CDM,15811447,AER ORGANISM ID - VITEK,181.0,,7.43,162.9,68
CDM,15811561,"C DIFF TOXINS A AND B, EIA",267.0,,9.96,240.3,68
CDM,15811565,KB STAPH ANTIBIOTIC PANEL,178.0,,6.88,160.2,68
CDM,15811570,"PANEL, KB ESBL",178.0,,6.88,160.2,68
CDM,15812076,HEPARIN PLATELET ANTIBODY,539.0,,16.9,485.1,68
CDM,15813231,Q-T CRUZI AB TOTAL,510.0,,16.64,459.0,68
CDM,15820001,HEMOGLOBIN ELECTROPHORESIS CAP,259.0,,9.07,233.1,68
CDM,15820010,AMYLASE SERUM,213.0,,4.55,191.7,68
CDM,15820011,ALBUMIN SERUM,85.0,,2.32,76.5,68
CDM,15820013,ALBUMIN (MICROALBUMIN) URINE,150.0,,5.32,135.0,68
CDM,15820014,ALBUMIN URINE TIMED,150.0,,5.32,135.0,68
CDM,15820015,BILIRUBIN TOTAL SERUM,92.0,,4.62,82.8,68
CDM,15820017,BILIRUBIN FLUID,92.0,,4.62,82.8,68
CDM,15820018,BILIRUBIN DIRECT,67.0,,4.62,60.3,68
CDM,15820025,GLUCOSE BLOOD- EACH ADDITIONAL,80.0,,5.89,72.0,56
CDM,15820028,THYROXINE (T-4) TOTAL,140.0,,3.38,126.0,68
CDM,15820032,DIGOXIN (LANOXIN),196.0,,11.23,176.4,68
CDM,15820033,SOMATOMEDIN C (IGF-1),386.0,,3.45,347.4,68
CDM,15820045,CALCIUM SERUM,82.0,,2.3,73.8,68
CDM,15820049,LIPID PANEL,187.0,,10.21,168.3,68
CDM,15820060,CHLORIDE,73.0,,2.34,65.7,68
CDM,15820061,BICARBONATE SERUM,117.0,,2.31,105.3,68
CDM,15820062,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,15820063,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,15820070,CHLORIDE URINE,134.0,,2.32,120.6,68
CDM,15820075,CHOLESTEROL,113.0,,2.33,101.7,68
CDM,15820076,HDL CHOLESTEROL,187.0,,3.44,168.3,68
CDM,15820077,"LDL CHOLESTEROL, DIRECT",156.0,,2.21,140.4,68
CDM,15820080,ACETAMINOPHEN,279.0,,17.15,251.1,68
CDM,15820081,AMMONIA BLOOD,190.0,,13.4,171.0,68
CDM,15820086,ALCOHOL (ETOH) BLOOD,279.0,,45.78,251.1,68
CDM,15820092,CREATINE KINASE (CPK) TOTAL,91.0,,3.45,81.9,68
CDM,15820093,CREATINE KINASE (CPK) MB ONLY,152.0,,3.38,136.8,68
CDM,15820094,TROPONIN QN,146.0,,10.69,131.4,68
CDM,15820095,CREATININE,80.0,,2.3,72.0,68
CDM,15820100,CREATININE URINE,142.0,,3.35,127.8,68
CDM,15820115,CEA,312.0,,10.02,280.8,68
CDM,15820121,CREATININE CLEARANCE,145.0,,4.2,130.5,68
CDM,15820124,TOXOPLASMA IGG ANTIBODY,329.0,,5.59,296.1,68
CDM,15820125,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,15820126,GLUCOSE QNT (1HR POST GLUCOLA),90.0,,2.17,81.0,68
CDM,15820130,GLUCOSE CSF,89.0,,3.62,80.1,68
CDM,15820144,GTT-EACH ADDL SPEC,80.0,,2.41,72.0,68
CDM,15820145,GTT-FIRST 3 SPEC,164.0,,5.41,147.6,68
CDM,15820149,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,15820150,LIPASE SERUM,132.0,,4.54,118.8,68
CDM,15820155,LDH SERUM,145.0,,2.36,130.5,68
CDM,15820157,ALPHA-FETOPROTEIN-SERUM,270.0,,7.45,243.0,68
CDM,15820158,LUTEINIZING HORMONE,379.0,,5.48,341.1,68
CDM,15820159,FOLLICLE STIMULATION HORMONE,379.0,,9.78,341.1,68
CDM,15820161,CA 125,382.0,,13.2,343.8,68
CDM,15820162,ESTRADIOL,404.0,,25.7,363.6,68
CDM,15820163,CA 19-9,382.0,,7.2,343.8,68
CDM,15820164,CA (BR) 15-3 (27-29),382.0,,19.15,343.8,68
CDM,15820170,ALKALINE PHOSPHATASE,110.0,,2.25,99.0,68
CDM,15820175,PHOSPHORUS SERUM,83.0,,2.27,74.7,68
CDM,15820177,B-TYPE NATRIURETIC PEPTIDE,426.0,,36.12,383.4,68
CDM,15820180,"PHOSPHORUS,URINE",142.0,,3.3,127.8,68
CDM,15820205,POTASSIUM URINE,104.0,,2.24,93.6,68
CDM,15820215,PROTEIN TOTAL CSF OTHER SOURCE,148.0,,3.68,133.2,68
CDM,15820246,PROCALCITONIN (PCT),376.0,,25.04,338.4,68
CDM,15820250,SODIUM URINE,139.0,,2.25,125.1,68
CDM,15820251,URINE DRUG SCREEN,323.0,,57.17,290.7,68
CDM,15820252,URINE DRUG CONFIRMATION,431.0,,45.78,387.9,68
CDM,15820261,IMMUNOFIXAT URINE ELECTRO,584.0,,27.0,525.6,68
CDM,15820262,IMMUNOFIXATION SERUM ELEC,491.0,,20.55,441.9,68
CDM,15820265,CALCIUM URINE QUANT,130.0,,3.44,117.0,68
CDM,15820270,AST/SGOT,69.0,,2.29,62.1,68
CDM,15820271,ALT/SGPT,70.0,,2.34,63.0,68
CDM,15820272,GGT/GGTP,109.0,,6.3,98.1,68
CDM,15820280,UREA NITROGEN QUANTITATIVE,90.0,,2.35,81.0,68
CDM,15820281,UREA NITROGEN QUANT BODY FLUID,90.0,,2.35,81.0,68
CDM,15820285,UREA NITROGEN URINE,123.0,,3.34,110.7,68
CDM,15820290,URIC ACID BLOOD,110.0,,2.25,99.0,68
CDM,15820291,URIC ACID OTHER SOURCE,201.0,,2.26,180.9,68
CDM,15820299,MYCOPHENOLIC ACID (CHEM),468.0,,16.61,421.2,68
CDM,15820300,LITHIUM,172.0,,4.58,154.8,68
CDM,15820301,TESTOSTERONE TOTAL,418.0,,12.34,376.2,68
CDM,15820306,VITAMIN D 25 HYDROXY,384.0,,27.23,345.6,68
CDM,15820316,ACTH,554.0,,33.53,498.6,68
CDM,15820320,FERRITIN                82728,225.0,,8.96,202.5,68
CDM,15820335,HCG QN SERUM,309.0,,10.01,278.1,68
CDM,15820360,PROTEIN TOTAL SERUM,85.0,,2.35,76.5,68
CDM,15820362,PROTEIN ELECTRP SERUM,201.0,,7.95,180.9,68
CDM,15820364,PROTEIN ELECTROP URINE,273.0,,16.4,245.7,68
CDM,15820379,HAPTOGLOBIN QN,150.0,,11.57,135.0,68
CDM,15820380,PROSTATE SPECIFIC AG TOTAL,361.0,,13.4,324.9,68
CDM,15820381,PROSTATE CNCR SCRN- PSA- TOTAL,475.0,,17.77,427.5,68
CDM,15820383,PROSTATE SPECIFIC AG FREE,199.0,,16.92,179.1,68
CDM,15820385,TRIIODOTHYRONINE (T-3) TOTAL,232.0,,6.68,208.8,68
CDM,15820387,TRIIODOTHYRONINE (T-3) FREE,277.0,,8.71,249.3,68
CDM,15820400,THYROID STIMULATING HORMONE,243.0,,10.09,218.7,68
CDM,15820405,THYROXINE (T-4) FREE,138.0,,6.61,124.2,68
CDM,15820411,THROAT CULTURE,238.0,,7.93,214.2,68
CDM,15820420,PTH INTACT,598.0,,21.24,538.2,68
CDM,15820455,"CORTISOL,SERUM",270.0,,12.7,243.0,68
CDM,15820468,C-PEPTIDE,166.0,,17.89,149.4,68
CDM,15820469,C-PEPTIDE EACH ADDITIONAL,166.0,,17.89,149.4,56
CDM,15820470,INSULIN SERUM,186.0,,10.52,167.4,68
CDM,15820475,PROLACTIN,320.0,,7.9,288.0,68
CDM,15820481,C-REACTIVE PROTEIN,210.0,,3.36,189.0,68
CDM,15820482,C-REACTIVE PROTEIN HIGH SENS,273.0,,10.5,245.7,68
CDM,15820491,PREALBUMIN,225.0,,10.07,202.5,68
CDM,15820492,HEMOGLOBIN PLASMA,192.0,,6.73,172.8,68
CDM,15820505,IRON SERUM,117.0,,2.26,105.3,68
CDM,15820506,TOXOPLASMA IGM,330.0,,6.4,297.0,68
CDM,15820507,TOTAL IGE,273.0,,7.31,245.7,68
CDM,15820508,Q-GASTRIN ASSAY,280.0,,13.5,252.0,68
CDM,15820509,BETA-2 MICROGLOBULIN,266.0,,14.89,239.4,68
CDM,15820512,VALPROIC ACID FREE,340.0,,12.46,306.0,68
CDM,15820515,IRON BINIDING CAPACITY,151.0,,2.37,135.9,68
CDM,15820530,CMV IGG AB,334.0,,5.58,300.6,68
CDM,15820545,MAGNESIUM,140.0,,6.16,126.0,68
CDM,15820546,MAGNESIUM URINE,117.0,,6.16,105.3,68
CDM,15820557,OSMOLALITY SERUM,146.0,,5.73,131.4,70
CDM,15820558,OSMOLALITY URINE,146.0,,5.46,131.4,70
CDM,15820578,PROTEIN TOTAL URINE,85.0,,3.38,76.5,68
CDM,15820580,TRIGLYCERIDES,104.0,,2.31,93.6,68
CDM,15820601,SICKLE CELL RBC,88.0,,3.46,79.2,68
CDM,15820611,CYSTATIN C,249.0,,17.04,224.1,68
CDM,15820630,VANCOMYCIN,226.0,,11.26,203.4,68
CDM,15820640,DIPROPYLACETIC ACID (VALPROIC),202.0,,9.85,181.8,68
CDM,15820695,METHOTREXATE,358.0,,35.48,322.2,68
CDM,15820755,AMIKACIN,277.0,,7.86,249.3,70
CDM,15820785,"CYCLOSPORIN,SERUM",562.0,,10.07,505.8,68
CDM,15820795,PHENOBARBITAL,216.0,,8.94,194.4,68
CDM,15820800,PHENYTOIN (DILANTIN) TOTAL,196.0,,12.19,176.4,68
CDM,15820805,CARBAMAZEPINE (TEGRETOL) TOTAL,217.0,,10.14,195.3,68
CDM,15820826,TACROLIMUS II (FK506),457.0,,12.63,411.3,68
CDM,15820830,VITAMIN B12 *,232.0,,6.71,208.8,68
CDM,15820835,"FOLIC ACID, PLASMA",175.0,,5.6,157.5,68
CDM,15820841,"HOMOCYSTEINE, PLASMA",319.0,,16.49,287.1,68
CDM,15820862,NICOTINE URINE (UAB CHEM DEPT),104.0,,15.77,93.6,68
CDM,15820905,TRANSFERRIN,173.0,,2.3,155.7,68
CDM,15820929,SEX HORMONE BINDING GLOBULIN,223.0,,3.36,200.7,68
CDM,15820996,HEPATITIS A IGM,221.0,,5.69,198.9,68
CDM,15820998,HEPATITIS B SURFACE AB,267.0,,5.72,240.3,68
CDM,15820999,HEPATITIS B CORE IGM,305.0,,5.71,274.5,68
CDM,15821447,AER ORGANISM ID - BRUKER,181.0,,7.43,162.9,68
CDM,15823005,METHEMOGLOBIN,219.0,,7.54,197.1,68
CDM,15829500,ELECTROLYTE PANEL,178.0,,3.21,160.2,68
CDM,15829506,HEPATIC FUNCTION PANEL,232.0,,7.0,208.8,68
CDM,15829511,BASIC METABOLIC PANEL,340.0,,7.2,306.0,68
CDM,15829517,COMPREHENSIVE METABOLIC PANEL,456.0,,9.6,410.4,68
CDM,15829520,RENAL FUNCTION PANEL,248.0,,5.0,223.2,68
CDM,15829550,DRUGS OF ABUSE PROFILE,1221.0,,15.77,1098.9,68
CDM,15831447,YEAST ORGANISM ID - BRUKER,141.0,,8.64,126.9,68
CDM,15835069,"CRYPTOCOCCAL TITER, EACH AB",241.0,,3.34,216.9,68
CDM,15835111,DRUG SCREEN METHADONE**,116.0,,15.77,104.4,68
CDM,15835137,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,15836001,ADAMTS13 ACTIVITY,876.0,,28.39,788.4,68
CDM,15836002,CHROMOGENIC FACTOR VIII (F8),181.0,,10.94,162.9,68
CDM,15836006,VWF ACTIVITY GP1B,228.0,,28.39,205.2,68
CDM,15836010,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,15836011,HEP-INDUCE THROMBOCYTOPENIA,1089.0,,16.9,980.1,68
CDM,15836020,PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,70
CDM,15836022,PTT-LA,154.0,,3.47,138.6,70
CDM,15836025,PTT-LA MIX,262.0,,5.95,235.8,68
CDM,15836034,FIBRIN DEG D-DIMER QN,273.0,,5.78,245.7,68
CDM,15836190,PTT SUBSTITUTION,262.0,,5.95,235.8,68
CDM,15836195,PT SUBSTITUTION,213.0,,2.35,191.7,68
CDM,15836207,LUPUS ANTICOAG - PLT NEUTR,189.0,,13.75,170.1,68
CDM,15836210,ANTI-XA,478.0,,9.0,430.2,70
CDM,15836281,ADAMTS13 IGG AB,676.0,,11.36,608.4,68
CDM,15836290,THROMBIN TIME PLASMA,100.0,,4.54,90.0,68
CDM,15836352,PLATELET AGG- EACH AGENT **,260.0,,21.97,234.0,68
CDM,15836353,PLT AGG- EACH AGENT (THROMBIN),260.0,,21.97,234.0,68
CDM,15836411,FACTOR V ASSAY,432.0,,8.78,388.8,68
CDM,15836414,FACTOR VIII ASSAY,435.0,,16.47,391.5,68
CDM,15836415,FACTOR IX ASSAY,488.0,,7.69,439.2,68
CDM,15836416,FACTOR X ASSAY,438.0,,7.61,394.2,68
CDM,15836417,FACTOR VII ASSAY,481.0,,8.75,432.9,68
CDM,15836419,FACTOR VIII INHIBITOR,706.0,,11.33,635.4,68
CDM,15836429,RISTOCETIN COFACTOR,525.0,,10.98,472.5,68
CDM,15836431,FACTOR XI ASSAY,488.0,,7.62,439.2,68
CDM,15836433,FACTOR XII ASSAY,493.0,,7.71,443.7,68
CDM,15836446,RUSSELL VIPER VENOM,153.0,,4.56,137.7,68
CDM,15836447,DRVV - MIXING STUDIES,153.0,,4.56,137.7,56
CDM,15836448,DRVV - CONFIRMATION,153.0,,4.56,137.7,56
CDM,15836605,FIBRINOGEN ACTIVITY,265.0,,5.74,238.5,68
CDM,15836640,FACTOR VII INHIBITOR,706.0,,11.33,635.4,68
CDM,15836645,VON WILLEBRAND ANTIGEN,568.0,,10.99,511.2,68
CDM,15836708,ANTITHROMBIN III,316.0,,9.0,284.4,68
CDM,15836715,PROTEIN S,912.0,,14.09,820.8,68
CDM,15836720,PROTEIN C,468.0,,12.73,421.2,68
CDM,15836725,ACTIVATED PROTEIN C RESISTANCE,289.0,,12.52,260.1,68
CDM,15840001,NUCLEIC ACID QN HEPATITIS B,560.0,,39.41,504.0,68
CDM,15840002,BCR-ABL1 P120,751.0,,150.84,675.9,68
CDM,15840003,BCR-ABL1 P190,624.0,,133.25,561.6,68
CDM,15840004,PGDX-CARDIOVASCULAR (MOLDX),847.0,,166.01,762.3,56
CDM,15840010,HCV RNA QUANT BY REAL-TIME PCR,712.0,,39.41,640.8,68
CDM,15840011,BK VIRUS URINE,256.0,,39.41,230.4,68
CDM,15840104,ANALY GENE JAK2**,780.0,,84.33,702.0,68
CDM,15840125,EBV QNT BLOOD,664.0,,39.41,597.6,68
CDM,15840129,WRIGHT'S STAIN,291.0,,12.67,261.9,69
CDM,15840131,PAN FUSION PANEL,9120.0,,550.08,8208.0,68
CDM,15840132,RENAL FUSION PANEL,1991.0,,550.08,1791.9,68
CDM,15840133,SARCOMA FUSION PANEL,1991.0,,550.08,1791.9,68
CDM,15840134,FUSION TARGET THPY SOLID TUMRS,1991.0,,550.08,1791.9,68
CDM,15840135,SALIVARY DUCT TUMR FUSION PNL,1991.0,,550.08,1791.9,68
CDM,15840146,HIV-1 QUALITATIVE PCR**,528.0,,32.28,475.2,68
CDM,15840147,HIV-2 QUALITATIVE PCR**,588.0,,32.28,529.2,68
CDM,15840151,ANALYS MICROSAT INST,1669.0,,320.68,1502.1,68
CDM,15840154,PARVOVIRUS QUANT PCR,335.0,,39.41,301.5,68
CDM,15840222,CELL MARKER MONOCLONAL AB,427.0,,43.49,442.83,68
CDM,15840223,CELL MARKER MONO AB EA ADD,239.0,,21.38,215.1,56
CDM,15840225,"CD3, TOTAL T-CELL COUNT",709.0,,6.74,638.1,68
CDM,15840226,ABSOLUTE CD4 & CD8 W/RATIO,1194.0,,10.11,1074.6,68
CDM,15840229,T CELLS- ABSOLUTE CD4 COUNT,484.0,,24.64,435.6,68
CDM,15840236,CELL MARKER HETERO AB (EA ADD),239.0,,21.38,215.1,56
CDM,15840408,NGS MYELOID ASSAY,2278.0,,648.4,2050.2,68
CDM,15840493,NUCLEIC ACID AMP HEPATITIS C**,585.0,,32.28,526.5,68
CDM,15840497,NUCLEIC ACID QN CMV,640.0,,39.41,576.0,68
CDM,15840498,NUCLEIC ACID GENOTYPE HEP C**,1790.0,,13.2,1611.0,68
CDM,15840515,BK VIRUS,840.0,,39.41,756.0,68
CDM,15840562,"HIV1 VIRAL LOAD, QUANT.(ULTRA)",853.0,,47.54,767.7,68
CDM,15840624,INFECT AGNT HPV HIGH-RISK TYPE,482.0,,64.58,433.8,68
CDM,15840635,COVID-19(SARS-COV-2)IP/ER ONLY,368.0,,30.6,331.2,70
CDM,15850001,ASP BONE MARROW ONLY,1516.0,,606.4,1994.58,68
CDM,15850012,CONC STOOL,114.0,,2.24,102.6,68
CDM,15850014,AER ORGANISM ID-CRYSTAL GP,181.0,,7.43,162.9,68
CDM,15850016,AER ORGANISM ID-RAPID CB,181.0,,7.43,162.9,68
CDM,15850018,AER ORGANISM ID-RAPID NH,181.0,,7.43,162.9,68
CDM,15850022,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,15850023,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,15850024,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,15850025,CELL COUNT BODY FLUID W/DIFF,88.0,,2.19,79.2,68
CDM,15850026,VISCOSITY,288.0,,10.01,259.2,68
CDM,15850030,CELL COUNT CSF W/DIFF,88.0,,2.19,79.2,68
CDM,15850033,E-TEST CIPROFLOXACIN SUSCEPT,81.0,,4.37,72.9,68
CDM,15850036,E-TEST GENTAMICIN SUSCEPT,81.0,,4.37,72.9,68
CDM,15850040,E-TEST MOXIFLOXACIN SUSCEPT,81.0,,4.37,72.9,68
CDM,15850041,E-TEST PENICILLIN SUSCEPT,81.0,,4.37,72.9,68
CDM,15850044,E-TEST TETRACYCLINE SUSCEPT,81.0,,4.37,72.9,68
CDM,15850047,E-TEST BACTRIM SUSCEPT,81.0,,4.37,72.9,68
CDM,15850049,YEAST ORGANISM ID,197.0,,8.64,177.3,68
CDM,15850050,AER ORGANISM ID-CRYSTAL GN,181.0,,7.43,162.9,68
CDM,15850053,STREPTOCOCCUS BIOCHEM ID,97.0,,7.43,87.3,68
CDM,15850055,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,15850056,ANAEROBIC ORGANISM ID,141.0,,6.64,126.9,68
CDM,15850057,EOSINOPHIL SMEAR URINE,150.0,,3.39,135.0,68
CDM,15850058,E-TEST AMIKACIN SUSCEPT,81.0,,4.37,72.9,68
CDM,15850059,E-TEST AMPICILLIN SUSCEPT,81.0,,4.37,72.9,68
CDM,15850065,E-TEST CEFTRIAXONE SUSCEPT,81.0,,4.37,72.9,68
CDM,15850066,G6PD ENZYME SCREEN,174.0,,5.57,156.6,68
CDM,15850067,E-TEST TOBRAMYCIN SUSCEPT,81.0,,4.37,72.9,68
CDM,15850068,E-TEST CEFTAZIDIME/AVIBACTAM,81.0,,4.37,72.9,68
CDM,15850070,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,15850071,E-TEST TELAVANCIN SUSCEPT,73.0,,4.37,65.7,68
CDM,15850079,RT PCR CULTURE TYPING CARBA-R*,185.0,,32.28,166.5,68
CDM,15850081,RT PCR INF AGENT DETECT CARBAR,185.0,,32.28,166.5,69
CDM,15850085,LEUKOCYTE ALK PHOS W/COUNT,152.0,,7.83,136.8,68
CDM,15850089,IRON STAIN- BONE MARROW,291.0,,12.67,261.9,69
CDM,15850093,SUSCEPT MACROBROTH ADDL,269.0,,4.59,242.1,56
CDM,15850095,OSMOTIC FRAGILITY,397.0,,12.29,357.3,68
CDM,15850100,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,15850101,BONE MARROW- BIOPSY,2276.0,,910.4,2048.4,68
CDM,15850116,MALARIA INF AGENT AG DETECTION,193.0,,14.78,173.7,68
CDM,15850125,BLOOD COUNT RETICULOCYTE AUTO,113.0,,3.67,101.7,68
CDM,15850129,SED RATE RBC AUTO,179.0,,2.33,161.1,68
CDM,15850135,SICKLE CELL RBC,88.0,,3.46,79.2,68
CDM,15850150,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,15850165,M. TUBERCULO DNA AMP PROBE,318.0,,70.63,286.2,68
CDM,15850166,INFECT AGENT DETECT RIF,301.0,,32.28,270.9,69
CDM,15850196,CULTURE TYPING-PBP2A,97.0,,3.39,87.3,68
CDM,15850203,SUSC MACROBROTH EA ADD AGENT**,100.0,,4.59,90.0,56
CDM,15850204,SUSC MACROBROTH INIT AGENT**,100.0,,4.59,90.0,68
CDM,15850222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,15850250,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,15850295,"MYOGLOBIN, URINE",174.0,,11.89,156.6,68
CDM,15850300,SUSCEPT MACROBROTH EA AGENT,269.0,,4.59,242.1,68
CDM,15851056,ANAEROBIC ORGANISM ID - BRUKER,141.0,,6.64,126.9,68
CDM,15855080,STAT STREP A.UED,195.0,,15.21,175.5,68
CDM,15855285,CARBOXYHEMOGLOBIN ABG,242.0,,4.55,217.8,70
CDM,15855289,"CALCIUM, IONIZED, ABG",214.0,,2.31,192.6,68
CDM,15855430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,15860001,ANA (POSITIVE TITER) COMPANION,289.0,,7.85,260.1,68
CDM,15860012,TREPONENA PALLIDUM HA,263.0,,12.18,236.7,68
CDM,15860013,TREPONEMA PALLIDUM ANTIBODY,263.0,,12.18,236.7,68
CDM,15860015,CHLAMYDIA DNA,333.0,,32.28,299.7,68
CDM,15860016,N. GONORHEA (GC) DNA,309.0,,23.29,278.1,68
CDM,15860017,N. GONORHEA URINE,309.0,,23.29,278.1,68
CDM,15860018,MEASLES IGG,195.0,,5.65,175.5,68
CDM,15860019,COVID-19 IGG SPIKE AB,129.0,,8.13,116.1,68
CDM,15860021,CMV IGG AB,334.0,,5.58,300.6,68
CDM,15860022,RUBELLA ANTIBODY,253.0,,5.64,227.7,68
CDM,15860023,TOXOPLASMA IGG ANTIBODY,329.0,,5.59,296.1,68
CDM,15860024,TOXOPLASMA IGM,330.0,,6.4,297.0,68
CDM,15860027,HELICOBACTER PYLORI ANTIBODY,308.0,,5.68,277.2,68
CDM,15860028,DNA DOUBLE STRAND AB-POSITIVE,292.0,,6.6,262.8,68
CDM,15860029,DS-DNA (POS TITER) COMPANION,472.0,,6.58,424.8,68
CDM,15860031,ANA (NEGATIVE) SCREEN,255.0,,7.84,229.5,68
CDM,15860033,ANA (POSITIVE) SCREEN,255.0,,7.84,229.5,68
CDM,15860034,VARICELLA-ZOSTER ANTIBODY IGG,298.0,,5.63,268.2,68
CDM,15860070,MONOTEST SCREEN MONOSPOT,402.0,,2.28,361.8,68
CDM,15860076,ALDOSTERONE SERUM,288.0,,37.49,259.2,68
CDM,15860077,RENIN DIRECT,156.0,,20.23,140.4,68
CDM,15860078,GROWTH HORMONE (HGH),118.0,,15.34,106.2,68
CDM,15860079,INSULIN-LIKE GROWTH FACTOR,150.0,,3.45,135.0,68
CDM,15860084,GAMMAGLOBULIN IGG,218.0,,7.88,196.2,68
CDM,15860091,HIV TYPE 1 ANTIBODY **,312.0,,18.0,280.8,68
CDM,15860092,HIV TYPE 2 ANTIBODY **,312.0,,18.0,280.8,68
CDM,15860111,HEPATITIS A AB IGG,196.0,,5.68,176.4,68
CDM,15860112,HEP B SURF AG NEUTRALIZATION,196.0,,9.5,176.4,68
CDM,15860113,HIV 1 HIV 2 AB AG SGL RESULT,250.0,,22.15,225.0,68
CDM,15860118,"RHEUMATOID FACTOR, QUANT.",211.0,,5.22,189.9,68
CDM,15860134,CHLAMYDIA SWAB,333.0,,32.28,299.7,68
CDM,15860135,"MYELOPEROXIDASE AB, IGG (MPO)",259.0,,10.61,233.1,68
CDM,15860140,"RPR, QUALITATIVE",210.0,,3.36,189.0,68
CDM,15860143,"VDRL, CSF",210.0,,3.36,189.0,68
CDM,15860155,THYROGLOBULIN ANTIBODY,364.0,,14.64,327.6,68
CDM,15860176,DNA DOUBLE STRAND AB-NEGATIVE,292.0,,6.6,262.8,68
CDM,15860180,CH50 (COMPLEMENT),639.0,,13.27,575.1,68
CDM,15860181,C4 SERUM,237.0,,5.59,213.3,68
CDM,15860235,C3 (COMPLEMENT),237.0,,5.59,213.3,68
CDM,15860251,"IGM, SERUM",218.0,,7.88,196.2,68
CDM,15860252,"IGA, SERUM",218.0,,7.88,196.2,68
CDM,15860253,"IGG, SERUM",218.0,,7.88,196.2,68
CDM,15860255,CRYOGLOBULIN,128.0,,3.44,115.2,68
CDM,15860259,"SERINE PROTEASE 3 AB, IGG PR3",259.0,,10.61,233.1,68
CDM,15860260,ENA AB SS-A (RO),370.0,,12.19,333.0,68
CDM,15860261,ENA AB SS-B (LA),370.0,,12.19,333.0,68
CDM,15860262,ANTI-SMITH,370.0,,12.19,333.0,68
CDM,15860264,ANTI-RNP,370.0,,12.19,333.0,68
CDM,15860265,"ANTI-TRYPSIN, ALPHA 1",226.0,,10.14,203.4,68
CDM,15860282,HEPATITIS B SURFACE ANTIG,218.0,,7.91,196.2,68
CDM,15860286,HEPATITIS BE ANTIGEN,279.0,,7.92,251.1,68
CDM,15860287,HEPATITIS BE ANTIBODY,594.0,,5.73,534.6,68
CDM,15860289,HEPATITIS C ANTIBODY,309.0,,8.0,278.1,68
CDM,15860291,ACUTE HEPATITIS PANEL,778.0,,20.3,700.2,68
CDM,15860292,"HEPATITIS B CORE AB, TOTAL",172.0,,5.36,154.8,68
CDM,15860296,HSV IGG-I AB,260.0,,5.74,234.0,68
CDM,15860297,HSV IGG-II AB,379.0,,17.8,341.1,68
CDM,15860300,MITOCHONDRIAL ANTBDY TITE,472.0,,23.41,424.8,68
CDM,15860301,ANTI-SMOOTH MUSCLE AB,472.0,,11.09,424.8,68
CDM,15860304,CERULOPLASMIN,177.0,,9.04,159.3,68
CDM,15860308,ASPERGILLUS GALACTOMANNAN EIA,684.0,,11.02,615.6,68
CDM,15860311,CARDIOLIPIN IGG ANTIBODIES,535.0,,5.58,481.5,68
CDM,15860312,CARDIOLIPIN IGM ANTIBODIES,535.0,,5.58,481.5,68
CDM,15860322,ANA SCREEN,255.0,,7.84,229.5,68
CDM,15860326,ENDOMYSIAL AUTOANTIBODIES SCRE,237.0,,11.12,213.3,68
CDM,15860327,ENDOMYSIAL AUTOANTIBODIES TITE,472.0,,11.12,424.8,68
CDM,15860328,ANTI-TISSUE TRANSGLUTAMINASE,259.0,,10.61,233.1,68
CDM,15860486,"ALBUMIN, SERUM, FOR MS PROFILE",85.0,,2.32,76.5,68
CDM,15860522,EBV ANTIBODY (VCA) IGG,374.0,,5.55,336.6,68
CDM,15860523,EBV ANTIBODY (VCA) IGM,374.0,,5.55,336.6,68
CDM,15860524,EBV ANTIBODY (NA) IGG,315.0,,5.54,283.5,68
CDM,15860532,CMV IGM AB,406.0,,5.5,365.4,68
CDM,15860533,ANTI CCP,245.0,,11.91,220.5,68
CDM,15860593,RPR TITER,210.0,,3.37,189.0,68
CDM,15860661,TRICHOMONAS DNA,256.0,,18.4,230.4,68
CDM,15860662,TRICHOMONAS URINE,256.0,,18.4,230.4,68
CDM,15860787,IMMUNOGLOBULIN SUBCLASSES EA,179.0,,7.38,161.1,68
CDM,15860883,NEPHELOMETRY FREE KAPPA,325.0,,15.89,292.5,68
CDM,15860884,NEPHELOMETRY FREE LAMBDA,325.0,,25.91,292.5,56
CDM,15870100,"HEMOSIDERIN, URINE",82.0,,4.37,73.8,68
CDM,15870115,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,15870165,PROTEIN UR QUAL,142.0,,2.07,127.8,68
CDM,15870180,URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,68
CDM,15870181,URINALYSIS WITH MICROSCOPIC,153.0,,2.92,137.7,68
CDM,15870195,SPECIFIC GRAVITY URINE,142.0,,2.07,127.8,68
CDM,15870215,CRYSTAL LIGHT ID MICROSCOPY,108.0,,6.74,97.2,68
CDM,15880000,PLASMA CRYO REDUCED PATH (RUO),85.0,,42.5,166.38,67
CDM,15880005,CROSSMATCH IMMEDIATE SPIN,304.0,,2.2,273.6,68
CDM,15880007,COMPAT TEST ELECTRONIC,210.0,,1.76,223.74,68
CDM,15880009,STUDY PLASMA PROCESSING,370.0,,72.52,333.0,56
CDM,15880013,BLOOD TYPING RH (D),108.0,,2.75,97.2,68
CDM,15880014,BLOOD TYPING ABO,72.0,,2.75,158.68,68
CDM,15880023,RED CELLS L/R IRR EA,1086.0,,210.7,977.4,68
CDM,15880030,RBC ANTIBODY SCREEN,161.0,,5.63,144.9,68
CDM,15880035,RBC AB IDENTIFICATION PANEL,434.0,,2.7,442.83,68
CDM,15880045,ANTIBODY TITRATION,181.0,,4.77,210.95,68
CDM,15880046,COOMBS  DIRECT,140.0,,4.4,126.0,68
CDM,15880059,LIQUID PLASMA,271.0,,58.56,243.9,68
CDM,15880066,DONOR RBC AG TYPING NON ABO/RH,344.0,,3.52,309.6,68
CDM,15880092,ANTIGEN SCREEN-DONOR UNIT EA,198.0,,5.21,178.2,68
CDM,15880093,"AG SCRN REF-(E,S)",198.0,,5.21,178.2,68
CDM,15880094,"AG SCRN REF-(KPB,V,VEL)",198.0,,5.21,178.2,68
CDM,15880125,"CROSSMATCH, EXTENDED",432.0,,2.33,388.8,68
CDM,15880146,DAT IGG,140.0,,4.4,126.0,68
CDM,15880155,BLOOD PRODUCT POOL,237.0,,2.03,213.3,68
CDM,15880177,OCTOPHARMA FIBRYGA VL 1MG,9.3,,1.07,8.37,68
CDM,15880205,RBC AG TYPING NON ABO/RH,357.0,,3.52,321.3,68
CDM,15880251,COVID-19 CONVALESCENT PLASMA,1688.0,,350.58,1519.2,68
CDM,15880608,FRESH FROZEN PLASMA EACH UNIT,498.0,,69.42,448.2,68
CDM,15880804,DITHIOTHREITOL (DTT),231.0,,1.83,207.9,68
CDM,15880860,CROSSMATCH PREWARM,594.0,,1.96,534.6,68
CDM,15880998,EIA SHIGA TOX AG QL/SQ STX1,204.0,,11.02,183.6,68
CDM,15880999,EIA SHIGA TOX AG QL/SQ STX2,204.0,,17.97,183.6,56
CDM,15891000,IN SITU HYBRIDIZATION-EA PROBE,466.0,,141.15,419.4,68
CDM,15891003,CNSLT REFERRED SLIDE-88321,0.01,,0.00196,0.009,56
CDM,15891004,MORPHO ANLYS INSITU HYBRID MAN,766.0,,178.79,689.4,68
CDM,15891040,"MD - PLACENTAL EXAM 2, FULL",463.0,,33.87,416.7,69
CDM,15891045,"MD - PLACENTAL EXAM 3, FULL",799.0,,47.58,719.1,68
CDM,15891205,CONSULT COMPLEX,576.0,,24.32,518.4,68
CDM,15891341,IMMUNOHISTO/CYTO PER ANTIBODY,401.0,,61.39,360.9,56
CDM,15891342,IHC EA AB-LAB DEVELOPED TEST,431.0,,37.69,387.9,68
CDM,15891344,IMMUNOHISTOCHEMISTRY EA AB,401.0,,64.24,442.83,68
CDM,15891364,IN SITU HYBRID ADD SNGL PROBE,431.0,,87.42,387.9,56
CDM,15891377,MORPHO ANLYS IN SITU MANUAL,530.0,,117.55,683.35,68
CDM,15891700,GROSS EXAM LEVEL I,124.0,,9.62,111.6,68
CDM,15891705,GROSS AND MICRO LEVEL II,299.0,,15.93,269.1,68
CDM,15891710,GROSS AND MICRO LEVEL III,373.0,,15.94,335.7,68
CDM,15891715,GROSS AND MICRO LEVEL IV,487.0,,33.87,438.3,69
CDM,15891720,GROSS AND MICRO LEVEL V,799.0,,47.58,719.1,68
CDM,15891725,GROSS AND MICRO LEVEL VI,824.0,,58.07,1005.63,68
CDM,15891730,Z*DECALCIFICATION OF TISSUE,128.0,,9.5,115.2,56
CDM,15891732,"DECALCIFICATION OF TISSUE, BM",128.0,,9.5,115.2,56
CDM,15891735,GROUP I STAIN,320.0,,12.75,288.0,68
CDM,15891740,GROUP II/OTHER STAIN,291.0,,12.67,261.9,69
CDM,15891741,"IMMUNOHISTOCHEM, EA AB (EGFR)",431.0,,37.69,387.9,68
CDM,15891755,STAIN FOR ENZYMES,836.0,,24.11,1005.63,68
CDM,15891765,CONSULT COMP REVIEW AND REPORT,836.0,,36.64,752.4,68
CDM,15891768,OPERATING ROOM CONSULT,374.0,,48.93,336.6,68
CDM,15891770,CONSULT DURING SURGERY,424.0,,36.69,381.6,68
CDM,15891775,ADDIT BLOCK W/FROZEN SEC,170.0,,8.0,153.0,56
CDM,15891780,IMMUNOCYTOCHEM EA ANTIBOD,431.0,,37.69,387.9,68
CDM,15891785,IF - DIRECT,418.0,,37.73,436.89,69
CDM,15891789,ELECTRON MICROSCOPY SCANNING,1036.0,,21.0,1005.63,69
CDM,15891790,"EM, DIAGNOSTIC",2736.0,,21.0,2462.4,69
CDM,15891807,SKIN PLASTIC REPAIR,327.0,,15.93,294.3,68
CDM,15891810,SKIN CYST/TAG,373.0,,15.94,335.7,68
CDM,15891815,SKIN BIOPSY,487.0,,33.87,438.3,69
CDM,15891831,BONE MARROW BX/PATHOLOGY,487.0,,33.87,438.3,69
CDM,15892001,CONSULT PATH SURGERY CYTO INIT,177.0,,53.84,1005.63,68
CDM,15892002,CONSULT PATH SURGERY EA ADDL,120.0,,28.79,108.0,56
CDM,15892175,THIN PREP- IMAGED W/INTERP,318.0,,24.37,286.2,68
CDM,15892205,CONSULT COMPLEX,576.0,,24.32,518.4,68
CDM,15892500,CYTOPATH FLD/WASH/BRUSH,270.0,,10.59,243.0,68
CDM,15892504,"PAP SMEAR, THINPREP W/INTERP.",232.0,,18.64,208.8,68
CDM,15892508,"THINPREP, NON-GYN W/ INTERP.",285.0,,44.01,256.5,68
CDM,15892520,CYTOPATH PREP/SCRN/INTERP,199.0,,17.77,179.1,68
CDM,15892535,CTYP FNA EVAL DX 1ST EACH SITE,173.0,,36.8,223.74,68
CDM,15892540,FNA INTERP & REPORT,407.0,,29.62,366.3,68
CDM,15892545,CELL BLOCK PREP/INTERP,487.0,,33.87,438.3,69
CDM,15899020,SPECIMEN PROCESSING CHARGE,153.0,,29.99,137.7,56
CDM,15899030,HANDLING (DRY ICE),153.0,,29.99,137.7,56
CDM,15899040,SPECIMEN STORAGE CHARGE,153.0,,29.99,137.7,56
CDM,15990003,ROOM & BED AOC,2117.0,,1058.5,7500.0,38
CDM,16180013,OBSERV PER HR - OCDU,86.0,,43.0,2436.0,57
CDM,16190003,ROOM & BED OCDU,1691.0,,845.5,7500.0,38
CDM,16297605,NEG PRESS WOUND THRPY</=50 CM,481.0,,43.0,432.9,68
CDM,16299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,16300216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,16300300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,16300303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,16300308,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,55
CDM,16300309,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,16300318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,16300326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,16300335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,16300540,NALOXONE HYDROCHLORIDE INJ 1MG,61.4,,0.0854,55.26,55
CDM,16300900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,16300911,LORAZEPAM VL 2MG/ML 1ML,3.6,,0.75,3.24,55
CDM,16303014,TELEHEALTH FACILITY FEE-HEO,78.0,,10.66,70.2,57
CDM,16311750,EXC NAIL & MATRIX,1464.0,,329.08,1317.6,68
CDM,16331575,LARYNGOSC FLEX FIBER,829.0,,159.91,746.1,68
CDM,16338222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,16390471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,16390653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,16390656,FLAURIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,16390662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,16390686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,16393005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,16396372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,16398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,16398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,16398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,16398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,16398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,16398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,16398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,16398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,16398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,16398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,16398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,16398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,16398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,16398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,16398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,16398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,16398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,16399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,16400216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,16400217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,16400318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,16403014,TELEHEALTH FACILITY FEE-ARG,78.0,,10.66,70.2,57
CDM,16410005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,16410006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,16410060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,16410061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,16410140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,16410160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,16411102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,16411104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,16411106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,16411423,EXC LESN BGN SCALP/HND 2.1-3.0,3130.0,,1252.0,2817.0,68
CDM,16412031,RPR LAC INT SCALP/AXIL,785.0,,314.0,706.5,68
CDM,16417250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,16420206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,16421550,BX TISSUE NECK/THORAX,4652.0,,1334.55,4186.8,68
CDM,16431575,LARYNGOSC FLEX FIBER,829.0,,159.91,746.1,68
CDM,16436590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,16438505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,16446600,ANOSCOPY,493.0,,106.17,443.7,68
CDM,16490471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,16490472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,16490620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,16490648,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,56
CDM,16490662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,16490670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,16490686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,16490732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,16490734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,16496374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,16498000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,16498001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,16498002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,16498003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,16498004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,16498005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,16498006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,16498007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,16498008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,16498009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,16498010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,16498011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,16498012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,16498013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,16498014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,16498015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,16498016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,16499024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,16499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,16500216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,16500278,ALPROSTADIL INJ 1.125MCG,18.9,,0.5856,17.01,56
CDM,16500283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,16500287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,16500289,COLLAGENASE CLOSTRIDIUM 0.01MG,250.74,,52.39,225.67,68
CDM,16500306,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,55
CDM,16500308,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,55
CDM,16500309,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,16500311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,16500313,MEPERIDINE INJ 100MG/ML 1ML,9.4,,4.7,19.14,55
CDM,16500321,PROMETHAZINE INJ 50MG,13.9,,2.31,12.51,55
CDM,16500347,BLEOMYCIN VL 15U,144.9,,25.5,164.25,56
CDM,16500349,LEUPROLIDE DEPOT KIT 7.5MG,595.77,,162.33,536.19,69
CDM,16500538,VERAPAMIL INJ 5MG/2ML VIAL,14.0,,7.0,12.6,54
CDM,16500575,VERAPAMIL INJ 2.5MG/ML VIAL,80.9,,40.45,72.81,54
CDM,16500650,GEMCITABINE HCL VL 200MG,23.4,,3.61,108.75,56
CDM,16500720,BCG VACC INTRAVES 1MG,21.1,,2.79,18.99,55
CDM,16500900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,16501051,CIPROFLOXACIN INJ 200MG,12.3,,1.0,11.07,55
CDM,16503014,TELEHEALTH FACILITY FEE-ARU,78.0,,10.66,70.2,57
CDM,16510120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,16510160,PUNCT ASPIR ABSCES/HEMAT/CYST,638.0,,255.2,574.2,68
CDM,16511400,EXC LESN BGN TRUNK/ARM,1333.0,,533.2,1199.7,68
CDM,16511401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,68
CDM,16536415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,16546050,I&D ABSC PERIANAL SUPERFIC,2605.0,,750.95,2344.5,68
CDM,16551600,INJ CYSTOGRAM,1129.0,,451.6,1016.1,56
CDM,16551700,IRRIG/LAVG/INSTL BLADDER,696.0,,200.33,626.4,68
CDM,16551701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,16551702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,16551703,CATH BLADDER CPLX,525.0,,128.87,472.5,68
CDM,16551705,CHG TUBE CYSTOSTOMY SMP,1019.0,,200.33,917.1,68
CDM,16551710,CHANGE TUBE CYSTOSTOMY CPLX,3048.0,,250.0,2743.2,68
CDM,16551720,INSTILL ANTICARCINOG BLADDER,1196.0,,478.4,1076.4,68
CDM,16551726,CYSTOMETROGRAM/CMG CPLX,1605.0,,200.33,1444.5,68
CDM,16551727,COMPLEX CYSTOMETROGRAM W/UP,1621.0,,549.78,1458.9,68
CDM,16551728,CYSTOMETROGRAM W/VP,2188.0,,549.78,1969.2,68
CDM,16551729,CYSTOMETROGRAM W/VP&UP,1704.0,,549.78,1533.6,68
CDM,16551741,UROFLOWMETRY CPLX,648.0,,256.5,583.2,68
CDM,16551784,EMG ANAL/URETHRAL SPHINCTER,949.0,,128.87,854.1,68
CDM,16551797,STUDY VP INTRA-ABDOMINAL,1107.0,,442.8,996.3,56
CDM,16551798,MEASURE POST-VOID URNIE BY US,223.0,,48.93,200.7,68
CDM,16552000,CYSTOURETHROSCOPY,2648.0,,549.78,2383.2,68
CDM,16552001,CYSTO W/IRRIG/EVAC CLOTS,4561.0,,1824.4,4245.81,68
CDM,16552005,CYSTO W/CATHETERIZAT URETERAL,7238.0,,1687.31,6514.2,68
CDM,16552204,CYSTO W/BIOPSY(S),5769.0,,1687.31,5192.1,68
CDM,16552224,CYSTO FULG LESN MINOR,5986.0,,2394.4,5387.4,68
CDM,16552234,CYSTO FULG TUMR SMALL .5-2CM,7299.0,,2840.83,6569.1,68
CDM,16552235,CYSTO GULG TUMR MEDIUM 2.-5CM,6756.0,,2702.4,6080.4,68
CDM,16552281,CYSTO DILAT STRICTURE URETHRAL,4710.0,,1687.31,4239.0,68
CDM,16552287,CYSTO W/INJ CHEMO BLADDER,4703.0,,1687.31,4232.7,68
CDM,16552310,CYSTO W/REM FB SMP,4934.0,,1687.31,4440.6,68
CDM,16552315,CYSTO W/REM FB/CAL/STENT COMP,8053.0,,1687.31,7247.7,68
CDM,16552317,LITHOLAPAXY SMP,6811.0,,2724.4,6129.9,68
CDM,16552332,CYSTO W/INDWELL STENT URETER,5783.0,,2313.2,5204.7,68
CDM,16552351,CYSTO/PYELOSC DX,6555.0,,2622.0,5899.5,68
CDM,16553020,MEATOTOMY EXCEPT INFANT,4714.0,,1687.31,4242.6,68
CDM,16553660,DIL URETHRA FEMALE INITIAL,277.0,,110.8,249.3,68
CDM,16553661,DIL URETHRA FEMALE SUBSQ,370.0,,106.17,333.0,68
CDM,16554001,SLIT PREPUCE EXCEPT NEWBORN,4212.0,,1684.8,3790.8,68
CDM,16554065,DEST LESN PENIS EXTN,4496.0,,1506.69,4046.4,68
CDM,16554100,BX PENIS,2290.0,,916.0,2061.0,68
CDM,16554161,CIRCUM W/O CLAMP >28 DAYS OLD,4254.0,,1687.31,3828.6,68
CDM,16554200,INJ PENIS PEYRONIE DISEASE,536.0,,200.33,482.4,68
CDM,16554235,INJ CORPORA CAVERNOSA W/VAS,660.0,,200.33,594.0,68
CDM,16555100,DRAIN ABSC SCROTAL WALL,4352.0,,1334.55,3916.8,68
CDM,16555250,VASECTOMY W/POSTOP SEMEN EXAM,5437.0,,1687.31,4893.3,68
CDM,16555700,BX PROSTATE NEEDLE/PUNCH,4433.0,,1687.31,3989.7,68
CDM,16555870,ELECTROEJACULATION,1226.0,,490.4,1103.4,68
CDM,16555874,TRNSPER PLC BIODEG MATRL PROST,13679.0,,4187.25,12311.1,68
CDM,16555876,PL DEV/MKR RAD THPY PROST 1/1+,3153.0,,1127.0,2837.7,68
CDM,16574430,XR CYSTOGRAM 3+V,1221.0,,71.0,1098.9,68
CDM,16576377,US 3D RNDR REQ INDP WRKSTN,2085.0,,162.0,1876.5,55
CDM,16590471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,16590686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,16590750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,16595972,ANLYS NEUR CPLX 1ST H W/PROG,1013.0,,75.61,911.7,68
CDM,16596402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,16596405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,16598000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,16598001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,16598002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,16598003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,16598004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,16598005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,16598006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,16598007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,16598008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,16598009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,16598010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,16598011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,16598012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,16598013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,16598014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,16598015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,16598016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,16599024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,16599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,16603014,TELEHEALTH FACILITY FEE-ARB,78.0,,10.66,70.2,57
CDM,16610060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,16610140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,16610160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,16611104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,16611105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,16611106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,16619000,PUNCTURE ASP BRST CYST,841.0,,336.4,866.14,68
CDM,16623065,BX TISSUE SHOULDER SUPERFIC,3167.0,,1266.8,2850.3,68
CDM,16647000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,68
CDM,16698000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,16698001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,16698002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,16698003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,16698004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,16698005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,16698006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,16698007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,16698008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,16698009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,16698010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,16698011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,16698012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,16698013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,16698014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,16698015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,16698016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,16699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,16700216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,16700471,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,55
CDM,16703014,TELEHEALTH FACILITY FEE-ARY,78.0,,10.66,70.2,57
CDM,16790471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,16790653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,16790656,FLAURIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,16790662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,16790686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,16793005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,16793242,ECG CONT >48H UP TO 7 DAYS,600.0,,32.33,540.0,68
CDM,16793246,ECG CONT 7-15 DAYS REC,606.0,,32.33,545.4,68
CDM,16793279,PROG DEV EVAL SINGLE LEAD PM,411.0,,30.72,369.9,69
CDM,16793280,PROG DEV EVAL DUAL LEAD PM,466.0,,30.72,419.4,69
CDM,16793282,PROG DVC EVAL SNGL LEAD ICD,419.0,,30.72,377.1,69
CDM,16793283,PROG DEV EVAL DUAL LEAD ICD,612.0,,30.72,550.8,69
CDM,16793284,PROG DEV EVAL MULTI LEAD ICD,670.0,,30.72,603.0,69
CDM,16793288,INTERROGATION DEV EVAL PACEMKR,335.0,,30.72,301.5,69
CDM,16793289,INTERROG DEVICE EVAL ICD,536.0,,30.72,482.4,69
CDM,16793291,INTERROG DEV EVAL IMPLT LOOP,412.0,,20.18,370.8,69
CDM,16796374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,16798000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,16798001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,16798002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,16798003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,16798004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,16798005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,16798006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,16798007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,16798008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,16798009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,16798010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,16798011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,16798012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,16798013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,16798014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,16798015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,16798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,16799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,16800139,NO CHARGE VISIT,0.01,,0.005,0.009,56
CDM,16800216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,16800361,PAP SMEAR SCREEN,107.0,,20.18,96.3,68
CDM,16800574,LEUPROLIDE DEPOT KIT 3.75MG,2254.91,,1127.45,2379.19,68
CDM,16803014,TELEHEALTH FACILITY FEE-GYNO,78.0,,10.66,70.2,57
CDM,16809968,METHYLENE BLUE INJ 1MG,17.3,,8.03,15.57,68
CDM,16810060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,16811104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,16811106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,16811200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,16811981,INS IMPL DRUG DELIV NON-BIODEG,704.0,,106.17,633.6,68
CDM,16811982,REM IMPL DRUG DELIV NON-BIODEG,1205.0,,328.68,1084.5,68
CDM,16817298,LEVONORGES IU SYS MIRENA 52MG,1639.75,,819.88,1778.22,56
CDM,16836415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,16836591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,16851700,IRRIG/LAVG/INSTL BLADDER,696.0,,200.33,626.4,68
CDM,16851701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,16856501,DESTRUCT LESION VULVA SIMPLE,4511.0,,1506.69,4059.9,68
CDM,16856605,BX LESN VULVA/PERINEUM ONE,1376.0,,550.4,1238.4,68
CDM,16856606,BX LESN VULVA/PERINEUM EA ADDL,767.0,,306.8,690.3,56
CDM,16857100,BX MUCOSA VAGINAL SMP,2071.0,,717.2,1863.9,68
CDM,16857420,COLPOSCOPY ENTIRE VAGINA,1180.0,,250.55,1062.0,68
CDM,16857421,COLPOSCOPY W/BX ENTIRE VAGINA,1919.0,,717.2,1727.1,68
CDM,16857452,COLPOSCOPY CERVIX/VAGINA,706.0,,165.7,635.4,68
CDM,16857454,COLPOSCOPY W/BX&CURETTAGE,1261.0,,250.55,1134.9,68
CDM,16857455,COLPOSCOPY W/BX CERVIX,1181.0,,250.55,1062.9,68
CDM,16857456,COLPOSCOPY W/CURETTAGE,1163.0,,250.55,1046.7,68
CDM,16857500,BX/EXC CERVIX LOCAL,2299.0,,717.2,2069.1,68
CDM,16857505,CURETTAGE ENDOCERVICAL,2174.0,,717.2,1956.6,68
CDM,16857522,CONE CERVIX LOOP ELECTRODE EXC,6824.0,,2618.9,6141.6,68
CDM,16858100,BX ENDOMETRIAL SAMPLING W/O,649.0,,165.7,584.1,68
CDM,16858300,INS INTRAUTERINE DEVICE,768.0,,94.61,691.2,57
CDM,16858301,REM DVC INTRAUTERINE,763.0,,250.55,686.7,68
CDM,16881025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,16890471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,16890651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,16890653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,16890656,FLAURIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,16890662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,16890686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,16893005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,16896372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,16898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,16898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,16898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,16898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,16898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,16898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,16898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,16898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,16898008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,16898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,16898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,16898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,16898012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,16898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,16898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,16898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,16898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,16899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,16900216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,16900574,LEUPROLIDE DEPOT KIT 3.75MG,2254.91,,1127.45,2379.19,68
CDM,16901925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,16911982,REM IMPL DRUG DELIV NON-BIODEG,1205.0,,328.68,1084.5,68
CDM,16915851,REM SUTURE ANES OTHER MD,5344.0,,1506.69,4809.6,68
CDM,16917298,LEVONORGES IU SYS 52MG MIRENA,1639.75,,819.88,1778.22,56
CDM,16936591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,16956501,DESTRUCT LESION VULVA SIMPLE,4511.0,,1506.69,4059.9,68
CDM,16956605,BX LESN VULVA/PERINEUM ONE,1376.0,,550.4,1238.4,68
CDM,16956820,COLPOSCOPY VULVA,534.0,,165.7,480.6,68
CDM,16957100,BX MUCOSA VAGINAL SMP,2071.0,,717.2,1863.9,68
CDM,16957420,COLPOSCOPY ENTIRE VAGINA,1180.0,,250.55,1062.0,68
CDM,16957421,COLPOSCOPY W/BX ENTIRE VAGINA,1919.0,,717.2,1727.1,68
CDM,16957454,COLPOSCOPY W/BX&CURETTAGE,1261.0,,250.55,1134.9,68
CDM,16957455,COLPOSCOPY W/BX CERVIX,1181.0,,250.55,1062.9,68
CDM,16957456,COLPOSCOPY W/CURETTAGE,1163.0,,250.55,1046.7,68
CDM,16957460,COLOPOSCOPY W/BX LOOP CERVIX,5657.0,,2262.8,5091.3,68
CDM,16957500,BX/EXC CERVIX LOCAL,2299.0,,717.2,2069.1,68
CDM,16957505,CURETTAGE ENDOCERVICAL,2174.0,,717.2,1956.6,68
CDM,16957522,CONE CERVIX LOOP ELECTRODE EXC,6824.0,,2618.9,6141.6,68
CDM,16958100,BX ENDOMETRIAL SAMPLING W/O,649.0,,165.7,584.1,68
CDM,16958300,INS INTRAUTERINE DEVICE,768.0,,94.61,691.2,57
CDM,16981025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,16982270,OCCULT BLOOD FECES SCREEN,66.0,,4.03,59.4,68
CDM,16990471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,16990651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,16990662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,16990686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,16991046,AP SO IHC PER ADD ANTIBODY,234.0,,61.39,210.6,56
CDM,16996372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,16999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,17010004,FETAL MONITORING PER HOUR,40.0,,20.0,36.0,56
CDM,17010005,LABOR ROOM PER HOUR,292.0,,146.0,262.8,56
CDM,17010040,RECOVERY 1ST HR-LABOR AND DEL,4257.0,,2128.5,3831.3,56
CDM,17010041,RECOVERY EACH ADDL 15 MINS,475.0,,237.5,427.5,56
CDM,17010905,OXYGEN/HR,52.0,,26.0,46.8,56
CDM,17011324,OXYTOCIN CHALLENGE TEST,834.0,,84.0,750.6,68
CDM,17011801,GENERAL RECOVERY - 0-3 HRS.,2192.0,,1096.0,1972.8,56
CDM,17012005,FETAL CONTRACTION STRESS TEST,900.0,,84.0,810.0,68
CDM,17012020,US PREG > 14 WKS SGL/1ST GEST,1606.0,,60.0,1445.4,68
CDM,17030100,OR TIME LEVEL 1-1ST 30 MIN,1877.0,,750.8,1689.3,56
CDM,17030101,OR TIME LEVEL 1 EA ADD 30 MIN,1699.0,,679.6,1529.1,56
CDM,17030102,OR TIME LEVEL 2- 1ST 30 MIN,2056.0,,822.4,1850.4,56
CDM,17030103,OR TIME LEVEL 2 EA ADD 30 MIN,1877.0,,750.8,1689.3,56
CDM,17030104,OR TIME LEVEL 3-1ST 30 MIN,2228.0,,891.2,2005.2,56
CDM,17030105,OR TIME LEVEL 3 EA ADD 30 MIN,2056.0,,822.4,1850.4,56
CDM,17030500,US GUIDANCE AMNIOCENTESIS,828.0,,53.0,745.2,55
CDM,17030501,US PREG FOLLOWUP PER FETUS,244.0,,32.0,276.71,68
CDM,17030502,US PREG 1 OR MORE FETUSES LTD,935.0,,45.0,841.5,68
CDM,17030503,US PREG > 14 WKS EA ADDL GEST,1175.0,,32.0,1057.5,55
CDM,17030504,FETAL NON-STRESS TEST,292.0,,67.0,262.8,68
CDM,17030505,FETAL BIO PROFILE W/O NST,1304.0,,87.59,1173.6,68
CDM,17076818,FETAL BIOPHYSICAL PF W/NST,1475.0,,55.0,1327.5,68
CDM,17099465,NEWBORN RESUSCITATION,2151.0,,539.0,1935.9,68
CDM,17109443,LACTATION CLASS,62.0,,31.0,55.8,56
CDM,17110701,CIRCUMCISION 4W NBN,202.0,,101.0,181.8,56
CDM,17162270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,17501604,IPC 1000ML DRESS PACK & BOTTLE,190.0,,95.0,171.0,56
CDM,17502060,CATH PNEUMOTHORAX WAYNE SET,445.0,,222.5,400.5,56
CDM,17510080,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,17510090,SPIROMETRY/PFT PRE&POST BRONCH,1099.0,,77.0,989.1,68
CDM,17510190,FLOW-VOL LOOP W/SPIRO/PFT,1848.0,,23.0,1663.2,68
CDM,17510205,TRAY CHEST/RIB THORACOTOMY,121.0,,60.5,108.9,56
CDM,17510206,CATH THORACENTESIS TRAY,214.0,,66.39,192.6,57
CDM,17510208,DRAIN CHEST DRY SUCTION OASIS,106.0,,53.0,95.4,56
CDM,17510209,TROCAR ENDOSCOPIC FLEXIBLE 8MM,152.0,,76.0,136.8,56
CDM,17511006,BRONC ROOM PROCEDURE,5315.0,,2126.0,4783.5,56
CDM,17511010,BRONCHOSCOPY / BEDSIDE,5315.0,,2126.0,4783.5,56
CDM,17511011,FORCEP BIOPSY DISP,543.0,,271.5,488.7,56
CDM,17511012,BRONCHOSCOPY / OR,2544.0,,1017.6,2289.6,56
CDM,17511020,BRONCHIAL LAVAGE KIT,107.0,,53.5,96.3,56
CDM,17511021,NEEDLE WANG,167.0,,83.5,150.3,56
CDM,17511025,BRONCHOSCOPY KIT,200.0,,100.0,180.0,56
CDM,17511026,CATH BALLOON EXTRACT TRI LUMEN,314.0,,157.0,282.6,56
CDM,17511027,CATH PLEURAL DRAINAGE KIT,1317.0,,658.5,1185.3,56
CDM,17514022,NEEDLE ASPIRATION EBUS,273.0,,136.5,245.7,56
CDM,17520177,ARTERIAL PUNCTURE,232.0,,64.0,208.8,67
CDM,17536600,ARTERIAL PUNCTURE,232.0,,64.0,208.8,67
CDM,17594010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,17594060,SPIROMETRY/PFT PRE&POST BRONCH,1099.0,,77.0,989.1,68
CDM,17594200,MAXIMUM VOLUNTARY VENT (MVV),236.0,,20.0,212.4,68
CDM,17594727,GAS DILUTION/WASHOUT DETERMINE,853.0,,41.37,767.7,68
CDM,17594729,MEMBRANE DIFFUSION CAPACITY,973.0,,51.72,875.7,56
CDM,17594799,MIP/MEP,316.0,,128.87,284.4,68
CDM,17600111,CATHETER EMBOLIZATION,219.0,,109.5,314.82,57
CDM,17601234,BONASTENT TB 10MM X 3CM,4491.0,,2245.5,4041.9,56
CDM,17601235,CENTESIS CATH 5F X 15CM,51.0,,25.5,45.9,56
CDM,17601236,FEEDING TUBE KIT,638.0,,319.0,574.2,61
CDM,17601237,MASK BITRAC BLUE MEDIUM,59.0,,29.5,53.1,56
CDM,17601238,PNEUMOTHORAX CATH TRAY,330.0,,165.0,297.0,61
CDM,17601239,TM STM REV 10MM X130MM,8473.0,,2374.28,7625.7,62
CDM,17601622,BRONC DX W OR WO WASH FLUORO,4900.0,,1420.41,4410.0,68
CDM,17601623,BRONC INCLUD BRUSHING W/FLUORO,4065.0,,1420.41,3658.5,68
CDM,17601624,BRONC W/LAVAGE W OR WO FLUORO,4164.0,,1420.41,3747.6,68
CDM,17601636,BRONCH W/BRONCH STENT-TRIAL,0.01,,0.005,8521.82,68
CDM,17601652,BRONCH SAMPL 1/2 NODE W/FLU0R0,5891.0,,2356.4,5301.9,68
CDM,17601653,BRONCH SAMPLE 3/> MODE W/FLURO,7482.0,,2992.8,6733.8,68
CDM,17602223,MARKER FIDUCIAL COBRA,503.0,,78.0,452.7,62
CDM,17602224,NEEDLE TRANSBRONCHIAL WANG,188.0,,94.0,169.2,56
CDM,17602330,BRUSH CYTOLOGY 1.7X120,96.0,,48.0,86.4,56
CDM,17602403,DNERVA LUNG DENERVATION SYSTEM,0.01,,0.005,0.009,56
CDM,17602702,SYSTEM ROBOTIC SURGICAL,7376.0,,3688.0,6638.4,56
CDM,17602967,FORCEP RAT TOOTH DISP,333.0,,166.5,299.7,56
CDM,17603069,STENT TRACHEAL AERO OTW,6159.0,,1667.17,5543.1,62
CDM,17603257,GUIDEWIRE MAXXWIRE SUPER STIFF,332.0,,27.95,298.8,57
CDM,17603443,KIT PROCEDURE EDGE 180 TIP,2862.0,,1431.0,2575.8,56
CDM,17603585,KIT DELIVERY MARKER PULMO SD,298.0,,78.0,268.2,62
CDM,17603777,TUBE TRACH CUFFED SHILEY,139.0,,69.5,125.1,56
CDM,17604320,CONNECTOR SHUNT ACCU-FLO,300.0,,150.0,270.0,61
CDM,17604336,NDLE KNIFE ZIMMON 5F .035X200,612.0,,306.0,550.8,56
CDM,17608205,SET IR-600 LVL I 300MM,186.0,,93.0,167.4,56
CDM,17609695,STENT TRACBRNCL SIZING DEVICE,530.0,,265.0,477.0,56
CDM,17609749,CATH PNEUMOTHORAX KIT ARROW,266.0,,133.0,239.4,56
CDM,17609751,BRONC W/ABL FLU/CT/US SAMPLING,8118.0,,3089.19,7306.2,68
CDM,17613880,FORCEP BIOPSY,100.0,,50.0,90.0,56
CDM,17613918,DILATOR BALLOON PULM CRE,912.0,,367.53,820.8,57
CDM,17613934,BRUSH CYTOLOGY TIP TRACK,1257.0,,628.5,1131.3,56
CDM,17613939,FORCEP SERRATED AOTT,1257.0,,628.5,1131.3,56
CDM,17613953,NEEDLE CYTO ALAYS ON TRACK 21G,1257.0,,628.5,1131.3,56
CDM,17614058,BALLOON ENDO OLYMPUS MAJ-1351,110.0,,55.0,99.0,56
CDM,17614064,NDL ASPIRATION VIZISHOT 4021,340.0,,170.0,306.0,56
CDM,17614065,NDL ASPIRATION VIZISHOT 4022,254.0,,127.0,228.6,56
CDM,17614128,BREATHE SYSTEM,0.01,,0.005,0.009,56
CDM,17614148,NDL ASPIRATION VIZISHOT 4019,618.0,,309.0,556.2,56
CDM,17614713,DILATOR BALLOON PULM ELATION,511.0,,255.5,459.9,57
CDM,17614836,NEEDLE ARCPOINT PULMONARY,486.0,,243.0,437.4,56
CDM,17614909,SET BLOCKER ENDOBRONCHIAL,453.0,,226.5,407.7,56
CDM,17616115,STENT BONASTENT ESOPHAGEAL,5738.0,,2869.0,5164.2,61
CDM,17616241,STENT TRACHEOBRONCH AERO SYS,5290.0,,1667.17,4761.0,62
CDM,17616656,DELIVERY CATHETER,1106.0,,553.0,995.4,56
CDM,17616657,CHARTIS CATHETER,2102.0,,1051.0,1891.8,56
CDM,17617409,SET ENDOBRONCHIAL BLOCKER,431.0,,215.5,387.9,56
CDM,17617885,CATHETER BALLOON AERIS,1254.0,,627.0,1128.6,56
CDM,17618574,NEEDLE BIOPSY FLEXISION,586.0,,293.0,527.4,56
CDM,17618575,CONNECTOR SWIVEL OXYGEN,330.0,,165.0,297.0,56
CDM,17618576,PROBE PERIPHERAL VISION ION,70.0,,35.0,63.0,56
CDM,17618606,FORCEP MINI BX CAPTURA,85.0,,42.5,76.5,56
CDM,17618646,PROBE PERIPH VISION INTUITIVE,769.0,,384.5,692.1,56
CDM,17618659,ADAPTER VISION PROBE & SUCTION,159.0,,79.5,143.1,56
CDM,17618874,CATHETER GUIDE INTUITIVE,1215.0,,607.5,1093.5,56
CDM,17619428,PROBE CRYO FLEX 1.1MM,793.0,,257.96,713.7,57
CDM,17619509,Y STENT ENDOCHOICE,9726.0,,1667.17,8753.4,62
CDM,17619670,STENT ESOPHAGEAL,9726.0,,4863.0,8753.4,61
CDM,17619764,FORCEPS COREDX MINI,1595.0,,797.5,1435.5,56
CDM,17620040,PULM ANES RECOVERY 1ST HR,4018.0,,2009.0,3616.2,56
CDM,17620041,PULM ANES RECOVERY EA ADDL 15,448.0,,224.0,403.2,56
CDM,17620949,VISION AIR 3D STENT,8991.0,,4495.5,8091.9,61
CDM,17621025,AMPLATZ SUPER STIFF,88.0,,27.95,79.2,62
CDM,17621026,BONASTENT TB 10MM X 4CM,4491.0,,2245.5,4041.9,56
CDM,17621027,SUT ETHILON BLK MONO 3-0 PS-1,15.0,,7.5,13.5,56
CDM,17621029,SUTURE CTD VICRYL 4-0 UN,24.0,,12.0,21.6,56
CDM,17621030,TRAY THORACENTESIS,392.0,,196.0,352.8,56
CDM,17621031,SUTURE PROLENE 2-0 8523H,18.0,,9.0,16.2,56
CDM,17621032,TRACH BLUSELECT CUFF 7.0,100.0,,50.0,90.0,61
CDM,17621117,TROCAR OPTICAL FIXATION,275.0,,137.5,247.5,56
CDM,17621118,GDEWIRE SUPER STIFF S,132.0,,27.95,118.8,62
CDM,17621121,STENT TRACBRNCL SIZING DEVICE,275.0,,137.5,247.5,56
CDM,17621192,CROSS C0NNECTOR SYS LATERAL,890.0,,445.0,801.0,61
CDM,17621351,CHOLANGIOSCOPE EYEMAX 3.2MM,4770.0,,2385.0,4293.0,56
CDM,17621352,CONNECTING TUBE BLUE PATIENT,161.0,,80.5,144.9,56
CDM,17621442,FORCEPS EYEMAX ALLI 1.0 OD,585.0,,292.5,526.5,56
CDM,17621849,CHOLANGIOSCOPE EYEMAX 3.9MM,4770.0,,2385.0,4293.0,56
CDM,17631600,TRACHEOSTOMY,6470.0,,2588.0,5823.0,68
CDM,17631603,TRACHEOSTOMY EMERG TRNSTRACH,3771.0,,1220.09,3393.9,68
CDM,17631622,BRONCHOSC DX W/W/O FLUOR&WASH,4644.0,,1420.41,4179.6,68
CDM,17631623,BRONCHOSCOPY INCLUD BRUSHING,4065.0,,1420.41,3658.5,68
CDM,17631624,BRONCHOSC W/LAVAGE ALVEOLAR,3595.0,,1420.41,3235.5,68
CDM,17631625,BRONCHOSC BX SGL/MLT SITES,3852.0,,1420.41,3466.8,68
CDM,17631626,BRNCHSC W/PLMT FID MKS 1/MLT,4397.0,,1758.8,8521.82,68
CDM,17631627,BRNCHSC W/CPTR-ASST IMAGE-GUID,7353.0,,2941.2,6617.7,56
CDM,17631628,BRONCHOSC W/BX TRANSBRONCH SGL,3996.0,,1598.4,4538.78,68
CDM,17631629,BRONC W/NEEDLE ASP BX,3996.0,,1598.4,4538.78,68
CDM,17631630,BRONCHOSC W/DILAT FX REDUCT,6485.0,,2594.0,5836.5,68
CDM,17631632,BRONCHOSC W/BX TRNSBRONCH LUNG,1805.0,,722.0,1624.5,56
CDM,17631633,BRONCHOSC W/ASP BX TRNSBRONCH,2535.0,,1014.0,2281.5,56
CDM,17631634,BRONCHOSC W/BALLOON OCCLS,3623.0,,1449.2,8521.82,68
CDM,17631635,BRONCHOSC W/REM FB,5205.0,,1420.41,4684.5,68
CDM,17631636,BRONCHOSC W/BRONCH STENT PLMT,11636.0,,4654.4,10472.4,68
CDM,17631637,BRONCHOSC W/BRONCH STENT EA AD,2119.0,,847.6,1907.1,56
CDM,17631638,BRONCHOSC REVISE PREV PLCD STN,20423.0,,5701.87,18380.7,68
CDM,17631640,BRONCHOSC W/EXCISION TUMR,8858.0,,3036.86,7972.2,68
CDM,17631641,BRONCHOSC W/DESTRUCT TUMR,6331.0,,2532.4,5697.9,68
CDM,17631645,BRONCHOSC W/ASP TREE INITIAL,4906.0,,1420.41,4415.4,68
CDM,17631647,BRONCH W/OCC & VLV INITIAL,5398.0,,2159.2,8521.82,68
CDM,17631648,BRNCHSC W/RMV VALVE 1ST LOBE,5987.0,,2394.8,5388.3,68
CDM,17631649,BRNCHS W/RMV VALVE EA ADDL,3134.0,,1253.6,2820.6,68
CDM,17631651,BRONCH W/OCC &VLV ADD,5398.0,,2159.2,4858.2,56
CDM,17631652,BRONCHOSC SAMPLE 1/2 NODE,5891.0,,2356.4,5301.9,68
CDM,17631653,BRONCHOSC SAMPLE 3/> NODE,5891.0,,2356.4,5301.9,68
CDM,17631654,BRONCHOSCOPY PERI LESION,5768.0,,2307.2,5191.2,56
CDM,17632551,THORACOSTOMY INS CHEST TUBE,2166.0,,866.4,1949.4,68
CDM,17632554,ASPIRATE PLEURA W/O IMAGING,1159.0,,463.6,1043.1,68
CDM,17632555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,68
CDM,17632556,PLEUR DRAIN W/INSRT CATH W/O,4006.0,,1562.51,3605.4,68
CDM,17632557,PLEUR DRAIN W/INSRT CATH W/IMG,2416.0,,966.4,2174.4,68
CDM,17632601,THORACOSCOPY WI/O BIOPSY,14586.0,,4805.62,13127.4,68
CDM,17638500,BX/EXC LYMPH NODE SUPER OPEN,5400.0,,2160.0,4860.0,68
CDM,17638525,BX/EXC LYMPH NODE AXIL DEEP,10605.0,,3154.08,9544.5,68
CDM,17703014,TELEHEALTH FACILITY FEE ACO,78.0,,10.66,70.2,57
CDM,17793005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,17798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,17799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,17805561,MRI CARDIAC W&W/O CONT P-STUDY,2253.0,,394.16,2027.7,56
CDM,17810065,CVMRA THOR AORTA,3805.0,,616.41,3424.5,56
CDM,17810075,CVMRA ABDOMEN,2561.0,,414.88,2304.9,56
CDM,17810076,MRA PELVIS W/ OR W/O CONTRAST,6288.0,,294.16,5659.2,68
CDM,17810090,"MRI, BRAIN, W/O CONTRAST",3894.0,,199.1,3504.6,68
CDM,17810092,MRI BRAIN W/CONTRAST,7992.0,,294.16,7192.8,68
CDM,17810095,"MRI, BRAIN, W/O & W CONTRAST",5949.0,,294.16,5354.1,68
CDM,17871550,MRI CHEST W/O CONTRAST,6854.0,,199.1,6168.6,68
CDM,17871552,MRI CHEST W&W/O CON,10255.0,,294.16,9229.5,68
CDM,17875557,MRI CARDIAC W/O CONTRAST,3740.0,,199.1,3366.0,68
CDM,17875559,MRI CARDIAC W/O CONT STRESS,6110.0,,451.62,5499.0,68
CDM,17875561,MRI CARDIAC W&W/O CONTRAST,6002.0,,294.16,5401.8,68
CDM,17875563,MRI CARD W/O&W CON STRESS,6158.0,,650.75,5542.2,68
CDM,17875565,MRI CARDIAC W/O CONTRAST QUANT,6779.0,,85.45,6101.1,55
CDM,18011114,TELEMETRY MONITORING DAILY,400.0,,200.0,360.0,56
CDM,18110001,LOCAL KIDNEY ACQUISITION-CADAV,111484.0,,55742.0,100335.6,54
CDM,18110004,ACQUISITION FEE UTERINE,41170.0,,20585.0,37053.0,54
CDM,18110005,LOCAL KIDNEY ACQUISITION-LIVE,111484.0,,55742.0,100335.6,54
CDM,18120013,LOCAL PANCREAS ACQUISITION CAD,180865.0,,90432.5,162778.5,54
CDM,18400001,MISC INJECTABLE DRUG,0.01,,0.00256,0.009,55
CDM,18400041,BORTEZOMIB 0.1MG BU PER 3.5MG,2.0,,1.0,44.97,57
CDM,18400119,RITUXIMAB-PVVR 10MG BU/100MG,114.4,,25.62,102.96,68
CDM,18400129,ABATACEPT/10MG BU 250MG VIAL,170.1,,40.58,153.09,68
CDM,18400135,TOCILIZ-AAZG 1MG BU PER 80MG,20.4,,4.07,18.36,68
CDM,18400174,DOCETAXEL 20MG/1ML VIAL,98.0,,0.4636,88.2,55
CDM,18400181,ETOPOSIDE 10MG BU PER 500MG VL,4.0,,0.77,3.75,56
CDM,18400187,HUMATE-P 1IU/500-999IU VIAL,8.9,,1.21,8.01,68
CDM,18400190,FLUOROURACIL 5000MG/100ML VL,16.0,,1.53,14.4,56
CDM,18400206,IRINOTECAN 20MG BU PER 100MG,25.7,,1.71,126.0,56
CDM,18400208,IFOSFAMIDE 3GM/75ML VIAL,294.9,,26.31,265.41,56
CDM,18400227,ISATUXIMAB-IRFC 10MG BU/100MG,401.38,,66.67,361.24,68
CDM,18400239,IV INF BAMLANIVIMAB-XXXX,905.0,,452.5,814.5,56
CDM,18400303,PANITUMUMAB 10MG BU PER 100MG,561.47,,123.55,505.32,68
CDM,18400305,PEMETREXED 10MG BU PER 100MG,4.4,,2.2,71.81,69
CDM,18400490,BELIMUMAB 10MG BU PER 120MG VL,276.01,,46.18,248.41,68
CDM,18400506,PEGFILFRAST ONPRO 0.5MG BU/6MG,33.5,,16.75,122.84,68
CDM,18400562,PLERIXAFOR 1MG BU PER 24MG VL,36.1,,18.05,365.29,68
CDM,18400590,MENQUADFI 10MCG/0.5ML SDV,668.3,,334.15,601.47,54
CDM,18400897,DENOSUMAB SQ 1MG BU/60MG VL,37.26,,18.63,40.4,68
CDM,18400994,LANREOTIDE INJ 120MG,16806.0,,31.33,15125.4,68
CDM,18400996,LANREOTIDE INJ 90MG,8104.5,,31.33,7294.05,68
CDM,18400997,ADO-TRASTUZUMAB 1MG (100MG VL),200.2,,32.79,180.18,68
CDM,18400998,ADO-TRASTUZUMAB 1MG (160MG VL),200.2,,32.79,180.18,68
CDM,18401036,BENDAMUSTINE 1MG BU/100MG VL,2.0,,1.0,21.61,68
CDM,18401045,CARBOPLATIN 600MG/60ML VIAL,236.4,,2.57,212.76,56
CDM,18401107,BEVACIZUMAB-AWWB 10MG BU/100MG,140.1,,25.63,126.09,68
CDM,18401115,RITUXIMAB-ABBS 10MG BU/100MG,139.5,,27.03,125.55,68
CDM,18401118,BEVACIZUMAB-BVZR 10MG BU/100MG,129.3,,23.71,116.37,68
CDM,18401119,RITUXIMAB-PVVR 10MG BU/500MG,114.4,,25.62,102.96,68
CDM,18401135,TOCILIZ-AAZG 1MG BU PER 200MG,23.2,,4.07,20.88,68
CDM,18401171,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,56
CDM,18401173,IMFINZI 10MG BU PER 120MG VIAL,419.58,,76.02,377.62,68
CDM,18401174,DOCETAXEL 80MG/4ML VIAL,100.44,,0.4636,90.4,55
CDM,18401175,DONANEMAB-AZBT 2MG BU PER 350,30.3,,3.8,27.27,68
CDM,18401176,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,68
CDM,18401187,HUMATE-P 1IU/1000-1600IU VIAL,8.9,,1.21,8.01,68
CDM,18401190,DEXRAZOXANE 250MG BU PER 500MG,316.05,,39.15,284.44,68
CDM,18401202,GOSER ACE 3.6MG BU PER 10.8MG,1569.88,,435.0,1412.89,69
CDM,18401217,LEUP ACE 7.5MG BU / 7.5MG SYR,595.77,,162.33,536.19,69
CDM,18401227,ISATUXIMAB-IRFC 10MG BU/500MG,401.31,,66.67,361.18,68
CDM,18401262,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,68
CDM,18401264,PACLITAX ALB 1MG BU PER 100MG,85.4,,8.25,76.86,69
CDM,18401300,ECULIZUMAB 10MG BU PER 300MG V,811.75,,207.81,730.58,57
CDM,18401303,PANITUMUMAB 10MG BU PER 400MG,561.26,,123.55,505.13,67
CDM,18401305,PEMETREXED 10MG BU PER 500MG,3.7,,1.85,71.81,69
CDM,18401312,RITUXIMAB 10MG BU PER 100MG VL,313.53,,69.2,282.18,68
CDM,18401370,VINCRISTINE 1MG BU PER 1MG VL,43.6,,5.34,39.24,56
CDM,18401395,FULVESTRANT 25MG BU PER 250MG,13.7,,6.19,78.75,69
CDM,18401459,PRIVIGEN 500MG BU PER 5GM/50ML,250.25,,41.5,225.22,68
CDM,18401490,BELIMUMAB 10MG BU PER 400MG VL,275.38,,46.18,247.84,68
CDM,18401750,INFED 50MG BU PER 100MG/2ML VL,116.5,,15.01,104.85,68
CDM,18401897,XGEVA-DENOSUMAB 1MG BU/120MG,38.07,,19.04,40.4,68
CDM,18401919,METHYLPRED 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
CDM,18402107,BEVACIZUMAB-AWWB 10MG BU/400MG,184.8,,25.63,166.32,68
CDM,18402115,RITUXIMAB-ABBS 10MG BU/500MG,147.07,,27.03,132.36,68
CDM,18402118,BEVACIZUMAB-BVZR 10MG BU/400MG,129.3,,23.71,116.37,68
CDM,18402135,TOCILIZ-AAZG 1MG BU PER 400MG,23.2,,4.07,20.88,68
CDM,18402173,IMFINZI 10MG BU PER 500MG VIAL,426.44,,76.02,383.8,68
CDM,18402176,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,68
CDM,18402187,HUMATE-P 1IU/1600-3000IU VIAL,8.9,,1.21,8.01,68
CDM,18402190,DEXRAZOXANE 250MG BU PER 250MG,584.01,,39.15,525.61,68
CDM,18402202,GOSER ACE 3.6MG BU PER 3.6MG,1569.16,,435.0,1412.24,69
CDM,18402217,LEUP ACE 7.5MG BU / 22.5MG SYR,593.67,,162.33,534.3,69
CDM,18402262,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,68
CDM,18402305,PEMETREXED 10MG BU PER 1000MG,8.6,,4.01,71.81,69
CDM,18402312,RITUXIMAB 10MG BU PER 500MG VL,306.32,,69.2,275.69,68
CDM,18402370,VINCRISTINE 1MG BU PER 2MG VL,43.7,,5.34,39.33,56
CDM,18402459,PRIVIGEN 500MG BU PER 10GM VL,250.25,,41.5,225.22,68
CDM,18402919,METHYLPRED 5MG BU PER 125MG VL,0.6,,0.1932,0.54,68
CDM,18403217,LEUP DEPOT 7.5MG/22.5MG KIT,702.17,,162.33,631.95,69
CDM,18403262,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,68
CDM,18403459,PRIVIGEN 500MG BU PER 20GM VL,249.55,,41.5,224.59,68
CDM,18403802,ROMIPLOSTIM 1MCG BU PER 500MCG,38.2,,10.13,34.38,68
CDM,18403919,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,68
CDM,18404217,LEUP ACE 7.5MG BU / 30MG SYR,83.9,,41.95,517.5,69
CDM,18404459,PRIVIGEN 500MG BU PER 40GM VL,250.25,,41.5,225.22,68
CDM,18404802,ROMIPLOSTIM 1MCG BU PER 250MCG,38.3,,10.13,34.47,68
CDM,18405114,TRASTUZ-DKST 10MG BU PER 150MG,163.87,,37.07,147.48,68
CDM,18405217,LEUP ACE 7.5MG BU / 45MG SYR,50.2,,25.1,517.5,69
CDM,18409000,DOXORUBICIN 10MG BU PER 200MG,25.4,,2.7,22.86,56
CDM,18409190,FLUOROURACIL 1000MG/20ML VL,31.8,,1.53,28.62,56
CDM,18409263,OXALIPLATIN 0.5MG BU PER 100MG,0.8,,0.1098,7.5,56
CDM,18409267,PACLITAXEL 300MG/50ML VL,210.0,,0.1342,189.0,55
CDM,18410013,IXABEPILONE INJ 45MG VIAL,8334.9,,101.19,7501.41,68
CDM,18410015,GAMUNEX-C 500MG (5GM/50ML VL),234.5,,42.19,211.05,68
CDM,18410016,GAMUNEX-C 500MG (20GM/200ML),234.5,,42.19,211.05,68
CDM,18410018,IXABEPILONE INJ 15MG VIAL,6477.45,,101.19,5829.7,68
CDM,18410024,GAMUNEX-C 500MG BU PER 10GM VL,234.5,,42.19,211.05,68
CDM,18410025,GAMUNEX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,68
CDM,18410026,GAMUNEX-C 500MG BU PER 20GM VL,234.5,,42.19,211.05,68
CDM,18410027,GAMUNEX-C 500MG BU PER 40GM VL,234.5,,42.19,211.05,68
CDM,18410129,ABATACEPT INJ 10MG,170.1,,40.58,153.09,68
CDM,18410180,AGALSIDASE  VL 1MG,705.9,,109.5,635.31,69
CDM,18410185,APREPITANT VL 1MG (CINVANTI),11.3,,1.51,10.17,68
CDM,18410202,ALEMTUZUMAB INJ 1MG (LEMTRADA),4022.82,,1984.32,3620.54,68
CDM,18410222,PATISIRAN INJ 0.1MG (ONPATTRO),507.85,,91.97,457.06,68
CDM,18410278,AMIKACIN INJ 100MG,3.1,,0.7564,2.79,55
CDM,18410360,HYDRALAZINE INJ 20MG-IT,9.3,,3.38,8.37,55
CDM,18410456,AZITHROMYCIN VL 500MG,18.0,,3.18,16.2,55
CDM,18410461,ATROPINE INJ 0.01MG-IT,2.0,,0.0854,1.8,55
CDM,18410485,BELATACEPT VL 1MG,28.2,,3.58,25.38,68
CDM,18410630,CALCITONIN VL 400 UNITS/2ML,1542.25,,446.17,2839.22,68
CDM,18410640,LEUCOVORIN VL 50MG,13.5,,2.8,12.15,56
CDM,18410641,LEVOLEUCOVORIN CA VL 0.5MG,2.0,,0.0488,1.8,56
CDM,18410692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,18410696,CEFTRIAXONE VL 250MG,2.2,,0.5856,1.98,55
CDM,18410713,CEFTAZIDIME INJ 500MG,11.7,,1.95,10.53,55
CDM,18410743,CILASTATIN/IMIPENEM INJ 250MG,112.1,,6.33,100.89,55
CDM,18410744,CIPROFLOXACIN INJ 200MG,12.4,,1.0,11.16,55
CDM,18410780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,55
CDM,18410834,COSYNTROPIN INJ 0.25MG-IT,165.97,,34.18,149.37,55
CDM,18410850,CYTOMEGALOVIRUS IMM GLOB VL,2446.21,,1223.11,2486.89,68
CDM,18410875,DALBAVANCIN VL 5MG (DALVANCE),73.0,,14.36,65.7,68
CDM,18410878,DAPTOMYCIN PWDR INJ 1MG,2.0,,0.0366,1.8,55
CDM,18410881,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,18410885,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,69
CDM,18410894,DECITABINE VL 1MG,5.2,,1.94,4.68,55
CDM,18411000,ESTRADIOL CYP VL 5MG/ML 1ML,277.2,,24.06,249.48,55
CDM,18411050,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,18411071,TESTOS CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,18411100,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,55
CDM,18411200,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,55
CDM,18411205,CHLOROTHIAZIDE INJ 500MG/18ML,201.11,,49.26,181.0,55
CDM,18411299,ECULIZUMAB 2MG BU PER 300MG VL,162.6,,41.23,146.34,68
CDM,18411335,ERTAPENEM VL 500MG,7.0,,3.5,32.8,55
CDM,18411439,FERRIC CARBOXYMALTOSE IV 1MG,7.1,,1.02,6.39,68
CDM,18411440,FILGRASTIM VL 300MCG/ML 1ML,720.0,,0.92,648.0,68
CDM,18411441,FILGRASTIM INJ 480MCG,1728.0,,0.92,1555.2,68
CDM,18411453,FOSAPREPITANT VL 1MG,2.0,,0.1342,1.8,55
CDM,18411459,IMMUNE GLOBULIN IV 500MG,250.25,,41.5,225.22,68
CDM,18411602,GOLIMUMAB INJ IV 1MG,69.8,,10.16,62.82,68
CDM,18411626,GRANISETRON HCL 100MCG,4.6,,0.2806,16.5,56
CDM,18411628,GUSELKUMAB INJ 1MG (TREMFYA),302.47,,69.89,272.22,68
CDM,18411640,HEMIN VL 1MG DOSE,196.3,,24.44,176.67,68
CDM,18411650,ENOXAPARIN INJ 10MG,4.7,,0.69,4.23,55
CDM,18411720,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,18411745,INFLIXIMAB VL 10MG,190.1,,28.6,171.09,68
CDM,18411750,IRON DEXTRAN VL 50MG/ML 1ML,116.5,,15.01,104.85,68
CDM,18411756,IRON SUCROSE VL 1MG,2.6,,0.22,2.34,56
CDM,18411786,IMIGLUCERASE VL 10U,219.24,,39.73,197.32,68
CDM,18411815,INSULIN INJ 5 UNITS,2.0,,0.6832,1.8,56
CDM,18411885,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,67
CDM,18412060,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,55
CDM,18412175,MEPERIDINE INJ 100MG/ML 1ML IT,9.4,,4.7,19.14,55
CDM,18412182,MEPOLIZUMAB SQ INJ 1MG NUCALA,156.94,,28.7,141.25,68
CDM,18412185,MEROPENEM VL 100MG,3.0,,0.5368,2.7,55
CDM,18412248,MICAFUNGIN NA VL 1MG  MYCAMINE,5.2,,0.3782,4.68,55
CDM,18412270,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,18412323,NATALIZUMAB VL 1MG,44.3,,21.63,39.87,68
CDM,18412350,OCRELIZUMAB INJ 1MG,293.65,,54.66,264.29,68
CDM,18412353,OCREOTIDE DEPOT KIT 1MG,249.27,,78.75,279.92,69
CDM,18412405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,56
CDM,18412407,ORITAVANCIN INJ 10MG,147.0,,23.8,132.3,68
CDM,18412425,PALIFERMIN INJ 0.05MG,114.7,,22.81,103.23,68
CDM,18412430,PAMIDRONATE LYOPH VL 30MG,95.4,,11.52,221.25,56
CDM,18412469,PALONOSETRON VL 25MCG,118.6,,0.549,106.74,56
CDM,18412507,PEGLOTICASE INJ 1MG,4792.57,,2396.28,5033.64,68
CDM,18412543,PIPER/TAZO VL 1/0.125GM,2.0,,1.0,1.8,55
CDM,18412545,PENTAMIDINE INH 300MG,275.31,,100.49,247.78,55
CDM,18412550,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,55
CDM,18412597,DESMOPRESSIN INJ 1MCG-IT,29.2,,3.24,26.28,68
CDM,18412765,METOCLOPRAMIDE VL 10MG IT,6.2,,1.04,5.58,55
CDM,18412783,RASBURICASE INJ 0.5MG,614.46,,300.94,553.01,68
CDM,18412790,RHO (D) IMM GLOB IM 300MCG,394.66,,74.3,355.19,55
CDM,18412997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,18413243,TIGCYCLINE INJ 1MG,2.0,,0.6222,1.8,55
CDM,18413245,TILDRAKIZUMAB INJ 1MG (ILUMYA),660.59,,117.25,594.53,68
CDM,18413315,TRIPTORELIN VL 3.75MG,842.61,,385.61,758.35,68
CDM,18413357,USTEKINUMAB VL 1MG,640.29,,137.45,576.26,68
CDM,18413358,USTEKINUMAB IV INJ 1MG,92.4,,11.95,83.16,68
CDM,18413370,VANCOMYCIN VL 500MG,13.0,,0.0366,11.7,55
CDM,18413380,VEDOLIZUMAB INJ 1MG,154.5,,19.61,139.05,68
CDM,18413420,VIT B12 VL 1000MCG/ML 1ML-IT,6.0,,1.16,5.4,55
CDM,18413430,VIT K1 (PHYTON) INJ 1MG,19.7,,3.46,17.73,55
CDM,18413475,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,55
CDM,18413480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,55
CDM,18413487,ZOLEDRONIC ACID VL 1MG-ZOMETA,16.0,,6.34,14.4,55
CDM,18413488,ZOLEDRONIC ACID VL 1MG-RECLAST,42.2,,6.34,37.98,55
CDM,18419000,DOXORUBICIN VL 10MG,13.1,,2.7,11.79,56
CDM,18419017,ARSENIC TRIOXIDE INJ 1MG/ML 1M,50.8,,7.15,45.72,69
CDM,18419022,ATEZOLIZUMAB INJ 10MG,450.45,,78.28,405.4,68
CDM,18419025,AZACITIDINE VL 1MG,6.9,,0.2562,6.21,56
CDM,18419040,BLEOMYCIN SULF VL 15U-IT,148.5,,25.5,164.25,56
CDM,18419042,BRENTUXIMAB VL 1MG,495.74,,175.28,446.17,68
CDM,18419043,CABAZITAXEL INJ 1MG,714.35,,181.51,642.91,68
CDM,18419045,CARBOPLATIN VL 50MG,20.0,,2.57,122.25,56
CDM,18419060,CISPLATIN AQ VL 10MG,19.1,,1.71,17.19,56
CDM,18419065,CLADRIBINE VL 1MG,87.1,,9.83,78.39,69
CDM,18419100,CYTARABINE VL 100MG,4.6,,0.68,4.14,55
CDM,18419119,CEMIPLIMAB-RWLC VL 1MG-LIBTAYO,148.54,,26.95,133.69,68
CDM,18419130,DACARBAZINE VL 100MG,30.3,,4.46,27.27,55
CDM,18419150,DAUNORUBICIN LYOPH VL 10MG,140.9,,19.96,126.81,68
CDM,18419153,CYTARA/DAUNO INJ 2.27MG/1MG,525.91,,197.79,473.32,68
CDM,18419155,DEGARELIX VIAL 1MG,27.9,,3.84,25.11,68
CDM,18419171,DOCETAXEL INJ 1MG,4.2,,0.4636,3.78,55
CDM,18419173,DURVALUMAB VL 10MG,419.58,,76.02,377.62,68
CDM,18419176,ELOTUZUMAB VL 1MG,56.1,,6.67,50.49,68
CDM,18419179,ERIBULIN MESYLATE VL 0.1MG,537.53,,82.19,483.78,68
CDM,18419181,ETOPOSIDE INJ 10MG,4.0,,0.77,3.75,56
CDM,18419202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,69
CDM,18419203,GEMTUZUMAB INJ 0.1MG,314.71,,157.35,325.35,68
CDM,18419205,IRINOTECAN LIPOSOMAL INJ 1MG,249.48,,54.33,224.53,68
CDM,18419206,IRINOTECAN VL 20MG/ML 1ML,32.1,,1.71,126.0,56
CDM,18419208,IFOSFAMIDE VL 1GM,84.5,,26.31,127.5,56
CDM,18419209,MESNA AMP 200MG,57.6,,1.62,51.84,56
CDM,18419217,LEUPROLIDE DEPOT KIT 7.5MG-IT,501.6,,162.33,517.5,69
CDM,18419229,INOTUZUMAB VL 0.1MG,3865.16,,1932.58,3709.82,68
CDM,18419260,METHOTREXATE PWDR VL 50MG,13.2,,2.33,11.88,56
CDM,18419261,NELARABINE INJ 50MG (ARRANON),556.99,,73.47,501.29,68
CDM,18419263,OXALIPLATIN VL 0.5MG,2.0,,0.1098,7.5,56
CDM,18419264,PACLITAXEL ABP VL 1MG,85.4,,8.25,76.86,69
CDM,18419266,PEGASPARGASE PER SDV BU 3750IU,36545.22,,18272.61,39083.08,68
CDM,18419267,PACLITAXEL INJ 1MG,2.0,,0.1342,1.8,55
CDM,18419268,PENTOSTATIN VL 10MG,3617.3,,1808.65,3586.22,68
CDM,18419280,MITOMYCIN INJ 5MG,374.01,,18.72,336.61,68
CDM,18419285,OLARATUMAB INJ 10MG,343.84,,52.07,309.46,56
CDM,18419301,OBINUTUZUMAB VL 10MG,373.38,,63.74,336.04,68
CDM,18419303,PANITUMUMAB VL 10MG,561.47,,123.55,505.32,68
CDM,18419305,PEMETREXED PWDR VL 10MG,313.46,,4.01,282.11,69
CDM,18419306,PERTUZUMAB INJ 1MG,98.7,,12.95,88.83,68
CDM,18419311,RITUXIMAB/HYALURON INJ 10MG,163.45,,33.75,147.1,68
CDM,18419330,TEMSIROLIMUS INJ 1MG,326.76,,24.57,294.08,68
CDM,18419351,TOPOTECAN INJ 0.1MG,4.4,,1.28,3.96,55
CDM,18419355,TRASTUZUMAB VL 10MG,396.69,,54.75,357.02,69
CDM,18419360,VINBLASTINE VL 1MG,21.2,,3.98,19.08,56
CDM,18419370,VINCRISTINE VL 1MG/ML 1ML,43.7,,5.34,39.33,56
CDM,18419390,VINORELBINE VL 10MG/ML 1ML,51.5,,2.39,89.25,56
CDM,18419600,PORFIMER NA VL 75MG,46646.0,,3004.74,41981.4,68
CDM,18436415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,18436430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,18436589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,154.0,2001.6,68
CDM,18436591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,18436592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,18436593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,18440138,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,68
CDM,18445103,INFLECTRA VL 10MG,115.9,,18.39,104.31,68
CDM,18445111,PEGFILGRASTIM CBQV UDENYCA .5,645.96,,97.82,581.36,68
CDM,18445117,TRASTUZUMAB ANNS INJ 10MG,46.83,,23.41,65.38,68
CDM,18445119,RITUXIMAB-PVVR 10MG,114.4,,25.62,102.96,68
CDM,18460080,PENTAMIDINE ISETHIONATE 300MG,275.31,,70.48,247.78,55
CDM,18461070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,68
CDM,18470008,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,18470009,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,18470010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,18490471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,18490472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,18490620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,18490670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,18490686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,18490707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,18490713,VACC POLIO (IPV) INACT 0.5ML,263.32,,26.0,236.99,56
CDM,18490715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,18490732,PNEUMOC VACC 23 >2YR SQ/IM-IT,533.9,,162.83,480.51,55
CDM,18490733,MENINGOCOCCAL POLY VACC SQ,632.95,,101.42,569.65,56
CDM,18490734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,18494642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,18496360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,18496361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,18496365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,68
CDM,18496366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,18496367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,18496368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,18496372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,18496374,THERAPYPRO//DX IV PUSH,540.0,,173.54,486.0,68
CDM,18496375,THERAPYPRO//DX IV PUSH ADDL,399.0,,23.36,359.1,68
CDM,18496376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,57
CDM,18496377,APPLICATION ON-BODY INJECTOR,343.0,,18.81,308.7,68
CDM,18496401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,68
CDM,18496402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,18496405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,18496409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,18496411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,58.62,668.7,68
CDM,18496413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,68
CDM,18496415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,68
CDM,18496416,CHEMO IV INF (VEN) PRO W/PMP,1358.0,,273.2,1222.2,68
CDM,18496417,CHEMO IV INFUSION EACH ADD,800.0,,58.62,720.0,68
CDM,18496523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,18496542,CHEMO INJ SUBARACH/INTRAVENT,945.0,,54.0,850.5,68
CDM,18499195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,68
CDM,18499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,18600537,CAR-T CELLS HARVEST,13251.0,,84.42,11925.9,57
CDM,18600538,CAR-T CELLS PREP/STORE,23112.0,,34.06,20800.8,57
CDM,18600539,CAR-T CELLS RECEIPT,28890.0,,34.35,26001.0,57
CDM,18602042,TISAGENLECLEUCEL IV ADULT,3422488.37,,544388.1,3080239.53,68
CDM,18607377,AMTAGVI (LIFILEUCEL),3934000.0,,1007104.0,3540600.0,56
CDM,18610540,CAR-T CELLS ADMIN,6041.0,,273.2,5436.9,68
CDM,18638205,HARVEST PROGEN CELL/COLL ALLO,7627.0,,72.2,6864.3,57
CDM,18638207,TRNSPL CRYO/STORE PROGEN CELL,7512.0,,360.1,6760.8,66
CDM,18638208,TRNSPL THAW FROZ CELLS W/O WA,2582.0,,360.1,2323.8,68
CDM,18638209,TRNSPL THAW FROZ WASH CELLS,5641.0,,360.1,5076.9,68
CDM,18638210,TRNSPL T-CELL DEPLETION,39020.0,,360.1,35118.0,68
CDM,18638211,TRNSPL TUMR CELL DEPLETION,26508.0,,360.1,23857.2,68
CDM,18638212,TRNSPL RED BLOOD CELL REMOVAL,3939.0,,360.1,3545.1,68
CDM,18638213,TRNSPL PLATELET DEPLETION,3217.0,,360.1,2895.3,68
CDM,18638214,TRNSPL PLASMA DEPLETION,3398.0,,360.1,3058.2,68
CDM,18638215,TRNSPL CELL CONCENTRATION,5226.0,,360.1,4703.4,68
CDM,18638232,HARVEST BONE MARROW AUTOLOGOUS,69954.0,,3859.06,62958.6,68
CDM,18638240,HPC ALLOGENIC,8393.0,,3357.2,72806.43,68
CDM,18638241,HPC AUTOLOGOUS,8368.0,,1350.24,7531.2,68
CDM,18638242,ALLOGENEIC LYMPHOCYTE INFUS,3414.0,,1350.24,3072.6,68
CDM,18638243,HEMA PROG CELL HPC BOOST,3405.0,,1350.24,3064.5,68
CDM,18640001,BONE MARROW ACQUISITION  38230,25852.0,,12926.0,23266.8,54
CDM,18640222,CELL MARKER MONOCLONAL AB-INIT,427.0,,43.49,442.83,68
CDM,18640223,CELL MARKER MONO AB- EA ADD,239.0,,21.38,215.1,56
CDM,18640230,CTL CD34,427.0,,71.56,384.3,68
CDM,18650010,COMP. ALLO. MARROW PROC  38230,15011.0,,7505.5,13509.9,54
CDM,18650015,INCOMP. ALLO. MARROW PROC38230,28615.0,,14307.5,25753.5,54
CDM,18650041,DEPLETING T-CELL ISOL CD34,26508.0,,360.1,23857.2,68
CDM,18650045,DONOR BLOOD PROCESSING,15570.0,,7785.0,14013.0,54
CDM,18670300,ACTIVATE FORMAL BM SEARCH,5424.0,,87.34,4881.6,57
CDM,18670305,NMDP DR TYPING SAMPLE PROCUR,2607.0,,1303.5,2346.3,54
CDM,18670310,CT SAMPLE PROCUREMENT,3454.0,,1727.0,3108.6,54
CDM,18670315,INFECTIOUS DISEASES TESTING,3253.0,,1626.5,2927.7,54
CDM,18670320,ADDITIONAL BLOOD SAMPLES,2737.0,,1368.5,2463.3,54
CDM,18670325,HARVEST BONE MARROW ALLOGENIC,91368.0,,1350.24,82231.2,68
CDM,18670330,DONOR INFO SESSION,2780.0,,1390.0,2502.0,56
CDM,18670345,DONOR WORKUP FEES,6934.0,,3467.0,6240.6,54
CDM,18671000,NMDP APHRESIS PHYSICAL EXAM,17450.0,,8725.0,15705.0,54
CDM,18671001,NMDP APRHRSIS COLLECTION,206045.0,,103022.5,185440.5,54
CDM,18671002,NMDP MNC APHERESIS COLLECTION,172843.0,,86421.5,155558.7,54
CDM,18671003,NMDP APH WORKUP CANCELLATION,14044.0,,7022.0,12639.6,54
CDM,18671004,NMDP CORD BLOOD UNIT SHIPMENT,250763.0,,125381.5,225686.7,54
CDM,18671005,NMDP CORD HR-CONFIRMATORY TYPE,11573.0,,5786.5,10415.7,54
CDM,18671006,NMDP REGISTRY COORDINATION FEE,17514.0,,8757.0,15762.6,54
CDM,18671007,NMDP CORD HR-CUSTOM TYPING,6620.0,,3310.0,5958.0,54
CDM,18671008,NMDP DELAYED WORKUP FEE,7980.0,,3990.0,7182.0,54
CDM,18671009,NMDP FILGRASTIM SIMILARS INJ,9646.0,,2469.38,8681.4,55
CDM,18671010,NMDP FORMAL SEARCH,12232.0,,6116.0,11008.8,54
CDM,18671015,NMDP IDM SAMP COLL-LAB RESULT,11862.0,,5931.0,10675.8,54
CDM,18671016,NMDP INFECT DZ MARKER RESULTS,4180.0,,2090.0,3762.0,54
CDM,18671020,NMDP MARROW COLLECTION,322904.0,,161452.0,290613.6,54
CDM,18671021,NMDP MARROW INFO SESSION,5931.0,,2965.5,5337.9,54
CDM,18671022,NMDP MARROW PHYSICAL EXAM,19670.0,,9835.0,17703.0,54
CDM,18671023,NMDP MARROW WORKUP CANCEL,20091.0,,10045.5,18081.9,54
CDM,18671024,NMDP PBSC COLL & CRYOPRESERV,366660.0,,183330.0,329994.0,54
CDM,18671025,NMDP PBSC INFO SESSION,5740.0,,2870.0,5166.0,54
CDM,18671026,NMDP PBSC PHYSICAL EXAM,19670.0,,9835.0,17703.0,54
CDM,18671027,NMDP PBSC WORKUP CANCEL,20742.0,,10371.0,18667.8,54
CDM,18671035,NMDP PRIMARY PBSC COLLECTION,321811.0,,160905.5,289629.9,54
CDM,18671040,NMDP RELATED HR A B C D ECT,5817.0,,2908.5,5235.3,54
CDM,18671045,NMDP SECONDARY PBSC COLLECT,267186.0,,133593.0,240467.4,54
CDM,18671050,NMDP SUPPLIER ACTIVATION,5167.0,,2583.5,4650.3,54
CDM,18671055,NMDP TUBE OF BLOOD,9189.0,,4594.5,8270.1,54
CDM,18671057,NMDP TWO DAY TRANSPORTATION,52675.0,,26337.5,47407.5,54
CDM,18688184,FLOW CYTOMETRY 1ST MARKER TC,427.0,,43.49,442.83,68
CDM,18688185,FLOW CYTOMETRY EA ADD MRKR TC,239.0,,21.38,215.1,56
CDM,18720004,FAMILY THPY 20-30 MIN,398.0,,91.0,358.2,66
CDM,18720005,FAMILY THPY 45-60 MIN JTN5,370.0,,108.0,333.0,66
CDM,18720006,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,18720007,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,18720008,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,18760003,GROUP THERAPY 45-60 MIN,423.0,,40.0,380.7,66
CDM,18760005,FAMILY THERAPY 45-60 MIN,592.0,,108.0,532.8,68
CDM,18760006,PSYCHOSOC ASSMT 60-90 MIN,407.0,,203.5,366.3,56
CDM,18760010,PSYCHOSOC ASSMT 120-150 MIN,536.0,,268.0,482.4,56
CDM,18760012,COMPREHENSIVE ADDICT ASSMT,585.0,,132.34,526.5,68
CDM,18810007,OT EVALUATION (30 MIN),348.0,,174.0,313.2,56
CDM,18810110,GEN FUNC THERAPY (15 MIN),150.0,,16.0,135.0,57
CDM,18810120,GROUP FUNC THERAPY (15 MIN),81.0,,8.0,72.9,57
CDM,18820100,PSYCH RT ASSESSMENT,173.0,,86.5,155.7,56
CDM,18820101,PSYCH RT-IND (15 MIN),100.0,,50.0,90.0,56
CDM,18820102,PSYCH RT-GROUP (15 MIN),58.0,,29.0,52.2,56
CDM,19680013,OBSERV PER HR - HTIC,109.0,,54.5,2436.0,57
CDM,19690003,ROOM & BED CHARGE HTIC,4057.0,,1462.5,7500.0,152
CDM,20201925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,20220010,AMYLASE SERUM,213.0,,4.55,191.7,68
CDM,20220011,ALBUMIN SERUM,85.0,,2.32,76.5,68
CDM,20220018,BILIRUBIN DIRECT,67.0,,4.62,60.3,68
CDM,20220105,BILIRUBIN TOTAL SERUM,92.0,,4.62,82.8,68
CDM,20220150,LIPASE SERUM,132.0,,4.54,118.8,68
CDM,20220170,ALKALINE PHOSPHATASE,110.0,,2.25,99.0,68
CDM,20220175,PHOSPHORUS SERUM,83.0,,2.27,74.7,68
CDM,20220270,AST/SGOT,69.0,,2.29,62.1,68
CDM,20220271,ALT/SGPT,70.0,,2.34,63.0,68
CDM,20220360,PROTEIN TOTAL SERUM,85.0,,2.35,76.5,68
CDM,20220545,MAGNESIUM,140.0,,6.16,126.0,68
CDM,20229506,HEPATIC FUNCTION PANEL,232.0,,7.0,208.8,68
CDM,20229517,COMPREHENSIVE METABOLIC PANEL,456.0,,9.6,410.4,68
CDM,20229520,RENAL FUNCTION PANEL,248.0,,5.0,223.2,68
CDM,20236010,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,20250109,COVID-19(SARS-COV-2)AG**,215.0,,32.5,193.5,68
CDM,20250241,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,20250242,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,20250243,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,20250244,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,20250245,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,20250247,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,20250248,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,20250428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,20255081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,20255084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,20255430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,20270115,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,20270180,URINALYSIS W/MICROSCOPIC,147.0,,3.7,132.3,68
CDM,20270181,URINALYSIS WITHOUT MICROSCOPIC,57.0,,3.2,51.3,68
CDM,20270190,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,20270191,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,20270193,"BICARBONATE, SERUM",117.0,,2.31,105.3,68
CDM,20270194,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,20270195,UREA NITROGEN QUANTITATIVE,90.0,,2.35,81.0,68
CDM,20270196,CREATININE,80.0,,2.3,72.0,68
CDM,20270197,CALCIUM SERUM,82.0,,2.3,73.8,68
CDM,20270198,BASIC METABOLIC PANEL,340.0,,7.2,306.0,68
CDM,20280051,ELECTROLYTE BLOOD PANEL I-STAT,178.0,,3.21,160.2,68
CDM,20282374,CARBON DIOXIDE (BICARB) I-STAT,117.0,,2.31,105.3,68
CDM,20282565,CREATININE BLOOD I-STAT,80.0,,2.3,72.0,68
CDM,20284520,UREA NITROGEN BLOOD QNT I-STAT,90.0,,2.35,81.0,68
CDM,20400015,DAILY SUBSTANCE ABUSE IOP,667.0,,180.0,600.3,62
CDM,20400127,AFTERCARE/GROUP/WK/2YR/SELFPAY,2702.0,,1351.0,2431.8,56
CDM,20409475,DAILY SUBSTANCE ABUSE PHP,923.0,,461.5,830.7,55
CDM,20410003,RSU DAILY ROOM CHARGE,147.0,,73.5,132.3,56
CDM,20410011,PHP 3 DAY EVALUATION,1475.0,,737.5,1327.5,56
CDM,20410012,PHP 5 DAY EVALUATION,1638.0,,819.0,1474.2,56
CDM,20410125,PSY THRPY GRP-PRIMARY 45-50MIN,260.0,,40.0,234.0,66
CDM,20410126,GROUP SESSION/WEEK-PRIVATE PAY,138.0,,69.0,124.2,54
CDM,20410201,IOP PER DAY,667.0,,180.0,600.3,60
CDM,20410211,PHP LESS INTENSIVE PER DAY,733.0,,366.5,659.7,56
CDM,20490791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,20490832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,20490834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,20490837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,20490846,FAMILY PSYCH THRPY W/O PATIENT,398.0,,91.0,358.2,66
CDM,20490847,FAMILY PSYCH THRPY W/PATIENT,419.0,,108.0,377.1,66
CDM,20490849,PSYCH THRPY GRP FAMILY MULTI,497.0,,41.0,447.3,66
CDM,20601291,ANALYS GENE BRAF**,1681.0,,161.37,1512.9,68
CDM,20601292,NRAS-BRAF GENE VAR EXON 2&3,1818.0,,272.13,1636.2,68
CDM,20602173,ANALY GENE KRAS 12 & 13**,842.0,,177.79,757.8,68
CDM,20602243,"ANALY GENE KRAS-CODON 61,146)*",842.0,,165.03,757.8,56
CDM,20603206,NUCLEIC ACID EXTRACTIONS,33.0,,6.47,29.7,56
CDM,20605998,PGX-CYP3A5,866.0,,160.83,779.4,68
CDM,20605999,PGX-DPYD,866.0,,160.83,779.4,68
CDM,20606000,PGX-UGT1A1,810.0,,140.4,729.0,68
CDM,20606001,PGX-NAT2,847.0,,166.01,762.3,56
CDM,20606002,PGX-CYP2B6**,847.0,,166.01,762.3,56
CDM,20606004,PGX-CYP2C19**,815.0,,268.05,733.5,68
CDM,20606005,PGX-CYP2C9**,502.0,,30.0,451.8,68
CDM,20606007,PGX-SLCO1B1**,502.0,,160.83,451.8,68
CDM,20606009,PGDX-NUDT 15**,2019.0,,268.05,1817.1,68
CDM,20606010,PGX-VKORC 1**,266.0,,81.14,239.4,68
CDM,20606015,MLH1 METHYLATION PCR,930.0,,176.93,837.0,68
CDM,20606137,IDH1 R132 MUTATION,560.0,,177.79,504.0,68
CDM,20606138,TERT MUTATION ANALYSIS,540.0,,170.38,486.0,68
CDM,20610241,COV-2/FLU/RSV XPERT,448.0,,131.22,403.2,68
CDM,20640001,NUCLEIC ACID QN HEPATITIS B,560.0,,39.41,504.0,68
CDM,20640002,BCR-ABL1 P210,751.0,,150.84,675.9,68
CDM,20640003,BCR-ABL1 P190,624.0,,133.25,561.6,68
CDM,20640004,PGDX-CARDIOVASCULAR (MOLDX),847.0,,166.01,762.3,56
CDM,20640005,PGDX-CYP2C19**,815.0,,268.05,733.5,68
CDM,20640006,PGDX-CYP2C9**,502.0,,30.0,451.8,68
CDM,20640007,PGDX-CY2D6**,502.0,,251.0,975.99,68
CDM,20640008,PGDX-SLCO1B1**,502.0,,160.83,451.8,68
CDM,20640010,HCV RNA QUANT BY REAL-TIME PCR,712.0,,39.41,640.8,68
CDM,20640011,BK VIRUS URINE,256.0,,39.41,230.4,68
CDM,20640012,CYP2D6-CYP2C19,1297.0,,254.21,1167.3,56
CDM,20640016,PGDX-PAIN MANAGEMENT (MOLDX),1297.0,,254.21,1167.3,56
CDM,20640020,SOLID ORGAN NGS,1766.0,,550.08,1589.4,68
CDM,20640021,LUNG CANCER NGS,1766.0,,550.08,1589.4,68
CDM,20640022,MELANOMA NGS,1766.0,,550.08,1589.4,68
CDM,20640023,GASTROINTESTINAL CANCER NGS,1766.0,,550.08,1589.4,68
CDM,20640024,BRAIN TUMOR NGS,1766.0,,550.08,1589.4,68
CDM,20640025,MYELOID FUSION (RNA) ONCOMINE,2221.0,,698.77,1998.9,68
CDM,20640029,1P/19Q CO-DELETION,750.0,,138.3,675.0,68
CDM,20640050,SOLID ORGAN TARGET ELIO PANEL,8961.0,,2686.03,8064.9,68
CDM,20640054,INF AGNT DETECT DNA COV FLU,518.0,,131.22,466.2,68
CDM,20640104,ANALY GENE JAK2**,780.0,,84.33,702.0,68
CDM,20640125,EBV QNT BLOOD,664.0,,39.41,597.6,68
CDM,20640131,PAN FUSION PANEL,9120.0,,550.08,8208.0,68
CDM,20640132,RENAL FUSION PANEL,1991.0,,550.08,1791.9,68
CDM,20640133,SARCOMA FUSION PANEL,1991.0,,550.08,1791.9,68
CDM,20640134,FUSION TARGET THPY SOLID TUMRS,1991.0,,550.08,1791.9,68
CDM,20640135,SALIVARY DUCT TUMR FUSION PNL,1991.0,,550.08,1791.9,68
CDM,20640136,COVID-19 SYMPHONY Z480,368.0,,30.6,331.2,70
CDM,20640143,PGX PANEL,1219.0,,609.5,1985.01,68
CDM,20640146,HIV-1 QUALITATIVE PCR**,528.0,,32.28,475.2,68
CDM,20640147,HIV-2 QUALITATIVE PCR**,588.0,,32.28,529.2,68
CDM,20640151,ANALY MICROSAT INSTAB,1669.0,,320.68,1502.1,68
CDM,20640154,PARVOVIRUS QUANT PCR,335.0,,39.41,301.5,68
CDM,20640225,ANALY GENE CYP2C19 COMMON VAR,1049.0,,268.05,944.1,68
CDM,20640235,EGFR GENE ANALYSIS COMMON VAR,1966.0,,298.61,1769.4,68
CDM,20640242,CYP2C19 GENOTYPE,1049.0,,268.05,944.1,68
CDM,20640243,CANDIDA AURIS PCR,340.0,,32.28,306.0,68
CDM,20640251,SOLID ORGAN TARGETED ELIO PNL,8961.0,,2686.03,8064.9,68
CDM,20640262,PGX-CYP2C9**,514.0,,30.0,462.6,68
CDM,20640263,PGX-VKORC1**,276.0,,81.14,248.4,68
CDM,20640264,PGX-CYP4F2**,276.0,,54.1,350.58,56
CDM,20640301,MGMT PROMOTER METHYLATION,844.0,,114.67,759.6,68
CDM,20640403,ANALYSIS GENE REARRANG TRB AMP,1560.0,,192.21,1404.0,68
CDM,20640404,ANALYSIS GENE REARRANG TRG,1893.0,,185.38,1703.7,68
CDM,20640405,ANALYSIS GENE REARRANG IGH AMP,1271.0,,182.15,1143.9,68
CDM,20640406,ANALYSIS GENE IGK,1234.0,,158.91,1110.6,68
CDM,20640445,GENOMIC SEQ SOLID ORGAN,7371.0,,550.08,6633.9,68
CDM,20640446,LUNG CANCER PANEL,7371.0,,550.08,6633.9,68
CDM,20640447,MELANOMA PANEL,7371.0,,550.08,6633.9,68
CDM,20640448,GASTROINTESTINAL CANCER PANEL,7371.0,,550.08,6633.9,68
CDM,20640449,BRAIN TUMOR PANEL,7371.0,,550.08,6633.9,68
CDM,20640450,GENOMIC SEQ HEMATOLYMPHOID,7371.0,,648.4,6633.9,68
CDM,20640451,MYELOPROLIFERATIVE DZ PANEL,7371.0,,648.4,6633.9,68
CDM,20640453,MYELODYSPLASTIC DX PANEL (MDS),7371.0,,648.4,6633.9,68
CDM,20640455,GENOMIC SEQ 51+ GENES,10507.0,,2686.03,9456.3,68
CDM,20640493,NUCLEIC ACID AMP HEPATITIS C**,585.0,,32.28,526.5,68
CDM,20640497,NUCLEIC ACID QN CMV,640.0,,39.41,576.0,68
CDM,20640498,NUCLEIC ACID GENOTYPE HEP C**,1790.0,,13.2,1611.0,68
CDM,20640515,BK VIRUS,840.0,,39.41,756.0,68
CDM,20640562,"HIV1 VIRAL LOAD, QUANT.(ULTRA)",853.0,,47.54,767.7,68
CDM,20640624,INFECT AGNT HPV HIGH-RISK TYPE,482.0,,64.58,433.8,68
CDM,20640635,COVID-19(SARS-COV-2)IP/ER ONLY,368.0,,30.6,331.2,70
CDM,20660015,CHLAMYDIA DNA,333.0,,32.28,299.7,68
CDM,20660016,N. GONORHEA (GC) DNA,309.0,,23.29,278.1,68
CDM,20660017,N. GONORHEA URINE,309.0,,23.29,278.1,68
CDM,20660134,CHLAMYDIA SWAB,333.0,,32.28,299.7,68
CDM,20660661,TRICHOMONAS DNA,256.0,,18.4,230.4,68
CDM,20660662,TRICHOMONAS URINE,256.0,,18.4,230.4,68
CDM,20700311,CARDIOLIPIN IGG ANTIBODIES,535.0,,5.58,481.5,68
CDM,20700312,CARDIOLIPIN IGM ANTIBODIES,535.0,,5.58,481.5,68
CDM,20701020,BETA 2-GLYCOPROTEIN 1 IGG,125.0,,23.41,112.5,68
CDM,20703021,BETA 2-GLYCOPROTEIN 1 IGM,125.0,,23.41,112.5,68
CDM,20736001,ADAMTS13 ACTIVITY,876.0,,28.39,788.4,68
CDM,20736002,CHROMOGENIC FACTOR VIII (F8),181.0,,10.94,162.9,68
CDM,20736003,VERIFYNOW ASPIRIN TEST,260.0,,21.97,234.0,68
CDM,20736004,VERIFYNOW PRU TEST (P2Y12),260.0,,21.97,234.0,68
CDM,20736006,VWF ACTIVITY GP1B,228.0,,28.39,205.2,68
CDM,20736007,ACTIVATED CLOT TIME-REACT TIME,250.0,,3.94,225.0,68
CDM,20736008,FIBRINOGEN ACT[CLOT FORM TEG],265.0,,5.74,238.5,68
CDM,20736009,FIBRINOGEN ACT[ALPHA ANG TEG],265.0,,5.74,238.5,68
CDM,20736010,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,20736011,HEP-INDUCE THROMBOCYTOPENIA,1089.0,,16.9,980.1,68
CDM,20736019,PLATELET AGGREGATION [MAX AMP],260.0,,21.97,234.0,68
CDM,20736020,PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,70
CDM,20736022,PTT-LA,154.0,,3.47,138.6,70
CDM,20736024,MA ACTIVATED,260.0,,21.97,234.0,56
CDM,20736025,PTT-LA MIX,262.0,,5.95,235.8,68
CDM,20736026,MA ADP,260.0,,21.97,234.0,56
CDM,20736027,MA AA,260.0,,21.97,234.0,56
CDM,20736034,FIBRIN DGE D-DIMER QN,273.0,,5.78,245.7,68
CDM,20736190,PTT SUBSTITUTION,262.0,,5.95,235.8,68
CDM,20736195,PT SUBSTITUTION,213.0,,2.35,191.7,68
CDM,20736207,LUPUS ANTICOAG - PLT NEUTR,189.0,,13.75,170.1,68
CDM,20736210,ANTI-XA,478.0,,9.0,430.2,70
CDM,20736281,ADAMTS13 IGG AB,676.0,,11.36,608.4,68
CDM,20736290,THROMBIN TIME PLASMA,100.0,,4.54,90.0,68
CDM,20736352,PLATELET AGG- EACH AGENT **,260.0,,21.97,234.0,68
CDM,20736353,PLT AGG- EACH AGENT (THROMBIN),260.0,,21.97,234.0,68
CDM,20736405,FACTOR II ASSAY.,432.0,,8.76,388.8,68
CDM,20736411,FACTOR V ASSAY,432.0,,8.78,388.8,68
CDM,20736414,FACTOR VIII ASSAY,435.0,,16.47,391.5,68
CDM,20736415,FACTOR IX ASSAY,488.0,,7.69,439.2,68
CDM,20736416,FACTOR X ASSAY.,438.0,,7.61,394.2,68
CDM,20736417,FACTOR VII ASSAY,481.0,,8.75,432.9,68
CDM,20736419,FACTOR VIII INHIB.,706.0,,11.33,635.4,68
CDM,20736423,REPTILASE TIME.,274.0,,9.06,246.6,68
CDM,20736427,FACTOR IX INHIB.,706.0,,11.33,635.4,68
CDM,20736429,RISTOCETIN COFACTOR,525.0,,10.98,472.5,68
CDM,20736431,FACTOR XI ASSAY,488.0,,7.62,439.2,68
CDM,20736433,FACTOR XII ASSAY,493.0,,7.71,443.7,68
CDM,20736446,RUSSELL VIPER VENOM.,153.0,,4.56,137.7,68
CDM,20736447,DRVV - MIXING STUDIES,153.0,,4.56,137.7,56
CDM,20736448,DRVV - CONFIRMATION,153.0,,4.56,137.7,56
CDM,20736605,FIBRINOGEN ACTIVITY,265.0,,5.74,238.5,68
CDM,20736630,RISTOCETIN RESPONSE CURVE,260.0,,21.97,234.0,68
CDM,20736635,FACTOR INHIBITOR V,1094.0,,11.33,984.6,68
CDM,20736640,FACTOR VII INHIB.,706.0,,11.33,635.4,68
CDM,20736645,VON WILLEBRAND ANTIGEN,568.0,,10.99,511.2,68
CDM,20736708,ANTITHROMBIN III,316.0,,9.0,284.4,68
CDM,20736715,PROTEIN S,912.0,,14.09,820.8,68
CDM,20736720,PROTEIN C,468.0,,12.73,421.2,68
CDM,20736725,ACTIVATED PROTEIN C RESISTANCE,289.0,,12.52,260.1,68
CDM,20736726,HEPARIN NEUTRALIZATION,179.0,,10.89,161.1,68
CDM,20840129,WRIGHT'S STAIN,291.0,,12.67,261.9,69
CDM,20840222,CELL MARKER MONOCLONAL AB,427.0,,43.49,442.83,68
CDM,20840223,CELL MARKER MONO AB EA ADD,239.0,,21.38,215.1,56
CDM,20840225,"CD3, TOTAL T-CELL COUNT",709.0,,6.74,638.1,68
CDM,20840226,ABSOLUTE CD4 & CD8 W/RATIO,1194.0,,10.11,1074.6,68
CDM,20840227,ABSOLUTE CD4 COUNT,484.0,,24.64,435.6,68
CDM,20840229,T CELLS-ABSOLUTE CD4 COUNT,484.0,,24.64,435.6,68
CDM,20840235,CELL MARKER HETERO AB,427.0,,43.49,442.83,68
CDM,20840236,CELL MARKER HETERO AB (EA ADD),239.0,,21.38,215.1,56
CDM,21201925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,21210020,RAPID STREP. A TEST,195.0,,15.21,175.5,68
CDM,21210111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,21220110,"GLUCOSE, INFORM",62.0,,3.02,55.8,68
CDM,21220115,GLUCOSE QNT (1HR POST GLUCOLA),90.0,,2.17,81.0,68
CDM,21250109,COVID-09(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,21250240,SED RATE RBC NON AUTO,123.0,,2.34,110.7,68
CDM,21250241,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,21250242,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,21250243,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,21250244,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,21250246,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,21250428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,21255081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,21255084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,21255430,RAPID STREP A,251.0,,15.47,225.9,68
CDM,21260252,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,21270180,URINALYSIS W/MICROSCOPIC,147.0,,3.7,132.3,68
CDM,21270181,URINALYSIS WITHOUT MICROSCOPIC,57.0,,3.2,51.3,68
CDM,21287420,RAPID RSV AG,334.0,,10.02,300.6,68
CDM,21401925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,21410020,RAPID STREP. A TEST,195.0,,15.21,175.5,68
CDM,21410040,"OCCULT BLOOD, FECES",66.0,,4.03,59.4,68
CDM,21410111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,21410112,ALL KOH PREPARATIONS,165.0,,4.25,148.5,68
CDM,21420001,SATELLITE DRUG SCREEN,543.0,,11.59,488.7,68
CDM,21420111,"GLUCOSE, INFORM",62.0,,3.02,55.8,68
CDM,21435137,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,21436010,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,21450109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,21450240,SED RATE RBC NON AUTO,123.0,,2.34,110.7,68
CDM,21450241,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,21450242,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,21450243,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,21450244,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,21450246,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,21450428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,21455081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,21455084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,21455430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,21460252,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,21460253,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,21470049,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,21470180,URINALYSIS AUTO W/MICRO,153.0,,2.92,137.7,68
CDM,21470181,URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,68
CDM,21480047,BASIC METABOLIC PANEL CALCIUM,340.0,,7.2,306.0,68
CDM,21480306,"DRUG SCREEN, URINE-HOOVER",116.0,,15.77,104.4,68
CDM,21482330,CALCIUM BLOOD IONIZED I-STAT,214.0,,2.31,192.6,68
CDM,21482435,CHLORIDE BLOOD I-STAT,73.0,,2.34,65.7,68
CDM,21482565,CREATININE BLOOD I-STAT,80.0,,2.3,72.0,68
CDM,21482803,BLOOD GAS PH PO2 &/OR PCO2,462.0,,13.29,415.8,68
CDM,21482947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,21484132,POTASSIUM BLOOD I-STAT,110.0,,2.35,99.0,68
CDM,21484295,SODIUM BLOOD I-STAT,107.0,,2.38,96.3,68
CDM,21484520,UREA NITROGEN BLOOD QNT I-STAT,90.0,,2.35,81.0,68
CDM,21501925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,21570181,URINALYSIS WITHOUT MICROSCOPIC,57.0,,3.2,51.3,68
CDM,21580051,ELECTROLYTE BLOOD PANEL I-STAT,178.0,,3.21,160.2,68
CDM,21582374,CARBON DIOXIDE (BICARB) I-STAT,117.0,,2.31,105.3,68
CDM,21582565,CREATININE BLOOD I-STAT,80.0,,2.3,72.0,68
CDM,21584520,UREA NITROGEN BLOOD QNT I-STAT,90.0,,2.35,81.0,68
CDM,21601925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,21610020,RAPID STREP. A TEST,195.0,,15.21,175.5,68
CDM,21610111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,21620001,SATELLITE DRUG SCREEN,543.0,,11.59,488.7,68
CDM,21620111,"GLUCOSE, INFORM",62.0,,3.02,55.8,68
CDM,21635137,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,21636010,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,21650109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,21650240,SED RATE RBC NON AUTO,123.0,,2.34,110.7,68
CDM,21650241,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,21650242,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,21650243,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,21650244,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,21650246,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,21650428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,21655081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,21655084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,21655430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,21660010,MONOTEST SCREEN MONOSPOT,402.0,,2.28,361.8,68
CDM,21660252,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,21660253,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,21670049,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,21670180,URINALYSIS AUTO W/MICROSCOPIC,153.0,,2.92,137.7,68
CDM,21670181,URINALYSIS AUTO WITHOUT MICRO,142.0,,2.07,127.8,68
CDM,21680047,BASIC METABOLIC PANEL CALCIUM,340.0,,7.2,306.0,68
CDM,21680306,"DRUG SCREEN, URINE-INVERNESS",116.0,,15.77,104.4,68
CDM,21682803,BLOOD GAS PH PO2 &/OR PCO2,462.0,,13.29,415.8,68
CDM,21700010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,21700152,PATIENT VISIT-PROCEDURE ONLY,0.01,,0.005,0.009,56
CDM,21700216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,21700218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,21700540,CAR-T CELLS ADMIN,6041.0,,273.2,5436.9,68
CDM,21703014,TELEHEALTH FACILITY FEE-BMTC,78.0,,10.66,70.2,57
CDM,21706365,INFS INIT 2ND SITE/VISIT (59),664.0,,72.0,597.6,56
CDM,21709213,VISIT ESTAB LVL III W/PROC,372.0,,102.2,334.8,57
CDM,21710070,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,21710471,IMMUN ADMIN ONE VACC (59),173.0,,17.0,155.7,56
CDM,21710831,INFUSION INIT 2ND SITE/VISIT,664.0,,72.0,597.6,56
CDM,21711104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,21711105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,21711106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,21711107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,21712405,ODANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,21716360,IV INFS HYDRAT INIT 31-60 (59),593.0,,59.0,533.7,56
CDM,21716361,IV HYDRA ADDL HR (59),315.0,,19.0,283.5,56
CDM,21716365,IV INFS INIT 31-60 MIN (59),603.0,,72.0,542.7,56
CDM,21716374,IV PUSH INITIAL (59),456.0,,228.0,410.4,56
CDM,21716375,IV PUSH ADDL SEQ NEW DRUG (59),343.0,,23.36,308.7,56
CDM,21716376,IV PUSH ADD SEQ SAME DRUG (59),293.0,,16.08,263.7,57
CDM,21716593,DECLOT PORT W/THROMB AGENT(59),641.0,,256.4,576.9,56
CDM,21736415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,21736430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,21736511,APHRESIS THERAPEUTIC WBC,5708.0,,1350.24,5137.2,68
CDM,21736589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,21736590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,21736591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,21736592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,21736593,DECLOT PORT W/THROMB AGENT,701.0,,273.2,630.9,68
CDM,21738204,MGMT DONOR SEARCH/AQ,5424.0,,87.34,4881.6,55
CDM,21738205,HARVEST PROGEN CELL/COLL ALLO,7627.0,,72.2,6864.3,57
CDM,21738206,HARVEST PROGEN CELL/COLL AUTO,7390.0,,1350.24,6651.0,68
CDM,21738220,ASP BONE MARROW ONLY (N/C),0.01,,0.004,1994.58,68
CDM,21738221,BONE MARROW BIOPSY,0.01,,0.004,1994.58,68
CDM,21738222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,21738230,HARVEST BONE MARROW ALLOGENIC,91368.0,,1350.24,82231.2,68
CDM,21738240,HPC ALLOGENIC,8393.0,,4196.5,72806.43,66
CDM,21738241,HPC AUTOLOGOUS,8368.0,,1350.24,7531.2,66
CDM,21738242,ALLOGENEIC LYMPHOCYTE INFUS,3414.0,,1350.24,3072.6,68
CDM,21738243,HEMA PROG CELL HPC BOOST,3405.0,,1350.24,3064.5,68
CDM,21760203,BMT-O.P. CARE EST 3,378.0,,102.2,340.2,68
CDM,21760213,BMT-O.P.CARE EST 3 - SEP SVC,378.0,,102.2,340.2,57
CDM,21762270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,21790471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,21790472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,21790767,IV INFS ADDL SEQ 31-60 MIN,409.0,,36.13,368.1,68
CDM,21790775,IV PUSH EA ADDL SEQ NEW DRUG,370.0,,23.36,333.0,68
CDM,21794642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,21796360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,21796361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,21796365,IV INFUSION INITIAL 31-60 MIN,730.0,,72.0,657.0,68
CDM,21796366,IV INFUSION ADDL 31-60 MIN,385.0,,25.0,346.5,68
CDM,21796367,IV INFS ADDL SEQ NEW DRUG 1 HR,441.0,,36.13,396.9,68
CDM,21796368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,21796372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,21796374,IV PUSH INITIAL,499.0,,173.54,449.1,68
CDM,21796375,IV PUSH EA ADDL SEQ NEW DRUG,370.0,,23.36,333.0,68
CDM,21796376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,57
CDM,21796377,APPLICATION ON-BODY INJECTOR,343.0,,18.81,308.7,68
CDM,21796401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,68
CDM,21796409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,21796411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,58.62,668.7,68
CDM,21796413,CHEMO IV INFUSION SGL/INT,1141.0,,161.0,1026.9,68
CDM,21796415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,68
CDM,21796416,CHEMO IV INFUSION PRO W/PUMP,1358.0,,273.2,1222.2,68
CDM,21796417,CHEMO IV INFUSION EACH ADD,800.0,,58.62,720.0,68
CDM,21796523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,21796542,CHEMO INJ SUBARACH/INTRAVENT,945.0,,54.0,850.5,68
CDM,21798000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,21798001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,21798002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,21798003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,21798004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,21798005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,21798006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,21798007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,21798008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,21798009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,21798010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,21798011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,21798012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,21798013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,21798014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,21798015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,21798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,21799024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,21799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,21810041,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,21810103,VISIT EST ORTHO TRAUMA LVL 3,345.0,,102.2,310.5,68
CDM,21816020,DRESS/DEB BURN <5% TOTAL SM,561.0,,163.67,504.9,68
CDM,21816025,DRESS/DEB BURN 5-10% TOTAL MED,767.0,,163.67,690.3,68
CDM,21816030,DRESS/DEBR BURN >10% TOTAL LRG,947.0,,329.08,852.3,68
CDM,21890020,VISIT EST LVL 3 TRAUMA,345.0,,102.2,310.5,68
CDM,21891020,VISIT EST LVL 3 TRAUMA W/PROC,345.0,,102.2,310.5,57
CDM,21897605,NEG PRESS WOUND THRPY</=50CM,481.0,,43.0,432.9,68
CDM,21897606,NEG PRESS WOUND THRPY>50CM,720.0,,329.08,648.0,68
CDM,21897607,NEG PRESSURE WOUND </=50CM,739.0,,329.08,665.1,68
CDM,21897608,NEG PRESS WOUND TX >50 CM,902.0,,15.4,811.8,68
CDM,21899213,ESTAB PATIENT-LVL 3,378.0,,102.2,340.2,68
CDM,21997802,NUTRITION THRPY EVAL 15 MIN,101.0,,30.45,90.9,57
CDM,21997803,NUTRITION THRPY RE-EVAL 15 MIN,90.0,,25.73,81.0,57
CDM,21997804,NUTRITION THRPY GROUP 30 MIN,87.0,,14.38,78.3,57
CDM,22000240,HCG QL SERUM,264.0,,6.92,237.6,68
CDM,22001925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,22010020,RAPID STREP.A TEST,195.0,,15.21,175.5,68
CDM,22010111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,22020001,SATELLITE DRUG SCREEN,543.0,,11.59,488.7,68
CDM,22020111,"GLUCOSE, INFORM",62.0,,3.02,55.8,68
CDM,22035137,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,22050109,COVID-19(SARS-2)AG,215.0,,32.5,193.5,68
CDM,22050240,SED RATE RBC NON AUTO,123.0,,2.34,110.7,68
CDM,22050241,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,22050242,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,22050243,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,22050244,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,22050245,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,22050247,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,22050248,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,22050428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,22055081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,22055084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,22055430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,22070049,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,22070181,URINALYSIS AUTO W/O MICROSCOPI,57.0,,2.07,51.3,68
CDM,22081000,URINALYSIS AUTO W/MICROSCOPIC,147.0,,2.92,132.3,68
CDM,22086308,MONOTEST SCREEN MONOSPOT,402.0,,2.28,361.8,68
CDM,22400240,HCG QL SERUM,264.0,,6.92,237.6,68
CDM,22400350,RAPID HIV ANTIBODY,312.0,,16.83,280.8,68
CDM,22405068,GLUCOSE BLOOD EA ADDL,80.0,,5.89,72.0,56
CDM,22410100,GRAM STAIN,150.0,,3.39,135.0,68
CDM,22410111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,22410112,ALL KOH PREPARATIONS,165.0,,4.25,148.5,68
CDM,22410241,COV-2/FLU/RSV XPERT,448.0,,131.22,403.2,68
CDM,22420112,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,22420113,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,22420126,GLUCOSE QNT (1HR POST GLUCOLA),90.0,,2.17,81.0,68
CDM,22420130,GLUCOSE CSF,89.0,,3.62,80.1,68
CDM,22420144,GGT-EACH ADDIT SPEC,80.0,,2.41,72.0,68
CDM,22420145,GGT-FIRST 3 SPEC,164.0,,5.41,147.6,68
CDM,22420150,LIPASE SERUM,132.0,,4.54,118.8,68
CDM,22420177,B-TYPE NATRIURETIC PEPTIDE,426.0,,36.12,383.4,68
CDM,22420215,PROTEIN TOTAL CSF OTHER SOURCE,148.0,,3.68,133.2,68
CDM,22420290,URIC ACID BLOOD,110.0,,2.25,99.0,68
CDM,22420400,THYROID STIMULATING HORMONE,243.0,,10.09,218.7,68
CDM,22420481,C-REACTIVE PROTEIN,210.0,,3.36,189.0,68
CDM,22436010,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,22436020,PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,70
CDM,22436034,FIBRIN DGE D-DIMER QN,273.0,,5.78,245.7,68
CDM,22436210,ANTI-XA,478.0,,9.0,430.2,70
CDM,22436605,FIBRINOGEN ACTIVITY,265.0,,5.74,238.5,68
CDM,22450025,CELL COUNT BODY FLUID W/DIFF,88.0,,2.19,79.2,68
CDM,22450030,CELL COUNT CSF W/DIFF,88.0,,2.19,79.2,68
CDM,22450109,COVID-19(SARS-COV-2)AG**,215.0,,32.5,193.5,68
CDM,22450110,FLU A**,195.0,,15.23,175.5,68
CDM,22450111,FLU B**,195.0,,15.23,175.5,68
CDM,22450125,BLOOD COUNT RETICULOCYTE AUTO,113.0,,3.67,101.7,68
CDM,22450129,SED RATE RBC AUTO,179.0,,2.33,161.1,68
CDM,22450428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,22455005,ALCOHOL (ETOH) BLOOD,279.0,,45.78,251.1,68
CDM,22455011,ACETAMINOPHEN,279.0,,17.15,251.1,68
CDM,22455013,SALICYLATE,279.0,,17.15,251.1,68
CDM,22455015,UREA NITROGEN QUANTITATIVE,90.0,,2.35,81.0,68
CDM,22455035,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,22455036,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,22455040,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,22455045,CREATININE,80.0,,2.3,72.0,68
CDM,22455065,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,22455070,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,22455080,STAT STREP A.UED,195.0,,15.21,175.5,68
CDM,22455081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,22455084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,22455085,URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,68
CDM,22455086,URINALYSIS WITH MICROSCOPIC,153.0,,2.92,137.7,68
CDM,22455090,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,22455100,AMYLASE SERUM,213.0,,4.55,191.7,68
CDM,22455110,CALCIUM SERUM,82.0,,2.3,73.8,68
CDM,22455115,PHOSPHORUS SERUM,83.0,,2.27,74.7,68
CDM,22455120,MAGNESIUM,140.0,,6.16,126.0,68
CDM,22455130,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,22455135,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,22455140,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,22455149,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,22455180,ABG WITH CALC O2 SAT.,376.0,,13.29,338.4,68
CDM,22455188,POTASSIUM VBG,110.0,,2.35,99.0,68
CDM,22455205,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,22455210,CHLORIDE SERUM,73.0,,2.34,65.7,68
CDM,22455215,BICARBONATE,117.0,,2.31,105.3,68
CDM,22455216,LDH SERUM,145.0,,2.36,130.5,68
CDM,22455217,BILIRUBIN DIRECT,67.0,,4.62,60.3,68
CDM,22455219,PROTEIN TOTAL SERUM,85.0,,2.35,76.5,68
CDM,22455221,ALBUMIN SERUM,85.0,,2.32,76.5,68
CDM,22455250,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,22455262,BILIRUBIN TOTAL SERUM,92.0,,4.62,82.8,68
CDM,22455263,ALKALINE PHOSPHATASE,110.0,,2.25,99.0,68
CDM,22455264,AST/SGOT,69.0,,2.29,62.1,68
CDM,22455271,CREATINE KINASE (CPK) TOTAL,91.0,,3.45,81.9,68
CDM,22455272,TROPONIN QN,146.0,,10.69,131.4,68
CDM,22455273,CREATINE KINASE (CPK) MB ONLY,152.0,,3.38,136.8,68
CDM,22455285,"CARBOXYHEMOGLOBIN, ABG",242.0,,4.55,217.8,70
CDM,22455286,HEMOGLOBIN ABG,94.0,,2.18,84.6,68
CDM,22455287,SODIUM ABG,107.0,,2.38,96.3,68
CDM,22455288,POTASSIUM ABG,110.0,,2.35,99.0,68
CDM,22455289,"CALCIUM, IONIZED, ABG",214.0,,2.31,192.6,68
CDM,22455290,"METHEMOGLOBIN, ABG",219.0,,7.54,197.1,68
CDM,22455335,HCG QN SERUM,309.0,,10.01,278.1,68
CDM,22455370,MONOSPOT SCREEN MONOSPOT,402.0,,2.28,361.8,68
CDM,22455430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,22455506,HEPATIC FUNCTION PANEL,232.0,,7.0,208.8,68
CDM,22455517,COMPREHENSIVE METABOLIC PANEL,456.0,,9.6,410.4,68
CDM,22455520,RENAL FUNCTION PANEL,248.0,,5.0,223.2,68
CDM,22459081,AMMONIA BLOOD,190.0,,13.4,171.0,68
CDM,22459511,BASIC METABOLIC PANEL,340.0,,7.2,306.0,68
CDM,22470215,CRYSTAL LIGHT ID MICROSCOPY,108.0,,6.74,97.2,68
CDM,22480005,CROSSMATCH IMMEDIATE SPIN,304.0,,2.2,273.6,68
CDM,22480007,COMPAT TEST ELECTRONIC,210.0,,1.76,223.74,68
CDM,22480013,BLOOD TYPING RH (D),108.0,,2.75,97.2,68
CDM,22480014,BLOOD TYPING ABO,72.0,,2.75,158.68,68
CDM,22480030,RBC ANTIBODY SCREEN,161.0,,5.63,144.9,68
CDM,22480046,COOMBS DIRECT,140.0,,4.4,126.0,68
CDM,22480306,DRUG SCREEN GARDENDALE,116.0,,15.77,104.4,68
CDM,22480603,BLOOD PRODUCTS RED CELLS,873.0,,149.9,785.7,68
CDM,22482435,CHLORIDE BLOOD,73.0,,2.34,65.7,68
CDM,22487420,RAPID RSV AG,334.0,,10.02,300.6,68
CDM,22487635,COVID-19(SARS-COV-2)IP/ER ONLY,353.0,,30.6,317.7,70
CDM,22487636,INF AGNT DETECT DNA COV FLU,499.0,,131.22,449.1,68
CDM,22700432,INS CATH DRAIN RENAL PELVIS,9134.0,,1687.31,8220.6,68
CDM,22700601,US TRANSPLANT KIDNEY,1651.0,,87.59,1485.9,68
CDM,22700612,US SOFT TISSUE BACK,898.0,,72.52,808.2,68
CDM,22700621,US BUTTOCK,1310.0,,64.0,1179.0,68
CDM,22700622,US LABIA,831.0,,64.0,747.9,68
CDM,22700623,US FLANK,831.0,,72.52,747.9,68
CDM,22700625,US SUPRAPUBIC,831.0,,72.52,747.9,68
CDM,22701811,NDLE BX ACHIEVE W/COAX INTRO,171.0,,85.5,153.9,56
CDM,22703998,VENOUS MAPPING WITHOUT DOPPLER,1492.0,,20.18,1342.8,68
CDM,22706641,ULTRASOUND BREAST COMPLETE RT,1228.0,,99.32,1105.2,56
CDM,22706642,US BREAST UNILAT LTD W/DOC RT,1005.0,,82.01,904.5,56
CDM,22706883,US NRV&ACC STRUX 1XTR COMP BIL,2534.0,,276.71,2280.6,56
CDM,22709083,BX BREST 1ST LESN US IMAG RT,3848.0,,1539.2,3463.2,56
CDM,22709698,PERFLUTREN LIPID MICOR PER ML,237.0,,50.26,213.3,55
CDM,22710005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,22710006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,22710030,FLUID COLLECT ST PERC IMAGE,2450.0,,579.53,2205.0,68
CDM,22710035,PL LOCAL DVC TISSUE 1ST LES,3976.0,,579.53,3578.4,68
CDM,22710036,PL LOCAL DVC TISSUE ADD LES,1778.0,,711.2,1600.2,56
CDM,22710100,BIOPSY THYROID NEEDLE PERC,1267.0,,506.8,1140.3,68
CDM,22710160,PUNCT ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,22710206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,22710225,BIOPSY BONE TROCAR/NDL DEEP,3284.0,,1313.6,2955.6,68
CDM,22710390,ASP/INJ RENAL CYST/PELV PRC RT,2345.0,,938.0,2110.5,56
CDM,22710391,ASP/INJ RENAL CYST/PELV PRC LT,2345.0,,938.0,2110.5,56
CDM,22713880,DUPLEX SCAN XTRACRAN BIL,1852.0,,165.0,1666.8,68
CDM,22713925,DUPLEX SCAN LOW EXT BIL,1967.0,,91.0,1770.3,68
CDM,22713930,DUPLEX SCAN UP EXT BIL,2010.0,,47.0,1809.0,68
CDM,22713970,DUPLEX SCAN EXT VEINS BIL,2291.0,,169.0,2061.9,68
CDM,22713975,DUPLEX SCAN IN/OUTFLO COM,2301.0,,199.1,2070.9,68
CDM,22713980,DUPLEX PENILE VESSELS CMPL,1570.0,,87.0,1413.0,67
CDM,22714235,INJ CORPORA CAVERNOSA W/VAS,660.0,,200.33,594.0,68
CDM,22715141,RPR ANEUR FEMORAL RT,31704.0,,12681.6,28533.6,56
CDM,22715989,ECHO GUIDE ABS DRN PERC W/CATH,2694.0,,115.0,2424.6,55
CDM,22716506,ECHOENCEPHALOGRAM,1162.0,,87.59,1045.8,68
CDM,22716536,ECHO SOFT TSU HEAD&NECK,1369.0,,67.0,1232.1,68
CDM,22716641,US BREAST UNILAT COMPLETE BIL,1841.0,,99.32,1656.9,56
CDM,22716642,US BREAST UNILAT LTD W/DOC BIL,1381.0,,82.01,1242.9,56
CDM,22716700,ECHO ABDOMEN COMP,1082.0,,72.0,973.8,68
CDM,22716770,ECHO RETROPERITONEAL COMP,1712.0,,87.59,1540.8,68
CDM,22716805,ECHO PREGNANT UTERUS COMPLETE,1577.0,,60.0,1419.3,68
CDM,22716815,US OB PREGNANCY LIMITED,935.0,,45.0,841.5,68
CDM,22716830,ECHO TRANSVAGINAL,1215.0,,26.0,1093.5,68
CDM,22716856,ECHO (NON OB)PELVIC,865.0,,87.59,778.5,68
CDM,22716870,ECHO SCROTUM & CONTENTS,1350.0,,87.59,1215.0,68
CDM,22716942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,22717000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,68
CDM,22718102,BIOPSY PANCREAS NEEDLE,3123.0,,1249.2,2810.7,68
CDM,22718790,INJ LYMPHANGIOGRAM BILAT,3813.0,,1906.5,3431.7,55
CDM,22719000,PUNCTURE ASP BRST CYST,841.0,,336.4,866.14,68
CDM,22719001,PUNCTURE ASP BRST EA ADD CYST,266.0,,106.4,239.4,56
CDM,22719083,BX BREAST 1ST LESN US IMAG LT,3848.0,,1539.2,3463.2,56
CDM,22719180,BIOPSY ABD/RET MASS PERC NDL,3469.0,,1334.55,3122.1,68
CDM,22719285,PERQ DEV BREAST 1ST US IMAG,3456.0,,579.53,3110.4,68
CDM,22720220,"BIOPSY, BONE SUPERFICIAL",2652.0,,1060.8,2386.8,68
CDM,22720526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,22720550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,22720551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,22720552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,22720553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,22720600,ARTHROCENT ASP/INJ JT SMALL RT,1911.0,,764.4,1719.9,56
CDM,22720602,ARTHROCENT ASP/INJ JT SMALL LT,1911.0,,764.4,1719.9,56
CDM,22720604,DRAIN/INJ SM JT W/US LT,1971.0,,788.4,1773.9,56
CDM,22720605,DRAIN/INJECTION- JOINT/BURSA,1986.0,,243.14,1787.4,68
CDM,22720606,DRAIN/INJ MED JT W/US LT,2199.0,,879.6,1979.1,56
CDM,22720610,"DRAIN/INJ,JOINT/BURSA MAJ RT",4987.0,,1994.8,4488.3,56
CDM,22720611,"DRAIN/INJ,JOINT/BURSA MAJ LT",4987.0,,1994.8,4488.3,56
CDM,22727040,BX TISSUE PELVIS/HIP SUPERFIC,2550.0,,1020.0,2295.0,68
CDM,22730604,DRAIN/INJ SM JT W/US RT,1971.0,,788.4,1773.9,56
CDM,22730606,DRAIN/INJ MED JT W/US RT,2199.0,,879.6,1979.1,56
CDM,22730611,DRAIN/INJ MAJ JT W/US LT,2426.0,,970.4,2183.4,56
CDM,22732400,BIOPSY PLEURA NEEDLE PERC,2323.0,,929.2,2090.7,68
CDM,22732408,CORE NDL BX LNG/MED PERQ W/IMG,3940.0,,1334.55,3546.0,68
CDM,22732555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,68
CDM,22732557,PLEUR DRAIN W/INSRT CATH W/IMG,2416.0,,966.4,2174.4,68
CDM,22736002,INJ TX PSEUDOANEUR EXTREM PERC,1823.0,,729.2,1640.7,56
CDM,22738505,BX/EXC LYMPH NODE-BY NEEDLE SU,2028.0,,811.2,1994.58,68
CDM,22738790,INJ LYMPHANGIOGRAM,2541.0,,1270.5,2286.9,55
CDM,22740604,DRAIN/INJ SM JT W/US BIL,2956.0,,1182.4,2660.4,56
CDM,22740606,DRAIN/INJ MED JT W/US BIL,3053.0,,1221.2,2747.7,56
CDM,22740611,DRAIN/INJ MAJ JT W/US RT,2426.0,,970.4,2183.4,56
CDM,22742400,BX GLAND SALIVARY NEEDLE,1699.0,,579.53,1529.1,68
CDM,22743882,DUPLEX SCAN XTRACRAN LTD RT,1257.0,,65.0,1131.3,56
CDM,22743883,DUPLEX SCAN XTRACRAN LTD LT,1257.0,,65.0,1131.3,56
CDM,22743926,DUPLEX SCAN LOW EXT LTD RT,1404.0,,31.0,1263.6,56
CDM,22743927,DUPLEX SCAN LOW EXT LTD LT,1404.0,,31.0,1263.6,56
CDM,22743931,DUPLEX SCAN UP EXT LTD RT,1540.0,,9.0,1386.0,56
CDM,22743932,DUPLEX SCAN UP EXT LTD LT,1540.0,,9.0,1386.0,56
CDM,22743971,DUPLEX SCAN EXT VEINS LTD RT,1611.0,,56.0,1449.9,56
CDM,22743972,DUPLEX SCAN EXT VEINS LTD LT,1611.0,,56.0,1449.9,56
CDM,22743976,DUPLEX SCAN IN/OUTFLO LTD,1300.0,,65.0,1170.0,68
CDM,22743980,DUPLEX SCAN AORTA/IVC LTD,1342.0,,87.59,1207.8,68
CDM,22745000,TRANRECTAL DRAIN PELVIC ABSCES,2477.0,,971.18,2229.3,68
CDM,22746705,ECHO ABDOMEN LTD,624.0,,54.0,561.6,68
CDM,22746775,ECHO RETROPERITONEAL LTD,757.0,,87.0,681.3,68
CDM,22746857,ECHO (NON OB)PELVIC LTD,1414.0,,64.0,1272.6,68
CDM,22747370,LAP ABLAT TUMR LIVER RF,20973.0,,8389.2,18875.7,68
CDM,22747382,ABLATION TUMR LIVER RADIO PERC,7781.0,,3112.4,7182.31,68
CDM,22749083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,68
CDM,22749185,SCLEROTX FLUID COLLECTION PERQ,2511.0,,1004.4,2259.9,68
CDM,22749406,FLUID COLL DRAIN CATH PERI,9553.0,,1334.55,8597.7,68
CDM,22749412,OPEN PLCMT OF INTERSITITAL DEV,5709.0,,2283.6,5138.1,56
CDM,22750200,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,56
CDM,22750201,BIOPSY RENAL PERC NDL/TROCAR L,3064.0,,1225.6,2757.6,56
CDM,22750436,DILAT XST TRC NDURLGC PX,5090.0,,2036.0,4581.0,68
CDM,22750437,DILAT XST TRC NEW ACCESS RCS,10681.0,,2840.83,9612.9,68
CDM,22750611,DRAIN/INJ MAJ JT W/US BIL,3370.0,,1348.0,3033.0,56
CDM,22754100,BX PENIS,2290.0,,916.0,2061.0,68
CDM,22755700,BX PROSTATE NEEDLE/PUNCH,4433.0,,1687.31,3989.7,68
CDM,22755705,BX PROSTATE INCISION,4599.0,,1839.6,4245.81,68
CDM,22756605,BX LESN VULVA/PERINEUM ONE,1376.0,,550.4,1238.4,68
CDM,22764450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,22764455,INJ ANES/STEROID NERVE PLANTAR,685.0,,243.14,616.5,68
CDM,22764461,PVB THORACIC SINGLE INJ,1832.0,,570.41,1648.8,68
CDM,22764462,PVB THORACIC ADDL INJ,1059.0,,423.6,953.1,56
CDM,22764463,PVB THORACIC INFUSION,1832.0,,570.41,1648.8,68
CDM,22764646,CHEMODENERV OF TRUNK 1-5 MUSCL,2654.0,,570.41,2388.6,68
CDM,22764680,DEST NRV CELIAC PLEXUS,4642.0,,733.31,4177.8,68
CDM,22776376,US 3D NO IN DEPT WKSTATION,1464.0,,126.0,1317.6,55
CDM,22776377,US 3D RNDR REQ INDP WRKSTN,2085.0,,162.0,1876.5,55
CDM,22776604,"US EXAM, CHEST, B-SCAN",998.0,,87.59,898.2,68
CDM,22776641,ULTRASOUND BREAST COMPLETE LT,1228.0,,99.32,1105.2,56
CDM,22776642,US BREAST UNILAT LTD W/DOC LT,1005.0,,82.01,904.5,56
CDM,22776706,US ABDL AORTA SCREEN AAA,890.0,,87.59,801.0,68
CDM,22776801,US PREGNANCY <14 WEEKS SGL,1544.0,,60.0,1389.6,68
CDM,22776802,"OB US < 14 WKS, ADDL FETUS",787.0,,393.5,708.3,55
CDM,22776810,"OB US >/= 14 WKS, ADDL FETUS",1244.0,,32.0,1119.6,55
CDM,22776817,"TRANSVAGINAL US, OBSTETRIC",1088.0,,85.0,979.2,68
CDM,22776857,US PELVIS NON-OB LTD,1310.0,,64.0,1179.0,68
CDM,22776881,US EXTREMITY NON VASCULAR COMP,1688.0,,87.59,1519.2,68
CDM,22776882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,22776883,US NRV & ACC STRUX 1XTR COMPRE,1688.0,,87.59,1519.2,68
CDM,22776940,US GUID/MONITOR VISC TISS ABLA,892.0,,147.17,802.8,56
CDM,22776978,US TARGET DYN MICROBUBBLE 1ST,1228.0,,119.72,1105.2,68
CDM,22776979,US TRGT DYN MBUBB EA ADDL,1161.0,,122.27,1044.9,55
CDM,22776981,US ELASTOGRAPHY PARENCHYMA,1228.0,,87.59,1105.2,68
CDM,22776982,US ELASTOGRAPHY 1ST TARGET LES,1228.0,,87.59,1105.2,68
CDM,22776983,US ELAST EA ADDL TARGET LESION,962.0,,481.0,865.8,55
CDM,22776998,US GUIDANCE INTRAOPERATIVE,1570.0,,141.07,1413.0,56
CDM,22776999,US UNLISTED BODY PART,831.0,,72.52,747.9,68
CDM,22777061,BREAST TOMOSYNTHESIS UNILAT,584.0,,39.76,525.6,56
CDM,22777062,BREAST TOMOSYNTHESIS BILAT,584.0,,39.76,525.6,56
CDM,22790080,US NEEDLE BIOPSY CORE BIOPINCE,309.0,,154.5,278.1,56
CDM,22790090,US NEEDLE BARD MONOPTY,291.0,,145.5,261.9,56
CDM,22790100,US NEEDLE TEMNO EVOLUTION,270.0,,135.0,243.0,56
CDM,22790110,US TEMNO BIOPSY SET,357.0,,178.5,321.3,56
CDM,22790120,US KIT DRAIN SAFE-T-CENTESIS,254.0,,127.0,228.6,56
CDM,22791200,LIVER ELASTOGRAPHY VIBRATION,737.0,,29.14,663.3,68
CDM,22793922,DOPPLER ARTERIAL EXT LTD,775.0,,81.0,697.5,68
CDM,22793923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,68
CDM,22793924,DOPPLER ARTERY EXT W/STRESS,2387.0,,91.0,2148.3,68
CDM,22793978,DUPLEX AORTA/IVC/GRAFT CMPL,1424.0,,199.1,1281.6,68
CDM,22793985,DUP-SCAN HEMO COMPL BI STD,715.0,,146.14,643.5,67
CDM,22793986,DUP-SCAN HEMO COMPL UNI STD,345.0,,84.94,310.5,67
CDM,22793990,DUPLEX SCAN HEMODIALYSIS ACCES,842.0,,42.0,757.8,68
CDM,22796405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,22800001,MISC IMPLANT,0.01,,0.005,0.009,61
CDM,22800060,TRAY BX ONCONTROL W/BX NEEDLE,932.0,,298.56,838.8,57
CDM,22800101,PROBE ABLATION NANOKNIFE SNGL,8100.0,,4050.0,7290.0,56
CDM,22800200,PERC SACRAL AUGMENT UNILAT INJ,11860.0,,4744.0,10674.0,68
CDM,22800201,PERC SACRAL AUGMENT BILAT INJ,10781.0,,4312.4,9702.9,68
CDM,22800283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,22800420,CT CEREBRAL PERFUSION,4734.0,,76.76,4260.6,56
CDM,22800432,INS CATH DRAIN RENAL PELVIS,9134.0,,1687.31,8220.6,68
CDM,22800435,EXCHANGE NEPHROSTOMY CATH RT,7433.0,,2973.2,6689.7,56
CDM,22800517,GENERATOR RF METASTAR,1755.0,,877.5,1579.5,56
CDM,22800554,DRAIN CHEST OASIS SINGLE 3600,107.0,,53.5,96.3,56
CDM,22800600,DRAIN/INJ SM JT W/O US LT,1911.0,,764.4,1719.9,56
CDM,22800605,DRAIN/INJ MED JT W/O US LT,2143.0,,857.2,1928.7,56
CDM,22800610,DRAIN/INJ MAJ JT W/O US LT,5387.0,,2154.8,4848.3,56
CDM,22800699,ABLATION OF ADRENAL LESION,6615.0,,2646.0,7182.31,68
CDM,22801010,NEUWAVE MICROWAVE ABLAT PROBE,3105.0,,107.58,2794.5,62
CDM,22801083,INST BX CORE MISSION 16GAX6CM,126.0,,63.0,113.4,56
CDM,22801110,SYS DEL VERTEBROPLASTY,1473.0,,506.18,1325.7,62
CDM,22801250,CT ASBESTOS KEAHEY LAW FIRM,3185.0,,87.59,2866.5,68
CDM,22801472,INTRODUC STABILT T W/DIA TIP,416.0,,208.0,374.4,56
CDM,22801600,DRAIN/INJ SM JT W/O US RT,1911.0,,764.4,1719.9,56
CDM,22801605,DRAIN/INJ MED JT W/O US RT,1986.0,,794.4,1787.4,56
CDM,22801610,DRAIN/INJ MAJ JT W/O US RT,5387.0,,2154.8,4848.3,56
CDM,22801811,NDLE BX ACHIEVE W/COAX INTRO,171.0,,85.5,153.9,56
CDM,22801825,KIT BX CORE MARQUEE 18GAX25CM,179.0,,89.5,161.1,56
CDM,22801886,CATH LUTONIX DCB,3348.0,,1674.0,3013.2,57
CDM,22801984,ABLAT REDUCT/ERAD SFT TIS TUMR,14120.0,,197.58,12708.0,68
CDM,22801999,SCLEROTHERAPY SOFT TISS TUMOR,2511.0,,197.58,2259.9,68
CDM,22802007,CRYOABLAT SOFT TISSUE TUMOR,14120.0,,197.58,12708.0,68
CDM,22802008,CRYOABLAT EXTREMITY SOFT TISS,14120.0,,197.58,12708.0,68
CDM,22802009,CRYOABLAT VASC TUMR OF EXTREM,14120.0,,197.58,12708.0,68
CDM,22802130,CANNULA CURVED DEL ARCADUA,811.0,,405.5,729.9,56
CDM,22802193,CT PELVIS W/CONTRAST (MOD 59),5861.0,,171.0,5274.9,56
CDM,22802224,VERTECOR BONE DRILL BIT,451.0,,225.5,405.9,56
CDM,22802319,RENAL HILAR BLOCK,1519.0,,243.14,1367.1,68
CDM,22802600,DRAIN/INJ SM JT W/O US BIL,2867.0,,1146.8,2580.3,56
CDM,22802605,DRAIN/INJ MED JT W/O US BIL,2978.0,,1191.2,2680.2,56
CDM,22802610,DRAIN/INJ MAJ JT W/O US BIL,8078.0,,3231.2,7270.2,56
CDM,22802618,PROBE CRYOABLATION,3476.0,,257.96,3128.4,57
CDM,22803202,CT UPPER EXT WO/FOL/W LT,5465.0,,19.0,4918.5,56
CDM,22804420,INJ ANES NERVE INTERCOSTAL BIL,2278.0,,1139.0,2050.2,56
CDM,22804425,INJ ANES/STER ILIOING/GAST BI,12275.0,,6137.5,11047.5,55
CDM,22804479,INJ EPIDURAL CERV/THOR SGL,3153.0,,733.31,2837.7,68
CDM,22804648,MARKER TISSUE IMPL ANY TYPE EA,364.0,,78.0,327.6,62
CDM,22805020,CORONARY FFR FROM CTA DATA TRA,3335.0,,838.0,3001.5,68
CDM,22805030,CORONARY FFR FROM CTA DATA MOD,4702.0,,838.0,4231.8,68
CDM,22805045,NEEDLE BLUNT HAWKINS-AKINS 18G,123.0,,61.5,110.7,56
CDM,22805100,KIT STAR TUMOR ABLATION,7581.0,,3790.5,6822.9,56
CDM,22806240,AUTO QUANT CORONARY PLAQUE PRE,2500.0,,35.28,2250.0,58
CDM,22806250,AUTO QUANT CORONARY PLAQUE ANA,2500.0,,782.9,2250.0,69
CDM,22807096,INJ ARTHROGRAM SACROILIAC RT,2058.0,,130.0,1852.2,55
CDM,22807399,IRE PROC FOR LIVER,6549.0,,579.53,5894.1,68
CDM,22808999,IRE PROC FOR PANCREAS,6549.0,,579.53,5894.1,68
CDM,22809006,APPLICATOR ACCULIS,7377.0,,3688.5,6639.3,56
CDM,22810009,FNA BX W/CT GDN 1ST LES,1920.0,,579.53,1728.0,68
CDM,22810010,FNA BX W/CT GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,22810030,FLUID COLLECT ST PERC IMAGE,2450.0,,579.53,2205.0,68
CDM,22810035,PL LOCAL DVC TISSUE 1ST LES,3976.0,,579.53,3578.4,68
CDM,22810036,PL LOCAL DVC TISSUE ADD LES,1778.0,,711.2,1600.2,56
CDM,22810140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,22810160,PUNCT ASPIR ABSCES/HEMAT/CYST,638.0,,255.2,574.2,68
CDM,22810435,EXCHANGE NEPHROSTOMY CATH LT,7433.0,,2973.2,6689.7,56
CDM,22810440,ABLATION PERC UPPER EXT NERVE,11822.0,,1608.45,10639.8,68
CDM,22810441,ABLATION PERC LOWER EXT NERVE,11822.0,,1608.45,10639.8,68
CDM,22810442,ABLATION PERC PLEXUS NERVE,11822.0,,4728.8,10639.8,68
CDM,22810450,CT HEAD/BRAIN WO/CONTRAST,2704.0,,87.59,2433.6,68
CDM,22810460,CT HEAD/BRAIN W/CONTRAST,5817.0,,146.63,5235.3,68
CDM,22810470,CT HEAD/BRAIN W&W/O CONTRAT,7136.0,,146.63,6422.4,68
CDM,22810480,"CT ORB,SEL.PFOS,IAC WO CONTRA",4966.0,,87.59,4469.4,68
CDM,22810481,"CT ORB,SEL,PFOS,IAC,W/CONTRA",5768.0,,146.63,5191.2,68
CDM,22810482,"CT ORB,SEL,PFOS,IAC WO FOL W/C",5832.0,,146.63,5248.8,68
CDM,22810486,CT MAXILLOFACIAL WO/CONTR,4685.0,,87.59,4216.5,68
CDM,22810487,CT MAX/FACIAL W/CONTRAST 01,5567.0,,146.63,5010.3,68
CDM,22810488,CT MAXILLOFACIAL WO/FOL W,6193.0,,146.63,5573.7,68
CDM,22810490,CT NECK W/O CONTRAST,4131.0,,87.59,3717.9,68
CDM,22810491,CT NECK SFT TSU W/CONTR,2808.0,,146.63,2527.2,68
CDM,22810492,CT NECK SFT TSU W/O FOL W,5523.0,,146.63,4970.7,68
CDM,22810600,IRE ABLATION 1+TUMORS,23364.0,,8575.48,21027.6,68
CDM,22811250,CT THORACIC WO/CONTRAST,2596.0,,87.59,2336.4,68
CDM,22811253,NEEDLE BX HS TRAPSYSTEM,118.0,,59.0,106.2,56
CDM,22811260,CT THORACIC W/CONTRAST,3245.0,,146.63,2920.5,68
CDM,22811270,CT THORACIC WO/FOL W/CON,6647.0,,146.63,5982.3,68
CDM,22811575,CATH CENTESIS ONE-STEP 5FR,70.0,,35.0,66.39,57
CDM,22811830,NEEDLE BX BONE MARROW POWERED,401.0,,200.5,360.9,57
CDM,22812125,CT SPINE CERV WO/CONTRAST,3318.0,,87.59,2986.2,68
CDM,22812126,CT SPINE CERV W/CONTRAST,7344.0,,177.0,6609.6,68
CDM,22812127,CT C SPINE W&W/O CONTRAST,6131.0,,146.63,5517.9,68
CDM,22812128,CT SPINE THOR WO/CONTRAST,6016.0,,87.59,5414.4,68
CDM,22812129,CT SPINE THOR W/CONTRAST,6643.0,,146.63,5978.7,68
CDM,22812130,CT SPINE THOR W/O FOL/W,6439.0,,146.63,5795.1,68
CDM,22812131,CT SPINE LUM WO/CONTRAST,1839.0,,87.59,1655.1,68
CDM,22812132,CT SPINE LUM W/CONTRAST,6469.0,,177.0,5822.1,68
CDM,22812133,CT SPINE LUM WO/FOL/W,5992.0,,146.63,5392.8,68
CDM,22812192,CT PELVIS WO/CONTRAST,5519.0,,87.59,4967.1,68
CDM,22812193,CT PELVIS W/CONTRAST,6330.0,,146.63,5697.0,68
CDM,22812194,CT PELVIS WO/FOL/W,8866.0,,146.63,7979.4,68
CDM,22812284,INJECTION PROC/MYELOGM/CT,1908.0,,763.2,1717.2,56
CDM,22813200,CT UPR EXT W/O CONTRAST RT,4833.0,,52.0,4349.7,56
CDM,22813201,CT UPR EXT W/CONTRAST RT,6421.0,,19.0,5778.9,56
CDM,22813202,CT UPPER EXT WO/FOL/W RT,5465.0,,19.0,4918.5,56
CDM,22813203,CT UPPER EXT WO/CONTRAST LT,4833.0,,52.0,4349.7,56
CDM,22813204,CT UPPER EXT WO/CONTRAST BIL,7398.0,,52.0,6658.2,56
CDM,22813205,CT UPR EXT W/CONTRAST LT,6421.0,,19.0,5778.9,56
CDM,22813206,CT UPR EXT W/CONTRAST BILAT,8920.0,,19.0,8028.0,56
CDM,22813207,CT UPPER EXT WO/FOL/W LT,5465.0,,19.0,4918.5,56
CDM,22813700,CT LOWER EXT WO/CONTRAST RT,4732.0,,120.0,4258.8,56
CDM,22813701,CT LWR EXT W/CONTRAST RT,5979.0,,129.0,5381.1,56
CDM,22813702,CT LOWER EXT WO/FOL/W RT,6114.0,,129.0,5502.6,56
CDM,22813703,CT LOWER EXT WO/CONTRAST LT,4732.0,,120.0,4258.8,56
CDM,22813704,CT LWR EXT W/O CONTRAST BILAT,7474.0,,120.0,6726.6,56
CDM,22813705,CT LWR EXT W/CONTRAST LT,5979.0,,129.0,5381.1,56
CDM,22813706,CT LWR EXT W/CONTRAST BILAT,8305.0,,129.0,7474.5,56
CDM,22813707,CT LOWER EXT WO/FOL/W LT,5660.0,,129.0,5094.0,56
CDM,22813708,CT LOWER EXT WO/FOL/W BIL,8492.0,,129.0,7642.8,56
CDM,22814083,PROBE NEUWAVE SR 25CM 13GA,3230.0,,107.58,2907.0,62
CDM,22814084,PROBE NEUWAVE LK 15CM TAPERED,3230.0,,107.58,2907.0,62
CDM,22814085,PROBE NEUWAVE LK 20CM TAPERED,3230.0,,107.58,2907.0,62
CDM,22814086,PROBE NEUWAVE PR 15CM TAPERED,3230.0,,107.58,2907.0,62
CDM,22814087,PROBE NEUWAVE PR 20CM TAPERED,3230.0,,107.58,2907.0,62
CDM,22814150,CT ABDOMEN W/O CONTRAST,7916.0,,87.59,7124.4,68
CDM,22814160,CT ABD W/CONTRAST,8754.0,,146.63,7878.6,68
CDM,22814170,CT ABDOMEN W&W/O CONTRAST,11048.0,,146.63,9943.2,68
CDM,22815461,CATH PNEUMOTHORAX KIT ARROW,266.0,,133.0,239.4,56
CDM,22815989,CT GUIDE ASBC DRN PER W/CATH,2694.0,,115.0,2424.6,55
CDM,22817096,INJ ARTHROGRAM SACROILIAC LT,2058.0,,130.0,1852.2,55
CDM,22820206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,22820220,"BIOPSY, BONE SUPERFICIAL",2652.0,,1060.8,2386.8,68
CDM,22820225,BIOPSY BONE TROCAR/NDL DEEP,3284.0,,1313.6,2955.6,68
CDM,22820432,INS CATH DRAIN RENL PELVIS BIL,12867.0,,5146.8,11580.3,56
CDM,22820435,EXCHANGE NEPHROSTOMY CATH BIL,10005.0,,4002.0,9004.5,56
CDM,22820501,INJ TRACT SINOGRAM,463.0,,185.2,416.7,56
CDM,22820550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,22820552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,22820553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,22820601,ARTHROCENTESIS SMALL JOINT RT,1911.0,,764.4,1719.9,56
CDM,22820610,"DRAIN/INJ,JOINT/BURSA MAJ RT",4987.0,,1994.8,4488.3,56
CDM,22820611,"DRAIN/INJ,JOINT/BURSA MAJ LT",4987.0,,1994.8,4488.3,56
CDM,22820613,ASP/INJ GANGLION CYST- INIT,536.0,,214.4,482.4,68
CDM,22820615,ASP/INJ CYST BONE,1578.0,,579.53,1420.2,68
CDM,22820982,ABLATION BONE TUMR PERC W/CT,12385.0,,4954.0,15839.53,68
CDM,22820983,ABLATE BONE TUMOR(S)PERQ,14120.0,,5648.0,12708.0,68
CDM,22820999,MUSCULOSKELETAL UNLSTD PROC,11822.0,,197.58,10639.8,68
CDM,22822019,SYS SEAL TRACT BIOSENTRY,678.0,,339.0,610.2,62
CDM,22822510,PERQ CERVICOTHORACIC INJ,9879.0,,2672.51,8891.1,68
CDM,22822513,PERQ VERT AUGMENT THORACIC,17568.0,,5884.12,15811.2,68
CDM,22822514,PERQ VERT AUGMENT LUMBAR,17568.0,,5884.12,15811.2,68
CDM,22822515,PERQ VERT AUGMENT EA ADDL,16344.0,,6537.6,14709.6,56
CDM,22827096,INJ ARTHROGRAM SACROILIAC RT,2347.0,,319.33,2112.3,57
CDM,22827196,INJ ARTHROGRAM SACROILIAC LT,2488.0,,319.33,2239.2,57
CDM,22827296,INJ ARTHROGRAM SACROILI BILAT,3123.0,,319.33,2810.7,57
CDM,22827369,NJX CNTRST KNEE ARTHG CT,694.0,,277.6,624.6,56
CDM,22827999,ABLAT GALLBLADDER PERC CRYO,14461.0,,772.25,13014.9,67
CDM,22829657,CRYOPROBE VARIABLE ICE 2.4MM,2659.0,,257.96,2393.1,57
CDM,22829677,CRYOPROBE RND ICE SHORT 1.7MM,2278.0,,257.96,2050.2,57
CDM,22832400,BIOPSY PLEURA NEEDLE PERC,2323.0,,929.2,2090.7,68
CDM,22832408,CORE NDL BX LNG/MED PERQ W/IMG,3940.0,,1334.55,3546.0,68
CDM,22832553,INS MARK THOR FOR RT PERQ,4357.0,,1127.0,3921.3,67
CDM,22832555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,68
CDM,22832557,PLEUR DRAIN W/INSRT CATH W/IMG,2416.0,,966.4,2174.4,68
CDM,22832994,ABLAT TUMR PULM UNI PLR/CHS IM,17096.0,,8548.0,15386.4,67
CDM,22832998,ABLATION TUMR PULMONARY UNI 1+,13568.0,,4805.62,12211.2,68
CDM,22832999,CRYOABLATION OF LUNG,3393.0,,509.25,3053.7,68
CDM,22833019,PERICARD DRN W/CATH & CT GUIDE,6087.0,,2434.8,5478.3,56
CDM,22837244,VASC EMBOLIZ/OCCLSN ART/VEN HM,27776.0,,9340.95,24998.4,67
CDM,22838220,ASP BONE MARROW ONLY,1516.0,,606.4,1994.58,68
CDM,22838221,BONE MARROW BIOPSY 01,2276.0,,910.4,2048.4,68
CDM,22838222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,22838505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,22839728,PLACE DEV/MARKER NON PROST,1811.0,,724.4,1684.38,68
CDM,22840200,PERC SACRAL AUGMT UNILAT INJ,11860.0,,4744.0,10674.0,68
CDM,22842400,BX GLAND SALIVARY NEEDLE,1699.0,,579.53,1529.1,68
CDM,22845000,TRANRECTAL DRAIN PELVIC ABSCES,2477.0,,971.18,2229.3,68
CDM,22847000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,68
CDM,22847096,INJ ARTHROGRAM SACROILIAC BIL,3086.0,,195.0,2777.4,55
CDM,22847382,ABLATION TUMR LIVER RADIO PERC,7781.0,,3112.4,7182.31,68
CDM,22847383,ABLATION TUMR LIVER CRYO PERC,14461.0,,5784.4,13014.9,68
CDM,22847490,CHOLECYSTOST PERC COMPL PROC,5871.0,,2348.4,5283.9,68
CDM,22848102,BIOPSY PANCREAS PERC NEEDLE,3123.0,,1249.2,2810.7,68
CDM,22849083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,68
CDM,22849180,BIOPSY ABD/RET MASS PERC NDL,3469.0,,1334.55,3122.1,68
CDM,22849185,SCLEROTX FLUID COLLECTION PERQ,2511.0,,1004.4,2259.9,68
CDM,22849400,INJ AIR/CONTR PERITONEAL CAV,1473.0,,589.2,1325.7,56
CDM,22849405,IMAGE CATH FLUID COLXN VISC,5691.0,,1334.55,5121.9,68
CDM,22849406,FLUID COLL DRAIN CATH PERI,9553.0,,1334.55,8597.7,68
CDM,22849407,CT FLD COLLXN TRANSREC/VAG,3264.0,,1334.55,2937.6,67
CDM,22849411,PLMT NTRSTL DEV PRQ IABDL IPEL,5709.0,,1127.0,5138.1,68
CDM,22849423,EXCHG CATH ABSC/CYST DRAIN,5277.0,,1562.51,4749.3,68
CDM,22849440,PERCUT PLACE GASTRO TUBE FLURO,2336.0,,1168.0,2335.27,67
CDM,22849442,INSERT CECOS/OTHR TUBE FLUORO,6687.0,,971.18,6018.3,68
CDM,22850101,CT GUIDED NEEDLE PLCMT-P STDY,1403.0,,378.0,1262.7,55
CDM,22850200,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,56
CDM,22850201,BIOPSY RENAL PERC NDL/TROCR LT,3064.0,,1225.6,2757.6,56
CDM,22850390,ASP/INJ RENAL CYST/PELV PRC RT,2345.0,,938.0,2110.5,56
CDM,22850391,ASPIR/INJ REN CYST/PEL PRC LT,2345.0,,938.0,2110.5,56
CDM,22850392,ASPIR/INJ RENAL CYST/PELV PERC,2345.0,,938.0,2110.5,56
CDM,22850592,ABLAT RENAL TUMOR PERC,6877.0,,2750.8,7182.31,68
CDM,22850593,RF ABLAT RENAL TUMOR PERC BI,9552.0,,3820.8,8596.8,56
CDM,22850594,ABLAT RENAL CRYO UNIL,5573.0,,2229.2,12816.61,68
CDM,22850595,ABLAT TUMR RENAL CRYO BILAT,6678.0,,2671.2,6010.2,56
CDM,22851102,ASP BLADDER INS CATH SUPRAPUB,1833.0,,733.2,2521.79,68
CDM,22851600,INJ CYSTOGRAM,1129.0,,451.6,1016.1,56
CDM,22854100,BX PENIS,2290.0,,916.0,2061.0,68
CDM,22855700,BX PROSTATE NEEDLE/PUNCH,4433.0,,1687.31,3989.7,68
CDM,22855705,BX PROSTATE INCISION,4599.0,,1839.6,4245.81,68
CDM,22860660,ABLAT 1+THYROID NODULE 1 LOBE,3508.0,,1334.55,3157.2,68
CDM,22860661,ABLAT 1+THY NODULE ADDLLOBE,3508.0,,1403.2,3157.2,56
CDM,22860699,ABLATION OF ADRENAL MASS,7781.0,,3112.4,7182.31,68
CDM,22861055,PUNCTURE CISTERNAL/LATERAL,2134.0,,243.14,1920.6,68
CDM,22862267,ASP CYST INVERT DISC/PARAVERT,1708.0,,579.53,1537.2,68
CDM,22862270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,22862272,LUMBAR PUNCTURE DRAIN CSF,1936.0,,570.41,1742.4,68
CDM,22862273,INJ EPIDURAL BLOOD/CLOT PATCH,2520.0,,570.41,2268.0,67
CDM,22862305,INJ MYEL LUMBAR > 1 INCL,5051.0,,650.75,4545.9,68
CDM,22862321,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,68
CDM,22862323,NJX INTERLAMINAR LMBR/SAC,2539.0,,570.41,2285.1,68
CDM,22862328,SPINAL PUNCT LUM DX W/FLUOR/CT,2992.0,,570.41,2692.8,67
CDM,22862329,SPINAL PUNCT LUM TX W/FLUOR/CT,2992.0,,570.41,2692.8,67
CDM,22864418,INJ ANES NERVE SUPRASCAPULAR,1208.0,,483.2,1087.2,68
CDM,22864420,INJ ANES NERVE INTERCOSTAL SGL,1519.0,,570.41,1367.1,68
CDM,22864421,INJ ANES/STER INTRCSTL ADDL,2456.0,,733.31,2210.4,68
CDM,22864425,INJ ANES NERVE ILIOINGUIN/GAST,8183.0,,570.41,7364.7,67
CDM,22864430,INJ ANES NERVE PUDENDAL,1409.0,,563.6,1268.1,68
CDM,22864447,INJ ANES/STER NERVE FEM,2053.0,,570.41,1847.7,68
CDM,22864450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,22864455,INJ ANES/STEROID NERVE PLANTAR,685.0,,243.14,616.5,68
CDM,22864461,PVB THORACIC SINGLE INJ,1832.0,,570.41,1648.8,68
CDM,22864462,PVB THORACIC ADDL INJ,1059.0,,423.6,953.1,56
CDM,22864463,PVB THORACIC INFUSION,1832.0,,570.41,1648.8,68
CDM,22864483,INJ EPIDURAL LUMBAR/SACRAL SGL,3496.0,,733.31,3146.4,68
CDM,22864484,INJ EPIDURAL LUMBAR/SACRAL ADD,1996.0,,798.4,1796.4,56
CDM,22864490,INJ ANES/STER CERV/THOR SGL,2901.0,,733.31,2610.9,68
CDM,22864491,INJ PARAVERT F JNT C/T 2ND LVL,1705.0,,682.0,1534.5,56
CDM,22864492,INJ PARAVERT F JNT C/T 3RD LVL,2127.0,,850.8,1914.3,56
CDM,22864493,INJ ANES/STER LUMB/SACR SGL,3356.0,,733.31,3020.4,68
CDM,22864494,INJ PARAVERT F JNT L/S 2ND LVL,2047.0,,818.8,1842.3,56
CDM,22864495,INJ PARAVERT F JNT L/S 3RD LVL,1986.0,,794.4,1787.4,56
CDM,22864502,INJ ANES/STER CERV/THOR SGL BI,4353.0,,1741.2,3917.7,56
CDM,22864505,INJ ANES/STER LUMB/SACR SGL BI,4661.0,,1864.4,4194.9,56
CDM,22864506,INJ PARAVERT F JNT L/S 2ND BI,3072.0,,1228.8,2764.8,56
CDM,22864530,INJ ANES CELIAC PLEXUS,2894.0,,733.31,2604.6,68
CDM,22864620,DEST NRV INTERCOSTAL,2738.0,,733.31,2464.2,68
CDM,22864634,DEST NRV CERV/THR SGL EA ADD,3209.0,,1283.6,2888.1,56
CDM,22864635,DEST NRV LUMB/SACR SGL,5533.0,,1608.45,4979.7,68
CDM,22864646,CHEMODENERV OF TRUNK 1-5 MUSCL,2654.0,,570.41,2388.6,68
CDM,22864680,DEST NRV CELIAC PLEXUS,4642.0,,733.31,4177.8,68
CDM,22870170,DACRYOCYSTOGRAM NASOLACRIMINAL,581.0,,56.0,629.0,68
CDM,22870496,CTA HEAD W&W/O CONTRAST,6311.0,,146.63,5679.9,68
CDM,22870498,CTA NECK W&W/O CONTRAST,6778.0,,146.63,6100.2,68
CDM,22871250,CT CHEST W/O CON-P STDY,2596.0,,150.0,2336.4,56
CDM,22871271,CT THORAX LUNG CA SCR W/O CONT,362.0,,87.59,325.8,68
CDM,22871275,CT ANGIO CHEST WO/FOL/W,2271.0,,146.63,2043.9,68
CDM,22872191,CTA PELVIS W&W/O CONTRAST,7251.0,,146.63,6525.9,68
CDM,22873206,CTA UPR EXT W&W/O CONTRAST,6968.0,,117.5,6271.2,68
CDM,22873706,CTA LWR EXT W&W/O CONTRAST,6183.0,,117.5,5564.7,68
CDM,22874174,CT ABD/PEL W/WO CONTRAST POST,3137.0,,294.16,2823.3,68
CDM,22874175,CTA ABDOMEN W&W/O CONTRAST,8560.0,,146.63,7704.0,68
CDM,22874176,CT ABD & PELVIS W/O CONTRAST,4651.0,,199.1,4185.9,68
CDM,22874177,CT ABD & PELVIS W/CONTRAST,5200.0,,233.17,4680.0,68
CDM,22874178,CT ABD & PELVIS W/O FOL W/CONT,6706.0,,294.16,6035.4,68
CDM,22874190,PERITONEOGRAM S&I,1279.0,,40.0,1426.8,68
CDM,22874430,CT CYSTOGRAM MN 3VWS,1320.0,,71.0,1188.0,68
CDM,22875571,CT HRT W/O CON EVAL COR CAL,4678.0,,48.5,4210.2,68
CDM,22875572,CT HRT W/3D IMAGE,5510.0,,278.5,4959.0,69
CDM,22875573,CT HRT W/3D IMAGE CONGEN,5558.0,,294.16,5002.2,69
CDM,22875574,CT ANGIO HRT W/3D IMAGE,6931.0,,294.16,6237.9,69
CDM,22875635,CTA ABDOMINAL AORTA W/RUNOFF,10132.0,,146.63,9118.8,68
CDM,22876015,MR SFTY MPLT&/FB ASMT STF EA,124.0,,49.6,111.6,56
CDM,22876377,CT 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,22876380,CT LIMITED OR LOCALIZED STUD,2850.0,,56.0,2565.0,68
CDM,22877012,CT GUIDED NEEDLE PLACEMENT,4475.0,,378.0,4027.5,55
CDM,22877013,CT GUIDED PARENCHY TISS ABLAT,5726.0,,487.39,5153.4,56
CDM,22877014,CT GUID PLACE RAD THRPY FIELDS,3166.0,,170.16,2849.4,55
CDM,22877022,CT GUIDED NEEDLE PLCMT-MOD 59*,4475.0,,378.0,4027.5,55
CDM,22877073,BONE LENGTH STUDIES,719.0,,54.5,647.1,68
CDM,22878630,CSF CISTERNOGRAM,3257.0,,340.0,2931.3,68
CDM,22881010,ABLATION MICROWAVE RENAL PER,4024.0,,200.33,3621.6,68
CDM,22881020,ABLATION MICROWAVE LUNG PERC,6826.0,,509.25,6143.4,68
CDM,22881834,EMBOLIC TRUFILL 2GM,10075.0,,5037.5,9067.5,61
CDM,22884558,DRAIN CHEST SAHARA,124.0,,62.0,111.6,56
CDM,22886000,CT ABDOMEN W/O CON-P STDY,2482.0,,150.0,2233.8,56
CDM,22886001,CT C-SPINE W/O CON-P STDY,3318.0,,150.0,2986.2,56
CDM,22886002,CT CHEST W/CON-P STDY,3245.0,,177.0,2920.5,56
CDM,22886003,CT HEAD W/O CON-P STDY,2600.0,,133.0,2340.0,56
CDM,22886004,CT L-SPINE W/O CON-P STDY,1839.0,,150.0,1655.1,56
CDM,22886005,CT MAX/FACIAL W/O CON-P STDY,3201.0,,129.0,2880.9,56
CDM,22886006,CT PELVIS W/O CON-P STDY,1728.0,,150.0,1555.2,56
CDM,22886008,CT T-SPINE W/O CON-P STDY,1886.0,,150.0,1697.4,56
CDM,22886009,CT ABDOMEN W/CON-P STDY,2744.0,,174.0,2469.6,56
CDM,22886010,CT ABDOMEN W&W/O CON-P STDY,3462.0,,210.0,3115.8,56
CDM,22886020,CT UPR EXT W/O CON-P STDY,1515.0,,52.0,1363.5,56
CDM,22886025,CT LWR EXT W/O CON-P STDY,1484.0,,120.0,1335.6,56
CDM,22886030,CTA HEAD-P STDY,1935.0,,186.5,1741.5,56
CDM,22886032,CTA NECK-P STDY,1581.0,,357.1,1422.9,56
CDM,22886034,CTA CHEST-P STDY,2271.0,,273.89,2043.9,56
CDM,22886036,CTA ABDOMEN-P STDY,2683.0,,219.0,2414.7,56
CDM,22886038,CTA PELVIS-P STDY,2274.0,,212.5,2046.6,56
CDM,22889375,CATH RESOLVE LOCK W/MB 12F 25,182.0,,66.39,163.8,57
CDM,22890010,"TRAY, KYPHOPLASTY",10662.0,,5331.0,9595.8,56
CDM,22890070,"CATHETER, PIGTAIL",289.0,,144.5,260.1,56
CDM,22890100,CT BONOPTY PENETRATION SET,319.0,,159.5,287.1,56
CDM,22890101,CT BONOPTY BIOPSY SET,216.0,,108.0,194.4,56
CDM,22890102,CT BONOPTY EXTENDED DRILL,167.0,,83.5,150.3,56
CDM,22890110,CT TEMNO BIOPSY SET,299.0,,149.5,269.1,56
CDM,22890115,CT GREEN BIOPSY SET,226.0,,113.0,203.4,56
CDM,22890123,CT BIOPINCE BIOPSY GUN,310.0,,155.0,279.0,56
CDM,22890130,CT BIOPINCE COAXIAL NEEDLE,104.0,,52.0,93.6,56
CDM,22893935,INTRO MINI ACCESS KIT MAK-NV,244.0,,46.81,219.6,57
CDM,22900007,GDWIRE FIXED CORE,80.0,,27.95,72.0,57
CDM,22900008,GUIDEWIRE II,1106.0,,27.95,995.4,57
CDM,22900011,CATHETER-ANGIOGRAPHIC,530.0,,102.65,477.0,57
CDM,22900013,CATHETER III,468.0,,66.39,421.2,57
CDM,22900025,EMBOLIZATION COILS II,1183.0,,591.5,1064.7,61
CDM,22900028,NEEDLES II,785.0,,392.5,706.5,56
CDM,22900029,NEEDLES III,1424.0,,712.0,1281.6,56
CDM,22900030,BALLOONS I,958.0,,257.51,862.2,57
CDM,22900039,SYSTEM CLOSURE VASC PERCLOSE,1752.0,,397.68,1576.8,57
CDM,22900041,CATHETER INFUSION ANGIODYN,351.0,,136.97,315.9,62
CDM,22900042,CATHETER INFUSION EV3,348.0,,136.97,313.2,62
CDM,22900043,CATHETER SNARE,138.0,,69.0,124.2,56
CDM,22900048,STENT NONCOAT/NONCOV W/DEL I,2995.0,,1497.5,2695.5,62
CDM,22900051,RETREIVAL DEVICE MEDTRONIC,2158.0,,70.07,1942.2,57
CDM,22900052,CATHETER DRAINAGE 01,785.0,,66.39,706.5,57
CDM,22900053,STENT URETERAL,392.0,,187.52,352.8,62
CDM,22900063,CATH REPAIR KIT,532.0,,266.0,478.8,56
CDM,22900067,BARD TUNNELER,135.0,,67.5,121.5,56
CDM,22900096,DORADO PTA BALLOON DIAL CATH,544.0,,257.51,489.6,57
CDM,22900109,COIL AZUR 018 FRAMING,1865.0,,932.5,1678.5,61
CDM,22900110,AZUR DETACHMENT CONTROLLER,418.0,,209.0,376.2,56
CDM,22900113,GUIDE WIRE J **,277.0,,27.95,249.3,57
CDM,22900124,KIT GI ANCHOR W/SAF-T-PEXY,403.0,,201.5,362.7,56
CDM,22900126,INTRODUCER CHECK-FLO 9F**,196.0,,46.81,176.4,57
CDM,22900127,GUIDEWIRE NEWTON**,213.0,,27.95,191.7,57
CDM,22900128,GUIDEWIRE AMPLATZER**,213.0,,27.95,191.7,57
CDM,22900129,GUIDEWIRE ROADRUNNER XS**,213.0,,27.95,191.7,57
CDM,22900130,INTRODUCER MICROPUNCTURE SET**,178.0,,89.0,160.2,56
CDM,22900132,TRAY KYPHX EXP 1ST FRACT 15/2,11420.0,,5710.0,10278.0,56
CDM,22900141,PLUG VASC AMPLATZER 4,2225.0,,1112.5,2002.5,61
CDM,22900142,PLUG AMPLATZER II,2486.0,,1243.0,2237.4,61
CDM,22900143,RELIEVANT INTRACEPT RF PROBE,8177.0,,4088.5,7359.3,61
CDM,22900150,GWIRE BSX FATHOM,568.0,,27.95,511.2,57
CDM,22900159,EMBOLIC ONYX,6906.0,,3453.0,6215.4,61
CDM,22900160,CATH BALLOON GUIDE MERCI,2070.0,,102.65,1863.0,57
CDM,22900198,RETRIEVAL DEVICE MICRO MEDTR,2334.0,,70.07,2100.6,57
CDM,22900199,GUIDE WIRE HYDROPHILLIC **,530.0,,27.95,477.0,57
CDM,22900209,SYRINGE INFLATION KYPHX,310.0,,155.0,279.0,56
CDM,22900210,STENT FLUENCY PLUS <80MM,5708.0,,1667.17,5137.2,62
CDM,22900211,STENT FLUENCY PLUS 80MM,5911.0,,1667.17,5319.9,62
CDM,22900213,STENT GRAFT FLUENCY LONG,6391.0,,1667.17,5751.9,62
CDM,22900214,STENT GRAFT FLUENCY 13.5 DIAM,6444.0,,1667.17,5799.6,62
CDM,22900219,NEEDLE MAXCORE BARD,237.0,,118.5,213.3,56
CDM,22900250,"CATH,HEMODIAL,LONG-TERM II",1970.0,,395.6,1773.0,62
CDM,22900251,"CATH,HEMODIAL,SHORT-TERM",928.0,,98.18,835.2,62
CDM,22900256,CATH HICKMAN TRIFUSION 12F,1558.0,,136.97,1402.2,62
CDM,22900290,PLUG VASC MICRO MVP,4916.0,,2458.0,4424.4,61
CDM,22900356,TUBE GASTRO FEEDING,181.0,,90.5,162.9,56
CDM,22900361,COIL SOFT EMBOLIZATION IDC,863.0,,431.5,776.7,61
CDM,22900377,CATH BENTEC BILIARY 16FR,299.0,,66.39,269.1,57
CDM,22900378,CATH BENTEC BILIARY 18-20FR,256.0,,66.39,230.4,57
CDM,22900401,SYSTEM CLOSURE VENASEAL VS-404,4098.0,,2049.0,3688.2,56
CDM,22900547,CATH BALLOON ARCADIA ARC20SB,2249.0,,1124.5,2024.1,61
CDM,22900685,PORT POWERFLOW APHRESIS,1575.0,,548.78,1417.5,62
CDM,22900888,CATH MAHURKAR**,139.0,,69.5,125.1,62
CDM,22900889,"GDWIRE J/STRAIGHT 70CM 0.035""*",139.0,,27.95,125.1,57
CDM,22900910,CATH FLEX SCORING 6F 40CM,2288.0,,257.51,2059.2,57
CDM,22901037,INTRO KIT GASTRO FEEDING TUBE,559.0,,27.95,503.1,57
CDM,22901041,COIL DETACHMENT CONTROLLER,419.0,,209.5,377.1,56
CDM,22901045,INTRACEPT ADDL 2 VB KIT,3505.0,,1752.5,3154.5,61
CDM,22901059,CATH DIAGNOSTIC US ACUNAV,4801.0,,2400.5,4320.9,57
CDM,22901068,KT ASPIRA II PLEURAL STARTER,1438.0,,66.39,1294.2,57
CDM,22901075,INTRACEPT ADDL 3 VB KIT,1295.0,,647.5,1165.5,61
CDM,22901100,STABILIT MX FX KIT (BASE),3544.0,,1772.0,3189.6,56
CDM,22901103,STENT COVERA VASC COVERED,5518.0,,1667.17,4966.2,62
CDM,22901167,GUIDEWIRE VASC ASAHI,477.0,,27.95,429.3,57
CDM,22901216,CATH ROTATIONAL THROMBECTOMY,1902.0,,314.82,1711.8,57
CDM,22901229,COIL PRESTIGE HELICAL XTRA 02,2045.0,,1022.5,1840.5,61
CDM,22901300,CURETTE KYPHON EXPRESS,1269.0,,634.5,1142.1,56
CDM,22901302,SHTH INTRO PRELUDE 6F 11CM KT,94.0,,46.81,84.6,57
CDM,22901315,PROBE INTELLIB XIMITRY ASSEM,5130.0,,2565.0,4617.0,56
CDM,22901340,SYS CLOSURE STARCLOSE,468.0,,234.0,421.2,57
CDM,22901350,BALLOON CUT PERIPHERAL OTW 5MM,1554.0,,257.51,1398.6,57
CDM,22901354,SAKURABEAD,0.01,,0.005,0.009,56
CDM,22901424,FILTER SENTRY IVC-N/C,0.01,,0.005,0.009,56
CDM,22901435,TUBE GASTRO FEEDING LOW-PROF,312.0,,156.0,280.8,61
CDM,22901470,CATH FLEX-NECK COIL ADULT LRG,450.0,,225.0,405.0,62
CDM,22901500,TAMP BONE INFLATABLE KYPHX EXP,2753.0,,1376.5,2477.7,56
CDM,22901606,CATH PROWLER PLUS/SELECT,1696.0,,102.65,1526.4,57
CDM,22901788,PORT CT INJECT SMART PORT 9.6F,694.0,,347.0,624.6,62
CDM,22901815,NDL BX CHIBA 18GX15CM,238.0,,119.0,214.2,56
CDM,22901896,CATH LUTONIX DCB,3348.0,,1674.0,3013.2,57
CDM,22901897,CATH LUTONIX II DCB,3910.0,,1955.0,3519.0,57
CDM,22901900,GWIRE NITREX .014 INT 80CM,242.0,,27.95,217.8,57
CDM,22901991,MATRIX HEMOSTATIC SURGIFLO,470.0,,235.0,423.0,56
CDM,22902001,TUBE MIC BOLUS JEJUNAL,392.0,,196.0,352.8,61
CDM,22902002,KYPHON CDS CARTRIDGE,193.0,,96.5,173.7,61
CDM,22902003,KYPHON CDS GUN/BONE FILLER DVC,706.0,,353.0,635.4,61
CDM,22902007,DVC VASCADE VCS 6.0-7.0 F,442.0,,221.0,397.8,57
CDM,22902013,CATH PROGREAT 2.0,1495.0,,102.65,1345.5,57
CDM,22902023,ALIYA ELECTRODE,17597.0,,8798.5,15837.3,56
CDM,22902024,ALIYA NEEDLE 19GA X 20CM,250.0,,125.0,225.0,56
CDM,22902027,STENT VENOVO VENUM,2550.0,,1275.0,2295.0,62
CDM,22902028,STENT VENOVO VENUL,2528.0,,1264.0,2275.2,62
CDM,22902051,FLOWTRIEVER THROMBECTOMY SYS,24322.0,,314.82,21889.8,57
CDM,22902052,CATHETER CLOTTRIEVER FXD LNG,13268.0,,314.82,11941.2,57
CDM,22902053,SHEATH THROMBO CLOTTRIEVER,4423.0,,2211.5,3980.7,56
CDM,22902092,COIL PRESTIGE CMPX 01,1461.0,,730.5,1314.9,61
CDM,22902100,STABILIT MX FX KIT (FULL),4252.0,,2126.0,3826.8,56
CDM,22902114,CATH FLOWSAVER,0.01,,0.005,314.82,57
CDM,22902116,CATH GUIDE ASPIRATION INARI,0.01,,0.005,314.82,57
CDM,22902130,CANNULA CURVED DEL ARCADUA,811.0,,405.5,729.9,56
CDM,22902146,INST ACCESS INTRACEPT ADDL LVL,1295.0,,647.5,1165.5,56
CDM,22902160,INST ACCESS INTRACEPT FG 0060,3505.0,,1752.5,3154.5,56
CDM,22902166,CATH TRINAV INFUSION SYS,13940.0,,6970.0,12546.0,57
CDM,22902167,SYS ULTRASND DENERVATION RENAL,36000.0,,18000.0,32400.0,56
CDM,22902169,COIL EMBOLD SOFT 01,1598.0,,799.0,1438.2,61
CDM,22902192,COIL PRESTIGE CMPX 02,1655.0,,827.5,1489.5,61
CDM,22902209,KIT PERITONEAL DRAIN W/CATH,2116.0,,1058.0,1904.4,56
CDM,22902284,SINGLE PASS KRONOS,720.0,,360.0,648.0,56
CDM,22902290,LAVA EMBOLIC SYS,3150.0,,1575.0,2835.0,61
CDM,22902291,LAVA MIXING KIT INJ,330.0,,165.0,297.0,56
CDM,22902292,COIL PRESTIGE CMPX 03,1850.0,,925.0,1665.0,61
CDM,22902301,BAG PLEURAL DRAINAGE ASPIRA,178.0,,89.0,160.2,56
CDM,22902392,COIL PRESTIGE CMPX 04,2045.0,,1022.5,1840.5,61
CDM,22902400,INTRODUCER KYPHX EXPRESS T24A,1025.0,,512.5,922.5,56
CDM,22902413,CATH PROGREAT,735.0,,102.65,661.5,57
CDM,22902426,CATH DRAINAGE SINGLE STEP,216.0,,66.39,194.4,57
CDM,22902492,DVC DETACHER PRESTIGE ULTRA,416.0,,208.0,374.4,56
CDM,22902511,CATH MICRO MAESTRO,637.0,,102.65,573.3,57
CDM,22902607,GWIRE VOLO 14 SFT 200CM,820.0,,27.95,738.0,57
CDM,22902701,TUBE LOW PROF MIC-KEY,801.0,,400.5,720.9,61
CDM,22902862,FILTER VENA CAVA TECH LP-STUDY,2640.0,,1320.0,2376.0,57
CDM,22902913,COIL PRESTIGE CMPX XTRA 02,1461.0,,730.5,1314.9,61
CDM,22902923,COIL PRESTIGE CMPX XTRA 01,1461.0,,730.5,1314.9,61
CDM,22903169,COIL EMBOLD SOFT 02,1778.0,,889.0,1600.2,61
CDM,22903356,GDWIRE STORQ,231.0,,27.95,207.9,57
CDM,22903469,DVC KY8PHO KYPHON KURVE,811.0,,405.5,729.9,56
CDM,22903491,CATH INDIGO DYNAMIC HTORQ 115,13769.0,,314.82,12392.1,57
CDM,22903502,CATH MARINER BERNSTEIN 4F 65CM,156.0,,78.0,140.4,57
CDM,22903515,CATH NAVICROSS,406.0,,102.65,365.4,57
CDM,22903541,CATH DIAL DECATHLON LG-TERM**,332.0,,166.0,395.6,57
CDM,22903542,GUIDEWIRE DECATHLON**,104.0,,27.95,93.6,57
CDM,22903543,INTRODUCER SHEATH DECATHLON**,104.0,,46.81,93.6,57
CDM,22903563,STNT DRG-ELT ELUVIA 40MM 130CM,4201.0,,1667.17,3780.9,62
CDM,22903564,STNT DRG-ELT ELUVIA 60MM 130CM,4833.0,,1667.17,4349.7,62
CDM,22903565,STENT DRUG-ELT ELUVIA 130CM,5465.0,,1667.17,4918.5,62
CDM,22903567,STNT DRUG-ELT ELUVIA 120MM 130,6096.0,,1667.17,5486.4,62
CDM,22903614,COIL EMB INTERLOCK-18 IDC SYS,870.0,,435.0,783.0,61
CDM,22903767,FILTER VENA CAVA CELECT FEM,2488.0,,1244.0,2239.2,62
CDM,22904017,EXTRACTOR BASKET NCIRCLE 3F,531.0,,265.5,477.9,56
CDM,22904029,CATH GUIDING LUMAX PULM 8F,790.0,,102.65,711.0,57
CDM,22904051,DILATOR COONS TAPERED,48.0,,24.0,43.2,56
CDM,22904104,INTRO FLEXOR W/CHECK-FLO VLV,237.0,,46.81,213.3,57
CDM,22904165,BARBED TUNNELERS PRO-LINE,140.0,,70.0,126.0,56
CDM,22904169,COIL EMBOLD SOFT 03,2248.0,,1124.0,2023.2,61
CDM,22904221,CATH MICRO TRUSELECT 130CM BER,1433.0,,102.65,1289.7,57
CDM,22904244,PAD HEMOSTASIS NEPTUNE PLUS,98.0,,49.0,88.2,56
CDM,22904264,DILATOR TAPERED 20F,72.0,,36.0,64.8,56
CDM,22904298,CATH ANGIO BEACON TIP 5FX90CM,193.0,,96.5,173.7,56
CDM,22904530,RETRIEVAL DEVICE BARD,973.0,,70.07,875.7,57
CDM,22904589,SET SNARE RETRIEVAL KIT SNGL,540.0,,70.07,486.0,57
CDM,22904590,SET SNARE RETRIEVAL KIT TRPL,720.0,,70.07,648.0,57
CDM,22904992,CATH ASPIRA REPAIR KIT,135.0,,67.5,121.5,56
CDM,22905039,CATH THROM ULTRA AVX 6FR 50CM,1578.0,,314.82,1420.2,57
CDM,22905046,NEEDLE BLUNT HAWKINS-AKINS 18G,123.0,,61.5,110.7,56
CDM,22905051,NEEDLE INJ CURV AVAFLEX W/O ND,912.0,,456.0,820.8,56
CDM,22905074,CATH BALL INTRAUTERINE ACCESS,218.0,,109.0,196.2,56
CDM,22905075,FALLOPIAN TUBE CATH SET,425.0,,27.95,382.5,57
CDM,22905169,COIL EMBOLD PACKING 01,2048.0,,1024.0,1843.2,61
CDM,22905213,PORT VORTEX LP,3450.0,,548.78,3105.0,62
CDM,22905618,PORT POWERPORT CLEARVUE,617.0,,308.5,555.3,62
CDM,22905956,CATHETER-ANGIOGRAPHIC,530.0,,102.65,477.0,57
CDM,22906108,CATH DIAG VERT TEMPO AQUA,153.0,,76.5,137.7,56
CDM,22906169,COIL EMBOLD PACKING 02,2248.0,,1124.0,2023.2,61
CDM,22906319,CANNULA GASTROJEJUNOSTOMY COPE,340.0,,170.0,306.0,56
CDM,22906466,TIP ACCESS SET,2127.0,,1063.5,1914.3,56
CDM,22906497,OPTICAL COHERENCE TOMOGRAPHY,4073.0,,72.52,3665.7,68
CDM,22906650,ELECTRODE SELF-ADHESIVE NEUT,77.0,,38.5,69.3,56
CDM,22906680,GUIDEWIRE INQWIRE MERIT,80.0,,27.95,72.0,57
CDM,22906860,CANNULA RF VENOM 18 GA,108.0,,54.0,97.2,56
CDM,22906929,KIT VEIN ACCESS PORTAL SCORPIO,3028.0,,1514.0,2725.2,56
CDM,22907001,APPLICATOR SOLERO MW,4212.0,,2106.0,3790.8,56
CDM,22907042,CATH PLEURX DRAIN KIT 1000,164.0,,82.0,147.6,61
CDM,22907302,CATH CVC POWERLINE 5F TRIPLE-L,765.0,,136.97,688.5,57
CDM,22907308,CATH INDIGO DYNAMIC XTORQ 130,11359.0,,314.82,10223.1,57
CDM,22907554,CATH CONQUEST PTA DILATION,498.0,,249.0,448.2,62
CDM,22907662,GDWIRE TRAXCESS 7 MINI 210CM,1038.0,,27.95,934.2,57
CDM,22907663,BLN MINI SCEPTER2.2X9,5676.0,,208.48,5108.4,57
CDM,22908080,CATH VISION PV 0.035 DIGIT,2250.0,,1125.0,2025.0,57
CDM,22908081,IVAS BI-PED ELITE KIT,5577.0,,2788.5,5019.3,56
CDM,22908100,STENT VIABIL,6413.0,,1667.17,5771.7,62
CDM,22908142,DRILL BIT BONE VERTECOR,312.0,,156.0,280.8,56
CDM,22908169,CRYOPROBE ROUND ICE LNG 1.7,2278.0,,257.96,2050.2,57
CDM,22908170,CRYOPROBE RT ANG VARIABLE 2.4,2659.0,,257.96,2393.1,57
CDM,22908202,KIT ABLAT TUMOR STAR,7290.0,,3645.0,6561.0,56
CDM,22908410,CATHETER LOW PROFILE POLYUR 8F,576.0,,288.0,548.78,62
CDM,22908420,CATHETER MIDSIZE POLYUR 8F,561.0,,280.5,548.78,62
CDM,22908453,STIFFEN MICRO-INTRODUCER KIT,92.0,,46.0,82.8,56
CDM,22908515,COIL EMBOLD FIBERED BOST SCI,1923.0,,961.5,1730.7,61
CDM,22908579,SHTH ACCESS LIVER TIPS,596.0,,102.65,536.4,62
CDM,22908642,CATH TORCON RC2 5F 65CM,65.0,,32.5,102.65,57
CDM,22908800,COIL AZUR HYDROPACK 018,1731.0,,865.5,1557.9,61
CDM,22908810,CATH DRAINER CENTESIS 5F,91.0,,45.5,81.9,57
CDM,22909000,FILTER VENA CAVA DENALI,2457.0,,1228.5,2211.3,62
CDM,22909022,MICROSPHERES QUADRASPHERE(N/C),0.01,,0.005,0.009,56
CDM,22909029,NEEDLE BONE ACCESS 11G,78.0,,39.0,70.2,56
CDM,22909030,NEEDLE BONE ACCESS 11GA BEVE,134.0,,67.0,120.6,56
CDM,22909040,PROBE BILIARY EHL 1.9FR 375CM,836.0,,418.0,752.4,56
CDM,22909209,CATH VAS ACCESS ELLIPSYS 6FR,17425.0,,8712.5,15682.5,61
CDM,22909210,SHEATH INTRODUCER HYDROPHILIC,206.0,,46.81,185.4,62
CDM,22909229,COIL PRESTIGE HELICAL XTRA 01,1655.0,,827.5,1489.5,61
CDM,22909284,GEL EMBOLIC OBSIDIO,5760.0,,2880.0,5184.0,61
CDM,22909451,MICRO-INTRODUCER KIT,66.0,,33.0,59.4,57
CDM,22909657,SYS COIL PLATINUM CONCERTO,1699.0,,849.5,1529.1,61
CDM,22909700,CATH DRAINAGE ULTRATHANE,275.0,,66.39,247.5,57
CDM,22910077,SYR MICROSPHERES EMBOZENE,706.0,,180.74,635.4,55
CDM,22910080,STENT GRAFT VIABAHN 10CM,7814.0,,1667.17,7032.6,62
CDM,22910081,STENT GRAFT VIABAHN 5CM,6795.0,,1667.17,6115.5,62
CDM,22910082,STENT ICAST 120CM,5428.0,,1667.17,4885.2,62
CDM,22910084,STENT TIPS VIATORR,8327.0,,1667.17,7494.3,62
CDM,22910097,CATH BALLOON PTA ATB ADVANCE,458.0,,229.0,412.2,57
CDM,22910120,CATH RADIAL OPTITORQUE,108.0,,54.0,102.65,57
CDM,22910135,DVC CLOSURE ANGIO-SEAL,554.0,,277.0,498.6,57
CDM,22910321,OMNICURVE FRACTURE KIT,5312.0,,2656.0,4780.8,56
CDM,22910511,KIT IMPLANTATION PD CATHETER,491.0,,245.5,441.9,56
CDM,22910515,FORCEPS COREDX MINI,1595.0,,797.5,1435.5,56
CDM,22910720,MICROSPHERE ONCOZENE,3880.0,,1940.0,3492.0,61
CDM,22910810,CATH BLLN VERT AVAFLEX 13G 15M,2711.0,,1355.5,2439.9,56
CDM,22910830,JEJUNAL FEED TUBE LOW PROFILE,406.0,,27.9,365.4,62
CDM,22911000,MICROSPHERES 2ML BEADS LC,3609.0,,1804.5,3248.1,61
CDM,22911001,FILTER VENA CAVA DENALI (N/C),0.01,,0.005,1894.27,57
CDM,22911002,SECURESEAL OCTYL ADHESIVE .5ML,77.0,,38.5,69.3,56
CDM,22911010,GUIDEWIRE SYNCHRO,1793.0,,27.95,1613.7,57
CDM,22911011,SYSTEM BX LIVER TRANSJUGULAR,1074.0,,537.0,966.6,56
CDM,22911012,SYSTEM VERTEBRAL AUGMENT,2794.0,,1397.0,2514.6,61
CDM,22911013,MICROSPHERE ONCOZENE 40UM,4945.0,,2472.5,4450.5,56
CDM,22911017,EVAL NDL KIT WQ/GUIDING CATH,0.01,,0.005,102.65,57
CDM,22911018,EVAL GORE TIP SHEATH KIT**,0.01,,0.005,46.81,57
CDM,22911025,KIT NEEDLE CURVED AVAFLEX,1019.0,,509.5,917.1,56
CDM,22911031,CATH BLLN VERT AVAFLEX,5392.0,,2696.0,4852.8,56
CDM,22911100,DRILL HAND OPTABLATE,795.0,,397.5,715.5,56
CDM,22911114,CATH ENVOY,719.0,,102.65,647.1,57
CDM,22911682,DRILL ACCESS INTRACEPT DISP,520.0,,260.0,468.0,56
CDM,22912001,GUIDEWIRE MAILMAN W/ICE,232.0,,27.95,208.8,57
CDM,22912003,CATH BALLOON CHAMELEON,473.0,,236.5,425.7,57
CDM,22912021,PACK WOUND DEHISCENCE SUPER,1168.0,,329.08,1051.2,68
CDM,22912024,CATH PTA,0.01,,0.005,257.51,57
CDM,22912132,GUIDEWIRE LUGE/CHOICE HYDROPH,271.0,,27.95,243.9,57
CDM,22912292,MICROCATH TELLUS 1.9FR,1170.0,,102.65,1053.0,57
CDM,22912538,CATH RADIAL PERFORMA,89.0,,44.5,102.65,57
CDM,22912685,CATH CHAIT TRAPDOOR 10.2F,482.0,,241.0,433.8,56
CDM,22912951,CATH MAX BARRIER TRAY SOLO 5F,617.0,,308.5,555.3,56
CDM,22913350,CATH HEMODIAL LONG-TERM,481.0,,240.5,432.9,62
CDM,22913506,STENT LIFESTREAM,5740.0,,1667.17,5166.0,62
CDM,22914030,DVC INFLAT PRESTO 30CC,98.0,,49.0,88.2,56
CDM,22914040,STENT LIFESTAR,1355.0,,677.5,1642.91,62
CDM,22914086,PROBE NEUWAVE PR 15CM TAPERED,3230.0,,107.58,2907.0,62
CDM,22914126,SHEATH KODIAK DUAL PORT 14/16,1872.0,,46.81,1684.8,57
CDM,22914550,MICROCATHETER ECHELON,1394.0,,102.65,1254.6,57
CDM,22914881,MILD LUMBAR DECOMPRESS KT,7702.0,,3851.0,6931.8,56
CDM,22915074,CATH DIAG U/S VERISIGHT PRO,6365.0,,2936.22,5728.5,62
CDM,22915193,CATH HEMODIAL LONG-TRM SIL/ION,563.0,,281.5,506.7,62
CDM,22915259,CATH PTA DILAT ULTRAVERSE 035,347.0,,173.5,312.3,57
CDM,22915261,+INTRO/SHEATH PRELUDE W/GDWIR,181.0,,46.81,162.9,57
CDM,22915262,GUIDEWIRE PRELUDE**,196.0,,27.95,176.4,57
CDM,22915393,CATH HEM DIAL GLIDEPATH**,486.0,,243.0,437.4,62
CDM,22915512,CATH DIAL TITAN LONG-TERM 15.5,406.0,,203.0,395.6,62
CDM,22915773,SURGICEL FIBRILLAR 4X4,350.0,,175.0,315.0,56
CDM,22916024,CATH INPACT ADMIRAL (N/C),0.01,,0.005,2417.59,57
CDM,22916723,CATH ANGIOJET ZELANTE DVT,6530.0,,314.82,5877.0,57
CDM,22916799,KIT CATH THRMBTMY INDIGO CAT7D,5382.0,,314.82,4843.8,62
CDM,22916800,CATH INDIGO LT BLT TRQ 7X130,14400.0,,314.82,12960.0,62
CDM,22916803,CATH INDIGO LT BLT HTRQ 12X115,17496.0,,314.82,15746.4,62
CDM,22916805,CATH LT FLASH HTRQ 100CM,17586.0,,314.82,15827.4,62
CDM,22916806,CATH LT FLASH HTRQ 80CM,17586.0,,314.82,15827.4,62
CDM,22916819,CATH VOLCANO IVUS PV DIGITAL,1305.0,,652.5,1340.69,57
CDM,22916980,KIT MG OSTEOINJECT 5CC,3960.0,,506.18,3564.0,62
CDM,22916981,KIT MG OSTEOINJECT 10CC,6480.0,,506.18,5832.0,62
CDM,22917026,INARI THROMBECTOMY DVT PPP,16200.0,,314.82,14580.0,62
CDM,22917153,CATH PRO-LINE SINGLE W/CUFF 5F,554.0,,136.97,498.6,62
CDM,22918290,CATH MICRO RENEGADE HI-FLO01,920.0,,102.65,828.0,57
CDM,22918579,STENT VIATORR CX,11486.0,,1667.17,10337.4,62
CDM,22918935,CATH RESOLVE BILIARY,206.0,,66.39,185.4,57
CDM,22918936,CATH RESOLVE NONLOCK,161.0,,66.39,144.9,57
CDM,22918937,CATH RESOLVE LOCK,192.0,,66.39,172.8,57
CDM,22918941,STENT WALLFLEX TRANSHEPATIC,5807.0,,1667.17,5226.3,62
CDM,22918946,MICROSPHERES BEADS LC M1,5086.0,,2543.0,4577.4,61
CDM,22918947,MICROSPHERES BEADS LC LUMI M1,8049.0,,4024.5,7244.1,61
CDM,22919521,CATH MICROCATH DIREXION,1172.0,,102.65,1054.8,57
CDM,22919977,MICROSPHERES BEADS LC LUMI M0,5059.0,,2529.5,4553.1,61
CDM,22920043,CATH DRAIN EXODUS,217.0,,66.39,195.3,57
CDM,22920060,RETRIEVAL DEVICE ENSNARE,736.0,,70.07,662.4,57
CDM,22920090,STENT VENOUS SYS ABRE,3164.0,,1582.0,2847.6,62
CDM,22920145,INTRO PERFORMER HYDRO 12X13CM,189.0,,46.81,170.1,62
CDM,22920200,PROBE DUAL OPTABLATE,9367.0,,4683.5,8430.3,56
CDM,22920221,STENT SYS LIFESTENT 5F,1914.0,,957.0,1722.6,62
CDM,22920400,VALVE HEMOSTASIS MBA,91.0,,45.5,81.9,56
CDM,22920612,"DRAIN/INJ,JOINT/BURSA MAJ BIL",1588.0,,635.2,1429.2,56
CDM,22920618,DVC VASC CLOSURE ANGIO-SEAL,4050.0,,397.68,3645.0,57
CDM,22920901,SHEATH LASER CAVACLEAR,6065.0,,78.91,5458.5,62
CDM,22921006,SHEATH GUIDE PROTRIEVE 20FR,7788.0,,46.81,7009.2,62
CDM,22921205,SHEATH BALLAST VASCULAR,927.0,,46.81,834.3,62
CDM,22921386,BRUSH CYTOLOGY FUSION,101.0,,50.5,90.9,56
CDM,22921654,CATH ACCESS REVERSE 60CM-120CM,891.0,,445.5,801.9,56
CDM,22922060,KT PROC CRV ASCITES SHNT PERC,7206.0,,66.39,6485.4,62
CDM,22922292,MICROCATH VELOUTE 1.7FR,1170.0,,102.65,1053.0,57
CDM,22923360,COIL PUSHER,422.0,,211.0,379.8,56
CDM,22923375,GUIDEWIRE COPE MANDRIL,98.0,,27.95,88.2,57
CDM,22925393,INTRDCR/SHEATH NON EP/LASER**,0.01,,0.005,46.81,57
CDM,22926957,GWIRE REUTER TIP DEFLECTING,217.0,,27.95,195.3,57
CDM,22927752,CATH HF PIGTAIL 145 DEGREE,58.0,,29.0,136.97,62
CDM,22928131,CATH PROGREAT W/GT WIRE,1208.0,,102.65,1087.2,57
CDM,22930109,COIL AZUR 018 DETACHABLE,2277.0,,1138.5,2049.3,61
CDM,22930110,COIL EMBOLIZATION MICRONESTER,326.0,,163.0,293.4,61
CDM,22931000,STYLET BEVELED TIP 11G,140.0,,70.0,126.0,56
CDM,22931020,HEMOSTAT VASC BAND,63.0,,31.5,56.7,56
CDM,22931100,STYLET BEVELED TIP 11G,216.0,,108.0,194.4,56
CDM,22931478,"NEEDLE CATH COMBINATION, COOK",851.0,,102.65,765.9,57
CDM,22931500,EMBOLIC TRUFILL 1GM,7422.0,,3711.0,6679.8,61
CDM,22931757,CATHETER THROMBECTOMY DEVICE I,1354.0,,314.82,1218.6,57
CDM,22934441,GDWIRE AMPLATZ X-STIFF .038**,110.0,,27.95,99.0,57
CDM,22934442,SHEATH PEEL-AWAY**,110.0,,55.0,99.0,57
CDM,22934582,CATH MICROCATHETER CANTATA,931.0,,102.65,837.9,57
CDM,22935393,GUIDEWIRE**,0.01,,0.005,27.95,57
CDM,22936565,INS TUNN CVC 2CATH/2SITE WO PP,6894.0,,2592.52,6204.6,68
CDM,22936583,REPL DEVICE CV TNL W/PUMP,8638.0,,3455.2,7774.2,68
CDM,22936590,REMVL TUNN CVC W/SUB PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,22939031,CATH BALLOON STERLING BOST SCI,621.0,,257.51,558.9,57
CDM,22947542,DILATION BILARY DUCT/AMPULLA,11555.0,,4622.0,10399.5,56
CDM,22948183,STENT NEPHROURETEROSTOMY COPE,295.0,,147.5,288.9,62
CDM,22950014,GUIDEWIRE BSX TRANSEND,1033.0,,27.95,929.7,57
CDM,22950410,COIL AZUR 035 DETACHABLE,2909.0,,1454.5,2618.1,61
CDM,22950670,DVC BONE FILLER KYPHX EXPRESS,341.0,,170.5,306.9,56
CDM,22951253,CATH RADIAL PERFORMA COB2,182.0,,91.0,163.8,57
CDM,22951408,GUIDE WIRE ROADRUNNER,276.0,,27.95,248.4,57
CDM,22951501,INTRODUCER I,256.0,,97.78,230.4,57
CDM,22951502,INTRODUCER II,412.0,,97.78,370.8,57
CDM,22951503,INTRODUCER III,351.0,,97.78,315.9,57
CDM,22951505,Z*INTRO ABBOTT**,52.0,,26.0,97.78,57
CDM,22951506,Z*GWIRE ABBOTT**,52.0,,26.0,46.8,57
CDM,22951529,SYSTEM CLOSURE VASC MYNX,511.0,,255.5,459.9,57
CDM,22952126,CEMENT BONE AUTOPLEX W/O NEEDL,4167.0,,2083.5,3750.3,56
CDM,22952133,CURETTE 11GA IVAS,1240.0,,620.0,1116.0,56
CDM,22952135,DRILL HAND IVAS 11G,256.0,,128.0,230.4,56
CDM,22952136,CANNULA IVAS ACCESS 11G,205.0,,102.5,184.5,56
CDM,22952138,CANN STRYKER IVAS 10GA ACCESS,218.0,,109.0,196.2,56
CDM,22952140,CANNULA VERTEPORT CEMENT,244.0,,122.0,219.6,56
CDM,22952142,KIT BIOPSY BONE IVAS 11G,276.0,,138.0,248.4,56
CDM,22952514,INTRODUCER ACCESS KIT NONVAS,143.0,,46.81,128.7,57
CDM,22952515,Z*GWIRE ACCESS KIT NONVASC**,143.0,,27.95,128.7,57
CDM,22952909,FILTER VENA CAVA JUG,3078.0,,1539.0,2770.2,62
CDM,22953683,INFLATION DEVICE,215.0,,107.5,193.5,56
CDM,22953822,CATH THROMBECTOMY INDIGO 8,6845.0,,314.82,6160.5,57
CDM,22954142,KIT BIOPSY BONE 11GA,195.0,,97.5,175.5,56
CDM,22954678,CATH ACCESS SPYGLASS,8100.0,,4050.0,7290.0,56
CDM,22955047,BAND TR RADIAL ARTERY COMP DEV,124.0,,62.0,111.6,56
CDM,22955151,DVC BX BEVEL TEMNO EVOLUTION,168.0,,84.0,151.2,56
CDM,22955152,ANCHOR SUTURE GI COPE SET,280.0,,140.0,506.18,57
CDM,22956165,CATH ATLAS GLD PTA DIL 12/14,728.0,,257.51,655.2,57
CDM,22956169,CATH ATLAS GLD PTA DIL 16/18,778.0,,257.51,700.2,57
CDM,22956290,FORCEP BIOPSY ENDOMYOCARDIAL,413.0,,206.5,371.7,56
CDM,22956556,CATH ATLAS GLD PTA DIL 22,978.0,,257.51,880.2,62
CDM,22956565,CATH CONQUEST 40 PTA DILATION,498.0,,249.0,448.2,57
CDM,22957620,CATHETER EMBOLECTOMY FOGARTY,222.0,,111.0,314.82,57
CDM,22958340,CATH/INTRO SALINE/CONTRAST SIS,736.0,,294.4,662.4,56
CDM,22958345,CATH INTRO FALLOPIAN TUBE RT,2147.0,,858.8,1932.3,56
CDM,22961297,RETREIVAL SET MULTI-SNARE,621.0,,70.07,558.9,57
CDM,22972319,FILTER VENA CAVA TULIP 02,1956.0,,978.0,1894.27,62
CDM,22972341,GUIDE WIRE NITREX,169.0,,27.95,152.1,57
CDM,22972625,NEEDLE BIOPINCE CO-AXIAL,176.0,,88.0,158.4,56
CDM,22975731,XR ANGIO ADRENAL UNI,13635.0,,397.0,12271.5,68
CDM,22976471,DILATOR HYDROPHILIC,124.0,,62.0,111.6,56
CDM,22977538,PORT VORTEX VX SYSTEM,1007.0,,503.5,906.3,62
CDM,22977595,CEMENT BONE KYPHX W/MIXER,424.0,,212.0,506.18,62
CDM,22977952,INTRO MINI ACCESS KIT MAK-NV,254.0,,46.81,228.6,57
CDM,22977998,CATH ANGIO COOK C2,357.0,,102.65,321.3,57
CDM,22978019,INTRO MINI STICK**,62.0,,31.0,55.8,57
CDM,22978020,GWIRE MINI STICK**,62.0,,27.95,55.8,57
CDM,22978454,CATH 1STEP CENTESIS,80.0,,40.0,72.0,57
CDM,22978600,GUIDE WIRE THURWAY,239.0,,27.95,215.1,57
CDM,22978876,GWIRE LUNDERQUIST G31453,387.0,,27.95,348.3,57
CDM,22980027,PARTICLES EMBOL FOAM PVA,1187.0,,303.87,1068.3,55
CDM,22980641,COIL RUBY CMPX STD 5CM,1843.0,,921.5,1658.7,61
CDM,22980642,COIL RUBY CMPX STD 10-30CM,2437.0,,1218.5,2193.3,61
CDM,22980647,COIL RUBY CMPX STD 30-60CM,3180.0,,1590.0,2862.0,61
CDM,22980668,COIL RUBY CMPX SOFT <15CM,1890.0,,945.0,1701.0,61
CDM,22980672,COIL RUBY CMPX SOFT 15-20CM,2368.0,,1184.0,2131.2,61
CDM,22980676,COIL RUBY CMPX SOFT 30-60CM,3087.0,,1543.5,2778.3,61
CDM,22980681,COIL POD RUBY,4411.0,,2205.5,3969.9,61
CDM,22980685,COIL POD RUBY SOFT 15CM,2277.0,,1138.5,2049.3,61
CDM,22980686,COIL POD RUBY SOFT 30-60CM,2967.0,,1483.5,2670.3,61
CDM,22980689,COIL DETACH HANDLE RUBY,587.0,,293.5,528.3,56
CDM,22980737,SYS MED GAS MGMT,314.0,,157.0,282.6,56
CDM,22981032,COIL AZUR 018 CX DETACHABLE,1778.0,,889.0,1600.2,61
CDM,22981553,PROBE OSTEOCOOL SNGL,7026.0,,107.58,6323.4,57
CDM,22981554,PROBE OSTEOCOOL DBL,7311.0,,107.58,6579.9,57
CDM,22981556,PROBE OSTEOCOOL DBL,8980.0,,107.58,8082.0,57
CDM,22981560,BONE ACCESS OSTEOCOOL,869.0,,434.5,782.1,56
CDM,22981834,EMBOLIC TRUFILL 2GM,10075.0,,5037.5,9067.5,61
CDM,22982000,SAFEGUARD PRESSURE DRESSING,194.0,,97.0,174.6,56
CDM,22982105,FILTER VC GUNTHER TULIP RETRVL,484.0,,70.07,435.6,57
CDM,22982192,STENT NEPHROURETERAL,285.0,,142.5,256.5,62
CDM,22985091,GUIDEWIRE HI-TORQ BALANCE,243.0,,27.95,218.7,57
CDM,22985389,CATH DIAG US ACUNAV REPROCESS,1714.0,,857.0,2936.22,57
CDM,22985465,CATH ADVANCE 35LP 5X4X135,280.0,,140.0,257.51,57
CDM,22985747,CATH MICRO SWIFTNINJA 2.4 125,5740.0,,102.65,5166.0,57
CDM,22985792,TIPS NEEDLE,601.0,,300.5,540.9,56
CDM,22989664,SNARE NEEDLES EYE LR-NES001,2819.0,,70.07,2537.1,57
CDM,22990000,KIT EXPANSION SPINEJACK,8771.0,,2548.84,7893.9,57
CDM,22990051,ROSCH-UCHIDA STYLET CATH SET,394.0,,197.0,354.6,56
CDM,22990064,CATH POWERHICKMAN 9.5F X 47CM,1466.0,,136.97,1319.4,62
CDM,22990202,FEEDING TUBE TRANS JEJUNAL**,327.0,,163.5,294.3,61
CDM,22990203,GWIRE TRANS JEJUNAL**,327.0,,27.95,294.3,57
CDM,22990267,GWIRE RUNTHROUGH,264.0,,27.95,237.6,57
CDM,22990312,KIT RETRIEVER TREVO NTX 01,12952.0,,6476.0,11656.8,56
CDM,22990679,CATH ECHELON,2474.0,,102.65,2226.6,57
CDM,22991224,ABSORBABLE VENA CAVA FILTER SY,0.01,,0.005,0.009,56
CDM,22992808,STENT PRECISE CAROTID,4433.0,,1642.91,3989.7,62
CDM,22992831,GUIDE WIRE GLIDEWIRE,969.0,,27.95,872.1,57
CDM,22992832,GUIDE WIRE BSX V-18,262.0,,27.95,235.8,57
CDM,22992833,GUIDEWIRE JNJ SV,225.0,,27.95,202.5,57
CDM,22992862,FILTER VENA CAVA TECH LP,2747.0,,1373.5,2472.3,62
CDM,22992881,CATHETER ABSCESS DRAINAGE,439.0,,66.39,395.1,57
CDM,22994004,INJECTOR TRANSFER TUBE,194.0,,97.0,174.6,56
CDM,22994064,COIL AZUR 035 FRAMING,2949.0,,1474.5,2654.1,61
CDM,22994065,COIL AZUR 035 CX DETACHABLE,2512.0,,1256.0,2260.8,61
CDM,22994369,UNIT DRIVE ROTATOR PTD,345.0,,172.5,310.5,56
CDM,22994873,CATH PREST ARGYLE 57CM 1 CUFF,168.0,,84.0,395.6,57
CDM,22995155,CATH POWERPICC SOLO KIT 5F,316.0,,136.97,284.4,62
CDM,22998460,DVC STOMA MEASURING MIC-KEY,186.0,,93.0,167.4,61
CDM,22998706,SYS ENTERAL ACCESS DIL 24F,309.0,,154.5,278.1,56
CDM,23109475,DAILY SUBSTANCE ABUSE PHP-BCBS,1326.0,,614.7,1193.4,57
CDM,23110002,5 DAY RSU EVALUATION,4999.0,,2499.5,4499.1,56
CDM,23110003,RSU DAILY ROOM CHARGE,153.0,,76.5,137.7,56
CDM,23110054,METHADONE- HAIR 1 XX,258.0,,45.78,247.69,68
CDM,23110101,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,23110106,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,23110111,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,23110115,INTERACTIVE GRP-FRIEF 45-50MIN,264.0,,48.67,237.6,55
CDM,23110120,INTERACTIVE GRP-TRAUM 45-50MIN,264.0,,48.67,237.6,55
CDM,23110130,FAMILY PSYCH THRPY W/PATIENT,419.0,,108.0,377.1,66
CDM,23110135,FAMILY PSYCH THRPY W/O PATIENT,398.0,,91.0,358.2,66
CDM,23110137,PSYCH THRPY GRP FAMILY MULTI,497.0,,41.0,447.3,66
CDM,23110140,TRAINING & EDUCATION =/> 45MIN,345.0,,77.88,310.5,57
CDM,23110200,PHP PER DAY ABH,1410.0,,250.0,1269.0,62
CDM,23110201,IOP PER DAY ABH,667.0,,180.0,600.3,60
CDM,23380013,OBSERV PER HR - TBIC,173.0,,63.6,2436.0,57
CDM,23390003,ROOM AND BED TBIC,5956.5,,1864.0,7500.0,76
CDM,23500022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,23500216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,23500217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,23500282,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,68
CDM,23500287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,56
CDM,23501112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,23503014,TELEHEALTH FACILITY FEE-UID,78.0,,10.66,70.2,57
CDM,23503616,NO CHARGE VISIT,0.01,,0.005,0.009,56
CDM,23510031,PROLONG OUTPT/OFFICE VISIT,157.0,,78.5,141.3,56
CDM,23590460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,23590471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,23590472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,23592650,AEP SCR AUDITORY POTENTIAL,509.0,,23.0,458.1,57
CDM,23592651,AEP HEARING STATUS DETER I&R,509.0,,254.5,458.1,68
CDM,23593005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,23593306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,23596372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,23598000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,23598001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,23598002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,23598003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,23598004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,23598005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,23598006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,23598007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,23598008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,23598009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,23598010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,23598011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,23598012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,23598013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,23598014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,23598015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,23598016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,23599202,OP VISIT E&M NEW 15-29 MIN,386.0,,102.2,347.4,68
CDM,23599203,OP VISIT E&M NEW 30-44 MIN,520.0,,102.2,468.0,68
CDM,23599204,OP VISIT E&M NEW 45-59 MIN,479.0,,102.2,431.1,68
CDM,23599205,OP VISIT E&M NEW 60-74 MIN,814.0,,102.2,732.6,68
CDM,23599211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,23599212,OP VISIT E&M EST 10-19 MIN,381.0,,102.2,342.9,68
CDM,23599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,23599214,OP VISIT E&M EST 30-49 MIN,623.0,,102.2,560.7,68
CDM,23599215,VISIT ESTAB PT LVL V,603.0,,102.2,542.7,68
CDM,23599441,TEL E/M BY PHY 5-10MIN,94.0,,31.73,84.6,57
CDM,23599442,TEL E/M BY PHY 11-20 MIN,147.0,,55.31,132.3,57
CDM,23999401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,24000201,PERC SACRAL AUGMENT BILAT INJ,10781.0,,4312.4,9702.9,68
CDM,24000382,CHG URETERAL STENT PERC,6357.0,,1687.31,5721.3,68
CDM,24000389,REM RENAL TUBE FLUORO BILAT,3733.0,,1493.2,3359.7,56
CDM,24000430,INJ ANTEGRADE NEPH/URET RT,3090.0,,1236.0,2781.0,56
CDM,24000431,INJ ANTEGRDE NEPH/URET COMP RT,2643.0,,1057.2,2378.7,56
CDM,24000432,INS CATH DRAIN RENAL PELVIS RT,9134.0,,3653.6,8220.6,56
CDM,24000433,PLACE NEPHROURETERAL CATH RT,8293.0,,3317.2,7463.7,56
CDM,24000434,CONVERT NEPHROSTOMY CATH RT,8446.0,,3378.4,7601.4,56
CDM,24000435,EXCHANGE NEPHROSTOMY CATH RT,7433.0,,2973.2,6689.7,56
CDM,24000610,ARTHROCENT ASP/INJ JT MAJOR LT,1058.0,,423.2,952.2,56
CDM,24000644,TRANSCATH REM/DEBULK CARDIAC M,15110.0,,4696.2,13599.0,68
CDM,24000653,PERC CRYO ABD/PERTONEAL LESION,5573.0,,772.25,5015.7,68
CDM,24000685,PERC EXTRACT OF CHOL STENT,9952.0,,772.25,8956.8,68
CDM,24000688,MECH/TPA REM FIB SHTH/ADH PERI,5896.0,,772.25,5306.4,68
CDM,24000693,PLMT URETERAL STENT PRQ RT,8257.0,,3302.8,7431.3,56
CDM,24000694,PLMT URETERAL STENT PRQ RT,8306.0,,3322.4,7475.4,56
CDM,24000695,PLMT URETERAL STENT PRQ RT,12520.0,,5008.0,11268.0,56
CDM,24000702,REPOSITION CATH W/FLUORO GUIDE,8764.0,,772.25,7887.6,67
CDM,24000706,BALL DILAT URETERAL STRIX RT,11048.0,,4419.2,9943.2,56
CDM,24000722,ANGIOPLASTY OF FIBRIN SHEATH,13199.0,,509.25,11879.1,68
CDM,24000731,VENOUS ATHERECTOMY,35820.0,,509.25,32238.0,68
CDM,24001017,EVAL NDL KIT W/GUIDING CATH*,0.01,,0.005,102.65,57
CDM,24001018,EVAL GORE TIP SHEATH KIT**,0.01,,0.005,46.81,57
CDM,24001270,CHEST TUBE EXCHANGE,3780.0,,509.25,3402.0,68
CDM,24001626,MECH/TPA REMOVAL FIBRIN SHEATH,5896.0,,772.25,5306.4,68
CDM,24001645,PERQ ART TRANSLUM THROMBEC RT,24422.0,,9768.8,21979.8,56
CDM,24001984,ABLAT THPY RED/ERAD TISS TUMOR,14120.0,,197.58,12708.0,68
CDM,24002007,PERC/CRYOABLAT TUMOR REMOVAL,14120.0,,197.58,12708.0,68
CDM,24002008,CRYOABLAT TISS TUMR EXTREMITY,16931.0,,197.58,15237.9,68
CDM,24002009,CRYOABLAT VASC TUMR EXTREMITY,16931.0,,509.25,15237.9,68
CDM,24002034,INJ DIAG/THERPEUTIC SUBSTANCE,2672.0,,243.14,2404.8,67
CDM,24002065,EMBOL NRV ROOT W/N-BCA W/CT,4475.0,,243.14,4027.5,67
CDM,24002073,US GUIDANCE FOR VASC ACC-TRACK,0.01,,0.005,0.009,56
CDM,24002243,DIRECT PUNCTURE OF JUGULAR VN,2577.0,,1030.8,2319.3,56
CDM,24002319,RENAL HILAR BLOCK,1519.0,,243.14,1367.1,68
CDM,24002557,PLEUR DRAIN W/INSRT CATH BIL,3493.0,,1397.2,3143.7,56
CDM,24002750,LAMINOT/LAMINECT LUMBAR PERC,24357.0,,5884.12,21921.3,68
CDM,24003380,TRNSCTH RNL SYMP DNRV PERC UNI,13570.0,,4696.2,12213.0,68
CDM,24003390,TRNSCTH RNL SYMP DNRV PERC BI,13570.0,,4696.2,12213.0,68
CDM,24003779,HEPZATO HEMOFILTRATION VASC,21074.0,,509.25,18966.6,68
CDM,24004405,INJ ANES NRV GREAT OCCIP BILAT,2591.0,,1295.5,2331.9,56
CDM,24004430,INJ ANES NERVE PUDENDAL LT,1409.0,,563.6,1268.1,56
CDM,24004589,SET SNARE RETRIEVAL KIT SNGL,540.0,,70.07,486.0,57
CDM,24004590,SET SNARE RETRIEVAL KIT TRPL,720.0,,70.07,648.0,57
CDM,24004739,HEPZATO HEMOFILTRATION LIVER,21074.0,,579.53,18966.6,68
CDM,24004999,GANGLION IMPAR BLOCK,2931.0,,243.14,2637.9,68
CDM,24006011,CATH VEIN SEL 1ST ORDER BILAT,5428.0,,2171.2,4885.2,56
CDM,24006012,CATH VEIN SEL 2ND ORDER BILAT,5778.0,,2311.2,5200.2,56
CDM,24006014,CATH SEL LT/RT PULM ART,3526.0,,1410.4,3173.4,56
CDM,24006015,CATH SEL SUB/SEG PULM ART BIL,7832.0,,3132.8,7048.8,56
CDM,24006223,SLCTV CATH CAROTID/INNOM LT,25817.0,,10326.8,23235.3,56
CDM,24006247,PLC CATH ABD/PEL 3RD ORDER BIL,8390.0,,3356.0,7551.0,56
CDM,24006441,IR RT PHRENIC NERVE BLOCK,965.0,,243.14,868.5,68
CDM,24006497,OPTICAL COHERENCE TOMOGRAPHY,4073.0,,72.52,3665.7,68
CDM,24007096,INJ ARTHROGRAM SACROILIAC RT,2058.0,,130.0,1852.2,55
CDM,24007799,PERITONEAL DIAL CATH CK REPOSI,1003.0,,401.2,902.7,68
CDM,24007999,SPHINCTEROPLASTY,6806.0,,772.25,6125.4,68
CDM,24008004,XR SIMULATION ANGIO W/PRESS CA,24548.0,,9340.95,22093.2,67
CDM,24009797,VASC EMB/OCC W/PRESSURE CATH,18285.0,,7314.0,22105.39,68
CDM,24009999,PLCMT PERITONEAL DRAIN CATH,8141.0,,772.25,7326.9,68
CDM,24010005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,24010006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,24010030,FLUID COLLECT ST PERC IMAGE,2450.0,,579.53,2205.0,68
CDM,24010060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,24010120,INCISION/REM FB SUBQ SMP,634.0,,253.6,570.6,68
CDM,24010140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,24010160,PUNCT ASPIR ABSCES/HEMAT/CYST,638.0,,255.2,574.2,68
CDM,24010430,INJ ANTEGRADE NEPH/URET LT,3090.0,,1236.0,2781.0,56
CDM,24010431,INJ ANTEGRDE NEPH/URET COMP LT,2643.0,,1057.2,2378.7,56
CDM,24010432,INS CATH DRAIN RENAL PELVIS LT,9134.0,,3653.6,8220.6,56
CDM,24010433,PLACE NEPHROURETERAL CATH LT,8293.0,,3317.2,7463.7,56
CDM,24010434,CONVERT NEPHROSTOMY CATH LT,8446.0,,3378.4,7601.4,56
CDM,24010435,EXCHANGE NEPHROSTOMY CATH LT,7433.0,,2973.2,6689.7,56
CDM,24010440,ABLATION PERC UPPER EXT NERVE,11822.0,,1608.45,10639.8,68
CDM,24010441,ABLATION PERC LOWER EXT NERVE,11822.0,,1608.45,10639.8,68
CDM,24010442,ABLATION PERC PLEXUS NERVE,11822.0,,4728.8,10639.8,68
CDM,24010581,ABL BRST MAL TMR CRYO UNIL,9297.0,,3154.08,8367.3,68
CDM,24010600,IRE ABLATION 1+TUMORS,23364.0,,8575.48,21027.6,68
CDM,24010610,ARTHROCENT ASP/INJ JT MAJOR RT,1058.0,,423.2,952.2,56
CDM,24010693,PLMT URETERAL STENT PRQ LT,8758.0,,3503.2,7882.2,56
CDM,24010694,PLMT URETERAL STENT PRQ LT,9303.0,,3721.2,8372.7,56
CDM,24010695,PLMT URETERAL STENT PRQ LT,13772.0,,5508.8,12394.8,56
CDM,24010706,BALL DILAT URETERAL STRIX LT,10229.0,,4091.6,9206.1,56
CDM,24010789,CHANGE URETEROSTOMY TUBE BI,1395.0,,558.0,1255.5,56
CDM,24011000,DEBR SKIN 10% BODY SURFACE,627.0,,250.8,753.55,68
CDM,24011042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,24011645,PERQ ART TRANSLUM THROMBEC LT,24422.0,,9768.8,21979.8,56
CDM,24011764,CISTERNA CHYLI/THORAC DUCT CAN,4429.0,,360.1,3986.1,68
CDM,24011976,REMOVE CONTRACEPTIVE CAPSULE,1633.0,,579.53,1469.7,68
CDM,24011981,INS IMPL DRUG DELIV NON-BIODEG,704.0,,106.17,633.6,68
CDM,24011982,REM IMPL DRUG DELIV NON-BIODEG,1205.0,,328.68,1084.5,68
CDM,24012001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,68
CDM,24012020,CLOSURE WOUND DEHIS SIMPLE,1649.0,,504.2,1484.1,68
CDM,24012021,PACK WOUND DEHISENCE SUPER,1168.0,,329.08,1051.2,68
CDM,24013700,CT LOWER EXT WO/CONTRAST RT,4732.0,,120.0,4258.8,56
CDM,24013703,CT LOWER EXT WO/CONTRAST LT,4732.0,,120.0,4258.8,56
CDM,24014430,INJ ANES NERVE PUDENDAL RT,1409.0,,563.6,1268.1,56
CDM,24014760,SYS CLIP DELIVERY TRICUSPID G4,67392.0,,33696.0,60652.8,61
CDM,24014999,CRYOABLAT NECK OR THORAX TUMOR,2842.0,,243.14,2557.8,68
CDM,24016223,SLCTV CATH CAROTID/INNOM RT,25817.0,,10326.8,23235.3,56
CDM,24016830,ECHO TRANSVAGINAL,1215.0,,26.0,1093.5,68
CDM,24017096,INJ ARTHROGRAM SACROILIAC LT,2058.0,,130.0,1852.2,55
CDM,24017250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,24017531,INJ PROC CHOLANGIOGRAM BILAT,3092.0,,1236.8,4344.41,68
CDM,24018790,INJ LYMPHANGIOGRAM BILAT,3813.0,,1906.5,3431.7,55
CDM,24019000,PUNCTURE ASP BRST CYST,841.0,,336.4,866.14,68
CDM,24019001,PUNCTURE ASP BRST EA ADD CYST,266.0,,106.4,239.4,56
CDM,24019105,ABLAT CRYOSURGICAL FIBROADE,9297.0,,3154.08,8367.3,68
CDM,24020200,BX MUSCLE SUPERFICIAL,6154.0,,1334.55,5538.6,68
CDM,24020206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,24020220,BIOPSY BONE SUPERFICIAL,2652.0,,1060.8,2386.8,68
CDM,24020225,BIOPSY BONE TROCAR/NDL DEEP,3284.0,,1313.6,2955.6,68
CDM,24020382,CHG URETERAL STENT PERC BILAT,9536.0,,3814.4,8582.4,56
CDM,24020431,INJ ANTEGRADE NEPH/URET BIL,3737.0,,1494.8,3363.3,56
CDM,24020432,INS CATH DRAIN RENL PELVIS BIL,12867.0,,5146.8,11580.3,56
CDM,24020433,PLACE NEPHROURETERAL CATH BIL,11725.0,,4690.0,10552.5,56
CDM,24020434,CONVERT NEPHROSTOMY CATH BIL,11809.0,,4723.6,10628.1,56
CDM,24020435,EXCHANGE NEPHROSTOMY CATH BIL,10005.0,,4002.0,9004.5,56
CDM,24020500,INJ TRACT SINUS THPY,1736.0,,694.4,1823.51,68
CDM,24020501,INJ TRACT SINOGRAM,463.0,,185.2,416.7,56
CDM,24020550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,24020552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,24020605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,24020606,ARTHROCENT JT INTER W/US,1885.0,,570.41,1696.5,68
CDM,24020610,ARTHROCENT ASP/INJ JT MAJOR,1058.0,,243.14,952.2,68
CDM,24020611,ARTHROCENT JT MAJOR W/US,2080.0,,243.14,1872.0,68
CDM,24020612,ASP/INJ GANGLION CYST- INIT,536.0,,214.4,482.4,68
CDM,24020615,ASP/INJ CYST BONE,1578.0,,579.53,1420.2,68
CDM,24020693,PLMT URETERAL STENT PERQ BIL,12488.0,,4995.2,11239.2,56
CDM,24020694,PLMT URETERAL STENT PRQ BIL,11725.0,,4690.0,10552.5,56
CDM,24020695,PLMT URETERAL STENT PRQ BIL,17357.0,,6942.8,15621.3,56
CDM,24020706,BALL DILAT URETERAL STRIX BIL,12862.0,,5144.8,11575.8,56
CDM,24020982,ABLATION BONE TUMR PERC W/CT,12385.0,,4954.0,15839.53,68
CDM,24020983,ABLATE BONE TUMOR(S)PERQ,14120.0,,5648.0,12708.0,68
CDM,24021645,PERQ ART TRANSLUM THROMBEC BI,30286.0,,12114.4,27257.4,56
CDM,24022510,PERQ CERVICOTHORACIC INJ,9879.0,,2672.51,8891.1,68
CDM,24022511,VRTPLS PERC INJ LMBSAC/IMG,11660.0,,2672.51,10494.0,68
CDM,24022512,VERTEBROPLASTY ADDL INJ,9051.0,,3620.4,8145.9,56
CDM,24022513,PERQ VERT AUGMENT THORACIC,17568.0,,5884.12,15811.2,68
CDM,24022514,PERQ VERT AUGMENT LUMBAR,17568.0,,5884.12,15811.2,68
CDM,24022515,PERQ VERT AUGMENT EA ADDL,16344.0,,6537.6,14709.6,56
CDM,24025736,ANGIOGM PELVIC BILAT,6938.0,,276.0,14066.75,68
CDM,24026005,INJ VENOGRAM EXTREMITY BILAT,3195.0,,1278.0,2875.5,56
CDM,24026228,PLACE CATH INTRACRANIAL ART BI,8552.0,,3420.8,7696.8,56
CDM,24026500,CATH SEL VEIN ORGAN SAMPL BIL,3415.0,,1366.0,3073.5,56
CDM,24027438,PLMT STNT BIL DUCT PERC BILAT,19275.0,,4805.62,17347.5,68
CDM,24027534,PL BIL DRN CATH PERC EXT BILAT,18756.0,,2906.8,16880.4,68
CDM,24027536,EXCH BIL DRN CATH PERC RAD BIL,11245.0,,2906.8,10120.5,68
CDM,24030610,ARTHROCNT ASP/INJ JT MAJ BILAT,1747.0,,698.8,1572.3,56
CDM,24031500,INTUBATION ENDOTRACH EMERG,1005.0,,191.28,904.5,68
CDM,24032408,BX LUNG/MEDIASTINUM PERC NDL,3940.0,,1334.55,3546.0,68
CDM,24032550,INSRT CATH PLEU INDWELL W/CUFF,2900.0,,1160.0,4344.41,68
CDM,24032551,THORACOSTOMY INS CHEST TUBE,2166.0,,866.4,1949.4,68
CDM,24032552,RMVL NDWELLG TUN PLEURAL CATH,1739.0,,509.25,1565.1,68
CDM,24032554,ASPIRATE PLEURA W/O IMAGING,1159.0,,463.6,1043.1,68
CDM,24032555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,68
CDM,24032557,PLEUR DRAIN W/INSRT CATH W/IMG,2416.0,,966.4,2174.4,68
CDM,24032561,LYSE CHEST FIBRIN INIT DAY,1876.0,,509.25,1688.4,68
CDM,24032994,ABLAT TUMR PULM UNI PLR/CHS IM,17096.0,,8548.0,15386.4,67
CDM,24033016,PERICARDIOCENTESIS W/IMAGING,6087.0,,1279.53,5478.3,68
CDM,24033968,IABP REMOVAL,2328.0,,931.2,2095.2,56
CDM,24034430,INJ ANES NERVE PUDENDAL BI,2113.0,,845.2,1901.7,56
CDM,24036000,INTRO NDL/INTRACATH VEIN,765.0,,27.07,688.5,57
CDM,24036002,INJ TX PSEUDOANEUR EXTREM PERC,1823.0,,509.25,1640.7,68
CDM,24036005,INJECT CONTRAST VENOGM,2577.0,,1030.8,2319.3,56
CDM,24036010,INTRO CATH VENA CAVA SUP/INF,3104.0,,1241.6,2793.6,56
CDM,24036011,CATH VEIN SEL 1ST ORDER,3909.0,,1563.6,3518.1,56
CDM,24036012,PLACE CATH VENOUS 2ND ORDER,4159.0,,1663.6,3743.1,56
CDM,24036013,INTRO CATH ARTERY HEART/PULM,1630.0,,652.0,1467.0,56
CDM,24036014,CATH SEL LT/RT PULM ART RT,3526.0,,1410.4,3173.4,56
CDM,24036015,CATH SEL SUB/SEG PULM ART,3760.0,,1504.0,3384.0,56
CDM,24036016,CATH SEL SUB/SEG PULM ART LT,3760.0,,1504.0,3384.0,56
CDM,24036116,PLACE CATH ARTERY PULM L/R BIL,4894.0,,1957.6,4404.6,56
CDM,24036140,NEEDLE/CATH EXT ARTERY,1667.0,,666.8,1500.3,56
CDM,24036160,INTRO NDL/CATH AORTA T/LUMB,1729.0,,691.6,1556.1,56
CDM,24036200,INTRO CATH AORTA,2670.0,,1068.0,2403.0,56
CDM,24036215,PLACE CATH THOR/BRAC 1ST ORDER,3660.0,,1464.0,3294.0,56
CDM,24036216,PLACE CATH THOR/BRAC 2ND ORDER,5288.0,,2115.2,4759.2,56
CDM,24036217,PLACE CATH THOR/BRAC 3RD ORDER,5987.0,,2394.8,5388.3,56
CDM,24036218,PLACE CATH THOR/BRAC ADD,2576.0,,1030.4,2318.4,56
CDM,24036221,NONSLCTV CATH THOR AORTA ANGIO,7916.0,,2592.52,7124.4,68
CDM,24036222,SLCTV CATH CAROTID/INNOM ART,16729.0,,2592.52,15056.1,68
CDM,24036223,SLCTV CATH CAROTID/INNOM ART,25817.0,,4452.54,23235.3,68
CDM,24036225,SLCTV CATH SUBCLAVIAN ART ANGI,17672.0,,2592.52,15904.8,68
CDM,24036228,SLCTV CATH INTRCRNL BRNCH ANGI,9977.0,,3990.8,8979.3,56
CDM,24036245,CATH SEL ART ABD/PEL 1ST,4504.0,,1801.6,4053.6,56
CDM,24036246,PLACE CATH ABD/PEL 2ND ORDER,5644.0,,2257.6,5079.6,56
CDM,24036247,PLACE CATH ABD/PEL 3RD ORDER,6041.0,,2416.4,5436.9,56
CDM,24036248,PLACE CATH ABD/PEL ADD,3749.0,,1499.6,3374.1,56
CDM,24036251,PLACE CATH RENAL 1ST ORDER UNI,7815.0,,2592.52,7033.5,68
CDM,24036252,PLACE CATH RENAL 1ST ORDER BIL,8886.0,,2592.52,7997.4,68
CDM,24036253,PLACE CATH RENAL 2ND+ ORD UNI,11723.0,,4452.54,10550.7,68
CDM,24036254,PLACE CATH RENAL 2ND+ ORD BIL,12207.0,,2592.52,10986.3,68
CDM,24036343,PLC CATH ABD/PEL 2ND ORDR RT,5644.0,,2257.6,5079.6,56
CDM,24036346,CATH SEL ART ABD/PEL 1ST LT,4504.0,,1801.6,4053.6,56
CDM,24036410,VENIPUNCTURE>AGE 3 REQUIRE MD,673.0,,18.91,605.7,56
CDM,24036425,VENIPUNCTURE CUTDOWN > AGE 1,864.0,,328.68,777.6,68
CDM,24036450,TRANSFUS EXCHG BLOOD NEWBORN,1158.0,,360.1,1042.2,68
CDM,24036470,INJ SCLEROSING SOLN VEING SGL,1591.0,,329.08,1431.9,68
CDM,24036471,INJ SCLERO SOLN VENI MULTI LEG,1332.0,,329.08,1198.8,68
CDM,24036481,CATH PERC PORTAL VEIN,3899.0,,1559.6,3509.1,56
CDM,24036482,ENDOVENOUS ABLATION CHEM EXT 1,17068.0,,4452.54,15361.2,68
CDM,24036483,ENDOVENOUS ABLATION CHEM EXT S,16167.0,,6466.8,14550.3,56
CDM,24036500,CATH SEL VEIN ORGAN SAMPL,1878.0,,751.2,1690.2,56
CDM,24036556,INS CATH CV NON-TUNL >/=5YRS,4244.0,,1697.6,3874.7,68
CDM,24036557,INS TUNN CVC WO SUB PRT/PMP,4355.0,,1742.0,6654.61,68
CDM,24036558,INS CATH CV TUN W/O PORT>/=5YR,7993.0,,2592.52,7193.7,68
CDM,24036561,INS DEVICE CV W/PORT >/=5YRS,9147.0,,2592.52,8232.3,68
CDM,24036565,INS DEVICE CV 2 CATH W/O P/P,6894.0,,2592.52,6204.6,68
CDM,24036568,INS CATH PERIPH CV W/O PORT <5,4246.0,,1279.53,3821.4,68
CDM,24036569,INS PICC WO SUBQ PORT/PUMP >5Y,3258.0,,1279.53,2932.2,68
CDM,24036571,INS CATH PERIPH CV W/PORT>5YRS,7136.0,,2592.52,6422.4,68
CDM,24036573,INSERTION PICC W/RS&I 5 YR/>,6164.0,,1279.53,5547.6,68
CDM,24036575,RPR CATH CV W/O PORT/PUMP,2852.0,,509.25,2566.8,68
CDM,24036576,RPR CATH CV W/PORT/PUMP,2172.0,,868.8,1954.8,68
CDM,24036578,REPL CATH CV W/PORT/PUMP,5064.0,,2025.6,4557.6,68
CDM,24036580,RPLCMT CMPL/NONTUNN CVC WO SBQ,4730.0,,1279.53,4257.0,68
CDM,24036581,RPLCMT CMPL TUNN CVC WO SUBQ P,5893.0,,2357.2,5303.7,68
CDM,24036582,REPL DEVICE CV TNL W/PORT,7711.0,,2592.52,6939.9,68
CDM,24036583,REPL DEVICE CV TNL W/PUMP,8638.0,,3455.2,7774.2,68
CDM,24036584,REPL PICC W/O PORT/PUMP S&I,4067.0,,1279.53,3660.3,68
CDM,24036585,REPL PICC W/PORT,7673.0,,2592.52,6905.7,68
CDM,24036589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,24036590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,24036593,DECLOT PORT W/THROMB AGENT,701.0,,273.2,630.9,68
CDM,24036595,REM PERICATHETER MAT CV DEV,5896.0,,2358.4,5306.4,68
CDM,24036596,MECH REMOV TUNNELED CV CATH,1190.0,,476.0,1912.34,68
CDM,24036597,REPOSITION CV CATH W/FLUORO,8764.0,,1279.53,7887.6,68
CDM,24036598,INJ CONTR W/FLURO EVAL CV DEV,1082.0,,173.54,973.8,68
CDM,24036620,CATH/CANNULATION ARTERY,1176.0,,470.4,1058.4,56
CDM,24036836,CREATE AV FISTULA TISS W/THERM,46449.0,,14790.52,41804.1,68
CDM,24036901,INTRO NEEDLE/CATH DIALYSIS CIR,4980.0,,1279.53,4482.0,68
CDM,24036902,INTRO CATH DIALYSIS CIRCUIT,16819.0,,4696.2,15137.1,68
CDM,24036903,INTRO NEEDLE/CATH DIALYSIS CIR,39138.0,,9340.95,35224.2,68
CDM,24036904,THRMBC/NFS DIALYSIS CIRCUIT,10586.0,,4234.4,9527.4,68
CDM,24036905,THROMBECT DIALY CIRCUIT W/BALN,30888.0,,9340.95,27799.2,68
CDM,24036906,THROMBECT DIALY CIRC W/STNT AN,35820.0,,14328.0,32238.0,68
CDM,24036907,ANGIOPLASTY BALLN DIALY CIRC,13199.0,,5279.6,11879.1,56
CDM,24036908,PLACE STENT DIALY CIRC W/ANGIO,10334.0,,4133.6,9300.6,56
CDM,24036909,EMBOLIZATION/OCCLU DIALY CIRC,5961.0,,2384.4,5364.9,56
CDM,24037084,PRIM PERC THROMB INITIAL BIL,24074.0,,9629.6,21666.6,56
CDM,24037182,INSERT HEPATIC SHUNT (TIPS),16316.0,,6526.4,14684.4,56
CDM,24037183,REMOVE HEPATIC SHUNT (TIPS),17662.0,,4696.2,15895.8,68
CDM,24037184,PRIM PERC THROMB INIT VESSEL,16051.0,,6420.4,22105.39,68
CDM,24037185,PRIM PERC THROMB EA ADD,6406.0,,2562.4,5765.4,56
CDM,24037186,SEC PERC THROMB EA ADD VESSEL,6299.0,,2519.6,5669.1,56
CDM,24037187,PERCUT TRANSLUM MECH THROMBECT,15110.0,,6044.0,13960.66,68
CDM,24037191,INS VENA CAVA FILTER ENDOVASC,11515.0,,4452.54,10363.5,68
CDM,24037192,REDO VENA CAVA FILTER ENDOVASC,6548.0,,2592.52,5893.2,68
CDM,24037193,REMOVAL VENA CAVA FILTER ENDO,8080.0,,2592.52,7272.0,68
CDM,24037197,RETRV FB TRANSCATH PERC,9952.0,,2592.52,8956.8,68
CDM,24037200,TRANSCATH BIOPSY,4633.0,,1853.2,6654.61,68
CDM,24037211,THPY INF THROM NON-COR INT DAY,8874.0,,3549.6,7986.6,68
CDM,24037212,THPY INFS THROM VENOUS INT,7586.0,,2592.52,6827.4,68
CDM,24037213,THPY INFS THROM NON-COR SUB,8792.0,,2592.52,7912.8,68
CDM,24037214,THPY INFS THROM VEN SUB DAY,7119.0,,2592.52,6407.1,68
CDM,24037220,REVASC ILIAC ARTERY UNILATERAL,13388.0,,4696.2,12049.2,68
CDM,24037221,REVSC ILIAC ARTERY UNI W/STENT,31146.0,,9340.95,28031.4,68
CDM,24037223,REVSC ILIAC ART UNI EA ADDL,22576.0,,9030.4,20318.4,56
CDM,24037224,REVSC FEM/POP ARTERY UNI,19509.0,,4696.2,17558.1,68
CDM,24037225,REVSC FEM/POP ART W/ATHRC,39425.0,,14790.52,35482.5,68
CDM,24037226,REVSC FEM/POP ART W/STENT,39226.0,,9340.95,35303.4,68
CDM,24037228,REVSC TIBL PRNL ARTERY,19716.0,,7886.4,17744.4,68
CDM,24037236,OPEN/PERQ PLCMT STENT 1ST ART,36804.0,,9340.95,33123.6,68
CDM,24037237,TRANSCATH INTRVSC STNT OPN/PER,21254.0,,8501.6,19128.6,56
CDM,24037238,OPEN/PERQ PLCMT STENT SAME,37134.0,,9340.95,33420.6,68
CDM,24037239,OPEN/PERQ PLACE STENT ADD VEIN,18485.0,,7394.0,16636.5,56
CDM,24037241,VASC EMBOLIZE/OCCLUDE VENOUS,16931.0,,6772.4,15237.9,68
CDM,24037242,VASC EMBOLIZE/OCCLUDE ARTERY,18285.0,,7314.0,22105.39,68
CDM,24037243,VASC EMBOLIZE/OCCLUDE ORGAN,18285.0,,7314.0,16456.5,68
CDM,24037244,VASC EMBOLIZ/OCCLSN ART/VEN HM,27776.0,,9340.95,24998.4,68
CDM,24037246,TRLUML BALO ANGIOP 1ST ART,14151.0,,4696.2,12735.9,68
CDM,24037247,TRLUML BALO ANGIOP ADDL ART,11145.0,,4458.0,10030.5,56
CDM,24037248,TRLUML BALO ANGIOP 1ST VEIN,13199.0,,4696.2,11879.1,68
CDM,24037249,TRLUML BALO ANGIOP ADDL VEIN,9779.0,,3911.6,8801.1,56
CDM,24037252,US VASCULAR NON-CORONARY INIT,11413.0,,4565.2,10271.7,56
CDM,24037253,US VASCULAR NON-CORON EA ADD,6546.0,,2618.4,5891.4,56
CDM,24037606,LIG ARTRERY CAROTID COMMON,8767.0,,2592.52,7890.3,68
CDM,24037607,LIG/BAND FISTULA AV,8842.0,,2592.52,7957.8,68
CDM,24038505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,24038790,INJ LYMPHANGIOGRAM,2541.0,,1270.5,2286.9,55
CDM,24038792,INJ NODE SENTINEL ID,1545.0,,280.0,1390.5,67
CDM,24038794,CANN DUCT LYMPH THORACIC,4429.0,,1771.6,3986.1,56
CDM,24040200,PERC SACRAL AUGMT UNILAT INJ,11860.0,,4744.0,10674.0,68
CDM,24043265,ERCP DESTCALCULI ANY METHOD,7458.0,,2983.2,7328.13,68
CDM,24043752,PLACE TUBE NASO/OROGASTRIC,1144.0,,328.68,1029.6,68
CDM,24043761,REPOSITION G-TUBE,2407.0,,200.33,2166.3,68
CDM,24043762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,24043763,RPLC GTUBE REVJ GSTRST TRC,1143.0,,200.33,1028.7,68
CDM,24044500,INTRO TUBE GI LONG,1034.0,,413.6,1154.17,68
CDM,24044799,CLOSURE FISTULA ENTERCUTANEOUS,7681.0,,772.25,6912.9,68
CDM,24047000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,68
CDM,24047382,ABLATION TUMR LIVER RADIO PERC,7781.0,,3112.4,7182.31,68
CDM,24047490,CHOLECYSTOST PERC COMPL PROC,5871.0,,2348.4,5283.9,68
CDM,24047531,INJ PROC CHOLANGIOGRAM,2226.0,,890.4,4344.41,68
CDM,24047532,INJ CHOLANGIOGRAM TRANSHEPATIC,3831.0,,1532.4,4344.41,68
CDM,24047533,PL BIL DRN CATH PERC EXT RAD,11058.0,,2906.8,9952.2,68
CDM,24047534,PL BIL DRN CATH PERC INT/EXT R,12732.0,,2906.8,11458.8,68
CDM,24047535,CONV EXT BIL DRN CATH TO INT/E,10998.0,,2906.8,9898.2,68
CDM,24047536,EXCH BIL DRN CATH PERC RAD,7497.0,,2906.8,6747.3,68
CDM,24047537,RMVL BIL DRN CATH PERC FLUOR G,2404.0,,772.25,2163.6,68
CDM,24047538,PLMT STNT BILE DUCT PERC RAD E,12851.0,,4805.62,11565.9,68
CDM,24047539,PLMT STNT BILE DUCT PERC RAD,14584.0,,4805.62,13125.6,68
CDM,24047540,PLMT STNT BILE DUCT PERC RAD,21505.0,,4805.62,19354.5,68
CDM,24047541,PLACE ACCESS BILIARY SM BOWEL,10629.0,,4251.6,9566.1,68
CDM,24047542,DILATION BILIARY DUCT/AMPULLA,11555.0,,4622.0,10399.5,56
CDM,24047543,ENDOLUMIN BX BILIARY TREE PERQ,11220.0,,4488.0,10098.0,56
CDM,24047544,EXTRACT STONE DUCT BILIARY,7581.0,,3032.4,6822.9,56
CDM,24047550,ENDO BILIARY INTRAOP,5871.0,,2348.4,5283.9,56
CDM,24047552,ENDOSCOPY BILIARY PERC T-TUBE,5550.0,,2220.0,7681.37,68
CDM,24047553,BILIARY ENDO-PERC W/BIOP,3907.0,,1562.8,7681.37,68
CDM,24047554,ENDO BILIARY REM CALCULUS,9222.0,,3688.8,12816.61,68
CDM,24047555,BILIARY ENDO DIL WO STENT,5264.0,,2105.6,4737.6,68
CDM,24047556,BILIARY ENDO DIL W/STENT,5569.0,,2227.6,12816.61,68
CDM,24047801,PLCMT STENT CHOLEDOCHAL,4830.0,,1932.0,4347.0,56
CDM,24047999,BILIARY TRACT PROCEDURE UNLSTD,7624.0,,772.25,6861.6,68
CDM,24049082,ABD PARACENTESIS W/O IMAGING,1343.0,,537.2,1208.7,68
CDM,24049083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,68
CDM,24049180,BIOPSY ABD/RET MASS PERC NDL,3469.0,,1334.55,3122.1,68
CDM,24049185,SCLEROTX FLUID COLLECTION PERQ,2511.0,,1004.4,2259.9,68
CDM,24049400,INJ AIR/CONTR PERITONEAL CAV,1473.0,,589.2,1325.7,56
CDM,24049402,REMOVE FOREIGN BODY ABDOMEN,9138.0,,2906.8,8224.2,68
CDM,24049405,FLUID COLLXN DRAIN CATH VISC,5691.0,,1334.55,5121.9,68
CDM,24049406,FLUID COLL DRAIN CATH PERI,9553.0,,1334.55,8597.7,68
CDM,24049407,CT FLD COLLXN TRANSREC/VAG,3264.0,,1334.55,2937.6,67
CDM,24049418,INS TUNNELED IPER CATHETER,8726.0,,2906.8,7853.4,68
CDM,24049419,INS TUN CATH INTP WITH PORT,11056.0,,4422.4,9950.4,68
CDM,24049421,INS TUN CATH IPER OPEN,8830.0,,2906.8,7947.0,68
CDM,24049422,REMOVE CATH INTRAPERITONEAL,6982.0,,2592.52,6283.8,68
CDM,24049423,EXCHG CATH ABSC/CYST DRAIN,5277.0,,1562.51,4749.3,68
CDM,24049424,INJECT CYSTOGM,1502.0,,600.8,1351.8,56
CDM,24049425,INS SHUNT PERITONEAL-VENOUS,25355.0,,10142.0,22819.5,56
CDM,24049426,REV SHUNT PERITONEAL-VENOUS,6733.0,,2906.8,6059.7,67
CDM,24049429,REM SHUNT PERITONEAL-VENOUS,7169.0,,2592.52,6452.1,68
CDM,24049440,PERCUT PLACE GASTRO TUBE FLURO,2336.0,,934.4,2335.27,68
CDM,24049441,INSERT DUODEN/JEJUN TBE FLUORO,2053.0,,821.2,2335.27,68
CDM,24049442,INSERT CECOS/OTHR TUBE FLUORO,6687.0,,971.18,6018.3,68
CDM,24049446,CHG G-TB TO GJ-TB PERC FLUORO,3766.0,,1506.4,3389.4,68
CDM,24049450,RPLC G/CEC/OTH TB UNDER FLUORO,2680.0,,772.25,2412.0,68
CDM,24049451,RPLC DUODEN/JEJUN TB FLUORO,2183.0,,772.25,1964.7,68
CDM,24049452,RPLC GASTRO-JEJUN TB FLUORO,2985.0,,772.25,2686.5,68
CDM,24049460,MECH REM OBS MAT G/D/J/G-J/CEC,448.0,,179.2,1154.17,68
CDM,24049465,INJ CNTR W/FLUOR EVAL G/D/J TB,925.0,,199.1,832.5,68
CDM,24050200,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,56
CDM,24050202,BIOPSY RENAL PERC NDL/TROCR LT,3064.0,,1225.6,2757.6,56
CDM,24050203,BIOPSY RENAL PERC NDL/TROCR BI,4595.0,,1838.0,4135.5,56
CDM,24050384,REM URETERAL STENT PERCU,7029.0,,1687.31,6326.1,68
CDM,24050385,CHANGE URETERL STNT TRANSUR,5243.0,,1687.31,4718.7,68
CDM,24050386,REM URETERAL STENT TRANSUR,2843.0,,1137.2,2558.7,68
CDM,24050387,CHANGE EXT/INT URET STENT,1793.0,,717.2,2521.79,68
CDM,24050389,REMOVAL OF NEPHROSTOMY TUBE,3008.0,,549.78,2707.2,68
CDM,24050390,ASP/INJ RENAL CYST/PELV PRC,2345.0,,579.53,2110.5,68
CDM,24050430,INJ ANTEGRADE NEPH/URET COMP,3090.0,,549.78,2781.0,68
CDM,24050431,INJ ANTEGRADE NEPH/URET COMP,2643.0,,549.78,2378.7,68
CDM,24050434,CONVERT NEPHROSTOMY CATH,8446.0,,1687.31,7601.4,68
CDM,24050435,EXCHANGE NEPHROSTOMY CATH,7433.0,,1687.31,6689.7,68
CDM,24050436,DILAT XST TRC NDURLGC PX,5090.0,,2036.0,4581.0,68
CDM,24050437,DILAT XST TRC NEW ACCESS RCS,10681.0,,2840.83,9612.9,68
CDM,24050483,ASP/INJ RNL CYST/PELV PRC RT,2345.0,,938.0,2110.5,56
CDM,24050491,ASPIR/INJ REN CYST/PEL PRC LT,2345.0,,938.0,2110.5,56
CDM,24050592,ABLAT RENAL TUMOR PERC,6877.0,,2750.8,7182.31,68
CDM,24050684,INJECT URETEROGRAPHY,1228.0,,491.2,1105.2,56
CDM,24050688,CHANGE URETEROSTOMY TUBE RT,1369.0,,547.6,1232.1,56
CDM,24050690,INJ ILEAL CONDUIT,695.0,,278.0,625.5,56
CDM,24050705,URETERAL EMBOLIZATION/OCCUSION,10607.0,,4242.8,9546.3,56
CDM,24050706,BALL DILAT URETERAL STRICTURE,12151.0,,4860.4,10935.9,56
CDM,24050788,CHANGE TUBE URETEROSTOMY,1395.0,,558.0,2521.79,68
CDM,24050789,CHANGE URETEROSTOMY TUBE LT,1395.0,,558.0,1255.5,56
CDM,24051102,ASP BLADDER INS CATH SUPRAPUB,1833.0,,733.2,2521.79,68
CDM,24051600,INJ CYSTOGRAM,1129.0,,451.6,1016.1,56
CDM,24051610,INJ URETHROCYSTOGRAM RETRO,1362.0,,544.8,1225.8,56
CDM,24051702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,24051705,CHG TUBE CYSTOSTOMY SMP,1019.0,,200.33,917.1,68
CDM,24051710,CHANGE TUBE CYSTOSTOMY CPLX,3048.0,,250.0,2743.2,68
CDM,24052310,CYSTO W/REM FB SMP,4934.0,,1687.31,4440.6,68
CDM,24052332,CYSTO W/INDWELL STENT URETER,5783.0,,2313.2,5204.7,68
CDM,24053899,URINARY SYSTEM UNLSTD PROC,4966.0,,200.33,4469.4,68
CDM,24057800,DIL CANAL CERVICAL INSTRUMENT,7327.0,,2618.9,6594.3,68
CDM,24058340,CATH/INTRO SALINE/CONTRAST SIS,736.0,,294.4,662.4,56
CDM,24058345,INS CATH TRNS FALLOPEN DX,5401.0,,2160.4,4860.9,68
CDM,24060300,ASP/INJ CYST THYROID,2757.0,,579.53,2481.3,68
CDM,24061070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,68
CDM,24061635,PLACE STENT INTRACRAN/INTRAVAS,22631.0,,1310.32,20367.9,57
CDM,24061650,ENDOVASC INTRACRAN ADM RX 1ST,8688.0,,3475.2,7819.2,56
CDM,24061651,ENDOVASC INTR ADM RX ADD,4268.0,,1707.2,3841.2,56
CDM,24062270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,24062273,INJ EPIDURAL BLOOD/CLOT PATCH,2520.0,,570.41,2268.0,68
CDM,24062282,INJ NEUROLYTIC LUMB/CAUD,2950.0,,733.31,2655.0,68
CDM,24062290,INJ PROC DISKGRAPHY EA LEV-LUM,2020.0,,808.0,1818.0,56
CDM,24062304,MYELO LUMBAR INJ LUMBOSACRAL,4521.0,,650.75,4068.9,68
CDM,24062320,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,68
CDM,24062321,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,68
CDM,24062322,NJX INTERLAMINAR LMBR/SAC,2539.0,,733.31,2285.1,68
CDM,24062323,INJ EPIDRL SUBARAC L/S W/IMG,2539.0,,570.41,2285.1,68
CDM,24062327,INJ PLACE CATH EPI LUM/SAC W/,2023.0,,733.31,1820.7,68
CDM,24062328,SPINAL PUNCT LUM DX W/FLUOR/CT,2992.0,,570.41,2692.8,67
CDM,24062329,SPINAL PUNCT LUM TX W/FLUOR/CT,2992.0,,570.41,2692.8,67
CDM,24064405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,68
CDM,24064415,INJ ANES BRACHIAL PLEXUS SGL,1466.0,,586.4,1319.4,68
CDM,24064418,INJ ANES NERVE SUPRASCAPULAR,1208.0,,483.2,1087.2,68
CDM,24064420,INJ ANES NERVE INTERCOSTAL SGL,1519.0,,570.41,1367.1,68
CDM,24064421,INJ ANES/STER INTRCSTL ADDL,2456.0,,733.31,2210.4,68
CDM,24064425,INJ ANES NERVE ILIOINGUIN/GAST,8183.0,,570.41,7364.7,68
CDM,24064447,INJ ANES NERVE FEMORAL SGL,1818.0,,570.41,1636.2,68
CDM,24064450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,24064451,INJ ANES/STEROID NERVE SI JNT,1704.0,,570.41,1533.6,68
CDM,24064454,INJ AA&/STRD GNCLR NRV BRNCH,1837.0,,570.41,1653.3,68
CDM,24064475,INJ LUMBAR/SACRAL SGL LEVEL,2615.0,,733.31,2353.5,68
CDM,24064479,INJ EPIDURAL CERV/THOR SGL,3153.0,,733.31,2837.7,68
CDM,24064480,INJ EPIDURAL CERV/THOR ADD,1920.0,,768.0,1728.0,56
CDM,24064483,INJ EPIDURAL LUMBAR/SACRAL SGL,3496.0,,733.31,3146.4,68
CDM,24064484,INJ EPIDURAL LUMBAR/SACRAL ADD,1996.0,,798.4,1796.4,56
CDM,24064486,INJ TAP BLOCK UNIL ABDOMINAL,2918.0,,1167.2,2626.2,56
CDM,24064488,INJ TAP BLOCK BILAT ABDOMINAL,3981.0,,1592.4,3582.9,56
CDM,24064490,INJ PARAVERT F JNT C/T 1 LVL,2441.0,,733.31,2196.9,68
CDM,24064491,INJ PARAVERT F JNT C/T 2ND LVL,1705.0,,682.0,1534.5,56
CDM,24064492,INJ PARAVERT F JNT C/T 3RD LVL,2127.0,,850.8,1914.3,56
CDM,24064494,INJ PARAVERT F JNT L/S 2ND LVL,2047.0,,818.8,1842.3,56
CDM,24064495,INJ PARAVERT F JNT L/S 3RD LVL,1986.0,,794.4,1787.4,56
CDM,24064505,INJ ANES/STER LUMB/SACR SGL BI,4661.0,,1864.4,4194.9,56
CDM,24064517,INJ ANES HYPOGASTRIC PLEXUS,2931.0,,733.31,2637.9,68
CDM,24064520,INJ ANES LUMBAR/THORACIC,3156.0,,733.31,2840.4,68
CDM,24064530,INJ ANES CELIAC PLEXUS,2894.0,,733.31,2604.6,68
CDM,24064620,DEST NRV INTERCOSTAL,2738.0,,733.31,2464.2,68
CDM,24064625,RF ABLATION SI JOINT NERVES,6110.0,,1608.45,5499.0,68
CDM,24064628,THERMAL DESTRUCT INTRAOSS BVN,35415.0,,10598.09,31873.5,68
CDM,24064629,THERMAL DIST INTRAOSS BVN ADDL,17709.0,,7083.6,15938.1,56
CDM,24064630,DEST NRV PUDENDAL,1980.0,,733.31,1782.0,68
CDM,24064635,DEST NRV LUMB/SACR SGL,5533.0,,1608.45,4979.7,68
CDM,24064636,DEST NRV LUMB/SACR EA ADD,3782.0,,1512.8,3403.8,56
CDM,24064640,DEST NRV PERIPHERAL,2842.0,,733.31,2557.8,68
CDM,24064681,DEST NRV HYPOGASTRIC PLEXUS,4777.0,,733.31,4299.3,68
CDM,24070450,CT HEAD/BRAIN WO/CONTRAST,2704.0,,87.59,2433.6,68
CDM,24071045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,68
CDM,24071250,CT CHEST W/O CON-P STDY,2596.0,,150.0,2336.4,56
CDM,24072295,DISKOGRAPHY- LUMBAR- S & I,3647.0,,198.0,5081.51,68
CDM,24074018,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,68
CDM,24074190,PERITONEOGRAM S&I,1279.0,,40.0,1426.8,68
CDM,24074340,INTRODUCTION LONG GI TUBE S&I,656.0,,113.95,590.4,56
CDM,24074363,DILATION BILIARY DUCT,2969.0,,129.0,2672.1,56
CDM,24074400,XR UROGRAM (IVP),1573.0,,79.0,1415.7,68
CDM,24074420,XR UROGRAM RETROGRADE,1728.0,,56.0,1555.2,68
CDM,24074430,CYSTOGRAPHY MIN 3 VIEWS S&I,1008.0,,71.0,929.34,68
CDM,24074450,XR CYSTOURETHROGRAM RETROGRADE,1162.0,,76.0,1045.8,68
CDM,24074455,XR CYSTOURETHROGRAM VOIDING,1469.0,,59.0,1322.1,68
CDM,24074740,HYSTEROSALPINGOGRAM,1326.0,,101.0,1193.4,68
CDM,24074742,FALLOPIAN TUBE CATHETERIZATION,1090.0,,26.0,981.0,56
CDM,24075574,CT ANGIO HRT W/3D IMAGE,6931.0,,294.16,6237.9,69
CDM,24075600,AORTOGRAM THORACIC W/O SER,9081.0,,247.0,8190.45,68
CDM,24075605,XR AORTOGRAM THORACIC W/SER,8731.0,,384.0,14066.75,68
CDM,24075625,AORTOGRM ABD SER,5579.0,,435.0,8190.45,68
CDM,24075630,XR AORTOGRM ABD W/RUNOFF,7355.0,,339.0,8190.45,68
CDM,24075705,ANGIOGM SPINE SEL UNI,7066.0,,231.0,14066.75,68
CDM,24075710,ANGIOGM EXTREMITY UNI,5732.0,,196.0,8190.45,68
CDM,24075716,XR ANGIO EXTREMITY BILAT,7575.0,,299.0,8190.45,68
CDM,24075726,ANGIOGM VISCERAL,7224.0,,489.0,14066.75,68
CDM,24075731,XR ANGIO ADRENAL UNI,13635.0,,397.0,12271.5,68
CDM,24075736,ANGIOGM PELVIC,5396.0,,276.0,14066.75,68
CDM,24075741,ANGIOGM PULMONARY UNI,6335.0,,276.0,8190.45,68
CDM,24075743,ANGIOGM PULMONARY BIL,7840.0,,52.0,8190.45,68
CDM,24075746,XR ANGIO PULMONARY NONSELECT,3617.0,,276.0,8190.45,68
CDM,24075756,ANGIOGM MAMMARY INTERNAL,4604.0,,328.0,8190.45,68
CDM,24075774,XR ANGIO EA ADD VESSEL,4355.0,,151.0,3919.5,55
CDM,24075801,LYMPHANGIOGRAM EXTREMITY UNI,1686.0,,261.0,1608.85,68
CDM,24075803,XR LMPHANGIO EXTREMITY BILAT,3480.0,,276.0,4042.37,68
CDM,24075805,XR LYMPHANGIO PEL/ABDOMEN UNI,4153.0,,235.0,8190.45,68
CDM,24075807,LMPHANGIO PEL/ABDOMEN BILAT,3351.0,,264.0,8190.45,68
CDM,24075809,XR SHUNTOGRAM NONVASCULAR,1037.0,,63.0,933.3,68
CDM,24075810,XR SPLENOPORTOGRAM,5984.0,,261.0,8190.45,68
CDM,24075820,XR VENOGRAM EXTREMITY UNILAT,2661.0,,142.0,4042.37,68
CDM,24075822,XR VENOGRAM EXTREMITY BILAT,3301.0,,187.0,4042.37,68
CDM,24075825,VENOGM CAVAL INFERIOR,4824.0,,199.0,8190.45,68
CDM,24075827,VENOGM CAVAL SUPERIOR,4902.0,,195.0,4411.8,68
CDM,24075831,VENOGM RENAL UNI,5433.0,,207.0,8190.45,68
CDM,24075833,VENOGM RENAL BIL,5738.0,,159.0,8190.45,68
CDM,24075840,XR VENOGRAM ADRENAL UNI,6391.0,,181.0,8190.45,68
CDM,24075860,VENOGM SINUS/JUGULAR CATH,3608.0,,236.0,8190.45,68
CDM,24075885,PORTOGM PERC TRANS W/HEMO,2955.0,,415.0,8190.45,68
CDM,24075887,XR PORTOGRAM W/O HEMODYNAMICS,4472.0,,415.0,8190.45,68
CDM,24075889,VENOGM HEPATIC W/HEMODYN.,7340.0,,415.0,8190.45,68
CDM,24075891,VENOGM HEPATIC WO/HEMODYN.,3787.0,,415.0,8190.45,68
CDM,24075893,VENOGRAM SAMPLING CATH,5148.0,,733.0,14066.75,68
CDM,24075894,XR TRANSCATH EMBOLIZATION ANY,9064.0,,215.0,8157.6,56
CDM,24075898,ANGIOGM EXIST CATH F/U TRSCATH,2726.0,,374.0,8190.45,68
CDM,24075901,REMOVE CV PERICATH OBSTRUCTION,1005.0,,502.5,904.5,55
CDM,24075902,REMOVE CVA LUMEN OBSTRUCT,308.0,,154.0,277.2,55
CDM,24075970,BIOPSY TRANSCATH,6167.0,,114.0,5550.3,56
CDM,24075984,CATH DRAIN CHANGE PERC,2474.0,,50.0,2226.6,55
CDM,24075989,GUIDE ABSC DRN PERC W/CATH,2694.0,,115.0,2424.6,55
CDM,24076000,FLUORO UP TO 1 HOUR,1116.0,,10.0,1004.4,68
CDM,24076080,SINUS TRACT/FISTULA STUDY,1130.0,,10.0,1426.8,68
CDM,24076376,US 3D REND W/INTERP W/O POSTPR,1464.0,,126.0,1317.6,55
CDM,24076377,XR 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,24076380,CT LIMITED OR LOCALIZED STUD,2850.0,,56.0,2565.0,68
CDM,24076497,CT UNLISTED PROCEDURE,266.0,,72.52,239.4,68
CDM,24076536,US SOFT TISSUE HEAD/NECK,1267.0,,67.0,1140.3,68
CDM,24076604,US CHEST,949.0,,87.59,854.1,68
CDM,24076642,US BREAST UNILAT LTD W/DOC,1005.0,,72.52,904.5,68
CDM,24076700,ECHO ABDOMEN COMP,1082.0,,72.0,973.8,68
CDM,24076705,ECHO ABDOMEN LTD,624.0,,54.0,561.6,68
CDM,24076775,US RETROPERITONEAL LTD,757.0,,87.0,681.3,68
CDM,24076857,US PELVIS NON-OB LTD,1310.0,,64.0,1179.0,68
CDM,24076872,US TRANSRECTAL,1553.0,,87.59,1397.7,68
CDM,24076882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,24076937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,24076940,US GUID/MONITOR VISC TISS ABLA,892.0,,147.17,802.8,56
CDM,24076942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,24077001,FLURO GUIDE CVA PLCMT/REMOVAL,1861.0,,51.49,1674.9,55
CDM,24077002,XR FLUORO NEEDLE PLACEMENT,1355.0,,78.0,1219.5,55
CDM,24077003,FLURO GUIDE NDLE/CATH DX/THERP,1463.0,,84.35,1316.7,55
CDM,24077012,CT GUIDED NEEDLE PLACEMENT,4475.0,,378.0,4027.5,55
CDM,24077013,CT GUIDED PARENCHY TISS ABLAT,5726.0,,487.39,5153.4,56
CDM,24077295,PLAN RAD 3D W/ DOSE VOL HISTOG,13358.0,,297.0,25000.0,73
CDM,24077300,BASIC DOSIMETRY CALCULATION,1305.0,,62.0,25000.0,73
CDM,24078201,NM LIVER,2485.0,,198.0,2236.5,68
CDM,24078202,NM LIVER W/FLOW,2997.0,,360.0,2697.3,68
CDM,24078803,NM TUMR LOC SPECT 1 AREA 1 DAY,6516.0,,159.0,5864.4,68
CDM,24079445,RADIOPHARM THRPY INTRA-ART,2717.0,,184.61,2445.3,68
CDM,24080641,COIL RUBY CMPX STD 5CM,1843.0,,921.5,1658.7,61
CDM,24080642,COIL RUBY CMPX STD 10-30CM,2437.0,,1218.5,2193.3,61
CDM,24080647,COIL RUBY CMPX STD 30-60CM,3180.0,,1590.0,2862.0,61
CDM,24080681,COIL POD RUBY,4411.0,,2205.5,3969.9,61
CDM,24080685,COIL POD RUBY SOFT 15CM,2277.0,,1138.5,2049.3,61
CDM,24080686,COIL POD RUBY SOFT 30-60CM,2967.0,,1483.5,2670.3,61
CDM,24080689,COIL DETACH HANDLE RUBY,587.0,,293.5,528.3,56
CDM,24092950,CPR,713.0,,256.5,641.7,68
CDM,24092997,ANGIOPLASTY PULM ART 1ST VESL,21900.0,,1615.0,19710.0,69
CDM,24093662,INTRACARDIAC ECHO,6647.0,,329.89,5982.3,58
CDM,24093971,DUPLEX VENOUS EXT UNILAT/LMTD,1611.0,,56.0,1449.9,68
CDM,24096422,CHEMO IA INFUSION 1 HR,2233.0,,87.0,2009.7,68
CDM,24096423,CHEMO IA INFS ADD HR,713.0,,27.0,641.7,68
CDM,24096450,CHEMO CNS,1812.0,,154.0,1630.8,68
CDM,24200022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,24200023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,24200330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,24200459,DSG FOAM >16 SQ IN </=48 SQ IN,94.0,,20.34,84.6,56
CDM,24200544,DSG FOAM >48 SQ.IN. W/O BORDER,213.0,,19.48,191.7,56
CDM,24200600,GARMENT BURN GLOVE TO WRIST,421.0,,131.63,378.9,62
CDM,24203014,TELEHEALTH FACILITY FEE-BURN,78.0,,10.66,70.2,57
CDM,24205272,GFT SKIN SUB T/A/L,1330.0,,398.96,1197.0,57
CDM,24205273,GFT SKIN SUB T/A/L >/=100CM,9549.0,,1506.69,8594.1,68
CDM,24205274,GFT SKIN SUB T/A/L >=100CM ADD,2997.0,,164.48,2697.3,57
CDM,24205275,GFT SKIN SUB F/S/E 01,3941.0,,504.2,3546.9,68
CDM,24205276,GFT SKIN SUB F/S/E 02,1763.0,,420.94,1586.7,57
CDM,24205277,GFT SKIN SUB F/S/E >=100CM,7448.0,,504.2,6703.2,68
CDM,24205278,GFT SKIN SUB F/S/E >=100CM ADD,3729.0,,238.05,3356.1,57
CDM,24206020,DEBR BURN <5% TOTAL SM (RN),561.0,,163.67,504.9,68
CDM,24206025,DEBR BURN 5-10% TOTAL MED (RN),767.0,,163.67,690.3,68
CDM,24206030,DEBR BURN >10% TOTAL LRG (RN),947.0,,329.08,852.3,68
CDM,24210060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,24210061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,24210120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,24210121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,68
CDM,24210140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,24210180,I&D WOUND POST OP CPLX,3296.0,,1318.4,3523.29,68
CDM,24211042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,24211043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,68
CDM,24211044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,24211045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,56
CDM,24211046,DEBR MUSC/FASCIA EA ADDL 20 CM,1143.0,,457.2,1028.7,56
CDM,24211055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,24211056,PARING LESN BENIGN 2-4,400.0,,160.0,360.0,68
CDM,24211720,DEBR NAIL(S) UP TO 5,344.0,,48.93,309.6,68
CDM,24211721,DEBR NAIL(S) 6 OR MORE,347.0,,48.93,312.3,68
CDM,24211730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,68
CDM,24211732,AVULSION NAIL PLATE EA ADD,333.0,,133.2,299.7,56
CDM,24211900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,24211951,INJ SUBQ FILL MATERIAL 1.1-5.0,1107.0,,442.8,996.3,68
CDM,24215271,GFT SKIN SUB T/A/L <=100CM,3174.0,,1269.6,2856.6,68
CDM,24215272,GFT SKIN SUB T/A/L <=100CM ADD,1330.0,,532.0,1197.0,56
CDM,24215273,GFT SKIN SUB T/A/L >/=100CM,9549.0,,3015.46,8594.1,68
CDM,24215274,GFT SKIN SUB T/A >/=EA ADD 100,2997.0,,1198.8,2697.3,56
CDM,24215275,GFT SKIN SUB F/S/E </=100CM,5381.0,,1506.69,4842.9,68
CDM,24215276,GFT SKIN SUB F/S </=100 CM EA,1763.0,,705.2,1586.7,56
CDM,24215277,GFT SKIN SUB F/S/E>/=100CM,7448.0,,1506.69,6703.2,68
CDM,24215278,GFT SKIN SUB F/S>/=100CM EA,3729.0,,1491.6,3356.1,56
CDM,24216000,TX BURN 1ST DEGREE INITIAL,481.0,,163.67,432.9,68
CDM,24216020,DEBR BURN <5% TOTAL SM (PHY),561.0,,163.67,504.9,68
CDM,24216025,DEBR BURN 5-10% TOTAL ME (PHY),767.0,,163.67,690.3,68
CDM,24216030,DEBR BURN >10% TOTAL LRG (PHY),947.0,,329.08,852.3,68
CDM,24217250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,24264450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,24297597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,68
CDM,24297598,DEBR/REM TISS ADDL 20 SQ CM,452.0,,80.0,406.8,56
CDM,24297602,DEBR NON-SELECTIVE W/O ANES,345.0,,41.0,310.5,68
CDM,24297605,NEG PRESS WOUND THRPY</=50CM,481.0,,43.0,432.9,68
CDM,24297606,NEG PRESS WOUND THRPY>50CM,720.0,,329.08,648.0,68
CDM,24297607,NEG PRESSURE WOUND </=50CM,739.0,,329.08,665.1,68
CDM,24297608,NEG PRESS WOUND TX >50 CM,902.0,,15.4,811.8,68
CDM,24298000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,24298001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,24298002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,24298003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,24298004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,24298005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,24298006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,24298007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,24298008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,24298009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,24298010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,24298011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,24298012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,24298013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,24298014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,24298015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,24298016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,24299024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,24299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,24299406,SMOK CESS COUN INTER >3MIN,92.0,,24.54,82.8,68
CDM,24299407,SMOK CESS COUN INTEN >10 MIN,123.0,,24.54,110.7,68
CDM,24300022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,24300023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,24300217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,24303014,TELEHEALTH FACILITY FEE-UGT,78.0,,10.66,70.2,57
CDM,24306533,STOCKING COMPRESS THIGH 18-30,267.0,,133.5,240.3,61
CDM,24310060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,24310061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,24310120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,24310121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,68
CDM,24310140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,24310160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,24311042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,24311043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,68
CDM,24317250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,24320520,REM FB MUSC/TENDON SMP,2080.0,,832.0,1994.58,68
CDM,24343762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,24343763,RPLC GTUBE REVJ GSTRST TRC,1143.0,,200.33,1028.7,68
CDM,24351702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,24383036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,24390461,IMMUN ADMIN ANY ROUTE EA ADDL,90.0,,45.0,81.0,56
CDM,24390471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,24390472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,24390620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,24390648,HEMOPHILUS INFLUENZA B VACC,120.7,,19.26,108.63,56
CDM,24390732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,24390734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,24393005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,24397597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,68
CDM,24397602,DEBR NON-SELECTIVE W/O ANES,345.0,,41.0,310.5,68
CDM,24397607,NEG PRESSURE WOUND </=50CM,739.0,,329.08,665.1,68
CDM,24398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,24398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,24398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,24398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,24398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,24398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,24398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,24398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,24398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,24398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,24398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,24398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,24398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,24398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,24398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,24398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,24398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,24399024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,24399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,24600330,TRIAMCINOLONE ACE INJ 10MG,9.2,,1.05,8.28,55
CDM,24600598,R-T FLUOR WOUND IMG 1ST SITE,758.0,,256.5,682.2,68
CDM,24610120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,24610140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,24611000,DEBR SKIN 10% BODY SURFACE,627.0,,250.8,753.55,68
CDM,24611042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,24611043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,68
CDM,24611044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,24611045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,56
CDM,24611046,DEBR MUSC/FACIA EA ADDL 20 CM,1143.0,,457.2,1028.7,56
CDM,24611047,DEBRIDE BONE EA ADD 20 SQ CM,2908.0,,1163.2,2617.2,56
CDM,24611055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,24611056,PARING LESN BENIGN 2-4,400.0,,160.0,360.0,68
CDM,24611057,PARING LESN BENIGN >4,448.0,,163.67,403.2,68
CDM,24611106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,24611719,TRIMMING NAILS NONDYSTROPHIC,232.0,,48.93,208.8,68
CDM,24611720,DEBR NAIL(S) UP TO 5,344.0,,48.93,309.6,68
CDM,24611721,DEBR NAIL(S) 6 OR MORE,347.0,,48.93,312.3,68
CDM,24611730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,68
CDM,24611732,AVULSION NAIL PLATE EA ADD,333.0,,133.2,299.7,56
CDM,24611740,EVAC HEMATOMA SUBUNGAL,460.0,,106.17,414.0,68
CDM,24611750,EXC NAIL & MATRIX,1464.0,,329.08,1317.6,68
CDM,24613160,CLOSURE WOUND CPLX SECONDARY,5975.0,,1506.69,5377.5,68
CDM,24615275,GFT SKIN SUB F/S/E </=100CM,5381.0,,1506.69,4842.9,68
CDM,24615854,REMOVE SUTURE & STAPLE W/O ANE,260.0,,104.0,234.0,56
CDM,24620240,BX BONE OPEN SUPERFICIAL,6255.0,,2357.4,5629.5,68
CDM,24620550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,24620551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,24620600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,24620605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,24620680,REM IMPL WIRE DEEP,6533.0,,2357.4,5879.7,68
CDM,24628010,TENOTOMY TOE SINGLE PERC,7420.0,,1318.22,6678.0,68
CDM,24628011,TENOTOMY TOE MULTI PERC,4001.0,,1318.22,3600.9,68
CDM,24628124,EXC PHALANX TOE PARTIAL,7015.0,,2672.51,6313.5,68
CDM,24628190,REM FB FOOT SUBQ,2478.0,,579.53,2230.2,68
CDM,24628232,TENOTOMY FLEX TOE SGL OPEN,3846.0,,1318.22,3461.4,68
CDM,24629345,APPL CAST LEG LONG,932.0,,218.75,838.8,68
CDM,24629405,APPL CAST LEG SHORT,842.0,,218.75,757.8,68
CDM,24629445,APPL CAST LEG RIGID CONTACT,925.0,,218.75,832.5,68
CDM,24629580,STRAPPING UNNA BOOT,589.0,,129.97,530.1,68
CDM,24629705,REM/BIV CAST ARM/LEG FULL,398.0,,159.2,358.2,68
CDM,24664455,INJ ANES/STEROID NERVE PLANTAR,685.0,,243.14,616.5,68
CDM,24673630,XR FOOT CMPL 3+V,793.0,,34.0,713.7,68
CDM,24683036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,24696372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,24697597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,68
CDM,24697602,DEBR NON-SELECTIVE W/O ANES,345.0,,41.0,310.5,68
CDM,24697605,NEG PRESS WOUND THRPY</=50CM,481.0,,43.0,432.9,68
CDM,24697606,NEG PRESS WOUND THRPY>50CM,720.0,,329.08,648.0,68
CDM,24697607,NEG PRESSURE WOUND </=50CM,739.0,,329.08,665.1,68
CDM,24699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,24700217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,24700288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,24700330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,24703014,TELEHEALTH FACILITY FEE-UOT,78.0,,10.66,70.2,57
CDM,24710021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,138.0,599.4,68
CDM,24710034,ARTHROCENT JT INTERMED LT,559.0,,223.6,503.1,56
CDM,24710037,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,24710060,I&D OF ABSCESS SIMPLE,450.0,,70.0,405.0,68
CDM,24710061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,24710121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,68
CDM,24710140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,24710160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,24710180,I&D WOUND POST OP COMPLEX,3296.0,,1318.4,3523.29,68
CDM,24711000,DEBR SKIN 10% BODY SURFACE,627.0,,250.8,753.55,68
CDM,24711042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,24711043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,68
CDM,24711044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,24711045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,56
CDM,24711055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,24711056,PARING LESN BENIGN 2-4,400.0,,160.0,360.0,68
CDM,24711057,PARING LESN BENIGN >4,448.0,,163.67,403.2,68
CDM,24711104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,24711420,EXC LESN BGN SCALP/HND,1813.0,,725.2,1994.58,68
CDM,24711421,EXC LESN BGN SCLP/HND .6-1.0CM,1841.0,,579.53,1656.9,68
CDM,24711422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,24711719,TRIMMING NAILS NONDYSTROPHIC,232.0,,48.93,208.8,68
CDM,24711720,DEBR NAIL(S) UP TO 5,344.0,,48.93,309.6,68
CDM,24711721,DEBR NAIL(S) 6 OR MORE,347.0,,48.93,312.3,68
CDM,24711730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,68
CDM,24711732,AVULSION NAIL PLATE EA ADD,333.0,,133.2,299.7,56
CDM,24711750,EXC NAIL & MATRIX,1464.0,,329.08,1317.6,68
CDM,24711765,EXC WEDGE SKIN NAIL FOLD,566.0,,226.4,509.4,68
CDM,24717000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,24717003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,24720240,BX BONE OPEN SUPERFICIAL,6255.0,,2357.4,5629.5,68
CDM,24720520,REM FB MUSC/TENDON SMP,2080.0,,832.0,1994.58,68
CDM,24720526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,24720527,INJ ENZYME FASCIAL CORD,637.0,,243.14,573.3,68
CDM,24720550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,24720551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,24720552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,24720600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,24720605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,24720606,ARTHROCENT JT INTER W/US,1885.0,,570.41,1696.5,68
CDM,24720610,ARTHROCENT ASP/INJ JT MAJOR,814.0,,243.14,732.6,68
CDM,24720611,ARTHROCENT JT MAJOR W/US,2080.0,,243.14,1872.0,68
CDM,24720612,ASP/INJ GANGLION CYST- EA AD,536.0,,214.4,482.4,68
CDM,24720670,REM IMPL WIRE SUPERFIC,4332.0,,1334.55,3898.8,68
CDM,24720680,REM IMPL WIRE DEEP,6533.0,,2357.4,5879.7,68
CDM,24723500,TX FX CLAVICLE W/O MAN,889.0,,197.58,800.1,68
CDM,24723570,TX FX SCAPULA W/O MAN CLSD,1138.0,,197.58,1024.2,68
CDM,24723600,TX FX HUMER PROX W/O MAN CLSD,1035.0,,197.58,931.5,68
CDM,24723620,TX FX HUMER TUBER W/O MAN CLSD,1056.0,,197.58,950.4,68
CDM,24723650,TX DISL SHLDR W/MAN CLSD,1105.0,,197.58,994.5,68
CDM,24724500,TX FX HUMER SHAFT W/O MAN CLSD,1463.0,,197.58,1316.7,68
CDM,24724650,TX FX RADIAL HD/NCK CLSD,762.0,,197.58,685.8,68
CDM,24724670,TX FX ULNA PROX CLSD,974.0,,197.58,876.6,68
CDM,24725530,TX FX ULNA SHFT W/O MAN CLSD,957.0,,197.58,861.3,68
CDM,24725600,TX FX RADIAL DIST W/O MAN CLSD,1016.0,,197.58,914.4,68
CDM,24725622,TX FX NAVICULAR W/O MAN CLSD,990.0,,197.58,891.0,68
CDM,24725630,TX FX CARPAL W/O MAN CLOSED,973.0,,197.58,875.7,68
CDM,24726600,TX FX METACARPAL W/O MAN CLSD,843.0,,197.58,758.7,68
CDM,24726605,TX FX METACARPAL W/MAN CLSD EA,1044.0,,197.58,939.6,68
CDM,24726645,TX FX THUMB W/MAN CLSD,1368.0,,547.2,1970.17,68
CDM,24726670,TX DISL HAND W/O ANES CLSD,748.0,,197.58,673.2,68
CDM,24726700,TX DISL (M-P) W/O ANES CLSD,823.0,,197.58,740.7,68
CDM,24726720,TX FX PHALANX PRX W/O MAN CLSD,735.0,,197.58,661.5,68
CDM,24726740,TX FX (M-P)(I-P) JT CLSD,973.0,,197.58,875.7,68
CDM,24726750,TX FX PHALANX DIST CLSD,727.0,,197.58,654.3,68
CDM,24727197,CLSD TX PELVIC FX W/O MANIP,1048.0,,197.58,943.2,68
CDM,24727220,TX FX ACETAB W/O MAN CLSD,1344.0,,197.58,1209.6,68
CDM,24727230,TX FX FEM PROX W/O MAN CLSD,1378.0,,197.58,1240.2,68
CDM,24727238,TX FX FEM TROCHAN W/O MAN CLSD,1827.0,,730.8,1970.17,68
CDM,24727246,TX FX GR TROCHANT W/O MAN CLSD,1444.0,,197.58,1299.6,68
CDM,24727250,TX DISL HIP TRAUMA W/O ANES CL,1072.0,,197.58,964.8,68
CDM,24727267,CLSD TX FEM FX PROX END HD W/O,6142.0,,2456.8,5527.8,68
CDM,24727500,TX FX FEM SHAFT W/O MAN CLSD,1752.0,,197.58,1576.8,68
CDM,24727508,TX FX FEM MED/LAT W/O MAN CLSD,1271.0,,197.58,1143.9,68
CDM,24727520,TX FX PATELLAR W/O MAN CLSD,1100.0,,197.58,990.0,68
CDM,24727530,TX FX TIB PROX W/O MAN CLSD,1074.0,,197.58,966.6,68
CDM,24727538,TX FX INTERCOND/TUBER CLSD,2673.0,,197.58,2405.7,68
CDM,24727560,TX DISL PATELLAR W/O ANES CLSD,1012.0,,197.58,910.8,68
CDM,24727750,TX FX TIBIA SHAFT W/O MAN CLSD,1294.0,,197.58,1164.6,68
CDM,24727760,TX FX MALLEOLUS W/O MAN CLSD,1099.0,,197.58,989.1,68
CDM,24727780,TX FX FIBULA SHFT PROX W/O MAN,997.0,,197.58,897.3,68
CDM,24727786,TX FX FIBULA DIST W/O MAN CLSD,1324.0,,197.58,1191.6,68
CDM,24727810,TX FX BIMALLEOLAR W/MAN CLSD,2857.0,,1142.8,2571.3,68
CDM,24727824,TX FX TIB DIST WGTBEAR CLSD,1062.0,,197.58,955.8,68
CDM,24728400,TX FX CALCANEAL CLSD,1006.0,,197.58,905.4,68
CDM,24728430,TX FX TALUS W/O MAN CLSD,865.0,,197.58,778.5,68
CDM,24728450,TX FX TARSAL W/O MAN CLSD,768.0,,197.58,691.2,68
CDM,24728470,TX FX METATARSAL W/O MAN CLSD,762.0,,197.58,685.8,68
CDM,24728490,TX FX GR TOE W/O MAN CLSD,598.0,,197.58,538.2,68
CDM,24728510,TX FX PHALANX W/O MAN CLSD,710.0,,197.58,639.0,68
CDM,24728515,TX FX PHALANX W/MAN CLSD,899.0,,197.58,809.1,68
CDM,24729065,APPL CAST ARM LONG,881.0,,218.75,792.9,68
CDM,24729075,APPL CAST ARM SHORT,608.0,,218.75,547.2,68
CDM,24729085,APPL CAST HAND/FOREARM,873.0,,129.97,785.7,68
CDM,24729086,APPL CAST FINGER,432.0,,129.97,388.8,68
CDM,24729105,APPL SPLINT ARM LONG,560.0,,129.97,504.0,68
CDM,24729125,APPL SPLINT ARM SHORT STATIC,480.0,,106.17,432.0,68
CDM,24729345,APPL CAST LEG LONG,932.0,,218.75,838.8,68
CDM,24729355,APPL CAST LEG LONG WALK/AMB,799.0,,218.75,719.1,68
CDM,24729365,APPL CAST THIGH-ANKLE CYLINDER,968.0,,218.75,871.2,68
CDM,24729405,APPL CAST LEG SHORT,842.0,,218.75,757.8,68
CDM,24729425,APPL CAST LEG SHORT WALKING,849.0,,218.75,764.1,68
CDM,24729435,APPL CAST TENDON PATELLAR,800.0,,218.75,720.0,68
CDM,24729445,APPL CAST LEG RIGID CONTACT,925.0,,218.75,832.5,68
CDM,24729515,APPL SPLINT LEG SHORT,552.0,,129.97,496.8,68
CDM,24729540,STRAPPING ANKLE/FOOT,390.0,,129.97,351.0,68
CDM,24729550,STRAPPING TOES,360.0,,48.93,324.0,68
CDM,24729705,REM/BIV CAST ARM/LEG FULL,398.0,,159.2,358.2,68
CDM,24729730,WINDOWING OF CAST,392.0,,129.97,352.8,68
CDM,24729740,WEDGE CAST EXCEPT CLUBFT CAST,316.0,,126.4,326.93,68
CDM,24764450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,24776882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,24790471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,24790472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,24790732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,24796372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,24797033,IONTOPHORESIS 15 MIN,205.0,,14.0,184.5,57
CDM,24797035,PT ULTRASOUND 15 MIN,150.0,,10.0,135.0,57
CDM,24797597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,68
CDM,24797602,DEBR NON-SELECTIVE W/O ANES,345.0,,41.0,310.5,68
CDM,24797605,NEG PRESS WOUND THRPY</=50CM,481.0,,43.0,432.9,68
CDM,24797606,NEG PRESS WOUND THRPY>50CM,720.0,,329.08,648.0,68
CDM,24797607,NEG PRESSURE WOUND </=50CM,739.0,,329.08,665.1,68
CDM,24798000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,24798001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,24798002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,24798003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,24798004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,24798005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,24798006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,24798007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,24798008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,24798009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,24798010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,24798011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,24798012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,24798013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,24798014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,24798015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,24798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,24799024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,24799213,VISIT CLINIC ESTAB LVL III,372.0,,102.2,334.8,68
CDM,24810305,INCENTIVE SPIROMETRY/TRT.,285.0,,20.0,256.5,68
CDM,24810315,VENT MGMT INITIAL DAY,2452.0,,544.53,2206.8,68
CDM,24810321,ET SUCTION,437.0,,167.53,393.3,68
CDM,24810322,NT SUCTION,437.0,,167.53,393.3,68
CDM,24810323,OXYGEN HI FLOW W/CANNULA/DAY,544.0,,272.0,489.6,56
CDM,24810341,AEROSOL/DAY,542.0,,271.0,487.8,56
CDM,24810361,OXYGEN/DAY,468.0,,234.0,421.2,56
CDM,24810420,RESUSCITATION,1794.0,,717.6,1614.6,56
CDM,24810463,MRI VENT MGMT INITIAL DAY,2281.0,,544.53,2052.9,68
CDM,24810530,NEB BRONCHDIL TX INITIAL,279.0,,29.0,251.1,68
CDM,24810570,PEAK FLOW PRE AND POST,285.0,,20.0,256.5,68
CDM,24810711,"MDI TREATMENT, INITIAL",279.0,,29.0,251.1,68
CDM,24820345,"IPV TREATMENT, INITIAL",279.0,,29.0,251.1,68
CDM,24820346,"IPV TREATMENT, SUBSEQUENT",279.0,,29.0,251.1,68
CDM,24820530,NEB BRONCHDIL TX SUBSEQ,279.0,,29.0,251.1,56
CDM,24820711,"MDI-TREATMENT, SUBSEQ",279.0,,29.0,251.1,68
CDM,24836600,ARTERIAL PUNCTURE,232.0,,64.0,208.8,68
CDM,24880013,OBSERV PER HR - SCU,88.0,,44.0,2436.0,57
CDM,24890003,ROOM & BED CHARGE SCU,2902.0,,1451.0,7500.0,38
CDM,24894003,VENT MGMT SUBSEQ DAY,2168.0,,43.0,1951.2,68
CDM,24894150,VITAL CAPACITY- TOTAL,312.0,,4.0,280.8,68
CDM,24894375,MECHANICS OF VENTILATION,775.0,,23.0,697.5,68
CDM,24894667,CHEST PT TREATMENT INITIAL 02,288.0,,32.0,259.2,68
CDM,24894668,CHEST PT TREATMENTSUBSEQ,275.0,,106.17,247.5,68
CDM,24894760,PULSE OXIMETRY/SINGLE,116.0,,3.2,104.4,57
CDM,24900000,CT CEREBRAL PERFUSION,4734.0,,76.76,4260.6,56
CDM,24900391,CT THORAX W/O CONTRAST-P STDY,2596.0,,150.0,2336.4,56
CDM,24902131,CT L-SPINE W/O CON-P STDY,1839.0,,150.0,1655.1,56
CDM,24902132,CT SPINE LUM W/CONTRAST-P STDY,2027.0,,177.0,1824.3,56
CDM,24902133,CT L-SPINE W&W/O CON-P STDY,2027.0,,216.0,1824.3,56
CDM,24902193,CT PELVIS W/CONTRAST (MOD 59),5861.0,,171.0,5274.9,56
CDM,24905020,CORONARY FFR FROM CTA DATA TRA,3335.0,,838.0,3001.5,68
CDM,24905030,CORONARY FFR FROM CTA DATA MOD,4702.0,,838.0,4231.8,68
CDM,24906000,CT ABDOMEN W/O CON-P STDY,2482.0,,150.0,2233.8,56
CDM,24906001,CT C-SPINE W/O CON-P STDY,3767.0,,150.0,3390.3,56
CDM,24906003,CT HEAD W/O CON-P STDY,2600.0,,133.0,2340.0,56
CDM,24906004,CT L-SPINE W/O CON-P STDY,1839.0,,150.0,1655.1,56
CDM,24906006,CT PELVIS W/O CON-P STDY,1728.0,,150.0,1555.2,56
CDM,24906008,CT T-SPINE W/O CON-P STDY,1886.0,,150.0,1697.4,56
CDM,24906009,CT ABDOMEN W/CON-P STDY,2744.0,,174.0,2469.6,56
CDM,24906010,CT ABDOMEN W&W/O CON-P STDY,3462.0,,210.0,3115.8,56
CDM,24906240,AUTO QUANT CORONARY PLAQUE PRE,2500.0,,35.28,2250.0,58
CDM,24906250,AUTO QUANT CORONARY PLAQUE ANA,2500.0,,782.9,2250.0,69
CDM,24911270,CT THORACIC WO/FOL W/CON,6647.0,,146.63,5982.3,68
CDM,24913202,CT UPPER EXT WO/FOL/W RT,5465.0,,19.0,4918.5,56
CDM,24913203,CT UPPER EXT WO/CONTRAST LT,4833.0,,52.0,4349.7,56
CDM,24913204,CT UPPER EXT WO/CONTRAST BIL,7398.0,,52.0,6658.2,56
CDM,24913205,CT UPR EXT W/CONTRAST LT,6421.0,,19.0,5778.9,56
CDM,24913206,CT UPR EXT W/CONTRAST BILAT,8920.0,,19.0,8028.0,56
CDM,24913207,CT UPPER EXT WO/FOL/W LT,5465.0,,19.0,4918.5,56
CDM,24913208,CT UPPER EXT WO/FOL/W BIL,8197.0,,19.0,7377.3,56
CDM,24913702,CT LOWER EXT WO/FOL/W RT,6114.0,,129.0,5502.6,56
CDM,24913703,CT LWR EXT W/O CONTRAST LT,4382.0,,120.0,3943.8,56
CDM,24913704,CT LWR EXT W/O CONTRAST BILAT,7474.0,,120.0,6726.6,56
CDM,24913705,CT LWR EXT W/CONTRAST LT,5979.0,,129.0,5381.1,56
CDM,24913706,CT LWR EXT W/CONTRAST BILAT,8305.0,,129.0,7474.5,56
CDM,24913707,CT LOWER EXT WO/FOL/W LT,5660.0,,129.0,5094.0,56
CDM,24913708,CT LOWER EXT WO/FOL/W BIL,8492.0,,129.0,7642.8,56
CDM,24914710,PELVIMETRY,516.0,,83.59,464.4,56
CDM,24924263,CT SCREENING COLONOGRAPHY,2719.0,,199.1,2447.1,68
CDM,24925571,CT SCREENING CORONARY,60.0,,30.0,229.12,68
CDM,24970170,DACRYOCYSTOGRAM NASOLACRIMINAL,581.0,,56.0,629.0,68
CDM,24970450,CT HEAD/BRAIN WO/CONTRAST,2704.0,,87.59,2433.6,68
CDM,24970460,CT HEAD/BRAIN W/CONTRAST,5817.0,,146.63,5235.3,68
CDM,24970470,CT HEAD/BRAIN W&W/O CONTRAST,7136.0,,146.63,6422.4,68
CDM,24970480,CT FOS/SEL/EAR W/O CONTRAST,4597.0,,87.59,4137.3,68
CDM,24970481,CT FOS/SEL/EAR W/CONTRAST,5342.0,,146.63,4807.8,68
CDM,24970482,CT FOS/SEL/EAR W&W/O CONTRAST,4059.0,,146.63,3653.1,68
CDM,24970486,CT MAX/FACIAL W/O CONTRAST,4337.0,,87.59,3903.3,68
CDM,24970487,CT MAX/FACIAL W/CONTRAST 01,5567.0,,146.63,5010.3,68
CDM,24970488,CT MAX/FACIAL W&W/O CONTRAST,5734.0,,146.63,5160.6,68
CDM,24970490,CT NECK W/O CONTRAST,4131.0,,87.59,3717.9,68
CDM,24970491,CT NECK W/CONTRAST,2808.0,,146.63,2527.2,68
CDM,24970492,CT NECK W&W/O CONTRAST,5114.0,,146.63,4602.6,68
CDM,24970496,CTA HEAD W&W/O CONTRAST,6311.0,,146.63,5679.9,68
CDM,24970498,CTA NECK W&W/O CONTRAST,6778.0,,146.63,6100.2,68
CDM,24971250,CT THORAX W/O CONTRAST,2596.0,,87.59,2336.4,68
CDM,24971260,CT THORAX W/CONTRAST,3245.0,,146.63,2920.5,68
CDM,24971271,CT THORAX LUNG CA SCR W/O CONT,362.0,,87.59,325.8,68
CDM,24971275,CTA CHEST W&W/O CONTRAST,2271.0,,146.63,2043.9,68
CDM,24972125,CT C-SPINE W/O CONTRAST,3318.0,,87.59,2986.2,68
CDM,24972126,CT SPINE CERV W/CONTRAST,7344.0,,177.0,6609.6,68
CDM,24972127,CT C-SPINE W&W/O CONTRAST,6131.0,,146.63,5517.9,68
CDM,24972128,CT SPINE THOR WO/CONTRAST,6016.0,,87.59,5414.4,68
CDM,24972129,CT SPINE THOR W/CONTRAST,6643.0,,146.63,5978.7,68
CDM,24972130,CT T-SPINE W&W/O CONTRAST,6439.0,,146.63,5795.1,68
CDM,24972131,CT SPINE LUM W/O CONTRAST,1839.0,,87.59,1655.1,68
CDM,24972132,CT SPINE LUM W/CONTRAST,6469.0,,177.0,5822.1,68
CDM,24972133,CT L-SPINE W&W/O CONTRAST,5992.0,,146.63,5392.8,68
CDM,24972191,CTA PELVIS W&W/O CONTRAST,7251.0,,146.63,6525.9,68
CDM,24972192,CT PELVIS WO/CONTRAST,5519.0,,87.59,4967.1,68
CDM,24972193,CT PELVIS W/CONTRAST,6330.0,,146.63,5697.0,68
CDM,24972194,CT PELVIS W&W/O CONTRAST,8866.0,,146.63,7979.4,68
CDM,24973200,CT UPR EXT W/O CONTRAST RT,4833.0,,52.0,4349.7,56
CDM,24973201,CT UPR EXT W/CONTRAST RT,6421.0,,19.0,5778.9,56
CDM,24973206,CTA UPR EXT W&W/O CONTRAST,6968.0,,117.5,6271.2,68
CDM,24973700,CT LWR EXT W/O CONTRAST RT,4382.0,,120.0,3943.8,56
CDM,24973701,CT LWR EXT W/CONTRAST RT,5979.0,,129.0,5381.1,56
CDM,24973706,CTA LWR EXT W&W/O CONTRAST,6183.0,,117.5,5564.7,68
CDM,24974150,CT ABDOMEN W/O CONTRAST,7916.0,,87.59,7124.4,68
CDM,24974160,CT ABDOMEN W/CONTRAST,8106.0,,146.63,7295.4,68
CDM,24974170,CT ABDOMEN W&W/O CONTRAST,11048.0,,146.63,9943.2,68
CDM,24974174,CT ABD/PEL W/WO CONTRAST POST,3137.0,,294.16,2823.3,68
CDM,24974175,CTA ABDOMEN W&W/O CONTRAST,8560.0,,146.63,7704.0,68
CDM,24974176,CT ABD & PELVIS W/O CONTRAST,4651.0,,199.1,4185.9,68
CDM,24974177,CT ABD & PELVIS W/CONTRAST,5200.0,,233.17,4680.0,68
CDM,24974178,CT ABD & PELV W&W/O CONT 1+,6448.0,,294.16,5803.2,68
CDM,24974261,CT COLONOGRAPHY W/O CNTRST,2936.0,,87.59,2642.4,68
CDM,24974262,CT COLONOGRAPHY W/ CNTRST,2986.0,,146.63,2687.4,68
CDM,24974263,CT COLONOGRAPHY SCRN POST,2236.0,,199.1,2012.4,68
CDM,24974430,XR CYSTOGRAM 3+V,1221.0,,71.0,1098.9,68
CDM,24975571,CT HRT W/O CNTRST W/CA TEST,335.0,,48.5,301.5,68
CDM,24975572,CT HRT W/3D IMAGE,5103.0,,278.5,4592.7,69
CDM,24975573,CT HRT W/3D IMAGE CONGEN,5558.0,,294.16,5002.2,69
CDM,24975574,CT ANGIO HRT W/3D IMAGE,6931.0,,294.16,6237.9,69
CDM,24975635,CTA ABDOMINAL AORTA W/RUNOFF,10132.0,,146.63,9118.8,68
CDM,24976377,CT 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,24976380,CT LIMITED OR LOCALIZED STUD,2850.0,,56.0,2565.0,68
CDM,24977073,BONE LENGTH STUDY,719.0,,54.5,647.1,68
CDM,24977078,CT BONE MINERAL DENSITY AXIAL,671.0,,65.0,603.9,68
CDM,24978630,CSF CISTERNOGRAM,3257.0,,340.0,2931.3,68
CDM,24986002,CT CHEST W/CON-P STDY,3245.0,,177.0,2920.5,56
CDM,24986005,CT MAX/FACIAL W/O CON-P STDY,3201.0,,129.0,2880.9,56
CDM,24986020,CT UPR EXT W/O CON-P STDY,1515.0,,52.0,1363.5,56
CDM,24986025,CT LWR EXT W/O CON-P STDY,1484.0,,120.0,1335.6,56
CDM,24986030,CTA HEAD-P STDY,1935.0,,186.5,1741.5,56
CDM,24986032,CTA NECK-P STDY,1581.0,,357.1,1422.9,56
CDM,24986034,CTA CHEST-P STDY,2271.0,,273.89,2043.9,56
CDM,24986036,CTA ABDOMEN-P STDY,2683.0,,219.0,2414.7,56
CDM,24986038,CTA PELVIS-P STDY,2274.0,,212.5,2046.6,56
CDM,25003227,MRA UPPER EXT WO/FOL/W LT,2850.0,,736.24,2565.0,57
CDM,25008400,LEVSIN SUB-LINGUAL 0.125MG TAB,2.0,,0.512,1.8,55
CDM,25012151,MRI SPINE SACRUM WO/CONTRAST,3461.0,,199.1,3114.9,68
CDM,25012160,MRI SPINE SACRUM WO/FOL/W,10567.0,,294.16,9510.3,68
CDM,25012200,"MRA W/O CONT, PELVIS",4282.0,,199.1,3853.8,68
CDM,25023218,MRI UPR EXT W/O CON LT,6159.0,,417.0,5543.1,56
CDM,25023219,MRI UPPER EXT. W/CONTRAST LT,5509.0,,300.0,4958.1,56
CDM,25023220,MRI UPR EXT W&W/O CON LT,7679.0,,300.0,6911.1,56
CDM,25023221,MRI UPR EXT JNT W/O CON LT,6165.0,,300.0,5548.5,56
CDM,25023222,MRI UPR EXT JNT W/CON LT,6568.0,,349.0,5911.2,56
CDM,25023223,MRI UPR EXT JNT W&W/O CON LT,7808.0,,433.0,7027.2,56
CDM,25023318,MRI UPR EXT W/O CON BILAT,9238.0,,417.0,8314.2,56
CDM,25023718,MRI LWR EXT W/O CON LT,6355.0,,460.26,5719.5,56
CDM,25023719,MRI LWR EXT W/CON LT,5453.0,,300.0,4907.7,56
CDM,25023720,MRI LWR EXT W&W/O CON LT,7756.0,,300.0,6980.4,56
CDM,25023721,MRI LWR EXT JNT W/O CON LT,3677.0,,300.0,3309.3,56
CDM,25023722,MRI LWR EXT JNT W/CON LT,8013.0,,957.88,7211.7,56
CDM,25023723,MRI LWR EXT JNT W&W/O CON LT,8651.0,,736.24,7785.9,56
CDM,25023725,MRA LWR EXTREM W/ OR W/O LT,4796.0,,298.4,4316.4,57
CDM,25033219,MRI UPPER EXT. W/CONTRAST BIL,8265.0,,300.0,7438.5,56
CDM,25033220,MRI UPR EXT W&W/O CON BILAT,11517.0,,300.0,10365.3,56
CDM,25033221,MRI UPR EXT JNT W/O CON BILAT,9246.0,,300.0,8321.4,56
CDM,25033222,MRI UPR EXT JNT W/CON BILAT,9850.0,,349.0,8865.0,56
CDM,25033223,MRI UPR EXT JNT W&W/O BILAT,11709.0,,433.0,10538.1,56
CDM,25033718,MRI LWR EXT W/O CON BIL,9533.0,,460.26,8579.7,56
CDM,25033719,MRI LWR EXT W/CON BIL,8179.0,,300.0,7361.1,56
CDM,25033720,MRI LWR EXT W&W/O CON BIL,11632.0,,300.0,10468.8,56
CDM,25033721,MRI LWR EXT JNT W/O CON BIL,5516.0,,300.0,4964.4,56
CDM,25033722,MRI LWR EXT JNT W/CON BIL,12019.0,,957.88,10817.1,56
CDM,25033723,MRI LWR EXT JNT W&W/O CON BIL,12974.0,,736.24,11676.6,56
CDM,25033725,MRA LWR EXTREM W/ OR W/O BIL,7195.0,,298.4,6475.5,57
CDM,25063227,MRA UPPER EXT WO/FOL/W RT,2850.0,,736.24,2565.0,57
CDM,25070336,MRI TMJ UNILAT OR BILAT,4026.0,,199.1,3623.4,68
CDM,25070540,MRI ORBIT/FACE/NECK W/O CON,8507.0,,199.1,7656.3,68
CDM,25070542,MRI ORBIT/FACE/NECK W/CONTRAST,3789.0,,294.16,3410.1,68
CDM,25070543,MRI ORBIT FACE & NECK WO/FOL/W,8507.0,,294.16,7656.3,68
CDM,25070544,MRA HEAD W/O CONTRAST,2380.0,,199.1,2142.0,68
CDM,25070545,MRA HEAD W/CONTRAST,5184.0,,294.16,4665.6,68
CDM,25070546,MRA HEAD W&W/O CONTRAST,7015.0,,294.16,6313.5,68
CDM,25070547,MRA NECK W/O CONTRAST,4858.0,,199.1,4372.2,68
CDM,25070548,MRA NECK W/CONTRAST,5172.0,,294.16,4654.8,68
CDM,25070549,MRA NECK WO/FOL/W CONTRAST,3028.0,,294.16,2725.2,68
CDM,25070551,MRI BRAIN W/O CON,3894.0,,199.1,3504.6,68
CDM,25070552,MRI BRAIN W/CONTRAST,7992.0,,294.16,7192.8,68
CDM,25070553,MRI BRAIN W&W/O CON,5949.0,,294.16,5354.1,68
CDM,25070554,FUNCTIONAL MRI BRAIN TECH,5325.0,,199.1,4792.5,68
CDM,25071550,MRI CHEST W/O CONTRAST,6854.0,,199.1,6168.6,68
CDM,25071551,MRI CHEST W/CONTRAST,5509.0,,480.0,4958.1,68
CDM,25071552,MRI CHEST W&W/O CON,10255.0,,294.16,9229.5,68
CDM,25071555,MRA CHEST W/ OR W/O CONTRAST,6949.0,,294.16,6254.1,68
CDM,25072141,MRI SPINE CERV WO/CONTR,3894.0,,199.1,3504.6,68
CDM,25072142,MRI SPINE CERV W/CONTRAST,8148.0,,294.16,7333.2,68
CDM,25072146,MRI T-SPINE W/O CON,3786.0,,199.1,3407.4,68
CDM,25072147,MRI SPINE THOR W/CONTRAST,9035.0,,294.16,8131.5,68
CDM,25072148,MRI SPINE LUMBAR WO/CONTRAST,4002.0,,199.1,3601.8,68
CDM,25072149,MRI SPINE LUMBAR W/CONTR,8627.0,,294.16,7764.3,68
CDM,25072156,MRI C-SPINE W&W/O CON,10567.0,,294.16,9510.3,68
CDM,25072157,MRI T-SPINE W&W/O CON,9785.0,,294.16,8806.5,68
CDM,25072158,MRI L-SPINE W&W/O CON,5624.0,,294.16,5061.6,68
CDM,25072159,MRA SPINAL CANAL W/CONTRAST,4814.0,,294.16,4332.6,68
CDM,25072195,MRI PELVIS W/O CON LTD,3461.0,,199.1,3114.9,68
CDM,25072196,MRI PELVIS W/CONTRAST,5681.0,,294.16,5112.9,68
CDM,25072197,MRI PELVIS W&W/O CON,10567.0,,294.16,9510.3,68
CDM,25072198,MRA PELVIS W/ OR W/O CONTRAST,6288.0,,294.16,5659.2,68
CDM,25073218,MRI UPR EXT W/O CON RT,6159.0,,417.0,5543.1,56
CDM,25073219,MRI UPPER EXT. W/CONTRAST RT,5509.0,,300.0,4958.1,56
CDM,25073220,MRI UPR EXT W&W/O CON RT,7679.0,,300.0,6911.1,56
CDM,25073221,MRI UPR EXT JNT W/O CON RT,6165.0,,300.0,5548.5,56
CDM,25073222,MRI UPR EXT JNT W/CON RT,6568.0,,349.0,5911.2,56
CDM,25073223,MRI UPR EXT JNT W&W/O RT,7808.0,,433.0,7027.2,56
CDM,25073718,MRI LWR EXT W/O CON RT,6355.0,,460.26,5719.5,56
CDM,25073719,MRI LWR EXT W/CON RT,5453.0,,300.0,4907.7,56
CDM,25073720,MRI LWR EXT W&W/O CON RT,7756.0,,300.0,6980.4,56
CDM,25073721,MRI LWR EXT JNT W/O CON RT,3677.0,,300.0,3309.3,56
CDM,25073722,MRI LWR EXT JNT W/CON RT,8654.0,,957.88,7788.6,56
CDM,25073723,MRI LWR EXT JNT W&W/O CON RT,8651.0,,736.24,7785.9,56
CDM,25073725,MRA LWR EXT W/W/O CON RT,5180.0,,298.4,4662.0,57
CDM,25074181,MRI ABDOMEN W/O CON,7850.0,,199.1,7065.0,68
CDM,25074182,MRI ABDOMEN W/CON,6350.0,,294.16,5715.0,68
CDM,25074183,MRI ABDOMEN W&W/O CON,4543.0,,294.16,4088.7,68
CDM,25074185,MRA ABDOMEN W/W/O CON,6225.0,,294.16,5602.5,68
CDM,25075557,MRI CARDIAC W/O CONTRAST,3740.0,,199.1,3366.0,68
CDM,25075561,MRI CARDIAC W&W/O CONTRAST,6002.0,,294.16,5401.8,68
CDM,25075565,MRI CARDIAC W/O CONTRAST QUANT,6779.0,,85.45,6101.1,55
CDM,25076377,MRI 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,25076390,MRI SPECTROSCOPY,3808.0,,72.52,3427.2,68
CDM,25076391,MR ELASTOGRAPHY,7850.0,,130.18,7065.0,68
CDM,25077046,MRI BREAST W/O CONTRAST UNILAT,5011.0,,460.26,4509.9,56
CDM,25077047,MRI BREAST W/O CONTRAST BILAT,7518.0,,199.1,6766.2,68
CDM,25077048,MRI BREAST W/O&W CONT UNILAT,6295.0,,294.16,5665.5,68
CDM,25077049,MRI BREAST BILAT W&W/O CON CAD,6343.0,,294.16,5708.7,68
CDM,25077058,MRI BRST UNI W&/ORW/O CON,6295.0,,294.16,5665.5,68
CDM,25077059,MRI BREAST BILAT W&/ORW/O CON,5827.0,,294.16,5244.3,68
CDM,25086000,MR ABDOMEN W/O CON-P STDY,3308.0,,439.83,2977.2,56
CDM,25086001,MR C-SPINE W/O CON-P STDY,3894.0,,460.26,3504.6,56
CDM,25086003,MRI BRAIN W/O CON-P STDY,3894.0,,300.0,3504.6,56
CDM,25086004,MR L-SPINE W/O CON-P STDY,4002.0,,300.0,3601.8,56
CDM,25086006,MR PELVIS W/O CON-P STDY,3461.0,,441.0,3114.9,56
CDM,25086007,MR UPR EXT NON JNT W/O-P STDY,2085.0,,417.0,1876.5,56
CDM,25086008,MR T-SPINE W/O CON-P STDY,3786.0,,300.0,3407.4,56
CDM,25086009,MR UPR EXT JNT W/O CON-P STDY,2276.0,,300.0,2048.4,56
CDM,25086010,MR BREAST W&/OR W/O CON-P STDY,1697.0,,736.24,1527.3,57
CDM,25086015,MR LWR EXT JNT W/O CON-P STDY,3677.0,,300.0,3309.3,56
CDM,25086016,MR LWR EXT NON JNT-P STDY,2153.0,,460.26,1937.7,56
CDM,25086100,MR ANGIO HEAD-P STDY,1789.0,,497.0,1610.1,56
CDM,25086101,MR ANGIO NECK-P STDY,3028.0,,472.0,2725.2,56
CDM,25099959,MRI GADOTERIODOL CONTRAST/ML,0.01,,0.005,1.79,55
CDM,25100049,US UNLSTD PROC,631.0,,72.52,567.9,68
CDM,25100621,US BUTTOCK,1310.0,,64.0,1179.0,68
CDM,25100623,US FLANK,831.0,,72.52,747.9,68
CDM,25100625,US SUPRAPUBIC,831.0,,72.52,747.9,68
CDM,25103998,VENOUS MAPPING WITHOUT DOPPLER,1492.0,,20.18,1342.8,68
CDM,25106442,US BREAST UNILAT LTD W/DOC RT,1005.0,,82.01,904.5,56
CDM,25106641,ULTRASOUND BREAST COMPLETE RT,1228.0,,99.32,1105.2,56
CDM,25106642,US BREAST UNILAT LTD W/DOC RT,1005.0,,82.01,904.5,56
CDM,25113930,DUPLEX SCAN UP EXT BIL,2010.0,,47.0,1809.0,68
CDM,25116506,ECHOENCEPHALOGRAM,1162.0,,108.0,1045.8,56
CDM,25116641,US BREAST UNILAT COMPLETE BIL,1841.0,,99.32,1656.9,56
CDM,25116642,US BREAST UNILAT LTD BILAT,1841.0,,82.01,1656.9,56
CDM,25116805,ECHO PREGNANT UTERUS COMPLETE,1577.0,,60.0,1419.3,68
CDM,25116815,US OB PREGNANCY LIMITED,935.0,,45.0,841.5,68
CDM,25143883,DUPLEX EXTRACRANIAL UNILAT LT,1257.0,,65.0,1131.3,56
CDM,25143927,DUPLEX SCAN LOW EXT LTD LT,1404.0,,31.0,1263.6,56
CDM,25143932,DUPLEX ARTERIAL UPR EXT UNI LT,1540.0,,9.0,1386.0,56
CDM,25143971,DUPLEX SCAN EXT VEINS LTD RT,1611.0,,56.0,1449.9,56
CDM,25143972,DUPLEX VENOUS EXT UNILAT LT,1611.0,,56.0,1449.9,56
CDM,25176377,US 3D RNDR REQ INDP WRKSTN,2085.0,,162.0,1876.5,55
CDM,25176536,US SOFT TISSUE HEAD/NECK,1267.0,,67.0,1140.3,68
CDM,25176604,US CHEST,949.0,,87.59,854.1,68
CDM,25176641,ULTRASOUND BREAST COMPLETE LT,1228.0,,99.32,1105.2,56
CDM,25176642,US BREAST UNILAT LTD W/DOC LT,1005.0,,82.01,904.5,56
CDM,25176700,US ABDOMEN CMPL,1082.0,,72.0,973.8,68
CDM,25176705,US ABDOMEN LTD,624.0,,54.0,561.6,68
CDM,25176706,US ABDL AORTA SCREEN AAA,890.0,,87.59,801.0,68
CDM,25176770,US RETROPERITIONEAL,1585.0,,87.59,1426.5,68
CDM,25176775,US RETROPERITONEAL LTD,757.0,,87.0,681.3,68
CDM,25176776,US KIDNEY TRANSPLANT W/DOPPLER,1527.0,,87.59,1374.3,68
CDM,25176801,US PREGNANCY <14 WEEKS SGL,1544.0,,60.0,1389.6,68
CDM,25176802,OB US,730.0,,365.0,657.0,55
CDM,25176810,"OB US >/= 14 WKS, ADDL FETUS",1244.0,,32.0,1119.6,55
CDM,25176817,US PREGNANCY TRANSVAGINAL,1007.0,,85.0,906.3,68
CDM,25176830,US TRANSVAGINAL,1126.0,,26.0,1013.4,68
CDM,25176856,US PELVIS NON OB,865.0,,87.59,778.5,68
CDM,25176857,US PELVIS NON-OB LTD,1310.0,,64.0,1179.0,68
CDM,25176870,US SCROTUM,1251.0,,87.59,1125.9,68
CDM,25176881,US EXTREMITY NON VASCULAR COMP,1688.0,,87.59,1519.2,68
CDM,25176882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,25176883,US NRV & ACC STRUX 1XTR COMPRE,1688.0,,87.59,1519.2,68
CDM,25176978,US TARGET DYN MICROBUBBLE 1ST,1228.0,,119.72,1105.2,68
CDM,25176979,US TRGT DYN MBUBB EA ADDL,1161.0,,122.27,1044.9,55
CDM,25176981,US ELASTOGRAPHY PARENCHYMA,1228.0,,87.59,1105.2,68
CDM,25176982,US ELASTOGRAPHY 1ST TARGET LES,1228.0,,87.59,1105.2,68
CDM,25176983,US ELAST EA ADDL TARGET LESION,962.0,,481.0,865.8,55
CDM,25191200,LIVER ELASTOGRAPHY VIBRATION,737.0,,29.14,663.3,68
CDM,25193880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,68
CDM,25193882,DUPLEX EXTRACRANIAL UNILAT RT,1257.0,,65.0,1131.3,56
CDM,25193922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,68
CDM,25193923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,68
CDM,25193924,DOPPLER ARTERY EXT W/STRESS,2387.0,,91.0,2148.3,68
CDM,25193925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,25193926,DUPLEX SCAN LOW EXT LTD RT,1404.0,,31.0,1263.6,56
CDM,25193931,DUPLEX ARTERIAL UPR EXT UNI RT,1540.0,,9.0,1386.0,56
CDM,25193970,DUPLEX VENOUS EXT BILAT,2291.0,,169.0,2061.9,68
CDM,25193971,DUPLEX VENOUS EXT UNILAT RT,1611.0,,56.0,1449.9,56
CDM,25193975,DUPLEX ABD/PEL/RETRO CMPL,2301.0,,199.1,2070.9,68
CDM,25193976,DUPLEX ABD/PEL/RETRO LTD,1300.0,,65.0,1170.0,67
CDM,25193978,DUPLEX AORTA/IVC/GRAFT CMPL,1424.0,,199.1,1281.6,68
CDM,25193979,DUPLEX AORTA/IVC/GRAFT LTD,1342.0,,87.59,1207.8,67
CDM,25193980,DUPLEX PENILE VESSELS CMPL,1570.0,,87.0,1413.0,67
CDM,25193985,DUP-SCAN HEMO COMPL BI STD,715.0,,146.14,643.5,67
CDM,25193986,DUP-SCAN HEMO COMPL UNI STD,345.0,,84.94,310.5,67
CDM,25193990,DUPLEX HEMODIALYSIS ACCESS,842.0,,42.0,757.8,68
CDM,25299401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,25313502,XR HIP UNILAT 2-3 VIEWS RT,508.0,,22.5,457.2,56
CDM,25313503,XR HIP UNILAT 4+ VIEWS RT,1034.0,,46.8,930.6,56
CDM,25313551,XR FEMUR 1 VIEW LT,489.0,,16.2,440.1,56
CDM,25313552,XR FEMUR MIN 2 VIEWS LT,530.0,,29.41,477.0,56
CDM,25323501,XR HIP LTD 1V LT,530.0,,17.67,477.0,56
CDM,25323551,XR FEMUR 1 VIEW RT,489.0,,16.2,440.1,56
CDM,25323552,XR FEMUR MIN 2 VIEWS RT,530.0,,29.41,477.0,56
CDM,25333501,XR HIP LTD 1V RT,530.0,,17.67,477.0,56
CDM,25333551,XR FEMUR 1 VIEW BILAT,734.0,,16.2,660.6,56
CDM,25333552,XR FEMUR MIN 2 VIEWS BILAT,1056.0,,29.41,950.4,56
CDM,25351600,INJ CYSTOGRAM,1129.0,,123.0,1016.1,55
CDM,25370100,MANDIBLE 1-3 VIEWS,654.0,,27.0,588.6,68
CDM,25370110,XR MANDIBLE MIN 4 VIEWS,878.0,,37.0,790.2,68
CDM,25370120,MASTOIDS 1-2 VIEWS/SIDE,433.0,,26.0,389.7,68
CDM,25370130,MASTOIDS MIN 3 VIEWS/SIDE,641.0,,22.0,576.9,68
CDM,25370134,INTERNAL AUDITORY MEATI,641.0,,43.0,1426.8,68
CDM,25370140,XR FACIAL BONES 1 OR 2 VIEWS,472.0,,11.0,424.8,68
CDM,25370150,XR FACIAL BONES MIN 3 VIEWS,736.0,,35.0,662.4,68
CDM,25370160,XR NASAL CMPL 3+V,760.0,,16.0,684.0,68
CDM,25370200,XR ORBITS MIN 4 VIEWS,786.0,,28.0,707.4,68
CDM,25370210,XR SINUSES <3V,560.0,,22.0,504.0,68
CDM,25370220,XR PARANASAL SINUS MIN 3 VWS,996.0,,37.0,896.4,68
CDM,25370250,XR SKULL 1-3 VIEWS,857.0,,28.0,771.3,68
CDM,25370260,XR SKULL MIN 4 VIEWS,1132.0,,45.0,1018.8,68
CDM,25370328,TEMPOROMANDIBLE JOINT UNI RT,516.0,,27.0,464.4,56
CDM,25370330,XR TEMPOROMANDIBLE JOINT BIL,596.0,,33.0,536.4,68
CDM,25370360,NECK SOFT TISSUE,649.0,,19.0,584.1,68
CDM,25370429,TEMPOROMANDIBLE JOINT UNI LT,516.0,,27.0,464.4,56
CDM,25371045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,68
CDM,25371046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,25371047,CHEST X-RAY 3 VIEWS,686.0,,72.52,617.4,68
CDM,25371048,CHEST X-RAY 4/+ VIEWS,698.0,,87.59,628.2,68
CDM,25371100,XR RIBS 2V UNI RT,742.0,,33.0,667.8,56
CDM,25371101,XR RIBS 2V UNI LT,742.0,,33.0,667.8,56
CDM,25371110,XR RIBS 3 VIEWS BILAT,918.0,,37.0,826.2,68
CDM,25371120,XR STERNUM 2+ VIEWS,739.0,,32.0,665.1,68
CDM,25371130,XR STERNOCLAVIC JT 3+VIEWS,739.0,,37.0,665.1,68
CDM,25372020,XR SPINE 1 VIEW ANY LEVEL,569.0,,16.0,512.1,68
CDM,25372040,XR C-SPINE 2 OR 3V,793.0,,33.0,713.7,68
CDM,25372043,XR T-L SPINE INCL SKLL 6+ VIEW,668.0,,73.39,601.2,68
CDM,25372050,XR C-SPINE 4 OR 5 VIEWS,1031.0,,52.0,927.9,68
CDM,25372052,XR C-SPINE 6 OR MORE VIEWS,1194.0,,59.0,1074.6,68
CDM,25372070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,68
CDM,25372072,XR THORACIC SPINE 3 VIEWS,949.0,,38.0,854.1,68
CDM,25372074,XR THORACIC SPINE 4+ VIEWS,767.0,,49.0,690.3,68
CDM,25372080,XR THORACOLUMBAR SPINE 2 VIEWS,976.0,,22.0,878.4,68
CDM,25372081,XR T-L SPINE INCL SKULL 1 VIEW,668.0,,72.52,601.2,68
CDM,25372082,XR T-L SPINE 2 OR 3 VIEWS,721.0,,56.48,648.9,68
CDM,25372083,XR T-L SPINE 4 OR 5 VIEWS,656.0,,24.57,590.4,68
CDM,25372100,XR LUMBAR SPINE 2 OR 3 VIEWS,930.0,,38.0,837.0,68
CDM,25372110,XR LUMBAR SPINE 4+ VIEWS,1246.0,,52.0,1121.4,68
CDM,25372114,XR L-SPINE CMPL W/BENDING V,1318.0,,82.0,1186.2,68
CDM,25372120,XR L-SPINE BENDING ONLY 2/3,1060.0,,63.0,954.0,68
CDM,25372170,XR PELVIS 1-2V,695.0,,27.0,625.5,68
CDM,25372190,PELVIS MIN 3 VIEWS,861.0,,44.0,774.9,68
CDM,25372200,XR SACROILI JT,462.0,,41.0,415.8,68
CDM,25372202,XR SACROILIAC JT 3+V,759.0,,43.0,683.1,68
CDM,25372220,XR SACRUM/COCCYX 2+V,732.0,,31.0,658.8,68
CDM,25373000,CLAVICAL COMP RT,704.0,,21.0,633.6,56
CDM,25373001,CLAVICAL COMP LT,704.0,,21.0,633.6,56
CDM,25373002,CLAVICAL COMP BIL,1168.0,,21.0,1051.2,56
CDM,25373010,SCAPULA COMP RT,737.0,,29.0,663.3,56
CDM,25373011,SCAPULA COMP LT,737.0,,29.0,663.3,56
CDM,25373012,SCAPULA COMP BIL,1288.0,,29.0,1159.2,56
CDM,25373020,SHOULDER 1 VIEW RT,642.0,,21.0,577.8,56
CDM,25373021,XR SHOULDER 1 VIEW LT,642.0,,21.0,577.8,56
CDM,25373022,SHOULDER 1 VIEW BIL,1190.0,,21.0,1071.0,56
CDM,25373030,XR SHOULDER CMPL 2+V RT,783.0,,30.0,704.7,56
CDM,25373031,XR SHOULDER CMPL 2+V LT,783.0,,30.0,704.7,56
CDM,25373032,XR SHOULDER CMPL 2+V BILAT,1358.0,,30.0,1222.2,56
CDM,25373040,XR ARTHROGRAM SHOULDER,932.0,,127.0,929.34,68
CDM,25373050,ACRO-CLAV JOINTS-BIL,680.0,,29.0,612.0,68
CDM,25373060,XR HUMERUS 2+V RT,654.0,,30.0,588.6,56
CDM,25373061,XR HUMERUS 2+V LT,654.0,,30.0,588.6,56
CDM,25373062,XR HUMERUS 2+V BILAT,1202.0,,30.0,1081.8,56
CDM,25373070,XR ELBOW 2V RT,592.0,,29.0,532.8,56
CDM,25373071,XR ELBOW 2V LT,592.0,,29.0,532.8,56
CDM,25373072,XR ELBOW 2V BILAT,889.0,,29.0,800.1,56
CDM,25373080,XR ELBOW CMPL 3+V RT,670.0,,32.0,603.0,56
CDM,25373081,XR ELBOW CMPL 3+V LT,670.0,,32.0,603.0,56
CDM,25373082,XR ELBOW CMPL 3+V BILAT,1005.0,,32.0,904.5,56
CDM,25373090,XR FOREARM 2V RT,691.0,,29.0,621.9,56
CDM,25373092,XR UPR EXT INFANT 2+V RT,438.0,,23.0,394.2,56
CDM,25373093,XR UPR EXT INFANT 2+V LT,438.0,,23.0,394.2,56
CDM,25373094,XR UPR EXT INFANT 2+V BILAT,656.0,,23.0,590.4,56
CDM,25373100,XR WRIST 2V RT,542.0,,21.0,487.8,56
CDM,25373101,XR WRIST 2V LT,586.0,,21.0,527.4,56
CDM,25373102,XR WRIST 2V BILAT,1157.0,,21.0,1041.3,56
CDM,25373110,XR WRIST CMPL 3+V RT,723.0,,31.0,650.7,56
CDM,25373111,XR WRIST CMPL 3+V LT,723.0,,31.0,650.7,56
CDM,25373112,XR WRIST CMPL3+V BI,1003.0,,31.0,902.7,56
CDM,25373115,XR ARTHROGRAM WRIST,697.0,,112.0,929.34,68
CDM,25373120,HAND 2 VIEWS RT,684.0,,18.0,615.6,56
CDM,25373121,HAND 2 VIEWS LT,684.0,,18.0,615.6,56
CDM,25373122,HAND 2 VIEWS BIL,1029.0,,18.0,926.1,56
CDM,25373130,XR HAND CMPL 3+V RT,739.0,,27.0,665.1,56
CDM,25373131,XR HAND CMPL 3+V LT,739.0,,27.0,665.1,56
CDM,25373132,XR HAND CMPL 3V BI,1192.0,,27.0,1072.8,56
CDM,25373140,XR FINGER(S) 2+V RT,532.0,,18.0,478.8,56
CDM,25373191,XR FOREARM 2V LT,691.0,,29.0,621.9,56
CDM,25373192,XR FOREARM 2V BILAT,1034.0,,29.0,930.6,56
CDM,25373241,XR FINGER(S) 2+V LT,532.0,,18.0,478.8,56
CDM,25373502,XR HIP UNILAT 2-3 VIEWS LT,508.0,,22.5,457.2,56
CDM,25373503,XR HIP UNILAT 4+ VIEWS LT,1034.0,,46.8,930.6,56
CDM,25373521,XR HIP BILAT W/PELVIS 2 VIEWS,862.0,,35.91,775.8,68
CDM,25373522,XR HIP BILAT W/PELVIS 3-4 VIEW,1459.0,,44.35,1313.1,68
CDM,25373523,XR HIP BILAT W/PELVIS 5+ VIEWS,1459.0,,51.41,1313.1,68
CDM,25373525,XR ARTHROGRAM HIP RT,1122.0,,107.0,1009.8,56
CDM,25373560,XR KNEE 1-2V RT,680.0,,24.0,612.0,56
CDM,25373562,XR KNEE 3V RT,757.0,,27.0,681.3,56
CDM,25373564,XR KNEE CMPL 4+V RT,811.0,,40.0,729.9,56
CDM,25373565,XR KNEE STAND BOTH KNEES,720.0,,56.0,648.0,68
CDM,25373590,XR TIBIA/FIBULA 2V RT,730.0,,30.0,657.0,56
CDM,25373592,LOWER EXT INFANT MIN 2 VWS RT,168.0,,21.0,229.12,56
CDM,25373600,XR ANKLE 2V RT,560.0,,26.0,504.0,56
CDM,25373601,XR ANKLE 2V LT,560.0,,26.0,504.0,56
CDM,25373602,XR ANKLE 2V BILAT,1018.0,,26.0,916.2,56
CDM,25373610,XR ANKLE 3+V RT,667.0,,34.0,600.3,56
CDM,25373611,XR ANKLE 3+V LT,667.0,,34.0,600.3,56
CDM,25373612,XR ANKLE 3+V BILAT,1000.0,,34.0,900.0,56
CDM,25373620,XR FOOT 2V RT,648.0,,18.0,583.2,56
CDM,25373621,XR FOOT 2V LT,648.0,,18.0,583.2,56
CDM,25373622,XR FOOT 2V BILAT,974.0,,18.0,876.6,56
CDM,25373626,XR ARTHROGRAM HIP LT,1122.0,,107.0,1009.8,56
CDM,25373630,XR FOOT CMPL 3+V RT,793.0,,34.0,713.7,56
CDM,25373631,XR FOOT CMPL 3+V LT,793.0,,34.0,713.7,56
CDM,25373632,XR FOOT CMPL 3+V BILAT,1268.0,,34.0,1141.2,56
CDM,25373650,XR CALCANEUS 2+V RT,590.0,,25.0,531.0,56
CDM,25373651,XR CALCANEUS 2+V LT,590.0,,25.0,531.0,56
CDM,25373652,XR CALCANEUS 2+V BILAT,965.0,,25.0,868.5,56
CDM,25373660,XR TOE(S) 2+V RT,499.0,,17.0,449.1,56
CDM,25373661,XR KNEE 1-2V LT,680.0,,24.0,612.0,56
CDM,25373662,XR KNEE 1-2V BILAT,1085.0,,24.0,976.5,56
CDM,25373663,XR KNEE 3V LT,757.0,,27.0,681.3,56
CDM,25373664,XR KNEE 3V BILAT,1358.0,,27.0,1222.2,56
CDM,25373665,XR KNEE CMPL 4+V LT,811.0,,40.0,729.9,56
CDM,25373666,XR KNEE CMPL 4+V BILAT,1482.0,,40.0,1333.8,56
CDM,25373691,XR TIBIA/FIBULA 2V LT,730.0,,30.0,657.0,56
CDM,25373692,XR TIBIA/FIBULA 2V BILAT,1089.0,,30.0,980.1,56
CDM,25373693,LOWER EXT INFANT MIN 2 VWS LT,168.0,,21.0,229.12,56
CDM,25373694,LOWER EXT INFANT MIN 2 VWS BIL,330.0,,21.0,297.0,56
CDM,25373761,XR TOE(S) 2+V LT,499.0,,17.0,449.1,56
CDM,25374018,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,68
CDM,25374019,X-RAY EXAM ABDOMEN 2 VIEWS,935.0,,20.71,841.5,68
CDM,25374021,X-RAY EXAM ABDOMEN 3+ VIEWS,1107.0,,14.76,996.3,68
CDM,25374022,XR ABDOMEN AP/DECUB/ERECT/CXR,1108.0,,49.0,997.2,68
CDM,25374048,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,68
CDM,25374220,XR ESOPHAGUS,1151.0,,52.0,1035.9,68
CDM,25374230,XR SWALLOW CINE/VIDEO,1162.0,,24.0,1045.8,68
CDM,25374240,XR UGI W/O KUB,1511.0,,57.0,1359.9,68
CDM,25374246,XR UGI W/AIR W/O KUB,1936.0,,78.0,1742.4,68
CDM,25374248,X-RAY SM INT F-THRU STD,2053.0,,1026.5,1847.7,55
CDM,25374250,XR SMALL INTESTINE,1591.0,,57.0,1431.9,68
CDM,25374270,XR ENEMA BARIUM,1726.0,,57.0,1553.4,68
CDM,25374280,XR ENEMA BARIUM W/AIR,1944.0,,72.0,1749.6,68
CDM,25374400,XR UROGRAM (IVP),1573.0,,79.0,1415.7,68
CDM,25374415,XR UROGRAM W/NEPHROTOMOGRAM,1741.0,,112.0,1566.9,68
CDM,25374420,XR UROGRAM RETROGRADE,1728.0,,56.0,1555.2,68
CDM,25376080,XR ABSC SINUS/FISTULA,968.0,,10.0,1426.8,68
CDM,25377072,XR BONE AGE STUDIES,478.0,,34.0,430.2,68
CDM,25377073,BONE LENGTH STUDY,719.0,,54.5,647.1,68
CDM,25377074,XR BONE SURVEY LTD,713.0,,87.5,641.7,68
CDM,25377075,XR BONE SURVEY COMPLETE,1792.0,,87.59,1612.8,68
CDM,25377080,XR BONE DENSITY AXIAL,827.0,,87.59,744.3,68
CDM,25410530,NEB BRONCHODILATOR TRTMT 01,269.0,,29.0,250.39,68
CDM,25410606,PULSE OXIMETRY/DAY-INPATIENT,472.0,,128.87,424.8,68
CDM,25410701,CIRCUMCISION CCN,231.0,,115.5,207.9,56
CDM,25417210,KIT MORIA ROP EXAM DISP,109.0,,54.5,98.1,56
CDM,25462270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,25495700,EEG CONT REC W/VID EEG TECH,2922.0,,128.87,2629.8,68
CDM,25495705,EEG W/O VID 2-12 HR UNMNTR,2922.0,,256.5,2629.8,68
CDM,25495706,EEG W/O VID 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,68
CDM,25495707,EEG W/O VID 2-12 HR CONT MNTR,2922.0,,256.5,2629.8,68
CDM,25495708,EEG W/O VID EA 12-26 HR UNMNTR,2922.0,,437.05,2629.8,68
CDM,25495709,EEG W/O VID EA 12-26 HR INTMT,2922.0,,437.05,2629.8,68
CDM,25495710,EEG W/O VID EA 12-26 HR CONT,2922.0,,437.05,2629.8,68
CDM,25495711,VEEG 2-12 HR UNMONITORED,2922.0,,256.5,2629.8,68
CDM,25495712,VEEG 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,68
CDM,25495713,VEEG 2-12 HR CONT MNTR,2922.0,,437.05,2629.8,68
CDM,25495714,VEEG 12-26 HR UNMNTR,2922.0,,437.05,2629.8,68
CDM,25495715,VEEG 12-26 HR INTMT MNTR,2922.0,,437.05,2629.8,68
CDM,25495716,VEEG EA 12-26 HR CONT MNTR,2922.0,,838.0,2629.8,68
CDM,25495717,EEG PHYS/QHP 2-12 HR W/O VID,2922.0,,1461.0,2629.8,56
CDM,25495718,EEG PHYS/QHP 2-12 HR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,25495719,EEG PHYS/QHP EA INCR W/O VID,2922.0,,1461.0,2629.8,56
CDM,25495720,EEG PHYS/QHP EA INCR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,25495721,EEG PHYS/QHP>26,2922.0,,1461.0,2629.8,56
CDM,25495722,EEG PHYS/QHP>36,2922.0,,1461.0,2629.8,56
CDM,25495723,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,56
CDM,25495724,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,56
CDM,25495725,EEG PHYS/QHP>84HR W/O VID,2922.0,,1461.0,2629.8,56
CDM,25495726,EEG PHYS/QHP>84HR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,25499465,NEWBORN RESUSCITATION,2151.0,,539.0,1935.9,68
CDM,25500426,AMBUL ALS LEVEL I NON-EMERG,900.0,,297.58,810.0,57
CDM,25500428,AMBUL BLS NON-EMERGENCY,788.0,,242.73,709.2,57
CDM,25501000,FIXED WING BASE CHARGE-NON UAB,8255.0,,4127.5,7429.5,57
CDM,25503051,FIXED WING LOADED MILE-NON UAB,66.0,,14.27,59.4,57
CDM,25511000,MISS BASE FIXED WING,5959.0,,2979.5,5363.1,57
CDM,25513051,JET ICU LOADED PT MILAGE,97.0,,14.27,87.3,57
CDM,25513057,GROUND ICU LOADED PT MILAGE,39.0,,8.33,35.1,57
CDM,25513061,SCT BASIC GROUND AIRPORT,2158.0,,703.47,1942.2,57
CDM,25513067,"OXYGEN, 1 HR, GROUND AMBULANCE",146.0,,73.0,848.34,57
CDM,25513068,"OXYGEN, 1 HR, AIRCRAFT",146.0,,45.74,131.4,57
CDM,25521000,BC 3RD PARTY FIXED WING BASE,7002.0,,3501.0,6301.8,57
CDM,25523051,MISS FIXED WING LOADED MILAGE,24.0,,12.0,21.6,57
CDM,25533051,BC 3RD PARTY FIX LOADED MILAGE,50.0,,14.27,45.0,57
CDM,25536822,INSERTION CANNULA(S) ECMO,20681.0,,8272.4,18612.9,56
CDM,25541000,BASIC CHARGE-1-FIXED WING ICU,13481.0,,5024.36,12132.9,57
CDM,25541004,BASIC CHARGE-1-MOBILE ICU,9885.0,,703.47,8896.5,57
CDM,25541050,HELICOPTER LOADED PATIENT MILE,181.0,,38.04,162.9,57
CDM,25541051,ROTOR WING BASE CHARGE,17472.0,,5584.54,15724.8,57
CDM,25800001,WORKERS COMP DRUG SCREEN ONLY,0.01,,0.005,0.009,56
CDM,25800621,US BUTTOCK,1310.0,,64.0,1179.0,68
CDM,25800626,SURGICEL,178.0,,89.0,160.2,56
CDM,25800776,INJ IV PUSH SEQ SAME DRUG,383.0,,17.71,344.7,57
CDM,25802065,INJECT IV PUSH SEQ NEW DRUG,399.0,,38.01,359.1,68
CDM,25806642,US BREAST UNILAT LTD W/DOC,1005.0,,72.52,904.5,68
CDM,25810006,ER LVL 3 VISIT INTERMED W/MOD,1182.0,,250.0,1063.8,56
CDM,25810111,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,25810113,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,25810115,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,25810116,INJECTION IV PUSH,540.0,,173.54,486.0,68
CDM,25810119,PULSE OXIMETRY MULTIPLE,350.0,,3.47,315.0,57
CDM,25810120,FOLEY CATH INSERT SIMPLE,388.0,,106.17,349.2,68
CDM,25810122,IV INFS HYDRAT INIT 31-60 MIN,778.0,,173.54,700.2,68
CDM,25810123,IV HYDRAT EA ADDL HR,373.0,,38.01,335.7,68
CDM,25810124,IV INFUSION ADD'L SEQUENT 1 HR,476.0,,58.62,428.4,68
CDM,25810125,IV INFUSION CONCURRENT,497.0,,248.5,447.3,56
CDM,25810126,PROCEDURE LEVEL I,1037.0,,250.0,933.3,56
CDM,25810127,PROCEDURE LEVEL II,1557.0,,250.0,1401.3,56
CDM,25810128,PROCEDURE LEVEL III,2462.0,,250.0,2215.8,56
CDM,25810129,PROCEDURE LEVEL IV,3372.0,,250.0,3034.8,56
CDM,25810130,PROCEDURE LEVEL V,4409.0,,250.0,3968.1,56
CDM,25810131,PROCEDURE LEVEL VI,7001.0,,250.0,6300.9,56
CDM,25810132,PROCEDURE PRICE OVERRIDE,0.01,,0.005,250.0,56
CDM,25810396,ALCOH/SUB INTERV 15-30 MIN,71.0,,24.54,250.0,68
CDM,25810397,ALCOH/SUB INTERV > 30 MIN,396.0,,132.34,356.4,68
CDM,25811960,PAD DEFIB LIFEPAK ADULT,112.0,,56.0,100.8,56
CDM,25816020,DRESS/DEB BURN <5% TOTAL SM,561.0,,163.67,504.9,68
CDM,25816025,DRESS/DEB BURN 5-10% TOTAL MED,767.0,,163.67,690.3,68
CDM,25816815,US OB PREGNANCY LIMITED,935.0,,45.0,841.5,68
CDM,25816942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,25820004,ER L1 VST BRIEF,580.0,,72.52,522.0,68
CDM,25820005,ER L2 VST LIMITED,669.0,,130.44,602.1,68
CDM,25820006,ER L3 VST INTERM,1182.0,,228.07,1063.8,68
CDM,25820007,ER L4 VST EXTENDED,1833.0,,250.0,1649.7,68
CDM,25820008,ER L5 VST COMPREH,2837.0,,250.0,2553.3,68
CDM,25820020,ER LVL 6 VISIT CRITICAL 30-74,3766.0,,250.0,3389.4,68
CDM,25820035,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,25820036,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,25820045,NG TUBE WITH LAVAGE,866.0,,250.0,779.4,68
CDM,25820721,ARTERIAL PUNCTURE,232.0,,106.17,250.0,68
CDM,25830015,ADHESIVE TISSUE HISTOACRYL,94.0,,47.0,84.6,56
CDM,25830017,KIT ARTERIAL LINE,62.0,,31.0,55.8,56
CDM,25830018,"ARTERIAL PUNCTURE,DIAGNOSTIC",232.0,,106.17,250.0,68
CDM,25830019,BLOOD WARMER  RAPID INFUSIO,159.0,,79.5,143.1,56
CDM,25830023,CAST SHOE,154.0,,77.0,138.6,56
CDM,25830035,SPLINT ANKLE PNEUMATIC AIRCAST,87.0,,43.5,78.3,61
CDM,25830037,"CERVICAL COLLAR, PHILADELPHIA",256.0,,128.0,230.4,61
CDM,25830041,SPLNT WRIST EXT COCK-UP PREFAB,34.0,,17.0,44.14,61
CDM,25830042,ER CRITICAL CARE ADDL 30 MIN,1318.0,,250.0,1186.2,56
CDM,25830218,KNEE IMMOBILIZER,310.0,,96.68,279.0,61
CDM,25830223,SHLDR IMMOBILIZER SLING/SWATH,228.0,,114.0,205.2,56
CDM,25830228,AUTOTRANSFUSION KIT,372.0,,186.0,334.8,56
CDM,25836430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,25839569,DRSG MEPILEX 6X8,114.0,,20.34,102.6,56
CDM,25840015,CATHETER/STRAIGHT SUPPLY,46.0,,23.0,41.4,56
CDM,25840202,CATH FOLEY BARDEX SIL TRAY,508.0,,254.0,457.2,56
CDM,25846014,NASAL PACKING,452.0,,226.0,406.8,56
CDM,25846015,DSG PCKNG SINUS MEROCEL,114.0,,57.0,102.6,56
CDM,25846017,MORGAN LENS IRRIGATION SUPPLY,537.0,,268.5,483.3,56
CDM,25846031,SUPPLY-LUMBAR PUNCTURE,1110.0,,555.0,999.0,56
CDM,25846037,SUPPLY-PERICARDIOCENTESIS,3038.0,,1519.0,2734.2,56
CDM,25846038,SUPPLY-PERITONEAL,890.0,,445.0,801.0,56
CDM,25846041,SUPPLY-THORACENTESIS,831.0,,415.5,747.9,56
CDM,25846049,SUPPLY-THORACOTOMY,295.0,,147.5,265.5,56
CDM,25846051,PAD GEL ARCTIC SUN MED/LG,3780.0,,1890.0,3402.0,56
CDM,25846052,SUTURE,42.0,,21.0,37.8,56
CDM,25846100,IV MED INITIAL HR 1ST SITE,786.0,,173.54,707.4,68
CDM,25846101,IV MED EA ADD'L HR,416.0,,25.0,374.4,68
CDM,25846106,IV MED INIT HR 2ND SITE,786.0,,250.0,707.4,56
CDM,25846705,ECHO ABDOMEN LTD,624.0,,54.0,561.6,68
CDM,25851705,CHG TUBE CYSTOSTOMY SMP,1019.0,,200.33,917.1,68
CDM,25851710,CHANGE TUBE CYSTOSTOMY CPLX,3048.0,,250.0,2743.2,68
CDM,25869209,CERUMEN REMOVAL BY IRRIGATION,908.0,,48.93,817.2,68
CDM,25870373,TRAUMA ACTIVATION,20561.0,,10280.5,18504.9,56
CDM,25870374,TRAUMA ACTIVATE W/CRITICAL CR,20561.0,,1089.86,18504.9,68
CDM,25876511,US EYE QUANTITATIVE A-SCAN,731.0,,87.59,657.9,68
CDM,25876512,US EYE B-SCAN,712.0,,83.0,640.8,68
CDM,25876536,US SOFT TISSUE HEAD/NECK,1267.0,,67.0,1140.3,68
CDM,25876640,US CHEST,949.0,,87.59,854.1,68
CDM,25876775,US RETROPERITONEAL LTD,757.0,,87.0,681.3,68
CDM,25876882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,25876937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,25880013,OBSERV PER HR - UED,80.0,,40.0,2436.0,57
CDM,25890003,ROOM & BED CHARGE UED,2117.0,,1058.5,7500.0,38
CDM,25890180,OBSERV PER HR - UED,80.0,,40.0,2436.0,57
CDM,25890225,POD/PELVIC ORTHO DEVICE,623.0,,311.5,560.7,56
CDM,25890226,BLADDER IRRIGATION(NURSE),884.0,,200.33,795.6,68
CDM,25890227,FOLEY CATH INSERT COMPLEX,721.0,,128.87,648.9,68
CDM,25890228,NEBULIZER TREATMENT INITIAL,279.0,,139.5,251.1,68
CDM,25890230,OCCULT BLD FECE QL OTHER SGL,82.0,,3.89,73.8,68
CDM,25890231,OCCULT BLOOD QL OTHER SOURCES,110.0,,4.89,99.0,68
CDM,25890236,L & D PACK,322.0,,161.0,289.8,56
CDM,25890246,"CATHETER INSERTION, STRAIGHT",195.0,,8.36,175.5,68
CDM,25890248,CRICO TRAY,736.0,,368.0,662.4,56
CDM,25890472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,25890791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,25890792,PSYCH DIAG EVAL W/MED SERVICE,698.0,,132.34,628.2,68
CDM,25893308,ECHO 2D W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,25899401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,25900001,WORKERS COMP DRUG SCREEN ONLY,0.01,,0.005,0.009,56
CDM,25900621,US BUTTOCK,1310.0,,64.0,1179.0,68
CDM,25900626,SURGICEL,178.0,,89.0,160.2,56
CDM,25900776,INJ IV PUSH SEQ SAME DRUG,383.0,,17.71,344.7,57
CDM,25902065,INJECT IV PUSH SEQ NEW DRUG,399.0,,199.5,359.1,56
CDM,25906642,US BREAST UNILAT LTD W/DOC,1005.0,,72.52,904.5,68
CDM,25910006,ER LVL 3 VISIT INTERMED W/MOD,1182.0,,250.0,1063.8,56
CDM,25910111,VENIPUNCTURE,46.0,,3.15,41.4,56
CDM,25910113,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,56
CDM,25910115,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,56
CDM,25910116,INJECTION IV PUSH,540.0,,250.0,486.0,56
CDM,25910119,PULSE OXIMETRY MULTIPLE,350.0,,3.47,315.0,57
CDM,25910120,FOLEY CATH INSERT SIMPLE,388.0,,194.0,349.2,56
CDM,25910122,IV INFS HYDRAT INIT 31-60 MIN,778.0,,250.0,700.2,56
CDM,25910123,IV HYDRAT EA ADDL HR,373.0,,186.5,335.7,56
CDM,25910124,IV INFUSION ADD'L SEQUENT 1 HR,476.0,,238.0,428.4,56
CDM,25910125,IV INFUSION CONCURRENT,497.0,,248.5,447.3,56
CDM,25910126,PROCEDURE LEVEL I,1037.0,,250.0,933.3,56
CDM,25910127,PROCEDURE LEVEL II,1557.0,,250.0,1401.3,56
CDM,25910128,PROCEDURE LEVEL III,2462.0,,250.0,2215.8,56
CDM,25910129,PROCEDURE LEVEL IV,3372.0,,250.0,3034.8,56
CDM,25910130,PROCEDURE LEVEL V,4409.0,,250.0,3968.1,56
CDM,25910131,PROCEDURE LEVEL VI,7001.0,,250.0,6300.9,56
CDM,25910132,PROCEDURE PRICE OVERRIDE,0.01,,0.005,250.0,56
CDM,25910397,ALCOH/SUB INTERV > 30 MIN,396.0,,132.34,356.4,68
CDM,25911960,PAD DEFIB LIFEPAK ADULT,112.0,,56.0,100.8,56
CDM,25916020,DRESS/DEB BURN,561.0,,224.4,504.9,56
CDM,25916025,DRESS/DEB BURN 5-10% TOTAL MED,767.0,,306.8,690.3,56
CDM,25916815,US OB PREGNANCY LIMITED,935.0,,45.0,841.5,68
CDM,25916942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,25920004,ER L1 VST BRIEF,580.0,,250.0,522.0,56
CDM,25920005,ER L2 VST LIMITED,669.0,,250.0,602.1,56
CDM,25920006,ER L3 VST INTERM,1182.0,,250.0,1063.8,56
CDM,25920007,ER L4 VST EXTENDED,1833.0,,250.0,1649.7,56
CDM,25920008,ER L5 VST COMPREH,2837.0,,250.0,2553.3,56
CDM,25920020,ER LVL 6 VISIT CRITICAL 30-74,3766.0,,250.0,3389.4,56
CDM,25920035,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,56
CDM,25920045,NG TUBE WITH LAVAGE,866.0,,250.0,779.4,56
CDM,25928750,DRSG MEPILEX 8X20,253.0,,20.34,227.7,56
CDM,25930015,ADHESIVE TISSUE HISTOACRYL,94.0,,47.0,84.6,56
CDM,25930017,KIT ARTERIAL LINE,62.0,,31.0,55.8,56
CDM,25930018,"ARTERIAL PUNCTURE,DIAGNOSTIC",232.0,,116.0,250.0,56
CDM,25930019,BLOOD WARMER  RAPID INFUSIO,159.0,,79.5,143.1,56
CDM,25930023,CAST SHOE,154.0,,77.0,138.6,56
CDM,25930035,SPLINT ANKLE PNEUMATIC AIRCAST,87.0,,43.5,78.3,61
CDM,25930037,"CERVICAL COLLAR, PHILADELPHIA",256.0,,128.0,230.4,61
CDM,25930041,SPLNT WRIST EXT COCK-UP PREFAB,34.0,,17.0,44.14,61
CDM,25930042,ER CRITICAL CARE ADDL 30 MIN,1318.0,,250.0,1186.2,56
CDM,25930218,KNEE IMMOBILIZER,310.0,,96.68,279.0,61
CDM,25930223,SHLDR IMMOBILIZER SLING/SWATH,228.0,,114.0,205.2,56
CDM,25936430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,25939569,DRSG MEPILEX 6X8,114.0,,20.34,102.6,56
CDM,25940015,CATHETER/STRAIGHT SUPPLY,46.0,,23.0,41.4,56
CDM,25940202,CATH FOLEY BARDEX SIL TRAY,508.0,,254.0,457.2,56
CDM,25940210,STIENMAN PIN TRAY,790.0,,22.5,711.0,57
CDM,25946014,NASAL PACKING,452.0,,226.0,406.8,56
CDM,25946015,DSG PCKNG SINUS MEROCEL,114.0,,57.0,102.6,56
CDM,25946017,MORGAN LENS IRRIGATION SUPPLY,537.0,,268.5,483.3,56
CDM,25946031,SUPPLY-LUMBAR PUNCTURE,1110.0,,555.0,999.0,56
CDM,25946038,SUPPLY-PERITONEAL,890.0,,445.0,801.0,56
CDM,25946041,SUPPLY-THORACENTESIS,831.0,,415.5,747.9,56
CDM,25946049,SUPPLY-THORACOTOMY,295.0,,147.5,265.5,56
CDM,25946052,SUTURE,42.0,,21.0,37.8,56
CDM,25946100,IV MED INITIAL HR 1ST SITE,786.0,,250.0,707.4,56
CDM,25946101,IV MED EA ADD'L HR 1ST SITE,416.0,,208.0,374.4,56
CDM,25946106,IV MED INIT HR 2ND SITE,786.0,,250.0,707.4,56
CDM,25946705,ECHO ABDOMEN LTD,624.0,,54.0,561.6,68
CDM,25951705,CHG TUBE CYSTOSTOMY SMP,1019.0,,250.0,917.1,56
CDM,25951710,CHANGE TUBE CYSTOSTOMY CPLX,3048.0,,250.0,2743.2,56
CDM,25969209,CERUMEN REMOVAL BY IRRIGATION,908.0,,250.0,817.2,56
CDM,25970373,TRAUMA ACTIVATION,20561.0,,10280.5,18504.9,56
CDM,25970374,TRAUMA ACTIVATE W/CRITICAL CR,20561.0,,3134.9,18504.9,57
CDM,25976511,US EYE QUANTITATIVE A-SCAN,731.0,,87.59,657.9,68
CDM,25976512,US EYE B-SCAN,712.0,,83.0,640.8,68
CDM,25976536,US SOFT TISSUE HEAD/NECK,1267.0,,67.0,1140.3,68
CDM,25976640,US CHEST,949.0,,87.59,854.1,68
CDM,25976775,US RETROPERITONEAL LTD,757.0,,87.0,681.3,68
CDM,25976882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,25976937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,25990225,POD/PELVIC ORTHO DEVICE,623.0,,311.5,560.7,56
CDM,25990226,BLADDER IRRIGATION(NURSE),884.0,,250.0,795.6,56
CDM,25990227,FOLEY CATH INSERT COMPLEX,721.0,,250.0,648.9,56
CDM,25990228,NEBULIZER TREATMENT INITIAL,279.0,,29.0,251.1,56
CDM,25990230,OCCULT BLD FECE QL OTHER SGL,82.0,,4.77,73.8,56
CDM,25990231,OCCULT BLOOD QL OTHER SOURCES,110.0,,7.98,99.0,56
CDM,25990236,L & D PACK,322.0,,161.0,289.8,56
CDM,25990246,"CATHETER INSERTION, STRAIGHT",195.0,,19.68,175.5,56
CDM,25990248,CRICO TRAY,736.0,,368.0,662.4,56
CDM,25990472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,25990791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,25990792,PSYCH DIAG EVAL W/MED SERVICE,698.0,,132.34,628.2,68
CDM,25993308,ECHO 2D W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,25999401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,26010001,FETAL NON-STRESS TEST,292.0,,67.0,262.8,68
CDM,26011320,FETAL BIO PROFILE W/O NST,1304.0,,87.59,1173.6,68
CDM,26011322,AMNIOCENTESIS,510.0,,255.0,1071.91,68
CDM,26012005,FETAL CONTRACTION STRESS TEST,900.0,,84.0,810.0,68
CDM,26012020,US PREG > 14 WKS SGL /1ST GEST,1230.0,,60.0,1107.0,68
CDM,26076818,FETAL BIOPHYSICAL PF W/NST,1475.0,,55.0,1327.5,68
CDM,26100010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,26100022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,26100200,BIOPSY RENAL PERC NDL/TROCR LT,3064.0,,1225.6,2757.6,56
CDM,26100216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,26100217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,26100218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,26100282,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,68
CDM,26100292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,26100293,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,26100300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,26100307,GLUCAGON VL 1MG,636.65,,167.85,572.99,68
CDM,26100310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,26100318,ONDANSETRON INJ 1MG,2.0,,0.09,6.0,56
CDM,26100426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,26100433,FILGRASTIM INJ 1MCG,2.4,,0.92,2.16,68
CDM,26100543,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,55
CDM,26100902,NM SESTAMIBI PER DOSE,123.0,,61.5,549.71,56
CDM,26101112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,26103014,TELEHEALTH FACILITY FEE-UDV,78.0,,10.66,70.2,57
CDM,26109287,DARBEPOETIN 1MCG ESRD,19.2,,2.7,17.28,68
CDM,26110060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,26110140,HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,26110160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,26110200,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,56
CDM,26111351,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,26111447,TBO-FILGRASTIM INJ 1MCG,2.0,,0.2576,1.8,68
CDM,26136569,INS CATH PERIPH CV W/O PORT >5,3258.0,,1279.53,2932.2,68
CDM,26136575,RPR CATH CV W/O PORT/PUMP,2852.0,,509.25,2566.8,68
CDM,26136589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,26136590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,26145101,FILGRASTIM INJ 1MCG,2.5,,0.4232,2.25,68
CDM,26150200,BX RENAL NEEDLE PERC,2905.0,,1162.0,2614.5,68
CDM,26150431,INJ ANTEGRADE NEPH/URET COMP,2643.0,,549.78,2378.7,68
CDM,26151701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,26151702,CATH BLADDER (FOLEY) SIMPLE,304.0,,106.17,273.6,68
CDM,26151798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,26162270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,26176942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,26180026,VISIT LIVE DONOR F-UP W/PROC,169.0,,84.5,152.1,54
CDM,26180036,INJECTION IV PUSH,540.0,,173.54,486.0,68
CDM,26180048,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,26180061,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,26180067,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,26182947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,26183036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,26187804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,26190471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,26190472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,26190620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,26190632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,26190653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,26190656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,26190662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,26190670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,26190677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,26190682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,26190686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,26190732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,26190733,MENINGOCOCCAL POLY VACC SQ,632.95,,101.42,569.65,56
CDM,26190746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,26193005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,26193017,STRESS TEST TRACING ONLY,1377.0,,49.0,1239.3,69
CDM,26194618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,26196360,IV INF THPY FLD INTL 31-60 MIN,563.0,,59.0,506.7,68
CDM,26196361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,68
CDM,26196365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,26196366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,26196369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,26196372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,26196374,THERAPY/PRO/DX IV PUSH,540.0,,173.54,486.0,68
CDM,26196375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,26196376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,26198000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,26198001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,26198002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,26198003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,26198004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,26198005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,26198006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,26198007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,26198008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,26198009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,26198010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,26198011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,26198012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,26198013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,26198014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,26198015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,26198016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,26199024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,26199195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,67
CDM,26199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,26299401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,26411001,SWALLOW CONSULT,590.0,,91.0,531.0,56
CDM,26411002,MODIFIED BARIUM SWALLOW,786.0,,91.0,707.4,56
CDM,26411007,FIBEROPTIC ENDOSCOP EVAL,1154.0,,104.0,1038.6,56
CDM,26411020,EVAL OF SPEECH,298.0,,105.58,268.2,57
CDM,26411021,RE-EVAL OF SPEECH,181.0,,90.5,162.9,57
CDM,26411022,EVAL SPEECH & LANGUAGE,375.0,,187.5,337.5,57
CDM,26411023,RE-EVAL SPEECH/LANGUAGE,375.0,,187.5,337.5,57
CDM,26411100,SPEECH THERAPY,196.0,,72.91,176.4,57
CDM,26411104,DYSPHAGIA THERAPY,206.0,,73.0,185.4,57
CDM,26411108,SLP GROUP THERAPY,121.0,,22.58,108.9,57
CDM,26421002,MODIFIED BARIUM SWALLOW,786.0,,91.0,707.4,56
CDM,26431579,LARYNGOSC FLEX TLE STROBO,1656.0,,319.84,1490.4,68
CDM,26520020,B-LYMPHOCYTES,290.0,,43.49,442.83,68
CDM,26520080,LIGHT CHAINS BY DIRECT IMMUNO,318.0,,21.38,286.2,56
CDM,26520140,B-LYMPHOCYTES BY ANTI-B,318.0,,21.38,286.2,56
CDM,26520190,DR ANTIGEN,499.0,,27.76,449.1,68
CDM,26520200,MONOCYTIC/MYELOID ANTE,239.0,,21.38,215.1,56
CDM,26520220,T-LYMPHOCYTES-HELP&SUPPRESSOR,318.0,,21.38,286.2,56
CDM,26520230,NATURAL KILLER ANTIGEN,448.0,,43.49,442.83,68
CDM,26586352,CELL FUNC STM/DETEC BIOMARK,842.0,,94.4,757.8,68
CDM,26620103,ADD HEMODYNAMIC MONITOR DAY,221.0,,110.5,198.9,56
CDM,26620104,HEMODYNAMIC MONITOR (2 TRANDC),186.0,,93.0,167.4,56
CDM,26620105,HEMODYNAMIC MONITOR (3 TRANDC),194.0,,97.0,174.6,56
CDM,26620109,ICP MONITORING,480.0,,240.0,432.0,56
CDM,26620110,ICP MONITORING SETUP,988.0,,494.0,889.2,56
CDM,26620122,CONT. CARD OUTPUT MONITORING,1554.0,,777.0,1398.6,56
CDM,26620203,1 HR MINOR PROC BEDSIDE,2013.0,,805.2,1811.7,56
CDM,26620204,ADD HEMO MONITOR DAY- 2 TRAN,290.0,,145.0,261.0,56
CDM,26620205,ADD HEMO MONITOR DAY- 3 TRAN,375.0,,187.5,337.5,56
CDM,26802435,CHLORIDE VBG,76.0,,2.34,68.4,68
CDM,26810313,HYPOTHERM TREATMENT,2754.0,,1377.0,2478.6,56
CDM,26810314,OXYGEN/DAY,468.0,,234.0,421.2,56
CDM,26810315,VENTILATOR SET UP CHG,713.0,,356.5,641.7,56
CDM,26810316,OSCILLATOR VNT MGMT INIT DAY,3714.0,,1857.0,3342.6,56
CDM,26810317,OSCILLATOR VNT MGMT SUBQ DAY,3165.0,,1582.5,2848.5,56
CDM,26810319,BUNNELL JET VENT SUBSEQ DAY,4540.0,,2270.0,4086.0,56
CDM,26810320,CONTINUOUS VENTILATION/HR,121.0,,60.5,108.9,56
CDM,26810324,NEONATAL TRANSPORT CIRCUIT,244.0,,122.0,219.6,56
CDM,26810325,CPAP CIRCUIT CHARGE,556.0,,278.0,500.4,56
CDM,26810326,SYSTEM CPAP BUBBLE INFANT,694.0,,347.0,624.6,56
CDM,26810401,BLANKET- COOLING,58.0,,29.0,52.2,56
CDM,26810425,TCO2 MONITORING/DAY,903.0,,451.5,812.7,56
CDM,26810438,NEWBORN HEATD OXYHOOD SET-UP,145.0,,72.5,130.5,56
CDM,26810530,NEBULIZER BRONCHODILATOR TRTMT,279.0,,29.0,251.1,68
CDM,26810555,OSCILLATOR VENT MGMT PER HR,267.0,,133.5,240.3,56
CDM,26810560,OSCILLATOR VENT SET UP CHG,1435.0,,717.5,1291.5,56
CDM,26810606,PULSE OXIMETRY/DAY-INPATIENT,472.0,,128.87,424.8,68
CDM,26810704,HEATED WIRE CIRCUIT,135.0,,67.5,121.5,56
CDM,26810710,INHALED NITRIC OXIDE- PER HOUR,664.0,,332.0,597.6,56
CDM,26810715,SURFACTANT ADMINISTRATION,279.0,,29.0,251.1,68
CDM,26810720,BUNNELL JET VENT SET-UP,1103.0,,551.5,992.7,56
CDM,26810725,BUNNELL JET/HOURLY,163.0,,81.5,146.7,56
CDM,26810735,BICORE MONITOR,280.0,,140.0,252.0,56
CDM,26810790,CPT W/PNEUMATIC PROCESSOR,44.0,,22.0,39.6,56
CDM,26810795,END TIDAL PEDICAP,109.0,,54.5,98.1,56
CDM,26811323,HI FLOW CIRCUIT CHARGE,606.0,,303.0,545.4,56
CDM,26812435,CHLORIDE ABG,76.0,,2.34,68.4,68
CDM,26831720,ASPIRATION CATH NASOTRACHEAL,437.0,,167.53,393.3,68
CDM,26855380,CVLBG WITH DIRECT O2 SAT.,376.0,,41.0,338.4,68
CDM,26862270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,26883605,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,26886300,ABG WITH DIRECT O2 SAT.,376.0,,41.0,338.4,68
CDM,26886301,CARBOXYHEMOGLOBIN,242.0,,4.55,217.8,70
CDM,26886302,METHEMOGLOBIN,219.0,,7.54,197.1,68
CDM,26886303,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,26886310,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,26886315,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,26886320,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,26886325,CALCIUM IONIZED,214.0,,2.31,192.6,68
CDM,26886335,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,26886340,BILIRUBIN TOTAL WHOLE BLOOD,92.0,,4.62,82.8,68
CDM,26894002,VENT MGMT INITIAL DAY,2452.0,,544.53,2206.8,68
CDM,26894003,VENT MGMT SUBSEQ DAY,2168.0,,43.0,1951.2,68
CDM,26895813,EEG MONITORING 61 MINS OR >,2632.0,,136.0,2368.8,68
CDM,26899465,NEWBORN RESUSCITATION,2151.0,,539.0,1935.9,68
CDM,26999401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,27300038,DVC ANGIO-SEAL EVOLUTION 6F,532.0,,266.0,478.8,57
CDM,27300040,BALLOON- BOSTON SCI GATEWAY,2736.0,,257.51,2462.4,57
CDM,27300041,SYSTEM CLOSURE VASC PERCLOSE,1970.0,,397.68,1773.0,57
CDM,27300042,"NEEDLE, SPINAL",223.0,,111.5,200.7,56
CDM,27300051,RETREIVAL DEVICE MEDTRONIC,2158.0,,70.07,1942.2,57
CDM,27300059,EMBOLIC ONYX,6906.0,,3453.0,6215.4,61
CDM,27300077,SYR MICROSPHERES EMBOZENE,712.0,,356.0,640.8,61
CDM,27300080,CATH MARKSMAN,2574.0,,102.65,2316.6,57
CDM,27300100,PENUMBRA CANNISTER PUMP SYSTEM,795.0,,397.5,715.5,56
CDM,27300102,CATH MICROCATH VELOCITY 160CM,2685.0,,1342.5,2416.5,56
CDM,27300103,CATH MICROCATH MAGIC,1765.0,,102.65,1588.5,57
CDM,27300143,RELIEVANT INTRACEPT RF PROBE,8177.0,,4088.5,7359.3,61
CDM,27300150,GWIRE BSX FATHOM,568.0,,27.95,511.2,57
CDM,27300200,GDWIRE ARISTOTLE 14 SPT 200,1106.0,,27.95,995.4,57
CDM,27300242,DVC EMBOLIC PIPELINE 25MM-35MM,34738.0,,17369.0,31264.2,61
CDM,27300283,COIL EMB CODMAN MICRUSFRAME,2213.0,,1106.5,1991.7,61
CDM,27300284,CABLE CONTROL ENPOWER,575.0,,287.5,517.5,56
CDM,27300288,COIL EMB GALAXY G3 MICRO,2213.0,,1106.5,1991.7,61
CDM,27300289,COIL CERENOVUS DELTAFILL,2213.0,,1106.5,1991.7,56
CDM,27300300,GDWIRE ARISTOTLE 14 SPT 300,1159.0,,27.95,1043.1,57
CDM,27300330,NEUROFORM ATLAS STENT SYSTEM,14659.0,,1642.91,13193.1,62
CDM,27300396,CATH REPERFUSION PENUMBRA,3749.0,,102.65,3374.1,57
CDM,27300398,TUBING ASPIRATION STERILE,1081.0,,540.5,972.9,56
CDM,27300725,COIL EMBOL ORBIT GALAXY,3654.0,,1827.0,3288.6,61
CDM,27300800,GDWIRE ARISTOTLE SOFT,1464.0,,27.95,1317.6,57
CDM,27300935,INJECTOR TRANSFER TUBE 5-5.8MM,214.0,,107.0,192.6,56
CDM,27301007,GUIDEWIRE I,441.0,,27.95,396.9,57
CDM,27301010,GUIDEWIRE SYNCHRO,1793.0,,27.95,1613.7,57
CDM,27301041,COIL DETACHMENT CONTROLLER,419.0,,209.5,377.1,56
CDM,27301043,COIL TARGET STANDARD 360,3458.0,,1729.0,3112.2,61
CDM,27301045,INTRACEPT ADDL 2 VB KIT,3505.0,,1752.5,3154.5,61
CDM,27301071,NEEDLE EPIDURAL RX COUDE,204.0,,102.0,183.6,56
CDM,27301075,INTRACEPT ADDL 3 VB KIT,1295.0,,647.5,1165.5,61
CDM,27301100,STABILIT MX FX KIT (BASE),3544.0,,1772.0,3189.6,56
CDM,27301201,CATH NEURON SELECT 5FR,360.0,,102.65,324.0,57
CDM,27301210,DVC VASC CLOSURE VASCADE MVP,575.0,,287.5,517.5,57
CDM,27301250,CATH REPERFUSION ACE 68,0.01,,0.005,102.65,57
CDM,27301441,CATH EXCELSIOR 1018,1956.0,,102.65,1760.4,57
CDM,27301521,COIL TARGET 3D,3515.0,,1757.5,3163.5,61
CDM,27301606,CATH PROWLER PLUS/SELECT,1696.0,,102.65,1526.4,57
CDM,27301876,WINGSPAN STENT SYSTEM,17919.0,,1642.91,16127.1,57
CDM,27301896,CATH LUTONIX DCB,3348.0,,1674.0,3013.2,57
CDM,27301900,GWIRE NITREX .014 INT 80CM,242.0,,27.95,217.8,57
CDM,27301912,GWIRE ASAHI CHIKAI 008,1106.0,,27.95,995.4,57
CDM,27301915,CATH GLIDECATH SIM1 4FRX100CM,168.0,,84.0,151.2,57
CDM,27302077,SYS ICD PERCIVA DR DF4 1LD,30955.0,,15477.5,27859.5,62
CDM,27302092,COIL OPTIMAX COMPLEX SOFT,4722.0,,2361.0,4249.8,61
CDM,27302093,GDWIRE HYBRID 007-008 STR TIP,1217.0,,27.95,1095.3,62
CDM,27302094,COIL TARGET TETRA,3350.0,,1675.0,3015.0,61
CDM,27302100,STABILIT MX FX KIT (FULL),4252.0,,2126.0,3826.8,56
CDM,27302130,CANNULA CURVED DEL ARCADUA,811.0,,405.5,729.9,56
CDM,27302146,INST ACCESS INTRACEPT ADDL LVL,1295.0,,647.5,1165.5,56
CDM,27302149,ANEURYSM EMBOLIZATION SYSTEM,26910.0,,13455.0,24219.0,61
CDM,27302150,DETACHER COIL CEREPAK,488.0,,244.0,439.2,61
CDM,27302160,KIT PERITONEAL DRAIN W/CATH,3505.0,,1752.5,3154.5,56
CDM,27302166,CATH WEDGE MICROCATH,4275.0,,2137.5,3847.5,56
CDM,27302180,CATH 87 NEUGLIDE,480.0,,102.65,432.0,57
CDM,27302254,COIL TARGET 360 ULTRA,4466.0,,2233.0,4019.4,61
CDM,27302292,CANISTER ZOOM DUOPORT,639.0,,319.5,575.1,56
CDM,27302400,INTRODUCER KYPHX EXPRESS T34,985.0,,492.5,886.5,56
CDM,27302410,CEREGLIDE 92 (SPLENDID),0.01,,0.005,0.009,56
CDM,27302413,CATH PROGREAT,735.0,,102.65,661.5,57
CDM,27302511,RETRIEVER 3D PENUMBRA,11933.0,,70.07,10739.7,57
CDM,27302515,CATH BALLOON EMERGE OTW 02,195.0,,97.5,257.51,57
CDM,27302750,CATH MICROCATH EXCELSIOR XT7,2557.0,,102.65,2301.3,57
CDM,27302998,CATH PTA DILATION ULTRAVERSE,505.0,,252.5,454.5,57
CDM,27302999,CATH MICRO DEL APOLLO ONYX 165,2775.0,,1387.5,2497.5,61
CDM,27303093,CATH ANGIOJET SOLENT DISTA SET,4086.0,,314.82,3677.4,57
CDM,27303120,CATH LITHO SHOCKWAVE C2 12MM,9897.0,,4948.5,8907.3,57
CDM,27303854,CATH DISTAL ACCESS MIVI Q4,4633.0,,102.65,4169.7,57
CDM,27304015,REVASC DEVICE SOLITAIRE FR,19038.0,,314.82,17134.2,57
CDM,27304123,COIL 3D AXIUM PRIME,2665.0,,1332.5,2398.5,61
CDM,27304124,COIL AXIUM PRIME FRAME </= 7MM,4137.0,,2068.5,3723.3,61
CDM,27304125,COIL AXIUM PRIME FRAME >/= 8MM,4484.0,,2242.0,4035.6,61
CDM,27304244,PAD HEMOSTASIS NEPTUNE PLUS,98.0,,49.0,88.2,56
CDM,27304400,AXIUM DETACH HELIX COIL SYS,3644.0,,1822.0,3279.6,56
CDM,27305051,NEEDLE INJ CURV AVAFLEX W/O ND,912.0,,456.0,820.8,56
CDM,27305339,CATH GUIDING STRYKER DAC 038CM,2370.0,,102.65,2133.0,57
CDM,27305801,SYSTEM CLOSURE VASCADE VCS,456.0,,228.0,410.4,57
CDM,27305886,ONYX LIQUID EMBOLIC SYS (LES),4401.0,,2200.5,3960.9,56
CDM,27306115,CATH DISTAL ACCESS SOFIA 6F,5240.0,,102.65,4716.0,57
CDM,27306131,CATH SOFIA 6FFLOW PLUS,5240.0,,102.65,4716.0,57
CDM,27306497,OPTICAL COHERENCE TOMOGRAPHY,0.01,,0.005,229.12,68
CDM,27306680,GUIDEWIRE INQWIRE MERIT,80.0,,27.95,72.0,57
CDM,27306826,CATH GUIDING SOFIA,5391.0,,102.65,4851.9,57
CDM,27306912,COIL EMBOL DETACH CEREPAK,2862.0,,1431.0,2575.8,61
CDM,27307100,CATH BALLOON OCC TRANSFORM SC,3735.0,,208.48,3361.5,57
CDM,27307110,COIL HYDROFRAME 10 ADV,3265.0,,1632.5,2938.5,61
CDM,27307311,STENT SURPASS EVOLVE,26159.0,,1642.91,23543.1,62
CDM,27307662,GDWIRE TRAXCESS 7 MINI 210CM,1038.0,,27.95,934.2,57
CDM,27307663,BLN MINI SCEPTER 2.2X9,5676.0,,208.48,5108.4,57
CDM,27307779,DVC REVASC EMBOTRAP III,10548.0,,314.82,9493.2,57
CDM,27307780,CATH PROWLER EX 160CM,1350.0,,102.65,1215.0,57
CDM,27308081,IVAS BI-PED ELITE KIT,5577.0,,2788.5,5019.3,56
CDM,27308087,CATH BALLOON GUIDE WALRUS-N/C,0.01,,0.005,102.65,57
CDM,27308122,CATH NC QUANTUM APEX MONORAIL,347.0,,173.5,312.3,57
CDM,27308142,DRILL BIT BONE VERTECOR,312.0,,156.0,280.8,56
CDM,27308150,BLN CATH GATEWAY,2370.0,,257.51,2133.0,57
CDM,27308202,KIT ABLATE TUMOR STAR,7290.0,,3645.0,6561.0,56
CDM,27308800,COIL AZUR HYDROPACK 018,1731.0,,865.5,1557.9,61
CDM,27308890,CATH PENUMBRA NEURON MAX,1233.0,,616.5,1109.7,56
CDM,27309040,PROBE BILIARY EHL 1.9FR 375CM,836.0,,418.0,752.4,56
CDM,27309151,STENT WINGSPAN,14403.0,,7201.5,12962.7,61
CDM,27309308,COIL DETACHER OPTIMAXXCEL,444.0,,222.0,399.6,61
CDM,27309311,GDWIRE HYBRID 12/14 STR TIP,847.0,,27.95,762.3,62
CDM,27309312,GDWIRE HYBRID 12/14 2-ANGL TIP,887.0,,27.95,798.3,62
CDM,27309388,DVC BONE FILLER KYPHX EXPRESS,341.0,,170.5,306.9,56
CDM,27310094,SYSTEM DETACHMENT COIL INZONE,523.0,,261.5,470.7,56
CDM,27310321,OMNICURVE 11G FRACTURE KIT,5312.0,,2656.0,4780.8,56
CDM,27310447,CATH PTA HYPERFORM 7X7,2716.0,,208.48,2444.4,57
CDM,27310501,CONTROLLER DETACHMENT V-GRIP,502.0,,251.0,451.8,56
CDM,27310512,CATH NEURON DELIVERY,1506.0,,102.65,1355.4,57
CDM,27310515,COIL HYDROFILL 10 ADV 5-9MM,4336.0,,2168.0,3902.4,61
CDM,27310701,RETREIVAL DEVICE MICRO MEDTR,1367.0,,70.07,1230.3,57
CDM,27310720,COIL TARGET 360XL UP TO 12MM,4353.0,,2176.5,3917.7,61
CDM,27310762,STENT ACCULINK CAROTID TAPERED,5545.0,,1642.91,4990.5,62
CDM,27310923,CANISTER PENUMBRA ENGINE SYS,828.0,,414.0,745.2,56
CDM,27310925,CATH REPREFUSION 5MAXJET,6324.0,,102.65,5691.6,57
CDM,27311014,CATH ENVOY,719.0,,102.65,647.1,57
CDM,27311015,INST ABLAT SPINESTAR 10-15 LNG,6412.0,,3206.0,5770.8,56
CDM,27311020,HEMOSTAT VASC BAND,63.0,,31.5,56.7,56
CDM,27311025,KIT NEEDLE CURVED AVAFLEX,1019.0,,509.5,917.1,56
CDM,27311031,CATH BLLN VERT AVAFLEX,5392.0,,2696.0,4852.8,56
CDM,27311043,COIL TARGET SOFT 360,3655.0,,1827.5,3289.5,61
CDM,27311100,DRILL HAND OPTABLATE,795.0,,397.5,715.5,56
CDM,27311230,COIL HYDROFILL 10 ADV 10-24MM,3507.0,,1753.5,3156.3,61
CDM,27311508,CATH INTRACRANIAL REFLEX 5F,3948.0,,102.65,3553.2,57
CDM,27311606,CATH RAPID TRANSIT,1605.0,,102.65,1444.5,57
CDM,27311666,CATH ASP AXS VECTA 74 132CM,4308.0,,314.82,3877.2,62
CDM,27311677,GDWIRE ARISTOTLE 35 SPT 200CM,2340.0,,27.95,2106.0,57
CDM,27311682,DRILL ACCESS INTRACEPT DISP,520.0,,260.0,468.0,56
CDM,27312001,GUIDEWIRE MAILMAN W/ICE,243.0,,27.95,218.7,57
CDM,27312003,KIT STABILIT FIRST FRACTURE,6732.0,,3366.0,6058.8,56
CDM,27312123,COIL EMBOLIZATION SPECTRA,0.01,,0.005,0.009,61
CDM,27312156,CATH MICROCATH HEADWAY 21 STR,2272.0,,102.65,2044.8,57
CDM,27312830,COIL TARGET 360XL >12MM,4745.0,,2372.5,4270.5,61
CDM,27313176,BALLOON GUIDE CATHETER,3146.0,,1573.0,2831.4,56
CDM,27313834,CATHETER ZOOM,5607.0,,102.65,5046.3,57
CDM,27314550,MICROCATHETER ECHELON,1394.0,,102.65,1254.6,57
CDM,27314676,CATH TRUE DILATATION,1790.0,,895.0,1611.0,56
CDM,27314707,COIL HYDROSOFT 10 ADV 5-6MM,3045.0,,1522.5,2740.5,61
CDM,27314788,CATH CEREGLIDE 071 132CM,4699.0,,102.65,4229.1,57
CDM,27315067,SHEATH FUBUKINEUROVASC LONG,718.0,,46.81,646.2,57
CDM,27315150,CATH MICRO PHENOM,3098.0,,102.65,2788.2,57
CDM,27315180,CATH SELECT BENCHMARK BMX,1812.0,,906.0,1630.8,56
CDM,27315278,CATH DELIVERY NEURON STRAIGHT,2453.0,,1226.5,2207.7,56
CDM,27315287,COIL 3D ES AXIUM PRIME,4865.0,,2432.5,4378.5,61
CDM,27315288,COIL HELIX ES AXIUM PRIME,3683.0,,1841.5,3314.7,61
CDM,27315376,CATH BLN SCEPTER C,2804.0,,208.48,2523.6,57
CDM,27315773,SURGICEL FIBRILLAR 4X4,350.0,,175.0,315.0,56
CDM,27316559,CATH ASPIRATION ZOOM 71,4473.0,,314.82,4025.7,57
CDM,27316819,CATH VOLCANO IVUS PV DIGITAL,1305.0,,652.5,1340.69,57
CDM,27317110,COIL HYDROSOFT 10 ADV 1.4MM,2972.0,,1486.0,2674.8,61
CDM,27317215,CATH MICROCATH HWAY A,1773.0,,102.65,1595.7,57
CDM,27318290,CATH MICRO RENEGADE HI-FLO 02,1760.0,,102.65,1584.0,57
CDM,27318570,CATH REPERFUSION 4MAX,4592.0,,102.65,4132.8,57
CDM,27318947,COIL HYDROSOFT 3D,3168.0,,1584.0,2851.2,61
CDM,27318953,CATH BALL DILAT PTA NANOCROSS,468.0,,234.0,421.2,57
CDM,27319120,CATH PHENOM PLUS 1030 120CM,3219.0,,102.65,2897.1,57
CDM,27320199,GUIDEWIRE ARISTOTLE 18 200CM,1217.0,,27.95,1095.3,57
CDM,27320200,PROBE DUAL OPTABLATE,9367.0,,4683.5,8430.3,56
CDM,27320255,DEVICE REVASC EMBOTRAP II,9287.0,,314.82,8358.3,57
CDM,27320446,SHEATH GUID DA CEREBASE8F,914.0,,102.65,822.6,57
CDM,27320618,DVC VASC CLOSURE ANGIO-SEAL,4050.0,,397.68,3645.0,57
CDM,27320918,COIL TARGET 360 XL SOFT,4585.0,,2292.5,4126.5,61
CDM,27320919,COIL TARGET 360 XL SOFT 12X30,3350.0,,1675.0,3015.0,61
CDM,27321006,SHEATH GUIDE PROTRIEVE 20FR,7788.0,,46.81,7009.2,62
CDM,27323366,GDWIRE V-18 CONTROLWIRE 200CM,197.0,,27.95,177.3,57
CDM,27323375,GUIDEWIRE COPE MANDRIL,98.0,,27.95,88.2,57
CDM,27323880,HEMOSTASIS TUOHY BORST VALVE,60.0,,30.0,54.0,56
CDM,27327304,LUMBAR DRAIN MONITOR KIT,503.0,,251.5,452.7,56
CDM,27330220,INS NASAL SEPTAL PROSTH,4095.0,,1220.09,3685.5,68
CDM,27331100,STYLET BEVELED TIP 11G,216.0,,108.0,194.4,56
CDM,27331400,EMBOLIC TRUFILL 2GM,10075.0,,5037.5,9067.5,61
CDM,27331500,EMBOLIC TRUFILL 1GM,7422.0,,3711.0,6679.8,56
CDM,27337516,DVC EMBOLIC PIPELINE <25MM,33971.0,,16985.5,30573.9,61
CDM,27339031,CATH BALLOON STERLING BOST SCI,621.0,,257.51,558.9,57
CDM,27340230,STENT ENTERPRISE 2 VRD,12935.0,,1642.91,11641.5,62
CDM,27344201,COIL DETACH TARGET 360 NANO,3899.0,,1949.5,3509.1,56
CDM,27350120,STENT SURPASS EVOLVE 5.0X20MM,30068.0,,1642.91,27061.2,62
CDM,27351408,GUIDE WIRE ROADRUNNER,276.0,,27.95,248.4,57
CDM,27351480,CATH REPERFUSION PNUMBRA 153CM,3948.0,,102.65,3553.2,57
CDM,27351504,SEPARATOR PENUMBRA,7715.0,,70.07,6943.5,57
CDM,27351505,SEPARATOR PENUMBRA MAX,6568.0,,70.07,5911.2,57
CDM,27351529,SYSTEM CLOSURE VASC MYNX,511.0,,255.5,459.9,57
CDM,27351978,PART EMB CONTOUR PVA,234.0,,117.0,210.6,56
CDM,27352123,GDWIRE FIXED CORE,62.0,,27.95,55.8,57
CDM,27352126,CEMENT BONE AUTOPLEX W/O NEEDL,4167.0,,506.18,3750.3,62
CDM,27352133,CURETTE IVAS 11GA,1240.0,,620.0,1116.0,56
CDM,27352135,DRILL HAND IVAS 11G,256.0,,128.0,230.4,56
CDM,27352138,CANN STRYKER IVAS 10GA ACCESS,218.0,,109.0,196.2,56
CDM,27352165,CATH EXCELSIOR SL-10,2169.0,,102.65,1952.1,57
CDM,27353683,INFLATION DEVICE,215.0,,107.5,193.5,56
CDM,27353762,CATH BLN SCEPTER XC,3645.0,,208.48,3280.5,57
CDM,27354142,KIT BIOPSY BONE 11GA,195.0,,97.5,175.5,56
CDM,27355047,TR BAND RADIAL ARTERY COMP DEV,119.0,,59.5,107.1,56
CDM,27355056,CATH MICRO FLOW DIRCT MARATHON,1375.0,,102.65,1237.5,57
CDM,27360132,CATH AXS CATALYST 6 (N/C),0.01,,0.005,102.65,57
CDM,27363760,CATH MICRO HEADWAY DUO 15601,2139.0,,102.65,1925.1,57
CDM,27363761,CATH MICRO HEADWAY DUO 16702,2759.0,,102.65,2483.1,57
CDM,27367044,CATH REPERFUSION 5MAXACE,6885.0,,314.82,6196.5,57
CDM,27368132,CATH DIS ACCESS AXS CATALYST 7,5418.0,,102.65,4876.2,57
CDM,27376471,DILATOR HYDROPHILIC,124.0,,62.0,111.6,56
CDM,27377595,CEMENT BONE KYPHX W/MIXER,424.0,,212.0,506.18,62
CDM,27378019,INTRO MINI STICK**,62.0,,31.0,55.8,57
CDM,27378020,GWIRE MINI STICK**,62.0,,27.95,55.8,57
CDM,27378030,NEEDLE BARE TIP SMARTNEEDLE,330.0,,165.0,297.0,56
CDM,27379642,GWIRE BENTSON CEREBRAL 35-180,57.0,,27.95,51.3,57
CDM,27380026,CATH PTA HYPERGLIDE,2765.0,,208.48,2488.5,57
CDM,27380027,PARTICLES EMBOL FOAM PVA,1235.0,,617.5,1111.5,61
CDM,27380030,RETRIEVER TREVO PROVUE SYSTEM,18869.0,,70.07,16982.1,57
CDM,27380641,COIL RUBY CMPX STD 5CM,1843.0,,921.5,1658.7,61
CDM,27380642,COIL RUBY CMPX STD 10-30CM,2437.0,,1218.5,2193.3,61
CDM,27380647,COIL RUBY CMPX STD 30-60CM,3180.0,,1590.0,2862.0,61
CDM,27380681,COIL POD RUBY,4411.0,,2205.5,3969.9,61
CDM,27380685,COIL POD RUBY SOFT 15CM,2277.0,,1138.5,2049.3,61
CDM,27380686,COIL POD RUBY SOFT 30-60CM,2967.0,,1483.5,2670.3,61
CDM,27380689,COIL DETACH HANDLE RUBY,587.0,,293.5,528.3,56
CDM,27380720,CATH AXS CATALYST 115CM,3789.0,,102.65,3410.1,57
CDM,27380722,CATH AXS CATALYST 0.06INX132CM,4727.0,,102.65,4254.3,57
CDM,27380724,SHEATH AXS INFINITY,1091.0,,46.81,981.9,57
CDM,27383505,INTRODUCER FLEXOR SIDE ARM 6FR,298.0,,46.81,268.2,57
CDM,27383528,STENT LVISJ COIL ASSIST,15950.0,,1642.91,14355.0,62
CDM,27385083,FILTERWIRE EX,4832.0,,1461.69,4348.8,62
CDM,27385096,STENT ACCULINK CAROTID,4715.0,,1642.91,4243.5,62
CDM,27390000,KIT EXPANSION SPINEJACK,8771.0,,2548.84,7893.9,57
CDM,27390197,ANGIOGUARD EMBOLI SYSTEM,3552.0,,1461.69,3196.8,62
CDM,27390312,KIT RETRIEVER TREVO NXT 01,12952.0,,6476.0,11656.8,56
CDM,27390721,CATH DAC 3.9F .038INX136CM,2213.0,,102.65,1991.7,57
CDM,27392808,STENT PRECISE CAROTID,4433.0,,1642.91,3989.7,62
CDM,27392829,GUIDEWIRE BSX TRANSEND,1033.0,,27.95,929.7,57
CDM,27392831,GUIDE WIRE GLIDEWIRE,969.0,,27.95,872.1,57
CDM,27392832,GUIDE WIRE BSX V-18,262.0,,27.95,235.8,57
CDM,27393003,GDWIRE BAREWIRE DEL FLTR,98.0,,27.95,88.2,57
CDM,27393453,SYS EMB EMBOSHIELD NAV6,3428.0,,1461.69,3085.2,62
CDM,27394372,CATH DISTAL ACCESS DAC,2320.0,,102.65,2088.0,57
CDM,27399994,GUIDEWIRE ARISTOTLE 14 200CM,1048.0,,27.95,943.2,57
CDM,27399996,GUIDEWIRE ARISTOTLE 300CM,1138.0,,27.95,1024.2,57
CDM,27400257,EMERGENT DIALYSIS OP W/PRC,3265.0,,136.0,2938.5,57
CDM,27400258,EMERGENT DIALYSIS OP W/O PRC,3265.0,,136.0,2938.5,68
CDM,27401025,PERITONEAL DIALY 12HRS CAPD OP,490.0,,245.0,441.0,56
CDM,27401026,PERITONEAL DIALY 12HRS CCPD OP,630.0,,315.0,567.0,56
CDM,27401029,PERITONEAL DIALY 24HRS CAPD OP,720.0,,360.0,648.0,56
CDM,27401030,PERITONEAL DIALY 24HRS CCPD 0P,1057.0,,528.5,951.3,56
CDM,27410027,CVVHD-OUTPATIENT-DAILY,1247.0,,136.0,1122.3,68
CDM,27420021,ACUTE DIALYSIS <=6 HRS-INPT,966.0,,483.0,869.4,56
CDM,27420025,PERITONEAL DIALY 12HRS CAPD,490.0,,245.0,441.0,56
CDM,27420026,PERITONEAL DIALY 12HRS CCPD,630.0,,315.0,567.0,56
CDM,27420027,CVVHD-INPATIENT-DAILY,1922.0,,136.0,1729.8,68
CDM,27420029,PERITONEAL DIALY 24HRS CAPD,720.0,,360.0,648.0,56
CDM,27420030,PERITONEAL DIALY 24HRS CCPD,1057.0,,528.5,951.3,56
CDM,28399233,EPSDT SCREEN HOSP CARE,84.0,,42.0,75.6,54
CDM,28410142,CORTICAL MAP 1ST HR,2250.0,,89.0,2025.0,68
CDM,28410143,CORTICAL MAP ADD HR,1860.0,,89.0,1674.0,56
CDM,28495700,EEG CONT REC W/VID EEG TECH,2922.0,,128.87,2629.8,68
CDM,28495705,EEG W/O VID 2-12 HR UNMNTR,2922.0,,256.5,2629.8,68
CDM,28495706,EEG W/O VID 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,68
CDM,28495707,EEG W/O VID 2-12 HR CONT MNTR,2922.0,,256.5,2629.8,68
CDM,28495708,EEG W/O VID EA 12-26 HR UNMNTR,2922.0,,437.05,2629.8,68
CDM,28495709,EEG W/O VID EA 12-26 HR INTMT,2922.0,,437.05,2629.8,68
CDM,28495710,EEG W/O VID EA 12-26 HR CONT,2922.0,,437.05,2629.8,68
CDM,28495711,VEEG 2-12 HR UNMONITORED,2922.0,,256.5,2629.8,68
CDM,28495712,VEEG 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,68
CDM,28495713,VEEG 2-12 HR CONT MNTR,2922.0,,437.05,2629.8,68
CDM,28495714,VEEG 12-26 HR UNMNTR,2922.0,,437.05,2629.8,68
CDM,28495715,VEEG 12-26 HR INTMT MNTR,2922.0,,437.05,2629.8,68
CDM,28495716,VEEG EA 12-26 HR CONT MNTR,2922.0,,838.0,2629.8,68
CDM,28495717,EEG PHYS/QHP 2-12 HR W/O VID,2922.0,,1461.0,2629.8,56
CDM,28495718,EEG PHYS/QHP 2-12 HR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,28495719,EEG PHYS/QHP EA INCR W/O VID,2922.0,,1461.0,2629.8,56
CDM,28495720,EEG PHYS/QHP EA INCR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,28495721,EEG PHYS/QHP>26,2922.0,,1461.0,2629.8,56
CDM,28495722,EEG PHYS/QHP>36,2922.0,,1461.0,2629.8,56
CDM,28495723,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,56
CDM,28495724,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,56
CDM,28495725,EEG PHYS/QHP>84HR W/O VID,2922.0,,1461.0,2629.8,56
CDM,28495726,EEG PHYS/QHP>84HR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,28495812,EEG MONITORING 41-60 MIN,2659.0,,136.0,2393.1,68
CDM,28495813,EEG MONITOR > 1 HR,2632.0,,136.0,2368.8,68
CDM,28495816,EEG AWAKE/DROWSY,1547.0,,55.0,1392.3,68
CDM,28495819,EEG AWAKE/ASLEEP,2522.0,,138.0,2269.8,68
CDM,28495824,EEG CEREBRAL DEATH EVALUATION,2036.0,,63.0,1832.4,68
CDM,28495829,ELECTROCORTICOGRAM INTRAOP,3235.0,,154.0,2911.5,56
CDM,28495955,EEG INTRAOP NONINTRACRANIAL,5973.0,,132.0,5375.7,56
CDM,28495958,EEG HEMISPHERE FUNCTION (WADA),3200.0,,127.0,2880.0,68
CDM,28495961,CORTICAL MAPPING 1ST HR,2250.0,,89.0,2025.0,68
CDM,28495962,CORTICAL MAPPING ADD'L HR,1860.0,,89.0,1674.0,56
CDM,28999401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,29100003,MISC SURGICAL PROCEDURE,0.01,,0.004,0.009,56
CDM,29100112,CER CAROTID STENT W EMBOL PROT,21356.0,,509.25,19220.4,68
CDM,29100252,INJ EPIDURAL CERV/THOR SGL BI,4095.0,,1638.0,3685.5,56
CDM,29100274,CERV CAROTID OR VERT ART W/RAD,21356.0,,509.25,19220.4,68
CDM,29101624,THORACIC EMBOL USING BCA GLUE,5732.0,,243.14,5158.8,68
CDM,29101625,ENDOVASC TEMPORARY VESSEL OCCL,9364.0,,3745.6,13960.66,68
CDM,29101645,PERQ ART TRANSLUM THROBEC RT,24422.0,,9768.8,21979.8,56
CDM,29101949,PLCMT/LOCAL PRE-SURGERY MARKER,4357.0,,509.25,3921.3,68
CDM,29102002,TRANSCATH PLMT INTRAVASC STENT,22631.0,,243.14,20367.9,68
CDM,29102065,EMBOL NRV ROOT W/N-BCA W/CT,4475.0,,243.14,4027.5,67
CDM,29102073,US GUIDANCE FOR VASC ACC-TRACK,0.01,,0.005,0.009,56
CDM,29102110,CAROTID STNT W/O ARTHRO W/ANGI,80818.0,,844.53,72736.2,57
CDM,29102112,PL STNT CAROTID W/O W/PROTECT,21356.0,,844.53,19220.4,57
CDM,29102125,CT C-SPINE W/O CON-P STDY,3318.0,,150.0,2986.2,56
CDM,29102211,CRYOABLATION AV MALFORM FACE,11223.0,,509.25,10100.7,68
CDM,29106011,CATH VEIN SEL 1ST ORDER BILAT,5428.0,,2171.2,4885.2,56
CDM,29106012,CATH VEIN SEL 2ND ORDER BILAT,5778.0,,2311.2,5200.2,56
CDM,29106222,SLCTV CATH CAROTID/INNOM LT,16729.0,,6691.6,15056.1,56
CDM,29106223,SLCTV CATH CAROTID/INNOM LT,25817.0,,10326.8,23235.3,56
CDM,29106224,SLCTV CATH INTRNL CAROTI LT,26842.0,,10736.8,24157.8,56
CDM,29106226,SLCTV CATH VERTEBRAL ART LT,21048.0,,8419.2,18943.2,56
CDM,29106227,SLCTV CATH XTRNL CAROTID LT,11574.0,,4629.6,10416.6,56
CDM,29106228,PLACE CATH INTRACRANIAL ART LT,9977.0,,3990.8,8979.3,56
CDM,29106497,OPTICAL COHERENCE TOMOGRAPHY,0.01,,0.005,229.12,68
CDM,29107799,CRYOABLAT OF AV MALFORMATION,7593.0,,509.25,6833.7,67
CDM,29110003,PLACE CATH VENOUS 2ND ORDER,4159.0,,1663.6,3743.1,56
CDM,29110122,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,29110123,LUMBAR PUNCTURE DRAIN CSF,1936.0,,570.41,1742.4,68
CDM,29110138,PLACE CATH THOR/BRAC 1ST BIL,4540.0,,1816.0,4086.0,56
CDM,29110160,PUNCT ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,29111645,PERQ ART TRANSLUM THROBEC LT,24422.0,,9768.8,21979.8,56
CDM,29112113,CERV CAR STNT W/O ARTH W/O PRO,22189.0,,509.25,19970.1,68
CDM,29114999,SYNOVIAL CYST ASPIR/RUPTURE,2539.0,,243.14,2285.1,68
CDM,29116222,SLCTV CATH CAROTID/INNOM RT,16729.0,,6691.6,15056.1,56
CDM,29116223,SLCTV CATH CAROTID/INNOM RT,25817.0,,10326.8,23235.3,56
CDM,29116224,SLCTV CATH INTRNL CAROTI RT,26842.0,,10736.8,24157.8,56
CDM,29116226,SLCTV CATH VERTEBRAL ART RT,21048.0,,8419.2,18943.2,56
CDM,29116227,SLCTV CATH XTRNL CAROTID RT,11574.0,,4629.6,10416.6,56
CDM,29116228,PLACE CATH INTRACRANIAL ART RT,9977.0,,3990.8,8979.3,56
CDM,29120002,AORTOGRM ABD SER,5579.0,,435.0,8190.45,68
CDM,29120012,ANGIO SEL EA ADD VESS,4355.0,,151.0,3919.5,55
CDM,29120015,ANGIOGM EXIST CATH F/U TRSCATH,2726.0,,374.0,8190.45,68
CDM,29120206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,29120220,BIOPSY BONE SUPERFICIAL,2652.0,,1060.8,2386.8,68
CDM,29120225,BIOPSY BONE TROCAR/NDL DEEP,3284.0,,1313.6,2955.6,68
CDM,29120245,BX BONE OPEN DEEP,6843.0,,2357.4,6158.7,68
CDM,29120660,APPL TONG/CALIP/FRAME CRANIAL,7815.0,,1318.22,7033.5,68
CDM,29120982,ABLATION BONE TUMR PERC W/CT,12385.0,,4954.0,15839.53,68
CDM,29120983,ABLATE BONE TUMOR(S)PERQ,14120.0,,5648.0,12708.0,68
CDM,29121645,PERQ ART TRANSLUM THROMBEC BI,30286.0,,12114.4,27257.4,56
CDM,29122510,PERQ CERVICOTHORACIC INJ,9879.0,,2672.51,8891.1,68
CDM,29122511,VRTPLS PERC INJ LMBSAC W/IMG,11660.0,,2672.51,10494.0,68
CDM,29122512,VERTEBROPLASTY ADDL INJ,9051.0,,3620.4,8145.9,56
CDM,29122513,PERQ VERT AUGMENT THORACIC,17568.0,,5884.12,15811.2,68
CDM,29122514,PERQ VERT AUGMENT LUMBAR,17568.0,,5884.12,15811.2,68
CDM,29122515,PERQ VERT AUGMENT EA ADDL,16344.0,,6537.6,14709.6,56
CDM,29122899,UNLISTED PROCEDURE SPINE,9954.0,,197.58,8958.6,68
CDM,29126223,SLCTV CATH CAROTID/INNOM BI,25817.0,,10326.8,23235.3,56
CDM,29126224,SLCTV CATH INTRNL CAROTI BI,40263.0,,16105.2,36236.7,56
CDM,29126225,SLCTV CATH SUBCLAVIAN ART BI,23467.0,,9386.8,21120.3,56
CDM,29126226,SLCTV CATH VERTEBRAL ART BI,31574.0,,12629.6,28416.6,56
CDM,29126227,SLCTV CATH XTRNL CAROTID BI,14542.0,,5816.8,13087.8,56
CDM,29126228,PLACE CATH INTRACRANIAL ART BI,8552.0,,3420.8,7696.8,56
CDM,29126500,CATH SEL VEIN ORGAN SAMPL BIL,3415.0,,1366.0,3073.5,56
CDM,29127096,INJ ARTHROGRAM SACROILIAC,2058.0,,130.0,1852.2,55
CDM,29131231,ENDO NASAL DIAGNOSTIC,969.0,,149.0,872.1,68
CDM,29132246,PLC CATH ABD/PEL 2ND ORDER BIL,8464.0,,3385.6,7617.6,56
CDM,29134001,EMBOLECT ARTERY INC NECK,13010.0,,5204.0,11709.0,56
CDM,29135703,EXPL W/O RPR LE ARTERY,8189.0,,3275.6,7370.1,56
CDM,29136000,INTRO NDL/INTRACATH VEIN,765.0,,27.07,688.5,57
CDM,29136002,INJ TX PSEUDOANEUR EXTREM PERC,1823.0,,509.25,1640.7,68
CDM,29136010,INTRO CATH VENA CAVA SUP/INF,3104.0,,1241.6,2793.6,56
CDM,29136011,CATH VEIN SEL 1ST ORDER,3909.0,,1563.6,3518.1,56
CDM,29136012,PLACE CATH VENOUS 2ND ORDER,4159.0,,1663.6,3743.1,56
CDM,29136014,CATH SEL LT/RT PULM ART,3526.0,,1410.4,3173.4,56
CDM,29136100,INTRO NDL/CATH ART CAR/VER,1678.0,,671.2,1510.2,56
CDM,29136116,PLACE CATH ARTERY PULM L/R BIL,4894.0,,1957.6,4404.6,56
CDM,29136140,NEEDLE/CATH EXT ARTERY,1667.0,,666.8,1500.3,56
CDM,29136200,INTRO CATH AORTA,2670.0,,1068.0,2403.0,56
CDM,29136215,PLACE CATH THOR/BRAC 1ST ORDER,3660.0,,1464.0,3294.0,56
CDM,29136216,PLACE CATH THOR/BRAC 2ND ORDER,5288.0,,2115.2,4759.2,56
CDM,29136217,PLACE CATH THOR/BRAC 3RD ORDER,5987.0,,2394.8,5388.3,56
CDM,29136218,PLACE CATH THOR/BRAC ADD,2576.0,,1030.4,2318.4,56
CDM,29136221,NONSLCTV CATH THOR AORTA ANGIO,7916.0,,2592.52,7124.4,68
CDM,29136222,SLCTV CATH CAROTID/INNOM ART,16729.0,,2592.52,15056.1,68
CDM,29136223,SLCTV CATH CAROTID/INNOM ART,25817.0,,4452.54,23235.3,68
CDM,29136224,SLCTV CATH INTRNL CAROT ART,26842.0,,4452.54,24157.8,68
CDM,29136225,SLCTV CATH SUBCLAVIAN ART ANGI,17672.0,,2592.52,15904.8,68
CDM,29136226,SLCTV CATH VERTEBRAL ART ANGIO,21048.0,,4452.54,18943.2,68
CDM,29136227,SLCTV CATH XTRNL CAROTID ANGIO,11574.0,,4629.6,10416.6,56
CDM,29136228,SLCTV CATH INTRCRNL BRNCH ANGI,9977.0,,3990.8,8979.3,56
CDM,29136245,CATH SEL ART ABD/PEL 1ST,4504.0,,1801.6,4053.6,56
CDM,29136246,PLACE CATH ABD/PEL 2ND ORDER,5644.0,,2257.6,5079.6,56
CDM,29136247,PLACE CATH ABD/PEL 3RD ORDER,6041.0,,2416.4,5436.9,56
CDM,29136248,PLACE CATH ABD/PEL ADD,3749.0,,1499.6,3374.1,56
CDM,29136249,CATH SEL ART ABD/PEL 1ST LT,4504.0,,1801.6,4053.6,56
CDM,29136250,CATH SEL ART ABD/PEL 1ST BIL,5585.0,,2234.0,5026.5,56
CDM,29136251,PLACE CATH RENAL 1ST ORDER UNI,7815.0,,2592.52,7033.5,68
CDM,29136252,PLACE CATH RENAL 1ST ORDER BIL,8886.0,,2592.52,7997.4,68
CDM,29136257,CATH SEL ART ABD/PEL 1ST RT,4504.0,,1801.6,4053.6,56
CDM,29136500,CATH VEIN SEL ORGAN BLOOD SAMP,1878.0,,751.2,1690.2,56
CDM,29136556,INS CATH CV NON-TUNL >/=5YRS,4244.0,,1697.6,3874.7,68
CDM,29136620,CATH/CANNULATION ARTERY,1176.0,,470.4,1058.4,56
CDM,29137184,PRIM PERC THROMB INIT VESSEL,16051.0,,6420.4,22105.39,68
CDM,29137185,PRIM PERC THROMB EA ADD,6406.0,,2562.4,5765.4,56
CDM,29137186,SEC PERC THROMB EA ADD VESSEL,6299.0,,2519.6,5669.1,56
CDM,29137187,PERCUT TRANSLUM MECH THROMBECT,15110.0,,6044.0,13960.66,68
CDM,29137195,THROMBOLYSIS CEREBRAL IV,1478.0,,273.2,1330.2,68
CDM,29137197,RETRV FB TRANSCATH PERC,9952.0,,2592.52,8956.8,68
CDM,29137212,THPY INFS THROM VENOUS INT,7586.0,,2592.52,6827.4,68
CDM,29137215,PL STENT TRNSCATH CAROT ART W/,21356.0,,844.53,19220.4,57
CDM,29137216,PL STNT TRNSCTH CAROT ART W/O,18936.0,,852.39,17042.4,57
CDM,29137217,TRANSCATH INTRVSC STNT RTR CAR,21356.0,,8542.4,19220.4,56
CDM,29137218,PL STENT TRANSCATH CAROT W/S&I,11731.0,,4692.4,10557.9,56
CDM,29137226,REVSC FEM/POP ART W/STENT,39226.0,,9340.95,35303.4,68
CDM,29137227,REVSC FEM/POP W/STENT & ARTHC,57926.0,,14790.52,52133.4,68
CDM,29137228,REVSC TIBL PRNL ARTERY,19716.0,,7886.4,17744.4,68
CDM,29137236,OPEN/PERQ PLCMT STENT 1ST ART,36804.0,,9340.95,33123.6,68
CDM,29137238,OPEN/PERQ PLCMT STENT SAME,37134.0,,9340.95,33420.6,68
CDM,29137241,VASC EMBOLIZE/OCCLUDE VENOUS,16931.0,,6772.4,15237.9,68
CDM,29137242,VASC EMBOLIZ/OCCLUDE ARTERY,18285.0,,7314.0,22105.39,68
CDM,29137243,VASC EMBOLIZE/OCCLUD ORGAN,18285.0,,7314.0,16456.5,68
CDM,29137244,VASC EMBOLIZ/OCCLSN ART/VEN HM,27776.0,,9340.95,24998.4,68
CDM,29137246,TRLUML BALO ANGIOP 1ST ART,14151.0,,4696.2,12735.9,68
CDM,29140200,PERC SACRAL AUGMT UNILAT INJ,11860.0,,4744.0,10674.0,68
CDM,29146222,SLCTV CATH CAROTID/INNOM BIL,22404.0,,8961.6,20163.6,56
CDM,29161055,C-1/C-2 PUNCTURE W/INJECT,2134.0,,243.14,1920.6,68
CDM,29161070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,68
CDM,29161107,PUNCT VENTRIC CATH SUBDUR,3472.0,,1388.8,3124.8,56
CDM,29161210,IMPL VENT CATH/ICP/ELECT,6172.0,,2468.8,5554.8,56
CDM,29161623,ENDOVASC TEMPORY VESSEL OCCL R,11326.0,,4530.4,13960.66,68
CDM,29161624,TRANSCATH EMBOLIZ CNS PERC,7078.0,,2831.2,6370.2,56
CDM,29161626,TRANSCATH EMBOLIZ NONCNS PERC,8761.0,,3504.4,13960.66,68
CDM,29161630,BALLOON ANGIO INTRACRANIAL,6036.0,,1197.37,5432.4,57
CDM,29161635,CATH PLCMT INTRAVASC STENT,27372.0,,1310.32,24634.8,57
CDM,29161640,PERC DILAT INTRACR VASO INIT,16518.0,,407.86,14866.2,57
CDM,29161641,PERCU DILAT INTRACR VASO ADD,12892.0,,143.23,11602.8,57
CDM,29161642,PERC DILAT INTRACR VASO AODVF,14772.0,,286.46,13294.8,57
CDM,29161645,PERQ ART TRANSLUM THROMBEC,24422.0,,9768.8,21979.8,56
CDM,29161650,ENDOVASC INTRACRAN ADM RX 1ST,8688.0,,3475.2,7819.2,56
CDM,29161651,ENDOVASC INTR ADM RX ADD,4268.0,,1707.2,3841.2,56
CDM,29162230,REPL/REV SHUNT CSF VALVE/CATH,16673.0,,5274.88,15005.7,68
CDM,29162268,DRAIN SPINAL CORD CYST,1985.0,,733.31,1786.5,68
CDM,29162269,BX SPINAL CORD NEEDLE PERC,1650.0,,660.0,1994.58,68
CDM,29162273,INJ EPIDURAL BLOOD/CLOT PATCH,2520.0,,570.41,2268.0,68
CDM,29162284,INJECTION PROC/MYELOGRAM/CT,1908.0,,763.2,1717.2,56
CDM,29162302,MYELO LUMBAR INJ CERVICAL,5136.0,,650.75,4622.4,68
CDM,29162303,MYELO LUMBAR INJ THORACIC,4416.0,,650.75,3974.4,68
CDM,29162304,MYELO LUMBAR INJ LUMBOSACRAL,4521.0,,650.75,4068.9,68
CDM,29162305,INJ MYEL LUMBAR > 1 INCL,5051.0,,650.75,4545.9,68
CDM,29162320,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,68
CDM,29162321,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,68
CDM,29162322,NJX INTERLAMINAR LMBR/SAC,2539.0,,733.31,2285.1,68
CDM,29162323,INJ EPIDRL SUBARAC L/S W/IMG,2539.0,,570.41,2285.1,68
CDM,29162328,SPINAL PUNCT LUM DX W/FLUOR/CT,2992.0,,570.41,2692.8,67
CDM,29162329,SPINAL PUNCT LUM TX W/FLUOR/CT,2992.0,,570.41,2692.8,68
CDM,29164415,INJ ANES BRACHIAL PLEXUS SGL,1466.0,,586.4,1319.4,68
CDM,29164447,INJ ANES NERVE FEMORAL SGL,1818.0,,570.41,1636.2,68
CDM,29164479,INJ EPIDURAL CERV/THOR SGL,3153.0,,733.31,2837.7,68
CDM,29164483,INJ EPIDURAL LUMBAR/SACRAL SGL,3496.0,,733.31,3146.4,68
CDM,29164493,INJ ANES/STER LUMB/SACR SGL,3356.0,,733.31,3020.4,68
CDM,29164494,INJ PARAVERT F JNT L/S 2ND LVL,2047.0,,818.8,1842.3,56
CDM,29164628,THERMAL DESTRUCT INTRAOSS BVN,35415.0,,10598.09,31873.5,68
CDM,29164629,THERMAL DEST INTRAOSS BVN ADDL,17709.0,,7083.6,15938.1,56
CDM,29170450,CT HEAD/BRAIN WO/CONTRAST,2704.0,,87.59,2433.6,68
CDM,29170490,CT NECK W/O CONTRAST,4131.0,,87.59,3717.9,68
CDM,29172128,CT SPINE THOR WO/CONTRAST,6016.0,,87.59,5414.4,68
CDM,29175600,AORTOGRAM THORACIC W/O SER,9081.0,,247.0,8190.45,68
CDM,29175605,XR AORTOGRAM THORACIC W/SER,8731.0,,384.0,14066.75,68
CDM,29175630,XR AORTOGRM ABD W/RUNOFF,7355.0,,339.0,8190.45,68
CDM,29175705,ANGIOGM SPINE SEL UNI,7066.0,,231.0,14066.75,68
CDM,29175710,ANGIOGM EXTREMITY UNI,5732.0,,196.0,8190.45,68
CDM,29175716,XR ANGIO EXTREMITY BILAT,7575.0,,299.0,8190.45,68
CDM,29175726,ANGIOGM VISCERAL,7224.0,,489.0,14066.75,68
CDM,29175731,XR ANGIO ADRENAL UNI,13635.0,,397.0,12271.5,68
CDM,29175736,ANGIOGM PELVIC,5396.0,,276.0,14066.75,68
CDM,29175774,XR ANGIO EA ADD VESSEL,4355.0,,151.0,3919.5,55
CDM,29175820,XR VENOGRAM EXTREMITY UNILAT,2661.0,,142.0,4042.37,68
CDM,29175825,VENOGM CAVAL INFERIOR,4824.0,,199.0,8190.45,68
CDM,29175860,VENOGM SINUS/JUGULAR CATH,3608.0,,236.0,8190.45,68
CDM,29175870,VENOGM SUP SAG SINUS,3191.0,,209.0,8190.45,68
CDM,29175880,XR VENOGRAM ORBITAL,2224.0,,195.0,2001.6,68
CDM,29175893,VENOUS SAMPLING,5148.0,,733.0,14066.75,68
CDM,29175894,XR TRANSCATH EMBOLIZATION ANY,9064.0,,215.0,8157.6,56
CDM,29175898,ANGIOGM EXIST CATH F/U TRSCATH,2726.0,,374.0,8190.45,68
CDM,29175984,CATH DRAIN CHANGE PERC,2474.0,,50.0,2226.6,55
CDM,29175989,GUIDE ABSC DRN PERC/CATH,2694.0,,115.0,2424.6,55
CDM,29176376,US 3D REND W/INTERP W/O POSTPR,1464.0,,126.0,1317.6,55
CDM,29176377,XR 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,29176496,XR FLUORO UNLISTED PROCEDURE,1051.0,,72.52,945.9,68
CDM,29176506,ECHOENCEPHALOGRAM,1162.0,,87.59,1045.8,68
CDM,29176936,US GUIDED COMPRESSION RPR,1738.0,,211.0,1564.2,68
CDM,29176937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,29176942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,29176998,US GUIDANCE INTRAOPERATIVE,1570.0,,141.07,1413.0,56
CDM,29177001,FLURO GUIDE CVA PLCMT/REMOVAL,1861.0,,51.49,1674.9,55
CDM,29177002,XR FLUORO NEEDLE PLACEMENT,1355.0,,78.0,1219.5,55
CDM,29177003,FLURO GUIDE NDLE/CATH DX/THERP,1463.0,,84.35,1316.7,55
CDM,29177012,CT GUIDED NEEDLE PLACEMENT,4475.0,,378.0,4027.5,55
CDM,29195958,EEG HEMISPHERE FUNCTION (WADA),3200.0,,127.0,2880.0,68
CDM,29303014,TELEHEALTH FACILITY FEE-ACTP,78.0,,10.66,70.2,57
CDM,29307754,HEARTMATE III MOBILE POWER UNI,17689.0,,8844.5,15920.1,61
CDM,29310003,VISIT ACT LVL II W/ANY PROC,269.0,,102.2,242.1,57
CDM,29310005,VISIT ACT LVL III W/ANY PROC,372.0,,102.2,334.8,57
CDM,29332554,ASPIRATE PLEURA W/O IMAGING,1159.0,,463.6,1043.1,68
CDM,29332555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,68
CDM,29336600,ARTERIAL PUNCTURE,232.0,,64.0,208.8,68
CDM,29350003,ROOM & BED CHARGE ACT,2117.0,,1058.5,7500.0,38
CDM,29350013,OBSERV PER HR - ACT,82.0,,41.0,2436.0,57
CDM,29379000,IV INFUSION THERAPY EA ADDL HR,350.0,,25.0,315.0,68
CDM,29380004,INSERTION SWAN GANZ,5064.0,,1279.53,4557.6,69
CDM,29380005,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,29380011,IV INFUSION THERAPY INITIAL HR,674.0,,72.0,606.6,68
CDM,29380016,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,29390760,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,29390761,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,29390772,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,29390774,THERAPY/PRO/DX IV PUSH INITIAL,499.0,,173.54,449.1,68
CDM,29390775,IV PUSH ADDL SEQ NEW DRUG,343.0,,23.36,308.7,68
CDM,29394760,PULSE OXIMETRY/SINGLE,116.0,,3.2,104.4,57
CDM,29396409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,29396411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,58.62,668.7,68
CDM,29396413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,68
CDM,29396415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,68
CDM,29396417,CHEMO IV INFUSION EACH ADD,800.0,,58.62,720.0,68
CDM,29396523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,29398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,29398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,29398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,29398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,29398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,29398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,29398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,29398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,29398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,29398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,29398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,29398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,29398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,29398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,29398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,29398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,29398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,29398960,EDUC/TRAIN-SELF MGMT EA 30 MIN,39.0,,19.5,35.1,57
CDM,29399212,VISIT ACT LVL II,290.0,,102.2,261.0,68
CDM,29399213,VISIT ACT LVL III,372.0,,102.2,334.8,68
CDM,29401925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,29410020,RAPID STREP. A TEST,195.0,,15.21,175.5,68
CDM,29410111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,29420001,SATELLITE DRUG SCREEN,543.0,,11.59,488.7,68
CDM,29420094,TROPONIN QN,146.0,,10.69,131.4,68
CDM,29420111,"GLUCOSE, INFORM",62.0,,3.02,55.8,68
CDM,29420115,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,29450109,COVID-19(SARS-COV-2)AG**,215.0,,32.5,193.5,68
CDM,29450110,FLU A**,195.0,,15.23,175.5,68
CDM,29450111,FLU B**,195.0,,15.23,175.5,68
CDM,29450240,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,29450242,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,29450243,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,29450244,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,29450245,SED RATE RBC NON AUTO,123.0,,2.34,110.7,68
CDM,29450246,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,29450428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,29455081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,29455084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,29455430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,29460010,MONOSPOT SCREEN MONOSPOT,402.0,,2.28,361.8,68
CDM,29460252,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,29460253,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,29470115,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,29470180,URINALYSIS AUTO W/MICRO,153.0,,2.92,137.7,68
CDM,29470181,URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,68
CDM,29480047,BASIC METABOLIC PANEL CALCIUM,340.0,,7.2,306.0,68
CDM,29480051,ELECTROLYTE BLOOD PANEL I-STAT,178.0,,3.21,160.2,68
CDM,29482330,CALCIUM BLOOD IONIZED I-STAT,214.0,,2.31,192.6,68
CDM,29482374,CARBON DIOXIDE (BICARB) I-STAT,117.0,,2.31,105.3,68
CDM,29482565,CREATININE BLOOD I-STAT,80.0,,2.3,72.0,68
CDM,29482947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,29484132,POTASSIUM BLOOD I-STAT,110.0,,2.35,99.0,68
CDM,29484295,SODIUM BLOOD I-STAT,107.0,,2.38,96.3,68
CDM,29484520,UREA NITROGEN BLOOD QNT I-STAT,90.0,,2.35,81.0,68
CDM,29571045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,68
CDM,29571046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,29593005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,29599202,VISIT NEW PT BRIEF 10 MIN,187.0,,93.5,168.3,66
CDM,29599204,VISIT NEW PT LVL IV 45-59 MIN,479.0,,102.2,431.1,68
CDM,29599205,VISIT NEW PT LVL V 60-74 MIN,632.0,,102.2,568.8,68
CDM,29599212,VISIT ESTAB PT LVL II,290.0,,102.2,261.0,68
CDM,29599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,29599214,VISIT ESTAB PT LVL IV,535.0,,102.2,481.5,68
CDM,29599215,VISIT ESTAB PT LVL V,603.0,,102.2,542.7,68
CDM,29599243,OFFICE CONSULT LVL III,402.0,,98.4,361.8,57
CDM,29600216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,29600217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,29600298,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,29690471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,29690662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,29690686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,29690732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,29690750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,29696372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,29699401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,31213502,XR HIP UNILAT 2-3 VIEWS RT,508.0,,22.5,457.2,56
CDM,31213552,XR FEMUR MIN 2 VIEWS LT,530.0,,29.41,477.0,56
CDM,31213925,DUPLEX SCAN LOW EXT BIL,1967.0,,91.0,1770.3,68
CDM,31213930,DUPLEX SCAN UP EXT BIL,2010.0,,47.0,1809.0,68
CDM,31213970,DUPLEX SCAN EXT VEINS BIL,2291.0,,169.0,2061.9,68
CDM,31216856,ECHO (NON OB)PELVIC,865.0,,87.59,778.5,68
CDM,31223552,XR FEMUR MIN 2 VIEWS RT,530.0,,29.41,477.0,56
CDM,31233552,XR FEMUR MIN 2 VIEWS BILAT,1056.0,,29.41,950.4,56
CDM,31246705,ECHO ABDOMEN LTD,624.0,,54.0,561.6,68
CDM,31270100,XR MANDIBLE 1-3 VIEWS,654.0,,27.0,588.6,68
CDM,31270110,XR MANDIBLE MIN 4 VIEWS,878.0,,37.0,790.2,68
CDM,31270150,FACIAL BONES MIN 3 VIEWS,794.0,,35.0,714.6,68
CDM,31270160,XR NASAL CMPL 3+V,760.0,,16.0,684.0,68
CDM,31270220,XR PARANASAL SINUS MIN 3 VWS,996.0,,37.0,896.4,68
CDM,31270250,XR SKULL 1-3 VIEWS,857.0,,28.0,771.3,68
CDM,31270360,NECK SOFT TISSUE,649.0,,19.0,584.1,68
CDM,31271045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,68
CDM,31271046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,31271100,XR RIBS 2V UNI RT,742.0,,33.0,667.8,56
CDM,31271101,XR RIBS 2V UNI LT,742.0,,33.0,667.8,56
CDM,31271110,XR RIBS 3 VIEWS BILAT,918.0,,37.0,826.2,68
CDM,31272040,XR C-SPINE 2 OR 3V,793.0,,33.0,713.7,68
CDM,31272070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,68
CDM,31272100,XR LUMBAR SPINE 2 OR 3 VIEWS,930.0,,38.0,837.0,68
CDM,31272202,XR SACROILIAC JT 3+V,759.0,,43.0,683.1,68
CDM,31272220,XR SACRUM/COCCYX 2+V,732.0,,31.0,658.8,68
CDM,31273000,CLAVICAL COMP RT,704.0,,21.0,633.6,56
CDM,31273001,CLAVICAL COMP LT,704.0,,21.0,633.6,56
CDM,31273002,CLAVICAL COMP BIL,1168.0,,21.0,1051.2,56
CDM,31273010,SCAPULA COMP RT,737.0,,29.0,663.3,56
CDM,31273011,SCAPULA COMP LT,737.0,,29.0,663.3,56
CDM,31273012,SCAPULA COMP BIL,1288.0,,29.0,1159.2,56
CDM,31273030,XR SHOULDER CMPL 2+ VIEWS RT,783.0,,30.0,704.7,56
CDM,31273031,XR SHOULDER CMPL 2+V LT,783.0,,30.0,704.7,56
CDM,31273032,XR SHOULDER CMPL 2+V BILAT,1358.0,,30.0,1222.2,56
CDM,31273060,XR HUMERUS 2+V RT,654.0,,30.0,588.6,56
CDM,31273061,XR HUMERUS 2+V LT,654.0,,30.0,588.6,56
CDM,31273062,XR HUMERUS 2+V BILAT,1202.0,,30.0,1081.8,56
CDM,31273080,ELBOW MIN 3 VIEWS RT,724.0,,32.0,651.6,56
CDM,31273081,ELBOW MIN 3 VIEWS LT,724.0,,32.0,651.6,56
CDM,31273082,ELBOW MIN 3 VIEWS BIL,1373.0,,32.0,1235.7,56
CDM,31273090,FOREARM AP&L RT,743.0,,29.0,668.7,56
CDM,31273110,XR WRIST CMPL 3+V RT,723.0,,31.0,650.7,56
CDM,31273111,XR WRIST CMPL 3+V LT,723.0,,31.0,650.7,56
CDM,31273112,XR WRIST CMPL3+V BI,1003.0,,31.0,902.7,56
CDM,31273130,XR HAND CMPL 3+V RT,739.0,,27.0,665.1,56
CDM,31273131,XR HAND CMPL 3+V LT,739.0,,27.0,665.1,56
CDM,31273132,XR HAND CMPL 3V BI,1192.0,,27.0,1072.8,56
CDM,31273140,XR FINGER LITTLE RT,532.0,,18.0,478.8,56
CDM,31273141,XR FINGER LITTLE LT,532.0,,18.0,478.8,56
CDM,31273142,XR FINGER RING RT,532.0,,18.0,478.8,56
CDM,31273143,XR FINGER RING LT,532.0,,18.0,478.8,56
CDM,31273144,XR FINGER LONG LT,532.0,,18.0,478.8,56
CDM,31273145,XR FINGER LONG RT,532.0,,18.0,478.8,56
CDM,31273146,XR FINGER INDEX LT,532.0,,18.0,478.8,56
CDM,31273147,XR FINGER INDEX RT,532.0,,18.0,478.8,56
CDM,31273148,XR THUMB LT,532.0,,18.0,478.8,56
CDM,31273149,XR THUMB RT,532.0,,18.0,478.8,56
CDM,31273191,FOREARM AP&L LT,743.0,,29.0,668.7,56
CDM,31273192,FOREARM AP&L BIL,1187.0,,29.0,1068.3,56
CDM,31273502,XR HIP UNILAT 2-3 VIEWS LT,508.0,,22.5,457.2,56
CDM,31273522,XR HIP BILAT W/PELVIS 3-4 VIEW,1459.0,,44.35,1313.1,68
CDM,31273562,XR KNEE 3V RT,757.0,,27.0,681.3,56
CDM,31273590,XR TIBIA/FIBULA 2V RT,730.0,,30.0,657.0,56
CDM,31273610,ANKLE COMP MIN 3 VIEWS RT,720.0,,34.0,648.0,56
CDM,31273611,ANKLE COMP MIN 3 VIEWS LT,720.0,,34.0,648.0,56
CDM,31273612,ANKLE COMP MIN 3 VIEWS BIL,1264.0,,34.0,1137.6,56
CDM,31273630,XR FOOT CMPL 3+V RT,793.0,,34.0,713.7,56
CDM,31273631,XR FOOT COMPLETE 3+V LT,793.0,,34.0,713.7,56
CDM,31273632,XR FOOT CMPL 3+V BILAT,1268.0,,34.0,1141.2,56
CDM,31273650,XR CALCANEUS 2+ V RT,590.0,,25.0,531.0,56
CDM,31273651,XR CALCANEUS 2+V LT,590.0,,25.0,531.0,56
CDM,31273652,XR CALCANEUS 2+V BILAT,965.0,,25.0,868.5,56
CDM,31273660,XR TOE(S) 2+V RT,499.0,,17.0,449.1,56
CDM,31273663,XR KNEE 3V LT,757.0,,27.0,681.3,56
CDM,31273664,XR KNEE 3V BILAT,1358.0,,27.0,1222.2,56
CDM,31273691,XR TIBIA/FIBULA 2V LT,730.0,,30.0,657.0,56
CDM,31273692,XR TIBIA/FIBULA 2V BILAT,1089.0,,30.0,980.1,56
CDM,31273761,XR TOE(S) 2+V LT,499.0,,17.0,449.1,56
CDM,31273762,XR TOE(S) GREAT 2+V RT,499.0,,17.0,449.1,56
CDM,31273763,XR TOE(S) GREAT 2+V LT,499.0,,17.0,449.1,56
CDM,31274018,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,68
CDM,31276857,US PELVIS NON-OB LTD,1310.0,,64.0,1179.0,68
CDM,31293005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,31293306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,31293308,ECHO 2D W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,31293925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,31293926,DUPLEX ARTRL LWR EXT UNILT/LMT,1404.0,,31.0,1263.6,68
CDM,31293930,DUPLEX ARTERIAL UPR EXT BILAT,2010.0,,47.0,1809.0,68
CDM,31293931,DUPLEX ART UPR EXT UNILAT/LMTD,1540.0,,9.0,1386.0,68
CDM,31293970,DUPLEX VENOUS EXT BILAT,2291.0,,169.0,2061.9,68
CDM,31293971,DUPLEX VENOUS EXT UNILAT/LMTD,1611.0,,56.0,1449.9,68
CDM,31294640,NEBULIZER TREATMENT INITIAL,279.0,,139.5,251.1,68
CDM,31500576,CATH IAB SENSATION PLUS 8.0 50,1896.0,,948.0,1706.4,56
CDM,31531622,BRONCHOSCOPY / BEDSIDE,5315.0,,2126.0,4783.5,56
CDM,31533967,IABP INSERTION / BEDSIDE,7196.0,,2878.4,6476.4,56
CDM,31593503,INSERTION SWAN GANZ / BEDSIDE,5064.0,,2025.6,4557.6,56
CDM,32380013,OBSERV PER HR - ATCU,80.0,,40.0,2436.0,57
CDM,32390003,ROOM & BED CHARGE ATCU PRIV,1617.5,,559.0,7500.0,76
CDM,32401925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,32410020,RAPID STREP. A TEST,195.0,,15.21,175.5,68
CDM,32410111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,32420111,"GLUCOSE, INFORM",62.0,,3.02,55.8,68
CDM,32420115,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,32435137,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,32450109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,32450240,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,32450241,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,32450242,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,32450243,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,32450244,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,32450245,SED RATE RBC NON AUTO,123.0,,2.34,110.7,68
CDM,32450246,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,32450428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,32455081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,32455084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,32455430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,32460252,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,32460253,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,32470180,URINALYSIS W/MICROSCOPIC,147.0,,3.7,132.3,68
CDM,32470181,URINALYSIS WITHOUT MICROSCOPIC,57.0,,3.2,51.3,68
CDM,32480047,BASIC METABOLIC PANEL CALCIUM,340.0,,7.2,306.0,68
CDM,32480051,ELECTROLYTE BLOOD PANEL I-STAT,178.0,,3.21,160.2,68
CDM,32482330,CALCIUM BLOOD IONIZED I-STAT,214.0,,2.31,192.6,68
CDM,32482374,CARBON DIOXIDE (BICARB) I-STAT,117.0,,2.31,105.3,68
CDM,32482565,CREATININE BLOOD I-STAT,80.0,,2.3,72.0,68
CDM,32482947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,32484132,POTASSIUM BLOOD I-STAT,110.0,,2.35,99.0,68
CDM,32484295,SODIUM BLOOD I-STAT,107.0,,2.38,96.3,68
CDM,32484520,UREA NITROGEN BLOOD QNT I-STAT,90.0,,2.35,81.0,68
CDM,34839800,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,34839801,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,35580013,OBSERV PER HR-W5N,80.0,,40.0,2436.0,57
CDM,35590003,ROOM & BED CHARGE W5N,1780.0,,721.5,7500.0,76
CDM,35800001,MISC INJECTABLE DRUG,0.01,,0.00256,0.009,55
CDM,35800017,CERTOLIZUMAB 1MG BU PER 200MG,28.4,,3.6,25.56,68
CDM,35800035,BEVACIZUMAB 10MG BU PER 100MG,396.34,,51.0,356.71,69
CDM,35800041,BORTEZOMIB 0.1MG BU PER 3.5MG,2.0,,1.0,44.97,57
CDM,35800047,CARFILZOMIB 1MG BU PER 10MG VL,235.48,,39.2,211.93,68
CDM,35800055,CETUXIMAB 10MG BU PER 100MG VL,364.56,,45.0,328.1,57
CDM,35800119,RITUXIMAB-PVVR 10MG BU/100MG,114.4,,25.62,102.96,68
CDM,35800129,ABATACEPT/10MG BU 250MG VIAL,170.1,,40.58,153.09,68
CDM,35800135,TOCILIZ-AAZG 1MG BU PER 80MG,20.4,,4.07,18.36,68
CDM,35800155,CETUXIMAB 10MG BU PER 200MG VL,352.87,,45.0,317.58,57
CDM,35800174,DOCETAXEL 20MG/1ML VIAL,98.0,,0.4636,88.2,55
CDM,35800177,ENFORT VED-EJFV 0.25MG BU/20MG,170.59,,27.96,153.53,68
CDM,35800181,ETOPOSIDE 10MG BU PER 500MG VL,4.0,,0.77,3.75,56
CDM,35800187,HUMATE-P 1IU/500-999IU VIAL,8.9,,1.21,8.01,68
CDM,35800190,FLUOROURACIL 5000MG/100ML VL,16.0,,1.53,14.4,56
CDM,35800201,GEMCITABINE 200MG BU PER 200MG,23.4,,3.61,108.75,56
CDM,35800206,IRINOTECAN 20MG BU PER 100MG,25.7,,1.71,126.0,56
CDM,35800208,IFOSFAMIDE 3GM/75ML VIAL,294.9,,26.31,265.41,56
CDM,35800227,ISATUXIMAB-IRFC 10MG BU/100MG,401.38,,66.67,361.24,68
CDM,35800228,IPILIMUMAB 1MG BU PER 50MG VL,636.5,,157.38,572.85,68
CDM,35800271,PEMBROLIZUMAB 1MG BU PER 100MG,294.21,,50.85,264.79,68
CDM,35800303,PANITUMUMAB 10MG BU PER 100MG,561.47,,123.55,505.32,68
CDM,35800305,PEMETREXED 10MG BU PER 100MG,4.4,,2.2,71.81,69
CDM,35800353,OCREOTIDE DEPO KIT 1MG BU/10MG,575.68,,78.75,518.11,69
CDM,35800490,BELIMUMAB 10MG BU PER 120MG VL,276.01,,46.18,248.41,68
CDM,35800506,PEGFILFRAST ONPRO 0.5MG BU/6MG,33.5,,16.75,122.84,68
CDM,35800562,PLERIXAFOR 1MG BU PER 24MG VL,36.1,,18.05,365.29,68
CDM,35800590,MENQUADFI 10MCG/0.5ML SDV,668.3,,334.15,601.47,54
CDM,35800656,AFLURIA TRIVA PFS 2024-25,146.79,,20.5,132.11,56
CDM,35800897,DENOSUMAB SQ 1MG BU/60MG VL,37.26,,18.63,40.4,68
CDM,35800930,LANREOTIDE ACE 1MG BU PER 60MG,117.1,,31.33,105.39,68
CDM,35800938,FUROSEMIDE 1MG BU PER 40MG VL,2.0,,0.0244,1.8,55
CDM,35800950,LEUPRON DEP 3.75MG BU/3.75MG,505.19,,252.59,2379.19,68
CDM,35800994,LANREOTIDE INJ 120MG,16806.0,,44.73,15125.4,56
CDM,35800996,LANREOTIDE INJ 90MG,8104.5,,44.73,7294.05,56
CDM,35800997,ADO-TRASTUZUMAB 1MG (100MG VL),200.2,,32.79,180.18,56
CDM,35800998,ADO-TRASTUZUMAB 1MG (160MG VL),200.2,,32.79,180.18,56
CDM,35801036,BENDAMUSTINE 1MG BU/100MG VL,2.0,,1.0,21.61,68
CDM,35801038,AXATILIMAB-CSFR 0.1MG BU/9MG,80.66,,40.33,76.52,68
CDM,35801045,CARBOPLATIN 600MG/60ML VIAL,236.4,,2.57,212.76,56
CDM,35801047,CARFILZOMIB 1MG BU PER 30MG VL,207.48,,39.2,186.73,68
CDM,35801107,BEVACIZUMAB-AWWB 10MG BU/100MG,140.1,,25.63,126.09,68
CDM,35801115,RITUXIMAB-ABBS 10MG BU/100MG,139.5,,27.03,125.55,68
CDM,35801118,BEVACIZUMAB-BVZR 10MG BU/100MG,140.1,,23.71,126.09,68
CDM,35801119,RITUXIMAB-PVVR 10MG BU/500MG,114.4,,25.62,102.96,68
CDM,35801135,TOCILIZ-AAZG 1MG BU PER 200MG,23.2,,4.07,20.88,68
CDM,35801171,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,56
CDM,35801173,IMFINZI 10MG BU PER 120MG VIAL,419.58,,76.02,377.62,68
CDM,35801174,DOCETAXEL 80MG/4ML VIAL,100.44,,0.4636,90.4,55
CDM,35801175,DONANEMAB-AZBT 2MG BU PER 350,30.3,,3.8,27.27,68
CDM,35801176,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,68
CDM,35801177,ENFORT VED-EJFV 0.25MG BU/30MG,169.96,,27.96,152.96,68
CDM,35801187,HUMATE-P 1IU/1000-1600IU VIAL,8.9,,1.21,8.01,68
CDM,35801190,DEXRAZOXANE 250MG BU PER 500MG,316.05,,39.15,284.44,68
CDM,35801201,GEMCITABINE 200MG BU/1000MG VL,17.0,,3.61,108.75,56
CDM,35801202,GOSER ACE 3.6MG BU PER 10.8MG,1569.88,,435.0,1412.89,69
CDM,35801217,LEUP ACE 7.5MG BU / 7.5MG SYR,595.77,,162.33,536.19,69
CDM,35801227,ISATUXIMAB-IRFC 10MG BU/500MG,401.31,,66.67,361.18,68
CDM,35801228,IPILIMUMAB 1MG BU PER 200MG VL,635.45,,157.38,571.9,68
CDM,35801262,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,68
CDM,35801264,PACLITAX ALB 1MG BU PER 100MG,85.4,,8.25,76.86,69
CDM,35801298,NIVOL/RELAT 3MG BU PER 240MG,704.1,,182.0,633.69,68
CDM,35801300,ECULIZUMAB 10MG BU PER 300MG V,811.75,,207.81,730.58,57
CDM,35801303,PANITUMUMAB 10MG BU PER 400MG,561.26,,123.55,505.13,68
CDM,35801305,PEMETREXED 10MG BU PER 500MG,3.7,,1.85,71.81,69
CDM,35801308,FAMOTIDINE 20MG/2ML VIAL,2.0,,0.0122,1.8,56
CDM,35801312,RITUXIMAB 10MG BU PER 100MG VL,313.53,,69.2,282.18,68
CDM,35801353,OCREOTIDE DEPO KIT 1MG BU/20MG,232.05,,78.75,279.92,69
CDM,35801370,VINCRISTINE 1MG BU PER 1MG VL,43.6,,5.34,39.24,56
CDM,35801395,FULVESTRANT 25MG BU PER 250MG,13.7,,6.19,78.75,69
CDM,35801459,PRIVIGEN 500MG BU PER 5GM/50ML,250.25,,41.5,225.22,68
CDM,35801490,BELIMUMAB 10MG BU PER 400MG VL,275.38,,46.18,247.84,68
CDM,35801750,INFED 50MG BU PER 100MG/2ML VL,116.5,,15.01,104.85,68
CDM,35801870,IMETELSTAT 1MG BU PER 47MG VL,290.92,,52.47,261.83,68
CDM,35801897,XGEVA-DENOSUMAB 1MG BU/120MG,38.07,,19.04,40.4,68
CDM,35801919,METHYLPRED 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
CDM,35801930,LANREOTIDE ACE 1MG BU PER 90MG,90.15,,31.33,81.14,68
CDM,35801938,FUROSEMIDE 1MG BU PER 20MG VL,13.7,,0.0244,12.33,55
CDM,35801950,LEUPRON DEP 3.75MG BU/11.25MG,351.19,,175.59,2379.19,68
CDM,35802047,CARFILZOMIB 1MG BU PER 60MG VL,184.59,,39.2,166.13,68
CDM,35802107,BEVACIZUMAB-AWWB 10MG BU/400MG,184.8,,25.63,166.32,68
CDM,35802115,RITUXIMAB-ABBS 10MG BU/500MG,147.07,,27.03,132.36,68
CDM,35802118,BEVACIZUMAB-BVZR 10MG BU/400MG,184.8,,23.71,166.32,68
CDM,35802135,TOCILIZ-AAZG 1MG BU PER 400MG,23.2,,4.07,20.88,68
CDM,35802173,IMFINZI 10MG BU PER 500MG VIAL,426.44,,76.02,383.8,68
CDM,35802176,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,68
CDM,35802187,HUMATE-P 1IU/1600-3000IU VIAL,8.9,,1.21,8.01,68
CDM,35802190,DEXRAZOXANE 250MG BU PER 250MG,584.01,,39.15,525.61,68
CDM,35802201,GEMCITABINE 200MG BU/2000MG VL,17.3,,3.61,108.75,56
CDM,35802202,GOSER ACE 3.6MG BU PER 3.6MG,1569.16,,435.0,1412.24,69
CDM,35802217,LEUP ACE 7.5MG BU / 22.5MG SYR,593.67,,162.33,534.3,69
CDM,35802262,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,68
CDM,35802305,PEMETREXED 10MG BU PER 1000MG,8.6,,4.01,71.81,69
CDM,35802312,RITUXIMAB 10MG BU PER 500MG VL,306.32,,69.2,275.69,68
CDM,35802323,ELRANATAMAB-BCMM/1MG BU 76MG V,666.75,,169.34,600.08,68
CDM,35802353,OCREOTIDE DEPO KIT 1MG BU/30MG,249.48,,78.75,279.92,69
CDM,35802370,VINCRISTINE 1MG BU PER 2MG VL,43.7,,5.34,39.33,56
CDM,35802459,PRIVIGEN 500MG BU PER 10GM VL,250.25,,41.5,225.22,68
CDM,35802870,IMETELSTAT 1MG BU PER 188MG VL,290.01,,52.47,261.01,68
CDM,35802919,METHYLPRED 5MG BU PER 125MG VL,0.6,,0.1932,0.54,68
CDM,35802938,FUROSEMIDE 1MG BU PER 100MG VL,2.0,,0.0244,1.8,55
CDM,35803111,ROMOSOZUMAB 1MG BU PER 105MG,160.8,,9.01,144.72,68
CDM,35803217,LEUP DEPOT 7.5MG/22.5MG KIT,702.17,,162.33,631.95,69
CDM,35803262,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,68
CDM,35803459,PRIVIGEN 500MG BU PER 20GM VL,249.55,,41.5,224.59,68
CDM,35803802,ROMIPLOSTIM 1MCG BU PER 500MCG,38.2,,10.13,34.38,68
CDM,35803919,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,68
CDM,35803930,LANREOTIDE  1MG BU PER 120MG,140.6,,31.33,126.54,68
CDM,35804217,LEUP ACE 7.5MG BU / 30MG SYR,83.9,,41.95,517.5,69
CDM,35804459,PRIVIGEN 500MG BU PER 40GM VL,250.25,,41.5,225.22,68
CDM,35804802,ROMIPLOSTIM 1MCG BU PER 250MCG,38.3,,10.13,34.47,68
CDM,35805114,TRASTUZ-DKST 10MG BU PER 150MG,163.87,,37.07,147.48,68
CDM,35805217,LEUP ACE 7.5MG BU / 45MG SYR,50.2,,25.1,517.5,69
CDM,35806217,LEUPROLIDE DEPOT KIT 7.5MG-KIT,501.6,,162.33,517.5,69
CDM,35808145,DARATUMUMAB 10MG BU PER 100MG,309.96,,56.29,278.96,68
CDM,35809000,DOXORUBICIN 10MG BU PER 200MG,25.4,,2.7,22.86,56
CDM,35809075,CYCLOPHOS 5MG BU PER 500MG VL,3.1,,0.4416,2.79,68
CDM,35809145,DARATUMUMAB 10MG BU PER 400MG,309.89,,56.29,278.9,68
CDM,35809190,FLUOROURACIL 1000MG/20ML VL,31.8,,1.53,28.62,56
CDM,35809263,OXALIPLATIN 0.5MG BU PER 100MG,0.8,,0.1098,7.5,56
CDM,35809267,PACLITAXEL 300MG/50ML VL,210.0,,0.1342,189.0,55
CDM,35810006,CERTOLIZUMAB PACK 200MG,3976.0,,5.48,3578.4,56
CDM,35810015,GAMUNEX-C 500MG (5GM/50ML VL),234.5,,42.19,211.05,68
CDM,35810016,GAMUNEX-C 500MG (20GM/200ML),234.5,,42.19,211.05,68
CDM,35810019,REBOLZYL 25MG SDV PER 0.25MG,209.79,,38.62,188.81,68
CDM,35810020,REBLOZYL 75MG SDV PER 0.25MG,207.48,,38.62,186.73,68
CDM,35810024,GAMUNEX-C 500MG BU PER 10GM VL,234.5,,42.19,211.05,68
CDM,35810025,GAMUNUX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,68
CDM,35810026,GAMUNEX-C 500MG BU PER 20GM VL,234.5,,42.19,211.05,68
CDM,35810027,GAMUNEX-C 500MG BU PER 40GM VL,234.5,,42.19,211.05,68
CDM,35810116,NIVOLUMAB 1MG BU/120MG VIAL,164.15,,28.56,147.74,68
CDM,35810117,NIVOLUMAB 1MG BU/40MG VIAL,163.24,,28.56,146.92,68
CDM,35810118,NIVOLUMAB 1MG BU/100MG VIAL,163.87,,28.56,147.48,68
CDM,35810119,NIVOLUMAB 1MG BU/240MG VIAL,165.62,,28.56,149.06,68
CDM,35810129,ABATACEPT INJ 10MG,170.1,,54.28,153.09,56
CDM,35810171,EPINEPHRINE INJ 0.1MG,40.9,,1.61,36.81,55
CDM,35810185,APREPITANT VL 1MG (CINVANTI),11.3,,1.73,10.17,56
CDM,35810202,ALEMTUZUMAB INJ 1MG (LEMTRADA),4022.82,,1984.32,3620.54,68
CDM,35810207,AMIFOSTINE INJ 500MG,1370.73,,407.25,1233.66,57
CDM,35810278,AMIKACIN INJ 100MG,3.1,,0.7564,2.79,55
CDM,35810321,EPKINLY PER 0.16MG BU 4MG VL,80.44,,40.22,76.78,68
CDM,35810360,HYDRALAZINE INJ 20MG-IT,9.3,,3.38,8.37,55
CDM,35810401,ARIPIPRAZOLE IM INJ ER 1MG,30.2,,5.7,27.18,68
CDM,35810461,ATROPINE INJ 0.01MG-IT,2.0,,0.0854,1.8,55
CDM,35810485,BELATACEPT VL 1MG,28.2,,3.78,25.38,56
CDM,35810612,CA GLUCONATE INJ 10MG,2.0,,0.0488,1.8,56
CDM,35810630,CALCITONIN VL 400 UNITS/2ML,1542.25,,446.17,2839.22,68
CDM,35810640,LEUCOVORIN VL 50MG,13.5,,2.8,12.15,56
CDM,35810692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,35810696,CEFTRIAXONE VL 250MG,2.2,,0.5856,1.98,55
CDM,35810744,CIPROFLOXACIN INJ 200MG,12.4,,1.0,11.16,55
CDM,35810780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,55
CDM,35810878,DAPTOMYCIN PWDR INJ 1MG,2.0,,0.0366,1.8,55
CDM,35810881,DARBEPOETIN 1MCG NON ESRD,16.9,,3.66,15.21,57
CDM,35810885,EPOETIN VL 1000U NON ESRD,63.9,,9.11,57.51,57
CDM,35810894,DECITABINE VL 1MG,5.2,,1.94,4.68,55
CDM,35811013,RAMUCIRUMAB 5MG BU 100MG/10ML,360.15,,60.71,324.13,68
CDM,35811014,RAMUCIRUMAB 5MG BU 500MG/50ML,359.73,,60.71,323.76,68
CDM,35811050,MEDROXYPROG INJ 1MG IT,2.0,,0.56,1.8,56
CDM,35811100,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,55
CDM,35811110,DIHYDROERGOTAMINE AMP 1MG,219.52,,55.97,197.57,55
CDM,35811200,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,55
CDM,35811299,ECULIZUMAB 2MG BU PER 300MG VL,162.6,,41.23,146.34,68
CDM,35811306,INCLISIRAN NA (LEQVIO) INJ 1MG,82.3,,11.33,74.07,68
CDM,35811321,EPKINLY PER 0.16MG BU 48MG VL,118.53,,51.37,106.68,68
CDM,35811437,FERRIC DERISOMALTOSE VL 10MG,115.2,,20.26,103.68,68
CDM,35811439,FERRIC CARBOXYMALTOSE IV 1MG,7.1,,1.11,6.39,56
CDM,35811440,FILGRASTIM VL 300MCG/ML 1ML,720.0,,0.93,648.0,56
CDM,35811441,FILGRASTIM INJ 480MCG,1728.0,,0.93,1555.2,56
CDM,35811447,TBO-FILGRASTIM INJ 1MCG,2.0,,0.2576,1.8,68
CDM,35811453,FOSAPREPITANT VL 1MG,2.0,,0.1342,1.8,55
CDM,35811459,IMMUNE GLOBULIN IV 500MG,250.25,,41.5,225.22,56
CDM,35811569,IMMUN GLOB IV GAMMAGUARD 500MG,226.38,,41.69,203.74,68
CDM,35811626,GRANISETRON HCL 100MCG,4.6,,0.2806,16.5,56
CDM,35811644,HEPARIN VL 1000U/ML 1ML,2.8,,0.2684,2.52,55
CDM,35811720,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,35811745,INFLIXIMAB VL 10MG,190.1,,38.04,171.09,56
CDM,35811750,IRON DEXTRAN VL 50MG/ML 1ML,116.5,,15.01,104.85,56
CDM,35811756,IRON SUCROSE VL 1MG,2.6,,0.22,2.34,56
CDM,35811815,INSULIN INJ 5 UNITS,2.0,,0.6832,1.8,56
CDM,35811885,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,68
CDM,35812060,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,55
CDM,35812175,MEPERIDINE INJ 100MG/ML 1ML IT,9.4,,4.7,19.14,55
CDM,35812270,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,35812323,NATALIZUMAB VL 1MG,44.3,,21.63,39.87,56
CDM,35812353,OCREOTIDE DEPOT KIT 1MG,249.27,,78.75,258.88,57
CDM,35812354,OCREOTIDE INJ 0.025MG,9.6,,0.7442,8.64,55
CDM,35812405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,56
CDM,35812430,PAMIDRONATE LYOPH VL 30MG,95.4,,11.52,221.25,56
CDM,35812469,PALONOSETRON VL 25MCG,118.6,,0.549,106.74,56
CDM,35812543,PIPER/TAZO VL 1/0.125GM,2.0,,1.0,1.8,55
CDM,35812550,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,55
CDM,35812597,DESMOPRESSIN INJ 1MCG,29.2,,3.24,26.28,68
CDM,35812916,FERRIC GLUC AMP 12.5MG/ML 1ML,12.8,,2.09,11.52,56
CDM,35812997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,57
CDM,35813032,EPTINEZUMAB INJ 1MG,140.1,,18.37,126.09,68
CDM,35813245,TILDRAKIZUMAB INJ 1MG (ILUMYA),660.59,,117.25,594.53,68
CDM,35813315,TRIPTORELIN VL 3.75MG,842.61,,385.61,758.35,56
CDM,35813357,USTEKINUMAB INJ SC 1MG,640.29,,159.0,576.26,57
CDM,35813358,USTEKINUMAB IV INJ 1MG,92.4,,12.03,83.16,56
CDM,35813370,VANCOMYCIN VL 500MG,13.0,,0.0366,11.7,55
CDM,35813380,VEDOLIZUMAB INJ 1MG,154.5,,19.61,139.05,68
CDM,35813385,VELAGLUCERASE VL 100U (VPRIV),814.14,,346.15,732.73,68
CDM,35813420,VIT B12 VL 1000MCG/ML 1ML-IT,6.0,,1.16,5.4,55
CDM,35813475,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,55
CDM,35813480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,55
CDM,35813487,ZOLEDRONIC ACID VL 1MG-ZOMETA,16.0,,6.34,14.4,55
CDM,35813488,ZOLEDRONIC ACID VL 1MG-RECLAST,42.2,,6.34,37.98,55
CDM,35819000,DOXORUBICIN VL 10MG,13.1,,2.7,11.79,56
CDM,35819002,DOXORUBICIN (LIPO) VL 10MG,13.1,,6.55,293.09,56
CDM,35819017,ARSENIC TRIOXIDE INJ 1MG/ML 1M,50.8,,7.15,45.72,57
CDM,35819022,ATEZOLIZUMAB INJ 10MG,450.45,,78.28,405.4,56
CDM,35819023,AVELUMAB INJ 10MG,492.8,,84.7,443.52,68
CDM,35819025,AZACITIDINE VL 1MG,6.9,,0.2562,6.21,56
CDM,35819039,BLINATUMOMAB VL 1MCG,621.67,,118.59,559.5,68
CDM,35819040,BLEOMYCIN SULF VL 15U-IT,148.5,,25.5,164.25,56
CDM,35819042,BRENTUXIMAB VL 1MG,495.74,,175.28,446.17,56
CDM,35819043,CABAZITAXEL INJ 1MG,714.35,,181.51,642.91,56
CDM,35819045,CARBOPLATIN VL 50MG,20.0,,2.57,122.25,56
CDM,35819060,CISPLATIN AQ VL 10MG,19.1,,1.71,17.19,56
CDM,35819075,CYCLOPHOS 5MG BU PER 2000MG VL,2.0,,0.4416,1.8,68
CDM,35819119,CEMIPLIMAB-RWLC VL 1MG-LIBTAYO,148.54,,27.4,133.69,56
CDM,35819120,DACTINOMYCIN VL 0.5MG,844.75,,369.56,1044.53,56
CDM,35819130,DACARBAZINE VL 100MG,30.3,,4.46,27.27,55
CDM,35819144,DARATUMUMAB/HYAL SQ 10MG,270.48,,51.12,243.43,68
CDM,35819155,DEGARELIX VIAL 1MG,27.9,,3.84,25.11,56
CDM,35819171,DOCETAXEL INJ 1MG,4.2,,0.4636,3.78,55
CDM,35819173,DURVALUMAB VL 10MG,419.58,,76.02,377.62,68
CDM,35819176,ELOTUZUMAB VL 1MG,56.1,,6.67,50.49,56
CDM,35819179,ERIBULIN MESYLATE VL 0.1MG,537.53,,117.66,483.78,56
CDM,35819181,ETOPOSIDE INJ 10MG,4.0,,0.77,3.75,56
CDM,35819202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,57
CDM,35819203,GEMTUZUMAB INJ 0.1MG,314.71,,157.35,325.35,68
CDM,35819205,IRINOTECAN LIPOSOMAL INJ 1MG,249.48,,54.33,224.53,56
CDM,35819206,IRINOTECAN VL 20MG/ML 1ML,32.1,,1.71,126.0,56
CDM,35819208,IFOSFAMIDE 1GM/30ML VIAL,84.5,,26.31,127.5,56
CDM,35819209,MESNA AMP 200MG,57.6,,1.62,51.84,56
CDM,35819217,LEUPROLIDE DEPOT KIT 7.5MG-IT,501.6,,189.61,517.5,57
CDM,35819223,LURBINECTEDIN INJ 0.1MG,743.75,,190.56,669.38,68
CDM,35819260,METHOTREXATE PWDR VL 50MG,13.2,,2.33,11.88,56
CDM,35819263,OXALIPLATIN VL 0.5MG,2.0,,0.1098,7.5,56
CDM,35819264,PACLITAXEL ABP VL 1MG,85.4,,8.25,76.86,57
CDM,35819267,PACLITAXEL INJ 1MG,2.0,,0.1342,1.8,55
CDM,35819280,MITOMYCIN INJ 5MG,374.01,,34.49,336.61,56
CDM,35819285,OLARATUMAB INJ 10MG,343.84,,52.07,309.46,56
CDM,35819301,OBINUTUZUMAB VL 10MG,373.38,,63.74,336.04,56
CDM,35819303,PANITUMUMAB VL 10MG,561.47,,123.55,505.32,56
CDM,35819305,PEMETREXED PWDR VL 10MG,313.46,,4.55,282.11,57
CDM,35819306,PERTUZUMAB INJ 1MG,98.7,,12.95,88.83,56
CDM,35819316,PERTUZ/TRASTU/HYALUR-ZZXF 10MG,290.5,,57.13,261.45,68
CDM,35819317,SACITUZUMAB GOVITECAN HZIY 2.5,181.02,,44.24,162.92,56
CDM,35819325,TALIMOGENE LAHER VL 1MILL PFU,237.79,,53.92,214.01,56
CDM,35819328,TEMOZOLOMIDE VL 1MG,41.8,,10.38,37.62,56
CDM,35819330,TEMSIROLIMUS INJ 1MG,326.76,,39.39,294.08,56
CDM,35819351,TOPOTECAN INJ 0.1MG,4.4,,1.28,3.96,55
CDM,35819352,TRABECTEDIN VL 0.1MG,791.88,,318.93,712.69,68
CDM,35819355,TRASTUZUMAB VL 10MG,396.69,,54.75,357.02,57
CDM,35819356,HYALURON/TRASTUZUMAB INJ 10MG,193.76,,75.08,174.38,56
CDM,35819358,FAM-TRASTUZUMAB DERUXTECAN 1MG,146.79,,24.14,132.11,56
CDM,35819360,VINBLASTINE VL 1MG,21.2,,3.98,19.08,56
CDM,35819370,VINCRISTINE VL 1MG/ML 1ML,43.7,,5.34,39.33,56
CDM,35819380,TECLISTAMAB-COYV INJ SQ 0.5MG,71.37,,19.9,64.23,68
CDM,35819390,VINORELBINE VL 10MG/ML 1ML,51.5,,2.39,89.25,56
CDM,35819400,ZIV-AFILBERCEPT VL 1MG,56.2,,8.07,50.58,56
CDM,35820174,LECANEMAB-IRMB/1MG BU 200MG VL,9.6,,1.21,8.64,68
CDM,35829075,CYCLOPHOS 5MG BU PER 1000MG VL,2.3,,0.4416,2.07,68
CDM,35836415,VENIPUNCTURE,46.0,,3.15,41.4,56
CDM,35836430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,56
CDM,35836591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,57
CDM,35836592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,57
CDM,35836593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,56
CDM,35839272,DOSTARLIMAB-GXLY 10MG BU/500MG,523.53,,224.21,471.18,68
CDM,35840050,DOXORUBICIN LIPO 10MG BU/20MG,271.32,,99.79,293.09,68
CDM,35840111,UDENYCA CBQV 0.5MG BU/6MG VL,592.97,,97.82,533.67,68
CDM,35840121,INFLIXIMAB-AXXQ VL 10MG,126.2,,18.78,113.58,68
CDM,35840138,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,56
CDM,35840150,DOXORUBICIN LIPO 10MG BU/50MG,312.83,,99.79,293.09,68
CDM,35842043,SIPULEUCEL-T PER INFUSION,74974.28,,37487.14,68254.08,56
CDM,35845101,FILGRASTIM INJ 1MCG,2.5,,0.4514,2.25,56
CDM,35845103,INFLECTRA VL 10MG,115.9,,18.39,104.31,68
CDM,35845104,INFLIXIMAB-ABDA VL10MG,52.14,,24.84,46.93,68
CDM,35845108,FULPHILA INJ PFS 6MG/0.6ML,1888.8,,91.2,1699.92,68
CDM,35845109,PEGFILGRASTIM JMDB SQ 0.5MG,168.69,,84.34,151.82,68
CDM,35845111,PEGFILGRASTIM CBQV UDENYCA .5,645.96,,143.69,581.36,56
CDM,35845117,TRASTUZUMAB ANNS INJ 10MG,46.83,,23.41,65.38,68
CDM,35845118,BEVACIZUMAB BVZR INJ 10MG,129.3,,23.71,116.37,68
CDM,35845119,RITUXIMAB-PVVR 10MG,114.4,,32.33,102.96,56
CDM,35845122,PEGFILGRASTIM APGF SQ 0.5MG,472.71,,161.09,425.44,56
CDM,35849163,TALQUETAMAB-TGVS/0.25MGBU 40MG,351.4,,66.81,316.26,68
CDM,35850174,LECANEMAB-IRMB/1MG BU 500MG VL,9.7,,1.21,8.73,68
CDM,35870004,GAMMAGARD LIQ 500MG BU/5000MG,226.38,,41.69,203.74,68
CDM,35870005,GAMMAGARD 500MG BU/10000MG VL,226.38,,41.69,203.74,68
CDM,35870006,GAMMAGARD 500MG BU/20000MG VL,226.38,,41.69,203.74,68
CDM,35870007,GAMMAGARD 500MG BU/30000MG VL,226.87,,41.69,204.18,68
CDM,35870008,FLU VACC ADMIN (INITIAL),69.0,,15.61,62.1,58
CDM,35870009,PNEUM VACC ADMIN,132.0,,6.24,118.8,57
CDM,35870011,ALBUMIN VL 25% 100MG,346.22,,64.76,311.6,56
CDM,35870498,CHEMO IV INFUSION EXTEND W/PUM,1819.0,,273.2,1637.1,68
CDM,35890471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,56
CDM,35890620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,35890653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,35890686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,35894642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,35896360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,56
CDM,35896361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,56
CDM,35896365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,56
CDM,35896366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,56
CDM,35896367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,56
CDM,35896368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,35896372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,56
CDM,35896374,THERAPYPRO//DX IV PUSH,540.0,,270.0,486.0,56
CDM,35896375,THERAPYPRO//DX IV PUSH ADDL,399.0,,23.36,359.1,56
CDM,35896376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,57
CDM,35896377,APPLICATION ON-BODY INJECTOR,343.0,,18.81,308.7,56
CDM,35896401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,56
CDM,35896402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,56
CDM,35896405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,56
CDM,35896406,CHEMO INTRALESIONAL >7 LESIONS,566.0,,81.0,509.4,56
CDM,35896409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,56
CDM,35896411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,67.0,668.7,56
CDM,35896413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,56
CDM,35896415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,56
CDM,35896416,CHEMO IV INFUSION PRO W/PUMP,1358.0,,156.58,1222.2,57
CDM,35896417,CHEMO IV INFUSION EACH ADD,800.0,,79.0,720.0,56
CDM,35896425,CHEMO IA INFUSION >8 HR,900.0,,62.0,810.0,68
CDM,35896450,CHEMO CNS,1812.0,,154.0,1630.8,56
CDM,35896523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,20.96,355.5,57
CDM,35899195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,56
CDM,35936415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,36000001,MISC INJECTABLE DRUG,0.01,,0.00256,0.009,55
CDM,36000004,COPPER CHLORIDE 4MG/10ML VL,152.2,,76.1,136.98,54
CDM,36000017,CERTOLIZUMAB 1MG BU PER 200MG,28.4,,3.6,25.56,68
CDM,36000035,BEVACIZUMAB 10MG BU PER 100MG,396.36,,51.0,356.72,69
CDM,36000041,BORTEZOMIB 0.1MG BU PER 3.5MG,4.3,,1.94,44.97,57
CDM,36000047,CARFILZOMIB 1MG BU PER 10MG VL,235.48,,39.2,211.93,68
CDM,36000055,CETUXIMAB 10MG BU PER 100MG VL,364.56,,45.0,328.1,69
CDM,36000119,RITUXIMAB-PVVR 10MG BU/100MG,114.4,,25.62,102.96,68
CDM,36000135,TOCILIZ-AAZG 1MG BU PER 80MG,20.4,,4.07,18.36,68
CDM,36000155,CETUXIMAB 10MG BU PER 200MG VL,352.87,,45.0,317.58,69
CDM,36000174,DOCETAXEL 20MG/1ML VIAL,98.0,,0.4636,88.2,55
CDM,36000177,ENFORT VED-EJFV 0.25MG BU/20MG,170.59,,27.96,153.53,68
CDM,36000180,AGALSIDASE BETA 1MG BU/5MG VL,698.42,,109.5,628.58,69
CDM,36000181,ETOPOSIDE 10MG BU PER 500MG VL,4.0,,0.77,3.75,56
CDM,36000185,FLUDARABINE 50MG BU PER 5OMG,380.66,,62.74,342.59,69
CDM,36000187,HUMATE-P 1IU/500-999IU VIAL,8.9,,1.21,8.01,68
CDM,36000190,FLUOROURACIL 5000MG/100ML VL,16.0,,1.53,14.4,56
CDM,36000201,GEMCITABINE 200MG BU PER 200,23.4,,3.61,108.75,56
CDM,36000206,IRINOTECAN 20MG BU PER 100MG,25.7,,1.71,126.0,56
CDM,36000208,IFOSFAMIDE 3GM/75ML VIAL,294.9,,26.31,265.41,56
CDM,36000227,ISATUXIMAB-IRFC 10MG BU/100MG,401.38,,66.67,361.24,68
CDM,36000228,IPILIMUMAB 1MG BU PER 50MG VL,636.5,,157.38,572.85,68
CDM,36000255,KETAMINE 200 MG/20 ML VIAL,109.85,,54.92,98.86,54
CDM,36000256,A-1 PROT INHIB 10MG BU/5000MG,35.0,,4.36,31.5,68
CDM,36000271,PEMBROLIZUMAB 1MG BU PER 100MG,294.21,,50.85,264.79,68
CDM,36000289,OPDIVO QVANTIG 2MG/BU 600MG VL,187.6,,25.17,168.84,68
CDM,36000303,PANITUMUMAB 10MG BU PER 100MG,561.47,,123.55,505.32,68
CDM,36000305,PEMETREXED 10MG BU PER 100MG,4.4,,2.2,71.81,69
CDM,36000307,PRALATREXATE 1MG BU PER 20MG,733.4,,311.22,660.06,68
CDM,36000309,POLATUZUMAB 1MG BU PER 30MG VL,673.19,,110.72,605.87,68
CDM,36000353,OCREOTIDE DEPO KIT 1MG BU/10MG,575.68,,78.75,518.11,69
CDM,36000357,OMALIZUMAB 5MG BU PER 300MG VL,215.95,,37.7,194.35,68
CDM,36000438,ETANERCEPT 25MG BU PER 25MG VL,1286.54,,643.27,1486.21,67
CDM,36000490,BELIMUMAB 10MG BU PER 120MG VL,276.01,,46.18,248.41,68
CDM,36000506,PEGFILFRAST ONPRO 0.5MG BU/6MG,33.5,,16.75,122.84,68
CDM,36000517,BENRALIZUMAB 1MG BU PER 30MG,594.15,,151.42,534.74,68
CDM,36000562,PLERIXAFOR 1MG BU PER 24MG VL,36.1,,18.05,365.29,68
CDM,36000590,MENQUADFI 10MCG/0.5ML SDV,668.3,,334.15,601.47,54
CDM,36000656,AFLURIA TRIVA PFS 2024-25,146.79,,20.5,132.11,56
CDM,36000897,DENOSUMAB SQ 1MG BU/60MG VL,37.26,,18.63,40.4,68
CDM,36000930,LANREOTIDE ACE 1MG BU PER 60MG,117.1,,31.33,105.39,68
CDM,36000938,FUROSEMIDE 1MG BU PER 40MG VL,2.0,,0.0244,1.8,55
CDM,36000950,LEUPRON DEP 3.75MG BU/3.75MG,505.19,,252.59,2379.19,68
CDM,36000994,LANREOTIDE INJ 120MG,16806.0,,31.33,15125.4,68
CDM,36000995,LANREOTIDE SQ INJ 60MG,7041.0,,31.33,6336.9,68
CDM,36000996,LANREOTIDE INJ 90MG,8104.5,,31.33,7294.05,68
CDM,36000997,ADO-TRASTUZUMAB 1MG (100MG VL),200.2,,32.79,180.18,68
CDM,36000998,ADO-TRASTUZUMAB 1MG (160MG VL),200.2,,32.79,180.18,68
CDM,36001035,BEVACIZUMAB 10MG BU PER 400MG,352.17,,51.0,316.95,69
CDM,36001036,BENDAMUSTINE 1MG BU/100MG VL,2.0,,1.0,21.61,68
CDM,36001038,AXATILIMAB-CSFR 0.1MG BU/9MG,80.66,,40.33,76.52,68
CDM,36001045,CARBOPLATIN 600MG/60ML VIAL,236.4,,2.57,212.76,56
CDM,36001047,CARFILZOMIB 1MG BU PER 30MG VL,207.48,,39.2,186.73,68
CDM,36001107,BEVACIZUMAB-AWWB 10MG BU/100MG,140.1,,25.63,126.09,68
CDM,36001115,RITUXIMAB-ABBS 10MG BU/100MG,139.5,,27.03,125.55,68
CDM,36001118,BEVACIZUMAB-BVZR 10MG BU/100MG,129.3,,23.71,116.37,68
CDM,36001119,RITUXIMAB-PVVR 10MG BU/500MG,114.4,,25.62,102.96,68
CDM,36001135,TOCILIZ-AAZG 1MG BU PER 200MG,23.2,,4.07,20.88,68
CDM,36001171,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,56
CDM,36001173,IMFINZI 10MG BU PER 120MG VIAL,419.58,,76.02,377.62,68
CDM,36001174,DOCETAXEL 80MG/4ML VIAL,100.44,,0.4636,90.4,55
CDM,36001175,DONANEMAB-AZBT 2MG BU PER 350,30.3,,3.8,27.27,68
CDM,36001176,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,68
CDM,36001177,ENFORT VED-EJFV 0.25MG BU/30MG,169.96,,27.96,152.96,68
CDM,36001180,AGALSIDASE BETA 1MG BU/35MG VL,4767.23,,109.5,4290.51,69
CDM,36001187,HUMATE-P 1IU/1000-1600IU VIAL,8.9,,1.21,8.01,68
CDM,36001190,DEXRAZOXANE 250MG BU PER 500MG,316.05,,39.15,284.44,68
CDM,36001200,FLOXURIDINE 500MG BU PER 500MG,7799.82,,46.44,7019.84,68
CDM,36001201,GEMCITABINE 200MG BU/1000MG VL,17.0,,3.61,108.75,56
CDM,36001202,GOSER ACE 3.6MG BU PER 10.8MG,1569.88,,435.0,1412.89,69
CDM,36001217,LEUP ACE 7.5MG BU / 7.5MG SYR,595.77,,162.33,536.19,69
CDM,36001227,ISATUXIMAB-IRFC 10MG BU/500MG,401.31,,66.67,361.18,68
CDM,36001228,IPILIMUMAB 1MG BU PER 200MG VL,635.45,,157.38,571.9,68
CDM,36001262,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,68
CDM,36001264,PACLITAX ALB 1MG BU PER 100MG,85.4,,8.25,76.86,69
CDM,36001298,NIVOL/RELAT 3MG BU PER 240MG,704.1,,182.0,633.69,68
CDM,36001300,ECULIZUMAB 10MG BU PER 300MG V,811.75,,207.81,730.58,57
CDM,36001303,PANITUMUMAB 10MG BU PER 400MG,561.26,,123.55,505.13,68
CDM,36001305,PEMETREXED 10MG BU PER 500MG,3.7,,1.85,71.81,69
CDM,36001307,PRALATREXATE 1MG BU PER 40MG,733.4,,311.22,660.06,68
CDM,36001308,FAMOTIDINE 20MG/2ML VIAL,2.0,,0.0122,1.8,56
CDM,36001309,POLATUZUMAB 1MG BU PER 140MG,676.27,,110.72,608.64,68
CDM,36001312,RITUXIMAB 10MG BU PER 100MG VL,313.53,,69.2,282.18,68
CDM,36001323,ELRANATAMAB-BCMM/1MG BU 44MG V,666.45,,169.34,599.8,68
CDM,36001326,ZOLBETUXIMAB-CLZB 2MG BU/100MG,170.87,,27.77,153.78,68
CDM,36001334,VYVGART HYTRULO 2MG BU/1008MG,170.45,,31.18,153.41,68
CDM,36001353,OCREOTIDE DEPO KIT 1MG BU/20MG,232.05,,78.75,279.92,69
CDM,36001370,VINCRISTINE 1MG BU PER 1MG VL,43.6,,5.34,39.24,56
CDM,36001395,FULVESTRANT 25MG BU PER 250MG,13.7,,6.19,78.75,69
CDM,36001459,PRIVIGEN 500MG BU PER 5GM/50ML,250.25,,41.5,225.22,68
CDM,36001490,BELIMUMAB 10MG BU PER 400MG VL,275.38,,46.18,247.84,68
CDM,36001745,INFLIX UNBRAND 10MG BU/100MG,188.0,,28.6,169.2,68
CDM,36001750,INFED 50MG BU PER 100MG/2ML VL,116.5,,15.01,104.85,68
CDM,36001756,ZEMAIRA 10MG/4000MG RANGE VIAL,35.0,,4.36,31.5,68
CDM,36001870,IMETELSTAT 1MG BU PER 47MG VL,290.92,,52.47,261.83,68
CDM,36001897,XGEVA-DENOSUMAB 1MG BU/120MG,38.07,,19.04,40.4,68
CDM,36001919,METHYLPRED 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
CDM,36001930,LANREOTIDE ACE 1MG BU PER 90MG,90.15,,31.33,81.14,68
CDM,36001938,FUROSEMIDE 1MG BU PER 20MG VL,13.7,,0.0244,12.33,55
CDM,36001939,BUMETANIDE 0.5MG BU PER 1MG VL,4.4,,0.3404,3.96,68
CDM,36001950,LEUPRON DEP 3.75MG BU/11.25MG,351.19,,175.59,2379.19,68
CDM,36002038,AXATILIMAB-CSFR 0.1MG BU/22MG,279.79,,51.2,251.81,68
CDM,36002047,CARFILZOMIB 1MG BU PER 60MG VL,184.59,,39.2,166.13,68
CDM,36002107,BEVACIZUMAB-AWWB 10MG BU/400MG,184.8,,25.63,166.32,68
CDM,36002115,RITUXIMAB-ABBS 10MG BU/500MG,147.07,,27.03,132.36,68
CDM,36002118,BEVACIZUMAB-BVZR 10MG BU/400MG,129.3,,23.71,116.37,68
CDM,36002135,TOCILIZ-AAZG 1MG BU PER 400MG,23.2,,4.07,20.88,68
CDM,36002173,IMFINZI 10MG BU PER 500MG VIAL,426.44,,76.02,383.8,68
CDM,36002176,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,68
CDM,36002187,HUMATE-P 1IU/1600-3000IU VIAL,8.9,,1.21,8.01,68
CDM,36002190,DEXRAZOXANE 250MG BU PER 250MG,584.01,,39.15,525.61,68
CDM,36002195,FACT IX RECOMB 1IU/500-999IU,8.4,,1.53,7.56,68
CDM,36002201,GEMCITABINE 200MG BU/2000MG VL,17.3,,3.61,108.75,56
CDM,36002202,GOSER ACE 3.6MG BU PER 3.6MG,1569.16,,435.0,1412.24,69
CDM,36002217,LEUP ACE 7.5MG BU / 22.5MG SYR,593.67,,162.33,534.3,69
CDM,36002262,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,68
CDM,36002305,PEMETREXED 10MG BU PER 1000MG,8.6,,4.01,71.81,69
CDM,36002310,NALOXONE INJ 0.4MG/ML 1ML VL,9.8,,0.0854,8.82,55
CDM,36002312,RITUXIMAB 10MG BU PER 500MG VL,306.32,,69.2,275.69,68
CDM,36002323,ELRANATAMAB-BCMM/1MG BU 76MG V,666.75,,169.34,600.08,68
CDM,36002350,OCRELIZUMAB 1MG BU PER 300MG,307.23,,54.66,276.51,68
CDM,36002353,OCREOTIDE DEPO KIT 1MG BU/30MG,249.48,,78.75,279.92,69
CDM,36002357,OMALIZUMAB 5MG BU PER 75MG SYR,208.04,,37.7,187.24,68
CDM,36002370,VINCRISTINE 1MG BU PER 2MG VL,43.7,,5.34,39.33,56
CDM,36002459,PRIVIGEN 500MG BU PER 10GM VL,250.25,,41.5,225.22,68
CDM,36002870,IMETELSTAT 1MG BU PER 188MG VL,290.01,,52.47,261.01,68
CDM,36002919,METHYLPRED 5MG BU PER 125MG VL,0.6,,0.1932,0.54,68
CDM,36002938,FUROSEMIDE 1MG BU PER 100MG VL,2.0,,0.0244,1.8,55
CDM,36003014,TELEHEALTH FACILITY FEE-TKI,78.0,,10.66,70.2,57
CDM,36003111,ROMOSOZUMAB 1MG BU PER 105MG,160.8,,9.01,144.72,67
CDM,36003195,FACT IX RECOMB 1IU/3000+ IU,8.4,,1.53,7.56,68
CDM,36003217,LEUP DEPOT 7.5MG/22.5MG KIT,702.17,,162.33,631.95,69
CDM,36003262,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,68
CDM,36003303,RAVULIZUMAB 10MG BU/300MG VL,797.45,,207.1,717.71,68
CDM,36003459,PRIVIGEN 500MG BU PER 20GM VL,249.55,,41.5,224.59,68
CDM,36003802,ROMIPLOSTIM 1MCG BU PER 500MCG,38.2,,10.13,34.38,68
CDM,36003919,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,68
CDM,36003930,LANREOTIDE  1MG BU PER 120MG,140.6,,31.33,126.54,68
CDM,36004217,LEUP ACE 7.5MG BU / 30MG SYR,83.9,,41.95,517.5,69
CDM,36004303,RAVULIZUMAB 10MG BU/1100MG VL,800.2,,207.1,720.18,68
CDM,36004459,PRIVIGEN 500MG BU PER 40GM VL,250.25,,41.5,225.22,68
CDM,36004802,ROMIPLOSTIM 1MCG BU PER 250MCG,38.3,,10.13,34.47,68
CDM,36005114,TRASTUZ-DKST 10MG BU PER 150MG,163.87,,37.07,147.48,68
CDM,36005217,LEUP ACE 7.5MG BU / 45MG SYR,50.2,,25.1,517.5,69
CDM,36006217,LUPRON DEPOT 7.5MG BU/30MG KIT,501.6,,162.33,517.5,69
CDM,36008145,DARATUMUMAB 10MG BU PER 100MG,309.96,,56.29,278.96,68
CDM,36008361,ADAKVEO 5MG BU PER 100MG/10ML,660.24,,119.12,594.22,68
CDM,36009000,DOXORUBICIN 10MG BU PER 200MG,25.4,,2.7,22.86,56
CDM,36009011,DATROWAY 1MG BU PER 100MG VL,262.64,,47.44,236.38,68
CDM,36009021,ASPARG RECOMB 0.1MG BU/10MG VL,128.19,,51.03,115.37,68
CDM,36009032,BELINOSTAT 10MG BU PER 500MG,199.43,,42.79,179.49,68
CDM,36009034,BENDEKA 1MG BU PER 100MG VIAL,78.1,,12.41,70.29,68
CDM,36009075,CYCLOPHOS 5MG BU PER 500MG VL,3.1,,0.4416,2.79,68
CDM,36009145,DARATUMUMAB 10MG BU PER 400MG,309.89,,56.29,278.9,68
CDM,36009174,DATROWAY 1MG BU/100 MG VL,262.64,,61.46,236.38,56
CDM,36009190,FLUOROURACIL 1000MG/20ML VL,31.8,,1.53,28.62,56
CDM,36009204,MOGAMULIZUMAB-KPKC 1MG/20MG VL,882.2,,203.88,793.98,68
CDM,36009263,OXALIPLATIN 0.5MG BU PER 100MG,0.8,,0.1098,7.5,56
CDM,36009267,PACLITAXEL 300MG/50ML VL,210.0,,0.1342,189.0,55
CDM,36009286,GLOFITAMAB-GXBM 2.5MG BU/10MG,4023.56,,2011.78,3805.84,68
CDM,36009345,RETIFANLIMAB-DLWR 1MG BU/500MG,152.0,,28.12,136.8,68
CDM,36009563,SODIUM PHOSPHATE 45MMOL/15ML,173.3,,86.65,155.97,54
CDM,36010012,RAMUCIRUMAB 500MG/50ML VL,35973.0,,60.71,32375.7,68
CDM,36010013,IXABEPILONE INJ 45MG VIAL,8334.9,,101.19,7501.41,68
CDM,36010018,IXABEPILONE INJ 15MG VIAL,6477.45,,101.19,5829.7,68
CDM,36010019,REBLOZYL 25MG SDV PER 0.25MG,209.79,,38.62,188.81,68
CDM,36010020,REBLOZYL 75MG SDV PER 0.25MG,207.48,,38.62,186.73,68
CDM,36010024,GAMUNEX-C 500MG BU PER 10GM VL,234.5,,42.19,211.05,68
CDM,36010025,GAMUNEX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,68
CDM,36010026,GAMUNEX-C 500MG BU PER 20GM VL,234.5,,42.19,211.05,68
CDM,36010027,GAMUNEX-C 500MG BU PER 40GM VL,234.5,,42.19,211.05,68
CDM,36010050,MOSUNETUZUMAB AXGB INJ 1MG,935.38,,467.69,1090.84,69
CDM,36010051,MOSUNETUZUMAB AXGB INJ 30MGVL,27903.0,,602.26,25112.7,69
CDM,36010084,BUROSUMAB TWZA INJ 1MG/20MG VL,632.44,,316.22,665.69,68
CDM,36010116,NIVOLUMAB 1MG BU/120MG VIAL,164.15,,28.56,147.74,68
CDM,36010117,NIVOLUMAB 1MG BU/40MG VIAL,163.24,,28.56,146.92,68
CDM,36010118,NIVOLUMAB 1MG BU/100MG VIAL,163.87,,28.56,147.48,68
CDM,36010119,NIVOLUMAB 1MG BU/240MG VIAL,165.62,,28.56,149.06,68
CDM,36010129,ABATACEPT INJ 10MG,170.1,,40.58,153.09,68
CDM,36010171,EPINEPHRINE INJ 0.1MG,40.9,,1.61,36.81,55
CDM,36010180,AGALSIDASE  VL 1MG,705.9,,109.5,635.31,69
CDM,36010185,APREPITANT VL 1MG (CINVANTI),11.3,,1.51,10.17,68
CDM,36010202,ALEMTUZUMAB INJ 1MG (LEMTRADA),4022.82,,1984.32,3620.54,68
CDM,36010207,AMIFOSTINE INJ 500MG,1370.73,,407.25,1233.66,57
CDM,36010209,SODIUM THIOSULFATE 12.5G/50ML,691.25,,1.13,622.12,56
CDM,36010222,PATISIRAN INJ 0.1MG (ONPATTRO),507.85,,91.97,457.06,68
CDM,36010223,GIVOSIRAN SQ INJ 0.5MG,594.16,,106.88,534.74,68
CDM,36010224,LUMASIRAN 0.5MG INJ (OXLUMO),1158.3,,302.73,1042.47,68
CDM,36010225,VUTRISIRAN SQ INJ 1MG,7224.04,,3612.02,6880.01,68
CDM,36010278,AMIKACIN INJ 100MG,3.1,,0.7564,2.79,55
CDM,36010321,EPKINLY PER 0.16MG BU 4MG VL,80.44,,40.22,76.78,68
CDM,36010349,REZAFUNGIN PER 1MG BU/200MG VL,102.4,,9.78,92.16,68
CDM,36010360,HYDRALAZINE INJ 20MG-IT,9.3,,3.38,8.37,55
CDM,36010401,ARIPIPRAZOLE IM INJ ER 1MG,30.2,,5.7,27.18,68
CDM,36010456,AZITHROMYCIN VL 500MG,18.0,,3.18,16.2,55
CDM,36010461,ATROPINE INJ 0.01MG-IT,2.0,,0.0854,1.8,55
CDM,36010485,BELATACEPT VL 1MG,28.2,,3.58,25.38,68
CDM,36010491,ANIFROLUMAB VL 1MG (SAPHNELO),127.7,,16.63,114.93,68
CDM,36010584,BUROSUMAB TWZA INJ 1MG/30MG VL,951.93,,361.9,856.74,68
CDM,36010594,BUSULFAN INJ 1MG,5.1,,0.8096,4.59,68
CDM,36010612,CA GLUC INJ 10MG,2.0,,0.0488,1.8,56
CDM,36010630,CALCITONIN VL 400 UNITS/2ML,1542.25,,446.17,2839.22,68
CDM,36010640,LEUCOVORIN VL 50MG,13.5,,2.8,12.15,56
CDM,36010641,LEVOLEUCOVORIN CA VL 0.5MG,2.0,,0.0488,1.8,56
CDM,36010690,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
CDM,36010692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,36010696,CEFTRIAXONE VL 250MG,2.2,,0.5856,1.98,55
CDM,36010713,CEFTAZIDIME INJ 500MG,11.7,,1.95,10.53,55
CDM,36010740,CIDOFOVIR INJ 375MG/5ML VL,1049.79,,502.59,944.81,68
CDM,36010743,CILASTATIN/IMIPENEM INJ 250MG,112.1,,6.33,100.89,55
CDM,36010744,CIPROFLOXACIN INJ 200MG,12.4,,1.0,11.16,55
CDM,36010780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,55
CDM,36010834,COSYNTROPIN INJ 0.25MG-IT,165.97,,34.18,149.37,55
CDM,36010850,CYTOMEGALOVIRUS IMM GLOB VL,2446.21,,1223.11,2486.89,68
CDM,36010875,DALBAVANCIN VL 5MG (DALVANCE),73.0,,14.36,65.7,68
CDM,36010878,DAPTOMYCIN PWDR INJ 1MG,2.0,,0.0366,1.8,55
CDM,36010881,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,36010885,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,69
CDM,36010894,DECITABINE VL 1MG,5.2,,1.94,4.68,55
CDM,36011000,ESTRADIOL CYP VL 5MG/ML 1ML,277.2,,24.06,249.48,55
CDM,36011013,RAMUCIRUMAB 5MG BU 100MG/1OML,360.15,,60.71,324.13,68
CDM,36011014,RAMUCIRUMAB 5MG BU 500MG/50ML,359.73,,60.71,323.76,68
CDM,36011050,MEDROXYPROG INJ 1MG IT,2.0,,0.56,1.8,56
CDM,36011071,TESTOS CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,36011100,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,55
CDM,36011110,DIHYDROERGOTAMINE AMP 1MG,219.52,,55.97,197.57,55
CDM,36011200,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,55
CDM,36011205,CHLOROTHIAZIDE INJ 500MG/18ML,201.11,,49.26,181.0,55
CDM,36011299,ECULIZUMAB 2MG BU PER 300MG VL,162.6,,41.23,146.34,68
CDM,36011306,INCLISIRAN NA (LEQVIO) INJ 1MG,82.3,,11.33,74.07,68
CDM,36011321,EPKINLY PER 0.16MG BU 48MG VL,118.53,,51.37,106.68,68
CDM,36011335,ERTAPENEM VL 500MG,7.0,,3.5,32.8,55
CDM,36011437,FERRIC DERISOMALTOSE VL 10MG,115.2,,20.26,103.68,68
CDM,36011439,FERRIC CARBOXYMALTOSE IV 1MG,7.1,,1.02,6.39,68
CDM,36011440,FILGRASTIM VL 300MCG/ML 1ML,720.0,,0.92,648.0,68
CDM,36011441,FILGRASTIM INJ 480MCG,1728.0,,0.92,1555.2,68
CDM,36011447,TBO-FILGRASTIM INJ 1MCG,2.0,,0.2576,1.8,68
CDM,36011448,TRIACICLIB INJ 1MG,38.7,,5.02,34.83,68
CDM,36011450,FLUCONAZOLE VL 200MG,34.8,,2.76,31.32,55
CDM,36011453,FOSAPREPITANT VL 1MG,2.0,,0.1342,1.8,55
CDM,36011459,IMMUNE GLOBULIN IV 500MG,250.25,,41.5,225.22,68
CDM,36011569,IMMUN GLOB IV GAMMAGUARD 500MG,226.38,,41.69,203.74,68
CDM,36011570,GANCICLOVIR INJ 500MG,229.95,,12.84,206.96,55
CDM,36011571,HEPATITIS B IMM GLOB VL 0.5ML,311.01,,61.31,279.91,68
CDM,36011602,GOLIMUMAB INJ IV 1MG,69.8,,10.16,62.82,68
CDM,36011626,GRANISETRON HCL 100MCG,4.6,,0.2806,16.5,56
CDM,36011628,GUSELKUMAB INJ 1MG (TREMFYA),302.47,,69.89,272.22,68
CDM,36011640,HEMIN VL 1MG DOSE,196.3,,24.44,176.67,68
CDM,36011644,HEPARIN VL 1000U/ML 1ML,2.8,,0.2684,2.52,55
CDM,36011650,ENOXAPARIN INJ 10MG,4.7,,0.69,4.23,55
CDM,36011720,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,36011745,INFLIXIMAB VL 10MG,190.1,,28.6,171.09,68
CDM,36011750,IRON DEXTRAN VL 50MG/ML 1ML,116.5,,15.01,104.85,68
CDM,36011756,IRON SUCROSE VL 1MG,2.6,,0.22,2.34,56
CDM,36011786,IMIGLUCERASE VL 10U,219.24,,39.73,197.32,68
CDM,36011815,INSULIN INJ 5 UNITS,2.0,,0.6832,1.8,56
CDM,36011823,INEBILIZUMAB-CDON VL 1MG,1043.73,,455.91,939.36,68
CDM,36011885,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,67
CDM,36011920,LABETALOL HCL 5MG VIAL,7.0,,0.4758,6.3,56
CDM,36012021,LINEZOLID 200MG/100ML-0.9%NACL,27.7,,7.73,24.93,56
CDM,36012060,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,55
CDM,36012175,MEPERIDINE INJ 100MG/ML 1ML IT,9.4,,4.7,19.14,55
CDM,36012182,MEPOLIZUMAB SQ INJ 1MG NUCALA,156.94,,28.7,141.25,68
CDM,36012185,MEROPENEM VL 100MG,3.0,,0.5368,2.7,55
CDM,36012248,MICAFUNGIN NA VL 1MG  MYCAMINE,5.2,,0.3782,4.68,55
CDM,36012270,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,36012280,MOXIFLOXACIN INJ 100MG,67.5,,9.36,60.75,55
CDM,36012323,NATALIZUMAB VL 1MG,44.3,,21.63,39.87,68
CDM,36012327,RISANKIZUMAB-RZAA IV VL 1MG,81.4,,13.74,73.26,68
CDM,36012329,UBLITUXIMAB/1MG BU 150MG VIAL,351.4,,65.09,316.26,68
CDM,36012350,OCRELIZUMAB INJ 1MG,293.65,,54.66,264.29,68
CDM,36012353,OCREOTIDE DEPOT KIT 1MG,249.27,,78.75,279.92,69
CDM,36012356,TEZEPELUMAB EKKO SQ 1MG,131.1,,16.57,117.99,68
CDM,36012405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,56
CDM,36012407,ORITAVANCIN INJ 10MG,147.0,,23.8,132.3,68
CDM,36012425,PALIFERMIN INJ 0.05MG,114.7,,22.81,103.23,68
CDM,36012426,PALIPERIDONE INJ ER 1MG,53.0,,12.1,47.7,68
CDM,36012430,PAMIDRONATE LYOPH VL 30MG,95.4,,11.52,221.25,56
CDM,36012469,PALONOSETRON VL 25MCG,118.6,,0.549,106.74,56
CDM,36012507,PEGLOTICASE INJ 1MG,4792.57,,2396.28,5033.64,68
CDM,36012508,ELFABRIO 1MG BU/20MG VIAL,328.26,,164.13,313.72,68
CDM,36012543,PIPER/TAZO VL 1/0.125GM,2.0,,1.0,1.8,55
CDM,36012545,PENTAMIDINE INH 300MG,275.31,,100.49,247.78,55
CDM,36012550,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,55
CDM,36012597,DESMOPRESSIN INJ 1MCG-IT,29.2,,3.24,26.28,68
CDM,36012765,METOCLOPRAMIDE VL 10MG IT,6.2,,1.04,5.58,55
CDM,36012783,RASBURICASE INJ 0.5MG,614.46,,300.94,553.01,68
CDM,36012790,RHO (D) IMM GLOB IM 300MCG,394.66,,74.3,355.19,55
CDM,36012850,SECRETIN VL 1MCG,289.17,,34.78,260.25,68
CDM,36012860,SILTUXIMAB VL 10MG,522.06,,111.94,469.85,68
CDM,36012916,FERRIC GLUC AMP 12.5MG/ML 1ML,12.8,,2.09,11.52,56
CDM,36012997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,36013032,EPTINEZUMAB INJ 1MG,140.1,,18.37,126.09,68
CDM,36013241,TEPROTUMUMAB-TRBW VL 10MG,1281.05,,315.88,1152.94,68
CDM,36013243,TIGCYCLINE INJ 1MG,2.0,,0.6222,1.8,55
CDM,36013245,TILDRAKIZUMAB INJ 1MG (ILUMYA),660.59,,117.25,594.53,68
CDM,36013247,COSENTYX 1MG BU/125MG VIAL,25.72,,12.86,24.53,68
CDM,36013260,TOBRAMYCIN IVPB 80MG,16.6,,3.0,14.94,55
CDM,36013315,TRIPTORELIN VL 3.75MG,842.61,,385.61,758.35,68
CDM,36013357,USTEKINUMAB VL 1MG,640.29,,137.45,576.26,68
CDM,36013358,USTEKINUMAB IV INJ 1MG,92.4,,11.95,83.16,68
CDM,36013370,VANCOMYCIN VL 500MG,13.0,,0.0366,11.7,55
CDM,36013380,VEDOLIZUMAB INJ 1MG,154.5,,19.61,139.05,68
CDM,36013385,VELAGLUCERASE VL 100U (VPRIV),814.14,,346.15,732.73,68
CDM,36013411,VIT B1 (THIAMINE) INJ 100MG,17.9,,2.18,16.11,55
CDM,36013420,VIT B12 VL 1000MCG/ML 1ML-IT,6.0,,1.16,5.4,55
CDM,36013430,VIT K1 (PHYTON) INJ 1MG,19.7,,3.46,17.73,55
CDM,36013473,HYLENEX 1U BU PER 150U/ML VIAL,2.5,,0.36,2.25,55
CDM,36013475,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,55
CDM,36013480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,55
CDM,36013487,ZOLEDRONIC ACID VL 1MG-ZOMETA,16.0,,6.34,14.4,55
CDM,36013488,ZOLEDRONIC ACID VL 1MG-RECLAST,42.2,,6.34,37.98,55
CDM,36017187,VON WILLEBRAND FACTOR PER IU,2.0,,1.0,2.05,68
CDM,36017198,ANTI-INHIB COAG CMPLX VL 1IU,3.19,,1.59,3.31,68
CDM,36019000,DOXORUBICIN VL 10MG,13.1,,2.7,11.79,56
CDM,36019002,DOXORUBICIN (LIPO) VL 10MG,13.1,,6.55,293.09,68
CDM,36019017,ARSENIC TRIOXIDE INJ 1MG/ML 1M,50.8,,7.15,45.72,69
CDM,36019022,ATEZOLIZUMAB INJ 10MG,450.45,,78.28,405.4,68
CDM,36019023,AVELUMAB INJ 10MG,492.8,,84.7,443.52,68
CDM,36019025,AZACITIDINE VL 1MG,6.9,,0.2562,6.21,56
CDM,36019039,BLINATUMOMAB VL 1MCG,621.67,,118.59,559.5,68
CDM,36019040,BLEOMYCIN SULF VL 15U-IT,148.5,,25.5,164.25,56
CDM,36019042,BRENTUXIMAB VL 1MG,495.74,,175.28,446.17,68
CDM,36019043,CABAZITAXEL INJ 1MG,714.35,,181.51,642.91,68
CDM,36019045,CARBOPLATIN VL 50MG,20.0,,2.57,122.25,56
CDM,36019060,CISPLATIN AQ VL 10MG,19.1,,1.71,17.19,56
CDM,36019061,AMIVANTAMAB VMJW INJ 2MG,148.7,,20.74,133.83,68
CDM,36019063,MIRVETUXIMAB SORAVTANSINE 1MG,148.7,,63.93,133.83,68
CDM,36019065,CLADRIBINE VL 1MG,87.1,,9.83,78.39,69
CDM,36019075,CYCLOPHOS 5MG BU PER 2000MG VL,2.0,,0.4416,1.8,68
CDM,36019100,CYTARABINE VL 100MG,4.6,,0.68,4.14,55
CDM,36019119,CEMIPLIMAB-RWLC VL 1MG-LIBTAYO,148.54,,26.95,133.69,68
CDM,36019120,DACTINOMYCIN VL 0.5MG,844.75,,302.07,1044.53,68
CDM,36019130,DACARBAZINE VL 100MG,30.3,,4.46,27.27,55
CDM,36019144,DARATUMUMAB/HYAL SQ 10MG,270.48,,51.12,243.43,68
CDM,36019150,DAUNORUBICIN LYOPH VL 10MG,140.9,,19.96,126.81,68
CDM,36019153,CYTARA/DAUNO INJ 2.27MG/1MG,525.91,,197.79,473.32,68
CDM,36019155,DEGARELIX VIAL 1MG,27.9,,3.84,25.11,68
CDM,36019171,DOCETAXEL INJ 1MG,4.2,,0.4636,3.78,55
CDM,36019173,DURVALUMAB VL 10MG,419.58,,76.02,377.62,68
CDM,36019176,ELOTUZUMAB VL 1MG,56.1,,6.67,50.49,68
CDM,36019178,EPIRUBICIN VL 2MG/ML 1ML,10.1,,1.53,25.5,56
CDM,36019179,ERIBULIN MESYLATE VL 0.1MG,537.53,,82.19,483.78,68
CDM,36019181,ETOPOSIDE INJ 10MG,4.0,,0.77,3.75,56
CDM,36019202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,69
CDM,36019203,GEMTUZUMAB INJ 0.1MG,314.71,,157.35,325.35,68
CDM,36019205,IRINOTECAN LIPOSOMAL INJ 1MG,249.48,,54.33,224.53,68
CDM,36019206,IRINOTECAN VL 20MG/ML 1ML,32.1,,1.71,126.0,56
CDM,36019208,IFOSFAMIDE 1GM/30ML VIAL,84.5,,26.31,127.5,56
CDM,36019209,MESNA AMP 200MG,57.6,,1.62,51.84,56
CDM,36019217,LEUPROLIDE DEPOT KIT 7.5MG-IT,501.6,,162.33,517.5,69
CDM,36019223,LURBINECTEDIN INJ 0.1MG,743.75,,190.56,669.38,68
CDM,36019229,INOTUZUMAB VL 0.1MG,3865.16,,1932.58,3709.82,68
CDM,36019245,MELPHALAN 50MG VIAL,454.86,,88.23,409.37,68
CDM,36019260,METHOTREXATE PWDR VL 50MG,13.2,,2.33,11.88,56
CDM,36019261,NELARABINE INJ 50MG (ARRANON),556.99,,73.47,501.29,68
CDM,36019263,OXALIPLATIN VL 0.5MG,2.0,,0.1098,7.5,56
CDM,36019264,PACLITAXEL ABP VL 1MG,85.4,,8.25,76.86,69
CDM,36019266,PEGASPARGASE PER SDV BU 3750IU,36545.22,,18272.61,39083.08,68
CDM,36019267,PACLITAXEL INJ 1MG,2.0,,0.1342,1.8,55
CDM,36019268,PENTOSTATIN VL 10MG,3617.3,,1808.65,3586.22,68
CDM,36019269,TAGRAXOFUSP VL 10MCG-ELZONRIA,1146.15,,270.59,1031.54,68
CDM,36019274,TEBENTAFUSP TEBN VL 1MCG,779.0,,199.72,701.1,68
CDM,36019280,MITOMYCIN INJ 5MG,374.01,,18.72,336.61,68
CDM,36019285,OLARATUMAB INJ 10MG,343.84,,52.07,309.46,56
CDM,36019286,GLOFITAMAB GXBM/2.5MG BU 2.5MG,4037.68,,2018.84,3805.84,68
CDM,36019301,OBINUTUZUMAB VL 10MG,373.38,,63.74,336.04,68
CDM,36019303,PANITUMUMAB VL 10MG,561.47,,123.55,505.32,68
CDM,36019305,PEMETREXED PWDR VL 10MG,313.46,,4.01,282.11,69
CDM,36019306,PERTUZUMAB INJ 1MG,98.7,,12.95,88.83,68
CDM,36019311,RITUXIMAB/HYALURON INJ 10MG,163.45,,33.75,147.1,68
CDM,36019316,PERTUZ/TRASTU/HYALUR-ZZXF 10MG,290.5,,57.13,261.45,68
CDM,36019317,SACITUZUMAB GOVITECAN HZIY 2.5,181.02,,33.38,162.92,68
CDM,36019319,ROMIDEPSIN LYOPH INJ 0.1MG,161.56,,28.32,145.4,68
CDM,36019325,TALIMOGENE LAHER VL 1MILL PFU,237.79,,53.92,214.01,68
CDM,36019328,TEMOZOLOMIDE VL 1MG,41.8,,9.56,37.62,68
CDM,36019330,TEMSIROLIMUS INJ 1MG,326.76,,24.57,294.08,68
CDM,36019332,EFGARTIGIMOD ALFA FCAB VL 2MG,163.52,,29.58,147.17,68
CDM,36019333,RYSTIGGO 1MG BU PER 280MG/2ML,166.4,,21.32,149.76,68
CDM,36019340,THIOTEPA VL 15MG,364.8,,9.7,328.32,68
CDM,36019347,TREMELIMUMAB-ACTL INJ 1MG,695.94,,129.63,626.35,68
CDM,36019349,TAFASITAMAB-CXIX VL 2MG,101.2,,13.17,91.08,68
CDM,36019351,TOPOTECAN INJ 0.1MG,4.4,,1.28,3.96,55
CDM,36019352,TRABECTEDIN VL 0.1MG,791.88,,318.93,712.69,68
CDM,36019355,TRASTUZUMAB VL 10MG,396.69,,54.75,357.02,69
CDM,36019356,HYALURON/TRASTUZUMAB INJ 10MG,193.76,,56.52,174.38,68
CDM,36019358,FAM-TRASTUZUMAB DERUXTECAN 1MG,146.79,,24.14,132.11,68
CDM,36019359,LONCASTUXIMAB TESIRINE 0.075MG,768.9,,199.55,692.01,68
CDM,36019360,VINBLASTINE VL 1MG,21.2,,3.98,19.08,56
CDM,36019370,VINCRISTINE VL 1MG/ML 1ML,43.7,,5.34,39.33,56
CDM,36019380,TECLISTAMAB-CQYV INJ SQ 0.5MG,71.37,,19.9,64.23,68
CDM,36019390,VINORELBINE VL 10MG/ML 1ML,51.5,,2.39,89.25,56
CDM,36019600,PORFIMER NA VL 75MG,46646.0,,3004.74,41981.4,68
CDM,36019853,IMPL KNEE TIBIAL RM/LL UNI,1363.0,,681.5,2374.28,62
CDM,36020174,LECANEMAB-IRMB/1MG BU 200MG VL,9.6,,1.21,8.64,68
CDM,36020565,BEZLOTOXUMAB 10MG BU/1000MG VL,204.48,,36.64,184.03,68
CDM,36022508,ELFABRIO 1MG BU/5MG VIAL,818.05,,209.91,736.25,68
CDM,36029075,CYCLOPHOS 5MG BU PER 1000MG VL,2.3,,0.4416,2.07,68
CDM,36029113,PANTOPRAZOLE VL 40MG,9.1,,4.55,29.0,56
CDM,36030756,ALPHA1-PROT INJ HU/10MG BU 1GM,6.87,,3.44,7.51,68
CDM,36036415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,36036430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,36036455,TRANSFUS EXCHG BLOOD,3446.0,,360.1,3101.4,68
CDM,36036589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,154.0,2001.6,68
CDM,36036591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,36036592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,36036593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,36038242,ALLOGENEIC LYMPHOCYTE INFUS,3414.0,,1350.24,3072.6,68
CDM,36038243,HEMA PROG CELL HPC BOOST,3405.0,,1350.24,3064.5,68
CDM,36039272,DOSTARLIMAB-GXLY 10MG BU/500MG,523.53,,224.21,471.18,68
CDM,36040050,DOXORUBICIN LIPO 10MG BU/20MG,271.32,,99.79,293.09,68
CDM,36040111,UDENYCA CBQV 0.5MG BU/6MG VL,592.97,,97.82,533.67,68
CDM,36040121,INFLIXIMAB-AXXQ VL 10MG,126.2,,18.78,113.58,68
CDM,36040138,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,68
CDM,36040150,DOXORUBICIN LIPO 10MG BU/50MG,312.83,,99.79,293.09,68
CDM,36045101,FILGRASTIM INJ 1MCG,2.5,,0.4232,2.25,68
CDM,36045103,INFLECTRA VL 10MG,115.9,,18.39,104.31,68
CDM,36045104,INFLIXIMAB-ABDA VL 10MG,52.14,,24.84,46.93,68
CDM,36045108,FULPHILA INJ PFS 6MG/0.6ML,1888.8,,91.2,1699.92,68
CDM,36045109,PEGFILGRASTIM JMDB SQ 0.5MG,168.69,,84.34,151.82,68
CDM,36045111,PEGFILGRASTIM CBQV UDENYCA .5,645.96,,97.82,581.36,68
CDM,36045117,TRASTUZUMAB ANNS INJ 10MG,46.83,,23.41,65.38,68
CDM,36045119,RITUXIMAB-PVVR 10MG,114.4,,25.62,102.96,68
CDM,36045122,PEGFILGRASTIM APGF SQ 0.5MG,472.71,,120.67,425.44,68
CDM,36049163,TALQUETAMAB-TGVS/0.25MGBU 40MG,351.4,,66.81,316.26,68
CDM,36049166,COSENTYX 1MG BU/125MG VIAL,25.94,,12.97,24.53,68
CDM,36049168,OMVOH PER 1MG BU 300MG/15ML VL,168.77,,39.61,151.89,68
CDM,36049170,IMDELLTRA 1MG BU PER 1MG VIAL,2285.8,,1142.9,2151.38,68
CDM,36050174,LECANEMAB-IRMB/1MG BU 500MG VL,9.7,,1.21,8.73,68
CDM,36050264,AZTREONAM VL 2GM/15ML-AZACTAM,225.68,,57.77,203.11,55
CDM,36051701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,36051702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,36060080,PENTAMIDINE ISETHIONATE 300MG,275.31,,70.48,247.78,55
CDM,36061070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,68
CDM,36070004,GAMMAGARD LIQ 500MG BU/5000MG,226.38,,41.69,203.74,68
CDM,36070005,GAMMAGARD 500MG BU/10000MG VL,226.38,,41.69,203.74,68
CDM,36070006,GAMMAGARD 500MG BU/20000MG VL,226.38,,41.69,203.74,68
CDM,36070007,GAMMAGARD 500MG BU/30000MG VL,226.87,,41.69,204.18,68
CDM,36070008,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,36070009,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,36070010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,36070011,ALBUMIN VL 25% 100ML,346.22,,64.76,311.6,56
CDM,36090471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,36090472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,36090620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,36090648,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,56
CDM,36090670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,36090677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,36090686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,36090707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,36090713,VACC POLIO (IPV) INACT 0.5ML,263.32,,26.0,236.99,56
CDM,36090715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,36090732,PNEUMOC VACC 23 >2YR SQ/IM-IT,533.9,,162.83,480.51,55
CDM,36090733,MENINGOCOCCAL POLY VACC SQ,632.95,,101.42,569.65,56
CDM,36090734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,36090746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,36090750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,36094642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,36096360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,36096361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,36096365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,68
CDM,36096366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,36096367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,36096368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,36096372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,36096374,THERAPYPRO//DX IV PUSH,540.0,,173.54,486.0,68
CDM,36096375,THERAPYPRO//DX IV PUSH ADDL,399.0,,23.36,359.1,68
CDM,36096376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,57
CDM,36096377,APPLICATION ON-BODY INJECTOR,343.0,,18.81,308.7,68
CDM,36096401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,68
CDM,36096402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,36096405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,36096406,CHEMO INTRALESIONAL>7  LESIONS,566.0,,81.0,509.4,68
CDM,36096409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,36096411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,58.62,668.7,68
CDM,36096413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,68
CDM,36096415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,68
CDM,36096416,CHEMO IV INFUSION PRO W/PUMP,1358.0,,273.2,1222.2,68
CDM,36096417,CHEMO IV INFUSION EACH ADD,800.0,,58.62,720.0,68
CDM,36096425,CHEMO IA INFUSION >8 HR,900.0,,62.0,810.0,68
CDM,36096450,CHEMO CNS,1812.0,,154.0,1630.8,68
CDM,36096523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,36096542,CHEMO INJ SUBARACH/INTRAVENT,945.0,,54.0,850.5,68
CDM,36099195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,68
CDM,36099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,36100001,MISC INJECTABLE DRUG,0.01,,0.00256,0.009,55
CDM,36100017,CERTOLIZUMAB 1MG BU PER 200MG,28.4,,3.6,25.56,68
CDM,36100035,BEVACIZUMAB 10MG BU PER 100MG,396.36,,51.0,356.72,69
CDM,36100041,BORTEZOMIB 0.1MG BU PER 3.5MG,2.0,,1.0,44.97,57
CDM,36100047,CARFILZOMIB 1MG BU PER 10MG VL,235.48,,39.2,211.93,68
CDM,36100119,RITUXIMAB-PVVR 10MG BU/100MG,114.4,,25.62,102.96,68
CDM,36100135,TOCILIZ-AAZG 1MG BU PER 80MG,20.4,,4.07,18.36,68
CDM,36100174,DOCETAXEL 20MG/1ML VIAL,98.0,,0.4636,88.2,55
CDM,36100181,ETOPOSIDE 10MG BU PER 500MG VL,4.0,,0.77,3.75,56
CDM,36100187,HUMATE-P 1IU/500-999IU VIAL,8.9,,1.21,8.01,68
CDM,36100190,FLUOROURACIL 5000MG/100ML VL,16.0,,1.53,14.4,56
CDM,36100201,GEMCITABINE 200MG BU PER 200MG,23.4,,3.61,108.75,56
CDM,36100206,IRINOTECAN 20MG BU PER 100MG,25.7,,1.71,126.0,56
CDM,36100208,IFOSFAMIDE 3GM/75ML VIAL,294.9,,26.31,265.41,56
CDM,36100227,ISATUXIMAB-IRFC 10MG BU/100MG,401.38,,66.67,361.24,68
CDM,36100228,IPILIMUMAB 1MG BU PER 50MG VL,636.5,,157.38,572.85,68
CDM,36100271,PEMBROLIZUMAB 1MG BU PER 100MG,294.21,,50.85,264.79,68
CDM,36100303,PANITUMUMAB 10MG BU PER 100MG,561.47,,123.55,505.32,68
CDM,36100305,PEMETREXED 10MG BU PER 100MG,4.4,,2.2,71.81,69
CDM,36100353,OCREOTIDE DEPO KIT 1MG BU/10MG,575.68,,78.75,518.11,69
CDM,36100490,BELIMUMAB 10MG BU PER 120MG VL,276.01,,46.18,248.41,68
CDM,36100506,PEGFILFRAST ONPRO 0.5MG BU/6MG,33.5,,16.75,122.84,68
CDM,36100517,BENRALIZUMAB 1MG BU PER 30MG,594.15,,151.42,534.74,68
CDM,36100562,PLERIXAFOR 1MG BU PER 24MG VL,36.1,,18.05,365.29,68
CDM,36100590,MENQUADFI 10MCG/0.5ML SDV,668.3,,334.15,601.47,54
CDM,36100897,DENOSUMAB SQ 1MG BU/60MG VL,37.26,,18.63,40.4,68
CDM,36100938,FUROSEMIDE 1MG BU PER 40MG VL,2.0,,0.0244,1.8,55
CDM,36100950,LEUPRON DEP 3.75MG BU/3.75MG,505.19,,252.59,2379.19,68
CDM,36100994,LANREOTIDE INJ 120MG,16806.0,,31.33,15125.4,68
CDM,36100997,ADO-TRASTUZUMAB 1MG (100MG VL),200.2,,32.79,180.18,68
CDM,36100998,ADO-TRASTUZUMAB 1MG (160MG VL),200.2,,32.79,180.18,68
CDM,36101035,BEVACIZUMAB 10MG BU PER 400MG,352.17,,51.0,316.95,69
CDM,36101036,BENDAMUSTINE 1MG BU/100MG VL,2.0,,1.0,21.61,68
CDM,36101045,CARBOPLATIN 600MG/60ML VIAL,236.4,,2.57,212.76,56
CDM,36101047,CARFILZOMIB 1MG BU PER 30MG VL,207.48,,39.2,186.73,68
CDM,36101107,BEVACIZUMAB-AWWB 10MG BU/100MG,140.1,,25.63,126.09,68
CDM,36101115,RITUXIMAB-ABBS 10MG BU/100MG,139.5,,27.03,125.55,68
CDM,36101118,BEVACIZUMAB-BVZR 10MG BU/100MG,140.1,,23.71,126.09,68
CDM,36101119,RITUXIMAB-PVVR 10MG BU/500MG,114.4,,25.62,102.96,68
CDM,36101135,TOCILIZ-AAZG 1MG BU PER 200MG,23.2,,4.07,20.88,68
CDM,36101171,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,56
CDM,36101173,IMFINZI 10MG BU PER 120MG VIAL,419.58,,76.02,377.62,68
CDM,36101174,DOCETAXEL 80MG/4ML VIAL,100.44,,0.4636,90.4,55
CDM,36101175,DONANEMAB-AZBT 2MG BU PER 350,30.3,,3.8,27.27,68
CDM,36101176,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,68
CDM,36101187,HUMATE-P 1IU/1000-1600IU VIAL,8.9,,1.21,8.01,68
CDM,36101190,DEXRAZOXANE 250MG BU PER 500MG,316.05,,39.15,284.44,68
CDM,36101201,GEMCITABINE 200MG BU/1000MG VL,17.0,,3.61,108.75,56
CDM,36101202,GOSER ACE 3.6MG BU PER 10.8MG,1569.88,,435.0,1412.89,69
CDM,36101217,LEUP ACE 7.5MG BU / 7.5MG SYR,595.77,,162.33,536.19,69
CDM,36101227,ISATUXIMAB-IRFC 10MG BU/500MG,401.31,,66.67,361.18,68
CDM,36101228,IPILIMUMAB 1MG BU PER 200MG VL,635.45,,157.38,571.9,68
CDM,36101262,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,68
CDM,36101264,PACLITAX ALB 1MG BU PER 100MG,85.4,,8.25,76.86,69
CDM,36101300,ECULIZUMAB 10MG BU PER 300MG V,811.75,,207.81,730.58,57
CDM,36101303,PANITUMUMAB 10MG BU PER 400MG,561.26,,123.55,505.13,68
CDM,36101305,PEMETREXED 10MG BU PER 500MG,3.7,,1.85,71.81,69
CDM,36101308,FAMOTIDINE 20MG/2ML VIAL,2.0,,0.0122,1.8,56
CDM,36101312,RITUXIMAB 10MG BU PER 100MG VL,313.53,,69.2,282.18,68
CDM,36101353,OCREOTIDE DEPO KIT 1MG BU/20MG,232.05,,78.75,279.92,69
CDM,36101370,VINCRISTINE 1MG BU PER 1MG VL,43.6,,5.34,39.24,56
CDM,36101459,PRIVIGEN 500MG BU PER 5GM/50ML,250.25,,41.5,225.22,68
CDM,36101490,BELIMUMAB 10MG BU PER 400MG VL,275.38,,46.18,247.84,68
CDM,36101750,INFED 50MG BU PER 100MG/2ML VL,116.5,,15.01,104.85,68
CDM,36101897,XGEVA-DENOSUMAB 1MG BU/120MG,38.07,,19.04,40.4,68
CDM,36101919,METHYLPRED 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
CDM,36101938,FUROSEMIDE 1MG BU PER 20MG VL,13.7,,0.0244,12.33,55
CDM,36101950,LEUPRON DEP 3.75MG BU/11.25MG,351.19,,175.59,2379.19,68
CDM,36102047,CARFILZOMIB 1MG BU PER 60MG VL,184.59,,39.2,166.13,68
CDM,36102107,BEVACIZUMAB-AWWB 10MG BU/400MG,184.8,,25.63,166.32,68
CDM,36102115,RITUXIMAB-ABBS 10MG BU/500MG,147.07,,27.03,132.36,68
CDM,36102118,BEVACIZUMAB-BVZR 10MG BU/400MG,184.8,,23.71,166.32,68
CDM,36102135,TOCILIZ-AAZG 1MG BU PER 400MG,23.2,,4.07,20.88,68
CDM,36102173,IMFINZI 10MG BU PER 500MG VIAL,426.44,,76.02,383.8,68
CDM,36102176,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,68
CDM,36102187,HUMATE-P 1IU/1600-3000IU VIAL,8.9,,1.21,8.01,68
CDM,36102190,DEXRAZOXANE 250MG BU PER 250MG,584.01,,39.15,525.61,68
CDM,36102201,GEMCITABINE 200MG BU/2000MG VL,17.3,,3.61,108.75,56
CDM,36102202,GOSER ACE 3.6MG BU PER 3.6MG,1569.16,,435.0,1412.24,69
CDM,36102217,LEUP ACE 7.5MG BU / 22.5MG SYR,593.67,,162.33,534.3,69
CDM,36102262,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,68
CDM,36102305,PEMETREXED 10MG BU PER 1000MG,8.6,,4.01,71.81,69
CDM,36102312,RITUXIMAB 10MG BU PER 500MG VL,306.32,,69.2,275.69,68
CDM,36102353,OCREOTIDE DEPO KIT 1MG BU/30MG,249.48,,78.75,279.92,69
CDM,36102370,VINCRISTINE 1MG BU PER 2MG VL,43.7,,5.34,39.33,56
CDM,36102459,PRIVIGEN 500MG BU PER 10GM VL,250.25,,41.5,225.22,68
CDM,36102919,METHYLPRED 5MG BU PER 125MG VL,0.6,,0.1932,0.54,68
CDM,36102938,FUROSEMIDE 1MG BU PER 100MG VL,2.0,,0.0244,1.8,55
CDM,36103217,LEUP DEPOT 7.5MG/22.5MG KIT,702.17,,162.33,631.95,69
CDM,36103262,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,68
CDM,36103459,PRIVIGEN 500MG BU PER 20GM VL,249.55,,41.5,224.59,68
CDM,36103802,ROMIPLOSTIM 1MCG BU PER 500MCG,38.2,,10.13,34.38,68
CDM,36103919,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,68
CDM,36103930,LANREOTIDE  1MG BU PER 120MG,140.6,,31.33,126.54,68
CDM,36104217,LEUP ACE 7.5MG BU / 30MG SYR,83.9,,41.95,517.5,69
CDM,36104459,PRIVIGEN 500MG BU PER 40GM VL,250.25,,64.06,225.22,56
CDM,36104802,ROMIPLOSTIM 1MCG BU PER 250MCG,38.3,,10.13,34.47,68
CDM,36105114,TRASTUZ-DKST 10MG BU PER 150MG,163.87,,37.07,147.48,68
CDM,36105217,LEUP ACE 7.5MG BU / 45MG SYR,50.2,,25.1,517.5,69
CDM,36109000,DOXORUBICIN 10MG BU PER 200MG,25.4,,2.7,22.86,56
CDM,36109075,CYCLOPHOS 5MG BU PER 500MG VL,3.1,,0.4416,2.79,68
CDM,36109190,FLUOROURACIL 1000MG/20ML VL,31.8,,1.53,28.62,56
CDM,36109263,OXALIPLATIN 0.5MG BU PER 100MG,0.8,,0.1098,7.5,56
CDM,36109267,PACLITAXEL 300MG/50ML VL,210.0,,0.1342,189.0,55
CDM,36110015,GAMUNEX-C 500MG (5GM/50ML VL),234.5,,42.19,211.05,68
CDM,36110016,GAMUNEX-C 500MG (20GM/200ML),234.5,,42.19,211.05,68
CDM,36110024,GAMUNEX-C 500MG BU PER 10GM VL,234.5,,42.19,211.05,68
CDM,36110025,GAMUNEX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,68
CDM,36110026,GAMUNEX-C 500MG BU PER 20GM VL,234.5,,42.19,211.05,68
CDM,36110027,GAMUNEX-C 500MG BU PER 40GM VL,234.5,,42.19,211.05,68
CDM,36110116,NIVOLUMAB 1MG BU/120MG VIAL,164.15,,28.56,147.74,68
CDM,36110117,NIVOLUMAB 1MG BU/40MG VIAL,163.24,,28.56,146.92,68
CDM,36110118,NIVOLUMAB 1MG BU/100MG VIAL,163.87,,28.56,147.48,68
CDM,36110119,NIVOLUMAB 1MG BU/240MG VIAL,165.62,,28.56,149.06,68
CDM,36110129,ABATACEPT INJ 10MG,170.1,,40.58,153.09,68
CDM,36110171,EPINEPHRINE INJ 0.1MG,40.9,,1.61,36.81,55
CDM,36110185,APREPITANT VL 1MG (CINVANTI),11.3,,1.51,10.17,68
CDM,36110202,ALEMTUZUMAB INJ 1MG (LEMTRADA),4022.82,,1984.32,3620.54,68
CDM,36110278,AMIKACIN INJ 100MG,3.1,,0.7564,2.79,55
CDM,36110360,HYDRALAZINE INJ 20MG-IT,9.3,,3.38,8.37,55
CDM,36110401,ARIPIPRAZOLE IM INJ ER 1MG,30.2,,5.7,27.18,68
CDM,36110461,ATROPINE INJ 0.01MG-IT,2.0,,0.0854,1.8,55
CDM,36110612,CA GLUC INJ 10MG,2.0,,0.0488,1.8,56
CDM,36110640,LEUCOVORIN VL 50MG,13.5,,2.8,12.15,56
CDM,36110692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,36110696,CEFTRIAXONE VL 250MG,2.2,,0.5856,1.98,55
CDM,36110780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,55
CDM,36110834,COSYNTROPIN VL 0.25MG-IT,165.97,,34.18,149.37,55
CDM,36110881,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,36110885,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,69
CDM,36110894,DECITABINE VL 1MG,5.2,,1.94,4.68,55
CDM,36111050,MEDROXYPROG INJ 1MG IT,2.0,,0.56,1.8,56
CDM,36111100,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,55
CDM,36111110,DIHYDROERGOTAMINE AMP 1MG,219.52,,55.97,197.57,55
CDM,36111200,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,55
CDM,36111299,ECULIZUMAB 2MG BU PER 300MG VL,162.6,,41.23,146.34,68
CDM,36111335,ERTAPENEM VL 500MG,7.0,,3.5,32.8,55
CDM,36111437,FERRIC DERISOMALTOSE VL 10MG,115.2,,20.26,103.68,68
CDM,36111439,FERRIC CARBOXYMALTOSE IV 1MG,7.1,,1.02,6.39,68
CDM,36111440,FILGRASTIM VL 300MCG/ML 1ML,720.0,,0.92,648.0,68
CDM,36111441,FILGRASTIM INJ 480MCG,1728.0,,0.92,1555.2,68
CDM,36111447,TBO-FILGRASTIM INJ 1MCG,2.0,,0.2576,1.8,68
CDM,36111453,FOSAPREPITANT VL 1MG,2.0,,0.1342,1.8,55
CDM,36111459,IMMUNE GLOBULIN IV 500MG,250.25,,41.5,225.22,68
CDM,36111569,IMMUNE GLOB IV GAMMAGARD 500MG,226.38,,41.69,203.74,68
CDM,36111626,GRANISETRON HCL 100MCG,4.6,,0.2806,16.5,56
CDM,36111644,HEPARIN VL 1000U/ML 1ML,2.8,,0.2684,2.52,55
CDM,36111650,ENOXAPARIN INJ 10MG,4.7,,0.69,4.23,55
CDM,36111720,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,36111745,INFLIXIMAB VL 10MG,190.1,,28.6,171.09,68
CDM,36111750,IRON DEXTRAN VL 50MG/ML 1ML,116.5,,15.01,104.85,68
CDM,36111756,IRON SUCROSE VL 1MG,2.6,,0.22,2.34,56
CDM,36111815,INSULIN INJ 5 UNITS,2.0,,0.6832,1.8,56
CDM,36111885,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,67
CDM,36111920,LABETALOL HCL 5MG VIAL,7.0,,0.4758,6.3,56
CDM,36112060,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,55
CDM,36112175,MEPERIDINE INJ 100MG/ML 1ML IT,9.4,,4.7,19.14,55
CDM,36112182,MEPOLIZUMAB SQ INJ 1MG NUCALA,156.94,,28.7,141.25,68
CDM,36112270,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,36112323,NATALIZUMAB VL 1MG,44.3,,21.63,39.87,68
CDM,36112350,OCRELIZUMAB INJ 1MG,293.65,,54.66,264.29,68
CDM,36112353,OCREOTIDE DEPOT KIT 1MG,249.27,,78.75,279.92,69
CDM,36112405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,56
CDM,36112407,ORITAVANCIN INJ 10MG,147.0,,23.8,132.3,68
CDM,36112469,PALONOSETRON VL 25MCG,118.6,,0.549,106.74,56
CDM,36112543,PIPER/TAXO VL 1/0.125GM,2.0,,1.0,1.8,55
CDM,36112550,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,55
CDM,36112597,DESMOPRESSIN INJ 1MCG-IT,29.2,,3.24,26.28,68
CDM,36112765,METOCLOPRAMIDE VL 10MG IT,6.2,,1.04,5.58,55
CDM,36112916,FERRIC GLUC AMP 12.5MG/ML 1ML,12.8,,2.09,11.52,56
CDM,36112997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,36113245,TILDRAKIZUMAB INJ 1MG (ILUMYA),660.59,,117.25,594.53,68
CDM,36113260,TOBRAMYCIN IVPB 80MG,16.6,,3.0,14.94,55
CDM,36113358,USTEKINUMAB IV INJ 1MG,92.4,,11.95,83.16,68
CDM,36113380,VEDOLIZUMAB INJ 1MG,154.5,,19.61,139.05,68
CDM,36113420,VIT B12 VL 1000MCG/ML 1ML-IT,6.0,,1.16,5.4,55
CDM,36113473,HYLENEX 1U BU PER 150U/ML VIAL,2.5,,0.36,2.25,55
CDM,36113475,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,55
CDM,36113480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,55
CDM,36113487,ZOLEDRONIC ACID VL 1MG-ZOMETA,16.0,,6.34,14.4,55
CDM,36113488,ZOLEDRONIC ACID VL 1MG-RECLAST,42.2,,6.34,37.98,55
CDM,36119000,DOXORUBICIN VL 10MG,13.1,,2.7,11.79,56
CDM,36119002,DOXORUBICIN (LIPO) VL 10MG,13.1,,6.55,293.09,68
CDM,36119017,ARSENIC TRIOXIDE INJ 1MG/ML 1M,50.8,,7.15,45.72,69
CDM,36119022,ATEZOLIZUMAB INJ 10MG,450.45,,78.28,405.4,68
CDM,36119025,AZACITIDINE VL 1MG,6.9,,0.2562,6.21,56
CDM,36119040,BLEOMYCIN SULF VL 15U-IT,148.5,,25.5,164.25,56
CDM,36119042,BRENTUXIMAB VL 1MG,495.74,,175.28,446.17,68
CDM,36119043,CABAZITAXEL INJ 1MG,714.35,,181.51,642.91,68
CDM,36119045,CARBOPLATIN VL 50MG,20.0,,2.57,122.25,56
CDM,36119060,CISPLATIN AQ VL 10MG,19.1,,1.71,17.19,56
CDM,36119063,MIRVETUXIMAB SORAVTANSINE 1MG,148.7,,63.93,133.83,68
CDM,36119075,CYCLOPHOS 5MG BU PER 2000MG VL,2.0,,0.4416,1.8,68
CDM,36119100,CYTARABINE VL 100MG,4.6,,0.68,4.14,55
CDM,36119119,CEMIPLIMAB-RWLC VL 1MG-LIBTAYO,148.54,,26.95,133.69,68
CDM,36119120,DACTINOMYCIN VL 0.5MG,844.75,,302.07,1044.53,68
CDM,36119130,DACARBAZINE VL 100MG,30.3,,4.46,27.27,55
CDM,36119144,DARATUMUMAB/HYAL SQ 10MG,270.48,,51.12,243.43,68
CDM,36119155,DEGARELIX VIAL 1MG,27.9,,3.84,25.11,68
CDM,36119171,DOCETAXEL INJ 1MG,4.2,,0.4636,3.78,55
CDM,36119173,DURVALUMAB VL 10MG,419.58,,76.02,377.62,68
CDM,36119176,ELOTUZUMAB VL 1MG,56.1,,6.67,50.49,68
CDM,36119179,ERIBULIN MESYLATE VL 0.1MG,537.53,,82.19,483.78,68
CDM,36119181,ETOPOSIDE INJ 10MG,4.0,,0.77,3.75,56
CDM,36119202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,69
CDM,36119203,GEMTUZUMAB INJ 0.1MG,314.71,,157.35,325.35,68
CDM,36119205,IRINOTECAN LIPOSOMAL INJ 1MG,249.48,,54.33,224.53,68
CDM,36119206,IRINOTECAN VL 20MG/ML 1ML,32.1,,1.71,126.0,56
CDM,36119208,IFOSFAMIDE 1GM/30ML VIAL,84.5,,26.31,127.5,56
CDM,36119217,LEUPROLIDE DEPOT KIT 7.5MG-IT,501.6,,162.33,517.5,69
CDM,36119260,METHOTREXATE PWDR VL 50MG,13.2,,2.33,11.88,56
CDM,36119263,OXALIPLATIN VL 0.5MG,2.0,,0.1098,7.5,56
CDM,36119264,PACLITAXEL ABP VL 1MG,85.4,,8.25,76.86,69
CDM,36119267,PACLITAXEL INJ 1MG,2.0,,0.1342,1.8,55
CDM,36119273,TISOTUMAB VEDOTIN TFTV VL 1MG,640.0,,173.66,576.0,68
CDM,36119280,MITOMYCIN INJ 5MG,374.01,,18.72,336.61,68
CDM,36119285,OLARATUMAB INJ 10MG,343.84,,52.07,309.46,56
CDM,36119301,OBINUTUZUMAB VL 10MG,373.38,,63.74,336.04,68
CDM,36119303,PANITUMUMAB VL 10MG,561.47,,123.55,505.32,68
CDM,36119305,PEMETREXED PWDR VL 10MG,313.46,,4.01,282.11,69
CDM,36119306,PERTUZUMAB INJ 1MG,98.7,,12.95,88.83,68
CDM,36119311,RITUXIMAB/HYALURON INJ 10MG,163.45,,33.75,147.1,68
CDM,36119317,SACITUZUMAB GOVITECAN HZIY 2.5,181.02,,33.38,162.92,68
CDM,36119330,TEMSIROLIMUS INJ 1MG,326.76,,24.57,294.08,68
CDM,36119331,FYARRO 1MG BU PER 100MG VIAL,397.25,,77.8,357.52,68
CDM,36119351,TOPOTECAN INJ 0.1MG,4.4,,1.28,3.96,55
CDM,36119352,TRABECTEDIN VL 0.1MG,791.88,,318.93,712.69,68
CDM,36119355,TRASTUZUMAB VL 10MG,396.69,,54.75,357.02,69
CDM,36119358,FAM-TRASTUZUMAB DERUXTECAN 1MG,146.79,,24.14,132.11,68
CDM,36119360,VINBLASTINE VL 1MG,21.2,,3.98,19.08,56
CDM,36119370,VINCRISTINE VL 1MG/ML 1ML,43.7,,5.34,39.33,56
CDM,36119390,VINORELBINE VL 10MG/ML 1ML,51.5,,2.39,89.25,56
CDM,36129075,CYCLOPHOS 5MG BU PER 1000MG VL,2.3,,0.4416,2.07,68
CDM,36129113,PANTOPRAZOLE VL 40MG,9.1,,4.55,29.0,56
CDM,36136415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,36136430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,36136591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,36136592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,36136593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,36139272,DOSTARLIMAB-GXLY 10MG BU/500MG,523.53,,224.21,471.18,68
CDM,36140050,DOXORUBICIN LIPO 10MG BU/20MG,271.32,,99.79,293.09,68
CDM,36140111,UDENYCA CBQV 0.5MG BU/6MG VL,592.97,,97.82,533.67,68
CDM,36140121,INFLIXIMAB-AXXQ VL 10MG,126.2,,18.78,113.58,68
CDM,36140138,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,68
CDM,36140150,DOXORUBICIN LIPO 10MG BU/50MG,312.83,,99.79,293.09,68
CDM,36145101,FILGRASTIM INJ 1MCG,2.5,,0.4232,2.25,68
CDM,36145103,INFLECTRA VL 10MG,115.9,,18.39,104.31,68
CDM,36145108,FULPHILA INJ PFS 6MG/0.6ML,1888.8,,91.2,1699.92,68
CDM,36145109,PEGFILFRASTIM JMDB SQ 0.5MG,168.69,,84.34,151.82,68
CDM,36145111,PEGFILGRASTIM CBQV UDENYCA .5,645.96,,97.82,581.36,68
CDM,36145117,TRASTUZUMAB ANNS INJ 10MG,46.83,,23.41,65.38,68
CDM,36145118,BEVACIZUMAB-BVZR INJ 10MG,129.3,,23.71,116.37,68
CDM,36145119,RITUXIMAB-PVVR 10MG,114.4,,25.62,102.96,68
CDM,36145122,PEGFILGRASTIM APGF SQ 0.5MG,472.71,,120.67,425.44,68
CDM,36170004,GAMMAGARD LIQ 500MG BU/5000MG,226.38,,41.69,203.74,68
CDM,36170005,GAMMAGARD 500MG BU/10000MG VL,226.38,,41.69,203.74,68
CDM,36170006,GAMMAGARD 500MG BU/20000MG VL,226.38,,41.69,203.74,68
CDM,36170007,GAMMAGARD 500MG BU/30000MG VL,226.87,,41.69,204.18,68
CDM,36170008,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,36170009,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,36170010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,36170011,ALBUMIN VL 25% 100ML,346.22,,64.76,311.6,56
CDM,36190471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,36190472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,36190620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,36190686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,36190732,PNEUMOC VACC 23 >2YR SQ/IM-IT,533.9,,162.83,480.51,55
CDM,36190733,MENINGOCOCCAL POLY VACC SQ,632.95,,101.42,569.65,56
CDM,36190734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,36196360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,36196361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,36196365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,68
CDM,36196366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,36196367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,36196368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,36196372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,36196374,THERAPYPRO//DX IV PUSH,540.0,,173.54,486.0,68
CDM,36196375,THERAPYPRO//DX IV PUSH ADDL,399.0,,23.36,359.1,68
CDM,36196376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,57
CDM,36196377,APPLICATION ON-BODY INJECTOR,343.0,,18.81,308.7,68
CDM,36196401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,68
CDM,36196402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,36196409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,36196411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,58.62,668.7,68
CDM,36196413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,68
CDM,36196415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,68
CDM,36196416,CHEMO IV INFUSION PRO W/PUMP,1358.0,,273.2,1222.2,68
CDM,36196417,CHEMO IV INFUSION EACH ADD,800.0,,58.62,720.0,68
CDM,36196425,CHEMO IA INFUSION >8 HR,900.0,,62.0,810.0,68
CDM,36196446,CHEMO PERITONEAL CAVITY,1547.0,,273.2,1392.3,68
CDM,36196523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,36199195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,68
CDM,36236589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,154.0,2001.6,68
CDM,36236592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,36270009,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,36270010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,36296365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,68
CDM,36296366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,36296523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,36300017,CERTOLIZUMAB 1MG BU PER 200MG,28.4,,3.6,25.56,68
CDM,36300041,BORTEZOMIB 0.1MG BU PER 3.5MG,2.0,,1.0,44.97,57
CDM,36300119,RITUXIMAB-PVVR 10MG BU/100MG,114.4,,25.62,102.96,68
CDM,36300135,TOCILIZ-AAZG 1MG BU PER 80MG,20.4,,4.07,18.36,68
CDM,36300174,DOCETAXEL 20MG/1ML VIAL,98.0,,0.4636,88.2,55
CDM,36300181,ETOPOSIDE 10MG BU PER 500MG VL,4.0,,0.77,3.75,56
CDM,36300187,HUMATE-P 1IU/500-999IU VIAL,8.9,,1.21,8.01,68
CDM,36300190,FLUOROURACIL 5000MG/100ML VL,16.0,,1.53,14.4,56
CDM,36300201,GEMCITABINE 200MG BU PER 200MG,23.4,,3.61,108.75,56
CDM,36300206,IRINOTECAN 20MG BU PER 100MG,25.7,,1.71,126.0,56
CDM,36300227,ISATUXIMAB-IRFC 10MG BU/100MG,401.38,,66.67,361.24,68
CDM,36300271,PEMBROLIZUMAB 1MG BU PER 100MG,294.21,,50.85,264.79,68
CDM,36300303,PANITUMUMAB 10MG BU PER 100MG,561.47,,123.55,505.32,68
CDM,36300305,PEMETREXED 10MG BU PER 100MG,4.4,,2.2,71.81,69
CDM,36300353,OCREOTIDE DEPO KIT 1MG BU/10MG,575.68,,78.75,518.11,69
CDM,36300490,BELIMUMAB 10MG BU PER 120MG VL,276.01,,46.18,248.41,68
CDM,36300506,PEGFILFRAST ONPRO 0.5MG BU/6MG,33.5,,16.75,122.84,68
CDM,36300562,PLERIXAFOR 1MG BU PER 24MG VL,36.1,,18.05,365.29,68
CDM,36300590,MENQUADFI 10MCG/0.5ML SDV,668.3,,334.15,601.47,54
CDM,36300897,DENOSUMAB SQ 1MG BU/60MG VL,37.26,,18.63,40.4,68
CDM,36300938,FUROSEMIDE1MG BU PER 40MG VL,2.0,,0.0244,1.8,55
CDM,36300994,LANREOTIDE INJ 120MG,16806.0,,31.33,15125.4,68
CDM,36300996,LANREOTIDE INJ 90MG,8104.5,,31.33,7294.05,68
CDM,36300997,ADO-TRASTUZUMAB 1MG (100MG VL),200.2,,32.79,180.18,68
CDM,36300998,ADO-TRASTUZUMAB 1MG (160MG VL),200.2,,32.79,180.18,68
CDM,36301036,BENDAMUSTINE 1MG BU/100MG VL,2.0,,1.0,21.61,68
CDM,36301045,CARBOPLATIN 600MG/60ML VIAL,236.4,,2.57,212.76,56
CDM,36301107,BEVACIZUMAB-AWWB 10MG BU/100MG,140.1,,25.63,126.09,68
CDM,36301115,RITUXIMAB-ABBS 10MG BU/100MG,139.5,,27.03,125.55,68
CDM,36301119,RITUXIMAB-PVVR 10MG BU/500MG,114.4,,25.62,102.96,68
CDM,36301135,TOCILIZ-AAZG 1MG BU PER 200MG,23.2,,4.07,20.88,68
CDM,36301171,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,56
CDM,36301173,IMFINZI 10MG BU PER 120MG VIAL,419.58,,76.02,377.62,68
CDM,36301174,DOCETAXEL 80MG/4ML VIAL,100.44,,0.4636,90.4,55
CDM,36301175,DONANEMAB-AZBT 2MG BU PER 350,30.3,,3.8,27.27,68
CDM,36301176,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,68
CDM,36301187,HUMATE-P 1IU/1000-1600IU VIAL,8.9,,1.21,8.01,68
CDM,36301190,DEXRAZOXANE 250MG BU PER 500MG,316.05,,39.15,284.44,68
CDM,36301201,GEMCITABINE 200MG BU/1000MG VL,17.0,,3.61,108.75,56
CDM,36301202,GOSER ACE 3.6MG BU PER 10.8MG,1569.88,,435.0,1412.89,69
CDM,36301217,LEUP ACE 7.5MG BU / 7.5MG SYR,595.77,,162.33,536.19,69
CDM,36301227,ISATUXIMAB-IRFC 10MG BU/500MG,401.31,,66.67,361.18,68
CDM,36301262,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,68
CDM,36301264,PACLITAX ALB 1MG BU PER 100MG,85.4,,8.25,76.86,69
CDM,36301300,ECULIZUMAB 10MG BU PER 300MG V,811.75,,207.81,730.58,57
CDM,36301303,PANITUMUMAB 10MG BU PER 400MG,561.26,,123.55,505.13,68
CDM,36301305,PEMETREXED 10MG BU PER 500MG,3.7,,1.85,71.81,69
CDM,36301308,FAMOTIDINE 20MG/2ML VIAL,2.0,,0.0122,1.8,56
CDM,36301312,RITUXIMAB 10MG BU PER 100MG VL,313.53,,69.2,282.18,68
CDM,36301353,OCREOTIDE DEPO KIT 1MG BU/20MG,232.05,,78.75,279.92,69
CDM,36301370,VINCRISTINE 1MG BU PER 1MG VL,43.6,,5.34,39.24,56
CDM,36301395,FULVESTRANT 25MG BU PER 250MG,13.7,,6.19,78.75,69
CDM,36301459,PRIVIGEN 500MG BU PER 5GM/50ML,250.25,,41.5,225.22,68
CDM,36301490,BELIMUMAB 10MG BU PER 400MG VL,275.38,,46.18,247.84,68
CDM,36301750,INFED 50MG BU PER 100MG/2ML VL,116.5,,15.01,104.85,68
CDM,36301897,XGEVA-DENOSUMAB 1MG BU/120MG,38.07,,19.04,40.4,68
CDM,36301919,METHYLPRED 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
CDM,36302047,CARFILZOMIB 1MG BU PER 60MG VL,184.24,,39.2,165.82,68
CDM,36302107,BEVACIZUMAB-AWWB 10MG BU/400MG,184.8,,25.63,166.32,68
CDM,36302115,RITUXIMAB-ABBS 10MG BU/500MG,147.07,,27.03,132.36,68
CDM,36302118,BEVACIZUMAB-BVZR 10MG BU/400MG,129.3,,23.71,116.37,68
CDM,36302135,TOCILIZ-AAZG 1MG BU PER 400MG,23.2,,4.07,20.88,68
CDM,36302173,IMFINZI 10MG BU PER 500MG VIAL,426.44,,76.02,383.8,68
CDM,36302176,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,68
CDM,36302187,HUMATE-P 1IU/1600-3000IU VIAL,8.9,,1.21,8.01,68
CDM,36302190,DEXRAZOXANE 250MG BU PER 250MG,584.01,,39.15,525.61,68
CDM,36302201,GEMCITABINE 200MG BU/2000MG VL,17.3,,3.61,108.75,56
CDM,36302202,GOSER ACE 3.6MG BU PER 3.6MG,1569.16,,435.0,1412.24,69
CDM,36302217,LEUP ACE 7.5MG BU / 22.5MG SYR,593.67,,162.33,534.3,69
CDM,36302262,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,68
CDM,36302305,PEMETREXED 10MG BU PER 1000MG,8.6,,4.01,71.81,69
CDM,36302312,RITUXIMAB 10MG BU PER 500MG VL,306.32,,69.2,275.69,68
CDM,36302353,OCREOTIDE DEPO KIT 1MG BU/30MG,249.48,,78.75,279.92,69
CDM,36302370,VINCRISTINE 1MG BU PER 2MG VL,43.7,,5.34,39.33,56
CDM,36302459,PRIVIGEN 500MG BU PER 10GM VL,250.25,,41.5,225.22,68
CDM,36302919,METHYLPRED 5MG BU PER 125MG VL,0.6,,0.1932,0.54,68
CDM,36303217,LEUP DEPOT 7.5MG/22.5MG KIT,702.17,,162.33,631.95,69
CDM,36303262,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,68
CDM,36303459,PRIVIGEN 500MG BU PER 20GM VL,249.55,,41.5,224.59,68
CDM,36303919,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,68
CDM,36304217,LEUP ACE 7.5MG BU / 30MG SYR,83.9,,41.95,517.5,69
CDM,36304459,PRIVIGEN 500MG BU PER 40GM VL,250.25,,41.5,225.22,68
CDM,36305114,TRASTUZ-DKST 10MG BU PER 150MG,163.87,,37.07,147.48,68
CDM,36305217,LEUP ACE 7.5MG BU / 45MG SYR,50.2,,25.1,517.5,69
CDM,36309000,DOXORUBICIN 10MG BU PER 200MG,25.4,,2.7,22.86,56
CDM,36309190,FLUOROURACIL 1000MG/20ML VL,31.8,,1.53,28.62,56
CDM,36309263,OXALIPLATIN 0.5MG BU PER 100MG,0.8,,0.1098,7.5,56
CDM,36309267,PACLITAXEL 300MG/50ML VL,210.0,,0.1342,189.0,55
CDM,36309563,SODIUM PHOSPHATE 45MMOL/15ML,173.3,,86.65,155.97,54
CDM,36310015,GAMUNEX-C 500MG (5GM/50ML VL),234.5,,42.19,211.05,68
CDM,36310016,GAMUNEX-C 500MG (20GM/200ML),234.5,,42.19,211.05,68
CDM,36310024,GAMUNEX-C 500MG BU PER 10GM VL,234.5,,42.19,211.05,68
CDM,36310025,GAMUNEX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,68
CDM,36310026,GAMUNEX-C 500MG BU PER 20GM VL,234.5,,42.19,211.05,68
CDM,36310027,GAMUNEX-C 500MG BU PER 40GM VL,234.5,,42.19,211.05,68
CDM,36310116,NIVOLUMAB 1MG BU/120MG VIAL,164.15,,28.56,147.74,68
CDM,36310117,NIVOLUMAB 1MG BU/40MG VIAL,163.24,,28.56,146.92,68
CDM,36310118,NIVOLUMAB 1MG BU/100MG VIAL,163.87,,28.56,147.48,68
CDM,36310119,NIVOLUMAB 1MG BU/240MG VIAL,165.62,,28.56,149.06,68
CDM,36310129,ABATACEPT INJ 10MG,170.1,,40.58,153.09,68
CDM,36310180,AGALSIDASE VL 1MG,705.9,,109.5,635.31,69
CDM,36310185,APREPITANT VL 1MG (CINVANTI),11.3,,1.51,10.17,68
CDM,36310202,ALEMTUZUMAB INJ 1MG (LEMTRADA),4022.82,,1984.32,3620.54,68
CDM,36310278,AMIKACIN INJ 100MG,3.1,,0.7564,2.79,55
CDM,36310360,HYDRALAZINE INJ 20MG-IT,9.3,,3.38,8.37,55
CDM,36310461,ATROPINE INJ 0.01MG-IT,2.0,,0.0854,1.8,55
CDM,36310485,BELATACEPT VL 1MG,28.2,,3.58,25.38,68
CDM,36310612,CA GLUC INJ 10MG,2.0,,0.0488,1.8,56
CDM,36310640,LEUCOVORIN VL 50MG,13.5,,2.8,12.15,56
CDM,36310692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,36310696,CEFTRIAXONE VL 250MG,2.2,,0.5856,1.98,55
CDM,36310712,CEFTAROLINE VL 10MG,5.33,,2.67,5.82,68
CDM,36310743,CILASTATIN/IMIPENEM INJ 250MG,112.1,,6.33,100.89,55
CDM,36310780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,55
CDM,36310850,CYTOMEGALOVIRUS IMM GLOB VL,2446.21,,1223.11,2486.89,68
CDM,36310875,DALBAVANCIN VL 5MG (DALVANCE),73.0,,14.36,65.7,68
CDM,36310878,DAPTOMYCIN PWDR INJ 1MG,2.0,,0.0366,1.8,55
CDM,36310881,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,36311050,MEDROXYPROG INJ 1MG IT,2.0,,0.56,1.8,56
CDM,36311100,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,55
CDM,36311110,DIHYDROERGOTAMIMNE AP 1MG,219.52,,55.97,197.57,55
CDM,36311200,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,55
CDM,36311299,ECULIZUMAB 2MG BU PER 300MG VL,162.6,,41.23,146.34,68
CDM,36311335,ERTAPENEM VL 500MG,7.0,,3.5,32.8,55
CDM,36311439,FERRIC CARBOXYMALTOSE IV 1MG,7.1,,1.02,6.39,68
CDM,36311440,FILGRASTIM VL 300MCG/ML 1ML,720.0,,0.92,648.0,68
CDM,36311441,FILGRASTIM INJ 480MCG,1728.0,,0.92,1555.2,68
CDM,36311453,FOSAPREPITANT VL 1MG,2.0,,0.1342,1.8,55
CDM,36311459,IMMUNE GLOBULIN IV 500MG,250.25,,41.5,225.22,68
CDM,36311569,IMMUNE GLOB IV GAMMAGARD 500MG,226.38,,41.69,203.74,68
CDM,36311602,GOLIMUMAB INJ IV 1MG,69.8,,10.16,62.82,68
CDM,36311626,GRANISETRON HCL 100MCG,4.6,,0.2806,16.5,56
CDM,36311628,GUSELKUMAB INJ 1MG (TREMFYA),302.47,,69.89,272.22,68
CDM,36311640,HEMIN VL 1MG DOSE,196.3,,24.44,176.67,68
CDM,36311644,HEPARIN VL 1000U/ML 1ML,2.8,,0.2684,2.52,55
CDM,36311720,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,36311745,INFLIXIMAB VL 10MG,190.1,,28.6,171.09,68
CDM,36311750,IRON DEXTRAN VL 50MG/ML 1ML,116.5,,15.01,104.85,68
CDM,36311756,IRON SUCROSE VL 1MG,2.6,,0.22,2.34,56
CDM,36311786,IMIGLUCERASE VL 10U,219.24,,39.73,197.32,68
CDM,36311815,INSULIN INJ 5 UNITS,2.0,,0.6832,1.8,56
CDM,36311885,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,67
CDM,36312060,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,55
CDM,36312175,MEPERIDINE INJ 100MG/ML 1ML IT,9.4,,4.7,19.14,55
CDM,36312182,MEPOLIZUMAB SQ INJ 1MG NUCALA,156.94,,28.7,141.25,68
CDM,36312185,MEROPENEM VL 100MG,3.0,,0.5368,2.7,55
CDM,36312270,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,36312323,NATALIZUMAB VL 1MG,44.3,,21.63,39.87,68
CDM,36312350,OCRELIZUMAB INJ 1MG,293.65,,54.66,264.29,68
CDM,36312353,OCREOTIDE DEPOT KIT 1MG,249.27,,78.75,279.92,69
CDM,36312405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,56
CDM,36312407,ORITAVANCIN INJ 10MG,147.0,,23.8,132.3,68
CDM,36312430,PAMIDRONATE LYOPH VL 30MG,95.4,,11.52,221.25,56
CDM,36312469,PALONOSETRON VL 25MCG,118.6,,0.549,106.74,56
CDM,36312507,PEGLOTICASE INJ 1MG,4792.57,,2396.28,5033.64,68
CDM,36312543,PIPER/TAZO VL 1/0.125GM,2.0,,1.0,1.8,55
CDM,36312550,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,55
CDM,36312765,METOCLOPRAMIDE VL 10MG IT,6.2,,1.04,5.58,55
CDM,36312783,RASBURICASE INJ 0.5MG,614.46,,300.94,553.01,68
CDM,36312840,SEBELIPASE ALFA VL 1MG,1172.43,,496.72,1055.19,68
CDM,36312916,FERRIC GLUC AMP 12.5MG/ML 1ML,12.8,,2.09,11.52,56
CDM,36312997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,36313243,TIGCYCLINE INJ 1MG,2.0,,0.6222,1.8,55
CDM,36313245,TILDRAKIZUMAB INJ 1MG (ILUMYA),660.59,,117.25,594.53,68
CDM,36313357,USTEKINUMAB INJ SC 1MG,640.29,,137.45,576.26,68
CDM,36313358,USTEKINUMAB IV INJ 1MG,92.4,,11.95,83.16,68
CDM,36313370,VANCOMYCIN VL 500MG,13.0,,0.0366,11.7,55
CDM,36313380,VEDOLIZUMAB INJ 1MG,154.5,,19.61,139.05,68
CDM,36313420,VIT B12 VL 1000MCG/ML 1ML IT,6.0,,1.16,5.4,55
CDM,36313475,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,55
CDM,36313480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,55
CDM,36313487,ZOLEDRONIC ACID VL 1MG-ZOMETA,16.0,,6.34,14.4,55
CDM,36313488,ZOLEDRONIC ACID VL 1MG-RECLAST,42.2,,6.34,37.98,55
CDM,36319000,DOXORUBICIN VL 10MG,13.1,,2.7,11.79,56
CDM,36319017,ARSENIC TRIOXIDE INJ 1MG/ML 1M,50.8,,7.15,45.72,69
CDM,36319022,ATEZOLIZUMAB INJ 10MG,450.45,,78.28,405.4,68
CDM,36319025,AZACITIDINE VL 1MG,6.9,,0.2562,6.21,56
CDM,36319040,BLEOMYCIN SULF VL 15U-IT,148.5,,25.5,164.25,56
CDM,36319042,BRENTUXIMAB VL 1MG,495.74,,175.28,446.17,68
CDM,36319043,CABAZITAXEL INJ 1MG,714.35,,181.51,642.91,68
CDM,36319045,CARBOPLATIN VL 50MG,20.0,,2.57,122.25,56
CDM,36319060,CISPLATIN AQ VL 10MG,19.1,,1.71,17.19,56
CDM,36319100,CYTARABINE VL 100MG,4.6,,0.68,4.14,55
CDM,36319130,DACARBAZINE VL 100MG,30.3,,4.46,27.27,55
CDM,36319144,DARATUMUMAB/HYAL SQ 10MG,270.48,,51.12,243.43,68
CDM,36319171,DOCETAXEL INJ 1MG,4.2,,0.4636,3.78,55
CDM,36319173,DURVALUMAB VL 10MG,419.58,,76.02,377.62,68
CDM,36319176,ELOTUZUMAB VL 1MG,56.1,,6.67,50.49,68
CDM,36319179,ERIBULIN MESYLATE VL 0.1MG,537.53,,82.19,483.78,68
CDM,36319181,ETOPOSIDE INJ 10MG,4.0,,0.77,3.75,56
CDM,36319202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,69
CDM,36319205,IRINOTECAN LIPOSOMAL INJ 1MG,249.48,,54.33,224.53,68
CDM,36319206,IRINOTECAN VL 20MG/ML 1ML,32.1,,1.71,126.0,56
CDM,36319209,MESNA AMP 200MG,57.6,,1.62,51.84,56
CDM,36319217,LEUPROLIDE DEPOT KIT 7.5MG-IT,501.6,,162.33,517.5,69
CDM,36319229,INOTUZUMAB VL 0.1MG,3865.16,,1932.58,3709.82,68
CDM,36319261,NELARABINE INJ 50MG (ARRANON),556.99,,73.47,501.29,68
CDM,36319263,OXALIPLATIN VL 0.5MG,2.0,,0.1098,7.5,56
CDM,36319264,PACLITAXEL ABP VL 1MG,85.4,,8.25,76.86,69
CDM,36319267,PACLITAXEL INJ 1MG,2.0,,0.1342,1.8,55
CDM,36319301,OBINUTUZUMAB VL 10MG,373.38,,63.74,336.04,68
CDM,36319303,PANITUMUMAB VL 10MG,561.47,,123.55,505.32,68
CDM,36319305,PEMETREXED PWDR VL 10MG,313.46,,4.01,282.11,69
CDM,36319306,PERTUZUMAB INJ 1MG,98.7,,12.95,88.83,68
CDM,36319311,RITUXIMAB/HYALURON INJ 10MG,163.45,,33.75,147.1,68
CDM,36319351,TOPOTECAN INJ 0.1MG,4.4,,1.28,3.96,55
CDM,36319355,TRASTUZUMAB VL 10MG,396.69,,54.75,357.02,69
CDM,36319358,FAM-TRASTUZUMAB DERUXTECAN 1MG,146.79,,24.14,132.11,68
CDM,36319360,VINBLASTINE VL 1MG,21.2,,3.98,19.08,56
CDM,36319370,VINCRISTINE VL 1MG/ML 1ML,43.7,,5.34,39.33,56
CDM,36319390,VINORELBINE VL 10MG/ML 1ML,51.5,,2.39,89.25,56
CDM,36319600,PORFIMER NA VL 75MG,46646.0,,3004.74,41981.4,68
CDM,36336415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,36336430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,36336589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,154.0,2001.6,68
CDM,36336591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,36336592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,36336593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,36340138,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,68
CDM,36345101,FILGRASTIM INJ 1MCG,2.5,,0.4232,2.25,68
CDM,36345103,INFLECTRA VL 10MG,115.9,,18.39,104.31,68
CDM,36345109,PEGFILGRASTIM JMDP SQ 0.5MG,168.69,,84.34,151.82,68
CDM,36345111,PEGFILGRASTIM CBQV UDENYCA .5,645.96,,97.82,581.36,68
CDM,36345118,BEVACIZUMAB-BVZR INJ 10MG,129.3,,23.71,116.37,68
CDM,36345122,PEGFILGRASTIM APGF SQ 0.5MG,472.71,,120.67,425.44,68
CDM,36370004,GAMMAGARD LIQ 500MG BU/5000MG,226.38,,41.69,203.74,68
CDM,36370005,GAMMAGARD 500MG BU/10000MG VL,226.38,,41.69,203.74,68
CDM,36370006,GAMMAGARD 500MG BU/20000MG VL,226.38,,41.69,203.74,68
CDM,36370007,GAMMAGARD 500MG BU/30000MG VL,226.87,,41.69,204.18,68
CDM,36370008,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,36370009,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,36370010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,36370011,ALBUMIN VL 25% 100ML,346.22,,64.76,311.6,56
CDM,36370013,ALBURX 5% 500ML (25GM/500ML),498.0,,12.96,448.2,56
CDM,36390471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,36390670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,36390686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,36390732,PNEUMOC VACC 23>2YR SQ/IM-IT,533.9,,162.83,480.51,55
CDM,36396360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,36396361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,36396365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,68
CDM,36396366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,36396367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,36396368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,36396372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,36396374,THERAPYPRO//DX IV PUSH,540.0,,173.54,486.0,68
CDM,36396375,THERAPYPRO//DX IV PUSH ADDL,399.0,,23.36,359.1,68
CDM,36396376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,57
CDM,36396377,APPLICATION ON-BODY INJECTOR,343.0,,18.81,308.7,68
CDM,36396401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,68
CDM,36396402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,36396405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,36396409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,36396411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,58.62,668.7,68
CDM,36396413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,68
CDM,36396415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,68
CDM,36396416,CHEMO IV INFUSION PRO W/PUMP,1358.0,,173.0,1222.2,68
CDM,36396417,CHEMO IV INFUSION EACH ADD,800.0,,58.62,720.0,68
CDM,36396446,CHEMO PERITONEAL CAVITY,1547.0,,273.2,1392.3,68
CDM,36396523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,36396542,CHEMO INJ SUBARACH/INTRAVENT,945.0,,54.0,850.5,68
CDM,36399195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,68
CDM,36500308,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,56
CDM,36500375,LEUKAPHERESIS FOR RESEARCH,5437.0,,2718.5,4893.3,56
CDM,36501696,PERIPH MONONUCLEAR COLLECTION,5708.0,,1350.24,5137.2,68
CDM,36501697,CAR-T CELLS HARVEST,13251.0,,84.42,11925.9,57
CDM,36506514,APHRESIS PLASMA SAME DAY ADDL,6166.0,,621.0,5549.4,56
CDM,36512997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,36536430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,36536455,TRANSFUS EXCHG BLOOD,3446.0,,360.1,3101.4,68
CDM,36536511,APHRESIS THERAPEUTIC WBC,5708.0,,1350.24,5137.2,68
CDM,36536512,APHRESIS THERAPEUTIC RBC,4450.0,,104.69,4005.0,68
CDM,36536513,APHRESIS THERAPEUTIC PLATELETS,5350.0,,360.1,4815.0,68
CDM,36536514,APHERESIS PLASMA PHERESIS,6166.0,,1350.24,5549.4,68
CDM,36536522,PHOTOPHERESIS EXTRACORPOREAL,15710.0,,1119.0,14139.0,68
CDM,36536589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,36536591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,36536593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,36538205,HARVEST PROGEN CELL/COLL ALLO,7627.0,,72.2,6864.3,57
CDM,36538206,HARVEST PROGEN CELL/COLL AUTO,7390.0,,1350.24,6651.0,68
CDM,36596360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,36596361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,36596365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,68
CDM,36596366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,36596367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,36596368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,36596374,THERAPYPRO//DX IV PUSH,540.0,,173.54,486.0,68
CDM,36596375,THERAPYPRO//DX IV PUSH ADDL,399.0,,23.36,359.1,68
CDM,36596376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,57
CDM,36596523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,36599195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,68
CDM,36599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,36603014,TELEHEALTH FACILITY FEE-PEC,78.0,,10.66,70.2,57
CDM,36612405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,56
CDM,36613480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,55
CDM,36619267,PACLITAXEL INJ 1MG,2.0,,0.1342,1.8,55
CDM,36636000,INTRO NDL/INTRACATH VEIN,765.0,,27.07,688.5,57
CDM,36636415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,36636430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,36636589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,154.0,2001.6,68
CDM,36636591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,36636592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,36636593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,36638221,BONE MARROW BIOPSY,0.01,,0.004,1994.58,68
CDM,36638222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,36655081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,36656515,DEST LESN VULVA EXTENSIVE,4757.0,,1506.69,4281.3,68
CDM,36661070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,68
CDM,36670008,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,36670009,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,36670010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,36686485,SKIN TEST CANDIDA,108.0,,1.23,97.2,68
CDM,36686580,SKIN TEST TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,36686735,MUMPS ANTIBODY,237.0,,5.56,213.3,68
CDM,36690472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,36693005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,36694618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,36696365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,68
CDM,36696366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,36696367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,36696374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,36696401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,68
CDM,36696402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,36696409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,36696411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,58.62,668.7,68
CDM,36696413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,68
CDM,36696415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,68
CDM,36696416,CHEMO IV INFUSION PRO W/PUMP,1358.0,,273.2,1222.2,68
CDM,36696417,CHEMO IV INFUSION EACH ADD,800.0,,58.62,720.0,68
CDM,36696423,CHEMO IA INFS ADD HR,713.0,,27.0,641.7,68
CDM,36696446,CHEMO PERITONEAL CAVITY,1547.0,,273.2,1392.3,68
CDM,36696450,CHEMO CNS,1812.0,,154.0,1630.8,68
CDM,36696521,PUMP PORTABLE MAINTENANCE,695.0,,143.0,625.5,68
CDM,36696522,PUMP IMPLANTABLE MAINT/REFILL,536.0,,173.54,482.4,68
CDM,36696523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,36696542,CHEMO INJ SUBARACH/INTRAVENT,945.0,,54.0,850.5,68
CDM,36698000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,36698001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,36698002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,36698003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,36698004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,36698005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,36698006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,36698007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,36698008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,36698009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,36698010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,36698011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,36698012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,36698013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,36698014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,36698015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,36698016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,36699195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,68
CDM,36699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,40100022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,40100216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,40100303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,40100598,R-T FLUOR WOUND IMG 1ST SITE,758.0,,256.5,682.2,68
CDM,40103014,TELEHEALTH FACILITY FEE-KVS,78.0,,10.66,70.2,57
CDM,40129581,APPL MULTILAY COMPRS BL KNEE,427.0,,129.97,384.3,68
CDM,40132552,RMVL NDWELLG TUN PLEURAL CATH,1739.0,,509.25,1565.1,68
CDM,40136002,INJ TX PSEUDOANEUR EXTREM PERC,1823.0,,509.25,1640.7,68
CDM,40173562,XR KNEE 3V,757.0,,27.0,681.3,68
CDM,40186580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,40190686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,40193005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,40193307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,40193880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,68
CDM,40193882,DUPLEX EXTRACRANIAL UNILAT,1257.0,,65.0,1131.3,68
CDM,40193922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,68
CDM,40193923,DOPPLER ARTERIAL EXT CMPL BIL,1673.0,,81.0,1505.7,68
CDM,40193925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,40193926,DUPLEX ARTRL LWR EXT UNILT/LMT,1404.0,,31.0,1263.6,68
CDM,40193931,DUPLEX ART UPR EXT UNILAT/LMTD,1540.0,,9.0,1386.0,68
CDM,40193971,DUPLEX VENOUS EXT UNILAT/LMTD,1611.0,,56.0,1449.9,68
CDM,40193975,DUPLEX ABD/PEL/RETRO CMPL,2301.0,,199.1,2070.9,68
CDM,40193976,DUPLEX ABD/PEL/RETRO LTD,1300.0,,65.0,1170.0,67
CDM,40193978,DUPLEX AORTA/IVC/GRAFT CMPL,1424.0,,199.1,1281.6,68
CDM,40197605,NEG PRESS WOUND THRPY</=50 CM,481.0,,43.0,432.9,68
CDM,40198000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,40198001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,40198002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,40198003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,40198004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,40198005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,40198006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,40198007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,40198008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,40198009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,40198010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,40198011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,40198012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,40198013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,40198014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,40198015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,40198016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,40199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,40200298,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,40200717,DEVICE IUD PARAGARD,4968.0,,888.5,4471.2,57
CDM,40200718,ETONOGESTREL IMPLANT 68MG,2429.26,,869.0,2186.33,56
CDM,40203014,TELEHEALTH FACILITY FEE-WCO,78.0,,10.66,70.2,57
CDM,40211980,IMPLANT PELLET HORMONE SUBQ,740.0,,296.0,666.0,68
CDM,40211981,INS IMPL DRUG DELIV NON-BIODEG,704.0,,106.17,633.6,68
CDM,40211982,REM IMPL DRUG DELIV NON-BIODEG,1205.0,,328.68,1084.5,68
CDM,40211983,REM/REINS IMPL DRUG DELIV,867.0,,328.68,780.3,68
CDM,40257170,FITTING DIAPHRAGM/CERV CAP,395.0,,158.0,355.5,68
CDM,40258100,BX ENDOMETRIAL SAMPLING W/O,649.0,,165.7,584.1,68
CDM,40258300,INS INTRAUTERINE DEVICE,768.0,,94.61,691.2,57
CDM,40258301,REM DVC INTRAUTERINE,763.0,,250.55,686.7,68
CDM,40296372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,40298000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,40298001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,40298002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,40298003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,40298004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,40298005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,40298006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,40298007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,40298008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,40298009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,40298010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,40298011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,40298012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,40298013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,40298014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,40298015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,40298016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,40299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,40800216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,40800292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,40803014,TELEHEALTH FACILITY FEE-KES,78.0,,10.66,70.2,57
CDM,40810005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,40810006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,40810021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,266.4,599.4,68
CDM,40810160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,40831575,LARYNGOSC FLEX FIBER,829.0,,159.91,746.1,68
CDM,40838505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,40860100,BIOPSY THYROID NEEDLE PERC,1267.0,,506.8,1140.3,68
CDM,40871101,XR RIBS W/CXR 3+V UNI,897.0,,34.0,807.3,68
CDM,40876536,US SOFT TISSUE HEAD/NECK,1267.0,,67.0,1140.3,68
CDM,40881002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,40890686,FLU VACC QUAD PRESERV > 3YR,51.36,,11.74,46.22,56
CDM,40896372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,40898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,40898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,40898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,40898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,40898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,40898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,40898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,40898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,40898008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,40898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,40898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,40898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,40898012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,40898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,40898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,40898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,40898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,40899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,41000023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,41000500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,41003014,TELEHEALTH FACILITY FEE-KPT,78.0,,10.66,70.2,57
CDM,41010021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,266.4,599.4,68
CDM,41010060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,41010140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,41010160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,41011102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,41011104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,41011105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,41011106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,41011107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,41017250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,41019000,PUNCTURE ASP BRST CYST,841.0,,336.4,866.14,68
CDM,41019020,MASTOTOMY EXPL/DRAIN ABSC DEEP,4406.0,,1334.55,3965.4,68
CDM,41019100,BX BREAST NDL W/O GUIDE,1753.0,,701.2,1994.58,68
CDM,41036592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,41071100,XR RIBS 2V UNI,742.0,,33.0,667.8,68
CDM,41076856,US PELVIS NON OB,865.0,,87.59,778.5,68
CDM,41093005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,41093702,BIS LIMB FLUID DIFF,893.0,,128.87,803.7,68
CDM,41096365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,41098000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41098001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41098002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41098003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41098004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41098005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41098006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41098007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41098008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41098009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41098010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41098011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41098012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41098013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41098014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41098015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41098016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41099024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,41099211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,41099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,41100022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,41100216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,41100217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,41100300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,41100308,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,55
CDM,41100310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,41100312,FUROSEMIDE INJ 20MG,3.2,,0.0244,2.88,55
CDM,41100314,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,41100318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,41100327,METHYLPRED NA IVPB 125MG,15.0,,0.1932,13.5,68
CDM,41100491,MIDAZOLAM VL 1MG/ML 1ML,2.0,,0.13,1.8,55
CDM,41100500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,41100539,FENTANYL INJ 0.1MG/2ML VIAL,6.8,,0.78,6.12,55
CDM,41100541,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
CDM,41100543,HYDRALAZINE INJ 20MG,10.3,,3.38,9.27,55
CDM,41100911,LORAZEPAM VL 2MG/ML 1ML,3.6,,0.75,3.24,55
CDM,41101057,HYDROMORPHONE INJ 4MG/ML 1ML,13.4,,0.1098,12.06,56
CDM,41101112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,41103014,TELEHEALTH FACILITY FEE-KCC,78.0,,10.66,70.2,57
CDM,41112272,MORPHINE SULFATE 4MG/ML VIAL,34.2,,9.92,30.78,56
CDM,41112274,MORPHINE PF EPIDURAL 10MG,15.59,,7.79,14.03,55
CDM,41136556,INS CATH CV NON-TUNL >/=5YS,4244.0,,1697.6,3874.7,68
CDM,41136589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,41136590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,41136592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,41150200,BIOPSY RENAL PERC NDL/TROCAR,2626.0,,1050.4,2363.4,68
CDM,41175625,XR AORTOGRAM ABDOMEN W/SER,4119.0,,435.0,8190.45,68
CDM,41175860,VENOGM SINUS/JUGULAR CATH,3608.0,,236.0,8190.45,68
CDM,41176000,XR FLUORO,1051.0,,10.0,945.9,68
CDM,41176932,US GUIDED ENDOMYOCARD BX,1259.0,,85.54,1133.1,56
CDM,41176937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,41176942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,41181025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,41185610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,41190471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,41190653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,41190662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,41190677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,41193005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,41193280,PROG DEV EVAL DUAL LEAD PM,466.0,,30.72,419.4,69
CDM,41193288,INTERROGATION DEV EVAL PACEMKR,335.0,,30.72,301.5,69
CDM,41193289,INTERROG DEVICE EVAL ICD,536.0,,30.72,482.4,69
CDM,41193308,ECHO 2D/W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,41193451,CATH RIGHT HEART,11262.0,,775.0,10135.8,69
CDM,41193452,CATH LEFT HEART W/ VENTRCLGRPH,17853.0,,1216.0,16067.7,69
CDM,41193453,CATH RT/LT HEART W/ VENT,27690.0,,1530.0,24921.0,69
CDM,41193454,CORONARY ARTERY ANGIO S&I,16794.0,,1251.0,15114.6,69
CDM,41193455,CORONARY ARTERY/GRAFT ANGIO,19983.0,,1741.0,17984.7,69
CDM,41193456,RT HRT CORONARY ARTERY ANGIO,28059.0,,2649.28,25253.1,69
CDM,41193457,RT HRT ARTERY/GRAFT ANGIO,30686.0,,2059.5,27617.4,69
CDM,41193458,LT HRT ART/VENTRICLE ANGIO,23177.0,,1054.97,20859.3,69
CDM,41193459,LT HRT ARTERY/GRAFT ANGIO,28639.0,,2075.0,25775.1,69
CDM,41193460,RT&LT HRT ART/VENTRICLE ANGIO,29966.0,,1899.0,26969.4,69
CDM,41193461,RT&LT HRT ART/VENT ANGIO BYP,32236.0,,2389.0,29012.4,69
CDM,41193463,DRUG ADMIN & HEMODYNAMIC MEAS,4682.0,,2341.0,4213.8,57
CDM,41193464,EXERCISE W/ HEMODYNAMIC MEAS,4562.0,,303.53,4105.8,57
CDM,41193505,BIOPSY ENDOMYOCARDIAL,9151.0,,451.0,8235.9,69
CDM,41193567,INJ SUPRAVALVULAR AORTOGRAPHY,6262.0,,3131.0,5635.8,57
CDM,41193594,CATH RIGHT HEART CHD ABNORMAL,14659.0,,2649.28,13193.1,69
CDM,41193598,CARDIAC OUTPUT MEASURE DURING,3293.0,,1646.5,2963.7,57
CDM,41193750,INTERROG VAD WITH PHYS/ QUAL,680.0,,52.5,612.0,69
CDM,41194618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,41196365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,41196372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,41196374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,41196376,THERAPPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,41198000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41198001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41198002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41198003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41198004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41198005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41198006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41198007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41198008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41198009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41198010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41198011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41198012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41198013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41198014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41198015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41198016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,41200022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,41200023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,41200216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,41200217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,41200218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,41200293,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,41200312,FUROSEMIDE INJ 20MG,3.2,,0.0244,2.88,55
CDM,41200318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,41200397,PERFLUTREN VL 6.52MG/ML 2ML,553.0,,50.26,497.7,55
CDM,41200421,DESMOPRESSIN INJ 1MCG,29.2,,3.24,26.28,68
CDM,41200426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,41200500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,41200543,HYDRALAZINE INJ 20MG,10.3,,3.38,9.27,55
CDM,41201053,POTASSIUM CL 20 MEQ/10 ML VIAL,235.0,,0.15,211.5,55
CDM,41201112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,41203014,TELEHEALTH FACILITY FEE-KCD,78.0,,10.66,70.2,57
CDM,41208921,ECHO TRANSTHO W OR W/O CONT,3913.0,,650.75,3521.7,69
CDM,41208922,TEE W/OR W/O CONT FOL W/CONT,1969.0,,650.75,1772.1,69
CDM,41208926,ECHO TEE W/WO CONT FOL W/CONT,5315.0,,650.75,4783.5,69
CDM,41208929,ECHO TRANSTHO W/WO W/ CONT,3848.0,,650.75,3463.2,69
CDM,41210282,AMIODARONE HCL INJ 30MG,2.7,,0.23,2.43,55
CDM,41233285,INSJ SUBQ CARD RHYTHM MNTR,8393.0,,3357.2,10188.03,68
CDM,41233286,RMVL SUBQ CARD RHYTHM MNTR,3882.0,,579.53,3493.8,68
CDM,41236592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,41251798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,41260002,WALK TEST MAINTENANCE,151.0,,75.5,135.9,56
CDM,41271046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,41276937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,41278494,NM MUGA RESTING W/SPECT,4246.0,,328.0,3821.4,68
CDM,41281002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,41282947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,41286580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,41287804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,41287880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,41289280,ASSTD OOCYTE FERT 10 OR LESS,2042.0,,672.86,1837.8,68
CDM,41290460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,41290471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,41290472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,41290632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,41290636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,41290653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,41290656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,41290662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,41290670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,41290677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,41290682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,41290686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,41290732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,41290746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,41290791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,41293005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,41293017,STRESS TEST TRACING ONLY,1377.0,,49.0,1239.3,69
CDM,41293225,ECG MONITOR/RPT 48 HRS REC,955.0,,37.8,859.5,68
CDM,41293226,ECG MONITOR/REPORT 48 HR ANLYS,1428.0,,48.93,1285.2,68
CDM,41293260,EVAL SUBQ LEAD DEFIB SYSTEM,1807.0,,30.72,1626.3,69
CDM,41293261,INTERR DEVICE EVAL SUBQ DEFIB,286.0,,30.72,257.4,69
CDM,41293279,PROG DEV EVAL SINGLE LEAD PM,411.0,,30.72,369.9,69
CDM,41293280,PROG DEV EVAL DUAL LEAD PM,466.0,,30.72,419.4,69
CDM,41293281,PROG DEV EVAL MULTI LEAD PM,537.0,,30.72,483.3,69
CDM,41293282,PROG DVC EVAL SNGL LEAD ICD,419.0,,30.72,377.1,69
CDM,41293283,PROG DEV EVAL DUAL LEAD ICD,612.0,,30.72,550.8,69
CDM,41293284,PROG DEV EVAL MULTI LEAD ICD,670.0,,30.72,603.0,69
CDM,41293285,PROG DEV EVAL IMPLT LOOP REC,439.0,,30.72,395.1,69
CDM,41293286,PERI-PROC DEVICE EVAL PM,409.0,,204.5,368.1,57
CDM,41293287,PERI-PROC DEVICE EVAL ICD,419.0,,35.0,377.1,57
CDM,41293288,INTERROGATION DEV EVAL PACEMKR,335.0,,30.72,301.5,69
CDM,41293289,INTERROG DEVICE EVAL ICD,536.0,,30.72,482.4,69
CDM,41293290,INTERROG DEVICE EVAL ICM,250.0,,30.72,225.0,69
CDM,41293291,INTERROG DEV EVAL IMPLT LOOP,412.0,,20.18,370.8,69
CDM,41293296,INTERROG EVAL REMOTE DATA 90,414.0,,30.72,372.6,69
CDM,41293303,ECHO CONGENITAL ANOMALY COMP,3510.0,,182.0,3159.0,69
CDM,41293304,ECHO CONGENITAL ANOMALY LTD,1969.0,,161.0,1772.1,69
CDM,41293306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,41293308,ECHO 2D W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,41293315,ECHO TEE ANOMALY CMPL,4650.0,,293.0,4185.0,69
CDM,41293320,ECHO DOPPLER CMPL,720.0,,105.0,648.0,57
CDM,41293321,ECHO DOPPLER LTD,828.0,,57.0,745.2,57
CDM,41293325,ECHO COLOR FLOW MAPPING,243.0,,101.31,218.7,57
CDM,41293451,CATH RIGHT HEART,11262.0,,775.0,10135.8,69
CDM,41293452,CATH LEFT HEART W/VENTRCLGRPH,17853.0,,1216.0,16067.7,69
CDM,41293453,CATH RT/LT HEART W/ VENT,27690.0,,1530.0,24921.0,69
CDM,41293460,RT&LT HRT ART/VENTRICLE ANGIO,29966.0,,1899.0,26969.4,69
CDM,41293461,RT&LT HRT ART/VENT ANGIO BYP,32236.0,,2389.0,29012.4,69
CDM,41293463,DRUG ADMIN & HEMODYNAMIC MEAS,4682.0,,2341.0,4213.8,57
CDM,41293505,BIOPSY ENDOMYOCARDIAL,9151.0,,451.0,8235.9,69
CDM,41293593,CATH RT HEART CHD NORMAL CONN,18167.0,,2649.28,16350.3,69
CDM,41293660,TILT TABLE EVAL,2725.0,,80.0,2452.5,69
CDM,41293750,INTERROG VAD WITH PHYS/ QUAL,680.0,,52.5,612.0,69
CDM,41293786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,69
CDM,41293788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,69
CDM,41293797,CARDIAC REHAB W/O EKG SESSION,259.0,,19.25,233.1,68
CDM,41293798,CRD REHAB MONITORED SESSION,259.0,,26.37,233.1,68
CDM,41293923,DOPPLER ARTERIAL EXT CMPL BIL,1673.0,,81.0,1505.7,68
CDM,41294010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,41294070,SPIROMETRY/PFT CPLX,1841.0,,174.0,1656.9,68
CDM,41294618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,41295807,SLEEP STUDY ATTENDED,3629.0,,230.0,3266.1,68
CDM,41295811,PSG 6/> YRS 4+ PARAM W/CPAP,6950.0,,257.0,6255.0,68
CDM,41295912,NERVE CONDUCTION STUDIES 11-12,8722.0,,239.2,7849.8,68
CDM,41296360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,41296365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,41296366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,41296368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,41296372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,41296374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,41296375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,41296376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,41297804,NUTRITION THRPY GROUP 30 MIN,87.0,,14.38,78.3,57
CDM,41298000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41298001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41298002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41298003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41298004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41298005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41298006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41298007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41298008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41298009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41298010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41298011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41298012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41298013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41298014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41298015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41298016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41299024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,41299211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,41299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,41299244,OFFICE CONSULT LVL IV,461.0,,138.0,414.9,57
CDM,41299406,SMOK CESS COUN INTER >3MIN,92.0,,24.54,82.8,68
CDM,41300397,PERFLUTREN VL 6.25MG/ML 2ML,553.0,,50.26,497.7,55
CDM,41303014,TELEHEALTH FACILITY FEE-KCP,78.0,,10.66,70.2,57
CDM,41308929,ECHO TRANSTHO W/WO W/ CONT,3848.0,,650.75,3463.2,69
CDM,41393308,ECHO 2D/W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,41393321,ECHO DOPPLER LTD,828.0,,57.0,745.2,57
CDM,41393325,ECHO COLOR FLOW VELOCITY MAP,243.0,,101.31,218.7,57
CDM,41398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41400216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,41403014,TELEHEALTH FACILITY FEE-TKG,78.0,,10.66,70.2,57
CDM,41436415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,41473620,XR FOOT 2V,648.0,,18.0,583.2,68
CDM,41473630,XR FOOT COMPLETE 3+V,793.0,,34.0,713.7,68
CDM,41481195,CYTO GEN-WIDE HEMA MAL VARIANT,3159.0,,1162.45,2843.1,68
CDM,41482947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,41492507,ST TREAT SPEECH,484.0,,72.91,435.6,57
CDM,41493303,ECHO GONGENITAL AMOMALY COMP,3510.0,,182.0,3159.0,69
CDM,41495976,ALYS SMPL CN NPGT PRGRMG,967.0,,30.72,870.3,68
CDM,41495977,ALYS CPLX CN NPGT PRGRMG,1101.0,,75.61,990.9,68
CDM,41496041,GENETIC COUNSELING 30 MIN,362.0,,45.12,325.8,57
CDM,41498000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41498001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41498002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41498003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41498004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41498005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41498006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41498007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41498008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41498009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41498010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41498011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41498012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41498013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41498014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41498015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41498016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,41500001,MISC DRUG,0.01,,0.00256,0.009,55
CDM,41500027,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
CDM,41500397,PERFLUTREN VL 6.25MG/ML 2ML,553.0,,50.26,497.7,55
CDM,41500471,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,55
CDM,41500543,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,55
CDM,41503014,TELEHEALTH FACILITY FEE-TEL,78.0,,10.66,70.2,57
CDM,41508921,ECHO TRANSTHO W OR W/O CONT,3913.0,,650.75,3521.7,69
CDM,41508922,TEE W/OR W/O CONT FOL W/CONT,1969.0,,650.75,1772.1,69
CDM,41508923,ECHO TRANSTHORACIC W/WO FOL W/,3198.0,,650.75,2878.2,69
CDM,41508924,ECHO TRANSTHORACIC W/WO FOL W,2078.0,,294.16,1870.2,69
CDM,41508925,ECHO TEE 2D W/WO CONT FOL W/CO,4183.0,,650.75,3764.7,69
CDM,41508926,ECHO TEE W/WO CONT FOL W/CONT,5315.0,,650.75,4783.5,69
CDM,41508927,ECHO TEE W/WO CONT FOL W/CONT,4321.0,,650.75,3888.9,69
CDM,41508929,ECHO TRANSTHO W/WO W/ CONT,3848.0,,650.75,3463.2,69
CDM,41508930,ECHO TRANSTHO W/CONT 2D W/WO,4278.0,,650.75,3850.2,69
CDM,41576376,US 3D REND W/INTERP W/O POSTPR,1464.0,,126.0,1317.6,55
CDM,41593005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,41593289,INTERROG DEVICE EVAL ICD,536.0,,30.72,482.4,69
CDM,41593303,ECHO CONGENITAL ANOMALY COMPL,3510.0,,182.0,3159.0,69
CDM,41593304,ECHO CONGENITAL ANOMALY LTD,1969.0,,161.0,1772.1,69
CDM,41593306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,41593307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,41593308,ECHO 2D/W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,41593312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,69
CDM,41593315,ECHO TEE ANOMALY CMPL,4650.0,,293.0,4185.0,69
CDM,41593318,ECHO TEE MONITORING,3656.0,,451.62,3290.4,69
CDM,41593319,3D ECHO IMG CGEN CAR ANOMAL,720.0,,360.0,648.0,57
CDM,41593320,ECHO DOPPLER CMPL,720.0,,105.0,648.0,57
CDM,41593321,ECHO DOPPLER LTD,828.0,,57.0,745.2,57
CDM,41593325,ECHO COLOR FLOW MAPPING,243.0,,101.31,218.7,57
CDM,41593351,ECHO REST & STRESS MON,4278.0,,268.0,3850.2,69
CDM,41593352,ECHO STRESS CONTRAST AGENT,322.0,,161.0,289.8,57
CDM,41593355,ECHO TRANSESOP CARD/CRT OR GRT,5970.0,,2985.0,5373.0,57
CDM,41593356,MYOCARDIAL STRAIN IMAGING,1095.0,,22.17,985.5,57
CDM,41593454,CORONARY ARTERY ANGIO S&I,16794.0,,1251.0,15114.6,69
CDM,41593458,LT HRT ART/VENTRICLE ANGIO,23177.0,,1054.97,20859.3,69
CDM,41593786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,69
CDM,41593788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,69
CDM,41593890,DOPPLER INTRACRANIAL VASOREACT,1704.0,,852.0,1533.6,56
CDM,41593924,DOPPLER ARTERY EXT W/STRESS,2387.0,,91.0,2148.3,68
CDM,41594010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,41594621,PULMONARY STRESS TEST CPLX,2902.0,,160.0,2611.8,68
CDM,41596365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,41596366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,41596374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,41596375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,41596376,THERAPPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,41598000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41598001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41598002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41598003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41598004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41598005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41598006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41598007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41598008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41598009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41598010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41598011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41598012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41598013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41598014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41598015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41598016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,41600023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,41600216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,41600217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,41600218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,41600293,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,41600300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,41600309,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,41600335,VIT B12 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,41600362,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,68
CDM,41600500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,41600537,FERUMOXYTOL INJ 1MG ESRD,2.3,,0.2944,2.07,68
CDM,41601053,POTASSIUM CL 20 MEQ/10ML VIAL,235.0,,0.15,211.5,55
CDM,41601112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,41601420,F2F ED SVC CKD IND PER SESSION,264.0,,132.0,237.6,56
CDM,41601421,F2F ED SVC CKD GRP PER SESSION,264.0,,132.0,237.6,56
CDM,41603014,TELEHEALTH FACILITY FEE-CKD,78.0,,10.66,70.2,57
CDM,41609287,DARBEPOETIN 1MCG ESRD,19.2,,2.7,17.28,68
CDM,41636000,INTRO NDL/INTRACATH VEIN,765.0,,27.07,688.5,57
CDM,41636415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,41636430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,41636592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,41651798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,41681002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,41682274,OCCULT BLOOD FECES IMMUNO QL,174.0,,14.65,156.6,68
CDM,41683036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,41685018,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,41686580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,41687804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,41690471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,41690472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,41690653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,41690656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,41690662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,41690682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,41690686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,41690715,DIP/TET/ACE PERT VACC>7YR IM,309.33,,43.91,278.4,55
CDM,41690732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,41690739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,41690746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,41693005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,41696361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,68
CDM,41696365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,41696369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,41696372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,41696374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,41698000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41698001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41698002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41698003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41698004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41698005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41698006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41698007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41698008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41698009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41698010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41698011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41698012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41698013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41698014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41698015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41698016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,41700022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,41700023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,41700160,PESSARY NON RUBBER,144.0,,72.0,129.6,56
CDM,41700216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,41700283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,41700287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,41700306,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,55
CDM,41700500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,41701054,SODIUM BICARB 8.4% 50ML VIAL,49.2,,12.6,44.28,55
CDM,41703014,TELEHEALTH FACILITY FEE-KCM,78.0,,10.66,70.2,57
CDM,41711983,REM/REINS IMPL DRUG DELIV,867.0,,328.68,780.3,68
CDM,41736569,INS CATH PERIPH CV W/O PORT >5,3258.0,,1279.53,2932.2,68
CDM,41736592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,41746600,ANOSCOPY,493.0,,106.17,443.7,68
CDM,41749968,VISUALIZATION ADJUNCT,63.9,,8.03,57.51,68
CDM,41751700,IRRIG/LAVG/INSTL BLADDER,696.0,,200.33,626.4,68
CDM,41751701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,41751702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,41751720,INSTILL ANTICARCINOG BLADDER,1196.0,,478.4,1076.4,68
CDM,41751725,CYSTOMETROGRAM/CMG SMP,1748.0,,200.33,1573.2,68
CDM,41751726,CYSTOMETROGRAM/CMG CPLX,1605.0,,200.33,1444.5,68
CDM,41751728,CYSTOMETROGRAM W/VP,2188.0,,549.78,1969.2,68
CDM,41751729,CYSTOMETROGRAM W/VP&UP,1704.0,,549.78,1533.6,68
CDM,41751741,UROFLOWMETRY CPLX,648.0,,256.5,583.2,68
CDM,41751784,EMG ANAL/URETHRAL SPHINCTER,949.0,,128.87,854.1,68
CDM,41751797,STUDY VP INTRA-ABDOMINAL,1107.0,,186.0,996.3,56
CDM,41751798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,41752000,CYSTOURETHROSCOPY,2648.0,,549.78,2383.2,68
CDM,41752287,CYSTO W/INJ CHEMO BLADDER,4703.0,,1687.31,4232.7,68
CDM,41756605,BX LESN VULVA/PERINEUM ONE,1376.0,,550.4,1238.4,68
CDM,41757100,BX MUCOSA VAGINAL SMP,2071.0,,717.2,1863.9,68
CDM,41757150,IRRIG/APPL MEDICMENT VAGINA,285.0,,48.93,256.5,68
CDM,41757160,FITTING/INSERTION PESSARY,426.0,,165.7,383.4,68
CDM,41758100,BX ENDOMETRIAL SAMPLING W/O,649.0,,165.7,584.1,68
CDM,41759200,INSERT DILATOR CERVICAL,1250.0,,250.55,1125.0,68
CDM,41764566,PST TIBL NEUROSTIMULATION 1 TX,580.0,,232.0,522.0,68
CDM,41776856,US PELVIS NON OB,865.0,,87.59,778.5,68
CDM,41776872,US TRANSRECTAL,1553.0,,87.59,1397.7,68
CDM,41781002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,41781015,URINALYSIS MICRO ONLY,73.0,,2.81,65.7,68
CDM,41782270,OCCULT BLOOD FECES SCREEN,66.0,,4.03,59.4,68
CDM,41782272,OCCULT BLD FECE QL OTHER SGL,82.0,,3.89,73.8,68
CDM,41787210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,41791120,TEST RECTAL SENSATION TONE COM,2061.0,,120.0,1854.9,68
CDM,41791122,ANORECTAL MANOMETRY TEST,2116.0,,90.0,1904.4,68
CDM,41795971,ANLYS NEUR SMP W/PROG,1003.0,,75.61,902.7,68
CDM,41796365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,41796372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,41797032,E-STIM ATTENDED 15 MIN,234.0,,11.0,210.6,57
CDM,41797124,PT MASSAGE 15 MIN,186.0,,11.0,167.4,57
CDM,41797530,PT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,41798000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41798001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41798002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41798003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41798004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41798005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41798006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41798007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41798008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41798009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41798010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41798011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41798012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41798013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41798014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41798015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41799024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,41799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,41800216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,41800217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,41800232,PROVIDE INR TEST MATERIAL/EQUI,896.0,,106.15,806.4,68
CDM,41800335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,41803014,TELEHEALTH FACILITY FEE-KPH,78.0,,10.66,70.2,57
CDM,41809287,DARBEPOETIN 1MCG ESRD,19.2,,2.7,17.28,68
CDM,41836592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,41883036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,41885610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,41890471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,41890662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,41890686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,41890732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,41890750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,41890832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,41890834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,41890837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,41893005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,41896360,IV INF HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,41896365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,41896372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,41898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41898008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41898012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,41900022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,41900023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,41900216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,41900459,DSG FOAM >16 SQ IN </=48 SQ IN,94.0,,20.34,84.6,56
CDM,41900500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,41903014,TELEHEALTH FACILITY FEE-KCA,78.0,,10.66,70.2,57
CDM,41910060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,41932554,ASPIRATE PLEURA W/O IMAGING,1159.0,,463.6,1043.1,68
CDM,41936592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,41936600,ARTERIAL PUNCTURE,232.0,,92.8,208.8,68
CDM,41982803,BLOOD GAS PH PO2 &/OR PCO2,462.0,,13.29,415.8,68
CDM,41983020,HEMOGLOBIN ELECTROPHORESIS,259.0,,9.07,233.1,68
CDM,41986580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,41990471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,41990632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,41990686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,41990746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,41993005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,41993280,PROG DEV EVAL DUAL LEAD PM,466.0,,30.72,419.4,69
CDM,41993291,INTERROG DEV EVAL IMPLT LOOP,412.0,,20.18,370.8,69
CDM,41993312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,69
CDM,41993797,CARDIAC REHAB W/O EKG SESSION,259.0,,19.25,233.1,68
CDM,41993798,CRD REHAB MONITORED SESSION,259.0,,26.37,233.1,68
CDM,41993886,DOPPLER TRANSCRANIAL CMPL,1594.0,,82.0,1434.6,68
CDM,41993925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,41994010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,41994618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,41996365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,41997607,NEG PRESSURE WOUND </=50CM,739.0,,329.08,665.1,68
CDM,41997608,NEG PRESS WOUND TX >50CM,902.0,,15.4,811.8,68
CDM,41998000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,41998001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,41998002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,41998003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,41998004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,41998005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,41998006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,41998007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,41998008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,41998009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,41998010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,41998011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,41998012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,41998013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,41998014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,41998015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,41998016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,41999024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,41999204,VISIT NEW PT LVL IV 45-59 MIN,479.0,,102.2,431.1,68
CDM,41999205,VISIT NEW PT LVL V 60-74 MIN,632.0,,102.2,568.8,68
CDM,41999211,VISIT ESTAB PT LVL I,170.0,,85.0,158.65,68
CDM,41999212,VISIT ESTAB PT LVL II,290.0,,102.2,261.0,68
CDM,41999213,VISIT ESTAB PT LVL III,372.0,,102.2,334.8,68
CDM,41999214,VISIT ESTAB PT LVL IV,535.0,,102.2,481.5,68
CDM,41999215,VISIT ESTAB PT LVL V,603.0,,102.2,542.7,68
CDM,41999244,OFFICE CONSULT LVL IV,461.0,,138.0,414.9,57
CDM,41999406,SMOKE CESS COUN INTER >3MIN,92.0,,24.54,82.8,68
CDM,41999441,TEL E/M BY PHY 5-10MIN,94.0,,31.73,84.6,57
CDM,41999442,TEL E/M BY PHY 11-20 MIN,147.0,,55.31,132.3,57
CDM,41999443,TEL E/M BY PHY 21-30 MIN,228.0,,80.93,205.2,57
CDM,42000209,SOD THIOSULFATE HOPE INJ 100MG,7.9,,1.13,7.11,56
CDM,42000216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,42000217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,42000283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,42000303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,42000311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,42000330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,42000335,VIT B12 INJ 1000MCG,6.5,,1.16,5.85,55
CDM,42000342,AMINOLEVULINIC ACID SOL 20%,533.6,,266.8,539.12,68
CDM,42000459,DSG FOAM >16 SQ IN </=48 SQ IN,94.0,,20.34,84.6,56
CDM,42000500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,42001112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,42003014,TELEHEALTH FACILITY FEE-WND,78.0,,10.66,70.2,57
CDM,42003980,COMP STOCKING KNEE HIGH 30-40,154.0,,77.0,138.6,56
CDM,42010040,ACNE SURGERY,383.0,,153.2,344.7,68
CDM,42010060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,42010061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,42010120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,42010140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,42010160,PUNCT ASPIR ABSCES/HEMAT/CYST,638.0,,255.2,574.2,68
CDM,42011000,DEBR SKIN 10% BODY SURFACE,627.0,,250.8,753.55,68
CDM,42011042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,42011055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,42011056,PARING LESN BENIGN 2-4,400.0,,160.0,360.0,68
CDM,42011057,PARING LESN BENIGN >4,448.0,,163.67,403.2,68
CDM,42011102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,42011103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,56
CDM,42011104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,42011105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,42011106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,42011107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,42011200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,42011201,REMOVE SKIN TAG EA ADDL 10,172.0,,68.8,154.8,56
CDM,42011300,SHV LESN TRUNK/ARM,423.0,,169.2,491.84,68
CDM,42011301,SHV LESN TRUNK/ARM 0.6-1.0CM,364.0,,145.6,327.6,68
CDM,42011302,SHV LESN TRUNK/ARM 1.1-2.0CM,442.0,,163.67,397.8,68
CDM,42011303,SHV LESN TRUNK/ARM >2.0CM,819.0,,329.08,737.1,68
CDM,42011305,SHV LESN SKN SCALP,341.0,,136.4,306.9,68
CDM,42011306,SHV LESN SKN SCALP.6-1.0CM,435.0,,163.67,391.5,68
CDM,42011307,SHV LESN SKN SCALP 1.1-2.0CM,484.0,,163.67,435.6,68
CDM,42011308,SHV LESN SKN SCALP >2.0CM,817.0,,326.8,735.3,68
CDM,42011310,SHV LESN FACE/EAR,518.0,,163.67,466.2,68
CDM,42011311,SHV LESN FACE/EAR .6-1.0CM,724.0,,163.67,651.6,68
CDM,42011312,SHV LESN FACE/EAR 1.1-2.0CM,758.0,,303.2,682.2,68
CDM,42011313,SHV LESN FACE/EAR >2.0CM,1294.0,,329.08,1164.6,68
CDM,42011400,EXC LESN BGN TRUNK/ARM,1333.0,,533.2,1199.7,68
CDM,42011401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,68
CDM,42011402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,579.53,1454.4,68
CDM,42011403,EXC LESN BGN TRUNK/ARM 2.1-3.0,2151.0,,579.53,1935.9,68
CDM,42011404,EXC LESN BGN TRUNK/ARM 3.1-4.0,4228.0,,1334.55,3805.2,68
CDM,42011406,EXC LESN BGN TRUNK/ARM >4.0CM,3633.0,,1334.55,3269.7,68
CDM,42011420,EXC LESN BGN SCALP/HND,1813.0,,725.2,1994.58,68
CDM,42011421,EXC LESN BGN SCLP/HND .6-1.0CM,1841.0,,579.53,1656.9,68
CDM,42011422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,42011426,EXC LESN BGN SCALP/HND >4.0CM,4824.0,,1929.6,4341.6,68
CDM,42011440,EXC LESN BGN FACE/EAR,1334.0,,533.6,1200.6,68
CDM,42011441,EXC LESN BGN FACE/EAR .6-1.0CM,1489.0,,579.53,1340.1,68
CDM,42011442,EXC LESN BGN FACE/EAR 1.1-2.0,2300.0,,579.53,2070.0,68
CDM,42011450,EXC HIDRADENITIS AXILLARY SMP,5906.0,,2357.4,5315.4,68
CDM,42011451,EXC HIDRADENTITIS AXILARY CPLX,5759.0,,2303.6,5183.1,68
CDM,42011462,EXC HIDRADENITIS INGUNIAL SMP,4278.0,,1711.2,3850.2,68
CDM,42011463,EXC HIDRADENITIS INGUNIAL CPLX,5373.0,,2149.2,4835.7,68
CDM,42011470,EXC HIDRADENITIS PERINEAL SMP,6611.0,,2357.4,5949.9,68
CDM,42011471,EXC HIDRADENITIS PERINEAL CPLX,7445.0,,2357.4,6700.5,68
CDM,42011600,EXC LESN MAL TRUNK/ARM,1737.0,,579.53,1563.3,68
CDM,42011601,EXC LESN MAL TRNK/ARM .6-1.0CM,1661.0,,579.53,1494.9,68
CDM,42011602,EXC LESN MAL TRUNK/ARM 1.1-2.0,1660.0,,329.08,1494.0,68
CDM,42011621,EXC LESN MAL SCLP/HND .6-1.0CM,1355.0,,542.0,1219.5,68
CDM,42011646,EXC LESN MAL FACE/EAR . 4.0CM,4924.0,,1969.6,4431.6,68
CDM,42011719,TRIMMING NAILS NONDYSTROPHIC,232.0,,48.93,208.8,68
CDM,42011720,DEBR NAIL(S) UP TO 5,344.0,,48.93,309.6,68
CDM,42011721,DEBR NAIL(S) 6 OR MORE,347.0,,48.93,312.3,68
CDM,42011755,BX NAIL UNIT,1476.0,,579.53,1328.4,68
CDM,42011900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,42011901,INJ INTRALESNAL >7 LESNS,353.0,,141.2,317.7,68
CDM,42011951,INJ SUBQ FILL MATERIAL 1.1-5.0,1107.0,,442.8,996.3,68
CDM,42012001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,68
CDM,42012011,RPR LAC SMP FACE,653.0,,163.67,587.7,68
CDM,42012031,RPR LAC INT SCALP/AXIL,785.0,,314.0,706.5,68
CDM,42012032,RPR LAC INT SCALP/AXIL 2.6-7.5,983.0,,329.08,884.7,68
CDM,42012051,RPR LAC INT FACE/EAR,843.0,,329.08,758.7,68
CDM,42012054,RPR LAC INT FACE 7.6-12.5CM,1287.0,,329.08,1158.3,68
CDM,42013101,RPR LAC CPLX TRUNK 2.6-7.5CM,1901.0,,504.2,1710.9,68
CDM,42013121,RPR LAC CPLX SCALP 2.6-7.5CM,1557.0,,504.2,1401.3,68
CDM,42013132,RPR LAC CPLX FOREHD 2.6-7.5CM,1755.0,,504.2,1579.5,68
CDM,42014302,TRNSF TISS ANY AREA EA ADDL,8172.0,,3268.8,7354.8,56
CDM,42015786,ABRASION LESN SINGLE,481.0,,163.67,432.9,68
CDM,42015788,CHEMICAL PEEL FACIAL EPIDERMAL,724.0,,289.6,651.6,68
CDM,42015789,CHEMICAL PEEL FACIAL DERMAL,1641.0,,504.2,1476.9,68
CDM,42017000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,42017003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,42017004,DEST LESN PREMALIGNANT 15+ LS,1091.0,,329.08,981.9,68
CDM,42017106,DEST LESN VASCULAR,1342.0,,329.08,1207.8,68
CDM,42017110,DESTRUCT BENIGN LESION,442.0,,163.67,397.8,68
CDM,42017111,DEST BENIGN LESIONS >15,603.0,,163.67,542.7,68
CDM,42017260,DEST LESN MAL TRUNK/ARM,437.0,,163.67,393.3,68
CDM,42017261,DEST LESN MAL TRUNK/ARM .6-1.0,699.0,,163.67,629.1,68
CDM,42017262,DEST LESN MAL TRNK/ARM 1.1-2.0,891.0,,163.67,801.9,68
CDM,42017263,DEST LESN MAL TRNK/ARM 2.1-3.0,934.0,,163.67,840.6,68
CDM,42017264,DEST LESN MAL TRNK/ARM 3.0-4.0,1194.0,,329.08,1074.6,68
CDM,42017270,DEST LESN MAL SCLP/HEAD,679.0,,163.67,611.1,68
CDM,42017271,DEST LESN MAL SCLP/HEAD .6-1.0,823.0,,163.67,740.7,68
CDM,42017272,DEST LESN MAL SCLP/HEAD1.1-2.0,813.0,,163.67,731.7,68
CDM,42017280,DEST LESN MAL FACE/EAR <0.5CM,702.0,,163.67,631.8,68
CDM,42017282,DEST LESN MAL FACE/EAR 1.1-2.0,1184.0,,163.67,1065.6,68
CDM,42017380,ELECTROLYSIS EPILATION 30 MIN,2035.0,,504.2,1831.5,68
CDM,42019260,METHOTREXATE 50MG/2ML VIAL,26.4,,2.33,23.76,56
CDM,42021011,EXC TUMR FACE/SCALP SUBQ,5174.0,,1334.55,4656.6,68
CDM,42021550,BX TISSUE NECK/THORAX,4652.0,,1334.55,4186.8,68
CDM,42021930,EXC TUMR BACK/FLANK,4087.0,,1334.55,3678.3,68
CDM,42029540,STRAPPING ANKLE/FOOT,390.0,,129.97,351.0,68
CDM,42033370,TRANSCATH PLACE & REM CEPT,2926.0,,1170.4,2633.4,56
CDM,42036160,INTRO NDL/CATH AORTA T/LUMB,1729.0,,691.6,1556.1,56
CDM,42036592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,42040490,BX LIP,870.0,,191.28,783.0,68
CDM,42040808,BX MOUTH VESTIBULE,1124.0,,419.46,1011.6,68
CDM,42040810,EXC LESN MOUTH W/O RPR,4905.0,,1962.0,4414.5,68
CDM,42040812,EXC LESN MOUTH RPR SMP,5488.0,,1220.09,4939.2,68
CDM,42041110,EXC LESN TONGUE W/O CLSR,5044.0,,2017.6,4539.6,68
CDM,42041112,EXC LESN TONGUE W/CLSR ANT 2/3,6045.0,,2418.0,5440.5,68
CDM,42042405,BX GLAND SALIVARY INCISIONAL,5472.0,,1220.09,4924.8,68
CDM,42046900,DEST LESN ANUS CHEMICAL,699.0,,279.6,629.1,68
CDM,42046910,DEST LESN ANUS ELECTRO,4311.0,,1506.69,3879.9,68
CDM,42046916,DEST LESN ANUS CRYOSURGERY,477.0,,163.67,429.3,68
CDM,42046922,DEST LESN ANUS SURG EXCISION,5710.0,,2258.84,5139.0,68
CDM,42046924,DEST LESN ANUS ANY METHOD,4269.0,,1707.6,3842.1,68
CDM,42054055,DEST LESN PENIS SMP ELECTRODES,3219.0,,1287.6,2897.1,68
CDM,42054056,DEST LESN PENIS SMP CRYOSRUG,450.0,,163.67,405.0,68
CDM,42054065,DEST LESN PENIS EXTN,4496.0,,1506.69,4046.4,68
CDM,42054100,BX PENIS,2290.0,,916.0,2061.0,68
CDM,42056501,DESTRUCT LESION VULVA SIMPLE,4511.0,,1506.69,4059.9,68
CDM,42056515,DEST LESN VULVA EXTENSIVE,4757.0,,1506.69,4281.3,68
CDM,42056605,BX LESN VULVA/PERINEUM ONE,1376.0,,550.4,1238.4,68
CDM,42064612,CHEM/DEST NRV MUSCLE FACIAL,1215.0,,243.14,1093.5,68
CDM,42064650,CHEMODENERVATION ECC GLND BOTH,735.0,,243.14,661.5,68
CDM,42064653,CHEMODENERVATION ECC GLND O/A,1026.0,,243.14,923.4,68
CDM,42067810,BX EYELID W/MARGIN,1878.0,,246.22,1690.2,68
CDM,42067850,DEST LESN LID MARGIN,2058.0,,797.76,1852.2,68
CDM,42069100,BX EAR EXTERNAL,1212.0,,191.28,1090.8,68
CDM,42069110,EXC EAR EXT PARTIAL/SMP,4268.0,,1707.2,3841.2,68
CDM,42069610,RPR MEMBRANE TYMPANIC,6276.0,,1220.09,5648.4,68
CDM,42071046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,42073140,XR FINGER(S) 2+ VIEWS,532.0,,18.0,478.8,68
CDM,42076883,US NRV & ACC STRUX 1XTR COMPRE,1688.0,,87.59,1519.2,68
CDM,42080503,PATH CLIN CONSLTJ SF 5-20,267.0,,44.01,240.3,68
CDM,42080504,PATH CLIN CONSLTJ MOD 21-40,290.0,,97.34,261.0,68
CDM,42080505,PATH CLIN CONSLTJ HIGH 41-60,312.0,,141.15,280.8,68
CDM,42080506,PATH CLIN CONSLTJ PROLNG SVC,334.0,,64.89,300.6,56
CDM,42081025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,42086485,SKIN TEST CANDIDA,108.0,,1.23,97.2,68
CDM,42087210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,42087220,TISSUE EXAM FUNGUS,98.0,,3.93,88.2,68
CDM,42087804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,42090471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,42090651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,42090653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,42090656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,42090662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,42090677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,42090686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,42090707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,42090714,DIP/TET PF VACC >7YRIM DOSE,248.01,,44.37,223.21,55
CDM,42093923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,68
CDM,42095044,TEST ALLERGY PATCH,119.0,,5.0,1252.45,68
CDM,42095052,TEST ALLERGY PATCH PHOTO,84.0,,4.87,75.6,68
CDM,42095056,TEST PHOTOSENSITIVITY,321.0,,24.9,288.9,68
CDM,42096360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,42096365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,42096369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,42096372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,42096374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,42096567,PHOTODYNAMIC SKIN SESSION,769.0,,105.0,692.1,68
CDM,42096573,PDT DSTR PRMLG LES PHYS/QHP,713.0,,103.9,641.7,68
CDM,42096574,DBRDMT PRMLG LES W/PDT,713.0,,94.33,641.7,68
CDM,42096900,ACTINOTHRPY/ULTRAVIOLET LIGHT,145.0,,32.33,130.5,68
CDM,42096904,WHOLE BODY PHOTOGRAPHY HX NEVI,216.0,,57.93,194.4,56
CDM,42096910,PHOTOCHEMOTHRPY UVB,320.0,,29.0,288.0,68
CDM,42096912,PHOTOCHEMOTHRPY UVA,327.0,,35.0,294.3,68
CDM,42096920,LASER PSORIASIS <250 CM2,497.0,,163.67,447.3,68
CDM,42096922,LASER PSORIASIS >500 CM2,988.0,,329.08,889.2,68
CDM,42098000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,42098001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,42098002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,42098003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,42098004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,42098005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,42098006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,42098007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,42098008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,42098009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,42098010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,42098011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,42098012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,42098013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,42098014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,42098015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,42098016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,42099024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,42099203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42099214,OP VISIT E&M EST 30 MIN,535.0,,102.2,481.5,68
CDM,42100041,FLUOROURACIL INJ 500MG 02,15.9,,1.53,14.31,56
CDM,42100111,SKIN/MUC MEM/SUBQ TISS UNLSTD,3740.0,,163.67,3366.0,68
CDM,42100117,SKIN/MUC MEM/SUBQ TISS UNLSTD,3740.0,,163.67,3366.0,68
CDM,42100123,NERVOUS SYSTEM UNLSTD PROC-TDR,4616.0,,243.14,4154.4,68
CDM,42100216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,42100330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,42100342,AMINOLEVULINIC ACID SOL 20%,533.6,,266.8,539.12,68
CDM,42100347,BLEOMYCIN VL 15U,144.9,,25.5,164.25,56
CDM,42100500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,42103014,TELEHEALTH FACILITY FEE-TDR,78.0,,10.66,70.2,57
CDM,42104790,FX ABL LSR 1ST 100 SQ CM,1031.0,,412.4,927.9,68
CDM,42104800,FX ABL LSR EA ADDL 100 SQ CM,1031.0,,68.37,927.9,57
CDM,42104900,REGN CELL TX SCLDR H MLT INJ,561.0,,128.07,504.9,57
CDM,42110040,ACNE SURGERY,383.0,,153.2,344.7,68
CDM,42110060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,42110061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,42110081,I&D CYST PILONIDAL CPLX,3685.0,,579.53,3316.5,68
CDM,42110120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,42110121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,68
CDM,42110140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,42110160,PUNCT ASPIR ABSCES/HEMAT/CYST,638.0,,255.2,574.2,68
CDM,42110180,I&D WOUND POST OP COMPLEX,3296.0,,1318.4,3523.29,68
CDM,42110606,GRAFIX-PRIME PER SQ CM,350.0,,166.14,315.0,56
CDM,42111000,DEBR SKIN 10% BODY SURFACE,627.0,,250.8,753.55,68
CDM,42111042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,42111044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,42111045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,56
CDM,42111055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,42111102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,42111103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,56
CDM,42111104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,42111105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,42111106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,42111107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,42111200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,42111201,REMOVE SKIN TAG EA ADDL 10,172.0,,68.8,154.8,56
CDM,42111301,SHV LESN TRUNK/ARM 0.6-1.0CM,364.0,,145.6,327.6,68
CDM,42111302,SHV LESN TRUNK/ARM 1.1-2.0CM,442.0,,163.67,397.8,68
CDM,42111303,SHV LESN TRUNK/ARM >2.0CM,819.0,,329.08,737.1,68
CDM,42111305,SHV LESN SKN SCALP,341.0,,136.4,306.9,68
CDM,42111306,SHV LESN SKN SCALP.6-1.0CM,435.0,,163.67,391.5,68
CDM,42111307,SHV LESN SKN SCALP 1.1-2.0CM,484.0,,163.67,435.6,68
CDM,42111308,SHV LESN SKN SCALP >2.0CM,817.0,,326.8,735.3,68
CDM,42111310,SHV LESN FACE/EAR,518.0,,163.67,466.2,68
CDM,42111311,SHV LESN FACE/EAR .6-1.0CM,724.0,,163.67,651.6,68
CDM,42111312,SHV LESN FACE/EAR 1.1-2.0CM,758.0,,303.2,682.2,68
CDM,42111313,SHV LESN FACE/EAR >2.0CM,1294.0,,329.08,1164.6,68
CDM,42111400,EXC LESN BGN TRUNK/ARM,1333.0,,533.2,1199.7,68
CDM,42111401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,68
CDM,42111402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,579.53,1454.4,68
CDM,42111403,EXC LESN BGN TRUNK/ARM 2.1-3.0,2151.0,,579.53,1935.9,68
CDM,42111404,EXC LESN BGN TRUNK/ARM 3.1-4.0,4228.0,,1334.55,3805.2,68
CDM,42111406,EXC LESN BGN TRUNK/ARM >4.0CM,3633.0,,1334.55,3269.7,68
CDM,42111420,EXC LESN BGN SCALP/HND,1813.0,,725.2,1994.58,68
CDM,42111421,EXC LESN BGN SCLP/HND .6-1.0CM,1841.0,,579.53,1656.9,68
CDM,42111422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,42111423,EXC LESN BGN SCALP/HND 2.1-3.0,3130.0,,1252.0,2817.0,68
CDM,42111424,EXC LESN BGN SCALP/HND 3.1-4.0,3629.0,,1334.55,3266.1,68
CDM,42111426,EXC LESN BGN SCALP/HND >4.0CM,4824.0,,1929.6,4341.6,68
CDM,42111440,EXC LESN BGN FACE/EAR,1334.0,,533.6,1200.6,68
CDM,42111441,EXC LESN BGN FACE/EAR .6-1.0CM,1489.0,,579.53,1340.1,68
CDM,42111442,EXC LESN BGN FACE/EAR 1.1-2.0,2300.0,,579.53,2070.0,68
CDM,42111443,EXC LESN BGN FACE/EAR 2.1-3.0,2200.0,,880.0,1994.58,68
CDM,42111444,EXC LESN BGN FACE/EAR 3.1-4.0,3016.0,,1206.4,2714.4,68
CDM,42111446,EXC LESN BGN FACE/EAR>4.0CM,4026.0,,1610.4,3623.4,68
CDM,42111450,EXC HIDRADENITIS AXILLARY SMP,5906.0,,2357.4,5315.4,68
CDM,42111462,EXC HIDRADENITIS INGUNIAL SMP,4278.0,,1711.2,3850.2,68
CDM,42111463,EXC HIDRADENITIS INGUNIAL CPLX,5373.0,,2149.2,4835.7,68
CDM,42111470,EXC HIDRADENITIS PERINEAL SMP,6611.0,,2357.4,5949.9,68
CDM,42111471,EXC HIDRADENITIS PERINEAL CPLX,7445.0,,2357.4,6700.5,68
CDM,42111601,EXC LESN MAL TRNK/ARM .6-1.0CM,1661.0,,579.53,1494.9,68
CDM,42111602,EXC LESN MAL TRUNK/ARM 1.1-2.0,1660.0,,329.08,1494.0,68
CDM,42111603,EXC LESN MAL TRUNK/ARM 2.1-3.0,2620.0,,579.53,2358.0,68
CDM,42111604,EXC LESN MAL TRUNK/ARM 3.1-4.0,3256.0,,579.53,2930.4,68
CDM,42111606,EXC LESN MAL TRUNK/ARM >4.0 CM,3859.0,,1334.55,3473.1,68
CDM,42111621,EXC LESN MAL SCLP/HND .6-1.0CM,1355.0,,542.0,1219.5,68
CDM,42111622,EXC LESN MAL SCALP/HND 1.1-2.0,2024.0,,579.53,1821.6,68
CDM,42111623,EXC LESN MAL SCALP/HND 2.1-3.0,3380.0,,1334.55,3042.0,68
CDM,42111624,EXC LESN MAL SCALP/HND 3.1-4.0,3805.0,,1334.55,3424.5,68
CDM,42111626,EXC LESN MAL SCALP/HND >4.0CM,5418.0,,2167.2,4876.2,68
CDM,42111640,EXC LESN MAL FACE/EAR,1723.0,,579.53,1550.7,68
CDM,42111641,EXC LESN MAL FACE/EAR .6-1.0CM,1931.0,,579.53,1737.9,68
CDM,42111642,EXC LESN MAL FACE/EAR 1.1-2.0,1892.0,,579.53,1702.8,68
CDM,42111643,EXC LESN MAL FACE/EAR 2.1-3.0,2250.0,,900.0,2025.0,68
CDM,42111644,EXC LESN MAL FACE/EAR 3.1-4.0,4007.0,,1334.55,3606.3,68
CDM,42111646,EXC LESN MAL FACE/EAR > 4.0CM,4924.0,,1969.6,4431.6,68
CDM,42111720,DEBR NAIL(S) UP TO 5,344.0,,48.93,309.6,68
CDM,42111721,DEBR NAIL(S) 6 OR MORE,347.0,,48.93,312.3,68
CDM,42111730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,68
CDM,42111732,AVULSION NAIL PLATE EA ADD,333.0,,133.2,299.7,56
CDM,42111750,EXC NAIL & MATRIX,1464.0,,329.08,1317.6,68
CDM,42111755,BX NAIL UNIT,1476.0,,579.53,1328.4,68
CDM,42111770,EXC CYST PILONIDAL SMP,6420.0,,2357.4,5778.0,68
CDM,42111772,EXC CYST PILONIDAL CPLX,5728.0,,2291.2,5155.2,68
CDM,42111900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,42111901,INJ INTRALESNAL >7 LESNS,353.0,,141.2,317.7,68
CDM,42112001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,68
CDM,42112002,RPR LAC SMP SCALP 2.6-7.5CM,628.0,,163.67,565.2,68
CDM,42112011,RPR LAC SMP FACE,653.0,,163.67,587.7,68
CDM,42112013,RPR LAC SMP FACE 2.6-5.0CM,679.0,,163.67,611.1,68
CDM,42112031,RPR LAC INT SCALP/AXIL,785.0,,314.0,706.5,68
CDM,42112032,RPR LAC INT SCALP/AXIL 2.6-7.5,983.0,,329.08,884.7,68
CDM,42112034,RPR LAC INT SCALP/AX 7.6-12.5,1159.0,,329.08,1043.1,68
CDM,42112035,RPR LAC INT SCALP 12.6-20.0CM,1491.0,,329.08,1341.9,68
CDM,42112036,RPR LAC INT SCALP 20.1-30.0CM,1944.0,,504.2,1749.6,68
CDM,42112041,RPR LAC INT NECK,731.0,,292.4,657.9,68
CDM,42112042,RPR LAC INT NECK 2.6-7.5CM,892.0,,329.08,802.8,68
CDM,42112044,RPR LAC INT NECK 7.6-12.5CM,1065.0,,426.0,958.5,68
CDM,42112051,RPR LAC INT FACE/EAR,843.0,,329.08,758.7,68
CDM,42112052,RPR LAC INT FACE 2.6-5.0CM,944.0,,329.08,849.6,68
CDM,42112053,RPR LAC INT FACE 5.1-7.5CM,1085.0,,329.08,976.5,68
CDM,42112054,RPR LAC INT FACE 7.6-12.5CM,1287.0,,329.08,1158.3,68
CDM,42113100,RPR LAC CPLX TRUNK 1.1-2.5CM,1495.0,,504.2,1345.5,68
CDM,42113101,RPR LAC CPLX TRUNK 2.6-7.5CM,1901.0,,504.2,1710.9,68
CDM,42113102,RPR LAC CPLX TRUNK ADD 5.0 CM,1211.0,,484.4,1089.9,56
CDM,42113120,RPR LAC CPLX SCALP 1.1-2.5CM,1361.0,,504.2,1224.9,68
CDM,42113121,RPR LAC CPLX SCALP 2.6-7.5CM,1557.0,,504.2,1401.3,68
CDM,42113122,RPR LAC CPLX SCALP ADD 5.0CM,882.0,,352.8,793.8,56
CDM,42113131,RPR LAC CPLX FOREHD 1.1-2.5CM,1503.0,,329.08,1352.7,68
CDM,42113132,RPR LAC CPLX FOREHD 2.6-7.5CM,1755.0,,504.2,1579.5,68
CDM,42113133,RPR LAC CPLX FOREHD ADD 5CM,1251.0,,500.4,1125.9,56
CDM,42113151,RPR LAC CPLX EYE 1.1-2.5CM,2012.0,,504.2,1810.8,68
CDM,42113152,RPR LAC CPLX EYE 2.6-7.5CM,2196.0,,504.2,1976.4,68
CDM,42113153,RPR LAC CPLX EY ADD 5CM,1444.0,,577.6,1299.6,56
CDM,42113160,CLOSURE WOUND CPLX SECONDARY,5975.0,,1506.69,5377.5,68
CDM,42114020,TRNSF TISS SCALP/ARM,7546.0,,1506.69,6791.4,68
CDM,42114021,TRNSF TISS SCALP/ARM 10.1-30.0,5247.0,,1506.69,4722.3,68
CDM,42114040,TRNSF TISS HEAD/HND/FT,6204.0,,1506.69,5583.6,68
CDM,42114041,TRNSF TISS HEAD/HND/FT 10.1-30,5048.0,,1506.69,4543.2,68
CDM,42114060,TRNSF TISS EYE/EAR/LP,5967.0,,1506.69,5370.3,68
CDM,42114061,TRNSF TISS EYE/EAR/ 10.1-30.0,6102.0,,1506.69,5491.8,68
CDM,42114301,TRNSF TISS ANY AREA 30.1-60,6856.0,,2742.4,6170.4,68
CDM,42114302,TRNSF TISS ANY AREA EA ADDL,8172.0,,3268.8,7354.8,56
CDM,42115004,PREP WOUND F/N/HF/G 100CM CH,1510.0,,504.2,1359.0,68
CDM,42115115,GRFT EPIDERMAL HEAD 1ST 100CM,1867.0,,746.8,2251.85,68
CDM,42115120,GRAFT SPLIT HEAD 1ST 100CM,5782.0,,2312.8,5203.8,68
CDM,42115200,GRAFT FULL TRUNK <20 CM,4531.0,,1506.69,4077.9,68
CDM,42115220,GRAFT FULL SCALP/ARM/LEG <20CM,5750.0,,1506.69,5175.0,68
CDM,42115240,GRAFT FULL FRHD/CHN/MTH,6222.0,,1506.69,5599.8,68
CDM,42115260,GRAFT FULL EYE/NOSE/EAR,5986.0,,1506.69,5387.4,68
CDM,42115261,GRAFT FULL EYE/NOSE/EAR ADD 20,5567.0,,2226.8,5010.3,56
CDM,42115271,GFT SKIN SUB T/A/L <=100CM,3174.0,,1269.6,2856.6,68
CDM,42115275,GFT SKIN SUB F/S/E </=100CM,5381.0,,1506.69,4842.9,68
CDM,42115576,FLAP PEDICLE EYE/NOSE/EAR/LIP,5272.0,,1506.69,4744.8,68
CDM,42115620,FLAP DELAY/SECT FOREHD/HAND/FT,4196.0,,1506.69,3776.4,68
CDM,42115630,FLAP DELAY/SECT EYE/NOSE/EAR,5450.0,,1506.69,4905.0,68
CDM,42115731,FOREHEAD FLAP W/VASCULAR PED,6692.0,,2676.8,6022.8,68
CDM,42115740,FLAP PEDICLE ISLAND ID,4824.0,,1506.69,4341.6,68
CDM,42115760,GRAFT COMPOSITE SKIN,7993.0,,1506.69,7193.7,68
CDM,42115781,DERMABRASION FACE SEGMENTAL,2680.0,,579.53,2412.0,68
CDM,42115786,ABRASION LESN SINGLE,481.0,,163.67,432.9,68
CDM,42115788,CHEMICAL PEEL FACIAL EPIDERMAL,724.0,,289.6,651.6,68
CDM,42115789,CHEMICAL PEEL FACIAL DERMAL,1641.0,,504.2,1476.9,68
CDM,42117000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,42117003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,42117004,DEST LESN PREMALIGNANT 15+ LS,1091.0,,329.08,981.9,68
CDM,42117106,DEST LESN VASCULAR,1342.0,,329.08,1207.8,68
CDM,42117107,DEST LESN VASCULAR 10-50CM,2291.0,,504.2,2061.9,68
CDM,42117108,DEST LESN VASCULAR >50CM,2140.0,,856.0,2251.85,68
CDM,42117110,DESTRUCT BENIGN LESION,442.0,,163.67,397.8,68
CDM,42117111,DEST BENIGN LESIONS >15,603.0,,163.67,542.7,68
CDM,42117250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,42117260,DEST LESN MAL TRUNK/ARM,437.0,,163.67,393.3,68
CDM,42117261,DEST LESN MAL TRUNK/ARM .6-1.0,699.0,,163.67,629.1,68
CDM,42117262,DEST LESN MAL TRNK/ARM 1.1-2.0,891.0,,163.67,801.9,68
CDM,42117263,DEST LESN MAL TRNK/ARM 2.1-3.0,934.0,,163.67,840.6,68
CDM,42117264,DEST LESN MAL TRNK/ARM 3.1-4.0,1194.0,,329.08,1074.6,68
CDM,42117266,DEST LESN MAL TRUNK/ARM >4.0CM,1470.0,,329.08,1323.0,68
CDM,42117271,DEST LESN MAL SCLP/HEAD .6-1.0,823.0,,163.67,740.7,68
CDM,42117272,DEST LESN MAL SCLP/HEAD1.1-2.0,813.0,,163.67,731.7,68
CDM,42117273,DEST LESN MAL SCLP/HEAD2.1-3.0,996.0,,329.08,896.4,68
CDM,42117274,DEST LESN MAL SCLP/HEAD3.1-4.0,2108.0,,329.08,1897.2,68
CDM,42117280,DEST LESN MAL FACE/EAR <0.5CM,702.0,,163.67,631.8,68
CDM,42117281,DEST LESN MAL FACE/EAR.6-1.0,1005.0,,163.67,904.5,68
CDM,42117282,DEST LESN MAL FACE/EAR 1.1-2.0,1184.0,,163.67,1065.6,68
CDM,42117283,DEST LESN MAL FACE/EAR 2.1-3.0,1556.0,,329.08,1400.4,68
CDM,42117286,DEST LESN MAL FACE/EAR >4CM,1791.0,,504.2,1611.9,68
CDM,42117311,MOHS 1ST STG H/N/HF/G,2659.0,,504.2,2393.1,68
CDM,42117312,MOHS EA ADDL STG H/N/HF/G,2121.0,,848.4,1908.9,56
CDM,42117313,MOHS 1ST STAGE T/A/L,2720.0,,504.2,2448.0,68
CDM,42117314,MOHS EA ADDL STAGE T/A/L,2136.0,,854.4,1922.4,56
CDM,42117315,CHEMOSURG/MOHS EA ADD SPEC >5,1218.0,,487.2,1096.2,56
CDM,42117380,ELECTROLYSIS EPILATION 30 MIN,2035.0,,504.2,1831.5,68
CDM,42121011,EXC TUMR FACE/SCALP SUBQ,5174.0,,1334.55,4656.6,68
CDM,42121012,EXC TUMR FACE/SCALP SUBQ 2+CM,2121.0,,848.4,1994.58,68
CDM,42121013,EXC TUM FACE/SCLP SUBFASC <2CM,3656.0,,1334.55,3290.4,68
CDM,42121014,EXC TUM FACE/SCLP SUBFASC 2 +,6302.0,,2357.4,5671.8,68
CDM,42121015,RES TUMR FACE/SCALP RAD <2CM,6302.0,,2357.4,5671.8,68
CDM,42121016,RAD RESCJ TUM TISS F/S 2 +,6302.0,,2357.4,5671.8,68
CDM,42121235,GRAFT CARTILAGE EAR AUTOGENOUS,6862.0,,2744.8,7282.4,68
CDM,42121550,BX TISSUE NECK/THORAX,4652.0,,1334.55,4186.8,68
CDM,42121552,EXC TUM TISS NECK/ANT THX SUBQ,7324.0,,2357.4,6591.6,68
CDM,42121554,EXC TUM NECK/ANT SUBQ 5+CM OR>,6846.0,,2357.4,6161.4,68
CDM,42121555,EXC TUMR NECK/CHEST SQ <3CM,6480.0,,1334.55,5832.0,68
CDM,42121556,EXC TMR NCK/CHST DEEPT <5CM,6846.0,,2357.4,6161.4,68
CDM,42121557,RES TMR NCK/THORAX RAD<5CM,6302.0,,2357.4,5671.8,68
CDM,42121558,RAD RESCJ TUM N/ANT THORAX 5+,6302.0,,2357.4,5671.8,68
CDM,42121920,BX TISSUE BACK SOFT SUPERFIC,2721.0,,1088.4,2448.9,68
CDM,42121925,BX TISSUE BACK SOFT DEEP,5060.0,,1334.55,4554.0,68
CDM,42121930,EXC TUMR BACK/FLANK,4087.0,,1334.55,3678.3,68
CDM,42121931,EXC TUMR BACK/FLANK SUBQ 3+,7610.0,,1334.55,6849.0,68
CDM,42121932,EXC TUMR BACK/FLNK SUBFSC <5CM,6846.0,,2357.4,6161.4,68
CDM,42121933,EXC TISS BACK/FLNK SUBFSCL 5+,6846.0,,2357.4,6161.4,68
CDM,42121935,RES TMR BACK/FLANK RAD <5CM,6302.0,,2357.4,5671.8,68
CDM,42121936,RES TMR BACK/FLANK RAD 5+,6302.0,,2357.4,5671.8,68
CDM,42122902,EXC TUMR ABD TISS WALL SUBQ <3,4217.0,,1334.55,3795.3,68
CDM,42122903,EXC TUMR ABD TISS WALL SUBQ 3+,7120.0,,2357.4,6408.0,68
CDM,42123065,BX TISSUE SHOULDER SUPERFIC,3167.0,,1266.8,2850.3,68
CDM,42123066,BX TISSUE SHOULDER DEEP,3698.0,,1479.2,3523.29,68
CDM,42123071,EXC TUMR SHOULDER SUBQ 3CM +,6843.0,,1334.55,6158.7,68
CDM,42123073,EXC TUMR SHLDR SUBFS IM,6931.0,,2357.4,6237.9,68
CDM,42123076,EXC TUMR SHOULDER DEEP,7304.0,,2357.4,6573.6,68
CDM,42123077,RES TUMR SHOULDER RAD,6302.0,,2357.4,5671.8,68
CDM,42123078,RES TUMR SHOULDER RAD 5+,6302.0,,2357.4,5671.8,68
CDM,42124065,BX TISSUE ARM/ELBOW SUPERFIC,3089.0,,1235.6,2780.1,68
CDM,42124066,BX TISSUE ARM/ELBOW DEEP,3698.0,,1479.2,3523.29,68
CDM,42124071,EXC TUMR ARM/ELBOW SUBQ 3+,7020.0,,2357.4,6318.0,68
CDM,42124075,EXC TUMR ARM/ELBOW SUBQ,3828.0,,1334.55,3445.2,68
CDM,42124077,RES TUMR ARM/ELBOW RAD,6302.0,,2357.4,5671.8,68
CDM,42124079,RES TUMR ARM/ELBOW RAD 5+,6302.0,,2357.4,5671.8,68
CDM,42125065,BX TISSUE FOREARM/WRIST SUPER,3129.0,,1251.6,2816.1,68
CDM,42125066,BX TISSUE FOREARM/WRIST DEEP,3698.0,,1479.2,3523.29,68
CDM,42125071,EXC TUMR FOREARM/WRIST SUBQ 3+,3971.0,,1334.55,3573.9,68
CDM,42125073,EXC TUMR FOREARM/WRIST SUBF IM,6442.0,,2357.4,5797.8,68
CDM,42125075,EXC TUMR FOREARM/WRIST SUBQ,4427.0,,1334.55,3984.3,68
CDM,42125076,EXC TUMR FOREARM/WRIST,3739.0,,1334.55,3365.1,68
CDM,42125077,RESECT TUMR FOREARM/WRIST RAD,3628.0,,1451.2,3523.29,68
CDM,42125078,RESECT TUMR FOREARM/WRIST RAD,6302.0,,2357.4,5671.8,68
CDM,42126111,EXC TUMR HAND/FINGER SUBQ 1.5+,5573.0,,1334.55,5015.7,68
CDM,42126117,RES TUMR/HAND FINGER RAD,6302.0,,2357.4,5671.8,68
CDM,42126118,RES TUMR HAND/FINGER RAD 3+,6302.0,,2357.4,5671.8,68
CDM,42126160,EXC LESN TENDON HAND/FINGER,5984.0,,1318.22,5385.6,68
CDM,42127040,BX TISSUE PELVIS/HIP SUPERFIC,2550.0,,1020.0,2295.0,68
CDM,42127041,BX TISSUE PELVIS/HIP DEEP,2767.0,,1106.8,2490.3,68
CDM,42127043,EXC TUMR PELVIS/HIP SUBQ 3+CM>,6846.0,,2357.4,6161.4,68
CDM,42127045,EXC TUM PELVIS/HIP SUBFS IM5+,6846.0,,2357.4,6161.4,68
CDM,42127047,EXC TUMR PELVIS/HIP SUBQ,6846.0,,2357.4,6161.4,68
CDM,42127048,EXC TUMR PELVIS/HIP <5CM,6846.0,,2357.4,6161.4,68
CDM,42127049,RES TUMR PELVIS/HIP < 5CM,6302.0,,2357.4,5671.8,68
CDM,42127059,RES TUMR PELVIS/HIP 5+,6302.0,,2357.4,5671.8,68
CDM,42127323,BX TISSUE THIGH/KNEE SUPERFIC,3602.0,,1334.55,3241.8,68
CDM,42127324,BX TISSUE THIGH/KNEE DEEP,6213.0,,2357.4,5591.7,68
CDM,42127327,EXC TUMR THIGH/KNEE SUBQ,6871.0,,1334.55,6183.9,68
CDM,42127328,EXC TUMR THGH/KNEE SUBFAS <5,6931.0,,2357.4,6237.9,68
CDM,42127329,RES TUMR THIGH/KNEE RAD < 5CM,6302.0,,2357.4,5671.8,68
CDM,42127337,EXC TUM TISS THI/KNEE SUBQ 3+,10278.0,,2357.4,9250.2,68
CDM,42127339,EXC TUM TISS THI/KNEE SUBFASC,6931.0,,2357.4,6237.9,68
CDM,42127364,RES TUMR THIGH/KNEE RAD 5+,6302.0,,2357.4,5671.8,68
CDM,42127613,BX TISSUE LEG/ANKLE SUPERFIC,2867.0,,1146.8,2580.3,68
CDM,42127614,BX TISSUE LEG/ANKLE DEEP,4966.0,,1986.4,4469.4,68
CDM,42127615,RES TUMR LEG/ANKLE RAD <5CM,6846.0,,2357.4,6161.4,68
CDM,42127616,RES TUMR LEG/ANKLE RAD 5+,6846.0,,2357.4,6161.4,68
CDM,42127618,EXC TUMR LEG/ANKLE SUBQ <3CM,4815.0,,1334.55,4333.5,68
CDM,42127619,EXC TUMR LEG/ANK SUBFAS <5CM,6846.0,,2357.4,6161.4,68
CDM,42127632,EXC LEG/ANKLE LES SQ 3+CM,6846.0,,2357.4,6161.4,68
CDM,42127634,EXC LEG/ANKLE TUM SUBFASC 5+CM,6846.0,,2357.4,6161.4,68
CDM,42128046,RES TUMR SAR FT OR TOE < 3CM,6302.0,,2357.4,5671.8,68
CDM,42128047,RES TUMR SAR FT OR TOE RAD 3+,6302.0,,2357.4,5671.8,68
CDM,42130100,BX INTRANASAL,3315.0,,1220.09,2983.5,68
CDM,42130120,EXC SURGICAL PLANING NOSE,4173.0,,1669.2,3992.34,68
CDM,42136592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,42140490,BX LIP,870.0,,191.28,783.0,68
CDM,42140510,EXC LIP WEDGE TRANSVERSE,5731.0,,2292.4,5157.9,68
CDM,42140654,RPR LIP CPLX,3382.0,,1220.09,3043.8,68
CDM,42140761,RPR CLEFT LIP W/PEDICLE FLAP,14304.0,,4872.59,12873.6,68
CDM,42140808,BX MOUTH VESTIBULE,1124.0,,419.46,1011.6,68
CDM,42140810,EXC LESN MOUTH W/O RPR,4905.0,,1962.0,4414.5,68
CDM,42140812,EXC LESN MOUTH RPR SMP,5488.0,,1220.09,4939.2,68
CDM,42141100,BX TONGUE ANTERIOR 2/3,2206.0,,419.46,1985.4,68
CDM,42141110,EXC LESN TONGUE W/O CLSR,5044.0,,2017.6,4539.6,68
CDM,42141112,EXC LESN TONGUE W/CLSR ANT 2/3,6045.0,,2418.0,5440.5,68
CDM,42146916,DEST LESN ANUS CYROSURGERY,477.0,,163.67,429.3,68
CDM,42146917,DEST LESN ANUS LASER SURGERY,5011.0,,2004.4,4509.9,68
CDM,42146922,DEST LESN ANUS SURG EXCISION,5710.0,,2258.84,5139.0,68
CDM,42154056,DEST LESN PENIS SMP CRYOSRUG,450.0,,163.67,405.0,68
CDM,42154057,DEST LESN PENIS SMP LASER SURG,4529.0,,1506.69,4076.1,68
CDM,42154060,DEST LESN PENIS SMP EXCISION,3936.0,,1506.69,3542.4,68
CDM,42154065,DEST LESN PENIS EXTN,4496.0,,1506.69,4046.4,68
CDM,42154100,BX PENIS,2290.0,,916.0,2061.0,68
CDM,42156501,DESTRUCT LESION VULVA SIMPLE,4511.0,,1506.69,4059.9,68
CDM,42156605,BX LESN VULVA/PERINEUM ONE,1376.0,,550.4,1238.4,68
CDM,42164612,CHEM/DEST NRV MUSCLE FACIAL,1215.0,,243.14,1093.5,68
CDM,42164644,CHEMODENERV 1 EXTREM 5/> MUSC,1365.0,,546.0,1228.5,68
CDM,42164645,CHEMODENERV ADD EXTREM 5/>,1263.0,,505.2,1136.7,56
CDM,42164650,CHEMODENERVATION ECC GLND BOTH,735.0,,243.14,661.5,68
CDM,42164653,CHEMODENERVATION ECC GLND O/A,1026.0,,243.14,923.4,68
CDM,42164788,EXC NEUROFIBROMA CUTAN,4743.0,,1608.45,4268.7,68
CDM,42167810,BX EYELID W/MARGIN,1878.0,,246.22,1690.2,68
CDM,42169100,BX EAR EXTERNAL,1212.0,,191.28,1090.8,68
CDM,42180503,PATH CLIN CONSLTJ SF 5-20,267.0,,44.01,240.3,68
CDM,42180504,PATH CLIN CONSLTJ MOD 21-40,290.0,,97.34,261.0,68
CDM,42180505,PATH CLIN CONSLTJ HIGH 41-60,312.0,,141.15,280.8,68
CDM,42180506,PATH CLIN CONSLTJ PROLNG SVC,334.0,,64.89,300.6,56
CDM,42187070,CULTURE OTHER SOURCE,238.0,,7.93,214.2,68
CDM,42187210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,42187220,TISSUE EXAM FUNGUS,98.0,,3.93,88.2,68
CDM,42188331,CONSULT PATH SURG W/FROZEN,424.0,,36.69,381.6,68
CDM,42188332,ADDIT BLOCK W/FROZEN SEC,170.0,,8.0,153.0,56
CDM,42190471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,42190651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,42190686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,42195811,PSG 6/> YRS 4+ PARAM W/CPAP,6950.0,,257.0,6255.0,68
CDM,42196365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,42196372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,42196405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,42196406,CHEMO INTRALESIONAL >7 LESIONS,566.0,,81.0,509.4,68
CDM,42196567,PHOTODYNAMIC SKIN SESSION,769.0,,105.0,692.1,68
CDM,42196573,PDT DSTR PRMLG LES PHYS/QHP,713.0,,103.9,641.7,68
CDM,42196574,DBRDMT PRMLG LES W/PDT,713.0,,94.33,641.7,68
CDM,42197597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,68
CDM,42198000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,42198001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,42198002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,42198003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,42198004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,42198005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,42198006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,42198007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,42198008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,42198009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,42198010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,42198011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,42198012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,42198013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,42198014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,42198015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,42198016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,42199024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,42199203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42200590,TRABECULAR BONE SCORE (RUO),199.0,,32.24,179.1,56
CDM,42277080,XR BONE DENSITY AXIAL,827.0,,87.59,744.3,68
CDM,42277081,XR BONE DENSITY APPENDICULAR,510.0,,72.52,459.0,68
CDM,42277086,XR FRAC ASSESS DUAL ENERGY,489.0,,72.52,440.1,68
CDM,42277090,TBS PREP & TRANSMIT DATA,426.0,,72.52,383.4,68
CDM,42277091,TBS TECHNICAL CALCULATION ONLY,426.0,,72.52,383.4,68
CDM,42300080,DIABETES ED SELFPAY,62.0,,14.68,55.8,57
CDM,42300088,DIAB ED-MEDICAID,97.0,,14.68,87.3,57
CDM,42300217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,42300222,DIAB ED INDIVID 30M,190.0,,30.0,171.0,57
CDM,42300223,DIAB ED GRP 30M,97.0,,14.68,87.3,57
CDM,42300310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,42300529,NUTR THRPY REASSESS INDIV 15 M,87.0,,25.73,78.3,57
CDM,42300530,NUTR THRPY REASSESS GRP 15 M,87.0,,14.38,78.3,57
CDM,42300533,DIABETIC EDUCATION SELF-PAY,92.0,,46.0,82.8,56
CDM,42300536,DBE EDUCATION CLASS,62.0,,14.68,55.8,57
CDM,42300680,DIABETES ED SELFPAY FOLLOW UP,62.0,,31.0,55.8,56
CDM,42303014,TELEHEALTH FACILITY FEE-DKC,78.0,,10.66,70.2,57
CDM,42336592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,42390471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,42390739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,42393005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,42396365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,42396372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,42397802,NUTRITION THRPY EVAL 15 MIN,97.0,,30.45,87.3,57
CDM,42397803,NUTRITION THRPY RE-EVAL 15 MIN,90.0,,25.73,81.0,57
CDM,42397804,NUTRITION THRPY GROUP 30 MIN,87.0,,14.38,78.3,57
CDM,42398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,42398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,42398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,42398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,42398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,42398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,42398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,42398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,42398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,42398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,42398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,42398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,42398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,42398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,42398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,42398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,42398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,42399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42400022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,42400023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,42400080,DIABETES ED SELFPAY,62.0,,14.68,55.8,57
CDM,42400216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,42400217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,42400218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,42400235,IMMUNOASSAY SCRN BLOOD FECAL,110.0,,16.61,99.0,68
CDM,42400300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,42400303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,42400307,GLUCAGON VL 1MG,636.65,,167.85,572.99,68
CDM,42400310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,42400318,ONDANSETRON INJ 1MG,2.0,,0.09,6.0,56
CDM,42400330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,42400335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,42400360,ALBUMIN VL 25% 50ML,178.08,,64.76,160.27,56
CDM,42400491,MIDAZOLAM VL 1MG/ML 1ML,2.0,,0.13,1.8,55
CDM,42400500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,42400539,FENTANYL INJ 0.1MG/2ML VIAL,6.8,,0.78,6.12,55
CDM,42400573,PATENCY CAPSULE ENDOSCOPY,4736.0,,128.87,4262.4,68
CDM,42401642,HEPARIN NA FLUSH INJ 10U,2.0,,0.01,1.8,56
CDM,42403014,TELEHEALTH FACILITY FEE-KGE,78.0,,10.66,70.2,57
CDM,42411770,EXC CYST PILONIDAL SMP,6420.0,,2357.4,5778.0,68
CDM,42420550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,42420552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,42420610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,42436415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,42436592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,42443202,ESOPHAGOSC FLEX W/BIOPSY,5218.0,,1562.51,4696.2,68
CDM,42443212,ESOPHAGOSC FLEX W/STENT,7548.0,,3019.2,7328.13,68
CDM,42443213,ESOPHAGOSC FLEX RETRO,4107.0,,1562.51,3696.3,68
CDM,42443226,ESOPHAGOSC W/DILAT GD WIRE,3278.0,,1311.2,2950.2,68
CDM,42443236,EGD W/SUBMUCOSAL INJECTION,4035.0,,772.25,3631.5,68
CDM,42443239,EGD FLEX W/BIOPSY,4844.0,,772.25,4359.6,68
CDM,42443244,EGD W/LIG VARICES ESOPH/GAST,5243.0,,1562.51,4718.7,68
CDM,42443245,EGD W/DILATION GASTRIC STRICT,4244.0,,1562.51,3819.6,68
CDM,42443270,EGD W/ABLAT OF LESION,5195.0,,1562.51,4675.5,68
CDM,42443450,DIL ESOPH SOUND OR BOUGIE,2582.0,,772.25,2323.8,68
CDM,42443762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,42444361,ENDO SMALL INTEST W/BIOPSY,3814.0,,1562.51,3432.6,68
CDM,42444363,SM BOWEL ENTEROSCOPY/FBR,3750.0,,1562.51,3375.0,68
CDM,42444372,ENDO SMALL INTEST W/PL J-TUBE,4285.0,,1562.51,3856.5,68
CDM,42444380,ILEOSCOPY THUR STOMA,2986.0,,772.25,2687.4,68
CDM,42444389,COLONOSCOPY STOMA W/BIOPSY,4099.0,,971.18,3689.1,68
CDM,42445330,SIGMOIDOSCOPY FLEX,2360.0,,750.95,2124.0,68
CDM,42445331,SIGMOIDOSCOPY W/BIOPSY,2755.0,,750.95,2479.5,68
CDM,42445335,SIGMOIDOSCOPY W/SUBMUCOSAL INJ,2700.0,,750.95,2430.0,68
CDM,42445338,SIGMOIDOSCOPY TUM/POLYP SNARE,3156.0,,971.18,2840.4,68
CDM,42445379,COLONOSCOPY FLEX W/REM FB,4557.0,,971.18,4101.3,68
CDM,42445380,COLONOSCOPY FLEX W/BIOPSY,5186.0,,971.18,4667.4,68
CDM,42445382,COLONOSCOPY FLEX W/CNTRL BLEED,4893.0,,971.18,4403.7,68
CDM,42445384,COLONOSCOPY FLEX W/REM FORCEP,5635.0,,971.18,5071.5,68
CDM,42445385,COLONOSCOPY FLEX W/REM SNARE,5635.0,,679.0,5071.5,68
CDM,42445386,COLONOSCOPY FLEX W/BALLN DILAT,4246.0,,971.18,3821.4,68
CDM,42446220,EXCISION OF SINGL ANUS PAPPILA,5996.0,,971.18,5396.4,68
CDM,42446600,ANOSCOPY,493.0,,106.17,443.7,68
CDM,42447000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,68
CDM,42449082,ABD PARACENTESIS W/O IMAGING,1343.0,,537.2,1208.7,68
CDM,42449083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,68
CDM,42464450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,42476705,US ABDOMEN LTD,624.0,,54.0,561.6,68
CDM,42481025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,42482272,OCCULT BLD FECE QL OTHER SGL,82.0,,3.89,73.8,68
CDM,42482274,OCCULT BLOOD FECES IMMUNO QL,174.0,,14.65,156.6,68
CDM,42482947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,42483013,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,42486580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,42490460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,42490461,IMMUN ADMIN ANY ROUTE EA ADDL,90.0,,45.0,81.0,56
CDM,42490471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,42490472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,42490632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,42490636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,42490653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,42490656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,42490662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,42490670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,42490677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,42490682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,42490686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,42490715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,42490732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,42490739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,42490746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,42490750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,42491010,MOTILITY STUDY ESOPHAGUS,2786.0,,96.0,2507.4,68
CDM,42491034,ACID REFLUX TEST NASAL PH ELEC,2203.0,,183.0,1982.7,68
CDM,42491035,ACID REFLUX TEST MUCOSAL ELECT,3526.0,,437.05,3173.4,68
CDM,42491037,ACID REFLUX TEST NASAL INTLUM,1922.0,,169.3,1729.8,68
CDM,42491038,ACID REFLUX TEST INTLUM PROLON,2216.0,,321.13,1994.4,68
CDM,42491110,IMAGE GI TRACT ESOPH W/REP,4389.0,,686.0,3950.1,68
CDM,42491111,IMAGE GI TRACT ESP W/REPORT,5003.0,,772.25,4502.7,68
CDM,42491112,GI PRESS MEASURE W/CAPSULE,1277.0,,638.5,1154.17,68
CDM,42491122,ANORECTAL MANOMETRY TEST,2116.0,,90.0,1904.4,68
CDM,42493005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,42494010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,42494618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,42495886,EMG EA SXTM W/NRV COND COMP,777.0,,92.08,699.3,56
CDM,42495981,ANLYS GAST NEUR W/O REPROG,260.0,,48.93,234.0,68
CDM,42495982,ANLYS GAST NEUR W/REPROG,116.0,,30.72,104.4,68
CDM,42496360,IV INF HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,42496361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,68
CDM,42496365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,42496366,IV INFUS THYP/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,42496372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,42496374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,42496375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,42496376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,42497804,NUTRITION THRPY GROUP 30 MIN,87.0,,14.38,78.3,57
CDM,42498000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,42498001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,42498002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,42498003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,42498004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,42498005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,42498006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,42498007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,42498008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,42498009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,42498010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,42498011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,42498012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,42498013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,42498014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,42498015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,42498016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,42499024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,42499203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42499211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,42499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42500022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,42500023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,42500025,STOMACH UNLSTD PROC-KGI,3420.0,,772.25,3078.0,68
CDM,42500216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,42500217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,42500218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,42500283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,42500500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,42500541,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
CDM,42503014,TELEHEALTH FACILITY FEE-KGI,78.0,,10.66,70.2,57
CDM,42510005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,42510021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,138.0,599.4,68
CDM,42510060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,42510061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,42510080,I&D CYST PILONIDAL SMP,892.0,,356.8,866.14,68
CDM,42510081,I&D CYST PILONIDAL CPLX,3685.0,,579.53,3316.5,68
CDM,42510120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,42510121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,68
CDM,42510140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,42510160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,42510180,I&D WOUND POST OP COMPLEX,3296.0,,1318.4,3523.29,68
CDM,42511000,DEBR SKIN 10% BODY SURFACE,627.0,,250.8,753.55,68
CDM,42511042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,42511045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,56
CDM,42511102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,42511421,EXC LESN BGN SCLP/HND .6-1.0CM,1841.0,,579.53,1656.9,68
CDM,42511770,EXC CYST PILONIDAL SMP,6420.0,,2357.4,5778.0,68
CDM,42536592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,42543202,ESOPHAGOSC FLEX W/BIOPSY,5218.0,,1562.51,4696.2,68
CDM,42543255,EGD W/CONTROL BLEED,5199.0,,1562.51,4679.1,68
CDM,42544385,ENDO EVAL SMALL INTEST POUCH,3493.0,,750.95,3143.7,68
CDM,42545171,EXC TUMR RECTAL TRANSANAL,6333.0,,2258.84,5699.7,68
CDM,42545300,PROCTOSIGMOID RIGID,1755.0,,750.95,1579.5,68
CDM,42545330,SIGMOIDOSCOPY FLEX,2360.0,,750.95,2124.0,68
CDM,42545331,SIGMOIDOSCOPY W/BIOPSY,2755.0,,750.95,2479.5,68
CDM,42546030,REM ANAL SETON,3085.0,,971.18,2776.5,68
CDM,42546050,I&D ABSC PERIANAL SUPERFIC,2605.0,,750.95,2344.5,68
CDM,42546220,EXCISION OF SINGL ANUS PAPPILA,5996.0,,971.18,5396.4,68
CDM,42546221,HEMORRHOIDECTOMY,1957.0,,750.95,1761.3,68
CDM,42546255,HEMORRHOIDECTOMY SINGLE COLUMN,7445.0,,2258.84,6700.5,68
CDM,42546320,EXC HEMORRHOID THROMBOSED EXT,3640.0,,971.18,3276.0,68
CDM,42546505,CHEMODNRVTN INTERNL ANAL SPHIN,2655.0,,971.18,2389.5,68
CDM,42546600,ANOSCOPY,493.0,,106.17,443.7,68
CDM,42546601,ANOSCOPY HRA DX W/COLLECTION,576.0,,230.4,518.4,68
CDM,42546910,DEST LESN ANUS ELECTRO,4311.0,,1506.69,3879.9,68
CDM,42546946,LIG HEMORRHOID INTRNL 2/MORE,3194.0,,1277.6,3375.98,68
CDM,42549082,ABD PARACENTESIS W/O IMAGING,1343.0,,537.2,1208.7,68
CDM,42572220,XR SACRUM/COCCYX 2+V,732.0,,31.0,658.8,68
CDM,42576872,US TRANSRECTAL,1553.0,,87.59,1397.7,68
CDM,42581002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,42590460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,42590471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,42590472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,42590648,HEMOPHILUS INFLUENZA B VACC,120.7,,19.26,108.63,56
CDM,42590653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,42590656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,42590662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,42590677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,42590686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,42590732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,42590734,MENING CONJ DIP TOX VACC IM,632.95,,117.74,569.65,56
CDM,42591113,IMAGING GI TRACT INTRALUM COLO,2279.0,,750.95,2051.1,68
CDM,42591122,ANORECTAL MANOMETRY TEST,2116.0,,90.0,1904.4,68
CDM,42592537,AUD CALORIC VESTIBULAR BITHERM,533.0,,38.32,479.7,68
CDM,42593922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,68
CDM,42593925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,42593926,DUPLEX ARTRL LWR EXT UNILT/LMT,1404.0,,31.0,1263.6,68
CDM,42596365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,42596372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,42598000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,42598001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,42598002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,42598003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,42598004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,42598005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,42598006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,42598007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,42598008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,42598009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,42598010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,42598011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,42598012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,42598013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,42598014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,42598015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,42598016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,42599024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,42599203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42599244,OFFICE CONSULT LVL IV,461.0,,138.0,414.9,57
CDM,42600022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,42600023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,42600080,DIABETES ED SELFPAY,62.0,,14.68,55.8,57
CDM,42600088,DIAB ED-MEDICAID,97.0,,14.68,87.3,57
CDM,42600216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,42600217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,42600222,DIAB ED INDIVID 30M,190.0,,30.0,171.0,57
CDM,42600223,DIAB ED GRP 30M,97.0,,14.68,87.3,57
CDM,42600292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,42600300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,42600307,GLUCAGON VL 1MG,636.65,,167.85,572.99,68
CDM,42600310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,42600329,THYROTROPIN ALPHA INJ 1.1MG,2806.26,,1403.13,2909.94,68
CDM,42600335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,42600426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,42600500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,42600536,DBE EDUCATION CLASS,62.0,,14.68,55.8,57
CDM,42600680,DIABETES ED SELFPAY FOLLOW UP,62.0,,31.0,55.8,56
CDM,42600900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,42603014,TELEHEALTH FACILITY FEE-KED,78.0,,10.66,70.2,57
CDM,42610005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,42610006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,42611046,DEBR MUSC/FASCIA EA ADDL 20 CM,1143.0,,457.2,1028.7,56
CDM,42611817,INSULIN FOR ADM THRU DME 50U,102.2,,3.95,91.98,55
CDM,42636000,INTRO NDL/INTRACATH VEIN,765.0,,27.07,688.5,57
CDM,42636415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,42636592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,42664650,CHEMODENERVATION ECC GLND BOTH,735.0,,243.14,661.5,68
CDM,42676942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,42681002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,42682947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,42683036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,42685610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,42690460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,42690471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,42690653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,42690656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,42690662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,42690677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,42690686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,42692250,EYE EXAM W/FUNDUS PHOTO,523.0,,48.0,470.7,68
CDM,42693005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,42693786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,69
CDM,42693788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,69
CDM,42695250,MON GLUCOSE CONTINUOUS <72 HRS,527.0,,94.5,474.3,68
CDM,42696360,IV INF HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,42696365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,42696369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,42696372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,42696374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,42697802,NUTRITION THRPY EVAL 15 MIN,97.0,,30.45,87.3,57
CDM,42697804,NUTRITION THRPY GROUP 30 MIN,87.0,,14.38,78.3,57
CDM,42698000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,42698001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,42698002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,42698003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,42698004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,42698005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,42698006,SYNCH AUDIO-VIDEO VISIT EST MO,78.0,,10.66,70.2,57
CDM,42698007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,42698008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,42698009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,42698010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,42698011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,42698012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,42698013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,42698014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,42698015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,42698016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,42699024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,42699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42700022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,42700041,FLUOROURACIL INJ 500MG 02,15.9,,1.53,14.31,57
CDM,42700046,PROSTHESIS VOICE DUCKBILL,165.0,,82.5,148.5,61
CDM,42700047,PROSTHESIS VALVE LOW PRESSURE,223.0,,111.5,200.7,61
CDM,42700048,PROSTHESIS VOICE INDWELLING,476.0,,238.0,428.4,61
CDM,42700053,SALIVARY GLAND/DUCT UNLSTD,606.0,,191.28,545.4,68
CDM,42700152,PATIENT VISIT-PROCEDURE ONLY,0.01,,0.005,0.009,56
CDM,42700177,TUBE GASTRO/JEJUNO STD,126.0,,63.0,113.4,61
CDM,42700216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,42700217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,42700234,REM CERUMEN/AUD TEST,247.0,,16.2,222.3,56
CDM,42700283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,42700300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,42700303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,42700306,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,55
CDM,42700330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,42700396,HYALURONIC ACID JUVEDERM 0.4ML,973.0,,486.5,875.7,61
CDM,42700419,PROVIDER BILLED E&M,0.01,,0.005,0.009,56
CDM,42700483,ESOPHAGOSC W/BALL TRANSNASAL,2202.0,,772.25,1981.8,68
CDM,42700490,SOMNOPLASTY/UVULAPLASTY,383.0,,153.2,344.7,68
CDM,42700500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,42700525,CHEMODENERV OF SOFT PALATE,1294.0,,243.14,1164.6,68
CDM,42700650,GEMCITABINE HCL VL 200MG,23.4,,3.61,108.75,56
CDM,42701112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,42703014,TELEHEALTH FACILITY FEE-KEN,78.0,,10.66,70.2,57
CDM,42710004,ASP FINE NDL W/O IMAGING ADDL,498.0,,199.2,448.2,56
CDM,42710005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,42710006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,42710009,FNA BX W/CT GDN 1ST LES,1920.0,,579.53,1728.0,68
CDM,42710021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,138.0,599.4,68
CDM,42710060,I&D OF ABSCESS SIMPLE,450.0,,70.0,405.0,68
CDM,42710140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,814.5,1994.58,68
CDM,42710160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,42710606,GRAFIX-PRIME PER SQ CM,350.0,,166.14,315.0,56
CDM,42711042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,42711043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,68
CDM,42711102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,42711104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,42711105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,42711106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,42711107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,42711200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,42711310,SHV LESN FACE/EAR,518.0,,163.67,466.2,68
CDM,42711311,SHV LESN FACE/EAR .6-1.0CM,724.0,,163.67,651.6,68
CDM,42711440,EXC LESN BGN FACE/EAR,1334.0,,533.6,1200.6,68
CDM,42711441,EXC LESN BGN FACE/EAR .6-1.0CM,1489.0,,579.53,1340.1,68
CDM,42711442,EXC LESN BGN FACE/EAR 1.1-1.0,2300.0,,579.53,2070.0,68
CDM,42711446,EXC LESN BGN FACE/EAR>4.0CM,4026.0,,1610.4,3623.4,68
CDM,42711640,EXC LESN MAL FACE/EAR,1723.0,,579.53,1550.7,68
CDM,42711641,EXC LESN MAL FACE/EAR .6-1.0CM,1931.0,,579.53,1737.9,68
CDM,42711642,EXC LESN MAL FACE/EAR 1.1-2.0,1892.0,,579.53,1702.8,68
CDM,42711900,INJ INTRALESNAL,350.0,,163.67,315.0,68
CDM,42711950,INJ SUBQ FILL MATERIAL,702.0,,163.67,631.8,68
CDM,42711951,INJ SUBQ FILL MATERIAL 1.1-5.0,1107.0,,442.8,996.3,68
CDM,42712001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,68
CDM,42712011,RPR LAC SMP FACE,653.0,,163.67,587.7,68
CDM,42712021,PACK WOUND DEHISCENCE SUPER,1168.0,,329.08,1051.2,68
CDM,42713151,RPR LAC CPLX EYE 1.1-2.5CM,2012.0,,504.2,1810.8,68
CDM,42715275,GFT SKIN SUB F/S/E </=100CM,5381.0,,1506.69,4842.9,68
CDM,42715786,ABRASION LESN SINGLE,481.0,,163.67,432.9,68
CDM,42717250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,42717402,MOMETASONE IMPL 10MCG (SINUVA),83.7,,10.44,75.33,68
CDM,42719035,BEVACIZUMAB INJ 10MG,396.34,,51.0,356.71,69
CDM,42720552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,42720553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,42720670,REM IMPL WIRE SUPERFIC,4332.0,,1334.55,3898.8,68
CDM,42720680,REM IMPL WIRE DEEP,6533.0,,2357.4,5879.7,68
CDM,42721320,TX FX BONE NASAL W/STABL CLSD,6156.0,,2462.4,5540.4,68
CDM,42721550,BX TISSUE NECK/THORAX,4652.0,,1334.55,4186.8,68
CDM,42721556,EXC TMR NCK/CHST DEEPT <5CM,6846.0,,2357.4,6161.4,68
CDM,42730100,BX INTRANASAL,3315.0,,1220.09,2983.5,68
CDM,42730117,EXC LESN INTRANASAL INT APPR,7696.0,,2671.24,6926.4,68
CDM,42730150,RHINECTOMY PARTIAL,14439.0,,4872.59,12995.1,68
CDM,42730220,INS NASAL SEPTAL PROSTH,4095.0,,1220.09,3685.5,68
CDM,42730801,ABLAT SOFT TISS INFER TURBIN,2507.0,,1220.09,2256.3,68
CDM,42730802,ABLATION SFT TISS TURBIN INTRA,3765.0,,1220.09,3388.5,68
CDM,42730901,CNTRL NOSEBLEED ANT SMP,593.0,,106.17,533.7,68
CDM,42730903,CNTRL NOSEBLEED ANT CPLX,696.0,,106.17,626.4,68
CDM,42730905,CNTRL NOSEBLEED POST INITIAL,801.0,,106.17,720.9,68
CDM,42730906,CNTRL NOSEBLEED POST SUBSEQ,916.0,,191.28,824.4,68
CDM,42731231,ENDO NASAL DIAGNOSTIC,969.0,,149.0,872.1,68
CDM,42731237,ENDO NASAL W/BX/POLYP/DEBR,5267.0,,1420.41,4740.3,68
CDM,42731238,ENDO NASAL W/CONTROL BLEEDING,5346.0,,519.0,4811.4,68
CDM,42731242,NASAL SINUS ENDO RF ABLAT POST,12917.0,,4872.59,11625.3,68
CDM,42731243,NASAL SINUS ENDO ABLAT POST,12917.0,,4872.59,11625.3,68
CDM,42731298,NASAL/SINUS NDSC W/SINS DILAT,11950.0,,4780.0,10755.0,68
CDM,42731502,CHG TUBE TRACHEOTOMY,813.0,,76.0,731.7,68
CDM,42731515,LARYNGOS DIRECT W/ASPIRATION,4861.0,,319.84,4374.9,68
CDM,42731525,LARYNGOSC DIRECT DX,5205.0,,1420.41,4684.5,68
CDM,42731526,LARYNGOSC DIR DX W/MICRO/TELE,4440.0,,339.0,3996.0,68
CDM,42731531,LARYNGOSC OP REM FB W/MIC/TELE,7901.0,,3036.86,7110.9,68
CDM,42731536,LARYNGOSC OP W/BX W/MIC/TELE,5460.0,,2184.0,4914.0,68
CDM,42731541,LARYNGOSC OP EXC/STRIP W/MI/TE,5321.0,,2128.4,4788.9,68
CDM,42731571,LARYNGOSC OP W/INJ CORD W/MIC,5480.0,,2192.0,4932.0,68
CDM,42731572,LARYNGO FLX W/LASER ABLATION,7132.0,,2852.8,6418.8,68
CDM,42731573,LARYNGO FLX W/THERA INJ,3725.0,,1420.41,3352.5,68
CDM,42731574,LARYNGO FLEX W/INJ AUG,3725.0,,1420.41,3352.5,68
CDM,42731575,LARYNGOSC FLEX FIBER,829.0,,159.91,746.1,68
CDM,42731576,LARYNGOSC FLEX FIBER BX,6437.0,,1420.41,5793.3,68
CDM,42731577,LARYNGOSC FLEX FIBER REM FB,1049.0,,319.84,944.1,68
CDM,42731579,LARYNGOSC FLEX FIBER STROBO,1656.0,,319.84,1490.4,68
CDM,42731611,RPR FIST TRACHOESOPHAGEAL W/PR,6375.0,,2550.0,5737.5,68
CDM,42731612,PUNCT TRACHEAL W/INJ/ASP PERC,9851.0,,2671.24,8865.9,68
CDM,42731615,BRONCHOSC THRU TRACH,3388.0,,419.46,3049.2,68
CDM,42731622,BRONCHOSC DX W/W/O FLUOR&WASH,4644.0,,1420.41,4179.6,68
CDM,42731624,BRONCHOSC W/LAVAGE ALVEOLAR,3595.0,,1420.41,3235.5,68
CDM,42731641,BRONCHOSC W/DESTRUCT TUMR,6331.0,,2532.4,5697.9,68
CDM,42736592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,42738500,BX/EXC LYMPH NODE SUPER OPEN,5400.0,,2160.0,4860.0,68
CDM,42740490,BX LIP,870.0,,191.28,783.0,68
CDM,42740510,EXC LIP WEDGE TRANSVERSE,5731.0,,2292.4,5157.9,68
CDM,42740808,BX MOUTH VESTIBULE,1124.0,,419.46,1011.6,68
CDM,42740810,EXC LESN MOUTH W/O RPR,4905.0,,2452.5,4414.5,68
CDM,42741010,FRENOTOMY,2354.0,,941.6,2118.6,68
CDM,42741100,BX TONGUE ANTERIOR 2/3,2206.0,,419.46,1985.4,68
CDM,42741105,BX TONGUE POSTERIOR 1/3,3368.0,,1347.2,3992.34,68
CDM,42741108,BX MOUTH FLOOR,1558.0,,623.2,1994.58,68
CDM,42741112,EXC LESN TONGUE W/CLSR ANT 2/3,6045.0,,2418.0,5440.5,68
CDM,42741250,RPR LAC MOUTH/TONGUE <2.5CM,970.0,,328.68,873.0,68
CDM,42742100,BX PALATE/UVULA,2504.0,,1001.6,2253.6,68
CDM,42742330,SIALOLITHOT INTRAORAL SMP,8003.0,,2671.24,7202.7,68
CDM,42742335,SIALOLITHOT INTRAORAL CPLX,7140.0,,2671.24,6426.0,68
CDM,42742340,SIALOLITHOT PAROTID,8043.0,,2671.24,7238.7,68
CDM,42742400,BX GLAND SALIVARY NEEDLE,1699.0,,579.53,1529.1,68
CDM,42742405,BX GLAND SALIVARY INCISIONAL,5472.0,,1220.09,4924.8,68
CDM,42742500,RPR SIALODOCHOPLAST PRI,7472.0,,3736.0,7282.4,68
CDM,42742505,RPR SIALODOCHOPLAST SECOND,12594.0,,4872.59,11334.6,68
CDM,42742660,DIL/CATHETER DUCT SALIVARY,1356.0,,419.46,1220.4,68
CDM,42742700,I&D ABSC PERITONSILLAR,978.0,,191.28,880.2,68
CDM,42742800,BX OROPHARYNX,4375.0,,1220.09,3937.5,68
CDM,42743197,ESOPHAGOSC FLEX SPECIMEN,2547.0,,772.25,2292.3,68
CDM,42743220,ESOPHAGOSC W/DILAT BALLOON,3623.0,,1449.2,3260.7,68
CDM,42743761,REPOSITION G-TUBE,2407.0,,200.33,2166.3,68
CDM,42743762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,42743763,RPLC GTUBE REVJ GSTRST TRC,1143.0,,200.33,1028.7,68
CDM,42760100,BIOPSY THYROID NEEDLE PERC,1267.0,,506.8,1140.3,68
CDM,42764408,INJ ANES/STER VAGUS,804.0,,243.14,723.6,68
CDM,42764450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,42764505,INJ ANES GANGLION SPHENOPALAT,1542.0,,243.14,1387.8,68
CDM,42764611,CHEMODENERV SALIV GLANDS BILAT,1051.0,,243.14,945.9,68
CDM,42764612,CHEM/DEST NRV MUSCLE FACIAL,1215.0,,243.14,1093.5,68
CDM,42764615,CHEMDNR NRV MUSCLE FACIAL TRIG,1409.0,,243.14,1268.1,68
CDM,42764616,CHEMODENERV MUSC NECK DYSTON,1491.0,,243.14,1341.9,68
CDM,42764617,CHEMODENERV MUSCLE LARYNX UNIL,1268.0,,507.2,1141.2,68
CDM,42769000,DRAIN ABSC/HEMA EAR EXT SMP,648.0,,259.2,866.14,68
CDM,42769100,BX EAR EXTERNAL,1212.0,,191.28,1090.8,68
CDM,42769105,BX CANAL AUDITORY EXTERNAL,3886.0,,1220.09,3497.4,68
CDM,42769145,EXC LESN CANAL AUD EXT,4471.0,,1788.4,4023.9,68
CDM,42769200,REM FB CANAL AUD EXT W/O ANES,335.0,,106.17,301.5,68
CDM,42769209,REMOVE CERUMEN IMPACTED IRRIG,167.0,,48.93,150.3,68
CDM,42769210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,42769220,DEBR MASTOID CAVITY SMP,409.0,,163.6,368.1,68
CDM,42769222,DEBR MASTOID CAVITY CPLX,1809.0,,419.46,1628.1,68
CDM,42769420,MYRINGOT W/INFL EUST TUBE,1558.0,,191.28,1402.2,68
CDM,42769424,REM TUBE VENT W/ANES,3454.0,,1381.6,3992.34,68
CDM,42769433,TYMPANOSTOMY W/ANES LOCAL,2142.0,,419.46,1927.8,68
CDM,42769610,RPR MEMBRANE TYMPANIC,6276.0,,1220.09,5648.4,68
CDM,42769801,LABYRINTHOTOMY TRANSCANAL,4771.0,,1220.09,4293.9,68
CDM,42770210,XR SINUSES <3V,560.0,,22.0,504.0,68
CDM,42770355,XR ORTHOPANTOGRAM PANORAMIC,509.0,,9.0,458.1,68
CDM,42771046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,42790471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,42790472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,42790651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,42790653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,42790656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,42790662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,42790670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,42790677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,42790686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,42790732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,42792504,ST BINOCULAR MICROSCOPY,224.0,,38.0,2436.0,56
CDM,42792507,ST TREAT SPEECH,484.0,,72.91,435.6,57
CDM,42792511,AUD NASOPHARYNGOSCOPY,498.0,,122.0,448.2,68
CDM,42792512,NASAL FUNCTION STUDY,426.0,,213.0,383.4,68
CDM,42792518,VESTIBULAR EVOKED POTENTIAL OC,404.0,,128.87,363.6,68
CDM,42792519,VESTIBULAR EVOKED POTENTIAL CE,761.0,,256.5,684.9,68
CDM,42792520,AUD LARYNGEAL FUNCTION STUDY,487.0,,106.17,438.3,68
CDM,42792522,AUD EVAL SOUND PRODUCTION,317.0,,105.58,285.3,57
CDM,42792523,ST EVAL LANG COMP/EXPRESSION,375.0,,187.5,337.5,57
CDM,42792524,AUD BEHAV QUALIT ANALYS VOICE,574.0,,96.72,516.6,57
CDM,42792526,AUD TX SWALLOW/ORAL,422.0,,73.0,379.8,57
CDM,42792537,AUD CALORIC VESTIBULAR BITHERM,533.0,,38.32,479.7,68
CDM,42792538,AUD CALORIC VESTIBULAR MTHERM,604.0,,128.87,543.6,68
CDM,42792540,AUD BASIC VSTBLR SPONT NYSTAG,1291.0,,128.87,1161.9,68
CDM,42792541,AUD SPONTANEOUS NYSTAG W/REC,496.0,,106.17,446.4,68
CDM,42792542,AUD POSITIONAL NYSTAGMUS W/REC,480.0,,106.17,432.0,68
CDM,42792545,AUD OSCILLATING TRACKING W/REC,412.0,,37.0,383.35,68
CDM,42792552,AUD PURE TONE AIR ONLY,217.0,,28.0,195.3,68
CDM,42792555,ST AUD SPEECH THRESHOLD,148.0,,19.0,133.2,68
CDM,42792556,AUD SPEECH THRESHOLD W/RECOG,275.0,,27.0,247.5,68
CDM,42792557,AUD EVAL THRESHOLD/RECOGNITION,575.0,,51.0,517.5,68
CDM,42792565,AUD STENGER TEST PURE TONE,216.0,,12.0,194.4,68
CDM,42792567,AUD TYMPANOMETRY IMPED TEST,75.0,,23.0,67.5,68
CDM,42792568,AUD ACOUSTIC REFLEX TESTING,166.0,,24.0,149.4,68
CDM,42792584,AUD ELECTROCOCHLEOGRAPHY,1134.0,,125.0,1020.6,68
CDM,42792587,AUD DISTORT EVOKED OTO EMISS,327.0,,23.0,383.35,68
CDM,42792588,AUD DISTORT EVOKED OTOAC COMP,121.0,,37.0,383.35,68
CDM,42792597,AUD EVAL VOICE PROSTHETIC,622.0,,69.14,559.8,57
CDM,42792601,COCHLEAR IMPLANT <7YRS PROG,1158.0,,128.87,1042.2,68
CDM,42792603,COCHLEAR IMPLANT 7+YRS PROG,875.0,,128.87,787.5,68
CDM,42792604,COCHLEAR IMPLANT 7+YRS REPROG,734.0,,75.5,660.6,68
CDM,42792607,AUD EVAL SPEECH DEVICE 1ST HR,546.0,,116.53,491.4,57
CDM,42792610,ST EVAL SWALLOW,442.0,,84.0,397.8,56
CDM,42792611,ST EVAL SWALLVIDEO/FLUORO,591.0,,91.0,531.9,56
CDM,42792612,ST EVAL SWALL ENDO C/V,867.0,,104.0,780.3,56
CDM,42792622,ANALYSIS AUD SOUND PROCESSOR,387.0,,128.87,348.3,68
CDM,42792623,ANALYSIS AUD SOUND PROCESSOR,97.0,,48.5,87.3,56
CDM,42792626,AUD ASSESSMENT REHAB FIRST HR,683.0,,128.87,614.7,68
CDM,42792627,AUD ASSESSMENT REHAB ADD 15MIN,167.0,,83.5,150.3,56
CDM,42793306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,42795004,TEST ALLERGY PERC W/ALLERGENIC,121.0,,3.1,1252.45,68
CDM,42795024,TEST ALLERGY INTRA W/ALLERG,108.0,,9.0,97.2,68
CDM,42795027,TEST INTRADERM ALLERGEN IMMED,84.0,,4.0,75.6,68
CDM,42795115,IMMUNOTHRPY 1 INJ W/O EXTRACT,52.0,,5.0,56.8,68
CDM,42795117,IMMUNOTHRPY 2+ INJ W/O EXTRACT,75.0,,5.0,67.5,68
CDM,42795165,IMMUNOTHRPY ALRGN P/P DOSES,139.0,,38.01,125.1,68
CDM,42795800,UNATTEND SLEEP STUDY SIML TIME,426.0,,128.87,383.4,68
CDM,42795865,EMG LARYNX,435.0,,106.17,391.5,68
CDM,42795874,EMG NEEDLE W/CHEMODENERVATION,494.0,,247.0,444.6,56
CDM,42795921,AUTONOMIC FUNCTION CARDIOVAGAL,962.0,,21.0,865.8,68
CDM,42795992,PT CANALITH REPOSITION/DAY,222.0,,41.43,199.8,56
CDM,42796365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,42796372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,42796405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,42797605,NEG PRESS WOUND THRPY</=50CM,481.0,,43.0,432.9,68
CDM,42798000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,42798001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,42798002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,42798003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,42798004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,42798005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,42798006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,42798007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,42798008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,42798009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,42798010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,42798011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,42798012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,42798013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,42798014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,42798015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,42798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,42799024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,42799211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,42799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42799366,MED TEAM CONF 30 MIN NON MD,310.0,,35.23,279.0,57
CDM,42799367,MED TM CONF MD WO/PT 30M,251.0,,46.29,225.9,57
CDM,42800038,REPAIR HEARING AID,308.0,,117.79,277.2,57
CDM,42800216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,42800217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,42800234,REM CERUMEN/AUD TEST,247.0,,16.2,222.3,56
CDM,42803014,TELEHEALTH FACILITY FEE-KAU,78.0,,10.66,70.2,57
CDM,42836592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,42869210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,42890471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,42890656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,42890732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,42892517,VESTIBULAR EVOKED POTENTIAL CE,490.0,,128.87,441.0,68
CDM,42892518,VESTIBULAR EVOKED POTENTIAL OC,404.0,,128.87,363.6,68
CDM,42892519,VESTIBULAR EVOKED POTENTIAL CE,761.0,,256.5,684.9,68
CDM,42892523,ST EVAL LANG COMP/EXPRESSION,375.0,,187.5,337.5,57
CDM,42892537,AUD CALORIC VESTIBULAR BITHERM,533.0,,38.32,479.7,68
CDM,42892538,AUD CALORIC VESTIBULAR MTHERM,604.0,,128.87,543.6,68
CDM,42892540,AUD BASIC VSTBLR SPONT NYSTAG,1291.0,,128.87,1161.9,68
CDM,42892541,AUD SPONTANEOUS NYSTAG W/REC,496.0,,106.17,446.4,68
CDM,42892542,AUD POSITIONAL NYSTAGMUS W/REC,480.0,,106.17,432.0,68
CDM,42892544,AUD OPTOKINETIC NYSTAG W/REC,526.0,,36.0,473.4,68
CDM,42892545,AUD OSCILLATING TRACKING W/REC,412.0,,37.0,383.35,68
CDM,42892547,AUD VERTICAL ELECTRODE USE,554.0,,23.0,498.6,56
CDM,42892548,AUD COMPUTERIZED POSTUROGRAPHY,985.0,,106.17,886.5,68
CDM,42892550,AUD TYMPAN/REFLEX THRES MEASUR,452.0,,128.87,406.8,68
CDM,42892552,AUD PURE TONE AIR ONLY,217.0,,28.0,195.3,68
CDM,42892553,AUD PURE TONE AIR & BONE,496.0,,128.87,446.4,68
CDM,42892555,ST AUD SPEECH THRESHOLD,148.0,,19.0,133.2,68
CDM,42892556,AUD SPEECH THRESHOLD W/RECOG,275.0,,27.0,247.5,68
CDM,42892557,AUD EVAL THRESHOLD/RECOGNITION,575.0,,51.0,517.5,68
CDM,42892565,AUD STENGER TEST PURE TONE,216.0,,12.0,194.4,68
CDM,42892567,AUD TYMPANOMETRY IMPED TEST,75.0,,23.0,67.5,68
CDM,42892568,AUD ACOUSTIC REFLEX TESTING,166.0,,24.0,149.4,68
CDM,42892577,AUD STENGER TEST SPEECH,709.0,,12.0,653.19,68
CDM,42892579,AUD VISUAL REINFORCEMENT AUDIO,471.0,,83.0,423.9,68
CDM,42892582,AUD CONDITION PLAY AUDIOMETRY,545.0,,30.0,490.5,68
CDM,42892583,AUD SELECT PICTURE AUDIOMETRY,232.0,,48.93,208.8,68
CDM,42892584,AUD ELECTROCOCHLEOGRAPHY,1134.0,,125.0,1020.6,68
CDM,42892587,AUD DISTORT EVOKED OTO EMISS,327.0,,23.0,383.35,68
CDM,42892588,AUD DISTORT EVOKED OTOAC COMP,121.0,,37.0,383.35,68
CDM,42892591,AUD HEARING AID EXAM BINAURAL,163.0,,81.5,146.7,56
CDM,42892592,AUD HEARING AID CHECK MONAURAL,107.0,,53.5,96.3,56
CDM,42892593,AUD HEARING AID CHECK BINAURAL,114.0,,57.0,102.6,56
CDM,42892594,AUD EVAL ELECTROACOUSTIC MONO,152.0,,76.0,136.8,56
CDM,42892595,AUD EVAL ELECTROACOUSTIC BI,245.0,,122.5,220.5,56
CDM,42892597,AUD EVAL VOICE PROSTHETIC,622.0,,69.14,559.8,57
CDM,42892602,COCHLEAR IMPLANT <7YRS REPROG,801.0,,128.87,720.9,68
CDM,42892603,COCHLEAR IMPLANT 7+YRS PROG,875.0,,128.87,787.5,68
CDM,42892604,COCHLEAR IMPLANT 7+YRS REPROG,734.0,,75.5,660.6,68
CDM,42892620,AUD EVAL CENTRAL FUNCT INIT 60,665.0,,128.87,598.5,68
CDM,42892622,ANALYSIS AUD SOUND PROCESSOR,387.0,,128.87,348.3,68
CDM,42892625,ASSESSMENT TINNITUS,1105.0,,128.87,994.5,68
CDM,42892626,AUD ASSESSMENT REHAB FIRST HR,683.0,,128.87,614.7,68
CDM,42892627,AUD ASSESSMENT REHAB ADD 15MIN,167.0,,83.5,150.3,56
CDM,42892640,AUD ANALYSIS BRNSTM IMPLNT/HR,275.0,,128.87,247.5,68
CDM,42892650,AEP SCR AUDITORY POTENTIAL,509.0,,23.0,458.1,57
CDM,42892651,AEP HEARING DETER I&R,509.0,,254.5,458.1,68
CDM,42892652,AEP THRSHLD EST MLT FREQ I&R,1313.0,,256.5,1181.7,68
CDM,42892653,AEP NEURODIAGNOSTIC I&R,1313.0,,256.5,1181.7,68
CDM,42895992,AUD CANALITH REPOSITIONING/DAY,222.0,,41.43,199.8,56
CDM,42896365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,42898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,42898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,42898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,42898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,42898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,42898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,42898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,42898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,42898008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,42898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,42898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,42898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,42898012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,42898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,42898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,42898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,42898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,42899024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,42899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42900216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,42900234,REM CERUMEN/AUD TEST,247.0,,16.2,222.3,56
CDM,42900303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,42900472,FLEX LARYNGOS W/LASER TRMT,634.0,,191.28,570.6,68
CDM,42900479,LARYNGOSC FLEXIBLE W/INJECTION,634.0,,191.28,570.6,68
CDM,42900482,EGD TRANS-NASAL,2379.0,,772.25,2141.1,68
CDM,42900483,ESOPHAGOSC W/BALL TRANSNASAL,2202.0,,772.25,1981.8,68
CDM,42900500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,42900525,DENERV OF SOFT PALATE,1294.0,,243.14,1164.6,68
CDM,42900605,TRANSORAL LARYNGOPLASTY W/FLAP,634.0,,191.28,570.6,68
CDM,42901061,ESOPH W/LASR TRANSNSL APPROACH,4049.0,,772.25,3644.1,68
CDM,42903014,TELEHEALTH FACILITY FEE-KO1,78.0,,10.66,70.2,57
CDM,42910004,ASP FINE NDL W/O IMAGING ADDL,498.0,,199.2,448.2,56
CDM,42910021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,266.4,599.4,68
CDM,42910060,I&D OF ABSCESS SIMPLE,450.0,,70.0,405.0,68
CDM,42910140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,814.5,1994.58,68
CDM,42910160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,42911044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,42911104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,42911105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,42911106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,42911107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,42911440,EXC LESN BGN FACE/EAR,1334.0,,533.6,1200.6,68
CDM,42911441,EXC LESN BGN FACE/EAR .6-1.0CM,1489.0,,579.53,1340.1,68
CDM,42911640,EXC LESN MAL FACE/EAR,1723.0,,579.53,1550.7,68
CDM,42911900,INJ INTRALESNAL,350.0,,163.67,315.0,68
CDM,42911951,INJ SUBQ FILL MATERIAL 1.1-5.0,1107.0,,442.8,996.3,68
CDM,42912051,RPR LAC INT FACE/EAR,843.0,,329.08,758.7,68
CDM,42914060,TRNSF TISS EYE/EAR/LP,5967.0,,1506.69,5370.3,68
CDM,42917250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,42920670,REM IMPL WIRE SUPERFIC,4332.0,,1334.55,3898.8,68
CDM,42930200,INJ TURBINATE THERAPEUTIC,1623.0,,419.46,1460.7,68
CDM,42930220,INS NASAL SEPTAL PROSTH,4095.0,,1220.09,3685.5,68
CDM,42930300,REM FB INTRANASAL,482.0,,106.17,433.8,68
CDM,42930801,ABLAT SOFT TISS INFER TURBIN,2507.0,,1220.09,2256.3,68
CDM,42930802,ABLATION SFT TISS TURBIN INTRA,3765.0,,1220.09,3388.5,68
CDM,42930901,CNTRL NOSEBLEED ANT SMP,593.0,,106.17,533.7,68
CDM,42930903,CNTRL NOSEBLEED ANT CPLX,696.0,,106.17,626.4,68
CDM,42930906,CNTRL NOSEBLEED POST SUBSEQ,916.0,,191.28,824.4,68
CDM,42931231,ENDO NASAL DIAGNOSTIC,969.0,,149.0,872.1,68
CDM,42931237,ENDO NASAL W/BX/POLYP/DEBR,5267.0,,1420.41,4740.3,68
CDM,42931238,ENDO NASAL W/CONTROL BLEEDING,5346.0,,519.0,4811.4,68
CDM,42931287,ENDO NASAL W/SPHENOIDOTOMY,8050.0,,3220.0,8521.82,68
CDM,42931295,ENDO NASAL DILATION MAX SINUS,7884.0,,3153.6,8521.82,68
CDM,42931502,CHG TUBE TRACHEOTOMY,813.0,,76.0,731.7,68
CDM,42931505,LARYNGOSC INDIRECT,524.0,,159.91,471.6,68
CDM,42931515,LARYNGOS DIRECT W/ASPIRATION,4861.0,,319.84,4374.9,68
CDM,42931526,LARYNGOSC DIR DX W/MICRO/TELE,4440.0,,1420.41,3996.0,68
CDM,42931536,LARYNGOSC OP W/BX W/MIC/TELE,5460.0,,2184.0,4914.0,68
CDM,42931541,LARYNGOSC OP EXC/STRIP W/MI/TE,5321.0,,2128.4,4788.9,68
CDM,42931570,LARYNGOSC OP W/INJ CORD,4919.0,,1967.6,4538.78,68
CDM,42931571,LARYNGOSC OP W/INJ CORD W/MIC,5480.0,,2192.0,4932.0,68
CDM,42931572,LARYNGO FLX W/LASER ABLATION,7132.0,,2852.8,6418.8,68
CDM,42931573,LARYNGO FLX W/THERA INJ,3725.0,,1420.41,3352.5,68
CDM,42931574,LARYNGO FLEX W/INJ AUG,3725.0,,1420.41,3352.5,68
CDM,42931575,LARYNGOSC FLEX FIBER,829.0,,159.91,746.1,68
CDM,42931576,LARYNGOSC FLEX FIBER BX,6437.0,,1420.41,5793.3,68
CDM,42931578,LARYNGOSC FLEX FIBER REM LESN,6756.0,,2702.4,6080.4,68
CDM,42931579,LARYNGOSC FLEX FIBER STROBO,1656.0,,319.84,1490.4,68
CDM,42931615,BRONCHOSC THRU TRACH,3388.0,,419.46,3049.2,68
CDM,42931622,BRONCHOSC DX W/W/O FLUOR&WASH,4644.0,,1420.41,4179.6,68
CDM,42931624,BRONCHOSC W/LAVAGE ALVEOLAR,3595.0,,1420.41,3235.5,68
CDM,42931625,BRONCHOSC BX SGL/MLT SITES,3852.0,,1420.41,3466.8,68
CDM,42931641,BRONCHOSC W/DESTRUCT TUMR,6331.0,,2532.4,5697.9,68
CDM,42931646,BRONCHOSC W/ASP TREE SUBS,3362.0,,319.84,3025.8,68
CDM,42936592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,42940490,BX LIP,870.0,,191.28,783.0,68
CDM,42940808,BX MOUTH VESTIBULE,1124.0,,419.46,1011.6,68
CDM,42940820,DEST LESN MOUTH VEST PHYS METH,2196.0,,878.4,3992.34,68
CDM,42941100,BX TONGUE ANTERIOR 2/3,2206.0,,419.46,1985.4,68
CDM,42941112,EXC LESN TONGUE W/CLSR ANT 2/3,6045.0,,2418.0,5440.5,68
CDM,42942800,BX OROPHARYNX,4375.0,,1220.09,3937.5,68
CDM,42943197,ESOPHAGOSC FLEX SPECIMEN,2547.0,,772.25,2292.3,68
CDM,42943198,ESOPHAGOSC FLEX W/BX,2547.0,,772.25,2292.3,68
CDM,42943200,ESOPHAGOSC FLEX TRANSOR DX,3902.0,,772.25,3511.8,68
CDM,42943220,ESOPHAGOSC W/DILAT BALLOON,3623.0,,1449.2,3260.7,68
CDM,42943239,EGD FLEX W/BIOPSY,4844.0,,772.25,4359.6,68
CDM,42943245,EGD W/DILATION GASTRIC STRICT,4244.0,,1562.51,3819.6,68
CDM,42943762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,42943763,RPLC GTUBE REVJ GSTRST TRC,1143.0,,200.33,1028.7,68
CDM,42949440,PERCUT PLACE GASTRO TUBE FLURO,2336.0,,934.4,2335.27,68
CDM,42957287,REM/REV SLING STRESS INCONT,7745.0,,2618.9,6970.5,68
CDM,42964400,INJ ANES NERVE TRIGEMINAL,1162.0,,243.14,1045.8,68
CDM,42964611,CHEMODENERV SALIV GLANDS BILAT,1051.0,,243.14,945.9,68
CDM,42964612,CHEM/DEST NRV MUSCLE FACIAL,1215.0,,243.14,1093.5,68
CDM,42964615,CHEMDNR NRV MUSCLE FACIAL TRIG,1409.0,,243.14,1268.1,68
CDM,42964616,CHEMODENERV MUSC NECK DYSTON,1491.0,,243.14,1341.9,68
CDM,42964617,CHEMODENERV MUSCLE LARYNX UNIL,1268.0,,507.2,1141.2,68
CDM,42969200,REM FB CANAL AUD EXT W/O ANES,335.0,,106.17,301.5,68
CDM,42969210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,42969420,MYRINGOT W/INFL EUST TUBE,1558.0,,191.28,1402.2,68
CDM,42969433,TYMPANOSTOMY W/ANES LOCAL,2142.0,,419.46,1927.8,68
CDM,42970355,XR ORTHOPANTOGRAM PANORAMIC,509.0,,9.0,458.1,68
CDM,42990471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,42991010,MOTILITY STUDY ESOPHAGUS,2786.0,,96.0,2507.4,68
CDM,42991034,ACID REFLUX TEST NASAL PH ELEC,2203.0,,183.0,1982.7,68
CDM,42991037,ACID REFLUX TEST NASAL INTLUM,1922.0,,169.3,1729.8,68
CDM,42992507,ST TREAT SPEECH,484.0,,72.91,435.6,57
CDM,42992511,AUD NASOPHARYNGOSCOPY,498.0,,122.0,448.2,68
CDM,42992520,AUD LARYNGEAL FUNCTION STUDY,487.0,,106.17,438.3,68
CDM,42992522,AUD EVAL SOUND PRODUCTION,317.0,,105.58,285.3,57
CDM,42992523,EVAL LANG COMP/EXPRESSION,375.0,,187.5,337.5,57
CDM,42992524,AUD BEHAV QUALIT ANALYS VOICE,574.0,,96.72,516.6,57
CDM,42992526,AUD TX SWALLOW/ORAL,422.0,,73.0,379.8,57
CDM,42992542,AUD POSITIONAL NYSTAGMUS W/REC,480.0,,106.17,432.0,68
CDM,42992557,AUD EVAL THRESHOLD/RECOGNITION,575.0,,51.0,517.5,68
CDM,42992567,AUD TYMPANOMETRY IMPED TEST,75.0,,23.0,67.5,68
CDM,42992597,AUD EVAL VOICE PROSTHETIC,622.0,,69.14,559.8,57
CDM,42992610,ST EVAL SWALLOW,442.0,,84.0,397.8,56
CDM,42992611,ST EVAL SWALLVIDEO/FLUORO,591.0,,91.0,531.9,56
CDM,42992612,ST EVAL SWALL ENDO C/V,867.0,,104.0,780.3,56
CDM,42995027,TEST INTRADERM ALLERGEN IMMED,84.0,,4.0,75.6,68
CDM,42995115,IMMUNOTHRPY 1 INJ W/O EXTRACT,52.0,,5.0,56.8,68
CDM,42995865,EMG LARYNX,435.0,,106.17,391.5,68
CDM,42996365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,42996405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,42998000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,42998001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,42998002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,42998003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,42998004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,42998005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,42998006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,42998007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,42998008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,42998009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,42998010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,42998011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,42998012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,42998013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,42998014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,42998015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,42998016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,42999024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,42999203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42999211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,42999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,42999243,OFFICE CONSULT LVL III,402.0,,98.4,361.8,57
CDM,42999366,MED TEAM CONF 30 MIN NON MD,310.0,,35.23,279.0,57
CDM,42999367,MED TM CONF MD WO/PT 30M,251.0,,46.29,225.9,57
CDM,43000027,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
CDM,43000216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,43000217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,43000218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,43000287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,43000288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,43000292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,43000296,METHYLPRED ACE INJ 40MG,48.0,,0.1104,43.2,68
CDM,43000298,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,43000303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,43000310,INSULIN PER 5 UNITS,2.4,,0.6832,2.16,56
CDM,43000311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,43000318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,43000326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,43000335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,43000361,PAP SMEAR SCREEN,107.0,,20.18,96.3,68
CDM,43000426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,43000500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,43000900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,43001050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,43003014,TELEHEALTH FACILITY FEE-KGM,78.0,,10.66,70.2,57
CDM,43010060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,43012919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,68
CDM,43015853,REMOVE SUTURE OR STAPLE W/O AN,2762.0,,1104.8,2485.8,56
CDM,43020550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,43020551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,43020552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,43020553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,43020600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,43020605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,43020610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,43036592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43050109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,43050428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,43051702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,43051798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,43055081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,43055084,RAPID FLU B TEST,195.0,,15.23,175.5,68
CDM,43069200,REM FB CANAL AUD EXT W/O ANES,335.0,,106.17,301.5,68
CDM,43069210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,43080305,DRUG TEST PRESUM DIRECT OBS,75.0,,11.59,67.5,68
CDM,43081001,URINALYSIS AUTO W/SCOPE,139.0,,2.92,125.1,68
CDM,43081002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,43081025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,43083036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,43086580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,43087210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,43087220,TISSUE EXAM FUNGUS,98.0,,3.93,88.2,68
CDM,43087804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,43087880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,43090460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,43090471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,43090472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,43090620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,43090632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,43090636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,43090651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,43090653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,43090656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,43090662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,43090670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,43090677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,43090682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,43090686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,43090707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,43090714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
CDM,43090715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,43090732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,43090734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,43090746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,43090750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,43093005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,43093307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,43093786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,69
CDM,43093788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,69
CDM,43094070,SPIROMETRY/PFT CPLX,1841.0,,174.0,1656.9,68
CDM,43094760,PULSE OX SINGLE,87.0,,3.2,78.3,57
CDM,43095907,NERVE CONDUCTION STUDIES 1-2,1347.0,,89.14,1212.3,68
CDM,43096127,BRIEF EMO ASSESS W/SCORING,103.0,,32.33,92.7,68
CDM,43096160,HLTH RSK ASSESS PT FOCUSED,66.0,,24.54,59.4,68
CDM,43096365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43096369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,43096372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,43098000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,43098001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,43098002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,43098003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,43098004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,43098005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,43098006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,43098007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,43098008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,43098009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,43098010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,43098011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,43098012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,43098013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,43098014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,43098015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,43098016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,43099203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,43099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,43100027,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
CDM,43100104,COLON CANCER SCR SIGMOIDOSCOPY,1789.0,,750.95,1610.1,68
CDM,43100105,COLON CANCER SCR COLON HR,3653.0,,750.95,3287.7,68
CDM,43100121,COLON CANCER SCR NON-HR,3149.0,,750.95,2834.1,68
CDM,43100216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,43100218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,43100283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,43100292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,43100293,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,43100300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,43100303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,43100309,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,43100310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,43100311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,43100314,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,43100318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,43100330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,43100344,ALBUTEROL 2.5 MG,2.0,,0.12,1.8,55
CDM,43100360,ALBUMIN VL 25% 50ML,178.08,,64.76,160.27,56
CDM,43100480,ENDOSCOPY RETROGRADE,7681.0,,772.25,6912.9,68
CDM,43100491,MIDAZOLAM VL 1MG/ML 1ML,2.0,,0.13,1.8,55
CDM,43100500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,43100539,FENTANYL INJ 0.1MG/2ML VIAL,6.8,,0.78,6.12,55
CDM,43100541,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
CDM,43100543,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,55
CDM,43101112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,43101642,HEPARIN NA FLUSH INJ 10U,2.0,,0.01,1.8,56
CDM,43101726,CATH BAL DIL NON-VASCULAR,0.01,,0.005,367.53,57
CDM,43102194,METOPROLOL TARTRATE 5MG/5ML VL,5.0,,1.28,4.5,55
CDM,43109100,CATH ABLATION FOCAL BARRX 90,1798.0,,107.58,1618.2,62
CDM,43110160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,43110171,EPINEPHRINE INJ 0.1MG,40.9,,1.61,36.81,55
CDM,43110780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,55
CDM,43112765,METOCLOPRAMIDE VL 10MG,6.2,,1.04,5.58,55
CDM,43113360,DIAZEPAM INJ 5MG,46.4,,6.05,41.76,55
CDM,43114406,CATH BALN RFA 360 EXPRSS BARRX,5262.0,,107.58,4735.8,57
CDM,43115281,CATH C2 CRYOBALLOON 180 PEAR,4950.0,,2475.0,4455.0,57
CDM,43136592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43140162,ODANSETRON ODT 8MG TABLET,2.0,,0.0122,1.8,55
CDM,43143195,ESOPHAGOSC RIGID W/DIL,7364.0,,3133.7,6627.6,68
CDM,43143196,ESOPHAGOSC RIGID W/GW,7364.0,,1562.51,6627.6,68
CDM,43143200,ESOPHACOSC FLEX TRANSOR DX,3902.0,,772.25,3511.8,68
CDM,43143201,ESOPHAGOSC W/SUBMUCOSAL INJ,2633.0,,1053.2,2369.7,68
CDM,43143202,ESOPHAGOSC FLEX W/BIOPSY,5218.0,,1562.51,4696.2,68
CDM,43143205,ESOPHAGOSC W/BAND VARICES,4624.0,,1562.51,4161.6,68
CDM,43143212,ESOPHAGOSC FLEX W/STENT,7548.0,,3019.2,7328.13,68
CDM,43143213,ESOPHAGOSC FLEX RETRO,4107.0,,1562.51,3696.3,68
CDM,43143215,ESOPHAGOSC W/REMOVE FB,3299.0,,1319.6,2969.1,68
CDM,43143220,ESOPHAGOSC W/DILAT BALLOON,3623.0,,1449.2,3260.7,68
CDM,43143226,ESOPHAGOSC W/DILAT GD WIRE,3278.0,,1311.2,2950.2,68
CDM,43143229,ESOPHAGOSC FLEX W/ABLAT,7451.0,,2980.4,6705.9,68
CDM,43143233,EGD W/DILAT ESOPH BALLOON 30,3468.0,,1387.2,3121.2,68
CDM,43143235,EGD DX W/BRUSHING/WASHING,4400.0,,772.25,3960.0,68
CDM,43143236,EGD W/SUBMUCOSAL INJECTION,4035.0,,772.25,3631.5,68
CDM,43143237,EGD W/US EXAM ESOPHAGUS,4616.0,,1562.51,4154.4,68
CDM,43143238,EGD W/US GUIDED FNA/BX,5988.0,,1562.51,5389.2,68
CDM,43143239,EGD FLEX W/BIOPSY,4844.0,,772.25,4359.6,68
CDM,43143241,EGD FLEX W/INS TUBE/CATH,3966.0,,1562.51,3569.4,68
CDM,43143242,EGD FLEX W/US ASP/BX,7526.0,,1562.51,6773.4,68
CDM,43143244,EGD W/LIG VARICES ESOPH/GAST,5243.0,,1562.51,4718.7,68
CDM,43143245,EGD W/DILATION GASTRIC STRICT,4244.0,,1562.51,3819.6,68
CDM,43143246,EGD W/PLACE G-TUBE,3694.0,,1477.6,3324.6,68
CDM,43143247,EGD W/REM FB,4275.0,,772.25,3847.5,68
CDM,43143248,EGD W/DILAT ESOPH GD WIRE,4653.0,,772.25,4187.7,68
CDM,43143249,EGD FLEX W/BALLOON DIL,4510.0,,1562.51,4059.0,68
CDM,43143251,EGD REM TUMR/POLYP SNARE,4118.0,,1562.51,3706.2,68
CDM,43143252,EGD W/OPTICAL ENDOMICROSCOPY,10342.0,,1562.51,9307.8,68
CDM,43143254,EGD W/MUCOSAL RESECTION,4456.0,,1562.51,4010.4,68
CDM,43143255,EGD W/CONTROL BLEED,5199.0,,1562.51,4679.1,68
CDM,43143259,GI UPPER ENDOSCOPY 43259,5854.0,,1562.51,5268.6,68
CDM,43143260,ERCP DIAGNOSTIC,6360.0,,3133.7,5724.0,68
CDM,43143266,EGD ENDOSCOPIC W/STENT PLACE,7080.0,,2832.0,7328.13,68
CDM,43143270,EGD W/ABLAT OF LESION,5195.0,,1562.51,4675.5,68
CDM,43143450,DIL ESOPH SOUND OR BOUGIE,2582.0,,772.25,2323.8,68
CDM,43143453,DIL ESOPH OVER GUIDEWIRE,2743.0,,1097.2,2468.7,68
CDM,43143499,ESOPHAGUS UNLSTD PROC,2218.0,,772.25,1996.2,68
CDM,43143752,PLACE TUBE NASO/OROGASTRIC,1144.0,,328.68,1029.6,68
CDM,43143762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,43143763,RPLC GTUBE REVJ GSTRST TRC,1143.0,,200.33,1028.7,68
CDM,43143999,STOMACH UNLSTD PROC-ECO,2053.0,,772.25,1847.7,68
CDM,43144360,ENDO SMALL INTESTINE,3655.0,,1462.0,3289.5,68
CDM,43144361,ENDO SMALL INTEST W/BIOPSY,3814.0,,1525.6,3432.6,68
CDM,43144365,ENDO SMALL INTEST W/REM FORCEP,3625.0,,1562.51,3262.5,68
CDM,43144366,ENDO SMALL INTEST CNTRL BLD,5471.0,,1562.51,4923.9,68
CDM,43144380,ILEOSCOPY THRU STOMA,2986.0,,772.25,2687.4,68
CDM,43144381,ILEOSCOPY STOMA W/DIL,2510.0,,1004.0,2335.27,68
CDM,43144382,ILEOSCOPY THRU STOMA W/BX,3994.0,,772.25,3594.6,68
CDM,43144385,ENDO EVAL SMALL INTEST POUCH,3493.0,,750.95,3143.7,68
CDM,43144386,ENDO EVAL SM INTEST POUCH W/BX,4349.0,,750.95,3914.1,68
CDM,43144388,COLONOSCOPY THRU STOMA,3505.0,,750.95,3154.5,68
CDM,43144389,COLONOSCOPY STOMA W/BIOPSY,4099.0,,971.18,3689.1,68
CDM,43144394,COLONOSCOPY STOMA W/SNARE,4028.0,,971.18,3625.2,68
CDM,43144401,COLONOSCOPY STOMA W/ABLAT,4257.0,,971.18,3831.3,68
CDM,43144403,COLONOSCOPY STOMA W/RESECT,2663.0,,971.18,2396.7,68
CDM,43144404,COLONOSCOPY STOMA W/INJECT,2511.0,,971.18,2259.9,68
CDM,43144705,PREPARE FECAL MICROBIOTA FOR,4960.0,,98.69,4464.0,57
CDM,43145171,EXC TUMR RECTAL TRANSANAL,6333.0,,2258.84,5699.7,68
CDM,43145300,PROCTOSIGMOID RIGID,1755.0,,702.0,1579.5,68
CDM,43145330,SIGMOIDOSCOPY FLEX,2360.0,,750.95,2124.0,68
CDM,43145331,SIGMOIDOSCOPY W/BIOPSY,2755.0,,750.95,2479.5,68
CDM,43145332,SIGMOIDOSCOPY W/REM FB,3316.0,,971.18,2984.4,68
CDM,43145333,SIGMOIDOSCOPY W/POLYP HOT BX,3457.0,,750.95,3111.3,68
CDM,43145334,SIGMOIDOSCOPY W/CONTROL BLEED,3239.0,,971.18,2915.1,68
CDM,43145335,SIGMOIDOSCOPY W/SUBMUCOSAL INJ,2700.0,,750.95,2430.0,68
CDM,43145338,SIGMOIDOSCOPY TUM/POLYP SNARE,3156.0,,971.18,2840.4,68
CDM,43145346,SIGMOIDOSCOPY ABL TUM/POLYP,4821.0,,971.18,4338.9,68
CDM,43145349,SIGMOIDOSCOPY W/RESECTION,5693.0,,198.94,5123.7,68
CDM,43145350,SIGMOIDOSCOPY W/BAND LIGATION,4328.0,,971.18,3895.2,68
CDM,43145378,COLONOSCOPY FLEXIBLE,4960.0,,750.95,4464.0,68
CDM,43145379,COLONOSCOPY FLEX W/REM FB,4557.0,,971.18,4101.3,68
CDM,43145380,COLONOSCOPY FLEX W/BIOPSY,5186.0,,971.18,4667.4,68
CDM,43145381,COLONOSCOPY FLEX W/INJ SUBMUC,4737.0,,971.18,4263.3,68
CDM,43145382,COLONOSCOPY FLEX W/CNTRL BLEED,4893.0,,971.18,4403.7,68
CDM,43145384,COLONOSCOPY FLEX W/REM FORCEP,5635.0,,971.18,5071.5,68
CDM,43145385,COLONOSCOPY FLEX W/REM SNARE,5635.0,,971.18,5071.5,68
CDM,43145386,COLONOSCOPY FLEX W/BLLN DILAT,4246.0,,971.18,3821.4,68
CDM,43145388,COLONOSCOPY FLEX W/ABLAT TUMR,5106.0,,971.18,4595.4,68
CDM,43145389,COLONOSC FLEX W/ENDO STENT PLA,9265.0,,4632.5,8338.5,68
CDM,43145390,COLONOSCOPY FLEXI W/ENDO RESEC,2821.0,,1128.4,3375.98,68
CDM,43145398,COLONOS W/BAND LIGATION,3787.0,,971.18,3408.3,68
CDM,43145905,DIL SPHINCTER ANAL W/ANES,3629.0,,971.18,3266.1,68
CDM,43145910,DIL STRIC RECTAL W/ANES,4091.0,,971.18,3681.9,68
CDM,43145990,SURG DIAG EXAM ANORECTAL,6325.0,,2258.84,5692.5,68
CDM,43146221,HEMORRHOIDECTOMY,1957.0,,750.95,1761.3,68
CDM,43146604,ANOSCOPY W/DILATATION,4559.0,,971.18,4103.1,68
CDM,43146946,LIG HEMORRHOID INTRNL 2/MORE,3194.0,,1277.6,3375.98,68
CDM,43147000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,68
CDM,43147552,ENDOSCOPY BILIARY PERC T-TUBE,5550.0,,2220.0,7681.37,68
CDM,43149082,ABD PARACENTESIS W/O IMAGING,1343.0,,537.2,1208.7,68
CDM,43149083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,68
CDM,43149446,CHG G-TB TO GJ-TB PERC FLUORO,3766.0,,1506.4,3389.4,68
CDM,43149450,RPLC G/CEC/OTH TB UNDER FLUORO,2680.0,,772.25,2412.0,68
CDM,43149452,RPLC GASTRO-JEJUN TB FLUORO,2985.0,,772.25,2686.5,68
CDM,43149779,ESD COLON,9123.0,,3133.7,8210.7,68
CDM,43149968,VISUALIZATION ADJUNCT,63.9,,8.03,57.51,68
CDM,43160028,FAMOTIDINE INJ 20MG/2ML VL,5.1,,1.31,4.59,55
CDM,43174360,XR DILATION STRICTURE,1390.0,,24.0,1251.0,56
CDM,43176705,US ABDOMEN LTD,624.0,,54.0,561.6,68
CDM,43176831,US SALINE INFUS SON COLOR FLOW,1500.0,,88.0,1350.0,68
CDM,43176942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,43181025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,43182947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,43183013,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,43190471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,43190636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,43190662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,43190686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,43191010,MOTILITY STUDY ESOPHAGUS,2786.0,,96.0,2507.4,68
CDM,43191034,ACID REFLUX TEST NASAL PH ELEC,2203.0,,183.0,1982.7,68
CDM,43191035,ACID REFLUX TEST MUCOSAL ELECT,3526.0,,437.05,3173.4,68
CDM,43191037,ACID REFLUX TEST NASAL INTLUM,1922.0,,169.3,1729.8,68
CDM,43191038,ACID REFLUX TEST INTLUM PROLON,2216.0,,321.13,1994.4,68
CDM,43191040,ESOPHAG BALLOON DISTENT STUDY,2186.0,,437.05,1967.4,68
CDM,43191110,IMAGE GI TRACT ESOPH W/REP,4389.0,,686.0,3950.1,68
CDM,43191112,GI PRESS MEASURE W/CAPSULE,1277.0,,638.5,1154.17,68
CDM,43192597,AUD EVAL VOICE PROSTHETIC,622.0,,69.14,559.8,57
CDM,43193005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,43196360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,43196361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,68
CDM,43196365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43196366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,43196367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,43196369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,43196372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,43196374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,43196375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,43196376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,43199024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,43199153,CONSC SED BY SAME MD EA ADD 15,290.0,,145.0,261.0,56
CDM,43199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,43200022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,43200080,DIABETES ED SELFPAY,62.0,,14.68,55.8,57
CDM,43200216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,43200217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,43200218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,43200287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,43200288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,43200300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,43200303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,43200314,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,43200318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,43200330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,43200335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,43200500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,43200543,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,55
CDM,43200574,LEUPROLIDE DEPOT KIT 3.75MG,2254.91,,1127.45,2379.19,68
CDM,43200902,NM SESTAMIBI PER DOSE,123.0,,61.5,549.71,56
CDM,43200911,LORAZEPAM VL 2MG/ML 1ML,3.6,,0.75,3.24,55
CDM,43201057,HYDROMORPHONE INJ 4MG/ML 1ML,13.4,,0.1098,12.06,56
CDM,43201112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,43203014,TELEHEALTH FACILITY FEE-KHO,78.0,,10.66,70.2,57
CDM,43210005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,43210021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,266.4,599.4,68
CDM,43210540,CAR-T CELLS ADMIN,6041.0,,273.2,5436.9,68
CDM,43210692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,43211102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,43211104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,43211105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,43211106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,43211107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,43211300,SHV LESN TRUNK/ARM,423.0,,169.2,491.84,68
CDM,43211900,INJ INTRALESNAL,350.0,,163.67,315.0,68
CDM,43211901,INJ INTRALESNAL > 7 LESNS,353.0,,141.2,317.7,68
CDM,43212272,MORPHINE SULFATE 4MG/ML VIAL,34.2,,9.92,30.78,56
CDM,43212997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,43219202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,69
CDM,43220245,BX BONE OPEN DEEP,6843.0,,2357.4,6158.7,68
CDM,43231652,BRONCHOSC SAMPLE 1/2 NODE,5891.0,,2356.4,5301.9,68
CDM,43232555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,68
CDM,43236415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,43236589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,43236590,REMVL TUN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,43236591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,43236592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43238204,MGMT DONOR SEARCH/AQ,5424.0,,87.34,4881.6,55
CDM,43238220,ASP BONE MARROW ONLY (N/C),0.01,,0.004,1994.58,68
CDM,43238221,BONE MARROW BIOPSY,0.01,,0.004,1994.58,68
CDM,43238222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,43238228,CAR-T CELLS ADMIN,6041.0,,273.2,5436.9,68
CDM,43238230,HARVEST BONE MARROW ALLOGENIC,91368.0,,1350.24,82231.2,68
CDM,43238240,HPC ALLOGENIC,8393.0,,4196.5,72806.43,66
CDM,43238242,ALLOGENEIC LYMPHOCYTE INFUS,3414.0,,1350.24,3072.6,68
CDM,43238243,HEMA PROG CELL HPC BOOST,3405.0,,1350.24,3064.5,68
CDM,43240162,ODANSETRON ODT 8MG TABLET,2.0,,0.0122,1.8,55
CDM,43247000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,68
CDM,43260100,BIOPSY THYROID NEEDLE PERC,1267.0,,506.8,1140.3,68
CDM,43262270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,43271046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,43281025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,43282947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,43283036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,43285610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,43287210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,43290460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,43290471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,43290472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,43290648,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,56
CDM,43290653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,43290656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,43290662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,43290670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,43290677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,43290686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,43290707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,43290713,VACC POLIO (IPV) INACT 0.5ML,263.32,,26.0,236.99,56
CDM,43290715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,43290732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,43290734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,43290739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,43290746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,43290750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,43290791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,43291200,LIVER ELASTOGRAPHY VIBRATION,737.0,,29.14,663.3,68
CDM,43292612,ST EVAL SWALL ENDO C/V,867.0,,104.0,780.3,56
CDM,43293005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,43293923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,68
CDM,43294070,SPIROMETRY/PFT CPLX,1841.0,,174.0,1656.9,68
CDM,43295801,UNATTENDED SLEEP STUDY SIMUL,1276.0,,48.93,1351.71,68
CDM,43295807,SLEEP STUDY ATTENDED,3629.0,,230.0,3266.1,68
CDM,43296360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,43296361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,68
CDM,43296365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43296372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,43296374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,43296375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,43296376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,43296402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,43296450,CHEMO CNS,1812.0,,154.0,1630.8,68
CDM,43298000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,43298001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,43298002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,43298003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,43298004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,43298005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,43298006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,43298007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,43298008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,43298009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,43298010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,43298011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,43298012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,43298013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,43298014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,43298015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,43298016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,43299195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,68
CDM,43299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,43300216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,43300217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,43300218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,43300282,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,68
CDM,43300287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,43300292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,43300298,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,43300300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,43300303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,43300306,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,55
CDM,43300310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,43300311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,43300326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,43300334,VIT B1 (THIAMINE) INJ 100MG,10.2,,2.18,9.18,55
CDM,43300335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,43300361,PAP SMEAR SCREEN,107.0,,20.18,96.3,68
CDM,43300426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,43300500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,43300900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,43300911,LORAZEPAM VL 2MG/ML 1ML,3.6,,0.75,3.24,55
CDM,43301010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,43301050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,43303014,TELEHEALTH FACILITY FEE-KI1,78.0,,10.66,70.2,57
CDM,43310060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,43310061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,43310290,AMPICILLIN INJ 500MG,5.0,,0.5978,4.5,55
CDM,43312919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,68
CDM,43320550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,43320551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,43320552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,43320553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,43320600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,43320605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,43320610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,43336592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43350109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,43350428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,43351701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,43351702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,43355081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,43355084,RAPID FLU B TEST,195.0,,15.23,175.5,68
CDM,43369209,REMOVE CERUMEN IMPACTED IRRIG,167.0,,48.93,150.3,68
CDM,43369210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,43380305,DRUG TEST PRESUM DIRECT OBS,75.0,,11.59,67.5,68
CDM,43381001,URINALYSIS AUTO W/SCOPE,139.0,,2.92,125.1,68
CDM,43381002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,43381025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,43382270,OCCULT BLOOD FECES SCREEN,66.0,,4.03,59.4,68
CDM,43382947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,43383036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,43386580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,43387210,SMEAR WET MOUNT INFECT AGENT,102.0,,3.43,91.8,68
CDM,43387220,TISSUE EXAM FUNGUS,98.0,,3.93,88.2,68
CDM,43387804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,43387880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,43390320,SARSCV2 VACC 30MCG TRS-SUC VL,656.45,,190.2,590.8,55
CDM,43390471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,43390472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,43390620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,43390632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,43390636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,43390651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,43390653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,43390656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,43390662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,43390670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,43390675,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,68
CDM,43390677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,43390678,RSV VACC PREF SUBUNIT BIVALENT,805.83,,281.43,725.25,56
CDM,43390682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,43390686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,43390691,TYPHOID VACC VI CAP (VICPS),624.5,,142.2,562.05,56
CDM,43390707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,43390714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
CDM,43390715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,43390716,VARICELLA VIRUS VACC SQ,915.0,,167.32,823.5,56
CDM,43390732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,43390734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,43390736,VARICELLA ZOSTER LIVE SQ,981.75,,162.19,883.58,56
CDM,43390739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,43390746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,43390750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,43391318,SARSCV2 VACC 3MCG TRS-SUC VL,512.2,,79.97,460.98,55
CDM,43391319,SARSCV2 VACC 10MCG TRS-SUC VL,512.2,,107.09,460.98,55
CDM,43391320,SARSCV2 VACC 30MCG TRS-SUC SYR,656.45,,190.2,590.8,55
CDM,43392610,ST EVAL SWALLOW,442.0,,84.0,397.8,56
CDM,43393005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,43394070,SPIROMETRY/PFT CPLX,1841.0,,174.0,1656.9,68
CDM,43394760,PULSE OX SINGLE,87.0,,3.2,78.3,57
CDM,43395811,PSG 6/> YRS 4+ PARAM W/CPAP,6950.0,,257.0,6255.0,68
CDM,43396360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,43396361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,68
CDM,43396365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43396369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,43396372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,43396374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,43398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,43398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,43398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,43398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,43398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,43398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,43398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,43398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,43398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,43398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,43398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,43398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,43398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,43398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,43398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,43398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,43398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,43399024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,43399211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,43399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,43400027,ALBUT NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
CDM,43400080,DIABETES ED SELFPAY,62.0,,14.68,55.8,57
CDM,43400216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,43400217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,43400218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,43400222,DIAB ED INDIVID 30M,190.0,,30.0,171.0,57
CDM,43400234,REM CERUMEN/AUD TEST,247.0,,16.2,222.3,56
CDM,43400282,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,68
CDM,43400287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,43400292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,43400293,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,43400296,METHYLPRED ACE INJ 40MG,48.0,,0.1104,43.2,68
CDM,43400297,METHYLPRED ACE VL 80MG/ML 1ML,64.0,,0.1104,57.6,68
CDM,43400298,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,43400303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,43400306,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,55
CDM,43400310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,43400311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,43400313,MEPERIDINE INJ 100MG/ML 1ML,9.4,,4.7,19.14,55
CDM,43400318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,43400326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,43400327,METHYLPRED NA IVPB 125MG,15.0,,0.1932,13.5,68
CDM,43400330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,43400334,VIT B1 (THIAMINE) INJ 100MG,10.2,,2.18,9.18,55
CDM,43400335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,43400361,PAP SMEAR SCREEN,107.0,,20.18,96.3,68
CDM,43400426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,43400459,DSG FOAM >16 SQ IN,94.0,,20.34,84.6,56
CDM,43400500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,43400900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,43401010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,43401050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,43401127,TRIMMING NAILS DYSTROPHIC,186.0,,48.93,167.4,68
CDM,43403014,TELEHEALTH FACILITY FEE-KI2,78.0,,10.66,70.2,57
CDM,43410060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,43410061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,43410120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,43410160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,43411055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,43411200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,43411719,TRIMMING NAILS NONDYSTROPHIC,232.0,,48.93,208.8,68
CDM,43411720,DEBR NAIL(S) UP TO 5,344.0,,48.93,309.6,68
CDM,43411721,DEBR NAIL(S) 6 OR MORE,347.0,,48.93,312.3,68
CDM,43411900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,43412001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,68
CDM,43412011,RPR LAC SIMPLE FACE/EAR/LIP,653.0,,163.67,587.7,68
CDM,43412765,METOCLOPRAMIDE VL 10MG,6.2,,1.04,5.58,55
CDM,43412919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,68
CDM,43420550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,43420551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,43420552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,43420553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,43420600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,43420605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,43420610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,43420611,DRAIN/INJ JOINT/BURSA MAJ 02,1870.0,,243.14,1683.0,68
CDM,43436160,INTRO NDL/CATH AORTA T/LUMB,1729.0,,691.6,1556.1,56
CDM,43436415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,43436590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,43436591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,43436592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43450109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,43450428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,43451701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,43451798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,43455081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,43455084,RAPID FLU B TEST,195.0,,15.23,175.5,68
CDM,43469209,REMOVE CERUMEN IMPACTED IRRIG,167.0,,48.93,150.3,68
CDM,43469210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,43480305,DRUG TEST PRESUM DIRECT OBS,75.0,,11.59,67.5,68
CDM,43481001,URINALYSIS AUTO W/SCOPE,139.0,,2.92,125.1,68
CDM,43481002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,43481025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,43482270,OCCULT BLOOD FECES SCREEN,66.0,,4.03,59.4,68
CDM,43482947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,43483013,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,43483036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,43485610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,43486580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,43487210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,43487220,TISSUE EXAM FUNGUS,98.0,,3.93,88.2,68
CDM,43487804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,43487880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,43490460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,43490471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,43490472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,43490620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,43490632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,43490636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,43490648,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,56
CDM,43490651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,43490653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,43490656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,43490662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,43490670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,43490675,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,68
CDM,43490677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,43490678,RSV VACC PREF SUBUNIT BIVALENT,805.83,,281.43,725.25,56
CDM,43490682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,43490686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,43490691,TYPHOID VACC VI CAP (VICPS),624.5,,142.2,562.05,56
CDM,43490707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,43490714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
CDM,43490715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,43490716,VARICELLA VIRUS VACC SQ,915.0,,167.32,823.5,56
CDM,43490732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,43490734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,43490739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,43490746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,43490750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,43493005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,43493307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,43493886,DOPPLER TRANSCRANIAL CMPL,1594.0,,82.0,1434.6,68
CDM,43493923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,68
CDM,43494618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,43494760,PULSE OX SINGLE,87.0,,3.2,78.3,57
CDM,43496127,BRIEF EMO ASSESS W/SCORING,103.0,,32.33,92.7,68
CDM,43496160,HLTH RSK ASSESS PT FOCUSED,66.0,,24.54,59.4,68
CDM,43496360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,43496365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43496372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,43496374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,43498000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,43498001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,43498002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,43498003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,43498004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,43498005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,43498006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,43498007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,43498008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,43498009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,43498010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,43498011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,43498012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,43498013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,43498014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,43498015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,43498016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,43499024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,43499211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,43499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,43499214,VISIT ESTAB LVL IV,535.0,,102.2,481.5,68
CDM,43499395,PREVENT MED ESTAB 18-39 YRS,276.0,,41.0,248.4,57
CDM,43500177,TUBE GASTRO/JEJUNO STD,126.0,,63.0,113.4,61
CDM,43500216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,43500217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,43500218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,43500222,DIAB ED INDIVID 30M,190.0,,30.0,171.0,57
CDM,43500234,REM CERUMEN/AUD TEST,247.0,,16.2,222.3,56
CDM,43500282,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,68
CDM,43500287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,43500288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,43500292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,43500297,METHYLPRED ACE VL 80MG/ML 1ML,64.0,,0.1104,57.6,68
CDM,43500298,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,43500303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,43500307,GLUCAGON VL 1MG,636.65,,167.85,572.99,68
CDM,43500311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,43500318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,43500326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,43500334,VIT B1 (THIAMINE) INJ 100MG,10.2,,2.18,9.18,55
CDM,43500335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,43500361,PAP SMEAR SCREEN,107.0,,20.18,96.3,68
CDM,43500426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,43500500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,43500540,NALOXONE HYDROCHLORIDE INJ 1MG,61.4,,0.0854,55.26,55
CDM,43500900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,43501010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,43501050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,43503014,TELEHEALTH FACILITY FEE-KI3,78.0,,10.66,70.2,57
CDM,43510060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,43510061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,43511055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,43511056,PARING LESN BENIGN 2-4,400.0,,160.0,360.0,68
CDM,43511200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,43511300,SHV LESN TRUNK/ARM,423.0,,169.2,491.84,68
CDM,43511401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,68
CDM,43511422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,43511730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,68
CDM,43512919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,68
CDM,43517000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,43517003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,43517110,DESTRUCT BENIGN LESION,442.0,,163.67,397.8,68
CDM,43520551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,43520552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,43520553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,43520600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,43520605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,43520610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,43536160,INTRO NDL/CATH AORTA T/LUMB,1729.0,,691.6,1556.1,56
CDM,43536415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,43536592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43543762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,43543763,RPLC GTUBE REVJ GSTRST TRC,1143.0,,200.33,1028.7,68
CDM,43550109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,43550428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,43551701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,43551702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,43551798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,43555081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,43555084,RAPID FLU B TEST,195.0,,15.23,175.5,68
CDM,43564455,INJ ANES/STEROID NERVE PLANTAR,685.0,,243.14,616.5,68
CDM,43569200,REM FB CANAL AUD EXT W/O ANES,335.0,,106.17,301.5,68
CDM,43569209,REMOVE CERUMEN IMPACTED IRRIG,167.0,,48.93,150.3,68
CDM,43569210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,43576856,US PELVIS NON OB,865.0,,87.59,778.5,68
CDM,43580305,DRUG TEST PRESUM DIRECT OBS,75.0,,11.59,67.5,68
CDM,43581001,URINALYSIS AUTO W/SCOPE,139.0,,2.92,125.1,68
CDM,43581002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,43581025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,43582947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,43586580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,43587210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,43587220,TISSUE EXAM FUNGUS,98.0,,3.93,88.2,68
CDM,43587804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,43587880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,43590471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,43590472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,43590620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,43590632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,43590636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,43590651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,43590653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,43590656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,43590662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,43590670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,43590677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,43590678,RSV VACC PREF SUBUNIT BIVALENT,805.83,,281.43,725.25,56
CDM,43590682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,43590686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,43590691,TYPHOID VACC VI CAP (VICPS),624.5,,142.2,562.05,56
CDM,43590707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,43590714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
CDM,43590715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,43590716,VARICELLA VIRUS VACC SQ,915.0,,167.32,823.5,56
CDM,43590732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,43590734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,43590739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,43590746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,43590750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,43590791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,43590832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,43590834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,43590837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,43593005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,43593307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,43593923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,68
CDM,43594618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,43594640,NONPRESSURIZED INHALATION,218.0,,29.0,250.39,68
CDM,43594760,PULSE OX SINGLE,87.0,,3.2,78.3,57
CDM,43596160,HLTH RSK ASSESS PT FOCUSED,66.0,,24.54,59.4,68
CDM,43596365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43596369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,43596372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,43596374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,43598000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,43598001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,43598002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,43598003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,43598004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,43598005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,43598006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,43598007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,43598008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,43598009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,43598010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,43598011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,43598012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,43598013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,43598014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,43598015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,43598016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,43599024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,43599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,43599453,REM MNTR PHYS SETUP,356.0,,106.15,320.4,68
CDM,43600022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,43600023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,43600216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,43600217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,43600500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,43603014,TELEHEALTH FACILITY FEE-KLI,78.0,,10.66,70.2,57
CDM,43636589,REM NTLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,43636592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43646600,ANOSCOPY,493.0,,106.17,443.7,68
CDM,43681002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,43690471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,43690686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,43693005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,43694010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,43694727,GAS DILUTION/WASHOUT DETERMINE,630.0,,41.37,567.0,68
CDM,43694729,CARBON MONOXIDE DIFF (DLCO),715.0,,51.72,643.5,56
CDM,43696365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43696374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,43698000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,43698001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,43698002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,43698003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,43698004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,43698005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,43698006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,43698007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,43698008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,43698009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,43698010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,43698011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,43698012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,43698013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,43698014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,43698015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,43698016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,43699024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,43699211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,43699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,43700216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,43700426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,43700500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,43736415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,43736592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43776820,US FETAL DOPLR VELO UMB,713.0,,87.59,641.7,68
CDM,43776942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,43783036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,43790471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,43792250,EYE EXAM W/FUNDUS PHOTO,523.0,,48.0,470.7,68
CDM,43793005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,43795250,MON GLUCOSE CONTINUOUS <72 HRS,527.0,,94.5,474.3,68
CDM,43796365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,43836592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43895712,VEEG 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,68
CDM,43895717,EEG PHYS/QHP 2-12 HR W/O VID,2922.0,,1461.0,2629.8,56
CDM,43895812,EEG MONITORING 41-60 MIN,2659.0,,136.0,2393.1,68
CDM,43895813,EEG MONITOR > 1 HR,2632.0,,136.0,2368.8,68
CDM,43895816,EEG AWAKE/DROWSY,1547.0,,55.0,1392.3,68
CDM,43895819,EEG AWAKE & ASLEEP,1862.0,,138.0,1675.8,68
CDM,43895965,MEG SPONTANEOUS ACTIVITY,13290.0,,838.0,11961.0,68
CDM,43895966,MEG EVOKED FIELDS SINGLE,6533.0,,838.0,5879.7,68
CDM,43895967,MEG EVOKED FIELDS EA ADD,4913.0,,406.59,4421.7,57
CDM,43896365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43900023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,43900216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,43900217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,43900218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,43900292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,43900293,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,43900310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,43900335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,43900361,PAP SMEAR SCREEN,107.0,,20.18,96.3,68
CDM,43900500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,43901112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,43903014,TELEHEALTH FACILITY FEE-KNP,78.0,,10.66,70.2,57
CDM,43909287,DARBEPOETIN 1MCG ESRD,19.2,,2.7,17.28,68
CDM,43910011,FNA BX W/MR GDN 1ST LES,1920.0,,579.53,1728.0,68
CDM,43910012,FNA BX W/MR GDN EA ADDL,1920.0,,161.86,1728.0,57
CDM,43911044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,43920610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,43936000,INTRO NDL/INTRACATH VEIN,765.0,,27.07,688.5,57
CDM,43936415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,43936589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,43936592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,43950200,BIOPSY RENAL PERC NDL/TROCAR,2626.0,,1050.4,2363.4,68
CDM,43951798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,43971046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,43981002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,43982270,OCCULT BLOOD FECES SCREEN,66.0,,4.03,59.4,68
CDM,43982272,OCCULT BLD FECE QL OTHER SGL,82.0,,3.89,73.8,68
CDM,43982947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,43983036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,43985018,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,43986580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,43987804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,43987880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,43990460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,43990471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,43990472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,43990653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,43990656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,43990662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,43990670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,43990677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,43990686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,43990714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
CDM,43990715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,43990732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,43990739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,43990746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,43990791,PSYCH DIAGNOSTIC EVALUATION,656.0,,135.09,590.4,57
CDM,43990832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,43990834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,43990837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,55
CDM,43990935,HEMODIALYSIS PROCEDURE 1 EVAL,2406.0,,136.0,2165.4,68
CDM,43993005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,43993922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,68
CDM,43993925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,43996360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,43996361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,68
CDM,43996365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,43996366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,43996368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,43996369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,43996372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,43996374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,43998000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,43998001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,43998002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,43998003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,43998004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,43998005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,43998006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,43998007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,43998008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,43998009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,43998010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,43998011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,43998012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,43998013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,43998014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,43998015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,43998016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,43999024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,43999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44000022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,44000023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,44000216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,44000217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,44000281,BACLOFEN INJ 10MG,662.5,,166.72,596.25,68
CDM,44000283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,44000284,ABOBOTULINUM TOXIN A VL 5U,58.8,,8.05,52.92,68
CDM,44000285,RIMABOTULINUM TOX INJ 100U,93.98,,11.93,84.58,68
CDM,44000286,INCOBOTULINUM TOX TYPE A 1U,38.2,,5.02,34.38,68
CDM,44000303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,44000330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,44000335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,44000500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,44000527,ABLATION OCCIPITAL NERVE RF,1416.0,,243.14,1274.4,68
CDM,44000609,PROGRAMMER NEURO PT ACTIVA DBS,2102.0,,1051.0,2025.45,57
CDM,44000788,ELEC ANALYSIS PROGRAM SPINAL/S,241.0,,75.61,216.9,68
CDM,44000789,ELEC ANALYSIS PROGRAM SPINAL/S,243.0,,75.61,218.7,68
CDM,44000911,LORAZEPAM VL 2MG/ML 1ML,3.6,,0.75,3.24,55
CDM,44001112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,44003014,TELEHEALTH FACILITY FEE-KNR,78.0,,10.66,70.2,57
CDM,44006533,STOCKING COMPRESS THIGH 18-30,267.0,,133.5,240.3,61
CDM,44010589,DAXIBOTULINUMTOXINA-LANM 1UNIT,21.7,,2.9,19.53,68
CDM,44011104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,44011105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,44020552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,44036592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,44036598,INJ CONTR W/FLUORO EVAL CV DEV,1082.0,,173.54,973.8,68
CDM,44061070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,68
CDM,44062252,REPROGRAM SHUNT CSF,983.0,,247.03,884.7,68
CDM,44062270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,44062272,LUMBAR PUNCTURE DRAIN CSF,1936.0,,570.41,1742.4,68
CDM,44062326,INJ PLACE CATH EPI LUM/SAC W/O,1600.0,,640.0,1440.0,68
CDM,44062367,ANLYS PUMP PAIN W/O REPROGRAM,947.0,,247.03,852.3,68
CDM,44062368,ANLYS PAIN PUMP W/PROG,957.0,,247.03,861.3,68
CDM,44062370,ANLYS PAIN PMP W/PROG/REFILL,1002.0,,247.03,901.8,68
CDM,44064405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,68
CDM,44064420,INJ ANES NERVE INTERCOSTAL SGL,1519.0,,570.41,1367.1,68
CDM,44064450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,44064505,INJ ANES GANGLION SPHENOPALAT,1542.0,,243.14,1387.8,68
CDM,44064611,CHEMODENERV SALIV GLANDS BILAT,1051.0,,243.14,945.9,68
CDM,44064612,CHEM/DEST NRV MUSCLE FACIAL,1215.0,,243.14,1093.5,68
CDM,44064615,CHEMDNR NRV MUSCLE FACIAL TRIG,1409.0,,243.14,1268.1,68
CDM,44064616,CHEMODENERV MUSC NECK DYSTON,1491.0,,243.14,1341.9,68
CDM,44064632,DEST NRV PLANTAR DIGITAL,761.0,,243.14,684.9,68
CDM,44064642,CHEMODENERV 1 EXTREM 1-4 MUSC,1365.0,,546.0,1228.5,68
CDM,44064643,CHEMODENERV  ADD EXTREM 1-4,1365.0,,546.0,1228.5,56
CDM,44064644,CHEMODENERV 1 EXTREM 5/> MUSC,1365.0,,546.0,1228.5,68
CDM,44064645,CHEMODENERV ADD EXTREM 5/>,1263.0,,505.2,1136.7,56
CDM,44064646,CHEMODENERV TRUNK MUSC 1-5,2654.0,,570.41,2388.6,68
CDM,44064647,CHEMODENERV TRUNK MUSC 5/>,1365.0,,546.0,1228.5,68
CDM,44064653,CHEMODENERVATION ECC GLND O/A,1026.0,,243.14,923.4,68
CDM,44067345,CHEMODENERVATION MUSLE XOCULAR,1000.0,,246.22,900.0,68
CDM,44070355,XR ORTHOPANTOGRAM PANORAMIC,509.0,,9.0,458.1,68
CDM,44071045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,68
CDM,44071046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,44072040,XR C-SPINE 2 OR 3V,793.0,,33.0,713.7,68
CDM,44072050,XR C-SPINE 4 OR 5 VIEWS,1031.0,,52.0,927.9,68
CDM,44072070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,68
CDM,44072110,XR LUMBAR SPINE 4+ VIEWS,1246.0,,52.0,1121.4,68
CDM,44082947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,44090471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,44090472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,44090620,MENING REC SERO B IM,957.35,,197.48,861.62,56
CDM,44090662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,44090677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,44090732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,44090750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,44090791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,44090832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,44090834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,44090837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,44092610,ST EVAL SWALLOW,442.0,,84.0,397.8,56
CDM,44093005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,44093150,ACTIVATION IMP PHRENIC NERVE,241.0,,75.61,216.9,69
CDM,44093151,INT & PRGM PHRENIC NERVE STIM,241.0,,75.61,216.9,69
CDM,44093152,INT & PRGM PHRENIC SERVE STIM,659.0,,247.03,593.1,69
CDM,44093153,INT PHRENIC NERVE STIMULATOR,241.0,,75.61,216.9,69
CDM,44093307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,44093312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,69
CDM,44093660,TILT TABLE EVAL,2725.0,,80.0,2452.5,69
CDM,44093880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,68
CDM,44093886,DOPPLER TRANSCRANIAL CMPL,1594.0,,82.0,1434.6,68
CDM,44093892,DOPPLER INTRACRANIAL EMBOL W/O,1520.0,,87.59,1368.0,68
CDM,44093893,DOPPLER INTRACRAN EMBOLI W/INJ,1320.0,,87.59,1188.0,68
CDM,44093925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,44094010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,44094070,SPIROMETRY/PFT CPLX,1841.0,,174.0,1656.9,68
CDM,44095801,UNATTENDED SLEEP STUDY SIMUL,1276.0,,48.93,1351.71,68
CDM,44095807,SLEEP STUDY ATTENDED,3629.0,,230.0,3266.1,68
CDM,44095808,PSG 1-3 PARAMETERS ANY AGE,5056.0,,242.0,4550.4,68
CDM,44095813,EEG MONITOR > 1 HR,2632.0,,136.0,2368.8,68
CDM,44095816,EEG AWAKE/DROWSY,1547.0,,55.0,1392.3,68
CDM,44095819,EEG AWAKE & ASLEEP,1862.0,,138.0,1675.8,68
CDM,44095822,EEG COMA OR SLEEP ONLY,1755.0,,82.0,1579.5,68
CDM,44095860,EMG 1 EXTREMITY,949.0,,35.0,854.1,68
CDM,44095861,EMG 2 EXTREMITIES,1369.0,,63.0,1232.1,68
CDM,44095874,EMG NEEDLE W/CHEMODENERVATION,494.0,,247.0,444.6,56
CDM,44095885,EMG EA EXTM W/NRV COND  LTD,532.0,,57.71,478.8,56
CDM,44095886,"EMG EA EXTM W/NRV COND, COMP",777.0,,92.08,699.3,56
CDM,44095887,EMG NON-EXTM W/NERVE COND,643.0,,321.5,578.7,56
CDM,44095907,NERVE CONDUCTION STUDIES 1-2,1347.0,,89.14,1212.3,68
CDM,44095908,NERVE CONDUCTION STUDIES 3-4,2904.0,,122.7,2613.6,68
CDM,44095911,NERVE CONDUCTION STUDIES 9-10,7266.0,,234.58,6539.4,68
CDM,44095913,NERVE CONDUCTION STUDIES 13/>,9987.0,,277.27,8988.3,68
CDM,44095921,AUTONOMIC FUNCTION CARDIOVAGAL,962.0,,21.0,865.8,68
CDM,44095926,SOM-SENS EVOK POT LOW LMB,2681.0,,36.0,2412.9,68
CDM,44095927,SSEP TRUNK/HEAD,2141.0,,36.0,1926.9,68
CDM,44095930,VISUAL EVOKED POTENTIAL,1947.0,,94.0,1752.3,68
CDM,44095937,NEUROMUSCULAR JUNCTION TEST,764.0,,78.0,687.6,68
CDM,44095965,MEG SPONTANEOUS ACTIVITY,13290.0,,838.0,11961.0,68
CDM,44095970,ANLYS NEUR W/O PROG SMP/CPX,556.0,,106.17,500.4,68
CDM,44095971,ANLYS NEUR SMP W/PROG,1003.0,,75.61,902.7,68
CDM,44095972,ANLYS NEUR CPLX 1ST H W/PROG,1013.0,,75.61,911.7,68
CDM,44095976,ALYS SMPL CN NPGT PRGRMG,967.0,,30.72,870.3,68
CDM,44095977,ALYS CPLX CN NPGT PRGRMG,1101.0,,75.61,990.9,68
CDM,44095983,ALYS BRN NPGT PRGRMG 15 MIN,1003.0,,75.61,902.7,68
CDM,44095984,ALYS BRN NPGT PRGRMG ADDL 15,1003.0,,401.2,902.7,56
CDM,44095991,PUMP REFILL W/ANALYSIS OF PUMP,924.0,,243.14,831.6,68
CDM,44096116,PT EXM NEUROBH B/PSYCH PER HR,733.0,,23.6,659.7,68
CDM,44096132,NRPSYC TST EVAL PHYS/QHP 1ST,892.0,,51.14,802.8,68
CDM,44096133,NRPSYC TST EVAL PHYS/QHP EA,892.0,,42.8,802.8,56
CDM,44096138,PSYCL/NRPSYC TECH 1ST 30 MIN,394.0,,13.81,491.23,68
CDM,44096139,PSYCL/NRPSYC TECH EA ADD 30MIN,394.0,,25.0,354.6,56
CDM,44096160,HLTH RSK ASSESS PT FOCUSED,66.0,,24.54,59.4,68
CDM,44096365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,44096372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,44096374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,44096450,CHEMO CNS,1812.0,,154.0,1630.8,68
CDM,44097802,NUTRITION THRPY EVAL 15 MIN,97.0,,30.45,87.3,57
CDM,44098000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,44098001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,44098002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,44098003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,44098004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,44098005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,44098006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,44098007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,44098008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,44098009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,44098010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,44098011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,44098012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,44098013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,44098014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,44098015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,44098016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,44099024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,44099211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,44099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44099243,OFFICE CONSULT LVL III,402.0,,98.4,361.8,57
CDM,44099454,REM MNTR PHYS DEVICE,181.0,,30.72,162.9,68
CDM,44100022,RESEARCH PRACT EXPNSE-RETURN,35.0,,17.5,31.5,56
CDM,44100216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,44100292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,44100426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,44100500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,44101010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,44103014,TELEHEALTH FACILITY FEE-KNS,78.0,,10.66,70.2,57
CDM,44110005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,44110021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,266.4,599.4,68
CDM,44110140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,44120552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,44136592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,44161070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,68
CDM,44162252,REPROGRAM SHUNT CSF,983.0,,247.03,884.7,68
CDM,44162270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,44162367,ANLYS PUMP PAIN W/O REPROGRAM,947.0,,247.03,852.3,68
CDM,44162368,ANLYS PAIN PUMP W/PROG,957.0,,247.03,861.3,68
CDM,44172080,XR THORACOLUMBAR SPINE 2 VIEWS,976.0,,22.0,878.4,68
CDM,44176883,US NRV & ACC STRUX 1XTR COMPRE,1688.0,,87.59,1519.2,68
CDM,44182947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,44183036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,44193005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,44193880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,68
CDM,44193923,DOPPLER ARTERIAL EXT CMPL BIL,1673.0,,81.0,1505.7,68
CDM,44195812,EEG MONITORING 41-60 MIN,2659.0,,136.0,2393.1,68
CDM,44195816,EEG AWAKE/DROWSY,1547.0,,55.0,1392.3,68
CDM,44195885,EMG EA EXTM W/NRV COND LTD,532.0,,57.71,478.8,56
CDM,44195907,NERVE CONDUCTION STUDIES 1-2,1347.0,,89.14,1212.3,68
CDM,44195955,EEG INTRAOP,2129.0,,132.0,1916.1,56
CDM,44195970,ANLYS NEUR W/O PROG SMP/CPX,556.0,,106.17,500.4,68
CDM,44195971,ANALYS NEUR SM W/PROG,1003.0,,75.61,902.7,68
CDM,44195976,ALYS SMPL CN NPGT PRGRMG,967.0,,30.72,870.3,68
CDM,44195977,ALYS CPLX CN NPGT PRGRMG,1101.0,,75.61,990.9,68
CDM,44195991,PUMP REFILL W/ANALYSIS OF PUMP,924.0,,243.14,831.6,68
CDM,44196365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,44196372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,44197602,DEBR NON-SELECTIVE W/O ANES,345.0,,41.0,310.5,68
CDM,44197802,NUTRITION THRPY EVAL 15 MIN,97.0,,30.45,87.3,57
CDM,44198000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,44198001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,44198002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,44198003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,44198004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,44198005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,44198006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,44198007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,44198008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,44198009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,44198010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,44198011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,44198012,SYNCH AUDIO VISIT EST SF MDM 1,78.0,,10.66,70.2,57
CDM,44198013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,44198014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,44198015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,44198016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,44199024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,44199202,OP VISIT E&M NEW 15 MIN,395.0,,102.2,355.5,68
CDM,44199203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44199211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,44199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44199222,PF INITIAL HOSPITAL CARE COMPR,435.0,,94.0,391.5,54
CDM,44200017,TMJ SPLINT,0.01,,0.005,285.88,68
CDM,44200283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,44200284,ABOBOTULINUM TOXIN A VL 5U,58.8,,8.05,52.92,68
CDM,44200286,INCOBOTULINUM TOX TYPE A 1U,38.2,,5.02,34.38,68
CDM,44200288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,44200300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,44200303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,44200309,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,44200311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,44200313,MEPERIDINE INJ 100MG/ML 1ML,9.4,,4.7,19.14,55
CDM,44200318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,44200330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,44200396,HYALURONIC ACID JUVEDERM 0.4ML,973.0,,486.5,875.7,61
CDM,44200470,TRANSORAL PART LARYNGECT/ANTER,634.0,,191.28,570.6,68
CDM,44200471,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,55
CDM,44200491,MIDAZOLAM VL 1MG/ML 1ML,2.0,,0.13,1.8,55
CDM,44200500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,44200539,FENTANYL INJ 0.1MG/2ML VIAL,6.8,,0.78,6.12,55
CDM,44200541,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
CDM,44200542,PROPOFOL INJ 10MG/1ML,2.0,,0.1098,1.8,55
CDM,44200611,INJ PLSM IMAGE GUIDE HRVST/PR,1768.0,,328.68,1591.2,68
CDM,44200719,SYSTEM THERABITE,615.0,,307.5,553.5,54
CDM,44200721,CLINDAMYCIN INJ 900MG,9.0,,2.3,8.1,55
CDM,44200955,CLINDAMYCIN/D5W 600MG/50ML VL,35.1,,17.55,31.59,54
CDM,44201112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,44201775,DENTOALVEOLAR UNLSTD PROC,595.0,,191.28,535.5,68
CDM,44203014,TELEHEALTH FACILITY FEE-KOL,78.0,,10.66,70.2,57
CDM,44210021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,266.4,599.4,68
CDM,44210060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,44210080,I&D CYST PILONIDAL SMP,892.0,,356.8,866.14,68
CDM,44210120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,44210121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,68
CDM,44210140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,44210160,PUNCT ASPIR ABSCES/HEMAT/CYST,638.0,,255.2,574.2,68
CDM,44210180,I&D WOUND POST OP COMPLEX,3296.0,,1318.4,3523.29,68
CDM,44211010,DEBR/REM FB SKIN/SUBQ OPEN,2375.0,,579.53,2137.5,68
CDM,44211042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,44211043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,68
CDM,44211044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,44211045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,56
CDM,44211046,DEBR MUSC/FACIA EA ADDL 20 CM,1143.0,,457.2,1028.7,56
CDM,44211102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,44211104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,44211105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,44211106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,44211107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,44211420,EXC LESN BGN SCALP/HND,1813.0,,725.2,1994.58,68
CDM,44211422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,44211440,EXC LESN BGN FACE/EAR,1334.0,,533.6,1200.6,68
CDM,44211441,EXC LESN BGN FACE/EAR .6-1.0CM,1489.0,,579.53,1340.1,68
CDM,44211446,EXC LESN BGN FACE/EAR>4.0CM,4026.0,,1610.4,3623.4,68
CDM,44211900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,44211901,INJ INTRALESNAL >7 LESNS,353.0,,141.2,317.7,68
CDM,44211950,INJ SUBQ FILL MATERIAL <1CC,702.0,,163.67,631.8,68
CDM,44211951,INJ SUBQ FILL MATERIAL 1.1-5.0,1107.0,,442.8,996.3,68
CDM,44211952,INJ SUBQ FILL MATERIAL 5.0-10,1325.0,,530.0,1192.5,56
CDM,44211954,INJ SUBQ FILL MATERIAL >10CC,1325.0,,504.2,1192.5,68
CDM,44212011,RPR LAC SMP FACE,653.0,,163.67,587.7,68
CDM,44212041,RPR LAC INT NECK,731.0,,292.4,657.9,68
CDM,44212051,RPR LAC INT FACE/EAR,843.0,,329.08,758.7,68
CDM,44213152,RPR LAC CPLX EYE 2.9-7.5CM,2196.0,,504.2,1976.4,68
CDM,44214020,TRNSF TISS SCALP/ARM,7546.0,,1506.69,6791.4,68
CDM,44214021,TRNSF TISS SCALP/ARM 10.1-30.0,5247.0,,1506.69,4722.3,68
CDM,44214040,TRNSF TISS HEAD/HND/FT,6204.0,,1506.69,5583.6,68
CDM,44215620,FLAP DELAY/SECT FOREHD/HAND/FT,4196.0,,1506.69,3776.4,68
CDM,44215876,LIPECTOMY SUCTION HEAD/NECK,7497.0,,2998.8,6747.3,68
CDM,44217250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,44220220,"BIOPSY, BONE SUPERFICIAL",2652.0,,1060.8,2386.8,68
CDM,44220225,BIOPSY BONE TROCAR/NDL DEEP,3284.0,,1313.6,2955.6,68
CDM,44220240,BX BONE OPEN SUPERFIC,6255.0,,2357.4,5629.5,68
CDM,44220245,BX BONE OPEN DEEP,6843.0,,2357.4,6158.7,68
CDM,44220550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,44220551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,44220552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,44220553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,44220605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,44220606,ARTHROCENT JT INTER W/US,2036.0,,570.41,1832.4,68
CDM,44220670,REM IMPL WIRE SUPERFIC,4332.0,,1334.55,3898.8,68
CDM,44220680,REM IMPL WIRE DEEP,6533.0,,2357.4,5879.7,68
CDM,44221025,EXC BONE MANDIBLE,13222.0,,4872.59,11899.8,68
CDM,44221026,EXC BONE FACIAL,11985.0,,4794.0,10786.5,68
CDM,44221030,EXC CYST/TUMR MAXILLA/ZYGOMA,6067.0,,2426.8,7282.4,68
CDM,44221031,EXC TORUS MANDIBULAR,5970.0,,2388.0,5373.0,68
CDM,44221032,EXC MAXILARY TORUS PALATINUS,6251.0,,2500.4,5625.9,68
CDM,44221040,EXC CYST MANDIBLE,6619.0,,2647.6,5957.1,68
CDM,44221076,PREP PROSTH OBDURATOR,3047.0,,1218.8,2742.3,68
CDM,44221077,PREP PROSTH ORBITAL,12805.0,,4872.59,11524.5,68
CDM,44221079,PREP PROSTH OBDURATOR INTERIM,6375.0,,2550.0,5737.5,68
CDM,44221080,PREP PROSTH OBDURATOR DEFIN,6375.0,,2550.0,5737.5,68
CDM,44221081,PREP PROSTH MANDIBULAR,12115.0,,4846.0,10903.5,68
CDM,44221082,PREP PROSTH PALATAL AUGMEN,6375.0,,2550.0,5737.5,68
CDM,44221083,PREP PROSTH PALATAL LIFT,6375.0,,2550.0,5737.5,68
CDM,44221084,PREP PROSTH SPEECH AID,6375.0,,2550.0,5737.5,68
CDM,44221085,PREP PROSTH ORAL SPLINT,12348.0,,191.28,11113.2,68
CDM,44221086,PREP PROSTH AURICULAR,6375.0,,2550.0,5737.5,68
CDM,44221087,PREP PROSTH NASAL,12115.0,,4846.0,10903.5,68
CDM,44221088,PREP PROSTH FACIAL,6375.0,,2550.0,5737.5,68
CDM,44221110,APPL INTERDENTAL DEVICE W/REM,3754.0,,1220.09,3378.6,68
CDM,44221210,GRFT BONE NASAL/MAXILL/MALAR,9290.0,,3716.0,8361.0,68
CDM,44221215,GRAFT BONE MANDIBLE,11690.0,,4676.0,10521.0,68
CDM,44221230,GRAFT CARTILAGE RIB AUTOGENOUS,11627.0,,4650.8,10464.3,68
CDM,44221248,RCNST CONDYLE MANDIBULAR PRT,13222.0,,4872.59,11899.8,68
CDM,44221249,RCNST CONDYLE MANDIBLAR CMPL,9457.0,,3782.8,8511.3,68
CDM,44221440,TX FX MANDIB/MAXILL CLSD,11303.0,,2671.24,10172.7,68
CDM,44221453,TX FX MANDIB FIX INTERDENT CLS,10079.0,,4031.6,9071.1,68
CDM,44221480,TX DISL JAW CLSD,743.0,,197.58,668.7,68
CDM,44221550,BX TISSUE NECK/THORAX,4652.0,,1334.55,4186.8,68
CDM,44221556,EXC TMR NCK/CHST DEEP <5CM,6846.0,,2357.4,6161.4,68
CDM,44228120,EXC CALCANEUS PARTIAL,8019.0,,2672.51,7217.1,68
CDM,44229804,ARTHROSC TMJ SURGICAL,6555.0,,2622.0,5899.5,68
CDM,44230410,RHINOPLASTY CMPL,13949.0,,4872.59,12554.1,68
CDM,44230580,RPR FISTULA OROMAXILLARY,8159.0,,3263.6,7343.1,68
CDM,44230600,RPR FISTULA ORONASAL,11822.0,,4728.8,10639.8,68
CDM,44231000,LAVAGE BY CANN SINUS MAXILLARY,719.0,,191.28,647.1,68
CDM,44231231,ENDO NASAL DIAGNOSTIC,969.0,,149.0,872.1,68
CDM,44231237,ENDO NASAL W/BX/POLYP/DEBR,5267.0,,1420.41,4740.3,68
CDM,44231502,CHG TUBE TRACHEOTOMY,813.0,,191.28,731.7,68
CDM,44231536,LARYNGOSC OP W/BX W/MIC/TELE,5460.0,,2184.0,4914.0,68
CDM,44231575,LARYNGOSC FLEX FIBER,829.0,,159.91,746.1,68
CDM,44231615,BRONCHOS THRU TRACH,3388.0,,419.46,3049.2,68
CDM,44231622,BRONCHOSC DX W/W/O FLUOR&WASH,4644.0,,1420.41,4179.6,68
CDM,44236592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,44240490,BX LIP,870.0,,191.28,783.0,68
CDM,44240650,RPR LIP FULL THICK VERMILION,2640.0,,419.46,2376.0,68
CDM,44240701,RPR CLEFT LIP BILAT 1 STG,11822.0,,4728.8,10639.8,68
CDM,44240800,DRAIN ABSC/CYST MOUTH SIMPLE,1415.0,,566.0,1273.5,68
CDM,44240801,DRAIN ABSC/CYST MOUTH CPLX,2871.0,,419.46,2583.9,68
CDM,44240805,REM FB EMBED MOUTH CPLX,1326.0,,419.46,1193.4,68
CDM,44240808,BX MOUTH VESTIBULE,1124.0,,419.46,1011.6,68
CDM,44240810,EXC LESN MOUTH W/O RPR,4905.0,,1962.0,4414.5,68
CDM,44240812,EXC LESN MOUTH RPR SMP,5488.0,,1220.09,4939.2,68
CDM,44240814,EXC LESN MOUTH RPR CPLX,7669.0,,2671.24,6902.1,68
CDM,44240816,EXC LESN MOUTH EXC CPLX,10601.0,,2671.24,9540.9,68
CDM,44240818,EXC MUCOSA MOUTH DONOR GFT,3087.0,,419.46,2778.3,68
CDM,44240819,EXC FRENUM/LABIAL/BUCCAL,2726.0,,1090.4,2453.4,68
CDM,44240820,DEST LESN MOUTH VEST PHYS METH,2196.0,,878.4,3992.34,68
CDM,44240840,VESTIBULOPLASTY ANTERIOR,10769.0,,4307.6,9692.1,68
CDM,44240843,VESTIBULOPLASTY POST BILAT,12775.0,,4872.59,11497.5,68
CDM,44241000,I&D LINGUAL INTRAORAL,3101.0,,419.46,2790.9,68
CDM,44241010,FRENOTOMY,2354.0,,941.6,2118.6,68
CDM,44241017,I&D ABSC SUBMANDIB EXTRAORAL,7858.0,,2671.24,7072.2,68
CDM,44241100,BX TONGUE ANTERIOR 2/3,2206.0,,419.46,1985.4,68
CDM,44241105,BX TONGUE POSTERIOR 1/3,3368.0,,1347.2,3992.34,68
CDM,44241108,BX MOUTH FLOOR,1558.0,,623.2,1994.58,68
CDM,44241112,EXC LESN TONGUE W/CLSR ANT 2/3,6045.0,,2418.0,5440.5,68
CDM,44241115,FRENECTOMY,2859.0,,1143.6,2573.1,68
CDM,44241116,EXC LESN FLOOR MOUTH,3532.0,,1412.8,3992.34,68
CDM,44241120,GLOSSECT <1/2 TONGUE,13587.0,,4872.59,12228.3,68
CDM,44241820,GINGIVECTOMY,5536.0,,2214.4,4982.4,68
CDM,44241822,EXC TUBEROSITY FIBROUS,3047.0,,1218.8,2742.3,68
CDM,44241823,EXC TUBEROSITY OSSEOUS,13085.0,,4872.59,11776.5,68
CDM,44241870,GRAFT MUCOSA PERIODONTAL,9869.0,,1220.09,8882.1,68
CDM,44241874,ALVEOLOPLASTY EA QUAD,4818.0,,1927.2,4336.2,68
CDM,44242100,BX PALATE/UVULA,2504.0,,1001.6,2253.6,68
CDM,44242107,EXC LESN PALATE/UVULA FLP,12805.0,,4872.59,11524.5,68
CDM,44242405,BX GLAND SALIVARY INCISIONAL,5472.0,,1220.09,4924.8,68
CDM,44242800,BX OROPHARYNX,4375.0,,1220.09,3937.5,68
CDM,44243752,PLACE TUBE NASO/OROGASTRIC,1144.0,,328.68,1029.6,68
CDM,44243762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,44264400,INJ ANES NERVE TRIGEMINAL,1162.0,,243.14,1045.8,68
CDM,44264450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,44264600,DEST NRV TRIGEMINAL,2364.0,,733.31,2127.6,68
CDM,44264611,CHEMODENERV SALIV GLANDS BILAT,1051.0,,243.14,945.9,68
CDM,44264612,CHEM/DEST NRV MUSCLE FACIAL,1215.0,,243.14,1093.5,68
CDM,44264615,CHEMDNR NRV MUSCLE FACIAL TRIG,1409.0,,243.14,1268.1,68
CDM,44264716,NEUROPLASTY CRANIAL NRV,5281.0,,1608.45,4752.9,68
CDM,44270100,XR MANDIBLE 1-3 VIEWS,654.0,,27.0,588.6,68
CDM,44270210,XR SINUSES <3V,560.0,,22.0,504.0,68
CDM,44270300,XR TEETH 1 VIEW,222.0,,21.0,229.12,68
CDM,44270350,XR CEPHALOGRAM ORTHODONTIC,385.0,,51.0,346.5,68
CDM,44270355,XR ORTHOPANTOGRAM PANORAMIC,509.0,,9.0,458.1,68
CDM,44270486,CT MAX/FACIAL W/O CONTRAST,4337.0,,87.59,3903.3,68
CDM,44277090,TBS PREP & TRANSMIT DATA,426.0,,72.52,383.4,68
CDM,44277091,TBS TECHNICAL CALCULATION ONLY,426.0,,72.52,383.4,68
CDM,44277332,TREATMENT DEVICE SMP,1056.0,,100.0,950.4,68
CDM,44277333,TREATMENT DEVICE INTERMED,1228.0,,109.0,1105.2,68
CDM,44277334,TREATMENT DEVICE CPLX,2134.0,,215.0,25000.0,73
CDM,44282947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,44285610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,44292511,AUD NASOPHARYNGOSCOPY,498.0,,122.0,448.2,68
CDM,44296360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,44296365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,44296366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,44296368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,44296369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,44296372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,44296374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,44296375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,44296376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,44296405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,44297597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,68
CDM,44297602,DEBR NON-SELECTIVE W/O ANES,345.0,,41.0,310.5,68
CDM,44297607,NEG PRESSURE WOUND </=50CM,739.0,,329.08,665.1,68
CDM,44298000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,44298001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,44298002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,44298003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,44298004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,44298005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,44298006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,44298007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,44298008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,44298009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,44298010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,44298011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,44298012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,44298013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,44298014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,44298015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,44298016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,44299024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,44299203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44300216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,44300217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,44300330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,44301010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,44303014,TELEHEALTH FACILITY FEE-KOE,78.0,,10.66,70.2,57
CDM,44320526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,44320551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,44320552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,44320553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,44320600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,44320604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,68
CDM,44320605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,44320606,ARTHROCENT JT INTER W/US,2036.0,,570.41,1832.4,68
CDM,44320610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,44320611,DRAIN/INJ JOINT/BURSA MAJ 02,1870.0,,243.14,1683.0,68
CDM,44336592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,44355081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,44364405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,68
CDM,44364445,INJ ANES NERVE SCIATIC SGL,1912.0,,570.41,1720.8,68
CDM,44381002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,44383036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,44386580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,44390471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,44390472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,44390653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,44390656,FLAURIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,44390662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,44390670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,44390677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,44390686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,44390732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,44390750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,44394010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,44396365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,44396372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,44398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,44398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,44398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,44398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,44398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,44398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,44398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,44398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,44398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,44398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,44398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,44398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,44398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,44398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,44398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,44398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,44398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,44399211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,44399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44400087,MASSAGE PER 15 MIN-SELF PAY,31.0,,15.5,27.9,56
CDM,44400216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,44400294,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,69
CDM,44400303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,44400330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,44400335,VIT B12 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,44400500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,44401050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,44401850,INJ ANES AGENT CERVICAL PLEXUS,764.0,,243.14,687.6,68
CDM,44403014,TELEHEALTH FACILITY FEE-PCL,78.0,,10.66,70.2,57
CDM,44417000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,44417003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,44417323,EUFLEXXA 20MG/2ML SYRINGE,907.65,,103.45,816.88,68
CDM,44420550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,44420551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,44420552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,44420553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,44420600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,44420604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,68
CDM,44420605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,44420610,DRAIN/INJ JOINT/BURSA MAJ 01,814.0,,243.14,732.6,68
CDM,44420611,DRAIN/INJ JOINT/BURSA MAJ,1870.0,,243.14,1683.0,68
CDM,44426010,DRAIN ABSC FINGER SIMPLE,824.0,,163.67,741.6,68
CDM,44436592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,44464405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,68
CDM,44464415,INJ ANES BRACHIAL PLEXUS SGL,1466.0,,586.4,1319.4,68
CDM,44464420,INJ ANES NERVE INTERCOSTAL SGL,1519.0,,570.41,1367.1,68
CDM,44464421,INJ ANES/STER INTRCSTL ADDL,2456.0,,733.31,2210.4,68
CDM,44464450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,44464454,INJ AA&/STRD GNCLR NRV BRNCH,1837.0,,570.41,1653.3,68
CDM,44469210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,44470210,XR SINUSES <3V,560.0,,22.0,504.0,68
CDM,44480305,DRUG TEST PRESUM DIRECT OBS,75.0,,11.59,67.5,68
CDM,44483013,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,44490471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,44490662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,44490750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,44490792,PSYCH DIAG EVAL W/MED SERVICE,698.0,,132.34,628.2,68
CDM,44490832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,44490833,PSYCH THERAPY 30 MIN W/PT,330.0,,64.5,297.0,55
CDM,44490834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,44490836,PSYCH THERAPY 45 MIN W/PT/E&M,422.0,,81.94,379.8,55
CDM,44490837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,44490838,PSYCH THERAPY 60 MIN W/PT,610.0,,109.07,549.0,55
CDM,44493005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,44495801,UNATTENDED SLEEP STUDY SIML,1276.0,,48.93,1351.71,68
CDM,44495806,SLEEP STUDY UNATTENDED,2027.0,,128.87,1824.3,68
CDM,44495808,PSG 1-3 PARAMETERS ANY AGE,5056.0,,242.0,4550.4,68
CDM,44496365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,44496372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,44497110,PT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,44497112,NEUROMUSCULAR RE-ED 15 MIN,231.0,,11.0,207.9,57
CDM,44497116,PT GAIT TRAINING (15 MIN),199.0,,11.0,179.1,57
CDM,44497140,MANUAL THERAPY 15 MIN,263.0,,14.0,236.7,57
CDM,44497161,PT EVAL LOW COMPLEX 20 MIN,350.0,,81.02,315.0,57
CDM,44497162,PT EVAL MOD COMPLEX 30 MIN,309.0,,81.02,278.1,57
CDM,44497163,PT EVAL HIGH COMPLEX 45 MIN,395.0,,81.02,355.5,57
CDM,44497530,PT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,44497535,PT SELF/HOME MGMT/ADL 15 MIN,126.0,,16.0,113.4,57
CDM,44497810,ACUPUNC W/O E-STIM INIT 15 MIN,63.0,,15.0,56.7,68
CDM,44498000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,44498001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,44498002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,44498003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,44498004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,44498005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,44498006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,44498007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,44498008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,44498009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,44498010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,44498011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,44498012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,44498013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,44498014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,44498015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,44498016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,44499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44500023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,44500041,FLUOROURACIL INJ 500MG 02,15.9,,1.53,14.31,56
CDM,44500216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,44500330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,44500500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,44503014,TELEHEALTH FACILITY FEE-KPS,78.0,,10.66,70.2,57
CDM,44510060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,44510061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,44510120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,44510121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,68
CDM,44510140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,44510160,PUNCT ASPIR ABSCES/HEMA/CYST,638.0,,255.2,574.2,68
CDM,44511000,DEBR SKIN 10% BODY SURFACE,627.0,,250.8,753.55,68
CDM,44511042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,44511043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,68
CDM,44511044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,44511045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,56
CDM,44511046,DEBR MUSC/FASCIA EA ADDL 20 CM,1143.0,,457.2,1028.7,56
CDM,44511102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,44511103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,56
CDM,44511104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,44511105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,44511106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,44511107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,44511200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,44511201,REMOVE SKIN TAG EA ADDL 10,172.0,,68.8,154.8,56
CDM,44511400,EXC LESN BGN TRUNK/ARM,1333.0,,533.2,1199.7,68
CDM,44511401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,68
CDM,44511402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,579.53,1454.4,68
CDM,44511403,EXC LESN BGN TRUNK/ARM 2.1-3.0,2151.0,,579.53,1935.9,68
CDM,44511404,EXC LESN BGN TRUNK/ARM 3.1-4.0,4228.0,,1334.55,3805.2,68
CDM,44511406,EXC LESN BGN TRUNK/ARM >4.0CM,3633.0,,1334.55,3269.7,68
CDM,44511420,EXC LESN BGN SCALP/HND,1813.0,,725.2,1994.58,68
CDM,44511421,EXC LESN BGN SCLP/HND .6-1.0CM,1841.0,,579.53,1656.9,68
CDM,44511422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,44511423,EXC LESN BGN SCALP/HND 2.1-3.0,3130.0,,1252.0,2817.0,68
CDM,44511424,EXC LESN BGN SCALP/HND 3.1-4.0,3629.0,,1334.55,3266.1,68
CDM,44511426,EXC LESN BGN SCALP/HND >4.0CM,4824.0,,1929.6,4341.6,68
CDM,44511440,EXC LESN BGN FACE/EAR,1334.0,,533.6,1200.6,68
CDM,44511441,EXC LESN BGN FACE/EAR .6-1.0CM,1489.0,,579.53,1340.1,68
CDM,44511442,EXC LESN BGN FACE/EAR1.1-2.0,2300.0,,579.53,2070.0,68
CDM,44511443,EXC LESN BGN FACE/EAR 2.1-3.0,2200.0,,880.0,1994.58,68
CDM,44511444,EXC LESN BGN FACE/EAR 3.1-4.0,3016.0,,1206.4,2714.4,68
CDM,44511446,EXC LESN BGN FACE/EAR>4.0CM,4026.0,,1610.4,3623.4,68
CDM,44511462,EXC HIDRADENITIS INGUNIAL SMP,4278.0,,1711.2,3850.2,68
CDM,44511601,EXC LESN MAL TRNK/ARM .6-1.0CM,1661.0,,579.53,1494.9,68
CDM,44511602,EXC LESN MAL TRUNK/ARM 1.1-2.0,1660.0,,329.08,1494.0,68
CDM,44511603,EXC LESN MAL TRUNK/ARM 2.1-3.0,2620.0,,579.53,2358.0,68
CDM,44511604,EXC LESN MAL TRUNK/ARM 3.1-4.0,3256.0,,579.53,2930.4,68
CDM,44511606,EXC LESN MAL TRUNK/ARM >4.0 CM,3859.0,,1334.55,3473.1,68
CDM,44511620,EXC LESN MAL SCALP/HND <0.5CM,2485.0,,994.0,2236.5,68
CDM,44511621,EXC LESN MAL SCLP/HND .6-1.0CM,1355.0,,542.0,1219.5,68
CDM,44511622,EXC LESN MAL SCALP/HND 1.1-2.0,2024.0,,579.53,1821.6,68
CDM,44511623,EXC LESN MAL SCALP/HND 2.1-3.0,3380.0,,1334.55,3042.0,68
CDM,44511624,EXC LESN MAL SCALP/HND 3.1-4.0,3805.0,,1334.55,3424.5,68
CDM,44511626,EXC LESN MAL SCALP/HND >4.0CM,5418.0,,2167.2,4876.2,68
CDM,44511640,EXC LESN MAL FACE/EAR,1723.0,,579.53,1550.7,68
CDM,44511641,EXC LESN MAL FACE/EAR .6-1.0CM,1931.0,,579.53,1737.9,68
CDM,44511642,EXC LESN MAL FACE/EAR 1.1-2.0,1892.0,,579.53,1702.8,68
CDM,44511646,EXC LESN MAL FACE/EAR > 4.0CM,4924.0,,1969.6,4431.6,68
CDM,44511730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,68
CDM,44511750,EXC NAIL & MATRIX,1464.0,,329.08,1317.6,68
CDM,44511900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,44511901,INJ INTRALESNAL > 7 LESNS,353.0,,141.2,317.7,68
CDM,44511920,TATTOO MICROPIGMENT,996.0,,398.4,896.4,68
CDM,44511921,TATTOO MICROPIGMENT 6.1-20.0CM,916.0,,366.4,824.4,68
CDM,44511922,TATTOO MICROPIGMENT ADD 20.0,777.0,,53.57,699.3,57
CDM,44511950,INJ SUBQ FILL MATERIAL,702.0,,163.67,631.8,68
CDM,44511951,INJ SUBQ FILL MATERIAL 1.1-5.0,1107.0,,442.8,996.3,68
CDM,44511971,REMOVE TISSUE EXPANDER,10163.0,,2357.4,9146.7,68
CDM,44512001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,68
CDM,44512002,RPR LAC SMP SCALP 2.6-7.5CM,628.0,,163.67,565.2,68
CDM,44512011,RPR LAC SMP FACE,653.0,,163.67,587.7,68
CDM,44512013,RPR LAC SMP FACE 2.6-5.0CM,679.0,,163.67,611.1,68
CDM,44512020,CLOSURE WOUND DEHIS SMP,1649.0,,504.2,1484.1,68
CDM,44512021,PACK WOUND DEHISCENCE SUPER,1168.0,,329.08,1051.2,68
CDM,44512031,RPR LAC INT SCALP/AXIL,785.0,,314.0,706.5,68
CDM,44512032,RPR LAC INT SCALP/AXIL 2.6-7.5,983.0,,329.08,884.7,68
CDM,44512041,RPR LAC INT NECK,731.0,,292.4,657.9,68
CDM,44512042,RPR LAC INT NECK 2.6-7.5CM,892.0,,329.08,802.8,68
CDM,44512051,RPR LAC INT FACE/EAR,843.0,,329.08,758.7,68
CDM,44513100,RPR LAC CPLX TRUNK 1.1-2.5CM,1495.0,,504.2,1345.5,68
CDM,44513101,RPR LAC CPLX TRUNK 2.6-7.5CM,1901.0,,504.2,1710.9,68
CDM,44513102,RPR LAC CPLX TRUNK ADD 5.0 CM,1211.0,,484.4,1089.9,56
CDM,44513120,RPR LAC CPLX SCALP 1.1-2.5CM,1361.0,,504.2,1224.9,68
CDM,44513131,RPR LAC CPLX FOREHD 1.1-2.5CM,1503.0,,329.08,1352.7,68
CDM,44513132,RPR LAC CPLX FOREHD 2.6-7.5CM,1755.0,,504.2,1579.5,68
CDM,44513151,RPR LAC CPLX EYE 1.1-2.5CM,2012.0,,504.2,1810.8,68
CDM,44514000,TRNSF TISS TRUNK <10CM,6103.0,,1506.69,5492.7,68
CDM,44514001,TRNSF TISS TRUNK 10.1-30.0CM,7391.0,,1506.69,6651.9,68
CDM,44514020,TRNSF TISS SCALP/ARM,7546.0,,1506.69,6791.4,68
CDM,44514040,TRNSF TISS HEAD/HND/FT,6204.0,,1506.69,5583.6,68
CDM,44514060,TRNSF TISS EYE/EAR/LP,5967.0,,1506.69,5370.3,68
CDM,44514301,TRNSF TISS ANY AREA 30.1-60,6856.0,,2742.4,6170.4,68
CDM,44514302,TRNSF TISS ANY AREA EA ADDL,8172.0,,3268.8,7354.8,56
CDM,44515120,GRAFT SPLIT HEAD 1ST 100CM,5782.0,,2312.8,5203.8,68
CDM,44515260,GRAFT FULL EYE/NOSE/LIP,5986.0,,1506.69,5387.4,68
CDM,44515271,GFT SKIN SUB T/A/L <= 100CM,3174.0,,1269.6,2856.6,68
CDM,44515600,FLAP DELAY/SECT TRUNK,4668.0,,1867.2,4506.8,68
CDM,44515610,FLAP DELAY/SECT SCALP/ARM/LEG,4668.0,,1506.69,4201.2,68
CDM,44515620,FLAP DELAY/SECT FOREHD/HAND/FT,4196.0,,1506.69,3776.4,68
CDM,44515771,GRAFT AUTO FAT LIPO =<50CC,10114.0,,3015.46,9102.6,68
CDM,44515775,GRAFT HAIR TRNSPL 1-15 PUNCH,999.0,,329.08,899.1,68
CDM,44515776,GRAFT HAIR TRNSPL >15 PNCH GFT,662.0,,264.8,595.8,68
CDM,44515788,CHEMICAL PEEL FACIAL EPIDERMAL,724.0,,289.6,651.6,68
CDM,44515820,BLEPHROPL LOWER,4477.0,,1506.69,4029.3,68
CDM,44515822,BLEPHROPL UPPER,4347.0,,1506.69,3912.3,68
CDM,44515825,RHYTIDECTOMY NECK,5076.0,,2030.4,4568.4,68
CDM,44515828,RHYTIDECTOMY CHEEK/CHIN/NECK,6934.0,,2773.6,6240.6,68
CDM,44515830,EXC EXCESS SKIN/TISS ABDOMEN,4713.0,,1885.2,8028.16,68
CDM,44515876,LIPECTOMY SUCTION HEAD/NECK,7497.0,,2998.8,6747.3,68
CDM,44515877,LIPECTOMY SUCTION TRUNK,3376.0,,1350.4,4506.8,68
CDM,44515879,LIPECTOMY SUCT EXTRM LOWER,6418.0,,2567.2,5776.2,68
CDM,44517000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,44517003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,44517004,DEST LESN PREMALIGNANT 15+ LS,1091.0,,329.08,981.9,68
CDM,44517106,DEST LESN VASCULAR,1342.0,,329.08,1207.8,68
CDM,44517107,DEST LESN VASCULAR 10-50CM,2291.0,,504.2,2061.9,68
CDM,44517108,DEST LESN VASCULAR >50CM,2140.0,,856.0,2251.85,68
CDM,44517110,DESTRUCT BENIGN LESION,442.0,,163.67,397.8,68
CDM,44517111,DEST BENIGN LESIONS >15,603.0,,163.67,542.7,68
CDM,44517250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,44517260,DEST LESN MAL TRUNK/ARM,437.0,,163.67,393.3,68
CDM,44517261,DEST LESN MAL TRUNK/ARM .6-1.0,699.0,,163.67,629.1,68
CDM,44517262,DEST LESN MAL TRNK/ARM 1.1-2.0,891.0,,163.67,801.9,68
CDM,44517263,DEST LESN MAL TRNK/ARM 2.1-3.0,934.0,,163.67,840.6,68
CDM,44517264,DEST LESN MAL TRNK/ARM 3.1-4.0,1194.0,,329.08,1074.6,68
CDM,44517266,DEST LESN MAL TRUNK/ARM >4.0CM,1470.0,,329.08,1323.0,68
CDM,44517270,DEST LESN MAL SCLP/HEAD,679.0,,163.67,611.1,68
CDM,44517271,DEST LESN MAL SCLP/HEAD .6-1.0,823.0,,163.67,740.7,68
CDM,44517272,DEST LESN MAL SCLP/HEAD1.1-2.0,813.0,,163.67,731.7,68
CDM,44517273,DEST LESN MAL SCLP/HEAD2.1-3.0,996.0,,329.08,896.4,68
CDM,44517276,DEST LESN MAL SCLP/HEAD>4.0CM,1326.0,,329.08,1193.4,68
CDM,44517281,DEST LESN MAL FACE/EAR.6-1.0,1005.0,,163.67,904.5,68
CDM,44517282,DEST LESN MAL FACE/EAR 1.1-2.0,1184.0,,163.67,1065.6,68
CDM,44517283,DEST LESN MAL FACE/EAR 2.1-3.0,1556.0,,329.08,1400.4,68
CDM,44517284,DEST LESN MAL FACE/EAR 3.1-4.0,1659.0,,504.2,1493.1,68
CDM,44517286,DEST LESN MAL FACE/EAR >4CM,1791.0,,504.2,1611.9,68
CDM,44517340,CRYOTHERAPY ACNE,100.0,,40.0,90.0,68
CDM,44519120,EXC CYST/LESN BREAST,5567.0,,2226.8,5010.3,68
CDM,44519316,MASTOPEXY,5031.0,,2012.4,8028.16,68
CDM,44519325,MAMMAPL AUGMENT W/IMPL,5140.0,,2056.0,11779.86,68
CDM,44519328,REM IMPL MAMMARY INTACT,5504.0,,2201.6,4953.6,68
CDM,44519350,RCNST NIPPLE/AREOLA,6570.0,,2628.0,5913.0,68
CDM,44519355,CORRECT NIPPLES INVERTED,7330.0,,2932.0,6597.0,68
CDM,44520205,DEEP MUSCLE BIOPSY,4643.0,,1857.2,4178.7,68
CDM,44520520,REM FB MUSC/TENDON SMP,2080.0,,832.0,1994.58,68
CDM,44520526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,44520550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,44520551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,44520552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,44520600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,44520605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,44520670,REM IMPL WIRE SUPERFIC,4332.0,,1334.55,3898.8,68
CDM,44520680,REM IMPL WIRE DEEP,6533.0,,2357.4,5879.7,68
CDM,44521011,EXC TUMR FACE/SCALP SUBQ,5174.0,,1334.55,4656.6,68
CDM,44521012,EXC TUMR FACE/SCALP SUBQ 2+CM,2121.0,,848.4,1994.58,68
CDM,44521013,EXC TUM FACE/SCLP SUBFASC <2CM,3656.0,,1334.55,3290.4,68
CDM,44521014,EXC TUM FACE/SCLP SUBFASC 2 +,6302.0,,2357.4,5671.8,68
CDM,44521320,TX FX BONE NASAL W/STABL CLSD,6156.0,,2462.4,5540.4,68
CDM,44521552,EXC TUM TISS NECK/ANT THX SUBQ,7324.0,,2357.4,6591.6,68
CDM,44521555,EXC TUMR NECK/CHEST SQ <3CM,6480.0,,1334.55,5832.0,68
CDM,44521931,EXC TUMR BACK/FLANK SUBQ 3+,7610.0,,1334.55,6849.0,68
CDM,44521933,EXC TISS BACK/FLNK SUBFSCL 5+,6846.0,,2357.4,6161.4,68
CDM,44522903,EXC TUMR ABD TISS WALL SUBQ 3+,7120.0,,2357.4,6408.0,68
CDM,44523071,EXC TUMR SHOULDER SUBQ 3CM +,6843.0,,1334.55,6158.7,68
CDM,44524071,EXC TUMR ARM/ELBOW SUBQ 3+,7020.0,,2357.4,6318.0,68
CDM,44525000,INC TENDON SHTH EXTNS,4082.0,,1318.22,3673.8,68
CDM,44525075,EXC FOREARM/WRIST SUBQ,4427.0,,1334.55,3984.3,68
CDM,44525076,EXC TUMR FOREARM/WRIST,3739.0,,1334.55,3365.1,68
CDM,44526010,DRAIN ABSC FINGER SIMPLE,824.0,,163.67,741.6,68
CDM,44526020,DRAIN TENDON SHTH DIGIT/PALM,4146.0,,1658.4,3994.24,68
CDM,44526040,FASCIOTOMY PALMAR PERC,3846.0,,1318.22,3461.4,68
CDM,44526045,FASCIOTOMY PALMAR OPEN,7821.0,,2672.51,7038.9,68
CDM,44526055,INCISION TENDON SHEATH FINGER,3929.0,,1318.22,3536.1,68
CDM,44526111,EXC TUMR HAND/FINGER SUBQ 1.5+,5573.0,,1334.55,5015.7,68
CDM,44526115,EXC TUMR HAND/FINGER SUBQ,3064.0,,1225.6,2757.6,68
CDM,44526160,EXC LESN TENDON HAND/FINGER,5984.0,,1318.22,5385.6,68
CDM,44526236,EXC PHALANX DIST PARTIAL,8104.0,,1318.22,7293.6,68
CDM,44526250,RES METACARPAL RADICAL,8019.0,,2672.51,7217.1,68
CDM,44526260,RESECT PROX FINGER FUMOR,8019.0,,2672.51,7217.1,68
CDM,44526262,RESECT DISTAL FINGER TUMOR,3982.0,,1318.22,3583.8,68
CDM,44526750,TX FX PHALANX DIST CLSD,727.0,,197.58,654.3,68
CDM,44526910,AMPUT METACARPAL FNGR/THMB SGL,8640.0,,2672.51,7776.0,68
CDM,44526951,AMPUT FINGER/THUMB SGL CLSR,6972.0,,2672.51,6274.8,68
CDM,44526952,AMPUT FINGER/THUMB W/FLAP,10959.0,,2672.51,9863.1,68
CDM,44528825,AMPUT TOE INTERPHALGEAL JOINT,9184.0,,2672.51,8265.6,68
CDM,44529075,APPL CAST ARM SHORT,608.0,,218.75,547.2,68
CDM,44529085,APPL CAST HAND/FOREARM,873.0,,129.97,785.7,68
CDM,44529130,APPL SPLINT FINGER STATIC,413.0,,106.17,371.7,68
CDM,44530400,RHINOPLASTY PRIMARY,6167.0,,2466.8,7282.4,68
CDM,44536468,INJ SCLERO SOLN VEIN LIMB/TRNK,697.0,,278.8,627.3,68
CDM,44536592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,44540530,RES LIP > 1/4 W/O RECONST,5536.0,,2214.4,4982.4,68
CDM,44564450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,44564612,CHEM/DEST NRV MUSCLE FACIAL,1215.0,,243.14,1093.5,68
CDM,44564615,CHEMDNR NRV MUSCLE FACIAL TRIG,1409.0,,243.14,1268.1,68
CDM,44564721,NEUROPLASTY CARPAL TUNNEL,5522.0,,1608.45,4969.8,68
CDM,44564776,EXC NEUROMA NRV DIGIT 1/BOTH,4783.0,,1608.45,4304.7,68
CDM,44564788,EXC NEUROFIBROMA CUTAN,4743.0,,1608.45,4268.7,68
CDM,44564831,SUT NERVE DIGIT HAND/FOOT 1,4783.0,,1608.45,4304.7,68
CDM,44567914,RPR ECTROPION SUTURE,5565.0,,1921.6,5008.5,68
CDM,44569300,OTOPLASTY EAR PROTRUDING,3266.0,,1306.4,3992.34,68
CDM,44587804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,44590686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,44593005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,44596365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,44596372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,44597597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,68
CDM,44597602,DEBR NON-SELECTIVE W/O ANES,345.0,,41.0,310.5,68
CDM,44597605,NEG PRESS WND THER DME </=50CM,481.0,,163.67,432.9,68
CDM,44598000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,44598001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,44598002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,44598003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,44598004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,44598005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,44598006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,44598007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,44598008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,44598009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,44598010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,44598011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,44598012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,44598013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,44598014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,44598015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,44598016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,44599024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,44599211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,44599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44600216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,44600500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,44603014,TELEHEALTH FACILITY FEE-PAC,78.0,,10.66,70.2,57
CDM,44636160,INTRO NDL/CATH AORTA T/LUMB,1729.0,,691.6,1556.1,56
CDM,44636592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,44662322,NJX INTERLAMINAR LMBR/SAC,2539.0,,733.31,2285.1,68
CDM,44681002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,44682947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,44690686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,44693005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,44695813,EEG MONITOR > 1 HR,2632.0,,136.0,2368.8,68
CDM,44696365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,44698000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,44698001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,44698002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,44698003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,44698004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,44698005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,44698006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,44698007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,44698008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,44698009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,44698010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,44698011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,44698012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,44698013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,44698014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,44698015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,44698016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,44699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44700027,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
CDM,44700216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,44700217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,44700300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,44700318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,44700326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,44700344,ALBUTEROL 2.5 MG,2.0,,0.12,1.8,55
CDM,44700421,DESMOPRESSIN INJ 1MCG,29.2,,3.24,26.28,68
CDM,44700471,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,56
CDM,44700491,MIDAZOLAM VL 1MG/ML 1ML,2.0,,0.13,1.8,55
CDM,44700500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,44700539,FENTANYL INJ 0.1MG/2ML VIAL,6.8,,0.78,6.12,55
CDM,44700540,NALOXONE HYDROCHLORIDE INJ 1MG,61.4,,0.0854,55.26,55
CDM,44700541,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
CDM,44700543,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,55
CDM,44700593,FLUMAZENIL 0.5MG/5ML VIAL,25.9,,12.95,23.31,54
CDM,44703014,TELEHEALTH FACILITY FEE-KBS,78.0,,10.66,70.2,57
CDM,44710005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,44710006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,44710021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,266.4,599.4,68
CDM,44710171,EPINEPHRINE INJ 0.1MG,40.9,,1.61,36.81,55
CDM,44710692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,44712274,MORPHINE PF EPIDURAL 10MG,15.59,,7.79,14.03,55
CDM,44712919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,68
CDM,44712997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,44713360,DIAZEPAM INJ 5MG,46.4,,6.05,41.76,55
CDM,44713370,VANCOMYCIN VL 500MG,13.0,,0.0366,11.7,55
CDM,44720206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,44731502,CHG TUBE TRACHEOTOMY,813.0,,191.28,731.7,68
CDM,44731615,BRONCHOSC THRU TRACH,3388.0,,419.46,3049.2,68
CDM,44731622,BRONCHOSC DX W/W/O FLUOR&WASH,4644.0,,1420.41,4179.6,68
CDM,44731623,BRONCHOSCOPY INCLUD BRUSHING,4065.0,,1420.41,3658.5,68
CDM,44731624,BRONCHOSC W/LAVAGE ALVEOLAR,3595.0,,1420.41,3235.5,68
CDM,44731625,BRONCHOSC BX SGL/MLT SITES,3852.0,,1420.41,3466.8,68
CDM,44731626,BRNCHSC W/PLMT FID MKS 1/MLT,4397.0,,1758.8,8521.82,68
CDM,44731628,BRONCHOSC W/BX TRANSBRONCH SGL,3996.0,,1598.4,4538.78,68
CDM,44731629,BRONC W/NEEDLE ASP BX,3996.0,,1598.4,4538.78,68
CDM,44731630,BRONCHOSC W/DILAT FX REDUCT,6485.0,,2594.0,5836.5,68
CDM,44731631,BRONCHOSC W/STENT PLACE,10458.0,,4183.2,9412.2,68
CDM,44731632,BRONCHOSC W/BX TRNSBRONCH LUNG,1805.0,,722.0,1624.5,56
CDM,44731633,BRONCHOSC W/ASP BX TRNSBRONCH,2535.0,,1014.0,2281.5,56
CDM,44731634,BRONCHOSC W/BALLOON OCCLS,3623.0,,1449.2,8521.82,68
CDM,44731635,BRONCHOSC W/REM FB,5205.0,,1420.41,4684.5,68
CDM,44731636,BRONCHOSC W/BRONCH STENT PLMT,11636.0,,4654.4,10472.4,68
CDM,44731637,BRONCHOSC W/BRONCH STENT EA AD,2119.0,,847.6,1907.1,56
CDM,44731638,BRONCHOSC REVISE PREV PLCD STN,20423.0,,5701.87,18380.7,68
CDM,44731641,BRONCHOSC W/DESTRUCT TUMR,6331.0,,2532.4,5697.9,68
CDM,44731645,BRONCHOSC W/ASP TREE INITIAL,4906.0,,1420.41,4415.4,68
CDM,44731646,BRONCHOSC W/ASP TREE SUBS,3362.0,,319.84,3025.8,68
CDM,44731647,BRONCH W/OCC & VLV INITIAL,5398.0,,2159.2,8521.82,68
CDM,44731648,BRNCHSC W/RMV VALVE 1ST LOBE,5987.0,,2394.8,5388.3,68
CDM,44731649,BRNCHS W/RMV VALVE EA ADDL,3134.0,,1253.6,2820.6,68
CDM,44731651,BRONCH W/OCC &VLV ADD,5398.0,,2159.2,4858.2,56
CDM,44731652,BRONCHOSC SAMPLE 1/2 NODE,5891.0,,2356.4,5301.9,68
CDM,44731653,BRONCHOSC SAMPLE 3/> NODE,5891.0,,2356.4,5301.9,68
CDM,44731654,BRONCHOSCOPY PERI LESION,5768.0,,2307.2,5191.2,56
CDM,44731660,BRONCHIAL THERMOPLASTY 1 LOBE,8585.0,,3434.0,8521.82,68
CDM,44731661,RPR FIST TRACHOESOPHAGEAL W/PR,7664.0,,3065.6,8521.82,68
CDM,44732400,BIOPSY PLEURA NEEDLE PERC,2323.0,,929.2,2090.7,68
CDM,44732408,BX LUNG/MEDIASTINUM,3940.0,,1334.55,3546.0,68
CDM,44732550,INSRT CATH PLEU INDWELL W/CUFF,2900.0,,1160.0,4344.41,68
CDM,44732552,RMVL NDWELLG TUN PLEURAL CATH,1739.0,,509.25,1565.1,68
CDM,44732554,ASPIRATE PLEURA W/O IMAGING,1159.0,,463.6,1043.1,68
CDM,44732555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,68
CDM,44732556,PLEUR DRAIN W/INSRT CATH W/O,4006.0,,1562.51,3605.4,68
CDM,44732557,PLEUR DRAIN W/INSRT CATH W/IMG,2416.0,,966.4,2174.4,68
CDM,44732560,INST AGENT FOR PLEURODESIS,1575.0,,509.25,1417.5,68
CDM,44732561,LYSE CHEST FIBRIN INIT DAY,1876.0,,509.25,1688.4,68
CDM,44732562,LYSE CHEST FIBRIN SUBQ DAY,1341.0,,509.25,1206.9,68
CDM,44736569,INS CATH PERIPH CV W/O PORT >5,3258.0,,1279.53,2932.2,68
CDM,44736589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,44736592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,44736600,ARTERIAL PUNCTURE,232.0,,92.8,208.8,68
CDM,44738505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,44775989,XR FLUORO ABSC DRAINAGE,2694.0,,115.0,2424.6,55
CDM,44776942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,44782947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,44790732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,44793005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,44794617,EXERCISE TEST FOR BRONCHOSPASM,349.0,,106.17,314.1,68
CDM,44794618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,44794640,NONPRESSURIZED INHALATION,218.0,,29.0,250.39,68
CDM,44794642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,44796365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,44796372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,44796374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,44796376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,44798000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,44798001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,44798002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,44798003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,44798004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,44798005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,44798006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,44798007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,44798008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,44798009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,44798010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,44798011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,44798012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,44798013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,44798014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,44798015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,44798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,44799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44800027,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
CDM,44800126,HEMOGLOBIN A1C LVL >9.0%,0.01,,0.005,0.009,38
CDM,44800216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,44800217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,44800287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,44800292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,44800300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,44800318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,44800326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,44800327,METHYLPRED NA IVPB 125MG,15.0,,0.1932,13.5,68
CDM,44800328,TERBUTALINE INJ 1MG,13.3,,3.01,11.97,55
CDM,44800330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,44800344,ALBUTEROL 2.5 MG,2.0,,0.12,1.8,55
CDM,44800345,METHACHOLINE INH PWDR 1MG,8.3,,0.76,7.47,55
CDM,44800426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,44800459,DSG FOAM >16 SQ IN </=48 SQ IN,94.0,,20.34,84.6,56
CDM,44800478,MIP/MEP,316.0,,128.87,284.4,68
CDM,44800491,MIDAZOLAM VL 1MG/ML 1ML,2.0,,0.13,1.8,55
CDM,44800500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,44800541,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
CDM,44801010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,44801050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,44801112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,44803014,TELEHEALTH FACILITY FEE-KPL,78.0,,10.66,70.2,57
CDM,44812919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,68
CDM,44819530,CARD REHAB-MAINTENANCE RETURN,385.0,,128.87,346.5,68
CDM,44820605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,44820610,DRAIN/INJ JOINT/BURSA MAJ 01,814.0,,243.14,732.6,68
CDM,44831615,BRONCHOSC THRU TRACH,3388.0,,419.46,3049.2,68
CDM,44831622,BRONCHOSC DX W/W/O FLUOR&WASH,4644.0,,1420.41,4179.6,68
CDM,44831624,BRONCHOSC W/LAVAGE ALVEOLAR,3595.0,,1420.41,3235.5,68
CDM,44831627,BRONCHOSC W/BX TRANSBRONCH SGL,3996.0,,1598.4,4538.78,68
CDM,44831628,BRONCHOSC W/BX TRANSBRONCH SGL,3996.0,,1598.4,4538.78,68
CDM,44831629,BRONC W/NEEDLE ASP BX,3996.0,,1598.4,4538.78,68
CDM,44831632,BRONCHOSC W/BX TRNSBRONCH LUNG,1805.0,,722.0,1624.5,56
CDM,44831652,BRONCHOSC SAMPLE 1/2 NODE,5891.0,,2356.4,5301.9,68
CDM,44831654,BRONCHOSCOPY PER LESION,5768.0,,2307.2,5191.2,56
CDM,44832400,BIOPSY PLEURA NEEDLE PERC,2323.0,,929.2,2090.7,68
CDM,44832550,INSRT CATH PLEU INDWELL W/CUFF,2900.0,,1160.0,4344.41,68
CDM,44832552,RMVL NDWELLG TUN PLEURAL CATH,1739.0,,509.25,1565.1,68
CDM,44832554,ASPIRATE PLEURA W/O IMAGING,1159.0,,463.6,1043.1,68
CDM,44832555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,68
CDM,44832556,PLEUR DRAIN W/INSRT CATH W/O,4006.0,,1562.51,3605.4,68
CDM,44832557,PLEUR DRAIN W/INSRT CATH W/IMG,2416.0,,966.4,2174.4,68
CDM,44832561,LYSE CHEST FIBRIN INIT DAY,1876.0,,509.25,1688.4,68
CDM,44832562,LYSE CHEST FIBRIN SUBQ DAY,1341.0,,509.25,1206.9,68
CDM,44836569,INS CATH PERIPH CV W/O PORT >5,3258.0,,1279.53,2932.2,68
CDM,44836589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,44836592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,44836600,ARTERIAL PUNCTURE,232.0,,92.8,208.8,68
CDM,44838505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,44850109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,44850428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,44855081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,44855084,RAPID FLU B TEST,195.0,,15.23,175.5,68
CDM,44860002,WALK TEST MAINTENANCE,151.0,,75.5,135.9,56
CDM,44862270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,44871045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,68
CDM,44871046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,44875989,XR FLUORO ABSC DRAINAGE,2694.0,,115.0,2424.6,55
CDM,44876883,US NRV & ACC STRUX 1XTR COMPRE,1688.0,,87.59,1519.2,68
CDM,44876942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,44882375,"CARBOXYHEMOGLOBIN, ABG",242.0,,4.55,217.8,70
CDM,44882803,BLOOD GAS PH PO2 &/OR PCO2,462.0,,13.29,415.8,68
CDM,44882805,ABG WITH DIRECT O2 SAT.,376.0,,41.0,338.4,68
CDM,44883013,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,44883020,HEMOGLOBIN ELECTROPHORESIS,259.0,,9.07,233.1,68
CDM,44883036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,44883050,"METHEMOGLOBIN, ABG",219.0,,7.54,197.1,68
CDM,44885018,HEMOGLOBIN ABG,94.0,,2.18,84.6,68
CDM,44887804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,44890460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,44890461,IMMUN ADMIN ANY ROUTE EA ADDL,90.0,,45.0,81.0,56
CDM,44890471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,44890472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,44890480,ADMIN SARSCOV2 VACC 1 DOSE,87.0,,34.2,78.3,68
CDM,44890636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,44890653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,44890656,FLAURIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,44890662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,44890670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,44890677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,44890682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,44890686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,44890714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
CDM,44890715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,44890732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,44890739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,44890746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,44890750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,44891110,IMAGE GI TRACT ESOPH W/REP,4389.0,,686.0,3950.1,68
CDM,44891320,SARSCV2 VACC 30MCG TRS-SUC VL,656.45,,190.2,590.8,55
CDM,44892611,ST EVAL SWALLVIDEO/FLUORO,591.0,,91.0,531.9,56
CDM,44892612,ST EVAL SWALL ENDO C/V,867.0,,104.0,780.3,56
CDM,44893005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,44893306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,44893307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,44893308,ECHO 2D/W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,44893451,CATH RIGHT HEART,11262.0,,775.0,10135.8,69
CDM,44893797,CARDIAC REHAB W/O EKG SESSION,259.0,,19.25,233.1,68
CDM,44893798,CRD REHAB MONITORED SESSION,259.0,,26.37,233.1,68
CDM,44893925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,44894010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,44894060,SPIROMETRY/PFT PRE&POST BRONCH,1099.0,,77.0,989.1,68
CDM,44894070,SPIROMETRY/PFT CPLX,1841.0,,174.0,1656.9,68
CDM,44894200,MAXIMUM VOLUNTARY VENT,236.0,,20.0,212.4,68
CDM,44894617,EXERCISE TEST FOR BRONCHOSPASM,349.0,,106.17,314.1,68
CDM,44894618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,44894621,PULMONARY STRESS TEST CPLX,2902.0,,160.0,2611.8,68
CDM,44894625,OP PULM REHAB W/O CONT OX MNTR,470.0,,48.93,423.0,68
CDM,44894626,OP PULM REHAB W/CONT OX MNTR,470.0,,48.93,423.0,68
CDM,44894640,NONPRESSURIZED INHALATION,218.0,,29.0,250.39,68
CDM,44894642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,44894664,AEROSOL NEB/MDI/IPPB DEMO/EVAL,214.0,,24.0,250.39,68
CDM,44894690,O2 UPTAKE EXPIRED GAS REST,669.0,,39.0,602.1,68
CDM,44894726,PLETHYSMOGRAPHY LUNG VOL,709.0,,256.5,638.1,68
CDM,44894727,GAS DILUTION/WASHOUT DETERMINE,630.0,,41.37,567.0,68
CDM,44894729,CARBON MONOXIDE DIFF (DLCO),715.0,,51.72,643.5,56
CDM,44894761,PULSE OXIMETRY MULTIPLE,350.0,,3.47,315.0,57
CDM,44894799,MIP/MEP,316.0,,128.87,284.4,68
CDM,44895012,NITRIC OXIDE EXPIRED GAS DETER,320.0,,18.12,288.0,68
CDM,44895070,TEST BRONCH INH CHAL W/HISTAM,927.0,,83.0,834.3,68
CDM,44895800,UNATTEND SLEEP STUDY SIML TIME,426.0,,128.87,383.4,68
CDM,44895807,SLEEP STUDY ATTENDED,3629.0,,230.0,3266.1,68
CDM,44895810,PSG- 4+ PARAMETERS,8387.0,,262.0,7548.3,68
CDM,44895811,PSG 6/> YRS 4+ PARAM W/CPAP,6950.0,,257.0,6255.0,68
CDM,44895886,EMG EA EXTM W/NRV COND COMP,777.0,,92.08,699.3,56
CDM,44895907,NERVE CONDUCTION STUDIES 1-2,1347.0,,89.14,1212.3,68
CDM,44896365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,44896372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,44896374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,44897802,NUTRITION THRPY EVAL 15 MIN,97.0,,30.45,87.3,57
CDM,44898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,44898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,44898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,44898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,44898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,44898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,44898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,44898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,44898008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,44898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,44898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,44898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,44898012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,44898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,44898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,44898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,44898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,44899024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,44899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,44900500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,44901046,CHEST X-RAY INTERNATIONAL PAT,74.0,,12.06,229.12,68
CDM,44910656,PRE-EMPLOYMENT CHEST X-RAY,62.0,,13.97,229.12,68
CDM,44913502,XR HIP UNILAT 2-3 VIEWS RT,508.0,,22.5,457.2,56
CDM,44913503,XR HIP UNILAT 4+ VIEWS RT,1034.0,,46.8,930.6,56
CDM,44913551,XR FEMUR 1 VIEW LT,489.0,,16.2,440.1,56
CDM,44913552,XR FEMUR MIN 2 VIEWS LT,530.0,,29.41,477.0,56
CDM,44920431,INJ ANTEGRADE NEPH/URET BIL,3737.0,,1494.8,3363.3,56
CDM,44920600,ARTHROCENT ASP/INJ JT SMALL RT,1911.0,,764.4,1719.9,56
CDM,44920602,ARTHROCENT ASP/INJ JT SMALL LT,1911.0,,764.4,1719.9,56
CDM,44920605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,44923350,INJECT ARTHROGRAM SHOULDER RT,767.0,,306.8,690.3,56
CDM,44923351,INJECT ARTHROGRAM SHOULDR LT,767.0,,306.8,690.3,56
CDM,44923501,XR HIP LTD 1V LT,530.0,,17.67,477.0,56
CDM,44923551,XR FEMUR 1 VIEW RT,489.0,,16.2,440.1,56
CDM,44923552,XR FEMUR MIN 2 VIEWS RT,530.0,,29.41,477.0,56
CDM,44924221,INJECT ARTHROGRAM ELBOW LT,748.0,,299.2,673.2,56
CDM,44925246,INJECT ARTHROGRAM WRIST RT,740.0,,296.0,666.0,56
CDM,44925247,INJECT ARTHROGRAM WRIST LT,740.0,,296.0,666.0,56
CDM,44927093,INJ ARTHROGM HIP W/O ANES RT,656.0,,262.4,590.4,56
CDM,44927094,INJ ARTHROGM HIP W/O ANES LT,656.0,,262.4,590.4,56
CDM,44933501,XR HIP LTD 1V RT,530.0,,17.67,477.0,56
CDM,44933551,XR FEMUR 1 VIEW BILAT,734.0,,16.2,660.6,56
CDM,44933552,XR FEMUR MIN 2 VIEWS BILAT,1056.0,,29.41,950.4,56
CDM,44936415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,44936598,INJ CONTR W/FLUORO EVAL CV DEV,1082.0,,173.54,973.8,68
CDM,44944500,INTRO TUBE GI LONG,1034.0,,413.6,1154.17,68
CDM,44947531,INJ PROC CHOLANGIOGRAM,1840.0,,736.0,4344.41,68
CDM,44949424,INJ CONTRAST ABSC/CYST,1502.0,,751.0,1351.8,55
CDM,44949440,PERCUT PLACE GASTRO TUBE FLURO,2336.0,,934.4,2335.27,68
CDM,44949465,INJ CNTR W/FLUOR EVAL G/D/J TB,925.0,,199.1,832.5,68
CDM,44950430,INJ ANTEGRADE NEPH/URET COMP,3090.0,,549.78,2781.0,68
CDM,44950431,INJ ANTEGRADE NEPH/URET COMP,2643.0,,549.78,2378.7,68
CDM,44950684,INJECT URETEROGRAPHY,1228.0,,491.2,1105.2,56
CDM,44950690,INJ ILEAL CONDUIT,695.0,,278.0,625.5,56
CDM,44951600,INJ CYSTOGRAM,1129.0,,451.6,1016.1,56
CDM,44951610,INJ URETHROCYSTOGRAM RETRO,1362.0,,544.8,1225.8,56
CDM,44958340,CATH/INTRO SALINE/CONTRAST SIS,736.0,,294.4,662.4,56
CDM,44962270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,44970110,XR MANDIBLE MIN 4 VIEWS,878.0,,37.0,790.2,68
CDM,44970150,XR FACIAL BONES MIN 3 VIEWS,736.0,,35.0,662.4,68
CDM,44970160,XR NASAL CMPL 3+V,760.0,,16.0,684.0,68
CDM,44970200,XR ORBITS MIN 4 VIEWS,786.0,,28.0,707.4,68
CDM,44970210,XR SINUSES <3V,560.0,,22.0,504.0,68
CDM,44970220,XR PARANASAL SINUS MIN 3 VWS,996.0,,37.0,896.4,68
CDM,44970250,XR SKULL 1-3 VIEWS,857.0,,28.0,771.3,68
CDM,44970260,XR SKULL MIN 4 VIEWS,1132.0,,45.0,1018.8,68
CDM,44970328,TEMPOROMANDIBLE JOINT UNI RT,516.0,,27.0,464.4,56
CDM,44970330,XR TEMPOROMANDIBLE JOINT BIL,596.0,,33.0,536.4,68
CDM,44970360,NECK SOFT TISSUE,649.0,,19.0,584.1,68
CDM,44970429,TEMPOROMANDIBLE JOINT UNI LT,516.0,,27.0,464.4,56
CDM,44971045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,68
CDM,44971046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,44971047,CHEST X-RAY 3 VIEWS,686.0,,72.52,617.4,68
CDM,44971048,CHEST X-RAY 4/> VIEWS,698.0,,87.59,628.2,68
CDM,44971100,XR RIBS 2V UNI RT,742.0,,33.0,667.8,56
CDM,44971101,XR RIBS 2V UNI LT,742.0,,33.0,667.8,56
CDM,44971110,XR RIBS 3 VIEWS BILAT,918.0,,37.0,826.2,68
CDM,44971120,XR STERNUM 2+ VIEWS,739.0,,32.0,665.1,68
CDM,44971130,XR STERNOCLAVIC JT 3+VIEWS,739.0,,37.0,665.1,68
CDM,44972020,XR SPINE 1 VIEW ANY LEVEL,569.0,,16.0,512.1,68
CDM,44972040,XR C-SPINE 2 OR 3V,793.0,,33.0,713.7,68
CDM,44972050,XR C-SPINE 4 OR 5 VIEWS,1031.0,,52.0,927.9,68
CDM,44972052,XR C-SPINE 6 OR MORE VIEWS,1194.0,,59.0,1074.6,68
CDM,44972070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,68
CDM,44972072,XR THORACIC SPINE 3 VIEWS,949.0,,38.0,854.1,68
CDM,44972074,XR THORACIC SPINE 4+ VIEWS,767.0,,49.0,690.3,68
CDM,44972080,XR THORACOLUMBAR SPINE 2 VIEWS,976.0,,22.0,878.4,68
CDM,44972081,XR T-L SPINE INCL SKULL 1 VIEW,668.0,,72.52,601.2,68
CDM,44972082,XR T-L SPINE 2 OR 3 VIEWS,721.0,,56.48,648.9,68
CDM,44972083,XR T-L SPINE 4 OR 5 VIEWS,656.0,,24.57,590.4,68
CDM,44972084,XR T-L SPINE INCL SKLL 6+ VIEW,668.0,,73.39,601.2,68
CDM,44972100,XR LUMBAR SPINE 2 OR 3 VIEWS,930.0,,38.0,837.0,68
CDM,44972110,XR LUMBAR SPINE 4+ VIEWS,1246.0,,52.0,1121.4,68
CDM,44972114,XR L-SPINE CMPL W/BENDING V,1318.0,,82.0,1186.2,68
CDM,44972120,XR L-SPINE BENDING ONLY 2/3,1060.0,,63.0,954.0,68
CDM,44972170,XR PELVIS 1-2V,695.0,,27.0,625.5,68
CDM,44972190,PELVIS MIN 3 VIEWS,861.0,,44.0,774.9,68
CDM,44972200,XR SACROILI JT,462.0,,41.0,415.8,68
CDM,44972202,XR SACROILIAC JT 3+V,759.0,,43.0,683.1,68
CDM,44972220,XR SACRUM/COCCYX 2+V,732.0,,31.0,658.8,68
CDM,44973000,XR CLAVICLE CMPL RT,518.0,,21.0,466.2,56
CDM,44973001,CLAVICAL COMP LT,704.0,,21.0,633.6,56
CDM,44973002,CLAVICAL COMP BIL,1168.0,,21.0,1051.2,56
CDM,44973010,SCAPULA COMP RT,737.0,,29.0,663.3,56
CDM,44973011,SCAPULA COMP LT,737.0,,29.0,663.3,56
CDM,44973012,SCAPULA COMP BIL,1288.0,,29.0,1159.2,56
CDM,44973020,SHOULDER 1 VIEW RT,642.0,,21.0,577.8,56
CDM,44973021,XR SHOULDER 1 VIEW LT,642.0,,21.0,577.8,56
CDM,44973022,SHOULDER 1 VIEW BIL,1190.0,,21.0,1071.0,56
CDM,44973030,XR SHOULDER CMPL 2+V RT,783.0,,30.0,704.7,56
CDM,44973031,XR SHOULDER CMPL 2+V LT,783.0,,30.0,704.7,56
CDM,44973032,XR SHOULDER CMPL 2+V BILAT,1358.0,,30.0,1222.2,56
CDM,44973050,ACRO-CLAV JOINTS-BIL,680.0,,29.0,612.0,68
CDM,44973060,XR HUMERUS 2+V RT,654.0,,30.0,588.6,56
CDM,44973061,XR HUMERUS 2+V LT,654.0,,30.0,588.6,56
CDM,44973062,XR HUMERUS 2+V BILAT,1202.0,,30.0,1081.8,56
CDM,44973070,XR ELBOW 2V RT,592.0,,29.0,532.8,56
CDM,44973071,XR ELBOW 2V LT,592.0,,29.0,532.8,56
CDM,44973072,XR ELBOW 2V BILAT,889.0,,29.0,800.1,56
CDM,44973080,XR ELBOW CMPL 3+V RT,670.0,,32.0,603.0,56
CDM,44973081,XR ELBOW CMPL 3+V LT,670.0,,32.0,603.0,56
CDM,44973082,XR ELBOW CMPL 3+V BILAT,1005.0,,32.0,904.5,56
CDM,44973090,XR FOREARM 2V RT,691.0,,29.0,621.9,56
CDM,44973101,XR WRIST 2V LT,586.0,,21.0,527.4,56
CDM,44973102,XR WRIST 2V BILAT,1157.0,,21.0,1041.3,56
CDM,44973110,XR WRIST CMPL 3+V RT,723.0,,31.0,650.7,56
CDM,44973111,XR WRIST CMPL 3+V LT,723.0,,31.0,650.7,56
CDM,44973112,XR WRIST CMPL3+V BI,1003.0,,31.0,902.7,56
CDM,44973120,HAND 2 VIEWS RT,684.0,,18.0,615.6,56
CDM,44973121,HAND 2 VIEWS LT,684.0,,18.0,615.6,56
CDM,44973122,HAND 2 VIEWS BIL,1029.0,,18.0,926.1,56
CDM,44973130,XR HAND CMPL 3+V RT,739.0,,27.0,665.1,56
CDM,44973131,XR HAND CMPL 3+V LT,739.0,,27.0,665.1,56
CDM,44973132,XR HAND CMPL 3V BI,1192.0,,27.0,1072.8,56
CDM,44973140,XR FINGER(S) 2+V RT,532.0,,18.0,478.8,56
CDM,44973191,XR FOREARM 2V LT,691.0,,29.0,621.9,56
CDM,44973192,XR FOREARM 2V BILAT,1034.0,,29.0,930.6,56
CDM,44973241,XR FINGER(S) 2+V LT,532.0,,18.0,478.8,56
CDM,44973502,XR HIP UNILAT 2-3 VIEWS LT,508.0,,22.5,457.2,56
CDM,44973503,XR HIP UNILAT 4+ VIEWS LT,1034.0,,46.8,930.6,56
CDM,44973521,XR HIP BILAT W/PELVIS 2 VIEWS,862.0,,35.91,775.8,68
CDM,44973522,XR HIP BILAT W/PELVIS 3-4 VIEW,1459.0,,44.35,1313.1,68
CDM,44973523,XR HIP BILAT W/PELVIS 5+ VIEWS,1459.0,,51.41,1313.1,68
CDM,44973560,XR KNEE 1-2V RT,680.0,,24.0,612.0,56
CDM,44973562,XR KNEE 3V RT,757.0,,27.0,681.3,56
CDM,44973564,XR KNEE CMPL 4+V RT,811.0,,40.0,729.9,56
CDM,44973565,XR KNEE STAND BOTH KNEES,720.0,,56.0,648.0,68
CDM,44973590,XR TIBIA/FIBULA 2V RT,730.0,,30.0,657.0,56
CDM,44973601,XR ANKLE 2V LT,560.0,,26.0,504.0,56
CDM,44973602,XR ANKLE 2V BILAT,1018.0,,26.0,916.2,56
CDM,44973610,XR ANKLE 3+V RT,667.0,,34.0,600.3,56
CDM,44973611,XR ANKLE 3+V LT,667.0,,34.0,600.3,56
CDM,44973612,XR ANKLE 3+V BILAT,1000.0,,34.0,900.0,56
CDM,44973620,XR FOOT 2V RT,648.0,,18.0,583.2,56
CDM,44973621,XR FOOT 2V LT,648.0,,18.0,583.2,56
CDM,44973622,XR FOOT 2V BILAT,974.0,,18.0,876.6,56
CDM,44973630,XR FOOT CMPL 3+V RT,793.0,,34.0,713.7,56
CDM,44973631,XR FOOT CMPL 3+V LT,793.0,,34.0,713.7,56
CDM,44973632,XR FOOT CMPL 3+V BILAT,1268.0,,34.0,1141.2,56
CDM,44973650,XR CALCANEUS 2+V RT,590.0,,25.0,531.0,56
CDM,44973651,XR CALCANEUS 2+V LT,590.0,,25.0,531.0,56
CDM,44973652,XR CALCANEUS 2+V BILAT,965.0,,25.0,868.5,56
CDM,44973660,XR TOE(S) 2+V RT,499.0,,17.0,449.1,56
CDM,44973661,XR KNEE 1-2V LT,680.0,,24.0,612.0,56
CDM,44973662,XR KNEE 1-2V BILAT,1085.0,,24.0,976.5,56
CDM,44973663,XR KNEE 3V LT,757.0,,27.0,681.3,56
CDM,44973664,XR KNEE 3V BILAT,1358.0,,27.0,1222.2,56
CDM,44973665,XR KNEE CMPL 4+V LT,811.0,,40.0,729.9,56
CDM,44973666,XR KNEE CMPL 4+V BILAT,1482.0,,40.0,1333.8,56
CDM,44973691,XR TIBIA/FIBULA 2V LT,730.0,,30.0,657.0,56
CDM,44973692,XR TIBIA/FIBULA 2V BILAT,1089.0,,30.0,980.1,56
CDM,44973694,LOWER EXT INFANT MIN 2 VWS BIL,330.0,,21.0,297.0,56
CDM,44973761,XR TOE(S) 2+V LT,499.0,,17.0,449.1,56
CDM,44974018,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,68
CDM,44974019,X-RAY EXAM ABDOMEN 2 VIEWS,935.0,,20.71,841.5,68
CDM,44974021,X-RAY EXAM ABDOMEN 3+ VIEWS,1107.0,,14.76,996.3,68
CDM,44974022,XR ABDOMEN AP/DECUB/ERECT/CXR,1108.0,,49.0,997.2,68
CDM,44974220,XR ESOPHAGUS,1151.0,,52.0,1035.9,68
CDM,44974221,XR ESOPHAGUS DOUBLE CONTRAST,1273.0,,40.13,1145.7,68
CDM,44974230,XR SWALLOW CINE/VIDEO,1162.0,,24.0,1045.8,68
CDM,44974240,XR UGI W/O KUB,1511.0,,57.0,1359.9,68
CDM,44974246,XR UGI W/AIR W/O KUB,1936.0,,78.0,1742.4,68
CDM,44974248,XR SM INTEST F-THRU,2218.0,,1109.0,1996.2,55
CDM,44974250,XR SMALL INTESTINE,1591.0,,57.0,1431.9,68
CDM,44974270,XR ENEMA BARIUM,1726.0,,57.0,1553.4,68
CDM,44974280,XR ENEMA BARIUM W/AIR,1944.0,,72.0,1749.6,68
CDM,44974340,INTRODUCTION LONG GI TUBE S&I,709.0,,113.95,638.1,56
CDM,44974400,XR UROGRAM (IVP),1573.0,,79.0,1415.7,68
CDM,44974415,XR UROGRAM W/NEPHROTOMOGRAM,1741.0,,112.0,1566.9,68
CDM,44974420,XR UROGRAM RETROGRADE,1728.0,,56.0,1555.2,68
CDM,44974425,XR UROGRAM ANTEGRADE,1314.0,,70.0,1182.6,68
CDM,44974430,XR CYSTOGRAM 3+V,1221.0,,71.0,1098.9,68
CDM,44974450,XR CYSTOURETHROGRAM RETROGRADE,1162.0,,76.0,1045.8,68
CDM,44974455,XR CYSTOURETHROGRAM VOIDING,1469.0,,59.0,1322.1,68
CDM,44974740,XR HYSTEROSALPINGOGRAM,1326.0,,101.0,1193.4,68
CDM,44974775,XR PERINEOGRAM,1711.0,,130.0,1539.9,68
CDM,44976000,XR FLUORO,1051.0,,10.0,945.9,68
CDM,44976080,XR ABSC SINUS/FISTULA,968.0,,10.0,1426.8,68
CDM,44976120,XR CINE/VIDEO RAD,1020.0,,87.59,918.0,68
CDM,44976125,XR CINE/VIDEO RAD W/ROUTINE,674.0,,19.0,606.6,56
CDM,44977003,FLURO GUIDE NDLE/CATH DX/THERP,1463.0,,84.35,1316.7,55
CDM,44977072,XR BONE AGE STUDIES,478.0,,34.0,430.2,68
CDM,44977073,BONE LENGTH STUDY,719.0,,54.5,647.1,68
CDM,44977075,XR BONE SURVEY COMPLETE,1792.0,,87.59,1612.8,68
CDM,44981025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,44999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,45020526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,45020600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,45020604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,68
CDM,45020605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,45020606,ARTHROCENT JT INTER W/US,2036.0,,570.41,1832.4,68
CDM,45020610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,45020611,"DRAIN/INJ,JOINT/BURSA MAJ 02",1870.0,,243.14,1683.0,68
CDM,45036592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,45076881,US EXTREMITY NON VASCULAR COMP,1688.0,,87.59,1519.2,68
CDM,45076882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,45081002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,45096365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,45100081,SKIN TEST UNLISTED ANTIGEN,102.0,,13.29,91.8,68
CDM,45100216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,45100217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,45100288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,45100292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,45100296,METHYLPRED ACE INJ 40MG,48.0,,0.1104,43.2,68
CDM,45100297,METHYLPRED ACE VL 80MG/ML 1ML,64.0,,0.1104,57.6,68
CDM,45100307,GLUCAGON VL 1MG,636.65,,167.85,572.99,68
CDM,45100330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,45100342,AMINOLEVULINIC ACID SOL 20%,533.6,,266.8,539.12,67
CDM,45100500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,45101010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,45101112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,45103014,TELEHEALTH FACILITY FEE-KRH,78.0,,10.66,70.2,57
CDM,45110655,SETPOINT NCAP SYSTEM (N/C),0.01,,0.005,0.009,56
CDM,45111102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,45111103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,56
CDM,45111104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,45111105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,45111301,SHV LESN TRUNK/ARM 0.6-1.0CM,364.0,,145.6,327.6,68
CDM,45111900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,45113304,TRIAMCIN ACE PF ER MIC INJ 1MG,130.4,,16.84,117.36,68
CDM,45117000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,45117003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,45117004,DEST LESN PREMALIGNANT 15+ LS,1091.0,,329.08,981.9,68
CDM,45117110,DESTRUCT BENIGN LESION,442.0,,163.67,397.8,68
CDM,45120206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,45120526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,45120550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,45120551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,45120552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,45120600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,45120604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,68
CDM,45120605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,45120606,ARTHROCENT JT INTER W/US,2036.0,,570.41,1832.4,68
CDM,45120610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,45120611,"DRAIN/INJ,JOINT/BURSA MAJ 02",1870.0,,243.14,1683.0,68
CDM,45136592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,45164405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,68
CDM,45164445,INJ ANES NERVE SCIATIC SGL,1912.0,,570.41,1720.8,68
CDM,45170491,CT NECK W/CONTRAST,2808.0,,146.63,2527.2,68
CDM,45186485,SKIN TEST CANDIDA,108.0,,1.23,97.2,68
CDM,45186580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,45187880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,45190460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,45190461,IMMUN ADMIN ANY ROUTE EA ADDL,90.0,,45.0,81.0,56
CDM,45190471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,45190472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,45190653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,45190656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,45190662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,45190670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,45190677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,45190686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,45190715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,45190732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,45190750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,45193005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,45194010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,45195886,EMG EA EXTM W/NRV COND COMP,777.0,,92.08,699.3,56
CDM,45195907,NERVE CONDUCTION STUDIES 1-2,1347.0,,89.14,1212.3,68
CDM,45196365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,45196372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,45196373,INJECTION INTRA-ARTERIAL,286.0,,143.0,259.37,68
CDM,45197802,NUTRITION THRPY EVAL 15 MIN,97.0,,30.45,87.3,57
CDM,45198000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,45198001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,45198002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,45198003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,45198004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,45198005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,45198006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,45198007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,45198008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,45198009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,45198010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,45198011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,45198012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,45198013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,45198014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,45198015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,45198016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,45199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,45199245,OFFICE CONSULT LVL V,523.0,,153.0,470.7,57
CDM,45200000,CT CEREBRAL PERFUSION,4734.0,,76.76,4260.6,56
CDM,45200500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,45200633,CT BREAST W/3D UNILAT W/O CONT,4602.0,,87.59,4141.8,68
CDM,45200634,CT BREAST W/3D UNILAT W/CONT,5697.0,,146.63,5127.3,68
CDM,45200635,CT BREAST W/3D UNILAT C-/C+,6982.0,,146.63,6283.8,68
CDM,45200636,CT BREAST W/3D BILAT W/O CONT,7046.0,,199.1,6341.4,68
CDM,45200637,CT BREAST W/3D BILAT W/CONT,7909.0,,294.16,7118.1,68
CDM,45200638,CT BREAST W/3D BILAT C-/C+,8924.0,,294.16,8031.6,68
CDM,45202193,CT PELVIS W/CONTRAST (MOD 59),5861.0,,171.0,5274.9,56
CDM,45205020,CORONARY FFR FROM CTA DATA TRA,3335.0,,838.0,3001.5,68
CDM,45205030,CORONARY FFR FROM CTA DATA MOD,4702.0,,838.0,4231.8,68
CDM,45205571,CT SCREENING CORONARY TULANE,274.0,,48.5,246.6,68
CDM,45206000,CT ABDOMEN W/O CON-P STDY,2482.0,,150.0,2233.8,56
CDM,45206240,AUTO QUANT CORONARY PLAQUE PRE,2500.0,,35.28,2250.0,58
CDM,45206250,AUTO QUANT CORONARY PLAQUE ANA,2500.0,,782.9,2250.0,69
CDM,45211270,CT THORACIC WO/FOL W/CON,6647.0,,146.63,5982.3,68
CDM,45213203,CT UPPER EXT WO/CONTRAST LT,4833.0,,52.0,4349.7,56
CDM,45213204,CT UPPER EXT WO/CONTRAST BIL,7398.0,,52.0,6658.2,56
CDM,45213205,CT UPR EXT W/CONTRAST LT,6421.0,,19.0,5778.9,56
CDM,45213206,CT UPR EXT W/CONTRAST BILAT,8920.0,,19.0,8028.0,56
CDM,45213208,CT UPPER EXT WO/FOL/W BIL,8197.0,,19.0,7377.3,56
CDM,45213703,CT LWR EXT W/O CONTRAST LT,4382.0,,120.0,3943.8,56
CDM,45213704,CT LWR EXT W/O CONTRAST BILAT,7474.0,,120.0,6726.6,56
CDM,45213705,CT LWR EXT W/CONTRAST LT,5979.0,,129.0,5381.1,56
CDM,45215989,CT GUIDE ASBC DRN PER W/CATH,2694.0,,115.0,2424.6,55
CDM,45220501,INJ TRACT SINOGRAM,463.0,,185.2,416.7,56
CDM,45224263,CT SCREENING COLONOGRAPHY,566.0,,199.1,1321.76,68
CDM,45225571,CT SCREENING CORONARY,60.0,,30.0,229.12,68
CDM,45238505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,45245000,TRANRECTAL DRAIN PELVIC ABSCES,2477.0,,971.18,2229.3,68
CDM,45250200,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,56
CDM,45250201,BIOPSY RENAL PERC NDL/TROCR LT,3064.0,,1225.6,2757.6,56
CDM,45250390,ASP/INJ RENAL CYST/PEL PERC RT,2345.0,,938.0,2110.5,56
CDM,45250391,ASP/INJ RENAL CYST/PEL PERC LT,2345.0,,938.0,2110.5,56
CDM,45251600,INJ CYSTOGRAM,1129.0,,451.6,1016.1,56
CDM,45264455,INJ ANES/STEROID NERVE PLANTAR,685.0,,243.14,616.5,68
CDM,45264483,INJ EPIDURAL LUMBAR/SACRAL SGL,3496.0,,733.31,3146.4,68
CDM,45264484,INJ EPIDURAL LUMBAR/SACRAL ADD,1996.0,,798.4,1796.4,56
CDM,45264491,INJ PARAVERT F JNT C/T 2ND LVL,1705.0,,682.0,1534.5,56
CDM,45264492,INJ PARAVERT F JNT C/T 3RD LVL,2127.0,,850.8,1914.3,56
CDM,45264494,INJ PARAVERT F JNT L/S 2ND LVL,2047.0,,818.8,1842.3,56
CDM,45264495,INJ PARAVERT F JNT L/S 3RD LVL,1986.0,,794.4,1787.4,56
CDM,45264502,INJ ANES/STER CERV/THOR SGL BI,4353.0,,1741.2,3917.7,56
CDM,45264505,INJ ANES/STER LUMB/SACR SGL BI,4661.0,,1864.4,4194.9,56
CDM,45270170,DACRYOCYSTOGRAM NASOLACRIMINAL,581.0,,56.0,629.0,68
CDM,45270450,CT HEAD/BRAIN WO/CONTRAST,2704.0,,87.59,2433.6,68
CDM,45270460,CT HEAD/BRAIN W/CONTRAST,5817.0,,146.63,5235.3,68
CDM,45270470,CT HEAD/BRAIN W&W/O CONTRAST,7136.0,,146.63,6422.4,68
CDM,45270480,CT FOS/SEL/EAR W/O CONTRAST,4597.0,,87.59,4137.3,68
CDM,45270481,CT FOS/SEL/EAR W/CONTRAST,5342.0,,146.63,4807.8,68
CDM,45270482,CT FOS/SEL/EAR W&W/O CONTRAST,4059.0,,146.63,3653.1,68
CDM,45270486,CT MAX/FACIAL W/O CONTRAST,4337.0,,87.59,3903.3,68
CDM,45270487,CT MAX/FACIAL W/CONTRAST,4107.0,,146.63,3696.3,68
CDM,45270488,CT MAX/FACIAL W&W/O CONTRAST,5734.0,,146.63,5160.6,68
CDM,45270490,CT NECK W/O CONTRAST,4131.0,,87.59,3717.9,68
CDM,45270491,CT NECK W/CONTRAST,2808.0,,146.63,2527.2,68
CDM,45270492,CT NECK W&W/O CONTRAST,5114.0,,146.63,4602.6,68
CDM,45270496,CTA HEAD W&W/O CONTRAST,6311.0,,146.63,5679.9,68
CDM,45270498,CTA NECK W&W/O CONTRAST,6778.0,,146.63,6100.2,68
CDM,45271250,CT THORAX W/O CONTRAST,2596.0,,87.59,2336.4,68
CDM,45271260,CT THORAX W/CONTRAST,3245.0,,146.63,2920.5,68
CDM,45271271,CT THORAX LUNG CA SCR W/O CONT,362.0,,87.59,325.8,68
CDM,45271275,CTA CHEST W&W/O CONTRAST,2271.0,,146.63,2043.9,68
CDM,45272125,CT C-SPINE W/O CONTRAST,3318.0,,87.59,2986.2,68
CDM,45272126,CT SPINE CERV W/CONTRAST,7344.0,,177.0,6609.6,68
CDM,45272127,CT C-SPINE W&W/O CONTRAST,6131.0,,146.63,5517.9,68
CDM,45272128,CT SPINE THOR WO/CONTRAST,6016.0,,87.59,5414.4,68
CDM,45272129,CT SPINE THOR W/CONTRAST,6643.0,,146.63,5978.7,68
CDM,45272130,CT T-SPINE W&W/O CONTRAST,6439.0,,146.63,5795.1,68
CDM,45272131,CT SPINE LUM WO/CONTRAST,1839.0,,87.59,1655.1,68
CDM,45272132,CT SPINE LUM W/CONTRAST,6469.0,,177.0,5822.1,68
CDM,45272133,CT L-SPINE W&W/O CONTRAST,5992.0,,146.63,5392.8,68
CDM,45272191,CTA PELVIS W&W/O CONTRAST,7251.0,,146.63,6525.9,68
CDM,45272192,CT PELVIS WO/CONTRAST,5519.0,,87.59,4967.1,68
CDM,45272193,CT PELVIS W/CONTRAST,6330.0,,146.63,5697.0,68
CDM,45272194,CT PELVIS W&W/O CONTRAST,8866.0,,146.63,7979.4,68
CDM,45273200,CT UPR EXT W/O CONTRAST RT,4833.0,,52.0,4349.7,56
CDM,45273201,CT UPR EXT W/CONTRAST RT,6421.0,,19.0,5778.9,56
CDM,45273206,CTA UPR EXT W&W/O CONTRAST,6968.0,,117.5,6271.2,68
CDM,45273700,CT LWR EXT W/O CONTRAST RT,4382.0,,120.0,3943.8,56
CDM,45273701,CT LWR EXT W/CONTRAST RT,5979.0,,129.0,5381.1,56
CDM,45273706,CTA LWR EXT W&W/O CONTRAST,6183.0,,117.5,5564.7,68
CDM,45274018,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,68
CDM,45274019,X-RAY EXAM ABDOMEN 2 VIEWS,935.0,,20.71,841.5,68
CDM,45274021,X-RAY EXAM ABDOMEN 3+ VIEWS,1107.0,,14.76,996.3,68
CDM,45274150,CT ABDOMEN W/O CONTRAST,7916.0,,87.59,7124.4,68
CDM,45274160,CT ABDOMEN W/CONTRAST,8106.0,,146.63,7295.4,68
CDM,45274170,CT ABDOMEN W&W/O CONTRAST,11048.0,,146.63,9943.2,68
CDM,45274174,CT ABD/PEL W/WO CONTRAST POST,3137.0,,294.16,2823.3,68
CDM,45274175,CTA ABDOMEN W&W/O CONTRAST,8560.0,,146.63,7704.0,68
CDM,45274176,CT ABD & PELVIS W/O CONTRAST,4651.0,,199.1,4185.9,68
CDM,45274177,CT ABD & PELVIS W/CONTRAST,5200.0,,233.17,4680.0,68
CDM,45274178,CT ABD & PELV W&W/O CONT 1+,6448.0,,294.16,5803.2,68
CDM,45274261,CT COLONOGRAPHY W/O CNTRST,2936.0,,87.59,2642.4,68
CDM,45274262,CT COLONOGRAPHY W/ CNTRST,2986.0,,146.63,2687.4,68
CDM,45274430,XR CYSTOGRAM 3+V,1221.0,,71.0,1098.9,68
CDM,45275571,CT HRT W/O CNTRST W/CA TEST,335.0,,48.5,301.5,68
CDM,45275572,CT HRT W/3D IMAGE,5103.0,,278.5,4592.7,69
CDM,45275573,CT HRT W/3D IMAGE CONGEN,5558.0,,294.16,5002.2,69
CDM,45275574,CT ANGIO HRT W/3D IMAGE,6931.0,,294.16,6237.9,69
CDM,45275635,CTA ABDOMINAL AORTA W/RUNOFF,10132.0,,146.63,9118.8,68
CDM,45276377,CT 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,45276380,CT LIMITED OR LOCALIZED STUD,2850.0,,56.0,2565.0,68
CDM,45277014,CT GUID PLACE RAD THRPY FIELDS,3166.0,,170.16,2849.4,55
CDM,45277073,BONE LENGTH STUDY,719.0,,54.5,647.1,68
CDM,45286002,CT CHEST W/CON-P STDY,3245.0,,177.0,2920.5,56
CDM,45286009,CT ABDOMEN W/CON-P STDY,2744.0,,174.0,2469.6,56
CDM,45286030,CTA HEAD-P STDY,1935.0,,186.5,1741.5,56
CDM,45286034,CTA CHEST-P STDY,2271.0,,273.89,2043.9,56
CDM,45286036,CTA ABDOMEN-P STDY,2683.0,,219.0,2414.7,56
CDM,45300228,MAMMO SCREEN BILAT DIG IMAGE,475.0,,107.0,427.5,56
CDM,45300229,MAMMO BILAT DIG IMAGE,630.0,,133.0,567.0,56
CDM,45300230,MAMMO UNILAT DIG IMAGE LT,475.0,,125.0,427.5,56
CDM,45300380,MAMMARY DUCTOGRAM MULTI RT,1125.0,,16.0,1012.5,56
CDM,45300381,MAMMO UNILAT DIG IMAGE RT,475.0,,125.0,427.5,56
CDM,45300384,US GUIDED CLIP PLACEMENT LT,1433.0,,91.0,1289.7,55
CDM,45300385,US GUIDED CLIP PLACEMENT ONLY,1751.0,,91.0,1575.9,55
CDM,45300386,US GUIDED CORE BIOPSY LT,1751.0,,91.0,1575.9,55
CDM,45300387,US GUIDED FNA BIOPSY RT,1433.0,,91.0,1289.7,55
CDM,45300397,PERFLUTREN VL 6.25MG/ML 2ML,553.0,,50.26,497.7,55
CDM,45300442,ULTRASOUND BREAST COMPLETE RT,1228.0,,99.32,1105.2,56
CDM,45300443,US BREAST UNILAT LTD W/DOC RT,1005.0,,82.01,904.5,56
CDM,45300445,US BREAST UNILAT COMPLETE BIL,1841.0,,99.32,1656.9,56
CDM,45300446,US BREAST UNILAT LTD W/DOC BIL,1381.0,,82.01,1242.9,56
CDM,45300547,BX NDLE W/REFLECT SCOUT 5CM,1026.0,,78.0,923.4,62
CDM,45300548,BX NDLE W/REFLECT SCOUT 7.5CM,1030.0,,78.0,927.0,62
CDM,45300549,BX NDLE W/REFLECT SCOUT 10CM,1029.0,,78.0,926.1,62
CDM,45300551,NDL BRST LOC HAWKINS 20GX7.5CM,112.0,,56.0,205.26,62
CDM,45300552,NDL BRST LOC HAWKINS 20GX1.0CM,112.0,,56.0,205.26,62
CDM,45300553,GUIDE BPSY HYDRO 15G PERC OPEN,234.0,,78.0,210.6,57
CDM,45300555,MARKER BRST ULTRACLIP 17GX10CM,232.0,,78.0,208.8,62
CDM,45300556,NDL BX TEMNO EVOLUTION 16GX11,170.0,,85.0,153.0,56
CDM,45300557,INST BX MONOPTY 14GX10,110.0,,55.0,99.0,56
CDM,45300558,SET INFUSION GALACTOGRAPHY 30,128.0,,64.0,115.2,56
CDM,45300559,INTRO SUROS ATEC HYDRO 9G OPEN,242.0,,121.0,217.8,61
CDM,45300560,GUIDE PROBE MAMMO 10G BUTTON,26.0,,13.0,23.4,56
CDM,45300561,PROBE MAMMOTOME STEREO 10GX9CM,590.0,,295.0,531.0,56
CDM,45300562,SYS REPLACE TISSUE MGMT 10G,204.0,,102.0,183.6,56
CDM,45300563,BX SITE ID MAMMO BARBELL 10G,234.0,,117.0,210.6,61
CDM,45300564,BX SITE ID MAMMO TRIBELL 10G,234.0,,117.0,210.6,61
CDM,45300565,CANS MAMMOTOME VACUUM 800ML,32.0,,16.0,28.8,56
CDM,45300566,PROBE 13G US MAMMOTOME ELITE,604.0,,302.0,543.6,56
CDM,45300567,MAMMOTOME STEREO 10GX12CM,562.0,,281.0,505.8,56
CDM,45300569,NDL BX TEMNO EVOLUTION 18GX11,170.0,,85.0,153.0,56
CDM,45300570,NDL COAXIAL BX 13GX7.8CM,24.0,,12.0,21.6,56
CDM,45300571,MAM3014BX SITE MARKER 14G,219.0,,78.0,205.26,62
CDM,45300572,NDL BREAST HAWKINS 20G X 5CM,116.0,,58.0,205.26,62
CDM,45300577,INST BX MONOPTY 16GX10CM,110.0,,55.0,99.0,56
CDM,45300578,MARKER BREAST RANFAC 20G,114.0,,57.0,205.26,62
CDM,45300579,INTRODUCER BIOPSY CELERO 12G,58.0,,29.0,52.2,56
CDM,45300581,DEVICE BIOPSY BREAST CELERO,511.0,,255.5,459.9,56
CDM,45300582,DVC BX BREAST NDL SERTA 14G,199.0,,99.5,179.1,56
CDM,45300583,INTRODUCER BIOPSY SERTERA 14G,65.0,,32.5,58.5,56
CDM,45300584,INST BX CORE MISSION 16GAX10CM,140.0,,70.0,126.0,56
CDM,45300587,NEEDLE BIOPSY MAXCORE 16GX10,121.0,,60.5,108.9,56
CDM,45300588,IDENTIFIER MAMMOMARK V 10G,253.0,,126.5,227.7,56
CDM,45300589,SYS BREAST MARKING 20GX10CM,118.0,,59.0,205.26,62
CDM,45300602,PROBE BX BREAST ENCOR 10G,480.0,,240.0,432.0,56
CDM,45300603,PROBE BX BREAST ENCOR 12G,480.0,,240.0,432.0,56
CDM,45300604,SYS US STYLET W/CANNULA 20G,104.0,,52.0,93.6,56
CDM,45300606,PROBE BX BREAST 14G STER,2434.0,,1217.0,2190.6,56
CDM,45300607,PROBE BX BREAST 12G STER,2434.0,,1217.0,2190.6,56
CDM,45300620,HANDPIECE ATEC STX/US,2301.0,,1150.5,2070.9,56
CDM,45300685,SYS US STYLET W/CANNULA 12G,104.0,,52.0,93.6,56
CDM,45300686,VACUUM ENCOR ULTRA,65.0,,32.5,58.5,56
CDM,45301710,MARKER BX ULTRACOR TWIRL 17G,754.0,,78.0,678.6,62
CDM,45303014,TELEHEALTH FACILITY FEE-KDB,78.0,,10.66,70.2,57
CDM,45304801,MARKER SECURMARK ATEC,1495.0,,78.0,1345.5,62
CDM,45304802,MARKER BIOPSY BREAST TUMARK,1427.0,,78.0,1284.3,62
CDM,45304803,MARKER BX BREAST TUMARK VISION,1749.0,,78.0,1574.1,62
CDM,45304804,GUIDE NEEDLE EVIVA,117.0,,58.5,105.3,56
CDM,45304805,HANDPIECE EVIVA STX,2301.0,,1150.5,2070.9,56
CDM,45304806,MARKER BREAST BX EVIVA TRIMARK,1427.0,,78.0,1284.3,62
CDM,45304807,CANISTER SUCTION ATEC W/LID,117.0,,58.5,105.3,56
CDM,45304808,FILTER TISSUE ATEC DISPOSABLE,69.0,,34.5,62.1,56
CDM,45307063,BREAST TOMOSYNTH UNI SCR P-STY,161.0,,20.71,144.9,56
CDM,45307067,SCR MAMMO UNI INC CAD P-STUDY,163.0,,81.5,234.09,56
CDM,45308169,CRYOPROBE ROUND ICE LNG 1.7,2278.0,,257.96,2050.2,57
CDM,45308170,CRYOPROBE RT ANG VARIABLE 2.4,2659.0,,257.96,2393.1,57
CDM,45308505,BX/EXC LMPH NODE SUPER NDL RT,2028.0,,811.2,1825.2,56
CDM,45308932,US EXT NON VASCULAR LTD LT,1232.0,,39.88,1108.8,56
CDM,45308933,US EXT NON VASCULAR LTD RT,1232.0,,39.88,1108.8,56
CDM,45309283,PERQ DEV BREAST 1ST STRTCTC LT,4262.0,,1704.8,3835.8,56
CDM,45309615,FILTER TISSUE BREV 12 CHAMBER,52.0,,26.0,46.8,56
CDM,45309616,NEEDLE BREVERA 9GA X 13CM STD,519.0,,259.5,467.1,56
CDM,45310005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,45310006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,45310007,FNA BX W/FLUOR GDN 1ST LES,1920.0,,579.53,1728.0,68
CDM,45310008,FNA BX W/FLUOR GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,45310009,FNA BX W/CT GDN 1ST LES,1920.0,,579.53,1728.0,68
CDM,45310010,FNA BX W/CT GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,45310035,PL LOCAL DVC TISSUE 1ST LES,3976.0,,579.53,3578.4,68
CDM,45310036,PL LOCAL DVC TISSUE ADD LES,1778.0,,711.2,1600.2,56
CDM,45310120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,45310581,ABL BRST MAL TMR CRYO UNIL,9297.0,,3154.08,8367.3,68
CDM,45311104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,45316942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,45317065,DX MAMMO INCL CAD UNI RT,475.0,,125.0,427.5,56
CDM,45317067,SCREENING MAMMOGRAM-UNINSURED,90.0,,45.0,234.09,56
CDM,45318505,BX/EXC LMPH NODE SUPER NDL LT,2028.0,,811.2,1825.2,56
CDM,45319000,PUNCTURE ASP BRST CYST,841.0,,336.4,866.14,68
CDM,45319001,PUNCTURE ASP BRST EA ADD CYST,266.0,,106.4,239.4,56
CDM,45319030,INJ DUCTOGRAM/GALACTOGRAM,884.0,,353.6,795.6,56
CDM,45319081,BX BREAST 1ST LESN STRTCTC,4602.0,,1334.55,4141.8,68
CDM,45319082,BX BREAST ADD LESN STRTCTC,3868.0,,1547.2,3481.2,56
CDM,45319083,BX BREAST 1ST LESN US IMAG,3848.0,,1334.55,3463.2,68
CDM,45319084,BX BREAST ADD LESN US IMAG,2723.0,,1089.2,2450.7,56
CDM,45319105,ABLAT CRYOSURGICAL FIBROADE,9297.0,,3154.08,8367.3,68
CDM,45319281,PERQ DEVICE BREAST 1ST IMAG,2454.0,,981.6,2208.6,68
CDM,45319282,PERQ DEVICE BREAST ADD IMAG,1721.0,,688.4,1548.9,56
CDM,45319283,PERQ DEV BREAST 1ST STRTCTC,4262.0,,579.53,3835.8,68
CDM,45319284,PERQ DEV BREAST ADD STRTCTC,3581.0,,1432.4,3222.9,56
CDM,45319285,PERQ DEV BREAST 1ST US IMAG,3456.0,,579.53,3110.4,68
CDM,45319286,PERQ DEV BREAST ADD US IMAG,2723.0,,1089.2,2450.7,56
CDM,45319287,PERQ DEV BREAST 1ST MR GUIDE,4602.0,,579.53,4141.8,68
CDM,45329283,PERQ DEV BREAST 1ST STRTCTC RT,4262.0,,1704.8,3835.8,56
CDM,45329499,BX BREAST W/TOMO GUIDANCE LT,3946.0,,1578.4,3551.4,56
CDM,45338505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,45349499,BX BREAST W/TOMO GUIDANCE RT,3946.0,,1578.4,3551.4,56
CDM,45376604,US CHEST,949.0,,87.59,854.1,68
CDM,45376641,ULTRASOUND BREAST COMPLETE LT,1228.0,,99.32,1105.2,56
CDM,45376642,US BREAST UNILAT LTD W/DOC LT,1005.0,,82.01,904.5,56
CDM,45376882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,45376942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,45377053,MAMMARY DUCTOGRAM RT,978.0,,25.0,880.2,56
CDM,45377054,MAMMARY DUCTOGRAM MULTI LT,1125.0,,16.0,1012.5,56
CDM,45377061,BREAST TOMOSYNTHESIS UNILAT,584.0,,39.76,525.6,56
CDM,45377062,BREAST TOMOSYNTHESIS BILAT,584.0,,39.76,525.6,56
CDM,45377063,BREAST TOMOSYNTHESIS BI SCRN,475.0,,20.71,427.5,56
CDM,45377065,DX MAMMO INCL CAD UNI LT,475.0,,125.0,427.5,56
CDM,45377066,DX MAMMO INCL CAD BI 01,584.0,,133.0,525.6,56
CDM,45377067,SCR MAMMO BI INCL CAD,475.0,,107.0,427.5,56
CDM,45396374,THERAPY/PRO/DX/IV PUSH INIT,540.0,,173.54,486.0,68
CDM,45398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,45398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,45398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,45398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,45398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,45398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,45398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,45398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,45398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,45398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,45398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,45398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,45398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,45398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,45398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,45398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,45398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,45399203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,45399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,45400307,GLUCAGON VL 1MG,636.65,,167.85,572.99,68
CDM,45400390,MRI LWR EXT JT W/O CON-P STY,4511.0,,300.0,4059.9,56
CDM,45400674,GADOPICLENOL 485.1MG/ML 3ML VL,69.93,,4.16,62.94,55
CDM,45400676,GADOPICLENOL 485.1MG/ML 7.5ML,172.2,,4.16,154.98,55
CDM,45400677,GADOPICLENOL 485.1MG/ML 10ML,179.9,,4.16,161.91,55
CDM,45400678,GADOPICLENOL 485.1MG/ML 30ML,525.0,,4.16,472.5,55
CDM,45400679,GADOPICLENOL 485.1MG/ML 50ML,876.0,,4.16,788.4,55
CDM,45408400,LEVSIN SUB-LINGUAL 0.125MG TAB,2.0,,0.512,1.8,55
CDM,45408937,MRI BREAST CAD W/PHYS REVIEW,221.0,,110.5,199.69,56
CDM,45410035,PL LOCAL DVC TISSUE 1ST LES,3976.0,,579.53,3578.4,68
CDM,45412151,MRI SPINE SACRUM WO/CONTRAST,3461.0,,199.1,3114.9,68
CDM,45412160,MRI SPINE SACRUM WO/FOL/W,10567.0,,294.16,9510.3,68
CDM,45412200,"MRA W/O CONT, PELVIS",4282.0,,199.1,3853.8,68
CDM,45413732,"MRA W/O FOL W/CONT, LWR EXT LT",7577.0,,294.16,6819.3,68
CDM,45413733,"MRA W/O FOL W/CONT, LWR EX BIL",11367.0,,294.16,10230.3,68
CDM,45419085,BX BREAST 1ST LESION MR IMAG,4602.0,,1334.55,4141.8,68
CDM,45419086,BX BREAST ADD LESION MR IMAG,3868.0,,1547.2,3481.2,56
CDM,45419287,PERQ DEV BREAST 1ST MR GUIDE,4602.0,,579.53,4141.8,68
CDM,45419288,PERQ DEV BREAST ADD MR GUIDE,3581.0,,1432.4,3222.9,56
CDM,45420206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,45420606,ARTHROCENT JT INTER W/US,2036.0,,570.41,1832.4,68
CDM,45423221,MRI UPR EXT JNT W/O CON LT,6165.0,,300.0,5548.5,56
CDM,45423222,MRI UPR EXT JNT W/CON LT,6568.0,,349.0,5911.2,56
CDM,45423718,MRI LWR EXT W/O CON LT,6355.0,,460.26,5719.5,56
CDM,45423720,MRI LWR EXT W&W/O CON LT,7756.0,,300.0,6980.4,56
CDM,45423721,MRI LWR EXT JNT W/O CON LT,3677.0,,300.0,3309.3,56
CDM,45433219,MRI UPPER EXT. W/CONTRAST BI,8265.0,,300.0,7438.5,56
CDM,45433221,MRI UPR EXT JNT W/O CON BILAT,9246.0,,300.0,8321.4,56
CDM,45433718,MRI LWR EXT W/O CON BIL,9533.0,,460.26,8579.7,56
CDM,45433721,MRI LWR EXT JNT W/O CON BIL,5516.0,,300.0,4964.4,56
CDM,45438505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,45463226,MRA UPPER EXT WO/FOL/W LT,2850.0,,294.16,2565.0,68
CDM,45463227,MRA UPPER EXT WO/FOL/W RT,2850.0,,736.24,2565.0,57
CDM,45470336,MRI TMJ UNILAT OR BILAT,4026.0,,199.1,3623.4,68
CDM,45470540,MRI ORBIT/FACE/NECK W/O CON,8507.0,,199.1,7656.3,68
CDM,45470542,MRI ORBIT/FACE/NECK W/CONTRAST,3789.0,,294.16,3410.1,68
CDM,45470543,MRI ORBIT FACE & NECK WO/FOL/W,8507.0,,294.16,7656.3,68
CDM,45470544,MRA HEAD W/O CONTRAST,2380.0,,199.1,2142.0,68
CDM,45470546,MRA HEAD W&W/O CONTRAST,7015.0,,294.16,6313.5,68
CDM,45470547,MRA NECK W/O CONTRAST,4858.0,,199.1,4372.2,68
CDM,45470549,MRA NECK WO/FOL/W CONTRAST,3028.0,,294.16,2725.2,68
CDM,45470551,MRI BRAIN W/O CON,3894.0,,199.1,3504.6,68
CDM,45470552,MRI BRAIN W/CONTRAST,7992.0,,294.16,7192.8,68
CDM,45470553,MRI BRAIN W&W/O CON,5949.0,,294.16,5354.1,68
CDM,45470554,FUNCTIONAL MRI BRAIN TECH,5325.0,,199.1,4792.5,68
CDM,45471550,MRI CHEST W/O CONTRAST,6854.0,,199.1,6168.6,68
CDM,45471552,MRI CHEST W&W/O CON,10255.0,,294.16,9229.5,68
CDM,45471555,MRA CHEST W/ OR W/O CONTRAST,6949.0,,294.16,6254.1,68
CDM,45472141,MRI SPINE CERV WO/CONTR,3894.0,,199.1,3504.6,68
CDM,45472142,MRI SPINE CERV W/CONTRAST,8148.0,,294.16,7333.2,68
CDM,45472146,MRI T-SPINE W/O CON,3786.0,,199.1,3407.4,68
CDM,45472147,MRI SPINE THOR W/CONTRAST,9035.0,,294.16,8131.5,68
CDM,45472148,MRI SPINE LUMBAR WO/CONTRAST,4002.0,,199.1,3601.8,68
CDM,45472149,MRI SPINE LUMBAR W/CONTR,8627.0,,294.16,7764.3,68
CDM,45472156,MRI C-SPINE W&W/O CON,10567.0,,294.16,9510.3,68
CDM,45472157,MRI T-SPINE W&W/O CON,9785.0,,294.16,8806.5,68
CDM,45472158,MRI L-SPINE W&W/O CON,5624.0,,294.16,5061.6,68
CDM,45472159,MRA SPINAL CANAL W/CONTRAST,4814.0,,294.16,4332.6,68
CDM,45472195,MRI PELVIS W/O CON LTD,3461.0,,199.1,3114.9,68
CDM,45472197,MRI PELVIS W&W/O CON,10567.0,,294.16,9510.3,68
CDM,45472198,MRA PELVIS W/ OR W/O CONTRAST,6288.0,,294.16,5659.2,68
CDM,45473218,MRI UPR EXT W/O CON RT,6159.0,,417.0,5543.1,56
CDM,45473220,MRI UPR EXT W&W/O CON RT,7679.0,,300.0,6911.1,56
CDM,45473221,MRI UPR EXT JNT W/O CON RT,6165.0,,300.0,5548.5,56
CDM,45473222,MRI UPR EXT JNT W/CON RT,6568.0,,349.0,5911.2,56
CDM,45473223,MRI UPR EXT JNT W&W/O RT,7808.0,,433.0,7027.2,56
CDM,45473225,MRA UPR EXT W/W/O CON RT,5114.0,,294.16,4602.6,68
CDM,45473718,MRI LWR EXT W/O CON RT,6355.0,,460.26,5719.5,56
CDM,45473719,MRI LWR EXT W/CON RT,5453.0,,300.0,4907.7,56
CDM,45473720,MRI LWR EXT W&W/O CON RT,7756.0,,300.0,6980.4,56
CDM,45473721,MRI LWR EXT JNT W/O CON RT,3677.0,,300.0,3309.3,56
CDM,45473722,MRI LWR EXT JNT W/CON RT,8654.0,,957.88,7788.6,56
CDM,45473723,MRI LWR EXT JNT W&W/O CON RT,8651.0,,736.24,7785.9,56
CDM,45473725,MRA LWR EXT W/W/O CON RT,5180.0,,736.24,4662.0,57
CDM,45474181,MRI ABDOMEN W/O CON,7850.0,,199.1,7065.0,68
CDM,45474182,MRI ABDOMEN W/CON,6350.0,,294.16,5715.0,68
CDM,45474183,MRI ABDOMEN W&W/O CON,4543.0,,294.16,4088.7,68
CDM,45474185,MRA ABDOMEN W/W/O CON,6225.0,,294.16,5602.5,68
CDM,45474712,MRI FETAL SINGLE 1ST GESTATION,6012.0,,199.1,5410.8,68
CDM,45474713,MRI FETAL EACH ADDL GESTATION,6350.0,,289.08,5715.0,55
CDM,45475565,MRI CARDIAC W/O CONTRAST QUANT,6779.0,,85.45,6101.1,55
CDM,45476377,MRI 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,45476390,MRI SPECTROSCOPY,3808.0,,72.52,3427.2,68
CDM,45476391,MR ELASTOGRAPHY,7850.0,,130.18,7065.0,68
CDM,45477021,MRI GUIDE NEEDLE PLACE,4965.0,,613.0,4468.5,55
CDM,45477046,MRI BREAST W/O CONTRAST UNILAT,5011.0,,199.1,4509.9,68
CDM,45477047,MRI BREAST W/O CONTRAST BILAT,7518.0,,199.1,6766.2,68
CDM,45477048,MRI BREAST W/O&W CONT UNILAT,6295.0,,363.95,5665.5,56
CDM,45477049,MRI BREAST W/O&W CONT BILAT,9441.0,,294.16,8496.9,68
CDM,45477058,MRI BREAST UNI W&/ORW/O CON RT,5011.0,,736.24,4509.9,57
CDM,45486000,MR ABDOMEN W/O CON-P STDY,3308.0,,439.83,2977.2,56
CDM,45486001,MR C-SPINE W/O CON-P STDY,3894.0,,460.26,3504.6,56
CDM,45486003,MRI BRAIN W/O CON-P STDY,3894.0,,300.0,3504.6,56
CDM,45486004,MR L-SPINE W/O CON-P STDY,4002.0,,300.0,3601.8,56
CDM,45486006,MR PELVIS W/O CON-P STDY,3461.0,,441.0,3114.9,56
CDM,45486007,MR UPR EXT NON JNT W/O-P STY,2085.0,,417.0,1876.5,56
CDM,45486008,MR T-SPINE W/O CON-P STDY,3786.0,,300.0,3407.4,56
CDM,45486009,MR UPR EXT JNT W/O CON-P STDY,2276.0,,300.0,2048.4,56
CDM,45486010,MR BREAST W&/OR W/O CON-P STDY,1697.0,,736.24,1527.3,57
CDM,45486015,MR LWR EXT JNT W/O CON-P STDY,3677.0,,300.0,3309.3,56
CDM,45486016,MR LWR EXT NON JNT-P STDY,2153.0,,460.26,1937.7,56
CDM,45486100,MR ANGIO HEAD-P STDY,1789.0,,497.0,1610.1,56
CDM,45486101,MR ANGIO NECK-P STDY,3028.0,,472.0,2725.2,56
CDM,45492151,MRI PELVIS W/CONTRAST,5681.0,,294.16,5112.9,68
CDM,45500001,MISC INJECTABLE DRUG,0.01,,0.00256,0.009,55
CDM,45500022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,45500027,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
CDM,45500119,RITUXIMAB-PVVR 10MG BU/100MG,114.4,,25.62,102.96,68
CDM,45500135,TOCILIZ-AAZG 1MG BU PER 80MG,20.4,,4.07,18.36,68
CDM,45500174,DOCETAXEL 20MG/1ML VIAL,98.0,,0.4636,88.2,55
CDM,45500187,HUMATE-P 1IU/500-999IU VIAL,8.9,,1.21,8.01,68
CDM,45500216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,45500217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,45500227,ISATUXIMAB-IRFC 10MG BU/100MG,401.38,,66.67,361.24,68
CDM,45500282,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,68
CDM,45500287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,45500298,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,45500308,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,55
CDM,45500309,HYDROCORT NA SUC INJ 100MG-IT,28.27,,14.13,25.86,55
CDM,45500310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,45500311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,45500312,FUROSEMIDE INJ 20MG,3.2,,0.0244,2.88,55
CDM,45500335,VIT B12 VL 1000MCG/ML 1ML,9.1,,1.16,8.19,55
CDM,45500361,PAP SMEAR SCREEN,107.0,,20.18,96.3,68
CDM,45500490,BELIMUMAB 10MG BU PER 120MG VL,276.01,,46.18,248.41,68
CDM,45500500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,45500561,BICILLIN L-A 100000U/1200000U,2.0,,1.0,41.26,68
CDM,45500562,PLERIXAFOR 1MG BU PER 24MG VL,36.1,,18.05,365.29,68
CDM,45500590,MENQUADFI 10MCG/0.5ML SDV,668.3,,334.15,601.47,54
CDM,45500656,AFLURIA TRIVA PFS 2024-25,146.79,,20.5,132.11,56
CDM,45500911,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,55
CDM,45500938,FUROSEMIDE 1MG BU PER 40MG VL,2.0,,0.0244,1.8,55
CDM,45501050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,45501057,HYDROMORPHONE 2MG/ML 1ML VIAL,13.4,,0.1098,12.06,56
CDM,45501115,RITUXIMAB-ABBS 10MG BU/100MG,139.5,,27.03,125.55,68
CDM,45501119,RITUXIMAB-PVVR 10MG BU/500MG,114.4,,25.62,102.96,68
CDM,45501135,TOCILIZ-AAZG 1MG BU PER 200MG,23.2,,4.07,20.88,68
CDM,45501171,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,56
CDM,45501173,IMFINZI 10MG BU PER 120MG VIAL,419.58,,76.02,377.62,68
CDM,45501174,DOCETAXEL 80MG/4ML VIAL,100.44,,0.4636,90.4,55
CDM,45501175,DONANEMAB-AZBT 2MG BU PER 350,30.3,,3.8,27.27,68
CDM,45501176,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,68
CDM,45501187,HUMATE-P 1IU/1000-1600IU VIAL,8.9,,1.21,8.01,68
CDM,45501202,GOSER ACE 3.6MG BU PER 10.8MG,1569.88,,435.0,1412.89,69
CDM,45501217,LEUP ACE 7.5MG BU / 7.5MG SYR,595.77,,162.33,536.19,69
CDM,45501227,ISATUXIMAB-IRFC 10MG BU/500MG,401.31,,66.67,361.18,68
CDM,45501262,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,68
CDM,45501264,PACLITAX ALB 1MG BU PER 100MG,85.4,,8.25,76.86,69
CDM,45501308,FAMOTIDINE 20MG/2ML VIAL,2.0,,0.0122,1.8,56
CDM,45501459,PRIVIGEN 500MG BU PER 5GM/50ML,250.25,,41.5,225.22,68
CDM,45501490,BELIMUMAB 10MG BU PER 400MG VL,275.38,,46.18,247.84,68
CDM,45501750,INFED 50MG BU PER 100MG/2ML VL,116.5,,15.01,104.85,68
CDM,45501919,METHYLPRED 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
CDM,45501938,FUROSEMIDE 1MG BU PER 20MG VL,13.7,,0.0244,12.33,55
CDM,45502115,RITUXIMAB-ABBS 10MG BU/500MG,147.07,,27.03,132.36,68
CDM,45502135,TOCILIZ-AAZG 1MG BU PER 400MG,23.2,,4.07,20.88,68
CDM,45502173,IMFINZI 10MG BU PER 500MG VIAL,426.44,,109.17,383.8,56
CDM,45502176,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,68
CDM,45502187,HUMATE-P 1IU/1600-3000IU VIAL,8.9,,1.21,8.01,68
CDM,45502202,GOSER ACE 3.6MG BU PER 3.6MG,1569.16,,435.0,1412.24,69
CDM,45502262,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,68
CDM,45502459,PRIVIGEN 500MG BU PER 10GM VL,250.25,,41.5,225.22,68
CDM,45502919,METHYLPRED 5MG BU PER 125MG VL,0.6,,0.1932,0.54,68
CDM,45502938,FUROSEMIDE 1MG BU PER 100MG VL,2.0,,0.0244,1.8,55
CDM,45503014,TELEHEALTH FACILITY FEE-SCT,78.0,,10.66,70.2,57
CDM,45503111,ROMOSOZUMAB 1MG BU PER 105MG,160.8,,9.01,144.72,68
CDM,45503262,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,68
CDM,45503459,PRIVIGEN 500MG BU PER 20GM VL,249.55,,41.5,224.59,68
CDM,45503919,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,68
CDM,45504217,LEUP ACE 7.5MG BU / 30MG SYR,83.9,,41.95,517.5,69
CDM,45504459,PRIVIGEN 500MG BU PER 40GM VL,250.25,,41.5,225.22,68
CDM,45504999,INJ BOTOX HND/FT/UNSPEC OTHER,752.0,,243.14,676.8,68
CDM,45505114,TRASTUZ-DKST 10MG BU PER 150MG,163.87,,37.07,147.48,68
CDM,45505217,LEUP ACE 7.5MG BU / 45MG SYR,50.2,,25.1,517.5,69
CDM,45508361,ADAKVEO 5MG BU PER 100MG/10ML,660.24,,119.12,594.22,68
CDM,45509267,PACLITAXEL 300MG/50ML VL,210.0,,0.1342,189.0,55
CDM,45510021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,266.4,599.4,68
CDM,45510131,ACETAMIN VL 10MG,16.2,,0.061,14.58,55
CDM,45510180,AGALSIDASE  VL 1MG,705.9,,109.5,635.31,69
CDM,45510208,SOD THIOSULFATE INJ 100MG,7.9,,3.95,130.78,68
CDM,45510209,SODIUM THIOSULFATE 12.5G/50ML,691.25,,1.13,622.12,56
CDM,45510592,BUPRENORPHINE INJ 0.1MG,30.8,,4.48,27.72,55
CDM,45510692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,45510696,CEFTRIAXONE VL 250MG,2.2,,0.5856,1.98,55
CDM,45510780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,55
CDM,45510834,COSYNTROPIN VL 0.25MG-IT,165.97,,34.18,149.37,55
CDM,45510885,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,69
CDM,45511050,MEDROXYPROG INJ 1MG IT,2.0,,0.56,1.8,56
CDM,45511100,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,55
CDM,45511104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,45511105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,45511106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,45511107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,45511200,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,55
CDM,45511335,ERTAPENEM VL 500MG,7.0,,3.5,32.8,55
CDM,45511439,FERRIC CARBOXYMALTOSE IV 1MG,7.1,,1.02,6.39,68
CDM,45511459,IMMUNE GLOBULIN IV 500MG,250.25,,41.5,225.22,68
CDM,45511569,IMMUN GLOB IV GAMMAGARD 500MG,226.38,,41.69,203.74,68
CDM,45511720,HYDROCORT NA SUC INJ 100MG IT,28.27,,14.13,25.86,55
CDM,45511750,IRON DEXTRAN VL 50MG/ML 1ML,116.5,,15.01,104.85,68
CDM,45511756,IRON SUCROSE VL 1MG,2.6,,0.22,2.34,56
CDM,45511885,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,67
CDM,45511900,INJ INTRALESNAL,350.0,,163.67,315.0,68
CDM,45512175,MEPERIDINE INJ 100MG/ML 1ML IT,9.4,,4.7,19.14,55
CDM,45512270,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,45512323,NATALIZUMAB VL 1MG,44.3,,21.63,39.87,68
CDM,45512405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,56
CDM,45512543,PIPER/TAZO VL 1/0.125GM,2.0,,1.0,1.8,55
CDM,45512550,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,55
CDM,45512765,METOCLOPRAMIDE VL 10MG IT,6.2,,1.04,5.58,55
CDM,45512997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,45513420,VIT B12 VL 1000MCG/ML 1ML,6.0,,1.16,5.4,55
CDM,45513475,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,55
CDM,45513480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,55
CDM,45519144,DARATUMUMAB/HYAL SQ 10MG,270.48,,51.12,243.43,68
CDM,45519202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,69
CDM,45521555,EXC TUMR NECK/CHEST SQ <3CM,6480.0,,1334.55,5832.0,68
CDM,45536415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,45536430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,45536455,TRANSFUS EXCHG BLOOD,3446.0,,360.1,3101.4,68
CDM,45536589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,45536591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,45536592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,45536593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,45538220,ASP BONE MARROW ONLY (N/C),0.01,,0.004,1994.58,68
CDM,45538221,BONE MARROW BIOPSY,0.01,,0.004,1994.58,68
CDM,45538222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,45545109,PEGFILGRASTIMJMDB SQ 0.5MG,168.69,,84.34,151.82,68
CDM,45562270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,68
CDM,45564721,NEUROPLASTY CARPAL TUNNEL,5522.0,,1608.45,4969.8,68
CDM,45570004,GAMMAGARD LIQ 500MG BU/5000MG,226.38,,41.69,203.74,68
CDM,45570005,GAMMAGARD 500MG BU/10000MG VL,226.38,,41.69,203.74,68
CDM,45570006,GAMMAGARD 500MG BU/20000MG VL,226.38,,41.69,203.74,68
CDM,45570007,GAMMAGARD 500MG BU/30000MG VL,226.87,,41.69,204.18,68
CDM,45570008,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,45570009,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,45570010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,45580306,DRUG TEST PRESUMPTIVE INSTRMNT,539.0,,15.77,485.1,68
CDM,45581025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,45585610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,45587210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,45587804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,45587880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,45590471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,45590472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,45590620,MENING REC SERO B IM,957.35,,197.48,861.62,56
CDM,45590632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,45590636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,45590648,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,56
CDM,45590651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,45590653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,45590656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,45590662,FLUZONE HIGH-DOSE VACCINE,132.26,,20.5,119.03,56
CDM,45590670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,45590677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,45590686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,45590707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,45590715,DIP/TET/ACE PERT VACC>7 YR IM,309.33,,43.91,278.4,55
CDM,45590716,VARICELLA VIRUS VACC SQ,915.0,,167.32,823.5,56
CDM,45590732,PNEUMOC VACC 23>2YR SQ/IM-IT,533.9,,162.83,480.51,55
CDM,45590734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,45590739,HEP B VACC ADULT IM VL 2 DOSE,628.75,,216.62,565.88,55
CDM,45590746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,45590750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,45590791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,45590832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,45590834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,45590837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,45593005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,45594070,SPIROMETRY/PFT CPLX,1841.0,,174.0,1656.9,68
CDM,45596116,PT EXM NEUROBH B/PSYCH PER HR,733.0,,23.6,659.7,68
CDM,45596130,PSYCL TST EVAL PHYS/QHP 1ST HR,804.0,,256.5,723.6,68
CDM,45596136,PSYCL/NRPSYC TST PHY/QHP 1ST,402.0,,106.17,361.8,68
CDM,45596360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,45596361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,68
CDM,45596365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,45596366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,45596367,IV INFUS THPY/PROP/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,45596368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,45596372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,45596374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,45596375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,45596376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,57
CDM,45596402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,45596409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,45596413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,68
CDM,45596415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,68
CDM,45596523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,45598000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,45598001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,45598002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,45598003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,45598004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,45598005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,45598006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,45598007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,45598008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,45598009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,45598010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,45598011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,45598012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,45598013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,45598014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,45598015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,45598016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,45599195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,68
CDM,45599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,45600001,MISC INJECTABLE DRUG,0.01,,0.00256,0.009,55
CDM,45600295,AMPICILLIN-SULBACTAM 3 GM VIAL,25.4,,1.82,22.86,55
CDM,45600310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,45600312,FUROSEMIDE INJ 20MG,3.2,,0.0244,2.88,55
CDM,45600327,METHYLPRED NA IVPB 125MG,15.0,,0.1932,13.5,68
CDM,45600911,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,55
CDM,45600938,FUROSEMIDE 1MG BU PER 40MG VL,2.0,,0.0244,1.8,55
CDM,45600956,LEVOFLOXACIN 750 MG/150 ML-D5W,32.1,,0.4,28.89,55
CDM,45601053,POTASSIUM CL 20 MEQ/10 ML VIAL,235.0,,0.15,211.5,55
CDM,45601171,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,56
CDM,45601176,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,68
CDM,45601262,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,68
CDM,45601308,FAMOTIDINE 20MG/2ML VIAL,2.0,,0.0122,1.8,56
CDM,45601395,FULVESTRANT 25MG BU PER 250MG,13.6,,3.48,12.24,55
CDM,45601919,SOLU-MEDROL 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
CDM,45601938,FUROSEMIDE 1MG BU PER 20MG VL,13.7,,0.0244,12.33,55
CDM,45601939,BUMETANIDE 0.5MG BU PER 1MG VL,4.4,,0.3404,3.96,68
CDM,45602176,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,68
CDM,45602262,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,68
CDM,45602919,SOLU-MEDROL 5MG BU PER 125MG V,0.6,,0.1932,0.54,68
CDM,45602920,METHYLPRED PER 5MG BU 40MG VL,1.0,,0.1932,0.9,68
CDM,45602930,METHYLPRED PER 5MG BU 125MG VL,0.6,,0.1932,0.54,68
CDM,45602938,FUROSEMIDE 1MG BU PER 100MG VL,2.0,,0.0244,1.8,55
CDM,45603262,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,68
CDM,45603802,ROMIPLOSTIM 1MCG BU PER 500MCG,38.2,,10.13,34.38,68
CDM,45603919,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,68
CDM,45604802,ROMIPLOSTIM 1MCG BU PER 250MCG,38.3,,10.13,34.47,68
CDM,45609563,SODIUM PHOSPHATE 45MMOL/15ML,173.3,,86.65,155.97,54
CDM,45610060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,45610061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,45610171,EPINEPHRINE INJ 0.1MG,40.9,,1.61,36.81,55
CDM,45610208,SOD THIOSULFATE INJ 100MG,7.9,,3.95,130.78,68
CDM,45610278,AMIKACIN INJ 100MG,3.1,,0.7564,2.79,55
CDM,45610349,REZAFUNGIN PER 1MG BU/200MG VL,102.4,,9.78,92.16,68
CDM,45610360,HYDRAZALINE INJ 20MG,9.3,,3.38,8.37,55
CDM,45610456,AZITHROMYCIN VL 500MG,18.0,,3.18,16.2,55
CDM,45610612,CA GLUC INJ 10MG,2.0,,0.0488,1.8,56
CDM,45610690,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
CDM,45610692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,45610696,CEFTRIAXONE VL 250MG,2.2,,0.5856,1.98,55
CDM,45610713,CEFTAZIDIME INJ 500MG,11.7,,1.95,10.53,55
CDM,45610744,CIPROFLOXACIN INJ 200MG,12.4,,1.0,11.16,55
CDM,45610780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,55
CDM,45610834,COSYNTROPIN INJ 0.25MG,165.97,,34.18,149.37,55
CDM,45610875,DALBAVANCIN VL 5MG (DALVANCE),73.0,,14.36,65.7,68
CDM,45610878,DAPTOMYCIN PWDR INJ 1MG,2.0,,0.0366,1.8,55
CDM,45610881,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,45611100,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,55
CDM,45611110,DIHYDROERGOTAMINE AMP 1MG,219.52,,55.97,197.57,55
CDM,45611200,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,55
CDM,45611335,ERTAPENEM VL 500MG,7.0,,3.5,32.8,55
CDM,45611441,FILGRASTIM INJ 480MCG,1728.0,,0.92,1555.2,68
CDM,45611450,FLUCONAZ SOD CHL 200MG/100ML,34.8,,2.76,31.32,55
CDM,45611580,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,55
CDM,45611644,HEPARIN VL 1000U/ML 1ML,2.8,,0.2684,2.52,55
CDM,45611650,ENOXAPARIN INJ 10MG,4.7,,0.69,4.23,55
CDM,45611720,HYDROCORT NA SUC INJ 100MG-IT,28.27,,14.13,25.86,55
CDM,45611815,INSULIN INJ 5 UNITS,2.0,,0.6832,1.8,56
CDM,45611836,METRONIDAZOLE IV 10MG BU/500MG,2.0,,0.0366,1.8,56
CDM,45611885,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,67
CDM,45611920,LABETALOL HCL 5MG VIAL,7.0,,0.4758,6.3,56
CDM,45611939,BUMETANIDE 1MG/4ML VIAL,7.5,,0.3404,6.75,68
CDM,45612060,LORAZEPAM VL 2MG/ML 1ML-IT,3.6,,0.75,3.24,55
CDM,45612185,MEROPENEM VL 100MG,3.0,,0.5368,2.7,55
CDM,45612248,MICAFUNGIN NA VL 1MG  MYCAMINE,5.2,,0.3782,4.68,55
CDM,45612270,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,45612280,MOXIFLOXACIN INJ 100MG,67.5,,9.36,60.75,55
CDM,45612353,OCREOTIDE DEPOT KIT 1MG,249.27,,78.75,279.92,69
CDM,45612405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,56
CDM,45612407,ORITAVANCIN INJ 10MG,147.0,,23.8,132.3,68
CDM,45612543,PIPER/TAZO VL 1/0.125GM,2.0,,1.0,1.8,55
CDM,45612545,PENTAMIDINE INH 300MG,275.31,,100.49,247.78,55
CDM,45612550,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,55
CDM,45612765,METOCLOPRAMIDE VL 10MG IT,6.2,,1.04,5.58,55
CDM,45612997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,45613260,TOBRAMYCIN IVPB 80MG,16.6,,3.0,14.94,55
CDM,45613370,VANCOMYCIN VL 500MG,13.0,,0.0366,11.7,55
CDM,45613411,THIAMINE 200 MG/2ML VIAL,12.6,,2.18,11.34,55
CDM,45613420,VIT B12 VL 1000MCG/ML 1ML-IT,6.0,,1.16,5.4,55
CDM,45613430,VIT K1 (PHYTON) INJ 1MG,19.7,,3.46,17.73,55
CDM,45613475,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,55
CDM,45613480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,55
CDM,45613487,ZOLEDRONIC ACID VL 1MG-ZOMETA,16.0,,6.34,14.4,55
CDM,45619025,AZACITIDINE VL 1MG,6.9,,0.2562,6.21,56
CDM,45619202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,69
CDM,45620565,BEZLOTOXUMAB 10MG BU/1000MG VL,204.48,,36.64,184.03,68
CDM,45629113,PANTOPRAZOLE VL 40MG,9.1,,4.55,29.0,56
CDM,45636415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,45636430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,45636591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,45636592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,45636593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,45638622,FLUMAZENIL 0.5MG/5ML VIAL,25.9,,6.63,23.31,55
CDM,45640138,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,68
CDM,45640968,PROVAYBLUE 1MG BU/50MG AMPULE,17.3,,8.03,15.57,68
CDM,45645101,FILGRASTIM INJ 1MCG,2.5,,0.4232,2.25,68
CDM,45645109,PEGFILGRASTIM JMDB SQ 0.5MG,168.69,,84.34,151.82,68
CDM,45651701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,45651702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,45651798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,45670011,ALBUMIN VL 25% 100ML,346.22,,64.76,311.6,56
CDM,45682947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,45690653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,45693005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,45694642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,45696360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,45696361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,45696365,IV INFUS THPY/PROP/DX INTL UP,786.0,,72.0,707.4,68
CDM,45696366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,45696367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,45696368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,45696372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,45696374,THERAPY PRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,45696375,THERAPYPRO//DX IV PUSH ADDL,399.0,,23.36,359.1,68
CDM,45696376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,57
CDM,45696401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,68
CDM,45696402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,45696409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,45696413,CHEMO IV INFUS SGL/INIT <1HR,1141.0,,161.0,1026.9,68
CDM,45696523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,45699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,45700049,US UNLSTD PROC,681.0,,72.52,612.9,68
CDM,45700278,ALPROSTADIL INJ 1.125MCG,18.9,,0.5856,17.01,56
CDM,45700621,US BUTTOCK,1310.0,,64.0,1179.0,68
CDM,45700622,US LABIA,831.0,,64.0,747.9,68
CDM,45700623,US FLANK,831.0,,72.52,747.9,68
CDM,45703998,VENOUS MAPPING WITHOUT DOPPLER,1492.0,,20.18,1342.8,68
CDM,45710005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,45710006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,45710160,PUNCT ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,45710390,ASP/INJ RENAL CYST/PELV PRC RT,2345.0,,938.0,2110.5,56
CDM,45710391,ASP/INJ RENAL CYST/PEL PERC LT,2345.0,,938.0,2110.5,56
CDM,45713930,DUPLEX SCAN UP EXT BIL,2010.0,,47.0,1809.0,68
CDM,45716506,ECHOENCEPHALOGRAM,1162.0,,87.59,1045.8,68
CDM,45716805,ECHO PREG UTERUS COMPLETE,1577.0,,60.0,1419.3,68
CDM,45716815,US OB PREGNANCY LIMITED,935.0,,45.0,841.5,68
CDM,45720206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,45720552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,45720600,ARTHROCENT ASP/INJ JT SMALL RT,1911.0,,764.4,1719.9,56
CDM,45720602,ARTHROCENT ASP/INJ JT SMALL LT,1911.0,,764.4,1719.9,56
CDM,45732400,"BIOPSY, PLEURA- PERCUT. NEEDLE",2323.0,,929.2,2090.7,68
CDM,45738505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,45743883,DUPLEX EXTRACRANIAL UNILAT LT,1257.0,,65.0,1131.3,56
CDM,45743927,DUPLEX SCAN LOW EXT LTD LT,1404.0,,31.0,1263.6,56
CDM,45743932,DUPLEX ARTERIAL UPR EXT UNI LT,1540.0,,9.0,1386.0,56
CDM,45743972,DUPLEX VENOUS EXT UNILAT LT,1611.0,,56.0,1449.9,56
CDM,45750200,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,56
CDM,45750201,BIOPSY RENAL PERC NDL/TROCAR L,3064.0,,1225.6,2757.6,56
CDM,45754235,INJ CORPORA CAVERNOSA W/VAS,660.0,,200.33,594.0,68
CDM,45764455,INJ ANES/STEROID NERVE PLANTAR,685.0,,243.14,616.5,68
CDM,45776377,US 3D RNDR REQ INDP WRKSTN,2085.0,,162.0,1876.5,55
CDM,45776536,US SOFT TISSUE HEAD/NECK,1267.0,,67.0,1140.3,68
CDM,45776604,US CHEST,949.0,,87.59,854.1,68
CDM,45776700,US ABDOMEN CMPL,1082.0,,72.0,973.8,68
CDM,45776705,US ABDOMEN LTD,624.0,,54.0,561.6,68
CDM,45776706,US ABDL AORTA SCREEN AAA,890.0,,87.59,801.0,68
CDM,45776770,US RETROPERITIONEAL,1585.0,,87.59,1426.5,68
CDM,45776775,US RETROPERITONEAL LTD,757.0,,87.0,681.3,68
CDM,45776776,US KIDNEY TRANSPLANT W/DOPPLER,1527.0,,87.59,1374.3,68
CDM,45776801,US PREGNANCY <14 WEEKS SGL,1544.0,,60.0,1389.6,68
CDM,45776802,OB US,730.0,,365.0,657.0,55
CDM,45776817,US PREGNANCY TRANSVAGINAL,1007.0,,85.0,906.3,68
CDM,45776830,US TRANSVAGINAL,1126.0,,26.0,1013.4,68
CDM,45776856,US PELVIS NON OB,865.0,,87.59,778.5,68
CDM,45776857,US PELVIS NON-OB LTD,1310.0,,64.0,1179.0,68
CDM,45776870,US SCROTUM,1251.0,,87.59,1125.9,68
CDM,45776881,US EXTREMITY NON VASCULAR COMP,1688.0,,87.59,1519.2,68
CDM,45776882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,45776883,US NRV & ACC STRUX 1XTR COMPRE,1688.0,,87.59,1519.2,68
CDM,45776940,US GUID/MONITOR VISC TISS ABLA,892.0,,147.17,802.8,56
CDM,45776942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,45776978,US TARGET DYN MICROBUBBLE 1ST,1228.0,,119.72,1105.2,68
CDM,45776979,US TRGT DYN MBUBB EA ADDL,1161.0,,122.27,1044.9,55
CDM,45776981,US ELASTOGRAPHY PARENCHYMA,1228.0,,87.59,1105.2,68
CDM,45776982,US ELASTOGRAPHY 1ST TARGET LES,1228.0,,87.59,1105.2,68
CDM,45776983,US ELAST EA ADDL TARGET LESION,962.0,,481.0,865.8,55
CDM,45776998,US GUIDANCE INTRAOPERATIVE,1570.0,,141.07,1413.0,56
CDM,45791200,LIVER ELASTOGRAPHY VIBRATION,737.0,,29.14,663.3,68
CDM,45793880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,68
CDM,45793882,DUPLEX EXTRACRANIAL UNILAT RT,1257.0,,65.0,1131.3,56
CDM,45793925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,45793926,DUPLEX SCAN LOW EXT LTD RT,1404.0,,31.0,1263.6,56
CDM,45793931,DUPLEX ARTERIAL UPR EXT UNI RT,1540.0,,9.0,1386.0,56
CDM,45793970,DUPLEX VENOUS EXT BILAT,2291.0,,169.0,2061.9,68
CDM,45793971,DUPLEX VENOUS EXT UNILAT RT,1611.0,,56.0,1449.9,56
CDM,45793975,DUPLEX ABD/PEL/RETRO CMPL,2301.0,,199.1,2070.9,68
CDM,45793976,DUPLEX ABD/PEL/RETRO LTD,1300.0,,65.0,1170.0,67
CDM,45793979,DUPLEX AORTA/IVC/GRAFT LTD,1342.0,,87.59,1207.8,67
CDM,45793980,DUPLEX PENILE VESSELS CMPL,1570.0,,87.0,1413.0,67
CDM,45793985,DUP-SCAN HEMO COMPL BI STD,715.0,,146.14,643.5,67
CDM,45793986,DUP-SCAN HEMO COMPL UNI STD,345.0,,84.94,310.5,67
CDM,45793990,DUPLEX HEMODIALYSIS ACCESS,842.0,,42.0,757.8,68
CDM,45899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,45900022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,45900023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,45900095,US ANUS UNLSTD PROC,4159.0,,750.95,3743.1,68
CDM,45900159,PESSARY RUBBER,58.0,,29.0,52.2,56
CDM,45900160,PESSARY NON RUBBER,144.0,,72.0,129.6,56
CDM,45900216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,45900283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,45900287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,45900300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,45900306,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,55
CDM,45900308,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,55
CDM,45900309,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,45900500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,45901054,SODIUM BICARB 8.4% 50ML VIAL,49.2,,12.6,44.28,55
CDM,45901112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,45901853,ECLIPSE TRIAL INSERTION,499.0,,165.7,449.1,68
CDM,45903014,TELEHEALTH FACILITY FEE-KRO,78.0,,10.66,70.2,57
CDM,45910060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,45911102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,45911104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,45911105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,45911106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,45911107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,45911900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,45911983,REM/REINS IMPL DRUG DELIV,867.0,,328.68,780.3,68
CDM,45917250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,45920552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,45936592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,45946922,DEST LESN ANUS SURG EXCISION,5710.0,,2258.84,5139.0,68
CDM,45949968,VISUALIZATION ADJUNCT,63.9,,8.03,57.51,68
CDM,45951700,IRRIG/LABV/INSTL BLADDER,696.0,,200.33,626.4,68
CDM,45951701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,45951702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,45951703,CATH BLADDER CPLX,525.0,,210.0,472.5,56
CDM,45951725,CYSTOMETROGRAM/CMG SMP,1748.0,,200.33,1573.2,68
CDM,45951726,CYSTOMETROGRAM/CMG CPLX,1605.0,,200.33,1444.5,68
CDM,45951727,COMPLEX CYSTOMETROGRAM W/UP,1621.0,,549.78,1458.9,68
CDM,45951728,CYSTOMETROGRAM W/VP,2188.0,,549.78,1969.2,68
CDM,45951729,CYSTOMETROGRAM W/VP&UP,1704.0,,549.78,1533.6,68
CDM,45951741,UROFLOWMETRY CPLX,648.0,,256.5,583.2,68
CDM,45951784,EMG ANAL/URETHRAL SPHINCTER,949.0,,128.87,854.1,68
CDM,45951797,STUDY VP INTRA-ABDOMINAL,1107.0,,186.0,996.3,56
CDM,45951798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,45952000,CYSTOURETHROSCOPY,2648.0,,549.78,2383.2,68
CDM,45952287,CYSTO W/INJ CHEMO BLADDER,4703.0,,1687.31,4232.7,68
CDM,45952310,CYSTO W/REM FB SMP,4934.0,,1687.31,4440.6,68
CDM,45953660,DIL URETHRA FEMALE INITIAL,277.0,,110.8,249.3,68
CDM,45953661,DIL URETHRA FEMALE SUBSQ,370.0,,106.17,333.0,68
CDM,45956405,I&D ABSC VULVA/PERINEAL,1118.0,,250.55,1006.2,68
CDM,45956605,BX LESN VULVA/PERINEUM ONE,1376.0,,550.4,1238.4,68
CDM,45956606,BX LESN VULVA/PERINEUM EA ADDL,767.0,,306.8,690.3,56
CDM,45957100,BX MUCOSA VAGINAL SMP,2071.0,,717.2,1863.9,68
CDM,45957150,IRRIG/APPL MEDICMENT VAGINA,285.0,,48.93,256.5,68
CDM,45957160,FITTING/INSERTION PESSARY,426.0,,165.7,383.4,68
CDM,45957500,BX/EXC CERVIX LOCAL,2299.0,,717.2,2069.1,68
CDM,45957511,CAUT CERVIX CRYOCAUTERY,1268.0,,250.55,1141.2,68
CDM,45958100,BX ENDOMETRIAL SAMPLING W/O,649.0,,165.7,584.1,68
CDM,45964430,INJ ANES NERVE PUDENDAL,1409.0,,563.6,1268.1,68
CDM,45964566,PST TIBL NEUROSTIMULATION 1 TX,580.0,,232.0,522.0,68
CDM,45972220,XR SACRUM/COCCYX 2+V,732.0,,31.0,658.8,68
CDM,45976856,US PELVIS NON OB,865.0,,87.59,778.5,68
CDM,45976872,US TRANSRECTAL,1553.0,,87.59,1397.7,68
CDM,45981002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,45981025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,45982270,OCCULT BLOOD FECES SCREEN,66.0,,4.03,59.4,68
CDM,45982274,OCCULT BLOOD FECES IMMUNO QL,174.0,,14.65,156.6,68
CDM,45987210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,45990651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,45990653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,45990656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,45990662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,45990686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,45991120,TEST RECTAL SENSATION TONE COM,2061.0,,120.0,1854.9,68
CDM,45991122,ANORECTAL MANOMETRY TEST,2116.0,,90.0,1904.4,68
CDM,45993005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,45995028,TEST INTRADERM ALLERGEN DELAY,182.0,,12.0,163.8,68
CDM,45995970,ANLYS NEUR W/O PROG SMP/CPX,556.0,,106.17,500.4,68
CDM,45995971,ANLYS NEUR SMP W/PROG,1003.0,,75.61,902.7,68
CDM,45995972,ANLYS NEUR CPLX 1ST H W/PROG,1013.0,,75.61,911.7,68
CDM,45996365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,45996372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,45996374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,45996375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,45998000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,45998001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,45998002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,45998003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,45998004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,45998005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,45998006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,45998007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,45998008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,45998009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,45998010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,45998011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,45998012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,45998013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,45998014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,45998015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,45998016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,45999024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,45999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,46000163,MARKER TISSUE IMPL ANY TYPE EA,364.0,,78.0,327.6,62
CDM,46000216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,46000278,ALPROSTADIL INJ 1.125MCG,18.9,,0.5856,17.01,56
CDM,46000283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,46000287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,46000289,COLLAGENASE CLOSTRIDIUM 0.01MG,250.74,,52.39,225.67,68
CDM,46000306,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,55
CDM,46000307,GLUCAGON VL 1MG,636.65,,167.85,572.99,68
CDM,46000308,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,55
CDM,46000309,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,46000311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,46000318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,46000321,PROMETHAZINE INJ 50MG,13.9,,2.31,12.51,55
CDM,46000335,VIT B12 INJ 1000MCG,6.5,,1.16,5.85,55
CDM,46000347,BLEOMYCIN VL 15U,144.9,,25.5,164.25,56
CDM,46000349,LEUPROLIDE DEPOT KIT 7.5MG,595.77,,162.33,536.19,69
CDM,46000500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,46000650,GEMCITABINE HCL VL 200MG,23.4,,3.61,108.75,56
CDM,46000720,BCG VACC INTRAVES 1MG,21.1,,2.79,18.99,55
CDM,46000867,US PROSTATE VOLUME 50+ ML,12709.0,,4187.25,11438.1,67
CDM,46000898,NONINVASIVE PROSTATE CA,2543.0,,838.0,2288.7,68
CDM,46000900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,46001051,CIPROFLOXACIN INJ 200MG,12.3,,1.0,11.07,55
CDM,46001112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,46001289,TESTOPEL 75MG PELLET,445.62,,222.81,401.06,54
CDM,46003014,TELEHEALTH FACILITY FEE-KUR,78.0,,10.66,70.2,57
CDM,46009281,MITOMYCIN URETHERAL GEL 1MG,904.16,,293.05,813.74,68
CDM,46009589,HEXAMINOLEVULINATE HCL,2700.0,,1350.0,2430.0,55
CDM,46009738,BLUE LIGHT CYSTO W/IMAG AGENT,6464.0,,1720.99,5817.6,57
CDM,46009761,CYSTO LITHO VACUUM KIDNEY,17555.0,,7022.0,15799.5,68
CDM,46010120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,46010140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,46010692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,46011422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,46011980,IMPLANT PELLET HORMONE SUBQ,740.0,,296.0,666.0,68
CDM,46017250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,46019029,NADOFARAGINE FIRADENOVEC VNCG,85592.75,,42796.38,87095.63,68
CDM,46019171,DOCETAXEL INJ 1MG,4.2,,0.4636,3.78,55
CDM,46019280,MITOMYCIN INJ 5MG,374.01,,18.72,336.61,68
CDM,46036160,INTRO NDL/CATH AORTA T/LUMB,1729.0,,691.6,1556.1,56
CDM,46036415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,46036592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,46039728,PLACE DEV/MARKER NON PROST,1811.0,,724.4,1684.38,68
CDM,46050391,INSTILL AGENT RENAL PELVIS/URE,613.0,,200.33,551.7,68
CDM,46050430,INJ ANTEGRADE NEPH/URET COMP,3090.0,,549.78,2781.0,68
CDM,46050431,INJ ANTEGRADE NEPH/URET COMP,2643.0,,549.78,2378.7,68
CDM,46050951,ENDO URETERAL ESTAB URETEROST,5469.0,,2187.6,4922.1,68
CDM,46051102,ASP BLADDER INS CATH SUPRAPUB,1833.0,,733.2,2521.79,68
CDM,46051600,INJ CYSTOGRAM,1129.0,,451.6,1016.1,56
CDM,46051610,INJ URETHROCYSTOGRAM RETRO,1362.0,,544.8,1225.8,56
CDM,46051700,IRRIG/LAVG/INSTL BLADDER,696.0,,200.33,626.4,68
CDM,46051701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,46051702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,46051703,CATH BLADDER CPLX,525.0,,128.87,472.5,68
CDM,46051705,CHG TUBE CYSTOSTOMY SMP,1019.0,,200.33,917.1,68
CDM,46051710,CHANGE TUBE CYSTOSTOMY CPLX,3048.0,,250.0,2743.2,68
CDM,46051715,ENDO INJ IMPL URETHRA/BLADDER,5789.0,,2315.6,5210.1,68
CDM,46051720,INSTILL ANTICARCINOG BLADDER,1196.0,,478.4,1076.4,68
CDM,46051726,CYSTOMETROGRAM/CMG CPLX,1605.0,,200.33,1444.5,68
CDM,46051727,COMPLEX CYSTOMETROGRAM W/UP,1621.0,,549.78,1458.9,68
CDM,46051728,CYSTOMETROGRAM W/VP,2188.0,,549.78,1969.2,68
CDM,46051729,CYSTOMETROGRAM W/VP&UP,1704.0,,549.78,1533.6,68
CDM,46051741,UROFLOWMETRY CPLX,648.0,,256.5,583.2,68
CDM,46051784,EMG ANAL/URETHRAL SPHINCTER,949.0,,128.87,854.1,68
CDM,46051797,STUDY VP INTRA-ABDOMINAL,1107.0,,442.8,996.3,56
CDM,46051798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,46052000,CYSTOURETHROSCOPY,2648.0,,549.78,2383.2,68
CDM,46052001,CYSTO W/IRRIG/EVAC CLOTS,4561.0,,1824.4,4245.81,68
CDM,46052005,CYSTO W/CATHETERIZAT URETERAL,7238.0,,1687.31,6514.2,68
CDM,46052204,CYSTO W/BIOPSY(S),5769.0,,1687.31,5192.1,68
CDM,46052214,CYSTO W/FULGURATION,7167.0,,2840.83,6450.3,68
CDM,46052224,CYSTO FULG LESN MINOR,5986.0,,2394.4,5387.4,68
CDM,46052234,CYSTO FULG TUMR SMALL .5-2CM,7299.0,,2840.83,6569.1,68
CDM,46052235,CYSTO GULG TUMR MEDIUM 2.-5CM,6756.0,,2702.4,6080.4,68
CDM,46052240,CYSTO FULG TUMR LARGE >0.5CM,12792.0,,4187.25,11512.8,68
CDM,46052281,CYSTO DILAT STRICTURE URETHRAL,4710.0,,1687.31,4239.0,68
CDM,46052284,CYSTO W/DILAT RX CATH URETHRAL,12818.0,,4187.25,11536.2,68
CDM,46052287,CYSTO W/INJ CHEMO BLADDER,4703.0,,1687.31,4232.7,68
CDM,46052310,CYSTO W/REM FB SMP,4934.0,,1687.31,4440.6,68
CDM,46052315,CYSTO W/REM FB/CAL/STENT COMP,8053.0,,1687.31,7247.7,68
CDM,46052317,LITHOLAPAXY SMP,6811.0,,2724.4,6129.9,68
CDM,46052318,LITHOLAPAXY CPLX >2.5CM,9055.0,,2840.83,8149.5,68
CDM,46052332,CYSTO W/INDWELL STENT URETER,5783.0,,2313.2,5204.7,68
CDM,46052351,CYSTO/PYELOSC DX,6555.0,,2622.0,5899.5,68
CDM,46053020,MEATOTOMY EXCEPT INFANT,4714.0,,1687.31,4242.6,68
CDM,46053600,DIL URETH STRICT SOUND INITIAL,929.0,,200.33,836.1,68
CDM,46053601,DIL URETH STRICT SOUND SUBS,346.0,,106.17,311.4,68
CDM,46053620,DIL URETH STRICT FILIFORM INIT,4399.0,,549.78,3959.1,68
CDM,46053621,DIL URETH STRICT FILIFORM SUBS,1369.0,,200.33,1232.1,68
CDM,46053660,DIL URETHRA FEMALE INITIAL,277.0,,110.8,249.3,68
CDM,46053661,DIL URETHRA FEMALE SUBSQ,370.0,,106.17,333.0,68
CDM,46053854,TRURL DSTRJ PRST8 TISS RF WV,5243.0,,2097.2,4718.7,68
CDM,46054001,SLIT PREPUCE EXCEPT NEWBORN,4212.0,,1684.8,3790.8,68
CDM,46054060,DEST LESN PENIS SMP EXCISION,3936.0,,1506.69,3542.4,68
CDM,46054100,BX PENIS,2290.0,,916.0,2061.0,68
CDM,46054161,CIRCUM W/O CLAMP >28 DAYS OLD,4254.0,,1687.31,3828.6,68
CDM,46054164,FRENULOTOMY PENIS,5041.0,,1687.31,4536.9,68
CDM,46054200,INJ PENIS PEYRONIE DISEASE,536.0,,200.33,482.4,68
CDM,46054220,IRRIG CORPORA CAVERNOSA,1073.0,,200.33,965.7,68
CDM,46054235,INJ CORPORA CAVERNOSA W/VAS,660.0,,200.33,594.0,68
CDM,46054505,BX TESTIS INCISIONAL,4269.0,,1707.6,4245.81,68
CDM,46055000,PUNCT ASP HYDROCELE/TUNICA,1694.0,,579.53,1524.6,68
CDM,46055120,REM FB SCROTUM,6554.0,,1687.31,5898.6,68
CDM,46055150,RESECT SCROTUM,8637.0,,2840.83,7773.3,68
CDM,46055250,"VASECTOMY,W/POSTOP SEMEN EXAM",5437.0,,1687.31,4893.3,68
CDM,46055700,BX PROSTATE NEEDLE/PUNCH,4433.0,,1687.31,3989.7,68
CDM,46055870,ELECTROEJACULATION,1226.0,,490.4,1103.4,68
CDM,46055874,TRNSPER PLC BIODEG MATRL PROST,13679.0,,4187.25,12311.1,68
CDM,46055876,PL DEV/MKR RAD THPY PROST 1/1+,3153.0,,1127.0,2837.7,68
CDM,46057100,BX MUCOSA VAGINAL SMP,2071.0,,717.2,1863.9,68
CDM,46057160,FITTING/INSERTION PESSARY,426.0,,165.7,383.4,68
CDM,46057295,REVISE PROST VAG GRAFT VAG APP,4377.0,,1750.8,3939.3,68
CDM,46064450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,46074300,XR CHOLANGIOGRAM INTROR S&I,1232.0,,72.13,1108.8,56
CDM,46074420,XR UROGRAM RETROGRADE,1728.0,,56.0,1555.2,68
CDM,46074430,XR CYSTOGRAM 3+V,1221.0,,71.0,1098.9,68
CDM,46074450,XR CYSTOURETHROGRAM RETROGRADE,1162.0,,76.0,1045.8,68
CDM,46076376,US 3D REND W/INTERP W/O POSTPR,1464.0,,126.0,1317.6,55
CDM,46076377,US 3D RNDR REQ INDP WRKSTN,2085.0,,162.0,1876.5,55
CDM,46076856,US PELVIS NON OB,865.0,,87.59,778.5,68
CDM,46076872,US TRANSRECTAL,1553.0,,87.59,1397.7,68
CDM,46076873,US TRANSRECTAL PROSTATE VOLUME,1299.0,,87.59,1169.1,68
CDM,46076942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,46081001,URINALYSIS AUTO W/SCOPE,139.0,,2.92,125.1,68
CDM,46081002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,46089259,CRYOPRESERVATION SPERM,554.0,,141.15,498.6,68
CDM,46089320,SEMEN ANLYS CMPL,285.0,,6.34,256.5,68
CDM,46090460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,46090471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,46090480,ADMIN SARSCOV2 VACC 1 DOSE,87.0,,34.2,78.3,68
CDM,46090586,BCG VACC INTRAVES BLADDER,526.45,,190.52,473.81,55
CDM,46090620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,46090653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,46090662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,46090682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,46090686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,46091320,SARSCV2 VACC 30MCG TRS-SUC VL,656.45,,190.2,590.8,55
CDM,46093005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,46093925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,46093980,DUPLEX PENILE VESSELS CMPL,1570.0,,87.0,1413.0,67
CDM,46093981,DUPLEX PENILE VESSELS LTD,942.0,,27.0,847.8,67
CDM,46095970,ANLYS NEUR W/O PROG SMP/CPX,556.0,,106.17,500.4,68
CDM,46095971,ANLYS NEUR SMP W/PROG,1003.0,,75.61,902.7,68
CDM,46095972,ANLYS NEUR CPLX 1ST H W/PROG,1013.0,,75.61,911.7,68
CDM,46096360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,46096365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,46096369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,46096372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,46096374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,46096375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,46096376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,46096402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,46098000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,46098001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,46098002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,46098003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,46098004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,46098005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,46098006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,46098007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,46098008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,46098009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,46098010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,46098011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,46098012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,46098013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,46098014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,46098015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,46098016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,46099024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,46099203,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,46099211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,46099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,46100217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,46100500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,46103014,TELEHEALTH FACILITY FEE-KVA,78.0,,10.66,70.2,57
CDM,46136592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,46176706,US ABDL AORTA SCREEN AAA,890.0,,87.59,801.0,68
CDM,46193880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,68
CDM,46193882,DUPLEX EXTRACRANIAL UNILAT,1257.0,,65.0,1131.3,68
CDM,46193922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,68
CDM,46193923,DOPPLER ARTERIAL EXT CMPL BIL,1673.0,,81.0,1505.7,68
CDM,46193924,DOPPLER ART EXT W/STRESS BIL,2387.0,,91.0,2148.3,68
CDM,46193925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,46193926,DUPLEX ARTRL LWR EXT UNILT/LMT,1404.0,,31.0,1263.6,68
CDM,46193930,DUPLEX ARTERIAL UPR EXT BILAT,2010.0,,47.0,1809.0,68
CDM,46193931,DUPLEX ART UPR EXT UNILAT/LMTD,1540.0,,9.0,1386.0,68
CDM,46193970,DUPLEX VENOUS EXT BILAT,2291.0,,169.0,2061.9,68
CDM,46193971,DUPLEX VENOUS EXT UNILAT/LMTD,1611.0,,56.0,1449.9,68
CDM,46193975,DUPLEX ABD/PEL/RETRO CMPL,2301.0,,199.1,2070.9,68
CDM,46193976,DUPLEX ABD/PEL/RETRO LTD,1300.0,,65.0,1170.0,67
CDM,46193978,DUPLEX AORTA/IVC/GRAFT CMPL,1424.0,,199.1,1281.6,68
CDM,46193979,DUPLEX AORTA/IVC/GRAFT LTD,1342.0,,87.59,1207.8,67
CDM,46196365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,46198000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,46198001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,46198002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,46198003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,46198004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,46198005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,46198006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,46198007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,46198008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,46198009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,46198010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,46198011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,46198012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,46198013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,46198014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,46198015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,46198016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,46199024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,46199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,46200022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,46200216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,46200217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,46200218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,46200293,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,46200419,PROVIDER BILLED E&M,0.01,,0.005,0.009,56
CDM,46200500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,46203014,TELEHEALTH FACILITY FEE-KLI,78.0,,10.66,70.2,57
CDM,46209325,TALIMOGENE LAHER VL 1MILL PFU,237.79,,53.92,214.01,68
CDM,46210005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,46210006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,46210021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,266.4,599.4,68
CDM,46210040,ACNE SURGERY,383.0,,153.2,344.7,68
CDM,46210060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,46210140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,46210160,PUNCT ASPIR ABSCES/HEMAT/CYST,638.0,,255.2,574.2,68
CDM,46211042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,46211043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,68
CDM,46211044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,46211045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,56
CDM,46211102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,46211103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,56
CDM,46211104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,46211105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,46211106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,46211107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,46211306,SHV LESN SKN SCALP.6-1.0CM,435.0,,163.67,391.5,68
CDM,46211400,EXC LESN BGN TRUNK/ARM,1333.0,,533.2,1199.7,68
CDM,46211401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,68
CDM,46211402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,579.53,1454.4,68
CDM,46211424,EXC LESN BGN SCALP/HND 3.1-4.0,3629.0,,1334.55,3266.1,68
CDM,46211600,EXC LESN MAL TRUNK/ARM,1737.0,,579.53,1563.3,68
CDM,46211602,EXC LESN MAL TRUNK/ARM 1.1-2.0,1660.0,,329.08,1494.0,68
CDM,46211606,EXC LESN MAL TRUNK/ARM >4.0 CM,3859.0,,1334.55,3473.1,68
CDM,46211620,EXC LESN MAL SCALP/HND <0.5CM,2485.0,,994.0,2236.5,68
CDM,46211624,EXC LESN MAL SCALP/HND 3.1-4.0,3805.0,,1334.55,3424.5,68
CDM,46211626,EXC LESN MAL SCALP/HND >4.0CM,5418.0,,2167.2,4876.2,68
CDM,46212001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,68
CDM,46212031,RPR LAC INT SCALP/AXIL,785.0,,314.0,706.5,68
CDM,46213101,RPR LAC CPLX TRUNK 2.6-7.5CM,1901.0,,504.2,1710.9,68
CDM,46217250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,46219000,PUNCTURE ASP BRST CYST,841.0,,336.4,866.14,68
CDM,46219020,MASTOTOMY EXPL/DRAIN ABSC DEEP,4406.0,,1334.55,3965.4,68
CDM,46219100,BX BREAST NDL W/O GUIDE,1753.0,,701.2,1994.58,68
CDM,46219101,BX BREAST INCISIONAL,5454.0,,2181.6,4908.6,68
CDM,46220206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,68
CDM,46221550,BX TISSUE NECK/THORAX,4652.0,,1334.55,4186.8,68
CDM,46224065,BX TISSUE ARM/ELBOW SUPERFIC,3089.0,,1235.6,2780.1,68
CDM,46224075,EXC TUMR ARM/ELBOW SUBQ,3828.0,,1334.55,3445.2,68
CDM,46225071,EXC TUMR FOREARM/WRIST SUBQ 3+,3971.0,,1334.55,3573.9,68
CDM,46227323,BX TISSUE THIGH/KNEE SUPERFIC,3602.0,,1334.55,3241.8,68
CDM,46229700,REM/BIV CAST GAUNTLET/BOOT/BDY,552.0,,218.75,496.8,68
CDM,46231575,LARYNGOSC FLEX FIBER,829.0,,159.91,746.1,68
CDM,46236002,INJ TX PSEUDOANEUR EXTREM PERC,1823.0,,509.25,1640.7,68
CDM,46236590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,46236592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,46238500,BX/EXC LYMPH NODE SUPER OPEN,5400.0,,2160.0,4860.0,68
CDM,46238505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,46240162,ODANSETRON ODT 8MG TABLET,2.0,,0.0122,1.8,55
CDM,46243762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,46245300,PROCTOSIGMOID RIGID,1755.0,,750.95,1579.5,68
CDM,46245305,PROCTOSIGMOID W/BIOPSY,3213.0,,971.18,2891.7,68
CDM,46246083,INC HEMORRHOID EXTERNAL,990.0,,200.33,891.0,68
CDM,46246600,ANOSCOPY,493.0,,106.17,443.7,68
CDM,46246606,ANOSCOPY W/BIOPSY,2203.0,,881.2,1982.7,68
CDM,46247000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,68
CDM,46249082,ABD PARACENTESIS W/O IMAGING,1343.0,,537.2,1208.7,68
CDM,46249451,RPLC DUODEN/JEJUN T FLUORO,2183.0,,772.25,1964.7,68
CDM,46249452,RPLC GASTRO-JEJUN TB FLUORO,2985.0,,772.25,2686.5,68
CDM,46251703,CATH BLADDER CPLX,525.0,,128.87,472.5,68
CDM,46260100,BIOPSY THYROID NEEDLE PERC,1267.0,,506.8,1140.3,68
CDM,46276706,US ABDL AORTA SCREEN AAA,890.0,,87.59,801.0,68
CDM,46281002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,46282947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,46283036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,46283050,METHEMOGLOBIN ABG,219.0,,7.54,197.1,68
CDM,46290471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,46290472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,46290620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,46290636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,46290648,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,56
CDM,46290656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,46290662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,46290670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,46290677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,46290686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,46290732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,46290734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,46290739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,46291010,MOTILITY STUDY ESOPHAGUS,2786.0,,96.0,2507.4,68
CDM,46291035,ACID REFLUX TEST MUCOSAL ELECT,3526.0,,437.05,3173.4,68
CDM,46292610,ST EVAL SWALLOW,442.0,,84.0,397.8,56
CDM,46292612,ST EVAL SWALL ENDO C/V,867.0,,104.0,780.3,56
CDM,46293005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,46293882,DUPLEX EXTRACRANIAL UNILAT,1257.0,,65.0,1131.3,68
CDM,46293886,DOPPLER TRANSCRANIAL CMPL,1594.0,,82.0,1434.6,68
CDM,46293924,DOPPLER ARTERY EXT W/STRESS,2387.0,,91.0,2148.3,68
CDM,46293925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,46293976,DUPLEX ABD/PEL RETRO LTD,1300.0,,65.0,1170.0,67
CDM,46293979,DUPLEX AORTA/IVC/GRAFT LTD,1342.0,,87.59,1207.8,67
CDM,46294010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,46294618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,46296365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,46296366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,46296372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,46296374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,46296405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,46296406,CHEMO INTRALESIONAL >7 LESIONS,566.0,,81.0,509.4,68
CDM,46297597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,68
CDM,46297605,NEG PRESS WOUND THRPY</=50CM,481.0,,43.0,432.9,68
CDM,46298000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,46298001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,46298002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,46298003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,46298004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,46298005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,46298006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,46298007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,46298008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,46298009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,46298010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,46298011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,46298012,SYNCH AUDIO VISIT EST SF MDM 1,78.0,,10.66,70.2,57
CDM,46298013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,46298014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,46298015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,46298016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,46299024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,46299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,46299244,OFFICE CONSULT LVL IV,461.0,,138.0,414.9,57
CDM,46300080,DIABETES ED SELFPAY,62.0,,14.68,55.8,57
CDM,46300216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,46300217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,46300218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,46300222,DIAB ED INDIVID 30M,190.0,,30.0,171.0,57
CDM,46300234,REM CERUMEN/AUD TEST,247.0,,16.2,222.3,56
CDM,46300282,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,68
CDM,46300287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,46300288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,46300292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,46300294,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,69
CDM,46300298,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,46300303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,46300311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,46300318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,46300326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,46300330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,46300335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,46300361,PAP SMEAR SCREEN,107.0,,20.18,96.3,68
CDM,46300419,PROVIDER BILLED E&M,0.01,,0.005,0.009,56
CDM,46300426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,46300500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,46301050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,46303014,TELEHEALTH FACILITY FEE-KI4,78.0,,10.66,70.2,57
CDM,46310060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,46310120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,46320551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,46320552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,58.0,1048.5,68
CDM,46320605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,46320610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,46350109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,46350428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,46351701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,46351702,CATH BLADDER SMP,304.0,,106.17,273.6,68
CDM,46355081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,46355084,RAPID FLU B TEST,195.0,,15.23,175.5,68
CDM,46369210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,46373560,XR KNEE 1-2V,680.0,,24.0,612.0,68
CDM,46376706,US ABDL AORTA SCREEN AAA,890.0,,87.59,801.0,68
CDM,46376856,US PELVIS NON OB,865.0,,87.59,778.5,68
CDM,46376882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,46380305,DRUG TEST PRESUM DIRECT OBS,75.0,,11.59,67.5,68
CDM,46381002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,46381025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,46383036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,46386580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,46387210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,68
CDM,46387804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,46387880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,46390460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,46390471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,46390472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,46390620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,46390632,HEPATITIS A VACC ADULT IM,475.65,,88.67,428.08,55
CDM,46390636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,56
CDM,46390651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,46390653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,46390656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,46390662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,46390670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,46390677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,46390678,RSV VACC PREF SUBUNIT BIVALENT,805.83,,281.43,725.25,56
CDM,46390686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,46390707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,46390714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
CDM,46390715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,46390716,VARICELLA VIRUS VACC SQ,915.0,,167.32,823.5,56
CDM,46390732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,46390734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,46390739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,46390746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,46390750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,46390791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,46390832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,46393005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,46393270,ECG EVENT RECORD/DISCON 24R/30,647.0,,30.72,582.3,68
CDM,46393284,PROG DEV EVAL MULTI LEAD ICD,670.0,,30.72,603.0,69
CDM,46393786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,69
CDM,46393788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,69
CDM,46393925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,46394070,SPIROMETRY/PFT CPLX,1841.0,,174.0,1656.9,68
CDM,46394727,GAS DILUTION/WASHOUT DETERMINE,630.0,,41.37,567.0,68
CDM,46394760,PULSE OX SINGLE,87.0,,3.2,78.3,57
CDM,46395115,IMMUNOTHRPY 1 INJ W/O EXTRACT,52.0,,5.0,56.8,68
CDM,46395808,PSG 1-3 PARAMETERS ANY AGE,5056.0,,242.0,4550.4,68
CDM,46395811,PSG 6/> YRS 4+ PARAM W/CPAP,6950.0,,257.0,6255.0,68
CDM,46395812,EEG MONITORING 41-60 MIN,2659.0,,136.0,2393.1,68
CDM,46395970,ANLYS NEUR W/O PROG SMP/CPX,556.0,,106.17,500.4,68
CDM,46396160,HLTH RSK ASSESS PT FOCUSED,66.0,,24.54,59.4,68
CDM,46396360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,46396369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,46396372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,46398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,46398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,46398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,46398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,46398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,46398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,46398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,46398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,46398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,46398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,46398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,46398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,46398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,46398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,46398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,46398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,46398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,46399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,46400022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,46400038,REPAIR HEARING AID,308.0,,117.79,277.2,57
CDM,46400378,XR BONE DENSITY AXIAL W/ABM,827.0,,99.0,744.3,56
CDM,46400500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,46400590,TRABECULAR BONE SCORE (RUO),199.0,,32.24,179.1,56
CDM,46411402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,646.4,1454.4,56
CDM,46436415,VENIPUNCTURE,46.0,,3.15,41.4,56
CDM,46436591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,57
CDM,46436592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,57
CDM,46477080,XR BONE DENSITY AXIAL,827.0,,99.0,744.3,56
CDM,46477085,XR BONE DENSITY AXIAL 1OR MORE,1047.0,,87.59,942.3,68
CDM,46477086,XR FRAC ASSESS DUAL ENERGY,489.0,,161.8,440.1,56
CDM,46477090,TBS PREP & TRANSMIT DATA,426.0,,72.52,383.4,68
CDM,46477091,TBS TECHNICAL CALCULATION ONLY,426.0,,72.52,383.4,68
CDM,46481002,URINALYSIS NONAUTO W/O MICRO,57.0,,5.22,51.3,56
CDM,46482274,OCCULT BLOOD FECES IMMUNO QL,174.0,,19.6,156.6,56
CDM,46483036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,11.35,172.8,56
CDM,46485610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,58
CDM,46486580,TB INTRADERMAL,70.0,,8.0,63.0,56
CDM,46487804,IMMUNO OPTICAL INFLUENZA,175.0,,16.0,157.5,56
CDM,46487880,IMMUNO OPTICAL STREP A,178.0,,24.8,160.2,56
CDM,46496360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,56
CDM,46496361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,56
CDM,46496365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,56
CDM,46496374,THERAPYPRO//DX IV PUSH INIT,540.0,,270.0,486.0,56
CDM,46499203,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46500022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,46500049,US UNLSTD PROC,681.0,,161.8,612.9,56
CDM,46500050,US UNLSTD PROC,831.0,,161.8,747.9,56
CDM,46500500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,46513502,XR HIP UNILAT 2-3 VIEWS RT,508.0,,22.5,457.2,56
CDM,46513503,XR HIP UNILAT 4+ VIEWS RT,1034.0,,46.8,930.6,56
CDM,46513551,XR FEMUR 1 VIEW LT,489.0,,16.2,440.1,56
CDM,46513552,XR FEMUR MIN 2 VIEWS LT,530.0,,29.41,477.0,56
CDM,46519030,INJ DUCTOGRAM/GALACTOGRAM,884.0,,353.6,795.6,56
CDM,46520552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,466.0,1048.5,56
CDM,46520553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,398.4,896.4,56
CDM,46520600,ARTHROCENT ASP/INJ JT SMALL RT,1911.0,,764.4,1719.9,56
CDM,46520602,ARTHROCENT ASP/INJ JT SMALL LT,1911.0,,764.4,1719.9,56
CDM,46520605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,447.2,1006.2,56
CDM,46520610,"DRAIN/INJ,JOINT/BURSA MAJ RT",4987.0,,1994.8,4488.3,56
CDM,46520611,"DRAIN/INJ,JOINT/BURSA MAJ LT",1870.0,,748.0,1683.0,56
CDM,46521116,INJECT ARTHROGRAM TMJ RT,357.0,,142.8,321.3,56
CDM,46521117,INJECT ARTHROGRAM TMJ LT,357.0,,142.8,321.3,56
CDM,46521118,INJECT ARTHROGRAM TMJ BIL,535.0,,214.0,481.5,56
CDM,46523350,INJECT ARTHROGRAM SHOULDER RT,767.0,,306.8,690.3,56
CDM,46523351,INJECT ARTHROGRAM SHOULDR LT,767.0,,306.8,690.3,56
CDM,46523501,XR HIP LTD 1V LT,530.0,,17.67,477.0,56
CDM,46523551,XR FEMUR 1 VIEW RT,489.0,,16.2,440.1,56
CDM,46523552,XR FEMUR MIN 2 VIEWS RT,530.0,,29.41,477.0,56
CDM,46524220,INJ ARTHROGRAM ELBOW RT,748.0,,299.2,673.2,56
CDM,46524221,INJECT ARTHROGRAM ELBOW LT,748.0,,299.2,673.2,56
CDM,46525246,INJECT ARTHROGRAM WRIST RT,740.0,,296.0,666.0,56
CDM,46525247,INJECT ARTHROGRAM WRIST LT,740.0,,296.0,666.0,56
CDM,46527093,INJ ARTHROGM HIP W/O ANES RT,656.0,,262.4,590.4,56
CDM,46527094,INJ ARTHROGM HIP W/O ANES LT,656.0,,262.4,590.4,56
CDM,46527648,INJECT ARTHROGRAM ANKLE RT,343.0,,137.2,308.7,56
CDM,46527649,INJECT ARTHROGRAM ANKLE LT,343.0,,137.2,308.7,56
CDM,46532555,ASPIRATE PLEURA WITH IMAGING,1841.0,,736.4,1656.9,56
CDM,46533501,XR HIP LTD 1V RT,530.0,,17.67,477.0,56
CDM,46533551,XR FEMUR 1 VIEW BILAT,734.0,,16.2,660.6,56
CDM,46533552,XR FEMUR MIN 2 VIEWS BILAT,1056.0,,29.41,950.4,56
CDM,46536598,INJ CONTR W/FLUORO EVAL CV DEV,1082.0,,101.31,973.8,57
CDM,46542550,INJECT SIALOGRAM,680.0,,272.0,612.0,56
CDM,46543761,REPOSITION G-TUBE,2407.0,,962.8,2166.3,56
CDM,46544500,INTRO TUBE GI LONG,1034.0,,413.6,930.6,56
CDM,46549083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,56
CDM,46549440,PERCUT PLACE GASTRO TUBE FLURO,2336.0,,934.4,2102.4,56
CDM,46549465,INJ CNTR W/FLUOR EVAL G/D/J TB,925.0,,370.0,832.5,56
CDM,46550109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,46550428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,46550684,INJECT URETEROGRAPHY,1228.0,,491.2,1105.2,56
CDM,46550690,INJ ILEAL CONDUIT,695.0,,278.0,625.5,56
CDM,46551600,INJ CYSTOGRAM,1129.0,,451.6,1016.1,56
CDM,46551610,INJ URETHROCYSTOGRAM RETRO,1362.0,,544.8,1225.8,56
CDM,46551798,MEASURE POST-VOID URINE BY US,223.0,,89.2,200.7,56
CDM,46552000,CYSTOURETHROSCOPY,2648.0,,1059.2,2383.2,56
CDM,46554235,INJ CORPORA CAVERNOSA W/VAS,660.0,,264.0,594.0,56
CDM,46555081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,46555084,RAPID FLU B TEST,195.0,,15.23,175.5,68
CDM,46558340,CATH/INTRO SALINE/CONTRAST SIS,736.0,,294.4,662.4,56
CDM,46561050,C-1/C-2 PUNCTURE,1615.0,,646.0,1453.5,56
CDM,46561055,C-1/C-2 PUNCTURE W/INJECT,2134.0,,853.6,1920.6,56
CDM,46562268,DRAIN SPINAL CORD CYST,1985.0,,794.0,1786.5,56
CDM,46562270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,722.8,1626.3,56
CDM,46562284,INJECTION PROC/MYELOGM/CT,1908.0,,763.2,1717.2,56
CDM,46562290,INJECT DISKOGRAPHY LUMBAR,1122.0,,448.8,1009.8,56
CDM,46570100,MANDIBLE 1-3 VIEWS,654.0,,27.0,588.6,56
CDM,46570110,XR MANDIBLE MIN 4 VIEWS,878.0,,37.0,790.2,56
CDM,46570120,MASTOIDS 1-2 VIEWS/SIDE,433.0,,26.0,389.7,56
CDM,46570130,MASTOIDS MIN 3 VIEWS/SIDE,641.0,,22.0,576.9,56
CDM,46570134,INTERNAL AUDITORY MEATI,641.0,,43.0,1426.8,56
CDM,46570140,XR FACIAL BONES 1 OR 2 VIEWS,472.0,,11.0,424.8,56
CDM,46570150,XR FACIAL BONES MIN 3 VIEWS,736.0,,35.0,662.4,56
CDM,46570160,XR NASAL CMPL 3+V,760.0,,16.0,684.0,56
CDM,46570200,XR ORBITS MIN 4 VIEWS,786.0,,28.0,707.4,56
CDM,46570210,XR SINUSES <3V,560.0,,22.0,504.0,56
CDM,46570220,XR PARANASAL SINUS MIN 3 VWS,996.0,,37.0,896.4,56
CDM,46570250,XR SKULL 1-3 VIEWS,857.0,,28.0,771.3,56
CDM,46570260,XR SKULL MIN 4 VIEWS,1132.0,,45.0,1018.8,56
CDM,46570328,TEMPOROMANDIBLE JOINT UNI RT,516.0,,27.0,464.4,56
CDM,46570330,XR TEMPOROMANDIBLE JOINT BIL,596.0,,33.0,536.4,56
CDM,46570360,NECK SOFT TISSUE,649.0,,19.0,584.1,56
CDM,46570429,TEMPOROMANDIBLE JOINT UNI LT,516.0,,27.0,464.4,56
CDM,46571045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,56
CDM,46571046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,56
CDM,46571047,CHEST X-RAY 3 VIEWS,686.0,,161.8,617.4,56
CDM,46571048,CHEST X-RAY 4/+ VIEWS,698.0,,217.94,628.2,56
CDM,46571100,XR RIBS 2V UNI RT,742.0,,33.0,667.8,56
CDM,46571101,XR RIBS 2V UNI LT,742.0,,33.0,667.8,56
CDM,46571110,XR RIBS 3 VIEWS BILAT,918.0,,37.0,826.2,56
CDM,46571120,XR STERNUM 2+ VIEWS,739.0,,32.0,665.1,56
CDM,46571130,XR STERNOCLAVIC JT 3+VIEWS,739.0,,37.0,665.1,56
CDM,46572020,XR SPINE 1 VIEW ANY LEVEL,569.0,,16.0,512.1,56
CDM,46572040,XR C-SPINE 2 OR 3V,793.0,,33.0,713.7,56
CDM,46572043,XR T-L SPINE INCL SKLL 6+ VIEW,668.0,,73.39,601.2,56
CDM,46572050,XR C-SPINE 4 OR 5 VIEWS,1031.0,,52.0,927.9,56
CDM,46572052,XR C-SPINE 6 OR MORE VIEWS,1194.0,,59.0,1074.6,56
CDM,46572070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,56
CDM,46572072,XR THORACIC SPINE 3 VIEWS,949.0,,38.0,854.1,56
CDM,46572074,XR THORACIC SPINE 4+ VIEWS,767.0,,49.0,690.3,56
CDM,46572080,XR THORACOLUMBAR SPINE 2 VIEWS,976.0,,22.0,878.4,56
CDM,46572081,XR T-L SPINE INCL SKULL 1 VIEW,668.0,,161.8,601.2,56
CDM,46572082,XR T-L SPINE 2 OR 3 VIEWS,721.0,,56.48,648.9,56
CDM,46572083,XR T-L SPINE 4 OR 5 VIEWS,656.0,,24.57,590.4,56
CDM,46572084,XR T-L SPINE INCL SKLL 6+VIEW,668.0,,73.39,601.2,68
CDM,46572100,XR LUMBAR SPINE 2 OR 3 VIEWS,930.0,,38.0,837.0,56
CDM,46572110,XR LUMBAR SPINE 4+ VIEWS,1246.0,,52.0,1121.4,56
CDM,46572114,XR L-SPINE CMPL W/BENDING V,1318.0,,82.0,1186.2,56
CDM,46572120,XR L-SPINE BENDING ONLY 2/3,1060.0,,63.0,954.0,56
CDM,46572170,XR PELVIS 1-2V,695.0,,27.0,625.5,56
CDM,46572190,PELVIS MIN 3 VIEWS,861.0,,44.0,774.9,56
CDM,46572200,XR SACROILI JT,462.0,,41.0,415.8,56
CDM,46572202,XR SACROILIAC JT 3+V,759.0,,43.0,683.1,56
CDM,46572220,XR SACRUM/COCCYX 2+V,732.0,,31.0,658.8,56
CDM,46572240,MYELOGRAM CERV,2336.0,,175.0,2102.4,56
CDM,46572255,MYELOGRAM THOR,1920.0,,171.0,2055.89,56
CDM,46572265,MYELOGRAPHY- LUMBOSACRAL,2099.0,,190.0,2055.89,56
CDM,46572270,MYELOGRAM ENTIRE,2299.0,,273.0,2069.1,56
CDM,46573000,CLAVICAL COMP RT,704.0,,21.0,633.6,56
CDM,46573001,CLAVICAL COMP LT,704.0,,21.0,633.6,56
CDM,46573002,CLAVICAL COMP BIL,1168.0,,21.0,1051.2,56
CDM,46573010,SCAPULA COMP RT,737.0,,29.0,663.3,56
CDM,46573011,SCAPULA COMP LT,737.0,,29.0,663.3,56
CDM,46573012,SCAPULA COMP BIL,1288.0,,29.0,1159.2,56
CDM,46573020,SHOULDER 1 VIEW RT,642.0,,21.0,577.8,56
CDM,46573021,XR SHOULDER 1 VIEW LT,642.0,,21.0,577.8,56
CDM,46573022,SHOULDER 1 VIEW BIL,1190.0,,21.0,1071.0,56
CDM,46573030,XR SHOULDER CMPL 2+V RT,783.0,,30.0,704.7,56
CDM,46573031,XR SHOULDER CMPL 2+V LT,783.0,,30.0,704.7,56
CDM,46573032,XR SHOULDER CMPL 2+V BILAT,1358.0,,30.0,1222.2,56
CDM,46573040,XR ARTHROGRAM SHOULDER,932.0,,127.0,929.34,56
CDM,46573050,ACRO-CLAV JOINTS-BIL,680.0,,29.0,612.0,56
CDM,46573060,XR HUMERUS 2+V RT,654.0,,30.0,588.6,56
CDM,46573061,XR HUMERUS 2+V LT,654.0,,30.0,588.6,56
CDM,46573062,XR HUMERUS 2+V BILAT,1202.0,,30.0,1081.8,56
CDM,46573070,XR ELBOW 2V RT,592.0,,29.0,532.8,56
CDM,46573071,XR ELBOW 2V LT,592.0,,29.0,532.8,56
CDM,46573072,XR ELBOW 2V BILAT,889.0,,29.0,800.1,56
CDM,46573080,XR ELBOW CMPL 3+V RT,670.0,,32.0,603.0,56
CDM,46573081,XR ELBOW CMPL 3+V LT,670.0,,32.0,603.0,56
CDM,46573082,XR ELBOW CMPL 3+V BILAT,1005.0,,32.0,904.5,56
CDM,46573090,XR FOREARM 2V RT,691.0,,29.0,621.9,56
CDM,46573092,XR UPR EXT INFANT 2+V RT,438.0,,23.0,394.2,56
CDM,46573093,XR UPR EXT INFANT 2+V LT,438.0,,23.0,394.2,56
CDM,46573094,XR UPR EXT INFANT 2+V BILAT,656.0,,23.0,590.4,56
CDM,46573100,XR WRIST 2V RT,542.0,,21.0,487.8,56
CDM,46573101,XR WRIST 2V LT,586.0,,21.0,527.4,56
CDM,46573102,XR WRIST 2V BILAT,1157.0,,21.0,1041.3,56
CDM,46573110,XR WRIST CMPL 3+V RT,723.0,,31.0,650.7,56
CDM,46573111,XR WRIST CMPL 3+V LT,723.0,,31.0,650.7,56
CDM,46573112,XR WRIST CMPL3+V BI,1003.0,,31.0,902.7,56
CDM,46573115,XR ARTHROGRAM WRIST,697.0,,112.0,929.34,56
CDM,46573120,HAND 2 VIEWS RT,684.0,,18.0,615.6,56
CDM,46573121,HAND 2 VIEWS LT,684.0,,18.0,615.6,56
CDM,46573122,HAND 2 VIEWS BIL,1029.0,,18.0,926.1,56
CDM,46573130,XR HAND CMPL 3+V RT,739.0,,27.0,665.1,56
CDM,46573131,XR HAND CMPL 3+V LT,739.0,,27.0,665.1,56
CDM,46573132,XR HAND CMPL 3V BI,1192.0,,27.0,1072.8,56
CDM,46573140,XR FINGER(S) 2+V RT,532.0,,18.0,478.8,56
CDM,46573191,XR FOREARM 2V LT,691.0,,29.0,621.9,56
CDM,46573192,XR FOREARM 2V BILAT,1034.0,,29.0,930.6,56
CDM,46573241,XR FINGER(S) 2+V LT,532.0,,18.0,478.8,56
CDM,46573502,XR HIP UNILAT 2-3 VIEWS LT,508.0,,22.5,457.2,56
CDM,46573503,XR HIP UNILAT 4+ VIEWS LT,1034.0,,46.8,930.6,56
CDM,46573521,XR HIP BILAT W/PELVIS 2 VIEWS,862.0,,35.91,775.8,56
CDM,46573522,XR HIP BILAT W/PELVIS 3-4 VIEW,1459.0,,44.35,1313.1,56
CDM,46573523,XR HIP BILAT W/PELVIS 5+ VIEWS,1459.0,,51.41,1313.1,56
CDM,46573525,XR ARTHROGRAM HIP RT,1122.0,,107.0,1009.8,56
CDM,46573560,XR KNEE 1-2V RT,680.0,,24.0,612.0,56
CDM,46573562,XR KNEE 3V RT,757.0,,27.0,681.3,56
CDM,46573564,XR KNEE CMPL 4+V RT,811.0,,40.0,729.9,56
CDM,46573565,XR KNEE STAND BOTH KNEES,720.0,,56.0,648.0,56
CDM,46573580,XR ARTHROGRAM KNEE RT,1146.0,,139.0,1031.4,56
CDM,46573590,XR TIBIA/FIBULA 2V RT,730.0,,30.0,657.0,56
CDM,46573592,LOWER EXT INFANT MIN 2 VWS RT,168.0,,21.0,229.12,56
CDM,46573600,XR ANKLE 2V RT,560.0,,26.0,504.0,56
CDM,46573601,XR ANKLE 2V LT,560.0,,26.0,504.0,56
CDM,46573602,XR ANKLE 2V BILAT,1018.0,,26.0,916.2,56
CDM,46573610,XR ANKLE 3+V RT,667.0,,34.0,600.3,56
CDM,46573611,XR ANKLE 3+V LT,667.0,,34.0,600.3,56
CDM,46573612,XR ANKLE 3+V BILAT,1000.0,,34.0,900.0,56
CDM,46573620,XR FOOT 2V RT,648.0,,18.0,583.2,56
CDM,46573621,XR FOOT 2V LT,648.0,,18.0,583.2,56
CDM,46573622,XR FOOT 2V BILAT,974.0,,18.0,876.6,56
CDM,46573626,XR ARTHROGRAM HIP LT,1122.0,,107.0,1009.8,56
CDM,46573630,XR FOOT CMPL 3+V RT,793.0,,34.0,713.7,56
CDM,46573631,XR FOOT CMPL 3+V LT,793.0,,34.0,713.7,56
CDM,46573632,XR FOOT CMPL 3+V BILAT,1268.0,,34.0,1141.2,56
CDM,46573650,XR CALCANEUS 2+V RT,590.0,,25.0,531.0,56
CDM,46573651,XR CALCANEUS 2+V LT,590.0,,25.0,531.0,56
CDM,46573652,XR CALCANEUS 2+V BILAT,965.0,,25.0,868.5,56
CDM,46573660,XR TOE(S) 2+V RT,499.0,,17.0,449.1,56
CDM,46573661,XR KNEE 1-2V LT,680.0,,24.0,612.0,56
CDM,46573662,XR KNEE 1-2V BILAT,1085.0,,24.0,976.5,56
CDM,46573663,XR KNEE 3V LT,757.0,,27.0,681.3,56
CDM,46573664,XR KNEE 3V BILAT,1358.0,,27.0,1222.2,56
CDM,46573665,XR KNEE CMPL 4+V LT,811.0,,40.0,729.9,56
CDM,46573666,XR KNEE CMPL 4+V BILAT,1482.0,,40.0,1333.8,56
CDM,46573681,XR ARTHROGRAM KNEE LT,1146.0,,139.0,1031.4,56
CDM,46573691,XR TIBIA/FIBULA 2V LT,730.0,,30.0,657.0,56
CDM,46573692,XR TIBIA/FIBULA 2V BILAT,1089.0,,30.0,980.1,56
CDM,46573693,LOWER EXT INFANT MIN 2 VWS LT,168.0,,21.0,229.12,56
CDM,46573694,LOWER EXT INFANT MIN 2 VWS BIL,330.0,,21.0,297.0,56
CDM,46573761,XR TOE(S) 2+V LT,499.0,,17.0,449.1,56
CDM,46574018,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,56
CDM,46574019,X-RAY EXAM ABDOMEN 2 VIEWS,935.0,,20.71,841.5,56
CDM,46574021,X-RAY EXAM ABDOMEN 3+ VIEWS,1107.0,,14.76,996.3,56
CDM,46574022,XR ABDOMEN AP/DECUB/ERECT/CXR,1108.0,,49.0,997.2,56
CDM,46574048,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,56
CDM,46574220,XR ESOPHAGUS,1151.0,,52.0,1035.9,56
CDM,46574230,XR SWALLOW CINE/VIDEO,1162.0,,24.0,1045.8,56
CDM,46574240,XR UGI W/O KUB,1511.0,,57.0,1359.9,56
CDM,46574246,XR UGI W/AIR W/O KUB,1936.0,,78.0,1742.4,56
CDM,46574248,X-RAY SM INT F-THRU STD,2053.0,,1026.5,1847.7,55
CDM,46574250,XR SMALL INTESTINE,1591.0,,57.0,1431.9,56
CDM,46574270,XR ENEMA BARIUM,1726.0,,57.0,1553.4,56
CDM,46574280,XR ENEMA BARIUM W/AIR,1944.0,,72.0,1749.6,56
CDM,46574340,INTRODUCTION LONG GI TUBE S&I,709.0,,113.95,638.1,56
CDM,46574400,XR UROGRAM (IVP),1573.0,,79.0,1415.7,56
CDM,46574415,XR UROGRAM W/NEPHROTOMOGRAM,1741.0,,112.0,1566.9,56
CDM,46574420,XR UROGRAM RETROGRADE,1728.0,,56.0,1555.2,56
CDM,46574430,XR CYSTOGRAM 3+V,1221.0,,71.0,1098.9,56
CDM,46574450,XR CYSTOURETHROGRAM RETROGRADE,1162.0,,72.16,1045.8,57
CDM,46574455,XR CYSTOURETHROGRAM VOIDING,1469.0,,59.0,1322.1,56
CDM,46574740,XR HYSTEROSALPINGOGRAM,1326.0,,101.0,1193.4,56
CDM,46576001,"FLUORO, > 1 HOUR",1256.0,,502.4,1130.4,56
CDM,46576080,XR ABSC SINUS/FISTULA,968.0,,10.0,1426.8,56
CDM,46576098,XR SURGICAL SPECIMEN,928.0,,28.0,1426.8,56
CDM,46577003,FLURO GUIDE NDLE/CATH DX/THERP,1463.0,,84.35,1316.7,55
CDM,46577072,XR BONE AGE STUDIES,478.0,,34.0,430.2,56
CDM,46577073,BONE LENGTH STUDY,719.0,,54.5,647.1,56
CDM,46577074,XR BONE SURVEY LTD,713.0,,87.5,641.7,56
CDM,46577075,XR BONE SURVEY COMPLETE,1792.0,,200.0,1612.8,56
CDM,46577080,XR BONE DENSITY AXIAL,827.0,,99.0,744.3,56
CDM,46599203,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46600000,CT CEREBRAL PERFUSION,4734.0,,76.76,4260.6,56
CDM,46600022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,46600391,CT THORAX W/O CONTRAST-P STDY,2596.0,,150.0,2336.4,56
CDM,46600500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,46602131,CT L-SPINE LUM W/O CON-P STDY,1839.0,,150.0,1655.1,56
CDM,46602132,CT SPINE LUM W/CONTRAST-P STDY,2027.0,,177.0,1824.3,56
CDM,46602133,CT L-SPINE W&W/O CON-P STDY,2027.0,,216.0,1824.3,56
CDM,46602193,CT PELVIS W/CONTRAST (MOD 59),5861.0,,171.0,5274.9,56
CDM,46605020,CORONARY FFR FROM CTA DATA TRA,3335.0,,838.0,3001.5,68
CDM,46605030,CORONARY FFR FROM CTA DATA MOD,4702.0,,838.0,4231.8,68
CDM,46606000,CT ABDOMEN W/O CON-P STDY,2482.0,,150.0,2233.8,56
CDM,46606001,CT C-SPINE W/O CON-P STDY,3767.0,,150.0,3390.3,56
CDM,46606003,CT HEAD W/O CON-P STDY,2600.0,,133.0,2340.0,56
CDM,46606004,CT L-SPINE W/O CON-P STDY,1839.0,,150.0,1655.1,56
CDM,46606006,CT PELVIS W/O CON-P STDY,1728.0,,150.0,1555.2,56
CDM,46606008,CT T-SPINE W/O CON-P STDY,1886.0,,150.0,1697.4,56
CDM,46606009,CT ABDOMEN W/CON-P STDY,2744.0,,174.0,2469.6,56
CDM,46606010,CT ABDOMEN W&W/O CON-P STDY,3462.0,,210.0,3115.8,56
CDM,46606240,AUTO QUANT CORONARY PLAQUE PRE,2500.0,,35.28,2250.0,58
CDM,46606250,AUTO QUANT CORONARY PLAQUE ANA,2500.0,,782.9,2250.0,69
CDM,46610030,FLUID COLLECT ST PERC IMAGE,2450.0,,980.0,2205.0,56
CDM,46610140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1466.1,56
CDM,46610160,PUNCT ASPIR ABSCES/HEMAT/CYST,638.0,,255.2,574.2,56
CDM,46611270,CT THORACIC WO/FOL W/CON,6647.0,,216.0,5982.3,56
CDM,46612284,INJECTION PROC/MYELOGM/CT,1908.0,,763.2,1717.2,56
CDM,46613202,CT UPPER EXT WO/FOL/W RT,5465.0,,19.0,4918.5,56
CDM,46613203,CT UPPER EXT WO/CONTRAST LT,4833.0,,52.0,4349.7,56
CDM,46613204,CT UPPER EXT WO/CONTRAST BIL,7398.0,,52.0,6658.2,56
CDM,46613205,CT UPR EXT W/CONTRAST LT,6421.0,,19.0,5778.9,56
CDM,46613206,CT UPR EXT W/CONTRAST BILAT,8920.0,,19.0,8028.0,56
CDM,46613207,CT UPPER EXT WO/FOL/W LT,5465.0,,19.0,4918.5,56
CDM,46613208,CT UPPER EXT WO/FOL/W BIL,8197.0,,19.0,7377.3,56
CDM,46613702,CT LOWER EXT WO/FOL/W RT,6114.0,,129.0,5502.6,56
CDM,46613703,CT LWR EXT W/O CONTRAST LT,4382.0,,120.0,3943.8,56
CDM,46613704,CT LWR EXT W/O CONTRAST BILAT,7474.0,,120.0,6726.6,56
CDM,46613705,CT LWR EXT W/CONTRAST LT,5979.0,,129.0,5381.1,56
CDM,46613706,CT LWR EXT W/CONTRAST BILAT,8305.0,,129.0,7474.5,56
CDM,46613707,CT LOWER EXT WO/FOL/W LT,5660.0,,129.0,5094.0,56
CDM,46613708,CT LOWER EXT WO/FOL/W BIL,8492.0,,129.0,7642.8,56
CDM,46614710,PELVIMETRY,516.0,,83.59,464.4,56
CDM,46615989,CT GUIDE ASBC DRN PER W/CATH,2694.0,,115.0,2424.6,55
CDM,46620206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,56
CDM,46620220,"BIOPSY, BONE SUPERFICIAL",2652.0,,1060.8,2386.8,56
CDM,46620225,BIOPSY BONE TROCAR/NDL DEEP,3284.0,,1313.6,2955.6,56
CDM,46620501,INJ TRACT SINOGRAM,463.0,,185.2,416.7,56
CDM,46620552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,466.0,1048.5,56
CDM,46620600,ARTHROCENTESIS SMALL JOINT LT,1911.0,,764.4,1719.9,56
CDM,46620601,ARTHROCENTESIS SMALL JOINT RT,1911.0,,764.4,1719.9,56
CDM,46620610,"DRAIN/INJ,JOINT/BURSA MAJ RT",4987.0,,1994.8,4488.3,56
CDM,46620611,"DRAIN/INJ,JOINT/BURSA MAJ LT",1870.0,,748.0,1683.0,56
CDM,46620613,ASP/INJ GANGLION CYST- INIT,536.0,,214.4,482.4,56
CDM,46620614,ASP/INJ GANGLION CYST- EA AD,536.0,,214.4,482.4,56
CDM,46625571,CT SCREENING CORONARY,60.0,,30.0,229.12,56
CDM,46627096,INJ ARTHROGRAM SACROILIAC RT,2347.0,,938.8,2112.3,56
CDM,46632400,BIOPSY PLEURA NEEDLE PERC,2323.0,,929.2,2090.7,56
CDM,46632555,ASPIRATE PLEURA WITH IMAGING,1841.0,,736.4,1656.9,56
CDM,46638505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1825.2,56
CDM,46643259,GI UPPER ENDOSCOPY 43259,5854.0,,2927.0,5268.6,56
CDM,46645000,TRANRECTAL DRAIN PELVIC ABSCES,2477.0,,990.8,2229.3,56
CDM,46647000,BIOPSY LIVER PERC NEEDLE,3426.0,,1370.4,3083.4,56
CDM,46647490,CHOLECYSTOST PERC COMPL PROC,5871.0,,2348.4,5283.9,56
CDM,46648102,BIOPSY PANCREAS PERC NEEDLE,3123.0,,1249.2,2810.7,56
CDM,46649083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,56
CDM,46649180,BIOPSY ABD/RET MASS PERC NDL,3469.0,,1387.6,3122.1,56
CDM,46649405,CT FLD COLLXN DRAIN CATH VISC,5691.0,,2276.4,5121.9,56
CDM,46649406,FLUID COLL DRAIN CATH PERI,9553.0,,4776.5,8597.7,55
CDM,46649407,CT FLD COLLXN TRANSREC/VAG,3264.0,,1632.0,2937.6,55
CDM,46650101,CT GUIDED NEEDLE PLCMT-P STDY,1403.0,,378.0,1262.7,55
CDM,46650200,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,56
CDM,46650201,BIOPSY RENAL PERC NDL/TROCR LT,3064.0,,1225.6,2757.6,56
CDM,46650390,ASP/INJ RENAL CYST/PEL PERC RT,2345.0,,938.0,2110.5,56
CDM,46650391,ASP/INJ RENAL CYST/PEL PERC LT,2345.0,,938.0,2110.5,56
CDM,46651600,INJ CYSTOGRAM,1129.0,,451.6,1016.1,56
CDM,46661050,PUNCTURE CISTERNAL/LATERAL,1615.0,,646.0,1453.5,56
CDM,46661055,PUNCTURE CISTERNAL/LATERAL,2134.0,,853.6,1920.6,56
CDM,46662270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,722.8,1626.3,56
CDM,46662273,INJ EPIDURAL BLOOD/CLOT PATCH,2520.0,,1260.0,2268.0,55
CDM,46664418,INJ ANES NERVE SUPRASCAPULAR,1208.0,,483.2,1087.2,56
CDM,46664430,INJ ANES NERVE PUDENDAL,1409.0,,563.6,1268.1,56
CDM,46664445,INJ ANES NERVE SCIATIC SGL,1912.0,,764.8,1720.8,56
CDM,46664450,INJ ANES NERVE PERIPHERAL,1592.0,,636.8,1432.8,56
CDM,46664455,INJ ANES/STEROID NERVE PLANTAR,685.0,,274.0,616.5,56
CDM,46664483,INJ EPIDURAL LUMBAR/SACRAL SGL,3496.0,,1398.4,3146.4,56
CDM,46664484,INJ EPIDURAL LUMBAR/SACRAL ADD,1996.0,,798.4,1796.4,56
CDM,46664490,INJ ANES/STER CERV/THOR SGL,2901.0,,1160.4,2610.9,56
CDM,46664491,INJ PARAVERT F JNT C/T 2ND LVL,1705.0,,682.0,1534.5,56
CDM,46664492,INJ PARAVERT F JNT C/T 3RD LVL,2127.0,,850.8,1914.3,56
CDM,46664493,INJ ANES/STER LUMB/SACR SGL,3356.0,,1342.4,3020.4,56
CDM,46664494,INJ PARAVERT F JNT L/S 2ND LVL,2047.0,,818.8,1842.3,56
CDM,46664495,INJ PARAVERT F JNT L/S 3RD LVL,1986.0,,794.4,1787.4,56
CDM,46664502,INJ ANES/STER CERV/THOR SGL BI,4353.0,,1741.2,3917.7,56
CDM,46664503,INJ PARAVERT F JNT C/T 2ND BI,2155.0,,862.0,1939.5,56
CDM,46664504,INJ PARAVERT F JNT C/T 3RD BI,2683.0,,1073.2,2414.7,56
CDM,46664505,INJ ANES/STER LUMB/SACR SGL BI,4661.0,,1864.4,4194.9,56
CDM,46664506,INJ PARAVERT F JNT L/S 2ND BI,3072.0,,1228.8,2764.8,56
CDM,46664507,INJ PARAVERT F JNT L/S 3RD BI,2756.0,,1102.4,2480.4,56
CDM,46664530,INJ ANES CELIAC PLEXUS,2894.0,,1157.6,2604.6,56
CDM,46664633,DEST NRV CERV/THOR SGL,4464.0,,1785.6,4017.6,56
CDM,46664634,DEST NRV CERV/THOR SGL EA ADD,3209.0,,1283.6,2888.1,56
CDM,46664635,DEST NRV LUMB/SACR SGL,5533.0,,2213.2,4979.7,56
CDM,46664636,DEST NRV LUMB/SACR EA ADD,3782.0,,1512.8,3403.8,56
CDM,46668850,INJ CONTRAST DACRYOCYST,449.0,,179.6,404.1,56
CDM,46670170,DACRYOCYSTOGRAM NASOLACRIMINAL,581.0,,49.91,629.0,57
CDM,46670450,CT HEAD/BRAIN WO/CONTRAST,2704.0,,133.0,2433.6,56
CDM,46670460,CT HEAD/BRAIN W/CONTRAST,5817.0,,147.0,5235.3,56
CDM,46670470,CT HEAD/BRAIN W&W/O CONTRAST,7136.0,,179.0,6422.4,56
CDM,46670480,CT FOS/SEL/EAR W/O CONTRAST,4597.0,,132.0,4137.3,56
CDM,46670481,CT FOS/SEL/EAR W/CONTRAST,5342.0,,153.0,4807.8,56
CDM,46670482,CT FOS/SEL/EAR W&W/O CONTRAST,4059.0,,183.0,3653.1,56
CDM,46670486,CT MAX/FACIAL W/O CONTRAST,4337.0,,129.0,3903.3,56
CDM,46670487,CT MAX/FACIAL W/CONTRAST,4107.0,,150.0,3696.3,56
CDM,46670488,CT MAX/FACIAL W&W/O CONTRAST,5734.0,,151.0,5160.6,56
CDM,46670490,CT NECK W/O CONTRAST,4131.0,,132.0,3717.9,56
CDM,46670491,CT NECK W/CONTRAST,2808.0,,153.0,2527.2,56
CDM,46670492,CT NECK W&W/O CONTRAST,5114.0,,183.0,4602.6,56
CDM,46670496,CTA HEAD W&W/O CONTRAST,6311.0,,186.5,5679.9,56
CDM,46670498,CTA NECK W&W/O CONTRAST,6778.0,,357.1,6100.2,56
CDM,46671250,CT THORAX W/O CONTRAST,2596.0,,150.0,2336.4,56
CDM,46671260,CT THORAX W/CONTRAST,3245.0,,177.0,2920.5,56
CDM,46671271,CT THORAX LUNG CA SCR W/O CONT,362.0,,87.59,325.8,68
CDM,46671275,CTA CHEST W&W/O CONTRAST,2271.0,,273.89,2043.9,56
CDM,46672125,CT C-SPINE W/O CONTRAST,3318.0,,150.0,2986.2,56
CDM,46672126,CT SPINE CERV W/CONTRAST,7344.0,,177.0,6609.6,56
CDM,46672127,CT C-SPINE W&W/O CONTRAST,6131.0,,186.0,5517.9,56
CDM,46672128,CT SPINE THOR WO/CONTRAST,6016.0,,150.0,5414.4,56
CDM,46672129,CT SPINE THOR W/CONTRAST,6643.0,,177.0,5978.7,56
CDM,46672130,CT T-SPINE W&W/O CONTRAST,6439.0,,216.0,5795.1,56
CDM,46672131,CT SPINE LUM W/O CONTRAST,1839.0,,150.0,1655.1,56
CDM,46672132,CT SPINE LUM W/CONTRAST,6469.0,,177.0,5822.1,56
CDM,46672133,CT L-SPINE W&W/O CONTRAST,5992.0,,216.0,5392.8,56
CDM,46672191,CTA PELVIS W&W/O CONTRAST,7251.0,,212.5,6525.9,56
CDM,46672192,CT PELVIS WO/CONTRAST,5519.0,,150.0,4967.1,56
CDM,46672193,CT PELVIS W/CONTRAST,6330.0,,171.0,5697.0,56
CDM,46672194,CT PELVIS W&W/O CONTRAST,8866.0,,204.0,7979.4,56
CDM,46673200,CT UPR EXT W/O CONTRAST RT,4833.0,,52.0,4349.7,56
CDM,46673201,CT UPR EXT W/CONTRAST RT,6421.0,,19.0,5778.9,56
CDM,46673206,CTA UPR EXT W&W/O CONTRAST,6968.0,,117.5,6271.2,56
CDM,46673700,CT LWR EXT W/O CONTRAST RT,4382.0,,120.0,3943.8,56
CDM,46673701,CT LWR EXT W/CONTRAST RT,5979.0,,129.0,5381.1,56
CDM,46673706,CTA LWR EXT W&W/O CONTRAST,6183.0,,117.5,5564.7,56
CDM,46674150,CT ABDOMEN W/O CONTRAST,7916.0,,150.0,7124.4,56
CDM,46674160,CT ABDOMEN W/CONTRAST,8106.0,,174.0,7295.4,56
CDM,46674170,CT ABDOMEN W&W/O CONTRAST,11048.0,,210.0,9943.2,56
CDM,46674174,CT ABD/PEL W/WO CONTRAST POST,3137.0,,575.89,2823.3,56
CDM,46674175,CTA ABDOMEN W&W/O CONTRAST,8560.0,,219.0,7704.0,56
CDM,46674176,CT ABD & PELVIS W/O CONTRAST,4651.0,,203.44,4185.9,56
CDM,46674177,CT ABD & PELVIS W/CONTRAST,5200.0,,233.17,4680.0,56
CDM,46674178,CT ABD & PELV W&W/O CONT 1+,6448.0,,402.44,5803.2,56
CDM,46674261,CT COLONOGRAPHY W/O CNTRST,2936.0,,187.5,2642.4,56
CDM,46674262,CT COLONOGRAPHY W/ CNTRST,2986.0,,357.1,2687.4,56
CDM,46674430,XR CYSTOGRAM 3+V,1221.0,,71.0,1098.9,56
CDM,46675571,CT HRT W/O CNTRST W/CA TEST,335.0,,48.5,301.5,56
CDM,46675572,CT HRT W/3D IMAGE,5103.0,,278.5,4592.7,57
CDM,46675573,CT HRT W/3D IMAGE CONGEN,5558.0,,361.17,5002.2,57
CDM,46675574,CT ANGIO HRT W/3D IMAGE,6931.0,,327.0,6237.9,57
CDM,46675635,CTA ABDOMINAL AORTA W/RUNOFF,10132.0,,230.0,9118.8,56
CDM,46676377,CT 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,46676380,CT LIMITED OR LOCALIZED STUD,2850.0,,56.0,2565.0,56
CDM,46677011,CT GUIDED LOCALIZATION STEREO,2919.0,,249.0,2627.1,55
CDM,46677012,CT GUIDED NEEDLE PLACEMENT,4475.0,,378.0,4027.5,55
CDM,46677014,CT GUID PLACE RAD THRPY FIELDS,3166.0,,170.16,2849.4,55
CDM,46677073,BONE LENGTH STUDY,719.0,,54.5,647.1,56
CDM,46677078,CT BONE MINERAL DENSITY AXIAL,671.0,,65.0,603.9,56
CDM,46686002,CT CHEST W/CON-P STDY,3245.0,,177.0,2920.5,56
CDM,46686005,CT MAX/FACIAL W/O CON-P STDY,3201.0,,129.0,2880.9,56
CDM,46686020,CT UPR EXT W/O CON-P STDY,1515.0,,52.0,1363.5,56
CDM,46686025,CT LWR EXT W/O CON-P STDY,1484.0,,120.0,1335.6,56
CDM,46686030,CTA HEAD-P STDY,1935.0,,186.5,1741.5,56
CDM,46686032,CTA NECK-P STDY,1581.0,,357.1,1422.9,56
CDM,46686034,CTA CHEST-P STDY,2271.0,,273.89,2043.9,56
CDM,46686036,CTA ABDOMEN-P STDY,2683.0,,219.0,2414.7,56
CDM,46686038,CTA PELVIS-P STDY,2274.0,,212.5,2046.6,56
CDM,46699203,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46700022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,46700228,MAMMO SCREEN BILAT DIG IMAGE,475.0,,107.0,427.5,56
CDM,46700380,MAMMARY DUCTOGRAM MULTI RT,1125.0,,16.0,1012.5,56
CDM,46700385,US GUIDED CLIP PLACEMENT ONLY,1751.0,,91.0,1575.9,55
CDM,46700442,ULTRASOUND BREAST COMPLETE RT,1228.0,,99.32,1105.2,56
CDM,46700445,US BREAST UNILAT COMPLETE BIL,1841.0,,99.32,1656.9,56
CDM,46700446,US BREAST UNILAT LTD W/DOC BIL,1381.0,,82.01,1242.9,56
CDM,46707063,BREAST TOMOSYNTH UNI SCR P-STY,161.0,,20.71,144.9,56
CDM,46707067,SCR MAMMO UNI INC CAD P-STUDY,163.0,,81.5,234.09,56
CDM,46710035,PL LOCAL DVC TISSUE 1ST LES,3976.0,,1590.4,3578.4,56
CDM,46710036,PL LOCAL DVC TISSUE ADD LES,1778.0,,711.2,1600.2,56
CDM,46716942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,46717065,DX MAMMO INCL CAD UNI RT,475.0,,125.0,427.5,56
CDM,46719000,PUNCTURE ASP BRST CYST,841.0,,336.4,756.9,56
CDM,46719001,PUNCTURE ASP BRST EA ADD CYST,266.0,,106.4,239.4,56
CDM,46719030,INJ DUCTOGRAM/GALACTOGRAM,884.0,,353.6,795.6,56
CDM,46719081,BX BREAST 1ST LESN STRTCTC,4602.0,,1840.8,4141.8,56
CDM,46719082,BX BREAST ADD LESN STRTCTC,3868.0,,1547.2,3481.2,56
CDM,46719083,BX BREAST 1ST LESN US IMAG,3848.0,,1539.2,3463.2,56
CDM,46719084,BX BREAST ADD LESN US IMAG,2723.0,,1089.2,2450.7,56
CDM,46719085,BX BREAST 1ST LESN MR IMAG,4602.0,,1840.8,4141.8,56
CDM,46719086,BX BREAST ADD LESN MR IMAG,3868.0,,1547.2,3481.2,56
CDM,46719281,PERQ DEVICE BREAST 1ST IMAG,2454.0,,981.6,2208.6,56
CDM,46719282,PERQ DEVICE BREAST ADD IMAG,1721.0,,688.4,1548.9,56
CDM,46719283,PERQ DEV BREAST 1ST STRTCTC,4262.0,,1704.8,3835.8,56
CDM,46719284,PERQ DEV BREAST ADD STRTCTC,3581.0,,1432.4,3222.9,56
CDM,46719285,PERQ DEV BREAST 1ST US IMAG,3456.0,,1382.4,3110.4,56
CDM,46719286,PERQ DEV BREAST ADD US IMAG,2723.0,,1089.2,2450.7,56
CDM,46719287,PERQ DEV BREAST 1ST MR GUIDE,4602.0,,1840.8,4141.8,56
CDM,46719288,PERQ DEV BREAST ADD MR GUIDE,3581.0,,1432.4,3222.9,56
CDM,46727053,MAMMARY DUCTOGRAM LT,905.0,,25.0,814.5,56
CDM,46776098,XR SURGICAL SPECIMEN,928.0,,28.0,1426.8,56
CDM,46776641,ULTRASOUND BREAST COMPLETE LT,1228.0,,99.32,1105.2,56
CDM,46776882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,56
CDM,46776942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,46776998,US GUIDANCE INTRAOPERATIVE,1570.0,,141.07,1413.0,56
CDM,46777053,MAMMARY DUCTOGRAM RT,978.0,,25.0,880.2,56
CDM,46777054,MAMMARY DUCTOGRAM MULTI LT,1125.0,,16.0,1012.5,56
CDM,46777061,BREAST TOMOSYNTHESIS UNILAT,584.0,,39.76,525.6,56
CDM,46777062,BREAST TOMOSYNTHESIS BILAT,584.0,,39.76,525.6,56
CDM,46777063,BREAST TOMOSYNTHESIS BIL SCRN,475.0,,20.71,427.5,56
CDM,46777065,DX MAMMO INCL CAD UNI,475.0,,125.0,427.5,56
CDM,46777066,DX MAMMO INCL CAD BI 02,144.0,,72.0,282.88,56
CDM,46777067,SCR MAMMO BI INCL CAD,475.0,,107.0,427.5,56
CDM,46777077,XR JOINT SURVEY 1V,428.0,,214.0,385.2,56
CDM,46796374,THERAPY/PRO/DX/IV PUSH INIT,540.0,,270.0,486.0,56
CDM,46799203,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46800022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,46803227,MRA UPPER EXT WO/FOL/W LT,2850.0,,736.24,2565.0,57
CDM,46808400,LEVSIN SUB-LINGUAL 0.125MG TAB,2.0,,0.512,1.8,55
CDM,46812151,MRI SPINE SACRUM WO/CONTRAST,3461.0,,441.0,3114.9,56
CDM,46812160,MRI SPINE SACRUM WO/FOL/W,10567.0,,639.0,9510.3,56
CDM,46812200,"MRA W/O CONT, PELVIS",4282.0,,460.26,3853.8,57
CDM,46813732,"MRA W/O FOL W/CONT, LWR EXT LT",7577.0,,736.24,6819.3,57
CDM,46813733,"MRA W/O FOL W/CONT, LWR EX BIL",11367.0,,736.24,10230.3,57
CDM,46813734,"MRA W/O FOL W/CONT,LWR EXT RT",7577.0,,736.24,6819.3,57
CDM,46819000,PUNCTURE ASP BRST CYST,841.0,,336.4,756.9,56
CDM,46819001,PUNCTURE ASP BRST EA ADD CYST,266.0,,106.4,239.4,56
CDM,46819081,BX BREAST 1ST LESION STRTCTC,4602.0,,1840.8,4141.8,56
CDM,46819082,BX BREAST ADD LESION STRTCTC,3868.0,,1547.2,3481.2,56
CDM,46819083,BX BREAST 1ST LESION US IMAG,3848.0,,1539.2,3463.2,56
CDM,46819084,BX BREAST ADD LESION US IMAG,2723.0,,1089.2,2450.7,56
CDM,46819085,BX BREAST 1ST LESION MR IMAG,4602.0,,1840.8,4141.8,56
CDM,46819086,BX BREAST ADD LESION MR IMAG,3868.0,,1547.2,3481.2,56
CDM,46819281,PERQ DEVICE BREAST 1ST IMAG,2454.0,,981.6,2208.6,56
CDM,46819282,PERQ DEVICE BREAST ADD IMAG,1721.0,,688.4,1548.9,56
CDM,46819283,PERQ DEV BREAST 1ST STRTCTC,4262.0,,1704.8,3835.8,56
CDM,46819284,PERQ DEV BREAST ADD STRTCTC,3581.0,,1432.4,3222.9,56
CDM,46819285,PERQ DEV BREAST 1ST US IMAG,3456.0,,1382.4,3110.4,56
CDM,46819286,PERQ DEV BREAST ADD US IMAG,2723.0,,1089.2,2450.7,56
CDM,46819287,PERQ DEV BREAST 1ST MR GUIDE,4602.0,,1840.8,4141.8,56
CDM,46819288,PERQ DEV BREAST ADD MR GUIDE,3581.0,,1432.4,3222.9,56
CDM,46820552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,58.0,1048.5,55
CDM,46820553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,398.4,896.4,56
CDM,46823218,MRI UPR EXT W/O CON LT,6159.0,,417.0,5543.1,56
CDM,46823219,MRI UPPER EXT. W/CONTRAST LT,5509.0,,300.0,4958.1,56
CDM,46823220,MRI UPR EXT W&W/O CON LT,7679.0,,300.0,6911.1,56
CDM,46823221,MRI UPR EXT JNT W/O CON LT,6165.0,,300.0,5548.5,56
CDM,46823222,MRI UPR EXT JNT W/CON LT,6568.0,,349.0,5911.2,56
CDM,46823223,MRI UPR EXT JNT W&W/O CON LT,7808.0,,433.0,7027.2,56
CDM,46823318,MRI UPR EXT W/O CON BILAT,9238.0,,417.0,8314.2,56
CDM,46823718,MRI LWR EXT W/O CON LT,6355.0,,460.26,5719.5,56
CDM,46823719,MRI LWR EXT W/CON LT,5453.0,,300.0,4907.7,56
CDM,46823720,MRI LWR EXT W&W/O CON LT,7756.0,,300.0,6980.4,56
CDM,46823721,MRI LWR EXT JNT W/O CON LT,3677.0,,300.0,3309.3,56
CDM,46823722,MRI LWR EXT JNT W/CON LT,8013.0,,957.88,7211.7,56
CDM,46823723,MRI LWR EXT JNT W&W/O CON LT,8651.0,,736.24,7785.9,56
CDM,46827058,MRI BREAST UNI W&/ORW/O CON LT,5011.0,,736.24,4509.9,57
CDM,46833219,MRI UPPER EXT. W/CONTRAST BIL,8265.0,,300.0,7438.5,56
CDM,46833220,MRI UPR EXT W&W/O CON BILAT,11517.0,,300.0,10365.3,56
CDM,46833221,MRI UPR EXT JNT W/O CON BILAT,9246.0,,300.0,8321.4,56
CDM,46833222,MRI UPR EXT JNT W/CON BILAT,9850.0,,349.0,8865.0,56
CDM,46833223,MRI UPR EXT JNT W&W/O BILAT,11709.0,,433.0,10538.1,56
CDM,46833718,MRI LWR EXT W/O CON BIL,9533.0,,460.26,8579.7,56
CDM,46833719,MRI LWR EXT W/CON BIL,8179.0,,300.0,7361.1,56
CDM,46833720,MRI LWR EXT W&W/O CON BIL,11632.0,,300.0,10468.8,56
CDM,46833721,MRI LWR EXT JNT W/O CON BIL,5516.0,,300.0,4964.4,56
CDM,46833722,MRI LWR EXT JNT W/CON BIL,12019.0,,957.88,10817.1,56
CDM,46833725,MRA LWR EXTREM W/ OR W/O BIL,7195.0,,298.4,6475.5,57
CDM,46863227,MRA UPPER EXT WO/FOL/W RT,2850.0,,736.24,2565.0,57
CDM,46870336,MRI TMJ UNILAT OR BILAT,4026.0,,300.0,3623.4,56
CDM,46870540,MRI ORBIT/FACE/NECK W/O CON,8507.0,,300.0,7656.3,56
CDM,46870542,MRI ORBIT/FACE/NECK W/CONTRAST,3789.0,,447.0,3410.1,56
CDM,46870543,MRI ORBIT FACE & NECK WO/FOL/W,8507.0,,447.0,7656.3,56
CDM,46870544,MRA HEAD W/O CONTRAST,2380.0,,354.0,2142.0,56
CDM,46870545,MRA HEAD W/CONTRAST,5184.0,,374.0,4665.6,56
CDM,46870546,MRA HEAD W&W/O CONTRAST,7015.0,,497.0,6313.5,56
CDM,46870547,MRA NECK W/O CONTRAST,4858.0,,371.7,4372.2,56
CDM,46870549,MRA NECK WO/FOL/W CONTRAST,3028.0,,472.0,2725.2,56
CDM,46870551,MRI BRAIN W/O CON,3894.0,,300.0,3504.6,56
CDM,46870552,MRI BRAIN W/CONTRAST,7992.0,,345.0,7192.8,56
CDM,46870553,MRI BRAIN W&W/O CON,5949.0,,520.0,5354.1,56
CDM,46870554,FUNCTIONAL MRI BRAIN TECH,5325.0,,199.1,4792.5,68
CDM,46871550,MRI CHEST W/O CONTRAST,6854.0,,300.0,6168.6,56
CDM,46871551,MRI CHEST W/CONTRAST,5509.0,,480.0,4958.1,56
CDM,46871552,MRI CHEST W&W/O CON,10255.0,,736.24,9229.5,56
CDM,46871555,MRA CHEST W/ OR W/O CONTRAST,6949.0,,670.0,6254.1,57
CDM,46872141,MRI SPINE CERV WO/CONTR,3894.0,,460.26,3504.6,56
CDM,46872142,MRI SPINE CERV W/CONTRAST,8148.0,,350.0,7333.2,56
CDM,46872146,MRI T-SPINE W/O CON,3786.0,,300.0,3407.4,56
CDM,46872147,MRI SPINE THOR W/CONTRAST,9035.0,,350.0,8131.5,56
CDM,46872148,MRI SPINE LUMBAR WO/CONTRAST,4002.0,,300.0,3601.8,56
CDM,46872149,MRI SPINE LUMBAR W/CONTR,8627.0,,350.0,7764.3,56
CDM,46872156,MRI C-SPINE W&W/O CON,10567.0,,520.0,9510.3,56
CDM,46872157,MRI T-SPINE W&W/O CON,9785.0,,520.0,8806.5,56
CDM,46872158,MRI L-SPINE W&W/O CON,5624.0,,520.0,5061.6,56
CDM,46872159,MRA SPINAL CANAL W/CONTRAST,4814.0,,736.24,4332.6,56
CDM,46872195,MRI PELVIS W/O CON LTD,3461.0,,441.0,3114.9,56
CDM,46872197,MRI PELVIS W&W/O CON,10567.0,,639.0,9510.3,56
CDM,46872198,MRA PELVIS W/ OR W/O CONTRAST,6288.0,,736.24,5659.2,57
CDM,46873218,MRI UPR EXT W/O CON RT,6159.0,,417.0,5543.1,56
CDM,46873219,MRI UPPER EXT. W/CONTRAST RT,5509.0,,300.0,4958.1,56
CDM,46873220,MRI UPR EXT W&W/O CON RT,7679.0,,300.0,6911.1,56
CDM,46873221,MRI UPR EXT JNT W/O CON RT,6165.0,,300.0,5548.5,56
CDM,46873222,MRI UPR EXT JNT W/CON RT,6568.0,,349.0,5911.2,56
CDM,46873223,MRI UPR EXT JNT W&W/O RT,7808.0,,433.0,7027.2,56
CDM,46873718,MRI LWR EXT W/O CON RT,6355.0,,460.26,5719.5,56
CDM,46873719,MRI LWR EXT W/CON RT,5453.0,,300.0,4907.7,56
CDM,46873720,MRI LWR EXT W&W/O CON RT,7756.0,,300.0,6980.4,56
CDM,46873721,MRI LWR EXT JNT W/O CON RT,3677.0,,300.0,3309.3,56
CDM,46873722,MRI LWR EXT JNT W/CON RT,8654.0,,957.88,7788.6,56
CDM,46873723,MRI LWR EXT JNT W&W/O CON RT,8651.0,,736.24,7785.9,56
CDM,46873725,MRA LWR EXT W/W/O CON RT,5180.0,,298.4,4662.0,57
CDM,46874181,MRI ABDOMEN W/O CON,7850.0,,439.83,7065.0,56
CDM,46874182,MRI ABDOMEN W/CON,6350.0,,303.0,5715.0,56
CDM,46874183,MRI ABDOMEN W&W/O CON,4543.0,,303.0,4088.7,56
CDM,46874185,MRA ABDOMEN W/W/O CON,6225.0,,736.24,5602.5,57
CDM,46874712,MRI FETAL SINGLE 1ST GESTATION,6012.0,,460.26,5410.8,56
CDM,46874713,MRI FETAL EACH ADDL GESTATION,6350.0,,289.08,5715.0,55
CDM,46875557,MRI CARDIAC W/O CONTRAST,3740.0,,460.26,3366.0,56
CDM,46875561,MRI CARDIAC W&W/O CONTRAST,6002.0,,394.16,5401.8,56
CDM,46875565,MRI CARDIAC W/O CONTRAST QUANT,6779.0,,85.45,6101.1,55
CDM,46876377,MRI 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,55
CDM,46876390,MRI SPECTROSCOPY,3808.0,,72.52,3427.2,68
CDM,46876391,MR ELASTOGRAPHY,7850.0,,130.18,7065.0,56
CDM,46877021,MRI GUIDE NEEDLE PLACE,4965.0,,613.0,4468.5,55
CDM,46877046,MRI BREAST W/O CONTRAST UNILAT,5011.0,,460.26,4509.9,56
CDM,46877047,MRI BREAST W/O CONTRAST BILAT,7518.0,,460.26,6766.2,56
CDM,46877048,MRI BREAST W/O&W CONT UNILAT,6295.0,,736.24,5665.5,57
CDM,46877049,MRI BREAST W/O&W CONT BILAT,9441.0,,736.24,8496.9,57
CDM,46877058,MRI BREAST UNI W&/ORW/O CON RT,5011.0,,736.24,4509.9,57
CDM,46877059,MRI BREAST BILAT W&/ORW/O CON,5827.0,,736.24,5244.3,57
CDM,46882947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,46886000,MR ABDOMEN W/O CON-P STDY,3308.0,,439.83,2977.2,56
CDM,46886001,MR C-SPINE W/O CON-P STDY,3894.0,,460.26,3504.6,56
CDM,46886003,MRI BRAIN W/O CON-P STDY,3894.0,,300.0,3504.6,56
CDM,46886004,MR L-SPINE W/O CON-P STDY,4002.0,,300.0,3601.8,56
CDM,46886006,MR PELVIS W/O CON-P STDY,3461.0,,441.0,3114.9,56
CDM,46886007,MR UPR EXT NON JNT W/O-P STDY,2085.0,,417.0,1876.5,56
CDM,46886008,MR T-SPINE W/O CON-P STDY,3786.0,,300.0,3407.4,56
CDM,46886009,MR UPR EXT JNT W/O CON-P STDY,2276.0,,300.0,2048.4,56
CDM,46886010,MR BREAST W&/OR W/O CON-P STDY,1697.0,,736.24,1527.3,57
CDM,46886015,MR LWR EXT JNT W/O CON-P STDY,3677.0,,300.0,3309.3,56
CDM,46886016,MR LWR EXT NON JNT-P STDY,2153.0,,460.26,1937.7,56
CDM,46886100,MR ANGIO HEAD-P STDY,1789.0,,497.0,1610.1,56
CDM,46886101,MR ANGIO NECK-P STDY,3028.0,,472.0,2725.2,56
CDM,46899203,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46900022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,46900049,US UNLSTD PROC,681.0,,161.8,612.9,56
CDM,46900500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,46900621,US BUTTOCK,1310.0,,64.0,1179.0,56
CDM,46900623,US FLANK,831.0,,161.8,747.9,56
CDM,46900625,US SUPRAPUBIC,831.0,,161.8,747.9,56
CDM,46903998,VENOUS MAPPING WITHOUT DOPPLER,1492.0,,746.0,1342.8,56
CDM,46910030,FLUID COLLECT ST PERC IMAGE,2450.0,,980.0,2205.0,56
CDM,46910160,PUNCT ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,56
CDM,46910390,ASP/INJ RENAL CYST/PELV PRC RT,2345.0,,938.0,2110.5,56
CDM,46910391,ASP/INJ RENAL CYST/PEL PERC LT,2345.0,,938.0,2110.5,56
CDM,46913930,DUPLEX SCAN UP EXT BIL,2010.0,,47.0,1809.0,56
CDM,46916506,ECHOENCEPHALOGRAM,1162.0,,108.0,1045.8,56
CDM,46916805,ECHO PREGNANT UTERUS COMPLETE,1577.0,,60.0,1419.3,56
CDM,46916815,US OB PREGNANCY LIMITED,935.0,,45.0,841.5,56
CDM,46920206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,56
CDM,46920225,BIOPSY BONE TROCAR/NDL DEEP,3284.0,,1313.6,2955.6,56
CDM,46920552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,466.0,1048.5,56
CDM,46920553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,398.4,896.4,56
CDM,46920600,ARTHROCENT ASP/INJ JT SMALL RT,1911.0,,764.4,1719.9,56
CDM,46920602,ARTHROCENT ASP/INJ JT SMALL LT,1911.0,,764.4,1719.9,56
CDM,46920605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,447.2,1006.2,56
CDM,46920610,"DRAIN/INJ,JOINT/BURSA MAJ RT",4987.0,,1994.8,4488.3,56
CDM,46920611,"DRAIN/INJ,JOINT/BURSA MAJ LT",1870.0,,748.0,1683.0,56
CDM,46927040,BX TISSUE PELVIS/HIP SUPERFIC,2550.0,,1020.0,2295.0,56
CDM,46932400,"BIOPSY, PLEURA- PERCUT. NEEDLE",2323.0,,929.2,2090.7,56
CDM,46932555,ASPIRATE PLEURA WITH IMAGING,1841.0,,736.4,1656.9,56
CDM,46938505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1825.2,56
CDM,46943259,GI UPPER ENDOSCOPY 43259,5854.0,,2927.0,5268.6,56
CDM,46943883,DUPLEX EXTRACRANIAL UNILAT LT,1257.0,,65.0,1131.3,56
CDM,46943932,DUPLEX ARTERIAL UPR EXT UNI LT,1540.0,,9.0,1386.0,56
CDM,46943971,DUPLEX SCAN EXT VEINS LTD RT,1611.0,,56.0,1449.9,56
CDM,46943972,DUPLEX VENOUS EXT UNILAT LT,1611.0,,56.0,1449.9,56
CDM,46947000,BIOPSY LIVER PERC NEEDLE,3426.0,,1370.4,3083.4,56
CDM,46948102,BIOPSY PANCREAS NEEDLE,3123.0,,1249.2,2810.7,56
CDM,46949083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,56
CDM,46949180,BIOPSY ABD/RET MASS PERC NDL,3469.0,,1387.6,3122.1,56
CDM,46950200,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,56
CDM,46950201,BIOPSY RENAL PERC NDL/TROCAR L,3064.0,,1225.6,2757.6,56
CDM,46954235,INJ CORPORA CAVERNOSA W/VAS,660.0,,264.0,594.0,56
CDM,46957020,COLPOCENTESIS,1263.0,,505.2,1136.7,56
CDM,46960100,BIOPSY THYROID NEEDLE PERC,1267.0,,506.8,1140.3,56
CDM,46964418,INJ ANES NERVE SUPRASCAPULAR,1208.0,,483.2,1087.2,56
CDM,46964430,INJ ANES NERVE PUDENDAL,1409.0,,563.6,1268.1,56
CDM,46964445,INJ ANES NERVE SCIATIC SGL,1912.0,,764.8,1720.8,56
CDM,46964450,INJ ANES NERVE PERIPHERAL,1592.0,,636.8,1432.8,56
CDM,46964455,INJ ANES/STEROID NERVE PLANTAR,685.0,,274.0,616.5,56
CDM,46964479,INJ EPIDURAL CERV/THOR SGL,3153.0,,1261.2,2837.7,56
CDM,46976377,US 3D RNDR REQ INDP WRKSTN,2085.0,,162.0,1876.5,55
CDM,46976536,US SOFT TISSUE HEAD/NECK,1267.0,,67.0,1140.3,56
CDM,46976604,US CHEST,949.0,,173.0,854.1,56
CDM,46976700,US ABDOMEN CMPL,1082.0,,72.0,973.8,56
CDM,46976705,US ABDOMEN LTD,624.0,,54.0,561.6,56
CDM,46976706,US ABDL AORTA SCREEN AAA,890.0,,217.94,801.0,56
CDM,46976770,US RETROPERITIONEAL,1585.0,,94.0,1426.5,56
CDM,46976775,US RETROPERITONEAL LTD,757.0,,87.0,681.3,56
CDM,46976776,US KIDNEY TRANSPLANT W/DOPPLER,1527.0,,185.0,1374.3,56
CDM,46976801,US PREGNANCY <14 WEEKS SGL,1544.0,,60.0,1389.6,56
CDM,46976802,OB US,730.0,,365.0,657.0,55
CDM,46976810,"OB US >/= 14 WKS, ADDL FETUS",1244.0,,32.0,1119.6,55
CDM,46976817,US PREGNANCY TRANSVAGINAL,1007.0,,85.0,906.3,56
CDM,46976830,US TRANSVAGINAL,1126.0,,26.0,1013.4,56
CDM,46976856,US PELVIS NON OB,865.0,,88.0,778.5,56
CDM,46976857,US PELVIS NON-OB LTD,1310.0,,64.0,1179.0,56
CDM,46976870,US SCROTUM,1251.0,,117.0,1125.9,56
CDM,46976881,US EXTREMITY NON VASCULAR COMP,1688.0,,123.71,1519.2,56
CDM,46976882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,56
CDM,46976883,US NRV & ACC STRUX 1XTR COMPRE,1688.0,,87.59,1519.2,68
CDM,46976940,US GUID/MONITOR VISC TISS ABLA,892.0,,147.17,802.8,56
CDM,46976942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,46976978,US TARGET DYN MICROBUBBLE 1ST,1228.0,,119.72,1105.2,56
CDM,46976979,US TRGT DYM MBUBB EA ADDL,1161.0,,122.27,1044.9,55
CDM,46976981,US ELASTOGRAPHY PARENCHYMA,1228.0,,99.13,1105.2,56
CDM,46976982,US ELASTOGRAPHY 1ST TARGET LES,1228.0,,217.94,1105.2,56
CDM,46976983,US ELAST EA ADDL TARGET LESION,962.0,,481.0,865.8,55
CDM,46976998,US GUIDANCE INTRAOPERATIVE,1570.0,,141.07,1413.0,56
CDM,46976999,US UNLISTED BODY PART,831.0,,161.8,747.9,56
CDM,46991200,LIVER ELASTOGRAPHY VIBRATION,737.0,,29.14,663.3,56
CDM,46993880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,56
CDM,46993882,DUPLEX EXTRACRANIAL UNILAT RT,1257.0,,65.0,1131.3,56
CDM,46993922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,56
CDM,46993923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,56
CDM,46993924,DOPPLER ARTERY EXT W/STRESS,2387.0,,91.0,2148.3,56
CDM,46993925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,56
CDM,46993926,DUPLEX SCAN LOW EXT LTD RT,1404.0,,31.0,1263.6,56
CDM,46993931,DUPLEX ARTERIAL UPR EXT UNI RT,1540.0,,9.0,1386.0,56
CDM,46993970,DUPLEX VENOUS EXT BILAT,2291.0,,169.0,2061.9,56
CDM,46993971,DUPLEX VENOUS EXT UNILAT RT,1611.0,,56.0,1449.9,56
CDM,46993975,DUPLEX ABD/PEL/RETRO CMPL,2301.0,,200.0,2070.9,56
CDM,46993976,DUPLEX ABD/PEL/RETRO LTD,1300.0,,65.0,1170.0,55
CDM,46993978,DUPLEX AORTA/IVC/GRAFT CMPL,1424.0,,282.0,1281.6,56
CDM,46993979,DUPLEX AORTA/IVC/GRAFT LTD,1342.0,,92.0,1207.8,55
CDM,46993980,DUPLEX PENILE VESSELS CMPL,1570.0,,87.0,1413.0,55
CDM,46993985,DUP-SCAN HEMO COMPL BI STD,715.0,,146.14,643.5,55
CDM,46993986,DUP-SCAN HEMO COMPL UNI STD,345.0,,84.94,310.5,55
CDM,46993990,DUPLEX HEMODIALYSIS ACCESS,842.0,,42.0,757.8,56
CDM,46999203,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,46999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,57
CDM,47080013,OBSERV PER HR - W9N,80.0,,40.0,2436.0,57
CDM,47090003,ROOM & BED CHARGE W9N,2509.5,,1058.5,7500.0,76
CDM,47180013,OBSERV PER HR - HSP3,80.0,,40.0,2436.0,57
CDM,47190003,ROOM & BED CHARGE - HSP3,2117.0,,1058.5,7500.0,38
CDM,47236415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,47299024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,47300216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,47300251,CATH HEMODIALYSIS SHORT-TERM,310.0,,98.18,279.0,57
CDM,47300256,CATH HICKMAN TRIFUSION 12F,423.0,,136.97,380.7,62
CDM,47300308,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,55
CDM,47300318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,57
CDM,47300497,CATH VISC SLIP-CATH TIP,170.0,,85.0,153.0,56
CDM,47300498,CATH TORCON NB ADV KMP,59.0,,29.5,53.1,56
CDM,47300499,CATH PALINDROME TAL SPORT PAK,427.0,,213.5,395.6,62
CDM,47300501,GDWIRE GLIDEWIRE STIFF STR.035,179.0,,27.95,161.1,57
CDM,47300502,GUIDEWIRE GLIDEWIRE GT,498.0,,27.95,448.2,57
CDM,47300503,CATH DIALYSIS GLIDEPATH,435.0,,217.5,395.6,57
CDM,47300504,SHEATH PINNACLE R/O II W/O GW,100.0,,46.81,90.0,57
CDM,47301073,CATHETER ANGIO,118.0,,59.0,106.2,57
CDM,47301112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,47302582,PORT ACCESS CLEARVUE,576.0,,288.0,548.78,62
CDM,47303014,TELEHEALTH FACILITY FEE-TKV,78.0,,10.66,70.2,57
CDM,47304652,GDWIRE AMPLATZ SUPER STIFF,148.0,,27.95,133.2,57
CDM,47307707,GUIDEWIRE,125.0,,27.95,112.5,57
CDM,47308420,CATHETER MIDSIZE POLYUR 8F,561.0,,280.5,548.78,62
CDM,47310060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,47312020,CLOSURE WOUND DEHIS SIMPLE,1649.0,,504.2,1484.1,68
CDM,47315226,CATHETER DRAINAGE 02,202.0,,66.39,181.8,57
CDM,47317153,CATH PRO-LINE SINGLE W/CUFF 6F,497.0,,136.97,447.3,62
CDM,47332552,RMVL NDWELLG TUN PLEURAL CATH,1739.0,,509.25,1565.1,68
CDM,47332555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,68
CDM,47336000,INTRO NDL/INTRACATH VEIN,765.0,,27.07,688.5,57
CDM,47336005,INJECT CONTRAST VENOGM,2577.0,,1030.8,2319.3,56
CDM,47336010,INTRO CATH VENA CAVA SUP/INF,3104.0,,1241.6,2793.6,56
CDM,47336410,VENIPUNCTURE>AGE 3 REQUIRE MD,673.0,,18.91,605.7,56
CDM,47336430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,47336555,INS CATH CV NON-TUNL,4060.0,,1624.0,3874.7,68
CDM,47336556,INS CATH CV NON-TUNL >/=5YRS,4244.0,,1697.6,3874.7,68
CDM,47336557,INS CATH CV TUNLW/O PORT,4355.0,,1742.0,6654.61,68
CDM,47336558,INS CATH CV TUN W/O PORT >/=YR,7993.0,,2592.52,7193.7,68
CDM,47336560,INS DEVICE CV W/PORT,8746.0,,2592.52,7871.4,68
CDM,47336561,INS DEVICE CV W/PORT >/=5YRS,9147.0,,2592.52,8232.3,68
CDM,47336563,INS PUMP IV INFUSION,6850.0,,2740.0,6654.61,68
CDM,47336566,INS DEVICE CV 2 CATH W/PORT,20364.0,,4452.54,18327.6,68
CDM,47336569,INS CATH PERIPH CV W/O PORT >5,3258.0,,1279.53,2932.2,68
CDM,47336571,INS CATH PERIPH CV W/PORT>5YRS,7136.0,,2592.52,6422.4,68
CDM,47336573,INSERTION PICC W/RS&I 5 YR/>,6164.0,,1279.53,5547.6,68
CDM,47336575,RPR CATH CV W/O PORT/PUMP,2852.0,,509.25,2566.8,68
CDM,47336576,RPR CATH CV W/PORT/PUMP,2172.0,,868.8,1954.8,68
CDM,47336578,REPL CATH CV W/PORT/PUMP,5064.0,,2025.6,4557.6,68
CDM,47336580,RPLCMT CMPL/NONTUNN CVC WO SBQ,4730.0,,1279.53,4257.0,68
CDM,47336581,RPLCMT CMPL TUNN CVC WO SUBQ P,5893.0,,2357.2,5303.7,68
CDM,47336582,REPL DEVICE CV TNL W/PORT,7711.0,,2592.52,6939.9,68
CDM,47336584,REPL PICC W/O PORT/PUMP S&I,4067.0,,1279.53,3660.3,68
CDM,47336589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CDM,47336590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CDM,47336593,DECLOT PORT W/THROMB AGENT,701.0,,273.2,630.9,68
CDM,47336595,REM PERICATHETER MAT CV DEV,5896.0,,2358.4,5306.4,68
CDM,47336596,REM INTRALUM MAT CV LUMEN,1190.0,,476.0,1912.34,68
CDM,47336597,REPOSITION CV CATH W/FLUORO,8764.0,,1279.53,7887.6,68
CDM,47336598,INJ CONTR W/FLUORO EVAL CV DEV,1082.0,,173.54,973.8,68
CDM,47337197,RETRV FB TRANSCATH PERC,9952.0,,2592.52,8956.8,68
CDM,47347531,INJ PROC CHOLANGIOGRAM,2226.0,,890.4,4344.41,68
CDM,47347536,EXCH BIL DRN CATH PERC RAD,7497.0,,2906.8,6747.3,68
CDM,47347537,RMVL BIL DRN CATH PERC FLUOR G,2404.0,,772.25,2163.6,68
CDM,47349083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,68
CDM,47349423,EXCHG CATH ABSC/CYST DRAIN,5277.0,,1562.51,4749.3,68
CDM,47349424,INJ CONTRAST ABSC/CYST,1502.0,,751.0,1351.8,55
CDM,47349450,RPLC G/CEC/OTH TB UNDER FLUORO,2680.0,,772.25,2412.0,68
CDM,47349451,RPLC DUODEN/JUJUN TB FLUORO,2183.0,,772.25,1964.7,68
CDM,47349465,INJ CNTR W/FLUOR EVAL G/D/J TB,925.0,,199.1,832.5,68
CDM,47350389,REMOVAL OF NEPHROSTOMY TUBE,3008.0,,549.78,2707.2,68
CDM,47350435,CHG TUBE NEPHRO/PYELO,3399.0,,1359.6,3059.1,68
CDM,47357371,PIC LINE TRAY SAN25PCUAF,92.0,,46.0,136.97,62
CDM,47364420,INJ ANES NERVE INTERCOSTAL SGL,1519.0,,570.41,1367.1,68
CDM,47371045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,68
CDM,47372341,GDWIRE NITREX ANG .018X80X5CM,138.0,,27.95,124.2,57
CDM,47372514,GDWIRE FLOPPY ROADRUNNER .035,110.0,,27.95,99.0,57
CDM,47375820,XR VENOGRAM EXTREMITY UNILAT,2661.0,,142.0,4042.37,68
CDM,47375827,VENOGM CAVAL SUPERIOR,4902.0,,195.0,4411.8,68
CDM,47375860,VENOGM SINUS/JUGULAR CATH,3608.0,,236.0,8190.45,68
CDM,47375984,CATH DRAIN CHANGE PERC,2474.0,,50.0,2226.6,55
CDM,47376000,XR FLUORO,1051.0,,10.0,945.9,68
CDM,47376080,XR ABSC SINUS/FISTULA,968.0,,10.0,1426.8,68
CDM,47376937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,47376942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,47377001,FLURO GUIDE CVA PLCMT/REMOVAL,1861.0,,51.49,1674.9,55
CDM,47377003,FLURO GUIDE NDLE/CATH DX/THERP,1463.0,,84.35,1316.7,55
CDM,47377071,GDWIRE AMPLATZ PTFE .035,58.0,,27.95,52.2,57
CDM,47377538,PORT VORTEX VX SYSTEM,1007.0,,503.5,906.3,62
CDM,47381025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,47385610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,47390064,CATH POWERHICKMAN 9.5FX47CM,857.0,,136.97,771.3,62
CDM,47390653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,47393005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,47393141,INTRO MICRO KIT STIFFENED,66.0,,33.0,59.4,56
CDM,47395155,CATH POWERPICC SOLO KIT 5F,316.0,,136.97,284.4,62
CDM,47396450,CHEMO CNS,1812.0,,154.0,1630.8,68
CDM,47398000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,47398001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,47398002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,47398003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,47398004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,47398005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,47398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,47398007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,47398008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,47398009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,47398010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,47398011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,47398012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,47398013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,47398014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,47398015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,47398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,47399024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,47399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,47400216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,47401050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,47403014,TELEHEALTH FACILITY FEE-TBC,78.0,,10.66,70.2,57
CDM,47498000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,47498001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,47498002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,47498003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,47498004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,47498005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,47498006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,47498007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,47498008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,47498009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,47498010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,47498011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,47498012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,47498013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,47498014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,47498015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,47498016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,47499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,47500292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,47503014,TELEHEALTH FACILITY FEE-WGH,78.0,,10.66,70.2,57
CDM,47590471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,47590656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,47596130,PSYCL TST EVAL PHYS/QHP 1ST HR,804.0,,256.5,723.6,68
CDM,47596372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,47598000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,47598001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,47598002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,47598003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,47598004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,47598005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,47598006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,47598007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,47598008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,47598009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,47598010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,47598011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,47598012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,47598013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,47598014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,47598015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,47598016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,47599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,47600216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,47600217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,47600335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,47600598,R-T FLUOR WOUND IMG 1ST SITE,758.0,,256.5,682.2,68
CDM,47610290,AMPICILLIN VL 500MG,5.0,,0.5978,4.5,55
CDM,47690320,SARSCV2 VACC 30MCG TRS-SUC SYR,512.2,,190.2,460.98,55
CDM,47690460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,47690471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,47690472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,47690480,ADMIN SARSCOV2 VACC 1 DOSE,87.0,,34.2,78.3,68
CDM,47690653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,47690656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,47690662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,47690675,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,68
CDM,47690686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,47690715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,47691317,COVID-19 VACCINE 3MCG/0.2ML IM,0.01,,0.005,0.009,55
CDM,47691318,SARSCV2 VACC 3MCG TRS-SUC VL,512.2,,79.97,460.98,55
CDM,47691319,SARSCV2 VACC 10MCG TRS-SUC VL,512.2,,107.09,460.98,55
CDM,47691320,SARSCV2 VACC 30MCG TRS-SUC VL,656.45,,190.2,590.8,55
CDM,47696372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,47699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,47699401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,47700216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,47700217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,47700288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,47700296,METHYLPRED ACE INJ 40MG,48.0,,0.1104,43.2,68
CDM,47700297,METHYLPRED ACE VL 80MG/ML 1ML,64.0,,0.1104,57.6,68
CDM,47700326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,47700330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,47700331,TRIAMCINOLONE HEX INJ 5MG,10.98,,3.61,11.89,56
CDM,47700335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,47700343,HYLAN POLYMERS INJ 1MG,183.61,,7.31,165.25,68
CDM,47700422,NA HYALURONATE INTRA 30MG/2ML,1307.82,,105.38,1177.04,68
CDM,47700900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,47701010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,47701112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,47703014,TELEHEALTH FACILITY FEE-WRC,78.0,,10.66,70.2,57
CDM,47705280,PROGRAMMING DEVICE EVAL IIMS,96.0,,30.72,86.4,69
CDM,47711102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,47711104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,47711105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,47711106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,47711107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,47712919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,68
CDM,47713300,TRIAMCIN ACETONIDE PF 1MG,2.0,,1.0,33.69,68
CDM,47713304,TRIAMCIN ACE PF ER MIC INJ 1MG,130.4,,16.84,117.36,68
CDM,47717000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,47717003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,47720526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,47720550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,47720551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,47720552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,47720553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,47720600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,47720604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,68
CDM,47720605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,47720606,ARTHROCENT JT INTER W/US,2036.0,,570.41,1832.4,68
CDM,47720610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,68
CDM,47720611,"DRAIN/INJ,JOINT/BURSA MAJ 02",1870.0,,243.14,1683.0,68
CDM,47738505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,68
CDM,47770491,CT NECK W/CONTRAST,2808.0,,146.63,2527.2,68
CDM,47771046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,47786485,SKIN TEST CANDIDA,108.0,,1.23,97.2,68
CDM,47786580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,47790460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,47790471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,47790472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,47790653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,47790656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,47790662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,47790670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,47790677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,47790686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,47790714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
CDM,47790715,DIP/TET/ACE PERT VAC >7YR IM,309.33,,43.91,278.4,55
CDM,47790732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,47790750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,47793005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,47794010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,47796372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,47796374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,47796375,THERAPY PRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,47796376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,47798000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,47798001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,47798002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,47798003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,47798004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,47798005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,47798006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,47798007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,47798008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,47798009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,47798010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,47798011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,47798012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,47798013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,47798014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,47798015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,47798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,47799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,47803014,TELEHEALTH FACILITY FEE-MUC,78.0,,10.66,70.2,57
CDM,47845330,SIGMOIDOSCOPY FLEX,2360.0,,750.95,2124.0,68
CDM,47845331,SIGMOIDOSCOPY W/BIOPSY,2755.0,,750.95,2479.5,68
CDM,47898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,47898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,47898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,47898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,47898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,47898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,47898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,47898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,47898008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,47898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,47898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,47898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,47898012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,47898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,47898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,47898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,47898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,47899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,47900216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,47900217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,47900397,PERFLUTREN VL 6.25MG/ML 2ML,553.0,,50.26,497.7,55
CDM,47900426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,47900471,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,55
CDM,47900543,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,55
CDM,47903014,TELEHEALTH FACILITY FEE-SW1,78.0,,10.66,70.2,57
CDM,47908924,ECHO TRANSTHORACIC W/WO FOL W,2078.0,,294.16,1870.2,69
CDM,47908929,ECHO TRANSTHO W/WO W/ CONT,3848.0,,650.75,3463.2,69
CDM,47908930,ECHO TRANSTHO W/CONT 2D W/WO,4278.0,,650.75,3850.2,69
CDM,47933285,INSJ SUBQ CARD RHYTHM MNTR,8393.0,,3357.2,10188.03,68
CDM,47933286,RMVL SUBQ CARD RHYTHM MNTR,3882.0,,579.53,3493.8,68
CDM,47951798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,47960002,WALK TEST MAINTENANCE,151.0,,75.5,135.9,56
CDM,47971046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,47976376,US 3D REND W/INTERP W/O POSTPR,1464.0,,126.0,1317.6,55
CDM,47978451,NM HRT MUSC IMAGE  SPECT SNGL,5302.0,,587.0,4771.8,68
CDM,47981002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,47987804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,68
CDM,47990471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,47990472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,47990656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,47993005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,47993225,ECG MONITOR/RPT 48 HRS REC,955.0,,37.8,859.5,68
CDM,47993226,ECG MONITOR/REPORT 48 HR ANLYS,1428.0,,48.93,1285.2,68
CDM,47993260,EVAL SUBQ LEAD DEFIB SYSTEM,1807.0,,30.72,1626.3,69
CDM,47993261,INTERR DEVICE EVAL SUBQ DEFIB,286.0,,30.72,257.4,69
CDM,47993279,PROG DEV EVAL SINGLE LEAD PM,411.0,,30.72,369.9,69
CDM,47993280,PROG DEV EVAL DUAL LEAD PM,466.0,,30.72,419.4,69
CDM,47993281,PROG DEV EVAL MULTI LEAD PM,537.0,,30.72,483.3,69
CDM,47993282,PROG DVC EVAL SNGL LEAD ICD,419.0,,30.72,377.1,69
CDM,47993283,PROG DEV EVAL DUAL LEAD ICD,612.0,,30.72,550.8,69
CDM,47993284,PROG DEV EVAL MULTI LEAD ICD,670.0,,30.72,603.0,69
CDM,47993285,PROG DEV EVAL IMPLT LOOP REC,439.0,,30.72,395.1,69
CDM,47993288,INTERROGATION DEV EVAL PACEMKR,335.0,,30.72,301.5,69
CDM,47993289,INTERROG DEVICE EVAL ICD,536.0,,30.72,482.4,69
CDM,47993290,INTERROG DEVICE EVAL ICM,250.0,,30.72,225.0,69
CDM,47993291,INTERROG DEV EVAL IMPLT LOOP,412.0,,20.18,370.8,69
CDM,47993303,ECHO CONGENITAL ANOMALY COMPL,3510.0,,182.0,3159.0,69
CDM,47993306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,47993308,ECHO 2D/W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,47993312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,69
CDM,47993320,ECHO DOPPLER CMPL,720.0,,105.0,648.0,57
CDM,47993321,ECHO DOPPLER LTD,828.0,,57.0,745.2,57
CDM,47993325,ECHO COLOR FLOW MAPPING,243.0,,101.31,218.7,57
CDM,47993351,ECHO REST & STRESS MON,4278.0,,268.0,3850.2,69
CDM,47993352,ECHO STRESS CONTRAST AGENT,322.0,,161.0,289.8,57
CDM,47993355,ECHO TRANSESOP CARD/CRT VESSEL,5970.0,,2985.0,5373.0,57
CDM,47993356,MYOCARDIAL STRAIN IMAGING,1095.0,,22.17,985.5,57
CDM,47993453,CATH RT/LT HEART W/VENT,27690.0,,1530.0,24921.0,69
CDM,47993454,CORONARY ARTERY ANGIO S&I,16794.0,,1251.0,15114.6,69
CDM,47993660,TILT TABLE EVAL,2725.0,,80.0,2452.5,69
CDM,47993750,INTERROG VAD WITH PHYS/ QUAL,680.0,,52.5,612.0,69
CDM,47993786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,69
CDM,47993788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,69
CDM,47993798,CRD REHAB MONITORED SESSION,259.0,,26.37,233.1,68
CDM,47994010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,47994618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,47994681,O2 UPTAKE EXPIRED GAS W/CO2,974.0,,53.0,876.6,68
CDM,47994727,GAS DILUTION/WASHOUT DETERMINE,630.0,,41.37,567.0,68
CDM,47994729,CARBON MONOXIDE DIFF (DLCO),715.0,,51.72,643.5,56
CDM,47995807,SLEEP STUDY ATTENDED,3629.0,,230.0,3266.1,68
CDM,47995810,PSG- 4+ PARAMETERS,8387.0,,262.0,7548.3,68
CDM,47995912,NERVE CONDUCTION STUDIES 11-12,8722.0,,239.2,7849.8,68
CDM,47996360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,47996365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,47996374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,47996376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,47998000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,47998001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,47998002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,47998003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,47998004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,47998005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,47998006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,47998007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,47998008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,47998009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,47998010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,47998011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,47998012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,47998013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,47998014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,47998015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,47998016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,47999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,48000027,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
CDM,48000171,NM ISOTOPE TC99M RBC TO 30MCI,491.0,,75.27,441.9,56
CDM,48000280,AMINOPHYLLINE INJ 250MG,26.8,,9.02,24.12,55
CDM,48000304,DOBUTAMINE 250MG,50.4,,5.69,45.36,55
CDM,48000309,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,48000318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,48000324,REGADENOSON INJ 0.1MG,6.9,,3.45,59.19,55
CDM,48000471,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,55
CDM,48000543,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,55
CDM,48000902,NM SESTAMIBI PER DOSE,123.0,,61.5,549.71,56
CDM,48002194,METOPROLOL TARTRATE 5MG/5ML VL,5.0,,1.28,4.5,55
CDM,48003014,TELEHEALTH FACILITY FEE-TNU,78.0,,10.66,70.2,57
CDM,48010331,NM MYOCARD SYMP NERVE,3275.0,,1075.3,2947.5,67
CDM,48010332,NM MYOCARD SYMP NERVE W/SPECT,3033.0,,1075.3,2729.7,67
CDM,48019538,TC99M PYP PER DOSE 0-25 MCI,229.0,,20.78,206.1,56
CDM,48076376,US 3D REND W/INTERP W/O POSTPR,1464.0,,126.0,1317.6,55
CDM,48078451,NM HRT MUSC IMAGE-SPECT SNGL,5302.0,,587.0,4771.8,68
CDM,48078452,NM HRT MUSC IMAGE-SPECT MULT,2488.0,,875.0,3397.12,68
CDM,48078453,NM HRT MUSC IMAGE-PLANAR SNGL,3812.0,,1075.3,3430.8,68
CDM,48078454,NM HRT MUSC IMAGE-PLANAR MULT,4246.0,,395.0,3821.4,68
CDM,48078466,NM MYOCARD INFARCT,2574.0,,262.0,2316.6,68
CDM,48078472,CARD BLD PL GTD REST-MUGA SGL,2924.0,,218.0,2631.6,68
CDM,48078473,NM MUGA RESTING MULTI,3950.0,,313.0,3555.0,68
CDM,48078494,NM MUGA RESTING W/SPECT,4246.0,,328.0,3821.4,68
CDM,48078800,NM TUMOR LOC LTD,3428.0,,114.0,3085.2,68
CDM,48078803,NM TUMR LOC SPECT 1 AREA 1 DAY,6516.0,,159.0,5864.4,68
CDM,48093005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,48093017,STRESS TEST TRACING ONLY,1377.0,,49.0,1239.3,69
CDM,48093454,CORONARY ARTERY ANGIO S&I,16794.0,,1251.0,15114.6,69
CDM,48093459,LT HRT ARTERY/GRAFT ANGIO,28639.0,,2075.0,25775.1,69
CDM,48093786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,69
CDM,48093788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,69
CDM,48093924,DOPPLER ARTERY EXT W/STRESS,2387.0,,91.0,2148.3,68
CDM,48094010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,48094621,PULMONARY STRESS TEST CPLX,2902.0,,160.0,2611.8,68
CDM,48094681,O2 UPTAKE EXPIRED GAS W/CO2,974.0,,53.0,876.6,68
CDM,48096365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,48096366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,48096374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,48096375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,48096376,THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,58
CDM,48098000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,48098001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,48098002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,48098003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,48098004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,48098005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,48098006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,48098007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,48098008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,48099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,48100225,EECP,739.0,,106.17,665.1,69
CDM,48100292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,48100397,PERFLUTREN VL 6.25MG/ML 2ML,553.0,,50.26,497.7,55
CDM,48100426,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,68
CDM,48100471,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,55
CDM,48100543,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,55
CDM,48103014,TELEHEALTH FACILITY FEE-TEG,78.0,,10.66,70.2,57
CDM,48108929,ECHO TRANSTHO W/WO W/ CONT,3848.0,,650.75,3463.2,69
CDM,48193005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,48193017,STRESS TEST TRACING ONLY,1377.0,,49.0,1239.3,69
CDM,48193224,ECG MONITOR/REPORT UP TO 48 HR,2167.0,,308.0,1950.3,56
CDM,48193225,ECG MONITOR/RPT 48 HRS REC,955.0,,37.8,859.5,68
CDM,48193226,ECG MONITOR/REPORT 48 HR ANLYS,1428.0,,48.93,1285.2,68
CDM,48193229,MCT W/ECG>24 HRS UP TO 30 TCH,1712.0,,256.5,1540.8,68
CDM,48193242,ECG CONT >48H UP TO 7 DAYS,600.0,,32.33,540.0,68
CDM,48193246,ECG CONT 7-15 DAYS REC,606.0,,32.33,545.4,68
CDM,48193270,ECG EVENT RECORD/DISCON 24R/30,647.0,,30.72,582.3,68
CDM,48193271,ECG EVENT MONANLYS UP TO 30,1403.0,,75.61,1262.7,68
CDM,48193279,PROG DEV EVAL SINGLE LEAD PM,411.0,,30.72,369.9,69
CDM,48193280,PROG DEV EVAL DUAL LEAD PM,466.0,,30.72,419.4,69
CDM,48193281,PROG DEV EVAL MULTI LEAD PM,537.0,,30.72,483.3,69
CDM,48193282,PROG DVC EVAL SNGL LEAD ICD,419.0,,30.72,377.1,69
CDM,48193284,PROG DEV EVAL MULTI LEAD ICD,670.0,,30.72,603.0,69
CDM,48193306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,48193454,CORONARY ARTERY ANGIO S&I,16794.0,,1251.0,15114.6,69
CDM,48193786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,69
CDM,48193788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,69
CDM,48193880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,68
CDM,48193886,DOPPLER TRANSCRANIAL CMPL,1594.0,,82.0,1434.6,68
CDM,48193924,DOPPLER ARTERY EXT W/STRESS,2387.0,,91.0,2148.3,68
CDM,48194010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,48194618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,48194621,PULMONARY STRESS TEST CPLX,2902.0,,160.0,2611.8,68
CDM,48195816,EEG AWAKE/DROWSY,1547.0,,55.0,1392.3,68
CDM,48196365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,48196366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,48196372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,48196374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,48196375,THERAPYPRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CDM,48199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,48280013,OBSERV PER HR-HSP4,86.0,,43.0,2436.0,57
CDM,48290003,ROOM & BED CHARGE-HSP4,2117.0,,1058.5,7500.0,38
CDM,48300216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,48300283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,48300300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,48300342,AMINOLEVULINIC ACID SOL 20%,533.6,,266.8,539.12,68
CDM,48310040,ACNE SURGERY,383.0,,153.2,344.7,68
CDM,48310060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,48311042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,48311055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,48311102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,48311103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,56
CDM,48311104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,48311105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,48311200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,48311300,SHV LESN TRUNK/ARM,423.0,,169.2,491.84,68
CDM,48311301,SHV LESN TRUNK/ARM 0.6-1.0CM,364.0,,145.6,327.6,68
CDM,48311305,SHV LESN SKN SCALP,341.0,,136.4,306.9,68
CDM,48311310,SHV LESN FACE/EAR,518.0,,163.67,466.2,68
CDM,48311311,SHV LESN FACE/EAR .6-1.0CM,724.0,,163.67,651.6,68
CDM,48311402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,579.53,1454.4,68
CDM,48311406,EXC LESN BGN TRUNK/ARM >4.0CM,3633.0,,1334.55,3269.7,68
CDM,48311422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,48311471,EXC HIDRADENITIS PERINEAL CPLX,7445.0,,2357.4,6700.5,68
CDM,48311603,EXC LESN MAL TRUNK/ARM 2.1-3.0,2620.0,,579.53,2358.0,68
CDM,48311900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,48311901,INJ INTRALESNAL >7 LESNS,353.0,,141.2,317.7,68
CDM,48312031,RPR LAC INT SCALP/AXIL,785.0,,314.0,706.5,68
CDM,48312032,RPR LAC INT SCALP/AXIL 2.6-7.5,983.0,,329.08,884.7,68
CDM,48313121,RPR LAC CPLX SCALP 2.6-7.5CM,1557.0,,504.2,1401.3,68
CDM,48313122,RPR LAC CPLX SCALP ADD 5.0CM,882.0,,352.8,793.8,56
CDM,48313132,RPR LAC CPLX FOREHD 2.6-7.5CM,1755.0,,504.2,1579.5,68
CDM,48315788,CHEMICAL PEEL FACIAL EPIDERMAL,724.0,,289.6,651.6,68
CDM,48317000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,48317003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,48317004,DEST LESN PREMALIGNANT 15+ LS,1091.0,,329.08,981.9,68
CDM,48317106,DEST LESN VASCULAR,1342.0,,329.08,1207.8,68
CDM,48317107,DEST LESN VASCULAR 10-50CM,2291.0,,504.2,2061.9,68
CDM,48317108,DEST LESN VASCULAR >50CM,2140.0,,856.0,2251.85,68
CDM,48317110,DESTRUCT DENIGN LESION,442.0,,163.67,397.8,68
CDM,48317111,DEST BENIGN LESIONS >15,603.0,,163.67,542.7,68
CDM,48317262,DEST LESN MAL TRNK/ARM 1.1-2.0,891.0,,163.67,801.9,68
CDM,48317311,MOHS 1ST STG H/N/HF/G,2659.0,,504.2,2393.1,68
CDM,48317313,MOHS 1ST STAGE T/A/L,2720.0,,504.2,2448.0,68
CDM,48317314,MOHS EA ADDL STAGE T/A/L,2136.0,,854.4,1922.4,56
CDM,48317380,ELECTROLYSIS EPILATION 30 MIN,2035.0,,504.2,1831.5,68
CDM,48336160,INTRO NDL/CATH AORTA LUMB,1729.0,,691.6,1556.1,56
CDM,48364650,CHEMODENERVATION ECC GLND BOTH,735.0,,243.14,661.5,68
CDM,48364653,CHEMODENERVATION ECC GLND O/A,1026.0,,243.14,923.4,68
CDM,48381025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,48390653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,48390656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,48390662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,48390686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,48396372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,48398006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,48398016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,48399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,48400288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,48400330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,48403014,TELEHEALTH FACILITY FEE-KOT,78.0,,10.66,70.2,57
CDM,48410120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,48420520,REM FB MUSC/TENDON SMP,2080.0,,832.0,1994.58,68
CDM,48420550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,48420610,DRAIN/INJ JOINT/BURSA MAJ 01,814.0,,243.14,732.6,68
CDM,48422310,TX FX VERTEBRAL BDY W/O MAN,1081.0,,197.58,972.9,68
CDM,48423520,TX DISL STERNOCLAV CLSD W/O,4056.0,,1318.22,3650.4,68
CDM,48423570,TX FX SCAPULA W/O MAN CLSD,1138.0,,197.58,1024.2,68
CDM,48424500,TX FX HUMER SHAFT W/O MAN CLSD,1463.0,,197.58,1316.7,68
CDM,48424530,TX FX HUMER SUPRA/TRAN CLSD,1060.0,,197.58,954.0,68
CDM,48424565,TX FX HUMER EPICOND W/MAN CLSD,3756.0,,1318.22,3380.4,68
CDM,48424650,TX FX RADIAL HD/NCK CLSD,762.0,,197.58,685.8,68
CDM,48424670,TX FX ULNAPROX CLSD,974.0,,197.58,876.6,68
CDM,48425530,TX FX ULNA SHFT W/O MAN CLSD,957.0,,197.58,861.3,68
CDM,48425600,TX FX RADIAL DIST W/O MAN CLSD,1016.0,,197.58,914.4,68
CDM,48425660,TX DISL CARPAL W/MAN CLSD,1515.0,,197.58,1363.5,68
CDM,48427197,CLSD TX PELVIC FX W/O MANIP,1048.0,,197.58,943.2,68
CDM,48427220,TX FX ACETAB W/O MAN CLSD,1344.0,,197.58,1209.6,68
CDM,48427250,TX DISL HIP TRAUMA W/O ANES CL,1072.0,,197.58,964.8,68
CDM,48427267,CLSD TX FEM FX PROX END HD W/O,6142.0,,2456.8,5527.8,68
CDM,48427500,TX FX FEM SHAFT W/O MAN CLSD,1752.0,,197.58,1576.8,68
CDM,48427503,TX FX FEM SUPR W/MAN CLSD,4731.0,,1318.22,4257.9,68
CDM,48427530,TX FX TIB PROX W/O MAN CLSD,1074.0,,197.58,966.6,68
CDM,48427560,TX DISL PATELLAR W/O ANES CLSD,1012.0,,197.58,910.8,68
CDM,48427750,TX FX TIBIA SHAFT W/O MAN CLSD,1294.0,,197.58,1164.6,68
CDM,48427780,TX FX FIBULA SHFT PRX W/O MAN,997.0,,197.58,897.3,68
CDM,48427781,TX FX FIB SHFT PROX W/MAN CLSD,4592.0,,1318.22,4132.8,68
CDM,48427808,TX FX BIMALLEOLAR W/O MAN CLSD,1169.0,,197.58,1052.1,68
CDM,48429085,APPL CAST HAND/FOREARM,873.0,,129.97,785.7,68
CDM,48429405,APPL CAST LEG SHORT,842.0,,218.75,757.8,68
CDM,48429425,APPL CAST LEG SHORT WALKING,849.0,,218.75,764.1,68
CDM,48482947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,48493005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,48496372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,48497110,THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,48497112,NEUROMUSCULAR RE-ED 15 MIN,231.0,,11.0,207.9,57
CDM,48497116,GAIT TRAINING 15 MIN,224.0,,11.0,201.6,57
CDM,48497161,PT EVAL LOW COMPLEX 20 MIN,350.0,,94.52,315.0,57
CDM,48497162,PT EVAL MOD COMPLEX 30 MIN,309.0,,81.02,278.1,57
CDM,48497163,PT EVAL HIGH COMPLEX 45 MIN,395.0,,94.52,355.5,57
CDM,48498000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,48498001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,48498002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,48498003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,48498004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,48498005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,48498006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,48498007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,48498008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,48498009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,48498010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,48498011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,48498012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,48498013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,48498014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,48498015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,48498016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,48499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,48500041,FLUOROURACIL INJ 500MG 02,15.9,,1.53,14.31,56
CDM,48500216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,48500330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,48500331,TRIAMCINOLONE HEX INJ 5MG,10.98,,3.61,11.89,56
CDM,48500342,AMINOLEVULINIC ACID SOL 20%,533.6,,266.8,539.12,68
CDM,48500347,BLEOMYCIN VL 15U,144.9,,25.5,164.25,56
CDM,48501112,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,68
CDM,48504790,FX ABL LSR 1ST 100 SQ CM,1031.0,,412.4,927.9,68
CDM,48510040,ACNE SURGERY,383.0,,153.2,344.7,68
CDM,48510060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,48510061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,48510120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,48510140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,48510180,I&D WOUND POST OP COMPLEX,3296.0,,1318.4,3523.29,68
CDM,48511042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,48511055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,48511056,PARING LESN BENIGN 2-4,400.0,,160.0,360.0,68
CDM,48511102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,48511103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,56
CDM,48511104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,48511105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,48511106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,48511107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,48511200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,48511201,REMOVE SKIN TAG EA ADDL 10,172.0,,68.8,154.8,56
CDM,48511300,SHV LESN TRUNK/ARM,423.0,,169.2,491.84,68
CDM,48511301,SHV LESN TRUNK/ARM 0.6-1.0CM,364.0,,145.6,327.6,68
CDM,48511302,SHV LESN TRUNK/ARM 1.1-2.0CM,442.0,,163.67,397.8,68
CDM,48511303,SHV LESN TRUNK/ARM >2.0CM,819.0,,327.6,737.1,68
CDM,48511305,SHV LESN SKN SCALP,341.0,,136.4,306.9,68
CDM,48511306,SHV LESN SKN SCALP.6-1.0CM,435.0,,163.67,391.5,68
CDM,48511307,SHV LESN SKN SCALP 1.1-2.0CM,484.0,,163.67,435.6,68
CDM,48511308,SHV LESN SKN SCALP>2.0CM,817.0,,326.8,735.3,68
CDM,48511310,SHV LESN FACE/EAR,518.0,,163.67,466.2,68
CDM,48511311,SHV LESN FACE/EAR .6-1.0CM,724.0,,163.67,651.6,68
CDM,48511312,SHV LESN FACE/EAR 1.1-2.0CM,758.0,,303.2,682.2,68
CDM,48511313,SHV LESN FACE/EAR >2.0CM,1294.0,,329.08,1164.6,68
CDM,48511400,EXC LESN BGN TRUNK/ARM,1333.0,,533.2,1199.7,68
CDM,48511401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,68
CDM,48511402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,579.53,1454.4,68
CDM,48511403,EXC LESN BGN TRUNK/ARM 2.1-3.0,2151.0,,579.53,1935.9,68
CDM,48511404,EXC LESN BGN TRUNK/ARM 3.1-4.0,4228.0,,1334.55,3805.2,68
CDM,48511406,EXC LESN BGN TRUNK/ARM >4.0CM,3633.0,,1334.55,3269.7,68
CDM,48511420,EXC LESN BGN SCALP/HND,1813.0,,725.2,1994.58,68
CDM,48511421,EXC LESN BGN SCLP/HND .6-1.0CM,1841.0,,579.53,1656.9,68
CDM,48511422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,48511423,EXC LESN BGN SCALP/HND 2.1-3.0,3130.0,,1252.0,2817.0,68
CDM,48511424,EXC LESN BGN SCALP/HND 3.1-4.0,3629.0,,1334.55,3266.1,68
CDM,48511426,EXC LESN BGN SCALP/HND >4.0CM,4824.0,,1929.6,4341.6,68
CDM,48511440,EXC LESN BGN FACE/EAR,1334.0,,533.6,1200.6,68
CDM,48511441,EXC LESN BGN FACE/EAR .6-1.0CM,1489.0,,579.53,1340.1,68
CDM,48511442,EXC LESN BGN FACE/EAR 1.1-2.0,2300.0,,579.53,2070.0,68
CDM,48511443,EXC LESN BGN FACE/EAR 2.1-3.0,2200.0,,880.0,1994.58,68
CDM,48511444,EXC LESN BGN FACE/EAR 3.1-4.0,3016.0,,1206.4,2714.4,68
CDM,48511446,EXC LESN BGN FACE/EAR>4.0CM,4026.0,,1610.4,3623.4,68
CDM,48511450,EXC HIDRADENTITIS AXILLARY SMP,5906.0,,2357.4,5315.4,68
CDM,48511451,EXC HIDRADENTITIS AXILARY CPLX,5759.0,,2303.6,5183.1,68
CDM,48511462,EXC HIDRADENITIS INGUNIAL SMP,4278.0,,1711.2,3850.2,68
CDM,48511463,EXC HIDRADENITIS INGUNIAL CPLX,5373.0,,2149.2,4835.7,68
CDM,48511470,EXC HIDRADENITIS PERINEAL SMP,6611.0,,2357.4,5949.9,68
CDM,48511471,EXC HIDRADENITIS PERINEAL CPLX,7445.0,,2357.4,6700.5,68
CDM,48511600,EXC LESN MAL TRUNK/ARM,1737.0,,579.53,1563.3,68
CDM,48511601,EXC LESN MAL TRNK/ARM .6-1.0CM,1661.0,,579.53,1494.9,68
CDM,48511602,EXC LESN MAL TRUNK/ARM 1.1-2.0,1660.0,,329.08,1494.0,68
CDM,48511603,EXC LESN MAL TRUNK/ARM 2.1-3.0,2620.0,,579.53,2358.0,68
CDM,48511604,EXC LESN MAL TRUNK/ARM 3.1-4.0,3256.0,,579.53,2930.4,68
CDM,48511606,EXC LESN MAL TRUNK/ARM >4.0 CM,3859.0,,1334.55,3473.1,68
CDM,48511621,EXC LESN MAL SCLP/HND .6-1.0CM,1355.0,,542.0,1219.5,68
CDM,48511622,EXC LESN MAL SCALP/HND 1.1-2.0,2024.0,,579.53,1821.6,68
CDM,48511623,EXC LESN MAL SCALP/HND 2.1-3.0,3380.0,,1334.55,3042.0,68
CDM,48511624,EXC LESN MAL SCALP/HND 3.1-4.0,3805.0,,1334.55,3424.5,68
CDM,48511626,EXC LESN MAL SCALP/HND >4.0CM,5418.0,,2167.2,4876.2,68
CDM,48511641,EXC LESN MAL FACE/EAR .6-1.0CM,1931.0,,579.53,1737.9,68
CDM,48511642,EXC LESN MAL FACE/EAR 1.1-2.0,1892.0,,579.53,1702.8,68
CDM,48511643,EXC LESN MAL FACE/EAR 2.1-3.0,2250.0,,900.0,2025.0,68
CDM,48511644,EXC LESN MAL FACE/EAR 3.1-4.0,4007.0,,1334.55,3606.3,68
CDM,48511646,EXC LESN MAL FACE/EAR > 4.0CM,4924.0,,1969.6,4431.6,68
CDM,48511703,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,48511704,DEST LESN PREMALIGNANT 15+ LS,1091.0,,329.08,981.9,68
CDM,48511730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,68
CDM,48511732,AVULSION NAIL PLATE EA ADD,333.0,,133.2,299.7,56
CDM,48511750,EXC NAIL & MATRIX,1464.0,,329.08,1317.6,68
CDM,48511755,BX NAIL UNIT,1476.0,,579.53,1328.4,68
CDM,48511771,EXC CYST PILONIDAL EXTENSIVE,8705.0,,2357.4,7834.5,68
CDM,48511900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,48511901,INJ INTRALESNAL >7 LESNS,353.0,,141.2,317.7,68
CDM,48512001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,68
CDM,48512011,RPR LAC SMP FACE,653.0,,163.67,587.7,68
CDM,48512031,RPR LAC INT SCALP/AXIL,785.0,,314.0,706.5,68
CDM,48512032,RPR LAC INT SCALP/AXIL 2.6-7.5,983.0,,329.08,884.7,68
CDM,48512034,RPR LAC INT SCALP/AX 7.6-12.5,1159.0,,329.08,1043.1,68
CDM,48512035,RPR LAC INT SCALP 12.6-20.0CM,1491.0,,329.08,1341.9,68
CDM,48512036,RPR LAC INT SCALP 20.1-30.0CM,1944.0,,504.2,1749.6,68
CDM,48512041,RPR LAC INT NECK,731.0,,292.4,657.9,68
CDM,48512042,RPR LAC INT NECK 2.6-7.5CM,892.0,,329.08,802.8,68
CDM,48512044,RPR LAC INT NECK 7.6-12.5CM,1065.0,,426.0,958.5,68
CDM,48512051,RPR LAC INT FACE/EAR,843.0,,329.08,758.7,68
CDM,48512052,RPR LAC INT FACE 2.6-5.0CM,944.0,,329.08,849.6,68
CDM,48512053,RPR LAC INT FACE 5.1-7.5CM,1085.0,,329.08,976.5,68
CDM,48513100,RPR LAC CPLX TRUNK 1.1-2.5CM,1495.0,,504.2,1345.5,68
CDM,48513101,RPR LAC CPLX TRUNK 2.6-7.5CM,1901.0,,504.2,1710.9,68
CDM,48513102,RPR LAC CPLX TRUNK ADD 5.0 CM,1211.0,,484.4,1089.9,56
CDM,48513120,RPR LAC CPLX SCALP 1.1-2.5CM,1361.0,,504.2,1224.9,68
CDM,48513121,RPR LAC CPLX SCALP 2.6-7.5CM,1557.0,,504.2,1401.3,68
CDM,48513122,RPR LAC CPLX SCALP ADD 5.0CM,882.0,,352.8,793.8,56
CDM,48513131,RPR LAC CPLX FOREHD 1.1-2.5CM,1503.0,,329.08,1352.7,68
CDM,48513132,RPR LAC CPLX FOREHD 2.6-7.5CM,1755.0,,504.2,1579.5,68
CDM,48513133,RPR LAC CPLX FOREHD ADD 5CM,1251.0,,500.4,1125.9,56
CDM,48513151,RPR LAC CPLX EYE 1.1-2.5CM,2012.0,,504.2,1810.8,68
CDM,48513152,RPR LAC CPLX EYE 2.6-7.5CM,2196.0,,504.2,1976.4,68
CDM,48513153,RPR LAC CPLX EY ADD 5CM,1444.0,,577.6,1299.6,56
CDM,48514000,TRNSF TISS TRUNK <10CM,6103.0,,1506.69,5492.7,68
CDM,48514001,TRNSF TISS TRUNK 10.1-30.0CM,7391.0,,1506.69,6651.9,68
CDM,48514020,TRNSF TISS SCALP/ARM,7546.0,,1506.69,6791.4,68
CDM,48514021,TRNSF TISS SCALP/ARM 10.1-30.0,5247.0,,1506.69,4722.3,68
CDM,48514040,TRNSF TISS HEAD/HND/FT,6204.0,,1506.69,5583.6,68
CDM,48514041,TRNSF TISS HEAD/HND/FT 10.1-30,5048.0,,1506.69,4543.2,68
CDM,48514060,TRNSF TISS EYE/EAR/LP,5967.0,,1506.69,5370.3,68
CDM,48514061,TRNSF TISS EYE/EAR/10.1-30.0,6102.0,,1506.69,5491.8,68
CDM,48514158,KERECIS OMEGA3 WOUND MICRO,460.0,,80.91,414.0,56
CDM,48514301,TRNSF TISS ANY AREA 30.1-60,6856.0,,2742.4,6170.4,68
CDM,48514302,TRNSF TISS ANY AREA EA ADDL,8172.0,,3268.8,7354.8,56
CDM,48515100,GRAFT SPLIT TRUNK 1% CHILD,3960.0,,1506.69,3564.0,68
CDM,48515115,GRFT EPIDERMAL HEAD 1ST 100CM,1867.0,,746.8,2251.85,68
CDM,48515120,GRAFT SPLIT HEAD 1ST 100CM,5782.0,,2312.8,5203.8,68
CDM,48515200,GRAFT FULL TRUNK <20CM,4531.0,,1506.69,4077.9,68
CDM,48515220,GRAFT FULL SCALP/ARM/LEG <20CM,5750.0,,1506.69,5175.0,68
CDM,48515240,GRAFT FULL FRHD/CHN/MTH,6222.0,,1506.69,5599.8,68
CDM,48515260,GRAFT FILL EYE/NOSE/EAR,5986.0,,1506.69,5387.4,68
CDM,48515275,GFT SKIN SUB F/S/E </=100CM,5381.0,,1506.69,4842.9,68
CDM,48515277,GFT SKIN SUB F/S/E>/=100CM,7448.0,,1506.69,6703.2,68
CDM,48515576,FLAP PEDICILE EYE/NOSE/EAR/LIP,5272.0,,1506.69,4744.8,68
CDM,48515630,FLAP DELAY/SECT EYE/NOSE/EAR,5450.0,,1506.69,4905.0,68
CDM,48515731,FOREHEAD FLAP W/VASCULAR PED,6692.0,,2676.8,6022.8,68
CDM,48515760,GRAFT COMPOSITE SKIN,7993.0,,1506.69,7193.7,68
CDM,48515781,DERMABRASION FACE SEGMENTAL,2680.0,,579.53,2412.0,68
CDM,48515786,ABRASION LESN SINGLE,481.0,,163.67,432.9,68
CDM,48517000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,48517003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,48517004,DEST LESN PREMALIGNANT 15+ LS,1091.0,,329.08,981.9,68
CDM,48517110,DESTRUCT BENIGN LESION,442.0,,163.67,397.8,68
CDM,48517111,DEST BENIGN LESIONS >15,603.0,,163.67,542.7,68
CDM,48517260,DEST LESN MAL TRUNK/ARM,437.0,,163.67,393.3,68
CDM,48517261,DEST LESN MAL TRUNK/ARM .6-1.0,699.0,,163.67,629.1,68
CDM,48517262,DEST LESN MAL TRNK/ARM 1.1-2.0,891.0,,163.67,801.9,68
CDM,48517263,DEST LESN MAL TRNK/ARM 2.1-3.0,934.0,,163.67,840.6,68
CDM,48517264,DEST LESN MAL TRNK/ARM 3.1-4.0,1194.0,,329.08,1074.6,68
CDM,48517266,DEST LESN MAL TRUNK/ARM >4.0CM,1470.0,,329.08,1323.0,68
CDM,48517271,DEST LESN MAL SCLP/HEAD .6-1.0,823.0,,163.67,740.7,68
CDM,48517272,DEST LESN MAL SCLP/HEAD1.1-2.0,813.0,,163.67,731.7,68
CDM,48517276,DEST LESN MAL SCLP/HEAD>4.0CM,1326.0,,329.08,1193.4,68
CDM,48517282,DEST LESN MAL FACE/EAR 1.1-2.0,1184.0,,163.67,1065.6,68
CDM,48517284,DEST LESN MAL FACE/EAR 3.1-4.0,1659.0,,504.2,1493.1,68
CDM,48517311,MOHS 1ST STG H/N/HF/G,2659.0,,504.2,2393.1,68
CDM,48517312,MOHS EA ADDL STG H/N/HF/G,2121.0,,848.4,1908.9,56
CDM,48517313,MOHS 1ST STAGE T/A/L,2720.0,,504.2,2448.0,68
CDM,48517314,MOHS EA ADDL STAGE T/A/L,2136.0,,854.4,1922.4,56
CDM,48517315,CHEMOSURG/MOHS EA ADD SPEC >5,1218.0,,487.2,1096.2,56
CDM,48521011,EXC TUMR FACE/SCALP SUBQ,5174.0,,1334.55,4656.6,68
CDM,48521012,EXC TUMR FACE/SCALP SUBQ 2+CM,2121.0,,848.4,1994.58,68
CDM,48521013,EXC TUM FACE/SCLP SUBFASC<2CM,3656.0,,1334.55,3290.4,68
CDM,48521014,EXC TUM FACE/SCLP SUBFASC 2+,6302.0,,2357.4,5671.8,68
CDM,48521235,GRAFT CARTILAGE EAR AUTOGENOUS,6862.0,,2744.8,7282.4,68
CDM,48521552,EXC TUM TISS NECK/ANT THX SUBQ,7324.0,,2357.4,6591.6,68
CDM,48521555,EXC TUMR NECK/CHEST SQ <3CM,6480.0,,1334.55,5832.0,68
CDM,48521930,EXC TUMR BACK/FLANK,4087.0,,1334.55,3678.3,68
CDM,48521931,EXC TUMR BACK/FLANK SUBQ 3+,7610.0,,1334.55,6849.0,68
CDM,48521932,EXC TUMR BACK/FLNK SUBFSC <5CM,6846.0,,2357.4,6161.4,68
CDM,48521933,EXC TISS BACK/FLNK SUBFSCL 5+,6846.0,,2357.4,6161.4,68
CDM,48522902,EXC TUMR ABD TISS WALL SUBQ <3,4217.0,,1334.55,3795.3,68
CDM,48523071,EXC TUMR SHOULDER SUBQ 3CM+,6843.0,,1334.55,6158.7,68
CDM,48523073,EXC TUMR SHLDR SUBFS IM,6931.0,,2357.4,6237.9,68
CDM,48523075,EXC TUMR SHOULDER SUBQ,7810.0,,1334.55,7029.0,68
CDM,48523076,EXC TUMR SHOULDER DEEP,7304.0,,2357.4,6573.6,68
CDM,48524071,EXC TUMR ARM/ELBOW SUBQ 3+,7020.0,,2357.4,6318.0,68
CDM,48524075,EXC TUMR ARM/ELBOW SUBQ,3828.0,,1334.55,3445.2,68
CDM,48525071,EXC TUMR FOREARM/WRIST SUBQ 3+,3971.0,,1334.55,3573.9,68
CDM,48525075,EXC TUMR FOREARM/WRIST SUBQ,4427.0,,1334.55,3984.3,68
CDM,48526111,EXC TUMR HAND/FINGER SUBQ 1.5+,5573.0,,1334.55,5015.7,68
CDM,48526115,EXC TUMR HAND/FINGER SUBQ,3064.0,,1225.6,2757.6,68
CDM,48527323,BX TISSUE THIGH/KNEE SUPERFIC,3602.0,,1334.55,3241.8,68
CDM,48527327,EXC TUMR THIGH/KNEE SUBQ,6871.0,,1334.55,6183.9,68
CDM,48527614,BX TISSUE LEG/ANKLE DEEP,4966.0,,1986.4,4469.4,68
CDM,48527618,EXC TUMR LEG/ANKLE SUBQ <3CM,4815.0,,1334.55,4333.5,68
CDM,48527632,EXC LEG/ANKLE LES SQ 3+CM,6846.0,,2357.4,6161.4,68
CDM,48530120,EXC SURGICAL PLANING NOSE,4173.0,,1669.2,3992.34,68
CDM,48540490,BX LIP,870.0,,191.28,783.0,68
CDM,48540654,RPR LIP CPLX,3382.0,,1220.09,3043.8,68
CDM,48540808,BX MOUTH VESTIBULE,1124.0,,419.46,1011.6,68
CDM,48541100,BX TONGUE ANTERIOR 2/3,2206.0,,419.46,1985.4,68
CDM,48542405,BX GLAND SALIVARY INCISIONAL,5472.0,,1220.09,4924.8,68
CDM,48546916,DEST LESN ANUS CYROSURGERY,477.0,,163.67,429.3,68
CDM,48546924,DEST LESN ANUS ANY METHOD,4269.0,,1707.6,3842.1,68
CDM,48554056,DEST LESN PENIS SMP CRYOSRUG,450.0,,163.67,405.0,68
CDM,48554100,BX PENIS,2290.0,,916.0,2061.0,68
CDM,48556515,DEST LESN VULVA EXTENSIVE,4757.0,,1506.69,4281.3,68
CDM,48567810,BX EYELID W/MARGIN,1878.0,,246.22,1690.2,68
CDM,48569100,BX EAR EXTERNAL,1212.0,,191.28,1090.8,68
CDM,48586485,SKIN TEST CANDIDA,108.0,,1.23,97.2,68
CDM,48588331,CONSULT PATH SURG W/FROZEN,424.0,,36.69,381.6,68
CDM,48588332,ADDIT BLOCK W/FROZEN SEC,170.0,,8.0,153.0,56
CDM,48590471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,48590651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,48590653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,48590656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,48590662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,48590686,FLU VACC QUSD PRESERV> 3 YR,51.36,,11.74,46.22,56
CDM,48595044,TEST ALLERGY PATCH,119.0,,5.0,1252.45,68
CDM,48596372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,48596374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,48596376,THERAPYPRO//DX IV PUSH SAME,343.0,,17.71,308.7,57
CDM,48596405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,48596573,PDT DSTR PRMLG LES PHYS/QHP,713.0,,103.9,641.7,68
CDM,48596574,DBRDMT PRMLG LES W/PDT,713.0,,94.33,641.7,68
CDM,48599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,48610248,REMDESIVIR INJ 1MG (VEKLURY),46.2,,6.19,41.58,68
CDM,48696365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,48696366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,48699401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,48799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,48800177,TUBE GASTRO/JEJUNO STD,126.0,,63.0,113.4,61
CDM,48800216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,48803014,TELEHEALTH FACILITY FEE-KHN,78.0,,10.66,70.2,57
CDM,48831575,LARYNGOSC FLEX FIBER,829.0,,159.91,746.1,68
CDM,48843762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,68
CDM,48869210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,48890653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,48890656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,48898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,48898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,48898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,48898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,48898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,48898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,48898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,48898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,48898008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,48898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,48898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,48898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,48898012,SYNCH AUDIO VISIT EST SF MDM 1,78.0,,10.66,70.2,57
CDM,48898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,48898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,48898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,48898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,48899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,48899406,SMOK CESS COUN INTER >3MIN,92.0,,24.54,82.8,68
CDM,49100216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,49100300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,56
CDM,49100314,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,49100911,LORAZEPAM VL 2MG/ML 1ML,3.6,,0.75,3.24,55
CDM,49101057,HYDROMORPHONE INJ 4MG/ML 1ML,13.4,,0.1098,12.06,56
CDM,49138220,ASP BONE MARROW ONLY (N/C),0.01,,0.004,1994.58,68
CDM,49138222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,68
CDM,49190656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,49196374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,49211400,EXC LESN BGN TRUNK/ARM,1333.0,,533.2,1199.7,68
CDM,49211401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,68
CDM,49211402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,579.53,1454.4,68
CDM,49211403,EXC LESN BGN TRUNK/ARM 2.1-3.0,2151.0,,579.53,1935.9,68
CDM,49211404,EXC LESN BGN TRUNK/ARM 3.1-4.0,4228.0,,1334.55,3805.2,68
CDM,49211406,EXC LESN BGN TRUNK/ARM >4.0CM,3633.0,,1334.55,3269.7,68
CDM,49211420,EXC LESN BGN SCALP/HND,1813.0,,725.2,1994.58,68
CDM,49211421,EXC LESN BGN SCLP/HND .6-1.0CM,1841.0,,579.53,1656.9,68
CDM,49211422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,68
CDM,49211423,EXC LESN BGN SCALP/HND 2.1-3.0,3130.0,,1252.0,2817.0,68
CDM,49211424,EXC LESN BGN SCALP/HND 3.1-4.0,3629.0,,1334.55,3266.1,68
CDM,49211426,EXC LESN BGN SCALP/HND >4.0CM,4824.0,,1929.6,4341.6,68
CDM,49211440,EXC LESN BGN FACE/EAR,1334.0,,533.6,1200.6,68
CDM,49211441,EXC LESN BGN FACE/EAR .6-1.0CM,1489.0,,579.53,1340.1,68
CDM,49211442,EXC LESN BGN FACE/EAR 1.1-2.0,2300.0,,579.53,2070.0,68
CDM,49211443,EXC LESN BGN FACE/EAR 2.1-3.0,2200.0,,880.0,1994.58,68
CDM,49211444,EXC LESN BGN FACE/EAR 3.1-4.0,3016.0,,1206.4,2714.4,68
CDM,49211446,EXC LESN BGN FACE/EAR>4.0CM,4026.0,,1610.4,3623.4,68
CDM,49211450,EXC HIDRADENITIS AXILLARY SMP,5906.0,,2357.4,5315.4,68
CDM,49211451,EXC HIDRADENTITIS AXILARY CPLX,5759.0,,2303.6,5183.1,68
CDM,49211462,EXC HIDRADENITIS INGUNIAL SMP,4278.0,,1711.2,3850.2,68
CDM,49211463,EXC HIDRADENITIS INGUNIAL CPLX,5373.0,,2149.2,4835.7,68
CDM,49211470,EXC HIDRADENITIS PERINEAL SMP,6611.0,,2357.4,5949.9,68
CDM,49211471,EXC HIDRADENITIS PERINEAL CPLX,7445.0,,2357.4,6700.5,68
CDM,49211600,EXC LESN MAL TRUNK/ARM,1737.0,,579.53,1563.3,68
CDM,49211601,EXC LESN MAL TRNK/ARM .6-1.0CM,1661.0,,579.53,1494.9,68
CDM,49211602,EXC LESN MAL TRUNK/ARM 1.1-2.0,1660.0,,329.08,1494.0,68
CDM,49211603,EXC LESN MAL TRUNK/ARM 2.1-3.0,2620.0,,579.53,2358.0,68
CDM,49211604,EXC LESN MAL TRUNK/ARM 3.1-4.0,3256.0,,579.53,2930.4,68
CDM,49211606,EXC LESN MAL TRUNK/ARM >4.0 CM,3859.0,,1334.55,3473.1,68
CDM,49211620,EXC LESN MAL SCALP/HND,2485.0,,994.0,2236.5,68
CDM,49211621,EXC LESN MAL SCLP/HND .6-1.0CM,1355.0,,542.0,1219.5,68
CDM,49211622,EXC LESN MAL SCALP/HND 1.1-2.0,2024.0,,579.53,1821.6,68
CDM,49211623,EXC LESN MAL SCALP/HND 2.1-3.0,3380.0,,1334.55,3042.0,68
CDM,49211624,EXC LESN MAL SCALP/HND 3.1-4.0,3805.0,,1334.55,3424.5,68
CDM,49211626,EXC LESN MAL SCALP/HND >4.0CM,5418.0,,2167.2,4876.2,68
CDM,49211640,EXC LESN MAL FACE/EAR,1723.0,,579.53,1550.7,68
CDM,49211641,EXC LESN MAL FACE/EAR .6-1.0CM,1931.0,,579.53,1737.9,68
CDM,49211642,EXC LESN MAL FACE/EAR 1.1-2.0,1892.0,,579.53,1702.8,68
CDM,49211643,EXC LESN MAL FACE/EAR 2.1-3.0,2250.0,,900.0,2025.0,68
CDM,49211644,EXC LESN MAL FACE/EAR 3.1-4.0,4007.0,,1334.55,3606.3,68
CDM,49211646,EXC LESN MAL FACE/EAR > 4.0CM,4924.0,,1969.6,4431.6,68
CDM,49212031,RPR LAC INT SCALP/AXIL <2.5CM,785.0,,314.0,706.5,68
CDM,49212032,RPR LAC INT SCALP/AXIL 2.6-7.5,983.0,,329.08,884.7,68
CDM,49212034,RPR LAC INT SCALP/AX 7.6-12.5,1159.0,,329.08,1043.1,68
CDM,49212035,RPR LAC INT SCALP 12.6-20.0CM,1491.0,,329.08,1341.9,68
CDM,49212036,RPR LAC INT SCALP 20.1-30.0CM,1944.0,,504.2,1749.6,68
CDM,49212037,RPR LAC INT SCALP >30.0CM,5388.0,,1506.69,4849.2,68
CDM,49212041,RPR LAC INT NECK <2.5CM,731.0,,292.4,657.9,68
CDM,49212042,RPR LAC INT NECK 2.6-7.5CM,892.0,,329.08,802.8,68
CDM,49212044,RPR LAC INT NECK 7.6-12.5CM,1065.0,,426.0,958.5,68
CDM,49212045,RPR LAC INT NECK 12.6-20.0CM,1482.0,,504.2,1333.8,68
CDM,49212046,RPR LAC INT NECK 20.1-30.0CM,1401.0,,504.2,1260.9,68
CDM,49212047,REP INT NECKHANDFEET>30.0CM,756.44,,302.58,2251.85,68
CDM,49212051,RPR LAC INT FACE/EAR <2.5CM,843.0,,329.08,758.7,68
CDM,49212052,RPR LAC INT FACE 2.6-5.0CM,944.0,,329.08,849.6,68
CDM,49212053,RPR LAC INT FACE 5.1-7.5CM,1085.0,,329.08,976.5,68
CDM,49212054,RPR LAC INT FACE 7.6-12.5CM,1287.0,,329.08,1158.3,68
CDM,49212055,RPR LAC INT FACE 12.6-20.0CM,1789.0,,329.08,1610.1,68
CDM,49212056,RPR INT FACE EAR 20.01-30CM,1013.0,,329.08,911.7,68
CDM,49212057,REPAIR INTERM FACE EAR>30.0,1160.83,,329.08,1044.75,68
CDM,49217260,DEST LESN MAL TRUNK/ARM,437.0,,163.67,393.3,68
CDM,49217261,DEST LESN MAL TRUNK/ARM .6-1.0,699.0,,163.67,629.1,68
CDM,49217262,DEST LESN MAL TRNK/ARM 1.1-2.0,891.0,,163.67,801.9,68
CDM,49217263,DEST LESN MAL TRNK/ARM 2.1-3.0,934.0,,163.67,840.6,68
CDM,49217264,DEST LESN MAL TRNK/ARM 3.1-4.0,1194.0,,329.08,1074.6,68
CDM,49217266,DEST LESN MAL TRUNK/ARM >4.0CM,1470.0,,329.08,1323.0,68
CDM,49217270,DEST LESN MAL SCLP/HEAD,679.0,,163.67,611.1,68
CDM,49217271,DEST LESN MAL SCLP/HEAD .6-1.0,823.0,,163.67,740.7,68
CDM,49217272,DEST LESN MAL SCLP/HEAD1.1-2.0,813.0,,163.67,731.7,68
CDM,49217273,DEST LESN MAL SCLP/HEAD2.1-3.0,996.0,,329.08,896.4,68
CDM,49217274,DEST LESN MAL SCLP/HEAD3.1-4.0,2108.0,,329.08,1897.2,68
CDM,49217276,DEST LESN MAL SCLP/HEAD>4.0CM,1326.0,,329.08,1193.4,68
CDM,49217280,DEST LESN MAL FACE/EAR,702.0,,163.67,631.8,68
CDM,49217281,DEST LESN MAL FACE/EAR.6-1.0,1005.0,,163.67,904.5,68
CDM,49217282,DEST LESN MAL FACE/EAR 1.1-2.0,1184.0,,163.67,1065.6,68
CDM,49217283,DEST LESN MAL FACE/EAR 2.1-3.0,1556.0,,329.08,1400.4,68
CDM,49217284,DEST LESN MAL FACE/EAR 3.1-4.0,1659.0,,504.2,1493.1,68
CDM,49217286,DEST LESN MAL FACE/EAR >4CM,1791.0,,504.2,1611.9,68
CDM,49264788,EXC NEUROFIBROMA CUTAN,4743.0,,1897.2,4268.7,56
CDM,49264790,EXC NEUROFIBR PERIPHERAL,4227.0,,1608.45,3804.3,68
CDM,49264792,EXC NEUROFIBR EXTENSIVE,13862.0,,5274.88,12475.8,68
CDM,49294792,EXC NEUROFIBR EXTENSIVE,13862.0,,5274.88,12475.8,68
CDM,49299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,49301925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,49310020,RAPID STREP. A TEST,195.0,,15.21,175.5,68
CDM,49310111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,49320111,"GLUCOSE, INFORM",62.0,,3.02,55.8,68
CDM,49330180,URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,68
CDM,49330181,URINALYSIS WITH MICROSCOPIC,153.0,,2.92,137.7,68
CDM,49335137,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,49350109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,49350240,SED RATE RBC NON AUTO,123.0,,2.34,110.7,68
CDM,49350241,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,49350242,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,49350243,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,49350244,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,49350246,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,49350428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,49355081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,49355084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,49355430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,49360252,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,49360253,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,49370049,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,49370180,URINALYSIS AUTO W/MICROSCOPIC,153.0,,2.92,137.7,68
CDM,49370181,URINALYSIS AUTO WITHOUT MICRO,142.0,,2.07,127.8,68
CDM,49380047,BASIC METABOL PANEL CALCIUM,340.0,,7.2,306.0,68
CDM,49382330,CALCIUM BLOOD IONIZED I-STAT,214.0,,2.31,192.6,68
CDM,49382565,CREATININE BLOOD I-STAT,80.0,,2.3,72.0,68
CDM,49382947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,49384132,POTASSIUM BLOOD I-STAT,110.0,,2.35,99.0,68
CDM,49384295,SODIUM BLOOD I-STAT,107.0,,2.38,96.3,68
CDM,49387420,RAPID RSV AG,334.0,,10.02,300.6,68
CDM,49411102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,49411403,EXC LESN BGN TRUNK/ARM 2.1-3.0,2151.0,,579.53,1935.9,68
CDM,49411600,EXC LESN MAL TRUNK/ARM,1737.0,,579.53,1563.3,68
CDM,49411601,EXC LESN MAL TRNK/ARM .6-1.0CM,1661.0,,579.53,1494.9,68
CDM,49411602,EXC LESN MAL TRUNK/ARM 1.1-2.0,1660.0,,329.08,1494.0,68
CDM,49411603,EXC LESN MAL TRUNK/ARM 2.1-3.0,2620.0,,579.53,2358.0,68
CDM,49411604,EXC LESN MAL TRUNK/ARM 3.1-4.0,3256.0,,579.53,2930.4,68
CDM,49411606,EXC LESN MAL TRUNK/ARM >4.0 CM,3859.0,,1334.55,3473.1,68
CDM,49411620,EXC LESN MAL SCALP/HND <0.5CM,2485.0,,994.0,2236.5,68
CDM,49411621,EXC LESN MAL SCLP/HND .6-1.0CM,1355.0,,542.0,1219.5,68
CDM,49411622,EXC LESN MAL SCALP/HND 1.1-2.0,2024.0,,579.53,1821.6,68
CDM,49411623,EXC LESN MAL SCALP/HND 2.1-3.0,3380.0,,1334.55,3042.0,68
CDM,49411624,EXC LESN MAL SCALP/HND 3.1-4.0,3805.0,,1334.55,3424.5,68
CDM,49411626,EXC LESN MAL SCALP/HND 4.0CM,5418.0,,2167.2,4876.2,68
CDM,49411640,EXC LESN MAL FACE/EAR,1723.0,,579.53,1550.7,68
CDM,49411641,EXC LESN MAL FACE/EAR .6-1.0CM,1931.0,,579.53,1737.9,68
CDM,49411642,EXC LESN MAL FACE/EAR 1.1-2.0,1892.0,,579.53,1702.8,68
CDM,49411643,EXC LESN MAL FACE/EAR 2.1-3.0,2250.0,,900.0,2025.0,68
CDM,49411644,EXC LESN MAL FACE/EAR 3.1-4.0,4007.0,,1334.55,3606.3,68
CDM,49411646,EXC LESN MAL FACE/EAR > 4.0CM,4924.0,,1969.6,4431.6,68
CDM,49412032,RPR LAC INT SCALP/AXIL 2.6-7.5,983.0,,329.08,884.7,68
CDM,49412051,RPR LAC INT FACE/EAR,843.0,,329.08,758.7,68
CDM,49413100,RPR LAC CPLX TRUNK 1.1-2.5CM,1495.0,,504.2,1345.5,68
CDM,49413101,RPR LAC CPLX TRUNK 2.6-7.5CM,1901.0,,504.2,1710.9,68
CDM,49413102,RPR LAC CPLX TRUNK ADD 5.0 CM,1211.0,,484.4,1089.9,56
CDM,49413120,RPR LAC CPLX SCALP 1.1-2.5CM,1361.0,,504.2,1224.9,68
CDM,49413121,RPR LAC CPLX SCALP 2.6-7.5CM,1557.0,,504.2,1401.3,68
CDM,49413122,RPR LAC CPLX SCALP ADD 5.0CM,882.0,,352.8,793.8,56
CDM,49413131,RPR LAC CPLX FOREHD 1.1-2.5CM,1503.0,,329.08,1352.7,68
CDM,49414040,TRNSF TISS HEAD/HND/FT,6204.0,,1506.69,5583.6,68
CDM,49421011,EXC TUMR FACE/SCALP SUBQ,5174.0,,1334.55,4656.6,68
CDM,49421936,RES TMR BACK/FLANK RAD 5+,6302.0,,2357.4,5671.8,68
CDM,49499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,49503014,TELEHEALTH FACILITY FEE-UTN,78.0,,10.66,70.2,57
CDM,49598000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,49598001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,49598002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,49598003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,49598004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,49598005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,49598006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,49598007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,49598008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,49598009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,49598010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,49598011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,49598012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,49598013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,49598014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,49598015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,49598016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,49599213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,49603014,TELEHEALTH FACILITY FEE-ARR,78.0,,10.66,70.2,57
CDM,49698000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,49698001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,49698002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,49698003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,49698004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,49698005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,49698006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,49698007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,49698008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,49698009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,49698010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,49698011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,49698012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,49698013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,49698014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,49698015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,49698016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,49699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,49700027,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
CDM,49700080,DIABETES ED SELFPAY,62.0,,14.68,55.8,57
CDM,49700216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,49700287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,49700292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,49700311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,49700318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,49700326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,49700330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,49700518,SUMATRIPITAN 6MG/0.5ML VL,30.0,,0.78,27.0,55
CDM,49703014,TELEHEALTH FACILITY FEE-WHP,78.0,,10.66,70.2,57
CDM,49712919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,68
CDM,49738010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,49783013,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,49783014,H PYLORI DRUG ADMIN,92.0,,7.23,82.8,68
CDM,49790471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,49790632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,49790662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,49790675,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,68
CDM,49790686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,49793005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,49795250,MON GLUCOSE CONTINUOUS <72 HRS,527.0,,94.5,474.3,68
CDM,49796372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,49798000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,49798001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,49798002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,49798003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,49798004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,49798005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,49798006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,49798007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,49798008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,49798009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,49798010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,49798011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,49798012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,49798013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,49798014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,49798015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,49798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,49799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,49899202,OP VISIT E&M NEW 15-29 MIN,386.0,,102.2,347.4,68
CDM,49899203,OP VISIT E&M NEW 30-44 MIN,520.0,,102.2,468.0,68
CDM,49899204,OP VISIT E&M NEW 45-59 MIN,664.0,,102.2,597.6,68
CDM,49899205,OP VISIT E&M NEW 60-74 MIN,814.0,,102.2,732.6,68
CDM,49899212,OP VISIT E&M EST 10-19 MIN,381.0,,102.2,342.9,68
CDM,49899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,49899214,OP VISIT E&M EST 30-49 MIN,623.0,,102.2,560.7,68
CDM,49899215,OP VISIT E&M EST 40-54 MIN,746.0,,77.0,671.4,57
CDM,49899242,OFFICE CONSULT LEVEL I,345.0,,65.21,310.5,57
CDM,49899243,OFFICE CONSULT LEVEL III,354.0,,98.4,318.6,57
CDM,49899244,OFFICE CONSULT LEVEL IV,427.0,,138.0,384.3,57
CDM,49899245,OFFICE CONSULT LEVEL V,842.0,,153.0,757.8,57
CDM,49900001,MISC INJECTABLE DRUG,0.01,,0.00256,0.009,55
CDM,49900041,BORTEZOMIB 0.1MG BU PER 3.5MG,2.0,,1.0,44.97,57
CDM,49900047,CARFILZOMIB 1MG BU PER 10MG VL,235.48,,39.2,211.93,68
CDM,49900119,RITUXIMAB-PVVR 10MG BU/100MG,114.4,,25.62,102.96,68
CDM,49900135,TOCILIZ-AAZG 1MG BU PER 80MG,20.4,,4.07,18.36,68
CDM,49900155,CETUXIMAB 10MG BU PER 200MG VL,352.87,,45.0,317.58,69
CDM,49900174,DOCETAXEL 20MG/1ML VIAL,98.0,,0.4636,88.2,55
CDM,49900177,ENFORT VED-EJFV 0.25MG BU/20MG,170.59,,27.96,153.53,68
CDM,49900181,ETOPOSIDE 10MG BU PER 500MG VL,4.0,,0.77,3.75,56
CDM,49900185,FLUDARABINE 50MG BU PER 5OMG,380.66,,62.74,342.59,69
CDM,49900187,HUMATE-P 1IU/500-999IU VIAL,8.9,,1.21,8.01,68
CDM,49900190,FLUOROURACIL 5000MG/100ML VL,16.0,,1.53,14.4,56
CDM,49900201,GEMCITABINE 200MG BU PER 200MG,23.4,,3.61,108.75,56
CDM,49900206,IRINOTECAN 20MG BU PER 100MG,25.7,,1.71,126.0,56
CDM,49900208,IFOSFAMIDE 3GM/75ML VIAL,294.9,,26.31,265.41,56
CDM,49900227,ISATUXIMAB-IRFC 10MG BU/100MG,401.38,,66.67,361.24,68
CDM,49900228,IPILIMUMAB 1MG BU PER 50MG VL,636.5,,157.38,572.85,67
CDM,49900271,PEMBROLIZUMAB 1MG BU PER 100MG,294.21,,50.85,264.79,68
CDM,49900303,PANITUMUMAB 10MG BU PER 100MG,561.47,,123.55,505.32,68
CDM,49900305,PEMETREXED 10MG BU PER 100MG,4.4,,2.2,71.81,69
CDM,49900307,PRALATREXATE 1MG BU PER 20MG,733.4,,311.22,660.06,68
CDM,49900309,POLATUZUMAB 1MG BU PER 30MG VL,673.19,,110.72,605.87,68
CDM,49900357,OMALIZUMAB 5MG BU PER 300MG VL,215.95,,37.7,194.35,68
CDM,49900490,BELIMUMAB 10MG BU PER 120MG VL,276.01,,46.18,248.41,68
CDM,49900506,PEGFILFRAST ONPRO 0.5MG BU/6MG,33.5,,16.75,122.84,68
CDM,49900562,PLERIXAFOR 1MG BU PER 24MG VL,36.1,,18.05,365.29,68
CDM,49900590,MENQUADFI 10MCG/0.5ML SDV,668.3,,334.15,601.47,54
CDM,49900656,AFLURIA TRIVA PFS 2024-25,146.79,,20.5,132.11,56
CDM,49900897,DENOSUMAB SQ 1MG BU/60MG VL,37.26,,18.63,40.4,68
CDM,49900938,FUROSEMIDE 1MG BU PER 40MG VL,2.0,,0.0244,1.8,55
CDM,49900994,LANREOTIDE INJ 120MG,16806.0,,31.33,15125.4,68
CDM,49900995,LANREOTIDE SQ INJ 60MG,7041.0,,31.33,6336.9,68
CDM,49900996,LANREOTIDE INJ 90MG,8104.5,,31.33,7294.05,68
CDM,49900997,ADO-TRASTUZUMAB 1MG (100MG VL),200.2,,32.79,180.18,68
CDM,49900998,ADO-TRASTUZUMAB 1MG (160MG VL),200.2,,32.79,180.18,68
CDM,49901036,BENDAMUSTINE 1MG BU/100MG VL,2.0,,1.0,21.61,68
CDM,49901045,CARBOPLATIN 600MG/60ML VIAL,236.4,,2.57,212.76,56
CDM,49901047,CARFILZOMIB 1MG BU PER 30MG VL,207.48,,39.2,186.73,68
CDM,49901107,BEVACIZUMAB-AWWB 10MG BU/100MG,140.1,,25.63,126.09,68
CDM,49901115,RITUXIMAB-ABBS 10MG BU/100MG,139.5,,27.03,125.55,68
CDM,49901118,BEVACIZUMAB-BVZR 10MG BU/100MG,129.3,,23.71,116.37,68
CDM,49901119,RITUXIMAB-PVVR 10MG BU/500MG,114.4,,25.62,102.96,68
CDM,49901135,TOCILIZ-AAZG 1MG BU PER 200MG,23.2,,4.07,20.88,68
CDM,49901171,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,56
CDM,49901173,IMFINZI 10MG BU PER 120MG VIAL,419.58,,76.02,377.62,68
CDM,49901174,DOCETAXEL 80MG/4ML VIAL,100.44,,0.4636,90.4,55
CDM,49901175,DONANEMAB-AZBT 2MG BU PER 350,30.3,,3.8,27.27,68
CDM,49901176,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,68
CDM,49901177,ENFORT VED-EJFV 0.25MG BU/30MG,169.96,,27.96,152.96,68
CDM,49901187,HUMATE-P 1IU/1000-1600IU VIAL,8.9,,1.21,8.01,68
CDM,49901190,DEXRAZOXANE 250MG BU PER 500MG,316.05,,39.15,284.44,68
CDM,49901200,FLOXURIDINE 500MG BU PER 500MG,7799.82,,46.44,7019.84,68
CDM,49901201,GEMCITABINE 200MG BU/1000MG VL,17.0,,3.61,108.75,56
CDM,49901202,GOSER ACE 3.6MG BU PER 10.8MG,1569.88,,435.0,1412.89,69
CDM,49901217,LEUP ACE 7.5MG BU / 7.5MG SYR,595.77,,162.33,536.19,69
CDM,49901227,ISATUXIMAB-IRFC 10MG BU/500MG,401.31,,66.67,361.18,68
CDM,49901228,IPILIMUMAB 1MG BU PER 200MG VL,635.45,,157.38,571.9,68
CDM,49901262,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,68
CDM,49901264,PACLITAX ALB 1MG BU PER 100MG,85.4,,8.25,76.86,69
CDM,49901300,ECULIZUMAB 10MG BU PER 300MG V,811.75,,207.81,730.58,57
CDM,49901303,PANITUMUMAB 10MG BU PER 400MG,561.26,,123.55,505.13,68
CDM,49901305,PEMETREXED 10MG BU PER 500MG,3.7,,1.85,71.81,69
CDM,49901307,PRALATREXATE 1MG BU PER 40MG,733.4,,311.22,660.06,68
CDM,49901308,FAMOTIDINE 20MG/2ML VIAL,2.0,,0.0122,1.8,56
CDM,49901309,POLATUZUMAB 1MG BU PER 140MG,676.27,,110.72,608.64,67
CDM,49901312,RITUXIMAB 10MG BU PER 100MG VL,313.53,,69.2,282.18,68
CDM,49901326,ZOLBETUXIMAB-CLZB 2MG BU/100MG,170.87,,27.77,153.78,68
CDM,49901370,VINCRISTINE 1MG BU PER 1MG VL,43.6,,5.34,39.24,56
CDM,49901395,FULVESTRANT 25MG BU PER 250MG,13.7,,6.19,78.75,69
CDM,49901459,PRIVIGEN 500MG BU PER 5GM/50ML,250.25,,41.5,225.22,68
CDM,49901490,BELIMUMAB 10MG BU PER 400MG VL,275.38,,46.18,247.84,68
CDM,49901745,INFLIX UNBRAND 10MG BU/100MG,188.0,,28.6,169.2,68
CDM,49901750,INFED 50MG BU PER 100MG/2ML VL,116.5,,15.01,104.85,68
CDM,49901756,ZEMAIRA 10MG/4000MG RANGE VIAL,35.0,,4.36,31.5,68
CDM,49901870,IMETELSTAT 1MG BU PER 47MG VL,290.92,,52.47,261.83,68
CDM,49901897,XGEVA-DENOSUMAB 1MG BU/120MG,38.07,,19.04,40.4,68
CDM,49901919,METHYLPRED 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
CDM,49901938,FUROSEMIDE 1MG BU PER 20MG VL,13.7,,0.0244,12.33,55
CDM,49901939,BUMETANIDE 0.5MG BU PER 1MG VL,4.4,,0.3404,3.96,68
CDM,49902047,CARFILZOMIB 1MG BU PER 60MG VL,184.59,,39.2,166.13,68
CDM,49902107,BEVACIZUMAB-AWWB 10MG BU/400MG,184.8,,25.63,166.32,68
CDM,49902115,RITUXIMAB-ABBS 10MG BU/500MG,147.07,,27.03,132.36,68
CDM,49902119,BEVACIZUMAB-BVZR 10MG BU/400MG,184.8,,23.71,166.32,68
CDM,49902135,TOCILIZ-AAZG 1MG BU PER 400MG,23.2,,4.07,20.88,68
CDM,49902173,IMFINZI 10MG BU PER 500MG VIAL,426.44,,76.02,383.8,68
CDM,49902176,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,68
CDM,49902187,HUMATE-P 1IU/1600-3000IU VIAL,8.9,,1.21,8.01,68
CDM,49902190,DEXRAZOXANE 250MG BU PER 250MG,584.01,,39.15,525.61,68
CDM,49902201,GEMCITABINE 200MG BU/2000MG VL,17.3,,3.61,108.75,56
CDM,49902202,GOSER ACE 3.6MG BU PER 3.6MG,1569.16,,435.0,1412.24,69
CDM,49902217,LEUP ACE 7.5MG BU / 22.5MG SYR,593.67,,162.33,534.3,69
CDM,49902262,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,68
CDM,49902305,PEMETREXED 10MG BU PER 1000MG,8.6,,4.01,71.81,69
CDM,49902310,NALOXONE INJ 0.4MG/ML 1ML VL,9.8,,0.0854,8.82,55
CDM,49902312,RITUXIMAB 10MG BU PER 500MG VL,306.32,,69.2,275.69,68
CDM,49902370,VINCRISTINE 1MG BU PER 2MG VL,43.7,,5.34,39.33,56
CDM,49902459,PRIVIGEN 500MG BU PER 10GM VL,250.25,,41.5,225.22,68
CDM,49902870,IMETELSTAT 1MG BU PER 188MG VL,290.01,,52.47,261.01,68
CDM,49902919,METHYLPRED 5MG BU PER 125MG VL,0.6,,0.1932,0.54,68
CDM,49902920,METHYLPRED PER 5MG BU 40MG VL,1.0,,0.1932,0.9,68
CDM,49902930,METHYLPRED PER 5MG BU 125MG VL,0.6,,0.1932,0.54,68
CDM,49902938,FUROSEMIDE 1MG BU PER 100MG VL,2.0,,0.0244,1.8,55
CDM,49903217,LEUP DEPOT 7.5MG/22.5MG KIT,702.17,,162.33,631.95,69
CDM,49903262,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,68
CDM,49903459,PRIVIGEN 500MG BU PER 20GM VL,249.55,,41.5,224.59,68
CDM,49903802,ROMIPLOSTIM 1MCG BU PER 500MCG,38.2,,10.13,34.38,68
CDM,49903805,ROMIPLOSTIM 1MCG BU PER 500MCG,38.2,,10.13,34.38,68
CDM,49903919,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,68
CDM,49904217,LEUP ACE 7.5MG BU / 30MG SYR,83.9,,41.95,517.5,69
CDM,49904459,PRIVIGEN 500MG BU PER 40GM VL,250.25,,41.5,225.22,68
CDM,49904802,ROMIPLOSTIM 1MCG BU PER 250MCG,38.3,,10.13,34.47,68
CDM,49905114,TRASTUZ-DKST 10MG BU PER 150MG,163.87,,37.07,147.48,68
CDM,49905217,LEUP ACE 7.5MG BU / 45MG SYR,50.2,,25.1,517.5,69
CDM,49909000,DOXORUBICIN 10MG BU PER 200MG,25.4,,2.7,22.86,56
CDM,49909021,ASPARG RECOMB 0.1MG BU/10MG VL,270.27,,51.03,243.24,68
CDM,49909032,BELINOSTAT 10MG BU PER 500MG,199.43,,42.79,179.49,68
CDM,49909075,CYCLOPHOS 5MG BU PER 500MG VL,3.1,,0.4416,2.79,68
CDM,49909190,FLUOROURACIL 1000MG/20ML VL,31.8,,1.53,28.62,56
CDM,49909204,MOGAMULIZUMAB-KPKC 1MG/20MG VL,882.2,,203.88,793.98,68
CDM,49909263,OXALIPLATIN 0.5MG BU PER 100MG,0.8,,0.1098,7.5,56
CDM,49909267,PACLITAXEL 300MG/50ML VL,210.0,,0.1342,189.0,55
CDM,49909286,GLOFITAMAB-GXBM 2.5MG BU/10MG,4023.56,,2011.78,3805.84,68
CDM,49909563,SODIUM PHOSPHATE 45MMOL/15ML,173.3,,86.65,155.97,54
CDM,49910013,IXABEPILONE INJ 45MG VIAL,8334.9,,101.19,7501.41,68
CDM,49910015,GAMUNEX-C 500MG (5GM/50ML VL),234.5,,42.19,211.05,68
CDM,49910016,GAMUNEX-C 500MG (20GM/200ML),234.5,,42.19,211.05,68
CDM,49910018,IXABEPILONE INJ 15MG VIAL,6477.45,,101.19,5829.7,68
CDM,49910019,REBLOZYL 25MG SDV PER 0.25MG,209.79,,38.62,188.81,68
CDM,49910020,REBLOZYL 75MG SDV PER 0.25MG,207.48,,38.62,186.73,68
CDM,49910024,GAMUNEX-C 500MG BU PER 10GM VL,234.5,,42.19,211.05,68
CDM,49910025,GAMUNEX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,68
CDM,49910026,GAMUNEX-C 500MG BU PER 20GM VL,234.5,,42.19,211.05,68
CDM,49910027,GAMUNEX-C 500MG BU PER 40GM VL,234.5,,42.19,211.05,68
CDM,49910050,MOSUNETUZUMAB AXGB INJ 1MG,935.38,,467.69,1090.84,69
CDM,49910051,MOSUNETUZUMAB AXGB INJ 30MGVL,27903.0,,602.26,25112.7,69
CDM,49910084,BUROSUMAB TWZA INJ 1MG/20MG VL,632.44,,316.22,665.69,68
CDM,49910116,NIVOLUMAB 1MG BU/120MG VIAL,164.15,,28.56,147.74,68
CDM,49910117,NIVOLUMAB 1MG BU/40MG VIAL,163.24,,28.56,146.92,68
CDM,49910118,NIVOLUMAB 1MG BU/100MG VIAL,163.87,,28.56,147.48,68
CDM,49910119,NIVOLUMAB 1MG BU/240MG VIAL,165.62,,28.56,149.06,68
CDM,49910129,ABATACEPT INJ 10MG,170.1,,40.58,153.09,68
CDM,49910171,EPINEPHRINE INJ 0.1MG,40.9,,1.61,36.81,55
CDM,49910180,AGALSIDASE  VL 1MG,705.9,,109.5,635.31,69
CDM,49910185,APREPITANT VL 1MG (CINVANTI),11.3,,1.51,10.17,68
CDM,49910202,ALEMTUZUMAB INJ 1MG (LEMTRADA),4022.82,,1984.32,3620.54,68
CDM,49910207,AMIFOSTINE INJ 500MG,1370.73,,407.25,1233.66,57
CDM,49910209,SODIUM THIOSULFATE 12.5G/50ML,691.25,,1.13,622.12,56
CDM,49910222,PATISIRAN INJ 0.1MG (ONPATTRO),507.85,,91.97,457.06,68
CDM,49910223,GIVOSIRAN SQ INJ 0.5MG,594.16,,106.88,534.74,68
CDM,49910225,VUTRISIRAN SQ INJ 1MG,7224.04,,3612.02,6880.01,68
CDM,49910278,AMIKACIN INJ 100MG,3.1,,0.7564,2.79,55
CDM,49910321,EPKINLY PER 0.16MG BU 4MG VL,80.44,,40.22,76.78,68
CDM,49910360,HYDRALAZINE INJ 20MG-IT,9.3,,3.38,8.37,55
CDM,49910401,ARIPIPRAZOLE IM INJ ER 1MG,30.2,,5.7,27.18,68
CDM,49910456,AZITHROMYCIN VL 500MG,18.0,,3.18,16.2,55
CDM,49910461,ATROPINE INJ 0.01MG-IT,2.0,,0.0854,1.8,55
CDM,49910485,BELATACEPT VL 1MG,28.2,,3.58,25.38,68
CDM,49910491,ANIFROLUMAB VL 1MG (SAPHNELO),127.7,,16.63,114.93,68
CDM,49910584,BUROSUMAB TWZA INJ 1MG/30MG VL,951.93,,361.9,856.74,68
CDM,49910594,BUSULFAN INJ 1MG,5.1,,0.8096,4.59,68
CDM,49910612,CA GLUC INJ 10MG,2.0,,0.0488,1.8,56
CDM,49910630,CALCITONIN VL 400 UNITS/2ML,1542.25,,446.17,2839.22,68
CDM,49910640,LEUCOVORIN VL 50MG,13.5,,2.8,12.15,56
CDM,49910641,LEVOLEUCOVORIN CA VL 0.5MG,2.0,,0.0488,1.8,56
CDM,49910690,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
CDM,49910692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
CDM,49910696,CEFTRIAXONE VL 250MG,2.2,,0.5856,1.98,55
CDM,49910713,CEFTAZIDIME INJ 500MG,11.7,,1.95,10.53,55
CDM,49910740,CIDOFOVIR INJ 375MG/5ML VL,1049.79,,502.59,944.81,68
CDM,49910743,CILASTATIN/IMIPENEM INJ 250MG,112.1,,6.33,100.89,55
CDM,49910744,CIPROFLOXACIN INJ 200MG,12.4,,1.0,11.16,55
CDM,49910780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,55
CDM,49910834,COSYNTROPIN INJ 0.25MG-IT,165.97,,34.18,149.37,55
CDM,49910850,CYTOMEGALOVIRUS IMM GLOB VL,2446.21,,1223.11,2486.89,68
CDM,49910875,DALBAVANCIN VL 5MG (DALVANCE),73.0,,14.36,65.7,68
CDM,49910878,DAPTOMYCIN PWDR INJ 1MG,2.0,,0.0366,1.8,55
CDM,49910881,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
CDM,49910885,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,69
CDM,49910894,DECITABINE VL 1MG,5.2,,1.94,4.68,55
CDM,49911000,ESTRADIOL CYP VL 5MG/ML 1ML,277.2,,24.06,249.48,55
CDM,49911050,MEDROXYPROG INJ 1MG IT,2.0,,0.56,1.8,56
CDM,49911071,TESTOS CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,49911100,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,55
CDM,49911110,DIHYDROERGOTAMINE AMP 1MG,219.52,,55.97,197.57,55
CDM,49911200,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,55
CDM,49911205,CHLOROTHIAZIDE INJ 500MG/18ML,201.11,,49.26,181.0,55
CDM,49911299,ECULIZUMAB 2MG BU PER 300MG VL,162.6,,41.23,146.34,68
CDM,49911306,INCLISIRAN NA (LEQVIO) INJ 1MG,82.3,,11.33,74.07,68
CDM,49911335,ERTAPENEM VL 500MG,7.0,,3.5,32.8,55
CDM,49911437,FERRIC DERISOMALTOSE VL 10MG,115.2,,20.26,103.68,68
CDM,49911439,FERRIC CARBOXYMALTOSE IV 1MG,7.1,,1.02,6.39,68
CDM,49911440,FILGRASTIM VL 300MCG/ML 1ML,720.0,,0.92,648.0,68
CDM,49911441,FILGRASTIM INJ 480MCG,1728.0,,0.92,1555.2,68
CDM,49911447,TBO-FILGRASTIM INJ 1MCG,2.0,,0.2576,1.8,68
CDM,49911448,TRIACICLIB INJ 1MG,38.7,,5.02,34.83,68
CDM,49911450,FLUCONAZOLE VL 200MG,34.8,,2.76,31.32,55
CDM,49911453,FOSAPREPITANT VL 1MG,2.0,,0.1342,1.8,55
CDM,49911459,IMMUNE GLOBULIN IV 500MG,250.25,,41.5,225.22,68
CDM,49911569,IMMUN GLOB IV GAMMAGUARD 500MG,226.38,,41.69,203.74,68
CDM,49911570,GANCICLOVIR INJ 500MG,229.95,,12.84,206.96,55
CDM,49911571,HEPATITIS B IMM GLOB VL 0.5ML,311.01,,61.31,279.91,68
CDM,49911602,GOLIMUMAB INJ IV 1MG,69.8,,10.16,62.82,68
CDM,49911626,GRANISETRON HCL 100MCG,4.6,,0.2806,16.5,56
CDM,49911628,GUSELKUMAB INJ 1MG (TREMFYA),302.47,,69.89,272.22,68
CDM,49911640,HEMIN VL 1MG DOSE,196.3,,24.44,176.67,68
CDM,49911644,HEPARIN VL 1000U/ML 1ML,2.8,,0.2684,2.52,55
CDM,49911650,ENOXAPARIN INJ 10MG,4.7,,0.69,4.23,55
CDM,49911720,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,55
CDM,49911745,INFLIXIMAB VL 10MG,190.1,,28.6,171.09,68
CDM,49911750,IRON DEXTRAN VL 50MG/ML 1ML,116.5,,15.01,104.85,68
CDM,49911756,IRON SUCROSE VL 1MG,2.6,,0.22,2.34,56
CDM,49911786,IMIGLUCERASE VL 10U,219.24,,39.73,197.32,68
CDM,49911815,INSULIN INJ 5 UNITS,2.0,,0.6832,1.8,56
CDM,49911823,INEBILIZUMAB-CDON VL 1MG,1043.73,,455.91,939.36,68
CDM,49911836,METRONIDAZOLE IV 10MG BU/500MG,2.0,,0.0366,1.8,56
CDM,49911885,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,67
CDM,49911920,LABETALOL HCL 5MG VIAL,7.0,,0.4758,6.3,56
CDM,49912021,LINEZOLID 200MG/100ML-0.9%NACL,27.7,,7.73,24.93,56
CDM,49912060,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,55
CDM,49912175,MEPERIDINE INJ 100MG/ML 1ML IT,9.4,,4.7,19.14,55
CDM,49912182,MEPOLIZUMAB SQ INJ 1MG NUCALA,156.94,,28.7,141.25,68
CDM,49912185,MEROPENEM VL 100MG,3.0,,0.5368,2.7,55
CDM,49912248,MICAFUNGIN NA VL 1MG  MYCAMINE,5.2,,0.3782,4.68,55
CDM,49912270,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,55
CDM,49912280,MOXIFLOXACIN INJ 100MG,67.5,,9.36,60.75,55
CDM,49912323,NATALIZUMAB VL 1MG,44.3,,21.63,39.87,68
CDM,49912327,RISANKIZUMAB-RZAA IV VL 1MG,81.4,,13.74,73.26,68
CDM,49912350,OCRELIZUMAB INJ 1MG,293.65,,54.66,264.29,68
CDM,49912353,OCREOTIDE DEPOT KIT 1MG,249.27,,78.75,279.92,69
CDM,49912356,TEZEPELUMAB EKKO SQ 1MG,131.1,,16.57,117.99,68
CDM,49912405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,56
CDM,49912407,ORITAVANCIN INJ 10MG,147.0,,23.8,132.3,68
CDM,49912425,PALIFERMIN INJ 0.05MG,114.7,,22.81,103.23,68
CDM,49912426,PALIPERIDONE INJ ER 1MG,53.0,,12.1,47.7,68
CDM,49912430,PAMIDRONATE LYOPH VL 30MG,95.4,,11.52,221.25,56
CDM,49912469,PALONOSETRON VL 25MCG,118.6,,0.549,106.74,56
CDM,49912507,PEGLOTICASE INJ 1MG,4792.57,,2396.28,5033.64,68
CDM,49912543,PIPER/TAZO VL 1/0.125GM,2.0,,1.0,1.8,55
CDM,49912545,PENTAMIDINE INH 300MG,275.31,,100.49,247.78,55
CDM,49912550,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,55
CDM,49912597,DESMOPRESSIN INJ 1MCG-IT,29.2,,3.24,26.28,68
CDM,49912765,METOCLOPRAMIDE VL 10MG IT,6.2,,1.04,5.58,55
CDM,49912783,RASBURICASE INJ 0.5MG,614.46,,300.94,553.01,68
CDM,49912790,RHO (D) IMM GLOB IM 300MCG,394.66,,74.3,355.19,55
CDM,49912850,SECRETIN VL 1MCG,289.17,,34.78,260.25,68
CDM,49912860,SILTUXIMAB VL 10MG,522.06,,111.94,469.85,68
CDM,49912916,FERRIC GLUC AMP 12.5MG/ML 1ML,12.8,,2.09,11.52,56
CDM,49912997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,69
CDM,49913032,EPTINEZUMAB INJ 1MG,140.1,,18.37,126.09,68
CDM,49913241,TEPROTUMUMAB-TRBW VL 10MG,1281.05,,315.88,1152.94,68
CDM,49913243,TIGCYCLINE INJ 1MG,2.0,,0.6222,1.8,55
CDM,49913245,TILDRAKIZUMAB INJ 1MG (ILUMYA),660.59,,117.25,594.53,68
CDM,49913260,TOBRAMYCIN IVPB 80MG,16.6,,3.0,14.94,55
CDM,49913315,TRIPTORELIN VL 3.75MG,842.61,,385.61,758.35,68
CDM,49913357,USTEKINUMAB VL 1MG,640.29,,137.45,576.26,68
CDM,49913358,USTEKINUMAB IV INJ 1MG,92.4,,11.95,83.16,68
CDM,49913370,VANCOMYCIN VL 500MG,13.0,,0.0366,11.7,55
CDM,49913380,VEDOLIZUMAB INJ 1MG,154.5,,19.61,139.05,68
CDM,49913385,VELAGLUCERASE VL 100U (VPRIV),814.14,,346.15,732.73,68
CDM,49913411,VIT B1 (THIAMINE) INJ 100MG,17.9,,2.18,16.11,55
CDM,49913420,VIT B12 VL 1000MCG/ML 1ML-IT,6.0,,1.16,5.4,55
CDM,49913430,VIT K1 (PHYTON) INJ 1MG,19.7,,3.46,17.73,55
CDM,49913475,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,55
CDM,49913480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,55
CDM,49913487,ZOLEDRONIC ACID VL 1MG-ZOMETA,16.0,,6.34,14.4,55
CDM,49913488,ZOLEDRONIC ACID VL 1MG-RECLAST,42.2,,6.34,37.98,55
CDM,49917187,VON WILLEBRAND FACTOR PER IU,2.0,,1.0,2.05,68
CDM,49917198,ANTI-INHIB COAG CMPLX VL 1IU,3.19,,1.59,3.31,68
CDM,49919000,DOXORUBICIN VL 10MG,13.1,,2.7,11.79,56
CDM,49919002,DOXORUBICIN (LIPO) VL 10MG,13.1,,6.55,293.09,68
CDM,49919017,ARSENIC TRIOXIDE INJ 1MG/ML 1M,50.8,,7.15,45.72,69
CDM,49919022,ATEZOLIZUMAB INJ 10MG,450.45,,78.28,405.4,68
CDM,49919023,AVELUMAB INJ 10MG,492.8,,84.7,443.52,68
CDM,49919025,AZACITIDINE VL 1MG,6.9,,0.2562,6.21,56
CDM,49919039,BLINATUMOMAB VL 1MCG,621.67,,118.59,559.5,68
CDM,49919040,BLEOMYCIN SULF VL 15U-IT,148.5,,25.5,164.25,56
CDM,49919042,BRENTUXIMAB VL 1MG,495.74,,175.28,446.17,68
CDM,49919043,CABAZITAXEL INJ 1MG,714.35,,181.51,642.91,68
CDM,49919045,CARBOPLATIN VL 50MG,20.0,,2.57,122.25,56
CDM,49919060,CISPLATIN AQ VL 10MG,19.1,,1.71,17.19,56
CDM,49919061,AMIVANTAMAB VMJW INJ 2MG,148.7,,20.74,133.83,68
CDM,49919063,MIRVETUXIMAB SORAVTANSINE 1MG,148.7,,63.93,133.83,68
CDM,49919065,CLADRIBINE VL 1MG,87.1,,9.83,78.39,69
CDM,49919075,CYCLOPHOS 5MG BU PER 2000MG VL,2.0,,0.4416,1.8,68
CDM,49919100,CYTARABINE VL 100MG,4.6,,0.68,4.14,55
CDM,49919119,CEMIPLIMAB-RWLC VL 1MG-LIBTAYO,148.54,,26.95,133.69,68
CDM,49919120,DACTINOMYCIN VL 0.5MG,844.75,,302.07,1044.53,68
CDM,49919130,DACARBAZINE VL 100MG,30.3,,4.46,27.27,55
CDM,49919144,DARATUMUMAB/HYAL SQ 10MG,270.48,,51.12,243.43,68
CDM,49919150,DAUNORUBICIN LYOPH VL 10MG,140.9,,19.96,126.81,68
CDM,49919153,CYTARA/DAUNO INJ 2.27MG/1MG,525.91,,197.79,473.32,68
CDM,49919155,DEGARELIX VIAL 1MG,27.9,,3.84,25.11,68
CDM,49919171,DOCETAXEL INJ 1MG,4.2,,0.4636,3.78,55
CDM,49919173,DURVALUMAB VL 10MG,419.58,,76.02,377.62,68
CDM,49919176,ELOTUZUMAB VL 1MG,56.1,,6.67,50.49,68
CDM,49919178,EPIRUBICIN VL 2MG/ML 1ML,10.1,,1.53,25.5,56
CDM,49919179,ERIBULIN MESYLATE VL 0.1MG,537.53,,82.19,483.78,68
CDM,49919181,ETOPOSIDE INJ 10MG,4.0,,0.77,3.75,56
CDM,49919202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,69
CDM,49919203,GEMTUZUMAB INJ 0.1MG,314.71,,157.35,325.35,68
CDM,49919205,IRINOTECAN LIPOSOMAL INJ 1MG,249.48,,54.33,224.53,68
CDM,49919206,IRINOTECAN VL 20MG/ML 1ML,32.1,,1.71,126.0,56
CDM,49919208,IFOSFAMIDE 1GM/30ML VIAL,84.5,,26.31,127.5,56
CDM,49919209,MESNA AMP 200MG,57.6,,1.62,51.84,56
CDM,49919217,LEUPROLIDE DEPOT KIT 7.5MG-IT,501.6,,162.33,517.5,69
CDM,49919223,LURBINECTEDIN INJ 0.1MG,743.75,,190.56,669.38,68
CDM,49919229,INOTUZUMAB VL 0.1MG,3865.16,,1932.58,3709.82,68
CDM,49919245,MELPHALAN 50MG VIAL,454.86,,88.23,409.37,68
CDM,49919260,METHOTREXATE PWDR VL 50MG,13.2,,2.33,11.88,56
CDM,49919261,NELARABINE INJ 50MG (ARRANON),556.99,,73.47,501.29,68
CDM,49919263,OXALIPLATIN VL 0.5MG,2.0,,0.1098,7.5,56
CDM,49919264,PACLITAXEL ABP VL 1MG,85.4,,8.25,76.86,69
CDM,49919266,PEGASPARGASE PER SDV BU 3750IU,36545.22,,18272.61,39083.08,68
CDM,49919267,PACLITAXEL INJ 1MG,2.0,,0.1342,1.8,55
CDM,49919268,PENTOSTATIN VL 10MG,3617.3,,1808.65,3586.22,68
CDM,49919269,TAGRAXOFUSP VL 10MCG-ELZONRIA,1146.15,,270.59,1031.54,68
CDM,49919273,TISOTUMAB VEDOTIN TFTV VL 1MG,640.0,,173.66,576.0,68
CDM,49919274,TEBENTAFUSP TEBN VL 1MCG,779.0,,199.72,701.1,68
CDM,49919280,MITOMYCIN INJ 5MG,374.01,,18.72,336.61,68
CDM,49919285,OLARATUMAB INJ 10MG,343.84,,52.07,309.46,56
CDM,49919286,GLOFITAMAB GXBM/2.5MG BU 2.5MG,4037.68,,2018.84,3805.84,68
CDM,49919301,OBINUTUZUMAB VL 10MG,373.38,,63.74,336.04,68
CDM,49919303,PANITUMUMAB VL 10MG,561.47,,123.55,505.32,68
CDM,49919305,PEMETREXED PWDR VL 10MG,313.46,,4.01,282.11,69
CDM,49919306,PERTUZUMAB INJ 1MG,98.7,,12.95,88.83,68
CDM,49919311,RITUXIMAB/HYALURON INJ 10MG,163.45,,33.75,147.1,68
CDM,49919316,PERTUZ/TRASTU/HYALUR-ZZXF 10MG,290.5,,57.13,261.45,68
CDM,49919317,SACITUZUMAB GOVITECAN HZIY 2.5,181.02,,33.38,162.92,68
CDM,49919319,ROMIDEPSIN LYOPH INJ 0.1MG,161.56,,28.32,145.4,68
CDM,49919325,TALIMOGENE LAHER VL 1MILL PFU,237.79,,53.92,214.01,68
CDM,49919328,TEMOZOLOMIDE VL 1MG,41.8,,9.56,37.62,68
CDM,49919330,TEMSIROLIMUS INJ 1MG,326.76,,24.57,294.08,68
CDM,49919332,EFGARTIGIMOD ALFA FCAB VL 2MG,163.52,,29.58,147.17,68
CDM,49919340,THIOTEPA VL 15MG,364.8,,9.7,328.32,68
CDM,49919347,TREMELIMUMAB-ACTL INJ 1MG,695.94,,129.63,626.35,68
CDM,49919349,TAFASITAMAB-CXIX VL 2MG,101.2,,13.17,91.08,68
CDM,49919351,TOPOTECAN INJ 0.1MG,4.4,,1.28,3.96,55
CDM,49919352,TRABECTEDIN VL 0.1MG,791.88,,318.93,712.69,68
CDM,49919355,TRASTUZUMAB VL 10MG,396.69,,54.75,357.02,69
CDM,49919356,HYALURON/TRASTUZUMAB INJ 10MG,193.76,,56.52,174.38,68
CDM,49919358,FAM-TRASTUZUMAB DERUXTECAN 1MG,146.79,,24.14,132.11,68
CDM,49919359,LONCASTUXIMAB TESIRINE 0.075MG,768.9,,199.55,692.01,68
CDM,49919360,VINBLASTINE VL 1MG,21.2,,3.98,19.08,56
CDM,49919370,VINCRISTINE VL 1MG/ML 1ML,43.7,,5.34,39.33,56
CDM,49919380,TECLISTAMAB-CQYV INJ SQ 0.5MG,71.37,,19.9,64.23,68
CDM,49919390,VINORELBINE VL 10MG/ML 1ML,51.5,,2.39,89.25,56
CDM,49919600,PORFIMER NA VL 75MG,46646.0,,3004.74,41981.4,68
CDM,49929075,CYCLOPHOS 5MG BU PER 1000MG VL,2.3,,0.4416,2.07,68
CDM,49929113,PANTOPRAZOLE VL 40MG,9.1,,4.55,29.0,56
CDM,49936415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,49936430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,68
CDM,49936455,TRANSFUS EXCHG BLOOD,3446.0,,360.1,3101.4,68
CDM,49936589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,154.0,2001.6,68
CDM,49936591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,68
CDM,49936592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,49936593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,49938242,ALLOGENEIC LYMPHOCYTE INFUS,3414.0,,1350.24,3072.6,68
CDM,49938243,HEMA PROG CELL HPC BOOST,3405.0,,1350.24,3064.5,68
CDM,49939272,DOSTARLIMAB-GXLY 10MG BU/500MG,523.53,,224.21,471.18,68
CDM,49940050,DOXORUBICIN LIPO 10MG BU/20MG,271.32,,99.79,293.09,68
CDM,49940111,UDENYCA CBQV BU/6MG VL,592.97,,97.82,533.67,68
CDM,49940121,INFLIXIMAB-AXXQ VL 10MG,126.2,,18.78,113.58,68
CDM,49940138,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,68
CDM,49940150,DOXORUBICIN LIPO 10MG BU/50MG,312.83,,99.79,293.09,68
CDM,49945101,FILGRASTIM INJ 1MCG,2.5,,0.4232,2.25,68
CDM,49945103,INFLECTRA VL 10MG,115.9,,18.39,104.31,68
CDM,49945104,INFLIXIMAB-ABDA VL 10MG,52.14,,24.84,46.93,68
CDM,49945108,FULPHILA INJ PFS 6MG/0.6ML,1888.8,,91.2,1699.92,68
CDM,49945109,PEGFILGRASTIM JMDB SQ 0.5MG,168.69,,84.34,151.82,68
CDM,49945111,PEGFILGRASTIM CBQV UDENYCA .5,645.96,,97.82,581.36,68
CDM,49945117,TRASTUZUMAB ANNS INJ 10MG,46.83,,23.41,65.38,68
CDM,49945118,BEVACIZUMAB-BVZR INJ 10MG,129.3,,23.71,116.37,68
CDM,49945119,RITUXIMAB-PVVR 10MG,114.4,,25.62,102.96,68
CDM,49945122,PEGFILGRASTIM APGF SQ 0.5MG,472.71,,120.67,425.44,68
CDM,49949163,TALQUETAMAB-TGVS/0.25MGBU 40MG,351.4,,66.81,316.26,68
CDM,49949170,IMDELLTRA 1MG BU PER 1MG VIAL,2285.8,,1142.9,2151.38,68
CDM,49950264,AZTREONAM 2GM/15ML-AZACTAM,225.68,,57.77,203.11,55
CDM,49960080,PENTAMIDINE ISETHIONATE 300MG,275.31,,70.48,247.78,55
CDM,49961070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,68
CDM,49970004,GAMMAGARD LIQ 500MG BU/5000MG,226.38,,41.69,203.74,68
CDM,49970005,GAMMAGARD 500MG BU/10000MG VL,226.38,,41.69,203.74,68
CDM,49970006,GAMMAGARD 500MG BU/20000MG VL,226.38,,41.69,203.74,68
CDM,49970007,GAMMAGARD 500MG BU/30000MG VL,226.87,,41.69,204.18,68
CDM,49970008,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,49970009,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,49970010,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,49970011,ALBUMIN VL 25% 100ML,346.22,,64.76,311.6,56
CDM,49990471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,49990472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,49990620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,49990648,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,56
CDM,49990670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,49990677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,49990686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,49990707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,49990713,VACC POLIO (IPV) INACT 0.5ML,263.32,,26.0,236.99,56
CDM,49990715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,49990732,PNEUMOC VACC 23 >2YR SQ/IM-IT,533.9,,162.83,480.51,55
CDM,49990733,MENINGOCOCCAL POLY VACC SQ,632.95,,101.42,569.65,56
CDM,49990734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,49990746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,49990750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,49994642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,49996360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,49996361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,49996365,IV INFUS THPY/PROPH/DX INTL UP,786.0,,72.0,707.4,68
CDM,49996366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CDM,49996367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,68
CDM,49996368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,56
CDM,49996372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,49996374,THERAPYPRO//DX IV PUSH,540.0,,173.54,486.0,68
CDM,49996375,THERAPYPRO//DX IV PUSH ADDL,399.0,,23.36,359.1,68
CDM,49996376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,57
CDM,49996377,APPLICATION ON-BODY INJECTOR,343.0,,18.81,308.7,68
CDM,49996401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,68
CDM,49996402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,68
CDM,49996405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,68
CDM,49996409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,68
CDM,49996411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,58.62,668.7,68
CDM,49996413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,68
CDM,49996415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,68
CDM,49996416,CHEMO IV INFUSION PRO W/PUMP,1358.0,,273.2,1222.2,68
CDM,49996417,CHEMO IV INFUSION EACH ADD,800.0,,58.62,720.0,68
CDM,49996425,CHEMO IA INFUSION >8 HR,900.0,,62.0,810.0,68
CDM,49996450,CHEMO CNS,1812.0,,154.0,1630.8,68
CDM,49996523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,26.0,355.5,68
CDM,49996542,CHEMO INJ SUBARACH/INTRAVENT,945.0,,54.0,850.5,68
CDM,49999195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,68
CDM,49999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,50108925,ECHO TEE 2D W/WO CONT FOL W/CO,4183.0,,650.75,3764.7,69
CDM,50110037,PERFLUTREN VL 6.52MG/ML 2ML,474.0,,50.26,426.6,55
CDM,50193312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,69
CDM,50193314,ECHO TEE IMAGE W/PF,2451.0,,1225.5,2205.9,57
CDM,50193315,ECHO TEE ANOMALY CMPL,4650.0,,293.0,4185.0,69
CDM,50193318,ECHO TEE MONITORING,3656.0,,451.62,3290.4,69
CDM,50193319,3D ECHO IMG CGEN CAR ANOMAL,720.0,,360.0,648.0,57
CDM,50193355,ECHO TRANSESOP CARD/CRT VESSEL,5970.0,,2985.0,5373.0,57
CDM,50193580,PTC W/IMPLNT ASD/PFO,37962.0,,2793.0,34165.8,69
CDM,50200216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,50200217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,50200218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,50200282,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,68
CDM,50200287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,50200288,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,55
CDM,50200297,METHYLPRED ACE VL 80MG/ML 1ML,64.0,,0.1104,57.6,68
CDM,50200298,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,56
CDM,50200300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,50200303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,50200311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,50200318,ONDANSETRON VL 1MG,2.0,,0.09,6.0,56
CDM,50200326,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,68
CDM,50200330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,50200331,TRIAMCINOLONE HEX INJ 5MG,10.98,,3.61,11.89,56
CDM,50200334,VIT B1 (THIAMINE) INJ 100MG,10.2,,2.18,9.18,55
CDM,50200335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,50200343,HYLAN POLYMERS INJ 1MG,183.61,,7.31,165.25,68
CDM,50200361,PAP SMEAR SCREEN,107.0,,20.18,96.3,68
CDM,50200422,NA HYALURONATE INTRA 30MG/2ML,1307.82,,105.38,1177.04,68
CDM,50200529,NUTR THRPY REASSESS INDIV 15 M,87.0,,25.73,78.3,57
CDM,50200611,INJ PLSM IMAGE GUIDE HRVST/PR,1768.0,,328.68,1591.2,68
CDM,50200717,DEVICE IUD PARAGARD,4968.0,,888.5,4471.2,57
CDM,50200718,ETONOGESTREL IMPLANT 68MG,2429.26,,869.0,2186.33,56
CDM,50200900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,50201050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,50210060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,50210080,I&D CYST PILONIDAL SMP,892.0,,356.8,866.14,68
CDM,50210120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,50210140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,50210160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,50211055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,50211056,PARING LESN BENIGN 2-4,400.0,,160.0,360.0,68
CDM,50211102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,50211103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,56
CDM,50211104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,50211105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,50211106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,50211200,REMOVE SKIN TAG,509.0,,163.67,458.1,68
CDM,50211300,SHV LESN TRUNK/ARM,423.0,,169.2,491.84,68
CDM,50211305,SHV LESN SKN SCALP,341.0,,136.4,306.9,68
CDM,50211400,EXC LESN BGN TRUNK/ARM,1333.0,,533.2,1199.7,68
CDM,50211401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,68
CDM,50211402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,579.53,1454.4,68
CDM,50211719,TRIMMING NAILS NONDYSTROPHIC,232.0,,48.93,208.8,68
CDM,50211730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,68
CDM,50211740,EVAC HEMATOMA SUBUNGAL,460.0,,106.17,414.0,68
CDM,50211750,EXC NAIL & MATRIX,1464.0,,329.08,1317.6,68
CDM,50211765,EXC WEDGE SKIN NAIL FOLD,566.0,,226.4,509.4,68
CDM,50211900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,50211976,REMOVE CONTRACEPTIVE CAPSULE,1633.0,,579.53,1469.7,68
CDM,50211981,INS IMPL DRUG DELIV NON-BIODEG,704.0,,106.17,633.6,68
CDM,50211982,REM IMPL DRUG DELIV NON-BIODEG,1205.0,,328.68,1084.5,68
CDM,50211983,REM/REINS IMPL DRUG DELIV,867.0,,328.68,780.3,68
CDM,50212001,RPR LAC SMP SCALP,614.0,,163.67,552.6,68
CDM,50212002,RPR LAC SMP SCALP 2.6-7.5CM,628.0,,163.67,565.2,68
CDM,50212011,RPR LAC SMP FACE,653.0,,163.67,587.7,68
CDM,50213304,TRIAMCIN ACE PF ER MIC INJ 1MG,130.4,,16.84,117.36,68
CDM,50215853,REMOVE SUTURE OR STAPLE W/O AN,2762.0,,1104.8,2485.8,56
CDM,50217000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,50217110,DESTRUCT BENIGN LESION,442.0,,163.67,397.8,68
CDM,50220526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,50220550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,50220551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,50220552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,50220553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,50220600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,50220604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,68
CDM,50220605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,50220606,ARTHROCENT JT INTER W/US,2036.0,,570.41,1832.4,68
CDM,50220610,DRAIN/INJ JOINT/BURSA MAJ 01,814.0,,243.14,732.6,68
CDM,50220611,DRAIN/INJ JOINT/BURSA MAJ 02,1870.0,,243.14,1683.0,68
CDM,50220612,ASP/INJ GANGLION CYST- EA ADDL,536.0,,214.4,482.4,68
CDM,50226055,INCISION TENDON SHEATH FINGER,3929.0,,1318.22,3536.1,68
CDM,50227096,INJ ARTHROGRAM SACROILIAC,2058.0,,823.2,1852.2,56
CDM,50228450,TX FX TARSAL W/O MAN CLSD,768.0,,197.58,691.2,68
CDM,50228470,TX FX METATARSAL W/O MAN CLSD,762.0,,197.58,685.8,68
CDM,50229065,APPL CAST ARM LONG,881.0,,218.75,792.9,68
CDM,50229075,APPL CAST ARM SHORT,608.0,,218.75,547.2,68
CDM,50229085,APPL CAST HAND/FOREARM,873.0,,129.97,785.7,68
CDM,50229105,APPL SPLINT ARM LONG,560.0,,129.97,504.0,68
CDM,50229125,APPL SPLINT ARM SHORT STATIC,480.0,,106.17,432.0,68
CDM,50229405,APPL CAST LEG SHORT,842.0,,218.75,757.8,68
CDM,50229515,APPL SPLINT LEG SHORT,552.0,,129.97,496.8,68
CDM,50229705,REM/BIV CAST ARM/LEG FULL,398.0,,159.2,358.2,68
CDM,50230901,CNTRL NOSEBLEED ANT SMP,593.0,,106.17,533.7,68
CDM,50236160,INTRO NDL/CATH AORTA T/LUMB,1729.0,,691.6,1556.1,56
CDM,50236415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,50242330,SIALOLITHOT INTRAORAL SMP,8003.0,,2671.24,7202.7,68
CDM,50243239,EGD FLEX W/BIOPSY,4844.0,,772.25,4359.6,68
CDM,50250109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,50250428,COVID-19/FLU-A&B AG COMBO,653.0,,64.67,587.7,68
CDM,50251701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,68
CDM,50251798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,68
CDM,50255081,RAPID FLU A TEST,195.0,,15.23,175.5,68
CDM,50255084,RAPID FLU B TEST,195.0,,15.23,175.5,68
CDM,50257420,COLPOSCOPY ENTIRE VAGINA,1180.0,,250.55,1062.0,68
CDM,50257421,COLPOSCOPY W/BX ENTIRE VAGINA,1919.0,,717.2,1727.1,68
CDM,50257452,COLPOSCOPY CERVIX/VAGINA,706.0,,165.7,635.4,68
CDM,50257454,COLPOSCOPY W/BX&CURETTAGE,1261.0,,250.55,1134.9,68
CDM,50257455,COLPOSCOPY W/BX CERVIX,1181.0,,250.55,1062.9,68
CDM,50257456,COLPOSCOPY W/CURETTAGE,1163.0,,250.55,1046.7,68
CDM,50257460,COLOPOSCOPY W/BX LOOP CERVIX,5657.0,,2262.8,5091.3,68
CDM,50257500,BX/EXC CERVIX LOCAL,2299.0,,717.2,2069.1,68
CDM,50258100,BX ENDOMETRIAL SAMPLING W/O,649.0,,165.7,584.1,68
CDM,50258300,INS INTRAUTERINE DEVICE,768.0,,94.61,691.2,57
CDM,50258301,REM DVC INTRAUTERINE,763.0,,250.55,686.7,68
CDM,50264420,INJ ANES NERVE INTERCOSTAL SGL,1519.0,,570.41,1367.1,68
CDM,50264421,INJ ANES/STER INTRCSTL ADDL,2456.0,,733.31,2210.4,68
CDM,50264447,INJ ANES NERVE FEMORAL SGL,1818.0,,570.41,1636.2,68
CDM,50264450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,50264455,INJ ANES/STEROID NERVE PLANTAR,685.0,,243.14,616.5,68
CDM,50269209,REMOVE CERUMEN IMPACTED IRRIG,167.0,,48.93,150.3,68
CDM,50269210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,50271046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,68
CDM,50272070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,68
CDM,50272072,XR THORACIC SPINE 3 VIEWS,949.0,,38.0,854.1,68
CDM,50273612,XR ANKLE 3+ V BILAT,1000.0,,34.0,900.0,56
CDM,50276856,US PELVIS NON OB,865.0,,87.59,778.5,68
CDM,50276882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,50276942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,50280305,DRUG TEST PRESUM DIRECT OBS,75.0,,11.59,67.5,68
CDM,50281002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,50281025,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,50282270,OCCULT BLOOD FECES SCREEN,66.0,,4.03,59.4,68
CDM,50282947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,50283013,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,68
CDM,50283036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,50285018,HEMOGLOBIN ABG,94.0,,2.18,84.6,68
CDM,50286580,TB INTRADERMAL,70.0,,8.0,63.0,68
CDM,50287420,RAPID RSV AG,334.0,,10.02,300.6,68
CDM,50287880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,68
CDM,50290460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,50290471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,50290472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,50290480,ADMIN SARSCOV2 VACC 1 DOSE,87.0,,34.2,78.3,68
CDM,50290620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
CDM,50290632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,55
CDM,50290648,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,56
CDM,50290651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,56
CDM,50290656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,50290662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,50290670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,55
CDM,50290677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,55
CDM,50290678,RSV VACC PREF SUBUNIT BIVALENT,805.83,,281.43,725.25,56
CDM,50290686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,50290707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,56
CDM,50290713,VACC POLIO (IPV) INACT 0.5ML,263.32,,26.0,236.99,56
CDM,50290714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
CDM,50290715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,50290716,VARICELLA VIRUS VACC SQ,915.0,,167.32,823.5,56
CDM,50290732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CDM,50290734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,56
CDM,50290739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,55
CDM,50290746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CDM,50290750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,55
CDM,50290791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,50290832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,50290834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,50290837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,50292507,ST TREAT SPEECH,484.0,,72.91,435.6,57
CDM,50293005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,50293307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,50293660,TILT TABLE EVAL,2725.0,,80.0,2452.5,69
CDM,50294010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,50294618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,50294640,NONPRESSURIZED INHALATION,218.0,,29.0,250.39,68
CDM,50294642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,68
CDM,50295807,SLEEP STUDY ATTENDED,3629.0,,230.0,3266.1,68
CDM,50295861,EMG 2 EXTREMITIES,1369.0,,63.0,1232.1,68
CDM,50296127,BRIEF EMO ASSESS W/SCORING,103.0,,32.33,92.7,68
CDM,50296138,PSYCL/NRPSYC TECH 1ST 30 MIN,394.0,,13.81,491.23,68
CDM,50296156,HLTH BHV ASSMT/REASSESSMENT,167.0,,76.19,150.3,68
CDM,50296158,HLTH BHV IVNTJ INDIV 1ST 30,167.0,,83.5,197.79,68
CDM,50296360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,50296369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,50296372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,50296374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,50297033,IONTOPHORESIS 15 MIN,205.0,,14.0,184.5,57
CDM,50297035,PT ULTRASOUND 15 MIN,150.0,,10.0,135.0,57
CDM,50297110,THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,50297750,PT PERFORMANCE TEST 15 MIN,204.0,,102.0,183.6,56
CDM,50297802,NUTRITION THRPY EVAL 15 MIN,97.0,,30.45,87.3,57
CDM,50297803,NUTRITION THRPY RE-EVAL 15 MIN,90.0,,25.73,81.0,57
CDM,50298005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,50298960,EDUC/TRAIN-SELF MGMT EA 30 MIN,39.0,,19.5,35.1,57
CDM,50299024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,50299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,50299214,OP VISIT E&M EST 30 MIN,535.0,,102.2,481.5,68
CDM,50380013,OBSERVATION CHG PER HR PCCU,80.0,,40.0,2436.0,57
CDM,50390003,ROOM & BED CHARGE PCCU,2117.0,,1058.5,7500.0,38
CDM,50699202,OP VISIT E&M NEW 15 MIN,395.0,,102.2,355.5,68
CDM,50699203,OP VISIT E&M NEW 30 MIN,372.0,,102.2,334.8,68
CDM,50699204,OP VISIT E&M NEW 45-59 MIN,479.0,,102.2,431.1,68
CDM,50699205,OP VISIT E&M NEW 60-74 MIN,632.0,,102.2,568.8,68
CDM,50699211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,50699212,OP VISIT E&M EST 10-19 MIN,381.0,,102.2,342.9,68
CDM,50699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,50699214,VISIT ESTAB LVL IV,535.0,,102.2,481.5,68
CDM,50699215,VISIT ESTAB PT LVL V,603.0,,102.2,542.7,68
CDM,50790003,ROOM & BED CHARGE WPAC,2831.0,,1058.5,7500.0,76
CDM,50980013,OBSERV PER HR - MBU,75.0,,37.5,2436.0,57
CDM,50990003,ROOM & BED CHARGE MBU,1671.0,,654.0,7500.0,76
CDM,51199202,OP VISIT E&M NEW 15 MIN,395.0,,102.2,355.5,68
CDM,51199203,OP VISIT E&M NEW 30 MIN,372.0,,102.2,334.8,68
CDM,51199204,OP VISIT E&M NEW 45-59 MIN,479.0,,102.2,431.1,68
CDM,51199205,OP VISIT E&M ENEW 60-74 MIN,632.0,,102.2,568.8,68
CDM,51199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,51199242,OFFICE CONSULT LEVEL I,345.0,,65.21,310.5,57
CDM,51199243,OFFICE CONSULT LVL III,402.0,,98.4,361.8,57
CDM,51199244,OFFICE CONSULT LVL IV,461.0,,138.0,414.9,57
CDM,51199245,OFFICE CONSULT LVL V,523.0,,153.0,470.7,57
CDM,51299202,OP VISIT E&M NEW 15 MIN,395.0,,102.2,355.5,68
CDM,51299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,51299242,OFFICE CONSULT LEVEL I,345.0,,65.21,310.5,57
CDM,51299243,OFFICE CONSULT LVL III,402.0,,98.4,361.8,57
CDM,51299244,OFFICE CONSULT LVL IV,461.0,,138.0,414.9,57
CDM,51299245,OFFICE CONSULT LVL V,523.0,,153.0,470.7,57
CDM,51600000,GUIDEWIRE GLIDEWIRE,509.0,,27.95,458.1,57
CDM,51600011,DATASCOPE STAT LOCK,104.0,,52.0,93.6,56
CDM,51600026,CABLE- REMINGTON PACER- DISP,125.0,,62.5,112.5,56
CDM,51600030,PV DIAGNOSTIC CATHETER,211.0,,102.65,189.9,57
CDM,51600035,PV GUIDING CATHETERS,416.0,,102.65,374.4,57
CDM,51600042,NEEDLE SPINAL,215.0,,107.5,193.5,56
CDM,51600045,"PV STENT, BSX BE EXPRESS",3966.0,,1642.91,3569.4,62
CDM,51600085,SHEATH LESS THAN 45CM,470.0,,235.0,423.0,57
CDM,51600504,SHEATH DILATORS,22.0,,11.0,19.8,56
CDM,51601430,GDWIRE RUNTHROUGH NS 0.014IN,345.0,,27.95,310.5,57
CDM,51602061,MAT TRANSFER 39X78 FULL,215.0,,107.5,193.5,56
CDM,51602062,MAT TRANSFER 39X45 HALF,199.0,,99.5,179.1,56
CDM,51602063,MAT TRANSFER 50X78 FULL WIDE,277.0,,138.5,249.3,56
CDM,51607015,DVC CATEPILLAR MICRO ART EMBOL,0.01,,0.005,1461.69,57
CDM,51647198,PATCH CLOSURE SYVEK NT,248.0,,124.0,223.2,56
CDM,51653143,PATCH CLOSURE SYVEK SL,62.0,,31.0,55.8,56
CDM,51667621,CATH VENOUS ACCESS,314.0,,136.97,282.6,62
CDM,51680013,OBSERV PER HR - HVC,80.0,,40.0,2436.0,57
CDM,51686017,ADHESIVE TISS HISTOACRYL BLUE,110.0,,55.0,99.0,56
CDM,51690003,ROOM & BED CHARGE HVC,3913.5,,1058.5,7500.0,76
CDM,51693130,SHIELD RADPAD 5300-Y,142.0,,71.0,127.8,56
CDM,51695186,ELECT/PAD DEFIBRILLATOR,81.0,,40.5,72.9,56
CDM,51940222,CELL MARKER MONOCLONAL AB-INIT,427.0,,43.49,442.83,68
CDM,51940223,CELL MARKER MONO AB- EA ADD,239.0,,21.38,215.1,56
CDM,59980013,OBSERV PER HR - NSSU,107.0,,53.5,2436.0,57
CDM,59990003,ROOM & BED CHARGE NSSU,2925.0,,996.0,7500.0,190
CDM,60000216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,60003014,TELEHEALTH FACILITY FEE-UCW,78.0,,10.66,70.2,57
CDM,60033017,PRCRD DRG 6YR+ W/O CGEN CAR,7276.0,,2910.4,6548.4,56
CDM,60033206,INS/REPL PACMKR PERM ATRIAL,28318.0,,8620.04,25486.2,68
CDM,60033208,INS/REPL PACEMKR PERM A/V,33557.0,,8620.04,30201.3,68
CDM,60033210,INS/REPL ELECT CARDIAC SGL,13428.0,,5371.2,12085.2,68
CDM,60033213,INSERT PACEMKR GEN DUAL,28378.0,,8620.04,25540.2,68
CDM,60033227,RMV/RPLC PERM PM GEN SGL SYS,22868.0,,6816.72,20581.2,68
CDM,60033228,RMV/RPLC PERM PM GEN DUAL SYS,25610.0,,8620.04,23049.0,68
CDM,60033233,REM PACEMKR PULSE GENER,6396.0,,2558.4,10188.03,68
CDM,60033241,REM DEFIB PULSE GEN SUB,8600.0,,2997.61,7740.0,68
CDM,60033263,REMV & REPLC CVD GEN DUAL,65156.0,,18488.38,58640.4,68
CDM,60033285,INSJ SUBQ CARD RHYTHM MNTR,8393.0,,3357.2,10188.03,68
CDM,60033286,RMVL SUBQ CARD RHYTHM MNTR,3882.0,,579.53,3493.8,68
CDM,60075572,CT HRT W/3D IMAGE,5510.0,,278.5,4959.0,69
CDM,60075574,CT ANGIO HRT W/3D IMAGE,6931.0,,294.16,6237.9,69
CDM,60078451,NM HRT MUSC IMAGE  SPECT SNGL,5302.0,,587.0,4771.8,68
CDM,60078452,NM HRT MUSC IMAGE SPECT MULT,2488.0,,875.0,3397.12,68
CDM,60090471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,60090472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,60090653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,60090656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,60090662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,60090686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,60092960,CARDIOVERSION  STANDALONE,2884.0,,205.0,2595.6,69
CDM,60093005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,60093279,PROG DEV EVAL SINGLE LEAD PM,411.0,,30.72,369.9,69
CDM,60093280,PROG DEV EVAL DUAL LEAD PM,466.0,,30.72,419.4,69
CDM,60093281,PROG DEV EVAL MULTI LEAD PM,537.0,,30.72,483.3,69
CDM,60093282,PROG DVC EVAL SNGL LEAD ICD,419.0,,30.72,377.1,69
CDM,60093283,PROG DEV EVAL DUAL LEAD ICD,612.0,,30.72,550.8,69
CDM,60093284,PROG DEV EVAL MULTI LEAD ICD,670.0,,30.72,603.0,69
CDM,60093289,INTERROG DEVICE EVAL ICD,536.0,,30.72,482.4,69
CDM,60093291,INTERROG DEV EVAL IMPLT LOOP,412.0,,20.18,370.8,69
CDM,60093306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,69
CDM,60093308,ECHO 2D W/W/O M-MODE LTD,1526.0,,124.0,1373.4,69
CDM,60093312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,69
CDM,60093320,ECHO DOPPLER CMPL,720.0,,105.0,648.0,57
CDM,60093325,ECHO COLOR FLOW MAPPING,243.0,,101.31,218.7,57
CDM,60093451,CATH RIGHT HEART,11262.0,,775.0,10135.8,69
CDM,60093458,LT HRT ART/VENTRICLE ANGIO,23177.0,,1054.97,20859.3,69
CDM,60093460,RT&LT HRT ART/VENTRICLE ANGIO,29966.0,,1899.0,26969.4,69
CDM,60093461,RT&LT HRT ART/VENT ANGIO BYP,32236.0,,2389.0,29012.4,69
CDM,60093660,TILT TABLE EVAL,2725.0,,80.0,2452.5,69
CDM,60098000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,60098001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,60098002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,60098003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,60098004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,60098005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,60098006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,60098007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,60098008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,60098009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,60098010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,60098011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,60098012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,60098013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,60098014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,60098015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,60098016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,60099024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,60099213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,60100216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,60103014,TELEHEALTH FACILITY FEE-UNW,78.0,,10.66,70.2,57
CDM,60162252,REPROGRAM SHUNT CSF,983.0,,247.03,884.7,68
CDM,60190471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,60190472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,60190662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,60190686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,60199213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,60200216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,60200303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,60201050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,60212919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,68
CDM,60290471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,60290472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,60290653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,60290656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,60290662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,60290686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,60294618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,60294626,OP PULM REHAB W/CONT OX MNTR,470.0,,48.93,423.0,68
CDM,60294640,NONPRESSURIZED INHALATION,218.0,,29.0,250.39,68
CDM,60295813,EEG MONITOR > 1 HR,2632.0,,136.0,2368.8,68
CDM,60295965,MEG SPONTANEOUS ACTIVITY,13290.0,,838.0,11961.0,68
CDM,60296369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,60296372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,60299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,60300216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,60300287,CEFTRIAXONE VL 250MG,4.2,,0.5856,3.78,55
CDM,60300303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,60300330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,60300344,ALBUTEROL 2.5MG,2.0,,0.12,1.8,55
CDM,60390471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,60390472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,60390662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,60390686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,60394010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,68
CDM,60394060,SPIROMETRY/PFT PRE&POST BRONCH,1099.0,,77.0,989.1,68
CDM,60394200,MAXIMUM VOLUNTARY VENT (MVV),236.0,,20.0,212.4,68
CDM,60394618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,60394640,NONPRESSURIZED INHALATION,218.0,,29.0,250.39,68
CDM,60394664,AEROSOL NEB/MDI/IPPB DEMO/EVAL,214.0,,24.0,250.39,68
CDM,60394727,GAS DILUTI0N/WASHOUT DETERMINE,630.0,,41.37,567.0,68
CDM,60394729,CARBON MONOXIDE DIFFUS (DLCO),715.0,,51.72,643.5,56
CDM,60394760,PULSE OXIMETRY/SINGLE,87.0,,3.2,78.3,57
CDM,60395805,MULTIPLE SLEEP LATENCY,4576.0,,220.0,4118.4,68
CDM,60395806,SLEEP STUDY UNATTENDED,2027.0,,128.87,1824.3,68
CDM,60395810,PSG- 4+ PARAMETERS,8387.0,,262.0,7548.3,68
CDM,60395811,PSG 6/> YRS 4+ PARAM W/CPAP,6950.0,,257.0,6255.0,68
CDM,60396372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,60399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,60400216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,60400283,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,68
CDM,60400303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,60400330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,60400331,TRIAMCINOLONE HEX INJ 5MG,10.98,,3.61,11.89,56
CDM,60400343,HYLAN POLYMERS INJ 1MG,183.61,,7.31,165.25,68
CDM,60400422,NA HYALURONATE INTRA 30MG/2ML,1307.82,,105.38,1177.04,68
CDM,60401925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,60403014,TELEHEALTH FACILITY FEE-UPR,78.0,,10.66,70.2,57
CDM,60410005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,60413304,TRIAMCIN ACE PF ER MIC INJ 1MG,130.4,,16.84,117.36,68
CDM,60420526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,60420550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,60420551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,60420552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,60420553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,60420604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,68
CDM,60420605,ARTHROCENT ASP/INJ INTERMED,1118.0,,243.14,1006.2,68
CDM,60420606,ARTHROCENT JT INTER W/US,2036.0,,570.41,1832.4,68
CDM,60420610,DRAIN/INJ JOINT/BURSA MAJ 01,814.0,,243.14,732.6,68
CDM,60420611,DRAIN/INJ JOINT/BURSA MAJ W/US,1870.0,,243.14,1683.0,68
CDM,60420612,ASP/INJ GANGLION CYST-EA ADDL,536.0,,214.4,482.4,68
CDM,60423620,TX FX HUMER TUBER W/O MAN CLSD,1056.0,,197.58,950.4,68
CDM,60426720,TX FX PHALANX PRX W/O MAN CLSD,735.0,,197.58,661.5,68
CDM,60427096,INJ ARTHROGRAM SACROILIAC,2058.0,,823.2,1852.2,56
CDM,60427520,TX FX PATELLAR W/O MAN CLSD,1100.0,,197.58,990.0,68
CDM,60427786,TX FX FIBULA DIST W/O MAN CLSD,1324.0,,197.58,1191.6,68
CDM,60464405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,68
CDM,60464450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,60464483,INJ EPIDURAL LUMBAR/SACRAL SGL,3496.0,,733.31,3146.4,68
CDM,60464642,CHEMODENERV 1EXTREM 1-4 MUSC,1365.0,,546.0,1228.5,68
CDM,60464643,CHEMODENERV ADD EXT 1-4,1365.0,,546.0,1228.5,56
CDM,60472050,XR C-SPINE 4 OR 5 VIEWS,1031.0,,52.0,927.9,68
CDM,60472110,XR LUMBAR SPINE 4+ VIEWS,1246.0,,52.0,1121.4,68
CDM,60472170,XR PELVIS 1-2V,695.0,,27.0,625.5,68
CDM,60472220,XR SACRUM/COCCYX 2+V,732.0,,31.0,658.8,68
CDM,60473030,XR SHOULDER CMPL 2+V,783.0,,30.0,704.7,68
CDM,60473130,XR HAND CMPL 3+V,739.0,,27.0,665.1,68
CDM,60473501,XR HIP LTD 1V,530.0,,17.67,477.0,68
CDM,60473502,XR HIP UNILAT 2-3 VIEWS,508.0,,22.5,457.2,68
CDM,60473560,XR KNEE 1-2V,680.0,,24.0,612.0,68
CDM,60473660,XR TOE(S) 2+V,499.0,,17.0,449.1,68
CDM,60476882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,60476942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,60495861,EMG 2 EXTREMITIES,1369.0,,63.0,1232.1,68
CDM,60495870,NDL EMG LTD 1EXTR/NONLIMB,645.0,,37.0,580.5,68
CDM,60495885,EMG EA EXTM W/NRV COND LTD,532.0,,57.71,478.8,56
CDM,60495886,EMG EA EXTM W/NRV COND COMP,777.0,,92.08,699.3,56
CDM,60495903,OP VISIT E&M NEW 30-44 MIN,520.0,,102.2,468.0,68
CDM,60495907,NERVE CONDUCTION STUDIES 1-2,1347.0,,89.14,1212.3,68
CDM,60495908,NERVE CONDUCTION STUDIES 3-4,2904.0,,122.7,2613.6,68
CDM,60495909,NERVE CONDUCTION STUDIES 5-6,4366.0,,146.92,3929.4,68
CDM,60495910,NERVE CONDUCTION STUDIES 7-8,5817.0,,193.5,5235.3,68
CDM,60495911,NERVE CONDUCTION STUDIES 9-10,7266.0,,234.58,6539.4,68
CDM,60495912,NERVE CONDUCTION STUDIES 11-12,8722.0,,239.2,7849.8,68
CDM,60495913,NERVE CONDUCTION STUDIES 13/>,9987.0,,277.27,8988.3,68
CDM,60498000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,60498001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,60498002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,60498003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,60498004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,60498005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,60498006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,60498007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,60498008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,60498009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,60498010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,60498011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,60498012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,60498013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,60498014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,60498015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,60498016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,60498925,OSTEOPATHIC MANIP 1-2 REGIONS,129.0,,20.84,116.1,68
CDM,60499204,OP VISIT E&M NEW 45-59 MIN,479.0,,102.2,431.1,68
CDM,60499205,OP VISIT E&M ENEW 60-74 MIN,632.0,,102.2,568.8,68
CDM,60499212,VISIT ESTAB LEVEL II,290.0,,102.2,261.0,68
CDM,60499213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,60499214,VISIT ESTAB LVL IV,535.0,,102.2,481.5,68
CDM,60499215,VISIT ESTAB LEVEL V,603.0,,102.2,542.7,68
CDM,60593005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,60600216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,60620526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,60620550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,60620551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,60620552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,60620553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,60620600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,60620604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,68
CDM,60620605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,60620606,ARTHROCENT ASP/INJ INTER W/US,2036.0,,570.41,1832.4,68
CDM,60620610,ARTHRO ASP/INJ JNT/BURSA MAJOR,814.0,,243.14,732.6,68
CDM,60620611,DRAIN/INJ JOINT/BURSA MAJ 02,1870.0,,243.14,1683.0,68
CDM,60690653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,60690656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,60699024,POST-OP FOLLOW-UP VISIT,0.01,,0.005,9.99,57
CDM,60699202,OP VISIT E&M NEW 15 MIN,395.0,,102.2,355.5,68
CDM,60699203,OP VISIT E&M NEW 30 MIN,372.0,,102.2,334.8,68
CDM,60699204,OP VISIT E&M 45-59 MIN,479.0,,102.2,431.1,68
CDM,60699205,OP VISIT E&M NEW 60 MIN,632.0,,102.2,568.8,68
CDM,60699211,OP VISIT E&M EST MINIMAL,170.0,,85.0,158.65,68
CDM,60699212,OP VISIT E&M EST 10 MIN,290.0,,102.2,261.0,68
CDM,60699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,60699214,OP VISIT E&M EST 30 MIN,535.0,,102.2,481.5,68
CDM,60699215,OP VISIT E&M EST 40 MIN,603.0,,102.2,542.7,68
CDM,60699242,OFFICE CONSULT LEVEL I,345.0,,65.21,310.5,57
CDM,60699243,OFFICE CONSULT LVL III,402.0,,98.4,361.8,57
CDM,60699244,OFFICE CONSULT LVL IV,461.0,,138.0,414.9,57
CDM,60699245,OFFICE CONSULT LVL V,523.0,,153.0,470.7,57
CDM,60800022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,60800023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,60800088,DIAB ED-MEDICAID,97.0,,14.68,87.3,57
CDM,60800216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,60800217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,60800222,DIAB ED INDIVID 30M,190.0,,30.0,171.0,57
CDM,60800223,DIAB ED GRP 30M,97.0,,14.68,87.3,57
CDM,60800292,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,55
CDM,60800300,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,55
CDM,60800307,GLUCAGON VL 1MG,636.65,,167.85,572.99,68
CDM,60800310,INSULIN INJ 5 UNITS,2.4,,0.6832,2.16,56
CDM,60800329,THYROTROPIN ALPHA INJ 1.1MG,2806.26,,1403.13,2909.94,68
CDM,60800335,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,5.85,55
CDM,60800500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,56
CDM,60800536,DBE EDUCATION CLASS,62.0,,14.68,55.8,57
CDM,60800680,DIABETES ED SELFPAY FOLLOW UP,62.0,,31.0,55.8,56
CDM,60800900,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,55
CDM,60803014,TELEHEALTH FACILITY FEE-KED,78.0,,10.66,70.2,57
CDM,60810005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,68
CDM,60810006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,56
CDM,60811046,DEBR MUSC/FASCIA EA ADDL 20 CM,1143.0,,457.2,1028.7,56
CDM,60836000,INTRO NDL/INTRACATH VEIN,765.0,,27.07,688.5,57
CDM,60836415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,60836592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,68
CDM,60864650,CHEMODENERVATION ECC GLND BOTH,735.0,,243.14,661.5,68
CDM,60876942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,60881002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,68
CDM,60882947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,60883036,HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,68
CDM,60885610,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,60890460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,60890471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,60890653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,60890656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,60890662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,60890686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,60892250,EYE EXAM W/FUNDUS PHOTO,523.0,,48.0,470.7,68
CDM,60893005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,60893786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,69
CDM,60893788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,69
CDM,60895250,MON GLUCOSE CONTINUOUS,527.0,,94.5,474.3,68
CDM,60896360,IV INF HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,60896365,IV INFUS THPY/PROPH/DX INTL UP,617.0,,72.0,555.3,68
CDM,60896369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,60896372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,60896374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,60897802,NUTRITION THRPY EVAL 15 MIN,97.0,,30.45,87.3,57
CDM,60897804,NUTRITION THRPY GROUP 30 MIN,87.0,,14.38,78.3,57
CDM,60898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,60898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,60898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,60898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,60898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,60898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,60898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,60898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,60898008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,60898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,60898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,60898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,60898012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,60898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,60898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,60898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,60898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,60899024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,60899202,OP VISIT E&M NEW 15 MIN,395.0,,102.2,355.5,68
CDM,60899203,OP VISIT E&M NEW 30 MIN,372.0,,102.2,334.8,68
CDM,60899204,OP VISIT E&M 45-59 MIN,479.0,,102.2,431.1,68
CDM,60899205,OP VISIT E&M NEW 60 MIN,632.0,,102.2,568.8,68
CDM,60899211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,60899212,VISIT ESTAB LEVEL II,290.0,,102.2,261.0,68
CDM,60899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,60899214,VISIT ESTAB LVL IV,535.0,,102.2,481.5,68
CDM,60899215,VISIT ESTAB LEVEL V,603.0,,102.2,542.7,68
CDM,60900216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,60900311,KETOROLAC INJ 15MG (TORADOL),4.9,,0.2484,4.41,67
CDM,60900330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,60903014,TELEHEALTH FACILITY FEE-UPT,78.0,,10.66,70.2,57
CDM,60920552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,60920553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,60920605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,60920610,DRAIN/INJ JOINT/BURSA MAJ,814.0,,243.14,732.6,68
CDM,60964400,INJ ANES NERVE TRIGEMINAL,1162.0,,243.14,1045.8,68
CDM,60964405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,68
CDM,60990653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,56
CDM,60990656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CDM,60995903,OP VISIT E&M NEW 30-44 MIN,520.0,,102.2,468.0,68
CDM,60996372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,60999204,OP VISIT E&M NEW 45-59 MIN,479.0,,102.2,431.1,68
CDM,60999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,60999214,VISIT ESTAB LVL IV,535.0,,102.2,481.5,68
CDM,60999215,VISIT ESTAB LEVEL V,603.0,,102.2,542.7,68
CDM,61300216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,61311102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,61311103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,56
CDM,61311755,BX NAIL UNIT,1476.0,,579.53,1328.4,68
CDM,61317000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,68
CDM,61317003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,56
CDM,61317004,DEST LESN PREMALIGNANT 15+ LS,1091.0,,329.08,981.9,68
CDM,61340490,BIOPSY OF LIP,870.0,,191.28,783.0,68
CDM,61340808,BX MOUTH VESTIBULE,1124.0,,419.46,1011.6,68
CDM,61341100,BX TONGUE ANTERIOR 2/3,2206.0,,419.46,1985.4,68
CDM,61354100,BX PENIS,2290.0,,916.0,2061.0,68
CDM,61357100,BX MUCOSA VAGINAL SMP,2071.0,,717.2,1863.9,68
CDM,61367810,BX EYELID W/MARGIN,1878.0,,246.22,1690.2,68
CDM,61369100,BX EAR EXTERNAL,1212.0,,191.28,1090.8,68
CDM,61390653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
CDM,61399202,OP VISIT E&M NEW 15-29 MIN,386.0,,102.2,347.4,68
CDM,61399203,OP VISIT E&M NEW 30-44 MIN,520.0,,102.2,468.0,68
CDM,61399204,OP VISIT E&M NEW 45-59 MIN,479.0,,102.2,431.1,68
CDM,61399211,VISIT ESTAB LVL I,170.0,,85.0,158.65,68
CDM,61399212,VISIT ESTAB LVL II,290.0,,102.2,261.0,68
CDM,61399213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,61399214,OP VISIT E&M EST 30 MIN,535.0,,102.2,481.5,68
CDM,77200168,MISC WOUND CLOSURE ADHESIVE,0.01,,0.005,0.009,61
CDM,77200216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,77200217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,77200218,HEP B VACC ADMIN,132.0,,17.0,118.8,68
CDM,77200270,SUPPLY/ACC VAD IMP MISC REPLAC,0.01,,0.005,0.009,56
CDM,77200378,OBSERV-VIVA MEDICARE,2.0,,1.0,2436.0,57
CDM,77206002,XR STEREO LOC RAD THERAPY,290.0,,139.33,261.0,56
CDM,77213707,CT LOWER EXT WO/FOL/W LT,4513.0,,129.0,4061.7,56
CDM,77216020,DRESS/DEB BURN <5% TOTAL SM,561.0,,163.67,504.9,68
CDM,77216025,DRESS/DEB BURN 5-10% TOTAL MED,767.0,,163.67,690.3,68
CDM,77230101,MISC SCREENING,0.01,,0.005,0.009,56
CDM,77236460,TRANSFUSION FETAL INTRAUTERINE,2172.0,,360.1,1954.8,68
CDM,77236593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,68
CDM,77276937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,55
CDM,77277014,CT GUIDED THRPY PLACEMENT,407.0,,170.16,366.3,56
CDM,77277301,INTENSITY MOD TX PLAN,7875.0,,1127.0,7087.5,68
CDM,77277336,MEDICAL PHYSICS CONTINUING,421.0,,71.0,378.9,68
CDM,77277338,MLC DEVICE(S) FOR IMRT 02,1375.0,,301.52,1237.5,68
CDM,77277523,PROTON BEAM INTERMEDIATE,6603.0,,1050.6,5942.7,68
CDM,77277525,PROTON BEAM COMPLEX,11447.0,,1050.6,10302.3,68
CDM,77290471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,77290472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,56
CDM,77296361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,68
CDM,77296365,IV MED INITIAL HR,649.0,,72.0,584.1,68
CDM,77296366,IV MED EA ADD'L HR,416.0,,25.0,374.4,68
CDM,77296367,IV INF ADD'L SEQUENT 1 HR,373.0,,36.13,335.7,68
CDM,77296372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,77296373,INJECTION INTRA-ARTERIAL,286.0,,143.0,259.37,68
CDM,77296374,INJECTION IV PUSH INITIAL,540.0,,173.54,486.0,68
CDM,77296375,INJ IV PUSH SEQ NEW DRUG,399.0,,23.36,359.1,68
CDM,77296376,INJ IV PUSH SEQ SAME DRUG,383.0,,16.08,344.7,57
CDM,77296523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,197.5,355.5,56
CDM,77296567,PHOTODYNAMIC SKIN SESSION,769.0,,105.0,692.1,68
CDM,77299152,CONSC SED 5+YR 1ST 15 MIN,692.0,,18.76,622.8,56
CDM,77299153,CONSC SED BY SAME MD EA ADDL,290.0,,145.0,261.0,56
CDM,77299203,OP VISIT E&M NEW 30 MIN,345.0,,102.2,310.5,68
CDM,77299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,80000013,OBSERV PER HR - 4 MAIN,80.0,,40.0,2436.0,57
CDM,80000023,HEMODIALYSIS-INPATIENT,863.0,,431.5,776.7,56
CDM,80199401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,80250013,OBSERV PER HR - 4 NORTH,80.0,,40.0,2436.0,57
CDM,80302010,DRY NEEDLING 3 OR MORE MUSCLE,75.0,,37.5,67.5,56
CDM,80302011,DRY NEEDLING 1 TO 2 MUSC GROUP,40.0,,20.0,36.0,56
CDM,80302012,DRY NEEDLING EVAL,60.0,,30.0,54.0,56
CDM,80303616,NO CHARGE VISIT,0.01,,0.005,0.009,56
CDM,80319341,WELLNESS THERAPY GROUP,5.0,,2.5,4.5,56
CDM,80319343,WELLNESS LVL 1 VISIT-15 MINUTE,40.0,,20.0,36.0,56
CDM,80319344,WELLNESS LVL 2 VISIT-30 MINUTE,70.0,,35.0,63.0,56
CDM,80319345,WELLNESS LVL 3 VISIT-30 MINUTE,90.0,,45.0,81.0,56
CDM,80319346,WELLNESS LVL 4 VISIT-60 MINUTE,125.0,,62.5,112.5,56
CDM,80395992,AUD CANALITH REPOSITIONING/DAY,222.0,,41.43,199.8,56
CDM,80397010,APPL HOT PACK/COLD PACK,52.0,,5.82,46.8,57
CDM,80397012,MECHANICAL TRACTION THERAPY,91.0,,13.8,81.9,57
CDM,80397014,E-STIM UNATTENDED,188.0,,11.75,169.2,57
CDM,80397016,VASOPNEUMATIC TREATMENT,65.0,,11.0,58.5,57
CDM,80397018,PARAFFIN BATH THERAPY,153.0,,5.69,137.7,57
CDM,80397032,E-STIM ATTENDED 15 MIN,234.0,,11.0,210.6,57
CDM,80397033,IONTOPHORESIS 15 MIN,205.0,,14.0,184.5,57
CDM,80397035,ULTRASOUND 15 MIN,150.0,,10.0,135.0,57
CDM,80397110,THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,80397112,NEUROMUSCULAR RE-ED 15 MIN,231.0,,11.0,207.9,57
CDM,80397116,GAIT TRAINING 15 MIN,224.0,,11.0,201.6,57
CDM,80397140,MANUAL THERAPY 15 MIN,263.0,,14.0,236.7,57
CDM,80397161,PT EVAL LOW COMPLEX 20 MIN,350.0,,94.52,315.0,57
CDM,80397162,PT EVAL MOD COMPLEX 30 MIN,309.0,,81.02,278.1,57
CDM,80397163,PT EVAL HIGH COMPLEX 45 MIN,395.0,,94.52,355.5,57
CDM,80397164,PT RE-EVAL 20 MIN,174.0,,64.82,156.6,57
CDM,80397165,OT EVAL LOW COMPLEX 30 MIN,304.0,,96.83,273.6,57
CDM,80397166,OT EVALUATION-MODERATE 45 MIN,395.0,,74.05,355.5,57
CDM,80397167,OT EVAL HIGH COMPLEX 60 MIN,395.0,,96.83,355.5,57
CDM,80397168,OT RE-EVAL 30 MIN,394.0,,48.82,354.6,57
CDM,80397530,THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,80397535,SELF/HOME MGMT/ADL 15 MIN,126.0,,16.0,113.4,57
CDM,80397545,WORK HARDENING 1ST 2 HRS,795.0,,112.0,715.5,57
CDM,80397546,WORK HARDENING EA ADDL HR,398.0,,56.0,358.2,57
CDM,80397750,PERFORMANCE TEST 15 MIN,195.0,,18.0,175.5,57
CDM,80397760,ORTHOTIC MGMT/FIT/TRAIN 15 MIN,205.0,,33.13,184.5,57
CDM,80397761,PROSTHETIC TRAINING EA 15 MIN,125.0,,26.5,112.5,57
CDM,80400013,OBSERV PER HR - 5 MAIN,80.0,,40.0,2436.0,57
CDM,80650013,OBSERV PER HR - H5N,80.0,,40.0,2436.0,57
CDM,80780013,OBSERV PER HR - 6N,88.0,,44.0,2436.0,57
CDM,81000013,OBSERV PER HR - ICU,80.0,,40.0,2436.0,57
CDM,81203014,TELEHEALTH FACILITY FEE-HPO,78.0,,10.66,70.2,57
CDM,81293005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,81298000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,81298001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,81298002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,81298003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,81298004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,81298005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,81298006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,81298007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,81298008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,81298009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,81298010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,81298011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,81298012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,81298013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,81298014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,81298015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,81298016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,81299213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,81500216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,81590320,SARSCV2 VACC 30MCG TRS-SUC SYR,512.2,,190.2,460.98,55
CDM,81590460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,81590471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,81590662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,81590675,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,68
CDM,81590682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,81590686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,81591318,SARSCV2 VACC 3MCG TRS-SUC VL,512.2,,79.97,460.98,55
CDM,81591319,SARSCV2 VACC 10MCG TRS-SUC VL,512.2,,107.09,460.98,55
CDM,81591320,SARSCV2 VACC 30MCG TRS-SUC VL,656.45,,190.2,590.8,55
CDM,81599401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,57
CDM,90000013,OBSERV PER HR - SDS HLND,80.0,,40.0,2436.0,57
CDM,90610040,RECOVERY 1ST HR-RECOVERY HLNDS,3734.0,,1867.0,3360.6,56
CDM,90610041,RECOVERY EACH ADDL 15 MINS,475.0,,237.5,427.5,56
CDM,90796116,PT EXM NEUROBH B/PSYCH PER HR,733.0,,23.6,659.7,68
CDM,90796132,NRPSYC TST EVAL PHYS/QHP 1ST,892.0,,51.14,802.8,68
CDM,90796133,NRPSYC TST EVAL PHYS/QHP EA,892.0,,42.8,802.8,56
CDM,90796136,PSYCL/NRPSYC TST PHY/QHP 1ST,402.0,,106.17,361.8,68
CDM,90796137,PSYCL/NRPSYC TST PHY/QHP EA,402.0,,201.0,361.8,56
CDM,90796138,PSYCL/NRPSYC TECH 1ST 30 MIN,394.0,,13.81,491.23,68
CDM,90796139,PSYCL/NRPSYC TECH EA ADD 30MIN,394.0,,25.0,354.6,56
CDM,90796146,PSYCL/NRPSYC TST AUTO RESULT,808.0,,20.18,727.2,68
CDM,90799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,91400002,ANTI-XA,478.0,,9.0,430.2,70
CDM,91400003,CREATINE KINASE (CPK) TOTAL,91.0,,3.45,81.9,68
CDM,91400005,CREATININE,80.0,,2.3,72.0,68
CDM,91400008,CREATININE URINE,142.0,,3.35,127.8,68
CDM,91400018,DIGOXIN (LANOXIN),196.0,,11.23,176.4,68
CDM,91400019,PHENYTOIN (DILANTIN) TOTAL,196.0,,12.19,176.4,68
CDM,91400030,CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,68
CDM,91400032,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,91400034,BASIC METABOLIC PANEL,340.0,,7.2,306.0,68
CDM,91400035,COMPREHENSIVE METABOLIC PANEL,456.0,,9.6,410.4,68
CDM,91400041,CHOLESTEROL,113.0,,2.33,101.7,68
CDM,91400054,GGT/GGTP,109.0,,6.3,98.1,68
CDM,91400056,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,91400067,HEMATOCRIT,94.0,,2.18,84.6,68
CDM,91400079,FIBRINOGEN ACTIVITY,265.0,,5.74,238.5,68
CDM,91400108,AMYLASE SERUM,213.0,,4.55,191.7,68
CDM,91400119,AMMONIA BLOOD,190.0,,13.4,171.0,68
CDM,91400127,BILIRUBIN DIRECT,67.0,,4.62,60.3,68
CDM,91400128,BILIRUBIN TOTAL SERUM,92.0,,4.62,82.8,68
CDM,91400132,ALBUMIN SERUM,85.0,,2.32,76.5,68
CDM,91400135,ACETAMINOPHEN,279.0,,17.15,251.1,68
CDM,91400146,ALCOHOL (ETOH) BLOOD,279.0,,45.78,251.1,68
CDM,91400153,ALT/SGPT,70.0,,2.34,63.0,68
CDM,91400169,B-TYPE NATRIURETIC PEPTIDE,426.0,,36.12,383.4,68
CDM,91400173,C-REACTIVE PROTEIN HIGH SENS,273.0,,10.5,245.7,68
CDM,91400181,CALCIUM SERUM,82.0,,2.3,73.8,68
CDM,91400188,CRYSTAL LIGHT ID MICROSCOPY,108.0,,6.74,97.2,68
CDM,91400189,GLUCOSE BODY FLUID,89.0,,3.62,80.1,68
CDM,91400191,PROTEIN TOTAL BODY FLUID O/S,148.0,,3.68,133.2,68
CDM,91400210,UREA NITROGEN QUANTITATIVE,90.0,,2.35,81.0,68
CDM,91400213,RENAL FUNCTION PANEL,248.0,,5.0,223.2,68
CDM,91400215,BLOOD COUNT RETICULOCYTE AUTO,113.0,,3.67,101.7,68
CDM,91400217,SALICYLATE,279.0,,17.15,251.1,68
CDM,91400223,AST/SGOT,69.0,,2.29,62.1,68
CDM,91400229,SODIUM BLOOD,107.0,,2.38,96.3,68
CDM,91400230,SODIUM URINE,139.0,,2.25,125.1,68
CDM,91400238,PREALBUMIN,225.0,,10.07,202.5,68
CDM,91400240,HCG QL SERUM,264.0,,6.92,237.6,68
CDM,91400246,HEMOGLOBIN,94.0,,2.18,84.6,68
CDM,91400254,PROTEIN TOTAL SERUM,85.0,,2.35,76.5,68
CDM,91400257,PROTEIN TOTAL URINE,85.0,,3.38,76.5,68
CDM,91400258,PROTHROMBIN TIME (PT),121.0,,3.47,108.9,70
CDM,91400260,PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,70
CDM,91400266,VANCOMYCIN RANDOM,226.0,,11.26,203.4,68
CDM,91400267,VANCOMYCIN TROUGH,226.0,,11.26,203.4,68
CDM,91400277,URINALYSIS AUTO W/MICRO,153.0,,2.92,137.7,68
CDM,91400304,UREA NITROGEN URINE,123.0,,3.34,110.7,68
CDM,91400308,TRIGLYCERIDES,104.0,,2.31,93.6,68
CDM,91400309,THYROID STIMULATING HORMONE,243.0,,10.09,218.7,68
CDM,91400310,URIC ACID BLOOD,110.0,,2.25,99.0,68
CDM,91400316,THYROXINE (T-4) FREE,138.0,,6.61,124.2,68
CDM,91400317,LIPASE SERUM,132.0,,4.54,118.8,68
CDM,91400319,LDH SERUM,145.0,,2.36,130.5,68
CDM,91400323,URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,68
CDM,91400331,LIPID PANEL,187.0,,10.21,168.3,68
CDM,91400334,HEPATIC FUNCTION PANEL,232.0,,7.0,208.8,68
CDM,91400339,MAGNESIUM,140.0,,6.16,126.0,68
CDM,91400350,RAPID HIV ANTIBODY,312.0,,16.83,280.8,68
CDM,91400355,LACTATE/LACTIC ACID,254.0,,7.91,228.6,68
CDM,91400364,IRON SERUM,117.0,,2.26,105.3,68
CDM,91400366,IRON BINIDING CAPACITY,151.0,,2.37,135.9,68
CDM,91400371,BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,68
CDM,91400378,PH BODY FLUID,57.0,,3.29,51.3,68
CDM,91400380,LITHIUM,172.0,,4.58,154.8,68
CDM,91400385,OSMOLALITY SERUM,146.0,,5.73,131.4,70
CDM,91400386,OSMOLALITY URINE,146.0,,5.46,131.4,70
CDM,91400391,POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,68
CDM,91400400,MONOTEST SCREEN MONOSPOT,402.0,,2.28,361.8,68
CDM,91400410,TROPONIN QN,146.0,,10.69,131.4,68
CDM,91400414,CBC AUTO W/O DIFF,129.0,,5.95,116.1,68
CDM,91400419,SED RATE RBC AUTO,179.0,,2.33,161.1,68
CDM,91400441,CREATINE KINASE (CPK) MB ONLY,152.0,,3.38,136.8,68
CDM,91401135,GRAM STAIN,150.0,,3.39,135.0,68
CDM,91401925,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,91401998,CONSULT PATH SURGERY CYTO INIT,177.0,,53.84,1005.63,68
CDM,91402111,SMEAR WET MOUNT,196.0,,6.26,176.4,68
CDM,91402271,OCC BLOOD QL OTHER SOURCES,110.0,,4.89,99.0,68
CDM,91402420,PARATHYROID HORMONE INTRAOPER,598.0,,21.24,538.2,68
CDM,91405068,GLUCOSE BLOOD EA ADDL,80.0,,5.89,72.0,56
CDM,91405081,RAPID FLU A TEST,195.0,,13.0,175.5,68
CDM,91406018,KETONES URINE,142.0,,2.07,127.8,68
CDM,91410020,RAPID STREP. A TEST,195.0,,15.21,175.5,68
CDM,91410112,ALL KOH PREPARATIONS,165.0,,4.25,148.5,68
CDM,91410132,LEGIONELLA PNEUMOPHILIA AG EIA,245.0,,11.02,220.5,68
CDM,91410241,COV-2/FLU/RSV XPERT,448.0,,131.22,403.2,68
CDM,91420013,ALBUMIN (MICROALBUMIN) URINE,150.0,,5.32,135.0,68
CDM,91420025,GLUCOSE BLOOD- EACH ADDITIONAL,80.0,,5.89,72.0,56
CDM,91420028,THYROXINE (T-4) TOTAL,140.0,,3.38,126.0,68
CDM,91420076,HDL CHOLESTEROL,187.0,,3.44,168.3,68
CDM,91420077,"LDL CHOLESTEROL, DIRECT",156.0,,2.21,140.4,68
CDM,91420109,DRUG SCREEN OPIATE**,116.0,,15.77,104.4,68
CDM,91420111,DRUG SCREEN METHADONE**,116.0,,15.77,104.4,68
CDM,91420125,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,91420126,GLUCOSE QNT (1HR POST GLUCOLA),90.0,,2.17,81.0,68
CDM,91420144,GGT-EACH ADDIT SPEC,80.0,,2.41,72.0,68
CDM,91420145,GGT-FIRST 3 SPEC,164.0,,5.41,147.6,68
CDM,91420170,ALKALINE PHOSPHATASE,110.0,,2.25,99.0,68
CDM,91420175,PHOSPHORUS SERUM,83.0,,2.27,74.7,68
CDM,91420246,PROCALCITONIN (PCT),376.0,,25.04,338.4,68
CDM,91420306,VITAMIN D 25 HYDROXY,384.0,,27.23,345.6,68
CDM,91420320,FERRITIN                82728,225.0,,8.96,202.5,68
CDM,91420335,HCG QN SERUM,309.0,,10.01,278.1,68
CDM,91420385,TRIIODOTHYRONINE (T-3) TOTAL,232.0,,6.68,208.8,68
CDM,91420387,TRIIODOTHYRONINE (T-3) FREE,277.0,,8.71,249.3,68
CDM,91420420,PTH INTACT N-TERM.,598.0,,21.24,538.2,68
CDM,91420481,C-REACTIVE PROTEIN,210.0,,3.36,189.0,68
CDM,91420640,DIPROPYLACETIC ACID (VALPROIC),202.0,,9.85,181.8,68
CDM,91420805,CARBAMAZEPINE (TEGRETOL) TOTAL,217.0,,10.14,195.3,68
CDM,91420830,VITAMIN B12,232.0,,6.71,208.8,68
CDM,91420835,"FOLIC ACID, PLASMA",175.0,,5.6,157.5,68
CDM,91420862,NICOTINE URINE,104.0,,15.77,93.6,68
CDM,91420905,TRANSFERRIN,173.0,,2.3,155.7,68
CDM,91429500,ELECTROLYTE PANEL,178.0,,3.21,160.2,68
CDM,91430014,ALBUMIN (MICROALBUMIN) URINE,150.0,,5.32,135.0,68
CDM,91436034,FIBRIN DGE D-DIMER QN,273.0,,5.78,245.7,68
CDM,91440635,COVID-19 (SARS-COV-2)-PCR,368.0,,30.6,331.2,70
CDM,91450025,CELL COUNT BODY FLUID W/DIFF,88.0,,2.19,79.2,68
CDM,91450030,CELL COUNT CSF W/DIFF,88.0,,2.19,79.2,68
CDM,91450051,BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,68
CDM,91450057,EOSINOPHIL COUNT,150.0,,2.34,135.0,68
CDM,91450059,AUTOMATED WBC W/AUTO DIFF,158.0,,5.95,142.2,68
CDM,91450109,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,68
CDM,91450150,LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,68
CDM,91450428,COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,68
CDM,91455000,HIV 1 HIV 2 AB AG SGL RESULT,250.0,,22.15,225.0,68
CDM,91455031,BETA-HYDROXYBUTYRATE,197.0,,2.33,177.3,68
CDM,91455065,"GLUCOSE BLOOD, ABG",80.0,,3.62,72.0,68
CDM,91455084,RAPID FLU B TEST,195.0,,13.0,175.5,68
CDM,91455090,URINE PREGNANCY VISUAL,166.0,,7.92,149.4,68
CDM,91455180,ABG WITH CALC O2 SAT.,376.0,,13.29,338.4,68
CDM,91455188,"POTASSIUM, VBG",110.0,,2.35,99.0,68
CDM,91455225,PH URINE,142.0,,2.07,127.8,68
CDM,91455230,PROTEIN UR QUAL,142.0,,2.07,127.8,68
CDM,91455285,"CARBOXYHEMOGLOBIN, ABG",242.0,,4.55,217.8,70
CDM,91455286,HEMOGLOBIN ABG,94.0,,2.18,84.6,68
CDM,91455287,SODIUM ABG,107.0,,2.38,96.3,68
CDM,91455288,"POTASSIUM, ABG",110.0,,2.35,99.0,68
CDM,91455289,"CALCIUM, IONIZED, ABG",214.0,,2.31,192.6,68
CDM,91455290,"METHEMOGLOBIN, ABG",219.0,,7.54,197.1,68
CDM,91455380,CVLBG WITH CALC O2 SAT.,376.0,,13.29,338.4,68
CDM,91455430,RAPID STREP A AG,251.0,,15.47,225.9,68
CDM,91455550,DRUGS OF ABUSE PROFILE,1221.0,,15.77,1098.9,68
CDM,91455900,VBG WITH CALC O2 SAT,376.0,,13.29,338.4,68
CDM,91460091,HIV TYPE 1 ANTIBODY **,312.0,,18.0,280.8,68
CDM,91460092,HIV TYPE 2 ANTIBODY **,312.0,,18.0,280.8,68
CDM,91460112,HEP B SURF AG NEUTRALIZATION,196.0,,9.5,176.4,68
CDM,91460282,HEPATITIS B SURF ANTIGEN,218.0,,7.91,196.2,68
CDM,91460289,HEPATITIS C ANTIBODY,309.0,,8.0,278.1,68
CDM,91470190,SPECIFIC GRAVITY FLUID,35.0,,2.21,31.5,68
CDM,91470195,SPECIFIC GRAVITY URINE,142.0,,2.07,127.8,68
CDM,91480005,CROSSMATCH IMMEDIATE SPIN,304.0,,2.2,273.6,68
CDM,91480007,COMPAT TEST ELECTRONIC,210.0,,1.76,223.74,68
CDM,91480013,BLOOD TYPING RH (D),108.0,,2.75,97.2,68
CDM,91480014,BLOOD TYPING ABO,72.0,,2.75,158.68,68
CDM,91480030,RBC ANTIBODY SCREEN,161.0,,5.63,144.9,68
CDM,91480035,RBC AB IDENTIFICATION PANEL,434.0,,2.7,442.83,68
CDM,91480046,COOMBS DIRECT,140.0,,4.4,126.0,68
CDM,91480050,RBC ANTIBODY ELUTION,445.0,,1.96,400.5,68
CDM,91480059,LIQUID PLASMA,271.0,,58.56,243.9,68
CDM,91480092,ANTIGEN SCREEN-DONOR UNIT EA,198.0,,5.21,178.2,68
CDM,91480125,CROSSMATCH ANTIGLOBULIN (AHG),432.0,,2.33,388.8,68
CDM,91480155,BLOOD PRODUCT POOL,237.0,,2.03,213.3,68
CDM,91480804,DITHIOTHREITOL (DTT),231.0,,1.83,207.9,68
CDM,91482435,CHLORIDE BLOOD,73.0,,2.34,65.7,68
CDM,91491770,CONSULT DURING SURGERY,424.0,,36.69,381.6,68
CDM,91491775,ADDIT BLOCK W/FROZEN SEC,170.0,,8.0,153.0,56
CDM,91500002,ANTI-XA,334.5,,9.0,430.2,70
CDM,91500002,ER Only-ANTI-XA,478.0,,9.0,430.2,52
CDM,91500003,CREATININE KINASE (CPK) TOTAL,64.0,,3.45,81.9,68
CDM,91500003,ER Only-CREATININE KINASE (CPK) TOTAL,91.0,,3.45,81.9,50
CDM,91500005,CREATININE,56.0,,2.3,72.0,68
CDM,91500005,ER Only-CREATININE,80.0,,2.3,72.0,50
CDM,91500008,CREATININE URINE,99.5,,3.35,127.8,68
CDM,91500008,ER Only-CREATININE URINE,142.0,,3.35,127.8,50
CDM,91500018,DIGOXIN (LANOXIN),137.5,,11.23,176.4,68
CDM,91500018,ER Only-DIGOXIN (LANOXIN),196.0,,11.23,176.4,50
CDM,91500019,ER Only-PHENYTOIN (DILANTIN) TOTAL,196.0,,12.19,176.4,50
CDM,91500019,PHENYTOIN (DILANTIN) TOTAL,137.5,,12.19,176.4,68
CDM,91500030,CBC AUTO W/AUTO DIFF,133.0,,7.15,171.0,68
CDM,91500030,ER Only-CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,50
CDM,91500032,BLOOD COUNT MANUAL DIFF WBC,73.0,,2.21,93.6,68
CDM,91500032,ER Only-BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,50
CDM,91500034,BASIC METABOLIC PANEL,238.0,,7.2,306.0,68
CDM,91500034,ER Only-BASIC METABOLIC PANEL,340.0,,7.2,306.0,50
CDM,91500035,COMPREHENSIVE METABOLIC PANEL,319.5,,9.6,410.4,68
CDM,91500035,ER Only-COMPREHENSIVE METABOLIC PANEL,456.0,,9.6,410.4,50
CDM,91500041,CHOLESTEROL,79.0,,2.33,101.7,68
CDM,91500041,ER Only-CHOLESTEROL,113.0,,2.33,101.7,50
CDM,91500054,ER Only-GGT/GGTP,109.0,,6.3,98.1,50
CDM,91500054,GGT/GGTP,76.5,,6.3,98.1,68
CDM,91500056,ER Only-GLUCOSE BLOOD,80.0,,3.62,72.0,50
CDM,91500056,GLUCOSE BLOOD,56.0,,3.62,72.0,68
CDM,91500067,ER Only-HEMATOCRIT,94.0,,2.18,84.6,50
CDM,91500067,HEMATOCRIT,66.0,,2.18,84.6,68
CDM,91500079,ER Only-FIBRINOGEN ACTIVITY,265.0,,5.74,238.5,50
CDM,91500079,FIBRINOGEN ACTIVITY,185.5,,5.74,238.5,68
CDM,91500108,AMYLASE SERUM,149.0,,4.55,191.7,68
CDM,91500108,ER Only-AMYLASE SERUM,213.0,,4.55,191.7,50
CDM,91500119,AMMONIA BLOOD,133.0,,13.4,171.0,68
CDM,91500119,ER Only-AMMONIA BLOOD,190.0,,13.4,171.0,50
CDM,91500127,BILIRUBIN DIRECT,47.0,,4.62,60.3,68
CDM,91500127,ER Only-BILIRUBIN DIRECT,67.0,,4.62,60.3,50
CDM,91500128,BILIRUBIN TOTAL SERUM,64.5,,4.62,82.8,68
CDM,91500128,ER Only-BILIRUBIN TOTAL SERUM,92.0,,4.62,82.8,50
CDM,91500132,ALBUMIN SERUM,59.5,,2.32,76.5,68
CDM,91500132,ER Only-ALBUMIN SERUM,85.0,,2.32,76.5,50
CDM,91500135,ACETAMINOPHEN,195.5,,17.15,251.1,68
CDM,91500135,ER Only-ACETAMINOPHEN,279.0,,17.15,251.1,50
CDM,91500146,ALCOHOL (ETOH) BLOOD,279.0,,45.78,251.1,68
CDM,91500153,ALT/SGPT,49.0,,2.34,63.0,68
CDM,91500153,ER Only-ALT/SGPT,70.0,,2.34,63.0,50
CDM,91500169,B-TYPE NATRIURETIC PEPTIDE,298.5,,36.12,383.4,68
CDM,91500169,ER Only-B-TYPE NATRIURETIC PEPTIDE,426.0,,36.12,383.4,50
CDM,91500173,C-REACTIVE PROTEIN HIGH SENS,191.0,,10.5,245.7,68
CDM,91500173,ER Only-C-REACTIVE PROTEIN HIGH SENS,273.0,,10.5,245.7,50
CDM,91500181,CALCIUM SERUM,57.5,,2.3,73.8,68
CDM,91500181,ER Only-CALCIUM SERUM,82.0,,2.3,73.8,50
CDM,91500188,CRYSTAL LIGHT ID MICROSCOPY,75.5,,6.74,97.2,68
CDM,91500188,ER Only-CRYSTAL LIGHT ID MICROSCOPY,108.0,,6.74,97.2,50
CDM,91500189,ER Only-GLUCOSE BODY FLUID,89.0,,3.62,80.1,50
CDM,91500189,GLUCOSE BODY FLUID,62.5,,3.62,80.1,68
CDM,91500191,ER Only-PROTEIN TOTAL BODY FLUID O/S,148.0,,3.68,133.2,50
CDM,91500191,PROTEIN TOTAL BODY FLUID O/S,104.0,,3.68,133.2,68
CDM,91500210,ER Only-UREA NITROGEN QUANTITATIVE,90.0,,2.35,81.0,50
CDM,91500210,UREA NITROGEN QUANTITATIVE,63.0,,2.35,81.0,68
CDM,91500211,ER Only-SICKLE CELL RBC,88.0,,3.46,79.2,50
CDM,91500211,SICKLE CELL RBC,61.5,,3.46,79.2,68
CDM,91500213,ER Only-RENAL FUNCTION PANEL,248.0,,5.0,223.2,50
CDM,91500213,RENAL FUNCTION PANEL,174.0,,5.0,223.2,68
CDM,91500215,BLOOD COUNT RETICULOCYTE AUTO,79.0,,3.67,101.7,68
CDM,91500215,ER Only-BLOOD COUNT RETICULOCYTE AUTO,113.0,,3.67,101.7,50
CDM,91500217,ER Only-SALICYLATE,279.0,,17.15,251.1,50
CDM,91500217,SALICYLATE,195.5,,17.15,251.1,68
CDM,91500223,AST/SGOT,48.5,,2.29,62.1,68
CDM,91500223,ER Only-AST/SGOT,69.0,,2.29,62.1,50
CDM,91500229,ER Only-SODIUM BLOOD,107.0,,2.38,96.3,50
CDM,91500229,SODIUM BLOOD,75.0,,2.38,96.3,68
CDM,91500230,ER Only-SODIUM URINE,139.0,,2.25,125.1,50
CDM,91500230,SODIUM URINE,97.5,,2.25,125.1,68
CDM,91500238,ER Only-PREALBUMIN,225.0,,10.07,202.5,50
CDM,91500238,PREALBUMIN,157.5,,10.07,202.5,68
CDM,91500240,ER Only-HCG QL SERUM,264.0,,6.92,237.6,50
CDM,91500240,HCG QL SERUM,185.0,,6.92,237.6,68
CDM,91500246,ER Only-HEMOGLOBIN,94.0,,2.18,84.6,50
CDM,91500246,HEMOGLOBIN,66.0,,2.18,84.6,68
CDM,91500254,ER Only-PROTEIN TOTAL SERUM,85.0,,2.35,76.5,50
CDM,91500254,PROTEIN TOTAL SERUM,59.5,,2.35,76.5,68
CDM,91500257,ER Only-PROTEIN TOTAL URINE,85.0,,3.38,76.5,50
CDM,91500257,PROTEIN TOTAL URINE,59.5,,3.38,76.5,68
CDM,91500258,ER Only-PROTHROMBIN TIME (PT),121.0,,3.47,108.9,52
CDM,91500258,PROTHROMBIN TIME (PT),85.0,,3.47,108.9,70
CDM,91500260,ER Only-PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,52
CDM,91500260,PARTIAL THROMBOPLAS TIME (PTT),108.0,,3.47,138.6,70
CDM,91500266,ER Only-VANCOMYCIN RANDOM,226.0,,11.26,203.4,50
CDM,91500266,VANCOMYCIN RANDOM,158.5,,11.26,203.4,68
CDM,91500267,ER Only-VANCOMYCIN TROUGH,226.0,,11.26,203.4,50
CDM,91500267,VANCOMYCIN TROUGH,158.5,,11.26,203.4,68
CDM,91500277,ER Only-URINALYSIS AUTO W/MICRO,153.0,,2.92,137.7,50
CDM,91500277,URINALYSIS AUTO W/MICRO,107.5,,2.92,137.7,68
CDM,91500304,ER Only-UREA NITROGEN URINE,123.0,,3.34,110.7,50
CDM,91500304,UREA NITROGEN URINE,86.5,,3.34,110.7,68
CDM,91500309,ER Only-THYROID STIMULATING HORMONE,243.0,,10.09,218.7,50
CDM,91500309,THYROID STIMULATING HORMONE,170.0,,10.09,218.7,68
CDM,91500310,ER Only-URIC ACID BLOOD,110.0,,2.25,99.0,50
CDM,91500310,URIC ACID BLOOD,77.0,,2.25,99.0,68
CDM,91500316,ER Only-THYROXINE (T-4) FREE,138.0,,6.61,124.2,50
CDM,91500316,THYROXINE (T-4) FREE,96.5,,6.61,124.2,68
CDM,91500317,ER Only-LIPASE SERUM,132.0,,4.54,118.8,50
CDM,91500317,LIPASE SERUM,92.5,,4.54,118.8,68
CDM,91500319,ER Only-LDH SERUM,145.0,,2.36,130.5,50
CDM,91500319,LDH SERUM,101.5,,2.36,130.5,68
CDM,91500323,ER Only-URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,50
CDM,91500323,URINALYSIS AUTO W/O MICRO,99.5,,2.07,127.8,68
CDM,91500331,ER Only-LIPID PANEL,187.0,,10.21,168.3,50
CDM,91500331,LIPID PANEL,131.0,,10.21,168.3,68
CDM,91500334,ER Only-HEPATIC FUNCTION PANEL,232.0,,7.0,208.8,50
CDM,91500334,HEPATIC FUNCTION PANEL,162.5,,7.0,208.8,68
CDM,91500339,ER Only-MAGNESIUM,140.0,,6.16,126.0,50
CDM,91500339,MAGNESIUM,98.0,,6.16,126.0,68
CDM,91500350,ER Only-RAPID HIV ANTIBODY,312.0,,16.83,280.8,50
CDM,91500350,RAPID HIV ANTIBODY,218.5,,16.83,280.8,68
CDM,91500355,ER Only-LACTATE/LACTIC ACID,254.0,,7.91,228.6,50
CDM,91500355,LACTATE/LACTIC ACID,178.0,,7.91,228.6,68
CDM,91500366,ER Only-IRON BINDING CAPACITY,151.0,,2.37,135.9,50
CDM,91500366,IRON BINDING CAPACITY,106.0,,2.37,135.9,68
CDM,91500371,BLOOD COUNT PLATELET AUTO,98.0,,4.12,126.0,68
CDM,91500371,ER Only-BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,50
CDM,91500377,ER Only-PHENOBARBITAL,216.0,,8.94,194.4,50
CDM,91500377,PHENOBARBITAL,151.5,,8.94,194.4,68
CDM,91500380,ER Only-LITHIUM,172.0,,4.58,154.8,50
CDM,91500380,LITHIUM,120.5,,4.58,154.8,68
CDM,91500385,ER Only-OSMOLALITY SERUM,146.0,,5.73,131.4,52
CDM,91500385,OSMOLALITY SERUM,102.5,,5.73,131.4,70
CDM,91500386,ER Only-OSMOLALITY URINE,146.0,,5.46,131.4,52
CDM,91500386,OSMOLALITY URINE,102.5,,5.46,131.4,70
CDM,91500391,ER Only-POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,50
CDM,91500391,POTASSIUM SERUM/ PLASMA/ BLOOD,77.0,,2.35,99.0,68
CDM,91500400,ER Only-MONOTEST SCREEN MONOSPOT,402.0,,2.28,361.8,50
CDM,91500400,MONOTEST SCREEN MONOSPOT,281.5,,2.28,361.8,68
CDM,91500410,ER Only-TROPONIN QN,146.0,,10.69,131.4,50
CDM,91500410,TROPONIN QN,102.5,,10.69,131.4,68
CDM,91500414,CBC AUTO W/O DIFF,90.5,,5.95,116.1,68
CDM,91500414,ER Only-CBC AUTO W/O DIFF,129.0,,5.95,116.1,50
CDM,91500419,ER Only-SED RATE RBC AUTO,179.0,,2.33,161.1,50
CDM,91500419,SED RATE RBC AUTO,125.5,,2.33,161.1,68
CDM,91500441,CREATINE KINASE (CPK) MB ONLY,106.5,,3.38,136.8,68
CDM,91500441,ER Only-CREATINE KINASE (CPK) MB ONLY,152.0,,3.38,136.8,50
CDM,91501135,ER Only-GRAM STAIN,150.0,,3.39,135.0,50
CDM,91501135,GRAM STAIN,105.0,,3.39,135.0,68
CDM,91501785,ER Only-Q-INSULIN ANTIBODIES,276.0,,12.45,248.4,50
CDM,91501785,Q-INSULIN ANTIBODIES,193.5,,12.45,248.4,68
CDM,91501925,ER Only-VENIPUNCTURE,46.0,,3.15,41.4,50
CDM,91501925,VENIPUNCTURE,32.5,,3.15,41.4,68
CDM,91502111,ER Only-SMEAR WET MOUNT,196.0,,6.26,176.4,50
CDM,91502111,SMEAR WET MOUNT,137.5,,6.26,176.4,68
CDM,91502234,ER Only-Q-UGT1A1 GENE POLYMORPHISM,810.0,,140.4,729.0,50
CDM,91502234,Q-UGT1A1 GENE POLYMORPHISM,567.0,,140.4,729.0,68
CDM,91502235,ER Only-Q-MYD88 MUTATION ANALYSIS,1518.0,,161.37,1366.2,50
CDM,91502235,Q-MYD88 MUTATION ANALYSIS,1062.5,,161.37,1366.2,68
CDM,91502236,ER Only-Q-BETA GLOBIN GENE SEQUENCING,2252.0,,298.61,2026.8,50
CDM,91502236,Q-BETA GLOBIN GENE SEQUENCING,1576.5,,298.61,2026.8,68
CDM,91502237,ER Only-Q-HUNTINGTON DISEASE,1106.0,,126.04,995.4,50
CDM,91502237,Q-HUNTINGTON DISEASE,774.5,,126.04,995.4,68
CDM,91502238,ER Only-PORPHOBILINOGEN DEAMINASE-PBGD,370.0,,20.4,333.0,50
CDM,91502238,PORPHOBILINOGEN DEAMINASE-PBGD,259.0,,20.4,333.0,68
CDM,91502239,ER Only-PORPHOBILINOGEN (PBGD) SERUM,354.0,,7.76,318.6,50
CDM,91502239,PORPHOBILINOGEN (PBGD) SERUM,248.0,,7.76,318.6,68
CDM,91502240,ER Only-TOTAL PORPHYRINS PLASMA,340.0,,3.37,306.0,50
CDM,91502240,TOTAL PORPHYRINS PLASMA,238.0,,3.37,306.0,68
CDM,91502241,ER Only-TOTAL PORPHYRINS FECES,340.0,,8.94,306.0,50
CDM,91502241,TOTAL PORPHYRINS FECES,238.0,,8.94,306.0,68
CDM,91502243,ER Only-M-ACHR GNG NRL AB**,394.0,,7.92,354.6,50
CDM,91502243,M-ACHR GNG NRL AB**,276.0,,7.92,354.6,68
CDM,91502244,ER Only-M-N-TYPE**,394.0,,7.92,354.6,50
CDM,91502244,M-N-TYPE**,276.0,,7.92,354.6,68
CDM,91502245,ER Only-M-P/Q-TYPE**,394.0,,7.92,354.6,50
CDM,91502245,M-P/Q-TYPE**,276.0,,7.92,354.6,68
CDM,91502246,ER Only-M-AMPA-R AB**,291.0,,11.09,261.9,50
CDM,91502246,M-AMPA-R AB**,204.0,,11.09,261.9,68
CDM,91502247,ER Only-M-AMPHIPHYSIN AB**,291.0,,11.09,261.9,50
CDM,91502247,M-AMPHIPHYSIN AB**,204.0,,11.09,261.9,68
CDM,91502248,ER Only-M-AGNA-1**,291.0,,11.09,261.9,50
CDM,91502248,M-AGNA-1**,204.0,,11.09,261.9,68
CDM,91502249,ER Only-M-ANNA-1**,291.0,,11.09,261.9,50
CDM,91502249,M-ANNA-1**,204.0,,11.09,261.9,68
CDM,91502250,ER Only-M-ANNA-2**,291.0,,11.09,261.9,50
CDM,91502250,M-ANNA-2**,204.0,,11.09,261.9,68
CDM,91502251,ER Only-M-ANNA-3**,291.0,,11.09,261.9,50
CDM,91502251,M-ANNA-3**,204.0,,11.09,261.9,68
CDM,91502252,ER Only-M-CASPR2-IGG**,291.0,,11.09,261.9,50
CDM,91502252,M-CASPR2-IGG**,204.0,,11.09,261.9,68
CDM,91502253,ER Only-M-CRMP-5-IGG**,291.0,,11.09,261.9,50
CDM,91502253,M-CRMP-5-IGG**,204.0,,11.09,261.9,68
CDM,91502254,"ER Only-M-DPPX CBA, S**",291.0,,11.09,261.9,50
CDM,91502254,"M-DPPX CBA, S**",204.0,,11.09,261.9,68
CDM,91502255,ER Only-M-GABA-B-R AB**,291.0,,11.09,261.9,50
CDM,91502255,M-GABA-B-R AB**,204.0,,11.09,261.9,68
CDM,91502256,ER Only-M-GFAP**,291.0,,11.09,261.9,50
CDM,91502256,M-GFAP**,204.0,,11.09,261.9,68
CDM,91502257,"ER Only-M-IGLON5 CBA, S**",291.0,,11.09,261.9,50
CDM,91502257,"M-IGLON5 CBA, S**",204.0,,11.09,261.9,68
CDM,91502258,ER Only-M-LGI1-IGG**,291.0,,11.09,261.9,50
CDM,91502258,M-LGI1-IGG**,204.0,,11.09,261.9,68
CDM,91502259,ER Only-M-MGLUR1 AB**,291.0,,11.09,261.9,50
CDM,91502259,M-MGLUR1 AB**,204.0,,11.09,261.9,68
CDM,91502260,ER Only-M-NIF IFA**,291.0,,11.09,261.9,50
CDM,91502260,M-NIF IFA**,204.0,,11.09,261.9,68
CDM,91502261,ER Only-M-NMDA-R AB**,291.0,,11.09,261.9,50
CDM,91502261,M-NMDA-R AB**,204.0,,11.09,261.9,68
CDM,91502262,ER Only-M-PCA-1**,291.0,,11.09,261.9,50
CDM,91502262,M-PCA-1**,204.0,,11.09,261.9,68
CDM,91502263,ER Only-M-PCA-2**,291.0,,11.09,261.9,50
CDM,91502263,M-PCA-2**,204.0,,11.09,261.9,68
CDM,91502264,ER Only-M-PCA-TYPE TR**,291.0,,11.09,261.9,50
CDM,91502264,M-PCA-TYPE TR**,204.0,,11.09,261.9,68
CDM,91502265,ER Only-M-GAD65 AB**,465.0,,12.53,418.5,50
CDM,91502265,M-GAD65 AB**,325.5,,12.53,418.5,68
CDM,91502268,ER Only-M-AMPA-R AB CBA CSF**,255.0,,11.09,229.5,50
CDM,91502268,M-AMPA-R AB CBA CSF**,178.5,,11.09,229.5,68
CDM,91502269,ER Only-M-AMPHIPHYSIN AB CSF**,255.0,,11.09,229.5,50
CDM,91502269,M-AMPHIPHYSIN AB CSF**,178.5,,11.09,229.5,68
CDM,91502270,ER Only-M-AGNA-1 CSF**,255.0,,11.09,229.5,50
CDM,91502270,M-AGNA-1 CSF**,178.5,,11.09,229.5,68
CDM,91502272,ER Only-M-ANNA-2 CSF**,255.0,,11.09,229.5,50
CDM,91502272,M-ANNA-2 CSF**,178.5,,11.09,229.5,68
CDM,91502273,ER Only-M- ANNA-3 CSF**,255.0,,11.09,229.5,50
CDM,91502273,M- ANNA-3 CSF**,178.5,,11.09,229.5,68
CDM,91502274,ER Only-M-CASPR2-IGG CBA CSF**,255.0,,11.09,229.5,50
CDM,91502274,M-CASPR2-IGG CBA CSF**,178.5,,11.09,229.5,68
CDM,91502275,ER Only-M-CRMP-5 IGG CSF**,255.0,,11.09,229.5,50
CDM,91502275,M-CRMP-5 IGG CSF**,178.5,,11.09,229.5,68
CDM,91502276,ER Only-M-DPPX AB CBA CSF**,255.0,,11.09,229.5,50
CDM,91502276,M-DPPX AB CBA CSF**,178.5,,11.09,229.5,68
CDM,91502278,ER Only-M-GABA-B-R AB CBA CSF**,255.0,,11.09,229.5,50
CDM,91502278,M-GABA-B-R AB CBA CSF**,178.5,,11.09,229.5,68
CDM,91502279,ER Only-M-GFAP IFA CSF**,255.0,,11.09,229.5,50
CDM,91502279,M-GFAP IFA CSF**,178.5,,11.09,229.5,68
CDM,91502280,ER Only-M-IGLON5 CBA CSF**,255.0,,11.09,229.5,50
CDM,91502280,M-IGLON5 CBA CSF**,178.5,,11.09,229.5,68
CDM,91502281,ER Only-M-LGI1-IGG CBA CSF**,255.0,,11.09,229.5,50
CDM,91502281,M-LGI1-IGG CBA CSF**,178.5,,11.09,229.5,68
CDM,91502282,ER Only-M-MGLUR1 AB IFA CSF**,255.0,,11.09,229.5,50
CDM,91502282,M-MGLUR1 AB IFA CSF**,178.5,,11.09,229.5,68
CDM,91502283,ER Only-M-NIF IFA CSF**,255.0,,11.09,229.5,50
CDM,91502283,M-NIF IFA CSF**,178.5,,11.09,229.5,68
CDM,91502284,ER Only-M-NMDA-R AB CBA CSF**,255.0,,11.09,229.5,50
CDM,91502284,M-NMDA-R AB CBA CSF**,178.5,,11.09,229.5,68
CDM,91502285,ER Only-M-PCA-TR CSF**,255.0,,11.09,229.5,50
CDM,91502285,M-PCA-TR CSF**,178.5,,11.09,229.5,68
CDM,91502286,ER Only-M-PCA-1 CSF**,255.0,,11.09,229.5,50
CDM,91502286,M-PCA-1 CSF**,178.5,,11.09,229.5,68
CDM,91502287,ER Only-M-PCA-2 CSF**,255.0,,11.09,229.5,50
CDM,91502287,M-PCA-2 CSF**,178.5,,11.09,229.5,68
CDM,91502288,ER Only-M-GAD65 AB ASSAY CSF**,394.0,,12.53,354.6,50
CDM,91502288,M-GAD65 AB ASSAY CSF**,276.0,,12.53,354.6,68
CDM,91502290,ER Only-M-ACH RECEPTOR MUSC MOD AB,255.0,,7.92,229.5,50
CDM,91502290,M-ACH RECEPTOR MUSC MOD AB,178.5,,7.92,229.5,68
CDM,91502291,ER Only-M-AGNA-1 IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CDM,91502291,M-AGNA-1 IMMUNOBLOT CSF,667.5,,13.41,857.7,68
CDM,91502292,ER Only-M-AGNA-1 IMMUNOBLOT S,431.0,,13.41,387.9,50
CDM,91502292,M-AGNA-1 IMMUNOBLOT S,302.0,,13.41,387.9,68
CDM,91502293,ER Only-M-AMPHIPLYSIN IMMUNOBLOT S,431.0,,13.41,387.9,50
CDM,91502293,M-AMPHIPLYSIN IMMUNOBLOT S,302.0,,13.41,387.9,68
CDM,91502294,ER Only-M-ANNA-1 IMMUNOBLOTT S,431.0,,13.41,387.9,50
CDM,91502294,M-ANNA-1 IMMUNOBLOTT S,302.0,,13.41,387.9,68
CDM,91502295,ER Only-M-ANNA-2 IMMUNOBLOTT S,431.0,,13.41,387.9,50
CDM,91502295,M-ANNA-2 IMMUNOBLOTT S,302.0,,13.41,387.9,68
CDM,91502296,ER Only-M-CRMP-5-IGG WESTERN BLOT S,431.0,,13.41,387.9,50
CDM,91502296,M-CRMP-5-IGG WESTERN BLOT S,302.0,,13.41,387.9,68
CDM,91502297,ER Only-M-PCA-1 IMMUNOBLOT S,431.0,,13.41,387.9,50
CDM,91502297,M-PCA-1 IMMUNOBLOT S,302.0,,13.41,387.9,68
CDM,91502298,ER Only-M-PCA-TR IMMUNOBLOT S,431.0,,13.41,387.9,50
CDM,91502298,M-PCA-TR IMMUNOBLOT S,302.0,,13.41,387.9,68
CDM,91502299,ER Only-M-ALPHA INTERNEXIN CBA S,1568.0,,11.09,1411.2,50
CDM,91502299,M-ALPHA INTERNEXIN CBA S,1097.5,,11.09,1411.2,68
CDM,91502300,ER Only-M-DPPX AB S,1568.0,,11.09,1411.2,50
CDM,91502300,M-DPPX AB S,1097.5,,11.09,1411.2,68
CDM,91502301,ER Only-M-GFAP S,1568.0,,11.09,1411.2,50
CDM,91502301,M-GFAP S,1097.5,,11.09,1411.2,68
CDM,91502302,ER Only-M-IGLON5 CBA S,1568.0,,11.09,1411.2,50
CDM,91502302,M-IGLON5 CBA S,1097.5,,11.09,1411.2,68
CDM,91502303,ER Only-M-MGLUR1 AB S,1568.0,,11.09,1411.2,50
CDM,91502303,M-MGLUR1 AB S,1097.5,,11.09,1411.2,68
CDM,91502304,ER Only-M-NIF HEAVY CHAIN CBA S,1568.0,,11.09,1411.2,50
CDM,91502304,M-NIF HEAVY CHAIN CBA S,1097.5,,11.09,1411.2,68
CDM,91502305,ER Only-M-NIF LIGHT CHAIN CBA S,1568.0,,11.09,1411.2,50
CDM,91502305,M-NIF LIGHT CHAIN CBA S,1097.5,,11.09,1411.2,68
CDM,91502306,ER Only-M-AMPA-R AB IF TITER ASSAY,400.0,,6.58,360.0,50
CDM,91502306,M-AMPA-R AB IF TITER ASSAY,280.0,,6.58,360.0,68
CDM,91502307,ER Only-M-DPPX AB TITER S,400.0,,6.58,360.0,50
CDM,91502307,M-DPPX AB TITER S,280.0,,6.58,360.0,68
CDM,91502308,ER Only-M-GABA-B-R AB IF TITER ASSAY S,400.0,,6.58,360.0,50
CDM,91502308,M-GABA-B-R AB IF TITER ASSAY S,280.0,,6.58,360.0,68
CDM,91502309,ER Only-M-GFAP TITER S,400.0,,6.58,360.0,50
CDM,91502309,M-GFAP TITER S,280.0,,6.58,360.0,68
CDM,91502310,ER Only-M-IGLON5 IFA TITER S,400.0,,6.58,360.0,50
CDM,91502310,M-IGLON5 IFA TITER S,280.0,,6.58,360.0,68
CDM,91502311,ER Only-M-MGLUR1 AB TITER S,400.0,,6.58,360.0,50
CDM,91502311,M-MGLUR1 AB TITER S,280.0,,6.58,360.0,68
CDM,91502312,ER Only-M-NIF IFA TITER S,400.0,,6.58,360.0,50
CDM,91502312,M-NIF IFA TITER S,280.0,,6.58,360.0,68
CDM,91502313,ER Only-M-NMDA-R AB IF TITER ASSAYS,400.0,,6.58,360.0,50
CDM,91502313,M-NMDA-R AB IF TITER ASSAYS,280.0,,6.58,360.0,68
CDM,91502314,ER Only-M-AMPHIPHYSIN IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CDM,91502314,M-AMPHIPHYSIN IMMUNOBLOT CSF,667.5,,13.41,857.7,68
CDM,91502315,ER Only-M-ANNA-1 IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CDM,91502315,M-ANNA-1 IMMUNOBLOT CSF,667.5,,13.41,857.7,68
CDM,91502316,ER Only-M-ANNA-2 IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CDM,91502316,M-ANNA-2 IMMUNOBLOT CSF,667.5,,13.41,857.7,68
CDM,91502317,ER Only-M-CRMP-5-IGG WESTERN BLOT CSF,953.0,,13.41,857.7,50
CDM,91502317,M-CRMP-5-IGG WESTERN BLOT CSF,667.5,,13.41,857.7,68
CDM,91502318,ER Only-M-PCA-1 IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CDM,91502318,M-PCA-1 IMMUNOBLOT CSF,667.5,,13.41,857.7,68
CDM,91502319,ER Only-M-PCA-TR IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CDM,91502319,M-PCA-TR IMMUNOBLOT CSF,667.5,,13.41,857.7,68
CDM,91502320,ER Only-M-ALPHA INTERNEXIN CBA CSF,1568.0,,11.09,1411.2,50
CDM,91502320,M-ALPHA INTERNEXIN CBA CSF,1097.5,,11.09,1411.2,68
CDM,91502321,ER Only-M-DPPX AB CSF-MAYO,1568.0,,11.09,1411.2,50
CDM,91502321,M-DPPX AB CSF-MAYO,1097.5,,11.09,1411.2,68
CDM,91502322,ER Only-M-GFAP CSF-MAYO,1568.0,,11.09,1411.2,50
CDM,91502322,M-GFAP CSF-MAYO,1097.5,,11.09,1411.2,68
CDM,91502323,ER Only-M-IGLON5 CBA CSF,1568.0,,11.09,1411.2,50
CDM,91502323,M-IGLON5 CBA CSF,1097.5,,11.09,1411.2,68
CDM,91502324,ER Only-M-MGLUR1 AB CSF-MAYO,1568.0,,11.09,1411.2,50
CDM,91502324,M-MGLUR1 AB CSF-MAYO,1097.5,,11.09,1411.2,68
CDM,91502325,ER Only-M-NIF HEAVY CHAIN CBA CSF,1568.0,,11.09,1411.2,50
CDM,91502325,M-NIF HEAVY CHAIN CBA CSF,1097.5,,11.09,1411.2,68
CDM,91502326,ER Only-M-NIF LIGHT CHAIN CBA CSF,1568.0,,11.09,1411.2,50
CDM,91502326,M-NIF LIGHT CHAIN CBA CSF,1097.5,,11.09,1411.2,68
CDM,91502327,ER Only-M-AMPA-R AB IF TITER ASSAY CSF,400.0,,6.58,360.0,50
CDM,91502327,M-AMPA-R AB IF TITER ASSAY CSF,280.0,,6.58,360.0,68
CDM,91502328,ER Only-M-DPPX AB TITER CSF-MAYO,400.0,,6.58,360.0,50
CDM,91502328,M-DPPX AB TITER CSF-MAYO,280.0,,6.58,360.0,68
CDM,91502329,ER Only-M-GABA-B-R AB IF TIT ASSAY CSF,400.0,,6.58,360.0,50
CDM,91502329,M-GABA-B-R AB IF TIT ASSAY CSF,280.0,,6.58,360.0,68
CDM,91502330,ER Only-M-GFAP TITER CSF-MAYO,400.0,,6.58,360.0,50
CDM,91502330,M-GFAP TITER CSF-MAYO,280.0,,6.58,360.0,68
CDM,91502331,ER Only-M-IGLON5 IFA TITER CSF,400.0,,6.58,360.0,50
CDM,91502331,M-IGLON5 IFA TITER CSF,280.0,,6.58,360.0,68
CDM,91502332,ER Only-M-MGLUR1 AB TITER CSF-MAYO,400.0,,6.58,360.0,50
CDM,91502332,M-MGLUR1 AB TITER CSF-MAYO,280.0,,6.58,360.0,68
CDM,91502333,ER Only-M-NIF IFA TITER CSF,400.0,,6.58,360.0,50
CDM,91502333,M-NIF IFA TITER CSF,280.0,,6.58,360.0,68
CDM,91502334,ER Only-M-NMDA-R AB IF TITER ASSAY CSF,400.0,,6.58,360.0,50
CDM,91502334,M-NMDA-R AB IF TITER ASSAY CSF,280.0,,6.58,360.0,68
CDM,91505068,ER Only-GLUCOSE BLOOD EA ADDL,80.0,,5.89,72.0,38
CDM,91505068,GLUCOSE BLOOD EA ADDL,56.0,,5.89,72.0,56
CDM,91505081,ER Only-RAPID FLU A TEST,195.0,,13.0,175.5,50
CDM,91505081,RAPID FLU A TEST,136.5,,13.0,175.5,68
CDM,91505167,ER Only-IFE SERUM**,533.0,,20.55,479.7,50
CDM,91505167,IFE SERUM**,373.0,,20.55,479.7,68
CDM,91505168,ER Only-IMMUNOGLOBULIN G QN SERUM**,219.0,,7.88,197.1,50
CDM,91505168,IMMUNOGLOBULIN G QN SERUM**,153.5,,7.88,197.1,68
CDM,91505169,ER Only-IMMUNOGLOBULIN A QN SERUM**,219.0,,7.88,197.1,50
CDM,91505169,IMMUNOGLOBULIN A QN SERUM**,153.5,,7.88,197.1,68
CDM,91505171,ER Only-IMMUNOGLOGULIN M QN SERUM**,219.0,,7.88,197.1,50
CDM,91505171,IMMUNOGLOGULIN M QN SERUM**,153.5,,7.88,197.1,68
CDM,91505172,ER Only-INTERLEUKIN 2 RECEPTOR,426.0,,11.36,383.4,50
CDM,91505172,INTERLEUKIN 2 RECEPTOR,298.5,,11.36,383.4,68
CDM,91505173,ER Only-INTERLEUKIN 6 SERUM,426.0,,15.89,383.4,50
CDM,91505173,INTERLEUKIN 6 SERUM,298.5,,15.89,383.4,68
CDM,91505919,ER Only-M-NEUROCHONDRIN IFA CSF**,255.0,,11.09,229.5,50
CDM,91505919,M-NEUROCHONDRIN IFA CSF**,178.5,,11.09,229.5,68
CDM,91505920,ER Only-M-SEPTIN IFA CSF**,255.0,,11.09,229.5,50
CDM,91505920,M-SEPTIN IFA CSF**,178.5,,11.09,229.5,68
CDM,91505921,ER Only-M-NEUROCHONDRIN IFA SERUM**,291.0,,11.09,261.9,50
CDM,91505921,M-NEUROCHONDRIN IFA SERUM**,204.0,,11.09,261.9,68
CDM,91505922,ER Only-M-SEPTIN-7 IFA SERUM**,291.0,,11.09,261.9,50
CDM,91505922,M-SEPTIN-7 IFA SERUM**,204.0,,11.09,261.9,68
CDM,91506018,ER Only-KETONES URINE,142.0,,2.07,127.8,50
CDM,91506018,KETONES URINE,99.5,,2.07,127.8,68
CDM,91506097,"ER Only-M-PDE10A AB IFA, CSF",255.0,,11.09,229.5,50
CDM,91506097,"M-PDE10A AB IFA, CSF",178.5,,11.09,229.5,68
CDM,91506098,"ER Only-M-TRIM46 AB IFA, CSF",255.0,,11.09,229.5,50
CDM,91506098,"M-TRIM46 AB IFA, CSF",178.5,,11.09,229.5,68
CDM,91506099,"ER Only-M-PDE10A AB IFA, S**",291.0,,11.09,261.9,50
CDM,91506099,"M-PDE10A AB IFA, S**",204.0,,11.09,261.9,68
CDM,91506100,"ER Only-M-TRIM46 AB IFA, S**",291.0,,11.09,261.9,50
CDM,91506100,"M-TRIM46 AB IFA, S**",204.0,,11.09,261.9,68
CDM,91510020,ER Only-RAPID STREP. A TEST,195.0,,15.21,175.5,50
CDM,91510020,RAPID STREP. A TEST,136.5,,15.21,175.5,68
CDM,91510241,COV-2/FLU/RSV XPERT,313.5,,89.5,403.2,68
CDM,91510241,ER Only-COV-2/FLU/RSV XPERT,448.0,,131.22,403.2,50
CDM,91512271,ER Only-M-ANNA-1 CSF**,255.0,,11.09,229.5,50
CDM,91512271,M-ANNA-1 CSF**,178.5,,11.09,229.5,68
CDM,91520013,ALBUMIN (MICROALBUMIN) URINE,105.0,,5.32,135.0,68
CDM,91520013,ER Only-ALBUMIN (MICROALBUMIN) URINE,150.0,,5.32,135.0,50
CDM,91520025,ER Only-GLUCOSE BLOOD- EACH ADDITIONAL,80.0,,5.89,72.0,38
CDM,91520025,GLUCOSE BLOOD- EACH ADDITIONAL,56.0,,5.89,72.0,56
CDM,91520028,ER Only-THYROXINE (T-4) TOTAL,140.0,,3.38,126.0,50
CDM,91520028,THYROXINE (T-4) TOTAL,98.0,,3.38,126.0,68
CDM,91520076,ER Only-HDL CHOLESTEROL,187.0,,3.44,168.3,50
CDM,91520076,HDL CHOLESTEROL,131.0,,3.44,168.3,68
CDM,91520077,"ER Only-LDL CHOLESTEROL, DIRECT",156.0,,2.21,140.4,50
CDM,91520077,"LDL CHOLESTEROL, DIRECT",109.5,,2.21,140.4,68
CDM,91520109,DRUG SCREEN OPIATE**,81.5,,15.77,104.4,68
CDM,91520109,ER Only-DRUG SCREEN OPIATE**,116.0,,15.77,104.4,50
CDM,91520111,DRUG SCREEN METHADONE**,81.5,,15.77,104.4,68
CDM,91520111,ER Only-DRUG SCREEN METHADONE**,116.0,,15.77,104.4,50
CDM,91520113,ER Only-Z*DRUG SCREEN MDMA**,104.0,,15.77,93.6,50
CDM,91520113,Z*DRUG SCREEN MDMA**,73.0,,15.77,93.6,68
CDM,91520125,ER Only-GLUCOSE BLOOD,80.0,,3.62,72.0,50
CDM,91520125,GLUCOSE BLOOD,56.0,,3.62,72.0,68
CDM,91520126,ER Only-GLUCOSE QNT (1HR POST GLUCOLA),90.0,,2.17,81.0,50
CDM,91520126,GLUCOSE QNT (1HR POST GLUCOLA),63.0,,2.17,81.0,68
CDM,91520144,ER Only-GGT-EACH ADDIT SPEC,80.0,,2.41,72.0,50
CDM,91520144,GGT-EACH ADDIT SPEC,56.0,,2.41,72.0,68
CDM,91520145,ER Only-GGT-FIRST 3 SPEC,164.0,,5.41,147.6,50
CDM,91520145,GGT-FIRST 3 SPEC,115.0,,5.41,147.6,68
CDM,91520170,ALKALINE PHOSPHATASE,77.0,,2.25,99.0,68
CDM,91520170,ER Only-ALKALINE PHOSPHATASE,110.0,,2.25,99.0,50
CDM,91520175,ER Only-PHOSPHORUS SERUM,83.0,,2.27,74.7,50
CDM,91520175,PHOSPHORUS SERUM,58.0,,2.27,74.7,68
CDM,91520246,ER Only-PROCALCITONIN (PCT),376.0,,25.04,338.4,50
CDM,91520246,PROCALCITONIN (PCT),263.5,,25.04,338.4,68
CDM,91520306,ER Only-VITAMIN D 25 HYDROXY,384.0,,27.23,345.6,50
CDM,91520306,VITAMIN D 25 HYDROXY,269.0,,27.23,345.6,68
CDM,91520320,ER Only-FERRITIN                82728,225.0,,8.96,202.5,50
CDM,91520320,FERRITIN                82728,157.5,,8.96,202.5,68
CDM,91520335,ER Only-HCG QN SERUM,309.0,,10.01,278.1,50
CDM,91520335,HCG QN SERUM,216.5,,10.01,278.1,68
CDM,91520385,ER Only-TRIIODOTHYRONINE (T-3) TOTAL,232.0,,6.68,208.8,50
CDM,91520385,TRIIODOTHYRONINE (T-3) TOTAL,162.5,,6.68,208.8,68
CDM,91520387,ER Only-TRIIODOTHYRONINE (T-3) FREE,277.0,,8.71,249.3,50
CDM,91520387,TRIIODOTHYRONINE (T-3) FREE,194.0,,8.71,249.3,68
CDM,91520420,ER Only-PTH INTACT N-TERM.,598.0,,21.24,538.2,50
CDM,91520420,PTH INTACT N-TERM.,419.0,,21.24,538.2,68
CDM,91520481,C-REACTIVE PROTEIN,147.0,,3.36,189.0,68
CDM,91520481,ER Only-C-REACTIVE PROTEIN,210.0,,3.36,189.0,50
CDM,91520505,ER Only-IRON SERUM,117.0,,2.26,105.3,50
CDM,91520505,IRON SERUM,82.0,,2.26,105.3,68
CDM,91520580,ER Only-TRIGLYCERIDES,104.0,,2.31,93.6,50
CDM,91520580,TRIGLYCERIDES,73.0,,2.31,93.6,68
CDM,91520640,DIPROPYLACETIC ACID (VALPROIC),141.5,,9.85,181.8,68
CDM,91520640,ER Only-DIPROPYLACETIC ACID (VALPROIC),202.0,,9.85,181.8,50
CDM,91520805,CARBAMAZEPINE (TEGRETOL) TOTAL,152.0,,10.14,195.3,68
CDM,91520805,ER Only-CARBAMAZEPINE (TEGRETOL) TOTAL,217.0,,10.14,195.3,50
CDM,91520830,ER Only-VITAMIN B12,232.0,,6.71,208.8,50
CDM,91520830,VITAMIN B12,162.5,,6.71,208.8,68
CDM,91520835,"ER Only-FOLIC ACID, PLASMA",175.0,,5.6,157.5,50
CDM,91520835,"FOLIC ACID, PLASMA",122.5,,5.6,157.5,68
CDM,91520862,ER Only-NICOTINE URINE,104.0,,15.77,93.6,50
CDM,91520862,NICOTINE URINE,73.0,,15.77,93.6,68
CDM,91520905,ER Only-TRANSFERRIN,173.0,,2.3,155.7,50
CDM,91520905,TRANSFERRIN,121.5,,2.3,155.7,68
CDM,91529500,ELECTROLYTE PANEL,125.0,,3.21,160.2,68
CDM,91529500,ER Only-ELECTROLYTE PANEL,178.0,,3.21,160.2,50
CDM,91530014,ALBUMIN (MICROALBUMIN) URINE,105.0,,5.32,135.0,68
CDM,91530014,ER Only-ALBUMIN (MICROALBUMIN) URINE,150.0,,5.32,135.0,50
CDM,91536034,ER Only-FIBRIN DGE D-DIMER QN,273.0,,5.78,245.7,50
CDM,91536034,FIBRIN DGE D-DIMER QN,191.0,,5.78,245.7,68
CDM,91540054,ER Only-INF AGNT DETECT DNA COV FLU,518.0,,131.22,466.2,50
CDM,91540054,INF AGNT DETECT DNA COV FLU,363.0,,104.0,466.2,68
CDM,91540635,COVID-19 (SARS-COV-2)-PCR,257.5,,30.6,331.2,70
CDM,91540635,ER Only-COVID-19 (SARS-COV-2)-PCR,368.0,,30.6,331.2,52
CDM,91550025,CELL COUNT BODY FLUID W/DIFF,61.5,,2.19,79.2,68
CDM,91550025,ER Only-CELL COUNT BODY FLUID W/DIFF,88.0,,2.19,79.2,50
CDM,91550030,CELL COUNT CSF W/DIFF,61.5,,2.19,79.2,68
CDM,91550030,ER Only-CELL COUNT CSF W/DIFF,88.0,,2.19,79.2,50
CDM,91550051,BLOOD COUNT MANUAL DIFF WBC,73.0,,2.21,93.6,68
CDM,91550051,ER Only-BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,50
CDM,91550057,EOSINOPHIL COUNT,105.0,,2.34,135.0,68
CDM,91550057,ER Only-EOSINOPHIL COUNT,150.0,,2.34,135.0,50
CDM,91550059,AUTOMATED WBC W/AUTO DIFF,110.5,,5.95,142.2,68
CDM,91550059,ER Only-AUTOMATED WBC W/AUTO DIFF,158.0,,5.95,142.2,50
CDM,91550109,COVID-19(SARS-COV-2)AG**,150.5,,32.5,193.5,68
CDM,91550109,ER Only-COVID-19(SARS-COV-2)AG**,215.0,,32.5,193.5,50
CDM,91550110,ER Only-FLU A**,195.0,,15.23,175.5,50
CDM,91550110,FLU A**,136.5,,15.23,175.5,68
CDM,91550111,ER Only-FLU B**,195.0,,15.23,175.5,50
CDM,91550111,FLU B**,136.5,,15.23,175.5,68
CDM,91550150,ER Only-LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,50
CDM,91550150,LEUKOCYTE (WBC) AUTOMATED,79.0,,2.34,101.7,68
CDM,91550428,COVID-19/FLU A&B AG COMBO,457.0,,64.67,587.7,68
CDM,91550428,ER Only-COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,50
CDM,91555000,ER Only-HIV 1 HIV 2 AB AG SGL RESULT,250.0,,22.15,225.0,50
CDM,91555000,HIV 1 HIV 2 AB AG SGL RESULT,175.0,,22.15,225.0,68
CDM,91555031,BETA-HYDROXYBUTYRATE,138.0,,2.33,177.3,68
CDM,91555031,ER Only-BETA-HYDROXYBUTYRATE,197.0,,2.33,177.3,50
CDM,91555065,"ER Only-GLUCOSE BLOOD, ABG",80.0,,3.62,72.0,50
CDM,91555065,"GLUCOSE BLOOD, ABG",56.0,,3.62,72.0,68
CDM,91555084,ER Only-RAPID FLU B TEST,195.0,,13.0,175.5,50
CDM,91555084,RAPID FLU B TEST,136.5,,13.0,175.5,68
CDM,91555090,ER Only-URINE PREGNANCY VISUAL,166.0,,7.92,149.4,50
CDM,91555090,URINE PREGNANCY VISUAL,116.5,,7.92,149.4,68
CDM,91555180,ABG WITH CALC O2 SAT.,263.5,,13.29,338.4,68
CDM,91555180,ER Only-ABG WITH CALC O2 SAT.,376.0,,13.29,338.4,50
CDM,91555188,ER Only-POTASSIUM VBG,110.0,,2.35,99.0,50
CDM,91555188,POTASSIUM VBG,77.0,,2.35,99.0,68
CDM,91555225,ER Only-PH URINE,142.0,,2.07,127.8,50
CDM,91555225,PH URINE,99.5,,2.07,127.8,68
CDM,91555230,ER Only-PROTEIN UR QUAL,142.0,,2.07,127.8,50
CDM,91555230,PROTEIN UR QUAL,99.5,,2.07,127.8,68
CDM,91555285,"CARBOXYHEMOGLOBIN, ABG",169.5,,4.55,217.8,70
CDM,91555285,"ER Only-CARBOXYHEMOGLOBIN, ABG",242.0,,4.55,217.8,52
CDM,91555286,ER Only-HEMOGLOBIN ABG,94.0,,2.18,84.6,50
CDM,91555286,HEMOGLOBIN ABG,66.0,,2.18,84.6,68
CDM,91555287,ER Only-SODIUM ABG,107.0,,2.38,96.3,50
CDM,91555287,SODIUM ABG,75.0,,2.38,96.3,68
CDM,91555288,ER Only-POTASSIUM ABG,110.0,,2.35,99.0,50
CDM,91555288,POTASSIUM ABG,77.0,,2.35,99.0,68
CDM,91555289,"CALCIUM, IONIZED, ABG",150.0,,2.31,192.6,68
CDM,91555289,"ER Only-CALCIUM, IONIZED, ABG",214.0,,2.31,192.6,50
CDM,91555290,"ER Only-METHEMOGLOBIN, ABG",219.0,,7.54,197.1,50
CDM,91555290,"METHEMOGLOBIN, ABG",153.5,,7.54,197.1,68
CDM,91555380,CVLBG WITH CALC 02 SAT.,263.5,,13.29,338.4,68
CDM,91555380,ER Only-CVLBG WITH CALC 02 SAT.,376.0,,13.29,338.4,50
CDM,91555430,ER Only-RAPID STREP A AG,251.0,,15.47,225.9,50
CDM,91555430,RAPID STREP A AG,176.0,,15.47,225.9,68
CDM,91555550,DRUGS OF ABUSE PROFILE,855.0,,15.77,1098.9,68
CDM,91555550,ER Only-DRUGS OF ABUSE PROFILE,1221.0,,15.77,1098.9,50
CDM,91555900,ER Only-VBG WITH CALC O2 SAT,376.0,,13.29,338.4,50
CDM,91555900,VBG WITH CALC O2 SAT,263.5,,13.29,338.4,68
CDM,91560091,ER Only-HIV TYPE 1 ANTIBODY **,312.0,,18.0,280.8,50
CDM,91560091,HIV TYPE 1 ANTIBODY **,218.5,,18.0,280.8,68
CDM,91560092,ER Only-HIV TYPE 2 ANTIBODY **,312.0,,18.0,280.8,50
CDM,91560092,HIV TYPE 2 ANTIBODY **,218.5,,18.0,280.8,68
CDM,91560112,ER Only-HEP B SURF AG NEUTRALIZATION,196.0,,9.5,176.4,50
CDM,91560112,HEP B SURF AG NEUTRALIZATION,137.5,,9.5,176.4,68
CDM,91560282,ER Only-HEPATITIS B SURF ANTIGEN,218.0,,7.91,196.2,50
CDM,91560282,HEPATITIS B SURF ANTIGEN,152.5,,7.91,196.2,68
CDM,91560289,ER Only-HEPATITIS C ANTIBODY,309.0,,8.0,278.1,50
CDM,91560289,HEPATITIS C ANTIBODY,216.5,,8.0,278.1,68
CDM,91570195,ER Only-SPECIFIC GRAVITY URINE,142.0,,2.07,127.8,50
CDM,91570195,SPECIFIC GRAVITY URINE,99.5,,2.07,127.8,68
CDM,91580005,CROSSMATCH IMMEDIATE SPIN,213.0,,2.2,273.6,68
CDM,91580005,ER Only-CROSSMATCH IMMEDIATE SPIN,304.0,,2.2,273.6,50
CDM,91580007,COMPAT TEST ELECTRONIC,147.0,,1.76,223.74,68
CDM,91580007,ER Only-COMPAT TEST ELECTRONIC,210.0,,1.76,223.74,50
CDM,91580013,BLOOD TYPING RH (D),75.5,,2.75,97.2,68
CDM,91580013,ER Only-BLOOD TYPING RH (D),108.0,,2.75,97.2,50
CDM,91580014,BLOOD TYPING ABO,50.5,,2.75,158.68,68
CDM,91580014,ER Only-BLOOD TYPING ABO,72.0,,2.75,158.68,50
CDM,91580030,ER Only-RBC ANTIBODY SCREEN,161.0,,5.63,144.9,50
CDM,91580030,RBC ANTIBODY SCREEN,113.0,,5.63,144.9,68
CDM,91580035,ER Only-RBC AB IDENTIFICATION PANEL,434.0,,2.7,442.83,50
CDM,91580035,RBC AB IDENTIFICATION PANEL,304.0,,2.7,442.83,68
CDM,91580046,COOMBS DIRECT,98.0,,4.4,126.0,68
CDM,91580046,ER Only-COOMBS DIRECT,140.0,,4.4,126.0,50
CDM,91580059,ER Only-LIQUID PLASMA,271.0,,58.56,243.9,50
CDM,91580059,LIQUID PLASMA,190.0,,54.5,243.9,68
CDM,91580092,ANTIGEN SCREEN-DONOR UNIT EA,198.0,,5.21,178.2,68
CDM,91580125,CROSSMATCH ANTIGLOBULIN (AHG),302.5,,2.33,388.8,68
CDM,91580125,ER Only-CROSSMATCH ANTIGLOBULIN (AHG),432.0,,2.33,388.8,50
CDM,91580205,ER Only-RBC AG TYPING NON ABO/RH,357.0,,3.52,321.3,50
CDM,91580205,RBC AG TYPING NON ABO/RH,250.0,,3.52,321.3,68
CDM,91580804,DITHIOTHREITOL (DTT),162.0,,1.83,207.9,68
CDM,91580804,ER Only-DITHIOTHREITOL (DTT),231.0,,1.83,207.9,50
CDM,91582435,CHLORIDE BLOOD,51.5,,2.34,65.7,68
CDM,91582435,ER Only-CHLORIDE BLOOD,73.0,,2.34,65.7,50
CDM,91591770,CONSULT DURING SURGERY,297.0,,36.69,381.6,68
CDM,91591770,ER Only-CONSULT DURING SURGERY,424.0,,36.69,381.6,50
CDM,91660010,INS PICC PERIPH CV W/O PORT >5,3258.0,,1279.53,2932.2,68
CDM,91700022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,91700023,RESEARCH PRACT EXPENSE-NEW PT,57.0,,28.5,51.3,56
CDM,91700060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,91700121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,68
CDM,91700463,HYPERBARIC O2 PER 30 MIN,1349.0,,39.87,1214.1,68
CDM,91700468,OASIS WOUND MATRIX PER SQ CM,33.0,,14.27,29.7,56
CDM,91700598,R-T FLUOR WOUND IMG 1ST SITE,758.0,,256.5,682.2,68
CDM,91703014,TELEHEALTH FACILITY FEE-UHB,78.0,,10.66,70.2,57
CDM,91703923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,68
CDM,91704186,EPIFIX 1 SQ CM,465.0,,232.5,418.5,56
CDM,91704999,INJ BOTOX HND/FT/UNSPEC OTHER,752.0,,243.14,676.8,68
CDM,91705272,GFT SKIN SUB T/A/L <=100CM ADD,1330.0,,398.96,1197.0,57
CDM,91705273,GFT SKIN SUB T/A/L >/=100CM,9549.0,,1506.69,8594.1,68
CDM,91705274,GFT SKIN SUB T/A/L >=100CM ADD,2997.0,,164.48,2697.3,57
CDM,91705276,GFT SKIN SUB F/S/E <=100CM ADD,1763.0,,420.94,1586.7,57
CDM,91705277,GFT SKIN SUB F/S/E >=100CM,7448.0,,504.2,6703.2,68
CDM,91705278,GFT SKIN SUB F/S/E >=100CM ADD,3729.0,,238.05,3356.1,57
CDM,91707598,DEBR/REM TISS ADDL 20 SQ CM,452.0,,80.0,406.8,56
CDM,91709213,VISIT OSTOMY CLINIC LVL III,372.0,,102.2,334.8,68
CDM,91709580,STRAPPING UNNA BOOT,589.0,,129.97,530.1,68
CDM,91710060,I&D OF ABSCESS SIMPLE,450.0,,163.67,405.0,68
CDM,91710061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,68
CDM,91710120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,68
CDM,91710121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,68
CDM,91710140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CDM,91710160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CDM,91711042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,68
CDM,91711043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,68
CDM,91711044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,68
CDM,91711045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,56
CDM,91711046,DEBR MUSC/FASCIA EA ADDL 20 CM,1143.0,,457.2,1028.7,56
CDM,91711055,PARING LESN BENIGN 1,369.0,,147.6,332.1,68
CDM,91711056,PARING LESN BENIGN 2-4,400.0,,160.0,360.0,68
CDM,91711102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,68
CDM,91711104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,68
CDM,91711105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,56
CDM,91711106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,68
CDM,91711107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,56
CDM,91711201,REMOVE SKIN TAG EA ADDL 10,172.0,,68.8,154.8,56
CDM,91711404,EXC LESN BGN TRUNK/ARM 3.1-4.0,4228.0,,1334.55,3805.2,68
CDM,91711421,EXC LESN BGN SCLP/HND .6-1.0CM,1841.0,,579.53,1656.9,68
CDM,91711720,DEBR NAIL(S) UP TO 5,344.0,,48.93,309.6,68
CDM,91711730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,68
CDM,91711732,AVULSION NAIL PLATE EA ADD,333.0,,133.2,299.7,56
CDM,91712001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,68
CDM,91712002,RPR LAC SMP SCALP 2.6-7.5CM,628.0,,163.67,565.2,68
CDM,91712011,RPR LAC SMP FACE,653.0,,163.67,587.7,68
CDM,91712013,RPR LAC SMP FACE 2.6-5.0CM,679.0,,163.67,611.1,68
CDM,91712021,PACK WOUND DEHISCENCE SUPER,1168.0,,329.08,1051.2,68
CDM,91712032,RPR LAC INT SCALP/AXIL 2.6-7.5,983.0,,329.08,884.7,68
CDM,91712041,RPR LAC INT NECK,731.0,,292.4,657.9,68
CDM,91712042,RPR LAC INT NECK 2.6-7.5CM,892.0,,329.08,802.8,68
CDM,91712051,RPR LAC INT FACE/EAR,843.0,,329.08,758.7,68
CDM,91713100,RPR LAC CPLX TRUNK 1.1-2.5CM,1495.0,,504.2,1345.5,68
CDM,91713120,RPR LAC CPLX SCALP 1.1-2.5CM,1361.0,,504.2,1224.9,68
CDM,91713131,RPR LAC CPLX FOREHD 1.1-2.5CM,1503.0,,329.08,1352.7,68
CDM,91713151,RPR LAC CPLX EYE 1.1-2.5CM,2012.0,,504.2,1810.8,68
CDM,91715271,GFT SKIN SUB T/A/L <=100CM,3174.0,,1269.6,2856.6,68
CDM,91715272,GFT SKIN SUB T/A/L <=100CM ADD,1330.0,,532.0,1197.0,56
CDM,91715273,GFT SKIN SUB T/A/L >/=100CM,9549.0,,3015.46,8594.1,68
CDM,91715274,GFT SKIN SUB T/A >/=EA ADD 100,2997.0,,1198.8,2697.3,56
CDM,91715275,GFT SKIN SUB F/S/E </=100CM,5381.0,,1506.69,4842.9,68
CDM,91715276,GFT SKIN SUB F/S </=100 CM EA,1763.0,,705.2,1586.7,56
CDM,91715277,GFT SKIN SUB F/S/E>/=100CM,7448.0,,1506.69,6703.2,68
CDM,91715278,GFT SKIN SUB F/S>/=100CM EA,3729.0,,1491.6,3356.1,56
CDM,91715610,FLAP DELAY/SECT SCALP/ARM/LEG,4668.0,,1506.69,4201.2,68
CDM,91715620,FLAP DELAY/SECT FOREHD/HAND FT,4196.0,,1506.69,3776.4,68
CDM,91715853,REMOVE SUTURE OR STAPLE W/O AN,2762.0,,1104.8,2485.8,56
CDM,91716000,TX BURN 1ST DEGREE INITIAL,481.0,,163.67,432.9,68
CDM,91716020,DRESS/DEB BURN <5% TOTAL SM,561.0,,163.67,504.9,68
CDM,91716025,DRESS/DEB BURN 5-10% TOTAL MED,767.0,,163.67,690.3,68
CDM,91716030,DRESS/DEBR BURN >10% TOTAL LRG,947.0,,329.08,852.3,68
CDM,91717250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,68
CDM,91720550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,91720600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,91721320,TX FX BONE NASAL W/STABL CLSD,6156.0,,2462.4,5540.4,68
CDM,91721555,EXC TUMR NECK/CHEST SQ <3CM,6480.0,,1334.55,5832.0,68
CDM,91723066,BX TISSUE SHOULDER DEEP,3698.0,,1479.2,3523.29,68
CDM,91726115,EXC TUMR HAND/FINGER SUBQ,3064.0,,1225.6,2757.6,68
CDM,91726250,RES METACARPAL RADICAL,8019.0,,2672.51,7217.1,68
CDM,91726260,RESECT PROX FINGER TUMOR,8019.0,,2672.51,7217.1,68
CDM,91726262,RESECT DISTAL FINGER TUMOR,3982.0,,1318.22,3583.8,68
CDM,91726910,AMPUT METACARPAL FNGR/THMB SGL,8640.0,,2672.51,7776.0,68
CDM,91726952,AMPUT FINGER/THUMB W/FLAP,10959.0,,2672.51,9863.1,68
CDM,91727613,BX TISSUE LEG/ANKLE SUPERFIC,2867.0,,1146.8,2580.3,68
CDM,91729345,APPL CAST LEG LONG,932.0,,218.75,838.8,68
CDM,91729445,APPL CAST LEG RIGID CONTACT,925.0,,218.75,832.5,68
CDM,91729705,REM/BIV CAST ARM/LEG FULL,398.0,,159.2,358.2,68
CDM,91732554,ASPIRATE PLEURA W/O IMAGING,1159.0,,463.6,1043.1,68
CDM,91733923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,68
CDM,91739241,VISIT HBO NEW LVL I  (NON-MCR),206.0,,102.2,185.4,68
CDM,91739242,VISIT HBO NEW LVL II (NON-MCR),294.0,,102.2,264.6,68
CDM,91739244,VISIT HBO NEW LVL IV (NON-MCR),516.0,,102.2,464.4,68
CDM,91739245,VISIT HBO NEW LVL V  (NON-MCR),586.0,,102.2,527.4,68
CDM,91764776,EXC NEUROMA NRV DIGIT 1/BOTH,4783.0,,1608.45,4304.7,68
CDM,91764831,SUT NERVE DIGIT HAND/FOOT 1,4783.0,,1608.45,4304.7,68
CDM,91793922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,68
CDM,91793923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,68
CDM,91797597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,68
CDM,91797598,DEBR/REM TISS ADDL 20 SQ CM,452.0,,80.0,406.8,56
CDM,91797602,DEBR NON-SELECTIVE W/O ANES,345.0,,41.0,310.5,68
CDM,91797605,NEG PRESS WOUND THRPY</=50CM,481.0,,43.0,432.9,68
CDM,91797606,NEG PRESS WOUND THRPY>50CM,720.0,,329.08,648.0,68
CDM,91797607,NEG PRESSURE WOUND </=50CM,739.0,,329.08,665.1,68
CDM,91797608,NEG PRESS WOUND TX >50 CM,902.0,,15.4,811.8,68
CDM,91798000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,91798001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,91798002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,91798003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,91798004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,91798005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,91798006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,91798007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,91798008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,91798009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,91798010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,91798011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,91798012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,91798013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,91798014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,91798015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,91798016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,91799024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,91799213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,92603000,CONTINUING MED PHYSICS CONSULT,1324.0,,71.0,1191.6,56
CDM,92603010,TREATMENT DEVICE(FRAME/HELMET),2347.0,,215.0,25000.0,73
CDM,92603015,DOSIMETRY DOSE PLAN,1305.0,,62.0,25000.0,73
CDM,92603051,GAMMA PLANNING SIMULATION 3D,13358.0,,297.0,25000.0,73
CDM,92603052,STEREOTACTIC RADIOSURG GAMMA,59476.0,,1023.0,53528.4,68
CDM,92603053,APPL TONG/CALIP/FRAME CRANIAL,7815.0,,1318.22,7033.5,68
CDM,93600025,PSG- 4+ PARAMETERS W/CPAP,9148.0,,257.0,8233.2,68
CDM,93600035,PSG- 4+ PARAMETERS,8387.0,,262.0,7548.3,68
CDM,93600040,MULTI SLEEP LATENCY-LTD,1458.0,,220.0,1312.2,56
CDM,93600045,PSG- 4+ PARAMETERS W/CPAP-LTD,3442.0,,257.0,3097.8,56
CDM,93600060,PSG- 4+ PARAMETERS-LTD,5322.0,,262.0,4789.8,56
CDM,93600065,PSG- 4+ PARAMETERS-SEIZURE,6934.0,,262.0,6240.6,68
CDM,93600070,PSG- 4+ PARAMETERS-SEIZURE-LTD,3156.0,,262.0,2840.4,56
CDM,93600075,PSG- 4+ W/CPAP-SEIZURE,6165.0,,257.0,5548.5,68
CDM,93600216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,93600399,HOME SLEEP TEST/TYPE III POR,1246.0,,128.87,1121.4,68
CDM,93600788,ELEC ANALYSIS PROGRAM SPINAL/S,241.0,,75.61,216.9,68
CDM,93600789,ELEC ANALYSIS PROGRAM SPINAL/S,243.0,,75.61,218.7,68
CDM,93601050,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,68
CDM,93603014,TELEHEALTH FACILITY FEE-SCH,78.0,,10.66,70.2,57
CDM,93690460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,93690471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,93690662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,93690675,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,68
CDM,93690682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,93690686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,93690715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,93690791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,93690832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,66
CDM,93690834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,93690837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,66
CDM,93691317,COVID-19 VACCINE 3MCG/0.2ML IM,0.01,,0.005,0.009,55
CDM,93693005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,93693307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,69
CDM,93693925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,68
CDM,93694060,SPIROMETRY/PFT PRE&POST BRONCH,1099.0,,77.0,989.1,68
CDM,93694618,PULMONARY STRESS TEST,641.0,,32.55,576.9,68
CDM,93695700,EEG CONT REC W/VID EEG TECH,2922.0,,128.87,2629.8,68
CDM,93695705,EEG W/O VID 2-12 HR UNMNTR,2922.0,,256.5,2629.8,68
CDM,93695706,EEG W/O VID 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,68
CDM,93695707,EEG W/O VID 2-12 HR CONT MNTR,2922.0,,256.5,2629.8,68
CDM,93695708,EEG W/O VID EA 12-26 HR UNMNTR,2922.0,,437.05,2629.8,68
CDM,93695709,EEG W/O VID EA 12-26 HR INTMT,2922.0,,437.05,2629.8,68
CDM,93695710,EEG W/O VID EA 12-26 HR CONT,2922.0,,437.05,2629.8,68
CDM,93695711,VEEG 2-12 HR UNMONITORED,2922.0,,256.5,2629.8,68
CDM,93695712,VEEG 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,68
CDM,93695713,VEEG 2-12 HR CONT MNTR,2922.0,,437.05,2629.8,68
CDM,93695714,VEEG 12-26 HR UNMNTR,2922.0,,437.05,2629.8,68
CDM,93695715,VEEG 12-26 HR INTMT MNTR,2922.0,,437.05,2629.8,68
CDM,93695716,VEEG EA 12-26 HR CONT MNTR,2922.0,,838.0,2629.8,68
CDM,93695717,EEG PHYS/QHP 2-12 HR W/O VID,2922.0,,1461.0,2629.8,56
CDM,93695718,EEG PHYS/QHP 2-12 HR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,93695719,EEG PHYS/QHP EA INCR W/O VID,2922.0,,1461.0,2629.8,56
CDM,93695720,EEG PHYS/QHP EA INCR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,93695721,EEG PHYS/QHP>26,2922.0,,1461.0,2629.8,56
CDM,93695722,EEG PHYS/QHP>36,2922.0,,1461.0,2629.8,56
CDM,93695723,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,56
CDM,93695724,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,56
CDM,93695725,EEG PHYS/QHP>84HR W/O VID,2922.0,,1461.0,2629.8,56
CDM,93695726,EEG PHYS/QHP>84HR W/VEEG,2922.0,,1461.0,2629.8,56
CDM,93695800,UNATTEND SLEEP STUDY SIML TIME,426.0,,128.87,383.4,68
CDM,93695801,UNATTENDED SLEEP STUDY SIML,1276.0,,48.93,1351.71,68
CDM,93695803,ACTIGRAPHY TEST 72HRS TO 14DAY,669.0,,48.93,602.1,68
CDM,93695805,MULTIPLE SLEEP LATENCY,4576.0,,220.0,4118.4,68
CDM,93695806,SLEEP STUDY UNATTENDED,2027.0,,128.87,1824.3,68
CDM,93695807,SLEEP STUDY ATTENDED,3629.0,,230.0,3266.1,68
CDM,93695808,PSG 1-3 PARAMETERS ANY AGE,5056.0,,242.0,4550.4,68
CDM,93695810,PSG 6 YRS OR OLDER 4+ PARAM,6338.0,,262.0,5704.2,68
CDM,93695811,PSG 6/> YRS 4+ PARAM W/CPAP,6950.0,,257.0,6255.0,68
CDM,93695816,EEG AWAKE/DROWSY,1547.0,,55.0,1392.3,68
CDM,93695970,ANLYS NEURO W/O PROG SMP/CPX,467.0,,48.0,420.3,68
CDM,93695971,ANLYS NEUR SMP W/PROG,1003.0,,75.61,902.7,68
CDM,93695976,ALYS SMPL CN NPGT PRGRMG,967.0,,30.72,870.3,68
CDM,93695977,ALYS CPLX CN NPGT PRGRMG,1101.0,,75.61,990.9,68
CDM,93695983,ALYS BRN NPGT PRGRMG 15 MIN,1003.0,,75.61,902.7,68
CDM,93695984,ALYS BRN NPGT PRGRMG ADDL 15,1003.0,,401.2,902.7,56
CDM,93696372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,93698000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,93698001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,93698002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,93698003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,93698004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,93698005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,93698006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,93698007,SYNCH AUDIO-VIDEO VISIT EST HI,78.0,,10.66,70.2,57
CDM,93698008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,93698009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,93698010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,93698011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,93698012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,93698013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,93698014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,93698015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,93698016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,93699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,93800216,FLU VACC ADMIN,69.0,,15.61,62.1,68
CDM,93800217,PNEUM VACC ADMIN,132.0,,6.24,118.8,68
CDM,93800303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,93800311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,93800330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,93800343,HYLAN POLYMERS INJ 1MG,183.61,,7.31,165.25,68
CDM,93800526,SOD HYALURONATE VL 25MG 2.5ML,1081.7,,79.81,973.53,55
CDM,93801010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,93803014,TELEHEALTH FACILITY FEE-UHP,78.0,,10.66,70.2,57
CDM,93812795,ROPIVACAINE INJ 1MG,2.0,,0.07,1.8,55
CDM,93817325,HYLAN POLYMERS INJ 1MG SYNVISC,183.61,,7.31,165.25,68
CDM,93820526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,68
CDM,93820550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,93820552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,93820553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,93820604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,68
CDM,93820605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,93820606,ARTHROCENT JT INTER W/US,1885.0,,570.41,1696.5,68
CDM,93820610,ARTHROCENT ASP/INJ JT MAJOR,1058.0,,243.14,952.2,68
CDM,93820611,ARTHROCENT JT MAJOR W/US,2246.0,,243.14,2021.4,68
CDM,93827096,INJ ARTHROGRAM SACROILIAC,2058.0,,823.2,1852.2,56
CDM,93850101,MISC PROCEDURE,749.0,,299.6,674.1,56
CDM,93850765,IV INFUS THPYPROPH/DX INTL UP,714.0,,72.0,642.6,68
CDM,93850766,IV INFUS THPY/PRO/DX ADDL SEQ,300.0,,16.08,270.0,57
CDM,93852030,L IV INJ/1ST RF PROCEDURE,3813.0,,1525.2,3431.7,56
CDM,93852031,L IV INJ/1ST RF PROCEDURE BI,5241.0,,2096.4,4716.9,56
CDM,93852032,L I INJ MED/MAJ JOINT,1028.0,,411.2,925.2,56
CDM,93852040,L I INJ/PERIPHRAL NERVE/SPHENO,1288.0,,515.2,1159.2,56
CDM,93852041,L I INJ/TRIGGER PT-JOINT/BURSA,856.0,,342.4,770.4,56
CDM,93852060,L II INJ/ADDL FACET INJECT,2023.0,,809.2,1820.7,56
CDM,93852061,L II INJ/SI JOINT INJECT,1689.0,,675.6,1520.1,56
CDM,93852062,L II INJ/SI JOINT INJECT BI,2498.0,,999.2,2248.2,56
CDM,93852070,L III INJ/1ST FACET/1ST EPI,2247.0,,898.8,2022.3,56
CDM,93852071,L III INJ/ADDL EPIDURAL,1981.0,,792.4,1782.9,56
CDM,93852072,L III INJ/ADDL RF PROCEDURE,3309.0,,1323.6,2978.1,56
CDM,93852073,L III INJ/LUMBAR/THOR SYMP,2892.0,,1156.8,2602.8,56
CDM,93852074,L III INJ/1ST FACET/1ST EPI BI,3364.0,,1345.6,3027.6,56
CDM,93852264,LYSIS ADH EPID INJ W/RAD 1 DAY,2546.0,,1018.4,2291.4,56
CDM,93852273,INJ EPIDURAL BLOOD/CLOT PATCH,2520.0,,570.41,2268.0,68
CDM,93852368,ANALYSIS PAIN PUMP W/REPROGAM,969.0,,387.6,872.1,56
CDM,93853650,IMPLANT ELECT EPIDURAL PERC,12146.0,,4858.4,10931.4,56
CDM,93857810,ACUPUNC W/O E-STIM INIT 15 MIN,63.0,,15.0,56.7,68
CDM,93862273,INJ EPIDURAL BLOOD/CLOT PATCH,2520.0,,570.41,2268.0,67
CDM,93862320,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,68
CDM,93862322,NJX INTERLAMINAR LMBR/SAC,2539.0,,733.31,2285.1,68
CDM,93862323,INJ EPIDRL SUBARAC L/S W/IMG,2539.0,,570.41,2285.1,68
CDM,93862350,IMPL/REV CATH EPIDURAL,8475.0,,3390.0,7883.65,68
CDM,93862368,ANLYS PAIN PUMP W/PROG,957.0,,247.03,861.3,68
CDM,93864400,INJ ANES NERVE TRIGEMINAL,1162.0,,243.14,1045.8,68
CDM,93864405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,68
CDM,93864417,INJ ANES/STER NRV AXILLARY,2233.0,,733.31,2009.7,68
CDM,93864418,INJ ANES NERVE SUPRASCAPULAR,1208.0,,483.2,1087.2,68
CDM,93864445,INJ ANES NERVE SCIATIC SGL,2104.0,,570.41,1893.6,68
CDM,93864450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,93864483,INJ EPIDURAL LUMBAR/SACRAL SGL,3496.0,,733.31,3146.4,68
CDM,93864505,INJ ANES GANGLION SPHENOPALAT,1542.0,,243.14,1387.8,68
CDM,93864555,IMPL ELECT PERIPHERAL PERC,11576.0,,4630.4,10418.4,68
CDM,93864620,DEST NRV INTERCOSTAL,2738.0,,733.31,2464.2,68
CDM,93864640,DEST NRV PERIPHERAL,2842.0,,733.31,2557.8,68
CDM,93871101,XR RIBS W/CXR 3+V UNI,897.0,,34.0,807.3,68
CDM,93872070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,68
CDM,93872080,XR THORACOLUMBAR SPINE 2 VIEWS,976.0,,22.0,878.4,68
CDM,93873501,XR HIP LTD 1V,530.0,,17.67,477.0,68
CDM,93876882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,68
CDM,93876883,US NRV & ACC STRUX 1XTR COMPRE,1688.0,,87.59,1519.2,68
CDM,93876942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,93877002,XR FLUORO NEEDLE PLACEMENT,1355.0,,78.0,1219.5,55
CDM,93880305,DRUG TEST PRESUM DIRECT OBS,75.0,,11.59,67.5,68
CDM,93882947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,68
CDM,93890460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,56
CDM,93890471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,93890662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
CDM,93890675,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,68
CDM,93890682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,56
CDM,93890686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CDM,93890715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,55
CDM,93890791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,68
CDM,93890832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,68
CDM,93890834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,66
CDM,93890837,THPY 60 MIN PT OR FAM,522.0,,130.98,469.8,68
CDM,93891317,COVID-19 VACCINE 3MCG/0.2ML IM,0.01,,0.005,0.009,55
CDM,93893005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,93895800,UNATTEND SLEEP STUDY SIML TIME,426.0,,128.87,383.4,68
CDM,93895801,UNATTENDED SLEEP STUDY SIMUL,1276.0,,48.93,1351.71,68
CDM,93895991,PUMP REFILL W/ANALYSIS OF PUMP,924.0,,243.14,831.6,68
CDM,93896130,PSYCL TST EVAL PHYS/QHP 1ST HR,804.0,,256.5,723.6,68
CDM,93896131,PSYCL TST EVAL PHYS/QHP EA ADD,804.0,,402.0,723.6,56
CDM,93896132,NRPSYC TST EVAL PHYS/QHP 1ST,892.0,,51.14,802.8,68
CDM,93896133,NRPSYC TST EVAL PHYS/QHP EA,892.0,,42.8,802.8,56
CDM,93896136,PSYCL/NRPSYC TST PHY/QHP 1ST,402.0,,106.17,361.8,68
CDM,93896137,PSYCL/NRPSYC TST PHY/QHP EA,402.0,,201.0,361.8,56
CDM,93896138,PSYCL/NRPSYC TECH 1ST 30 MIN,394.0,,13.81,491.23,68
CDM,93896139,PSYCL/NRPSYC TECH EA ADD 30MIN,394.0,,25.0,354.6,56
CDM,93896146,PSYCL/NRPSYC TST AUTO RESULT,808.0,,20.18,727.2,68
CDM,93896156,HLTH BHV ASSMT/REASSESSMENT,167.0,,76.19,150.3,68
CDM,93896158,HLTH BHV IVNTJ INDIV 1ST 30,167.0,,83.5,197.79,68
CDM,93896159,HLTH BHV IVNTJ INDIV EA ADDL,167.0,,83.5,150.3,56
CDM,93896369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,68
CDM,93896372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,93896374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,93897811,ACUPUNC W/O E-STIM ADD 15 MIN,63.0,,31.5,56.7,56
CDM,93897813,ACUPUNC W/E-STIM INIT 15 MIN,74.0,,16.0,66.6,68
CDM,93897814,ACUPUNC W/E-STIM ADD 15 MIN,74.0,,37.0,66.6,56
CDM,93898000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,93898001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,93898002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,93898003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,93898004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,93898005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,93898006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,93898007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,93898008,SYNCH AUDIO VISIT NEW SF MDM 1,78.0,,10.66,70.2,57
CDM,93898009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,93898010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,93898011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,93898012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,93898013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,93898014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,93898015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,93898016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,93899024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,93899213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,93899214,VISIT ESTAB LVL IV,535.0,,102.2,481.5,68
CDM,93900022,RESEARCH PRACT EXPENSE-RETURN,35.0,,17.5,31.5,56
CDM,93900123,NERVOUS SYSTEM UNLSTD PROC-HPC,4616.0,,243.14,4154.4,68
CDM,93900296,METHYLPRED ACE INJ 40MG,48.0,,0.1104,43.2,68
CDM,93900303,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
CDM,93900311,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,67
CDM,93900330,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,55
CDM,93900343,HYLAN POLYMERS INJ 1MG,183.61,,7.31,165.25,68
CDM,93900398,QUADRATUS LUMBORUM BLOCK,764.0,,243.14,687.6,68
CDM,93900526,SOD HYALURONATE VL 25MG 2.5ML,1081.7,,79.81,973.53,55
CDM,93900527,ABLATION OCCIPITAL NERVE RF,1416.0,,243.14,1274.4,68
CDM,93900691,ERECTOR SPINAE PLANE BLOCK,671.0,,243.14,603.9,68
CDM,93900703,GANGLION IMPAR BLOCK,751.0,,243.14,675.9,68
CDM,93901010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
CDM,93901065,INFRAPETALR NRV PULSE RF ABLAT,855.0,,243.14,769.5,68
CDM,93901808,GANGLION IMPAR BLOCK WALTHER,762.0,,243.14,685.8,68
CDM,93903014,TELEHEALTH FACILITY FEE-HPC,78.0,,10.66,70.2,57
CDM,93911900,INJ INTRALESNAL,350.0,,140.0,315.0,68
CDM,93920550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,68
CDM,93920551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,68
CDM,93920552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,243.14,1048.5,68
CDM,93920553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,68
CDM,93920600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,68
CDM,93920605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,68
CDM,93920606,ARTHROCENT JT INTER W/US,1885.0,,570.41,1696.5,68
CDM,93920610,ARTHROCENT ASP/INJ JT MAJOR,1058.0,,243.14,952.2,68
CDM,93920611,ARTHROCENT JT MAJOR W/US,2246.0,,243.14,2021.4,68
CDM,93923350,INJECT ARTHROGRAM SHOULDER,767.0,,306.8,690.3,56
CDM,93927096,INJ ARTHROGRAM SACROILIAC,2058.0,,823.2,1852.2,56
CDM,93927345,EXC CYST POPLITEAL,6380.0,,2552.0,5742.0,68
CDM,93950119,LEAD- SPINAL NEUROSTIM,3110.0,,1555.0,4266.13,62
CDM,93961070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,68
CDM,93962273,INJ EPIDURAL BLOOD/CLOT PATCH,2520.0,,570.41,2268.0,68
CDM,93962281,INJ NEUROLYTIC CERV/THOR,2669.0,,733.31,2402.1,68
CDM,93962282,INJ NEUROLYTIC LUMB/CAUD,2950.0,,733.31,2655.0,68
CDM,93962290,INJ DISKOGRAM LUMBAR EA LVL,2020.0,,808.0,1818.0,56
CDM,93962320,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,68
CDM,93962321,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,68
CDM,93962322,NJX INTERLAMINAR LMBR/SAC,2539.0,,733.31,2285.1,68
CDM,93962323,INJ EPIDRL SUBARAC L/S W/IMG,2539.0,,570.41,2285.1,68
CDM,93962324,NJX INTERLAMINAR CRV/THRC,2603.0,,733.31,2342.7,68
CDM,93962325,INJ PLACE CATH EPID C/T W/,1874.0,,733.31,1686.6,68
CDM,93962326,INJ PLACE CATH EPI LUM/SAC W/O,1600.0,,640.0,1440.0,68
CDM,93962327,INJ PLACE CATH EPI LUM/SAC W/,2023.0,,733.31,1820.7,68
CDM,93962350,IMPL/REV CATH EPIDURAL,8475.0,,3390.0,7883.65,68
CDM,93962368,ANLYS PAIN PUMP W/PROG,957.0,,247.03,861.3,68
CDM,93962370,ANLYS PAIN PUMP W/PROG/REFILL,1002.0,,247.03,901.8,68
CDM,93962380,NDSC DCMP 1 SPC LUMB,15313.0,,5884.12,13781.7,68
CDM,93963650,IMPL ELECT EPIDURAL PERC,15124.0,,5405.7,13611.6,68
CDM,93963655,LAM IMPL ELECT NEUROSTIM EPID,25306.0,,10122.4,26398.85,68
CDM,93963661,REMOVE SPINE ELTRD PERQ ARAY,7503.0,,1608.45,6752.7,68
CDM,93963685,INSRT/PL NEUROSTIM GEN SPINAL,44739.0,,17895.6,40265.1,68
CDM,93964400,INJ ANES NERVE TRIGEMINAL,1162.0,,243.14,1045.8,68
CDM,93964405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,68
CDM,93964415,INJ ANES BRACHIAL PLEXUS SGL,1466.0,,586.4,1319.4,68
CDM,93964416,INJ ANES/STER BRACH PLEX,2568.0,,733.31,2311.2,68
CDM,93964417,INJ ANES/STER NRV AXILLARY,2233.0,,733.31,2009.7,68
CDM,93964418,INJ ANES NERVE SUPRASCAPULAR,1208.0,,483.2,1087.2,68
CDM,93964420,INJ ANES NERVE INTERCOSTAL SGL,1519.0,,570.41,1367.1,68
CDM,93964421,INJ ANES/STER INTRCSTL ADDL,2456.0,,733.31,2210.4,68
CDM,93964425,INJ ANES NERVE ILIOINGUIN/GAST,8183.0,,570.41,7364.7,68
CDM,93964430,INJ ANES NERVE PUDENDAL,1409.0,,563.6,1268.1,68
CDM,93964445,INJ ANES NERVE SCIATIC SGL,2104.0,,570.41,1893.6,68
CDM,93964447,INJ ANES NERVE FEMORAL SGL,1818.0,,570.41,1636.2,68
CDM,93964450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,68
CDM,93964451,INJ AA&/STRD NRV NRVTG SI JT,1592.0,,570.41,1432.8,68
CDM,93964454,INJ AA&/STRD GNCLR NRV BRNCH,1837.0,,570.41,1653.3,68
CDM,93964463,PVB THORACIC INFUSION,1832.0,,570.41,1648.8,68
CDM,93964479,INJ EPIDURAL CERV/THOR SGL,3153.0,,733.31,2837.7,68
CDM,93964480,INJ EPIDURAL CERV/THOR ADD,1920.0,,768.0,1728.0,56
CDM,93964483,INJ EPIDURAL LUMBAR/SACRAL SGL,3496.0,,733.31,3146.4,68
CDM,93964484,INJ EPIDURAL LUMBAR SACRAL ADD,2373.0,,949.2,2135.7,56
CDM,93964486,INJ TAP BLOCK UNIL ABDOMINAL,2918.0,,1167.2,2626.2,56
CDM,93964488,INJ TAP BLOCK BILAT ABDOMINAL,3981.0,,1592.4,3582.9,56
CDM,93964490,INJ ANES/STER CERV/THOR SGL,2901.0,,733.31,2610.9,68
CDM,93964491,INJ PARAVERT F JNT C/T 2ND LVL,1705.0,,682.0,1534.5,56
CDM,93964492,INJ PARAVERT F JNT C/T 3RD LVL,2127.0,,850.8,1914.3,56
CDM,93964493,INJ ANES/STER LUMB/SACR SGL,3356.0,,733.31,3020.4,68
CDM,93964494,INJ PARAVERT F JNT L/S 2ND LVL,2047.0,,818.8,1842.3,56
CDM,93964495,INJ PARAVERT F JNT L/S 3RD LVL,1986.0,,794.4,1787.4,56
CDM,93964505,INJ ANES GANGLION SPHENOPALAT,1542.0,,243.14,1387.8,68
CDM,93964510,INJ ANES GANGLION STELLATE,2504.0,,733.31,2253.6,68
CDM,93964517,INJ ANES HYPOGASTRIC PLEXUS,2931.0,,733.31,2637.9,68
CDM,93964520,INJ ANES LUMBAR/THORACIC,3156.0,,733.31,2840.4,68
CDM,93964530,INJ ANES CELIAC PLEXUS,2894.0,,733.31,2604.6,68
CDM,93964555,IMPL ELECT PERIPHERAL PERC,11576.0,,4630.4,10418.4,68
CDM,93964615,CHEMDNR NRV MUSCLE FACIAL TRIG,1409.0,,243.14,1268.1,68
CDM,93964616,CHEMODENERV MUSC NECK DYSTON,1491.0,,243.14,1341.9,68
CDM,93964620,DEST NRV INTERCOSTAL,2738.0,,733.31,2464.2,68
CDM,93964624,DSTRJ NULYT AGT GNCLR NRV,3782.0,,1512.8,3403.8,68
CDM,93964625,RF ABLATION SI JOINT NERVES,6110.0,,1608.45,5499.0,68
CDM,93964633,DEST NRV CERV/THOR SGL,5302.0,,1608.45,4771.8,68
CDM,93964634,DEST NRV CERV/THOR SGL EA ADD,3209.0,,1283.6,2888.1,56
CDM,93964635,DEST NRV LUMB/SACR SGL,5533.0,,1608.45,4979.7,68
CDM,93964636,DEST NRV LUMB/SACR EA ADD,3782.0,,1512.8,3403.8,56
CDM,93964640,DEST NRV PERIPHERAL,2842.0,,733.31,2557.8,68
CDM,93972070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,68
CDM,93972285,XR DISKOGRAM C-OR T-SPINE,3439.0,,207.0,5081.51,68
CDM,93972295,DISKOGRAPHY-LUMBAR- S & I,3647.0,,198.0,5081.51,68
CDM,93976942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,55
CDM,93977001,FLURO GUIDE CVA PLCMT/REMOVAL,1861.0,,51.49,1674.9,55
CDM,93977002,XR FLUORO NEEDLE PLACEMENT,1355.0,,78.0,1219.5,55
CDM,93977003,FLURO GUIDE NDLE/CATH DX/THERP,1463.0,,84.35,1316.7,55
CDM,93982947,GLUCOSE BLOOD,80.0,,3.62,72.0,68
CDM,93990471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,68
CDM,93990837,THPY 60 MIN PT OR FAM,552.0,,130.98,496.8,66
CDM,93993005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,68
CDM,93995970,ANLYS NEUR W/O PROG SMP/CPX,556.0,,106.17,500.4,68
CDM,93995971,ANLYS NEUR SMP W/PROG,1003.0,,75.61,902.7,68
CDM,93995972,ANLYS NEUR CPLX 1ST H W/PROG,1013.0,,75.61,911.7,68
CDM,93995990,PUMP REFILL/MAINT SPINAL,826.0,,273.2,743.4,68
CDM,93995991,PUMP REFILL W/ANALYSIS OF PUMP,778.0,,243.14,700.2,68
CDM,93996130,PSYCL TST EVAL PHYS/QHP 1ST HR,804.0,,256.5,723.6,68
CDM,93996131,PSYCL TST EVAL PHYS/QHP EA ADD,804.0,,402.0,723.6,56
CDM,93996132,NRPSYC TST EVAL PHYS/QHP 1ST,892.0,,51.14,802.8,68
CDM,93996133,NRPSYC TST EVAL PHYS/QHP EA,892.0,,42.8,802.8,56
CDM,93996136,PSYCL/NRPSYC TST PHY/QHP 1ST,402.0,,106.17,361.8,68
CDM,93996137,PSYCL/NRPSYC TST PHY/QHP EA,402.0,,201.0,361.8,56
CDM,93996138,PSYCL/NRPSYC TECH 1ST 30 MIN,394.0,,13.81,491.23,68
CDM,93996139,PSYCL/NRPSYC TECH EA ADD 30MIN,394.0,,25.0,354.6,56
CDM,93996146,PSYCL/NRPSYC TST AUTO RESULT,808.0,,20.18,727.2,68
CDM,93996360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,68
CDM,93996365,IV INF THPY/PROPH/DX INTL UP,571.0,,72.0,513.9,68
CDM,93996372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,68
CDM,93996374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CDM,93997810,ACUPUNC W/O E-STIM INIT 15 MIN,63.0,,15.0,56.7,68
CDM,93997811,ACUPUNC W/O E-STIM ADD 15 MIN,63.0,,31.5,56.7,56
CDM,93997813,ACUPUNC W/E-STIM INIT 15 MIN,74.0,,16.0,66.6,68
CDM,93997814,ACUPUNC W/E-STIM ADD 15 MIN,74.0,,37.0,66.6,56
CDM,93998000,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,57
CDM,93998001,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,57
CDM,93998002,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,57
CDM,93998003,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,57
CDM,93998004,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,57
CDM,93998005,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,57
CDM,93998006,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,57
CDM,93998007,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,57
CDM,93998008,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,57
CDM,93998009,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,57
CDM,93998010,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,57
CDM,93998011,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,57
CDM,93998012,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,57
CDM,93998013,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,57
CDM,93998014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,57
CDM,93998015,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,57
CDM,93998016,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,57
CDM,93999024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,57
CDM,93999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,93999214,VISIT ESTAB LVL IV,535.0,,102.2,481.5,68
CDM,94216001,EVALUATION - HIGH,395.0,,81.02,355.5,57
CDM,94216005,EVALUATION - MODERATE,395.0,,76.28,355.5,57
CDM,94216006,RE-EVALUATION,316.0,,53.56,284.4,57
CDM,94218010,PT GAIT TRAINING (15 MIN),199.0,,11.0,179.1,57
CDM,94218015,PT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,94218030,PT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,94428010,OT SELF-CARE/ADL (15 MIN),173.0,,16.0,155.7,57
CDM,94428015,OT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,94428016,OT THERAPEUTIC GROUP,207.0,,8.0,186.3,57
CDM,94428030,OT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,94428040,OT ORTHOTIC FIT/TRAIN (15 MIN),222.0,,33.13,199.8,57
CDM,94428050,OT SPLINT FINGER CUSTOM,330.0,,165.0,297.0,56
CDM,94428051,OT SPLINT LONG ARM CUSTOM,1217.0,,608.5,1095.3,56
CDM,94428052,OT SPLINT SHORT ARM CUSTOM,355.0,,73.68,319.5,56
CDM,94428105,APPL HOT PACK/COLD PACK,52.0,,5.82,46.8,57
CDM,94429001,EVALUATION - HIGH,395.0,,96.83,355.5,57
CDM,94429005,EVALUATION - MODERATE,395.0,,74.05,355.5,57
CDM,94429006,RE-EVALUATION,316.0,,48.82,284.4,57
CDM,95100102,BARTONELLA DNA DETECT BY PCR,1011.5,,32.28,1300.5,68
CDM,95100102,ER Only-BARTONELLA DNA DETECT BY PCR,1445.0,,32.28,1300.5,50
CDM,95100103,ER Only-LEGIONELLA DNA DETECT BY PCR,1075.0,,64.58,967.5,50
CDM,95100103,LEGIONELLA DNA DETECT BY PCR,752.5,,64.58,967.5,68
CDM,95100104,ER Only-T. WHIPPLEI DNA DETECT BY PCR,1033.0,,32.28,929.7,51
CDM,95100104,T. WHIPPLEI DNA DETECT BY PCR,723.5,,32.28,929.7,69
CDM,95100105,ER Only-FUNGAL DNA DETECT BY PCR,1540.0,,64.58,1386.0,50
CDM,95100105,FUNGAL DNA DETECT BY PCR,1078.0,,64.58,1386.0,68
CDM,95100106,ER Only-TOXOPLASMA DNA DETECT BY PCR,1033.0,,32.28,929.7,51
CDM,95100106,TOXOPLASMA DNA DETECT BY PCR,723.5,,32.28,929.7,69
CDM,95100107,ER Only-LEISHMANIA SP DNA DETECT PCR,1154.0,,64.58,1038.6,50
CDM,95100107,LEISHMANIA SP DNA DETECT PCR,808.0,,64.58,1038.6,68
CDM,95100129,ACANTHAMOEBA & BALAMUTHIA PCR,808.0,,64.58,1038.6,68
CDM,95100129,ER Only-ACANTHAMOEBA & BALAMUTHIA PCR,1154.0,,64.58,1038.6,50
CDM,95100130,BACTERIAL DNA DETECT BY PCR,705.0,,64.58,906.3,68
CDM,95100130,ER Only-BACTERIAL DNA DETECT BY PCR,1007.0,,64.58,906.3,50
CDM,95100131,BACTERIAL DETECTION BY 16S NGS,2274.5,,64.58,2924.1,68
CDM,95100131,ER Only-BACTERIAL DETECTION BY 16S NGS,3249.0,,64.58,2924.1,50
CDM,95100133,ENTEROBACTERALES DNA DETECTION,808.0,,64.58,1038.6,68
CDM,95100133,ER Only-ENTEROBACTERALES DNA DETECTION,1154.0,,64.58,1038.6,50
CDM,95100134,ER Only-MTBC DNA DETECT PCR,786.0,,38.35,707.4,50
CDM,95100134,MTBC DNA DETECT PCR,550.5,,38.35,707.4,68
CDM,95100136,ER Only-NONTUBERCULOUS MYCOBACT DNA,1101.0,,44.38,990.9,50
CDM,95100136,NONTUBERCULOUS MYCOBACT DNA,771.0,,44.38,990.9,68
CDM,95100137,ER Only-M. AVIUM COMPLEX DNA PCR,786.0,,32.28,707.4,50
CDM,95100137,M. AVIUM COMPLEX DNA PCR,550.5,,32.28,707.4,68
CDM,95100596,KARIUS MNGS TEST-BLOOD ONLY,5658.0,,1956.1,5092.2,68
CDM,95100597,DELVE BIO MNGS TEST-CSF ONLY,5732.0,,350.58,7369.2,56
CDM,95100597,ER Only-DELVE BIO MNGS TEST-CSF ONLY,8188.0,,350.58,7369.2,38
CDM,95100598,ER Only-HEXOSAMINIDASE PERCENT A,140.0,,24.7,126.0,38
CDM,95100598,HEXOSAMINIDASE PERCENT A,98.0,,24.7,126.0,56
CDM,95100610,ER Only-M-NMO EVALUATION INITIAL,913.0,,18.07,821.7,50
CDM,95100610,M-NMO EVALUATION INITIAL,639.0,,18.07,821.7,68
CDM,95100611,ER Only-M-NMO EVALUATION REFLEX,1104.0,,18.07,993.6,50
CDM,95100611,M-NMO EVALUATION REFLEX,773.0,,18.07,993.6,68
CDM,95101000,ER Only-Q-NORTRIPTYLINE,217.0,,45.78,247.69,50
CDM,95101000,Q-NORTRIPTYLINE,152.0,,43.5,247.69,68
CDM,95101001,ER Only-Q-PHENYTOIN- FREE,216.0,,12.31,194.4,50
CDM,95101001,Q-PHENYTOIN- FREE,151.5,,12.31,194.4,68
CDM,95101002,ER Only-Q-LAMOTRIGINE (LAMICTAL),413.0,,12.19,371.7,50
CDM,95101002,Q-LAMOTRIGINE (LAMICTAL),289.5,,12.19,371.7,68
CDM,95101007,ER Only-Q-COPPER 24 HR URINE,223.0,,6.71,200.7,50
CDM,95101007,Q-COPPER 24 HR URINE,156.5,,6.71,200.7,68
CDM,95101009,ER Only-Q-DHEA,419.0,,23.25,377.1,50
CDM,95101009,Q-DHEA,293.5,,23.25,377.1,68
CDM,95101010,ER Only-Q-DHEA-SULFATE,368.0,,12.18,331.2,50
CDM,95101010,Q-DHEA-SULFATE,257.5,,12.18,331.2,68
CDM,95101013,ER Only-Q-VITAMIN B-2 (RIBOFLAVIN),613.0,,18.62,551.7,50
CDM,95101013,Q-VITAMIN B-2 (RIBOFLAVIN),429.5,,18.62,551.7,68
CDM,95101014,ER Only-Q-VITAMIN K,551.0,,12.62,495.9,50
CDM,95101014,Q-VITAMIN K,386.0,,12.62,495.9,68
CDM,95101025,ALPHA-2-ANTIPLASMIN,353.5,,6.83,454.5,68
CDM,95101025,ER Only-ALPHA-2-ANTIPLASMIN,505.0,,6.83,454.5,50
CDM,95101041,ER Only-Q-ANTISTREPTOLYSIN O- TITER,312.0,,3.42,280.8,50
CDM,95101041,Q-ANTISTREPTOLYSIN O- TITER,218.5,,3.42,280.8,68
CDM,95101042,ER Only-Q-TREPONEMA P ANTIBODY CONFIRM,273.0,,12.18,245.7,50
CDM,95101042,Q-TREPONEMA P ANTIBODY CONFIRM,191.0,,12.18,245.7,68
CDM,95101051,ER Only-VAP LIPOPROTEIN- ULTRACENTRI,379.0,,31.15,341.1,50
CDM,95101051,VAP LIPOPROTEIN- ULTRACENTRI,265.5,,31.15,341.1,68
CDM,95101052,ER Only-VAP LIPOPROTEIN-SPECTROPHOTO,93.0,,3.37,83.7,50
CDM,95101052,VAP LIPOPROTEIN-SPECTROPHOTO,65.5,,3.37,83.7,68
CDM,95101053,ER Only-TRIGLYCERIDE FOR VAP,104.0,,2.31,93.6,50
CDM,95101053,TRIGLYCERIDE FOR VAP,73.0,,2.31,93.6,68
CDM,95101058,ER Only-MUMPS ANTIBODY IGG,237.0,,5.56,213.3,50
CDM,95101058,MUMPS ANTIBODY IGG,166.0,,5.56,213.3,68
CDM,95101059,ER Only-PNEUMOCOCCAL ANTIBODY,355.0,,13.79,319.5,50
CDM,95101059,PNEUMOCOCCAL ANTIBODY,248.5,,13.79,319.5,68
CDM,95101061,ANTI-COXSACKIE A AB,171.0,,5.63,219.6,68
CDM,95101061,ER Only-ANTI-COXSACKIE A AB,244.0,,5.63,219.6,50
CDM,95101062,ANTI-COXSACKIE B AB,171.0,,5.63,219.6,68
CDM,95101062,ER Only-ANTI-COXSACKIE B AB,244.0,,5.63,219.6,50
CDM,95101063,ER Only-Q-RECEPTOR ASSAY ACETYLCHOLINE,505.0,,16.93,454.5,50
CDM,95101063,Q-RECEPTOR ASSAY ACETYLCHOLINE,353.5,,16.93,454.5,68
CDM,95101064,ER Only-Q-PHOSPHATASE ALKALINE,348.0,,2.25,313.2,50
CDM,95101064,Q-PHOSPHATASE ALKALINE,243.5,,2.25,313.2,68
CDM,95101068,ER Only-Q-BILE ACIDS; FX AND TOTAL,619.0,,22.16,557.1,50
CDM,95101068,Q-BILE ACIDS; FX AND TOTAL,433.5,,22.16,557.1,68
CDM,95101069,ER Only-Q-C1 INHIBITOR- FUNCTIONAL,349.0,,5.61,314.1,50
CDM,95101069,Q-C1 INHIBITOR- FUNCTIONAL,244.5,,5.61,314.1,68
CDM,95101072,COMPLEMENT COMPONENT 2,386.0,,5.59,495.9,68
CDM,95101072,ER Only-COMPLEMENT COMPONENT 2,551.0,,5.59,495.9,50
CDM,95101073,ER Only-Q-CARNITINE- FREE AND TOTAL,595.0,,15.52,535.5,50
CDM,95101073,Q-CARNITINE- FREE AND TOTAL,416.5,,15.52,535.5,68
CDM,95101075,ER Only-Q-ETHOSUXIMIDE,200.0,,11.25,180.0,50
CDM,95101075,Q-ETHOSUXIMIDE,140.0,,11.25,180.0,68
CDM,95101076,ER Only-Q-CREATININE OTHER SOURCE,159.0,,3.35,143.1,50
CDM,95101076,Q-CREATININE OTHER SOURCE,111.5,,3.35,143.1,68
CDM,95101077,ER Only-Q-Q FEVER PHASE 1 AB IGG,202.0,,5.55,181.8,50
CDM,95101077,Q-Q FEVER PHASE 1 AB IGG,141.5,,5.55,181.8,68
CDM,95101078,ER Only-Q-CREATINE KINASE (CPK) ISOENZ,198.0,,12.32,178.2,50
CDM,95101078,Q-CREATINE KINASE (CPK) ISOENZ,139.0,,12.32,178.2,68
CDM,95101081,ER Only-Q-NEPHELOMETRY EACH ANALYTE,325.0,,15.89,292.5,50
CDM,95101081,Q-NEPHELOMETRY EACH ANALYTE,227.5,,15.89,292.5,68
CDM,95101087,ER Only-Q-ESTRONE,256.0,,16.58,230.4,50
CDM,95101087,Q-ESTRONE,179.5,,16.58,230.4,68
CDM,95101088,ER Only-Q-GASTRIC PARIETAL CELL AB,388.0,,10.61,349.2,50
CDM,95101088,Q-GASTRIC PARIETAL CELL AB,272.0,,10.61,349.2,68
CDM,95101089,ER Only-Q-HISTONE ANTIBODY,470.0,,10.61,423.0,50
CDM,95101089,Q-HISTONE ANTIBODY,329.0,,10.61,423.0,68
CDM,95101096,ER Only-Q-HYDROXY PROGESTERONE 17-D,259.0,,23.5,233.1,50
CDM,95101096,Q-HYDROXY PROGESTERONE 17-D,181.5,,23.5,233.1,68
CDM,95101097,ER Only-Q-SEROTONIN,450.0,,28.5,405.0,50
CDM,95101097,Q-SEROTONIN,315.0,,28.5,405.0,68
CDM,95101098,ER Only-Q-SEX HORMONE BINDING GLOBULIN,194.0,,3.36,174.6,50
CDM,95101098,Q-SEX HORMONE BINDING GLOBULIN,136.0,,3.36,174.6,68
CDM,95101102,ER Only-Q-CAROTENE,199.0,,4.57,179.1,50
CDM,95101102,Q-CAROTENE,139.5,,4.57,179.1,68
CDM,95101107,ER Only-Q-VITAMIN B-1 (THIAMINE),314.0,,9.43,282.6,50
CDM,95101107,Q-VITAMIN B-1 (THIAMINE),220.0,,9.43,282.6,68
CDM,95101110,ER Only-Q-VITAMIN C (ASCORBIC ACID),244.0,,9.1,219.6,50
CDM,95101110,Q-VITAMIN C (ASCORBIC ACID),171.0,,9.1,219.6,68
CDM,95101112,ER Only-Q-VITAMIN E (TOCOPHEROL ALPHA),236.0,,13.05,212.4,50
CDM,95101112,Q-VITAMIN E (TOCOPHEROL ALPHA),165.5,,13.05,212.4,68
CDM,95101137,ER Only-Q-CYSTATIN C,161.0,,17.04,144.9,50
CDM,95101137,Q-CYSTATIN C,113.0,,17.04,144.9,68
CDM,95101139,ER Only-Q-PROGESTERONE,343.0,,13.48,308.7,50
CDM,95101139,Q-PROGESTERONE,240.0,,13.48,308.7,68
CDM,95101149,ER Only-M-PHOSPHATIDYLETHANOL (PETH),489.0,,45.78,440.1,50
CDM,95101149,M-PHOSPHATIDYLETHANOL (PETH),342.5,,45.78,440.1,68
CDM,95101152,"ER Only-Q-JC VIRUS DNA, QNT, PCR, CSF",923.0,,39.41,830.7,50
CDM,95101152,"Q-JC VIRUS DNA, QNT, PCR, CSF",646.0,,39.41,830.7,68
CDM,95101153,ER Only-Q-GAD-65 ANTIBODIES,186.0,,12.53,167.4,50
CDM,95101153,Q-GAD-65 ANTIBODIES,130.5,,12.53,167.4,68
CDM,95101154,ER Only-Q-MANNOSE-BINDING LECTIN SERUM,341.0,,11.36,306.9,50
CDM,95101154,Q-MANNOSE-BINDING LECTIN SERUM,239.0,,11.36,306.9,68
CDM,95101155,ER Only-Q-MERCURY BLOOD- QUANT,255.0,,14.96,229.5,50
CDM,95101155,Q-MERCURY BLOOD- QUANT,178.5,,14.96,229.5,68
CDM,95101168,ER Only-Q-PANCREATIC ELASTASE-1,385.0,,21.13,346.5,50
CDM,95101168,Q-PANCREATIC ELASTASE-1,269.5,,21.13,346.5,68
CDM,95101169,ER Only-Q-VASC ENDOTHELIAL GROTH FX,459.0,,11.36,413.1,50
CDM,95101169,Q-VASC ENDOTHELIAL GROTH FX,321.5,,11.36,413.1,68
CDM,95101171,ER Only-Q-VITAMIN B-6 (PYRIDOXAL PHOS),526.0,,18.53,473.4,50
CDM,95101171,Q-VITAMIN B-6 (PYRIDOXAL PHOS),368.5,,18.53,473.4,68
CDM,95101174,ER Only-Q-ALPHA-1 ANTITRYPSIN PHENO,200.0,,10.19,180.0,50
CDM,95101174,Q-ALPHA-1 ANTITRYPSIN PHENO,140.0,,10.19,180.0,68
CDM,95101183,"ER Only-Q-BK VIRUS DNA, QNT, PCR",857.0,,39.41,771.3,50
CDM,95101183,"Q-BK VIRUS DNA, QNT, PCR",600.0,,39.41,771.3,68
CDM,95101184,ER Only-Q-LEPTIN,379.0,,3.34,341.1,50
CDM,95101184,Q-LEPTIN,265.5,,3.34,341.1,68
CDM,95101186,ER Only-Q-COENZYME Q10,266.0,,22.16,239.4,50
CDM,95101186,Q-COENZYME Q10,186.5,,22.16,239.4,68
CDM,95101187,ER Only-Q-TOXOCARA AB (ELISA) SERUM,259.0,,5.69,233.1,50
CDM,95101187,Q-TOXOCARA AB (ELISA) SERUM,181.5,,5.69,233.1,68
CDM,95101189,ER Only-Q-LACOSAMIDE (LC/MS/MS),446.0,,16.27,401.4,50
CDM,95101189,Q-LACOSAMIDE (LC/MS/MS),312.5,,16.27,401.4,68
CDM,95101192,ER Only-Q-TUMOR NECROSIS FACTOR-ALPHA,385.0,,11.36,346.5,50
CDM,95101192,Q-TUMOR NECROSIS FACTOR-ALPHA,269.5,,11.36,346.5,68
CDM,95101194,ER Only-Q-IGG SUBCLASSES (1-4) EA,304.0,,7.38,273.6,50
CDM,95101194,Q-IGG SUBCLASSES (1-4) EA,213.0,,7.38,273.6,68
CDM,95101205,ER Only-Q-PNH WITH FLAER (HS),655.0,,43.49,589.5,50
CDM,95101205,Q-PNH WITH FLAER (HS),458.5,,43.49,589.5,68
CDM,95101206,"ER Only-Q-AMPHETAMINE, QN, URINE",186.0,,45.78,247.69,50
CDM,95101206,"Q-AMPHETAMINE, QN, URINE",130.5,,37.5,247.69,68
CDM,95101207,"ER Only-Q-BARBITURATE, QN, URINE",186.0,,45.78,247.69,50
CDM,95101207,"Q-BARBITURATE, QN, URINE",130.5,,37.5,247.69,68
CDM,95101208,ER Only-Q-GAMMAGLOBULIN IGD,218.0,,7.88,196.2,50
CDM,95101208,Q-GAMMAGLOBULIN IGD,152.5,,7.88,196.2,68
CDM,95101210,ER Only-Q-INTRINSIC FACTOR ANTIBODIES,509.0,,7.99,458.1,50
CDM,95101210,Q-INTRINSIC FACTOR ANTIBODIES,356.5,,7.99,458.1,68
CDM,95101215,ALPHA SUB-PIT GLYCOPRO HORMONE,178.0,,7.92,228.6,68
CDM,95101215,ER Only-ALPHA SUB-PIT GLYCOPRO HORMONE,254.0,,7.92,228.6,50
CDM,95101216,ER Only-Q-PYRUVATE,325.0,,11.29,292.5,50
CDM,95101216,Q-PYRUVATE,227.5,,11.29,292.5,68
CDM,95101217,ER Only-Q-Q FEVER PHASE 1 AB IGM,202.0,,5.55,181.8,50
CDM,95101217,Q-Q FEVER PHASE 1 AB IGM,141.5,,5.55,181.8,68
CDM,95101222,ER Only-Q-WEST NILE VIRUS ANTIBODY IGM,364.0,,15.5,327.6,50
CDM,95101222,Q-WEST NILE VIRUS ANTIBODY IGM,255.0,,15.5,327.6,68
CDM,95101223,ER Only-Q-WEST NILE VIRUS ANTIBODY,364.0,,13.24,327.6,50
CDM,95101223,Q-WEST NILE VIRUS ANTIBODY,255.0,,13.24,327.6,68
CDM,95101225,ER Only-Q-PARVOVIRUS B19 AB EA,275.0,,5.56,247.5,50
CDM,95101225,Q-PARVOVIRUS B19 AB EA,192.5,,5.56,247.5,68
CDM,95101226,ER Only-Q-Q FEVER PHASE 2 AB IGM,202.0,,5.55,181.8,38
CDM,95101226,Q-Q FEVER PHASE 2 AB IGM,141.5,,5.55,181.8,56
CDM,95101227,ER Only-Q-Q FEVER PHASE 2 AB IGG,202.0,,5.55,181.8,38
CDM,95101227,Q-Q FEVER PHASE 2 AB IGG,141.5,,5.55,181.8,56
CDM,95101235,ER Only-PROTOPORPHYRINS RBC QN,177.0,,8.97,159.3,50
CDM,95101235,PROTOPORPHYRINS RBC QN,124.0,,8.97,159.3,68
CDM,95101242,"ER Only-Q-BENZODIAZEPINES, QN, URINE",186.0,,45.78,247.69,50
CDM,95101242,"Q-BENZODIAZEPINES, QN, URINE",130.5,,37.5,247.69,68
CDM,95101243,"ER Only-Q-BUPRENORPHINE, QN, URINE",186.0,,45.78,247.69,50
CDM,95101243,"Q-BUPRENORPHINE, QN, URINE",130.5,,37.5,247.69,68
CDM,95101244,"ER Only-Q-COCAINE METABOLITE QN, URINE",186.0,,45.78,247.69,50
CDM,95101244,"Q-COCAINE METABOLITE QN, URINE",130.5,,37.5,247.69,68
CDM,95101245,ER Only-Q-SELENIUM ASSAY,326.0,,12.33,293.4,50
CDM,95101245,Q-SELENIUM ASSAY,228.5,,12.33,293.4,68
CDM,95101246,"ER Only-Q-MARIJUANA METABOLITE QN, UR",186.0,,45.78,247.69,50
CDM,95101246,"Q-MARIJUANA METABOLITE QN, UR",130.5,,37.5,247.69,68
CDM,95101247,"ER Only-Q-MDMA/MDA QN, URINE",186.0,,45.78,247.69,50
CDM,95101247,"Q-MDMA/MDA QN, URINE",130.5,,37.5,247.69,68
CDM,95101248,"ER Only-Q-METHADONE METABOLITE QN, UR",186.0,,45.78,247.69,50
CDM,95101248,"Q-METHADONE METABOLITE QN, UR",130.5,,37.5,247.69,68
CDM,95101249,"ER Only-Q-PHENCYCLIDINE QN, URINE",186.0,,2.4,167.4,39
CDM,95101249,"Q-PHENCYCLIDINE QN, URINE",130.5,,2.4,167.4,57
CDM,95101250,ER Only-Q-THYROID STM IMMUN GLOB (TSI),759.0,,16.64,683.1,50
CDM,95101250,Q-THYROID STM IMMUN GLOB (TSI),531.5,,16.64,683.1,68
CDM,95101252,ER Only-Q-OPIOIDS AND OPIATE ANALOGS**,354.0,,45.78,318.6,50
CDM,95101252,Q-OPIOIDS AND OPIATE ANALOGS**,248.0,,45.78,318.6,68
CDM,95101253,ER Only-Q-OXYCODONE**,354.0,,45.78,318.6,50
CDM,95101253,Q-OXYCODONE**,248.0,,45.78,318.6,68
CDM,95101254,"ER Only-Q-OXYCODONE QN, URINE",186.0,,45.78,247.69,50
CDM,95101254,"Q-OXYCODONE QN, URINE",130.5,,37.5,247.69,68
CDM,95101257,ER Only-Q-TRICYCLIC ANTIDEPRESSANT QN,186.0,,45.78,247.69,50
CDM,95101257,Q-TRICYCLIC ANTIDEPRESSANT QN,130.5,,37.5,247.69,68
CDM,95101258,ER Only-Q-ADAMTS13 ACTIVITY W/REFLEX,186.0,,28.39,167.4,50
CDM,95101258,Q-ADAMTS13 ACTIVITY W/REFLEX,130.5,,28.39,167.4,68
CDM,95101259,"ER Only-Q-HEROIN METABOLITE QN, URINE",186.0,,9.9,167.4,38
CDM,95101259,"Q-HEROIN METABOLITE QN, URINE",130.5,,9.9,167.4,56
CDM,95101260,ER Only-Q-VASOACTIV INTEST POLYPEPTIDE,416.0,,14.41,374.4,50
CDM,95101260,Q-VASOACTIV INTEST POLYPEPTIDE,291.5,,14.41,374.4,68
CDM,95101261,ER Only-Q-STEREOISOMER ALYS 1 DRUG,186.0,,45.78,247.69,50
CDM,95101261,Q-STEREOISOMER ALYS 1 DRUG,130.5,,37.5,247.69,68
CDM,95101262,ER Only-T SPOT (TB TEST),422.0,,92.0,379.8,50
CDM,95101262,T SPOT (TB TEST),295.5,,84.5,379.8,68
CDM,95101263,ER Only-Q-EBV QNT NON-BLOOD,664.0,,39.41,597.6,50
CDM,95101263,Q-EBV QNT NON-BLOOD,465.0,,39.41,597.6,68
CDM,95101266,ER Only-Q-CEBPA MUTATION ANALYSIS,891.0,,222.55,801.9,50
CDM,95101266,Q-CEBPA MUTATION ANALYSIS,624.0,,178.5,801.9,68
CDM,95101267,ER Only-Q-ANALYSIS GENE JAK2,770.0,,170.38,693.0,50
CDM,95101267,Q-ANALYSIS GENE JAK2,539.0,,154.0,693.0,68
CDM,95101268,"ER Only-Q-EXONS 12, 13 (REFLEX)",770.0,,170.38,693.0,50
CDM,95101268,"Q-EXONS 12, 13 (REFLEX)",539.0,,154.0,693.0,68
CDM,95101269,ER Only-Q-ANALYSIS GENE NPM1 EXON 12,857.0,,226.8,771.3,50
CDM,95101269,Q-ANALYSIS GENE NPM1 EXON 12,600.0,,171.5,771.3,68
CDM,95101273,ER Only-Q-STONE ANALYSIS INFRARED,186.0,,8.89,167.4,50
CDM,95101273,Q-STONE ANALYSIS INFRARED,130.5,,8.89,167.4,68
CDM,95101274,ER Only-Q-FLUOR AB SCR STRIATED MUSCLE,186.0,,11.09,167.4,50
CDM,95101274,Q-FLUOR AB SCR STRIATED MUSCLE,130.5,,11.09,167.4,68
CDM,95101275,ER Only-Q-FLUOR AB TTR STRIATED MUSCLE,186.0,,6.58,167.4,50
CDM,95101275,Q-FLUOR AB TTR STRIATED MUSCLE,130.5,,6.58,167.4,68
CDM,95101276,ER Only-Q-ANALY GENE SERPINA1 COM VAR*,418.0,,40.16,376.2,50
CDM,95101276,Q-ANALY GENE SERPINA1 COM VAR*,292.5,,40.16,376.2,68
CDM,95101277,ER Only-Q-ANALY PML/RAR COMM BRKPOIN,1158.0,,123.0,1042.2,50
CDM,95101277,Q-ANALY PML/RAR COMM BRKPOIN,811.0,,123.0,1042.2,68
CDM,95101278,ER Only-Q-ANALY TRANS BCR/ABL1 MAJOR,1307.0,,150.84,1176.3,50
CDM,95101278,Q-ANALY TRANS BCR/ABL1 MAJOR,915.0,,150.84,1176.3,68
CDM,95101279,ER Only-Q-HLA TYPING I HR 1 ALLELE**,648.0,,148.39,583.2,50
CDM,95101279,Q-HLA TYPING I HR 1 ALLELE**,454.0,,130.0,583.2,68
CDM,95101281,ER Only-NUCLEIC ACID QN INFECT AGENT,748.0,,39.41,673.2,50
CDM,95101281,NUCLEIC ACID QN INFECT AGENT,524.0,,39.41,673.2,68
CDM,95101284,ER Only-M-ANALY GENE GBA COMMON VAR*,1268.0,,43.47,1141.2,50
CDM,95101284,M-ANALY GENE GBA COMMON VAR*,888.0,,43.47,1141.2,68
CDM,95101285,ER Only-M-ANALY GENE REARRANG IGH AM,506.0,,182.15,455.4,50
CDM,95101285,M-ANALY GENE REARRANG IGH AM,354.5,,101.5,455.4,68
CDM,95101286,ER Only-M-ANALY GENE IGK**,507.0,,158.91,456.3,50
CDM,95101286,M-ANALY GENE IGK**,355.0,,101.5,456.3,68
CDM,95101287,ER Only-Q-MOPATH PROCEDURE LEVEL 1**,866.0,,58.84,779.4,50
CDM,95101287,Q-MOPATH PROCEDURE LEVEL 1**,606.5,,58.84,779.4,68
CDM,95101288,ER Only-Q-MOPATH PROCEUDRE LEVEL 2**,1108.0,,126.04,997.2,50
CDM,95101288,Q-MOPATH PROCEUDRE LEVEL 2**,776.0,,126.04,997.2,68
CDM,95101289,ER Only-Q-ACCUTYPE IL28B**,562.0,,67.5,505.8,50
CDM,95101289,Q-ACCUTYPE IL28B**,393.5,,67.5,505.8,68
CDM,95101293,ER Only-Q-ANLYS GENE FLT3 ITD VARIANTS,1690.0,,228.63,1521.0,50
CDM,95101293,Q-ANLYS GENE FLT3 ITD VARIANTS,1183.0,,228.63,1521.0,68
CDM,95101296,"ER Only-Q-C-KIT MUT ANALY, CELL BASED",1220.0,,252.84,1098.0,50
CDM,95101296,"Q-C-KIT MUT ANALY, CELL BASED",854.0,,244.0,1098.0,68
CDM,95101300,ER Only-Q-COPPER SERUM,223.0,,6.71,200.7,50
CDM,95101300,Q-COPPER SERUM,156.5,,6.71,200.7,68
CDM,95101303,ANTI-ISLET CELL ANTIBODY,179.5,,12.53,230.4,68
CDM,95101303,ER Only-ANTI-ISLET CELL ANTIBODY,256.0,,12.53,230.4,50
CDM,95101304,ER Only-LYME DISEASE,347.0,,5.74,312.3,50
CDM,95101304,LYME DISEASE,243.0,,5.74,312.3,68
CDM,95101312,ER Only-Q-LYME DZ CONFIRM EA ADDL,329.0,,5.73,296.1,38
CDM,95101312,Q-LYME DZ CONFIRM EA ADDL,230.5,,5.73,296.1,56
CDM,95101313,ER Only-Q-TROPHERYMA WHIPPLEI DNA QL,461.0,,32.28,414.9,51
CDM,95101313,Q-TROPHERYMA WHIPPLEI DNA QL,323.0,,32.28,414.9,69
CDM,95101315,ER Only-Q-LEGIONELLA AB- INITIAL,297.0,,5.67,267.3,50
CDM,95101315,Q-LEGIONELLA AB- INITIAL,208.0,,5.67,267.3,68
CDM,95101316,ER Only-Q-LEGIONELLA AB- EA ADDL,297.0,,5.67,267.3,38
CDM,95101316,Q-LEGIONELLA AB- EA ADDL,208.0,,5.67,267.3,56
CDM,95101318,ER Only-Q-CMV ANTIBODY**,390.0,,5.58,351.0,50
CDM,95101318,Q-CMV ANTIBODY**,273.0,,5.58,351.0,68
CDM,95101319,ER Only-Q-HIV-1/HIV-2 SGL RESULT AB**,373.0,,5.71,335.7,50
CDM,95101319,Q-HIV-1/HIV-2 SGL RESULT AB**,261.0,,5.71,335.7,68
CDM,95101320,ER Only-Q-VARICELLA-ZOSTER IGM AB,337.0,,5.63,303.3,50
CDM,95101320,Q-VARICELLA-ZOSTER IGM AB,236.0,,5.63,303.3,68
CDM,95101322,ER Only-Q-Q FEVER TITER 1 AB IGG,246.0,,5.55,221.4,38
CDM,95101322,Q-Q FEVER TITER 1 AB IGG,172.5,,5.55,221.4,56
CDM,95101323,ER Only-Q-Q FEVER TITER 1 AB IGM,259.0,,5.55,233.1,38
CDM,95101323,Q-Q FEVER TITER 1 AB IGM,181.5,,5.55,233.1,56
CDM,95101324,ER Only-Q-Q FEVER TITER 2 AB IGG,246.0,,5.55,221.4,38
CDM,95101324,Q-Q FEVER TITER 2 AB IGG,172.5,,5.55,221.4,56
CDM,95101325,ER Only-Q-TETANUS ANTIBODY,362.0,,5.61,325.8,50
CDM,95101325,Q-TETANUS ANTIBODY,253.5,,5.61,325.8,68
CDM,95101326,ER Only-Q-Q FEVER TITER 2 AB IGM,456.0,,5.55,410.4,38
CDM,95101326,Q-Q FEVER TITER 2 AB IGM,319.5,,5.55,410.4,56
CDM,95101327,ER Only-Q-AML1/ETO T(8-21) PCR,876.0,,126.04,788.4,50
CDM,95101327,Q-AML1/ETO T(8-21) PCR,613.5,,126.04,788.4,68
CDM,95101330,ER Only-Q-TRIIODOTHYRONINE T3 REVERSE,326.0,,3.34,293.4,50
CDM,95101330,Q-TRIIODOTHYRONINE T3 REVERSE,228.5,,3.34,293.4,68
CDM,95101331,ER Only-Q-HEPATITIS B CORE AB**,241.0,,5.36,216.9,50
CDM,95101331,Q-HEPATITIS B CORE AB**,169.0,,5.36,216.9,68
CDM,95101332,ER Only-Q-TREPONEMA PALLIDUM AB**,360.0,,12.18,324.0,50
CDM,95101332,Q-TREPONEMA PALLIDUM AB**,252.0,,12.18,324.0,68
CDM,95101333,ER Only-Q-VIRUS NOT ELSEWHERE SPEC**,350.0,,5.59,315.0,50
CDM,95101333,Q-VIRUS NOT ELSEWHERE SPEC**,245.0,,5.59,315.0,68
CDM,95101334,ER Only-Q-HEPATITIS C ANTIBODY**,348.0,,13.13,313.2,50
CDM,95101334,Q-HEPATITIS C ANTIBODY**,243.5,,13.13,313.2,68
CDM,95101335,ER Only-Q-ALK PHOS ISOENZYMES,223.0,,13.43,200.7,50
CDM,95101335,Q-ALK PHOS ISOENZYMES,156.5,,13.43,200.7,68
CDM,95101336,ER Only-Q-EIA HEPAT B SURF AG QL/SQ**,280.0,,7.91,252.0,50
CDM,95101336,Q-EIA HEPAT B SURF AG QL/SQ**,196.0,,7.91,252.0,68
CDM,95101337,ER Only-Q-NUCLEIC ACID AMP INFECTIOUS*,613.0,,32.28,551.7,51
CDM,95101337,Q-NUCLEIC ACID AMP INFECTIOUS*,429.5,,32.28,551.7,69
CDM,95101338,ER Only-Q-NUCLEIC ACID AMP MLT ORG**,1222.0,,64.58,1099.8,50
CDM,95101338,Q-NUCLEIC ACID AMP MLT ORG**,855.5,,64.58,1099.8,68
CDM,95101339,ER Only-Q-DONOR CHAGAS DZ SCREEN,293.0,,5.63,263.7,50
CDM,95101339,Q-DONOR CHAGAS DZ SCREEN,205.0,,5.63,263.7,68
CDM,95101341,ER Only-Q-DONOR HTLV-I/II AB SCREEN,385.0,,5.59,346.5,50
CDM,95101341,Q-DONOR HTLV-I/II AB SCREEN,269.5,,5.59,346.5,68
CDM,95101343,ER Only-Q-DONOR HIV-1/HBV/HCV NAT,1254.0,,64.58,1128.6,50
CDM,95101343,Q-DONOR HIV-1/HBV/HCV NAT,878.0,,64.58,1128.6,68
CDM,95101344,ER Only-Q-TPMT ACTIVITY,693.0,,15.93,623.7,50
CDM,95101344,Q-TPMT ACTIVITY,485.5,,15.93,623.7,68
CDM,95101346,ER Only-Q-THEOPHYLLINE,265.0,,13.01,238.5,50
CDM,95101346,Q-THEOPHYLLINE,185.5,,13.01,238.5,68
CDM,95101348,BK VIRUS DNA QUANT PCR,652.0,,39.41,837.9,68
CDM,95101348,ER Only-BK VIRUS DNA QUANT PCR,931.0,,39.41,837.9,50
CDM,95101349,EPSTEIN-BARR(EBV)REAL-TIME PCR,682.5,,39.41,877.5,68
CDM,95101349,ER Only-EPSTEIN-BARR(EBV)REAL-TIME PCR,975.0,,39.41,877.5,50
CDM,95101351,ER Only-HEP B VIRUS DNA BY PCR QNT*RUO,1666.0,,39.41,1499.4,50
CDM,95101351,HEP B VIRUS DNA BY PCR QNT*RUO,1166.5,,39.41,1499.4,68
CDM,95101354,ER Only-Z*LYMPHOCYTE TRANSFORMATION **,985.0,,18.16,886.5,50
CDM,95101354,Z*LYMPHOCYTE TRANSFORMATION **,689.5,,18.16,886.5,68
CDM,95101380,ER Only-Q-ANTI-DIURETIC HORMONE,359.0,,14.22,323.1,50
CDM,95101380,Q-ANTI-DIURETIC HORMONE,251.5,,14.22,323.1,68
CDM,95101383,ER Only-Z*BILIRUBIN- TOTAL **,92.0,,4.62,82.8,50
CDM,95101383,Z*BILIRUBIN- TOTAL **,64.5,,4.62,82.8,68
CDM,95101388,ER Only-G6PD DEFICINCY (PEDIATRIX),81.0,,5.57,72.9,50
CDM,95101388,G6PD DEFICINCY (PEDIATRIX),57.0,,5.57,72.9,68
CDM,95101389,CYSTIC FIBROSIS SCREEN (STATE),130.5,,11.36,167.4,68
CDM,95101389,ER Only-CYSTIC FIBROSIS SCREEN (STATE),186.0,,11.36,167.4,50
CDM,95101403,ER Only-HPLC QN 6-TGN IN PERIPH RBC,612.0,,22.16,550.8,50
CDM,95101403,HPLC QN 6-TGN IN PERIPH RBC,428.5,,22.16,550.8,68
CDM,95101404,ER Only-HPLC QN 6-MMPN IN PERIPH RBC,612.0,,24.6,550.8,38
CDM,95101404,HPLC QN 6-MMPN IN PERIPH RBC,428.5,,24.6,550.8,56
CDM,95101406,ER Only-Q-ADENOVIRUS DNA QUANT PCR,931.0,,39.41,837.9,50
CDM,95101406,Q-ADENOVIRUS DNA QUANT PCR,652.0,,39.41,837.9,68
CDM,95101407,ER Only-Q-5-HIAA URINE,256.0,,11.87,230.4,50
CDM,95101407,Q-5-HIAA URINE,179.5,,11.87,230.4,68
CDM,95101408,ER Only-MONKEYPOX,367.0,,47.21,330.3,50
CDM,95101408,MONKEYPOX,257.0,,47.21,330.3,68
CDM,95101410,ER Only-PORPHYRINS FRACT UR,194.0,,13.53,174.6,50
CDM,95101410,PORPHYRINS FRACT UR,136.0,,13.53,174.6,68
CDM,95101411,ER Only-Z*IMMUNO QN- INIT **,341.0,,11.36,306.9,50
CDM,95101411,Z*IMMUNO QN- INIT **,239.0,,11.36,306.9,68
CDM,95101413,ER Only-Z*IMMUNO QNT- EA ADDL **,341.0,,11.36,306.9,38
CDM,95101413,Z*IMMUNO QNT- EA ADDL **,239.0,,11.36,306.9,56
CDM,95101414,ER Only-Z*IF INDIRECT- EA AB **,350.0,,37.73,436.89,51
CDM,95101414,Z*IF INDIRECT- EA AB **,245.0,,37.73,436.89,69
CDM,95101423,ER Only-Q-AMITRIPTYLINE (ELAVIL),241.0,,45.78,247.69,50
CDM,95101423,Q-AMITRIPTYLINE (ELAVIL),169.0,,45.78,247.69,68
CDM,95101430,ER Only-Q-GROWTH HORMONE,273.0,,15.34,245.7,50
CDM,95101430,Q-GROWTH HORMONE,191.0,,15.34,245.7,68
CDM,95101454,ER Only-Q-METHYLMALONIC ACID,508.0,,19.51,457.2,50
CDM,95101454,Q-METHYLMALONIC ACID,356.0,,19.51,457.2,68
CDM,95101455,ER Only-Q-METANEPHRINES URINE,402.0,,7.92,361.8,50
CDM,95101455,Q-METANEPHRINES URINE,281.5,,7.92,361.8,68
CDM,95101456,ER Only-Q-COLLAGEN CROSS LINKS **,228.0,,17.19,205.2,50
CDM,95101456,Q-COLLAGEN CROSS LINKS **,160.0,,17.19,205.2,68
CDM,95101457,ER Only-Q-VANILLYMANDELIC ACID (VMA),288.0,,6.62,259.2,50
CDM,95101457,Q-VANILLYMANDELIC ACID (VMA),201.5,,6.62,259.2,68
CDM,95101458,ER Only-Q-CREATININE OTHER SOURCE **,159.0,,3.35,143.1,50
CDM,95101458,Q-CREATININE OTHER SOURCE **,111.5,,3.35,143.1,68
CDM,95101459,ER Only-Q-OXCARBAZEPINE METABOLITE,384.0,,12.19,345.6,50
CDM,95101459,Q-OXCARBAZEPINE METABOLITE,269.0,,12.19,345.6,68
CDM,95101460,ER Only-Q-ANGIOTENSIN CONV ENZYME,330.0,,13.43,297.0,50
CDM,95101460,Q-ANGIOTENSIN CONV ENZYME,231.0,,13.43,297.0,68
CDM,95101469,ER Only-Z*Q-ARSENIC URINE **,286.0,,12.39,257.4,50
CDM,95101469,Z*Q-ARSENIC URINE **,200.5,,12.39,257.4,68
CDM,95101471,ER Only-Z*Q-LEAD URINE **,197.0,,7.91,177.3,50
CDM,95101471,Z*Q-LEAD URINE **,138.0,,7.91,177.3,68
CDM,95101472,ER Only-Z*Q-MERCURY URINE 24 HR **,255.0,,14.96,229.5,50
CDM,95101472,Z*Q-MERCURY URINE 24 HR **,178.5,,14.96,229.5,68
CDM,95101473,ER Only-Q-CMV QUANT BY NUCLEIC ACID **,888.0,,39.41,799.2,50
CDM,95101473,Q-CMV QUANT BY NUCLEIC ACID **,621.5,,39.41,799.2,68
CDM,95101474,ER Only-Q-LEVETIRACETAM (KEPPRA) LEVEL,424.0,,12.19,381.6,50
CDM,95101474,Q-LEVETIRACETAM (KEPPRA) LEVEL,297.0,,12.19,381.6,68
CDM,95101475,ER Only-Q-ISLET CELL AB W/REFLEX TITER,318.0,,12.53,286.2,50
CDM,95101475,Q-ISLET CELL AB W/REFLEX TITER,222.5,,12.53,286.2,68
CDM,95101478,ER Only-Q-VITAMIN A (RETINOL),295.0,,9.79,265.5,50
CDM,95101478,Q-VITAMIN A (RETINOL),206.5,,9.79,265.5,68
CDM,95101480,ER Only-Z*Q-ARSENIC BLOOD **,286.0,,12.39,257.4,50
CDM,95101480,Z*Q-ARSENIC BLOOD **,200.5,,12.39,257.4,68
CDM,95101484,"ER Only-VDRL, SERUM",210.0,,3.36,189.0,50
CDM,95101484,"VDRL, SERUM",147.0,,3.36,189.0,68
CDM,95101489,ER Only-THYROGLOBULIN TO USC ENDOCRINE,290.0,,3.34,261.0,50
CDM,95101489,THYROGLOBULIN TO USC ENDOCRINE,203.0,,3.34,261.0,68
CDM,95101490,ER Only-THRYOGLOBULIN ANTIBODY XX,364.0,,14.64,327.6,50
CDM,95101490,THRYOGLOBULIN ANTIBODY XX,255.0,,14.64,327.6,68
CDM,95101491,ER Only-Z*Q-LEAD BLOOD **,197.0,,7.91,177.3,50
CDM,95101491,Z*Q-LEAD BLOOD **,138.0,,7.91,177.3,68
CDM,95101492,ER Only-Z*Q-MERCURY BLOOD **,255.0,,14.96,229.5,50
CDM,95101492,Z*Q-MERCURY BLOOD **,178.5,,14.96,229.5,68
CDM,95101494,ER Only-Q-VITAMIN B3 (NIACIN),394.0,,13.1,354.6,50
CDM,95101494,Q-VITAMIN B3 (NIACIN),276.0,,13.1,354.6,68
CDM,95101497,ANTI-NEURONAL NUCLEAR ANTIBODY,231.0,,11.09,297.0,68
CDM,95101497,ER Only-ANTI-NEURONAL NUCLEAR ANTIBODY,330.0,,11.09,297.0,50
CDM,95101504,ER Only-HERPES CULTURE,310.0,,17.75,279.0,50
CDM,95101504,HERPES CULTURE,217.0,,17.75,279.0,68
CDM,95101505,CMV CULTURE,192.5,,5.06,247.5,68
CDM,95101505,ER Only-CMV CULTURE,275.0,,5.06,247.5,50
CDM,95101506,CHLAMYDIA CULTURE,105.0,,15.47,135.0,68
CDM,95101506,ER Only-CHLAMYDIA CULTURE,150.0,,15.47,135.0,50
CDM,95101507,ER Only-VIRUS CULTURE,310.0,,18.58,279.0,50
CDM,95101507,VIRUS CULTURE,217.0,,18.58,279.0,68
CDM,95101509,ER Only-VARICELLA CULTURE,310.0,,17.75,279.0,50
CDM,95101509,VARICELLA CULTURE,217.0,,17.75,279.0,68
CDM,95101514,ER Only-HERPES SIMPLEX VIRUS TYPE 1,58.0,,11.02,52.2,50
CDM,95101514,HERPES SIMPLEX VIRUS TYPE 1,40.5,,11.02,52.2,68
CDM,95101550,ER Only-HSV (CSF) BY PCR (EXTRACTION),586.0,,32.28,527.4,50
CDM,95101550,HSV (CSF) BY PCR (EXTRACTION),410.5,,32.28,527.4,68
CDM,95101557,ER Only-HELICOBACTER PYLORI STOOL AG**,297.0,,13.23,267.3,50
CDM,95101557,HELICOBACTER PYLORI STOOL AG**,208.0,,13.23,267.3,68
CDM,95101565,ER Only-IF CYTOMEGALO AG **,156.0,,12.35,140.4,50
CDM,95101565,IF CYTOMEGALO AG **,109.5,,12.35,140.4,68
CDM,95101585,ER Only-M-RENIN ACTIVITY- PLASMA,346.0,,20.23,311.4,50
CDM,95101585,M-RENIN ACTIVITY- PLASMA,242.5,,20.23,311.4,68
CDM,95101586,ER Only-M-ALDOSTERONE- SERUM,514.0,,37.49,462.6,50
CDM,95101586,M-ALDOSTERONE- SERUM,360.0,,37.49,462.6,68
CDM,95101587,ER Only-M-ISLET CELL AB (GAD65 ASSAY),500.0,,12.53,450.0,50
CDM,95101587,M-ISLET CELL AB (GAD65 ASSAY),350.0,,12.53,450.0,68
CDM,95101588,ER Only-M-METANEPH- FX- FREE PLASMA,468.0,,7.92,421.2,50
CDM,95101588,M-METANEPH- FX- FREE PLASMA,328.0,,7.92,421.2,68
CDM,95101589,ER Only-M-ALDOSTERONE; 24 HR URINE,514.0,,37.49,462.6,50
CDM,95101589,M-ALDOSTERONE; 24 HR URINE,360.0,,37.49,462.6,68
CDM,95101590,ER Only-M-MASS SPEC QNT (TPMT) RBC,619.0,,15.93,557.1,50
CDM,95101590,M-MASS SPEC QNT (TPMT) RBC,433.5,,15.93,557.1,68
CDM,95101591,ER Only-M-ALPHA GLYCOPROTEIN SUBUNIT,341.0,,3.34,306.9,50
CDM,95101591,M-ALPHA GLYCOPROTEIN SUBUNIT,239.0,,3.34,306.9,68
CDM,95101592,ER Only-M-PTH RELATED PEPTIDE,362.0,,3.34,325.8,50
CDM,95101592,M-PTH RELATED PEPTIDE,253.5,,3.34,325.8,68
CDM,95101594,ER Only-M-TROPHERYMA WHIPPLEI BY PCR,790.0,,32.28,711.0,51
CDM,95101594,M-TROPHERYMA WHIPPLEI BY PCR,553.0,,32.28,711.0,69
CDM,95101595,ER Only-M-ORGANIC ACID SCREEN QL- UR,459.0,,15.13,413.1,50
CDM,95101595,M-ORGANIC ACID SCREEN QL- UR,321.5,,15.13,413.1,68
CDM,95101596,ER Only-M-CRMP-5-IGG WESTERN BLOT,701.0,,13.41,630.9,50
CDM,95101596,M-CRMP-5-IGG WESTERN BLOT,491.0,,13.41,630.9,68
CDM,95101597,ER Only-M-ACYLCARNITINES QNT PLASMA,322.0,,15.52,289.8,50
CDM,95101597,M-ACYLCARNITINES QNT PLASMA,225.5,,15.52,289.8,68
CDM,95101598,ER Only-HEXOSAMINIDASE A AND TOT SERUM,351.0,,15.52,315.9,50
CDM,95101598,HEXOSAMINIDASE A AND TOT SERUM,246.0,,15.52,315.9,68
CDM,95101601,ER Only-M-BETA-2 TRANSFERRIN BODY FLD,708.0,,27.0,637.2,50
CDM,95101601,M-BETA-2 TRANSFERRIN BODY FLD,495.5,,27.0,637.2,68
CDM,95101605,ER Only-Q-ALDOLASE,193.0,,6.73,173.7,50
CDM,95101605,Q-ALDOLASE,135.0,,6.73,173.7,68
CDM,95101617,ER Only-M-ACYLGLYCINES; QNT; UR,649.0,,22.16,584.1,50
CDM,95101617,M-ACYLGLYCINES; QNT; UR,454.5,,22.16,584.1,68
CDM,95101618,ER Only-M-THYROTROPIN RECEPTOR AB- S**,372.0,,11.36,334.8,50
CDM,95101618,M-THYROTROPIN RECEPTOR AB- S**,260.5,,11.36,334.8,68
CDM,95101619,ER Only-M-ALPHA-1-ANTITRYPSIN- FECES**,358.0,,10.14,322.2,50
CDM,95101619,M-ALPHA-1-ANTITRYPSIN- FECES**,251.0,,10.14,322.2,68
CDM,95101620,ER Only-Q-ZINC PLASMA,199.0,,10.48,179.1,50
CDM,95101620,Q-ZINC PLASMA,139.5,,10.48,179.1,68
CDM,95101634,ER Only-Z*M-MUCOPOLYSACCHARIDES QN**,351.0,,10.06,315.9,50
CDM,95101634,Z*M-MUCOPOLYSACCHARIDES QN**,246.0,,10.06,315.9,68
CDM,95101636,ER Only-Z*M-MUCOPOLYSACCHARIDES QL**,173.0,,15.93,155.7,50
CDM,95101636,Z*M-MUCOPOLYSACCHARIDES QL**,121.5,,15.93,155.7,68
CDM,95101642,ER Only-Q-IMMUNO TUMOR AG CA 15-3,295.0,,19.15,265.5,50
CDM,95101642,Q-IMMUNO TUMOR AG CA 15-3,206.5,,19.15,265.5,68
CDM,95101649,ER Only-M-CARNITINE- PLASMA OR SERUM**,271.0,,15.52,243.9,50
CDM,95101649,M-CARNITINE- PLASMA OR SERUM**,190.0,,15.52,243.9,68
CDM,95101650,ER Only-Q-CALCITONIN,374.0,,16.83,336.6,50
CDM,95101650,Q-CALCITONIN,262.0,,16.83,336.6,68
CDM,95101652,ER Only-Z*M-ALBUMIN SERUM**,85.0,,2.32,76.5,50
CDM,95101652,Z*M-ALBUMIN SERUM**,59.5,,2.32,76.5,68
CDM,95101653,ER Only-Z*M-ALBUMIN CSF**,50.0,,7.16,45.0,50
CDM,95101653,Z*M-ALBUMIN CSF**,35.0,,7.16,45.0,68
CDM,95101654,ER Only-Z*M-GAMMAGLOBULIN IGG SERUM**,218.0,,7.88,196.2,50
CDM,95101654,Z*M-GAMMAGLOBULIN IGG SERUM**,152.5,,7.88,196.2,68
CDM,95101656,ER Only-Z*M-GAMMAGLOBULIN IGG CSF**,218.0,,7.88,196.2,38
CDM,95101656,Z*M-GAMMAGLOBULIN IGG CSF**,152.5,,7.88,196.2,56
CDM,95101668,ER Only-Z*M-EHRLICHIA AB IGG**,222.0,,8.42,199.8,50
CDM,95101668,Z*M-EHRLICHIA AB IGG**,155.5,,8.42,199.8,68
CDM,95101669,ER Only-Z*M-EHRLICHIA AB ADDL**,222.0,,8.42,199.8,38
CDM,95101669,Z*M-EHRLICHIA AB ADDL**,155.5,,8.42,199.8,56
CDM,95101673,ER Only-M-PROTEIN TOT CSF OTHER SOURCE,327.0,,3.68,294.3,50
CDM,95101673,M-PROTEIN TOT CSF OTHER SOURCE,229.0,,3.68,294.3,68
CDM,95101678,ER Only-M-COCCI COMPLEMENT F**,134.0,,5.54,120.6,50
CDM,95101678,M-COCCI COMPLEMENT F**,94.0,,5.54,120.6,68
CDM,95101679,ER Only-M-COCCI ANTIBODY IGG**,134.0,,5.54,120.6,38
CDM,95101679,M-COCCI ANTIBODY IGG**,94.0,,5.54,120.6,56
CDM,95101680,ER Only-Q-FAT FECES QUANTITATIVE,465.0,,13.61,418.5,50
CDM,95101680,Q-FAT FECES QUANTITATIVE,325.5,,13.61,418.5,68
CDM,95101697,ER Only-M-COCCI ANTIBODY IGM**,134.0,,5.54,120.6,38
CDM,95101697,M-COCCI ANTIBODY IGM**,94.0,,5.54,120.6,56
CDM,95101703,ER Only-Q-MAGNESIUM RBC,200.0,,6.16,180.0,50
CDM,95101703,Q-MAGNESIUM RBC,140.0,,6.16,180.0,68
CDM,95101704,ER Only-Z*M-PRIMIDONE**,190.0,,15.26,171.0,50
CDM,95101704,Z*M-PRIMIDONE**,133.0,,15.26,171.0,68
CDM,95101706,ER Only-Z*M-PHENOBARBITAL**,132.0,,8.94,118.8,50
CDM,95101706,Z*M-PHENOBARBITAL**,92.5,,8.94,118.8,68
CDM,95101708,ER Only-Z*M-ARSENIC URINE**,177.0,,12.39,159.3,50
CDM,95101708,Z*M-ARSENIC URINE**,124.0,,12.39,159.3,68
CDM,95101709,ER Only-Z*M-CADMIUM URINE**,202.0,,14.56,181.8,50
CDM,95101709,Z*M-CADMIUM URINE**,141.5,,14.56,181.8,68
CDM,95101711,ER Only-Z*M-LEAD URINE**,128.0,,7.91,115.2,50
CDM,95101711,Z*M-LEAD URINE**,90.0,,7.91,115.2,68
CDM,95101712,ER Only-Z*M-MERCURY URINE**,159.0,,14.96,143.1,50
CDM,95101712,Z*M-MERCURY URINE**,111.5,,14.96,143.1,68
CDM,95101715,ER Only-Q-OXALATE URINE,178.0,,12.37,160.2,50
CDM,95101715,Q-OXALATE URINE,125.0,,12.37,160.2,68
CDM,95101717,ER Only-Z*M-GLUCOSIDASE BETA**,130.0,,3.28,117.0,50
CDM,95101717,Z*M-GLUCOSIDASE BETA**,91.0,,3.28,117.0,68
CDM,95101718,ER Only-M-TISS CULT SKIN/OTHR SOLID*,896.0,,129.47,806.4,50
CDM,95101718,M-TISS CULT SKIN/OTHR SOLID*,627.5,,129.47,806.4,68
CDM,95101719,ER Only-M-CRYOPRESERV FREEZE & STORE,62.0,,12.02,55.8,50
CDM,95101719,M-CRYOPRESERV FREEZE & STORE,43.5,,12.02,55.8,68
CDM,95101735,ER Only-Q-MYELIN BASIC PROTEIN (CSF),291.0,,5.49,261.9,50
CDM,95101735,Q-MYELIN BASIC PROTEIN (CSF),204.0,,5.49,261.9,68
CDM,95101741,ER Only-M-BETAHYDROXYBUTYRATE SR QN,270.0,,2.33,243.0,50
CDM,95101741,M-BETAHYDROXYBUTYRATE SR QN,189.0,,2.33,243.0,68
CDM,95101745,ER Only-Q-VITAMIN D 25-HYDROXY,451.0,,27.23,405.9,50
CDM,95101745,Q-VITAMIN D 25-HYDROXY,316.0,,27.23,405.9,68
CDM,95101747,ER Only-M-ARSENIC BLOOD**,177.0,,12.39,159.3,50
CDM,95101747,M-ARSENIC BLOOD**,124.0,,12.39,159.3,68
CDM,95101748,ER Only-M-CADMIUM BLOOD**,202.0,,14.56,181.8,50
CDM,95101748,M-CADMIUM BLOOD**,141.5,,14.56,181.8,68
CDM,95101749,ER Only-M-LEAD BLOOD**,128.0,,7.91,115.2,50
CDM,95101749,M-LEAD BLOOD**,90.0,,7.91,115.2,68
CDM,95101751,ER Only-M-MERCURY BLOOD**,159.0,,14.96,143.1,50
CDM,95101751,M-MERCURY BLOOD**,111.5,,14.96,143.1,68
CDM,95101753,ER Only-M-ALPHA-1 ANTITRYPSIN TOTAL*,201.0,,10.14,180.9,50
CDM,95101753,M-ALPHA-1 ANTITRYPSIN TOTAL*,141.0,,10.14,180.9,68
CDM,95101754,ER Only-M-ALPHA-1 ANTITRYPSIN PHENO*,217.0,,10.19,195.3,50
CDM,95101754,M-ALPHA-1 ANTITRYPSIN PHENO*,152.0,,10.19,195.3,68
CDM,95101757,ER Only-M-A1AT CLEARANCE-FECES AND SER,386.0,,10.14,347.4,50
CDM,95101757,M-A1AT CLEARANCE-FECES AND SER,270.5,,10.14,347.4,68
CDM,95101760,ER Only-M-MCG DNA PROBE EA**,218.0,,19.71,196.2,50
CDM,95101760,M-MCG DNA PROBE EA**,152.5,,19.71,196.2,68
CDM,95101761,ER Only-M-MCG INTERPHASE IN SITU 100,500.0,,47.09,450.0,50
CDM,95101761,M-MCG INTERPHASE IN SITU 100,350.0,,47.09,450.0,68
CDM,95101763,ER Only-M-HTLV-I/II AB CONFIRMATION- S,994.0,,17.8,894.6,50
CDM,95101763,M-HTLV-I/II AB CONFIRMATION- S,696.0,,17.8,894.6,68
CDM,95101764,ER Only-M-HTLV-I/II AB SCREEN- SERUM,308.0,,8.36,277.2,50
CDM,95101764,M-HTLV-I/II AB SCREEN- SERUM,216.0,,8.36,277.2,68
CDM,95101765,"ER Only-Q-1,25-DIHYDROXY VITAMIN D3",563.0,,35.42,506.7,50
CDM,95101765,"Q-1,25-DIHYDROXY VITAMIN D3",394.5,,35.42,506.7,68
CDM,95101767,ER Only-M-PROLACTIN TOTAL SERUM**,232.0,,7.9,208.8,50
CDM,95101767,M-PROLACTIN TOTAL SERUM**,162.5,,7.9,208.8,68
CDM,95101768,ER Only-M-PROLACTIN UNPRECIPITATED S,232.0,,7.9,208.8,38
CDM,95101768,M-PROLACTIN UNPRECIPITATED S,162.5,,7.9,208.8,56
CDM,95101781,ER Only-M-ACHR MODULATING AB,543.0,,7.92,488.7,50
CDM,95101781,M-ACHR MODULATING AB,380.5,,7.92,488.7,68
CDM,95101782,ER Only-M-ACHR GANGLION NEURONAL AB,631.0,,7.92,567.9,50
CDM,95101782,M-ACHR GANGLION NEURONAL AB,442.0,,7.92,567.9,68
CDM,95101790,ER Only-M-ACHR (MUSC) BINDING AB**,280.0,,27.6,252.0,38
CDM,95101790,M-ACHR (MUSC) BINDING AB**,196.0,,27.6,252.0,56
CDM,95101791,ER Only-M-ACHR (MUSC) MODULATING AB*,280.0,,7.92,252.0,38
CDM,95101791,M-ACHR (MUSC) MODULATING AB*,196.0,,7.92,252.0,56
CDM,95101792,ER Only-Z*M-P/Q TYPE CA CHANNEL AB**,280.0,,7.92,252.0,38
CDM,95101792,Z*M-P/Q TYPE CA CHANNEL AB**,196.0,,7.92,252.0,56
CDM,95101793,ER Only-Z*M-N-TYPE CA CHANNEL AB**,280.0,,7.92,252.0,38
CDM,95101793,Z*M-N-TYPE CA CHANNEL AB**,196.0,,7.92,252.0,56
CDM,95101794,ER Only-Z*M-STRIATED MUSCLE AB**,276.0,,11.36,248.4,50
CDM,95101794,Z*M-STRIATED MUSCLE AB**,193.5,,11.36,248.4,68
CDM,95101809,ER Only-Z*M-MAC EXM TISS NONMICRO EA**,153.0,,12.04,137.7,38
CDM,95101809,Z*M-MAC EXM TISS NONMICRO EA**,107.5,,12.04,137.7,56
CDM,95101812,ER Only-Z*M-ALBUMIN SERUM**,85.0,,2.32,76.5,50
CDM,95101812,Z*M-ALBUMIN SERUM**,59.5,,2.32,76.5,68
CDM,95101813,ER Only-Z*M-ALBUMIN CSF**,50.0,,7.16,45.0,50
CDM,95101813,Z*M-ALBUMIN CSF**,35.0,,7.16,45.0,68
CDM,95101814,ER Only-Z*M-GAMMAGLOBULIN IGG SERUM**,218.0,,7.88,196.2,50
CDM,95101814,Z*M-GAMMAGLOBULIN IGG SERUM**,152.5,,7.88,196.2,68
CDM,95101816,ER Only-Q-AMIODARONE,362.0,,17.15,325.8,50
CDM,95101816,Q-AMIODARONE,253.5,,17.15,325.8,68
CDM,95101818,ER Only-Z*M-GAMMAGLOBULIN IGG CSF**,218.0,,7.88,196.2,38
CDM,95101818,Z*M-GAMMAGLOBULIN IGG CSF**,152.5,,7.88,196.2,56
CDM,95101819,ER Only-Z*M-OLIGOCOLONAL BANDS CSF**,253.0,,20.02,227.7,50
CDM,95101819,Z*M-OLIGOCOLONAL BANDS CSF**,177.5,,20.02,227.7,68
CDM,95101830,ER Only-Q-ANTI-GBM ANTIBODY,460.0,,11.36,414.0,50
CDM,95101830,Q-ANTI-GBM ANTIBODY,322.0,,11.36,414.0,68
CDM,95101833,ER Only-Q-IMMUNOGLOBULIN SUBCLASSES*,47.0,,7.38,42.3,50
CDM,95101833,Q-IMMUNOGLOBULIN SUBCLASSES*,33.0,,7.38,42.3,68
CDM,95101834,ER Only-Q-GAMMAGLOBULIN IGG**,96.0,,7.88,86.4,38
CDM,95101834,Q-GAMMAGLOBULIN IGG**,67.5,,7.88,86.4,56
CDM,95101835,ER Only-Q-ANTI-SCLERODERMA AB (SCL-70),575.0,,12.19,517.5,50
CDM,95101835,Q-ANTI-SCLERODERMA AB (SCL-70),402.5,,12.19,517.5,68
CDM,95101836,ER Only-TRYPANOSOMA CRUZI AB TOTAL,341.0,,5.63,306.9,50
CDM,95101836,TRYPANOSOMA CRUZI AB TOTAL,239.0,,5.63,306.9,68
CDM,95101838,EJ (MAYOMARKER PANEL),45.5,,10.61,58.5,68
CDM,95101838,ER Only-EJ (MAYOMARKER PANEL),65.0,,10.61,58.5,50
CDM,95101839,ER Only-FIBRILLARIN (U3 RPN),65.0,,13.6,58.5,38
CDM,95101839,FIBRILLARIN (U3 RPN),45.5,,13.0,58.5,56
CDM,95101841,ER Only-KU (MAYOMARKER),65.0,,13.6,58.5,38
CDM,95101841,KU (MAYOMARKER),45.5,,13.0,58.5,56
CDM,95101842,ER Only-MI-2 (MAYOMARKER),65.0,,13.6,58.5,38
CDM,95101842,MI-2 (MAYOMARKER),45.5,,13.0,58.5,56
CDM,95101843,ER Only-OJ (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CDM,95101843,OJ (MAYOMARKER PANEL),45.5,,13.0,58.5,56
CDM,95101844,ER Only-PL-12 (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CDM,95101844,PL-12 (MAYOMARKER PANEL),45.5,,13.0,58.5,56
CDM,95101846,ER Only-PL-7 (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CDM,95101846,PL-7 (MAYOMARKER PANEL),45.5,,13.0,58.5,56
CDM,95101847,ER Only-SRP (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CDM,95101847,SRP (MAYOMARKER PANEL),45.5,,13.0,58.5,56
CDM,95101848,ER Only-U2 SNRNP (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CDM,95101848,U2 SNRNP (MAYOMARKER PANEL),45.5,,13.0,58.5,56
CDM,95101849,ER Only-MDA-5 (P140) (CADM-140),78.0,,11.36,70.2,50
CDM,95101849,MDA-5 (P140) (CADM-140),55.0,,11.36,70.2,68
CDM,95101851,"ER Only-HISTAMINE, BLOOD",387.0,,27.17,348.3,50
CDM,95101851,"HISTAMINE, BLOOD",271.0,,27.17,348.3,68
CDM,95101852,ER Only-Q-HISTAMINE URINE,387.0,,27.17,348.3,50
CDM,95101852,Q-HISTAMINE URINE,271.0,,27.17,348.3,68
CDM,95101853,ER Only-NXP-2 (P140)(MAYOMARKER PANEL),78.0,,11.36,70.2,38
CDM,95101853,NXP-2 (P140)(MAYOMARKER PANEL),55.0,,11.36,70.2,56
CDM,95101854,ER Only-TIF1 GAMMA (P155/140),78.0,,11.36,70.2,38
CDM,95101854,TIF1 GAMMA (P155/140),55.0,,11.36,70.2,56
CDM,95101856,ANTI-JO 1 AB(MAYOMARKER PANEL),92.5,,12.19,118.8,68
CDM,95101856,ER Only-ANTI-JO 1 AB(MAYOMARKER PANEL),132.0,,12.19,118.8,50
CDM,95101857,ANTI-PM/SCL AB (MAYOMARKER),92.5,,12.19,118.8,56
CDM,95101857,ER Only-ANTI-PM/SCL AB (MAYOMARKER),132.0,,12.19,118.8,38
CDM,95101858,"ANTI SS-A 52 KD A, IGG",92.5,,12.19,118.8,56
CDM,95101858,"ER Only-ANTI SS-A 52 KD A, IGG",132.0,,12.19,118.8,38
CDM,95101859,ANTI-U1_RNP AB (MAYOMARKER),92.5,,12.19,118.8,56
CDM,95101859,ER Only-ANTI-U1_RNP AB (MAYOMARKER),132.0,,12.19,118.8,38
CDM,95101862,"CALPROTECTIN, FECES",409.5,,18.06,526.5,68
CDM,95101862,"ER Only-CALPROTECTIN, FECES",585.0,,18.06,526.5,50
CDM,95101863,ER Only-Q-VALPROIC ACID FREE,197.0,,12.46,177.3,50
CDM,95101863,Q-VALPROIC ACID FREE,138.0,,12.46,177.3,68
CDM,95101864,ER Only-Q-BETA-2 MICROGLOBULIN URINE,246.0,,14.89,221.4,50
CDM,95101864,Q-BETA-2 MICROGLOBULIN URINE,172.5,,14.89,221.4,68
CDM,95101868,ER Only-Q-ABL KINASE DOMAIN MUT-BLOOD,1382.0,,276.0,1243.8,50
CDM,95101868,Q-ABL KINASE DOMAIN MUT-BLOOD,967.5,,276.0,1243.8,68
CDM,95101869,ER Only-Q-ABL KINASE DOMAIN MUT-BM,1382.0,,276.0,1243.8,50
CDM,95101869,Q-ABL KINASE DOMAIN MUT-BM,967.5,,276.0,1243.8,68
CDM,95101870,ER Only-MYCOPLASMA CULTURE,260.0,,6.73,234.0,51
CDM,95101870,MYCOPLASMA CULTURE,182.0,,6.73,234.0,69
CDM,95101871,ER Only-UREAPLASMA CULTURE,260.0,,6.73,234.0,51
CDM,95101871,UREAPLASMA CULTURE,182.0,,6.73,234.0,69
CDM,95101877,ER Only-YEAST SUSCEPT (FLUCONAZOLE)**,231.0,,5.68,400.0,51
CDM,95101877,YEAST SUSCEPT (FLUCONAZOLE)**,162.0,,5.68,400.0,69
CDM,95101878,ER Only-YEAST SUSCEPT (MICAFUNGIN)**,231.0,,5.68,400.0,51
CDM,95101878,YEAST SUSCEPT (MICAFUNGIN)**,162.0,,5.68,400.0,69
CDM,95101879,ER Only-YEAST SUSCEPT (VORICONAZOLE)**,231.0,,5.68,400.0,39
CDM,95101879,YEAST SUSCEPT (VORICONAZOLE)**,162.0,,5.68,400.0,57
CDM,95101882,ER Only-ONC AML DNA GNTYP INT TANDEM,1574.0,,228.63,1416.6,50
CDM,95101882,ONC AML DNA GNTYP INT TANDEM,1102.0,,228.63,1416.6,68
CDM,95101884,ER Only-UNIVERSAL FUSION EXPRESSION PF,6081.0,,2686.03,6319.47,50
CDM,95101884,UNIVERSAL FUSION EXPRESSION PF,4257.0,,1216.5,6319.47,68
CDM,95101888,ER Only-INF NUC ACID VIR 12-25 TARG**,1076.0,,299.88,968.4,50
CDM,95101888,INF NUC ACID VIR 12-25 TARG**,753.5,,215.5,968.4,68
CDM,95101899,COLLAGEN TYPE I C-TELOPEPTIDE,153.5,,17.19,197.1,68
CDM,95101899,ER Only-COLLAGEN TYPE I C-TELOPEPTIDE,219.0,,17.19,197.1,50
CDM,95101901,ADAMTS13 ACTIVITY,613.5,,28.39,788.4,68
CDM,95101901,ER Only-ADAMTS13 ACTIVITY,876.0,,28.39,788.4,50
CDM,95101902,ADAMTS13 INHIBITOR,409.5,,11.33,526.5,68
CDM,95101902,ER Only-ADAMTS13 INHIBITOR,585.0,,11.33,526.5,50
CDM,95101904,ENTEROVIRUS,451.5,,17.57,580.5,68
CDM,95101904,ER Only-ENTEROVIRUS,645.0,,17.57,580.5,50
CDM,95101907,ADALIMUMAB ACTIVITY-LABCORP,605.5,,23.14,778.5,68
CDM,95101907,ER Only-ADALIMUMAB ACTIVITY-LABCORP,865.0,,23.14,778.5,50
CDM,95101908,ADALIMUMAB AB-LABCORP,605.5,,3.34,778.5,56
CDM,95101908,ER Only-ADALIMUMAB AB-LABCORP,865.0,,3.34,778.5,38
CDM,95101909,ER Only-INFLIXIMAB ACTIVITY,640.0,,15.42,576.0,50
CDM,95101909,INFLIXIMAB ACTIVITY,448.0,,15.42,576.0,68
CDM,95101912,ER Only-INFLIZIMAB AB,640.0,,3.34,576.0,38
CDM,95101912,INFLIZIMAB AB,448.0,,3.34,576.0,56
CDM,95101913,AMYLASE BODY FLUID-LABCORP,169.0,,4.55,216.9,68
CDM,95101913,ER Only-AMYLASE BODY FLUID-LABCORP,241.0,,4.55,216.9,50
CDM,95101914,ER Only-PROTEIN TOTAL BODY FLD (ARUP),148.0,,3.68,133.2,50
CDM,95101914,PROTEIN TOTAL BODY FLD (ARUP),104.0,,3.68,133.2,68
CDM,95101919,ER Only-GLUCOSE BODY FLUID,89.0,,3.62,80.1,50
CDM,95101919,GLUCOSE BODY FLUID,62.5,,3.62,80.1,68
CDM,95101921,DRUG TEST DEFIN 22+ CLASSES,855.5,,227.17,1099.8,68
CDM,95101921,ER Only-DRUG TEST DEFIN 22+ CLASSES,1222.0,,227.17,1099.8,50
CDM,95101922,ER Only-Q-MUSK ANTIBODY TEST,1996.0,,16.93,1796.4,50
CDM,95101922,Q-MUSK ANTIBODY TEST,1397.5,,16.93,1796.4,68
CDM,95101926,ER Only-STREP PNEUMO 23 AB ARUP INIT**,308.0,,60.37,277.2,38
CDM,95101926,STREP PNEUMO 23 AB ARUP INIT**,215.5,,24.11,277.2,56
CDM,95101944,ER Only-Q-TROPONIN T,219.0,,10.69,197.1,50
CDM,95101944,Q-TROPONIN T,153.5,,10.69,197.1,68
CDM,95101947,ER Only-Q-COPEPTIN,301.0,,11.09,270.9,50
CDM,95101947,Q-COPEPTIN,211.0,,11.09,270.9,68
CDM,95101948,ER Only-SERUM DRUG SCREENS,332.0,,57.17,298.8,50
CDM,95101948,SERUM DRUG SCREENS,232.5,,57.17,298.8,68
CDM,95101949,ER Only-SERUM DRUG SCREENS CONFIRM,431.0,,45.78,387.9,50
CDM,95101949,SERUM DRUG SCREENS CONFIRM,302.0,,45.78,387.9,68
CDM,95101954,ER Only-M-KAPPA FREE LIGHT CHAIN CSF**,580.0,,15.89,522.0,50
CDM,95101954,M-KAPPA FREE LIGHT CHAIN CSF**,406.0,,15.89,522.0,68
CDM,95101958,ER Only-M-OLIGOCOLONAL BAND SERUM**,128.0,,20.02,115.2,50
CDM,95101958,M-OLIGOCOLONAL BAND SERUM**,89.5,,20.02,115.2,68
CDM,95101959,ER Only-M-OLIGOCOLONAL BAND CSF**,128.0,,20.02,115.2,50
CDM,95101959,M-OLIGOCOLONAL BAND CSF**,89.5,,20.02,115.2,68
CDM,95101972,ER Only-FENTANYL AND NORFENTANYL?,406.0,,45.78,365.4,50
CDM,95101972,FENTANYL AND NORFENTANYL?,284.5,,45.78,365.4,68
CDM,95101984,ER Only-Q-DEB FANCONI ANEM CHROM ANYL,293.0,,44.01,263.7,50
CDM,95101984,Q-DEB FANCONI ANEM CHROM ANYL,205.0,,44.01,263.7,68
CDM,95101986,CHLYMD PNEUM DNA AMP PROBE**,184.0,,32.28,236.7,68
CDM,95101986,ER Only-CHLYMD PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,50
CDM,95101987,ER Only-MYCOPL PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,51
CDM,95101987,MYCOPL PNEUM DNA AMP PROBE**,184.0,,32.28,236.7,69
CDM,95101989,ER Only-MANNAN-BINDING LECTIN,645.0,,5.61,580.5,50
CDM,95101989,MANNAN-BINDING LECTIN,451.5,,5.61,580.5,68
CDM,95101992,ER Only-Q-C. TRACHOMATIS UROGENITAL**,241.0,,32.28,216.9,50
CDM,95101992,Q-C. TRACHOMATIS UROGENITAL**,169.0,,32.28,216.9,68
CDM,95101993,ER Only-Q-N. GONORRHOEAE UROGENITAL**,241.0,,23.29,216.9,50
CDM,95101993,Q-N. GONORRHOEAE UROGENITAL**,169.0,,23.29,216.9,68
CDM,95101997,ER Only-M-CHROMOGRANIN A,269.0,,15.88,242.1,50
CDM,95101997,M-CHROMOGRANIN A,188.5,,15.88,242.1,68
CDM,95102001,ER Only-Q-RUBEOLA ANTIBODY IGG,271.0,,5.65,243.9,50
CDM,95102001,Q-RUBEOLA ANTIBODY IGG,190.0,,5.65,243.9,68
CDM,95102002,ER Only-Q-EIA QL HISTOPLASMA ANTIGEN,537.0,,12.19,483.3,50
CDM,95102002,Q-EIA QL HISTOPLASMA ANTIGEN,376.0,,12.19,483.3,68
CDM,95102003,ER Only-Q-RUBEOLA ANTIBODY IGM,506.0,,5.65,455.4,50
CDM,95102003,Q-RUBEOLA ANTIBODY IGM,354.5,,5.65,455.4,68
CDM,95102005,ER Only-Q-IMMUNOASSAY QN TRYPTASE,276.0,,11.36,248.4,50
CDM,95102005,Q-IMMUNOASSAY QN TRYPTASE,193.5,,11.36,248.4,68
CDM,95102006,ER Only-Q-RECEPTOR ASSAY TRANSFERRIN,693.0,,33.64,623.7,50
CDM,95102006,Q-RECEPTOR ASSAY TRANSFERRIN,485.5,,33.64,623.7,68
CDM,95102007,ER Only-Q-ZONISAMIDE,298.0,,12.19,268.2,50
CDM,95102007,Q-ZONISAMIDE,208.5,,12.19,268.2,68
CDM,95102008,ER Only-Q-FACTOR XIII FUNCTIONAL,868.0,,7.72,781.2,50
CDM,95102008,Q-FACTOR XIII FUNCTIONAL,607.5,,7.72,781.2,68
CDM,95102009,ER Only-Q-ACHR BLOCKING AB,298.0,,16.93,268.2,50
CDM,95102009,Q-ACHR BLOCKING AB,208.5,,16.93,268.2,68
CDM,95102011,ER Only-Q-BRUCELLA ANTIBODY IGG**,205.0,,5.55,184.5,50
CDM,95102011,Q-BRUCELLA ANTIBODY IGG**,143.5,,5.55,184.5,68
CDM,95102012,ER Only-Q-BRUCELLA ANTIBODY IGM**,205.0,,5.55,184.5,50
CDM,95102012,Q-BRUCELLA ANTIBODY IGM**,143.5,,5.55,184.5,68
CDM,95102013,ER Only-Q-SOMATOMEDIN,224.0,,3.45,201.6,50
CDM,95102013,Q-SOMATOMEDIN,157.0,,3.45,201.6,68
CDM,95102014,ER Only-Q-ANDROSTENEDIONE,285.0,,26.94,256.5,50
CDM,95102014,Q-ANDROSTENEDIONE,199.5,,26.94,256.5,68
CDM,95102017,ER Only-Q-RICKETTSIA AB IGG**,241.0,,5.62,216.9,50
CDM,95102017,Q-RICKETTSIA AB IGG**,169.0,,5.62,216.9,68
CDM,95102018,ER Only-Q-RICKETTSIA AB IGM**,241.0,,5.62,216.9,50
CDM,95102018,Q-RICKETTSIA AB IGM**,169.0,,5.62,216.9,68
CDM,95102020,ER Only-Q-RNA POLYMERASE III AB,357.0,,11.36,321.3,50
CDM,95102020,Q-RNA POLYMERASE III AB,250.0,,11.36,321.3,68
CDM,95102023,ER Only-Q-BLASTOMYCES QNT AG EIA,556.0,,11.02,500.4,50
CDM,95102023,Q-BLASTOMYCES QNT AG EIA,389.5,,11.02,500.4,68
CDM,95102024,ER Only-Q-DEXAMETHASONE,221.0,,11.13,198.9,50
CDM,95102024,Q-DEXAMETHASONE,155.0,,11.13,198.9,68
CDM,95102026,ER Only-Q-BARTONELLA AB IGG**,168.0,,8.47,151.2,50
CDM,95102026,Q-BARTONELLA AB IGG**,117.5,,8.47,151.2,68
CDM,95102027,ER Only-Q-BARTONELLA AB IGM**,168.0,,8.47,151.2,38
CDM,95102027,Q-BARTONELLA AB IGM**,117.5,,8.47,151.2,56
CDM,95102029,ER Only-Q-COCCIDIOIDES AB CF**,222.0,,5.54,199.8,50
CDM,95102029,Q-COCCIDIOIDES AB CF**,155.5,,5.54,199.8,68
CDM,95102030,ER Only-Q-COCCIDIOIDES AB ID**,222.0,,5.54,199.8,38
CDM,95102030,Q-COCCIDIOIDES AB ID**,155.5,,5.54,199.8,56
CDM,95102031,ER Only-Q-COLD AGGLUTININ TITER,166.0,,4.46,149.4,50
CDM,95102031,Q-COLD AGGLUTININ TITER,116.5,,4.46,149.4,68
CDM,95102035,ER Only-Q-EHRLICHIA AB IGG**,222.0,,8.42,199.8,50
CDM,95102035,Q-EHRLICHIA AB IGG**,155.5,,8.42,199.8,68
CDM,95102036,ER Only-Q-EHRLICHIA AB IGM**,222.0,,8.42,199.8,38
CDM,95102036,Q-EHRLICHIA AB IGM**,155.5,,8.42,199.8,56
CDM,95102038,ER Only-Z*Q-CHLORIDE STOOL**,88.0,,2.38,79.2,50
CDM,95102038,Z*Q-CHLORIDE STOOL**,61.5,,2.38,79.2,68
CDM,95102039,ER Only-Z*Q-SODIUM STOOL**,110.0,,4.47,99.0,50
CDM,95102039,Z*Q-SODIUM STOOL**,77.0,,4.47,99.0,68
CDM,95102040,ER Only-Z*Q-SPECTROPHOTOMETRY**,88.0,,3.37,79.2,50
CDM,95102040,Z*Q-SPECTROPHOTOMETRY**,61.5,,3.37,79.2,68
CDM,95102041,ER Only-Q-AGGLUTININS FEBRILE FRANCIS,389.0,,5.68,350.1,50
CDM,95102041,Q-AGGLUTININS FEBRILE FRANCIS,272.5,,5.68,350.1,68
CDM,95102043,ER Only-Q-AMINO ACIDS6+ ACIDS PLASMA,414.0,,15.52,372.6,50
CDM,95102043,Q-AMINO ACIDS6+ ACIDS PLASMA,290.0,,15.52,372.6,68
CDM,95102045,ER Only-Z*Q-CHLAMYDIA ANTIBODY**,129.0,,5.55,116.1,50
CDM,95102045,Z*Q-CHLAMYDIA ANTIBODY**,90.5,,5.55,116.1,68
CDM,95102046,ER Only-Z*Q-CHLAMYDIA ANTIBODY IGM**,129.0,,5.56,116.1,50
CDM,95102046,Z*Q-CHLAMYDIA ANTIBODY IGM**,90.5,,5.56,116.1,68
CDM,95102048,ER Only-Q-IMMUNO QL/SQ GLIADIN IGA**,361.0,,11.09,324.9,50
CDM,95102048,Q-IMMUNO QL/SQ GLIADIN IGA**,253.0,,11.09,324.9,68
CDM,95102049,ER Only-Q-IMMUNO QL/SQ GLIADIN IGG**,361.0,,17.3,324.9,38
CDM,95102049,Q-IMMUNO QL/SQ GLIADIN IGG**,253.0,,17.3,324.9,56
CDM,95102053,ER Only-Q-MICROSOMAL AB LIVER-KIDNEY,377.0,,13.39,339.3,50
CDM,95102053,Q-MICROSOMAL AB LIVER-KIDNEY,264.0,,13.39,339.3,68
CDM,95102063,ER Only-Q-VIRUS ID TISSUE HERPES**,418.0,,17.75,376.2,50
CDM,95102063,Q-VIRUS ID TISSUE HERPES**,292.5,,17.75,376.2,68
CDM,95102064,ER Only-Q-CULT VIRUS ID ADDL STUDIES,418.0,,18.58,376.2,50
CDM,95102064,Q-CULT VIRUS ID ADDL STUDIES,292.5,,18.58,376.2,68
CDM,95102066,ER Only-Q-ADENOSINE DEAMINASE PLEU FLD,312.0,,3.37,280.8,50
CDM,95102066,Q-ADENOSINE DEAMINASE PLEU FLD,218.5,,3.37,280.8,68
CDM,95102072,ER Only-Q-ENCEPHALITIS CALIF AB IGG*,67.0,,5.58,60.3,50
CDM,95102072,Q-ENCEPHALITIS CALIF AB IGG*,47.0,,5.58,60.3,68
CDM,95102073,ER Only-Q-ENCEPHALITIS CALIF AB IGM*,67.0,,5.58,60.3,38
CDM,95102073,Q-ENCEPHALITIS CALIF AB IGM*,47.0,,5.58,60.3,56
CDM,95102074,ER Only-Q-ENCEPHAL E. EQUINE AB IGG*,81.0,,5.59,72.9,50
CDM,95102074,Q-ENCEPHAL E. EQUINE AB IGG*,57.0,,5.59,72.9,68
CDM,95102075,ER Only-Q-ENCEPHAL E. EQUINE AB IGM*,81.0,,5.59,72.9,38
CDM,95102075,Q-ENCEPHAL E. EQUINE AB IGM*,57.0,,5.59,72.9,56
CDM,95102076,ER Only-Q-ENCEPHAL ST LOUIS AB IGG**,81.0,,5.6,72.9,50
CDM,95102076,Q-ENCEPHAL ST LOUIS AB IGG**,57.0,,5.6,72.9,68
CDM,95102077,ER Only-Q-ENCEPHAL ST LOUIS AB IGM**,81.0,,5.6,72.9,38
CDM,95102077,Q-ENCEPHAL ST LOUIS AB IGM**,57.0,,5.6,72.9,56
CDM,95102078,ER Only-Q-ENCEPHAL WESTERN EQ AB IGG,81.0,,5.61,72.9,50
CDM,95102078,Q-ENCEPHAL WESTERN EQ AB IGG,57.0,,5.61,72.9,68
CDM,95102079,ER Only-Q-ENCEPHAL WESTERN EQ AB IGM,81.0,,5.61,72.9,38
CDM,95102079,Q-ENCEPHAL WESTERN EQ AB IGM,57.0,,5.61,72.9,56
CDM,95102081,ER Only-Q-ENCEPHALITIS CALIFORNIA AB,67.0,,5.58,60.3,50
CDM,95102081,Q-ENCEPHALITIS CALIFORNIA AB,47.0,,5.58,60.3,68
CDM,95102082,ER Only-Q-ENCEPHAL EAST EQUINE AB**,81.0,,5.59,72.9,50
CDM,95102082,Q-ENCEPHAL EAST EQUINE AB**,57.0,,5.59,72.9,68
CDM,95102083,ER Only-Q-ENCEPHAL ST LOUIS AB**,81.0,,5.6,72.9,50
CDM,95102083,Q-ENCEPHAL ST LOUIS AB**,57.0,,5.6,72.9,68
CDM,95102084,ER Only-Q-ENCEPHAL WESTERN EQUINE AB,81.0,,5.61,72.9,50
CDM,95102084,Q-ENCEPHAL WESTERN EQUINE AB,57.0,,5.61,72.9,68
CDM,95102088,ER Only-Z*Q-ASPERGILLUS FLAVUS AB**,168.0,,5.7,151.2,50
CDM,95102088,Z*Q-ASPERGILLUS FLAVUS AB**,117.5,,5.7,151.2,68
CDM,95102089,ER Only-Z*Q-ASPERGILLUS FUMIGATUS AB**,168.0,,5.7,151.2,38
CDM,95102089,Z*Q-ASPERGILLUS FUMIGATUS AB**,117.5,,5.7,151.2,56
CDM,95102090,ER Only-Z*Q-ASPERGILLUS NIGER AB**,168.0,,5.7,151.2,38
CDM,95102090,Z*Q-ASPERGILLUS NIGER AB**,117.5,,5.7,151.2,56
CDM,95102093,ER Only-Q-BORDETELLA PERTUSIS AB IGA,363.0,,5.53,326.7,50
CDM,95102093,Q-BORDETELLA PERTUSIS AB IGA,254.5,,5.53,326.7,68
CDM,95102094,ER Only-Q-BORDETELLA PERTUSIS AB IGG,363.0,,5.53,326.7,38
CDM,95102094,Q-BORDETELLA PERTUSIS AB IGG,254.5,,5.53,326.7,56
CDM,95102095,ER Only-Q-BORDETELLA PERTUSIS AB IGM,363.0,,5.53,326.7,38
CDM,95102095,Q-BORDETELLA PERTUSIS AB IGM,254.5,,5.53,326.7,56
CDM,95102097,ER Only-Q-BARTONELLA HENSELAE AB IGG,141.0,,8.47,126.9,50
CDM,95102097,Q-BARTONELLA HENSELAE AB IGG,99.0,,8.47,126.9,68
CDM,95102098,ER Only-Q-BARTONELLA QUINTANA AB IGG,141.0,,8.47,126.9,38
CDM,95102098,Q-BARTONELLA QUINTANA AB IGG,99.0,,8.47,126.9,56
CDM,95102099,ER Only-Q-BARTONELLA HENSELAE AB IGM,141.0,,8.47,126.9,38
CDM,95102099,Q-BARTONELLA HENSELAE AB IGM,99.0,,8.47,126.9,56
CDM,95102100,ER Only-Q-BARTONELLA QUINTANA AB IGM,141.0,,8.47,126.9,38
CDM,95102100,Q-BARTONELLA QUINTANA AB IGM,99.0,,8.47,126.9,56
CDM,95102101,ER Only-Q-BETA 2 GLYCOPROTEIN I AB IGG,250.0,,23.41,225.0,50
CDM,95102101,Q-BETA 2 GLYCOPROTEIN I AB IGG,175.0,,23.41,225.0,68
CDM,95102102,ER Only-Q-BETA 2 GLYCOPROTEIN I AB IGM,250.0,,23.41,225.0,50
CDM,95102102,Q-BETA 2 GLYCOPROTEIN I AB IGM,175.0,,23.41,225.0,68
CDM,95102106,ER Only-Q-C1 INHIBITOR PROTEIN,253.0,,5.59,227.7,50
CDM,95102106,Q-C1 INHIBITOR PROTEIN,177.5,,5.59,227.7,68
CDM,95102109,ER Only-Z*Q-CATECHOLAMINES FX UR**,428.0,,23.23,385.2,50
CDM,95102109,Z*Q-CATECHOLAMINES FX UR**,299.5,,23.23,385.2,68
CDM,95102110,ER Only-Z*Q-CREATININE RANDOM URINE**,54.0,,3.35,48.6,50
CDM,95102110,Z*Q-CREATININE RANDOM URINE**,38.0,,3.35,48.6,68
CDM,95102113,ER Only-Z*Q-CHOLINESTERASE PLASMA**,129.0,,5.69,116.1,50
CDM,95102113,Z*Q-CHOLINESTERASE PLASMA**,90.5,,5.69,116.1,68
CDM,95102114,ER Only-Z*Q-CHOLINESTERASE RBC**,124.0,,5.6,111.6,50
CDM,95102114,Z*Q-CHOLINESTERASE RBC**,87.0,,5.6,111.6,68
CDM,95102115,ER Only-Q-CHROMIUM SERUM,270.0,,4.6,243.0,50
CDM,95102115,Q-CHROMIUM SERUM,189.0,,4.6,243.0,68
CDM,95102118,ER Only-Q-CHROM ANLYS BREAKAGE**,930.0,,96.78,837.0,50
CDM,95102118,Q-CHROM ANLYS BREAKAGE**,651.0,,96.78,837.0,68
CDM,95102134,ER Only-Q-COCCIDIOIDES ANTIBODY**,215.0,,5.54,193.5,50
CDM,95102134,Q-COCCIDIOIDES ANTIBODY**,150.5,,5.54,193.5,68
CDM,95102139,ER Only-Q-(1-3)-BETA-D-GLUCAN ASSAY,865.0,,11.02,778.5,50
CDM,95102139,Q-(1-3)-BETA-D-GLUCAN ASSAY,605.5,,11.02,778.5,68
CDM,95102148,ER Only-Q-GLIADIN AB IGG**,441.0,,11.09,396.9,50
CDM,95102148,Q-GLIADIN AB IGG**,309.0,,11.09,396.9,68
CDM,95102149,ER Only-Q-GLIADIN AB IGA**,441.0,,17.3,396.9,38
CDM,95102149,Q-GLIADIN AB IGA**,309.0,,17.3,396.9,56
CDM,95102150,ER Only-Q-HERPESVIRUS 6 DNA QNT RT PCR,777.0,,38.42,699.3,50
CDM,95102150,Q-HERPESVIRUS 6 DNA QNT RT PCR,544.0,,38.42,699.3,68
CDM,95102166,ER Only-M-CORTISOL FREE URINE**,118.0,,11.01,106.2,50
CDM,95102166,M-CORTISOL FREE URINE**,83.0,,11.01,106.2,68
CDM,95102167,ER Only-M-MASS SPECTOMETRY QN**,124.0,,15.93,111.6,50
CDM,95102167,M-MASS SPECTOMETRY QN**,87.0,,15.93,111.6,68
CDM,95102168,ER Only-VORICONAZOLE LC-MS/MS,370.0,,24.94,333.0,50
CDM,95102168,VORICONAZOLE LC-MS/MS,259.0,,24.94,333.0,68
CDM,95102175,ER Only-Q-ANALY GENE HFE COMMON VAR*,726.0,,60.13,653.4,50
CDM,95102175,Q-ANALY GENE HFE COMMON VAR*,508.5,,60.13,653.4,68
CDM,95102184,CNS DEMYELINATING DZ EVAL. S1,795.5,,18.07,1022.4,68
CDM,95102184,ER Only-CNS DEMYELINATING DZ EVAL. S1,1136.0,,18.07,1022.4,50
CDM,95102185,CNS DEMYELINATING DZ EVAL. S2,795.5,,18.07,1022.4,68
CDM,95102185,ER Only-CNS DEMYELINATING DZ EVAL. S2,1136.0,,18.07,1022.4,50
CDM,95102190,"ER Only-MOG FACS, S",1766.0,,18.07,1589.4,50
CDM,95102190,"MOG FACS, S",1236.5,,18.07,1589.4,68
CDM,95102191,"ER Only-MOG FACS TITER, S",385.0,,18.07,346.5,50
CDM,95102191,"MOG FACS TITER, S",269.5,,18.07,346.5,68
CDM,95102224,AMINO ACIDS 6+ ACIDS QN**,667.5,,15.52,857.7,68
CDM,95102224,ER Only-AMINO ACIDS 6+ ACIDS QN**,953.0,,15.52,857.7,50
CDM,95102225,CREATININE OTHER SOURCE**,201.5,,3.35,259.2,68
CDM,95102225,ER Only-CREATININE OTHER SOURCE**,288.0,,3.35,259.2,50
CDM,95102226,AMINO ACID ANALYSIS (PLASMA),807.0,,15.52,1037.7,68
CDM,95102226,ER Only-AMINO ACID ANALYSIS (PLASMA),1153.0,,15.52,1037.7,50
CDM,95102227,AMINO ACID ANALYSIS (CSF),807.0,,15.52,1037.7,68
CDM,95102227,ER Only-AMINO ACID ANALYSIS (CSF),1153.0,,15.52,1037.7,50
CDM,95102229,CREATININE OTHER SOURCE***,59.0,,3.35,75.6,68
CDM,95102229,ER Only-CREATININE OTHER SOURCE***,84.0,,3.35,75.6,50
CDM,95102230,ER Only-ORGANIC ACIDS TOTAL QN**,340.0,,19.1,306.0,50
CDM,95102230,ORGANIC ACIDS TOTAL QN**,238.0,,19.1,306.0,68
CDM,95102231,ER Only-ORGANIC ACIDS QL**,265.0,,15.13,238.5,50
CDM,95102231,ORGANIC ACIDS QL**,185.5,,15.13,238.5,68
CDM,95102232,CROMATOGR/SPECT QL/QN**,241.5,,22.16,310.5,68
CDM,95102232,ER Only-CROMATOGR/SPECT QL/QN**,345.0,,22.16,310.5,50
CDM,95102233,ER Only-FREE ESTRIFIED CARNITINE ANAL,845.0,,15.52,760.5,50
CDM,95102233,FREE ESTRIFIED CARNITINE ANAL,591.5,,15.52,760.5,68
CDM,95102267,COVID-19 BY PCR (BAL OR CSF),257.5,,30.6,331.2,70
CDM,95102267,ER Only-COVID-19 BY PCR (BAL OR CSF),368.0,,30.6,331.2,52
CDM,95102335,ER Only-Q-HERPES VIRUS 8 DNA QUANT PCR,664.0,,39.41,597.6,50
CDM,95102335,Q-HERPES VIRUS 8 DNA QUANT PCR,465.0,,39.41,597.6,68
CDM,95105001,ER Only-Q-CN-1A ANTIBODY IGG,844.0,,10.61,759.6,50
CDM,95105001,Q-CN-1A ANTIBODY IGG,591.0,,10.61,759.6,68
CDM,95105062,EIA HISTOPLASMA ANTIGEN QL/SQ,259.0,,12.19,333.0,68
CDM,95105062,ER Only-EIA HISTOPLASMA ANTIGEN QL/SQ,370.0,,12.19,333.0,50
CDM,95105063,ER Only-POSACONAZOLE-VIRACOR,423.0,,24.94,380.7,50
CDM,95105063,POSACONAZOLE-VIRACOR,296.0,,24.94,380.7,68
CDM,95105064,+M-VEDOLIZUMAB ACTIVITY,533.5,,23.14,685.8,68
CDM,95105064,ER Only-+M-VEDOLIZUMAB ACTIVITY,762.0,,23.14,685.8,50
CDM,95105065,ER Only-M-VEDOLIZUMAB AB**,348.0,,3.34,313.2,50
CDM,95105065,M-VEDOLIZUMAB AB**,243.5,,3.34,313.2,68
CDM,95105066,CMV QUANT BY NUCLEIC ACID,201.5,,39.41,259.2,68
CDM,95105066,ER Only-CMV QUANT BY NUCLEIC ACID,288.0,,39.41,259.2,50
CDM,95105069,ER Only-Q-COVID-19 PCR,368.0,,30.6,331.2,52
CDM,95105069,Q-COVID-19 PCR,257.5,,30.6,331.2,70
CDM,95105102,ER Only-TISSUE CULT AMNIOTIC/CHORIONIC,1793.0,,52.8,1613.7,50
CDM,95105102,TISSUE CULT AMNIOTIC/CHORIONIC,1255.5,,52.8,1613.7,68
CDM,95105123,ER Only-M-ACTH,554.0,,33.53,498.6,50
CDM,95105123,M-ACTH,388.0,,33.53,498.6,68
CDM,95105124,ER Only-Q-C. TRACHOMATIS RECTAL SWAB**,241.0,,32.28,216.9,50
CDM,95105124,Q-C. TRACHOMATIS RECTAL SWAB**,169.0,,32.28,216.9,68
CDM,95105125,ER Only-Q-N. GONORRHOEAE RECTAL SWAB**,241.0,,23.29,216.9,50
CDM,95105125,Q-N. GONORRHOEAE RECTAL SWAB**,169.0,,23.29,216.9,68
CDM,95105126,ER Only-Q-TRICHOMONAS VAGINALIS RNA QL,460.0,,18.4,414.0,50
CDM,95105126,Q-TRICHOMONAS VAGINALIS RNA QL,322.0,,18.4,414.0,68
CDM,95105127,ER Only-Q-TRICHOMONAS VAGINALIS-MALE,460.0,,18.4,414.0,50
CDM,95105127,Q-TRICHOMONAS VAGINALIS-MALE,322.0,,18.4,414.0,68
CDM,95105135,ER Only-Q-CATECHOLAMINE- FRACT (URINE),428.0,,23.23,385.2,50
CDM,95105135,Q-CATECHOLAMINE- FRACT (URINE),299.5,,23.23,385.2,68
CDM,95105136,ER Only-Q-CATECHOLAMINE- FRACT (PL),428.0,,23.23,385.2,50
CDM,95105136,Q-CATECHOLAMINE- FRACT (PL),299.5,,23.23,385.2,68
CDM,95105152,CALCULUS- QUALITATIVE ANALYSIS,169.5,,8.87,217.8,68
CDM,95105152,ER Only-CALCULUS- QUALITATIVE ANALYSIS,242.0,,8.87,217.8,50
CDM,95105153,CALCULUS- INFRARED SPECTROSCPY,187.0,,8.89,240.3,68
CDM,95105153,ER Only-CALCULUS- INFRARED SPECTROSCPY,267.0,,8.89,240.3,50
CDM,95105174,ER Only-M-PORPHOBILINOGEN PLASMA,730.0,,22.16,657.0,50
CDM,95105174,M-PORPHOBILINOGEN PLASMA,511.0,,22.16,657.0,68
CDM,95105176,ER Only-M-AMINOLEVULINIC ACID PLASMA,544.0,,6.56,489.6,50
CDM,95105176,M-AMINOLEVULINIC ACID PLASMA,381.0,,6.56,489.6,68
CDM,95105178,ER Only-Q-RAST ALLERGEN IGE QN SQ EA**,35.0,,4.59,31.5,50
CDM,95105178,Q-RAST ALLERGEN IGE QN SQ EA**,24.5,,4.59,31.5,68
CDM,95105179,ER Only-Q-IMMUNOGLOBULIN IGE**,107.0,,7.31,96.3,50
CDM,95105179,Q-IMMUNOGLOBULIN IGE**,75.0,,7.31,96.3,68
CDM,95105181,ER Only-Q-LYME DZ AB (IGG) IBL (CSF),375.0,,5.73,337.5,50
CDM,95105181,Q-LYME DZ AB (IGG) IBL (CSF),262.5,,5.73,337.5,68
CDM,95105182,ER Only-M-METHOTREX POST GLUCARPIDASE,917.0,,35.48,825.3,50
CDM,95105182,M-METHOTREX POST GLUCARPIDASE,642.0,,35.48,825.3,68
CDM,95105183,ER Only-M-ALPHA-GALACTOSIDASE SERUM,468.0,,20.4,421.2,50
CDM,95105183,M-ALPHA-GALACTOSIDASE SERUM,328.0,,20.4,421.2,68
CDM,95105184,ER Only-M-CLOBAZAM AND METABOLITE SER,411.0,,45.78,369.9,50
CDM,95105184,M-CLOBAZAM AND METABOLITE SER,288.0,,45.78,369.9,68
CDM,95105185,ER Only-Q-TOPIRAMATE,318.0,,10.23,286.2,50
CDM,95105185,Q-TOPIRAMATE,222.5,,10.23,286.2,68
CDM,95105186,ER Only-M-HYPOGLYCEMIC AGENT SCREEN S,426.0,,57.17,383.4,50
CDM,95105186,M-HYPOGLYCEMIC AGENT SCREEN S,298.5,,57.17,383.4,68
CDM,95105187,ER Only-M-HMG-COA REDUCTASE AB SERUM,799.0,,3.34,719.1,50
CDM,95105187,M-HMG-COA REDUCTASE AB SERUM,559.5,,3.34,719.1,68
CDM,95105189,ER Only-M-USTEKINUMAB QN SERUM**,491.0,,11.13,441.9,50
CDM,95105189,M-USTEKINUMAB QN SERUM**,344.0,,11.13,441.9,68
CDM,95105191,ER Only-M-USTEKINUMAB AB SERUM**,491.0,,11.36,441.9,50
CDM,95105191,M-USTEKINUMAB AB SERUM**,344.0,,11.36,441.9,68
CDM,95105193,ER Only-M-PHOSPHOLIP A2 RECEPT IFA,655.0,,11.09,589.5,50
CDM,95105193,M-PHOSPHOLIP A2 RECEPT IFA,458.5,,11.09,589.5,68
CDM,95105194,ER Only-M-PHOSPHOLIP A2 RECEPT ELISA,940.0,,11.36,846.0,50
CDM,95105194,M-PHOSPHOLIP A2 RECEPT ELISA,658.0,,11.36,846.0,68
CDM,95105197,DRUG TEST(S) PRESUMPTIVE**,143.5,,41.0,184.5,68
CDM,95105197,ER Only-DRUG TEST(S) PRESUMPTIVE**,205.0,,57.17,184.5,50
CDM,95105198,DRUG TEST(S) DEFINITIVE**,360.5,,103.0,463.5,68
CDM,95105198,ER Only-DRUG TEST(S) DEFINITIVE**,515.0,,144.06,463.5,50
CDM,95105201,ER Only-M-ACH RECEPTOR (MUSC) BIND AB*,351.0,,16.93,315.9,50
CDM,95105201,M-ACH RECEPTOR (MUSC) BIND AB*,246.0,,16.93,315.9,68
CDM,95105202,ER Only-M-P/Q-TYPE CALCIUM CHANNEL AB*,351.0,,11.09,315.9,50
CDM,95105202,M-P/Q-TYPE CALCIUM CHANNEL AB*,246.0,,11.09,315.9,68
CDM,95105203,ER Only-M-ACHR MODULATE FLOW CYTOMETRY,375.0,,11.09,337.5,50
CDM,95105203,M-ACHR MODULATE FLOW CYTOMETRY,262.5,,11.09,337.5,68
CDM,95105204,ER Only-M-MUSK AUTOANTIBODY SERUM,2136.0,,16.93,1922.4,50
CDM,95105204,M-MUSK AUTOANTIBODY SERUM,1495.5,,16.93,1922.4,68
CDM,95105205,ER Only-Q-HEPATITIS B VIRAL DNA,811.0,,39.41,729.9,50
CDM,95105205,Q-HEPATITIS B VIRAL DNA,568.0,,39.41,729.9,68
CDM,95105206,ER Only-Q-ZINC TRANSPORTER 8 (ZNT8) AB,344.0,,12.53,309.6,50
CDM,95105206,Q-ZINC TRANSPORTER 8 (ZNT8) AB,241.0,,12.53,309.6,68
CDM,95105207,ER Only-Q-TP53 SOMATIC MUTATION,3217.0,,303.15,2895.3,50
CDM,95105207,Q-TP53 SOMATIC MUTATION,2252.0,,303.15,2895.3,68
CDM,95105208,ER Only-Q-PROCOLLAGEN TYPE 1 INTACT N,542.0,,7.92,487.8,50
CDM,95105208,Q-PROCOLLAGEN TYPE 1 INTACT N,379.5,,7.92,487.8,68
CDM,95105209,ER Only-Q-LIPOPROTEIN (A),221.0,,13.17,198.9,50
CDM,95105209,Q-LIPOPROTEIN (A),155.0,,13.17,198.9,68
CDM,95105212,ER Only-Q-CA VI IGG ABS**,197.0,,11.36,177.3,50
CDM,95105212,Q-CA VI IGG ABS**,138.0,,11.36,177.3,68
CDM,95105213,ER Only-Q-CA VI IGA ABS**,197.0,,11.36,177.3,50
CDM,95105213,Q-CA VI IGA ABS**,138.0,,11.36,177.3,68
CDM,95105214,ER Only-Q-CA VI IGM ABS**,197.0,,11.36,177.3,50
CDM,95105214,Q-CA VI IGM ABS**,138.0,,11.36,177.3,68
CDM,95105216,ER Only-Q-PSP IGG ABS**,197.0,,11.36,177.3,50
CDM,95105216,Q-PSP IGG ABS**,138.0,,11.36,177.3,68
CDM,95105217,ER Only-Q-PSP IGA ABS**,197.0,,11.36,177.3,50
CDM,95105217,Q-PSP IGA ABS**,138.0,,11.36,177.3,68
CDM,95105218,ER Only-Q-PSP IGM ABS**,197.0,,11.36,177.3,50
CDM,95105218,Q-PSP IGM ABS**,138.0,,11.36,177.3,68
CDM,95105219,ER Only-Q-SP-1 IGG ABS**,197.0,,11.36,177.3,50
CDM,95105219,Q-SP-1 IGG ABS**,138.0,,11.36,177.3,68
CDM,95105221,ER Only-Q-SP-1 IGA ABS**,197.0,,11.36,177.3,50
CDM,95105221,Q-SP-1 IGA ABS**,138.0,,11.36,177.3,68
CDM,95105222,ER Only-Q-SP-1 IGM ABS**,197.0,,11.36,177.3,50
CDM,95105222,Q-SP-1 IGM ABS**,138.0,,11.36,177.3,68
CDM,95105224,ER Only-Q-PHENOTYPE INFECT AGENT**,578.0,,119.92,520.2,50
CDM,95105224,Q-PHENOTYPE INFECT AGENT**,404.5,,115.5,520.2,68
CDM,95105226,ER Only-Q-GENOTYPE DNA HIV REVERSE T**,861.0,,236.85,774.9,50
CDM,95105226,Q-GENOTYPE DNA HIV REVERSE T**,603.0,,172.5,774.9,68
CDM,95105227,ER Only-M-BRIVARACETAM PLASMA,543.0,,11.13,488.7,50
CDM,95105227,M-BRIVARACETAM PLASMA,380.5,,11.13,488.7,68
CDM,95105228,ER Only-M-CANNABIDIOL SERUM,847.0,,11.13,762.3,50
CDM,95105228,M-CANNABIDIOL SERUM,593.0,,11.13,762.3,68
CDM,95105229,ER Only-M-CYTOCHROME P450 2C19 GENOT,1829.0,,268.05,1646.1,50
CDM,95105229,M-CYTOCHROME P450 2C19 GENOT,1280.5,,268.05,1646.1,68
CDM,95105230,ER Only-KIT (D816V) MUTATION BY DDPCR,1056.0,,114.88,950.4,50
CDM,95105230,KIT (D816V) MUTATION BY DDPCR,739.5,,114.88,950.4,68
CDM,95105231,ER Only-IMMATURE PLATELET FRACTION,159.0,,32.88,143.1,50
CDM,95105231,IMMATURE PLATELET FRACTION,111.5,,32.0,143.1,68
CDM,95105232,COBALT SERUM/PLASMA,113.5,,8.92,145.8,68
CDM,95105232,ER Only-COBALT SERUM/PLASMA,162.0,,8.92,145.8,50
CDM,95105233,ALLERGEN FOOD ALPHA-GAL IGE,172.5,,16.5,221.4,68
CDM,95105233,ER Only-ALLERGEN FOOD ALPHA-GAL IGE,246.0,,16.5,221.4,50
CDM,95105234,ER Only-VZV ANTIBODY IGG CSF,174.0,,5.63,156.6,50
CDM,95105234,VZV ANTIBODY IGG CSF,122.0,,5.63,156.6,68
CDM,95105236,ER Only-VZV ANTIBODY IGM CSF,174.0,,5.63,156.6,50
CDM,95105236,VZV ANTIBODY IGM CSF,122.0,,5.63,156.6,68
CDM,95105238,BARTONELLA QUINTANA AB IGM**,74.5,,8.47,95.4,68
CDM,95105238,ER Only-BARTONELLA QUINTANA AB IGM**,106.0,,8.47,95.4,50
CDM,95105239,BARTONELLA QUINTANA AB IGG**,74.5,,8.47,95.4,68
CDM,95105239,ER Only-BARTONELLA QUINTANA AB IGG**,106.0,,8.47,95.4,50
CDM,95105241,ER Only-PERAMPANEL QUANT SERUM/PLASMA,704.0,,45.78,633.6,50
CDM,95105241,PERAMPANEL QUANT SERUM/PLASMA,493.0,,45.78,633.6,68
CDM,95105242,ER Only-PREGABALIN SERUM/PLASMA,276.0,,45.78,248.4,50
CDM,95105242,PREGABALIN SERUM/PLASMA,193.5,,45.78,248.4,68
CDM,95105310,ER Only-Q-JO 1 ANTIBODY,363.0,,12.19,326.7,50
CDM,95105310,Q-JO 1 ANTIBODY,254.5,,12.19,326.7,68
CDM,95105326,ER Only-Q-LEAD CAPILLARY,195.0,,7.91,175.5,50
CDM,95105326,Q-LEAD CAPILLARY,136.5,,7.91,175.5,68
CDM,95105327,ER Only-Q-ESLICARBAZEPINE,319.0,,11.13,287.1,50
CDM,95105327,Q-ESLICARBAZEPINE,223.5,,11.13,287.1,68
CDM,95105328,ER Only-Q-RUFINAMIDE,319.0,,24.94,287.1,50
CDM,95105328,Q-RUFINAMIDE,223.5,,24.94,287.1,68
CDM,95105329,ER Only-Q-LYSOZYME (MURAMIDASE),215.0,,14.43,193.5,50
CDM,95105329,Q-LYSOZYME (MURAMIDASE),150.5,,14.43,193.5,68
CDM,95105332,ER Only-M-ACHR (MUSC) BINDING AB**,134.0,,27.6,120.6,38
CDM,95105332,M-ACHR (MUSC) BINDING AB**,94.0,,27.0,120.6,56
CDM,95105333,ER Only-M-ACHR GANGLIONIC NEURON AB*,134.0,,7.92,120.6,38
CDM,95105333,M-ACHR GANGLIONIC NEURON AB*,94.0,,7.92,120.6,56
CDM,95105334,ER Only-M-NEURONAL VGKC AUTOANTIBODY,134.0,,7.92,120.6,38
CDM,95105334,M-NEURONAL VGKC AUTOANTIBODY,94.0,,7.92,120.6,56
CDM,95105335,ER Only-M-N-TYPE CALCIUM CHANNEL AB*,134.0,,26.07,120.6,38
CDM,95105335,M-N-TYPE CALCIUM CHANNEL AB*,94.0,,26.07,120.6,56
CDM,95105337,ER Only-Z*M-STRIATED MUSCLE ANTIBODY**,128.0,,11.36,115.2,50
CDM,95105337,Z*M-STRIATED MUSCLE ANTIBODY**,90.0,,11.36,115.2,68
CDM,95105338,ER Only-Z*M-FLUOR AB TITER AGNA-1**,143.0,,6.58,128.7,50
CDM,95105338,Z*M-FLUOR AB TITER AGNA-1**,100.0,,6.58,128.7,68
CDM,95105339,ER Only-M-FLUOR AB TITER AMPHIPHYSIN,143.0,,6.58,128.7,38
CDM,95105339,M-FLUOR AB TITER AMPHIPHYSIN,100.0,,6.58,128.7,56
CDM,95105340,ER Only-Z*M-FLUOR AB TITER ANNA-1**,143.0,,6.58,128.7,38
CDM,95105340,Z*M-FLUOR AB TITER ANNA-1**,100.0,,6.58,128.7,56
CDM,95105341,ER Only-Z*M-FLUOR AB TITER ANNA-2**,143.0,,6.58,128.7,38
CDM,95105341,Z*M-FLUOR AB TITER ANNA-2**,100.0,,6.58,128.7,56
CDM,95105342,ER Only-Z*M-FLUOR AB TITER ANNA-3**,143.0,,6.58,128.7,38
CDM,95105342,Z*M-FLUOR AB TITER ANNA-3**,100.0,,6.58,128.7,56
CDM,95105343,ER Only-M-FLUOR AB TITER CRMP-5-IGG*,143.0,,6.58,128.7,38
CDM,95105343,M-FLUOR AB TITER CRMP-5-IGG*,100.0,,6.58,128.7,56
CDM,95105344,ER Only-Z*M-FLUOR AB TITER PCA-1**,143.0,,6.58,128.7,38
CDM,95105344,Z*M-FLUOR AB TITER PCA-1**,100.0,,6.58,128.7,56
CDM,95105345,ER Only-Z*M-FLUOR AB TITER PCA-2**,143.0,,6.58,128.7,38
CDM,95105345,Z*M-FLUOR AB TITER PCA-2**,100.0,,6.58,128.7,56
CDM,95105346,ER Only-Z*M-FLUOR AB TITER PCA-TR**,143.0,,6.58,128.7,38
CDM,95105346,Z*M-FLUOR AB TITER PCA-TR**,100.0,,6.58,128.7,56
CDM,95105778,14-3-3 PROTEIN**,70.0,,13.41,90.0,68
CDM,95105778,ER Only-14-3-3 PROTEIN**,100.0,,13.41,90.0,50
CDM,95105779,ER Only-TAU PROTEIN**,51.0,,13.79,45.9,50
CDM,95105779,TAU PROTEIN**,36.0,,10.5,45.9,68
CDM,95105780,ER Only-RT-QUIC NEURO CSF PRION**,1801.0,,497.71,1620.9,50
CDM,95105780,RT-QUIC NEURO CSF PRION**,1261.0,,360.5,1620.9,68
CDM,95105781,CARCINOEMBRYONIC AG-ARUP 20742,188.5,,10.02,242.1,68
CDM,95105781,ER Only-CARCINOEMBRYONIC AG-ARUP 20742,269.0,,10.02,242.1,50
CDM,95105782,ER Only-Q-EBV NUCLEAR AG ANTIBODY IGG,353.0,,5.54,317.7,50
CDM,95105782,Q-EBV NUCLEAR AG ANTIBODY IGG,247.5,,5.54,317.7,68
CDM,95105784,CELL FUNCTION ASSAY W/STIM**,385.0,,94.4,495.0,68
CDM,95105784,ER Only-CELL FUNCTION ASSAY W/STIM**,550.0,,94.4,495.0,50
CDM,95105785,ASPERGILLUS SPECIES PCR,247.5,,32.28,317.7,69
CDM,95105785,ER Only-ASPERGILLUS SPECIES PCR,353.0,,32.28,317.7,51
CDM,95105786,ER Only-MUCORALES PCR,353.0,,32.28,317.7,51
CDM,95105786,MUCORALES PCR,247.5,,32.28,317.7,69
CDM,95105787,ER Only-PNEUMOCYSTIS PNEUMONIA PCR,353.0,,32.28,317.7,51
CDM,95105787,PNEUMOCYSTIS PNEUMONIA PCR,247.5,,32.28,317.7,69
CDM,95105789,ER Only-INFECT AGENT GENOTYPE ANLYS**,3187.0,,114.42,2868.3,50
CDM,95105789,INFECT AGENT GENOTYPE ANLYS**,2231.0,,114.42,2868.3,68
CDM,95105790,CNS DNA AMP PROBE TYPE 12-25,650.0,,186.0,902.13,68
CDM,95105790,ER Only-CNS DNA AMP PROBE TYPE 12-25,928.0,,383.44,902.13,50
CDM,95105792,ER Only-Q-PANCREATIC POLYPEPTIDE ECL,383.0,,11.36,344.7,50
CDM,95105792,Q-PANCREATIC POLYPEPTIDE ECL,268.5,,11.36,344.7,68
CDM,95105794,ER Only-Q-FENTANYL AND NORFENTANYL U,213.0,,45.78,247.69,50
CDM,95105794,Q-FENTANYL AND NORFENTANYL U,149.0,,42.5,247.69,68
CDM,95105795,ER Only-Q-NOROVIRUS RNA QUAL RT PCR,747.0,,32.28,672.3,51
CDM,95105795,Q-NOROVIRUS RNA QUAL RT PCR,523.0,,32.28,672.3,69
CDM,95105796,ER Only-Q-ANTI-CN-1A (NT5C1A) IBM RDL,586.0,,11.36,527.4,50
CDM,95105796,Q-ANTI-CN-1A (NT5C1A) IBM RDL,410.5,,11.36,527.4,68
CDM,95105797,ER Only-Q-RETINOL BINDING PROTEIN,256.0,,3.44,230.4,50
CDM,95105797,Q-RETINOL BINDING PROTEIN,179.5,,3.44,230.4,68
CDM,95105798,ER Only-Q-CBFB/MYH11 INV(16) QNT RTPCR,928.0,,126.04,835.2,50
CDM,95105798,Q-CBFB/MYH11 INV(16) QNT RTPCR,650.0,,126.04,835.2,68
CDM,95105799,ER Only-Q-AML1/ETO T(8;21) QNT RT PCR,803.0,,126.04,722.7,50
CDM,95105799,Q-AML1/ETO T(8;21) QNT RT PCR,562.5,,126.04,722.7,68
CDM,95105875,COXSACKIE A AB**,85.0,,5.63,108.9,68
CDM,95105875,ER Only-COXSACKIE A AB**,121.0,,5.63,108.9,50
CDM,95105877,COXSACKIE B AB**,85.0,,5.63,108.9,68
CDM,95105877,ER Only-COXSACKIE B AB**,121.0,,5.63,108.9,50
CDM,95105879,ER Only-HUMAN ERYTHROCYTE ANTIGEN**,2016.0,,662.4,1814.4,50
CDM,95105879,HUMAN ERYTHROCYTE ANTIGEN**,1411.5,,403.5,1814.4,68
CDM,95105880,ER Only-RHD GENOTYPE**,568.0,,170.38,511.2,50
CDM,95105880,RHD GENOTYPE**,398.0,,114.0,511.2,68
CDM,95105881,ER Only-M-AGNA-1 TITER S,340.0,,6.58,306.0,50
CDM,95105881,M-AGNA-1 TITER S,238.0,,6.58,306.0,68
CDM,95105882,ER Only-M-AMPHIPHYSIN AB TITER S,340.0,,6.58,306.0,50
CDM,95105882,M-AMPHIPHYSIN AB TITER S,238.0,,6.58,306.0,68
CDM,95105883,ER Only-M-ANNA-1 TITER S,340.0,,6.58,306.0,50
CDM,95105883,M-ANNA-1 TITER S,238.0,,6.58,306.0,68
CDM,95105884,ER Only-M-ANNA-2 TITER S,340.0,,6.58,306.0,50
CDM,95105884,M-ANNA-2 TITER S,238.0,,6.58,306.0,68
CDM,95105885,ER Only-M-ANNA-3 TITER S,340.0,,6.58,306.0,50
CDM,95105885,M-ANNA-3 TITER S,238.0,,6.58,306.0,68
CDM,95105886,ER Only-M-CRMP-5 TITER S,340.0,,6.58,306.0,50
CDM,95105886,M-CRMP-5 TITER S,238.0,,6.58,306.0,68
CDM,95105887,ER Only-M-PCA-1 TITER S,340.0,,6.58,306.0,50
CDM,95105887,M-PCA-1 TITER S,238.0,,6.58,306.0,68
CDM,95105888,ER Only-M-PCA-2 TITER S,340.0,,6.58,306.0,50
CDM,95105888,M-PCA-2 TITER S,238.0,,6.58,306.0,68
CDM,95105889,ER Only-M-PCA-TR TITER S,340.0,,6.58,306.0,50
CDM,95105889,M-PCA-TR TITER S,238.0,,6.58,306.0,68
CDM,95105890,ER Only-M-NEUROCHONDRIN CBA S,1367.0,,11.09,1230.3,50
CDM,95105890,M-NEUROCHONDRIN CBA S,957.0,,11.09,1230.3,68
CDM,95105891,ER Only-M-NEUROCHONDRIN IFA TITER S,340.0,,6.58,306.0,50
CDM,95105891,M-NEUROCHONDRIN IFA TITER S,238.0,,6.58,306.0,68
CDM,95105892,ER Only-M-SEPTIN-7 CBA S,1367.0,,11.09,1230.3,50
CDM,95105892,M-SEPTIN-7 CBA S,957.0,,11.09,1230.3,68
CDM,95105893,ER Only-M-SEPTIN-7 IFA TITER S,340.0,,6.58,306.0,50
CDM,95105893,M-SEPTIN-7 IFA TITER S,238.0,,6.58,306.0,68
CDM,95105894,ER Only-M-AGNA-1 TITER CSF,341.0,,6.58,306.9,50
CDM,95105894,M-AGNA-1 TITER CSF,239.0,,6.58,306.9,68
CDM,95105895,ER Only-M-AMPHIPHYSIN AB TITER CSF,341.0,,6.58,306.9,50
CDM,95105895,M-AMPHIPHYSIN AB TITER CSF,239.0,,6.58,306.9,68
CDM,95105896,ER Only-M-ANNA-1 TITER CSF,341.0,,6.58,306.9,50
CDM,95105896,M-ANNA-1 TITER CSF,239.0,,6.58,306.9,68
CDM,95105897,ER Only-M-ANNA-2 TITER CSF,341.0,,6.58,306.9,50
CDM,95105897,M-ANNA-2 TITER CSF,239.0,,6.58,306.9,68
CDM,95105898,ER Only-M-ANNA-3 TITER CSF,341.0,,6.58,306.9,50
CDM,95105898,M-ANNA-3 TITER CSF,239.0,,6.58,306.9,68
CDM,95105899,ER Only-M-CRMP-5-IGG TITER CSF,341.0,,6.58,306.9,50
CDM,95105899,M-CRMP-5-IGG TITER CSF,239.0,,6.58,306.9,68
CDM,95105900,ER Only-M-PCA-1 TITER CSF,341.0,,6.58,306.9,50
CDM,95105900,M-PCA-1 TITER CSF,239.0,,6.58,306.9,68
CDM,95105901,ER Only-M-PCA-2 TITER CSF,341.0,,6.58,306.9,50
CDM,95105901,M-PCA-2 TITER CSF,239.0,,6.58,306.9,68
CDM,95105902,ER Only-M-PCR-TR TITER CSF,341.0,,6.58,306.9,50
CDM,95105902,M-PCR-TR TITER CSF,239.0,,6.58,306.9,68
CDM,95105903,ER Only-M-NEUROCHONDRIN CBA CSF,1367.0,,11.09,1230.3,50
CDM,95105903,M-NEUROCHONDRIN CBA CSF,957.0,,11.09,1230.3,68
CDM,95105904,ER Only-M-NEUROCHONDRIN IFA TITER CSF,341.0,,6.58,306.9,50
CDM,95105904,M-NEUROCHONDRIN IFA TITER CSF,239.0,,6.58,306.9,68
CDM,95105905,ER Only-M-SEPTIN-7 CBA CSF,1367.0,,11.09,1230.3,50
CDM,95105905,M-SEPTIN-7 CBA CSF,957.0,,11.09,1230.3,68
CDM,95105906,ER Only-M-SEPTIN-7 TITER CSF,341.0,,6.58,306.9,50
CDM,95105906,M-SEPTIN-7 TITER CSF,239.0,,6.58,306.9,68
CDM,95105908,ER Only-M-AMPHIPHYSIN AB SERUM**,101.0,,11.09,90.9,50
CDM,95105908,M-AMPHIPHYSIN AB SERUM**,71.0,,11.09,90.9,68
CDM,95105909,ER Only-M-ANTI-GLIAL NUC AB TYPE 1**,101.0,,11.09,90.9,50
CDM,95105909,M-ANTI-GLIAL NUC AB TYPE 1**,71.0,,11.09,90.9,68
CDM,95105910,ER Only-M-ANTI-NEURONAL NUC AB TYPE 1*,101.0,,11.09,90.9,50
CDM,95105910,M-ANTI-NEURONAL NUC AB TYPE 1*,71.0,,11.09,90.9,68
CDM,95105911,ER Only-M-ANTI-NEURONAL NUC AB TYPE 2*,101.0,,11.09,90.9,50
CDM,95105911,M-ANTI-NEURONAL NUC AB TYPE 2*,71.0,,11.09,90.9,68
CDM,95105912,ER Only-M-ANTI-NEURONAL NUC AB TYPE 3*,101.0,,11.09,90.9,50
CDM,95105912,M-ANTI-NEURONAL NUC AB TYPE 3*,71.0,,11.09,90.9,68
CDM,95105913,ER Only-M-CRMP-5-IGG SERUM**,101.0,,11.09,90.9,50
CDM,95105913,M-CRMP-5-IGG SERUM**,71.0,,11.09,90.9,68
CDM,95105914,ER Only-M-NEURONAL VGK+ CHANNEL AB S**,171.0,,7.92,153.9,50
CDM,95105914,M-NEURONAL VGK+ CHANNEL AB S**,120.0,,7.92,153.9,68
CDM,95105915,ER Only-M-P/Q-TYPE CALCIUM CHANNEL AB*,101.0,,11.09,90.9,50
CDM,95105915,M-P/Q-TYPE CALCIUM CHANNEL AB*,71.0,,11.09,90.9,68
CDM,95105916,ER Only-M-PCA-1 AB SERUM**,101.0,,11.09,90.9,50
CDM,95105916,M-PCA-1 AB SERUM**,71.0,,11.09,90.9,68
CDM,95105917,ER Only-M-PCA-2 AB SERUM**,101.0,,11.09,90.9,50
CDM,95105917,M-PCA-2 AB SERUM**,71.0,,11.09,90.9,68
CDM,95105918,ER Only-M-PCA-TR AB SERUM**,101.0,,11.09,90.9,50
CDM,95105918,M-PCA-TR AB SERUM**,71.0,,11.09,90.9,68
CDM,95105928,ER Only-TOXOPLASMA GONDII IGG PED ARUP,174.0,,5.59,156.6,50
CDM,95105928,TOXOPLASMA GONDII IGG PED ARUP,122.0,,5.59,156.6,68
CDM,95105929,ER Only-TOXOPLASMA GONDII IGM PED ARUP,174.0,,6.4,156.6,50
CDM,95105929,TOXOPLASMA GONDII IGM PED ARUP,122.0,,6.4,156.6,68
CDM,95105933,ER Only-Q-CHRONIC URTICARIA**,109.0,,11.46,98.1,50
CDM,95105933,Q-CHRONIC URTICARIA**,76.5,,11.46,98.1,68
CDM,95105934,ER Only-Q-IGE ANTIBODY**,150.0,,11.36,135.0,50
CDM,95105934,Q-IGE ANTIBODY**,105.0,,11.36,135.0,68
CDM,95105935,ER Only-Q-THYROGLOBULIN ANTIBODY**,139.0,,14.64,125.1,50
CDM,95105935,Q-THYROGLOBULIN ANTIBODY**,97.5,,14.64,125.1,68
CDM,95105936,ER Only-Q-THYROID PEROXIDASE ABS(TPO)*,125.0,,13.39,112.5,50
CDM,95105936,Q-THYROID PEROXIDASE ABS(TPO)*,87.5,,13.39,112.5,68
CDM,95105937,ER Only-Q-THYROID STIMULATING HORMONE*,146.0,,10.09,131.4,50
CDM,95105937,Q-THYROID STIMULATING HORMONE*,102.5,,10.09,131.4,68
CDM,95105940,DIPTHERIA AB IGG**,82.0,,13.79,105.3,68
CDM,95105940,ER Only-DIPTHERIA AB IGG**,117.0,,13.79,105.3,50
CDM,95105941,ER Only-TETANUS AB IGG**,117.0,,13.79,105.3,50
CDM,95105941,TETANUS AB IGG**,82.0,,13.79,105.3,68
CDM,95105942,ER Only-RHEUMATOID FACTOR BODY FLUID,168.0,,5.22,151.2,50
CDM,95105942,RHEUMATOID FACTOR BODY FLUID,117.5,,5.22,151.2,68
CDM,95105943,BILIRUBIN TOTAL BODY FLUID,113.0,,4.62,144.9,68
CDM,95105943,ER Only-BILIRUBIN TOTAL BODY FLUID,161.0,,4.62,144.9,50
CDM,95105944,ER Only-MANNOSE BINDING LECTIN-LABCORP,436.0,,11.36,392.4,50
CDM,95105944,MANNOSE BINDING LECTIN-LABCORP,305.5,,11.36,392.4,68
CDM,95105945,ER Only-IGF-2-LABCORP,325.0,,7.92,292.5,50
CDM,95105945,IGF-2-LABCORP,227.5,,7.92,292.5,68
CDM,95105946,ER Only-GI PROFILE STOOL PCR-LABCORP,1983.0,,383.44,1784.7,50
CDM,95105946,GI PROFILE STOOL PCR-LABCORP,1388.0,,383.44,1784.7,68
CDM,95105947,ER Only-Q-ENHANCE LIVER FIBROSIS (ELF),622.0,,162.09,559.8,50
CDM,95105947,Q-ENHANCE LIVER FIBROSIS (ELF),435.5,,124.5,559.8,68
CDM,95105948,CENOBAMATE (XCOPRI)-LABCORP,363.5,,11.13,467.1,68
CDM,95105948,ER Only-CENOBAMATE (XCOPRI)-LABCORP,519.0,,11.13,467.1,50
CDM,95105949,ER Only-IGF-1-LABCORP,258.0,,3.45,232.2,50
CDM,95105949,IGF-1-LABCORP,181.0,,3.45,232.2,68
CDM,95105950,BILE ACIDS TOTAL BODY FLD-UIDL,193.5,,6.55,248.4,68
CDM,95105950,ER Only-BILE ACIDS TOTAL BODY FLD-UIDL,276.0,,6.55,248.4,50
CDM,95105952,CHLMYD TRACH DNA AMP PROBE**,253.5,,32.28,325.8,68
CDM,95105952,ER Only-CHLMYD TRACH DNA AMP PROBE**,362.0,,32.28,325.8,50
CDM,95105953,ER Only-N. GONORRHOEAE DNA AMP PROBE**,362.0,,23.29,325.8,50
CDM,95105953,N. GONORRHOEAE DNA AMP PROBE**,253.5,,23.29,325.8,68
CDM,95105954,ER Only-HIV 1/2 PLUS O AB SCR**,155.0,,5.71,139.5,50
CDM,95105954,HIV 1/2 PLUS O AB SCR**,108.5,,5.71,139.5,68
CDM,95105955,ER Only-HEP B SURFACE AG**,117.0,,7.91,105.3,50
CDM,95105955,HEP B SURFACE AG**,82.0,,7.91,105.3,68
CDM,95105956,ER Only-HEP B CORE AB TOTAL**,125.0,,5.36,112.5,50
CDM,95105956,HEP B CORE AB TOTAL**,87.5,,5.36,112.5,68
CDM,95105957,ER Only-HEP C AB**,150.0,,13.13,135.0,50
CDM,95105957,HEP C AB**,105.0,,13.13,135.0,68
CDM,95105958,ER Only-HIV/HCV/HBV NAT**,795.0,,64.58,715.5,50
CDM,95105958,HIV/HCV/HBV NAT**,556.5,,64.58,715.5,68
CDM,95105959,ER Only-WEST NILE VIRUS NAT**,362.0,,32.28,325.8,51
CDM,95105959,WEST NILE VIRUS NAT**,253.5,,32.28,325.8,69
CDM,95105960,ER Only-SYPHILIS IGG AB**,139.0,,12.18,125.1,50
CDM,95105960,SYPHILIS IGG AB**,97.5,,12.18,125.1,68
CDM,95105962,CHLMYD TRACH DNA AMP PROBE**,253.5,,32.28,325.8,68
CDM,95105962,ER Only-CHLMYD TRACH DNA AMP PROBE**,362.0,,32.28,325.8,50
CDM,95105963,ER Only-N. GONORRHOEAE DNA AMP PROBE**,398.0,,23.29,358.2,50
CDM,95105963,N. GONORRHOEAE DNA AMP PROBE**,278.5,,23.29,358.2,68
CDM,95105964,ER Only-HIV 1/2 PLUS O AB SCR**,155.0,,5.71,139.5,50
CDM,95105964,HIV 1/2 PLUS O AB SCR**,108.5,,5.71,139.5,68
CDM,95105965,ER Only-HEP B SURFACE AG**,117.0,,7.91,105.3,50
CDM,95105965,HEP B SURFACE AG**,82.0,,7.91,105.3,68
CDM,95105966,ER Only-HEP B CORE ANTIBODY TOTAL**,136.0,,5.36,122.4,50
CDM,95105966,HEP B CORE ANTIBODY TOTAL**,95.5,,5.36,122.4,68
CDM,95105967,ER Only-HEPATITIS C AB**,163.0,,13.13,146.7,50
CDM,95105967,HEPATITIS C AB**,114.0,,13.13,146.7,68
CDM,95105968,ER Only-HIV/HCV/HBV NAT**,795.0,,64.58,715.5,50
CDM,95105968,HIV/HCV/HBV NAT**,556.5,,64.58,715.5,68
CDM,95105969,ER Only-WEST NILE VIRUS NAT**,398.0,,32.28,358.2,51
CDM,95105969,WEST NILE VIRUS NAT**,278.5,,32.28,358.2,69
CDM,95105970,ER Only-HTLV-I/II ANTIBODY SCREEN**,146.0,,5.59,131.4,50
CDM,95105970,HTLV-I/II ANTIBODY SCREEN**,102.5,,5.59,131.4,68
CDM,95105971,CMV TOTAL ANTIBODIES**,114.0,,5.58,146.7,68
CDM,95105971,ER Only-CMV TOTAL ANTIBODIES**,163.0,,5.58,146.7,50
CDM,95105972,ER Only-SYPHILIS IGG ANTIBODY**,150.0,,12.18,135.0,50
CDM,95105972,SYPHILIS IGG ANTIBODY**,105.0,,12.18,135.0,68
CDM,95105976,"ER Only-M-AP3B2 CBA, S",1367.0,,11.09,1230.3,50
CDM,95105976,"M-AP3B2 CBA, S",957.0,,11.09,1230.3,68
CDM,95105977,"ER Only-M-AP3B2 IFA TITER, S",340.0,,6.58,306.0,50
CDM,95105977,"M-AP3B2 IFA TITER, S",238.0,,6.58,306.0,68
CDM,95105979,ACHR GANGLIONIC NEURONAL AB S*,143.0,,7.92,183.6,68
CDM,95105979,ER Only-ACHR GANGLIONIC NEURONAL AB S*,204.0,,7.92,183.6,50
CDM,95105980,ANTI-NEURONAL NUC AB TYPE 1**,93.0,,26.5,119.7,68
CDM,95105980,ER Only-ANTI-NEURONAL NUC AB TYPE 1**,133.0,,34.71,119.7,50
CDM,95105981,"AP3B2 IFA, S**",93.0,,11.09,119.7,68
CDM,95105981,"ER Only-AP3B2 IFA, S**",133.0,,11.09,119.7,50
CDM,95105982,"CRMP-5-IGG, S**",93.0,,11.09,119.7,68
CDM,95105982,"ER Only-CRMP-5-IGG, S**",133.0,,11.09,119.7,50
CDM,95105983,"CASPR2-IGG CBA, S**",93.0,,11.09,119.7,68
CDM,95105983,"ER Only-CASPR2-IGG CBA, S**",133.0,,11.09,119.7,50
CDM,95105984,"DPPX AB, S**",93.0,,11.09,119.7,68
CDM,95105984,"ER Only-DPPX AB, S**",133.0,,11.09,119.7,50
CDM,95105985,"ER Only-LG/IGG CBA, S**",133.0,,11.95,119.7,38
CDM,95105985,"LG/IGG CBA, S**",93.0,,11.95,119.7,56
CDM,95105986,ER Only-PURKINJE CELL CYTO AB TYPE 2**,133.0,,11.95,119.7,38
CDM,95105986,PURKINJE CELL CYTO AB TYPE 2**,93.0,,11.95,119.7,56
CDM,95105988,CREATININE RANDOM U**,129.5,,3.35,166.5,68
CDM,95105988,ER Only-CREATININE RANDOM U**,185.0,,3.35,166.5,50
CDM,95105989,ER Only-LEUKOTRIENE E4 RANDOM U**,853.0,,22.16,767.7,50
CDM,95105989,LEUKOTRIENE E4 RANDOM U**,597.5,,22.16,767.7,68
CDM,95105990,ER Only-M-INSULIN ABS S,242.0,,12.45,217.8,50
CDM,95105990,M-INSULIN ABS S,169.5,,12.45,217.8,68
CDM,95105991,ER Only-M-NEUROFILAMENT LIGHT CHAIN P,2242.0,,106.93,2017.8,50
CDM,95105991,M-NEUROFILAMENT LIGHT CHAIN P,1569.5,,106.93,2017.8,68
CDM,95105992,ER Only-M-LYSOSOMAL ACID LIPASE B,1542.0,,20.4,1387.8,50
CDM,95105992,M-LYSOSOMAL ACID LIPASE B,1079.5,,20.4,1387.8,68
CDM,95105993,ER Only-M-ALPHA-GALACTOSIDASE LEUKOCYT,1318.0,,20.4,1186.2,50
CDM,95105993,M-ALPHA-GALACTOSIDASE LEUKOCYT,923.0,,20.4,1186.2,68
CDM,95105994,ER Only-M-CYP2C9 GENOTYPE V,1910.0,,30.0,1719.0,50
CDM,95105994,M-CYP2C9 GENOTYPE V,1337.0,,30.0,1719.0,68
CDM,95105995,CONSTITUTIONAL ARRAY CGH,3218.0,,919.5,4137.3,68
CDM,95105995,ER Only-CONSTITUTIONAL ARRAY CGH,4597.0,,1067.2,4137.3,50
CDM,95105996,ER Only-ONCOLOGY ARRAY CHG,4597.0,,1067.2,4137.3,50
CDM,95105996,ONCOLOGY ARRAY CHG,3218.0,,919.5,4137.3,68
CDM,95105997,ER Only-M-BETA-TRACE PROTEIN BF,352.0,,3.44,316.8,50
CDM,95105997,M-BETA-TRACE PROTEIN BF,246.5,,3.44,316.8,68
CDM,95106018,ER Only-INFECT AGENT GENOTYPE ANALYS**,2916.0,,114.42,2624.4,50
CDM,95106018,INFECT AGENT GENOTYPE ANALYS**,2041.5,,114.42,2624.4,68
CDM,95106020,BETA 2 GLYCOPROTEIN 1 IGG**,64.5,,18.5,82.8,68
CDM,95106020,ER Only-BETA 2 GLYCOPROTEIN 1 IGG**,92.0,,23.41,82.8,50
CDM,95106021,BETA 2 GLYCOPROTEIN 1 IGM**,64.5,,18.5,82.8,68
CDM,95106021,ER Only-BETA 2 GLYCOPROTEIN 1 IGM**,92.0,,23.41,82.8,50
CDM,95106022,CARDIOLIPIN IGG**,64.5,,5.58,82.8,68
CDM,95106022,ER Only-CARDIOLIPIN IGG**,92.0,,5.58,82.8,50
CDM,95106023,CARDIOLIPIN IGM**,64.5,,5.58,82.8,68
CDM,95106023,ER Only-CARDIOLIPIN IGM**,92.0,,5.58,82.8,50
CDM,95106024,CENP ELISA**,64.5,,12.19,82.8,68
CDM,95106024,ER Only-CENP ELISA**,92.0,,12.19,82.8,50
CDM,95106025,ANTI-CCP-IGG**,312.5,,11.91,401.4,68
CDM,95106025,ER Only-ANTI-CCP-IGG**,446.0,,11.91,401.4,50
CDM,95106026,DNA ANTIBODY**,64.5,,6.6,82.8,68
CDM,95106026,ER Only-DNA ANTIBODY**,92.0,,6.6,82.8,50
CDM,95106027,ER Only-JO-1 ELISA**,92.0,,12.19,82.8,50
CDM,95106027,JO-1 ELISA**,64.5,,12.19,82.8,68
CDM,95106028,ANA IIF**,48.0,,7.84,61.2,68
CDM,95106028,ER Only-ANA IIF**,68.0,,7.84,61.2,50
CDM,95106029,ANA**,48.0,,7.85,61.2,68
CDM,95106029,ER Only-ANA**,68.0,,7.85,61.2,50
CDM,95106030,ER Only-RNP70 ELISA**,92.0,,12.19,82.8,50
CDM,95106030,RNP70 ELISA**,64.5,,12.19,82.8,68
CDM,95106031,ER Only-SCL-70 ELISA**,92.0,,12.19,82.8,50
CDM,95106031,SCL-70 ELISA**,64.5,,12.19,82.8,68
CDM,95106032,ANTI-SMITH ELISA**,64.5,,12.19,82.8,68
CDM,95106032,ER Only-ANTI-SMITH ELISA**,92.0,,12.19,82.8,50
CDM,95106033,ER Only-SS-B/LA ELISA**,92.0,,12.19,82.8,50
CDM,95106033,SS-B/LA ELISA**,64.5,,12.19,82.8,68
CDM,95106034,ER Only-THYROGLOBULIN IGG**,68.0,,14.64,61.2,50
CDM,95106034,THYROGLOBULIN IGG**,48.0,,14.0,61.2,68
CDM,95106035,ER Only-THYROID PEROXIDASE IGG**,68.0,,13.39,61.2,50
CDM,95106035,THYROID PEROXIDASE IGG**,48.0,,13.39,61.2,68
CDM,95106036,ER Only-U 1RNP ELISA**,92.0,,12.19,82.8,50
CDM,95106036,U 1RNP ELISA**,64.5,,12.19,82.8,68
CDM,95106037,ER Only-FLOWCYTO TC 1 MARKER**,570.0,,43.49,513.0,50
CDM,95106037,FLOWCYTO TC 1 MARKER**,399.0,,43.49,513.0,68
CDM,95106038,ER Only-RHEUMATOID FACTOR IGA**,68.0,,5.22,61.2,50
CDM,95106038,RHEUMATOID FACTOR IGA**,48.0,,5.22,61.2,68
CDM,95106039,ER Only-RHEUMATOID FACTOR IGM**,68.0,,5.22,61.2,50
CDM,95106039,RHEUMATOID FACTOR IGM**,48.0,,5.22,61.2,68
CDM,95106040,ANTI-RO52 IGG**,62.5,,12.19,80.1,68
CDM,95106040,ER Only-ANTI-RO52 IGG**,89.0,,12.19,80.1,50
CDM,95106041,ANTI-RO60 IGG**,62.5,,12.19,80.1,68
CDM,95106041,ER Only-ANTI-RO60 IGG**,89.0,,12.19,80.1,50
CDM,95106042,ANTI-RNA POL III IGG**,232.0,,10.61,297.9,68
CDM,95106042,ER Only-ANTI-RNA POL III IGG**,331.0,,10.61,297.9,50
CDM,95106043,ER Only-FLOWCYTO TC ADD-ON,260.0,,21.38,234.0,38
CDM,95106043,FLOWCYTO TC ADD-ON,182.0,,21.38,234.0,56
CDM,95106044,ER Only-FLOWCYTO READY 2-8,456.0,,54.96,410.4,38
CDM,95106044,FLOWCYTO READY 2-8,319.5,,54.96,410.4,56
CDM,95106071,ER Only-M-GI PATHOGEN PANEL PCR F,1215.0,,383.44,1093.5,50
CDM,95106071,M-GI PATHOGEN PANEL PCR F,850.5,,243.0,1093.5,68
CDM,95106072,CMV ANTIVIRAL RESISTANCE,590.0,,119.92,758.7,68
CDM,95106072,ER Only-CMV ANTIVIRAL RESISTANCE,843.0,,119.92,758.7,50
CDM,95106073,CMV GENOTYPE ANALYSIS,1113.0,,114.42,1431.0,68
CDM,95106073,ER Only-CMV GENOTYPE ANALYSIS,1590.0,,114.42,1431.0,50
CDM,95106074,ER Only-HERPES SIMPLEX VIRUS TYPE 2,58.0,,11.02,52.2,50
CDM,95106074,HERPES SIMPLEX VIRUS TYPE 2,40.5,,11.02,52.2,68
CDM,95106076,CYTOPLASMIC NEUTROPHIL AB IBD,145.5,,11.09,187.2,68
CDM,95106076,ER Only-CYTOPLASMIC NEUTROPHIL AB IBD,208.0,,11.09,187.2,50
CDM,95106077,ER Only-SACCHAROMYCE CEREVISIAE AB IGA,208.0,,5.4,187.2,50
CDM,95106077,SACCHAROMYCE CEREVISIAE AB IGA,146.0,,5.4,187.2,68
CDM,95106078,ER Only-SACCHAROMYCE CEREVISIAE AB IGG,208.0,,5.4,187.2,50
CDM,95106078,SACCHAROMYCE CEREVISIAE AB IGG,146.0,,5.4,187.2,68
CDM,95106080,"ER Only-IMMUNOGLOBULIN A (IGA), S",113.0,,7.88,101.7,50
CDM,95106080,"IMMUNOGLOBULIN A (IGA), S",79.0,,7.88,101.7,68
CDM,95106081,CELIAC DISEASE INTERPRETATION,291.5,,83.5,374.4,68
CDM,95106081,ER Only-CELIAC DISEASE INTERPRETATION,416.0,,112.44,374.4,50
CDM,95106082,ER Only-HLA-DQ TYPING,416.0,,112.44,374.4,50
CDM,95106082,HLA-DQ TYPING,291.5,,83.5,374.4,68
CDM,95106084,"ER Only-GLIADIN (DEAMIDATED) AB, IGG S",172.0,,11.09,154.8,50
CDM,95106084,"GLIADIN (DEAMIDATED) AB, IGG S",120.5,,11.09,154.8,68
CDM,95106085,"ER Only-GLIADIN (DEAMIDATED) AB, IGA S",172.0,,11.09,154.8,50
CDM,95106085,"GLIADIN (DEAMIDATED) AB, IGA S",120.5,,11.09,154.8,68
CDM,95106086,ER Only-TISSUE TRANSGLT AB IGG S,136.0,,10.61,122.4,50
CDM,95106086,TISSUE TRANSGLT AB IGG S,95.5,,10.61,122.4,68
CDM,95106087,"ER Only-TISSUE TRANSGLT AB,S(IGA)",136.0,,10.61,122.4,50
CDM,95106087,"TISSUE TRANSGLT AB,S(IGA)",95.5,,10.61,122.4,68
CDM,95106088,ENDOMYSIAL ANTIBODY (IGA),142.5,,11.12,182.7,68
CDM,95106088,ER Only-ENDOMYSIAL ANTIBODY (IGA),203.0,,11.12,182.7,50
CDM,95106089,"EMA TITER, S (IGA)",377.5,,11.12,485.1,68
CDM,95106089,"ER Only-EMA TITER, S (IGA)",539.0,,11.12,485.1,50
CDM,95106090,"ER Only-THIOPURINE METABOLITES, WB",940.0,,11.13,846.0,50
CDM,95106090,"THIOPURINE METABOLITES, WB",658.0,,11.13,846.0,68
CDM,95106091,"ER Only-M-TRIM46 AB CBA, C",1314.0,,11.09,1182.6,50
CDM,95106091,"M-TRIM46 AB CBA, C",920.0,,11.09,1182.6,68
CDM,95106092,"ER Only-M-TRIM46 AB IFA TITER, C",326.0,,6.58,293.4,50
CDM,95106092,"M-TRIM46 AB IFA TITER, C",228.5,,6.58,293.4,68
CDM,95106093,"ER Only-M- PDE10A AB IFA TITER, C",326.0,,6.58,293.4,50
CDM,95106093,"M- PDE10A AB IFA TITER, C",228.5,,6.58,293.4,68
CDM,95106094,"ER Only-M-TRIM46 AB CBA, S",1314.0,,11.09,1182.6,50
CDM,95106094,"M-TRIM46 AB CBA, S",920.0,,11.09,1182.6,68
CDM,95106095,"ER Only-M-TRIM46 AB IFA TITER, S",326.0,,6.58,293.4,50
CDM,95106095,"M-TRIM46 AB IFA TITER, S",228.5,,6.58,293.4,68
CDM,95106096,"ER Only-M- PDE10A AB IFA TITER, S",326.0,,6.58,293.4,50
CDM,95106096,"M- PDE10A AB IFA TITER, S",228.5,,6.58,293.4,68
CDM,95106101,ER Only-T CRUZI AB IGG - ARUP,130.0,,5.63,117.0,50
CDM,95106101,T CRUZI AB IGG - ARUP,91.0,,5.63,117.0,68
CDM,95106102,ER Only-H. INFLUENZAE B AB IGG**,117.0,,13.79,105.3,50
CDM,95106102,H. INFLUENZAE B AB IGG**,82.0,,13.79,105.3,68
CDM,95106104,ALLG SPEC IGE FEL D 1**,64.5,,16.5,82.8,68
CDM,95106104,ER Only-ALLG SPEC IGE FEL D 1**,92.0,,16.5,82.8,50
CDM,95106105,ALLG SPEC IGE FEL D 2**,64.5,,16.5,82.8,68
CDM,95106105,ER Only-ALLG SPEC IGE FEL D 2**,92.0,,16.5,82.8,50
CDM,95106106,ALLG SPEC IGE FEL D 4**,64.5,,16.5,82.8,68
CDM,95106106,ER Only-ALLG SPEC IGE FEL D 4**,92.0,,16.5,82.8,50
CDM,95106107,ALLG SPEC IGE FEL D 7**,64.5,,16.5,82.8,68
CDM,95106107,ER Only-ALLG SPEC IGE FEL D 7**,92.0,,16.5,82.8,50
CDM,95106109,ALLG SPEC IGE CAN F 1**,64.5,,16.5,82.8,68
CDM,95106109,ER Only-ALLG SPEC IGE CAN F 1**,92.0,,16.5,82.8,50
CDM,95106110,ALLG SPEC IGE CAN F 2**,64.5,,16.5,82.8,68
CDM,95106110,ER Only-ALLG SPEC IGE CAN F 2**,92.0,,16.5,82.8,50
CDM,95106111,ALLG SPEC IGE CAN F 3**,64.5,,16.5,82.8,68
CDM,95106111,ER Only-ALLG SPEC IGE CAN F 3**,92.0,,16.5,82.8,50
CDM,95106112,ALLG SPEC IGE CAN F 4**,64.5,,16.5,82.8,68
CDM,95106112,ER Only-ALLG SPEC IGE CAN F 4**,92.0,,16.5,82.8,50
CDM,95106113,ALLG SPEC IGE CAN F 5**,64.5,,16.5,82.8,68
CDM,95106113,ER Only-ALLG SPEC IGE CAN F 5**,92.0,,16.5,82.8,50
CDM,95106114,ALLG SPEC IGE CAN F 6**,64.5,,16.5,82.8,68
CDM,95106114,ER Only-ALLG SPEC IGE CAN F 6**,92.0,,16.5,82.8,50
CDM,95106121,ER Only-Q-HYDROXYCHLOROQUINE,468.0,,17.15,421.2,50
CDM,95106121,Q-HYDROXYCHLOROQUINE,327.5,,17.15,421.2,68
CDM,95106122,ER Only-Q-HCV RNA GENOTYPE LIPA,720.0,,13.2,648.0,50
CDM,95106122,Q-HCV RNA GENOTYPE LIPA,504.0,,13.2,648.0,68
CDM,95106123,ER Only-Q-ADALIMUMAB LEVEL IBD,450.0,,23.14,405.0,50
CDM,95106123,Q-ADALIMUMAB LEVEL IBD,315.0,,23.14,405.0,68
CDM,95106124,ER Only-Q-ADALIMUMAB AB IBD**,450.0,,11.36,405.0,50
CDM,95106124,Q-ADALIMUMAB AB IBD**,315.0,,11.36,405.0,68
CDM,95106125,ER Only-Q-INFLIXIMAB LEVEL IBD,450.0,,15.42,405.0,50
CDM,95106125,Q-INFLIXIMAB LEVEL IBD,315.0,,15.42,405.0,68
CDM,95106126,ER Only-Q-INFLIXIMAB AB IBD**,450.0,,11.36,405.0,50
CDM,95106126,Q-INFLIXIMAB AB IBD**,315.0,,11.36,405.0,68
CDM,95106127,ER Only-Q-AD DETECT P-TAU 217,750.0,,11.36,675.0,50
CDM,95106127,Q-AD DETECT P-TAU 217,525.0,,11.36,675.0,68
CDM,95106128,ER Only-Q-AD DETECT BETA-AMYLOID 42/40,873.0,,171.11,785.7,38
CDM,95106128,Q-AD DETECT BETA-AMYLOID 42/40,611.0,,68.4,785.7,56
CDM,95106129,ER Only-Q-NEUROFILAMENT LIGHT CHAIN,625.0,,11.36,562.5,50
CDM,95106129,Q-NEUROFILAMENT LIGHT CHAIN,437.5,,11.36,562.5,68
CDM,95106130,ER Only-Q-AD DETECT APOE ISOFORM,375.0,,22.16,337.5,50
CDM,95106130,Q-AD DETECT APOE ISOFORM,262.5,,22.16,337.5,68
CDM,95106139,APOLIPOPROTEIN E (APOE) PLASMA,611.0,,22.16,785.7,68
CDM,95106139,ER Only-APOLIPOPROTEIN E (APOE) PLASMA,873.0,,22.16,785.7,50
CDM,95106140,BETA-AMYLOID 42/40 RATIO PLASM,611.0,,68.4,785.7,56
CDM,95106140,ER Only-BETA-AMYLOID 42/40 RATIO PLASM,873.0,,171.11,785.7,38
CDM,95106141,ER Only-PHOSPHORYLATED TAU217 PLASMA,750.0,,147.0,675.0,38
CDM,95106141,PHOSPHORYLATED TAU217 PLASMA,525.0,,58.8,675.0,56
CDM,95106142,ER Only-Q-BETA-AMYLOID 1-42**,873.0,,171.11,785.7,38
CDM,95106142,Q-BETA-AMYLOID 1-42**,611.0,,68.4,785.7,56
CDM,95106143,ER Only-M-SCB59,363.0,,5.59,326.7,50
CDM,95106143,M-SCB59,254.0,,5.59,326.7,68
CDM,95106145,ER Only-Q-THYROGLOBULIN ANTIBODY,178.0,,14.64,160.2,50
CDM,95106145,Q-THYROGLOBULIN ANTIBODY,124.5,,14.64,160.2,68
CDM,95106146,ER Only-THYROGLOBULIN,173.0,,3.34,155.7,50
CDM,95106146,THYROGLOBULIN,121.0,,3.34,155.7,68
CDM,95106147,ER Only-THYROGLOBULIN LC/MS/MS,475.0,,3.34,427.5,50
CDM,95106147,THYROGLOBULIN LC/MS/MS,332.5,,3.34,427.5,68
CDM,95106149,ER Only-Q-INSULIN AUTOANTIBODY**,175.0,,12.45,157.5,50
CDM,95106149,Q-INSULIN AUTOANTIBODY**,122.5,,12.45,157.5,68
CDM,95106150,ER Only-Q-GLUTAMIC ACID DECARBOX 65 AB,100.0,,12.53,90.0,50
CDM,95106150,Q-GLUTAMIC ACID DECARBOX 65 AB,70.0,,12.53,90.0,68
CDM,95106151,ER Only-Q-ISLET CELL AB (IA-2 AB)**,130.0,,12.53,117.0,50
CDM,95106151,Q-ISLET CELL AB (IA-2 AB)**,91.0,,12.53,117.0,68
CDM,95106152,ER Only-Q-ZINC TRANSPORTER 8(ZNT8)AB**,293.0,,12.53,263.7,50
CDM,95106152,Q-ZINC TRANSPORTER 8(ZNT8)AB**,205.0,,12.53,263.7,68
CDM,95106154,ER Only-FLUORESCENT AB SCREEN SER**,105.0,,11.09,94.5,50
CDM,95106154,FLUORESCENT AB SCREEN SER**,73.5,,11.09,94.5,68
CDM,95106155,"CHEMILUMINESCENT ASSAY, SER**",84.0,,3.34,108.0,68
CDM,95106155,"ER Only-CHEMILUMINESCENT ASSAY, SER**",120.0,,3.34,108.0,50
CDM,95106156,"ER Only-EXTRACTABLE NUC AG EA AB,SER**",145.0,,12.19,130.5,50
CDM,95106156,"EXTRACTABLE NUC AG EA AB,SER**",101.5,,12.19,130.5,68
CDM,95106157,"ER Only-PROT WESTERN BLOT BAND, SERUM",620.0,,13.41,558.0,50
CDM,95106157,"PROT WESTERN BLOT BAND, SERUM",434.0,,13.41,558.0,68
CDM,95106158,"ER Only-FLUORESCENT AB TITER, SERUM",325.0,,6.58,292.5,50
CDM,95106158,"FLUORESCENT AB TITER, SERUM",227.5,,6.58,292.5,68
CDM,95107139,"ER Only-Q-ITRACONAZOLE, HPLC",385.0,,24.94,346.5,50
CDM,95107139,"Q-ITRACONAZOLE, HPLC",269.5,,24.94,346.5,68
CDM,95108725,ER Only-INF DIS CHRNC HCV 6 ASSAYS,676.0,,66.41,608.4,50
CDM,95108725,INF DIS CHRNC HCV 6 ASSAYS,473.5,,66.41,608.4,68
CDM,95113231,ER Only-Q-T CRUZI AB CONFIRM,510.0,,16.64,459.0,50
CDM,95113231,Q-T CRUZI AB CONFIRM,357.0,,16.64,459.0,68
CDM,95120508,ER Only-Q-GASTRIN ASSAY,280.0,,13.5,252.0,50
CDM,95120508,Q-GASTRIN ASSAY,196.0,,13.5,252.0,68
CDM,95140154,ER Only-PARVOVIRUS QUANT PCR,335.0,,39.41,301.5,50
CDM,95140154,PARVOVIRUS QUANT PCR,234.5,,39.41,301.5,68
CDM,95155188,ER Only-POTASSIUM VBG,110.0,,2.35,99.0,50
CDM,95155188,POTASSIUM VBG,77.0,,2.35,99.0,68
CDM,95196376,ER Only-THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,40
CDM,95196376,THERAPYPRO//DX IV PUSH SAME,240.0,,16.08,308.7,58
CDM,95301058,ER Only-MUMPS ANTIBODY IGG,237.0,,5.56,213.3,50
CDM,95301058,MUMPS ANTIBODY IGG,166.0,,5.56,213.3,68
CDM,95302266,COVID-19 IGG,90.5,,8.13,116.1,68
CDM,95302266,ER Only-COVID-19 IGG,129.0,,8.13,116.1,50
CDM,95320033,ER Only-SOMATOMEDIN C (IGF-1),386.0,,3.45,347.4,50
CDM,95320033,SOMATOMEDIN C (IGF-1),270.5,,3.45,347.4,68
CDM,95320468,C-PEPTIDE,116.5,,17.89,149.4,68
CDM,95320468,ER Only-C-PEPTIDE,166.0,,17.89,149.4,50
CDM,95320469,C-PEPTIDE EACH ADDITIONAL,116.5,,17.89,149.4,56
CDM,95320469,ER Only-C-PEPTIDE EACH ADDITIONAL,166.0,,17.89,149.4,38
CDM,95320507,ER Only-TOTAL IGE,273.0,,7.31,245.7,50
CDM,95320507,TOTAL IGE,191.0,,7.31,245.7,68
CDM,95320509,BETA-2 MICROGLOBULIN,186.5,,14.89,239.4,68
CDM,95320509,ER Only-BETA-2 MICROGLOBULIN,266.0,,14.89,239.4,50
CDM,95355005,ER Only-VARICELLA-ZOSTER ANTIBODY IGG,298.0,,5.63,268.2,50
CDM,95355005,VARICELLA-ZOSTER ANTIBODY IGG,208.5,,5.63,268.2,68
CDM,95360001,ANTI-NUCLEAR ANTIBODY,202.5,,7.85,260.1,68
CDM,95360001,ER Only-ANTI-NUCLEAR ANTIBODY,289.0,,7.85,260.1,50
CDM,95360012,ER Only-TREPONEMA PALLIDUM HA,263.0,,12.18,236.7,50
CDM,95360012,TREPONEMA PALLIDUM HA,184.0,,12.18,236.7,68
CDM,95360013,ER Only-TREPONEMA PALLIDUM ANTIBODY,263.0,,12.18,236.7,50
CDM,95360013,TREPONEMA PALLIDUM ANTIBODY,184.0,,12.18,236.7,68
CDM,95360015,CHLAMYDIA URINE,233.5,,32.28,299.7,68
CDM,95360015,ER Only-CHLAMYDIA URINE,333.0,,32.28,299.7,50
CDM,95360016,ER Only-N. GONORHEA SWAB,309.0,,23.29,278.1,50
CDM,95360016,N. GONORHEA SWAB,216.5,,23.29,278.1,68
CDM,95360017,ER Only-N. GONORHEA URINE,309.0,,23.29,278.1,50
CDM,95360017,N. GONORHEA URINE,216.5,,23.29,278.1,68
CDM,95360018,ER Only-MEASLES IGG,195.0,,5.65,175.5,50
CDM,95360018,MEASLES IGG,136.5,,5.65,175.5,68
CDM,95360019,COVID-19 IGG SPIKE AB,90.5,,8.13,116.1,68
CDM,95360019,ER Only-COVID-19 IGG SPIKE AB,129.0,,8.13,116.1,50
CDM,95360021,CMV IGG AB,234.0,,5.58,300.6,68
CDM,95360021,ER Only-CMV IGG AB,334.0,,5.58,300.6,50
CDM,95360022,ER Only-RUBELLA ANTIBODY,253.0,,5.64,227.7,50
CDM,95360022,RUBELLA ANTIBODY,177.5,,5.64,227.7,68
CDM,95360023,ER Only-TOXOPLASMA IGG ANTIBODY,329.0,,5.59,296.1,50
CDM,95360023,TOXOPLASMA IGG ANTIBODY,230.5,,5.59,296.1,68
CDM,95360024,ER Only-TOXOPLASMA IGM,330.0,,6.4,297.0,50
CDM,95360024,TOXOPLASMA IGM,231.0,,6.4,297.0,68
CDM,95360027,ER Only-HELICOBACTER PYLORI ANTIBODY,308.0,,5.68,277.2,50
CDM,95360027,HELICOBACTER PYLORI ANTIBODY,216.0,,5.68,277.2,68
CDM,95360034,ER Only-VARICELLA-ZOSTER ANTIBODY IGG,298.0,,5.63,268.2,50
CDM,95360034,VARICELLA-ZOSTER ANTIBODY IGG,208.5,,5.63,268.2,68
CDM,95360076,ALDOSTERONE SERUM,201.5,,37.49,259.2,68
CDM,95360076,ER Only-ALDOSTERONE SERUM,288.0,,37.49,259.2,50
CDM,95360077,ER Only-RENIN DIRECT,156.0,,20.23,140.4,50
CDM,95360077,RENIN DIRECT,109.5,,20.23,140.4,68
CDM,95360078,ER Only-GROWTH HORMONE (HGH),118.0,,15.34,106.2,50
CDM,95360078,GROWTH HORMONE (HGH),83.0,,15.34,106.2,68
CDM,95360079,ER Only-INSULIN-LIKE GROWTH FACTOR,150.0,,3.45,135.0,50
CDM,95360079,INSULIN-LIKE GROWTH FACTOR,105.0,,3.45,135.0,68
CDM,95360084,ER Only-GAMMAGLOBULIN IGG,218.0,,7.88,196.2,50
CDM,95360084,GAMMAGLOBULIN IGG,152.5,,7.88,196.2,68
CDM,95360091,ER Only-HIV TYPE 1 ANTIBODY **,312.0,,18.0,280.8,50
CDM,95360091,HIV TYPE 1 ANTIBODY **,218.5,,18.0,280.8,68
CDM,95360092,ER Only-HIV TYPE 2 ANTIBODY **,312.0,,18.0,280.8,50
CDM,95360092,HIV TYPE 2 ANTIBODY **,218.5,,18.0,280.8,68
CDM,95360097,ER Only-HIV-1/HIV-2 AB,344.0,,5.71,309.6,50
CDM,95360097,HIV-1/HIV-2 AB,241.0,,5.71,309.6,68
CDM,95360111,ER Only-HEPATITIS A AB IGG,196.0,,5.68,176.4,50
CDM,95360111,HEPATITIS A AB IGG,137.5,,5.68,176.4,68
CDM,95360112,ER Only-HEP B SURF AG NEUTRALIZATION,196.0,,9.5,176.4,50
CDM,95360112,HEP B SURF AG NEUTRALIZATION,137.5,,9.5,176.4,68
CDM,95360113,ER Only-HIV 1 HIV 2 AB AG SGL RESULT,250.0,,22.15,225.0,50
CDM,95360113,HIV 1 HIV 2 AB AG SGL RESULT,175.0,,22.15,225.0,68
CDM,95360135,"ER Only-MYELOPEROXIDASE AB, IGG (MPO)",259.0,,10.61,233.1,50
CDM,95360135,"MYELOPEROXIDASE AB, IGG (MPO)",181.5,,10.61,233.1,68
CDM,95360140,ER Only-RPR SERUM,210.0,,3.36,189.0,50
CDM,95360140,RPR SERUM,147.0,,3.36,189.0,68
CDM,95360143,ER Only-VDRL CSF,210.0,,3.36,189.0,50
CDM,95360143,VDRL CSF,147.0,,3.36,189.0,68
CDM,95360155,ER Only-THYROGLOBULIN ANTIBODY,364.0,,14.64,327.6,50
CDM,95360155,THYROGLOBULIN ANTIBODY,255.0,,14.64,327.6,68
CDM,95360176,DNA DOUBLE STRAND AB-NEGATIVE,204.5,,6.6,262.8,68
CDM,95360176,ER Only-DNA DOUBLE STRAND AB-NEGATIVE,292.0,,6.6,262.8,50
CDM,95360180,CH50 (COMPLEMENT),447.5,,13.27,575.1,68
CDM,95360180,ER Only-CH50 (COMPLEMENT),639.0,,13.27,575.1,50
CDM,95360181,C4 SERUM,166.0,,5.59,213.3,68
CDM,95360181,ER Only-C4 SERUM,237.0,,5.59,213.3,50
CDM,95360235,C3 (COMPLEMENT),166.0,,5.59,213.3,68
CDM,95360235,ER Only-C3 (COMPLEMENT),237.0,,5.59,213.3,50
CDM,95360249,ER Only-IGG CSF,218.0,,7.88,196.2,50
CDM,95360249,IGG CSF,152.5,,7.88,196.2,68
CDM,95360251,ER Only-IGM SERUM,218.0,,7.88,196.2,50
CDM,95360251,IGM SERUM,152.5,,7.88,196.2,68
CDM,95360252,ER Only-IGA SERUM,218.0,,7.88,196.2,50
CDM,95360252,IGA SERUM,152.5,,7.88,196.2,68
CDM,95360253,ER Only-IGG SERUM,218.0,,7.88,196.2,50
CDM,95360253,IGG SERUM,152.5,,7.88,196.2,68
CDM,95360255,CRYOGLOBULIN,90.0,,3.44,115.2,68
CDM,95360255,ER Only-CRYOGLOBULIN,128.0,,3.44,115.2,50
CDM,95360259,"ER Only-SERINE PROTEASE 3 AB, IGG PR3",259.0,,10.61,233.1,50
CDM,95360259,"SERINE PROTEASE 3 AB, IGG PR3",181.5,,10.61,233.1,68
CDM,95360260,ENA AB SS-A (RO),259.0,,12.19,333.0,68
CDM,95360260,ER Only-ENA AB SS-A (RO),370.0,,12.19,333.0,50
CDM,95360261,ENA AB SS-B (LA),259.0,,12.19,333.0,68
CDM,95360261,ER Only-ENA AB SS-B (LA),370.0,,12.19,333.0,50
CDM,95360262,ANTI-SMITH,259.0,,12.19,333.0,68
CDM,95360262,ER Only-ANTI-SMITH,370.0,,12.19,333.0,50
CDM,95360264,ANTI-RNP,259.0,,12.19,333.0,68
CDM,95360264,ER Only-ANTI-RNP,370.0,,12.19,333.0,50
CDM,95360265,ANTI-TRYPSIN ALPHA-1,158.5,,10.14,203.4,68
CDM,95360265,ER Only-ANTI-TRYPSIN ALPHA-1,226.0,,10.14,203.4,50
CDM,95360282,ER Only-HEPATITIS B SURF ANTIGEN,218.0,,7.91,196.2,50
CDM,95360282,HEPATITIS B SURF ANTIGEN,152.5,,7.91,196.2,68
CDM,95360283,ER Only-HEPATITIS B SURF ANTIBOD,267.0,,5.72,240.3,50
CDM,95360283,HEPATITIS B SURF ANTIBOD,187.0,,5.72,240.3,68
CDM,95360284,ER Only-HEP B CORE AB IGM,305.0,,5.71,274.5,50
CDM,95360284,HEP B CORE AB IGM,213.5,,5.71,274.5,68
CDM,95360286,ER Only-HEPATITIS BE ANTIGEN,279.0,,7.92,251.1,50
CDM,95360286,HEPATITIS BE ANTIGEN,195.5,,7.92,251.1,68
CDM,95360287,ER Only-HEPATITIS BE ANTIBODY,594.0,,5.73,534.6,50
CDM,95360287,HEPATITIS BE ANTIBODY,416.0,,5.73,534.6,68
CDM,95360289,ER Only-HEPATITIS C ANTIBODY,309.0,,8.0,278.1,50
CDM,95360289,HEPATITIS C ANTIBODY,216.5,,8.0,278.1,68
CDM,95360291,ACUTE HEPATITIS PANEL,545.0,,20.3,700.2,68
CDM,95360291,ER Only-ACUTE HEPATITIS PANEL,778.0,,20.3,700.2,50
CDM,95360292,ER Only-HEPATITIS B CORE AB- TOTAL,172.0,,5.36,154.8,50
CDM,95360292,HEPATITIS B CORE AB- TOTAL,120.5,,5.36,154.8,68
CDM,95360296,ER Only-HSV IGG-I AB,260.0,,5.74,234.0,50
CDM,95360296,HSV IGG-I AB,182.0,,5.74,234.0,68
CDM,95360297,ER Only-HSV IGG-II AB,379.0,,17.8,341.1,50
CDM,95360297,HSV IGG-II AB,265.5,,17.8,341.1,68
CDM,95360300,ER Only-MITOCHONDRIAL ANTBDY TITE,472.0,,23.41,424.8,50
CDM,95360300,MITOCHONDRIAL ANTBDY TITE,330.5,,23.41,424.8,68
CDM,95360301,ANTI-SMOOTH MUSCLE AB,330.5,,11.09,424.8,68
CDM,95360301,ER Only-ANTI-SMOOTH MUSCLE AB,472.0,,11.09,424.8,50
CDM,95360304,CERULOPLASMIN,124.0,,9.04,159.3,68
CDM,95360304,ER Only-CERULOPLASMIN,177.0,,9.04,159.3,50
CDM,95360307,ANTI NEUTROPHIL CYTOPLASMA AB,330.5,,11.09,424.8,68
CDM,95360307,ER Only-ANTI NEUTROPHIL CYTOPLASMA AB,472.0,,11.09,424.8,50
CDM,95360308,ASPERGILLUS GALACTOMANNAN EIA,479.0,,11.02,615.6,68
CDM,95360308,ER Only-ASPERGILLUS GALACTOMANNAN EIA,684.0,,11.02,615.6,50
CDM,95360311,CARDIOLIPIN IGG ANTIBODIES,374.5,,5.58,481.5,68
CDM,95360311,ER Only-CARDIOLIPIN IGG ANTIBODIES,535.0,,5.58,481.5,50
CDM,95360312,CARDIOLIPIN IGM ANTIBODIES,374.5,,5.58,481.5,68
CDM,95360312,ER Only-CARDIOLIPIN IGM ANTIBODIES,535.0,,5.58,481.5,50
CDM,95360322,ANA SCREEN,178.5,,7.84,229.5,68
CDM,95360322,ER Only-ANA SCREEN,255.0,,7.84,229.5,50
CDM,95360326,ENDOMYSIAL AUTOANTIBODIES SCRE,166.0,,11.12,213.3,68
CDM,95360326,ER Only-ENDOMYSIAL AUTOANTIBODIES SCRE,237.0,,11.12,213.3,50
CDM,95360327,ENDOMYSIAL AUTOANTIBODIES TITE,330.5,,11.12,424.8,68
CDM,95360327,ER Only-ENDOMYSIAL AUTOANTIBODIES TITE,472.0,,11.12,424.8,50
CDM,95360328,ANTI-TISSUE TRANSGLUTAMINASE,181.5,,10.61,233.1,68
CDM,95360328,ER Only-ANTI-TISSUE TRANSGLUTAMINASE,259.0,,10.61,233.1,50
CDM,95360376,ANTI-THYROID PEROXIDASE ABS,202.5,,13.39,260.1,68
CDM,95360376,ER Only-ANTI-THYROID PEROXIDASE ABS,289.0,,13.39,260.1,50
CDM,95360485,ALBUMIN SERUM,59.5,,2.32,76.5,68
CDM,95360485,ER Only-ALBUMIN SERUM,85.0,,2.32,76.5,50
CDM,95360486,"ALBUMIN, SERUM, FOR MS PROFILE",59.5,,2.32,76.5,68
CDM,95360486,"ER Only-ALBUMIN, SERUM, FOR MS PROFILE",85.0,,2.32,76.5,50
CDM,95360522,EBV ANTIBODY (VCA) IGG,262.0,,5.55,336.6,68
CDM,95360522,ER Only-EBV ANTIBODY (VCA) IGG,374.0,,5.55,336.6,50
CDM,95360523,EBV ANTIBODY (VCA) IGM,262.0,,5.55,336.6,68
CDM,95360523,ER Only-EBV ANTIBODY (VCA) IGM,374.0,,5.55,336.6,50
CDM,95360524,EBV ANTIBODY (NA) IGG,220.5,,5.54,283.5,68
CDM,95360524,ER Only-EBV ANTIBODY (NA) IGG,315.0,,5.54,283.5,50
CDM,95360532,CMV IGM AB,284.5,,5.5,365.4,68
CDM,95360532,ER Only-CMV IGM AB,406.0,,5.5,365.4,50
CDM,95360533,ANTI CCP,171.5,,11.91,220.5,68
CDM,95360533,ER Only-ANTI CCP,245.0,,11.91,220.5,50
CDM,95360580,ER Only-TB TEST CELL IMMUN MEAS INT AG,545.0,,92.0,490.5,50
CDM,95360580,TB TEST CELL IMMUN MEAS INT AG,381.5,,92.0,490.5,68
CDM,95360661,ER Only-TRICHOMONAS SWAB,256.0,,18.4,230.4,50
CDM,95360661,TRICHOMONAS SWAB,179.5,,18.4,230.4,68
CDM,95360787,ER Only-IMMUNOGLOBULIN SUBCLASSES EA,179.0,,7.38,161.1,50
CDM,95360787,IMMUNOGLOBULIN SUBCLASSES EA,125.5,,7.38,161.1,68
CDM,95360883,ER Only-NEPHELOMETRY FREE KAPPA,325.0,,15.89,292.5,50
CDM,95360883,NEPHELOMETRY FREE KAPPA,227.5,,15.89,292.5,68
CDM,95360884,ER Only-NEPHELOMETRY FREE LAMBDA,325.0,,25.91,292.5,38
CDM,95360884,NEPHELOMETRY FREE LAMBDA,227.5,,25.91,292.5,56
CDM,95360996,ER Only-HEPATITIS A IGM,221.0,,5.69,198.9,50
CDM,95360996,HEPATITIS A IGM,155.0,,5.69,198.9,68
CDM,95400120,BCID GP ID RX RESIST DNA**,469.0,,134.0,603.0,68
CDM,95400120,ER Only-BCID GP ID RX RESIST DNA**,670.0,,144.21,603.0,50
CDM,95400442,CULTURE ESBL,107.5,,4.47,137.7,68
CDM,95400442,ER Only-CULTURE ESBL,153.0,,4.47,137.7,50
CDM,95401929,ER Only-RAPID AFB SUSCEPT PER PLATE,165.0,,5.68,400.0,51
CDM,95401929,RAPID AFB SUSCEPT PER PLATE,115.5,,5.68,400.0,69
CDM,95401951,ER Only-SLOW AFB SUSCEPT PER PLATE,165.0,,5.68,400.0,51
CDM,95401951,SLOW AFB SUSCEPT PER PLATE,115.5,,5.68,400.0,69
CDM,95401952,ER Only-MYCOBACTERIUM TUBERC PANEL,165.0,,5.68,400.0,51
CDM,95401952,MYCOBACTERIUM TUBERC PANEL,115.5,,5.68,400.0,69
CDM,95406116,CULT STOOL SALMONELLA/SHIGELLA,35.0,,8.68,45.0,68
CDM,95406116,ER Only-CULT STOOL SALMONELLA/SHIGELLA,50.0,,8.68,45.0,50
CDM,95406117,CULT STOOL CAMPYLOBACTER**,35.0,,3.05,45.0,68
CDM,95406117,ER Only-CULT STOOL CAMPYLOBACTER**,50.0,,3.05,45.0,50
CDM,95406118,CULT STOOL YERSINIA**,35.0,,3.05,45.0,68
CDM,95406118,ER Only-CULT STOOL YERSINIA**,50.0,,3.05,45.0,50
CDM,95406119,E-TEST SUSCEPT - ADDL,35.0,,5.69,31.5,56
CDM,95406120,ER Only-PM 38 SUSCEPTIBILITY PER PLATE,173.0,,5.68,400.0,51
CDM,95406120,PM 38 SUSCEPTIBILITY PER PLATE,121.5,,5.68,400.0,69
CDM,95406132,SHIGELLA SPP. TYPING**,38.0,,3.39,34.2,68
CDM,95406133,SHIGELLA SPP. TYPING-91**,38.0,,3.39,34.2,56
CDM,95406135,ER Only-MICRO -TISSUE HOMOGENIZATION,180.0,,5.41,162.0,50
CDM,95406135,MICRO -TISSUE HOMOGENIZATION,126.0,,5.41,162.0,68
CDM,95410002,"CULTURE, BLOOD, AER AND ANA",162.5,,9.49,208.8,68
CDM,95410002,"ER Only-CULTURE, BLOOD, AER AND ANA",232.0,,9.49,208.8,50
CDM,95410008,AFB CONCENTRATION PROCEDURE,80.0,,2.24,102.6,68
CDM,95410008,ER Only-AFB CONCENTRATION PROCEDURE,114.0,,2.24,102.6,50
CDM,95410009,"CULTURE, CERVIX",166.5,,7.93,214.2,68
CDM,95410009,"ER Only-CULTURE, CERVIX",238.0,,7.93,214.2,50
CDM,95410010,CULTURE CSF,166.5,,7.93,214.2,68
CDM,95410010,ER Only-CULTURE CSF,238.0,,7.93,214.2,50
CDM,95410011,"CULTURE, BODY FLUID, ANAEROBIC",166.5,,8.71,214.2,68
CDM,95410011,"ER Only-CULTURE, BODY FLUID, ANAEROBIC",238.0,,8.71,214.2,50
CDM,95410012,"CULTURE, BODY FLUID, AEROBIC",166.5,,7.93,214.2,68
CDM,95410012,"ER Only-CULTURE, BODY FLUID, AEROBIC",238.0,,7.93,214.2,50
CDM,95410015,CULT STOOL SALMONELLA/SHIGELLA,127.5,,8.68,163.8,68
CDM,95410015,ER Only-CULT STOOL SALMONELLA/SHIGELLA,182.0,,8.68,163.8,50
CDM,95410016,CYSTIC FIBROSIS PANEL(BROTH),126.0,,5.68,400.0,69
CDM,95410016,ER Only-CYSTIC FIBROSIS PANEL(BROTH),180.0,,5.68,400.0,51
CDM,95410020,CULTURE FUNGUS,185.0,,6.5,237.6,68
CDM,95410020,ER Only-CULTURE FUNGUS,264.0,,6.5,237.6,50
CDM,95410021,CULTURE FUNGUS/BLD,185.0,,6.71,237.6,68
CDM,95410021,ER Only-CULTURE FUNGUS/BLD,264.0,,6.71,237.6,50
CDM,95410022,CRYPTO AG DETECTION LFA,135.0,,14.78,173.7,68
CDM,95410022,ER Only-CRYPTO AG DETECTION LFA,193.0,,14.78,173.7,50
CDM,95410023,CULTURE FOR GC,107.5,,4.47,137.7,68
CDM,95410023,ER Only-CULTURE FOR GC,153.0,,4.47,137.7,50
CDM,95410025,CULTURE OTHER SOURCE,166.5,,7.93,214.2,68
CDM,95410025,ER Only-CULTURE OTHER SOURCE,238.0,,7.93,214.2,50
CDM,95410026,CULTURE WOUND,166.5,,7.93,214.2,68
CDM,95410026,ER Only-CULTURE WOUND,238.0,,7.93,214.2,50
CDM,95410028,"CULTURE, CYSTIC FIBROSIS, MISC",166.5,,7.93,214.2,68
CDM,95410028,"ER Only-CULTURE, CYSTIC FIBROSIS, MISC",238.0,,7.93,214.2,50
CDM,95410030,CULTURE N-P,107.5,,4.47,137.7,68
CDM,95410030,ER Only-CULTURE N-P,153.0,,4.47,137.7,50
CDM,95410032,E-TEST MINOCYCLINE SUSCEPT,57.0,,4.37,72.9,68
CDM,95410032,ER Only-E-TEST MINOCYCLINE SUSCEPT,81.0,,4.37,72.9,50
CDM,95410034,CRYPTOCOCCUS AG-TITER LFA,135.0,,14.78,173.7,68
CDM,95410034,ER Only-CRYPTOCOCCUS AG-TITER LFA,193.0,,14.78,173.7,50
CDM,95410035,CULTURE SPUTUM,166.5,,7.93,214.2,68
CDM,95410035,ER Only-CULTURE SPUTUM,238.0,,7.93,214.2,50
CDM,95410036,BACT ID GRAM NEG (BCID GN)**,528.0,,151.0,678.6,68
CDM,95410036,ER Only-BACT ID GRAM NEG (BCID GN)**,754.0,,200.62,678.6,50
CDM,95410040,"CULTURE, TB, SCREEN",174.0,,3.37,223.2,68
CDM,95410040,"ER Only-CULTURE, TB, SCREEN",248.0,,3.37,223.2,50
CDM,95410041,CULTURE SCREEN C. AURIS,107.5,,4.47,137.7,68
CDM,95410041,ER Only-CULTURE SCREEN C. AURIS,153.0,,4.47,137.7,50
CDM,95410046,"CULTURE, STREP",107.5,,4.47,137.7,68
CDM,95410046,"ER Only-CULTURE, STREP",153.0,,4.47,137.7,50
CDM,95410047,ER Only-VANCO RESIST ENTEROCOCCUS SCRN,153.0,,4.47,137.7,50
CDM,95410047,VANCO RESIST ENTEROCOCCUS SCRN,107.5,,4.47,137.7,68
CDM,95410050,CULTURE ANAEROBIC,198.5,,8.71,254.7,68
CDM,95410050,ER Only-CULTURE ANAEROBIC,283.0,,8.71,254.7,50
CDM,95410055,COLONY COUNT URINE,152.5,,6.77,196.2,68
CDM,95410055,ER Only-COLONY COUNT URINE,218.0,,6.77,196.2,50
CDM,95410056,"ER Only-IDENTIFICATION C & S, UR",141.0,,4.55,126.9,50
CDM,95410056,"IDENTIFICATION C & S, UR",99.0,,4.55,126.9,68
CDM,95410057,AFB ID BY NUCLEIC ACID PROBE,193.5,,18.45,248.4,68
CDM,95410057,ER Only-AFB ID BY NUCLEIC ACID PROBE,276.0,,18.45,248.4,50
CDM,95410058,ER Only-FUNGUS ID BY NUCLEIC ACID PRBE,276.0,,18.45,248.4,50
CDM,95410058,FUNGUS ID BY NUCLEIC ACID PRBE,193.5,,18.45,248.4,68
CDM,95410060,ACID FAST STAIN DIRECT,87.5,,4.51,112.5,68
CDM,95410060,ER Only-ACID FAST STAIN DIRECT,125.0,,4.51,112.5,50
CDM,95410067,CANDIDA SPECIES DNA BY PCR**,238.0,,32.28,306.0,68
CDM,95410067,ER Only-CANDIDA SPECIES DNA BY PCR**,340.0,,32.28,306.0,50
CDM,95410068,CANDIDA SPECIES DNA BY PCR-59*,238.0,,52.63,306.0,56
CDM,95410068,ER Only-CANDIDA SPECIES DNA BY PCR-59*,340.0,,52.63,306.0,38
CDM,95410069,BCID FP ID DNA 15 TARGETS**,469.0,,134.0,603.0,68
CDM,95410069,ER Only-BCID FP ID DNA 15 TARGETS**,670.0,,144.21,603.0,50
CDM,95410071,BCID GN ID RX RESIST DNA**,469.0,,134.0,603.0,68
CDM,95410071,ER Only-BCID GN ID RX RESIST DNA**,670.0,,144.21,603.0,50
CDM,95410081,ER Only-STREP PNEUMONIAE AG URINE,193.0,,14.78,173.7,50
CDM,95410081,STREP PNEUMONIAE AG URINE,135.0,,14.78,173.7,68
CDM,95410084,"CULTURE, BLOOD",99.5,,9.49,127.8,68
CDM,95410084,"ER Only-CULTURE, BLOOD",142.0,,9.49,127.8,50
CDM,95410085,"CULTURE, AFB, BLOOD",174.0,,3.37,223.2,68
CDM,95410085,"ER Only-CULTURE, AFB, BLOOD",248.0,,3.37,223.2,50
CDM,95410104,EPLEX IADNA VIR 18 BAC 2**,569.0,,162.5,731.7,68
CDM,95410104,ER Only-EPLEX IADNA VIR 18 BAC 2**,813.0,,253.32,731.7,50
CDM,95410107,ER Only-MOLD ID BY MALDI-TOF,226.0,,9.49,203.4,50
CDM,95410107,MOLD ID BY MALDI-TOF,158.5,,9.49,203.4,68
CDM,95410130,ER Only-SUSCEPTIBILITY MIC PER PLATE,180.0,,5.68,400.0,51
CDM,95410130,SUSCEPTIBILITY MIC PER PLATE,126.0,,5.68,400.0,69
CDM,95410131,ER Only-SUSCEPT. MIC PER PLATE EA ADDL,180.0,,5.68,400.0,39
CDM,95410131,SUSCEPT. MIC PER PLATE EA ADDL,126.0,,5.68,400.0,57
CDM,95410132,ER Only-LEGIONELLA PNEUMOPHILIA AG UR,245.0,,14.78,220.5,50
CDM,95410132,LEGIONELLA PNEUMOPHILIA AG UR,171.5,,14.78,220.5,68
CDM,95410186,ER Only-NM 56 SUSCEPTIBILITY PER PLATE,231.0,,5.68,400.0,51
CDM,95410186,NM 56 SUSCEPTIBILITY PER PLATE,162.0,,5.68,400.0,69
CDM,95410212,AFB NOCARDIA ID BY MALDI-TOF,174.0,,12.24,223.2,68
CDM,95410212,ER Only-AFB NOCARDIA ID BY MALDI-TOF,248.0,,12.24,223.2,50
CDM,95410237,CULTURE BLOOD AFB**,174.0,,3.37,223.2,68
CDM,95410237,ER Only-CULTURE BLOOD AFB**,248.0,,3.37,223.2,50
CDM,95410238,CULTURE BLOOD FOR SBE**,162.5,,11.07,208.8,56
CDM,95410238,ER Only-CULTURE BLOOD FOR SBE**,232.0,,11.07,208.8,38
CDM,95410239,CULTURE BLOOD FOR FUNGUS**,185.0,,6.71,237.6,56
CDM,95410239,ER Only-CULTURE BLOOD FOR FUNGUS**,264.0,,6.71,237.6,38
CDM,95410322,ER Only-KB STREP ANTIBIOTIC PANEL,178.0,,6.88,160.2,50
CDM,95410322,KB STREP ANTIBIOTIC PANEL,125.0,,6.88,160.2,68
CDM,95410323,ER Only-KB PNEUMO ANTIBIOTIC PANEL,604.0,,6.88,543.6,50
CDM,95410323,KB PNEUMO ANTIBIOTIC PANEL,423.0,,6.88,543.6,68
CDM,95410326,ER Only-SUSCEPTIBILITY- MIC EACH PLATE,180.0,,5.68,400.0,51
CDM,95410326,SUSCEPTIBILITY- MIC EACH PLATE,126.0,,5.68,400.0,69
CDM,95410327,ER Only-SUSCEPT BETA LACTAMASE,118.0,,4.37,106.2,50
CDM,95410327,SUSCEPT BETA LACTAMASE,83.0,,4.37,106.2,68
CDM,95410529,CULTURE TYPING-STREPTEX,68.0,,3.39,87.3,68
CDM,95410529,ER Only-CULTURE TYPING-STREPTEX,97.0,,3.39,87.3,50
CDM,95410531,ER Only-SMEAR CALCOFLUOR STAIN,125.0,,4.51,112.5,50
CDM,95410531,SMEAR CALCOFLUOR STAIN,87.5,,4.51,112.5,68
CDM,95411001,E-TEST SULBACTAM-DURLOBACTAM,57.0,,4.37,72.9,68
CDM,95411001,ER Only-E-TEST SULBACTAM-DURLOBACTAM,81.0,,4.37,72.9,50
CDM,95411015,CONCENTRATION ANY TYPE **,80.0,,2.24,102.6,68
CDM,95411015,ER Only-CONCENTRATION ANY TYPE **,114.0,,2.24,102.6,50
CDM,95411031,CULTURE FUNGUS ID MOLD,158.5,,9.49,203.4,68
CDM,95411031,ER Only-CULTURE FUNGUS ID MOLD,226.0,,9.49,203.4,50
CDM,95411410,ER Only-FAT FECES QUAL,123.0,,5.41,110.7,50
CDM,95411410,FAT FECES QUAL,86.5,,5.41,110.7,68
CDM,95411415,ER Only-WBC/PUS FECES,102.0,,3.93,91.8,50
CDM,95411415,WBC/PUS FECES,71.5,,3.93,91.8,68
CDM,95411428,ER Only-PARASITE IDENTIFICATION,114.0,,4.52,102.6,50
CDM,95411428,PARASITE IDENTIFICATION,80.0,,4.52,102.6,68
CDM,95411431,+OVA AND PARASITES **,125.5,,8.19,161.1,68
CDM,95411431,ER Only-+OVA AND PARASITES **,179.0,,8.19,161.1,50
CDM,95411435,+MALARIA SMEAR **,110.5,,4.52,142.2,68
CDM,95411435,ER Only-+MALARIA SMEAR **,158.0,,4.52,142.2,50
CDM,95411442,ER Only-GIARDIA AG DFA,153.0,,12.52,137.7,50
CDM,95411442,GIARDIA AG DFA,107.5,,12.52,137.7,68
CDM,95411444,CRYPTOSPORIDIUM/GIARDIA AG DFA,116.5,,11.02,149.4,68
CDM,95411444,ER Only-CRYPTOSPORIDIUM/GIARDIA AG DFA,166.0,,11.02,149.4,50
CDM,95411445,ER Only-PARTICLE AGG SCR CRYPTO,193.0,,10.62,173.7,50
CDM,95411445,PARTICLE AGG SCR CRYPTO,135.0,,10.62,173.7,68
CDM,95411447,AER ORGANISM ID - VITEK,127.0,,7.43,162.9,68
CDM,95411447,ER Only-AER ORGANISM ID - VITEK,181.0,,7.43,162.9,50
CDM,95411561,"C DIFF TOXINS A AND B, EIA",187.0,,9.96,240.3,68
CDM,95411561,"ER Only-C DIFF TOXINS A AND B, EIA",267.0,,9.96,240.3,50
CDM,95411565,ER Only-KB STAPH ANTIBIOTIC PANEL,178.0,,6.88,160.2,50
CDM,95411565,KB STAPH ANTIBIOTIC PANEL,125.0,,6.88,160.2,68
CDM,95411571,"ER Only-PANEL, KB ESBL",178.0,,6.88,160.2,50
CDM,95411571,"PANEL, KB ESBL",125.0,,6.88,160.2,68
CDM,95420411,ER Only-THROAT CULTURE,238.0,,7.93,214.2,50
CDM,95420411,THROAT CULTURE,166.5,,7.93,214.2,68
CDM,95421447,AER ORGANISM ID - BUEKER,127.0,,7.43,162.9,68
CDM,95421447,ER Only-AER ORGANISM ID - BUEKER,181.0,,7.43,162.9,50
CDM,95431447,ER Only-YEAST ORGANISM ID - BRUKER,141.0,,8.64,126.9,50
CDM,95431447,YEAST ORGANISM ID - BRUKER,99.0,,8.64,126.9,68
CDM,95435069,CRYPTOCOCCAL TITER- EA AB,169.0,,3.34,216.9,68
CDM,95435069,ER Only-CRYPTOCOCCAL TITER- EA AB,241.0,,3.34,216.9,50
CDM,95450012,CONC STOOL,80.0,,2.24,102.6,68
CDM,95450012,ER Only-CONC STOOL,114.0,,2.24,102.6,50
CDM,95450014,AER ORGANISM ID-CRYSTAL GP,127.0,,7.43,162.9,68
CDM,95450014,ER Only-AER ORGANISM ID-CRYSTAL GP,181.0,,7.43,162.9,50
CDM,95450016,AER ORGANISM ID-RAPID CB,127.0,,7.43,162.9,68
CDM,95450016,ER Only-AER ORGANISM ID-RAPID CB,181.0,,7.43,162.9,50
CDM,95450018,AER ORGANISM ID-RAPID NH,127.0,,7.43,162.9,68
CDM,95450018,ER Only-AER ORGANISM ID-RAPID NH,181.0,,7.43,162.9,50
CDM,95450020,AER ORGANISM ID-RAPID NF,127.0,,7.43,162.9,68
CDM,95450020,ER Only-AER ORGANISM ID-RAPID NF,181.0,,7.43,162.9,50
CDM,95450029,E-TEST CEFOTAXIME SUSCEPT,57.0,,4.37,72.9,68
CDM,95450029,ER Only-E-TEST CEFOTAXIME SUSCEPT,81.0,,4.37,72.9,50
CDM,95450033,E-TEST CIPROFLOXACIN SUSCEPT,57.0,,4.37,72.9,68
CDM,95450033,ER Only-E-TEST CIPROFLOXACIN SUSCEPT,81.0,,4.37,72.9,50
CDM,95450034,E-TEST DAPTOMYCIN SUSCEPT,57.0,,4.37,72.9,68
CDM,95450034,ER Only-E-TEST DAPTOMYCIN SUSCEPT,81.0,,4.37,72.9,50
CDM,95450036,E-TEST GENTAMICIN SUSCEPT,57.0,,4.37,72.9,68
CDM,95450036,ER Only-E-TEST GENTAMICIN SUSCEPT,81.0,,4.37,72.9,50
CDM,95450038,E-TEST LINEZOLID SUSCEPT,57.0,,4.37,72.9,68
CDM,95450038,ER Only-E-TEST LINEZOLID SUSCEPT,81.0,,4.37,72.9,50
CDM,95450040,E-TEST MOXIFLOXACIN SUSCEPT,57.0,,4.37,72.9,68
CDM,95450040,ER Only-E-TEST MOXIFLOXACIN SUSCEPT,81.0,,4.37,72.9,50
CDM,95450041,E-TEST PENICILLIN SUSCEPT,57.0,,4.37,72.9,68
CDM,95450041,ER Only-E-TEST PENICILLIN SUSCEPT,81.0,,4.37,72.9,50
CDM,95450044,E-TEST TETRACYCLINE SUSCEPT,57.0,,4.37,72.9,68
CDM,95450044,ER Only-E-TEST TETRACYCLINE SUSCEPT,81.0,,4.37,72.9,50
CDM,95450049,ER Only-YEAST ORGANISM ID,197.0,,8.64,177.3,50
CDM,95450049,YEAST ORGANISM ID,138.0,,8.64,177.3,68
CDM,95450050,AER ORGANISM ID-CRYSTAL GN,127.0,,7.43,162.9,68
CDM,95450050,ER Only-AER ORGANISM ID-CRYSTAL GN,181.0,,7.43,162.9,50
CDM,95450053,ER Only-STREPTOCOCCUS BIOCHEM ID,97.0,,7.43,87.3,50
CDM,95450053,STREPTOCOCCUS BIOCHEM ID,68.0,,7.43,87.3,68
CDM,95450054,ER Only-STREPTOCOCCUS PNEUMONIAE AB ID,97.0,,3.39,87.3,50
CDM,95450054,STREPTOCOCCUS PNEUMONIAE AB ID,68.0,,3.39,87.3,68
CDM,95450056,ANAEROBIC ORGANISM ID,99.0,,6.64,126.9,68
CDM,95450056,ER Only-ANAEROBIC ORGANISM ID,141.0,,6.64,126.9,50
CDM,95450058,E-TEST AMIKACIN SUSCEPT,57.0,,4.37,72.9,68
CDM,95450058,ER Only-E-TEST AMIKACIN SUSCEPT,81.0,,4.37,72.9,50
CDM,95450059,E-TEST AMPICILLIN SUSCEPT,57.0,,4.37,72.9,68
CDM,95450059,ER Only-E-TEST AMPICILLIN SUSCEPT,81.0,,4.37,72.9,50
CDM,95450065,E-TEST CEFTRIAXONE SUSCEPT,57.0,,4.37,72.9,68
CDM,95450065,ER Only-E-TEST CEFTRIAXONE SUSCEPT,81.0,,4.37,72.9,50
CDM,95450067,E-TEST TOBRAMYCIN SUSCEPT,57.0,,4.37,72.9,68
CDM,95450067,ER Only-E-TEST TOBRAMYCIN SUSCEPT,81.0,,4.37,72.9,50
CDM,95450068,E-TEST CEFTAZIDIME/AVIBACTAM,57.0,,4.37,72.9,68
CDM,95450068,ER Only-E-TEST CEFTAZIDIME/AVIBACTAM,81.0,,4.37,72.9,50
CDM,95450079,ER Only-RT PCR CULTURE TYPING CARBA-R*,185.0,,32.28,166.5,50
CDM,95450079,RT PCR CULTURE TYPING CARBA-R*,129.5,,32.28,166.5,68
CDM,95450081,ER Only-RT PCR INF AGENT DETECT CARBAR,185.0,,32.28,166.5,51
CDM,95450081,RT PCR INF AGENT DETECT CARBAR,129.5,,32.28,166.5,69
CDM,95450093,ER Only-SUSCEPT MACROBROTH ADDL,269.0,,4.59,242.1,38
CDM,95450093,SUSCEPT MACROBROTH ADDL,188.5,,4.59,242.1,56
CDM,95450116,ER Only-MALARIA INF AGENT AG DETECTION,193.0,,14.78,173.7,50
CDM,95450116,MALARIA INF AGENT AG DETECTION,135.0,,14.78,173.7,68
CDM,95450165,ER Only-M. TUBERCULO DNA AMP PROBE,318.0,,70.63,286.2,50
CDM,95450165,M. TUBERCULO DNA AMP PROBE,222.5,,63.5,286.2,68
CDM,95450166,ER Only-INFECT AGENT DETECT RIF,301.0,,32.28,270.9,51
CDM,95450166,INFECT AGENT DETECT RIF,211.0,,32.28,270.9,69
CDM,95450196,CULTURE TYPING-PBP2A,68.0,,3.39,87.3,68
CDM,95450196,ER Only-CULTURE TYPING-PBP2A,97.0,,3.39,87.3,50
CDM,95450203,ER Only-SUSC MACROBROTH EA ADD AGENT**,100.0,,4.59,90.0,38
CDM,95450203,SUSC MACROBROTH EA ADD AGENT**,70.0,,4.59,90.0,56
CDM,95450204,ER Only-SUSC MACROBROTH INIT AGENT**,100.0,,4.59,90.0,50
CDM,95450204,SUSC MACROBROTH INIT AGENT**,70.0,,4.59,90.0,68
CDM,95450300,ER Only-SUSCEPT MACROBROTH EA AGENT,269.0,,4.59,242.1,50
CDM,95450300,SUSCEPT MACROBROTH EA AGENT,188.5,,4.59,242.1,68
CDM,95451056,ANAEROBIC ORGANISM ID - BRUKER,99.0,,6.64,126.9,68
CDM,95451056,ER Only-ANAEROBIC ORGANISM ID - BRUKER,141.0,,6.64,126.9,50
CDM,95480998,EIA SHIGA TOXIN AG QL/SQ STX1,143.0,,11.02,183.6,68
CDM,95480998,ER Only-EIA SHIGA TOXIN AG QL/SQ STX1,204.0,,11.02,183.6,50
CDM,95480999,EIA SHIGA TOXIN AG QL/SQ STX2,143.0,,17.97,183.6,56
CDM,95480999,ER Only-EIA SHIGA TOXIN AG QL/SQ STX2,204.0,,17.97,183.6,38
CDM,95487481,DNA BY PCR- T2 CANDIDA PANEL,238.0,,32.28,306.0,68
CDM,95487481,ER Only-DNA BY PCR- T2 CANDIDA PANEL,340.0,,32.28,306.0,50
CDM,95510005,BED SIDE GLUCOSE,43.5,,3.02,55.8,68
CDM,95510005,ER Only-BED SIDE GLUCOSE,62.0,,3.02,55.8,50
CDM,95510006,BED SIDE SODIUM,75.0,,2.38,96.3,68
CDM,95510006,ER Only-BED SIDE SODIUM,107.0,,2.38,96.3,50
CDM,95510007,BED SIDE POTASSIUM,77.0,,2.35,99.0,68
CDM,95510007,ER Only-BED SIDE POTASSIUM,110.0,,2.35,99.0,50
CDM,95510011,ER Only-I-STAT IONIZED CALCIUM,214.0,,2.31,192.6,50
CDM,95510011,I-STAT IONIZED CALCIUM,150.0,,2.31,192.6,68
CDM,95510020,ER Only-HEMATOCRIT BED SIDE,94.0,,2.18,84.6,50
CDM,95510020,HEMATOCRIT BED SIDE,66.0,,2.18,84.6,68
CDM,95510025,BED SIDE BG W/INDIR. O2 SAT,323.5,,13.29,415.8,68
CDM,95510025,ER Only-BED SIDE BG W/INDIR. O2 SAT,462.0,,13.29,415.8,50
CDM,95510110,"ER Only-GLUCOSE QUANTITATIVE, BLOOD",62.0,,3.02,55.8,50
CDM,95510110,"GLUCOSE QUANTITATIVE, BLOOD",43.5,,3.02,55.8,68
CDM,95601029,ER Only-SIROLIMUS (RAPAMYCIN) BLOOD,395.0,,9.85,355.5,50
CDM,95601029,SIROLIMUS (RAPAMYCIN) BLOOD,276.5,,9.85,355.5,68
CDM,95601521,DRUG TEST DEFIN 22+ CLASSES,855.5,,227.17,1099.8,68
CDM,95601521,ER Only-DRUG TEST DEFIN 22+ CLASSES,1222.0,,227.17,1099.8,50
CDM,95605123,ER Only-M-ACTH,554.0,,33.53,498.6,50
CDM,95605123,M-ACTH,388.0,,33.53,498.6,68
CDM,95620001,ER Only-HEMOGLOBIN ELECTROPHORESIS CAP,259.0,,9.07,233.1,50
CDM,95620001,HEMOGLOBIN ELECTROPHORESIS CAP,181.5,,9.07,233.1,68
CDM,95620004,"ER Only-RHEUMATOID FACTOR, QUANT.",211.0,,5.22,189.9,50
CDM,95620004,"RHEUMATOID FACTOR, QUANT.",148.0,,5.22,189.9,68
CDM,95620013,ALBUMIN (MICROALBUMIN)  URINE,105.0,,5.32,135.0,68
CDM,95620013,ER Only-ALBUMIN (MICROALBUMIN)  URINE,150.0,,5.32,135.0,50
CDM,95620014,ALBUMIN (MICROALBUMIN) URINE,105.0,,5.32,135.0,68
CDM,95620014,ER Only-ALBUMIN (MICROALBUMIN) URINE,150.0,,5.32,135.0,50
CDM,95620023,C4 SERUM,166.0,,5.59,213.3,68
CDM,95620023,ER Only-C4 SERUM,237.0,,5.59,213.3,50
CDM,95620025,ER Only-GLUCOSE BLOOD- EACH ADDITIONAL,80.0,,5.89,72.0,38
CDM,95620025,GLUCOSE BLOOD- EACH ADDITIONAL,56.0,,5.89,72.0,56
CDM,95620026,C3 (COMPLEMENT),166.0,,5.59,213.3,68
CDM,95620026,ER Only-C3 (COMPLEMENT),237.0,,5.59,213.3,50
CDM,95620028,ER Only-THYROXINE (T-4) TOTAL,140.0,,3.38,126.0,50
CDM,95620028,THYROXINE (T-4) TOTAL,98.0,,3.38,126.0,68
CDM,95620029,ER Only-IGM SERUM,218.0,,7.88,196.2,50
CDM,95620029,IGM SERUM,152.5,,7.88,196.2,68
CDM,95620030,ER Only-IGA SERUM,218.0,,7.88,196.2,50
CDM,95620030,IGA SERUM,152.5,,7.88,196.2,68
CDM,95620031,ER Only-IGG SERUM,218.0,,7.88,196.2,50
CDM,95620031,IGG SERUM,152.5,,7.88,196.2,68
CDM,95620033,ER Only-SOMATOMEDIN C (IGF-1),386.0,,3.45,347.4,50
CDM,95620033,SOMATOMEDIN C (IGF-1),270.5,,3.45,347.4,68
CDM,95620034,ANTI-TRYPSIN ALPHA-1,158.5,,10.14,203.4,68
CDM,95620034,ER Only-ANTI-TRYPSIN ALPHA-1,226.0,,10.14,203.4,50
CDM,95620042,CERULOPLASMIN,124.0,,9.04,159.3,68
CDM,95620042,ER Only-CERULOPLASMIN,177.0,,9.04,159.3,50
CDM,95620060,CHLORIDE SERUM,51.5,,2.34,65.7,68
CDM,95620060,ER Only-CHLORIDE SERUM,73.0,,2.34,65.7,50
CDM,95620062,ER Only-POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,50
CDM,95620062,POTASSIUM SERUM/ PLASMA/ BLOOD,77.0,,2.35,99.0,68
CDM,95620070,CHLORIDE URINE,94.0,,2.32,120.6,68
CDM,95620070,ER Only-CHLORIDE URINE,134.0,,2.32,120.6,50
CDM,95620094,ER Only-TROPONIN QN,146.0,,10.69,131.4,50
CDM,95620094,TROPONIN QN,102.5,,10.69,131.4,68
CDM,95620099,ER Only-THEOPHYLLINE SERUM,210.0,,13.01,189.0,50
CDM,95620099,THEOPHYLLINE SERUM,147.0,,13.01,189.0,68
CDM,95620100,CREATININE URINE,99.5,,3.35,127.8,68
CDM,95620100,ER Only-CREATININE URINE,142.0,,3.35,127.8,50
CDM,95620115,CEA,218.5,,10.02,280.8,68
CDM,95620115,ER Only-CEA,312.0,,10.02,280.8,50
CDM,95620120,ER Only-HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,50
CDM,95620120,HEMOGLOBIN GLYCOSYLATED (A1C),134.5,,8.93,172.8,68
CDM,95620121,CREATININE CLEARANCE,101.5,,4.2,130.5,68
CDM,95620121,ER Only-CREATININE CLEARANCE,145.0,,4.2,130.5,50
CDM,95620124,ER Only-TOXOPLASMA IGG ANTIBODY,329.0,,5.59,296.1,50
CDM,95620124,TOXOPLASMA IGG ANTIBODY,230.5,,5.59,296.1,68
CDM,95620126,ER Only-GLUCOSE QNT (1HR POST GLUCOLA),90.0,,2.17,81.0,50
CDM,95620126,GLUCOSE QNT (1HR POST GLUCOLA),63.0,,2.17,81.0,68
CDM,95620127,ER Only-RUBELLA ANTIBODY,253.0,,5.64,227.7,50
CDM,95620127,RUBELLA ANTIBODY,177.5,,5.64,227.7,68
CDM,95620131,ER Only-GLUCOSE BODY FLUID,89.0,,3.62,80.1,50
CDM,95620131,GLUCOSE BODY FLUID,62.5,,3.62,80.1,68
CDM,95620144,ER Only-GTT-EACH ADDIT SPEC,80.0,,2.41,72.0,50
CDM,95620144,GTT-EACH ADDIT SPEC,56.0,,2.41,72.0,68
CDM,95620145,ER Only-GTT-FIRST 3 SPEC,164.0,,5.41,147.6,50
CDM,95620145,GTT-FIRST 3 SPEC,115.0,,5.41,147.6,68
CDM,95620157,ALPHA-FETOPROTEIN-SERUM,189.0,,7.45,243.0,68
CDM,95620157,ER Only-ALPHA-FETOPROTEIN-SERUM,270.0,,7.45,243.0,50
CDM,95620158,ER Only-LUTEINIZING HORMONE,379.0,,5.48,341.1,50
CDM,95620158,LUTEINIZING HORMONE,265.5,,5.48,341.1,68
CDM,95620159,ER Only-FOLLICLE STIMULATION HORMONE,379.0,,9.78,341.1,50
CDM,95620159,FOLLICLE STIMULATION HORMONE,265.5,,9.78,341.1,68
CDM,95620161,CA 125,267.5,,13.2,343.8,68
CDM,95620161,ER Only-CA 125,382.0,,13.2,343.8,50
CDM,95620162,ER Only-ESTRADIOL,404.0,,25.7,363.6,50
CDM,95620162,ESTRADIOL,283.0,,25.7,363.6,68
CDM,95620163,CA 19-9,267.5,,7.2,343.8,68
CDM,95620163,ER Only-CA 19-9,382.0,,7.2,343.8,50
CDM,95620164,CA (BR) 15-3 (27-29),267.5,,19.15,343.8,68
CDM,95620164,ER Only-CA (BR) 15-3 (27-29),382.0,,19.15,343.8,50
CDM,95620180,ER Only-PHOSPHORUS URINE,142.0,,3.3,127.8,50
CDM,95620180,PHOSPHORUS URINE,99.5,,3.3,127.8,68
CDM,95620205,ER Only-POTASSIUM URINE,104.0,,2.24,93.6,50
CDM,95620205,POTASSIUM URINE,73.0,,2.24,93.6,68
CDM,95620215,ER Only-PROTEIN TOTAL CSF OTHER SOURCE,148.0,,3.68,133.2,50
CDM,95620215,PROTEIN TOTAL CSF OTHER SOURCE,104.0,,3.68,133.2,68
CDM,95620250,ER Only-SODIUM URINE,139.0,,2.25,125.1,50
CDM,95620250,SODIUM URINE,97.5,,2.25,125.1,68
CDM,95620251,ER Only-URINE DRUG SCREEN,323.0,,57.17,290.7,50
CDM,95620251,URINE DRUG SCREEN,226.0,,57.17,290.7,68
CDM,95620252,ER Only-URINE DRUG CONFIRMATION,431.0,,45.78,387.9,50
CDM,95620252,URINE DRUG CONFIRMATION,302.0,,45.78,387.9,68
CDM,95620261,"ER Only-IMMUNOFIXATION, URINE ELECT",584.0,,27.0,525.6,50
CDM,95620261,"IMMUNOFIXATION, URINE ELECT",409.0,,27.0,525.6,68
CDM,95620262,ER Only-IMMUNOFIXATION SERUM ELEC,491.0,,20.55,441.9,50
CDM,95620262,IMMUNOFIXATION SERUM ELEC,344.0,,20.55,441.9,68
CDM,95620265,CALCIUM URINE QUANT,91.0,,3.44,117.0,68
CDM,95620265,ER Only-CALCIUM URINE QUANT,130.0,,3.44,117.0,50
CDM,95620281,ER Only-UREA NITROGEN QUANT BODY FLUID,90.0,,2.35,81.0,50
CDM,95620281,UREA NITROGEN QUANT BODY FLUID,63.0,,2.35,81.0,68
CDM,95620285,ER Only-UREA NITROGEN URINE,123.0,,3.34,110.7,50
CDM,95620285,UREA NITROGEN URINE,86.5,,3.34,110.7,68
CDM,95620291,ER Only-URIC ACID OTHER SOURCE,201.0,,2.26,180.9,50
CDM,95620291,URIC ACID OTHER SOURCE,141.0,,2.26,180.9,68
CDM,95620299,ER Only-MYCOPHENOLIC ACID (CHEM),468.0,,16.61,421.2,50
CDM,95620299,MYCOPHENOLIC ACID (CHEM),328.0,,16.61,421.2,68
CDM,95620301,ER Only-TESTOSTERONE TOTAL,418.0,,12.34,376.2,50
CDM,95620301,TESTOSTERONE TOTAL,292.5,,12.34,376.2,68
CDM,95620306,ER Only-VITAMIN D 25 HYDROXY,384.0,,27.23,345.6,50
CDM,95620306,VITAMIN D 25 HYDROXY,269.0,,27.23,345.6,68
CDM,95620316,ACTH,388.0,,33.53,498.6,68
CDM,95620316,ER Only-ACTH,554.0,,33.53,498.6,50
CDM,95620320,ER Only-FERRITIN                82728,225.0,,8.96,202.5,50
CDM,95620320,FERRITIN                82728,157.5,,8.96,202.5,68
CDM,95620347,ER Only-OLIGOCLONAL BANDS,332.0,,20.02,298.8,50
CDM,95620347,OLIGOCLONAL BANDS,232.5,,20.02,298.8,68
CDM,95620348,"ER Only-OLIGOCLONAL BANDS, CSF",332.0,,20.02,298.8,50
CDM,95620348,"OLIGOCLONAL BANDS, CSF",232.5,,20.02,298.8,68
CDM,95620350,ER Only-HEMOGLOBIN ELECT ACID PH,259.0,,9.07,233.1,50
CDM,95620350,HEMOGLOBIN ELECT ACID PH,181.5,,9.07,233.1,68
CDM,95620362,ER Only-PROTEIN ELECTROP SERUM,201.0,,7.95,180.9,50
CDM,95620362,PROTEIN ELECTROP SERUM,141.0,,7.95,180.9,68
CDM,95620364,ER Only-PROTEIN ELECTROP URINE,273.0,,16.4,245.7,50
CDM,95620364,PROTEIN ELECTROP URINE,191.0,,16.4,245.7,68
CDM,95620379,ER Only-HAPTOGLOBIN QN,150.0,,11.57,135.0,50
CDM,95620379,HAPTOGLOBIN QN,105.0,,11.57,135.0,68
CDM,95620380,ER Only-PROSTATE SPECIFIC AG TOTAL,361.0,,13.4,324.9,50
CDM,95620380,PROSTATE SPECIFIC AG TOTAL,253.0,,13.4,324.9,68
CDM,95620381,ER Only-PROSTATE CNCR SCRN- PSA- TOTAL,475.0,,17.77,427.5,50
CDM,95620381,PROSTATE CNCR SCRN- PSA- TOTAL,332.5,,17.77,427.5,68
CDM,95620383,ER Only-PROSTATE SPECIFIC AG FREE,199.0,,16.92,179.1,50
CDM,95620383,PROSTATE SPECIFIC AG FREE,139.5,,16.92,179.1,68
CDM,95620385,ER Only-TRIIODOTHYRONINE (T-3) TOTAL,232.0,,6.68,208.8,50
CDM,95620385,TRIIODOTHYRONINE (T-3) TOTAL,162.5,,6.68,208.8,68
CDM,95620387,ER Only-TRIIODOTHYRONINE (T-3) FREE,277.0,,8.71,249.3,50
CDM,95620387,TRIIODOTHYRONINE (T-3) FREE,194.0,,8.71,249.3,68
CDM,95620455,CORTISOL SERUM,189.0,,12.7,243.0,68
CDM,95620455,ER Only-CORTISOL SERUM,270.0,,12.7,243.0,50
CDM,95620468,C-PEPTIDE,116.5,,17.89,149.4,68
CDM,95620468,ER Only-C-PEPTIDE,166.0,,17.89,149.4,50
CDM,95620469,C-PEPTIDE EACH ADDITIONAL,116.5,,17.89,149.4,56
CDM,95620469,ER Only-C-PEPTIDE EACH ADDITIONAL,166.0,,17.89,149.4,38
CDM,95620470,ER Only-INSULIN SERUM,186.0,,10.52,167.4,50
CDM,95620470,INSULIN SERUM,130.5,,10.52,167.4,68
CDM,95620475,ER Only-PROLACTIN,320.0,,7.9,288.0,50
CDM,95620475,PROLACTIN,224.0,,7.9,288.0,68
CDM,95620491,ER Only-PREALBUMIN,225.0,,10.07,202.5,50
CDM,95620491,PREALBUMIN,157.5,,10.07,202.5,68
CDM,95620492,ER Only-HEMOGLOBIN PLASMA,192.0,,6.73,172.8,50
CDM,95620492,HEMOGLOBIN PLASMA,134.5,,6.73,172.8,68
CDM,95620506,ER Only-TOXOPLASMA IGM,330.0,,6.4,297.0,50
CDM,95620506,TOXOPLASMA IGM,231.0,,6.4,297.0,68
CDM,95620507,ER Only-TOTAL IGE,273.0,,7.31,245.7,50
CDM,95620507,TOTAL IGE,191.0,,7.31,245.7,68
CDM,95620508,ER Only-GASTRIN ASSAY,280.0,,13.5,252.0,50
CDM,95620508,GASTRIN ASSAY,196.0,,13.5,252.0,68
CDM,95620509,BETA-2 MICROGLOBULIN,186.5,,14.89,239.4,68
CDM,95620509,ER Only-BETA-2 MICROGLOBULIN,266.0,,14.89,239.4,50
CDM,95620512,ER Only-VALPROIC ACID FREE,340.0,,12.46,306.0,50
CDM,95620512,VALPROIC ACID FREE,238.0,,12.46,306.0,68
CDM,95620530,CMV IGG AB,234.0,,5.58,300.6,68
CDM,95620530,ER Only-CMV IGG AB,334.0,,5.58,300.6,50
CDM,95620546,ER Only-MAGNESIUM URINE,117.0,,6.16,105.3,50
CDM,95620546,MAGNESIUM URINE,82.0,,6.16,105.3,68
CDM,95620557,ER Only-OSMOLALITY SERUM,146.0,,5.73,131.4,52
CDM,95620557,OSMOLALITY SERUM,102.5,,5.73,131.4,70
CDM,95620558,ER Only-OSMOLALITY URINE,146.0,,5.46,131.4,52
CDM,95620558,OSMOLALITY URINE,102.5,,5.46,131.4,70
CDM,95620578,ER Only-PROTEIN TOTAL URINE,85.0,,3.38,76.5,50
CDM,95620578,PROTEIN TOTAL URINE,59.5,,3.38,76.5,68
CDM,95620611,CYSTATIN C,174.5,,17.04,224.1,68
CDM,95620611,ER Only-CYSTATIN C,249.0,,17.04,224.1,50
CDM,95620640,DIPROPYLACETIC ACID (VALPROIC),141.5,,9.85,181.8,68
CDM,95620640,ER Only-DIPROPYLACETIC ACID (VALPROIC),202.0,,9.85,181.8,50
CDM,95620782,ER Only-HEMOGLOBIN S AND C,88.0,,3.46,79.2,50
CDM,95620782,HEMOGLOBIN S AND C,61.5,,3.46,79.2,68
CDM,95620785,CYCLOSPORIN SERUM.      80158,393.5,,10.07,505.8,68
CDM,95620785,ER Only-CYCLOSPORIN SERUM.      80158,562.0,,10.07,505.8,50
CDM,95620805,CARBAMAZEPINE (TEGRETOL) TOTAL,152.0,,10.14,195.3,68
CDM,95620805,ER Only-CARBAMAZEPINE (TEGRETOL) TOTAL,217.0,,10.14,195.3,50
CDM,95620826,ER Only-TACROLIMUS II (FK506),457.0,,12.63,411.3,50
CDM,95620826,TACROLIMUS II (FK506),320.0,,12.63,411.3,68
CDM,95620830,ER Only-VITAMIN B12,232.0,,6.71,208.8,50
CDM,95620830,VITAMIN B12,162.5,,6.71,208.8,68
CDM,95620835,"ER Only-FOLIC ACID, PLASMA",175.0,,5.6,157.5,50
CDM,95620835,"FOLIC ACID, PLASMA",122.5,,5.6,157.5,68
CDM,95620841,"ER Only-HOMOCYSTEINE, PLASMA",319.0,,16.49,287.1,50
CDM,95620841,"HOMOCYSTEINE, PLASMA",223.5,,16.49,287.1,68
CDM,95620861,ER Only-NICOTINE SERUM (UAB CHEM DEPT),363.0,,45.78,326.7,50
CDM,95620861,NICOTINE SERUM (UAB CHEM DEPT),254.5,,45.78,326.7,68
CDM,95620911,ER Only-INSULIN SERUM- EACH ADDITIONAL,186.0,,12.37,167.4,38
CDM,95620911,INSULIN SERUM- EACH ADDITIONAL,130.5,,12.37,167.4,56
CDM,95620929,ER Only-SEX HORMONE BINDING GLOBULIN,223.0,,3.36,200.7,50
CDM,95620929,SEX HORMONE BINDING GLOBULIN,156.5,,3.36,200.7,68
CDM,95620997,ER Only-HEPATITIS A TOTAL,242.0,,5.68,217.8,50
CDM,95620997,HEPATITIS A TOTAL,169.5,,5.68,217.8,68
CDM,95620998,ER Only-HEPATITIS B SURFACE AB,267.0,,5.72,240.3,50
CDM,95620998,HEPATITIS B SURFACE AB,187.0,,5.72,240.3,68
CDM,95620999,ER Only-HEPATITIS B CORE IGM,305.0,,5.71,274.5,50
CDM,95620999,HEPATITIS B CORE IGM,213.5,,5.71,274.5,68
CDM,95629616,CHEM 18-OR - (CLIENT USE ONLY),572.5,,64.09,736.2,56
CDM,95629616,ER Only-CHEM 18-OR - (CLIENT USE ONLY),818.0,,160.33,736.2,38
CDM,95629628,CHEM 20-OR - (CLIENT USE ONLY),623.0,,69.78,801.0,56
CDM,95629628,ER Only-CHEM 20-OR - (CLIENT USE ONLY),890.0,,174.44,801.0,38
CDM,95750025,CELL COUNT BODY FLUID W/DIFF,61.5,,2.19,79.2,68
CDM,95750025,ER Only-CELL COUNT BODY FLUID W/DIFF,88.0,,2.19,79.2,50
CDM,95750026,ER Only-VISCOSITY,288.0,,10.01,259.2,50
CDM,95750026,VISCOSITY,201.5,,10.01,259.2,68
CDM,95750055,ER Only-LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,50
CDM,95750055,LEUKOCYTE (WBC) AUTOMATED,79.0,,2.34,101.7,68
CDM,95750057,EOSINOPHIL SMEAR URINE,105.0,,3.39,135.0,68
CDM,95750057,ER Only-EOSINOPHIL SMEAR URINE,150.0,,3.39,135.0,50
CDM,95750066,ER Only-G6PD ENZYME SCREEN,174.0,,5.57,156.6,50
CDM,95750066,G6PD ENZYME SCREEN,122.0,,5.57,156.6,68
CDM,95750085,ER Only-LEUKOCYTE ALK PHOS W/COUNT,152.0,,7.83,136.8,50
CDM,95750085,LEUKOCYTE ALK PHOS W/COUNT,106.5,,7.83,136.8,68
CDM,95750150,ER Only-LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,50
CDM,95750150,LEUKOCYTE (WBC) AUTOMATED,79.0,,2.34,101.7,68
CDM,95750295,"ER Only-MYOGLOBIN, URINE",174.0,,11.89,156.6,50
CDM,95750295,"MYOGLOBIN, URINE",122.0,,11.89,156.6,68
CDM,95770100,"ER Only-HEMOSIDERIN, URINE",82.0,,4.37,73.8,50
CDM,95770100,"HEMOSIDERIN, URINE",57.5,,4.37,73.8,68
CDM,95770165,ER Only-PROTEIN UR QUAL,142.0,,2.07,127.8,50
CDM,95770165,PROTEIN UR QUAL,99.5,,2.07,127.8,68
CDM,95805362,ER Only-Z*MICRODISSECTION MANUAL**,540.0,,270.0,486.0,38
CDM,95805362,Z*MICRODISSECTION MANUAL**,378.0,,108.0,486.0,56
CDM,95806015,ER Only-MLH1 METHYLATION PCR,930.0,,176.93,837.0,50
CDM,95806015,MLH1 METHYLATION PCR,651.0,,176.93,837.0,68
CDM,95840001,ER Only-NUCLEIC ACID QN HEPATITIS B,560.0,,39.41,504.0,50
CDM,95840001,NUCLEIC ACID QN HEPATITIS B,392.0,,39.41,504.0,68
CDM,95840002,BCR-ABL1 P210,526.0,,150.5,675.9,68
CDM,95840002,ER Only-BCR-ABL1 P210,751.0,,150.84,675.9,50
CDM,95840003,BCR-ABL1 P190,437.0,,125.0,561.6,68
CDM,95840003,ER Only-BCR-ABL1 P190,624.0,,133.25,561.6,50
CDM,95840004,ER Only-PGDX-CARDIOVASCULAR (MOLDX),847.0,,166.01,762.3,38
CDM,95840004,PGDX-CARDIOVASCULAR (MOLDX),593.0,,66.44,762.3,56
CDM,95840010,ER Only-HCV RNA QUANT BY REAL-TIME PCR,712.0,,39.41,640.8,50
CDM,95840010,HCV RNA QUANT BY REAL-TIME PCR,498.5,,39.41,640.8,68
CDM,95840011,BK VIRUS URINE,179.5,,39.41,230.4,68
CDM,95840011,ER Only-BK VIRUS URINE,256.0,,39.41,230.4,50
CDM,95840104,ANALY GENE JAK2**,546.0,,84.33,702.0,68
CDM,95840104,ER Only-ANALY GENE JAK2**,780.0,,84.33,702.0,50
CDM,95840125,EBV QNT BLOOD,465.0,,39.41,597.6,68
CDM,95840125,ER Only-EBV QNT BLOOD,664.0,,39.41,597.6,50
CDM,95840131,ER Only-PAN FUSION PANEL,9120.0,,550.08,8208.0,50
CDM,95840131,PAN FUSION PANEL,6384.0,,550.08,8208.0,68
CDM,95840132,ER Only-RENAL FUSION PANEL,1991.0,,550.08,1791.9,50
CDM,95840132,RENAL FUSION PANEL,1378.5,,383.0,1791.9,68
CDM,95840133,ER Only-SARCOMA FUSION PANEL,1991.0,,550.08,1791.9,50
CDM,95840133,SARCOMA FUSION PANEL,1394.0,,398.5,1791.9,68
CDM,95840134,ER Only-FUSION TARGET THPY SOLID TUMRS,1991.0,,550.08,1791.9,50
CDM,95840134,FUSION TARGET THPY SOLID TUMRS,1394.0,,398.5,1791.9,68
CDM,95840135,ER Only-SALIVARY DUCT TUMR FUSION PNL,1991.0,,550.08,1791.9,50
CDM,95840135,SALIVARY DUCT TUMR FUSION PNL,1378.5,,383.0,1791.9,68
CDM,95840146,ER Only-HIV-1 QUALITATIVE PCR**,528.0,,32.28,475.2,50
CDM,95840146,HIV-1 QUALITATIVE PCR**,369.5,,32.28,475.2,68
CDM,95840147,ER Only-HIV-2 QUALITATIVE PCR**,588.0,,32.28,529.2,50
CDM,95840147,HIV-2 QUALITATIVE PCR**,412.0,,32.28,529.2,68
CDM,95840151,ANALY MICROSAT INSTAB,1168.5,,320.68,1502.1,68
CDM,95840151,ER Only-ANALY MICROSAT INSTAB,1669.0,,320.68,1502.1,50
CDM,95840320,ER Only-PVV BY PCR (AMPLIFICATION),861.0,,32.28,774.9,51
CDM,95840320,PVV BY PCR (AMPLIFICATION),603.0,,32.28,774.9,69
CDM,95840408,ER Only-NGS MYELOID ASSAY,2278.0,,648.4,2050.2,50
CDM,95840408,NGS MYELOID ASSAY,1595.0,,456.0,2050.2,68
CDM,95840493,ER Only-NUCLEIC ACID AMP HEPATITIS C**,585.0,,32.28,526.5,50
CDM,95840493,NUCLEIC ACID AMP HEPATITIS C**,409.5,,32.28,526.5,68
CDM,95840498,ER Only-NUCLEIC ACID GENOTYPE HEP C**,1790.0,,13.2,1611.0,50
CDM,95840498,NUCLEIC ACID GENOTYPE HEP C**,1253.0,,13.2,1611.0,68
CDM,95840515,BK VIRUS,588.0,,39.41,756.0,68
CDM,95840515,ER Only-BK VIRUS,840.0,,39.41,756.0,50
CDM,95840562,"ER Only-HIV1 VIRAL LOAD, QUANT.(ULTRA)",853.0,,47.54,767.7,50
CDM,95840562,"HIV1 VIRAL LOAD, QUANT.(ULTRA)",597.5,,47.54,767.7,68
CDM,95840624,ER Only-INFECT AGNT HPV HIGH-RISK TYPE,482.0,,64.58,433.8,50
CDM,95840624,INFECT AGNT HPV HIGH-RISK TYPE,337.5,,64.58,433.8,68
CDM,95840625,ER Only-INFECT AGNT HPV TYPES 16 & 18,482.0,,30.68,433.8,50
CDM,95840625,INFECT AGNT HPV TYPES 16 & 18,337.5,,30.68,433.8,68
CDM,95840635,COVID-19(SARS-COV-2)IP/ER ONLY,257.5,,30.6,331.2,70
CDM,95840635,ER Only-COVID-19(SARS-COV-2)IP/ER ONLY,368.0,,30.6,331.2,52
CDM,95860015,CHLAMYDIA DNA,233.5,,32.28,299.7,68
CDM,95860015,ER Only-CHLAMYDIA DNA,333.0,,32.28,299.7,50
CDM,95860016,ER Only-N. GONORHEA (GC) DNA,309.0,,23.29,278.1,50
CDM,95860016,N. GONORHEA (GC) DNA,216.5,,23.29,278.1,68
CDM,95860017,ER Only-N. GONORHEA URINE,309.0,,23.29,278.1,50
CDM,95860017,N. GONORHEA URINE,216.5,,23.29,278.1,68
CDM,95860134,CHLAMYDIA SWAB,233.5,,32.28,299.7,68
CDM,95860134,ER Only-CHLAMYDIA SWAB,333.0,,32.28,299.7,50
CDM,95860661,ER Only-TRICHOMONAS DNA,256.0,,18.4,230.4,50
CDM,95860661,TRICHOMONAS DNA,179.5,,18.4,230.4,68
CDM,95860662,ER Only-TRICHOMONAS URINE,256.0,,18.4,230.4,50
CDM,95860662,TRICHOMONAS URINE,179.5,,18.4,230.4,68
CDM,95900311,CARDIOLIPIN IGG ANTIBODIES,374.5,,5.58,481.5,68
CDM,95900311,ER Only-CARDIOLIPIN IGG ANTIBODIES,535.0,,5.58,481.5,50
CDM,95900312,CARDIOLIPIN IGM ANTIBODIES,374.5,,5.58,481.5,68
CDM,95900312,ER Only-CARDIOLIPIN IGM ANTIBODIES,535.0,,5.58,481.5,50
CDM,95901020,BETA 2 GLYCOPROTEIN 1 IGG,87.5,,23.41,112.5,68
CDM,95901020,ER Only-BETA 2 GLYCOPROTEIN 1 IGG,125.0,,23.41,112.5,50
CDM,95903021,BETA 2 GLYCOPROTEIN 1 IGM,87.5,,23.41,112.5,68
CDM,95903021,ER Only-BETA 2 GLYCOPROTEIN 1 IGM,125.0,,23.41,112.5,50
CDM,95936001,ADAMTS13 ACTIVITY,613.5,,28.39,788.4,68
CDM,95936001,ER Only-ADAMTS13 ACTIVITY,876.0,,28.39,788.4,50
CDM,95936002,CHROMOGENIC FACTOR VIII (F8),127.0,,10.94,162.9,68
CDM,95936002,ER Only-CHROMOGENIC FACTOR VIII (F8),181.0,,10.94,162.9,50
CDM,95936006,ER Only-VWF ACTIVITY GP1B,228.0,,28.39,205.2,50
CDM,95936006,VWF ACTIVITY GP1B,160.0,,28.39,205.2,68
CDM,95936011,ER Only-HEP-INDUCE THROMBOCYTOPENIA,1089.0,,16.9,980.1,50
CDM,95936011,HEP-INDUCE THROMBOCYTOPENIA,762.5,,16.9,980.1,68
CDM,95936020,ER Only-PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,52
CDM,95936020,PARTIAL THROMBOPLAS TIME (PTT),108.0,,3.47,138.6,70
CDM,95936022,ER Only-PTT-LA,154.0,,3.47,138.6,52
CDM,95936022,PTT-LA,108.0,,3.47,138.6,70
CDM,95936025,ER Only-PTT-LA MIX,262.0,,5.95,235.8,50
CDM,95936025,PTT-LA MIX,183.5,,5.95,235.8,68
CDM,95936207,ER Only-LUPUS ANTICOAG - PLT NEUTR,189.0,,13.75,170.1,50
CDM,95936207,LUPUS ANTICOAG - PLT NEUTR,132.5,,13.75,170.1,68
CDM,95936281,ADAMTS13 IGG AB,473.5,,11.36,608.4,68
CDM,95936281,ER Only-ADAMTS13 IGG AB,676.0,,11.36,608.4,50
CDM,95936290,ER Only-THROMBIN TIME PLASMA,100.0,,4.54,90.0,50
CDM,95936290,THROMBIN TIME PLASMA,70.0,,4.54,90.0,68
CDM,95936352,ER Only-Z*PLATELET AGG- EACH AGENT **,260.0,,21.97,234.0,50
CDM,95936352,Z*PLATELET AGG- EACH AGENT **,182.0,,21.97,234.0,68
CDM,95936353,ER Only-PLT AGG- EACH AGENT (THROMBIN),260.0,,21.97,234.0,50
CDM,95936353,PLT AGG- EACH AGENT (THROMBIN),182.0,,21.97,234.0,68
CDM,95936405,ER Only-FACTOR II ASSAY.,432.0,,8.76,388.8,50
CDM,95936405,FACTOR II ASSAY.,302.5,,8.76,388.8,68
CDM,95936411,ER Only-FACTOR V ASSAY,432.0,,8.78,388.8,50
CDM,95936411,FACTOR V ASSAY,302.5,,8.78,388.8,68
CDM,95936414,ER Only-FACTOR VIII ASSAY,435.0,,16.47,391.5,50
CDM,95936414,FACTOR VIII ASSAY,304.5,,16.47,391.5,68
CDM,95936415,ER Only-FACTOR IX ASSAY,488.0,,7.69,439.2,50
CDM,95936415,FACTOR IX ASSAY,342.0,,7.69,439.2,68
CDM,95936416,ER Only-FACTOR X ASSAY.,438.0,,7.61,394.2,50
CDM,95936416,FACTOR X ASSAY.,307.0,,7.61,394.2,68
CDM,95936417,ER Only-FACTOR VII ASSAY,481.0,,8.75,432.9,50
CDM,95936417,FACTOR VII ASSAY,337.0,,8.75,432.9,68
CDM,95936429,ER Only-RISTOCETIN COFACTOR,525.0,,10.98,472.5,50
CDM,95936429,RISTOCETIN COFACTOR,367.5,,10.98,472.5,68
CDM,95936431,ER Only-FACTOR XI ASSAY,488.0,,7.62,439.2,50
CDM,95936431,FACTOR XI ASSAY,342.0,,7.62,439.2,68
CDM,95936446,ER Only-RUSSELL VIPER VENOM.,153.0,,4.56,137.7,50
CDM,95936446,RUSSELL VIPER VENOM.,107.5,,4.56,137.7,68
CDM,95936447,DRVV - MIXING STUDIES,107.5,,4.56,137.7,56
CDM,95936447,ER Only-DRVV - MIXING STUDIES,153.0,,4.56,137.7,38
CDM,95936448,DRVV - CONFIRMATION,107.5,,4.56,137.7,56
CDM,95936448,ER Only-DRVV - CONFIRMATION,153.0,,4.56,137.7,38
CDM,95936640,ER Only-FACTOR VII INHIB.,706.0,,11.33,635.4,50
CDM,95936640,FACTOR VII INHIB.,494.5,,11.33,635.4,68
CDM,95936645,ER Only-VON WILLEBRAND ANTIGEN,568.0,,10.99,511.2,50
CDM,95936645,VON WILLEBRAND ANTIGEN,398.0,,10.99,511.2,68
CDM,95936708,ANTITHROMBIN III,221.5,,9.0,284.4,68
CDM,95936708,ER Only-ANTITHROMBIN III,316.0,,9.0,284.4,50
CDM,95936715,ER Only-PROTEIN S,912.0,,14.09,820.8,50
CDM,95936715,PROTEIN S,638.5,,14.09,820.8,68
CDM,95936720,ER Only-PROTEIN C,468.0,,12.73,421.2,50
CDM,95936720,PROTEIN C,328.0,,12.73,421.2,68
CDM,95936725,ACTIVATED PROTEIN C RESISTANCE,202.5,,12.52,260.1,68
CDM,95936725,ER Only-ACTIVATED PROTEIN C RESISTANCE,289.0,,12.52,260.1,50
CDM,96040129,ER Only-WRIGHT'S STAIN,291.0,,12.67,261.9,51
CDM,96040129,WRIGHT'S STAIN,204.0,,12.67,261.9,69
CDM,96040222,CELL MARKER MONOCLONAL AB,299.0,,43.49,442.83,68
CDM,96040222,ER Only-CELL MARKER MONOCLONAL AB,427.0,,43.49,442.83,50
CDM,96040223,CELL MARKER MONO AB EA ADD,167.5,,21.38,215.1,56
CDM,96040223,ER Only-CELL MARKER MONO AB EA ADD,239.0,,21.38,215.1,38
CDM,96040225,"CD3, TOTAL T-CELL COUNT",496.5,,6.74,638.1,68
CDM,96040225,"ER Only-CD3, TOTAL T-CELL COUNT",709.0,,6.74,638.1,50
CDM,96040226,ABSOLUTE CD4 & CD8 W/RATIO,836.0,,10.11,1074.6,68
CDM,96040226,ER Only-ABSOLUTE CD4 & CD8 W/RATIO,1194.0,,10.11,1074.6,50
CDM,96040227,ABSOLUTE CD4 COUNT,339.0,,24.64,435.6,68
CDM,96040227,ER Only-ABSOLUTE CD4 COUNT,484.0,,24.64,435.6,50
CDM,96040229,ER Only-T CELLS-ABSOLUTE CD4 COUNT,484.0,,24.64,435.6,50
CDM,96040229,T CELLS-ABSOLUTE CD4 COUNT,339.0,,24.64,435.6,68
CDM,96040236,CELL MARKER HETERO AB (EA ADD),167.5,,21.38,215.1,56
CDM,96040236,ER Only-CELL MARKER HETERO AB (EA ADD),239.0,,21.38,215.1,38
CDM,96191001,CONSULT PATH SURGERY CYTO INIT,124.0,,35.5,1005.63,68
CDM,96191001,ER Only-CONSULT PATH SURGERY CYTO INIT,177.0,,53.84,1005.63,50
CDM,96191045,"ER Only-MD - PLACENTAL EXAM 3, FULL",799.0,,47.58,719.1,50
CDM,96191045,"MD - PLACENTAL EXAM 3, FULL",559.5,,47.58,719.1,68
CDM,96191700,ER Only-GROSS EXAM LEVEL I,124.0,,9.62,111.6,50
CDM,96191700,GROSS EXAM LEVEL I,87.0,,9.62,111.6,68
CDM,96191705,ER Only-GROSS AND MICRO LEVEL II,299.0,,15.93,269.1,50
CDM,96191705,GROSS AND MICRO LEVEL II,209.5,,15.93,269.1,68
CDM,96191710,ER Only-GROSS AND MICRO LEVEL III,373.0,,15.94,335.7,50
CDM,96191710,GROSS AND MICRO LEVEL III,261.0,,15.94,335.7,68
CDM,96191715,ER Only-GROSS AND MICRO LEVEL IV.,487.0,,33.87,438.3,51
CDM,96191715,GROSS AND MICRO LEVEL IV.,341.0,,33.87,438.3,69
CDM,96191720,ER Only-GROSS AND MICRO LEVEL V,799.0,,47.58,719.1,50
CDM,96191720,GROSS AND MICRO LEVEL V,559.5,,47.58,719.1,68
CDM,96191730,DECALCIFICATION OF TISSUE,89.5,,9.5,115.2,56
CDM,96191730,ER Only-DECALCIFICATION OF TISSUE,128.0,,9.5,115.2,38
CDM,96191735,ER Only-GROUP I STAIN,320.0,,12.75,288.0,50
CDM,96191735,GROUP I STAIN,224.0,,12.75,288.0,68
CDM,96191740,ER Only-GROUP II/OTHER STAIN,291.0,,12.67,261.9,51
CDM,96191740,GROUP II/OTHER STAIN,204.0,,12.67,261.9,69
CDM,96191766,CNSLT PATH REVIEW/REPORT-88325,0.01,,0.00196,0.009,56
CDM,96191810,ER Only-SKIN CYST/TAG,373.0,,15.94,335.7,50
CDM,96191810,SKIN CYST/TAG,261.0,,15.94,335.7,68
CDM,96191815,ER Only-SKIN BIOPSY,487.0,,33.87,438.3,51
CDM,96191815,SKIN BIOPSY,341.0,,33.87,438.3,69
CDM,96280041,FACTOR VII-NOVO7 PER 500MCG*,2537.0,,2.25,2283.3,68
CDM,96280066,DONOR RBC AG TYPING NON ABO/RH,344.0,,3.52,309.6,68
CDM,96280155,BLOOD PRODUCT POOL,237.0,,2.03,213.3,68
CDM,96280175,SCREEN FOR HGB           81003,186.0,,2.07,167.4,68
CDM,96280177,OCTOPHARMA FIBRYGA VL 1MG,9.3,,1.07,8.37,68
CDM,96280373,HLA TYPING I LOW RES 1 LOCUS**,799.0,,117.24,719.1,68
CDM,96280710,SPLIT UNIT OF FFP        00000,574.0,,116.79,516.6,68
CDM,96280828,HLA CLASS I & II ANTIGENS QUAL,988.0,,25.68,889.2,68
CDM,96280830,HLA CLASS I PHENOTYPES QUAL,752.0,,87.88,676.8,68
CDM,96388175,ER Only-THIN PREP- IMAGED W/INTERP,318.0,,24.37,286.2,50
CDM,96388175,THIN PREP- IMAGED W/INTERP,222.5,,24.37,286.2,68
CDM,96392001,CONSULT PATH SURGERY CYTO INIT,124.0,,35.5,1005.63,68
CDM,96392001,ER Only-CONSULT PATH SURGERY CYTO INIT,177.0,,53.84,1005.63,50
CDM,96392500,CYTOPATH FLD/WASH/BRUSH,189.0,,10.59,243.0,68
CDM,96392500,ER Only-CYTOPATH FLD/WASH/BRUSH,270.0,,10.59,243.0,50
CDM,96392508,"ER Only-THINPREP, NON-GYN W/ INTERP.",285.0,,44.01,256.5,50
CDM,96392508,"THINPREP, NON-GYN W/ INTERP.",199.5,,44.01,256.5,68
CDM,96392531,"PHYSICAL EXAM BY PATH, PRE-FNA",0.01,,0.00196,0.009,56
CDM,96392535,CYTP FNA EVAL DX 1ST EACH SITE,121.5,,35.0,223.74,68
CDM,96392535,ER Only-CYTP FNA EVAL DX 1ST EACH SITE,173.0,,36.8,223.74,50
CDM,96392540,ER Only-FNA INTERPRET & REPORT,407.0,,29.62,366.3,50
CDM,96392540,FNA INTERPRET & REPORT,285.0,,29.62,366.3,68
CDM,96392545,CELL BLOCK PREP/INTERPRET,341.0,,33.87,438.3,69
CDM,96392545,ER Only-CELL BLOCK PREP/INTERPRET,487.0,,33.87,438.3,51
CDM,96491000,ER Only-IN SITU HYBRIDIZATION-EA PROBE,466.0,,141.15,419.4,50
CDM,96491000,IN SITU HYBRIDIZATION-EA PROBE,326.5,,93.5,419.4,68
CDM,96491741,ER Only-IHC SEMI-QUANT EA AB,401.0,,63.13,360.9,50
CDM,96491741,IHC SEMI-QUANT EA AB,281.0,,63.13,360.9,68
CDM,96491780,ER Only-IMMUNOCYTOCHEM EA ANTIBOD,431.0,,37.69,387.9,50
CDM,96491780,IMMUNOCYTOCHEM EA ANTIBOD,302.0,,37.69,387.9,68
CDM,96491785,ER Only-IMMUNOFLUORESC EA ANTIBOD,401.0,,37.73,436.89,51
CDM,96491785,IMMUNOFLUORESC EA ANTIBOD,280.5,,37.73,436.89,69
CDM,96491790,ELECTRON MICROSCOPY DIAG.,1915.0,,21.0,2462.4,69
CDM,96491790,ER Only-ELECTRON MICROSCOPY DIAG.,2736.0,,21.0,2462.4,51
CDM,96491851,ER Only-MCG DNA PROBE (FISH),410.0,,19.71,369.0,50
CDM,96491851,MCG DNA PROBE (FISH),287.0,,19.71,369.0,68
CDM,96491852,ER Only-INTERPHASE IN SITU HYBRID 25,410.0,,38.99,369.0,50
CDM,96491852,INTERPHASE IN SITU HYBRID 25,287.0,,38.99,369.0,68
CDM,97061183,ORTHOTIC WHFO RIGID W/O JOINTS,866.0,,73.68,779.4,61
CDM,97081101,OT ORTHOTIC FIT\TRAIN (15MIN),222.0,,33.13,199.8,57
CDM,97081135,OT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,97081136,OT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,97081137,OT SELF-CARE/ ADL (15 MIN),173.0,,16.0,155.7,57
CDM,97081138,OT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,97081500,CUSTOM SPLINT SMALL 02,299.0,,14.4,269.1,57
CDM,97081501,CUSTOM SPLINT MEDIUM 02,337.0,,14.4,303.3,57
CDM,97089000,EVALUATION - HIGH,395.0,,96.83,355.5,57
CDM,97089005,EVALUATION - MODERATE,395.0,,74.05,355.5,57
CDM,97089012,RE-EVALUATION,316.0,,48.82,284.4,57
CDM,97097110,OT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,97097140,MANUAL THERAPY 15 MIN,263.0,,14.0,236.7,57
CDM,97097165,OT EVAL LOW COMPLEX 30 MIN,304.0,,86.79,273.6,57
CDM,97097166,EVALUATION-MODERATE,395.0,,74.05,355.5,57
CDM,97097168,RE-EVALUATION,316.0,,48.82,284.4,57
CDM,97097530,OT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,97097760,OT ORTHOTIC FIT/TRAIN (15MIN),222.0,,33.13,199.8,57
CDM,97163008,OT EVAL LOW COMPLEX 30 MIN,304.0,,86.79,273.6,57
CDM,97163009,EVALUATION-MODERATE,395.0,,74.05,355.5,57
CDM,97191012,DRIVING TRAINING (15MIN),62.0,,31.0,55.8,56
CDM,97192011,DRIVING EVAL-ROAD 15MIN,129.0,,64.5,116.1,56
CDM,97221001,SWALLOW CONSULT (30 MIN),590.0,,84.0,531.0,56
CDM,97221002,MODIFIED BARIUM SWALLOW,786.0,,91.0,707.4,56
CDM,97221007,FIBEROPTIC ENDOSCOP EVAL(45MIN,1154.0,,104.0,1038.6,56
CDM,97221020,EVAL OF SPEECH (30MIN),491.0,,105.58,441.9,57
CDM,97221021,RE-EVAL OF SPEECH (30MIN),363.0,,105.58,326.7,57
CDM,97221022,EVAL SPEECH & LANGUAGE (30MIN),491.0,,192.73,441.9,57
CDM,97221023,RE-EVAL SPEECH/LANGUAGE-30MIN,394.0,,192.73,354.6,57
CDM,97221100,SPEECH THERAPY (0-15 MIN),196.0,,72.91,176.4,57
CDM,97221104,DYSPHAGIA THERAPY (0-15 MIN),232.0,,73.0,208.8,57
CDM,97221108,SPEECH THERAPY (30 MIN),298.0,,72.91,268.2,57
CDM,97221109,DYSPHAGIA THERAPY (30 MIN),345.0,,73.0,310.5,57
CDM,97221110,SPEECH THERAPY (45 MIN),444.0,,72.91,399.6,57
CDM,97221111,DYSPHAGIA THERAPY (45 MIN),519.0,,73.0,467.1,57
CDM,97221200,ST EVAL APHASIA/HR (60 MIN),491.0,,83.0,441.9,56
CDM,97221210,PHARYNGOSCOPY/STROBOSCOPY,461.0,,122.0,414.9,68
CDM,97251001,INFANT ABR,1313.0,,256.5,1181.7,68
CDM,97251004,COMPREH AUDOMETRY THRESH EVAL,779.0,,51.0,701.1,68
CDM,97251005,AUDIOMETRY SCREENING (PORTABL),779.0,,51.0,701.1,68
CDM,97251006,AUD PURE TONE AIR & BONE,496.0,,128.87,446.4,68
CDM,97251009,HEARING AID CHECK (MONO),107.0,,53.5,96.3,56
CDM,97251010,HEARING AID CHECK (BINAURAL),114.0,,57.0,102.6,56
CDM,97251011,AUD TYMPHANOMETRY IMPED TEST,75.0,,23.0,67.5,68
CDM,97251020,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,68
CDM,97251100,OAE SCREEN,138.0,,8.15,124.2,57
CDM,97331001,AUD EVOK OTOAC EMIS COMP-PED,145.0,,37.0,383.35,68
CDM,97392507,ST TREAT SPEECH,484.0,,72.91,435.6,57
CDM,97392522,ST EVAL SOUND PRODUCTION,456.0,,105.58,410.4,57
CDM,97392523,ST EVAL LANG COMP/EXPRESSION,375.0,,187.5,337.5,57
CDM,97392526,ST TX SWALLOW/ORAL,475.0,,73.0,427.5,57
CDM,97392597,AUD EVAL VOICE PROSTH,622.0,,69.14,559.8,57
CDM,97392607,ST EVAL SPEECH DEVICE 1ST HR,546.0,,116.53,491.4,57
CDM,97392608,ST EVAL SPEECH DEVICE ADD 30M,337.0,,45.64,303.3,57
CDM,97392609,ST TREAT SPEECH DEVICE,513.0,,96.96,461.7,57
CDM,97392610,ST EVAL ORAL/SWALLOW FUNCTION,505.0,,84.0,454.5,56
CDM,97396105,ST EVAL APHASIA PER HR,545.0,,83.0,490.5,56
CDM,97396125,ST STD COGNIT TEST BY HC PRO,594.0,,96.57,534.6,57
CDM,97397129,ST COGNITIV FUNC DIR PT 1ST 15,229.0,,114.5,206.1,56
CDM,97397130,ST COGNITIV FUNC DIR PT ADD 15,217.0,,108.5,195.3,56
CDM,97397550,CAREGIVER TRAIN STRATEGY 30MIN,418.0,,209.0,376.2,56
CDM,97397551,CAREGIVER TRAINING STRATEGY 15,225.0,,112.5,202.5,56
CDM,97400649,HFO W/NONTORSION JNTS PRFB OTS,357.0,,178.5,321.3,61
CDM,97403014,TELEHEALTH FACILITY FEE-OT,78.0,,10.66,70.2,57
CDM,97410283,E-STIM UNATTENDED OTHER,188.0,,11.75,169.2,57
CDM,97429065,APPL CAST ARM LONG,881.0,,440.5,792.9,56
CDM,97429075,APPL CAST ARM SHORT,608.0,,218.75,547.2,68
CDM,97429365,OT APPLY CAST CYLINDER LEG,968.0,,484.0,871.2,56
CDM,97429425,OT APPL CAST LEG SHORT WALKING,849.0,,218.75,764.1,68
CDM,97429584,PT APLY MULTLAY COMPRS ARM/HA,579.0,,289.5,521.1,56
CDM,97436415,VENIPUNCTURE,46.0,,3.15,41.4,68
CDM,97497010,APPL HOT PACK/COLD PACK,52.0,,5.82,46.8,57
CDM,97497014,E-STIM UNATTENDED,188.0,,11.75,169.2,57
CDM,97497018,OT PARAFFIN BATH THRPY,153.0,,5.69,137.7,57
CDM,97497022,OT WHIRLPOOL,197.0,,14.61,177.3,57
CDM,97497026,OT INFRARED THERAPY,94.0,,6.27,84.6,57
CDM,97497032,E-STIM ATTENDED 15 MIN,234.0,,11.0,210.6,57
CDM,97497033,IONTOPHORESIS 15 MIN,205.0,,14.0,184.5,57
CDM,97497035,OT ULTRASOUND 15 MIN,150.0,,10.0,135.0,57
CDM,97497110,OT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,97497112,NEUROMUSCULAR RE-ED 15 MIN,231.0,,11.0,207.9,57
CDM,97497140,MANUAL THERAPY 15 MIN,263.0,,14.0,236.7,57
CDM,97497150,OT THERAPEUTIC GROUP,207.0,,8.0,186.3,57
CDM,97497165,OT EVAL LOW COMPLEX 30 MIN,304.0,,86.79,273.6,57
CDM,97497166,EVALUATION-MODERATE,395.0,,74.05,355.5,57
CDM,97497167,OT EVAL HIGH COMPLEX 60 MIN,395.0,,96.83,355.5,57
CDM,97497168,OT RE-EVAL 30 MIN,174.0,,48.82,156.6,57
CDM,97497530,OT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,97497535,OT SELF/HOME MGMT/ADL 15 MIN,126.0,,16.0,113.4,57
CDM,97497537,OT COMM/WORK REINTEGRATE 15 M,199.0,,16.0,179.1,57
CDM,97497750,OT PERFORMANCE TEST 15 MIN,195.0,,18.0,175.5,57
CDM,97497755,OT ASSISTIVE TECH ASSESS,267.0,,36.27,240.3,57
CDM,97497760,OT ORTHOTIC MGMT/FIT/TRAIN 15,205.0,,33.13,184.5,57
CDM,97497761,OT PROSTHETIC TRAINING EA 15 M,125.0,,26.5,112.5,57
CDM,97497763,OT ORTH/PROST MGMT 15 MIN,134.0,,28.49,120.6,56
CDM,97510283,E-STIM UNATTENDED OTHER,188.0,,11.75,169.2,57
CDM,97529065,APPL CAST ARM LONG,881.0,,218.75,792.9,68
CDM,97529075,APPLY CAST SHORT ARM,608.0,,218.75,547.2,68
CDM,97529584,PT APLY MULTLAY COMPRS ARM/HA,579.0,,289.5,521.1,56
CDM,97595851,PT ROM TESTING EXTREMITY/TRUNK,177.0,,39.0,159.3,56
CDM,97595992,PT CANALITH REPOSITION PER DAY,222.0,,41.43,199.8,56
CDM,97597010,APPL HOT PACK/COLD PACK,52.0,,5.82,46.8,57
CDM,97597012,PT TRACTION MECHANICAL,91.0,,13.8,81.9,57
CDM,97597014,E-STIM UNATTENDED,188.0,,11.75,169.2,57
CDM,97597016,PT VASOPNEUMATIC TREATMENT,65.0,,11.0,58.5,57
CDM,97597018,PT PARAFFIN BATH THRPY,153.0,,5.69,137.7,57
CDM,97597026,PT INFRARED THRPY,94.0,,6.27,84.6,57
CDM,97597032,E-STIM ATTENDED 15 MIN,234.0,,11.0,210.6,57
CDM,97597033,IONTOPHORESIS 15 MIN,205.0,,14.0,184.5,57
CDM,97597035,PT ULTRASOUND 15 MIN,150.0,,10.0,135.0,57
CDM,97597110,PT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CDM,97597112,NEUROMUSCULAR RE-ED 15 MIN,231.0,,11.0,207.9,57
CDM,97597113,PT AQUATIC THRPY 15 MIN,145.0,,11.0,130.5,57
CDM,97597116,PT GAIT TRAINING 15 MIN,145.0,,11.0,130.5,57
CDM,97597124,PT MASSAGE 15 MIN,186.0,,11.0,167.4,57
CDM,97597140,MANUAL THERAPY 15 MIN,263.0,,14.0,236.7,57
CDM,97597150,PT THERAPEUTIC GROUP,207.0,,8.0,186.3,57
CDM,97597161,PT EVAL LOW COMPLEX 20 MIN,350.0,,81.02,315.0,57
CDM,97597162,PT EVAL MOD COMPLEX 30 MIN,309.0,,76.28,278.1,57
CDM,97597163,PT EVAL HIGH COMPLEX 45 MIN,395.0,,81.02,355.5,57
CDM,97597164,PT RE-EVALUATION,174.0,,53.56,156.6,57
CDM,97597530,PT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CDM,97597535,PT SELF/HOME MGMT/ADL 15 MIN,126.0,,16.0,113.4,57
CDM,97597542,PT WHEELCHAIR MANAGE 15 MIN,193.0,,16.0,173.7,57
CDM,97597750,PT PERFORMANCE TEST 15 MIN,195.0,,18.0,175.5,57
CDM,97597760,PT ORTHOTIC MGMT/FIT/TRAIN 15,205.0,,33.13,184.5,57
CDM,97597761,PT PROSTHETIC TRAINING EA 15 M,125.0,,26.5,112.5,57
CDM,97597763,PT ORTH/PROST MGMT 15 MIN,134.0,,28.49,120.6,56
CDM,97607537,DRIVER TRAINING PER 15 MIN,67.0,,33.5,60.3,56
CDM,97697165,OT EVAL LOW COMPLEX 30 MIN,304.0,,86.79,273.6,57
CDM,97697166,EVALUATION-MODERATE,395.0,,74.05,355.5,57
CDM,97697167,OT EVAL HIGH COMPLEX 60 MIN,395.0,,96.83,355.5,57
CDM,97697537,ROAD TEST PER 15 MIN,121.0,,60.5,108.9,56
CDM,97699213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,97700545,HEARING AID TRIAL,146.0,,73.0,131.4,56
CDM,97700585,HEARING AID ASSESSMT 15MIN,32.0,,16.0,28.8,56
CDM,97700586,FIT/ORIENT/CHECK HEARING AID,153.0,,76.5,137.7,56
CDM,97792552,AUD PURE TONE AIR ONLY,217.0,,28.0,195.3,68
CDM,97792553,AUD PURE TONE AIR & BONE,496.0,,128.87,446.4,68
CDM,97792557,AUD EVAL THRESHOLD/RECOGNITION,575.0,,51.0,517.5,68
CDM,97792567,AUD TYMPANOMETRY IMPED TEST,75.0,,23.0,67.5,68
CDM,97792577,AUD STENGER TEST SPEECH,709.0,,12.0,653.19,68
CDM,97792587,AUD DISTORT EVOKED OTO EMISS,327.0,,23.0,383.35,68
CDM,97792588,AUD DISTORT EVOKED OTOAC COMP,121.0,,37.0,383.35,68
CDM,97792590,AUD HA EXAM & SELECTION MON,148.0,,74.0,133.2,56
CDM,97792591,AUD HA EXAM & SELECTION BIN,163.0,,81.5,146.7,56
CDM,97792592,AUD HEARING AID CHECK MONAURAL,107.0,,53.5,96.3,56
CDM,97792593,AUD HEARING AID CHECK BINAURAL,114.0,,57.0,102.6,56
CDM,97792650,AEP SCR AUDITORY POTENTIAL,509.0,,23.0,458.1,57
CDM,97792651,AEP HEARING DETER I&R,509.0,,254.5,458.1,68
CDM,97792652,AEP THRSHLD EST MLT FREQ I&R,1313.0,,256.5,1181.7,68
CDM,97792653,AEP NEURODIAGNOSTIC I&R,1313.0,,256.5,1181.7,68
CDM,99999203,OP VISIT E&M NEW 30 MIN,372.0,,102.2,334.8,68
CDM,99999204,OP VISIT E&M 45-59 MIN,479.0,,102.2,431.1,68
CDM,99999205,OP VISIT E&M NEW 60 MIN,632.0,,102.2,568.8,68
CDM,99999213,VISIT ESTAB LVL III,372.0,,102.2,334.8,68
CDM,99999214,VISIT ESTAB LVL IV,535.0,,102.2,481.5,68
CDM,99999215,VISIT ESTAB PT LVL V,603.0,,102.2,542.7,68
CDM,99999243,OFFICE CONSULT LVL III,402.0,,98.4,361.8,57
CDM,99999244,OFFICE CONSULT LVL IV,461.0,,138.0,414.9,57
CDM,99999245,OFFICE CONSULT LVL V,523.0,,153.0,470.7,57
CPT,0001U,ER Only-HUMAN ERYTHROCYTE ANTIGEN**,2016.0,,662.4,1814.4,50
CPT,0001U,HUMAN ERYTHROCYTE ANTIGEN**,1411.5,,403.5,1814.4,204
CPT,0023U,ER Only-ONC AML DNA GNTYP INT TANDEM,1574.0,,228.63,1416.6,50
CPT,0023U,ER Only-Q-ANLYS GENE FLT3 ITD VARIANTS,1690.0,,228.63,1521.0,50
CPT,0023U,ONC AML DNA GNTYP INT TANDEM,1102.0,,228.63,1416.6,204
CPT,0023U,Q-ANLYS GENE FLT3 ITD VARIANTS,1183.0,,228.63,1521.0,204
CPT,0035U,ER Only-RT-QUIC NEURO CSF PRION**,1801.0,,497.71,1620.9,50
CPT,0035U,RT-QUIC NEURO CSF PRION**,1261.0,,360.5,1620.9,204
CPT,0042T,CT CEREBRAL PERFUSION,4734.0,,76.76,4260.6,224
CPT,0115U,EPLEX IADNA VIR 18 BAC 2**,569.0,,162.5,731.7,204
CPT,0115U,ER Only-EPLEX IADNA VIR 18 BAC 2**,813.0,,253.32,731.7,50
CPT,0140U,BCID FP ID DNA 15 TARGETS**,469.0,,134.0,603.0,204
CPT,0140U,ER Only-BCID FP ID DNA 15 TARGETS**,670.0,,144.21,603.0,50
CPT,0141U,BCID GP ID RX RESIST DNA**,469.0,,134.0,603.0,204
CPT,0141U,ER Only-BCID GP ID RX RESIST DNA**,670.0,,144.21,603.0,50
CPT,0142U,BCID GN ID RX RESIST DNA**,469.0,,134.0,603.0,204
CPT,0142U,ER Only-BCID GN ID RX RESIST DNA**,670.0,,144.21,603.0,50
CPT,0152U,KARIUS MNGS TEST-BLOOD ONLY,5658.0,,1956.1,5092.2,204
CPT,0184T,"EXCISION OF RECTAL TUMOR, TRANSANAL ENDOSCOPIC MICROSURGICAL APPROACH (IE, TEMS), INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)",,,717.48,717.48,1
CPT,0200T,PERC SACRAL AUGMENT UNILAT INJ,11860.0,,4744.0,10674.0,68
CPT,0200T,PERC SACRAL AUGMT UNILAT INJ,11860.0,,4744.0,10674.0,204
CPT,0201T,PERC SACRAL AUGMENT BILAT INJ,10781.0,,4312.4,9702.9,136
CPT,0232T,INJ PLSM IMAGE GUIDE HRVST/PR,1768.0,,328.68,1591.2,136
CPT,0232T,"INJECTION(S), PLATELET RICH PLASMA, ANY SITE, INCLUDING IMAGE GUIDANCE, HARVESTING AND PREPARATION WHEN PERFORMED",,,146.84,146.84,1
CPT,0250U,SOLID ORGAN TARGET ELIO PANEL,8961.0,,2686.03,8064.9,68
CPT,0250U,SOLID ORGAN TARGETED ELIO PNL,8961.0,,2686.03,8064.9,68
CPT,0275T,LAMINOT/LAMINECT LUMBAR PERC,24357.0,,5884.12,21921.3,68
CPT,0275T,"PERCUTANEOUS LAMINOTOMY/LAMINECTOMY (INTERLAMINAR APPROACH) FOR DECOMPRESSION OF NEURAL ELEMENTS, (WITH OR WITHOUT LIGAMENTOUS RESECTION, DISCECTOMY, FACETECTOMY AND/OR FORAMINOTOMY), ANY METHOD, UNDE",,,823.26,823.26,1
CPT,0275U,ER Only-HEP-INDUCE THROMBOCYTOPENIA,1089.0,,16.9,980.1,50
CPT,0275U,HEP-INDUCE THROMBOCYTOPENIA,762.5,,16.9,980.1,272
CPT,0331T,NM MYOCARD SYMP NERVE,3275.0,,1075.3,2947.5,134
CPT,0332T,NM MYOCARD SYMP NERVE W/SPECT,3033.0,,1075.3,2729.7,134
CPT,0338T,TRNSCTH RNL SYMP DNRV PERC UNI,9414.0,,2629.0,12213.0,340
CPT,0339T,TRNSCTH RNL SYMP DNRV PERC BI,13570.0,,4696.2,12213.0,204
CPT,0339T,TRNSCTH RNL SYMP DNRV PERC BIL,5258.0,,2629.0,7018.78,68
CPT,0346U,ER Only-Q-AD DETECT BETA-AMYLOID 42/40,873.0,,171.11,785.7,38
CPT,0346U,Q-AD DETECT BETA-AMYLOID 42/40,611.0,,68.4,785.7,168
CPT,0361U,ER Only-M-NEUROFILAMENT LIGHT CHAIN P,2242.0,,106.93,2017.8,50
CPT,0361U,M-NEUROFILAMENT LIGHT CHAIN P,1569.5,,106.93,2017.8,204
CPT,0408T,INS/REP CARD SYS GEN/ELECT,75134.0,,26408.35,67620.6,68
CPT,0421T,"TRANSURETHRAL WATERJET ABLATION OF PROSTATE, INCLUDING CONTROL OF POST-OPERATIVE BLEEDING, INCLUDING ULTRASOUND GUIDANCE, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR",,,670.68,670.68,1
CPT,0437T,"IMPLANTATION OF NON-BIOLOGIC OR SYNTHETIC IMPLANT (EG, POLYPROPYLENE) FOR FASCIAL REINFORCEMENT OF THE ABDOMINAL WALL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,170.96,170.96,1
CPT,0440T,ABLATION PERC UPPER EXT NERVE,11822.0,,1608.45,10639.8,136
CPT,0441T,ABLATION PERC LOWER EXT NERVE,11822.0,,1608.45,10639.8,136
CPT,0442T,ABLATION PERC PLEXUS NERVE,11822.0,,4728.8,10639.8,136
CPT,0479T,FX ABL LSR 1ST 100 SQ CM,1031.0,,412.4,927.9,136
CPT,0480T,FX ABL LSR EA ADDL 100 SQ CM,1031.0,,68.37,927.9,57
CPT,0483T,IMPL/REM TMVI PERC W/PUNC,31518.0,,1218.38,28366.2,114
CPT,0490T,REGN CELL TX SCLDR H MLT INJ,561.0,,128.07,504.9,57
CPT,0528T,PROGRAMMING DEVICE EVAL IIMS,96.0,,30.72,86.4,69
CPT,0569T,TTVR PERC APPROACH 1ST PROSTHE,45558.0,,805.06,41002.2,57
CPT,0570T,TTVR PERC APPROACH ADD PROSTHE,31592.0,,389.05,28432.8,57
CPT,0571T,INS/REP DEFIB SUBSTERNAL ELECT,69401.0,,26408.35,62460.9,68
CPT,0572T,INS DEFIB SUBSTERNAL ELECT,17919.0,,6816.72,16127.1,68
CPT,0573T,REM DEFIB SUBSTERNAL ELECT,7878.0,,2997.61,7090.2,68
CPT,0574T,REPOS DEFIB SS ELECT,7878.0,,2997.61,7090.2,68
CPT,0581T,ABL BRST MAL TMR CRYO UNIL,9297.0,,3154.08,8367.3,136
CPT,0598T,R-T FLUOR WOUND IMG 1ST SITE,758.0,,256.5,682.2,272
CPT,0600T,"ABLATION, IRREVERSIBLE ELECTROPORATION; 1 OR MORE TUMORS PER ORGAN, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED, PERCUTANEOUS",,,3278.67,3278.67,1
CPT,0600T,IRE ABLATION 1+TUMORS,23364.0,,8575.48,21027.6,136
CPT,0620T,"ENDOVASCULAR VENOUS ARTERIALIZATION, TIBIAL OR PERONEAL VEIN, WITH TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT GRAFT(S) AND CLOSURE BY ANY METHOD, INCLUDING PERCUTANEOUS OR OPEN VASCULAR ACCESS, UL",,,1209.16,1209.16,1
CPT,0624T,AUTO QUANT CORONARY PLAQUE PRE,2500.0,,35.28,2250.0,232
CPT,0625T,AUTO QUANT CORONARY PLAQUE ANA,2500.0,,782.9,2250.0,276
CPT,0633T,CT BREAST W/3D UNILAT W/O CONT,4602.0,,87.59,4141.8,68
CPT,0634T,CT BREAST W/3D UNILAT W/CONT,5697.0,,146.63,5127.3,68
CPT,0635T,CT BREAST W/3D UNILAT C-/C+,6982.0,,146.63,6283.8,68
CPT,0636T,CT BREAST W/3D BILAT W/O CONT,7046.0,,199.1,6341.4,68
CPT,0637T,CT BREAST W/3D BILAT W/CONT,7909.0,,294.16,7118.1,68
CPT,0638T,CT BREAST W/3D BILAT C-/C+,8924.0,,294.16,8031.6,68
CPT,0644T,TRANSCATH REM/DEBULK CARDIAC M,15110.0,,4696.2,13599.0,204
CPT,0646T,TTVI REPLACE PROSTHETIC VALVE,31518.0,,1016.37,28366.2,57
CPT,0646T,TTVI RPLC PROSTH VLV (TRIAL),11300.0,,1016.37,10170.0,57
CPT,0649T,MR QUANT TISSUE COMPOSIT W/M,3126.0,,782.9,2813.4,67
CPT,0707T,"INJECTION(S), BONE-SUBSTITUTE MATERIAL (EG, CALCIUM PHOSPHATE) INTO SUBCHONDRAL BONE DEFECT (IE, BONE MARROW LESION, BONE BRUISE, STRESS INJURY, MICROTRABECULAR FRACTURE), INCLUDING IMAGING GUIDANCE A",,,300.41,300.41,1
CPT,0788T,ELEC ANALYSIS PROGRAM SPINAL/S,241.0,,75.61,216.9,136
CPT,0789T,ELEC ANALYSIS PROGRAM SPINAL/S,243.0,,75.61,218.7,136
CPT,0795T,INS TCATH DUAL CHAMBER LEADLES,46414.0,,15708.46,41772.6,68
CPT,0799T,REM TCATH DUAL CHAMBER LEADLES,6813.0,,2592.52,6131.7,136
CPT,0817T,"OPEN INSERTION OR REPLACEMENT OF INTEGRATED NEUROSTIMULATION SYSTEM FOR BLADDER DYSFUNCTION INCLUDING ELECTRODE(S) (EG, ARRAY OR LEADLESS), AND PULSE GENERATOR OR RECEIVER, INCLUDING ANALYSIS, PROGRAM",,,4200.23,4200.23,1
CPT,0823T,INS PERM 1 CHAMBER LEADLESS PA,49840.0,,15708.46,44856.0,69
CPT,0825T,REM PERM 1 CHAMBER LEADLESS PA,41281.0,,15708.46,37152.9,68
CPT,0867T,US PROSTATE VOLUME 50+ ML,12709.0,,4187.25,11438.1,67
CPT,0898T,NONINVASIVE PROSTATE CA,2543.0,,838.0,2288.7,68
CPT,0913T,PTCA THER RX INTRACORONARY BAL,17105.0,,4696.2,15394.5,68
CPT,0914T,PTCA THER RX INTRACORONARY BAL,10150.0,,4060.0,9135.0,56
CPT,10004,ASP FINE NDL W/O IMAGING ADDL,498.0,,199.2,448.2,112
CPT,10005,FNA BX W/US GDN 1ST LESION,1920.0,,579.53,1728.0,1020
CPT,10006,FNA BX W/US GDN EA ADDL,1920.0,,768.0,1728.0,616
CPT,10007,FNA BX W/FLUOR GDN 1ST LES,1920.0,,579.53,1728.0,136
CPT,10008,FNA BX W/FLUOR GDN EA ADDL,1920.0,,768.0,1728.0,112
CPT,10009,FNA BX W/CT GDN 1ST LES,1920.0,,579.53,1728.0,204
CPT,10010,FNA BX W/CT GDN EA ADDL,1920.0,,768.0,1728.0,112
CPT,10011,FNA BX W/MR GDN 1ST LES,1920.0,,579.53,1728.0,136
CPT,10012,FNA BX W/MR GDN EA ADDL,1920.0,,161.86,1728.0,114
CPT,10021,ASP FINE NDL W/O IMAGING GUIDE,666.0,,138.0,599.4,816
CPT,10030,FLUID COLLECT ST PERC IMAGE,2450.0,,579.53,2205.0,384
CPT,10035,PL LOCAL DVC TISSUE 1ST LES,3976.0,,579.53,3578.4,328
CPT,10036,PL LOCAL DVC TISSUE ADD LES,1778.0,,711.2,1600.2,224
CPT,10040,ACNE SURGERY,383.0,,153.2,344.7,340
CPT,10060,I&D OF ABSCESS SIMPLE,450.0,,70.0,405.0,2312
CPT,10060,"INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE",,,70.0,70.0,1
CPT,10061,I&D ABSCESS COMPLEX,1051.0,,329.08,945.9,952
CPT,10080,I&D CYST PILONIDAL SMP,892.0,,356.8,866.14,204
CPT,10081,I&D CYST PILONIDAL CPLX,3685.0,,579.53,3316.5,136
CPT,10120,INCISION/REM FB SUBQ SIMPLE,634.0,,253.6,570.6,1156
CPT,10120,INCISION/REM FB SUBQ SMP,634.0,,253.6,570.6,136
CPT,10121,INCISION/REM FB SUBQ COMPLEX,3496.0,,1334.55,3146.4,612
CPT,10140,HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,68
CPT,10140,I&D HEMATOMA/SEROMA/FLUID,1629.0,,651.6,1994.58,1688
CPT,10160,ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,952
CPT,10160,ASP ABSC/HEMA/HEMA/CYST/BULLA,638.0,,255.2,574.2,68
CPT,10160,PUNCT ASP ABSC/HEMA/CYST/BULLA,638.0,,255.2,574.2,260
CPT,10160,PUNCT ASPIR ABSCES/HEMA/CYST,638.0,,255.2,574.2,68
CPT,10160,PUNCT ASPIR ABSCES/HEMAT/CYST,638.0,,255.2,574.2,532
CPT,10180,I&D WOUND POST OP COMPLEX,3296.0,,1318.4,3523.29,340
CPT,10180,I&D WOUND POST OP CPLX,3296.0,,1318.4,3523.29,68
CPT,11000,DEBR SKIN 10% BODY SURFACE,627.0,,250.8,753.55,476
CPT,11010,DEBR/REM FB SKIN/SUBQ OPEN,2375.0,,579.53,2137.5,68
CPT,11042,DEBR SKIN/SUBQ TISS 1ST 20 CM,1450.0,,329.08,1305.0,1156
CPT,11042,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,145.0,145.0,1
CPT,11043,DEBR SKIN/SUBQ/MUSC 1ST 20 CM,1811.0,,504.2,1629.9,612
CPT,11043,"DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,338.0,338.0,1
CPT,11044,DEBR SKIN/MUSC/BONE 1ST 20 CM,3032.0,,1212.8,2728.8,680
CPT,11044,"DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,465.0,465.0,1
CPT,11045,DEBR SKIN/SUBQ TISS ADDL 20 CM,1080.0,,432.0,972.0,504
CPT,11045,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,39.93,39.93,1
CPT,11046,DEBR MUSC/FACIA EA ADDL 20 CM,1143.0,,457.2,1028.7,112
CPT,11046,DEBR MUSC/FASCIA EA ADDL 20 CM,1143.0,,457.2,1028.7,280
CPT,11047,DEBRIDE BONE EA ADD 20 SQ CM,2908.0,,1163.2,2617.2,56
CPT,11055,PARING LESN BENIGN 1,369.0,,147.6,332.1,748
CPT,11055,"PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); SINGLE LESION",,,27.0,61.13,2
CPT,11056,PARING LESN BENIGN 2-4,400.0,,160.0,360.0,544
CPT,11057,PARING LESN BENIGN >4,448.0,,163.67,403.2,204
CPT,11102,TANGENTIAL BX SKIN SGL LESION,908.0,,163.67,817.2,1292
CPT,11103,TANGNTL BX SKIN EA SEP/ADDL,359.0,,143.6,323.1,504
CPT,11104,PUNCH BIOPSY SKIN SGL LESION,683.0,,273.2,614.7,1700
CPT,11105,PUNCH BX SKIN EA SEP/ADDL LES,448.0,,179.2,403.2,1176
CPT,11106,INCISIONAL BX SKIN SGL LESION,548.0,,219.2,753.55,1428
CPT,11107,INCAL BX SKIN EA SEP/ADD LES,359.0,,143.6,323.1,896
CPT,11200,REMOVE SKIN TAG,509.0,,163.67,458.1,680
CPT,11201,REMOVE SKIN TAG EA ADDL 10,172.0,,68.8,154.8,280
CPT,11300,SHV LESN TRUNK/ARM,423.0,,169.2,491.84,408
CPT,11301,SHV LESN TRUNK/ARM 0.6-1.0CM,364.0,,145.6,327.6,340
CPT,11302,SHV LESN TRUNK/ARM 1.1-2.0CM,442.0,,163.67,397.8,204
CPT,11303,SHV LESN TRUNK/ARM >2.0CM,819.0,,327.6,737.1,204
CPT,11305,SHV LESN SKN SCALP,341.0,,136.4,306.9,340
CPT,11306,SHV LESN SKN SCALP.6-1.0CM,435.0,,163.67,391.5,272
CPT,11307,SHV LESN SKN SCALP 1.1-2.0CM,484.0,,163.67,435.6,204
CPT,11308,SHV LESN SKN SCALP >2.0CM,817.0,,326.8,735.3,136
CPT,11308,SHV LESN SKN SCALP>2.0CM,817.0,,326.8,735.3,68
CPT,11310,SHV LESN FACE/EAR,518.0,,163.67,466.2,340
CPT,11311,SHV LESN FACE/EAR .6-1.0CM,724.0,,163.67,651.6,340
CPT,11312,SHV LESN FACE/EAR 1.1-2.0CM,758.0,,303.2,682.2,204
CPT,11313,SHV LESN FACE/EAR >2.0CM,1294.0,,329.08,1164.6,204
CPT,11400,EXC LESN BGN TRUNK/ARM,1333.0,,533.2,1199.7,544
CPT,11401,EXC LESN BGN TRNK/ARM .6-1.0CM,1511.0,,329.08,1359.9,612
CPT,11402,EXC LESN BGN TRUNK/ARM 1.1-2.0,1616.0,,579.53,1454.4,600
CPT,11403,EXC LESN BGN TRUNK/ARM 2.1-3.0,2151.0,,579.53,1935.9,408
CPT,11404,EXC LESN BGN TRUNK/ARM 3.1-4.0,4228.0,,1334.55,3805.2,408
CPT,11406,EXC LESN BGN TRUNK/ARM >4.0CM,3633.0,,1334.55,3269.7,408
CPT,11420,EXC LESN BGN SCALP/HND,1813.0,,725.2,1994.58,476
CPT,11421,EXC LESN BGN SCLP/HND .6-1.0CM,1841.0,,579.53,1656.9,544
CPT,11422,EXC LESN BGN SCALP/HND 1.1-2.0,2045.0,,818.0,1994.58,680
CPT,11423,EXC LESN BGN SCALP/HND 2.1-3.0,3130.0,,1252.0,2817.0,340
CPT,11424,EXC LESN BGN SCALP/HND 3.1-4.0,3629.0,,1334.55,3266.1,340
CPT,11426,EXC LESN BGN SCALP/HND >4.0CM,4824.0,,1929.6,4341.6,340
CPT,11440,EXC LESN BGN FACE/EAR,1334.0,,533.6,1200.6,544
CPT,11441,EXC LESN BGN FACE/EAR .6-1.0CM,1489.0,,579.53,1340.1,544
CPT,11442,EXC LESN BGN FACE/EAR 1.1-1.0,2300.0,,579.53,2070.0,68
CPT,11442,EXC LESN BGN FACE/EAR 1.1-2.0,2300.0,,579.53,2070.0,272
CPT,11442,EXC LESN BGN FACE/EAR1.1-2.0,2300.0,,579.53,2070.0,68
CPT,11443,EXC LESN BGN FACE/EAR 2.1-3.0,2200.0,,880.0,1994.58,272
CPT,11444,EXC LESN BGN FACE/EAR 3.1-4.0,3016.0,,1206.4,2714.4,272
CPT,11446,EXC LESN BGN FACE/EAR>4.0CM,4026.0,,1610.4,3623.4,408
CPT,11450,EXC HIDRADENITIS AXILLARY SMP,5906.0,,2357.4,5315.4,204
CPT,11450,EXC HIDRADENTITIS AXILLARY SMP,5906.0,,2357.4,5315.4,68
CPT,11451,EXC HIDRADENTITIS AXILARY CPLX,5759.0,,2303.6,5183.1,204
CPT,11462,EXC HIDRADENITIS INGUNIAL SMP,4278.0,,1711.2,3850.2,340
CPT,11463,EXC HIDRADENITIS INGUNIAL CPLX,5373.0,,2149.2,4835.7,272
CPT,11470,EXC HIDRADENITIS PERINEAL SMP,6611.0,,2357.4,5949.9,272
CPT,11471,EXC HIDRADENITIS PERINEAL CPLX,7445.0,,2357.4,6700.5,340
CPT,11600,EXC LESN MAL TRUNK/ARM,1737.0,,579.53,1563.3,340
CPT,11601,EXC LESN MAL TRNK/ARM .6-1.0CM,1661.0,,579.53,1494.9,408
CPT,11602,EXC LESN MAL TRUNK/ARM 1.1-2.0,1660.0,,329.08,1494.0,476
CPT,11603,EXC LESN MAL TRUNK/ARM 2.1-3.0,2620.0,,579.53,2358.0,408
CPT,11604,EXC LESN MAL TRUNK/ARM 3.1-4.0,3256.0,,579.53,2930.4,340
CPT,11606,EXC LESN MAL TRUNK/ARM >4.0 CM,3859.0,,1334.55,3473.1,408
CPT,11620,EXC LESN MAL SCALP/HND,2485.0,,994.0,2236.5,68
CPT,11620,EXC LESN MAL SCALP/HND <0.5CM,2485.0,,994.0,2236.5,204
CPT,11621,EXC LESN MAL SCLP/HND .6-1.0CM,1355.0,,542.0,1219.5,408
CPT,11622,EXC LESN MAL SCALP/HND 1.1-2.0,2024.0,,579.53,1821.6,340
CPT,11623,EXC LESN MAL SCALP/HND 2.1-3.0,3380.0,,1334.55,3042.0,340
CPT,11624,EXC LESN MAL SCALP/HND 3.1-4.0,3805.0,,1334.55,3424.5,408
CPT,11626,EXC LESN MAL SCALP/HND 4.0CM,5418.0,,2167.2,4876.2,68
CPT,11626,EXC LESN MAL SCALP/HND >4.0CM,5418.0,,2167.2,4876.2,340
CPT,11640,EXC LESN MAL FACE/EAR,1723.0,,579.53,1550.7,408
CPT,11641,EXC LESN MAL FACE/EAR .6-1.0CM,1931.0,,579.53,1737.9,408
CPT,11642,EXC LESN MAL FACE/EAR 1.1-2.0,1892.0,,579.53,1702.8,408
CPT,11643,EXC LESN MAL FACE/EAR 2.1-3.0,2250.0,,900.0,2025.0,272
CPT,11644,EXC LESN MAL FACE/EAR 3.1-4.0,4007.0,,1334.55,3606.3,272
CPT,11646,EXC LESN MAL FACE/EAR . 4.0CM,4924.0,,1969.6,4431.6,68
CPT,11646,EXC LESN MAL FACE/EAR > 4.0CM,4924.0,,1969.6,4431.6,340
CPT,11719,TRIMMING NAILS NONDYSTROPHIC,232.0,,48.93,208.8,340
CPT,11720,DEBR NAIL(S) UP TO 5,344.0,,48.93,309.6,476
CPT,11721,DEBR NAIL(S) 6 OR MORE,347.0,,48.93,312.3,408
CPT,11730,AVULSION NAIL PLATE SINGLE,466.0,,163.67,419.4,612
CPT,11730,"AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE",,,102.13,102.13,1
CPT,11732,AVULSION NAIL PLATE EA ADD,333.0,,133.2,299.7,336
CPT,11740,EVAC HEMATOMA SUBUNGAL,460.0,,106.17,414.0,136
CPT,11750,EXC NAIL & MATRIX,1464.0,,329.08,1317.6,476
CPT,11755,BX NAIL UNIT,1476.0,,579.53,1328.4,272
CPT,11765,EXC WEDGE SKIN NAIL FOLD,566.0,,226.4,509.4,136
CPT,11770,EXC CYST PILONIDAL SMP,6420.0,,2357.4,5778.0,204
CPT,11771,EXC CYST PILONIDAL EXTENSIVE,8705.0,,2357.4,7834.5,68
CPT,11772,EXC CYST PILONIDAL CPLX,5728.0,,2291.2,5155.2,68
CPT,11900,INJ INTRALESNAL,350.0,,140.0,315.0,1088
CPT,11901,INJ INTRALESNAL > 7 LESNS,353.0,,141.2,317.7,136
CPT,11901,INJ INTRALESNAL >7 LESNS,353.0,,141.2,317.7,340
CPT,11920,TATTOO MICROPIGMENT,996.0,,398.4,896.4,68
CPT,11921,TATTOO MICROPIGMENT 6.1-20.0CM,916.0,,366.4,824.4,68
CPT,11922,TATTOO MICROPIGMENT ADD 20.0,777.0,,53.57,699.3,57
CPT,11950,INJ SUBQ FILL MATERIAL,702.0,,163.67,631.8,136
CPT,11950,INJ SUBQ FILL MATERIAL <1CC,702.0,,163.67,631.8,68
CPT,11951,INJ SUBQ FILL MATERIAL 1.1-5.0,1107.0,,442.8,996.3,408
CPT,11952,"SUBCUTANEOUS INJECTION OF FILLING MATERIAL (EG, COLLAGEN); 5.1 TO 10.0 CC",,,128.09,128.09,1
CPT,11954,INJ SUBQ FILL MATERIAL >10CC,1325.0,,504.2,1192.5,68
CPT,11971,REMOVE TISSUE EXPANDER,10163.0,,2357.4,9146.7,68
CPT,11976,"REMOVAL, IMPLANTABLE CONTRACEPTIVE CAPSULES",,,126.05,126.05,1
CPT,11976,REMOVE CONTRACEPTIVE CAPSULE,1633.0,,579.53,1469.7,136
CPT,11980,IMPLANT PELLET HORMONE SUBQ,740.0,,296.0,666.0,136
CPT,11981,INS IMPL DRUG DELIV NON-BIODEG,704.0,,106.17,633.6,272
CPT,11982,REM IMPL DRUG DELIV NON-BIODEG,1205.0,,328.68,1084.5,340
CPT,11983,REM/REINS IMPL DRUG DELIV,867.0,,328.68,780.3,272
CPT,12001,RPR LAC SMP SCALP,614.0,,163.67,552.6,68
CPT,12001,RPR LAC SMP SCALP <2.5CM,614.0,,163.67,552.6,612
CPT,12002,RPR LAC SMP SCALP 2.6-7.5CM,628.0,,163.67,565.2,272
CPT,12011,RPR LAC SIMPLE FACE/EAR/LIP,653.0,,163.67,587.7,68
CPT,12011,RPR LAC SMP FACE,653.0,,163.67,587.7,544
CPT,12011,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LESS",,,114.0,114.0,1
CPT,12013,RPR LAC SMP FACE 2.6-5.0CM,679.0,,163.67,611.1,204
CPT,12020,CLOSURE WOUND DEHIS SIMPLE,1649.0,,504.2,1484.1,136
CPT,12020,CLOSURE WOUND DEHIS SMP,1649.0,,504.2,1484.1,68
CPT,12021,PACK WOUND DEHISCENCE SUPER,1168.0,,329.08,1051.2,272
CPT,12021,PACK WOUND DEHISENCE SUPER,1168.0,,329.08,1051.2,68
CPT,12031,RPR LAC INT SCALP/AXIL,785.0,,314.0,706.5,476
CPT,12031,RPR LAC INT SCALP/AXIL <2.5CM,785.0,,314.0,706.5,68
CPT,12032,RPR LAC INT SCALP/AXIL 2.6-7.5,983.0,,329.08,884.7,544
CPT,12034,RPR LAC INT SCALP/AX 7.6-12.5,1159.0,,329.08,1043.1,204
CPT,12035,RPR LAC INT SCALP 12.6-20.0CM,1491.0,,329.08,1341.9,204
CPT,12036,RPR LAC INT SCALP 20.1-30.0CM,1944.0,,504.2,1749.6,204
CPT,12037,RPR LAC INT SCALP >30.0CM,5388.0,,1506.69,4849.2,68
CPT,12041,RPR LAC INT NECK,731.0,,292.4,657.9,340
CPT,12041,RPR LAC INT NECK <2.5CM,731.0,,292.4,657.9,68
CPT,12042,RPR LAC INT NECK 2.6-7.5CM,892.0,,329.08,802.8,340
CPT,12044,RPR LAC INT NECK 7.6-12.5CM,1065.0,,426.0,958.5,204
CPT,12045,RPR LAC INT NECK 12.6-20.0CM,1482.0,,504.2,1333.8,68
CPT,12046,RPR LAC INT NECK 20.1-30.0CM,1401.0,,504.2,1260.9,68
CPT,12047,REP INT NECKHANDFEET>30.0CM,756.44,,302.58,2251.85,68
CPT,12051,RPR LAC INT FACE/EAR,843.0,,329.08,758.7,544
CPT,12051,RPR LAC INT FACE/EAR <2.5CM,843.0,,329.08,758.7,68
CPT,12052,RPR LAC INT FACE 2.6-5.0CM,944.0,,329.08,849.6,204
CPT,12053,RPR LAC INT FACE 5.1-7.5CM,1085.0,,329.08,976.5,204
CPT,12054,RPR LAC INT FACE 7.6-12.5CM,1287.0,,329.08,1158.3,204
CPT,12055,RPR LAC INT FACE 12.6-20.0CM,1789.0,,329.08,1610.1,68
CPT,12056,RPR INT FACE EAR 20.01-30CM,1013.0,,329.08,911.7,68
CPT,12057,REPAIR INTERM FACE EAR>30.0,1160.83,,329.08,1044.75,68
CPT,13100,RPR LAC CPLX TRUNK 1.1-2.5CM,1495.0,,504.2,1345.5,340
CPT,13101,RPR LAC CPLX TRUNK 2.6-7.5CM,1901.0,,504.2,1710.9,408
CPT,13102,RPR LAC CPLX TRUNK ADD 5.0 CM,1211.0,,484.4,1089.9,224
CPT,13120,RPR LAC CPLX SCALP 1.1-2.5CM,1361.0,,504.2,1224.9,340
CPT,13121,RPR LAC CPLX SCALP 2.6-7.5CM,1557.0,,504.2,1401.3,340
CPT,13122,RPR LAC CPLX SCALP ADD 5.0CM,882.0,,352.8,793.8,224
CPT,13131,RPR LAC CPLX FOREHD 1.1-2.5CM,1503.0,,329.08,1352.7,340
CPT,13132,RPR LAC CPLX FOREHD 2.6-7.5CM,1755.0,,504.2,1579.5,340
CPT,13133,RPR LAC CPLX FOREHD ADD 5CM,1251.0,,500.4,1125.9,112
CPT,13151,RPR LAC CPLX EYE 1.1-2.5CM,2012.0,,504.2,1810.8,340
CPT,13152,RPR LAC CPLX EYE 2.6-7.5CM,2196.0,,504.2,1976.4,136
CPT,13152,RPR LAC CPLX EYE 2.9-7.5CM,2196.0,,504.2,1976.4,68
CPT,13153,RPR LAC CPLX EY ADD 5CM,1444.0,,577.6,1299.6,112
CPT,13160,CLOSURE WOUND CPLX SECONDARY,5975.0,,1506.69,5377.5,136
CPT,14000,TRNSF TISS TRUNK <10CM,6103.0,,1506.69,5492.7,136
CPT,14001,TRNSF TISS TRUNK 10.1-30.0CM,7391.0,,1506.69,6651.9,136
CPT,14020,TRNSF TISS SCALP/ARM,7546.0,,1506.69,6791.4,272
CPT,14021,TRNSF TISS SCALP/ARM 10.1-30.0,5247.0,,1506.69,4722.3,204
CPT,14040,TRNSF TISS HEAD/HND/FT,6204.0,,1506.69,5583.6,340
CPT,14041,TRNSF TISS HEAD/HND/FT 10.1-30,5048.0,,1506.69,4543.2,136
CPT,14060,TRNSF TISS EYE/EAR/LP,5967.0,,1506.69,5370.3,272
CPT,14061,TRNSF TISS EYE/EAR/ 10.1-30.0,6102.0,,1506.69,5491.8,68
CPT,14061,TRNSF TISS EYE/EAR/10.1-30.0,6102.0,,1506.69,5491.8,68
CPT,14301,TRNSF TISS ANY AREA 30.1-60,6856.0,,2742.4,6170.4,204
CPT,14302,TRNSF TISS ANY AREA EA ADDL,8172.0,,3268.8,7354.8,224
CPT,15004,PREP WOUND F/N/HF/G 100CM CH,1510.0,,504.2,1359.0,68
CPT,15100,GRAFT SPLIT TRUNK 1% CHILD,3960.0,,1506.69,3564.0,68
CPT,15115,GRFT EPIDERMAL HEAD 1ST 100CM,1867.0,,746.8,2251.85,136
CPT,15120,GRAFT SPLIT HEAD 1ST 100CM,5782.0,,2312.8,5203.8,204
CPT,15200,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; 20 SQ CM OR LESS",,,648.0,648.0,1
CPT,15200,GRAFT FULL TRUNK <20 CM,4531.0,,1506.69,4077.9,68
CPT,15200,GRAFT FULL TRUNK <20CM,4531.0,,1506.69,4077.9,68
CPT,15220,GRAFT FULL SCALP/ARM/LEG <20CM,5750.0,,1506.69,5175.0,136
CPT,15240,GRAFT FULL FRHD/CHN/MTH,6222.0,,1506.69,5599.8,136
CPT,15260,GRAFT FILL EYE/NOSE/EAR,5986.0,,1506.69,5387.4,68
CPT,15260,GRAFT FULL EYE/NOSE/EAR,5986.0,,1506.69,5387.4,68
CPT,15260,GRAFT FULL EYE/NOSE/LIP,5986.0,,1506.69,5387.4,68
CPT,15261,GRAFT FULL EYE/NOSE/EAR ADD 20,5567.0,,2226.8,5010.3,56
CPT,15271,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA",,,128.05,128.05,1
CPT,15271,GFT SKIN SUB T/A/L <= 100CM,3174.0,,1269.6,2856.6,68
CPT,15271,GFT SKIN SUB T/A/L <=100CM,3174.0,,1269.6,2856.6,204
CPT,15272,GFT SKIN SUB T/A/L <=100CM ADD,1330.0,,532.0,1197.0,112
CPT,15273,GFT SKIN SUB T/A/L >/=100CM,9549.0,,3015.46,8594.1,136
CPT,15274,GFT SKIN SUB T/A >/=EA ADD 100,2997.0,,1198.8,2697.3,112
CPT,15275,GFT SKIN SUB F/S/E </=100CM,5381.0,,1506.69,4842.9,408
CPT,15276,GFT SKIN SUB F/S </=100 CM EA,1763.0,,705.2,1586.7,112
CPT,15277,GFT SKIN SUB F/S/E>/=100CM,7448.0,,1506.69,6703.2,204
CPT,15278,GFT SKIN SUB F/S>/=100CM EA,3729.0,,1491.6,3356.1,112
CPT,15576,FLAP PEDICILE EYE/NOSE/EAR/LIP,5272.0,,1506.69,4744.8,68
CPT,15576,FLAP PEDICLE EYE/NOSE/EAR/LIP,5272.0,,1506.69,4744.8,68
CPT,15600,FLAP DELAY/SECT TRUNK,4668.0,,1867.2,4506.8,68
CPT,15610,FLAP DELAY/SECT SCALP/ARM/LEG,4668.0,,1506.69,4201.2,136
CPT,15620,FLAP DELAY/SECT FOREHD/HAND FT,4196.0,,1506.69,3776.4,68
CPT,15620,FLAP DELAY/SECT FOREHD/HAND/FT,4196.0,,1506.69,3776.4,204
CPT,15630,FLAP DELAY/SECT EYE/NOSE/EAR,5450.0,,1506.69,4905.0,136
CPT,15731,FOREHEAD FLAP W/VASCULAR PED,6692.0,,2676.8,6022.8,136
CPT,15740,FLAP PEDICLE ISLAND ID,4824.0,,1506.69,4341.6,68
CPT,15760,GRAFT COMPOSITE SKIN,7993.0,,1506.69,7193.7,136
CPT,15771,GRAFT AUTO FAT LIPO =<50CC,10114.0,,3015.46,9102.6,68
CPT,15775,GRAFT HAIR TRNSPL 1-15 PUNCH,999.0,,329.08,899.1,68
CPT,15776,GRAFT HAIR TRNSPL >15 PNCH GFT,662.0,,264.8,595.8,68
CPT,15781,DERMABRASION FACE SEGMENTAL,2680.0,,579.53,2412.0,136
CPT,15786,ABRASION LESN SINGLE,481.0,,163.67,432.9,272
CPT,15788,CHEMICAL PEEL FACIAL EPIDERMAL,724.0,,289.6,651.6,272
CPT,15789,CHEMICAL PEEL FACIAL DERMAL,1641.0,,504.2,1476.9,136
CPT,15820,BLEPHROPL LOWER,4477.0,,1506.69,4029.3,68
CPT,15822,BLEPHROPL UPPER,4347.0,,1506.69,3912.3,68
CPT,15825,RHYTIDECTOMY NECK,5076.0,,2030.4,4568.4,68
CPT,15825,"RHYTIDECTOMY; NECK WITH PLATYSMAL TIGHTENING (PLATYSMAL FLAP, P-FLAP)",,,1272.37,1272.37,1
CPT,15826,RHYTIDECTOMY; GLABELLAR FROWN LINES,,,884.7,884.7,1
CPT,15828,RHYTIDECTOMY CHEEK/CHIN/NECK,6934.0,,2773.6,6240.6,68
CPT,15828,"RHYTIDECTOMY; CHEEK, CHIN, AND NECK",,,4896.9,4896.9,1
CPT,15829,RHYTIDECTOMY; SUPERFICIAL MUSCULOAPONEUROTIC SYSTEM (SMAS) FLAP,,,2780.25,2780.25,1
CPT,15830,EXC EXCESS SKIN/TISS ABDOMEN,4713.0,,1885.2,8028.16,68
CPT,15830,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); ABDOMEN, INFRAUMBILICAL PANNICULECTOMY",,,1036.09,1036.09,1
CPT,15847,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY), ABDOMEN (EG, ABDOMINOPLASTY) (INCLUDES UMBILICAL TRANSPOSITION AND FASCIAL PLICATION) (LIST SEPARATELY IN ADDITION TO CODE FOR PR",,,367.11,367.11,1
CPT,15851,REM SUTURE ANES OTHER MD,5344.0,,1506.69,4809.6,68
CPT,15853,REMOVE SUTURE OR STAPLE W/O AN,2762.0,,1104.8,2485.8,168
CPT,15854,REMOVE SUTURE & STAPLE W/O ANE,260.0,,104.0,234.0,56
CPT,15876,LIPECTOMY SUCTION HEAD/NECK,7497.0,,2998.8,6747.3,136
CPT,15876,SUCTION ASSISTED LIPECTOMY; HEAD AND NECK,,,898.2,898.2,1
CPT,15877,LIPECTOMY SUCTION TRUNK,3376.0,,1350.4,4506.8,68
CPT,15877,SUCTION ASSISTED LIPECTOMY; TRUNK,,,2173.82,2173.82,1
CPT,15878,SUCTION ASSISTED LIPECTOMY; UPPER EXTREMITY,,,1737.0,1737.0,1
CPT,15879,LIPECTOMY SUCT EXTRM LOWER,6418.0,,2567.2,5776.2,68
CPT,15879,SUCTION ASSISTED LIPECTOMY; LOWER EXTREMITY,,,2679.43,2679.43,1
CPT,16000,TX BURN 1ST DEGREE INITIAL,481.0,,163.67,432.9,136
CPT,16020,DEBR BURN <5% TOTAL SM (PHY),561.0,,163.67,504.9,68
CPT,16020,DEBR BURN <5% TOTAL SM (RN),561.0,,163.67,504.9,68
CPT,16020,DRESS/DEB BURN,561.0,,224.4,504.9,56
CPT,16020,DRESS/DEB BURN <5% TOTAL SM,561.0,,163.67,504.9,272
CPT,16025,DEBR BURN 5-10% TOTAL ME (PHY),767.0,,163.67,690.3,68
CPT,16025,DEBR BURN 5-10% TOTAL MED (RN),767.0,,163.67,690.3,68
CPT,16025,DRESS/DEB BURN 5-10% TOTAL MED,767.0,,163.67,690.3,328
CPT,16025,"DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT; MEDIUM (EG, WHOLE FACE OR WHOLE EXTREMITY, OR 5% TO 10% TOTAL BODY SURFACE AREA)",,,76.0,76.0,1
CPT,16030,DEBR BURN >10% TOTAL LRG (PHY),947.0,,329.08,852.3,68
CPT,16030,DEBR BURN >10% TOTAL LRG (RN),947.0,,329.08,852.3,68
CPT,16030,DRESS/DEBR BURN >10% TOTAL LRG,947.0,,329.08,852.3,136
CPT,17000,DEST LESN PREMALIG 1ST LESION,354.0,,141.6,318.6,816
CPT,17003,DEST LESN BGN/PREMALIG 2-14,151.0,,60.4,135.9,672
CPT,17004,DEST LESN PREMALIGNANT 15+ LS,1091.0,,329.08,981.9,544
CPT,17106,DEST LESN VASCULAR,1342.0,,329.08,1207.8,272
CPT,17107,DEST LESN VASCULAR 10-50CM,2291.0,,504.2,2061.9,204
CPT,17108,DEST LESN VASCULAR >50CM,2140.0,,856.0,2251.85,204
CPT,17110,DESTRUCT BENIGN LESION,442.0,,163.67,397.8,476
CPT,17110,DESTRUCT DENIGN LESION,442.0,,163.67,397.8,68
CPT,17111,DEST BENIGN LESIONS >15,603.0,,163.67,542.7,340
CPT,17250,CAUT CHEM TISSUE GRANULATION,620.0,,163.67,558.0,952
CPT,17260,DEST LESN MAL TRUNK/ARM,437.0,,163.67,393.3,340
CPT,17261,DEST LESN MAL TRUNK/ARM .6-1.0,699.0,,163.67,629.1,340
CPT,17262,DEST LESN MAL TRNK/ARM 1.1-2.0,891.0,,163.67,801.9,408
CPT,17263,DEST LESN MAL TRNK/ARM 2.1-3.0,934.0,,163.67,840.6,340
CPT,17264,DEST LESN MAL TRNK/ARM 3.0-4.0,1194.0,,329.08,1074.6,68
CPT,17264,DEST LESN MAL TRNK/ARM 3.1-4.0,1194.0,,329.08,1074.6,272
CPT,17266,DEST LESN MAL TRUNK/ARM >4.0CM,1470.0,,329.08,1323.0,272
CPT,17270,DEST LESN MAL SCLP/HEAD,679.0,,163.67,611.1,204
CPT,17271,DEST LESN MAL SCLP/HEAD .6-1.0,823.0,,163.67,740.7,340
CPT,17272,DEST LESN MAL SCLP/HEAD1.1-2.0,813.0,,163.67,731.7,340
CPT,17273,DEST LESN MAL SCLP/HEAD2.1-3.0,996.0,,329.08,896.4,204
CPT,17274,DEST LESN MAL SCLP/HEAD3.1-4.0,2108.0,,329.08,1897.2,136
CPT,17276,DEST LESN MAL SCLP/HEAD>4.0CM,1326.0,,329.08,1193.4,204
CPT,17280,DEST LESN MAL FACE/EAR,702.0,,163.67,631.8,68
CPT,17280,DEST LESN MAL FACE/EAR <0.5CM,702.0,,163.67,631.8,136
CPT,17281,DEST LESN MAL FACE/EAR.6-1.0,1005.0,,163.67,904.5,204
CPT,17282,DEST LESN MAL FACE/EAR 1.1-2.0,1184.0,,163.67,1065.6,340
CPT,17283,DEST LESN MAL FACE/EAR 2.1-3.0,1556.0,,329.08,1400.4,204
CPT,17284,DEST LESN MAL FACE/EAR 3.1-4.0,1659.0,,504.2,1493.1,204
CPT,17286,DEST LESN MAL FACE/EAR >4CM,1791.0,,504.2,1611.9,204
CPT,17311,MOHS 1ST STG H/N/HF/G,2659.0,,504.2,2393.1,204
CPT,17312,MOHS EA ADDL STG H/N/HF/G,2121.0,,848.4,1908.9,112
CPT,17313,MOHS 1ST STAGE T/A/L,2720.0,,504.2,2448.0,204
CPT,17314,MOHS EA ADDL STAGE T/A/L,2136.0,,854.4,1922.4,168
CPT,17315,CHEMOSURG/MOHS EA ADD SPEC >5,1218.0,,487.2,1096.2,112
CPT,17340,CRYOTHERAPY ACNE,100.0,,40.0,90.0,68
CPT,17380,ELECTROLYSIS EPILATION 30 MIN,2035.0,,504.2,1831.5,204
CPT,17999,SKIN/MUC MEM/SUBQ TISS UNLSTD,3740.0,,163.67,3366.0,136
CPT,19000,PUNCTURE ASP BRST CYST,841.0,,336.4,866.14,520
CPT,19001,PUNCTURE ASP BRST EA ADD CYST,266.0,,106.4,239.4,280
CPT,19020,MASTOTOMY EXPL/DRAIN ABSC DEEP,4406.0,,1334.55,3965.4,136
CPT,19030,INJ DUCTOGRAM/GALACTOGRAM,884.0,,353.6,795.6,168
CPT,19081,BX BREAST 1ST LESION STRTCTC,4602.0,,1840.8,4141.8,56
CPT,19081,BX BREAST 1ST LESN STRTCTC,4602.0,,1334.55,4141.8,124
CPT,19082,BX BREAST ADD LESION STRTCTC,3868.0,,1547.2,3481.2,56
CPT,19082,BX BREAST ADD LESN STRTCTC,3868.0,,1547.2,3481.2,112
CPT,19083,BX BREAST 1ST LESION US IMAG,3848.0,,1539.2,3463.2,56
CPT,19083,BX BREAST 1ST LESN US IMAG,3848.0,,1334.55,3463.2,124
CPT,19083,BX BREAST 1ST LESN US IMAG LT,3848.0,,1539.2,3463.2,56
CPT,19083,BX BREST 1ST LESN US IMAG RT,3848.0,,1539.2,3463.2,56
CPT,19084,BX BREAST ADD LESION US IMAG,2723.0,,1089.2,2450.7,56
CPT,19084,BX BREAST ADD LESN US IMAG,2723.0,,1089.2,2450.7,112
CPT,19085,BX BREAST 1ST LESION MR IMAG,4602.0,,1334.55,4141.8,124
CPT,19085,BX BREAST 1ST LESN MR IMAG,4602.0,,1840.8,4141.8,56
CPT,19086,BX BREAST ADD LESION MR IMAG,3868.0,,1547.2,3481.2,112
CPT,19086,BX BREAST ADD LESN MR IMAG,3868.0,,1547.2,3481.2,56
CPT,19100,BX BREAST NDL W/O GUIDE,1753.0,,701.2,1994.58,136
CPT,19101,BX BREAST INCISIONAL,5454.0,,2181.6,4908.6,68
CPT,19105,ABLAT CRYOSURGICAL FIBROADE,9297.0,,3154.08,8367.3,136
CPT,19120,EXC CYST/LESN BREAST,5567.0,,2226.8,5010.3,68
CPT,19281,PERQ DEVICE BREAST 1ST IMAG,2454.0,,981.6,2208.6,180
CPT,19282,PERQ DEVICE BREAST ADD IMAG,1721.0,,688.4,1548.9,224
CPT,19283,PERQ DEV BREAST 1ST STRTCTC,4262.0,,579.53,3835.8,180
CPT,19283,PERQ DEV BREAST 1ST STRTCTC LT,4262.0,,1704.8,3835.8,56
CPT,19283,PERQ DEV BREAST 1ST STRTCTC RT,4262.0,,1704.8,3835.8,56
CPT,19284,PERQ DEV BREAST ADD STRTCTC,3581.0,,1432.4,3222.9,168
CPT,19285,PERQ DEV BREAST 1ST US IMAG,3456.0,,579.53,3110.4,248
CPT,19286,PERQ DEV BREAST ADD US IMAG,2723.0,,1089.2,2450.7,168
CPT,19287,PERQ DEV BREAST 1ST MR GUIDE,4602.0,,579.53,4141.8,248
CPT,19288,PERQ DEV BREAST ADD MR GUIDE,3581.0,,1432.4,3222.9,168
CPT,19316,MASTOPEXY,5031.0,,2012.4,8028.16,68
CPT,19325,MAMMAPL AUGMENT W/IMPL,5140.0,,2056.0,11779.86,68
CPT,19328,REM IMPL MAMMARY INTACT,5504.0,,2201.6,4953.6,68
CPT,19350,RCNST NIPPLE/AREOLA,6570.0,,2628.0,5913.0,68
CPT,19355,CORRECT NIPPLES INVERTED,7330.0,,2932.0,6597.0,68
CPT,19499,BX BREAST W/TOMO GUIDANCE LT,3946.0,,1578.4,3551.4,56
CPT,19499,BX BREAST W/TOMO GUIDANCE RT,3946.0,,1578.4,3551.4,56
CPT,20200,BX MUSCLE SUPERFICIAL,6154.0,,1334.55,5538.6,136
CPT,20205,DEEP MUSCLE BIOPSY,4643.0,,1857.2,4178.7,136
CPT,20206,BIOPSY MUSCLE PERC NEEDLE,2550.0,,1020.0,2295.0,792
CPT,20206,BX TISSUE PELVIS/HIP SUPERFIC,2550.0,,1020.0,2295.0,68
CPT,20220,BIOPSY BONE SUPERFICIAL,2652.0,,1060.8,2386.8,136
CPT,20220,"BIOPSY, BONE SUPERFICIAL",2652.0,,1060.8,2386.8,260
CPT,20225,BIOPSY BONE TROCAR/NDL DEEP,3284.0,,1313.6,2955.6,452
CPT,20240,BX BONE OPEN SUPERFIC,6255.0,,2357.4,5629.5,68
CPT,20240,BX BONE OPEN SUPERFICIAL,6255.0,,2357.4,5629.5,136
CPT,20245,BX BONE OPEN DEEP,6843.0,,2357.4,6158.7,204
CPT,20500,INJ TRACT SINUS THPY,1736.0,,694.4,1823.51,68
CPT,20501,INJ TRACT SINOGRAM,463.0,,185.2,416.7,280
CPT,20520,REM FB MUSC/TENDON SMP,2080.0,,832.0,1994.58,272
CPT,20526,INJ CARPAL TUNNEL THERAPEUTIC,685.0,,243.14,616.5,748
CPT,20527,INJ ENZYME FASCIAL CORD,637.0,,243.14,573.3,68
CPT,20550,INJ SINGLE TENDON/LIGAMENT,645.0,,243.14,580.5,1428
CPT,20550,"INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR ""FASCIA"")",,,38.0,38.0,1
CPT,20551,INJ SGL TENDON ORIGIN/INSERT,699.0,,243.14,629.1,1292
CPT,20552,INJ TRIGGER PT 1-2 MUSCLE(S),1165.0,,58.0,1048.5,2127
CPT,20552,"INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE(S)",,,58.0,58.0,1
CPT,20553,INJ TRIGGER PT 3+ MUSC GROUP,996.0,,243.14,896.4,1324
CPT,20600,ARTHROCENT ASP/INJ JT SMALL,538.0,,215.2,484.2,1088
CPT,20600,ARTHROCENT ASP/INJ JT SMALL LT,1911.0,,764.4,1719.9,336
CPT,20600,ARTHROCENT ASP/INJ JT SMALL RT,1911.0,,764.4,1719.9,336
CPT,20600,ARTHROCENTESIS SMALL JOINT LT,1911.0,,764.4,1719.9,56
CPT,20600,ARTHROCENTESIS SMALL JOINT RT,1911.0,,764.4,1719.9,112
CPT,20600,"ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT OR BURSA (EG, FINGERS, TOES); WITHOUT ULTRASOUND GUIDANCE",,,38.0,38.0,1
CPT,20600,DRAIN/INJ SM JT W/O US BIL,2867.0,,1146.8,2580.3,112
CPT,20600,DRAIN/INJ SM JT W/O US LT,1911.0,,764.4,1719.9,112
CPT,20600,DRAIN/INJ SM JT W/O US RT,1911.0,,764.4,1719.9,112
CPT,20604,ARTHROCENT JT SMALL W/US,1971.0,,243.14,1773.9,612
CPT,20604,DRAIN/INJ SM JT W/US BIL,2956.0,,1182.4,2660.4,56
CPT,20604,DRAIN/INJ SM JT W/US LT,1971.0,,788.4,1773.9,56
CPT,20604,DRAIN/INJ SM JT W/US RT,1971.0,,788.4,1773.9,56
CPT,20605,ARTHROCENT ASP/INJ INTERMED,1118.0,,243.14,1006.2,68
CPT,20605,ARTHROCENT ASP/INJ JNT INTRMED,1986.0,,243.14,1787.4,68
CPT,20605,ARTHROCENT ASP/INJ JT INTERMED,1118.0,,243.14,1006.2,1608
CPT,20605,ARTHROCENT JT INTERMED LT,559.0,,223.6,503.1,56
CPT,20605,"ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JOINT OR BURSA (EG, TEMPOROMANDIBULAR, ACROMIOCLAVICULAR, WRIST, ELBOW OR ANKLE, OLECRANON BURSA); WITHOUT ULTRASOUND GUIDANCE",,,43.0,43.0,1
CPT,20605,DRAIN/INJ MED JT W/O US BIL,2978.0,,1191.2,2680.2,112
CPT,20605,DRAIN/INJ MED JT W/O US LT,2143.0,,857.2,1928.7,112
CPT,20605,DRAIN/INJ MED JT W/O US RT,1986.0,,794.4,1787.4,112
CPT,20605,DRAIN/INJECTION- JOINT/BURSA,1986.0,,243.14,1787.4,68
CPT,20606,ARTHROCENT ASP/INJ INTER W/US,2036.0,,570.41,1832.4,68
CPT,20606,ARTHROCENT JT INTER W/US,1960.5,,570.41,1832.4,884
CPT,20606,DRAIN/INJ MED JT W/US BIL,3053.0,,1221.2,2747.7,56
CPT,20606,DRAIN/INJ MED JT W/US LT,2199.0,,879.6,1979.1,56
CPT,20606,DRAIN/INJ MED JT W/US RT,2199.0,,879.6,1979.1,56
CPT,20610,ARTHRO ASP/INJ JNT/BURSA MAJOR,814.0,,243.14,732.6,68
CPT,20610,ARTHROCENT ASP/INJ JT MAJOR,936.0,,243.14,952.2,272
CPT,20610,ARTHROCENT ASP/INJ JT MAJOR LT,1058.0,,423.2,952.2,56
CPT,20610,ARTHROCENT ASP/INJ JT MAJOR RT,1058.0,,423.2,952.2,56
CPT,20610,"ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE",,,52.0,52.0,1
CPT,20610,ARTHROCNT ASP/INJ JT MAJ BILAT,1747.0,,698.8,1572.3,56
CPT,20610,DRAIN/INJ JOINT/BURSA MAJ,814.0,,243.14,732.6,68
CPT,20610,DRAIN/INJ JOINT/BURSA MAJ 01,814.0,,243.14,732.6,340
CPT,20610,DRAIN/INJ MAJ JT W/O US BIL,8078.0,,3231.2,7270.2,112
CPT,20610,DRAIN/INJ MAJ JT W/O US LT,5387.0,,2154.8,4848.3,112
CPT,20610,DRAIN/INJ MAJ JT W/O US RT,5387.0,,2154.8,4848.3,112
CPT,20610,"DRAIN/INJ,JOINT/BURSA MAJ 01",814.0,,243.14,732.6,748
CPT,20610,"DRAIN/INJ,JOINT/BURSA MAJ BIL",1588.0,,635.2,1429.2,56
CPT,20610,"DRAIN/INJ,JOINT/BURSA MAJ LT",4987.0,,1994.8,4488.3,168
CPT,20610,"DRAIN/INJ,JOINT/BURSA MAJ RT",4987.0,,1994.8,4488.3,336
CPT,20611,ARTHROCENT JT MAJOR W/US,2163.0,,243.14,2021.4,272
CPT,20611,DRAIN/INJ JOINT/BURSA MAJ,1870.0,,243.14,1683.0,68
CPT,20611,DRAIN/INJ JOINT/BURSA MAJ 02,1870.0,,243.14,1683.0,272
CPT,20611,DRAIN/INJ JOINT/BURSA MAJ W/US,1870.0,,243.14,1683.0,68
CPT,20611,DRAIN/INJ MAJ JT W/US BIL,3370.0,,1348.0,3033.0,56
CPT,20611,DRAIN/INJ MAJ JT W/US LT,2426.0,,970.4,2183.4,56
CPT,20611,DRAIN/INJ MAJ JT W/US RT,2426.0,,970.4,2183.4,56
CPT,20611,"DRAIN/INJ,JOINT/BURSA MAJ 02",1870.0,,243.14,1683.0,204
CPT,20611,"DRAIN/INJ,JOINT/BURSA MAJ LT",1870.0,,748.0,1683.0,168
CPT,20612,ASP/INJ GANGLION CYST- EA AD,536.0,,214.4,482.4,124
CPT,20612,ASP/INJ GANGLION CYST- EA ADDL,536.0,,214.4,482.4,68
CPT,20612,ASP/INJ GANGLION CYST- INIT,536.0,,214.4,482.4,192
CPT,20612,ASP/INJ GANGLION CYST-EA ADDL,536.0,,214.4,482.4,68
CPT,20615,ASP/INJ CYST BONE,1578.0,,579.53,1420.2,136
CPT,20660,APPL TONG/CALIP/FRAME CRANIAL,7815.0,,1318.22,7033.5,136
CPT,20670,REM IMPL WIRE SUPERFIC,4332.0,,1334.55,3898.8,340
CPT,20670,REM IMPL WIRE SUPERFIC/BEDSIDE,4332.0,,1334.55,3898.8,68
CPT,20680,REM IMPL WIRE DEEP,6533.0,,2357.4,5879.7,340
CPT,20690,APPL FIX SYSTEM EXTERNL UNIPLN,11438.0,,4575.2,10294.2,68
CPT,20930,"ALLOGRAFT, MORSELIZED, OR PLACEMENT OF OSTEOPROMOTIVE MATERIAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,191.43,191.43,1
CPT,20936,"AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); LOCAL (EG, RIBS, SPINOUS PROCESS, OR LAMINAR FRAGMENTS) OBTAINED FROM SAME INCISION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY P",,,205.23,205.23,1
CPT,20982,ABLATION BONE TUMR PERC W/CT,12385.0,,4954.0,15839.53,204
CPT,20983,ABLATE BONE TUMOR(S)PERQ,14120.0,,5648.0,12708.0,204
CPT,20999,ABLAT REDUCT/ERAD SFT TIS TUMR,14120.0,,197.58,12708.0,68
CPT,20999,ABLAT THPY RED/ERAD TISS TUMOR,14120.0,,197.58,12708.0,68
CPT,20999,CRYOABLAT EXTREMITY SOFT TISS,14120.0,,197.58,12708.0,68
CPT,20999,CRYOABLAT SOFT TISSUE TUMOR,14120.0,,197.58,12708.0,68
CPT,20999,CRYOABLAT TISS TUMR EXTREMITY,16931.0,,197.58,15237.9,68
CPT,20999,CRYOABLAT VASC TUMR OF EXTREM,14120.0,,197.58,12708.0,68
CPT,20999,MUSCULOSKELETAL UNLSTD PROC,11822.0,,197.58,10639.8,68
CPT,20999,PERC/CRYOABLAT TUMOR REMOVAL,14120.0,,197.58,12708.0,68
CPT,20999,SCLEROTHERAPY SOFT TISS TUMOR,2511.0,,197.58,2259.9,68
CPT,21011,EXC TUMR FACE/SCALP SUBQ,5174.0,,1334.55,4656.6,340
CPT,21012,EXC TUMR FACE/SCALP SUBQ 2+CM,2121.0,,848.4,1994.58,204
CPT,21013,EXC TUM FACE/SCLP SUBFASC <2CM,3656.0,,1334.55,3290.4,136
CPT,21013,EXC TUM FACE/SCLP SUBFASC<2CM,3656.0,,1334.55,3290.4,68
CPT,21014,EXC TUM FACE/SCLP SUBFASC 2 +,6302.0,,2357.4,5671.8,136
CPT,21014,EXC TUM FACE/SCLP SUBFASC 2+,6302.0,,2357.4,5671.8,68
CPT,21015,RES TUMR FACE/SCALP RAD <2CM,6302.0,,2357.4,5671.8,68
CPT,21016,RAD RESCJ TUM TISS F/S 2 +,6302.0,,2357.4,5671.8,68
CPT,21025,EXC BONE MANDIBLE,13222.0,,4872.59,11899.8,68
CPT,21026,EXC BONE FACIAL,11985.0,,4794.0,10786.5,68
CPT,21030,EXC CYST/TUMR MAXILLA/ZYGOMA,6067.0,,2426.8,7282.4,68
CPT,21031,EXC TORUS MANDIBULAR,5970.0,,2388.0,5373.0,68
CPT,21032,EXC MAXILARY TORUS PALATINUS,6251.0,,2500.4,5625.9,68
CPT,21040,EXC CYST MANDIBLE,6619.0,,2647.6,5957.1,68
CPT,21076,PREP PROSTH OBDURATOR,3047.0,,1218.8,2742.3,68
CPT,21077,PREP PROSTH ORBITAL,12805.0,,4872.59,11524.5,68
CPT,21079,PREP PROSTH OBDURATOR INTERIM,6375.0,,2550.0,5737.5,68
CPT,21080,PREP PROSTH OBDURATOR DEFIN,6375.0,,2550.0,5737.5,68
CPT,21081,PREP PROSTH MANDIBULAR,12115.0,,4846.0,10903.5,68
CPT,21082,PREP PROSTH PALATAL AUGMEN,6375.0,,2550.0,5737.5,68
CPT,21083,PREP PROSTH PALATAL LIFT,6375.0,,2550.0,5737.5,68
CPT,21084,PREP PROSTH SPEECH AID,6375.0,,2550.0,5737.5,68
CPT,21085,PREP PROSTH ORAL SPLINT,12348.0,,191.28,11113.2,68
CPT,21086,PREP PROSTH AURICULAR,6375.0,,2550.0,5737.5,68
CPT,21087,PREP PROSTH NASAL,12115.0,,4846.0,10903.5,68
CPT,21088,PREP PROSTH FACIAL,6375.0,,2550.0,5737.5,68
CPT,21110,APPL INTERDENTAL DEVICE W/REM,3754.0,,1220.09,3378.6,68
CPT,21116,INJECT ARTHROGRAM TMJ BIL,535.0,,214.0,481.5,56
CPT,21116,INJECT ARTHROGRAM TMJ LT,357.0,,142.8,321.3,56
CPT,21116,INJECT ARTHROGRAM TMJ RT,357.0,,142.8,321.3,56
CPT,21210,GRFT BONE NASAL/MAXILL/MALAR,9290.0,,3716.0,8361.0,68
CPT,21215,GRAFT BONE MANDIBLE,11690.0,,4676.0,10521.0,68
CPT,21230,GRAFT CARTILAGE RIB AUTOGENOUS,11627.0,,4650.8,10464.3,68
CPT,21235,GRAFT CARTILAGE EAR AUTOGENOUS,6862.0,,2744.8,7282.4,136
CPT,21248,RCNST CONDYLE MANDIBULAR PRT,13222.0,,4872.59,11899.8,68
CPT,21249,RCNST CONDYLE MANDIBLAR CMPL,9457.0,,3782.8,8511.3,68
CPT,21299,TMJ SPLINT,0.01,,0.005,285.88,68
CPT,21320,TX FX BONE NASAL W/STABL CLSD,6156.0,,2462.4,5540.4,204
CPT,21440,TX FX MANDIB/MAXILL CLSD,11303.0,,2671.24,10172.7,68
CPT,21453,TX FX MANDIB FIX INTERDENT CLS,10079.0,,4031.6,9071.1,68
CPT,21480,TX DISL JAW CLSD,743.0,,197.58,668.7,68
CPT,21550,BX TISSUE NECK/THORAX,4652.0,,1334.55,4186.8,408
CPT,21552,EXC TUM TISS NECK/ANT THX SUBQ,7324.0,,2357.4,6591.6,204
CPT,21554,EXC TUM NECK/ANT SUBQ 5+CM OR>,6846.0,,2357.4,6161.4,68
CPT,21555,EXC TUMR NECK/CHEST SQ <3CM,6480.0,,1334.55,5832.0,340
CPT,21556,EXC TMR NCK/CHST DEEP <5CM,6846.0,,2357.4,6161.4,68
CPT,21556,EXC TMR NCK/CHST DEEPT <5CM,6846.0,,2357.4,6161.4,136
CPT,21557,RES TMR NCK/THORAX RAD<5CM,6302.0,,2357.4,5671.8,68
CPT,21558,RAD RESCJ TUM N/ANT THORAX 5+,6302.0,,2357.4,5671.8,68
CPT,21750,CLOSE MED STERNTOMY SEPARAT,3981.0,,1592.4,3582.9,56
CPT,21920,BX TISSUE BACK SOFT SUPERFIC,2721.0,,1088.4,2448.9,68
CPT,21925,BX TISSUE BACK SOFT DEEP,5060.0,,1334.55,4554.0,68
CPT,21930,EXC TUMR BACK/FLANK,4087.0,,1334.55,3678.3,204
CPT,21931,EXC TUMR BACK/FLANK SUBQ 3+,7610.0,,1334.55,6849.0,204
CPT,21932,EXC TUMR BACK/FLNK SUBFSC <5CM,6846.0,,2357.4,6161.4,136
CPT,21933,EXC TISS BACK/FLNK SUBFSCL 5+,6846.0,,2357.4,6161.4,204
CPT,21935,RES TMR BACK/FLANK RAD <5CM,6302.0,,2357.4,5671.8,68
CPT,21936,RES TMR BACK/FLANK RAD 5+,6302.0,,2357.4,5671.8,136
CPT,22310,TX FX VERTEBRAL BDY W/O MAN,1081.0,,197.58,972.9,68
CPT,22510,PERQ CERVICOTHORACIC INJ,9879.0,,2672.51,8891.1,204
CPT,22511,VRTPLS PERC INJ LMBSAC W/IMG,11660.0,,2672.51,10494.0,68
CPT,22511,VRTPLS PERC INJ LMBSAC/IMG,11660.0,,2672.51,10494.0,68
CPT,22512,VERTEBROPLASTY ADDL INJ,9051.0,,3620.4,8145.9,112
CPT,22513,PERQ VERT AUGMENT THORACIC,17568.0,,5884.12,15811.2,204
CPT,22514,PERQ VERT AUGMENT LUMBAR,17568.0,,5884.12,15811.2,204
CPT,22515,PERQ VERT AUGMENT EA ADDL,16344.0,,6537.6,14709.6,168
CPT,22899,UNLISTED PROCEDURE SPINE,9954.0,,197.58,8958.6,68
CPT,22902,EXC TUMR ABD TISS WALL SUBQ <3,4217.0,,1334.55,3795.3,136
CPT,22903,EXC TUMR ABD TISS WALL SUBQ 3+,7120.0,,2357.4,6408.0,136
CPT,23065,BX TISSUE SHOULDER SUPERFIC,3167.0,,1266.8,2850.3,136
CPT,23066,BX TISSUE SHOULDER DEEP,3698.0,,1479.2,3523.29,136
CPT,23071,EXC TUMR SHOULDER SUBQ 3CM +,6843.0,,1334.55,6158.7,136
CPT,23071,EXC TUMR SHOULDER SUBQ 3CM+,6843.0,,1334.55,6158.7,68
CPT,23073,EXC TUMR SHLDR SUBFS IM,6931.0,,2357.4,6237.9,136
CPT,23075,EXC TUMR SHOULDER SUBQ,7810.0,,1334.55,7029.0,68
CPT,23076,EXC TUMR SHOULDER DEEP,7304.0,,2357.4,6573.6,136
CPT,23077,RES TUMR SHOULDER RAD,6302.0,,2357.4,5671.8,68
CPT,23078,RES TUMR SHOULDER RAD 5+,6302.0,,2357.4,5671.8,68
CPT,23350,INJECT ARTHROGRAM SHOULDER,767.0,,306.8,690.3,56
CPT,23350,INJECT ARTHROGRAM SHOULDER RT,767.0,,306.8,690.3,168
CPT,23350,INJECT ARTHROGRAM SHOULDR LT,767.0,,306.8,690.3,168
CPT,23500,TX FX CLAVICLE W/O MAN,889.0,,197.58,800.1,68
CPT,23520,TX DISL STERNOCLAV CLSD W/O,4056.0,,1318.22,3650.4,68
CPT,23570,TX FX SCAPULA W/O MAN CLSD,1138.0,,197.58,1024.2,136
CPT,23600,TX FX HUMER PROX W/O MAN CLSD,1035.0,,197.58,931.5,68
CPT,23620,TX FX HUMER TUBER W/O MAN CLSD,1056.0,,197.58,950.4,136
CPT,23650,TX DISL SHLDR W/MAN CLSD,1105.0,,197.58,994.5,68
CPT,24065,BX TISSUE ARM/ELBOW SUPERFIC,3089.0,,1235.6,2780.1,136
CPT,24066,BX TISSUE ARM/ELBOW DEEP,3698.0,,1479.2,3523.29,68
CPT,24071,EXC TUMR ARM/ELBOW SUBQ 3+,7020.0,,2357.4,6318.0,204
CPT,24075,EXC TUMR ARM/ELBOW SUBQ,3828.0,,1334.55,3445.2,204
CPT,24077,RES TUMR ARM/ELBOW RAD,6302.0,,2357.4,5671.8,68
CPT,24079,RES TUMR ARM/ELBOW RAD 5+,6302.0,,2357.4,5671.8,68
CPT,24220,INJ ARTHROGRAM ELBOW LT,748.0,,299.2,673.2,56
CPT,24220,INJ ARTHROGRAM ELBOW RT,748.0,,299.2,673.2,112
CPT,24220,INJECT ARTHROGRAM ELBOW LT,748.0,,299.2,673.2,112
CPT,24500,TX FX HUMER SHAFT W/O MAN CLSD,1463.0,,197.58,1316.7,136
CPT,24530,TX FX HUMER SUPRA/TRAN CLSD,1060.0,,197.58,954.0,68
CPT,24565,TX FX HUMER EPICOND W/MAN CLSD,3756.0,,1318.22,3380.4,68
CPT,24650,TX FX RADIAL HD/NCK CLSD,762.0,,197.58,685.8,136
CPT,24670,TX FX ULNA PROX CLSD,974.0,,197.58,876.6,68
CPT,24670,TX FX ULNAPROX CLSD,974.0,,197.58,876.6,68
CPT,25000,INC TENDON SHTH EXTNS,4082.0,,1318.22,3673.8,68
CPT,25065,BX TISSUE FOREARM/WRIST SUPER,3129.0,,1251.6,2816.1,68
CPT,25066,BX TISSUE FOREARM/WRIST DEEP,3698.0,,1479.2,3523.29,68
CPT,25071,EXC TUMR FOREARM/WRIST SUBQ 3+,3971.0,,1334.55,3573.9,204
CPT,25073,EXC TUMR FOREARM/WRIST SUBF IM,6442.0,,2357.4,5797.8,68
CPT,25075,EXC FOREARM/WRIST SUBQ,4427.0,,1334.55,3984.3,68
CPT,25075,EXC TUMR FOREARM/WRIST SUBQ,4427.0,,1334.55,3984.3,136
CPT,25076,EXC TUMR FOREARM/WRIST,3739.0,,1334.55,3365.1,136
CPT,25077,RESECT TUMR FOREARM/WRIST RAD,3628.0,,1451.2,3523.29,68
CPT,25078,RESECT TUMR FOREARM/WRIST RAD,6302.0,,2357.4,5671.8,68
CPT,25246,INJECT ARTHROGRAM WRIST LT,740.0,,296.0,666.0,168
CPT,25246,INJECT ARTHROGRAM WRIST RT,740.0,,296.0,666.0,168
CPT,25530,TX FX ULNA SHFT W/O MAN CLSD,957.0,,197.58,861.3,136
CPT,25600,TX FX RADIAL DIST W/O MAN CLSD,1016.0,,197.58,914.4,136
CPT,25622,TX FX NAVICULAR W/O MAN CLSD,990.0,,197.58,891.0,68
CPT,25630,TX FX CARPAL W/O MAN CLOSED,973.0,,197.58,875.7,68
CPT,25660,TX DISL CARPAL W/MAN CLSD,1515.0,,197.58,1363.5,68
CPT,26010,DRAIN ABSC FINGER SIMPLE,824.0,,163.67,741.6,136
CPT,26020,DRAIN TENDON SHTH DIGIT/PALM,4146.0,,1658.4,3994.24,68
CPT,26040,FASCIOTOMY PALMAR PERC,3846.0,,1318.22,3461.4,68
CPT,26045,FASCIOTOMY PALMAR OPEN,7821.0,,2672.51,7038.9,68
CPT,26055,INCISION TENDON SHEATH FINGER,3929.0,,1318.22,3536.1,136
CPT,26111,EXC TUMR HAND/FINGER SUBQ 1.5+,5573.0,,1334.55,5015.7,204
CPT,26115,EXC TUMR HAND/FINGER SUBQ,3064.0,,1225.6,2757.6,204
CPT,26117,RES TUMR/HAND FINGER RAD,6302.0,,2357.4,5671.8,68
CPT,26118,RES TUMR HAND/FINGER RAD 3+,6302.0,,2357.4,5671.8,68
CPT,26160,EXC LESN TENDON HAND/FINGER,5984.0,,1318.22,5385.6,136
CPT,26236,EXC PHALANX DIST PARTIAL,8104.0,,1318.22,7293.6,68
CPT,26250,RES METACARPAL RADICAL,8019.0,,2672.51,7217.1,136
CPT,26260,RESECT PROX FINGER FUMOR,8019.0,,2672.51,7217.1,68
CPT,26260,RESECT PROX FINGER TUMOR,8019.0,,2672.51,7217.1,68
CPT,26262,RESECT DISTAL FINGER TUMOR,3982.0,,1318.22,3583.8,136
CPT,26350,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, NOT IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); PRIMARY OR SECONDARY WITHOUT FREE GRAFT, EACH TENDON",,,651.37,651.37,1
CPT,26600,TX FX METACARPAL W/O MAN CLSD,843.0,,197.58,758.7,68
CPT,26605,TX FX METACARPAL W/MAN CLSD EA,1044.0,,197.58,939.6,68
CPT,26645,TX FX THUMB W/MAN CLSD,1368.0,,547.2,1970.17,68
CPT,26670,TX DISL HAND W/O ANES CLSD,748.0,,197.58,673.2,68
CPT,26700,TX DISL (M-P) W/O ANES CLSD,823.0,,197.58,740.7,68
CPT,26720,TX FX PHALANX PRX W/O MAN CLSD,735.0,,197.58,661.5,136
CPT,26740,TX FX (M-P)(I-P) JT CLSD,973.0,,197.58,875.7,68
CPT,26750,TX FX PHALANX DIST CLSD,727.0,,197.58,654.3,136
CPT,26910,AMPUT METACARPAL FNGR/THMB SGL,8640.0,,2672.51,7776.0,136
CPT,26951,AMPUT FINGER/THUMB SGL CLSR,6972.0,,2672.51,6274.8,68
CPT,26952,AMPUT FINGER/THUMB W/FLAP,10959.0,,2672.51,9863.1,136
CPT,27040,BX TISSUE PELVIS/HIP SUPERFIC,2550.0,,1020.0,2295.0,124
CPT,27041,BX TISSUE PELVIS/HIP DEEP,2767.0,,1106.8,2490.3,68
CPT,27043,EXC TUMR PELVIS/HIP SUBQ 3+CM>,6846.0,,2357.4,6161.4,68
CPT,27045,EXC TUM PELVIS/HIP SUBFS IM5+,6846.0,,2357.4,6161.4,68
CPT,27047,EXC TUMR PELVIS/HIP SUBQ,6846.0,,2357.4,6161.4,68
CPT,27048,EXC TUMR PELVIS/HIP <5CM,6846.0,,2357.4,6161.4,68
CPT,27049,RES TUMR PELVIS/HIP < 5CM,6302.0,,2357.4,5671.8,68
CPT,27059,RES TUMR PELVIS/HIP 5+,6302.0,,2357.4,5671.8,68
CPT,27093,INJ ARTHROGM HIP W/O ANES LT,656.0,,262.4,590.4,168
CPT,27093,INJ ARTHROGM HIP W/O ANES RT,656.0,,262.4,590.4,112
CPT,27096,INJ ARTHROGRAM SACROILIAC,2058.0,,130.0,1852.2,279
CPT,27096,INJ ARTHROGRAM SACROILIAC BIL,3086.0,,195.0,2777.4,55
CPT,27096,INJ ARTHROGRAM SACROILIAC LT,2058.0,,130.0,1852.2,110
CPT,27096,INJ ARTHROGRAM SACROILIAC RT,2202.5,,130.0,2112.3,166
CPT,27197,CLSD TX PELVIC FX W/O MANIP,1048.0,,197.58,943.2,136
CPT,27216,"PERCUTANEOUS SKELETAL FIXATION OF POSTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION, FOR FRACTURE PATTERNS THAT DISRUPT THE PELVIC RING, UNILATERAL (INCLUDES IPSILATERAL ILIUM, SACROILIAC JOINT AND/OR",,,783.69,783.69,1
CPT,27217,"OPEN TREATMENT OF ANTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION FOR FRACTURE PATTERNS THAT DISRUPT THE PELVIC RING, UNILATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED (INCLUDES PUBIC SYMPHYSIS ",,,736.24,736.24,1
CPT,27218,"OPEN TREATMENT OF POSTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION, FOR FRACTURE PATTERNS THAT DISRUPT THE PELVIC RING, UNILATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED (INCLUDES IPSILATERAL IL",,,1009.89,1009.89,1
CPT,27220,TX FX ACETAB W/O MAN CLSD,1344.0,,197.58,1209.6,136
CPT,27230,TX FX FEM PROX W/O MAN CLSD,1378.0,,197.58,1240.2,68
CPT,27238,TX FX FEM TROCHAN W/O MAN CLSD,1827.0,,730.8,1970.17,68
CPT,27246,TX FX GR TROCHANT W/O MAN CLSD,1444.0,,197.58,1299.6,68
CPT,27250,TX DISL HIP TRAUMA W/O ANES CL,1072.0,,197.58,964.8,136
CPT,27267,CLSD TX FEM FX PROX END HD W/O,6142.0,,2456.8,5527.8,136
CPT,27323,BX TISSUE THIGH/KNEE SUPERFIC,3602.0,,1334.55,3241.8,204
CPT,27324,BX TISSUE THIGH/KNEE DEEP,6213.0,,2357.4,5591.7,68
CPT,27327,EXC TUMR THIGH/KNEE SUBQ,6871.0,,1334.55,6183.9,136
CPT,27328,EXC TUMR THGH/KNEE SUBFAS <5,6931.0,,2357.4,6237.9,68
CPT,27329,RES TUMR THIGH/KNEE RAD < 5CM,6302.0,,2357.4,5671.8,68
CPT,27337,EXC TUM TISS THI/KNEE SUBQ 3+,10278.0,,2357.4,9250.2,68
CPT,27339,EXC TUM TISS THI/KNEE SUBFASC,6931.0,,2357.4,6237.9,68
CPT,27345,EXC CYST POPLITEAL,6380.0,,2552.0,5742.0,68
CPT,27364,RES TUMR THIGH/KNEE RAD 5+,6302.0,,2357.4,5671.8,68
CPT,27369,NJX CNTRST KNEE ARTHG,694.0,,277.6,624.6,56
CPT,27369,NJX CNTRST KNEE ARTHG CT,694.0,,277.6,624.6,56
CPT,27369,NJX CNTRST KNEE ARTHG MRI,694.0,,277.6,624.6,56
CPT,27500,TX FX FEM SHAFT W/O MAN CLSD,1752.0,,197.58,1576.8,136
CPT,27503,TX FX FEM SUPR W/MAN CLSD,4731.0,,1318.22,4257.9,68
CPT,27508,TX FX FEM MED/LAT W/O MAN CLSD,1271.0,,197.58,1143.9,68
CPT,27520,TX FX PATELLAR W/O MAN CLSD,1100.0,,197.58,990.0,136
CPT,27530,TX FX TIB PROX W/O MAN CLSD,1074.0,,197.58,966.6,136
CPT,27538,TX FX INTERCOND/TUBER CLSD,2673.0,,197.58,2405.7,68
CPT,27560,TX DISL PATELLAR W/O ANES CLSD,1012.0,,197.58,910.8,136
CPT,27613,BX TISSUE LEG/ANKLE SUPERFIC,2867.0,,1146.8,2580.3,136
CPT,27614,BX TISSUE LEG/ANKLE DEEP,4966.0,,1986.4,4469.4,136
CPT,27615,RES TUMR LEG/ANKLE RAD <5CM,6846.0,,2357.4,6161.4,68
CPT,27616,RES TUMR LEG/ANKLE RAD 5+,6846.0,,2357.4,6161.4,68
CPT,27618,EXC TUMR LEG/ANKLE SUBQ <3CM,4815.0,,1334.55,4333.5,136
CPT,27619,EXC TUMR LEG/ANK SUBFAS <5CM,6846.0,,2357.4,6161.4,68
CPT,27632,EXC LEG/ANKLE LES SQ 3+CM,6846.0,,2357.4,6161.4,136
CPT,27634,EXC LEG/ANKLE TUM SUBFASC 5+CM,6846.0,,2357.4,6161.4,68
CPT,27648,INJECT ARTHROGRAM ANKLE LT,343.0,,137.2,308.7,56
CPT,27648,INJECT ARTHROGRAM ANKLE RT,343.0,,137.2,308.7,56
CPT,27750,TX FX TIBIA SHAFT W/O MAN CLSD,1294.0,,197.58,1164.6,136
CPT,27760,TX FX MALLEOLUS W/O MAN CLSD,1099.0,,197.58,989.1,68
CPT,27780,TX FX FIBULA SHFT PROX W/O MAN,997.0,,197.58,897.3,68
CPT,27780,TX FX FIBULA SHFT PRX W/O MAN,997.0,,197.58,897.3,68
CPT,27781,TX FX FIB SHFT PROX W/MAN CLSD,4592.0,,1318.22,4132.8,68
CPT,27786,TX FX FIBULA DIST W/O MAN CLSD,1324.0,,197.58,1191.6,136
CPT,27808,TX FX BIMALLEOLAR W/O MAN CLSD,1169.0,,197.58,1052.1,68
CPT,27810,TX FX BIMALLEOLAR W/MAN CLSD,2857.0,,1142.8,2571.3,68
CPT,27824,TX FX TIB DIST WGTBEAR CLSD,1062.0,,197.58,955.8,68
CPT,28010,TENOTOMY TOE SINGLE PERC,7420.0,,1318.22,6678.0,68
CPT,28011,TENOTOMY TOE MULTI PERC,4001.0,,1318.22,3600.9,68
CPT,28046,RES TUMR SAR FT OR TOE < 3CM,6302.0,,2357.4,5671.8,68
CPT,28047,RES TUMR SAR FT OR TOE RAD 3+,6302.0,,2357.4,5671.8,68
CPT,28120,EXC CALCANEUS PARTIAL,8019.0,,2672.51,7217.1,68
CPT,28124,EXC PHALANX TOE PARTIAL,7015.0,,2672.51,6313.5,68
CPT,28190,REM FB FOOT SUBQ,2478.0,,579.53,2230.2,68
CPT,28232,TENOTOMY FLEX TOE SGL OPEN,3846.0,,1318.22,3461.4,68
CPT,28400,TX FX CALCANEAL CLSD,1006.0,,197.58,905.4,68
CPT,28430,TX FX TALUS W/O MAN CLSD,865.0,,197.58,778.5,68
CPT,28450,TX FX TARSAL W/O MAN CLSD,768.0,,197.58,691.2,136
CPT,28470,TX FX METATARSAL W/O MAN CLSD,762.0,,197.58,685.8,136
CPT,28490,TX FX GR TOE W/O MAN CLSD,598.0,,197.58,538.2,68
CPT,28510,TX FX PHALANX W/O MAN CLSD,710.0,,197.58,639.0,68
CPT,28515,TX FX PHALANX W/MAN CLSD,899.0,,197.58,809.1,68
CPT,28825,AMPUT TOE INTERPHALGEAL JOINT,9184.0,,2672.51,8265.6,68
CPT,29065,APPL CAST ARM LONG,881.0,,218.75,792.9,260
CPT,29075,APPL CAST ARM SHORT,608.0,,218.75,547.2,272
CPT,29075,APPLY CAST SHORT ARM,608.0,,218.75,547.2,68
CPT,29085,APPL CAST HAND/FOREARM,873.0,,129.97,785.7,272
CPT,29086,APPL CAST FINGER,432.0,,129.97,388.8,68
CPT,29105,APPL SPLINT ARM LONG,560.0,,129.97,504.0,136
CPT,29105,APPLICATION OF LONG ARM SPLINT (SHOULDER TO HAND),,,79.58,79.58,1
CPT,29125,APPL SPLINT ARM SHORT STATIC,480.0,,106.17,432.0,136
CPT,29130,APPL SPLINT FINGER STATIC,413.0,,106.17,371.7,68
CPT,29345,APPL CAST LEG LONG,932.0,,218.75,838.8,204
CPT,29355,APPL CAST LEG LONG WALK/AMB,799.0,,218.75,719.1,68
CPT,29365,APPL CAST THIGH-ANKLE CYLINDER,968.0,,218.75,871.2,68
CPT,29365,OT APPLY CAST CYLINDER LEG,968.0,,484.0,871.2,56
CPT,29405,APPL CAST LEG SHORT,842.0,,218.75,757.8,272
CPT,29425,APPL CAST LEG SHORT WALKING,849.0,,218.75,764.1,136
CPT,29425,OT APPL CAST LEG SHORT WALKING,849.0,,218.75,764.1,68
CPT,29435,APPL CAST TENDON PATELLAR,800.0,,218.75,720.0,68
CPT,29445,APPL CAST LEG RIGID CONTACT,925.0,,218.75,832.5,204
CPT,29515,APPL SPLINT LEG SHORT,552.0,,129.97,496.8,136
CPT,29540,STRAPPING ANKLE/FOOT,390.0,,129.97,351.0,136
CPT,29550,STRAPPING TOES,360.0,,48.93,324.0,68
CPT,29580,STRAPPING UNNA BOOT,589.0,,129.97,530.1,136
CPT,29581,APPL MULTILAY COMPRS BL KNEE,427.0,,129.97,384.3,68
CPT,29584,PT APLY MULTLAY COMPRS ARM/HA,579.0,,289.5,521.1,112
CPT,29700,REM/BIV CAST GAUNTLET/BOOT/BDY,552.0,,218.75,496.8,68
CPT,29705,REM/BIV CAST ARM/LEG FULL,398.0,,159.2,358.2,272
CPT,29730,WINDOWING OF CAST,392.0,,129.97,352.8,68
CPT,29740,WEDGE CAST EXCEPT CLUBFT CAST,316.0,,126.4,326.93,68
CPT,29804,ARTHROSC TMJ SURGICAL,6555.0,,2622.0,5899.5,68
CPT,30100,BX INTRANASAL,3315.0,,1220.09,2983.5,136
CPT,30117,EXC LESN INTRANASAL INT APPR,7696.0,,2671.24,6926.4,68
CPT,30120,EXC SURGICAL PLANING NOSE,4173.0,,1669.2,3992.34,136
CPT,30150,RHINECTOMY PARTIAL,14439.0,,4872.59,12995.1,68
CPT,30200,INJ TURBINATE THERAPEUTIC,1623.0,,419.46,1460.7,68
CPT,30220,INS NASAL SEPTAL PROSTH,4095.0,,1220.09,3685.5,204
CPT,30300,REM FB INTRANASAL,482.0,,106.17,433.8,68
CPT,30400,RHINOPLASTY PRIMARY,6167.0,,2466.8,7282.4,68
CPT,30400,"RHINOPLASTY, PRIMARY; LATERAL AND ALAR CARTILAGES AND/OR ELEVATION OF NASAL TIP",,,1071.9,1071.9,1
CPT,30410,RHINOPLASTY CMPL,13949.0,,4872.59,12554.1,68
CPT,30410,"RHINOPLASTY, PRIMARY; COMPLETE, EXTERNAL PARTS INCLUDING BONY PYRAMID, LATERAL AND ALAR CARTILAGES, AND/OR ELEVATION OF NASAL TIP",,,1235.22,1235.22,1
CPT,30420,"RHINOPLASTY, PRIMARY; INCLUDING MAJOR SEPTAL REPAIR",,,1259.38,1259.38,1
CPT,30450,"RHINOPLASTY, SECONDARY; MAJOR REVISION (NASAL TIP WORK AND OSTEOTOMIES)",,,1529.83,1529.83,1
CPT,3046F,HEMOGLOBIN A1C LVL >9.0%,0.01,,0.005,0.009,38
CPT,30580,RPR FISTULA OROMAXILLARY,8159.0,,3263.6,7343.1,68
CPT,30600,RPR FISTULA ORONASAL,11822.0,,4728.8,10639.8,68
CPT,30801,ABLAT SOFT TISS INFER TURBIN,2507.0,,1220.09,2256.3,136
CPT,30802,ABLATION SFT TISS TURBIN INTRA,3765.0,,1220.09,3388.5,136
CPT,30901,CNTRL NOSEBLEED ANT SMP,593.0,,106.17,533.7,204
CPT,30903,CNTRL NOSEBLEED ANT CPLX,696.0,,106.17,626.4,136
CPT,30905,CNTRL NOSEBLEED POST INITIAL,801.0,,106.17,720.9,68
CPT,30906,CNTRL NOSEBLEED POST SUBSEQ,916.0,,191.28,824.4,136
CPT,31000,LAVAGE BY CANN SINUS MAXILLARY,719.0,,191.28,647.1,68
CPT,31231,ENDO NASAL DIAGNOSTIC,969.0,,149.0,872.1,272
CPT,31231,"NASAL ENDOSCOPY, DIAGNOSTIC, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE)",,,149.0,149.0,1
CPT,31237,ENDO NASAL W/BX/POLYP/DEBR,5267.0,,1420.41,4740.3,204
CPT,31237,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH BIOPSY, POLYPECTOMY OR DEBRIDEMENT (SEPARATE PROCEDURE)",,,332.0,332.0,1
CPT,31238,ENDO NASAL W/CONTROL BLEEDING,5346.0,,519.0,4811.4,136
CPT,31238,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONTROL OF NASAL HEMORRHAGE",,,519.0,519.0,1
CPT,31242,NASAL SINUS ENDO RF ABLAT POST,12917.0,,4872.59,11625.3,68
CPT,31243,NASAL SINUS ENDO ABLAT POST,12917.0,,4872.59,11625.3,68
CPT,31287,ENDO NASAL W/SPHENOIDOTOMY,8050.0,,3220.0,8521.82,68
CPT,31295,ENDO NASAL DILATION MAX SINUS,7884.0,,3153.6,8521.82,68
CPT,31298,NASAL/SINUS NDSC W/SINS DILAT,11950.0,,4780.0,10755.0,68
CPT,31500,INTUBATION ENDOTRACH EMERG,1005.0,,191.28,904.5,68
CPT,31500,"INTUBATION, ENDOTRACH EMERG",1005.0,,191.28,904.5,68
CPT,31500,"INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE",,,205.0,205.0,1
CPT,31502,CHG TUBE TRACHEOTOMY,813.0,,76.0,731.7,272
CPT,31505,LARYNGOSC INDIRECT,524.0,,159.91,471.6,68
CPT,31515,LARYNGOS DIRECT W/ASPIRATION,4861.0,,319.84,4374.9,136
CPT,31525,LARYNGOSC DIRECT DX,5205.0,,1420.41,4684.5,68
CPT,31526,LARYNGOSC DIR DX W/MICRO/TELE,4440.0,,339.0,3996.0,136
CPT,31526,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, WITH OPERATING MICROSCOPE OR TELESCOPE",,,339.0,339.0,1
CPT,31531,LARYNGOSC OP REM FB W/MIC/TELE,7901.0,,3036.86,7110.9,68
CPT,31536,LARYNGOSC OP W/BX W/MIC/TELE,5460.0,,2184.0,4914.0,204
CPT,31541,LARYNGOSC OP EXC/STRIP W/MI/TE,5321.0,,2128.4,4788.9,136
CPT,31570,LARYNGOSC OP W/INJ CORD,4919.0,,1967.6,4538.78,68
CPT,31571,LARYNGOSC OP W/INJ CORD W/MIC,5480.0,,2192.0,4932.0,136
CPT,31572,LARYNGO FLX W/LASER ABLATION,7132.0,,2852.8,6418.8,136
CPT,31573,LARYNGO FLX W/THERA INJ,3725.0,,1420.41,3352.5,136
CPT,31574,LARYNGO FLEX W/INJ AUG,3725.0,,1420.41,3352.5,136
CPT,31575,LARYNGOSC FLEX FIBER,829.0,,159.91,746.1,544
CPT,31575,"LARYNGOSCOPY, FLEXIBLE; DIAGNOSTIC",,,186.0,186.0,1
CPT,31576,LARYNGOSC FLEX FIBER BX,6437.0,,1420.41,5793.3,136
CPT,31576,"LARYNGOSCOPY, FLEXIBLE; WITH BIOPSY(IES)",,,208.06,208.06,1
CPT,31577,LARYNGOSC FLEX FIBER REM FB,1049.0,,319.84,944.1,68
CPT,31578,LARYNGOSC FLEX FIBER REM LESN,6756.0,,2702.4,6080.4,68
CPT,31579,LARYNGOSC FLEX FIBER STROBO,1656.0,,319.84,1490.4,136
CPT,31579,LARYNGOSC FLEX TLE STROBO,1656.0,,319.84,1490.4,68
CPT,31599,FLEX LARYNGOS W/LASER TRMT,634.0,,191.28,570.6,68
CPT,31599,LARYNGOS FLEX W/INJ T-O/PERC,634.0,,191.28,570.6,68
CPT,31599,LARYNGOSC FLEXIBLE W/INJECTION,634.0,,191.28,570.6,68
CPT,31599,TRANSORAL LARYNGOPLASTY W/FLAP,634.0,,191.28,570.6,68
CPT,31599,TRANSORAL PART LARYNGECT/ANTER,634.0,,191.28,570.6,68
CPT,31600,TRACHEOSTOMY,6470.0,,2588.0,5823.0,136
CPT,31603,TRACHEOSTOMY EMERG TRNSTRACH,3771.0,,1220.09,3393.9,68
CPT,31611,RPR FIST TRACHOESOPHAGEAL W/PR,6375.0,,2550.0,5737.5,68
CPT,31612,PUNCT TRACHEAL W/INJ/ASP PERC,9851.0,,2671.24,8865.9,136
CPT,31615,BRONCHOS THRU TRACH,3388.0,,419.46,3049.2,68
CPT,31615,BRONCHOSC THRU TRACH,3388.0,,419.46,3049.2,272
CPT,31615,TRACHEOBRONCHOSCOPY THROUGH ESTABLISHED TRACHEOSTOMY INCISION,,,371.0,371.0,1
CPT,31622,BRONC DX W OR WO WASH FLUORO,4900.0,,1420.41,4410.0,68
CPT,31622,BRONCHOSC DX W/W/O FLUOR&WASH,4644.0,,1420.41,4179.6,408
CPT,31622,BRONCHOSCOPY DX/BEDSIDE,4644.0,,1420.41,4179.6,68
CPT,31623,BRONC INCLUD BRUSHING W/FLUORO,4065.0,,1420.41,3658.5,68
CPT,31623,BRONCHOSCOPY INCLUD BRUSHING,4065.0,,1420.41,3658.5,136
CPT,31624,BRONC W/LAVAGE W OR WO FLUORO,4164.0,,1420.41,3747.6,68
CPT,31624,BRONCHOSC W/LAVAGE ALVEOLAR,3595.0,,1420.41,3235.5,408
CPT,31625,BRONCHOSC BX SGL/MLT SITES,3852.0,,1420.41,3466.8,204
CPT,31626,BRNCHSC W/PLMT FID MKS 1/MLT,4397.0,,1758.8,8521.82,136
CPT,31627,BRNCHSC W/CPTR-ASST IMAGE-GUID,7353.0,,2941.2,6617.7,56
CPT,31628,BRONCHOSC W/BX TRANSBRONCH SGL,3996.0,,1598.4,4538.78,272
CPT,31629,BRONC W/NEEDLE ASP BX,3996.0,,1598.4,4538.78,204
CPT,31630,BRONCHOSC W/DILAT FX REDUCT,6485.0,,2594.0,5836.5,136
CPT,31631,BRONCHOSC W/STENT PLACE,10458.0,,4183.2,9412.2,68
CPT,31632,BRONCHOSC W/BX TRNSBRONCH LUNG,1805.0,,722.0,1624.5,168
CPT,31633,BRONCHOSC W/ASP BX TRNSBRONCH,2535.0,,1014.0,2281.5,112
CPT,31634,BRONCHOSC W/BALLOON OCCLS,3623.0,,1449.2,8521.82,136
CPT,31635,BRONCHOSC W/REM FB,5205.0,,1420.41,4684.5,204
CPT,31636,BRONCH W/BRONCH STENT-TRIAL,0.01,,0.005,8521.82,68
CPT,31636,BRONCHOSC W/BRONCH STENT PLMT,11636.0,,4654.4,10472.4,136
CPT,31637,BRONCHOSC W/BRONCH STENT EA AD,2119.0,,847.6,1907.1,112
CPT,31638,BRONCHOSC REVISE PREV PLCD STN,20423.0,,5701.87,18380.7,136
CPT,31640,BRONCHOSC W/EXCISION TUMR,8858.0,,3036.86,7972.2,136
CPT,31641,BRONCHOSC W/DESTRUCT TUMR,6331.0,,2532.4,5697.9,272
CPT,31645,BRONCHOSC W/ASP TREE INITIAL,4906.0,,1420.41,4415.4,204
CPT,31646,BRONCHOSC W/ASP TREE SUBS,3362.0,,319.84,3025.8,136
CPT,31647,BRONCH W/OCC & VLV INITIAL,5398.0,,2159.2,8521.82,136
CPT,31648,BRNCHSC W/RMV VALVE 1ST LOBE,5987.0,,2394.8,5388.3,136
CPT,31649,BRNCHS W/RMV VALVE EA ADDL,3134.0,,1253.6,2820.6,136
CPT,31651,BRONCH W/OCC &VLV ADD,5398.0,,2159.2,4858.2,112
CPT,31652,BRONCH SAMPL 1/2 NODE W/FLU0R0,5891.0,,2356.4,5301.9,68
CPT,31652,BRONCHOSC SAMPLE 1/2 NODE,5891.0,,2356.4,5301.9,272
CPT,31653,BRONCH SAMPLE 3/> MODE W/FLURO,7482.0,,2992.8,6733.8,68
CPT,31653,BRONCHOSC SAMPLE 3/> NODE,5891.0,,2356.4,5301.9,136
CPT,31654,BRONCHOSCOPY PER LESION,5768.0,,2307.2,5191.2,56
CPT,31654,BRONCHOSCOPY PERI LESION,5768.0,,2307.2,5191.2,112
CPT,31660,BRONCHIAL THERMOPLASTY 1 LOBE,8585.0,,3434.0,8521.82,68
CPT,31661,RPR FIST TRACHOESOPHAGEAL W/PR,7664.0,,3065.6,8521.82,68
CPT,31720,ASPIRATION CATH NASOTRACHEAL,437.0,,167.53,393.3,68
CPT,31720,ET SUCTION,437.0,,167.53,393.3,136
CPT,31720,NT SUCTION,437.0,,167.53,393.3,136
CPT,31786,VENUS STENT SYSTEM,2250.0,,1125.0,2025.0,61
CPT,32400,BIOPSY PLEURA NEEDLE PERC,2323.0,,929.2,2090.7,328
CPT,32400,"BIOPSY, PLEURA- PERCUT. NEEDLE",2323.0,,929.2,2090.7,124
CPT,32408,BX LUNG/MEDIASTINUM,3940.0,,1334.55,3546.0,68
CPT,32408,BX LUNG/MEDIASTINUM PERC NDL,3940.0,,1334.55,3546.0,68
CPT,32408,CORE NDL BX LNG/MED PERQ W/IMG,3940.0,,1334.55,3546.0,136
CPT,32550,INSRT CATH PLEU INDWELL W/CUFF,2900.0,,1160.0,4344.41,204
CPT,32551,THORACOSTOMY INS CHEST TUBE,2166.0,,866.4,1949.4,136
CPT,32552,RMVL NDWELLG TUN PLEURAL CATH,1739.0,,509.25,1565.1,340
CPT,32553,INS MARK THOR FOR RT PERQ,4357.0,,1127.0,3921.3,67
CPT,32554,ASPIRATE PLEURA W/O IMAGING,1159.0,,463.6,1043.1,476
CPT,32555,ASPIRATE PLEURA WITH IMAGING,1841.0,,509.25,1656.9,780
CPT,32555,"THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITH IMAGING GUIDANCE",,,562.78,562.78,1
CPT,32556,PLEUR DRAIN W/INSRT CATH W/O,4006.0,,1562.51,3605.4,204
CPT,32557,PLEUR DRAIN W/INSRT CATH BIL,3493.0,,1397.2,3143.7,56
CPT,32557,PLEUR DRAIN W/INSRT CATH W/IMG,2416.0,,966.4,2174.4,476
CPT,32560,INST AGENT FOR PLEURODESIS,1575.0,,509.25,1417.5,68
CPT,32561,LYSE CHEST FIBRIN INIT DAY,1876.0,,509.25,1688.4,204
CPT,32562,LYSE CHEST FIBRIN SUBQ DAY,1341.0,,509.25,1206.9,136
CPT,32601,THORACOSCOPY WI/O BIOPSY,14586.0,,4805.62,13127.4,68
CPT,32994,ABLAT TUMR PULM UNI PLR/CHS IM,17096.0,,8548.0,15386.4,134
CPT,32998,ABLATION TUMR PULMONARY UNI 1+,13568.0,,4805.62,12211.2,68
CPT,32999,ABLATION MICROWAVE LUNG PERC,6826.0,,509.25,6143.4,68
CPT,32999,CHEST TUBE EXCHANGE,3780.0,,509.25,3402.0,68
CPT,32999,CRYOABLATION OF LUNG,3393.0,,509.25,3053.7,68
CPT,32999,PLCMT/LOCAL PRE-SURGERY MARKER,4357.0,,509.25,3921.3,68
CPT,33016,PERICARDIOCENTESIS W/IMAGING,6087.0,,1279.53,5478.3,204
CPT,33017,PRCRD DRG 6YR+ W/O CGEN CAR,7276.0,,2910.4,6548.4,168
CPT,33018,PRCRD DRG 0-5YR OR W/ANOMLY,6087.0,,2434.8,5478.3,112
CPT,33019,PERICARD DRN W/CATH & CT GUIDE,6087.0,,2434.8,5478.3,168
CPT,33206,INS/REPL PACMKR PERM ATRIAL,28318.0,,8620.04,25486.2,136
CPT,33207,INS/REPL PACEMKR PERM VENT,29820.0,,8620.04,26838.0,68
CPT,33208,INS/REPL PACEMKR PERM A/V,33557.0,,8620.04,30201.3,136
CPT,33210,INS/REPL ELECT CARDIAC SGL,13428.0,,5371.2,12085.2,204
CPT,33211,INS/REPL ELECT CARDIAC DUAL,9350.0,,3740.0,10188.03,68
CPT,33212,INSERT PACEMAKER GEN SINGLE,16869.0,,6747.6,15182.1,68
CPT,33213,INSERT PACEMKR GEN DUAL,28378.0,,8620.04,25540.2,136
CPT,33214,UPGRADE PACEMKR IMPLANT,20703.0,,8281.2,18632.7,68
CPT,33215,REPOSITION PACEMKR RT SIDE,8230.0,,2592.52,7407.0,68
CPT,33216,INS ELEC TRANVEN SGL CHAMB,11143.0,,4457.2,10188.03,68
CPT,33217,INS ELEC TRANVEN DUAL CHMB,8024.0,,3209.6,10188.03,68
CPT,33218,REPAIR SGL TRANSV ELECTRODE,9832.0,,2997.61,8848.8,68
CPT,33220,REPAIR 2 TRANSV ELECTRODES,4368.0,,1747.2,4480.12,68
CPT,33221,INS PCMKR GEN W/EXISTING MLT,56389.0,,15708.46,50750.1,68
CPT,33222,REV PCKT SKIN FOR PACEMKR,4478.0,,1506.69,4030.2,68
CPT,33223,REV PCKT SKIN FOR DEFIB,4141.0,,1506.69,3726.9,68
CPT,33224,INS LEAD TO PREV PACEMKR,13411.0,,5364.4,12883.21,68
CPT,33225,INS LEAD W/INS PCMKR/DEFIB,10943.0,,4377.2,9848.7,56
CPT,33226,REPOSITION PACEMKR LT SIDE,7057.0,,2592.52,6351.3,68
CPT,33227,RMV/RPLC PERM PM GEN SGL SYS,22868.0,,6816.72,20581.2,136
CPT,33228,RMV/RPLC PERM PM GEN DUAL SYS,25610.0,,8620.04,23049.0,136
CPT,33229,RMV/RPLC PERM PM GEN MLT SYS,26298.0,,10519.2,23668.2,68
CPT,33231,INS CARDIO-DEFIB GENER W/MULTI,47504.0,,19001.6,42753.6,68
CPT,33233,REM PACEMKR PULSE GENER,6396.0,,2558.4,10188.03,136
CPT,33234,REM LEAD TRANSVENOUS SGL,5704.0,,2281.6,5133.6,68
CPT,33235,REM LEAD TRANSVEN DUAL,8421.0,,2997.61,7578.9,68
CPT,33240,INSERT ICD GEN ONLY SNGL CHMBR,21488.0,,8595.2,27632.1,68
CPT,33241,REM DEFIB PULSE GEN SUB,8600.0,,2997.61,7740.0,136
CPT,33244,REM DEFIB LEAD TRANSVEN,10580.0,,2997.61,9522.0,68
CPT,33249,INS/REP DEFIB W/LEAD SGL/DUAL,71462.0,,26408.35,64315.8,68
CPT,33262,REMV & REPLC CVD GEN SINGLE,57459.0,,18488.38,51713.1,68
CPT,33263,REMV & REPLC CVD GEN DUAL,65156.0,,18488.38,58640.4,136
CPT,33264,REMV & REPLC CVD GEN MULTIPLE,68260.0,,26408.35,61434.0,68
CPT,33270,INS/REP DEFIB SYS W/SUBQ ELECT,45633.0,,18253.2,41069.7,68
CPT,33271,INSERT SUBQ DEFIB ELECTRODE,19409.0,,6816.72,17468.1,68
CPT,33272,REMOVE SUBQ DEFIB ELECTRODE,7742.0,,2997.61,6967.8,68
CPT,33273,REPOS SUBQ DEFIB ELECTRODE,7828.0,,2997.61,7045.2,68
CPT,33274,TCAT INS/RPL PERM LDLS PCMKR,41841.0,,15708.46,37656.9,68
CPT,33275,TCAT RMVL PERM LDLS PCMKR,5306.0,,2122.4,4775.4,68
CPT,33285,INSJ SUBQ CARD RHYTHM MNTR,8393.0,,3357.2,10188.03,272
CPT,33286,RMVL SUBQ CARD RHYTHM MNTR,3882.0,,579.53,3493.8,272
CPT,33289,TCAT IMPL WRLS P-ART PRES SNR,31246.0,,12498.4,34996.33,68
CPT,33340,PERQ CLSR TCAT L ATR APNDG,27075.0,,10830.0,24367.5,112
CPT,33361,TAVR/TAVI W/PROS VALVE PERC FE,31038.0,,12415.2,27934.2,56
CPT,33362,TAVR/TAVI W/PROS OPEN FE,37674.0,,15069.6,33906.6,56
CPT,33363,TAVR/TAVI W/PROS VALVE OPEN AX,44311.0,,17724.4,39879.9,56
CPT,33365,TAVR/TAVI W/PROS VALVE TRNSARO,60601.0,,24240.4,54540.9,56
CPT,33370,TRANSCATH PLACE & REM CEPT,2926.0,,1170.4,2633.4,56
CPT,33418,TRANSCATH MITRAL VLV RPR INIT,44465.0,,17786.0,40018.5,56
CPT,33419,TRANSCATH MITRAL VALVE RPR ADD,36385.0,,14554.0,32746.5,56
CPT,33463,VALVULOPL TRICUSPID W/O RING,21418.0,,8567.2,19276.2,56
CPT,33477,IMPL CATH-DELIV PULM VALVE,46520.0,,18608.0,41868.0,56
CPT,33647,RPR DEF ATRIAL/VENTR CLOSE,10929.0,,4371.6,9836.1,56
CPT,33741,TAS CONG CARDIAC ANOMALIES,2006.0,,802.4,1805.4,56
CPT,33745,TIS CONG CARDIAC ANOMALIE 1ST,12224.0,,4889.6,11001.6,56
CPT,33880,E/V RPR TAA + THOR AORT EXT,20724.0,,8289.6,18651.6,56
CPT,33946,ECMO/ECLS INIT VENO-VENOUS,22018.0,,8807.2,19816.2,56
CPT,33947,ECMO/ECLS INIT VENO-ARTERIAL,19609.0,,7843.6,17648.1,56
CPT,33952,ECMO/ECLS INS CANN PRC 6+,10958.0,,4383.2,9862.2,56
CPT,33958,ECMO/ECLS REP CANN PRC 6+,5005.0,,2002.0,4504.5,56
CPT,33966,ECMO/ECLS REM CANN PRC 6+,11841.0,,4736.4,10656.9,56
CPT,33967,IABP INSERTION,8063.0,,3225.2,7256.7,112
CPT,33968,IABP REMOVAL,2328.0,,931.2,2095.2,112
CPT,33979,INS DVC VENTRIC INTRACORP SGL,10116.0,,4046.4,9104.4,56
CPT,33990,INST VENT ASST DEVICE PERC ART,10116.0,,4046.4,9104.4,112
CPT,33991,IMPL VENT ASST DEVICE SGL DUAL,19833.0,,7933.2,17849.7,112
CPT,33992,REM PERC DVC VENTIC SEP/DIST,6849.0,,2739.6,6164.1,56
CPT,33993,REPOS PERC DVC VENTIC SEP/DIST,7588.0,,3035.2,6829.2,112
CPT,33995,INSJ PERQ VAD R HRT VENOUS,8920.0,,3568.0,8028.0,56
CPT,33997,RMVL PERQ RIGHT HEART VAD,6849.0,,2739.6,6164.1,56
CPT,33999,ALLAY TRANSCATH SHUNT CREATE,3353.0,,509.25,3017.7,68
CPT,33999,COIL EMB PERI-DVC LEAK L ATRIL,27075.0,,509.25,24367.5,68
CPT,33999,INS LT HRT VENT PERC-ECMO/ECLS,22406.0,,509.25,20165.4,68
CPT,33999,INST VENT ASST DVC PERC ART RT,9365.0,,509.25,8428.5,68
CPT,33999,TRANSCATH MITRAL VALVE REPAIR,41173.0,,509.25,37055.7,68
CPT,33999,TRANSCATH TRICUSP UNLISTED,2516.0,,509.25,2264.4,68
CPT,33999,TRANSCATH TRICUSP VLV RPR ADDL,36385.0,,509.25,32746.5,68
CPT,33999,TRANSCATH TRICUSP VLV RPR INIT,44465.0,,509.25,40018.5,68
CPT,33999,VSD AMPLATZ MUSC OCCLUDER PROC,16931.0,,509.25,15237.9,68
CPT,34001,EMBOLECT ARTERY INC NECK,13010.0,,5204.0,11709.0,56
CPT,34713,PERQ ACCESS & CLSR FEM ART,5272.0,,2108.8,4744.8,56
CPT,34844,"ENDOVASCULAR REPAIR OF VISCERAL AORTA (EG, ANEURYSM, PSEUDOANEURYSM, DISSECTION, PENETRATING ULCER, INTRAMURAL HEMATOMA, OR TRAUMATIC DISRUPTION) BY DEPLOYMENT OF A FENESTRATED VISCERAL AORTIC ENDOGRA",,,1603.63,1603.63,1
CPT,35141,RPR ANEUR FEMORAL RT,31704.0,,12681.6,28533.6,56
CPT,35703,EXPL W/O RPR LE ARTERY,8189.0,,3275.6,7370.1,56
CPT,36000,INTRO NDL/INTRACATH VEIN,765.0,,27.07,688.5,456
CPT,36002,INJ TX PSEUDOANEUR EXTREM PERC,1823.0,,509.25,1640.7,396
CPT,36005,INJ VENOGRAM EXTREMITY,1971.0,,788.4,1773.9,56
CPT,36005,INJ VENOGRAM EXTREMITY BILAT,3195.0,,1278.0,2875.5,112
CPT,36005,INJECT CONTRAST VENOGM,2577.0,,1030.8,2319.3,168
CPT,36010,INTRO CATH VENA CAVA SUP/INF,3104.0,,1241.6,2793.6,224
CPT,36011,CATH VEIN SEL 1ST ORDER,3909.0,,1563.6,3518.1,112
CPT,36011,CATH VEIN SEL 1ST ORDER BILAT,5428.0,,2171.2,4885.2,112
CPT,36012,CATH VEIN SEL 2ND ORDER BILAT,5778.0,,2311.2,5200.2,112
CPT,36012,PLACE CATH VENOUS 2ND ORDER,4159.0,,1663.6,3743.1,224
CPT,36013,INTRO CATH ARTERY HEART/PULM,1630.0,,652.0,1467.0,112
CPT,36014,CATH SEL LT/RT PULM ART,3526.0,,1410.4,3173.4,112
CPT,36014,CATH SEL LT/RT PULM ART RT,3526.0,,1410.4,3173.4,56
CPT,36014,PLACE CATH ARTERY PULM L/R,3526.0,,1410.4,3173.4,56
CPT,36014,PLACE CATH ARTERY PULM L/R BIL,4894.0,,1957.6,4404.6,168
CPT,36015,CATH SEL SUB/SEG PULM ART,3760.0,,1504.0,3384.0,112
CPT,36015,CATH SEL SUB/SEG PULM ART BIL,7832.0,,3132.8,7048.8,56
CPT,36015,CATH SEL SUB/SEG PULM ART LT,3760.0,,1504.0,3384.0,56
CPT,36100,INTRO NDL/CATH ART CAR/VER,1678.0,,671.2,1510.2,56
CPT,36140,NEEDLE/CATH EXT ARTERY,1667.0,,666.8,1500.3,168
CPT,36160,INTRO NDL/CATH AORTA LUMB,1729.0,,691.6,1556.1,56
CPT,36160,INTRO NDL/CATH AORTA T/LUMB,1729.0,,691.6,1556.1,392
CPT,36200,INTRO CATH AORTA,2670.0,,1068.0,2403.0,168
CPT,36215,PLACE CATH THOR/BRAC 1ST BIL,4540.0,,1816.0,4086.0,56
CPT,36215,PLACE CATH THOR/BRAC 1ST ORDER,3660.0,,1464.0,3294.0,168
CPT,36215,"SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; EACH FIRST ORDER THORACIC OR BRACHIOCEPHALIC BRANCH, WITHIN A VASCULAR FAMILY",,,282.0,282.0,1
CPT,36216,PLACE CATH THOR/BRAC 2ND ORDER,5288.0,,2115.2,4759.2,224
CPT,36216,"SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL SECOND ORDER THORACIC OR BRACHIOCEPHALIC BRANCH, WITHIN A VASCULAR FAMILY",,,313.0,313.0,1
CPT,36217,PLACE CATH THOR/BRAC 3RD ORDER,5987.0,,2394.8,5388.3,112
CPT,36218,PLACE CATH THOR/BRAC ADD,2576.0,,1030.4,2318.4,112
CPT,36221,NONSLCTV CATH THOR AORTA ANGIO,7916.0,,2592.52,7124.4,204
CPT,36222,SLCTV CATH CAROTID/INNOM ART,16729.0,,2592.52,15056.1,136
CPT,36222,SLCTV CATH CAROTID/INNOM BIL,22404.0,,8961.6,20163.6,56
CPT,36222,SLCTV CATH CAROTID/INNOM LT,16729.0,,6691.6,15056.1,56
CPT,36222,SLCTV CATH CAROTID/INNOM RT,16729.0,,6691.6,15056.1,56
CPT,36223,SLCTV CATH CAROTID/INNOM ART,25817.0,,4452.54,23235.3,204
CPT,36223,SLCTV CATH CAROTID/INNOM BI,25817.0,,10326.8,23235.3,56
CPT,36223,SLCTV CATH CAROTID/INNOM LT,25817.0,,10326.8,23235.3,112
CPT,36223,SLCTV CATH CAROTID/INNOM RT,25817.0,,10326.8,23235.3,112
CPT,36224,SLCTV CATH INTRNL CAROT ART,26842.0,,4452.54,24157.8,68
CPT,36224,SLCTV CATH INTRNL CAROTI BI,40263.0,,16105.2,36236.7,56
CPT,36224,SLCTV CATH INTRNL CAROTI LT,26842.0,,10736.8,24157.8,56
CPT,36224,SLCTV CATH INTRNL CAROTI RT,26842.0,,10736.8,24157.8,56
CPT,36225,SLCTV CATH SUBCLAVIAN ART ANGI,17672.0,,2592.52,15904.8,204
CPT,36225,SLCTV CATH SUBCLAVIAN ART BI,23467.0,,9386.8,21120.3,56
CPT,36226,SLCTV CATH VERT ART ANGIO,16113.0,,4452.54,14501.7,68
CPT,36226,SLCTV CATH VERTEBRAL ART ANGIO,21048.0,,4452.54,18943.2,68
CPT,36226,SLCTV CATH VERTEBRAL ART BI,31574.0,,12629.6,28416.6,56
CPT,36226,SLCTV CATH VERTEBRAL ART LT,21048.0,,8419.2,18943.2,56
CPT,36226,SLCTV CATH VERTEBRAL ART RT,21048.0,,8419.2,18943.2,56
CPT,36227,SLCTV CATH XTRNL CAROTID ANGIO,11574.0,,4629.6,10416.6,56
CPT,36227,SLCTV CATH XTRNL CAROTID BI,14542.0,,5816.8,13087.8,56
CPT,36227,SLCTV CATH XTRNL CAROTID LT,11574.0,,4629.6,10416.6,56
CPT,36227,SLCTV CATH XTRNL CAROTID RT,11574.0,,4629.6,10416.6,56
CPT,36228,PLACE CATH INTRACRANIAL ART BI,8552.0,,3420.8,7696.8,112
CPT,36228,PLACE CATH INTRACRANIAL ART LT,9977.0,,3990.8,8979.3,56
CPT,36228,PLACE CATH INTRACRANIAL ART RT,9977.0,,3990.8,8979.3,56
CPT,36228,SLCTV CATH INTRCRNL BRNCH ANGI,9977.0,,3990.8,8979.3,112
CPT,36245,CATH SEL ART ABD/PEL 1ST,4504.0,,1801.6,4053.6,112
CPT,36245,CATH SEL ART ABD/PEL 1ST BIL,5585.0,,2234.0,5026.5,56
CPT,36245,CATH SEL ART ABD/PEL 1ST LT,4504.0,,1801.6,4053.6,112
CPT,36245,CATH SEL ART ABD/PEL 1ST RT,4504.0,,1801.6,4053.6,56
CPT,36245,PL CATH ABD/PEL 1ST (MOD 59),3792.0,,1516.8,3412.8,56
CPT,36245,PL CATH ABD/PEL 1ST ORDER,3861.0,,1544.4,3474.9,56
CPT,36245,"SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; EACH FIRST ORDER ABDOMINAL, PELVIC, OR LOWER EXTREMITY ARTERY BRANCH, WITHIN A VASCULAR FAMILY",,,282.0,282.0,1
CPT,36246,PLACE CATH ABD/PEL 2ND ORDER,5644.0,,2257.6,5079.6,168
CPT,36246,PLC CATH ABD/PEL 2ND ORDER BIL,8464.0,,3385.6,7617.6,56
CPT,36246,PLC CATH ABD/PEL 2ND ORDR RT,5644.0,,2257.6,5079.6,56
CPT,36247,PLACE CATH ABD/PEL 3RD ORDER,6041.0,,2416.4,5436.9,168
CPT,36247,PLC CATH ABD/PEL 3RD ORDER BIL,8390.0,,3356.0,7551.0,56
CPT,36248,PLACE CATH ABD/PEL ADD,3749.0,,1499.6,3374.1,168
CPT,36251,PLACE CATH RENAL 1ST ORDER UNI,7815.0,,2592.52,7033.5,272
CPT,36252,PLACE CATH RENAL 1ST ORDER BIL,8886.0,,2592.52,7997.4,272
CPT,36252,"SELECTIVE CATHETER PLACEMENT (FIRST-ORDER), MAIN RENAL ARTERY AND ANY ACCESSORY RENAL ARTERY(S) FOR RENAL ANGIOGRAPHY, INCLUDING ARTERIAL PUNCTURE AND CATHETER PLACEMENT(S), FLUOROSCOPY, CONTRAST INJE",,,1562.03,1562.03,1
CPT,36253,PLACE CATH RENAL 2ND+ ORD UNI,11723.0,,4452.54,10550.7,136
CPT,36254,PLACE CATH RENAL 2ND+ ORD BIL,12207.0,,2592.52,10986.3,136
CPT,36299,DIRECT PUNCTURE OF JUGULAR VN,2577.0,,1030.8,2319.3,56
CPT,36410,VENIPUNCTURE>AGE 3 REQUIRE MD,673.0,,18.91,605.7,112
CPT,36415,ER Only-VENIPUNCTURE,46.0,,3.15,41.4,50
CPT,36415,VENIPUNCTURE,32.5,,3.15,41.4,3364
CPT,36425,VENIPUNCTURE CUTDOWN > AGE 1,864.0,,328.68,777.6,68
CPT,36430,TRANSFUS BLOOD/COMP,1365.0,,35.0,1228.5,1212
CPT,36450,TRANSFUS EXCHG BLOOD NEWBORN,1158.0,,360.1,1042.2,68
CPT,36455,TRANSFUS EXCHG BLOOD,3446.0,,360.1,3101.4,272
CPT,36460,TRANSFUSION FETAL INTRAUTERINE,2172.0,,360.1,1954.8,68
CPT,36468,INJ SCLERO SOLN VEIN LIMB/TRNK,697.0,,278.8,627.3,68
CPT,36470,INJ SCLEROSING SOLN VEING SGL,1591.0,,329.08,1431.9,68
CPT,36471,INJ SCLERO SOLN VENI MULTI LEG,1332.0,,329.08,1198.8,68
CPT,36481,CATH PERC PORTAL VEIN,3899.0,,1559.6,3509.1,56
CPT,36482,ENDOVENOUS ABLATION CHEM EXT 1,17068.0,,4452.54,15361.2,68
CPT,36483,ENDOVENOUS ABLATION CHEM EXT S,16167.0,,6466.8,14550.3,56
CPT,36500,CATH SEL VEIN ORGAN SAMPL,1878.0,,751.2,1690.2,56
CPT,36500,CATH SEL VEIN ORGAN SAMPL BIL,3415.0,,1366.0,3073.5,112
CPT,36500,CATH VEIN SEL ORGAN BLOOD SAMP,1878.0,,751.2,1690.2,56
CPT,36511,APHRESIS THERAPEUTIC WBC,5708.0,,1350.24,5137.2,136
CPT,36511,PERIPH MONONUCLEAR COLLECTION,5708.0,,1350.24,5137.2,68
CPT,36512,APHRESIS THERAPEUTIC RBC,4450.0,,104.69,4005.0,68
CPT,36513,APHRESIS THERAPEUTIC PLATELETS,5350.0,,360.1,4815.0,68
CPT,36514,APHERESIS PLASMA PHERESIS,6166.0,,1350.24,5549.4,68
CPT,36514,APHRESIS PLASMA SAME DAY ADDL,6166.0,,621.0,5549.4,56
CPT,36522,PHOTOPHERESIS EXTRACORPOREAL,15710.0,,1119.0,14139.0,68
CPT,36555,INS CATH CV NON-TUNL,4060.0,,1624.0,3874.7,68
CPT,36556,INS CATH CV NON-TUNL >/=5YRS,4244.0,,1697.6,3874.7,408
CPT,36556,INS CATH CV NON-TUNL >/=5YS,4244.0,,1697.6,3874.7,68
CPT,36556,INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 YEARS OR OLDER,,,219.0,219.0,1
CPT,36557,INS CATH CV TUNLW/O PORT,4355.0,,1742.0,6654.61,68
CPT,36557,INS TUNN CVC WO SUB PRT/PMP,4355.0,,1742.0,6654.61,68
CPT,36558,INS CATH CV TUN W/O PORT >/=YR,7993.0,,2592.52,7193.7,68
CPT,36558,INS CATH CV TUN W/O PORT>/=5YR,7993.0,,2592.52,7193.7,68
CPT,36560,INS DEVICE CV W/PORT,8746.0,,2592.52,7871.4,68
CPT,36561,INS DEVICE CV W/PORT >/=5YRS,9147.0,,2592.52,8232.3,136
CPT,36563,INS PUMP IV INFUSION,6850.0,,2740.0,6654.61,68
CPT,36565,INS DEVICE CV 2 CATH W/O P/P,6894.0,,2592.52,6204.6,68
CPT,36565,INS TUNN CVC 2CATH/2SITE WO PP,6894.0,,2592.52,6204.6,68
CPT,36566,INS DEVICE CV 2 CATH W/PORT,20364.0,,4452.54,18327.6,68
CPT,36568,INS CATH PERIPH CV W/O PORT <5,4246.0,,1279.53,3821.4,68
CPT,36569,INS CATH PERIPH CV W/O PORT >5,3258.0,,1279.53,2932.2,408
CPT,36569,INS PICC PERIPH CV W/O PORT >5,3258.0,,1279.53,2932.2,68
CPT,36569,INS PICC WO SUBQ PORT/PUMP >5Y,3258.0,,1279.53,2932.2,136
CPT,36571,INS CATH PERIPH CV W/PORT>5YRS,7136.0,,2592.52,6422.4,136
CPT,36573,INSERTION PICC W/RS&I 5 YR/>,6164.0,,1279.53,5547.6,136
CPT,36575,RPR CATH CV W/O PORT/PUMP,2852.0,,509.25,2566.8,272
CPT,36576,RPR CATH CV W/PORT/PUMP,2172.0,,868.8,1954.8,136
CPT,36578,REPL CATH CV W/PORT/PUMP,5064.0,,2025.6,4557.6,136
CPT,36580,RPLCMT CMPL/NONTUNN CVC WO SBQ,4730.0,,1279.53,4257.0,204
CPT,36581,RPLCMT CMPL TUNN CVC WO SUBQ P,5893.0,,2357.2,5303.7,136
CPT,36582,REPL DEVICE CV TNL W/PORT,7711.0,,2592.52,6939.9,136
CPT,36583,REPL DEVICE CV TNL W/PUMP,8638.0,,3455.2,7774.2,136
CPT,36584,REPL PICC W/O PORT/PUMP S&I,4067.0,,1279.53,3660.3,204
CPT,36585,REPL PICC W/PORT,7673.0,,2592.52,6905.7,68
CPT,36589,REM NTLD CV CATH W/O PORT/PUMP,2224.0,,509.25,2001.6,68
CPT,36589,REM TNLD CV CATH W/O PORT/PUMP,2224.0,,154.0,2001.6,1360
CPT,36589,"REMOVAL OF TUNNELED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP",,,154.0,154.0,1
CPT,36590,"REMOVAL OF TUNNELED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION",,,243.0,243.0,1
CPT,36590,REMVL TUN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,68
CPT,36590,REMVL TUNN CVC W/SUB PRT/PMP,4190.0,,1279.53,3771.0,68
CPT,36590,REMVL TUNN CVC W/SUBQ PRT/PMP,4190.0,,1279.53,3771.0,680
CPT,36591,COLLECT BLOOD PORT/ACCESS DVC,260.0,,11.0,234.0,1066
CPT,36591,COLLECTION OF BLOOD SPECIMEN FROM A COMPLETELY IMPLANTABLE VENOUS ACCESS DEVICE,,,11.0,24.16,2
CPT,36592,COLLECT BLD CENTRAL/PERPH CATH,353.0,,12.0,317.7,3650
CPT,36593,DECLOT PORT W/THROMB AGENT,701.0,,32.0,630.9,1008
CPT,36593,DECLOT PORT W/THROMB AGENT(59),641.0,,256.4,576.9,56
CPT,36595,REM PERICATHETER MAT CV DEV,5896.0,,2358.4,5306.4,136
CPT,36596,MECH REMOV TUNNELED CV CATH,1190.0,,476.0,1912.34,68
CPT,36596,REM INTRALUM MAT CV LUMEN,1190.0,,476.0,1912.34,68
CPT,36597,REPOSITION CV CATH W/FLUORO,8764.0,,1279.53,7887.6,136
CPT,36598,INJ CONTR W/FLUORO EVAL CV DEV,1082.0,,101.31,973.8,329
CPT,36598,INJ CONTR W/FLURO EVAL CV DEV,1082.0,,173.54,973.8,68
CPT,36600,ARTERIAL PUNCTURE,232.0,,64.0,250.0,610
CPT,36600,"ARTERIAL PUNCTURE,DIAGNOSTIC",232.0,,106.17,250.0,124
CPT,36620,CATH/CANNULATION ARTERY,1176.0,,470.4,1058.4,168
CPT,36836,CREATE AV FISTULA TISS W/THERM,46449.0,,14790.52,41804.1,68
CPT,36901,INTRO NEEDLE/CATH DIALYSIS CIR,4980.0,,1279.53,4482.0,68
CPT,36902,INTRO CATH DIALYSIS CIRCUIT,16819.0,,4696.2,15137.1,136
CPT,36903,INTRO NEEDLE/CATH DIALYSIS CIR,39138.0,,9340.95,35224.2,68
CPT,36904,THRMBC/NFS DIALYSIS CIRCUIT,10586.0,,4234.4,9527.4,68
CPT,36905,THROMBECT DIALY CIRCUIT W/BALN,30888.0,,9340.95,27799.2,68
CPT,36906,THROMBECT DIALY CIRC W/STNT AN,35820.0,,14328.0,32238.0,68
CPT,36907,ANGIOPLASTY BALLN DIALY CIRC,13199.0,,5279.6,11879.1,56
CPT,36908,PLACE STENT DIALY CIRC W/ANGIO,10334.0,,4133.6,9300.6,56
CPT,36909,EMBOLIZATION/OCCLU DIALY CIRC,5961.0,,2384.4,5364.9,56
CPT,37182,INSERT HEPATIC SHUNT (TIPS),16316.0,,6526.4,14684.4,56
CPT,37183,REMOVE HEPATIC SHUNT (TIPS),17662.0,,4696.2,15895.8,68
CPT,37184,PRIM PERC THROMB INIT VESSEL,16051.0,,6420.4,22105.39,204
CPT,37184,PRIM PERC THROMB INITIAL BIL,24074.0,,9629.6,21666.6,112
CPT,37185,PRIM PERC THROMB EA ADD,6406.0,,2562.4,5765.4,168
CPT,37186,SEC PERC THROMB EA ADD VESSEL,6299.0,,2519.6,5669.1,112
CPT,37187,PERCUT TRANSLUM MECH THROMBECT,15110.0,,6044.0,13960.66,272
CPT,37188,THROMBECT VEN MECH EA ADD,12200.0,,2592.52,10980.0,68
CPT,37191,INS VENA CAVA FILTER ENDOVASC,11515.0,,4452.54,10363.5,204
CPT,37192,REDO VENA CAVA FILTER ENDOVASC,6548.0,,2592.52,5893.2,68
CPT,37193,REMOVAL VENA CAVA FILTER ENDO,8080.0,,2592.52,7272.0,136
CPT,37195,THROMBOLYSIS CEREBRAL IV,1478.0,,273.2,1330.2,68
CPT,37197,RETR FB TRANSCATH PERC,9952.0,,2592.52,8956.8,68
CPT,37197,RETRV FB TRANSCATH PERC,9952.0,,2592.52,8956.8,272
CPT,37200,TRANSCATH BIOPSY,4633.0,,1853.2,6654.61,136
CPT,37211,THPY INF THROM NON-COR INT DAY,8874.0,,3549.6,7986.6,136
CPT,37211,THPY INFS THROM NON-COR INT BI,14376.0,,5750.4,12938.4,56
CPT,37212,THPY INFS THROM VENOUS INT,7586.0,,2592.52,6827.4,136
CPT,37212,THPY THROM VENOUS INT,7586.0,,2592.52,6827.4,68
CPT,37213,THPY INFS THROM NON-COR SUB,8792.0,,2592.52,7912.8,136
CPT,37214,THPY INFS THROM VEN SUB DAY,7119.0,,2592.52,6407.1,136
CPT,37215,CAROTID STNT W/O ARTHRO W/ANGI,80818.0,,844.53,72736.2,57
CPT,37215,PL STENT TRNSCATH CAROT ART W/,21356.0,,844.53,19220.4,57
CPT,37215,PL STENT TRNSCATH CAROT W/,21356.0,,844.53,19220.4,57
CPT,37215,PL STNT CAROTID W/O W/PROTECT,21356.0,,844.53,19220.4,57
CPT,37216,PL STNT TRNSCTH CAROT ART W/O,18936.0,,852.39,17042.4,57
CPT,37216,"TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CERVICAL CAROTID ARTERY, OPEN OR PERCUTANEOUS, INCLUDING ANGIOPLASTY, WHEN PERFORMED, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION; WITHOUT DISTAL",,,852.39,852.39,1
CPT,37217,TRANSCATH INTRVSC STNT RTR CAR,21356.0,,8542.4,19220.4,56
CPT,37218,PL STENT TRANSCATH CAROT W/S&I,11731.0,,4692.4,10557.9,56
CPT,37220,REVASC ILIAC ARTERY UNILATERAL,13388.0,,4696.2,12049.2,136
CPT,37221,REVSC ILIAC ARTERY UNI W/STENT,31146.0,,9340.95,28031.4,136
CPT,37222,REVSC ILIAC ARTERY UNI EA ADDL,15134.0,,6053.6,13620.6,56
CPT,37223,REVSC ILIAC ART UNI EA ADDL,22576.0,,9030.4,20318.4,112
CPT,37224,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL, POPLITEAL ARTERY(S), UNILATERAL; WITH TRANSLUMINAL ANGIOPLASTY",,,3237.73,3237.73,1
CPT,37224,REVSC FEM/POP ARTERY UNI,19509.0,,4696.2,17558.1,136
CPT,37225,REVSC FEM/POP ART W/ATHRC,39425.0,,14790.52,35482.5,136
CPT,37226,REVSC FEM/POP ART W/STENT,39226.0,,9340.95,35303.4,204
CPT,37227,REVSC FEM/POP W/STENT & ARTHC,57926.0,,14790.52,52133.4,136
CPT,37228,REVSC TIBL PRNL ARTERY,19716.0,,7886.4,17744.4,204
CPT,37231,REVSC TIBL PRNL W/STENT & ARTH,48737.0,,14790.52,43863.3,68
CPT,37232,REVSC TIBL PRNL EACH ADDL,17476.0,,6990.4,15728.4,56
CPT,37233,REVSC TIBL PRNL W/ATHRC EA ADD,26117.0,,10446.8,23505.3,56
CPT,37235,REVSC TIBL ADDL W/STENT & ARTH,25609.0,,10243.6,23048.1,56
CPT,37236,OPEN/PERQ PLCMT STENT 1ST ART,36804.0,,9340.95,33123.6,204
CPT,37237,TRANSCATH INTRVSC STNT OPN/PER,21254.0,,8501.6,19128.6,112
CPT,37238,OPEN/PERQ PLCMT STENT SAME,37134.0,,9340.95,33420.6,204
CPT,37239,OPEN/PERQ PLACE STENT ADD VEIN,18485.0,,7394.0,16636.5,112
CPT,37241,VASC EMBOLIZE/OCCLUDE VENOUS,16931.0,,6772.4,15237.9,204
CPT,37242,VASC EMBOLIZ/OCCLUDE ARTERY,18285.0,,7314.0,22105.39,68
CPT,37242,VASC EMBOLIZE/OCCLUDE ARTERY,18285.0,,7314.0,22105.39,136
CPT,37242,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; ARTERIAL, OT",,,3122.17,3122.17,1
CPT,37243,VASC EMBOLIZE/OCCLUD ORGAN,18285.0,,7314.0,16456.5,68
CPT,37243,VASC EMBOLIZE/OCCLUDE ORGAN,18285.0,,7314.0,16456.5,68
CPT,37244,VASC EMBOLIZ/OCCLSN ART/VEN HM,27776.0,,9340.95,24998.4,271
CPT,37246,TRLUML BALO ANGIOP 1ST ART,14151.0,,4696.2,12735.9,204
CPT,37247,TRLUML BALO ANGIOP ADDL ART,11145.0,,4458.0,10030.5,112
CPT,37248,TRLUML BALO ANGIOP 1ST VEIN,13199.0,,4696.2,11879.1,204
CPT,37249,TRLUML BALO ANGIOP ADDL VEIN,9779.0,,3911.6,8801.1,112
CPT,37252,US VASCULAR NON-CORONARY INIT,11413.0,,4565.2,10271.7,112
CPT,37253,US VASCULAR NON-CORON ADD EA,6546.0,,2618.4,5891.4,56
CPT,37253,US VASCULAR NON-CORON EA ADD,6546.0,,2618.4,5891.4,56
CPT,37606,LIG ARTRERY CAROTID COMMON,8767.0,,2592.52,7890.3,68
CPT,37607,LIG/BAND FISTULA AV,8842.0,,2592.52,7957.8,68
CPT,37799,ANGIOPLASTY OF FIBRIN SHEATH,13199.0,,509.25,11879.1,68
CPT,37799,CER CAROTID STENT W EMBOL PROT,21356.0,,509.25,19220.4,68
CPT,37799,CERV CAR STNT W/O ARTH W/O PRO,22189.0,,509.25,19970.1,68
CPT,37799,CERV CAROTID OR VERT ART W/RAD,21356.0,,509.25,19220.4,68
CPT,37799,CRYOABLAT OF AV MALFORMATION,7593.0,,509.25,6833.7,67
CPT,37799,CRYOABLAT VASC TUMR EXTREMITY,16931.0,,509.25,15237.9,68
CPT,37799,CRYOABLATION AV MALFORM FACE,11223.0,,509.25,10100.7,68
CPT,37799,HEPZATO HEMOFILTRATION VASC,21074.0,,509.25,18966.6,68
CPT,37799,PERITONEAL DIAL CATH CK REPOSI,1003.0,,401.2,902.7,68
CPT,37799,PLCMT HYPOTHERMIA COOLING CATH,3929.0,,509.25,3536.1,68
CPT,37799,TAMBE,3091.0,,509.25,2781.9,68
CPT,37799,VENOUS ATHERECTOMY,35820.0,,509.25,32238.0,68
CPT,38204,ACTIVATE FORMAL BM SEARCH,5424.0,,87.34,4881.6,57
CPT,38204,MGMT DONOR SEARCH/AQ,5424.0,,87.34,4881.6,110
CPT,38205,HARVEST PROGEN CELL/COLL ALLO,7627.0,,72.2,6864.3,171
CPT,38206,HARVEST PROGEN CELL/COLL AUTO,7390.0,,1350.24,6651.0,136
CPT,38207,TRNSPL CRYO/STORE PROGEN CELL,7512.0,,360.1,6760.8,66
CPT,38208,TRNSPL THAW FROZ CELLS W/O WA,2582.0,,360.1,2323.8,68
CPT,38209,TRNSPL THAW FROZ WASH CELLS,5641.0,,360.1,5076.9,68
CPT,38210,TRNSPL T-CELL DEPLETION,39020.0,,360.1,35118.0,68
CPT,38211,DEPLETING T-CELL ISOL CD34,26508.0,,360.1,23857.2,68
CPT,38211,TRNSPL TUMR CELL DEPLETION,26508.0,,360.1,23857.2,68
CPT,38212,TRNSPL RED BLOOD CELL REMOVAL,3939.0,,360.1,3545.1,68
CPT,38213,TRNSPL PLATELET DEPLETION,3217.0,,360.1,2895.3,68
CPT,38214,TRNSPL PLASMA DEPLETION,3398.0,,360.1,3058.2,68
CPT,38215,TRNSPL CELL CONCENTRATION,5226.0,,360.1,4703.4,68
CPT,38220,ASP BONE MARROW ONLY,1516.0,,606.4,1994.58,204
CPT,38220,ASP BONE MARROW ONLY (N/C),0.01,,0.004,1994.58,272
CPT,38220,DIAGNOSTIC BONE MARROW; ASPIRATION(S),,,69.0,69.0,1
CPT,38221,BONE MARROW BIOPSY,0.01,,0.004,1994.58,272
CPT,38221,BONE MARROW BIOPSY 01,2276.0,,910.4,2048.4,68
CPT,38221,BONE MARROW- BIOPSY,2276.0,,910.4,2048.4,136
CPT,38222,DX BONE MARROW BX & ASPIR,3510.0,,1404.0,3523.29,680
CPT,38225,CAR-T CELLS HARVEST,13251.0,,84.42,11925.9,114
CPT,38225,"CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY; HARVESTING OF BLOOD-DERIVED T LYMPHOCYTES FOR DEVELOPMENT OF GENETICALLY MODIFIED AUTOLOGOUS CAR-T CELLS, PER DAY",,,84.42,84.42,1
CPT,38226,CAR-T CELLS PREP/STORE,23112.0,,34.06,20800.8,57
CPT,38227,CAR-T CELLS RECEIPT,28890.0,,34.35,26001.0,57
CPT,38228,CAR-T CELLS ADMIN,6041.0,,273.2,5436.9,272
CPT,38230,HARVEST BONE MARROW ALLOGENIC,91368.0,,1350.24,82231.2,204
CPT,38232,HARVEST BONE MARROW AUTOLOGOUS,69954.0,,3859.06,62958.6,68
CPT,38240,HPC ALLOGENIC,8393.0,,3357.2,72806.43,200
CPT,38241,HPC AUTOLOGOUS,8368.0,,1350.24,7531.2,134
CPT,38242,ALLOGENEIC LYMPHOCYTE INFUS,3414.0,,1350.24,3072.6,340
CPT,38243,HEMA PROG CELL HPC BOOST,3405.0,,1350.24,3064.5,340
CPT,38500,BX/EXC LYMPH NODE SUPER OPEN,5400.0,,2160.0,4860.0,204
CPT,38505,BX/EXC LMPH NODE SUPER NDL,2028.0,,811.2,1994.58,928
CPT,38505,BX/EXC LMPH NODE SUPER NDL LT,2028.0,,811.2,1825.2,56
CPT,38505,BX/EXC LMPH NODE SUPER NDL RT,2028.0,,811.2,1825.2,56
CPT,38505,BX/EXC LYMPH NODE-BY NEEDLE SU,2028.0,,811.2,1994.58,68
CPT,38525,BX/EXC LYMPH NODE AXIL DEEP,10605.0,,3154.08,9544.5,68
CPT,38790,INJ LYMPHANGIOGRAM,2541.0,,1270.5,2286.9,110
CPT,38790,INJ LYMPHANGIOGRAM BILAT,3813.0,,1906.5,3431.7,110
CPT,38792,INJ NODE SENTINEL ID,1545.0,,280.0,1390.5,134
CPT,38794,CANN DUCT LYMPH THORACIC,4429.0,,1771.6,3986.1,56
CPT,38999,CISTERNA CHYLI/THORAC DUCT CAN,4429.0,,360.1,3986.1,68
CPT,40490,BIOPSY OF LIP,870.0,,191.28,783.0,68
CPT,40490,BX LIP,870.0,,191.28,783.0,408
CPT,40510,EXC LIP WEDGE TRANSVERSE,5731.0,,2292.4,5157.9,136
CPT,40530,RES LIP > 1/4 W/O RECONST,5536.0,,2214.4,4982.4,68
CPT,40650,RPR LIP FULL THICK VERMILION,2640.0,,419.46,2376.0,68
CPT,40654,RPR LIP CPLX,3382.0,,1220.09,3043.8,136
CPT,40701,RPR CLEFT LIP BILAT 1 STG,11822.0,,4728.8,10639.8,68
CPT,40761,RPR CLEFT LIP W/PEDICLE FLAP,14304.0,,4872.59,12873.6,68
CPT,40800,DRAIN ABSC/CYST MOUTH SIMPLE,1415.0,,566.0,1273.5,68
CPT,40801,DRAIN ABSC/CYST MOUTH CPLX,2871.0,,419.46,2583.9,68
CPT,40805,REM FB EMBED MOUTH CPLX,1326.0,,419.46,1193.4,68
CPT,40808,BX MOUTH VESTIBULE,1124.0,,419.46,1011.6,476
CPT,40810,EXC LESN MOUTH W/O RPR,4905.0,,1962.0,4414.5,272
CPT,40812,EXC LESN MOUTH RPR SMP,5488.0,,1220.09,4939.2,204
CPT,40814,EXC LESN MOUTH RPR CPLX,7669.0,,2671.24,6902.1,68
CPT,40816,EXC LESN MOUTH EXC CPLX,10601.0,,2671.24,9540.9,68
CPT,40818,EXC MUCOSA MOUTH DONOR GFT,3087.0,,419.46,2778.3,68
CPT,40819,EXC FRENUM/LABIAL/BUCCAL,2726.0,,1090.4,2453.4,68
CPT,40820,DEST LESN MOUTH VEST PHYS METH,2196.0,,878.4,3992.34,136
CPT,40840,VESTIBULOPLASTY ANTERIOR,10769.0,,4307.6,9692.1,68
CPT,40840,VESTIBULOPLASTY; ANTERIOR,,,751.09,751.09,1
CPT,40842,"VESTIBULOPLASTY; POSTERIOR, UNILATERAL",,,725.76,725.76,1
CPT,40843,VESTIBULOPLASTY POST BILAT,12775.0,,4872.59,11497.5,68
CPT,40845,"VESTIBULOPLASTY; COMPLEX (INCLUDING RIDGE EXTENSION, MUSCLE REPOSITIONING)",,,1296.06,1296.06,1
CPT,41000,I&D LINGUAL INTRAORAL,3101.0,,419.46,2790.9,68
CPT,41010,FRENOTOMY,2354.0,,941.6,2118.6,136
CPT,41017,I&D ABSC SUBMANDIB EXTRAORAL,7858.0,,2671.24,7072.2,68
CPT,41100,BX TONGUE ANTERIOR 2/3,2206.0,,419.46,1985.4,408
CPT,41105,BX TONGUE POSTERIOR 1/3,3368.0,,1347.2,3992.34,136
CPT,41108,BX MOUTH FLOOR,1558.0,,623.2,1994.58,136
CPT,41110,EXC LESN TONGUE W/O CLSR,5044.0,,2017.6,4539.6,136
CPT,41112,EXC LESN TONGUE W/CLSR ANT 2/3,6045.0,,2418.0,5440.5,340
CPT,41115,FRENECTOMY,2859.0,,1143.6,2573.1,68
CPT,41116,EXC LESN FLOOR MOUTH,3532.0,,1412.8,3992.34,68
CPT,41120,GLOSSECT <1/2 TONGUE,13587.0,,4872.59,12228.3,68
CPT,41250,RPR LAC MOUTH/TONGUE <2.5CM,970.0,,328.68,873.0,68
CPT,41820,GINGIVECTOMY,5536.0,,2214.4,4982.4,68
CPT,41820,"GINGIVECTOMY, EXCISION GINGIVA, EACH QUADRANT",,,232.88,232.88,1
CPT,41822,EXC TUBEROSITY FIBROUS,3047.0,,1218.8,2742.3,68
CPT,41823,EXC TUBEROSITY OSSEOUS,13085.0,,4872.59,11776.5,68
CPT,41828,"EXCISION OF HYPERPLASTIC ALVEOLAR MUCOSA, EACH QUADRANT (SPECIFY)",,,310.04,310.04,1
CPT,41850,"DESTRUCTION OF LESION (EXCEPT EXCISION), DENTOALVEOLAR STRUCTURES",,,147.6,147.6,1
CPT,41870,GRAFT MUCOSA PERIODONTAL,9869.0,,1220.09,8882.1,68
CPT,41874,ALVEOLOPLASTY EA QUAD,4818.0,,1927.2,4336.2,68
CPT,41874,"ALVEOLOPLASTY, EACH QUADRANT (SPECIFY)",,,343.52,343.52,1
CPT,41899,DENTOALVEOLAR UNLSTD PROC,595.0,,191.28,535.5,68
CPT,42100,BX PALATE/UVULA,2504.0,,1001.6,2253.6,136
CPT,42107,EXC LESN PALATE/UVULA FLP,12805.0,,4872.59,11524.5,68
CPT,42299,SOMNOPLASTY/UVULAPLASTY,383.0,,153.2,344.7,68
CPT,42330,SIALOLITHOT INTRAORAL SMP,8003.0,,2671.24,7202.7,136
CPT,42335,SIALOLITHOT INTRAORAL CPLX,7140.0,,2671.24,6426.0,68
CPT,42340,SIALOLITHOT PAROTID,8043.0,,2671.24,7238.7,68
CPT,42400,BX GLAND SALIVARY NEEDLE,1699.0,,579.53,1529.1,204
CPT,42405,BX GLAND SALIVARY INCISIONAL,5472.0,,1220.09,4924.8,272
CPT,42500,RPR SIALODOCHOPLAST PRI,7472.0,,3736.0,7282.4,68
CPT,42505,RPR SIALODOCHOPLAST SECOND,12594.0,,4872.59,11334.6,68
CPT,42550,INJECT SIALOGRAM,680.0,,272.0,612.0,56
CPT,42660,DIL/CATHETER DUCT SALIVARY,1356.0,,419.46,1220.4,68
CPT,42699,SALIVARY GLAND/DUCT UNLSTD,606.0,,191.28,545.4,68
CPT,42700,I&D ABSC PERITONSILLAR,978.0,,191.28,880.2,68
CPT,42800,BX OROPHARYNX,4375.0,,1220.09,3937.5,204
CPT,43180,ESOPHAGOSC RIGID W/DIVER/MYOT,14876.0,,4872.59,13388.4,68
CPT,43195,ESOPHAGOSC RIGID W/DIL,7364.0,,3133.7,6627.6,68
CPT,43196,ESOPHAGOSC RIGID W/GW,7364.0,,1562.51,6627.6,136
CPT,43197,ESOPHAGOSC FLEX SPECIMEN,2547.0,,772.25,2292.3,204
CPT,43198,ESOPHAGOSC FLEX W/BX,2547.0,,772.25,2292.3,136
CPT,43200,ESOPHACOSC FLEX TRANSOR DX,3902.0,,772.25,3511.8,68
CPT,43200,ESOPHAGOSC FLEX TRANSOR DX,3902.0,,772.25,3511.8,136
CPT,43201,ESOPHAGOSC W/SUBMUCOSAL INJ,2633.0,,1053.2,2369.7,136
CPT,43202,ESOPHAGOSC FLEX W/BIOPSY,5218.0,,1562.51,4696.2,272
CPT,43204,ESOPHAGOSC W/SCLERO INJECT,4246.0,,1562.51,3821.4,68
CPT,43205,ESOPHAGOSC W/BAND VARICES,4624.0,,1562.51,4161.6,136
CPT,43206,ESOPHAGOSC FLEX W/OPTICAL,3215.0,,1286.0,2893.5,68
CPT,43210,EGD FLEX W/ESOPH FUNDOPL,15642.0,,6256.8,14077.8,68
CPT,43211,ESOPHAGOSC FLEX W/RESECT,2547.0,,1018.8,2335.27,68
CPT,43212,ESOPHAGOSC FLEX W/STENT,7548.0,,3019.2,7328.13,204
CPT,43213,ESOPHAGOSC FLEX RETRO,4107.0,,1562.51,3696.3,204
CPT,43214,ESOPHAGOSC FLEX DIL 30,1790.0,,716.0,2335.27,68
CPT,43215,ESOPHAGOSC W/REMOVE FB,3299.0,,1319.6,2969.1,136
CPT,43216,ESOPHAGOSC W/HOT BX FORCEPS,3418.0,,1367.2,3076.2,68
CPT,43217,ESOPHAGOSC REM LESION BY SNARE,3261.0,,1304.4,2934.9,68
CPT,43220,ESOPHAGOSC W/DILAT BALLOON,3623.0,,1449.2,3260.7,272
CPT,43220,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION (LESS THAN 30 MM DIAMETER)",,,273.0,273.0,1
CPT,43226,ESOPHAGOSC W/DILAT GD WIRE,3278.0,,1311.2,2950.2,204
CPT,43227,ESOPHAGOSC W/CONTROL BLEED,3365.0,,1346.0,3028.5,68
CPT,43229,ESOPHAGOSC FLEX W/ABLAT,7451.0,,2980.4,6705.9,136
CPT,43231,ESOPHAG FLEX TRAN W/ENDO US,3835.0,,1534.0,3451.5,68
CPT,43232,ESOPHAGOSC W/ASP/BX,4180.0,,1562.51,3762.0,68
CPT,43233,EGD W/DILAT ESOPH BALLOON 30,3468.0,,1387.2,3121.2,136
CPT,43235,EGD DX W/BRUSHING/WASHING,4400.0,,772.25,3960.0,136
CPT,43235,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,350.0,350.0,1
CPT,43236,EGD W/SUBMUCOSAL INJECTION,4035.0,,772.25,3631.5,204
CPT,43237,EGD W/US EXAM ESOPHAGUS,4616.0,,1562.51,4154.4,136
CPT,43238,EGD W/US GUIDED FNA/BX,5988.0,,1562.51,5389.2,136
CPT,43239,EGD FLEX W/BIOPSY,4844.0,,772.25,4359.6,340
CPT,43239,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,318.37,318.37,1
CPT,43240,EGD W/DRAIN PSEUDOCYST,5456.0,,2182.4,7328.13,68
CPT,43241,EGD FLEX W/INS TUBE/CATH,3966.0,,1562.51,3569.4,136
CPT,43242,EGD FLEX W/US ASP/BX,7526.0,,1562.51,6773.4,136
CPT,43243,EGD W/SCLEROIS INJ ESOPH/GAST,4014.0,,1562.51,3612.6,68
CPT,43244,EGD W/LIG VARICES ESOPH/GAST,5243.0,,1562.51,4718.7,204
CPT,43245,EGD W/DILATION GASTRIC STRICT,4244.0,,1562.51,3819.6,272
CPT,43246,EGD W/PLACE G-TUBE,3694.0,,1477.6,3324.6,136
CPT,43246,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED PLACEMENT OF PERCUTANEOUS GASTROSTOMY TUBE",,,856.0,856.0,1
CPT,43247,EGD W/REM FB,4275.0,,772.25,3847.5,68
CPT,43247,EGD W/REMOVE FB,4275.0,,772.25,3847.5,68
CPT,43248,EGD W/DILAT ESOPH GD WIRE,4653.0,,772.25,4187.7,136
CPT,43249,EGD FLEX W/BALLOON DIL,4510.0,,1562.51,4059.0,136
CPT,43250,EGD REM TUMR/POLYP FORCEP,3548.0,,1419.2,3193.2,68
CPT,43251,EGD REM TUMR/POLYP SNARE,4118.0,,1562.51,3706.2,136
CPT,43252,EGD W/OPTICAL ENDOMICROSCOPY,10342.0,,1562.51,9307.8,136
CPT,43253,EGD W/US INJ/MARKER,4087.0,,1562.51,3678.3,68
CPT,43254,EGD W/MUCOSAL RESECTION,4456.0,,1562.51,4010.4,136
CPT,43255,EGD W/CONTROL BLEED,5199.0,,1562.51,4679.1,272
CPT,43257,EGD FLEX W/THRML TX GERD,8769.0,,3133.7,7892.1,68
CPT,43259,EGD W/ENDO US DUO/JEJUNUM,7468.0,,1562.51,6721.2,68
CPT,43259,GI UPPER ENDOSCOPY 43259,5854.0,,1562.51,5268.6,180
CPT,43260,ERCP DIAGNOSTIC,6360.0,,2544.0,5724.0,136
CPT,43261,ERCP W/BIOPSY,6484.0,,2593.6,5835.6,68
CPT,43262,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH SPHINCTEROTOMY/PAPILLOTOMY,,,350.55,350.55,1
CPT,43262,ERCP W/SPHINCT/PAPILLOTOMY,9202.0,,3133.7,8281.8,68
CPT,43263,ERCP W/PRESS MEASR SPHNCHTR,6823.0,,1562.51,6140.7,68
CPT,43264,ERCP W/REM CALCULI/DEBR/DUCTS,9518.0,,3133.7,8566.2,68
CPT,43265,ERCP DESTCALCULI ANY METHOD,7458.0,,2983.2,7328.13,136
CPT,43266,EGD ENDOSCOPIC W/STENT PLACE,7080.0,,2832.0,7328.13,68
CPT,43266,EGD W/ENDOSCOPIC STENT PLACE,7080.0,,2832.0,7328.13,68
CPT,43270,EGD W/ABLAT OF LESION,5195.0,,1562.51,4675.5,136
CPT,43270,EGD W/ABLAT TUMR/POLYP/LESN,5195.0,,1562.51,4675.5,68
CPT,43270,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,240.66,240.66,1
CPT,43273,ENDO PANCREATOSCOPY DIR VIS,7293.0,,2917.2,6563.7,56
CPT,43274,ERCP W/INS STENT/TUBE,8696.0,,3478.4,7826.4,68
CPT,43275,ERCP W/FB/STENT REMOVAL,7492.0,,1562.51,6742.8,68
CPT,43276,ERCP W/STENT EXCHANGE,7875.0,,3150.0,7328.13,68
CPT,43277,ERCP W/DILATION BALLOON,7391.0,,2956.4,6651.9,68
CPT,43278,ERCP W/ABLAT TUMR/POLYP/LESN,5322.0,,2128.8,4789.8,68
CPT,43289,ESOPHAGUS LAPAROSCOPY UNLSTD,14844.0,,4805.62,13359.6,68
CPT,43450,DIL ESOPH SOUND OR BOUGIE,2582.0,,772.25,2323.8,204
CPT,43453,DIL ESOPH OVER GUIDEWIRE,2743.0,,1097.2,2468.7,136
CPT,43497,TRANSORAL LOWER ESOPH MYOTOMY,8820.0,,3528.0,7938.0,68
CPT,43499,EGD TRANS-NASAL,2379.0,,772.25,2141.1,68
CPT,43499,ESOPH W/LASR TRANSNSL APPROACH,4049.0,,772.25,3644.1,68
CPT,43499,ESOPHAGOSC W/BALL TRANSNASAL,2202.0,,772.25,1981.8,136
CPT,43499,ESOPHAGUS UNLSTD PROC,2218.0,,772.25,1996.2,136
CPT,43647,"LAPAROSCOPY, SURGICAL; IMPLANTATION OR REPLACEMENT OF GASTRIC NEUROSTIMULATOR ELECTRODES, ANTRUM",,,378.33,378.33,1
CPT,43648,"LAPAROSCOPY, SURGICAL; REVISION OR REMOVAL OF GASTRIC NEUROSTIMULATOR ELECTRODES, ANTRUM",,,409.28,409.28,1
CPT,43752,PLACE TUBE NASO/OROGASTRIC,1144.0,,328.68,1029.6,204
CPT,43752,PLACE TUBE NASO/OROGASTRIC MD,1144.0,,328.68,1029.6,68
CPT,43752,PLACE TUBE NASOGASTRIC,1144.0,,328.68,1029.6,68
CPT,43753,NG TUBE WITH LAVAGE,866.0,,250.0,779.4,124
CPT,43757,DX DUOL INTUBAJ & ASPIR MLT,2202.0,,772.25,1981.8,68
CPT,43761,REPOSITION G-TUBE,2407.0,,200.33,2166.3,328
CPT,43762,RPLC GTUBE NO REVJ TRC,1143.0,,200.33,1028.7,748
CPT,43763,RPLC GTUBE REVJ GSTRST TRC,1143.0,,200.33,1028.7,476
CPT,43999,STOMACH UNLSTD PROC-ECO,2053.0,,772.25,1847.7,68
CPT,43999,STOMACH UNLSTD PROC-ENDL,2053.0,,772.25,1847.7,68
CPT,43999,STOMACH UNLSTD PROC-KGI,3420.0,,772.25,3078.0,68
CPT,44360,ENDO SMALL INTESTINE,3655.0,,1462.0,3289.5,136
CPT,44361,ENDO SMALL INTEST W/BIOPSY,3814.0,,1525.6,3432.6,204
CPT,44363,ENDO SMALL INTEST W/REM FB(S),3750.0,,1500.0,3375.0,68
CPT,44363,SM BOWEL ENTEROSCOPY/FBR,3750.0,,1562.51,3375.0,68
CPT,44364,ENDO SMALL INTEST W/REM SNARE,3581.0,,1432.4,3222.9,68
CPT,44365,ENDO SMALL INTEST W/REM FORCEP,3625.0,,1450.0,3262.5,136
CPT,44366,ENDO SMALL INTEST CNTRL BLD,5471.0,,1562.51,4923.9,136
CPT,44369,ENDO SMALL INTEST ABLAT TUMR,3712.0,,1484.8,3340.8,68
CPT,44370,ENDO SMALL INTEST W/PL STENT,5846.0,,2338.4,7328.13,68
CPT,44372,ENDO SMALL INTEST W/PL J-TUBE,4285.0,,1562.51,3856.5,136
CPT,44373,ENDO SMALL INTEST G-J,3562.0,,1424.8,3205.8,68
CPT,44376,ENDO SMALL INTEST/ILIUM,3924.0,,1562.51,3531.6,68
CPT,44377,ENDO SMALL INTEST/ILIUM W/BX,5011.0,,1562.51,4509.9,68
CPT,44378,ENDO SMALL INTEST/ILIUM BLEED,5035.0,,1562.51,4531.5,68
CPT,44379,ENDO SMALL INTEST/ILIUM STENT,7313.0,,2925.2,7328.13,68
CPT,44380,ILEOSCOPY THRU STOMA,2986.0,,772.25,2687.4,136
CPT,44380,ILEOSCOPY THUR STOMA,2986.0,,772.25,2687.4,68
CPT,44381,ILEOSCOPY STOMA W/DIL,2510.0,,1004.0,2335.27,136
CPT,44382,ILEOSCOPY THRU STOMA W/BX,3994.0,,772.25,3594.6,136
CPT,44384,ILEOSCOPY THRU STOMA W/STENT,5404.0,,1562.51,4863.6,68
CPT,44385,ENDO EVAL SMALL INTEST POUCH,3493.0,,750.95,3143.7,204
CPT,44386,ENDO EVAL SM INTEST POUCH W/BX,4349.0,,750.95,3914.1,136
CPT,44388,COLONOSCOPY THRU STOMA,3505.0,,750.95,3154.5,136
CPT,44389,COLONOSCOPY STOMA W/BIOPSY,4099.0,,971.18,3689.1,204
CPT,44390,COLONOSCOPY STOMA W/REM FB,3440.0,,750.95,3096.0,68
CPT,44391,COLONOSCOPY STOMA CNTRL BLEED,5456.0,,971.18,4910.4,68
CPT,44392,COLONOSCOPY STOMA W/FORCEP,4207.0,,971.18,3786.3,68
CPT,44394,COLONOSCOPY STOMA W/SNARE,4028.0,,971.18,3625.2,136
CPT,44401,COLONOSCOPY STOMA W/ABLAT,4257.0,,971.18,3831.3,136
CPT,44402,COLONOSCOPY STOMA STENT PLACE,5336.0,,2134.4,7328.13,68
CPT,44403,COLONOSCOPY STOMA W/RESECT,2663.0,,971.18,2396.7,136
CPT,44404,COLONOSCOPY STOMA W/INJECT,2511.0,,971.18,2259.9,136
CPT,44405,COLONOSCOPY STOMA W/DILAT,2511.0,,971.18,2259.9,68
CPT,44406,COLONOSCOPY STOMA W U/S,2511.0,,971.18,2259.9,68
CPT,44407,COLONOSCOPY STOMA W/FNA/BX,2511.0,,971.18,2259.9,68
CPT,44408,COLONOSCOPY STOMA W/DECOMP,2511.0,,750.95,2259.9,68
CPT,44500,INTRO TUBE GI LONG,1034.0,,413.6,1154.17,260
CPT,44705,PREPARE FECAL MICROBIOTA FOR,4960.0,,98.69,4464.0,114
CPT,44799,CLOSURE FISTULA ENTERCUTANEOUS,7681.0,,772.25,6912.9,136
CPT,44799,ENDOSCOPY RETROGRADE,7681.0,,772.25,6912.9,68
CPT,44799,SM INTESTINE UNLISTED PROCED,7681.0,,772.25,6912.9,68
CPT,45000,TRANRECTAL DRAIN PELVIC ABSCES,2477.0,,971.18,2229.3,260
CPT,45100,BX WALL ANORECTAL RECTAL APPR,5044.0,,2017.6,4539.6,68
CPT,45171,EXC TUMR RECTAL TRANSANAL,6333.0,,2258.84,5699.7,136
CPT,45190,DEST TUMR RECTAL,6782.0,,2258.84,6103.8,68
CPT,45300,PROCTOSIGMOID RIGID,1755.0,,702.0,1579.5,272
CPT,45303,PROCTOSIGMOID W/DILAT,3565.0,,971.18,3208.5,68
CPT,45305,PROCTOSIGMOID W/BIOPSY,3213.0,,971.18,2891.7,136
CPT,45307,PROCTOSIGMOID W/REM FB,1738.0,,695.2,3375.98,68
CPT,45308,PROCTOSIGMOID TUM/POLYP FORCEP,1971.0,,788.4,3375.98,68
CPT,45309,PROCTOSIGMOID TUM/POLYP SNARE,1973.0,,789.2,1775.7,68
CPT,45315,PROCTOSIGMOID TUM/POLYP HOT BX,3685.0,,971.18,3316.5,68
CPT,45317,PROCTOSIGMOID CONTROL BLEED,2786.0,,971.18,2507.4,68
CPT,45320,PROCTOSIGMOID ABLAT TUM/POLYP,5570.0,,2228.0,5013.0,68
CPT,45321,PROCTOSIGMOID DECOMP,4222.0,,1688.8,3799.8,68
CPT,45327,PROCTOSIGMOID PL STENT,5838.0,,2335.2,7328.13,68
CPT,45330,SIGMOIDOSCOPY FLEX,2360.0,,750.95,2124.0,408
CPT,45331,SIGMOIDOSCOPY W/BIOPSY,2755.0,,750.95,2479.5,340
CPT,45332,SIGMOIDOSCOPY W/REM FB,3316.0,,971.18,2984.4,68
CPT,45332,SIGMOIDOSCOPY W/REM FB(S),3316.0,,971.18,2984.4,68
CPT,45333,SIGMOIDOSCOPY REM LES FORCEP,3457.0,,750.95,3111.3,68
CPT,45333,SIGMOIDOSCOPY W/POLYP HOT BX,3457.0,,750.95,3111.3,68
CPT,45334,SIGMOIDOSCOPY W/CONTROL BLEED,3239.0,,971.18,2915.1,136
CPT,45335,SIGMOIDOSCOPY W/SUBMUCOSAL INJ,2700.0,,750.95,2430.0,204
CPT,45337,SIGMOIDOSCOPY W/DECOMPRESSION,3158.0,,750.95,2842.2,68
CPT,45338,SIGMOIDOSCOPY TUM/POLYP SNARE,3156.0,,971.18,2840.4,204
CPT,45340,SIGMOIDOSCOPY W/BALLOON DIL,3386.0,,971.18,3047.4,68
CPT,45341,SIGMOIDOSCOPY W/ULTRASOUND,5555.0,,750.95,4999.5,68
CPT,45342,SIGMOIDOSCOPY W/NDL ASP/BX,5453.0,,971.18,4907.7,68
CPT,45346,SIGMOIDOSCOPY ABL TUM/POLYP,4821.0,,971.18,4338.9,136
CPT,45346,"SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2813.8,2813.8,1
CPT,45347,SIGMOIDOSCOPY PLACE STENT,7300.0,,2920.0,7328.13,68
CPT,45349,SIGMOIDOSCOPY W/RESECTION,5693.0,,198.94,5123.7,136
CPT,45350,SIGMOIDOSCOPY W/BAND LIGATION,4328.0,,971.18,3895.2,136
CPT,45378,COLONOSCOPY FLEXIBLE,4960.0,,750.95,4464.0,136
CPT,45378,"COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,480.0,480.0,1
CPT,45379,COLONOSCOPY FLEX W/REM FB,4557.0,,971.18,4101.3,204
CPT,45380,COLONOSCOPY FLEX W/BIOPSY,5186.0,,971.18,4667.4,204
CPT,45381,COLONOSCOPY FLEX W/INJ SUBMUC,4737.0,,971.18,4263.3,136
CPT,45382,COLONOSCOPY FLEX W/CNTRL BLEED,4893.0,,971.18,4403.7,204
CPT,45384,COLONOSCOPY FLEX W/REM FORCEP,5635.0,,971.18,5071.5,204
CPT,45385,COLONOSCOPY FLEX W/REM SNARE,5635.0,,679.0,5071.5,204
CPT,45385,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,679.0,679.0,1
CPT,45386,COLONOSCOPY FLEX W/BALLN DILAT,4246.0,,971.18,3821.4,68
CPT,45386,COLONOSCOPY FLEX W/BLLN DILAT,4246.0,,971.18,3821.4,136
CPT,45388,COLONOSCOPY FLEX W/ABLAT TUMR,5106.0,,971.18,4595.4,136
CPT,45389,COLONOSC FLEX W/ENDO STENT PLA,9265.0,,3706.0,8338.5,136
CPT,45390,COLONOSCOPY FLEXI W/ENDO RESEC,2821.0,,1128.4,3375.98,136
CPT,45391,COLONOSCOPY FLEX W/US,3919.0,,971.18,3527.1,68
CPT,45392,COLONOSCOPY FLEX W/TRANS US,4736.0,,971.18,4262.4,68
CPT,45393,COLONOS W/DECOMPRESSION,2511.0,,971.18,2259.9,68
CPT,45398,COLONOS W/BAND LIGATION,3787.0,,971.18,3408.3,136
CPT,45399,UNLISTED PROCEDURE COLON,2403.0,,750.95,2162.7,68
CPT,45499,UNLISTED LAP PROC RECTUM,13218.0,,4805.62,11896.2,68
CPT,45905,DIL SPHINCTER ANAL W/ANES,3629.0,,971.18,3266.1,136
CPT,45910,DIL STRIC RECTAL W/ANES,4091.0,,971.18,3681.9,68
CPT,45910,DIL STRICT RECTAL W/ANES,4091.0,,971.18,3681.9,68
CPT,45990,SURG DIAG EXAM ANORECTAL,6325.0,,2258.84,5692.5,68
CPT,45999,RECTUM UNLSTD PROC,3453.0,,750.95,3107.7,68
CPT,46030,REM ANAL SETON,3085.0,,971.18,2776.5,68
CPT,46050,I&D ABSC PERIANAL SUPERFIC,2605.0,,750.95,2344.5,136
CPT,46083,INC HEMORRHOID EXTERNAL,990.0,,200.33,891.0,68
CPT,46220,EXCISION OF SINGL ANUS PAPPILA,5996.0,,971.18,5396.4,136
CPT,46221,HEMORRHOIDECTOMY,1957.0,,750.95,1761.3,204
CPT,46255,HEMORRHOIDECTOMY SINGLE COLUMN,7445.0,,2258.84,6700.5,68
CPT,46320,EXC HEMORRHOID THROMBOSED EXT,3640.0,,971.18,3276.0,68
CPT,46500,SCLEROTHERAPY HEMORRHOIDS,2255.0,,750.95,2029.5,68
CPT,46505,CHEMODNRVTN INTERNL ANAL SPHIN,2655.0,,971.18,2389.5,68
CPT,46600,ANOSCOPY,493.0,,106.17,443.7,476
CPT,46601,ANOSCOPY HRA DX W/ COLLECTION,576.0,,230.4,518.4,68
CPT,46601,ANOSCOPY HRA DX W/COLLECTION,576.0,,230.4,518.4,68
CPT,46604,ANOSCOPY W/DILATATION,4559.0,,971.18,4103.1,68
CPT,46606,ANOSCOPY W/BIOPSY,2203.0,,881.2,1982.7,136
CPT,46608,ANOSCOPY W/REM FB,1771.0,,708.4,1593.9,68
CPT,46610,ANOSCOPY REM TUM/POLYP FORCEP,3426.0,,1370.4,3375.98,68
CPT,46611,ANOSCOPY REM TUM/POLYP SNARE,1813.0,,725.2,1631.7,68
CPT,46614,ANOSCOPY W/CONTROL BLEEDING,2626.0,,971.18,2363.4,68
CPT,46615,ANOSCOPY W/ABLAT TUMR/POLYP,4882.0,,1952.8,4393.8,68
CPT,46900,DEST LESN ANUS CHEMICAL,699.0,,279.6,629.1,68
CPT,46910,DEST LESN ANUS ELECTRO,4311.0,,1506.69,3879.9,136
CPT,46916,DEST LESN ANUS CRYOSURGERY,477.0,,163.67,429.3,68
CPT,46916,DEST LESN ANUS CYROSURGERY,477.0,,163.67,429.3,136
CPT,46917,DEST LESN ANUS LASER SURGERY,5011.0,,2004.4,4509.9,68
CPT,46922,DEST LESN ANUS SURG EXCISION,5710.0,,2258.84,5139.0,204
CPT,46924,DEST LESN ANUS ANY METHOD,4269.0,,1707.6,3842.1,136
CPT,46930,DEST HEMORRHOID THERMAL ENERGY,2652.0,,971.18,2386.8,68
CPT,46945,LIG HEMORRHOID INTRNL SNGL,2457.0,,982.8,3375.98,68
CPT,46946,LIG HEMORRHOID INTRNL 2/MORE,3194.0,,1277.6,3375.98,204
CPT,46999,US ANUS UNLSTD PROC,4159.0,,750.95,3743.1,68
CPT,47000,BIOPSY LIVER PERC NEEDLE,3426.0,,1334.55,3083.4,724
CPT,47000,"BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS",,,195.0,195.0,1
CPT,47370,LAP ABLAT TUMR LIVER RF,20973.0,,8389.2,18875.7,68
CPT,47382,ABLATION TUMR LIVER RADIO PERC,7781.0,,3112.4,7182.31,204
CPT,47383,ABLATION TUMR LIVER CRYO PERC,14461.0,,5784.4,13014.9,68
CPT,47399,HEPZATO HEMOFILTRATION LIVER,21074.0,,579.53,18966.6,68
CPT,47399,IRE PROC FOR LIVER,6549.0,,579.53,5894.1,68
CPT,47490,CHOLECYSTOST PERC COMPL PROC,5871.0,,2348.4,5283.9,192
CPT,47531,INJ PROC CHOLANGIOGRAM,1840.0,,542.0,4344.41,340
CPT,47531,INJ PROC CHOLANGIOGRAM BILAT,3092.0,,1236.8,4344.41,68
CPT,47532,INJ CHOLANGIOGRAM TRANSHEPATIC,3831.0,,1532.4,4344.41,68
CPT,47533,PL BIL DRN CATH PERC EXT RAD,11058.0,,2906.8,9952.2,68
CPT,47534,PL BIL DRN CATH PERC EXT BILAT,18756.0,,2906.8,16880.4,68
CPT,47534,PL BIL DRN CATH PERC INT/EXT R,12732.0,,2906.8,11458.8,68
CPT,47535,CONV EXT BIL DRN CATH TO INT/E,10998.0,,2906.8,9898.2,68
CPT,47536,EXCH BIL DRN CATH PERC RAD,7497.0,,2906.8,6747.3,136
CPT,47536,EXCH BIL DRN CATH PERC RAD BIL,11245.0,,2906.8,10120.5,68
CPT,47537,RMVL BIL DRN CATH PERC FLUOR G,2404.0,,772.25,2163.6,136
CPT,47538,PLMT STNT BIL DUCT PERC BILAT,19275.0,,4805.62,17347.5,68
CPT,47538,PLMT STNT BILE DUCT PERC RAD E,12851.0,,4805.62,11565.9,68
CPT,47539,PLMT STNT BILE DUCT PERC RAD,14584.0,,4805.62,13125.6,68
CPT,47540,PLMT STNT BILE DUCT PERC RAD,21505.0,,4805.62,19354.5,68
CPT,47541,PLACE ACCESS BILIARY SM BOWEL,10629.0,,4251.6,9566.1,68
CPT,47542,DILATION BILARY DUCT/AMPULLA,11555.0,,4622.0,10399.5,56
CPT,47542,DILATION BILIARY DUCT/AMPULLA,11555.0,,4622.0,10399.5,56
CPT,47543,ENDOLUMIN BX BILIARY TREE PERQ,11220.0,,4488.0,10098.0,56
CPT,47544,EXTRACT STONE DUCT BILIARY,7581.0,,3032.4,6822.9,56
CPT,47550,ENDO BILIARY INTRAOP,5871.0,,2348.4,5283.9,56
CPT,47552,ENDOSCOPY BILIARY PERC T-TUBE,5550.0,,2220.0,7681.37,136
CPT,47553,BILIARY ENDO-PERC W/BIOP,3907.0,,1562.8,7681.37,68
CPT,47554,ENDO BILIARY REM CALCULUS,9222.0,,3688.8,12816.61,68
CPT,47555,BILIARY ENDO DIL WO STENT,5264.0,,2105.6,4737.6,68
CPT,47556,BILIARY ENDO DIL W/STENT,5569.0,,2227.6,12816.61,68
CPT,47801,PLCMT STENT CHOLEDOCHAL,4830.0,,1932.0,4347.0,56
CPT,47999,ABLAT GALLBLADDER PERC CRYO,14461.0,,772.25,13014.9,67
CPT,47999,BILIARY TRACT PROCEDURE UNLSTD,7624.0,,772.25,6861.6,68
CPT,47999,BILIARY TRACT UNLSTD PROC,2053.0,,772.25,1847.7,68
CPT,47999,PERC EXTRACT OF CHOL STENT,9952.0,,772.25,8956.8,68
CPT,47999,SPHINCTEROPLASTY,6806.0,,772.25,6125.4,68
CPT,48102,BIOPSY PANCREAS NEEDLE,3123.0,,1249.2,2810.7,124
CPT,48102,BIOPSY PANCREAS PERC NEEDLE,3123.0,,1249.2,2810.7,124
CPT,48105,RESECT/DEBR PANCREAS,3496.0,,1398.4,3146.4,56
CPT,48999,IRE PROC FOR PANCREAS,6549.0,,579.53,5894.1,68
CPT,48999,PANCREAS UNLSTD PROC,1708.0,,579.53,1537.2,68
CPT,49082,ABD PARACENTESIS W/O IMAGING,1343.0,,537.2,1208.7,340
CPT,49083,ABD PARACENTESIS WITH IMAGING,1565.0,,626.0,1408.5,644
CPT,49084,PERITONEAL LAVAGE W/ IMAGING,2642.0,,772.25,2377.8,68
CPT,49180,BIOPSY ABD/RET MASS PERC NDL,3469.0,,1334.55,3122.1,316
CPT,49185,SCLEROTX FLUID COLLECTION PERQ,2511.0,,1004.4,2259.9,272
CPT,49400,INJ AIR/CONTR PERITONEAL CAV,1473.0,,589.2,1325.7,168
CPT,49402,REMOVE FOREIGN BODY ABDOMEN,9138.0,,2906.8,8224.2,68
CPT,49405,CT FLD COLLXN DRAIN CATH VISC,5691.0,,2276.4,5121.9,56
CPT,49405,FLUID COLLXN DRAIN CATH VISC,5691.0,,1334.55,5121.9,204
CPT,49405,IMAGE CATH FLUID COLXN VISC,5691.0,,1334.55,5121.9,68
CPT,49406,FLUID COLL DRAIN CATH PERI,9553.0,,1334.55,8597.7,327
CPT,49407,CT FLD COLLXN TRANSREC/VAG,3264.0,,1334.55,2937.6,189
CPT,49411,PLMT NTRSTL DEV PRQ IABDL IPEL,5709.0,,1127.0,5138.1,136
CPT,49412,OPEN PLCMT OF INTERSITITAL DEV,5709.0,,2283.6,5138.1,56
CPT,49418,INS TUNNELED IPER CATHETER,8726.0,,2906.8,7853.4,68
CPT,49419,INS TUN CATH INTP WITH PORT,11056.0,,4422.4,9950.4,68
CPT,49421,INS TUN CATH IPER OPEN,8830.0,,2906.8,7947.0,68
CPT,49422,REMOVE CATH INTRAPERITONEAL,6982.0,,2592.52,6283.8,136
CPT,49423,EXCHG CATH ABSC/CYST DRAIN,5277.0,,1562.51,4749.3,272
CPT,49424,INJ CONTRAST ABSC/CYST,1502.0,,751.0,1351.8,165
CPT,49424,INJECT CYSTOGM,1502.0,,600.8,1351.8,56
CPT,49425,INS SHUNT PERITONEAL-VENOUS,25355.0,,10142.0,22819.5,56
CPT,49426,REV SHUNT PERITONEAL-VENOUS,6733.0,,2906.8,6059.7,67
CPT,49429,REM SHUNT PERITONEAL-VENOUS,7169.0,,2592.52,6452.1,68
CPT,49440,PERCUT PLACE GASTRO TUBE FLURO,2336.0,,934.4,2335.27,463
CPT,49441,INSERT DUODEN/JEJUN TBE FLUORO,2053.0,,821.2,2335.27,136
CPT,49442,INSERT CECOS/OTHR TUBE FLUORO,6687.0,,971.18,6018.3,136
CPT,49446,CHG G-TB TO GJ-TB PERC FLUORO,3766.0,,1506.4,3389.4,204
CPT,49450,RPLC G/CEC/OTH TB UNDER FLUO,2680.0,,772.25,2412.0,68
CPT,49450,RPLC G/CEC/OTH TB UNDER FLUORO,2680.0,,772.25,2412.0,204
CPT,49451,RPLC DUODEN/JEJUN T FLUORO,2183.0,,772.25,1964.7,68
CPT,49451,RPLC DUODEN/JEJUN TB FLUORO,2183.0,,772.25,1964.7,136
CPT,49451,RPLC DUODEN/JUJUN TB FLUORO,2183.0,,772.25,1964.7,68
CPT,49452,RPLC GASTRO-JEJUN TB FLUORO,2985.0,,772.25,2686.5,272
CPT,49460,MECH REM OBS MAT G/D/J/G-J/CEC,448.0,,179.2,1154.17,68
CPT,49465,INJ CNTR W/FLUOR EVAL G/D/J TB,925.0,,199.1,832.5,328
CPT,49999,MECH/TPA REM FIB SHTH/ADH PERI,5896.0,,772.25,5306.4,68
CPT,49999,MECH/TPA REMOVAL FIBRIN SHEATH,5896.0,,772.25,5306.4,68
CPT,49999,PERC CRYO ABD/PERTONEAL LESION,5573.0,,772.25,5015.7,68
CPT,49999,PLCMT PERITONEAL DRAIN CATH,8141.0,,772.25,7326.9,68
CPT,49999,REPOSITION CATH W/FLUORO GUIDE,8764.0,,772.25,7887.6,67
CPT,50200,BIOPSY RENAL PERC NDL/TROCAR,2626.0,,1050.4,2363.4,136
CPT,50200,BIOPSY RENAL PERC NDL/TROCAR L,3064.0,,1225.6,2757.6,168
CPT,50200,BIOPSY RENAL PERC NDL/TROCR BI,4595.0,,1838.0,4135.5,56
CPT,50200,BIOPSY RENAL PERC NDL/TROCR LT,3064.0,,1225.6,2757.6,336
CPT,50200,BIOPSY RENAL PERC NDL/TROCR RT,3064.0,,1225.6,2757.6,504
CPT,50200,BX RENAL NEEDLE PERC,2905.0,,1162.0,2614.5,68
CPT,50382,CHG URETERAL STENT PERC,6357.0,,1687.31,5721.3,68
CPT,50382,CHG URETERAL STENT PERC BILAT,9536.0,,3814.4,8582.4,56
CPT,50384,REM URETERAL STENT PERCU,7029.0,,1687.31,6326.1,68
CPT,50385,CHANGE URETERL STNT TRANSUR,5243.0,,1687.31,4718.7,68
CPT,50386,REM URETERAL STENT TRANSUR,2843.0,,1137.2,2558.7,68
CPT,50387,CHANGE EXT/INT URET STENT,1793.0,,717.2,2521.79,68
CPT,50389,REM RENAL TUBE FLUORO BILAT,3733.0,,1493.2,3359.7,56
CPT,50389,REMOVAL OF NEPHROSTOMY TUBE,3008.0,,549.78,2707.2,136
CPT,50390,ASP/INJ RENAL CYST/PEL PERC LT,2345.0,,938.0,2110.5,224
CPT,50390,ASP/INJ RENAL CYST/PEL PERC RT,2345.0,,938.0,2110.5,112
CPT,50390,ASP/INJ RENAL CYST/PELV PRC,2345.0,,579.53,2110.5,68
CPT,50390,ASP/INJ RENAL CYST/PELV PRC LT,2345.0,,938.0,2110.5,56
CPT,50390,ASP/INJ RENAL CYST/PELV PRC RT,2345.0,,938.0,2110.5,224
CPT,50390,ASP/INJ RNL CYST/PELV PRC RT,2345.0,,938.0,2110.5,56
CPT,50390,ASPIR/INJ REN CYST/PEL PRC LT,2345.0,,938.0,2110.5,112
CPT,50390,ASPIR/INJ RENAL CYST/PELV PERC,2345.0,,938.0,2110.5,56
CPT,50391,INSTILL AGENT RENAL PELVIS/URE,613.0,,200.33,551.7,68
CPT,50430,INJ ANTEGRADE NEPH/URET COMP,3090.0,,549.78,2781.0,204
CPT,50430,INJ ANTEGRADE NEPH/URET LT,3090.0,,1236.0,2781.0,56
CPT,50430,INJ ANTEGRADE NEPH/URET RT,3090.0,,1236.0,2781.0,56
CPT,50431,INJ ANTEGRADE NEPH/URET BIL,3737.0,,1494.8,3363.3,168
CPT,50431,INJ ANTEGRADE NEPH/URET COMP,2643.0,,549.78,2378.7,272
CPT,50431,INJ ANTEGRDE NEPH/URET COMP LT,2643.0,,1057.2,2378.7,112
CPT,50431,INJ ANTEGRDE NEPH/URET COMP RT,2643.0,,1057.2,2378.7,112
CPT,50432,INS CATH DRAIN RENAL PELVIS,9134.0,,1687.31,8220.6,136
CPT,50432,INS CATH DRAIN RENAL PELVIS LT,9134.0,,3653.6,8220.6,56
CPT,50432,INS CATH DRAIN RENAL PELVIS RT,9134.0,,3653.6,8220.6,56
CPT,50432,INS CATH DRAIN RENL PELVIS BIL,12867.0,,5146.8,11580.3,112
CPT,50433,PLACE NEPHROURETERAL CATH BIL,11725.0,,4690.0,10552.5,56
CPT,50433,PLACE NEPHROURETERAL CATH LT,8293.0,,3317.2,7463.7,56
CPT,50433,PLACE NEPHROURETERAL CATH RT,8293.0,,3317.2,7463.7,56
CPT,50434,CONVERT NEPHROSTOMY CATH,8446.0,,1687.31,7601.4,68
CPT,50434,CONVERT NEPHROSTOMY CATH BIL,11809.0,,4723.6,10628.1,56
CPT,50434,CONVERT NEPHROSTOMY CATH LT,8446.0,,3378.4,7601.4,56
CPT,50434,CONVERT NEPHROSTOMY CATH RT,8446.0,,3378.4,7601.4,56
CPT,50435,CHG TUBE NEPHRO/PYELO,3399.0,,1359.6,3059.1,68
CPT,50435,EXCHANGE NEPHROSTOMY CATH,7433.0,,1687.31,6689.7,68
CPT,50435,EXCHANGE NEPHROSTOMY CATH BIL,10005.0,,4002.0,9004.5,112
CPT,50435,EXCHANGE NEPHROSTOMY CATH LT,7433.0,,2973.2,6689.7,112
CPT,50435,EXCHANGE NEPHROSTOMY CATH RT,7433.0,,2973.2,6689.7,112
CPT,50436,DILAT XST TRC NDURLGC PX,5090.0,,2036.0,4581.0,136
CPT,50437,DILAT XST TRC NEW ACCESS RCS,10681.0,,2840.83,9612.9,136
CPT,50592,ABLAT RENAL TUMOR PERC,6877.0,,2750.8,7182.31,136
CPT,50592,RF ABLAT RENAL TUMOR PERC BI,9552.0,,3820.8,8596.8,56
CPT,50593,ABLAT RENAL CRYO UNIL,5573.0,,2229.2,12816.61,68
CPT,50593,ABLAT TUMR RENAL CRYO BILAT,6678.0,,2671.2,6010.2,56
CPT,50684,INJECT URETEROGRAPHY,1228.0,,491.2,1105.2,224
CPT,50688,CHANGE TUBE URETEROSTOMY,1395.0,,558.0,2521.79,68
CPT,50688,CHANGE URETEROSTOMY TUBE BI,1395.0,,558.0,1255.5,56
CPT,50688,CHANGE URETEROSTOMY TUBE LT,1395.0,,558.0,1255.5,56
CPT,50688,CHANGE URETEROSTOMY TUBE RT,1369.0,,547.6,1232.1,56
CPT,50690,INJ ILEAL CONDUIT,695.0,,278.0,625.5,224
CPT,50693,PLMT URETERAL STENT PERQ BIL,12488.0,,4995.2,11239.2,56
CPT,50693,PLMT URETERAL STENT PRQ LT,8758.0,,3503.2,7882.2,56
CPT,50693,PLMT URETERAL STENT PRQ RT,8257.0,,3302.8,7431.3,56
CPT,50694,PLMT URETERAL STENT PRQ BIL,11725.0,,4690.0,10552.5,56
CPT,50694,PLMT URETERAL STENT PRQ LT,9303.0,,3721.2,8372.7,56
CPT,50694,PLMT URETERAL STENT PRQ RT,8306.0,,3322.4,7475.4,56
CPT,50695,PLMT URETERAL STENT PRQ BIL,17357.0,,6942.8,15621.3,56
CPT,50695,PLMT URETERAL STENT PRQ LT,13772.0,,5508.8,12394.8,56
CPT,50695,PLMT URETERAL STENT PRQ RT,12520.0,,5008.0,11268.0,56
CPT,50705,URETERAL EMBOLIZATION/OCCUSION,10607.0,,4242.8,9546.3,56
CPT,50706,BALL DILAT URETERAL STRICTURE,12151.0,,4860.4,10935.9,56
CPT,50706,BALL DILAT URETERAL STRIX BIL,12862.0,,5144.8,11575.8,56
CPT,50706,BALL DILAT URETERAL STRIX LT,10229.0,,4091.6,9206.1,56
CPT,50706,BALL DILAT URETERAL STRIX RT,11048.0,,4419.2,9943.2,56
CPT,50951,ENDO URETERAL ESTAB URETEROST,5469.0,,2187.6,4922.1,68
CPT,51102,ASP BLADDER INS CATH SUPRAPUB,1833.0,,733.2,2521.79,204
CPT,51600,INJ CYSTOGRAM,1129.0,,123.0,1016.1,559
CPT,51610,INJ URETHROCYSTOGRAM RETRO,1362.0,,544.8,1225.8,280
CPT,51700,BLADDER IRRIGATION(NURSE),884.0,,200.33,795.6,124
CPT,51700,IRRIG/LABV/INSTL BLADDER,696.0,,200.33,626.4,68
CPT,51700,IRRIG/LAVG/INSTL BLADDER,696.0,,200.33,626.4,272
CPT,51701,CATH BLADDER NON-INDWELLING,329.0,,106.17,296.1,884
CPT,51702,CATH BLADDER (FOLEY) SIMPLE,304.0,,106.17,273.6,68
CPT,51702,CATH BLADDER SMP,304.0,,106.17,273.6,816
CPT,51702,FOLEY CATH INSERT SIMPLE,388.0,,106.17,349.2,124
CPT,51703,CATH BLADDER CPLX,525.0,,128.87,472.5,260
CPT,51703,FOLEY CATH INSERT COMPLEX,721.0,,128.87,648.9,124
CPT,51705,CHG TUBE CYSTOSTOMY SMP,1019.0,,200.33,917.1,328
CPT,51710,CHANGE TUBE CYSTOSTOMY CPLX,3048.0,,250.0,2743.2,328
CPT,51715,ENDO INJ IMPL URETHRA/BLADDER,5789.0,,2315.6,5210.1,68
CPT,51720,BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT (INCLUDING RETENTION TIME),,,38.4,38.4,1
CPT,51720,INSTILL ANTICARCINOG BLADDER,1196.0,,478.4,1076.4,204
CPT,51725,CYSTOMETROGRAM/CMG SMP,1748.0,,200.33,1573.2,136
CPT,51726,CYSTOMETROGRAM/CMG CPLX,1605.0,,200.33,1444.5,272
CPT,51727,COMPLEX CYSTOMETROGRAM W/UP,1621.0,,549.78,1458.9,204
CPT,51728,CYSTOMETROGRAM W/VP,2188.0,,549.78,1969.2,272
CPT,51729,CYSTOMETROGRAM W/VP&UP,1704.0,,549.78,1533.6,272
CPT,51741,UROFLOWMETRY CPLX,648.0,,256.5,583.2,272
CPT,51784,EMG ANAL/URETHRAL SPHINCTER,949.0,,128.87,854.1,272
CPT,51785,EMG NDL ANAL/URETHRAL SPHINTER,1725.0,,200.33,1552.5,68
CPT,51797,STUDY VP INTRA-ABDOMINAL,1107.0,,186.0,996.3,224
CPT,51798,MEASURE POST-VOID URINE BY US,223.0,,48.93,200.7,940
CPT,51798,MEASURE POST-VOID URNIE BY US,223.0,,48.93,200.7,68
CPT,51798,ULTRASOUND RESIDUAL,223.0,,38.0,200.7,67
CPT,52000,CYSTOURETHROSCOPY,2648.0,,549.78,2383.2,328
CPT,52001,CYSTO W/IRRIG/EVAC CLOTS,4561.0,,1824.4,4245.81,136
CPT,52005,CYSTO W/CATHETERIZAT URETERAL,7238.0,,1687.31,6514.2,136
CPT,52204,CYSTO W/BIOPSY(S),5769.0,,1687.31,5192.1,136
CPT,52214,CYSTO W/FULGURATION,7167.0,,2840.83,6450.3,68
CPT,52224,CYSTO FULG LESN MINOR,5986.0,,2394.4,5387.4,136
CPT,52234,CYSTO FULG TUMR SMALL .5-2CM,7299.0,,2840.83,6569.1,136
CPT,52235,CYSTO GULG TUMR MEDIUM 2.-5CM,6756.0,,2702.4,6080.4,136
CPT,52240,CYSTO FULG TUMR LARGE >0.5CM,12792.0,,4187.25,11512.8,68
CPT,52281,CYSTO DILAT STRICTURE URETHRAL,4710.0,,1687.31,4239.0,136
CPT,52284,CYSTO W/DILAT RX CATH URETHRAL,12818.0,,4187.25,11536.2,68
CPT,52287,CYSTO W/INJ CHEMO BLADDER,4703.0,,1687.31,4232.7,272
CPT,52310,CYSTO W/REM FB SMP,4934.0,,1687.31,4440.6,272
CPT,52315,CYSTO W/REM FB/CAL/STENT COMP,8053.0,,1687.31,7247.7,136
CPT,52317,LITHOLAPAXY SMP,6811.0,,2724.4,6129.9,136
CPT,52318,LITHOLAPAXY CPLX >2.5CM,9055.0,,2840.83,8149.5,68
CPT,52332,CYSTO W/INDWELL STENT URETER,5783.0,,2313.2,5204.7,204
CPT,52351,CYSTO/PYELOSC DX,6555.0,,2622.0,5899.5,136
CPT,52356,CYSTO/PYELOSC INSERT STNT,19323.0,,4187.25,17390.7,68
CPT,53020,MEATOTOMY EXCEPT INFANT,4714.0,,1687.31,4242.6,136
CPT,53600,DIL URETH STRICT SOUND INITIAL,929.0,,200.33,836.1,68
CPT,53601,DIL URETH STRICT SOUND SUBS,346.0,,106.17,311.4,68
CPT,53620,DIL URETH STRICT FILIFORM INIT,4399.0,,549.78,3959.1,68
CPT,53621,DIL URETH STRICT FILIFORM SUBS,1369.0,,200.33,1232.1,68
CPT,53660,DIL URETHRA FEMALE INITIAL,277.0,,110.8,249.3,204
CPT,53661,DIL URETHRA FEMALE SUBSQ,370.0,,106.17,333.0,204
CPT,53854,TRURL DSTRJ PRST8 TISS RF WV,5243.0,,2097.2,4718.7,68
CPT,53899,ABLATION MICROWAVE RENAL PER,4024.0,,200.33,3621.6,68
CPT,53899,URINARY SYSTEM UNLSTD PROC,4966.0,,200.33,4469.4,68
CPT,54001,SLIT PREPUCE EXCEPT NEWBORN,4212.0,,1684.8,3790.8,136
CPT,54055,DEST LESN PENIS SMP ELECTRODES,3219.0,,1287.6,2897.1,68
CPT,54056,DEST LESN PENIS SMP CRYOSRUG,450.0,,163.67,405.0,204
CPT,54057,DEST LESN PENIS SMP LASER SURG,4529.0,,1506.69,4076.1,68
CPT,54060,DEST LESN PENIS SMP EXCISION,3936.0,,1506.69,3542.4,136
CPT,54065,DEST LESN PENIS EXTN,4496.0,,1506.69,4046.4,204
CPT,54100,BX PENIS,2290.0,,916.0,2061.0,544
CPT,54161,CIRCUM W/O CLAMP >28 DAYS OLD,4254.0,,1687.31,3828.6,136
CPT,54164,FRENULOTOMY PENIS,5041.0,,1687.31,4536.9,68
CPT,54200,INJ PENIS PEYRONIE DISEASE,536.0,,200.33,482.4,136
CPT,54220,IRRIG CORPORA CAVERNOSA,1073.0,,200.33,965.7,68
CPT,54235,INJ CORPORA CAVERNOSA W/VAS,660.0,,200.33,594.0,384
CPT,54440,PLASTIC OPERATION OF PENIS FOR INJURY,,,635.63,635.63,1
CPT,54505,BX TESTIS INCISIONAL,4269.0,,1707.6,4245.81,68
CPT,55000,PUNCT ASP HYDROCELE/TUNICA,1694.0,,579.53,1524.6,68
CPT,55100,DRAIN ABSC SCROTAL WALL,4352.0,,1334.55,3916.8,68
CPT,55120,REM FB SCROTUM,6554.0,,1687.31,5898.6,68
CPT,55150,RESECT SCROTUM,8637.0,,2840.83,7773.3,68
CPT,55250,VASECTOMY W/POSTOP SEMEN EXAM,5437.0,,1687.31,4893.3,68
CPT,55250,"VASECTOMY,W/POSTOP SEMEN EXAM",5437.0,,1687.31,4893.3,68
CPT,55700,BX PROSTATE NEEDLE/PUNCH,4433.0,,1687.31,3989.7,272
CPT,55705,BX PROSTATE INCISION,4599.0,,1839.6,4245.81,136
CPT,55870,ELECTROEJACULATION,1226.0,,490.4,1103.4,136
CPT,55874,TRNSPER PLC BIODEG MATRL PROST,13679.0,,4187.25,12311.1,204
CPT,55875,PLACE NDL/CATH PROSTATE,14171.0,,4187.25,12753.9,68
CPT,55876,PL DEV/MKR RAD THPY PROST 1/1+,3153.0,,1127.0,2837.7,204
CPT,55920,PL NDLE/CTH PLV/GNTL,10685.0,,4066.03,9616.5,68
CPT,56405,I&D ABSC VULVA/PERINEAL,1118.0,,250.55,1006.2,68
CPT,56501,DESTRUCT LESION VULVA SIMPLE,4511.0,,1506.69,4059.9,272
CPT,56515,DEST LESN VULVA EXTENSIVE,4757.0,,1506.69,4281.3,204
CPT,56605,BX LESN VULVA/PERINEUM ONE,1376.0,,550.4,1238.4,476
CPT,56606,BX LESN VULVA/PERINEUM EA ADDL,767.0,,306.8,690.3,112
CPT,56820,COLPOSCOPY VULVA,534.0,,165.7,480.6,68
CPT,57020,COLPOCENTESIS,1263.0,,505.2,1136.7,56
CPT,57100,BX MUCOSA VAGINAL SMP,2071.0,,717.2,1863.9,408
CPT,57150,IRRIG/APPL MEDICMENT VAGINA,285.0,,48.93,256.5,136
CPT,57155,INS UTERINE TNDM/VAGINAL OVOID,10581.0,,4066.03,9522.9,68
CPT,57156,INS VAG RAD AFLD APPARATUS,2415.0,,250.55,2173.5,68
CPT,57160,FITTING/INSERTION PESSARY,426.0,,165.7,383.4,204
CPT,57170,FITTING DIAPHRAGM/CERV CAP,395.0,,158.0,355.5,68
CPT,57287,REM/REV SLING STRESS INCONT,7745.0,,2618.9,6970.5,68
CPT,57295,REVISE PROST VAG GRAFT VAG APP,4377.0,,1750.8,3939.3,68
CPT,57420,COLPOSCOPY ENTIRE VAGINA,1180.0,,250.55,1062.0,204
CPT,57421,COLPOSCOPY W/BX ENTIRE VAGINA,1919.0,,717.2,1727.1,204
CPT,57452,COLPOSCOPY CERVIX/VAGINA,706.0,,165.7,635.4,136
CPT,57454,COLPOSCOPY W/BX&CURETTAGE,1261.0,,250.55,1134.9,204
CPT,57455,COLPOSCOPY W/BX CERVIX,1181.0,,250.55,1062.9,204
CPT,57456,COLPOSCOPY W/CURETTAGE,1163.0,,250.55,1046.7,204
CPT,57460,COLOPOSCOPY W/BX LOOP CERVIX,5657.0,,2262.8,5091.3,136
CPT,57500,BX/EXC CERVIX LOCAL,2299.0,,717.2,2069.1,272
CPT,57505,CURETTAGE ENDOCERVICAL,2174.0,,717.2,1956.6,136
CPT,57511,CAUT CERVIX CRYOCAUTERY,1268.0,,250.55,1141.2,68
CPT,57522,CONE CERVIX LOOP ELECTRODE EXC,6824.0,,2618.9,6141.6,136
CPT,57800,DIL CANAL CERVICAL INSTRUMENT,7327.0,,2618.9,6594.3,68
CPT,58100,BX ENDOMETRIAL SAMPLING W/O,649.0,,165.7,584.1,408
CPT,58100,"ENDOMETRIAL SAMPLING (BIOPSY) WITH OR WITHOUT ENDOCERVICAL SAMPLING (BIOPSY), WITHOUT CERVICAL DILATION, ANY METHOD (SEPARATE PROCEDURE)",,,111.0,111.0,1
CPT,58300,INS INTRAUTERINE DEVICE,768.0,,94.61,691.2,228
CPT,58300,INSERTION OF INTRAUTERINE DEVICE (IUD),,,94.61,119.0,2
CPT,58301,REM DVC INTRAUTERINE,763.0,,250.55,686.7,204
CPT,58340,CATH/INTRO SALINE/CONTRAST SIS,736.0,,294.4,662.4,280
CPT,58345,CATH INTRO FALLOPIAN TUBE RT,2147.0,,858.8,1932.3,56
CPT,58345,INS CATH TRNS FALLOPEN DX,5401.0,,2160.4,4860.9,68
CPT,58974,"EMBRYO TRANSFER, INTRAUTERINE",,,122.79,122.79,1
CPT,58999,ECLIPSE TRIAL INSERTION,499.0,,165.7,449.1,68
CPT,59000,AMNIOCENTESIS,510.0,,255.0,1071.91,68
CPT,59020,FETAL CONTRACTION STRESS TEST,900.0,,84.0,810.0,204
CPT,59020,OXYTOCIN CHALLENGE TEST,834.0,,84.0,750.6,68
CPT,59025,FETAL NON-STRESS TEST,292.0,,67.0,262.8,204
CPT,59200,INSERT DILATOR CERVICAL,1250.0,,250.55,1125.0,68
CPT,59412,"EXTERNAL CEPHALIC VERSION, WITH OR WITHOUT TOCOLYSIS",,,73.5,73.5,1
CPT,59840,"INDUCED ABORTION, BY DILATION AND CURETTAGE",,,218.63,218.63,1
CPT,59841,"INDUCED ABORTION, BY DILATION AND EVACUATION",,,374.67,374.67,1
CPT,60100,BIOPSY THYROID NEEDLE PERC,1267.0,,506.8,1140.3,396
CPT,60300,ASP/INJ CYST THYROID,2757.0,,579.53,2481.3,68
CPT,60660,ABLAT 1+THYROID NODULE 1 LOBE,3508.0,,1334.55,3157.2,68
CPT,60661,ABLAT 1+THY NODULE ADDLLOBE,3508.0,,1403.2,3157.2,56
CPT,60699,ABLATION OF ADRENAL LESION,6615.0,,2646.0,7182.31,68
CPT,60699,ABLATION OF ADRENAL MASS,7781.0,,3112.4,7182.31,68
CPT,61050,C-1/C-2 PUNCTURE,1615.0,,243.14,1453.5,124
CPT,61050,PUNCTURE CISTERNAL/LATERAL,1615.0,,646.0,1453.5,56
CPT,61055,C-1/C-2 PUNCTURE W/INJECT,2134.0,,243.14,1920.6,192
CPT,61055,PUNCTURE CISTERNAL/LATERAL,2134.0,,243.14,1920.6,124
CPT,61070,PUNCT ASP/INJ SHUNT TUBE,1939.0,,570.41,1745.1,612
CPT,61107,PUNCT VENTRIC CATH SUBDUR,3472.0,,1388.8,3124.8,56
CPT,61210,IMPL VENT CATH/ICP/ELECT,6172.0,,2468.8,5554.8,56
CPT,61623,ENDOVASC TEMPORARY VESSEL OCCL,9364.0,,3745.6,13960.66,68
CPT,61623,ENDOVASC TEMPORY VESSEL OCCL R,11326.0,,4530.4,13960.66,68
CPT,61624,TRANSCATH EMBOLIZ CNS PERC,7078.0,,2831.2,6370.2,56
CPT,61626,TRANSCATH EMBOLIZ NONCNS PERC,8761.0,,3504.4,13960.66,68
CPT,61630,BALLOON ANGIO INTRACRANIAL,6036.0,,1197.37,5432.4,57
CPT,61635,CATH PLCMT INTRAVASC STENT,27372.0,,1310.32,24634.8,57
CPT,61635,PLACE STENT INTRACRAN/INTRAVAS,22631.0,,1310.32,20367.9,57
CPT,61640,PERC DILAT INTRACR VASO INIT,16518.0,,407.86,14866.2,57
CPT,61641,PERCU DILAT INTRACR VASO ADD,12892.0,,143.23,11602.8,57
CPT,61642,PERC DILAT INTRACR VASO AODVF,14772.0,,286.46,13294.8,57
CPT,61645,PERQ ART TRANSLUM THROBEC LT,24422.0,,9768.8,21979.8,56
CPT,61645,PERQ ART TRANSLUM THROBEC RT,24422.0,,9768.8,21979.8,56
CPT,61645,PERQ ART TRANSLUM THROMBEC,24422.0,,9768.8,21979.8,56
CPT,61645,PERQ ART TRANSLUM THROMBEC BI,30286.0,,12114.4,27257.4,112
CPT,61645,PERQ ART TRANSLUM THROMBEC LT,24422.0,,9768.8,21979.8,56
CPT,61645,PERQ ART TRANSLUM THROMBEC RT,24422.0,,9768.8,21979.8,56
CPT,61650,ENDOVASC INTRACRAN ADM RX 1ST,8688.0,,3475.2,7819.2,112
CPT,61651,ENDOVASC INTR ADM RX ADD,4268.0,,1707.2,3841.2,112
CPT,61863,CRANIO NEUROELEC W/O 1ST ARRAY,0.01,,0.005,0.009,56
CPT,61864,CRANIO NEUROELEC W/O ADD ARRAY,0.01,,0.005,0.009,56
CPT,62230,REPL/REV SHUNT CSF VALVE/CATH,16673.0,,5274.88,15005.7,68
CPT,62252,REPROGRAM SHUNT CSF,983.0,,247.03,884.7,204
CPT,62267,ASP CYST INVERT DISC/PARAVERT,1708.0,,579.53,1537.2,68
CPT,62268,DRAIN SPINAL CORD CYST,1985.0,,733.31,1786.5,192
CPT,62269,BX SPINAL CORD NEEDLE PERC,1650.0,,660.0,1994.58,68
CPT,62270,LUMBAR PUNCTURE DIAGNOSTIC,1807.0,,570.41,1626.3,1200
CPT,62270,"SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC;",,,120.0,120.0,1
CPT,62272,LUMBAR PUNCTURE DRAIN CSF,1936.0,,570.41,1742.4,204
CPT,62273,INJ EPIDURAL BLOOD/CLOT PATCH,2520.0,,570.41,2268.0,461
CPT,62281,INJ NEUROLYTIC CERV/THOR,2669.0,,733.31,2402.1,68
CPT,62282,INJ NEUROLYTIC LUMB/CAUD,2950.0,,733.31,2655.0,136
CPT,62284,INJECTION PROC/MYELOGM/CT,1908.0,,763.2,1717.2,224
CPT,62284,INJECTION PROC/MYELOGRAM/CT,1908.0,,763.2,1717.2,56
CPT,62290,INJ DISKOGRAM LUMBAR EA LVL,2020.0,,808.0,1818.0,56
CPT,62290,INJ PROC DISKGRAPHY EA LEV-LUM,2020.0,,808.0,1818.0,56
CPT,62290,INJECT DISKOGRAPHY LUMBAR,1122.0,,448.8,1009.8,56
CPT,62302,MYELO LUMBAR INJ CERVICAL,5136.0,,650.75,4622.4,136
CPT,62303,MYELO LUMBAR INJ THORACIC,4416.0,,650.75,3974.4,136
CPT,62304,MYELO LUMBAR INJ LUMBOSACRAL,4521.0,,650.75,4068.9,204
CPT,62305,INJ MYEL LUMBAR > 1 INCL,5051.0,,650.75,4545.9,136
CPT,62305,INJ MYEL LUMBAR >1 INCL,5051.0,,650.75,4545.9,68
CPT,62320,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,272
CPT,62321,NJX INTERLAMINAR CRV/THRC,2603.0,,570.41,2342.7,340
CPT,62322,NJX INTERLAMINAR LMBR/SAC,2539.0,,733.31,2285.1,340
CPT,62323,INJ EPIDRL SUBARAC L/S W/IMG,2539.0,,570.41,2285.1,272
CPT,62323,NJX INTERLAMINAR LMBR/SAC,2539.0,,570.41,2285.1,136
CPT,62324,NJX INTERLAMINAR CRV/THRC,2603.0,,733.31,2342.7,68
CPT,62325,INJ PLACE CATH EPID C/T W/,1874.0,,733.31,1686.6,68
CPT,62326,INJ PLACE CATH EPI LUM/SAC W/O,1600.0,,640.0,1440.0,136
CPT,62327,INJ PLACE CATH EPI LUM/SAC W/,2023.0,,733.31,1820.7,136
CPT,62328,SPINAL PUNCT LUM DX W/FLUOR/CT,2992.0,,570.41,2692.8,268
CPT,62329,SPINAL PUNCT LUM TX W/FLUOR/CT,2992.0,,570.41,2692.8,269
CPT,62350,IMPL/REV CATH EPIDURAL,8475.0,,3390.0,7883.65,136
CPT,62367,ANLYS PUMP PAIN W/O REPROGRAM,947.0,,247.03,852.3,136
CPT,62368,ANLYS PAIN PUMP W/PROG,957.0,,247.03,861.3,272
CPT,62370,ANLYS PAIN PMP W/PROG/REFILL,1002.0,,247.03,901.8,68
CPT,62370,ANLYS PAIN PUMP W/PROG/REFILL,1002.0,,247.03,901.8,68
CPT,62380,NDSC DCMP 1 SPC LUMB,15313.0,,5884.12,13781.7,68
CPT,63044,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC, REEXPLORATION, SINGLE INTERSPACE; EACH ",,,297.41,297.41,1
CPT,63650,IMPL ELECT EPIDURAL PERC,15124.0,,5405.7,13611.6,68
CPT,63655,LAM IMPL ELECT NEUROSTIM EPID,25306.0,,10122.4,26398.85,68
CPT,63661,REMOVE SPINE ELTRD PERQ ARAY,7503.0,,1608.45,6752.7,68
CPT,63685,INSRT/PL NEUROSTIM GEN SPINAL,44739.0,,17895.6,40265.1,68
CPT,64400,INJ ANES NERVE TRIGEMINAL,1162.0,,243.14,1045.8,340
CPT,64405,INJ ANES NRV GREAT OCCIP BILAT,2591.0,,1295.5,2331.9,56
CPT,64405,INJ ANES NRV GREAT OCCIPITAL,1727.0,,243.14,1554.3,612
CPT,64408,INJ ANES/STER VAGUS,804.0,,243.14,723.6,68
CPT,64415,INJ ANES BRACHIAL PLEXUS SGL,1466.0,,586.4,1319.4,272
CPT,64416,INJ ANES/STER BRACH PLEX,2568.0,,733.31,2311.2,68
CPT,64417,INJ ANES/STER NRV AXILLARY,2233.0,,733.31,2009.7,136
CPT,64418,INJ ANES NERVE SUPRASCAPULAR,1208.0,,483.2,1087.2,384
CPT,64420,INJ ANES NERVE INTERCOSTAL BIL,2278.0,,1139.0,2050.2,56
CPT,64420,INJ ANES NERVE INTERCOSTAL SGL,1519.0,,570.41,1367.1,476
CPT,64421,INJ ANES/STER INTRCSTL ADDL,2456.0,,733.31,2210.4,340
CPT,64425,INJ ANES NERVE ILIOINGUIN/GAST,8183.0,,570.41,7364.7,203
CPT,64425,INJ ANES/STER ILIOING/GAST BI,12275.0,,6137.5,11047.5,55
CPT,64430,INJ ANES NERVE PUDENDAL,1409.0,,563.6,1268.1,316
CPT,64430,INJ ANES NERVE PUDENDAL BI,2113.0,,845.2,1901.7,56
CPT,64430,INJ ANES NERVE PUDENDAL LT,1409.0,,563.6,1268.1,56
CPT,64430,INJ ANES NERVE PUDENDAL RT,1409.0,,563.6,1268.1,56
CPT,64445,INJ ANES NERVE SCIATIC SGL,2008.0,,570.41,1893.6,384
CPT,64447,INJ ANES NERVE FEMORAL SGL,1818.0,,570.41,1636.2,272
CPT,64447,INJ ANES/STER NERVE FEM,2053.0,,570.41,1847.7,68
CPT,64450,INJ ANES NERVE PERIPHERAL,1592.0,,570.41,1432.8,1200
CPT,64451,INJ AA&/STRD NRV NRVTG SI JT,1592.0,,570.41,1432.8,68
CPT,64451,INJ ANES/STEROID NERVE SI JNT,1704.0,,570.41,1533.6,68
CPT,64454,INJ AA&/STRD GNCLR NRV BRNCH,1837.0,,570.41,1653.3,204
CPT,64455,INJ ANES/STEROID NERVE PLANTAR,685.0,,243.14,616.5,588
CPT,64461,PVB THORACIC SINGLE INJ,1832.0,,570.41,1648.8,136
CPT,64462,PVB THORACIC ADDL INJ,1059.0,,423.6,953.1,112
CPT,64463,PVB THORACIC INFUSION,1832.0,,570.41,1648.8,204
CPT,64479,INJ EPIDURAL CERV/THOR SGL,3153.0,,733.31,2837.7,328
CPT,64479,INJ EPIDURAL CERV/THOR SGL BI,4095.0,,1638.0,3685.5,56
CPT,64480,INJ EPIDURAL CERV/THOR ADD,1920.0,,768.0,1728.0,112
CPT,64483,INJ EPIDURAL LUMBAR/SACRAL SGL,3496.0,,733.31,3146.4,532
CPT,64484,INJ EPIDURAL LUMBAR SACRAL ADD,2373.0,,949.2,2135.7,56
CPT,64484,INJ EPIDURAL LUMBAR/SACRAL ADD,1996.0,,798.4,1796.4,224
CPT,64486,INJ TAP BLOCK UNIL ABDOMINAL,2918.0,,1167.2,2626.2,112
CPT,64488,INJ TAP BLOCK BILAT ABDOMINAL,3981.0,,1592.4,3582.9,112
CPT,64490,INJ ANES/STER CERV/THOR SGL,2901.0,,733.31,2610.9,192
CPT,64490,INJ ANES/STER CERV/THOR SGL BI,4353.0,,1741.2,3917.7,168
CPT,64490,INJ PARAVERT F JNT C/T 1 LVL,2441.0,,733.31,2196.9,68
CPT,64491,INJ PARAVERT F JNT C/T 2ND BI,2155.0,,862.0,1939.5,56
CPT,64491,INJ PARAVERT F JNT C/T 2ND LVL,1705.0,,682.0,1534.5,280
CPT,64492,INJ PARAVERT F JNT C/T 3RD BI,2683.0,,1073.2,2414.7,56
CPT,64492,INJ PARAVERT F JNT C/T 3RD LVL,2127.0,,850.8,1914.3,280
CPT,64493,INJ ANES/STER LUMB/SACR SGL,3356.0,,733.31,3020.4,260
CPT,64493,INJ ANES/STER LUMB/SACR SGL BI,4661.0,,1864.4,4194.9,224
CPT,64493,INJ LUMBAR/SACRAL SGL LEVEL,2615.0,,733.31,2353.5,68
CPT,64494,INJ PARAVERT F JNT L/S 2ND BI,3072.0,,1228.8,2764.8,112
CPT,64494,INJ PARAVERT F JNT L/S 2ND LVL,2047.0,,818.8,1842.3,336
CPT,64495,INJ PARAVERT F JNT L/S 3RD BI,2756.0,,1102.4,2480.4,56
CPT,64495,INJ PARAVERT F JNT L/S 3RD LVL,1986.0,,794.4,1787.4,280
CPT,64505,INJ ANES GANGLION SPHENOPALAT,1542.0,,243.14,1387.8,272
CPT,64510,INJ ANES GANGLION STELLATE,2504.0,,733.31,2253.6,68
CPT,64517,INJ ANES HYPOGASTRIC PLEXUS,2931.0,,733.31,2637.9,136
CPT,64520,INJ ANES LUMBAR/THORACIC,3156.0,,733.31,2840.4,136
CPT,64530,INJ ANES CELIAC PLEXUS,2894.0,,733.31,2604.6,260
CPT,64555,IMPL ELECT PERIPHERAL PERC,11576.0,,4630.4,10418.4,136
CPT,64566,PST TIBL NEUROSTIMULATION 1 TX,580.0,,232.0,522.0,136
CPT,64568,INC IMPLT CRNL NRS NSTIM,86115.0,,25100.37,77503.5,68
CPT,64568,INC IMPLT CRNL NRS NSTIM ELTRD,12775.0,,6387.5,37514.14,68
CPT,64600,DEST NRV TRIGEMINAL,2364.0,,733.31,2127.6,68
CPT,64611,CHEMODENERV SALIV GLANDS BILAT,1051.0,,243.14,945.9,272
CPT,64612,CHEM/DEST NRV MUSCLE FACIAL,1215.0,,243.14,1093.5,476
CPT,64615,CHEMDNR NRV MUSCLE FACIAL TRIG,1409.0,,243.14,1268.1,408
CPT,64615,"CHEMODENERVATION OF MUSCLE(S); MUSCLE(S) INNERVATED BY FACIAL, TRIGEMINAL, CERVICAL SPINAL AND ACCESSORY NERVES, BILATERAL (EG, FOR CHRONIC MIGRAINE)",,,144.65,144.65,1
CPT,64616,CHEMODENERV MUSC NECK DYSTON,1491.0,,243.14,1341.9,272
CPT,64617,CHEMODENERV MUSCLE LARYNX UNIL,1268.0,,507.2,1141.2,136
CPT,64620,DEST NRV INTERCOSTAL,2738.0,,733.31,2464.2,272
CPT,64624,DSTRJ NULYT AGT GNCLR NRV,3782.0,,1512.8,3403.8,68
CPT,64625,RF ABLATION SI JOINT NERVES,6110.0,,1608.45,5499.0,136
CPT,64628,THERMAL DESTRUCT INTRAOSS BVN,35415.0,,10598.09,31873.5,136
CPT,64629,THERMAL DEST INTRAOSS BVN ADDL,17709.0,,7083.6,15938.1,56
CPT,64629,THERMAL DIST INTRAOSS BVN ADDL,17709.0,,7083.6,15938.1,56
CPT,64630,DEST NRV PUDENDAL,1980.0,,733.31,1782.0,68
CPT,64632,DEST NRV PLANTAR DIGITAL,761.0,,243.14,684.9,68
CPT,64633,DEST NRV CERV/THOR SGL,4883.0,,1608.45,4771.8,124
CPT,64634,DEST NRV CERV/THOR SGL EA ADD,3209.0,,1283.6,2888.1,112
CPT,64634,DEST NRV CERV/THR SGL EA ADD,3209.0,,1283.6,2888.1,56
CPT,64635,DEST NRV LUMB/SACR SGL,5533.0,,1608.45,4979.7,260
CPT,64636,DEST NRV LUMB/SACR EA ADD,3782.0,,1512.8,3403.8,168
CPT,64640,DEST NRV PERIPHERAL,2842.0,,733.31,2557.8,204
CPT,64642,CHEMODENERV 1 EXTREM 1-4 MUSC,1365.0,,546.0,1228.5,68
CPT,64642,CHEMODENERV 1EXTREM 1-4 MUSC,1365.0,,546.0,1228.5,68
CPT,64643,CHEMODENERV  ADD EXTREM 1-4,1365.0,,546.0,1228.5,56
CPT,64643,CHEMODENERV ADD EXT 1-4,1365.0,,546.0,1228.5,56
CPT,64644,CHEMODENERV 1 EXTREM 5/> MUSC,1365.0,,546.0,1228.5,136
CPT,64645,CHEMODENERV ADD EXTREM 5/>,1263.0,,505.2,1136.7,112
CPT,64646,CHEMODENERV OF TRUNK 1-5 MUSCL,2654.0,,570.41,2388.6,136
CPT,64646,CHEMODENERV TRUNK MUSC 1-5,2654.0,,570.41,2388.6,68
CPT,64647,CHEMODENERV TRUNK MUSC 5/>,1365.0,,546.0,1228.5,68
CPT,64650,CHEMODENERVATION ECC GLND BOTH,735.0,,243.14,661.5,340
CPT,64653,CHEMODENERVATION ECC GLND O/A,1026.0,,243.14,923.4,272
CPT,64680,DEST NRV CELIAC PLEXUS,4642.0,,733.31,4177.8,204
CPT,64681,DEST NRV HYPOGASTRIC PLEXUS,4777.0,,733.31,4299.3,68
CPT,64716,NEUROPLASTY CRANIAL NRV,5281.0,,1608.45,4752.9,68
CPT,64721,NEUROPLASTY CARPAL TUNNEL,5522.0,,1608.45,4969.8,136
CPT,64776,EXC NEUROMA NRV DIGIT 1/BOTH,4783.0,,1608.45,4304.7,136
CPT,64788,EXC NEUROFIBROMA CUTAN,4743.0,,1608.45,4268.7,192
CPT,64790,EXC NEUROFIBR PERIPHERAL,4227.0,,1608.45,3804.3,68
CPT,64792,EXC NEUROFIBR EXTENSIVE,13862.0,,5274.88,12475.8,136
CPT,64795,BIOPSY OF NERVE,5510.0,,1608.45,4959.0,136
CPT,64831,SUT NERVE DIGIT HAND/FOOT 1,4783.0,,1608.45,4304.7,136
CPT,64912,"NERVE REPAIR; WITH NERVE ALLOGRAFT, EACH NERVE, FIRST STRAND (CABLE)",,,738.09,738.09,1
CPT,64999,ABLATION OCCIPITAL NERVE RF,1416.0,,243.14,1274.4,136
CPT,64999,CHEMODENERV OF SOFT PALATE,1294.0,,243.14,1164.6,68
CPT,64999,CRYOABLAT NECK OR THORAX TUMOR,2842.0,,243.14,2557.8,68
CPT,64999,DENERV OF SOFT PALATE,1294.0,,243.14,1164.6,68
CPT,64999,EMBOL NRV ROOT W/N-BCA W/CT,4475.0,,243.14,4027.5,134
CPT,64999,ERECTOR SPINAE PLANE BLOCK,671.0,,243.14,603.9,68
CPT,64999,GANGLION IMPAR BLOCK,1841.0,,243.14,2637.9,136
CPT,64999,GANGLION IMPAR BLOCK WALTHER,762.0,,243.14,685.8,68
CPT,64999,INFRAPETALR NRV PULSE RF ABLAT,855.0,,243.14,769.5,68
CPT,64999,INJ ANES AGENT CERVICAL PLEXUS,764.0,,243.14,687.6,68
CPT,64999,INJ BOTOX HND/FT/UNSPEC OTHER,752.0,,243.14,676.8,136
CPT,64999,INJ DIAG/THERPEUTIC SUBSTANCE,2672.0,,243.14,2404.8,67
CPT,64999,IR RT PHRENIC NERVE BLOCK,965.0,,243.14,868.5,68
CPT,64999,NERVOUS SYS UNLSTD PROC-ENDO,679.0,,243.14,611.1,68
CPT,64999,NERVOUS SYSTEM UNLSTD PROC-HPC,4616.0,,243.14,4154.4,68
CPT,64999,NERVOUS SYSTEM UNLSTD PROC-TDR,4616.0,,243.14,4154.4,68
CPT,64999,QUADRATUS LUMBORUM BLOCK,764.0,,243.14,687.6,68
CPT,64999,RENAL HILAR BLOCK,1519.0,,243.14,1367.1,136
CPT,64999,SYNOVIAL CYST ASPIR/RUPTURE,2539.0,,243.14,2285.1,68
CPT,64999,THORACIC EMBOL USING BCA GLUE,5732.0,,243.14,5158.8,68
CPT,64999,TRANSCATH PLMT INTRAVASC STENT,22631.0,,243.14,20367.9,68
CPT,67345,CHEMODENERVATION MUSLE XOCULAR,1000.0,,246.22,900.0,68
CPT,67810,BX EYELID W/MARGIN,1878.0,,246.22,1690.2,272
CPT,67850,DEST LESN LID MARGIN,2058.0,,797.76,1852.2,68
CPT,67914,RPR ECTROPION SUTURE,5565.0,,1921.6,5008.5,68
CPT,68850,INJ CONTRAST DACRYOCYST,449.0,,179.6,404.1,56
CPT,69000,DRAIN ABSC/HEMA EAR EXT SMP,648.0,,259.2,866.14,68
CPT,69100,BX EAR EXTERNAL,1212.0,,191.28,1090.8,340
CPT,69105,BX CANAL AUDITORY EXTERNAL,3886.0,,1220.09,3497.4,68
CPT,69110,EXC EAR EXT PARTIAL/SMP,4268.0,,1707.2,3841.2,68
CPT,69145,EXC LESN CANAL AUD EXT,4471.0,,1788.4,4023.9,68
CPT,69200,REM FB CANAL AUD EXT W/O ANES,335.0,,106.17,301.5,272
CPT,69209,CERUMEN REMOVAL BY IRRIGATION,908.0,,48.93,817.2,124
CPT,69209,REMOVE CERUMEN IMPACTED IRRIG,167.0,,48.93,150.3,340
CPT,69210,REMOVE CERUMEN IMPACTED UNILAT,87.0,,34.8,78.3,816
CPT,69220,DEBR MASTOID CAVITY SMP,409.0,,163.6,368.1,68
CPT,69222,DEBR MASTOID CAVITY CPLX,1809.0,,419.46,1628.1,68
CPT,69300,OTOPLASTY EAR PROTRUDING,3266.0,,1306.4,3992.34,68
CPT,69300,"OTOPLASTY, PROTRUDING EAR, WITH OR WITHOUT SIZE REDUCTION",,,567.68,567.68,1
CPT,69420,MYRINGOT W/INFL EUST TUBE,1558.0,,191.28,1402.2,136
CPT,69424,REM TUBE VENT W/ANES,3454.0,,1381.6,3992.34,68
CPT,69433,TYMPANOSTOMY W/ANES LOCAL,2142.0,,419.46,1927.8,136
CPT,69610,RPR MEMBRANE TYMPANIC,6276.0,,1220.09,5648.4,136
CPT,69801,LABYRINTHOTOMY TRANSCANAL,4771.0,,1220.09,4293.9,68
CPT,69990,"MICROSURGICAL TECHNIQUES, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,190.68,190.68,1
CPT,70100,MANDIBLE 1-3 VIEWS,654.0,,27.0,588.6,192
CPT,70100,XR MANDIBLE 1-3 VIEWS,654.0,,27.0,588.6,136
CPT,70110,XR MANDIBLE MIN 4 VIEWS,878.0,,37.0,790.2,328
CPT,70120,MASTOIDS 1-2 VIEWS/SIDE,433.0,,26.0,389.7,124
CPT,70120,XR MASTOIDS <3V,433.0,,26.0,389.7,68
CPT,70130,MASTOIDS MIN 3 VIEWS/SIDE,641.0,,22.0,576.9,192
CPT,70134,INTERNAL AUDITORY MEATI,641.0,,43.0,1426.8,124
CPT,70140,FACIAL BONES 1 OR 2 VIEWS,510.0,,11.0,459.0,68
CPT,70140,XR FACIAL BONES 1 OR 2 VIEWS,472.0,,11.0,424.8,124
CPT,70150,FACIAL BONES MIN 3 VIEWS,794.0,,35.0,714.6,136
CPT,70150,XR FACIAL BONES MIN 3 VIEWS,736.0,,35.0,662.4,192
CPT,70160,XR NASAL CMPL 3+V,760.0,,16.0,684.0,328
CPT,70170,DACRYOCYSTOGRAM NASOLACRIMINAL,581.0,,49.91,629.0,261
CPT,70200,XR ORBITS MIN 4 VIEWS,786.0,,28.0,707.4,260
CPT,70210,XR SINUSES <3V,560.0,,22.0,504.0,396
CPT,70220,XR PARANASAL SINUS MIN 3 VWS,996.0,,37.0,896.4,328
CPT,70250,XR SKULL 1-3 VIEWS,857.0,,28.0,771.3,328
CPT,70260,XR SKULL MIN 4 VIEWS,1132.0,,45.0,1018.8,260
CPT,70300,XR TEETH 1 VIEW,222.0,,21.0,229.12,68
CPT,70328,TEMPOROMANDIBLE JOINT UNI LT,516.0,,27.0,464.4,224
CPT,70328,TEMPOROMANDIBLE JOINT UNI RT,516.0,,27.0,464.4,224
CPT,70330,TEMPOROMANDIBLE JOINT BIL,645.0,,33.0,580.5,68
CPT,70330,XR TEMPOROMANDIBLE JOINT BIL,596.0,,33.0,536.4,192
CPT,70336,MRI TMJ UNILAT OR BILAT,4026.0,,199.1,3623.4,260
CPT,70350,XR CEPHALOGRAM ORTHODONTIC,385.0,,51.0,346.5,68
CPT,70355,XR ORTHOPANTOGRAM PANORAMIC,509.0,,9.0,458.1,272
CPT,70360,NECK SOFT TISSUE,649.0,,19.0,584.1,328
CPT,70450,CT HEAD W/O CON-P STDY,2600.0,,133.0,2340.0,168
CPT,70450,CT HEAD/BRAIN WO/CONTRAST,2704.0,,87.59,2433.6,396
CPT,70460,CT HEAD/BRAIN W/CONTRAST,5817.0,,146.63,5235.3,260
CPT,70470,CT HEAD/BRAIN W&W/O CONTRAST,7136.0,,146.63,6422.4,192
CPT,70470,CT HEAD/BRAIN W&W/O CONTRAT,7136.0,,146.63,6422.4,68
CPT,70480,CT FOS/SEL/EAR W/O CONTRAST,4597.0,,87.59,4137.3,192
CPT,70480,"CT ORB,SEL.PFOS,IAC WO CONTRA",4966.0,,87.59,4469.4,68
CPT,70481,CT FOS/SEL/EAR W/CONTRAST,5342.0,,146.63,4807.8,192
CPT,70481,"CT ORB,SEL,PFOS,IAC,W/CONTRA",5768.0,,146.63,5191.2,68
CPT,70482,CT FOS/SEL/EAR W&W/O CONTRAST,4059.0,,146.63,3653.1,192
CPT,70482,"CT ORB,SEL,PFOS,IAC WO FOL W/C",5832.0,,146.63,5248.8,68
CPT,70486,CT MAX/FACIAL W/O CON-P STDY,3201.0,,129.0,2880.9,168
CPT,70486,CT MAX/FACIAL W/O CONTRAST,4337.0,,87.59,3903.3,260
CPT,70486,CT MAXILLOFACIAL WO/CONTR,4685.0,,87.59,4216.5,68
CPT,70487,CT MAX/FACIAL W/CONTRAST,4107.0,,146.63,3696.3,124
CPT,70487,CT MAX/FACIAL W/CONTRAST 01,5567.0,,146.63,5010.3,136
CPT,70488,CT MAX/FACIAL W&W/O CONTRAST,5734.0,,146.63,5160.6,192
CPT,70488,CT MAXILLOFACIAL WO/FOL W,6193.0,,146.63,5573.7,68
CPT,70490,CT NECK W/O CONTRAST,4131.0,,87.59,3717.9,328
CPT,70491,CT NECK SFT TSU W/CONTR,2808.0,,146.63,2527.2,68
CPT,70491,CT NECK W/CONTRAST,2808.0,,146.63,2527.2,328
CPT,70492,CT NECK SFT TSU W/O FOL W,5523.0,,146.63,4970.7,68
CPT,70492,CT NECK W&W/O CONTRAST,5114.0,,146.63,4602.6,192
CPT,70496,CTA HEAD W&W/O CONTRAST,6311.0,,146.63,5679.9,260
CPT,70496,CTA HEAD-P STDY,1935.0,,186.5,1741.5,224
CPT,70498,CTA NECK W&W/O CONTRAST,6778.0,,146.63,6100.2,260
CPT,70498,CTA NECK-P STDY,1581.0,,357.1,1422.9,168
CPT,70540,MRI ORBIT/FACE/NECK W/O CON,8507.0,,199.1,7656.3,260
CPT,70542,MRI ORBIT/FACE/NECK W/CONTRAST,3789.0,,294.16,3410.1,260
CPT,70543,MRI ORBIT FACE & NECK WO/FOL/W,8507.0,,294.16,7656.3,260
CPT,70544,MRA HEAD W/O CONTRAST,2380.0,,199.1,2142.0,260
CPT,70544,MRA HEAD W/O CONTRAST-P STDY,655.0,,327.5,629.0,56
CPT,70544,MRA HEAD W/O CONTRAST-XS MOD,2380.0,,199.1,2142.0,68
CPT,70545,MRA HEAD W/CONTRAST,5184.0,,294.16,4665.6,192
CPT,70546,MR ANGIO HEAD-P STDY,1789.0,,497.0,1610.1,224
CPT,70546,MRA HEAD W&W/O CONTRAST,7015.0,,294.16,6313.5,260
CPT,70547,MRA NECK W/O CONTRAST,4858.0,,199.1,4372.2,260
CPT,70548,MRA NECK W/CONTRAST,5172.0,,294.16,4654.8,136
CPT,70549,MR ANGIO NECK-P STDY,3028.0,,472.0,2725.2,224
CPT,70549,MRA NECK WO/FOL/W CONTRAST,3028.0,,294.16,2725.2,260
CPT,70551,MRI BRAIN W/O CON,3894.0,,199.1,3504.6,192
CPT,70551,MRI BRAIN W/O CON-P STDY,3894.0,,300.0,3504.6,224
CPT,70551,MRI BRAIN W/O CONTRAST,3894.0,,199.1,3504.6,68
CPT,70551,MRI BRAIN WO/CONTRAST,3894.0,,199.1,3504.6,68
CPT,70551,"MRI, BRAIN, W/O CONTRAST",3894.0,,199.1,3504.6,68
CPT,70552,MRI BRAIN W/CONTRAST,7992.0,,294.16,7192.8,328
CPT,70553,MRI BRAIN W&W/O CON,5949.0,,294.16,5354.1,192
CPT,70553,MRI BRAIN WO/FOL W/CONT,5949.0,,294.16,5354.1,68
CPT,70553,"MRI, BRAIN, W/O & W CONTRAST",5949.0,,294.16,5354.1,68
CPT,70554,FUNCTIONAL MRI BRAIN TECH,5325.0,,199.1,4792.5,272
CPT,71045,CHEST X-RAY 1 V FRONTAL IN OR,526.0,,13.97,473.4,68
CPT,71045,CHEST X-RAY 1 VIEW FRONTAL,526.0,,13.97,473.4,668
CPT,71045,PRE-EMPLOYMENT CHEST X-RAY,62.0,,13.97,229.12,136
CPT,71046,CHEST X-RAY 2VW FRONTAL&LATL,674.0,,12.06,606.6,1076
CPT,71046,CHEST X-RAY INTERNATIONAL PAT,74.0,,12.06,229.12,68
CPT,71047,CHEST X-RAY 3 VIEWS,686.0,,72.52,617.4,260
CPT,71048,CHEST X-RAY 4/+ VIEWS,698.0,,87.59,628.2,124
CPT,71048,CHEST X-RAY 4/> VIEWS,698.0,,87.59,628.2,136
CPT,71100,XR RIBS 2V UNI,742.0,,33.0,667.8,68
CPT,71100,XR RIBS 2V UNI LT,742.0,,33.0,667.8,280
CPT,71100,XR RIBS 2V UNI RT,742.0,,33.0,667.8,280
CPT,71101,XR RIBS W/CXR 3+V UNI,897.0,,34.0,807.3,136
CPT,71110,XR RIBS 3 VIEWS BILAT,918.0,,37.0,826.2,328
CPT,71120,XR STERNUM 2+ VIEWS,739.0,,32.0,665.1,260
CPT,71130,XR STERNOCLAVIC JT 3+VIEWS,739.0,,37.0,665.1,260
CPT,71250,CT ASBESTOS KEAHEY LAW FIRM,3185.0,,87.59,2866.5,68
CPT,71250,CT CHEST W/O CON-P STDY,2596.0,,150.0,2336.4,112
CPT,71250,CT THORACIC WO/CONTRAST,2596.0,,87.59,2336.4,68
CPT,71250,CT THORAX W/O CONTRAST,2596.0,,87.59,2336.4,192
CPT,71250,CT THORAX W/O CONTRAST-P STDY,2596.0,,150.0,2336.4,112
CPT,71260,CT CHEST W/CON-P STDY,3245.0,,177.0,2920.5,224
CPT,71260,CT THORACIC W/CONTRAST,3245.0,,146.63,2920.5,68
CPT,71260,CT THORAX W/CONTRAST,3245.0,,146.63,2920.5,192
CPT,71270,CT THORACIC WO/FOL W/CON,6647.0,,146.63,5982.3,260
CPT,71271,CT THORAX LUNG CA SCR W/O CONT,362.0,,87.59,325.8,272
CPT,71275,CT ANGIO CHEST WO/FOL/W,2271.0,,146.63,2043.9,68
CPT,71275,CTA CHEST W&W/O CONTRAST,2271.0,,146.63,2043.9,192
CPT,71275,CTA CHEST-P STDY,2271.0,,273.89,2043.9,224
CPT,71550,MRI CHEST W/O CONTRAST,6854.0,,199.1,6168.6,328
CPT,71551,MRI CHEST W/CONTRAST,5509.0,,480.0,4958.1,124
CPT,71552,MRI CHEST W&W/O CON,10255.0,,294.16,9229.5,328
CPT,71555,MR ANGIO CHEST-P STDY,1229.0,,294.9,1106.1,57
CPT,72020,XR SPINE 1 VIEW ANY LEVEL,569.0,,16.0,512.1,260
CPT,72040,XR C-SPINE 2 OR 3V,793.0,,33.0,713.7,396
CPT,72050,XR C-SPINE 4 OR 5 VIEWS,1031.0,,52.0,927.9,396
CPT,72052,XR C-SPINE 6 OR MORE VIEWS,1194.0,,59.0,1074.6,192
CPT,72052,XR-C-SPINE 6 OR MORE VIEWS,1194.0,,59.0,1074.6,68
CPT,72070,XR THORACIC SPINE 2 VIEWS,881.0,,38.0,792.9,600
CPT,72072,XR THORACIC SPINE 3 VIEWS,949.0,,38.0,854.1,328
CPT,72074,"SPINE THORACIC, MINIMUM 4 VIEW",767.0,,49.0,690.3,68
CPT,72074,XR THORACIC SPINE 4+ VIEWS,767.0,,49.0,690.3,192
CPT,72080,XR THORACOLUMBAR SPINE 2 VIEWS,976.0,,22.0,878.4,396
CPT,72081,XR T-L SPINE INCL SKULL 1 VIEW,668.0,,72.52,601.2,260
CPT,72082,XR T-L SPINE 2 OR 3 VIEWS,721.0,,56.48,648.9,260
CPT,72083,XR T-L SPINE 4 OR 5 VIEWS,656.0,,24.57,590.4,260
CPT,72084,XR T-L SPINE INCL SKLL 6+ VIEW,668.0,,73.39,601.2,260
CPT,72084,XR T-L SPINE INCL SKLL 6+VIEW,668.0,,73.39,601.2,68
CPT,72100,XR LUMBAR SPINE 2 OR 3 VIEWS,930.0,,38.0,837.0,328
CPT,72110,XR LUMBAR SPINE 4+ VIEWS,1246.0,,52.0,1121.4,396
CPT,72114,XR L-SPINE CMPL W/BENDING V,1318.0,,82.0,1186.2,260
CPT,72120,XR L-SPINE BENDING ONLY 2/3,1060.0,,63.0,954.0,260
CPT,72125,CT C-SPINE W/O CON-P STDY,3542.5,,150.0,3390.3,224
CPT,72125,CT C-SPINE W/O CONTRAST,3318.0,,87.59,2986.2,192
CPT,72125,CT SPINE CERV WO/CONTRAST,3318.0,,87.59,2986.2,68
CPT,72126,CT SPINE CERV W/CONTRAST,7344.0,,177.0,6609.6,260
CPT,72127,CT C SPINE W&W/O CONTRAST,6131.0,,146.63,5517.9,68
CPT,72127,CT C-SPINE W&W/O CONTRAST,6131.0,,146.63,5517.9,192
CPT,72128,CT SPINE THOR WO/CONTRAST,6016.0,,87.59,5414.4,328
CPT,72128,CT T-SPINE W/O CON-P STDY,1886.0,,150.0,1697.4,168
CPT,72129,CT SPINE THOR W/CONTRAST,6643.0,,146.63,5978.7,260
CPT,72130,CT SPINE THOR W/O FOL/W,6439.0,,146.63,5795.1,68
CPT,72130,CT T-SPINE W&W/O CONTRAST,6439.0,,146.63,5795.1,192
CPT,72131,CT L-SPINE LUM W/O CON-P STDY,1839.0,,150.0,1655.1,56
CPT,72131,CT L-SPINE W/O CON-P STDY,1839.0,,150.0,1655.1,224
CPT,72131,CT SPINE LUM W/O CONTRAST,1839.0,,87.59,1655.1,124
CPT,72131,CT SPINE LUM WO/CONTRAST,1839.0,,87.59,1655.1,136
CPT,72132,CT SPINE LUM W/CONTRAST,6469.0,,177.0,5822.1,260
CPT,72132,CT SPINE LUM W/CONTRAST-P STDY,2027.0,,177.0,1824.3,112
CPT,72133,CT L-SPINE W&W/O CON-P STDY,2027.0,,216.0,1824.3,112
CPT,72133,CT L-SPINE W&W/O CONTRAST,5992.0,,146.63,5392.8,192
CPT,72133,CT SPINE LUM WO/FOL/W,5992.0,,146.63,5392.8,68
CPT,72141,MR C-SPINE W/O CON-P STDY,3894.0,,460.26,3504.6,224
CPT,72141,MRI SPINE CERV WO/CONTR,3894.0,,199.1,3504.6,260
CPT,72142,MRI SPINE CERV W/CONTRAST,8148.0,,294.16,7333.2,260
CPT,72146,MR T-SPINE W/O CON-P STDY,3786.0,,300.0,3407.4,224
CPT,72146,MRI T-SPINE W/O CON,3786.0,,199.1,3407.4,192
CPT,72146,MRI THOR WO/CONTR,3786.0,,199.1,3407.4,68
CPT,72147,MRI SPINE THOR W/CONTRAST,9035.0,,294.16,8131.5,260
CPT,72148,MR L-SPINE W/O CON-P STDY,4002.0,,300.0,3601.8,224
CPT,72148,MRI SPINE LUMBAR WO/CONTRAST,4002.0,,199.1,3601.8,260
CPT,72149,MRI SPINE LUMBAR W/CONTR,8627.0,,294.16,7764.3,260
CPT,72156,MRI C-SPINE W&W/O CON,10567.0,,294.16,9510.3,260
CPT,72157,MRI SPINE THOR WO/FOL/W,10567.0,,294.16,9510.3,68
CPT,72157,MRI T-SPINE W&W/O CON,9785.0,,294.16,8806.5,192
CPT,72158,MRI L-SPINE W&W/O CON,5624.0,,294.16,5061.6,192
CPT,72158,MRI SPINE LUMB WO/FOL/W,5624.0,,294.16,5061.6,68
CPT,72159,MRA SPINAL CANAL WO/FOL/W CONT,4919.0,,300.0,4427.1,57
CPT,72170,XR PELVIS 1-2V,695.0,,27.0,625.5,328
CPT,72190,PELVIS MIN 3 VIEWS,861.0,,44.0,774.9,260
CPT,72191,CTA PELVIS W&W/O CONTRAST,7251.0,,146.63,6525.9,260
CPT,72191,CTA PELVIS-P STDY,2274.0,,212.5,2046.6,168
CPT,72192,CT PELVIS W/O CON-P STDY,1728.0,,150.0,1555.2,168
CPT,72192,CT PELVIS WO/CONTRAST,5519.0,,87.59,4967.1,260
CPT,72193,CT PELVIS W/CONTRAST,6330.0,,146.63,5697.0,260
CPT,72193,CT PELVIS W/CONTRAST (MOD 59),5861.0,,171.0,5274.9,224
CPT,72194,CT PELVIS W&W/O CONTRAST,8866.0,,146.63,7979.4,192
CPT,72194,CT PELVIS WO/FOL/W,8866.0,,146.63,7979.4,68
CPT,72195,MR PELVIS W/O CON-P STDY,3461.0,,441.0,3114.9,224
CPT,72195,MRI PELVIS W/O CON LTD,3461.0,,199.1,3114.9,192
CPT,72195,MRI PELVIS W/O CONTRAST,3461.0,,199.1,3114.9,68
CPT,72195,MRI SPINE SACRUM WO/CONTRAST,3461.0,,199.1,3114.9,260
CPT,72196,MRI PELVIS W/CONTRAST,5681.0,,294.16,5112.9,204
CPT,72197,MRI PELVIS W&W/O CON,10567.0,,294.16,9510.3,260
CPT,72197,MRI SPINE SACRUM WO/FOL/W,10567.0,,294.16,9510.3,260
CPT,72200,SACROILIAC JOINTS 1-2 VWS,462.0,,41.0,415.8,68
CPT,72200,XR SACROILI JT,462.0,,41.0,415.8,192
CPT,72202,XR SACROILIAC JT 3+V,759.0,,43.0,683.1,328
CPT,72220,XR SACRUM/COCCYX 2+V,732.0,,31.0,658.8,532
CPT,72240,MYELOGRAM CERV,2336.0,,175.0,2102.4,124
CPT,72255,MYELOGRAM THOR,1920.0,,171.0,2055.89,56
CPT,72265,MYELOGRAPHY- LUMBOSACRAL,2099.0,,190.0,2055.89,56
CPT,72270,MYELOGRAM ENTIRE,2299.0,,273.0,2069.1,56
CPT,72285,XR DISKOGRAM C-OR T-SPINE,3439.0,,207.0,5081.51,68
CPT,72295,DISKOGRAPHY- LUMBAR- S & I,3647.0,,198.0,5081.51,68
CPT,72295,DISKOGRAPHY-LUMBAR- S & I,3647.0,,198.0,5081.51,68
CPT,73000,CLAVICAL COMP BIL,1168.0,,21.0,1051.2,280
CPT,73000,CLAVICAL COMP LT,704.0,,21.0,633.6,280
CPT,73000,CLAVICAL COMP RT,704.0,,21.0,633.6,224
CPT,73000,XR CLAVICLE CMPL RT,518.0,,21.0,466.2,56
CPT,73010,SCAPULA COMP BIL,1288.0,,29.0,1159.2,280
CPT,73010,SCAPULA COMP LT,737.0,,29.0,663.3,280
CPT,73010,SCAPULA COMP RT,737.0,,29.0,663.3,280
CPT,73020,SHOULDER 1 VIEW BIL,1190.0,,21.0,1071.0,224
CPT,73020,SHOULDER 1 VIEW RT,642.0,,21.0,577.8,224
CPT,73020,XR SHOULDER 1 VIEW LT,642.0,,21.0,577.8,224
CPT,73030,XR SHOULDER CMPL 2+ VIEWS RT,783.0,,30.0,704.7,112
CPT,73030,XR SHOULDER CMPL 2+V,783.0,,30.0,704.7,68
CPT,73030,XR SHOULDER CMPL 2+V BILAT,1358.0,,30.0,1222.2,280
CPT,73030,XR SHOULDER CMPL 2+V LT,783.0,,30.0,704.7,280
CPT,73030,XR SHOULDER CMPL 2+V RT,783.0,,30.0,704.7,168
CPT,73040,ARTHROGRAM SHOULDER LT,932.0,,127.0,929.34,56
CPT,73040,XR ARTHROGRAM SHOULDER,932.0,,127.0,929.34,124
CPT,73050,ACRO-CLAV JOINTS-BIL,680.0,,29.0,612.0,260
CPT,73060,XR HUMERUS 2+V,654.0,,30.0,588.6,68
CPT,73060,XR HUMERUS 2+V BILAT,1202.0,,30.0,1081.8,280
CPT,73060,XR HUMERUS 2+V LT,654.0,,30.0,588.6,280
CPT,73060,XR HUMERUS 2+V RT,654.0,,30.0,588.6,280
CPT,73060,XR HUMERUS 2V BI LTD,308.0,,30.0,277.2,56
CPT,73060,XR HUMERUS 2V LT LTD,654.0,,30.0,588.6,56
CPT,73060,XR HUMERUS 2V RT LTD,654.0,,30.0,588.6,56
CPT,73070,ELBOW AP&L BIL,1095.0,,29.0,985.5,56
CPT,73070,ELBOW AP&L LT,641.0,,29.0,576.9,56
CPT,73070,ELBOW AP&L RT,641.0,,29.0,576.9,56
CPT,73070,XR ELBOW 2V BI LTD,905.0,,29.0,814.5,56
CPT,73070,XR ELBOW 2V BILAT,889.0,,29.0,800.1,168
CPT,73070,XR ELBOW 2V LT,592.0,,29.0,532.8,168
CPT,73070,XR ELBOW 2V LT LTD,641.0,,29.0,576.9,56
CPT,73070,XR ELBOW 2V RT,592.0,,29.0,532.8,168
CPT,73070,XR ELBOW 2V RT LTD,641.0,,29.0,576.9,56
CPT,73080,ELBOW MIN 3 VIEWS BIL,1373.0,,32.0,1235.7,112
CPT,73080,ELBOW MIN 3 VIEWS LT,724.0,,32.0,651.6,112
CPT,73080,ELBOW MIN 3 VIEWS RT,724.0,,32.0,651.6,112
CPT,73080,XR ELBOW CMPL 3+V BILAT,1005.0,,32.0,904.5,168
CPT,73080,XR ELBOW CMPL 3+V LT,670.0,,32.0,603.0,168
CPT,73080,XR ELBOW CMPL 3+V RT,670.0,,32.0,603.0,168
CPT,73090,FOREARM AP&L BIL,1187.0,,29.0,1068.3,112
CPT,73090,FOREARM AP&L LT,743.0,,29.0,668.7,112
CPT,73090,FOREARM AP&L RT,743.0,,29.0,668.7,112
CPT,73090,XR FOREARM 2V BILAT,1034.0,,29.0,930.6,168
CPT,73090,XR FOREARM 2V BILATERAL,1100.0,,29.0,990.0,56
CPT,73090,XR FOREARM 2V LT,691.0,,29.0,621.9,168
CPT,73090,XR FOREARM 2V LT LTD,743.0,,29.0,668.7,56
CPT,73090,XR FOREARM 2V RT,691.0,,29.0,621.9,168
CPT,73090,XR FOREARM 2V RT LTD,743.0,,29.0,668.7,56
CPT,73092,UPPER EXT INFANT MIN 2 VWS BIL,656.0,,23.0,590.4,56
CPT,73092,UPPER EXTREM INFANT MIN 2 VWS,438.0,,23.0,394.2,124
CPT,73092,XR UPR EXT INFANT 2+V BILAT,656.0,,23.0,590.4,112
CPT,73092,XR UPR EXT INFANT 2+V LT,438.0,,23.0,394.2,112
CPT,73092,XR UPR EXT INFANT 2+V RT,438.0,,23.0,394.2,112
CPT,73100,WRIST AP&L,586.0,,21.0,527.4,68
CPT,73100,XR WRIST 2V BI LTD,902.0,,21.0,811.8,56
CPT,73100,XR WRIST 2V BILAT,1157.0,,21.0,1041.3,224
CPT,73100,XR WRIST 2V LT,586.0,,21.0,527.4,224
CPT,73100,XR WRIST 2V LT LTD,586.0,,21.0,527.4,56
CPT,73100,XR WRIST 2V RT,542.0,,21.0,487.8,112
CPT,73100,XR WRIST 2V RT LTD,586.0,,21.0,527.4,56
CPT,73110,XR WRIST CMPL 3+V LT,723.0,,31.0,650.7,280
CPT,73110,XR WRIST CMPL 3+V RT,723.0,,31.0,650.7,280
CPT,73110,XR WRIST CMPL3+V BI,1003.0,,31.0,902.7,280
CPT,73115,XR ARTHROGRAM WRIST,697.0,,112.0,929.34,124
CPT,73120,HAND 2 VIEWS BIL,1029.0,,18.0,926.1,224
CPT,73120,HAND 2 VIEWS LT,684.0,,18.0,615.6,224
CPT,73120,HAND 2 VIEWS RT,684.0,,18.0,615.6,224
CPT,73120,XR HAND 2V BI LTD,850.0,,18.0,765.0,56
CPT,73120,XR HAND 2V LT LTD,684.0,,18.0,615.6,56
CPT,73120,XR HAND 2V RT LTD,684.0,,18.0,615.6,56
CPT,73130,XR HAND CMPL 3+V,739.0,,27.0,665.1,68
CPT,73130,XR HAND CMPL 3+V LT,739.0,,27.0,665.1,280
CPT,73130,XR HAND CMPL 3+V RT,739.0,,27.0,665.1,280
CPT,73130,XR HAND CMPL 3V BI,1192.0,,27.0,1072.8,280
CPT,73140,FINGER(S) MIN 2 VIEWS LT,574.0,,18.0,516.6,56
CPT,73140,FINGER(S) MIN 2 VIEWS RT,574.0,,18.0,516.6,56
CPT,73140,XR FINGER INDEX LT,532.0,,18.0,478.8,56
CPT,73140,XR FINGER INDEX RT,532.0,,18.0,478.8,56
CPT,73140,XR FINGER LITTLE LT,532.0,,18.0,478.8,56
CPT,73140,XR FINGER LITTLE RT,532.0,,18.0,478.8,56
CPT,73140,XR FINGER LONG LT,532.0,,18.0,478.8,56
CPT,73140,XR FINGER LONG RT,532.0,,18.0,478.8,56
CPT,73140,XR FINGER RING LT,532.0,,18.0,478.8,56
CPT,73140,XR FINGER RING RT,532.0,,18.0,478.8,56
CPT,73140,XR FINGER(S) 2+ VIEWS,532.0,,18.0,478.8,68
CPT,73140,XR FINGER(S) 2+V LT,532.0,,18.0,478.8,168
CPT,73140,XR FINGER(S) 2+V RT,532.0,,18.0,478.8,168
CPT,73140,XR THUMB LT,532.0,,18.0,478.8,56
CPT,73140,XR THUMB RT,532.0,,18.0,478.8,56
CPT,73200,CT UPPER EXT WO/CONTRAST BIL,7398.0,,52.0,6658.2,224
CPT,73200,CT UPPER EXT WO/CONTRAST LT,4833.0,,52.0,4349.7,224
CPT,73200,CT UPR EXT W/O CON-P STDY,1515.0,,52.0,1363.5,168
CPT,73200,CT UPR EXT W/O CONTRAST RT,4833.0,,52.0,4349.7,224
CPT,73201,CT UPR EXT W/CONTRAST BILAT,8920.0,,19.0,8028.0,224
CPT,73201,CT UPR EXT W/CONTRAST LT,6421.0,,19.0,5778.9,224
CPT,73201,CT UPR EXT W/CONTRAST RT,6421.0,,19.0,5778.9,224
CPT,73202,CT UPPER EXT WO/FOL/W BIL,8197.0,,19.0,7377.3,168
CPT,73202,CT UPPER EXT WO/FOL/W LT,5465.0,,19.0,4918.5,224
CPT,73202,CT UPPER EXT WO/FOL/W RT,5465.0,,19.0,4918.5,168
CPT,73206,CTA UPR EXT W&W/O CONTRAST,6968.0,,117.5,6271.2,260
CPT,73218,MR UPR EXT NON JNT W/O-P STDY,2085.0,,417.0,1876.5,112
CPT,73218,MR UPR EXT NON JNT W/O-P STY,2085.0,,417.0,1876.5,112
CPT,73218,MRI UPPER EXT. W/O CONTRAST (L,6159.0,,417.0,5543.1,56
CPT,73218,MRI UPPER EXT. W/O CONTRAST (R,6650.0,,417.0,5985.0,56
CPT,73218,MRI UPPER EXT. W/O CONTRAST BI,9238.0,,417.0,8314.2,56
CPT,73218,MRI UPR EXT W/O CON BILAT,9238.0,,417.0,8314.2,112
CPT,73218,MRI UPR EXT W/O CON LT,6159.0,,417.0,5543.1,112
CPT,73218,MRI UPR EXT W/O CON RT,6159.0,,417.0,5543.1,168
CPT,73219,MRI UPPER EXT. W/CONTRAST BI,8265.0,,300.0,7438.5,56
CPT,73219,MRI UPPER EXT. W/CONTRAST BIL,8265.0,,300.0,7438.5,168
CPT,73219,MRI UPPER EXT. W/CONTRAST LT,5509.0,,300.0,4958.1,112
CPT,73219,MRI UPPER EXT. W/CONTRAST RT,5509.0,,300.0,4958.1,168
CPT,73220,MRI UPPER EXT. WO/FOL/W (BIL),11517.0,,300.0,10365.3,56
CPT,73220,MRI UPPER EXT. WO/FOL/W (LT),7679.0,,300.0,6911.1,56
CPT,73220,MRI UPPER EXT. WO/FOL/W (RT),8293.0,,300.0,7463.7,56
CPT,73220,MRI UPR EXT W&W/O CON BILAT,11517.0,,300.0,10365.3,112
CPT,73220,MRI UPR EXT W&W/O CON LT,7679.0,,300.0,6911.1,112
CPT,73220,MRI UPR EXT W&W/O CON RT,7679.0,,300.0,6911.1,168
CPT,73221,MR UPR EXT JNT W/O CON-P STDY,2276.0,,300.0,2048.4,224
CPT,73221,MRI JOINT UPPER EXT W/O CONTR,6966.5,,300.0,6547.5,168
CPT,73221,MRI UPR EXT JNT W/O CON BILAT,9246.0,,300.0,8321.4,168
CPT,73221,MRI UPR EXT JNT W/O CON LT,6165.0,,300.0,5548.5,168
CPT,73221,MRI UPR EXT JNT W/O CON RT,6165.0,,300.0,5548.5,168
CPT,73222,MRI JNT UPPER EXT W/CONT RT,7093.0,,349.0,6383.7,56
CPT,73222,MRI JOINT UPPER EXT W/CONTR,7093.0,,349.0,6383.7,56
CPT,73222,MRI UPR EXT JNT W/CON BILAT,9850.0,,349.0,8865.0,168
CPT,73222,MRI UPR EXT JNT W/CON LT,6568.0,,349.0,5911.2,168
CPT,73222,MRI UPR EXT JNT W/CON RT,6568.0,,349.0,5911.2,168
CPT,73223,MRI JOINT UPPER EXT WO/FOL/W,11709.0,,433.0,10538.1,56
CPT,73223,MRI JOINT UPPER EXT WO/FOL/W (,8120.0,,433.0,7587.9,112
CPT,73223,MRI UPR EXT JNT W&W/O BILAT,11709.0,,433.0,10538.1,112
CPT,73223,MRI UPR EXT JNT W&W/O CON LT,7808.0,,433.0,7027.2,112
CPT,73223,MRI UPR EXT JNT W&W/O RT,7808.0,,433.0,7027.2,168
CPT,73501,XR HIP LTD 1V,530.0,,17.67,477.0,136
CPT,73501,XR HIP LTD 1V LT,530.0,,17.67,477.0,224
CPT,73501,XR HIP LTD 1V RT,530.0,,17.67,477.0,224
CPT,73502,XR HIP UNILAT 2-3 VIEWS,508.0,,22.5,457.2,68
CPT,73502,XR HIP UNILAT 2-3 VIEWS LT,508.0,,22.5,457.2,280
CPT,73502,XR HIP UNILAT 2-3 VIEWS RT,508.0,,22.5,457.2,280
CPT,73503,XR HIP UNILAT 4+ VIEWS LT,1034.0,,46.8,930.6,224
CPT,73503,XR HIP UNILAT 4+ VIEWS RT,1034.0,,46.8,930.6,224
CPT,73521,XR HIP BILAT W/PELVIS 2 VIEWS,862.0,,35.91,775.8,260
CPT,73522,XR HIP BILAT W/PELVIS 3-4 VIEW,1459.0,,44.35,1313.1,328
CPT,73523,XR HIP BILAT W/PELVIS 5+ VIEWS,1459.0,,51.41,1313.1,260
CPT,73525,XR ARTHROGRAM HIP LT,1122.0,,107.0,1009.8,112
CPT,73525,XR ARTHROGRAM HIP RT,1122.0,,107.0,1009.8,112
CPT,73551,XR FEMUR 1 VIEW,489.0,,16.2,440.1,68
CPT,73551,XR FEMUR 1 VIEW BILAT,734.0,,16.2,660.6,224
CPT,73551,XR FEMUR 1 VIEW LT,489.0,,16.2,440.1,224
CPT,73551,XR FEMUR 1 VIEW RT,489.0,,16.2,440.1,224
CPT,73552,XR FEMUR MIN 2 VIEWS BILAT,1056.0,,29.41,950.4,280
CPT,73552,XR FEMUR MIN 2 VIEWS LT,530.0,,29.41,477.0,280
CPT,73552,XR FEMUR MIN 2 VIEWS RT,530.0,,29.41,477.0,280
CPT,73560,XR KNEE 1-2V,680.0,,24.0,612.0,136
CPT,73560,XR KNEE 1-2V BI LTD,1085.0,,24.0,976.5,56
CPT,73560,XR KNEE 1-2V BIL,1085.0,,24.0,976.5,56
CPT,73560,XR KNEE 1-2V BILAT,1085.0,,24.0,976.5,168
CPT,73560,XR KNEE 1-2V LT,680.0,,24.0,612.0,224
CPT,73560,XR KNEE 1-2V LT LTD,680.0,,24.0,612.0,56
CPT,73560,XR KNEE 1-2V RT,680.0,,24.0,612.0,224
CPT,73560,XR KNEE 1-2V RT LTD,680.0,,24.0,612.0,56
CPT,73562,XR KNEE 3V,757.0,,27.0,681.3,68
CPT,73562,XR KNEE 3V BILAT,1358.0,,27.0,1222.2,280
CPT,73562,XR KNEE 3V LT,757.0,,27.0,681.3,280
CPT,73562,XR KNEE 3V RT,757.0,,27.0,681.3,280
CPT,73564,XR KNEE CMPL 4+V BILAT,1482.0,,40.0,1333.8,224
CPT,73564,XR KNEE CMPL 4+V LT,811.0,,40.0,729.9,224
CPT,73564,XR KNEE CMPL 4+V RT,811.0,,40.0,729.9,224
CPT,73565,XR KNEE STAND BOTH KNEES,720.0,,56.0,648.0,260
CPT,73580,XR ARTHROGRAM KNEE LT,1146.0,,139.0,1031.4,56
CPT,73580,XR ARTHROGRAM KNEE RT,1146.0,,139.0,1031.4,56
CPT,73590,XR TIBIA & FIBULA 2V BI LTD,1089.0,,30.0,980.1,56
CPT,73590,XR TIBIA & FIBULA 2V LT LTD,730.0,,30.0,657.0,56
CPT,73590,XR TIBIA & FIBULA 2V RT LTD,730.0,,30.0,657.0,56
CPT,73590,XR TIBIA/FIBULA 2V BILAT,1089.0,,30.0,980.1,280
CPT,73590,XR TIBIA/FIBULA 2V LT,730.0,,30.0,657.0,280
CPT,73590,XR TIBIA/FIBULA 2V RT,730.0,,30.0,657.0,280
CPT,73592,LOWER EXT INFANT MIN 2 VWS BIL,330.0,,21.0,297.0,224
CPT,73592,LOWER EXT INFANT MIN 2 VWS LT,168.0,,21.0,229.12,168
CPT,73592,LOWER EXT INFANT MIN 2 VWS RT,168.0,,21.0,229.12,168
CPT,73600,ANKLE AP&L BIL,1018.0,,26.0,916.2,56
CPT,73600,ANKLE AP&L LT,604.0,,26.0,543.6,56
CPT,73600,ANKLE AP&L RT,604.0,,26.0,543.6,56
CPT,73600,XR ANKLE 2V BI LTD,1018.0,,26.0,916.2,56
CPT,73600,XR ANKLE 2V BILAT,1018.0,,26.0,916.2,168
CPT,73600,XR ANKLE 2V LT,560.0,,26.0,504.0,168
CPT,73600,XR ANKLE 2V LT LTD,604.0,,26.0,543.6,56
CPT,73600,XR ANKLE 2V RT,560.0,,26.0,504.0,112
CPT,73600,XR ANKLE 2V RT LTD,604.0,,26.0,543.6,56
CPT,73610,ANKLE COMP MIN 3 VIEWS BIL,1264.0,,34.0,1137.6,112
CPT,73610,ANKLE COMP MIN 3 VIEWS LT,720.0,,34.0,648.0,112
CPT,73610,ANKLE COMP MIN 3 VIEWS RT,720.0,,34.0,648.0,112
CPT,73610,XR ANKLE 3+ V BILAT,1000.0,,34.0,900.0,56
CPT,73610,XR ANKLE 3+V BILAT,1000.0,,34.0,900.0,168
CPT,73610,XR ANKLE 3+V LT,667.0,,34.0,600.3,168
CPT,73610,XR ANKLE 3+V RT,667.0,,34.0,600.3,168
CPT,73620,FOOT AP&L BIL,1176.0,,18.0,1058.4,56
CPT,73620,FOOT AP&L LT,701.0,,18.0,630.9,56
CPT,73620,FOOT AP&L RT,701.0,,18.0,630.9,56
CPT,73620,XR FOOT 2V,648.0,,18.0,583.2,68
CPT,73620,XR FOOT 2V BI LTD,1176.0,,18.0,1058.4,56
CPT,73620,XR FOOT 2V BILAT,974.0,,18.0,876.6,168
CPT,73620,XR FOOT 2V LT,648.0,,18.0,583.2,168
CPT,73620,XR FOOT 2V LT LTD,701.0,,18.0,630.9,56
CPT,73620,XR FOOT 2V RT,648.0,,18.0,583.2,168
CPT,73620,XR FOOT 2V RT LTD,701.0,,18.0,630.9,56
CPT,73630,XR FOOT CMPL 3+V,793.0,,34.0,713.7,68
CPT,73630,XR FOOT CMPL 3+V BILAT,1268.0,,34.0,1141.2,280
CPT,73630,XR FOOT CMPL 3+V LT,793.0,,34.0,713.7,168
CPT,73630,XR FOOT CMPL 3+V RT,793.0,,34.0,713.7,280
CPT,73630,XR FOOT COMPLETE 3+V,793.0,,34.0,713.7,68
CPT,73630,XR FOOT COMPLETE 3+V LT,793.0,,34.0,713.7,112
CPT,73650,XR CALCANEUS 2+ V RT,590.0,,25.0,531.0,112
CPT,73650,XR CALCANEUS 2+V BILAT,965.0,,25.0,868.5,280
CPT,73650,XR CALCANEUS 2+V LT,590.0,,25.0,531.0,280
CPT,73650,XR CALCANEUS 2+V RT,590.0,,25.0,531.0,168
CPT,73660,XR TOE(S) 2+V,499.0,,17.0,449.1,68
CPT,73660,XR TOE(S) 2+V LT,499.0,,17.0,449.1,280
CPT,73660,XR TOE(S) 2+V RT,499.0,,17.0,449.1,280
CPT,73660,XR TOE(S) GREAT 2+V LT,499.0,,17.0,449.1,56
CPT,73660,XR TOE(S) GREAT 2+V RT,499.0,,17.0,449.1,56
CPT,73700,CT LOWER EXT WO/CONTRAST LT,4732.0,,120.0,4258.8,112
CPT,73700,CT LOWER EXT WO/CONTRAST RT,4732.0,,120.0,4258.8,112
CPT,73700,CT LWR EXT W/O CON-P STDY,1484.0,,120.0,1335.6,168
CPT,73700,CT LWR EXT W/O CONTRAST BILAT,7474.0,,120.0,6726.6,224
CPT,73700,CT LWR EXT W/O CONTRAST LT,4382.0,,120.0,3943.8,168
CPT,73700,CT LWR EXT W/O CONTRAST RT,4382.0,,120.0,3943.8,168
CPT,73701,CT LWR EXT W/CONTRAST BILAT,8305.0,,129.0,7474.5,168
CPT,73701,CT LWR EXT W/CONTRAST LT,5979.0,,129.0,5381.1,224
CPT,73701,CT LWR EXT W/CONTRAST RT,5979.0,,129.0,5381.1,224
CPT,73702,CT LOWER EXT WO/FOL/W BIL,8492.0,,129.0,7642.8,168
CPT,73702,CT LOWER EXT WO/FOL/W LT,5086.5,,129.0,5094.0,224
CPT,73702,CT LOWER EXT WO/FOL/W RT,6114.0,,129.0,5502.6,168
CPT,73706,CTA LWR EXT W&W/O CONTRAST,6183.0,,117.5,5564.7,260
CPT,73718,MR LWR EXT NON JNT-P STDY,2153.0,,460.26,1937.7,224
CPT,73718,MRI LOWER EXT WO CONTRAST (BIL,10763.0,,460.26,9686.7,56
CPT,73718,MRI LOWER EXT WO/CONTRAST (LT),6863.0,,460.26,6176.7,56
CPT,73718,MRI LOWER EXT WO/CONTRAST (RT),6863.0,,460.26,6176.7,56
CPT,73718,MRI LWR EXT W/O CON BIL,9533.0,,460.26,8579.7,168
CPT,73718,MRI LWR EXT W/O CON LT,6355.0,,460.26,5719.5,168
CPT,73718,MRI LWR EXT W/O CON RT,6355.0,,460.26,5719.5,168
CPT,73719,MRI LOWER EXT W/CONTRAST (LT),5453.0,,300.0,4907.7,56
CPT,73719,MRI LOWER EXT W/CONTRAST RT,5453.0,,300.0,4907.7,56
CPT,73719,MRI LWR EXT W/CON BIL,8179.0,,300.0,7361.1,112
CPT,73719,MRI LWR EXT W/CON LT,5453.0,,300.0,4907.7,112
CPT,73719,MRI LWR EXT W/CON RT,5453.0,,300.0,4907.7,168
CPT,73720,MRI LOWER EXT WO/FOL/W (BIL),17106.0,,300.0,15395.4,56
CPT,73720,MRI LOWER EXT WO/FOL/W (LT),8376.0,,300.0,7538.4,56
CPT,73720,MRI LOWER EXT WO/FOL/W (RT),8376.0,,300.0,7538.4,56
CPT,73720,MRI LWR EXT W&W/O CON BIL,11632.0,,300.0,10468.8,112
CPT,73720,MRI LWR EXT W&W/O CON LT,7756.0,,300.0,6980.4,168
CPT,73720,MRI LWR EXT W&W/O CON RT,7756.0,,300.0,6980.4,168
CPT,73721,MR LWR EXT JNT W/O CON-P STDY,3677.0,,300.0,3309.3,224
CPT,73721,MRI JOINT LOWER EXT. WO/CONTRA,4596.5,,300.0,4964.4,168
CPT,73721,MRI LWR EXT JNT W/O CON BIL,5516.0,,300.0,4964.4,168
CPT,73721,MRI LWR EXT JNT W/O CON LT,3677.0,,300.0,3309.3,168
CPT,73721,MRI LWR EXT JNT W/O CON RT,3677.0,,300.0,3309.3,168
CPT,73721,MRI LWR EXT JT W/O CON-P STY,4511.0,,300.0,4059.9,56
CPT,73722,MRI JOINT LOWER EXT. W/CON BIL,12019.0,,957.88,10817.1,56
CPT,73722,MRI LWR EXT JNT W/CON BIL,12019.0,,957.88,10817.1,112
CPT,73722,MRI LWR EXT JNT W/CON LT,8333.5,,957.88,7788.6,168
CPT,73722,MRI LWR EXT JNT W/CON RT,8654.0,,957.88,7788.6,224
CPT,73723,MRI JOINT LOWER EXT WO/FOL/W (,9341.0,,736.24,9459.0,168
CPT,73723,MRI LWR EXT JNT W&W/O CON BIL,12974.0,,736.24,11676.6,56
CPT,73723,MRI LWR EXT JNT W&W/O CON LT,8651.0,,736.24,7785.9,112
CPT,73723,MRI LWR EXT JNT W&W/O CON RT,8651.0,,736.24,7785.9,168
CPT,73725,MRA LWR EXT W/W/O CON RT,5180.0,,298.4,4662.0,114
CPT,73725,MRA LWR EXTREM W/ OR W/O BIL,7195.0,,298.4,6475.5,114
CPT,73725,MRA LWR EXTREM W/ OR W/O LT,4796.0,,298.4,4316.4,57
CPT,74018,X-RAY EXAM ABDOMEN 1 VIEW,764.0,,17.18,687.6,588
CPT,74019,X-RAY EXAM ABDOMEN 2 VIEWS,935.0,,20.71,841.5,328
CPT,74021,X-RAY EXAM ABDOMEN 3+ VIEWS,1107.0,,14.76,996.3,328
CPT,74022,ACUTE ABDOMEN SERIES COMPLETE,1196.0,,49.0,1076.4,68
CPT,74022,XR ABDOMEN AP/DECUB/ERECT/CXR,1108.0,,49.0,997.2,192
CPT,74150,CT ABDOMEN W/O CON-P STDY,2482.0,,150.0,2233.8,224
CPT,74150,CT ABDOMEN W/O CONTRAST,7916.0,,87.59,7124.4,260
CPT,74160,CT ABD W/CONTRAST,8754.0,,146.63,7878.6,68
CPT,74160,CT ABDOMEN W/CON-P STDY,2744.0,,174.0,2469.6,224
CPT,74160,CT ABDOMEN W/CONTRAST,8106.0,,146.63,7295.4,192
CPT,74170,CT ABDOMEN W&W/O CON-P STDY,3462.0,,210.0,3115.8,168
CPT,74170,CT ABDOMEN W&W/O CONTRAST,11048.0,,146.63,9943.2,260
CPT,74174,CT ABD/PEL W/WO CONTRAST POST,3137.0,,294.16,2823.3,260
CPT,74175,CTA ABDOMEN W&W/O CONTRAST,8560.0,,146.63,7704.0,260
CPT,74175,CTA ABDOMEN-P STDY,2683.0,,219.0,2414.7,224
CPT,74176,CT ABD & PELVIS W/O CONTRAST,4651.0,,199.1,4185.9,260
CPT,74177,CT ABD & PELVIS W/CONTRAST,5200.0,,233.17,4680.0,260
CPT,74178,CT ABD & PELV W&W/O CONT 1+,6448.0,,294.16,5803.2,192
CPT,74178,CT ABD & PELVIS W/O FOL W/CONT,6706.0,,294.16,6035.4,68
CPT,74181,MR ABDOMEN W/O CON-P STDY,2095.0,,439.83,2977.2,224
CPT,74181,MRI ABDOMEN W/O CON,7850.0,,199.1,7065.0,192
CPT,74181,MRI ABDOMEN W/O CONRAST,7850.0,,199.1,7065.0,68
CPT,74182,MRI ABDOMEN W/CON,6350.0,,294.16,5715.0,192
CPT,74182,MRI ABDOMEN W/CONTRAST,6350.0,,294.16,5715.0,68
CPT,74183,MRI ABDOMEN W&W/O CON,4543.0,,294.16,4088.7,192
CPT,74183,MRI ABDOMEN WO FOL W CONTRAST,4543.0,,294.16,4088.7,68
CPT,74190,PERITONEOGRAM S&I,1279.0,,40.0,1426.8,204
CPT,74220,XR ESOPHAGUS,1151.0,,52.0,1035.9,328
CPT,74221,XR ESOPHAGUS DOUBLE CONTRAST,1273.0,,40.13,1145.7,136
CPT,74230,XR SWALLOW CINE/VIDEO,1162.0,,24.0,1045.8,260
CPT,74240,XR UGI W/O KUB,1511.0,,57.0,1359.9,260
CPT,74246,XR UGI W/AIR W/O KUB,1936.0,,78.0,1742.4,260
CPT,74248,X-RAY SM INT F-THRU STD,2053.0,,1026.5,1847.7,110
CPT,74248,XR SM INTEST F-THRU,2218.0,,1109.0,1996.2,110
CPT,74250,XR SMALL INTESTINE,1591.0,,57.0,1431.9,260
CPT,74261,CT COLONOGRAPHY W/O CNTRST,2936.0,,87.59,2642.4,192
CPT,74262,CT COLONOGRAPHY W/ CNTRST,2986.0,,146.63,2687.4,192
CPT,74263,CT COLONOGRAPHY SCRN POST,2236.0,,199.1,2012.4,68
CPT,74263,CT SCREENING COLONOGRAPHY,1642.5,,199.1,2447.1,136
CPT,74270,XR EMENA BARIUM,1726.0,,57.0,1553.4,68
CPT,74270,XR ENEMA BARIUM,1726.0,,57.0,1553.4,192
CPT,74280,COLON BARIUM ENEMA W/AIR,2102.0,,72.0,1891.8,68
CPT,74280,XR ENEMA BARIUM W/AIR,1944.0,,72.0,1749.6,192
CPT,74300,XR CHOLANGIOGRAM INTROR S&I,1232.0,,72.13,1108.8,56
CPT,74328,"ENDOSCOPIC CATHETERIZATION OF THE BILIARY DUCTAL SYSTEM, RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,143.6,148.0,2
CPT,74328,XR CATH BILIARY ONLY,1810.0,,143.6,1629.0,56
CPT,74329,XR CATH PANCREATIC ONLY,1990.0,,141.76,1791.0,56
CPT,74330,XR ERCP CATH BILIARY&PANCREAS,3380.0,,61.0,3042.0,56
CPT,74340,INTRODUCTION LONG GI TUBE S&I,682.5,,113.95,638.1,224
CPT,74360,XR DILATION STRICTURE,1390.0,,24.0,1251.0,112
CPT,74363,DILATION BILIARY DUCT,2969.0,,129.0,2672.1,56
CPT,74400,XR UROGRAM (IVP),1573.0,,79.0,1415.7,260
CPT,74415,XR UROGRAM W/NEPHROTOMOGRAM,1741.0,,112.0,1566.9,260
CPT,74420,XR UROGRAM RETROGRADE,1728.0,,56.0,1555.2,396
CPT,74425,XR UROGRAM ANTEGRADE,1314.0,,70.0,1182.6,136
CPT,74430,CT CYSTOGRAM MN 3VWS,1320.0,,71.0,1188.0,68
CPT,74430,CYSTOGRAM MIN 3VWS,1320.0,,71.0,1188.0,68
CPT,74430,CYSTOGRAPHY MIN 3 VIEWS S&I,1008.0,,71.0,929.34,68
CPT,74430,XR CYSTOGRAM 3+V,1221.0,,71.0,1098.9,452
CPT,74450,XR CYSTOURETHROGRAM RETROGRADE,1162.0,,72.16,1045.8,329
CPT,74455,XR CYSTOURETHROGRAM VOIDING,1469.0,,59.0,1322.1,260
CPT,74712,MRI FETAL SINGLE 1ST GESTATION,6012.0,,199.1,5410.8,192
CPT,74713,MRI FETAL EACH ADDL GESTATION,6350.0,,289.08,5715.0,165
CPT,74740,HYSTEROSALPINGOGRAM,1326.0,,101.0,1193.4,68
CPT,74740,XR HYSTEROSALPINGOGRAM,1326.0,,101.0,1193.4,192
CPT,74742,FALLOPIAN TUBE CATHETERIZATION,1090.0,,26.0,981.0,56
CPT,74775,XR PERINEOGRAM,1711.0,,130.0,1539.9,68
CPT,75557,MRI CARDIAC W/O CONTRAST,3740.0,,199.1,3366.0,192
CPT,75559,MRI CARDIAC W/O CONT STRESS,6110.0,,451.62,5499.0,68
CPT,75561,MRI CARDIAC W&W/O CONT P-STUDY,2253.0,,394.16,2027.7,56
CPT,75561,MRI CARDIAC W&W/O CONTRAST,6002.0,,294.16,5401.8,192
CPT,75563,MRI CARD W/O&W CON STRESS,6158.0,,650.75,5542.2,68
CPT,75565,MRI CARDIAC W/O CONTRAST QUANT,6779.0,,85.45,6101.1,275
CPT,75571,CT HRT W/O CNTRST W/CA TEST,335.0,,48.5,301.5,192
CPT,75571,CT HRT W/O CON EVAL COR CAL,4678.0,,48.5,4210.2,68
CPT,75571,CT SCREENING CORONARY,60.0,,30.0,229.12,192
CPT,75571,CT SCREENING CORONARY TULANE,274.0,,48.5,246.6,68
CPT,75572,CT HRT W/3D IMAGE,5306.5,,278.5,4959.0,333
CPT,75573,CT HRT W/3D IMAGE CONGEN,5558.0,,294.16,5002.2,264
CPT,75574,CT ANGIO HRT W/3D IMAGE,6931.0,,294.16,6237.9,402
CPT,75580,CORONARY FFR FROM CTA DATA MOD,4702.0,,838.0,4231.8,272
CPT,75580,CORONARY FFR FROM CTA DATA TRA,3335.0,,838.0,3001.5,272
CPT,75600,AORTOGRAM THORACIC W/O SER,9081.0,,247.0,8190.45,136
CPT,75605,XR AORTOGRAM THORACIC W/SER,8731.0,,384.0,14066.75,136
CPT,75605,XR AORTOGRM THORAC W/SER,8731.0,,384.0,14066.75,68
CPT,75625,AORTOGRM ABD SER,5579.0,,435.0,8190.45,204
CPT,75625,XR AORTOGRAM ABDOMEN INI,6025.0,,435.0,8190.45,68
CPT,75625,XR AORTOGRAM ABDOMEN W/SER,4119.0,,435.0,8190.45,68
CPT,75630,XR AORTOGRM ABD W/RUNOFF,7355.0,,339.0,8190.45,204
CPT,75635,CTA ABDOMINAL AORTA W/RUNOFF,10132.0,,146.63,9118.8,260
CPT,75705,ANGIOGM SPINE SEL UNI,7066.0,,231.0,14066.75,136
CPT,75710,ANGIOGM EXTREMITY UNI,5732.0,,196.0,8190.45,272
CPT,75710,XR ANGIO EXTREMITY LT,5732.0,,196.0,8190.45,56
CPT,75710,XR ANGIO EXTREMITY RT,5732.0,,196.0,8190.45,56
CPT,75710,XR ANGIO EXTREMITY UNI,5732.0,,196.0,8190.45,68
CPT,75716,XR ANGIO EXTREMITY BILAT,7575.0,,299.0,8190.45,272
CPT,75726,ANGIOGM VISCERAL,7224.0,,489.0,14066.75,204
CPT,75731,XR ANGIO ADRENAL UNI,13635.0,,397.0,12271.5,204
CPT,75736,ANGIOGM PELVIC,5396.0,,276.0,14066.75,136
CPT,75736,ANGIOGM PELVIC BILAT,6938.0,,276.0,14066.75,68
CPT,75741,ANGIOGM PULMONARY UNI,6335.0,,276.0,8190.45,136
CPT,75743,ANGIOGM PULMONARY BIL,7840.0,,52.0,8190.45,68
CPT,75743,ANGIOGM PULMONARY BILAT,7258.0,,52.0,8190.45,68
CPT,75746,XR ANGIO PULMONARY NONSELECT,3617.0,,276.0,8190.45,136
CPT,75756,ANGIOGM MAMMARY INTERNAL,4604.0,,328.0,8190.45,136
CPT,75774,ANGIO SEL EA ADD VESS,4355.0,,151.0,3919.5,55
CPT,75774,XR ANGIO EA ADD VESSEL,4355.0,,151.0,3919.5,165
CPT,75801,LYMPHANGIOGRAM EXTREMITY UNI,1686.0,,261.0,1608.85,68
CPT,75803,XR LMPHANGIO EXTREMITY BILAT,3480.0,,276.0,4042.37,68
CPT,75805,XR LYMPHANGIO PEL/ABDOMEN UNI,4153.0,,235.0,8190.45,68
CPT,75807,LMPHANGIO PEL/ABDOMEN BILAT,3351.0,,264.0,8190.45,68
CPT,75809,XR SHUNTOGRAM NONVASCULAR,1037.0,,63.0,933.3,68
CPT,75810,XR SPLENOPORTOGRAM,5984.0,,261.0,8190.45,68
CPT,75820,XR VENOGRAM EXTREMITY UNILAT,2661.0,,142.0,4042.37,340
CPT,75822,XR VENOGRAM EXTREMITY BILAT,3301.0,,187.0,4042.37,136
CPT,75825,VENOGM CAVAL INFERIOR,4824.0,,199.0,8190.45,204
CPT,75827,VENOGM CAVAL SUPERIOR,4902.0,,195.0,4411.8,204
CPT,75831,VENOGM RENAL UNI,5433.0,,207.0,8190.45,68
CPT,75833,VENOGM RENAL BIL,5738.0,,159.0,8190.45,68
CPT,75840,XR VENOGRAM ADRENAL UNI,6391.0,,181.0,8190.45,68
CPT,75860,VENOGM SINUS/JUGULAR CATH,3608.0,,236.0,8190.45,340
CPT,75870,VENOGM SUP SAG SINUS,3191.0,,209.0,8190.45,68
CPT,75880,XR VENOGRAM ORBITAL,2224.0,,195.0,2001.6,68
CPT,75885,PORTOGM PERC TRANS W/HEMO,2955.0,,415.0,8190.45,68
CPT,75887,XR PORTOGRAM W/O HEMODYNAMICS,4472.0,,415.0,8190.45,68
CPT,75889,VENOGM HEPATIC W/HEMODYN.,7340.0,,415.0,8190.45,136
CPT,75891,VENOGM HEPATIC WO/HEMODYN,3787.0,,415.0,8190.45,68
CPT,75891,VENOGM HEPATIC WO/HEMODYN.,3787.0,,415.0,8190.45,68
CPT,75893,VENOGRAM SAMPLING CATH,5148.0,,733.0,14066.75,68
CPT,75893,VENOUS SAMPLING,5148.0,,733.0,14066.75,68
CPT,75894,XR TRANSCATH EMBOLIZATION ANY,9064.0,,215.0,8157.6,112
CPT,75898,ANGIOGM EXIST CATH F/U TRSCATH,2726.0,,374.0,8190.45,272
CPT,75901,REMOVE CV PERICATH OBSTRUCTION,1005.0,,502.5,904.5,55
CPT,75902,REMOVE CVA LUMEN OBSTRUCT,308.0,,154.0,277.2,55
CPT,75902,XR REM CV INTRALUM OBSTRUCTION,1386.0,,693.0,1247.4,55
CPT,75956,ENDOVASC RPR THORACIC W/LT,5640.0,,912.87,5076.0,57
CPT,75970,BIOPSY TRANSCATH,6167.0,,114.0,5550.3,112
CPT,75984,CATH DRAIN CHANGE PERC,2474.0,,50.0,2226.6,220
CPT,75984,XR CHANGE TUBE/DRAINAGE CATH,1579.0,,50.0,1421.1,55
CPT,75989,CT GUIDE ASBC DRN PER W/CATH,2694.0,,115.0,2424.6,165
CPT,75989,ECHO GUIDE ABS DRN PERC W/CATH,2694.0,,115.0,2424.6,55
CPT,75989,GUIDE ABSC DRN PERC W/CATH,2694.0,,115.0,2424.6,55
CPT,75989,GUIDE ABSC DRN PERC/CATH,2694.0,,115.0,2424.6,55
CPT,75989,XR FLUORO ABSC DRAINAGE,2694.0,,115.0,2424.6,110
CPT,76000,FLUORO UP TO 1 HOUR,1116.0,,10.0,1004.4,136
CPT,76000,FLUOROSCOPY ONLY,1034.0,,10.0,930.6,68
CPT,76000,XR FLUORO,1051.0,,10.0,945.9,272
CPT,76000,XR FLUORO <1HR,941.0,,10.0,846.9,68
CPT,76015,MR SFTY MPLT&/FB ASMT STF EA,62.005,,0.004,111.6,112
CPT,76080,SINUS TRACT/FISTULA STUDY,1130.0,,10.0,1426.8,68
CPT,76080,SINUS TRACT/FISTULA.STUDY,1047.0,,10.0,1426.8,68
CPT,76080,XR ABSC SINUS/FISTULA,968.0,,10.0,1426.8,260
CPT,76098,XR SURGICAL SPECIMEN,928.0,,28.0,1426.8,112
CPT,76098,XR SURGICAL SPECIMEN (LEFT),1002.0,,28.0,1426.8,68
CPT,76098,XR SURGICAL SPECIMEN (RIGHT),1002.0,,28.0,1426.8,68
CPT,76120,XR CINE/VIDEO RAD,1020.0,,87.59,918.0,136
CPT,76125,XR CINE/VIDEO RAD W/ROUTINE,674.0,,19.0,606.6,56
CPT,76376,US 3D NO IN DEPT WKSTATION,1464.0,,126.0,1317.6,55
CPT,76376,US 3D REND W/INTERP W/O POSTPR,1464.0,,126.0,1317.6,385
CPT,76377,CT 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,220
CPT,76377,MRI 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,220
CPT,76377,US 3D RNDR REQ INDP WRKSTN,2085.0,,162.0,1876.5,330
CPT,76377,XR 3D RNDR W/POSTPROCESSING,2085.0,,162.0,1876.5,110
CPT,76380,CT LIMITED OR LOCALIZED STUD,2850.0,,56.0,2565.0,328
CPT,76390,MAGNETIC RESONANCE SPECTROSCPY,5039.0,,72.52,4535.1,68
CPT,76390,MRI SPECTROSCOPY,3808.0,,72.52,3427.2,204
CPT,76391,MR ELASTOGRAPHY,7850.0,,130.18,7065.0,260
CPT,76496,XR FLUORO UNLISTED PROCEDURE,1051.0,,72.52,945.9,136
CPT,76496,XR FLUORO UNLSTD PROC,164.0,,72.52,229.12,68
CPT,76497,CT UNLISTED PROCEDURE,266.0,,72.52,239.4,68
CPT,76497,OPTICAL COHERENCE TOMOGRAPHY,2036.505,,0.005,3665.7,340
CPT,76506,ECHOENCEPHALOGRAM,1162.0,,87.59,1045.8,316
CPT,76511,US EYE QUANTITATIVE A-SCAN,731.0,,87.59,657.9,136
CPT,76512,US EYE B-SCAN,712.0,,83.0,640.8,136
CPT,76536,ECHO SOFT TSU HEAD&NECK,1369.0,,67.0,1232.1,68
CPT,76536,US SOFT TISSUE HEAD/NECK,1267.0,,67.0,1140.3,464
CPT,76604,US CHEST,949.0,,87.59,854.1,464
CPT,76604,"US EXAM, CHEST, B-SCAN",998.0,,87.59,898.2,68
CPT,76641,ULTRASOUND BREAST COMPLETE LT,1228.0,,99.32,1105.2,224
CPT,76641,ULTRASOUND BREAST COMPLETE RT,1228.0,,99.32,1105.2,224
CPT,76641,US BREAST UNILAT COMPLETE BIL,1841.0,,99.32,1656.9,224
CPT,76642,US BREAST UNILAT LTD BILAT,1841.0,,82.01,1656.9,56
CPT,76642,US BREAST UNILAT LTD W/DOC,1005.0,,72.52,904.5,204
CPT,76642,US BREAST UNILAT LTD W/DOC BIL,1381.0,,82.01,1242.9,168
CPT,76642,US BREAST UNILAT LTD W/DOC LT,1005.0,,82.01,904.5,168
CPT,76642,US BREAST UNILAT LTD W/DOC RT,1005.0,,82.01,904.5,224
CPT,76700,ECHO ABDOMEN COMP,1082.0,,72.0,973.8,136
CPT,76700,US ABDOMEN CMPL,1082.0,,72.0,973.8,192
CPT,76705,ECHO ABDOMEN LTD,624.0,,54.0,561.6,340
CPT,76705,US ABDOMEN LTD,624.0,,54.0,561.6,328
CPT,76706,US ABDL AORTA SCREEN AAA,890.0,,87.59,801.0,532
CPT,76770,ECHO RETROPERITONEAL COMP,1712.0,,87.59,1540.8,68
CPT,76770,US RETROPERITIONEAL,1585.0,,87.59,1426.5,192
CPT,76775,ECHO RETROPERITONEAL LTD,757.0,,87.0,681.3,68
CPT,76775,US RETROPERITONEAL LTD,757.0,,87.0,681.3,396
CPT,76776,US KIDNEY TRANSPLANT W/DOPPLER,1527.0,,87.59,1374.3,192
CPT,76776,US TRANSPLANT KIDNEY,1651.0,,87.59,1485.9,68
CPT,76801,US PREGNANCY <14 WEEKS SGL,1544.0,,60.0,1389.6,260
CPT,76802,OB US,730.0,,365.0,657.0,165
CPT,76802,"OB US < 14 WKS, ADDL FETUS",787.0,,393.5,708.3,55
CPT,76805,ECHO PREG UTERUS COMPLETE,1577.0,,60.0,1419.3,68
CPT,76805,ECHO PREGNANT UTERUS COMPLETE,1577.0,,60.0,1419.3,192
CPT,76805,US PREG > 14 WKS SGL /1ST GEST,1230.0,,60.0,1107.0,68
CPT,76805,US PREG > 14 WKS SGL/1ST GEST,1418.0,,60.0,1445.4,136
CPT,76810,"OB US >/= 14 WKS, ADDL FETUS",1244.0,,32.0,1119.6,165
CPT,76810,US PREG > 14 WKS EA ADDL GEST,1175.0,,32.0,1057.5,110
CPT,76815,US OB PREGNANCY LIMITED,935.0,,45.0,841.5,396
CPT,76815,US PREG 1 OR MORE FETUSES LTD,935.0,,45.0,841.5,136
CPT,76816,US PREG FOLLOWUP PER FETUS,244.0,,32.0,276.71,136
CPT,76817,"TRANSVAGINAL US, OBSTETRIC",1088.0,,85.0,979.2,68
CPT,76817,US PREGNANCY TRANSVAGINAL,1007.0,,85.0,906.3,192
CPT,76818,FETAL BIOPHYSICAL PF W/NST,1475.0,,55.0,1327.5,204
CPT,76819,FETAL BIO PROFILE W/O NST,1304.0,,87.59,1173.6,204
CPT,76820,US FETAL DOPLR VELO UMB,713.0,,87.59,641.7,68
CPT,76825,FETAL ECHO W/W/O M-MODE,2711.0,,104.0,2439.9,69
CPT,76826,FETAL ECHO W/WO M F/U,1570.0,,124.0,1413.0,69
CPT,76827,DPPLR ECHOCARD FETAL CMPL,1348.0,,87.59,1213.2,69
CPT,76828,FETAL DOPPLER ECHO F/U,973.0,,87.59,875.7,69
CPT,76830,ECHO TRANSVAGINAL,1215.0,,26.0,1093.5,136
CPT,76830,US TRANSVAGINAL,1126.0,,26.0,1013.4,192
CPT,76831,US SALINE INFUS SON COLOR FLOW,1500.0,,88.0,1350.0,68
CPT,76856,ECHO (NON OB)PELVIC,865.0,,87.59,778.5,136
CPT,76856,US PELVIS NON OB,865.0,,87.59,778.5,668
CPT,76857,ECHO (NON OB)PELVIC LTD,1414.0,,64.0,1272.6,68
CPT,76857,US BUTTOCK,1310.0,,64.0,1179.0,396
CPT,76857,US LABIA,831.0,,64.0,747.9,136
CPT,76857,US PELVIS NON-OB LTD,1310.0,,64.0,1179.0,396
CPT,76870,ECHO SCROTUM & CONTENTS,1350.0,,87.59,1215.0,68
CPT,76870,US SCROTUM,1251.0,,87.59,1125.9,192
CPT,76872,US TRANSRECTAL,1553.0,,87.59,1397.7,340
CPT,76872,US TRANSRECTAL PROSTATE,1553.0,,87.59,1397.7,68
CPT,76873,US TRANSRECTAL PROSTATE VOLUME,1299.0,,87.59,1169.1,68
CPT,76881,US EXTREMITY NON VASCULAR COMP,1688.0,,87.59,1519.2,328
CPT,76882,US EXT NON VASCULAR LTD LT,1232.0,,39.88,1108.8,56
CPT,76882,US EXT NON VASCULAR LTD RT,1232.0,,39.88,1108.8,56
CPT,76882,US EXTREMITY NON VASCULAR LTD,1329.0,,39.88,1196.1,996
CPT,76883,US NRV & ACC STRUX 1XTR COMPRE,1688.0,,87.59,1519.2,544
CPT,76883,US NRV&ACC STRUX 1XTR COMP BIL,2534.0,,276.71,2280.6,56
CPT,76932,US GUIDED ENDOMYOCARD BX,1259.0,,85.54,1133.1,56
CPT,76936,US GUIDED COMPRESSION RPR,1738.0,,211.0,1564.2,68
CPT,76937,US GUIDED VASCULAR ACCESS,1544.0,,80.85,1389.6,550
CPT,76940,US GUID/MONITOR VISC TISS ABLA,892.0,,147.17,802.8,224
CPT,76942,US GUIDED CLIP PLACEMENT LT,1433.0,,91.0,1289.7,55
CPT,76942,US GUIDED CLIP PLACEMENT ONLY,1751.0,,91.0,1575.9,110
CPT,76942,US GUIDED CORE BIOPSY LT,1751.0,,91.0,1575.9,55
CPT,76942,US GUIDED FNA BIOPSY RT,1433.0,,91.0,1289.7,55
CPT,76942,US GUIDED NEEDLE BX,1891.0,,91.0,1701.9,110
CPT,76942,US GUIDED NEEDLE PLACEMENT S&I,1891.0,,91.0,1701.9,1485
CPT,76946,US GUIDANCE AMNIOCENTESIS,828.0,,53.0,745.2,55
CPT,76965,US GUIDED INTERSTITIAL THERAPY,2181.0,,130.0,1962.9,56
CPT,76978,US TARGET DYN MICROBUBBLE 1ST,1228.0,,119.72,1105.2,260
CPT,76979,US TRGT DYM MBUBB EA ADDL,1161.0,,122.27,1044.9,55
CPT,76979,US TRGT DYN MBUBB EA ADDL,1161.0,,122.27,1044.9,165
CPT,76981,US ELASTOGRAPHY PARENCHYMA,1228.0,,87.59,1105.2,260
CPT,76982,US ELASTOGRAPHY 1ST TARGET LES,1228.0,,87.59,1105.2,260
CPT,76983,US ELAST EA ADDL TARGET LESION,962.0,,481.0,865.8,220
CPT,76998,US GUIDANCE INTRAOPERATIVE,1570.0,,141.07,1413.0,280
CPT,76999,US FLANK,831.0,,72.52,747.9,260
CPT,76999,US SOFT TISSUE BACK,898.0,,72.52,808.2,68
CPT,76999,US SUPRAPUBIC,831.0,,72.52,747.9,192
CPT,76999,US UNLISTED BODY PART,831.0,,72.52,747.9,124
CPT,76999,US UNLSTD PROC,681.0,,72.52,747.9,304
CPT,77001,FLURO GUIDE CVA PLCMT/REMOVAL,1861.0,,51.49,1674.9,330
CPT,77002,XR FLUORO NEEDLE PLACEMENT,1355.0,,78.0,1219.5,275
CPT,77003,FLURO GUIDE NDLE/CATH DX/THERP,1463.0,,84.35,1316.7,385
CPT,77011,CT GUIDED LOCALIZATION STEREO,2919.0,,249.0,2627.1,55
CPT,77012,CT GUIDED NEEDLE PLACEMENT,4475.0,,378.0,4027.5,275
CPT,77012,CT GUIDED NEEDLE PLCMT-MOD 59*,4475.0,,378.0,4027.5,55
CPT,77012,CT GUIDED NEEDLE PLCMT-P STDY,1403.0,,378.0,1262.7,110
CPT,77013,CT GUIDED PARENCHY TISS ABLAT,5726.0,,487.39,5153.4,112
CPT,77014,CT GUID PLACE RAD THRPY FIELDS,3166.0,,170.16,2849.4,220
CPT,77014,CT GUIDED THRPY PLACEMENT,407.0,,170.16,366.3,56
CPT,77021,MRI GUIDE NEEDLE PLACE,4965.0,,613.0,4468.5,165
CPT,77046,MRI BREAST W/O CONTRAST UNILAT,5011.0,,199.1,4509.9,248
CPT,77047,MRI BREAST W/O CONTRAST BILAT,7518.0,,199.1,6766.2,260
CPT,77048,MRI BREAST W/O&W CONT UNILAT,6295.0,,363.95,5665.5,112
CPT,77053,MAMMARY DUCTOGRAM LT,905.0,,25.0,814.5,56
CPT,77053,MAMMARY DUCTOGRAM RT,978.0,,25.0,880.2,112
CPT,77054,MAMMARY DUCTOGRAM MULTI LT,1125.0,,16.0,1012.5,112
CPT,77054,MAMMARY DUCTOGRAM MULTI RT,1125.0,,16.0,1012.5,112
CPT,77063,BREAST TOMOSYNTH UNI SCR P-STY,161.0,,20.71,144.9,112
CPT,77063,BREAST TOMOSYNTHESIS BI SCRN,475.0,,20.71,427.5,56
CPT,77063,BREAST TOMOSYNTHESIS BIL SCRN,475.0,,20.71,427.5,56
CPT,77065,DX MAMMO INCL CAD UNI,475.0,,125.0,427.5,56
CPT,77065,DX MAMMO INCL CAD UNI LT,475.0,,125.0,427.5,56
CPT,77065,DX MAMMO INCL CAD UNI RT,475.0,,125.0,427.5,112
CPT,77065,MAMMO UNILAT DIG IMAGE LT,475.0,,125.0,427.5,56
CPT,77065,MAMMO UNILAT DIG IMAGE RT,475.0,,125.0,427.5,56
CPT,77066,DX MAMMO INCL CAD BI 01,584.0,,133.0,525.6,56
CPT,77066,DX MAMMO INCL CAD BI 02,144.0,,72.0,282.88,56
CPT,77066,MAMMO BILAT DIG IMAGE,630.0,,133.0,567.0,56
CPT,77067,MAMMO SCREEN BILAT DIG IMAGE,475.0,,107.0,427.5,112
CPT,77067,SCR MAMMO BI INCL CAD,475.0,,107.0,427.5,112
CPT,77067,SCR MAMMO UNI INC CAD P-STUDY,163.0,,81.5,234.09,112
CPT,77067,SCREENING MAMMOGRAM-UNINSURED,90.0,,45.0,234.09,56
CPT,77072,XR BONE AGE STUDIES,478.0,,34.0,430.2,260
CPT,77073,BONE LENGTH STUDIES,719.0,,54.5,647.1,136
CPT,77073,BONE LENGTH STUDY,719.0,,54.5,647.1,384
CPT,77074,XR BONE SURVEY LTD,713.0,,87.5,641.7,124
CPT,77075,XR BONE SURVEY COMPLETE,1792.0,,87.59,1612.8,260
CPT,77076,RADIOLOGIC EXAM OSSEOUS INFANT,1232.0,,87.59,1108.8,68
CPT,77077,XR JOINT SURVEY 1V,428.0,,214.0,385.2,56
CPT,77078,CT BONE MINERAL DENSITY AXIAL,671.0,,65.0,603.9,124
CPT,77080,XR BONE DENSITY AXIAL,827.0,,87.59,744.3,248
CPT,77080,XR BONE DENSITY AXIAL W/ABM,827.0,,99.0,744.3,56
CPT,77081,XR BONE DENSITY APPENDICULAR,510.0,,72.52,459.0,68
CPT,77085,XR BONE DENSITY AXIAL 1OR MORE,1047.0,,87.59,942.3,68
CPT,77086,XR FRAC ASSESS DUAL ENERGY,489.0,,72.52,440.1,192
CPT,77090,TBS PREP & TRANSMIT DATA,426.0,,72.52,383.4,204
CPT,77091,TBS TECHNICAL CALCULATION ONLY,426.0,,72.52,383.4,204
CPT,77280,SIMULATOR-SIMPLE,1869.0,,109.36,1682.1,136
CPT,77285,SIMULATOR-INTERMEDIATE,2195.0,,301.52,1975.5,68
CPT,77290,SIMULATOR-COMPLEX,3440.0,,297.0,3096.0,68
CPT,77290,THER RAD SIMULAJ COMPLEX,4449.0,,297.0,4004.1,68
CPT,77293,RESP MOTION MGMT SIMULATION,2491.0,,753.01,2241.9,56
CPT,77295,GAMMA PLANNING SIMULATION 3D,13358.0,,297.0,25000.0,73
CPT,77295,PLAN RAD 3D W/ DOSE VOL HISTOG,13885.5,,297.0,25000.0,146
CPT,77295,SET RADIATION THERAPY FIELD,13358.0,,297.0,25000.0,73
CPT,77300,BASIC DOSIMETRY CALCULATION,1305.0,,62.0,25000.0,219
CPT,77300,DOSIMETRY DOSE PLAN,1305.0,,62.0,25000.0,73
CPT,77301,INTENSITY MOD TX PLAN,7875.0,,1127.0,7087.5,68
CPT,77301,RAD THRPY DOSEPLAN IMRT,11395.0,,1127.0,10255.5,68
CPT,77301,"RAD THRPY DOSEPLAN,IMRT",11395.0,,1127.0,10255.5,68
CPT,77306,TELETHX ISODOSE PLAN SIMPLE,1489.0,,301.52,1340.1,68
CPT,77307,TELETHX ISODOSE PLAN CPLX,3376.0,,262.63,3038.4,68
CPT,77316,BRACHYTX ISODOSE PLAN SIMPLE,2131.0,,301.52,1917.9,67
CPT,77317,BRACHYTX ISODOSE INTERMED,2492.0,,301.52,2242.8,67
CPT,77318,BRACHYTX ISODOSE COMPLEX,3384.0,,301.52,3045.6,67
CPT,77321,SPEC.TELETHERAPY PORT,2428.0,,217.0,2185.2,68
CPT,77331,DOSIMETRY CALCULATION SPECIAL,1488.0,,109.36,1339.2,68
CPT,77332,TREATMENT DEVICE SMP,1056.0,,100.0,950.4,136
CPT,77332,TRMT DEVICES SIMPLE,1277.0,,100.0,1149.3,68
CPT,77333,TREATMENT DEVICE INTERMED,1228.0,,109.0,1105.2,68
CPT,77333,TRMT DEVICES INTERMED,1486.0,,109.0,1337.4,136
CPT,77334,TREATMENT DEVICE CPLX,2538.5,,215.0,25000.0,146
CPT,77334,TREATMENT DEVICE(FRAME/HELMET),2347.0,,215.0,25000.0,73
CPT,77334,TRMT DEVICES COMPLEX,2580.0,,215.0,25000.0,73
CPT,77336,CONTINUING MED PHYSICS CONSULT,1324.0,,71.0,1191.6,56
CPT,77336,CONTINUING MEDICAL PHYSIC,1458.0,,71.0,1312.2,68
CPT,77336,MEDICAL PHYSICS CONTINUING,421.0,,71.0,378.9,68
CPT,77338,MLC DEVICE(S) FOR IMRT 01,2202.0,,301.52,1981.8,68
CPT,77338,MLC DEVICE(S) FOR IMRT 02,1375.0,,301.52,1237.5,68
CPT,77370,SPECIAL MEDICAL PHYSICS,1835.0,,94.0,1651.5,68
CPT,77371,STEREOTACTIC RADIOSURG GAMMA,59476.0,,1023.0,53528.4,68
CPT,77372,STEREOTACTIC RADIOSURG CMPL LB,65401.0,,777.0,58860.9,68
CPT,77373,STEREO BODY RAD THERAPY DEL,17162.0,,1446.3,15445.8,68
CPT,77385,INTENSITY MOD RAD TX SIMPLE,3926.0,,476.47,3533.4,68
CPT,77386,INTENSITY MOD RAD TX COMPLEX,3926.0,,348.38,3533.4,68
CPT,77387,STEREOTACTIC XR GUIDANCE,875.0,,66.81,787.5,57
CPT,77402,RAD THRPY SIMPLE >/=1 MEV,1332.0,,90.2,1198.8,68
CPT,77407,RAD THRPY INTERMED >/=1 MEV,1005.0,,169.0,904.5,68
CPT,77412,RAD THRPY CPLX >/=1 MEV,2047.0,,200.0,1842.3,68
CPT,77417,PORT VERIFICATION FILM(S),834.0,,16.0,750.6,56
CPT,77435,STEREO BODY RAD THERAPY MANAG,3135.0,,1567.5,2821.5,56
CPT,77470,SPECIAL TREATMENT PROCEDURE,3480.0,,241.0,3132.0,136
CPT,77523,PROTON BEAM INTERMEDIATE,6603.0,,1050.6,5942.7,68
CPT,77525,PROTON BEAM COMPLEX,11447.0,,1050.6,10302.3,68
CPT,77767,HRD RDNCL SKN SURF BRACHY UP,4380.0,,216.61,3942.0,68
CPT,77768,HRD RDNCL SKN SURF BRACHY >2,2810.0,,216.61,2529.0,68
CPT,77770,HDR RDNCL INTRST/INTR BRACH 1,5854.0,,294.18,5268.6,68
CPT,77771,HDR RDNCL NTR/ICAV BRACH 2-12,6883.0,,571.48,6194.7,68
CPT,77772,HDR RDNCL NTR/ICAV BRACH 12+,7728.0,,570.49,6955.2,68
CPT,77778,BRACHY INTERSTITIAL: COMPLEX,7845.0,,553.0,7060.5,68
CPT,77789,BRACHY SURFACE APPLICATION,721.0,,90.2,648.9,68
CPT,77790,"BRACHY SUPERVISE,HANDLE,LOAD",1048.0,,46.0,943.2,56
CPT,77799,INTERSTITIAL BRACHY SMP,7002.0,,90.2,6301.8,68
CPT,78012,NM THYROID UP SGL/MULTIPLE,1527.0,,84.41,1374.3,68
CPT,78013,NM THYROID SCAN W/FLOW WHEN PE,1538.0,,213.1,1384.2,68
CPT,78014,NM THYROID SCAN W/UP SGL/MULTI,3365.0,,246.38,3028.5,68
CPT,78018,THYROID CARCI M.IMAG-WHOLE BOD,3432.0,,172.0,3088.8,68
CPT,78070,PARATHYROID SCAN,3237.0,,185.0,2913.3,68
CPT,78071,NM PARATHYROID W/TOMOGRAPHIC,3236.0,,330.98,2912.4,68
CPT,78072,NM PARATHYROID W/TOMOGR & SPC,4409.0,,364.18,3968.1,68
CPT,78102,BONE MARROW IMAGING LTD,1892.0,,206.0,1702.8,68
CPT,78103,BONE MARROW IMAG MULTI,1689.0,,257.0,1520.1,68
CPT,78195,LYMPHATIC SCAN,3102.0,,230.0,2791.8,68
CPT,78201,NM LIVER,2485.0,,198.0,2236.5,136
CPT,78202,NM LIVER W/FLOW,2997.0,,360.0,2697.3,136
CPT,78215,LIVER AND SPLEEN SCAN,2670.0,,233.0,2403.0,68
CPT,78226,NM HEPATOBILIARY SYSTEM IMG,4280.0,,289.37,3852.0,68
CPT,78227,NM HEPATOBILIARY SYSTEM IMG W/,4280.0,,443.36,3852.0,68
CPT,78258,NM ESOPHAGEAL MOTILITY,1731.0,,68.0,1557.9,68
CPT,78264,GASTRIC EMPTYING STUDY,3736.0,,125.0,3362.4,68
CPT,78265,NM GASTRIC EMPTYING IMG STD,3204.0,,330.98,2883.6,68
CPT,78266,NM GASTRIC EMPTYING IMG STD,6180.0,,443.36,5562.0,68
CPT,78278,GI BLOOD LOSS IMAGING,2938.0,,196.0,2644.2,68
CPT,78290,BOWEL SCAN,923.0,,266.0,1045.64,68
CPT,78291,NM PERITONEAL-VENOUS SHUNT,2212.0,,251.0,1990.8,68
CPT,78300,BONE/JOINT SCAN LTD,2080.0,,242.0,1872.0,68
CPT,78305,BONE/JOINT SCAN - MULTI,2481.0,,275.0,2232.9,68
CPT,78306,BONE/JOINT SCAN WHL BODY,4627.0,,296.0,4164.3,68
CPT,78315,BONE/JOINT SCAN 3 PHASE,4708.0,,129.0,4237.2,68
CPT,78429,MYOCRD IMG PET 1 STD W/CT,9807.0,,1201.41,8826.3,68
CPT,78430,MYOCRD IMG PET RST/STRS W/CT,6051.0,,1201.41,5445.9,68
CPT,78431,MYOCRD IMG PET RST&STRS W/CT,6051.0,,1853.68,5856.26,68
CPT,78432,MYOCRD IMG PET 2RTRACER,6051.0,,1524.21,5501.0,68
CPT,78433,MYOCRD IMG PET 2RTRACER CT,6051.0,,1606.58,5501.0,68
CPT,78434,NM PET MYOCARD ABS QUANT,6051.0,,129.56,5445.9,56
CPT,78451,NM HRT MUSC IMAGE  SPECT SNGL,5302.0,,587.0,4771.8,136
CPT,78451,NM HRT MUSC IMAGE- SPECT SNGL,7183.0,,587.0,6464.7,68
CPT,78451,NM HRT MUSC IMAGE-SPECT SNGL,5302.0,,587.0,4771.8,68
CPT,78452,NM HRT MUSC IMAGE SPECT MULT,2488.0,,875.0,3397.12,68
CPT,78452,NM HRT MUSC IMAGE- SPECT MULT,2392.0,,875.0,3397.12,68
CPT,78452,NM HRT MUSC IMAGE-SPECT MULT,2488.0,,875.0,3397.12,68
CPT,78453,NM HRT MUSC IMAGE- PLANAR SNGL,4612.0,,1075.3,4150.8,68
CPT,78453,NM HRT MUSC IMAGE-PLANAR SNGL,3812.0,,1075.3,3430.8,68
CPT,78454,NM HRT MUSC IMAGE- PLANAR MULT,5753.0,,395.0,5177.7,68
CPT,78454,NM HRT MUSC IMAGE-PLANAR MULT,4246.0,,395.0,3821.4,68
CPT,78466,NM MYOCARD INFARCT,2574.0,,262.0,2316.6,136
CPT,78472,CARD BLD PL GTD REST-MUGA SGL,2924.0,,218.0,2631.6,136
CPT,78473,NM MUGA RESTING MULTI,3950.0,,313.0,3555.0,136
CPT,78494,NM MUGA RESTING W/SPECT,4246.0,,328.0,3821.4,204
CPT,78579,NM PULM VENT IMG AERO/GAS,2503.0,,330.98,2252.7,68
CPT,78580,LUNG SCAN -PERFUSION,2605.0,,212.0,2344.5,68
CPT,78582,NM PULM VENT/PERF IMAGING,4573.0,,93.0,4115.7,68
CPT,78597,NM PULM PERF QUAN DIFFERENTIAL,3503.0,,330.98,3152.7,68
CPT,78598,NM PULM PERF/VENT QUAN DIFF,4573.0,,279.64,4115.7,68
CPT,78600,BRAIN SCAN-LTD.-STATIC,1817.0,,229.0,1635.3,68
CPT,78601,NM BRAIN W/FLOW < 4 VIEWS STAT,2369.0,,289.0,2132.1,68
CPT,78606,NM BRAIN W/FLOW 4 + VIEWS STAT,2917.0,,421.0,2625.3,68
CPT,78610,NM BRAIN IMAGE- VASC FLOW ONLY,1713.0,,179.0,1541.7,68
CPT,78630,CSF CISTERNOGRAM,3257.0,,340.0,2931.3,136
CPT,78645,CSF SHUNT EVALUATION,2056.0,,139.0,1850.4,68
CPT,78650,CSF LEAK STUDY,2383.0,,175.0,3397.12,68
CPT,78707,KID VASC FUNC SGL W/O PHARM,4096.0,,332.0,3686.4,68
CPT,78708,KID VASC FUNC W/PHARM SNGL,4332.0,,148.0,3898.8,68
CPT,78709,KID VASC FUNC MULTI W&WO PHARM,4028.0,,346.0,3625.2,68
CPT,78725,KIDNEY FUNCTION CLEARANCE,2947.0,,89.0,2652.3,68
CPT,78800,NM TUMOR LOC LTD,3428.0,,114.0,3085.2,136
CPT,78801,NM TUMR LOC 2+A 1+D/1A 2+D,3497.0,,232.0,3147.3,68
CPT,78802,TUMOR LOCAL/WHOLE BODY,4994.0,,350.0,4494.6,68
CPT,78803,NM TUMR LOC SPECT 1 AREA 1 DAY,6516.0,,159.0,5864.4,204
CPT,78804,TUMOR IMAGING WHL BODY 2OR>DAY,5767.0,,540.0,5190.3,68
CPT,78808,INJ LOC NON IMAGE CALLAHAN,402.0,,56.0,1045.64,68
CPT,78808,NM IV INJ LOC NON IMAGE PROBE,1034.0,,56.0,1045.64,68
CPT,78830,RP LOCLZJ TUM SPECT W/CT 1,3907.0,,182.67,3516.3,68
CPT,78831,RP LOCLZJ TUM SPECT 2 AREAS,3907.0,,1075.3,3516.3,68
CPT,78832,RP LOCLZJ TUM SPECT W/CT 2,4433.0,,1201.41,3989.7,68
CPT,78835,RP QUAN MEAS SINGLE AREA,4433.0,,2216.5,3989.7,55
CPT,79005,RADIOPHARM THERAPY PO,3117.0,,102.56,2805.3,66
CPT,79005,THERAPY HYPERTHYROID INITIAL,3117.0,,102.56,2805.3,68
CPT,79005,THERAPY METASTASES THYRD,3117.0,,102.56,2805.3,68
CPT,79101,NM RADIOPHARM THERAPY IV,2628.0,,184.61,2365.2,68
CPT,79403,ADMIN THPY IN-111 IBRITUMOMAB,3064.0,,184.61,2757.6,68
CPT,79403,NM MONOCLONAL ANTIBODY THERAPY,2785.0,,184.61,2506.5,68
CPT,79440,RADPH TPY INTRA-ARTICULAR(P32),1373.0,,184.61,1235.7,68
CPT,79445,RADIOPHARM THRPY INTRA-ART,2717.0,,184.61,2445.3,136
CPT,80047,BASIC METABOL PANEL CALCIUM,340.0,,7.2,306.0,68
CPT,80047,BASIC METABOLIC PANEL CALCIUM,340.0,,7.2,306.0,340
CPT,80048,BASIC METABOLIC PANEL,238.0,,7.2,306.0,544
CPT,80048,ER Only-BASIC METABOLIC PANEL,340.0,,7.2,306.0,50
CPT,80051,ELECTROLYTE BLOOD PANEL I-STAT,178.0,,3.21,160.2,272
CPT,80051,ELECTROLYTE PANEL,125.0,,3.21,160.2,408
CPT,80051,ER Only-ELECTROLYTE PANEL,178.0,,3.21,160.2,50
CPT,80053,COMPREHENSIVE METABOLIC PANEL,319.5,,9.6,410.4,544
CPT,80053,ER Only-COMPREHENSIVE METABOLIC PANEL,456.0,,9.6,410.4,50
CPT,80061,ER Only-LIPID PANEL,187.0,,10.21,168.3,50
CPT,80061,LIPID PANEL,131.0,,10.21,168.3,340
CPT,80069,ER Only-RENAL FUNCTION PANEL,248.0,,5.0,223.2,50
CPT,80069,RENAL FUNCTION PANEL,174.0,,5.0,223.2,544
CPT,80074,ACUTE HEPATITIS PANEL,545.0,,20.3,700.2,204
CPT,80074,ER Only-ACUTE HEPATITIS PANEL,778.0,,20.3,700.2,50
CPT,80076,ER Only-HEPATIC FUNCTION PANEL,232.0,,7.0,208.8,50
CPT,80076,HEPATIC FUNCTION PANEL,162.5,,7.0,208.8,544
CPT,80143,ACETAMINOPHEN,195.5,,17.15,251.1,340
CPT,80143,ER Only-ACETAMINOPHEN,279.0,,17.15,251.1,50
CPT,80145,ADALIMUMAB ACTIVITY-LABCORP,605.5,,23.14,778.5,204
CPT,80145,ER Only-ADALIMUMAB ACTIVITY-LABCORP,865.0,,23.14,778.5,50
CPT,80145,ER Only-Q-ADALIMUMAB LEVEL IBD,450.0,,23.14,405.0,50
CPT,80145,Q-ADALIMUMAB LEVEL IBD,315.0,,23.14,405.0,204
CPT,80150,AMIKACIN,277.0,,7.86,249.3,70
CPT,80150,AMIKACIN SERUM.,277.0,,7.86,249.3,70
CPT,80151,ER Only-Q-AMIODARONE,362.0,,17.15,325.8,50
CPT,80151,Q-AMIODARONE,253.5,,17.15,325.8,272
CPT,80156,CARBAMAZEPINE (TEGRETOL) TOTAL,152.0,,10.14,195.3,340
CPT,80156,ER Only-CARBAMAZEPINE (TEGRETOL) TOTAL,217.0,,10.14,195.3,100
CPT,80158,CYCLOSPORIN SERUM.      80158,393.5,,10.07,505.8,136
CPT,80158,"CYCLOSPORIN,SERUM",562.0,,10.07,505.8,68
CPT,80158,ER Only-CYCLOSPORIN SERUM.      80158,562.0,,10.07,505.8,50
CPT,80159,Q-CLOZAPINE (CLOZARIL),358.0,,18.54,322.2,68
CPT,80162,DIGOXIN (LANOXIN),137.5,,11.23,176.4,272
CPT,80162,ER Only-DIGOXIN (LANOXIN),196.0,,11.23,176.4,50
CPT,80164,DIPROPYLACETIC ACID (VALPROIC),141.5,,9.85,181.8,340
CPT,80164,ER Only-DIPROPYLACETIC ACID (VALPROIC),202.0,,9.85,181.8,100
CPT,80165,ER Only-Q-VALPROIC ACID FREE,197.0,,12.46,177.3,50
CPT,80165,ER Only-VALPROIC ACID FREE,340.0,,12.46,306.0,50
CPT,80165,Q-VALPROIC ACID FREE,138.0,,12.46,177.3,204
CPT,80165,VALPROIC ACID FREE,238.0,,12.46,306.0,204
CPT,80167,Q-FELBAMATE (FELBATOL),487.0,,17.15,438.3,136
CPT,80168,ER Only-Q-ETHOSUXIMIDE,200.0,,11.25,180.0,50
CPT,80168,Q-ETHOSUXIMIDE,140.0,,11.25,180.0,204
CPT,80169,"M-EVEROLIMUS, BLOOD",814.0,,12.63,732.6,136
CPT,80170,GENTAMICIN RANDOM,245.0,,13.04,220.5,68
CPT,80171,Q-GABAPENTIN (NEURONTIN),308.0,,19.94,277.2,68
CPT,80175,ER Only-Q-LAMOTRIGINE (LAMICTAL),413.0,,12.19,371.7,50
CPT,80175,Q-LAMOTRIGINE (LAMICTAL),289.5,,12.19,371.7,204
CPT,80176,LIDOCAINE SERUM.,263.0,,13.51,236.7,68
CPT,80177,ER Only-Q-LEVETIRACETAM (KEPPRA) LEVEL,424.0,,12.19,381.6,50
CPT,80177,Q-LEVETIRACETAM (KEPPRA) LEVEL,297.0,,12.19,381.6,204
CPT,80178,ER Only-LITHIUM,172.0,,4.58,154.8,50
CPT,80178,LITHIUM,120.5,,4.58,154.8,272
CPT,80179,ER Only-SALICYLATE,279.0,,17.15,251.1,50
CPT,80179,SALICYLATE,195.5,,17.15,251.1,272
CPT,80180,ER Only-MYCOPHENOLIC ACID (CHEM),468.0,,16.61,421.2,50
CPT,80180,MYCOPHENOLIC ACID (CHEM),328.0,,16.61,421.2,204
CPT,80181,Q-FLECAINIDE (TAMBOCOR) LEVEL,315.0,,17.15,283.5,68
CPT,80183,ER Only-Q-OXCARBAZEPINE METABOLITE,384.0,,12.19,345.6,50
CPT,80183,Q-OXCARBAZEPINE METABOLITE,269.0,,12.19,345.6,204
CPT,80184,ER Only-PHENOBARBITAL,216.0,,8.94,194.4,50
CPT,80184,ER Only-Z*M-PHENOBARBITAL**,132.0,,8.94,118.8,50
CPT,80184,PHENOBARBITAL,151.5,,8.94,194.4,204
CPT,80184,Z*M-PHENOBARBITAL**,92.5,,8.94,118.8,68
CPT,80185,ER Only-PHENYTOIN (DILANTIN) TOTAL,196.0,,12.19,176.4,50
CPT,80185,PHENYTOIN (DILANTIN) TOTAL,137.5,,12.19,176.4,272
CPT,80186,ER Only-Q-PHENYTOIN- FREE,216.0,,12.31,194.4,50
CPT,80186,Q-PHENYTOIN- FREE,151.5,,12.31,194.4,136
CPT,80187,ER Only-POSACONAZOLE-VIRACOR,423.0,,24.94,380.7,50
CPT,80187,POSACONAZOLE-VIARCOR,423.0,,24.94,380.7,68
CPT,80187,POSACONAZOLE-VIRACOR,296.0,,24.94,380.7,136
CPT,80188,ER Only-Z*M-PRIMIDONE**,190.0,,15.26,171.0,50
CPT,80188,Z*M-PRIMIDONE**,133.0,,15.26,171.0,68
CPT,80189,"ER Only-Q-ITRACONAZOLE, HPLC",385.0,,24.94,346.5,50
CPT,80189,"Q-ITRACONAZOLE, HPLC",269.5,,24.94,346.5,204
CPT,80190,PROCAINAMIDE,288.0,,19.03,259.2,68
CPT,80192,N-ACETYL PROCAINAMIDE,453.0,,15.41,407.7,68
CPT,80193,M-LEFLUNOMIDE METABOLITE SERUM,615.0,,35.48,553.5,136
CPT,80195,ER Only-SIROLIMUS (RAPAMYCIN) BLOOD,395.0,,9.85,355.5,50
CPT,80195,SIROLIMUS (RAPAMYCIN) BLOOD,276.5,,9.85,355.5,204
CPT,80197,ER Only-TACROLIMUS II (FK506),457.0,,12.63,411.3,50
CPT,80197,TACROLIMUS II (FK506),320.0,,12.63,411.3,204
CPT,80198,ER Only-Q-THEOPHYLLINE,265.0,,13.01,238.5,50
CPT,80198,ER Only-THEOPHYLLINE SERUM,210.0,,13.01,189.0,50
CPT,80198,Q-THEOPHYLLINE,185.5,,13.01,238.5,204
CPT,80198,THEOPHYLLINE SERUM,147.0,,13.01,189.0,68
CPT,80200,TOBRAMYCIN,238.0,,11.29,214.2,68
CPT,80201,ER Only-Q-TOPIRAMATE,318.0,,10.23,286.2,50
CPT,80201,Q-TOPIRAMATE,222.5,,10.23,286.2,204
CPT,80202,ER Only-VANCOMYCIN RANDOM,226.0,,11.26,203.4,50
CPT,80202,ER Only-VANCOMYCIN TROUGH,226.0,,11.26,203.4,50
CPT,80202,VANCOMYCIN,226.0,,11.26,203.4,136
CPT,80202,VANCOMYCIN RANDOM,158.5,,11.26,203.4,136
CPT,80202,VANCOMYCIN TROUGH,158.5,,11.26,203.4,136
CPT,80203,ER Only-Q-ZONISAMIDE,298.0,,12.19,268.2,50
CPT,80203,Q-ZONISAMIDE,208.5,,12.19,268.2,136
CPT,80204,ER Only-M-METHOTREX POST GLUCARPIDASE,917.0,,35.48,825.3,50
CPT,80204,M-METHOTREX POST GLUCARPIDASE,642.0,,35.48,825.3,204
CPT,80204,METHOTREXATE,358.0,,35.48,322.2,136
CPT,80210,ER Only-Q-RUFINAMIDE,319.0,,24.94,287.1,50
CPT,80210,Q-RUFINAMIDE,223.5,,24.94,287.1,204
CPT,80220,ER Only-Q-HYDROXYCHLOROQUINE,468.0,,17.15,421.2,50
CPT,80220,Q-HYDROXYCHLOROQUINE,327.5,,17.15,421.2,204
CPT,80230,ER Only-INFLIXIMAB ACTIVITY,640.0,,15.42,576.0,50
CPT,80230,ER Only-Q-INFLIXIMAB LEVEL IBD,450.0,,15.42,405.0,50
CPT,80230,INFLIXIMAB ACTIVITY,448.0,,15.42,576.0,136
CPT,80230,INFLIZIMAB ACTIVITY,640.0,,15.42,576.0,68
CPT,80230,Q-INFLIXIMAB LEVEL IBD,315.0,,15.42,405.0,204
CPT,80235,ER Only-Q-LACOSAMIDE (LC/MS/MS),446.0,,16.27,401.4,50
CPT,80235,Q-LACOSAMIDE (LC/MS/MS),312.5,,16.27,401.4,204
CPT,80280,+M-VEDOLIZUMAB ACTIVITY,533.5,,23.14,685.8,204
CPT,80280,ER Only-+M-VEDOLIZUMAB ACTIVITY,762.0,,23.14,685.8,50
CPT,80285,ER Only-VORICONAZOLE LC-MS/MS,370.0,,24.94,333.0,50
CPT,80285,VORICONAZOLE LC-MS/MS,259.0,,24.94,333.0,204
CPT,80299,CENOBAMATE (XCOPRI)-LABCORP,363.5,,11.13,467.1,204
CPT,80299,ER Only-CENOBAMATE (XCOPRI)-LABCORP,519.0,,11.13,467.1,50
CPT,80299,ER Only-M-BRIVARACETAM PLASMA,543.0,,11.13,488.7,50
CPT,80299,ER Only-M-CANNABIDIOL SERUM,847.0,,11.13,762.3,50
CPT,80299,ER Only-M-USTEKINUMAB QN SERUM**,491.0,,11.13,441.9,50
CPT,80299,ER Only-Q-DEXAMETHASONE,221.0,,11.13,198.9,50
CPT,80299,ER Only-Q-ESLICARBAZEPINE,319.0,,11.13,287.1,50
CPT,80299,"ER Only-THIOPURINE METABOLITES, WB",940.0,,11.13,846.0,50
CPT,80299,M-BRIVARACETAM PLASMA,380.5,,11.13,488.7,204
CPT,80299,M-CANNABIDIOL SERUM,593.0,,11.13,762.3,204
CPT,80299,M-USTEKINUMAB QN SERUM**,344.0,,11.13,441.9,204
CPT,80299,Q-COUMADIN (WARFARIN),246.0,,11.13,221.4,68
CPT,80299,Q-DEXAMETHASONE,155.0,,11.13,198.9,136
CPT,80299,Q-ESLICARBAZEPINE,223.5,,11.13,287.1,204
CPT,80299,Q-MEXILETINE SERUM/PLASMA,439.0,,11.13,395.1,68
CPT,80299,"THIOPURINE METABOLITES, WB",658.0,,11.13,846.0,204
CPT,80305,DRUG TEST PRESUM DIRECT OBS,75.0,,11.59,67.5,544
CPT,80305,SATELLITE DRUG SCREEN,543.0,,11.59,488.7,272
CPT,80306,DRUG SCREEN GARDENDALE,116.0,,15.77,104.4,68
CPT,80306,DRUG SCREEN METHADONE**,81.5,,15.77,104.4,340
CPT,80306,DRUG SCREEN OPIATE**,81.5,,15.77,104.4,136
CPT,80306,"DRUG SCREEN, URINE-HOOVER",116.0,,15.77,104.4,68
CPT,80306,"DRUG SCREEN, URINE-INVERNESS",116.0,,15.77,104.4,68
CPT,80306,DRUG TEST PRESUMPTIVE INSTRMNT,539.0,,15.77,485.1,68
CPT,80306,DRUGS OF ABUSE PROFILE,855.0,,15.77,1098.9,340
CPT,80306,ER Only-DRUG SCREEN METHADONE**,116.0,,15.77,104.4,50
CPT,80306,ER Only-DRUG SCREEN OPIATE**,116.0,,15.77,104.4,50
CPT,80306,ER Only-DRUGS OF ABUSE PROFILE,1221.0,,15.77,1098.9,50
CPT,80306,ER Only-NICOTINE URINE,104.0,,15.77,93.6,50
CPT,80306,ER Only-Z*DRUG SCREEN MDMA**,104.0,,15.77,93.6,50
CPT,80306,NICOTINE URINE,73.0,,15.77,93.6,136
CPT,80306,NICOTINE URINE (UAB CHEM DEPT),104.0,,15.77,93.6,136
CPT,80306,URINE DRUG SCREEN-80306,116.0,,15.77,104.4,68
CPT,80306,Z*DRUG SCREEN MDMA**,73.0,,15.77,93.6,68
CPT,80307,ARP PROFILE,271.0,,57.17,243.9,68
CPT,80307,DRUG TEST(S) PRESUMPTIVE**,143.5,,41.0,184.5,204
CPT,80307,ER Only-DRUG TEST(S) PRESUMPTIVE**,205.0,,57.17,184.5,50
CPT,80307,ER Only-M-HYPOGLYCEMIC AGENT SCREEN S,426.0,,57.17,383.4,50
CPT,80307,ER Only-SERUM DRUG SCREENS,332.0,,57.17,298.8,50
CPT,80307,ER Only-URINE DRUG SCREEN,323.0,,57.17,290.7,50
CPT,80307,M-HYPOGLYCEMIC AGENT SCREEN S,298.5,,57.17,383.4,204
CPT,80307,Q-MECONIUM DRUG SCREEN,595.0,,57.17,535.5,68
CPT,80307,SERUM DRUG SCREENS,232.5,,57.17,298.8,204
CPT,80307,URINE DRUG SCREEN,226.0,,57.17,290.7,204
CPT,80356,"ER Only-Q-HEROIN METABOLITE QN, URINE",186.0,,9.9,167.4,38
CPT,80356,"Q-HEROIN METABOLITE QN, URINE",130.5,,9.9,167.4,56
CPT,80365,Q-OXYCODONE**,354.0,,9.9,318.6,56
CPT,80422,GLUCAGON TOL PANEL INSULINOMA,428.0,,23.83,385.2,136
CPT,80503,PATH CLIN CONSLTJ SF 5-20,267.0,,44.01,240.3,136
CPT,80504,PATH CLIN CONSLTJ MOD 21-40,290.0,,97.34,261.0,136
CPT,80505,PATH CLIN CONSLTJ HIGH 41-60,312.0,,141.15,280.8,136
CPT,80506,PATH CLIN CONSLTJ PROLNG SVC,334.0,,64.89,300.6,112
CPT,81000,URINALYSIS W/MICROSCOPIC,147.0,,3.7,132.3,204
CPT,81001,ER Only-URINALYSIS AUTO W/MICRO,153.0,,2.92,137.7,50
CPT,81001,URINALYSIS AUTO W/MICRO,107.5,,2.92,137.7,272
CPT,81001,URINALYSIS AUTO W/MICROSCOPIC,150.0,,2.92,137.7,204
CPT,81001,URINALYSIS AUTO W/SCOPE,139.0,,2.92,125.1,408
CPT,81001,URINALYSIS WITH MICROSCOPIC,153.0,,2.92,137.7,408
CPT,81002,URINALYSIS NONAUTO W/O MICRO,57.0,,3.2,51.3,1620
CPT,81002,URINALYSIS WITHOUT MICROSCOPIC,57.0,,3.2,51.3,272
CPT,81003,ER Only-KETONES URINE,142.0,,2.07,127.8,50
CPT,81003,ER Only-PH URINE,142.0,,2.07,127.8,50
CPT,81003,ER Only-PROTEIN UR QUAL,142.0,,2.07,127.8,100
CPT,81003,ER Only-SPECIFIC GRAVITY URINE,142.0,,2.07,127.8,50
CPT,81003,ER Only-URINALYSIS AUTO W/O MICRO,142.0,,2.07,127.8,50
CPT,81003,GLUCOSE UR QUAL,142.0,,2.07,127.8,68
CPT,81003,KETONES URINE,99.5,,2.07,127.8,340
CPT,81003,PH URINE,99.5,,2.07,127.8,340
CPT,81003,PROTEIN UR QUAL,99.5,,2.07,127.8,476
CPT,81003,SCREEN FOR HGB           81003,186.0,,2.07,167.4,136
CPT,81003,SPECIFIC GRAVITY UR,57.0,,2.07,51.3,68
CPT,81003,SPECIFIC GRAVITY URINE,99.5,,2.07,127.8,340
CPT,81003,SUGAR URINE QUAL,142.0,,2.07,127.8,68
CPT,81003,URINALYSIS AUTO W/O MICRO,141.0,,2.07,127.8,748
CPT,81003,URINALYSIS AUTO W/O MICROSCOPI,57.0,,2.07,51.3,68
CPT,81003,URINALYSIS AUTO WITHOUT MICRO,142.0,,2.07,127.8,136
CPT,81015,URINALYSIS MICRO ONLY,73.0,,2.81,65.7,68
CPT,81025,ER Only-URINE PREGNANCY VISUAL,166.0,,7.92,149.4,50
CPT,81025,URINE PREGNANCY VISUAL,116.5,,7.92,149.4,2244
CPT,81120,IDH1 R132 MUTATION,560.0,,177.79,504.0,68
CPT,81170,ER Only-Q-ABL KINASE DOMAIN MUT-BLOOD,1382.0,,276.0,1243.8,50
CPT,81170,ER Only-Q-ABL KINASE DOMAIN MUT-BM,1382.0,,276.0,1243.8,50
CPT,81170,Q-ABL KINASE DOMAIN MUT-BLOOD,967.5,,276.0,1243.8,204
CPT,81170,Q-ABL KINASE DOMAIN MUT-BM,967.5,,276.0,1243.8,204
CPT,81195,CYTO GEN-WIDE HEMA MAL VARIANT,3159.0,,1162.45,2843.1,68
CPT,81206,BCR-ABL1 P120,751.0,,150.84,675.9,68
CPT,81206,BCR-ABL1 P210,526.0,,150.5,675.9,136
CPT,81206,ER Only-BCR-ABL1 P210,751.0,,150.84,675.9,50
CPT,81206,ER Only-Q-ANALY TRANS BCR/ABL1 MAJOR,1307.0,,150.84,1176.3,50
CPT,81206,Q-ANALY TRANS BCR/ABL1 MAJOR,915.0,,150.84,1176.3,68
CPT,81206,Q-P210 BCR/ABL1,751.0,,150.84,675.9,136
CPT,81207,BCR-ABL1 P190,437.0,,125.0,561.6,204
CPT,81207,ER Only-BCR-ABL1 P190,624.0,,133.25,561.6,50
CPT,81207,Q-P190 BCR/ABL1,624.0,,133.25,561.6,136
CPT,81210,ANALYS GENE BRAF**,1681.0,,161.37,1512.9,68
CPT,81218,ER Only-Q-CEBPA MUTATION ANALYSIS,891.0,,222.55,801.9,50
CPT,81218,Q-CEBPA MUTATION ANALYSIS,624.0,,178.5,801.9,136
CPT,81219,"Q-CALRETICULIN, MUT ANALYSIS",1573.0,,31.7,1415.7,68
CPT,81220,ANALY GENE CFRT COM VAR-STATE*,1712.0,,150.0,1540.8,68
CPT,81220,Q-CFTR GENE COM VARIANTS**,1712.0,,150.0,1540.8,68
CPT,81225,ANALY GENE CYP2C19 COMMON VAR,1049.0,,268.05,944.1,68
CPT,81225,CYP2C19 GENOTYPE,1049.0,,268.05,944.1,68
CPT,81225,ER Only-M-CYTOCHROME P450 2C19 GENOT,1829.0,,268.05,1646.1,50
CPT,81225,M-CYTOCHROME P450 2C19 GENOT,1280.5,,268.05,1646.1,204
CPT,81225,PGDX-CYP2C19**,815.0,,268.05,733.5,68
CPT,81225,PGX-CYP2C19**,815.0,,268.05,733.5,68
CPT,81226,PGDX-CY2D6**,502.0,,251.0,975.99,68
CPT,81227,ER Only-M-CYP2C9 GENOTYPE V,1910.0,,30.0,1719.0,50
CPT,81227,M-CYP2C9 GENOTYPE V,1337.0,,30.0,1719.0,136
CPT,81227,M-CYP2C9 V,1910.0,,30.0,1719.0,68
CPT,81227,PGDX-CYP2C9**,502.0,,30.0,451.8,68
CPT,81227,PGX-CYP2C9**,508.0,,30.0,462.6,136
CPT,81229,CONSTITUTIONAL ARRAY CGH,3218.0,,919.5,4137.3,204
CPT,81229,ER Only-CONSTITUTIONAL ARRAY CGH,4597.0,,1067.2,4137.3,50
CPT,81231,PGX-CYP3A5,866.0,,160.83,779.4,68
CPT,81232,PGX-DPYD,866.0,,160.83,779.4,68
CPT,81232,Q-MOPATH PROCEDURE LEVEL 1**,866.0,,160.83,779.4,68
CPT,81235,EGFR GENE ANALYSIS COMMON VAR,1966.0,,298.61,1769.4,68
CPT,81240,Q-ANALY GENE F2 20210G>A VAR**,337.0,,57.5,303.3,68
CPT,81241,Q-ANALY GENE F5 LIDEN VAR**,337.0,,50.0,303.3,68
CPT,81246,Z*FLT3 GENE ANALY TKD VARIANT*,585.0,,76.36,526.5,68
CPT,81251,ER Only-M-ANALY GENE GBA COMMON VAR*,1268.0,,43.47,1141.2,50
CPT,81251,M-ANALY GENE GBA COMMON VAR*,888.0,,43.47,1141.2,68
CPT,81256,ER Only-Q-ANALY GENE HFE COMMON VAR*,726.0,,60.13,653.4,50
CPT,81256,Q-ANALY GENE HFE COMMON VAR*,508.5,,60.13,653.4,68
CPT,81256,Q-ANALY GENE HFE COMMON VAR**,726.0,,60.13,653.4,136
CPT,81261,ANALYSIS GENE REARRANG IGH AMP,1154.0,,182.15,1143.9,136
CPT,81261,ER Only-M-ANALY GENE REARRANG IGH AM,506.0,,182.15,455.4,50
CPT,81261,M-ANALY GENE REARRANG IGH AM,354.5,,101.5,455.4,136
CPT,81263,IGH SOMATIC HYPERMUT IN B-CLL,1975.0,,130.9,1777.5,68
CPT,81264,ANALYSIS GENE IGK,1234.0,,158.91,1110.6,136
CPT,81264,ER Only-M-ANALY GENE IGK**,507.0,,158.91,456.3,50
CPT,81264,M-ANALY GENE IGK**,355.0,,101.5,456.3,68
CPT,81265,ANALYSIS GENE STR,662.0,,214.42,595.8,68
CPT,81267,ANALYSIS CHIMERISM W/O CELL,350.0,,175.0,449.05,68
CPT,81268,ANALYSIS CHIMERISM W/CELL,545.0,,149.72,564.47,272
CPT,81268,STR CELL SUBSET CD34,545.0,,149.72,564.47,68
CPT,81270,ANALY GENE JAK2**,546.0,,84.33,702.0,204
CPT,81270,ER Only-ANALY GENE JAK2**,780.0,,84.33,702.0,50
CPT,81271,ER Only-Q-HUNTINGTON DISEASE,1106.0,,126.04,995.4,50
CPT,81271,Q-HUNTINGTON DISEASE,774.5,,126.04,995.4,204
CPT,81273,ER Only-KIT (D816V) MUTATION BY DDPCR,1056.0,,114.88,950.4,50
CPT,81273,KIT (D816V) MUTATION BY DDPCR,739.5,,114.88,950.4,204
CPT,81273,"KIT ASP816VAL MUTAT ANALY, BM",2166.0,,114.88,1949.4,68
CPT,81273,KIT ASP816VAL MUTATION ANALYS,2166.0,,114.88,1949.4,68
CPT,81275,ANALY GENE KRAS 12 & 13**,842.0,,177.79,757.8,68
CPT,81277,ER Only-ONCOLOGY ARRAY CHG,4597.0,,1067.2,4137.3,50
CPT,81277,ONCOLOGY ARRAY CGH,4597.0,,1067.2,4137.3,136
CPT,81277,ONCOLOGY ARRAY CHG,3218.0,,919.5,4137.3,68
CPT,81283,ER Only-Q-ACCUTYPE IL28B**,562.0,,67.5,505.8,50
CPT,81283,Q-ACCUTYPE IL28B**,393.5,,67.5,505.8,68
CPT,81283,Q-ACCUTYPE(R) IL28B**,562.0,,67.5,505.8,136
CPT,81287,MGMT PROMOTER METHYLATION,844.0,,114.67,759.6,68
CPT,81288,ER Only-MLH1 METHYLATION PCR,930.0,,176.93,837.0,50
CPT,81288,MAYO-MLH1 HYPERMETHYLATION,1382.0,,176.93,1243.8,68
CPT,81288,MLH1 METHYLATION PCR,651.0,,176.93,837.0,204
CPT,81301,ANALY MICROSAT INSTAB,1168.5,,320.68,1502.1,136
CPT,81301,ANALYS MICROSAT INST,1669.0,,320.68,1502.1,68
CPT,81301,ER Only-ANALY MICROSAT INSTAB,1669.0,,320.68,1502.1,50
CPT,81305,ER Only-Q-MYD88 MUTATION ANALYSIS,1518.0,,161.37,1366.2,50
CPT,81305,Q-MYD88 MUTATION ANALYSIS,1062.5,,161.37,1366.2,204
CPT,81306,PGDX-NUDT 15**,2019.0,,268.05,1817.1,68
CPT,81310,ER Only-Q-ANALYSIS GENE NPM1 EXON 12,857.0,,226.8,771.3,50
CPT,81310,Q-ANALYSIS GENE NPM1 EXON 12,600.0,,171.5,771.3,136
CPT,81311,NRAS-BRAF GENE VAR EXON 2&3,1818.0,,272.13,1636.2,68
CPT,81315,ER Only-Q-ANALY PML/RAR COMM BRKPOIN,1158.0,,123.0,1042.2,50
CPT,81315,Q-ANALY PML/RAR COMM BRKPOIN,811.0,,123.0,1042.2,68
CPT,81315,Q-ANALY PML/RAR COMM BRKPOINT*,1158.0,,123.0,1042.2,136
CPT,81328,PGDX-SLCO1B1**,502.0,,160.83,451.8,68
CPT,81328,PGX-SLCO1B1**,502.0,,160.83,451.8,68
CPT,81332,ER Only-Q-ANALY GENE SERPINA1 COM VAR*,418.0,,40.16,376.2,50
CPT,81332,Q-ANALY GENE SERPINA1 COM VAR*,292.5,,40.16,376.2,204
CPT,81340,ANALYSIS GENE REARRANG TRB AMP,1560.0,,192.21,1404.0,68
CPT,81342,ANALYSIS GENE REARRANG TRG,1893.0,,185.38,1703.7,68
CPT,81345,TERT MUTATION ANALYSIS,540.0,,170.38,486.0,68
CPT,81350,ER Only-Q-UGT1A1 GENE POLYMORPHISM,810.0,,140.4,729.0,50
CPT,81350,PGX-UGT1A1,810.0,,140.4,729.0,68
CPT,81350,Q-UGT1A1 GENE POLYMORPHISM,567.0,,140.4,729.0,204
CPT,81352,ER Only-Q-TP53 SOMATIC MUTATION,3217.0,,303.15,2895.3,50
CPT,81352,Q-TP53 SOMATIC MUTATION,2252.0,,303.15,2895.3,204
CPT,81355,PGX-VKORC 1**,266.0,,81.14,239.4,68
CPT,81355,PGX-VKORC1**,276.0,,81.14,248.4,68
CPT,81364,ER Only-Q-BETA GLOBIN GENE SEQUENCING,2252.0,,298.61,2026.8,50
CPT,81364,Q-BETA GLOBIN GENE SEQUENCING,1576.5,,298.61,2026.8,204
CPT,81370,HLA TYPING I & II LOW RES,4076.0,,123.0,3668.4,136
CPT,81372,HLA TYPING 1 LOW RES COMPLETE,979.0,,371.3,881.1,68
CPT,81373,HLA TYPING I LOW RES,654.0,,117.24,588.6,272
CPT,81373,HLA TYPING I LOW RES 1 LOCUS,654.0,,117.24,588.6,204
CPT,81373,HLA TYPING I LOW RES 1 LOCUS**,799.0,,117.24,719.1,68
CPT,81374,HLA TYPING I LOW RES 1 LOCUS,654.0,,34.02,588.6,68
CPT,81375,HLA TYPING II LOW RES AG EQUIV,1667.0,,203.08,1500.3,136
CPT,81376,CELIAC DISEASE INTERPRETATION,291.5,,83.5,374.4,204
CPT,81376,ER Only-CELIAC DISEASE INTERPRETATION,416.0,,112.44,374.4,50
CPT,81376,ER Only-HLA-DQ TYPING,416.0,,112.44,374.4,50
CPT,81376,HLA TYP II LOW RES 1 LOCUS,654.0,,112.44,588.6,68
CPT,81376,HLA TYPING II LOW RES 1 LOCUS,654.0,,112.44,588.6,136
CPT,81376,HLA TYPING LOW RES 1 LOCUS,654.0,,112.44,588.6,68
CPT,81376,HLA-DQ TYPING,291.5,,83.5,374.4,204
CPT,81378,HLA TYPING I & II HIGH RES,4502.0,,205.0,4051.8,68
CPT,81380,HLA TYPING I HIGH RES 1 LOCUS,981.0,,163.07,882.9,340
CPT,81381,ER Only-Q-HLA TYPING I HR 1 ALLELE**,648.0,,148.39,583.2,50
CPT,81381,Q-HLA TYPING I HR 1 ALLELE**,454.0,,130.0,583.2,204
CPT,81382,HLA TYPING II HIGH RES,560.0,,113.79,504.0,136
CPT,81382,HLA TYPING II HIGH RES 1 LOCUS,560.0,,113.79,504.0,340
CPT,81400,ER Only-Q-MOPATH PROCEDURE LEVEL 1**,866.0,,58.84,779.4,50
CPT,81400,Q-MOPATH PROCEDURE LEVEL 1**,606.5,,58.84,779.4,68
CPT,81401,ER Only-Q-AML1/ETO T(8-21) PCR,876.0,,126.04,788.4,50
CPT,81401,ER Only-Q-AML1/ETO T(8;21) QNT RT PCR,803.0,,126.04,722.7,50
CPT,81401,ER Only-Q-CBFB/MYH11 INV(16) QNT RTPCR,928.0,,126.04,835.2,50
CPT,81401,ER Only-Q-MOPATH PROCEUDRE LEVEL 2**,1108.0,,126.04,997.2,50
CPT,81401,Q-AML1/ETO T(8-21) PCR,613.5,,126.04,788.4,68
CPT,81401,Q-AML1/ETO T(8;21) QNT RT PCR,562.5,,126.04,722.7,204
CPT,81401,Q-CBFB/MYH11 INV(16) QNT RTPCR,650.0,,126.04,835.2,204
CPT,81401,Q-MOPATH PROCEUDRE LEVEL 2**,776.0,,126.04,997.2,68
CPT,81402,1P/19Q CO-DELETION,750.0,,138.3,675.0,68
CPT,81403,ER Only-Q-ANALYSIS GENE JAK2,770.0,,170.38,693.0,50
CPT,81403,"ER Only-Q-EXONS 12, 13 (REFLEX)",770.0,,170.38,693.0,50
CPT,81403,ER Only-RHD GENOTYPE**,568.0,,170.38,511.2,50
CPT,81403,Q-ANALYSIS GENE JAK2,539.0,,154.0,693.0,204
CPT,81403,"Q-EXONS 12, 13 (REFLEX)",539.0,,154.0,693.0,136
CPT,81403,RHD GENOTYPE**,398.0,,114.0,511.2,204
CPT,81404,"ER Only-Q-C-KIT MUT ANALY, CELL BASED",1220.0,,252.84,1098.0,50
CPT,81404,"Q-C-KIT MUT ANALY, CELL BASED",854.0,,244.0,1098.0,68
CPT,81418,PGX PANEL,1219.0,,609.5,1985.01,68
CPT,81445,BRAIN TUMOR NGS,1766.0,,550.08,1589.4,68
CPT,81445,BRAIN TUMOR PANEL,7371.0,,550.08,6633.9,68
CPT,81445,ER Only-FUSION TARGET THPY SOLID TUMRS,1991.0,,550.08,1791.9,50
CPT,81445,FUSION TARGET THPY SOLID TUMRS,1394.0,,398.5,1791.9,204
CPT,81445,GASTROINTESTINAL CANCER NGS,1766.0,,550.08,1589.4,68
CPT,81445,GASTROINTESTINAL CANCER PANEL,7371.0,,550.08,6633.9,68
CPT,81445,GENOMIC SEQ SOLID ORGAN,7371.0,,550.08,6633.9,68
CPT,81445,LUNG CANCER NGS,1766.0,,550.08,1589.4,68
CPT,81445,LUNG CANCER PANEL,7371.0,,550.08,6633.9,68
CPT,81445,MELANOMA NGS,1766.0,,550.08,1589.4,68
CPT,81445,MELANOMA PANEL,7371.0,,550.08,6633.9,68
CPT,81445,SOLID ORGAN NGS,1766.0,,550.08,1589.4,68
CPT,81449,ER Only-PAN FUSION PANEL,9120.0,,550.08,8208.0,50
CPT,81449,ER Only-RENAL FUSION PANEL,1991.0,,550.08,1791.9,50
CPT,81449,ER Only-SALIVARY DUCT TUMR FUSION PNL,1991.0,,550.08,1791.9,50
CPT,81449,ER Only-SARCOMA FUSION PANEL,1991.0,,550.08,1791.9,50
CPT,81449,PAN FUSION PANEL,6384.0,,550.08,8208.0,204
CPT,81449,RENAL FUSION PANEL,1378.5,,383.0,1791.9,204
CPT,81449,SALIVARY DUCT TUMR FUSION PNL,1378.5,,383.0,1791.9,204
CPT,81449,SARCOMA FUSION PANEL,1394.0,,398.5,1791.9,204
CPT,81450,ER Only-NGS MYELOID ASSAY,2278.0,,648.4,2050.2,50
CPT,81450,GENOMIC SEQ HEMATOLYMPHOID,7371.0,,648.4,6633.9,68
CPT,81450,MYELODYSPLASTIC DX PANEL (MDS),7371.0,,648.4,6633.9,68
CPT,81450,MYELOPROLIFERATIVE DZ PANEL,7371.0,,648.4,6633.9,68
CPT,81450,NGS MYELOID ASSAY,1595.0,,456.0,2050.2,136
CPT,81451,MYELOID FUSION (RNA) ONCOMINE,2221.0,,698.77,1998.9,68
CPT,81455,ER Only-UNIVERSAL FUSION EXPRESSION PF,6081.0,,2686.03,6319.47,50
CPT,81455,GENOMIC SEQ 51+ GENES,10507.0,,2686.03,9456.3,68
CPT,81455,UNIVERSAL FUSION EXPRESSION PF,4257.0,,1216.5,6319.47,204
CPT,81479,"ANALY GENE KRAS-CODON 61,146)*",842.0,,165.03,757.8,56
CPT,81479,CYP2D6-CYP2C19,1297.0,,254.21,1167.3,56
CPT,81479,DELVE BIO MNGS TEST-CSF ONLY,5732.0,,350.58,7369.2,168
CPT,81479,ER Only-DELVE BIO MNGS TEST-CSF ONLY,8188.0,,350.58,7369.2,38
CPT,81479,ER Only-PGDX-CARDIOVASCULAR (MOLDX),847.0,,166.01,762.3,38
CPT,81479,PGDX-CARDIOVASCULAR (MOLDX),593.0,,66.44,762.3,168
CPT,81479,PGDX-PAIN MANAGEMENT (MOLDX),1297.0,,254.21,1167.3,56
CPT,81479,PGX-CYP2B6**,847.0,,166.01,762.3,56
CPT,81479,PGX-CYP4F2**,276.0,,54.1,350.58,56
CPT,81479,PGX-NAT2,847.0,,166.01,762.3,56
CPT,81479,UNLISTED MOLEC PATH PROC**,0.01,,0.00196,350.58,56
CPT,81517,ER Only-Q-ENHANCE LIVER FIBROSIS (ELF),622.0,,162.09,559.8,50
CPT,81517,Q-ENHANCE LIVER FIBROSIS (ELF),435.5,,124.5,559.8,204
CPT,81596,ER Only-INF DIS CHRNC HCV 6 ASSAYS,676.0,,66.41,608.4,50
CPT,81596,INF DIS CHRNC HCV 6 ASSAYS,473.5,,66.41,608.4,136
CPT,81596,INF DIS CHRNC HCV 6 ASSAYS**,676.0,,66.41,608.4,68
CPT,82010,BETA-HYDROXYBUTYRATE,138.0,,2.33,177.3,272
CPT,82010,ER Only-BETA-HYDROXYBUTYRATE,197.0,,2.33,177.3,50
CPT,82010,ER Only-M-BETAHYDROXYBUTYRATE SR QN,270.0,,2.33,243.0,50
CPT,82010,M-BETAHYDROXYBUTYRATE SR QN,189.0,,2.33,243.0,204
CPT,82017,ACYLCARNITINES QN EA SPEC**,215.0,,15.52,193.5,68
CPT,82017,ER Only-M-ACYLCARNITINES QNT PLASMA,322.0,,15.52,289.8,50
CPT,82017,M-ACYLCARNITINES QNT PLASMA,225.5,,15.52,289.8,204
CPT,82024,ACTH,388.0,,33.53,498.6,204
CPT,82024,ER Only-ACTH,554.0,,33.53,498.6,50
CPT,82024,ER Only-M-ACTH,554.0,,33.53,498.6,100
CPT,82024,M-ACTH,388.0,,33.53,498.6,272
CPT,82040,ALBUMIN SERUM,59.5,,2.32,76.5,680
CPT,82040,"ALBUMIN, SERUM, FOR MS PROFILE",59.5,,2.32,76.5,136
CPT,82040,ER Only-ALBUMIN SERUM,85.0,,2.32,76.5,100
CPT,82040,"ER Only-ALBUMIN, SERUM, FOR MS PROFILE",85.0,,2.32,76.5,50
CPT,82040,ER Only-Z*M-ALBUMIN SERUM**,85.0,,2.32,76.5,100
CPT,82040,Q-ALBUMIN,85.0,,2.32,76.5,68
CPT,82040,Q-ALBUMIN SERUM**,50.0,,2.32,45.0,136
CPT,82040,Z*M-ALBUMIN SERUM**,59.5,,2.32,76.5,340
CPT,82042,ALBUMIN BODY FLUID,119.0,,7.16,107.1,68
CPT,82042,ER Only-Z*M-ALBUMIN CSF**,50.0,,7.16,45.0,100
CPT,82042,Q-ALBUMIN CSF**,25.0,,7.16,22.5,136
CPT,82042,Z*M-ALBUMIN CSF**,35.0,,7.16,45.0,136
CPT,82043,ALBUMIN (MICROALBUMIN)  URINE,105.0,,5.32,135.0,272
CPT,82043,ALBUMIN (MICROALBUMIN) URINE,105.0,,5.32,135.0,476
CPT,82043,ALBUMIN URINE TIMED,150.0,,5.32,135.0,68
CPT,82043,ER Only-ALBUMIN (MICROALBUMIN)  URINE,150.0,,5.32,135.0,50
CPT,82043,ER Only-ALBUMIN (MICROALBUMIN) URINE,150.0,,5.32,135.0,150
CPT,82085,ER Only-Q-ALDOLASE,193.0,,6.73,173.7,50
CPT,82085,Q-ALDOLASE,135.0,,6.73,173.7,272
CPT,82088,ALDOSTERONE SERUM,201.5,,37.49,259.2,204
CPT,82088,ER Only-ALDOSTERONE SERUM,288.0,,37.49,259.2,50
CPT,82088,ER Only-M-ALDOSTERONE- SERUM,514.0,,37.49,462.6,50
CPT,82088,ER Only-M-ALDOSTERONE; 24 HR URINE,514.0,,37.49,462.6,50
CPT,82088,M-ALDOSTERONE- 24 HR URINE,514.0,,37.49,462.6,136
CPT,82088,M-ALDOSTERONE- SERUM,360.0,,37.49,462.6,204
CPT,82088,M-ALDOSTERONE; 24 HR URINE,360.0,,37.49,462.6,68
CPT,82103,ANTI-TRYPSIN ALPHA-1,158.5,,10.14,203.4,272
CPT,82103,"ANTI-TRYPSIN, ALPHA 1",226.0,,10.14,203.4,68
CPT,82103,ER Only-ANTI-TRYPSIN ALPHA-1,226.0,,10.14,203.4,100
CPT,82103,ER Only-M-A1AT CLEARANCE-FECES AND SER,386.0,,10.14,347.4,50
CPT,82103,ER Only-M-ALPHA-1 ANTITRYPSIN TOTAL*,201.0,,10.14,180.9,50
CPT,82103,ER Only-M-ALPHA-1-ANTITRYPSIN- FECES**,358.0,,10.14,322.2,50
CPT,82103,M-A1AT CLEARANCE-FECES AND SER,270.5,,10.14,347.4,68
CPT,82103,M-ALPHA-1 ANTITRYPSIN TOTAL*,141.0,,10.14,180.9,68
CPT,82103,M-ALPHA-1-ANTITRYPSIN CL**,387.0,,10.14,348.3,68
CPT,82103,M-ALPHA-1-ANTITRYPSIN CLEAR,387.0,,10.14,348.3,68
CPT,82103,M-ALPHA-1-ANTITRYPSIN- FECES**,251.0,,10.14,322.2,68
CPT,82104,ER Only-M-ALPHA-1 ANTITRYPSIN PHENO*,217.0,,10.19,195.3,50
CPT,82104,ER Only-Q-ALPHA-1 ANTITRYPSIN PHENO,200.0,,10.19,180.0,50
CPT,82104,M-ALPHA-1 ANTITRYPSIN PHENO*,152.0,,10.19,195.3,68
CPT,82104,Q-ALPHA-1 ANTITRYPSIN PHENO,140.0,,10.19,180.0,204
CPT,82105,ALPHA-FETOPROTEIN-SERUM,189.0,,7.45,243.0,204
CPT,82105,ER Only-ALPHA-FETOPROTEIN-SERUM,270.0,,7.45,243.0,50
CPT,82108,Q-ALUMINUM SERUM,322.0,,21.73,289.8,68
CPT,82135,ALA-D URINE,210.0,,6.56,189.0,68
CPT,82135,ER Only-M-AMINOLEVULINIC ACID PLASMA,544.0,,6.56,489.6,50
CPT,82135,M-AMINOLEVULINIC ACID (ALA) UR,538.0,,6.56,484.2,136
CPT,82135,M-AMINOLEVULINIC ACID PLASMA,381.0,,6.56,489.6,204
CPT,82136,A/A 2-5 ACIDS QN-STATE**,200.0,,18.04,180.0,68
CPT,82139,AMINO ACID ANALYSIS (CSF),807.0,,15.52,1037.7,136
CPT,82139,AMINO ACID ANALYSIS (PLASMA),807.0,,15.52,1037.7,136
CPT,82139,AMINO ACIDS 6+ ACIDS QN**,667.5,,15.52,857.7,136
CPT,82139,ER Only-AMINO ACID ANALYSIS (CSF),1153.0,,15.52,1037.7,50
CPT,82139,ER Only-AMINO ACID ANALYSIS (PLASMA),1153.0,,15.52,1037.7,50
CPT,82139,ER Only-AMINO ACIDS 6+ ACIDS QN**,953.0,,15.52,857.7,50
CPT,82139,ER Only-Q-AMINO ACIDS6+ ACIDS PLASMA,414.0,,15.52,372.6,50
CPT,82139,Q-AMINO ACIDS 6+ ACIDS PLASMA,414.0,,15.52,372.6,68
CPT,82139,Q-AMINO ACIDS6+ ACIDS PLASMA,290.0,,15.52,372.6,68
CPT,82140,AMMONIA BLOOD,133.0,,13.4,171.0,408
CPT,82140,ER Only-AMMONIA BLOOD,190.0,,13.4,171.0,50
CPT,82150,AMYLASE BODY FLUID-LABCORP,169.0,,4.55,216.9,204
CPT,82150,AMYLASE FLUID,213.0,,4.55,191.7,68
CPT,82150,AMYLASE SERUM,149.0,,4.55,191.7,544
CPT,82150,AMYLASE URINE,213.0,,4.55,191.7,68
CPT,82150,ER Only-AMYLASE BODY FLUID-LABCORP,241.0,,4.55,216.9,50
CPT,82150,ER Only-AMYLASE SERUM,213.0,,4.55,191.7,50
CPT,82157,ER Only-Q-ANDROSTENEDIONE,285.0,,26.94,256.5,50
CPT,82157,Q-ANDROSTENEDIONE,199.5,,26.94,256.5,136
CPT,82164,ER Only-Q-ANGIOTENSIN CONV ENZYME,330.0,,13.43,297.0,50
CPT,82164,Q-ANGIOTENSIN CONV ENZYME,231.0,,13.43,297.0,204
CPT,82166,Q-ANTI-MULLERIAN HORMONE,631.0,,35.53,567.9,68
CPT,82172,APOLIPOPROTEIN- EACH **,329.0,,4.56,296.1,136
CPT,82172,Q-APOLIPOPROTEIN A1,143.0,,4.56,128.7,68
CPT,82172,Q-APOLIPOPROTEIN B,143.0,,4.56,128.7,68
CPT,82175,ER Only-M-ARSENIC BLOOD**,177.0,,12.39,159.3,50
CPT,82175,ER Only-Z*M-ARSENIC URINE**,177.0,,12.39,159.3,50
CPT,82175,ER Only-Z*Q-ARSENIC BLOOD **,286.0,,12.39,257.4,50
CPT,82175,ER Only-Z*Q-ARSENIC URINE **,286.0,,12.39,257.4,50
CPT,82175,INORGANIC ARSENIC (TOXIC),326.0,,12.39,293.4,56
CPT,82175,M-ARSENIC BLOOD**,124.0,,12.39,159.3,204
CPT,82175,M-ARSENIC URINE**,177.0,,12.39,159.3,68
CPT,82175,Q-ARSENIC BLOOD,228.0,,12.39,205.2,68
CPT,82175,Z*M-ARSENIC URINE**,124.0,,12.39,159.3,68
CPT,82175,Z*Q-ARSENIC BLOOD **,200.5,,12.39,257.4,68
CPT,82175,Z*Q-ARSENIC URINE **,200.5,,12.39,257.4,68
CPT,82180,ER Only-Q-VITAMIN C (ASCORBIC ACID),244.0,,9.1,219.6,50
CPT,82180,Q-VITAMIN C (ASCORBIC ACID),171.0,,9.1,219.6,204
CPT,82232,BETA-2 MICROGLOBULIN,186.5,,14.89,239.4,340
CPT,82232,ER Only-BETA-2 MICROGLOBULIN,266.0,,14.89,239.4,100
CPT,82232,ER Only-Q-BETA-2 MICROGLOBULIN URINE,246.0,,14.89,221.4,50
CPT,82232,Q-BETA-2 MICROGLOBULIN URINE,172.5,,14.89,221.4,136
CPT,82233,BETA-AMYLOID 42/40 RATIO PLASM,611.0,,68.4,785.7,56
CPT,82233,ER Only-BETA-AMYLOID 42/40 RATIO PLASM,873.0,,171.11,785.7,38
CPT,82233,Q-BETA-AMYLOID 42/40 RATIO PLA,873.0,,171.11,785.7,112
CPT,82234,ER Only-Q-BETA-AMYLOID 1-42**,873.0,,171.11,785.7,38
CPT,82234,Q-BETA-AMYLOID 1-42**,611.0,,68.4,785.7,168
CPT,82239,BILE ACIDS TOTAL BODY FLD-UIDL,193.5,,6.55,248.4,204
CPT,82239,ER Only-BILE ACIDS TOTAL BODY FLD-UIDL,276.0,,6.55,248.4,50
CPT,82247,BILIRUBIN FLUID,92.0,,4.62,82.8,136
CPT,82247,BILIRUBIN TOTAL BODY FLUID,113.0,,4.62,144.9,272
CPT,82247,BILIRUBIN TOTAL SERUM,64.5,,4.62,82.8,544
CPT,82247,BILIRUBIN TOTAL WHOLE BLOOD,92.0,,4.62,82.8,68
CPT,82247,BILIRUBIN- TOTAL **,92.0,,4.62,82.8,136
CPT,82247,ER Only-BILIRUBIN TOTAL BODY FLUID,161.0,,4.62,144.9,50
CPT,82247,ER Only-BILIRUBIN TOTAL SERUM,92.0,,4.62,82.8,50
CPT,82247,ER Only-Z*BILIRUBIN- TOTAL **,92.0,,4.62,82.8,50
CPT,82247,Z*BILIRUBIN- TOTAL **,64.5,,4.62,82.8,68
CPT,82248,BILIRUBIN DIRECT,47.0,,4.62,60.3,544
CPT,82248,ER Only-BILIRUBIN DIRECT,67.0,,4.62,60.3,50
CPT,82261,BIOTINIDASE EA SPECIMEN-STATE*,194.0,,15.52,174.6,68
CPT,82270,OCCULT BLOOD FECES SCREEN,66.0,,4.03,59.4,476
CPT,82270,"OCCULT BLOOD, FECES",66.0,,4.03,59.4,68
CPT,82271,OCC BLOOD QL OTHER SOURCES,110.0,,4.89,99.0,68
CPT,82271,OCCULT BLOOD QL OTHER SOURCES,110.0,,4.89,99.0,124
CPT,82272,OCCULT BLD FECE QL OTHER SGL,82.0,,3.89,73.8,328
CPT,82274,OCCULT BLOOD FECES IMMUNO QL,174.0,,14.65,156.6,328
CPT,82300,ER Only-M-CADMIUM BLOOD**,202.0,,14.56,181.8,50
CPT,82300,ER Only-Z*M-CADMIUM URINE**,202.0,,14.56,181.8,50
CPT,82300,M-CADMIUM BLOOD**,141.5,,14.56,181.8,204
CPT,82300,M-CADMIUM URINE**,202.0,,14.56,181.8,68
CPT,82300,Z*M-CADMIUM URINE**,141.5,,14.56,181.8,68
CPT,82306,ER Only-Q-VITAMIN D 25-HYDROXY,451.0,,27.23,405.9,50
CPT,82306,ER Only-VITAMIN D 25 HYDROXY,384.0,,27.23,345.6,100
CPT,82306,Q-VITAMIN D 25-HYDROXY,316.0,,27.23,405.9,136
CPT,82306,VITAMIN D 25 HYDROXY,269.0,,27.23,345.6,340
CPT,82308,ER Only-Q-CALCITONIN,374.0,,16.83,336.6,50
CPT,82308,Q-CALCITONIN,262.0,,16.83,336.6,204
CPT,82310,CALCIUM SERUM,57.5,,2.3,73.8,544
CPT,82310,ER Only-CALCIUM SERUM,82.0,,2.3,73.8,50
CPT,82330,CALCIUM BLOOD IONIZED I-STAT,214.0,,2.31,192.6,272
CPT,82330,CALCIUM IONIZED,214.0,,2.31,192.6,136
CPT,82330,"CALCIUM, IONIZED, ABG",150.0,,2.31,192.6,340
CPT,82330,ELCT-IONIZ CALC CAH,214.0,,2.31,192.6,68
CPT,82330,ELCT-SERUM IONIZ CALC CAH,214.0,,2.31,192.6,68
CPT,82330,"ER Only-CALCIUM, IONIZED, ABG",214.0,,2.31,192.6,50
CPT,82330,ER Only-I-STAT IONIZED CALCIUM,214.0,,2.31,192.6,50
CPT,82330,I-STAT IONIZED CALCIUM,150.0,,2.31,192.6,136
CPT,82330,IONIZED CALCIUM,214.0,,2.31,192.6,136
CPT,82340,CALCIUM URINE QUANT,91.0,,3.44,117.0,272
CPT,82340,ER Only-CALCIUM URINE QUANT,130.0,,3.44,117.0,50
CPT,82355,CALCULUS- QUALITATIVE ANALYSIS,169.5,,8.87,217.8,68
CPT,82355,ER Only-CALCULUS- QUALITATIVE ANALYSIS,242.0,,8.87,217.8,50
CPT,82365,CALCULUS- INFRARED SPECTROSCPY,187.0,,8.89,240.3,68
CPT,82365,ER Only-CALCULUS- INFRARED SPECTROSCPY,267.0,,8.89,240.3,50
CPT,82365,ER Only-Q-STONE ANALYSIS INFRARED,186.0,,8.89,167.4,50
CPT,82365,Q-STONE ANALYSIS INFRARED,130.5,,8.89,167.4,204
CPT,82374,BICARBONATE,117.0,,2.31,105.3,136
CPT,82374,BICARBONATE SERUM,117.0,,2.31,105.3,272
CPT,82374,"BICARBONATE, SERUM",117.0,,2.31,105.3,68
CPT,82374,CARBON DIOXIDE (BICARB) I-STAT,117.0,,2.31,105.3,272
CPT,82374,Q-CARBON DIOXIDE (BICARB) UR,386.0,,2.31,347.4,68
CPT,82375,CARBOXYHEMOGLOBIN,242.0,,4.55,217.8,210
CPT,82375,CARBOXYHEMOGLOBIN ABG,242.0,,4.55,217.8,70
CPT,82375,CARBOXYHEMOGLOBIN QNT,242.0,,4.55,217.8,70
CPT,82375,"CARBOXYHEMOGLOBIN, ABG",169.5,,4.55,217.8,350
CPT,82375,"ER Only-CARBOXYHEMOGLOBIN, ABG",242.0,,4.55,217.8,52
CPT,82378,CARCINOEMBRYONIC AG-ARUP 20742,188.5,,10.02,242.1,204
CPT,82378,CEA,218.5,,10.02,280.8,204
CPT,82378,ER Only-CARCINOEMBRYONIC AG-ARUP 20742,269.0,,10.02,242.1,50
CPT,82378,ER Only-CEA,312.0,,10.02,280.8,50
CPT,82379,CARNITINE TTL FREE QN-STATE**,194.0,,15.52,174.6,68
CPT,82379,ER Only-FREE ESTRIFIED CARNITINE ANAL,845.0,,15.52,760.5,50
CPT,82379,ER Only-M-CARNITINE- PLASMA OR SERUM**,271.0,,15.52,243.9,50
CPT,82379,ER Only-Q-CARNITINE- FREE AND TOTAL,595.0,,15.52,535.5,50
CPT,82379,FREE ESTERIFIED CARNITINE ANAL,845.0,,15.52,760.5,68
CPT,82379,FREE ESTRIFIED CARNITINE ANAL,591.5,,15.52,760.5,68
CPT,82379,M-CARNITINE- PLASMA OR SERUM**,190.0,,15.52,243.9,68
CPT,82379,Q-CARNITINE- FREE AND TOTAL,416.5,,15.52,535.5,136
CPT,82380,ER Only-Q-CAROTENE,199.0,,4.57,179.1,50
CPT,82380,Q-CAROTENE,139.5,,4.57,179.1,272
CPT,82384,ER Only-Q-CATECHOLAMINE- FRACT (PL),428.0,,23.23,385.2,50
CPT,82384,ER Only-Q-CATECHOLAMINE- FRACT (URINE),428.0,,23.23,385.2,50
CPT,82384,ER Only-Z*Q-CATECHOLAMINES FX UR**,428.0,,23.23,385.2,50
CPT,82384,Q-CATECHOLAMINE- FRACT (PL),299.5,,23.23,385.2,204
CPT,82384,Q-CATECHOLAMINE- FRACT (URINE),299.5,,23.23,385.2,204
CPT,82384,Z*Q-CATECHOLAMINES FX UR**,299.5,,23.23,385.2,68
CPT,82390,CERULOPLASMIN,124.0,,9.04,159.3,340
CPT,82390,ER Only-CERULOPLASMIN,177.0,,9.04,159.3,100
CPT,82397,ADALIMUMAB AB-LABCORP,605.5,,3.34,778.5,168
CPT,82397,"CHEMILUMINESCENT ASSAY, SER**",84.0,,3.34,108.0,204
CPT,82397,CHEMILUMINESCENT ASSAY- INIT**,75.0,,3.34,67.5,68
CPT,82397,CHEMILUMINESCENT ASSY-EA ADD**,75.0,,3.34,67.5,56
CPT,82397,ER Only-ADALIMUMAB AB-LABCORP,865.0,,3.34,778.5,38
CPT,82397,"ER Only-CHEMILUMINESCENT ASSAY, SER**",120.0,,3.34,108.0,50
CPT,82397,ER Only-INFLIZIMAB AB,640.0,,3.34,576.0,38
CPT,82397,ER Only-M-ALPHA GLYCOPROTEIN SUBUNIT,341.0,,3.34,306.9,50
CPT,82397,ER Only-M-HMG-COA REDUCTASE AB SERUM,799.0,,3.34,719.1,50
CPT,82397,ER Only-M-PTH RELATED PEPTIDE,362.0,,3.34,325.8,50
CPT,82397,ER Only-M-VEDOLIZUMAB AB**,348.0,,3.34,313.2,50
CPT,82397,ER Only-Q-LEPTIN,379.0,,3.34,341.1,50
CPT,82397,INFLIXIMAB AB,640.0,,3.34,576.0,112
CPT,82397,INFLIZIMAB AB,448.0,,3.34,576.0,56
CPT,82397,M-ALPHA GLYCOPROTEIN SUBUNIT,239.0,,3.34,306.9,204
CPT,82397,M-HMG-COA REDUCTASE AB SERUM,559.5,,3.34,719.1,204
CPT,82397,M-PTH RELATED PEPTIDE,253.5,,3.34,325.8,204
CPT,82397,M-VEDOLIZUMAB AB**,243.5,,3.34,313.2,204
CPT,82397,Q-LEPTIN,265.5,,3.34,341.1,204
CPT,82435,CHLORIDE,73.0,,2.34,65.7,68
CPT,82435,CHLORIDE ABG,76.0,,2.34,68.4,68
CPT,82435,CHLORIDE BLOOD,51.5,,2.34,65.7,476
CPT,82435,CHLORIDE BLOOD I-STAT,73.0,,2.34,65.7,136
CPT,82435,CHLORIDE SERUM,51.5,,2.34,65.7,272
CPT,82435,CHLORIDE SERUM.,73.0,,2.34,65.7,68
CPT,82435,CHLORIDE VBG,76.0,,2.34,68.4,68
CPT,82435,ER Only-CHLORIDE BLOOD,73.0,,2.34,65.7,50
CPT,82435,ER Only-CHLORIDE SERUM,73.0,,2.34,65.7,50
CPT,82436,CHLORIDE URINE,94.0,,2.32,120.6,272
CPT,82436,ER Only-CHLORIDE URINE,134.0,,2.32,120.6,50
CPT,82438,ER Only-Z*Q-CHLORIDE STOOL**,88.0,,2.38,79.2,50
CPT,82438,Q-CHLORIDE FECES,156.0,,2.38,140.4,68
CPT,82438,Q-CHLORIDE STOOL**,88.0,,2.38,79.2,68
CPT,82438,Z*Q-CHLORIDE STOOL**,61.5,,2.38,79.2,68
CPT,82465,CHOLESTEROL,79.0,,2.33,101.7,340
CPT,82465,ER Only-CHOLESTEROL,113.0,,2.33,101.7,50
CPT,82480,ER Only-Z*Q-CHOLINESTERASE PLASMA**,129.0,,5.69,116.1,50
CPT,82480,Z*Q-CHOLINESTERASE PLASMA**,90.5,,5.69,116.1,136
CPT,82482,ER Only-Z*Q-CHOLINESTERASE RBC**,124.0,,5.6,111.6,50
CPT,82482,Z*Q-CHOLINESTERASE RBC**,87.0,,5.6,111.6,136
CPT,82495,ER Only-Q-CHROMIUM SERUM,270.0,,4.6,243.0,50
CPT,82495,Q-CHROMIUM SERUM,189.0,,4.6,243.0,136
CPT,82507,Q-CITRATE URINE,534.0,,25.58,480.6,136
CPT,82523,COLLAGEN TYPE I C-TELOPEPTIDE,153.5,,17.19,197.1,204
CPT,82523,ER Only-COLLAGEN TYPE I C-TELOPEPTIDE,219.0,,17.19,197.1,50
CPT,82523,ER Only-Q-COLLAGEN CROSS LINKS **,228.0,,17.19,205.2,50
CPT,82523,Q-COLLAGEN CROSS LINKS **,160.0,,17.19,205.2,204
CPT,82525,ER Only-Q-COPPER 24 HR URINE,223.0,,6.71,200.7,50
CPT,82525,ER Only-Q-COPPER SERUM,223.0,,6.71,200.7,50
CPT,82525,"MAYO-COPPER, LIVER TISSUE",345.0,,6.71,310.5,68
CPT,82525,Q-COPPER 24 HR URINE,156.5,,6.71,200.7,204
CPT,82525,Q-COPPER SERUM,156.5,,6.71,200.7,272
CPT,82530,ER Only-M-CORTISOL FREE URINE**,118.0,,11.01,106.2,50
CPT,82530,M-CORTISOL FREE URINE**,83.0,,11.01,106.2,204
CPT,82530,"Q-CORTISOL, SALIVA, LC/MS/MS",263.0,,11.01,236.7,136
CPT,82533,CORTISOL SERUM,189.0,,12.7,243.0,136
CPT,82533,"CORTISOL,SERUM",270.0,,12.7,243.0,68
CPT,82533,ER Only-CORTISOL SERUM,270.0,,12.7,243.0,50
CPT,82542,APOLIPOPROTEIN E (APOE) PLASMA,611.0,,22.16,785.7,204
CPT,82542,CHROMATO QN TMPT **,612.0,,22.16,550.8,68
CPT,82542,CHROMATOGR/SPECT QL/QN**,309.5,,22.16,310.5,136
CPT,82542,CROMATOGR/SPECT QL/QN**,241.5,,22.16,310.5,68
CPT,82542,ER Only-APOLIPOPROTEIN E (APOE) PLASMA,873.0,,22.16,785.7,50
CPT,82542,ER Only-CROMATOGR/SPECT QL/QN**,345.0,,22.16,310.5,50
CPT,82542,ER Only-HPLC QN 6-MMPN IN PERIPH RBC,612.0,,24.6,550.8,38
CPT,82542,ER Only-HPLC QN 6-TGN IN PERIPH RBC,612.0,,22.16,550.8,50
CPT,82542,ER Only-LEUKOTRIENE E4 RANDOM U**,853.0,,22.16,767.7,50
CPT,82542,ER Only-M-ACYLGLYCINES; QNT; UR,649.0,,22.16,584.1,50
CPT,82542,ER Only-M-PORPHOBILINOGEN PLASMA,730.0,,22.16,657.0,50
CPT,82542,ER Only-Q-AD DETECT APOE ISOFORM,375.0,,22.16,337.5,50
CPT,82542,ER Only-Q-BILE ACIDS; FX AND TOTAL,619.0,,22.16,557.1,50
CPT,82542,ER Only-Q-COENZYME Q10,266.0,,22.16,239.4,50
CPT,82542,HPLC QN 6-MMPN IN PERIPH RBC,428.5,,24.6,550.8,56
CPT,82542,HPLC QN 6-MMPN IN PERIPH RBC *,612.0,,24.6,550.8,56
CPT,82542,HPLC QN 6-TGN IN PERIPH RBC,428.5,,22.16,550.8,68
CPT,82542,HPLC QN 6-TGN IN PERIPH RBC **,612.0,,22.16,550.8,68
CPT,82542,LEUKOTRIENE E4 RANDOM U**,597.5,,22.16,767.7,204
CPT,82542,M-ACYLGLYCINES- QNT- UR,649.0,,22.16,584.1,68
CPT,82542,M-ACYLGLYCINES; QNT; UR,454.5,,22.16,584.1,68
CPT,82542,M-PORPHOBILINOGEN PLASMA,511.0,,22.16,657.0,204
CPT,82542,M-PORPHYRINS FX PLASMA REFLEX,349.0,,22.16,314.1,136
CPT,82542,M-PROTOPORPHYRINS FX WHOLE BLD,515.0,,22.16,463.5,136
CPT,82542,PORPHYRIN FRACTIONS BY HPLC,341.0,,22.16,306.9,68
CPT,82542,Q-AD DETECT APOE ISOFORM,262.5,,22.16,337.5,204
CPT,82542,Q-BILE ACIDS- FX AND TOTAL,619.0,,22.16,557.1,204
CPT,82542,Q-BILE ACIDS; FX AND TOTAL,433.5,,22.16,557.1,68
CPT,82542,Q-COENZYME Q10,186.5,,22.16,239.4,204
CPT,82542,Q-HYDROCHOLESTEROL 7 PLASMA,791.0,,22.16,711.9,68
CPT,82542,SMITH-LEMLI-OPITZ SCREEN,385.0,,22.16,346.5,68
CPT,82550,CREATINE KINASE (CPK) TOTAL,91.0,,3.45,81.9,408
CPT,82550,CREATININE KINASE (CPK) TOTAL,64.0,,3.45,81.9,68
CPT,82550,ER Only-CREATININE KINASE (CPK) TOTAL,91.0,,3.45,81.9,50
CPT,82552,ER Only-Q-CREATINE KINASE (CPK) ISOENZ,198.0,,12.32,178.2,50
CPT,82552,Q-CREATINE KINASE (CPK) ISOENZ,139.0,,12.32,178.2,68
CPT,82553,CREATINE KINASE (CPK) MB ONLY,106.5,,3.38,136.8,408
CPT,82553,ER Only-CREATINE KINASE (CPK) MB ONLY,152.0,,3.38,136.8,50
CPT,82565,BED SIDE CREATININE- BLOOD,80.0,,2.3,72.0,68
CPT,82565,CREATININE,56.0,,2.3,72.0,544
CPT,82565,CREATININE BLOOD I-STAT,80.0,,2.3,72.0,408
CPT,82565,ER Only-CREATININE,80.0,,2.3,72.0,50
CPT,82570,CREATININE BODY FLUID,142.0,,3.35,127.8,68
CPT,82570,CREATININE OTHER SOURCE**,201.5,,3.35,259.2,136
CPT,82570,CREATININE OTHER SOURCE***,59.0,,3.35,75.6,136
CPT,82570,CREATININE RANDOM U**,129.5,,3.35,166.5,204
CPT,82570,CREATININE URINE,99.5,,3.35,127.8,408
CPT,82570,ER Only-CREATININE OTHER SOURCE**,288.0,,3.35,259.2,50
CPT,82570,ER Only-CREATININE OTHER SOURCE***,84.0,,3.35,75.6,50
CPT,82570,ER Only-CREATININE RANDOM U**,185.0,,3.35,166.5,50
CPT,82570,ER Only-CREATININE URINE,142.0,,3.35,127.8,100
CPT,82570,ER Only-Q-CREATININE OTHER SOURCE,159.0,,3.35,143.1,50
CPT,82570,ER Only-Q-CREATININE OTHER SOURCE **,159.0,,3.35,143.1,50
CPT,82570,ER Only-Z*Q-CREATININE RANDOM URINE**,54.0,,3.35,48.6,50
CPT,82570,Q-CREATININE OTHER SOURCE,111.5,,3.35,143.1,204
CPT,82570,Q-CREATININE OTHER SOURCE **,111.5,,3.35,143.1,204
CPT,82570,Z*Q-CREATININE RANDOM URINE**,38.0,,3.35,48.6,68
CPT,82575,CREATININE CLEARANCE,101.5,,4.2,130.5,272
CPT,82575,ER Only-CREATININE CLEARANCE,145.0,,4.2,130.5,50
CPT,82595,CRYOGLOBULIN,90.0,,3.44,115.2,204
CPT,82595,ER Only-CRYOGLOBULIN,128.0,,3.44,115.2,50
CPT,82600,Q-CYANIDE,145.0,,11.26,130.5,68
CPT,82607,ER Only-VITAMIN B12,232.0,,6.71,208.8,100
CPT,82607,VITAMIN B12,162.5,,6.71,208.8,272
CPT,82607,VITAMIN B12 *,232.0,,6.71,208.8,68
CPT,82610,CYSTATIN C,174.5,,17.04,224.1,204
CPT,82610,ER Only-CYSTATIN C,249.0,,17.04,224.1,50
CPT,82610,ER Only-Q-CYSTATIN C,161.0,,17.04,144.9,50
CPT,82610,Q-CYSTATIN C,113.0,,17.04,144.9,204
CPT,82626,ER Only-Q-DHEA,419.0,,23.25,377.1,50
CPT,82626,Q-DHEA,293.5,,23.25,377.1,272
CPT,82627,ER Only-Q-DHEA-SULFATE,368.0,,12.18,331.2,50
CPT,82627,Q-DHEA-SULFATE,257.5,,12.18,331.2,272
CPT,82652,"ER Only-Q-1,25-DIHYDROXY VITAMIN D3",563.0,,35.42,506.7,50
CPT,82652,"Q-1,25-DIHYDROXY VITAMIN D3",394.5,,35.42,506.7,272
CPT,82653,ER Only-Q-PANCREATIC ELASTASE-1,385.0,,21.13,346.5,50
CPT,82653,Q-PANCREATIC ELASTASE-1,269.5,,21.13,346.5,204
CPT,82657,ENZ ACT NONRAD SUBS (TMPT) **,478.0,,20.4,430.2,68
CPT,82657,ER Only-M-ALPHA-GALACTOSIDASE LEUKOCYT,1318.0,,20.4,1186.2,50
CPT,82657,ER Only-M-ALPHA-GALACTOSIDASE SERUM,468.0,,20.4,421.2,50
CPT,82657,ER Only-M-LYSOSOMAL ACID LIPASE B,1542.0,,20.4,1387.8,50
CPT,82657,ER Only-PORPHOBILINOGEN DEAMINASE-PBGD,370.0,,20.4,333.0,50
CPT,82657,M-ALPHA-GALACTOSIDASE LEUKOCYT,923.0,,20.4,1186.2,204
CPT,82657,M-ALPHA-GALACTOSIDASE SERUM,328.0,,20.4,421.2,204
CPT,82657,M-LYSOSOMAL ACID LIPASE B,1079.5,,20.4,1387.8,204
CPT,82657,M-PORPHOBIL DEAMINASE WHL BLD,381.0,,20.4,342.9,68
CPT,82657,M-PORPHOBIL DEAMINASE WHL BLDQ,381.0,,20.4,342.9,68
CPT,82657,M-UROPORPHY DECARBOX WHOLE BLD,702.0,,20.4,631.8,136
CPT,82657,PORPHOBILINOGEN DEAMINASE-PBGD,259.0,,20.4,333.0,204
CPT,82668,Q-ERYTHROPOIETIN (EPO),243.0,,16.52,218.7,136
CPT,82670,ER Only-ESTRADIOL,404.0,,25.7,363.6,50
CPT,82670,ESTRADIOL,283.0,,25.7,363.6,204
CPT,82679,ER Only-Q-ESTRONE,256.0,,16.58,230.4,50
CPT,82679,Q-ESTRONE,179.5,,16.58,230.4,272
CPT,82710,ER Only-Q-FAT FECES QUANTITATIVE,465.0,,13.61,418.5,50
CPT,82710,Q-FAT FECES QUANTITATIVE,325.5,,13.61,418.5,204
CPT,82728,ER Only-FERRITIN                82728,225.0,,8.96,202.5,100
CPT,82728,FERRITIN                82728,157.5,,8.96,202.5,340
CPT,82731,FETAL FIBRONECTIN,819.0,,59.26,737.1,68
CPT,82746,"ER Only-FOLIC ACID, PLASMA",175.0,,5.6,157.5,100
CPT,82746,"FOLIC ACID, PLASMA",122.5,,5.6,157.5,340
CPT,82775,GALACTOSE TRANSF QN-STATE**,251.0,,15.68,225.9,68
CPT,82784,ER Only-GAMMAGLOBULIN IGG,218.0,,7.88,196.2,50
CPT,82784,ER Only-IGA SERUM,218.0,,7.88,196.2,100
CPT,82784,ER Only-IGG CSF,218.0,,7.88,196.2,50
CPT,82784,ER Only-IGG SERUM,218.0,,7.88,196.2,100
CPT,82784,ER Only-IGM SERUM,218.0,,7.88,196.2,100
CPT,82784,"ER Only-IMMUNOGLOBULIN A (IGA), S",113.0,,7.88,101.7,50
CPT,82784,ER Only-IMMUNOGLOBULIN A QN SERUM**,219.0,,7.88,197.1,50
CPT,82784,ER Only-IMMUNOGLOBULIN G QN SERUM**,219.0,,7.88,197.1,50
CPT,82784,ER Only-IMMUNOGLOGULIN M QN SERUM**,219.0,,7.88,197.1,50
CPT,82784,ER Only-Q-GAMMAGLOBULIN IGD,218.0,,7.88,196.2,50
CPT,82784,ER Only-Q-GAMMAGLOBULIN IGG**,96.0,,7.88,86.4,38
CPT,82784,ER Only-Z*M-GAMMAGLOBULIN IGG CSF**,218.0,,7.88,196.2,76
CPT,82784,ER Only-Z*M-GAMMAGLOBULIN IGG SERUM**,218.0,,7.88,196.2,100
CPT,82784,GAMMAGLOBULIN IGG,152.5,,7.88,196.2,204
CPT,82784,IGA SERUM,152.5,,7.88,196.2,272
CPT,82784,"IGA, SERUM",218.0,,7.88,196.2,68
CPT,82784,IGG CSF,152.5,,7.88,196.2,68
CPT,82784,IGG SERUM,152.5,,7.88,196.2,272
CPT,82784,"IGG, SERUM",218.0,,7.88,196.2,68
CPT,82784,IGM SERUM,152.5,,7.88,196.2,272
CPT,82784,"IGM, SERUM",218.0,,7.88,196.2,68
CPT,82784,"IMMUNOGLOBULIN A (IGA), S",79.0,,7.88,101.7,204
CPT,82784,IMMUNOGLOBULIN A QN SERUM**,153.5,,7.88,197.1,204
CPT,82784,IMMUNOGLOBULIN G QN SERUM**,153.5,,7.88,197.1,204
CPT,82784,IMMUNOGLOBULIN M QN SERUM**,219.0,,7.88,197.1,136
CPT,82784,IMMUNOGLOGULIN M QN SERUM**,153.5,,7.88,197.1,68
CPT,82784,Q-GAMMAGLOBULIN IGD,152.5,,7.88,196.2,204
CPT,82784,Q-GAMMAGLOBULIN IGG CSF**,92.0,,7.88,82.8,136
CPT,82784,Q-GAMMAGLOBULIN IGG SERUM**,92.0,,7.88,82.8,136
CPT,82784,Q-GAMMAGLOBULIN IGG**,67.5,,7.88,86.4,56
CPT,82784,Z*M-GAMMAGLOBULIN IGG CSF**,152.5,,7.88,196.2,112
CPT,82784,Z*M-GAMMAGLOBULIN IGG SERUM**,152.5,,7.88,196.2,136
CPT,82785,ER Only-Q-IMMUNOGLOBULIN IGE**,107.0,,7.31,96.3,50
CPT,82785,ER Only-TOTAL IGE,273.0,,7.31,245.7,100
CPT,82785,Q-IMMUNOGLOBULIN IGE**,75.0,,7.31,96.3,204
CPT,82785,TOTAL IGE,191.0,,7.31,245.7,340
CPT,82787,ER Only-IMMUNOGLOBULIN SUBCLASSES EA,179.0,,7.38,161.1,50
CPT,82787,ER Only-Q-IGG SUBCLASSES (1-4) EA,304.0,,7.38,273.6,50
CPT,82787,ER Only-Q-IMMUNOGLOBULIN SUBCLASSES*,47.0,,7.38,42.3,50
CPT,82787,IMMUNOGLOBULIN SUBCLASSES EA,125.5,,7.38,161.1,204
CPT,82787,Q-IGG SUBCLASSES (1-4) EA,213.0,,7.38,273.6,68
CPT,82787,Q-IMMUNOGLOBULIN SUBCLASSES*,33.0,,7.38,42.3,68
CPT,82800,"PH, BLOOD",138.0,,4.05,124.2,68
CPT,82803,ABG WITH CALC O2 SAT,376.0,,13.29,338.4,204
CPT,82803,ABG WITH CALC O2 SAT.,263.5,,13.29,338.4,272
CPT,82803,ARTERIAL BLOOD GAS,462.0,,13.29,415.8,68
CPT,82803,BED SIDE BG W/INDIR. O2 SAT,323.5,,13.29,415.8,136
CPT,82803,BLOOD GAS PH PO2 &/OR PCO2,462.0,,13.29,415.8,272
CPT,82803,CVLBG WITH CALC 02 SAT.,263.5,,13.29,338.4,68
CPT,82803,CVLBG WITH CALC O2 SAT.,376.0,,13.29,338.4,272
CPT,82803,CVLBG WITH O2 CALC 02 SAT.,376.0,,13.29,338.4,68
CPT,82803,ER Only-ABG WITH CALC O2 SAT.,376.0,,13.29,338.4,50
CPT,82803,ER Only-BED SIDE BG W/INDIR. O2 SAT,462.0,,13.29,415.8,50
CPT,82803,ER Only-CVLBG WITH CALC 02 SAT.,376.0,,13.29,338.4,50
CPT,82803,ER Only-VBG WITH CALC O2 SAT,376.0,,13.29,338.4,50
CPT,82803,MIXED VENOUS BLOOD GAS,376.0,,13.29,338.4,136
CPT,82803,VBG WITH CALC 02 SAT,376.0,,13.29,338.4,68
CPT,82803,VBG WITH CALC O2 SAT,263.5,,13.29,338.4,204
CPT,82803,VBG WITH CALC O2 SAT.,376.0,,13.29,338.4,136
CPT,82805,ABG WITH DIRECT O2 SAT.,376.0,,41.0,338.4,136
CPT,82805,CVLBG WITH DIRECT O2 SAT.,376.0,,41.0,338.4,68
CPT,82805,VBG WITH DIRECT O2 SAT,376.0,,41.0,338.4,68
CPT,82930,GASTRIC ACID ANALY W/PH EA SPE,147.0,,6.17,132.3,68
CPT,82941,ER Only-GASTRIN ASSAY,280.0,,13.5,252.0,50
CPT,82941,ER Only-Q-GASTRIN ASSAY,280.0,,13.5,252.0,50
CPT,82941,GASTRIN ASSAY,196.0,,13.5,252.0,136
CPT,82941,Q-GASTRIN ASSAY,196.0,,13.5,252.0,204
CPT,82943,Q-GLUCAGON,308.0,,13.15,277.2,136
CPT,82945,ER Only-GLUCOSE BODY FLUID,89.0,,3.62,80.1,150
CPT,82945,GLUCOSE BODY FLUID,62.5,,3.62,80.1,340
CPT,82945,GLUCOSE BODY FLUID (ARUP),89.0,,3.62,80.1,136
CPT,82945,GLUCOSE CSF,89.0,,3.62,80.1,204
CPT,82947,ER Only-GLUCOSE BLOOD,80.0,,3.62,72.0,100
CPT,82947,ER Only-GLUCOSE BLOOD EA ADDL,80.0,,5.89,72.0,38
CPT,82947,"ER Only-GLUCOSE BLOOD, ABG",80.0,,3.62,72.0,50
CPT,82947,ER Only-GLUCOSE BLOOD- EACH ADDITIONAL,80.0,,5.89,72.0,76
CPT,82947,GLUCOSE BLOOD,56.0,,3.62,72.0,1020
CPT,82947,GLUCOSE BLOOD EA ADDL,56.0,,5.89,72.0,168
CPT,82947,GLUCOSE BLOOD I-STAT,80.0,,3.62,72.0,1904
CPT,82947,"GLUCOSE BLOOD, ABG",56.0,,3.62,72.0,136
CPT,82947,GLUCOSE BLOOD- EACH ADDITIONAL,56.0,,5.89,72.0,336
CPT,82950,ER Only-GLUCOSE QNT (1HR POST GLUCOLA),90.0,,2.17,81.0,100
CPT,82950,GLUCOSE QNT (1HR POST GLUCOLA),63.0,,2.17,81.0,476
CPT,82951,ER Only-GGT-FIRST 3 SPEC,164.0,,5.41,147.6,50
CPT,82951,ER Only-GTT-FIRST 3 SPEC,164.0,,5.41,147.6,50
CPT,82951,GGT-FIRST 3 SPEC,115.0,,5.41,147.6,204
CPT,82951,GTT-FIRST 3 SPEC,115.0,,5.41,147.6,272
CPT,82952,ER Only-GGT-EACH ADDIT SPEC,80.0,,2.41,72.0,50
CPT,82952,ER Only-GTT-EACH ADDIT SPEC,80.0,,2.41,72.0,50
CPT,82952,GGT-EACH ADDIT SPEC,56.0,,2.41,72.0,204
CPT,82952,GTT-EACH ADDIT SPEC,56.0,,2.41,72.0,136
CPT,82952,GTT-EACH ADDL SPEC,80.0,,2.41,72.0,136
CPT,82960,ER Only-G6PD DEFICINCY (PEDIATRIX),81.0,,5.57,72.9,50
CPT,82960,ER Only-G6PD ENZYME SCREEN,174.0,,5.57,156.6,50
CPT,82960,G6PD DEFICINCY (PEDIATRIX),57.0,,5.57,72.9,68
CPT,82960,G6PD ENZYME SCREEN,122.0,,5.57,156.6,204
CPT,82962,BED SIDE GLUCOSE,43.5,,3.02,55.8,68
CPT,82962,ER Only-BED SIDE GLUCOSE,62.0,,3.02,55.8,50
CPT,82962,"ER Only-GLUCOSE QUANTITATIVE, BLOOD",62.0,,3.02,55.8,50
CPT,82962,"GLUCOSE QUANTITATIVE, BLOOD",43.5,,3.02,55.8,136
CPT,82962,"GLUCOSE, INFORM",62.0,,3.02,55.8,476
CPT,82963,ER Only-Z*M-GLUCOSIDASE BETA**,130.0,,3.28,117.0,50
CPT,82963,Z*M-GLUCOSIDASE BETA**,91.0,,3.28,117.0,68
CPT,82977,ER Only-GGT/GGTP,109.0,,6.3,98.1,50
CPT,82977,GGT/GGTP,76.5,,6.3,98.1,408
CPT,82977,GLUTAMYLTRANSFERASE- GAMMA **,174.0,,6.3,156.6,136
CPT,82985,Q-GLYCATED PROT (FRUCTOSAMINE),196.0,,15.42,176.4,136
CPT,82985,Z*Q-GLYCATED PROT (FRUCTOSAMIN,148.0,,15.42,133.2,68
CPT,83001,ER Only-FOLLICLE STIMULATION HORMONE,379.0,,9.78,341.1,50
CPT,83001,FOLLICLE STIMULATION HORMONE,265.5,,9.78,341.1,204
CPT,83002,ER Only-LUTEINIZING HORMONE,379.0,,5.48,341.1,50
CPT,83002,LUTEINIZING HORMONE,265.5,,5.48,341.1,204
CPT,83003,ER Only-GROWTH HORMONE (HGH),118.0,,15.34,106.2,50
CPT,83003,ER Only-Q-GROWTH HORMONE,273.0,,15.34,245.7,50
CPT,83003,GROWTH HORMONE (HGH),83.0,,15.34,106.2,204
CPT,83003,Q-GROWTH HORMONE,191.0,,15.34,245.7,272
CPT,83010,ER Only-HAPTOGLOBIN QN,150.0,,11.57,135.0,50
CPT,83010,HAPTOGLOBIN QN,105.0,,11.57,135.0,204
CPT,83010,HAPTOGLOBIN- QUANTITATIVE **,70.0,,11.57,63.0,136
CPT,83013,H PYLORI BREATH TEST ANLY C-13,475.0,,61.97,427.5,680
CPT,83014,H PYLORI DRUG ADMIN,92.0,,7.23,82.8,68
CPT,83018,COBALT SERUM/PLASMA,113.5,,8.92,145.8,204
CPT,83018,ER Only-COBALT SERUM/PLASMA,162.0,,8.92,145.8,50
CPT,83020,ER Only-HEMOGLOBIN ELECT ACID PH,259.0,,9.07,233.1,50
CPT,83020,ER Only-HEMOGLOBIN ELECTROPHORESIS CAP,259.0,,9.07,233.1,50
CPT,83020,HEMOGLOBIN ELECT ACID PH,181.5,,9.07,233.1,136
CPT,83020,HEMOGLOBIN ELECT ALK PH,259.0,,9.07,233.1,68
CPT,83020,HEMOGLOBIN ELECTROPHORESIS,259.0,,9.07,233.1,136
CPT,83020,HEMOGLOBIN ELECTROPHORESIS CAP,181.5,,9.07,233.1,204
CPT,83021,HEMOGLOBIN FRACT QN-STATE**,216.0,,9.07,194.4,68
CPT,83036,ER Only-HEMOGLOBIN GLYCOSYLATED (A1C),192.0,,8.93,172.8,50
CPT,83036,HEMOGLOBIN GLYCOSYLATED (A1C),134.5,,8.93,172.8,2028
CPT,83050,"ER Only-METHEMOGLOBIN, ABG",219.0,,7.54,197.1,50
CPT,83050,METHEMOGLOBIN,219.0,,7.54,197.1,272
CPT,83050,METHEMOGLOBIN ABG,219.0,,7.54,197.1,68
CPT,83050,METHEMOGLOBIN QN,219.0,,7.54,197.1,68
CPT,83050,"METHEMOGLOBIN, ABG",153.5,,7.54,197.1,340
CPT,83051,ER Only-HEMOGLOBIN PLASMA,192.0,,6.73,172.8,50
CPT,83051,HEMOGLOBIN PLASMA,134.5,,6.73,172.8,204
CPT,83070,"ER Only-HEMOSIDERIN, URINE",82.0,,4.37,73.8,50
CPT,83070,"HEMOSIDERIN, URINE",57.5,,4.37,73.8,204
CPT,83080,ER Only-HEXOSAMINIDASE A AND TOT SERUM,351.0,,15.52,315.9,50
CPT,83080,ER Only-HEXOSAMINIDASE PERCENT A,140.0,,24.7,126.0,38
CPT,83080,HEXOSAMINIDASE A & TOT SERUM,351.0,,15.52,315.9,68
CPT,83080,HEXOSAMINIDASE A AND TOT SERUM,246.0,,15.52,315.9,136
CPT,83080,HEXOSAMINIDASE PERCENT A,98.0,,24.7,126.0,168
CPT,83088,"ER Only-HISTAMINE, BLOOD",387.0,,27.17,348.3,50
CPT,83088,ER Only-Q-HISTAMINE URINE,387.0,,27.17,348.3,50
CPT,83088,"HISTAMINE, BLOOD",271.0,,27.17,348.3,204
CPT,83088,Q-HISTAMINE URINE,271.0,,27.17,348.3,136
CPT,83090,"ER Only-HOMOCYSTEINE, PLASMA",319.0,,16.49,287.1,50
CPT,83090,"HOMOCYSTEINE, PLASMA",223.5,,16.49,287.1,204
CPT,83491,HYDROXYCORTICOSTEROID 17,179.0,,16.47,161.1,68
CPT,83497,ER Only-Q-5-HIAA URINE,256.0,,11.87,230.4,50
CPT,83497,Q-5-HIAA URINE,179.5,,11.87,230.4,204
CPT,83498,ER Only-Q-HYDROXY PROGESTERONE 17-D,259.0,,23.5,233.1,50
CPT,83498,HYDROXYPROGEST 17-D-STATE**,310.0,,23.5,279.0,68
CPT,83498,Q-HYDROXY PROGESTERONE 17-D,181.5,,23.5,233.1,272
CPT,83516,ANTI-RNA POL III IGG**,232.0,,10.61,297.9,204
CPT,83516,EJ (MAYOMARKER PANEL),45.5,,10.61,58.5,204
CPT,83516,ER Only-ANTI-RNA POL III IGG**,331.0,,10.61,297.9,50
CPT,83516,ER Only-EJ (MAYOMARKER PANEL),65.0,,10.61,58.5,50
CPT,83516,ER Only-FIBRILLARIN (U3 RPN),65.0,,13.6,58.5,38
CPT,83516,ER Only-KU (MAYOMARKER),65.0,,13.6,58.5,38
CPT,83516,ER Only-MI-2 (MAYOMARKER),65.0,,13.6,58.5,38
CPT,83516,"ER Only-MYELOPEROXIDASE AB, IGG (MPO)",259.0,,10.61,233.1,50
CPT,83516,ER Only-OJ (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CPT,83516,ER Only-PL-12 (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CPT,83516,ER Only-PL-7 (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CPT,83516,ER Only-Q-CN-1A ANTIBODY IGG,844.0,,10.61,759.6,50
CPT,83516,ER Only-Q-GASTRIC PARIETAL CELL AB,388.0,,10.61,349.2,50
CPT,83516,ER Only-Q-HISTONE ANTIBODY,470.0,,10.61,423.0,50
CPT,83516,"ER Only-SERINE PROTEASE 3 AB, IGG PR3",259.0,,10.61,233.1,50
CPT,83516,ER Only-SRP (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CPT,83516,ER Only-U2 SNRNP (MAYOMARKER PANEL),65.0,,13.6,58.5,38
CPT,83516,FIBRILLARIN (U3 RPN),45.5,,13.0,58.5,168
CPT,83516,KU (MAYOMARKER),45.5,,13.0,58.5,168
CPT,83516,M-IMMUNO QL/SQ MLT (MOD 91)**,139.0,,13.6,125.1,112
CPT,83516,M-IMMUNO QL/SQ MLT**,139.0,,10.61,125.1,136
CPT,83516,MI-2 (MAYOMARKER),45.5,,13.0,58.5,168
CPT,83516,"MYELOPEROXIDASE AB, IGG (MPO)",181.5,,10.61,233.1,204
CPT,83516,OJ (MAYOMARKER PANEL),45.5,,13.0,58.5,168
CPT,83516,PL-12 (MAYOMARKER PANEL),45.5,,13.0,58.5,168
CPT,83516,PL-7 (MAYOMARKER PANEL),45.5,,13.0,58.5,168
CPT,83516,Q-CN-1A ANTIBODY IGG,591.0,,10.61,759.6,204
CPT,83516,Q-GASTRIC PARIETAL CELL AB,272.0,,10.61,349.2,272
CPT,83516,Q-HISTONE ANTIBODY,329.0,,10.61,423.0,272
CPT,83516,"SERINE PROTEASE 3 AB, IGG PR3",181.5,,10.61,233.1,204
CPT,83516,SRP (MAYOMARKER PANEL),45.5,,13.0,58.5,168
CPT,83516,U2 SNRNP (MAYOMARKER PANEL),45.5,,13.0,58.5,168
CPT,83516,WUSTL IMMUNO QL/SQ AB**,442.0,,10.61,397.8,204
CPT,83519,ACHR GANGLIONIC NEURONAL AB S*,143.0,,7.92,183.6,68
CPT,83519,"ACHR GANGLIONIC NEURONAL AB,S*",204.0,,7.92,183.6,136
CPT,83519,ALPHA SUB-PIT GLYCOPRO HORMONE,178.0,,7.92,228.6,68
CPT,83519,ER Only-ACHR GANGLIONIC NEURONAL AB S*,204.0,,7.92,183.6,50
CPT,83519,ER Only-ALPHA SUB-PIT GLYCOPRO HORMONE,254.0,,7.92,228.6,50
CPT,83519,ER Only-IGF-2-LABCORP,325.0,,7.92,292.5,50
CPT,83519,ER Only-M-ACH RECEPTOR MUSC MOD AB,255.0,,7.92,229.5,50
CPT,83519,ER Only-M-ACHR (MUSC) MODULATING AB*,280.0,,7.92,252.0,38
CPT,83519,ER Only-M-ACHR GANGLION NEURONAL AB,631.0,,7.92,567.9,50
CPT,83519,ER Only-M-ACHR GANGLIONIC NEURON AB*,134.0,,7.92,120.6,38
CPT,83519,ER Only-M-ACHR GNG NRL AB**,394.0,,7.92,354.6,50
CPT,83519,ER Only-M-ACHR MODULATING AB,543.0,,7.92,488.7,50
CPT,83519,ER Only-M-N-TYPE**,394.0,,7.92,354.6,50
CPT,83519,ER Only-M-NEURONAL VGK+ CHANNEL AB S**,171.0,,7.92,153.9,50
CPT,83519,ER Only-M-NEURONAL VGKC AUTOANTIBODY,134.0,,7.92,120.6,38
CPT,83519,ER Only-M-P/Q-TYPE**,394.0,,7.92,354.6,50
CPT,83519,ER Only-Q-PROCOLLAGEN TYPE 1 INTACT N,542.0,,7.92,487.8,50
CPT,83519,ER Only-Z*M-N-TYPE CA CHANNEL AB**,280.0,,7.92,252.0,38
CPT,83519,ER Only-Z*M-P/Q TYPE CA CHANNEL AB**,280.0,,7.92,252.0,38
CPT,83519,IGF-2-LABCORP,227.5,,7.92,292.5,204
CPT,83519,M-ACH RECEPTOR MUSC MOD AB,178.5,,7.92,229.5,136
CPT,83519,M-ACHR (MUSC) MODULATING AB*,196.0,,7.92,252.0,56
CPT,83519,M-ACHR (MUSC) MODULATING AB**,280.0,,7.92,252.0,168
CPT,83519,M-ACHR GANGLION NEURONAL AB,442.0,,7.92,567.9,68
CPT,83519,M-ACHR GANGLIONIC NEURON AB*,94.0,,7.92,120.6,56
CPT,83519,M-ACHR GANGLIONIC NEURON AB**,134.0,,7.92,120.6,112
CPT,83519,M-ACHR GANGLIONIC NEURONAL AB,631.0,,7.92,567.9,68
CPT,83519,M-ACHR GNG NRL AB**,276.0,,7.92,354.6,136
CPT,83519,M-ACHR MODULATING AB,380.5,,7.92,488.7,136
CPT,83519,M-N-TYPE CA CHANNEL AB**,280.0,,7.92,252.0,112
CPT,83519,M-N-TYPE**,276.0,,7.92,354.6,136
CPT,83519,M-NEURONAL VGK+ CHANNEL AB S**,120.0,,7.92,153.9,136
CPT,83519,M-NEURONAL VGKC AUTOANTIBODY,94.0,,7.92,120.6,56
CPT,83519,M-NEURONAL VGKC AUTOANTIBODY**,134.0,,7.92,120.6,112
CPT,83519,M-P/Q TYPE CA CHANNEL AB**,280.0,,7.92,252.0,112
CPT,83519,M-P/Q-TYPE**,276.0,,7.92,354.6,136
CPT,83519,Q-HYDROXYLASE-21 AB,560.0,,7.92,504.0,68
CPT,83519,Q-PROCOLLAGEN TYPE 1 INTACT N,379.5,,7.92,487.8,204
CPT,83519,"VGK-COMPLEX AB IPA, CSF",1060.0,,7.92,954.0,68
CPT,83519,Z*M-N-TYPE CA CHANNEL AB**,196.0,,7.92,252.0,56
CPT,83519,Z*M-P/Q TYPE CA CHANNEL AB**,196.0,,7.92,252.0,56
CPT,83520,ADAMTS13 ANTIBODY,676.0,,11.36,608.4,68
CPT,83520,ADAMTS13 IGG AB,473.5,,11.36,608.4,204
CPT,83520,CYSTIC FIBROSIS SCREEN (STATE),130.5,,11.36,167.4,68
CPT,83520,ER Only-ADAMTS13 IGG AB,676.0,,11.36,608.4,50
CPT,83520,ER Only-CYSTIC FIBROSIS SCREEN (STATE),186.0,,11.36,167.4,50
CPT,83520,ER Only-INTERLEUKIN 2 RECEPTOR,426.0,,11.36,383.4,50
CPT,83520,ER Only-M-PHOSPHOLIP A2 RECEPT ELISA,940.0,,11.36,846.0,50
CPT,83520,ER Only-M-THYROTROPIN RECEPTOR AB- S**,372.0,,11.36,334.8,50
CPT,83520,ER Only-M-USTEKINUMAB AB SERUM**,491.0,,11.36,441.9,50
CPT,83520,ER Only-MANNOSE BINDING LECTIN-LABCORP,436.0,,11.36,392.4,50
CPT,83520,ER Only-MDA-5 (P140) (CADM-140),78.0,,11.36,70.2,50
CPT,83520,ER Only-NXP-2 (P140)(MAYOMARKER PANEL),78.0,,11.36,70.2,38
CPT,83520,ER Only-Q-AD DETECT P-TAU 217,750.0,,11.36,675.0,50
CPT,83520,ER Only-Q-ADALIMUMAB AB IBD**,450.0,,11.36,405.0,50
CPT,83520,ER Only-Q-ANTI-CN-1A (NT5C1A) IBM RDL,586.0,,11.36,527.4,50
CPT,83520,ER Only-Q-ANTI-GBM ANTIBODY,460.0,,11.36,414.0,50
CPT,83520,ER Only-Q-CA VI IGA ABS**,197.0,,11.36,177.3,50
CPT,83520,ER Only-Q-CA VI IGG ABS**,197.0,,11.36,177.3,50
CPT,83520,ER Only-Q-CA VI IGM ABS**,197.0,,11.36,177.3,50
CPT,83520,ER Only-Q-IGE ANTIBODY**,150.0,,11.36,135.0,50
CPT,83520,ER Only-Q-IMMUNOASSAY QN TRYPTASE,276.0,,11.36,248.4,50
CPT,83520,ER Only-Q-INFLIXIMAB AB IBD**,450.0,,11.36,405.0,50
CPT,83520,ER Only-Q-MANNOSE-BINDING LECTIN SERUM,341.0,,11.36,306.9,50
CPT,83520,ER Only-Q-NEUROFILAMENT LIGHT CHAIN,625.0,,11.36,562.5,50
CPT,83520,ER Only-Q-PANCREATIC POLYPEPTIDE ECL,383.0,,11.36,344.7,50
CPT,83520,ER Only-Q-PSP IGA ABS**,197.0,,11.36,177.3,50
CPT,83520,ER Only-Q-PSP IGG ABS**,197.0,,11.36,177.3,50
CPT,83520,ER Only-Q-PSP IGM ABS**,197.0,,11.36,177.3,50
CPT,83520,ER Only-Q-RNA POLYMERASE III AB,357.0,,11.36,321.3,50
CPT,83520,ER Only-Q-SP-1 IGA ABS**,197.0,,11.36,177.3,50
CPT,83520,ER Only-Q-SP-1 IGG ABS**,197.0,,11.36,177.3,50
CPT,83520,ER Only-Q-SP-1 IGM ABS**,197.0,,11.36,177.3,50
CPT,83520,ER Only-Q-TUMOR NECROSIS FACTOR-ALPHA,385.0,,11.36,346.5,50
CPT,83520,ER Only-Q-VASC ENDOTHELIAL GROTH FX,459.0,,11.36,413.1,50
CPT,83520,ER Only-TIF1 GAMMA (P155/140),78.0,,11.36,70.2,38
CPT,83520,ER Only-Z*IMMUNO QN- INIT **,341.0,,11.36,306.9,50
CPT,83520,ER Only-Z*IMMUNO QNT- EA ADDL **,341.0,,11.36,306.9,38
CPT,83520,ER Only-Z*M-STRIATED MUSCLE AB**,276.0,,11.36,248.4,50
CPT,83520,ER Only-Z*M-STRIATED MUSCLE ANTIBODY**,128.0,,11.36,115.2,50
CPT,83520,IMMUNO QN- INIT **,341.0,,11.36,306.9,68
CPT,83520,IMMUNO QNT- EA ADDL **,341.0,,11.36,306.9,56
CPT,83520,IMMUNO QNT- EA ADDL**,137.0,,11.36,123.3,56
CPT,83520,IMMUNO QNT- INIT**,137.0,,11.36,123.3,68
CPT,83520,INTERLEUKIN 2 RECEPTOR,298.5,,11.36,383.4,204
CPT,83520,M-PHOSPHOLIP A2 RECEPT ELISA,658.0,,11.36,846.0,204
CPT,83520,M-STRIATED MUSCLE AB**,276.0,,11.36,248.4,204
CPT,83520,M-STRIATED MUSCLE ANTIBODY**,128.0,,11.36,115.2,136
CPT,83520,M-THYROTROPIN RECEPTOR AB- S**,260.5,,11.36,334.8,204
CPT,83520,M-USTEKINUMAB AB SERUM**,344.0,,11.36,441.9,204
CPT,83520,MANNOSE BINDING LECTIN-LABCORP,305.5,,11.36,392.4,204
CPT,83520,MDA-5 (P140) (CADM-140),55.0,,11.36,70.2,204
CPT,83520,NXP-2 (P140)(MAYOMARKER PANEL),55.0,,11.36,70.2,168
CPT,83520,Q-AD DETECT P-TAU 217,525.0,,11.36,675.0,204
CPT,83520,Q-ADALIMUMAB AB IBD**,315.0,,11.36,405.0,204
CPT,83520,Q-ADIPONECTIN,752.0,,11.36,676.8,68
CPT,83520,Q-ANTI-CN-1A (NT5C1A) IBM RDL,410.5,,11.36,527.4,204
CPT,83520,Q-ANTI-GBM ANTIBODY,322.0,,11.36,414.0,204
CPT,83520,Q-CA VI IGA ABS**,138.0,,11.36,177.3,204
CPT,83520,Q-CA VI IGG ABS**,138.0,,11.36,177.3,204
CPT,83520,Q-CA VI IGM ABS**,138.0,,11.36,177.3,204
CPT,83520,Q-GANGLIOSIDE GQ1B AB IGG EIA,467.0,,11.36,420.3,68
CPT,83520,Q-IGE ANTIBODY**,105.0,,11.36,135.0,204
CPT,83520,Q-IMMUNOASSAY QN TRYPTASE,193.5,,11.36,248.4,136
CPT,83520,Q-INFLIXIMAB AB IBD**,315.0,,11.36,405.0,204
CPT,83520,Q-INHIBIN-B,499.0,,11.36,449.1,68
CPT,83520,Q-MANNOSE-BINDING LECTIN SER,341.0,,11.36,306.9,68
CPT,83520,Q-MANNOSE-BINDING LECTIN SERUM,239.0,,11.36,306.9,136
CPT,83520,Q-NEUROFILAMENT LIGHT CHAIN,437.5,,11.36,562.5,204
CPT,83520,Q-PANCREATIC POLYPEPTIDE ECL,268.5,,11.36,344.7,204
CPT,83520,Q-PSP IGA ABS**,138.0,,11.36,177.3,204
CPT,83520,Q-PSP IGG ABS**,138.0,,11.36,177.3,204
CPT,83520,Q-PSP IGM ABS**,138.0,,11.36,177.3,204
CPT,83520,Q-RNA POLYMERASE III AB,250.0,,11.36,321.3,136
CPT,83520,Q-SP-1 IGA ABS**,138.0,,11.36,177.3,204
CPT,83520,Q-SP-1 IGG ABS**,138.0,,11.36,177.3,204
CPT,83520,Q-SP-1 IGM ABS**,138.0,,11.36,177.3,204
CPT,83520,Q-TUMOR NECORS FACTOR-ALPHA,385.0,,11.36,346.5,68
CPT,83520,Q-TUMOR NECROS FACTOR-ALPHA,385.0,,11.36,346.5,68
CPT,83520,Q-TUMOR NECROSIS FACTOR-ALPHA,269.5,,11.36,346.5,68
CPT,83520,Q-VASC ENDOTHELIAL GROTH FX,321.5,,11.36,413.1,136
CPT,83520,Q-VASC ENDOTHELIAL GROWTH FX,459.0,,11.36,413.1,68
CPT,83520,TIF1 GAMMA (P155/140),55.0,,11.36,70.2,168
CPT,83520,WUSTL IMMUNO QUANT AB EA ADD**,214.0,,11.36,192.6,56
CPT,83520,WUSTL IMMUNO QUANT AB**,179.0,,11.36,192.6,476
CPT,83520,WUSTL IMMUNO QUANT AB-EA ADD**,179.0,,11.36,178.2,280
CPT,83520,WUSTL IMMUNO QUANT AB-EA ADDL*,166.0,,11.36,149.4,56
CPT,83520,Z*IMMUNO QN- INIT **,239.0,,11.36,306.9,68
CPT,83520,Z*IMMUNO QNT- EA ADDL **,239.0,,11.36,306.9,56
CPT,83520,Z*M-STRIATED MUSCLE AB**,193.5,,11.36,248.4,68
CPT,83520,Z*M-STRIATED MUSCLE ANTIBODY**,90.0,,11.36,115.2,68
CPT,83521,ER Only-M-KAPPA FREE LIGHT CHAIN CSF**,580.0,,15.89,522.0,50
CPT,83521,ER Only-NEPHELOMETRY FREE KAPPA,325.0,,15.89,292.5,50
CPT,83521,ER Only-NEPHELOMETRY FREE LAMBDA,325.0,,25.91,292.5,38
CPT,83521,ER Only-Q-NEPHELOMETRY EACH ANALYTE,325.0,,15.89,292.5,50
CPT,83521,M-KAPPA FREE LIGHT CHAIN CSF**,406.0,,15.89,522.0,204
CPT,83521,NEPHELOMETRY FREE KAPPA,227.5,,15.89,292.5,204
CPT,83521,NEPHELOMETRY FREE LAMBDA,227.5,,25.91,292.5,168
CPT,83521,NEPHELOMETRY- EA ANALYTE **,325.0,,15.89,292.5,136
CPT,83521,Q-NEPHELOMETRY EACH ANALYTE,227.5,,15.89,292.5,204
CPT,83525,ER Only-INSULIN SERUM,186.0,,10.52,167.4,50
CPT,83525,ER Only-INSULIN SERUM- EACH ADDITIONAL,186.0,,12.37,167.4,38
CPT,83525,INSULIN SERUM,130.5,,10.52,167.4,204
CPT,83525,INSULIN SERUM- EACH ADDITIONAL,130.5,,12.37,167.4,168
CPT,83529,ER Only-INTERLEUKIN 6 SERUM,426.0,,15.89,383.4,50
CPT,83529,INTERLEUKIN 6 SERUM,298.5,,15.89,383.4,204
CPT,83540,ER Only-IRON SERUM,117.0,,2.26,105.3,50
CPT,83540,IRON SERUM,82.0,,2.26,105.3,272
CPT,83540,IRON SERUM              83540,117.0,,2.26,105.3,68
CPT,83540,"MAYO-IRON, LIVER TISSUE",343.0,,2.26,308.7,68
CPT,83550,ER Only-IRON BINDING CAPACITY,151.0,,2.37,135.9,50
CPT,83550,IRON BINDING CAPACITY,106.0,,2.37,135.9,136
CPT,83550,IRON BINDING CAPACITY   83550,151.0,,2.37,135.9,68
CPT,83550,IRON BINIDING CAPACITY,151.0,,2.37,135.9,136
CPT,83605,ER Only-LACTATE/LACTIC ACID,254.0,,7.91,228.6,50
CPT,83605,LACTATE/LACTIC ACID,178.0,,7.91,228.6,748
CPT,83605,LACTATE/LACTIC ACID BLOOD,254.0,,7.91,228.6,68
CPT,83615,ER Only-LDH SERUM,145.0,,2.36,130.5,50
CPT,83615,LDH BODY FLUID,145.0,,2.36,130.5,68
CPT,83615,LDH SERUM,101.5,,2.36,130.5,476
CPT,83655,ER Only-M-LEAD BLOOD**,128.0,,7.91,115.2,50
CPT,83655,ER Only-Q-LEAD CAPILLARY,195.0,,7.91,175.5,50
CPT,83655,ER Only-Z*M-LEAD URINE**,128.0,,7.91,115.2,50
CPT,83655,ER Only-Z*Q-LEAD BLOOD **,197.0,,7.91,177.3,50
CPT,83655,ER Only-Z*Q-LEAD URINE **,197.0,,7.91,177.3,50
CPT,83655,LEAD BLOOD - STATE,56.0,,7.91,50.4,68
CPT,83655,M-LEAD BLOOD**,90.0,,7.91,115.2,204
CPT,83655,M-LEAD URINE**,128.0,,7.91,115.2,68
CPT,83655,Q-LEAD BLOOD,197.0,,7.91,177.3,136
CPT,83655,Q-LEAD CAPILLARY,136.5,,7.91,175.5,204
CPT,83655,Z*M-LEAD URINE**,90.0,,7.91,115.2,68
CPT,83655,Z*Q-LEAD BLOOD **,138.0,,7.91,177.3,68
CPT,83655,Z*Q-LEAD URINE **,138.0,,7.91,177.3,68
CPT,83690,ER Only-LIPASE SERUM,132.0,,4.54,118.8,50
CPT,83690,LIPASE SERUM,92.5,,4.54,118.8,544
CPT,83695,ER Only-Q-LIPOPROTEIN (A),221.0,,13.17,198.9,50
CPT,83695,Q-LIPOPROTEIN (A),155.0,,13.17,198.9,204
CPT,83701,ER Only-VAP LIPOPROTEIN- ULTRACENTRI,379.0,,31.15,341.1,50
CPT,83701,VAP LIPOPROTEIN- ULTRACENTRI,265.5,,31.15,341.1,68
CPT,83718,ER Only-HDL CHOLESTEROL,187.0,,3.44,168.3,50
CPT,83718,HDL CHOLESTEROL,131.0,,3.44,168.3,340
CPT,83721,"ER Only-LDL CHOLESTEROL, DIRECT",156.0,,2.21,140.4,50
CPT,83721,"LDL CHOLESTEROL, DIRECT",109.5,,2.21,140.4,340
CPT,83735,ER Only-MAGNESIUM,140.0,,6.16,126.0,50
CPT,83735,ER Only-MAGNESIUM URINE,117.0,,6.16,105.3,50
CPT,83735,ER Only-Q-MAGNESIUM RBC,200.0,,6.16,180.0,50
CPT,83735,MAGNESIUM,98.0,,6.16,126.0,612
CPT,83735,MAGNESIUM URINE,82.0,,6.16,105.3,204
CPT,83735,Q-MAGNESIUM RBC,140.0,,6.16,180.0,272
CPT,83789,ER Only-M-MASS SPEC QNT (TPMT) RBC,619.0,,15.93,557.1,50
CPT,83789,ER Only-M-MASS SPECTOMETRY QN**,124.0,,15.93,111.6,50
CPT,83789,ER Only-Q-TPMT ACTIVITY,693.0,,15.93,623.7,50
CPT,83789,ER Only-Z*M-MUCOPOLYSACCHARIDES QL**,173.0,,15.93,155.7,50
CPT,83789,M-MASS SPEC QNT (TPMT) RBC,433.5,,15.93,557.1,68
CPT,83789,M-MASS SPECTOMETRY QN**,87.0,,15.93,111.6,204
CPT,83789,MASS SPECTROMETRY QL**,274.0,,15.93,246.6,68
CPT,83789,Q-TPMT ACTIVITY,485.5,,15.93,623.7,204
CPT,83789,Z*M-MUCOPOLYSACCHARIDES QL**,121.5,,15.93,155.7,68
CPT,83825,ER Only-M-MERCURY BLOOD**,159.0,,14.96,143.1,50
CPT,83825,ER Only-Q-MERCURY BLOOD- QUANT,255.0,,14.96,229.5,50
CPT,83825,ER Only-Z*M-MERCURY URINE**,159.0,,14.96,143.1,50
CPT,83825,ER Only-Z*Q-MERCURY BLOOD **,255.0,,14.96,229.5,50
CPT,83825,ER Only-Z*Q-MERCURY URINE 24 HR **,255.0,,14.96,229.5,50
CPT,83825,M-MERCURY BLOOD**,111.5,,14.96,143.1,136
CPT,83825,M-MERCURY URINE**,159.0,,14.96,143.1,68
CPT,83825,Q-MERCURY BLOOD- QUANT,178.5,,14.96,229.5,204
CPT,83825,Z*M-MERCURY BLOOD**,159.0,,14.96,143.1,68
CPT,83825,Z*M-MERCURY URINE**,111.5,,14.96,143.1,68
CPT,83825,Z*Q-MERCURY BLOOD **,178.5,,14.96,229.5,68
CPT,83825,Z*Q-MERCURY URINE 24 HR **,178.5,,14.96,229.5,68
CPT,83835,ER Only-M-METANEPH- FX- FREE PLASMA,468.0,,7.92,421.2,50
CPT,83835,ER Only-Q-METANEPHRINES URINE,402.0,,7.92,361.8,50
CPT,83835,M-METANEPH- FX- FREE PLASMA,328.0,,7.92,421.2,204
CPT,83835,Q-METANEPHRINES URINE,281.5,,7.92,361.8,204
CPT,83864,ER Only-Z*M-MUCOPOLYSACCHARIDES QN**,351.0,,10.06,315.9,50
CPT,83864,Z*M-MUCOPOLYSACCHARIDES QN**,246.0,,10.06,315.9,68
CPT,83873,ER Only-Q-MYELIN BASIC PROTEIN (CSF),291.0,,5.49,261.9,50
CPT,83873,Q-MYELIN BASIC PROTEIN (CSF),204.0,,5.49,261.9,204
CPT,83874,"ER Only-MYOGLOBIN, URINE",174.0,,11.89,156.6,50
CPT,83874,"MYOGLOBIN, URINE",122.0,,11.89,156.6,204
CPT,83880,B-TYPE NATRIURETIC PEPTIDE,298.5,,36.12,383.4,408
CPT,83880,ER Only-B-TYPE NATRIURETIC PEPTIDE,426.0,,36.12,383.4,50
CPT,83880,PROBRAIN NATRIURETIC PEPTIDE,345.0,,36.12,310.5,136
CPT,83880,Q-NT-PROBNP,452.0,,36.12,406.8,136
CPT,83883,ER Only-M-BETA-TRACE PROTEIN BF,352.0,,3.44,316.8,50
CPT,83883,ER Only-Q-RETINOL BINDING PROTEIN,256.0,,3.44,230.4,50
CPT,83883,M-BETA-TRACE PROTEIN BF,246.5,,3.44,316.8,204
CPT,83883,Q-RETINOL BINDING PROTEIN,179.5,,3.44,230.4,204
CPT,83915,Q-NUCLEOTIDASE 5,137.0,,9.06,123.3,68
CPT,83916,ER Only-M-OLIGOCOLONAL BAND CSF**,128.0,,20.02,115.2,50
CPT,83916,ER Only-M-OLIGOCOLONAL BAND SERUM**,128.0,,20.02,115.2,50
CPT,83916,ER Only-OLIGOCLONAL BANDS,332.0,,20.02,298.8,50
CPT,83916,"ER Only-OLIGOCLONAL BANDS, CSF",332.0,,20.02,298.8,50
CPT,83916,ER Only-Z*M-OLIGOCOLONAL BANDS CSF**,253.0,,20.02,227.7,50
CPT,83916,M-OLIGOCOLONAL BAND CSF**,89.5,,20.02,115.2,204
CPT,83916,M-OLIGOCOLONAL BAND SERUM**,89.5,,20.02,115.2,204
CPT,83916,OLIGOCLONAL BANDS,232.5,,20.02,298.8,68
CPT,83916,"OLIGOCLONAL BANDS, CSF",232.5,,20.02,298.8,68
CPT,83916,Q-OLIGOCLONAL BANDS CSF**,202.0,,20.02,181.8,136
CPT,83916,Z*M-OLIGOCOLONAL BANDS CSF**,177.5,,20.02,227.7,68
CPT,83918,ER Only-ORGANIC ACIDS TOTAL QN**,340.0,,19.1,306.0,50
CPT,83918,ORGANIC ACIDS TOTAL QN**,238.0,,19.1,306.0,136
CPT,83919,ER Only-M-ORGANIC ACID SCREEN QL- UR,459.0,,15.13,413.1,50
CPT,83919,ER Only-ORGANIC ACIDS QL**,265.0,,15.13,238.5,50
CPT,83919,M-ORGANIC ACID SCREEN QL- UR,321.5,,15.13,413.1,136
CPT,83919,ORGANIC ACIDS QL**,185.5,,15.13,238.5,136
CPT,83919,ORGANIC ACIDS QL-STATE**,292.0,,15.13,262.8,68
CPT,83921,ER Only-Q-METHYLMALONIC ACID,508.0,,19.51,457.2,50
CPT,83921,Q-METHYLMALONIC ACID,356.0,,19.51,457.2,204
CPT,83930,ER Only-OSMOLALITY SERUM,146.0,,5.73,131.4,104
CPT,83930,OSMOLALITY SERUM,102.5,,5.73,131.4,350
CPT,83935,ER Only-OSMOLALITY URINE,146.0,,5.46,131.4,104
CPT,83935,OSMOLALITY URINE,102.5,,5.46,131.4,350
CPT,83937,Q-OSTEOCALCIN,200.0,,12.42,180.0,68
CPT,83945,ER Only-Q-OXALATE URINE,178.0,,12.37,160.2,50
CPT,83945,Q-OXALATE URINE,125.0,,12.37,160.2,204
CPT,83970,ER Only-PTH INTACT N-TERM.,598.0,,21.24,538.2,50
CPT,83970,PARATHYROID HORMONE INTRAOPER,598.0,,21.24,538.2,136
CPT,83970,PTH INTACT,598.0,,21.24,538.2,68
CPT,83970,PTH INTACT N-TERM.,419.0,,21.24,538.2,204
CPT,83986,PH BODY FLUID,57.0,,3.29,51.3,204
CPT,83992,"ER Only-Q-PHENCYCLIDINE QN, URINE",186.0,,2.4,167.4,39
CPT,83992,"Q-PHENCYCLIDINE QN, URINE",130.5,,2.4,167.4,114
CPT,83993,"CALPROTECTIN, FECES",409.5,,18.06,526.5,204
CPT,83993,"ER Only-CALPROTECTIN, FECES",585.0,,18.06,526.5,50
CPT,84075,ALKALINE PHOSPHATASE,77.0,,2.25,99.0,544
CPT,84075,ER Only-ALKALINE PHOSPHATASE,110.0,,2.25,99.0,50
CPT,84075,ER Only-Q-PHOSPHATASE ALKALINE,348.0,,2.25,313.2,50
CPT,84075,Q-PHOSPHATASE ALKALINE,243.5,,2.25,313.2,272
CPT,84080,ER Only-Q-ALK PHOS ISOENZYMES,223.0,,13.43,200.7,50
CPT,84080,Q-ALK PHOS ISOENZYMES,156.5,,13.43,200.7,204
CPT,84100,ER Only-PHOSPHORUS SERUM,83.0,,2.27,74.7,50
CPT,84100,PHOSPHORUS SERUM,58.0,,2.27,74.7,544
CPT,84105,ER Only-PHOSPHORUS URINE,142.0,,3.3,127.8,50
CPT,84105,PHOSPHORUS URINE,99.5,,3.3,127.8,204
CPT,84105,"PHOSPHORUS,URINE",142.0,,3.3,127.8,68
CPT,84110,ER Only-PORPHOBILINOGEN (PBGD) SERUM,354.0,,7.76,318.6,50
CPT,84110,M-PORPHOBIL QNT RANDOM UR,226.0,,7.76,203.4,136
CPT,84110,M-QUANTITATIVE**,186.0,,7.76,167.4,272
CPT,84110,PORPHOBILINOGEN (PBGD) SERUM,248.0,,7.76,318.6,204
CPT,84110,PORPHOBILINOGEN URINE QN,152.0,,7.76,136.8,68
CPT,84120,ER Only-PORPHYRINS FRACT UR,194.0,,13.53,174.6,50
CPT,84120,M-QUANTITATION AND FRACTION**,211.0,,13.53,189.9,272
CPT,84120,PORPHYRINS FRACT UR,136.0,,13.53,174.6,136
CPT,84126,ER Only-TOTAL PORPHYRINS FECES,340.0,,8.94,306.0,50
CPT,84126,M-PORPHYRINS FECES,594.0,,8.94,534.6,136
CPT,84126,TOTAL PORPHYRINS FECES,238.0,,8.94,306.0,204
CPT,84132,BED SIDE POTASSIUM,77.0,,2.35,99.0,136
CPT,84132,ELECTROL K+POTASS,110.0,,2.35,99.0,68
CPT,84132,ELECTROL.-SERUM K+POTASS,110.0,,2.35,99.0,68
CPT,84132,ER Only-BED SIDE POTASSIUM,110.0,,2.35,99.0,50
CPT,84132,ER Only-POTASSIUM ABG,110.0,,2.35,99.0,50
CPT,84132,ER Only-POTASSIUM SERUM/ PLASMA/ BLOOD,110.0,,2.35,99.0,100
CPT,84132,ER Only-POTASSIUM VBG,110.0,,2.35,99.0,100
CPT,84132,POTASSIUM ABG,77.0,,2.35,99.0,408
CPT,84132,POTASSIUM BLOOD I-STAT,110.0,,2.35,99.0,272
CPT,84132,POTASSIUM SERUM/ PLASMA/ BLOOD,77.0,,2.35,99.0,952
CPT,84132,POTASSIUM VBG,77.0,,2.35,99.0,476
CPT,84132,"POTASSIUM, ABG",110.0,,2.35,99.0,68
CPT,84132,"POTASSIUM, VBG",110.0,,2.35,99.0,68
CPT,84133,ER Only-POTASSIUM URINE,104.0,,2.24,93.6,50
CPT,84133,POTASSIUM URINE,73.0,,2.24,93.6,272
CPT,84134,ER Only-PREALBUMIN,225.0,,10.07,202.5,100
CPT,84134,PREALBUMIN,157.5,,10.07,202.5,340
CPT,84144,ER Only-Q-PROGESTERONE,343.0,,13.48,308.7,50
CPT,84144,Q-PROGESTERONE,240.0,,13.48,308.7,272
CPT,84145,ER Only-PROCALCITONIN (PCT),376.0,,25.04,338.4,50
CPT,84145,PROCALCITONIN (PCT),263.5,,25.04,338.4,272
CPT,84146,ER Only-M-PROLACTIN TOTAL SERUM**,232.0,,7.9,208.8,50
CPT,84146,ER Only-M-PROLACTIN UNPRECIPITATED S,232.0,,7.9,208.8,38
CPT,84146,ER Only-PROLACTIN,320.0,,7.9,288.0,50
CPT,84146,M-PROLACTIN TOTAL SERUM**,162.5,,7.9,208.8,136
CPT,84146,M-PROLACTIN UNPRECIPITATED S,162.5,,7.9,208.8,56
CPT,84146,M-PROLACTIN UNPRECIPITATED S**,232.0,,7.9,208.8,56
CPT,84146,PROLACTIN,224.0,,7.9,288.0,204
CPT,84153,ER Only-PROSTATE SPECIFIC AG TOTAL,361.0,,13.4,324.9,50
CPT,84153,PROSTATE SPECIFIC AG TOTAL,253.0,,13.4,324.9,204
CPT,84154,ER Only-PROSTATE SPECIFIC AG FREE,199.0,,16.92,179.1,50
CPT,84154,PROSTATE SPECIFIC AG FREE,139.5,,16.92,179.1,204
CPT,84155,ER Only-PROTEIN TOTAL SERUM,85.0,,2.35,76.5,50
CPT,84155,PROTEIN TOTAL SERUM,59.5,,2.35,76.5,544
CPT,84155,Q-PROTEIN TOTAL SERUM,154.0,,2.35,138.6,68
CPT,84156,ER Only-PROTEIN TOTAL URINE,85.0,,3.38,76.5,100
CPT,84156,PROTEIN TOTAL URINE,59.5,,3.38,76.5,408
CPT,84157,ER Only-M-PROTEIN TOT CSF OTHER SOURCE,327.0,,3.68,294.3,50
CPT,84157,ER Only-PROTEIN TOTAL BODY FLD (ARUP),148.0,,3.68,133.2,50
CPT,84157,ER Only-PROTEIN TOTAL BODY FLUID O/S,148.0,,3.68,133.2,50
CPT,84157,ER Only-PROTEIN TOTAL CSF OTHER SOURCE,148.0,,3.68,133.2,50
CPT,84157,M-PROTEIN TOT CSF OTHER SOURCE,229.0,,3.68,294.3,68
CPT,84157,PROTEIN TOTAL BODY FLD (ARUP),104.0,,3.68,133.2,204
CPT,84157,PROTEIN TOTAL BODY FLUID O/S,104.0,,3.68,133.2,204
CPT,84157,PROTEIN TOTAL CSF OTHER SOURCE,104.0,,3.68,133.2,272
CPT,84165,ER Only-PROTEIN ELECTROP SERUM,201.0,,7.95,180.9,50
CPT,84165,PROTEIN ELECTROP SERUM,141.0,,7.95,180.9,204
CPT,84165,PROTEIN ELECTRP SERUM,201.0,,7.95,180.9,68
CPT,84166,ER Only-PROTEIN ELECTROP URINE,273.0,,16.4,245.7,50
CPT,84166,PROTEIN ELECTROP URINE,191.0,,16.4,245.7,204
CPT,84182,14-3-3 PROTEIN**,70.0,,13.41,90.0,204
CPT,84182,"AMPHIPHYSIN WESTERN BLOT, CSF",953.0,,13.41,857.7,68
CPT,84182,"AMPHIPHYSIN WESTERN BLOT, S",923.0,,13.41,830.7,68
CPT,84182,"CRMP-5-IGG WESTERN BLOT, CSF",953.0,,13.41,857.7,68
CPT,84182,ER Only-14-3-3 PROTEIN**,100.0,,13.41,90.0,50
CPT,84182,ER Only-M-AGNA-1 IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CPT,84182,ER Only-M-AGNA-1 IMMUNOBLOT S,431.0,,13.41,387.9,50
CPT,84182,ER Only-M-AMPHIPHYSIN IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CPT,84182,ER Only-M-AMPHIPLYSIN IMMUNOBLOT S,431.0,,13.41,387.9,50
CPT,84182,ER Only-M-ANNA-1 IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CPT,84182,ER Only-M-ANNA-1 IMMUNOBLOTT S,431.0,,13.41,387.9,50
CPT,84182,ER Only-M-ANNA-2 IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CPT,84182,ER Only-M-ANNA-2 IMMUNOBLOTT S,431.0,,13.41,387.9,50
CPT,84182,ER Only-M-CRMP-5-IGG WESTERN BLOT,701.0,,13.41,630.9,50
CPT,84182,ER Only-M-CRMP-5-IGG WESTERN BLOT CSF,953.0,,13.41,857.7,50
CPT,84182,ER Only-M-CRMP-5-IGG WESTERN BLOT S,431.0,,13.41,387.9,50
CPT,84182,ER Only-M-PCA-1 IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CPT,84182,ER Only-M-PCA-1 IMMUNOBLOT S,431.0,,13.41,387.9,50
CPT,84182,ER Only-M-PCA-TR IMMUNOBLOT CSF,953.0,,13.41,857.7,50
CPT,84182,ER Only-M-PCA-TR IMMUNOBLOT S,431.0,,13.41,387.9,50
CPT,84182,"ER Only-PROT WESTERN BLOT BAND, SERUM",620.0,,13.41,558.0,50
CPT,84182,M-AGNA-1 IMMUNOBLOT CSF,667.5,,13.41,857.7,136
CPT,84182,M-AGNA-1 IMMUNOBLOT S,302.0,,13.41,387.9,136
CPT,84182,M-AMPHIPHYSIN IMMUNOBLOT CSF,667.5,,13.41,857.7,136
CPT,84182,M-AMPHIPLYSIN IMMUNOBLOT S,302.0,,13.41,387.9,136
CPT,84182,M-ANNA-1 IMMUNOBLOT CSF,667.5,,13.41,857.7,136
CPT,84182,M-ANNA-1 IMMUNOBLOTT S,302.0,,13.41,387.9,136
CPT,84182,M-ANNA-2 IMMUNOBLOT CSF,667.5,,13.41,857.7,136
CPT,84182,M-ANNA-2 IMMUNOBLOTT S,302.0,,13.41,387.9,136
CPT,84182,M-CRMP-5-IGG WESTERN BLOT,491.0,,13.41,630.9,136
CPT,84182,M-CRMP-5-IGG WESTERN BLOT CSF,667.5,,13.41,857.7,136
CPT,84182,M-CRMP-5-IGG WESTERN BLOT S,302.0,,13.41,387.9,136
CPT,84182,M-PARANEOPLASTIC AB CSF**,1107.0,,13.41,996.3,68
CPT,84182,M-PCA-1 IMMUNOBLOT CSF,667.5,,13.41,857.7,136
CPT,84182,M-PCA-1 IMMUNOBLOT S,302.0,,13.41,387.9,136
CPT,84182,M-PCA-TR IMMUNOBLOT CSF,667.5,,13.41,857.7,136
CPT,84182,M-PCA-TR IMMUNOBLOT S,302.0,,13.41,387.9,136
CPT,84182,"PARANEOPLAS AUTO AB WBLOT, CSF",953.0,,13.41,857.7,68
CPT,84182,"PROT WESTERN BLOT BAND, SERUM",434.0,,13.41,558.0,204
CPT,84182,WUSTL WBLOT S**,312.0,,13.41,280.8,316
CPT,84202,ER Only-PROTOPORPHYRINS RBC QN,177.0,,8.97,159.3,50
CPT,84202,PROTOPORPHYRINS RBC QN,124.0,,8.97,159.3,136
CPT,84206,Q-PROINSULIN,412.0,,20.21,370.8,136
CPT,84207,ER Only-Q-VITAMIN B-6 (PYRIDOXAL PHOS),526.0,,18.53,473.4,50
CPT,84207,Q-VITAMIN B-6 (PYRIDOXAL PHOS),368.5,,18.53,473.4,204
CPT,84210,ER Only-Q-PYRUVATE,325.0,,11.29,292.5,50
CPT,84210,Q-PYRUVATE,227.5,,11.29,292.5,272
CPT,84238,ER Only-Q-RECEPTOR ASSAY TRANSFERRIN,693.0,,33.64,623.7,50
CPT,84238,Q-RECEPTOR ASSAY TRANSFERRIN,485.5,,33.64,623.7,136
CPT,84244,ER Only-M-RENIN ACTIVITY- PLASMA,346.0,,20.23,311.4,50
CPT,84244,ER Only-RENIN DIRECT,156.0,,20.23,140.4,50
CPT,84244,M-RENIN ACTIVITY- PLASMA,242.5,,20.23,311.4,204
CPT,84244,RENIN DIRECT,109.5,,20.23,140.4,204
CPT,84252,ER Only-Q-VITAMIN B-2 (RIBOFLAVIN),613.0,,18.62,551.7,50
CPT,84252,Q-VITAMIN B-2 (RIBOFLAVIN),429.5,,18.62,551.7,204
CPT,84255,ER Only-Q-SELENIUM ASSAY,326.0,,12.33,293.4,50
CPT,84255,Q-SELENIUM ASSAY,228.5,,12.33,293.4,204
CPT,84260,ER Only-Q-SEROTONIN,450.0,,28.5,405.0,50
CPT,84260,Q-SEROTONIN,315.0,,28.5,405.0,272
CPT,84270,ER Only-Q-SEX HORMONE BINDING GLOBULIN,194.0,,3.36,174.6,50
CPT,84270,ER Only-SEX HORMONE BINDING GLOBULIN,223.0,,3.36,200.7,50
CPT,84270,Q-SEX HORMONE BINDING GLOBULIN,136.0,,3.36,174.6,68
CPT,84270,SEX HORMONE BINDING GLOBULIN,156.5,,3.36,200.7,204
CPT,84295,BED SIDE SODIUM,75.0,,2.38,96.3,136
CPT,84295,ELECTROL NA SODIUM,107.0,,2.38,96.3,68
CPT,84295,ELECTROL.-SERUM NA SODIUM,107.0,,2.38,96.3,68
CPT,84295,ER Only-BED SIDE SODIUM,107.0,,2.38,96.3,50
CPT,84295,ER Only-SODIUM ABG,107.0,,2.38,96.3,50
CPT,84295,ER Only-SODIUM BLOOD,107.0,,2.38,96.3,50
CPT,84295,SODIUM ABG,75.0,,2.38,96.3,272
CPT,84295,SODIUM BLOOD,75.0,,2.38,96.3,748
CPT,84295,SODIUM BLOOD I-STAT,107.0,,2.38,96.3,272
CPT,84295,SODIUM VBG,107.0,,2.38,96.3,272
CPT,84300,ER Only-SODIUM URINE,139.0,,2.25,125.1,100
CPT,84300,SODIUM URINE,97.5,,2.25,125.1,408
CPT,84302,ER Only-Z*Q-SODIUM STOOL**,110.0,,4.47,99.0,50
CPT,84302,Q-SODIUM STOOL**,110.0,,4.47,99.0,68
CPT,84302,Z*Q-SODIUM STOOL**,77.0,,4.47,99.0,68
CPT,84305,ER Only-IGF-1-LABCORP,258.0,,3.45,232.2,50
CPT,84305,ER Only-INSULIN-LIKE GROWTH FACTOR,150.0,,3.45,135.0,50
CPT,84305,ER Only-Q-SOMATOMEDIN,224.0,,3.45,201.6,50
CPT,84305,ER Only-SOMATOMEDIN C (IGF-1),386.0,,3.45,347.4,100
CPT,84305,IGF-1-LABCORP,181.0,,3.45,232.2,204
CPT,84305,INSULIN-LIKE GROWTH FACTOR,105.0,,3.45,135.0,204
CPT,84305,Q-SOMATOMEDIN,157.0,,3.45,201.6,136
CPT,84305,SOMATOMEDIN C (IGF-1),270.5,,3.45,347.4,340
CPT,84311,ER Only-Q-ADENOSINE DEAMINASE PLEU FLD,312.0,,3.37,280.8,50
CPT,84311,ER Only-TOTAL PORPHYRINS PLASMA,340.0,,3.37,306.0,50
CPT,84311,ER Only-VAP LIPOPROTEIN-SPECTROPHOTO,93.0,,3.37,83.7,50
CPT,84311,ER Only-Z*Q-SPECTROPHOTOMETRY**,88.0,,3.37,79.2,50
CPT,84311,M-PORPHYRINS TOTAL PLASMA,322.0,,3.37,289.8,136
CPT,84311,Q-ADENOSINE DEAMINASE BLOOD,192.0,,3.37,172.8,68
CPT,84311,Q-ADENOSINE DEAMINASE FLD,312.0,,3.37,280.8,68
CPT,84311,Q-ADENOSINE DEAMINASE PLEU FLD,218.5,,3.37,280.8,136
CPT,84311,Q-SPECTROPHOTOMETRY**,88.0,,3.37,79.2,68
CPT,84311,TOTAL PORPHYRINS PLASMA,238.0,,3.37,306.0,204
CPT,84311,VAP LIPOPROTEIN-SPECTROPHOTO,65.5,,3.37,83.7,68
CPT,84311,Z*Q-SPECTROPHOTOMETRY**,61.5,,3.37,79.2,68
CPT,84315,SPECIFIC GRAVITY FLUID,35.0,,2.21,31.5,136
CPT,84393,ER Only-PHOSPHORYLATED TAU217 PLASMA,750.0,,147.0,675.0,38
CPT,84393,PHOSPHORYLATED TAU217 PLASMA,525.0,,58.8,675.0,168
CPT,84403,ER Only-TESTOSTERONE TOTAL,418.0,,12.34,376.2,50
CPT,84403,TESTOSTERONE TOTAL,292.5,,12.34,376.2,204
CPT,84425,ER Only-Q-VITAMIN B-1 (THIAMINE),314.0,,9.43,282.6,50
CPT,84425,Q-VITAMIN B-1 (THIAMINE),220.0,,9.43,282.6,204
CPT,84432,ER Only-THYROGLOBULIN,173.0,,3.34,155.7,50
CPT,84432,ER Only-THYROGLOBULIN LC/MS/MS,475.0,,3.34,427.5,50
CPT,84432,ER Only-THYROGLOBULIN TO USC ENDOCRINE,290.0,,3.34,261.0,50
CPT,84432,THRYOGLOBULIN TO USC ENDOCRINE,290.0,,3.34,261.0,68
CPT,84432,THYROGLOBULIN,121.0,,3.34,155.7,204
CPT,84432,THYROGLOBULIN LC/MS/MS,332.5,,3.34,427.5,204
CPT,84432,THYROGLOBULIN TO USC ENDOCRINE,203.0,,3.34,261.0,136
CPT,84436,ER Only-THYROXINE (T-4) TOTAL,140.0,,3.38,126.0,100
CPT,84436,THYROXINE (T-4) TOTAL,98.0,,3.38,126.0,340
CPT,84437,THYROXINE (T4) ELUTION-STATE**,123.0,,3.5,110.7,68
CPT,84439,ER Only-THYROXINE (T-4) FREE,138.0,,6.61,124.2,50
CPT,84439,M-THYROXINE (T-4) FREE SERUM,312.0,,6.61,280.8,136
CPT,84439,THYROXINE (T-4) FREE,96.5,,6.61,124.2,272
CPT,84443,ER Only-Q-THYROID STIMULATING HORMONE*,146.0,,10.09,131.4,50
CPT,84443,ER Only-THYROID STIMULATING HORMONE,243.0,,10.09,218.7,50
CPT,84443,M-TSH SENSITIVE SERUM,325.0,,10.09,292.5,68
CPT,84443,Q-THYROID STIMULATING HORMONE*,102.5,,10.09,131.4,204
CPT,84443,THYROID STIM HORMONE-STATE**,219.0,,10.09,197.1,68
CPT,84443,THYROID STIMULATING HORMONE,170.0,,10.09,218.7,340
CPT,84445,ER Only-Q-THYROID STM IMMUN GLOB (TSI),759.0,,16.64,683.1,50
CPT,84445,Q-THYROID STM IMMUN GLOB (TSI),531.5,,16.64,683.1,272
CPT,84446,ER Only-Q-VITAMIN E (TOCOPHEROL ALPHA),236.0,,13.05,212.4,50
CPT,84446,Q-VITAMIN E (TOCOPHEROL ALPHA),165.5,,13.05,212.4,204
CPT,84450,AST/SGOT,48.5,,2.29,62.1,544
CPT,84450,ER Only-AST/SGOT,69.0,,2.29,62.1,50
CPT,84460,ALT/SGPT,49.0,,2.34,63.0,476
CPT,84460,ER Only-ALT/SGPT,70.0,,2.34,63.0,50
CPT,84460,TRANSFERASE- ALANINE AMINO **,89.0,,2.34,97.2,136
CPT,84466,ER Only-TRANSFERRIN,173.0,,2.3,155.7,50
CPT,84466,TRANSFERRIN,121.5,,2.3,155.7,272
CPT,84478,ER Only-TRIGLYCERIDE FOR VAP,104.0,,2.31,93.6,50
CPT,84478,ER Only-TRIGLYCERIDES,104.0,,2.31,93.6,50
CPT,84478,TRIGLYCERIDE FOR VAP,73.0,,2.31,93.6,204
CPT,84478,TRIGLYCERIDES,73.0,,2.31,93.6,340
CPT,84480,ER Only-TRIIODOTHYRONINE (T-3) TOTAL,232.0,,6.68,208.8,100
CPT,84480,TRIIODOTHYRONINE (T-3) TOTAL,162.5,,6.68,208.8,340
CPT,84481,ER Only-TRIIODOTHYRONINE (T-3) FREE,277.0,,8.71,249.3,100
CPT,84481,TRIIODOTHYRONINE (T-3) FREE,194.0,,8.71,249.3,340
CPT,84482,ER Only-Q-TRIIODOTHYRONINE T3 REVERSE,326.0,,3.34,293.4,50
CPT,84482,Q-TRIIODOTHYRONINE T3 REVERSE,228.5,,3.34,293.4,204
CPT,84484,ER Only-Q-TROPONIN T,219.0,,10.69,197.1,50
CPT,84484,ER Only-TROPONIN QN,146.0,,10.69,131.4,100
CPT,84484,Q-TROPONIN T,153.5,,10.69,197.1,204
CPT,84484,TROPONIN QN,102.5,,10.69,131.4,612
CPT,84520,ER Only-UREA NITROGEN QUANT BODY FLUID,90.0,,2.35,81.0,50
CPT,84520,ER Only-UREA NITROGEN QUANTITATIVE,90.0,,2.35,81.0,50
CPT,84520,UREA NITROGEN BLOOD QNT I-STAT,90.0,,2.35,81.0,408
CPT,84520,UREA NITROGEN QUANT BODY FLUID,63.0,,2.35,81.0,204
CPT,84520,UREA NITROGEN QUANTITATIVE,63.0,,2.35,81.0,544
CPT,84540,ER Only-UREA NITROGEN URINE,123.0,,3.34,110.7,100
CPT,84540,UREA NITROGEN URINE,86.5,,3.34,110.7,340
CPT,84550,ER Only-URIC ACID BLOOD,110.0,,2.25,99.0,50
CPT,84550,URIC ACID BLOOD,77.0,,2.25,99.0,408
CPT,84560,ER Only-URIC ACID OTHER SOURCE,201.0,,2.26,180.9,50
CPT,84560,URIC ACID OTHER SOURCE,141.0,,2.26,180.9,204
CPT,84585,ER Only-Q-VANILLYMANDELIC ACID (VMA),288.0,,6.62,259.2,50
CPT,84585,Q-VANILLYMANDELIC ACID (VMA),201.5,,6.62,259.2,204
CPT,84586,ER Only-Q-VASOACTIV INTEST POLYPEPTIDE,416.0,,14.41,374.4,50
CPT,84586,Q-VASOACTIV INTEST POLYPEP,416.0,,14.41,374.4,68
CPT,84586,Q-VASOACTIV INTEST POLYPEPT,416.0,,14.41,374.4,68
CPT,84586,Q-VASOACTIV INTEST POLYPEPTIDE,291.5,,14.41,374.4,68
CPT,84588,ER Only-Q-ANTI-DIURETIC HORMONE,359.0,,14.22,323.1,50
CPT,84588,Q-ANTI-DIURETIC HORMONE,251.5,,14.22,323.1,204
CPT,84590,ER Only-Q-VITAMIN A (RETINOL),295.0,,9.79,265.5,50
CPT,84590,Q-VITAMIN A (RETINOL),206.5,,9.79,265.5,204
CPT,84591,ER Only-Q-VITAMIN B3 (NIACIN),394.0,,13.1,354.6,50
CPT,84591,Q-VITAMIN B3 (NIACIN),276.0,,13.1,354.6,136
CPT,84597,ER Only-Q-VITAMIN K,551.0,,12.62,495.9,50
CPT,84597,Q-VITAMIN K,386.0,,12.62,495.9,204
CPT,84620,XYLOSE BLOOD.,196.0,,7.88,176.4,68
CPT,84620,XYLOSE URINE.,196.0,,7.88,176.4,68
CPT,84630,ER Only-Q-ZINC PLASMA,199.0,,10.48,179.1,50
CPT,84630,Q-ZINC PLASMA,139.5,,10.48,179.1,272
CPT,84681,C-PEPTIDE,116.5,,17.89,149.4,340
CPT,84681,C-PEPTIDE EACH ADDITIONAL,116.5,,17.89,149.4,280
CPT,84681,ER Only-C-PEPTIDE,166.0,,17.89,149.4,100
CPT,84681,ER Only-C-PEPTIDE EACH ADDITIONAL,166.0,,17.89,149.4,76
CPT,84702,ER Only-HCG QN SERUM,309.0,,10.01,278.1,50
CPT,84702,HCG QN SERUM,216.5,,10.01,278.1,408
CPT,84703,ER Only-HCG QL SERUM,264.0,,6.92,237.6,50
CPT,84703,HCG QL SERUM,185.0,,6.92,237.6,340
CPT,85004,AUTOMATED WBC W/AUTO DIFF,110.5,,5.95,142.2,272
CPT,85004,ER Only-AUTOMATED WBC W/AUTO DIFF,158.0,,5.95,142.2,50
CPT,85007,BLOOD COUNT MANUAL DIFF WBC,73.0,,2.21,93.6,1224
CPT,85007,ER Only-BLOOD COUNT MANUAL DIFF WBC,104.0,,2.21,93.6,100
CPT,85014,ER Only-HEMATOCRIT,94.0,,2.18,84.6,50
CPT,85014,ER Only-HEMATOCRIT BED SIDE,94.0,,2.18,84.6,50
CPT,85014,HEMATOCRIT,66.0,,2.18,84.6,1292
CPT,85014,HEMATOCRIT BED SIDE,66.0,,2.18,84.6,136
CPT,85018,ER Only-HEMOGLOBIN,94.0,,2.18,84.6,50
CPT,85018,ER Only-HEMOGLOBIN ABG,94.0,,2.18,84.6,50
CPT,85018,HEMOGLOBIN,66.0,,2.18,84.6,1428
CPT,85018,HEMOGLOBIN ABG,66.0,,2.18,84.6,476
CPT,85018,HEMOGLOBIN VBG,94.0,,2.18,84.6,68
CPT,85025,CBC AUTO W/AUTO DIFF,133.0,,7.15,171.0,1088
CPT,85025,ER Only-CBC AUTO W/AUTO DIFF,190.0,,7.15,171.0,50
CPT,85027,CBC AUTO W/O DIFF,90.5,,5.95,116.1,1088
CPT,85027,ER Only-CBC AUTO W/O DIFF,129.0,,5.95,116.1,50
CPT,85041,RED BLOOD CELL COUNT,108.0,,1.21,97.2,68
CPT,85041,RED CELL COUNT,108.0,,1.21,97.2,68
CPT,85045,BLOOD COUNT RETICULOCYTE AUTO,79.0,,3.67,101.7,340
CPT,85045,ER Only-BLOOD COUNT RETICULOCYTE AUTO,113.0,,3.67,101.7,50
CPT,85048,EOSINOPHIL COUNT,105.0,,2.34,135.0,136
CPT,85048,ER Only-EOSINOPHIL COUNT,150.0,,2.34,135.0,50
CPT,85048,ER Only-LEUKOCYTE (WBC) AUTOMATED,113.0,,2.34,101.7,150
CPT,85048,LEUKOCYTE (WBC) AUTOMATED,79.0,,2.34,101.7,1224
CPT,85049,BLOOD COUNT PLATELET AUTO,98.0,,4.12,126.0,1224
CPT,85049,ER Only-BLOOD COUNT PLATELET AUTO,140.0,,4.12,126.0,50
CPT,85055,ER Only-IMMATURE PLATELET FRACTION,159.0,,32.88,143.1,50
CPT,85055,IMMATURE PLATELET FRACTION,111.5,,32.0,143.1,204
CPT,85097,BONE MARROW SMEAR INTERP,1697.0,,17.58,1527.3,68
CPT,85130,CHROMOGENIC FACTOR VIII (F8),127.0,,10.94,162.9,204
CPT,85130,ER Only-CHROMOGENIC FACTOR VIII (F8),181.0,,10.94,162.9,50
CPT,85210,ER Only-FACTOR II ASSAY.,432.0,,8.76,388.8,50
CPT,85210,FACTOR II ASSAY.,302.5,,8.76,388.8,136
CPT,85220,ER Only-FACTOR V ASSAY,432.0,,8.78,388.8,50
CPT,85220,FACTOR V ASSAY,302.5,,8.78,388.8,204
CPT,85230,ER Only-FACTOR VII ASSAY,481.0,,8.75,432.9,50
CPT,85230,FACTOR VII ASSAY,337.0,,8.75,432.9,204
CPT,85240,ER Only-FACTOR VIII ASSAY,435.0,,16.47,391.5,50
CPT,85240,FACTOR VIII ASSAY,304.5,,16.47,391.5,204
CPT,85245,ER Only-RISTOCETIN COFACTOR,525.0,,10.98,472.5,50
CPT,85245,RISTOCETIN COFACTOR,367.5,,10.98,472.5,204
CPT,85246,ER Only-VON WILLEBRAND ANTIGEN,568.0,,10.99,511.2,50
CPT,85246,VON WILLEBRAND ANTIGEN,398.0,,10.99,511.2,204
CPT,85247,M-FACTOR VIII VW MULTIMETRIC,527.0,,10.94,474.3,136
CPT,85250,ER Only-FACTOR IX ASSAY,488.0,,7.69,439.2,50
CPT,85250,FACTOR IX ASSAY,342.0,,7.69,439.2,204
CPT,85260,ER Only-FACTOR X ASSAY.,438.0,,7.61,394.2,50
CPT,85260,FACTOR X ASSAY,438.0,,7.61,394.2,68
CPT,85260,FACTOR X ASSAY.,307.0,,7.61,394.2,136
CPT,85270,ER Only-FACTOR XI ASSAY,488.0,,7.62,439.2,50
CPT,85270,FACTOR XI ASSAY,342.0,,7.62,439.2,204
CPT,85280,FACTOR XII ASSAY,493.0,,7.71,443.7,136
CPT,85290,ER Only-Q-FACTOR XIII FUNCTIONAL,868.0,,7.72,781.2,50
CPT,85290,Q-FACTOR XIII FUNCTIONAL,607.5,,7.72,781.2,136
CPT,85300,ANTITHROMBIN III,221.5,,9.0,284.4,204
CPT,85300,ER Only-ANTITHROMBIN III,316.0,,9.0,284.4,50
CPT,85303,ER Only-PROTEIN C,468.0,,12.73,421.2,50
CPT,85303,PROTEIN C,328.0,,12.73,421.2,204
CPT,85306,ER Only-PROTEIN S,912.0,,14.09,820.8,50
CPT,85306,PROTEIN S,638.5,,14.09,820.8,204
CPT,85307,ACTIVATED PROTEIN C RESISTANCE,202.5,,12.52,260.1,204
CPT,85307,ER Only-ACTIVATED PROTEIN C RESISTANCE,289.0,,12.52,260.1,50
CPT,85335,ADAMTS13 INHIBITOR,409.5,,11.33,526.5,204
CPT,85335,ER Only-ADAMTS13 INHIBITOR,585.0,,11.33,526.5,50
CPT,85335,ER Only-FACTOR VII INHIB.,706.0,,11.33,635.4,50
CPT,85335,FACTOR INHIBITOR V,1094.0,,11.33,984.6,68
CPT,85335,FACTOR IX INHIB.,706.0,,11.33,635.4,68
CPT,85335,FACTOR VII INHIB.,494.5,,11.33,635.4,136
CPT,85335,FACTOR VII INHIBITOR,706.0,,11.33,635.4,68
CPT,85335,FACTOR VIII INHIB.,706.0,,11.33,635.4,68
CPT,85335,FACTOR VIII INHIBITOR,706.0,,11.33,635.4,68
CPT,85347,ACTIVATED CLOT TIME-REACT TIME,250.0,,3.94,225.0,68
CPT,85347,ACTIVATED CLOTTING FACTOR,108.0,,3.94,97.2,68
CPT,85347,COAG TIME ACTIVATED (ACT),250.0,,3.94,225.0,272
CPT,85347,LIVER CK-R (REACTION TIME),154.0,,3.94,138.6,68
CPT,85347,LIVER CKH-R (REACTION TIME),154.0,,6.42,138.6,56
CPT,85348,ACT-HIGH RANGE,92.0,,4.13,82.8,68
CPT,85348,ACT-LOW RANGE,92.0,,4.13,82.8,68
CPT,85379,ER Only-FIBRIN DGE D-DIMER QN,273.0,,5.78,245.7,50
CPT,85379,FIBRIN DEG D-DIMER QN,273.0,,5.78,245.7,68
CPT,85379,FIBRIN DGE D-DIMER QN,191.0,,5.78,245.7,272
CPT,85384,ER Only-FIBRINOGEN ACTIVITY,265.0,,5.74,238.5,50
CPT,85384,FIBRINOGEN ACTIVITY,185.5,,5.74,238.5,544
CPT,85384,FIBRINOGEN ACT[ALPHA ANG TEG],265.0,,5.74,238.5,68
CPT,85384,FIBRINOGEN ACT[CLOT FORM TEG],265.0,,5.74,238.5,68
CPT,85384,FIBRINOGEN-ACTIVITY TEG,265.0,,5.74,238.5,272
CPT,85384,LIVER-CFFH-MA,285.0,,5.74,256.5,68
CPT,85390,FIBRINOLYSINS SCR INTERP RPT,259.0,,3.43,233.1,272
CPT,85390,LIVER-CKH-LY30,273.0,,3.43,245.7,68
CPT,85396,FIBRINOLYSIS ASSAY WHOLE BLOOD,416.0,,29.84,374.4,56
CPT,85396,THROMBELASTOGRAPH,416.0,,29.84,374.4,56
CPT,85397,ADAMTS13 ACTIVITY,613.5,,28.39,788.4,408
CPT,85397,ER Only-ADAMTS13 ACTIVITY,876.0,,28.39,788.4,100
CPT,85397,ER Only-Q-ADAMTS13 ACTIVITY W/REFLEX,186.0,,28.39,167.4,50
CPT,85397,ER Only-VWF ACTIVITY GP1B,228.0,,28.39,205.2,50
CPT,85397,Q-ADAMTS13 ACTIVITY W/REFLEX,130.5,,28.39,167.4,68
CPT,85397,VWF ACTIVITY GP1B,160.0,,28.39,205.2,272
CPT,85410,ALPHA-2-ANTIPLASMIN,353.5,,6.83,454.5,204
CPT,85410,ER Only-ALPHA-2-ANTIPLASMIN,505.0,,6.83,454.5,50
CPT,85460,ACID ELUTION,350.0,,7.11,315.0,68
CPT,85461,FETAL SCREEN,206.0,,8.04,185.4,68
CPT,85520,ANTI-XA,334.5,,9.0,430.2,490
CPT,85520,ER Only-ANTI-XA,478.0,,9.0,430.2,52
CPT,85525,HEPARIN NEUTRALIZATION,179.0,,10.89,161.1,68
CPT,85540,ER Only-LEUKOCYTE ALK PHOS W/COUNT,152.0,,7.83,136.8,50
CPT,85540,LEUKOCYTE ALK PHOS W/COUNT,106.5,,7.83,136.8,204
CPT,85549,ER Only-Q-LYSOZYME (MURAMIDASE),215.0,,14.43,193.5,50
CPT,85549,Q-LYSOZYME (MURAMIDASE),150.5,,14.43,193.5,204
CPT,85557,OSMOTIC FRAGILITY,397.0,,12.29,357.3,136
CPT,85576,ER Only-PLT AGG- EACH AGENT (THROMBIN),260.0,,21.97,234.0,50
CPT,85576,ER Only-Z*PLATELET AGG- EACH AGENT **,260.0,,21.97,234.0,50
CPT,85576,LIVER CK-MA (PLT AGGREGATION),354.0,,21.97,318.6,68
CPT,85576,LIVER CRTH-MA (PLT AGG),351.0,,21.97,315.9,56
CPT,85576,MA AA,260.0,,21.97,234.0,168
CPT,85576,MA ACTIVATED,260.0,,21.97,234.0,168
CPT,85576,MA ADP,260.0,,21.97,234.0,168
CPT,85576,PLATELET AGG EA AGENT,260.0,,21.97,234.0,136
CPT,85576,PLATELET AGG- EACH AGENT **,260.0,,21.97,234.0,136
CPT,85576,PLATELET AGGREGATION (MAXAMP),260.0,,21.97,234.0,136
CPT,85576,PLATELET AGGREGATION EA,260.0,,21.97,234.0,136
CPT,85576,PLATELET AGGREGATION [MAX AMP],260.0,,21.97,234.0,68
CPT,85576,PLT AGG- EACH AGENT (THROMBIN),182.0,,21.97,234.0,204
CPT,85576,RISTOCETIN RESPONSE CURVE,260.0,,21.97,234.0,68
CPT,85576,VERIFYNOW ASPIRIN TEST,260.0,,21.97,234.0,136
CPT,85576,VERIFYNOW PRU TEST (P2Y12),260.0,,21.97,234.0,136
CPT,85576,Z*PLATELET AGG- EACH AGENT **,182.0,,21.97,234.0,68
CPT,85598,ER Only-LUPUS ANTICOAG - PLT NEUTR,189.0,,13.75,170.1,50
CPT,85598,LUPUS ANTICOAG - PLT NEUTR,132.5,,13.75,170.1,204
CPT,85610,ER Only-PROTHROMBIN TIME (PT),121.0,,3.47,108.9,52
CPT,85610,PROTHROMBIN TIME (PT),85.0,,3.47,108.9,1668
CPT,85611,PT SUBSTITUTION,213.0,,2.35,191.7,136
CPT,85613,DRVV - CONFIRMATION,107.5,,4.56,137.7,168
CPT,85613,DRVV - MIXING STUDIES,107.5,,4.56,137.7,168
CPT,85613,ER Only-DRVV - CONFIRMATION,153.0,,4.56,137.7,38
CPT,85613,ER Only-DRVV - MIXING STUDIES,153.0,,4.56,137.7,38
CPT,85613,ER Only-RUSSELL VIPER VENOM.,153.0,,4.56,137.7,50
CPT,85613,RUSSELL VIPER VENOM,153.0,,4.56,137.7,68
CPT,85613,RUSSELL VIPER VENOM.,107.5,,4.56,137.7,136
CPT,85635,REPTILASE TIME.,274.0,,9.06,246.6,68
CPT,85651,SED RATE RBC NON AUTO,123.0,,2.34,110.7,476
CPT,85652,ER Only-SED RATE RBC AUTO,179.0,,2.33,161.1,50
CPT,85652,SED RATE RBC AUTO,125.5,,2.33,161.1,340
CPT,85660,ER Only-HEMOGLOBIN S AND C,88.0,,3.46,79.2,50
CPT,85660,ER Only-SICKLE CELL RBC,88.0,,3.46,79.2,50
CPT,85660,HEMOGLOBIN S AND C,61.5,,3.46,79.2,136
CPT,85660,SICKLE CELL RBC,61.5,,3.46,79.2,340
CPT,85670,ER Only-THROMBIN TIME PLASMA,100.0,,4.54,90.0,50
CPT,85670,THROMBIN TIME PLASMA,70.0,,4.54,90.0,204
CPT,85730,ER Only-PARTIAL THROMBOPLAS TIME (PTT),154.0,,3.47,138.6,104
CPT,85730,ER Only-PTT-LA,154.0,,3.47,138.6,52
CPT,85730,PARTIAL THROMBOPLAS TIME (PTT),108.0,,3.47,138.6,630
CPT,85730,PTT-LA,108.0,,3.47,138.6,210
CPT,85732,ER Only-PTT-LA MIX,262.0,,5.95,235.8,50
CPT,85732,PTT SUBSTITUTION,262.0,,5.95,235.8,136
CPT,85732,PTT-LA MIX,183.5,,5.95,235.8,204
CPT,85810,ER Only-VISCOSITY,288.0,,10.01,259.2,50
CPT,85810,VISCOSITY,201.5,,10.01,259.2,204
CPT,86000,ER Only-Q-AGGLUTININS FEBRILE FRANCIS,389.0,,5.68,350.1,50
CPT,86000,Q-AGGLUTININS FEBRILE FRANCIS,272.5,,5.68,350.1,136
CPT,86001,Q-ASPERGILLUS FUMIGATUS IGG,274.0,,7.19,246.6,68
CPT,86003,ER Only-Q-RAST ALLERGEN IGE QN SQ EA**,35.0,,4.59,31.5,50
CPT,86003,Q-CURV SPICIFERA/BIPOLARIS IGE,253.0,,4.59,227.7,68
CPT,86003,Q-IGE SHRIMP (F24),172.0,,4.59,154.8,68
CPT,86003,Q-RAST ALLERGEN IGE QN SQ EA*,138.0,,4.59,124.2,68
CPT,86003,Q-RAST ALLERGEN IGE QN SQ EA**,24.5,,4.59,31.5,136
CPT,86003,Q-RAST ALLERGIN IGE QN SQ EA**,35.0,,4.59,31.5,68
CPT,86008,ALLERGEN FOOD ALPHA-GAL IGE,172.5,,16.5,221.4,204
CPT,86008,ALLG SPEC IGE CAN F 1**,64.5,,16.5,82.8,204
CPT,86008,ALLG SPEC IGE CAN F 2**,64.5,,16.5,82.8,204
CPT,86008,ALLG SPEC IGE CAN F 3**,64.5,,16.5,82.8,204
CPT,86008,ALLG SPEC IGE CAN F 4**,64.5,,16.5,82.8,204
CPT,86008,ALLG SPEC IGE CAN F 5**,64.5,,16.5,82.8,204
CPT,86008,ALLG SPEC IGE CAN F 6**,64.5,,16.5,82.8,204
CPT,86008,ALLG SPEC IGE FEL D 1**,64.5,,16.5,82.8,204
CPT,86008,ALLG SPEC IGE FEL D 2**,64.5,,16.5,82.8,204
CPT,86008,ALLG SPEC IGE FEL D 4**,64.5,,16.5,82.8,204
CPT,86008,ALLG SPEC IGE FEL D 7**,64.5,,16.5,82.8,204
CPT,86008,ER Only-ALLERGEN FOOD ALPHA-GAL IGE,246.0,,16.5,221.4,50
CPT,86008,ER Only-ALLG SPEC IGE CAN F 1**,92.0,,16.5,82.8,50
CPT,86008,ER Only-ALLG SPEC IGE CAN F 2**,92.0,,16.5,82.8,50
CPT,86008,ER Only-ALLG SPEC IGE CAN F 3**,92.0,,16.5,82.8,50
CPT,86008,ER Only-ALLG SPEC IGE CAN F 4**,92.0,,16.5,82.8,50
CPT,86008,ER Only-ALLG SPEC IGE CAN F 5**,92.0,,16.5,82.8,50
CPT,86008,ER Only-ALLG SPEC IGE CAN F 6**,92.0,,16.5,82.8,50
CPT,86008,ER Only-ALLG SPEC IGE FEL D 1**,92.0,,16.5,82.8,50
CPT,86008,ER Only-ALLG SPEC IGE FEL D 2**,92.0,,16.5,82.8,50
CPT,86008,ER Only-ALLG SPEC IGE FEL D 4**,92.0,,16.5,82.8,50
CPT,86008,ER Only-ALLG SPEC IGE FEL D 7**,92.0,,16.5,82.8,50
CPT,86015,ANTI-SMOOTH MUSCLE AB,330.5,,11.09,424.8,204
CPT,86015,ER Only-ANTI-SMOOTH MUSCLE AB,472.0,,11.09,424.8,50
CPT,86022,HEPARIN DEPEND PLT AB UNFRACT,1374.0,,19.98,1236.6,56
CPT,86022,HEPARIN PLATELET AB IGA,883.0,,19.98,794.7,56
CPT,86022,HEPARIN PLATELET AB IGG,804.0,,19.98,723.6,56
CPT,86022,HEPARIN PLATELET AB IGM,883.0,,19.98,794.7,56
CPT,86022,HEPARIN PLATELET ANTIBODY,539.0,,16.9,485.1,136
CPT,86036,ANTI NEUTROPHIL CYTOPLASMA AB,330.5,,11.09,424.8,136
CPT,86036,ANTI-NEU CYTOPLASMA ANTI,221.0,,11.09,198.9,68
CPT,86036,CYTOPLASMIC NEUTROPHIL AB IBD,145.5,,11.09,187.2,204
CPT,86036,ER Only-ANTI NEUTROPHIL CYTOPLASMA AB,472.0,,11.09,424.8,50
CPT,86036,ER Only-CYTOPLASMIC NEUTROPHIL AB IBD,208.0,,11.09,187.2,50
CPT,86038,ANA (NEGATIVE) SCREEN,255.0,,7.84,229.5,136
CPT,86038,ANA (POSITIVE) SCREEN,255.0,,7.84,229.5,136
CPT,86038,ANA IIF**,48.0,,7.84,61.2,204
CPT,86038,ANA SCREEN,178.5,,7.84,229.5,204
CPT,86038,ER Only-ANA IIF**,68.0,,7.84,61.2,50
CPT,86038,ER Only-ANA SCREEN,255.0,,7.84,229.5,50
CPT,86039,ANA (POSITIVE TITER) COMPANION,289.0,,7.85,260.1,136
CPT,86039,ANA**,48.0,,7.85,61.2,204
CPT,86039,ANTI-NUCLEAR ANTIBODY,202.5,,7.85,260.1,68
CPT,86039,ER Only-ANA**,68.0,,7.85,61.2,50
CPT,86039,ER Only-ANTI-NUCLEAR ANTIBODY,289.0,,7.85,260.1,50
CPT,86041,ER Only-M-ACH RECEPTOR (MUSC) BIND AB*,351.0,,16.93,315.9,50
CPT,86041,ER Only-M-ACHR (MUSC) BINDING AB**,207.0,,27.6,252.0,76
CPT,86041,ER Only-Q-RECEPTOR ASSAY ACETYLCHOLINE,505.0,,16.93,454.5,50
CPT,86041,M-ACH RECEPTOR (MUSC) BIND AB*,246.0,,16.93,315.9,204
CPT,86041,M-ACHR (MUSC) BINDING AB**,134.0,,27.0,252.0,392
CPT,86041,Q-RECEPT ASSAY ACETYLCHOLINE,505.0,,16.93,454.5,68
CPT,86041,Q-RECEPTOR ASSAY ACETYLCHOLINE,353.5,,16.93,454.5,204
CPT,86042,ER Only-Q-ACHR BLOCKING AB,298.0,,16.93,268.2,50
CPT,86042,Q-ACHR BLOCKING AB,208.5,,16.93,268.2,136
CPT,86043,ER Only-M-ACHR MODULATE FLOW CYTOMETRY,375.0,,11.09,337.5,50
CPT,86043,M-ACHR MODULATE FLOW CYTOMETRY,262.5,,11.09,337.5,204
CPT,86043,Q-ACHR MODULATING AB,748.0,,11.09,673.2,68
CPT,86053,"CNS DEMYELINATING DZ EVAL, S1",1136.0,,18.07,1022.4,68
CPT,86053,CNS DEMYELINATING DZ EVAL. S1,795.5,,18.07,1022.4,68
CPT,86053,ER Only-CNS DEMYELINATING DZ EVAL. S1,1136.0,,18.07,1022.4,50
CPT,86053,ER Only-M-NMO EVALUATION INITIAL,913.0,,18.07,821.7,50
CPT,86053,ER Only-M-NMO EVALUATION REFLEX,1104.0,,18.07,993.6,50
CPT,86053,M-NMO EVALUATION INITIAL,639.0,,18.07,821.7,204
CPT,86053,M-NMO EVALUATION REFLEX,773.0,,18.07,993.6,136
CPT,86053,M-NMO IGG CSF,1102.0,,18.07,991.8,68
CPT,86053,"NMO/AQP4 FACS TITER, CSF",385.0,,18.07,346.5,68
CPT,86053,"NMO/AQP4 FACS, CSF",662.0,,18.07,595.8,68
CPT,86053,"NMO/AQP4 FACS, S",662.0,,18.07,595.8,68
CPT,86053,"NMO/AQP4-IGG FACS TITER, CSF",662.0,,18.07,595.8,68
CPT,86053,"NMO/AQP4-IGG FACS, CSF",662.0,,18.07,595.8,68
CPT,86060,ER Only-Q-ANTISTREPTOLYSIN O- TITER,312.0,,3.42,280.8,50
CPT,86060,Q-ANTISTREPTOLYSIN O- TITER,218.5,,3.42,280.8,204
CPT,86140,C-REACTIVE PROTEIN,147.0,,3.36,189.0,408
CPT,86140,C-REACTIVE PROTEIN**,56.0,,3.36,50.4,68
CPT,86140,ER Only-C-REACTIVE PROTEIN,210.0,,3.36,189.0,50
CPT,86141,C-REACTIVE PROTEIN HIGH SENS,191.0,,10.5,245.7,340
CPT,86141,ER Only-C-REACTIVE PROTEIN HIGH SENS,273.0,,10.5,245.7,50
CPT,86146,BETA 2 GLYCOPROTEIN 1 IGG,87.5,,23.41,112.5,68
CPT,86146,BETA 2 GLYCOPROTEIN 1 IGG**,64.5,,18.5,82.8,68
CPT,86146,BETA 2 GLYCOPROTEIN 1 IGM,87.5,,23.41,112.5,68
CPT,86146,BETA 2 GLYCOPROTEIN 1 IGM**,64.5,,18.5,82.8,68
CPT,86146,BETA 2-GLYCOPROTEIN 1 IGG,125.0,,23.41,112.5,136
CPT,86146,BETA 2-GLYCOPROTEIN 1 IGG**,92.0,,23.41,82.8,136
CPT,86146,BETA 2-GLYCOPROTEIN 1 IGM,125.0,,23.41,112.5,136
CPT,86146,BETA 2-GLYCOPROTEIN 1 IGM**,92.0,,23.41,82.8,136
CPT,86146,ER Only-BETA 2 GLYCOPROTEIN 1 IGG,125.0,,23.41,112.5,50
CPT,86146,ER Only-BETA 2 GLYCOPROTEIN 1 IGG**,92.0,,23.41,82.8,50
CPT,86146,ER Only-BETA 2 GLYCOPROTEIN 1 IGM,125.0,,23.41,112.5,50
CPT,86146,ER Only-BETA 2 GLYCOPROTEIN 1 IGM**,92.0,,23.41,82.8,50
CPT,86146,ER Only-Q-BETA 2 GLYCOPROTEIN I AB IGG,250.0,,23.41,225.0,50
CPT,86146,ER Only-Q-BETA 2 GLYCOPROTEIN I AB IGM,250.0,,23.41,225.0,50
CPT,86146,Q-BETA 2 GLYCOPROTEIN I AB IGG,175.0,,23.41,225.0,136
CPT,86146,Q-BETA 2 GLYCOPROTEIN I AB IGM,175.0,,23.41,225.0,136
CPT,86147,CARDIOLIPIN IGG ANTIBODIES,374.5,,5.58,481.5,408
CPT,86147,CARDIOLIPIN IGG**,64.5,,5.58,82.8,204
CPT,86147,CARDIOLIPIN IGM ANTIBODIES,374.5,,5.58,481.5,340
CPT,86147,CARDIOLIPIN IGM**,64.5,,5.58,82.8,204
CPT,86147,ER Only-CARDIOLIPIN IGG ANTIBODIES,535.0,,5.58,481.5,100
CPT,86147,ER Only-CARDIOLIPIN IGG**,92.0,,5.58,82.8,50
CPT,86147,ER Only-CARDIOLIPIN IGM ANTIBODIES,535.0,,5.58,481.5,100
CPT,86147,ER Only-CARDIOLIPIN IGM**,92.0,,5.58,82.8,50
CPT,86157,ER Only-Q-COLD AGGLUTININ TITER,166.0,,4.46,149.4,50
CPT,86157,Q-COLD AGGLUTININ TITER,116.5,,4.46,149.4,136
CPT,86160,C3 (COMPLEMENT),166.0,,5.59,213.3,340
CPT,86160,C4 SERUM,166.0,,5.59,213.3,340
CPT,86160,COMPLEMENT COMPONENT 2,386.0,,5.59,495.9,204
CPT,86160,ER Only-C3 (COMPLEMENT),237.0,,5.59,213.3,100
CPT,86160,ER Only-C4 SERUM,237.0,,5.59,213.3,100
CPT,86160,ER Only-COMPLEMENT COMPONENT 2,551.0,,5.59,495.9,50
CPT,86160,ER Only-M-SCB59,363.0,,5.59,326.7,50
CPT,86160,ER Only-Q-C1 INHIBITOR PROTEIN,253.0,,5.59,227.7,50
CPT,86160,M-SCB59,254.0,,5.59,326.7,204
CPT,86160,Q-C1 INHIBITOR PROTEIN,177.5,,5.59,227.7,136
CPT,86161,ER Only-MANNAN-BINDING LECTIN,645.0,,5.61,580.5,50
CPT,86161,ER Only-Q-C1 INHIBITOR- FUNCTIONAL,349.0,,5.61,314.1,50
CPT,86161,MANNAN-BINDING LECTIN,451.5,,5.61,580.5,204
CPT,86161,Q-C1 INHIBITOR- FUNCTIONAL,244.5,,5.61,314.1,136
CPT,86161,Q-C1 INHIBITOR; FUNCTIONAL,349.0,,5.61,314.1,136
CPT,86162,CH50 (COMPLEMENT),447.5,,13.27,575.1,204
CPT,86162,ER Only-CH50 (COMPLEMENT),639.0,,13.27,575.1,50
CPT,86200,ANTI CCP,171.5,,11.91,220.5,204
CPT,86200,ANTI-CCP-IGG**,312.5,,11.91,401.4,204
CPT,86200,ER Only-ANTI CCP,245.0,,11.91,220.5,50
CPT,86200,ER Only-ANTI-CCP-IGG**,446.0,,11.91,401.4,50
CPT,86215,Q-DNASE-B ANTIBODY,246.0,,8.91,221.4,68
CPT,86225,DNA ANTIBODY**,64.5,,6.6,82.8,204
CPT,86225,DNA DOUBLE STRAND AB-NEGATIVE,204.5,,6.6,262.8,204
CPT,86225,DNA DOUBLE STRAND AB-POSITIVE,292.0,,6.6,262.8,136
CPT,86225,ER Only-DNA ANTIBODY**,92.0,,6.6,82.8,50
CPT,86225,ER Only-DNA DOUBLE STRAND AB-NEGATIVE,292.0,,6.6,262.8,50
CPT,86225,M-NEUROCHONDRIN IFA CSF**,255.0,,6.6,229.5,68
CPT,86231,"EMA TITER, S (IGA)",377.5,,11.12,485.1,204
CPT,86231,ENDOMYSIAL ANTIBODY (IGA),142.5,,11.12,182.7,204
CPT,86231,ENDOMYSIAL AUTOANTIBODIES SCRE,166.0,,11.12,213.3,204
CPT,86231,ENDOMYSIAL AUTOANTIBODIES TITE,330.5,,11.12,424.8,204
CPT,86231,"ER Only-EMA TITER, S (IGA)",539.0,,11.12,485.1,50
CPT,86231,ER Only-ENDOMYSIAL ANTIBODY (IGA),203.0,,11.12,182.7,50
CPT,86231,ER Only-ENDOMYSIAL AUTOANTIBODIES SCRE,237.0,,11.12,213.3,50
CPT,86231,ER Only-ENDOMYSIAL AUTOANTIBODIES TITE,472.0,,11.12,424.8,50
CPT,86235,"ANTI SS-A 52 KD A, IGG",92.5,,12.19,118.8,168
CPT,86235,ANTI-JO 1 AB(MAYOMARKER PANEL),92.5,,12.19,118.8,204
CPT,86235,ANTI-PM/SCL AB (MAYOMARKER),92.5,,12.19,118.8,168
CPT,86235,ANTI-RNP,259.0,,12.19,333.0,204
CPT,86235,ANTI-RO52 IGG**,62.5,,12.19,80.1,204
CPT,86235,ANTI-RO60 IGG**,62.5,,12.19,80.1,204
CPT,86235,ANTI-SMITH,259.0,,12.19,333.0,204
CPT,86235,ANTI-SMITH ELISA**,64.5,,12.19,82.8,204
CPT,86235,ANTI-U1_RNP AB (MAYOMARKER),92.5,,12.19,118.8,168
CPT,86235,CENP ELISA**,64.5,,12.19,82.8,204
CPT,86235,ENA AB SS-A (RO),259.0,,12.19,333.0,204
CPT,86235,ENA AB SS-B (LA),259.0,,12.19,333.0,204
CPT,86235,"ER Only-ANTI SS-A 52 KD A, IGG",132.0,,12.19,118.8,38
CPT,86235,ER Only-ANTI-JO 1 AB(MAYOMARKER PANEL),132.0,,12.19,118.8,50
CPT,86235,ER Only-ANTI-PM/SCL AB (MAYOMARKER),132.0,,12.19,118.8,38
CPT,86235,ER Only-ANTI-RNP,370.0,,12.19,333.0,50
CPT,86235,ER Only-ANTI-RO52 IGG**,89.0,,12.19,80.1,50
CPT,86235,ER Only-ANTI-RO60 IGG**,89.0,,12.19,80.1,50
CPT,86235,ER Only-ANTI-SMITH,370.0,,12.19,333.0,50
CPT,86235,ER Only-ANTI-SMITH ELISA**,92.0,,12.19,82.8,50
CPT,86235,ER Only-ANTI-U1_RNP AB (MAYOMARKER),132.0,,12.19,118.8,38
CPT,86235,ER Only-CENP ELISA**,92.0,,12.19,82.8,50
CPT,86235,ER Only-ENA AB SS-A (RO),370.0,,12.19,333.0,50
CPT,86235,ER Only-ENA AB SS-B (LA),370.0,,12.19,333.0,50
CPT,86235,"ER Only-EXTRACTABLE NUC AG EA AB,SER**",145.0,,12.19,130.5,50
CPT,86235,ER Only-JO-1 ELISA**,92.0,,12.19,82.8,50
CPT,86235,ER Only-Q-ANTI-SCLERODERMA AB (SCL-70),575.0,,12.19,517.5,50
CPT,86235,ER Only-Q-JO 1 ANTIBODY,363.0,,12.19,326.7,50
CPT,86235,ER Only-RNP70 ELISA**,92.0,,12.19,82.8,50
CPT,86235,ER Only-SCL-70 ELISA**,92.0,,12.19,82.8,50
CPT,86235,ER Only-SS-B/LA ELISA**,92.0,,12.19,82.8,50
CPT,86235,ER Only-U 1RNP ELISA**,92.0,,12.19,82.8,50
CPT,86235,"EXTRACTABLE NUC AG EA AB,SER**",101.5,,12.19,130.5,204
CPT,86235,JO-1 ELISA**,64.5,,12.19,82.8,204
CPT,86235,Q-ANTI-SCLERODERMA AB (SCL-70),402.5,,12.19,517.5,272
CPT,86235,Q-JO 1 ANTIBODY,254.5,,12.19,326.7,272
CPT,86235,RNP70 ELISA**,64.5,,12.19,82.8,204
CPT,86235,SCL-70 ELISA**,64.5,,12.19,82.8,204
CPT,86235,SS-B/LA ELISA**,64.5,,12.19,82.8,204
CPT,86235,U 1RNP ELISA**,64.5,,12.19,82.8,204
CPT,86255,"AMPA-R AB CBA, CSF",1538.0,,11.09,1384.2,68
CPT,86255,"AMPA-R AB CBA, S",923.0,,11.09,830.7,68
CPT,86255,"AMPHIPHYSIN AB, CSF**",123.0,,11.09,110.7,68
CPT,86255,"ANTI-GLIAL NUC AB, TYPE 1**",123.0,,11.09,110.7,68
CPT,86255,ANTI-NEURONAL NUC AB TYPE 1**,133.0,,11.09,119.7,136
CPT,86255,"ANTI-NEURONAL NUC AB, TYPE 1**",123.0,,11.09,110.7,68
CPT,86255,"ANTI-NEURONAL NUC AB, TYPE 2**",123.0,,11.09,110.7,68
CPT,86255,"ANTI-NEURONAL NUC AB, TYPE 3**",123.0,,11.95,110.7,56
CPT,86255,ANTI-NEURONAL NUCLEAR ANTIBODY,231.0,,11.09,297.0,136
CPT,86255,"AP3B2 IFA, S**",93.0,,11.09,119.7,204
CPT,86255,"CASPR2-IGG CBA, CSF",923.0,,11.09,830.7,68
CPT,86255,"CASPR2-IGG CBA, S",923.0,,11.09,830.7,68
CPT,86255,"CASPR2-IGG CBA, S**",93.0,,11.09,119.7,204
CPT,86255,"CRMP-5-IGG, CSF**",123.0,,11.95,110.7,56
CPT,86255,"CRMP-5-IGG, S**",93.0,,11.09,119.7,204
CPT,86255,"DPPX AB, S**",93.0,,11.09,119.7,204
CPT,86255,ER Only-ANTI-NEURONAL NUCLEAR ANTIBODY,330.0,,11.09,297.0,50
CPT,86255,"ER Only-AP3B2 IFA, S**",133.0,,11.09,119.7,50
CPT,86255,"ER Only-CASPR2-IGG CBA, S**",133.0,,11.09,119.7,50
CPT,86255,"ER Only-CRMP-5-IGG, S**",133.0,,11.09,119.7,50
CPT,86255,"ER Only-DPPX AB, S**",133.0,,11.09,119.7,50
CPT,86255,ER Only-FLUORESCENT AB SCREEN SER**,105.0,,11.09,94.5,50
CPT,86255,"ER Only-LG/IGG CBA, S**",133.0,,11.95,119.7,38
CPT,86255,ER Only-M- ANNA-3 CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-AGNA-1 CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-AGNA-1**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-ALPHA INTERNEXIN CBA CSF,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-ALPHA INTERNEXIN CBA S,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-AMPA-R AB CBA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-AMPA-R AB**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-AMPHIPHYSIN AB CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-AMPHIPHYSIN AB SERUM**,101.0,,11.09,90.9,50
CPT,86255,ER Only-M-AMPHIPHYSIN AB**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-ANNA-1 CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-ANNA-1**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-ANNA-2 CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-ANNA-2**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-ANNA-3**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-ANTI-GLIAL NUC AB TYPE 1**,101.0,,11.09,90.9,50
CPT,86255,ER Only-M-ANTI-NEURONAL NUC AB TYPE 1*,101.0,,11.09,90.9,50
CPT,86255,ER Only-M-ANTI-NEURONAL NUC AB TYPE 2*,101.0,,11.09,90.9,50
CPT,86255,ER Only-M-ANTI-NEURONAL NUC AB TYPE 3*,101.0,,11.09,90.9,50
CPT,86255,"ER Only-M-AP3B2 CBA, S",1367.0,,11.09,1230.3,50
CPT,86255,ER Only-M-CASPR2-IGG CBA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-CASPR2-IGG**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-CRMP-5 IGG CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-CRMP-5-IGG SERUM**,101.0,,11.09,90.9,50
CPT,86255,ER Only-M-CRMP-5-IGG**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-DPPX AB CBA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-DPPX AB CSF-MAYO,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-DPPX AB S,1568.0,,11.09,1411.2,50
CPT,86255,"ER Only-M-DPPX CBA, S**",291.0,,11.09,261.9,50
CPT,86255,ER Only-M-GABA-B-R AB CBA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-GABA-B-R AB**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-GFAP CSF-MAYO,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-GFAP IFA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-GFAP S,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-GFAP**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-IGLON5 CBA CSF,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-IGLON5 CBA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-IGLON5 CBA S,1568.0,,11.09,1411.2,50
CPT,86255,"ER Only-M-IGLON5 CBA, S**",291.0,,11.09,261.9,50
CPT,86255,ER Only-M-LGI1-IGG CBA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-LGI1-IGG**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-MGLUR1 AB CSF-MAYO,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-MGLUR1 AB IFA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-MGLUR1 AB S,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-MGLUR1 AB**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-NEUROCHONDRIN CBA CSF,1367.0,,11.09,1230.3,50
CPT,86255,ER Only-M-NEUROCHONDRIN CBA S,1367.0,,11.09,1230.3,50
CPT,86255,ER Only-M-NEUROCHONDRIN IFA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-NEUROCHONDRIN IFA SERUM**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-NIF HEAVY CHAIN CBA CSF,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-NIF HEAVY CHAIN CBA S,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-NIF IFA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-NIF IFA**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-NIF LIGHT CHAIN CBA CSF,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-NIF LIGHT CHAIN CBA S,1568.0,,11.09,1411.2,50
CPT,86255,ER Only-M-NMDA-R AB CBA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-NMDA-R AB**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-PCA-1 AB SERUM**,101.0,,11.09,90.9,50
CPT,86255,ER Only-M-PCA-1 CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-PCA-1**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-PCA-2 AB SERUM**,101.0,,11.09,90.9,50
CPT,86255,ER Only-M-PCA-2 CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-PCA-2**,291.0,,11.09,261.9,50
CPT,86255,ER Only-M-PCA-TR AB SERUM**,101.0,,11.09,90.9,50
CPT,86255,ER Only-M-PCA-TR CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-PCA-TYPE TR**,291.0,,11.09,261.9,50
CPT,86255,"ER Only-M-PDE10A AB IFA, CSF",255.0,,11.09,229.5,50
CPT,86255,"ER Only-M-PDE10A AB IFA, S**",291.0,,11.09,261.9,50
CPT,86255,ER Only-M-PHOSPHOLIP A2 RECEPT IFA,655.0,,11.09,589.5,50
CPT,86255,ER Only-M-SEPTIN IFA CSF**,255.0,,11.09,229.5,50
CPT,86255,ER Only-M-SEPTIN-7 CBA CSF,1367.0,,11.09,1230.3,50
CPT,86255,ER Only-M-SEPTIN-7 CBA S,1367.0,,11.09,1230.3,50
CPT,86255,ER Only-M-SEPTIN-7 IFA SERUM**,291.0,,11.09,261.9,50
CPT,86255,"ER Only-M-TRIM46 AB CBA, C",1314.0,,11.09,1182.6,50
CPT,86255,"ER Only-M-TRIM46 AB CBA, S",1314.0,,11.09,1182.6,50
CPT,86255,"ER Only-M-TRIM46 AB IFA, CSF",255.0,,11.09,229.5,50
CPT,86255,"ER Only-M-TRIM46 AB IFA, S**",291.0,,11.09,261.9,50
CPT,86255,ER Only-PURKINJE CELL CYTO AB TYPE 2**,133.0,,11.95,119.7,38
CPT,86255,ER Only-Q-COPEPTIN,301.0,,11.09,270.9,50
CPT,86255,ER Only-Q-FLUOR AB SCR STRIATED MUSCLE,186.0,,11.09,167.4,50
CPT,86255,FLUORESCENT AB SCREEN SER**,73.5,,11.09,94.5,204
CPT,86255,"GABA-B-R AB CBA, CSF",1538.0,,11.09,1384.2,68
CPT,86255,"GABA-B-R AB CBA, S",923.0,,11.09,830.7,68
CPT,86255,"LG/1-IGG CBA, S**",133.0,,11.95,119.7,112
CPT,86255,"LG/IGG CBA, S**",93.0,,11.95,119.7,56
CPT,86255,"LGI1-IGG CBA, CSF",923.0,,11.09,830.7,68
CPT,86255,"LGI1-IGG CBA, S",923.0,,11.09,830.7,68
CPT,86255,M- ANNA-3 CSF**,178.5,,11.09,229.5,136
CPT,86255,M-AGNA-1 CSF**,178.5,,11.09,229.5,136
CPT,86255,M-AGNA-1**,204.0,,11.09,261.9,136
CPT,86255,M-ALPHA INTERNEXIN CBA CSF,1097.5,,11.09,1411.2,136
CPT,86255,M-ALPHA INTERNEXIN CBA S,1097.5,,11.09,1411.2,136
CPT,86255,M-AMPA-R AB CBA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-AMPA-R AB**,204.0,,11.09,261.9,136
CPT,86255,M-AMPHIPHYSIN AB CSF**,178.5,,11.09,229.5,136
CPT,86255,M-AMPHIPHYSIN AB SERUM**,71.0,,11.09,90.9,136
CPT,86255,M-AMPHIPHYSIN AB**,204.0,,11.09,261.9,136
CPT,86255,M-ANNA-1 CSF**,178.5,,11.09,229.5,136
CPT,86255,M-ANNA-1**,204.0,,11.09,261.9,136
CPT,86255,M-ANNA-2 CSF**,178.5,,11.09,229.5,136
CPT,86255,M-ANNA-2**,204.0,,11.09,261.9,136
CPT,86255,M-ANNA-3**,204.0,,11.09,261.9,136
CPT,86255,M-ANTI-GLIAL NUC AB TYPE 1**,71.0,,11.09,90.9,136
CPT,86255,M-ANTI-NEURONAL NUC AB TYPE 1*,71.0,,11.09,90.9,136
CPT,86255,M-ANTI-NEURONAL NUC AB TYPE 2*,71.0,,11.09,90.9,136
CPT,86255,M-ANTI-NEURONAL NUC AB TYPE 3*,71.0,,11.09,90.9,136
CPT,86255,"M-AP3B2 CBA, S",957.0,,11.09,1230.3,204
CPT,86255,M-CASPR2-IGG CBA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-CASPR2-IGG**,204.0,,11.09,261.9,136
CPT,86255,M-CRMP-5 IGG CSF**,178.5,,11.09,229.5,136
CPT,86255,M-CRMP-5-IGG SERUM**,71.0,,11.09,90.9,136
CPT,86255,M-CRMP-5-IGG**,204.0,,11.09,261.9,136
CPT,86255,M-DPPX AB CBA CSF**,178.5,,11.09,229.5,136
CPT,86255,"M-DPPX AB CBA, S**",291.0,,11.09,261.9,68
CPT,86255,M-DPPX AB CSF-MAYO,1097.5,,11.09,1411.2,136
CPT,86255,M-DPPX AB S,1097.5,,11.09,1411.2,136
CPT,86255,"M-DPPX CBA, S**",204.0,,11.09,261.9,68
CPT,86255,M-GABA-B-R AB CBA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-GABA-B-R AB**,204.0,,11.09,261.9,136
CPT,86255,M-GFAP CSF-MAYO,1097.5,,11.09,1411.2,136
CPT,86255,M-GFAP IFA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-GFAP S,1097.5,,11.09,1411.2,136
CPT,86255,M-GFAP**,204.0,,11.09,261.9,136
CPT,86255,M-IGLON5 CBA CSF,1097.5,,11.09,1411.2,136
CPT,86255,M-IGLON5 CBA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-IGLON5 CBA S,1097.5,,11.09,1411.2,136
CPT,86255,"M-IGLON5 CBA, S**",204.0,,11.09,261.9,136
CPT,86255,M-LGI1-IGG CBA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-LGI1-IGG**,204.0,,11.09,261.9,136
CPT,86255,M-MGLUR1 AB CSF-MAYO,1097.5,,11.09,1411.2,136
CPT,86255,M-MGLUR1 AB IFA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-MGLUR1 AB S,1097.5,,11.09,1411.2,136
CPT,86255,M-MGLUR1 AB**,204.0,,11.09,261.9,136
CPT,86255,M-NEUROCHONDRIN CBA CSF,957.0,,11.09,1230.3,136
CPT,86255,M-NEUROCHONDRIN CBA S,957.0,,11.09,1230.3,136
CPT,86255,M-NEUROCHONDRIN IFA CSF**,178.5,,11.09,229.5,68
CPT,86255,M-NEUROCHONDRIN IFA SERUM**,204.0,,11.09,261.9,136
CPT,86255,M-NIF HEAVY CHAIN CBA CSF,1097.5,,11.09,1411.2,136
CPT,86255,M-NIF HEAVY CHAIN CBA S,1097.5,,11.09,1411.2,136
CPT,86255,M-NIF IFA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-NIF IFA**,204.0,,11.09,261.9,136
CPT,86255,M-NIF LIGHT CHAIN CBA CSF,1097.5,,11.09,1411.2,136
CPT,86255,M-NIF LIGHT CHAIN CBA S,1097.5,,11.09,1411.2,136
CPT,86255,M-NMDA-R AB CBA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-NMDA-R AB**,204.0,,11.09,261.9,136
CPT,86255,M-PCA-1 AB SERUM**,71.0,,11.09,90.9,136
CPT,86255,M-PCA-1 CSF**,178.5,,11.09,229.5,136
CPT,86255,M-PCA-1**,204.0,,11.09,261.9,136
CPT,86255,M-PCA-2 AB SERUM**,71.0,,11.09,90.9,136
CPT,86255,M-PCA-2 CSF**,178.5,,11.09,229.5,136
CPT,86255,M-PCA-2**,204.0,,11.09,261.9,136
CPT,86255,M-PCA-TR AB SERUM**,71.0,,11.09,90.9,136
CPT,86255,M-PCA-TR CSF**,178.5,,11.09,229.5,136
CPT,86255,M-PCA-TYPE TR**,204.0,,11.09,261.9,136
CPT,86255,"M-PDE10A AB IFA, CSF",178.5,,11.09,229.5,136
CPT,86255,"M-PDE10A AB IFA, S**",204.0,,11.09,261.9,136
CPT,86255,M-PHOSPHOLIP A2 RECEPT IFA,458.5,,11.09,589.5,204
CPT,86255,M-SEPTIN IFA CSF**,178.5,,11.09,229.5,136
CPT,86255,M-SEPTIN-7 CBA CSF,957.0,,11.09,1230.3,136
CPT,86255,M-SEPTIN-7 CBA S,957.0,,11.09,1230.3,136
CPT,86255,M-SEPTIN-7 IFA SERUM**,204.0,,11.09,261.9,136
CPT,86255,"M-TRIM46 AB CBA, C",920.0,,11.09,1182.6,204
CPT,86255,"M-TRIM46 AB CBA, S",920.0,,11.09,1182.6,204
CPT,86255,"M-TRIM46 AB IFA, CSF",178.5,,11.09,229.5,136
CPT,86255,"M-TRIM46 AB IFA, S**",204.0,,11.09,261.9,136
CPT,86255,"NMDA-R AB CBA, CSF",1538.0,,11.09,1384.2,68
CPT,86255,"NMDA-R AB CBA, S",923.0,,11.09,830.7,68
CPT,86255,"PARANEOPLASTIC INTERP, CSF**",123.0,,11.09,110.7,68
CPT,86255,PURKINJE CELL CYTO AB TYPE 2**,93.0,,11.95,119.7,168
CPT,86255,"PURKINJE CELL CYTO AB,TYPE 1**",123.0,,11.95,110.7,56
CPT,86255,"PURKINJE CELL CYTO AB,TYPE 2**",123.0,,11.95,110.7,56
CPT,86255,"PURKINJE CELL CYTO AB,TYPE TR*",123.0,,11.95,110.7,56
CPT,86255,Q-COPEPTIN,211.0,,11.09,270.9,204
CPT,86255,Q-FLUOR AB SCR STRIATED MUSCLE,130.5,,11.09,167.4,204
CPT,86255,Q-FLUORESCENT AB SCRN ADRENAL,244.0,,11.09,219.6,68
CPT,86256,"AMPA-R AB IF TITER ASSAY, CSF",431.0,,6.58,387.9,68
CPT,86256,"AMPA-R AB IF TITER ASSAY, S",923.0,,6.58,830.7,68
CPT,86256,DS-DNA (POS TITER) COMPANION,472.0,,6.58,424.8,136
CPT,86256,"ER Only-FLUORESCENT AB TITER, SERUM",325.0,,6.58,292.5,50
CPT,86256,"ER Only-M- PDE10A AB IFA TITER, C",326.0,,6.58,293.4,50
CPT,86256,"ER Only-M- PDE10A AB IFA TITER, S",326.0,,6.58,293.4,50
CPT,86256,ER Only-M-AGNA-1 TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-AGNA-1 TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-AMPA-R AB IF TITER ASSAY,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-AMPA-R AB IF TITER ASSAY CSF,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-AMPHIPHYSIN AB TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-AMPHIPHYSIN AB TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-ANNA-1 TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-ANNA-1 TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-ANNA-2 TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-ANNA-2 TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-ANNA-3 TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-ANNA-3 TITER S,340.0,,6.58,306.0,50
CPT,86256,"ER Only-M-AP3B2 IFA TITER, S",340.0,,6.58,306.0,50
CPT,86256,ER Only-M-CRMP-5 TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-CRMP-5-IGG TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-DPPX AB TITER CSF-MAYO,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-DPPX AB TITER S,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-FLUOR AB TITER AMPHIPHYSIN,143.0,,6.58,128.7,38
CPT,86256,ER Only-M-FLUOR AB TITER CRMP-5-IGG*,143.0,,6.58,128.7,38
CPT,86256,ER Only-M-GABA-B-R AB IF TIT ASSAY CSF,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-GABA-B-R AB IF TITER ASSAY S,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-GFAP TITER CSF-MAYO,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-GFAP TITER S,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-IGLON5 IFA TITER CSF,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-IGLON5 IFA TITER S,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-MGLUR1 AB TITER CSF-MAYO,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-MGLUR1 AB TITER S,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-NEUROCHONDRIN IFA TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-NEUROCHONDRIN IFA TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-NIF IFA TITER CSF,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-NIF IFA TITER S,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-NMDA-R AB IF TITER ASSAY CSF,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-NMDA-R AB IF TITER ASSAYS,400.0,,6.58,360.0,50
CPT,86256,ER Only-M-PCA-1 TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-PCA-1 TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-PCA-2 TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-PCA-2 TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-PCA-TR TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-PCR-TR TITER CSF,341.0,,6.58,306.9,50
CPT,86256,ER Only-M-SEPTIN-7 IFA TITER S,340.0,,6.58,306.0,50
CPT,86256,ER Only-M-SEPTIN-7 TITER CSF,341.0,,6.58,306.9,50
CPT,86256,"ER Only-M-TRIM46 AB IFA TITER, C",326.0,,6.58,293.4,50
CPT,86256,"ER Only-M-TRIM46 AB IFA TITER, S",326.0,,6.58,293.4,50
CPT,86256,ER Only-Q-FLUOR AB TTR STRIATED MUSCLE,186.0,,6.58,167.4,50
CPT,86256,ER Only-Z*M-FLUOR AB TITER AGNA-1**,143.0,,6.58,128.7,50
CPT,86256,ER Only-Z*M-FLUOR AB TITER ANNA-1**,143.0,,6.58,128.7,38
CPT,86256,ER Only-Z*M-FLUOR AB TITER ANNA-2**,143.0,,6.58,128.7,38
CPT,86256,ER Only-Z*M-FLUOR AB TITER ANNA-3**,143.0,,6.58,128.7,38
CPT,86256,ER Only-Z*M-FLUOR AB TITER PCA-1**,143.0,,6.58,128.7,38
CPT,86256,ER Only-Z*M-FLUOR AB TITER PCA-2**,143.0,,6.58,128.7,38
CPT,86256,ER Only-Z*M-FLUOR AB TITER PCA-TR**,143.0,,6.58,128.7,38
CPT,86256,"FLUORESCENT AB TITER, SERUM",227.5,,6.58,292.5,204
CPT,86256,"GABA-B-R AB IF TITER ASSAY, S",923.0,,6.58,830.7,68
CPT,86256,"GABA-B-R AB IF TITER ASSAY,CSF",431.0,,6.58,387.9,68
CPT,86256,"M- PDE10A AB IFA TITER, C",228.5,,6.58,293.4,204
CPT,86256,"M- PDE10A AB IFA TITER, S",228.5,,6.58,293.4,204
CPT,86256,M-AGNA-1 TITER CSF,239.0,,6.58,306.9,136
CPT,86256,M-AGNA-1 TITER S,238.0,,6.58,306.0,136
CPT,86256,M-AMPA-R AB IF TITER ASSAY,280.0,,6.58,360.0,136
CPT,86256,M-AMPA-R AB IF TITER ASSAY CSF,280.0,,6.58,360.0,136
CPT,86256,M-AMPHIPHYSIN AB TITER CSF,239.0,,6.58,306.9,136
CPT,86256,M-AMPHIPHYSIN AB TITER S,238.0,,6.58,306.0,136
CPT,86256,M-ANNA-1 TITER CSF,239.0,,6.58,306.9,136
CPT,86256,M-ANNA-1 TITER S,238.0,,6.58,306.0,136
CPT,86256,M-ANNA-2 TITER CSF,239.0,,6.58,306.9,136
CPT,86256,M-ANNA-2 TITER S,238.0,,6.58,306.0,136
CPT,86256,M-ANNA-3 TITER CSF,239.0,,6.58,306.9,136
CPT,86256,M-ANNA-3 TITER S,238.0,,6.58,306.0,204
CPT,86256,"M-AP3B2 IFA TITER, S",238.0,,6.58,306.0,204
CPT,86256,M-CRMP-5 TITER S,238.0,,6.58,306.0,68
CPT,86256,M-CRMP-5-IGG TITER CSF,239.0,,6.58,306.9,136
CPT,86256,M-CRMP-5-IGG TITER S,340.0,,6.58,306.0,68
CPT,86256,M-DPPX AB TITER CSF-MAYO,280.0,,6.58,360.0,136
CPT,86256,M-DPPX AB TITER S,280.0,,6.58,360.0,136
CPT,86256,M-FLUOR AB TITER AGNA-1**,143.0,,6.58,128.7,136
CPT,86256,M-FLUOR AB TITER AMPHIPHYSIN,100.0,,6.58,128.7,56
CPT,86256,M-FLUOR AB TITER AMPHIPHYSIN**,143.0,,6.58,128.7,112
CPT,86256,M-FLUOR AB TITER ANNA-1**,143.0,,6.58,128.7,112
CPT,86256,M-FLUOR AB TITER ANNA-2**,143.0,,6.58,128.7,112
CPT,86256,M-FLUOR AB TITER ANNA-3**,143.0,,6.58,128.7,112
CPT,86256,M-FLUOR AB TITER CRMP-5-IGG*,100.0,,6.58,128.7,56
CPT,86256,M-FLUOR AB TITER CRMP-5-IGG**,143.0,,6.58,128.7,112
CPT,86256,M-FLUOR AB TITER PCA-1**,143.0,,6.58,128.7,112
CPT,86256,M-FLUOR AB TITER PCA-2**,143.0,,6.58,128.7,112
CPT,86256,M-FLUOR AB TITER PCA-TR**,143.0,,6.58,128.7,112
CPT,86256,M-GABA-B-R AB IF TIT ASSAY CSF,280.0,,6.58,360.0,136
CPT,86256,M-GABA-B-R AB IF TITER ASSAY S,280.0,,6.58,360.0,136
CPT,86256,M-GFAP TITER CSF-MAYO,280.0,,6.58,360.0,136
CPT,86256,M-GFAP TITER S,280.0,,6.58,360.0,136
CPT,86256,M-IGLON5 IFA TITER CSF,280.0,,6.58,360.0,136
CPT,86256,M-IGLON5 IFA TITER S,280.0,,6.58,360.0,136
CPT,86256,M-MGLUR1 AB TITER CSF-MAYO,280.0,,6.58,360.0,136
CPT,86256,M-MGLUR1 AB TITER S,280.0,,6.58,360.0,136
CPT,86256,M-NEUROCHONDRIN IFA TITER CSF,239.0,,6.58,306.9,136
CPT,86256,M-NEUROCHONDRIN IFA TITER S,238.0,,6.58,306.0,136
CPT,86256,M-NIF IFA TITER CSF,280.0,,6.58,360.0,136
CPT,86256,M-NIF IFA TITER S,280.0,,6.58,360.0,136
CPT,86256,M-NMDA-R AB IF TITER ASSAY CSF,280.0,,6.58,360.0,136
CPT,86256,M-NMDA-R AB IF TITER ASSAYS,280.0,,6.58,360.0,136
CPT,86256,M-PCA-1 TITER CSF,239.0,,6.58,306.9,136
CPT,86256,M-PCA-1 TITER S,238.0,,6.58,306.0,136
CPT,86256,M-PCA-2 TITER CSF,239.0,,6.58,306.9,136
CPT,86256,M-PCA-2 TITER S,238.0,,6.58,306.0,136
CPT,86256,M-PCA-TR TITER CSF,341.0,,6.58,306.9,68
CPT,86256,M-PCA-TR TITER S,238.0,,6.58,306.0,136
CPT,86256,M-PCR-TR TITER CSF,239.0,,6.58,306.9,68
CPT,86256,M-SEPTIN-7 IFA TITER S,238.0,,6.58,306.0,136
CPT,86256,M-SEPTIN-7 TITER CSF,239.0,,6.58,306.9,136
CPT,86256,"M-TRIM46 AB IFA TITER, C",228.5,,6.58,293.4,204
CPT,86256,"M-TRIM46 AB IFA TITER, S",228.5,,6.58,293.4,204
CPT,86256,"NMDA-R AB IF TITER ASSAY, CSF",431.0,,6.58,387.9,68
CPT,86256,"NMDA-R AB IF TITER ASSAY, S",923.0,,6.58,830.7,68
CPT,86256,Q-ADRENAL TITER (REFLEX TEST),210.0,,6.58,189.0,136
CPT,86256,Q-FLUOR AB TTR STRIATED MUSCLE,130.5,,6.58,167.4,136
CPT,86256,Z*M-FLUOR AB TITER AGNA-1**,100.0,,6.58,128.7,68
CPT,86256,Z*M-FLUOR AB TITER ANNA-1**,100.0,,6.58,128.7,56
CPT,86256,Z*M-FLUOR AB TITER ANNA-2**,100.0,,6.58,128.7,56
CPT,86256,Z*M-FLUOR AB TITER ANNA-3**,100.0,,6.58,128.7,56
CPT,86256,Z*M-FLUOR AB TITER PCA-1**,100.0,,6.58,128.7,56
CPT,86256,Z*M-FLUOR AB TITER PCA-2**,100.0,,6.58,128.7,56
CPT,86256,Z*M-FLUOR AB TITER PCA-TR**,100.0,,6.58,128.7,56
CPT,86258,"ER Only-GLIADIN (DEAMIDATED) AB, IGA S",172.0,,11.09,154.8,50
CPT,86258,"ER Only-GLIADIN (DEAMIDATED) AB, IGG S",172.0,,11.09,154.8,50
CPT,86258,ER Only-Q-GLIADIN AB IGA**,441.0,,17.3,396.9,38
CPT,86258,ER Only-Q-GLIADIN AB IGG**,441.0,,11.09,396.9,50
CPT,86258,ER Only-Q-IMMUNO QL/SQ GLIADIN IGA**,361.0,,11.09,324.9,50
CPT,86258,ER Only-Q-IMMUNO QL/SQ GLIADIN IGG**,361.0,,17.3,324.9,38
CPT,86258,"GLIADIN (DEAMIDATED) AB, IGA S",120.5,,11.09,154.8,204
CPT,86258,"GLIADIN (DEAMIDATED) AB, IGG S",120.5,,11.09,154.8,204
CPT,86258,Q-GLIADIN AB IGA**,309.0,,17.3,396.9,56
CPT,86258,Q-GLIADIN AB IGG**,309.0,,11.09,396.9,68
CPT,86258,Q-IMMUNO QL/SQ GLIADIN IGA**,253.0,,11.09,324.9,136
CPT,86258,Q-IMMUNO QL/SQ GLIADIN IGG**,253.0,,17.3,324.9,112
CPT,86300,CA (BR) 15-3 (27-29),267.5,,19.15,343.8,204
CPT,86300,ER Only-CA (BR) 15-3 (27-29),382.0,,19.15,343.8,50
CPT,86300,ER Only-Q-IMMUNO TUMOR AG CA 15-3,295.0,,19.15,265.5,50
CPT,86300,Q-IMMUNO TUMOR AG CA 15-3,206.5,,19.15,265.5,204
CPT,86301,CA 19-9,267.5,,7.2,343.8,204
CPT,86301,ER Only-CA 19-9,382.0,,7.2,343.8,50
CPT,86304,CA 125,267.5,,13.2,343.8,204
CPT,86304,ER Only-CA 125,382.0,,13.2,343.8,50
CPT,86308,ER Only-MONOTEST SCREEN MONOSPOT,402.0,,2.28,361.8,50
CPT,86308,MONOSPOT SCREEN MONOSPOT,402.0,,2.28,361.8,204
CPT,86308,MONOTEST SCREEN MONOSPOT,281.5,,2.28,361.8,408
CPT,86316,ER Only-M-CHROMOGRANIN A,269.0,,15.88,242.1,50
CPT,86316,M-CHROMOGRANIN A,188.5,,15.88,242.1,204
CPT,86316,Q-CHROMOGRANIN A,601.0,,15.88,540.9,68
CPT,86317,DIPTHERIA AB IGG**,82.0,,13.79,105.3,204
CPT,86317,ER Only-DIPTHERIA AB IGG**,117.0,,13.79,105.3,50
CPT,86317,ER Only-H. INFLUENZAE B AB IGG**,117.0,,13.79,105.3,50
CPT,86317,ER Only-PNEUMOCOCCAL ANTIBODY,355.0,,13.79,319.5,50
CPT,86317,ER Only-TAU PROTEIN**,51.0,,13.79,45.9,50
CPT,86317,ER Only-TETANUS AB IGG**,117.0,,13.79,105.3,50
CPT,86317,H. INFLUENZAE B AB IGG**,82.0,,13.79,105.3,204
CPT,86317,PNEUMOCOCCAL ANTIBODY,248.5,,13.79,319.5,204
CPT,86317,TAU PROTEIN**,36.0,,10.5,45.9,204
CPT,86317,TETANUS AB IGG**,82.0,,13.79,105.3,204
CPT,86318,ER Only-Q-T CRUZI AB CONFIRM,510.0,,16.64,459.0,50
CPT,86318,Q-T CRUZI AB CONFIRM,357.0,,16.64,459.0,136
CPT,86318,Q-T CRUZI AB TOTAL,510.0,,16.64,459.0,68
CPT,86329,Q-C4 BINDING PROTEIN SERUM,511.0,,11.39,459.9,68
CPT,86334,ER Only-IFE SERUM**,533.0,,20.55,479.7,50
CPT,86334,ER Only-IMMUNOFIXATION SERUM ELEC,491.0,,20.55,441.9,50
CPT,86334,IFE SERUM**,373.0,,20.55,479.7,204
CPT,86334,IMMUNOFIXATION SERUM ELEC,344.0,,20.55,441.9,272
CPT,86335,"ER Only-IMMUNOFIXATION, URINE ELECT",584.0,,27.0,525.6,50
CPT,86335,ER Only-M-BETA-2 TRANSFERRIN BODY FLD,708.0,,27.0,637.2,50
CPT,86335,IMMUNOFIXAT URINE ELECTRO,584.0,,27.0,525.6,68
CPT,86335,"IMMUNOFIXATION, URINE ELECT",409.0,,27.0,525.6,136
CPT,86335,M-BETA-2 TRANSFERRIN BDY FLD,708.0,,27.0,637.2,68
CPT,86335,M-BETA-2 TRANSFERRIN BODY FLD,495.5,,27.0,637.2,136
CPT,86336,Q-INHIBIN A,722.0,,14.34,649.8,68
CPT,86337,ER Only-M-INSULIN ABS S,242.0,,12.45,217.8,50
CPT,86337,ER Only-Q-INSULIN ANTIBODIES,276.0,,12.45,248.4,50
CPT,86337,ER Only-Q-INSULIN AUTOANTIBODY**,175.0,,12.45,157.5,50
CPT,86337,M-INSULIN ABS S,169.5,,12.45,217.8,204
CPT,86337,Q-INSULIN ANTIBODIES,193.5,,12.45,248.4,204
CPT,86337,Q-INSULIN AUTOANTIBODY**,122.5,,12.45,157.5,204
CPT,86340,ER Only-Q-INTRINSIC FACTOR ANTIBODIES,509.0,,7.99,458.1,50
CPT,86340,Q-INTRINSIC FACTOR ANTIBODIES,356.5,,7.99,458.1,272
CPT,86341,ANTI-ISLET CELL ANTIBODY,179.5,,12.53,230.4,204
CPT,86341,ER Only-ANTI-ISLET CELL ANTIBODY,256.0,,12.53,230.4,50
CPT,86341,ER Only-M-GAD65 AB ASSAY CSF**,394.0,,12.53,354.6,50
CPT,86341,ER Only-M-GAD65 AB**,465.0,,12.53,418.5,50
CPT,86341,ER Only-M-ISLET CELL AB (GAD65 ASSAY),500.0,,12.53,450.0,50
CPT,86341,ER Only-Q-GAD-65 ANTIBODIES,186.0,,12.53,167.4,50
CPT,86341,ER Only-Q-GLUTAMIC ACID DECARBOX 65 AB,100.0,,12.53,90.0,50
CPT,86341,ER Only-Q-ISLET CELL AB (IA-2 AB)**,130.0,,12.53,117.0,50
CPT,86341,ER Only-Q-ISLET CELL AB W/REFLEX TITER,318.0,,12.53,286.2,50
CPT,86341,ER Only-Q-ZINC TRANSPORTER 8 (ZNT8) AB,344.0,,12.53,309.6,50
CPT,86341,ER Only-Q-ZINC TRANSPORTER 8(ZNT8)AB**,293.0,,12.53,263.7,50
CPT,86341,"GAD65 AB ASSAY, CSF",295.0,,12.53,265.5,68
CPT,86341,ISLET CELL AB 512 (LABCORP),460.0,,12.53,414.0,136
CPT,86341,M-GAD65 AB ASSAY CSF**,276.0,,12.53,354.6,204
CPT,86341,M-GAD65 AB**,325.5,,12.53,418.5,136
CPT,86341,M-ISLET CELL AB (GAD65 ASSAY),350.0,,12.53,450.0,204
CPT,86341,Q-GAD-65 ANTIBODIES,130.5,,12.53,167.4,204
CPT,86341,Q-GLUTAMIC ACID DECARBOX 65 AB,70.0,,12.53,90.0,204
CPT,86341,Q-ISLET CELL AB (IA-2 AB)**,91.0,,12.53,117.0,204
CPT,86341,Q-ISLET CELL AB W/REFLEX TITER,222.5,,12.53,286.2,68
CPT,86341,Q-ZINC TRANSPORTER 8 (ZNT8) AB,241.0,,12.53,309.6,204
CPT,86341,Q-ZINC TRANSPORTER 8(ZNT8)AB**,205.0,,12.53,263.7,204
CPT,86343,ER Only-Q-CHRONIC URTICARIA**,109.0,,11.46,98.1,50
CPT,86343,Q-CHRONIC URTICARIA**,76.5,,11.46,98.1,204
CPT,86352,CELL FUNC STM/DETEC BIOMARK,842.0,,94.4,757.8,68
CPT,86352,CELL FUNCTION ASSAY W/STIM**,385.0,,94.4,495.0,204
CPT,86352,ER Only-CELL FUNCTION ASSAY W/STIM**,550.0,,94.4,495.0,50
CPT,86352,IMMUNE CELL FUNCTION,726.0,,94.4,653.4,136
CPT,86353,ER Only-Z*LYMPHOCYTE TRANSFORMATION **,985.0,,18.16,886.5,50
CPT,86353,Z*LYMPHOCYTE TRANSFORMATION **,689.5,,18.16,886.5,68
CPT,86355,ANTI-NEURONAL NUC AB TYPE 1**,93.0,,26.5,119.7,68
CPT,86355,ER Only-ANTI-NEURONAL NUC AB TYPE 1**,133.0,,34.71,119.7,50
CPT,86359,"CD3, TOTAL T-CELL COUNT",496.5,,6.74,638.1,204
CPT,86359,"ER Only-CD3, TOTAL T-CELL COUNT",709.0,,6.74,638.1,50
CPT,86360,ABSOLUTE CD4 & CD8 W/RATIO,836.0,,10.11,1074.6,204
CPT,86360,ER Only-ABSOLUTE CD4 & CD8 W/RATIO,1194.0,,10.11,1074.6,50
CPT,86361,ABSOLUTE CD4 COUNT,339.0,,24.64,435.6,136
CPT,86361,ER Only-ABSOLUTE CD4 COUNT,484.0,,24.64,435.6,50
CPT,86361,ER Only-T CELLS-ABSOLUTE CD4 COUNT,484.0,,24.64,435.6,50
CPT,86361,T CELLS- ABSOLUTE CD4 COUNT,484.0,,24.64,435.6,68
CPT,86361,T CELLS-ABSOLUTE CD4 COUNT,339.0,,24.64,435.6,136
CPT,86363,"CNS DEMYELINATING DZ EVAL, S2",1136.0,,18.07,1022.4,68
CPT,86363,CNS DEMYELINATING DZ EVAL. S2,795.5,,18.07,1022.4,68
CPT,86363,ER Only-CNS DEMYELINATING DZ EVAL. S2,1136.0,,18.07,1022.4,50
CPT,86363,"ER Only-MOG FACS TITER, S",385.0,,18.07,346.5,50
CPT,86363,"ER Only-MOG FACS, S",1766.0,,18.07,1589.4,50
CPT,86363,"MOG FACS TITER, S",269.5,,18.07,346.5,136
CPT,86363,"MOG FACS, S",1236.5,,18.07,1589.4,136
CPT,86364,ANTI-TISSUE TRANSGLUTAMINASE,181.5,,10.61,233.1,204
CPT,86364,ER Only-ANTI-TISSUE TRANSGLUTAMINASE,259.0,,10.61,233.1,50
CPT,86364,ER Only-TISSUE TRANSGLT AB IGG S,136.0,,10.61,122.4,50
CPT,86364,"ER Only-TISSUE TRANSGLT AB,S(IGA)",136.0,,10.61,122.4,50
CPT,86364,TISSUE TRANSGLT AB IGG S,95.5,,10.61,122.4,204
CPT,86364,"TISSUE TRANSGLT AB,S(IGA)",95.5,,10.61,122.4,204
CPT,86366,ER Only-M-MUSK AUTOANTIBODY SERUM,2136.0,,16.93,1922.4,50
CPT,86366,ER Only-Q-MUSK ANTIBODY TEST,1996.0,,16.93,1796.4,50
CPT,86366,M-MUSK AUTOANTIBODY SERUM,1495.5,,16.93,1922.4,204
CPT,86366,Q-MUSK ANTIBODY TEST,1397.5,,16.93,1796.4,204
CPT,86367,CTL CD34,427.0,,71.56,384.3,68
CPT,86376,ANTI-THYROID PEROXIDASE ABS,202.5,,13.39,260.1,204
CPT,86376,ER Only-ANTI-THYROID PEROXIDASE ABS,289.0,,13.39,260.1,50
CPT,86376,ER Only-Q-MICROSOMAL AB LIVER-KIDNEY,377.0,,13.39,339.3,50
CPT,86376,ER Only-Q-THYROID PEROXIDASE ABS(TPO)*,125.0,,13.39,112.5,50
CPT,86376,ER Only-THYROID PEROXIDASE IGG**,68.0,,13.39,61.2,50
CPT,86376,Q-MICROSOMAL AB LIVER-KIDNEY,264.0,,13.39,339.3,136
CPT,86376,Q-THYROID PEROXIDASE ABS(TPO)*,87.5,,13.39,112.5,204
CPT,86376,THYROID PEROXIDASE IGG**,48.0,,13.39,61.2,204
CPT,86381,ER Only-MITOCHONDRIAL ANTBDY TITE,472.0,,23.41,424.8,50
CPT,86381,M-MITOCHONDRIAL AB (M2) S**,259.0,,23.41,233.1,136
CPT,86381,MITOCHONDRIAL ANTBDY TITE,330.5,,23.41,424.8,204
CPT,86403,ER Only-PARTICLE AGG SCR CRYPTO,193.0,,10.62,173.7,50
CPT,86403,PARTICLE AGG SCR CRYPTO,135.0,,10.62,173.7,204
CPT,86406,"CRYPTOCOCCAL TITER, EACH AB",241.0,,3.34,216.9,68
CPT,86406,CRYPTOCOCCAL TITER- EA AB,169.0,,3.34,216.9,136
CPT,86406,ER Only-CRYPTOCOCCAL TITER- EA AB,241.0,,3.34,216.9,50
CPT,86431,ER Only-RHEUMATOID FACTOR BODY FLUID,168.0,,5.22,151.2,50
CPT,86431,ER Only-RHEUMATOID FACTOR IGA**,68.0,,5.22,61.2,50
CPT,86431,ER Only-RHEUMATOID FACTOR IGM**,68.0,,5.22,61.2,50
CPT,86431,"ER Only-RHEUMATOID FACTOR, QUANT.",211.0,,5.22,189.9,50
CPT,86431,RHEUMATOID FACTOR BODY FLUID,117.5,,5.22,151.2,204
CPT,86431,RHEUMATOID FACTOR IGA**,48.0,,5.22,61.2,204
CPT,86431,RHEUMATOID FACTOR IGM**,48.0,,5.22,61.2,204
CPT,86431,"RHEUMATOID FACTOR, QUANT.",148.0,,5.22,189.9,204
CPT,86481,ER Only-T SPOT (TB TEST),422.0,,92.0,379.8,50
CPT,86481,ER Only-TB TEST CELL IMMUN MEAS INT AG,545.0,,92.0,490.5,50
CPT,86481,T SPOT (TB TEST),295.5,,84.5,379.8,204
CPT,86481,TB TEST CELL IMMUN MEAS INT AG,381.5,,92.0,490.5,68
CPT,86485,SKIN TEST CANDIDA,108.0,,1.23,97.2,340
CPT,86486,SKIN TEST UNLISTED ANTIGEN,102.0,,13.29,91.8,68
CPT,86580,SKIN TEST TB INTRADERMAL,70.0,,8.0,63.0,68
CPT,86580,TB INTRADERMAL,70.0,,8.0,63.0,1076
CPT,86581,ER Only-STREP PNEUMO 23 AB ARUP INIT**,308.0,,60.37,277.2,38
CPT,86581,STREP PNEUMO 23 AB ARUP INIT*,308.0,,60.37,277.2,56
CPT,86581,STREP PNEUMO 23 AB ARUP INIT**,215.5,,24.11,277.2,112
CPT,86592,ER Only-RPR SERUM,210.0,,3.36,189.0,50
CPT,86592,ER Only-VDRL CSF,210.0,,3.36,189.0,50
CPT,86592,"ER Only-VDRL, SERUM",210.0,,3.36,189.0,50
CPT,86592,RPR SERUM,147.0,,3.36,189.0,136
CPT,86592,"RPR, QUALITATIVE",210.0,,3.36,189.0,68
CPT,86592,VDRL CSF,147.0,,3.36,189.0,136
CPT,86592,"VDRL, CSF",210.0,,3.36,189.0,68
CPT,86592,"VDRL, SERUM",147.0,,3.36,189.0,204
CPT,86593,RPR TITER,210.0,,3.37,189.0,136
CPT,86596,ER Only-M-N-TYPE CALCIUM CHANNEL AB*,134.0,,26.07,120.6,38
CPT,86596,ER Only-M-P/Q-TYPE CALCIUM CHANNEL AB*,226.0,,11.09,315.9,100
CPT,86596,M-N-TYPE CALCIUM CHANNEL AB*,94.0,,26.07,120.6,56
CPT,86596,M-N-TYPE CALCIUM CHANNEL AB**,134.0,,26.07,120.6,56
CPT,86596,M-P/Q-TYPE CALCIUM CHANEL AB*,134.0,,26.07,120.6,56
CPT,86596,M-P/Q-TYPE CALCIUM CHANNEL AB*,121.0,,11.09,315.9,340
CPT,86606,ER Only-Z*Q-ASPERGILLUS FLAVUS AB**,168.0,,5.7,151.2,50
CPT,86606,ER Only-Z*Q-ASPERGILLUS FUMIGATUS AB**,168.0,,5.7,151.2,38
CPT,86606,ER Only-Z*Q-ASPERGILLUS NIGER AB**,168.0,,5.7,151.2,38
CPT,86606,Q-ASPERGILLUS FLAVUS AB**,168.0,,5.7,151.2,68
CPT,86606,Q-ASPERGILLUS FUMIGATUS AB**,168.0,,5.7,151.2,56
CPT,86606,Q-ASPERGILLUS NIGER AB**,168.0,,5.7,151.2,56
CPT,86606,Z*Q-ASPERGILLUS FLAVUS AB**,117.5,,5.7,151.2,68
CPT,86606,Z*Q-ASPERGILLUS FUMIGATUS AB**,117.5,,5.7,151.2,56
CPT,86606,Z*Q-ASPERGILLUS NIGER AB**,117.5,,5.7,151.2,56
CPT,86611,BARTONELLA QUINTANA AB IGG**,74.5,,8.47,95.4,204
CPT,86611,BARTONELLA QUINTANA AB IGM**,74.5,,8.47,95.4,204
CPT,86611,ER Only-BARTONELLA QUINTANA AB IGG**,106.0,,8.47,95.4,50
CPT,86611,ER Only-BARTONELLA QUINTANA AB IGM**,106.0,,8.47,95.4,50
CPT,86611,ER Only-Q-BARTONELLA AB IGG**,168.0,,8.47,151.2,50
CPT,86611,ER Only-Q-BARTONELLA AB IGM**,168.0,,8.47,151.2,38
CPT,86611,ER Only-Q-BARTONELLA HENSELAE AB IGG,141.0,,8.47,126.9,50
CPT,86611,ER Only-Q-BARTONELLA HENSELAE AB IGM,141.0,,8.47,126.9,38
CPT,86611,ER Only-Q-BARTONELLA QUINTANA AB IGG,141.0,,8.47,126.9,38
CPT,86611,ER Only-Q-BARTONELLA QUINTANA AB IGM,141.0,,8.47,126.9,38
CPT,86611,Q-BARTONELLA AB IGG**,117.5,,8.47,151.2,136
CPT,86611,Q-BARTONELLA AB IGM**,117.5,,8.47,151.2,112
CPT,86611,Q-BARTONELLA HENSELAE AB IGG,99.0,,8.47,126.9,68
CPT,86611,Q-BARTONELLA HENSELAE AB IGG**,141.0,,8.47,126.9,68
CPT,86611,Q-BARTONELLA HENSELAE AB IGM,99.0,,8.47,126.9,56
CPT,86611,Q-BARTONELLA HENSELAE AB IGM**,141.0,,8.47,126.9,56
CPT,86611,Q-BARTONELLA QUINTANA AB IGG,99.0,,8.47,126.9,56
CPT,86611,Q-BARTONELLA QUINTANA AB IGM,99.0,,8.47,126.9,56
CPT,86615,ER Only-Q-BORDETELLA PERTUSIS AB IGA,363.0,,5.53,326.7,50
CPT,86615,ER Only-Q-BORDETELLA PERTUSIS AB IGG,363.0,,5.53,326.7,38
CPT,86615,ER Only-Q-BORDETELLA PERTUSIS AB IGM,363.0,,5.53,326.7,38
CPT,86615,Q-BORDETELLA PERTUSIS AB IGA,254.5,,5.53,326.7,68
CPT,86615,Q-BORDETELLA PERTUSIS AB IGG,254.5,,5.53,326.7,56
CPT,86615,Q-BORDETELLA PERTUSIS AB IGM,254.5,,5.53,326.7,56
CPT,86617,ER Only-Q-LYME DZ AB (IGG) IBL (CSF),375.0,,5.73,337.5,50
CPT,86617,ER Only-Q-LYME DZ CONFIRM EA ADDL,329.0,,5.73,296.1,38
CPT,86617,Q-LYME DZ AB ((IGG) IBL (CSF),375.0,,5.73,337.5,68
CPT,86617,Q-LYME DZ AB (IGG) IBL (CSF),262.5,,5.73,337.5,68
CPT,86617,Q-LYME DZ CONFIRM EA ADDL,230.5,,5.73,296.1,168
CPT,86617,Q-LYMES DZ AB (IGG) IBL (CSF),375.0,,5.73,337.5,68
CPT,86618,ER Only-LYME DISEASE,347.0,,5.74,312.3,50
CPT,86618,LYME DISEASE,243.0,,5.74,312.3,204
CPT,86618,Q-B. BURGDORFERI IGG AB CSF,654.0,,5.74,588.6,68
CPT,86622,ER Only-Q-BRUCELLA ANTIBODY IGG**,205.0,,5.55,184.5,50
CPT,86622,ER Only-Q-BRUCELLA ANTIBODY IGM**,205.0,,5.55,184.5,50
CPT,86622,Q-BRUCELLA ANTIBODY IGG**,143.5,,5.55,184.5,136
CPT,86622,Q-BRUCELLA ANTIBODY IGM**,143.5,,5.55,184.5,136
CPT,86631,ER Only-Z*Q-CHLAMYDIA ANTIBODY**,129.0,,5.55,116.1,50
CPT,86631,Q-CHLAMYDIA ANTIBODY,286.0,,5.55,257.4,136
CPT,86631,Z*Q-CHLAMYDIA ANTIBODY**,90.5,,5.55,116.1,68
CPT,86632,ER Only-Z*Q-CHLAMYDIA ANTIBODY IGM**,129.0,,5.56,116.1,50
CPT,86632,Z*Q-CHLAMYDIA ANTIBODY IGM**,90.5,,5.56,116.1,68
CPT,86635,ER Only-M-COCCI ANTIBODY IGG**,134.0,,5.54,120.6,38
CPT,86635,ER Only-M-COCCI ANTIBODY IGM**,134.0,,5.54,120.6,38
CPT,86635,ER Only-M-COCCI COMPLEMENT F**,134.0,,5.54,120.6,50
CPT,86635,ER Only-Q-COCCIDIOIDES AB CF**,222.0,,5.54,199.8,50
CPT,86635,ER Only-Q-COCCIDIOIDES AB ID**,222.0,,5.54,199.8,38
CPT,86635,ER Only-Q-COCCIDIOIDES ANTIBODY**,215.0,,5.54,193.5,50
CPT,86635,M-COCCI ANTIBODY IGG**,94.0,,5.54,120.6,56
CPT,86635,M-COCCI ANTIBODY IGM**,94.0,,5.54,120.6,56
CPT,86635,M-COCCI COMPLEMENT F**,94.0,,5.54,120.6,68
CPT,86635,Q-COCCIDIOIDES AB CF**,155.5,,5.54,199.8,136
CPT,86635,Q-COCCIDIOIDES AB ID**,155.5,,5.54,199.8,112
CPT,86635,Q-COCCIDIOIDES ANTIBODY**,150.5,,5.54,193.5,204
CPT,86638,ER Only-Q-Q FEVER PHASE 1 AB IGG,202.0,,5.55,181.8,50
CPT,86638,ER Only-Q-Q FEVER PHASE 1 AB IGM,202.0,,5.55,181.8,50
CPT,86638,ER Only-Q-Q FEVER PHASE 2 AB IGG,202.0,,5.55,181.8,38
CPT,86638,ER Only-Q-Q FEVER PHASE 2 AB IGM,202.0,,5.55,181.8,38
CPT,86638,ER Only-Q-Q FEVER TITER 1 AB IGG,246.0,,5.55,221.4,38
CPT,86638,ER Only-Q-Q FEVER TITER 1 AB IGM,259.0,,5.55,233.1,38
CPT,86638,ER Only-Q-Q FEVER TITER 2 AB IGG,246.0,,5.55,221.4,38
CPT,86638,ER Only-Q-Q FEVER TITER 2 AB IGM,456.0,,5.55,410.4,38
CPT,86638,Q-Q FEVER PHASE 1 AB IGG,141.5,,5.55,181.8,204
CPT,86638,Q-Q FEVER PHASE 1 AB IGM,141.5,,5.55,181.8,204
CPT,86638,Q-Q FEVER PHASE 2 AB IGG,141.5,,5.55,181.8,168
CPT,86638,Q-Q FEVER PHASE 2 AB IGM,141.5,,5.55,181.8,168
CPT,86638,Q-Q FEVER TITER 1 AB IGG,172.5,,5.55,221.4,112
CPT,86638,Q-Q FEVER TITER 1 AB IGM,181.5,,5.55,233.1,112
CPT,86638,Q-Q FEVER TITER 2 AB IGG,172.5,,5.55,221.4,112
CPT,86638,Q-Q FEVER TITER 2 AB IGM,319.5,,5.55,410.4,56
CPT,86644,CMV IGG AB,234.0,,5.58,300.6,408
CPT,86644,CMV TESTING OF BLOOD COMP,334.0,,5.58,300.6,68
CPT,86644,CMV TOTAL ANTIBODIES**,114.0,,5.58,146.7,204
CPT,86644,ER Only-CMV IGG AB,334.0,,5.58,300.6,100
CPT,86644,ER Only-CMV TOTAL ANTIBODIES**,163.0,,5.58,146.7,50
CPT,86644,ER Only-Q-CMV ANTIBODY**,390.0,,5.58,351.0,50
CPT,86644,Q-CMV ANTIBODY**,273.0,,5.58,351.0,204
CPT,86645,CMV IGM AB,284.5,,5.5,365.4,204
CPT,86645,ER Only-CMV IGM AB,406.0,,5.5,365.4,50
CPT,86651,ER Only-Q-ENCEPHALITIS CALIF AB IGG*,67.0,,5.58,60.3,50
CPT,86651,ER Only-Q-ENCEPHALITIS CALIF AB IGM*,67.0,,5.58,60.3,38
CPT,86651,ER Only-Q-ENCEPHALITIS CALIFORNIA AB,67.0,,5.58,60.3,50
CPT,86651,Q-ENCEPHALITIS CALIF AB IGG*,47.0,,5.58,60.3,68
CPT,86651,Q-ENCEPHALITIS CALIF AB IGM*,47.0,,5.58,60.3,56
CPT,86651,Q-ENCEPHALITIS CALIFORNIA AB,47.0,,5.58,60.3,68
CPT,86652,ER Only-Q-ENCEPHAL E. EQUINE AB IGG*,81.0,,5.59,72.9,50
CPT,86652,ER Only-Q-ENCEPHAL E. EQUINE AB IGM*,81.0,,5.59,72.9,38
CPT,86652,ER Only-Q-ENCEPHAL EAST EQUINE AB**,81.0,,5.59,72.9,50
CPT,86652,Q-ENCEPHAL E. EQUINE AB IGG*,57.0,,5.59,72.9,68
CPT,86652,Q-ENCEPHAL E. EQUINE AB IGM*,57.0,,5.59,72.9,56
CPT,86652,Q-ENCEPHAL EAST EQUINE AB**,57.0,,5.59,72.9,68
CPT,86653,ER Only-Q-ENCEPHAL ST LOUIS AB IGG**,81.0,,5.6,72.9,50
CPT,86653,ER Only-Q-ENCEPHAL ST LOUIS AB IGM**,81.0,,5.6,72.9,38
CPT,86653,ER Only-Q-ENCEPHAL ST LOUIS AB**,81.0,,5.6,72.9,50
CPT,86653,Q-ENCEPHAL ST LOUIS AB IGG**,57.0,,5.6,72.9,68
CPT,86653,Q-ENCEPHAL ST LOUIS AB IGM**,57.0,,5.6,72.9,56
CPT,86653,Q-ENCEPHAL ST LOUIS AB**,57.0,,5.6,72.9,68
CPT,86654,ER Only-Q-ENCEPHAL WESTERN EQ AB IGG,81.0,,5.61,72.9,50
CPT,86654,ER Only-Q-ENCEPHAL WESTERN EQ AB IGM,81.0,,5.61,72.9,38
CPT,86654,ER Only-Q-ENCEPHAL WESTERN EQUINE AB,81.0,,5.61,72.9,50
CPT,86654,Q-ENCEPHAL WESTERN EQ AB IGG,57.0,,5.61,72.9,68
CPT,86654,Q-ENCEPHAL WESTERN EQ AB IGM,57.0,,5.61,72.9,56
CPT,86654,Q-ENCEPHAL WESTERN EQUINE AB,57.0,,5.61,72.9,68
CPT,86658,ANTI-COXSACKIE A AB,171.0,,5.63,219.6,136
CPT,86658,ANTI-COXSACKIE B AB,171.0,,5.63,219.6,136
CPT,86658,COXSACKIE A AB**,85.0,,5.63,108.9,204
CPT,86658,COXSACKIE B AB**,85.0,,5.63,108.9,204
CPT,86658,ECHOVIRUS,244.0,,5.63,219.6,68
CPT,86658,ER Only-ANTI-COXSACKIE A AB,244.0,,5.63,219.6,50
CPT,86658,ER Only-ANTI-COXSACKIE B AB,244.0,,5.63,219.6,50
CPT,86658,ER Only-COXSACKIE A AB**,121.0,,5.63,108.9,50
CPT,86658,ER Only-COXSACKIE B AB**,121.0,,5.63,108.9,50
CPT,86664,EBV ANTIBODY (NA) IGG,220.5,,5.54,283.5,204
CPT,86664,ER Only-EBV ANTIBODY (NA) IGG,315.0,,5.54,283.5,50
CPT,86664,ER Only-Q-EBV NUCLEAR AG ANTIBODY IGG,353.0,,5.54,317.7,50
CPT,86664,Q-EBV NUCLEAR AG ANTIBODY IGG,247.5,,5.54,317.7,204
CPT,86665,EBV ANTIBODY (VCA) IGG,262.0,,5.55,336.6,204
CPT,86665,EBV ANTIBODY (VCA) IGM,262.0,,5.55,336.6,204
CPT,86665,ER Only-EBV ANTIBODY (VCA) IGG,374.0,,5.55,336.6,50
CPT,86665,ER Only-EBV ANTIBODY (VCA) IGM,374.0,,5.55,336.6,50
CPT,86666,ER Only-Q-EHRLICHIA AB IGG**,222.0,,8.42,199.8,50
CPT,86666,ER Only-Q-EHRLICHIA AB IGM**,222.0,,8.42,199.8,38
CPT,86666,ER Only-Z*M-EHRLICHIA AB ADDL**,222.0,,8.42,199.8,38
CPT,86666,ER Only-Z*M-EHRLICHIA AB IGG**,222.0,,8.42,199.8,50
CPT,86666,Q-EHRLICHIA AB IGG**,155.5,,8.42,199.8,136
CPT,86666,Q-EHRLICHIA AB IGM**,155.5,,8.42,199.8,112
CPT,86666,Z*M-EHRLICHIA AB ADDL**,155.5,,8.42,199.8,56
CPT,86666,Z*M-EHRLICHIA AB IGG**,155.5,,8.42,199.8,68
CPT,86671,ER Only-SACCHAROMYCE CEREVISIAE AB IGA,208.0,,5.4,187.2,50
CPT,86671,ER Only-SACCHAROMYCE CEREVISIAE AB IGG,208.0,,5.4,187.2,50
CPT,86671,SACCHAROMYCE CEREVISIAE AB IGA,146.0,,5.4,187.2,204
CPT,86671,SACCHAROMYCE CEREVISIAE AB IGG,146.0,,5.4,187.2,204
CPT,86677,ER Only-HELICOBACTER PYLORI ANTIBODY,308.0,,5.68,277.2,50
CPT,86677,HELICOBACTER PYLORI ANTIBODY,216.0,,5.68,277.2,204
CPT,86682,ER Only-Q-TOXOCARA AB (ELISA) SERUM,259.0,,5.69,233.1,50
CPT,86682,Q-HELMINTH AB NOT SPECIFIED,445.0,,5.69,400.5,68
CPT,86682,Q-TOXOCARA AB (ELISA) SERUM,181.5,,5.69,233.1,204
CPT,86687,ER Only-M-HTLV-I/II AB SCREEN- SERUM,308.0,,8.36,277.2,50
CPT,86687,M-HTLV-I/II AB SCREEN- SERUM,216.0,,8.36,277.2,136
CPT,86689,ER Only-M-HTLV-I/II AB CONFIRMATION- S,994.0,,17.8,894.6,50
CPT,86689,M-HTLV-I/II AB CONFIRM; SERUM,994.0,,17.8,894.6,68
CPT,86689,M-HTLV-I/II AB CONFIRMATION- S,696.0,,17.8,894.6,136
CPT,86692,Q-HEPATITIS DELTA AGENT AB,267.0,,5.78,240.3,68
CPT,86695,ER Only-HSV IGG-I AB,260.0,,5.74,234.0,50
CPT,86695,HERPES SIMPLEX HSV 1M,260.0,,5.74,234.0,68
CPT,86695,HSV IGG-I AB,182.0,,5.74,234.0,204
CPT,86696,ER Only-HSV IGG-II AB,379.0,,17.8,341.1,50
CPT,86696,HERPES SIMPLEX HSV 2M,379.0,,17.8,341.1,68
CPT,86696,HSV IGG-II AB,265.5,,17.8,341.1,204
CPT,86703,ER Only-HIV 1/2 PLUS O AB SCR**,155.0,,5.71,139.5,100
CPT,86703,ER Only-HIV-1/HIV-2 AB,344.0,,5.71,309.6,50
CPT,86703,ER Only-Q-HIV-1/HIV-2 SGL RESULT AB**,373.0,,5.71,335.7,50
CPT,86703,HIV 1/2 PLUS O AB SCR**,108.5,,5.71,139.5,408
CPT,86703,HIV-1/HIV-2 AB,241.0,,5.71,309.6,68
CPT,86703,Q-HIV-1/HIV-2 SGL RESULT AB**,261.0,,5.71,335.7,204
CPT,86704,ER Only-HEP B CORE AB TOTAL**,125.0,,5.36,112.5,50
CPT,86704,ER Only-HEP B CORE ANTIBODY TOTAL**,136.0,,5.36,122.4,50
CPT,86704,ER Only-HEPATITIS B CORE AB- TOTAL,172.0,,5.36,154.8,50
CPT,86704,ER Only-Q-HEPATITIS B CORE AB**,241.0,,5.36,216.9,50
CPT,86704,HEP B CORE AB TOTAL**,87.5,,5.36,112.5,204
CPT,86704,HEP B CORE ANTIBODY TOTAL**,95.5,,5.36,122.4,204
CPT,86704,"HEPATITIS B CORE AB, TOTAL",172.0,,5.36,154.8,68
CPT,86704,HEPATITIS B CORE AB- TOTAL,120.5,,5.36,154.8,136
CPT,86704,Q-HEPATITIS B CORE AB**,169.0,,5.36,216.9,204
CPT,86705,ER Only-HEP B CORE AB IGM,305.0,,5.71,274.5,50
CPT,86705,ER Only-HEPATITIS B CORE IGM,305.0,,5.71,274.5,50
CPT,86705,HEP B CORE AB IGM,213.5,,5.71,274.5,136
CPT,86705,HEPATITIS B CORE IGM,213.5,,5.71,274.5,204
CPT,86706,ER Only-HEPATITIS B SURF ANTIBOD,267.0,,5.72,240.3,50
CPT,86706,ER Only-HEPATITIS B SURFACE AB,267.0,,5.72,240.3,50
CPT,86706,HEPATITIS B SURF ANTIBOD,187.0,,5.72,240.3,136
CPT,86706,HEPATITIS B SURFACE AB,187.0,,5.72,240.3,136
CPT,86707,ER Only-HEPATITIS BE ANTIBODY,594.0,,5.73,534.6,50
CPT,86707,HEPATITIS BE ANTIBODY,416.0,,5.73,534.6,204
CPT,86708,ER Only-HEPATITIS A AB IGG,196.0,,5.68,176.4,50
CPT,86708,ER Only-HEPATITIS A TOTAL,242.0,,5.68,217.8,50
CPT,86708,HEPATITIS A AB IGG,137.5,,5.68,176.4,204
CPT,86708,HEPATITIS A TOTAL,169.5,,5.68,217.8,68
CPT,86709,ER Only-HEPATITIS A IGM,221.0,,5.69,198.9,50
CPT,86709,HEPATITIS A IGM,155.0,,5.69,198.9,272
CPT,86713,ER Only-Q-LEGIONELLA AB- EA ADDL,297.0,,5.67,267.3,38
CPT,86713,ER Only-Q-LEGIONELLA AB- INITIAL,297.0,,5.67,267.3,50
CPT,86713,Q-LEGIONELLA AB- EA ADDL,208.0,,5.67,267.3,112
CPT,86713,Q-LEGIONELLA AB- INITIAL,208.0,,5.67,267.3,136
CPT,86735,ER Only-MUMPS ANTIBODY IGG,237.0,,5.56,213.3,100
CPT,86735,MUMPS ANTIBODY,237.0,,5.56,213.3,68
CPT,86735,MUMPS ANTIBODY IGG,166.0,,5.56,213.3,340
CPT,86735,MUMPS ANTIBODY IGM,237.0,,5.56,213.3,68
CPT,86747,ER Only-Q-PARVOVIRUS B19 AB EA,275.0,,5.56,247.5,50
CPT,86747,Q-PARVOVIRUS B19 AB EA,192.5,,5.56,247.5,272
CPT,86753,ER Only-Q-DONOR CHAGAS DZ SCREEN,293.0,,5.63,263.7,50
CPT,86753,ER Only-T CRUZI AB IGG - ARUP,130.0,,5.63,117.0,50
CPT,86753,ER Only-TRYPANOSOMA CRUZI AB TOTAL,341.0,,5.63,306.9,50
CPT,86753,Q-DONOR CHAGAS DZ SCREEN,205.0,,5.63,263.7,204
CPT,86753,Q-PROTOZOA E HISTOLYTICA AB,204.0,,5.63,183.6,68
CPT,86753,T CRUZI AB IGG - ARUP,91.0,,5.63,117.0,204
CPT,86753,TRYPANOSOMA CRUZI AB TOTAL,239.0,,5.63,306.9,204
CPT,86757,ER Only-Q-RICKETTSIA AB IGG**,241.0,,5.62,216.9,50
CPT,86757,ER Only-Q-RICKETTSIA AB IGM**,241.0,,5.62,216.9,50
CPT,86757,Q-RICKETTSIA AB IGG**,169.0,,5.62,216.9,136
CPT,86757,Q-RICKETTSIA AB IGM**,169.0,,5.62,216.9,136
CPT,86762,ER Only-RUBELLA ANTIBODY,253.0,,5.64,227.7,100
CPT,86762,RUBELLA ANTIBODY,177.5,,5.64,227.7,340
CPT,86765,ER Only-MEASLES IGG,195.0,,5.65,175.5,50
CPT,86765,ER Only-Q-RUBEOLA ANTIBODY IGG,271.0,,5.65,243.9,50
CPT,86765,ER Only-Q-RUBEOLA ANTIBODY IGM,506.0,,5.65,455.4,50
CPT,86765,MEASLES IGG,136.5,,5.65,175.5,204
CPT,86765,Q-RUBEOLA ANTIBODY IGG,190.0,,5.65,243.9,136
CPT,86765,Q-RUBEOLA ANTIBODY IGM,354.5,,5.65,455.4,136
CPT,86769,COVID-19 IGG,90.5,,8.13,116.1,204
CPT,86769,COVID-19 IGG SPIKE AB,90.5,,8.13,116.1,204
CPT,86769,ER Only-COVID-19 IGG,129.0,,8.13,116.1,50
CPT,86769,ER Only-COVID-19 IGG SPIKE AB,129.0,,8.13,116.1,50
CPT,86774,ER Only-Q-TETANUS ANTIBODY,362.0,,5.61,325.8,50
CPT,86774,Q-TETANUS ANTIBODY,253.5,,5.61,325.8,272
CPT,86777,ER Only-TOXOPLASMA GONDII IGG PED ARUP,174.0,,5.59,156.6,50
CPT,86777,ER Only-TOXOPLASMA IGG ANTIBODY,329.0,,5.59,296.1,100
CPT,86777,Q-TOXOPLASMA ANTIBODY IGG,376.0,,5.59,338.4,68
CPT,86777,TOXOPLASMA GONDII IGG PED ARUP,122.0,,5.59,156.6,136
CPT,86777,TOXOPLASMA GONDII IGG PEDARUP,174.0,,5.59,156.6,68
CPT,86777,TOXOPLASMA IGG  CSF,346.0,,5.59,311.4,68
CPT,86777,TOXOPLASMA IGG ANTIBODY,230.5,,5.59,296.1,408
CPT,86778,ER Only-TOXOPLASMA GONDII IGM PED ARUP,174.0,,6.4,156.6,50
CPT,86778,ER Only-TOXOPLASMA IGM,330.0,,6.4,297.0,100
CPT,86778,TOXOPLASMA GONDII IGM PED ARUP,122.0,,6.4,156.6,204
CPT,86778,TOXOPLASMA IGM,231.0,,6.4,297.0,408
CPT,86780,ER Only-Q-TREPONEMA P ANTIBODY CONFIRM,273.0,,12.18,245.7,50
CPT,86780,ER Only-Q-TREPONEMA PALLIDUM AB**,360.0,,12.18,324.0,50
CPT,86780,ER Only-SYPHILIS IGG AB**,139.0,,12.18,125.1,50
CPT,86780,ER Only-SYPHILIS IGG ANTIBODY**,150.0,,12.18,135.0,50
CPT,86780,ER Only-TREPONEMA PALLIDUM ANTIBODY,263.0,,12.18,236.7,50
CPT,86780,ER Only-TREPONEMA PALLIDUM HA,263.0,,12.18,236.7,50
CPT,86780,Q-TREPONEMA P ANTIBODY CONFIRM,191.0,,12.18,245.7,272
CPT,86780,Q-TREPONEMA PALLIDUM AB**,252.0,,12.18,324.0,204
CPT,86780,SYPHILIS IGG AB**,97.5,,12.18,125.1,204
CPT,86780,SYPHILIS IGG ANTIBODY**,105.0,,12.18,135.0,204
CPT,86780,TREPONEMA PALLIDUM ANTIBODY,184.0,,12.18,236.7,204
CPT,86780,TREPONEMA PALLIDUM HA,184.0,,12.18,236.7,136
CPT,86780,TREPONENA PALLIDUM HA,263.0,,12.18,236.7,68
CPT,86787,ER Only-Q-VARICELLA-ZOSTER IGM AB,337.0,,5.63,303.3,50
CPT,86787,ER Only-VARICELLA-ZOSTER ANTIBODY IGG,298.0,,5.63,268.2,100
CPT,86787,ER Only-VZV ANTIBODY IGG CSF,174.0,,5.63,156.6,50
CPT,86787,ER Only-VZV ANTIBODY IGM CSF,174.0,,5.63,156.6,50
CPT,86787,Q-VARICELLA-ZOSTER IGM AB,236.0,,5.63,303.3,272
CPT,86787,VARICELLA-ZOSTER ANTIBODY IGG,208.5,,5.63,268.2,340
CPT,86787,VZV ANTIBODY IGG CSF,122.0,,5.63,156.6,204
CPT,86787,VZV ANTIBODY IGM CSF,122.0,,5.63,156.6,204
CPT,86788,ER Only-Q-WEST NILE VIRUS ANTIBODY IGM,364.0,,15.5,327.6,50
CPT,86788,Q-WEST NILE VIR ANTIBODY IGM,364.0,,15.5,327.6,68
CPT,86788,Q-WEST NILE VIRUS ANTIBODY IGM,255.0,,15.5,327.6,136
CPT,86789,ER Only-Q-WEST NILE VIRUS ANTIBODY,364.0,,13.24,327.6,50
CPT,86789,Q-WEST NILE VIRUS ANTIBODY,255.0,,13.24,327.6,204
CPT,86790,ER Only-HTLV-I/II ANTIBODY SCREEN**,146.0,,5.59,131.4,50
CPT,86790,ER Only-Q-DONOR HTLV-I/II AB SCREEN,385.0,,5.59,346.5,50
CPT,86790,ER Only-Q-VIRUS NOT ELSEWHERE SPEC**,350.0,,5.59,315.0,50
CPT,86790,HTLV-I/II ANTIBODY SCREEN**,102.5,,5.59,131.4,204
CPT,86790,M-HTLV-I/II AB SCREEN- SERUM,308.0,,5.59,277.2,68
CPT,86790,Q-DONOR HTLV-I/II AB SCREEN,269.5,,5.59,346.5,68
CPT,86790,Q-VIRUS NOT ELSEWHERE SPEC**,245.0,,5.59,315.0,204
CPT,86800,ER Only-Q-THYROGLOBULIN ANTIBODY,178.0,,14.64,160.2,50
CPT,86800,ER Only-Q-THYROGLOBULIN ANTIBODY**,139.0,,14.64,125.1,50
CPT,86800,ER Only-THRYOGLOBULIN ANTIBODY XX,364.0,,14.64,327.6,50
CPT,86800,ER Only-THYROGLOBULIN ANTIBODY,364.0,,14.64,327.6,50
CPT,86800,ER Only-THYROGLOBULIN IGG**,68.0,,14.64,61.2,50
CPT,86800,Q-THYROGLOBULIN ANTIBODY,124.5,,14.64,160.2,204
CPT,86800,Q-THYROGLOBULIN ANTIBODY**,97.5,,14.64,125.1,204
CPT,86800,THRYOGLOBULIN ANTIBODY XX,255.0,,14.64,327.6,204
CPT,86800,THYROGLOBULIN ANTIBODY,255.0,,14.64,327.6,204
CPT,86800,THYROGLOBULIN IGG**,48.0,,14.0,61.2,204
CPT,86803,ADOLESCENT HCV AB,147.0,,13.13,132.3,136
CPT,86803,ER Only-HEP C AB**,150.0,,13.13,135.0,50
CPT,86803,ER Only-HEPATITIS C AB**,163.0,,13.13,146.7,50
CPT,86803,ER Only-Q-HEPATITIS C ANTIBODY**,348.0,,13.13,313.2,50
CPT,86803,HEP C AB**,105.0,,13.13,135.0,204
CPT,86803,HEPATITIS C AB**,114.0,,13.13,146.7,204
CPT,86803,Q-HEPATITIS C ANTIBODY**,243.5,,13.13,313.2,204
CPT,86816,DR ANTIGEN,499.0,,27.76,449.1,68
CPT,86825,FLOW CROSSMATCH 01,1586.0,,100.73,1427.4,68
CPT,86825,FLOW CROSSMATCH 02,1586.0,,100.73,1427.4,68
CPT,86825,FLOW CROSSMATCH 03,1586.0,,100.73,1427.4,68
CPT,86825,FLOW CROSSMATCH 04,1586.0,,100.73,1427.4,68
CPT,86825,FLOW CROSSMATCH DSA,1586.0,,100.73,1427.4,68
CPT,86825,X-MATCH/FLOW 03 INIT**,1586.0,,100.73,1427.4,68
CPT,86826,X-MATCH/FLOW 03 ADDL W/MOD**,115.0,,54.8,103.5,56
CPT,86826,X-MATCH/FLOW 03 ADDL**,115.0,,33.61,103.5,68
CPT,86828,HLA CLASS I & II ANTIGENS QUAL,988.0,,25.68,889.2,68
CPT,86828,LUMINEX MIX 1/2,712.0,,25.68,640.8,204
CPT,86829,FLOW PRA CLASS 2 TREATED SERA,1138.0,,59.05,1024.2,136
CPT,86830,HLA CLASS I PHENOTYPES QUAL,752.0,,87.88,676.8,68
CPT,86830,LUM IMM LMID CL I TRTD SERA,935.0,,87.88,841.5,68
CPT,86830,LUMINEX PHENOTYPE BEADS I,935.0,,87.88,841.5,68
CPT,86831,LUM IMM LMID CL II TRTD SERA,779.0,,75.33,701.1,68
CPT,86831,LUMINEX PHENOTYPE II,779.0,,75.33,701.1,68
CPT,86832,LUM IMM LSA CL I TRTD SERA,955.0,,168.3,859.5,68
CPT,86832,LUM SAB CL I SUPP DSA**,955.0,,168.3,859.5,68
CPT,86832,LUMINEX SAB AUTO,955.0,,168.3,859.5,68
CPT,86832,LUMINEX SGL AG 1 C1Q DSA,955.0,,168.3,859.5,68
CPT,86832,LUMINEX SGL AG 1 TREATED SERA,955.0,,168.3,859.5,408
CPT,86832,LUMINEX SGL AG I EXPLEX DSA**,994.0,,168.3,894.6,68
CPT,86832,LUMINEX SGL AG I EXPLEX MTH**,994.0,,168.3,894.6,68
CPT,86832,LUMINEX SGL AG I EXPLEX**,994.0,,168.3,894.6,68
CPT,86832,LUMINEX SGL ANTIGEN 1 DILUTED,955.0,,168.3,859.5,68
CPT,86832,LUMINEX SINGLE ANTIGEN 1,955.0,,168.3,859.5,68
CPT,86832,LUMINEX SINGLE ANTIGEN 1 C1Q,955.0,,168.3,859.5,68
CPT,86832,LUMINEX SINGLE ANTIGEN I,994.0,,168.3,894.6,68
CPT,86832,LUMINEX SINGLE ANTIGEN I DSA,994.0,,168.3,894.6,68
CPT,86832,LUMINEX SINGLE ANTIGEN I MTH,994.0,,168.3,894.6,68
CPT,86833,LUM IMM LSA CL II TRTD SERA,955.0,,153.0,859.5,68
CPT,86833,LUM SAB CL II SUPP DSA**,955.0,,153.0,859.5,68
CPT,86833,LUMINEX SGL AG 2 C1Q DSA**,955.0,,153.0,859.5,68
CPT,86833,LUMINEX SGL AG 2 TREATED SERA,955.0,,153.0,859.5,272
CPT,86833,LUMINEX SGL AG II EXPLEX DSA**,994.0,,153.0,894.6,68
CPT,86833,LUMINEX SGL AG II EXPLEX MTH**,994.0,,153.0,894.6,68
CPT,86833,LUMINEX SGL AG II EXPLEX**,994.0,,153.0,894.6,68
CPT,86833,LUMINEX SGL ANTIGEN 2 DILUTED,955.0,,153.0,859.5,68
CPT,86833,LUMINEX SINGLE ANTIGEN 2,955.0,,153.0,859.5,68
CPT,86833,LUMINEX SINGLE ANTIGEN 2 C1Q,955.0,,153.0,859.5,68
CPT,86833,LUMINEX SINGLE ANTIGEN II,994.0,,153.0,894.6,68
CPT,86833,LUMINEX SINGLE ANTIGEN II DSA,994.0,,153.0,894.6,68
CPT,86833,LUMINEX SINGLE ANTIGEN II MTH,994.0,,153.0,894.6,68
CPT,86850,ER Only-RBC ANTIBODY SCREEN,161.0,,5.63,144.9,50
CPT,86850,RBC ANTIBODY SCREEN,113.0,,5.63,144.9,340
CPT,86860,RBC ANTIBODY ELUTION,445.0,,1.96,400.5,136
CPT,86870,ER Only-RBC AB IDENTIFICATION PANEL,434.0,,2.7,442.83,50
CPT,86870,RBC AB IDENTIFICATION PANEL,304.0,,2.7,442.83,272
CPT,86880,COOMBS  DIRECT,140.0,,4.4,126.0,68
CPT,86880,COOMBS DIRECT,98.0,,4.4,126.0,272
CPT,86880,DAT IGG,140.0,,4.4,126.0,204
CPT,86880,ER Only-COOMBS DIRECT,140.0,,4.4,126.0,50
CPT,86886,ANTIBODY TITRATION,181.0,,4.77,210.95,136
CPT,86890,BLOOD PROCESSING AUTOLOGOUS,1211.0,,6.19,1089.9,68
CPT,86891,BLOOD SALVAGE INTRA-OP,3241.0,,8.76,2916.9,68
CPT,86891,CELL SAVER,3241.0,,8.76,2916.9,68
CPT,86900,ABO CONFIRMATION,72.0,,2.75,158.68,68
CPT,86900,BLOOD TYPING ABO,50.5,,2.75,158.68,340
CPT,86900,ER Only-BLOOD TYPING ABO,72.0,,2.75,158.68,50
CPT,86901,BLOOD TYPING RH (D),75.5,,2.75,97.2,340
CPT,86901,ER Only-BLOOD TYPING RH (D),108.0,,2.75,97.2,50
CPT,86902,"AG SCRN REF-(E,S)",198.0,,5.21,178.2,136
CPT,86902,"AG SCRN REF-(KPB,V,VEL)",198.0,,5.21,178.2,136
CPT,86902,ANTIGEN SCREEN-DONOR UNIT EA,198.0,,5.21,178.2,272
CPT,86905,DONOR RBC AG TYPING NON ABO/RH,344.0,,3.52,309.6,204
CPT,86905,ER Only-RBC AG TYPING NON ABO/RH,357.0,,3.52,321.3,50
CPT,86905,RBC AG TYPING NON ABO/RH,250.0,,3.52,321.3,204
CPT,86920,CROSSMATCH IMMEDIATE SPIN,213.0,,2.2,273.6,340
CPT,86920,ER Only-CROSSMATCH IMMEDIATE SPIN,304.0,,2.2,273.6,50
CPT,86921,CROSSMATCH PREWARM,594.0,,1.96,534.6,68
CPT,86921,"CROSSMATCH, PREWARM",594.0,,1.96,534.6,68
CPT,86922,CROSSMATCH ANTIGLOBULIN (AHG),302.5,,2.33,388.8,204
CPT,86922,"CROSSMATCH, EXTENDED",432.0,,2.33,388.8,68
CPT,86922,ER Only-CROSSMATCH ANTIGLOBULIN (AHG),432.0,,2.33,388.8,50
CPT,86923,COMPAT TEST ELECTRONIC,147.0,,1.76,223.74,340
CPT,86923,ER Only-COMPAT TEST ELECTRONIC,210.0,,1.76,223.74,50
CPT,86945,BLOOD PRODUCT IRRADIATION,326.0,,1.83,293.4,68
CPT,86965,BLOOD PRODUCT POOL,237.0,,2.03,213.3,272
CPT,86970,DITHIOTHREITOL (DTT),162.0,,1.83,207.9,272
CPT,86970,ER Only-DITHIOTHREITOL (DTT),231.0,,1.83,207.9,50
CPT,86978,RBC PRETREAT ABSORPTION,509.0,,2.2,458.1,68
CPT,86985,SPLITTING BLOOD UNIT,219.0,,1.6,223.74,68
CPT,86999,DIRECTED DONOR SERVICE,664.0,,20.18,597.6,68
CPT,86999,MOLECULAR ABO TYPING,281.0,,20.18,252.9,68
CPT,87015,AFB CONCENTRATION PROCEDURE,80.0,,2.24,102.6,204
CPT,87015,CF AFB CONCENTRATION PROCEDURE,114.0,,2.24,102.6,56
CPT,87015,CONC STOOL,80.0,,2.24,102.6,204
CPT,87015,CONCENTRATION ANY TYPE **,80.0,,2.24,102.6,272
CPT,87015,ER Only-AFB CONCENTRATION PROCEDURE,114.0,,2.24,102.6,50
CPT,87015,ER Only-CONC STOOL,114.0,,2.24,102.6,50
CPT,87015,ER Only-CONCENTRATION ANY TYPE **,114.0,,2.24,102.6,50
CPT,87040,"CULT, BLOOD AEROBIC,SCRN",142.0,,9.49,127.8,68
CPT,87040,CULTURE BLD AEROBIC,142.0,,9.49,127.8,68
CPT,87040,CULTURE BLOOD FOR SBE**,162.5,,11.07,208.8,168
CPT,87040,"CULTURE, BLOOD",99.5,,9.49,127.8,136
CPT,87040,"CULTURE, BLOOD, AER AND ANA",162.5,,9.49,208.8,204
CPT,87040,ER Only-CULTURE BLOOD FOR SBE**,232.0,,11.07,208.8,38
CPT,87040,"ER Only-CULTURE, BLOOD",142.0,,9.49,127.8,50
CPT,87040,"ER Only-CULTURE, BLOOD, AER AND ANA",232.0,,9.49,208.8,50
CPT,87045,CULT STOOL SALMONELLA/SHIGELLA,61.5,,8.68,163.8,408
CPT,87045,ER Only-CULT STOOL SALMONELLA/SHIGELLA,116.0,,8.68,163.8,100
CPT,87046,CULT STOOL CAMPYLOBACTER**,35.0,,3.05,45.0,204
CPT,87046,CULT STOOL YERSINIA**,35.0,,3.05,45.0,204
CPT,87046,ER Only-CULT STOOL CAMPYLOBACTER**,50.0,,3.05,45.0,50
CPT,87046,ER Only-CULT STOOL YERSINIA**,50.0,,3.05,45.0,50
CPT,87046,Q-CULTURE STOOL YERSINIA,174.0,,3.05,156.6,68
CPT,87070,CULTURE CSF,166.5,,7.93,214.2,136
CPT,87070,CULTURE EYE,238.0,,7.93,214.2,68
CPT,87070,CULTURE OTHER SOURCE,166.5,,7.93,214.2,272
CPT,87070,CULTURE SPUTUM,166.5,,7.93,214.2,136
CPT,87070,CULTURE WOUND,166.5,,7.93,214.2,136
CPT,87070,"CULTURE, BODY FLUID, AEROBIC",166.5,,7.93,214.2,204
CPT,87070,"CULTURE, CERVIX",166.5,,7.93,214.2,204
CPT,87070,"CULTURE, CSF, SCREEN",238.0,,7.93,214.2,68
CPT,87070,"CULTURE, CYSTIC FIBROSIS, MISC",166.5,,7.93,214.2,204
CPT,87070,"CULTURE, SPUTUM",238.0,,7.93,214.2,68
CPT,87070,"CULTURE, WOUND,SCREEN",238.0,,7.93,214.2,68
CPT,87070,ER Only-CULTURE CSF,238.0,,7.93,214.2,50
CPT,87070,ER Only-CULTURE OTHER SOURCE,238.0,,7.93,214.2,50
CPT,87070,ER Only-CULTURE SPUTUM,238.0,,7.93,214.2,50
CPT,87070,ER Only-CULTURE WOUND,238.0,,7.93,214.2,50
CPT,87070,"ER Only-CULTURE, BODY FLUID, AEROBIC",238.0,,7.93,214.2,50
CPT,87070,"ER Only-CULTURE, CERVIX",238.0,,7.93,214.2,50
CPT,87070,"ER Only-CULTURE, CYSTIC FIBROSIS, MISC",238.0,,7.93,214.2,50
CPT,87070,ER Only-THROAT CULTURE,238.0,,7.93,214.2,50
CPT,87070,PHARMACY QC SOLUTION CULTURE,238.0,,7.93,214.2,68
CPT,87070,SURVEY CULTURE/OTHER,238.0,,7.93,214.2,68
CPT,87070,THROAT CULTURE,166.5,,7.93,214.2,204
CPT,87070,WATER/DIALYSIS CULTURE,238.0,,7.93,214.2,68
CPT,87071,COLONY COUNT OTHER QN,262.0,,6.1,235.8,136
CPT,87075,"CULT,ANAEROBE SCREEN",283.0,,8.71,254.7,68
CPT,87075,CULTURE ANAEROBIC,198.5,,8.71,254.7,136
CPT,87075,"CULTURE, BODY FLUID, ANAEROBIC",166.5,,8.71,214.2,204
CPT,87075,ER Only-CULTURE ANAEROBIC,283.0,,8.71,254.7,50
CPT,87075,"ER Only-CULTURE, BODY FLUID, ANAEROBIC",238.0,,8.71,214.2,50
CPT,87076,ANAEROBIC ORGANISM ID,99.0,,6.64,126.9,204
CPT,87076,ANAEROBIC ORGANISM ID - BRUKER,99.0,,6.64,126.9,204
CPT,87076,ER Only-ANAEROBIC ORGANISM ID,141.0,,6.64,126.9,50
CPT,87076,ER Only-ANAEROBIC ORGANISM ID - BRUKER,141.0,,6.64,126.9,50
CPT,87077,AER ORGANISM ID - BRUKER,181.0,,7.43,162.9,136
CPT,87077,AER ORGANISM ID - BUEKER,127.0,,7.43,162.9,68
CPT,87077,AER ORGANISM ID - VITEK,127.0,,7.43,162.9,204
CPT,87077,AER ORGANISM ID-CRYSTAL GN,127.0,,7.43,162.9,204
CPT,87077,AER ORGANISM ID-CRYSTAL GP,127.0,,7.43,162.9,204
CPT,87077,AER ORGANISM ID-RAPID CB,127.0,,7.43,162.9,204
CPT,87077,AER ORGANISM ID-RAPID NF,127.0,,7.43,162.9,136
CPT,87077,AER ORGANISM ID-RAPID NH,127.0,,7.43,162.9,204
CPT,87077,ER Only-AER ORGANISM ID - BUEKER,181.0,,7.43,162.9,50
CPT,87077,ER Only-AER ORGANISM ID - VITEK,181.0,,7.43,162.9,50
CPT,87077,ER Only-AER ORGANISM ID-CRYSTAL GN,181.0,,7.43,162.9,50
CPT,87077,ER Only-AER ORGANISM ID-CRYSTAL GP,181.0,,7.43,162.9,50
CPT,87077,ER Only-AER ORGANISM ID-RAPID CB,181.0,,7.43,162.9,50
CPT,87077,ER Only-AER ORGANISM ID-RAPID NF,181.0,,7.43,162.9,50
CPT,87077,ER Only-AER ORGANISM ID-RAPID NH,181.0,,7.43,162.9,50
CPT,87077,ER Only-STREPTOCOCCUS BIOCHEM ID,97.0,,7.43,87.3,50
CPT,87077,STREPTOCOCCUS BIOCHEM ID,68.0,,7.43,87.3,204
CPT,87081,CULTURE ESBL,107.5,,4.47,137.7,204
CPT,87081,CULTURE FOR GC,107.5,,4.47,137.7,136
CPT,87081,CULTURE N-P,107.5,,4.47,137.7,136
CPT,87081,CULTURE SCREEN C. AURIS,107.5,,4.47,137.7,204
CPT,87081,"CULTURE, FOR GC, SCREEN",153.0,,4.47,137.7,68
CPT,87081,"CULTURE, LEGIONELLA",153.0,,4.47,137.7,68
CPT,87081,"CULTURE, NASOPHARYNX",153.0,,4.47,137.7,68
CPT,87081,"CULTURE, STREP",107.5,,4.47,137.7,136
CPT,87081,ER Only-CULTURE ESBL,153.0,,4.47,137.7,50
CPT,87081,ER Only-CULTURE FOR GC,153.0,,4.47,137.7,50
CPT,87081,ER Only-CULTURE N-P,153.0,,4.47,137.7,50
CPT,87081,ER Only-CULTURE SCREEN C. AURIS,153.0,,4.47,137.7,50
CPT,87081,"ER Only-CULTURE, STREP",153.0,,4.47,137.7,50
CPT,87081,ER Only-VANCO RESIST ENTEROCOCCUS SCRN,153.0,,4.47,137.7,50
CPT,87081,VANCO RESIST ENTEROCOCCUS SCRN,107.5,,4.47,137.7,136
CPT,87086,COLONY COUNT URINE,152.5,,6.77,196.2,204
CPT,87086,"COLONY COUNT, URINE",218.0,,6.77,196.2,68
CPT,87086,ER Only-COLONY COUNT URINE,218.0,,6.77,196.2,50
CPT,87088,"ER Only-IDENTIFICATION C & S, UR",141.0,,4.55,126.9,50
CPT,87088,"IDENTIFICATION C & S, UR",99.0,,4.55,126.9,68
CPT,87102,CULTURE FUNGUS,185.0,,6.5,237.6,136
CPT,87102,"CULTURE, FUNGUS, SCREEN",264.0,,6.5,237.6,68
CPT,87102,ER Only-CULTURE FUNGUS,264.0,,6.5,237.6,50
CPT,87103,CULTURE BLOOD FOR FUNGUS**,185.0,,6.71,237.6,168
CPT,87103,CULTURE FUNGUS/BLD,185.0,,6.71,237.6,136
CPT,87103,"CULTURE, FUNGUS/BLOOD,SCRE",264.0,,6.71,237.6,68
CPT,87103,ER Only-CULTURE BLOOD FOR FUNGUS**,264.0,,6.71,237.6,38
CPT,87103,ER Only-CULTURE FUNGUS/BLD,264.0,,6.71,237.6,50
CPT,87106,ER Only-YEAST ORGANISM ID,197.0,,8.64,177.3,50
CPT,87106,ER Only-YEAST ORGANISM ID - BRUKER,141.0,,8.64,126.9,50
CPT,87106,YEAST ORGANISM ID,138.0,,8.64,177.3,204
CPT,87106,YEAST ORGANISM ID - BRUKER,99.0,,8.64,126.9,204
CPT,87107,CULTURE FUNGUS ID MOLD,158.5,,9.49,203.4,204
CPT,87107,ER Only-CULTURE FUNGUS ID MOLD,226.0,,9.49,203.4,50
CPT,87107,ER Only-MOLD ID BY MALDI-TOF,226.0,,9.49,203.4,50
CPT,87107,MOLD ID BY MALDI-TOF,158.5,,9.49,203.4,204
CPT,87109,ER Only-MYCOPLASMA CULTURE,260.0,,6.73,234.0,51
CPT,87109,ER Only-UREAPLASMA CULTURE,260.0,,6.73,234.0,51
CPT,87109,MYCOPLASMA CULTURE,182.0,,6.73,234.0,207
CPT,87109,UREAPLASMA CULTURE,182.0,,6.73,234.0,138
CPT,87109,"UREAPLASMA,CULTURE",260.0,,6.73,234.0,69
CPT,87110,CHLAMYDIA CULTURE,105.0,,15.47,135.0,204
CPT,87110,ER Only-CHLAMYDIA CULTURE,150.0,,15.47,135.0,50
CPT,87116,CULTURE BLOOD AFB**,174.0,,3.37,223.2,68
CPT,87116,CULTURE BLOOD FOR AFB**,248.0,,3.37,223.2,136
CPT,87116,"CULTURE, AFB, BLOOD",174.0,,3.37,223.2,136
CPT,87116,"CULTURE, TB, SCREEN",174.0,,3.37,223.2,204
CPT,87116,"CULTURE,AFB,BLOOD",248.0,,3.37,223.2,68
CPT,87116,ER Only-CULTURE BLOOD AFB**,248.0,,3.37,223.2,50
CPT,87116,"ER Only-CULTURE, AFB, BLOOD",248.0,,3.37,223.2,50
CPT,87116,"ER Only-CULTURE, TB, SCREEN",248.0,,3.37,223.2,50
CPT,87118,AFB NOCARDIA ID BY MALDI-TOF,174.0,,12.24,223.2,204
CPT,87118,ER Only-AFB NOCARDIA ID BY MALDI-TOF,248.0,,12.24,223.2,50
CPT,87147,CULTURE TYPING-PBP2A,68.0,,3.39,87.3,204
CPT,87147,CULTURE TYPING-STREPTEX,68.0,,3.39,87.3,204
CPT,87147,ER Only-CULTURE TYPING-PBP2A,97.0,,3.39,87.3,50
CPT,87147,ER Only-CULTURE TYPING-STREPTEX,97.0,,3.39,87.3,50
CPT,87147,ER Only-STREPTOCOCCUS PNEUMONIAE AB ID,97.0,,3.39,87.3,50
CPT,87147,SHIGELLA SPP. TYPING**,38.0,,3.39,34.2,204
CPT,87147,SHIGELLA SPP. TYPING-91**,38.0,,3.39,34.2,168
CPT,87147,STREPTOCOCCUS PNEUMONIAE AB ID,68.0,,3.39,87.3,68
CPT,87149,AFB ID BY NUCLEIC ACID PROBE,193.5,,18.45,248.4,204
CPT,87149,ER Only-AFB ID BY NUCLEIC ACID PROBE,276.0,,18.45,248.4,50
CPT,87149,ER Only-FUNGUS ID BY NUCLEIC ACID PRBE,276.0,,18.45,248.4,50
CPT,87149,FUNGUS ID BY NUCLEIC ACID PRBE,193.5,,18.45,248.4,136
CPT,87150,ER Only-RT PCR CULTURE TYPING CARBA-R*,185.0,,32.28,166.5,50
CPT,87150,RT PCR CULTURE TYPING CARBA-R*,129.5,,32.28,166.5,204
CPT,87154,BACT ID GRAM NEG (BCID GN)**,528.0,,151.0,678.6,68
CPT,87154,ER Only-BACT ID GRAM NEG (BCID GN)**,754.0,,200.62,678.6,50
CPT,87176,ER Only-MICRO -TISSUE HOMOGENIZATION,180.0,,5.41,162.0,50
CPT,87176,MICRO -TISSUE HOMOGENIZATION,126.0,,5.41,162.0,204
CPT,87177,+OVA AND PARASITES **,125.5,,8.19,161.1,204
CPT,87177,ER Only-+OVA AND PARASITES **,179.0,,8.19,161.1,50
CPT,87181,CYSTIC FIBROSIS PANEL (ETEST),81.0,,4.37,72.9,68
CPT,87181,E-TEST AMIKACIN SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST AMPICILLIN SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST AZTREONAM SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,E-TEST BACTRIM SUSCEPT,81.0,,4.37,72.9,136
CPT,87181,E-TEST CEFEPIME SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,E-TEST CEFOTAXIME SUSCEPT,57.0,,4.37,72.9,136
CPT,87181,E-TEST CEFTAZIDIEM SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,E-TEST CEFTAZIDIME/AVIBACTAM,57.0,,4.37,72.9,204
CPT,87181,E-TEST CEFTOLOZAN/TAZOBACTAM,81.0,,4.37,72.9,68
CPT,87181,E-TEST CEFTOLOZAN/TAZOBACTAN,81.0,,4.37,72.9,68
CPT,87181,E-TEST CEFTRIAXONE SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST CIPROFLOXACIN SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST CLIDAMYCIN SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,E-TEST DALBAVANCIN SUSCEPT,73.0,,4.37,65.7,136
CPT,87181,E-TEST DAPTOMYCIN SUSCEPT,57.0,,4.37,72.9,136
CPT,87181,E-TEST ERTAPENEM SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,E-TEST GENTAMICIN SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST IMIPENEM SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,E-TEST LEVOFLOXACIN SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,E-TEST LINEZOLID SUSCEPT,57.0,,4.37,72.9,136
CPT,87181,E-TEST MEROPENEM SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,E-TEST MINOCYCLINE SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST MOXIFLOXACIN SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST PENICILLIN SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST PIPERACILLIN/TAZO,81.0,,4.37,72.9,68
CPT,87181,E-TEST SULBACTAM-DURLOBACTAM,57.0,,4.37,72.9,204
CPT,87181,E-TEST SUSCEPT - ADDL,35.0,,5.69,31.5,168
CPT,87181,E-TEST TELAVANCIN SUSCEPT,73.0,,4.37,65.7,68
CPT,87181,E-TEST TETRACYCLINE SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST TIGECYCLINE SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,E-TEST TOBRAMYCIN SUSCEPT,57.0,,4.37,72.9,204
CPT,87181,E-TEST VANCOMYCIN SUSCEPT,81.0,,4.37,72.9,68
CPT,87181,ER Only-E-TEST AMIKACIN SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST AMPICILLIN SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST CEFOTAXIME SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST CEFTAZIDIME/AVIBACTAM,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST CEFTRIAXONE SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST CIPROFLOXACIN SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST DAPTOMYCIN SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST GENTAMICIN SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST LINEZOLID SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST MINOCYCLINE SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST MOXIFLOXACIN SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST PENICILLIN SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST SULBACTAM-DURLOBACTAM,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST TETRACYCLINE SUSCEPT,81.0,,4.37,72.9,50
CPT,87181,ER Only-E-TEST TOBRAMYCIN SUSCEPT,81.0,,4.37,72.9,50
CPT,87184,ER Only-KB PNEUMO ANTIBIOTIC PANEL,604.0,,6.88,543.6,50
CPT,87184,ER Only-KB STAPH ANTIBIOTIC PANEL,178.0,,6.88,160.2,50
CPT,87184,ER Only-KB STREP ANTIBIOTIC PANEL,178.0,,6.88,160.2,50
CPT,87184,"ER Only-PANEL, KB ESBL",178.0,,6.88,160.2,50
CPT,87184,KB GNR ANTIBIOTIC PANEL,178.0,,6.88,160.2,68
CPT,87184,KB PNEUMO ANTIBIOTIC PANEL,423.0,,6.88,543.6,204
CPT,87184,KB STAPH ANTIBIOTIC PANEL,125.0,,6.88,160.2,204
CPT,87184,KB STREP ANTIBIOTIC PANEL,125.0,,6.88,160.2,204
CPT,87184,"PANEL, KB ESBL",125.0,,6.88,160.2,204
CPT,87184,SUSCEPT DISK KIRBY BAUER,148.0,,6.88,133.2,68
CPT,87184,SUSCEPT DISK KIRY BAUER,148.0,,6.88,133.2,68
CPT,87185,ER Only-SUSCEPT BETA LACTAMASE,118.0,,4.37,106.2,50
CPT,87185,SUSCEPT BETA LACTAMASE,83.0,,4.37,106.2,204
CPT,87186,CYSTIC FIBROSIS PANEL (BROTH),180.0,,5.68,400.0,138
CPT,87186,CYSTIC FIBROSIS PANEL(BROTH),126.0,,5.68,400.0,69
CPT,87186,ER Only-CYSTIC FIBROSIS PANEL(BROTH),180.0,,5.68,400.0,51
CPT,87186,ER Only-MYCOBACTERIUM TUBERC PANEL,165.0,,5.68,400.0,51
CPT,87186,ER Only-NM 56 SUSCEPTIBILITY PER PLATE,231.0,,5.68,400.0,51
CPT,87186,ER Only-PM 38 SUSCEPTIBILITY PER PLATE,173.0,,5.68,400.0,51
CPT,87186,ER Only-RAPID AFB SUSCEPT PER PLATE,165.0,,5.68,400.0,51
CPT,87186,ER Only-SLOW AFB SUSCEPT PER PLATE,165.0,,5.68,400.0,51
CPT,87186,ER Only-SUSCEPT. MIC PER PLATE EA ADDL,180.0,,5.68,400.0,39
CPT,87186,ER Only-SUSCEPTIBILITY MIC PER PLATE,180.0,,5.68,400.0,51
CPT,87186,ER Only-SUSCEPTIBILITY- MIC EACH PLATE,180.0,,5.68,400.0,51
CPT,87186,ER Only-YEAST SUSCEPT (FLUCONAZOLE)**,231.0,,5.68,400.0,51
CPT,87186,ER Only-YEAST SUSCEPT (MICAFUNGIN)**,231.0,,5.68,400.0,51
CPT,87186,ER Only-YEAST SUSCEPT (VORICONAZOLE)**,231.0,,5.68,400.0,39
CPT,87186,MYCOBACTERIUM TUBERC PANEL,115.5,,5.68,400.0,276
CPT,87186,MYCOPLASMA MIC,354.0,,5.68,400.0,69
CPT,87186,NM 56 SUSCEPTIBILITY PER PLATE,162.0,,5.68,400.0,207
CPT,87186,PM 38 SUSCEPTIBILITY PER PLATE,173.0,,5.68,400.0,207
CPT,87186,RAPID AFB SUSCEPT PER PLATE,115.5,,5.68,400.0,207
CPT,87186,SLOW AFB SUSCEPT PER PLATE,115.5,,5.68,400.0,207
CPT,87186,SUSCEPT. MIC PER PLATE EA ADDL,126.0,,5.68,400.0,114
CPT,87186,SUSCEPTIBILITY MIC PER PLATE,126.0,,5.68,400.0,207
CPT,87186,SUSCEPTIBILITY- MIC EACH PLATE,126.0,,5.68,400.0,207
CPT,87186,YEAST SUSCEPT (FLUCONAZOLE)**,162.0,,5.68,400.0,69
CPT,87186,YEAST SUSCEPT (MICAFUNGIN)**,162.0,,5.68,400.0,69
CPT,87186,YEAST SUSCEPT (VORICONAZOLE)**,162.0,,5.68,400.0,57
CPT,87188,ER Only-SUSC MACROBROTH EA ADD AGENT**,100.0,,4.59,90.0,38
CPT,87188,ER Only-SUSC MACROBROTH INIT AGENT**,100.0,,4.59,90.0,50
CPT,87188,ER Only-SUSCEPT MACROBROTH ADDL,269.0,,4.59,242.1,38
CPT,87188,ER Only-SUSCEPT MACROBROTH EA AGENT,269.0,,4.59,242.1,50
CPT,87188,SUSC MACROBROTH EA ADD AGENT**,70.0,,4.59,90.0,168
CPT,87188,SUSC MACROBROTH INIT AGENT**,70.0,,4.59,90.0,204
CPT,87188,SUSCEPT MACROBROTH ADDL,188.5,,4.59,242.1,168
CPT,87188,SUSCEPT MACROBROTH EA AGENT,188.5,,4.59,242.1,204
CPT,87205,BACTERIAL VAGINOSIS SMEAR,150.0,,3.39,135.0,68
CPT,87205,EOSINOPHIL SMEAR URINE,105.0,,3.39,135.0,204
CPT,87205,ER Only-EOSINOPHIL SMEAR URINE,150.0,,3.39,135.0,50
CPT,87205,ER Only-GRAM STAIN,150.0,,3.39,135.0,50
CPT,87205,GRAM STAIN,105.0,,3.39,135.0,340
CPT,87206,ACID FAST STAIN DIRECT,87.5,,4.51,112.5,204
CPT,87206,ER Only-ACID FAST STAIN DIRECT,125.0,,4.51,112.5,50
CPT,87206,ER Only-SMEAR CALCOFLUOR STAIN,125.0,,4.51,112.5,50
CPT,87206,SMEAR CALCOFLUOR STAIN,87.5,,4.51,112.5,204
CPT,87207,+MALARIA SMEAR **,110.5,,4.52,142.2,204
CPT,87207,ER Only-+MALARIA SMEAR **,158.0,,4.52,142.2,50
CPT,87207,ER Only-PARASITE IDENTIFICATION,114.0,,4.52,102.6,50
CPT,87207,PARASITE IDENTIFICATION,80.0,,4.52,102.6,204
CPT,87209,COMPLEX SPEC STAIN O&P TRIC **,204.0,,16.54,183.6,68
CPT,87209,COMPLEX SPEC STAIN O&P TRIC**,204.0,,16.54,183.6,68
CPT,87210,SMEAR WET MOUNT INFECT AGENT,102.0,,3.43,91.8,68
CPT,87210,SMEAR WET MOUNT INFECTIOUS,102.0,,3.43,91.8,680
CPT,87220,TISSUE EXAM FUNGUS,98.0,,3.93,88.2,408
CPT,87230,Q-CLOST DIFFICILE AB NEUTRAL,368.0,,18.16,331.2,68
CPT,87252,ER Only-HERPES CULTURE,310.0,,17.75,279.0,50
CPT,87252,ER Only-Q-VIRUS ID TISSUE HERPES**,418.0,,17.75,376.2,50
CPT,87252,ER Only-VARICELLA CULTURE,310.0,,17.75,279.0,50
CPT,87252,HERPES CULTURE,217.0,,17.75,279.0,204
CPT,87252,Q-VIRUS ID TISSUE HERPES**,292.5,,17.75,376.2,68
CPT,87252,VARICELLA CULTURE,217.0,,17.75,279.0,136
CPT,87252,"VARICELLA,CULTURE",310.0,,17.75,279.0,68
CPT,87253,"CULTURE,VIRUS,SCREEN",310.0,,18.58,279.0,68
CPT,87253,ER Only-Q-CULT VIRUS ID ADDL STUDIES,418.0,,18.58,376.2,50
CPT,87253,ER Only-VIRUS CULTURE,310.0,,18.58,279.0,50
CPT,87253,Q-CULT VIRUS ID ADDL STUDIES,292.5,,18.58,376.2,68
CPT,87253,VIRUS CULTURE,217.0,,18.58,279.0,136
CPT,87254,CMV CULTURE,192.5,,5.06,247.5,204
CPT,87254,ER Only-CMV CULTURE,275.0,,5.06,247.5,50
CPT,87260,RESP VIR PNL - ADENO,148.0,,13.28,133.2,68
CPT,87260,RESP VIR PNL-ADENO,148.0,,13.28,133.2,68
CPT,87269,ER Only-GIARDIA AG DFA,153.0,,12.52,137.7,50
CPT,87269,GIARDIA AG DFA,107.5,,12.52,137.7,204
CPT,87271,ER Only-IF CYTOMEGALO AG **,156.0,,12.35,140.4,50
CPT,87271,IF CYTOMEGALO AG **,109.5,,12.35,140.4,136
CPT,87272,CRYPTOSPORIDIUM/GIARDIA AG DFA,116.5,,11.02,149.4,204
CPT,87272,ER Only-CRYPTOSPORIDIUM/GIARDIA AG DFA,166.0,,11.02,149.4,50
CPT,87273,ER Only-HERPES SIMPLEX VIRUS TYPE 2,58.0,,11.02,52.2,50
CPT,87273,HERPES SIMPLEX VIRUS TYPE 2,40.5,,11.02,52.2,204
CPT,87274,ER Only-HERPES SIMPLEX VIRUS TYPE 1,58.0,,11.02,52.2,50
CPT,87274,HERPES SIMPLEX VIRUS TYPE 1,40.5,,11.02,52.2,204
CPT,87275,RESP VIR PNL-INF B,156.0,,11.27,140.4,68
CPT,87276,RESP VIR PNL - INF A,156.0,,14.78,140.4,68
CPT,87276,RESP VIR PNL-INF A,156.0,,14.78,140.4,68
CPT,87279,RESP VIR PNL - PARA 1,156.0,,15.12,140.4,68
CPT,87279,RESP VIR PNL - PARA 2,156.0,,15.12,140.4,68
CPT,87279,RESP VIR PNL - PARA 3,156.0,,15.12,140.4,68
CPT,87279,RESP VIR PNL-PARA 1,156.0,,15.12,140.4,68
CPT,87279,RESP VIR PNL-PARA 2,156.0,,15.12,140.4,68
CPT,87279,RESP VIR PNL-PARA 3,156.0,,15.12,140.4,68
CPT,87280,RESP VIR PNL - RSV,152.0,,8.49,136.8,68
CPT,87280,RESP VIR PNL-RSV,152.0,,8.49,136.8,68
CPT,87305,ASPERGILLUS GALACTOMANNAN EIA,479.0,,11.02,615.6,204
CPT,87305,ER Only-ASPERGILLUS GALACTOMANNAN EIA,684.0,,11.02,615.6,50
CPT,87324,"C DIFF TOXINS A AND B, EIA",187.0,,9.96,240.3,204
CPT,87324,"ER Only-C DIFF TOXINS A AND B, EIA",267.0,,9.96,240.3,50
CPT,87338,EIA QL H PYLORI ANTIGEN STOOL,290.0,,13.23,261.0,136
CPT,87338,ER Only-HELICOBACTER PYLORI STOOL AG**,297.0,,13.23,267.3,50
CPT,87338,HELICOBACTER PYLORI STOOL AG**,208.0,,13.23,267.3,68
CPT,87340,ER Only-HEP B SURFACE AG**,117.0,,7.91,105.3,100
CPT,87340,ER Only-HEPATITIS B SURF ANTIGEN,218.0,,7.91,196.2,100
CPT,87340,ER Only-Q-EIA HEPAT B SURF AG QL/SQ**,280.0,,7.91,252.0,50
CPT,87340,HEP B SURFACE AG**,82.0,,7.91,105.3,408
CPT,87340,HEPATITIS B SURF ANTIGEN,152.5,,7.91,196.2,272
CPT,87340,HEPATITIS B SURFACE ANTIG,218.0,,7.91,196.2,68
CPT,87340,Q-EIA HEPAT B SURF AG QL/SQ**,196.0,,7.91,252.0,204
CPT,87341,ER Only-HEP B SURF AG NEUTRALIZATION,196.0,,9.5,176.4,100
CPT,87341,HEP B SURF AG NEUTRALIZATION,137.5,,9.5,176.4,340
CPT,87350,ER Only-HEPATITIS BE ANTIGEN,279.0,,7.92,251.1,50
CPT,87350,HEPATITIS BE ANTIGEN,195.5,,7.92,251.1,204
CPT,87385,EIA HISTOPLASMA ANTIGEN QL/SQ,259.0,,12.19,333.0,204
CPT,87385,ER Only-EIA HISTOPLASMA ANTIGEN QL/SQ,370.0,,12.19,333.0,50
CPT,87385,ER Only-Q-EIA QL HISTOPLASMA ANTIGEN,537.0,,12.19,483.3,50
CPT,87385,Q-EIA QL HISTOPLASMA ANTIGEN,376.0,,12.19,483.3,136
CPT,87400,ER Only-RAPID FLU A TEST,195.0,,13.0,175.5,50
CPT,87400,ER Only-RAPID FLU B TEST,195.0,,13.0,175.5,50
CPT,87400,RAPID FLU A TEST,136.5,,13.0,175.5,884
CPT,87400,RAPID FLU B TEST,136.5,,13.0,175.5,884
CPT,87420,RAPID RSV AG,334.0,,10.02,300.6,272
CPT,87425,ROTAVIRUS ANTIGENS,190.0,,11.02,171.0,68
CPT,87426,COVID-09(SARS-COV-2)AG,215.0,,32.5,193.5,68
CPT,87426,COVID-19(SARS-2)AG,215.0,,32.5,193.5,68
CPT,87426,COVID-19(SARS-COV-2)AG,215.0,,32.5,193.5,952
CPT,87426,COVID-19(SARS-COV-2)AG**,150.5,,32.5,193.5,340
CPT,87426,COVID-19(SARS-COV-2)AG/FIA**,215.0,,32.5,193.5,68
CPT,87426,ER Only-COVID-19(SARS-COV-2)AG**,215.0,,32.5,193.5,50
CPT,87427,EIA SHIGA TOX AG QL/SQ STX1,204.0,,11.02,183.6,68
CPT,87427,EIA SHIGA TOX AG QL/SQ STX2,204.0,,17.97,183.6,56
CPT,87427,EIA SHIGA TOXIN AG QL/SQ STX1,143.0,,11.02,183.6,136
CPT,87427,EIA SHIGA TOXIN AG QL/SQ STX2,143.0,,17.97,183.6,112
CPT,87427,ER Only-EIA SHIGA TOXIN AG QL/SQ STX1,204.0,,11.02,183.6,50
CPT,87427,ER Only-EIA SHIGA TOXIN AG QL/SQ STX2,204.0,,17.97,183.6,38
CPT,87428,COVID-19/FLU A&B AG COMBO,457.0,,64.67,587.7,1360
CPT,87428,COVID-19/FLU-A&B AG COMBO,653.0,,64.67,587.7,68
CPT,87428,ER Only-COVID-19/FLU A&B AG COMBO,653.0,,64.67,587.7,50
CPT,87430,ER Only-RAPID STREP A AG,251.0,,15.47,225.9,50
CPT,87430,RAPID STREP A,251.0,,15.47,225.9,68
CPT,87430,RAPID STREP A AG,176.0,,15.47,225.9,952
CPT,87449,"C DIFF (GDH) ANTIGEN, EIA",245.0,,11.02,220.5,68
CPT,87449,ER Only-Q-(1-3)-BETA-D-GLUCAN ASSAY,865.0,,11.02,778.5,50
CPT,87449,ER Only-Q-BLASTOMYCES QNT AG EIA,556.0,,11.02,500.4,50
CPT,87449,LEGIONELLA PNEUMOPHILIA AG EIA,245.0,,11.02,220.5,68
CPT,87449,Q-(1-3)-BETA-D-GLUCAN ASSAY,605.5,,11.02,778.5,136
CPT,87449,Q-BLASTOMYCES QNT AG EIA,389.5,,11.02,500.4,136
CPT,87471,BARTONELLA DNA DETECT BY PCR,1011.5,,32.28,1300.5,204
CPT,87471,ER Only-BARTONELLA DNA DETECT BY PCR,1445.0,,32.28,1300.5,50
CPT,87481,CANDIDA AURIS PCR,340.0,,32.28,306.0,68
CPT,87481,CANDIDA SPECIES DNA BY PCR**,238.0,,32.28,306.0,204
CPT,87481,CANDIDA SPECIES DNA BY PCR-59*,238.0,,52.63,306.0,168
CPT,87481,DNA BY PCR- T2 CANDIDA PANEL,238.0,,32.28,306.0,136
CPT,87481,ER Only-CANDIDA SPECIES DNA BY PCR**,340.0,,32.28,306.0,50
CPT,87481,ER Only-CANDIDA SPECIES DNA BY PCR-59*,340.0,,52.63,306.0,38
CPT,87481,ER Only-DNA BY PCR- T2 CANDIDA PANEL,340.0,,32.28,306.0,50
CPT,87483,CNS DNA AMP PROBE TYPE 12-25,650.0,,186.0,902.13,204
CPT,87483,ER Only-CNS DNA AMP PROBE TYPE 12-25,928.0,,383.44,902.13,50
CPT,87486,CHLYMD PNEU DNA AMP PROBE**,263.0,,32.28,236.7,68
CPT,87486,CHLYMD PNEUM DNA AMP PROBE**,184.0,,32.28,236.7,204
CPT,87486,CHYLMD PNEU DNA AMP PROBE**,263.0,,32.28,236.7,68
CPT,87486,ER Only-CHLYMD PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,50
CPT,87491,CHLAMYDIA DNA,233.5,,32.28,299.7,204
CPT,87491,CHLAMYDIA SWAB,233.5,,32.28,299.7,272
CPT,87491,CHLAMYDIA URINE,233.5,,32.28,299.7,136
CPT,87491,CHLMYD TRACH DNA AMP PROB**,398.0,,32.28,358.2,136
CPT,87491,CHLMYD TRACH DNA AMP PROBE**,253.5,,32.28,325.8,272
CPT,87491,ER Only-CHLAMYDIA DNA,333.0,,32.28,299.7,50
CPT,87491,ER Only-CHLAMYDIA SWAB,333.0,,32.28,299.7,50
CPT,87491,ER Only-CHLAMYDIA URINE,333.0,,32.28,299.7,50
CPT,87491,ER Only-CHLMYD TRACH DNA AMP PROBE**,362.0,,32.28,325.8,100
CPT,87491,ER Only-Q-C. TRACHOMATIS RECTAL SWAB**,241.0,,32.28,216.9,50
CPT,87491,ER Only-Q-C. TRACHOMATIS UROGENITAL**,241.0,,32.28,216.9,50
CPT,87491,Q-C. TRACHOMATIS RECTAL SWAB**,169.0,,32.28,216.9,204
CPT,87491,Q-C. TRACHOMATIS UROGENITAL**,169.0,,32.28,216.9,204
CPT,87493,AMP PROBE CLOSTRIDIUM,413.0,,34.29,371.7,68
CPT,87497,CMV QUANT BY NUCLEIC ACID,201.5,,39.41,259.2,136
CPT,87497,ER Only-CMV QUANT BY NUCLEIC ACID,288.0,,39.41,259.2,50
CPT,87497,ER Only-Q-CMV QUANT BY NUCLEIC ACID **,888.0,,39.41,799.2,50
CPT,87497,NUCLEIC ACID QN CMV,640.0,,39.41,576.0,136
CPT,87497,Q-CMV QUANT BY NUCLEIC ACID **,621.5,,39.41,799.2,136
CPT,87498,ENTEROVIRUS,451.5,,17.57,580.5,204
CPT,87498,ER Only-ENTEROVIRUS,645.0,,17.57,580.5,50
CPT,87507,ER Only-GI PROFILE STOOL PCR-LABCORP,1983.0,,383.44,1784.7,50
CPT,87507,ER Only-M-GI PATHOGEN PANEL PCR F,1215.0,,383.44,1093.5,50
CPT,87507,GI PROFILE STOOL PCR-LABCORP,1388.0,,383.44,1784.7,204
CPT,87507,M-GI PATHOGEN PANEL PCR F,850.5,,243.0,1093.5,204
CPT,87517,ER Only-HEP B VIRUS DNA BY PCR QNT*RUO,1666.0,,39.41,1499.4,50
CPT,87517,ER Only-NUCLEIC ACID QN HEPATITIS B,560.0,,39.41,504.0,50
CPT,87517,ER Only-Q-HEPATITIS B VIRAL DNA,811.0,,39.41,729.9,50
CPT,87517,HEP B VIRUS DNA BY PCR QNT*RUO,1166.5,,39.41,1499.4,68
CPT,87517,NUCLEIC ACID QN HEPATITIS B,392.0,,39.41,504.0,204
CPT,87517,Q-HEPATITIS B VIRAL DNA,568.0,,39.41,729.9,68
CPT,87521,ER Only-NUCLEIC ACID AMP HEPATITIS C**,585.0,,32.28,526.5,50
CPT,87521,NUCLEIC ACID AMP HEPATITIS C**,409.5,,32.28,526.5,204
CPT,87522,ER Only-HCV RNA QUANT BY REAL-TIME PCR,712.0,,39.41,640.8,50
CPT,87522,HCV RNA QUANT BY REAL-TIME PCR,498.5,,39.41,640.8,204
CPT,87529,ER Only-HSV (CSF) BY PCR (EXTRACTION),586.0,,32.28,527.4,50
CPT,87529,HSV (CSF) BY PCR (EXTRACTION),410.5,,32.28,527.4,204
CPT,87533,ER Only-Q-HERPESVIRUS 6 DNA QNT RT PCR,777.0,,38.42,699.3,50
CPT,87533,Q-HERPESVIRUS 6 DNA QNT RT PCR,544.0,,38.42,699.3,136
CPT,87535,ER Only-HIV-1 QUALITATIVE PCR**,528.0,,32.28,475.2,50
CPT,87535,HIV-1 AMP PROBE (NON-FDA),639.0,,32.28,575.1,68
CPT,87535,HIV-1 QUALITATIVE PCR**,369.5,,32.28,475.2,204
CPT,87535,Q-HIV-1 AMP PROBE (NON-FDA),639.0,,32.28,575.1,68
CPT,87536,"ER Only-HIV1 VIRAL LOAD, QUANT.(ULTRA)",853.0,,47.54,767.7,50
CPT,87536,"HIV1 VIRAL LOAD, QUANT.(ULTRA)",597.5,,47.54,767.7,204
CPT,87538,ER Only-HIV-2 QUALITATIVE PCR**,588.0,,32.28,529.2,50
CPT,87538,HIV-2 QUALITATIVE PCR**,412.0,,32.28,529.2,204
CPT,87551,ER Only-NONTUBERCULOUS MYCOBACT DNA,1101.0,,44.38,990.9,50
CPT,87551,NONTUBERCULOUS MYCOBACT DNA,771.0,,44.38,990.9,204
CPT,87551,UW MED-NON TB MYCOBACTERIA-PCR,1094.0,,44.38,984.6,68
CPT,87556,ER Only-MTBC DNA DETECT PCR,786.0,,38.35,707.4,50
CPT,87556,MTBC DNA DETECT PCR,550.5,,38.35,707.4,204
CPT,87556,UW MED-MTB COMPLEX-PCR,779.0,,38.35,701.1,68
CPT,87561,ER Only-M. AVIUM COMPLEX DNA PCR,786.0,,32.28,707.4,50
CPT,87561,M. AVIUM COMPLEX DNA PCR,550.5,,32.28,707.4,204
CPT,87564,ER Only-M. TUBERCULO DNA AMP PROBE,318.0,,70.63,286.2,50
CPT,87564,M. TUBERCULO DNA AMP PROBE,222.5,,63.5,286.2,204
CPT,87581,ER Only-MYCOPL PNEUM DNA AMP PROBE**,263.0,,32.28,236.7,51
CPT,87581,MYCOPL PNEUM DNA AMP PROBE**,184.0,,32.28,236.7,345
CPT,87591,ER Only-N. GONORHEA (GC) DNA,309.0,,23.29,278.1,50
CPT,87591,ER Only-N. GONORHEA SWAB,309.0,,23.29,278.1,50
CPT,87591,ER Only-N. GONORHEA URINE,309.0,,23.29,278.1,100
CPT,87591,ER Only-N. GONORRHOEAE DNA AMP PROBE**,380.0,,23.29,358.2,100
CPT,87591,ER Only-Q-N. GONORRHOEAE RECTAL SWAB**,241.0,,23.29,216.9,50
CPT,87591,ER Only-Q-N. GONORRHOEAE UROGENITAL**,241.0,,23.29,216.9,50
CPT,87591,"N, GONORHEA URINE",309.0,,23.29,278.1,68
CPT,87591,N. GONORHEA (GC) DNA,216.5,,23.29,278.1,204
CPT,87591,N. GONORHEA SWAB,216.5,,23.29,278.1,136
CPT,87591,N. GONORHEA URINE,216.5,,23.29,278.1,272
CPT,87591,N. GONORRHOEAE DNA AMP PROB**,398.0,,23.29,358.2,68
CPT,87591,N. GONORRHOEAE DNA AMP PROBE**,260.5,,23.29,358.2,340
CPT,87591,Q-N. GONORRHOEAE RECTAL SWAB**,169.0,,23.29,216.9,204
CPT,87591,Q-N. GONORRHOEAE UROGENITAL**,169.0,,23.29,216.9,204
CPT,87593,ER Only-MONKEYPOX,367.0,,47.21,330.3,50
CPT,87593,MONKEYPOX,257.0,,47.21,330.3,204
CPT,87625,ER Only-INFECT AGNT HPV TYPES 16 & 18,482.0,,30.68,433.8,50
CPT,87625,INFECT AGNT HPV TYPES 16 & 18,337.5,,30.68,433.8,68
CPT,87626,ER Only-INFECT AGNT HPV HIGH-RISK TYPE,482.0,,64.58,433.8,50
CPT,87626,INFECT AGNT HPV HIGH-RISK TYPE,337.5,,64.58,433.8,204
CPT,87633,ER Only-INF NUC ACID VIR 12-25 TARG**,1076.0,,299.88,968.4,50
CPT,87633,INF NUC ACID VIR 12-25 TARG*,1076.0,,299.88,968.4,68
CPT,87633,INF NUC ACID VIR 12-25 TARG**,753.5,,215.5,968.4,272
CPT,87635,COVID-19 (SARS-COV-2)-PCR,257.5,,30.6,331.2,210
CPT,87635,COVID-19 BY PCR (BAL OR CSF),257.5,,30.6,331.2,140
CPT,87635,COVID-19 PCR (BAL OR CSF),368.0,,30.6,331.2,70
CPT,87635,COVID-19 SYMPHONY Z480,368.0,,30.6,331.2,70
CPT,87635,COVID-19(SARS-COV-2)IP/ER ONLY,353.0,,30.6,331.2,280
CPT,87635,ER Only-COVID-19 (SARS-COV-2)-PCR,368.0,,30.6,331.2,52
CPT,87635,ER Only-COVID-19 BY PCR (BAL OR CSF),368.0,,30.6,331.2,52
CPT,87635,ER Only-COVID-19(SARS-COV-2)IP/ER ONLY,368.0,,30.6,331.2,52
CPT,87635,ER Only-Q-COVID-19 PCR,368.0,,30.6,331.2,52
CPT,87635,Q-COVID-19 PCR,257.5,,30.6,331.2,210
CPT,87636,ER Only-INF AGNT DETECT DNA COV FLU,518.0,,131.22,466.2,50
CPT,87636,INF AGNT DETECT DNA COV FLU,499.0,,104.0,466.2,340
CPT,87637,COV-2/FLU/RSV XPERT,313.5,,89.5,403.2,340
CPT,87637,ER Only-COV-2/FLU/RSV XPERT,448.0,,131.22,403.2,50
CPT,87661,ER Only-Q-TRICHOMONAS VAGINALIS RNA QL,460.0,,18.4,414.0,50
CPT,87661,ER Only-Q-TRICHOMONAS VAGINALIS-MALE,460.0,,18.4,414.0,50
CPT,87661,ER Only-TRICHOMONAS DNA,256.0,,18.4,230.4,50
CPT,87661,ER Only-TRICHOMONAS SWAB,256.0,,18.4,230.4,50
CPT,87661,ER Only-TRICHOMONAS URINE,256.0,,18.4,230.4,50
CPT,87661,Q-TRICHOMONAS VAGINALIS RNA QL,322.0,,18.4,414.0,204
CPT,87661,Q-TRICHOMONAS VAGINALIS-MALE,322.0,,18.4,414.0,204
CPT,87661,TRICHOMONAS DNA,179.5,,18.4,230.4,204
CPT,87661,TRICHOMONAS SWAB,179.5,,18.4,230.4,136
CPT,87661,TRICHOMONAS URINE,179.5,,18.4,230.4,204
CPT,87798,ASPERGILLUS SPECIES PCR,247.5,,32.28,317.7,207
CPT,87798,ER Only-ASPERGILLUS SPECIES PCR,353.0,,32.28,317.7,51
CPT,87798,ER Only-INFECT AGENT DETECT RIF,301.0,,32.28,270.9,51
CPT,87798,ER Only-M-TROPHERYMA WHIPPLEI BY PCR,790.0,,32.28,711.0,51
CPT,87798,ER Only-MUCORALES PCR,353.0,,32.28,317.7,51
CPT,87798,ER Only-PNEUMOCYSTIS PNEUMONIA PCR,353.0,,32.28,317.7,51
CPT,87798,ER Only-PVV BY PCR (AMPLIFICATION),861.0,,32.28,774.9,51
CPT,87798,ER Only-Q-NOROVIRUS RNA QUAL RT PCR,747.0,,32.28,672.3,51
CPT,87798,ER Only-Q-NUCLEIC ACID AMP INFECTIOUS*,613.0,,32.28,551.7,51
CPT,87798,ER Only-Q-TROPHERYMA WHIPPLEI DNA QL,461.0,,32.28,414.9,51
CPT,87798,ER Only-RT PCR INF AGENT DETECT CARBAR,185.0,,32.28,166.5,51
CPT,87798,ER Only-T. WHIPPLEI DNA DETECT BY PCR,1033.0,,32.28,929.7,51
CPT,87798,ER Only-TOXOPLASMA DNA DETECT BY PCR,1033.0,,32.28,929.7,51
CPT,87798,ER Only-WEST NILE VIRUS NAT**,380.0,,32.28,358.2,102
CPT,87798,INFECT AGENT DETECT RIF,211.0,,32.28,270.9,207
CPT,87798,M-TROPHERYMA WHIPPLEI BY PCR,553.0,,32.28,711.0,69
CPT,87798,MUCORALES PCR,247.5,,32.28,317.7,207
CPT,87798,PNEUMOCYSTIS PNEUMONIA PCR,247.5,,32.28,317.7,207
CPT,87798,PVV BY PCR (AMPLIFICATION),603.0,,32.28,774.9,69
CPT,87798,Q-BORDETELLA PARAPERTUSSIS,186.0,,32.28,167.4,69
CPT,87798,Q-BORDETELLA PERTUSSIS,186.0,,32.28,167.4,69
CPT,87798,"Q-DONOR, WEST NILE VIRUS, NAT",1253.0,,32.28,1127.7,69
CPT,87798,Q-NOROVIRUS RNA QUAL RT PCR,523.0,,32.28,672.3,207
CPT,87798,Q-NUCLEIC ACID AMP INFECTIOUS*,429.5,,32.28,551.7,207
CPT,87798,Q-TROPHERYMA WHIPPLEI DNA QL,323.0,,32.28,414.9,138
CPT,87798,RT PCR INF AGENT DETECT CARBAR,129.5,,32.28,166.5,138
CPT,87798,RT PCR INF AGENT DETECT CARBR*,185.0,,32.28,166.5,69
CPT,87798,T. WHIPPLEI DNA DETECT BY PCR,723.5,,32.28,929.7,207
CPT,87798,TOXOPLASMA DNA DETECT BY PCR,723.5,,32.28,929.7,207
CPT,87798,WEST NILE VIRUS NAT**,260.5,,32.28,358.2,414
CPT,87799,BK VIRUS,588.0,,39.41,756.0,204
CPT,87799,BK VIRUS DNA QUANT PCR,652.0,,39.41,837.9,204
CPT,87799,BK VIRUS URINE,179.5,,39.41,230.4,204
CPT,87799,EBV QNT BLOOD,465.0,,39.41,597.6,204
CPT,87799,EPSTEIN-BARR(EBV)REAL-TIME PCR,682.5,,39.41,877.5,68
CPT,87799,ER Only-BK VIRUS,840.0,,39.41,756.0,50
CPT,87799,ER Only-BK VIRUS DNA QUANT PCR,931.0,,39.41,837.9,50
CPT,87799,ER Only-BK VIRUS URINE,256.0,,39.41,230.4,50
CPT,87799,ER Only-EBV QNT BLOOD,664.0,,39.41,597.6,50
CPT,87799,ER Only-EPSTEIN-BARR(EBV)REAL-TIME PCR,975.0,,39.41,877.5,50
CPT,87799,ER Only-NUCLEIC ACID QN INFECT AGENT,748.0,,39.41,673.2,50
CPT,87799,ER Only-PARVOVIRUS QUANT PCR,335.0,,39.41,301.5,50
CPT,87799,ER Only-Q-ADENOVIRUS DNA QUANT PCR,931.0,,39.41,837.9,50
CPT,87799,"ER Only-Q-BK VIRUS DNA, QNT, PCR",857.0,,39.41,771.3,50
CPT,87799,ER Only-Q-EBV QNT NON-BLOOD,664.0,,39.41,597.6,50
CPT,87799,ER Only-Q-HERPES VIRUS 8 DNA QUANT PCR,664.0,,39.41,597.6,50
CPT,87799,"ER Only-Q-JC VIRUS DNA, QNT, PCR, CSF",923.0,,39.41,830.7,50
CPT,87799,JC VIRUS,819.0,,39.41,737.1,136
CPT,87799,NUCLEIC ACID QN INFECT AGENT,524.0,,39.41,673.2,68
CPT,87799,NUCLEIC ACID QN INFECT AGENT**,748.0,,39.41,673.2,136
CPT,87799,PARVOVIRUS QUANT PCR,234.5,,39.41,301.5,204
CPT,87799,Q-ADENOVIRUS DNA QUANT PCR,652.0,,39.41,837.9,272
CPT,87799,"Q-BK VIRUS DNA, QNT, PCR",600.0,,39.41,771.3,68
CPT,87799,Q-EBV QNT NON-BLOOD,465.0,,39.41,597.6,204
CPT,87799,Q-HERPES 8 DNA QUANT PCR,664.0,,39.41,597.6,68
CPT,87799,Q-HERPES VIRUS 8 DNA QUANT PCR,465.0,,39.41,597.6,136
CPT,87799,"Q-JC VIRUS DNA, QNT, PCR, CSF",646.0,,39.41,830.7,136
CPT,87801,ACANTHAMOEBA & BALAMUTHIA PCR,808.0,,64.58,1038.6,204
CPT,87801,BACTERIAL DETECTION BY 16S NGS,2274.5,,64.58,2924.1,204
CPT,87801,BACTERIAL DNA DETECT BY PCR,705.0,,64.58,906.3,204
CPT,87801,ENTEROBACTERALES DNA DETECTION,808.0,,64.58,1038.6,204
CPT,87801,ER Only-ACANTHAMOEBA & BALAMUTHIA PCR,1154.0,,64.58,1038.6,50
CPT,87801,ER Only-BACTERIAL DETECTION BY 16S NGS,3249.0,,64.58,2924.1,50
CPT,87801,ER Only-BACTERIAL DNA DETECT BY PCR,1007.0,,64.58,906.3,50
CPT,87801,ER Only-ENTEROBACTERALES DNA DETECTION,1154.0,,64.58,1038.6,150
CPT,87801,ER Only-FUNGAL DNA DETECT BY PCR,1540.0,,64.58,1386.0,50
CPT,87801,ER Only-HIV/HCV/HBV NAT**,795.0,,64.58,715.5,100
CPT,87801,ER Only-LEGIONELLA DNA DETECT BY PCR,1075.0,,64.58,967.5,50
CPT,87801,ER Only-LEISHMANIA SP DNA DETECT PCR,1154.0,,64.58,1038.6,50
CPT,87801,ER Only-Q-DONOR HIV-1/HBV/HCV NAT,1254.0,,64.58,1128.6,50
CPT,87801,ER Only-Q-NUCLEIC ACID AMP MLT ORG**,1222.0,,64.58,1099.8,50
CPT,87801,FUNGAL DNA DETECT BY PCR,1078.0,,64.58,1386.0,204
CPT,87801,HIV/HCV/HBV NAT**,556.5,,64.58,715.5,408
CPT,87801,LEGIONELLA DNA DETECT BY PCR,752.5,,64.58,967.5,204
CPT,87801,LEISHMANIA SP DNA DETECT PCR,808.0,,64.58,1038.6,204
CPT,87801,Q-DONOR HIV-1/HBV/HCV NAT,878.0,,64.58,1128.6,204
CPT,87801,Q-NUCLEIC ACID AMP MLT ORG**,855.5,,64.58,1099.8,204
CPT,87801,UW MED-BACTERIAL DETECTION-PCR,1002.0,,64.58,901.8,68
CPT,87801,UW MED-FUNGAL DETECTION-PCR,1538.0,,64.58,1384.2,68
CPT,87804,ER Only-FLU A**,195.0,,15.23,175.5,50
CPT,87804,ER Only-FLU B**,195.0,,15.23,175.5,50
CPT,87804,FLU A**,136.5,,15.23,175.5,340
CPT,87804,FLU B**,136.5,,15.23,175.5,340
CPT,87804,IMMUNO OPTICAL INFLUENZA,175.0,,15.23,157.5,1008
CPT,87804,RAPID FLU A TEST,195.0,,15.23,175.5,680
CPT,87804,RAPID FLU B TEST,195.0,,15.23,175.5,544
CPT,87880,ER Only-RAPID STREP. A TEST,195.0,,15.21,175.5,50
CPT,87880,IMMUNO OPTICAL STREP A,178.0,,15.21,160.2,736
CPT,87880,RAPID STREP. A TEST,136.5,,15.21,175.5,612
CPT,87880,RAPID STREP.A TEST,195.0,,15.21,175.5,68
CPT,87880,STAT STREP A.UED,195.0,,15.21,175.5,204
CPT,87899,CRYPTO AG DETECTION LFA,135.0,,14.78,173.7,204
CPT,87899,CRYPTOCOCCUS AG-TITER LFA,135.0,,14.78,173.7,204
CPT,87899,ER Only-CRYPTO AG DETECTION LFA,193.0,,14.78,173.7,50
CPT,87899,ER Only-CRYPTOCOCCUS AG-TITER LFA,193.0,,14.78,173.7,50
CPT,87899,ER Only-LEGIONELLA PNEUMOPHILIA AG UR,245.0,,14.78,220.5,50
CPT,87899,ER Only-MALARIA INF AGENT AG DETECTION,193.0,,14.78,173.7,50
CPT,87899,ER Only-STREP PNEUMONIAE AG URINE,193.0,,14.78,173.7,50
CPT,87899,LEGIONELLA PNEUMOPHILIA AG UR,171.5,,14.78,220.5,204
CPT,87899,MALARIA INF AGENT AG DETECTION,135.0,,14.78,173.7,204
CPT,87899,Q-STREP PNEUMO AG URINE,193.0,,14.78,173.7,68
CPT,87899,STREP PNEUMONIAE AG URINE,135.0,,14.78,173.7,204
CPT,87900,CMV ANTIVIRAL RESISTANCE,590.0,,119.92,758.7,204
CPT,87900,ER Only-CMV ANTIVIRAL RESISTANCE,843.0,,119.92,758.7,50
CPT,87900,ER Only-Q-PHENOTYPE INFECT AGENT**,578.0,,119.92,520.2,50
CPT,87900,Q-PHENOTYPE INFECT AGENT**,404.5,,115.5,520.2,204
CPT,87901,ER Only-Q-GENOTYPE DNA HIV REVERSE T**,861.0,,236.85,774.9,50
CPT,87901,Q-GENOTYPE DNA HIV REVERSE T**,603.0,,172.5,774.9,204
CPT,87902,ER Only-NUCLEIC ACID GENOTYPE HEP C**,1790.0,,13.2,1611.0,50
CPT,87902,ER Only-Q-HCV RNA GENOTYPE LIPA,720.0,,13.2,648.0,50
CPT,87902,NUCLEIC ACID GENOTYPE HEP C**,1253.0,,13.2,1611.0,204
CPT,87902,Q-HCV RNA GENOTYPE LIPA,504.0,,13.2,648.0,204
CPT,87910,CMV GENOTYPE ANALYSIS,1113.0,,114.42,1431.0,204
CPT,87910,ER Only-CMV GENOTYPE ANALYSIS,1590.0,,114.42,1431.0,50
CPT,87910,ER Only-INFECT AGENT GENOTYPE ANALYS**,2916.0,,114.42,2624.4,50
CPT,87910,ER Only-INFECT AGENT GENOTYPE ANLYS**,3187.0,,114.42,2868.3,50
CPT,87910,INFECT AGENT GENOTYPE ANALYS**,2041.5,,114.42,2624.4,204
CPT,87910,INFECT AGENT GENOTYPE ANLYS**,2231.0,,114.42,2868.3,204
CPT,88104,CYTOPATH FLD SMEAR,353.0,,13.99,317.7,68
CPT,88108,CYTOPATH FLD/WASH/BRUSH,189.0,,10.59,243.0,204
CPT,88108,ER Only-CYTOPATH FLD/WASH/BRUSH,270.0,,10.59,243.0,50
CPT,88112,"ER Only-THINPREP, NON-GYN W/ INTERP.",285.0,,44.01,256.5,50
CPT,88112,"THINPREP, NON-GYN W/ INTERP.",199.5,,44.01,256.5,204
CPT,88161,CYTOPATH PREP/SCRN/INTERP,199.0,,17.77,179.1,136
CPT,88164,"PAP SMEAR, 1-3 SLIDES",109.0,,10.5,98.1,68
CPT,88172,CTYP FNA EVAL DX 1ST EACH SITE,173.0,,36.8,223.74,68
CPT,88172,CYTP FNA EVAL DX 1ST EACH SITE,121.5,,35.0,223.74,136
CPT,88172,ER Only-CYTP FNA EVAL DX 1ST EACH SITE,173.0,,36.8,223.74,50
CPT,88173,ER Only-FNA INTERPRET & REPORT,407.0,,29.62,366.3,50
CPT,88173,FNA INTERP & REPORT,407.0,,29.62,366.3,68
CPT,88173,FNA INTERPRET & REPORT,285.0,,29.62,366.3,204
CPT,88177,CTYP FNA EVAL EACH ADDL,173.0,,10.99,155.7,56
CPT,88184,B-LYMPHOCYTES,290.0,,43.49,442.83,68
CPT,88184,CELL MARKER HETERO AB,427.0,,43.49,442.83,68
CPT,88184,CELL MARKER MONOCLONAL AB,299.0,,43.49,442.83,204
CPT,88184,CELL MARKER MONOCLONAL AB-INIT,427.0,,43.49,442.83,136
CPT,88184,ER Only-CELL MARKER MONOCLONAL AB,427.0,,43.49,442.83,50
CPT,88184,ER Only-FLOWCYTO TC 1 MARKER**,570.0,,43.49,513.0,50
CPT,88184,ER Only-Q-PNH WITH FLAER (HS),655.0,,43.49,589.5,50
CPT,88184,FLOCYTO TC 1 MARKER**,570.0,,43.49,513.0,68
CPT,88184,FLOW CYTOMETRY 1ST MARKER TC,427.0,,43.49,442.83,68
CPT,88184,FLOWCYTO TC 1 MARKER**,399.0,,43.49,513.0,136
CPT,88184,NATURAL KILLER ANTIGEN,448.0,,43.49,442.83,68
CPT,88184,Q-PNH WITH FLAER (HS),458.5,,43.49,589.5,204
CPT,88185,B-LYMPHOCYTES BY ANTI-B,318.0,,21.38,286.2,56
CPT,88185,CELL MARKER HETERO AB (EA ADD),167.5,,21.38,215.1,168
CPT,88185,CELL MARKER MONO AB EA ADD,167.5,,21.38,215.1,168
CPT,88185,CELL MARKER MONO AB- EA ADD,239.0,,21.38,215.1,112
CPT,88185,ER Only-CELL MARKER HETERO AB (EA ADD),239.0,,21.38,215.1,38
CPT,88185,ER Only-CELL MARKER MONO AB EA ADD,239.0,,21.38,215.1,38
CPT,88185,ER Only-FLOWCYTO TC ADD-ON,260.0,,21.38,234.0,38
CPT,88185,FLOW CYTOMETRY EA ADD MRKR TC,239.0,,21.38,215.1,56
CPT,88185,FLOWCYTO TC ADD-ON,182.0,,21.38,234.0,168
CPT,88185,LIGHT CHAINS BY DIRECT IMMUNO,318.0,,21.38,286.2,56
CPT,88185,MONOCYTIC/MYELOID ANTE,239.0,,21.38,215.1,56
CPT,88185,T-LYMPHOCYTES-HELP&SUPPRESSOR,318.0,,21.38,286.2,56
CPT,88187,ER Only-FLOWCYTO READY 2-8,456.0,,54.96,410.4,38
CPT,88187,FLOWCYTO READY 2-8,319.5,,54.96,410.4,224
CPT,88188,FLOW CYTOMETRY INTERP 9-15 MRK,460.0,,94.22,414.0,56
CPT,88189,FLOW CYTOMETRY INTERP 16+ MRK,393.0,,127.71,353.7,56
CPT,88230,Q-TISSUE CULT NONNEO LYMPH**,621.0,,90.3,558.9,68
CPT,88230,TISSUE CULT NONNEO LYMPH,1538.0,,90.3,1384.2,68
CPT,88233,ER Only-M-TISS CULT SKIN/OTHR SOLID*,896.0,,129.47,806.4,50
CPT,88233,M-TISS CULT SKIN/OTHR SOLID*,627.5,,129.47,806.4,68
CPT,88235,ER Only-TISSUE CULT AMNIOTIC/CHORIONIC,1793.0,,52.8,1613.7,50
CPT,88235,TISSUE CLUT FOR CHRM ANAL,1793.0,,52.8,1613.7,68
CPT,88235,TISSUE CULT AMNIOTIC/CHORIONIC,1255.5,,52.8,1613.7,204
CPT,88237,TISSUE CULT FOR CHRM ANAL,1666.0,,36.96,1499.4,68
CPT,88240,ER Only-M-CRYOPRESERV FREEZE & STORE,62.0,,12.02,55.8,50
CPT,88240,M-CRYOPRESERV FREEZE & STORE,43.5,,12.02,55.8,68
CPT,88249,ER Only-Q-CHROM ANLYS BREAKAGE**,930.0,,96.78,837.0,50
CPT,88249,Q-CHROM ANLYS BREAKAGE**,651.0,,96.78,837.0,136
CPT,88262,CHRM ANAL-15-20CELL-2 KAR,1546.0,,88.84,1391.4,68
CPT,88271,ER Only-M-MCG DNA PROBE EA**,218.0,,19.71,196.2,50
CPT,88271,ER Only-MCG DNA PROBE (FISH),410.0,,19.71,369.0,50
CPT,88271,M-MCG DNA PROBE EA**,152.5,,19.71,196.2,68
CPT,88271,MCG DNA PROBE,410.0,,19.71,369.0,68
CPT,88271,MCG DNA PROBE (FISH),287.0,,19.71,369.0,68
CPT,88271,MCG DNA PROBE- EA (FISH),218.0,,19.71,196.2,68
CPT,88274,ER Only-INTERPHASE IN SITU HYBRID 25,410.0,,38.99,369.0,50
CPT,88274,INTERPHASE IN SITU HYBRID 25,287.0,,38.99,369.0,68
CPT,88274,MCG INTERPHASE INSITU 25,486.0,,38.99,437.4,68
CPT,88275,ER Only-M-MCG INTERPHASE IN SITU 100,500.0,,47.09,450.0,50
CPT,88275,M-MCG INTERPHASE IN SITU 100,350.0,,47.09,450.0,68
CPT,88275,MCG INTERPHASE INSITU 100-300,500.0,,47.09,450.0,68
CPT,88289,EACH ADDIT HIGH RES BAND,449.0,,24.14,404.1,68
CPT,88299,ER Only-Q-DEB FANCONI ANEM CHROM ANYL,293.0,,44.01,263.7,50
CPT,88299,Q-DEB BANCONI ANEM CHROM ANYL,293.0,,44.01,263.7,68
CPT,88299,Q-DEB FANCONI ANEM CHROM ANYL,205.0,,44.01,263.7,136
CPT,88300,ER Only-GROSS EXAM LEVEL I,124.0,,9.62,111.6,50
CPT,88300,GROSS EXAM LEVEL I,87.0,,9.62,111.6,204
CPT,88302,ER Only-GROSS AND MICRO LEVEL II,299.0,,15.93,269.1,50
CPT,88302,GROSS AND MICRO LEVEL II,209.5,,15.93,269.1,204
CPT,88302,SKIN PLASTIC REPAIR,327.0,,15.93,294.3,136
CPT,88304,ER Only-GROSS AND MICRO LEVEL III,373.0,,15.94,335.7,50
CPT,88304,ER Only-SKIN CYST/TAG,373.0,,15.94,335.7,50
CPT,88304,GROSS AND MICRO LEVEL III,261.0,,15.94,335.7,204
CPT,88304,"MD - F&P GROSS/MICRO, LTD",373.0,,15.94,335.7,68
CPT,88304,ORAL PATHOLOGY LEVEL 3,373.0,,15.94,335.7,68
CPT,88304,SKIN CYST/TAG,261.0,,15.94,335.7,204
CPT,88305,BONE MARROW BX/PATHOLOGY,487.0,,33.87,438.3,138
CPT,88305,CELL BLOCK PREP/INTERP,487.0,,33.87,438.3,69
CPT,88305,CELL BLOCK PREP/INTERPRET,341.0,,33.87,438.3,138
CPT,88305,ER Only-CELL BLOCK PREP/INTERPRET,487.0,,33.87,438.3,51
CPT,88305,ER Only-GROSS AND MICRO LEVEL IV.,487.0,,33.87,438.3,51
CPT,88305,ER Only-SKIN BIOPSY,487.0,,33.87,438.3,51
CPT,88305,GROSS & MICRO LEVEL IV,487.0,,33.87,438.3,69
CPT,88305,GROSS AND MICRO LEVEL IV,487.0,,33.87,438.3,69
CPT,88305,GROSS AND MICRO LEVEL IV.,341.0,,33.87,438.3,138
CPT,88305,GYN BIOPSY LIMITED,487.0,,33.87,438.3,69
CPT,88305,"MD - PLACENTAL EXAM 2, FULL",463.0,,33.87,416.7,69
CPT,88305,"MD - PLACENTAL EXAM2,FULL",463.0,,33.87,416.7,69
CPT,88305,ORAL PATH BIOPSY,487.0,,33.87,438.3,69
CPT,88305,SKIN BIOPSY,341.0,,33.87,438.3,207
CPT,88307,ER Only-GROSS AND MICRO LEVEL V,799.0,,47.58,719.1,50
CPT,88307,"ER Only-MD - PLACENTAL EXAM 3, FULL",799.0,,47.58,719.1,50
CPT,88307,GROSS AND MICRO LEVEL V,559.5,,47.58,719.1,204
CPT,88307,"MD - PLACENTAL EXAM 3, FULL",559.5,,47.58,719.1,136
CPT,88307,"MD - PLACENTAL EXAM3, FULL",799.0,,47.58,719.1,68
CPT,88307,MD - RECURR. MISCARRIAGE,799.0,,47.58,719.1,68
CPT,88309,GROSS AND MICRO LEVEL VI,824.0,,58.07,1005.63,136
CPT,88309,"MD - F&P EXAM, FULL",824.0,,58.07,1005.63,68
CPT,88309,"MD - FETAL EXAM, FULL",824.0,,58.07,1005.63,68
CPT,88311,DECALCIFICATION OF TISSUE,89.5,,9.5,115.2,112
CPT,88311,"DECALCIFICATION OF TISSUE, BM",128.0,,9.5,115.2,112
CPT,88311,ER Only-DECALCIFICATION OF TISSUE,128.0,,9.5,115.2,38
CPT,88311,Z*DECALCIFICATION OF TISSUE,128.0,,9.5,115.2,56
CPT,88312,ER Only-GROUP I STAIN,320.0,,12.75,288.0,50
CPT,88312,GROUP I STAIN,224.0,,12.75,288.0,204
CPT,88313,BM GROUP II PAS STAIN,291.0,,12.67,261.9,69
CPT,88313,ER Only-GROUP II/OTHER STAIN,291.0,,12.67,261.9,51
CPT,88313,ER Only-WRIGHT'S STAIN,291.0,,12.67,261.9,51
CPT,88313,GROUP II/OTHER STAIN,204.0,,12.67,261.9,207
CPT,88313,"IRON STAIN, BONE MARROW",291.0,,12.67,261.9,69
CPT,88313,IRON STAIN- BONE MARROW,291.0,,12.67,261.9,69
CPT,88313,SPECIAL STAIN II,291.0,,12.67,261.9,69
CPT,88313,WRIGHT'S STAIN,204.0,,12.67,261.9,207
CPT,88314,SPECIAL HISTOCHEM STAIN W/FROZ,315.0,,110.62,283.5,56
CPT,88319,"SPECIAL STAIN, GROUP III ENZYM",836.0,,24.11,1005.63,68
CPT,88319,STAIN FOR ENZYMES,836.0,,24.11,1005.63,136
CPT,88323,CONSULT COMPLEX,576.0,,24.32,518.4,272
CPT,88325,CONSULT COMP REVIEW AND REPORT,836.0,,36.64,752.4,68
CPT,88325,CONSULT COMPREHENSIVE,836.0,,36.64,752.4,68
CPT,88329,INTRAOPERATIVE CONSULT,374.0,,48.93,336.6,68
CPT,88329,OPERATING ROOM CONSULT,374.0,,48.93,336.6,68
CPT,88331,CONSULT DURING SURGERY,297.0,,36.69,381.6,272
CPT,88331,CONSULT PATH SURG W/FROZEN,424.0,,36.69,381.6,136
CPT,88331,ER Only-CONSULT DURING SURGERY,424.0,,36.69,381.6,50
CPT,88332,ADDIT BLOCK W/ FROZEN SEC,170.0,,8.0,153.0,56
CPT,88332,ADDIT BLOCK W/FROZEN SEC,170.0,,8.0,153.0,224
CPT,88332,CONSULT PATH SURGERY EA ADD,170.0,,8.0,153.0,56
CPT,88333,CONSULT PATH SURGERY CYTO INIT,124.0,,35.5,1005.63,408
CPT,88333,ER Only-CONSULT PATH SURGERY CYTO INIT,177.0,,53.84,1005.63,100
CPT,88334,CONSULT PATH SURGERY EA ADDL,120.0,,28.79,108.0,168
CPT,88341,AP SO IHC PER ADD ANTIBODY,234.0,,61.39,210.6,112
CPT,88341,IMMUNOHISTO/CYTO PER ANTIBODY,401.0,,61.39,360.9,112
CPT,88341,NML IHC PER SPEC/EA ADDL AB,401.0,,61.39,360.9,56
CPT,88342,AP SO IHC EA ANTIBODY (INIT),234.0,,37.69,223.74,68
CPT,88342,ER Only-IMMUNOCYTOCHEM EA ANTIBOD,431.0,,37.69,387.9,50
CPT,88342,IHC EA AB-LAB DEVELOPED TEST,431.0,,37.69,387.9,136
CPT,88342,IMMUNOCYTOCHEM EA ANTIBOD,302.0,,37.69,387.9,204
CPT,88342,IMMUNOHISTO/CYTOCHEM,431.0,,37.69,387.9,68
CPT,88342,"IMMUNOHISTOCHEM, EA AB (EGFR)",431.0,,37.69,387.9,68
CPT,88342,IMMUNOHISTOCHEMISTRY AB (RSU),50.0,,25.0,223.74,68
CPT,88344,HPV CYTOLOGY REFLEX DUAL STAIN,401.0,,64.24,442.83,136
CPT,88344,IMMUNOHISTOCHEMISTRY EA AB,401.0,,64.24,442.83,136
CPT,88346,ER Only-IMMUNOFLUORESC EA ANTIBOD,401.0,,37.73,436.89,51
CPT,88346,ER Only-Z*IF INDIRECT- EA AB **,350.0,,37.73,436.89,51
CPT,88346,IF - DIRECT,418.0,,37.73,436.89,69
CPT,88346,IF 1ST ANTIBODY STAIN**,390.0,,37.73,436.89,69
CPT,88346,IF INDIRECT- EA AB **,350.0,,37.73,436.89,69
CPT,88346,IMMUNOFLUORESC EA ANTIBOD,401.0,,37.73,436.89,138
CPT,88346,Z*IF INDIRECT- EA AB **,245.0,,37.73,436.89,69
CPT,88348,ELECT MICRO DIAG-REDUCED SVC,1000.0,,21.0,984.23,57
CPT,88348,ELECTRON MICROSCOPY DIAG.,1915.0,,21.0,2462.4,138
CPT,88348,ELECTRON MICROSCOPY DIAGNOSTIC,2103.0,,21.0,1892.7,69
CPT,88348,ELECTRON MICROSCOPY SCANNING,1036.0,,21.0,1005.63,138
CPT,88348,"EM, DIAGNOSTIC",2736.0,,21.0,2462.4,69
CPT,88348,ER Only-ELECTRON MICROSCOPY DIAG.,2736.0,,21.0,2462.4,51
CPT,88350,IF PER SPEC- EA ADDL STAIN**,299.0,,66.27,269.1,56
CPT,88350,IF PER SPECIMEN EA ADDL STAIN,350.0,,66.27,315.0,56
CPT,88356,MORPHO ANLYS NERVE,667.0,,44.01,600.3,68
CPT,88360,AP SO IHC SEMI-QUANT EA AB,234.0,,63.13,223.74,68
CPT,88360,ER Only-IHC SEMI-QUANT EA AB,401.0,,63.13,360.9,50
CPT,88360,IHC SEMI-QUANT EA AB,281.0,,63.13,360.9,136
CPT,88360,NEOGENOMICS PDL-1,431.0,,63.13,387.9,68
CPT,88362,NERVE TEASING PREPARATIONS,975.0,,198.54,1005.63,68
CPT,88364,AP SO ISH ADD SNGL PROBE,234.0,,87.42,210.6,56
CPT,88364,HPV HR ISH EA ADTL,524.0,,87.42,471.6,56
CPT,88364,HPV LR ISH EA ADTL,524.0,,87.42,471.6,56
CPT,88364,IN SITU HYBRID ADD SNGL PROBE,431.0,,87.42,387.9,112
CPT,88365,AP SO ISH EA PROBE,234.0,,117.0,278.65,68
CPT,88365,ER Only-IN SITU HYBRIDIZATION-EA PROBE,466.0,,141.15,419.4,50
CPT,88365,HPV HR ISH,546.0,,141.15,491.4,68
CPT,88365,HPV LR ISH,546.0,,141.15,491.4,68
CPT,88365,IN SITU HYBRIDIZATION-EA PROBE,326.5,,93.5,419.4,204
CPT,88365,RUO ISH MORPH ANALY EA PROBE,186.0,,93.0,278.65,68
CPT,88367,AP SO INIT SINGLE PROBE AUTO,399.0,,129.62,442.83,68
CPT,88367,NEO MORPHO ANLYS INSITU HYBRID,197.0,,98.5,442.83,68
CPT,88368,MORPHO ANLYS INSITU HYBRID MAN,766.0,,178.79,689.4,136
CPT,88369,AP SO MORPHO ANLYS IS MANUAL,223.0,,111.5,205.13,56
CPT,88369,MORPHO ANLYS IN SITU MANUAL,509.0,,128.76,458.1,56
CPT,88373,AP SO ADD SINGLE PROBE AUTO,223.0,,69.7,200.7,56
CPT,88373,NEO MORPHO ANLYS COMPUTER,197.0,,69.7,177.3,56
CPT,88374,AP SO EA PROBE MULTI PLEX AUTO,386.0,,141.15,487.31,68
CPT,88374,NEO MORPHO ANLYS COMPUTER,370.0,,141.15,487.31,68
CPT,88377,AP SO MORPHO ANLYS IS MAN,351.0,,117.55,683.35,68
CPT,88377,MORPHO ANLYS IN SITU MANUAL,530.0,,117.55,683.35,136
CPT,88377,NEO MORPHO ANLYS MANUAL MULTI,370.0,,117.55,683.35,68
CPT,88377,RUO ISH MORPH ANALY MAN MULTI,387.0,,117.55,683.35,68
CPT,88381,ER Only-Z*MICRODISSECTION MANUAL**,540.0,,270.0,486.0,38
CPT,88381,"MICRODISSECTION (IE, SAMPLE PREPARATION OF MICROSCOPICALLY IDENTIFIED TARGET); MANUAL",,,290.56,360.57,2
CPT,88381,Z*MICRODISSECTION MANUAL**,378.0,,108.0,486.0,56
CPT,88387,ER Only-Z*M-MAC EXM TISS NONMICRO EA**,153.0,,12.04,137.7,38
CPT,88387,Z*M-MAC EXM TISS NONMICRO EA**,107.5,,12.04,137.7,56
CPT,89051,CELL COUNT BODY FLUID W/DIFF,61.5,,2.19,79.2,408
CPT,89051,CELL COUNT CSF W/DIFF,61.5,,2.19,79.2,340
CPT,89051,ER Only-CELL COUNT BODY FLUID W/DIFF,88.0,,2.19,79.2,100
CPT,89051,ER Only-CELL COUNT CSF W/DIFF,88.0,,2.19,79.2,50
CPT,89055,ER Only-WBC/PUS FECES,102.0,,3.93,91.8,50
CPT,89055,"FECES,WHITE BLOOD COUNT",102.0,,3.93,91.8,68
CPT,89055,WBC/PUS FECES,71.5,,3.93,91.8,136
CPT,89060,CRYSTAL LIGHT ID MICROSCOPY,75.5,,6.74,97.2,340
CPT,89060,ER Only-CRYSTAL LIGHT ID MICROSCOPY,108.0,,6.74,97.2,50
CPT,89125,ER Only-FAT FECES QUAL,123.0,,5.41,110.7,50
CPT,89125,FAT FECES QUAL,86.5,,5.41,110.7,136
CPT,89125,FAT FECES QUALITATIVE,123.0,,5.41,110.7,68
CPT,89259,CRYOPRESERVATION SPERM,554.0,,141.15,498.6,68
CPT,89280,ASSTD OOCYTE FERT 10 OR LESS,2042.0,,672.86,1837.8,68
CPT,89320,SEMEN ANLYS CMPL,285.0,,6.34,256.5,68
CPT,90371,HEPAT B IMM GLOB/IM USE BU 5ML,3630.9,,123.45,3267.81,68
CPT,90396,VARICELLA IMMUNE GLOB 125IU VL,14949.48,,2172.87,13454.53,68
CPT,90460,IMMUN ADMIN ANY ROUTE 1ST VACC,106.0,,53.0,95.4,1120
CPT,90461,IMMUN ADMIN ANY ROUTE EA ADDL,90.0,,45.0,81.0,224
CPT,90471,IMMUN ADMIN ONE VACC,205.0,,17.0,184.5,4736
CPT,90471,IMMUN ADMIN ONE VACC (59),173.0,,17.0,155.7,56
CPT,90472,IMMUN ADMIN EA ADD VACC,143.0,,11.0,128.7,2240
CPT,90480,ADMIN SARSCOV2 VACC 1 DOSE,87.0,,34.2,78.3,272
CPT,90586,BCG VACC INTRAVES BLADDER,526.45,,190.52,473.81,55
CPT,90620,MENING REC SERO B IM,957.35,,197.48,861.62,56
CPT,90632,HEPATITIS A VACC ADULT IM,475.65,,88.67,428.08,55
CPT,90632,HEPATITIS A VACC ADULT IM DOSE,475.65,,88.67,428.08,605
CPT,90636,HEPATITIS A&B ADULT VACC IM,524.55,,107.68,472.1,616
CPT,90647,VACCINE HEMOPHILUS 0.5ML V,81.75,,28.27,73.58,56
CPT,90653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,392
CPT,90653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,1344
CPT,90656,FLAURIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CPT,90656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,56
CPT,90662,FLUZONE HIGH-DOSE VACCINE,131.51,,20.5,119.03,2576
CPT,90670,VACC PNEUMOCOCCAL 13 VALENT IM,791.67,,314.75,712.5,55
CPT,90675,RABIES VACC IM VL 2.5IU/ML/1ML,2369.85,,288.59,2132.86,68
CPT,90675,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,136
CPT,90678,RSV VACC PREF SUBUNIT BIVALENT,805.83,,281.43,725.25,280
CPT,90686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
CPT,90686,VACC FLU VIRUS QUAD,94.5,,11.74,85.05,56
CPT,90707,VACCINE MEASLE-MUMP-RUB 0.5ML,612.86,,89.53,551.57,56
CPT,90713,VACCINE POLIO INACT VIR .5ML A,185.33,,26.0,166.8,56
CPT,90714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,440
CPT,90714,DIP/TET PF VACC >7YRIM DOSE,248.01,,44.37,223.21,55
CPT,90714,TETANUS-DIPHT ADLT TOX.5MLUD,265.23,,44.37,238.71,55
CPT,90715,DIP/TET/ACE PERT VAC >7YR IM,309.33,,43.91,278.4,55
CPT,90715,VACC DTP (ACELLULAR) 0.5ML UD,493.77,,43.91,444.39,55
CPT,90715,VACC TDAP>7YR IM-UED USE ONLY,265.23,,43.91,238.71,55
CPT,90716,VARICELLA VACC VL 0.5ML,1217.22,,167.32,1095.5,56
CPT,90732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,55
CPT,90732,VACC PNEUMOC INJ 0.5ML UD >5YR,2.0,,1.0,162.83,55
CPT,90733,MENINGOCOCCAL VACC PER DOSE BU,1169.5,,101.42,1052.55,56
CPT,90733,VACCINE MENINGOCOCCAL 1DOSE,1169.5,,101.42,1052.55,56
CPT,90736,VARICELLA ZOSTER LIVE SQ,981.75,,162.19,883.58,56
CPT,90739,VAC HEPLISAV-B 20MCG/0.5ML SYR,883.74,,216.62,795.37,55
CPT,90746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
CPT,90791,PSYCH DIAGNOSTIC EVALUATION,656.0,,132.34,590.4,873
CPT,90792,PSYCH DIAG EVAL W/MED SERVICE,698.0,,132.34,628.2,204
CPT,90832,THPY 30 MIN PT OR FAM,344.0,,68.4,309.6,860
CPT,90833,PSYCH THERAPY 30 MIN W/PT,330.0,,64.5,297.0,55
CPT,90834,PSYCH THERAPY 45 MIN W/PT,422.0,,89.33,379.8,792
CPT,90836,PSYCH THERAPY 45 MIN W/PT/E&M,422.0,,81.94,379.8,55
CPT,90837,THPY 60 MIN PT OR FAM,537.0,,130.98,496.8,849
CPT,90838,PSYCH THERAPY 60 MIN W/PT,610.0,,109.07,549.0,55
CPT,90846,FAMILY PSYCH THRPY W/O PATIENT,398.0,,91.0,358.2,132
CPT,90846,FAMILY THPY 20-30 MIN,398.0,,91.0,358.2,66
CPT,90847,FAMILY PSYCH THRPY W/PATIENT,419.0,,108.0,377.1,132
CPT,90847,FAMILY THERAPY 45-60 MIN,592.0,,108.0,532.8,68
CPT,90847,FAMILY THPY 45-60 MIN JTN5,370.0,,108.0,333.0,66
CPT,90849,PSYCH THRPY GRP FAMILY MULTI,497.0,,41.0,447.3,132
CPT,90853,GROUP THERAPY 45-60 MIN,423.0,,40.0,380.7,66
CPT,90853,PSY THRPY GRP-PRIMARY 45-50MIN,260.0,,40.0,234.0,66
CPT,90870,ELECTROCONVULSIVE THERAPY,2450.0,,138.0,2205.0,136
CPT,90870,ELECTROCONVULSIVE THERAPY (INCLUDES NECESSARY MONITORING),,,138.0,138.0,1
CPT,90935,CVVHD-INPATIENT-DAILY,1922.0,,136.0,1729.8,68
CPT,90935,HEMODIALYSIS PROCEDURE 1 EVAL,2406.0,,136.0,2165.4,68
CPT,90945,CVVHD-OUTPATIENT-DAILY,1247.0,,136.0,1122.3,68
CPT,91010,MOTILITY STUDY ESOPHAGUS,2786.0,,96.0,2507.4,272
CPT,91034,ACID REFLUX TEST NASAL PH ELEC,2203.0,,183.0,1982.7,272
CPT,91035,ACID REFLUX TEST MUCOSAL ELECT,2548.5,,437.05,3173.4,272
CPT,91037,ACID REFLUX TEST NASAL INTLUM,1922.0,,169.3,1729.8,272
CPT,91038,ACID REFLUX TEST INTLUM PROLON,2216.0,,321.13,1994.4,204
CPT,91040,ESOPHAG BALLOON DISTENT STUDY,2186.0,,437.05,1967.4,136
CPT,91110,IMAGE GI TRACT ESOPH W/REP,4389.0,,686.0,3950.1,272
CPT,91111,IMAGE GI TRACT ESP W/REPORT,5003.0,,772.25,4502.7,68
CPT,91112,GI PRESS MEASURE W/CAPSULE,1277.0,,638.5,1154.17,136
CPT,91113,IMAGING GI TRACT INTRALUM COLO,2279.0,,750.95,2051.1,68
CPT,91120,TEST RECTAL SENSATION TONE COM,1985.5,,120.0,1854.9,204
CPT,91122,ANORECTAL MANOMETRY TEST,2116.0,,90.0,1904.4,272
CPT,91200,LIVER ELASTOGRAPHY VIBRATION,737.0,,29.14,663.3,328
CPT,91299,PATENCY CAPSULE ENDOSCOPY,4736.0,,128.87,4262.4,68
CPT,92250,EYE EXAM W/FUNDUS PHOTO,523.0,,48.0,470.7,204
CPT,92504,ST BINOCULAR MICROSCOPY,224.0,,38.0,2436.0,56
CPT,92507,SPEECH THERAPY,196.0,,72.91,176.4,57
CPT,92507,SPEECH THERAPY (0-15 MIN),196.0,,72.91,176.4,57
CPT,92507,SPEECH THERAPY (30 MIN),298.0,,72.91,268.2,57
CPT,92507,SPEECH THERAPY (45 MIN),444.0,,72.91,399.6,57
CPT,92507,ST TREAT SPEECH,484.0,,72.91,435.6,285
CPT,92508,SLP GROUP THERAPY,121.0,,22.58,108.9,57
CPT,92511,AUD NASOPHARYNGOSCOPY,498.0,,122.0,448.2,204
CPT,92511,PHARYNGOSCOPY/STROBOSCOPY,461.0,,122.0,414.9,68
CPT,92512,NASAL FUNCTION STUDY,426.0,,213.0,383.4,68
CPT,92516,AUD FACIAL NERVE FUNC STUDY,444.0,,45.0,399.6,68
CPT,92517,VESTIBULAR EVOKED POTENTIAL CE,490.0,,128.87,441.0,68
CPT,92518,VESTIBULAR EVOKED POTENTIAL OC,404.0,,128.87,363.6,136
CPT,92519,VESTIBULAR EVOKED POTENTIAL CE,761.0,,256.5,684.9,136
CPT,92520,AUD LARYNGEAL FUNCTION STUDY,487.0,,106.17,438.3,136
CPT,92522,AUD EVAL SOUND PRODUCTION,317.0,,105.58,285.3,114
CPT,92522,EVAL OF SPEECH,298.0,,105.58,268.2,57
CPT,92522,EVAL OF SPEECH (30MIN),491.0,,105.58,441.9,57
CPT,92522,RE-EVAL OF SPEECH,181.0,,90.5,162.9,57
CPT,92522,RE-EVAL OF SPEECH (30MIN),363.0,,105.58,326.7,57
CPT,92522,ST EVAL SOUND PRODUCTION,456.0,,105.58,410.4,57
CPT,92523,EVAL LANG COMP/EXPRESSION,375.0,,187.5,337.5,57
CPT,92523,EVAL SPEECH & LANGUAGE,375.0,,187.5,337.5,57
CPT,92523,EVAL SPEECH & LANGUAGE (30MIN),491.0,,192.73,441.9,57
CPT,92523,RE-EVAL SPEECH/LANGUAGE,375.0,,187.5,337.5,57
CPT,92523,RE-EVAL SPEECH/LANGUAGE-30MIN,394.0,,192.73,354.6,57
CPT,92523,ST EVAL LANG COMP/EXPRESSION,375.0,,187.5,337.5,171
CPT,92524,AUD BEHAV QUALIT ANALYS VOICE,574.0,,96.72,516.6,114
CPT,92526,AUD TX SWALLOW/ORAL,422.0,,73.0,379.8,114
CPT,92526,DYSPHAGIA THERAPY,206.0,,73.0,185.4,57
CPT,92526,DYSPHAGIA THERAPY (0-15 MIN),232.0,,73.0,208.8,57
CPT,92526,DYSPHAGIA THERAPY (30 MIN),345.0,,73.0,310.5,57
CPT,92526,DYSPHAGIA THERAPY (45 MIN),519.0,,73.0,467.1,57
CPT,92526,ST TX SWALLOW/ORAL,475.0,,73.0,427.5,57
CPT,92537,AUD CALORIC VESTIBULAR BITHERM,533.0,,38.32,479.7,204
CPT,92538,AUD CALORIC VESTIBULAR MTHERM,604.0,,128.87,543.6,136
CPT,92540,AUD BASIC VSTBLR SPONT NYSTAG,1291.0,,128.87,1161.9,136
CPT,92541,AUD SPONTANEOUS NYSTAG W/REC,496.0,,106.17,446.4,136
CPT,92542,AUD POSITIONAL NYSTAGMUS W/REC,480.0,,106.17,432.0,204
CPT,92544,AUD OPTOKINETIC NYSTAG W/REC,526.0,,36.0,473.4,68
CPT,92545,AUD OSCILLATING TRACKING W/REC,412.0,,37.0,383.35,136
CPT,92547,AUD VERTICAL ELECTRODE USE,554.0,,23.0,498.6,56
CPT,92548,AUD COMPUTERIZED POSTUROGRAPHY,985.0,,106.17,886.5,68
CPT,92550,AUD TYMPAN/REFLEX THRES MEASUR,452.0,,128.87,406.8,68
CPT,92552,AUD PURE TONE AIR ONLY,217.0,,28.0,195.3,204
CPT,92553,AUD PURE TONE AIR & BONE,496.0,,128.87,446.4,204
CPT,92555,ST AUD SPEECH THRESHOLD,148.0,,19.0,133.2,136
CPT,92556,AUD SPEECH THRESHOLD W/RECOG,275.0,,27.0,247.5,136
CPT,92557,AUD EVAL THRESHOLD/RECOGNITION,575.0,,51.0,517.5,272
CPT,92557,AUDIOMETRY SCREENING (PORTABL),779.0,,51.0,701.1,68
CPT,92557,COMPREH AUDOMETRY THRESH EVAL,779.0,,51.0,701.1,68
CPT,92557,COMPREHENSIVE AUDIOMETRY THRESHOLD EVALUATION AND SPEECH RECOGNITION (92553 AND 92556 COMBINED),,,51.0,51.0,1
CPT,92558,OAE SCREEN,138.0,,8.15,124.2,57
CPT,92565,AUD STENGER TEST PURE TONE,216.0,,12.0,194.4,136
CPT,92567,AUD TYMPANOMETRY IMPED TEST,75.0,,23.0,67.5,272
CPT,92567,AUD TYMPHANOMETRY IMPED TEST,75.0,,23.0,67.5,68
CPT,92567,TYMPANOMETRY (IMPEDANCE TESTING),,,23.0,23.0,1
CPT,92568,AUD ACOUSTIC REFLEX TESTING,166.0,,24.0,149.4,136
CPT,92577,AUD STENGER TEST SPEECH,709.0,,12.0,653.19,136
CPT,92579,AUD VISUAL REINFORCEMENT AUDIO,471.0,,83.0,423.9,68
CPT,92582,AUD CONDITION PLAY AUDIOMETRY,545.0,,30.0,490.5,68
CPT,92583,AUD SELECT PICTURE AUDIOMETRY,232.0,,48.93,208.8,68
CPT,92584,AUD ELECTROCOCHLEOGRAPHY,1134.0,,125.0,1020.6,136
CPT,92587,AUD DISTORT EVOKED OTO EMISS,327.0,,23.0,383.35,204
CPT,92588,AUD DISTORT EVOKED OTOAC COMP,121.0,,37.0,383.35,204
CPT,92588,AUD EVOK OTOAC EMIS COMP-PED,145.0,,37.0,383.35,68
CPT,92590,AUD HA EXAM & SELECTION MON,148.0,,74.0,133.2,56
CPT,92591,AUD HA EXAM & SELECTION BIN,163.0,,81.5,146.7,56
CPT,92591,AUD HEARING AID EXAM BINAURAL,163.0,,81.5,146.7,56
CPT,92592,AUD HEARING AID CHECK MONAURAL,107.0,,53.5,96.3,112
CPT,92592,HEARING AID CHECK (MONO),107.0,,53.5,96.3,56
CPT,92593,AUD HEARING AID CHECK BINAURAL,114.0,,57.0,102.6,112
CPT,92593,HEARING AID CHECK (BINAURAL),114.0,,57.0,102.6,56
CPT,92594,AUD EVAL ELECTROACOUSTIC MONO,152.0,,76.0,136.8,56
CPT,92595,AUD EVAL ELECTROACOUSTIC BI,245.0,,122.5,220.5,56
CPT,92597,AUD EVAL VOICE PROSTH,622.0,,69.14,559.8,57
CPT,92597,AUD EVAL VOICE PROSTHETIC,622.0,,69.14,559.8,228
CPT,92601,COCHLEAR IMPLANT <7YRS PROG,1158.0,,128.87,1042.2,68
CPT,92602,COCHLEAR IMPLANT <7YRS REPROG,801.0,,128.87,720.9,68
CPT,92603,COCHLEAR IMPLANT 7+YRS PROG,875.0,,128.87,787.5,136
CPT,92604,COCHLEAR IMPLANT 7+YRS REPROG,734.0,,75.5,660.6,136
CPT,92607,AUD EVAL SPEECH DEVICE 1ST HR,546.0,,116.53,491.4,57
CPT,92607,ST EVAL SPEECH DEVICE 1ST HR,546.0,,116.53,491.4,57
CPT,92608,ST EVAL SPEECH DEVICE ADD 30M,337.0,,45.64,303.3,57
CPT,92609,ST TREAT SPEECH DEVICE,513.0,,96.96,461.7,57
CPT,92610,ST EVAL ORAL/SWALLOW FUNCTION,505.0,,84.0,454.5,56
CPT,92610,ST EVAL SWALLOW,442.0,,84.0,397.8,280
CPT,92610,SWALLOW CONSULT (30 MIN),590.0,,84.0,531.0,56
CPT,92611,MODIFIED BARIUM SWALLOW,786.0,,91.0,707.4,168
CPT,92611,ST EVAL SWALLVIDEO/FLUORO,591.0,,91.0,531.9,168
CPT,92611,SWALLOW CONSULT,590.0,,91.0,531.0,56
CPT,92612,FIBEROPTIC ENDOSCOP EVAL,1154.0,,104.0,1038.6,56
CPT,92612,FIBEROPTIC ENDOSCOP EVAL(45MIN,1154.0,,104.0,1038.6,56
CPT,92612,ST EVAL SWALL ENDO C/V,867.0,,104.0,780.3,280
CPT,92620,AUD EVAL CENTRAL FUNCT INIT 60,665.0,,128.87,598.5,68
CPT,92622,ANALYSIS AUD SOUND PROCESSOR,387.0,,128.87,348.3,136
CPT,92623,ANALYSIS AUD SOUND PROCESSOR,97.0,,48.5,87.3,56
CPT,92625,ASSESSMENT TINNITUS,1105.0,,128.87,994.5,68
CPT,92626,AUD ASSESSMENT REHAB FIRST HR,683.0,,128.87,614.7,136
CPT,92627,AUD ASSESSMENT REHAB ADD 15MIN,167.0,,83.5,150.3,112
CPT,92640,AUD ANALYSIS BRNSTM IMPLNT/HR,275.0,,128.87,247.5,136
CPT,92640,AUD BRAINSTEM IMPLT PROGRAMG,370.0,,128.87,333.0,68
CPT,92650,AEP SCR AUDITORY POTENTIAL,509.0,,23.0,458.1,228
CPT,92651,AEP HEARING DETER I&R,509.0,,254.5,458.1,136
CPT,92651,AEP HEARING STATUS DETER I&R,509.0,,254.5,458.1,68
CPT,92652,AEP THRSHLD EST MLT FREQ I&R,1313.0,,256.5,1181.7,272
CPT,92652,INFANT ABR,1313.0,,256.5,1181.7,68
CPT,92653,AEP NEURODIAGNOSTIC I&R,1313.0,,256.5,1181.7,272
CPT,92920,PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY; SINGLE MAJOR CORONARY ARTERY OR BRANCH,,,544.03,544.03,1
CPT,92920,PTCA SINGLE ARTERY/BRANCH,14060.0,,4696.2,12654.0,68
CPT,92921,PTCA EACH ADDL BRANCH MAJ ART,12599.0,,292.5,11339.1,57
CPT,92924,PRQ TRLUML CORONARY ANGI 1 ART,19486.0,,7794.4,17537.4,68
CPT,92925,PRQ TRLUML CORONARY ANGI ADD,14701.0,,292.02,13230.9,57
CPT,92928,PRQ TRLUML CORONARY STENT,26996.0,,9340.95,24296.4,68
CPT,92929,PRQ TRLUML CORONARY STENT ADDL,16967.0,,347.4,15270.3,57
CPT,92933,PRQ TRLUML CORONARY ANGIO/ATHE,30193.0,,12077.2,27173.7,68
CPT,92934,PRQ TRLUML CORONARY ANGIO/ATHE,17859.0,,267.01,16073.1,57
CPT,92937,PRQ TRLUML COR BYP GRFT,33212.0,,9340.95,29890.8,68
CPT,92938,PRQ TRLUML COR BYP GRFT ADDL,19919.0,,302.11,17927.1,57
CPT,92941,PRQ TRLUML COR TOT OCCLUS,56864.0,,22745.6,51177.6,56
CPT,92943,PRQ TRLUML COR CHRONIC OCC,56864.0,,9340.95,51177.6,68
CPT,92944,PRQ TRLUML COR CHRON OCC ADDL,33212.0,,502.29,29890.8,57
CPT,92950,"CARDIOPULMONARY RESUSCITATION (EG, IN CARDIAC ARREST)",,,174.0,174.0,1
CPT,92950,CPR,713.0,,256.5,641.7,68
CPT,92960,CARDIOVERSION  STANDALONE,2884.0,,205.0,2595.6,69
CPT,92960,CARDIOVERSION ELECTV EXT,2884.0,,205.0,2595.6,69
CPT,92960,"CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; EXTERNAL",,,205.0,205.0,1
CPT,92960,"CARDIOVERSION, STANDALONE",2884.0,,205.0,2595.6,69
CPT,92972,PERQ TRLUML CORONARY LITHOTRP,15214.0,,6085.6,13692.6,56
CPT,92973,CORONARY THROMBECTOMY,3419.0,,1709.5,3077.1,57
CPT,92978,ENDOLUMINAL IMAGING OF CORONARY VESSEL OR GRAFT USING INTRAVASCULAR ULTRASOUND (IVUS) OR OPTICAL COHERENCE TOMOGRAPHY (OCT) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION INCLUDING IMAGI,,,253.59,343.0,2
CPT,92978,IVUS INITIAL VESSEL,8993.0,,253.59,8093.7,58
CPT,92979,IVUS ADDITIONAL VESSEL,4511.0,,87.0,4059.9,58
CPT,92986,AORTIC VALVULOPLASTY,21418.0,,3229.0,19276.2,69
CPT,92987,MITRAL VALVULOPLASTY,22768.0,,2973.0,20491.2,69
CPT,92990,VALVULOPLASTY PULMONARY VALVE,26371.0,,3229.0,23733.9,69
CPT,92997,ANGIOPLASTY PULM ART 1ST VESL,21900.0,,1615.0,19710.0,138
CPT,92998,ANGIOPLASTY PULM ART ADD VESL,11040.0,,785.0,9936.0,57
CPT,93005,EKG ROUTINE TRACING ONLY,390.0,,35.0,351.0,4544
CPT,93017,CV STRESS TEST IN NUC MED,1377.0,,49.0,1239.3,69
CPT,93017,CV STRESS TEST(GXT)IN DEPT,1377.0,,49.0,1239.3,69
CPT,93017,STRESS TEST TRACING ONLY,1377.0,,49.0,1239.3,345
CPT,93041,ECG RHYTHM TRACING ONLY,271.0,,7.0,243.9,68
CPT,93150,ACTIVATION IMP PHRENIC NERVE,241.0,,75.61,216.9,69
CPT,93151,INT & PRGM PHRENIC NERVE STIM,241.0,,75.61,216.9,69
CPT,93152,INT & PRGM PHRENIC SERVE STIM,659.0,,247.03,593.1,69
CPT,93153,INT PHRENIC NERVE STIMULATOR,241.0,,75.61,216.9,69
CPT,93224,ECG MONITOR/REPORT UP TO 48 HR,2167.0,,308.0,1950.3,56
CPT,93225,ECG MONITOR/RPT 48 HRS REC,973.0,,37.8,891.9,272
CPT,93226,ECG MONITOR/REPORT 48 HR ANLYS,1428.0,,48.93,1285.2,272
CPT,93229,MCT W/ECG>24 HRS UP TO 30 TCH,1712.0,,256.5,1540.8,68
CPT,93242,ECG CONT >48H UP TO 7 DAYS,600.0,,32.33,540.0,136
CPT,93246,ECG CONT 7-15 DAYS REC,606.0,,32.33,545.4,136
CPT,93260,EVAL SUBQ LEAD DEFIB SYSTEM,1807.0,,30.72,1626.3,207
CPT,93261,INTERR DEVICE EVAL SUBQ DEFIB,286.0,,30.72,257.4,207
CPT,93270,ECG EVENT RECORD/DISCON 24R/30,647.0,,30.72,582.3,136
CPT,93271,ECG EVENT MONANLYS UP TO 30,1403.0,,75.61,1262.7,68
CPT,93279,PROG DEV EVAL SINGLE LEAD PM,411.0,,30.72,369.9,345
CPT,93280,PROG DEV EVAL DUAL LEAD PM,466.0,,30.72,419.4,552
CPT,93281,PROG DEV EVAL MULTI LEAD PM,537.0,,30.72,483.3,276
CPT,93282,PROG DVC EVAL SNGL LEAD ICD,419.0,,30.72,377.1,345
CPT,93283,PROG DEV EVAL DUAL LEAD ICD,612.0,,30.72,550.8,276
CPT,93284,PROG DEV EVAL MULTI LEAD ICD,670.0,,30.72,603.0,414
CPT,93285,PROG DEV EVAL IMPLT LOOP REC,439.0,,30.72,395.1,138
CPT,93286,PERI-PROC DEVICE EVAL PM,409.0,,204.5,368.1,114
CPT,93287,PERI-PROC DEVICE EVAL ICD,419.0,,35.0,377.1,114
CPT,93288,INTERROG EVAL IMPL PM,383.0,,30.72,344.7,69
CPT,93288,INTERROGATION DEV EVAL PACEMKR,335.0,,30.72,301.5,276
CPT,93288,"INTERROGATION DEVICE EVALUATION (IN PERSON) WITH ANALYSIS, REVIEW AND REPORT BY A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, INCLUDES CONNECTION, RECORDING AND DISCONNECTION PER PATIENT EN",,,42.0,42.0,1
CPT,93289,INTERROG DEVICE EVAL ICD,536.0,,30.72,482.4,414
CPT,93289,INTERROG EVAL IMPL CARD ICD,558.0,,30.72,502.2,69
CPT,93289,"INTERROGATION DEVICE EVALUATION (IN PERSON) WITH ANALYSIS, REVIEW AND REPORT BY A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, INCLUDES CONNECTION, RECORDING AND DISCONNECTION PER PATIENT EN",,,64.0,64.0,1
CPT,93290,INTERROG DEVICE EVAL ICM,250.0,,30.72,225.0,138
CPT,93291,INTERROG DEV EVAL IMPLT LOOP,412.0,,20.18,370.8,345
CPT,93296,INTERROG EVAL REMOTE DATA 90,414.0,,30.72,372.6,69
CPT,93303,ECHO CONGENITAL ANOMALY COMP,3510.0,,182.0,3159.0,69
CPT,93303,ECHO CONGENITAL ANOMALY COMPL,3510.0,,182.0,3159.0,276
CPT,93303,ECHO GONGENITAL AMOMALY COMP,3510.0,,182.0,3159.0,69
CPT,93304,ECHO CONGENITAL ANOMALY LTD,1969.0,,161.0,1772.1,276
CPT,93306,ECHO 2D W/SPEC/COLOR COMPL,3861.0,,258.89,3474.9,897
CPT,93307,ECHO 2D W/M-MODE CMPL,2536.0,,199.1,2282.4,828
CPT,93308,ECHO 2D FOLLOWUP/LIMITED STUDY,1526.0,,124.0,1373.4,69
CPT,93308,ECHO 2D W/W/O M-MODE LTD,1526.0,,124.0,1373.4,552
CPT,93308,ECHO 2D/W/W/O M-MODE LTD,1526.0,,124.0,1373.4,414
CPT,93312,ECHO TEE CMPL W/INT/RPT,3906.0,,225.0,3515.4,621
CPT,93312,ECHO TEE CMPL W/PF DIAG,2963.0,,225.0,2666.7,69
CPT,93312,TRANSESOPHAGEAL ECHOCARDIOGRAM,3802.0,,225.0,3421.8,69
CPT,93314,ECHO TEE IMAGE W/PF,2451.0,,1225.5,2205.9,57
CPT,93315,ECHO TEE ANOMALY CMPL,4650.0,,293.0,4185.0,414
CPT,93316,ECHO TEE ANOMALY PROBE PLCMT,2574.0,,1.0,2316.6,69
CPT,93317,ECHO TEE ANOMALY IMAGE W/PF,2097.0,,1.0,1887.3,58
CPT,93318,ECHO TEE MONITORING,3656.0,,451.62,3290.4,414
CPT,93318,ECHO TEE MONITORING INTRAOP,3195.0,,451.62,2875.5,69
CPT,93319,3D ECHO IMG CGEN CAR ANOMAL,720.0,,360.0,648.0,228
CPT,93320,ECHO DOPPLER CMPL,720.0,,105.0,648.0,399
CPT,93321,ECHO DOP PULSE WAVE/FOLLOW-UP,828.0,,57.0,745.2,57
CPT,93321,ECHO DOPPLER LTD,828.0,,57.0,745.2,228
CPT,93325,ECHO COLOR FLOW MAPPING,243.0,,101.31,218.7,285
CPT,93325,ECHO COLOR FLOW VELOCITY MAP,243.0,,101.31,218.7,57
CPT,93325,ECHO COLOR VELOCITY,243.0,,101.31,218.7,57
CPT,93325,ECHO DOPPLER COLOR FLOW,243.0,,101.31,218.7,57
CPT,93351,ECHO REST & STRESS MON,4278.0,,268.0,3850.2,276
CPT,93352,ECHO STRESS CONTRAST AGENT,322.0,,161.0,289.8,228
CPT,93355,ECHO TRANSESOP CARD/CRT OR GRT,5970.0,,2985.0,5373.0,57
CPT,93355,ECHO TRANSESOP CARD/CRT VESSEL,5970.0,,2985.0,5373.0,342
CPT,93356,MYOCARDIAL STRAIN IMAGING,1095.0,,22.17,985.5,342
CPT,93451,CATH RIGHT HEART,11262.0,,775.0,10135.8,483
CPT,93451,CATH RIGHT HEART (59 MOD),10431.0,,775.0,9387.9,114
CPT,93452,CATH LEFT HEART W/ VENTRCLGRPH,17853.0,,1216.0,16067.7,276
CPT,93452,CATH LEFT HEART W/VENTRCLGRPH,17853.0,,1216.0,16067.7,69
CPT,93453,CATH RT/LT HEART W/ VENT,26435.0,,1530.0,24921.0,276
CPT,93453,CATH RT/LT HEART W/VENT,27690.0,,1530.0,24921.0,69
CPT,93454,CORONARY ARTERY ANGIO S&I,16794.0,,1251.0,15114.6,483
CPT,93455,CORONARY ARTERY/GRAFT ANGIO,19983.0,,1741.0,17984.7,207
CPT,93456,RT HRT CORONARY ARTERY ANGIO,28059.0,,2649.28,25253.1,207
CPT,93457,RT HRT ARTERY/GRAFT ANGIO,30686.0,,2059.5,27617.4,207
CPT,93458,LT HRT ART/VENTRICLE ANGIO,23177.0,,1054.97,20859.3,345
CPT,93459,LT HRT ARTERY/GRAFT ANGIO,28639.0,,2075.0,25775.1,276
CPT,93460,RT&LT HRT ART/VENTRICLE ANGIO,29966.0,,1899.0,26969.4,345
CPT,93461,RT&LT HRT ART/VENT ANGIO BYP,32236.0,,2389.0,29012.4,276
CPT,93462,CATH LT HRT TRANSPT/ TRANSAP,5057.0,,337.0,4551.3,114
CPT,93463,DRUG ADMIN & HEMODYNAMIC MEAS,4682.0,,2341.0,4213.8,171
CPT,93464,EXERCISE W/ HEMODYNAMIC MEAS,4562.0,,303.53,4105.8,114
CPT,93503,INSERTION SWAN GANZ,5064.0,,1279.53,4557.6,207
CPT,93505,BIOPSY ENDOMYOCARDIAL,9151.0,,451.0,8235.9,276
CPT,93505,BIOPSY ENDOMYOCARDIAL (59),7006.0,,451.0,6305.4,57
CPT,93564,INJ CONGENITAL HRT ART/ GRAFT,5262.0,,2631.0,4735.8,57
CPT,93565,INJ LT ATRIAL/VENTRIC ANGIO,4358.0,,256.0,3922.2,57
CPT,93566,INJ RT ATRIAL/VENTRIC ANGIO,4358.0,,302.0,3922.2,57
CPT,93567,INJ SUPRAVALVULAR AORTOGRAPHY,6262.0,,3131.0,5635.8,114
CPT,93568,INJ PULMONARY ANGIO DUR CARD,7022.0,,197.5,6319.8,57
CPT,93571,PRESSURE WIRE INITIAL VESSEL,2698.0,,235.27,2428.2,58
CPT,93572,PRESSURE WIRE ADD VESSEL,857.0,,78.0,771.3,58
CPT,93580,PTC W/IMPLNT ASD/PFO,37962.0,,2793.0,34165.8,138
CPT,93581,VSD CLOSURE,42971.0,,14790.52,38673.9,69
CPT,93582,PTC CLOS PAT DUCT ARTERIOSUS,44024.0,,14790.52,39621.6,68
CPT,93583,PERC TRANSCATH SEPTAL RED THPY,18161.0,,7264.4,16344.9,112
CPT,93590,PTC CLOS PARA LEAK MITRAL,46819.0,,14790.52,42137.1,69
CPT,93591,PTC CLOS PARA LEAK AORTIC,46819.0,,14790.52,42137.1,69
CPT,93592,PTC CLOS PARA LEAK EA ADDL,21671.0,,10835.5,19503.9,57
CPT,93593,CATH RT HEART CHD NORMAL CONN,18167.0,,2649.28,16350.3,69
CPT,93594,CATH RIGHT HEART CHD ABNORMAL,14659.0,,2649.28,13193.1,69
CPT,93595,CATH LEFT HEART CHD NORMAL/AB,13973.0,,2649.28,12575.7,69
CPT,93596,CATH RIGHT & LEFT HEART CHD NO,20236.0,,2649.28,18212.4,69
CPT,93597,CATH RIGHT & LEFT HEART CHD AB,26544.0,,2649.28,23889.6,69
CPT,93598,CARDIAC OUTPUT MEASURE DURING,5811.5,,1646.5,7497.0,114
CPT,93602,INTRA-ATRIAL RECORDING,7668.0,,3834.0,9341.24,69
CPT,93603,RIGHT VENTRICULAR RECORDING,6723.0,,999.94,6050.7,69
CPT,93609,TACHYCARDIA SITE MAPPING,16033.0,,353.08,14429.7,58
CPT,93610,EP INTRA-ATRIAL PACING,6565.0,,3282.5,9341.24,69
CPT,93613,EP INTRACARDIAC 3-D MAPPING,20055.0,,367.68,18049.5,57
CPT,93620,EP COMPREH W/ARRHYTHMIA,28857.0,,919.21,25971.3,69
CPT,93621,INTRACARDIAC EP,20017.0,,110.15,18015.3,58
CPT,93622,EP COMPREHENSIVE W/LT VENT,23220.0,,162.55,20898.0,58
CPT,93623,EP IV DRUG INFUSION PACING,11303.0,,149.3,10172.7,58
CPT,93624,EP FOLLOW UP,16892.0,,6250.14,15202.8,69
CPT,93641,EP EVAL CARDIO/DEFIB GEN,4444.0,,126.0,3999.6,58
CPT,93642,EP EVAL CARD/DEFIB SGL/DUAL,5057.0,,126.0,4551.3,138
CPT,93644,EP EVAL DEFIB W/PROG PARAM,12149.0,,6074.5,10934.1,57
CPT,93650,ABLAT ATRIOVENTRIC FUNCT,29809.0,,6250.14,26828.1,69
CPT,93653,EPHYS EVAL W/ABLATION SUPRA,85301.0,,822.68,76770.9,69
CPT,93654,EPHYS EVAL W/ABLATION VENTRIC,114411.0,,1097.92,102969.9,69
CPT,93655,ICAR CATHETER ABLATION ARRHYTH,57208.0,,411.34,51487.2,57
CPT,93656,EPHYS EVL TRNSPTL TX ATRIAL,94783.0,,1098.26,85304.7,69
CPT,93657,ABLAT L/R ATRIAL FIBRIL W/IS,45183.0,,411.68,40664.7,57
CPT,93660,TILT TABLE EVAL,2725.0,,80.0,2452.5,414
CPT,93662,EP INTRACARD ECHO INTERVEN,6647.0,,329.89,5982.3,58
CPT,93662,INTRACARDIAC ECHO,6647.0,,329.89,5982.3,116
CPT,93702,BIS LIMB FLUID DIFF,893.0,,128.87,803.7,68
CPT,93724,ANLYS PCMKR ANTITACHYCARDIA,1350.0,,39.0,1215.0,69
CPT,93750,INTERROG VAD WITH PHYS/ QUAL,680.0,,52.5,612.0,207
CPT,93750,INTERROG VAD WITH PHYS/QUAL,680.0,,52.5,612.0,69
CPT,93786,AMBULATORY BP RECORDING,524.0,,106.17,471.6,621
CPT,93788,AMBULATORY BP ANLYS,565.0,,106.17,508.5,621
CPT,93797,CARDIAC REHAB W/O EKG SESSION,259.0,,19.25,233.1,204
CPT,93797,CRD NO MONITOR SESSION,259.0,,19.25,233.1,68
CPT,93797,KX*CRD NO MON SAMEDAY W/93798,259.0,,19.25,233.1,56
CPT,93797,KX*CRD NO MONITOR SESSION,259.0,,19.25,233.1,56
CPT,93797,OP CARD REHAB W/O CONT ECG,259.0,,19.25,233.1,68
CPT,93798,CRD REHAB MONITORED SESSION,259.0,,26.37,233.1,272
CPT,93798,OP CARD REHAB W/ CONT ECG,259.0,,26.37,233.1,68
CPT,93799,ASPIRATION THROMBECTOMY,3282.0,,128.87,2953.8,68
CPT,93799,CARD REHAB-MAINTENANCE RETURN,196.5,,4.0,346.5,136
CPT,93799,CARDIAC REHAB-MAINTENANCE NEW,50.0,,25.0,192.61,68
CPT,93799,CARDIOVASC UNLISTED,0.01,,0.005,192.61,69
CPT,93799,IVUS ADDL VESSEL-UNLSTD PROC,4101.0,,128.87,3690.9,69
CPT,93799,IVUS INIT VESSEL-UNLSTD PROC,9712.0,,128.87,8740.8,69
CPT,93799,MITRAL PARAVALV LEAK CLOSURE,34249.0,,128.87,30824.1,69
CPT,93799,PERC TRANSCATH CLS SEPTL DEFCT,42971.0,,128.87,38673.9,68
CPT,93799,PRESSURE WIRE ADDL-UNLSTD PROC,782.0,,128.87,703.8,69
CPT,93799,PRESSURE WIRE INIT-UNLSTD PROC,2453.0,,128.87,2207.7,69
CPT,93880,DUPLEX EXTRACRANIAL BILAT,1852.0,,165.0,1666.8,600
CPT,93880,DUPLEX SCAN EXTRACRAN ART COMP,1852.0,,165.0,1666.8,68
CPT,93880,DUPLEX SCAN XTRACRAN BIL,1852.0,,165.0,1666.8,68
CPT,93882,DUPLEX EXTRACRANIAL UNILAT,1257.0,,65.0,1131.3,272
CPT,93882,DUPLEX EXTRACRANIAL UNILAT LT,1257.0,,65.0,1131.3,224
CPT,93882,DUPLEX EXTRACRANIAL UNILAT RT,1257.0,,65.0,1131.3,224
CPT,93882,DUPLEX SCAN EXTRACRAN LTD,1257.0,,65.0,1131.3,68
CPT,93882,DUPLEX SCAN XTRACRAN LTD LT,1257.0,,65.0,1131.3,56
CPT,93882,DUPLEX SCAN XTRACRAN LTD RT,1257.0,,65.0,1131.3,56
CPT,93886,DOPPLER TRANSCRANIAL CMPL,1594.0,,82.0,1434.6,340
CPT,93886,TCD STUDY COMPLETE,2332.0,,82.0,2098.8,68
CPT,93888,TCD STUDY LIMITED,1012.0,,17.0,910.8,68
CPT,93890,DOPPLER INTRACRANIAL VASOREACT,1704.0,,852.0,1533.6,112
CPT,93892,DOPPLER INTRACRANIAL EMBOL W/O,1520.0,,87.59,1368.0,136
CPT,93893,DOPPLER INTRACRAN EMBOLI W/INJ,1373.0,,87.59,1283.4,136
CPT,93922,DOPPLER ARTERIAL EXT LTD,775.0,,81.0,697.5,136
CPT,93922,DOPPLER ARTERIAL EXT LTD BIL,775.0,,81.0,697.5,600
CPT,93923,DOPPLER ARTERIAL EXT CMPL,1673.0,,81.0,1505.7,668
CPT,93923,DOPPLER ARTERIAL EXT CMPL BIL,1673.0,,81.0,1505.7,340
CPT,93923,LEA-UEA BILAT EXTREMITIES,1673.0,,81.0,1505.7,68
CPT,93924,DOPPLER ART EXT W/STRESS BIL,2387.0,,91.0,2148.3,136
CPT,93924,DOPPLER ARTERY EXT W/STRESS,2387.0,,91.0,2148.3,464
CPT,93925,DUPLEX ARTERIAL LWR EXT BILAT,1967.0,,91.0,1770.3,1076
CPT,93925,DUPLEX SCAN LOW EXT BIL,1967.0,,91.0,1770.3,136
CPT,93926,DUPLEX ARTERIAL LWR EXT LT,985.0,,31.0,886.5,56
CPT,93926,DUPLEX ARTERIAL LWR EXT UNI RT,985.0,,31.0,886.5,56
CPT,93926,DUPLEX ARTRL LWR EXT UNILT/LMT,1404.0,,31.0,1263.6,408
CPT,93926,DUPLEX SCAN LOW EXT LTD LT,1404.0,,31.0,1263.6,168
CPT,93926,DUPLEX SCAN LOW EXT LTD RT,1404.0,,31.0,1263.6,224
CPT,93930,DUPLEX ARTERIAL UPR EXT BILAT,2010.0,,47.0,1809.0,204
CPT,93930,DUPLEX SCAN UP EXT BIL,2010.0,,47.0,1809.0,328
CPT,93931,DUPLEX ART UPR EXT UNILAT/LMTD,1540.0,,9.0,1386.0,272
CPT,93931,DUPLEX ARTERIAL UPR EXT UNI LT,1309.5,,9.0,1386.0,224
CPT,93931,DUPLEX ARTERIAL UPR EXT UNI RT,1309.5,,9.0,1386.0,224
CPT,93931,DUPLEX SCAN UP EXT LTD LT,1540.0,,9.0,1386.0,56
CPT,93931,DUPLEX SCAN UP EXT LTD RT,1540.0,,9.0,1386.0,56
CPT,93970,DUPLEX SCAN EXT VEINS BIL,2291.0,,169.0,2061.9,136
CPT,93970,DUPLEX VENOUS EXT BILAT,2291.0,,169.0,2061.9,396
CPT,93971,DUPLEX SCAN EXT VEINS LTD LT,1611.0,,56.0,1449.9,56
CPT,93971,DUPLEX SCAN EXT VEINS LTD RT,1611.0,,56.0,1449.9,168
CPT,93971,DUPLEX VENOUS EXT UNILAT LT,1371.5,,56.0,1449.9,224
CPT,93971,DUPLEX VENOUS EXT UNILAT RT,1371.5,,56.0,1449.9,223
CPT,93971,DUPLEX VENOUS EXT UNILAT/LMTD,1611.0,,56.0,1449.9,408
CPT,93975,DUPLEX ABD/PEL/RETRO CMPL,2301.0,,199.1,2070.9,396
CPT,93975,DUPLEX SCAN IN/OUTFLO COM,2301.0,,199.1,2070.9,68
CPT,93976,DUPLEX ABD/PEL RETRO LTD,1300.0,,65.0,1170.0,67
CPT,93976,DUPLEX ABD/PEL/RETRO LTD,1300.0,,65.0,1170.0,457
CPT,93976,DUPLEX SCAN IN/OUTFLO LTD,1300.0,,65.0,1170.0,136
CPT,93978,DUPLEX AORTA/IVC/GRAFT CMPL,1424.0,,199.1,1281.6,396
CPT,93979,DUPLEX AORTA/IVC/GRAFT LTD,1342.0,,87.59,1207.8,390
CPT,93979,DUPLEX SCAN AORTA/IVC LTD,1342.0,,87.59,1207.8,68
CPT,93980,DUPLEX PENILE VESSELS CMPL,1570.0,,87.0,1413.0,323
CPT,93981,DUPLEX PENILE VESSELS LTD,942.0,,27.0,847.8,67
CPT,93985,DUP-SCAN HEMO COMPL BI STD,715.0,,146.14,643.5,256
CPT,93986,DUP-SCAN HEMO COMPL UNI STD,345.0,,84.94,310.5,256
CPT,93990,DUPLEX HEMODIALYSIS ACCESS,842.0,,42.0,757.8,192
CPT,93990,DUPLEX SCAN HEMODIALYSIS ACCES,842.0,,42.0,757.8,68
CPT,93998,VENOUS MAPPING WITHOUT DOPPLER,1492.0,,20.18,1342.8,260
CPT,94002,MRI VENT MGMT INITIAL DAY,2281.0,,544.53,2052.9,68
CPT,94002,VENT MGMT ED INITIAL DAY,2281.0,,544.53,2052.9,68
CPT,94002,VENT MGMT INITIAL DAY,2452.0,,544.53,2206.8,204
CPT,94003,HI FREQ VENT MGMT SUBSEQ DAY,2168.0,,43.0,1951.2,68
CPT,94003,VENT MGMT SUBSEQ DAY,2168.0,,43.0,1951.2,204
CPT,94010,SPIROMETRY/PFT SIMPLE,482.0,,31.0,433.8,1292
CPT,94060,SPIROMETRY/PFT PRE&POST BRONCH,1099.0,,77.0,989.1,408
CPT,94070,SPIROMETRY/PFT CPLX,1841.0,,174.0,1656.9,544
CPT,94150,VITAL CAPACITY- TOTAL,312.0,,4.0,280.8,136
CPT,94200,INCENTIVE SPIROMETRY/TRT.,285.0,,20.0,256.5,136
CPT,94200,MAXIMUM VOLUNTARY VENT,236.0,,20.0,212.4,68
CPT,94200,MAXIMUM VOLUNTARY VENT (MVV),236.0,,20.0,212.4,136
CPT,94200,PEAK FLOW PRE AND POST,285.0,,20.0,256.5,68
CPT,94375,FLOW-VOL LOOP W/SPIRO/PFT,1848.0,,23.0,1663.2,68
CPT,94375,MECHANICS OF VENTILATION,775.0,,23.0,697.5,136
CPT,94617,EXERCISE TEST FOR BRONCHOSPASM,349.0,,106.17,314.1,136
CPT,94618,PULMONARY STRESS TEST,641.0,,32.55,576.9,1360
CPT,94618,PULMONARY STRESS TEST SIMPLE,641.0,,32.55,576.9,68
CPT,94621,PULMONARY STRESS TEST CPLX,2902.0,,160.0,2611.8,272
CPT,94625,OP PUL RHB W/O CONT OX MNTR-KX,470.0,,235.0,423.0,56
CPT,94625,OP PULM REHAB W/O CONT OX MNTR,470.0,,48.93,423.0,136
CPT,94626,OP PUL REHAB W/CONT OX MNTR-KX,470.0,,235.0,423.0,56
CPT,94626,OP PULM REHAB W/CONT OX MNTR,470.0,,48.93,423.0,204
CPT,94640,"IPV TREATMENT, INITIAL",279.0,,29.0,251.1,68
CPT,94640,"IPV TREATMENT, SUBSEQUENT",279.0,,29.0,251.1,68
CPT,94640,"MDI TREATMENT, INITIAL",279.0,,29.0,251.1,136
CPT,94640,"MDI-TREATMENT, SUBSEQ",279.0,,29.0,251.1,136
CPT,94640,NEB BRONCHDIL TX INITIAL,279.0,,29.0,251.1,68
CPT,94640,NEB BRONCHDIL TX SUBSEQ,279.0,,29.0,251.1,56
CPT,94640,NEB BRONCHODILATOR TRTMT 01,269.0,,29.0,250.39,68
CPT,94640,NEB MEDICATION TX INITIAL,279.0,,29.0,251.1,68
CPT,94640,NEB MEDICATION TX SUBSEQ,279.0,,29.0,251.1,56
CPT,94640,NEBULIZER BRONCHODILATOR TRTMT,279.0,,29.0,251.1,68
CPT,94640,NEBULIZER TREATMENT IN ED,279.0,,29.0,251.1,68
CPT,94640,NEBULIZER TREATMENT INITIAL,279.0,,29.0,251.1,192
CPT,94640,NONPRESS INHAL TX-INITIAL**,279.0,,29.0,251.1,68
CPT,94640,NONPRESS INHAL TX-SUBSEQUENT**,279.0,,29.0,251.1,68
CPT,94640,NONPRESSURIZED INHALATION,218.0,,29.0,250.39,408
CPT,94640,"PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION FOR THERAPEUTIC PURPOSES AND/OR FOR DIAGNOSTIC PURPOSES SUCH AS SPUTUM INDUCTION WITH AN AEROSOL GENERATOR, NEBULIZER, M",,,29.0,29.0,1
CPT,94640,"SPUTUM,OBTAIN SPEC,AEROSOL IND",279.0,,29.0,251.1,68
CPT,94640,SURFACTANT ADMINISTRATION,279.0,,29.0,251.1,68
CPT,94642,AEROSOL INHALATION PENTAMIDINE,678.0,,167.53,610.2,748
CPT,94645,CONTINUOUS INHAL TX EA ADDL HR,411.0,,205.5,369.9,56
CPT,94660,"CONTINUOUS POSITIVE AIRWAY PRESSURE VENTILATION (CPAP), INITIATION AND MANAGEMENT",,,119.0,119.0,1
CPT,94660,CPAP/BIPAP INITIAL 12HRS,1422.0,,119.0,1279.8,68
CPT,94660,CPAP/BIPAP SUBSEQUENT 12HRS,903.0,,119.0,812.7,68
CPT,94664,AEROSOL NEB/MDI/IPPB DEMO/EVAL,214.0,,24.0,250.39,136
CPT,94667,CHEST PT TREATMENT INITIAL 02,288.0,,32.0,259.2,68
CPT,94668,CHEST PT TREATMENTSUBSEQ,275.0,,106.17,247.5,68
CPT,94669,CHEST PT CF PATIENT INITIAL,310.0,,29.37,279.0,68
CPT,94669,CHEST PT CF PATIENT SUBSEQUENT,275.0,,29.37,250.39,68
CPT,94669,CHEST PT TREATMENT INITIAL 01,310.0,,29.37,279.0,68
CPT,94669,CHEST PT TREATMENTSUBSEQ,275.0,,29.37,250.39,68
CPT,94669,CHEST PT VIA VEST INITIAL,310.0,,29.37,279.0,68
CPT,94669,CHEST PT VIA VEST SUBSEQUENT,275.0,,29.37,250.39,68
CPT,94669,COUGH ASSIST,279.0,,29.37,251.1,68
CPT,94669,"IPV TREATMENT, INITIAL",279.0,,29.37,251.1,68
CPT,94669,"IPV TREATMENT, SUBSEQUENT",279.0,,29.37,251.1,68
CPT,94669,MECH CHEST WALL OSCIL-INIT**,259.0,,29.37,250.39,68
CPT,94669,MECH CHEST WALL OSCIL-SUBSEQ**,259.0,,29.37,250.39,68
CPT,94681,O2 UPTAKE EXPIRED GAS W/CO2,974.0,,53.0,876.6,136
CPT,94690,O2 UPTAKE EXPIRED GAS REST,669.0,,39.0,602.1,68
CPT,94690,"OXYGEN UPTAKE, REST, INDIRECT",810.0,,39.0,729.0,68
CPT,94726,PLETHYSMOGRAPHY LUNG VOL,709.0,,256.5,638.1,68
CPT,94727,GAS DILUTI0N/WASHOUT DETERMINE,630.0,,41.37,567.0,68
CPT,94727,GAS DILUTION/WASHOUT DETERMINE,741.5,,41.37,767.7,340
CPT,94729,CARBON MONOXIDE DIFF (DLCO),715.0,,51.72,643.5,168
CPT,94729,CARBON MONOXIDE DIFFUS (DLCO),715.0,,51.72,643.5,56
CPT,94729,MEMBRANE DIFFUSION CAPACITY,973.0,,51.72,875.7,56
CPT,94760,PULSE OX SINGLE,87.0,,3.2,78.3,285
CPT,94760,PULSE OXIMETRY/SINGLE,101.5,,3.2,104.4,228
CPT,94761,PULSE OXIMETRY MULTIPLE,350.0,,3.47,315.0,171
CPT,94761,PULSE OXIMETRY/MULTIPLE,350.0,,3.47,315.0,57
CPT,94762,PULSE OXIMETRY/DAY-INPATIENT,472.0,,128.87,424.8,136
CPT,94762,PULSE OXIMETRY/OVERNIGHT,472.0,,128.87,424.8,68
CPT,94799,MIP/MEP,316.0,,128.87,284.4,204
CPT,94799,SUPERVISED EXERCISE SESSION,47.0,,23.5,192.61,68
CPT,95004,TEST ALLERGY PERC W/ALLERGENIC,121.0,,3.1,1252.45,68
CPT,95012,NITRIC OXIDE EXPIRED GAS DETER,320.0,,18.12,288.0,68
CPT,95024,TEST ALLERGY INTRA W/ALLERG,108.0,,9.0,97.2,68
CPT,95027,TEST INTRADERM ALLERGEN IMMED,84.0,,4.0,75.6,136
CPT,95028,TEST INTRADERM ALLERGEN DELAY,182.0,,12.0,163.8,68
CPT,95044,TEST ALLERGY PATCH,119.0,,5.0,1252.45,136
CPT,95052,TEST ALLERGY PATCH PHOTO,84.0,,4.87,75.6,68
CPT,95056,TEST PHOTOSENSITIVITY,321.0,,24.9,288.9,68
CPT,95070,TEST BRONCH INH CHAL W/HISTAM,927.0,,83.0,834.3,68
CPT,95115,IMMUNOTHRPY 1 INJ W/O EXTRACT,52.0,,5.0,56.8,204
CPT,95117,IMMUNOTHRPY 2+ INJ W/O EXTRACT,75.0,,5.0,67.5,68
CPT,95165,IMMUNOTHRPY ALRGN P/P DOSES,139.0,,38.01,125.1,68
CPT,95250,MON GLUCOSE CONTINUOUS,527.0,,94.5,474.3,68
CPT,95250,MON GLUCOSE CONTINUOUS <72 HRS,527.0,,94.5,474.3,204
CPT,95700,EEG CONT REC W/VID EEG TECH,2922.0,,128.87,2629.8,272
CPT,95705,EEG W/O VID 2-12 HR UNMNTR,2922.0,,256.5,2629.8,272
CPT,95706,EEG W/O VID 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,272
CPT,95707,EEG W/O VID 2-12 HR CONT MNTR,2922.0,,256.5,2629.8,272
CPT,95708,EEG W/O VID EA 12-26 HR UNMNTR,2922.0,,437.05,2629.8,272
CPT,95709,EEG W/O VID EA 12-26 HR INTMT,2922.0,,437.05,2629.8,272
CPT,95710,EEG W/O VID EA 12-26 HR CONT,2922.0,,437.05,2629.8,272
CPT,95711,VEEG 2-12 HR UNMONITORED,2922.0,,256.5,2629.8,272
CPT,95712,VEEG 2-12 HR INTMT MNTR,2922.0,,256.5,2629.8,340
CPT,95713,VEEG 2-12 HR CONT MNTR,2922.0,,437.05,2629.8,272
CPT,95714,VEEG 12-26 HR UNMNTR,2922.0,,437.05,2629.8,272
CPT,95715,VEEG 12-26 HR INTMT MNTR,2922.0,,437.05,2629.8,272
CPT,95716,VEEG EA 12-26 HR CONT MNTR,2922.0,,838.0,2629.8,272
CPT,95717,EEG PHYS/QHP 2-12 HR W/O VID,2922.0,,1461.0,2629.8,280
CPT,95718,EEG PHYS/QHP 2-12 HR W/VEEG,2922.0,,1461.0,2629.8,280
CPT,95719,EEG PHYS/QHP EA INCR W/O VID,2922.0,,1461.0,2629.8,224
CPT,95720,EEG PHYS/QHP EA INCR W/VEEG,2922.0,,1461.0,2629.8,224
CPT,95721,EEG PHYS/QHP>26,2922.0,,1461.0,2629.8,224
CPT,95722,EEG PHYS/QHP>36,2922.0,,1461.0,2629.8,224
CPT,95723,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,224
CPT,95724,EEG PHYS/QHP>60,2922.0,,1461.0,2629.8,224
CPT,95725,EEG PHYS/QHP>84HR W/O VID,2922.0,,1461.0,2629.8,224
CPT,95726,EEG PHYS/QHP>84HR W/VEEG,2922.0,,1461.0,2629.8,224
CPT,95800,UNATTEND SLEEP STUDY SIML TIME,426.0,,128.87,383.4,272
CPT,95801,UNATTENDED SLEEP STUDY SIML,1276.0,,48.93,1351.71,136
CPT,95801,UNATTENDED SLEEP STUDY SIMUL,1276.0,,48.93,1351.71,204
CPT,95803,ACTIGRAPHY TEST 72HRS TO 14DAY,669.0,,48.93,602.1,68
CPT,95805,MULTI SLEEP LATENCY-LTD,1458.0,,220.0,1312.2,56
CPT,95805,MULTIPLE SLEEP LATENCY,4576.0,,220.0,4118.4,136
CPT,95806,SLEEP STUDY UNATTENDED,2027.0,,128.87,1824.3,204
CPT,95807,SLEEP STUDY ATTENDED,3629.0,,230.0,3266.1,476
CPT,95808,PSG 1-3 PARAMETERS ANY AGE,5056.0,,242.0,4550.4,272
CPT,95810,PSG 6 YRS OR OLDER 4+ PARAM,6338.0,,262.0,5704.2,68
CPT,95810,PSG- 4+ PARAMETERS,8387.0,,262.0,7548.3,272
CPT,95810,PSG- 4+ PARAMETERS-LTD,5322.0,,262.0,4789.8,56
CPT,95810,PSG- 4+ PARAMETERS-SEIZURE,6934.0,,262.0,6240.6,68
CPT,95810,PSG- 4+ PARAMETERS-SEIZURE-LTD,3156.0,,262.0,2840.4,56
CPT,95811,PSG 6/> YRS 4+ PARAM W/CPAP,6950.0,,257.0,6255.0,476
CPT,95811,PSG- 4+ PARAMETERS W/CPAP,9148.0,,257.0,8233.2,68
CPT,95811,PSG- 4+ PARAMETERS W/CPAP-LTD,3442.0,,257.0,3097.8,56
CPT,95811,PSG- 4+ W/CPAP-SEIZURE,6165.0,,257.0,5548.5,68
CPT,95812,EEG MONITORING 41-60 MIN,2659.0,,136.0,2393.1,340
CPT,95813,EEG MONITOR > 1 HR,2632.0,,136.0,2368.8,340
CPT,95813,EEG MONITORING 61 MINS OR >,2632.0,,136.0,2368.8,136
CPT,95816,EEG AWAKE/DROWSY,1547.0,,55.0,1392.3,408
CPT,95819,EEG AWAKE & ASLEEP,1862.0,,138.0,1675.8,136
CPT,95819,EEG AWAKE/ASLEEP,2522.0,,138.0,2269.8,68
CPT,95822,EEG COMA OR SLEEP ONLY,1755.0,,82.0,1579.5,68
CPT,95822,EEG INTRAOP(SVC PRVD BY OUTSID,997.0,,82.0,897.3,68
CPT,95824,EEG CEREBRAL DEATH EVALUATION,2036.0,,63.0,1832.4,68
CPT,95829,ELECTROCORTICOGRAM INTRAOP,3235.0,,154.0,2911.5,56
CPT,95851,PT ROM TESTING EXTREMITY/TRUNK,177.0,,39.0,159.3,56
CPT,95860,EMG 1 EXTREMITY,949.0,,35.0,854.1,204
CPT,95860,NDL EMG 1 EXT W/WO PARASP,785.0,,35.0,706.5,68
CPT,95860,NDL EMG 1 EXT W/WO PARASP (59),785.0,,35.0,706.5,56
CPT,95861,EMG 2 EXTREMITIES,1369.0,,63.0,1232.1,272
CPT,95861,NDL EMG 2 EXT W/WO PARASP,1154.0,,63.0,1038.6,68
CPT,95861,NDL EMG 2 EXT W/WO PARASP (59),1049.0,,63.0,944.1,56
CPT,95863,NDL EMG 3 EXT W/WO PARASP,1118.0,,81.0,1006.2,68
CPT,95863,NDL EMG 3 EXT W/WO PARASP (59),1118.0,,81.0,1006.2,56
CPT,95864,NDL EMG 4 EXT W/WO PARASP,1215.0,,128.87,1093.5,136
CPT,95864,NDL EMG 4 EXT W/WO PARASP (59),1215.0,,140.0,1093.5,56
CPT,95865,EMG LARYNX,435.0,,106.17,391.5,204
CPT,95866,EMG HEMIDIAPHRAGM,668.0,,128.87,601.2,68
CPT,95867,MUSCLE TEST CRAN NERV UNI,598.5,,40.0,543.6,136
CPT,95867,MUSCLE TEST CRAN NERV UNI (59),499.0,,40.0,449.1,56
CPT,95868,EMG CRANIAL NERVE BILAT,1028.0,,57.0,925.2,136
CPT,95869,EMG THORACIC PARASPINAL,567.0,,37.0,510.3,68
CPT,95869,NDL EMG THOR PARASP MSCLS,567.0,,37.0,510.3,68
CPT,95869,NDL EMG THOR PARASP MSCLS (59),387.0,,37.0,348.3,56
CPT,95870,EMG EXTREMITY LIMITED,645.0,,37.0,580.5,68
CPT,95870,NDL EMG LTD 1EXTR/NONLIMB,645.0,,37.0,580.5,136
CPT,95870,NDL EMG LTD 1EXTR/NONLIMB (59),494.0,,37.0,444.6,56
CPT,95872,"EMG, SINGLE-FIBER",1008.0,,31.0,907.2,68
CPT,95874,EMG NEEDLE W/CHEMODENERVATION,494.0,,247.0,444.6,112
CPT,95885,EMG EA EXTM W/NRV COND  LTD,532.0,,57.71,478.8,56
CPT,95885,EMG EA EXTM W/NRV COND LTD,532.0,,57.71,478.8,112
CPT,95885,"EMG EA EXTM W/NRV COND, LTD",532.0,,57.71,478.8,112
CPT,95886,EMG EA EXTM W/NRV COND COMP,777.0,,92.08,699.3,168
CPT,95886,"EMG EA EXTM W/NRV COND, COMP",777.0,,92.08,699.3,112
CPT,95886,EMG EA SXTM W/NRV COND COMP,777.0,,92.08,699.3,56
CPT,95887,EMG NON-EXTM W/NERVE COND,596.5,,275.0,578.7,168
CPT,95905,MOTOR/SENS NRV CONDUCT TEST,438.0,,219.0,491.23,68
CPT,95907,NERVE CONDUCTION STUDIES 1-2,1347.0,,89.14,1212.3,544
CPT,95908,NERVE CONDUCTION STUDIES 3-4,2904.0,,122.7,2613.6,272
CPT,95909,NERVE CONDUCTION STUDIES 5-6,4366.0,,146.92,3929.4,136
CPT,95910,NERVE CONDUCTION STUDIES 7-8,5817.0,,193.5,5235.3,136
CPT,95911,NERVE CONDUCTION STUDIES 9-10,7266.0,,234.58,6539.4,204
CPT,95912,NERVE CONDUCTION STUDIES 11-12,8722.0,,239.2,7849.8,272
CPT,95913,NERVE CONDUCTION STUDIES 13/>,9987.0,,277.27,8988.3,204
CPT,95921,AUTONOMIC FUNCTION CARDIOVAGAL,962.0,,21.0,865.8,204
CPT,95922,AUTONOMIC FUNCTION VASOMOTOR,731.0,,21.0,657.9,68
CPT,95923,AUTONOMIC FUNCTION SUDOMOTOR,870.0,,21.0,783.0,68
CPT,95924,TEST ANS FUNC PARASYMP&SYMP,775.0,,142.58,697.5,68
CPT,95925,SOM-SENS EVOK POT UP EXTR,2781.0,,256.5,2502.9,68
CPT,95925,SOM-SENS EVOK POT UP EXTR (59),2301.0,,1150.5,2070.9,56
CPT,95925,SSEP UPPER LIMB(PRVD BY OUTSID,3005.0,,256.5,2704.5,68
CPT,95926,SOM-SENS EVOK POT LOW LMB,2681.0,,36.0,2412.9,204
CPT,95926,SOM-SENS EVOK POT LOW LMB (59),2255.0,,36.0,2029.5,56
CPT,95927,SSEP TRUNK/HEAD,2141.0,,36.0,1926.9,136
CPT,95928,CMEP UPR LIMBS,1655.0,,827.5,1489.5,68
CPT,95929,CMEP LWR LIMBS,1861.0,,437.05,1674.9,68
CPT,95930,VISUAL EVOKED POTENTIAL,1947.0,,94.0,1752.3,204
CPT,95933,BLINK REFLEX,532.0,,48.93,478.8,68
CPT,95937,NEUROMUSCULAR JUNCTION TEST,764.0,,78.0,687.6,136
CPT,95937,"REP.NERVE STIMUL,EA.N.",856.0,,78.0,770.4,68
CPT,95938,SOMATOSENSORY STDY UP&LOW LIMB,4089.0,,182.8,3680.1,68
CPT,95938,SSEP LIMBS(PRVD BY OUTSIDE SVC,4089.0,,182.8,3680.1,68
CPT,95939,CEN MOTOR EVOKED STUDY LIMBS,2330.0,,838.0,2097.0,68
CPT,95940,IONM 1 ON 1 IN OR W/ATTEND 15M,411.0,,205.5,369.9,56
CPT,95940,IONM 1 ON 1 OR W/ATTEND 15M,460.0,,230.0,414.0,56
CPT,95941,IONM REMOTE/NEARBY/>1 CASE,234.0,,117.0,251.53,57
CPT,95955,EEG INTRAOP,2129.0,,132.0,1916.1,56
CPT,95955,EEG INTRAOP NONINTRACRANIAL,5973.0,,132.0,5375.7,56
CPT,95955,EEG INTRAOP(SVC PRVD BY OUTSID,1681.0,,132.0,1512.9,56
CPT,95958,EEG HEMISPHERE FUNCTION (WADA),3200.0,,127.0,2880.0,136
CPT,95961,CORTICAL MAP 1ST HR,2250.0,,89.0,2025.0,136
CPT,95961,CORTICAL MAPPING 1ST HR,2250.0,,89.0,2025.0,68
CPT,95962,CORTICAL MAP ADD HR,1860.0,,89.0,1674.0,112
CPT,95962,CORTICAL MAPPING ADD'L HR,1860.0,,89.0,1674.0,56
CPT,95965,MEG SPONTANEOUS ACTIVITY,13290.0,,838.0,11961.0,204
CPT,95966,MEG EVOKED FIELDS SINGLE,6533.0,,838.0,5879.7,68
CPT,95967,MEG EVOKED FIELDS EA ADD,4913.0,,406.59,4421.7,57
CPT,95970,ANLYS NEUR W/O PROG SMP/CPX,556.0,,106.17,500.4,408
CPT,95970,ANLYS NEURO W/O PROG SMP/CPX,467.0,,48.0,420.3,68
CPT,95970,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR/TRANSMITTER (EG, CONTACT GROUP[S], INTERLEAVING, AMPLITUDE, PULSE WIDTH, FREQUENCY [HZ], ON/OFF CYCLING, BURST, MAGNET MODE, DOSE LOCKO",,,48.0,48.0,1
CPT,95971,ANALYS NEUR SM W/PROG,1003.0,,75.61,902.7,68
CPT,95971,ANLYS NEUR SMP W/PROG,1003.0,,75.61,902.7,408
CPT,95972,ANLYS NEUR CPLX 1ST H W/PROG,1013.0,,75.61,911.7,340
CPT,95976,ALYS SMPL CN NPGT PRGRMG,967.0,,30.72,870.3,272
CPT,95977,ALYS CPLX CN NPGT PRGRMG,1101.0,,75.61,990.9,272
CPT,95981,ANLYS GAST NEUR W/O REPROG,260.0,,48.93,234.0,68
CPT,95982,ANLYS GAST NEUR W/REPROG,116.0,,30.72,104.4,68
CPT,95983,ALYS BRN NPGT PRGRMG 15 MIN,1003.0,,75.61,902.7,136
CPT,95984,ALYS BRN NPGT PRGRMG ADDL 15,1003.0,,401.2,902.7,112
CPT,95990,PUMP REFILL/MAINT SPINAL,826.0,,273.2,743.4,68
CPT,95991,PUMP REFILL W/ANALYSIS OF PUMP,851.0,,243.14,831.6,272
CPT,95992,AUD CANALITH REPOSITIONING/DAY,222.0,,41.43,199.8,112
CPT,95992,PT CANALITH REPOSITION PER DAY,222.0,,41.43,199.8,56
CPT,95992,PT CANALITH REPOSITION/DAY,222.0,,41.43,199.8,56
CPT,96041,GENETIC COUNSELING 30 MIN,362.0,,45.12,325.8,57
CPT,96105,ST EVAL APHASIA PER HR,545.0,,83.0,490.5,56
CPT,96105,ST EVAL APHASIA/HR (60 MIN),491.0,,83.0,441.9,56
CPT,96116,PT EXM NEUROBH B/PSYCH PER HR,733.0,,23.6,659.7,204
CPT,96125,ST STD COGNIT TEST BY HC PRO,594.0,,96.57,534.6,57
CPT,96127,BRIEF EMO ASSESS W/SCORING,103.0,,32.33,92.7,204
CPT,96130,PSYCL TST EVAL PHYS/QHP 1ST HR,804.0,,256.5,723.6,272
CPT,96131,PSYCL TST EVAL PHYS/QHP EA ADD,804.0,,402.0,723.6,112
CPT,96132,NRPSYC TST EVAL PHYS/QHP 1ST,892.0,,51.14,802.8,272
CPT,96133,NRPSYC TST EVAL PHYS/QHP EA,892.0,,42.8,802.8,224
CPT,96136,PSYCL/NRPSYC TST PHY/QHP 1ST,402.0,,106.17,361.8,272
CPT,96137,PSYCL/NRPSYC TST PHY/QHP EA,402.0,,201.0,361.8,168
CPT,96138,PSYCL/NRPSYC TECH 1ST 30 MIN,394.0,,13.81,491.23,340
CPT,96139,PSYCL/NRPSYC TECH EA ADD 30MIN,394.0,,25.0,354.6,224
CPT,96146,PSYCL/NRPSYC TST AUTO RESULT,808.0,,20.18,727.2,204
CPT,96156,HLTH BHV ASSMT/REASSESSMENT,167.0,,76.19,150.3,136
CPT,96158,HLTH BHV IVNTJ INDIV 1ST 30,167.0,,83.5,197.79,136
CPT,96159,HLTH BHV IVNTJ INDIV EA ADDL,167.0,,83.5,150.3,56
CPT,96160,HLTH RSK ASSESS PT FOCUSED,66.0,,24.54,59.4,340
CPT,96360,IV INF HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,272
CPT,96360,IV INF THPY FLD INTL 31-60 MIN,563.0,,59.0,506.7,68
CPT,96360,IV INFS HYDRAT INIT 31-60 (59),593.0,,59.0,533.7,56
CPT,96360,IV INFS HYDRAT INIT 31-60 MIN,778.0,,59.0,700.2,1868
CPT,96361,IV HYDRA ADDL HR (59),315.0,,19.0,283.5,56
CPT,96361,IV HYDRAT EA ADDL HR,373.0,,38.01,335.7,124
CPT,96361,IV HYDRAT EA ADDL HR 1ST SITE,373.0,,19.0,335.7,736
CPT,96361,IV INFUS THPY FLUID ADDL HR,271.0,,19.0,243.9,600
CPT,96365,INFS INIT 2ND SITE/VISIT (59),664.0,,72.0,597.6,56
CPT,96365,INFUSION INIT 2ND SITE/VISIT,664.0,,72.0,597.6,56
CPT,96365,"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); INITIAL, UP TO 1 HOUR",,,72.0,72.0,1
CPT,96365,IV INF THPY/PROPH/DX INTL UP,571.0,,72.0,513.9,68
CPT,96365,IV INFS INIT 31-60 MIN (59),603.0,,72.0,542.7,56
CPT,96365,IV INFUS THPY/PROP/DX INTL UP,786.0,,72.0,707.4,68
CPT,96365,IV INFUS THPY/PROPH/DX INTL UP,728.0,,72.0,707.4,4112
CPT,96365,IV INFUS THPYPROPH/DX INTL UP,714.0,,72.0,642.6,68
CPT,96365,IV INFUSION INITIAL 31-60 MIN,730.0,,72.0,657.0,68
CPT,96365,IV INFUSION THERAPY INITIAL HR,674.0,,72.0,606.6,68
CPT,96365,IV MED INIT HR 2ND SITE,786.0,,250.0,707.4,112
CPT,96365,IV MED INITIAL HR,649.0,,72.0,584.1,68
CPT,96365,IV MED INITIAL HR 1ST SITE,786.0,,173.54,707.4,124
CPT,96366,"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,25.0,25.0,1
CPT,96366,IV INFUS THPY/PROPH/DX ADDL HR,416.0,,25.0,374.4,1552
CPT,96366,IV INFUS THYP/PROPH/DX ADDL HR,416.0,,25.0,374.4,68
CPT,96366,IV INFUSION ADDL 31-60 MIN,385.0,,25.0,346.5,68
CPT,96366,IV INFUSION THERAPY EA ADDL HR,350.0,,25.0,315.0,68
CPT,96366,IV MED EA ADD'L HR,416.0,,25.0,374.4,136
CPT,96366,IV MED EA ADD'L HR 1ST SITE,416.0,,208.0,374.4,56
CPT,96367,IV INF ADD'L SEQUENT 1 HR,373.0,,36.13,335.7,68
CPT,96367,IV INFS ADDL SEQ 31-60 MIN,409.0,,36.13,368.1,68
CPT,96367,IV INFS ADDL SEQ NEW DRUG 1 HR,441.0,,36.13,396.9,68
CPT,96367,IV INFUS THPY/PRO/DX ADDL SEQ,476.0,,36.13,428.4,668
CPT,96367,IV INFUS THPY/PROP/DX ADDL SEQ,476.0,,36.13,428.4,136
CPT,96367,IV INFUSION ADD'L SEQUENT 1 HR,476.0,,58.62,428.4,124
CPT,96368,IV INFUS THPY/PRO/DX CONCURREN,497.0,,24.0,447.3,728
CPT,96368,IV INFUSION CONCURRENT,497.0,,248.5,447.3,112
CPT,96369,SC INFUS THPY/PROPH/DX INTL UP,976.0,,173.54,878.4,1088
CPT,96372,THERAP/PRO/DX INJ SQ/IM,383.0,,6.24,344.7,4804
CPT,96373,INJECTION INTRA-ARTERIAL,286.0,,143.0,259.37,136
CPT,96374,INJECTION IV PUSH,540.0,,173.54,486.0,260
CPT,96374,INJECTION IV PUSH INITIAL,540.0,,173.54,486.0,68
CPT,96374,IV PUSH INITIAL,499.0,,173.54,449.1,68
CPT,96374,IV PUSH INITIAL (59),456.0,,228.0,410.4,56
CPT,96374,THERAPY PRO//DX IV PUSH INIT,540.0,,173.54,486.0,68
CPT,96374,THERAPY/PRO/DX IV PUSH,540.0,,173.54,486.0,68
CPT,96374,THERAPY/PRO/DX IV PUSH INIT,466.0,,173.54,419.4,68
CPT,96374,THERAPY/PRO/DX IV PUSH INITIAL,499.0,,173.54,449.1,68
CPT,96374,THERAPY/PRO/DX/IV PUSH INIT,540.0,,173.54,486.0,124
CPT,96374,THERAPYPRO//DX IV PUSH,540.0,,173.54,486.0,464
CPT,96374,THERAPYPRO//DX IV PUSH INIT,540.0,,173.54,486.0,2436
CPT,96374,THERAPYPRO//DX IV PUSH INITIAL,540.0,,173.54,486.0,68
CPT,96375,INJ IV PUSH SEQ NEW DRUG,399.0,,23.36,359.1,68
CPT,96375,INJECT IV PUSH SEQ NEW DRUG,399.0,,38.01,359.1,124
CPT,96375,IV PUSH ADDL SEQ NEW DRUG,343.0,,23.36,308.7,68
CPT,96375,IV PUSH ADDL SEQ NEW DRUG (59),343.0,,23.36,308.7,56
CPT,96375,IV PUSH EA ADDL SEQ NEW DRUG,370.0,,23.36,333.0,136
CPT,96375,THERAPY PRO//DX IV PUSH ADDL,304.0,,23.36,273.6,68
CPT,96375,THERAPYPRO//DX IV PUSH ADDL,351.5,,23.36,359.1,1348
CPT,96376,ER Only-THERAPYPRO//DX IV PUSH SAME,343.0,,16.08,308.7,40
CPT,96376,INJ IV PUSH SEQ SAME DRUG,383.0,,16.08,344.7,171
CPT,96376,IV INFUS THPY/PRO/DX ADDL SEQ,300.0,,16.08,270.0,57
CPT,96376,IV PUSH ADD SEQ SAME DRUG (59),293.0,,16.08,263.7,57
CPT,96376,IV PUSH EA ADDL SEQ SAME DRUG,354.0,,16.08,318.6,513
CPT,96376,THERAPPRO//DX IV PUSH SAME,343.0,,16.08,308.7,116
CPT,96376,THERAPYPRO//DX IV PUSH SAME,240.0,,16.08,308.7,810
CPT,96377,APPLICATION ON-BODY INJECTOR,343.0,,18.81,308.7,464
CPT,96401,CHEMO SQ/IM NON ANTI-NEOPLAST,627.0,,49.0,564.3,600
CPT,96402,CHEMO SQ/IM ANTI-NEOPLASTIC,580.0,,34.0,522.0,804
CPT,96405,CHEMO INTRALESIONAL 1-7LESIONS,358.0,,37.0,322.2,872
CPT,96406,CHEMO INTRALESIONAL >7 LESIONS,566.0,,81.0,509.4,192
CPT,96406,CHEMO INTRALESIONAL>7  LESIONS,566.0,,81.0,509.4,68
CPT,96409,CHEMO IV PUSH SINGLE,785.0,,114.0,706.5,736
CPT,96411,CHEMO IV PUSH ADDITIONAL DRUG,743.0,,58.62,668.7,600
CPT,96413,CHEMO IV INFUS SGL/INIT <1HR,1141.0,,161.0,1026.9,68
CPT,96413,CHEMO IV INFUSION SGL/INIT,1141.0,,161.0,1026.9,600
CPT,96413,CHEMO IV INFUSION SGL/INT,1141.0,,161.0,1026.9,68
CPT,96415,CHEMO IV INFUSION ADDL HR,548.0,,37.0,493.2,668
CPT,96415,"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS INFUSION TECHNIQUE; EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,37.0,37.0,1
CPT,96416,CHEMO IV INFUSION PRO W/PUMP,1358.0,,173.0,1222.2,68
CPT,96417,CHEMO IV INFUSION EACH ADD,800.0,,58.62,720.0,600
CPT,96422,CHEMO IA INFUSION 1 HR,2233.0,,87.0,2009.7,68
CPT,96423,CHEMO IA INFS ADD HR,713.0,,27.0,641.7,136
CPT,96425,CHEMO IA INFUSION >8 HR,900.0,,62.0,810.0,272
CPT,96446,CHEMO PERITONEAL CAVITY,1547.0,,273.2,1392.3,204
CPT,96450,CHEMO CNS,1812.0,,154.0,1630.8,600
CPT,96521,PUMP PORTABLE MAINTENANCE,695.0,,143.0,625.5,68
CPT,96522,PUMP IMPLANTABLE MAINT/REFILL,536.0,,173.54,482.4,68
CPT,96523,IRRIGAT IMPLANT VEN ACCESS DEV,395.0,,20.96,355.5,873
CPT,96542,CHEMO INJ SUBARACH/INTRAVENT,945.0,,54.0,850.5,408
CPT,96567,PHOTODYNAMIC SKIN SESSION,769.0,,105.0,692.1,204
CPT,96570,PHOTODYNAMIC THRPY 1ST 30 MIN,777.0,,310.8,699.3,56
CPT,96571,PHOTODYNAMIC THRPY ADD 15 MIN,359.0,,143.6,323.1,56
CPT,96573,PDT DSTR PRMLG LES PHYS/QHP,713.0,,103.9,641.7,204
CPT,96574,DBRDMT PRMLG LES W/PDT,713.0,,94.33,641.7,204
CPT,96900,ACTINOTHRPY/ULTRAVIOLET LIGHT,145.0,,32.33,130.5,68
CPT,96904,WHOLE BODY PHOTOGRAPHY HX NEVI,216.0,,57.93,194.4,56
CPT,96910,PHOTOCHEMOTHRPY UVB,320.0,,29.0,288.0,68
CPT,96912,PHOTOCHEMOTHRPY UVA,327.0,,35.0,294.3,68
CPT,96920,LASER PSORIASIS <250 CM2,497.0,,163.67,447.3,68
CPT,96922,LASER PSORIASIS >500 CM2,988.0,,329.08,889.2,68
CPT,97010,APPL HOT PACK/COLD PACK,52.0,,5.82,46.8,285
CPT,97012,MECHANICAL TRACTION THERAPY,91.0,,13.8,81.9,57
CPT,97012,OP MECHANICAL TRACTION,98.0,,13.8,88.2,57
CPT,97012,PT TRACTION MECHANICAL,91.0,,13.8,81.9,57
CPT,97016,OP COMPRESSION PUMP,70.0,,11.0,63.0,57
CPT,97016,PT VASOPNEUMATIC TREATMENT,65.0,,11.0,58.5,57
CPT,97016,VASOPNEUMATIC TREATMENT,65.0,,11.0,58.5,57
CPT,97018,OT PARAFFIN BATH THRPY,153.0,,5.69,137.7,57
CPT,97018,PARAFFIN BATH THERAPY,153.0,,5.69,137.7,57
CPT,97018,PT PARAFFIN BATH THRPY,153.0,,5.69,137.7,57
CPT,97022,OT WHIRLPOOL,197.0,,14.61,177.3,57
CPT,97026,INFRARED,69.0,,6.27,62.1,57
CPT,97026,OT INFRARED THERAPY,94.0,,6.27,84.6,57
CPT,97026,PT INFRARED THRPY,94.0,,6.27,84.6,57
CPT,97032,E-STIM ATTENDED 15 MIN,234.0,,11.0,210.6,285
CPT,97033,IONTOPHORESIS 15 MIN,205.0,,14.0,184.5,342
CPT,97035,OP ULTRASOUND/PHONO (15MIN),164.0,,10.0,147.6,57
CPT,97035,OT ULTRASOUND 15 MIN,150.0,,10.0,135.0,57
CPT,97035,PT ULTRASOUND 15 MIN,150.0,,10.0,135.0,171
CPT,97035,ULTRASOUND 15 MIN,150.0,,10.0,135.0,57
CPT,97110,OP THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,57
CPT,97110,OT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,285
CPT,97110,PT THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,228
CPT,97110,THERAPEUTIC EXERCISE 15 MIN,250.0,,14.0,225.0,171
CPT,97112,LOCOMOTOR TRAINING (15MIN),231.0,,11.0,207.9,57
CPT,97112,NEUROMUSCULAR RE-ED 15 MIN,231.0,,11.0,207.9,399
CPT,97112,PT TREATMENT (1-15 MIN),231.0,,11.0,207.9,57
CPT,97113,AQUATIC THERAPY (15 MIN),170.0,,11.0,153.0,57
CPT,97113,OP AQUATIC THERAPY (15MIN),156.0,,11.0,140.4,57
CPT,97113,PT AQUATIC THRPY 15 MIN,145.0,,11.0,130.5,57
CPT,97116,GAIT TRAINING (15 MIN),199.0,,11.0,179.1,57
CPT,97116,GAIT TRAINING 15 MIN,224.0,,11.0,201.6,114
CPT,97116,OP GAIT TRAINING (15 MIN),156.0,,11.0,140.4,57
CPT,97116,PT GAIT TRAINING (15 MIN),199.0,,11.0,179.1,171
CPT,97116,PT GAIT TRAINING 15 MIN,145.0,,11.0,130.5,57
CPT,97124,PT MASSAGE 15 MIN,186.0,,11.0,167.4,114
CPT,97129,ST COGNITIV FUNC DIR PT 1ST 15,229.0,,114.5,206.1,56
CPT,97130,ST COGNITIV FUNC DIR PT ADD 15,217.0,,108.5,195.3,56
CPT,97140,MANUAL THERAPY 15 MIN,263.0,,14.0,236.7,342
CPT,97150,AQUATIC THERAPY GROUP (15 MIN),116.0,,8.0,104.4,57
CPT,97150,GROUP FUNC THERAPY (15 MIN),81.0,,8.0,72.9,57
CPT,97150,OT THERAPEUTIC GROUP,207.0,,8.0,186.3,114
CPT,97150,OT-TREATMENT GROUP (15 MIN),126.0,,8.0,113.4,57
CPT,97150,PT THERAPEUTIC GROUP,207.0,,8.0,186.3,57
CPT,97150,PT-GROUP (15 MINS),114.0,,8.0,102.6,57
CPT,97161,PT EVAL LOW COMPLEX 20 MIN,350.0,,81.02,315.0,228
CPT,97161,PT EVAL LOW COMPLEXITY 20MN,293.0,,81.02,263.7,57
CPT,97162,ALS EVAL - MODERATE,395.0,,76.28,355.5,57
CPT,97162,EVALUATION - MODERATE,395.0,,76.28,355.5,171
CPT,97162,PT EVAL MOD COMPLEX 30 MIN,309.0,,76.28,278.1,228
CPT,97162,PT EVAL MOD COMPLEXITY 30MN,372.0,,76.28,334.8,57
CPT,97163,EVALUATION - HIGH,395.0,,81.02,355.5,171
CPT,97163,PT EVAL HIGH COMPLEX 45 MIN,395.0,,81.02,355.5,228
CPT,97163,PT EVAL HIGH COMPLEXITY 45MN,293.0,,81.02,263.7,57
CPT,97163,SEATING EVALUATION,410.0,,81.02,369.0,57
CPT,97164,PT RE-EVAL 20 MIN,174.0,,64.82,156.6,57
CPT,97164,PT RE-EVALUATION,174.0,,53.56,156.6,57
CPT,97164,RE-EVALUATION,316.0,,53.56,284.4,228
CPT,97165,OT EVAL LOW COMPLEX 30 MIN,304.0,,86.79,273.6,285
CPT,97166,EVALUATION - MODERATE,395.0,,74.05,355.5,171
CPT,97166,EVALUATION-MODERATE,395.0,,74.05,355.5,228
CPT,97166,OT EVALUATION-MODERATE 45 MIN,395.0,,74.05,355.5,57
CPT,97167,EVALUATION - HIGH,395.0,,96.83,355.5,171
CPT,97167,OT EVAL HIGH COMPLEX 60 MIN,395.0,,96.83,355.5,171
CPT,97168,OT RE-EVAL 30 MIN,284.0,,48.82,354.6,114
CPT,97168,RE-EVALUATION,316.0,,48.82,284.4,228
CPT,97530,OP THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CPT,97530,OT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,285
CPT,97530,PT THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,285
CPT,97530,THERAPEUTIC ACTIVITY 15 MIN,199.0,,16.0,179.1,57
CPT,97535,GEN FUNC THERAPY (15 MIN),150.0,,16.0,135.0,57
CPT,97535,OT SELF-CARE/ ADL (15 MIN),173.0,,16.0,155.7,57
CPT,97535,OT SELF-CARE/ADL (15 MIN),173.0,,16.0,155.7,57
CPT,97535,OT SELF-CARE/ADL (15MIN),173.0,,16.0,155.7,57
CPT,97535,OT SELF/HOME MGMT/ADL 15 MIN,126.0,,16.0,113.4,57
CPT,97535,PT SELF/HOME MGMT/ADL 15 MIN,126.0,,16.0,113.4,114
CPT,97535,SELF/HOME MGMT/ADL 15 MIN,126.0,,16.0,113.4,57
CPT,97537,OT COMM/WORK REINTEGRATE 15 M,199.0,,16.0,179.1,57
CPT,97542,OP WHLCHAIR MGMT 15 MIN,213.0,,16.0,191.7,57
CPT,97542,PT WHEELCHAIR MANAGE 15 MIN,193.0,,16.0,173.7,57
CPT,97545,WORK HARDENING 1ST 2 HRS,795.0,,112.0,715.5,57
CPT,97546,WORK HARDENING EA ADDL HR,398.0,,56.0,358.2,57
CPT,97550,CAREGIVER TRAIN STRATEGY 30MIN,418.0,,209.0,376.2,56
CPT,97550,PT PERFORMANCE TEST 15 MIN,204.0,,102.0,183.6,56
CPT,97551,CAREGIVER TRAINING STRATEGY 15,225.0,,112.5,202.5,56
CPT,97597,DEBR/REM DEV TISS <20 SQ CM,452.0,,82.0,406.8,612
CPT,97597,"DEBRIDEMENT (EG, HIGH PRESSURE WATERJET WITH/WITHOUT SUCTION, SHARP SELECTIVE DEBRIDEMENT WITH SCISSORS, SCALPEL AND FORCEPS), OPEN WOUND, (EG, FIBRIN, DEVITALIZED EPIDERMIS AND/OR DERMIS, EXUDATE, DE",,,82.0,82.0,1
CPT,97598,DEBR/REM TISS ADDL 20 SQ CM,452.0,,80.0,406.8,168
CPT,97602,DEBR NON-SELECTIVE W/O ANES,345.0,,41.0,310.5,544
CPT,97602,"REMOVAL OF DEVITALIZED TISSUE FROM WOUND(S), NON-SELECTIVE DEBRIDEMENT, WITHOUT ANESTHESIA (EG, WET-TO-MOIST DRESSINGS, ENZYMATIC, ABRASION, LARVAL THERAPY), INCLUDING TOPICAL APPLICATION(S), WOUND AS",,,41.0,45.0,2
CPT,97605,NEG PRESS WND THER DME </=50CM,481.0,,163.67,432.9,68
CPT,97605,NEG PRESS WOUND THRPY</=50 CM,481.0,,43.0,432.9,136
CPT,97605,NEG PRESS WOUND THRPY</=50CM,481.0,,43.0,432.9,476
CPT,97606,NEG PRESS WOUND THRPY>50CM,720.0,,329.08,648.0,340
CPT,97607,NEG PRESSURE WOUND </=50CM,739.0,,329.08,665.1,544
CPT,97608,NEG PRESS WOUND TX >50 CM,902.0,,15.4,811.8,204
CPT,97608,NEG PRESS WOUND TX >50CM,902.0,,15.4,811.8,68
CPT,97750,HOME EVALUATION (15 MIN),211.0,,18.0,189.9,57
CPT,97750,OP PHYSICAL PERF TEST (15MIN),211.0,,18.0,189.9,57
CPT,97750,OT PERFORMANCE TEST 15 MIN,195.0,,18.0,175.5,57
CPT,97750,PERFORMANCE TEST 15 MIN,195.0,,18.0,175.5,57
CPT,97750,PT PERFORMANCE TEST 15 MIN,195.0,,18.0,175.5,57
CPT,97755,OT ASSISTIVE TECH ASSESS,267.0,,36.27,240.3,57
CPT,97760,OP ORTHOTIC FIT/TRAN (15MIN),222.0,,33.13,199.8,57
CPT,97760,ORTHOTIC MGMT/FIT/TRAIN 15 MIN,205.0,,33.13,184.5,57
CPT,97760,OT ORTHOTIC FIT/TRAIN (15 MIN),222.0,,33.13,199.8,57
CPT,97760,OT ORTHOTIC FIT/TRAIN (15MIN),222.0,,33.13,199.8,57
CPT,97760,OT ORTHOTIC FIT\TRAIN (15MIN),222.0,,33.13,199.8,57
CPT,97760,OT ORTHOTIC MGMT/FIT/TRAIN 15,205.0,,33.13,184.5,57
CPT,97760,PT ORTHOTIC MGMT/FIT/TRAIN 15,205.0,,33.13,184.5,57
CPT,97761,OP PROSTHETIC TRAIN (15MIN),125.0,,26.5,112.5,57
CPT,97761,OT PROSTHETIC TRAINING EA 15 M,125.0,,26.5,112.5,57
CPT,97761,PROSTHETIC TRAINING EA 15 MIN,125.0,,26.5,112.5,57
CPT,97761,PT PROSTHETIC TRAINING EA 15 M,125.0,,26.5,112.5,57
CPT,97763,ORTHC/PROSTC MGMT SBSQ ENC 15M,134.0,,28.49,120.6,56
CPT,97763,OT ORTH/PROST MGMT 15 MIN,134.0,,28.49,120.6,56
CPT,97763,PT ORTH/PROST MGMT 15 MIN,134.0,,28.49,120.6,56
CPT,97799,CIMT 2 WK G 5 REFINE PGM(2400),9214.0,,4607.0,8292.6,56
CPT,97799,CIMT 3 WK G 5 PROGRAM(3600MIN),13820.0,,6910.0,12438.0,56
CPT,97799,CIMT ADMISSION ASSESS (90 MIN),554.0,,277.0,498.6,56
CPT,97799,CIMT ADMISSION ASSESSMENT (60),399.0,,199.5,359.1,56
CPT,97799,CIMT LE (2 WEEK) (2400 MIN),8475.0,,4237.5,7627.5,56
CPT,97799,CIMT LE (3 WEEK) (3600 MIN),12714.0,,6357.0,11442.6,56
CPT,97799,CIMT REASSESSMENT (30 MIN),123.0,,61.5,110.7,56
CPT,97799,CIMT REMOTE ASSESSMENT(30 MIN),246.0,,123.0,221.4,56
CPT,97799,CIMT-LE 1 WK REFINE (1200 MIN),4240.0,,2120.0,3816.0,56
CPT,97799,CIMT-LE REFINEMENT-90 MINUTES,319.0,,159.5,287.1,56
CPT,97799,CIMT-UE (2 WEEK) (2400 MIN),7985.0,,3992.5,7186.5,56
CPT,97799,CIMT-UE (3 WEEK) (3600 MIN),11978.0,,5989.0,10780.2,56
CPT,97799,CIMT-UE 1 WK REFINE (1200 MIN),3994.0,,1997.0,3594.6,56
CPT,97799,CIMT-UE REFINEMENT-90 MINUTES,300.0,,150.0,270.0,56
CPT,97802,NUTRITION THRPY EVAL 15 MIN,99.0,,30.45,90.9,513
CPT,97803,NUTRITION THRPY RE-EVAL 15 MIN,90.0,,25.73,81.0,171
CPT,97804,NUTRITION THRPY GROUP 30 MIN,87.0,,14.38,78.3,342
CPT,97810,ACUPUNC W/O E-STIM INIT 15 MIN,63.0,,15.0,56.7,204
CPT,97811,ACUPUNC W/O E-STIM ADD 15 MIN,63.0,,31.5,56.7,112
CPT,97813,ACUPUNC W/E-STIM INIT 15 MIN,74.0,,16.0,66.6,136
CPT,97814,ACUPUNC W/E-STIM ADD 15 MIN,74.0,,37.0,66.6,112
CPT,98012,TEL E/M BY PHY 5-10MIN,94.0,,31.73,84.6,114
CPT,98013,TEL E/M BY PHY 11-20 MIN,147.0,,55.31,132.3,114
CPT,98014,TEL E/M BY PHY 21-30 MIN,228.0,,80.93,205.2,57
CPT,98925,OSTEOPATHIC MANIP 1-2 REGIONS,129.0,,20.84,116.1,68
CPT,98960,EDUC/TRAIN-SELF MGMT EA 30 MIN,39.0,,19.5,35.1,114
CPT,99024,POST-OP FOLLOW UP VISIT,0.01,,0.005,9.99,2451
CPT,99024,POST-OP FOLLOW-UP VISIT,0.01,,0.005,9.99,57
CPT,99152,CONSC SED 5+YR 1ST 15 MIN,692.0,,18.76,622.8,56
CPT,99153,CONSC SED BY SAME MD EA ADD 15,290.0,,145.0,261.0,112
CPT,99153,CONSC SED BY SAME MD EA ADDL,290.0,,145.0,261.0,56
CPT,99195,PHLEBOTOMY THERAPEUTIC,387.0,,39.0,348.3,735
CPT,99215,OP VISIT E&M EST 40-54 MIN,746.0,,77.0,671.4,57
CPT,99222,PF INITIAL HOSPITAL CARE COMPR,435.0,,94.0,391.5,54
CPT,99233,EPSDT SCREEN HOSP CARE,84.0,,42.0,75.6,54
CPT,99242,OFFICE CONSULT LEVEL I,345.0,,65.21,310.5,228
CPT,99243,OFFICE CONSULT LEVEL III,354.0,,98.4,318.6,57
CPT,99243,OFFICE CONSULT LVL III,402.0,,98.4,361.8,399
CPT,99244,OFFICE CONSULT LEVEL IV,427.0,,138.0,384.3,57
CPT,99244,OFFICE CONSULT LVL IV,461.0,,138.0,414.9,456
CPT,99245,OFFICE CONSULT LEVEL V,842.0,,153.0,757.8,57
CPT,99245,OFFICE CONSULT LVL V,523.0,,153.0,470.7,285
CPT,99281,ER L1 VST BRIEF,580.0,,72.52,522.0,124
CPT,99282,ER L2 VST LIMITED,669.0,,130.44,602.1,124
CPT,99283,ER L3 VST INTERM,1182.0,,228.07,1063.8,124
CPT,99283,ER LVL 3 VISIT INTERMED W/MOD,1182.0,,250.0,1063.8,112
CPT,99284,ER L4 VST EXTENDED,1833.0,,250.0,1649.7,124
CPT,99285,ER L5 VST COMPREH,2837.0,,250.0,2553.3,124
CPT,99291,ER LVL 6 VISIT CRITICAL 30-74,3766.0,,250.0,3389.4,124
CPT,99292,ER CRITICAL CARE ADDL 30 MIN,1318.0,,250.0,1186.2,112
CPT,99366,MED TEAM CONF 30 MIN NON MD,310.0,,35.23,279.0,114
CPT,99367,MED TM CONF MD WO/PT 30M,251.0,,46.29,225.9,114
CPT,99395,PREVENT MED ESTAB 18-39 YRS,276.0,,41.0,248.4,57
CPT,99401,PREVENT MED COUNSEL 15 MIN,266.0,,33.48,239.4,684
CPT,99406,SMOK CESS COUN INTER >3MIN,92.0,,24.54,82.8,272
CPT,99406,SMOKE CESS COUN INTER >3MIN,92.0,,24.54,82.8,68
CPT,99407,SMOK CESS COUN INTEN >10 MIN,124.0,,24.54,112.5,136
CPT,99453,REM MNTR PHYS SETUP,356.0,,106.15,320.4,68
CPT,99454,REM MNTR PHYS DEVICE,181.0,,30.72,162.9,68
CPT,99465,NEWBORN RESUSCITATION,2151.0,,539.0,1935.9,204
CPT,C1713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),,,506.18,506.18,1
CPT,C5271,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA",,,845.16,845.16,2
CPT,C9600,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",,,5964.19,5964.19,1
CPT,C9604,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, ATHERECTOMY AND A",,,13805.98,13805.98,1
CPT,C9607,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, A",,,15499.97,15499.97,1
CPT,C9761,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY, WITH LITHOTRIPSY, AND URETERAL CATHETERIZATION FOR STEERABLE VACUUM ASPIRATION OF THE KIDNEY, COLLECTING SYSTEM, URETER, BLADDER, AND URETHRA IF",,,4036.51,4036.51,1
CPT,C9764,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(S), WHEN PERFORM",,,3131.44,3131.44,1
CPT,C9765,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, AND TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WI",,,15428.32,15428.32,1
CPT,G0259,INJECTION PROCEDURE FOR SACROILIAC JOINT; ARTHROGRAPHY,,,130.0,260.1,2
CPT,S4028,MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION (MESA),,,1665.9,1665.9,1
EAPG,00002,Superficial Needle Biopsy and Aspiration,,,1372.57,1372.57,1
EAPG,00003,"Level I Skin Incision and Drainage, Debridement, Destruction, Other Related Px",,,355.38,355.38,1
EAPG,00004,"Level II Skin Incision and Drainage, Debridement, Destruction, Other Related Px",,,2386.38,2386.38,1
EAPG,00005,Nail Procedures,,,142.62,142.62,1
EAPG,00009,"Level I Skin Excisions, Biopsies, and Repairs",,,968.47,968.47,1
EAPG,00010,"Level II Skin Excisions, Biopsies, and Repairs",,,2497.43,2497.43,1
EAPG,00011,"Level III Skin Excisions, Biopsies, and Repairs",,,3843.11,3843.11,1
EAPG,00016,Simple Wound Repair and Treatment,,,406.3,406.3,1
EAPG,00017,Intermediate Wound Repair and Treatment,,,817.15,817.15,1
EAPG,00018,Complex Wound Repair and Treatment,,,2180.5,2180.5,1
EAPG,00019,Mohs Micrographic Surgery,,,2071.78,2071.78,1
EAPG,00020,Level I Breast Procedures,,,3041.16,3041.16,1
EAPG,00021,Level II Breast Procedures,,,7038.72,7038.72,1
EAPG,00022,Level III Breast Procedures,,,14803.4,14803.4,1
EAPG,00023,Level I forearm and Wrist Procedures,,,3759.72,3759.72,1
EAPG,00024,Level II forearm and Wrist Procedures,,,12337.66,12337.66,1
EAPG,00025,Level I Shoulder and Upper Arm Procedures,,,9698.52,9698.52,1
EAPG,00026,Level I Knee and Lower Leg Procedures,,,6777.89,6777.89,1
EAPG,00027,Level I Hip and Femur Procedures,,,7439.82,7439.82,1
EAPG,00028,Level I Spine Procedures,,,10115.34,10115.34,1
EAPG,00029,Level II Spine Procedures,,,22283.23,22283.23,1
EAPG,00033,Level I Hand Procedures,,,2878.8,2878.8,1
EAPG,00034,Level II Hand Procedures,,,4773.92,4773.92,1
EAPG,00035,Level I Foot Procedures,,,4688.71,4688.71,1
EAPG,00036,Level II Foot Procedures,,,11367.76,11367.76,1
EAPG,00037,Level I Arthroscopy,,,4859.0,4859.0,1
EAPG,00038,Level II Arthroscopy,,,12154.25,12154.25,1
EAPG,00039,Cast Application or Replacement,,,409.29,409.29,1
EAPG,00040,Minor Splint and Strapping Application,,,94.43,94.43,1
EAPG,00041,Closed Treatment Fx and Dislocation,,,965.62,965.62,1
EAPG,00043,Open or Percutaneous Treatment of Fractures,,,11546.36,11546.36,1
EAPG,00044,Bone or Joint Manipulation Under Anesthesia,,,2145.69,2145.69,1
EAPG,00046,Level I Arthroplasty,,,7548.28,7548.28,1
EAPG,00047,Level II Arthroplasty,,,20264.06,20264.06,1
EAPG,00049,"Level I Joint, Tendon, or Ligament Injection Procedures",,,522.82,522.82,1
EAPG,00050,"Level II Joint, Tendon, or Ligament Injection Procedures",,,1070.57,1070.57,1
EAPG,00051,"Musculoskeletal Excisions, Biopsies, and Drainage Procedures",,,3791.94,3791.94,1
EAPG,00052,Level II Knee and Lower Leg Procedures,,,15176.06,15176.06,1
EAPG,00053,Spine Injections and Other Related Procedures,,,1859.27,1859.27,1
EAPG,00054,Fixation Device Insertion or Replacement Procedures,,,5232.18,5232.18,1
EAPG,00055,Level II Hip and Femur Procedures,,,31714.17,31714.17,1
EAPG,00056,Skin and Connective Tissue Grafting and Flap Procedures,,,4256.56,4256.56,1
EAPG,00057,Level III Spine Procedures,,,28545.59,28545.59,1
EAPG,00058,Level II Shoulder and Upper Arm Procedures,,,20947.42,20947.42,1
EAPG,00059,Arteriovenous Fistula Creation or Revision for Hemodialysis,,,7668.3,7668.3,1
EAPG,00060,Pulmonary Function Tests,,,222.38,222.38,1
EAPG,00062,Level I Endoscopy of The Upper Airway,,,1652.36,1652.36,1
EAPG,00063,Level II Endoscopy of The Upper Airway,,,4230.71,4230.71,1
EAPG,00064,Level I Lower Airway Endoscopy,,,3568.78,3568.78,1
EAPG,00066,Pulmonary Rehabilitative Services,,,77.29,77.29,1
EAPG,00067,Ventilation Assistance and Management,,,1399.07,1399.07,1
EAPG,00068,"Thoracentesis, Related Biopsy and Pleural Drainage Procedures",,,2070.61,2070.61,1
EAPG,00069,Level I Thoracic and Chest Procedures,,,4874.98,4874.98,1
EAPG,00070,Level II Thoracic and Chest Procedures,,,11299.95,11299.95,1
EAPG,00071,Level II Lower Airway Endoscopy,,,7404.49,7404.49,1
EAPG,00072,Tracheostomy and Related Tracheal Procedures,,,4478.29,4478.29,1
EAPG,00073,Diaphragmatic Procedures and Related Hernia Repair,,,15105.66,15105.66,1
EAPG,00074,"Revision, Replacement or Removal of Cardiac Device Component",,,3693.48,3693.48,1
EAPG,00075,Level I Central Venous Access Procedures,,,2444.44,2444.44,1
EAPG,00076,"Revision, Repair or Removal of Central Venous Access Device",,,1588.84,1588.84,1
EAPG,00077,Level I Peripheral Endovascular and Transcatheter Procedures,,,7773.13,7773.13,1
EAPG,00078,"Level I Peripheral Vascular Repair, Ligation or Reconstruction",,,4718.59,4718.59,1
EAPG,00079,Level II Peripheral Endovascular and Transcatheter Procedures,,,12810.99,12810.99,1
EAPG,00080,Exercise Tolerance Tests,,,364.22,364.22,1
EAPG,00081,Echocardiography,,,1008.61,1008.61,1
EAPG,00082,Cardiac Electrophysiologic Tests and Monitoring,,,35522.99,35522.99,1
EAPG,00083,Level II Central Venous Access Procedures,,,4774.57,4774.57,1
EAPG,00084,Diagnostic Cardiac Catheterization,,,5116.84,5116.84,1
EAPG,00085,Level III Peripheral Endovascular and Transcatheter Procedures,,,23844.27,23844.27,1
EAPG,00086,Pacemaker and Other Cardiovascular Device Insertion and Replacement,,,18039.14,18039.14,1
EAPG,00087,Removal or Revision of Pacemakers and Other Cardiovascular Devices,,,15196.19,15196.19,1
EAPG,00090,Level I Varicose Vein and Related Procedures,,,1230.34,1230.34,1
EAPG,00091,"Level II Peripheral Vascular Repair, Ligation or Reconstruction",,,7963.94,7963.94,1
EAPG,00092,Resuscitation,,,1974.88,1974.88,1
EAPG,00093,Cardioversion,,,1404.26,1404.26,1
EAPG,00094,Cardiac Rehabilitation,,,326.03,326.03,1
EAPG,00096,Atrial and Ventricular Recording and Pacing,,,13469.93,13469.93,1
EAPG,00097,Aicd and Related Cardiac Device Insertion or Replacement,,,54086.64,54086.64,1
EAPG,00099,Level I Percutaneous Coronary and Intracardiac Interventional Procedures,,,18692.89,18692.89,1
EAPG,00103,Level II Varicose Vein and Related Procedures,,,5554.83,5554.83,1
EAPG,00104,Major Open Coronary Artery Procedures Including Cabg,,,46933.49,46933.49,1
EAPG,00105,Major Open Cardiac and Cardiac Valve Procedures,,,26781.78,26781.78,1
EAPG,00106,Major Open Abdominal and Thoracic Vascular Procedures,,,25634.19,25634.19,1
EAPG,00107,Cholecystectomy and Related Biliary Procedures,,,7496.72,7496.72,1
EAPG,00108,Other Intra-Abdominal and Intraperitoneal Surgical Procedures,,,8094.74,8094.74,1
EAPG,00109,Ancillary Drug Administration,,,95.99,95.99,1
EAPG,00110,Pharmacotherapy By Extended Infusion,,,1114.73,1114.73,1
EAPG,00111,Pharmacotherapy Except By Extended Infusion,,,658.55,658.55,1
EAPG,00113,Level I Blood ProduCT Exchange Services,,,1000.56,1000.56,1
EAPG,00114,Level II Blood ProduCT Exchange Services,,,3719.59,3719.59,1
EAPG,00115,Deep Lymph Structure Procedures,,,6282.75,6282.75,1
EAPG,00116,Allergy Tests,,,92.48,92.48,1
EAPG,00117,Home Infusion,,,279.92,279.92,1
EAPG,00118,Nutrition Therapy,,,427.21,427.21,1
EAPG,00119,Immunotherapy Preparation Services,,,1312.43,1312.43,1
EAPG,00120,Immunotherapy,,,98243.03,98243.03,1
EAPG,00121,Level II Percutaneous Coronary and Intracardiac Interventional Procedures,,,21968.24,21968.24,1
EAPG,00122,Percutaneous Intra-Abdominal or Intrathoracic Vascular Procedures,,,38865.5,38865.5,1
EAPG,00123,Peripheral Vascular Bypass Procedures,,,10710.89,10710.89,1
EAPG,00124,Bone Marrow Biopsies,,,2582.25,2582.25,1
EAPG,00125,Level I Esophageal and Gastric Surgical Procedures,,,6989.49,6989.49,1
EAPG,00126,Level II Esophageal and Gastric Surgical Procedures,,,8861.88,8861.88,1
EAPG,00127,Level I Small and Large Intestine Surgical Procedures,,,4343.07,4343.07,1
EAPG,00128,Level II Small and Large Intestine Surgical Procedures,,,10968.47,10968.47,1
EAPG,00129,Esophagogastric Restrictive Procedures and Gastric Fundoplication,,,11386.46,11386.46,1
EAPG,00130,Alimentary Tests and Tube Insertion or Placement,,,1461.54,1461.54,1
EAPG,00134,Level I Upper GI Endoscopy,,,2079.05,2079.05,1
EAPG,00135,Level II Upper GI Endoscopy,,,4505.69,4505.69,1
EAPG,00136,Level I Lower GI Endoscopy,,,2110.23,2110.23,1
EAPG,00137,Level II Lower GI Endoscopy,,,4448.54,4448.54,1
EAPG,00138,Level I ERCP and Related Endoscopic Procedures,,,5547.56,5547.56,1
EAPG,00141,Level I Anal and Rectal Procedures,,,3201.84,3201.84,1
EAPG,00142,Level II Anal and Rectal Procedures,,,4883.68,4883.68,1
EAPG,00150,Abdominal Paracentesis and Related Peritoneal Drainage Procedures,,,1606.37,1606.37,1
EAPG,00151,Level I Hepatobiliary and Pancreas Procedures,,,5475.34,5475.34,1
EAPG,00152,Level II Hepatobiliary and Pancreas Procedures,,,13871.04,13871.04,1
EAPG,00153,Level II ERCP and Related Endoscopic Procedures,,,9338.59,9338.59,1
EAPG,00154,Level III Upper GI Endoscopy,,,7991.09,7991.09,1
EAPG,00155,Level III Blood ProduCT Exchange Services,,,9093.09,9093.09,1
EAPG,00156,Ocular Imaging and Related Services,,,124.44,124.44,1
EAPG,00157,Reproductive Pathology Tests,,,158.34,158.34,1
EAPG,00158,Pathology Consultation and Interpretation,,,80.01,80.01,1
EAPG,00159,Minor Urology Services,,,156.52,156.52,1
EAPG,00161,Urinary Studies and Procedures,,,825.98,825.98,1
EAPG,00166,Level I Urethral Procedures,,,6385.23,6385.23,1
EAPG,00167,Level II Urethral Procedures,,,11623.13,11623.13,1
EAPG,00168,Dialysis Procedures,,,1663.4,1663.4,1
EAPG,00170,Level I Kidney and Ureteral Procedures,,,3280.68,3280.68,1
EAPG,00171,Level II Kidney and Ureteral Procedures,,,6395.1,6395.1,1
EAPG,00172,Level III Kidney and Ureteral Procedures,,,15073.84,15073.84,1
EAPG,00173,Level I Bladder and Ureteral Procedures,,,3391.87,3391.87,1
EAPG,00174,Level II Bladder and Ureteral Procedures,,,8985.8,8985.8,1
EAPG,00176,Level I Prostate Procedures,,,3314.32,3314.32,1
EAPG,00177,Minor Dermatology Services,,,47.67,47.67,1
EAPG,00178,Antepartum Procedures,,,1414.65,1414.65,1
EAPG,00179,Ectopic Pregnancy Procedures,,,8056.94,8056.94,1
EAPG,00180,Testicular and Epididymal Procedures,,,4475.3,4475.3,1
EAPG,00182,Insertion of Penile Prosthesis,,,29860.22,29860.22,1
EAPG,00183,Level I Penile Procedures,,,4267.6,4267.6,1
EAPG,00184,Level II Prostate Procedures,,,9331.31,9331.31,1
EAPG,00187,Level II Penile Procedures,,,6938.18,6938.18,1
EAPG,00188,Level I Perineal and Vaginal Gynecological Procedures,,,5291.15,5291.15,1
EAPG,00189,Level II Perineal and Vaginal Gynecological Procedures,,,12455.21,12455.21,1
EAPG,00190,Artificial Fertilization,,,894.96,894.96,1
EAPG,00191,Level I Fetal Procedures,,,400.46,400.46,1
EAPG,00192,Level II Fetal Procedures,,,2184.13,2184.13,1
EAPG,00194,Abortion and Miscarriage Treatment and Procedures,,,3839.35,3839.35,1
EAPG,00195,Vaginal Delivery Procedures,,,4718.46,4718.46,1
EAPG,00202,Cesarean Delivery Procedures,,,5667.19,5667.19,1
EAPG,00203,Global Antepartum and Postpartum Visits,,,535.67,535.67,1
EAPG,00204,Level I Hysterectomy and Myomectomy Procedures,,,8997.1,8997.1,1
EAPG,00205,Obstetrical Procedures,,,4122.77,4122.77,1
EAPG,00206,Level II Hysterectomy and Myomectomy Procedures,,,12981.28,12981.28,1
EAPG,00207,Level I Other Uterine and Adnexa Gynecological Procedures,,,4938.49,4938.49,1
EAPG,00208,Level II Other Uterine and Adnexa Gynecological Procedures,,,9182.59,9182.59,1
EAPG,00209,Other Gynecological Procedures,,,994.97,994.97,1
EAPG,00210,Extended EEG Studies,,,1101.09,1101.09,1
EAPG,00211,Electroencephalogram,,,694.27,694.27,1
EAPG,00212,Electroconvulsive Therapy,,,1060.83,1060.83,1
EAPG,00213,Nerve and Muscle Tests,,,296.54,296.54,1
EAPG,00214,Level I Nervous System Injections Including Cranial Tap,,,946.26,946.26,1
EAPG,00217,Level I Peripheral Nerve Procedures,,,2989.72,2989.72,1
EAPG,00218,Level II Peripheral Nerve Procedures,,,10241.59,10241.59,1
EAPG,00220,Level II Nervous System Injections Including Cranial Tap,,,2521.33,2521.33,1
EAPG,00222,Sleep Studies Attended,,,1656.25,1656.25,1
EAPG,00223,Level I Neurostimulator and Related Device Implantation,,,12894.51,12894.51,1
EAPG,00224,Level II Neurostimulator and Related Device Implantation,,,44896.13,44896.13,1
EAPG,00225,Other Intracranial Neurosurgery Procedures,,,9757.36,9757.36,1
EAPG,00226,Sleep Studies Unattended,,,307.19,307.19,1
EAPG,00227,Level I Craniofacial Bone Procedures,,,6508.89,6508.89,1
EAPG,00228,Level II Craniofacial Bone Procedures,,,9683.19,9683.19,1
EAPG,00229,Minor Audiometry Tests and Audiology Screening Services,,,75.21,75.21,1
EAPG,00230,Minor Ophthalmological Procedures and Diagnostic Services,,,685.05,685.05,1
EAPG,00233,CataraCT and Other Introcular Lens Procedures,,,3747.12,3747.12,1
EAPG,00234,Level I Anterior Chamber Eye Procedures,,,1998.26,1998.26,1
EAPG,00235,Level II Anterior Chamber Eye Procedures,,,7324.87,7324.87,1
EAPG,00237,"Level I Intravitreal, Retinal and Other Posterior Chamber Eye Procedures",,,2354.81,2354.81,1
EAPG,00238,"Level II Intravitreal, Retinal and Other Posterior Chamber Eye Procedures",,,7005.85,7005.85,1
EAPG,00239,Extraocular Muscle Procedures,,,4770.28,4770.28,1
EAPG,00241,Ocular Reconstructive Procedures w or w/o Ocular Device,,,6064.92,6064.92,1
EAPG,00243,Class I Therapeutic Radiopharmaceuticals,,,50.66,50.66,1
EAPG,00244,Class II Therapeutic Radiopharmaceuticals,,,984.84,984.84,1
EAPG,00245,Class III Therapeutic Radiopharmaceuticals,,,28773.29,28773.29,1
EAPG,00246,Class IV Therapeutic Radiopharmaceuticals,,,86551.2,86551.2,1
EAPG,00247,Level I Corneal and Other Anterior Surface Eye Procedures,,,1153.44,1153.44,1
EAPG,00248,Level II Corneal and Other Anterior Surface Eye Procedures,,,7061.45,7061.45,1
EAPG,00249,"Minor Ear, Nose, Mouth and Throat Procedures",,,241.47,241.47,1
EAPG,00250,Cochlear Device Implantation,,,60966.37,60966.37,1
EAPG,00251,Otorhinolaryngologic Function Tests,,,314.86,314.86,1
EAPG,00252,"Level I Ear, Nose, Mouth and Throat Procedures",,,1996.83,1996.83,1
EAPG,00253,"Level II Ear, Nose, Mouth and Throat Procedures",,,6322.1,6322.1,1
EAPG,00254,"Level III Ear, Nose, Mouth and Throat Procedures",,,7582.58,7582.58,1
EAPG,00255,"Level IV Ear, Nose, Mouth and Throat Procedures",,,9931.8,9931.8,1
EAPG,00256,Tonsil and Adenoid Procedures,,,4342.55,4342.55,1
EAPG,00257,Audiometry,,,177.56,177.56,1
EAPG,00258,"Level I Eyelid, Lacrimal and Conjunctival Procedures",,,2914.39,2914.39,1
EAPG,00259,"Level II Eyelid, Lacrimal and Conjunctival Procedures",,,3598.27,3598.27,1
EAPG,00260,Case Management and Care Planning Services,,,225.23,225.23,1
EAPG,00261,ESRD Case Management,,,1305.54,1305.54,1
EAPG,00262,Cleft Lip and Palate Repair,,,5705.51,5705.51,1
EAPG,00263,Thyroid and Parathyroid Procedures,,,9184.92,9184.92,1
EAPG,00264,Major Craniotomy and Craniectomy Surgical Procedures,,,8373.49,8373.49,1
EAPG,00265,Percutaneous Intracranial and Extracranial Vascular Procedures,,,24427.1,24427.1,1
EAPG,00266,Open Intracranial and Extracranial Vascular Procedures,,,10412.01,10412.01,1
EAPG,00267,Other Craniotomy Procedures Including Cranioplasty,,,13925.46,13925.46,1
EAPG,00268,Cranial and Spinal Shunt Procedures,,,12166.2,12166.2,1
EAPG,00269,Level II Ancillary Therapeutic Services,,,83.91,83.91,1
EAPG,00270,Occupational Therapy,,,401.37,401.37,1
EAPG,00271,Physical Therapy,,,520.22,520.22,1
EAPG,00272,Speech Therapy and Evaluation,,,502.16,502.16,1
EAPG,00276,Procedures for Revision or Removal of Neurostimulator Devices,,,8158.52,8158.52,1
EAPG,00277,Level I Vascular Radiological Procedures,,,1831.22,1831.22,1
EAPG,00278,Injection(S) for Radiological Imaging,,,658.29,658.29,1
EAPG,00279,Level II Vascular Radiological Procedures,,,3969.24,3969.24,1
EAPG,00280,Level III Vascular Radiological Procedures,,,8948.52,8948.52,1
EAPG,00282,Magnetic Resonance Angiography,,,1085.25,1085.25,1
EAPG,00284,Myelography and Discography Imaging Procedures,,,1274.37,1274.37,1
EAPG,00286,Mammography and Other Related Procedures,,,110.02,110.02,1
EAPG,00288,Level I Diagnostic Ultrasound,,,240.43,240.43,1
EAPG,00289,Level II Diagnostic Ultrasound,,,365.0,365.0,1
EAPG,00290,Pet Scans,,,2845.8,2845.8,1
EAPG,00291,Bone Density and Related Procedures,,,172.5,172.5,1
EAPG,00293,Magnetic Resonance Imaging without Contrast,,,553.47,553.47,1
EAPG,00295,Magnetic Resonance Imaging with Contrast,,,969.9,969.9,1
EAPG,00297,Magnetocephalography,,,5418.06,5418.06,1
EAPG,00299,Level I Computed Tomography,,,253.55,253.55,1
EAPG,00300,Level II Computed Tomography,,,686.87,686.87,1
EAPG,00301,Computed Tomography- Other,,,130.67,130.67,1
EAPG,00302,Computed Tomographic Angiography,,,840.92,840.92,1
EAPG,00304,Minor Specimen Collection Services,,,5.07,5.07,1
EAPG,00305,Level I Surgical Pathology Tests,,,48.06,48.06,1
EAPG,00306,Level II Surgical Pathology Tests,,,87.81,87.81,1
EAPG,00307,Insertion or Removal of Drug Delivery Device,,,701.42,701.42,1
EAPG,00308,Level III Pathology Tests,,,86.25,86.25,1
EAPG,00309,Adaptive Behavioral Health Treatment Services,,,105.08,105.08,1
EAPG,00310,Developmental and Neuropsychological Testing,,,1258.65,1258.65,1
EAPG,00312,Behavioral and Substance Abuse Partial Hospitalization Program,,,662.71,662.71,1
EAPG,00315,Counselling or Individual Brief Psychotherapy,,,263.42,263.42,1
EAPG,00316,Individual Comprehensive Psychotherapy,,,317.72,317.72,1
EAPG,00317,Family Psychotherapy,,,327.98,327.98,1
EAPG,00318,Group Psychotherapy,,,465.27,465.27,1
EAPG,00319,Activity Therapy,,,375.13,375.13,1
EAPG,00320,Behavioral Health – Case Management and Treatment Plan Development,,,146.13,146.13,1
EAPG,00321,Crisis Intervention,,,369.02,369.02,1
EAPG,00322,Medication Administration and Observation,,,74.3,74.3,1
EAPG,00323,Behavioral Health Assessment,,,571.14,571.14,1
EAPG,00324,Screening for Behavioral Change or Risk Assessment,,,52.35,52.35,1
EAPG,00325,Prevention Counseling,,,169.9,169.9,1
EAPG,00327,Intensive Outpatient Psychiatric Treatment,,,630.24,630.24,1
EAPG,00328,"Day Rehabilitation, Half Day",,,687.52,687.52,1
EAPG,00329,"Day Rehabilitation, Full Day",,,1138.11,1138.11,1
EAPG,00331,Level I Diagnostic Nuclear Medicine,,,834.04,834.04,1
EAPG,00332,Level II Diagnostic Nuclear Medicine,,,2095.94,2095.94,1
EAPG,00333,Behavioral Health Residential Treatment,,,1138.11,1138.11,1
EAPG,00334,Level I Device Placement for Radiation Therapy,,,1785.63,1785.63,1
EAPG,00335,Level I Brachytherapy Sources,,,910.8,910.8,1
EAPG,00336,Level II Brachytherapy Sources,,,8120.72,8120.72,1
EAPG,00337,Level III Brachytherapy Sources,,,27699.6,27699.6,1
EAPG,00338,Level II Device Placement for Radiation Therapy,,,3805.97,3805.97,1
EAPG,00339,Level III Device Placement for Radiation Therapy,,,9730.6,9730.6,1
EAPG,00340,Therapeutic Nuclear Medicine,,,678.95,678.95,1
EAPG,00343,Level I Radiation Therapy,,,397.73,397.73,1
EAPG,00346,Radiosurgery,,,12949.32,12949.32,1
EAPG,00347,Level II Radiation Therapy,,,1058.36,1058.36,1
EAPG,00348,Level III Radiation Therapy,,,3134.03,3134.03,1
EAPG,00350,Adjunctive Dental Services,,,507.49,507.49,1
EAPG,00352,Level I Periodontics,,,2314.29,2314.29,1
EAPG,00353,"Level I Prosthodontics, Fixed",,,223.93,223.93,1
EAPG,00354,"Level II Prosthodontics, Fixed",,,837.67,837.67,1
EAPG,00355,"Level III Prosthodontics, Fixed",,,1036.28,1036.28,1
EAPG,00356,"Level I Prosthodontics, Removable",,,453.84,453.84,1
EAPG,00357,"Level II Prosthodontics, Removable",,,561.13,561.13,1
EAPG,00358,"Level III Prosthodontics, Removable",,,668.29,668.29,1
EAPG,00359,Level I Maxillofacial Prosthetics,,,126.13,126.13,1
EAPG,00360,Level II Maxillofacial Prosthetics,,,658.42,658.42,1
EAPG,00361,Level I Dental Restorations,,,3857.66,3857.66,1
EAPG,00362,Level II Dental Restorations,,,4178.24,4178.24,1
EAPG,00363,Level III Dental Restorations,,,4596.1,4596.1,1
EAPG,00364,Level I Endodontics,,,307.58,307.58,1
EAPG,00365,Level II Endodontics,,,553.21,553.21,1
EAPG,00366,Level III Endodontics,,,557.24,557.24,1
EAPG,00367,Level I Oral and Maxillofacial Procedures,,,4179.28,4179.28,1
EAPG,00368,Level II Oral and Maxillofacial Procedures,,,6141.68,6141.68,1
EAPG,00369,Level III Oral and Maxillofacial Procedures,,,8583.52,8583.52,1
EAPG,00370,Level IV Oral and Maxillofacial Procedures,,,15570.8,15570.8,1
EAPG,00371,Level I Orthodontics,,,5108.13,5108.13,1
EAPG,00372,Sealant,,,90.79,90.79,1
EAPG,00373,Level I Dental Imaging,,,67.28,67.28,1
EAPG,00374,Level II Dental Imaging,,,257.19,257.19,1
EAPG,00375,Dental Anesthesia,,,76.77,76.77,1
EAPG,00376,Diagnostic Dental Procedures,,,230.56,230.56,1
EAPG,00377,Preventive Dental Procedures,,,242.12,242.12,1
EAPG,00378,Level II Periodontics,,,2455.74,2455.74,1
EAPG,00379,Level II Orthodontics,,,803.25,803.25,1
EAPG,00380,Anesthesia,,,51.96,51.96,1
EAPG,00381,Level I Dental Implants,,,2836.71,2836.71,1
EAPG,00382,Level II Dental Implants,,,3120.4,3120.4,1
EAPG,00384,Level III Chemistry Tests,,,238.48,238.48,1
EAPG,00385,Level I Molecular Pathology and Genetic Tests,,,94.17,94.17,1
EAPG,00386,Level II Molecular Pathology and Genetic Tests,,,258.23,258.23,1
EAPG,00387,Level III Molecular Pathology and Genetic Tests,,,878.2,878.2,1
EAPG,00388,Level III Microbiology Tests,,,235.49,235.49,1
EAPG,00389,Level II Conventional Radiology,,,262.38,262.38,1
EAPG,00390,Level I Pathology Tests,,,20.91,20.91,1
EAPG,00391,Level II Pathology Tests,,,62.74,62.74,1
EAPG,00392,Pap Smears,,,37.54,37.54,1
EAPG,00393,Level II Blood and Tissue Typing Tests,,,56.89,56.89,1
EAPG,00394,Level I Immunology Tests,,,22.73,22.73,1
EAPG,00395,Level II Immunology Tests,,,65.86,65.86,1
EAPG,00396,Level I Microbiology Tests,,,15.72,15.72,1
EAPG,00397,Level II Microbiology Tests,,,59.75,59.75,1
EAPG,00398,Level I Endocrinology Tests,,,27.41,27.41,1
EAPG,00399,Level II Endocrinology Tests,,,70.4,70.4,1
EAPG,00400,Level I Chemistry Tests,,,26.37,26.37,1
EAPG,00401,Level II Chemistry Tests,,,69.49,69.49,1
EAPG,00402,Basic Chemistry Tests,,,10.65,10.65,1
EAPG,00403,Organ or Disease Oriented Panels,,,18.05,18.05,1
EAPG,00404,Toxicology Tests,,,23.9,23.9,1
EAPG,00405,Therapeutic Drug Monitoring,,,22.86,22.86,1
EAPG,00406,Level I Clotting Tests,,,8.05,8.05,1
EAPG,00407,Level II Clotting Tests,,,39.36,39.36,1
EAPG,00408,Level I Hematology Tests,,,12.21,12.21,1
EAPG,00409,Level II Hematology Tests,,,26.37,26.37,1
EAPG,00410,Urinalysis,,,5.98,5.98,1
EAPG,00412,Ancillary Respiratory Therapy and Other Pulmonary Tests and Services,,,113.14,113.14,1
EAPG,00413,Cardiogram,,,57.28,57.28,1
EAPG,00414,Level I Immunization,,,58.84,58.84,1
EAPG,00415,Level II Immunization,,,238.48,238.48,1
EAPG,00417,Minor Female Reproductive Procedures,,,428.77,428.77,1
EAPG,00418,Ambulatory Patient Monitoring and Related Assessments,,,148.47,148.47,1
EAPG,00419,Ancillary Ophthalmology or Optometry Services,,,158.08,158.08,1
EAPG,00420,"Electronic Analysis for Cardiac, Neurological and Other Devices",,,318.5,318.5,1
EAPG,00421,"Tube Replacement, Revision or Removal",,,434.1,434.1,1
EAPG,00423,Vascular Access By Needle or Catheter,,,1381.4,1381.4,1
EAPG,00427,Biofeedback and Other Training,,,347.33,347.33,1
EAPG,00428,"Patient Education, Individual",,,142.62,142.62,1
EAPG,00429,"Patient Education, Group",,,99.89,99.89,1
EAPG,00431,Class II Chemotherapy Drugs,,,135.87,135.87,1
EAPG,00432,Class III Chemotherapy Drugs,,,298.62,298.62,1
EAPG,00433,Class IV Chemotherapy Drugs,,,429.94,429.94,1
EAPG,00434,Class V Chemotherapy Drugs,,,1090.83,1090.83,1
EAPG,00436,Class II Pharmacotherapy,,,181.98,181.98,1
EAPG,00437,Class III Pharmacotherapy,,,346.81,346.81,1
EAPG,00438,Class IV Pharmacotherapy,,,781.3,781.3,1
EAPG,00439,Class V Pharmacotherapy,,,1146.69,1146.69,1
EAPG,00440,Class VI Pharmacotherapy,,,1923.18,1923.18,1
EAPG,00441,Class VI Chemotherapy Drugs,,,1525.19,1525.19,1
EAPG,00443,Class VII Chemotherapy Drugs,,,1963.06,1963.06,1
EAPG,00444,Class VII Pharmacotherapy,,,2440.15,2440.15,1
EAPG,00448,Expanded Hours Access,,,94.43,94.43,1
EAPG,00450,Observation,,,1751.07,1751.07,1
EAPG,00458,Allergy Therapy,,,50.53,50.53,1
EAPG,00459,Vaccine Administration,,,83.52,83.52,1
EAPG,00460,Class VIII Combined Chemotherapy and Pharmacotherapy,,,3137.67,3137.67,1
EAPG,00461,Class IX Combined Chemotherapy and Pharmacotherapy,,,4977.2,4977.2,1
EAPG,00462,Class X Combined Chemotherapy and Pharmacotherapy,,,8453.5,8453.5,1
EAPG,00463,Class XI Combined Chemotherapy and Pharmacotherapy,,,11206.04,11206.04,1
EAPG,00464,Class XII Combined Chemotherapy and Pharmacotherapy,,,17259.92,17259.92,1
EAPG,00465,Class XIII Combined Chemotherapy and Pharmacotherapy,,,34937.57,34937.57,1
EAPG,00466,Class XIV Combined Chemotherapy and Pharmacotherapy,,,53939.73,53939.73,1
EAPG,00470,Obstetrical Ultrasound,,,220.95,220.95,1
EAPG,00471,Level I Conventional Radiology,,,124.44,124.44,1
EAPG,00472,Ultrasound Guidance,,,246.02,246.02,1
EAPG,00473,CT Guidance,,,202.24,202.24,1
EAPG,00474,Radiological Guidance for Therapeutic or Diagnostic Procedures,,,390.72,390.72,1
EAPG,00475,MRI Guidance,,,551.0,551.0,1
EAPG,00476,Level I Radiation Treatment Preparation and Planning,,,255.5,255.5,1
EAPG,00477,Level II Radiation Treatment Preparation and Planning,,,416.3,416.3,1
EAPG,00478,Level III Radiation Treatment Preparation and Planning,,,2394.17,2394.17,1
EAPG,00483,Radiation Therapy Management,,,686.87,686.87,1
EAPG,00485,Corneal Tissue Processing,,,5715.64,5715.64,1
EAPG,00486,Level I Blood and Tissue Typing Tests,,,9.35,9.35,1
EAPG,00488,Minor Device Evaluation and Interrogation,,,83.78,83.78,1
EAPG,00493,Level I Ancillary Therapeutic Services,,,70.27,70.27,1
EAPG,00494,Complex Blood Collection Services,,,127.55,127.55,1
EAPG,00497,Telehealth Facilitation,,,17.8,17.8,1
EAPG,00499,"Blood Processing, Storage and Related Services",,,57.8,57.8,1
EAPG,00510,"Major Signs, Symptoms and Findings",,,767.14,767.14,1
EAPG,00518,Bacterial and Tuberculous Infections of Nervous System,,,416.56,416.56,1
EAPG,00519,Non-Bacterial Infections of Nervous System,,,301.35,301.35,1
EAPG,00520,Spinal Diagnoses and Injuries,,,310.83,310.83,1
EAPG,00521,Nervous System Malignancy,,,325.77,325.77,1
EAPG,00522,Degenerative Nervous System Diagnoses Exc Mult Sclerosis,,,283.55,283.55,1
EAPG,00523,Multiple Sclerosis and Other Demyelinating Diseases,,,269.92,269.92,1
EAPG,00524,Other Central Nervous System Diagnoses,,,327.33,327.33,1
EAPG,00526,Transient Ischemia,,,505.8,505.8,1
EAPG,00527,"Peripheral, Cranial and Autonomic Nerve Diagnoses",,,285.76,285.76,1
EAPG,00528,Anoxic and Other Severe Brain Damage or Coma,,,383.96,383.96,1
EAPG,00529,Seizure,,,408.12,408.12,1
EAPG,00530,Headaches Other Than Migraine,,,320.05,320.05,1
EAPG,00531,Migraine,,,281.48,281.48,1
EAPG,00532,Head Trauma with or without LOC/Coma Less Than 1 Hr,,,419.94,419.94,1
EAPG,00533,Aftereffects of Cerebrovascular Accident,,,300.44,300.44,1
EAPG,00534,Nonspecific CVA and Precerebral Occlusion w/o Infarc,,,264.72,264.72,1
EAPG,00535,CVA and Precerebral Occlusion w Infarct,,,459.69,459.69,1
EAPG,00536,Cerebral Palsy,,,283.16,283.16,1
EAPG,00537,"Malfunction, Reaction, Complication of Neurological Device or Proc",,,464.36,464.36,1
EAPG,00538,Head Trauma with LOC/Coma More Than 1 Hr,,,939.77,939.77,1
EAPG,00539,Intracranial Hemorrhage,,,544.77,544.77,1
EAPG,00545,"Peripheral, Cranial, and Autonomic Nerve Injuries",,,336.16,336.16,1
EAPG,00548,Peripheral and Other Vascular Related Injuries,,,443.32,443.32,1
EAPG,00550,Acute Major Eye Infections,,,262.25,262.25,1
EAPG,00551,Cataracts,,,224.71,224.71,1
EAPG,00552,Glaucoma,,,279.14,279.14,1
EAPG,00553,Other Ophthalmic System Diagnoses,,,266.28,266.28,1
EAPG,00555,Conjunctivitis,,,242.77,242.77,1
EAPG,00556,Ocular and Periocular Malignancy,,,312.26,312.26,1
EAPG,00557,Other Eye Infection Diagnoses,,,212.5,212.5,1
EAPG,00558,"Malfunction, Reaction, or Complication of Ocular Device or Procedure",,,253.16,253.16,1
EAPG,00560,"Ear, Nose, Mouth, Throat, Cranial and Facial Malignancies",,,310.57,310.57,1
EAPG,00561,Vertigo and Other Labyrinth Disorders,,,440.98,440.98,1
EAPG,00562,Infections of Upper Respiratory Tract and Otitis Media,,,340.58,340.58,1
EAPG,00563,Dental and Oral Diagnoses and Injuries,,,262.25,262.25,1
EAPG,00564,"Other Ear, Nose, Mouth, Throat and Craniofacial Diagnoses",,,280.18,280.18,1
EAPG,00566,"Malfunction, Reaction, or Complication of Otolaryngologic Device or Procedure",,,233.55,233.55,1
EAPG,00570,Cystic Fibrosis – Pulmonary Disease,,,681.67,681.67,1
EAPG,00571,Respiratory Malignancy,,,343.69,343.69,1
EAPG,00572,Bronchiolitis and RSV Pneumonia,,,743.37,743.37,1
EAPG,00574,Chronic Obstructive Pulmonary Disease,,,602.05,602.05,1
EAPG,00575,Asthma,,,510.22,510.22,1
EAPG,00576,Other Respiratory System Diagnoses,,,438.78,438.78,1
EAPG,00579,Status Asthmaticus,,,734.67,734.67,1
EAPG,00580,Major Chest and Respiratory Trauma,,,789.09,789.09,1
EAPG,00581,Pulmonary Infection Diagnoses Including Pneumonia,,,624.52,624.52,1
EAPG,00582,Interstitial and Alveolar Lung Diagnoses,,,454.36,454.36,1
EAPG,00583,"Malfunction, Reaction, or Complication of Pulmonary Device or Procedure",,,658.94,658.94,1
EAPG,00584,Acute Bronchitis,,,534.77,534.77,1
EAPG,00585,"Aftercare, Open Wounds and Other Traumatic Injuries",,,249.0,249.0,1
EAPG,00586,Pulmonary Embolism,,,370.84,370.84,1
EAPG,00587,Respiratory Failure,,,982.11,982.11,1
EAPG,00589,"Malfunction, Reaction, or Complication of Cardiovascular Device or Procedure",,,497.49,497.49,1
EAPG,00591,Acute Myocardial Infarction,,,950.03,950.03,1
EAPG,00592,Other Cardiovascular System Diagnoses,,,415.26,415.26,1
EAPG,00594,Heart Failure,,,492.16,492.16,1
EAPG,00595,Cardiac Arrest or Other Causes of Mortality,,,741.29,741.29,1
EAPG,00596,Peripheral and Other Vascular Diagnoses,,,313.95,313.95,1
EAPG,00597,Phlebitis,,,359.28,359.28,1
EAPG,00598,Angina Pectoris and Coronary Atherosclerosis,,,310.05,310.05,1
EAPG,00599,Hypertension,,,300.05,300.05,1
EAPG,00600,Cardiac Structural and Valvular Diagnoses,,,299.4,299.4,1
EAPG,00601,Cardiac Arrhythmia and Conduction Diagnoses,,,433.06,433.06,1
EAPG,00602,Atrial Fibrillation,,,308.23,308.23,1
EAPG,00604,Chest Pain,,,896.77,896.77,1
EAPG,00605,Syncope and Collapse,,,643.74,643.74,1
EAPG,00607,Cardiomyopathy Diagnoses,,,293.04,293.04,1
EAPG,00608,Acute and Subacute Endocarditis,,,300.05,300.05,1
EAPG,00610,Contusions to External Organs Other Than Head Trauma,,,516.71,516.71,1
EAPG,00616,Diverticulitis and Diverticulosis,,,465.66,465.66,1
EAPG,00617,Gastrointestinal Hemorrhage and Related Postprocedural Hemorrhage Diagnoses,,,645.69,645.69,1
EAPG,00618,Intestinal Obstruction Diagnoses,,,658.68,658.68,1
EAPG,00619,Gastrointestinal and Peritoneal Infection Diagnoses,,,502.03,502.03,1
EAPG,00620,Digestive Malignancy,,,414.36,414.36,1
EAPG,00621,Peptic Ulcer and Gastritis,,,619.58,619.58,1
EAPG,00623,Esophagitis and Other Esophageal Diagnoses,,,358.76,358.76,1
EAPG,00624,Other Gastrointestinal System Diagnoses,,,385.65,385.65,1
EAPG,00626,Inflammatory Bowel Disease,,,299.4,299.4,1
EAPG,00627,"Non-Bacterial Gastroenteritis, Nausea and Vomiting",,,434.62,434.62,1
EAPG,00628,Abdominal Pain,,,501.51,501.51,1
EAPG,00629,"Malfunction, Reaction and Complication of Gi Device or Procedure",,,512.94,512.94,1
EAPG,00630,Constipation,,,440.85,440.85,1
EAPG,00631,Hernia,,,329.8,329.8,1
EAPG,00632,Irritable Bowel Syndrome,,,260.17,260.17,1
EAPG,00633,Alcoholic Liver Disease,,,372.53,372.53,1
EAPG,00634,Malignancy of Hepatobiliary System and Pancreas,,,486.06,486.06,1
EAPG,00635,Pancreas Diagnoses Except Malignancy,,,484.37,484.37,1
EAPG,00636,Hepatitis without Coma,,,360.84,360.84,1
EAPG,00637,Gallbladder and Biliary Tract Diagnoses,,,437.74,437.74,1
EAPG,00638,Cholecystitis,,,544.64,544.64,1
EAPG,00639,Other Hepatobiliary System Diagnoses,,,394.74,394.74,1
EAPG,00641,Hepatic Coma and Major Acute Liver Diagnoses,,,360.45,360.45,1
EAPG,00642,Gastrointestinal Vascular Insufficiency,,,517.23,517.23,1
EAPG,00647,"Fractures, Dislocations, Other Injuries – Upper Extremity Including Shoulder",,,577.63,577.63,1
EAPG,00648,"Fractures, Dislocations and Sprains of The Skull, Cranium and Face",,,616.47,616.47,1
EAPG,00649,Other Pathological Fractures w/o Musculoskeletal Malignancy,,,591.79,591.79,1
EAPG,00650,"Fractures, Dislocations, Other Injuries – Lower Extremity Including Femur",,,574.77,574.77,1
EAPG,00651,"Fractures, Dislocations, Sprains and Other Injuries of The Pelvis and Hip",,,658.42,658.42,1
EAPG,00652,Other Injuries and Disorders of The Musculoskeletal System and Connective Tissue,,,336.03,336.03,1
EAPG,00653,Musculoskeletal Malignancy and Pathological Fx Due to Malignancy,,,443.19,443.19,1
EAPG,00654,"Osteomyelitis, Septic Arthritis and Other Musculoskeletal Infections",,,302.65,302.65,1
EAPG,00655,Connective Tissue Diagnoses,,,277.84,277.84,1
EAPG,00656,"Fractures, Dislocations, Other Injuries of The Neck, Upper Back and Chest",,,628.03,628.03,1
EAPG,00657,"Fractures, Dislocations, Sprains and Other Injuries of The Lower Back",,,360.06,360.06,1
EAPG,00658,Sciatica,,,393.83,393.83,1
EAPG,00659,"Malfunction, Reaction, Complic of orthopedic Device or Procedure",,,404.87,404.87,1
EAPG,00660,Other Musculoskeletal System and Connective Tissue Diagnoses,,,358.89,358.89,1
EAPG,00662,Osteoporosis,,,276.54,276.54,1
EAPG,00663,Pain Related Diagnoses,,,324.47,324.47,1
EAPG,00670,Non-Pressure Chronic Skin Ulcers,,,336.55,336.55,1
EAPG,00671,Major Skin Diagnoses,,,287.71,287.71,1
EAPG,00672,Malignant Breast Diagnoses,,,309.01,309.01,1
EAPG,00673,Cellulitis and Other Bacterial Skin Infections,,,365.78,365.78,1
EAPG,00674,"Open Wounds, Punctures and Other Open Traumatic Injuries",,,342.66,342.66,1
EAPG,00675,"Other Skin, Subcutaneous Tissue and Breast Diagnoses",,,223.28,223.28,1
EAPG,00676,Pressure Ulcers,,,325.12,325.12,1
EAPG,00690,"Malnutrition, Failure to Thrive and Other Nutritional Diagnoses",,,340.71,340.71,1
EAPG,00691,Inborn Errors of Metabolism,,,266.54,266.54,1
EAPG,00692,Other Endocrine System Diagnoses,,,317.59,317.59,1
EAPG,00694,Electrolyte Disorders,,,518.4,518.4,1
EAPG,00695,Obesity,,,247.96,247.96,1
EAPG,00696,Thyroid and Parathyroid Diagnoses,,,278.88,278.88,1
EAPG,00710,Diabetes with Ophthalmic Manifestations,,,284.2,284.2,1
EAPG,00711,Diabetes with Other Manifestations and Complications,,,357.46,357.46,1
EAPG,00712,Diabetes with Neurologic Manifestations,,,286.28,286.28,1
EAPG,00713,Diabetes without Complications,,,263.94,263.94,1
EAPG,00714,Diabetes with Renal Manifestations,,,294.98,294.98,1
EAPG,00715,Diabetes with Vascular Complications Including Foot and Other Skin Ulcers,,,316.16,316.16,1
EAPG,00720,Chronic Kidney Disease,,,317.33,317.33,1
EAPG,00721,Kidney and Urinary Tract Malignancy,,,330.83,330.83,1
EAPG,00722,Nephritis and Nephrosis,,,386.82,386.82,1
EAPG,00723,Complex Kidney and Urinary Tract Infections,,,520.74,520.74,1
EAPG,00724,Urinary Stones and Acquired Upper Urinary Tract Obstruction,,,326.16,326.16,1
EAPG,00725,"Malfunction, Reaction, Complic of Genitourinary Device or Procedure",,,510.35,510.35,1
EAPG,00726,"Other Kidney and Urinary Tract Diagnoses, Signs and Symptoms",,,359.67,359.67,1
EAPG,00727,Acute Lower Urinary Tract Infections,,,493.07,493.07,1
EAPG,00729,Acute Kidney Injury,,,661.8,661.8,1
EAPG,00740,Male Reproductive System Malignancy,,,320.96,320.96,1
EAPG,00741,Other Male Reproductive System Diagnoses,,,307.97,307.97,1
EAPG,00743,Prostatitis,,,277.32,277.32,1
EAPG,00744,Male Reproductive System Infections,,,283.42,283.42,1
EAPG,00750,Female Reproductive System Malignancy,,,375.91,375.91,1
EAPG,00751,Female Reproductive System Infections,,,377.34,377.34,1
EAPG,00752,Other Female Reproductive System and Menstrual Diagnoses,,,293.82,293.82,1
EAPG,00760,Labor and Delivery Related Diagnoses,,,458.91,458.91,1
EAPG,00761,Postpartum and Post Abortion Diagnoses,,,456.31,456.31,1
EAPG,00762,Preterm Labor Diagnoses,,,803.12,803.12,1
EAPG,00763,Abortion Related Diagnoses,,,731.55,731.55,1
EAPG,00764,False Labor,,,441.11,441.11,1
EAPG,00765,Other Antepartum Diagnoses,,,512.03,512.03,1
EAPG,00766,Routine Prenatal Care,,,377.6,377.6,1
EAPG,00767,Complications of Treatment Affecting Pregnancy,,,677.26,677.26,1
EAPG,00770,Normal Neonate,,,302.39,302.39,1
EAPG,00771,Neonatal Diagnoses,,,483.85,483.85,1
EAPG,00777,Superficial Injury to Skin and Subcutaneous Tissue,,,375.52,375.52,1
EAPG,00780,Other Hematological Diagnoses,,,493.07,493.07,1
EAPG,00781,Coagulation and Platelet Disorders and Congenital Factor Deficiencies,,,311.74,311.74,1
EAPG,00783,Sickle Cell Anemia Crisis,,,643.36,643.36,1
EAPG,00785,"Anemia, Blood and Blood-forming Organ Disorders",,,383.57,383.57,1
EAPG,00787,"Aftercare, Burns, Corrosions, Other Injuries Related to The Skin and Sub Tis",,,228.61,228.61,1
EAPG,00800,Acute Leukemia,,,524.5,524.5,1
EAPG,00801,"Lymphoma, Myeloma and Non-Acute Leukemia",,,419.81,419.81,1
EAPG,00802,Radiotherapy,,,310.05,310.05,1
EAPG,00803,Chemotherapy,,,511.13,511.13,1
EAPG,00804,Lymphatic and Other Malignancies and Neoplasms of Uncertain Behavior,,,378.25,378.25,1
EAPG,00805,Septicemia and Disseminated Infections,,,1199.42,1199.42,1
EAPG,00806,"Intraoperative, Post-Operative or Post-Traumatic Infections and Complications",,,432.41,432.41,1
EAPG,00807,Fever and Other Inflammatory Conditions,,,728.43,728.43,1
EAPG,00808,Viral Illness,,,515.67,515.67,1
EAPG,00809,Other Infectious and Parasitic Diseases,,,333.17,333.17,1
EAPG,00810,H. Pylori Infection,,,323.95,323.95,1
EAPG,00812,Viral Meningitis,,,440.46,440.46,1
EAPG,00820,Schizophrenia,,,443.58,443.58,1
EAPG,00821,Major Depressive Diagnoses and  Other or Unspecified Psychoses,,,333.95,333.95,1
EAPG,00822,Personality and Impulse Control Diagnoses,,,442.15,442.15,1
EAPG,00823,Bipolar Disorders,,,333.95,333.95,1
EAPG,00824,Depression Except Major Depressive Diagnoses,,,281.35,281.35,1
EAPG,00825,Adjustment Disorders and Neuroses Except Depressive Diagnoses,,,315.51,315.51,1
EAPG,00826,Acute Anxiety and Delirium States,,,445.79,445.79,1
EAPG,00827,Organic Behavioral Health Disturbances,,,276.15,276.15,1
EAPG,00828,Intellectual Disability,,,326.42,326.42,1
EAPG,00829,Childhood Behavioral Diagnoses,,,344.21,344.21,1
EAPG,00830,Eating Disorders,,,326.81,326.81,1
EAPG,00831,Other Behavioral Health Diagnoses,,,447.61,447.61,1
EAPG,00832,Intentional Self-Harm and Attempted Suicide,,,1001.99,1001.99,1
EAPG,00840,Opioid Abuse and Dependence,,,364.74,364.74,1
EAPG,00841,Cocaine Abuse and Dependence,,,645.69,645.69,1
EAPG,00842,Alcohol Abuse and Dependence,,,596.46,596.46,1
EAPG,00843,Other Drug Abuse and Dependence,,,581.4,581.4,1
EAPG,00850,Allergic Reactions,,,515.02,515.02,1
EAPG,00851,Poisoning or Toxic Effects of Medicinal Agents,,,533.6,533.6,1
EAPG,00852,Other Complications of Treatment,,,370.19,370.19,1
EAPG,00853,"Other Injury, Poisoning and Toxic EffeCT Diagnoses",,,371.1,371.1,1
EAPG,00854,Toxic Effects of Non-Medicinal Substances,,,412.8,412.8,1
EAPG,00860,Extensive 3Rd Degree or Full Thickness Burns,,,390.46,390.46,1
EAPG,00861,Partial Thickness Burns,,,330.58,330.58,1
EAPG,00867,Encounters for ContaCT with Health Services,,,264.59,264.59,1
EAPG,00869,"Aftercare, Musculoskeletal System and Connective Tissue Injuries",,,284.33,284.33,1
EAPG,00870,Rehabilitation,,,186.91,186.91,1
EAPG,00871,"Signs, Symptoms and Other Factors Influencing Health Status",,,364.61,364.61,1
EAPG,00872,Other Aftercare and Convalescence,,,364.35,364.35,1
EAPG,00873,Neonatal Aftercare,,,242.38,242.38,1
EAPG,00874,Aftercare for Joint Replacement,,,281.09,281.09,1
EAPG,00875,Contraceptive Management,,,322.39,322.39,1
EAPG,00876,Adult Preventive Medicine,,,357.07,357.07,1
EAPG,00877,Child Preventive Medicine,,,286.15,286.15,1
EAPG,00878,Gynecologic Preventive Medicine,,,239.13,239.13,1
EAPG,00879,Preventive or Screening Encounter,,,320.31,320.31,1
EAPG,00880,HIV Infection,,,438.39,438.39,1
EAPG,00881,AIDS,,,452.67,452.67,1
EAPG,00882,Genetic Counseling,,,317.07,317.07,1
EAPG,00883,Alteration In Consciousness,,,795.98,795.98,1
EAPG,02020,Noninvasive Ventilation Support,,,269.66,269.66,1
EAPG,02030,Minor Musculoskeletal Procedures,,,418.38,418.38,1
EAPG,02061,Level I Blood Products,,,323.3,323.3,1
EAPG,02062,Level II Blood Products,,,812.6,812.6,1
EAPG,03033,"Inguinal, Femoral and Umbilical Hernia Repair",,,7613.23,7613.23,1
EAPG,03035,Abdominal Hernia Repair,,,9725.79,9725.79,1
EAPG,03050,Transplant Procedures,,,10813.64,10813.64,1
EAPG,04001,Emerging Technology Procedures,,,1847.71,1847.71,1
HCPCS,90371,HEP B IMMUNE GLOB/1ML BU 1ML V,829.64,,123.45,746.68,68
HCPCS,90371,HEPATITIS B IMMUNE GLOB 1ML VL,829.64,,123.45,746.68,68
HCPCS,90375,HYPERRAB/150IU BU 1500IU/5ML V,2213.45,,257.46,1992.11,68
HCPCS,90375,HYPERRAB/150IU BU 300IU/1ML VL,2213.44,,257.46,1992.1,68
HCPCS,90375,VACC RABIES IMM/150IU BU 300IU,1541.12,,257.46,1387.01,68
HCPCS,90396,VARICELLA ZOS IMM/125IU BU VL,112.71,,56.35,3247.5,68
HCPCS,90619,VACC MENINGOCOCCAL B-MENQUADFI,1169.5,,163.98,1052.55,56
HCPCS,90620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,896
HCPCS,90620,MENING REC SERO B IM,957.35,,197.48,861.62,56
HCPCS,90620,VACC MENINGOCCAL B INJ BEXSERO,1169.5,,197.48,1052.55,56
HCPCS,90632,VACC HEPATITIS A 1440U/ML SYR,469.29,,88.67,422.36,55
HCPCS,90648,HEMOPHILUS INFLUENZA B VACC,120.7,,19.26,108.63,112
HCPCS,90648,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,448
HCPCS,90651,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,784
HCPCS,90653,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,336
HCPCS,90653,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,112
HCPCS,90656,AFLURIA TRIVA PFS 2024-25,146.79,,20.5,132.11,224
HCPCS,90656,FLAURIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,224
HCPCS,90656,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,1848
HCPCS,90656,VACC FLU TRIVALENT / AFLURIA,94.5,,20.5,85.05,56
HCPCS,90662,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
HCPCS,90662,VACC FLU VIRUS QUAD HIGH DOSE,386.75,,20.5,348.07,56
HCPCS,90670,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,1265
HCPCS,90675,VACC RABAVERT 1ML BU/1ML PFS,2300.41,,288.59,2070.37,68
HCPCS,90675,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,340
HCPCS,90677,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,1375
HCPCS,90677,VACC PNEUMOCOCCAL 20 VALENT IM,1592.49,,381.74,1433.24,55
HCPCS,90680,ROTAVIRUS (ORAL) VACC VL 2ML,710.25,,95.4,639.23,56
HCPCS,90682,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,728
HCPCS,90686,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,3080
HCPCS,90686,FLU VACC QUAD PRESERV > 3YR,51.36,,11.74,46.22,56
HCPCS,90686,FLU VACC QUSD PRESERV> 3 YR,51.36,,11.74,46.22,56
HCPCS,90686,VACC FLU TRIVALENT / FLAURIX,105.35,,11.74,94.81,56
HCPCS,90691,TYPHOID VACC VI CAP (VICPS),624.5,,142.2,562.05,168
HCPCS,90694,VACC FLU TRIVALADJUVANT/FLUAD,386.75,,66.05,348.07,56
HCPCS,90698,VAC DP(A)TPOL/HIB C-T PENTACEL,451.91,,109.26,406.72,56
HCPCS,90702,GLYCERIN SUPP PEDIATRIC 25CT,2.0,,1.0,46.8,56
HCPCS,90707,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,672
HCPCS,90713,VACC POLIO (IPV) INACT 0.5ML,263.32,,26.0,236.99,280
HCPCS,90714,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
HCPCS,90715,DIP/TET/ACE PERT VACC > 7YR IM,152.4,,43.91,137.16,55
HCPCS,90715,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,935
HCPCS,90715,DIP/TET/ACE PERT VACC>7 YR IM,309.33,,43.91,278.4,55
HCPCS,90715,DIP/TET/ACE PERT VACC>7YR IM,309.33,,43.91,278.4,55
HCPCS,90716,VARICELLA VIRUS VACC SQ,915.0,,167.32,823.5,336
HCPCS,90723,VACC HEP B/DP(A)T-POL PEDIARIX,451.91,,22.0,406.72,56
HCPCS,90732,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,1430
HCPCS,90732,PNEUMOC VACC 23 >2YR SQ/IM-IT,533.9,,162.83,480.51,220
HCPCS,90732,PNEUMOC VACC 23>2YR SQ/IM-IT,533.9,,162.83,480.51,110
HCPCS,90733,MENINGOCOCCAL POLY VACC SQ,632.95,,101.42,569.65,280
HCPCS,90734,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,840
HCPCS,90734,MENING CONJ DIP TOX VACC IM,632.95,,117.74,569.65,56
HCPCS,90739,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,660
HCPCS,90739,HEP B VACC ADULT IM VL 2 DOSE,628.75,,216.62,565.88,55
HCPCS,90740,VACC HEPB ENGERX 20MCG/ML ADLT,313.29,,156.65,281.96,55
HCPCS,90744,VACC HEPB ENGERX 10MCG/0.5 PED,135.83,,38.64,122.25,55
HCPCS,90746,GLYCERIN SUPP ADULT 25CT,14.75,,7.38,85.86,55
HCPCS,90746,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,880
HCPCS,90750,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,1100
HCPCS,91318,SARSCV2 VACC 3MCG TRS-SUC VL,512.2,,79.97,460.98,165
HCPCS,91318,VAC COVID PFIZER 3MCG (6M-4 Y),1110.9,,79.97,999.81,55
HCPCS,91319,SARSCV2 VACC 10MCG TRS-SUC VL,512.2,,107.09,460.98,165
HCPCS,91319,VAC COVID PFIZER (5-11 Y) VIAL,495.88,,107.09,446.29,55
HCPCS,91320,SARSCV2 VACC 30MCG TRS-SUC SYR,584.325,,190.2,590.8,165
HCPCS,91320,SARSCV2 VACC 30MCG TRS-SUC VL,656.45,,190.2,590.8,275
HCPCS,91320,VAC COVID COMIRNATY SYRINGE,746.66,,190.2,671.99,55
HCPCS,91320,VAC COVID COMIRNATY VIAL,746.66,,190.2,671.99,55
HCPCS,A0422,"OXYGEN, 1 HR, AIRCRAFT",146.0,,45.74,131.4,57
HCPCS,A0425,GROUND ICU LOADED PT MILAGE,39.0,,8.33,35.1,57
HCPCS,A0426,AMBUL ALS LEVEL I NON-EMERG,900.0,,297.58,810.0,57
HCPCS,A0428,AMBUL BLS NON-EMERGENCY,788.0,,242.73,709.2,57
HCPCS,A0430,BASIC CHARGE-1-FIXED WING ICU,13481.0,,5024.36,12132.9,57
HCPCS,A0430,BC 3RD PARTY FIXED WING BASE,7002.0,,3501.0,6301.8,57
HCPCS,A0430,FIXED WING BASE CHARGE-NON UAB,8255.0,,4127.5,7429.5,57
HCPCS,A0430,MISS BASE FIXED WING,5959.0,,2979.5,5363.1,57
HCPCS,A0431,ROTOR WING BASE CHARGE,17472.0,,5584.54,15724.8,57
HCPCS,A0434,BASIC CHARGE-1-MOBILE ICU,9885.0,,703.47,8896.5,57
HCPCS,A0434,"OXYGEN, 1 HR, GROUND AMBULANCE",146.0,,73.0,848.34,57
HCPCS,A0434,SCT BASIC GROUND AIRPORT,2158.0,,703.47,1942.2,57
HCPCS,A0435,BC 3RD PARTY FIX LOADED MILAGE,50.0,,14.27,45.0,57
HCPCS,A0435,FIXED WING LOADED MILE-NON UAB,66.0,,14.27,59.4,57
HCPCS,A0435,JET ICU LOADED PT MILAGE,97.0,,14.27,87.3,57
HCPCS,A0435,MISS FIXED WING LOADED MILAGE,24.0,,12.0,21.6,57
HCPCS,A0436,HELICOPTER LOADED PATIENT MILE,181.0,,38.04,162.9,57
HCPCS,A2004,XCELL STEM WOUND POWDER500MG,1779.0,,12.14,1601.1,57
HCPCS,A4220,KIT REFILL SYNCHROMED 8551,96.0,,48.0,86.4,57
HCPCS,A4270,NANOSCOPE HI FLOW SHEATH KIT,184.0,,92.0,165.6,56
HCPCS,A4270,SHEATH CLEAN ENDO-SCRUB 2,158.0,,79.0,142.2,56
HCPCS,A4314,ADD A FOLEY URINE METER TRAY,72.0,,36.0,64.8,56
HCPCS,A4315,CATH FOLEY BARDEX SIL TRAY,508.0,,254.0,457.2,112
HCPCS,A4351,URETHRAL CATH ROBINSON MODEL,138.0,,69.0,124.2,56
HCPCS,A4352,CATH TAPERED CODMAN IP-37957,674.0,,337.0,606.6,56
HCPCS,A4467,BINDER WAIST CAROMED XL 12IN,181.0,,23.63,162.9,57
HCPCS,A4550,INSERTER KWIRE T2 RECON,841.0,,22.5,756.9,57
HCPCS,A4550,STIENMAN PIN TRAY,790.0,,22.5,711.0,57
HCPCS,A4550,TRAY BIOPSY JAMSHIDI,76.0,,22.5,68.4,57
HCPCS,A4561,PESSARY RUBBER,58.0,,29.0,52.2,56
HCPCS,A4562,PESSARY NON RUBBER,144.0,,72.0,129.6,112
HCPCS,A4565,KT EXTERNAL ROTATING SLING,171.0,,85.5,153.9,56
HCPCS,A4565,LATERAL TRACTION SLING,169.0,,84.5,152.1,56
HCPCS,A4565,SHLDR IMMOBILIZER SLING/SWATH,228.0,,114.0,205.2,112
HCPCS,A4565,SLING SMART LARGE,172.0,,86.0,154.8,56
HCPCS,A4565,SLING SMART REG,172.0,,86.0,154.8,56
HCPCS,A4570,CUSTOM SPLINT LARGE 01,456.0,,14.4,410.4,57
HCPCS,A4570,CUSTOM SPLINT MEDIUM 01,280.0,,14.4,252.0,57
HCPCS,A4570,CUSTOM SPLINT MEDIUM 02,337.0,,14.4,303.3,57
HCPCS,A4570,CUSTOM SPLINT SMALL 01,141.0,,14.4,126.9,57
HCPCS,A4570,CUSTOM SPLINT SMALL 02,299.0,,14.4,269.1,57
HCPCS,A4570,SPLINT AQUAPLAST,205.0,,14.4,184.5,57
HCPCS,A4570,SPLINT DENTAL,2157.0,,14.4,1941.3,57
HCPCS,A4605,CATH TRACH CARE KIT NEO,398.0,,199.0,358.2,56
HCPCS,A4606,SENSOR PLUS OXIMETER DISP,141.0,,15.3,126.9,57
HCPCS,A4618,HEATED WIRE CIRCUIT,135.0,,67.5,121.5,56
HCPCS,A4624,BONASTENT TB 10MM X 3CM,4491.0,,2245.5,4041.9,56
HCPCS,A4624,STENT BONASTENT ESOPHAGEAL,5738.0,,2869.0,5164.2,122
HCPCS,A4648,BIOZORB LP MARKER,2213.0,,78.0,1991.7,62
HCPCS,A4648,BLUE BEACON TISSUE MARKER,103.0,,51.5,205.26,57
HCPCS,A4648,BX NDLE W/REFLECT SCOUT 10CM,1029.0,,78.0,926.1,62
HCPCS,A4648,BX NDLE W/REFLECT SCOUT 5CM,1026.0,,78.0,923.4,62
HCPCS,A4648,BX NDLE W/REFLECT SCOUT 7.5CM,1030.0,,78.0,927.0,62
HCPCS,A4648,CLEARPOINT FIDUCIAL MARKER,551.0,,78.0,495.9,62
HCPCS,A4648,FD MARKER TISSUE IMPLANTABLE,254.0,,78.0,228.6,124
HCPCS,A4648,GUIDE BPSY HYDRO 15G PERC OPEN,234.0,,78.0,210.6,57
HCPCS,A4648,KIT DELIVERY MARKER PULMO SD,298.0,,78.0,268.2,124
HCPCS,A4648,MAM3014BX SITE MARKER 14G,219.0,,78.0,205.26,62
HCPCS,A4648,MARKER BIOPSY BREAST TUMARK,1427.0,,78.0,1284.3,62
HCPCS,A4648,MARKER BONE FIDUCIAL,709.0,,78.0,638.1,57
HCPCS,A4648,MARKER BONE FIDUCIAL FM-4007,202.0,,78.0,205.26,62
HCPCS,A4648,MARKER BONE FIDUCIAL FM-4010,189.0,,78.0,205.26,62
HCPCS,A4648,MARKER BREAST BX EVIVA TRIMARK,1427.0,,78.0,1284.3,62
HCPCS,A4648,MARKER BREAST RANFAC 20G,114.0,,57.0,205.26,62
HCPCS,A4648,MARKER BRST ULTRACLIP 17GX10CM,232.0,,78.0,208.8,62
HCPCS,A4648,MARKER BX BREAST TUMARK VISION,1749.0,,78.0,1574.1,62
HCPCS,A4648,MARKER BX ULTRACOR TWIRL 17G,754.0,,78.0,678.6,62
HCPCS,A4648,MARKER FIDUCIAL,244.0,,78.0,219.6,62
HCPCS,A4648,MARKER FIDUCIAL COBRA,503.0,,78.0,452.7,124
HCPCS,A4648,MARKER SECURMARK ATEC,1495.0,,78.0,1345.5,62
HCPCS,A4648,MARKER TISSUE IMPL ANY TYPE EA,364.0,,78.0,327.6,124
HCPCS,A4648,MARKER TISSUE IMPLANTABLE,2765.0,,78.0,2488.5,62
HCPCS,A4648,NDL BREAST HAWKINS 20G X 5CM,116.0,,58.0,205.26,62
HCPCS,A4648,NDL BRST LOC HAWKINS 20GX1.0CM,112.0,,56.0,205.26,62
HCPCS,A4648,NDL BRST LOC HAWKINS 20GX7.5CM,112.0,,56.0,205.26,62
HCPCS,A4648,SYS BREAST MARKING 20GX10CM,118.0,,59.0,205.26,62
HCPCS,A4722,DIALYSIS ULTRA LO CA 2.5% 2.5L,159.47,,79.73,143.52,54
HCPCS,A4723,SOL DIANEAL PD DEXT 2.5% 3L,158.62,,79.31,142.76,54
HCPCS,A4725,SOL DIANEAL PD DEXT 1.5% 5L,181.23,,90.61,163.11,54
HCPCS,A4725,SOL DIANEAL PD DEXT 1.5% 5L LL,181.23,,90.61,163.11,54
HCPCS,A4725,SOL DIANEAL PD DEXT 4.25% 5L,189.63,,94.81,170.67,54
HCPCS,A4725,SOL DIANEAL PD2 DEXT 4.25% 5L,189.49,,94.75,170.54,54
HCPCS,A4728,DIALYSIS SOL 3MEQ/L CALCIUM 5L,155.0,,77.5,139.5,54
HCPCS,A4728,SOL DIANEAL ULTRA 1.5% 2.5L,159.67,,79.83,143.7,54
HCPCS,A4728,SOL DIANEAL ULTRA 2.5% 2.5L,164.29,,82.14,147.86,54
HCPCS,A4913,CONNECTOR DIALYSIS TITANIUM 01,1155.0,,577.5,1039.5,56
HCPCS,A6010,TRICORTICAL ILIUM STRIP,3651.0,,1825.5,3285.9,61
HCPCS,A6011,XCELL STEM WOUND POWDER 1000MG,3548.0,,1774.0,3193.2,56
HCPCS,A6011,XCELL STEM WOUND POWDER 250MG,917.0,,458.5,825.3,56
HCPCS,A6021,DSG ENDOFRM TEMPLATE,73.0,,23.24,65.7,56
HCPCS,A6021,DSG OVINE COLLAGEN,241.0,,23.24,216.9,56
HCPCS,A6022,DRESSING DERML ENDOFORM MYRIAD,3969.0,,23.24,3572.1,54
HCPCS,A6022,DSG ENDOFRM MYRIAD,1763.72,,23.24,1587.35,54
HCPCS,A6022,DSG ENDOFRM MYRIAD AROAECM,3527.46,,23.24,3174.71,54
HCPCS,A6154,POUCH WOUND DRAINAGE LG,247.0,,123.5,222.3,56
HCPCS,A6154,SYS FISTULA/WOUND MGMT,56.0,,28.0,50.4,56
HCPCS,A6204,DRSG OPSITE POST OP 11.75X4I,62.0,,31.0,55.8,56
HCPCS,A6208,DRSG AFM AG ASSIST 8INX20IN,159.0,,11.93,143.1,57
HCPCS,A6209,DRESSING MEPILEX,101.0,,8.26,90.9,56
HCPCS,A6210,DRSG MEPILEX 6X8,114.0,,20.34,102.6,112
HCPCS,A6210,DRSG MEPILEX 8X20,253.0,,20.34,227.7,56
HCPCS,A6210,DRSG MEPILEX AG 6X6IN,78.0,,20.34,70.2,56
HCPCS,A6210,DSG FOAM >16 SQ IN,94.0,,20.34,84.6,56
HCPCS,A6210,DSG FOAM >16 SQ IN </=48 SQ IN,94.0,,20.34,84.6,224
HCPCS,A6211,DRSG MEPILEX AG 8X8IN,120.0,,19.48,108.0,112
HCPCS,A6211,DSG FOAM >48 SQ.IN. W/O BORDER,213.0,,19.48,191.7,56
HCPCS,A6250,CLOTH SKIN FOLD W/AG,187.0,,2.05,168.3,57
HCPCS,A6250,SKIN SEALANT PROTECTANT,138.0,,2.05,124.2,57
HCPCS,A6252,DRSG EXUDRY LEG,44.0,,22.0,39.6,56
HCPCS,A6255,DRESSING PAD SILVERLON 2X10IN,88.0,,44.0,79.2,56
HCPCS,A6260,PURACYN PLUS WND IRRIGATE,123.0,,12.19,110.7,57
HCPCS,A6260,PURACYN PLUS WND IRRIGATE 16OZ,87.0,,12.19,78.3,114
HCPCS,A6260,PURACYN PLUS WND IRRIGATE 32OZ,116.0,,12.19,104.4,57
HCPCS,A6504,GARMENT BURN GLOVE TO WRIST,421.0,,131.63,378.9,62
HCPCS,A6531,COMP STOCKING KNEE HIGH 30-40,154.0,,77.0,138.6,56
HCPCS,A6533,STOCKING COMPRESS THIGH 18-30,267.0,,133.5,240.3,122
HCPCS,A6550,DRESSING ABD ABTHERA ADVANCE,1162.0,,581.0,1045.8,56
HCPCS,A6550,DRESSING MED VERAFLO,694.0,,347.0,624.6,56
HCPCS,A6550,DRESSING RENASYS-AB KIT W/PORT,264.0,,132.0,237.6,56
HCPCS,A6550,DRESSING RENASYS-F KIT LARGE,174.0,,87.0,156.6,56
HCPCS,A6550,DRESSING RENASYS-F KIT MEDIUM,123.0,,61.5,110.7,56
HCPCS,A6550,DRESSING RENASYS-F KIT SMALL,106.0,,53.0,95.4,56
HCPCS,A6550,DRESSING RENASYS-F KIT W/SP MD,430.0,,215.0,387.0,56
HCPCS,A6550,DRESSING RENASYS-F KIT W/SP XL,221.0,,110.5,198.9,56
HCPCS,A6550,DRESSING RENASYS-G KIT LARGE,111.0,,55.5,99.9,56
HCPCS,A6550,DRESSING WOUND VAC LRG,207.0,,103.5,186.3,56
HCPCS,A6550,DRSG LG VERAFLO,562.0,,281.0,505.8,56
HCPCS,A6550,DRSG LG VERAFLO CLEANSE CHOICE,611.0,,305.5,549.9,56
HCPCS,A6550,DRSG MED VERAFLO,332.0,,166.0,298.8,56
HCPCS,A6550,DRSG MEDIUM VERAFLO CLEAN CHO,398.0,,199.0,358.2,56
HCPCS,A6550,DSG ABD ABTHERA ADVANCE,1162.0,,581.0,1045.8,56
HCPCS,A7000,CANISTER RENASYS KIT 300CC,81.0,,40.5,72.9,56
HCPCS,A7000,CANISTER RENASYS KIT 800CC,84.0,,42.0,75.6,56
HCPCS,A7000,CANISTER SUCT W/PUMP INDIGO,768.0,,384.0,691.2,56
HCPCS,A7000,CANISTERS HI-FLOW 3000CC,342.0,,171.0,307.8,56
HCPCS,A7041,DRAIN CHEST DRY SUCTION OASIS,106.0,,53.0,95.4,56
HCPCS,A7041,DRAIN CHEST OASIS PEDIA,140.0,,70.0,126.0,56
HCPCS,A7041,DRAIN CHEST OASIS SINGLE 3600,107.0,,53.5,96.3,112
HCPCS,A7042,CATH PLEURX DRAIN KIT 1000,164.0,,82.0,147.6,61
HCPCS,A7048,DRAIN CHEST PLEUR-EVAC ADULT,138.0,,69.0,124.2,56
HCPCS,A7048,DRAIN CHEST SAHARA,124.0,,62.0,111.6,117
HCPCS,A7048,KIT DRAIN W/1000ML BOTTLE,221.0,,110.5,198.9,56
HCPCS,A7505,HOLDER TUBEHOLDER PROVOX,78.0,,39.0,70.2,56
HCPCS,A7520,KIT LARYNGECTOMY LARGE,778.0,,389.0,700.2,61
HCPCS,A7520,KIT LARYNGECTOMY SMALL,778.0,,389.0,700.2,61
HCPCS,A7520,TUBE LARYN BLOM-SINGER SZ9,251.0,,125.5,225.9,61
HCPCS,A7520,TUBE LARYNGECTOMY DISP 10/36MM,514.0,,257.0,462.6,61
HCPCS,A7520,TUBE LARYNGECTOMY DISP 10/55MM,514.0,,257.0,462.6,61
HCPCS,A7520,TUBE LARYNGECTOMY DISP 9/36MM,603.0,,301.5,542.7,56
HCPCS,A7520,TUBE LARYTUBE PROVOX 10/36,342.0,,171.0,307.8,61
HCPCS,A7520,TUBE LARYTUBE PROVOX 9/36,342.0,,171.0,307.8,61
HCPCS,A7520,TUBE LARYTUBE PROVOXATOS-7610,334.0,,167.0,300.6,61
HCPCS,A7520,TUBE TRACH MONTG SAFE-T-TUBE,504.0,,252.0,453.6,61
HCPCS,A7520,TUBE TRACH SHILEY XLT,205.0,,102.5,184.5,61
HCPCS,A7520,TUBE TRACH SHILEY XLT 6.0MM,222.0,,111.0,199.8,61
HCPCS,A7521,TRACH TUBE SHILEY W CUFF 8.5MM,132.0,,66.0,118.8,61
HCPCS,A7521,TUBE TRACH BIVONA ADULT 5.0MM,197.0,,98.5,177.3,61
HCPCS,A7521,TUBE TRACH BIVONA ADULT 6.0MM,206.0,,103.0,185.4,61
HCPCS,A7521,TUBE TRACH BIVONA ADULT 8.0MM,206.0,,103.0,185.4,61
HCPCS,A7521,TUBE TRACH CUFFED BLUE LINE,113.0,,56.5,101.7,61
HCPCS,A7521,TUBE TRACH CUFFED SHILEY,139.0,,69.5,125.1,112
HCPCS,A7521,TUBE TRACH SHILEY DCT 10,112.0,,56.0,100.8,56
HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED *LPC,171.0,,85.5,153.9,61
HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED SHILE,139.0,,69.5,125.1,61
HCPCS,A8001,HELMET HARD SHELL,359.0,,179.5,323.1,54
HCPCS,A9155,SALIVA SUBST 1% SOL 120ML,11.06,,2.83,9.95,56
HCPCS,A9270,CHERRY SYRUP 5ML UP,3.84,,1.92,3.46,54
HCPCS,A9270,CREON 12 CAP (UD),20.06,,10.03,18.05,54
HCPCS,A9270,CREON 24 CAP (UD),39.76,,19.88,35.78,54
HCPCS,A9270,ETRAVIRINE TAB 100MG,57.16,,28.58,51.44,54
HCPCS,A9270,FLUTICASONE 44MCG INH 10.6GM,611.25,,305.62,550.12,54
HCPCS,A9270,SEVELAMER CARBONATE TAB 800MG,8.48,,4.24,7.63,54
HCPCS,A9272,DRESS PREVENA PEEL AND PLACE,734.0,,367.0,660.6,57
HCPCS,A9272,DRESSING NEG PRESS PICO 10X1,503.0,,251.5,581.11,57
HCPCS,A9272,DRSG PREVENA PEEL-PLACE KIT,1044.0,,522.0,939.6,57
HCPCS,A9272,DSG NEG PRESSURE PICO 15X20CM,475.0,,237.5,581.11,57
HCPCS,A9272,PICO-14 10 X 20 CM,481.0,,240.5,581.11,57
HCPCS,A9500,NM SESTAMIBI PER DOSE,123.0,,61.5,549.71,168
HCPCS,A9500,TC 99M SESTAM CALLAHAN,410.0,,72.6,549.71,56
HCPCS,A9508,MIBG DOSE 0-.5 MCI,6067.0,,767.48,5460.3,56
HCPCS,A9512,"TC99M NATC04, PER MCI",129.0,,13.02,116.1,56
HCPCS,A9516,"I-123 (CAPSULE), PER 100 UCI",383.0,,119.43,344.7,56
HCPCS,A9517,I-131 NAI THER CAPSULE PER MCI,312.0,,21.28,280.8,67
HCPCS,A9521,TC99M HMPAO CERETEC UD,3756.0,,738.15,3380.4,67
HCPCS,A9528,I-131 NAI CAP DIAG PER MCI,382.0,,115.23,343.8,56
HCPCS,A9529,I-131 NAI DIAG SOLN PER MCI,144.0,,6.47,129.6,55
HCPCS,A9530,I-131 NAI THER SOLN PER MCI,117.0,,19.21,105.3,67
HCPCS,A9531,I-131 NAI DIAG/ 0-100 UCI,239.0,,5.14,215.1,56
HCPCS,A9537,TC99M HIDA MEBROFENIN 0-15 MCI,344.0,,51.08,309.6,56
HCPCS,A9538,TC99M PYP PER DOSE 0-25 MCI,234.0,,20.78,215.1,112
HCPCS,A9540,TC99M MAA PER DOSE 0-10 MCI,181.0,,18.68,162.9,56
HCPCS,A9543,ISOTOPE YTTRIUM 90 ZEVALINI,142498.0,,52278.59,128248.2,67
HCPCS,A9548,IN-111 DTPA PER 0.5 MCI,3172.0,,658.07,2854.8,67
HCPCS,A9556,GA-67 CITRATE DIAG PER MCI,348.0,,26.84,313.2,56
HCPCS,A9558,XE-133 GAS DIAG 0-10 MCI,269.0,,134.5,361.88,56
HCPCS,A9560,NM ISOTOPE TC99M RBC TO 30MCI,491.0,,75.27,441.9,56
HCPCS,A9560,TC99M LABELED RBC 0-30 MCI,667.0,,75.27,600.3,56
HCPCS,A9562,TC99M MAG3 0-15 MCI,1124.0,,523.76,1011.6,56
HCPCS,A9567,TC99M DTPA AEROSOL 0-75 MCI,360.0,,24.86,324.0,56
HCPCS,A9569,TC99M CERETEC WBC,5652.0,,2.0,5086.8,67
HCPCS,A9572,IN-111 PENTETREOTIDE UPTO 6MCI,12228.0,,1761.44,11005.2,67
HCPCS,A9573,GADOPICLENOL 485.1MG/ML 10ML,179.9,,4.16,161.91,55
HCPCS,A9573,GADOPICLENOL 485.1MG/ML 30ML,525.0,,4.16,472.5,55
HCPCS,A9573,GADOPICLENOL 485.1MG/ML 3ML VL,69.93,,4.16,62.94,55
HCPCS,A9573,GADOPICLENOL 485.1MG/ML 50ML,876.0,,4.16,788.4,55
HCPCS,A9573,GADOPICLENOL 485.1MG/ML 7.5ML,172.2,,4.16,154.98,55
HCPCS,A9579,MRI GADOTERIODOL CONTRAST/ML,0.01,,0.005,1.79,55
HCPCS,A9584,IOFLUPANE I 123 INJ PER DOSE,5760.0,,1276.98,5184.0,67
HCPCS,A9589,HEXAMINOLEVULINATE 100MG KIT,6535.0,,1737.68,5881.5,55
HCPCS,A9589,HEXAMINOLEVULINATE HCL,2700.0,,1350.0,2430.0,55
HCPCS,A9603,PAFOLACIANINE INJ 3.2MG /1.6ML,19337.5,,123.16,17403.75,55
HCPCS,A9604,NM SM 153 LEXIDRONAM TO 150MCI,17977.0,,3969.72,16179.3,67
HCPCS,A9606,RA-223 DICHLORIDE TX PER UCI,765.7,,158.44,689.13,68
HCPCS,B4087,GASTROSTOMY PEG KIT 20FR,253.0,,27.9,227.7,62
HCPCS,B4087,JEJUNAL FEED TUBE LOW PROFILE,406.0,,27.9,365.4,62
HCPCS,B4087,PEG KIT SILICONE 000330,428.0,,27.9,385.2,119
HCPCS,B4087,PERC ENDOSCOP GASTROSTOMY SET,199.0,,27.9,179.1,57
HCPCS,B4087,TUBE ENTUIT START SET,170.0,,27.9,153.0,57
HCPCS,B4087,TUBE FEED JEJUNAL MIC 16X45,465.0,,27.9,418.5,62
HCPCS,B4087,TUBE FEEDING GASTRO,163.0,,27.9,146.7,62
HCPCS,B4087,TUBE FEEDING JEJUNAL MIC-KEY,351.0,,27.9,315.9,62
HCPCS,B4087,TUBE G TRITON 24F,140.0,,27.9,133.2,124
HCPCS,B4087,TUBE GASTRO BLLN 18,160.0,,27.9,144.0,57
HCPCS,B4087,TUBE GASTROSTOMY,114.5,,27.9,107.1,119
HCPCS,B4087,TUBE GASTROSTOMY PEG KIT,456.0,,27.9,410.4,62
HCPCS,B4087,TUBE INTESTINAL ABBVIE J 9FR,275.0,,27.9,247.5,62
HCPCS,B4087,TUBE PEG24 PULL 24F 150CM,251.0,,27.9,225.9,62
HCPCS,B4087,TUBE TRANSGASTRIC-JEJUN FEED,680.0,,27.9,667.8,124
HCPCS,C1052,CATH HEMOSPRAY 10FR,3028.0,,1086.32,2725.2,57
HCPCS,C1062,KIT EXPANSION SPINEJACK,8771.0,,2548.84,7893.9,114
HCPCS,C1062,KIT SPINEJACK CASE 5.8MM,8022.0,,2548.84,7219.8,57
HCPCS,C1602,CEMENT PUSHER,206.0,,103.0,2557.29,62
HCPCS,C1605,AVEIR DR CHAMBER PACER SYS,43470.0,,21735.0,39123.0,61
HCPCS,C1605,AVEIR LEADLESS DR PF 32.2MM,22770.0,,11385.0,20493.0,61
HCPCS,C1713,1.6 KWIRE,332.0,,166.0,506.18,62
HCPCS,C1713,2.0 MM LACTO ADJ SD TAP,571.0,,285.5,513.9,62
HCPCS,C1713,AANOTACK TT SUTUREANCHOR,905.0,,452.5,814.5,62
HCPCS,C1713,AC JOINT PROCEDURE SYSTEM,1089.0,,506.18,980.1,62
HCPCS,C1713,ACL FIBERTAG TIGHTROPE IMPLANT,992.0,,411.5,1044.9,124
HCPCS,C1713,ADAPTER OSS/COMPRESS BIOMET,980.0,,490.0,882.0,62
HCPCS,C1713,ALLOGRAFT BONE WEDGE EVANS,4196.0,,506.18,3776.4,62
HCPCS,C1713,ALLOGRAFT BTB HEMI SHAPED BONE,5973.0,,506.18,5375.7,62
HCPCS,C1713,ALPHAVENT SUT ANCHOR W/PEEK,809.0,,404.5,728.1,62
HCPCS,C1713,ANAT MODEL SKULL AND MANDIBLE,17820.0,,506.18,16038.0,62
HCPCS,C1713,ANCH FIBERSTITCH CURV,1325.0,,506.18,1192.5,62
HCPCS,C1713,ANCH JUGGERKNOT SHORT KIT,949.0,,474.5,854.1,62
HCPCS,C1713,ANCH PEEK-SWIVELOCK 1,884.0,,442.0,795.6,62
HCPCS,C1713,ANCHOR ASSEMBLY W/BOLT,960.0,,480.0,864.0,62
HCPCS,C1713,ANCHOR BIO-PUSHLOCK,986.0,,493.0,887.4,62
HCPCS,C1713,ANCHOR BIO-SWIVELOCK 4.75MM,1232.0,,506.18,1108.8,62
HCPCS,C1713,ANCHOR BIO-SWIVELOCK PSLC,863.0,,431.5,776.7,62
HCPCS,C1713,ANCHOR BIO-SWIVELOCK SP,1545.0,,506.18,1390.5,62
HCPCS,C1713,ANCHOR BIOCOMPOSITE SWIVELOCK,1621.0,,506.18,1458.9,62
HCPCS,C1713,ANCHOR BOLT KIT LSB STYLE,1110.0,,506.18,999.0,57
HCPCS,C1713,ANCHOR CORKSCREW AR-1928SNF-2,630.0,,315.0,567.0,62
HCPCS,C1713,ANCHOR CORKSCREW BIO-COMPOSITE,817.0,,408.5,735.3,62
HCPCS,C1713,ANCHOR FIBERTAK AR-3633,851.0,,425.5,765.9,62
HCPCS,C1713,ANCHOR FIBERTAK DBL LOADED,983.0,,491.5,884.7,62
HCPCS,C1713,ANCHOR FOOTPRINT ULTRA,293.0,,146.5,506.18,62
HCPCS,C1713,ANCHOR HTO IBALANCE CANCELLOUS,527.0,,263.5,506.18,62
HCPCS,C1713,ANCHOR HTO IBALANCE CORTICAL,527.0,,263.5,506.18,62
HCPCS,C1713,ANCHOR ICONIX 2.3MM XBR,801.0,,400.5,720.9,62
HCPCS,C1713,ANCHOR JUGGERKNOT 2.9MM DL,731.0,,365.5,657.9,62
HCPCS,C1713,ANCHOR JUGGERKNOT DBL ZIMMER,611.0,,305.5,549.9,62
HCPCS,C1713,ANCHOR JUGGERKNOT DBLE LOADED,827.0,,413.5,744.3,62
HCPCS,C1713,ANCHOR JUGGERKNOT SOFT,1193.0,,506.18,1073.7,62
HCPCS,C1713,ANCHOR KNOTLESS LINK,791.0,,395.5,711.9,62
HCPCS,C1713,ANCHOR MITEK,1120.0,,506.18,1008.0,62
HCPCS,C1713,ANCHOR OSTEORAPTOR W/1UB 2.3,608.0,,304.0,547.2,62
HCPCS,C1713,ANCHOR PEEK CORKSCREW 4.5X14,709.0,,354.5,638.1,62
HCPCS,C1713,ANCHOR PEEK-SWIVELOCK 5.5X19,949.0,,474.5,854.1,62
HCPCS,C1713,ANCHOR PEEK-SWIVELOCK CRKSCW 2,3744.0,,506.18,3369.6,57
HCPCS,C1713,ANCHOR QUICKANCHOR PLUS MITEK,1135.0,,506.18,1021.5,62
HCPCS,C1713,ANCHOR SOFT FIBERTAK 2.6,800.0,,400.0,720.0,62
HCPCS,C1713,ANCHOR SUT BIO COMP,748.0,,374.0,673.2,62
HCPCS,C1713,ANCHOR SUT DYNOMITE,694.0,,347.0,624.6,62
HCPCS,C1713,ANCHOR SUT MINI BIO-CORKSCR FT,702.0,,351.0,631.8,62
HCPCS,C1713,ANCHOR SUT NANOTACK 1.4MM,1082.0,,506.18,973.8,62
HCPCS,C1713,ANCHOR SUT PEEK PUSHLOCK SP,863.0,,431.5,776.7,62
HCPCS,C1713,ANCHOR SUT PUSHLOCK MINI 2.5X8,870.0,,435.0,783.0,62
HCPCS,C1713,ANCHOR SUT SWIVELOCK BIOCOMP,936.0,,468.0,842.4,62
HCPCS,C1713,ANCHOR SUTURE,952.0,,476.0,856.8,62
HCPCS,C1713,ANCHOR SUTURE 1.4MM XBRAID,880.0,,440.0,792.0,62
HCPCS,C1713,ANCHOR SUTURE ALL Q-FIX,697.5,,304.0,708.3,124
HCPCS,C1713,ANCHOR SUTURE FIBERTAK 01,778.0,,389.0,700.2,62
HCPCS,C1713,ANCHOR SUTURE FIBERTAK 02,908.0,,454.0,817.2,62
HCPCS,C1713,ANCHOR SUTURE FIBERTAK 04,1034.0,,506.18,930.6,62
HCPCS,C1713,ANCHOR SUTURE FIBERTAK 05,966.0,,483.0,869.4,62
HCPCS,C1713,ANCHOR SUTURE FIBERTAK DX,1206.0,,506.18,1085.4,62
HCPCS,C1713,ANCHOR SUTURE FIBERTAK KIT 01,473.0,,236.5,506.18,62
HCPCS,C1713,ANCHOR SUTURE FIBERWIRE 02,699.0,,349.5,629.1,62
HCPCS,C1713,ANCHOR SUTURE GI COPE SET,280.0,,140.0,506.18,57
HCPCS,C1713,ANCHOR SUTURE HEALICOIL,734.0,,367.0,660.6,62
HCPCS,C1713,ANCHOR SUTURE ICONIX,952.0,,476.0,856.8,62
HCPCS,C1713,ANCHOR SUTURE JUGGERKNOT  01,1254.0,,506.18,1128.6,62
HCPCS,C1713,ANCHOR SUTURE JUGGERKNOT 03,740.0,,370.0,666.0,62
HCPCS,C1713,ANCHOR SUTURE JUGGERKNOT 04,710.0,,355.0,639.0,62
HCPCS,C1713,ANCHOR SUTURE KNOTLESS 4.5MM,952.0,,476.0,856.8,62
HCPCS,C1713,ANCHOR SUTURE KNOTLESS INSITE,513.0,,256.5,506.18,62
HCPCS,C1713,ANCHOR SUTURE SOFT JUGGERKNOT,1317.0,,506.18,1185.3,62
HCPCS,C1713,ANCHOR SUTURE SWIVELOCK,1545.0,,506.18,1390.5,62
HCPCS,C1713,ANCHOR SUTURE TI,850.0,,425.0,765.0,62
HCPCS,C1713,ANCHOR SUTURE ULTRATAPE BLU,175.0,,87.5,506.18,62
HCPCS,C1713,ANCHOR SWIFT-LOCK,395.0,,197.5,506.18,62
HCPCS,C1713,ANCHOR SWIVELOCK 4.75 LNT,1590.0,,506.18,1431.0,62
HCPCS,C1713,ANCHOR SWIVELOCK 4.75X19.1 CLS,1016.0,,453.5,1012.5,124
HCPCS,C1713,ANCHOR TENDON ABSORBABLE,1773.0,,506.18,1595.7,62
HCPCS,C1713,ANCHOR TENDON S&N 2504-1,1264.0,,506.18,1137.6,62
HCPCS,C1713,ANCHOR TIGHTROPE BTB LIGAMENT,1049.0,,506.18,944.1,62
HCPCS,C1713,ANCHOR VERSALOK W/ORTHOCORD,1121.0,,506.18,1008.9,62
HCPCS,C1713,ANCHR GII PLUS W/#2 ETHBND,1109.0,,506.18,998.1,62
HCPCS,C1713,ANCHR RC PLUS W/#2 ETHBND,1729.0,,506.18,1556.1,62
HCPCS,C1713,ARCH/BRIDGE FIX/STAPLE 12MM,315.0,,157.5,506.18,62
HCPCS,C1713,ARCUS 8X8 STAPLE KIT STERILE,2173.0,,506.18,1955.7,57
HCPCS,C1713,ARCUS STAPLE ASSEMBLY STERILE,1659.0,,506.18,1493.1,57
HCPCS,C1713,ARGO KNOTLESS WITH 1MM RIBBON,675.0,,337.5,607.5,62
HCPCS,C1713,ATTUNE PINNING SYSTEM SYNTHES,1466.0,,506.18,1319.4,62
HCPCS,C1713,AUTOPLEX SYS W/O NDL STRYKER,556.0,,278.0,506.18,57
HCPCS,C1713,BARRIER SHEET IMPL RECTANGLE,942.0,,471.0,847.8,62
HCPCS,C1713,BEAM SOLID HDLESS FULL THREAD,4113.0,,506.18,3701.7,62
HCPCS,C1713,BENDER SUTURING UNIT,136.0,,68.0,506.18,57
HCPCS,C1713,BI WING ANCHOR,468.0,,234.0,506.18,62
HCPCS,C1713,BIO KNOTLESS SUTURE ANCHOR,665.0,,332.5,598.5,62
HCPCS,C1713,BLOCK CHRONOS 12.5X12.5X10MM,758.0,,379.0,682.2,62
HCPCS,C1713,BNE GRND CORTICL DE-MINERALIZD,322.0,,161.0,506.18,62
HCPCS,C1713,BOLT FOR FEMORAL NECK SYSTEM,876.0,,438.0,788.4,62
HCPCS,C1713,BONE ANCHOR S&N 2503-S,843.0,,421.5,758.7,62
HCPCS,C1713,BONE ANCHOR S&N 4403,1264.0,,506.18,1137.6,62
HCPCS,C1713,BONE CEMENT,939.0,,112.0,1488.6,124
HCPCS,C1713,BONE CEMENT 40GM RALLY MV,121.0,,60.5,506.18,62
HCPCS,C1713,BONE STAPLE NITINOL HIMAX,2949.0,,506.18,2654.1,62
HCPCS,C1713,"BURR, BIT, BLADE  150",772.0,,386.0,694.8,57
HCPCS,C1713,"BURR, BIT, BLADE  200",967.0,,483.5,870.3,57
HCPCS,C1713,"BURR, BIT, BLADE 30",190.0,,95.0,506.18,57
HCPCS,C1713,BUTTON DISTAL CLAVICLE PLATE,737.0,,368.5,663.3,62
HCPCS,C1713,BUTTON TIGHTROPE ABS 14,546.0,,273.0,506.18,62
HCPCS,C1713,BUTTON TIGHTROPE ABS 8X12MM,437.0,,218.5,506.18,62
HCPCS,C1713,CABLE ADVISOR HD GRID X,1710.0,,506.18,1539.0,57
HCPCS,C1713,CABLE BONE COCR ACCORD W/CLAMP,958.0,,479.0,862.2,62
HCPCS,C1713,CABLE/SLEEVE BEADED D-M 1.6M,628.0,,314.0,565.2,57
HCPCS,C1713,CAGE ALEUTIAN LAT PAR,6844.0,,506.18,6159.6,62
HCPCS,C1713,CEMENT BNE COBALT W/GENTAM 40G,602.0,,301.0,541.8,62
HCPCS,C1713,CEMENT BONE AUTOPLEX W/O NEEDL,4167.0,,506.18,3750.3,62
HCPCS,C1713,CEMENT BONE COBALT 40G W/GENT,519.0,,259.5,506.18,62
HCPCS,C1713,CEMENT BONE COBALT GHV 40G,684.0,,342.0,615.6,62
HCPCS,C1713,CEMENT BONE DIRECTINJECT 10CC,7864.0,,506.18,7077.6,62
HCPCS,C1713,CEMENT BONE DIRECTINJECT 3CC,2566.0,,506.18,2309.4,62
HCPCS,C1713,CEMENT BONE DIRECTINJECT 5CC,4048.0,,506.18,3643.2,62
HCPCS,C1713,CEMENT BONE GENTAMICIN,486.0,,243.0,506.18,62
HCPCS,C1713,CEMENT BONE KYPHX HV-R,444.0,,222.0,506.18,62
HCPCS,C1713,CEMENT BONE KYPHX W/MIXER,424.0,,212.0,506.18,124
HCPCS,C1713,CEMENT BONE PALACOS,532.0,,266.0,506.18,62
HCPCS,C1713,CEMENT BONE SIMPLEX P TOBRA,104.0,,52.0,506.18,62
HCPCS,C1713,CEMENT CEMEX SYSTEM,496.0,,248.0,506.18,62
HCPCS,C1713,CEMENT HYDROSET INJ 15CC,7072.0,,506.18,6364.8,62
HCPCS,C1713,CEMENT INJECTABLE TRAUMACEM,985.0,,492.5,886.5,62
HCPCS,C1713,CEMENT ORTHOPEADIC OTOMIMIX,783.0,,391.5,704.7,62
HCPCS,C1713,CEMENT VERTAPLEX HV,2711.0,,506.18,2439.9,62
HCPCS,C1713,CHRONOS SYNTHES 5CC,1303.0,,506.18,1172.7,62
HCPCS,C1713,CITREFIX XPRESS IMPLANT SYSTEM,2074.0,,506.18,1866.6,62
HCPCS,C1713,CITREFIX XPRESS SYSTEM,2074.0,,506.18,1866.6,62
HCPCS,C1713,CMC MINI TIGHTROPE,1980.0,,506.18,1782.0,62
HCPCS,C1713,CMRP PLATE,16902.0,,506.18,15211.8,62
HCPCS,C1713,COMPRESSION STAPLE SYSTEM,3475.0,,506.18,3127.5,62
HCPCS,C1713,CONFIDENCE INTRO NEEDLE,247.0,,123.5,506.18,57
HCPCS,C1713,CONNECTOR ROD SPINAL SYS,1003.0,,501.5,902.7,62
HCPCS,C1713,"CORKSCREW FT, PEEK, SUTURETAPE",697.0,,348.5,627.3,62
HCPCS,C1713,CORTICAL POST ARTHREX,248.0,,124.0,506.18,62
HCPCS,C1713,CRANIAL CMF CUSTOM MANDIBLE,16680.0,,506.18,15012.0,62
HCPCS,C1713,CREO MODULAR POLYAXIAL TULIP,585.0,,292.5,526.5,62
HCPCS,C1713,CROSSLINK,1049.0,,506.18,944.1,62
HCPCS,C1713,DART CHONDRAL,342.0,,171.0,506.18,62
HCPCS,C1713,DEVICE LIGAMENT AUGMENTATION,2473.0,,506.18,2225.7,57
HCPCS,C1713,DISP KIT FOR SHORT PUSHLOCK,416.0,,208.0,506.18,57
HCPCS,C1713,DOMINO VARIABLE ANGLE,884.0,,442.0,795.6,62
HCPCS,C1713,DRILL FOR FIBER TAK,285.0,,142.5,506.18,57
HCPCS,C1713,DRILL TIP RECON K-WIRE,428.0,,214.0,506.18,62
HCPCS,C1713,DVC FIXATION ANKLE ZIPTIGHT,1761.0,,506.18,1584.9,62
HCPCS,C1713,DVC FUSION COUPLING 15-0028/08,12284.0,,506.18,11055.6,62
HCPCS,C1713,DYNACLIP STERILE PRELOADED,4239.0,,506.18,3815.1,62
HCPCS,C1713,DYNANITE NITI STAPLE W/INSTRS,4297.0,,506.18,3867.3,62
HCPCS,C1713,EASYFUSE DYNAMIC COMPRESSIO SY,1168.0,,506.18,1051.2,62
HCPCS,C1713,EASYFUSE STAPLE MTP SNITINOL,3578.0,,506.18,3220.2,62
HCPCS,C1713,ENDOBUTTON 4.0MM X 12MM,334.0,,167.0,506.18,62
HCPCS,C1713,ENDOBUTTON CL ULTRA 60MM,558.0,,279.0,506.18,62
HCPCS,C1713,"ENDOBUTTON CL ULTRA, 35MM",677.0,,338.5,609.3,62
HCPCS,C1713,EXT FIX BAR JET-X,356.0,,178.0,506.18,62
HCPCS,C1713,EXT FIX BAR JET-X 400MM,563.0,,281.5,506.7,62
HCPCS,C1713,EXT FIX CLAMP JET-X 10.5-5.0MM,767.0,,383.5,690.3,62
HCPCS,C1713,EXT FIX CMF RED II COMP,21884.0,,506.18,19695.6,62
HCPCS,C1713,EXT FIX PIN BOLT APEX 3.4X5.6M,458.0,,229.0,506.18,62
HCPCS,C1713,EXT FIX SALVATION FT POSITION,239.0,,119.5,506.18,62
HCPCS,C1713,EXT FIXATOR RING HALF,2113.0,,506.18,1901.7,62
HCPCS,C1713,EXT FIXATOR XTRAFIX CLAMP,2041.0,,506.18,1836.9,62
HCPCS,C1713,FEN OPEN CANNULA A STERILE,694.0,,347.0,624.6,57
HCPCS,C1713,FENESTRATED SCREW SET MAS CCM,5696.0,,506.18,5126.4,62
HCPCS,C1713,FENESTRATED SLEEVE,554.0,,277.0,506.18,57
HCPCS,C1713,FHL/FDL IMPL SYS ARTHREX,3028.0,,506.18,2725.2,62
HCPCS,C1713,FIBERGRAFT 8G PUTTY,1239.0,,506.18,1115.1,62
HCPCS,C1713,FIBERGRAFT AERIDYAN,3638.0,,506.18,3274.2,62
HCPCS,C1713,FIBERGRAFT BG MATRIX L,5805.0,,506.18,5224.5,62
HCPCS,C1713,FIBERGRAFT BG MATRIX M,6063.0,,506.18,5456.7,62
HCPCS,C1713,FIBERGRAFT BG MATRIX S,1548.0,,506.18,1393.2,62
HCPCS,C1713,FIBERGRAFT BG PUTTY,1786.0,,506.18,1607.4,62
HCPCS,C1713,FIBERGRAFT MATRIX 125CC,6966.0,,506.18,6269.4,62
HCPCS,C1713,FIBERLOCK SUSPENSION SYSTEM,2986.0,,506.18,2687.4,62
HCPCS,C1713,FIBERSTITCH 1.5 24 DEGREE CURV,1030.0,,506.18,927.0,62
HCPCS,C1713,FIBERSTITCH IMPL DEGREE CURVE,1718.0,,506.18,1546.2,62
HCPCS,C1713,FIBERSTITCH IMPLANT CURVED,1044.0,,506.18,939.6,62
HCPCS,C1713,FIBULOCK IMPLANT SYSTEM,1384.0,,506.18,1245.6,62
HCPCS,C1713,FILLER BONE B-TCP VITOSS,4561.0,,506.18,4104.9,62
HCPCS,C1713,FILLER BONE MASTERGRAFT,848.0,,424.0,763.2,62
HCPCS,C1713,FILLER BONE MIMIX,3294.0,,506.18,2964.6,62
HCPCS,C1713,FILLER BONE VITOSS BA2X,5995.0,,506.18,5395.5,62
HCPCS,C1713,FILLER BONE VITOSS BA2X 5.0CC,3133.0,,506.18,2819.7,62
HCPCS,C1713,FILLER BONE VITOSS FOAM 5CC,2511.0,,506.18,2259.9,62
HCPCS,C1713,FILLER NORIAN INJECT 5CC,2950.0,,506.18,2655.0,62
HCPCS,C1713,FILLER PRO-DENSE 10ML,7203.0,,506.18,6902.1,124
HCPCS,C1713,FILLER PRO-DENSE 20CC 87SR0420,8791.0,,506.18,7911.9,62
HCPCS,C1713,FILLER PRO-DENSE 20ML 87SR0120,12501.0,,506.18,11250.9,62
HCPCS,C1713,FILLER VIT STRIP BA 25X100X8MM,8025.0,,506.18,7222.5,62
HCPCS,C1713,FIXATION LOOP PROCINCH,1035.0,,506.18,931.5,62
HCPCS,C1713,FLEXBAND TWIST,8276.0,,506.18,7448.4,62
HCPCS,C1713,FLEXBAND TWIST .12,7376.0,,506.18,6638.4,62
HCPCS,C1713,FOOT/ANKL SCP SIDE DEL 11GA 12,7033.0,,506.18,6329.7,62
HCPCS,C1713,GDWIRE BEVELED ARTHREX,247.0,,123.5,506.18,57
HCPCS,C1713,GDWIRE KIRSCHNER FIXOS 1.4X150,190.0,,95.0,506.18,57
HCPCS,C1713,GDWIRE TROCAR TIP 0102-150,221.0,,110.5,506.18,57
HCPCS,C1713,GRAFT BONE 6ML MED FIBERGRAFT,6658.0,,506.18,6277.5,124
HCPCS,C1713,GRAFT STRIP CHRONOS 25X50X3MM,1939.0,,506.18,1745.1,62
HCPCS,C1713,GRAPPLER R3FLEX SGL IMPL KIT,2700.0,,506.18,2430.0,62
HCPCS,C1713,GRAVITY SYNCHFIX SYNDESMOSIS,1971.0,,506.18,1773.9,62
HCPCS,C1713,GUIDE SCREW TAP NOBEL PARALLEL,340.0,,170.0,506.18,62
HCPCS,C1713,HEALICOIL 5.5MM W/UB2-CBR BLK,850.0,,425.0,765.0,62
HCPCS,C1713,HEALICOIL PK 4.5MM W2 MT BL/CB,810.0,,405.0,729.0,62
HCPCS,C1713,HEALIX PEEK DS #2 DYNACORD,832.0,,416.0,748.8,62
HCPCS,C1713,HERCULES SYNDESMOSIS IMPLANT,2270.0,,506.18,2043.0,62
HCPCS,C1713,HEX DRIVER 2.5MM,353.0,,176.5,506.18,62
HCPCS,C1713,HUMERAL SCREW KIT,775.0,,387.5,697.5,62
HCPCS,C1713,HYDROSET 15ML,13971.0,,506.18,12573.9,62
HCPCS,C1713,HYDROSET BONE VOID FILLER 5CC,2949.0,,506.18,2654.1,62
HCPCS,C1713,HYDROSET INJ 10CC,5781.0,,506.18,5202.9,62
HCPCS,C1713,HYDROSET XT 01,10129.0,,506.18,9116.1,62
HCPCS,C1713,IB KIT MINI PEEK JUMPSTART,3028.0,,506.18,2725.2,62
HCPCS,C1713,ICONIX 2 NDLS ANCHOR W/2STRAND,926.0,,463.0,833.4,57
HCPCS,C1713,IFUSE BONE XX SMALL,2039.0,,506.18,1835.1,62
HCPCS,C1713,IMP SHLDR EQUINOXE MID SEGMENT,17570.0,,506.18,15813.0,62
HCPCS,C1713,IMP SYS INTBRACE KNEE LIG AUG,3197.0,,506.18,2877.3,62
HCPCS,C1713,IMP SYS TIGHTROPE RT W/FLIPCUT,2137.0,,506.18,1923.3,62
HCPCS,C1713,IMPL AC JOINT ZIPTIGHT ZIPLOOP,1356.0,,506.18,1220.4,62
HCPCS,C1713,IMPL ANCHOR JUGGERKNOT SOFT,922.0,,461.0,829.8,62
HCPCS,C1713,IMPL BONE VOID FILLER 03,6001.0,,506.18,5400.9,62
HCPCS,C1713,IMPL CMF CUSTOM CRANIAL KLS,3495.0,,506.18,3145.5,62
HCPCS,C1713,IMPL CMF MED ENOPHTHALMS WEDGE,1064.0,,506.18,957.6,62
HCPCS,C1713,IMPL CUSTOM CRANIAL MEDPOR SM,22395.0,,506.18,20155.5,62
HCPCS,C1713,IMPL EAR BASE MEDPOR LT EXTEND,4804.0,,506.18,4323.6,62
HCPCS,C1713,IMPL EAR HELICAL RIM MEDPOR,1619.0,,506.18,1457.1,62
HCPCS,C1713,IMPL FEM NECK SEG 126 DEG 65MM,11496.0,,506.18,10346.4,62
HCPCS,C1713,IMPL FIBERTAK BICEP,843.0,,421.5,758.7,62
HCPCS,C1713,IMPL FIX SFT TISS TENOTAC FML,994.0,,497.0,894.6,124
HCPCS,C1713,IMPL FIX SFT TISS TENOTAC ML,994.0,,497.0,894.6,62
HCPCS,C1713,IMPL FIX SYS SFT TISS TENOTAC,1869.0,,506.18,1682.1,62
HCPCS,C1713,IMPL FLANGE W/SCREW SYSTEM,1381.0,,506.18,1242.9,62
HCPCS,C1713,IMPL HAMMERTOE HAMMERTUBE,974.0,,487.0,876.6,62
HCPCS,C1713,IMPL HTO IBALANCE LG,4001.0,,506.18,3600.9,62
HCPCS,C1713,IMPL HUMERAL SPACER +6MM 36MM,918.0,,459.0,826.2,62
HCPCS,C1713,IMPL IFUSE TORQ 10070T,6328.0,,506.18,5695.2,62
HCPCS,C1713,IMPL KIT INSTAFIX,1757.0,,506.18,1581.3,62
HCPCS,C1713,IMPL KIT INSTAFIX  15X10MM,2689.0,,506.18,2420.1,62
HCPCS,C1713,IMPL KIT INSTAFIX 10X10MM,1968.0,,506.18,1771.2,62
HCPCS,C1713,IMPL LARGE PEC BUTTON ARTHREX,881.0,,440.5,792.9,62
HCPCS,C1713,IMPL MEDIPOR TITAN BTB-81025,13040.0,,506.18,11736.0,62
HCPCS,C1713,IMPL MEDPOR BARRIER SHEET,984.0,,492.0,885.6,62
HCPCS,C1713,IMPL MEDPOR CUSTOM MIDFACE,27465.0,,506.18,24718.5,62
HCPCS,C1713,IMPL MEDPOR CUSTOM STRYKER,29554.0,,506.18,26598.6,62
HCPCS,C1713,IMPL MEDPOR SHEET STRYKER 9562,2190.0,,506.18,1971.0,62
HCPCS,C1713,IMPL MEDPOR TITAN 3D LRG RT,4399.0,,506.18,3959.1,62
HCPCS,C1713,IMPL MEDPOR TITAN MAX STRYKER,4327.0,,506.18,3894.3,62
HCPCS,C1713,IMPL MEDPOR TITAN SHEET,1345.0,,506.18,1210.5,62
HCPCS,C1713,IMPL MEDPOR ULTRA THIN SHEET,737.0,,368.5,663.3,62
HCPCS,C1713,IMPL MENISCAL JUGGERSTITCH,691.0,,345.5,621.9,62
HCPCS,C1713,IMPL MULTI STERNAL SYSTEM,7530.0,,506.18,6777.0,62
HCPCS,C1713,IMPL OSTEOVIEW MANDILE STRYKER,2072.0,,506.18,1864.8,62
HCPCS,C1713,IMPL PROXIMAL TENODESIS SYS,1368.0,,506.18,1231.2,62
HCPCS,C1713,IMPL SI IFUSE TORQ,5616.0,,506.18,5054.4,62
HCPCS,C1713,IMPL SPEEDBRG SYS W/PEEK SWVL,4354.0,,506.18,3918.6,62
HCPCS,C1713,IMPL SPEEDBRG SYS W/PEEKSWVL,3240.0,,506.18,2916.0,62
HCPCS,C1713,IMPL SPEEDBRIDGE SYS,4858.0,,506.18,4372.2,62
HCPCS,C1713,IMPL SPEEDBRIDGE SYS ACHILLES,4285.0,,506.18,7723.8,186
HCPCS,C1713,IMPL SYS ECLIPSE SPEEDSCAP,6054.0,,506.18,5448.6,62
HCPCS,C1713,IMPL SYS FIXATION SWIVLCK,1603.0,,506.18,1442.7,62
HCPCS,C1713,IMPL SYS PROXIMAL TENODESIS,1368.0,,506.18,1231.2,62
HCPCS,C1713,IMPL SYS RECONSTRUCTION ANKLE,4025.0,,506.18,3622.5,62
HCPCS,C1713,IMPL SYS SUTURELOC ANCHOR,3744.0,,506.18,3369.6,62
HCPCS,C1713,IMPL SYSTEM CPR VIPER,2050.0,,506.18,1845.0,62
HCPCS,C1713,IMPL TENDON LIGAMENT BONE ANCH,1863.0,,506.18,1676.7,62
HCPCS,C1713,IMPL TIGHTROPE OPEN ABS II,1412.0,,506.18,1270.8,62
HCPCS,C1713,IMPLANT BONE VOID FILLER 01,7729.0,,506.18,6956.1,62
HCPCS,C1713,IMPLANT BONE VOID FILLER 02,5055.0,,506.18,4549.5,62
HCPCS,C1713,IMPLANT CRANIAL PROTHESIS,27576.0,,506.18,24818.4,62
HCPCS,C1713,IMPLANT MANDIBLE,12468.0,,506.18,11221.2,62
HCPCS,C1713,IMPLANT MANDIBLE KLS,15920.0,,506.18,14328.0,62
HCPCS,C1713,IMPLANT MEDPOR CUSTOM,26699.0,,506.18,24029.1,62
HCPCS,C1713,IMPLANT MEDPOR TITAN,4019.0,,506.18,4537.8,186
HCPCS,C1713,IMPLANT MEDPOR TITAN 81020,2165.0,,506.18,1948.5,62
HCPCS,C1713,IMPLANT SYS FIBERTAK BICEPS,1382.0,,506.18,1243.8,62
HCPCS,C1713,INSRT SCREW HOLE NCB,201.0,,100.5,506.18,57
HCPCS,C1713,JOUST BEAM CANN HDLESS,2673.0,,506.18,2405.7,62
HCPCS,C1713,JOUST BEAM CANN HDLESS MED THD,2967.0,,506.18,2670.3,62
HCPCS,C1713,JUGGERLOC SOFT TISSUE,1049.0,,506.18,944.1,62
HCPCS,C1713,K WIRE 062.,148.0,,74.0,506.18,62
HCPCS,C1713,K WIRE DBL TRO 6PK NS,270.0,,135.0,506.18,62
HCPCS,C1713,K WIRE TAPERED TIP,510.0,,255.0,506.18,57
HCPCS,C1713,K-LESS T-ROPE W/DRV,3307.0,,506.18,2976.3,62
HCPCS,C1713,K-WIRE 1.25 SYNTHES 292.12,281.0,,140.5,506.18,62
HCPCS,C1713,K-WIRE 1.6MM,96.0,,48.0,506.18,62
HCPCS,C1713,K-WIRE 1.6MM CAROFIX,76.0,,38.0,506.18,62
HCPCS,C1713,K-WIRE 1.6MMX6INCROSSROADS,271.0,,135.5,506.18,62
HCPCS,C1713,K-WIRE 2.0MM X 150MM ORTHOFIX,94.0,,47.0,506.18,57
HCPCS,C1713,K-WIRE 2.3MM,253.0,,126.5,506.18,62
HCPCS,C1713,K-WIRE 3 X 285MM STRYKER,318.0,,159.0,506.18,62
HCPCS,C1713,K-WIRE 3.2MM THD SHORT,416.0,,208.0,506.18,62
HCPCS,C1713,K-WIRE 3.2X285MM,333.0,,166.5,506.18,62
HCPCS,C1713,K-WIRE 3.2X450 MM,194.0,,97.0,506.18,57
HCPCS,C1713,K-WIRE BLUNT SYNTHES MLD0301,386.0,,193.0,506.18,62
HCPCS,C1713,K-WIRE DOUBLE TROCAR BIOMET,77.0,,38.5,506.18,62
HCPCS,C1713,K-WIRE DRILL,406.0,,203.0,506.18,62
HCPCS,C1713,K-WIRE GUIDE 1.6,482.0,,241.0,506.18,62
HCPCS,C1713,K-WIRE OLIVE TIP ?1.6 100,356.0,,178.0,506.18,62
HCPCS,C1713,K-WIRE OSTEOMED 316-0119,108.0,,54.0,506.18,62
HCPCS,C1713,K-WIRE PARAGON,250.0,,125.0,506.18,62
HCPCS,C1713,K-WIRE RELINE MAS NITROL BLUNT,397.0,,198.5,506.18,62
HCPCS,C1713,K-WIRE SEND T-TIP,109.0,,54.5,506.18,62
HCPCS,C1713,K-WIRE SYNTHES 292.58,341.0,,170.5,506.18,62
HCPCS,C1713,K-WIRE SYNTHES 292.73,70.0,,35.0,506.18,62
HCPCS,C1713,K-WIRE SYNTHES 900.726,276.0,,138.0,506.18,62
HCPCS,C1713,K-WIRE THREADED,77.0,,38.5,506.18,62
HCPCS,C1713,K-WIRE TL-HEX OLIVE,355.0,,177.5,506.18,57
HCPCS,C1713,K-WIRE TROCAR POINT 829016006,134.0,,67.0,506.18,62
HCPCS,C1713,K-WIRE TROCAR POINT END,254.0,,127.0,506.18,62
HCPCS,C1713,K-WIRE TROCAR POINT1642-06-062,410.0,,205.0,506.18,62
HCPCS,C1713,K-WIRE WITH STOP 1.6MM L 150M,239.0,,119.5,506.18,62
HCPCS,C1713,K-WIRE WRIGHT MEDICAL 24900091,85.0,,42.5,506.18,62
HCPCS,C1713,K-WIRE ZIMMER 110018526,108.0,,54.0,506.18,62
HCPCS,C1713,KIT ACCESS ANCHOR,406.0,,203.0,506.18,62
HCPCS,C1713,KIT ACUSINCH REPAIR,2877.0,,506.18,2589.3,62
HCPCS,C1713,KIT ARTHRO TIGHTROPE ARTHREX,1104.0,,506.18,993.6,62
HCPCS,C1713,KIT BUTTON PEC LARGE,3172.0,,506.18,2854.8,62
HCPCS,C1713,KIT DISPOSABLES FIBERTAK,423.0,,211.5,506.18,57
HCPCS,C1713,KIT FIXATION TIGHTROPE MINI,1220.0,,506.18,1098.0,62
HCPCS,C1713,KIT HYDROSET XT FINAL 3CC,1950.0,,506.18,1755.0,62
HCPCS,C1713,KIT MG OSTEOINJECT 10CC,6480.0,,506.18,5832.0,62
HCPCS,C1713,KIT MG OSTEOINJECT 5CC,3960.0,,506.18,3564.0,62
HCPCS,C1713,KIT PRO-DENSE CDK 15ML,11208.0,,506.18,10087.2,62
HCPCS,C1713,KIT PRO-DENSE CDK 7ML,8271.0,,506.18,7443.9,62
HCPCS,C1713,KIT REPAIR LIGAMENT AGUM INTER,2962.0,,506.18,2665.8,62
HCPCS,C1713,KIT REPAIR TIGHTROPE SYNDES,3536.0,,506.18,3182.4,62
HCPCS,C1713,KIT RPR SYNDESMOSIS FIBULINK,2992.0,,506.18,2692.8,62
HCPCS,C1713,KIT SYNDESMOSIS THIGTROPE,2194.0,,506.18,1974.6,62
HCPCS,C1713,KIT TENODESIS BC LOOP N TACK,1747.0,,506.18,1577.7,124
HCPCS,C1713,KIT TIGHTROPE SYNDESMOSIS SS,2114.0,,506.18,1902.6,62
HCPCS,C1713,KNOTLES TENSION FIBERTAK BICEP,1122.0,,506.18,1009.8,62
HCPCS,C1713,KNOTLESS SUTURETAK,1484.0,,506.18,1335.6,62
HCPCS,C1713,KNOTLESS TENSIONTIGH BUTTON,1704.0,,506.18,1533.6,62
HCPCS,C1713,KWIRE .045X6 KBL TRO 6PK NS,253.0,,126.5,506.18,62
HCPCS,C1713,KWIRE 0.045X5IN,66.0,,33.0,506.18,62
HCPCS,C1713,KWIRE 0.6 SINGLE ENDED TROCAR,98.0,,49.0,506.18,62
HCPCS,C1713,KWIRE 1.4,211.0,,105.5,506.18,62
HCPCS,C1713,KWIRE 1.6,152.0,,76.0,506.18,62
HCPCS,C1713,KWIRE 1.6/065 TRIMED,64.0,,32.0,506.18,62
HCPCS,C1713,KWIRE 1.6MMX 102MM,59.0,,29.5,506.18,62
HCPCS,C1713,KWIRE 2.0MM STE,190.0,,95.0,506.18,57
HCPCS,C1713,KWIRE 228MM WRIGHT MEDICAL,91.0,,45.5,506.18,62
HCPCS,C1713,KWIRE DOUB T-TIP,88.0,,44.0,506.18,62
HCPCS,C1713,KWIRE FX 1.5MM 450MM KRSH SS,130.0,,65.0,506.18,62
HCPCS,C1713,KWIRE FX 1.8X310MM,291.0,,145.5,506.18,62
HCPCS,C1713,KWIRE MICRO ASNIS 8X100 STER,112.0,,56.0,506.18,62
HCPCS,C1713,KWIRE OSTEOMED,78.0,,39.0,506.18,62
HCPCS,C1713,KWIRE PIN STEINMAN DIAM SGL PT,121.0,,60.5,506.18,57
HCPCS,C1713,KWIRE SA OUTRIGGER LNG NS,141.0,,70.5,506.18,57
HCPCS,C1713,KWIRE SHORT,406.0,,203.0,506.18,62
HCPCS,C1713,KWIRE SMITH & NEWPHEW,120.0,,60.0,506.18,62
HCPCS,C1713,KWIRE STANDARD TIP,104.0,,52.0,506.18,62
HCPCS,C1713,KWIRE STRYKER 3X285MM,299.0,,149.5,506.18,62
HCPCS,C1713,KWIRE THREAD BLUNT,120.0,,60.0,506.18,62
HCPCS,C1713,KWIRE TRIMED WIRE-0.8/120,80.0,,40.0,506.18,62
HCPCS,C1713,KWIRE WITH TROCAR 3.2X320MM,414.0,,207.0,506.18,62
HCPCS,C1713,KWIRE WRIGHT MEDICAL,228.0,,114.0,506.18,62
HCPCS,C1713,LAPIPLSTY SPEEDPLATE ANAT QUAD,5872.0,,506.18,5284.8,62
HCPCS,C1713,LARGE OPEN SUTURE REPAIR KIT,1665.0,,506.18,1498.5,62
HCPCS,C1713,LATARJET KIT,2308.0,,506.18,2077.2,62
HCPCS,C1713,LIGAMENT DELTOID RECON SYST,4324.0,,506.18,3891.6,62
HCPCS,C1713,MAND RECON TITANIUM SURG GUIDE,6876.0,,506.18,6188.4,62
HCPCS,C1713,MATRIX FIBERGRAFT BIOACT,5805.0,,506.18,5224.5,62
HCPCS,C1713,MAX VPC K-WIRE,78.0,,39.0,506.18,62
HCPCS,C1713,MAXBRAID SUTURE KIT,856.0,,428.0,770.4,62
HCPCS,C1713,MEDICAL MODELING CUST MODEL,1115.0,,506.18,1003.5,62
HCPCS,C1713,MENISCAL REPAIR SYSTEM,2272.0,,506.18,2044.8,62
HCPCS,C1713,MENISCAL REPAIR SYSTEM 4722,1051.0,,506.18,945.9,62
HCPCS,C1713,MESH CMF DYNAMIC,4726.0,,506.18,4253.4,62
HCPCS,C1713,MICRO MESH STRYKER 54-00272,530.0,,265.0,506.18,62
HCPCS,C1713,MICRORAPTOR REGENESORB ANCHOR,716.0,,358.0,644.4,62
HCPCS,C1713,MODULAR CROSS CONNECTOR8785,360.0,,180.0,506.18,62
HCPCS,C1713,MTP DISC,5462.0,,506.18,4915.8,62
HCPCS,C1713,NAIL ANKLE TTC FUSION 12X26CM,33741.0,,506.18,30366.9,57
HCPCS,C1713,NAIL CANN TIBIAL EX 10MM,3494.0,,506.18,3144.6,62
HCPCS,C1713,NAIL G-K RT FEMUR 13MM X 4,1004.0,,502.0,903.6,62
HCPCS,C1713,NANO CORKSCREW FT,940.0,,470.0,846.0,62
HCPCS,C1713,NCB SPACER,220.0,,110.0,506.18,62
HCPCS,C1713,NEEDLE DELIVERY FAST-FIX,1126.0,,506.18,1013.4,62
HCPCS,C1713,NORIAN INJECT,3580.0,,506.18,3222.0,62
HCPCS,C1713,OCCULAR CONFORMER,227.0,,113.5,506.18,62
HCPCS,C1713,OLIVE WIRE 1.25MM STERILE,426.0,,213.0,506.18,62
HCPCS,C1713,OMEGA PEEK KNOTLESS ANCHOR SYS,433.0,,216.5,506.18,62
HCPCS,C1713,ORBITAL FLOOR MEDPOR TITAN MAX,2036.0,,506.18,1832.4,62
HCPCS,C1713,ORTHO DOUBLE JAW PLATE,2157.0,,506.18,1941.3,62
HCPCS,C1713,OSTEOCRETE BONE VOID FILLER,3159.0,,506.18,2843.1,62
HCPCS,C1713,PATELLAR LIGAMENT PSJRF ORTHO,7492.0,,506.18,6742.8,62
HCPCS,C1713,PECA KWIRE COCR,60.0,,30.0,506.18,57
HCPCS,C1713,PEEK KNOTLESS ANCHOR SYSTEM,819.0,,409.5,737.1,62
HCPCS,C1713,PEG VOLAR THREADED NS,337.0,,168.5,506.18,62
HCPCS,C1713,PERCEPT NIT K WIRE BEVEL TIP,231.0,,115.5,506.18,62
HCPCS,C1713,PIN  3500,7572.0,,506.18,6814.8,62
HCPCS,C1713,PIN  4500,8943.0,,506.18,8048.7,62
HCPCS,C1713,PIN  900,2203.0,,506.18,1982.7,62
HCPCS,C1713,PIN 20,89.0,,44.5,506.18,62
HCPCS,C1713,PIN FIX TROCAR GENESIS 1/8X3,109.0,,54.5,506.18,62
HCPCS,C1713,PIN HALF APEX S/DRILL 3X20X80,248.0,,124.0,506.18,62
HCPCS,C1713,PIN HALF APEX S/DRILL 4X30X120,319.0,,159.5,506.18,62
HCPCS,C1713,PIN K-WIRE 1.6 X 150MM,48.0,,24.0,506.18,62
HCPCS,C1713,PIN REDUCTION 5X150MM,394.0,,197.0,506.18,62
HCPCS,C1713,PIN SET UNIVERS REVERS,843.0,,421.5,758.7,62
HCPCS,C1713,PIN STEINMAN 3.5-4.0M,312.0,,156.0,506.18,62
HCPCS,C1713,PIN STEINMAN 3/16IN X 9IN,43.0,,21.5,506.18,62
HCPCS,C1713,PIN STEINMAN 4.5-5.0M,513.0,,256.5,506.18,62
HCPCS,C1713,PIN STEINMAN 5/64IN X 9IN,62.0,,31.0,506.18,57
HCPCS,C1713,PIN STEINMANN CTRL THR,518.0,,259.0,506.18,62
HCPCS,C1713,"PINS STEINMAN 1/8"" X 9""",23.0,,11.5,506.18,62
HCPCS,C1713,PLATE 01,32.0,,16.0,506.18,62
HCPCS,C1713,PLATE 10,58.0,,29.0,506.18,62
HCPCS,C1713,PLATE 300,977.0,,488.5,879.3,62
HCPCS,C1713,PLATE 350,1116.0,,506.18,1004.4,62
HCPCS,C1713,PLATE 400,1257.0,,506.18,1131.3,62
HCPCS,C1713,PLATE 450,1397.0,,506.18,1257.3,62
HCPCS,C1713,PLATE 4500,8599.0,,506.18,7739.1,62
HCPCS,C1713,PLATE 600,1631.0,,506.18,1467.9,62
HCPCS,C1713,PLATE 700,1864.0,,506.18,1677.6,62
HCPCS,C1713,PLATE 800,2093.0,,506.18,1883.7,62
HCPCS,C1713,PLATE 900,2333.0,,506.18,2099.7,62
HCPCS,C1713,PLATE BONE CUSTOM STRYKER,26823.0,,506.18,24140.7,62
HCPCS,C1713,PLATE FEMUR PROXIMAL 2H-8H,3155.0,,506.18,2839.5,62
HCPCS,C1713,PLATE WIRE FORM WASHER,364.0,,182.0,506.18,62
HCPCS,C1713,PLT CMF PAT SPEC MANDBLE RECON,9288.0,,506.18,8359.2,62
HCPCS,C1713,PLUG BONE INTERMEDULLARY SM,442.0,,221.0,506.18,62
HCPCS,C1713,PRE-DENSE IMPLANT KIT,5523.0,,506.18,4970.7,62
HCPCS,C1713,PRECEPT NIT K-WIRE BEVEL TIP,241.0,,120.5,506.18,57
HCPCS,C1713,PREP ENHANCED TOTAL HIP,436.0,,218.0,506.18,62
HCPCS,C1713,PROCINCH ADJUSTABLE LOOP IMPL,1035.0,,506.18,931.5,62
HCPCS,C1713,PRODENSE CORE DECOMPRESS KIT,8578.0,,506.18,7720.2,62
HCPCS,C1713,PUTTY BONE AMB IFACTOR 5CC,5354.0,,506.18,4818.6,57
HCPCS,C1713,PUTTY CRANIOS FAST SET 5CC,2893.0,,506.18,2603.7,62
HCPCS,C1713,PUTTY FIBERGRAFT BIOACT 01,3179.0,,506.18,2861.1,62
HCPCS,C1713,PUTTY FIBERGRAFT BIOACT 02,2952.0,,506.18,2656.8,62
HCPCS,C1713,QFIX 1.8 MINI SUTURE ANCHOR,648.0,,324.0,583.2,62
HCPCS,C1713,REDAPT STAPLE AUGMENT,3626.0,,506.18,3263.4,62
HCPCS,C1713,RESORB XG TITANIUM TEMPLATE,199.0,,99.5,506.18,57
HCPCS,C1713,RIGID FIX SYS X CABLE PLT KI,2995.0,,506.18,2695.5,62
HCPCS,C1713,RING HALF TL PLUS,894.0,,447.0,804.6,62
HCPCS,C1713,ROTATOR CUFF AUGMENT IMPL,5951.0,,506.18,5355.9,62
HCPCS,C1713,SA THD WIRE STE,245.0,,122.5,506.18,57
HCPCS,C1713,SALVATION FRAME ASSEMBLY,23145.0,,506.18,20830.5,62
HCPCS,C1713,SCP FOOT ANKLE KIT,6931.0,,506.18,6237.9,62
HCPCS,C1713,SCR CMF X-DRIVE HIGH-TORQ LAG,6581.0,,506.18,5922.9,62
HCPCS,C1713,SCR HEMI ST TIBIAL WEDGE,2574.0,,506.18,2316.6,62
HCPCS,C1713,SCREW  100,363.0,,181.5,506.18,62
HCPCS,C1713,SCREW  1000,2901.0,,506.18,2610.9,62
HCPCS,C1713,SCREW  1200,3386.0,,506.18,3047.4,62
HCPCS,C1713,SCREW  125,437.0,,218.5,506.18,62
HCPCS,C1713,SCREW  1400,3832.0,,506.18,3448.8,62
HCPCS,C1713,SCREW  150,509.0,,254.5,506.18,62
HCPCS,C1713,SCREW  1600,4397.0,,506.18,3957.3,62
HCPCS,C1713,SCREW  175,581.0,,290.5,522.9,62
HCPCS,C1713,SCREW  1800,4300.0,,506.18,3870.0,62
HCPCS,C1713,SCREW  200,727.0,,363.5,654.3,62
HCPCS,C1713,SCREW  2000,4730.0,,506.18,4257.0,62
HCPCS,C1713,SCREW  2200,5365.0,,506.18,4828.5,62
HCPCS,C1713,SCREW  250,870.0,,435.0,783.0,62
HCPCS,C1713,SCREW  2600,6020.0,,506.18,5418.0,62
HCPCS,C1713,SCREW  300,1017.0,,506.18,915.3,62
HCPCS,C1713,SCREW  3000,5831.0,,506.18,5247.9,62
HCPCS,C1713,SCREW  350,1161.0,,506.18,1044.9,62
HCPCS,C1713,SCREW  3500,6300.0,,506.18,5670.0,62
HCPCS,C1713,SCREW  400,1306.0,,506.18,1175.4,62
HCPCS,C1713,SCREW  4000,8127.0,,506.18,7314.3,62
HCPCS,C1713,SCREW  450,1452.0,,506.18,1306.8,62
HCPCS,C1713,SCREW  4500,8189.0,,506.18,7370.1,62
HCPCS,C1713,SCREW  50,219.0,,109.5,506.18,62
HCPCS,C1713,SCREW  500,1452.0,,506.18,1306.8,62
HCPCS,C1713,SCREW  600,1722.0,,506.18,1549.8,62
HCPCS,C1713,SCREW  700,1938.0,,506.18,1744.2,62
HCPCS,C1713,SCREW  75,291.0,,145.5,506.18,62
HCPCS,C1713,SCREW  800,2176.0,,506.18,1958.4,62
HCPCS,C1713,SCREW  900,2418.0,,506.18,2176.2,62
HCPCS,C1713,SCREW 10,67.0,,33.5,506.18,62
HCPCS,C1713,SCREW 20,102.0,,51.0,506.18,62
HCPCS,C1713,SCREW 30,137.0,,68.5,506.18,62
HCPCS,C1713,SCREW 40,170.0,,85.0,506.18,62
HCPCS,C1713,SCREW CRANIOFACIAL,5605.0,,506.18,5044.5,62
HCPCS,C1713,SCREW LOCKING 4.0 STRDRV,607.0,,303.5,546.3,62
HCPCS,C1713,SCREW LOCKING 5.0 STRDRV,623.0,,311.5,560.7,62
HCPCS,C1713,SCREW LOCKING 6.0MM STRDRV,382.0,,191.0,506.18,57
HCPCS,C1713,SCREW MONSTER CS 7.2MM,612.0,,306.0,550.8,62
HCPCS,C1713,SCREW TENODESIS BIOCOMPOSITE,851.0,,425.5,765.9,62
HCPCS,C1713,SCREW WEDGE LEGION,2947.0,,506.18,3152.7,124
HCPCS,C1713,SHARP BAYONET WIRE K300-15BN,473.0,,236.5,506.18,62
HCPCS,C1713,SHARP BAYONET WIRE K400-18BNA,801.0,,400.5,720.9,62
HCPCS,C1713,SKAFFOLD RENU INJECT 10CC,5366.0,,506.18,4829.4,57
HCPCS,C1713,SOFT INTERFACE MOLDED PLA KNEE,159.0,,79.5,506.18,57
HCPCS,C1713,SP FBRTAK RC FBRTPE BLK/BLU,888.0,,444.0,799.2,62
HCPCS,C1713,SP KNOTLESS FIBERTAK,912.0,,456.0,820.8,62
HCPCS,C1713,SPACER SPINAL ALEUTIAN CONVEX,4556.0,,506.18,4100.4,62
HCPCS,C1713,SPEED ANCHOR XBRAID SUT TAPE,867.0,,433.5,780.3,57
HCPCS,C1713,SPEEDBRIDGE ACHILLES MIDSUBST,2243.0,,506.18,2018.7,62
HCPCS,C1713,STAPLE 24MM,1217.0,,506.18,1095.3,62
HCPCS,C1713,STAPLE ASSEMBLY ANGLED PARAGON,2565.0,,506.18,2308.5,62
HCPCS,C1713,STAPLE BONE,1991.0,,506.18,1791.9,62
HCPCS,C1713,STAPLE BONE ARCUS SYSTEM,1851.0,,506.18,1665.9,62
HCPCS,C1713,STAPLE BONE NITINOL SYSTEM,3879.0,,506.18,3491.1,62
HCPCS,C1713,STAPLE COMPRESSION,3775.0,,506.18,3397.5,62
HCPCS,C1713,STAPLE MOTOCLIP HIMAX KIT,2530.0,,506.18,2277.0,62
HCPCS,C1713,STAPLE MOTOCLIP MAX KIT,2301.0,,506.18,2070.9,62
HCPCS,C1713,STAPLE ROSTRAL 21MM,1224.0,,506.18,1101.6,62
HCPCS,C1713,STAPLE SYS NITINOL DYNANITE,3244.0,,506.18,3320.1,124
HCPCS,C1713,STENT BILIARY COTTON-LEUNG,164.0,,82.0,506.18,62
HCPCS,C1713,STERILIZATION K WIRE CNTNR,354.0,,177.0,506.18,62
HCPCS,C1713,STERNAL PLATE AUX CABLE KIT,2218.0,,506.18,1996.2,62
HCPCS,C1713,STERNAL STERNALOCK 360,8894.0,,506.18,8004.6,62
HCPCS,C1713,SUPERELASTIC COMPRESSN STAPLE,1729.0,,506.18,1556.1,62
HCPCS,C1713,SUPERELASTIC COMPRESSON STAPLE,1965.0,,506.18,1768.5,62
HCPCS,C1713,SUTURE ANCHOR,940.0,,470.0,846.0,62
HCPCS,C1713,SUTURE ANCHOR 1.4 BLK/WHT,835.0,,417.5,751.5,62
HCPCS,C1713,SUTURE ANCHOR 2.4MM PEEK,680.0,,340.0,612.0,57
HCPCS,C1713,SUTURE ANCHOR 5.5MM BLU/WHT,810.0,,405.0,729.0,62
HCPCS,C1713,SUTURE ANCHOR HEALICOIL,2810.0,,506.18,2529.0,62
HCPCS,C1713,SUTURE ANCHOR HEALIX BR 3 6.5,1210.0,,506.18,1089.0,62
HCPCS,C1713,SUTURE ANCHOR S&N 25-1810,390.0,,195.0,506.18,62
HCPCS,C1713,SUTURE ANCHOR S&N 72201881,213.0,,106.5,506.18,62
HCPCS,C1713,SUTURE ANCHOR SWIVELOCK PEEK,917.0,,458.5,825.3,62
HCPCS,C1713,SUTURE ANCHOR W/SUTURE SNARE,1071.0,,506.18,963.9,62
HCPCS,C1713,SWIFT LOCK ANCHOR,309.0,,154.5,506.18,62
HCPCS,C1713,SWITCH DRAPE TENET S&N,156.0,,78.0,506.18,57
HCPCS,C1713,SYNTHECURE BONE VOID FILL 20CC,3645.0,,506.18,3280.5,62
HCPCS,C1713,SYNTHECURE BONE VOID FILL 5CC,1305.0,,506.18,1174.5,62
HCPCS,C1713,SYNTHECURE BONE VOID FILLER KI,1971.0,,506.18,1773.9,62
HCPCS,C1713,SYS ANTAOMIC BIPLANAR IMPLANTS,10719.0,,506.18,9647.1,62
HCPCS,C1713,SYS DEL VERTEBROPLASTY,1473.0,,506.18,1325.7,62
HCPCS,C1713,SYS FIX TROCHLEOPLASTY,1012.0,,506.0,910.8,62
HCPCS,C1713,SYS OMNISPAN MENISCAL 12DEG,838.0,,419.0,754.2,62
HCPCS,C1713,SYS TRUESPAN MENISCAL,1293.0,,506.18,1163.7,62
HCPCS,C1713,SYST DELIVERY ACL TIGHTROPE RT,863.0,,431.5,776.7,62
HCPCS,C1713,SYSTEM CPR MINI-SCORPION DX,2145.0,,506.18,1930.5,57
HCPCS,C1713,SYSTEM DISTAL BICEPS REPAIR,2530.0,,506.18,2277.0,62
HCPCS,C1713,SYSTEM IMPLANT FHL ARTHREX,2522.0,,506.18,2269.8,62
HCPCS,C1713,TAP 5.0MM CFX THREAD,329.0,,164.5,506.18,62
HCPCS,C1713,TAP SCREW K2M 5101-90007,188.0,,94.0,506.18,62
HCPCS,C1713,TAPESTRY RC INSERTER ANCHOR,1966.0,,506.18,1769.4,62
HCPCS,C1713,TF2 SMALL RIGHT,2370.0,,506.18,2133.0,62
HCPCS,C1713,TI ANCHR 3.5 0 SUTUR GRA,508.0,,254.0,506.18,57
HCPCS,C1713,TIGHTROPE ABS BUTTON,551.0,,275.5,506.18,62
HCPCS,C1713,TIGHTROPE ABS IMPLANT,477.0,,238.5,506.18,62
HCPCS,C1713,TIGHTROPE ABS NO BUTTON UHMWPE,509.0,,254.5,506.18,62
HCPCS,C1713,TIGHTROPE BUTTON EXT,428.0,,214.0,506.18,62
HCPCS,C1713,TIGHTROPE IMPLANT SYS ARTHREX,1898.0,,506.18,1708.2,62
HCPCS,C1713,TROCAR FOR 62-00330,222.0,,111.0,506.18,62
HCPCS,C1713,TROCAR TIP WIRE 1.4MM C 100MM,139.0,,69.5,506.18,62
HCPCS,C1713,UCL INTERNAL BRACE IMPL SYSTEM,2207.0,,506.18,1986.3,62
HCPCS,C1713,ULTRABRAID #2 COBRAID,80.0,,40.0,506.18,62
HCPCS,C1713,VITOSS FOAM PACK 10CC,3478.0,,506.18,3130.2,62
HCPCS,C1713,VITOSS FOAM STRIP,8202.0,,506.18,7381.8,62
HCPCS,C1713,WASHER EVOS S&N 72442127,119.0,,59.5,506.18,62
HCPCS,C1713,WASHER EVOS S&N 72442235,215.0,,107.5,506.18,62
HCPCS,C1713,WASHER ZIMMER 00114709500,139.0,,69.5,506.18,62
HCPCS,C1713,WIRE 2MM SEF20000,460.0,,230.0,506.18,62
HCPCS,C1713,WIRE COMPRESSION,168.0,,84.0,506.18,62
HCPCS,C1713,WIRE FX 1.2MM 100MM ASNS KRSH,106.0,,53.0,506.18,62
HCPCS,C1713,WIRE FX 1.6MM 200MM KRSH SS FT,92.0,,46.0,506.18,62
HCPCS,C1713,WIRE GUIDE 2.5MM,427.0,,213.5,506.18,62
HCPCS,C1713,WIRE K BIODRIVE MICRO,1463.0,,506.18,1316.7,62
HCPCS,C1713,WIRE K GO-EZ,137.0,,68.5,506.18,57
HCPCS,C1713,WIRE K INCORE,424.0,,212.0,506.18,57
HCPCS,C1713,WIRE K KIRSCHNER AXSOS 315MM,194.0,,97.0,506.18,62
HCPCS,C1713,WIRE K KIRSCHNER FIXOS 1.0X7,97.0,,48.5,506.18,62
HCPCS,C1713,WIRE K KIRSCHNER NITINOL,96.0,,48.0,506.18,62
HCPCS,C1713,WIRE K KIRSCHNER STANDARD,126.0,,63.0,506.18,57
HCPCS,C1713,WIRE K KIRSCHNER T2 RECON COCR,269.0,,134.5,506.18,62
HCPCS,C1713,WIRE K KIRSHNER K10NS220,147.0,,73.5,506.18,62
HCPCS,C1713,WIRE K MAXLOCK EXTREME NS,63.0,,31.5,506.18,62
HCPCS,C1713,WIRE K TROCAR POINT,66.0,,33.0,506.18,62
HCPCS,C1713,WIRE K-WIRE G-WIRE BALL TIP,771.0,,385.5,693.9,57
HCPCS,C1713,WIRE KIRSCHNER 0.8 DIA X 70MM,211.0,,105.5,506.18,62
HCPCS,C1713,WIRE KIRSCHNER BALL TIP T2 3X2,321.0,,160.5,506.18,62
HCPCS,C1713,WIRE KIRSCHNER GAMMA3 3.2X45,227.0,,113.5,506.18,62
HCPCS,C1713,WIRE KIRSCHNER GAMMA3 3.2X450M,318.0,,159.0,506.18,62
HCPCS,C1713,WIRE KIRSCHNER SNGL-END,104.0,,52.0,506.18,62
HCPCS,C1713,WIRE KIRSCHNER TROCAR 2.3X230,91.0,,45.5,506.18,62
HCPCS,C1713,WIRE KIRSCHNER W/GUIDE,244.0,,122.0,506.18,62
HCPCS,C1713,WIRE KIRSCHNER WRIGHT MED,89.0,,36.0,506.18,186
HCPCS,C1713,WIRE KWIRE BIOMET KW062SS,97.0,,48.5,506.18,62
HCPCS,C1713,WIRE REDUCTION HALF POINT,369.0,,184.5,506.18,57
HCPCS,C1713,WIRE REDUCTION THREAD LG STOP,449.0,,224.5,506.18,62
HCPCS,C1713,WIRE SMOOTH 1.8MM 400MM,236.0,,118.0,506.18,62
HCPCS,C1713,WIRE SMOOTH HALF POINT,336.0,,168.0,506.18,57
HCPCS,C1713,YKNOT ALL SUTURE ANCHOR,675.0,,337.5,607.5,62
HCPCS,C1713,Z*K-WIRE 2.3MMX300 PARAGON,75.0,,37.5,506.18,62
HCPCS,C1713,ZIPTHGHT ANKLE SYN,2144.0,,506.18,1929.6,62
HCPCS,C1713,ZONE NAVIGATORARTHREX,372.0,,186.0,506.18,57
HCPCS,C1714,DIRECTIONAL ATHERECTOMY SYSTEM,7808.0,,3605.81,7027.2,57
HCPCS,C1714,RIBFIX ADV SHORT BRIDGE POST,8489.0,,3605.81,7640.1,62
HCPCS,C1716,IMPL KNEE FEM REVISION EXPRT,3544.0,,715.23,3189.6,73
HCPCS,C1716,MEDPOR CRANIAL XL,32919.0,,715.23,29627.1,73
HCPCS,C1717,BRACHYTHER SEED HDR IRIDIUM192,2119.0,,282.02,1907.1,73
HCPCS,C1721,CHROME DR MRI ICD SYS,27144.0,,13572.0,24429.6,62
HCPCS,C1721,CROME DR MRI ICD GENERATOR,20592.0,,10296.0,19286.78,62
HCPCS,C1721,DYNAGEN DR SYS,29894.0,,14947.0,26904.6,62
HCPCS,C1721,ICD COBALT DR MRI DF4 DUAL GEN,20592.0,,10296.0,19286.78,62
HCPCS,C1721,ICD COBALT DR MRI DF4 DUAL SYS,27144.0,,13572.0,24429.6,62
HCPCS,C1721,ICD DEFIB GALLANT DR CRT-D GEN,23285.0,,11642.5,20956.5,62
HCPCS,C1721,ICD DEFIB GALLANT DR CRT-D SYS,27335.0,,13667.5,24601.5,62
HCPCS,C1721,ICD DEFIB MOMENTUM EL DR,24300.0,,12150.0,21870.0,62
HCPCS,C1721,ICD DEFIB VIGILANT EL DR DF4,28743.5,,13266.0,27859.5,124
HCPCS,C1721,ICD EVERA MRI S DR D1 CONNECT,21416.0,,10708.0,19286.78,62
HCPCS,C1721,ICD EVERA MRI S DR GEN,40888.0,,19286.78,36799.2,62
HCPCS,C1721,ICD EVERA MRI S DR SYS,46800.0,,19286.78,42120.0,62
HCPCS,C1721,ICD EVERA MRI XT DR SYS,49025.0,,19286.78,44122.5,62
HCPCS,C1721,ICD EVERA S DR SYS,49036.0,,19286.78,44132.4,62
HCPCS,C1721,ICD FORTIFY DR 40 GEN,32448.0,,16224.0,29203.2,62
HCPCS,C1721,ICD FORTIFY DR 40 SYS,38318.0,,19159.0,34486.2,62
HCPCS,C1721,ICD ILIVIA PRO MRI GEN,25294.0,,12647.0,22764.6,62
HCPCS,C1721,ICD INVENTRA DX PRO MRI GEN,23570.0,,11785.0,21213.0,62
HCPCS,C1721,ICD MOMENTUM EL DR,26532.0,,13266.0,23878.8,62
HCPCS,C1721,ICD RESONATE HF DR4 GEN,21600.0,,10800.0,19440.0,62
HCPCS,C1721,ICD RIVACOR DR-T DF-4 PRO,24322.0,,12161.0,21889.8,62
HCPCS,C1721,SYS ICD PERCIVA DR DF4 1LD,30955.0,,15477.5,27859.5,62
HCPCS,C1721,SYS ICD VIGILANT EL DR DF4 1LD,30955.0,,15477.5,27859.5,62
HCPCS,C1722,AURORA SGL ICD-EV DEFIB SYS,38700.0,,19350.0,34830.0,62
HCPCS,C1722,COBALT SR VR MRI ICD GENERATOR,18720.0,,9360.0,20790.36,62
HCPCS,C1722,COBALT SR VR MRI ICD SYS,26302.0,,13151.0,23671.8,62
HCPCS,C1722,CROME SR VR MRI ICD GENERATOR,18720.0,,9360.0,20790.36,62
HCPCS,C1722,CROME SR VR MRI ICD SYS,26302.0,,13151.0,23671.8,62
HCPCS,C1722,ICD  EVERA S VR SYS,33633.0,,16816.5,30269.7,62
HCPCS,C1722,ICD COBALT GEN QUAD CRT-D MRI,31263.0,,15631.5,28136.7,62
HCPCS,C1722,ICD DEFIB GALLANT VR CRT-D GEN,20248.0,,10124.0,20790.36,62
HCPCS,C1722,ICD DEFIB GALLANT VR CRT-D SYS,21463.0,,10731.5,20790.36,62
HCPCS,C1722,ICD DEFIB MOMENTUM EL VR GEN,23217.0,,11608.5,20895.3,62
HCPCS,C1722,ICD DEFIB RESONATE HF VR GEN,19800.0,,9900.0,20790.36,62
HCPCS,C1722,ICD DEFIB VIGILANT EL VR DF4,23880.0,,11608.5,22088.7,124
HCPCS,C1722,ICD FORTIFY ASSURA VR-40 GEN,21846.0,,10923.0,20790.36,62
HCPCS,C1722,ICD FORTIFY VR 40 GEN,22719.0,,11359.5,20790.36,62
HCPCS,C1722,ICD MOMENTUM EL VR 1 LD,24543.0,,12271.5,22088.7,62
HCPCS,C1722,ICD VISIA AF SVR GEN,35873.0,,17936.5,32285.7,62
HCPCS,C1722,ICD VISIA AF SVR SYS,36102.0,,18051.0,32491.8,62
HCPCS,C1722,S-ICD DEFIB EMBLEM,41391.0,,20695.5,37251.9,62
HCPCS,C1722,S-ICD EMBLEM GEN,47963.0,,20790.36,43166.7,62
HCPCS,C1722,S-ICD EMBLEM SYS,53808.0,,20790.36,48427.2,62
HCPCS,C1722,SYS ICD ACTICOR DX PRO MRI,24876.0,,12438.0,22388.4,62
HCPCS,C1722,SYS ICD ILIVIA NEO VR-T PROMRI,21268.0,,10634.0,20790.36,62
HCPCS,C1722,SYS ICD RIVACOR VR-T DF4 PRO,22332.0,,11166.0,20790.36,62
HCPCS,C1722,Z*ICD FORTIFY VR 40 SYS,23225.0,,11612.5,20902.5,62
HCPCS,C1724,CATH AND BURR ROTALINK,2802.0,,1401.0,3771.46,57
HCPCS,C1724,CATH ARTHERECTOMY JETSTREAM XC,6739.0,,3369.5,6065.1,57
HCPCS,C1724,CATH ATHER STEALTH 360 SOLID,8041.0,,3771.46,7236.9,57
HCPCS,C1724,CATH ATHERECTOMY STEALTH 360,8362.0,,3771.46,7525.8,57
HCPCS,C1724,CATH ROTALINK,2259.0,,1129.5,3771.46,57
HCPCS,C1724,CATH ROTAPRO PRE-CONN,3970.0,,1985.0,3771.46,57
HCPCS,C1724,CATHETER CORONARY DIAMBCK,8152.0,,3771.46,7336.8,57
HCPCS,C1725,BALLOON CUT PERIPH OTW 5MM,1554.0,,257.51,1398.6,57
HCPCS,C1725,BALLOON CUT PERIPHERAL OTW 5MM,1554.0,,257.51,1398.6,57
HCPCS,C1725,BALLOON CUTTING PERIPHERAL BS,2290.0,,257.51,2061.0,57
HCPCS,C1725,BALLOON- BOSTON SCI GATEWAY,2736.0,,257.51,2462.4,57
HCPCS,C1725,BALLOONS I,958.0,,257.51,862.2,57
HCPCS,C1725,BLN CATH GATEWAY,2370.0,,257.51,2133.0,57
HCPCS,C1725,BLN OPN HI PRESS 2.5MMX10MM,2160.0,,257.51,1944.0,62
HCPCS,C1725,CATH ADMIRAL XTREME 250-300MM,361.0,,180.5,324.9,57
HCPCS,C1725,CATH ADVANCE 35LP 5X4X135,280.0,,140.0,257.51,57
HCPCS,C1725,CATH ATLAS GLD PTA DIL 12/14,728.0,,257.51,655.2,57
HCPCS,C1725,CATH ATLAS GLD PTA DIL 16/18,778.0,,257.51,700.2,57
HCPCS,C1725,CATH ATLAS GLD PTA DIL 20,1266.0,,257.51,1139.4,62
HCPCS,C1725,CATH ATLAS GLD PTA DIL 22,978.0,,257.51,880.2,62
HCPCS,C1725,CATH BAL DILAT PTV NUCLEUS-X,2299.0,,257.51,2069.1,57
HCPCS,C1725,CATH BALL DILAT PTA ATLAS GOLD,590.0,,257.51,531.0,62
HCPCS,C1725,CATH BALL DILAT PTA NANOCROSS,468.0,,234.0,421.2,57
HCPCS,C1725,CATH BALL DILAT PTA NANOCROSS1,828.0,,257.51,745.2,57
HCPCS,C1725,CATH BALL DILAT PTA NANOCROSS2,621.0,,257.51,558.9,57
HCPCS,C1725,CATH BALL DILAT PTA NANOCROSS3,740.0,,257.51,666.0,57
HCPCS,C1725,CATH BALL PTCA AGENT MONORAIL,0.01,,0.005,257.51,57
HCPCS,C1725,CATH BALLN SCORING ANGIOSCULPT,2895.0,,257.51,2605.5,119
HCPCS,C1725,CATH BALLOON CHAMELEON,473.0,,236.5,425.7,57
HCPCS,C1725,CATH BALLOON CUTTING,1840.0,,257.51,1656.0,57
HCPCS,C1725,CATH BALLOON CUTTING/SCORING,2278.0,,257.51,2050.2,57
HCPCS,C1725,CATH BALLOON DILAT PTCA APEX,295.0,,147.5,265.5,57
HCPCS,C1725,CATH BALLOON EMERGE OTW 01,165.0,,82.5,257.51,57
HCPCS,C1725,CATH BALLOON EMERGE OTW 02,195.0,,97.5,257.51,57
HCPCS,C1725,CATH BALLOON EUPHORA,320.0,,160.0,288.0,57
HCPCS,C1725,CATH BALLOON PTA ATB ADVANCE,458.0,,229.0,412.2,57
HCPCS,C1725,CATH BALLOON PTA DORADO,498.0,,249.0,448.2,57
HCPCS,C1725,CATH BALLOON SPRINTER,320.0,,160.0,288.0,57
HCPCS,C1725,CATH BALLOON STENT GRAFT Q50,1051.0,,257.51,945.9,57
HCPCS,C1725,CATH BALLOON STERLING BOST SCI,621.0,,257.51,558.9,171
HCPCS,C1725,CATH BALLOON TRI-LOBE TAG,1441.0,,257.51,1296.9,57
HCPCS,C1725,CATH BLLN LITHOPLASTY,6717.0,,257.51,6045.3,57
HCPCS,C1725,CATH BLLN MUSTANG 7.0 X80 75CM,683.0,,257.51,614.7,57
HCPCS,C1725,CATH BLLN PTA CHARGER OTW,340.0,,170.0,306.0,57
HCPCS,C1725,CATH BLLN TRAPLINER 6F,1370.0,,257.51,1233.0,57
HCPCS,C1725,CATH BLN NC EMERGE MONORAIL,312.0,,156.0,280.8,57
HCPCS,C1725,CATH BLN PTA STERLING MONORAIL,641.0,,257.51,576.9,57
HCPCS,C1725,CATH BLN SCORING 3.5X40X137,2309.0,,257.51,2078.1,57
HCPCS,C1725,CATH CONQUEST,446.0,,223.0,401.4,57
HCPCS,C1725,CATH CONQUEST 40 PTA DILATION,498.0,,249.0,448.2,114
HCPCS,C1725,CATH CONQUEST PTA DILATION,498.0,,249.0,448.2,62
HCPCS,C1725,CATH CORONARY BALLOON-ABBOTT,531.0,,257.51,477.9,57
HCPCS,C1725,CATH COYOTE 4F 3X60X150CM,826.0,,257.51,743.4,57
HCPCS,C1725,CATH COYOTE OTW 2X150X150,900.0,,257.51,810.0,57
HCPCS,C1725,CATH CUTTING PCB OTW 3X1.5X140,1914.0,,257.51,1722.6,57
HCPCS,C1725,CATH FLEX SCORING 6F 40CM,2288.0,,257.51,2059.2,57
HCPCS,C1725,CATH LITHOPLASTY SHOCKWAVE,6081.0,,257.51,5472.9,57
HCPCS,C1725,CATH MICROCATH MAMBA FLEX,1148.0,,257.51,1033.2,57
HCPCS,C1725,CATH MUSTANG 4.0X20 135CM,514.0,,257.0,462.6,57
HCPCS,C1725,CATH MUSTANG 4X40X135,535.0,,257.51,481.5,57
HCPCS,C1725,CATH MUSTANG 5F 4X100X135CM,514.0,,257.0,462.6,57
HCPCS,C1725,CATH MUSTANG 5F 4X80X135CM,518.0,,257.51,466.2,57
HCPCS,C1725,CATH MUSTANG 5F 5.0X60X135CM,514.0,,257.0,462.6,57
HCPCS,C1725,CATH MUSTANG 5F 5X20X135CM,535.0,,257.51,481.5,57
HCPCS,C1725,CATH MUSTANG 5F 5X20X75CM,514.0,,257.0,462.6,57
HCPCS,C1725,CATH MUSTANG 5F 6.0X80X135CM,480.0,,240.0,432.0,62
HCPCS,C1725,CATH MUSTANG 5F 6.0X80X75CM,514.0,,257.0,462.6,57
HCPCS,C1725,CATH MUSTANG 5F 6X20X75CM,514.0,,257.0,462.6,62
HCPCS,C1725,CATH MUSTANG 5F 7X100X75CM,514.0,,257.0,462.6,57
HCPCS,C1725,CATH MUSTANG 5F 7X80X75CM,518.0,,257.51,466.2,57
HCPCS,C1725,CATH MUSTANG 6F 10X40X75CM,535.0,,257.51,481.5,57
HCPCS,C1725,CATH MUSTANG 6F 8X20X75CM,535.0,,257.51,481.5,57
HCPCS,C1725,CATH MUSTANG 6F 8X40X135CM,518.0,,257.51,466.2,62
HCPCS,C1725,CATH MUSTANG 6F 8X40X75CM,499.0,,249.5,449.1,57
HCPCS,C1725,CATH MUSTANG 6F 8X60X75CM,499.0,,249.5,449.1,57
HCPCS,C1725,CATH MUSTANG 7.0X40 135CM,499.0,,249.5,449.1,57
HCPCS,C1725,CATH MUSTANG 7F 12X40 75CM,535.0,,257.51,481.5,57
HCPCS,C1725,CATH MUSTANG BOST SCIENTIFIC02,535.0,,257.51,481.5,57
HCPCS,C1725,CATH MUSTANG BOSTON SCIENTIFIC,631.0,,257.51,567.9,62
HCPCS,C1725,CATH NANOCROSS 150MM-210MM,1007.0,,257.51,906.3,57
HCPCS,C1725,CATH NC QUANTUM APEX MONORAIL,347.0,,173.5,312.3,114
HCPCS,C1725,CATH PACIFIC + PTA 5.0X20X130,506.0,,253.0,455.4,57
HCPCS,C1725,CATH PACIFIC + PTA 5.0X60X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PACIFIC PLUS,519.0,,257.51,467.1,57
HCPCS,C1725,CATH PACIFIC PLUS  2X120X130,486.0,,243.0,437.4,57
HCPCS,C1725,CATH PACIFIC PLUS  4X80X130,519.0,,257.51,467.1,57
HCPCS,C1725,CATH PACIFIC PLUS  6X120X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PACIFIC PLUS 2.5X150X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PACIFIC PLUS 3.0X80X130CM,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PACIFIC PLUS 3X120X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PACIFIC PLUS 4X120X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PACIFIC PLUS 5X120X130,486.0,,243.0,437.4,57
HCPCS,C1725,CATH PACIFIC PLUS 7X120X130,486.0,,243.0,437.4,57
HCPCS,C1725,CATH PACIFIC PLUS 7X40X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PACIFIC PLUS 7X60X130,481.0,,240.5,432.9,57
HCPCS,C1725,CATH PACIFIC PLUS OTW 4X60X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PACIFIC PLUS PTA 6X80X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PTA,0.01,,0.005,257.51,57
HCPCS,C1725,CATH PTA ADVANCE 35LP,259.0,,129.5,257.51,57
HCPCS,C1725,CATH PTA ARMADA 35 10X40X135CM,1051.0,,257.51,945.9,57
HCPCS,C1725,CATH PTA ARMADA 35 14X40X80,637.0,,257.51,573.3,57
HCPCS,C1725,CATH PTA ARMADA 35 ABBOTT,530.0,,257.51,477.0,57
HCPCS,C1725,CATH PTA ATLAS 01,728.0,,257.51,655.2,62
HCPCS,C1725,CATH PTA ATLAS 02,801.0,,257.51,720.9,62
HCPCS,C1725,CATH PTA BALLOON DILATION,527.0,,257.51,474.3,57
HCPCS,C1725,CATH PTA COYOTE MR 150CM 01,557.0,,257.51,501.3,57
HCPCS,C1725,CATH PTA COYOTE MR 150CM 02,696.0,,257.51,626.4,57
HCPCS,C1725,CATH PTA DILAT ULTRAVERSE 035,347.0,,173.5,312.3,114
HCPCS,C1725,CATH PTA DILATION ULTRAVERSE,505.0,,252.5,454.5,57
HCPCS,C1725,CATH PTA DILITATION ULTRAVERSE,499.0,,249.5,449.1,57
HCPCS,C1725,CATH PTA EVERCROSS OTW 01,395.0,,197.5,355.5,57
HCPCS,C1725,CATH PTA EVERCROSS OTW 02,468.0,,234.0,421.2,57
HCPCS,C1725,CATH PTA EVERCROSS OTW 03,351.0,,175.5,315.9,57
HCPCS,C1725,CATH PTA MONORAIL 7X20X135,616.0,,257.51,554.4,57
HCPCS,C1725,CATH PTA MUSTANG 135CM 01,562.0,,257.51,505.8,57
HCPCS,C1725,CATH PTA MUSTANG 135CM 02,457.0,,228.5,411.3,57
HCPCS,C1725,CATH PTA MUSTANG 5F 135CM,557.0,,257.51,501.3,62
HCPCS,C1725,CATH PTA MUSTANG 75CM,457.0,,228.5,411.3,57
HCPCS,C1725,CATH PTA PACIF PLUS 3.0X60X130,481.0,,240.5,432.9,62
HCPCS,C1725,CATH PTA PACIF PLUS 4.0X20X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PTA PACIF PLUS 4.0X40X130,500.0,,250.0,450.0,57
HCPCS,C1725,CATH PTA PACIF PLUS 7.0X20X130,486.0,,243.0,437.4,57
HCPCS,C1725,CATH PTA PACIFIC PLUS 3X40X1,499.0,,249.5,449.1,57
HCPCS,C1725,CATH PTA PACIFIC PLUS OTW,500.0,,250.0,450.0,62
HCPCS,C1725,CATH PTA STERLING OTW 02,632.0,,257.51,568.8,57
HCPCS,C1725,CATH PTA STERLING OTW 03,765.0,,257.51,688.5,57
HCPCS,C1725,CATH PTA STERLING OTW 135CM,548.0,,257.51,493.2,57
HCPCS,C1725,CATH PTA STERLING OTW 150CM 01,535.0,,257.51,481.5,62
HCPCS,C1725,CATH PTA STERLING OTW 150CM 02,672.0,,257.51,604.8,57
HCPCS,C1725,CATH PTA ULTRAVERSE 014,494.5,,232.5,471.6,114
HCPCS,C1725,CATH PTA ULTRAVERSE 018,465.0,,232.5,418.5,57
HCPCS,C1725,CATH PTA ULTRAVERSE 035,312.0,,156.0,280.8,114
HCPCS,C1725,CATH PTA Z-MED II,1499.0,,257.51,1349.1,57
HCPCS,C1725,CATH PTA Z-MED II 14MMX4CM,1061.0,,257.51,954.9,57
HCPCS,C1725,CATH PTA Z-MED II 18MMX4CM,1124.0,,257.51,1011.6,57
HCPCS,C1725,CATH PTA Z-MED II 20MMX4CM,1218.0,,257.51,1096.2,57
HCPCS,C1725,CATH PTA Z-MED II 22MMX4CM,1218.0,,257.51,1096.2,57
HCPCS,C1725,CATH PTA Z-MED II 25MMX4CM,1170.0,,257.51,1053.0,57
HCPCS,C1725,CATH PTCA COYOTE 120-150MM,934.0,,257.51,840.6,57
HCPCS,C1725,CATH PTCA COYOTE 220MM,1034.0,,257.51,930.6,57
HCPCS,C1725,CATH PTCA COYOTE 40-100MM,860.0,,257.51,774.0,57
HCPCS,C1725,CATH PTV Z-MED 3.0X4.0,1604.0,,257.51,1443.6,57
HCPCS,C1725,CATH SAPPHIRE CORONARY BALLOON,491.0,,245.5,441.9,57
HCPCS,C1725,CATH SCORE ANGIOSCULPT 3X100,2702.0,,257.51,2431.8,57
HCPCS,C1725,CATH SHOCKWAVE IVL,5354.0,,257.51,4818.6,57
HCPCS,C1725,CATH STERLIN MONORAIL 4X20X135,616.0,,257.51,554.4,57
HCPCS,C1725,CATH STERLING 4.5X20X135CM,616.0,,257.51,554.4,57
HCPCS,C1725,CATH STERLING 7.0X100X135,641.0,,257.51,576.9,57
HCPCS,C1725,CATH STERLING ES OTW,668.0,,257.51,601.2,57
HCPCS,C1725,CATH STERLING MONORAIL3X20X135,616.0,,257.51,554.4,57
HCPCS,C1725,CATH STERLING MONORAIL5X20X135,597.0,,257.51,537.3,57
HCPCS,C1725,CATH STERLING MR 4X30X130,616.0,,257.51,554.4,57
HCPCS,C1725,CATH STERLING MR 6X20X135,597.0,,257.51,537.3,57
HCPCS,C1725,CATH STERLING OTW 5.0X20X135,616.0,,257.51,554.4,57
HCPCS,C1725,CATH STERLING OTW 6.0X20X135,848.0,,257.51,763.2,57
HCPCS,C1725,CATH STERLING OTW 6X200X150,672.0,,257.51,604.8,57
HCPCS,C1725,CATH STERLING OTW SL 2.5X150,974.0,,257.51,876.6,62
HCPCS,C1725,CATH STERLING OTW SL 4X150,1012.0,,257.51,910.8,57
HCPCS,C1725,CATH STRLING MONORAIL 6X30X135,597.0,,257.51,537.3,57
HCPCS,C1725,CATH TAKERU PTCA BALLOON 1.5MM,0.01,,0.005,257.51,57
HCPCS,C1725,CATH ULTRAVERSE 014,2252.0,,257.51,2026.8,62
HCPCS,C1725,CATH UTD BALL BS M001164630,516.0,,257.51,464.4,57
HCPCS,C1725,CATH VASCUTRAK 5F 3.5X200MM,1317.0,,257.51,1185.3,57
HCPCS,C1725,CATHETER ANGIOSCULPT 20MM-40MM,2768.0,,257.51,2491.2,57
HCPCS,C1725,CATHETER EVERCROSS EV3,384.0,,192.0,345.6,57
HCPCS,C1725,CATHETER MUSTANG 6F 9X30X135,514.0,,257.0,462.6,57
HCPCS,C1725,CATHETER PTA BALLOON EV3,363.0,,181.5,326.7,57
HCPCS,C1725,CATHETER VASCUTRAK 01,1380.0,,257.51,1242.0,57
HCPCS,C1725,CATHETER VASCUTRAK 02,1438.0,,257.51,1294.2,57
HCPCS,C1725,DEVICE BALLOON CUTTING PERIPHE,1619.0,,257.51,1457.1,57
HCPCS,C1725,DORADO PTA BALLOON DIAL CATH,544.0,,257.51,489.6,57
HCPCS,C1725,DVC BALLOON CUT FLEXTOME OTW,1840.0,,257.51,1656.0,57
HCPCS,C1725,DVC EXCHANGE TRAPPER 6-8F 112,665.0,,257.51,598.5,57
HCPCS,C1725,LOW PROF PTA BALL DILAT CATH,360.0,,180.0,324.0,62
HCPCS,C1725,MITRAL BALOON CATH-INOUE,7449.0,,257.51,6704.1,57
HCPCS,C1725,Z*CATH MUSTANG 5F 4X200X135CM,627.0,,257.51,564.3,62
HCPCS,C1726,BALLN HERCULES 3 STG 8-10 5.5,571.0,,285.5,513.9,57
HCPCS,C1726,BALLOON CATH NEPHROMAX,1082.0,,367.53,973.8,57
HCPCS,C1726,BALLOON DILATION CATHETER,691.0,,345.5,621.9,57
HCPCS,C1726,BALLOON EXTRACT MULTI-3V,243.0,,121.5,367.53,57
HCPCS,C1726,BLN OPN HI PRESS BALLOON,2430.0,,367.53,2187.0,57
HCPCS,C1726,CATH BAL DIL NON-VASCULAR,0.01,,0.005,367.53,57
HCPCS,C1726,CATH BALL UROMAX ULTRA 24F,918.0,,367.53,826.2,57
HCPCS,C1726,CATH BALLOON DIL OPTILUME,4079.0,,367.53,3671.1,57
HCPCS,C1726,CATH BALLOON ULTRA UROMAX,627.0,,313.5,564.3,62
HCPCS,C1726,CATH FUSION TITAN,514.0,,257.0,462.6,62
HCPCS,C1726,CATH INFINITY DILATION 23MMX55,1186.0,,367.53,1067.4,62
HCPCS,C1726,CATH NEPHROSTOMY NEPHROMAX KIT,1047.0,,367.53,942.3,57
HCPCS,C1726,CATH PASSPORT SYSTEM 12X2X2,789.0,,367.53,710.1,57
HCPCS,C1726,CATH URET BALLOON DILATION,585.0,,292.5,526.5,57
HCPCS,C1726,CATH X-FORCE U30 8X4CM,597.0,,298.5,537.3,57
HCPCS,C1726,CATHETER BERT G12168,251.0,,125.5,367.53,57
HCPCS,C1726,DIALATOR ACHALASIA,643.0,,321.5,578.7,57
HCPCS,C1726,DIL 3 STAGE HERCULES,522.0,,261.0,469.8,171
HCPCS,C1726,DIL 3 STAGE HERCULES 12-13.5,594.0,,297.0,534.6,57
HCPCS,C1726,DIL 3 STAGE HERCULES 18-19-20,450.0,,225.0,405.0,57
HCPCS,C1726,DIL 3 STAGE HERCULES 18-20,522.0,,261.0,469.8,57
HCPCS,C1726,DIL BALLOON QUANTUM 18X5.5,228.0,,114.0,367.53,57
HCPCS,C1726,DIL COLONIC QUANTUM TTC 14X5.5,273.0,,136.5,367.53,114
HCPCS,C1726,DIL COLONIC QUANTUM TTC 16X5.5,273.0,,136.5,367.53,57
HCPCS,C1726,DIL COLONIC QUANTUM TTC 18X5.5,273.0,,136.5,367.53,57
HCPCS,C1726,DIL QUANTUM TTC BIL BALLOON,323.0,,161.5,367.53,57
HCPCS,C1726,DILATOR BALLOON PULM CRE,912.0,,367.53,820.8,176
HCPCS,C1726,DILATOR BALLOON PULM ELATION,511.0,,255.5,459.9,114
HCPCS,C1726,DILATOR BALLOON QUANTUM TTC,301.0,,135.0,628.2,285
HCPCS,C1726,DILATOR BALLOON URETERAL 24,1054.0,,367.53,948.6,57
HCPCS,C1726,DILATOR ESOPH ACHALASIA 30MM,634.0,,317.0,570.6,57
HCPCS,C1726,DILATOR ESOPH ACHALASIA 35MM,656.0,,328.0,590.4,57
HCPCS,C1726,DILATOR ESOPH EZDIALTE WG,409.0,,204.5,368.1,62
HCPCS,C1726,ESOFLIP DILATION CATHETER,3923.0,,367.53,3530.7,62
HCPCS,C1726,GRAFT NERVE AVANCE 1-5MMX30MM,5384.0,,367.53,4845.6,62
HCPCS,C1726,GRAFT NERVE AVANCE 3-5MMX70MM,10098.0,,367.53,9088.2,62
HCPCS,C1726,KIT BALLOON ULTRA UROMAX,1490.0,,367.53,1341.0,57
HCPCS,C1727,BALLOON DISSECT PERITONEAL KID,726.0,,363.0,653.4,57
HCPCS,C1727,DISSECTOR BALLOON SPACEMAKER,697.0,,348.5,627.3,57
HCPCS,C1729,CATH 1STEP CENTESIS,80.0,,40.0,72.0,57
HCPCS,C1729,CATH BENTEC BILIARY 16FR,299.0,,66.39,269.1,57
HCPCS,C1729,CATH BENTEC BILIARY 18-20FR,256.0,,66.39,230.4,57
HCPCS,C1729,CATH BILIARY DRAINAGE FLEXIMA,280.0,,66.39,252.0,57
HCPCS,C1729,CATH BILIARY LOCKING RESOLVE,175.0,,66.39,157.5,57
HCPCS,C1729,CATH CENTESIS ONE-STEP 5FR,71.5,,35.0,66.39,114
HCPCS,C1729,CATH CENTESIS ONE1STEP,63.0,,31.5,66.39,57
HCPCS,C1729,CATH DRAIN EXODUS,217.0,,66.39,195.3,57
HCPCS,C1729,CATH DRAIN ULTRATHANE,191.0,,66.39,171.9,57
HCPCS,C1729,CATH DRAINAGE BILIARY LOCKING,168.0,,66.39,151.2,57
HCPCS,C1729,CATH DRAINAGE DAWSON-MUELLER,245.0,,66.39,220.5,57
HCPCS,C1729,CATH DRAINAGE SINGLE STEP,216.0,,66.39,194.4,57
HCPCS,C1729,CATH DRAINAGE ULTRATHANE,275.0,,66.39,247.5,57
HCPCS,C1729,CATH DRAINER CENTESIS 5F,91.0,,45.5,81.9,57
HCPCS,C1729,CATH NEPH FLEXIMA 8F 25CM,325.0,,66.39,292.5,57
HCPCS,C1729,CATH NEPHROST KAYE TAMPONADE,276.0,,66.39,248.4,57
HCPCS,C1729,CATH NEPHROSTOMY FLEXIMA,267.0,,66.39,240.3,57
HCPCS,C1729,CATH RESOLVE BILIARY,206.0,,66.39,185.4,57
HCPCS,C1729,CATH RESOLVE LOCK,192.0,,66.39,172.8,57
HCPCS,C1729,CATH RESOLVE LOCK W/MB 12F 25,182.0,,66.39,163.8,57
HCPCS,C1729,CATH RESOLVE NONLOCK,161.0,,66.39,144.9,57
HCPCS,C1729,CATH THORACENTESIS TRAY,214.0,,66.39,192.6,57
HCPCS,C1729,CATH THORACIC PLEUR-EVAC 8020,123.0,,61.5,110.7,57
HCPCS,C1729,CATHETER ABSCESS DRAINAGE,439.0,,66.39,395.1,57
HCPCS,C1729,CATHETER DRAINAGE 01,785.0,,66.39,706.5,57
HCPCS,C1729,CATHETER DRAINAGE 02,202.0,,66.39,181.8,57
HCPCS,C1729,CATHETER III,468.0,,66.39,421.2,57
HCPCS,C1729,DRAINAGE CATHETER,143.0,,66.39,128.7,57
HCPCS,C1729,KT ASPIRA II PLEURAL STARTER,1438.0,,66.39,1294.2,57
HCPCS,C1729,KT PROC CRV ASCITES SHNT PERC,7206.0,,66.39,6485.4,62
HCPCS,C1729,SET DRAIN BIL NASAL 7F 250CM,308.0,,66.39,277.2,57
HCPCS,C1729,ULTRATHANE SIMP LOC DRAIN CATH,299.0,,66.39,269.1,62
HCPCS,C1730,CATH DECA MAPPING/POLARIS 6F,888.0,,444.0,799.2,57
HCPCS,C1730,CATH DIAG BIDIR NONNAV,1270.0,,579.93,1143.0,57
HCPCS,C1730,CATH DIAGNOSTIC EP WEBSTER,566.0,,283.0,579.93,57
HCPCS,C1730,CATH DIAGNOSTIC POLARIS X 6F,974.0,,487.0,876.6,57
HCPCS,C1730,CATH EP MAPPING ACHIEVE,1778.0,,579.93,1600.2,57
HCPCS,C1730,CATH EP QUAD JOS REPROCESSED,120.0,,60.0,579.93,57
HCPCS,C1730,CATH MAP-IT W/GDWIRE TIP-EVA,0.01,,0.005,579.93,57
HCPCS,C1730,CATH MAPPING INTELLAMAP ORION,6038.0,,579.93,5434.2,57
HCPCS,C1730,CATH OPTRELL D-F CURVE,4162.0,,579.93,3745.8,62
HCPCS,C1730,CATH WEBSTER DEFLECT,894.0,,447.0,804.6,57
HCPCS,C1730,EP CATH BARD HEX,1094.0,,547.0,984.6,57
HCPCS,C1730,EP CATH BARD QUAD,1078.0,,539.0,970.2,57
HCPCS,C1730,EP CATH BIOWEB LASSO,5204.0,,579.93,4683.6,57
HCPCS,C1731,CATH GRID BI-D,5290.0,,1844.63,4761.0,57
HCPCS,C1731,CATH OCTARAY 8F,4328.0,,1844.63,3895.2,57
HCPCS,C1732,CATH ABLAT INTELLANAV,4715.0,,2357.5,4243.5,57
HCPCS,C1732,CATH ABLAT INTELLANAV MIFI OI,6094.0,,3047.0,5484.6,57
HCPCS,C1732,CATH ABLAT QDOT MICRO STUDY,0.01,,0.005,3462.32,57
HCPCS,C1732,CATH ABLATION TCOOL STSF BI-D,7301.0,,3462.32,6570.9,57
HCPCS,C1732,CATH CELSIUS BIDIR NONNAV 4MM,1700.0,,850.0,3462.32,57
HCPCS,C1732,CATH CELSIUS TCOOL NONNAV,16635.0,,3462.32,14971.5,57
HCPCS,C1732,CATH DECANAV MAPPING 7F,2103.0,,1051.5,3462.32,57
HCPCS,C1732,CATH EP QDOT MICRO BI TC D-F,6704.0,,3352.0,6033.6,57
HCPCS,C1732,CATH EP QDOT MICRO BI TC F-J,6704.0,,3352.0,6033.6,57
HCPCS,C1732,CATH N-STAR 4MM BIDIR NAV,4322.0,,2161.0,3889.8,57
HCPCS,C1732,CATH N-STAR CARTO 3/XP,4477.0,,2238.5,4029.3,57
HCPCS,C1732,CATH NAVISTAR BIDIR ABLATION,6899.0,,3449.5,6209.1,57
HCPCS,C1732,CATH THERMOCOOL SMARTTOUCH-N/C,0.01,,0.005,3462.32,57
HCPCS,C1732,CATH VARIABLE EP LASSO NAV ECO,6442.0,,3221.0,5797.8,57
HCPCS,C1732,EP CATH BSX 5086TN4,1594.0,,797.0,3462.32,57
HCPCS,C1733,CATH ABL CARDIAC SPHERE 9 US,19800.0,,2904.62,17820.0,57
HCPCS,C1733,CATH ABLAT DIAMONDTEMP,5791.0,,2895.5,5211.9,57
HCPCS,C1733,CATH ABLAT THERMOCOOL 8F 115CM,6220.0,,2904.62,5598.0,57
HCPCS,C1733,CATH ABLATION EP CELSIUS FLTR,1738.0,,869.0,2904.62,57
HCPCS,C1733,CATH ABLATION IBI DUAL,7831.0,,2904.62,7047.9,57
HCPCS,C1733,CATH BLLN 9X12MM 200CM 7-6FR,328.0,,164.0,2904.62,62
HCPCS,C1733,CATH C2 CRYOBALLOON 180 PEAR,4950.0,,2475.0,4455.0,57
HCPCS,C1733,CATH CARDIO CRYO ARCTIC FRONT,9948.0,,2904.62,8953.2,57
HCPCS,C1733,CATH CARDIO CRYO MAX,3828.0,,1914.0,3445.2,57
HCPCS,C1733,CATH CRYOBALLON FOCAL PEAR SYS,5750.0,,2875.0,5175.0,57
HCPCS,C1733,CATH ERCP CLASSIC,137.0,,68.5,2904.62,57
HCPCS,C1733,CATH INTELLATIP MIFI,4484.0,,2242.0,4035.6,57
HCPCS,C1733,CATH N-STAR 8MM BIDIR NAV,8623.0,,2904.62,7760.7,57
HCPCS,C1733,CATHETER PFA FARAWAVE (SOC),15819.0,,2904.62,14237.1,57
HCPCS,C1733,CATHETER PFA FARAWAVE 31MM,13527.0,,2904.62,13899.6,114
HCPCS,C1733,CATHETER PFA FARAWAVE 35MM,15444.0,,2904.62,13899.6,57
HCPCS,C1733,EP CATH BIOWEB CELCIUS,4012.0,,2006.0,3610.8,57
HCPCS,C1735,CATH RENAL SYMPLICITY SPYRAL,2996.0,,1498.0,2696.4,56
HCPCS,C1747,CVAC ASPIRATION SYSTEM,4770.0,,778.73,4293.0,62
HCPCS,C1747,SCOPE UTEROSCOPE STERIS,1947.0,,778.73,1752.3,62
HCPCS,C1750,CATH DIAL DECATHLON LG-TERM**,332.0,,166.0,395.6,57
HCPCS,C1750,CATH DIAL TITAN LONG-TERM 15.5,406.0,,203.0,395.6,62
HCPCS,C1750,CATH DIALYSIS GLIDEPATH,435.0,,217.5,395.6,119
HCPCS,C1750,CATH FLEX-NECK COIL ADULT LRG,450.0,,225.0,405.0,62
HCPCS,C1750,CATH FLEX-NECK COILED CF-5560,1058.0,,395.6,952.2,62
HCPCS,C1750,CATH HEM DIAL GLIDEPATH**,486.0,,243.0,437.4,62
HCPCS,C1750,CATH HEMODIAL LONG-TERM,481.0,,240.5,432.9,62
HCPCS,C1750,CATH HEMODIAL LONG-TRM SIL/ION,563.0,,281.5,506.7,62
HCPCS,C1750,CATH PALINDROME TAL SPORT PAK,427.0,,213.5,395.6,62
HCPCS,C1750,CATH PERITONEAL FLEX-NECK,403.0,,201.5,395.6,62
HCPCS,C1750,CATH PREST ARGYLE 57CM 1 CUFF,168.0,,84.0,395.6,57
HCPCS,C1750,"CATH,HEMODIAL,LONG-TERM II",1970.0,,395.6,1773.0,62
HCPCS,C1750,PALINDROME EMERALD 19/36 SP VT,923.0,,395.6,830.7,62
HCPCS,C1750,PALINDROME H-P SP VT 23CM,386.0,,193.0,395.6,62
HCPCS,C1751,CATH 2-LUM PICC 2.6FR,246.0,,123.0,221.4,62
HCPCS,C1751,CATH 4-LUM 8.5FR 16CM PI,453.0,,136.97,407.7,62
HCPCS,C1751,CATH CENTRAL VEN DUAL-LUMEN 02,100.0,,50.0,136.97,62
HCPCS,C1751,CATH CV 1 LUMEN 8FR X 15CM,503.0,,136.97,452.7,57
HCPCS,C1751,CATH CV 2-LUM MAC,727.0,,136.97,654.3,62
HCPCS,C1751,CATH CV 3-LUM 12FRX16CM,984.5,,136.97,891.0,124
HCPCS,C1751,CATH CV 3-LUM ARROWGARD 16CM,827.0,,136.97,744.3,57
HCPCS,C1751,CATH CV 3-LUM ARROWGARD 20CM,827.0,,136.97,744.3,57
HCPCS,C1751,CATH CV 4-LUM,994.0,,136.97,894.6,62
HCPCS,C1751,CATH CV DUAL-LUMEN MAC,321.0,,136.97,288.9,62
HCPCS,C1751,CATH CVC POWERLINE 5F TRIPLE-L,765.0,,136.97,688.5,57
HCPCS,C1751,CATH DBL LUM 16CM PRESS-INJ,321.0,,136.97,288.9,119
HCPCS,C1751,CATH DIAG PIGTAIL INFINITY.038,117.0,,58.5,136.97,62
HCPCS,C1751,CATH HF PIGTAIL 145 DEGREE,58.0,,29.0,136.97,62
HCPCS,C1751,CATH HICKMAN TRIFUSION,983.0,,136.97,884.7,62
HCPCS,C1751,CATH HICKMAN TRIFUSION 12F,990.5,,136.97,1402.2,124
HCPCS,C1751,CATH ICY ZOLL LUER KIT,1764.0,,136.97,1587.6,57
HCPCS,C1751,CATH IINFU W/RADIO PAQUE TIP,132.0,,66.0,136.97,62
HCPCS,C1751,CATH JUGULAR CRESCENT DUAL LUM,5750.0,,136.97,5175.0,62
HCPCS,C1751,CATH PICC NEONATE 1.9F X 50CM,190.0,,95.0,171.0,57
HCPCS,C1751,CATH PICC SGL-LUMEN 1.4F KIT,295.0,,136.97,265.5,62
HCPCS,C1751,CATH POLYURETHANE 1.4FR 1-LUM,116.0,,58.0,136.97,62
HCPCS,C1751,CATH POWERHICKMAN 9.5F X 47CM,1466.0,,136.97,1319.4,62
HCPCS,C1751,CATH POWERHICKMAN 9.5FX47CM,857.0,,136.97,771.3,62
HCPCS,C1751,CATH POWERPICC SOLO KIT 5F,316.0,,136.97,284.4,124
HCPCS,C1751,CATH PRO-LINE SINGLE W/CUFF 5F,554.0,,136.97,498.6,62
HCPCS,C1751,CATH PRO-LINE SINGLE W/CUFF 6F,497.0,,136.97,447.3,62
HCPCS,C1751,CATH SILICONE 1.9FR,110.0,,55.0,136.97,62
HCPCS,C1751,CATH SILICONE 1.9FR 43CM,119.0,,59.5,136.97,62
HCPCS,C1751,CATH VENOUS ACCESS,314.0,,136.97,282.6,62
HCPCS,C1751,CATHETER INFUSION ANGIODYN,351.0,,136.97,315.9,62
HCPCS,C1751,CATHETER INFUSION EV3,348.0,,136.97,313.2,62
HCPCS,C1751,CATHETER KIT ANTIMICROBIAL,1435.0,,136.97,1291.5,57
HCPCS,C1751,HEMOLUNG 15.5 FR JUG CATH KIT,2921.0,,136.97,2628.9,62
HCPCS,C1751,PIC LINE TRAY SAN25PCUAF,92.0,,46.0,136.97,62
HCPCS,C1752,CATH BREVIA 11F 20CM,291.0,,98.18,261.9,62
HCPCS,C1752,CATH HEMODIAL SHORT-TERM,406.0,,98.18,365.4,62
HCPCS,C1752,CATH HEMODIALYSIS SHORT-TERM,310.0,,98.18,279.0,57
HCPCS,C1752,CATH MAHURKAR**,139.0,,69.5,125.1,124
HCPCS,C1752,CATH POWER TRIALYSIS 13X24CM,283.0,,98.18,254.7,62
HCPCS,C1752,"CATH,HEMODIAL,SHORT-TERM",928.0,,98.18,835.2,62
HCPCS,C1752,HEMOLUNG 15.5 FR FEM CATH KIT,2921.0,,98.18,2628.9,62
HCPCS,C1752,TRAY FULL POWER TRIALYSIS 15CM,679.0,,98.18,611.1,57
HCPCS,C1752,TRAY FULL POWER TRIALYSIS 20CM,608.0,,98.18,547.2,57
HCPCS,C1752,TRAY FULL POWER TRIALYSIS 24CM,679.0,,98.18,611.1,62
HCPCS,C1753,CATH EAGLE EYE GOLD,1495.0,,747.5,1345.5,57
HCPCS,C1753,CATH EAGLE EYE PLATINUM,1695.0,,801.5,1608.3,114
HCPCS,C1753,CATH IVUS OPTICROSS,1602.0,,801.0,1441.8,57
HCPCS,C1753,CATH IVUS VISIONS,1850.0,,925.0,1665.0,62
HCPCS,C1753,CATH IVUS VISIONS PV .035,2362.0,,1181.0,2125.8,57
HCPCS,C1753,CATH KODAMA HDI IVUS,1476.0,,738.0,1340.69,62
HCPCS,C1753,CATH PIONEER+ 120CM,5092.0,,1340.69,4582.8,57
HCPCS,C1753,CATH VISION PV 0.035 DIGIT,2250.0,,1125.0,2025.0,114
HCPCS,C1753,CATH VOLCANO IVUS PV DIGITAL,1305.0,,652.5,1340.69,114
HCPCS,C1755,CATH INTRATHECAL 8731SC,1706.0,,88.85,1535.4,57
HCPCS,C1755,CATH INTRATHECAL ASCENDA 8780,2261.0,,88.85,2034.9,57
HCPCS,C1755,INTRATHECAL CATH SPINAL SEG,692.0,,88.85,622.8,57
HCPCS,C1757,CANNULA ANGIOVAC F18 85 PG,24336.0,,314.82,21902.4,57
HCPCS,C1757,CATH ANGIOJET SOLENT DISTA,3929.0,,314.82,3536.1,57
HCPCS,C1757,CATH ANGIOJET SOLENT DISTA SET,4086.0,,314.82,3677.4,57
HCPCS,C1757,CATH ANGIOJET SOLENT PROXI SET,3708.0,,314.82,3337.2,57
HCPCS,C1757,CATH ANGIOJET ZELANTE DVT,6530.0,,314.82,5877.0,114
HCPCS,C1757,CATH ASP AXS VECTA 74 132CM,4308.0,,314.82,3877.2,62
HCPCS,C1757,CATH ASPIRATION ZOOM 71,4473.0,,314.82,4025.7,57
HCPCS,C1757,CATH CAT12 100XTORQ SHAPE PLUS,13789.0,,314.82,12410.1,57
HCPCS,C1757,CATH CLEANER SYSTEM 02,1370.0,,314.82,1233.0,57
HCPCS,C1757,CATH EMB ARTERIAL FOGARTY 7F,112.0,,56.0,314.82,57
HCPCS,C1757,CATH EMBOL THRU LUMEN FOGARTY,265.0,,132.5,314.82,57
HCPCS,C1757,CATH EMBOLECTOMY,254.0,,127.0,314.82,57
HCPCS,C1757,CATH EMBOLECTOMY ALPHAVAC SYS,13500.0,,314.82,12150.0,114
HCPCS,C1757,CATH EMBOLECTOMY ART LEM,290.0,,145.0,314.82,57
HCPCS,C1757,CATH EMBOLI FLOWTRIEVER,0.01,,0.005,314.82,57
HCPCS,C1757,CATH FLOWSAVER,0.01,,0.005,314.82,114
HCPCS,C1757,CATH FOGARTY ADHERENT CLOT 8MM,490.0,,245.0,441.0,57
HCPCS,C1757,CATH FOGARTY EMBOLECT 3FR 80C,94.0,,47.0,314.82,57
HCPCS,C1757,CATH GUIDE ASPIRATION INARI,0.01,,0.005,314.82,114
HCPCS,C1757,CATH INDIGO 7X50 W/ ASP TUBING,17586.0,,314.82,15827.4,62
HCPCS,C1757,CATH INDIGO DYNAMIC HTORQ 115,13769.0,,314.82,12392.1,57
HCPCS,C1757,CATH INDIGO DYNAMIC HTORQ115,13769.0,,314.82,12392.1,57
HCPCS,C1757,CATH INDIGO DYNAMIC XTORQ 130,11359.0,,314.82,10223.1,114
HCPCS,C1757,CATH INDIGO LT BLT HTRQ 12X115,17496.0,,314.82,15746.4,124
HCPCS,C1757,CATH INDIGO LT BLT TRQ 7X130,14400.0,,314.82,12960.0,124
HCPCS,C1757,CATH INF UNIFUSE 5FX135X10,422.0,,211.0,379.8,57
HCPCS,C1757,CATH INFUSION UNIFUSE,394.0,,197.0,354.6,57
HCPCS,C1757,CATH IRRIGATION DUAL LUMEN 4FR,290.0,,145.0,314.82,57
HCPCS,C1757,CATH LT FLASH HTRQ 100CM,17586.0,,314.82,15827.4,124
HCPCS,C1757,CATH LT FLASH HTRQ 80CM,17586.0,,314.82,15827.4,124
HCPCS,C1757,CATH PENUMBRA INDIGO ASP SYS,3981.0,,314.82,3582.9,57
HCPCS,C1757,CATH REPERFUSION 5MAXACE,6885.0,,314.82,6196.5,57
HCPCS,C1757,CATH REPERFUSION INDIGO CAT6,4566.0,,314.82,4109.4,57
HCPCS,C1757,CATH REPERFUSION INDIGO CAT7D,11359.0,,314.82,10223.1,57
HCPCS,C1757,CATH ROTATIONAL THROMBECTOMY,1902.0,,314.82,1711.8,57
HCPCS,C1757,CATH THROM ULTRA AVX 6FR 50CM,1578.0,,314.82,1420.2,57
HCPCS,C1757,CATH THROMBECTOMY ANGIOJET,4196.0,,314.82,3776.4,57
HCPCS,C1757,CATH THROMBECTOMY INDIGO,6911.0,,314.82,6219.9,57
HCPCS,C1757,CATH THROMBECTOMY INDIGO 8,6845.0,,314.82,6160.5,114
HCPCS,C1757,CATH THROMBECTOMY REVCORE,12168.0,,314.82,10951.2,62
HCPCS,C1757,CATH THROMBO CLOTTRIEVER,13635.0,,314.82,12271.5,57
HCPCS,C1757,CATH THROMBOLYTIC ANGIOJET,6997.0,,314.82,6297.3,57
HCPCS,C1757,CATH VASC EXTRACTION PRONTO,757.0,,314.82,681.3,62
HCPCS,C1757,CATH VASC EXTRACTION PRONTO LP,757.0,,314.82,681.3,57
HCPCS,C1757,CATHETER ANGIOJET XMIPLUS,3071.0,,314.82,2763.9,57
HCPCS,C1757,CATHETER CLOTTRIEVER FXD LNG,13268.0,,314.82,11941.2,114
HCPCS,C1757,CATHETER EMBOLECTOMY FOGARTY,222.0,,111.0,314.82,57
HCPCS,C1757,CATHETER EMBOLIZATION,219.0,,109.5,314.82,114
HCPCS,C1757,CATHETER THROMBECTOMY DEVICE I,1354.0,,314.82,1218.6,57
HCPCS,C1757,CATHETER UNI-FUSE,438.0,,219.0,394.2,57
HCPCS,C1757,CLOT TRIEVER BOLD CATHETER,11232.0,,314.82,10108.8,62
HCPCS,C1757,CLOT TRIEVER CATH 80CM,11682.0,,314.82,10513.8,62
HCPCS,C1757,DEVICE REVASC EMBOTRAP II,9287.0,,314.82,8358.3,57
HCPCS,C1757,DVC EKOSONIC MACH 4,6685.0,,314.82,6016.5,57
HCPCS,C1757,DVC REVASC EMBOTRAP III,10548.0,,314.82,9493.2,57
HCPCS,C1757,FLASH ASPIRATION CATHETER,17586.0,,314.82,15827.4,62
HCPCS,C1757,FLOWTRIEVER THROMBECTOMY SYS,24322.0,,314.82,21889.8,114
HCPCS,C1757,INARI THROMBECTOMY DVT PPP,16200.0,,314.82,14580.0,124
HCPCS,C1757,INDIGO CATH KIT,4292.0,,314.82,3862.8,57
HCPCS,C1757,KIT CATH THRMBTMY INDIGO CAT7D,5382.0,,314.82,4843.8,62
HCPCS,C1757,REVASC DEVICE SOLITAIRE FR,19038.0,,314.82,17134.2,57
HCPCS,C1757,SEPARATOR INDIGO 8,4453.0,,314.82,4007.7,57
HCPCS,C1758,CATH URETERAL CONE TIP,52.0,,26.0,46.8,57
HCPCS,C1758,CATH URETERAL CONETIP,72.0,,34.16,64.8,57
HCPCS,C1758,CATH URETERAL LASER,69.0,,34.16,62.1,57
HCPCS,C1758,CATHETER URETERAL CT 8FRX70CM,292.0,,34.16,262.8,57
HCPCS,C1758,CATHETER URETERAL WT5FRX70CM,202.0,,34.16,181.8,57
HCPCS,C1758,DUAL LUMEN URETERAL CATHETER,102.0,,34.16,91.8,57
HCPCS,C1758,URETERAL CATH OPEN TIP/INJ 5F,132.0,,34.16,118.8,57
HCPCS,C1758,URETERAL OCC/BALLOON CATH,824.0,,34.16,741.6,57
HCPCS,C1759,CATH DIAG REPROCESS SOUNDSTAR,2425.0,,1212.5,2936.22,57
HCPCS,C1759,CATH DIAG U/S SOUNDSTAR 3D,5136.0,,2568.0,4622.4,119
HCPCS,C1759,CATH DIAG U/S VERISIGHT PRO,6365.0,,2936.22,5728.5,124
HCPCS,C1759,CATH DIAG US ACUNAV REPORCESS,1714.0,,857.0,2936.22,57
HCPCS,C1759,CATH DIAG US ACUNAV REPROCESS,1714.0,,857.0,2936.22,114
HCPCS,C1759,CATH DIAGNOSTIC US ACUNAV,4801.0,,2400.5,4320.9,114
HCPCS,C1759,CATH DIAGNOSTIC US ACUNAV 8F,5143.0,,2571.5,4628.7,57
HCPCS,C1759,CATH SNDSTAR ECO REPROCESS,2917.0,,1458.5,2936.22,57
HCPCS,C1759,CATH VIEWFLEX XTRA ICE 9F 3.22,5023.0,,2511.5,4520.7,57
HCPCS,C1759,NUVISION ULTRASOUND 10F CATH,5991.0,,2936.22,5391.9,57
HCPCS,C1760,DEV CLOS TISSUE PADLOCK CLIP,990.0,,397.68,891.0,57
HCPCS,C1760,DEV FASCIAL CLOSURE EFX SHIELD,320.0,,160.0,397.68,57
HCPCS,C1760,DEVICE CLOSURE VASCULAR,801.0,,397.68,720.9,57
HCPCS,C1760,DEVICE VASCULAR CLOSURE MYNX,575.0,,287.5,517.5,57
HCPCS,C1760,DVC ANGIO-SEAL EVOLUTION 6F,539.0,,266.0,491.4,114
HCPCS,C1760,DVC CLOSURE ANGIO-SEAL,561.0,,277.0,511.2,171
HCPCS,C1760,DVC PERCLOSE PROGLIDE,468.0,,234.0,421.2,57
HCPCS,C1760,DVC VASC CLOSURE ANGIO-SEAL,4050.0,,397.68,3645.0,228
HCPCS,C1760,DVC VASC CLOSURE VASCADE MVP,575.0,,287.5,517.5,114
HCPCS,C1760,DVC VASC CLSR ANGIO-SEAL,533.0,,266.5,479.7,57
HCPCS,C1760,DVC VASCADE VCS 6.0-7.0 F,442.0,,221.0,397.8,57
HCPCS,C1760,SYS CLOSURE STARCLOSE,468.0,,234.0,421.2,57
HCPCS,C1760,SYS CLOSURE VASC MYNX GREEN,586.0,,293.0,527.4,57
HCPCS,C1760,SYS MYNXGRIP 5F GREY,581.0,,290.5,522.9,57
HCPCS,C1760,SYSTEM CLOSURE VASC MYNX,511.0,,255.5,459.9,171
HCPCS,C1760,SYSTEM CLOSURE VASC PERCLOSE,1861.0,,397.68,1773.0,228
HCPCS,C1760,SYSTEM CLOSURE VASCADE VCS,456.0,,228.0,410.4,171
HCPCS,C1760,SYSTEM SET OTSC OVESCO 100.14,1382.0,,397.68,1243.8,57
HCPCS,C1760,SYSTEM SET OTSC OVESCO 100.27,1382.0,,397.68,1243.8,57
HCPCS,C1760,VASCADE MVP XL (VVCS),0.01,,0.005,397.68,57
HCPCS,C1761,CATH LITHO SHOCKWAVE C2 12MM,9897.0,,4948.5,8907.3,114
HCPCS,C1762,ALLOGRAFT AMNION BIODFACTO  XL,9685.0,,2084.51,8716.5,62
HCPCS,C1762,ALLOGRAFT HUMAN DERMAL,2430.0,,1215.0,2187.0,56
HCPCS,C1762,ALLOGRAFT TENDON GRAFTLINK,5330.0,,2084.51,4797.0,62
HCPCS,C1762,MATRIX BONE BIO4 10.0CC,7727.0,,2084.51,6954.3,62
HCPCS,C1762,TENDON CONNECT PRE-SUTURE,2478.0,,1239.0,2230.2,56
HCPCS,C1762,TISS CARTILAGE COSTAL,1192.0,,481.5,2084.51,119
HCPCS,C1762,TISSUE CARTILAGE COSTAL,1163.0,,581.5,2084.51,62
HCPCS,C1763,CONNECTOR NERVE AXOGUARD 15MM,3047.0,,1478.44,2742.3,62
HCPCS,C1763,DSG ENDOFRM MYRIADAROAECM,1289.0,,644.5,1478.44,57
HCPCS,C1763,GRAFT BIODESIGN TISSUE 4X7,1176.0,,588.0,1478.44,62
HCPCS,C1763,GRAFT DURAL SURGISIS,1460.0,,730.0,1478.44,62
HCPCS,C1763,GRAFT DURAL SURGISIS 2X3,554.0,,277.0,1478.44,62
HCPCS,C1763,GRAFT SURGISIS 4 LAYER G12580,2264.0,,1132.0,2037.6,62
HCPCS,C1763,GRAFT SURGISIS COOK LEVEL I,803.0,,401.5,1478.44,62
HCPCS,C1763,GRAFT SURGISIS COOK LEVEL II,1337.0,,668.5,1478.44,62
HCPCS,C1763,IMPL CARTILAGE CARTIVA,10149.0,,1478.44,9134.1,62
HCPCS,C1763,IMPL WRAP TENDON BIOINTE,4643.0,,1478.44,4178.7,62
HCPCS,C1763,LAMINA OTOLOGIC EPIFILM,503.0,,251.5,1478.44,62
HCPCS,C1763,MINI APICAL CUFF KIT W/HOLDER,1098.0,,549.0,1478.44,62
HCPCS,C1764,CARDIAC MONITOR REVEAL LINQ,12305.0,,6152.5,11074.5,62
HCPCS,C1764,LUX-DX CARD MONITOR INSERTABLE,0.01,,0.005,7180.83,57
HCPCS,C1764,MONITOR CARDIAC LUX-DX M301,9476.0,,4738.0,8528.4,62
HCPCS,C1764,RECORDER BIOMONITOR 2-AF,9657.0,,4828.5,8691.3,62
HCPCS,C1764,RECORDER CARDIAC EVENT REVEAL,8290.0,,4145.0,7461.0,62
HCPCS,C1765,BARRIER ADHESION INTERCEED,518.0,,259.0,466.2,62
HCPCS,C1765,FILM SEPRAFILM 5086-02,1007.0,,464.73,906.3,62
HCPCS,C1766,AGILIS NXT 8.5 71CM,1026.0,,513.0,1301.27,62
HCPCS,C1766,CATH FLEX ADVANCE SHEATH,2369.0,,1184.5,2132.1,57
HCPCS,C1766,INTRODUCER AGILIS,3864.0,,1301.27,3477.6,114
HCPCS,C1766,INTRODUCER STEER AGILIS NXT,2518.5,,924.5,2869.2,114
HCPCS,C1766,PASSPORT STEERABLE SHEATH 7F,983.0,,491.5,1301.27,62
HCPCS,C1766,SHEATH CARTO VIZIGO BI-DIRECT,1895.0,,947.5,1705.5,57
HCPCS,C1766,SHEATH FARADRIVE STEERABLE,2387.0,,1170.0,2190.6,114
HCPCS,C1766,SHEATH GUIDING BI-DIRECTIONAL,1881.0,,940.5,1692.9,57
HCPCS,C1766,SHEATH STEER SUREFLEX,1854.0,,927.0,1668.6,62
HCPCS,C1767,GEN INTERSTIM II 3058,26849.0,,13424.5,24164.1,62
HCPCS,C1767,GEN NEUROSTIM ACTIVA SC37603,21182.0,,10591.0,22201.12,62
HCPCS,C1767,GEN NEUROSTIM ASPIRESR 106,60915.0,,22201.12,54823.5,62
HCPCS,C1767,GEN NEUROSTIM DEMIPULSE 104,55019.5,,22201.12,50768.1,124
HCPCS,C1767,GEN NEUROSTIM ENTERRA,21431.0,,10715.5,22201.12,62
HCPCS,C1767,GEN NEUROSTIM IMPL N/RECHRG,23655.0,,11827.5,22201.12,62
HCPCS,C1767,GENERATOR IMPLANTABLE VER V,38880.0,,19440.0,34992.0,62
HCPCS,C1767,GENERATOR NEUROSTIM VNS,56770.0,,22201.12,51093.0,62
HCPCS,C1767,GENERATOR PROCLAIM ELITE IPG 2,40644.0,,20322.0,36579.6,62
HCPCS,C1767,GENERATOR PROCLAIM ELITE IPG 3,43691.0,,21845.5,39321.9,62
HCPCS,C1767,GENERATOR PULSE MAINSTAY 5100,21875.0,,10937.5,22201.12,62
HCPCS,C1767,GENERATOR SENTIVA,65509.0,,22201.12,58958.1,62
HCPCS,C1767,IPG3000 KIT GENERATOR,29336.0,,14668.0,26402.4,62
HCPCS,C1767,NEUROPACE RNS SYSTEM,0.01,,0.005,22201.12,57
HCPCS,C1767,NEUROSTIMULATOR RNS EPILEPSY,73469.0,,22201.12,66122.1,62
HCPCS,C1767,RNS NEUROSTIMULATOR KIT,73469.0,,22201.12,66122.1,62
HCPCS,C1767,STIMULATION SYSTEM PULSE GEN,39600.0,,19800.0,35640.0,62
HCPCS,C1767,SYSTEM DIAPHRAGM PACING,109344.0,,22201.12,98409.6,62
HCPCS,C1768,ALLOGRAFT VEIN FEMORAL 10-30CM,12382.0,,1092.42,11143.8,62
HCPCS,C1768,ALLOGRAFT VEIN SAPHENOUS 02,23982.0,,1092.42,21583.8,62
HCPCS,C1768,COLLAGEN VASC GRAFT BOVINE,2831.0,,1092.42,2547.9,62
HCPCS,C1768,GELATIN IMPREG VASC BIFURCATE,2430.0,,1092.42,2187.0,62
HCPCS,C1768,GELSOFT PL BIF 45CM 14X7MM,2528.0,,1092.42,2275.2,62
HCPCS,C1768,GELWEAVE AORTIC GRAFT 01,4353.0,,1092.42,3917.7,62
HCPCS,C1768,GELWEAVE AORTIC GRAFT 02,5642.0,,1092.42,5077.8,62
HCPCS,C1768,GRAFT ARTEGRAFT,2435.0,,1092.42,2191.5,62
HCPCS,C1768,GRAFT ARTEGRAFT 7X15CM,1838.0,,919.0,1654.2,62
HCPCS,C1768,GRAFT ARTEGRAFT VASC4MMX40CM,5508.0,,1092.42,4957.2,62
HCPCS,C1768,GRAFT BIFURCATED GELSOFT PLUS,2559.0,,1092.42,2303.1,62
HCPCS,C1768,GRAFT CARBOFLO STRAIGHT 10CM,421.0,,210.5,1092.42,62
HCPCS,C1768,GRAFT FUSION BIOLINE MAQUET,3155.0,,1092.42,2839.5,62
HCPCS,C1768,GRAFT GEL PLEXUS 4-B 28 BORE,4353.0,,1092.42,3917.7,124
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO,2447.0,,1092.42,2202.3,62
HCPCS,C1768,GRAFT GELWEAVE BAVARIA 02,7950.0,,1092.42,7155.0,62
HCPCS,C1768,GRAFT GELWEAVE BAVARIA TERUMO,5535.0,,1092.42,4981.5,62
HCPCS,C1768,GRAFT GELWEAVE GELATIN 24X30,1251.0,,625.5,1125.9,62
HCPCS,C1768,GRAFT GELWEAVE VASCUTEK 733020,1166.0,,583.0,1092.42,62
HCPCS,C1768,GRAFT GELWEAVE VASCUTEK 733026,1281.0,,640.5,1152.9,62
HCPCS,C1768,GRAFT GELWEAVE VLSALVA,4600.0,,1092.42,4140.0,62
HCPCS,C1768,GRAFT KNITTED ST 20X20,450.0,,225.0,1092.42,62
HCPCS,C1768,GRAFT RINGED 14MMX30CM,1955.0,,977.5,1759.5,62
HCPCS,C1768,GRAFT THORACO-ABD COSELLI,6795.0,,1092.42,6115.5,62
HCPCS,C1768,GRAFT VASC 6MMX40CM GORE,786.0,,393.0,1092.42,62
HCPCS,C1768,GRAFT VASC ACUSEAL ECH060040A,3154.0,,1092.42,2838.6,62
HCPCS,C1768,GRAFT VASC ACUSEAL ECH470045A,3692.0,,1092.42,3322.8,62
HCPCS,C1768,GRAFT VASC COLLAGEN ARTEGRAFT,3264.0,,1092.42,2937.6,62
HCPCS,C1768,GRAFT VASC IMPRA PTFEBARD,372.0,,186.0,1092.42,62
HCPCS,C1768,GRAFT VASCULAR BIFURCATED,23363.0,,1092.42,21026.7,62
HCPCS,C1768,GRAFT VASCULAR COLLAGEN AG-740,3658.0,,1092.42,3292.2,62
HCPCS,C1768,GRAFT VASCULAR EPTFE F10,640.0,,320.0,1092.42,62
HCPCS,C1768,GRAFT VASCULAR STANDARD PROPAT,5457.5,,1092.42,7271.1,124
HCPCS,C1768,GRAFT VENAFLO STEPPED 45CM,1502.0,,751.0,1351.8,62
HCPCS,C1768,GRFT GELWEAV COSELLI BORE-24,415.0,,207.5,1092.42,62
HCPCS,C1768,GRFT GELWEAVE 4 BRANCH,7513.0,,1092.42,6761.7,62
HCPCS,C1768,GRFT GORE-TEX VASC STD 6X40,817.0,,408.5,1092.42,62
HCPCS,C1768,GRFT STRETCH GORTEX W/REM RING,3543.0,,1092.42,3188.7,62
HCPCS,C1768,GRFT VASC BIOLINE FUSION,2780.0,,1092.42,2502.0,62
HCPCS,C1768,GRFT VASC KNITTED COLLAGEN STR,562.0,,281.0,1092.42,62
HCPCS,C1768,PATCH ACUSEAL .8X7.5CM,595.0,,297.5,1092.42,62
HCPCS,C1768,PTCH ACUSEAL CARDIO 5X7.5CM,782.0,,391.0,1092.42,62
HCPCS,C1769,1.2MM GUIDE WIRE,221.0,,27.95,198.9,62
HCPCS,C1769,AMPL SUPER STIFF GUIDEWIRE,89.0,,27.95,80.1,57
HCPCS,C1769,AMPLATZ SUPER STIFF,88.0,,27.95,79.2,62
HCPCS,C1769,AUTOTOME RX 39 WIRE,747.0,,27.95,672.3,57
HCPCS,C1769,BALL TIPPED GUIDEWIRE,334.0,,27.95,300.6,62
HCPCS,C1769,BLUE RHINO G2 PERC TRACH,778.0,,27.95,700.2,57
HCPCS,C1769,CATH INSERT SENSATION PLUS KIT,2397.0,,27.95,2157.3,57
HCPCS,C1769,CATH STRAIGHT TAPER 5FR,3084.0,,27.95,2775.6,57
HCPCS,C1769,CONTROL WIRE V-18 TM,214.0,,27.95,192.6,57
HCPCS,C1769,FALLOPIAN TUBE CATH SET,425.0,,27.95,382.5,57
HCPCS,C1769,FS OMNI 35 - PRE - LOADED,705.0,,27.95,634.5,57
HCPCS,C1769,FUSION WIRE GUIDE LOCKING DVC,47.0,,23.5,42.3,57
HCPCS,C1769,GDEWIRE AMPLATZ SUPER STIFF J,193.0,,27.95,173.7,57
HCPCS,C1769,GDEWIRE SUPER STIFF S,132.0,,27.95,118.8,62
HCPCS,C1769,GDEWIRE SUPER STIFFS.035X180,152.0,,27.95,136.8,57
HCPCS,C1769,GDWIRE 1 BENTSON 0.025,98.0,,27.95,88.2,57
HCPCS,C1769,GDWIRE 2.7MM,219.0,,27.95,197.1,57
HCPCS,C1769,GDWIRE 3.2MM SYNTHE 03.010.115,269.0,,27.95,242.1,57
HCPCS,C1769,GDWIRE ABBOTT BALANCE,394.0,,27.95,354.6,57
HCPCS,C1769,GDWIRE AMPLATZ PTFE .035,58.0,,27.95,52.2,57
HCPCS,C1769,GDWIRE AMPLATZ SPR STIFF,135.0,,27.95,121.5,57
HCPCS,C1769,GDWIRE AMPLATZ STIFF,118.0,,27.95,106.2,57
HCPCS,C1769,GDWIRE AMPLATZ SUPER STIFF,148.0,,27.95,133.2,57
HCPCS,C1769,GDWIRE AMPLATZ ULTRA 038X145,80.0,,27.95,72.0,57
HCPCS,C1769,GDWIRE AMPLATZ X-STIFF .038**,110.0,,27.95,99.0,57
HCPCS,C1769,GDWIRE ANGIO PTFE EXCHANGE.035,171.0,,27.95,153.9,57
HCPCS,C1769,GDWIRE ANGLED GR3508,117.0,,27.95,105.3,57
HCPCS,C1769,GDWIRE ARISTOTLE 14 SPT 200,1106.0,,27.95,995.4,57
HCPCS,C1769,GDWIRE ARISTOTLE 14 SPT 300,1159.0,,27.95,1043.1,57
HCPCS,C1769,GDWIRE ARISTOTLE 35 SPT 200CM,2340.0,,27.95,2106.0,57
HCPCS,C1769,GDWIRE ARISTOTLE SOFT,1464.0,,27.95,1317.6,57
HCPCS,C1769,GDWIRE ASAHI CONFIANZA,507.0,,27.95,456.3,57
HCPCS,C1769,GDWIRE ASAHI FIELDER FC,470.0,,27.95,423.0,57
HCPCS,C1769,GDWIRE ASAHI FIELDER XT,351.0,,27.95,315.9,57
HCPCS,C1769,GDWIRE ASAHI GAIA,390.0,,27.95,351.0,57
HCPCS,C1769,GDWIRE ASAHI GRNDSLAM,394.0,,27.95,354.6,57
HCPCS,C1769,GDWIRE ASAHI MIRACLEBRO,794.0,,27.95,714.6,57
HCPCS,C1769,GDWIRE ASAHI PERIPH ASTATO,450.0,,27.95,405.0,57
HCPCS,C1769,GDWIRE ASAHI PERIPH GLADIUS,450.0,,27.95,405.0,57
HCPCS,C1769,GDWIRE ASAHI PROWATER,250.0,,27.95,225.0,57
HCPCS,C1769,GDWIRE ASAHI SION,423.0,,27.95,380.7,57
HCPCS,C1769,GDWIRE ASAHI SUOH,351.0,,27.95,315.9,57
HCPCS,C1769,GDWIRE BALL TIP 2.4MM 70CM,388.0,,27.95,349.2,57
HCPCS,C1769,GDWIRE BAPP TIP ZIMMER,333.0,,27.95,299.7,57
HCPCS,C1769,GDWIRE BAREWIRE DEL FLTR,98.0,,27.95,88.2,57
HCPCS,C1769,GDWIRE CHOICE ES,236.0,,27.95,212.4,57
HCPCS,C1769,GDWIRE CONTROL WIRE V-18,243.0,,27.95,218.7,57
HCPCS,C1769,GDWIRE DREAMWIRE ANG,603.0,,27.95,542.7,57
HCPCS,C1769,GDWIRE DREAMWIRE ANG 450CM,665.0,,27.95,598.5,62
HCPCS,C1769,GDWIRE DRILL TIP,220.0,,27.95,206.1,114
HCPCS,C1769,GDWIRE ERCP VISIGLID 025X270CM,445.0,,27.95,400.5,57
HCPCS,C1769,GDWIRE EXTENSION ASAHI 014X165,250.0,,27.95,225.0,57
HCPCS,C1769,GDWIRE FIXED CORE,71.0,,27.95,72.0,285
HCPCS,C1769,GDWIRE FLOPPY ROADRUNNER .035,110.0,,27.95,99.0,57
HCPCS,C1769,GDWIRE FLUTED TIP SYNTHES,1286.0,,27.95,1157.4,57
HCPCS,C1769,GDWIRE GLADIUS MONGO,340.0,,27.95,306.0,57
HCPCS,C1769,GDWIRE GLIDEWIRE ADVANTAGE 01,603.0,,27.95,542.7,57
HCPCS,C1769,GDWIRE GLIDEWIRE STIFF STR.035,179.0,,27.95,161.1,57
HCPCS,C1769,GDWIRE GLIDEWIRE TERUMO GR1806,179.0,,27.95,161.1,57
HCPCS,C1769,GDWIRE HI-TORQUE WHISPER .014,253.0,,27.95,227.7,57
HCPCS,C1769,GDWIRE HIWIRE STD 035X150 01,130.0,,27.95,117.0,57
HCPCS,C1769,GDWIRE HYBRID 007-008 STR TIP,1217.0,,27.95,1095.3,62
HCPCS,C1769,GDWIRE HYBRID 12/14 2-ANGL TIP,887.0,,27.95,798.3,62
HCPCS,C1769,GDWIRE HYBRID 12/14 STR TIP,847.0,,27.95,762.3,62
HCPCS,C1769,"GDWIRE J/STRAIGHT 70CM 0.035""*",139.0,,27.95,125.1,114
HCPCS,C1769,GDWIRE LUNDERQUIST X-STIFF,318.0,,27.95,286.2,57
HCPCS,C1769,GDWIRE MARKED SPRING TIP,121.0,,27.95,108.9,57
HCPCS,C1769,GDWIRE METRO DIRECT ANG G25657,344.0,,27.95,309.6,57
HCPCS,C1769,GDWIRE NITREX ANG .018X80X5CM,138.0,,27.95,124.2,57
HCPCS,C1769,GDWIRE OMNIWIRE 185CM,1493.0,,27.95,1343.7,57
HCPCS,C1769,GDWIRE PLATINUM PLUS,190.0,,27.95,171.0,57
HCPCS,C1769,GDWIRE REUTER TIP-DEFLECTING,175.0,,27.95,157.5,57
HCPCS,C1769,GDWIRE ROADRUNNER ANG 018X480,345.0,,27.95,310.5,57
HCPCS,C1769,GDWIRE RUNTHROUGH NS 0.014IN,345.0,,27.95,310.5,57
HCPCS,C1769,GDWIRE RUNTHROUGH NS 014X150,204.0,,27.95,183.6,62
HCPCS,C1769,GDWIRE SENSOR DF PTFE-NITIN HT,250.0,,27.95,225.0,57
HCPCS,C1769,GDWIRE SENSOR DUAL FLX 035X150,676.0,,27.95,608.4,57
HCPCS,C1769,GDWIRE SPARTACORE 14,267.0,,27.95,240.3,57
HCPCS,C1769,GDWIRE SPRING TIP MARKED,121.0,,27.95,108.9,57
HCPCS,C1769,GDWIRE STARTER.035INX150CM BEN,57.0,,27.95,51.3,57
HCPCS,C1769,GDWIRE STORQ,231.0,,27.95,207.9,114
HCPCS,C1769,GDWIRE TRACER METRO,542.0,,27.95,487.8,57
HCPCS,C1769,GDWIRE TRANSSEPTAL SAFESEPT,451.0,,27.95,405.9,57
HCPCS,C1769,GDWIRE TRAXCESS 7 MINI 210CM,1038.0,,27.95,934.2,114
HCPCS,C1769,GDWIRE TROCAR TIP A0S 0109-150,206.0,,27.95,185.4,57
HCPCS,C1769,GDWIRE TROCAR TIP ODI-D102,274.0,,27.95,246.6,57
HCPCS,C1769,GDWIRE TROCAR TIP SYNTHES,891.0,,27.95,801.9,57
HCPCS,C1769,GDWIRE V-18 CONTROLWIRE,281.0,,27.95,252.9,57
HCPCS,C1769,GDWIRE V-18 CONTROLWIRE 200CM,197.0,,27.95,177.3,57
HCPCS,C1769,GDWIRE VERSACORE .035X260MODJ,182.0,,27.95,163.8,57
HCPCS,C1769,GDWIRE VIPERWIRE VPR-GW-FT14,511.0,,27.95,459.9,57
HCPCS,C1769,GDWIRE VIPERWIRE VRP-GW-FT14,511.0,,27.95,459.9,57
HCPCS,C1769,GDWIRE VISIGLIDE ANG 025X270,456.0,,27.95,410.4,57
HCPCS,C1769,GDWIRE VISIGLIDE G-240-2527S,433.0,,27.95,389.7,57
HCPCS,C1769,GDWIRE VISIGLIDE G-240-2545A,450.0,,27.95,405.0,57
HCPCS,C1769,GDWIRE W/ICE HYDROPHILIC COAT,218.0,,27.95,196.2,57
HCPCS,C1769,GDWIRE WHISPER VIEW EDS CSJ,222.0,,27.95,199.8,57
HCPCS,C1769,GDWRE AMPLATZ XS CRV .035X260,76.0,,27.95,68.4,57
HCPCS,C1769,GLIDEWIRE .035 180 ANG,239.0,,27.95,215.1,57
HCPCS,C1769,GLIDEWIRE HYDRO 35X450 STD ANG,532.0,,27.95,478.8,57
HCPCS,C1769,GLIDEWIRE STIFF ANG .020X450CM,476.0,,27.95,428.4,114
HCPCS,C1769,GUIDE WIRE .038X145,121.0,,27.95,108.9,57
HCPCS,C1769,GUIDE WIRE BSX ROTAWIRE,866.0,,27.95,779.4,57
HCPCS,C1769,GUIDE WIRE BSX V-18,262.0,,27.95,235.8,171
HCPCS,C1769,GUIDE WIRE FIXED-CORE COOK MED,350.0,,27.95,315.0,57
HCPCS,C1769,GUIDE WIRE GLIDEWIRE,969.0,,27.95,872.1,228
HCPCS,C1769,GUIDE WIRE HYDROPHILLIC **,530.0,,27.95,477.0,57
HCPCS,C1769,GUIDE WIRE J **,277.0,,27.95,249.3,57
HCPCS,C1769,GUIDE WIRE NITREX,169.0,,27.95,152.1,57
HCPCS,C1769,GUIDE WIRE ROADRUNNER,276.0,,27.95,248.4,114
HCPCS,C1769,GUIDE WIRE THRUWAY,239.0,,27.95,215.1,57
HCPCS,C1769,GUIDE WIRE THURWAY,239.0,,27.95,215.1,57
HCPCS,C1769,GUIDEIWIRE BAL TIP 3MMX1250MM,424.0,,27.95,381.6,57
HCPCS,C1769,GUIDEWIRE,78.0,,0.005,112.5,290
HCPCS,C1769,GUIDEWIRE .025 X 450CM ANG TIP,253.0,,27.95,227.7,62
HCPCS,C1769,GUIDEWIRE .059 STAINLES STEEL,186.0,,27.95,167.4,57
HCPCS,C1769,"GUIDEWIRE 0.35"" J/STRAIGHT",0.01,,0.005,27.95,57
HCPCS,C1769,GUIDEWIRE 0.38 150 CM,72.0,,27.95,64.8,57
HCPCS,C1769,GUIDEWIRE 1.5MM 500MM LENGTH,117.0,,27.95,105.3,57
HCPCS,C1769,GUIDEWIRE 1.6MM,213.0,,27.95,191.7,57
HCPCS,C1769,GUIDEWIRE 2.2MMX500MM,502.0,,27.95,451.8,57
HCPCS,C1769,GUIDEWIRE 2.3MM BLUE,85.0,,27.95,76.5,57
HCPCS,C1769,GUIDEWIRE 2.8,158.0,,27.95,142.2,57
HCPCS,C1769,GUIDEWIRE 2.8 SYNTHES,120.96,,27.95,108.86,62
HCPCS,C1769,GUIDEWIRE 3.2MM,557.0,,27.95,501.3,57
HCPCS,C1769,GUIDEWIRE ACCESS,419.0,,27.95,377.1,57
HCPCS,C1769,GUIDEWIRE AERIS PRESSURE WIRE,1568.0,,27.95,1411.2,57
HCPCS,C1769,GUIDEWIRE AMPLATZ,138.0,,27.95,249.3,233
HCPCS,C1769,GUIDEWIRE AMPLATZ BOSTON,146.0,,27.95,131.4,57
HCPCS,C1769,GUIDEWIRE AMPLATZ ST,444.0,,27.95,399.6,57
HCPCS,C1769,GUIDEWIRE AMPLATZER,169.0,,27.95,152.1,57
HCPCS,C1769,GUIDEWIRE AMPLATZER**,213.0,,27.95,191.7,57
HCPCS,C1769,GUIDEWIRE ARISTOTLE 14 200CM,1048.0,,27.95,943.2,57
HCPCS,C1769,GUIDEWIRE ARISTOTLE 18 200CM,1217.0,,27.95,1095.3,57
HCPCS,C1769,GUIDEWIRE ARISTOTLE 300CM,1138.0,,27.95,1024.2,57
HCPCS,C1769,GUIDEWIRE ASAHI ASTATO,1972.0,,27.95,1774.8,57
HCPCS,C1769,GUIDEWIRE ASAHI GRAND SLAM,260.0,,27.95,234.0,57
HCPCS,C1769,GUIDEWIRE ASAHI REGALIA XS,422.0,,27.95,379.8,57
HCPCS,C1769,GUIDEWIRE ASAHI REGALIA XT,406.0,,27.95,365.4,57
HCPCS,C1769,GUIDEWIRE ASAHI SION BLACK,267.0,,27.95,240.3,57
HCPCS,C1769,GUIDEWIRE BALL NOSE,503.0,,27.95,452.7,57
HCPCS,C1769,GUIDEWIRE BALL TIP,304.5,,27.95,298.8,114
HCPCS,C1769,GUIDEWIRE BALL TIPPED STERILE,462.0,,27.95,415.8,57
HCPCS,C1769,GUIDEWIRE BENTSON STR .035X145,83.0,,27.95,74.7,57
HCPCS,C1769,GUIDEWIRE BENTSON STRAIGHT,63.0,,27.95,56.7,57
HCPCS,C1769,GUIDEWIRE BLUNT TIP K2M,88.0,,27.95,79.2,57
HCPCS,C1769,GUIDEWIRE BLUNT TIP VIPER 2 1.,264.0,,27.95,237.6,57
HCPCS,C1769,GUIDEWIRE BSX TRANSEND,1033.0,,27.95,929.7,114
HCPCS,C1769,GUIDEWIRE CHOICE,262.0,,27.95,235.8,57
HCPCS,C1769,GUIDEWIRE CONFIANZA,507.0,,27.95,456.3,57
HCPCS,C1769,GUIDEWIRE COPE MANDRIL,98.0,,27.95,88.2,171
HCPCS,C1769,GUIDEWIRE COUGAR XT STRAIGHT,222.0,,27.95,199.8,57
HCPCS,C1769,GUIDEWIRE DECATHLON**,104.0,,27.95,93.6,57
HCPCS,C1769,GUIDEWIRE DOUBLE ENDED TROCAR,116.0,,27.95,104.4,57
HCPCS,C1769,GUIDEWIRE DRILL TIP,639.0,,27.95,575.1,57
HCPCS,C1769,GUIDEWIRE DRILL TIP SYNTHES,334.0,,27.95,300.6,57
HCPCS,C1769,GUIDEWIRE ENDOLOGIX 0.035IN,406.0,,27.95,365.4,57
HCPCS,C1769,GUIDEWIRE ENROUTE,491.0,,27.95,441.9,57
HCPCS,C1769,GUIDEWIRE ERCP ACROBAT,351.0,,27.95,315.9,114
HCPCS,C1769,GUIDEWIRE FIXED CORE,60.0,,18.5,74.7,171
HCPCS,C1769,GUIDEWIRE GLIDEWIRE,509.0,,27.95,458.1,57
HCPCS,C1769,GUIDEWIRE GLIDEWIRE ADVANTAGE,148.0,,27.95,133.2,57
HCPCS,C1769,GUIDEWIRE GLIDEWIRE GR1806,186.0,,27.95,167.4,57
HCPCS,C1769,GUIDEWIRE GLIDEWIRE GR3506,188.0,,27.95,169.2,57
HCPCS,C1769,GUIDEWIRE GLIDEWIRE GT,498.0,,27.95,448.2,114
HCPCS,C1769,GUIDEWIRE GUIDEZILLA,1138.0,,27.95,1024.2,57
HCPCS,C1769,GUIDEWIRE HI-TORQ BALANCE,243.0,,27.95,218.7,57
HCPCS,C1769,GUIDEWIRE HI-TORQUE PILOT,280.0,,27.95,252.0,57
HCPCS,C1769,GUIDEWIRE HI-TQ WHISPER MS,281.0,,27.95,252.9,57
HCPCS,C1769,GUIDEWIRE HIWIRE G36286,130.0,,27.95,117.0,57
HCPCS,C1769,GUIDEWIRE HUMERAL BALL TIP,389.0,,27.95,350.1,57
HCPCS,C1769,GUIDEWIRE I,441.0,,27.95,396.9,57
HCPCS,C1769,GUIDEWIRE II,1106.0,,27.95,995.4,57
HCPCS,C1769,GUIDEWIRE IMN INST,465.0,,27.95,418.5,57
HCPCS,C1769,GUIDEWIRE IMPELLA 018 2.5,0.01,,0.005,27.95,57
HCPCS,C1769,GUIDEWIRE INQWIRE MERIT,80.0,,27.95,72.0,114
HCPCS,C1769,GUIDEWIRE J&J,96.0,,27.95,86.4,57
HCPCS,C1769,GUIDEWIRE JAGWIRE M00556621,420.0,,27.95,378.0,62
HCPCS,C1769,GUIDEWIRE JNJ SV,225.0,,27.95,202.5,114
HCPCS,C1769,GUIDEWIRE LUGE/CHOICE HYDROPH,271.0,,27.95,243.9,114
HCPCS,C1769,GUIDEWIRE LUNDERQUIST G53971,310.0,,27.95,279.0,57
HCPCS,C1769,GUIDEWIRE MAILMAN W/ICE,237.5,,27.95,218.7,228
HCPCS,C1769,GUIDEWIRE MAXXWIRE SUPER STIFF,332.0,,27.95,298.8,114
HCPCS,C1769,GUIDEWIRE MEIER .035X185,102.0,,27.95,91.8,57
HCPCS,C1769,GUIDEWIRE METRO DIRECT 480CM,402.0,,27.95,361.8,57
HCPCS,C1769,GUIDEWIRE METRO DIRECT 600CM,595.0,,27.95,535.5,57
HCPCS,C1769,GUIDEWIRE NEWTON**,213.0,,27.95,191.7,57
HCPCS,C1769,GUIDEWIRE NITINOL,243.0,,27.95,218.7,57
HCPCS,C1769,GUIDEWIRE NITINOL MITEK,144.0,,27.95,129.6,57
HCPCS,C1769,GUIDEWIRE NON THREADED,166.0,,27.95,149.4,57
HCPCS,C1769,GUIDEWIRE NON-THREADED,269.0,,27.95,242.1,57
HCPCS,C1769,GUIDEWIRE PACK K2M,546.0,,27.95,491.4,57
HCPCS,C1769,GUIDEWIRE PACK SINGLE-USE,281.0,,27.95,252.9,57
HCPCS,C1769,GUIDEWIRE PIGTAIL PROTRACK,498.0,,27.95,448.2,171
HCPCS,C1769,GUIDEWIRE PLATINUM PLUS,213.0,,27.95,191.7,57
HCPCS,C1769,GUIDEWIRE PRELUDE**,196.0,,27.95,176.4,57
HCPCS,C1769,GUIDEWIRE PRIMEWIRE PRESTIGE,1552.0,,27.95,1396.8,57
HCPCS,C1769,GUIDEWIRE PTFE COATED,64.0,,27.95,57.6,57
HCPCS,C1769,GUIDEWIRE REOWAVE,290.0,,27.95,261.0,114
HCPCS,C1769,GUIDEWIRE RF POWERWIRE,2633.0,,27.95,2369.7,57
HCPCS,C1769,GUIDEWIRE ROADRUNNER G07640,217.0,,27.95,195.3,62
HCPCS,C1769,GUIDEWIRE ROADRUNNER XS**,213.0,,27.95,191.7,57
HCPCS,C1769,"GUIDEWIRE ROADRUNNER.018""",361.0,,27.95,324.9,57
HCPCS,C1769,GUIDEWIRE ROSEN G01253,94.0,,27.95,84.6,57
HCPCS,C1769,GUIDEWIRE SAVARY GILLIARD 36,362.0,,27.95,325.8,62
HCPCS,C1769,GUIDEWIRE SAVORY,278.0,,27.95,250.2,57
HCPCS,C1769,GUIDEWIRE SHARP SEXTANT II,276.0,,27.95,248.4,57
HCPCS,C1769,GUIDEWIRE SHEATHED BALL TIP,327.0,,27.95,294.3,57
HCPCS,C1769,GUIDEWIRE SILVERWAY 260CM,117.0,,27.95,105.3,57
HCPCS,C1769,GUIDEWIRE SPARTACORE GUIDANT,791.0,,27.95,711.9,57
HCPCS,C1769,GUIDEWIRE STEERABLE STORQ,172.0,,27.95,154.8,57
HCPCS,C1769,GUIDEWIRE STR RUNTHROUGH 180CM,264.0,,27.95,237.6,57
HCPCS,C1769,GUIDEWIRE STRAIGHT AMPLATZ EXT,65.0,,27.95,58.5,57
HCPCS,C1769,GUIDEWIRE STRYKER 1806-0080,247.0,,27.95,222.3,57
HCPCS,C1769,GUIDEWIRE STRYKER 702461,118.0,,27.95,106.2,57
HCPCS,C1769,GUIDEWIRE SYNCHRO,1793.0,,27.95,1613.7,114
HCPCS,C1769,GUIDEWIRE SYNTHES 02.207.007,271.0,,27.95,243.9,57
HCPCS,C1769,GUIDEWIRE SYNTHES 292.722,109.0,,27.95,98.1,57
HCPCS,C1769,GUIDEWIRE SYNTHES 292.727,114.0,,27.95,102.6,57
HCPCS,C1769,GUIDEWIRE TAVR CONFIDA BRECKER,548.0,,27.95,493.2,57
HCPCS,C1769,GUIDEWIRE THREADED,683.0,,27.95,614.7,57
HCPCS,C1769,GUIDEWIRE THREADED 1.1MMX150MM,114.0,,27.95,102.6,57
HCPCS,C1769,GUIDEWIRE THRUWAY 49-297,358.0,,27.95,322.2,57
HCPCS,C1769,GUIDEWIRE THRUWAY M001492921,248.0,,27.95,223.2,57
HCPCS,C1769,GUIDEWIRE THSF,330.0,,27.95,297.0,57
HCPCS,C1769,"GUIDEWIRE TORAY 0.025""X175CM",856.0,,27.95,770.4,57
HCPCS,C1769,GUIDEWIRE TRACER HYBRID,304.0,,27.95,273.6,57
HCPCS,C1769,GUIDEWIRE TRACER METRO,319.0,,27.95,287.1,57
HCPCS,C1769,GUIDEWIRE TRACER METRO 035X260,320.0,,27.95,288.0,57
HCPCS,C1769,GUIDEWIRE V-18,428.0,,27.95,385.2,57
HCPCS,C1769,GUIDEWIRE VASC ASAHI,477.0,,27.95,429.3,57
HCPCS,C1769,GUIDEWIRE VERSACORE HI-TORQUE,249.5,,27.95,228.6,114
HCPCS,C1769,GUIDEWIRE VIPER NITINOL 1.45MM,149.0,,27.95,134.1,57
HCPCS,C1769,GUIDEWIRE VIPERWIRE,344.0,,27.95,309.6,57
HCPCS,C1769,GUIDEWIRE VISIGLIDE 025X450,450.0,,27.95,405.0,57
HCPCS,C1769,GUIDEWIRE X-STIFF STRAIGHT,265.0,,27.95,238.5,57
HCPCS,C1769,GUIDEWIRE ZEBRA,168.0,,27.95,151.2,62
HCPCS,C1769,GUIDEWIRE ZIMMER,192.0,,27.95,172.8,62
HCPCS,C1769,GUIDEWIRE**,0.01,,0.005,27.95,57
HCPCS,C1769,GWIRE ACROBAT CALIBRATED-TIP,439.0,,27.95,395.1,171
HCPCS,C1769,GWIRE ADVANTAGE .035X180,450.0,,27.95,405.0,57
HCPCS,C1769,GWIRE AEQUALIS PERFORM+,309.0,,27.95,278.1,57
HCPCS,C1769,GWIRE AMPLATZ SS .038X180,152.0,,27.95,136.8,57
HCPCS,C1769,GWIRE AMPLATZER 0.035MM 260CM,169.0,,27.95,152.1,57
HCPCS,C1769,GWIRE ASAHI CHIKAI 008,1106.0,,27.95,995.4,57
HCPCS,C1769,GWIRE BENTSON CEREBRAL 35-180,57.0,,27.95,51.3,57
HCPCS,C1769,GWIRE BSX FATHOM,568.0,,27.95,511.2,114
HCPCS,C1769,GWIRE CONFIDA .035X260CM,527.0,,27.95,474.3,57
HCPCS,C1769,GWIRE GLIDEWIRE-HC STD 038 ANG,153.0,,27.95,137.7,57
HCPCS,C1769,GWIRE GLIDEWIRE-HC STF 035 A,173.0,,27.95,155.7,62
HCPCS,C1769,GWIRE HYDRO REG ANG 035X450,507.0,,27.95,456.3,57
HCPCS,C1769,GWIRE LUNDERQUIST .035INX300CM,300.0,,27.95,270.0,57
HCPCS,C1769,GWIRE LUNDERQUIST G31453,387.0,,27.95,348.3,114
HCPCS,C1769,GWIRE MINI STICK**,62.0,,27.95,55.8,228
HCPCS,C1769,GWIRE NITINOL,119.0,,27.95,107.1,57
HCPCS,C1769,GWIRE NITREX .014 INT 80CM,242.0,,27.95,217.8,114
HCPCS,C1769,GWIRE PLAT PLUS ST,224.0,,27.95,201.6,57
HCPCS,C1769,GWIRE REUTER TIP DEFLECTING,217.0,,27.95,195.3,114
HCPCS,C1769,GWIRE RUNTHROUGH,264.0,,27.95,237.6,114
HCPCS,C1769,GWIRE RUNTHROUGH HYPERCOAT,330.0,,27.95,297.0,57
HCPCS,C1769,GWIRE SAVARY GILLIARD 200CM,320.0,,27.95,288.0,114
HCPCS,C1769,GWIRE TEMP BIPOLAR MC STR,94.0,,27.95,84.6,57
HCPCS,C1769,GWIRE TRACER MET DIR 21X260,345.0,,27.95,310.5,57
HCPCS,C1769,GWIRE TRACER METRO DIRECT .035,332.0,,27.95,298.8,114
HCPCS,C1769,GWIRE TRANS JEJUNAL**,327.0,,27.95,294.3,57
HCPCS,C1769,GWIRE TROC TIP W/LASER LINE,78.0,,27.95,70.2,57
HCPCS,C1769,GWIRE VERSACORE .035X260 MOD J,305.0,,27.95,274.5,57
HCPCS,C1769,GWIRE VOLO 14 SFT 200CM,820.0,,27.95,738.0,57
HCPCS,C1769,GWRE ESOPH MARK SPRING TIP 210,691.0,,27.95,621.9,57
HCPCS,C1769,HYDROCYLIC WIRE GUIDE,109.0,,27.95,98.1,57
HCPCS,C1769,INTR TRACHEOS RHINO TRAY,701.0,,27.95,630.9,57
HCPCS,C1769,INTRO KIT GASTRO FEEDING TUBE,559.0,,27.95,503.1,57
HCPCS,C1769,INTRO TRACH TRAY BLUE RHINO,778.0,,27.95,700.2,57
HCPCS,C1769,KIT AVALONELITE 210CM,476.0,,27.95,428.4,57
HCPCS,C1769,KIT INSERT LINEAR W/GUIDEWIRE,316.0,,27.95,284.4,57
HCPCS,C1769,KWIRE CARBOFIX,264.0,,27.95,237.6,57
HCPCS,C1769,"LONG, GUIDE WIRE",154.0,,27.95,138.6,57
HCPCS,C1769,MEDTRONIC COUGAR WIRE,461.0,,27.95,414.9,57
HCPCS,C1769,OFFSET DELTA WIRE GUIDE,1247.0,,27.95,1122.3,62
HCPCS,C1769,ROSEN WIRE .035 260,72.0,,27.95,64.8,57
HCPCS,C1769,SMOOTH GUIDE WIRE,140.0,,27.95,126.0,62
HCPCS,C1769,SPHINCTEROTOME 44 .035X450CM,561.0,,27.95,504.9,62
HCPCS,C1769,SPHINCTEROTOME FUSION OMNI,507.0,,27.95,456.3,57
HCPCS,C1769,SPHINCTEROTOME OMNI-TOME FUS,643.0,,27.95,578.7,57
HCPCS,C1769,SPHINCTEROTOME V-SYS CLEVERCUT,363.0,,27.95,326.7,57
HCPCS,C1769,SPHNTM ENDO 260CM 3.9FR 20MM,747.0,,27.95,672.3,62
HCPCS,C1769,SPHNTM ENDO 4.4FR 20MM W/GWIRE,526.0,,27.95,473.4,62
HCPCS,C1769,SPHNTM ENDO 4.4FR 30MM W/GWIRE,710.0,,27.95,639.0,62
HCPCS,C1769,SPRING WIRE GUIDE,30.0,,15.0,27.95,57
HCPCS,C1769,STARTER GUIDEWIRE M001491770,204.0,,27.95,183.6,55
HCPCS,C1769,STEERABLE GUIDEWIRE BOST SCI,158.0,,27.95,142.2,62
HCPCS,C1769,TRACH PERC BLUE RHINO 8,701.0,,27.95,630.9,57
HCPCS,C1769,VIPERWIRE FLEX ADV 0.014,377.0,,27.95,339.3,62
HCPCS,C1769,WIRE BENTSON 180CM,216.0,,27.95,194.4,57
HCPCS,C1769,WIRE COMMAND .018LT 25CM 300CM,330.0,,27.95,297.0,57
HCPCS,C1769,WIRE GUIDE HYDROPHILIC,382.0,,27.95,343.8,57
HCPCS,C1769,Z*GWIRE ABBOTT**,52.0,,26.0,46.8,114
HCPCS,C1769,Z*GWIRE ACCESS KIT NONVASC**,143.0,,27.95,128.7,57
HCPCS,C1769,Z*Z*GUIDEWIRE IMPELLA 018 2.5,0.01,,0.005,27.95,57
HCPCS,C1771,BOSTON SCIENTIFIC ADVANCE XP,12292.0,,1948.58,11062.8,62
HCPCS,C1771,SLING URETHRAL OBTRYX CURVED,3021.0,,1510.5,2718.9,62
HCPCS,C1771,SYS GYNECARE TVT W/SLING GRAFT,2804.0,,1402.0,2523.6,62
HCPCS,C1771,SYS SLING MALE ADVANCE XP,13636.0,,1948.58,12272.4,62
HCPCS,C1771,SYSTEM DESARA SLING,1968.0,,984.0,1948.58,62
HCPCS,C1771,SYSTEM SLING MALE ADVANCE,12383.0,,1948.58,11144.7,62
HCPCS,C1771,VIRTUE MALE SLING COLOPLAST,9964.0,,1948.58,8967.6,62
HCPCS,C1772,IMPLANTABLE SYS FOR REMODULIN,24765.0,,12382.5,22288.5,62
HCPCS,C1772,PUMP INF SYNCHROMED 8637-20,24859.0,,12429.5,22373.1,62
HCPCS,C1772,PUMP PAIN SYNCHROMED II,24619.0,,12309.5,22157.1,62
HCPCS,C1773,DEVICE GRASPING TALON,407.0,,70.07,366.3,57
HCPCS,C1773,DVC GRASPING TALON 2.5MMX160CM,376.0,,70.07,338.4,57
HCPCS,C1773,DVC RETRIEVAL ONO LAAO,17789.0,,70.07,16010.1,114
HCPCS,C1773,FILTER VC GUNTHER TULIP RETRVL,484.0,,70.07,435.6,57
HCPCS,C1773,K-WIRE-MEDARTIS,231.0,,70.07,207.9,62
HCPCS,C1773,LEAD LOCKING SPECTRANETICS,3415.0,,70.07,3073.5,57
HCPCS,C1773,RETREIVAL DEVICE ENSNARE,736.0,,70.07,662.4,114
HCPCS,C1773,RETREIVAL DEVICE MEDTRONIC,2158.0,,70.07,1942.2,171
HCPCS,C1773,RETREIVAL DEVICE MICRO MEDTR,1367.0,,70.07,1230.3,57
HCPCS,C1773,RETREIVAL SET MULTI-SNARE,620.5,,70.07,558.9,171
HCPCS,C1773,RETRIEVAL DEVICE BARD,973.0,,70.07,875.7,57
HCPCS,C1773,RETRIEVAL DEVICE ENSNARE,736.0,,70.07,662.4,57
HCPCS,C1773,RETRIEVAL DEVICE MICRO MEDTR,2334.0,,70.07,2100.6,57
HCPCS,C1773,"RETRIEVAL DEVICE, SNARE",644.0,,70.07,579.6,57
HCPCS,C1773,RETRIEVER 3D PENUMBRA,11933.0,,70.07,10739.7,57
HCPCS,C1773,RETRIEVER TREVO PROVUE SYSTEM,18869.0,,70.07,16982.1,57
HCPCS,C1773,SEPARATOR PENUMBRA,7715.0,,70.07,6943.5,57
HCPCS,C1773,SEPARATOR PENUMBRA MAX,6568.0,,70.07,5911.2,57
HCPCS,C1773,SET SNARE RETRIEVAL KIT SNGL,540.0,,70.07,486.0,114
HCPCS,C1773,SET SNARE RETRIEVAL KIT TRPL,720.0,,70.07,648.0,114
HCPCS,C1773,SHEATH DIL TIGHTRAIL,5048.0,,70.07,4543.2,57
HCPCS,C1773,SHEATH DIL TIGHTRAIL MINI,3898.0,,70.07,3508.2,57
HCPCS,C1773,SHEATH DIL TIGHTRAIL SUB-C,3898.0,,70.07,3508.2,57
HCPCS,C1773,SHEATH DILATOR EVOLUTION 9F,2946.0,,70.07,2651.4,57
HCPCS,C1773,SNARE AMPLATZ 35MM,1540.0,,70.07,1386.0,57
HCPCS,C1773,SNARE ELITE EXPRO,800.0,,70.07,720.0,57
HCPCS,C1773,SNARE GOOSENECK KIT EV3 GN2500,644.0,,70.07,579.6,57
HCPCS,C1773,SNARE NEEDLES EYE G26517,2759.0,,70.07,2483.1,57
HCPCS,C1773,SNARE NEEDLES EYE LR-NES001,2819.0,,70.07,2537.1,57
HCPCS,C1773,SNARE RETRIEVAL KIT BARD SRK30,527.0,,70.07,474.3,57
HCPCS,C1773,SNARE RETRIEVAL KIT PFM 147305,564.0,,70.07,507.6,57
HCPCS,C1773,STYLET LOCKING LIBERATOR,1242.0,,70.07,1117.8,57
HCPCS,C1773,SYS EN SNARE 6F 9-15MM,673.0,,70.07,605.7,57
HCPCS,C1773,SYSTEM EN SNARE,863.0,,70.07,808.2,228
HCPCS,C1776,15X120 STEM,5868.0,,2374.28,5281.2,62
HCPCS,C1776,30MM CENTRAL POST MODULAR,1854.0,,927.0,2374.28,62
HCPCS,C1776,70MM TIBIAL KNEE CEMENT MOLD,2982.0,,1491.0,2683.8,62
HCPCS,C1776,8.5CM SEGMENTAL FMRL LEFT,12375.0,,2374.28,11137.5,62
HCPCS,C1776,ACERTAB CLIP SHELL,3688.0,,1844.0,3319.2,62
HCPCS,C1776,ACERTABULAR LINER,1570.0,,785.0,2374.28,62
HCPCS,C1776,ACET HIP LNR BI-MENTUM ALTRX,1638.0,,819.0,2374.28,62
HCPCS,C1776,ACET INSERT TRIDENT X3,1109.0,,554.5,2374.28,62
HCPCS,C1776,ACET INSR TRIDENT XFIRE,1634.0,,817.0,2374.28,62
HCPCS,C1776,ACET LINER DURALOC CONST,7024.0,,2374.28,6321.6,62
HCPCS,C1776,ACET SHELL TRIDENT II,4613.0,,2306.5,4151.7,62
HCPCS,C1776,ACET SHELL TRIDENT PSL HA,2391.0,,1195.5,2374.28,62
HCPCS,C1776,ACETAB CUP BHR HAP W/IMP,6815.0,,2374.28,6133.5,62
HCPCS,C1776,ACETAB INSERT CROSSFIRE II,1779.0,,889.5,2374.28,62
HCPCS,C1776,ACETAB LINER G7 DUAL-MOB,1438.0,,719.0,2374.28,62
HCPCS,C1776,ACETAB VIVACIT E PE G7,3081.0,,1540.5,2772.9,62
HCPCS,C1776,ACETABULAR LINER,39483.0,,2374.28,35534.7,62
HCPCS,C1776,ACETABULAR LINER G7 VIV-E,1468.0,,734.0,2374.28,62
HCPCS,C1776,ACETABULAR LINER HIGH WALL E1,1996.0,,918.0,2374.28,124
HCPCS,C1776,ACTIS DUOFIX HIP PROSTH STEM,3230.0,,1615.0,2907.0,62
HCPCS,C1776,AEQUALIS FLX REV PTC PROX BODY,10780.0,,2374.28,9702.0,62
HCPCS,C1776,ALIGN RADIAL HEAD,4068.0,,2034.0,3661.2,62
HCPCS,C1776,ALIGN RADIAL STEM 01,4324.0,,2162.0,3891.6,62
HCPCS,C1776,ALIGN RADIAL STEM 02,4324.0,,2162.0,3891.6,62
HCPCS,C1776,ALTEON CUP G3,1537.0,,768.5,2374.28,62
HCPCS,C1776,ALTEON HA FEMORAL STEM PF,21474.0,,2374.28,19326.6,62
HCPCS,C1776,ALTIVATE ANATOM OFFSET HUM HD,2390.0,,1195.0,2374.28,62
HCPCS,C1776,ALTIVATE REV GLENOID CANN TAP,1260.0,,630.0,2374.28,62
HCPCS,C1776,ANATOMIC RADIAL HEAD SYS,5738.0,,2374.28,5164.2,62
HCPCS,C1776,ANATOMIC RADIAL HEAD SYS STEM,6658.0,,2374.28,5992.2,62
HCPCS,C1776,ANKLE TALUS-RTLIFENET ATR80,13530.0,,2374.28,12177.0,62
HCPCS,C1776,ARCOS CON SZ A HI 70MM,1960.0,,980.0,2374.28,62
HCPCS,C1776,ART SURF PERSONA CR PLY,1621.0,,810.5,2374.28,62
HCPCS,C1776,ARTICULATION KIT SZ 5,2874.0,,1437.0,2586.6,62
HCPCS,C1776,AVENIR COMPL HIP HIGH OFFSET,3602.0,,1801.0,3241.8,62
HCPCS,C1776,AVENIR MULLER STANDARD STEM 5,4830.0,,2374.28,4347.0,62
HCPCS,C1776,BASEPLT COMPREHENSIVE MINI 25,4244.0,,2122.0,3819.6,62
HCPCS,C1776,BEAR IMPL MICAH 1000,9784.0,,2374.28,8805.6,62
HCPCS,C1776,BEAR TIB VANGUARD PLS 79/83X12,1370.0,,685.0,2374.28,62
HCPCS,C1776,BEARING HUML COMPREHENSIVE REV,3344.0,,1672.0,3009.6,62
HCPCS,C1776,BEARING PERSONA,1363.0,,681.5,2374.28,62
HCPCS,C1776,BEARING TIB KNEE REV VANGUARD,3778.0,,1889.0,3400.2,62
HCPCS,C1776,BEARING TIB OXFORD PART,3185.0,,1592.5,2866.5,62
HCPCS,C1776,BEARING TIB VANGUARD COMP RE,1254.0,,627.0,2374.28,62
HCPCS,C1776,BEARING TIB VANGUARD COMP REV,1524.5,,747.5,2374.28,124
HCPCS,C1776,BEARING TIB VANGUARD COMP REV2,4222.0,,2111.0,3799.8,62
HCPCS,C1776,BENCOX MIRABO PF LINER,3546.0,,1773.0,3191.4,62
HCPCS,C1776,BI MENTUM PRESSFIT CUP,2318.0,,1159.0,2374.28,62
HCPCS,C1776,BIO-MOD BIPOLAR SHOULDER,1814.0,,907.0,2374.28,62
HCPCS,C1776,BIOGRIP COLLAR,10515.0,,2374.28,9463.5,62
HCPCS,C1776,BIOLOX DELTA FEM HEADZIMMER,1753.0,,876.5,2374.28,62
HCPCS,C1776,C/M PIN/BUSHING REV KIT,2577.0,,1288.5,2374.28,62
HCPCS,C1776,CAGE GLENOID MED EQUINOXE,1519.0,,759.5,2374.28,62
HCPCS,C1776,CEMENT FEM KNEE ATTUNE PS,2430.0,,1215.0,2374.28,62
HCPCS,C1776,CEMENTED POLARCUP SHELL,2301.0,,1150.5,2374.28,62
HCPCS,C1776,CENTERED REVERSED TRAY,3181.0,,1590.5,2862.9,62
HCPCS,C1776,CENTRAL POST MODULAR,1779.0,,889.5,2374.28,62
HCPCS,C1776,COATED SHLDER HUM STEM PROST,7955.0,,2374.28,7159.5,62
HCPCS,C1776,COLLARLESS BEADED MIDCOAT STD,4644.0,,2322.0,4179.6,62
HCPCS,C1776,COLUMBUS REV F HC GLID SURF 16,3581.0,,1790.5,3222.9,62
HCPCS,C1776,COMP SRS NEXEL DST BODY,12264.0,,2374.28,11037.6,62
HCPCS,C1776,COMP SRS/NEXEL ELBOW DST BODY,12264.0,,2374.28,11037.6,62
HCPCS,C1776,COMPONENT TIBIAL CR ALL POLY,3089.0,,1544.5,2780.1,62
HCPCS,C1776,COMPONENT TIBIAL CR ALL POLY 1,3068.0,,1534.0,2761.2,62
HCPCS,C1776,COMPREHENSIVE SRS IC SEG 90MM,19040.0,,2374.28,17136.0,62
HCPCS,C1776,CONDYLE KIT WITH SCREWS,6934.0,,2374.28,6240.6,62
HCPCS,C1776,CONE TIB TRABECULAR,9401.0,,2374.28,8460.9,62
HCPCS,C1776,CONSTRAINED HUMERAL LINER,4589.0,,2294.5,4130.1,62
HCPCS,C1776,CPR FRACTR STEM PPS,7088.0,,2374.28,6379.2,62
HCPCS,C1776,CRANIAL CURVE POLYETHYLENE,2572.0,,1286.0,2374.28,62
HCPCS,C1776,CUSTOM RESTOR3D BASEPLATE,28791.0,,2374.28,25911.9,62
HCPCS,C1776,DISC CERVICAL PRESITGE 6X14MM,8761.0,,2374.28,7884.9,62
HCPCS,C1776,DISC HUM 4X150MM RT FLANGED C,11702.0,,2374.28,10531.8,62
HCPCS,C1776,DISTAL FEMORAL COMPONENT,907.0,,453.5,2374.28,62
HCPCS,C1776,DUAL MOBILITY COCR LINER,1495.0,,747.5,2374.28,62
HCPCS,C1776,DUAL MOBILITY SYSTEM 01,3040.0,,1520.0,2736.0,62
HCPCS,C1776,DUAL MOBILITY SYSTEM 02,5673.0,,2374.28,5105.7,62
HCPCS,C1776,DUAL MOBILITY TRINITY LINER,1266.0,,633.0,2374.28,62
HCPCS,C1776,E-DUR INSERT SHOULDER 5MM,1215.0,,607.5,2374.28,62
HCPCS,C1776,ECHO POR FEMORAL FPP NC,3464.0,,1732.0,3117.6,62
HCPCS,C1776,ELEOS MALE-FEMALE MIDSECTION,6235.0,,2374.28,5611.5,62
HCPCS,C1776,ELEOS SALVAGE SYS CEMENTED 02,7960.0,,2374.28,7164.0,62
HCPCS,C1776,ELIPTICL SEGMNTL FMRL LT 8.5CM,13921.0,,2374.28,12528.9,62
HCPCS,C1776,EMPHASYS ACET SHELL MULTI-HOLE,6385.0,,2374.28,5746.5,62
HCPCS,C1776,EMPHASYS ACETABULAR CEMENTLESS,1779.0,,889.5,2374.28,62
HCPCS,C1776,EMPHASYS DUAL MOBILITY LINER,4365.0,,2182.5,3928.5,62
HCPCS,C1776,EMPHASYS FEMORAL STEMDEPUY,3359.0,,1679.5,3023.1,62
HCPCS,C1776,EMPHASYS MOBILE BEARING HEAD,3629.0,,1814.5,3266.1,62
HCPCS,C1776,EMPOWER 3D FEMUR PORUS COATED,20273.0,,2374.28,18245.7,62
HCPCS,C1776,EMPOWER 3D KNEE TIB INSERT,3662.0,,1831.0,3295.8,62
HCPCS,C1776,EMPOWER FEMUR NON PORUS SZT LT,2569.0,,1284.5,2374.28,62
HCPCS,C1776,EMPOWER TIB PORROUS COATEDRT,1558.0,,779.0,2374.28,62
HCPCS,C1776,"EMPOWR KNEE, STEM EXTENDER",3744.0,,1872.0,3369.6,62
HCPCS,C1776,EQUINOXE CAGEGLENOID POST AUG,1106.0,,553.0,2374.28,62
HCPCS,C1776,EQUX REVERSE HUM CONST LINER,1725.0,,862.5,2374.28,62
HCPCS,C1776,EXULT TIBIAL INSERT,4570.0,,2285.0,4113.0,62
HCPCS,C1776,FEM BODY EXPRT STD PROX,4929.0,,2374.28,4436.1,62
HCPCS,C1776,FEM COMP JOURNEY II BCS,3539.0,,1769.5,3185.1,62
HCPCS,C1776,FEM COMP LEGION CEM CR,6357.0,,2374.28,5721.3,62
HCPCS,C1776,FEM COMP NEXGEN ROT,4904.0,,2374.28,4413.6,62
HCPCS,C1776,FEM COMP OXFORD PARTIAL,6236.0,,2374.28,5612.4,62
HCPCS,C1776,FEM COMP PERSONA CR PLS,11764.0,,2374.28,10587.6,62
HCPCS,C1776,FEM COMP PERSONA PS STD,3164.5,,1460.5,3067.2,124
HCPCS,C1776,FEM COMPONENT KNEE REV VANGURD,11555.0,,2374.28,10399.5,62
HCPCS,C1776,FEM HD BIOL D OPT 28 3.5,2852.0,,1426.0,2566.8,62
HCPCS,C1776,FEM HD BIOL D OPT 36 0,2547.0,,1273.5,2374.28,62
HCPCS,C1776,FEM HEAD BILOX DELTA,637.0,,318.5,2374.28,62
HCPCS,C1776,FEM HEAD BIOLOX DEL CER,2734.0,,1367.0,2460.6,62
HCPCS,C1776,FEM HEAD MOD BIPOLAR I,2213.0,,1106.5,2374.28,62
HCPCS,C1776,FEM HIP STEM S-ROM 11/13,3037.0,,1518.5,2733.3,62
HCPCS,C1776,FEM KNEE COMP ATTUNE SYNTHES,3847.0,,1923.5,3462.3,62
HCPCS,C1776,FEM KNEE COMP MRH,1424.0,,712.0,2374.28,62
HCPCS,C1776,FEM LPS-FLEX PRECOAT,3853.0,,1926.5,3467.7,62
HCPCS,C1776,FEM PERSONA CR STD CMT,2921.0,,1460.5,2628.9,62
HCPCS,C1776,FEM STEM OSS IM CMT,3921.0,,1960.5,3528.9,62
HCPCS,C1776,FEMORAL COMPONENT SZ12,2765.0,,1382.5,2488.5,62
HCPCS,C1776,FEMORAL HEAD CERAMIC 36MM,889.0,,444.5,2374.28,62
HCPCS,C1776,FEMORAL HEAD TAPER,1417.0,,708.5,2374.28,62
HCPCS,C1776,FEMORAL STEM TAPER DEPUY,4423.0,,2211.5,3980.7,62
HCPCS,C1776,FEMUR CARB COLUMBUS AS REV,8717.0,,2374.28,7845.3,62
HCPCS,C1776,FEMUR KNEE 3D N-POREMPOWER,17221.0,,2374.28,15498.9,62
HCPCS,C1776,FIXED-BEARING ANKLE PROSTH,4768.0,,2374.28,4291.2,62
HCPCS,C1776,FLANGED HUMERAL STEM RIGHT,4501.0,,2250.5,4050.9,62
HCPCS,C1776,FLAT PE HC LINER,936.0,,468.0,2374.28,62
HCPCS,C1776,G7 OSSEOTI ACETABULAR SHELL,2142.0,,1071.0,2374.28,62
HCPCS,C1776,GLENOID AEQUALIS PERFORM,6609.0,,2374.28,5948.1,124
HCPCS,C1776,GLENOID FOSSA PROSTHESIS,3510.0,,1755.0,3159.0,62
HCPCS,C1776,GLENOID POST MODULAR HYBRID,861.0,,430.5,2374.28,62
HCPCS,C1776,GLENOID UNIVERS II,2297.0,,1148.5,2374.28,62
HCPCS,C1776,GLENOIDSPHERE BASPLATE 25MM,7276.0,,2374.28,6548.4,62
HCPCS,C1776,GLENOSPHER VERSA-DIAL COMP REV,3424.0,,1712.0,3081.6,62
HCPCS,C1776,GLENOSPHERE,3498.5,,1345.5,3875.4,124
HCPCS,C1776,GLENOSPHERE 36MM,8897.0,,2374.28,8007.3,62
HCPCS,C1776,GLENOSPHERE 40MM,8639.0,,2374.28,7775.1,62
HCPCS,C1776,GLENOSPHERE CONCENTRIC,7968.0,,2374.28,7171.2,62
HCPCS,C1776,GLENOSPHERE ECCENTRIC,6634.0,,2374.28,5970.6,62
HCPCS,C1776,GLENOSPHERE LINK 320-31-40,2633.0,,1316.5,2374.28,62
HCPCS,C1776,GLENOSPHERE UNIVERS REV,4044.0,,2022.0,3639.6,62
HCPCS,C1776,GLENOSPHERE VERSA-DIAL,4254.0,,2127.0,3828.6,62
HCPCS,C1776,GLOBAL UNITE BODY SZ 10 -5,21081.0,,2374.28,18972.9,62
HCPCS,C1776,GLOBAL UNITE HEAD,1980.0,,990.0,2374.28,62
HCPCS,C1776,GLOBAL UNITE REV STEM SIZE 6,8092.0,,2374.28,7282.8,62
HCPCS,C1776,GMK HINGE FEMORAL COMPONENT,13086.0,,2374.28,11777.4,62
HCPCS,C1776,GMK HINGE TIBIAL TRAY MEDACTA,6850.0,,2374.28,6165.0,62
HCPCS,C1776,GRAFT STENT ENDURANT AAA,25523.0,,2374.28,22970.7,62
HCPCS,C1776,HEAD FEM G7 FREEDOM COCR,2071.0,,1035.5,2374.28,62
HCPCS,C1776,HEAD FEM V40 COCR 28 -4,920.0,,460.0,2374.28,62
HCPCS,C1776,HEAD FEMORAL 48MM,7200.0,,2374.28,6480.0,62
HCPCS,C1776,HEAD FMRL 12/14 COCR 28MM +7,884.0,,442.0,2374.28,62
HCPCS,C1776,HEAD MOD RINGLOC THA,920.0,,460.0,2374.28,62
HCPCS,C1776,HERITAGE PROX CENTRLZR,163.0,,81.5,2374.28,62
HCPCS,C1776,HIP ACET SHELL PINNACLE,6667.0,,2374.28,6000.3,62
HCPCS,C1776,HIP NAT POROUS COLLARD 3 RT,4644.0,,2322.0,4179.6,62
HCPCS,C1776,HIP PROSTHESIS STEM,7999.0,,2374.28,7542.9,124
HCPCS,C1776,HIP STEM SPARTAN SIGNATURE,3542.0,,1771.0,3187.8,62
HCPCS,C1776,HMRL BEARING 36MM STD VITE,2174.0,,1039.0,2374.28,124
HCPCS,C1776,HMRL BEARING 40MM STD PRLNG,1593.0,,796.5,2374.28,62
HCPCS,C1776,HMRL TRAY STD STD,3317.0,,1658.5,2985.3,62
HCPCS,C1776,HUM INS ASCEND FLEX RET 36 +6,3286.5,,1361.0,3465.9,124
HCPCS,C1776,HUM INS ASCEND FLEX RET REV 01,2803.0,,1401.5,2522.7,62
HCPCS,C1776,HUM INS ASCEND FLEX RET REV 02,2404.0,,1202.0,2374.28,62
HCPCS,C1776,HUM STEM BIGLIANI/FLATOW,2202.0,,1101.0,2374.28,62
HCPCS,C1776,HUM STEM PLUS SHORT PROSTH,21743.0,,2374.28,19568.7,62
HCPCS,C1776,HUM TRAY ASCEND REV HO +0,4446.0,,2223.0,4001.4,62
HCPCS,C1776,HUM TRAY ASCEND REV HO +6,4295.0,,2147.5,3865.5,62
HCPCS,C1776,HUM TRAY ASCEND REV LO,3419.0,,1709.5,3077.1,62
HCPCS,C1776,HUMERAL BODY,3499.0,,1749.5,3149.1,62
HCPCS,C1776,HUMERAL CUP,7048.0,,2374.28,6343.2,62
HCPCS,C1776,HUMERAL HEAD,8647.0,,2374.28,7782.3,62
HCPCS,C1776,HUMERAL HEAD 50X16MM AEQUALIS,4278.0,,2139.0,3850.2,62
HCPCS,C1776,HUMERAL STEM,5984.0,,2374.28,5385.6,62
HCPCS,C1776,HUMERAL STEM APEX AR-9100-06S,4041.0,,2020.5,3636.9,62
HCPCS,C1776,HUMERAL STEM SHOULDER SHORT,5786.0,,2374.28,5207.4,62
HCPCS,C1776,HUMERAL STEM STANDARD,7426.5,,2374.28,8060.4,124
HCPCS,C1776,HUMERAL STEM SZ5 20MM LG,8262.0,,2374.28,7435.8,62
HCPCS,C1776,HUMERAL TRAY NEURTAL EXT,4702.0,,2351.0,4231.8,62
HCPCS,C1776,IMP ACE LINR LONGEVITY ELEVATE,2364.0,,1182.0,2374.28,62
HCPCS,C1776,IMP ACETAB CUP RINGLOC,920.0,,460.0,2374.28,62
HCPCS,C1776,IMP ACETAB LINER DUR MAR DEPUY,3865.0,,1932.5,3478.5,62
HCPCS,C1776,IMP ANK SULCUS TALR INBN DOME,8014.0,,2374.28,7212.6,62
HCPCS,C1776,IMP ANKLE INSERT INFINITY POLY,4385.5,,1962.5,4361.4,124
HCPCS,C1776,IMP ANKLE INSERT TM PROLONG,3737.0,,1868.5,3363.3,62
HCPCS,C1776,IMP ANKLE SULCUS INBONE,4196.0,,2098.0,3776.4,62
HCPCS,C1776,IMP ANKLE SULCUS INSERT INBONE,3228.0,,1614.0,2905.2,62
HCPCS,C1776,IMP ANKLE TIBIAL STEM INBONE 1,1248.0,,624.0,2374.28,62
HCPCS,C1776,IMP ANKLE TIBIAL STEM INBONE 2,1332.0,,666.0,2374.28,62
HCPCS,C1776,IMP ANKLE TIBIAL STEM INBONE 3,1359.0,,679.5,2374.28,62
HCPCS,C1776,IMP ATTUNE REV RP TIB BASE SZ5,6919.0,,2374.28,6227.1,62
HCPCS,C1776,IMP ATTUNE TIB INS RP CRUCIATE,1685.0,,842.5,2374.28,62
HCPCS,C1776,IMP BIOLOX DELTA 12/14 -3MM,172.0,,86.0,2374.28,62
HCPCS,C1776,IMP CAP ULNAR LATITUDE,2865.0,,1432.5,2578.5,62
HCPCS,C1776,IMP COMP ARTICULAR 8252-0025 W,9585.0,,2374.28,8626.5,62
HCPCS,C1776,IMP COMPONENT ARTICULAR HEMI,10256.0,,2374.28,9230.4,62
HCPCS,C1776,IMP DISTL STEM COLLAR EXACTECH,2760.0,,1380.0,2484.0,62
HCPCS,C1776,IMP ELBOW RADIAL HEAD,7283.0,,2374.28,6554.7,62
HCPCS,C1776,IMP ELBOW RADIAL STEM,6471.0,,2374.28,5823.9,62
HCPCS,C1776,IMP FEM C-TAPER LFIT,986.0,,493.0,2374.28,62
HCPCS,C1776,IMP FEM COMP PERSONA CR PLS,23282.0,,2374.28,20953.8,62
HCPCS,C1776,IMP FEM COMPONENT,3760.0,,1880.0,3384.0,62
HCPCS,C1776,IMP FEM COMPONENT ANTHOLOGY,7572.0,,2374.28,6814.8,62
HCPCS,C1776,IMP FEM COMPONENT CONTRAINED,13172.0,,2374.28,11854.8,62
HCPCS,C1776,IMP FEM COMPONENT PROX NEUTRAL,10128.0,,2374.28,9115.2,62
HCPCS,C1776,IMP FEM COMPONENT S&N 71306115,3760.0,,1880.0,3384.0,62
HCPCS,C1776,IMP FEM COMPONENT UNITY KNEE,3112.0,,962.0,3870.0,124
HCPCS,C1776,IMP FEM CRUCIATE RETAINING,4141.0,,2070.5,3726.9,62
HCPCS,C1776,IMP FEM HEAD G7 FREEDOM,2663.0,,1331.5,2396.7,62
HCPCS,C1776,IMP FEM HEAD UHR BIPOLAR,1849.0,,924.5,2374.28,62
HCPCS,C1776,IMP FEM STEM ARCOS STS DISTAL,6296.0,,2374.28,5666.4,62
HCPCS,C1776,IMP FEMORAL COMP CEMENTED,13853.0,,2374.28,12467.7,62
HCPCS,C1776,IMP FEMORAL HEAD CERAMIC,3226.0,,1613.0,2903.4,62
HCPCS,C1776,IMP FEMORAL HEAD COCR,1235.0,,545.0,2374.28,124
HCPCS,C1776,IMP FEMORAL HEAD ELEOS,2766.0,,1383.0,2489.4,62
HCPCS,C1776,IMP FEMORAL HEAD EXACTECH,893.5,,326.0,2374.28,124
HCPCS,C1776,IMP FEMORAL STEM EXACTECH,4791.0,,2374.28,4311.9,62
HCPCS,C1776,IMP FEMORAL STEM PROXIMAL,5173.0,,2374.28,4655.7,62
HCPCS,C1776,IMP FEMUR RESURFCE ELEOS ONKOS,11007.0,,2374.28,9906.3,62
HCPCS,C1776,IMP HEAD BIPOLAR EUROCONE TAPR,1476.0,,738.0,2374.28,62
HCPCS,C1776,IMP HEAD FEM DELTA CERMIC 40MM,3002.0,,1501.0,2701.8,62
HCPCS,C1776,IMP HEAD FEMORAL 32MM +5,1429.0,,714.5,2374.28,62
HCPCS,C1776,IMP HEAD FEMORAL FFIT V40 TAP,1077.0,,538.5,2374.28,62
HCPCS,C1776,IMP HEAD FEMORAL LFIT V40 TAP,1085.0,,493.0,2374.28,124
HCPCS,C1776,IMP HEAD HUMERAL VERSA-DIAL,3326.0,,1663.0,2993.4,62
HCPCS,C1776,IMP HIP ACE LINR DUAL MOBILITY,3204.0,,1602.0,2883.6,62
HCPCS,C1776,IMP HIP ACE SHELL CLUSTER HOLE,2684.0,,1342.0,2415.6,62
HCPCS,C1776,IMP HIP ACET CUP PINNAC SECTOR,1970.0,,985.0,2374.28,62
HCPCS,C1776,IMP HIP ACET INS TRIDENT CONST,5525.0,,2374.28,4972.5,62
HCPCS,C1776,IMP HIP ACET LINEER PINNACLE 1,7123.0,,2374.28,6410.7,62
HCPCS,C1776,IMP HIP ACET LINEER PINNACLE 2,7085.0,,2374.28,6376.5,62
HCPCS,C1776,IMP HIP ACET LINER FREEDOM,3803.0,,1901.5,3422.7,62
HCPCS,C1776,IMP HIP ACET LINER R3 XLPE,3117.0,,1558.5,2805.3,62
HCPCS,C1776,IMP HIP ACET LINER TRINITY,1725.0,,862.5,2374.28,62
HCPCS,C1776,IMP HIP ACET LINER VITELENE,2369.0,,1184.5,2374.28,62
HCPCS,C1776,IMP HIP ACET LINER X-ALT,1610.0,,805.0,2374.28,62
HCPCS,C1776,IMP HIP ACET SHELL RESTORATI,4208.0,,2104.0,3787.2,62
HCPCS,C1776,IMP HIP ACET SHELL TRITANIUM,5737.0,,2374.28,5163.3,62
HCPCS,C1776,IMP HIP ACETAAB LINER TRINITY,2058.0,,1029.0,2374.28,62
HCPCS,C1776,IMP HIP ACETAB CUP PLASMAFIT,3317.0,,1658.5,2985.3,62
HCPCS,C1776,IMP HIP ACETAB LINER ALTRX,1601.0,,800.5,2374.28,62
HCPCS,C1776,IMP HIP ACETAB LINER VIVACIT E,3031.0,,1515.5,2727.9,62
HCPCS,C1776,IMP HIP ACETAB SHELL CONTINUUM,4375.0,,1943.0,4377.6,124
HCPCS,C1776,IMP HIP ACETAB SHELL PROTRUSIO,3568.0,,1784.0,3211.2,62
HCPCS,C1776,IMP HIP ACETAB SHELL TM,7338.0,,2374.28,6604.2,62
HCPCS,C1776,IMP HIP ACETABULAR LINER,3143.0,,1571.5,2828.7,62
HCPCS,C1776,IMP HIP ACETABULAR LINER 40X62,6832.0,,2374.28,6148.8,62
HCPCS,C1776,IMP HIP ACETABULAR SHELL,2379.0,,1189.5,2374.28,62
HCPCS,C1776,IMP HIP ACETABULAR SHELL G7,5317.5,,2338.0,5363.1,124
HCPCS,C1776,IMP HIP ACETABULAR SHELL R3,3379.0,,1150.5,3609.0,248
HCPCS,C1776,IMP HIP BALL JOINT HOFFMAN,1935.0,,967.5,2374.28,62
HCPCS,C1776,IMP HIP BUTTRESS GRIPTION TF,4726.0,,2146.5,4643.1,124
HCPCS,C1776,IMP HIP CUP MULTIHOLE INTEGRIP,5625.0,,2374.28,5062.5,62
HCPCS,C1776,IMP HIP FEM HD REV BIOLOX DLTA,2261.0,,1130.5,2374.28,62
HCPCS,C1776,IMP HIP FEM HEAD ARTICUL/EZE M,597.0,,298.5,2374.28,62
HCPCS,C1776,IMP HIP FEM HEAD BIOLOX,1680.0,,840.0,2374.28,62
HCPCS,C1776,IMP HIP FEM HEAD DELTA CERAMIC,2153.5,,575.5,2840.4,124
HCPCS,C1776,IMP HIP FEM HEAD DELTA TS REV,4045.5,,1782.5,4073.4,124
HCPCS,C1776,IMP HIP FEM HEAD ISODUR,526.0,,263.0,2374.28,62
HCPCS,C1776,IMP HIP FEM HEAD MOD BIO-MOORE,986.0,,493.0,2374.28,62
HCPCS,C1776,IMP HIP FEM HEAD SROM,1476.0,,738.0,2374.28,62
HCPCS,C1776,IMP HIP FEM HEAD ULTAMET ARTIC,1680.0,,840.0,2374.28,62
HCPCS,C1776,IMP HIP FEM STEM ACROS,7031.0,,2374.28,6327.9,62
HCPCS,C1776,IMP HIP FEM STEM EXTEN GMRS,5632.0,,2374.28,5068.8,62
HCPCS,C1776,IMP HIP FEM STEM METHA,3673.0,,1836.5,3305.7,62
HCPCS,C1776,IMP HIP FEM STEM REDAPT MOD PF,33975.0,,2374.28,30577.5,62
HCPCS,C1776,IMP HIP FEMORAL HEAD COCR,1184.0,,592.0,2374.28,62
HCPCS,C1776,IMP HIP FEMORAL HEAD CORAIL,3751.0,,1875.5,3375.9,62
HCPCS,C1776,IMP HIP FEMORAL STEM CORAIL,5023.0,,2374.28,4520.7,62
HCPCS,C1776,IMP HIP INSERT TRIDENT X3,1725.0,,862.5,2374.28,62
HCPCS,C1776,IMP HIP MEM STEM EXCIA,2606.0,,1303.0,2374.28,62
HCPCS,C1776,IMP HIP MOD HEAD G7 TYPE-1,986.0,,493.0,2374.28,62
HCPCS,C1776,IMP HIP REVIVAL DISTAL COMP,2391.0,,1106.5,6630.3,186
HCPCS,C1776,IMP HIP REVIVAL PORX COMP,2154.0,,1077.0,2374.28,62
HCPCS,C1776,IMP HIP REVIVAL PROX COMP,3595.0,,1797.5,3235.5,62
HCPCS,C1776,IMP HIP SHELL GRIPTION MULTI 3,5434.0,,2374.28,4890.6,62
HCPCS,C1776,IMP HIP SHELL HEMISPHERICAL,2186.0,,1093.0,2374.28,62
HCPCS,C1776,IMP HIP STEM APS NATURAL SYS,4830.0,,2374.28,4347.0,62
HCPCS,C1776,IMP HIP STEM CORIN,4682.0,,2341.0,4213.8,62
HCPCS,C1776,IMP HIP STEM CORIN REVISION,6664.0,,2374.28,5997.6,62
HCPCS,C1776,IMP HIP STEM CPT,3794.0,,1897.0,3414.6,62
HCPCS,C1776,IMP HIP STEM EMPERION 01,4027.0,,2013.5,3624.3,62
HCPCS,C1776,IMP HIP STEM FEM REDUCED PROX,4830.0,,2374.28,4347.0,62
HCPCS,C1776,IMP HIP STEM LPS 01,8066.0,,2374.28,7259.4,62
HCPCS,C1776,IMP HIP STEM LPS 02,7404.0,,2374.28,6663.6,62
HCPCS,C1776,IMP HIP STEM LPS 03,7722.0,,2374.28,6949.8,62
HCPCS,C1776,IMP HIP STEM M/L TAPER PROSTH,4830.0,,2374.28,4347.0,62
HCPCS,C1776,IMP HIP STEM PERSONA,2391.0,,1195.5,2374.28,62
HCPCS,C1776,IMP HIP STEM PLUS,4114.0,,2057.0,3702.6,62
HCPCS,C1776,IMP HIP STEM PRESS-FIT L BOWED,8990.0,,2374.28,8091.0,62
HCPCS,C1776,IMP HIP STEM SYNTHES,6986.0,,2374.28,6287.4,62
HCPCS,C1776,IMP HIP STEM TAPERLOC,4974.0,,2374.28,4476.6,62
HCPCS,C1776,IMP HIP TROCHANTER STANMORE,11031.0,,2374.28,9927.9,62
HCPCS,C1776,IMP HUM HEAD AEQUALIS LOWOFFST,7126.0,,2374.28,6772.5,124
HCPCS,C1776,IMP HUM HEAD FLEX HIGHOFFSET,7384.0,,2374.28,6645.6,62
HCPCS,C1776,IMP HUM MOD HEAD BIXCUT 9MM,631.0,,315.5,2374.28,62
HCPCS,C1776,IMP HUM STEM COMPREHENSIVE SEG,6629.0,,2374.28,5966.1,62
HCPCS,C1776,IMP HUM STEM DISTAL EXACTECH,8596.0,,2374.28,7736.4,62
HCPCS,C1776,IMP HUMER REVERS TRAY,3037.0,,1518.5,2733.3,62
HCPCS,C1776,IMP HUMERAL FRACTURE STEM,6691.0,,2374.28,6021.9,62
HCPCS,C1776,IMP HUMERAL INSERT AR-9503M-06,1901.0,,950.5,2374.28,62
HCPCS,C1776,IMP HUMERAL STEM,8725.0,,2374.28,7852.5,62
HCPCS,C1776,IMP INSERT KNEE TIBIAL 01,2406.0,,1203.0,2374.28,62
HCPCS,C1776,IMP INSERT KNEE TIBIAL 03,2359.0,,1179.5,2374.28,62
HCPCS,C1776,IMP INSERT KNEE TRIATHLON,2391.0,,1195.5,2374.28,62
HCPCS,C1776,IMP INSERT REV HUM RETENTIVE,4362.0,,2181.0,3925.8,62
HCPCS,C1776,IMP INSERT TIBIAL UNITY KNEE,1742.0,,871.0,2374.28,62
HCPCS,C1776,IMP INSERT TOTAL KNEE LEGION 1,2710.0,,1355.0,2439.0,62
HCPCS,C1776,IMP INSERT TOTAL KNEE LEGION 2,2773.0,,1386.5,2495.7,62
HCPCS,C1776,IMP JOURNEY XLPE ARTICULAR INS,7497.0,,2374.28,6747.3,62
HCPCS,C1776,IMP KN TIB INS TRITHLN,3698.0,,1849.0,3328.2,62
HCPCS,C1776,IMP KNEE ART SURFACE NEXGEN,1304.0,,652.0,2374.28,62
HCPCS,C1776,IMP KNEE BASEPLT TIB TRIATHLON,2391.0,,1195.5,2374.28,62
HCPCS,C1776,IMP KNEE FEM BEGA AS PS CEM,3862.0,,1931.0,3475.8,62
HCPCS,C1776,IMP KNEE FEM COMP TRIATHILON,4065.0,,2032.5,3658.5,62
HCPCS,C1776,IMP KNEE FEM COMPONENT DIST,15005.0,,2374.28,13504.5,62
HCPCS,C1776,IMP KNEE FEM COMPONENT DISTAL,15033.0,,2374.28,13529.7,62
HCPCS,C1776,IMP KNEE FEM COMPONENT LEGION,3726.5,,1495.0,4016.7,124
HCPCS,C1776,IMP KNEE FEM COMPONENT TC3 REV,10530.0,,2374.28,9477.0,62
HCPCS,C1776,IMP KNEE FEM JOURNY UNI OXINUM,3219.0,,1609.5,2897.1,62
HCPCS,C1776,IMP KNEE FEM LEGION CR OXINIUM,3941.0,,1970.5,3546.9,62
HCPCS,C1776,IMP KNEE FEM NATURAL-KNEE FLEX,4677.0,,2338.5,4209.3,62
HCPCS,C1776,IMP KNEE FEM NEXGEN LCCK LT/RT,10670.0,,2374.28,9603.0,62
HCPCS,C1776,IMP KNEE FEM PEPLMNT COMP LPS,19173.0,,2374.28,17255.7,62
HCPCS,C1776,IMP KNEE FEM ROTAT HINGE AXLE,2156.0,,1078.0,2374.28,62
HCPCS,C1776,IMP KNEE FEM ROTATE HINGE SROM,7660.0,,605.0,12699.0,124
HCPCS,C1776,IMP KNEE FEM STEM GMRS CEMENT,6826.0,,2374.28,7055.1,124
HCPCS,C1776,IMP KNEE FEM STEM TRIATHLON,2483.0,,1241.5,2374.28,62
HCPCS,C1776,IMP KNEE FEM TRIATHLON PS CEM,4065.0,,2032.5,3658.5,62
HCPCS,C1776,IMP KNEE FEMORAL COMPONENT MRH,10524.0,,2374.28,9471.6,62
HCPCS,C1776,IMP KNEE FEMORAL STEM OSS,3382.0,,1691.0,3043.8,62
HCPCS,C1776,IMP KNEE FEMORAL STEM PRESSFIT,9015.0,,2374.28,8113.5,62
HCPCS,C1776,IMP KNEE HINGE ROTATNG FEMORAL,19489.0,,2374.28,17540.1,62
HCPCS,C1776,IMP KNEE INSERT LOCKING BAR,316.0,,158.0,2374.28,62
HCPCS,C1776,IMP KNEE K3 PF/HYBRID TOTL SYS,9084.0,,2374.28,8175.6,62
HCPCS,C1776,IMP KNEE KEM REPLMT COMP LPS,10116.0,,2374.28,9104.4,62
HCPCS,C1776,IMP KNEE PAT DOME,1036.0,,518.0,2374.28,62
HCPCS,C1776,IMP KNEE PATELLA AUGMNT NEXGEN,6685.0,,2374.28,6016.5,62
HCPCS,C1776,IMP KNEE PATELLA COMPONENT,1089.0,,544.5,2374.28,62
HCPCS,C1776,IMP KNEE PATELLA TRIATHLON,838.0,,419.0,2374.28,62
HCPCS,C1776,IMP KNEE ROTATNG HINGE ARTSURF,4280.0,,2140.0,3852.0,62
HCPCS,C1776,IMP KNEE SEGMENTAL COMP LPS,3332.0,,1666.0,2998.8,62
HCPCS,C1776,IMP KNEE SEGMENTAL COMP LPS 01,3322.0,,1661.0,2989.8,62
HCPCS,C1776,IMP KNEE SEGMENTAL COMP LPS 02,3279.0,,1639.5,2951.1,62
HCPCS,C1776,IMP KNEE SIGMA FEM COMPONENT,3873.0,,1936.5,3485.7,62
HCPCS,C1776,IMP KNEE SPINDLE COMPRES SHORT,7990.0,,2374.28,7191.0,62
HCPCS,C1776,IMP KNEE STEM EXT LEGION,1449.0,,724.5,2374.28,62
HCPCS,C1776,IMP KNEE STEM LEGION PRESSFIT,2613.0,,1253.0,2448.0,124
HCPCS,C1776,IMP KNEE STEM SHRP FLUTED,2118.0,,1059.0,2374.28,62
HCPCS,C1776,IMP KNEE TIB BASE JOURNEY UNI,1840.0,,920.0,2374.28,62
HCPCS,C1776,IMP KNEE TIB BASEPLATE GENESIS,2218.0,,1109.0,2374.28,62
HCPCS,C1776,IMP KNEE TIB BASEPLATE LEGION,5265.0,,2374.28,4738.5,62
HCPCS,C1776,IMP KNEE TIB BEARING COMPONENT,6514.0,,2374.28,5862.6,62
HCPCS,C1776,IMP KNEE TIB BEARING VANGUARD,3778.0,,1889.0,3400.2,62
HCPCS,C1776,IMP KNEE TIB INS TRULIANT LOP,1375.0,,687.5,2374.28,62
HCPCS,C1776,IMP KNEE TIB INSERT GMRS,2328.0,,1164.0,2374.28,62
HCPCS,C1776,IMP KNEE TIB INSRT OPTETRAK PS,1430.0,,715.0,2374.28,62
HCPCS,C1776,IMP KNEE TIBIA STEM OSS CEMENT,3851.0,,1925.5,3465.9,62
HCPCS,C1776,IMP KNEE TIBIA STEM PFC SIGMA,1831.5,,840.5,2374.28,124
HCPCS,C1776,IMP KNEE TIBIAL BASE LEGION,7869.0,,2374.28,7082.1,62
HCPCS,C1776,IMP KNEE TIBIAL INSERT DURASUL,1266.0,,633.0,2374.28,62
HCPCS,C1776,IMP KNEE TIBIAL INSERT SIGMA,2288.0,,1144.0,2374.28,62
HCPCS,C1776,IMP KNEE TIBIAL TRAY CORIN,1970.0,,985.0,2374.28,62
HCPCS,C1776,IMP KNEE TIBIAL VEGA AS PS CEM,2751.0,,1375.5,2475.9,62
HCPCS,C1776,IMP KNEE TOTAL SYSTEM,8293.0,,2374.28,7463.7,62
HCPCS,C1776,IMP LIN ACET LINR BI MENTUM PE,1368.0,,684.0,2374.28,62
HCPCS,C1776,IMP LINER SHOULDER EQUINOXE,1725.0,,862.5,2374.28,62
HCPCS,C1776,IMP MODULAR FEM HEAD TRINITY,1230.5,,553.0,2374.28,124
HCPCS,C1776,IMP PATELLA COMPONENT S&N,863.0,,431.5,2374.28,62
HCPCS,C1776,IMP PATELLA KNEE POLYETH,1425.0,,712.5,2374.28,62
HCPCS,C1776,IMP POROUS TI HUMERAL STEMLESS,7570.0,,2374.28,6813.0,62
HCPCS,C1776,IMP PROXIMAL BODY SRS,9665.0,,2374.28,8698.5,62
HCPCS,C1776,IMP SHELL ACET REV HEMISPHERIC,5895.0,,2374.28,5305.5,62
HCPCS,C1776,IMP SHLDR HEM LINR TM REV POLY,2099.0,,1049.5,2374.28,62
HCPCS,C1776,IMP SHLDR HUM STEM COMPREHEN,7665.0,,2374.28,6898.5,62
HCPCS,C1776,IMP SHLDR HUM STEM TM REV POLY,10825.0,,2374.28,9742.5,62
HCPCS,C1776,IMP SHOULDER BASEPLATE AEQ,5204.0,,2374.28,4683.6,62
HCPCS,C1776,IMP SHOULDER GLENOSPHERE REVER,2979.0,,1489.5,2681.1,62
HCPCS,C1776,IMP SHOULDER HUMERAL STEM REV,13169.0,,2374.28,11852.1,62
HCPCS,C1776,IMP SHOULDER INTERSPACE CEMEX,8302.0,,2374.28,7471.8,62
HCPCS,C1776,IMP SHOULDER PROST TAPER INS,1507.0,,753.5,2374.28,62
HCPCS,C1776,IMP SHOULDER REVERSE DELTA EXT,8250.0,,2374.28,7425.0,62
HCPCS,C1776,IMP STEM CEMENT LEGION,2570.0,,1285.0,2374.28,62
HCPCS,C1776,IMP STEM FEM MONOBLOC,13575.5,,2374.28,13244.4,124
HCPCS,C1776,IMP STEM HUMERAL INTERCAL MRS,5325.0,,2374.28,4792.5,62
HCPCS,C1776,IMP STEM PRESSFIT LEGION,2432.0,,1216.0,2374.28,62
HCPCS,C1776,IMP TBIAL INSERT LEGION,4133.0,,2066.5,3719.7,62
HCPCS,C1776,IMP TIB HINGE COMPONENT ELEOS,4715.0,,2357.5,4243.5,62
HCPCS,C1776,IMP TIB INS UNIV LPS HING XSM,6324.0,,2374.28,5691.6,62
HCPCS,C1776,IMP TIBIA COMP OFFSET CEMENTED,6697.0,,2374.28,6027.3,62
HCPCS,C1776,IMP TIBIA INSERT PROFIX CONFRM,2606.0,,1303.0,2374.28,62
HCPCS,C1776,IMP TIBIAL COMPONENT MONOBLOCK,2333.0,,1166.5,2374.28,62
HCPCS,C1776,IMP TIBIAL INSERT SURFACE VEGA,1380.0,,690.0,2374.28,62
HCPCS,C1776,IMP TIBIAL STEM PERSONA,2301.0,,1150.5,2374.28,62
HCPCS,C1776,IMPL 4 PEG MOD GLEN,3256.0,,1628.0,2930.4,62
HCPCS,C1776,IMPL ACERTAB SHELL TANDEM BP,585.0,,292.5,2374.28,62
HCPCS,C1776,IMPL ACET CUP NOVATION CROWN,1863.0,,931.5,2374.28,62
HCPCS,C1776,IMPL ACET LINER CONTINUUM,3079.0,,1539.5,2771.1,62
HCPCS,C1776,IMPL ACET LINER DUAL MOB,1519.0,,759.5,2374.28,62
HCPCS,C1776,IMPL ACET LINER EMPHASYS AOX,936.0,,468.0,2374.28,62
HCPCS,C1776,IMPL ACET LINER G7 HW,3030.0,,1515.0,2727.0,62
HCPCS,C1776,IMPL ACET LINER PE DUAL MOB,1368.0,,684.0,2374.28,62
HCPCS,C1776,IMPL ACET LINER TPR ECIMA TRIN,1558.0,,779.0,2374.28,62
HCPCS,C1776,IMPL ACET LINER XLPE HOODED,3590.0,,1795.0,3231.0,62
HCPCS,C1776,IMPL ACET SHELL CONTINUUM UH,1704.0,,852.0,2374.28,62
HCPCS,C1776,IMPL ACETAB LINER ALTRX,1114.0,,557.0,2374.28,62
HCPCS,C1776,IMPL ACT PINNACLE ALTRX 36MM,1438.0,,719.0,2374.28,62
HCPCS,C1776,IMPL ADM/MDM X3 STRYKER,1558.0,,779.0,2374.28,62
HCPCS,C1776,IMPL ANKLE STEM TALAR,2562.0,,1281.0,2374.28,124
HCPCS,C1776,IMPL ANKLE TALAR DOME INFINITY,10867.0,,2374.28,9780.3,62
HCPCS,C1776,IMPL ANKLE TIBIAL TRAY INBONE,3152.0,,1576.0,2836.8,62
HCPCS,C1776,IMPL APEX HUMERAL STEM,4041.0,,2020.5,3636.9,62
HCPCS,C1776,IMPL ARH SOLUTIONS 2 HEAD 18MM,9166.0,,2374.28,8249.4,62
HCPCS,C1776,IMPL ARTICUL/EZE FEM HEAD 32MM,1264.0,,632.0,2374.28,62
HCPCS,C1776,IMPL ARTICULATING SURFACES CR,1621.0,,810.5,2374.28,62
HCPCS,C1776,IMPL ARTICULATING SURFACES PS,2701.0,,1350.5,2430.9,62
HCPCS,C1776,IMPL AS B/F ADAPTOR 48 DEG,1848.0,,924.0,2374.28,62
HCPCS,C1776,IMPL ASCEND HUM HEAD 51MMX20MM,5924.0,,2374.28,5331.6,62
HCPCS,C1776,IMPL ASPHERE M-SPEC SYNTHES,1412.0,,706.0,2374.28,62
HCPCS,C1776,IMPL ATTUNE FEM POR CR LT SZ 9,2726.0,,1363.0,2453.4,62
HCPCS,C1776,IMPL AVENIR CMPL HA HO SZ 7.5,6231.0,,2374.28,5607.9,62
HCPCS,C1776,IMPL AVENIR COMPLETE FEM STEM,6228.0,,2374.28,5605.2,62
HCPCS,C1776,IMPL AVENIR STANDARD STEM,3602.0,,1801.0,3241.8,62
HCPCS,C1776,IMPL BIOLOX DELTA HEAD S,936.0,,468.0,2374.28,62
HCPCS,C1776,IMPL CLUSTER HOLE SHELL,1519.0,,759.5,2374.28,62
HCPCS,C1776,IMPL COMP ARTICULAR HEMICAP,8778.0,,2374.28,7900.2,62
HCPCS,C1776,IMPL COMPR SRS IC SEG,10786.0,,2374.28,9707.4,62
HCPCS,C1776,IMPL COPAL EXCHANGE G HIP,10613.0,,2374.28,9551.7,62
HCPCS,C1776,IMPL COREHIP STD CEMENTLESS,2045.0,,1022.5,2374.28,62
HCPCS,C1776,IMPL CORENTEC TOTAL HIP,7204.0,,2374.28,6483.6,62
HCPCS,C1776,IMPL CORENTEC TOTAL KNEE,12646.0,,2374.28,17514.0,124
HCPCS,C1776,IMPL CUB HUMERAL PERFORM,13846.0,,2374.28,12461.4,62
HCPCS,C1776,IMPL CUP HUMERAL PERFORM,13458.0,,2374.28,12112.2,62
HCPCS,C1776,IMPL DELTA HEAD,1023.0,,511.5,2374.28,62
HCPCS,C1776,IMPL DELTA V40 CERAMIC HEAD,4117.0,,2058.5,3705.3,62
HCPCS,C1776,IMPL DOUBLE MOBILITY HC LINER,1404.0,,702.0,2374.28,62
HCPCS,C1776,IMPL ECLIPSE TRUNION 41MM CAP,4376.0,,2188.0,3938.4,62
HCPCS,C1776,IMPL ELBOW DISCOVERY SYSTEM,12170.0,,2374.28,10953.0,62
HCPCS,C1776,IMPL ELBOW HUMERAL STEM,12992.0,,2374.28,11692.8,62
HCPCS,C1776,IMPL ELBOW RADIAL HEAD ACUMED,6843.0,,2374.28,6158.7,62
HCPCS,C1776,IMPL EMPOWERED 3D TIBIAL INSRT,1382.0,,691.0,2374.28,62
HCPCS,C1776,IMPL EQUINOXE HUMERAL HD SHT,2633.0,,1316.5,2374.28,62
HCPCS,C1776,IMPL EQUINOXE PRESERVE STEM,14870.0,,2374.28,13383.0,62
HCPCS,C1776,IMPL EXULT FEM COMPONENT PS,2532.0,,1266.0,2374.28,62
HCPCS,C1776,IMPL EXULT TIBIAL INSERT 01,1217.0,,608.5,2374.28,62
HCPCS,C1776,IMPL FEM C-TAPER LFIT,1119.5,,493.0,2374.28,124
HCPCS,C1776,IMPL FEM COMP IBALANCE ARTHREX,9268.0,,2374.28,8341.2,62
HCPCS,C1776,IMPL FEM COMP PERSONA CR STD,11891.0,,2374.28,10701.9,62
HCPCS,C1776,IMPL FEM COMP PERSONA PS STD,9063.0,,2374.28,8156.7,62
HCPCS,C1776,IMPL FEM COMP XT ROT,19342.0,,2374.28,17407.8,62
HCPCS,C1776,IMPL FEM CRUC ATTUNE,14320.0,,2374.28,12888.0,62
HCPCS,C1776,IMPL FEM CRUC ATTUNE SZ 7 RT,4297.0,,2148.5,3867.3,62
HCPCS,C1776,IMPL FEM HEAD BIOLOX DELTA,2900.5,,1324.5,2836.8,124
HCPCS,C1776,IMPL FEM HEAD C TAPER CERAMIC,1034.0,,517.0,2374.28,62
HCPCS,C1776,IMPL FEM HEAD CERAMIC,900.0,,450.0,2374.28,62
HCPCS,C1776,IMPL FEM HEAD G7 FREEDOM COCR,1823.0,,911.5,2374.28,62
HCPCS,C1776,IMPL FEM HEAD UNITRAX 49MM,948.0,,474.0,2374.28,62
HCPCS,C1776,IMPL FEM HEAD V40 CER,1077.0,,538.5,2374.28,62
HCPCS,C1776,IMPL FEM HIP STEM ATIS DUO,3493.0,,1746.5,3143.7,62
HCPCS,C1776,IMPL FEM HIP STEM SECUR-FIT,4354.0,,2177.0,3918.6,62
HCPCS,C1776,IMPL FEM HIP STEM SUMMIT,3085.0,,1338.5,3143.7,124
HCPCS,C1776,IMPL FEM HIP STEM SYNERGY,2532.0,,1266.0,2374.28,62
HCPCS,C1776,IMPL FEM HIP STEM WAGNER SL,7869.0,,2374.28,7082.1,62
HCPCS,C1776,IMPL FEM KNEE ATTUNE PS CMSZ5,3370.0,,1685.0,3033.0,62
HCPCS,C1776,IMPL FEM KNEE COMP ADV REV,9458.0,,2374.28,8512.2,62
HCPCS,C1776,IMPL FEM KNEE COMP ATTUNE,12078.0,,2374.28,10870.2,62
HCPCS,C1776,IMPL FEM KNEE COMP GMK SPHERE,2921.0,,1460.5,2628.9,62
HCPCS,C1776,IMPL FEM KNEE COMP PS REV DJO,4252.0,,2126.0,3826.8,62
HCPCS,C1776,IMPL FEM KNEE SAL GUARD MIDSEC,8163.0,,2374.28,7346.7,62
HCPCS,C1776,IMPL FEM KNEE STEM MODULAR,3616.0,,1808.0,3254.4,62
HCPCS,C1776,IMPL FEM NECK SEGMENT LINK,9192.0,,2374.28,8272.8,62
HCPCS,C1776,IMPL FEM STEM PRESSFIT DJO,3218.0,,1609.0,2896.2,62
HCPCS,C1776,IMPL FEM STEM PRESSFIT LINK,1903.0,,951.5,2374.28,62
HCPCS,C1776,IMPL FEM STEM PRESSFIT SYNTHES,2178.0,,1089.0,2374.28,62
HCPCS,C1776,IMPL FEM STEM SPARTAN,3900.0,,1950.0,3510.0,62
HCPCS,C1776,IMPL FEM V40 TAPER 36MM 0MM,2464.0,,1232.0,2374.28,62
HCPCS,C1776,IMPL FEM VANGUARD CR INTERLOK,3853.0,,1926.5,3467.7,62
HCPCS,C1776,IMPL FEMORAL COMPONENT CR,3139.0,,1569.5,2825.1,124
HCPCS,C1776,IMPL FEMORAL HEAD CERAMIC,1256.0,,628.0,2374.28,62
HCPCS,C1776,IMPL FEMORAL HEAD CERAMIC 02,8585.0,,2374.28,7726.5,62
HCPCS,C1776,IMPL FEMORAL HEAD COCR,806.0,,403.0,2374.28,62
HCPCS,C1776,IMPL FEMORAL STEM GMRS,9346.0,,2374.28,8411.4,62
HCPCS,C1776,IMPL FEMUR FOUNDATION N-POR PS,17220.0,,2374.28,15498.0,62
HCPCS,C1776,IMPL FEMUR KNEE 3D N-POR,3115.0,,1557.5,2803.5,62
HCPCS,C1776,IMPL FEMUR TRI,10727.0,,2374.28,9654.3,62
HCPCS,C1776,IMPL FEMUR TRI TS LEFT SZ 3,11156.0,,2374.28,10040.4,62
HCPCS,C1776,IMPL G7 FREEDOM LINGER 36G,3332.0,,1666.0,2998.8,62
HCPCS,C1776,IMPL GLENOID BASE MOD HYBRID,2951.0,,1475.5,2655.9,62
HCPCS,C1776,IMPL GLENOID BP TM REV,2532.0,,1266.0,2374.28,62
HCPCS,C1776,IMPL GLENOSPHERE BASEPLATE,5306.0,,2374.28,4775.4,62
HCPCS,C1776,IMPL GLENOSPHERE OFFSET36MM,3756.0,,1878.0,3380.4,62
HCPCS,C1776,IMPL GLENOSPHERE UNIVERS REV,6152.0,,2374.28,5536.8,62
HCPCS,C1776,IMPL GMK HINGE TIBIAL INSERT,4199.0,,2099.5,3779.1,62
HCPCS,C1776,IMPL GMK SPHERE KNEE MEDACTA,6230.0,,2374.28,5607.0,62
HCPCS,C1776,IMPL HEAD FEM DELTA,3376.0,,1688.0,3038.4,62
HCPCS,C1776,IMPL HEAD FEM DELTA CERMIC 36M,3552.0,,1776.0,3196.8,62
HCPCS,C1776,IMPL HEAD FEMORAL 28 + 5,970.0,,485.0,2374.28,62
HCPCS,C1776,IMPL HEAD FEMORAL C TAPER,927.0,,463.5,2374.28,62
HCPCS,C1776,IMPL HEAD HUM EQUINOXE STMLS,10823.0,,2374.28,9740.7,62
HCPCS,C1776,IMPL HEAD HUM PYROCAR,11250.0,,2374.28,10125.0,62
HCPCS,C1776,IMPL HIP ACE LINER 0 DEG,3345.0,,1672.5,3010.5,62
HCPCS,C1776,IMPL HIP ACE SHELL CLUSTER,2530.0,,1265.0,2374.28,62
HCPCS,C1776,IMPL HIP ACET LIN CONST RG GR2,1861.0,,930.5,2374.28,62
HCPCS,C1776,IMPL HIP ACET LINER CONSTRAIN,3455.0,,1727.5,3109.5,62
HCPCS,C1776,IMPL HIP ACET LINER FREEDOM,4411.0,,2205.5,3969.9,62
HCPCS,C1776,IMPL HIP ACET LINER G7 FREEDOM,3332.0,,1666.0,2998.8,62
HCPCS,C1776,IMPL HIP ACET LINER LONGEVIT,2969.0,,1484.5,2672.1,62
HCPCS,C1776,IMPL HIP ACET LINER LONGEVITY,2678.5,,1268.5,2538.0,124
HCPCS,C1776,IMPL HIP ACET LINER NEUTRAL,9265.0,,2374.28,8338.5,62
HCPCS,C1776,IMPL HIP ACET LINER RINGLOC,2992.5,,891.5,3781.8,124
HCPCS,C1776,IMPL HIP ACET LINER TRILOGY,5743.0,,2374.28,5168.7,62
HCPCS,C1776,IMPL HIP ACET RING RINGLOC,100.0,,50.0,2374.28,62
HCPCS,C1776,IMPL HIP ACETAB LINER ALTRX,1910.0,,955.0,2374.28,62
HCPCS,C1776,IMPL HIP ACETAB LINER G7,3159.0,,1579.5,2843.1,62
HCPCS,C1776,IMPL HIP ACETAB LINER PINNACLE,1638.0,,819.0,2374.28,62
HCPCS,C1776,IMPL HIP ACETABULAR LINER,2655.0,,1164.0,2683.8,119
HCPCS,C1776,IMPL HIP BALL MOD TAPER,1167.0,,583.5,2374.28,62
HCPCS,C1776,IMPL HIP FEM HEAD BIOLOX DELTA,1134.5,,460.0,2374.28,124
HCPCS,C1776,IMPL HIP FEM HEAD C-TAP COCR,562.0,,281.0,2374.28,62
HCPCS,C1776,IMPL HIP FEM HEAD COCR 12/14,1306.0,,653.0,2374.28,62
HCPCS,C1776,IMPL HIP FEM HEAD DEL C-TAPER,1034.0,,517.0,2374.28,62
HCPCS,C1776,IMPL HIP FEM PROX ELEOS ONKOS,7199.0,,2374.28,6479.1,62
HCPCS,C1776,IMPL HIP FEM STEM ACCOLADE,5296.0,,2374.28,4766.4,62
HCPCS,C1776,IMPL HIP FEM STEM AMISTEM,3464.0,,1732.0,3117.6,62
HCPCS,C1776,IMPL HIP FEM STEM BI-METRIC EC,5333.0,,2374.28,4799.7,62
HCPCS,C1776,IMPL HIP FEM STEM MOD,2792.0,,1396.0,2512.8,62
HCPCS,C1776,IMPL HIP FEM STEM RESTO MOD,6164.0,,2374.28,5547.6,62
HCPCS,C1776,IMPL HIP FEM STEM REV EXPRT,2464.0,,1232.0,2374.28,62
HCPCS,C1776,IMPL HIP FEMORAL COMPONENT,10402.0,,2374.28,9361.8,62
HCPCS,C1776,IMPL HIP FEMORAL HEAD CERAMIC,1286.0,,643.0,2374.28,62
HCPCS,C1776,IMPL HIP FEMORAL HEAD OXINIUM,2595.0,,1297.5,2374.28,62
HCPCS,C1776,IMPL HIP FEMORAL STEM CORAIL,13285.0,,2374.28,11956.5,62
HCPCS,C1776,IMPL HIP FEMUR PROXIMAL MID,5661.0,,2374.28,5094.9,62
HCPCS,C1776,IMPL HIP HEAD CERA BIOLOXD,9360.0,,2374.28,8424.0,62
HCPCS,C1776,IMPL HIP HEAD FEMORL C-TAPER,920.0,,460.0,2374.28,62
HCPCS,C1776,IMPL HIP LINER AML/TL,5330.0,,2374.28,4797.0,62
HCPCS,C1776,IMPL HIP PROS STEM TAPER,3646.0,,1823.0,3281.4,62
HCPCS,C1776,IMPL HIP PROX BODY MODULAR,10680.0,,2374.28,9612.0,62
HCPCS,C1776,IMPL HIP SELF CENTERING,1604.0,,802.0,2374.28,62
HCPCS,C1776,IMPL HIP STEM,5978.0,,2374.28,5380.2,62
HCPCS,C1776,IMPL HIP STEM AVENIR,7026.0,,1801.0,9405.0,124
HCPCS,C1776,IMPL HIP STEM DIST REST MOD,6138.0,,2374.28,5524.2,62
HCPCS,C1776,IMPL HIP STEM FLUTED,2127.0,,1063.5,2374.28,62
HCPCS,C1776,IMPL HIP STEM OMNIFIT HFX,1894.0,,947.0,2374.28,62
HCPCS,C1776,IMPL HIP STEM PRESS-FI,2430.0,,1215.0,2374.28,62
HCPCS,C1776,IMPL HIP STEM PRESS-FIT,7753.0,,2374.28,8358.3,124
HCPCS,C1776,IMPL HIP STEM RECLAIM DISTAL,6327.0,,2374.28,5772.6,124
HCPCS,C1776,IMPL HIP STEM RESTORATION,5942.0,,1150.5,5643.9,186
HCPCS,C1776,IMPL HIP STEM S-ROM +8 36,3254.0,,1627.0,2928.6,62
HCPCS,C1776,IMPL HIP STEM SECUR-FIT MAX,5330.0,,2374.28,4797.0,62
HCPCS,C1776,IMPL HIP STEM SUMMIT,4141.0,,2070.5,3726.9,62
HCPCS,C1776,IMPL HIP STEM TAPERFILL,4926.0,,2374.28,4433.4,62
HCPCS,C1776,IMPL HUM DISCOVERY,9730.0,,2374.28,8757.0,62
HCPCS,C1776,IMPL HUM HEAD AEQUALIS,6660.0,,2374.28,5994.0,62
HCPCS,C1776,IMPL HUM HEAD BIO-MODULAR EAS,4219.0,,2109.5,3797.1,62
HCPCS,C1776,IMPL HUM HEAD DELTA CTA XTEND,6127.0,,2374.28,5514.3,62
HCPCS,C1776,IMPL HUM INSERT SCCKIT RSP,6075.0,,2374.28,5467.5,62
HCPCS,C1776,IMPL HUM INSERT SOCKET RSP,1368.0,,684.0,2374.28,62
HCPCS,C1776,IMPL HUM STEM ALTIVATE,11050.0,,2374.28,9945.0,62
HCPCS,C1776,IMPL HUM STEM COMPREHENSIVE PP,6679.0,,2374.28,6011.1,62
HCPCS,C1776,IMPL HUM STEM PERFORM,23265.0,,2374.28,20938.5,62
HCPCS,C1776,IMPL HUM STEM PRESS-FIT,4050.0,,2025.0,3645.0,62
HCPCS,C1776,IMPL HUM STEM PRESS-FIT 02,11569.0,,2374.28,10412.1,62
HCPCS,C1776,IMPL HUM STEM PRIMARY 6X115M,3697.0,,1848.5,3327.3,62
HCPCS,C1776,IMPL HUM STEM SHOULDER RSP,30372.0,,2374.28,27334.8,62
HCPCS,C1776,IMPL HUM STEM STEM BIO-MODULAR,4315.0,,2157.5,3883.5,62
HCPCS,C1776,IMPL HUMERAL BEARING,2763.0,,693.0,3726.0,124
HCPCS,C1776,IMPL HUMERAL BODY SMR,1440.0,,720.0,2374.28,62
HCPCS,C1776,IMPL HUMERAL CUP DELTA XTEND,2384.0,,1192.0,2374.28,62
HCPCS,C1776,IMPL HUMERAL HEAD 44MMX17MM,1695.0,,847.5,2374.28,62
HCPCS,C1776,IMPL HUMERAL HEAD COMP STD,2368.0,,1184.0,2374.28,62
HCPCS,C1776,IMPL HUMERAL HEAD DJO,2040.0,,1020.0,2374.28,62
HCPCS,C1776,IMPL HUMERAL INSERT SOCKET RSP,2548.0,,1274.0,2374.28,62
HCPCS,C1776,IMPL HUMERAL SPACER PERFORM,2973.0,,1486.5,2675.7,62
HCPCS,C1776,IMPL HUMERAL STEM ASCEND FLEX,5608.0,,2374.28,5047.2,62
HCPCS,C1776,IMPL HUMERAL STEM REVERSE,3786.5,,1611.5,3915.0,124
HCPCS,C1776,IMPL HUMERAL STEM STD SHORT,7973.0,,2374.28,7175.7,62
HCPCS,C1776,IMPL INBONE POLY 6 13MM SULCUS,3838.0,,1919.0,3454.2,62
HCPCS,C1776,IMPL INSERT REVERSED SHLD,6036.0,,2374.28,5432.4,62
HCPCS,C1776,IMPL INSERT TIBIAL HINGE ONKOS,5035.0,,2374.28,4531.5,62
HCPCS,C1776,IMPL INSERT TIBIAL REV,5292.0,,2374.28,4762.8,62
HCPCS,C1776,IMPL INSERT TIBIAL REVIS,2025.0,,1012.5,2374.28,62
HCPCS,C1776,IMPL INSIGNIA COLLARED STD,4117.0,,2058.5,3705.3,62
HCPCS,C1776,IMPL JOURNEY II UNI TIB BASE,4750.0,,2374.28,4275.0,62
HCPCS,C1776,IMPL JOURNEY II UNI TIB XLPE,2372.0,,1186.0,2374.28,62
HCPCS,C1776,IMPL KN BASE TIB EMPOWER,16335.0,,2374.28,14701.5,62
HCPCS,C1776,IMPL KN BASE TIB EMPOWER LT 6,9033.0,,2374.28,8129.7,62
HCPCS,C1776,IMPL KN FEM ITOTAL IDENTITY CR,3881.0,,1940.5,3492.9,62
HCPCS,C1776,IMPL KN TIB EMPOWR,1492.0,,746.0,2374.28,62
HCPCS,C1776,IMPL KNEE 3D KNEE TM INS EMPWR,6460.0,,2374.28,5814.0,62
HCPCS,C1776,IMPL KNEE ART SURF LINK,1283.0,,641.5,2374.28,62
HCPCS,C1776,IMPL KNEE ART SURF PERS CPS VE,1495.0,,747.5,2374.28,62
HCPCS,C1776,IMPL KNEE ART SURF PERSONA PS,1554.0,,777.0,2374.28,62
HCPCS,C1776,IMPL KNEE ART SURFACE NEXGEN,4246.0,,2123.0,3821.4,62
HCPCS,C1776,IMPL KNEE ATTUNE BASE,1895.0,,947.5,2374.28,62
HCPCS,C1776,IMPL KNEE AXLE FEMUR DISTAL,1982.0,,991.0,2374.28,57
HCPCS,C1776,IMPL KNEE BASE EMPOWR 3D,2122.0,,1061.0,2374.28,62
HCPCS,C1776,IMPL KNEE BASEPLATE EMPOWR,16874.0,,2374.28,15186.6,62
HCPCS,C1776,IMPL KNEE BUMPER INSERT HRHK 1,1303.0,,651.5,2374.28,62
HCPCS,C1776,IMPL KNEE CONE TIB FULL LINK,7012.0,,2374.28,6310.8,62
HCPCS,C1776,IMPL KNEE FEM COMP PERSONA,4006.0,,2003.0,3605.4,62
HCPCS,C1776,IMPL KNEE FEM COMPONENT,4292.0,,2146.0,3862.8,62
HCPCS,C1776,IMPL KNEE FEM COMPONENT LOGIC,10331.0,,2374.28,9297.9,62
HCPCS,C1776,IMPL KNEE FEM CONE LINK,9422.0,,2374.28,8479.8,62
HCPCS,C1776,IMPL KNEE FEM DISTAL OSSLT,12099.0,,2374.28,10889.1,62
HCPCS,C1776,IMPL KNEE FEM EMPOWR,3212.5,,1362.5,3330.0,124
HCPCS,C1776,IMPL KNEE FEM EMPOWR 3D NP RT,2997.0,,1498.5,2697.3,62
HCPCS,C1776,IMPL KNEE FEM PARTIAL BIOMET,1558.0,,779.0,2374.28,62
HCPCS,C1776,IMPL KNEE FEM REVISION EXPRT,4556.0,,2278.0,4100.4,62
HCPCS,C1776,IMPL KNEE FEM ROTATION STD,18363.0,,2374.28,16526.7,62
HCPCS,C1776,IMPL KNEE FEM STEM,2732.0,,1366.0,2458.8,62
HCPCS,C1776,IMPL KNEE FEM STEM BIOMET,14189.0,,2374.28,12770.1,62
HCPCS,C1776,IMPL KNEE FEM STEM OSS,12850.0,,2374.28,11565.0,62
HCPCS,C1776,IMPL KNEE FEM STEM TRIATHILON,2199.0,,1099.5,2374.28,62
HCPCS,C1776,IMPL KNEE FEM TRULIANT PS CEM,3996.0,,1998.0,3596.4,62
HCPCS,C1776,IMPL KNEE FEMORAL CMPNT,3139.0,,1569.5,2825.1,62
HCPCS,C1776,IMPL KNEE FEMORAL TC3 COMPONEN,11640.0,,2374.28,10476.0,62
HCPCS,C1776,IMPL KNEE FEMUR 3D EMPOWER,12251.0,,2374.28,11025.9,62
HCPCS,C1776,IMPL KNEE FEMUR STEM PROS,2689.0,,1344.5,2420.1,62
HCPCS,C1776,IMPL KNEE FIXED BEARING,1558.0,,779.0,2374.28,62
HCPCS,C1776,IMPL KNEE FIXED BEARING LINK,2333.0,,1166.5,2374.28,62
HCPCS,C1776,IMPL KNEE INSERT 02,2196.0,,1098.0,2374.28,62
HCPCS,C1776,IMPL KNEE PARTIAL ZIMMER,5400.0,,2374.28,4860.0,62
HCPCS,C1776,IMPL KNEE PAT NEX PRO ALL-POLY,1018.0,,509.0,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA 3 PINS 3PEG,1207.0,,603.5,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA ALL-POLY,372.0,,186.0,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA ALL-POLY DOM,645.0,,322.5,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA DOME,2311.0,,1155.5,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA DOME ARTHREX,1704.0,,852.0,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA DOMED E+,855.0,,427.5,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA GENESIS,863.0,,431.5,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA ONKOS,1581.0,,790.5,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA PERSONA 01,1018.0,,509.0,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLA PERSONA 02,585.0,,292.5,2374.28,62
HCPCS,C1776,IMPL KNEE PATELLAR,838.0,,419.0,2374.28,62
HCPCS,C1776,IMPL KNEE POST TAPER HEMICAP,1157.0,,578.5,2374.28,62
HCPCS,C1776,IMPL KNEE REV SET SHULKA,3240.0,,1620.0,2916.0,62
HCPCS,C1776,IMPL KNEE SEG SALVAGE,787.0,,393.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIB BRNG VANGUARD,1317.0,,658.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIB COLUMBUS,2522.0,,1261.0,2374.28,57
HCPCS,C1776,IMPL KNEE TIB COLUMBUS CR DD,2654.0,,1327.0,2388.6,62
HCPCS,C1776,IMPL KNEE TIB COMP OXFORD PART,2153.0,,1076.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIB INS EMPOWR E+,3990.0,,1995.0,3591.0,62
HCPCS,C1776,IMPL KNEE TIB INS REV EXPRT,1687.0,,843.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIB INSERT GENESIS,2227.0,,1113.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIB INSERT LOGIC,3312.0,,1656.0,2980.8,62
HCPCS,C1776,IMPL KNEE TIB INSERT PROFIX AP,2071.0,,1035.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIB MEDIAL BIOMET,2921.0,,1460.5,2628.9,62
HCPCS,C1776,IMPL KNEE TIBIAL ATTUNE BASE,2430.0,,1215.0,2374.28,62
HCPCS,C1776,IMPL KNEE TIBIAL BEARING RS,1072.0,,536.0,2374.28,62
HCPCS,C1776,IMPL KNEE TIBIAL CRUCIATE TRAY,2463.0,,1231.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIBIAL FIXED BEARING,2537.0,,1268.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIBIAL INSERT LEGION,2568.0,,1265.0,2374.28,124
HCPCS,C1776,IMPL KNEE TIBIAL INSERT TC3,5228.0,,2374.28,4705.2,62
HCPCS,C1776,IMPL KNEE TIBIAL PROXIMAL,9917.0,,2374.28,8925.3,62
HCPCS,C1776,IMPL KNEE TIBIAL PS AP,1753.0,,876.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIBIAL RM/LL UNI,1363.0,,681.5,2374.28,62
HCPCS,C1776,IMPL KNEE TIBIAL TRAY,4468.0,,2234.0,4021.2,62
HCPCS,C1776,IMPL KNEE TIBIAL TRAY M.B.T.,9734.0,,2374.28,8760.6,62
HCPCS,C1776,IMPL KNEE TIBIAL TRAY MEDACTA,1344.0,,672.0,2374.28,62
HCPCS,C1776,IMPL KNEE TRI-PEG PATELLA,2871.0,,1435.5,2583.9,62
HCPCS,C1776,IMPL KNEE TRIATHLON,1986.0,,993.0,2374.28,62
HCPCS,C1776,IMPL KNEE VANGUARD RT/LT 70M,3544.0,,1772.0,3189.6,62
HCPCS,C1776,IMPL LEFT TRIFLANGE BIOMET,26049.0,,2374.28,23444.1,62
HCPCS,C1776,IMPL LESSER HEAD METATARSAL,6829.0,,2374.28,6146.1,62
HCPCS,C1776,IMPL LINER ACET NEUTRAL ALTRX,1114.0,,557.0,2374.28,62
HCPCS,C1776,IMPL LINER ACETABULAR CONSTRAI,4890.0,,2374.28,4401.0,62
HCPCS,C1776,IMPL LINER CONSTRAINED LOCKING,1610.0,,805.0,2374.28,62
HCPCS,C1776,IMPL LINER LOGICAL XLPE HOODED,7978.0,,2374.28,7180.2,62
HCPCS,C1776,IMPL LOGICAL CUP LINER,1181.0,,590.5,2374.28,62
HCPCS,C1776,IMPL LOSPA PATELLAR COMPONENT,433.0,,216.5,2374.28,62
HCPCS,C1776,IMPL MODULAR POST,959.0,,479.5,2374.28,62
HCPCS,C1776,IMPL MODULAR POST AR-9582-35,2565.0,,1282.5,2374.28,62
HCPCS,C1776,IMPL MODULAR PROS HEAD,1215.0,,607.5,2374.28,62
HCPCS,C1776,IMPL MPACT DM ACETABULAR SHELL,1685.0,,842.5,2374.28,62
HCPCS,C1776,IMPL NEXEL ULNAR STEM,10149.0,,2374.28,9134.1,62
HCPCS,C1776,IMPL OFFSET HUMERAL HEAD,4666.0,,2333.0,4199.4,62
HCPCS,C1776,IMPL ORTHPAEDIC ADAPTOR ZIMMER,214.0,,107.0,2374.28,62
HCPCS,C1776,IMPL OSS PATELLAR COMPONENT,2196.0,,1098.0,2374.28,62
HCPCS,C1776,IMPL PATELLA COMPONENT,372.0,,186.0,2374.28,62
HCPCS,C1776,IMPL PATELLA NEXGEN,940.0,,470.0,2374.28,62
HCPCS,C1776,IMPL PATELLA RESURFACING,641.5,,227.5,2374.28,124
HCPCS,C1776,IMPL PATELLAR COMPONENT 3-PEG,372.0,,186.0,2374.28,62
HCPCS,C1776,IMPL PREE FIT STEM FEMORAL,990.0,,495.0,2374.28,62
HCPCS,C1776,IMPL PRESS-FIT HUMERAL,8318.0,,2374.28,7486.2,62
HCPCS,C1776,IMPL PROLONG TIBIAL INSERT,1030.0,,515.0,2374.28,62
HCPCS,C1776,IMPL PSN STRAIGHT HYB STEM,2563.0,,1281.5,2374.28,62
HCPCS,C1776,IMPL RADIAL HEAD,7254.0,,2374.28,6528.6,62
HCPCS,C1776,IMPL RESURF AEQUALIS 48X18,7101.0,,2374.28,6390.9,62
HCPCS,C1776,IMPL REV SHOIULDER PROSTH HEAD,2633.0,,1316.5,2374.28,62
HCPCS,C1776,IMPL REVERSE SUTURE CUP,3342.0,,1671.0,3007.8,62
HCPCS,C1776,IMPL RING ACET RINGLOCBIOMET,248.0,,124.0,2374.28,62
HCPCS,C1776,IMPL RING CONTOUR,3500.0,,1750.0,3150.0,62
HCPCS,C1776,IMPL SALVAGE SEGMENTAL FEM,4814.0,,2374.28,4332.6,62
HCPCS,C1776,IMPL SEGMENT DIAPHYSEAL OSS,10007.5,,2374.28,9051.3,124
HCPCS,C1776,IMPL SHELL ACET LOGICAL G-SERI,2734.5,,1272.0,2632.5,124
HCPCS,C1776,IMPL SHELL ACETAB LOGIC G-SERI,1537.0,,768.5,2374.28,62
HCPCS,C1776,IMPL SHELL PINN REV GRIPTON,3262.0,,1631.0,2935.8,62
HCPCS,C1776,IMPL SHLDER REVERSE PRSTH SYS,3244.0,,941.5,4144.5,124
HCPCS,C1776,IMPL SHLDR GLENOSPHERE DXTEN,3262.0,,1631.0,2935.8,62
HCPCS,C1776,IMPL SHLDR HUMERAL STEM,10518.0,,2374.28,9466.2,62
HCPCS,C1776,IMPL SHOUL GLENOSPHERE REVERSE,2990.0,,1495.0,2691.0,62
HCPCS,C1776,IMPL SHOULDER DLENOID RET,2527.0,,1263.5,2374.28,62
HCPCS,C1776,IMPL SHOULDER GLENOID,2781.5,,1226.5,2799.0,124
HCPCS,C1776,IMPL SHOULDER GLENOID HEAD,1946.0,,973.0,2374.28,62
HCPCS,C1776,IMPL SHOULDER GLENOID PEGGED,5205.0,,2374.28,4684.5,62
HCPCS,C1776,IMPL SHOULDER GLENOSPHERE,5011.0,,2374.28,4509.9,62
HCPCS,C1776,IMPL SHOULDER GLENOSPHERE REV,2301.0,,1150.5,2374.28,62
HCPCS,C1776,IMPL SHOULDER HUM INST PROMOS,1827.0,,913.5,2374.28,62
HCPCS,C1776,IMPL SHOULDER HUM STEM SHORT,4801.0,,2374.28,4320.9,62
HCPCS,C1776,IMPL SHOULDER HUMERAL HEAD,3771.0,,1746.0,3645.0,124
HCPCS,C1776,IMPL SHOULDER HUMERAL HEAD CE,8778.0,,2374.28,7900.2,62
HCPCS,C1776,IMPL SHOULDER HUMERAL STEM,6375.0,,2374.28,5737.5,62
HCPCS,C1776,IMPL SHOULDER INSERT E-DUR,1215.0,,607.5,2374.28,62
HCPCS,C1776,IMPL SHOULDER INSPACE US,13769.0,,2374.28,12392.1,62
HCPCS,C1776,IMPL SHOULDER INTERSPACE,6057.0,,2374.28,5451.3,57
HCPCS,C1776,IMPL SHOULDER TRAY ASCEND,2466.0,,1233.0,2374.28,62
HCPCS,C1776,IMPL SHOULDER TRAYU REV OFFSET,4932.0,,2374.28,4438.8,62
HCPCS,C1776,IMPL SHOULDER TUMOR PROSTHESIS,8358.0,,2374.28,7522.2,62
HCPCS,C1776,IMPL SHOULDR HUM LINER EQUINOX,1435.0,,717.5,2374.28,62
HCPCS,C1776,IMPL SPHERE GLENOID REVERSE,1993.0,,996.5,2374.28,62
HCPCS,C1776,IMPL STEM CEMENTED,2013.0,,1006.5,2374.28,62
HCPCS,C1776,IMPL STEM DISTAL CONICAL MOD,1903.0,,951.5,2374.28,62
HCPCS,C1776,IMPL STEM FEM STRAIGHT DJO,2025.0,,1012.5,2374.28,62
HCPCS,C1776,IMPL STEM GLOBAL ADV FX,13636.0,,2374.28,12272.4,62
HCPCS,C1776,IMPL STEM MONOBLOCK RSP REV,3066.0,,1533.0,2759.4,62
HCPCS,C1776,IMPL STEM RADIAL HEAD,5400.0,,2374.28,4860.0,62
HCPCS,C1776,IMPL STEM SEGMENT MEGASYSTEM-C,9603.0,,2374.28,8642.7,62
HCPCS,C1776,IMPL STEM TAPERED DJO,962.0,,481.0,2374.28,62
HCPCS,C1776,IMPL TAPER POST,1044.0,,522.0,2374.28,62
HCPCS,C1776,IMPL TAPER POST 10MM X 31MM LG,1044.0,,522.0,2374.28,62
HCPCS,C1776,IMPL TIB BASEPLATE OSS,5994.0,,2374.28,5394.6,62
HCPCS,C1776,IMPL TIB BEARING OSS SAVAGE,1640.0,,820.0,2374.28,62
HCPCS,C1776,IMPL TIB BRNG AGC TRAD PRIM,1072.0,,536.0,2374.28,62
HCPCS,C1776,IMPL TIB COMP PERSONA STEM,1655.0,,827.5,2374.28,62
HCPCS,C1776,IMPL TIB CRUCIATE RETAIN,7301.0,,2374.28,6570.9,62
HCPCS,C1776,IMPL TIB INS EMPOWR E RT,1642.0,,821.0,2374.28,62
HCPCS,C1776,IMPL TIB INS GII PS AP,10407.0,,2374.28,9366.3,62
HCPCS,C1776,IMPL TIB INS JOURNEY II BCS,7353.0,,2374.28,6617.7,62
HCPCS,C1776,IMPL TIB INS JOURNEY II XLPE,1753.0,,876.5,2374.28,62
HCPCS,C1776,IMPL TIB INS SIGMA HP UNI AP,1246.0,,623.0,2374.28,62
HCPCS,C1776,IMPL TIB INSERT ATTUNE RP CR,1621.0,,810.5,2374.28,62
HCPCS,C1776,IMPL TIB INSERT EMPWR VVC DJO,9156.0,,2374.28,8240.4,62
HCPCS,C1776,IMPL TIB INSERT GMK SPHERE,1168.0,,584.0,2374.28,62
HCPCS,C1776,IMPL TIB INSERT RP POSTERIOR,1685.0,,842.5,2374.28,62
HCPCS,C1776,IMPL TIB INSERT SALTO TALARIS,3159.0,,1579.5,2843.1,62
HCPCS,C1776,IMPL TIB INSERT UNITY SEMI-CON,1215.0,,607.5,2374.28,62
HCPCS,C1776,IMPL TIB INST FIX GMK MEDACTA,152.0,,76.0,2374.28,62
HCPCS,C1776,IMPL TIB TRAY 360 75MM,4419.0,,2209.5,3977.1,62
HCPCS,C1776,IMPL TIBIAL BASE FIXED BEARING,1823.0,,911.5,2374.28,62
HCPCS,C1776,IMPL TIBIAL BEARING COMPONENT,7097.0,,2374.28,6387.3,62
HCPCS,C1776,IMPL TIBIAL COMPONENT MODULAR,4240.0,,2120.0,3816.0,62
HCPCS,C1776,IMPL TIBIAL EMPOWER PS INSERT,2609.0,,1304.5,2374.28,62
HCPCS,C1776,IMPL TIBIAL INSERT SZ 5X12MM,8812.0,,2374.28,7930.8,62
HCPCS,C1776,IMPL TIBIAL LEGION GUIDE MOTIO,3813.5,,1847.5,3538.8,124
HCPCS,C1776,IMPL TIBIAL TRAY HRH KEEL,1947.0,,973.5,2374.28,62
HCPCS,C1776,IMPL TIBIAL TRAY INFINITY,11849.0,,2374.28,10664.1,62
HCPCS,C1776,IMPL TOE HEMI METAL,1874.0,,937.0,2374.28,62
HCPCS,C1776,IMPL TOTAL HIP REVISION,17190.0,,2374.28,15471.0,62
HCPCS,C1776,IMPL TOTAL HIP SIGNATURE THA,8293.0,,2374.28,7463.7,62
HCPCS,C1776,IMPL TOTAL SHOULDER,14040.0,,2374.28,12636.0,62
HCPCS,C1776,IMPL UNCOATED KNEE FEMUR,4469.0,,2234.5,4022.1,62
HCPCS,C1776,IMPL UNCOATED KNEE TIBIA PROS,4260.0,,2130.0,3834.0,62
HCPCS,C1776,IMPL UNI STEM FLUTED 115X14MM,2176.0,,1088.0,2374.28,62
HCPCS,C1776,IMPL VAULTLOCK GLENOID MEDIUM,1524.0,,762.0,2374.28,62
HCPCS,C1776,IMPLANT BASEPLATE TIBIA MRH,6767.0,,2374.28,6090.3,62
HCPCS,C1776,IMPLANT ELBOW HUMERAL SPOOL,6687.0,,2374.28,6018.3,62
HCPCS,C1776,IMPLANT FEMORAL HEAD TAPER M,2688.0,,1344.0,2419.2,62
HCPCS,C1776,IMPLANT HIP,635.0,,317.5,2374.28,62
HCPCS,C1776,IMPLANT HIP FEMORAL HEAD,2178.0,,544.5,2940.3,124
HCPCS,C1776,IMPLANT HIP FEMORAL HEAD COCR,1319.5,,460.0,2374.28,124
HCPCS,C1776,IMPLANT HIP FEMORAL STEM,6281.0,,2374.28,5652.9,62
HCPCS,C1776,IMPLANT HIP STEM CEMENTED,5681.0,,2374.28,5112.9,62
HCPCS,C1776,IMPLANT HIP STEM OMNIFIT EON,4188.0,,2094.0,3769.2,62
HCPCS,C1776,IMPLANT HIP STEM PROSTALAC,6853.0,,2374.28,6167.7,62
HCPCS,C1776,IMPLANT HIP STEM SECUR-FIT,5296.0,,2374.28,4766.4,62
HCPCS,C1776,IMPLANT HIP STEM SPECTRON,14757.0,,2374.28,13281.3,62
HCPCS,C1776,IMPLANT HIP STEM VERSYS,1317.0,,658.5,2374.28,62
HCPCS,C1776,IMPLANT KNEE GLIDING SURFACE,2249.0,,1124.5,2374.28,62
HCPCS,C1776,IMPLANT KNEE PATELLA DOME,2238.5,,675.0,2814.3,124
HCPCS,C1776,IMPLANT KNEE TIBIAL INSERT AMK,2860.0,,1430.0,2574.0,62
HCPCS,C1776,IMPLANT SHOULDER HUMERAL HEAD,9607.0,,2374.28,8646.3,62
HCPCS,C1776,IMPLANT STEM ULNAR STANDARD,10522.0,,2374.28,9469.8,62
HCPCS,C1776,IMPLANT TIBIAL NSERT LEFT,4838.0,,2374.28,4354.2,62
HCPCS,C1776,IMPLANT TOTAL KNEE DEPUY,8393.0,,2374.28,7553.7,62
HCPCS,C1776,IMPLANT TOTAL SHOULDER 01,14000.0,,2374.28,12600.0,62
HCPCS,C1776,IMPLIMPL TRAY HUMERAL NEUTRAL,3780.0,,1890.0,3402.0,62
HCPCS,C1776,INBONE POLY TAL DOME 5 TIBIAL,3659.0,,1829.5,3293.1,62
HCPCS,C1776,INFINITY ADAPTIS TALDOME,13075.0,,2374.28,11767.5,62
HCPCS,C1776,INFINITY ADAPTIS TIB,11849.0,,2374.28,10664.1,62
HCPCS,C1776,INFINITY ADAPTIS TOT ANKLE SYS,6446.0,,2374.28,5801.4,62
HCPCS,C1776,INPL KNEE FEM DISTAL OSS,12048.0,,2374.28,10843.2,62
HCPCS,C1776,INS TIB CCK REVISION,7633.0,,2374.28,6869.7,62
HCPCS,C1776,INS TIB CR TETAIN SCORPIO,1473.0,,736.5,2374.28,62
HCPCS,C1776,INS TIB FIX BEAR STAB,3282.0,,1641.0,2953.8,62
HCPCS,C1776,INS TIB FIX BEAR ULT CONS,3498.0,,1749.0,3148.2,62
HCPCS,C1776,INS TIBIAL REV CCK ART SURF VE,4171.0,,2085.5,3753.9,62
HCPCS,C1776,INSERT 3D EX 4RT 11MM,1311.0,,655.5,2374.28,62
HCPCS,C1776,INSERT CONSTRAINED AEQUALIS,4804.0,,2374.28,4323.6,62
HCPCS,C1776,INSERT OR3O DM XLPE,3317.0,,1658.5,2985.3,62
HCPCS,C1776,INSERT TIB ATTUNE RP CRS,3861.0,,1930.5,3474.9,62
HCPCS,C1776,INSERT TIB PRTL KNEE E-PLUS,9430.0,,2374.28,8487.0,62
HCPCS,C1776,INSERT TIB RM/LL UNI,1363.0,,681.5,2374.28,62
HCPCS,C1776,INSERT TIB ROTATE PLATFORM 01,4770.0,,2374.28,4293.0,62
HCPCS,C1776,INSERT TIB ROTATE PLATFORM 02,4697.0,,2348.5,4227.3,62
HCPCS,C1776,INSERT TIBIAL NEXGEN,3465.0,,1732.5,3118.5,62
HCPCS,C1776,INSERT TIBIAL REV MC COLUMBUS,3648.0,,1824.0,3283.2,62
HCPCS,C1776,INSERT TRIATHLON PS X3 3,2391.0,,1195.5,2374.28,62
HCPCS,C1776,INSERT TRIATHLON PS X3 6 13MM,2463.0,,1231.5,2374.28,62
HCPCS,C1776,INSERT VGPS TIB BRNG,1438.0,,719.0,2374.28,62
HCPCS,C1776,INST SEMICONSTRAINED 20MM SZ 4,3345.0,,1672.5,3010.5,62
HCPCS,C1776,INST TIB ROTATING COMPONENT,5527.0,,2374.28,4974.3,62
HCPCS,C1776,INST TIBIAL ATTUNE FB PS,2060.0,,1030.0,2374.28,62
HCPCS,C1776,INTEGRAL/X POR STANDARD 10MM,3464.0,,1732.0,3117.6,62
HCPCS,C1776,INVISION TALAR BONE,12568.0,,2374.28,11311.2,62
HCPCS,C1776,ITOTAL IDENT  TIB TRAY TI CEM,2907.0,,1453.5,2616.3,62
HCPCS,C1776,ITOTAL IDENT TIBIAL INSERT  XE,949.0,,474.5,2374.28,62
HCPCS,C1776,ITOTAL IDENTITY CR JIGS RIGHT,970.0,,485.0,2374.28,62
HCPCS,C1776,JOURNEY 7.5 RND RSRF PAT,585.0,,292.5,2374.28,62
HCPCS,C1776,JOURNEY CR FEM OX NP LT,2921.0,,1460.5,2628.9,62
HCPCS,C1776,JOURNEY II UNI OXINIUM FEM COM,2621.0,,1310.5,2374.28,62
HCPCS,C1776,JOURNEY PF IMPLANT MED RT,29.0,,14.5,2374.28,62
HCPCS,C1776,JOURNEY XLPE ART INSERT,2432.0,,1216.0,2374.28,62
HCPCS,C1776,JOURNEYII CR FEMORAL OXIMUM NP,2921.0,,1460.5,2628.9,62
HCPCS,C1776,KN AUG CONE TIB PERSONA TR,8895.0,,2374.28,8005.5,62
HCPCS,C1776,KNEE ENDO MODEL,17678.0,,2374.28,15910.2,57
HCPCS,C1776,KNEE ENDO MODEL PORX SMLTIBIA,5883.0,,2374.28,5294.7,62
HCPCS,C1776,KNEE ENDO MODEL UNICONDYLAR SL,11838.0,,2374.28,10654.2,62
HCPCS,C1776,KNEE ENDO MODL POREX SML FEMUR,13194.0,,2374.28,11874.6,57
HCPCS,C1776,KNEE FEM JOURNEY UNI OXN RM/LL,2434.0,,1217.0,2374.28,62
HCPCS,C1776,KNEE REVISION FEMUR NON-PORUS,10903.0,,2374.28,9812.7,62
HCPCS,C1776,KNEE STEM EXTENSION UNITY,811.0,,405.5,2374.28,62
HCPCS,C1776,KNEE STEM OSS STR CMT 17X150,7549.0,,2374.28,6794.1,62
HCPCS,C1776,KNEE SYS REV CRS FEM CMNTED RT,10613.0,,2374.28,9551.7,62
HCPCS,C1776,KNEE SYS REV CRS ROTAT PLAFORM,4741.0,,2370.5,4266.9,62
HCPCS,C1776,KNEE SYS REV ROTA TIB BASE CEM,7943.0,,2374.28,7148.7,62
HCPCS,C1776,KNEE SYS REVI PRESSFIT STEM,2649.0,,1324.5,2384.1,62
HCPCS,C1776,KNEE TIB INSERT PERSO VIVACITE,1363.0,,681.5,2374.28,62
HCPCS,C1776,KT CONDYLE W/HEXALOBULA,4901.0,,2374.28,4410.9,62
HCPCS,C1776,LC MENIS BEARING SM 10MM,2022.0,,1011.0,2374.28,62
HCPCS,C1776,LEFT FEMUR COMPONENT,11368.0,,2374.28,10231.2,62
HCPCS,C1776,LGN HK LINK ASSY SZ 2-5 FEM,1866.0,,933.0,2374.28,62
HCPCS,C1776,LINER ACET 20D XLPE REFLECTION,3282.0,,1641.0,2953.8,124
HCPCS,C1776,LINER ACET BIP TANDEM 28X44M,4417.0,,2208.5,3975.3,62
HCPCS,C1776,LINER ACET NON-CONSTRAINED,3159.0,,1579.5,2843.1,62
HCPCS,C1776,LINER ACETABULAR PSI POLYAMIDE,4860.0,,2374.28,4374.0,62
HCPCS,C1776,LINER ARCOMXL ALL-POLY HIP,2906.0,,1453.0,2615.4,62
HCPCS,C1776,LINER DELTA CUP-LIMAVIT MOBLIE,1519.0,,759.5,2374.28,62
HCPCS,C1776,LINER DUR MAR 36Z62 +4 10 DEG,3214.0,,1607.0,2892.6,62
HCPCS,C1776,LINER OBLIQUE C LNN 32 X 62,1358.0,,679.0,2374.28,62
HCPCS,C1776,LINER OR3O DUAL MOBILITY,4423.0,,2211.5,3980.7,62
HCPCS,C1776,LINER PINNACLE MAR +4,1317.0,,658.5,2374.28,62
HCPCS,C1776,LINER POLYAMIDE ACETAB ANATOMY,6480.0,,2374.28,5832.0,62
HCPCS,C1776,LINER REV 10 DEGREE,2852.0,,1426.0,2566.8,62
HCPCS,C1776,LINER RINGLOC E-POLY HW,2156.0,,1078.0,2374.28,62
HCPCS,C1776,LINK MODULAR STEM CEMENTLESS,5274.0,,2374.28,4746.6,62
HCPCS,C1776,LOGICAL ACETABULAR SHELL,2146.0,,1073.0,2374.28,62
HCPCS,C1776,LOGICAL CUP LINER,1009.5,,356.5,2374.28,124
HCPCS,C1776,LOGICAL G SERIES CUP SHELL,10581.0,,2374.28,9522.9,62
HCPCS,C1776,LOSPA TIBIAL INSERT,7594.0,,2374.28,6834.6,62
HCPCS,C1776,LPS C FEM STEM BOW,7050.0,,2374.28,6345.0,62
HCPCS,C1776,LPS PROX TIB REPLC C XSM,13029.0,,2374.28,11726.1,62
HCPCS,C1776,LYP KNEE TIB INS NEXGEN ALPOLO,2213.0,,1106.5,2374.28,62
HCPCS,C1776,MEDIUM ROTATING HINGE,31937.0,,2374.28,28743.3,62
HCPCS,C1776,MENISCAL BEARING OXFORD,3033.0,,1516.5,2729.7,62
HCPCS,C1776,METALIC FEMORAL HEAD,884.0,,442.0,2374.28,62
HCPCS,C1776,MOD STEM CYLINDRICAL PRESS-FIT,1903.0,,951.5,2374.28,62
HCPCS,C1776,MODULAR BALL JOINT,490.0,,245.0,2374.28,62
HCPCS,C1776,MODULAR CUP OFFSET LNR,1714.0,,857.0,2374.28,62
HCPCS,C1776,MODULAR FEM COMPONENT-PS-LT-05,7788.0,,2374.28,7009.2,62
HCPCS,C1776,MODULAR GLENOID SYSTEM,843.0,,421.5,2374.28,62
HCPCS,C1776,MODULAR HEAD RHHDLG,3544.0,,1772.0,3189.6,62
HCPCS,C1776,MODULAR PROSTHESIS HEAD,3715.5,,1458.0,4063.5,124
HCPCS,C1776,MODULAR STEM FEMORAL,5533.0,,2374.28,4979.7,62
HCPCS,C1776,MODULAR STEM LINK 15-8524/57,4824.0,,2374.28,4341.6,62
HCPCS,C1776,MODULAR STEM RHSTMD,3544.0,,1772.0,3189.6,62
HCPCS,C1776,MODULAR STEM W/FEMALE TAPER,3102.0,,1551.0,2791.8,62
HCPCS,C1776,MODULAR STEM W/MALE TAPER,3359.0,,1679.5,3023.1,62
HCPCS,C1776,MODULAR TIBIAL JOINT COMP,7077.0,,2374.28,6369.3,62
HCPCS,C1776,MPACT 3D METAL SHELL MULT HOLE,3744.0,,1872.0,3369.6,62
HCPCS,C1776,MTO CEMENT MOLD STEM,298.0,,149.0,2374.28,62
HCPCS,C1776,NECK SEGMENT XXL W/O COLLAR,9557.0,,2374.28,8601.3,62
HCPCS,C1776,NON-CEMENTED POLARCUP INSERT,2301.0,,1150.5,2374.28,62
HCPCS,C1776,OMNIFIT CEMENTED LONG STEM,8855.0,,2374.28,7969.5,62
HCPCS,C1776,OSS 7CM SEGMENTAL FEMORAL LT,15202.0,,2374.28,13681.8,62
HCPCS,C1776,OSS AXLE,891.0,,445.5,2374.28,62
HCPCS,C1776,OSS MOD TIBIAL 67MM,5645.0,,2374.28,5080.5,62
HCPCS,C1776,OSS POLY TIBIAL BEARING,2220.0,,1110.0,2374.28,62
HCPCS,C1776,OSS REINFORCED YOKE,2075.0,,1037.5,2374.28,62
HCPCS,C1776,OSS RS TIB AUG UNIV,1631.0,,815.5,2374.28,62
HCPCS,C1776,OSS SMOOTH STM W/SRW,3460.0,,1730.0,3114.0,62
HCPCS,C1776,OSSIOFIBER HAMMER TOE FIX SYS,2543.0,,1271.5,2374.28,62
HCPCS,C1776,OXINIUM LEGION HK FEM ASSEMBLY,34016.0,,2374.28,30614.4,62
HCPCS,C1776,OXINIUM LEGION HK TI TIB BASE,17010.0,,2374.28,15309.0,62
HCPCS,C1776,PATELLA ATTUNE MED ANAT,948.0,,474.0,2374.28,62
HCPCS,C1776,PATELLA ATTUNE MED ANAT 35MM,1257.0,,628.5,2374.28,62
HCPCS,C1776,PATELLA COMPONENT 3-PEG,372.0,,186.0,2374.28,62
HCPCS,C1776,PATELLA COMPONENT DOME,1991.0,,995.5,2374.28,62
HCPCS,C1776,PATELLA RESURFACINGMEDACTA,608.0,,304.0,2374.28,62
HCPCS,C1776,PATELLA VANGUARD PEG,1007.0,,503.5,2374.28,62
HCPCS,C1776,PERI-LOC 4.5MM HOLE INSERT,202.0,,101.0,2374.28,62
HCPCS,C1776,PERSONA CEM FEM TIB/VE SURF,8293.0,,2374.28,7463.7,62
HCPCS,C1776,PERSONA TIBIAL INSERT,3857.0,,1928.5,3471.3,62
HCPCS,C1776,PINN BANTAM W/GRIPTION 44MM,1621.0,,810.5,2374.28,62
HCPCS,C1776,POLARSTEM STEM STD TI/HA,2996.0,,1498.0,2696.4,62
HCPCS,C1776,POROUS STEM BOWED,5332.0,,2374.28,4798.8,62
HCPCS,C1776,POSTERIOR FEMORAL AUGMENT UNIV,2336.0,,1168.0,2374.28,62
HCPCS,C1776,PROSTH EMPOWER KNEE TIBIA,3403.0,,1701.5,3062.7,62
HCPCS,C1776,PROSTH FEM HEAD FREEDOM,2071.0,,1035.5,2374.28,62
HCPCS,C1776,PROSTHESIS HEAD LINK,1215.0,,607.5,2374.28,62
HCPCS,C1776,PSN FEM CR CMT CCR NRW,2808.0,,1404.0,2527.2,62
HCPCS,C1776,PSN REV FEM CMT CCR STD SIZE 3,12176.0,,2374.28,10958.4,62
HCPCS,C1776,PSN REV STRAIGHT SPLINE STEM,2884.0,,1442.0,2595.6,62
HCPCS,C1776,PSN REV TAPERED SMOOTH STEM,7343.5,,1398.0,10701.9,124
HCPCS,C1776,PSN REV TIB HALF BLOCK,1838.0,,919.0,2374.28,62
HCPCS,C1776,PTC DISTAL STEM,12953.5,,2374.28,14583.6,124
HCPCS,C1776,PYROCARBON HUM HEAD,9000.0,,2374.28,8100.0,62
HCPCS,C1776,PYROCARBON HUM HEAD DIA 43MM,43342.0,,2374.28,39007.8,62
HCPCS,C1776,RECLAIM MONOBLOC REV FEM STEM,15565.0,,2374.28,14008.5,62
HCPCS,C1776,REDAPT FULLY POROUS SHELL,5944.0,,2374.28,5349.6,124
HCPCS,C1776,REDAPT MODULAR SLEEVE,5462.0,,2374.28,4915.8,62
HCPCS,C1776,REDAPT SLVLS MONO STEM,18330.5,,2374.28,17706.6,124
HCPCS,C1776,REGULAR FLUTED STEM,1731.0,,865.5,2374.28,62
HCPCS,C1776,REMEDY HIP STEM,4146.0,,2073.0,3731.4,62
HCPCS,C1776,REST MOD CONICAL DISTAL STEM,5238.0,,2374.28,4714.2,62
HCPCS,C1776,RETENTIVE REVERSED INSERT,3107.0,,1064.5,3676.5,124
HCPCS,C1776,REV FEMUR PS CEMENTED LT SZ 3,9697.0,,2374.28,8727.3,62
HCPCS,C1776,REV TIBIAL TRAY LR SZ 4,4772.0,,2374.28,4294.8,62
HCPCS,C1776,REVERSE LINER,1841.0,,920.5,2374.28,62
HCPCS,C1776,REVERSE MODULAR REPLC ADAPTOR,31385.0,,2374.28,28246.5,62
HCPCS,C1776,REVERSE SHOULDER PROST CUP,3317.0,,1658.5,2985.3,62
HCPCS,C1776,REVERSE SHOULDER REVISION,31673.0,,2374.28,28505.7,62
HCPCS,C1776,REVERSED INSERT TORNIER,4406.0,,2203.0,3965.4,62
HCPCS,C1776,REVISION CRS FEMORAL CEMENTED,12078.0,,2374.28,10870.2,62
HCPCS,C1776,REVISION FEMUR PS CEMENTED RT,9697.0,,2374.28,8727.3,62
HCPCS,C1776,REVISION TIBIAL STEM ZIMMER,1888.0,,944.0,2374.28,62
HCPCS,C1776,REVISION TIBIAL TRAY RIGHT,4772.0,,2374.28,4294.8,62
HCPCS,C1776,RING DURALOC DYNAMIC LOCKING,665.0,,332.5,2374.28,62
HCPCS,C1776,RINGLOC REPLACEMENT RING SZ23,88.0,,44.0,2374.28,62
HCPCS,C1776,ROTATING HINGED TOT KNEE PROS,21976.0,,2374.28,19778.4,62
HCPCS,C1776,ROTATIONAL KNEE JOINT FEM COMP,14806.0,,2374.28,13325.4,62
HCPCS,C1776,ROTATIONAL KNEE JOINT PROSTH,10067.0,,2374.28,9060.3,62
HCPCS,C1776,RS 3CM RESURFACING FMRL LT,10377.0,,2374.28,9339.3,62
HCPCS,C1776,RSP HUM SOCKET INSERT,2045.0,,1022.5,2374.28,62
HCPCS,C1776,RSP SEMICONSTRAINED HUM SOCKET,1541.0,,770.5,2374.28,62
HCPCS,C1776,SALVAGE SEGMENTED STEM,9351.0,,2374.28,8415.9,62
HCPCS,C1776,SCORPIO TS FEM W/LFIT,9313.0,,2374.28,8381.7,62
HCPCS,C1776,SEGMENT DIAPHYSEAL OSS,12300.0,,2374.28,11070.0,62
HCPCS,C1776,SEGMENT DIST FEM,758.0,,379.0,2374.28,62
HCPCS,C1776,SHELL ACETABULR BIPOLAR TANDEM,2207.0,,1103.5,2374.28,62
HCPCS,C1776,SHELL HEMI W/O SCRW HOLE 60MM,1710.0,,855.0,2374.28,62
HCPCS,C1776,SHLDR BSPLT AEQUALIS REVII 25,7276.0,,2374.28,6548.4,62
HCPCS,C1776,SHLDR BSPLT AEQUALIS REVII 3,7314.0,,2374.28,6582.6,62
HCPCS,C1776,SPHERE GLEN 25MM BSPLT 25MM,7606.0,,2374.28,6845.4,62
HCPCS,C1776,SPHERE GLENOID AEQUALIS REV 36,7205.0,,2374.28,6484.5,62
HCPCS,C1776,SPR M HING FEM RT 2 5 MD,2527.0,,1263.5,2374.28,62
HCPCS,C1776,STEM 54X18 HIGH OS ASCFLEXST,6911.0,,2374.28,6219.9,62
HCPCS,C1776,STEM ASCEND FLEX PTC 01,11208.0,,2374.28,10087.2,62
HCPCS,C1776,STEM ASCEND FLEX PTC STD SZ 5B,9702.0,,2374.28,8731.8,62
HCPCS,C1776,STEM ASCEND FLEX PTC STD SZ 8B,9238.0,,2374.28,8314.2,62
HCPCS,C1776,STEM ASCEND FLEX PTC STD SZ1B,10464.0,,2374.28,9417.6,62
HCPCS,C1776,STEM ASCEND FLEX PTC STD SZ3B,9607.0,,2374.28,8646.3,62
HCPCS,C1776,STEM BIO POR FEM LAT,3464.0,,1732.0,3117.6,62
HCPCS,C1776,STEM BIOMET SMOOTH KNEE,2000.0,,1000.0,2374.28,62
HCPCS,C1776,STEM CEMENTLESS,11325.0,,2374.28,10192.5,62
HCPCS,C1776,STEM EXTENSION-CEMENT-D09-L030,536.0,,268.0,2374.28,62
HCPCS,C1776,STEM FEM FULL STANDARD,3602.0,,1801.0,3241.8,62
HCPCS,C1776,STEM FEM MRS W/O BODY,7323.0,,2374.28,6590.7,62
HCPCS,C1776,STEM FEM SECUR-FIT 127DEG SZ6,4528.0,,2264.0,4075.2,62
HCPCS,C1776,STEM FEMUR OFFSET COLUMBUS AS,4222.0,,2111.0,3799.8,62
HCPCS,C1776,STEM HIP REVELATION MICROMAX,4599.0,,2299.5,4139.1,62
HCPCS,C1776,STEM HIP SECURFIT MAX 132 6,5330.0,,2374.28,4797.0,62
HCPCS,C1776,STEM HUM COMPREHENSIVE REVERSE,8202.0,,2374.28,8153.1,186
HCPCS,C1776,STEM HUMERAL EQUINOXE,14869.0,,2374.28,13382.1,62
HCPCS,C1776,STEM HUMERAL REVERSED FRACTU,5839.0,,2374.28,5255.1,62
HCPCS,C1776,STEM KNEE SPLINED,2102.0,,1051.0,2374.28,62
HCPCS,C1776,STEM KNEE UNIV PF FLUTE,2572.0,,1286.0,2374.28,62
HCPCS,C1776,STEM KNEE UNIV PF FLUTE 12X115,1414.0,,707.0,2374.28,62
HCPCS,C1776,STEM LINEAR LATERAL OFFSET 19,3760.0,,1880.0,3384.0,62
HCPCS,C1776,STEM MODULAR PRESSFIT CONICAL,5492.0,,2374.28,4942.8,62
HCPCS,C1776,STEM OFFSET 16 DIA,2035.0,,1017.5,2374.28,62
HCPCS,C1776,STEM RADIAL HEAD ACUMED,7769.0,,2374.28,6992.1,62
HCPCS,C1776,STEM REDAPT PF-240MM SZ 25,20565.0,,2374.28,18508.5,62
HCPCS,C1776,STEM SPLINED KNEE 01,2388.0,,1194.0,2374.28,62
HCPCS,C1776,STEM SPLINED KNEE 02,2564.0,,1282.0,2374.28,62
HCPCS,C1776,STEM TIB MEGASYSTEM-C MALE TPR,3102.0,,1551.0,2791.8,62
HCPCS,C1776,STEM TIB MEGASYSTM-C ML TPR,4012.0,,2006.0,3610.8,62
HCPCS,C1776,STEM WAGNER CONE PROS 135D 15M,4620.0,,2310.0,4158.0,62
HCPCS,C1776,STM KNEE SPLIN V2 11X40-170674,2102.0,,1051.0,2374.28,62
HCPCS,C1776,STM PRO NEUT 14X150 SLOT,2359.0,,1179.5,2374.28,62
HCPCS,C1776,SURFACE ACETAB TRIFLANGE RT,28008.0,,2374.28,25207.2,62
HCPCS,C1776,SWANSON MTP JOINT PROSTHESIS,1741.0,,870.5,2374.28,62
HCPCS,C1776,SYS ARCOS MODULAR REV HIP,5710.0,,2374.28,5139.0,62
HCPCS,C1776,TAPER HUMERAL MODULE STRYKER,4696.0,,2348.0,4226.4,62
HCPCS,C1776,TAPER MALLORY HEAD RADIAL,4437.0,,2218.5,3993.3,62
HCPCS,C1776,TAPER MORSE LONG STEM ACUMED,5469.0,,2374.28,4922.1,62
HCPCS,C1776,TAPERED SMOOTH KNEE FEMUR STEM,2689.0,,1344.5,2420.1,62
HCPCS,C1776,TIB BRAY SIGMA HP UNI FB,3791.0,,1895.5,3411.9,62
HCPCS,C1776,TIB COMP OXFORD PART,4379.0,,2189.5,3941.1,62
HCPCS,C1776,TIB INS JOURNEY RM-LL 3-4 9MM,2654.0,,1327.0,2388.6,62
HCPCS,C1776,TIB INS SIGMA HP UNI FB,1685.0,,842.5,2374.28,62
HCPCS,C1776,TIB INSERT EVOLUTION CS,6221.0,,2374.28,5598.9,62
HCPCS,C1776,TIB INSERT ITOTAL IPOLY XE CR1,1854.0,,927.0,2374.28,62
HCPCS,C1776,TIB INSERT ITOTAL IPOLY XE CR2,927.0,,463.5,2374.28,62
HCPCS,C1776,TIB INSERT TRIATHLON AP PSS,2336.0,,1168.0,2374.28,62
HCPCS,C1776,TIB INSERT TRIATHLON TS+,4198.0,,2099.0,3778.2,62
HCPCS,C1776,TIB TRAY LOGIC FIT 4.0F,2158.0,,1079.0,2374.28,62
HCPCS,C1776,TIB TRAY SIGMA HP UNI FB,1685.0,,842.5,2374.28,62
HCPCS,C1776,TIBIA INSERT POLY COLUMBUS REV,4131.0,,2065.5,3717.9,62
HCPCS,C1776,TIBIA OFFSET COLUMB AS REV T3,7592.0,,2374.28,6832.8,62
HCPCS,C1776,TIBIAL BASE POROCOAT RP SYNTHE,1823.0,,911.5,2374.28,62
HCPCS,C1776,TIBIAL BASEPLATE ELEOS ONKOS,8747.0,,2374.28,7872.3,62
HCPCS,C1776,TIBIAL COMPONENT MODULAR,5094.0,,2374.28,4584.6,62
HCPCS,C1776,TIBIAL INSERT,4082.0,,2041.0,3673.8,62
HCPCS,C1776,TIBIAL INSERT HINGE,4421.0,,2210.5,3978.9,62
HCPCS,C1776,TIBIAL INSRT ROTATNG POSTERIOR,2415.0,,1207.5,2374.28,62
HCPCS,C1776,TIBIAL JOURNEY BASE NP,2071.0,,1035.5,2374.28,62
HCPCS,C1776,TIBIAL TRAY FIXED CEMENTED,1350.0,,675.0,2374.28,62
HCPCS,C1776,TIBIAL TRAY INBONE,3520.0,,1760.0,3168.0,62
HCPCS,C1776,TIBIAL TRAY INFINITY,10510.5,,2374.28,9701.1,124
HCPCS,C1776,TIBIAL TRAY MRH KEEL,4069.0,,2034.5,3662.1,62
HCPCS,C1776,TICAP SHELL CLUSTER HOLE 50MM,3544.0,,1772.0,3189.6,62
HCPCS,C1776,TM STM REV 10MM X130MM,8473.0,,2374.28,7625.7,62
HCPCS,C1776,TOTAL CS EDGE SHOULDER,10620.0,,2374.28,9558.0,62
HCPCS,C1776,TOTAL HIP,7470.0,,2374.28,6723.0,62
HCPCS,C1776,TOTAL HIP REVISIONCORENTEC,13823.0,,2374.28,12440.7,62
HCPCS,C1776,TOTAL REVERSE SHOULDER,14400.0,,2374.28,12960.0,62
HCPCS,C1776,TOTAL SHOULDER LINKFTS01,15912.0,,2374.28,14320.8,62
HCPCS,C1776,TRABECULINK 3-ZONES FEM CONES,9726.0,,2374.28,8753.4,62
HCPCS,C1776,TRAY TIBIAL FIXED BEARING UNIT,4485.0,,2242.5,4036.5,62
HCPCS,C1776,TRAY TIBIAL KNEE REV VANGUARD,4311.0,,2155.5,3879.9,62
HCPCS,C1776,TRI CEMENTED STEM,1861.0,,930.5,2374.28,124
HCPCS,C1776,TRIATHLON CR TIBIAL INSERT,2213.0,,1106.5,2374.28,62
HCPCS,C1776,TRIATHLON HINGE BUMPER 3 DEG,6461.0,,2374.28,5814.9,62
HCPCS,C1776,TRIATHLON HINGE FEMORAL COMP,11902.0,,2374.28,10711.8,62
HCPCS,C1776,TRIATHLON PRESS-FIT STEM,2117.0,,1058.5,2374.28,62
HCPCS,C1776,TRIFLANGE LEFT HARBISON SZ 25,27790.0,,2374.28,25011.0,62
HCPCS,C1776,TRULIANT TIB IMP PS INSERT,2606.0,,1303.0,2374.28,62
HCPCS,C1776,ULNAR ASSMLY PLASMA REG LT,8091.0,,2374.28,7281.9,62
HCPCS,C1776,ULNAR STEM,10392.0,,2374.28,9352.8,62
HCPCS,C1776,ULTRA CONGRUENT TIB ARTICULAR,3932.0,,1966.0,3538.8,62
HCPCS,C1776,UNI REVERSE HUM RESECT GUIDE,4992.0,,2374.28,4492.8,62
HCPCS,C1776,UNITRAX MODULAR ENDO HEAD,3039.0,,1519.5,2735.1,62
HCPCS,C1776,UNITY TIBIAL INSERT PS FIXED,2106.0,,1053.0,2374.28,62
HCPCS,C1776,UNIV 2-HOLE SHL 70MM LINER,3476.0,,1738.0,3128.4,62
HCPCS,C1776,UNIVERS REVERS APEX STEM,4162.0,,2081.0,3745.8,62
HCPCS,C1776,UNIVERS VAULTLOCK GLENOID SM,3189.0,,1594.5,2870.1,62
HCPCS,C1776,UNIVERSAL CUP HUM UNIVERS REV,2989.0,,1494.5,2690.1,62
HCPCS,C1776,USP HUMERAL HEAD ARTHREX,1695.0,,847.5,2374.28,62
HCPCS,C1776,V BD M CLR 18X160 STDBDY,3780.0,,1890.0,3402.0,62
HCPCS,C1776,VAN CR ILOK FEM RT/LT KNEE,3967.0,,1983.5,3570.3,62
HCPCS,C1776,VAULTLOCK AUGMENTED LARGE,6226.0,,2374.28,5603.4,62
HCPCS,C1776,VERSYS CEMENTED STEM 15X140STD,2921.0,,1460.5,2628.9,62
HCPCS,C1776,VIVACIT FREEDOM CONSTRAINED,9733.0,,2374.28,8759.7,62
HCPCS,C1776,VIVACIT-E DM BEARING,1843.0,,921.5,2374.28,62
HCPCS,C1776,X3 HUMERAL INSERT,5635.0,,2374.28,5071.5,62
HCPCS,C1776,X3 HUMERAL INSERT 36MM 4M STND,3092.0,,1546.0,2782.8,62
HCPCS,C1776,XLPE INSERT DUAL MOBILITY,5529.0,,2374.28,4976.1,62
HCPCS,C1776,XS PROX BODY EXACTECH,14104.0,,2374.28,12693.6,62
HCPCS,C1776,Z*RSP HUM SOCKET SHELL,2453.0,,1226.5,2374.28,62
HCPCS,C1776,ZB 12/14 COCR FEMORAL HEAD,585.0,,292.5,2374.28,62
HCPCS,C1777,ICD LEAD DURATA SJ4 7122Q*,10314.0,,5157.0,9282.6,62
HCPCS,C1777,LEAD ICD ENDOTAK RELIANCE SG,16812.0,,6043.04,15130.8,62
HCPCS,C1777,LEAD ICD OPTISURE SNGL,8623.0,,4311.5,7760.7,62
HCPCS,C1777,LEAD ICD RELIANCE 4-FRONT,7739.0,,3869.5,6965.1,62
HCPCS,C1777,LEAD ICD SPRINT QUATTRO SGL,10372.0,,5186.0,9334.8,62
HCPCS,C1777,LEAD PLEXA PRO MRI,7818.0,,3909.0,7036.2,62
HCPCS,C1777,SYS OSSIOFIBER HAMMER TOE FIX,3650.0,,1825.0,6043.04,62
HCPCS,C1778,ADVANCED TRIAL PACKAGE AXONICS,8464.0,,4232.0,7617.6,62
HCPCS,C1778,LEAD CUFF INSPIRE,5052.0,,2526.0,4546.8,62
HCPCS,C1778,LEAD DEPTH RNS NEUROSTIM,10098.0,,4266.13,9088.2,62
HCPCS,C1778,LEAD NEUROSTIM LINEAR PERCUT,1831.0,,915.5,4266.13,62
HCPCS,C1778,LEAD NEUROSTIM LINEAR PERCUTAN,4880.0,,1178.0,6663.6,124
HCPCS,C1778,LEAD NEUROSTIM PERENNIA FLEX,16465.0,,4266.13,14818.5,62
HCPCS,C1778,LEAD NEUROSTIMULATOR AXIUM,2300.0,,1150.0,4266.13,62
HCPCS,C1778,LEAD NEUROSTIMULATOR OCTRODE,4926.0,,2463.0,4433.4,62
HCPCS,C1778,LEAD NEUROSTIMULATOR VAGUS VNS,16819.0,,4266.13,15137.1,62
HCPCS,C1778,LEAD PERENNIAFLEX 304,13692.0,,4266.13,12322.8,62
HCPCS,C1778,LEAD PERENNIAFLEX 304 3MM,14212.0,,4266.13,12790.8,62
HCPCS,C1778,LEAD QUADRIPOLAR INTERSTIM,9383.0,,4266.13,8444.7,62
HCPCS,C1778,LEAD REACTIV8,4377.0,,2188.5,4266.13,62
HCPCS,C1778,LEAD SENSING INSPIRE,7907.0,,3953.5,7116.3,62
HCPCS,C1778,LEAD SPECIFY SURESCAN 977C165,11957.0,,4266.13,10761.3,62
HCPCS,C1778,LEAD TINED AXONICS 1201,7371.0,,3685.5,6633.9,62
HCPCS,C1778,LEAD VAGUS NERVE STIMULATOR,17498.0,,4266.13,15748.2,62
HCPCS,C1778,LEAD VECTRIS SURESCAN 977A17,5317.0,,2658.5,4785.3,62
HCPCS,C1778,LEAD VECTRIS SURESCAN 977A260,5371.0,,2685.5,4833.9,62
HCPCS,C1778,LEAD VECTRIS SURESCAN 977A275,5164.0,,2582.0,4647.6,62
HCPCS,C1778,LEAD- SPINAL NEUROSTIM,3110.0,,1555.0,4266.13,62
HCPCS,C1778,"NEURO, IMPLANTABLE",2476.0,,1238.0,4266.13,62
HCPCS,C1778,VITARIA 7304 LEAD/PROGRAM SYS,0.01,,0.005,4266.13,57
HCPCS,C1779,LEAD PCMKR SELECTSECURE,1382.0,,691.0,1243.8,62
HCPCS,C1781,3D MAX MESH X-LARGE,604.0,,302.0,608.95,62
HCPCS,C1781,ABD MES COMPOSITE-POLYMER,935.0,,467.5,841.5,62
HCPCS,C1781,DERMAMATRIX 4X7,1926.0,,608.95,1733.4,62
HCPCS,C1781,DURASORB MONOFILAMENT MESH,2200.0,,608.95,1980.0,62
HCPCS,C1781,DUREPAIR,2098.0,,608.95,1888.2,62
HCPCS,C1781,DUREPAIR 62100,595.0,,297.5,608.95,62
HCPCS,C1781,DUREPAIR 62111,295.0,,147.5,608.95,62
HCPCS,C1781,DUREPAIR GRAFT,1099.0,,549.5,989.1,62
HCPCS,C1781,DUREPAIR GRAFT 12.5CM X 20CM,5255.0,,608.95,4729.5,62
HCPCS,C1781,DUREPAIR GRAFT 2.5CM X 7.5CM,571.0,,285.5,608.95,62
HCPCS,C1781,GORE-TEX SOFT TISSUE PATCH,1039.0,,519.5,935.1,62
HCPCS,C1781,GRAFT GENTRIX-MATRISTEM,907.0,,453.5,816.3,62
HCPCS,C1781,GRAFT PHASIX 3IN DIAMETER,2709.0,,608.95,2438.1,62
HCPCS,C1781,MESH 1.2 90 X .6MM,1854.0,,608.95,1668.6,62
HCPCS,C1781,MESH 3DMAX LEFT 12.4 X 17.3CM,450.0,,225.0,608.95,62
HCPCS,C1781,MESH 3DMAX MID ANATOMICAL,575.0,,273.0,608.95,124
HCPCS,C1781,MESH ABDOMINAL SURGICAL,158.0,,79.0,608.95,62
HCPCS,C1781,MESH COMP SYMBOTEX ELIP 20X12,1693.0,,608.95,1523.7,62
HCPCS,C1781,MESH COMP SYMBOTEX ELIP 217X10,1115.0,,557.5,1003.5,62
HCPCS,C1781,MESH COMP SYMBOTEX RECT 15X10,1065.0,,532.5,958.5,62
HCPCS,C1781,MESH COMP SYMBOTEX RECT 20X15,1693.0,,608.95,1523.7,62
HCPCS,C1781,MESH COMP SYMBOTEX RECT 25X20,2726.0,,608.95,2453.4,62
HCPCS,C1781,MESH COMP SYMBOTEX RECT 37X28,4216.0,,608.95,3794.4,62
HCPCS,C1781,MESH COMPOSITE SYMBOTEX RND 12,1179.0,,589.5,1061.1,62
HCPCS,C1781,MESH COMPOSITE SYMBOTEX RND 15,1640.0,,608.95,1476.0,62
HCPCS,C1781,MESH COMPOSITE SYMBOTEX RND 9,895.0,,447.5,805.5,62
HCPCS,C1781,MESH CRANIOFACIAL PITTSBURGH,1281.0,,608.95,1152.9,62
HCPCS,C1781,MESH DURASORB BIOSYN,7371.0,,608.95,9266.4,124
HCPCS,C1781,MESH DYNAMIC 1.7MM,3443.0,,608.95,3098.7,62
HCPCS,C1781,MESH DYNAMIC 200X200X1.0MM,12489.0,,608.95,11240.1,62
HCPCS,C1781,MESH HERNIA MACROPOR PARIETENE,132.0,,66.0,608.95,62
HCPCS,C1781,MESH HERNIA PARIETEX 15X10 LGH,210.0,,105.0,608.95,62
HCPCS,C1781,MESH HERNIA PARIETEX 15X15 LW,237.0,,118.5,608.95,62
HCPCS,C1781,MESH HERNIA PARIETEX 30X30 LW,644.0,,322.0,608.95,62
HCPCS,C1781,MESH HERNIA PROGRIP 10X15CM,929.0,,464.5,836.1,62
HCPCS,C1781,MESH HERNIA VENTRALIGHT,2567.0,,608.95,2310.3,62
HCPCS,C1781,MESH KNITTED VICRYL VKML 12X12,3056.0,,608.95,2750.4,62
HCPCS,C1781,MESH MONO VERSATEX,566.0,,283.0,608.95,62
HCPCS,C1781,MESH PARIETEX LEFT 4X6IN,428.0,,214.0,608.95,62
HCPCS,C1781,MESH PARIETEX PLUG & PATCH 6X3,327.0,,163.5,608.95,62
HCPCS,C1781,MESH PARIETEX PLUG & PATCH 8X3,345.0,,172.5,608.95,62
HCPCS,C1781,MESH PARIETEX PROGRIP 12X8 L,623.0,,311.5,608.95,62
HCPCS,C1781,MESH PARIETEX PROGRIP 12X8 R,598.0,,299.0,608.95,62
HCPCS,C1781,MESH PARIETEX PROGRIP 15X9,588.0,,294.0,608.95,62
HCPCS,C1781,MESH PARIETEX VENT PATCH 4.6CM,949.0,,474.5,854.1,62
HCPCS,C1781,MESH PARIETEX VENT PATCH 6.6CM,1126.0,,563.0,1013.4,62
HCPCS,C1781,MESH PARIETEX VENT PATCH 8.6CM,1450.0,,608.95,1305.0,62
HCPCS,C1781,MESH PHASIX,15609.0,,608.95,14048.1,62
HCPCS,C1781,MESH PHASIX 10.2X15.2 CM,4622.0,,608.95,4159.8,62
HCPCS,C1781,MESH PHASIX 20X25 CM,18948.0,,608.95,17053.2,62
HCPCS,C1781,MESH PHASIX 25X30 CM,28432.0,,608.95,25588.8,62
HCPCS,C1781,MESH PHASIX ST 15X20 CM,11819.0,,608.95,10637.1,62
HCPCS,C1781,MESH PHASIX ST RECTANGLE 7X10,4489.0,,608.95,4040.1,62
HCPCS,C1781,MESH PLATE 3D TITANIUM,3130.0,,608.95,2817.0,62
HCPCS,C1781,MESH PLATING PROFILE ZERO,823.0,,411.5,740.7,62
HCPCS,C1781,MESH PLUG PERFIX MEDIUM,565.0,,282.5,608.95,62
HCPCS,C1781,MESH PROGRIP ANAT LAP 10X15 LT,1087.0,,543.5,978.3,62
HCPCS,C1781,MESH PROGRIP ANAT LAP 10X15 RT,1095.0,,547.5,985.5,62
HCPCS,C1781,MESH PROLENE 12X12,909.0,,454.5,818.1,62
HCPCS,C1781,MESH RESORB-X SONICWELD RX,3583.5,,608.95,5130.0,124
HCPCS,C1781,MESH RESTORELLE COLOPLAST,1885.0,,608.95,1696.5,62
HCPCS,C1781,MESH RESTORELLE POST,2692.0,,608.95,2422.8,62
HCPCS,C1781,MESH RESTORELLE Y SHAPED 24X4,2065.0,,608.95,1858.5,62
HCPCS,C1781,"MESH SOFT MESH BARD 12""X12""",524.0,,262.0,608.95,62
HCPCS,C1781,MESH SURG BIOBRACE REINFORCED,5400.0,,608.95,4860.0,62
HCPCS,C1781,MESH VENTRALEX ST LARGE CIRCLE,1425.0,,608.95,1282.5,62
HCPCS,C1781,MESH Y SACROCOLPOPEXY VERTESSA,1755.0,,608.95,1579.5,62
HCPCS,C1781,PARIETECH HYDRO 3D MESH,80.0,,40.0,608.95,62
HCPCS,C1781,PATCH GORE-TEX SOFT TISSUE,4895.0,,608.95,4405.5,62
HCPCS,C1781,PATCH MESH HERNIA VENTRALEX ST,927.0,,463.5,834.3,62
HCPCS,C1781,PATCH SOFT TISSUE 10X5X1,914.0,,457.0,822.6,62
HCPCS,C1781,PLUG PERFIX LIGHT LRG,410.0,,205.0,608.95,62
HCPCS,C1781,SCAFFOLD SOFT TISSUE BB23X30,7496.0,,608.95,6746.4,62
HCPCS,C1781,SCAFFOLD SOFT TISSUE BB5X250,5013.0,,608.95,4511.7,62
HCPCS,C1781,SURGICAL MATRIX THIN INTEGRA,2348.0,,608.95,2113.2,62
HCPCS,C1781,SUTURE MESH,900.0,,450.0,810.0,62
HCPCS,C1781,TITANIUM MESH PANEL SM GRID,1438.0,,608.95,1294.2,62
HCPCS,C1782,MORCELLATOR,768.0,,378.9,691.2,57
HCPCS,C1782,TUBING VERSA CUT MORCELLATOR,97.0,,48.5,378.9,57
HCPCS,C1783,KIT CONN RF WIRE 180?230CM,1850.0,,925.0,1665.0,57
HCPCS,C1784,ENDOVASC STNT GRFT DRUG COATED,5642.0,,370.25,5077.8,62
HCPCS,C1784,PERFLUORON PROCEDURE KIT 7ML,3426.15,,370.25,3083.53,55
HCPCS,C1785,CRT-P EDORA PROMRI GEN DR,6899.0,,3449.5,6456.68,62
HCPCS,C1785,CRT-P EDORA PROMRI SYS DR,8049.0,,4024.5,7244.1,62
HCPCS,C1785,PACEMAKER ASSURITY DR RF,7371.0,,3685.5,6633.9,62
HCPCS,C1785,PACEMAKER ATTESTA MR DR ATDRS1,5852.0,,2926.0,6456.68,62
HCPCS,C1785,PACEMAKER AZURE XT DR MRI,10502.0,,5251.0,9451.8,62
HCPCS,C1785,PCMKR ACCOLADE DR EL GEN,8849.0,,4424.5,7964.1,62
HCPCS,C1785,PCMKR ACCOLADE DR EL SYS,9313.0,,4656.5,8381.7,62
HCPCS,C1785,PCMKR ACCOLADE DR MRI GEN,8509.0,,4254.5,7658.1,62
HCPCS,C1785,PCMKR ACCOLADE DR MRI SYS,9685.0,,4842.5,8716.5,62
HCPCS,C1785,PCMKR ASSURITY MRI DR GEN,8049.0,,4024.5,7244.1,62
HCPCS,C1785,PCMKR ASSURITY MRI DR SYS,9207.0,,4603.5,8286.3,62
HCPCS,C1785,PCMKR ESSENTIO MRI DR SYS,9961.0,,4980.5,8964.9,62
HCPCS,C1785,PM-AZURE DR MRI GEN,10923.0,,5461.5,9830.7,62
HCPCS,C1785,SYS PM-AZURE DR MRI SYS,13222.0,,6456.68,11899.8,62
HCPCS,C1785,Z*Z*PCMKR REVO MRI RVDR01**,12554.0,,6277.0,11298.6,62
HCPCS,C1786,ASCENDING STENT GRAFT,34990.0,,9037.98,31491.0,62
HCPCS,C1786,CRT-P EDORA PROMRI GEN SR,5978.0,,2989.0,9037.98,62
HCPCS,C1786,IMPLANTABLE PULSE GENERATOR,6634.0,,3317.0,9037.98,62
HCPCS,C1786,PACEMAKER ADAPTA SR ADSR01,5528.0,,2764.0,9037.98,62
HCPCS,C1786,PACEMAKER ADAPTA SRSRK2,6634.0,,3317.0,9037.98,62
HCPCS,C1786,PACEMAKER ATTESTA MRI SR,6318.0,,3159.0,9037.98,62
HCPCS,C1786,PCMKR ACCOLADE SR MRI GEN,7360.0,,3680.0,9037.98,62
HCPCS,C1786,PCMKR ACCOLADE SR MRI SYS,8609.0,,4304.5,9037.98,62
HCPCS,C1786,PCMKR ACCOLADE SR SYS,8278.0,,4139.0,9037.98,62
HCPCS,C1786,PCMKR ADAPTA SINGLE CHAMBER,5750.0,,2875.0,9037.98,62
HCPCS,C1786,PCMKR ADAPTA SR SYSTEM,6634.0,,3317.0,9037.98,62
HCPCS,C1786,PCMKR ASSURITY MRI SR GEN,6899.0,,3449.5,9037.98,62
HCPCS,C1786,PCMKR ASSURITY MRI SR SYS,8049.0,,4024.5,9037.98,62
HCPCS,C1786,PCMKR ESSENTIO MRI SR SYS,8526.0,,4263.0,9037.98,62
HCPCS,C1786,PCMKR LEADLESS AVEIR VR SYS,20005.0,,9037.98,18004.5,57
HCPCS,C1786,PCMKR LEADLESS MICRA,25708.0,,9037.98,23137.2,62
HCPCS,C1786,PCMKR NANOSTIM LEADLESS,19546.0,,9037.98,17591.4,57
HCPCS,C1786,PM-AZURE SR MRI,9197.0,,4598.5,9037.98,62
HCPCS,C1786,PM-AZURE SR MRI SYS,10348.0,,5174.0,9313.2,62
HCPCS,C1786,SYS PACING TRANSCATH MICRA AV,29297.0,,9037.98,26367.3,62
HCPCS,C1787,MY PTM HANDSET KIT,1615.0,,807.5,2025.45,57
HCPCS,C1787,PHYSICIAN PROGRAMMER INSPIRE,5934.0,,2025.45,5340.6,57
HCPCS,C1787,PROG NEUROSTIM PATIENT AXIUM,2990.0,,1495.0,2691.0,57
HCPCS,C1787,PROGRAMMER HAND PATIENT,5566.0,,2025.45,5009.4,57
HCPCS,C1787,PROGRAMMER NEURO PT ACTIVA DBS,2102.0,,1051.0,2025.45,57
HCPCS,C1787,PROGRAMMER NEUROSTIM EXT,949.0,,474.5,2025.45,57
HCPCS,C1787,"SCR KIT SMART PROGRAMMER, PLUG",18745.0,,2025.45,16870.5,57
HCPCS,C1787,SYS NEUROSTIM EXTERNAL 97725,2633.0,,1316.5,2369.7,57
HCPCS,C1787,SYS NEUROSTIMULATOR EXTERNAL,416.0,,208.0,2025.45,57
HCPCS,C1788,CATHETER LOW PROFILE POLYUR 8F,576.0,,288.0,548.78,62
HCPCS,C1788,CATHETER MIDSIZE POLYUR 8F,561.0,,280.5,548.78,124
HCPCS,C1788,PORT ACCESS CLEARVUE,576.0,,288.0,548.78,62
HCPCS,C1788,PORT CT INJECT SMART PORT 9.6F,694.0,,347.0,624.6,62
HCPCS,C1788,PORT POWERFLOW APHRESIS,1575.0,,548.78,1417.5,62
HCPCS,C1788,PORT POWERPORT CLEARVUE,617.0,,308.5,555.3,62
HCPCS,C1788,PORT POWERPORT VASC. ACCESS,258.0,,129.0,548.78,62
HCPCS,C1788,PORT VORTEX LP,3450.0,,548.78,3105.0,62
HCPCS,C1788,PORT VORTEX VX SYSTEM,1007.0,,503.5,906.3,124
HCPCS,C1789,EXPANDER MAMM SMOOTH RECTANGLE,1256.0,,628.0,1864.67,62
HCPCS,C1789,EXPANDER MAMM SMOOTH ROUND,1317.0,,658.5,1864.67,62
HCPCS,C1789,IMP MAMM TISSUE EXPANDER,2895.0,,1447.5,2605.5,62
HCPCS,C1789,IMP TISSUE EXPANDER,1896.5,,545.5,2431.8,124
HCPCS,C1789,IMP TISSUE EXPANDER W/DOME,1106.0,,553.0,1864.67,62
HCPCS,C1789,IMPL MAMM SALINE SMOOTH RD MOD,1722.0,,861.0,1864.67,62
HCPCS,C1789,IMPL MAMMARY MENTOR,813.0,,406.5,1864.67,62
HCPCS,C1789,IMPL SALINE SMTH RND MOD PLUS,143.0,,71.5,1864.67,62
HCPCS,C1789,IMPL TISS EXPAND CPX 4 PLUS,451.0,,225.5,1864.67,62
HCPCS,C1789,MENTOR CPX WITH SUTURE,2598.0,,1299.0,2338.2,62
HCPCS,C1813,CYLINDER SET ZERO ANG,9314.0,,4657.0,12059.64,62
HCPCS,C1813,CYLINDER TITAN SET W/PUMP 22CM,23459.0,,11729.5,21113.1,62
HCPCS,C1813,IMPL TITAN 0 DEG INFRAPUB 22CM,22342.0,,11171.0,20107.8,62
HCPCS,C1813,INFLAT PENILE PROS PRECONNECT,16506.0,,8253.0,14855.4,62
HCPCS,C1813,KIT PUMP ASSY TITAN CYLINDER S,1108.0,,554.0,12059.64,62
HCPCS,C1813,NARROW BASE REAR TIP EXTENDERS,794.0,,397.0,12059.64,62
HCPCS,C1813,PENILE PMP LGX PRECON MS 21C,19247.0,,9623.5,17322.3,62
HCPCS,C1813,PENILE PUMP PRECON 700CX 16X9,19479.0,,9739.5,17531.1,62
HCPCS,C1813,PENILE PUMP PRECONN 700CX 12CM,18360.0,,9180.0,16524.0,62
HCPCS,C1813,PROS IP CYLINDER/PUMP TITAN 2,23685.0,,11842.5,21316.5,62
HCPCS,C1813,PROS IPP CYLINDER/PUMP TITAN 1,19213.0,,9606.5,17291.7,62
HCPCS,C1813,PROS PENILE INFLAT AMS 700,19479.0,,9739.5,17531.1,62
HCPCS,C1813,PROS RESER CLOVERLEAF,4955.0,,2477.5,12059.64,62
HCPCS,C1813,PROS RESER TITAN CLOVRLEAF 125,3694.0,,1847.0,12059.64,62
HCPCS,C1813,PROST CX PRECONNECT 15CM PS-IZ,19666.0,,9833.0,17699.4,62
HCPCS,C1813,PROST PENILE PUMP PRECONNECT,20637.0,,10318.5,18573.3,62
HCPCS,C1813,PROSTH PENLE TITAN TOUCH 18CM,19373.0,,9686.5,17435.7,62
HCPCS,C1813,PROSTHESIS PENILE CXP AMS,24931.0,,12059.64,22437.9,62
HCPCS,C1813,PROSTHESIS PENILE PUMP PREC,442.0,,221.0,12059.64,62
HCPCS,C1813,PUMP ASSEM TITAN TOUCH,11279.0,,5639.5,12059.64,62
HCPCS,C1813,PUMP COLOPLAST 90-9000KC,9314.0,,4657.0,12059.64,62
HCPCS,C1813,PUMP PENILE INHIBIZONE AMS,9925.0,,4962.5,12059.64,62
HCPCS,C1813,PUMP PENILE TITAN TOUCH,34871.0,,12059.64,31383.9,62
HCPCS,C1813,RESERVOIR PEN AMS 65ML,4783.0,,2391.5,12059.64,62
HCPCS,C1813,RESERVOIR PEN LP 100ML,4512.0,,2256.0,12059.64,62
HCPCS,C1813,RESERVOIR PEN SPH AMS 100ML,4089.0,,2044.5,12059.64,62
HCPCS,C1813,TITAN 0 DEG NARROW SCROTAL,16151.0,,8075.5,14535.9,62
HCPCS,C1815,BLLN CTRL AMS800 71-80CM H20,5919.0,,2959.5,9236.94,62
HCPCS,C1815,CUFF 3.5CM AMS 800 W/INHIBITOR,11056.0,,5528.0,9950.4,62
HCPCS,C1815,CUFF AMS 800 W/ INHIBITOR,11056.0,,5528.0,9950.4,62
HCPCS,C1815,CUFF AMS 800 W/INHIBITOR,11653.0,,5826.5,10487.7,62
HCPCS,C1817,AMPLATZER AMULET,36446.0,,12273.7,32801.4,62
HCPCS,C1817,DVC OCCLUDER AMPLATZER DUCT,3863.0,,1931.5,12273.7,62
HCPCS,C1817,OCCLUDER AMPLATZ CRIB,13040.0,,6520.0,12273.7,62
HCPCS,C1817,OCCLUDER AMPLATZ MUSC VSD,16652.0,,8326.0,14986.8,62
HCPCS,C1817,OCCLUDER AMPLATZ POST MUSC VSD,14461.0,,7230.5,13014.9,62
HCPCS,C1817,OCCLUDER AMPLATZ SEPTAL,15912.0,,7956.0,14320.8,62
HCPCS,C1817,OCCLUDER PFO AMPLATZER,19546.0,,9773.0,17591.4,62
HCPCS,C1817,OCCLUDER SEPTAL CARDIOFORM,17231.0,,8615.5,15507.9,62
HCPCS,C1817,SEPTAL OCCLUDER CARDIOFORM,0.01,,0.005,12273.7,57
HCPCS,C1820,DVC CHARGING AXONICS 1401,1904.0,,952.0,19449.14,57
HCPCS,C1820,GEN IPG VERCISE GENUS BD-1416,22171.0,,11085.5,19953.9,62
HCPCS,C1820,GEN NEUROSTIM ACTIVA 37612,54192.0,,19449.14,48772.8,62
HCPCS,C1820,GEN SURESCAN RESTORSNSR,34272.0,,17136.0,30844.8,62
HCPCS,C1820,GEN SURESCAN RESTORSNSR 97714,37068.0,,18534.0,33361.2,62
HCPCS,C1820,IPG PROTEGE MRI,26100.0,,13050.0,23490.0,62
HCPCS,C1820,SYS NEUROMODUL SACRAL AXONICS,23732.0,,11866.0,21358.8,62
HCPCS,C1820,SYS NEUROMODULSACRAL AXONICS,21825.0,,10912.5,19642.5,62
HCPCS,C1820,VERCISE PC IMPLANT PULSE GEN,37588.0,,18794.0,33829.2,62
HCPCS,C1821,DECOMPRESSION SPINOUS X-STOP,618.0,,309.0,2130.03,62
HCPCS,C1821,SPACER X-STOP INTERSPINOUS,9366.0,,2130.03,8429.4,62
HCPCS,C1822,GEN NEUROSTIM HF SENZA,116590.0,,26415.23,104931.0,62
HCPCS,C1824,OPTIMIZER SMART MINI,54080.0,,16935.47,48672.0,62
HCPCS,C1826,GEN NEUROSTIM CLOSED LOOP RE,416.0,,208.0,29815.78,62
HCPCS,C1826,SYSTEM RECHARGER,1791.0,,895.5,29815.78,62
HCPCS,C1830,NEEDLE BX BONE MARROW POWERED,401.0,,200.5,360.9,57
HCPCS,C1830,TRAY BX ONCONTROL W/BX NEEDLE,932.0,,298.56,838.8,57
HCPCS,C1832,KIT CELL HARVEST RECELL GO,12375.0,,2023.43,11137.5,57
HCPCS,C1874,ARCH STENT GRAFT NEXUS,40787.0,,1667.17,36708.3,62
HCPCS,C1874,ASCENDING STENT GRAFT NEXUS,29106.0,,1667.17,26195.4,62
HCPCS,C1874,BALLN EXPAND STENT GRAFT SYS,2880.0,,1440.0,2592.0,62
HCPCS,C1874,BUMA SUPREME STENT G160235,0.01,,0.005,1667.17,57
HCPCS,C1874,COVERED CP STENT 8Z 3.9CM,13304.0,,1667.17,11973.6,62
HCPCS,C1874,ENDOPRO VIABAHN HEP 5X25X120,14839.0,,1667.17,13355.1,62
HCPCS,C1874,ENDOPRO VIABAHN HEP 7F8X5X120,6582.0,,1667.17,5923.8,62
HCPCS,C1874,ENDOPROS VIABAHN 11MMX10X120CM,7764.0,,1667.17,6987.6,62
HCPCS,C1874,ENDOPROS VIABAHN STENT,4184.0,,1667.17,3765.6,62
HCPCS,C1874,ENDOPROS VIABAHN VBX BLLN EXP,6221.5,,1667.17,5917.5,124
HCPCS,C1874,ENDOPROSTH BILIARY VIABIL,5648.0,,1667.17,5083.2,62
HCPCS,C1874,ENDOPROSTH EXCLUDER GRAFT,10098.0,,1667.17,9088.2,62
HCPCS,C1874,ENDOPROSTH EXCLUDER GRAFT 02,23673.0,,1667.17,21305.7,62
HCPCS,C1874,ENDOPROSTH EXCLUDER ILIAC,16426.0,,1667.17,22915.8,124
HCPCS,C1874,ENDOPROSTH VIABAHN 10X13X135,6282.0,,1667.17,5653.8,62
HCPCS,C1874,ENDOPROSTH VIABAHN 11X16X135,6282.0,,1667.17,5653.8,62
HCPCS,C1874,ENDOPROSTH VIABAHN 6X5X120,6536.0,,1667.17,5882.4,62
HCPCS,C1874,ENDOPROSTH VIABAHN 8X5X120,6282.0,,1667.17,5653.8,62
HCPCS,C1874,ENDOPROSTH VIABAHN SYS VBX 01,7485.0,,1667.17,6736.5,62
HCPCS,C1874,ENDOPROSTH VIABAHN SYS VBX 02,5840.0,,1667.17,5256.0,62
HCPCS,C1874,ENDOPROSTH VIABAHN SYS VBX 03,6796.0,,1667.17,6116.4,62
HCPCS,C1874,ENDOPROSTH VIABIL PERQ,5430.0,,1667.17,4887.0,62
HCPCS,C1874,ENDOPROSTHESIS BILIARY VIABIL,5648.0,,1667.17,5083.2,62
HCPCS,C1874,ENDOPROSTHESIS VIABAHN 15CM,8615.0,,1667.17,7753.5,62
HCPCS,C1874,ENDOVASC AORTIC BDY SYSTEM,25097.0,,1667.17,22587.3,62
HCPCS,C1874,ENDOVASCULAR STENT GRAFT SYS,12343.5,,1667.17,15059.7,124
HCPCS,C1874,FIBULAR STRUT,5642.0,,1667.17,5077.8,62
HCPCS,C1874,GRAFT ALPHA 2 P-38-117-W,28800.0,,1667.17,25920.0,62
HCPCS,C1874,GRAFT DISS ZENITH TX2,33039.0,,1667.17,29735.1,62
HCPCS,C1874,GRAFT ENDO AAA ZENITH,23610.0,,1667.17,21249.0,62
HCPCS,C1874,GRAFT ENDO AFX AAA BDY,24535.0,,1667.17,22081.5,62
HCPCS,C1874,GRAFT ENDO AFX2 AAA,23986.0,,1667.17,21587.4,62
HCPCS,C1874,GRAFT ENDO AFX2 AAA 01,27589.0,,1667.17,24830.1,62
HCPCS,C1874,GRAFT ENDO AFX2 AAA 02,7174.0,,1667.17,6456.6,62
HCPCS,C1874,GRAFT ENDO UNIBODY,7818.0,,1667.17,7036.2,62
HCPCS,C1874,GRAFT ENDOVASCULAR BIFURCATED,19245.0,,1667.17,17320.5,62
HCPCS,C1874,GRAFT RELAYPRO STR 36X200,37380.0,,1667.17,33642.0,62
HCPCS,C1874,GRAFT STENT ZENITH AAA G32595,8250.0,,1667.17,7425.0,62
HCPCS,C1874,GRAFT STENT ZENITH AAA G38171,35541.0,,1667.17,31986.9,62
HCPCS,C1874,GRAFT STENT ZENITH RENU,14230.0,,1667.17,12807.0,62
HCPCS,C1874,GRAFT STNT VELA PROX SYS SUPRA,6426.0,,1667.17,5783.4,62
HCPCS,C1874,GRAFT VIABAHN .035 5X2.5X120,6959.0,,1667.17,6263.1,62
HCPCS,C1874,GRAFT VIABAHN .035 9X5X120,6863.0,,1667.17,6176.7,62
HCPCS,C1874,GRAFT ZEN ALPHA 2,28800.0,,1667.17,25920.0,62
HCPCS,C1874,GRAFT ZENITH ALPHA TERUMO,34319.0,,1667.17,30887.1,62
HCPCS,C1874,GRFT AAA ZENITH FLEX18F26X96MM,15351.0,,1667.17,13815.9,57
HCPCS,C1874,GRFT EXCLUD C3 28.5X14.5X12,22763.0,,1667.17,20486.7,62
HCPCS,C1874,GRFT EXCLUD C3 28.5X14.5X18,22763.0,,1667.17,20486.7,62
HCPCS,C1874,GRFT EXCLUDER C3 23X14.5X16,23673.0,,1667.17,21305.7,57
HCPCS,C1874,GRFT EXCLUDER C3 26X12X16,21047.0,,1667.17,18942.3,62
HCPCS,C1874,GRFT EXCLUDER C3 28.5X12X18,22763.0,,1667.17,20486.7,62
HCPCS,C1874,GRFT EXCLUDER C3 28.5X14.5X16,19499.0,,1667.17,17549.1,62
HCPCS,C1874,GRFT STENT ZENITH DSC BARE,30955.0,,1667.17,27859.5,62
HCPCS,C1874,GRFT ZEN ALPHA,35541.0,,1667.17,31986.9,62
HCPCS,C1874,HANAROSTENT COL UNCVRD,3807.0,,1667.17,3426.3,62
HCPCS,C1874,HANAROSTENT COL UNCVRD 25X12,3807.0,,1667.17,3426.3,62
HCPCS,C1874,HANAROSTENT ESOPHAGUS MI TECH,2804.0,,1402.0,2523.6,62
HCPCS,C1874,HANAROSTENT FULL COVERED,4479.0,,1667.17,4031.1,62
HCPCS,C1874,ICAST COVERED STENT 42522,5406.0,,1667.17,4865.4,62
HCPCS,C1874,ICAST COVERED STNT 85455/85451,4268.0,,1667.17,3841.2,62
HCPCS,C1874,STENT ARTERIAL XIENCE SKYPOINT,1417.0,,708.5,1667.17,62
HCPCS,C1874,STENT AXIOS,14687.0,,1667.17,13218.3,62
HCPCS,C1874,STENT AXIOS ELECTROCAUTERY,13752.0,,1667.17,12376.8,62
HCPCS,C1874,STENT AXIOS HOT,13450.0,,1667.17,12105.0,62
HCPCS,C1874,STENT AXIOS W/DEL SYS BOST SCI,12354.0,,1667.17,11118.6,62
HCPCS,C1874,STENT BONASTENT ESOPHAGEAL,4253.0,,1667.17,3827.7,62
HCPCS,C1874,STENT COATED/COV W/DEL SYS,4381.0,,1667.17,3942.9,62
HCPCS,C1874,STENT CORO SYNERGY XD MR US 01,844.0,,422.0,1667.17,62
HCPCS,C1874,STENT CORO SYNERGY XD MR US 02,2025.0,,1012.5,1822.5,62
HCPCS,C1874,STENT CORONARY ONYX,2129.0,,1064.5,1916.1,62
HCPCS,C1874,STENT CORONARY ONYX 2.0 OR XLV,2301.0,,1150.5,2070.9,62
HCPCS,C1874,STENT CORONARY XIENCE SIERRA,1840.0,,920.0,1667.17,62
HCPCS,C1874,STENT COVERA VASC COVERED,5518.0,,1667.17,4966.2,62
HCPCS,C1874,STENT COVERED ICAST 38MM,4974.0,,1667.17,4476.6,62
HCPCS,C1874,STENT COVERED ICAST 59MM,5704.0,,1667.17,5133.6,62
HCPCS,C1874,STENT CP COVERED 3.9CM,15715.0,,1667.17,14143.5,62
HCPCS,C1874,STENT DRUG-ELT ELUVIA 130CM,5465.0,,1667.17,4918.5,62
HCPCS,C1874,STENT DRUG-ELUTING BOST SCI,5751.0,,1667.17,5175.9,62
HCPCS,C1874,STENT ENDOMAXX OTW ESOPHAGEAL,5722.0,,1667.17,5149.8,62
HCPCS,C1874,STENT ENDOPORSTHESIS VIABAHN,7179.0,,1667.17,6461.1,62
HCPCS,C1874,STENT ENDOPROSTH VIABAHN,11143.0,,1667.17,13355.1,124
HCPCS,C1874,STENT ENDOPROSTHESIS VIABAHN,7824.5,,1667.17,7694.1,124
HCPCS,C1874,STENT ESOPH ENDOMAXX MERIT MED,4283.0,,1667.17,3854.7,62
HCPCS,C1874,STENT ESOPH EVOLUTION 20X25X10,3410.0,,1667.17,3069.0,62
HCPCS,C1874,STENT ESOPH EVOLUTION 20X25X8,3410.0,,1667.17,3069.0,62
HCPCS,C1874,STENT ESOPH METAL FULL COVER,1768.0,,884.0,1667.17,62
HCPCS,C1874,STENT FLUENCY PLUS 80MM,5911.0,,1667.17,5319.9,62
HCPCS,C1874,STENT FLUENCY PLUS <80MM,5708.0,,1667.17,5137.2,62
HCPCS,C1874,STENT GRAF ENDURIIS BIF,20292.0,,1667.17,18262.8,62
HCPCS,C1874,STENT GRAFT FLUENCY 13.5 DIAM,6444.0,,1667.17,5799.6,62
HCPCS,C1874,STENT GRAFT FLUENCY LONG,6391.0,,1667.17,5751.9,62
HCPCS,C1874,STENT GRAFT NEXUS AORTIC ARCH,0.01,,0.005,1667.17,57
HCPCS,C1874,STENT GRAFT VAL NAV CS,34758.0,,1667.17,31282.2,62
HCPCS,C1874,STENT GRAFT VIABAHN 07X25X120,6864.0,,1667.17,6177.6,62
HCPCS,C1874,STENT GRAFT VIABAHN 10CM,7814.0,,1667.17,7032.6,62
HCPCS,C1874,STENT GRAFT VIABAHN 10X10,7580.0,,1667.17,6822.0,62
HCPCS,C1874,STENT GRAFT VIABAHN 13MMX5X120,6534.0,,1667.17,5880.6,62
HCPCS,C1874,STENT GRAFT VIABAHN 13X10X120,7289.0,,1667.17,6560.1,62
HCPCS,C1874,STENT GRAFT VIABAHN 5CM,6795.0,,1667.17,6115.5,62
HCPCS,C1874,STENT GRAFT VIABAHN VBJ 8X10,7524.0,,1667.17,6771.6,62
HCPCS,C1874,STENT GRAFT VIABAHN VBJ 8X2.5,6845.0,,1667.17,6160.5,62
HCPCS,C1874,STENT HANARO 24X18X24 120CM,2592.0,,1296.0,2332.8,62
HCPCS,C1874,STENT HANAROSTENT FULL COVERED,4755.0,,1667.17,4279.5,62
HCPCS,C1874,STENT I-CAST 5X22X120,5576.0,,1667.17,5018.4,62
HCPCS,C1874,STENT I-CAST 6X22X120,5576.0,,1667.17,5018.4,62
HCPCS,C1874,STENT ICAST 120CM,5428.0,,1667.17,4885.2,62
HCPCS,C1874,STENT ICAST 6X16X120MM,5343.0,,1667.17,4808.7,62
HCPCS,C1874,STENT ICAST 7X22X120MM,5576.0,,1667.17,5018.4,62
HCPCS,C1874,STENT ICAST 7X38X80MM,5490.0,,1667.17,4941.0,62
HCPCS,C1874,STENT ICAST 8X59X120,6153.0,,1667.17,5537.7,62
HCPCS,C1874,STENT LIFESTREAM,5740.0,,1667.17,5166.0,62
HCPCS,C1874,STENT PK PAPYRUS SYSTEM,6634.0,,1667.17,5970.6,62
HCPCS,C1874,STENT PROMUS ELITE,2071.0,,1035.5,1863.9,62
HCPCS,C1874,STENT SYNERGY MR,3435.0,,1667.17,3091.5,62
HCPCS,C1874,STENT SYNERGY MR 48MM (N/C),0.01,,0.005,1667.17,57
HCPCS,C1874,STENT TAEWOONG TTS FC 18X100,5142.0,,1667.17,4627.8,62
HCPCS,C1874,STENT TIPS VIATORR,8327.0,,1667.17,7494.3,62
HCPCS,C1874,STENT TRACHEAL AERO 16F 10X40,6159.0,,1667.17,5543.1,62
HCPCS,C1874,STENT TRACHEAL AERO 22F 18X40,5921.0,,1667.17,5328.9,62
HCPCS,C1874,STENT TRACHEAL AERO OTW,6159.0,,1667.17,5543.1,124
HCPCS,C1874,STENT TRACHEAL/BRONCHIAL,1423.0,,711.5,1667.17,62
HCPCS,C1874,STENT TRACHEOBRONCH AERO SYS,5724.5,,1667.17,5543.1,186
HCPCS,C1874,STENT TRACHEOBRONCHIAL DVS,346.0,,173.0,1667.17,62
HCPCS,C1874,STENT TRACHEOBRONCHIAL ICAST,4657.0,,1667.17,4870.8,186
HCPCS,C1874,STENT ULTRAFLEX PROXIMAL,6261.0,,1667.17,5634.9,62
HCPCS,C1874,STENT VASC DRUG-ELUT ELUVIA,7479.0,,1667.17,6731.1,62
HCPCS,C1874,STENT VASC DRUG-ELUTED ELUVIA,3735.0,,1667.17,3361.5,62
HCPCS,C1874,STENT VASC ELUVIA 6X100MM,4858.0,,1667.17,4372.2,62
HCPCS,C1874,STENT VASC ELUVIA 6X120MM,8855.0,,1667.17,7969.5,62
HCPCS,C1874,STENT VASC ELUVIA 7X40MM 130CM,6730.0,,1667.17,6057.0,62
HCPCS,C1874,STENT VIABIL,6413.0,,1667.17,5771.7,62
HCPCS,C1874,STENT VIATORR CX,11486.0,,1667.17,10337.4,62
HCPCS,C1874,STENT WALLFLEX BOSTON,6868.0,,1667.17,6181.2,124
HCPCS,C1874,STENT WALLFLEX RX SYS,6871.0,,1667.17,6183.9,62
HCPCS,C1874,STENT WALLFLEX TRANSHEPATIC,5807.0,,1667.17,5226.3,62
HCPCS,C1874,STENT XIENCE SIERRA,1768.0,,884.0,1667.17,62
HCPCS,C1874,STNT CORONARY ALPINE SYS-TRIAL,3322.0,,1661.0,2989.8,57
HCPCS,C1874,STNT DRG-ELT ELUVIA 40MM 130CM,4201.0,,1667.17,3780.9,62
HCPCS,C1874,STNT DRG-ELT ELUVIA 60MM 130CM,4833.0,,1667.17,4349.7,124
HCPCS,C1874,STNT DRUG-ELT ELUVIA 120MM 130,6096.0,,1667.17,5486.4,124
HCPCS,C1874,STNT ENDOPROSTH BILIARY VIABIL,4732.0,,1450.0,5771.7,248
HCPCS,C1874,STNT ESOPH CVRD EVOLUTION 20X8,3410.0,,1667.17,3069.0,62
HCPCS,C1874,STNT ESP TAEWOONG NITI-S COOK,4111.0,,1667.17,3699.9,62
HCPCS,C1874,STNT GRFT SYS RELAY PRO THORAC,38369.0,,1667.17,34532.1,62
HCPCS,C1874,STNT SYNERGY MEGATRON,1685.0,,842.5,1667.17,62
HCPCS,C1874,TAG TBE THORACIC AORTIC EXT,20592.0,,1667.17,18532.8,62
HCPCS,C1874,THORACIC STENT GRAFT,34758.0,,1667.17,31282.2,62
HCPCS,C1874,THORACIC STENT GRAFT SYSTEM,36638.0,,1667.17,32974.2,62
HCPCS,C1874,THORACOABDOM BRANCH ENDOPROTH,0.01,,0.005,1667.17,57
HCPCS,C1874,TRACHEAL/BRONCHIAL STENT,1296.0,,648.0,1667.17,62
HCPCS,C1874,VIABIL NO HOLES 8MM X 10CM,4212.0,,1667.17,3790.8,124
HCPCS,C1874,Y STENT ENDOCHOICE,9726.0,,1667.17,8753.4,124
HCPCS,C1874,ZENITH T BRANCH ENDOVASC GRAFT,33907.0,,1667.17,30516.3,62
HCPCS,C1875,STENT PALMAZ CORDIS,2578.0,,217.64,2320.2,62
HCPCS,C1875,STENT TAEWOONG TTS FC,5197.0,,217.64,4677.3,62
HCPCS,C1876,ENDOPR WALLSTENT MR 135CM,5113.0,,1642.91,4601.7,62
HCPCS,C1876,EVOLUTION DUODENAL STENT SYS,3948.0,,1642.91,3553.2,62
HCPCS,C1876,GRFT LIMB ENDURANT 16X10X124,10121.0,,1642.91,9108.9,62
HCPCS,C1876,GRFT LIMB ENDURANT 16X28X124,10121.0,,1642.91,9108.9,62
HCPCS,C1876,HANAROSTENT DUO UNCOVERED,4676.0,,1642.91,4208.4,62
HCPCS,C1876,LIFESTENT STENT,1603.0,,801.5,1642.91,62
HCPCS,C1876,NEUROFORM ATLAS STENT SYSTEM,14659.0,,1642.91,13193.1,62
HCPCS,C1876,"PV STENT, BSX BE EXPRESS",3966.0,,1642.91,3569.4,62
HCPCS,C1876,STENT ACCULINK CAROTID,4715.0,,1642.91,4243.5,62
HCPCS,C1876,STENT ACCULINK CAROTID TAPERED,5545.0,,1642.91,4990.5,62
HCPCS,C1876,STENT BIL WALLSTENT RP 10X60,4711.0,,1642.91,4239.9,62
HCPCS,C1876,STENT BILI-VAS LIFESTENT,2823.0,,925.0,3416.4,124
HCPCS,C1876,STENT BILIARY EVOLUTION 10X10,3214.0,,1607.0,2892.6,62
HCPCS,C1876,STENT BILIARY EVOLUTION 10X4,3214.0,,1607.0,2892.6,62
HCPCS,C1876,STENT BILIARY EVOLUTION 10X6,3343.0,,1642.91,3008.7,62
HCPCS,C1876,STENT BILIARY EVOLUTION 10X8,3214.0,,1607.0,2892.6,62
HCPCS,C1876,STENT BILIARY EXP VALEO,1746.5,,633.0,2004.3,124
HCPCS,C1876,STENT BILIARY EXPRESS BOSTON,5553.0,,1642.91,4997.7,62
HCPCS,C1876,STENT BILIARY PROTEGE EVERFLEX,1991.0,,957.0,1863.9,186
HCPCS,C1876,STENT BILIARY PROTEGE GPS,2071.0,,1035.5,1863.9,62
HCPCS,C1876,STENT BILIARY PROTEGE SYSTEM,3345.0,,1035.5,4157.1,124
HCPCS,C1876,STENT BILIARY ZILVER 635,2669.0,,1334.5,2402.1,62
HCPCS,C1876,STENT CAROTID PROTEGE RX,4619.0,,1642.91,4157.1,62
HCPCS,C1876,STENT COL/DUOD WALLSTENT,2218.0,,1109.0,1996.2,62
HCPCS,C1876,STENT ELUVIA 6MMX120MMX130CM,5571.0,,1642.91,5013.9,62
HCPCS,C1876,STENT ENTERPRISE 2 VRD,12935.0,,1642.91,11641.5,62
HCPCS,C1876,STENT ESOPH EVOLUTION 18-20MM,3686.0,,1642.91,3317.4,124
HCPCS,C1876,STENT ESOPH EVOLUTION 20X25X15,3410.0,,1642.91,3069.0,62
HCPCS,C1876,STENT ESOPH EVOLUTION 22-25MM,5042.0,,1642.91,4537.8,62
HCPCS,C1876,STENT EVERFLEX EV3 60-100MM,1704.0,,852.0,1642.91,62
HCPCS,C1876,STENT EVOLUTION BILIARY,2803.0,,1401.5,2522.7,62
HCPCS,C1876,STENT EXPRESS 2 OTW 3.5,1960.0,,980.0,1764.0,62
HCPCS,C1876,STENT EXPRESS LD PM SYS 08X37,2628.0,,1314.0,2365.2,62
HCPCS,C1876,STENT EXPRESS SD 150CM,2317.0,,1158.5,2085.3,62
HCPCS,C1876,STENT ILIAC WALL ENDO,3819.0,,1642.91,3437.1,62
HCPCS,C1876,STENT LIFESTAR,1355.0,,677.5,1642.91,62
HCPCS,C1876,STENT LIFESTAR 8X40MM BARD,1114.0,,557.0,1642.91,62
HCPCS,C1876,STENT LIFESTENT,1991.0,,995.5,1791.9,62
HCPCS,C1876,STENT LIFESTENT 5F 7X040MMX080,1991.0,,995.5,1791.9,62
HCPCS,C1876,STENT LIFESTENT 5F VASC SYSTEM,3265.0,,1632.5,2938.5,62
HCPCS,C1876,STENT LIFESTENT BARD,4046.0,,1642.91,3641.4,62
HCPCS,C1876,STENT LIFESTENT VASC,3791.0,,1642.91,3411.9,62
HCPCS,C1876,STENT LVISJ COIL ASSIST,15950.0,,1642.91,14355.0,62
HCPCS,C1876,STENT NITINOL PORTEGE GPS EV3,1697.0,,848.5,1642.91,62
HCPCS,C1876,STENT NONCOAT/NONCOV W/DEL I,2995.0,,1497.5,2695.5,62
HCPCS,C1876,STENT PALMAZ BLUE TRANS SYSTEM,1783.0,,891.5,1642.91,62
HCPCS,C1876,STENT PRECISE CAROTID,4433.0,,1642.91,3989.7,124
HCPCS,C1876,STENT PRECISE PRO RX 6X30X135,3791.0,,1642.91,3411.9,62
HCPCS,C1876,STENT SURPASS EVOLVE,26159.0,,1642.91,23543.1,62
HCPCS,C1876,STENT SURPASS EVOLVE 5.0X20MM,30068.0,,1642.91,27061.2,62
HCPCS,C1876,STENT SYS LIFESTENT 5F,1914.0,,957.0,1722.6,62
HCPCS,C1876,STENT TRANSCAROTID NEURO,5633.0,,1642.91,5069.7,62
HCPCS,C1876,STENT VASC EPIC SE SYS 75CM,1971.0,,985.5,1773.9,62
HCPCS,C1876,STENT VASC INNOVA 130CM 03,2106.0,,1053.0,1895.4,62
HCPCS,C1876,STENT VENOUS SYS ABRE,3164.0,,1582.0,2847.6,62
HCPCS,C1876,STENT VENOUS ZILVER COOK MED,3644.0,,1642.91,3279.6,62
HCPCS,C1876,STENT VENOVO VENUL,2528.0,,1264.0,2275.2,62
HCPCS,C1876,STENT VENOVO VENUM,2550.0,,1275.0,2295.0,62
HCPCS,C1876,STENT VISI-PRO EV3,1854.0,,927.0,1668.6,62
HCPCS,C1876,STENT WALLSTENT ENDOPROSTHESIS,2398.0,,1199.0,2158.2,62
HCPCS,C1876,STENT ZILVER FUSION 8-10MM,2875.0,,1437.5,2587.5,62
HCPCS,C1876,STNT BIL-ILIAC EXPRESS LD 75CM,2249.0,,1124.5,2024.1,62
HCPCS,C1876,STNT BILI-ILIAC EXPRESS LD 135,2249.0,,1124.5,2024.1,62
HCPCS,C1876,STNT BILIARY EXPRESS LD SYSTEM,2707.0,,1353.5,2436.3,62
HCPCS,C1876,STNT COLONIC EVOLUTION 25X10,4663.0,,1642.91,4196.7,62
HCPCS,C1876,STNT DUODENAL EVOLUTION 22X12,4663.0,,1642.91,4196.7,62
HCPCS,C1876,STNT RX HERCULINK ELITE 12-18,2759.0,,1379.5,2483.1,62
HCPCS,C1876,SYS STENT EXPRESS LD 135 07X37,2759.0,,1379.5,2483.1,62
HCPCS,C1876,VENOUS STENT SYS-VENUL14120,3007.0,,1503.5,2706.3,62
HCPCS,C1876,VENOUS STENT SYS-VENUL14160,3384.0,,1642.91,3045.6,62
HCPCS,C1876,VENOUS STENT SYSTEM VENUL12100,3539.0,,1642.91,3185.1,62
HCPCS,C1876,WINGSPAN STENT SYSTEM,17919.0,,1642.91,16127.1,57
HCPCS,C1876,ZILVER VENA VEN SELF-EXP STNT,3150.0,,1575.0,2835.0,62
HCPCS,C1877,STENT BILIARY STERILE 10F,172.0,,86.0,451.3,62
HCPCS,C1878,IMP HYDROGEL GEL RENU 1.5CC,537.0,,268.5,961.91,62
HCPCS,C1878,IMPL THYROPLASTY FEMALE 9MM,831.0,,415.5,961.91,62
HCPCS,C1880,FILTER IVC OPTION ELITE 5F 70C,2323.0,,1161.5,2090.7,62
HCPCS,C1880,FILTER VENA CAVA CELECT FEM,2488.0,,1244.0,2239.2,62
HCPCS,C1880,FILTER VENA CAVA CELECT G34309,2527.0,,1263.5,2274.3,62
HCPCS,C1880,FILTER VENA CAVA CELECT G34502,3668.0,,1834.0,3301.2,62
HCPCS,C1880,FILTER VENA CAVA DENALI,2457.0,,1228.5,2211.3,62
HCPCS,C1880,FILTER VENA CAVA DENALI (N/C),0.01,,0.005,1894.27,57
HCPCS,C1880,FILTER VENA CAVA JUG,3078.0,,1539.0,2770.2,62
HCPCS,C1880,FILTER VENA CAVA TECH LP,2747.0,,1373.5,2472.3,62
HCPCS,C1880,FILTER VENA CAVA TECH LP-STUDY,2640.0,,1320.0,2376.0,57
HCPCS,C1880,FILTER VENA CAVA TULIP 01,3522.0,,1761.0,3169.8,62
HCPCS,C1880,FILTER VENA CAVA TULIP 02,1956.0,,978.0,1894.27,62
HCPCS,C1882,COBALT MRI CRT-D W/LV LEAD SYS,40997.0,,20498.5,36897.3,124
HCPCS,C1882,COBALT QUAD MRI CRT-D GEN,30701.0,,15350.5,27630.9,62
HCPCS,C1882,CROME MRI CRT-D SYSTEM,96117.0,,25180.55,86505.3,62
HCPCS,C1882,CROME MRI CRT-D-GENERATOR,30701.0,,15350.5,27630.9,62
HCPCS,C1882,CROME QUAD MRI CRT-D GENERATOR,31263.0,,15631.5,28136.7,62
HCPCS,C1882,CRT RIVACOR HF-T QP PRO,37588.0,,18794.0,33829.2,62
HCPCS,C1882,CRT-D AMPLIA MRI GEN,52613.0,,25180.55,47351.7,62
HCPCS,C1882,CRT-D AMPLIA MRI QUAD GEN,53808.0,,25180.55,48427.2,62
HCPCS,C1882,CRT-D AMPLIA MRI QUAD SYS,68773.0,,25180.55,61895.7,62
HCPCS,C1882,CRT-D AMPLIA MRI SYS,66506.0,,25180.55,59855.4,62
HCPCS,C1882,CRT-D BIV MOMENTUM GEN,41150.0,,20575.0,37035.0,62
HCPCS,C1882,CRT-D INTICA NEO HF-T DX MRI,35798.0,,17899.0,32218.2,62
HCPCS,C1882,CRT-D INTICA QP MRI GEN,39092.0,,19546.0,35182.8,62
HCPCS,C1882,CRT-D MOMENTUM IS1 DF4,40906.0,,20453.0,36815.4,124
HCPCS,C1882,CRT-D MOMENTUM X4 IS4 DF1,40906.0,,20453.0,36815.4,62
HCPCS,C1882,CRT-D QUADRA ASSURA MP GEN,40974.0,,20487.0,36876.6,62
HCPCS,C1882,CRT-D QUADRA ASSURA MP SYS,52699.0,,25180.55,47429.1,62
HCPCS,C1882,CRT-D RESONATE HF X4 DF4 GEN,28800.0,,14400.0,25920.0,62
HCPCS,C1882,CRT-D UNIFY ASSURA GEN,44836.0,,22418.0,40352.4,62
HCPCS,C1882,CRT-D UNIFY ASSURA SYS,54294.0,,25180.55,48864.6,62
HCPCS,C1882,CRT-D VIGILANT X4 IS4 DF4,40906.0,,20453.0,36815.4,62
HCPCS,C1882,ICD COBALT XT HF QUAD-SYSTEM,42120.0,,21060.0,37908.0,62
HCPCS,C1882,ICD CROME CRT-D MRI QUAD,42120.0,,21060.0,37908.0,62
HCPCS,C1882,ICD DEFIB AMPLIA MRI SURESCAN,33207.0,,16603.5,29886.3,62
HCPCS,C1882,ICD DEFIB GALLANT HF CRT GEN,27000.0,,13500.0,25180.55,62
HCPCS,C1882,ICD DEFIB GALLANT HF CRT-D GEN,36446.0,,18223.0,32801.4,62
HCPCS,C1882,ICD DEFIB PROMOTE CRT-DN/C**,0.01,,0.005,25180.55,62
HCPCS,C1882,ICD DEFIB VIVA S CRT-D DTBB1D1,54192.0,,25180.55,48772.8,62
HCPCS,C1882,SYS CRT-D QUADRA ASSURA 40,41652.0,,20826.0,37486.8,62
HCPCS,C1882,SYS ICD VIGILANT X4 IS4 DF4,50087.0,,25043.5,45078.3,62
HCPCS,C1882,VIGILANT X4 CRT-D GEN,40906.0,,20453.0,36815.4,62
HCPCS,C1882,VIGILANT X4 CRT-D SYS,50087.0,,25043.5,45078.3,62
HCPCS,C1883,CONTACT EXTENSION KIT,1106.0,,553.0,995.4,62
HCPCS,C1883,EXT CABLE W/SAFE CONNECT DISP,63.0,,31.5,727.5,114
HCPCS,C1883,EXTENSION LEAD ACTIVA 37086,1797.0,,727.5,1617.3,62
HCPCS,C1883,EXTENSION LOW PROFILE DBS,1748.0,,727.5,1573.2,62
HCPCS,C1883,LD NEUROSTIM DBS ST JUDE,6899.0,,727.5,6209.1,62
HCPCS,C1883,LEAD EXTENSION DBS INFINITY,1725.0,,727.5,1552.5,62
HCPCS,C1883,LEAD WIRE PACING TEMP MYOCARD,193.0,,96.5,727.5,62
HCPCS,C1884,ANGIOGUARD EMBOLI SYSTEM,3552.0,,1461.69,3196.8,62
HCPCS,C1884,DVC CATEPILLAR MICRO ART EMBOL,0.01,,0.005,1461.69,57
HCPCS,C1884,DVC EMBOL PROT SPIDERFX,2993.0,,1461.69,2693.7,62
HCPCS,C1884,DVC EMBOLIZATION 3X320/190,3131.0,,1461.69,2817.9,62
HCPCS,C1884,FILTER CAROTID NAV6 ABBOTT,4007.0,,1461.69,3606.3,57
HCPCS,C1884,FILTERWIRE EX,4832.0,,1461.69,4348.8,124
HCPCS,C1884,SYS EMB EMBOSHIELD NAV6,3428.0,,1461.69,3085.2,62
HCPCS,C1884,SYS SENTINEL CEREBRAL PROTECT,8844.0,,1461.69,7959.6,124
HCPCS,C1884,SYST EMBOLC PROTECTIVE ACCUNET,3819.0,,1461.69,3437.1,62
HCPCS,C1885,CATH CORONARY SPECTRANETICS,6698.0,,3062.72,6028.2,57
HCPCS,C1885,CATH PERIPH SPECTRANETICS,6439.0,,3062.72,5795.1,57
HCPCS,C1886,CATH ABL HALO 360,2915.0,,107.58,2623.5,57
HCPCS,C1886,CATH ABLATION FOCAL BARRX 90,1798.0,,107.58,1618.2,62
HCPCS,C1886,CATH BALN RFA 360 EXPRSS BARRX,5262.0,,107.58,4735.8,114
HCPCS,C1886,CATH RFA FOCAL BARRX 90,2522.0,,107.58,2269.8,57
HCPCS,C1886,CATHETER INTERSCOPE 10-01-OP,1593.0,,107.58,1433.7,57
HCPCS,C1886,CATHETER INTERSCOPE ER 10-03,2765.0,,107.58,2488.5,57
HCPCS,C1886,NEUWAVE MICROWAVE ABLAT PROBE,3105.0,,107.58,2794.5,62
HCPCS,C1886,PROBE ABLATION NEUWAVE SR25CM,4050.0,,107.58,3645.0,57
HCPCS,C1886,PROBE NEUWAVE LK 15CM TAPERED,3230.0,,107.58,2907.0,62
HCPCS,C1886,PROBE NEUWAVE LK 20CM TAPERED,3230.0,,107.58,2907.0,62
HCPCS,C1886,PROBE NEUWAVE PR 15CM TAPERED,3230.0,,107.58,2907.0,124
HCPCS,C1886,PROBE NEUWAVE PR 20CM TAPERED,3230.0,,107.58,2907.0,62
HCPCS,C1886,PROBE NEUWAVE SR 25CM 13GA,3230.0,,107.58,2907.0,62
HCPCS,C1886,PROBE OSTEOCOOL DBL,8145.5,,107.58,8082.0,114
HCPCS,C1886,PROBE OSTEOCOOL SNGL,7026.0,,107.58,6323.4,57
HCPCS,C1886,PROBE PR XT 15GA NEUWAVE MED,3894.0,,107.58,3504.6,62
HCPCS,C1886,RFA ABLATION CATH,3879.0,,107.58,3491.1,57
HCPCS,C1887,ASAHI CORSAIR PRO,1881.0,,102.65,1692.9,57
HCPCS,C1887,CATH 87 NEUGLIDE,480.0,,102.65,432.0,57
HCPCS,C1887,CATH ANGIO COBRA 2 SOFT-VU 035,162.0,,81.0,145.8,57
HCPCS,C1887,CATH ANGIO COOK C2,357.0,,102.65,321.3,57
HCPCS,C1887,CATH ANGIO GLIDECATH,173.0,,86.5,155.7,57
HCPCS,C1887,CATH ANGIO GUIDE SOFT-VU,111.0,,55.5,102.65,57
HCPCS,C1887,CATH ATTAIN COMM SRVALV,1355.0,,102.65,1219.5,57
HCPCS,C1887,CATH ATTAIN LDS,839.0,,102.65,755.1,57
HCPCS,C1887,CATH AXS CATALYST 0.06INX132CM,4727.0,,102.65,4254.3,57
HCPCS,C1887,CATH AXS CATALYST 115CM,3789.0,,102.65,3410.1,57
HCPCS,C1887,CATH AXS CATALYST 6 (N/C),0.01,,0.005,102.65,57
HCPCS,C1887,CATH BALLOON GUIDE MERCI,2070.0,,102.65,1863.0,57
HCPCS,C1887,CATH BALLOON GUIDE WALRUS-N/C,0.01,,0.005,102.65,57
HCPCS,C1887,CATH CEREGLIDE 071 132CM,4699.0,,102.65,4229.1,57
HCPCS,C1887,CATH CXI SUPPORT,456.0,,102.65,410.4,57
HCPCS,C1887,CATH DAC 3.9F .038INX136CM,2213.0,,102.65,1991.7,57
HCPCS,C1887,CATH DIS ACCESS AXS CATALYST 7,5418.0,,102.65,4876.2,57
HCPCS,C1887,CATH DISTAL ACCESS DAC,2320.0,,102.65,2088.0,57
HCPCS,C1887,CATH DISTAL ACCESS MIVI Q4,4633.0,,102.65,4169.7,57
HCPCS,C1887,CATH DISTAL ACCESS SOFIA 6F,5240.0,,102.65,4716.0,57
HCPCS,C1887,CATH ECHELON,2474.0,,102.65,2226.6,57
HCPCS,C1887,CATH ENVOY,719.0,,102.65,647.1,114
HCPCS,C1887,CATH EXCELSIOR 1018,1956.0,,102.65,1760.4,57
HCPCS,C1887,CATH EXCELSIOR SL-10,2169.0,,102.65,1952.1,57
HCPCS,C1887,CATH FINECROSS MG 150CM,1036.0,,102.65,932.4,57
HCPCS,C1887,CATH GLIDECATH,188.0,,94.0,169.2,57
HCPCS,C1887,CATH GLIDECATH ANGLED 5F 65,173.0,,86.5,155.7,57
HCPCS,C1887,CATH GLIDECATH COBRA2 4X65,173.0,,86.5,155.7,57
HCPCS,C1887,CATH GLIDECATH SIM1 4FRX100CM,168.0,,84.0,151.2,57
HCPCS,C1887,CATH GUID CORONARY LAUNCHER 6F,168.0,,84.0,151.2,57
HCPCS,C1887,CATH GUID DEFL HELIFX 16F 62CM,3798.0,,102.65,3418.2,57
HCPCS,C1887,CATH GUID VISTA BRITE 6F 100CM,189.0,,94.5,170.1,57
HCPCS,C1887,CATH GUIDE CPS AIM SL INNER 59,491.0,,102.65,441.9,57
HCPCS,C1887,CATH GUIDE MICRO MAESTRO,593.0,,102.65,533.7,57
HCPCS,C1887,CATH GUIDING ACUITY PRO 9,965.0,,102.65,868.5,57
HCPCS,C1887,CATH GUIDING ACUITY PRO SYS,1849.0,,102.65,1664.1,57
HCPCS,C1887,CATH GUIDING ASAHI EAUCATH-N/C,0.01,,0.005,102.65,57
HCPCS,C1887,CATH GUIDING EAUCATH,499.0,,102.65,449.1,57
HCPCS,C1887,CATH GUIDING GUIDELINER,1000.0,,102.65,900.0,57
HCPCS,C1887,CATH GUIDING LAUNCHER,159.0,,79.5,143.1,57
HCPCS,C1887,CATH GUIDING LUMAX PULM 8F,790.0,,102.65,711.0,57
HCPCS,C1887,CATH GUIDING SOFIA,5391.0,,102.65,4851.9,57
HCPCS,C1887,CATH GUIDING STRYKER DAC 038CM,2370.0,,102.65,2133.0,57
HCPCS,C1887,CATH HEARTRAIL III,226.0,,102.65,203.4,57
HCPCS,C1887,CATH INTRACRANIAL REFLEX 5F,3948.0,,102.65,3553.2,57
HCPCS,C1887,CATH IV ANGIOCATH STRL ORN,1403.0,,102.65,1262.7,57
HCPCS,C1887,CATH MARINER BERNSTEIN 4F 65CM,156.0,,78.0,140.4,57
HCPCS,C1887,CATH MARKSMAN,2574.0,,102.65,2316.6,57
HCPCS,C1887,CATH MICRO FLOW DIRCT MARATHON,1375.0,,102.65,1237.5,57
HCPCS,C1887,CATH MICRO HEADWAY DUO 15601,2139.0,,102.65,1925.1,57
HCPCS,C1887,CATH MICRO HEADWAY DUO 16702,2759.0,,102.65,2483.1,57
HCPCS,C1887,CATH MICRO MAESTRO,637.0,,102.65,573.3,57
HCPCS,C1887,CATH MICRO PHENOM,3098.0,,102.65,2788.2,57
HCPCS,C1887,CATH MICRO RENEGADE HI-FLO 02,1760.0,,102.65,1584.0,57
HCPCS,C1887,CATH MICRO RENEGADE HI-FLO01,920.0,,102.65,828.0,57
HCPCS,C1887,CATH MICRO SWIFTNINJA 2.4 125,5740.0,,102.65,5166.0,57
HCPCS,C1887,CATH MICRO TRUSELECT 130CM BER,1433.0,,102.65,1289.7,57
HCPCS,C1887,CATH MICROCATH DIREXION,1172.0,,102.65,1054.8,57
HCPCS,C1887,CATH MICROCATH EXCELSIOR XT7,2557.0,,102.65,2301.3,57
HCPCS,C1887,CATH MICROCATH HEADWAY 21 STR,2272.0,,102.65,2044.8,57
HCPCS,C1887,CATH MICROCATH HWAY A,1773.0,,102.65,1595.7,57
HCPCS,C1887,CATH MICROCATH MAGIC,1765.0,,102.65,1588.5,57
HCPCS,C1887,CATH MICROCATH PROGREAT,722.0,,102.65,649.8,57
HCPCS,C1887,CATH MICROCATHETER CANTATA,931.0,,102.65,837.9,57
HCPCS,C1887,CATH NAVICROSS,406.0,,102.65,365.4,57
HCPCS,C1887,CATH NEURON DELIVERY,1506.0,,102.65,1355.4,57
HCPCS,C1887,CATH NEURON SELECT 5FR,360.0,,102.65,324.0,57
HCPCS,C1887,CATH PHENOM PLUS 1030 120CM,3219.0,,102.65,2897.1,57
HCPCS,C1887,CATH PROGREAT,735.0,,102.65,661.5,114
HCPCS,C1887,CATH PROGREAT 2.0,1495.0,,102.65,1345.5,57
HCPCS,C1887,CATH PROGREAT MICRO 2.8FRX130,1242.0,,102.65,1117.8,57
HCPCS,C1887,CATH PROGREAT W/GT WIRE,1208.0,,102.65,1087.2,57
HCPCS,C1887,CATH PROWLER EX 160CM,1350.0,,102.65,1215.0,57
HCPCS,C1887,CATH PROWLER PLUS/SELECT,1696.0,,102.65,1526.4,114
HCPCS,C1887,CATH RADIAL OPTITORQUE,108.0,,54.0,102.65,114
HCPCS,C1887,CATH RADIAL PERFORMA,89.0,,44.5,102.65,57
HCPCS,C1887,CATH RADIAL PERFORMA COB2,182.0,,91.0,163.8,57
HCPCS,C1887,CATH RAPID TRANSIT,1605.0,,102.65,1444.5,57
HCPCS,C1887,CATH REPERFUSION 4MAX,4592.0,,102.65,4132.8,57
HCPCS,C1887,CATH REPERFUSION ACE 68,0.01,,0.005,102.65,57
HCPCS,C1887,CATH REPERFUSION PENUMBRA,3749.0,,102.65,3374.1,57
HCPCS,C1887,CATH REPERFUSION PNUMBRA 153CM,3948.0,,102.65,3553.2,57
HCPCS,C1887,CATH REPREFUSION 5MAXJET,6324.0,,102.65,5691.6,57
HCPCS,C1887,CATH RIGHTSITE,1012.0,,102.65,910.8,57
HCPCS,C1887,CATH SELECT PACING,884.0,,102.65,795.6,57
HCPCS,C1887,CATH SOFIA 6FFLOW PLUS,5240.0,,102.65,4716.0,57
HCPCS,C1887,CATH STEERABLE GUIDE W/DILATOR,73898.0,,102.65,66508.2,57
HCPCS,C1887,CATH SUPPORT QUICK-CROSS 01,574.0,,102.65,516.6,57
HCPCS,C1887,CATH SUPPORT QUICK-CROSS 02,484.0,,102.65,435.6,57
HCPCS,C1887,CATH TAPERED SILICONE IP37957,1159.0,,102.65,1043.1,57
HCPCS,C1887,CATH TORCON NB ADV 5F 125CM,63.0,,31.5,102.65,57
HCPCS,C1887,CATH TORCON RC2 5F 65CM,65.0,,32.5,102.65,57
HCPCS,C1887,CATHETER ANGIO,118.0,,59.0,106.2,57
HCPCS,C1887,CATHETER CARAVEL,1018.0,,102.65,916.2,57
HCPCS,C1887,CATHETER GLIDECATH,172.0,,86.0,154.8,57
HCPCS,C1887,CATHETER LANGSTON,923.0,,102.65,830.7,57
HCPCS,C1887,CATHETER PROGREAT TERUMO,936.0,,102.65,842.4,57
HCPCS,C1887,CATHETER QUICK CROSS,506.0,,102.65,455.4,57
HCPCS,C1887,CATHETER RC1 5FR,78.0,,39.0,102.65,57
HCPCS,C1887,CATHETER SIM1 COOK,60.0,,30.0,102.65,57
HCPCS,C1887,CATHETER SUPERCROSS,1075.0,,102.65,967.5,57
HCPCS,C1887,CATHETER TURBO BOOSTER 7-8F,945.0,,102.65,850.5,57
HCPCS,C1887,CATHETER ZOOM,5607.0,,102.65,5046.3,57
HCPCS,C1887,CATHETER-ANGIOGRAPHIC,530.0,,102.65,477.0,171
HCPCS,C1887,EVAL NDL KIT W/GUIDING CATH*,0.01,,0.005,102.65,57
HCPCS,C1887,EVAL NDL KIT WQ/GUIDING CATH,0.01,,0.005,102.65,57
HCPCS,C1887,GLIDECATH ANGLED TAPER,136.0,,68.0,122.4,57
HCPCS,C1887,GUIDEWIRE ALTA TRACK PHILIPS,2329.0,,102.65,2096.1,57
HCPCS,C1887,GUIDING CATHETER MDT,994.0,,102.65,894.6,57
HCPCS,C1887,MACH 1 7F LIMA GUIDECATHETER,193.0,,96.5,173.7,62
HCPCS,C1887,MICROCATH TELLUS 1.9FR,1170.0,,102.65,1053.0,57
HCPCS,C1887,MICROCATH VELOUTE 1.7FR,1170.0,,102.65,1053.0,57
HCPCS,C1887,MICROCATHETER ECHELON,1394.0,,102.65,1254.6,114
HCPCS,C1887,"NEEDLE CATH COMBINATION, COOK",851.0,,102.65,765.9,57
HCPCS,C1887,OMNIFLUSH ANGIOGRAPHIC CATH,169.0,,84.5,152.1,57
HCPCS,C1887,PV DIAGNOSTIC CATHETER,211.0,,102.65,189.9,57
HCPCS,C1887,PV GUIDING CATHETERS,416.0,,102.65,374.4,57
HCPCS,C1887,R2P DESTINATION SLENDER SHEATH,511.0,,102.65,459.9,62
HCPCS,C1887,RADIFOCUS GLIDECATH SIDEWINDER,546.0,,102.65,491.4,57
HCPCS,C1887,SHEATH GUID DA CEREBASE8F,914.0,,102.65,822.6,57
HCPCS,C1887,SHEATH GUID R2P DESTN SLENDER,597.0,,102.65,537.3,57
HCPCS,C1887,SHEATH GUIDING DESTINO,1150.0,,102.65,1139.4,114
HCPCS,C1887,SHEATH PINNACLE BOSTON SCI,502.0,,102.65,451.8,62
HCPCS,C1887,SHTH ACCESS LIVER TIPS,596.0,,102.65,536.4,62
HCPCS,C1887,SHTH PINN DEST 5X45 CC ST,270.0,,102.65,243.0,57
HCPCS,C1887,SHTH PINN DEST 7X90CM ST,62.0,,31.0,102.65,57
HCPCS,C1889,15CC CANCELLOUS,660.0,,330.0,594.0,61
HCPCS,C1889,AMPLATZER VALVULAR PLUG III,21058.0,,10529.0,18952.2,56
HCPCS,C1889,BEAD DEVICE LINX 13,12370.0,,6185.0,11133.0,61
HCPCS,C1889,HEMOSTASIS CLIP DURACLIP,364.0,,182.0,327.6,56
HCPCS,C1889,INTRACEPT ADDL 2 VB KIT,3505.0,,1752.5,3154.5,122
HCPCS,C1889,INTRACEPT ADDL 3 VB KIT,1295.0,,647.5,1165.5,122
HCPCS,C1889,LIMFLOW SYSTEM KIT,45000.0,,22500.0,40500.0,61
HCPCS,C1889,MILD LUMBAR DECOMPRESS KT,7702.0,,3851.0,6931.8,56
HCPCS,C1889,PACEMAKER SYS AVEIR LL AR,27000.0,,13500.0,24300.0,61
HCPCS,C1889,RELIEVANT INTRACEPT RF PROBE,8177.0,,4088.5,7359.3,122
HCPCS,C1889,SYS ULTRASND DENERVATION RENAL,36000.0,,18000.0,32400.0,56
HCPCS,C1889,TUBE SALIVARY MONTGOMERY,517.0,,258.5,465.3,61
HCPCS,C1891,PUMP INF IMPL N/PROGRAM,26283.0,,8169.0,23654.7,62
HCPCS,C1891,PUMP INF IMPL NON-PROGRAM,14164.0,,7082.0,12747.6,62
HCPCS,C1892,COOK CATH INTRODUCER 13.0FR,210.0,,97.78,189.0,57
HCPCS,C1892,INTRO CATH PICC PEEL AWAY 1.4F,125.0,,62.5,112.5,57
HCPCS,C1892,INTRO LEAD SAFESHEATH,1200.0,,97.78,1080.0,57
HCPCS,C1892,INTRODCR SAFESHEATH WORLEY,1253.0,,97.78,1127.7,57
HCPCS,C1892,INTRODUCER I,256.0,,97.78,230.4,57
HCPCS,C1892,INTRODUCER II,412.0,,97.78,370.8,57
HCPCS,C1892,INTRODUCER III,351.0,,97.78,315.9,57
HCPCS,C1892,INTRODUCER PEEL AWAY,159.0,,79.5,143.1,57
HCPCS,C1892,INTRODUCER PEEL-AWAY,286.5,,97.78,271.8,114
HCPCS,C1892,INTRODUCER PEEL-AWAY GUIDANT,684.0,,97.78,615.6,57
HCPCS,C1892,INTRODUCER SET 8FR,215.0,,97.78,193.5,57
HCPCS,C1892,INTRODUCER/SHEATH PRELUDE SNAP,109.0,,54.5,98.1,57
HCPCS,C1892,SHEATH INTRO SENTRANT HC 01,397.0,,97.78,357.3,57
HCPCS,C1892,SHEATH PEEL-AWAY**,110.0,,55.0,99.0,57
HCPCS,C1892,Z*INTRO ABBOTT**,52.0,,26.0,97.78,114
HCPCS,C1893,DILATOR AND SHEATH AXONICS,1681.0,,256.64,1512.9,62
HCPCS,C1893,INTRO DIAG TRANSSEPTAL,1622.5,,256.64,1488.6,114
HCPCS,C1893,INTRO FAST CATH 12F 12CM,75.0,,37.5,256.64,57
HCPCS,C1893,INTRO FAST CATH SWARTZ SL2,419.0,,209.5,377.1,114
HCPCS,C1893,INTRO FEM CURVED INNER,550.0,,256.64,495.0,57
HCPCS,C1893,INTRO FEM CURVED OUTER,1225.0,,256.64,1102.5,57
HCPCS,C1893,INTRODUCER GUIDING FAST-CATH,437.0,,218.5,393.3,57
HCPCS,C1893,KIT CONN RF WIRE 180?230CM,1850.0,,256.64,1665.0,57
HCPCS,C1893,SHEATH LESS THAN 45CM,470.0,,235.0,423.0,57
HCPCS,C1894,+INTRO/SHEATH PRELUDE W/GDWIR,181.0,,46.81,162.9,57
HCPCS,C1894,CATH INTRODUCER COOK 10FR,304.0,,46.81,273.6,57
HCPCS,C1894,DILATOR RENAL AMPLATZ,112.0,,46.81,100.8,57
HCPCS,C1894,DILATOR RENAL AMPLATZ G17957,89.0,,44.5,80.1,57
HCPCS,C1894,DRYSEAL FLEXSHEATH WL GORE,578.0,,46.81,520.2,57
HCPCS,C1894,DRYSEAL HYDRO FLEX SHEATH,1825.0,,46.81,1642.5,62
HCPCS,C1894,EMBLEM S-ICD ELECTRODE DEL SYS,2213.0,,46.81,1991.7,62
HCPCS,C1894,EVAL GORE TIP SHEATH KIT**,0.01,,0.005,46.81,114
HCPCS,C1894,FARAPULSE PULSED FIELD ABLAT,0.01,,0.005,46.81,57
HCPCS,C1894,GLIDESHEATH SLENDER,175.0,,46.81,157.5,114
HCPCS,C1894,GUIDEWIRE SHEATH 7F 10CM,251.0,,46.81,225.9,57
HCPCS,C1894,INTR ARROW-FLEX SET 6FR 35CM,217.0,,46.81,195.3,57
HCPCS,C1894,INTR CATH SET CHECK-FLO,190.0,,46.81,171.0,62
HCPCS,C1894,INTR CHECK-FLO 4FR 90 G48188,330.0,,46.81,297.0,57
HCPCS,C1894,INTRDCR/SHEATH NON EP/LASER**,0.01,,0.005,46.81,57
HCPCS,C1894,INTRO ANSEL CF MP 6F 2.2X55,214.0,,46.81,192.6,57
HCPCS,C1894,INTRO ATTAIN LDS,1148.0,,46.81,1033.2,57
HCPCS,C1894,INTRO CHECK-FLO PERFORMER 9.0F,151.0,,46.81,135.9,57
HCPCS,C1894,INTRO CHECK-FLO RAABE 9X70,205.0,,46.81,184.5,57
HCPCS,C1894,INTRO CHECK-FLO RADIO,72.0,,36.0,64.8,57
HCPCS,C1894,INTRO CHECK-FLO X LARGE 20F 40,801.0,,46.81,720.9,57
HCPCS,C1894,INTRO FLEXOR CHECK-FLO 8F 70CM,260.0,,46.81,234.0,57
HCPCS,C1894,INTRO FLEXOR SHUTTLE 5FR 90CM,282.0,,46.81,253.8,57
HCPCS,C1894,INTRO FLEXOR W/CHECK-FLO VLV,237.0,,46.81,213.3,57
HCPCS,C1894,INTRO INACT MICRA HYDROPHILIC,1124.0,,46.81,1011.6,57
HCPCS,C1894,INTRO MICRO-INTORDUCER KIT,112.0,,46.81,100.8,57
HCPCS,C1894,INTRO MICRO-INTRODUCER KIT,70.0,,35.0,63.0,57
HCPCS,C1894,INTRO MINI ACCESS KIT MAK-NV,249.0,,46.81,228.6,114
HCPCS,C1894,INTRO MINI STICK**,62.0,,31.0,55.8,171
HCPCS,C1894,INTRO PERFORMER HYDRO 12FX13CM,189.0,,46.81,170.1,57
HCPCS,C1894,INTRO PERFORMER HYDRO 12X13CM,189.0,,46.81,170.1,62
HCPCS,C1894,INTRO SHEATH FLEXOR ANSEL,273.5,,46.81,297.0,114
HCPCS,C1894,INTRODCR CHECK-FLO FLEXOR 55CM,231.0,,46.81,207.9,57
HCPCS,C1894,INTRODCR CHECK-FLO FLEXOR 70CM,267.0,,46.81,240.3,57
HCPCS,C1894,INTRODUC SHEATH ENDOCLAMP,870.0,,46.81,783.0,57
HCPCS,C1894,INTRODUC SHEATH PERITONEAL,498.0,,46.81,448.2,57
HCPCS,C1894,INTRODUCER 20FRX15 CUSTOM,342.0,,46.81,307.8,57
HCPCS,C1894,INTRODUCER AAA AFX SYSTEM,801.0,,46.81,720.9,57
HCPCS,C1894,INTRODUCER ACCESS KIT NONVAS,143.0,,46.81,128.7,57
HCPCS,C1894,INTRODUCER AXCESS,134.0,,46.81,120.6,57
HCPCS,C1894,INTRODUCER CATH D'VILL 14FR,543.0,,46.81,488.7,57
HCPCS,C1894,INTRODUCER CATH PICC 2.8FR,116.0,,46.81,104.4,57
HCPCS,C1894,INTRODUCER CHECK FLO,161.0,,46.81,144.9,57
HCPCS,C1894,INTRODUCER CHECK-FLO,207.0,,46.81,186.3,57
HCPCS,C1894,INTRODUCER CHECK-FLO 9F**,196.0,,46.81,176.4,57
HCPCS,C1894,INTRODUCER CHECK-FLO FLEXOR,503.5,,46.81,666.0,114
HCPCS,C1894,INTRODUCER CHECK-FLO PERFORMER,290.5,,46.81,280.8,114
HCPCS,C1894,INTRODUCER ENGAGE,30.0,,15.0,46.81,114
HCPCS,C1894,INTRODUCER FLEXOR CHECK-FLOW,329.0,,46.81,296.1,57
HCPCS,C1894,INTRODUCER FLEXOR SIDE ARM 5FR,309.0,,46.81,278.1,57
HCPCS,C1894,INTRODUCER FLEXOR SIDE ARM 6FR,298.0,,46.81,268.2,114
HCPCS,C1894,INTRODUCER PERC MAINSTAY,146.0,,46.81,131.4,57
HCPCS,C1894,INTRODUCER SAFESHEATH II,198.0,,46.81,178.2,57
HCPCS,C1894,INTRODUCER SET MICRO PUNCH,108.0,,46.81,97.2,57
HCPCS,C1894,INTRODUCER SET MICRO PUNCH 5FR,102.0,,46.81,91.8,57
HCPCS,C1894,INTRODUCER SHEATH 9F/10CM 10/B,923.0,,46.81,830.7,57
HCPCS,C1894,INTRODUCER SHEATH COOK,539.0,,46.81,485.1,57
HCPCS,C1894,INTRODUCER SHEATH DECATHLON**,104.0,,46.81,93.6,57
HCPCS,C1894,INTRODUCER SHEATH DRYSEAL GORE,1032.0,,46.81,1158.3,171
HCPCS,C1894,INTRODUCER SHEATH MICRA,1326.0,,46.81,1193.4,57
HCPCS,C1894,INTRODUCER SHEATH PINNACLE,171.0,,46.81,153.9,57
HCPCS,C1894,INTRODUCER TRANSSEPTAL,238.0,,46.81,214.2,62
HCPCS,C1894,INTRODUCER/SHEATH NON EP/LASER,0.01,,0.005,46.81,57
HCPCS,C1894,KIT INTRODUCER AVEIR,1080.0,,46.81,972.0,57
HCPCS,C1894,KIT SHEATH/INTRO PACING 5F,400.0,,46.81,360.0,57
HCPCS,C1894,KIT SHEATH/INTRO PACING 6F,407.0,,46.81,366.3,57
HCPCS,C1894,KT MICRO INTRDUCER KIT ENROUTE,308.0,,46.81,277.2,57
HCPCS,C1894,MICRO-INTRODUCER KIT,66.0,,33.0,59.4,57
HCPCS,C1894,PASSIVE CATHETER INTRODUCER,912.0,,46.81,820.8,57
HCPCS,C1894,SET INTRO STIFF,154.0,,46.81,138.6,57
HCPCS,C1894,SET INTRO STIFF 21GAX7CM,154.0,,46.81,138.6,114
HCPCS,C1894,SET SHEATH DILATOR ILLUMINOSS,120.0,,46.81,108.0,62
HCPCS,C1894,SHEATH 5FR/10  10/BX,892.0,,46.81,802.8,57
HCPCS,C1894,SHEATH ACCESS FLEXOR 9.5FX35CM,386.0,,46.81,347.4,57
HCPCS,C1894,SHEATH ACCESS URETERAL,657.0,,46.81,591.3,57
HCPCS,C1894,SHEATH ARROW-FLEX 8F 11CM,100.0,,46.81,90.0,57
HCPCS,C1894,SHEATH ARTERICAL ANGLED-TIP,7245.0,,46.81,6520.5,57
HCPCS,C1894,SHEATH AVANTI PLUS 5F,117.0,,46.81,105.3,57
HCPCS,C1894,SHEATH AXS INFINITY,1091.0,,46.81,981.9,57
HCPCS,C1894,SHEATH BALLAST VASCULAR,927.0,,46.81,834.3,62
HCPCS,C1894,SHEATH BRAIN PATH NICO STERILE,2381.0,,46.81,2142.9,57
HCPCS,C1894,SHEATH CHECK-FLO RAABE 5F 90CM,182.0,,46.81,163.8,57
HCPCS,C1894,SHEATH CLEARPETRA 12-14FR 36CM,1350.0,,46.81,1215.0,62
HCPCS,C1894,SHEATH CLEARPETRA 12-14FR 55CM,1350.0,,46.81,1215.0,62
HCPCS,C1894,SHEATH DRYSEAL 12-16F 33CM,581.0,,46.81,522.9,57
HCPCS,C1894,SHEATH DRYSEAL 20-26F 33CM,784.0,,46.81,705.6,57
HCPCS,C1894,SHEATH DRYSEAL 20-26F 65CM,1189.0,,46.81,1070.1,57
HCPCS,C1894,SHEATH DRYSEAL FLEX,1130.0,,46.81,1017.0,62
HCPCS,C1894,SHEATH DRYSEAL FLEX 26F 65CM,1189.0,,46.81,1070.1,57
HCPCS,C1894,SHEATH DRYSEAL GORE,762.0,,46.81,756.0,114
HCPCS,C1894,SHEATH DRYSEAL GORE 12F X 28CM,711.0,,46.81,639.9,57
HCPCS,C1894,SHEATH DRYSEAL GORE 16F,684.0,,46.81,615.6,57
HCPCS,C1894,SHEATH DRYSEAL GORE 18F X 28CM,845.0,,46.81,760.5,57
HCPCS,C1894,SHEATH DRYSEAL GORE 20F,845.0,,46.81,760.5,57
HCPCS,C1894,SHEATH DRYSEAL GORE 22F,845.0,,46.81,760.5,57
HCPCS,C1894,SHEATH DRYSEAL GORE 24F X 28CM,845.0,,46.81,760.5,57
HCPCS,C1894,SHEATH DRYSEAL GORE 26F,748.0,,46.81,673.2,57
HCPCS,C1894,SHEATH EXCEL IMPELLA,468.0,,46.81,421.2,114
HCPCS,C1894,SHEATH EXPANDABLE CONFIDA,0.01,,0.005,46.81,57
HCPCS,C1894,SHEATH FUBUKINEUROVASC LONG,718.0,,46.81,646.2,57
HCPCS,C1894,SHEATH GUIDE PROTRIEVE 20FR,3894.005,,0.005,7009.2,186
HCPCS,C1894,SHEATH GUIDING PERFORMER,301.0,,46.81,270.9,57
HCPCS,C1894,SHEATH INTRO 12FR 25CM CBDE,223.0,,46.81,200.7,62
HCPCS,C1894,SHEATH INTRODUCER HYDROPHILIC,206.0,,46.81,185.4,62
HCPCS,C1894,SHEATH KODIAK DUAL PORT 14/16,1872.0,,46.81,1684.8,57
HCPCS,C1894,SHEATH NAVIGATOR 12-14FR 46CM,306.0,,46.81,275.4,57
HCPCS,C1894,SHEATH PINNACLE 11FR 25CM,69.0,,34.5,62.1,62
HCPCS,C1894,SHEATH PINNACLE 8F 25CM RSS806,102.0,,46.81,91.8,57
HCPCS,C1894,SHEATH PINNACLE R/O II W/O GW,100.0,,46.81,90.0,57
HCPCS,C1894,SHEATH PROTRIEVE 20F,7488.0,,46.81,6739.2,62
HCPCS,C1894,SHEATH STEERABLE TOURGUIDE,1106.0,,46.81,995.4,57
HCPCS,C1894,SHEATH SUPER ARROW-FLEX,116.0,,46.81,104.4,57
HCPCS,C1894,SHEATH SUPER ARROW-FLEX 6FX45,250.0,,46.81,225.0,57
HCPCS,C1894,SHEATH SUPER CB DE FR BOST SCI,222.0,,46.81,199.8,57
HCPCS,C1894,SHEATH URETERAL ACCESS FLEXOR,332.0,,46.81,298.8,57
HCPCS,C1894,SHEATH/INTRODUCER BRITE TIP,84.0,,42.0,75.6,62
HCPCS,C1894,SHTH INTRO PRELUDE 6F 11CM KT,94.0,,46.81,84.6,57
HCPCS,C1894,SYS SHEATH FIXED CURVE,1872.0,,46.81,1684.8,114
HCPCS,C1894,TUOPHY BORST CATH INTRODUCER,92.0,,46.0,82.8,57
HCPCS,C1895,LEAD ICD ENDOCARD DBL COIL,0.01,,0.005,5404.17,62
HCPCS,C1895,LEAD ICD ENDOTAK RELIANCE G,12548.0,,5404.17,11293.2,62
HCPCS,C1895,LEAD ICD OPTISURE DUAL,8049.0,,4024.5,7244.1,62
HCPCS,C1895,LEAD ICD SPRINT QUATTRO DUAL,10348.0,,5174.0,9313.2,62
HCPCS,C1896,ELECT SUBCUTANEOUS EMBLEM,9950.0,,4975.0,8955.0,62
HCPCS,C1896,ELECT SUBCUTANEOUS EMBLEM-N/C,0.01,,0.005,6536.61,57
HCPCS,C1896,LEAD CAPSUREFIX MRI SURESCAN,1151.0,,575.5,6536.61,124
HCPCS,C1896,LEAD ICD NOT ENDOCARD,0.01,,0.005,6536.61,62
HCPCS,C1896,LEAD ICD TRANSVENE 6937A,2759.0,,1379.5,6536.61,62
HCPCS,C1897,EVOKE CAP12 TRL PERCUTAN LEAD,1779.0,,889.5,1601.1,62
HCPCS,C1897,LEAD NSTIM TEST INTERSTIM PNE,789.0,,394.5,1232.69,57
HCPCS,C1897,LEAD TRIAL COMPACT,1498.0,,749.0,1348.2,62
HCPCS,C1897,PNE LEAD AXONICS 1901,121.0,,60.5,1232.69,62
HCPCS,C1897,TRIAL LEAD KIT OCTRODE,1872.0,,936.0,1684.8,62
HCPCS,C1898,LEAD CAPSUREFIX 5076-58,1184.0,,592.0,1065.6,62
HCPCS,C1898,LEAD ICD DEFIB CAPSURE EPI4968,7224.0,,922.22,6501.6,62
HCPCS,C1898,LEAD PACING CAPSURE EPI,3110.0,,922.22,2799.0,62
HCPCS,C1898,LEAD PACING MYOPORE,843.0,,421.5,922.22,62
HCPCS,C1898,LEAD PACING MYOPORE 35CM SJM,920.0,,460.0,922.22,62
HCPCS,C1898,LEAD PACING ST JUDE,949.0,,474.5,922.22,62
HCPCS,C1898,LEAD PCMKR INGEVITY,1049.0,,524.5,944.1,62
HCPCS,C1898,LEAD PCMKR TENDRIL MRI,920.0,,460.0,922.22,62
HCPCS,C1898,LEAD SOLIA S,986.0,,493.0,922.22,62
HCPCS,C1900,LEAD CRT ATTAIN ABLITY,4940.0,,2470.0,4446.0,62
HCPCS,C1900,LEAD LV ACUITY X4,4559.0,,2279.5,4103.1,62
HCPCS,C1900,LEAD PCMKR LV ATTAIN,4940.0,,2470.0,4446.0,62
HCPCS,C1900,LEAD PCMKR LV QUICKFLEX 1258,7695.0,,3299.38,6925.5,62
HCPCS,C1900,LEAD QUARTET LV,4559.0,,2279.5,4103.1,62
HCPCS,C1900,LEAD SENTUS PRO MRI,4141.0,,2070.5,3726.9,62
HCPCS,C1982,CATH TRINAV INFUSION SYS,13940.0,,6970.0,12546.0,57
HCPCS,C2596,HANDPIECE HYDROS,6390.0,,3195.0,5751.0,62
HCPCS,C2613,SYS SEAL TRACT BIOSENTRY,678.0,,339.0,610.2,62
HCPCS,C2615,SEALANT PLEURAL PROGEL,1919.0,,285.61,1727.1,62
HCPCS,C2616,THERASPHERE BRACHYTX SEED Y-90,106740.0,,14402.06,96066.0,73
HCPCS,C2617,DOUBLE LOOP URETERAL STENT KIT,634.0,,187.52,570.6,62
HCPCS,C2617,POLYMERIC URETERAL STENT,325.0,,162.5,292.5,62
HCPCS,C2617,STENT BILIARY COTTON-LEUNG,177.0,,88.5,187.52,62
HCPCS,C2617,STENT BILIARY SOF-FLEX 7-10F,179.0,,89.5,187.52,124
HCPCS,C2617,STENT BILIARY ZIMMON,189.0,,94.5,187.52,124
HCPCS,C2617,STENT COTTON-HUIBREGTSE 10F,171.0,,85.5,187.52,62
HCPCS,C2617,STENT COTTON-HUIBREGTSE 7F,189.0,,94.5,187.52,62
HCPCS,C2617,STENT COTTON-HUIBRGTSE 10F,171.0,,85.5,187.52,62
HCPCS,C2617,STENT NEPH TAMPONADE KAYE**,276.0,,138.0,248.4,62
HCPCS,C2617,STENT NEPHROURETERAL,285.0,,142.5,256.5,62
HCPCS,C2617,STENT PANCREATIC GENEEN 5-7F,189.0,,94.5,187.52,62
HCPCS,C2617,STENT PANCREATIC ZIMMON,166.0,,83.0,187.52,62
HCPCS,C2617,STENT PANCREATIC ZIMMON 5F 5CM,180.0,,90.0,187.52,62
HCPCS,C2617,STENT PIGTAIL PANCREAT 5F 2CM,180.0,,90.0,187.52,62
HCPCS,C2617,STENT QUICKPLACEV BILIARY 7X90,118.0,,59.0,187.52,62
HCPCS,C2617,STENT SOF FLEX COTTON 10FX12,164.0,,82.0,187.52,62
HCPCS,C2617,STENT URETERAL,392.0,,187.52,352.8,62
HCPCS,C2617,STENT URETERAL DBL-J,264.0,,132.0,237.6,62
HCPCS,C2617,STENT URETERAL DBL-J OLYMPUS,274.0,,137.0,246.6,62
HCPCS,C2617,STENT URETERAL METALLIC COOK,2224.0,,187.52,2001.6,62
HCPCS,C2617,STENT URETERAL PORGES,312.0,,156.0,280.8,62
HCPCS,C2617,STINT SILICONEURETERO-INTEST,468.0,,187.52,421.2,62
HCPCS,C2617,STNT C-FLEX PIGTAIL DOUBLE SET,319.0,,159.5,287.1,62
HCPCS,C2617,STNT PANCREATIC ZIMMON 5F 7CM,153.0,,76.5,187.52,62
HCPCS,C2617,STNT PIG DBL SOF-FLEX,281.0,,140.5,252.9,62
HCPCS,C2617,STNT SET URETERL SOFT UNIVERSA,259.0,,111.0,268.2,248
HCPCS,C2618,CRYOABLATION PROBE 11 IN,5528.0,,257.96,4975.2,57
HCPCS,C2618,CRYOPROBE RND ICE SHORT 1.7MM,2278.0,,257.96,2050.2,57
HCPCS,C2618,CRYOPROBE ROUND ICE LNG 1.7,2278.0,,257.96,2050.2,114
HCPCS,C2618,CRYOPROBE RT ANG VARIABLE 2.4,2659.0,,257.96,2393.1,114
HCPCS,C2618,CRYOPROBE VARIABLE ICE 2.4MM,2659.0,,257.96,2393.1,57
HCPCS,C2618,PROBE ABLAT CRYOICE 10CM,5069.0,,257.96,4562.1,57
HCPCS,C2618,PROBE CRYO FLEX 1.1MM,793.0,,257.96,713.7,114
HCPCS,C2618,PROBE CRYOABLATION,3476.0,,257.96,3128.4,57
HCPCS,C2618,PROBE CRYOPROBE,2363.0,,257.96,2126.7,57
HCPCS,C2618,SYSTEM CRYOBALLOON C2,4484.0,,257.96,4035.6,57
HCPCS,C2621,CRT-P ALLURE RF GEN,12316.0,,6158.0,11084.4,62
HCPCS,C2621,CRT-P ALLURE RF SYS,15162.0,,7581.0,13645.8,62
HCPCS,C2621,CRT-P SERENA MRI GEN,15784.0,,7892.0,14205.6,62
HCPCS,C2621,CRT-P SOLARA MRI SYS,21846.0,,8995.58,19661.4,62
HCPCS,C2621,CRT-P VALITUDE IS-1 GEN,13026.0,,6513.0,11723.4,62
HCPCS,C2621,CRT-P VALITUDE IS-1 SYS,15868.0,,7934.0,14281.2,62
HCPCS,C2621,CRT-PCMKR QUADRA ALLURE GEN,14028.0,,7014.0,12625.2,62
HCPCS,C2621,CRT-PCMKR QUADRA ALLURE SYS,16397.0,,8198.5,14757.3,62
HCPCS,C2621,PACEMKR VISIONIST X4 CRT-P,11097.0,,5548.5,9987.3,62
HCPCS,C2621,PCMKR ALLURE QUADRA RF CRT-P,14447.0,,7223.5,13002.3,62
HCPCS,C2621,PCMKR PERCEPTA CRT-P MR IIS-1,9540.0,,4770.0,8995.58,62
HCPCS,C2621,PCMKR PERCEPTA CRT-P MR IIS-4,9540.0,,4770.0,8995.58,62
HCPCS,C2621,PCMKR SERENA CRT-P MRI,13898.0,,6949.0,12508.2,62
HCPCS,C2621,PCMKR SERENA QUAD CRT-P MRI,16938.0,,8469.0,15244.2,62
HCPCS,C2621,PCMKR VALITUDE CRT-P X4 U125,12161.0,,6080.5,10944.9,62
HCPCS,C2621,PCMKR VALITUDE X4 GEN,14447.0,,7223.5,13002.3,62
HCPCS,C2621,PCMKR VALITUDE X4 SYS,17736.0,,8868.0,15962.4,62
HCPCS,C2621,PCMKR VISIONIST LV-1 CRT-P GEN,11097.0,,5548.5,9987.3,62
HCPCS,C2621,PCMKR VISIONIST X4 CRT-P SYS,13921.0,,6960.5,12528.9,124
HCPCS,C2621,PM PERCEPTA CRT-P MRI SURESCAN,12763.0,,6381.5,11486.7,62
HCPCS,C2622,IMPL PROS PENILE MALL GEN 11MM,19437.0,,914.36,17493.3,62
HCPCS,C2622,PROS PENILE TACTRA 9.5MM,19245.0,,914.36,17320.5,62
HCPCS,C2623,CATH BALLOON PACLITAXEL COATED,2629.0,,1314.5,2417.59,62
HCPCS,C2623,CATH BLN AGENT DC,10577.0,,2417.59,9519.3,57
HCPCS,C2623,CATH DCB LUT0NIX,3213.0,,1606.5,2891.7,62
HCPCS,C2623,CATH DCB LUTONIX 018,3835.0,,1898.0,3486.6,119
HCPCS,C2623,CATH DCB LUTONIX 018BARD,5939.0,,2417.59,5345.1,62
HCPCS,C2623,CATH DCB LUTONIX 035 5F,4479.0,,2239.5,4031.1,62
HCPCS,C2623,CATH INPACT ADMIRAL (N/C),0.01,,0.005,2417.59,57
HCPCS,C2623,CATH LUTONIX 035 DRUG COATED,3185.0,,1592.5,2866.5,57
HCPCS,C2623,CATH LUTONIX DCB,3348.0,,1674.0,3013.2,228
HCPCS,C2623,CATH LUTONIX DCB>120CM,3428.0,,1714.0,3085.2,57
HCPCS,C2623,CATH LUTONIX II DCB,3910.0,,1955.0,3519.0,114
HCPCS,C2623,CATH PREVAIL DRUG COATED PTCA,0.01,,0.005,2417.59,57
HCPCS,C2623,CATH PTA DCB LUTONIX 02,3219.0,,1609.5,2897.1,57
HCPCS,C2623,CATH PTA DCB LUTONIX 03,4644.0,,2322.0,4179.6,57
HCPCS,C2623,CATH PTA DCB LUTONIX 035,3794.0,,1897.0,3414.6,57
HCPCS,C2623,CATH PTA LUTONIX 0.035IN 01,4146.0,,2073.0,3731.4,57
HCPCS,C2623,CATH PTA LUTONIX 0.035IN 02,3450.0,,1725.0,3105.0,57
HCPCS,C2624,SYSTEM HF CARDIOMEMS,40241.0,,20120.5,36216.9,62
HCPCS,C2625,HANAROSTENT BIL UNCOVERED,2122.0,,288.9,1909.8,62
HCPCS,C2625,STENT AXIOS W/DELIVERY SYSTEM,12197.0,,288.9,10977.3,62
HCPCS,C2625,STENT BIL 2.3X3.2MM 0.035IN PE,296.0,,148.0,288.9,62
HCPCS,C2625,STENT BIL COMPASS BDS PLASTIC,173.0,,86.5,288.9,62
HCPCS,C2625,STENT BILIARY SOLUS,345.0,,172.5,310.5,62
HCPCS,C2625,STENT NEPHROURETEROSTOMY COPE,295.0,,147.5,288.9,62
HCPCS,C2625,STENT PANC PIGT LB 5F 2CM,189.0,,94.5,288.9,62
HCPCS,C2625,STENT RX BILI PRELOAD 10F 7CM,296.0,,148.0,288.9,62
HCPCS,C2625,STNT BILI ZIMMON SET 7F 7CM,153.0,,76.5,288.9,62
HCPCS,C2625,STNT DIV BANDER OPEN,170.0,,85.0,288.9,62
HCPCS,C2627,DILATOR SET 20FR/24FR,745.0,,59.45,670.5,57
HCPCS,C2628,BLN MINI SCEPTER 2.2X9,5676.0,,208.48,5108.4,57
HCPCS,C2628,BLN MINI SCEPTER2.2X9,5676.0,,208.48,5108.4,57
HCPCS,C2628,CATH BALL MOLDING & OCCLUSION,964.0,,208.48,867.6,57
HCPCS,C2628,CATH BALL OCCLUSION 40MM,540.0,,208.48,486.0,57
HCPCS,C2628,CATH BALLN OCCLUSION ER-REBOA,4589.0,,208.48,4130.1,57
HCPCS,C2628,CATH BALLOON CODA,976.0,,208.48,878.4,57
HCPCS,C2628,CATH BALLOON OCC TRANSFORM SC,3735.0,,208.48,3361.5,57
HCPCS,C2628,CATH BALLOON OCCLUSION CODA,976.0,,208.48,878.4,57
HCPCS,C2628,CATH BLN SCEPTER C,2804.0,,208.48,2523.6,57
HCPCS,C2628,CATH BLN SCEPTER XC,3645.0,,208.48,3280.5,57
HCPCS,C2628,CATH PTA HYPERFORM 7X7,2716.0,,208.48,2444.4,57
HCPCS,C2628,CATH PTA HYPERGLIDE,2765.0,,208.48,2488.5,57
HCPCS,C2628,CATHETER BALLOON CODA,1351.0,,208.48,1215.9,57
HCPCS,C2628,CATHETER ER-REBOA,4624.0,,208.48,4161.6,62
HCPCS,C2628,CATHETER ER-REBOA ER7232A,4502.0,,208.48,4051.8,57
HCPCS,C2628,CATHETER OCCLUSION,1881.0,,208.48,1692.9,57
HCPCS,C2628,MOLDING OCCLUSION BALLOON CATH,882.0,,208.48,793.8,62
HCPCS,C2628,SET CATH OCCL ROTAREX,5751.0,,208.48,5175.9,62
HCPCS,C2628,SET CATH OCCLUSION ROTAREX,5982.0,,208.48,5383.8,62
HCPCS,C2629,SHEATH LASER CAVACLEAR,6065.0,,78.91,5458.5,124
HCPCS,C2629,SHEATH LASER SPECTRANETICS/SLS,7213.0,,78.91,6491.7,57
HCPCS,C2630,CATH ABL DIAMONDTEMP,0.01,,0.005,3221.18,114
HCPCS,C2630,CATH ABLAT TACTICATH,6412.0,,3206.0,5770.8,57
HCPCS,C2630,CATH ABLAT TACTICATH (STUDY),0.01,,0.005,3221.18,57
HCPCS,C2630,CATH ABLAT TACTIFLEX,7114.0,,3221.18,6402.6,57
HCPCS,C2630,CATH FLEXABILITY SE (STUDY),0.01,,0.005,3221.18,57
HCPCS,C2631,ANCHOR PRECISION TACK KIT,114.0,,57.0,1140.67,57
HCPCS,C2631,KIT ANCHOR PELVIC ANCHORSURE,940.0,,470.0,1140.67,62
HCPCS,C5272,GFT SKIN SUB T/A/L,1330.0,,398.96,1197.0,57
HCPCS,C5272,GFT SKIN SUB T/A/L <=100CM ADD,1330.0,,398.96,1197.0,57
HCPCS,C5273,GFT SKIN SUB T/A/L >/=100CM,9549.0,,1506.69,8594.1,136
HCPCS,C5274,GFT SKIN SUB T/A/L >=100CM ADD,2997.0,,164.48,2697.3,114
HCPCS,C5275,GFT SKIN SUB F/S/E 01,3941.0,,504.2,3546.9,68
HCPCS,C5276,GFT SKIN SUB F/S/E 02,1763.0,,420.94,1586.7,57
HCPCS,C5276,GFT SKIN SUB F/S/E <=100CM ADD,1763.0,,420.94,1586.7,57
HCPCS,C5277,GFT SKIN SUB F/S/E >=100CM,7448.0,,504.2,6703.2,136
HCPCS,C5278,GFT SKIN SUB F/S/E >=100CM ADD,3729.0,,238.05,3356.1,114
HCPCS,C8004,XR SIMULATION ANGIO W/PRESS CA,24548.0,,9340.95,22093.2,67
HCPCS,C8901,MR ANGIO ABDOMEN-P STDY,3276.0,,460.26,2948.4,57
HCPCS,C8901,MRA ABDOMEN W/O CONTRAST,3833.0,,199.1,3449.7,68
HCPCS,C8902,MRA ABDOMEN W/W/O CON,6225.0,,294.16,5602.5,193
HCPCS,C8902,MRA ABDOMEN WO/FOL/W,6724.0,,294.16,6051.6,68
HCPCS,C8905,MR BREAST W&/OR W/O CON-P STDY,1697.0,,736.24,1527.3,171
HCPCS,C8905,MRI BREAST UNI W&/ORW/O CON LT,5011.0,,736.24,4509.9,57
HCPCS,C8905,MRI BREAST UNI W&/ORW/O CON RT,5011.0,,736.24,4509.9,114
HCPCS,C8905,MRI BREAST W/O&W CONT UNILAT,6295.0,,294.16,5665.5,125
HCPCS,C8905,MRI BRST UNI W&/ORW/O CON,6295.0,,294.16,5665.5,68
HCPCS,C8908,MRI BREAST BILAT W&/ORW/O CON,5827.0,,294.16,5244.3,125
HCPCS,C8908,MRI BREAST BILAT W&W/O CON CAD,6343.0,,294.16,5708.7,136
HCPCS,C8908,MRI BREAST W/O&W CONT BILAT,9441.0,,294.16,8496.9,125
HCPCS,C8909,MRA W/CONT CHEST  MYOCARDIUM,3805.0,,294.16,3424.5,68
HCPCS,C8911,MRA CHEST W/ OR W/O CONTRAST,6949.0,,294.16,6254.1,261
HCPCS,C8914,MRA LWR EXT W&W/O CONT RT,7577.0,,736.24,6819.3,57
HCPCS,C8914,MRA LWR EXT W/W/O CON RT,5180.0,,736.24,4662.0,57
HCPCS,C8914,MRA W/O FOL W/CONT LWR EXT BIL,11367.0,,294.16,10230.3,68
HCPCS,C8914,"MRA W/O FOL W/CONT, LWR EX BIL",11367.0,,294.16,10230.3,125
HCPCS,C8914,"MRA W/O FOL W/CONT, LWR EXT LT",7577.0,,294.16,6819.3,125
HCPCS,C8914,"MRA W/O FOL W/CONT,LWR EXT RT",7577.0,,736.24,6819.3,57
HCPCS,C8918,MRA PELVIS W/CONTRAST,4452.0,,294.16,4006.8,68
HCPCS,C8919,"MRA W/O CONT, PELVIS",4282.0,,199.1,3853.8,261
HCPCS,C8920,MRA PELVIS W/ OR W/O CONTRAST,6288.0,,294.16,5659.2,329
HCPCS,C8921,ECHO TRANSTHO W OR W/O CONT,3913.0,,650.75,3521.7,276
HCPCS,C8922,TEE W/ OR W/O CONT FOL W/CONT,1969.0,,650.75,1772.1,138
HCPCS,C8922,TEE W/OR W/O CONT FOL W/CONT,1969.0,,650.75,1772.1,138
HCPCS,C8923,ECHO TRANSTHORACIC W/WO FOL W/,3198.0,,650.75,2878.2,207
HCPCS,C8924,ECHO TRANSTHORACIC W/WO FOL W,2078.0,,294.16,1870.2,414
HCPCS,C8925,ECHO TEE 2D W/WO CONT FOL W/CO,4183.0,,650.75,3764.7,345
HCPCS,C8926,ECHO TEE W/WO CONT FOL W/CONT,5315.0,,650.75,4783.5,276
HCPCS,C8927,ECHO TEE W/WO CONT FOL W/CONT,4321.0,,650.75,3888.9,207
HCPCS,C8929,ECHO TRANSTHO W/WO W/ CONT,3848.0,,650.75,3463.2,414
HCPCS,C8929,ECHO TRANSTHO W/WO W/CONT,3848.0,,650.75,3463.2,69
HCPCS,C8930,ECHO TRANSTHO W/CONT 2D W/WO,4278.0,,650.75,3850.2,276
HCPCS,C8931,MRA SPINAL CANAL W/CONTRAST,4814.0,,294.16,4332.6,192
HCPCS,C8936,MRA UPPER EXT WO/FOL/W LT,2850.0,,294.16,2565.0,182
HCPCS,C8936,MRA UPPER EXT WO/FOL/W RT,2850.0,,736.24,2565.0,171
HCPCS,C8936,MRA UPR EXT W/W/O CON RT,5114.0,,294.16,4602.6,68
HCPCS,C8937,MRI BREAST CAD W/PHYS REVIEW,221.0,,110.5,199.69,56
HCPCS,C9046,COCAINE 4% NASAL SOLN 4ML,1351.65,,1.31,1216.48,55
HCPCS,C9047,CAPLACIZUMAB-YHDP/1MG BU 11MG,4200.12,,2100.06,3780.11,55
HCPCS,C9174,DATROWAY 1MG BU/100 MG VL,262.64,,61.46,236.38,56
HCPCS,C9248,CLEVIDIPINE PER 1MG BU 25MG VL,21.59,,3.51,19.43,57
HCPCS,C9248,CLEVIDIPINE PER 1MG BU 50MG VL,21.59,,3.51,19.43,57
HCPCS,C9248,CLEVIDIPINE VL 0.5MG/ML 100ML,1079.42,,3.51,971.48,57
HCPCS,C9248,CLEVIDIPINE VL 0.5MG/ML 50ML,539.73,,3.51,485.76,57
HCPCS,C9250,FIBRIN SEALANT HUM SYRINGE 4ML,844.4,,130.54,759.96,68
HCPCS,C9250,FIBRIN SEALANT HUMAN ARTISS,1303.0,,130.54,1172.7,68
HCPCS,C9250,FIBRIN SEALNT HUM SYRINGE 10ML,1266.6,,130.54,1139.94,68
HCPCS,C9254,LACOSAMIDE VL 10MG/ML 20ML,622.19,,0.89,559.97,55
HCPCS,C9293,GLUCARPIDASE INJ 1000 UNIT VL,288218.0,,144109.0,259396.2,54
HCPCS,C9352,GUIDE NERVE NEURAGEN,2274.0,,1137.0,2398.4,62
HCPCS,C9353,AXOGUARD HA+ PROTECTOR AGHA48,8540.0,,2699.81,7686.0,62
HCPCS,C9356,PROTECTOR TENDON TENOGLIDE 4X5,9344.0,,1161.48,8409.6,62
HCPCS,C9356,TENDON PROTECTOR SHEET,5464.0,,1161.48,4917.6,62
HCPCS,C9358,MATRIX DERMAL MATRIDERM,14581.0,,57.68,19635.3,124
HCPCS,C9358,MATRIX DERMAL MATRIDERM 2,4252.0,,57.68,3826.8,57
HCPCS,C9360,IMPL COLLAGEN SURGIMEND 10X15,5841.0,,509.08,5256.9,62
HCPCS,C9361,IMPL NEUROMEND 12MMX5CM,3758.0,,1474.51,3382.2,62
HCPCS,C9361,IMPL NEUROMEND 4MMX5.0CM,3723.0,,1474.51,3350.7,62
HCPCS,C9361,IMPL NEUROMEND 6MMX2.5CM,3426.0,,1474.51,3083.4,62
HCPCS,C9361,WRAP NEUROMEND 4MMX2.5CM,3426.0,,1474.51,3083.4,62
HCPCS,C9362,SCAFFOLD BONE MOZAIK 15ML,3185.0,,734.6,2866.5,56
HCPCS,C9363,INTEGRA BIL MATRIX MESH 2X2,7128.0,,297.8,6415.2,62
HCPCS,C9363,INTEGRA BIL MATRIX MESH 4X10,18120.0,,297.8,16308.0,62
HCPCS,C9363,INTEGRA BIL MATRIX MESH 4X5,12353.0,,297.8,11117.7,62
HCPCS,C9363,INTEGRA BIL MATRIX MESH 8X10,30126.0,,297.8,27113.4,62
HCPCS,C9363,SOMAGEN MATRIX MESHED,6063.0,,297.8,5456.7,56
HCPCS,C9399,AMTAGVI (LIFILEUCEL),3934000.0,,1007104.0,3540600.0,56
HCPCS,C9399,NIRSEVIMAB-ALIP INJ 100MG/ML,3052.77,,781.51,2747.49,55
HCPCS,C9399,POLIDOCANOL INJ 1% 20MG/2ML,145.46,,37.24,130.91,55
HCPCS,C9399,SOD PHENYL/SOD BENZ SOL 50ML,26713.12,,6838.56,24041.81,55
HCPCS,C9399,TRIAMCIN INTRAOCULR 40MG/1ML,104.25,,26.69,93.83,55
HCPCS,C9460,CANGRELOR INJ / 1MG BU 50MG VL,128.52,,18.38,115.67,68
HCPCS,C9482,SOTALOL INJ 1MG BU-150MG/10ML,154.58,,23.05,139.12,68
HCPCS,C9507,COVID-19 CONVALESCENT PLASMA,1688.0,,350.58,1519.2,136
HCPCS,C9600,PL STNT DRG ELUT I/C W/PL SGL,45521.0,,9340.95,40968.9,68
HCPCS,C9601,PL STNT DRG ELUT I/C W/PL ADDL,29587.0,,7243.24,26628.3,57
HCPCS,C9602,ATHEREC COR STNT W/PL SGL,61705.0,,14790.52,55534.5,68
HCPCS,C9603,ATHEREC COR STNT W/PL ADDL,42696.0,,6097.15,38426.4,57
HCPCS,C9604,REVASC COR BYP GRAFT ANY SGL,66643.0,,9340.95,59978.7,68
HCPCS,C9605,REVASC COR BYP GRAFT ANY ADDL,43470.0,,6493.14,39123.0,57
HCPCS,C9606,REVASC OCCLUSN ACUTE MI SGL,84067.0,,12260.04,75660.3,57
HCPCS,C9607,REVASC OCCLUSN CHRONIC SGL,84067.0,,14790.52,75660.3,68
HCPCS,C9728,PLACE DEV/MARKER NON PROST,1811.0,,724.4,1684.38,136
HCPCS,C9738,BLUE LIGHT CYSTO W/IMAG AGENT,6464.0,,1720.99,5817.6,57
HCPCS,C9751,BRONC W/ABL FLU/CT/US SAMPLING,8118.0,,3089.19,7306.2,68
HCPCS,C9761,CYSTO LITHO VACUUM KIDNEY,17555.0,,7022.0,15799.5,68
HCPCS,C9764,REVASC  INTRAVASC LITHOTRIPSY,15214.0,,6085.6,13960.66,68
HCPCS,C9765,REVASC INTRAVASC LITHO STENT,45101.0,,14790.52,40590.9,68
HCPCS,C9766,REVASC INTRAVASC LITHO ATHER,45072.0,,14790.52,40564.8,68
HCPCS,C9779,ESD COLON,9123.0,,3133.7,8210.7,68
HCPCS,C9791,MRI HYPERPOLARIZED XENON 129,3252.0,,1030.0,3254.05,68
HCPCS,C9797,VASC EMB/OCC W/PRESSURE CATH,18285.0,,7314.0,22105.39,68
HCPCS,C9898,NM INPT STAY RADIOLABELED ITEM,0.01,,0.005,0.3,55
HCPCS,D5922,PRSTH NSL BLOM-SINGER,515.0,,257.5,463.5,56
HCPCS,E0490,KIT PT CARE SPINAL CORD,1091.0,,545.5,981.9,56
HCPCS,E1700,SYSTEM THERABITE,615.0,,307.5,553.5,54
HCPCS,G0008,FLU VACC ADMIN,69.0,,15.61,62.1,5576
HCPCS,G0008,FLU VACC ADMIN (INITIAL),69.0,,15.61,62.1,58
HCPCS,G0008,FLU VACC ADMIN-PHARMACY,69.0,,15.61,62.1,68
HCPCS,G0009,PNEUM VACC ADMIN,132.0,,6.24,118.8,3457
HCPCS,G0010,HEP B VACC ADMIN,132.0,,17.0,118.8,1904
HCPCS,G0012,INJECTION HIV PREP DRUG,118.0,,58.62,106.2,1292
HCPCS,G0103,ER Only-PROSTATE CNCR SCRN- PSA- TOTAL,475.0,,17.77,427.5,50
HCPCS,G0103,PROSTATE CNCR SCRN- PSA- TOTAL,332.5,,17.77,427.5,204
HCPCS,G0104,COLON CANCER SCR SIGMOIDOSCOPY,1789.0,,715.6,1610.1,136
HCPCS,G0105,COLON CANCER SCR COLON HR,3653.0,,750.95,3287.7,136
HCPCS,G0108,DIAB ED INDIVID 30M,190.0,,30.0,171.0,342
HCPCS,G0109,DBE EDUCATION CLASS,62.0,,14.68,55.8,171
HCPCS,G0109,DIAB ED GRP 30M,97.0,,14.68,87.3,171
HCPCS,G0109,DIAB ED-MEDICAID,97.0,,14.68,87.3,171
HCPCS,G0109,DIABETES ED SELFPAY,62.0,,14.68,55.8,399
HCPCS,G0121,COLON CANCER SCR NON-HR,3149.0,,750.95,2834.1,136
HCPCS,G0123,"PAP SMEAR, THINPREP W/INTERP.",232.0,,18.64,208.8,68
HCPCS,G0127,TRIMMING NAILS DYSTROPHIC,186.0,,48.93,167.4,68
HCPCS,G0145,ER Only-THIN PREP- IMAGED W/INTERP,318.0,,24.37,286.2,50
HCPCS,G0145,THIN PREP- IMAGED W/INTERP,222.5,,24.37,286.2,204
HCPCS,G0166,EECP,739.0,,106.17,665.1,69
HCPCS,G0177,TRAINING & EDUCATION =/> 45MIN,345.0,,77.88,310.5,57
HCPCS,G0237,RESP STRENGTH/ENDURANCE 15 MIN,240.5,,7.37,226.8,136
HCPCS,G0238,RESP FUNCTION 15 MIN,392.0,,13.2,352.8,68
HCPCS,G0239,RESP FUNCTION GROUP,302.0,,13.9,271.8,68
HCPCS,G0249,PROVIDE INR TEST MATERIAL/EQUI,896.0,,106.15,806.4,68
HCPCS,G0257,EMERGENT DIALYSIS OP W/O PRC,3265.0,,136.0,2938.5,68
HCPCS,G0257,EMERGENT DIALYSIS OP W/PRC,3265.0,,136.0,2938.5,57
HCPCS,G0260,INJ ARTHROGRAM SACROILI BILAT,3123.0,,319.33,2810.7,57
HCPCS,G0260,INJ ARTHROGRAM SACROILIAC LT,2488.0,,319.33,2239.2,57
HCPCS,G0260,INJ ARTHROGRAM SACROILIAC RT,2347.0,,319.33,2112.3,114
HCPCS,G0268,REM CERUMEN/AUD TEST,247.0,,16.2,222.3,336
HCPCS,G0270,NUTR THRPY REASSESS INDIV 15 M,87.0,,25.73,78.3,114
HCPCS,G0271,NUTR THRPY REASSESS GRP 15 M,87.0,,14.38,78.3,57
HCPCS,G0277,HYPERBARIC O2 PER 30 MIN,1349.0,,39.87,1214.1,68
HCPCS,G0278,ANGIOGRAPHY ILIAC DURING CATH,4257.0,,2128.5,3831.3,55
HCPCS,G0279,BREAST TOMOSYNTHESIS BILAT,584.0,,39.76,525.6,168
HCPCS,G0279,BREAST TOMOSYNTHESIS UNILAT,584.0,,39.76,525.6,168
HCPCS,G0283,E-STIM UNATTENDED,188.0,,11.75,169.2,171
HCPCS,G0283,E-STIM UNATTENDED OTHER,188.0,,11.75,169.2,114
HCPCS,G0283,EVALUATION-MODERATE,395.0,,11.75,355.5,57
HCPCS,G0296,COUNSEL VISIT LUNG CANCER,192.0,,76.19,172.8,816
HCPCS,G0328,IMMUNOASSAY SCRN BLOOD FECAL,110.0,,16.61,99.0,68
HCPCS,G0378,OBSERV PER HR - 4 MAIN,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - 4 NORTH,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - 5 MAIN,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - 6N,88.0,,44.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - ABTX,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - ACT,82.0,,41.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - ATCU,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - BMT,142.0,,63.6,2436.0,57
HCPCS,G0378,OBSERV PER HR - CCU,135.0,,63.6,2436.0,57
HCPCS,G0378,OBSERV PER HR - CICU,181.0,,63.6,2436.0,57
HCPCS,G0378,OBSERV PER HR - CPCC,181.0,,63.6,2436.0,57
HCPCS,G0378,OBSERV PER HR - GISO,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - GISU,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - GMID,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - GYNX,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - H5N,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - HEM/ONC UNIT,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - HNPU,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - HROB,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - HSP3,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - HTIC,109.0,,54.5,2436.0,57
HCPCS,G0378,OBSERV PER HR - HVC,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - ICU,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - ICVU,109.0,,54.5,2436.0,57
HCPCS,G0378,OBSERV PER HR - LDR,125.0,,62.5,2436.0,57
HCPCS,G0378,OBSERV PER HR - M7,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - M8,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - MBU,75.0,,37.5,2436.0,57
HCPCS,G0378,OBSERV PER HR - MCCU,181.0,,63.6,2436.0,57
HCPCS,G0378,OBSERV PER HR - MEU,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - MICU,181.0,,63.6,2436.0,57
HCPCS,G0378,OBSERV PER HR - NICU,181.0,,63.6,2436.0,57
HCPCS,G0378,OBSERV PER HR - NSSU,107.0,,53.5,2436.0,57
HCPCS,G0378,OBSERV PER HR - OCDU,86.0,,43.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - OSCU,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - P9,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - POST ANES,82.0,,41.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - PRE5,82.0,,41.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - PRE7,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - RNIC,117.0,,58.5,2436.0,57
HCPCS,G0378,OBSERV PER HR - S5S,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - SCU,88.0,,44.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - SDS HLND,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - SICU,196.0,,63.6,2436.0,57
HCPCS,G0378,OBSERV PER HR - TBIC,173.0,,63.6,2436.0,57
HCPCS,G0378,OBSERV PER HR - TBNU,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - TRU,86.0,,43.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - UED,80.0,,40.0,2436.0,114
HCPCS,G0378,OBSERV PER HR - UNSN,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - W6NW,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - W8N,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR - W9N,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV PER HR C5N PSYCH,59.0,,29.5,2436.0,57
HCPCS,G0378,OBSERV PER HR-HSP4,86.0,,43.0,2436.0,57
HCPCS,G0378,OBSERV PER HR-W5N,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERV-VIVA MEDICARE,2.0,,1.0,2436.0,57
HCPCS,G0378,OBSERVATION CHG ADDL HR - S6S,80.0,,40.0,2436.0,57
HCPCS,G0378,OBSERVATION CHG PER HR PCCU,80.0,,40.0,2436.0,57
HCPCS,G0390,TRAUMA ACTIVATE W/CRITICAL CR,20561.0,,1089.86,18504.9,125
HCPCS,G0396,ALCOH/SUB INTERV 15-30 MIN,71.0,,24.54,250.0,68
HCPCS,G0397,ALCOH/SUB INTERV > 30 MIN,396.0,,132.34,356.4,136
HCPCS,G0397,COMPREHENSIVE ADDICT ASSMT,585.0,,132.34,526.5,68
HCPCS,G0399,HOME SLEEP TEST/TYPE III POR,1246.0,,128.87,1121.4,68
HCPCS,G0404,ECG 12LDS PREV SCRN W/O INTERP,171.0,,20.18,153.9,884
HCPCS,G0411,INTERACTIVE GRP-FRIEF 45-50MIN,264.0,,48.67,237.6,55
HCPCS,G0411,INTERACTIVE GRP-TRAUM 45-50MIN,264.0,,48.67,237.6,55
HCPCS,G0416,G&M PROSTATE BIOPSY 10-20 SPEC,1446.0,,296.3,1301.4,68
HCPCS,G0420,F2F ED SVC CKD IND PER SESSION,264.0,,132.0,237.6,56
HCPCS,G0421,F2F ED SVC CKD GRP PER SESSION,264.0,,132.0,237.6,56
HCPCS,G0432,ER Only-HIV TYPE 1 ANTIBODY **,312.0,,18.0,280.8,100
HCPCS,G0432,ER Only-HIV TYPE 2 ANTIBODY **,312.0,,18.0,280.8,100
HCPCS,G0432,HIV TYPE 1 ANTIBODY **,218.5,,18.0,280.8,340
HCPCS,G0432,HIV TYPE 1 ANTIBODY**,312.0,,18.0,280.8,68
HCPCS,G0432,HIV TYPE 2 ANTIBODY **,218.5,,18.0,280.8,340
HCPCS,G0432,HIV TYPE 2 ANTIBODY**,312.0,,18.0,280.8,68
HCPCS,G0433,ER Only-RAPID HIV ANTIBODY,312.0,,16.83,280.8,50
HCPCS,G0433,RAPID HIV ANTIBODY,218.5,,16.83,280.8,272
HCPCS,G0463,BMT-O.P. CARE EST 3,378.0,,102.2,340.2,68
HCPCS,G0463,BMT-O.P.CARE EST 3 - SEP SVC,378.0,,102.2,340.2,57
HCPCS,G0463,ESTAB PATIENT-LVL 3,378.0,,102.2,340.2,68
HCPCS,G0463,OP VISIT E&M 45-59 MIN,479.0,,102.2,431.1,272
HCPCS,G0463,OP VISIT E&M ENEW 60-74 MIN,632.0,,102.2,568.8,136
HCPCS,G0463,OP VISIT E&M EST 10 MIN,290.0,,102.2,261.0,68
HCPCS,G0463,OP VISIT E&M EST 10-19 MIN,381.0,,102.2,342.9,204
HCPCS,G0463,OP VISIT E&M EST 30 MIN,535.0,,102.2,481.5,272
HCPCS,G0463,OP VISIT E&M EST 30-49 MIN,623.0,,102.2,560.7,136
HCPCS,G0463,OP VISIT E&M EST 40 MIN,603.0,,102.2,542.7,68
HCPCS,G0463,OP VISIT E&M EST MINIMAL,170.0,,85.0,158.65,68
HCPCS,G0463,OP VISIT E&M NEW 15 MIN,395.0,,102.2,355.5,408
HCPCS,G0463,OP VISIT E&M NEW 15-29 MIN,386.0,,102.2,347.4,204
HCPCS,G0463,OP VISIT E&M NEW 30 MIN,358.5,,102.2,334.8,408
HCPCS,G0463,OP VISIT E&M NEW 30-44 MIN,520.0,,102.2,468.0,340
HCPCS,G0463,OP VISIT E&M NEW 45-59 MIN,571.5,,102.2,597.6,476
HCPCS,G0463,OP VISIT E&M NEW 60 MIN,632.0,,102.2,568.8,272
HCPCS,G0463,OP VISIT E&M NEW 60-74 MIN,723.0,,102.2,732.6,204
HCPCS,G0463,VISIT ACT LVL II,290.0,,102.2,261.0,68
HCPCS,G0463,VISIT ACT LVL II W/ANY PROC,269.0,,102.2,242.1,57
HCPCS,G0463,VISIT ACT LVL III,372.0,,102.2,334.8,68
HCPCS,G0463,VISIT ACT LVL III W/ANY PROC,372.0,,102.2,334.8,57
HCPCS,G0463,VISIT CLINIC ESTAB LVL III,372.0,,102.2,334.8,68
HCPCS,G0463,VISIT EMG ESTAB LEVEL III,372.0,,102.2,334.8,68
HCPCS,G0463,VISIT EST LVL 3 TRAUMA,345.0,,102.2,310.5,68
HCPCS,G0463,VISIT EST LVL 3 TRAUMA W/PROC,345.0,,102.2,310.5,57
HCPCS,G0463,VISIT EST ORTHO TRAUMA LVL 3,345.0,,102.2,310.5,68
HCPCS,G0463,VISIT ESTAB LEVEL I,205.0,,102.2,184.5,68
HCPCS,G0463,VISIT ESTAB LEVEL II,290.0,,102.2,261.0,204
HCPCS,G0463,VISIT ESTAB LEVEL III,372.0,,102.2,334.8,68
HCPCS,G0463,VISIT ESTAB LEVEL IV,535.0,,102.2,481.5,68
HCPCS,G0463,VISIT ESTAB LEVEL V,603.0,,102.2,542.7,272
HCPCS,G0463,VISIT ESTAB LVL I,170.0,,85.0,158.65,1156
HCPCS,G0463,VISIT ESTAB LVL II,290.0,,102.2,261.0,68
HCPCS,G0463,VISIT ESTAB LVL III,372.0,,102.2,334.8,9276
HCPCS,G0463,VISIT ESTAB LVL III W/PROC,372.0,,102.2,334.8,57
HCPCS,G0463,VISIT ESTAB LVL IV,535.0,,102.2,481.5,612
HCPCS,G0463,VISIT ESTAB PT LEVEL III 15MIN,372.0,,102.2,334.8,68
HCPCS,G0463,VISIT ESTAB PT LEVEL IV 25,345.0,,102.2,310.5,68
HCPCS,G0463,VISIT ESTAB PT LVL I,170.0,,85.0,158.65,68
HCPCS,G0463,VISIT ESTAB PT LVL II,290.0,,102.2,261.0,136
HCPCS,G0463,VISIT ESTAB PT LVL III,372.0,,102.2,334.8,68
HCPCS,G0463,VISIT ESTAB PT LVL IV,535.0,,102.2,481.5,136
HCPCS,G0463,VISIT ESTAB PT LVL V,603.0,,102.2,542.7,408
HCPCS,G0463,VISIT HBO NEW LVL I  (NON-MCR),206.0,,102.2,185.4,68
HCPCS,G0463,VISIT HBO NEW LVL II (NON-MCR),294.0,,102.2,264.6,68
HCPCS,G0463,VISIT HBO NEW LVL IV (NON-MCR),516.0,,102.2,464.4,68
HCPCS,G0463,VISIT HBO NEW LVL V  (NON-MCR),586.0,,102.2,527.4,68
HCPCS,G0463,VISIT NEW LEVEL II,318.0,,102.2,286.2,68
HCPCS,G0463,VISIT NEW LEVEL III,431.0,,102.2,387.9,68
HCPCS,G0463,VISIT NEW LEVEL IV,559.0,,102.2,503.1,68
HCPCS,G0463,VISIT NEW LEVEL V,632.0,,102.2,568.8,68
HCPCS,G0463,VISIT NEW PT BRIEF 10 MIN,187.0,,93.5,168.3,66
HCPCS,G0463,VISIT NEW PT LEVEL II 20 MIN,345.0,,102.2,310.5,68
HCPCS,G0463,VISIT NEW PT LEVEL III 30 MIN,345.0,,102.2,310.5,68
HCPCS,G0463,VISIT NEW PT LEVEL IV 45 MIN,345.0,,102.2,310.5,68
HCPCS,G0463,VISIT NEW PT LVL IV 45-59 MIN,479.0,,102.2,431.1,136
HCPCS,G0463,VISIT NEW PT LVL V 60-74 MIN,632.0,,102.2,568.8,136
HCPCS,G0463,VISIT OSTOMY CLINIC LVL III,372.0,,102.2,334.8,68
HCPCS,G0472,ER Only-HEPATITIS C ANTIBODY,309.0,,8.0,278.1,100
HCPCS,G0472,HEPATITIS C ANTIBODY,216.5,,8.0,278.1,408
HCPCS,G0475,ER Only-HIV 1 HIV 2 AB AG SGL RESULT,250.0,,22.15,225.0,100
HCPCS,G0475,HIV 1 HIV 2 AB AG SGL RESULT,175.0,,22.15,225.0,408
HCPCS,G0480,ALCOHOL (ETOH) BLOOD,279.0,,45.78,251.1,408
HCPCS,G0480,ER Only-FENTANYL AND NORFENTANYL?,406.0,,45.78,365.4,50
HCPCS,G0480,ER Only-M-CLOBAZAM AND METABOLITE SER,411.0,,45.78,369.9,50
HCPCS,G0480,ER Only-M-PHOSPHATIDYLETHANOL (PETH),489.0,,45.78,440.1,50
HCPCS,G0480,ER Only-NICOTINE SERUM (UAB CHEM DEPT),363.0,,45.78,326.7,50
HCPCS,G0480,ER Only-PERAMPANEL QUANT SERUM/PLASMA,704.0,,45.78,633.6,50
HCPCS,G0480,ER Only-PREGABALIN SERUM/PLASMA,276.0,,45.78,248.4,50
HCPCS,G0480,ER Only-Q-AMITRIPTYLINE (ELAVIL),241.0,,45.78,247.69,50
HCPCS,G0480,"ER Only-Q-AMPHETAMINE, QN, URINE",186.0,,45.78,247.69,50
HCPCS,G0480,"ER Only-Q-BARBITURATE, QN, URINE",186.0,,45.78,247.69,50
HCPCS,G0480,"ER Only-Q-BENZODIAZEPINES, QN, URINE",186.0,,45.78,247.69,50
HCPCS,G0480,"ER Only-Q-BUPRENORPHINE, QN, URINE",186.0,,45.78,247.69,50
HCPCS,G0480,"ER Only-Q-COCAINE METABOLITE QN, URINE",186.0,,45.78,247.69,50
HCPCS,G0480,ER Only-Q-FENTANYL AND NORFENTANYL U,213.0,,45.78,247.69,50
HCPCS,G0480,"ER Only-Q-MARIJUANA METABOLITE QN, UR",186.0,,45.78,247.69,50
HCPCS,G0480,"ER Only-Q-MDMA/MDA QN, URINE",186.0,,45.78,247.69,50
HCPCS,G0480,"ER Only-Q-METHADONE METABOLITE QN, UR",186.0,,45.78,247.69,50
HCPCS,G0480,ER Only-Q-NORTRIPTYLINE,217.0,,45.78,247.69,50
HCPCS,G0480,ER Only-Q-OPIOIDS AND OPIATE ANALOGS**,354.0,,45.78,318.6,50
HCPCS,G0480,"ER Only-Q-OXYCODONE QN, URINE",186.0,,45.78,247.69,50
HCPCS,G0480,ER Only-Q-OXYCODONE**,354.0,,45.78,318.6,50
HCPCS,G0480,ER Only-Q-STEREOISOMER ALYS 1 DRUG,186.0,,45.78,247.69,50
HCPCS,G0480,ER Only-Q-TRICYCLIC ANTIDEPRESSANT QN,186.0,,45.78,247.69,50
HCPCS,G0480,ER Only-SERUM DRUG SCREENS CONFIRM,431.0,,45.78,387.9,50
HCPCS,G0480,ER Only-URINE DRUG CONFIRMATION,431.0,,45.78,387.9,50
HCPCS,G0480,FENTANYL AND NORFENTANYL?,284.5,,45.78,365.4,204
HCPCS,G0480,M-CLOBAZAM AND METABOLITE SER,288.0,,45.78,369.9,204
HCPCS,G0480,M-PHOSPHATIDYLETHANOL (PETH),342.5,,45.78,440.1,204
HCPCS,G0480,METHADONE- HAIR 1 XX,258.0,,45.78,247.69,68
HCPCS,G0480,NICOTINE SERUM (UAB CHEM DEPT),254.5,,45.78,326.7,68
HCPCS,G0480,PERAMPANEL QUANT SERUM/PLASMA,493.0,,45.78,633.6,204
HCPCS,G0480,PHOSPHATIDYLETHANOL (PETH),350.0,,45.78,315.0,68
HCPCS,G0480,PREGABALIN SERUM/PLASMA,193.5,,45.78,248.4,204
HCPCS,G0480,Q-AMITRIPTYLINE (ELAVIL),169.0,,45.78,247.69,204
HCPCS,G0480,"Q-AMPHETAMINE, QN, URINE",130.5,,37.5,247.69,204
HCPCS,G0480,"Q-BARBITURATE, QN, URINE",130.5,,37.5,247.69,204
HCPCS,G0480,"Q-BENZODIAZEPINES, QN, URINE",130.5,,37.5,247.69,204
HCPCS,G0480,"Q-BUPRENORPHINE, QN, URINE",130.5,,37.5,247.69,204
HCPCS,G0480,"Q-COCAINE METABOLITE QN, URINE",130.5,,37.5,247.69,204
HCPCS,G0480,Q-DESIPRAMINE (NORPRAMIN),222.0,,45.78,247.69,136
HCPCS,G0480,Q-DIHYDROTESTOSTERONE,255.0,,45.78,247.69,68
HCPCS,G0480,Q-FENTANYL AND NORFENTANYL U,149.0,,42.5,247.69,204
HCPCS,G0480,"Q-HEROIN METABOLITE QN, URINE",186.0,,45.78,247.69,68
HCPCS,G0480,Q-IMIPRAMINE,270.0,,45.78,247.69,136
HCPCS,G0480,"Q-MARIJUANA METABOLITE QN, UR",130.5,,37.5,247.69,204
HCPCS,G0480,"Q-MDMA/MDA QN, URINE",130.5,,37.5,247.69,204
HCPCS,G0480,Q-MECONIUM DRUG CONFIRMATION,615.0,,45.78,553.5,136
HCPCS,G0480,"Q-METHADONE METABOLITE QN, UR",130.5,,37.5,247.69,204
HCPCS,G0480,Q-NORTRIPTYLINE,152.0,,43.5,247.69,204
HCPCS,G0480,Q-OPIOIDS AND OPIATE ANALOGS**,248.0,,45.78,318.6,204
HCPCS,G0480,"Q-OXYCODONE QN, URINE",130.5,,37.5,247.69,204
HCPCS,G0480,Q-OXYCODONE**,248.0,,45.78,318.6,136
HCPCS,G0480,"Q-PHENCYCLIDINE QN, URINE",186.0,,45.78,247.69,68
HCPCS,G0480,Q-SERUM DRUG CONFIRMATION,615.0,,45.78,553.5,136
HCPCS,G0480,Q-STEREOISOMER ALYS 1 DRUG,130.5,,37.5,247.69,204
HCPCS,G0480,Q-TRICYCLIC ANTIDEPRESSANT QN,130.5,,37.5,247.69,204
HCPCS,G0480,SERUM DRUG SCREENS CONFIRM,302.0,,45.78,387.9,204
HCPCS,G0480,URINE DRUG CONFIRMATION,302.0,,45.78,387.9,204
HCPCS,G0481,DRUG TEST(S) DEFINITIVE**,360.5,,103.0,463.5,204
HCPCS,G0481,ER Only-DRUG TEST(S) DEFINITIVE**,515.0,,144.06,463.5,50
HCPCS,G0483,DRUG TEST DEFIN 22+ CLASSES,855.5,,227.17,1099.8,340
HCPCS,G0483,ER Only-DRUG TEST DEFIN 22+ CLASSES,1222.0,,227.17,1099.8,100
HCPCS,G0498,CHEMO IV INF (VEN) PRO W/PMP,1358.0,,273.2,1222.2,68
HCPCS,G0498,CHEMO IV INFUSION EXTEND W/PUM,1819.0,,273.2,1637.1,68
HCPCS,G0498,CHEMO IV INFUSION PRO W/PUMP,1358.0,,156.58,1222.2,397
HCPCS,G0500,CONSC SED BY SAME MD INIT 15M,628.0,,314.0,565.2,2520
HCPCS,G2212,PROLONG OUTPT/OFFICE VISIT,157.0,,78.5,141.3,56
HCPCS,G6002,XR STEREO LOC RAD THERAPY,290.0,,139.33,261.0,56
HCPCS,H0015,DAILY SUBSTANCE ABUSE IOP,667.0,,180.0,600.3,62
HCPCS,H0015,IOP PER DAY,667.0,,180.0,600.3,60
HCPCS,H0015,IOP PER DAY ABH,667.0,,180.0,600.3,60
HCPCS,H0035,PHP PER DAY ABH,1410.0,,250.0,1269.0,62
HCPCS,J0129,ABATACEPT INJ 10MG,170.1,,40.58,153.09,396
HCPCS,J0129,ABATACEPT/10MG BU 250MG VIAL,282.835,,40.58,356.01,204
HCPCS,J0131,ACETAMIN INJ 10MG/ML 100ML,36.56,,0.061,32.9,55
HCPCS,J0131,ACETAMIN VL 10MG,16.2,,0.061,14.58,55
HCPCS,J0132,ACETYLCYST 20%/100MG BU 6GM VL,11.89,,0.4514,10.7,55
HCPCS,J0133,ACYCLOVIR INJ 1GM/20ML VL,28.9,,0.0366,26.01,55
HCPCS,J0133,ACYCLOVIR INJ 500MG/10ML VIAL,30.9,,0.0366,27.81,55
HCPCS,J0133,ACYCLOVIR PED INJ 5MG/ML,18.73,,0.0366,16.86,55
HCPCS,J0134,ACETAMIN 1000MG/ 100ML BAG,51.59,,0.0732,46.43,55
HCPCS,J0135,ADALIMUMAB PER 20MG BU 40MG,11702.69,,909.22,10532.42,56
HCPCS,J0139,ADALIMUMAB PER 1MG BU 40MG PFS,1170.27,,84.39,1053.24,68
HCPCS,J0153,ADENOSINE INJ 6MG/2ML VIAL-,12.05,,0.5612,10.85,55
HCPCS,J0153,ADENOSINE INJ 90MG/30ML VIAL,735.98,,0.5612,662.38,55
HCPCS,J0169,EPINEPHRINE 0.15MG AUTO INJECT,965.48,,1.61,868.93,55
HCPCS,J0169,EPINEPHRINE 0.3MG AUTO INJECT,785.82,,1.61,707.24,55
HCPCS,J0169,EPINEPHRINE 10MCG/ML SYR 10ML,55.87,,1.61,50.28,55
HCPCS,J0169,EPINEPHRINE 8MG 250ML BAG MULT,460.65,,1.61,414.58,55
HCPCS,J0169,EPINEPHRINE 8MG/D5W 250ML BAG,202.15,,1.61,181.94,55
HCPCS,J0169,EPINEPHRINE INJ  1-1000 1MLA-,90.11,,1.61,81.1,55
HCPCS,J0169,EPINEPHRINE INJ  1-1000 1MLUD-,90.11,,1.61,81.1,55
HCPCS,J0169,EPINEPHRINE INJ  1-1000/30ML V,1094.24,,1.61,984.82,55
HCPCS,J0169,EPINEPHRINE INJ 0.1MG,40.9,,1.61,36.81,385
HCPCS,J0169,EPINEPHRINE INJ 1-10T 21GA UD-,66.94,,1.61,60.25,55
HCPCS,J0169,EPINEPHRINE INJ 1-10T IC  UD-,66.94,,1.61,60.25,55
HCPCS,J0169,EPINEPHRINE INJ 1MG**,90.11,,1.61,81.1,55
HCPCS,J0174,LECANEMAB-IRMB/1MG BU 200MG VL,9.6,,1.21,8.64,136
HCPCS,J0174,LECANEMAB-IRMB/1MG BU 500MG VL,9.7,,1.21,8.73,136
HCPCS,J0175,DONANEMAB-AZBT 2MG BU PER 350,30.3,,3.8,27.27,476
HCPCS,J0180,AGALSIDASE  VL 1MG,705.9,,109.5,635.31,276
HCPCS,J0180,AGALSIDASE BETA 1MG BU/35MG VL,4767.23,,109.5,4290.51,69
HCPCS,J0180,AGALSIDASE BETA 1MG BU/5MG VL,698.42,,109.5,628.58,69
HCPCS,J0180,AGALSIDASE VL 1MG,705.9,,109.5,635.31,69
HCPCS,J0185,APREPITANT 1MG BU/130MG VIAL A,12.43,,1.51,11.19,68
HCPCS,J0185,APREPITANT INJ/1MG BU 130MG VL,12.43,,1.51,11.19,68
HCPCS,J0185,APREPITANT VL 1MG (CINVANTI),11.3,,1.51,10.17,396
HCPCS,J0202,ALEMTUZUMAB INJ 1MG (LEMTRADA),4022.82,,1984.32,3620.54,408
HCPCS,J0202,CAMPATH INJ / 1MG BU 30MG VIAL,2.0,,1.0,3341.1,68
HCPCS,J0207,AMIFOSTINE INJ 500MG,1370.73,,407.25,1233.66,171
HCPCS,J0207,AMIFOSTINE VL 500MG 10ML,7492.35,,407.25,6743.11,57
HCPCS,J0207,AMIFOSTINE/500MG BU 500MG INJ,3163.72,,407.25,2847.35,57
HCPCS,J0207,AMIFOSTINE/500MG BU 500MG VL,3163.72,,407.25,2847.35,57
HCPCS,J0208,SOD THIOSULFATE INJ 100MG,7.9,,3.95,130.78,136
HCPCS,J0208,SOD THIOSULFATE/100MGBU 12.5GM,5.43,,2.71,130.78,68
HCPCS,J0209,SOD THIOSULFATE HOPE INJ 100MG,7.9,,1.13,7.11,56
HCPCS,J0209,SODIUM THIOSULFATE 12.5G/50ML,691.25,,1.13,622.12,168
HCPCS,J0222,PATISIRAN INJ 0.1MG (ONPATTRO),507.85,,91.97,457.06,204
HCPCS,J0223,GIVOSIRAN SQ INJ 0.5MG,594.16,,106.88,534.74,136
HCPCS,J0224,LUMASIRAN 0.5MG INJ (OXLUMO),1158.3,,302.73,1042.47,68
HCPCS,J0225,VUTRISIRAN SQ INJ 1MG,7224.04,,3612.02,6880.01,136
HCPCS,J0248,REMDESIVIR 1MG BU/100MG VIAL,41.96,,6.19,37.76,68
HCPCS,J0248,REMDESIVIR INJ 1MG (VEKLURY),46.2,,6.19,41.58,68
HCPCS,J0248,REMDESIVIR/1MG BU 100MG VIAL,41.96,,6.19,37.76,68
HCPCS,J0256,A-1 PROT INHIB 10MG BU/5000MG,35.0,,4.36,31.5,68
HCPCS,J0256,ALPHA1-PROT INJ HU/10MG BU 1GM,4.4350000000000005,,1.0,7.51,136
HCPCS,J0256,ZEMAIRA 10MG/4000MG RANGE VIAL,35.0,,4.36,31.5,136
HCPCS,J0270,ALPROSTADIL INJ 1.125MCG,18.9,,0.5856,17.01,168
HCPCS,J0270,ALPROSTADIL INJ 20MCG SYRINGE,681.14,,0.5856,613.03,56
HCPCS,J0270,ALPROSTADIL INJ 20MCG VIAL,677.27,,0.5856,609.54,56
HCPCS,J0270,ALPROSTADIL INJ 500MCG/ML A,834.12,,0.5856,750.71,56
HCPCS,J0270,ALPROSTADIL INJ 500MCG/ML VL,834.12,,0.5856,750.71,56
HCPCS,J0278,AMIKACIN INJ 1000MG/4MLV*NF,28.9,,0.7564,26.01,55
HCPCS,J0278,AMIKACIN INJ 100MG,3.1,,0.7564,2.79,385
HCPCS,J0278,AMIKACIN INJ 500MG/2ML,49.88,,0.7564,44.89,55
HCPCS,J0278,AMIKACIN INJ PF 250MG FOR INH,9.98,,0.7564,8.98,55
HCPCS,J0278,AMIKACIN INJ PF 500MG FOR INH,49.88,,0.7564,44.89,55
HCPCS,J0278,AMIKACIN ITRAVITREAL 40MG/10ML,49.88,,0.7564,44.89,55
HCPCS,J0278,AMIKACIN PED INJ 5MG/ML    *NF,2.89,,0.7564,2.6,55
HCPCS,J0280,AMINOPHYLLINE INJ 250MG,26.8,,9.02,24.12,55
HCPCS,J0280,AMINOPHYLLINE INJ 250MG/10ML,78.87,,9.02,70.98,55
HCPCS,J0280,AMINOPHYLLINE INJ 500MG/20ML V,50.89,,9.02,45.8,55
HCPCS,J0280,AMINOPHYLLINE INJ PED 1MG/1ML-,10.18,,5.09,10.13,55
HCPCS,J0281,AMINOCAPRO ACD INJ5000MG/20MLV,51.49,,1.83,46.34,55
HCPCS,J0282,AMIODARONE HCL 900MG/18ML VL,86.66,,0.23,77.99,55
HCPCS,J0282,AMIODARONE HCL INJ 30MG,2.7,,0.23,2.43,55
HCPCS,J0282,AMIODARONE HCL INJ 50MG/ML 9ML,35.14,,0.23,31.63,55
HCPCS,J0282,AMIODARONE INJ 150MG/100ML BAG,98.24,,0.23,88.42,55
HCPCS,J0282,AMIODARONE INJ 150MG/3ML,4.6,,0.23,4.14,55
HCPCS,J0282,AMIODARONE INJ 360MG/200ML BAG,123.29,,0.23,110.96,55
HCPCS,J0285,AMPHOTERICIN B  TEST DOSE 1MG,4.86,,2.43,41.63,55
HCPCS,J0285,AMPHOTERICIN B 1MG/10ML IRRIG,242.97,,38.93,218.67,55
HCPCS,J0285,AMPHOTERICIN B INJ 10MG,48.59,,24.3,43.73,55
HCPCS,J0285,AMPHOTERICIN B INJ 50MG V-,242.97,,38.93,218.67,55
HCPCS,J0287,AMPHOT B LIPD/10MG BU 100MG VL,67.59,,9.36,60.83,68
HCPCS,J0287,AMPHOTERICIN B LIPID 100MG I,675.85,,9.36,608.26,68
HCPCS,J0289,AMPHOT B LIPOS/10MG BU 50MG VL,133.03,,19.76,119.73,68
HCPCS,J0290,AMPICILLIN INJ 0.0005MG/ML,5.66,,0.5978,5.09,55
HCPCS,J0290,AMPICILLIN INJ 0.005MG/ML,5.66,,0.5978,5.09,55
HCPCS,J0290,AMPICILLIN INJ 0.1MG/ML,5.66,,0.5978,5.09,55
HCPCS,J0290,AMPICILLIN INJ 100MG/ML,5.66,,0.5978,5.09,55
HCPCS,J0290,AMPICILLIN INJ 1MG/ML,5.66,,0.5978,5.09,55
HCPCS,J0290,AMPICILLIN INJ 500MG,5.0,,0.5978,4.5,55
HCPCS,J0290,AMPICILLIN SOD INJ  125MG VL,5.66,,0.5978,5.09,55
HCPCS,J0290,AMPICILLIN SOD INJ  500MG V--,5.66,,0.5978,5.09,55
HCPCS,J0290,AMPICILLIN SOD INJ 1 GM VIAL,5.66,,0.5978,5.09,55
HCPCS,J0290,AMPICILLIN SOD INJ 2 GM VIAL,5.66,,0.5978,5.09,55
HCPCS,J0290,AMPICILLIN SOD INJ 250MG VIAL,4.99,,0.5978,4.49,55
HCPCS,J0290,AMPICILLIN VL 500MG,5.0,,0.5978,4.5,55
HCPCS,J0295,AMPICIL/SULBAC INJ 1.5GM VL*NF,13.52,,1.82,12.17,55
HCPCS,J0295,AMPICIL/SULBAC INJ 3GM VL  *NF,24.27,,1.82,21.84,55
HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GM VIAL,25.4,,1.82,22.86,55
HCPCS,J0330,SUCCINYLCH CL INJ 20MG/ML 10ML,57.93,,0.15,52.14,56
HCPCS,J0349,REZAFUNGIN INJ/1MG BU 200MG VL,70.3,,9.78,63.27,68
HCPCS,J0349,REZAFUNGIN PER 1MG BU/200MG VL,102.4,,9.78,92.16,136
HCPCS,J0360,HYDRALAZINE DIL INJ 0.2MG/1ML,21.76,,3.38,19.58,55
HCPCS,J0360,HYDRALAZINE INJ  20MG/1ML V-,21.76,,3.38,19.58,55
HCPCS,J0360,HYDRALAZINE INJ 20MG,10.3,,3.38,9.27,110
HCPCS,J0360,HYDRALAZINE INJ 20MG-IT,9.3,,3.38,8.37,330
HCPCS,J0360,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,440
HCPCS,J0360,HYDRAZALINE INJ 20MG,9.3,,3.38,8.37,55
HCPCS,J0391,ARTESUNATE/1MG BU 110MG INJ VL,685.22,,47.68,616.7,68
HCPCS,J0401,ARIPIPRAZOLE ER/1MGBU 300MG SY,43.12,,5.7,38.81,68
HCPCS,J0401,ARIPIPRAZOLE ER/1MGBU 400MG SY,43.56,,5.7,39.2,68
HCPCS,J0401,ARIPIPRAZOLE IM INJ ER 1MG,30.2,,5.7,27.18,272
HCPCS,J0456,AZITHROMYCIN INJ 500MG-,12.87,,3.18,11.58,55
HCPCS,J0456,AZITHROMYCIN VL 500MG,18.0,,3.18,16.2,220
HCPCS,J0461,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,441
HCPCS,J0461,ATROPINE INJ 0.01MG-IT,2.0,,0.0854,1.8,330
HCPCS,J0461,ATROPINE SO4 INJ .5/5ML,97.26,,0.0854,87.53,55
HCPCS,J0461,ATROPINE SO4 INJ 0.4MG/ML VIAL,26.75,,0.0854,24.07,55
HCPCS,J0461,ATROPINE SO4 INJ 1MG/10ML UD,66.88,,0.0854,60.19,55
HCPCS,J0470,DIMERCAPROL 300MG/3ML INJ AMP,1184.9,,59.81,1066.41,56
HCPCS,J0470,DIMERCAPROL/100MG BU 300MG VL,355.47,,59.81,319.92,56
HCPCS,J0475,BACLOFEN INJ 10MG,662.5,,166.72,596.25,68
HCPCS,J0475,BACLOFEN IT 40MG/20ML VL,4491.06,,166.72,4041.95,68
HCPCS,J0475,BACLOFEN IT KIT 10MG/20MLA*NF+,2100.0,,166.72,1890.0,68
HCPCS,J0475,BACLOFEN IT PER 10MG BU 10MG,2100.0,,166.72,1890.0,68
HCPCS,J0475,BACLOFEN IT PER 10MG BU 40MG V,2100.0,,166.72,1890.0,68
HCPCS,J0476,BACLOFEN IT INJ50MCG/MLT NF +,210.0,,51.21,189.0,55
HCPCS,J0476,BALCOFEN IT PER 50MCG BU 50MCG,210.0,,51.21,189.0,55
HCPCS,J0480,BASILIXIMAB PER 20MG BU 20MG V,30224.6,,4005.19,27202.14,68
HCPCS,J0485,BELATACEPT VL 1MG,28.2,,3.58,25.38,328
HCPCS,J0490,BELIMUMAB 10MG BU PER 120MG VL,276.01,,46.18,248.41,476
HCPCS,J0490,BELIMUMAB 10MG BU PER 400MG VL,275.38,,46.18,247.84,476
HCPCS,J0491,ANIFROLUMAB VL 1MG (SAPHNELO),127.7,,16.63,114.93,136
HCPCS,J0500,DICYCLOMINE INJ 20MG/2ML VL NF,541.04,,14.25,486.94,55
HCPCS,J0515,BENZTROPINE INJ 2MG/2ML A,157.7,,17.27,141.93,55
HCPCS,J0517,BENRALIZUMAB 1MG BU PER 30MG,594.15,,151.42,534.74,136
HCPCS,J0561,BICILLIN L-A 100000U/1200000U,2.0,,1.0,41.26,68
HCPCS,J0561,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,544
HCPCS,J0561,PEN G BEN/100000 BU 600000 UD,1133.27,,15.16,1019.94,68
HCPCS,J0561,PENCILN G BN/100000U BU 1.2MU,162.92,,15.16,146.63,68
HCPCS,J0561,PENICILLIN G BEN  INJ 600TU U-,1133.27,,15.16,1019.94,68
HCPCS,J0561,PENICILLIN G BEN INJ 1.2MU UD-,1962.89,,15.16,1766.6,68
HCPCS,J0565,BEZLOTOXUMAB 10MG BU/1000MG VL,204.48,,36.64,184.03,136
HCPCS,J0571,BUPRENORPHINE SL TAB 2MG,12.28,,1.54,11.05,56
HCPCS,J0571,BUPRENORPHINE SL TAB 8MG,5.7,,1.54,5.13,56
HCPCS,J0572,BUPRENORP 2MG/NALOXE 0.5MG TAB,12.28,,5.0,11.05,56
HCPCS,J0574,BUPRENORP 8MG/NALOXN 2MG TABUP,15.89,,7.95,14.3,56
HCPCS,J0583,BIVALIRUDIN INJ 250MG V     +,482.74,,0.2074,434.47,55
HCPCS,J0584,BUROSUMAB TWZA INJ 1MG/20MG VL,632.44,,316.22,665.69,136
HCPCS,J0584,BUROSUMAB TWZA INJ 1MG/30MG VL,951.93,,361.9,856.74,136
HCPCS,J0585,BOTULINUM TOX PER UNIT 100UNIT,45.22,,5.98,40.7,68
HCPCS,J0585,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,884
HCPCS,J0586,ABOBOTULINUM TOXIN A VL 5U,58.8,,8.05,52.92,136
HCPCS,J0587,RIMABOTULINUM TOX INJ 100U,93.98,,11.93,84.58,68
HCPCS,J0588,INCOBOTULINUM TOX TYPE A 1U,38.2,,5.02,34.38,136
HCPCS,J0589,DAXIBOTULINUMTOXINA-LANM 1UNIT,21.7,,2.9,19.53,68
HCPCS,J0592,BUPRENORPHINE 0.3MG/ML 1ML VL,83.22,,4.48,74.9,55
HCPCS,J0592,BUPRENORPHINE INJ 0.1MG,30.8,,4.48,27.72,55
HCPCS,J0594,BUSULFAN INJ 1MG,5.1,,0.8096,4.59,136
HCPCS,J0594,BUSULFAN INJ 6MG/ML 10MLAMPCD+,215.43,,0.8096,193.89,68
HCPCS,J0594,BUSULFAN PER 1MG BU 60MG AMP,3.62,,0.8096,3.41,68
HCPCS,J0595,BUTORPHANOL INJ 2MG/ML VIAL,54.65,,2.89,49.19,55
HCPCS,J0597,C1 ESTER INHIBIT/10IU BU 500U,476.47,,54.13,428.82,68
HCPCS,J0600,EDETATE CA DIS/1000MG BU 1GMVL,40228.13,,5594.42,36205.32,68
HCPCS,J0612,CA GLUC INJ 10MG,2.0,,0.0488,1.8,280
HCPCS,J0612,CA GLUCONATE INJ 10MG,2.0,,0.0488,1.8,56
HCPCS,J0612,CA GLUCONATE INJ FOR BABY TPN,12.86,,0.0488,11.57,56
HCPCS,J0612,CA GLUCONATE INJ100MG/ML50ML,123.84,,0.0488,111.46,56
HCPCS,J0612,CA GLUCONATE PED INJ .23MEQ/ML,15.43,,0.0488,13.89,56
HCPCS,J0612,CALC GLUC INJ 46.5MEQ SBS APHE,247.61,,0.0488,222.85,56
HCPCS,J0612,CALCIUM GLUC 1000MG/5OML BAG,55.47,,0.0488,49.92,56
HCPCS,J0612,CALCIUM GLUC 2000MG/100ML BAG,117.04,,0.0488,105.34,56
HCPCS,J0612,CALCIUM GLUC INJ 13.95MEQ SBS,51.43,,0.0488,46.29,56
HCPCS,J0612,CALCIUM GLUC INJ 46.5MEQ/100ML,247.61,,0.0488,222.85,56
HCPCS,J0612,CALCIUM GLUCONATE INJ 15MEQ,51.43,,0.0488,46.29,56
HCPCS,J0612,CALCIUM GLUCONATE INJ4.65MEQA-,51.43,,0.0488,46.29,56
HCPCS,J0630,CALCITONIN 400U BU-400U/2ML VL,5310.13,,446.17,4779.12,68
HCPCS,J0630,CALCITONIN VL 400 UNITS/2ML,1542.25,,446.17,2839.22,272
HCPCS,J0640,LEUCOVORIN CA INJ 100MG SBS,44.38,,2.8,39.94,56
HCPCS,J0640,LEUCOVORIN CA INJ 100MG VIAL,44.38,,2.8,39.94,56
HCPCS,J0640,LEUCOVORIN CA INJ 200MG VIAL,104.23,,2.8,93.81,56
HCPCS,J0640,LEUCOVORIN CA INJ 500MG VIAL,289.59,,2.8,260.63,56
HCPCS,J0640,LEUCOVORIN CA INJ 5MG SBS,7.01,,2.8,6.31,56
HCPCS,J0640,LEUCOVORIN VL 50MG,13.5,,2.8,12.15,336
HCPCS,J0641,LEVOLEUCOVORIN CA VL 0.5MG,2.0,,0.0488,1.8,168
HCPCS,J0665,BUPIVACAINE INJ 0.25% 30ML,10.33,,0.0122,9.3,55
HCPCS,J0665,BUPIVACAINE/0.5MG BU 150MG VL,2.0,,0.0122,1.8,55
HCPCS,J0665,BUPIVACAINE/0.5MG BU 15MG VL,2.0,,0.0122,1.8,55
HCPCS,J0665,BUPIVACAINE/0.5MG BU 225MG VL,2.0,,0.0122,1.8,55
HCPCS,J0665,BUPIVACAINE/0.5MG BU 25MG VL,2.0,,0.0122,1.8,55
HCPCS,J0665,BUPIVACAINE/0.5MG BU 50MG VL,2.48,,0.0122,2.23,55
HCPCS,J0665,BUPIVACAINE/0.5MG BU 75MG VL,2.0,,0.0122,1.8,55
HCPCS,J0670,MEPIVACAINE INJ 1% PF 30ML,39.0,,3.0,35.1,55
HCPCS,J0670,MEPIVACAINE INJ 1.5% 30ML VIAL,52.91,,3.0,47.62,55
HCPCS,J0670,MEPIVACAINE INJ 2% 20ML VIAL,43.32,,3.0,38.99,55
HCPCS,J0670,MEPIVACAINE INJ 2% 50ML VIAL,56.32,,3.0,50.69,55
HCPCS,J0690,CEFAZOLIN 250MG INJ UP SBS,3.86,,0.97,3.47,55
HCPCS,J0690,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,495
HCPCS,J0690,CEFAZOLIN INJ IM(330MG/ML)1GM,6.13,,0.97,5.52,55
HCPCS,J0690,CEFAZOLIN INJ NA 2GM,80.52,,0.97,72.47,55
HCPCS,J0690,CEFAZOLIN ONC LOCK 50MG/5ML,6.13,,0.97,5.52,55
HCPCS,J0690,CEFAZOLIN PED INJ 20MG/ML,6.13,,0.97,5.52,55
HCPCS,J0690,CEFAZOLIN SODIUM INJ 1GM,6.13,,0.97,5.52,55
HCPCS,J0690,CEFAZOLIN SODIUM INJ 3GM,33.41,,0.97,30.07,55
HCPCS,J0692,CEFEPIME INJ 1 GM VIAL NF,16.18,,1.5,14.56,55
HCPCS,J0692,CEFEPIME INJ 1GM ADD VIAL,18.63,,1.5,16.77,55
HCPCS,J0692,CEFEPIME INJ 2GRAM VL,30.38,,1.5,27.34,55
HCPCS,J0692,CEFEPIME INJ 500MG,12.3,,1.5,11.07,605
HCPCS,J0692,CEFEPIME PEDI INJ 20MG/ML   NF,4.05,,1.5,3.65,55
HCPCS,J0695,CEFTOL-TAZOBA/75MG BU 1.5GM VL,33.7,,6.49,30.33,68
HCPCS,J0696,CEFTRIAXONE INJ 1GM VIAL,6.34,,0.5856,5.71,55
HCPCS,J0696,CEFTRIAXONE INJ 250MG VIAL NF,3.54,,0.5856,3.19,55
HCPCS,J0696,CEFTRIAXONE INJ 2GM ADDV NF,15.57,,0.5856,14.01,55
HCPCS,J0696,CEFTRIAXONE INJ 2GM VIAL,15.57,,0.5856,14.01,55
HCPCS,J0696,CEFTRIAXONE INJ 500MG VIAL,4.38,,0.5856,3.94,55
HCPCS,J0696,CEFTRIAXONE INJ IM 250MG/ML NF,3.54,,0.5856,3.19,55
HCPCS,J0696,CEFTRIAXONE PED INJ 20MG/ML NF,6.34,,0.5856,5.71,55
HCPCS,J0696,CEFTRIAXONE VL 250MG,3.2,,0.5856,3.78,1321
HCPCS,J0697,CEFUROXIME INJ  750MG ADDV*NF,12.17,,1.94,10.95,55
HCPCS,J0697,CEFUROXIME INJ 750MG VIAL,12.17,,1.94,10.95,55
HCPCS,J0699,CEFIDEROCOL INJ 10MG BU/1GM VL,14.14,,2.23,12.73,68
HCPCS,J0699,CEFIDEROCOL INJ/10MG BU 1GM VL,14.14,,2.23,12.73,68
HCPCS,J0702,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,550
HCPCS,J0702,BETAMETHASONE INJ 12MG/2ML,238.77,,6.55,214.89,55
HCPCS,J0702,BETAMETHASONE INJ 30MG/5ML V,238.77,,6.55,214.89,55
HCPCS,J0706,CAFFEINE CIT INJ  20MG/ML 3MLV,41.86,,0.55,37.67,56
HCPCS,J0706,CAFFINE CITRATE 5MG/ML PED INJ,41.86,,0.55,37.67,57
HCPCS,J0712,CEFTAROLINE PER 10MG BU 600MG,21.09,,3.32,18.98,68
HCPCS,J0712,CEFTAROLINE VL 10MG,5.33,,2.67,5.82,68
HCPCS,J0712,CEFTAROLINE VL 600MG,1262.58,,3.32,1136.32,68
HCPCS,J0712,CEFTAROLINE/10MG BU 400MG VIAL,31.56,,3.32,28.4,68
HCPCS,J0713,CEFTAZADIME INJ SBS MLTDSE 1GM,105.9,,1.95,95.31,55
HCPCS,J0713,CEFTAZIDIME 14MG/0.7ML IVIT,4.7,,1.95,4.23,55
HCPCS,J0713,CEFTAZIDIME INJ 1GM,18.79,,1.95,16.91,55
HCPCS,J0713,CEFTAZIDIME INJ 2GM VIAL,37.65,,1.95,33.88,55
HCPCS,J0713,CEFTAZIDIME INJ 500MG,11.7,,1.95,10.53,220
HCPCS,J0713,CEFTAZIDIME INJ IM 1GM/3.58ML,18.79,,1.95,16.91,55
HCPCS,J0713,CEFTAZIDIME ONC 50MG/5ML,9.4,,1.95,8.46,55
HCPCS,J0713,CEFTAZIDIME PED INJ 20MG/ML,18.79,,1.95,16.91,55
HCPCS,J0714,CEFTAZ-AVIBA/625MG BU 2.5GM VL,604.72,,92.0,544.25,68
HCPCS,J0717,CERTOLIZUMAB 1MG BU PER 200MG,28.4,,3.6,25.56,272
HCPCS,J0717,CERTOLIZUMAB PACK 200MG,3976.0,,5.48,3578.4,56
HCPCS,J0725,CHORION GONAD/1000U BU 1000U V,155.55,,21.36,140.0,55
HCPCS,J0725,CHORIONIC GONAD INJ1000U,155.55,,21.36,140.0,55
HCPCS,J0735,CLONIDINE VL 100MCG/ML 10ML,160.93,,21.56,144.84,55
HCPCS,J0736,BUPIVACAINE 0.5% 3ML SYG UP,9.94,,2.04,8.95,56
HCPCS,J0736,CLINDAMY/300MG BU 600MG D5W BG,38.51,,2.04,34.66,56
HCPCS,J0736,CLINDAMY/300MG BU 900MG D5W BG,12.36,,2.04,11.12,56
HCPCS,J0736,CLINDAMYCIN/ 300MG BU 10MG PED,6.62,,2.04,5.96,56
HCPCS,J0736,CLINDAMYCIN/ 300MG BU 2MG NEO,6.62,,2.04,5.96,56
HCPCS,J0736,CLINDAMYCIN/ 300MG BU 600MG VL,6.62,,2.04,5.96,56
HCPCS,J0736,CLINDAMYCIN/ 300MG BU 900MG VL,5.84,,2.04,5.26,56
HCPCS,J0740,CIDOFOVIR INJ 375MG/5ML VL,1049.79,,502.59,944.81,136
HCPCS,J0740,CIDOFOVIR INJ 375MG/5ML VL  NF,4183.76,,502.59,3765.38,68
HCPCS,J0740,CIDOFOVIR/375MG BU  375MG VL,4183.76,,502.59,3765.38,68
HCPCS,J0743,CILASTATIN/IMIPENEM INJ 250MG,112.1,,6.33,100.89,220
HCPCS,J0743,IMIPENEM/CILA INJ 500MG ADDVNF,68.68,,6.33,61.81,55
HCPCS,J0743,IMIPENEM/CILAS IM INJ 500MG,174.3,,6.33,156.87,55
HCPCS,J0744,CIPROFLOXACIN 200MG/100ML D5W,172.71,,1.0,155.44,55
HCPCS,J0744,CIPROFLOXACIN 400MG/200ML D5W,174.71,,1.0,157.24,55
HCPCS,J0744,CIPROFLOXACIN 400MG/40ML VIAL,18.62,,1.0,16.76,55
HCPCS,J0744,CIPROFLOXACIN INJ 200MG,12.350000000000001,,1.0,11.16,385
HCPCS,J0770,COLISTIMETHATE INJ 150MG VIAL-,70.7,,13.9,63.63,55
HCPCS,J0770,COLISTIMETHATE INJ 75MG,70.7,,13.9,63.63,55
HCPCS,J0775,COLLAGENASE CLOSTRIDIUM 0.01MG,250.74,,52.39,225.67,136
HCPCS,J0780,PROCHLORPERAZINE INJ 10MG/2 V-,17.7,,3.07,15.93,55
HCPCS,J0780,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,495
HCPCS,J0791,ADAKVEO 5MG BU PER 100MG/10ML,660.24,,119.12,594.22,136
HCPCS,J0795,ACTHREL INJ 100MCG/6ML SDVNF++,6170.71,,5.14,5553.64,56
HCPCS,J0795,ACTHREL PER 1MCG BU 100MCG VL,61.71,,5.14,55.54,56
HCPCS,J0795,CORTICORELIN/1MCG BU 100MCG,61.71,,5.14,55.54,56
HCPCS,J0834,COSYNTROPIN INJ 0.25MG,165.97,,34.18,149.37,55
HCPCS,J0834,COSYNTROPIN INJ 0.25MG VIAL-,516.21,,34.18,464.59,55
HCPCS,J0834,COSYNTROPIN INJ 0.25MG-IT,165.97,,34.18,149.37,165
HCPCS,J0834,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,935
HCPCS,J0834,COSYNTROPIN VL 0.25MG-IT,165.97,,34.18,149.37,110
HCPCS,J0840,ANTIVEN SNAKE CROTALIDAE 1G VL,21621.5,,1682.42,19459.35,68
HCPCS,J0840,ANTIVENIN SNAKE /1GM BU 1GM VL,21621.5,,1682.42,19459.35,68
HCPCS,J0841,ANTIV ANAVIP 120MG BU/120MG VL,8578.92,,961.54,7721.03,68
HCPCS,J0850,CMV IMMUNE INJ 2.5GM/50ML,6439.64,,1496.95,5795.68,68
HCPCS,J0850,CMV IMMUNE PER VIAL BU 2.5GM,6439.64,,1496.95,5795.68,68
HCPCS,J0850,CYTOMEGALOVIRUS IMM GLOB VL,2446.21,,1223.11,2486.89,272
HCPCS,J0870,IMETELSTAT 1MG BU PER 188MG VL,290.01,,52.47,261.01,204
HCPCS,J0870,IMETELSTAT 1MG BU PER 47MG VL,290.92,,52.47,261.83,204
HCPCS,J0875,DALBAVANCIN INJ/5MG BU 500MG V,64.37,,14.36,57.93,68
HCPCS,J0875,DALBAVANCIN VL 5MG (DALVANCE),73.0,,14.36,65.7,340
HCPCS,J0878,DAPTOMYCIN INJ 500MG VIAL,102.97,,0.0366,92.67,55
HCPCS,J0878,DAPTOMYCIN PWDR INJ 1MG,2.0,,0.0366,1.8,330
HCPCS,J0881,DARBEPOE NESRD/1MCG BU 200MCG,23.53,,2.7,21.18,69
HCPCS,J0881,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,954
HCPCS,J0881,DARBEPOETIN INJ NESRD 100MCG,2353.17,,2.7,2117.85,69
HCPCS,J0881,DARBEPOETIN INJ NESRD 200MCGUD,4706.38,,2.7,4235.74,69
HCPCS,J0881,DARBEPOETN NESRD/1MCG BU 25MCG,23.53,,2.7,21.18,69
HCPCS,J0881,DARBEPOETN NESRD/1MCG BU 40MCG,23.53,,2.7,21.18,69
HCPCS,J0881,DARBEPOETN NESRD/1MCG BU 60MCG,23.72,,2.7,21.35,69
HCPCS,J0881,DARBEPOTN NESRD/1MCG BU 100MCG,23.53,,2.7,21.18,69
HCPCS,J0882,DARBEPOE ESRD/1MCG BU 200MCG,23.53,,2.7,21.18,68
HCPCS,J0882,DARBEPOETIN 1MCG ESRD,19.2,,2.7,17.28,272
HCPCS,J0882,DARBEPOETIN ESRD/1MCG BU 25MCG,23.53,,2.7,21.18,68
HCPCS,J0882,DARBEPOETIN ESRD/1MCG BU 40MCG,23.53,,2.7,21.18,68
HCPCS,J0882,DARBEPOETIN ESRD/1MCG BU 60MCG,94.31,,2.7,84.88,68
HCPCS,J0882,DARBEPOETIN INJ ESRD 100MCGUD,2353.17,,2.7,2117.85,68
HCPCS,J0882,DARBPOE ESRD/1MCG BU 100MCG,23.53,,2.7,21.18,68
HCPCS,J0885,EPOETIN NESRD 10000U/ML 1ML,975.82,,7.86,878.24,69
HCPCS,J0885,EPOETIN NESRD/1000U BU 10000U,97.58,,7.86,87.82,69
HCPCS,J0885,EPOETIN NESRD/1000U BU 2000U,110.99,,7.86,99.89,69
HCPCS,J0885,EPOETIN NESRD/1000U BU 3000U,110.88,,7.86,99.79,69
HCPCS,J0885,EPOETIN NESRD/1000U BU 40000U,97.59,,7.86,87.83,69
HCPCS,J0885,EPOETIN NESRD/1000U BU 4000U,110.99,,7.86,99.89,69
HCPCS,J0885,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,540
HCPCS,J0894,DECITABINE PER 1MG BU 50MG VL,9.01,,1.94,8.11,55
HCPCS,J0894,DECITABINE VL 1MG,5.2,,1.94,4.68,275
HCPCS,J0894,DECITABINE VL 50MG,450.59,,1.94,405.53,55
HCPCS,J0895,DEFEROXAMINE INJ 500MG/2ML A+,60.87,,8.44,54.78,55
HCPCS,J0896,REBLOZYL 25MG SDV PER 0.25MG,209.79,,38.62,188.81,136
HCPCS,J0896,REBLOZYL 75MG SDV PER 0.25MG,207.48,,38.62,186.73,204
HCPCS,J0896,REBOLZYL 25MG SDV PER 0.25MG,209.79,,38.62,188.81,68
HCPCS,J0897,DENOSUMAB PER 1MG BU 60MG,201.7,,20.12,181.53,68
HCPCS,J0897,DENOSUMAB SQ 1MG BU/60MG VL,37.26,,18.63,40.4,408
HCPCS,J0897,DENOSUMAB/1MG BU 120MG (XGEVA),184.38,,20.12,165.94,68
HCPCS,J0897,XGEVA-DENOSUMAB 1MG BU/120MG,38.07,,19.04,40.4,408
HCPCS,J1000,ESTRADIOL CYP VL 5MG/ML 1ML,277.2,,24.06,249.48,165
HCPCS,J1010,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,680
HCPCS,J1010,METHYLPRED ACE INJ 40MG,48.0,,0.1104,43.2,340
HCPCS,J1010,METHYLPRED ACE VL 80MG/ML 1ML,64.0,,0.1104,57.6,340
HCPCS,J1010,METHYLPRED ACETAT INJ40MG/MLV-,24.08,,0.1104,21.67,68
HCPCS,J1050,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,560
HCPCS,J1050,MEDROXYPROG INJ 1MG IT,2.0,,0.56,1.8,336
HCPCS,J1050,MEDROXYPROGE AC INJ 150MG/MLV-,353.71,,0.56,318.34,56
HCPCS,J1071,TESTOS CYP INJ 1MG,2.0,,0.03,1.8,165
HCPCS,J1071,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,605
HCPCS,J1071,TESTOSTERONE CYPN INJ 200MG UD,152.81,,0.03,137.53,55
HCPCS,J1100,DEXAMETH INJ 1MG,2.0,,0.13,1.8,1210
HCPCS,J1100,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,440
HCPCS,J1100,DEXAMETHASONE INJ  20MG/5ML V+,3.13,,0.13,2.82,55
HCPCS,J1100,DEXAMETHASONE INJ 10MG/ML PF V,11.07,,0.13,9.96,55
HCPCS,J1100,DEXAMETHASONE INJ 10MG/ML UD V,5.23,,0.13,4.71,55
HCPCS,J1100,DEXAMETHASONE INJ 4MG/ML,3.13,,0.13,2.82,55
HCPCS,J1100,DEXAMETHASONE PED INJ .01MG/ML,1.11,,0.13,0.999,55
HCPCS,J1100,DEXAMETHASONE PED INJ .1MG/ML-,2.0,,0.13,1.8,55
HCPCS,J1100,DEXAMETHASONE PEDI 1MG/ML INJ+,3.13,,0.13,2.82,55
HCPCS,J1110,DIHYDROERGOT MES INJ 1MG/ML A-,312.17,,55.97,280.95,55
HCPCS,J1110,DIHYDROERGOTAMIMNE AP 1MG,219.52,,55.97,197.57,55
HCPCS,J1110,DIHYDROERGOTAMINE AMP 1MG,219.52,,55.97,197.57,275
HCPCS,J1120,ACETAZOLAMIDE INJ 500MG V--,202.72,,21.02,182.45,55
HCPCS,J1160,DIGOXIN INJ 0.5MG/2ML UD -,19.76,,4.88,17.78,55
HCPCS,J1160,DIGOXIN INJ/0.5MG BU 0.5MG AMP,19.76,,4.88,17.78,55
HCPCS,J1160,DIGOXIN NEO INJ 5MCG/ML-,19.76,,4.88,17.78,55
HCPCS,J1160,DIGOXIN PED INJ 100MCG/1ML,797.85,,4.88,718.07,55
HCPCS,J1160,DIGOXIN PED INJ 100MCG/1ML AMP,886.5,,4.88,797.85,55
HCPCS,J1162,DIG IMMUNE FAB PER VL BU 40MG,32342.66,,3972.14,29108.39,68
HCPCS,J1165,PHENYTOIN INJ  50MG/1ML-,8.49,,0.5,7.64,55
HCPCS,J1165,PHENYTOIN INJ  PED 2.5MG/ML,8.49,,0.5,7.64,55
HCPCS,J1165,PHENYTOIN INJ 100MG UD,8.49,,0.5,7.64,55
HCPCS,J1165,PHENYTOIN INJ 250MG/5ML AMP,8.49,,0.5,7.64,55
HCPCS,J1171,HYDROMORPHO 100MG/100ML NS BAG,56.04,,0.1098,50.44,56
HCPCS,J1171,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,448
HCPCS,J1171,HYDROMORPHONE 0.5MG/0.5ML INJ,16.74,,0.1098,15.07,56
HCPCS,J1171,HYDROMORPHONE 0.5MG/0.5ML SYR,66.62,,0.1098,59.96,56
HCPCS,J1171,HYDROMORPHONE 0.5MG/ML-NS SYR,16.74,,0.1098,15.07,56
HCPCS,J1171,HYDROMORPHONE 1MG/ML CPJ SYR,11.96,,0.1098,10.76,56
HCPCS,J1171,HYDROMORPHONE 1MG/ML INJ SYR,16.74,,0.1098,15.07,56
HCPCS,J1171,HYDROMORPHONE 2MG/ML 1ML VIAL,13.4,,0.1098,12.06,56
HCPCS,J1171,HYDROMORPHONE 500MG/50ML SDV,666.19,,0.1098,599.57,56
HCPCS,J1171,HYDROMORPHONE FLD INJ 50MG/5ML,60.63,,0.1098,54.57,56
HCPCS,J1171,HYDROMORPHONE HCL INJ 2MG/MLUD,2.98,,0.1098,2.68,56
HCPCS,J1171,HYDROMORPHONE HP 30MG PCA SYR,16.74,,0.1098,15.07,56
HCPCS,J1171,HYDROMORPHONE INJ 10MG/ML AMP,60.63,,0.1098,54.57,56
HCPCS,J1171,HYDROMORPHONE INJ 10MG/ML PFVL,6.66,,0.1098,5.99,56
HCPCS,J1171,HYDROMORPHONE INJ 10MG/ML VL,60.63,,0.1098,54.57,56
HCPCS,J1171,HYDROMORPHONE INJ 2MG/ML CPJT,2.0,,0.1098,1.8,56
HCPCS,J1171,HYDROMORPHONE INJ 4MG/ML 1ML,13.4,,0.1098,12.06,168
HCPCS,J1190,DEXRAZOXANE 250MG BU PER 250MG,584.01,,39.15,525.61,408
HCPCS,J1190,DEXRAZOXANE 250MG BU PER 500MG,316.05,,39.15,284.44,408
HCPCS,J1190,DEXRAZOXANE INJ/250MG BU 250MG,499.45,,39.15,449.5,68
HCPCS,J1190,DEXRAZOXANE INJ/250MG BU 500MG,499.45,,39.15,449.5,68
HCPCS,J1200,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,991
HCPCS,J1200,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,440
HCPCS,J1200,DIPHENHYDRAMINE INJ 5MG/ML-,2.0,,0.65,1.8,55
HCPCS,J1200,DIPHENHYDRAMINE INJ50MG/1MLUD-,3.35,,0.65,3.02,55
HCPCS,J1201,CETIRIZINE INJ/0.5MG BU 10MGVL,119.24,,15.2,107.32,68
HCPCS,J1205,CHLOROTHIAZIDE INJ 25MG UP,10.14,,5.07,54.79,55
HCPCS,J1205,CHLOROTHIAZIDE INJ 500MG VIAL-,202.72,,49.26,182.45,55
HCPCS,J1205,CHLOROTHIAZIDE INJ 500MG/18ML,201.11,,49.26,181.0,165
HCPCS,J1205,CHLOROTHIAZIDE NEO INJ0.5MG/ML,203.49,,49.26,183.14,55
HCPCS,J1205,CHLOROTHIAZIDE PED 5MG/ML,10.14,,5.07,54.79,55
HCPCS,J1205,CHLOROTHIAZIDE/500MG BU 500MGV,202.72,,49.26,182.45,55
HCPCS,J1212,DIMETHYL SULF/50%-50ML BU 50ML,4473.21,,635.67,4025.89,68
HCPCS,J1230,METHADONE HCL INJ 10MG/1ML,137.58,,17.55,123.82,55
HCPCS,J1230,METHADONE HCL INJ 20MG/2ML,2751.56,,17.55,2476.4,55
HCPCS,J1230,METHADONE PED INJ 1MG/ML 1ML,13.76,,6.88,27.95,55
HCPCS,J1250,DOBUTAMINE 1000MG/DEXT5% 250ML,262.96,,5.69,236.66,55
HCPCS,J1250,DOBUTAMINE 250MG,50.4,,5.69,45.36,55
HCPCS,J1250,DOBUTAMINE 250MG/250ML BAG,240.23,,5.69,216.21,55
HCPCS,J1250,DOBUTAMINE 500MG/250ML BAG,298.9,,5.69,269.01,55
HCPCS,J1250,DOBUTAMINE INJ  250MG/20ML V-,30.94,,5.69,27.85,55
HCPCS,J1265,DOPAMINE 400MG/10ML VIAL,35.78,,0.56,32.2,55
HCPCS,J1265,DOPAMINE HCL INJ 200MG/5ML VL,18.45,,0.56,16.61,55
HCPCS,J1265,DOPAMINE HCL INJ 400MG/5ML VL,18.45,,0.56,16.61,55
HCPCS,J1265,DOPAMINE200MG/DEXT5% 250ML BAG,204.08,,0.56,183.67,55
HCPCS,J1265,DOPAMINE400MG/DEXT5% 250ML BAG,212.59,,0.56,191.33,55
HCPCS,J1265,DOPAMINE800MG/DEXT 5% 250ML BG,231.31,,0.56,208.18,55
HCPCS,J1270,DOXERCALCIFEROL INJ 2MCG/ML,8.65,,0.33,7.79,55
HCPCS,J1270,DOXERCALCIFEROL INJ 4MCG/2ML,8.65,,0.33,7.79,55
HCPCS,J1299,ECULIZUMAB 2MG BU PER 300MG VL,162.6,,41.23,146.34,408
HCPCS,J1299,ECULIZUMAB PER 2MG BU 300MG VL,304.41,,41.23,273.97,67
HCPCS,J1300,ECULIZUMAB 10MG BU PER 300MG V,811.75,,207.81,730.58,342
HCPCS,J1300,ECULIZUMAB INJ 300MG/30ML VL,45661.0,,224.63,41094.9,57
HCPCS,J1300,ECULIZUMAB PER 10MG BU 300MG V,1520.51,,224.63,1368.46,57
HCPCS,J1303,RAVULIZUMAB 10MG BU/1100MG VL,800.2,,207.1,720.18,68
HCPCS,J1303,RAVULIZUMAB 10MG BU/300MG VL,797.45,,207.1,717.71,68
HCPCS,J1306,INCLISIRAN NA (LEQVIO) INJ 1MG,82.3,,11.33,74.07,204
HCPCS,J1308,FAMOTIDINE 20MG/2ML VIAL,2.0,,0.0122,1.8,392
HCPCS,J1323,ELRANATAMAB-BCMM/1MG BU 44MG V,666.45,,169.34,599.8,68
HCPCS,J1323,ELRANATAMAB-BCMM/1MG BU 76MG V,959.835,,169.34,1127.63,204
HCPCS,J1323,ELRANATAMAB-BCMM/1MGBU 44MG PD,1247.42,,169.34,1122.68,68
HCPCS,J1325,EPOPROSTENOL INJ 1.5MG VIAL,218.12,,16.31,196.31,55
HCPCS,J1326,ZOLBETUXIMAB-CLZB 2MG BU/100MG,170.87,,27.77,153.78,136
HCPCS,J1327,EPTIFIBATIDE PER 5MG BU 75MG V,26.37,,13.19,36.52,57
HCPCS,J1327,INTEGRILIN PER 5MG BU 20MG VL,128.66,,27.58,115.79,57
HCPCS,J1335,ERTAPENEM INJ 0.5GM/10ML SBS,160.91,,11.0,144.82,55
HCPCS,J1335,ERTAPENEM SOD INJ 1GM/20ML VNF,321.83,,11.0,289.65,55
HCPCS,J1335,ERTAPENEM VL 500MG,7.0,,3.5,32.8,385
HCPCS,J1364,ERYTHROMYCIN/500MG BU 500MG,369.46,,76.85,332.51,56
HCPCS,J1410,ESTROGENS CON/25MG BU  25MG VL,2368.94,,325.62,2132.05,68
HCPCS,J1430,ETHANOLAMINE OLEATE 5% 2ML AMP,3092.11,,444.1,2782.9,68
HCPCS,J1437,FERRIC DERISOMALTOSE VL 10MG,115.2,,20.26,103.68,272
HCPCS,J1438,ETANERCEPT 25MG BU PER 25MG VL,1286.54,,643.27,1486.21,67
HCPCS,J1438,ETANERCEPT 25MG BU-25MG/0.5ML,6444.11,,994.41,5799.7,68
HCPCS,J1439,FERRIC CARBOXY/1MG BU 750MG VL,8.54,,1.02,7.69,68
HCPCS,J1439,FERRIC CARBOXYMALTOSE IV 1MG,7.1,,1.02,6.39,464
HCPCS,J1442,FILGRASTIM INJ 1MCG,2.4,,0.92,2.16,68
HCPCS,J1442,FILGRASTIM INJ 480MCG,1728.0,,0.92,1555.2,464
HCPCS,J1442,FILGRASTIM VL 300MCG/ML 1ML,720.0,,0.92,648.0,396
HCPCS,J1442,FILGRASTIM/1MCG BU 300MCG,7.02,,0.92,6.32,68
HCPCS,J1442,FILGRASTIM/1MCG BU 480MCG,6.77,,0.92,6.09,68
HCPCS,J1447,TBO-FILGRASTIM INJ 1MCG,2.0,,0.2576,1.8,340
HCPCS,J1447,TBO-FILGRASTIM/1MCG BU 10MCG,3.69,,0.2576,3.32,68
HCPCS,J1447,TBO-FILGRASTIM/1MCG BU 20MCG,3.69,,0.2576,3.32,68
HCPCS,J1447,TBO-FILGRASTIM/1MCG BU 300 VL,3.35,,0.2576,3.02,68
HCPCS,J1447,TBO-FILGRASTIM/1MCG BU 50MCG,3.69,,0.2576,3.32,68
HCPCS,J1448,TRIACICLIB INJ 1MG,38.7,,5.02,34.83,136
HCPCS,J1450,FLUCONAZ SOD CHL 200MG/100ML,34.8,,2.76,31.32,55
HCPCS,J1450,FLUCONAZOLE INJ 2MG/ML,2.0,,1.0,3.43,55
HCPCS,J1450,FLUCONAZOLE INJ 400MG/200MLBAG,28.32,,2.76,25.49,55
HCPCS,J1450,FLUCONAZOLE INJ200/100MLNSPBU-,46.26,,2.76,41.63,55
HCPCS,J1450,FLUCONAZOLE VL 200MG,34.8,,2.76,31.32,110
HCPCS,J1451,FOMEPIZOLE 1.5GM VIAL   +,3626.07,,5.78,3263.46,68
HCPCS,J1451,FOMEPIZOLE PER 15MG BU 1.5GM,36.26,,5.78,32.63,68
HCPCS,J1453,FOSAPREPITANT INJ 150MG VL,153.51,,0.1342,138.16,55
HCPCS,J1453,FOSAPREPITANT PER 1MG BU 150MG,14.43,,0.1342,12.99,55
HCPCS,J1453,FOSAPREPITANT VL 1MG,2.0,,0.1342,1.8,330
HCPCS,J1455,FOSCARNET INJ 1000MG*NF,345.62,,14.79,311.06,68
HCPCS,J1455,FOSCARNET INJ 6000MG/250BTL*NF,2738.68,,14.79,2464.81,68
HCPCS,J1455,FOSCARNET/1GM BU 6GM VIAL,457.36,,14.79,411.62,68
HCPCS,J1459,IMMUNE GLOBULIN IV 500MG,250.25,,41.5,225.22,464
HCPCS,J1459,PRIVIGEN 500MG BU PER 10GM VL,250.25,,41.5,225.22,476
HCPCS,J1459,PRIVIGEN 500MG BU PER 20GM VL,249.55,,41.5,224.59,476
HCPCS,J1459,PRIVIGEN 500MG BU PER 40GM VL,250.25,,41.5,225.22,408
HCPCS,J1459,PRIVIGEN 500MG BU PER 5GM/50ML,250.25,,41.5,225.22,476
HCPCS,J1561,GAMUNEX-C 500MG (20GM/200ML),234.5,,42.19,211.05,340
HCPCS,J1561,GAMUNEX-C 500MG (5GM/50ML VL),234.5,,42.19,211.05,340
HCPCS,J1561,GAMUNEX-C 500MG BU PER 10GM VL,234.5,,42.19,211.05,408
HCPCS,J1561,GAMUNEX-C 500MG BU PER 20GM VL,234.5,,42.19,211.05,408
HCPCS,J1561,GAMUNEX-C 500MG BU PER 40GM VL,234.5,,42.19,211.05,408
HCPCS,J1561,GAMUNEX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,340
HCPCS,J1561,GAMUNEX-C PER 500MG BU 10GM,364.84,,42.19,328.36,68
HCPCS,J1561,GAMUNUX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,68
HCPCS,J1569,GAMMAGARD 500MG BU-10GM/100ML,300.72,,41.69,270.65,68
HCPCS,J1569,GAMMAGARD 500MG BU-1GM/10ML,300.73,,41.69,270.66,68
HCPCS,J1569,GAMMAGARD 500MG BU-2.5GM/25ML,300.71,,41.69,270.64,68
HCPCS,J1569,GAMMAGARD 500MG BU-20GM/200ML,300.72,,41.69,270.65,68
HCPCS,J1569,GAMMAGARD 500MG BU-30GM/300ML,300.99,,41.69,270.89,68
HCPCS,J1569,GAMMAGARD 500MG BU-5GM/50ML,300.72,,41.69,270.65,68
HCPCS,J1569,GAMMAGARD 500MG BU/10000MG VL,226.38,,41.69,203.74,408
HCPCS,J1569,GAMMAGARD 500MG BU/20000MG VL,226.38,,41.69,203.74,408
HCPCS,J1569,GAMMAGARD 500MG BU/30000MG VL,226.87,,41.69,204.18,408
HCPCS,J1569,GAMMAGARD LIQ 500MG BU/5000MG,226.38,,41.69,203.74,408
HCPCS,J1569,GAMMAGARD SD 500MG BU-10GM/192,436.19,,41.69,392.57,68
HCPCS,J1569,GAMMAGARD SD 500MG BU-5GM/96ML,436.19,,41.69,392.57,68
HCPCS,J1569,IMMUN GLOB IV GAMMAGARD 500MG,226.38,,41.69,203.74,68
HCPCS,J1569,IMMUN GLOB IV GAMMAGUARD 500MG,226.38,,41.69,203.74,204
HCPCS,J1569,IMMUNE GLOB IV GAMMAGARD 500MG,226.38,,41.69,203.74,136
HCPCS,J1570,GANCICLOVIR INJ 500MG,229.95,,12.84,206.96,110
HCPCS,J1570,GANCICLOVIR NA INJ 500MG V+,321.83,,12.84,289.65,55
HCPCS,J1570,GANCICLOVIR PED INJ 5MG/ML,3.22,,1.61,48.34,55
HCPCS,J1571,HEP B IMMUNE GLOB/0.5ML BU 1ML,264.43,,61.31,237.99,68
HCPCS,J1571,HEP B IMMUNE GLOB/0.5ML BU 5ML,363.09,,61.31,326.78,68
HCPCS,J1571,HEPAT B 10MCG/0.5ML BU 1ML VL,135.83,,61.31,122.25,68
HCPCS,J1571,HEPAT B 40MCG/0.5ML BU 1ML VL,469.29,,61.31,422.36,68
HCPCS,J1571,HEPAT B IMM GLOB IM 10MCG/1ML,324.19,,61.31,291.77,68
HCPCS,J1571,HEPAT B IMM GLOB IM 40MCG/1ML,766.36,,61.31,689.72,68
HCPCS,J1571,HEPATITIS B IMM GLOB VL 0.5ML,311.01,,61.31,279.91,136
HCPCS,J1580,GENTAMICIN INJ 160MG,40.15,,1.79,36.13,55
HCPCS,J1580,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,440
HCPCS,J1580,GENTAMICIN INTRA INJ4MG/ML,13.32,,1.79,11.99,55
HCPCS,J1580,GENTAMICIN ONC LOCK 5MG/5ML,16.06,,1.79,14.45,55
HCPCS,J1595,GLATIRAMER ACE/20MG BU 20MG VL,417.96,,67.64,376.16,68
HCPCS,J1595,GLATIRAMER ACETATE INJ 20MG NF,417.96,,67.64,376.16,68
HCPCS,J1596,GLYCOPYROL PED INJ 3.3MCG/ML,2.0,,0.4232,1.8,68
HCPCS,J1596,GLYCOPYRROLATE INJ 0.2MG/1 5ML,14.93,,0.4232,13.44,68
HCPCS,J1596,GLYCOPYRROLATE INJ 0.2MG/ML,3.99,,0.4232,3.59,68
HCPCS,J1602,GOLIMUMAB INJ IV 1MG,69.8,,10.16,62.82,272
HCPCS,J1610,GLUCAGON 1MG INJ HYPOKIT,794.01,,167.85,714.61,68
HCPCS,J1610,GLUCAGON HCL RECOMB KIT 1MG,279.86,,139.93,251.87,68
HCPCS,J1610,GLUCAGON INJ 1MG/ML 1ML VIAL-,794.01,,167.85,714.61,68
HCPCS,J1610,GLUCAGON PER 1MG BU 1MG VL,794.01,,167.85,714.61,68
HCPCS,J1610,GLUCAGON VL 1MG,636.65,,167.85,572.99,544
HCPCS,J1626,GRANISETRON HCL 100MCG,4.6,,0.2806,16.5,336
HCPCS,J1626,GRANISETRON INJ 1MG/1ML VL NF,15.16,,0.2806,16.5,56
HCPCS,J1628,GUSELKUMAB INJ 1MG (TREMFYA),302.47,,69.89,272.22,272
HCPCS,J1630,HALOPERIDOL INJ 5MG/ML AMP-,3.57,,0.91,3.21,55
HCPCS,J1630,HALOPERIDOL INJ 5MG/ML SYR,3.57,,0.91,3.21,55
HCPCS,J1631,HALOPERIDOL DEC 100MG/ML 1ML V,54.74,,5.71,49.27,55
HCPCS,J1631,HALOPERIDOL DECA 50MG/0.5ML UP,54.74,,5.71,49.27,55
HCPCS,J1640,HEMIN PER 1MG BU 350MG VIAL,217.1,,24.44,195.39,68
HCPCS,J1640,HEMIN VL 1MG DOSE,196.3,,24.44,176.67,272
HCPCS,J1642,HEPARIN 5000UN/5ML INJ SYR,3.61,,0.01,3.25,55
HCPCS,J1642,HEPARIN 5000UN/5ML MULTI PACK,4.7,,0.01,4.23,55
HCPCS,J1642,HEPARIN FLUSH 100U/ML 5ML  V,2.9,,0.01,2.61,55
HCPCS,J1642,HEPARIN FLUSH PF 100U/10ML V,18.09,,0.01,16.28,55
HCPCS,J1642,HEPARIN FLUSH SOLN 100U/10ML V,5.41,,0.01,4.87,55
HCPCS,J1642,HEPARIN NA FLUSH 30U/3ML SYR,4.54,,0.01,4.09,55
HCPCS,J1642,HEPARIN NA FLUSH 50U/5ML SYR,2.56,,0.01,2.3,55
HCPCS,J1642,HEPARIN NA FLUSH INJ 10U,2.0,,0.01,1.8,112
HCPCS,J1644,HEPARIN 1000U/NACL 0.9% 1000ML,177.41,,0.2684,159.67,55
HCPCS,J1644,HEPARIN 1000U/NACL 0.9% 500ML,177.41,,0.2684,159.67,55
HCPCS,J1644,HEPARIN 2000U/NACL 0.9% 1000ML,179.04,,0.2684,161.14,55
HCPCS,J1644,HEPARIN 25000U/DEXT 5% 250MLBG,210.93,,0.2684,189.84,55
HCPCS,J1644,HEPARIN 25000U/DEXT 5% 500MLBG,200.33,,0.2684,180.3,55
HCPCS,J1644,HEPARIN 250U/SOD CL .22% 100ML,171.61,,0.2684,154.45,55
HCPCS,J1644,HEPARIN 25THU/SOD CL.45%250MLB,199.85,,0.2684,179.87,55
HCPCS,J1644,HEPARIN 25THU/SOD CL.45%500MLB,199.41,,0.2684,179.47,55
HCPCS,J1644,HEPARIN 25THUN/FLUID 250ML BAG,200.44,,0.2684,180.4,55
HCPCS,J1644,HEPARIN 30000U / NS 1000ML SBS,182.37,,0.2684,164.13,55
HCPCS,J1644,HEPARIN INJ 1000UNITS/ML 30ML,31.22,,0.2684,28.1,55
HCPCS,J1644,HEPARIN INJ FOR BABY TPN,25.49,,0.2684,22.94,55
HCPCS,J1644,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,441
HCPCS,J1644,HEPARIN PORCINE 1000U/ML30ML,55.15,,0.2684,49.63,55
HCPCS,J1644,HEPARIN SOD INJ   500U/0.5ML,34.05,,0.2684,30.64,55
HCPCS,J1644,HEPARIN SOD INJ  5000U/0.5MLUD,16.16,,0.2684,14.54,55
HCPCS,J1644,HEPARIN SOD INJ 10000U/500ML,179.04,,0.2684,161.14,55
HCPCS,J1644,HEPARIN SOD INJ 1000U/ML 10ML,12.68,,0.2684,11.41,55
HCPCS,J1644,HEPARIN SOD INJ 20000U/1ML V,74.02,,0.2684,66.62,55
HCPCS,J1644,HEPARIN SOD INJ 20000U/2ML,29.6,,0.2684,26.64,55
HCPCS,J1644,HEPARIN SOD INJ 2000U/2ML SBS,12.68,,0.2684,11.41,55
HCPCS,J1644,HEPARIN SOD INJ 2500U/0.5ML UP,6.31,,0.2684,5.68,55
HCPCS,J1644,HEPARIN SOD INJ 3000U/3ML SBS,12.68,,0.2684,11.41,55
HCPCS,J1644,HEPARIN SOD INJ 4000U/4ML SBS,12.68,,0.2684,11.41,55
HCPCS,J1644,HEPARIN SOD INJ 5000U/1ML VL,6.31,,0.2684,5.68,55
HCPCS,J1644,HEPARIN SOD INJ 7000U/7ML SBS,12.68,,0.2684,11.41,55
HCPCS,J1644,HEPARIN SOD PF INJ 1000U/ML2ML,34.05,,0.2684,30.64,55
HCPCS,J1644,HEPARIN VL 1000U/ML 1ML,2.8,,0.2684,2.52,330
HCPCS,J1650,ENOXAPARIN INJ 100MG UD SYR,96.55,,0.69,86.89,55
HCPCS,J1650,ENOXAPARIN INJ 10MG,4.7,,0.69,4.23,275
HCPCS,J1650,ENOXAPARIN INJ 120MG/0.8ML UD,115.86,,0.69,104.27,55
HCPCS,J1650,ENOXAPARIN INJ 150MG,79.53,,0.69,71.58,55
HCPCS,J1650,ENOXAPARIN INJ 30MG/0.3ML UD,28.97,,0.69,26.07,55
HCPCS,J1650,ENOXAPARIN INJ 40MG UD SYRINGE,54.96,,0.69,49.46,55
HCPCS,J1650,ENOXAPARIN INJ 60MG UD SYRINGE,28.22,,0.69,25.4,55
HCPCS,J1650,ENOXAPARIN INJ 80MG UD SYRINGE,43.32,,0.69,38.99,55
HCPCS,J1650,ENOXAPARIN PED INJ 20MG/ML,19.05,,0.69,17.14,55
HCPCS,J1650,ENOXAPARIN PEDI INJ 10MG/ML,4.66,,0.69,4.19,55
HCPCS,J1652,FONDAPARINUX 2.5MG INJ UD  *NF,51.21,,0.8784,46.09,55
HCPCS,J1652,FONDAPARINUX INJ 10MG *NF,177.97,,0.8784,160.17,55
HCPCS,J1652,FONDAPARINUX INJ 5MG *NF,206.11,,0.8784,185.5,55
HCPCS,J1652,FONDAPARINUX INJ 7.5MG *NF,206.11,,0.8784,185.5,55
HCPCS,J1670,TET-IMMUN GLOB/250U BU 250U VL,3684.17,,476.57,3315.75,68
HCPCS,J1720,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,770
HCPCS,J1720,HYDROCORT NA SUC INJ 100MG IT,28.27,,14.13,25.86,55
HCPCS,J1720,HYDROCORT NA SUC INJ 100MG-IT,28.27,,14.13,25.86,110
HCPCS,J1720,HYDROCORTIS NA INJ  PED 2.5/1-,17.23,,8.62,25.86,55
HCPCS,J1720,HYDROCORTIS NA INJ 100MG/2MLV-,100.45,,14.15,90.41,55
HCPCS,J1720,HYDROCORTIS NA IT  INJ 250/2 V,136.29,,14.15,122.66,55
HCPCS,J1741,IBUPROFEN INJ 800MG/8ML VIAL,152.54,,3.71,137.29,55
HCPCS,J1741,IBUPROFEN PEDI INJ 4MG/ML,19.07,,3.71,17.16,55
HCPCS,J1742,IBUTILIDE INJ 1MG/ML 10ML  V,566.79,,158.53,510.11,68
HCPCS,J1742,IBUTILIDE PER 1MG BU 10MG VIAL,566.79,,158.53,510.11,68
HCPCS,J1742,IBUTILIDE/1MG BU 1MG/10ML VL,566.79,,158.53,510.11,68
HCPCS,J1745,INFLIX UNBRAND 10MG BU/100MG,188.0,,28.6,169.2,136
HCPCS,J1745,INFLIXIMAB INJ 10MG BU/100MG V,789.29,,28.6,710.36,68
HCPCS,J1745,INFLIXIMAB VL 10MG,190.1,,28.6,171.09,396
HCPCS,J1745,INFLIXIMAB10MG INTRAARTICULR,789.29,,28.6,710.36,68
HCPCS,J1750,INFED 50MG BU PER 100MG/2ML VL,116.5,,15.01,104.85,476
HCPCS,J1750,IRON DEXTRAN 165 INJ 100MG/2ML,228.43,,15.01,205.59,68
HCPCS,J1750,IRON DEXTRAN VL 50MG/ML 1ML,116.5,,15.01,104.85,464
HCPCS,J1750,IRON DEXTRAN/50MG BU 100MG AMP,114.22,,15.01,102.8,68
HCPCS,J1756,IRON SUCROSE INJ 100MG,228.53,,0.22,205.68,56
HCPCS,J1756,IRON SUCROSE INJ 200MG/10ML VL,458.64,,0.22,412.78,56
HCPCS,J1756,IRON SUCROSE VL 1MG,2.6,,0.22,2.34,392
HCPCS,J1786,IMIGLUCERASE VL 10U,219.24,,39.73,197.32,272
HCPCS,J1790,DROPERIDOL INJ  2.5MG/ML 2ML,50.98,,2.14,45.88,55
HCPCS,J1815,HUMULIN R CON 500U/ML INJ- 1U,19.91,,0.6832,17.92,56
HCPCS,J1815,INSULIN ASP 100UNITS/ML 3MLPEN,104.44,,0.6832,94.0,56
HCPCS,J1815,INSULIN ASPART 1000UNITS/10MLV,349.4,,0.6832,314.46,56
HCPCS,J1815,INSULIN DET 100 UNIT/ML 3MLPEN,127.71,,0.6832,114.94,56
HCPCS,J1815,INSULIN GLARG 100IU/ML 3ML PEN,88.87,,0.6832,79.98,56
HCPCS,J1815,INSULIN GLARGINE 100U/ML 10ML,414.68,,0.6832,373.21,56
HCPCS,J1815,INSULIN INJ 5 UNITS,2.2,,0.6832,2.16,1064
HCPCS,J1815,INSULIN ISOP/REG 70/30 3ML PEN,90.5,,0.6832,81.45,56
HCPCS,J1815,INSULIN ISOP/REG 70/30 PEN 3ML,87.99,,0.6832,79.19,56
HCPCS,J1815,INSULIN ISOP/REG 70/30 VL 3ML,72.25,,0.6832,65.03,56
HCPCS,J1815,INSULIN ISOPHANE HUMAN U10010M,101.15,,0.6832,91.03,56
HCPCS,J1815,INSULIN LISPRO 75/25 100U/ML10,348.32,,0.6832,313.49,56
HCPCS,J1815,INSULIN NPH 100 IU/ML 3ML PEN,123.19,,0.6832,110.87,56
HCPCS,J1815,INSULIN PER 5 UNITS,2.4,,0.6832,2.16,56
HCPCS,J1815,INSULIN REG 100UN/100ML BAG,107.76,,0.6832,96.98,56
HCPCS,J1815,INSULIN REG HUM DIL 0.1U/ML,5.06,,0.6832,4.55,56
HCPCS,J1815,INSULIN REG HUM DIL 10U/ML,10.12,,0.6832,9.11,56
HCPCS,J1815,INSULIN REG HUM DIL 1U/ML,33.68,,0.6832,30.31,56
HCPCS,J1815,INSULIN REG HUMAN 100U 3ML VL,72.25,,0.6832,65.03,56
HCPCS,J1815,INSULIN REG HUMAN 100U/1ML UP,5.06,,0.6832,4.55,56
HCPCS,J1815,INSULIN REG HUMAN 1UN/ML UP,2.0,,0.6832,1.8,56
HCPCS,J1815,INSULIN REG HUMAN U-100 10ML,101.15,,0.6832,91.03,56
HCPCS,J1815,INSULIN REG NUM 5U/0.05ML UP,2.0,,0.6832,1.8,56
HCPCS,J1815,INSULIN REGULAR HUMAN 10U/ML,10.12,,0.6832,9.11,56
HCPCS,J1817,INSULIN FOR ADM THRU DME 50U,102.2,,3.95,91.98,55
HCPCS,J1817,INSULIN LISPRO 100U/ML 3ML PEN,131.67,,3.95,118.5,55
HCPCS,J1823,INEBILIZUMAB-CDON VL 1MG,1043.73,,455.91,939.36,136
HCPCS,J1830,BETASERON I 0.3MG NF,4748.29,,119.3,4273.46,55
HCPCS,J1830,BETASERON I PER 0.25MG BU .3MG,3956.91,,119.3,3561.22,55
HCPCS,J1833,ISAVUCONAZONIUM/1MG BU 372MG V,6.65,,0.9292,5.99,68
HCPCS,J1836,METRONIDAZOLE HCL RTU INJ .5GM,10.25,,0.0366,9.22,55
HCPCS,J1836,METRONIDAZOLE INJ/10MGBU 500MG,2.0,,0.0366,1.8,56
HCPCS,J1836,METRONIDAZOLE IV 10MG BU/500MG,2.0,,0.0366,1.8,112
HCPCS,J1885,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,1005
HCPCS,J1885,KETOROLAC INJ 15MG (TORADOL),4.9,,0.2484,4.41,67
HCPCS,J1885,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,537
HCPCS,J1885,KETOROLAC INJ/15MG BU 15MG VL,5.25,,0.2484,4.72,68
HCPCS,J1885,KETOROLAC INJ/15MG BU 30MG VL,1.54,,0.2484,1.39,68
HCPCS,J1885,KETOROLAC TROM INJ 15MG/1MLUD,4.25,,0.2484,3.83,67
HCPCS,J1885,KETOROLAC TROM INJ 30MG/1MLUD,4.83,,0.2484,4.35,67
HCPCS,J1920,LABETALOL HCL 5MG VIAL,7.0,,0.4758,6.3,224
HCPCS,J1920,LABETALOL INJ  20MG/4ML UD,44.77,,0.4758,40.29,56
HCPCS,J1920,LABETALOL INJ 200MG/40ML VIAL,30.52,,0.4758,27.47,55
HCPCS,J1930,LANREOTIDE  1MG BU PER 120MG,140.6,,31.33,126.54,204
HCPCS,J1930,LANREOTIDE ACE 1MG BU PER 60MG,117.1,,31.33,105.39,136
HCPCS,J1930,LANREOTIDE ACE 1MG BU PER 90MG,90.15,,31.33,81.14,136
HCPCS,J1930,LANREOTIDE INJ 120MG,16806.0,,31.33,15125.4,396
HCPCS,J1930,LANREOTIDE INJ 90MG,8104.5,,31.33,7294.05,328
HCPCS,J1930,LANREOTIDE SQ INJ 60MG,7041.0,,31.33,6336.9,136
HCPCS,J1938,FUROSEMIDE 1MG BU PER 100MG VL,2.0,,0.0244,1.8,330
HCPCS,J1938,FUROSEMIDE 1MG BU PER 20MG VL,13.7,,0.0244,12.33,330
HCPCS,J1938,FUROSEMIDE 1MG BU PER 40MG VL,2.0,,0.0244,1.8,330
HCPCS,J1938,FUROSEMIDE INJ  20MG/2ML V-,3.38,,0.0244,3.04,55
HCPCS,J1938,FUROSEMIDE INJ  40MG/4ML UP,4.63,,0.0244,4.17,55
HCPCS,J1938,FUROSEMIDE INJ 100MG/10ML V,8.51,,0.0244,7.66,55
HCPCS,J1938,FUROSEMIDE INJ 10MG/1ML-,3.38,,0.0244,3.04,55
HCPCS,J1938,FUROSEMIDE INJ 20MG,3.2,,0.0244,2.88,220
HCPCS,J1938,FUROSEMIDE1MG BU PER 40MG VL,2.0,,0.0244,1.8,55
HCPCS,J1939,BUMETANIDE 0.5MG BU PER 1MG VL,4.4,,0.3404,3.96,204
HCPCS,J1939,BUMETANIDE 1MG/4ML VIAL,7.5,,0.3404,6.75,68
HCPCS,J1939,BUMETANIDE INJ .25MG/ML 10MLNF,13.2,,0.3404,11.88,68
HCPCS,J1939,BUMETANIDE INJ 0.25MG/ML 2MLNF,13.2,,0.3404,11.88,68
HCPCS,J1939,BUMETANIDE INJ 0.25MG/ML 4ML,12.17,,0.3404,10.95,68
HCPCS,J1940,FUROSEMIDE PED INJ 1MG/ML -,6.57,,0.4,5.91,56
HCPCS,J1950,LEUPROLIDE 3.75MGBU/3.75MG INJ,11040.82,,1347.56,9936.74,68
HCPCS,J1950,LEUPROLIDE DEPOT KIT 3.75MG,2254.91,,1127.45,2379.19,204
HCPCS,J1950,LEUPRON DEP 3.75MG BU/11.25MG,351.19,,175.59,2379.19,204
HCPCS,J1950,LEUPRON DEP 3.75MG BU/3.75MG,505.19,,252.59,2379.19,204
HCPCS,J1953,LEVETIRACETAM 1000MG/100ML BAG,61.15,,0.061,55.03,55
HCPCS,J1953,LEVETIRACETAM 1500MG/100ML BAG,68.68,,0.061,61.81,55
HCPCS,J1953,LEVETIRACETAM INJ 500MG VL,8.41,,0.061,7.57,55
HCPCS,J1953,LEVETIRACETAM PED INJ 10MG/ML,8.41,,0.061,7.57,55
HCPCS,J1953,VANCOMYCIN 2GM/500ML 0.9% NACL,224.97,,0.061,202.47,55
HCPCS,J1955,LEVOCARNITINE INJ 1GM/5ML A NF,244.26,,20.82,219.83,55
HCPCS,J1956,LEVOFLOXACIN 750 MG/150 ML-D5W,32.1,,0.4,28.89,55
HCPCS,J1956,LEVOFLOXACIN 750MG/150ML BAG,21.67,,0.4,19.5,55
HCPCS,J1956,LEVOFLOXACIN INJ 500MG/100ML,10.81,,0.4,9.73,55
HCPCS,J1980,HYOSCYAMINE INJ 0.5MG/1ML VL,308.95,,11.05,278.06,56
HCPCS,J2020,LINEZOLID INJ 2MG/ML,2.02,,1.01,7.51,55
HCPCS,J2020,LINEZOLID INJ 600MG/300ML*NF+,160.92,,4.23,144.83,55
HCPCS,J2020,LINEZOLID PER 200MG BU 600MG,53.59,,4.23,48.23,55
HCPCS,J2021,LINEZOLID 200MG/100ML-0.9%NACL,27.7,,7.73,24.93,112
HCPCS,J2060,LORAZEPAM INJ 2MG/ML 10MLVL,60.43,,0.75,54.39,55
HCPCS,J2060,LORAZEPAM INJ 2MG/ML UD-,6.69,,0.75,6.02,55
HCPCS,J2060,LORAZEPAM VL 2MG/ML 1ML,3.6,,0.75,3.24,330
HCPCS,J2060,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,440
HCPCS,J2060,LORAZEPAM VL 2MG/ML 1ML-IT,3.6,,0.75,3.24,55
HCPCS,J2150,MANNITOL INJ 25% 12.5GM/50MLV-,12.04,,2.07,10.84,55
HCPCS,J2175,MEPERIDINE HCL INJ  25MG/ML UD,12.99,,6.5,19.14,55
HCPCS,J2175,MEPERIDINE HCL INJ 100MG/MLUD-,14.82,,7.41,19.14,55
HCPCS,J2175,MEPERIDINE INJ 100MG/ML 1ML,9.4,,4.7,19.14,165
HCPCS,J2175,MEPERIDINE INJ 100MG/ML 1ML IT,9.4,,4.7,19.14,385
HCPCS,J2182,MEPOLIZUMAB SQ INJ 1MG NUCALA,156.94,,28.7,141.25,340
HCPCS,J2185,MEROPENEM INJ 1GM 30ML VL NF,24.07,,0.5368,21.66,55
HCPCS,J2185,MEROPENEM INJ 500MG 20ML VL NF,18.6,,0.5368,16.74,55
HCPCS,J2185,MEROPENEM PED INJ 20MG/ML,18.6,,0.5368,16.74,55
HCPCS,J2185,MEROPENEM VL 100MG,3.0,,0.5368,2.7,275
HCPCS,J2210,METHYLERGONOVIN INJ .2MG/1MLA-,105.88,,19.57,95.29,55
HCPCS,J2212,METHYLNALTREXONE BR 12MG 0.6ML,1031.8,,2.33,928.62,57
HCPCS,J2212,METHYLNALTREXONE INJ 12MG SYR,1032.86,,2.33,929.57,57
HCPCS,J2212,METHYLNALTREXONE INJ 8MG SYR,1032.86,,2.33,929.57,57
HCPCS,J2248,MICAFUNGIN INJ 100MG,1203.65,,0.3782,1083.29,55
HCPCS,J2248,MICAFUNGIN INJ 50MG,601.79,,0.3782,541.61,55
HCPCS,J2248,MICAFUNGIN NA PED INJ 1MG/ML,6.02,,0.3782,5.42,55
HCPCS,J2248,MICAFUNGIN NA VL 1MG  MYCAMINE,5.2,,0.3782,4.68,220
HCPCS,J2249,REMIMAZOLAM INJ 20MG VIAL,260.76,,3.0,234.68,56
HCPCS,J2250,MIDAZOLAM 1MG/ML 100ML NS BAG,119.74,,0.13,107.77,55
HCPCS,J2250,MIDAZOLAM INJ   5MG/5ML VIAL,8.95,,0.13,8.05,55
HCPCS,J2250,MIDAZOLAM INJ  10MG/2ML UD,5.8,,0.13,5.22,55
HCPCS,J2250,MIDAZOLAM INJ  50MG/10ML VIAL,10.69,,0.13,9.62,55
HCPCS,J2250,MIDAZOLAM INJ 10MG/2ML PF VIAL,6.44,,0.13,5.8,55
HCPCS,J2250,MIDAZOLAM INJ 1MG/ML 10ML VIAL,14.13,,0.13,12.72,55
HCPCS,J2250,MIDAZOLAM INJ 1MG/ML 2ML VIAL,3.52,,0.13,3.17,55
HCPCS,J2250,MIDAZOLAM INJ 5MG/1ML PF VIAL,5.8,,0.13,5.22,55
HCPCS,J2250,MIDAZOLAM INJ 5MG/1ML VIAL,2.0,,0.13,1.8,55
HCPCS,J2250,MIDAZOLAM VL 1MG/ML 1ML,2.0,,0.13,1.8,330
HCPCS,J2260,MILRINONE 20MG/DEXT 5% 100ML,204.54,,1.51,184.09,55
HCPCS,J2260,MILRINONE 40MG/DEXT 5% 200ML +,204.54,,1.51,184.09,55
HCPCS,J2260,MILRINONE INJ 10MG/10ML V *NF+,26.26,,1.51,23.63,55
HCPCS,J2260,MILRINONE INJ 20MG/20ML VL*NF+,38.62,,1.51,34.76,55
HCPCS,J2265,MINOCYCLINE INJ/1MG BU 100MG V,17.54,,2.46,15.79,68
HCPCS,J2267,OMVOH PER 1MG BU 300MG/15ML VL,168.77,,39.61,151.89,68
HCPCS,J2270,MORPHINE (FLD-EPIDU)500MG/20ML,2253.51,,1.87,2028.16,55
HCPCS,J2270,MORPHINE INJ 10MG/10ML VIAL,52.58,,1.87,47.32,55
HCPCS,J2270,MORPHINE INJ 15MG/ML 20ML,50.29,,1.87,45.26,55
HCPCS,J2270,MORPHINE INJ 5MG/10ML AMPULE,186.24,,1.87,167.62,55
HCPCS,J2270,MORPHINE INJ 5MG/10ML VIAL,50.29,,1.87,45.26,55
HCPCS,J2270,MORPHINE PF 1MG/ML 2ML AMP,186.24,,1.87,167.62,55
HCPCS,J2270,MORPHINE SO4 INJ  2MG/1ML UD-,10.01,,1.87,9.01,55
HCPCS,J2270,MORPHINE SO4 INJ  4MG/ML UD-,10.01,,1.87,9.01,55
HCPCS,J2270,MORPHINE SO4 INJ 10MG/1ML UD-,16.33,,1.87,14.7,55
HCPCS,J2270,MORPHINE SO4 INJ 30MG/30ML SYR,21.45,,1.87,19.3,55
HCPCS,J2270,MORPHINE SULF INJ 200MG/20ML,1325.31,,1.87,1192.78,55
HCPCS,J2270,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,660
HCPCS,J2272,MORPHINE SULFATE 4MG/ML VIAL,34.2,,9.92,30.78,112
HCPCS,J2274,MORPHINE EPIDURAL INJ10MG/10M+,186.24,,10.4,167.62,55
HCPCS,J2274,MORPHINE PF EPIDURAL 10MG,15.59,,7.79,14.03,110
HCPCS,J2278,ZICONOTIDE 100MCG/1ML IT VIAL,7793.52,,8.17,7014.17,68
HCPCS,J2278,ZICONOTIDE 500MCG/20ML IT VIAL,73.97,,8.17,66.57,68
HCPCS,J2278,ZICONOTIDE 500MCG/5ML IT VIAL,73.97,,8.17,66.57,68
HCPCS,J2278,ZICONOTIDE/1MCG BU 100MGC/1ML,77.94,,8.17,70.15,68
HCPCS,J2278,ZICONOTIDE/1MCG BU 500MCG/20ML,77.94,,8.17,70.15,68
HCPCS,J2278,ZICONOTIDE/1MCG BU 500MCG/5ML,77.94,,8.17,70.15,68
HCPCS,J2280,MOXIFLOXACIN INJ 100MG,67.5,,9.36,60.75,165
HCPCS,J2280,MOXIFLOXACIN INJ 400MG/250MLBG,188.84,,9.36,169.96,55
HCPCS,J2300,NALBUP HCL INJ 10MG/1 AMP-,21.95,,3.07,19.75,55
HCPCS,J2312,NALOXONE HYDROCHLORIDE INJ 1MG,61.4,,0.0854,55.26,165
HCPCS,J2312,NALOXONE INJ 0.4MG/1ML AMP,28.7,,0.0854,25.83,55
HCPCS,J2312,NALOXONE INJ 0.4MG/ML 1ML VL,9.8,,0.0854,8.82,110
HCPCS,J2312,NALOXONE INJ 1MG/2ML AMP-,134.85,,0.0854,121.36,55
HCPCS,J2312,NALOXONE INJ 2MG/2ML SYRINGE,90.11,,0.0854,81.1,55
HCPCS,J2315,NALTREXONE ER/1MG BU 380MG VL,27.46,,3.26,24.71,68
HCPCS,J2323,NATALIZUMAB VL 1MG,44.3,,21.63,39.87,464
HCPCS,J2327,RISANKIZUMAB-RZAA IV VL 1MG,81.4,,13.74,73.26,136
HCPCS,J2329,UBLITUXIMAB/1MG BU 150MG VIAL,351.4,,65.09,316.26,68
HCPCS,J2350,OCRELIZUMAB 1MG BU PER 300MG,307.23,,54.66,276.51,68
HCPCS,J2350,OCRELIZUMAB INJ 1MG,293.65,,54.66,264.29,340
HCPCS,J2353,OCREOTIDE DEPO KIT 1MG BU/10MG,575.68,,78.75,518.11,276
HCPCS,J2353,OCREOTIDE DEPO KIT 1MG BU/20MG,232.05,,78.75,279.92,276
HCPCS,J2353,OCREOTIDE DEPO KIT 1MG BU/30MG,249.48,,78.75,279.92,276
HCPCS,J2353,OCREOTIDE DEPOT KIT 1MG,249.27,,78.75,279.92,471
HCPCS,J2353,OCTREOTIDE LA PER 1MG BU 20MG,1470.78,,78.75,1323.7,69
HCPCS,J2354,OCREOTIDE INJ 0.025MG,9.6,,0.7442,8.64,55
HCPCS,J2354,OCTREOTIDE INJ 100MCG/ML AMP,16.09,,0.7442,14.48,55
HCPCS,J2354,OCTREOTIDE INJ 500MCG/1ML AMP,75.57,,0.7442,68.01,55
HCPCS,J2354,OCTREOTIDE INJ 50MCG/1ML A,13.52,,0.7442,12.17,55
HCPCS,J2354,OCTREOTIDE INJ PER 1MG +,151.13,,0.7442,136.02,55
HCPCS,J2356,TEZEPELUMAB EKKO SQ 1MG,131.1,,16.57,117.99,136
HCPCS,J2357,OMALIZUMAB 5MG BU PER 300MG VL,215.95,,37.7,194.35,136
HCPCS,J2357,OMALIZUMAB 5MG BU PER 75MG SYR,208.04,,37.7,187.24,68
HCPCS,J2360,ORPHENADRINE AMP 30MG/ML 2ML,46.67,,5.29,42.0,55
HCPCS,J2371,PHENYLEPHRINE 40MG/250ML BAG,218.45,,0.0122,196.6,55
HCPCS,J2371,PHENYLEPHRINE INJ  10MG/M AMP-,7.92,,0.0122,7.13,55
HCPCS,J2371,PHENYLEPHRINE INJ 1MG/10ML,22.54,,0.0122,20.29,55
HCPCS,J2371,PHENYLEPHRINE INJ 50MG/5MLV,31.47,,0.0122,28.32,55
HCPCS,J2401,CHLOROPROCAINE INJ 1% 30MLVL,109.16,,0.0488,98.24,56
HCPCS,J2401,CHLOROPROCAINE INJ 2% 20ML V-,128.92,,0.0488,116.03,56
HCPCS,J2401,CHLOROPROCAINE INJ 3% 20ML,135.42,,0.0488,121.88,56
HCPCS,J2404,NICARDIPINE 40MG/200ML PREMIX,315.39,,0.1098,283.85,55
HCPCS,J2404,NICARDIPINE 40MG/ML 0.9% NS,329.45,,0.1098,296.5,55
HCPCS,J2404,NICARDIPINE INJ 2.5MG/ML10MLNF,74.94,,0.1098,67.45,55
HCPCS,J2404,NICARDIPINE INJ 25MG/10ML PFVL,169.32,,0.1098,152.39,55
HCPCS,J2404,NICARDIPINE40MG/200ML0.83%NACL,376.11,,0.1098,338.5,55
HCPCS,J2405,ODANSETRON VL 1MG,2.0,,0.09,6.0,56
HCPCS,J2405,ONDANSETRON HCL INJ 1MG+,2.9,,0.09,6.0,56
HCPCS,J2405,ONDANSETRON INJ 1MG,2.0,,0.09,6.0,112
HCPCS,J2405,ONDANSETRON INJ 4MG/2ML,2.9,,0.09,6.0,56
HCPCS,J2405,ONDANSETRON VL 1MG,2.0,,0.09,6.0,1009
HCPCS,J2405,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,504
HCPCS,J2407,ORITAVANCIN INJ 10MG,147.0,,23.8,132.3,408
HCPCS,J2407,ORITAVANCIN/10MG BU 400MG VIAL,185.67,,23.8,167.1,68
HCPCS,J2425,PALIFERMIN INJ 0.05MG,114.7,,22.81,103.23,204
HCPCS,J2425,PALIFERMIN INJ 6.25MG/ML V NF,23192.95,,22.81,20873.65,68
HCPCS,J2425,PALIFERMIN/50MCG BU 6.25MG VL,222.67,,22.81,200.4,68
HCPCS,J2426,PALIPERIDONE INJ ER 1MG,53.0,,12.1,47.7,136
HCPCS,J2426,PALIPERIDONE PER 1MG BU 117MG,93.26,,12.1,83.93,68
HCPCS,J2426,PALIPERIDONE PER 1MG BU 156MG,93.63,,12.1,84.27,68
HCPCS,J2426,PALIPERIDONE PER 1MG BU 234MG,94.35,,12.1,84.92,68
HCPCS,J2426,PALIPERIDONE PER 1MG BU 78MG,93.62,,12.1,84.26,68
HCPCS,J2430,PAMIDRONATE INJ 90MG/10ML +,210.77,,11.52,221.25,56
HCPCS,J2430,PAMIDRONATE LYOPH VL 30MG,95.4,,11.52,221.25,280
HCPCS,J2440,PAPAVERINE INJ 60MG/2ML AMP,107.01,,1.28,96.31,56
HCPCS,J2469,PALONOSETRON 25MCG BU/250MCGVL,13.51,,0.549,27.75,56
HCPCS,J2469,PALONOSETRON VL 25MCG,118.6,,0.549,106.74,336
HCPCS,J2470,PANTOPRAZOLE INJ 40MG UD+,41.0,,11.64,36.9,56
HCPCS,J2470,PANTOPRAZOLE PED INJ 0.8MG/ML,20.5,,10.25,29.0,56
HCPCS,J2470,PANTOPRAZOLE VL 40MG,9.1,,4.55,29.0,224
HCPCS,J2506,PEGFILFRAST ONPRO 0.5MG BU/6MG,33.5,,16.75,122.84,408
HCPCS,J2506,PEGFILGRAST/0.5MG BU ONPRO 6MG,2610.78,,71.25,2349.7,68
HCPCS,J2507,PEGLOTICASE INJ 1MG,4792.57,,2396.28,5033.64,272
HCPCS,J2508,ELFABRIO 1MG BU/20MG VIAL,328.26,,164.13,313.72,68
HCPCS,J2508,ELFABRIO 1MG BU/5MG VIAL,818.05,,209.91,736.25,68
HCPCS,J2515,PENTOBARB (FLD) INJ 2500MG,6726.16,,31.0,6053.54,56
HCPCS,J2515,PENTOBARB INJ 1000MG/20ML VIAL,4602.08,,31.0,4141.87,56
HCPCS,J2540,PENICILLIN G K INJ  1MU,7.61,,1.07,6.85,55
HCPCS,J2540,PENICILLIN G K INJ  5MU,28.51,,1.07,25.66,55
HCPCS,J2540,PENICILLIN G K INJ  5MU VIAL,28.51,,1.07,25.66,55
HCPCS,J2540,PENICILLIN G K INJ 20MU VL,152.18,,1.07,136.96,55
HCPCS,J2540,PENICILLIN G POT INJ 6000U/ML,2.0,,1.0,1.8,55
HCPCS,J2543,PIPER/TAXO VL 1/0.125GM,2.0,,1.0,1.8,55
HCPCS,J2543,PIPER/TAZO 2.25GM VL,10.58,,1.35,9.52,55
HCPCS,J2543,PIPER/TAZO PEDI INJ 80MG-10MG,0.88,,0.44,1.65,55
HCPCS,J2543,PIPER/TAZO VL 1/0.125GM,2.0,,1.0,1.8,385
HCPCS,J2543,PIPERACILLIN/TAZO 2.25GM ADDV,10.58,,1.35,9.52,55
HCPCS,J2543,PIPERACILLIN/TAZO 3.375GM ADDV,18.19,,1.35,16.37,55
HCPCS,J2543,PIPERACILLIN/TAZO INJ 3.375GM+,12.83,,1.35,11.55,55
HCPCS,J2543,PIPERACILLIN/TAZO INJ 4.5GM V+,44.18,,1.35,39.76,55
HCPCS,J2545,PENTAMIDINE INH 300MG,275.31,,100.49,247.78,220
HCPCS,J2550,PROMETHAZINE INJ 25MG/1ML AMP-,9.62,,2.31,8.66,55
HCPCS,J2550,PROMETHAZINE INJ 25MG/1ML INJ,10.62,,2.31,9.56,55
HCPCS,J2550,PROMETHAZINE INJ 50MG,13.9,,2.31,12.51,110
HCPCS,J2550,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,440
HCPCS,J2560,PHENOBARB INJ 10MG/ML PED UP,79.11,,33.38,71.2,55
HCPCS,J2560,PHENOBARBITAL INJ 130MG/ML,252.31,,33.38,227.08,55
HCPCS,J2560,PHENOBARBITAL INJ 65MG/ML,93.97,,33.38,84.57,55
HCPCS,J2560,PHENOBARBITAL/65MG BU 130MG VL,174.56,,33.38,157.1,55
HCPCS,J2560,PHENOBARBITAL/65MG BU 65MG VL,137.36,,33.38,123.62,55
HCPCS,J2562,PLERIXAFOR 1MG BU PER 24MG VL,36.1,,18.05,365.29,476
HCPCS,J2562,PLERIXAFOR PER 1MG BU 24MG VL,53.26,,23.3,365.29,68
HCPCS,J2590,OXYTOCIN 30UNITS/500ML NS,228.15,,0.53,205.34,56
HCPCS,J2590,OXYTOCIN 60UNITS/1000ML NS,228.15,,0.53,205.34,56
HCPCS,J2590,OXYTOCIN 80UNITS/500ML NS,186.26,,0.53,167.63,56
HCPCS,J2590,OXYTOCIN INJ  10U/1ML UD-,23.17,,0.53,20.85,56
HCPCS,J2590,OXYTOCIN INJ 100U/10ML V,40.77,,0.53,36.69,56
HCPCS,J2590,OXYTOCIN INJ 300U/30ML VIAL,347.51,,0.53,312.76,56
HCPCS,J2597,DESMOPRESSIN INJ 1MCG,29.2,,3.24,26.28,204
HCPCS,J2597,DESMOPRESSIN INJ 1MCG-IT,29.2,,3.24,26.28,272
HCPCS,J2597,DESMOPRESSIN INJ 40MCG/10ML V,1079.61,,3.24,971.65,68
HCPCS,J2597,DESMOPRESSIN INJ 4MCG/ML AMP,138.27,,3.24,124.44,68
HCPCS,J2597,DESMOPRESSIN PER 1MCG BU 4MCG,34.57,,3.24,31.11,68
HCPCS,J2597,DESMOPRESSIN/1MCG BU 40MCG VL,26.99,,3.24,24.29,68
HCPCS,J2675,PROGESTERONE INJ 50MG/ML  *N,197.12,,0.7686,177.41,55
HCPCS,J2679,FLUPHENAZINE 2.5MG/ML VL 10ML,706.02,,6.75,635.42,68
HCPCS,J2680,FLUPHENAZNE DEC INJ125MG/5ML V,997.43,,9.19,897.69,55
HCPCS,J2690,PROCAINAMIDE INJ 1000ML/10ML V,417.09,,71.73,405.2,68
HCPCS,J2704,PROPOFOL INJ 10MG/1ML,2.0,,0.1098,1.8,55
HCPCS,J2704,PROPOFOL INJ 200MG/20ML VIAL,12.23,,0.1098,11.01,55
HCPCS,J2704,PROPOFOL INJ 500MG/50ML VIAL,2.0,,0.1098,1.8,55
HCPCS,J2710,NEOSTIGMINE INJ 0.5MG/ML 10ML,51.49,,0.09,46.34,56
HCPCS,J2710,NEOSTIGMINE INJ 1MG/ML SYR 3ML,80.91,,0.09,72.82,56
HCPCS,J2710,NEOSTIGMINE INJ 1MG/ML SYR 5ML,40.45,,0.09,36.41,56
HCPCS,J2710,NEOSTIGMINE INJ 3MG/3ML SYR,52.14,,0.09,46.93,56
HCPCS,J2720,PROTAMINE SO4 INJ 1%  5ML AMP,70.09,,1.08,63.08,55
HCPCS,J2720,PROTAMINE SO4 INJ 1% 25ML VIAL,210.63,,1.08,189.57,55
HCPCS,J2730,PRALIDOXIME CL INJ 1GM/20 VL,559.16,,91.9,503.24,56
HCPCS,J2760,PHENTOLAMINE INJ/5MG BU 5MG VL,2996.0,,359.14,2696.4,68
HCPCS,J2765,METOCLOPRAMIDE INJ 10MG/2ML V-,4.37,,1.04,3.93,55
HCPCS,J2765,METOCLOPRAMIDE INJ NEO .1MG/ML,4.37,,1.04,3.93,55
HCPCS,J2765,METOCLOPRAMIDE INJ PED 0.5MG,4.37,,1.04,3.93,55
HCPCS,J2765,METOCLOPRAMIDE VL 10MG,6.2,,1.04,5.58,110
HCPCS,J2765,METOCLOPRAMIDE VL 10MG IT,6.2,,1.04,5.58,385
HCPCS,J2770,QUINUPRTL/DALFO INJ 500MG V NF,2999.47,,3.92,2699.52,68
HCPCS,J2770,QUINUPRTL/DALFO/500MG BU 500MG,2999.47,,3.92,2699.52,68
HCPCS,J2783,RASBURICASE INJ 0.5MG,614.46,,300.94,553.01,272
HCPCS,J2783,RASBURICASE PER 0.5MG BU 1.5MG,2506.95,,300.94,2256.26,68
HCPCS,J2785,REGADENOSON INJ 0.1MG,6.9,,3.45,59.19,55
HCPCS,J2785,REGADENOSON INJ 0.4MG,414.77,,3.53,373.29,55
HCPCS,J2790,RHO (D) IMM GLOB IM 300MCG,394.66,,74.3,355.19,165
HCPCS,J2791,RHO (D) IVIG RHOPHYLAC 100IU,26.8,,4.73,24.12,55
HCPCS,J2794,RISPERIDONE INJ LA 12.5MG,1938.44,,10.1,1744.6,68
HCPCS,J2794,RISPERIDONE INJ LA 37.5MG,5814.97,,10.1,5233.47,68
HCPCS,J2794,RISPERIDONE INJ LA 50MG,7753.62,,10.1,6978.26,68
HCPCS,J2794,RISPERIDONE LA INJ 25MG UD,3876.53,,10.1,3488.88,68
HCPCS,J2794,RISPERIDONE LA/0.5MG BU 12.5MG,77.54,,10.1,69.79,68
HCPCS,J2794,RISPERIDONE LA/0.5MG BU 25MG,77.53,,10.1,69.78,68
HCPCS,J2794,RISPERIDONE LA/0.5MG BU 37.5MG,77.34,,10.1,69.61,68
HCPCS,J2794,RISPERIDONE PER 0.5MG BU 50MG,77.54,,10.1,69.79,68
HCPCS,J2795,+ROPIVACAINE 0.2% 550ML ON-Q,997.66,,0.07,897.89,55
HCPCS,J2795,ROPIVACAINE 0.2% (200MG/100ML),245.63,,0.07,221.07,55
HCPCS,J2795,ROPIVACAINE 0.2% (400MG/200ML),457.01,,0.07,411.31,55
HCPCS,J2795,ROPIVACAINE 0.2% 100ML**,122.29,,0.07,110.06,55
HCPCS,J2795,ROPIVACAINE 1% INJ 20ML AMP,146.1,,0.07,131.49,55
HCPCS,J2795,ROPIVACAINE INJ 0.2% 20ML,42.1,,0.07,37.89,55
HCPCS,J2795,ROPIVACAINE INJ 0.5% 30ML,28.32,,0.07,25.49,55
HCPCS,J2795,ROPIVACAINE INJ 1MG,2.0,,0.07,1.8,55
HCPCS,J2795,ROPIVACAINE INJ 5MG/ML 30ML V,28.32,,0.07,25.49,55
HCPCS,J2799,RISPERIDONE ER/1MG BU 50MG INJ,169.05,,23.04,152.15,68
HCPCS,J2799,RISPERIDONE ER/1MG BU 75MG INJ,169.05,,23.04,152.15,68
HCPCS,J2799,RISPERIDONE ER/1MGBU 100MG INJ,169.05,,23.04,152.15,68
HCPCS,J2799,RISPERIDONE ER/1MGBU 125MG INJ,169.05,,23.04,152.15,68
HCPCS,J2802,ROMIPLOSTIM 1MCG BU PER 250MCG,38.3,,10.13,34.47,408
HCPCS,J2802,ROMIPLOSTIM 1MCG BU PER 500MCG,38.2,,10.13,34.38,476
HCPCS,J2802,ROMIPLOSTIM/1MCG BU 250MCG SDV,77.08,,10.13,69.37,68
HCPCS,J2802,ROMIPLOSTIM/1MCG BU 500MCG SDV,77.08,,10.13,69.37,68
HCPCS,J2840,SEBELIPASE ALFA VL 1MG,1172.43,,496.72,1055.19,68
HCPCS,J2850,SECRETIN SYNTH/1MCG BU 16MCG,281.14,,34.78,253.03,68
HCPCS,J2850,SECRETIN SYNTHETIC VL 16MCG,4498.2,,34.78,4048.38,68
HCPCS,J2850,SECRETIN VL 1MCG,289.17,,34.78,260.25,136
HCPCS,J2860,SILTUXIMAB VL 10MG,522.06,,111.94,469.85,136
HCPCS,J2916,FERRIC GLUC AMP 12.5MG/ML 1ML,12.8,,2.09,11.52,280
HCPCS,J2919,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,544
HCPCS,J2919,METHYLPRED 5MG BU PER 125MG VL,0.6,,0.1932,0.54,476
HCPCS,J2919,METHYLPRED 5MG BU PER 40MG VL,2.0,,0.1932,1.8,476
HCPCS,J2919,METHYLPRED INJ 1GM/8ML PF VL,387.94,,0.1932,349.15,68
HCPCS,J2919,METHYLPRED NA IVPB 125MG,15.0,,0.1932,13.5,272
HCPCS,J2919,METHYLPRED NA SUC PED INJ12.5-,8.14,,0.1932,7.33,68
HCPCS,J2919,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,748
HCPCS,J2919,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,612
HCPCS,J2919,METHYLPRED PER 5MG BU 125MG VL,0.6,,0.1932,0.54,136
HCPCS,J2919,METHYLPRED PER 5MG BU 40MG VL,1.0,,0.1932,0.9,136
HCPCS,J2919,METHYLPRED SOD / 5MG BU 1000MG,2.0,,0.1932,1.8,68
HCPCS,J2919,METHYLPRED SOD / 5MG BU 125MG,2.0,,0.1932,1.8,68
HCPCS,J2919,METHYLPRED SOD / 5MG BU 40MG,2.0,,0.1932,1.8,68
HCPCS,J2919,METHYLPRED SOD / 5MG BU 500MG,2.0,,0.1932,1.8,68
HCPCS,J2919,METHYLPRED SOD INJ 1GM VIAL,125.65,,0.1932,113.08,68
HCPCS,J2919,METHYLPRED SOD SUC INJ  500MGV,153.09,,0.1932,137.78,68
HCPCS,J2919,METHYLPRED SOD SUC INJ 1000MGV,125.65,,0.1932,113.08,68
HCPCS,J2919,METHYLPRED SOD SUC INJ 125MGV,51.84,,0.1932,46.66,68
HCPCS,J2919,METHYLPRED SOD SUC INJ 40MG VL,32.58,,0.1932,29.32,68
HCPCS,J2919,METHYLPRED SOD/5MGBU 1000MG PF,2.0,,0.1932,1.8,68
HCPCS,J2919,SOLU-MEDROL 5MG BU PER 125MG V,0.6,,0.1932,0.54,68
HCPCS,J2919,SOLU-MEDROL 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
HCPCS,J2997,ALTEPLACE PER 1MG BU 10MG INJ,595.08,,24.75,535.57,69
HCPCS,J2997,ALTEPLASE INJ 100MG V+,59508.05,,24.75,53557.25,69
HCPCS,J2997,ALTEPLASE INJ 10MG+,5950.8,,24.75,5355.72,69
HCPCS,J2997,ALTEPLASE INJ 50MG/50ML V*+,29753.99,,24.75,26778.59,69
HCPCS,J2997,ALTEPLASE PER 1MG BU 100MG VL,595.08,,24.75,535.57,69
HCPCS,J2997,ALTEPLASE PER 1MG BU 1MG,596.23,,24.75,536.61,69
HCPCS,J2997,ALTEPLASE PER 1MG BU 2MG,596.23,,24.75,536.61,69
HCPCS,J2997,ALTEPLASE PER 1MG BU 50MG VL,595.08,,24.75,535.57,69
HCPCS,J2997,ALTEPLASE VL 1MG,161.07,,24.75,144.96,747
HCPCS,J2997,ALTEPLASE(OPEN CATH) 2MG/2MLI+,1192.45,,24.75,1073.2,69
HCPCS,J3010,FENTANYL  INJ 0.1MG/2ML AMP+,30.81,,0.78,27.73,55
HCPCS,J3010,FENTANYL  INJ 0.25MG/5ML AMP+,7.19,,0.78,6.47,55
HCPCS,J3010,FENTANYL  INJ 1MG/20ML VIAL+,22.98,,0.78,20.68,55
HCPCS,J3010,FENTANYL INJ 0.1MG/2ML AMP+,3.67,,0.78,3.3,55
HCPCS,J3010,FENTANYL INJ 0.1MG/2ML VIAL,5.3,,0.78,6.12,330
HCPCS,J3010,FENTANYL INJ 0.25MG/5ML VIAL,7.19,,0.78,6.47,55
HCPCS,J3010,FENTANYL INJ 0.5MG/10ML,7.85,,0.78,7.07,55
HCPCS,J3010,FENTANYL INJ 10MCG/ML 3ML SYR,45.29,,0.78,40.76,55
HCPCS,J3010,FENTANYL INJ 2.5MG/50ML VIAL+,108.71,,0.78,97.84,55
HCPCS,J3010,FENTANYL INJ 5MG/100ML SBS,3.8,,0.78,3.42,55
HCPCS,J3010,FENTANYL PCA SYR 1250MCG/25ML,108.71,,0.78,97.84,55
HCPCS,J3010,SUMATRIPITAN 6MG/0.5ML VL,30.0,,0.78,27.0,55
HCPCS,J3030,SUMATRIPTAN 6MG/0.5ML UD -,38.71,,19.36,199.79,56
HCPCS,J3032,EPTINEZUMAB INJ 1MG,140.1,,18.37,126.09,204
HCPCS,J3055,TALQUETAMAB-TGVS/0.25MG BU 3MG,342.91,,66.81,308.62,68
HCPCS,J3055,TALQUETAMAB-TGVS/0.25MGBU 40MG,347.155,,66.81,316.26,272
HCPCS,J3101,TENECTEPLASE PER 1MG BU 50MG V,1058.6,,129.26,952.74,68
HCPCS,J3105,TERBUTALINE INJ 1MG,13.3,,3.01,11.97,55
HCPCS,J3111,ROMOSOZUMAB 1MG BU PER 105MG,160.8,,9.01,144.72,203
HCPCS,J3230,CHLORPROMAZINE INJ 25MG/1ML A-,176.65,,33.03,158.99,55
HCPCS,J3240,THYROTROPIN ALPHA INJ 1.1MG,2806.26,,1403.13,2909.94,136
HCPCS,J3241,TEPROTUMUMAB-TRBW VL 10MG,1281.05,,315.88,1152.94,136
HCPCS,J3243,TIGCYCLINE INJ 1MG,2.0,,0.6222,1.8,220
HCPCS,J3243,TIGECYCLINE PER 1MG BU 50MG,4.51,,0.6222,4.06,55
HCPCS,J3245,TILDRAKIZUMAB INJ 1MG (ILUMYA),660.59,,117.25,594.53,408
HCPCS,J3247,COSENTYX 1MG BU/125MG VIAL,25.83,,12.86,24.53,136
HCPCS,J3260,TOBRAMYCIN 80MG SBS 1.2GM/30ML,79.36,,3.0,71.42,55
HCPCS,J3260,TOBRAMYCIN 80MG SBS 2G/50ML,314.09,,3.0,282.68,55
HCPCS,J3260,TOBRAMYCIN INJ  20MG,31.6,,3.0,28.44,55
HCPCS,J3260,TOBRAMYCIN INJ  NEO 1MG/ML,15.8,,3.0,14.22,55
HCPCS,J3260,TOBRAMYCIN INJ  PED 10MG/ML,15.8,,3.0,14.22,55
HCPCS,J3260,TOBRAMYCIN INJ 80MG/2ML V -,18.62,,3.0,16.76,55
HCPCS,J3260,TOBRAMYCIN INJ 80MG/2ML VL,18.62,,3.0,16.76,55
HCPCS,J3260,TOBRAMYCIN INJ PWDR 1.2GM V*NF,345.51,,3.0,310.96,55
HCPCS,J3260,TOBRAMYCIN IVPB 80MG,16.6,,3.0,14.94,220
HCPCS,J3262,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,544
HCPCS,J3262,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,544
HCPCS,J3262,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,544
HCPCS,J3262,TOCILIZUMAB PER 1MG BU 200MG V,44.9,,5.25,40.41,68
HCPCS,J3262,TOCILIZUMAB PER 1MG BU 400MG V,44.9,,5.25,40.41,68
HCPCS,J3262,TOCILIZUMAB PER 1MG BU 80MG VL,44.9,,5.25,40.41,68
HCPCS,J3262,TOCILIZUMAB VL 200MG/10ML IV,8979.32,,5.25,8081.39,68
HCPCS,J3262,TOCILIZUMAB VL 80MG/4ML IV,3591.7,,5.25,3232.53,68
HCPCS,J3285,AMPHOTERICIN PED INJ 0.1MG/ML,24.3,,12.15,75.23,68
HCPCS,J3285,TREPROSTINIL INJ 100MG/20ML V,12868.24,,50.33,11581.42,68
HCPCS,J3285,TREPROSTINIL INJ 200MG/20ML VL,25736.55,,50.33,23162.9,68
HCPCS,J3285,TREPROSTINIL INJ 20MG/20ML V +,2773.89,,50.33,2496.5,68
HCPCS,J3285,TREPROSTINIL INJ 50MG/20ML V,6434.12,,50.33,5790.71,68
HCPCS,J3285,TREPROSTINIL PER 1MG BU 20MG V,138.69,,50.33,124.82,68
HCPCS,J3285,TREPROSTINIL PER 1MG BU 50MG V,138.69,,50.33,124.82,68
HCPCS,J3285,TREPROSTINIL/1MG BU 100MG VIAL,138.69,,50.33,124.82,68
HCPCS,J3285,TREPROSTINIL/1MG BU 10MG/1ML,138.69,,50.33,124.82,68
HCPCS,J3285,TREPROSTINIL/1MG BU 1MG/1ML,138.69,,50.33,124.82,68
HCPCS,J3285,TREPROSTINIL/1MG BU 2.5MG/1ML,138.69,,50.33,124.82,68
HCPCS,J3285,TREPROSTINIL/1MG BU 200MG VIAL,138.69,,50.33,124.82,68
HCPCS,J3285,TREPROSTINIL/1MG BU 5MG/1ML,138.69,,50.33,124.82,68
HCPCS,J3299,XIPERE INJ/1MG BU 40MG VIAL,288.75,,44.13,259.88,68
HCPCS,J3300,TRIAMCIN ACETONIDE PF 1MG,2.0,,1.0,33.69,68
HCPCS,J3301,TRIAMCIN ACE VL 40MG/ML 1ML,60.27,,1.05,54.24,55
HCPCS,J3301,TRIAMCINOLONE ACE INJ 10MG,9.2,,1.05,8.28,55
HCPCS,J3301,TRIAMCINOLONE ACE INJ400MG/10M,145.95,,1.05,131.35,55
HCPCS,J3301,TRIAMCINOLONE ACET INJ  50/5 V,77.84,,1.05,70.06,55
HCPCS,J3301,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,1485
HCPCS,J3303,TRIAMCINOLONE HEX INJ 5MG,10.98,,3.61,11.89,224
HCPCS,J3304,TRIAMCIN ACE PF ER MIC INJ 1MG,130.4,,16.84,117.36,272
HCPCS,J3315,TRIPTORELIN VL 3.75MG,842.61,,385.61,758.35,260
HCPCS,J3357,USTEKINUMAB INJ SC 1MG,640.29,,137.45,576.26,125
HCPCS,J3357,USTEKINUMAB VL 1MG,640.29,,137.45,576.26,204
HCPCS,J3358,USTEKINUMAB IV INJ 1MG,92.4,,11.95,83.16,396
HCPCS,J3360,DIAZEPAM  INJ 5MG/ML  2ML UD,153.19,,6.05,137.87,55
HCPCS,J3360,DIAZEPAM INJ 5MG,46.4,,6.05,41.76,110
HCPCS,J3360,DIAZEPAM INJ 5MG/ML 10MLVIAL,233.84,,6.05,210.46,55
HCPCS,J3373,VANCOMYCIN 1.75GM/500ML NS BAG,149.25,,0.0366,134.32,55
HCPCS,J3373,VANCOMYCIN 2.5GM IV UED RXW,112.63,,0.0366,101.37,55
HCPCS,J3373,VANCOMYCIN 3GM IV UED RXW,79.88,,0.0366,71.89,55
HCPCS,J3373,VANCOMYCIN 7MG/0.7ML IVIT,12.49,,0.0366,11.24,55
HCPCS,J3373,VANCOMYCIN INJ  PED 5MG/ML -,11.26,,0.0366,10.13,55
HCPCS,J3373,VANCOMYCIN INJ 1.25GM VIAL,125.51,,0.0366,112.96,55
HCPCS,J3373,VANCOMYCIN INJ 1000MG VL,90.16,,0.0366,81.14,55
HCPCS,J3373,VANCOMYCIN INJ 1500MG VIAL,155.23,,0.0366,139.71,55
HCPCS,J3373,VANCOMYCIN INJ 1750MG,241.08,,0.0366,216.97,55
HCPCS,J3373,VANCOMYCIN INJ 2000MG,275.52,,0.0366,247.97,55
HCPCS,J3373,VANCOMYCIN INJ 250MG RXWORKS,51.11,,0.0366,46.0,55
HCPCS,J3373,VANCOMYCIN INJ 500MG  -,15.19,,0.0366,13.67,55
HCPCS,J3373,VANCOMYCIN INJ 750MG VIAL,59.36,,0.0366,53.42,55
HCPCS,J3373,VANCOMYCIN INJ-IT 10MG QS 2ML-,11.26,,0.0366,10.13,55
HCPCS,J3373,VANCOMYCIN ONC LOCK 25MG/5ML,42.82,,0.0366,38.54,55
HCPCS,J3373,VANCOMYCIN VL 500MG,13.0,,0.0366,11.7,385
HCPCS,J3380,VEDOLIZUMAB INJ 1MG,154.5,,19.61,139.05,408
HCPCS,J3380,VEDOLIZUMAB PER 1MG BU 300MG V,200.2,,19.61,180.18,68
HCPCS,J3385,VELAGLUCERASE VL 100U (VPRIV),814.14,,346.15,732.73,204
HCPCS,J3411,THIAMINE 200 MG/2ML VIAL,12.6,,2.18,11.34,55
HCPCS,J3411,THIAMINE HCL INJ100MG/ML 2ML A,26.39,,2.18,23.75,55
HCPCS,J3411,VIT B1 (THIAMINE) INJ 100MG,14.049999999999999,,2.18,16.11,330
HCPCS,J3415,PYRIDOXINE HCL INJ 100MG/1ML,77.95,,7.82,70.16,55
HCPCS,J3420,CYANOCOBALAMIN INJ 1000MCG UD-,28.97,,1.16,26.07,55
HCPCS,J3420,CYANOCOBALAMIN INJ 100MCG UD -,2.0,,1.0,1.84,55
HCPCS,J3420,CYANOCOBALAMIN PEDINJ50MCG/ML-,2.0,,1.0,1.84,55
HCPCS,J3420,VIT B12 1000MCG/ML 1ML,6.5,,1.16,5.85,110
HCPCS,J3420,VIT B12 INJ 1000MCG,6.5,,1.16,5.85,110
HCPCS,J3420,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,8.19,990
HCPCS,J3420,VIT B12 VL 1000MCG/ML 1ML IT,6.0,,1.16,5.4,55
HCPCS,J3420,VIT B12 VL 1000MCG/ML 1ML-IT,6.0,,1.16,5.4,330
HCPCS,J3424,HYDROXOCOBALAMIN/ 25MG BU 5GM,32.12,,4.77,28.91,68
HCPCS,J3430,PHYTONADIONE INJ 10MG/ML 5ML V,122.29,,3.46,110.06,55
HCPCS,J3430,PHYTONADIONE INJ 10MG/ML AMP,122.29,,3.46,110.06,55
HCPCS,J3430,PHYTONADIONE INJ 1MG/0.5M AMP-,61.45,,3.46,55.3,55
HCPCS,J3430,PHYTONADIONE INJ 1MG/0.5ML VL,16.48,,3.46,14.83,55
HCPCS,J3430,PHYTONADIONE PF 1MG/0.5ML SYR,153.64,,3.46,138.28,55
HCPCS,J3430,VIT K1 (PHYTON) INJ 1MG,19.7,,3.46,17.73,220
HCPCS,J3459,PRIVIGEN 500MG BU PER 40GM VL,250.25,,64.06,225.22,56
HCPCS,J3465,VORICONAZOLE 700MCG/0.7ML IVIT,2.0,,0.9516,1.8,55
HCPCS,J3465,VORICONAZOLE INJ 200MG/20ML NF,91.14,,0.9516,82.03,55
HCPCS,J3465,VORICONAZOLE/10MG BU 200MG VL,4.56,,0.9516,4.1,55
HCPCS,J3470,HYALURONIDASE INJ 150U/ML 1ML+,273.32,,21.2,245.99,55
HCPCS,J3470,HYALURONIDASE VL 150U/ML 1ML,273.32,,21.2,245.99,55
HCPCS,J3473,HYLENEX 1U BU PER 150U/ML VIAL,2.5,,0.36,2.25,110
HCPCS,J3475,MAG SO4 INJ 10MG/ML 100ML BAG,175.59,,0.42,158.03,55
HCPCS,J3475,MAG SO4 INJ 40MG/ML 500ML BAG,177.86,,0.42,160.07,55
HCPCS,J3475,MAG SO4 INJ 40MG/ML 50ML BAG,179.46,,0.42,161.51,55
HCPCS,J3475,MAG SO4 INJ 80MG/ML 50ML BAG,171.17,,0.42,154.05,55
HCPCS,J3475,MAGNESIUM SO4 INJ   8MEQ/2ML A,7.34,,0.42,6.61,55
HCPCS,J3475,MAGNESIUM SO4 INJ  16MEQ/4ML,7.34,,0.42,6.61,55
HCPCS,J3475,MAGNESIUM SO4 INJ  24MEQ/6ML,7.34,,0.42,6.61,55
HCPCS,J3475,MAGNESIUM SO4 INJ FOR BABY TPN,4.59,,0.42,4.13,55
HCPCS,J3475,MAGNESIUM SO4 PEDI 80MG/ML INJ,7.34,,0.42,6.61,55
HCPCS,J3475,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,440
HCPCS,J3475,MAGNESIUM SULFATE INJ NEO 40MG,7.34,,0.42,6.61,55
HCPCS,J3475,MGSO4 40MG/ML 1000ML STRL H20,198.69,,0.42,178.82,55
HCPCS,J3480,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,495
HCPCS,J3480,POT CHLORIDE 10MEQ/100ML BAG,32.89,,0.15,29.6,55
HCPCS,J3480,POT CHLORIDE 20MEQ/100ML BAG,26.43,,0.15,23.79,55
HCPCS,J3480,POT CHLORIDE 20MEQ/50ML BAG,26.43,,0.15,23.79,55
HCPCS,J3480,POT CHLORIDE INJ FOR BABY TPN,3.22,,0.15,2.9,55
HCPCS,J3480,POT CL INJ 20MEQ/10ML UP,12.87,,0.15,11.58,55
HCPCS,J3480,POT CL INJ 20MEQ/10ML VIAL,12.87,,0.15,11.58,55
HCPCS,J3480,POT CL INJ 60MEQ/30ML VIAL,22.14,,0.15,19.93,55
HCPCS,J3480,POTASSIUM CL 20 MEQ/10 ML VIAL,235.0,,0.15,211.5,110
HCPCS,J3480,POTASSIUM CL 20 MEQ/10ML VIAL,235.0,,0.15,211.5,55
HCPCS,J3485,ZIDOVUDINE INJ 200MG/20ML V+,187.88,,1.51,169.09,55
HCPCS,J3485,ZIDOVUDINE NEONAT INJ 2MG/ML,9.39,,1.51,8.45,55
HCPCS,J3486,ZIPRASIDONE INJ 20MG/ML V   NF,37.01,,3.83,33.31,55
HCPCS,J3489,ZOLEDRONIC ACID BAG 4MG/100ML,160.86,,6.34,144.77,55
HCPCS,J3489,ZOLEDRONIC ACID INJ 4MG VIAL+,39.34,,6.34,35.41,55
HCPCS,J3489,ZOLEDRONIC ACID PER 1MG BU 4MG,2.0,,1.0,9.71,55
HCPCS,J3489,ZOLEDRONIC ACID VL 1MG-RECLAST,42.2,,6.34,37.98,330
HCPCS,J3489,ZOLEDRONIC ACID VL 1MG-ZOMETA,16.0,,6.34,14.4,385
HCPCS,J3489,ZOLEDRONIC ACID/1MG BU 4MG BAG,2.0,,1.0,9.71,55
HCPCS,J3490,AMINO ACID INJ 50GM/1000ML BAG,895.0,,447.5,805.5,54
HCPCS,J3490,AZTREONAM 500MG INJ SBS,95.66,,47.83,86.09,54
HCPCS,J3490,CLINDAMYCIN NEO INJ (2MG/ML),4.54,,2.27,4.09,54
HCPCS,J3490,CLINDAMYCIN/D5W 600MG/50ML VL,35.1,,17.55,31.59,54
HCPCS,J3490,COPPER CHLORIDE 4MG/10ML VL,152.2,,76.1,136.98,54
HCPCS,J3490,DILTIAZEM INJ 125MG/25ML VIAL,35.85,,17.93,32.27,54
HCPCS,J3490,DOXYCYCLINE INJ 100MG VIAL,106.14,,53.07,95.53,54
HCPCS,J3490,ESMOLOL INJ 100MG/ML 10ML SYR,35.91,,17.95,32.32,54
HCPCS,J3490,FAMOTIDINE INJ 20MG/2ML UP*NF,4.44,,2.22,4.0,54
HCPCS,J3490,FLUMAZENIL 0.5MG/5ML VIAL,25.9,,12.95,23.31,54
HCPCS,J3490,KETAMINE 200 MG/20 ML VIAL,109.85,,54.92,98.86,54
HCPCS,J3490,METOPROLOL INJ 5MG/ML AMP,3.89,,1.95,3.5,54
HCPCS,J3490,NITROGLYCERIN INJ  50MG/10ML V,78.14,,39.07,70.33,54
HCPCS,J3490,RIFAMPIN INJ600MG/10ML V,492.35,,246.18,443.12,54
HCPCS,J3490,SMZ/TMP DESEN 4MG-0.8MG/ML INJ,20.18,,10.09,18.16,54
HCPCS,J3490,TESTOPEL 75MG PELLET,445.62,,222.81,401.06,54
HCPCS,J3490,VERAPAMIL INJ 2.5MG/ML VIAL,80.9,,40.45,72.81,54
HCPCS,J3490,VERAPAMIL INJ 5MG/2ML VIAL,14.0,,7.0,12.6,54
HCPCS,J3535,ALBUTEROL INHALER 8.5GM,103.4,,51.7,93.06,55
HCPCS,J3535,BUDESONIDE PWDR INHAL 180MCG,1216.5,,60.73,1094.85,55
HCPCS,J3535,FLUTIC/SALMEL INH 100/50 60DS,344.65,,60.73,310.19,55
HCPCS,J3535,FLUTIC/SALMEL INH 250/50 60DS,428.25,,60.73,385.43,55
HCPCS,J3535,FLUTIC/SALMEL INH 500/50 60DS,563.25,,60.73,506.93,55
HCPCS,J3535,SALMETEROL DISKS 50MCG 60 DOSE,1946.85,,60.73,1752.16,55
HCPCS,J3590,MENQUADFI 10MCG/0.5ML SDV,668.3,,334.15,601.47,378
HCPCS,J3590,SODIUM PHOSPHATE 45MMOL/15ML,173.3,,86.65,155.97,216
HCPCS,J7060,DEXTROSE 5% 2ML UP,12.17,,2.04,10.95,55
HCPCS,J7100,DEXTRAN 40 10%  D5W INJ500ML-,255.55,,17.77,230.0,56
HCPCS,J7131,SODIUM CHLORIDE 3% 500ML,173.59,,0.05,156.23,56
HCPCS,J7131,SODIUM CHLORIDE 3% INJ 1ML,16.48,,0.05,14.83,56
HCPCS,J7131,SODIUM CL 23.4% INJ 30ML VIAL,28.83,,0.05,25.95,56
HCPCS,J7131,SODIUM CL INJ 2.5MEQ/ML 40MLVL,42.24,,0.05,38.02,56
HCPCS,J7168,PROTHROMBIN COMP CONC VL 1U,13.6,,1.97,12.24,68
HCPCS,J7169,ANDEXXA INJ/10MG BU 200MG VL,851.91,,120.87,766.72,68
HCPCS,J7177,FIBRYGA 1MG BU/700-1300MG VIAL,5.46,,1.07,4.91,68
HCPCS,J7177,OCTOPHARMA FIBRYGA VL 1MG,9.3,,1.07,8.37,204
HCPCS,J7186,ALPHANATE/VON WILLEBRAND FX 1U,8.7,,1.14,7.83,68
HCPCS,J7187,HUMATE-P 1IU/1000-1600IU VIAL,7.585,,1.21,8.01,544
HCPCS,J7187,HUMATE-P 1IU/1600-3000IU VIAL,7.585,,1.21,8.01,544
HCPCS,J7187,HUMATE-P 1IU/500-999IU VIAL,7.585,,1.21,8.01,544
HCPCS,J7187,VON WILLEBRAND FACTOR PER IU,2.0,,1.0,2.05,136
HCPCS,J7187,VWF-HUMATE-P PER 1U,7.0,,1.21,6.3,68
HCPCS,J7189,FACTOR VII-NOVO7 PER 500MCG*,2537.0,,2.25,2283.3,136
HCPCS,J7189,NOVOSEVEN MIXPRO/1MCG BU 1MG,15.05,,2.25,13.54,68
HCPCS,J7189,NOVOSEVEN MIXPRO/1MCG BU 2MG,15.05,,2.25,13.54,68
HCPCS,J7189,NOVOSEVEN MIXPRO/1MCG BU 5MG,15.05,,2.25,13.54,68
HCPCS,J7192,FACTOR VIII (RECOMB) PER 1IU,10.1,,1.38,9.09,68
HCPCS,J7192,KOGENATE 1IU/1000-1999IU VIAL,9.03,,1.38,8.13,68
HCPCS,J7192,KOGENATE 1IU/2000-2999IU VIAL,9.03,,1.38,8.13,68
HCPCS,J7192,KOGENATE 1IU/500-999IU VIAL,9.03,,1.38,8.13,68
HCPCS,J7194,FACTOR IX-PROFILNINE PER 1IU,7.0,,1.49,6.3,68
HCPCS,J7195,BENEFIX 1IU/1000-1999IU VIAL,7.0,,1.53,6.3,68
HCPCS,J7195,BENEFIX 1IU/3000IU+ VIAL,7.0,,1.53,6.3,68
HCPCS,J7195,FACT IX RECOMB 1IU/3000+ IU,8.4,,1.53,7.56,68
HCPCS,J7195,FACT IX RECOMB 1IU/500-999IU,8.4,,1.53,7.56,68
HCPCS,J7195,FACTOR IX (RECOMB) PER 1IU,12.0,,1.53,10.8,68
HCPCS,J7197,AT III (THROMBATE) PER 1IU,22.0,,3.5,19.8,68
HCPCS,J7197,THROMBATE 1IU/500IU +/- VIAL,24.57,,3.5,22.11,68
HCPCS,J7198,ANTI-INHIB COAG CMPLX VL 1IU,3.19,,1.59,3.31,136
HCPCS,J7198,ANTI-INHIBITOR-FEIBA PER 1U,12.0,,2.05,10.8,68
HCPCS,J7198,FEIBA 1IU/1750-3250IU VIAL,13.79,,2.05,12.41,68
HCPCS,J7198,FEIBA 1IU/400-650IU VIAL,13.79,,2.05,12.41,68
HCPCS,J7198,FEIBA 1IU/651-1200IU VIAL,13.79,,2.05,12.41,68
HCPCS,J7211,KOVALTRY 1IU/1000-1999IU VIAL,9.03,,1.22,8.13,68
HCPCS,J7211,KOVALTRY 1IU/2000-2999IU VIAL,9.03,,1.22,8.13,68
HCPCS,J7211,KOVALTRY 1IU/250-499IU VIAL,9.03,,1.22,8.13,68
HCPCS,J7211,KOVALTRY 1IU/500-999IU VIAL,9.03,,1.22,8.13,68
HCPCS,J7297,LEVONORGES IU SYS 52MG LILETTA,4436.8,,772.62,3993.12,56
HCPCS,J7298,LEVONORGES IU SYS 52MG 5 YR,4656.1,,1036.22,4190.49,56
HCPCS,J7298,LEVONORGES IU SYS 52MG MIRENA,1639.75,,819.88,1778.22,56
HCPCS,J7298,LEVONORGES IU SYS MIRENA 52MG,1639.75,,819.88,1778.22,56
HCPCS,J7300,COPPER INTRAUTERINE DEVICE IUD,4963.9,,888.5,4467.51,57
HCPCS,J7300,DEVICE IUD PARAGARD,4968.0,,888.5,4471.2,114
HCPCS,J7307,ETONOGESTREL 68MG IMPLANT,5781.4,,869.0,5203.26,56
HCPCS,J7307,ETONOGESTREL IMPLANT 68MG,2429.26,,869.0,2186.33,112
HCPCS,J7308,AMINOLEVULINIC ACID SOL 20%,533.6,,266.8,539.12,339
HCPCS,J7321,NA HYALURONATE INTRA 25MG,1526.77,,79.81,1374.09,55
HCPCS,J7321,SOD HYALURON PER DOSE BU 25MG,1526.77,,79.81,1374.09,55
HCPCS,J7321,SOD HYALURONATE VL 25MG 2.5ML,1081.7,,79.81,973.53,110
HCPCS,J7323,EUFLEXXA 20MG/2ML SYRINGE,907.65,,103.45,816.88,68
HCPCS,J7324,NA HYALURONATE INTRA 30MG/2ML,1307.82,,105.38,1177.04,204
HCPCS,J7325,HYLAN POLYMERS INJ 1MG,183.61,,7.31,165.25,340
HCPCS,J7325,HYLAN POLYMERS INJ 1MG SYNVISC,183.61,,7.31,165.25,68
HCPCS,J7353,ANACAULASE-BCDB/ 1G BU 55G GEL,286.65,,53.65,257.99,68
HCPCS,J7402,MOMETASONE IMPL 10MCG (SINUVA),83.7,,10.44,75.33,68
HCPCS,J7500,AZATHIOPRINE SUSP 50MG/1ML,3.11,,1.16,2.8,55
HCPCS,J7500,AZATHIOPRINE TAB 25MG/.5TAB UP,3.11,,1.16,2.8,55
HCPCS,J7500,AZATHIOPRINE TAB 50MG UD+,3.11,,1.16,2.8,55
HCPCS,J7502,CYCLOSPOR 100MG/ML SOL-GENGRAF,20.19,,1.79,18.17,55
HCPCS,J7502,CYCLOSPOR MICRO CAP 100MG UD+,20.19,,1.79,18.17,55
HCPCS,J7502,CYCLOSPOR MICRO SOLN 100MG/ML,9.27,,1.79,8.34,55
HCPCS,J7502,CYCLOSPORINE CAP 100MG UD +,80.61,,1.79,72.55,55
HCPCS,J7502,CYCLOSPORINE SOL 100MG/ML UP+,477.35,,1.79,429.62,55
HCPCS,J7503,TACROLIMUS ER 0.75MG TABLET,25.62,,1.38,23.06,55
HCPCS,J7503,TACROLIMUS ER 1MG TABLET,5.29,,1.38,4.76,55
HCPCS,J7503,TACROLIMUS ER 4MG TABLET,15.87,,1.38,14.28,55
HCPCS,J7504,ANTITHYM HORSE/250MG BU 250MG,28343.0,,2257.67,25508.7,68
HCPCS,J7507,TACROLIMUS CAP 0.5MG UP,16.51,,0.183,14.86,55
HCPCS,J7507,TACROLIMUS CAP 1MG +,5.29,,0.183,4.76,55
HCPCS,J7507,TACROLIMUS CAP 1MG UD +,5.29,,0.183,4.76,55
HCPCS,J7507,TACROLIMUS CAP 5MG -,20.71,,0.183,18.64,55
HCPCS,J7507,TACROLIMUS ORAL SUSP .5MG/ML,20.71,,0.183,18.64,55
HCPCS,J7509,METHYLPREDNISOLONE TAB 16MG UP,13.02,,0.25,11.72,55
HCPCS,J7509,METHYLPREDNISOLONE TAB 4MG UD-,2.0,,0.25,1.8,55
HCPCS,J7510,PREDNISOLONE 15MG/5ML ORAL UP,29.86,,0.12,26.87,55
HCPCS,J7510,PREDNISOLONE CONC 3MG/ML NF,48.27,,0.12,43.44,55
HCPCS,J7510,PREDNISOLONE TAB 5MG UP  *NF-,41.74,,0.12,37.57,55
HCPCS,J7511,ANTITHYM RABBIT/25MG BU 25MG V,5224.17,,817.12,4701.75,68
HCPCS,J7512,PREDNISONE CONCNTRATE   5MG/ML,3.12,,0.01,2.81,55
HCPCS,J7512,PREDNISONE SOLN 1MG/ML,13.12,,0.01,11.81,55
HCPCS,J7512,PREDNISONE TAB  1MG UD,2.0,,0.01,1.8,55
HCPCS,J7512,PREDNISONE TAB  2.5MG UD,2.0,,0.01,1.8,55
HCPCS,J7512,PREDNISONE TAB  5MG UD -,2.0,,0.01,1.8,55
HCPCS,J7512,PREDNISONE TAB 10MG UD,2.0,,0.01,1.8,55
HCPCS,J7512,PREDNISONE TAB 20MG UD,2.0,,0.01,1.8,55
HCPCS,J7512,PREDNISONE TAB 50MG UD,2.0,,0.01,1.8,55
HCPCS,J7515,CYCLOSPOR MICROEM CAP 25MG UD-,3.95,,0.64,3.56,55
HCPCS,J7515,CYCLOSPORINE CAP  25MG UD-,20.2,,0.64,18.18,55
HCPCS,J7517,MYCOPHENOLATE CAP 250MG,2.0,,0.1952,1.8,110
HCPCS,J7517,MYCOPHENOLATE SUSP 1000MG/5ML,150.73,,0.1952,135.66,55
HCPCS,J7517,MYCOPHENOLATE SUSP 500MG/2.5ML,81.01,,0.1952,72.91,55
HCPCS,J7518,MYCOPHENOLIC EC TAB 180MG,13.61,,0.4514,12.25,55
HCPCS,J7520,SIROLIMUS ORAL SOLN 1MG/ML 1ML,45.06,,1.17,40.55,55
HCPCS,J7520,SIROLIMUS TAB 1MG UD NF,23.13,,1.17,20.82,55
HCPCS,J7525,TACROLIMUS INJ 0.1MG / ML SBS,1593.68,,211.97,1434.31,68
HCPCS,J7525,TACROLIMUS PER 5MG BU 5MG AMP,1593.68,,211.97,1434.31,68
HCPCS,J7527,EVEROLIMUS TAB 0.25MG,48.55,,2.43,43.7,55
HCPCS,J7527,EVEROLIMUS TAB 0.5MG,97.1,,2.43,87.39,55
HCPCS,J7527,EVEROLIMUS TAB 0.75MG,145.66,,2.43,131.09,55
HCPCS,J7606,FORMOTEROL 20MCG/2ML VIAL,45.09,,2.4,40.58,55
HCPCS,J7611,ALBUTEROL INH SOLN 0.5% 20MLMP,220.8,,0.1952,198.72,55
HCPCS,J7613,ALBUTEROL  INH 0.083% 3ML UD,2.0,,0.04,1.8,55
HCPCS,J7620,ALBUTEROL 2.5 MG,2.0,,0.12,1.8,165
HCPCS,J7620,ALBUTEROL 2.5MG,2.0,,0.12,1.8,55
HCPCS,J7631,CROMOLYN SOD INH SOL 20MG/2ML,12.45,,0.3538,11.21,55
HCPCS,J7674,METHACHOLINE INH PWDR 1MG,8.3,,0.76,7.47,55
HCPCS,J7677,REVEFENACIN 175MCG/3ML NEB VL,31.54,,0.2,28.39,55
HCPCS,J7686,TREPROSTINIL 1.75MG/2.9ML INH,4367.88,,642.99,3931.09,55
HCPCS,J7999,AMPHOTERICIN B OPH 2MG/ML 15ML,34.71,,17.36,31.24,54
HCPCS,J7999,CEFAZOLIN OPHTH 50MG/ML 15ML,71.71,,35.85,64.54,54
HCPCS,J7999,CEFTAZIDIME OPTH 50MG/ML 30ML,13.42,,6.71,12.08,54
HCPCS,J7999,GENTAMICIN OPH DROPS 14/ML,50.65,,25.32,45.59,54
HCPCS,J7999,LIDO 2%/PHENYL .5% TOP SOL10ML,107.35,,53.67,96.61,54
HCPCS,J7999,TOBRAMYCIN FORT OP 14MG/ML 5ML,4.38,,2.19,3.94,54
HCPCS,J7999,TOBRAMYCIN NASAL SPY 24MG/30ML,155.2,,77.6,139.68,54
HCPCS,J7999,VANCOMYCIN OPH 31MG/ML 15ML PA,89.2,,44.6,80.28,54
HCPCS,J8515,CABERGOLINE TAB 0.5MG,26.89,,5.85,24.2,56
HCPCS,J8530,CYCLOPHOSPHAMIDE CAP 25MG,34.43,,2.02,30.99,55
HCPCS,J8530,CYCLOPHOSPHAMIDE CAP 50MG,63.19,,2.02,56.87,55
HCPCS,J8530,CYCLOPHOSPHAMIDE ORAL10MG/ML,25.76,,2.02,23.18,55
HCPCS,J8540,DEXAMETHASONE SOLN 0.1MG/ML,2.0,,0.0244,1.8,55
HCPCS,J8540,DEXAMETHASONE SOLN 1MG/1ML,3.17,,0.0244,2.85,55
HCPCS,J8540,DEXAMETHASONE TAB 0.5MG UD,2.0,,0.0244,1.8,55
HCPCS,J8540,DEXAMETHASONE TAB 0.75MG UD,2.0,,0.0244,1.8,55
HCPCS,J8540,DEXAMETHASONE TAB 2MG UD,2.84,,0.0244,2.56,55
HCPCS,J8540,DEXAMETHASONE TAB 4MG UD,3.69,,0.0244,3.32,55
HCPCS,J8540,DEXAMETHASONE TAB 6MG UD,2.0,,0.0244,1.8,55
HCPCS,J8560,ETOPOSIDE ORAL/50MG BU 50MG CP,346.33,,75.49,311.7,56
HCPCS,J8597,DIMENHYDRINATE TAB 50MG UP,2.0,,1.0,1.8,54
HCPCS,J8597,MECLIZINE TAB 12.5MG UD,2.0,,1.0,1.8,54
HCPCS,J8597,METOCLOPRAMIDE ORAL SOLN1MG/ML,2.97,,1.49,2.67,54
HCPCS,J8597,METOCLOPRAMIDE ORAL10MG/10MLUD,14.83,,7.42,13.35,54
HCPCS,J8597,METOCLOPRAMIDE TAB  5MG UD,2.0,,1.0,1.8,54
HCPCS,J8597,METOCLOPRAMIDE TAB 10MG UD,2.0,,1.0,1.8,54
HCPCS,J8610,METHOTREXATE TAB 2.5MG UP *CD+,9.18,,0.15,8.26,55
HCPCS,J9000,DOXORUBICIN 10MG BU PER 200MG,25.4,,2.7,22.86,336
HCPCS,J9000,DOXORUBICIN INJ 10MG/5ML,557.13,,2.7,501.42,56
HCPCS,J9000,DOXORUBICIN INJ 50MG/25ML,107.87,,2.7,97.08,56
HCPCS,J9000,DOXORUBICIN VL 10MG,13.1,,2.7,11.79,336
HCPCS,J9011,DATROWAY 1MG BU PER 100MG VL,262.64,,47.44,236.38,68
HCPCS,J9015,ALDESLEUKIN PER SDV 22MM U INJ,42420.0,,605.25,38178.0,69
HCPCS,J9017,ARSENIC TRIOXIDE INJ 1MG/ML 1M,50.8,,7.15,45.72,402
HCPCS,J9017,ARSENIC TRIOXIDE/1MG BU 10MGV,31.61,,7.15,33.0,69
HCPCS,J9019,ASPARA ERW/10000IU BU 10000 VL,35906.41,,427.27,32315.77,57
HCPCS,J9021,ASPARG RECOMB 0.1MG BU/10MG VL,199.23,,51.03,243.24,136
HCPCS,J9022,ATEZOLIZUMAB 10MG BU/1200MG VL,634.69,,78.28,571.22,68
HCPCS,J9022,ATEZOLIZUMAB 10MG BU/840MG VL,642.34,,78.28,578.11,68
HCPCS,J9022,ATEZOLIZUMAB INJ 10MG,450.45,,78.28,405.4,396
HCPCS,J9023,AVELUMAB INJ 10MG,492.8,,84.7,443.52,204
HCPCS,J9025,AZACITIDINE INJ 100MG VIAL,222.04,,0.2562,199.84,56
HCPCS,J9025,AZACITIDINE PER 1MG BU 100MG V,2.77,,0.2562,4.5,56
HCPCS,J9025,AZACITIDINE VL 1MG,6.9,,0.2562,6.21,392
HCPCS,J9026,IMDELLTRA 1MG BU PER 1MG VIAL,2285.8,,1142.9,2151.38,136
HCPCS,J9027,CLOFARABINE PER 1MG BU 20MG VL,279.99,,3.85,251.99,68
HCPCS,J9029,NADOFARAGINE FIRADENOVEC VNCG,85592.75,,42796.38,87095.63,68
HCPCS,J9030,BCG VACC INTRAVES 1MG,21.1,,2.79,18.99,110
HCPCS,J9032,BELINOSTAT 10MG BU PER 500MG,199.43,,42.79,179.49,136
HCPCS,J9034,BENDAMUSTINE 1MG BU 180MG,140.12,,12.41,126.11,68
HCPCS,J9034,BENDAMUSTINE INJ 180MG-BENDEKA,25221.42,,12.41,22699.28,68
HCPCS,J9034,BENDAMUSTINE INJ 45MG-BENDEKA,6305.36,,12.41,5674.82,68
HCPCS,J9034,BENDAMUSTINE PER 1MG BU 100MG,140.12,,12.41,126.11,68
HCPCS,J9034,BENDAMUSTINE PER 1MG BU 25MG V,140.12,,12.41,126.11,68
HCPCS,J9034,BENDAMUSTINE PER 1MG BU 45MG V,140.12,,12.41,126.11,68
HCPCS,J9034,BENDAMUSTINE VL 100MG-BENDEKA,14011.9,,12.41,12610.71,68
HCPCS,J9034,BENDAMUSTINE VL 25MG-BENDEKA,3502.98,,12.41,3152.68,68
HCPCS,J9034,BENDEKA 1MG BU PER 100MG VIAL,78.1,,12.41,70.29,68
HCPCS,J9035,BEVACIZUMAB 10MG BU PER 100MG,396.35,,51.0,356.72,207
HCPCS,J9035,BEVACIZUMAB 10MG BU PER 400MG,352.17,,51.0,316.95,138
HCPCS,J9035,BEVACIZUMAB INJ 10MG,396.34,,51.0,356.71,69
HCPCS,J9035,BEVACIZUMAB PER 10MG BU 100MG,474.18,,51.0,426.76,69
HCPCS,J9036,BENDAMUS/BELRAPZO/1MG BU 100MG,135.38,,11.3,121.84,68
HCPCS,J9036,BENDAMUSTINE 1MG BU/100MG VL,2.0,,1.0,21.61,408
HCPCS,J9038,AXATILIMAB-CSFR 0.1MG BU/22MG,279.79,,51.2,251.81,68
HCPCS,J9038,AXATILIMAB-CSFR 0.1MG BU/9MG,80.66,,40.33,76.52,136
HCPCS,J9039,BLINATUMOMAB VL 1MCG,621.67,,118.59,559.5,204
HCPCS,J9039,BLINATUMOMAB/1MCG BU 35MCG,1029.96,,118.59,926.96,68
HCPCS,J9040,BLEOMYCIN INJ 15U V       *CD+,128.94,,25.5,164.25,56
HCPCS,J9040,BLEOMYCIN SULF VL 15U-IT,148.5,,25.5,164.25,336
HCPCS,J9040,BLEOMYCIN VL 15U,144.9,,25.5,164.25,224
HCPCS,J9041,BORTEZOMIB 0.1MG BU PER 3.5MG,3.15,,1.0,44.97,342
HCPCS,J9041,BORTEZOMIB 0.1MG BU/3.5MG VL,320.92,,1.94,288.83,57
HCPCS,J9042,BRENTUXIMAB PER 1MG BU 50MG VL,1643.88,,175.28,1479.49,68
HCPCS,J9042,BRENTUXIMAB VL 1MG,495.74,,175.28,446.17,396
HCPCS,J9043,CABAZITAXEL INJ 1MG,714.35,,181.51,642.91,396
HCPCS,J9045,CARBOPLATIN 450MG/45ML VL CD,405.79,,2.57,365.21,56
HCPCS,J9045,CARBOPLATIN 600MG/60ML VIAL,236.4,,2.57,212.76,336
HCPCS,J9045,CARBOPLATIN INJ 150MG VL*C,43.7,,2.57,122.25,56
HCPCS,J9045,CARBOPLATIN VL 50MG,20.0,,2.57,122.25,336
HCPCS,J9047,CARFILZOMIB 1MG BU PER 10MG VL,235.48,,39.2,211.93,272
HCPCS,J9047,CARFILZOMIB 1MG BU PER 30MG VL,207.48,,39.2,186.73,272
HCPCS,J9047,CARFILZOMIB 1MG BU PER 60MG VL,184.41500000000002,,39.2,166.13,340
HCPCS,J9047,CARFILZOMIB 1MG BU/10MG VIAL,382.07,,39.2,343.86,68
HCPCS,J9047,CARFILZOMIB 1MG BU/30MG VIAL,381.68,,39.2,343.51,68
HCPCS,J9047,CARFILZOMIB 1MG BU/60MG VIAL,381.68,,39.2,343.51,68
HCPCS,J9047,CARFILZOMIB INJ 60MG,22923.95,,39.2,20631.56,68
HCPCS,J9047,CARFILZOMIB PER 1MG BU 60MG,382.83,,39.2,344.55,68
HCPCS,J9050,CARMUSTINE INJ 100MG V    *CD+,16975.56,,211.84,15278.0,68
HCPCS,J9050,CARMUSTINE/100MG BU 100MG V,16975.56,,211.84,15278.0,68
HCPCS,J9055,CETUXIMAB 10MG BU PER 100MG VL,364.56,,45.0,328.1,126
HCPCS,J9055,CETUXIMAB 10MG BU PER 200MG VL,352.87,,45.0,317.58,195
HCPCS,J9055,CETUXIMAB 10MG BU/200MG VIAL,543.73,,45.0,489.36,69
HCPCS,J9055,CETUZIMAB 10MG BU/100MG VIAL,543.73,,45.0,489.36,69
HCPCS,J9060,CISPLATIN AQ VL 10MG,19.1,,1.71,17.19,336
HCPCS,J9060,CISPLATIN INJ 200MG/200ML VLCD,22.07,,1.71,19.86,56
HCPCS,J9061,AMIVANTAMAB VMJW INJ 2MG,148.7,,20.74,133.83,136
HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE 1MG,148.7,,63.93,133.83,204
HCPCS,J9065,CLADRIBINE INJ 1MG +,695.17,,9.83,625.65,69
HCPCS,J9065,CLADRIBINE INJ/1MG BU 10MG VL,69.52,,9.83,62.57,69
HCPCS,J9065,CLADRIBINE PER 1MG BU 1MG INJ,695.17,,9.83,625.65,69
HCPCS,J9065,CLADRIBINE VL 1MG,87.1,,9.83,78.39,207
HCPCS,J9075,CYCLOPHOS 5MG BU PER 1000MG VL,2.3,,0.4416,2.07,272
HCPCS,J9075,CYCLOPHOS 5MG BU PER 2000MG VL,2.0,,0.4416,1.8,272
HCPCS,J9075,CYCLOPHOS 5MG BU PER 500MG VL,3.1,,0.4416,2.79,272
HCPCS,J9075,CYCLOPHOSPH INJ/5MG BU 1000MG,6.58,,0.4416,5.92,68
HCPCS,J9075,CYCLOPHOSPH INJ/5MG BU 500MG,4.91,,0.4416,4.42,68
HCPCS,J9100,CYTARABINE INJ   100MG V  *CD+,80.01,,0.68,72.01,55
HCPCS,J9100,CYTARABINE INJ 2000MG/20ML VL,119.91,,0.68,107.92,55
HCPCS,J9100,CYTARABINE VL 100MG,4.6,,0.68,4.14,275
HCPCS,J9119,CEMIPLIMAB-RWLC VL 1MG-LIBTAYO,148.54,,26.95,133.69,328
HCPCS,J9120,DACTINOMYCIN VL 0.5MG,844.75,,302.07,1044.53,260
HCPCS,J9120,DACTINOMYCN/0.5MG BU 0.5ML V,3218.25,,302.07,2896.43,68
HCPCS,J9130,DACARBAZINE INJ PER 10MG CD ++,34.11,,4.46,30.7,55
HCPCS,J9130,DACARBAZINE VL 100MG,30.3,,4.46,27.27,330
HCPCS,J9144,DARAT HYAL-FIHJ 10MG BU/1800MG,390.92,,51.12,351.83,68
HCPCS,J9144,DARATUMUMAB/HYAL SQ 10MG,270.48,,51.12,243.43,408
HCPCS,J9145,DARATUMUMAB 10MG BU PER 100MG,309.96,,56.29,278.96,136
HCPCS,J9145,DARATUMUMAB 10MG BU PER 400MG,309.89,,56.29,278.9,136
HCPCS,J9150,DAUNORUBICIN LYOPH VL 10MG,140.9,,19.96,126.81,204
HCPCS,J9150,DAUNORUBICIN PER 10MG BU 20MG,172.41,,19.96,155.17,68
HCPCS,J9153,CYTARA/DAUNO INJ 2.27MG/1MG,525.91,,197.79,473.32,204
HCPCS,J9153,DAUNO-CYTAR/3.27MG BU 144MG VL,402.28,,197.79,362.05,68
HCPCS,J9155,DEGARELIX VIAL 1MG,27.9,,3.84,25.11,328
HCPCS,J9171,DOCETAXEL 20MG/1ML VIAL,98.0,,0.4636,88.2,385
HCPCS,J9171,DOCETAXEL 80MG/4ML VIAL,100.44,,0.4636,90.4,385
HCPCS,J9171,DOCETAXEL INJ 1MG,4.2,,0.4636,3.78,385
HCPCS,J9171,DOCETAXEL INJ 20MG/ML 1ML VL,151.27,,0.4636,136.14,55
HCPCS,J9171,DOCETAXEL INJ 20MG/ML 4ML VL,2.56,,0.4636,2.3,55
HCPCS,J9171,DOCETAXEL PER 1MG BU 20MG,8.69,,0.4636,7.82,55
HCPCS,J9173,DURVALUMAB VL 10MG,419.58,,76.02,377.62,408
HCPCS,J9173,IMFINZI 10MG BU PER 120MG VIAL,419.58,,76.02,377.62,476
HCPCS,J9173,IMFINZI 10MG BU PER 500MG VIAL,426.44,,76.02,383.8,408
HCPCS,J9176,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,544
HCPCS,J9176,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,544
HCPCS,J9176,ELOTUZUMAB VL 1MG,56.1,,6.67,50.49,396
HCPCS,J9177,ENFORT VED-EJFV 0.25MG BU/20MG,170.59,,27.96,153.53,204
HCPCS,J9177,ENFORT VED-EJFV 0.25MG BU/30MG,169.96,,27.96,152.96,204
HCPCS,J9178,EPIRUBICIN VL 2MG/ML 1ML,10.1,,1.53,25.5,112
HCPCS,J9179,ERIBULIN MESYLATE VL 0.1MG,537.53,,82.19,483.78,396
HCPCS,J9181,ETOPOSIDE 10MG BU PER 500MG VL,4.0,,0.77,3.75,336
HCPCS,J9181,ETOPOSIDE 500MG/25ML INJ VLCD,130.76,,0.77,117.68,56
HCPCS,J9181,ETOPOSIDE INJ 100MG PWD VIAL,62.86,,0.77,56.57,56
HCPCS,J9181,ETOPOSIDE INJ 100MG/5ML VL,80.0,,0.77,72.0,56
HCPCS,J9181,ETOPOSIDE INJ 10MG,4.0,,0.77,3.75,336
HCPCS,J9181,ETOPOSIDE INJ 10MG/0.5ML SBS,62.86,,0.77,56.57,56
HCPCS,J9185,FLUDARABINE 50MG BU PER 5OMG,380.66,,62.74,342.59,138
HCPCS,J9185,FLUDARABINE PO4 INJ 50MG/2ML,265.93,,62.74,294.0,69
HCPCS,J9185,FLUDARABINE/50MG BU 50MG VL,265.93,,62.74,294.0,69
HCPCS,J9190,FLUOROURACIL 1000MG/20ML VL,31.8,,1.53,28.62,336
HCPCS,J9190,FLUOROURACIL 5000MG/100ML VL,16.0,,1.53,14.4,336
HCPCS,J9190,FLUOROURACIL INJ 500MG 02,15.9,,1.53,14.31,225
HCPCS,J9190,FLUOROURACIL INJ 500MG/10 VCD+,12.36,,1.53,11.12,56
HCPCS,J9200,FLOXURIDINE 500MG BU PER 500MG,7799.82,,46.44,7019.84,136
HCPCS,J9201,GEMCITABINE 200MG BU PER 200,23.4,,3.61,108.75,56
HCPCS,J9201,GEMCITABINE 200MG BU PER 200MG,23.4,,3.61,108.75,224
HCPCS,J9201,GEMCITABINE 200MG BU/1000MG VL,17.0,,3.61,108.75,280
HCPCS,J9201,GEMCITABINE 200MG BU/2000MG VL,17.3,,3.61,108.75,280
HCPCS,J9201,GEMCITABINE HCL VL 200MG,23.4,,3.61,108.75,168
HCPCS,J9201,GEMCITABINE VL 1GM/26.3ML,187.18,,3.61,168.46,56
HCPCS,J9201,GEMCITABINE VL 200MG/5.26ML,187.18,,3.61,168.46,56
HCPCS,J9202,GOSER ACE 3.6MG BU PER 10.8MG,1569.88,,435.0,1412.89,483
HCPCS,J9202,GOSER ACE 3.6MG BU PER 3.6MG,1569.16,,435.0,1412.24,483
HCPCS,J9202,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,609
HCPCS,J9203,GEMTUZUMAB INJ 0.1MG,314.71,,157.35,325.35,340
HCPCS,J9203,GEMTUZUMAB/0.1MG BU 4.5MG VL,1537.93,,205.38,1384.14,68
HCPCS,J9204,MOGAMULIZUMAB-KPKC 1MG/20MG VL,882.2,,203.88,793.98,136
HCPCS,J9205,IRINOTECAN LIPOSOMAL INJ 1MG,249.48,,54.33,224.53,396
HCPCS,J9206,IRINOTECAN 20MG BU PER 100MG,25.7,,1.71,126.0,336
HCPCS,J9206,IRINOTECAN VL 20MG/ML 1ML,32.1,,1.71,126.0,336
HCPCS,J9206,IRINOTECAN VL 20MG/ML 5ML,90.09,,1.71,126.0,56
HCPCS,J9207,IXABEPILONE INJ 15MG VIAL,6477.45,,101.19,5829.7,204
HCPCS,J9207,IXABEPILONE INJ 45MG VIAL,8334.9,,101.19,7501.41,204
HCPCS,J9208,IFOSFAMIDE 1GM/30ML VIAL,84.5,,26.31,127.5,224
HCPCS,J9208,IFOSFAMIDE 3GM/75ML VIAL,294.9,,26.31,265.41,280
HCPCS,J9208,IFOSFAMIDE INJ 1GM PWD VIAL,373.31,,26.31,335.98,56
HCPCS,J9208,IFOSFAMIDE PER 1GM BU 1GM VL,373.31,,26.31,335.98,56
HCPCS,J9208,IFOSFAMIDE VL 1GM,84.5,,26.31,127.5,56
HCPCS,J9209,MESNA AMP 200MG,57.6,,1.62,51.84,280
HCPCS,J9209,MESNA INJ 1000MG/10ML AMP CD,52.71,,1.62,47.44,56
HCPCS,J9211,IDARUBICIN HCL INJ 5MG +,356.72,,37.66,321.05,55
HCPCS,J9211,IDARUBICIN HCL PER 5MG BU 5MG,356.72,,37.66,321.05,55
HCPCS,J9211,IDARUBICIN HCL/5MG BU 10MG,178.36,,37.66,160.52,55
HCPCS,J9217,LEUP ACE 7.5MG BU / 22.5MG SYR,593.67,,162.33,534.3,414
HCPCS,J9217,LEUP ACE 7.5MG BU / 30MG SYR,83.9,,41.95,517.5,483
HCPCS,J9217,LEUP ACE 7.5MG BU / 45MG SYR,50.2,,25.1,517.5,483
HCPCS,J9217,LEUP ACE 7.5MG BU / 7.5MG SYR,595.77,,162.33,536.19,483
HCPCS,J9217,LEUP DEPOT 7.5MG/22.5MG KIT,702.17,,162.33,631.95,414
HCPCS,J9217,LEUPROLIDE DEPOT KIT 7.5MG,595.77,,162.33,536.19,138
HCPCS,J9217,LEUPROLIDE DEPOT KIT 7.5MG-IT,501.6,,162.33,517.5,402
HCPCS,J9217,LEUPROLIDE DEPOT KIT 7.5MG-KIT,501.6,,162.33,517.5,69
HCPCS,J9217,LUPRON DEPOT 7.5MG BU/30MG KIT,501.6,,162.33,517.5,69
HCPCS,J9220,INDIGOTINDISUL/1MG BU 40MG AMP,56.7,,9.16,51.03,68
HCPCS,J9223,LURBINECTEDIN INJ 0.1MG,743.75,,190.56,669.38,204
HCPCS,J9227,ISATUXIMAB-IRFC 10MG BU/100MG,401.38,,66.67,361.24,476
HCPCS,J9227,ISATUXIMAB-IRFC 10MG BU/500MG,401.31,,66.67,361.18,476
HCPCS,J9228,IPILIMUMAB 1MG BU PER 200MG VL,635.45,,157.38,571.9,272
HCPCS,J9228,IPILIMUMAB 1MG BU PER 50MG VL,636.5,,157.38,572.85,271
HCPCS,J9229,INOTUZUMAB VL 0.1MG,3865.16,,1932.58,3709.82,272
HCPCS,J9245,MELPHALAN 50MG VIAL,454.86,,88.23,409.37,136
HCPCS,J9245,MELPHALAN PER 50MG BU 50MG VL,599.34,,88.23,539.41,68
HCPCS,J9248,HEPZATO/1MGBU 250MG VL 50MMKIT,5250.0,,731.4,4725.0,68
HCPCS,J9248,HEPZATO/1MGBU 250MG VL 62MMKIT,5250.0,,731.4,4725.0,68
HCPCS,J9250,METHOTREXATE SOD INJ PER 5MG+,2.0,,0.23,1.8,55
HCPCS,J9260,METHOTREXATE 50MG/2ML VIAL,26.4,,2.33,23.76,56
HCPCS,J9260,METHOTREXATE INJ 1GM/40ML PFVL,77.63,,2.33,69.87,56
HCPCS,J9260,METHOTREXATE INJ 250MG/10MLVPF,29.54,,2.33,26.59,56
HCPCS,J9260,METHOTREXATE NAINJ 50/2 V*CD+,21.59,,2.33,19.43,56
HCPCS,J9260,METHOTREXATE PWDR VL 50MG,13.2,,2.33,11.88,280
HCPCS,J9260,METHOTREXATE S(PF) 50MG INJ +,7.76,,2.33,7.5,56
HCPCS,J9261,NELARABINE INJ 250MG/50ML VL,5201.77,,73.47,4681.59,68
HCPCS,J9261,NELARABINE INJ 50MG (ARRANON),556.99,,73.47,501.29,272
HCPCS,J9261,NELARABINE PER 50MG BU 250MG,1040.35,,73.47,936.32,68
HCPCS,J9263,OXALIPLATIN 0.5MG BU PER 100MG,0.8,,0.1098,7.5,336
HCPCS,J9263,OXALIPLATIN INJ 100MG/20ML VL,126.14,,0.1098,113.53,56
HCPCS,J9263,OXALIPLATIN PER 0.5MG BU 100MG,2.0,,0.1098,7.5,56
HCPCS,J9263,OXALIPLATIN VL 0.5MG,2.0,,0.1098,7.5,336
HCPCS,J9264,PACLITAX ALB 1MG BU PER 100MG,85.4,,8.25,76.86,483
HCPCS,J9264,PACLITAXEL ABP VL 1MG,85.4,,8.25,76.86,402
HCPCS,J9266,PEGASPARGASE PER SDV BU 3750IU,107656.45,,18272.61,160890.91,272
HCPCS,J9267,PACLITAXEL 300MG/50ML VL,210.0,,0.1342,189.0,385
HCPCS,J9267,PACLITAXEL INJ 1MG,2.0,,0.1342,1.8,385
HCPCS,J9267,PACLITAXEL INJ 300MG,258.44,,0.1342,232.6,55
HCPCS,J9268,PENTOSTATIN INJ 10MG VIAL 5ML,16364.95,,2060.28,14728.45,68
HCPCS,J9268,PENTOSTATIN PER 10MG BU 10MG V,16364.95,,2060.28,14728.45,68
HCPCS,J9268,PENTOSTATIN VL 10MG,3617.3,,1808.65,3586.22,204
HCPCS,J9269,TAGRAXOFUSP VL 10MCG-ELZONRIA,1146.15,,270.59,1031.54,136
HCPCS,J9269,TAGRAXOFUSP-ERZS 10MCG BU/1MG,2250.44,,270.59,2025.4,68
HCPCS,J9271,PEMBROLIZUMAB 1MG BU PER 100MG,294.21,,50.85,264.79,340
HCPCS,J9271,PEMBROLIZUMAB 1MG BU/100MG VL,404.75,,50.85,364.27,68
HCPCS,J9272,DOSTARLIMAB-GXLY 10MG BU/500MG,523.53,,224.21,471.18,272
HCPCS,J9273,TISOTUMAB VEDOTIN TFTV VL 1MG,640.0,,173.66,576.0,136
HCPCS,J9274,TEBENTAFUSP TEBN VL 1MCG,779.0,,199.72,701.1,136
HCPCS,J9280,MITOMYCIN INJ 20MG/50MLVL CD,1067.15,,18.72,960.43,68
HCPCS,J9280,MITOMYCIN INJ 40MG VL,1016.93,,18.72,915.24,68
HCPCS,J9280,MITOMYCIN INJ 5MG,374.01,,18.72,336.61,396
HCPCS,J9280,MITOMYCIN PER 5MG BU 20MG VL,266.79,,18.72,240.11,68
HCPCS,J9280,MITOMYCIN PER 5MG BU 40MG VIAL,266.79,,18.72,240.11,68
HCPCS,J9280,MITOMYCIN PER 5MG BU 5MG VL,266.79,,18.72,240.11,68
HCPCS,J9281,MITOMYCIN INSTILL/1MG BU 80MG,38.11,,19.05,437.98,68
HCPCS,J9281,MITOMYCIN URETHERAL GEL 1MG,904.16,,293.05,813.74,68
HCPCS,J9285,OLARATUMAB INJ 10MG,343.84,,52.07,309.46,280
HCPCS,J9286,GLOFITAMAB GXBM/2.5MG BU 2.5MG,4037.68,,2018.84,3805.84,136
HCPCS,J9286,GLOFITAMAB-GXBM 2.5MG BU/10MG,4023.56,,2011.78,3805.84,136
HCPCS,J9289,OPDIVO QVANTIG 2MG/BU 600MG VL,187.6,,25.17,168.84,68
HCPCS,J9293,MITOXANTRONE INJ 20MG/10MLV CD,625.87,,21.97,563.28,69
HCPCS,J9293,MITOXANTRONE PER 5MG BU 20MG,625.87,,21.97,563.28,69
HCPCS,J9298,NIVOL/RELAT 3MG BU PER 240MG,704.1,,182.0,633.69,136
HCPCS,J9299,NIVOLUMAB 1MG BU/100MG VIAL,193.275,,28.56,200.41,408
HCPCS,J9299,NIVOLUMAB 1MG BU/120MG VIAL,164.15,,28.56,204.44,476
HCPCS,J9299,NIVOLUMAB 1MG BU/240MG VIAL,193.97,,28.56,200.09,408
HCPCS,J9299,NIVOLUMAB 1MG BU/40MG VIAL,192.96,,28.56,200.41,408
HCPCS,J9301,OBINUTUZUMAB VL 10MG,373.38,,63.74,336.04,396
HCPCS,J9303,PANITUMUMAB 10MG BU PER 100MG,561.47,,123.55,505.32,408
HCPCS,J9303,PANITUMUMAB 10MG BU PER 400MG,561.26,,123.55,505.13,407
HCPCS,J9303,PANITUMUMAB VL 10MG,561.47,,123.55,505.32,396
HCPCS,J9303,PANITUMUMAB/10MG BU 400MG VL,1166.59,,123.55,1049.93,68
HCPCS,J9305,PEMETREXED 10MG BU PER 1000MG,8.6,,4.01,71.81,414
HCPCS,J9305,PEMETREXED 10MG BU PER 100MG,4.4,,2.2,71.81,414
HCPCS,J9305,PEMETREXED 10MG BU PER 500MG,3.7,,1.85,71.81,414
HCPCS,J9305,PEMETREXED PWDR VL 10MG,313.46,,4.01,282.11,402
HCPCS,J9306,PERTUZUMAB 1MG BU/420MG VIAL,109.65,,12.95,98.69,68
HCPCS,J9306,PERTUZUMAB INJ 1MG,98.7,,12.95,88.83,396
HCPCS,J9307,PRALATREXATE 1MG BU PER 20MG,733.4,,311.22,660.06,136
HCPCS,J9307,PRALATREXATE 1MG BU PER 40MG,733.4,,311.22,660.06,136
HCPCS,J9308,RAMUCIRUMAB 500MG/50ML VL,35973.0,,60.71,32375.7,68
HCPCS,J9308,RAMUCIRUMAB 5MG BU 100MG/10ML,360.15,,60.71,324.13,68
HCPCS,J9308,RAMUCIRUMAB 5MG BU 100MG/1OML,360.15,,60.71,324.13,68
HCPCS,J9308,RAMUCIRUMAB 5MG BU 500MG/50ML,359.73,,60.71,323.76,136
HCPCS,J9309,POLATUZUMAB 1MG BU PER 140MG,676.27,,110.72,608.64,135
HCPCS,J9309,POLATUZUMAB 1MG BU PER 30MG VL,673.19,,110.72,605.87,136
HCPCS,J9311,RITUXIMAB/HYALURON INJ 10MG,163.45,,33.75,147.1,340
HCPCS,J9312,RITUXIMAB 10MG BU PER 100MG VL,313.53,,69.2,282.18,408
HCPCS,J9312,RITUXIMAB 10MG BU PER 500MG VL,306.32,,69.2,275.69,408
HCPCS,J9312,RITUXIMAB PER 10MG BU 100MG VL,559.01,,69.2,503.11,68
HCPCS,J9312,RITUXIMAB PER 10MG BU 500MG VL,559.01,,69.2,503.11,68
HCPCS,J9316,PERTUZ/TRASTU/HYALUR-ZZXF 10MG,290.5,,57.13,261.45,204
HCPCS,J9317,SACITUZUMAB GOVITECAN HZIY 2.5,181.02,,33.38,162.92,260
HCPCS,J9319,ROMIDEPSIN LYOPH INJ 0.1MG,161.56,,28.32,145.4,136
HCPCS,J9321,EPKINLY PER 0.16MG BU 48MG VL,118.53,,51.37,106.68,136
HCPCS,J9321,EPKINLY PER 0.16MG BU 4MG VL,80.44,,40.22,76.78,204
HCPCS,J9325,TALIMOGENE LAHER VL 1MILL PFU,237.79,,53.92,214.01,260
HCPCS,J9328,TEMOZOLOMIDE VL 1MG,41.8,,9.56,37.62,192
HCPCS,J9330,TEMSIROLIMUS INJ 1MG,326.76,,24.57,294.08,328
HCPCS,J9331,FYARRO 1MG BU PER 100MG VIAL,397.25,,77.8,357.52,68
HCPCS,J9332,EFGARTIGIMOD ALFA FCAB VL 2MG,163.52,,29.58,147.17,136
HCPCS,J9333,RYSTIGGO 1MG BU PER 280MG/2ML,166.4,,21.32,149.76,68
HCPCS,J9334,VYVGART HYTRULO 2MG BU/1008MG,170.45,,31.18,153.41,68
HCPCS,J9342,THIOTEPA INJ 15MG VIAL,1062.04,,9.7,955.84,68
HCPCS,J9342,THIOTEPA INJ/15MG BU 15MG UP,1062.04,,9.7,955.84,68
HCPCS,J9342,THIOTEPA INJ/15MG BU 15MG VL,1062.04,,9.7,955.84,68
HCPCS,J9342,THIOTEPA VL 15MG,364.8,,9.7,328.32,136
HCPCS,J9345,RETIFANLIMAB-DLWR 1MG BU/500MG,152.0,,28.12,136.8,68
HCPCS,J9347,TREMELIMUMAB-ACTL INJ 1MG,695.94,,129.63,626.35,136
HCPCS,J9349,TAFASITAMAB-CXIX VL 2MG,101.2,,13.17,91.08,136
HCPCS,J9350,MOSUNETUZUMAB AXGB INJ 1MG,935.38,,467.69,1090.84,138
HCPCS,J9350,MOSUNETUZUMAB AXGB INJ 30MGVL,27903.0,,602.26,25112.7,138
HCPCS,J9351,TOPOTECAN INJ 0.1MG,4.4,,1.28,3.96,330
HCPCS,J9352,TRABECTEDIN VL 0.1MG,791.88,,318.93,712.69,272
HCPCS,J9352,TRABECTEDIN/0.1MG BU 1MG VIAL,2413.59,,318.93,2172.23,68
HCPCS,J9354,ADO-TRASTUZUMAB 1MG (100MG VL),200.2,,32.79,180.18,396
HCPCS,J9354,ADO-TRASTUZUMAB 1MG (160MG VL),200.2,,32.79,180.18,396
HCPCS,J9355,TRASTUZUMAB VL 10MG,396.69,,54.75,357.02,402
HCPCS,J9355,TRASTUZUMAB/10MG BU 150MG VIAL,618.48,,54.75,556.63,69
HCPCS,J9356,HYALURON/TRASTUZUMAB INJ 10MG,193.76,,56.52,174.38,192
HCPCS,J9358,FAM-TRASTUZUMAB DERUXTECAN 1MG,146.79,,24.14,132.11,328
HCPCS,J9359,LONCASTUXIMAB TESIRINE 0.075MG,768.9,,199.55,692.01,136
HCPCS,J9360,CISPLATIN INJ 100MG/100ML VL,220.71,,3.98,198.64,56
HCPCS,J9360,VINBLASTINE VL 1MG,21.2,,3.98,19.08,336
HCPCS,J9370,VINCRISTINE 1MG BU PER 1MG VL,43.6,,5.34,39.24,336
HCPCS,J9370,VINCRISTINE 1MG BU PER 2MG VL,43.7,,5.34,39.33,336
HCPCS,J9370,VINCRISTINE SO4 INJ 1MG/ML VL,36.4,,5.34,35.25,56
HCPCS,J9370,VINCRISTINE SO4 INJ 2MG V,67.55,,5.34,60.8,56
HCPCS,J9370,VINCRISTINE VL 1MG/ML 1ML,43.7,,5.34,39.33,336
HCPCS,J9380,TECLISTAMAB-COYV INJ SQ 0.5MG,71.37,,19.9,64.23,68
HCPCS,J9380,TECLISTAMAB-CQYV INJ SQ 0.5MG,71.37,,19.9,64.23,136
HCPCS,J9380,TECLISTAMAB-CQYV/0.5MG BU 30MG,164.71,,19.9,148.24,68
HCPCS,J9380,TECLISTAMAB-CQYV/0.5MG BU153MG,164.41,,19.9,147.97,68
HCPCS,J9390,VINORELBINE VL 10MG/ML 1ML,51.5,,2.39,89.25,336
HCPCS,J9390,VINORELBINE VL 50MG/5ML,218.82,,2.39,196.94,56
HCPCS,J9395,FULVESTRANT 25MG BU PER 250MG,13.7,,6.19,78.75,345
HCPCS,J9400,ZIV-AFILBERCEPT VL 1MG,56.2,,8.07,50.58,56
HCPCS,J9600,PORFIMER NA PER 75MG BU 75MG,163261.0,,3004.74,146934.9,68
HCPCS,J9600,PORFIMER NA VL 75MG,46646.0,,3004.74,41981.4,272
HCPCS,L0113,ORTH OSCI DYNAPRO TORTICOLLIS,485.0,,242.5,436.5,61
HCPCS,L0120,"COLLAR CERVICAL SOFT 2""",93.0,,46.5,83.7,61
HCPCS,L0170,COLLAR CERVICAL HEADMASTER,309.0,,154.5,278.1,56
HCPCS,L0172,ASPEN VISTA COLLAR,106.0,,53.0,95.4,56
HCPCS,L0172,"CERVICAL COLLAR, PHILADELPHIA",256.0,,128.0,230.4,122
HCPCS,L0172,COLLAR CERVICAL ASPEN VISTA,508.0,,254.0,457.2,61
HCPCS,L0172,COLLAR PHIL SM,62.0,,31.0,55.8,56
HCPCS,L0172,PAD ASPEN REPLACEMENT,74.0,,37.0,66.6,56
HCPCS,L0472,BRACE FLA JEWETT HYPEREXTEND,2926.0,,1463.0,2633.4,61
HCPCS,L0486,BRACE CUSTOM TURTLE SHELL,2779.0,,1389.5,2501.1,56
HCPCS,L0637,LUMBAR SACRAL ORTHOSIS (LSO),4568.0,,2284.0,4111.2,61
HCPCS,L0700,BRACE CTO MINERVA,798.0,,399.0,718.2,61
HCPCS,L0861,LINER HALO,1369.0,,684.5,1232.1,61
HCPCS,L1686,HIP ABDUCT ROTA ORTHO (HARO),2859.0,,1429.5,2573.1,61
HCPCS,L1810,KNEE ORTHOSIS PREFAB J BRACE,263.0,,131.5,236.7,61
HCPCS,L1810,ORTHOSIS KNEE PREFAB,233.0,,116.5,209.7,61
HCPCS,L1812,KNEE ORTHOSIS ELASTIC,323.0,,161.5,290.7,61
HCPCS,L1830,IMMOB KNEE CUTAWAY UNIVER 20IN,88.0,,44.0,96.68,61
HCPCS,L1830,IMMOB KNEE CUTAWAY UNIVER 24IN,108.0,,54.0,97.2,61
HCPCS,L1830,IMMOB KNEE TRI PANEL 19IN,63.0,,31.5,96.68,61
HCPCS,L1830,IMMOBILIZER KNEE 20 IN,223.0,,96.68,200.7,61
HCPCS,L1830,"IMMOBILIZER KNEE 24""",222.0,,96.68,199.8,61
HCPCS,L1830,IMMOBILIZER KNEE 26 IN,328.0,,96.68,295.2,61
HCPCS,L1830,"IMMOBILIZER KNEE 28""",295.0,,96.68,265.5,61
HCPCS,L1830,KNEE IMMOB TRI-PANEL 22,76.0,,38.0,96.68,61
HCPCS,L1830,KNEE IMMOBILIZER,310.0,,96.68,279.0,122
HCPCS,L1830,KNEE IMMOBILIZER TRI-PANEL 161,85.0,,42.5,96.68,61
HCPCS,L1830,KNEE IMMOBILIZER TRI-PANEL 221,93.0,,46.5,96.68,61
HCPCS,L1832,BRACE KNEE T-SCOPE UNIVERSAL,275.0,,137.5,247.5,61
HCPCS,L1832,KNEE ORTHOSIS (T-SCOPE),1559.0,,779.5,1403.1,61
HCPCS,L1845,BRACE BLEDSOE REG 20 IN,335.0,,167.5,301.5,61
HCPCS,L1845,KNEE ORTHOSIS DOUBLE UPRIGHT,1807.0,,903.5,1626.3,61
HCPCS,L1902,ASO ANKLE STABILIZER,66.0,,33.0,59.4,61
HCPCS,L1930,AFO PREFAB PLASTIC,608.0,,304.0,547.2,61
HCPCS,L1932,AFO PREFAB CARBON,1823.0,,911.5,1640.7,61
HCPCS,L1945,AFO GROUND REACTION CUSTOM,1174.0,,587.0,1056.6,61
HCPCS,L1950,AFO SPIRAL PLASTIC PREFAB,655.0,,327.5,589.5,61
HCPCS,L1951,SWIFT AFO SPIRAL PLASTIC,1376.0,,688.0,1238.4,61
HCPCS,L1960,AFO POSTERIOR ANKLE,1602.0,,801.0,1441.8,61
HCPCS,L1970,AFO CUSTOM PLASTIC W/ANKLE,1885.0,,942.5,1696.5,61
HCPCS,L2036,AFO KNEE CUSTOM,3159.0,,1579.5,2843.1,61
HCPCS,L2200,ADDITION TO LOWER EXTREMITY,151.0,,75.5,135.9,61
HCPCS,L2210,AFO JOINTS,178.0,,89.0,160.2,61
HCPCS,L2270,ORTH LE VAR/VAL STRAP/MALL PAD,108.0,,54.0,97.2,61
HCPCS,L2275,ADD TO LOWER EXT VARUS/VALGUS,370.0,,185.0,333.0,61
HCPCS,L2280,ORTH LE MOLDED INNER BOOT,628.0,,314.0,565.2,61
HCPCS,L2425,ADD TO KNEE FOR ADJ KNEE FLEX,639.0,,319.5,575.1,61
HCPCS,L2999,PUSH BLOCK,876.0,,438.0,788.4,56
HCPCS,L3020,FOOT INSERT CUSTOM,427.0,,213.5,384.3,61
HCPCS,L3260,BOOT DARCO ORTHOWEDGE,65.0,,11.7,58.5,57
HCPCS,L3265,Z*ORTHO SHOE XXL,236.0,,13.5,212.4,57
HCPCS,L3300,ORTHOTIC FOOT HEEL ELEVATE,166.0,,83.0,149.4,61
HCPCS,L3310,SHOE LIFT PER INCH,202.0,,101.0,181.8,61
HCPCS,L3649,ORTHO SHOE,123.0,,61.5,110.7,61
HCPCS,L3670,SHOULDER ORTHOSIS,285.0,,142.5,256.5,61
HCPCS,L3670,SLING ULTRA II AB SMALL,150.0,,75.0,135.0,56
HCPCS,L3670,SO P.A.D. II LARGE,120.0,,60.0,108.0,61
HCPCS,L3670,SO P.A.D. II MEDIUM,126.0,,63.0,113.4,61
HCPCS,L3808,ORTHOTIC WHFO RIGID W/O JOINTS,866.0,,73.68,779.4,61
HCPCS,L3808,OT SPLINT SHORT ARM CUSTOM,355.0,,73.68,319.5,56
HCPCS,L3908,SPLINT WRIST,42.0,,21.0,44.14,61
HCPCS,L3908,SPLNT WRIST EXT COCK-UP PREFAB,34.0,,17.0,44.14,122
HCPCS,L3930,HFO W/NONTORSION JNTS PRFB OTS,357.0,,178.5,321.3,61
HCPCS,L3933,OT SPLINT FINGER CUSTOM,330.0,,165.0,297.0,56
HCPCS,L3980,SARMIENTO BRACE HUMERAL FRACT,909.0,,454.5,818.1,61
HCPCS,L3984,OT SPLINT LONG ARM CUSTOM,1217.0,,608.5,1095.3,56
HCPCS,L4350,SPLINT ANKLE PNEUMATIC AIRCAST,87.0,,43.5,78.3,122
HCPCS,L4360,BOOT WITH PNEUMATIC PUMP,533.0,,211.5,578.7,117
HCPCS,L4360,WALKER INLINE AIR-MEDIUM,170.0,,85.0,153.0,61
HCPCS,L4386,"WALKER INLINE DEROYAL SM,LG,XL",186.0,,93.0,167.4,61
HCPCS,L4386,WALKING BOOT,784.0,,392.0,705.6,61
HCPCS,L4392,BOOT LINER 72205287,668.0,,334.0,601.2,56
HCPCS,L4396,AFO PHASE II MULTI PODUS,1062.0,,531.0,955.8,61
HCPCS,L4396,BOOT ANKLE CONTRACTURE LG,784.0,,392.0,705.6,61
HCPCS,L4396,BRACE MULTIPODUS MED,784.0,,392.0,705.6,61
HCPCS,L4396,BRACE MULTIPODUS SM,790.0,,395.0,711.0,61
HCPCS,L4396,BRACE MULTIPODUS XL,786.0,,393.0,707.4,61
HCPCS,L4398,BOOT REVAS UNISIZE,303.0,,151.5,272.7,61
HCPCS,L4631,AFO WITH ANTERIOR SHELL,1105.0,,552.5,994.5,61
HCPCS,L5000,BRACE CUSTOM FILLER TOE,843.0,,421.5,758.7,61
HCPCS,L5400,Z*PYLON AND PROSTHETIC FOOT IP,2999.0,,1499.5,2699.1,61
HCPCS,L5450,POST-OP KNEE IMMOBILIZER,883.0,,441.5,794.7,61
HCPCS,L5460,TRANS-FEMORAL SOCKET,1801.0,,900.5,1620.9,61
HCPCS,L5668,BELOW KNEE MOLDED DIST CUSHION,243.0,,121.5,218.7,61
HCPCS,L5673,LINER BK CUSHION W/LOCK,1502.0,,751.0,1351.8,61
HCPCS,L5688,ADD TO LOWER EXT BELOW KNEE,169.0,,84.5,152.1,61
HCPCS,L5999,PROTECTOR SOFT STUMP AK/BK 02,1164.0,,582.0,1047.6,61
HCPCS,L7367,BATTERY LI ION HEARTWARE EACH,1902.0,,373.88,1711.8,61
HCPCS,L7520,LABOR TO REPAIR DEVICE 15 MIN,86.0,,22.5,77.4,57
HCPCS,L8010,ARM COMPRESS/MASECTOMY SLEEVE,273.0,,40.5,245.7,62
HCPCS,L8330,INGUINAL TRUSS,332.0,,166.0,298.8,61
HCPCS,L8420,SOCK BELOW KNEE MULTI PLY,83.0,,41.5,74.7,61
HCPCS,L8430,SOCK MULTIPLE PLY AK,72.0,,36.0,64.8,61
HCPCS,L8440,PROSTHETIC SHRINKER BELOW KNEE,402.0,,201.0,361.8,61
HCPCS,L8460,PROSTHETIC SHRINKER ABOVE KNEE,374.0,,187.0,336.6,61
HCPCS,L8470,SOCK BELOW KNEE SINGLE PLY,31.0,,15.5,27.9,61
HCPCS,L8480,PROSTHETIC SOCK ABOVE KNEE,33.0,,16.5,29.7,61
HCPCS,L8500,KT SERVOX DIGITAL PROSTHESIS,1140.0,,570.0,1026.0,61
HCPCS,L8501,VALVE TRACH SPEAKING VENT,453.0,,226.5,407.7,61
HCPCS,L8509,PROSTHESIS VALVE LOW PRESSURE,223.0,,111.5,200.7,61
HCPCS,L8509,PROSTHESIS VOICE DUCKBILL,165.0,,82.5,148.5,61
HCPCS,L8509,PROSTHESIS VOICE INDWELLING,476.0,,238.0,428.4,61
HCPCS,L8600,IMPL BREAST MEMORYGEL,1438.0,,719.0,1294.2,61
HCPCS,L8600,IMPL BREAST MEMORYGEL SMPX-240,1768.0,,884.0,1591.2,61
HCPCS,L8600,IMPL MAMM MEMORYGEL,1495.0,,150.5,1552.5,183
HCPCS,L8600,IMPL MEMORY GEL MOD PLUS 150CC,760.0,,380.0,684.0,61
HCPCS,L8600,MAMMARY GEL ROUND 590CC,1812.0,,906.0,1630.8,61
HCPCS,L8600,STRUCTURED BREAST IMPLANT,1947.0,,973.5,1752.3,61
HCPCS,L8603,IMPL CONTIGEN BARD COLLAGEN,629.0,,314.5,566.1,61
HCPCS,L8604,CARTRIDGE DEFLUX GEL 1ML,1270.0,,8.08,1143.0,62
HCPCS,L8604,GEL INJECTABLE DEFLUX,3134.0,,8.08,2820.6,62
HCPCS,L8606,IMPL MACROPLASTIQUE 2.5ML,1220.0,,610.0,1098.0,61
HCPCS,L8610,IMP EYE SPHERE ORBITAL MEDPOR,1256.0,,628.0,1130.4,61
HCPCS,L8610,OMNIPORE ORBITAL SPHERE,1028.0,,514.0,925.2,61
HCPCS,L8613,DORNHOFFER PARTIAL,924.0,,462.0,831.6,56
HCPCS,L8613,IMPL OSSIC ALTO PARTIAL,821.0,,410.5,738.9,61
HCPCS,L8614,COCHLEAR BACKUP IMPLANT,30710.5,,14680.0,28854.9,122
HCPCS,L8614,"COCHLEAR IMPLANT, NUCLEUS C124",35917.0,,17958.5,32325.3,61
HCPCS,L8614,IMPL COCHLEAR CONTOUR ADVANCE,38392.0,,19196.0,34552.8,61
HCPCS,L8614,IMPL COCHLEAR W/SLIM ELECTRODE,32640.0,,16320.0,29376.0,61
HCPCS,L8630,IMPL FINGER NEUFLEX PIP,1566.0,,783.0,1409.4,61
HCPCS,L8630,IMPL FINGER SWANSON W/GROMMETS,1696.0,,848.0,1526.4,61
HCPCS,L8630,IMPL MCP SR PROXIMAL,5469.0,,2734.5,4922.1,61
HCPCS,L8630,IMPL PIP SR DISTAL,3056.0,,1304.0,3153.6,122
HCPCS,L8641,KIT HAMMERTOE HAMMERTUBE,3588.0,,1794.0,3229.2,61
HCPCS,L8641,KIT IMPL HAMMERTOE CCI,3866.0,,1933.0,3479.4,61
HCPCS,L8641,POST TAPER HEMICAP ARTHROSUR,1335.0,,667.5,1201.5,61
HCPCS,L8670,GRAFT DEBAKEY 6X6CM,81.0,,40.5,72.9,61
HCPCS,L8670,GRAFT FABRIC SAUVAGE 2X2,186.0,,93.0,167.4,61
HCPCS,L8670,GRAFT GORE-TEX 20020020,1775.0,,887.5,1597.5,61
HCPCS,L8670,GRAFT GORE-TEX PROPATEN 05,2829.0,,1414.5,2546.1,61
HCPCS,L8670,GRAFT GORE-TEX STD RING 16X30,2530.0,,1265.0,2277.0,61
HCPCS,L8670,GRAFT HEMAGARD INTERVASCULAR,793.0,,396.5,713.7,61
HCPCS,L8670,GRAFT HEMAGARD KNIT STR 20CM,562.0,,281.0,505.8,61
HCPCS,L8670,GRAFT HEMASHIELD GOLD,826.0,,413.0,743.4,61
HCPCS,L8670,GRAFT INTERGARD KNITTED 7X40,646.0,,323.0,581.4,56
HCPCS,L8670,GRAFT OUTFLOW 10MM HEARTWARE,5225.0,,2612.5,4702.5,61
HCPCS,L8670,GRAFT OUTFLOW HMIII,11037.0,,5518.5,9933.3,61
HCPCS,L8670,GRAFT PROPATEN 01,4371.0,,2185.5,3933.9,61
HCPCS,L8670,GRAFT VASC VENAFLO II BARD,1818.0,,909.0,1636.2,61
HCPCS,L8670,GRFT HEMASHIELD GOLD 6X15CM,969.0,,484.5,872.1,61
HCPCS,L8670,HM3 LVAD OUTFLOW GRAFT,11037.0,,5518.5,9933.3,61
HCPCS,L8670,KNITTED VASCULAR GRAFT,1172.83,,581.0,1065.29,122
HCPCS,L8670,PROPATEN VASCULAR GRAFT,3865.0,,1932.5,3478.5,61
HCPCS,L8670,VAD HM GRAFT OUTFLOW 102,3332.0,,1666.0,2998.8,61
HCPCS,L8670,VENAFLO II EPTFE VASC GRAFT,2969.0,,1484.5,2672.1,61
HCPCS,L8680,LEAD B3300542 SENSIGHT 0.5MM,5770.0,,229.5,5193.0,62
HCPCS,L8680,LEAD NEURO DBS DIRECT,7971.0,,229.5,7173.9,62
HCPCS,L8681,PROGRAMMER PT HAND HELD ADJ,2377.0,,1188.5,2139.3,56
HCPCS,L8690,IMP DERMALOCK ABUTMENT BAHA,6389.0,,3194.5,5750.1,61
HCPCS,L8690,IMPL BAHA B1300 4MM,3267.0,,1633.5,2940.3,61
HCPCS,L8690,IMPL BIA400 4MM ABUTMENT,5527.0,,2763.5,4974.3,61
HCPCS,L8690,IMPL COCHLEAR OSIA,9149.0,,4574.5,8234.1,61
HCPCS,L8690,IMPLANT BAHA BIA300 W/ABTMNTS,6146.0,,3073.0,5531.4,61
HCPCS,L8690,OSSIO OSI300 IMPLANT,8541.0,,4270.5,7686.9,61
HCPCS,L8693,ABUTMENT BA 400 12MM,3786.0,,1893.0,3407.4,61
HCPCS,L8693,IMPL ABUTMENT HEALING VXA300,1429.0,,714.5,1286.1,61
HCPCS,L8693,IMPL COCHLEAR ABUTMENT STD 4MM,1034.0,,517.0,930.6,61
HCPCS,L8699,IMPL TESTICULAR TORSA,4035.0,,2017.5,3631.5,61
HCPCS,L8699,UROLIFT SYS W/HAND RELEASE,2053.0,,1026.5,1847.7,61
HCPCS,L9900,4.5MM MULTI UNIT ABUTMENT,435.0,,45.62,391.5,62
HCPCS,L9900,ABUT ZYGOMA MULTI 3MM,280.0,,45.62,252.0,62
HCPCS,L9900,ABUT ZYGOMA MULTI 5MM,297.0,,45.62,267.3,62
HCPCS,L9900,ABUTMENT HEALING BMK SYST RP,139.0,,45.62,125.1,62
HCPCS,L9900,ABUTMENT HEALING IE3,141.0,,45.62,126.9,62
HCPCS,L9900,IMP EMERG HEALING ABUTMENT,139.0,,45.62,125.1,62
HCPCS,L9900,IMP NARROW EMERT HEAL ABUTMENT,119.0,,45.62,107.1,62
HCPCS,L9900,MAGNET COIL COCHLEAR INFINITY,422.0,,45.62,379.8,62
HCPCS,L9900,MULTI UNIT ABUTMENT ST COLLAR,285.0,,45.62,256.5,62
HCPCS,P9011,NEO PRE-STOR LEUKORED PLT,2892.0,,116.79,2602.8,68
HCPCS,P9011,NEONATAL PRESTOR RBC,574.0,,116.79,516.6,68
HCPCS,P9011,SPLIT UNIT OF FFP        00000,574.0,,116.79,516.6,136
HCPCS,P9012,CRYOPRECIPITATE EA UNIT,303.0,,52.36,272.7,68
HCPCS,P9012,CRYOPRECIPITATE EACH UNIT **,303.0,,52.36,272.7,68
HCPCS,P9016,BLOOD PRODUCTS RED CELLS,873.0,,149.9,785.7,136
HCPCS,P9016,"WHOLE BLOOD, LEUKO REDUCED",873.0,,149.9,785.7,68
HCPCS,P9017,FRESH FROZEN PLASMA EACH UNIT,498.0,,69.42,448.2,136
HCPCS,P9021,RED BLOOD CELLS EACH UNIT,368.0,,118.87,331.2,68
HCPCS,P9025,PLASMA CRYO REDUCED PATH (RUO),85.0,,42.5,166.38,134
HCPCS,P9035,PLT APHER/PHER L/R EA,3489.0,,401.21,3140.1,68
HCPCS,P9038,"IRRAD, RED BLOOD CELLS",1323.0,,122.91,1190.7,68
HCPCS,P9040,RED CELLS L/R IRR EA,1086.0,,210.7,977.4,68
HCPCS,P9041,ALBURX 5% 500ML (25GM/500ML),498.0,,12.96,448.2,56
HCPCS,P9044,CRYOPRECIPIT-POOR PLASMA,372.0,,121.33,334.8,68
HCPCS,P9045,ALBUMIN/250ML BU 5% 500ML,286.44,,48.83,257.8,68
HCPCS,P9045,"ALBUMIN/5%,250ML BU 5% 250ML",286.44,,48.83,257.8,68
HCPCS,P9047,ALBUMIN 25% PER 50ML BU 50ML V,286.44,,64.76,257.8,56
HCPCS,P9047,ALBUMIN PER 50ML BU 25% 100ML,286.44,,64.76,257.8,56
HCPCS,P9047,ALBUMIN VL 25% 100MG,346.22,,64.76,311.6,56
HCPCS,P9047,ALBUMIN VL 25% 100ML,346.22,,64.76,311.6,280
HCPCS,P9047,ALBUMIN VL 25% 50ML,178.08,,64.76,160.27,112
HCPCS,P9050,GRANULOCYTE CONC PHERES,2962.0,,1481.0,2665.8,56
HCPCS,P9054,LEUKO-REDUCED DEGLYCED RBC,2782.0,,199.7,2503.8,68
HCPCS,P9059,ER Only-LIQUID PLASMA,271.0,,58.56,243.9,50
HCPCS,P9059,LIQUID PLASMA,190.0,,54.5,243.9,272
HCPCS,P9612,"CATHETER INSERTION, STRAIGHT",195.0,,8.36,175.5,124
HCPCS,Q0091,PAP SMEAR SCREEN,107.0,,20.18,96.3,612
HCPCS,Q0111,ER Only-SMEAR WET MOUNT,196.0,,6.26,176.4,50
HCPCS,Q0111,SMEAR WET MOUNT,137.5,,6.26,176.4,748
HCPCS,Q0112,ALL KOH PREPARATIONS,165.0,,4.25,148.5,272
HCPCS,Q0138,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,532
HCPCS,Q0139,FERUMOXYTOL INJ 1MG ESRD,2.3,,0.2944,2.07,68
HCPCS,Q0161,CHLORPROMAZINE TAB  10MG UD-,12.83,,1.4,11.55,55
HCPCS,Q0161,CHLORPROMAZINE TAB  25MG UD-,3.92,,1.4,3.53,55
HCPCS,Q0161,CHLORPROMAZINE TAB  50MG UD,23.75,,1.4,21.38,55
HCPCS,Q0161,CHLORPROMAZINE TAB 100MG UD,45.93,,1.4,41.34,55
HCPCS,Q0162,ODANSETRON ODT 8MG TABLET,2.0,,0.0122,1.8,165
HCPCS,Q0162,ONDANSETRON OD TAB 4MG,2.0,,0.0122,1.8,55
HCPCS,Q0163,DIPHENHYDRAMINE CAP 50MG UD-,2.0,,0.35,1.8,56
HCPCS,Q0163,DIPHENHYDRAMINE EL 2.5MG/ML,17.28,,0.35,15.55,56
HCPCS,Q0163,DIPHENHYDRAMINE EL 25MG/10M UD,17.28,,0.35,15.55,56
HCPCS,Q0164,PROCHLORPERAZINE  TAB  5MG UD-,2.0,,0.9028,1.8,55
HCPCS,Q0164,PROCHLORPERAZINE  TAB 10MG UD-,2.41,,0.9028,2.17,55
HCPCS,Q0166,GRANISETRON TAB 1MG UD  NF-,16.55,,1.66,62.95,56
HCPCS,Q0169,PROMETHAZINE SYRUP 1.25MG/ML,2.3,,0.3416,2.07,56
HCPCS,Q0169,PROMETHAZINE TAB 12.5MG UP -,2.0,,0.3416,1.8,56
HCPCS,Q0173,TRIMETHOBENZ CAP 300MG,82.67,,0.793,74.4,56
HCPCS,Q0175,PERPHENAZINE TAB 2MG UP    *NF,4.28,,0.793,3.85,56
HCPCS,Q0175,PERPHENAZINE TAB 4MG UP    *NF,5.34,,0.793,4.81,56
HCPCS,Q0222,BEBTELOVIMAB 175MG/ML VL EUA,14700.0,,4.98,13230.0,57
HCPCS,Q0478,CONTROLLER AC ADAPTER HRTWARE,2587.0,,1293.5,2328.3,61
HCPCS,Q0478,CONTROLLER DC ADAPTER HRTWARE,3917.0,,1958.5,3525.3,61
HCPCS,Q0479,HEARTMATE II POWER MODULE,12418.0,,6209.0,11176.2,61
HCPCS,Q0479,HEARTMATE III MOBILE POWER UNI,17689.0,,8844.5,15920.1,61
HCPCS,Q0482,CONTROLLER HEARTMATE II (PC),22102.0,,11051.0,19891.8,61
HCPCS,Q0482,CONTROLLER HEARTMATE II PCKT,11582.0,,5791.0,10423.8,61
HCPCS,Q0482,CONTROLLER HEARTWARE,16732.0,,8366.0,15058.8,61
HCPCS,Q0482,HM3 LVAD CONTROLLER,12648.0,,6324.0,11383.2,61
HCPCS,Q0486,CABLE POWER MODULE THORATEC,2213.0,,1106.5,1991.7,61
HCPCS,Q0486,HM3 LVAD MODULAR CABLE,11382.0,,5691.0,10243.8,61
HCPCS,Q0492,CABLE POWER EMERG VAD THORATEC,561.0,,280.5,504.9,61
HCPCS,Q0495,CHARGER BATT/POWER PACK DH**,25555.0,,12777.5,22999.5,61
HCPCS,Q0495,HEARTMATE II BATTERY CHARGER,11463.0,,5731.5,10316.7,56
HCPCS,Q0496,BATTERY LI HEARTMATE II (PC),903.0,,451.5,812.7,61
HCPCS,Q0497,SET CLIP BATTERY LVAD GOGEAR,2514.0,,1257.0,2262.6,61
HCPCS,Q0499,HOLSTER VOYAGER FOR PUMP,1423.0,,711.5,1280.7,61
HCPCS,Q0499,VEST HOLSTER HEARTMATE,860.0,,430.0,774.0,61
HCPCS,Q0499,VEST HOLSTER HEARTMATE II (PC),730.0,,365.0,657.0,61
HCPCS,Q0501,BAG SHOWER HEARTMATE II (PC),745.0,,372.5,670.5,61
HCPCS,Q0501,SHOWER BAG HEARTWARE,756.0,,378.0,680.4,61
HCPCS,Q0503,BATTERY LVAD RPLCMT DH**,2520.0,,1260.0,2268.0,61
HCPCS,Q0503,BATTERY VAD THORATEC GO-GEAR,1574.0,,787.0,1416.6,61
HCPCS,Q0508,ALARM ADAPTER HEARTWARE,721.0,,360.5,648.9,61
HCPCS,Q0508,BAG CONSOLIDATED HEARTMATE II,647.0,,323.5,582.3,61
HCPCS,Q0508,DRIVELINE EXT CABLE HEARTWARE,4701.0,,2350.5,4230.9,61
HCPCS,Q0508,HM3 LVAD SURGICAL HAND TOOLS,5290.0,,2645.0,4761.0,61
HCPCS,Q0508,PACK SHOULDER HEARTWARE HVAD,1120.0,,560.0,1008.0,61
HCPCS,Q0508,STABILIZATION BELT MED/LRG,271.0,,135.5,243.9,61
HCPCS,Q0508,SUPPLY/ACC VAD IMP MISC REPLAC,0.01,,0.005,0.009,56
HCPCS,Q2009,FOSPHENYTOIN INJ 25MG/ML PED,8.26,,4.13,21.0,57
HCPCS,Q2009,FOSPHENYTOIN INJ 500MG/10ML*NF,82.64,,8.92,74.38,57
HCPCS,Q2042,TISAGENLECLEUCEL IV ADULT,3422488.37,,544388.1,3080239.53,68
HCPCS,Q2043,SIPULEUCEL-T PER INFUSION,74974.28,,37487.14,68254.08,56
HCPCS,Q2049,DOXORUB LIPO/10MG BU 50MGV,1448.23,,486.55,1303.41,68
HCPCS,Q2049,DOXORUBICIN LIPO/10MG BU 20MG,1448.23,,486.55,1303.41,68
HCPCS,Q2050,DOXORUBICIN (LIPO) VL 10MG,13.1,,6.55,293.09,260
HCPCS,Q2050,DOXORUBICIN LIPO 10MG BU/20MG,271.32,,99.79,293.09,272
HCPCS,Q2050,DOXORUBICIN LIPO 10MG BU/50MG,312.83,,99.79,293.09,272
HCPCS,Q2050,DOXORUBICIN/10MG BU 200MG VL,1448.23,,99.79,1303.41,68
HCPCS,Q2050,DOXORUBICIN/10MG BU 50MG PWD V,1448.23,,99.79,1303.41,68
HCPCS,Q3014,BRIEF COMM TECH SERVICE EST,78.0,,10.66,70.2,4731
HCPCS,Q3014,SYNCH AUD-VID VISIT EST HI 40M,78.0,,10.66,70.2,4617
HCPCS,Q3014,SYNCH AUD-VID VISIT EST LO 20M,78.0,,10.66,70.2,4731
HCPCS,Q3014,SYNCH AUD-VID VISIT EST MO 30M,78.0,,10.66,70.2,4674
HCPCS,Q3014,SYNCH AUD-VID VISIT EST SF 10M,78.0,,10.66,70.2,4674
HCPCS,Q3014,SYNCH AUD-VID VISIT NEW HI 60M,78.0,,10.66,70.2,4674
HCPCS,Q3014,SYNCH AUD-VID VISIT NEW LO 30M,78.0,,10.66,70.2,4674
HCPCS,Q3014,SYNCH AUD-VID VISIT NEW MO 45M,78.0,,10.66,70.2,4674
HCPCS,Q3014,SYNCH AUD-VID VISIT NEW SF 15M,78.0,,10.66,70.2,4731
HCPCS,Q3014,SYNCH AUDIO VISIT EST HIGH MDM,78.0,,10.66,70.2,4617
HCPCS,Q3014,SYNCH AUDIO VISIT EST LOW MDM,78.0,,10.66,70.2,4617
HCPCS,Q3014,SYNCH AUDIO VISIT EST MOD MDM,78.0,,10.66,70.2,4617
HCPCS,Q3014,SYNCH AUDIO VISIT EST SF MDM,78.0,,10.66,70.2,4446
HCPCS,Q3014,SYNCH AUDIO VISIT EST SF MDM 1,78.0,,10.66,70.2,171
HCPCS,Q3014,SYNCH AUDIO VISIT NEW HIGH MDM,78.0,,10.66,70.2,4617
HCPCS,Q3014,SYNCH AUDIO VISIT NEW LOW MDM,78.0,,10.66,70.2,4617
HCPCS,Q3014,SYNCH AUDIO VISIT NEW MOD MDM,78.0,,10.66,70.2,4731
HCPCS,Q3014,SYNCH AUDIO VISIT NEW SF MDM,78.0,,10.66,70.2,4617
HCPCS,Q3014,SYNCH AUDIO VISIT NEW SF MDM 1,78.0,,10.66,70.2,57
HCPCS,Q3014,SYNCH AUDIO-VIDEO VISIT EST HI,78.0,,10.66,70.2,57
HCPCS,Q3014,SYNCH AUDIO-VIDEO VISIT EST MO,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE ACO,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-ACTP,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-ARB,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-ARG,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-ARR,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-ARU,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-ARY,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-BMTC,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-BURN,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-CKD,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-DKC,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-GYNO,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-HEO,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-HPC,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-HPO,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KAU,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KBS,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KCA,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KCC,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KCD,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KCM,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KCP,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KDB,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KED,78.0,,10.66,70.2,114
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KEN,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KES,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KGE,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KGI,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KGM,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KHN,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KHO,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KI1,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KI2,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KI3,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KI4,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KLI,78.0,,10.66,70.2,114
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KNP,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KNR,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KNS,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KO1,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KOE,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KOL,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KOT,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KPH,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KPL,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KPS,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KPT,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KRH,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KRO,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KUR,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KVA,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-KVS,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-MEU,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-MUC,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-NUCM,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-OT,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-PAC,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-PCL,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-PEC,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-SCH,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-SCT,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-SW1,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-TBC,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-TDR,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-TEG,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-TEL,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-TKG,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-TKI,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-TKV,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-TNU,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UCW,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UDV,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UGT,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UHB,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UHP,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UID,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UNW,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UOT,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UPR,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UPT,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-UTN,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-WCO,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-WGH,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-WHP,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-WND,78.0,,10.66,70.2,57
HCPCS,Q3014,TELEHEALTH FACILITY FEE-WRC,78.0,,10.66,70.2,57
HCPCS,Q4081,"EPOETIN ESRD 40,000U/1ML V",3903.43,,0.9394,3513.09,55
HCPCS,Q4081,EPOETIN INJ ESRD  2000U/1ML V,221.98,,0.9394,199.78,55
HCPCS,Q4081,EPOETIN INJ ESRD  3000U/1ML V,332.98,,0.9394,299.68,55
HCPCS,Q4081,EPOETIN INJ ESRD  4000U/1ML V,443.98,,0.9394,399.58,55
HCPCS,Q4081,"EPOETIN INJ ESRD 10,000U/1ML V",975.82,,0.9394,878.24,55
HCPCS,Q4100,ALLOGRAFT TISS DERMIS CORTIVA,5485.0,,225.5,16086.6,244
HCPCS,Q4100,ALLOGRFT TISS DERMIS CORTIVA 4,7276.0,,3638.0,6548.4,61
HCPCS,Q4100,ALLOGRFT TISS DERMIS CORTIVA1,16248.0,,8124.0,14623.2,61
HCPCS,Q4100,ALLOGRFT TISS DERMIS CORTIVA2,6498.0,,3249.0,5848.2,61
HCPCS,Q4100,ALLOGRFT TISS DERMIS CORTIVA3,8835.0,,4417.5,7951.5,61
HCPCS,Q4100,ALLOGRFT TISS DERMIS FORTIVA1,12803.0,,6401.5,11522.7,61
HCPCS,Q4100,ALLOGRFT TISS DERMIS FORTIVA2,4001.0,,2000.5,3600.9,61
HCPCS,Q4100,ALLOGRFT TISS DERMIS FORTIVA3,6403.0,,3201.5,5762.7,61
HCPCS,Q4100,ALLOGRFT TISS DERMIS FORTIVA4,20005.0,,10002.5,18004.5,61
HCPCS,Q4100,ALLOGRFT TISS DERMIS FORTIVA5,36012.0,,18006.0,32410.8,61
HCPCS,Q4100,ALLOGRFT TISS DERMIS FORTIVA6,49015.0,,24507.5,44113.5,61
HCPCS,Q4100,ALLOGRFT TISSUE DERMIS CORTIVA,63.0,,31.5,56.7,61
HCPCS,Q4100,DSG ENDOFORM MYRIAD AROA BIO,1192.0,,596.0,1072.8,56
HCPCS,Q4100,VIGENEX UMBILICAL MEMBRANE 3X,3320.0,,1660.0,2988.0,61
HCPCS,Q4102,OASIS WOUND MATRIX PER SQ CM,33.0,,14.27,29.7,56
HCPCS,Q4104,BILAYER MATRIX WND DRESS,20129.0,,65.59,18116.1,56
HCPCS,Q4104,INTEGRA 4X10 MESHED,15637.0,,7818.5,14073.3,56
HCPCS,Q4104,INTEGRA BIL MATRIX 4X5IN,7254.0,,65.59,6528.6,56
HCPCS,Q4104,INTEGRA BILAYER MATRIX 54051T,8383.0,,4191.5,7544.7,61
HCPCS,Q4104,INTEGRA BILAYER MATRIX BMW2021,5211.0,,65.59,4689.9,56
HCPCS,Q4104,INTEGRA BILAYER MATRIX LV II,5491.0,,65.59,4941.9,55
HCPCS,Q4105,INTEGRA DERMAL REGEN TEMPLATE,18968.0,,31.83,28819.8,117
HCPCS,Q4105,MESHED DERMAL REGEN TEMP,9569.0,,4784.5,8612.1,61
HCPCS,Q4108,INTEGRA THIN 4X10,12532.0,,59.93,11278.8,55
HCPCS,Q4108,INTEGRA WOULD MATRIX,5027.0,,59.93,4524.3,56
HCPCS,Q4110,PRIMATRIX MESHED 10X25CM,15546.0,,79.8,13991.4,56
HCPCS,Q4110,PRIMATRIX MESHED 20X25CM,29894.0,,14947.0,26904.6,61
HCPCS,Q4110,PRIMATRIX MESHED 6X6CM,2927.0,,79.8,2634.3,56
HCPCS,Q4110,PRIMATRIX MESHED 8X12CM,7807.0,,79.8,7026.3,56
HCPCS,Q4110,PRIMATRIX MESHED 8X8CM,5361.0,,79.8,4824.9,56
HCPCS,Q4110,PRIMATRIX SOLID LG 20X25CM,29894.0,,79.8,26904.6,56
HCPCS,Q4110,PRIMATRIX SOLID SM 6X6CM,3074.0,,79.8,2766.6,56
HCPCS,Q4110,PRIMATRIX SOLID SM 8X8CM,4969.0,,79.8,4472.1,56
HCPCS,Q4116,ALLODERM 2X4,595.0,,95.49,535.5,62
HCPCS,Q4116,ALLODERM EXTRA THIN LIFECELL,1038.0,,95.49,934.2,56
HCPCS,Q4116,ALLODERM READY TO USE 4X12CM,3361.0,,95.49,3024.9,62
HCPCS,Q4116,ALLODERM THIN 4X7,662.0,,95.49,595.8,56
HCPCS,Q4116,ALLODERM THIN IMPLANTABLE 2X4,1125.0,,95.49,1012.5,56
HCPCS,Q4116,ALLODERM X-THIN IMPLANTABLE,2280.0,,95.49,2052.0,56
HCPCS,Q4116,ALLOGRAFT TISS DERMIS CORTIVA,2234.0,,95.49,2010.6,62
HCPCS,Q4118,DRSG MICROMATRIX COLLAGEN 500,2560.0,,3.12,2304.0,55
HCPCS,Q4118,MICROMATRIX MATRISTEM PRT 1000,4153.0,,3.12,3737.7,56
HCPCS,Q4121,THERASKIN CRYOPRESERVED,6665.0,,3332.5,5998.5,56
HCPCS,Q4121,THERASKIN LIFENET 101TSS,2278.0,,1139.0,2050.2,56
HCPCS,Q4121,THERASKIN LIFENET 102TSL,2724.0,,1362.0,2451.6,56
HCPCS,Q4121,THERASKIN LIFENET 26TS,2483.0,,1241.5,2234.7,56
HCPCS,Q4121,THERASKIN MESHED SHEET,6665.0,,3332.5,5998.5,56
HCPCS,Q4125,DERMIS ACELLULAR DERMAMATRIX,8943.0,,139.0,8048.7,56
HCPCS,Q4126,DERMASPAN,4208.0,,72.97,3787.2,55
HCPCS,Q4126,MATRIX DERMAL MATRIDERM,8544.0,,4272.0,7689.6,61
HCPCS,Q4133,ALLGRAFT PLACENTAL STRAVIX,2071.0,,166.14,1863.9,56
HCPCS,Q4133,ALLOGRAFT MESHED STRAVIX,6014.0,,166.14,5412.6,56
HCPCS,Q4133,CRYO PLACENTAL TISSUE,7407.0,,166.14,6666.3,56
HCPCS,Q4133,CRYOPRESERVED PLACENTAL TISSUE,4201.0,,166.14,3780.9,56
HCPCS,Q4133,GRAFIX PL PRIME 1.5 X 2CM,1946.0,,166.14,1751.4,56
HCPCS,Q4133,GRAFIX PL PRIME 3 X 4CM,2624.0,,166.14,2361.6,55
HCPCS,Q4133,GRAFIX-PRIME PER SQ CM,350.0,,166.14,315.0,112
HCPCS,Q4133,TISSUE BASED WND CARE STRAVIS,237.0,,118.5,213.3,56
HCPCS,Q4133,TISSUE BASED WOUD CARE STRAVIS,3463.0,,1731.5,3116.7,61
HCPCS,Q4133,TISSUE STRAVIX AMNION,602.0,,301.0,541.8,61
HCPCS,Q4136,EZ DERM,487.0,,22.0,438.3,62
HCPCS,Q4140,BIODFENCE G3 2.0CM X 6.0CM,6728.0,,3364.0,6055.2,61
HCPCS,Q4140,GRAFT BIODFENCE G3 1.5X2CM,3432.0,,201.1,3088.8,56
HCPCS,Q4140,GRAFT BIODFENCE G3 2X2CM,3560.0,,201.1,3204.0,56
HCPCS,Q4140,GRAFT BIODFENCE G3 2X3CM,4370.0,,201.1,3933.0,56
HCPCS,Q4140,GRAFT BIODFENCE G3 2X4CM,4982.0,,201.1,4483.8,56
HCPCS,Q4140,GRAFT BIODFENCE G3 4X4CM,8196.0,,201.1,7376.4,56
HCPCS,Q4140,GRAFT BIODFENCE G3 4X8CM,9657.0,,4828.5,8691.3,61
HCPCS,Q4142,XCM BIO TISSUE MATRIX SYNTHES,27860.0,,319.04,25074.0,56
HCPCS,Q4158,KERECIS OMEGA3 WOUND MICRO,460.0,,80.91,414.0,56
HCPCS,Q4186,ALLOGRAFT AMNIOTIC EPIFIX 4X4,5527.8,,183.4,4975.02,55
HCPCS,Q4186,EPIFIX 1 SQ CM,465.0,,232.5,418.5,56
HCPCS,Q5101,FILGRASTIM INJ 1MCG,2.5,,0.4232,2.25,464
HCPCS,Q5101,FILGRASTIM-SNDZ 1MCG/300MCG SY,2.84,,0.4232,2.56,68
HCPCS,Q5101,FILGRASTIM-SNDZ 1MCG/480MCG SY,2.76,,0.4232,2.48,68
HCPCS,Q5103,INFLECTRA PFZ/10MG BU 100MG VL,389.74,,18.39,350.77,68
HCPCS,Q5103,INFLECTRA VL 10MG,115.9,,18.39,104.31,408
HCPCS,Q5104,INFLIXIMAB-ABDA VL 10MG,52.14,,24.84,46.93,136
HCPCS,Q5104,INFLIXIMAB-ABDA VL10MG,52.14,,24.84,46.93,68
HCPCS,Q5105,RETACRIT ESRD/100U BU 10000U,5.97,,0.7268,5.37,68
HCPCS,Q5105,RETACRIT ESRD/100U BU 20000U,5.97,,0.7268,5.37,68
HCPCS,Q5105,RETACRIT ESRD/100U BU 2000U,5.97,,0.7268,5.37,68
HCPCS,Q5105,RETACRIT ESRD/100U BU 3000U,5.91,,0.7268,5.32,68
HCPCS,Q5105,RETACRIT ESRD/100U BU 40000U,5.97,,0.7268,5.37,68
HCPCS,Q5105,RETACRIT ESRD/100U BU 4000U,5.97,,0.7268,5.37,68
HCPCS,Q5106,RETACRIT NESRD/1000U BU 10000U,59.73,,7.22,53.76,68
HCPCS,Q5106,RETACRIT NESRD/1000U BU 20000U,59.73,,7.22,53.76,68
HCPCS,Q5106,RETACRIT NESRD/1000U BU 2000U,59.73,,7.22,53.76,68
HCPCS,Q5106,RETACRIT NESRD/1000U BU 3000U,59.67,,7.22,53.7,68
HCPCS,Q5106,RETACRIT NESRD/1000U BU 40000U,59.73,,7.22,53.76,68
HCPCS,Q5106,RETACRIT NESRD/1000U BU 4000U,59.73,,7.22,53.76,68
HCPCS,Q5107,BEVACIZUMAB-AWWB 10MG BU/100MG,140.1,,25.63,126.09,408
HCPCS,Q5107,BEVACIZUMAB-AWWB 10MG BU/400MG,184.8,,25.63,166.32,408
HCPCS,Q5107,BEVACIZUMAB-AWWB/10MG BU 100MG,457.11,,25.63,411.4,68
HCPCS,Q5107,BEVACIZUMAB-AWWB/10MG BU 400MG,370.69,,25.63,333.62,68
HCPCS,Q5108,FULPHILA INJ PFS 6MG/0.6ML,1888.8,,91.2,1699.92,272
HCPCS,Q5108,PEGFILFRASTIM JMDB SQ 0.5MG,168.69,,84.34,151.82,68
HCPCS,Q5108,PEGFILGRASTIM JMDB SQ 0.5MG,168.69,,84.34,151.82,272
HCPCS,Q5108,PEGFILGRASTIM JMDP SQ 0.5MG,168.69,,84.34,151.82,68
HCPCS,Q5108,PEGFILGRASTIM-JMDB/0.5MGBU 6MG,998.74,,91.2,898.87,68
HCPCS,Q5108,PEGFILGRASTIMJMDB SQ 0.5MG,168.69,,84.34,151.82,68
HCPCS,Q5111,PEGFILGRAST-CBQV/0.5MGBU 6MG,1814.12,,97.82,1632.71,68
HCPCS,Q5111,PEGFILGRASTIM CBQV UDENYCA .5,645.96,,97.82,581.36,396
HCPCS,Q5111,UDENYCA CBQV 0.5MG BU/6MG VL,592.97,,97.82,533.67,204
HCPCS,Q5111,UDENYCA CBQV BU/6MG VL,592.97,,97.82,533.67,68
HCPCS,Q5114,TRASTUZ-DKST 10MG BU PER 150MG,163.87,,37.07,147.48,476
HCPCS,Q5114,TRASTUZUMAB-DKST/10MG BU 150MG,386.54,,37.07,347.89,68
HCPCS,Q5115,RITUXIMAB-ABBS 10MG BU/100MG,139.5,,27.03,125.55,476
HCPCS,Q5115,RITUXIMAB-ABBS 10MG BU/500MG,147.07,,27.03,132.36,476
HCPCS,Q5115,RITUXIMAB-ABBS/10MG BU 100MG,327.85,,27.03,295.06,68
HCPCS,Q5115,RITUXIMAB-ABBS/10MG BU 500MG,327.85,,27.03,295.06,68
HCPCS,Q5116,TRASTUZUMAB-QYYP/10MG BU 150MG,401.41,,25.75,361.27,68
HCPCS,Q5117,KANJINTI 10MG BU/150MG VIAL,594.31,,43.75,534.88,68
HCPCS,Q5117,TRASTUZUMAB ANNS INJ 10MG,46.83,,23.41,65.38,340
HCPCS,Q5118,BEVACIZUMAB BVZR INJ 10MG,129.3,,23.71,116.37,68
HCPCS,Q5118,BEVACIZUMAB-BVZR 10MG BU/100MG,134.7,,23.71,126.09,340
HCPCS,Q5118,BEVACIZUMAB-BVZR 10MG BU/400MG,157.05,,23.71,166.32,408
HCPCS,Q5118,BEVACIZUMAB-BVZR INJ 10MG,129.3,,23.71,116.37,204
HCPCS,Q5118,BEVACIZUMAB-BVZR/10MG BU 100MG,370.69,,23.71,333.62,68
HCPCS,Q5118,BEVACIZUMAB-BVZR/10MG BU 400MG,370.69,,23.71,333.62,68
HCPCS,Q5119,RITUXIMAB-PVVR 10MG,114.4,,25.62,102.96,328
HCPCS,Q5119,RITUXIMAB-PVVR 10MG BU/100MG,114.4,,25.62,102.96,476
HCPCS,Q5119,RITUXIMAB-PVVR 10MG BU/500MG,114.4,,25.62,102.96,476
HCPCS,Q5119,RITUXIMAB-PVVR/10MG BU 100MG,364.18,,25.62,327.76,68
HCPCS,Q5119,RITUXIMAB-PVVR/10MG BU 500MG,364.18,,25.62,327.76,68
HCPCS,Q5120,PEGFILGRASTIN-BMEZ/0.5MGBU 6MG,946.18,,27.89,851.56,68
HCPCS,Q5121,INFLIXIMAB-AXXQ 10MG BU 100MG,284.12,,18.78,255.71,68
HCPCS,Q5121,INFLIXIMAB-AXXQ VL 10MG,126.2,,18.78,113.58,272
HCPCS,Q5122,PEGFILGRASTIM APGF SQ 0.5MG,472.71,,120.67,425.44,328
HCPCS,Q5122,PEGFILGRASTIM-APGF/0.5MGBU 6MG,942.77,,120.67,848.49,68
HCPCS,Q5135,TOCILIZ-AAZG 1MG BU PER 200MG,23.2,,4.07,20.88,476
HCPCS,Q5135,TOCILIZ-AAZG 1MG BU PER 400MG,23.2,,4.07,20.88,476
HCPCS,Q5135,TOCILIZ-AAZG 1MG BU PER 80MG,20.4,,4.07,18.36,476
HCPCS,Q5135,TOCILIZUMAB-AAZG/ 1MG BU 200MG,32.08,,4.07,28.87,68
HCPCS,Q5135,TOCILIZUMAB-AAZG/ 1MG BU 400MG,32.08,,4.07,28.87,68
HCPCS,Q5135,TOCILIZUMAB-AAZG/ 1MG BU 80MG,32.08,,4.07,28.87,68
HCPCS,Q9957,PERFLUTREN LIPID MICOR PER ML,237.0,,50.26,213.3,55
HCPCS,Q9957,PERFLUTREN VL 6.25MG/ML 2ML,553.0,,50.26,497.7,275
HCPCS,Q9957,PERFLUTREN VL 6.52MG/ML 2ML,513.5,,50.26,497.7,275
HCPCS,Q9967,IODIXANOL INJ 320MG/ML 500ML,1126.39,,0.06,1013.75,55
HCPCS,Q9968,METHYL BLUE 1%/1MG BU 20MG SYR,9.66,,4.83,12.0,68
HCPCS,Q9968,METHYLENE BLU/1MG BU 0.5% 10MG,12.87,,6.43,12.0,68
HCPCS,Q9968,METHYLENE BLU/1MG BU 0.5% 50MG,12.87,,6.43,12.0,68
HCPCS,Q9968,METHYLENE BLU/1MG BU 1% 100MG,12.87,,6.43,12.0,68
HCPCS,Q9968,METHYLENE BLUE INJ 1MG,17.3,,8.03,15.57,68
HCPCS,Q9968,METHYLENE BLUE/1MG BU 0.5% 5MG,12.87,,6.43,12.0,68
HCPCS,Q9968,METHYLENE BLUE/1MG BU 1% 10MG,12.87,,6.43,12.0,68
HCPCS,Q9968,PROVAYBLUE 1MG BU/50MG AMPULE,17.3,,8.03,15.57,68
HCPCS,Q9968,VISUALIZATION ADJUNCT,63.9,,8.03,57.51,204
HCPCS,Q9991,BUPRENORPHINE 100MG ER INJ SYR,14115.64,,1855.11,12704.08,68
HCPCS,Q9992,BUPRENORPH ER INJ/BU 300MG 300,14115.64,,1855.11,12704.08,68
HCPCS,S0080,PENTAMIDINE INJ 300MG/3ML V*NF,315.32,,115.18,283.79,55
HCPCS,S9475,DAILY SUBSTANCE ABUSE PHP,923.0,,461.5,830.7,55
HCPCS,S9475,DAILY SUBSTANCE ABUSE PHP-BCBS,1326.0,,614.7,1193.4,57
HCPCS,V2790,ALLOGRAFT MEMBRANE AMNIOTIC,7361.0,,346.5,6624.9,62
HCPCS,V2790,GRAFT BIODFENCE G3 3X6CM,8189.0,,346.5,7370.1,56
HCPCS,V2790,MEMBRANE AMNIOTIC,2146.0,,346.5,1931.4,62
HCPCS,V2790,PROKERA BIO-TISSUE,2412.0,,346.5,2170.8,62
HCPCS,V5014,REPAIR HEARING AID,308.0,,117.79,277.2,114
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,21547.0,835112.22,35
MS-DRG,001,Heart Bridge to Transplant,,,35000.0,166822.0,14
MS-DRG,001,Heart Transplant (Pediatric),,,160529.0,160529.0,1
MS-DRG,001,Heart Transplant with VAD,,,252875.0,297500.0,13
MS-DRG,001,Heart-Kidney Transplant,,,35000.0,35000.0,1
MS-DRG,001,Heart-Lung Transplant,,,769541.0,769541.0,1
MS-DRG,001,Heart-Lung Transplant with VAD,,,1098149.0,1098149.0,1
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,21547.0,771307.0,35
MS-DRG,002,Heart Bridge to Transplant,,,35000.0,166822.0,14
MS-DRG,002,Heart Transplant (Pediatric),,,160529.0,160529.0,1
MS-DRG,002,Heart Transplant with VAD,,,252875.0,297500.0,13
MS-DRG,002,Heart-Kidney Transplant,,,35000.0,35000.0,1
MS-DRG,002,Heart-Lung Transplant,,,769541.0,769541.0,1
MS-DRG,002,Heart-Lung Transplant with VAD,,,1098149.0,1098149.0,1
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,12928.0,632510.96,14
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,7719.0,412771.72,14
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,12928.0,306516.0,32
MS-DRG,005,Liver-Kidney Transplant,,,35000.0,86788.2,2
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,12928.0,306516.0,32
MS-DRG,006,Liver-Kidney Transplant,,,35000.0,86788.2,2
MS-DRG,007,Double Lung Transplant,,,91330.0,501875.0,20
MS-DRG,007,LUNG TRANSPLANT,,,12928.0,109286.05,11
MS-DRG,007,Single Lung Transplant,,,83853.53,340554.0,20
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,9601.0,105000.0,30
MS-DRG,010,PANCREAS TRANSPLANT,,,9601.0,62162.21,12
MS-DRG,010,Pancreas After Kidney Transplant,,,42550.5,91000.0,19
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,7719.0,162532.18,14
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,7719.0,125636.8,14
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,5748.0,85877.64,14
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,9601.0,101677.85,11
MS-DRG,014,Allogeneic BMT (Related - Other Family Donor),,,122434.0,207850.0,14
MS-DRG,014,Allogeneic BMT (Related - Sibling Donor),,,122434.0,176700.0,14
MS-DRG,014,Allogeneic BMT (Related),,,488895.0,488895.0,1
MS-DRG,014,Allogeneic BMT (Unrelated),,,143944.0,544554.0,14
MS-DRG,014,Allogeneic Cord Blood,,,646407.0,646407.0,1
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,7719.0,146300.0,25
MS-DRG,016,Autologous BMT,,,172486.0,172486.0,1
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,9601.0,146300.0,25
MS-DRG,017,Autologous BMT,,,172486.0,172486.0,1
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,7719.0,1286847.44,12
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,9601.0,105000.0,30
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,12928.0,234490.24,14
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,12928.0,157755.24,14
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,12928.0,91637.98,14
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,9601.0,170762.94,14
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,7719.0,116574.62,14
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,9601.0,135491.66,14
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,12928.0,92654.16,14
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,21026.85,75182.42,14
MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,21547.0,179047.34,14
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,21547.0,101665.68,14
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,18702.49,65416.96,14
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,21547.0,133518.9,14
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,18247.14,63503.8,14
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,14926.93,49554.42,14
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,21547.0,115346.86,14
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,20087.76,71236.9,14
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,16912.24,57895.44,14
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,12928.0,98104.58,14
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,12928.0,48353.48,14
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,11469.84,35029.9,14
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,9601.0,115063.76,14
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,7719.0,65521.26,14
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,12928.0,51485.46,14
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,7719.0,53067.84,14
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,5748.0,29180.16,14
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,2500.0,45501.62,15
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,2500.0,30384.08,15
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,5748.0,69228.38,14
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,5748.0,38608.88,14
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,5748.0,50943.1,14
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,4325.0,36978.82,14
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,4325.0,27410.04,14
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,9601.0,82161.58,14
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,9601.0,52364.56,14
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,9601.0,41833.24,14
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,7719.0,59927.8,14
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,5748.0,30106.94,14
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,4325.0,20395.12,14
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,5748.0,43767.26,14
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,4325.0,25759.12,14
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,5748.0,23804.24,14
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,4325.0,49611.04,14
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,5748.0,30574.8,14
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,5748.0,22534.76,14
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,5748.0,47808.14,14
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,5748.0,30717.84,14
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,5748.0,57141.5,14
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,5748.0,22314.24,14
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,5748.0,53938.0,14
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,5748.0,26688.88,14
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,9601.0,28599.57,13
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,4325.0,19268.36,13
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,5748.0,14654.12,13
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,5748.0,28455.86,13
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,5748.0,18292.04,13
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,5748.0,14223.11,13
MS-DRG,088,CONCUSSION WITH MCC,,,7719.0,40283.64,14
MS-DRG,089,CONCUSSION WITH CC,,,5748.0,32738.28,14
MS-DRG,090,CONCUSSION WITHOUT CC/MCC,,,8971.0,24531.36,14
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,5748.0,52334.76,14
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,4325.0,30485.4,14
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,4325.0,23729.74,14
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,7719.0,104878.12,14
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,7719.0,76860.16,14
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,7719.0,76860.16,14
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,9601.0,107631.64,14
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,4325.0,68388.02,14
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,5748.0,40599.52,14
MS-DRG,100,SEIZURES WITH MCC,,,9601.0,57716.64,14
MS-DRG,101,SEIZURES WITHOUT MCC,,,7719.0,26897.48,14
MS-DRG,102,HEADACHES WITH MCC,,,5748.0,33402.82,14
MS-DRG,103,HEADACHES WITHOUT MCC,,,5748.0,24921.74,14
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,9601.0,70062.78,14
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,9601.0,40319.4,14
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,7719.0,45740.02,14
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,7719.0,53881.38,14
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,9601.0,32330.02,14
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,5748.0,34666.34,14
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,4325.0,23416.84,14
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,4325.0,23798.28,14
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,5748.0,39428.38,14
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,5748.0,22880.44,14
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,18523.78,63032.96,14
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,10333.55,30255.94,14
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,7719.0,44497.36,14
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,7719.0,26408.76,14
MS-DRG,139,SALIVARY GLAND PROCEDURES,,,11896.82,36016.28,14
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,21547.0,127105.94,14
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,18602.49,64996.78,14
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,14455.25,47572.72,14
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,21547.0,111648.68,14
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,15423.43,51640.42,14
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,11659.92,35828.54,14
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,2500.0,63098.52,15
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,2500.0,37890.7,15
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,2500.0,23753.58,15
MS-DRG,149,DYSEQUILIBRIUM,,,5748.0,22397.68,14
MS-DRG,150,EPISTAXIS WITH MCC,,,5748.0,39678.7,14
MS-DRG,151,EPISTAXIS WITHOUT MCC,,,5748.0,21873.2,14
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,5748.0,35229.56,14
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,5748.0,21998.36,14
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,5748.0,46592.3,14
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,7719.0,27311.7,14
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,4325.0,20594.78,14
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,5748.0,51160.64,14
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,4325.0,27112.04,14
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,5748.0,21113.3,14
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,9601.0,133557.64,14
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,9601.0,75215.2,14
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,7719.0,57043.16,14
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,7719.0,111383.46,14
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,7719.0,53741.32,14
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,9601.0,40718.72,14
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,9601.0,88696.72,14
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,5748.0,40933.28,14
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,5748.0,23989.0,14
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,4325.0,46568.46,14
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,4325.0,29084.8,14
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,4325.0,22499.0,14
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,2500.0,52626.8,15
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,2500.0,31915.8,15
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,2500.0,22171.2,15
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,7719.0,20674.64,13
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,5748.0,15789.88,13
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,5748.0,12878.72,13
MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,5748.0,46443.3,14
MS-DRG,187,PLEURAL EFFUSION WITH CC,,,5748.0,29475.18,14
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,4325.0,21372.56,14
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,4325.0,36814.92,14
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,4325.0,33009.46,14
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,4325.0,25121.4,14
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,4325.0,19131.6,14
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,4325.0,39169.12,14
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,4325.0,24015.82,14
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,4325.0,18729.3,14
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,5748.0,56238.56,14
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,4325.0,28283.18,14
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,4325.0,21342.76,14
MS-DRG,199,PNEUMOTHORAX WITH MCC,,,5748.0,52570.18,14
MS-DRG,200,PNEUMOTHORAX WITH CC,,,4325.0,32759.14,14
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,4325.0,21309.98,14
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,4325.0,28941.76,14
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,5748.0,19966.0,14
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,5748.0,24060.52,14
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,4325.0,54563.8,14
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,5748.0,28044.78,14
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,7719.0,191754.06,14
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,12928.0,81911.26,14
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES,,,21547.0,337300.24,14
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,21547.0,324048.18,14
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES,,,21547.0,170065.62,14
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,21547.0,296718.6,14
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,12928.0,291527.44,14
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,12928.0,195943.94,14
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,21547.0,195943.94,14
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,21547.0,228813.34,14
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,21547.0,158917.44,14
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,21547.0,150197.96,14
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,21547.0,147432.52,14
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,21547.0,93855.1,14
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,21547.0,251211.02,14
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,12928.0,180665.48,14
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,12928.0,227826.96,14
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,12928.0,162788.46,14
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,12928.0,174884.28,14
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,12928.0,124826.24,14
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,12928.0,146666.66,14
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,7719.0,84944.9,14
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,5748.0,41255.12,14
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,21547.0,95145.44,14
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,18246.43,63500.82,14
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,15952.57,53863.5,14
MS-DRG,245,AICD GENERATOR PROCEDURES,,,21547.0,135959.52,14
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,12928.0,65038.5,14
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,13732.48,44536.1,14
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,9601.0,103951.34,14
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,12928.0,77348.88,14
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,12928.0,53094.66,14
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,7719.0,80382.52,14
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,5748.0,50597.42,14
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,5748.0,32547.56,14
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,9601.0,93634.58,14
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,12928.0,60258.58,14
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,9601.0,96933.44,14
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,9601.0,56336.9,14
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,12928.0,48571.02,14
MS-DRG,263,VEIN LIGATION AND STRIPPING,,,9601.0,91110.52,14
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,12928.0,99549.88,14
MS-DRG,265,AICD LEAD PROCEDURES,,,21547.0,107822.36,14
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,21547.0,182626.32,14
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,21547.0,141871.84,14
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,21547.0,204961.42,14
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,21547.0,125851.36,14
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,12928.0,157233.74,14
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,12928.0,105977.74,14
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,21240.36,76079.4,14
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,12928.0,122939.9,14
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,21547.0,98092.66,14
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,21547.0,212485.92,14
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,21547.0,178996.68,14
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,21547.0,137631.3,14
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,12928.0,165872.76,14
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,12928.0,107470.72,14
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,5748.0,47802.18,14
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,7719.0,27389.18,14
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,7719.0,21548.38,14
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,9601.0,59027.84,14
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,7719.0,20627.56,14
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,7380.04,17847.22,14
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,7719.0,65941.44,14
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,9601.0,31888.98,14
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,5748.0,80644.76,14
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,5748.0,50865.62,14
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,5748.0,27705.06,14
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,4000.0,38257.24,15
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,4000.0,25300.2,15
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,4000.0,16866.8,15
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,5748.0,46544.62,14
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,7629.03,18580.3,14
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,6360.09,13561.98,14
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,5748.0,48654.46,14
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,5748.0,31811.5,14
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,4325.0,21447.06,14
MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,5748.0,35658.68,14
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,4325.0,20061.36,14
MS-DRG,304,HYPERTENSION WITH MCC,,,5748.0,35462.0,14
MS-DRG,305,HYPERTENSION WITHOUT MCC,,,4325.0,22501.98,14
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,4325.0,46958.84,14
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,4325.0,27213.36,14
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,5748.0,35879.2,14
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,5748.0,21923.86,14
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,5748.0,16869.78,14
MS-DRG,311,ANGINA PECTORIS,,,5748.0,20916.62,14
MS-DRG,312,SYNCOPE AND COLLAPSE,,,5748.0,25973.68,14
MS-DRG,313,CHEST PAIN,,,7719.0,21456.0,14
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,5748.0,62138.96,14
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,4325.0,28706.34,14
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,4325.0,20326.58,14
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,21547.0,199257.7,14
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,20312.6,72181.56,14
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,12928.0,132994.42,14
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,20192.71,71677.94,14
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,21547.0,81079.84,14
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,15636.94,52537.4,14
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,21547.0,128956.52,14
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,21547.0,93899.8,14
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,21547.0,95669.92,14
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,12928.0,148624.52,14
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,12928.0,72837.16,14
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,12928.0,47748.54,14
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,9601.0,136975.7,14
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,9601.0,71436.56,14
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,7719.0,50150.42,14
MS-DRG,332,RECTAL RESECTION WITH MCC,,,7719.0,107896.86,14
MS-DRG,333,RECTAL RESECTION WITH CC,,,9601.0,69797.56,14
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,9601.0,48809.42,14
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,7719.0,106412.82,14
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,9601.0,62839.26,14
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,7719.0,45743.0,14
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,7719.0,76967.44,14
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,9601.0,44840.06,14
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,5748.0,35348.76,14
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,7719.0,68408.88,14
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,7719.0,39002.24,14
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,5748.0,25943.88,14
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,7719.0,74258.62,14
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,7719.0,45430.1,14
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,9601.0,34800.44,14
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,7719.0,86479.6,14
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,12928.0,50135.52,14
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,12672.08,40081.0,14
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,12928.0,130905.44,14
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,7719.0,69299.9,14
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,9601.0,41657.42,14
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,21547.0,102470.28,14
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,20256.54,71946.14,14
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,5748.0,47438.62,14
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,4325.0,29805.96,14
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,4325.0,20883.84,14
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,5748.0,52838.38,14
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,4325.0,30425.8,14
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,4325.0,21676.52,14
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,2500.0,63733.26,15
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,2500.0,36046.08,15
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,2500.0,27544.14,15
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,9601.0,54474.4,14
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,5748.0,29224.86,14
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,5748.0,18785.92,14
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,4325.0,58473.56,14
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,5748.0,32288.3,14
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,5748.0,23857.88,14
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,5748.0,41144.86,14
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,5748.0,25473.04,14
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,5748.0,47152.54,14
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,4325.0,29093.74,14
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,4325.0,20302.74,14
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,4325.0,44008.64,14
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,4325.0,23536.04,14
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,4325.0,16211.2,14
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,4325.0,37795.34,14
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,5748.0,23232.08,14
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,4325.0,47659.14,14
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,5748.0,27883.86,14
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,4325.0,19340.2,14
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,12928.0,71368.02,14
MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,9601.0,45105.28,14
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,9601.0,34112.06,14
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,21547.0,119810.9,14
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,9601.0,163020.9,14
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,9601.0,86425.96,14
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,9601.0,66144.08,14
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,7719.0,106254.88,14
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,5748.0,64883.54,14
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,5748.0,47313.46,14
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,7719.0,98438.34,14
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,7719.0,62654.5,14
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,7719.0,49482.9,14
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,12928.0,106165.48,14
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,5748.0,61587.66,14
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,7719.0,40626.34,14
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,12928.0,71114.72,14
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,9601.0,50409.68,14
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,12819.63,40700.84,14
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,7719.0,101531.58,14
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,7719.0,51777.5,14
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,7719.0,41705.1,14
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,7719.0,123759.4,14
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,7719.0,65199.42,14
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,7719.0,44708.94,14
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,21547.0,328431.76,14
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,21547.0,215114.28,14
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,21547.0,167535.6,14
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,21547.0,268486.08,14
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,21547.0,171859.58,14
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,5748.0,58652.36,14
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,4325.0,31474.76,14
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,5748.0,21232.5,14
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,2500.0,54733.66,15
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,2500.0,33706.78,15
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,2500.0,25428.34,15
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,4325.0,48579.96,14
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,4325.0,25067.76,14
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,4325.0,18517.72,14
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,7719.0,53482.06,14
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,4325.0,28765.94,14
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,4325.0,20851.06,14
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,7719.0,49792.82,14
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,5748.0,32613.12,14
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,5748.0,24653.54,14
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,21547.0,199111.68,14
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,21547.0,126375.84,14
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,21547.0,158822.08,14
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,21547.0,96265.92,14
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,21547.0,250421.32,14
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,21547.0,177700.38,14
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,21547.0,124343.48,14
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,12928.0,159745.88,14
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,21547.0,79268.0,14
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,9601.0,169845.1,14
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,12928.0,92818.06,14
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,12928.0,54346.26,14
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,21547.0,155120.92,14
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,21547.0,105092.68,14
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,21547.0,81890.4,14
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,21547.0,90389.36,14
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,16813.65,57481.22,14
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,21547.0,143895.26,14
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,21547.0,87793.78,14
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,20448.05,72750.74,14
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,7719.0,127928.42,14
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,5748.0,67815.86,14
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,5748.0,35169.96,14
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,7719.0,102947.08,14
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,7719.0,73284.16,14
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,9601.0,55395.22,14
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,12928.0,86786.54,14
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,12928.0,62416.1,14
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,12928.0,48603.8,14
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,21547.0,82602.62,14
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,7719.0,96167.58,14
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,7719.0,62314.78,14
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,7719.0,46672.76,14
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,12928.0,45403.28,14
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,11053.47,33280.64,14
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,12928.0,109413.68,14
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,12928.0,75575.78,14
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,17364.08,59793.7,14
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,7719.0,108045.86,14
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,9601.0,53756.22,14
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,11702.49,34320.66,14
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,7719.0,89900.64,14
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,9601.0,60041.04,14
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,9601.0,94311.04,14
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,9601.0,52093.38,14
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,12678.48,40107.82,14
MS-DRG,503,FOOT PROCEDURES WITH MCC,,,5748.0,83174.78,14
MS-DRG,504,FOOT PROCEDURES WITH CC,,,7719.0,55702.16,14
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,12928.0,53425.44,14
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,7719.0,35748.08,14
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,7719.0,53830.72,14
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,12928.0,45129.12,14
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,9601.0,90010.9,14
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,9601.0,61966.12,14
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,14873.74,49330.92,14
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,7719.0,46914.14,14
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,7719.0,30464.54,14
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,7719.0,94969.62,14
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,9601.0,61927.38,14
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,14031.79,45793.66,14
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,12928.0,111371.54,14
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,9601.0,59605.96,14
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,12928.0,44518.22,14
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,21547.0,85531.96,14
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,18152.8,63107.46,14
MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,5748.0,46717.46,14
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,4325.0,24021.78,14
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,5748.0,38203.6,14
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,5748.0,24066.48,14
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,5748.0,28438.14,14
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,5748.0,21464.94,14
MS-DRG,539,OSTEOMYELITIS WITH MCC,,,4325.0,58697.06,14
MS-DRG,540,OSTEOMYELITIS WITH CC,,,5748.0,38629.74,14
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,4325.0,22990.7,14
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,5748.0,52641.7,14
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,4325.0,30634.4,14
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,4325.0,22487.08,14
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,7719.0,73954.66,14
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,4325.0,34371.32,14
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,5748.0,24918.76,14
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,5748.0,57540.82,14
MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,4325.0,35974.56,14
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,5748.0,26048.18,14
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,12928.0,49947.78,14
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,7719.0,28646.74,14
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,5748.0,38629.74,14
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,4325.0,24736.98,14
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,5748.0,39389.64,14
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,5748.0,24751.88,14
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,4325.0,44309.62,14
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,5748.0,26617.36,14
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,7719.0,55574.02,14
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,4325.0,33557.78,14
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,5748.0,23956.22,14
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,5748.0,42459.04,14
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,7719.0,26685.9,14
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,5748.0,45999.28,14
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,5748.0,29037.12,14
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,5748.0,22329.14,14
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,5748.0,87644.78,14
MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,5748.0,50347.1,14
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,5748.0,34159.74,14
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,7719.0,195231.72,14
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,7719.0,103447.72,14
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,5748.0,48681.28,14
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,9601.0,146055.76,14
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,9601.0,78990.86,14
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,12928.0,47870.72,14
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,9601.0,96507.3,14
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,9601.0,51494.4,14
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,12928.0,43004.38,14
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,12928.0,57412.68,14
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,15363.14,51387.12,14
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,9601.0,63792.86,14
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,12928.0,57487.18,14
MS-DRG,592,SKIN ULCERS WITH MCC,,,5748.0,57671.94,14
MS-DRG,593,SKIN ULCERS WITH CC,,,4325.0,35351.74,14
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,4325.0,25830.64,14
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,5748.0,63196.86,14
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,4325.0,32258.5,14
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,2500.0,49679.58,15
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,2500.0,33712.74,15
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,2500.0,21849.36,15
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,4325.0,31039.68,14
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,4325.0,18029.0,14
MS-DRG,602,CELLULITIS WITH MCC,,,5748.0,42354.74,14
MS-DRG,603,CELLULITIS WITHOUT MCC,,,5748.0,25952.82,14
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,5748.0,20068.5,13
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,7719.0,14236.75,13
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,5748.0,45093.36,14
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,5748.0,27010.72,14
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,18678.38,65315.64,14
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,12928.0,41699.14,14
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,7719.0,103924.52,14
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,5748.0,55734.94,14
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,5748.0,42265.34,14
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,12928.0,86044.52,14
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,14482.92,47688.94,14
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,13831.07,44950.32,14
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,7719.0,106064.16,14
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,5748.0,53458.22,14
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,5748.0,37306.62,14
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,9601.0,89998.98,14
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,13767.24,44682.12,14
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,12553.63,39583.34,14
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,9601.0,111058.64,14
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,7719.0,64928.24,14
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,13484.22,43493.1,14
MS-DRG,637,DIABETES WITH MCC,,,5748.0,42813.66,14
MS-DRG,638,DIABETES WITH CC,,,5748.0,26706.76,14
MS-DRG,639,DIABETES WITHOUT CC/MCC,,,5748.0,18511.76,14
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,4325.0,39800.88,14
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,4325.0,23190.36,14
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,5748.0,42378.58,14
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,7719.0,49053.78,14
MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,4325.0,30545.0,14
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,5748.0,22895.34,14
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,9601.0,75000.0,30
MS-DRG,650,Kidney Transplant (Living Related Donor),,,37997.5,37997.5,1
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,9601.0,75000.0,30
MS-DRG,651,Kidney Transplant (Living Related Donor),,,37997.5,37997.5,1
MS-DRG,652,KIDNEY TRANSPLANT,,,9601.0,75000.0,30
MS-DRG,652,Kidney Transplant (Living Related Donor),,,37997.5,37997.5,1
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,9601.0,154852.72,14
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,12928.0,83419.14,14
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,9601.0,63074.68,14
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,9601.0,94877.24,14
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,9601.0,54534.0,14
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,12928.0,46243.64,14
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,7719.0,75718.82,14
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,12506.83,39386.66,14
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,10476.13,30854.92,14
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,7719.0,91232.7,14
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,7719.0,45301.96,14
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,10557.69,31197.62,14
MS-DRG,665,PROSTATECTOMY WITH MCC,,,5748.0,93011.76,14
MS-DRG,666,PROSTATECTOMY WITH CC,,,7719.0,52129.14,14
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,9601.0,32964.76,14
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,7719.0,87016.0,14
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,12928.0,46249.6,14
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,10064.01,29123.54,14
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,7719.0,53491.0,14
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,9601.0,32169.1,14
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,21547.0,125207.68,14
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,5748.0,69690.28,14
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,12928.0,48913.72,14
MS-DRG,682,RENAL FAILURE WITH MCC,,,5748.0,44133.8,14
MS-DRG,683,RENAL FAILURE WITH CC,,,4325.0,26098.84,14
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,4325.0,17888.94,14
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,2500.0,53750.26,15
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,2500.0,31224.44,15
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,2500.0,23550.94,15
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,4325.0,34576.94,14
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,5748.0,24123.1,14
MS-DRG,693,URINARY STONES WITH MCC,,,5748.0,40066.1,14
MS-DRG,694,URINARY STONES WITHOUT MCC,,,7719.0,23294.66,14
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,5748.0,34085.24,14
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,5748.0,20532.2,14
MS-DRG,697,URETHRAL STRICTURE,,,5748.0,32118.44,14
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,5748.0,49301.12,14
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,5748.0,30247.0,14
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,4325.0,20559.02,14
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,17320.1,59608.94,14
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,14014.05,45719.16,14
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,9601.0,69347.58,14
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,13070.71,41755.76,14
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,7719.0,62097.24,14
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,7719.0,32771.06,14
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,7719.0,44801.32,14
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,10632.15,31510.52,14
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,7719.0,66671.54,14
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,12928.0,43835.8,14
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,7719.0,56336.9,14
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,7719.0,40024.38,14
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,2500.0,53929.06,15
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,2500.0,34052.46,15
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,2500.0,18228.66,15
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,5748.0,34871.96,14
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,5748.0,21515.6,14
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,5748.0,44190.42,14
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,5748.0,24173.76,14
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,5748.0,31549.26,14
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,5748.0,20025.6,14
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,12928.0,63474.0,14
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,12675.62,40095.9,14
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,7719.0,106520.1,14
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,7719.0,61405.88,14
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,7719.0,43761.3,14
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,9601.0,105083.74,14
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,12928.0,53926.08,14
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,13247.34,42497.78,14
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,12928.0,54677.04,14
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,11932.3,36972.86,14
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,5748.0,61063.18,14
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,9601.0,33897.5,14
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,7719.0,51765.58,14
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,9229.89,25017.1,14
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,12972.11,41341.54,14
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,12928.0,76514.48,14
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,9601.0,43978.84,14
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,2500.0,54882.66,15
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,2500.0,32416.44,15
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,2500.0,28622.9,15
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,5748.0,42670.62,14
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,7719.0,29174.2,14
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,5748.0,19775.28,14
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,4325.0,30023.5,14
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,4325.0,16974.08,14
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,2228.0,15868.52,22
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,7719.0,50356.04,14
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,9601.0,29880.46,14
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,5748.0,19510.06,14
MS-DRG,779,ABORTION WITHOUT D&C,,,7719.0,21250.38,14
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,2143.0,30377.06,16
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,2143.0,15747.9,16
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,2143.0,14675.1,16
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,2143.0,21928.86,16
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,2143.0,16342.49,16
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,2143.0,14685.58,16
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,12928.0,53705.56,14
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,5748.0,177116.3,14
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,5748.0,120958.2,14
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,5748.0,72986.16,14
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,12928.0,124254.08,14
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,7719.0,43981.82,14
MS-DRG,795,NORMAL NEWBORN,,,4325.0,6726.06,14
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,2228.0,16868.97,22
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,2228.0,15121.82,22
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,2228.0,14667.77,22
MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,9601.0,134961.22,14
MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,9601.0,83720.12,14
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,12928.0,56885.22,14
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,7719.0,118726.18,14
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,7719.0,55395.22,14
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,9601.0,40408.8,14
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,2228.0,15948.2,22
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,2228.0,12537.88,22
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,2228.0,11701.02,22
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,5748.0,65795.42,14
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,5748.0,37723.82,14
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,5748.0,31188.68,14
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,4325.0,41848.14,14
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,5748.0,27362.36,14
MS-DRG,813,COAGULATION DISORDERS,,,12928.0,45453.94,14
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,5748.0,63375.66,14
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,4325.0,30217.2,14
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,4325.0,18833.6,14
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,12928.0,50302.4,14
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,11354.21,31415.16,14
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,9231.32,25625.02,14
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,9601.0,174771.04,14
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,7719.0,66710.28,14
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,11671.98,35879.2,14
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,7719.0,136627.04,14
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,7719.0,67514.88,14
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,9601.0,40212.12,14
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,9601.0,139398.44,14
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,7719.0,68873.76,14
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,9601.0,50773.24,14
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,9601.0,94168.0,14
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,13806.96,44849.0,14
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,4325.0,35834.5,14
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,4325.0,21503.68,14
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,4325.0,15582.42,14
MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,2500.0,163599.02,15
MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,2500.0,62156.84,15
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,2500.0,36341.1,15
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,2500.0,143168.14,15
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,2500.0,62204.52,15
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,2500.0,43028.22,15
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,2500.0,96400.02,15
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,2500.0,48615.72,15
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,2500.0,30109.92,15
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,2500.0,59445.04,15
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,2500.0,36278.52,15
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,2500.0,25377.68,15
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,2500.0,77256.5,15
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,2500.0,38984.36,15
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,2500.0,25312.12,15
MS-DRG,849,RADIOTHERAPY,,,2500.0,80743.1,15
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,12928.0,258053.1,14
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,9601.0,147170.28,14
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,7719.0,59543.38,14
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,7719.0,44616.56,14
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,7719.0,52332.36,13
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,7719.0,27088.41,13
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,5748.0,19237.93,13
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,7719.0,23755.68,13
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,5748.0,15095.63,13
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,5748.0,26453.46,14
MS-DRG,865,VIRAL ILLNESS WITH MCC,,,5748.0,44649.34,14
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,5748.0,25914.08,14
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,7719.0,62377.36,14
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,4325.0,30726.78,14
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,4325.0,21745.06,14
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,7719.0,205971.64,14
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,5748.0,57886.5,14
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,4325.0,30494.34,14
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,1000.0,115174.02,14
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,1000.0,28613.96,14
MS-DRG,881,DEPRESSIVE NEUROSES,,,1000.0,28038.82,14
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,1000.0,31999.24,14
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,1000.0,58595.74,14
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,1000.0,47945.22,14
MS-DRG,885,PSYCHOSES,,,1000.0,41624.64,14
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,1000.0,61843.94,14
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,1000.0,31912.82,14
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,1000.0,18383.62,14
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,1000.0,42184.88,14
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,1000.0,52003.98,14
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,1000.0,26307.44,14
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,7719.0,125058.68,14
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,5748.0,57052.1,14
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,7719.0,34854.08,14
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,9601.0,109458.38,14
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,7719.0,42667.64,14
MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,9601.0,52519.52,14
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,12928.0,114411.14,14
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,12928.0,59456.96,14
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,12442.99,39118.46,14
MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,5748.0,21772.6,13
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,5748.0,13916.9,13
MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,7719.0,50111.68,14
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,5748.0,19855.74,14
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,9601.0,46738.32,14
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,7719.0,25541.58,14
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,9601.0,54557.84,14
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,5748.0,29868.54,14
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,5748.0,20514.32,14
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,5748.0,52132.12,14
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,5748.0,30327.46,14
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,2392.0,228530.42,25
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,2392.0,79849.89,25
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,2392.0,38406.87,25
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,2392.0,45468.71,25
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,2392.0,27813.03,25
MS-DRG,935,NON-EXTENSIVE BURNS,,,2392.0,61388.0,26
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,7719.0,108129.3,14
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,9601.0,69639.62,14
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,9601.0,60425.46,14
MS-DRG,945,REHABILITATION WITH CC/MCC,,,1310.0,46148.28,15
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,1310.0,34174.64,15
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,1310.0,37828.12,15
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,1310.0,23854.9,15
MS-DRG,949,AFTERCARE WITH CC/MCC,,,1310.0,35453.06,15
MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,1310.0,18705.46,15
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,1310.0,16568.8,15
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,12928.0,75218.88,13
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,9601.0,44092.84,13
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,12928.0,84539.58,13
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,12928.0,48821.36,13
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,9601.0,35505.15,13
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,7719.0,33299.78,13
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,5748.0,20702.95,13
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,7719.0,14493.67,13
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,9601.0,182414.74,14
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,7719.0,78594.52,14
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,5748.0,86002.8,14
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,4325.0,38591.0,14
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,5748.0,26656.1,14
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,7719.0,37774.48,14
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,12928.0,139815.64,14
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,12928.0,73263.3,14
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,15289.38,51077.2,14
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,5748.0,102166.32,14
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,5748.0,48979.28,14
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,7719.0,35736.16,14
NDC,00001439875,AMIODARONE HCL INJ 30MG,2.7,,0.23,2.43,55
NDC,00002021301,INSULIN REG NUM 5U/0.05ML UP,2.0,,0.6832,1.8,56
NDC,00002418230,BARICITINIB 2MG ORAL TABLET,449.37,,115.04,404.43,55
NDC,00002473230,BARICITINIB 1MG ORAL TABLET,449.37,,115.04,404.43,55
NDC,00002757501,OMVOH PER 1MG BU 300MG/15ML VL,168.77,,39.61,151.89,68
NDC,00002758901,BEBTELOVIMAB 175MG/ML VL EUA,14700.0,,4.98,13230.0,57
NDC,00002766901,RAMUCIRUMAB 5MG BU 100MG/10ML,360.15,,60.71,324.13,68
NDC,00002766901,RAMUCIRUMAB 5MG BU 100MG/1OML,360.15,,60.71,324.13,68
NDC,00002767801,RAMUCIRUMAB 500MG/50ML VL,35973.0,,60.71,32375.7,68
NDC,00002767801,RAMUCIRUMAB 5MG BU 500MG/50ML,359.73,,60.71,323.76,136
NDC,00002821501,INSULIN FOR ADM THRU DME 50U,102.2,,3.95,91.98,55
NDC,00002821517,INSULIN INJ 5 UNITS,2.2,,0.6832,2.16,896
NDC,00002821517,INSULIN PER 5 UNITS,2.4,,0.6832,2.16,56
NDC,00002821517,INSULIN REG HUMAN 100U 3ML VL,72.25,,0.6832,65.03,56
NDC,00002821517,INSULIN REG HUMAN 100U/1ML UP,5.06,,0.6832,4.55,56
NDC,00002871517,INSULIN ISOP/REG 70/30 VL 3ML,72.25,,0.6832,65.03,56
NDC,00002879959,INSULIN LISPRO 100U/ML 3ML PEN,131.67,,3.95,118.5,55
NDC,00002892601,OLARATUMAB INJ 10MG,343.84,,52.07,309.46,280
NDC,00002940101,DONANEMAB-AZBT 2MG BU PER 350,30.3,,3.8,27.27,476
NDC,00003029305,TRIAMCIN ACE VL 40MG/ML 1ML,60.27,,1.05,54.24,55
NDC,00003029305,TRIAMCINOLONE ACE INJ 10MG,9.2,,1.05,8.28,55
NDC,00003029305,TRIAMCINOLONE INJ 10MG,9.2,,1.05,8.28,385
NDC,00003037113,BELATACEPT VL 1MG,28.2,,3.58,25.38,328
NDC,00003218713,ABATACEPT INJ 10MG,170.1,,40.58,153.09,396
NDC,00003218713,ABATACEPT/10MG BU 250MG VIAL,282.835,,40.58,356.01,204
NDC,00003229111,ELOTUZIMAB 1MG BU PER 300MG VL,55.5,,6.67,49.95,544
NDC,00003232711,IPILIMUMAB 1MG BU PER 50MG VL,636.5,,157.38,572.85,271
NDC,00003232822,IPILIMUMAB 1MG BU PER 200MG VL,635.45,,157.38,571.9,272
NDC,00003256016,AZTREONAM 500MG INJ SBS,95.66,,47.83,86.09,54
NDC,00003257016,AZTREONAM 2GM/15ML-AZACTAM,225.68,,57.77,203.11,55
NDC,00003257016,AZTREONAM VL 2GM/15ML-AZACTAM,225.68,,57.77,203.11,55
NDC,00003373413,NIVOLUMAB 1MG BU/240MG VIAL,193.97,,28.56,200.09,408
NDC,00003375614,NIVOLUMAB 1MG BU/120MG VIAL,164.15,,28.56,204.44,476
NDC,00003377211,NIVOLUMAB 1MG BU/40MG VIAL,192.96,,28.56,200.41,408
NDC,00003377412,NIVOLUMAB 1MG BU/100MG VIAL,193.275,,28.56,200.41,408
NDC,00003452211,ELOTUZIMAB 1MG BU PER 400MG VL,56.1,,6.67,50.49,544
NDC,00003452211,ELOTUZUMAB VL 1MG,56.1,,6.67,50.49,396
NDC,00003612001,OPDIVO QVANTIG 2MG/BU 600MG VL,187.6,,25.17,168.84,68
NDC,00003712511,NIVOL/RELAT 3MG BU PER 240MG,704.1,,182.0,633.69,136
NDC,00005197102,PNEUMOCOCCAL VACC 13 VAL IM,305.68,,152.84,314.75,1265
NDC,00005200010,PNEUMOC 20-VAL CONJ-DIP CRM/PF,1202.55,,381.74,1082.3,1375
NDC,00005200010,VACC PNEUMOCOCCAL 20 VALENT IM,1592.49,,381.74,1433.24,55
NDC,00005355344,METHADONE 10MG/ML ORAL SOLN,2.42,,0.61952,2.18,55
NDC,00006022128,SITAGLIPTAN TAB 25MG,87.81,,22.48,79.03,55
NDC,00006302500,BEZLOTOXUMAB 10MG BU/1000MG VL,204.48,,36.64,184.03,136
NDC,00006302602,PEMBROLIZUMAB 1MG BU PER 100MG,294.21,,50.85,264.79,340
NDC,00006302604,PEMBROLIZUMAB 1MG BU/100MG VL,404.75,,50.85,364.27,68
NDC,00006306100,FOSAPREPITANT VL 1MG,2.0,,0.1342,1.8,330
NDC,00006306901,DORAVIRINE TAB 100MG,281.95,,72.18,253.75,55
NDC,00006307504,LETERMOVIR 240MG TABLET,1317.05,,337.16,1185.35,55
NDC,00006307604,LETERMOVIR 480MG TABLET,1317.05,,337.16,1185.35,55
NDC,00006351659,CILASTATIN/IMIPENEM INJ 250MG,112.1,,6.33,100.89,220
NDC,00006384371,ERTAPENEM INJ 0.5GM/10ML SBS,160.91,,11.0,144.82,55
NDC,00006384371,ERTAPENEM VL 500MG,7.0,,3.5,32.8,385
NDC,00006411903,HUMAN PAPILLOMA VIRUS VACC IM,841.83,,279.34,757.65,784
NDC,00006468100,MMR VIRUS VACC LIVE SQ VL,609.14,,89.53,548.23,672
NDC,00006482700,VARICELLA VIRUS VACC SQ,915.0,,167.32,823.5,336
NDC,00006494300,PNEUMOC VACC 23 >2YR SQ/IM,533.9,,162.83,480.51,1430
NDC,00006494300,PNEUMOC VACC 23 >2YR SQ/IM-IT,533.9,,162.83,480.51,220
NDC,00006494300,PNEUMOC VACC 23>2YR SQ/IM-IT,533.9,,162.83,480.51,110
NDC,00006499200,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,825
NDC,00006500301,LETERMOVIR INJ 240MG/12ML VIAL,1484.26,,379.97,1335.83,55
NDC,00006500401,LETERMOVIR INJ 480MG/24ML VIAL,2656.08,,679.96,2390.47,55
NDC,00006542312,SUGAMMADEX SOD 200MG/2ML INJ,834.53,,213.64,751.08,55
NDC,00008010001,INOTUZUMAB VL 0.1MG,3865.16,,1932.58,3709.82,272
NDC,00008117901,TEMSIROLIMUS INJ 1MG,326.76,,24.57,294.08,328
NDC,00008451001,GEMTUZUMAB INJ 0.1MG,314.71,,157.35,325.35,340
NDC,00008451001,GEMTUZUMAB/0.1MG BU 4.5MG VL,1537.93,,205.38,1384.14,68
NDC,00009001103,HYDROCORT NA SUC INJ 100MG,28.27,,14.13,25.86,660
NDC,00009001103,HYDROCORT NA SUC INJ 100MG IT,28.27,,14.13,25.86,55
NDC,00009001103,HYDROCORT NA SUC INJ 100MG-IT,28.27,,14.13,25.86,110
NDC,00009001103,HYDROCORTIS NA INJ 100MG/2MLV-,100.45,,14.15,90.41,55
NDC,00009001305,HYDROCORTIS NA IT  INJ 250/2 V,136.29,,14.15,122.66,55
NDC,00009001820,METHYL PRED 5MG BU PER 1000MG,0.36,,0.18,0.324,544
NDC,00009001820,METHYLPRED INJ 1GM/8ML PF VL,387.94,,0.1932,349.15,68
NDC,00009001820,METHYLPRED SOD/5MGBU 1000MG PF,2.0,,0.1932,1.8,68
NDC,00009003928,METHYLPRED 5MG BU PER 40MG VL,2.0,,0.1932,1.8,476
NDC,00009003928,METHYLPRED NA VL 40MG,8.0,,0.1932,7.2,748
NDC,00009003928,METHYLPRED PER 5MG BU 40MG VL,1.0,,0.1932,0.9,68
NDC,00009003928,METHYLPRED SOD SUC INJ 40MG VL,32.58,,0.1932,29.32,68
NDC,00009003928,SOLU-MEDROL 5MG BU PER 40MG VL,2.0,,0.1932,1.8,68
NDC,00009003930,METHYLPRED NA VL 5MG,2.0,,0.1932,1.8,136
NDC,00009004722,METHYLPRED 5MG BU PER 125MG VL,0.6,,0.1932,0.54,476
NDC,00009004722,METHYLPRED NA IVPB 125MG,15.0,,0.1932,13.5,272
NDC,00009004722,METHYLPRED PER 5MG BU 125MG VL,0.6,,0.1932,0.54,136
NDC,00009004722,SOLU-MEDROL 5MG BU PER 125MG V,0.6,,0.1932,0.54,68
NDC,00009027101,ESTRADIOL CYP VL 5MG/ML 1ML,277.2,,24.06,249.48,165
NDC,00009041701,TESTOS CYP INJ 1MG,2.0,,0.03,1.8,165
NDC,00009041701,TESTOST CYP INJ 1MG,2.0,,0.03,1.8,110
NDC,00009041701,TESTOSTERONE CYPN INJ 200MG UD,152.81,,0.03,137.53,55
NDC,00009043601,ARGININE 10% INJ 1GM 10ML SBS,10.5,,2.69,9.45,55
NDC,00009069801,METHYLPRED SOD INJ 1GM VIAL,125.65,,0.1932,113.08,68
NDC,00009090218,CLINDAMYCIN/ 300MG BU 900MG VL,5.84,,2.04,5.26,56
NDC,00009307301,METHYLPRED ACETAT INJ40MG/MLV-,24.08,,0.1104,21.67,68
NDC,00009307322,METHYLPRED ACE INJ 1MG,2.0,,0.1104,1.8,68
NDC,00009316906,ALPROSTADIL INJ 500MCG/ML A,834.12,,0.5856,750.71,56
NDC,00009370105,ALPROSTADIL INJ 20MCG VIAL,677.27,,0.5856,609.54,56
NDC,00009379401,IBUTILIDE/1MG BU 1MG/10ML VL,566.79,,158.53,510.11,68
NDC,00009518201,ALPROSTADIL INJ 1.125MCG,18.9,,0.5856,17.01,112
NDC,00009518201,ALPROSTADIL INJ 20MCG SYRINGE,681.14,,0.5856,613.03,56
NDC,00015340420,ETOPOSIDE INJ 100MG PWD VIAL,62.86,,0.77,56.57,56
NDC,00023114501,BOTULINUM TOX PER UNIT 100UNIT,45.22,,5.98,40.7,68
NDC,00023114501,ONABOTULINUM TOX VL 1U,53.1,,5.98,47.79,408
NDC,00023585801,LEVONORGES IU SYS 52MG LILETTA,4436.8,,772.62,3993.12,56
NDC,00023590412,TRIPTORELIN VL 3.75MG,842.61,,385.61,758.35,260
NDC,00023608210,INFED 50MG BU PER 100MG/2ML VL,116.5,,15.01,104.85,476
NDC,00023608210,IRON DEXTRAN VL 50MG/ML 1ML,116.5,,15.01,104.85,464
NDC,00023608210,IRON DEXTRAN/50MG BU 100MG AMP,114.22,,15.01,102.8,68
NDC,00023920515,CARBOXYMETHYLCEL OPTH 15ML GEL,43.4,,11.11,39.06,55
NDC,00024065401,ISATUXIMAB-IRFC 10MG BU/100MG,401.38,,66.67,361.24,476
NDC,00024065601,ISATUXIMAB-IRFC 10MG BU/500MG,401.31,,66.67,361.18,476
NDC,00024279210,FERRIC GLUC AMP 12.5MG/ML 1ML,12.8,,2.09,11.52,280
NDC,00024515010,RASBURICASE INJ 0.5MG,614.46,,300.94,553.01,272
NDC,00024582411,CABAZITAXEL INJ 1MG,714.35,,181.51,642.91,396
NDC,00024584001,ZIV-AFILBERCEPT VL 1MG,56.2,,8.07,50.58,56
NDC,00026378225,KOVALTRY 1IU/250-499IU VIAL,9.03,,1.22,8.13,68
NDC,00026378335,KOGENATE 1IU/500-999IU VIAL,9.03,,1.38,8.13,68
NDC,00026378555,KOGENATE 1IU/1000-1999IU VIAL,9.03,,1.38,8.13,68
NDC,00026378665,KOGENATE 1IU/2000-2999IU VIAL,9.03,,1.38,8.13,68
NDC,00026382225,KOVALTRY 1IU/500-999IU VIAL,9.03,,1.22,8.13,68
NDC,00026382425,KOVALTRY 1IU/1000-1999IU VIAL,9.03,,1.22,8.13,68
NDC,00026382650,KOVALTRY 1IU/2000-2999IU VIAL,9.03,,1.22,8.13,68
NDC,00031874120,DEXTROMETHORPHAN 15MG ORAL CAP,2.0,,0.512,1.8,55
NDC,00032120601,PANCRELIPASE CAP (CREON 6000),10.04,,2.57,9.04,55
NDC,00032263601,CREON 24 CAPSULE 100CT,4107.65,,1051.56,3696.89,55
NDC,00037440101,PENICILLAMINE 250MG ORAL TAB,213.92,,54.76,192.53,55
NDC,00037826694,ETOPOSIDE ORAL/50MG BU 50MG CP,346.33,,75.49,311.7,56
NDC,00040966250,SODIUM BICARB 8.4% 50ML VIAL,49.2,,12.6,44.28,110
NDC,00049052083,PENICILLIN G POT INJ 6000U/ML,2.0,,1.0,1.8,55
NDC,00049053025,PENICILLIN G K INJ 20MU VL,152.18,,1.07,136.96,55
NDC,00052060202,BCG VACC INTRAVES 1MG,21.1,,2.79,18.99,110
NDC,00052433001,ETONOGESTREL 68MG IMPLANT,5781.4,,869.0,5203.26,56
NDC,00052433001,ETONOGESTREL IMPLANT 68MG,2429.26,,869.0,2186.33,112
NDC,00053720202,ZEMAIRA 10MG/4000MG RANGE VIAL,35.0,,4.36,31.5,136
NDC,00053720302,A-1 PROT INHIB 10MG BU/5000MG,35.0,,4.36,31.5,68
NDC,00054031950,LINEZOLID SOLN 100MG/5ML NF,45.97,,11.77,41.37,55
NDC,00054312041,CALCITRIOL SOL 1MCG/ML UD,44.11,,11.29,39.7,55
NDC,00054355344,METHADONE 50MG/5ML ORAL SOLN,12.19,,3.12,10.97,55
NDC,00054355563,METHADONE 0.4MG/0.4ML ORAL LIQ,2.0,,0.512,1.8,55
NDC,00054355563,METHADONE 10MG/10ML ORAL LIQ,2.2,,0.5632,1.98,55
NDC,00065030355,ATROPINE SO4 OPHTH SOLN 1% 5ML,152.6,,39.07,137.34,55
NDC,00065041130,POVIDINE-IODINE 5% OP SLN 30ML,47.1,,12.06,42.39,55
NDC,00065054301,TRIAMCIN INTRAOCULR 40MG/1ML,104.25,,26.69,93.83,55
NDC,00065064705,TOBRA/DEXA OPT SUSP 5ML    *NF,765.75,,196.03,689.17,55
NDC,00065074114,TETRACAINE 0.5% OPHTH DROP 4ML,54.0,,13.82,48.6,55
NDC,00065079515,BALANCED SALT SOLN OPHTH 15ML,27.28,,6.98,24.55,55
NDC,00065079550,BALANCED SALT SOLUTION 500ML,52.33,,13.4,47.1,55
NDC,00069023801,RITUXIMAB-PVVR 10MG,114.4,,25.62,102.96,328
NDC,00069023801,RITUXIMAB-PVVR 10MG BU/100MG,114.4,,25.62,102.96,476
NDC,00069023801,RITUXIMAB-PVVR/10MG BU 100MG,364.18,,25.62,327.76,68
NDC,00069024901,RITUXIMAB-PVVR 10MG BU/500MG,114.4,,25.62,102.96,476
NDC,00069024901,RITUXIMAB-PVVR/10MG BU 500MG,364.18,,25.62,327.76,68
NDC,00069030801,TRASTUZUMAB-QYYP/10MG BU 150MG,401.41,,25.75,361.27,68
NDC,00069031501,BEVACIZUMAB-BVZR 10MG BU/100MG,134.7,,23.71,126.09,340
NDC,00069031501,BEVACIZUMAB-BVZR/10MG BU 100MG,370.69,,23.71,333.62,68
NDC,00069032401,PEGFILGRASTIM APGF SQ 0.5MG,472.71,,120.67,425.44,328
NDC,00069032401,PEGFILGRASTIM-APGF/0.5MGBU 6MG,942.77,,120.67,848.49,68
NDC,00069033801,SILDENAFIL INJ 10MG/12.5ML VL,1747.69,,447.41,1572.92,55
NDC,00069034201,BEVACIZUMAB BVZR INJ 10MG,129.3,,23.71,116.37,68
NDC,00069034201,BEVACIZUMAB-BVZR 10MG BU/400MG,157.05,,23.71,166.32,408
NDC,00069034201,BEVACIZUMAB-BVZR INJ 10MG,129.3,,23.71,116.37,204
NDC,00069034201,BEVACIZUMAB-BVZR/10MG BU 400MG,370.69,,23.71,333.62,68
NDC,00069040010,AZITHROMYCIN INJ 500MG-,12.87,,3.18,11.58,55
NDC,00069046856,VARENICLINE 0.5MG ORAL TABLET,3.64,,0.93184,3.28,55
NDC,00069046956,VARENICLINE 1MG ORAL TABLET,47.83,,12.24,43.05,55
NDC,00069080901,INFLECTRA PFZ/10MG BU 100MG VL,389.74,,18.39,350.77,68
NDC,00069080901,INFLECTRA VL 10MG,115.9,,18.39,104.31,408
NDC,00069130510,RETACRIT ESRD/100U BU 2000U,5.97,,0.7268,5.37,68
NDC,00069130510,RETACRIT NESRD/1000U BU 2000U,59.73,,7.22,53.76,68
NDC,00069130610,RETACRIT ESRD/100U BU 3000U,5.91,,0.7268,5.32,68
NDC,00069130610,RETACRIT NESRD/1000U BU 3000U,59.67,,7.22,53.7,68
NDC,00069130710,RETACRIT ESRD/100U BU 4000U,5.97,,0.7268,5.37,68
NDC,00069130710,RETACRIT NESRD/1000U BU 4000U,59.73,,7.22,53.76,68
NDC,00069130810,RETACRIT ESRD/100U BU 10000U,5.97,,0.7268,5.37,68
NDC,00069130810,RETACRIT NESRD/1000U BU 10000U,59.73,,7.22,53.76,68
NDC,00069130904,RETACRIT ESRD/100U BU 40000U,5.97,,0.7268,5.37,68
NDC,00069130904,RETACRIT NESRD/1000U BU 40000U,59.73,,7.22,53.76,68
NDC,00069131110,RETACRIT ESRD/100U BU 20000U,5.97,,0.7268,5.37,68
NDC,00069131110,RETACRIT NESRD/1000U BU 20000U,59.73,,7.22,53.76,68
NDC,00069236201,SARSCV2 VACC 30MCG TRS-SUC VL,656.45,,190.2,590.8,165
NDC,00069236210,VAC COVID COMIRNATY VIAL,746.66,,190.2,671.99,55
NDC,00069239201,SARSCV2 VACC 30MCG TRS-SUC SYR,584.325,,190.2,590.8,165
NDC,00069239201,SARSCV2 VACC 30MCG TRS-SUC VL,656.45,,190.2,590.8,110
NDC,00069239210,VAC COVID COMIRNATY SYRINGE,746.66,,190.2,671.99,55
NDC,00069252202,ELRANATAMAB-BCMM/1MG BU 44MG V,666.45,,169.34,599.8,68
NDC,00069252202,ELRANATAMAB-BCMM/1MGBU 44MG PD,1247.42,,169.34,1122.68,68
NDC,00069303420,DOXORUBICIN VL 10MG,13.1,,2.7,11.79,336
NDC,00069303420,DOXORUBICIN/10MG BU 200MG VL,1448.23,,99.79,1303.41,68
NDC,00069449402,ELRANATAMAB-BCMM/1MG BU 76MG V,959.835,,169.34,1127.63,204
NDC,00069600121,FOSPHENYTOIN INJ 25MG/ML PED,8.26,,4.13,21.0,57
NDC,00074056111,VENETOCLAX 10MG ORAL TABLET,64.22,,16.44,57.8,55
NDC,00074056611,VENETOCLAX 50MG ORAL TABLET,321.35,,82.27,289.21,55
NDC,00074057611,VENETOCLAX 100MG ORAL TABLET,642.4,,164.45,578.16,55
NDC,00074104328,UPADACITINIB TAB ER 45MG,1970.36,,504.41,1773.32,55
NDC,00074230630,UPADACITINIB TAB ER 15MG,984.6,,252.06,886.14,55
NDC,00074231030,UPADACITINIB TAB ER 30MG,984.6,,252.06,886.14,55
NDC,00074262528,GLECAPR/PIBRENT 100MG-40MG TAB,728.24,,186.43,655.42,55
NDC,00074334603,LEUP DEPOT 7.5MG/22.5MG KIT,702.17,,162.33,631.95,414
NDC,00074334603,LEUPROLIDE DEPOT KIT 7.5MG-IT,501.6,,189.61,517.5,57
NDC,00074364103,LEUPROLIDE 3.75MGBU/3.75MG INJ,11040.82,,1347.56,9936.74,68
NDC,00074364103,LEUPROLIDE DEPOT KIT 3.75MG,2254.91,,1127.45,2379.19,204
NDC,00074364103,LEUPRON DEP 3.75MG BU/3.75MG,505.19,,252.59,2379.19,204
NDC,00074364203,LEUPROLIDE DEPOT KIT 7.5MG,595.77,,162.33,536.19,138
NDC,00074364203,LEUPROLIDE DEPOT KIT 7.5MG-IT,501.6,,162.33,517.5,345
NDC,00074364203,LEUPROLIDE DEPOT KIT 7.5MG-KIT,501.6,,162.33,517.5,69
NDC,00074366303,LEUPRON DEP 3.75MG BU/11.25MG,351.19,,175.59,2379.19,204
NDC,00074368303,LUPRON DEPOT 7.5MG BU/30MG KIT,501.6,,162.33,517.5,69
NDC,00074379902,ADALIMUMAB PER 1MG BU 40MG PFS,1170.27,,84.39,1053.24,68
NDC,00074501501,RISANKIZUMAB-RZAA IV VL 1MG,81.4,,13.74,73.26,136
NDC,00074714811,LEVOTHYROXINE TAB 200MCG,7.25,,1.86,6.53,55
NDC,00074726950,CYCLOSPOR 100MG/ML SOL-GENGRAF,20.19,,1.79,18.17,55
NDC,00075062300,ENOXAPARIN INJ 10MG,4.7,,0.69,4.23,275
NDC,00078024615,NEORAL CAP 25MG UD,12.3,,3.15,11.07,55
NDC,00078024815,NEORAL CAP 100MG UD,49.14,,12.58,44.23,55
NDC,00078040705,CARBID/ENTACA/LEVO12.5-200-50,2.89,,0.73984,2.6,55
NDC,00078056845,ARTEMET/LUMEFAN 20MG-120MG TAB,26.02,,6.66,23.42,55
NDC,00078065935,SACUBITR/VALSART 24MG/26MG TAB,52.3,,13.39,47.07,55
NDC,00078068306,NELARABINE INJ 50MG (ARRANON),556.99,,73.47,501.29,272
NDC,00078068615,ELTROMBOPAG TAB 50MG,2183.5,,558.98,1965.15,55
NDC,00078069635,SACUBIT/VALSART 97MG/103MG TAB,52.3,,13.39,47.07,55
NDC,00078069899,MIDOSATAURIN 25MG ORAL CAPSULE,918.91,,235.24,827.02,55
NDC,00078077720,SACUB/VALSAR 1.96-2.04/ML SUSP,3.13,,0.80128,2.82,55
NDC,00078077735,SACUBITR/VALSART 49MG/51MG TAB,52.3,,13.39,47.07,55
NDC,00078081181,OCREOTIDE DEPO KIT 1MG BU/10MG,575.68,,78.75,518.11,276
NDC,00078081301,TOBRAMYCIN OPTH OINT 3.5GM NF,1171.35,,299.87,1054.21,55
NDC,00078081881,OCREOTIDE DEPO KIT 1MG BU/20MG,232.05,,78.75,279.92,276
NDC,00078082581,OCREOTIDE DEPO KIT 1MG BU/30MG,249.48,,78.75,279.92,276
NDC,00078082581,OCREOTIDE DEPOT KIT 1MG,249.27,,78.75,279.92,471
NDC,00078088361,ADAKVEO 5MG BU PER 100MG/10ML,660.24,,119.12,594.22,136
NDC,00078089778,TRIAMCIN ACETONIDE PF 1MG,2.0,,1.0,33.69,68
NDC,00078095819,TISAGENLECLEUCEL IV ADULT,3422488.37,,544388.1,3080239.53,68
NDC,00078100060,INCLISIRAN NA (LEQVIO) INJ 1MG,82.3,,11.33,74.07,204
NDC,00078116861,COSENTYX 1MG BU/125MG VIAL,25.83,,12.86,24.53,136
NDC,00085138101,TEMOZOLOMIDE VL 1MG,41.8,,9.56,37.62,192
NDC,00088221905,INSULIN GLARG 100IU/ML 3ML PEN,88.87,,0.6832,79.98,56
NDC,00093226801,AMOXICILLIN TAB CHEW 250MG,2.0,,0.512,1.8,55
NDC,00093227034,AMOXICILLIN/CLAV'200' CHEW TAB,10.63,,2.72,9.57,55
NDC,00093317431,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
NDC,00093342601,LORAZEPAM TAB 1MG UD,2.0,,0.512,1.8,55
NDC,00093342701,LORAZEPAM TAB 2MG,2.0,,0.512,1.8,55
NDC,00093354143,ESTRADIOL VAG CR.01% 42.5GM,313.9,,80.36,282.51,55
NDC,00093961413,SILVER NIT 0.5% TOP SOLN 960ML,302.15,,77.35,271.94,55
NDC,00116200116,CHLORHEXIDINE ORL RNS .12%480M,6.55,,1.68,5.89,55
NDC,00121076616,CALCIUM CARB SUSP 1250MG/5ML,2.8,,0.7168,2.52,55
NDC,00121076616,CALCIUM CARB SUSP 250MG/ML,2.0,,0.512,1.8,55
NDC,00121089300,CHLORHEXIDINE ORAL RINSE 15ML,40.71,,10.42,36.64,55
NDC,00131541072,LACOSAMIDE 50MG/5ML ORAL SOLN,52.53,,13.45,47.28,55
NDC,00131541072,LACOSAMIDE PED 5MG/0.5ML ORAL,5.25,,1.34,4.72,55
NDC,00132007912,GLYCERIN SUPP ADULT 12CT,6.05,,1.55,5.45,55
NDC,00132007924,GLYCERIN SUPP ADULT 24CT,10.1,,2.59,9.09,55
NDC,00132008112,GLYCERIN SUPP PEDIATRIC 12CT,2.47,,0.63232,2.22,55
NDC,00143902202,FULVESTRANT 25MG BU PER 250MG,13.649999999999999,,3.48,78.75,400
NDC,00143913925,CEFAZOLIN INJ NA 2GM,80.52,,0.97,72.47,55
NDC,00143914025,CEFAZOLIN SODIUM INJ 3GM,33.41,,0.97,30.07,55
NDC,00143915210,VANCOMYCIN INJ 1000MG VL,90.16,,0.0366,81.14,55
NDC,00143925425,DOPAMINE 400MG/10ML VIAL,35.78,,0.56,32.2,55
NDC,00143928410,PANTOPRAZOLE VL 40MG,9.1,,4.55,29.0,224
NDC,00143956401,PHENTOLAMINE INJ/5MG BU 5MG VL,2996.0,,359.14,2696.4,68
NDC,00143956501,THIOTEPA INJ 15MG VIAL,1062.04,,9.7,955.84,68
NDC,00143956501,THIOTEPA INJ/15MG BU 15MG VL,1062.04,,9.7,955.84,68
NDC,00143956501,THIOTEPA VL 15MG,364.8,,9.7,328.32,136
NDC,00143962101,VIT B12 1000MCG/ML 1ML,6.5,,1.16,5.85,55
NDC,00143962101,VIT B12 INJ 1000MCG,6.5,,1.16,5.85,55
NDC,00143963310,NICARDIPINE 40MG/200ML PREMIX,315.39,,0.1098,283.85,55
NDC,00143963310,NICARDIPINE 40MG/ML 0.9% NS,329.45,,0.1098,296.5,55
NDC,00143970101,IRINOTECAN 20MG BU PER 100MG,25.7,,1.71,126.0,336
NDC,00143978410,FLUMAZENIL 0.5MG/5ML VIAL,25.9,,12.95,23.31,54
NDC,00143985825,CEFTRIAXONE PED INJ 35MG/0.1ML,2.0,,0.512,1.8,55
NDC,00143987310,METOPROLOL TARTRATE 5MG/5ML VL,5.0,,1.28,4.5,55
NDC,00168002131,BACITRACIN-POLYMX OINT 30GM,40.35,,10.33,36.31,55
NDC,00169300415,INSULIN NPH 100 IU/ML 3ML PEN,123.19,,0.6832,110.87,56
NDC,00169300715,INSULIN ISOP/REG 70/30 PEN 3ML,87.99,,0.6832,79.19,56
NDC,00169633910,INSULIN ASP 100UNITS/ML 3MLPEN,104.44,,0.6832,94.0,56
NDC,00169706515,GLUCAGON 1MG INJ HYPOKIT,794.01,,167.85,714.61,68
NDC,00169720101,NOVOSEVEN MIXPRO/1MCG BU 1MG,15.05,,2.25,13.54,68
NDC,00169720201,NOVOSEVEN MIXPRO/1MCG BU 2MG,15.05,,2.25,13.54,68
NDC,00169720501,NOVOSEVEN MIXPRO/1MCG BU 5MG,15.05,,2.25,13.54,68
NDC,00172731320,CYCLOSPOR MICRO SOLN 100MG/ML,9.27,,1.79,8.34,55
NDC,00173052100,SALMETEROL DISKS 50MCG 60 DOSE,1946.85,,60.73,1752.16,55
NDC,00173068220,ALBUTEROL INHALER 18GM,262.15,,67.11,235.94,55
NDC,00173068224,ALBUTEROL INHALER 8GM,103.4,,26.47,93.06,55
NDC,00173088101,MEPOLIZUMAB SQ INJ 1MG NUCALA,156.94,,28.7,141.25,340
NDC,00173089803,DOSTARLIMAB-GXLY 10MG BU/500MG,523.53,,224.21,471.18,272
NDC,00186077660,TICAGRELOR TABLET 60MG,34.47,,8.82,31.02,55
NDC,00186402501,ESOMEPRAZOLE DR ORAL SUS 2.5MG,43.94,,11.25,39.55,55
NDC,00187433005,ISOPROTERENOL INJ 1-5000 5ML A,444.12,,113.69,399.71,55
NDC,00225080547,PHENYLEPHRIN NOS SPY 1/2% 15ML,17.35,,4.44,15.62,55
NDC,00245021311,MIDODRINE TAB 10MG,4.38,,1.12,3.94,55
NDC,00254200801,COLCHICINE TAB 0.6MG UP,22.03,,5.64,19.83,55
NDC,00259161001,INCOBOTULINUM TOX TYPE A 1U,38.2,,5.02,34.38,136
NDC,00264193310,TROPHAMINE 10% INJ 500ML,287.28,,73.54,258.55,55
NDC,00264959410,LIDOCAINE 0.4%/DEXT 5% 500ML,183.66,,47.02,165.29,55
NDC,00264959820,LIDOCAINE 0.8% / D5W 250ML,183.66,,47.02,165.29,55
NDC,00268024901,GLYCERIN STERILE 50% 100ML VL,553.0,,141.57,497.7,55
NDC,00270701546,GADOPICLENOL 485.1MG/ML 30ML,525.0,,4.16,472.5,55
NDC,00270701548,GADOPICLENOL 485.1MG/ML 50ML,876.0,,4.16,788.4,55
NDC,00270702038,GADOPICLENOL 485.1MG/ML 3ML VL,69.93,,4.16,62.94,55
NDC,00270702540,GADOPICLENOL 485.1MG/ML 7.5ML,172.2,,4.16,154.98,55
NDC,00270703042,GADOPICLENOL 485.1MG/ML 10ML,179.9,,4.16,161.91,55
NDC,00310020130,ANASTROZOLE TAB 1MG UP NF,2.0,,0.512,1.8,55
NDC,00310032130,MEROPENEM VL 100MG,3.0,,0.5368,2.7,275
NDC,00310110530,SOD ZIRCONIUM CYCL 5GM ORALSUS,21.16,,5.42,19.04,55
NDC,00310111030,SOD ZIRCONIUM CYCL 10GM ORLSUS,21.36,,5.47,19.22,55
NDC,00310173030,BENRALIZUMAB 1MG BU PER 30MG,594.15,,151.42,534.74,136
NDC,00310304000,ANIFROLUMAB VL 1MG (SAPHNELO),127.7,,16.63,114.93,136
NDC,00310320005,ANDEXXA INJ/10MG BU 200MG VL,851.91,,120.87,766.72,68
NDC,00310450012,DURVALUMAB VL 10MG,419.58,,76.02,377.62,408
NDC,00310450012,IMFINZI 10MG BU PER 120MG VIAL,419.58,,76.02,377.62,408
NDC,00310453530,TREMELIMUMAB-ACTL INJ 1MG,695.94,,129.63,626.35,136
NDC,00310461150,IMFINZI 10MG BU PER 500MG VIAL,426.44,,76.02,383.8,464
NDC,00310744202,EVUSHELD 300MG MULTI VIAL EUA,0.07,,0.01792,0.063,55
NDC,00338005403,SODIUM CHLORIDE 3% INJ 1ML,16.48,,0.05,14.83,56
NDC,00338006910,KETOROLAC INJ/15MG BU 15MG VL,5.25,,0.2484,4.72,68
NDC,00338012612,INSULIN REG 100UN/100ML BAG,107.76,,0.6832,96.98,56
NDC,00338012612,INSULIN REG HUMAN 1UN/ML UP,2.0,,0.6832,1.8,56
NDC,00338051913,FAT EMULSION 20% 15ML UP,5.04,,1.29,4.54,55
NDC,00338070548,POT CHL VL 2MEQ/ML 1ML,2.0,,0.15,1.8,495
NDC,00338070548,POT CHLORIDE 20MEQ/100ML BAG,26.43,,0.15,23.79,55
NDC,00338105548,METRONIDAZOLE IV 10MG BU/500MG,2.0,,0.0366,1.8,112
NDC,00338107302,DOBUTAMINE 250MG/250ML BAG,240.23,,5.69,216.21,55
NDC,00338107502,DOBUTAMINE 500MG/250ML BAG,298.9,,5.69,269.01,55
NDC,00338361224,CLINDAMYCIN 600MG/50ML D5W BAG,33.61,,8.6,30.25,55
NDC,00338361224,CLINDAMYCIN/D5W 600MG/50ML VL,35.1,,17.55,31.59,54
NDC,00338381424,CLINDAMY/300MG BU 900MG D5W BG,12.36,,2.04,11.12,56
NDC,00338850310,FIBRIN SEALANT HUMAN ARTISS,1303.0,,130.54,1172.7,68
NDC,00338955712,DEXMEDETOMIDIN 400MCG/100ML NS,113.28,,29.0,101.95,55
NDC,00338955810,EPTIFIBATIDE PER 5MG BU 75MG V,26.37,,13.19,36.52,57
NDC,00378097201,CLOZAPINE TAB 50MG UP,3.06,,0.78336,2.75,55
NDC,00378518693,PRASUGREL 10MG TABLET 30CT,137.95,,35.32,124.16,55
NDC,00378518693,PRASUGREL TAB 10MG,3.03,,0.77568,2.73,55
NDC,00378699789,SOD CL 3% FOR INHL 15ML VL,4.89,,1.25,4.4,55
NDC,00378709693,BROMOCRIPTINE CAPSULE 5MG,20.38,,5.22,18.34,55
NDC,00378932032,FLUTIC/SALMEL INH 100/50 60DS,344.65,,60.73,310.19,55
NDC,00378932132,FLUTIC/SALMEL INH 250/50 60DS,428.25,,60.73,385.43,55
NDC,00378932232,FLUTIC/SALMEL INH 500/50 60DS,563.25,,60.73,506.93,55
NDC,00386000802,NORFLURANE 3.5OZ-PAINEASE MIST,148.6,,38.04,133.74,55
NDC,00406012462,HYDROCOD/APAP 7.5MG/325MG TAB,2.0,,0.512,1.8,55
NDC,00406012562,HYDROCOD/APAP 10MG/325MG TAB,2.0,,0.512,1.8,55
NDC,00406051262,ACETAMINOPHEN C OXYCODN TAB UD,2.0,,0.512,1.8,55
NDC,00407222323,IODIXANOL INJ 320MG/ML 500ML,1126.39,,0.06,1013.75,55
NDC,00409015224,METRONIDAZOLE HCL RTU INJ .5GM,10.25,,0.0366,9.22,55
NDC,00409018101,GEMCITABINE 200MG BU/1000MG VL,17.0,,3.61,108.75,280
NDC,00409018101,GEMCITABINE VL 200MG/5.26ML,187.18,,3.61,168.46,56
NDC,00409018201,GEMCITABINE 200MG BU/2000MG VL,17.3,,3.61,108.75,280
NDC,00409018301,GEMCITABINE 200MG BU PER 200,23.4,,3.61,108.75,56
NDC,00409018301,GEMCITABINE 200MG BU PER 200MG,23.4,,3.61,108.75,224
NDC,00409018301,GEMCITABINE HCL VL 200MG,23.4,,3.61,108.75,168
NDC,00409036701,DOCETAXEL INJ 20MG/ML 4ML VL,2.56,,0.4636,2.3,55
NDC,00409080101,PENTOSTATIN VL 10MG,3617.3,,1808.65,3586.22,204
NDC,00409080502,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
NDC,00409114405,VERAPAMIL INJ 2.5MG/ML VIAL,80.9,,40.45,72.81,54
NDC,00409115901,BUPIVACAINE VL 0.25% 10ML,9.4,,2.41,8.46,55
NDC,00409115901,BUPIVACAINE/0.5MG BU 25MG VL,2.0,,0.0122,1.8,55
NDC,00409115902,BUPIVACAINE INJ 0.25% 30ML,10.33,,0.0122,9.3,55
NDC,00409115902,BUPIVACAINE/0.5MG BU 75MG VL,2.0,,0.0122,1.8,55
NDC,00409116201,BUPIVACAINE VL 0.5% 10ML,9.85,,2.52,8.87,55
NDC,00409116202,BUPIVACAINE 0.5% 3ML SYG UP,9.94,,2.04,8.95,56
NDC,00409116202,BUPIVACAINE INJ 0.5% 30ML,9.8,,2.51,8.82,55
NDC,00409116202,BUPIVACAINE/0.5MG BU 150MG VL,2.0,,0.0122,1.8,55
NDC,00409118069,MEPERIDINE INJ 100MG/ML 1ML,9.4,,4.7,19.14,165
NDC,00409118069,MEPERIDINE INJ 100MG/ML 1ML IT,9.4,,4.7,19.14,385
NDC,00409120703,GENTAMICIN INJ  80MG/2ML V -,21.24,,5.44,19.12,55
NDC,00409121501,NALOXONE HYDROCHLORIDE INJ 1MG,61.4,,0.0854,55.26,110
NDC,00409127332,DIAZEPAM INJ 5MG,46.4,,6.05,41.76,110
NDC,00409128305,HYDROMORPHONE 0.5MG/0.5ML SYR,66.62,,0.1098,59.96,56
NDC,00409128331,HYDROMORPHONE 0.5MG/0.5ML INJ,16.74,,0.1098,15.07,56
NDC,00409128331,HYDROMORPHONE 1MG/ML CPJ SYR,11.96,,0.1098,10.76,56
NDC,00409131230,HYDROMORPHONE INJ 2MG/ML CPJT,2.0,,0.1098,1.8,56
NDC,00409132305,LIDOCAINE HCL INJ 100MG/5MLUD,42.48,,10.87,38.23,55
NDC,00409162601,BUTORPHANOL INJ 2MG/ML VIAL,54.65,,2.89,49.19,55
NDC,00409163201,VECURONIUM BROMIDE 10MG/10MLV,36.68,,9.39,33.01,55
NDC,00409175550,BUPIVACAINE INJ 0.5% EPI 50ML,67.55,,17.29,60.8,55
NDC,00409177510,DEXTROSE 25% INJ 10ML UD,102.79,,26.31,92.51,55
NDC,00409177805,METOPROLOL INJ 5MG/ML AMP,3.89,,1.95,3.5,54
NDC,00409189001,MORPHINE SO4 INJ  2MG/1ML UD-,10.01,,1.87,9.01,55
NDC,00409189101,MORPHINE SO4 INJ  4MG/ML UD-,10.01,,1.87,9.01,55
NDC,00409226501,DESMOPRESSIN INJ 1MCG,29.2,,3.24,26.28,68
NDC,00409230801,MIDAZOLAM INJ 5MG/1ML PF VIAL,5.8,,0.13,5.22,55
NDC,00409230802,MIDAZOLAM INJ 10MG/2ML PF VIAL,6.44,,0.13,5.8,55
NDC,00409263405,HYDROMORPHO 100MG/100ML NS BAG,56.04,,0.1098,50.44,56
NDC,00409272301,HEPARIN SOD INJ 5000U/1ML VL,6.31,,0.2684,5.68,55
NDC,00409277623,MILRINONE 20MG/DEXT 5% 100ML,204.54,,1.51,184.09,55
NDC,00409317701,LIDOCAINE .5%/EPI 1:200TH 50ML,48.92,,12.52,44.03,55
NDC,00409317801,LIDOCAINE 1% W/EPI 1-100K 20ML,8.34,,2.14,7.51,55
NDC,00409317802,LIDO HCL 1% EP 1-100T30ML,36.5,,9.34,32.85,55
NDC,00409317803,LIDOCAINE 1%W/EPI 1-100 50ML,14.46,,3.7,13.01,55
NDC,00409318301,LIDOCAINE HCL 2% EP 1-200T20ML,125.96,,32.25,113.36,55
NDC,00409321312,DIAZEPAM INJ 5MG/ML 10MLVIAL,233.84,,6.05,210.46,55
NDC,00409336501,HYDROMORPHONE INJ 4MG/ML 1ML,13.4,,0.1098,12.06,168
NDC,00409336510,HYDROMORPHONE HCL INJ 2MG/MLUD,2.98,,0.1098,2.68,56
NDC,00409341401,METOCLOPRAMIDE VL 10MG,6.2,,1.04,5.58,110
NDC,00409341401,METOCLOPRAMIDE VL 10MG IT,6.2,,1.04,5.58,385
NDC,00409353201,PEMETREXED 10MG BU PER 1000MG,8.6,,4.01,71.81,69
NDC,00409361301,BUPIVACAINE/0.5MG BU 15MG VL,2.0,,0.0122,1.8,55
NDC,00409361301,BUPIVACAINE/0.5MG BU 225MG VL,2.0,,0.0122,1.8,55
NDC,00409379301,KETOROLAC TROM INJ 15MG/1MLUD,4.25,,0.2484,3.83,67
NDC,00409379501,KETOROLAC INJ 15MG,4.9,,0.2484,4.41,1005
NDC,00409379501,KETOROLAC INJ 15MG IT,2.2,,0.2484,1.98,537
NDC,00409379501,KETOROLAC TROM INJ 30MG/1MLUD,4.83,,0.2484,4.35,67
NDC,00409381412,MORPHINE INJ 5MG/10ML VIAL,50.29,,1.87,45.26,55
NDC,00409381512,MORPHINE INJ 10MG/10ML VIAL,52.58,,1.87,47.32,55
NDC,00409409201,COPPER CHLORIDE 4MG/10ML VL,152.2,,76.1,136.98,54
NDC,00409427501,LIDOCAINE HCL INJ  .5% 50M SDV,14.61,,3.74,13.15,55
NDC,00409427601,LIDOCAINE HCL INJ 1% 20ML VIAL,5.66,,1.45,5.09,55
NDC,00409427602,LIDOCAINE HCL INJ  1% 50ML V,9.4,,2.41,8.46,55
NDC,00409433201,VANCOMYCIN INJ 500MG  -,15.19,,0.0366,13.67,55
NDC,00409433201,VANCOMYCIN VL 500MG,13.0,,0.0366,11.7,385
NDC,00409444424,LEVOFLOXACIN 750 MG/150 ML-D5W,32.1,,0.4,28.89,55
NDC,00409444424,LEVOFLOXACIN 750MG/150ML BAG,21.67,,0.4,19.5,55
NDC,00409471302,LIDOCAINE 1% INJ 10ML MULTI PK,38.3,,9.8,34.47,55
NDC,00409475503,ODANSETRON VL 1MG,2.0,,0.09,6.0,56
NDC,00409475503,ONDANSETRON VL 1MG,2.0,,0.09,6.0,953
NDC,00409475503,ONDANSETRON VL 1MG-IT,2.0,,0.09,6.0,504
NDC,00409477702,CIPROFLOXACIN INJ 200MG,12.350000000000001,,1.0,11.16,385
NDC,00409488301,LINEZOLID 200MG/100ML-0.9%NACL,27.7,,7.73,24.93,112
NDC,00409490434,LIDOCAINE HCL INJ 1% 5ML SYG,70.81,,18.13,63.73,55
NDC,00409491134,ATROPINE INJ 0.01MG,2.0,,0.0854,1.8,276
NDC,00409491134,ATROPINE INJ 0.01MG-IT,2.0,,0.0854,1.8,330
NDC,00409492134,EPINEPHRINE INJ 0.1MG,40.9,,1.61,36.81,330
NDC,00409582001,DOPAMINE HCL INJ 200MG/5ML VL,18.45,,0.56,16.61,55
NDC,00409592101,AMINOPHYLLINE INJ 250MG/10ML,78.87,,9.02,70.98,55
NDC,00409610202,FUROSEMIDE INJ 20MG,3.2,,0.0244,2.88,220
NDC,00409610204,FUROSEMIDE 1MG BU PER 40MG VL,2.0,,0.0244,1.8,330
NDC,00409610204,FUROSEMIDE INJ  40MG/4ML UP,4.63,,0.0244,4.17,55
NDC,00409610204,FUROSEMIDE1MG BU PER 40MG VL,2.0,,0.0244,1.8,55
NDC,00409662502,VISUALIZATION ADJUNCT,63.9,,8.03,57.51,68
NDC,00409662902,SUCCINYLCH CL INJ 20MG/ML 10ML,57.93,,0.15,52.14,56
NDC,00409665100,POTASSIUM CL 20 MEQ/10ML VIAL,235.0,,0.15,211.5,55
NDC,00409665106,POTASSIUM CL 20 MEQ/10 ML VIAL,235.0,,0.15,211.5,55
NDC,00409672924,MAGNESIUM SULF INJ 500MG,2.0,,0.42,1.8,440
NDC,00409707426,POT CHLORIDE 10MEQ/100ML BAG,32.89,,0.15,29.6,55
NDC,00409707714,POT CHLORIDE 20MEQ/50ML BAG,26.43,,0.15,23.79,55
NDC,00409717217,AMINOSYN II 10% 2000ML,268.34,,68.7,241.51,55
NDC,00409733201,CEFTRIAXONE INJ 1GM VIAL,6.34,,0.5856,5.71,55
NDC,00409733503,CEFTRIAXONE INJ 2GM VIAL,15.57,,0.5856,14.01,55
NDC,00409733701,CEFTRIAXONE INJ 250MG VIAL NF,3.54,,0.5856,3.19,55
NDC,00409733701,CEFTRIAXONE VL 250MG,3.2,,0.5856,3.78,1321
NDC,00409733801,CEFTRIAXONE INJ 500MG VIAL,4.38,,0.5856,3.94,55
NDC,00409762003,HEPARIN 1000U/NACL 0.9% 1000ML,177.41,,0.2684,159.67,55
NDC,00409762003,HEPARIN 1000U/NACL 0.9% 500ML,177.41,,0.2684,159.67,55
NDC,00409762003,HEPARIN NA INJ 1000U,2.8,,0.2684,2.52,331
NDC,00409762003,HEPARIN PORCINE 1000U/ML30ML,55.15,,0.2684,49.63,55
NDC,00409762003,HEPARIN SOD INJ 4000U/4ML SBS,12.68,,0.2684,11.41,55
NDC,00409904517,BUPIVACAINE INJ 0.5% EPI 30ML,73.51,,18.82,66.16,55
NDC,00409909332,FENTANYL INJ 0.1MG/2ML AMP+,3.67,,0.78,3.3,55
NDC,00409909422,FENTANYL INJ 0.1MG/2ML VIAL,3.8,,0.78,3.42,55
NDC,00409909425,FENTANYL  INJ 0.25MG/5ML AMP+,7.19,,0.78,6.47,55
NDC,00409909425,FENTANYL INJ 0.25MG/5ML VIAL,7.19,,0.78,6.47,55
NDC,00409909461,FENTANYL INJ 5MG/100ML SBS,3.8,,0.78,3.42,55
NDC,00409915801,PHYTONADIONE 2.5MG ORAL SOL UP,87.35,,22.36,78.61,55
NDC,00409915801,PHYTONADIONE INJ 10MG/ML AMP,122.29,,3.46,110.06,55
NDC,00409915801,VIT K1 (PHYTON) INJ 1MG,19.7,,3.46,17.73,220
NDC,00409955805,ROCURONIUM STUDY 50MG/5ML VL,2.0,,0.512,1.8,55
NDC,00456040010,CEFTAROLINE INJ/PED 10MG/ML UP,37.88,,9.7,34.09,55
NDC,00456040010,CEFTAROLINE/10MG BU 400MG VIAL,31.56,,3.32,28.4,68
NDC,00456060010,CEFTAROLINE VL 10MG,5.33,,2.67,5.82,68
NDC,00456270010,CEFTAZ-AVIBA/625MG BU 2.5GM VL,604.72,,92.0,544.25,68
NDC,00456430001,FOSFOMYCIN 3GM POWDER PKT,369.25,,94.53,332.32,55
NDC,00469042099,ISAVUCONAZONIUM/1MG BU 372MG V,6.65,,0.9292,5.99,68
NDC,00469052014,ISAVUCONAZONIUM 186MG ORAL CAP,520.62,,133.28,468.56,55
NDC,00469301601,TACROLIMUS INJ 0.1MG / ML SBS,1593.68,,211.97,1434.31,68
NDC,00469305130,AMBISOME INJ/NEO 0.2MG/ML,9.98,,2.55,8.98,55
NDC,00469305130,AMBISOME INJ/PED 0.5MG/ML,19.29,,4.94,17.36,55
NDC,00469305130,AMPHOT B LIPOS/10MG BU 50MG VL,133.03,,19.76,119.73,68
NDC,00469321110,MICAFUNGIN INJ 100MG,1203.65,,0.3782,1083.29,55
NDC,00469321110,MICAFUNGIN NA VL 1MG  MYCAMINE,5.2,,0.3782,4.68,220
NDC,00469342510,ZOLBETUXIMAB-CLZB 2MG BU/100MG,170.87,,27.77,153.78,136
NDC,00469650189,REGADENOSON INJ 0.1MG,6.9,,3.45,59.19,55
NDC,00469650189,REGADENOSON INJ 0.4MG,414.77,,3.53,373.29,55
NDC,00486112501,POT PHOSPHATE 250MG ORAL TAB,3.4,,0.8704,3.06,55
NDC,00487930133,SOD CL 0.9% FOR INHL 3ML VL,2.0,,0.512,1.8,55
NDC,00487950101,ALBUT NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,55
NDC,00487950101,ALBUTEROL NON-CMPD INH SOL 1MG,2.0,,0.512,1.8,165
NDC,00517037405,METHYLENE BLU/1MG BU 0.5% 10MG,12.87,,6.43,12.0,68
NDC,00517037405,METHYLENE BLU/1MG BU 0.5% 50MG,12.87,,6.43,12.0,68
NDC,00517037405,METHYLENE BLUE INJ 1MG,17.3,,8.03,15.57,68
NDC,00517037405,METHYLENE BLUE/1MG BU 0.5% 5MG,12.87,,6.43,12.0,68
NDC,00517037405,PROVAYBLUE 1MG BU/50MG AMPULE,17.3,,8.03,15.57,68
NDC,00517040125,ATROPINE SO4 INJ 0.4MG/ML VIAL,26.75,,0.0854,24.07,55
NDC,00517065001,FERRIC CARBOXYMALTOSE IV 1MG,7.1,,1.02,6.39,464
NDC,00517072001,BETAMETH NA PHOS/ACET INJ 3MG,25.4,,6.55,22.86,385
NDC,00517073510,NICARDIPINE INJ 25MG/10ML PFVL,169.32,,0.1098,152.39,55
NDC,00517182001,CHLOROTHIAZIDE INJ 500MG/18ML,201.11,,49.26,181.0,165
NDC,00517231005,IRON SUCROSE INJ 200MG/10ML VL,458.64,,0.22,412.78,56
NDC,00517234010,IRON SUCROSE VL 1MG,2.6,,0.22,2.34,392
NDC,00517250210,CAFF+SOD BENZ 250MG/ML INJ 2ML,193.16,,49.45,173.84,55
NDC,00517400225,PAPAVERINE INJ 60MG/2ML AMP,107.01,,1.28,96.31,56
NDC,00517481025,NITROGLYCERIN 2MG/D5W 20ML INJ,78.14,,20.0,70.33,55
NDC,00517481025,NITROGLYCERIN INJ  50MG/10ML V,78.14,,39.07,70.33,54
NDC,00517671010,CALCIUM CL INJ 10% 10ML VIAL,52.33,,13.4,47.1,55
NDC,00517760425,ACETYLCYSTEINE 20% 0.8GM UD,25.29,,6.47,22.76,55
NDC,00517970225,DROPERIDOL INJ  2.5MG/ML 2ML,50.98,,2.14,45.88,55
NDC,00536245001,ZINC SULFATE ORAL TABLET 220MG,2.0,,0.512,1.8,55
NDC,00562780501,RHO (D) IMM GLOB IM 300MCG,394.66,,74.3,355.19,165
NDC,00574085010,DIHYDROERGOTAMIMNE AP 1MG,219.52,,55.97,197.57,55
NDC,00574085010,DIHYDROERGOTAMINE AMP 1MG,219.52,,55.97,197.57,275
NDC,00574704512,BELLADONNA-OPIUM 30MG SUPP,101.25,,25.92,91.12,55
NDC,00575620030,DIAZOXIDE ORAL SUSP 1MG/0.02ML,2.0,,0.512,1.8,55
NDC,00597002402,IPRATROPRIUM/ALBUTEROL INH 4GM,1867.25,,478.02,1680.53,55
NDC,00597010051,TIOTROPIUM INH 2.5MCG 10 SPRAY,172.4,,44.13,155.16,55
NDC,00597015237,EMPAGLIFLOZIN 10MG TABLET,61.75,,15.81,55.58,55
NDC,00597015337,EMPAGLIFLOZIN 25MG TABLET,61.75,,15.81,55.58,55
NDC,00597019705,IDARUCIZUMAB 2.5GM/50ML VL INJ,17085.71,,4373.94,15377.14,55
NDC,00603154258,POT CHLORIDE 10% SOLN 5MEQ,2.0,,0.512,1.8,55
NDC,00641036725,DEXAMETHASONE INJ 10MG/ML UD V,5.23,,0.13,4.71,55
NDC,00641037625,DIPHENHYD VL 50MG/ML 1ML,6.4,,0.65,5.76,551
NDC,00641037625,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,55
NDC,00641040012,HEPARIN VL 1000U/ML 1ML,2.8,,0.2684,2.52,330
NDC,00641047725,PHENOBARBITAL INJ 130MG/ML,252.31,,33.38,227.08,55
NDC,00641092825,PROMETHAZINE INJ 50MG,13.9,,2.31,12.51,110
NDC,00641092825,PROMETHAZINE INJ 50MG IT,13.9,,2.31,12.51,440
NDC,00641600810,BUMETANIDE 0.5MG BU PER 1MG VL,4.4,,0.3404,3.96,204
NDC,00641600810,BUMETANIDE 1MG/4ML VIAL,7.5,,0.3404,6.75,68
NDC,00641600810,BUMETANIDE INJ 0.25MG/ML 4ML,12.17,,0.3404,10.95,68
NDC,00641601310,DILTIAZEM INJ 5MG/ML 5ML VIAL,13.48,,3.45,12.13,55
NDC,00641601910,MORPHINE PF EPIDURAL 10MG,15.59,,7.79,14.03,110
NDC,00641602010,MORPHINE INJ 5MG/10ML AMPULE,186.24,,1.87,167.62,55
NDC,00641602701,FENTANYL INJ 0.1MG/2ML VIAL,6.8,,0.78,6.12,55
NDC,00641602725,FENTANYL INJ 0.1MG/2ML VIAL,6.8,,0.78,6.12,220
NDC,00641604425,LORAZEPAM VL 2MG/ML 1ML,3.6,,0.75,3.24,330
NDC,00641604425,LORAZEPAM VL 2MG/ML 1ML IT,3.6,,0.75,3.24,440
NDC,00641604425,LORAZEPAM VL 2MG/ML 1ML-IT,3.6,,0.75,3.24,55
NDC,00641605225,MEPERIDINE HCL INJ  25MG/ML UD,12.99,,6.5,19.14,55
NDC,00641605610,MIDAZOLAM INJ 1MG/ML 10ML VIAL,14.13,,0.13,12.72,55
NDC,00641605725,MIDAZOLAM VL 1MG/ML 1ML,2.0,,0.13,1.8,275
NDC,00641606125,MIDAZOLAM INJ 5MG/1ML VIAL,2.0,,0.13,1.8,55
NDC,00641612725,MORPHINE SO4 INJ 10MG/1ML UD-,16.33,,1.87,14.7,55
NDC,00641612725,MORPHINE VL 10MG/ML 1ML,8.4,,1.87,7.56,550
NDC,00641613525,PROCHLORPERAZINE VL 10MG,34.2,,3.07,30.78,495
NDC,00641615125,HYDROMORPHONE 0.1MG BU/ 2MG VL,2.0,,0.1098,1.8,448
NDC,00641617410,OCTREOTIDE INJ 50MCG/1ML A,13.52,,0.7442,12.17,55
NDC,00641622825,THIAMINE HCL INJ100MG/ML 2ML A,26.39,,2.18,23.75,55
NDC,00641623125,HYDRALAZINE INJ  20MG/1ML V-,21.76,,3.38,19.58,55
NDC,00703001801,HYDROMORPHONE 500MG/50ML SDV,666.19,,0.1098,599.57,56
NDC,00703115303,NOREPINEPHRINE INJ 4MG/4ML VL,26.97,,6.9,24.27,55
NDC,00703150102,ALPROSTADIL INJ 500MCG/ML VL,834.12,,0.5856,750.71,56
NDC,00703315501,BLEOMYCIN SULF VL 15U-IT,148.5,,25.5,164.25,336
NDC,00703315501,BLEOMYCIN VL 15U,144.9,,25.5,164.25,112
NDC,00703367501,METHOTREXATE INJ 250MG/10MLVPF,29.54,,2.33,26.59,56
NDC,00703514501,LEUCOVORIN CA INJ 100MG SBS,44.38,,2.8,39.94,56
NDC,00703514501,LEUCOVORIN CA INJ 5MG SBS,7.01,,2.8,6.31,56
NDC,00703514501,LEUCOVORIN VL 50MG,13.5,,2.8,12.15,336
NDC,00703523313,DAUNORUBICIN LYOPH VL 10MG,140.9,,19.96,126.81,204
NDC,00703565601,ETOPOSIDE INJ 10MG,4.0,,0.77,3.75,336
NDC,00703574811,CISPLATIN AQ VL 10MG,19.1,,1.71,17.19,336
NDC,00703951403,SULFAMETHOX/TRIMETHO INJ 10ML,80.72,,20.66,72.65,55
NDC,00713013212,PROMETHAZINE SUPP 50MG UD,123.27,,31.56,110.94,55
NDC,00743120359,CYANOCOBALAMIN TAB 500MCG UP,2.0,,0.512,1.8,55
NDC,00781311495,PIPER/TAZO PEDI INJ 80MG-10MG,0.88,,0.44,1.65,55
NDC,00781325394,AZACITIDINE VL 1MG,6.9,,0.2562,6.21,392
NDC,00781328909,CLINDAMY/300MG BU 600MG D5W BG,38.51,,2.04,34.66,56
NDC,00781329009,CLINDAMYCIN 900MG/50ML D5W BAG,94.07,,24.08,84.66,55
NDC,00781340295,AMPICILLIN SOD INJ 250MG VIAL,4.99,,0.5978,4.49,55
NDC,00781340495,AMPICILLIN VL 500MG,5.0,,0.5978,4.5,55
NDC,00781342292,PHENYLEPHRINE INJ  10MG/M AMP-,7.92,,0.0122,7.13,55
NDC,00781344095,COSYNTROPIN INJ 0.25MG,165.97,,34.18,149.37,55
NDC,00781344095,COSYNTROPIN INJ 0.25MG-IT,165.97,,34.18,149.37,165
NDC,00781344095,COSYNTROPIN VL 0.25MG,165.97,,34.18,149.37,770
NDC,00781344095,COSYNTROPIN VL 0.25MG-IT,165.97,,34.18,149.37,110
NDC,00781615395,PENICILLIN G 50000U/ML DESENS,2.52,,0.64512,2.27,55
NDC,00869083143,MINERAL OIL 473ML ORAL,10.63,,2.72,9.57,55
NDC,00869420610,MINERAL OIL 30ML ORAL UD,8.65,,2.21,7.79,55
NDC,00904110231,POVIDONE-IODINE OINT 30GM,5.5,,1.41,4.95,55
NDC,00904272561,SULFAMETHOX/TRIMETHO DS TAB UD,2.0,,0.512,1.8,55
NDC,00904386575,SODIUM CHLORIDE NAS SPY .65%30,2.31,,0.59136,2.08,55
NDC,00904518261,MELATONIN 3MG ORAL TABLET,2.0,,0.512,1.8,55
NDC,00904585461,IBUPROFEN TAB 600MG UD,2.0,,0.512,1.8,55
NDC,00904600761,LORAZEPAM TAB 0.5MG UP,2.0,,0.512,1.8,55
NDC,00904629061,ATORVASTATIN TABLET 5MG (1/2),2.0,,0.512,1.8,55
NDC,00904629461,CLOPIDOGREL TAB 75MG UD,2.0,,0.512,1.8,55
NDC,00904635261,LEVOFLOXACIN TAB 500MG,2.0,,0.512,1.8,55
NDC,00904635361,LEVOFLOXACIN TAB 750MG,2.02,,0.51712,1.82,55
NDC,00904637161,AMLODIPINE TAB 10MG UD,2.0,,0.512,1.8,55
NDC,00904640761,BISACODYL TAB 5MG UD,2.0,,0.512,1.8,55
NDC,00904641861,TIZANIDINE TAB 4MG UP NF,2.0,,0.512,1.8,55
NDC,00904644961,ISOSORB MONO ER TAB 15MG (1/2),2.0,,0.512,1.8,55
NDC,00904644961,ISOSORBIDE MONO TAB 30MG UD,2.0,,0.512,1.8,55
NDC,00904646861,VENLAFAXINE XR CAP 37.5MG,2.0,,0.512,1.8,55
NDC,00904647061,VENLAFAXINE XR CAP 150MG UD,2.0,,0.512,1.8,55
NDC,00904651061,ARIPIPRAZOLE TAB 2.5MG (1/2),2.0,,0.512,1.8,55
NDC,00904652261,SENNA CONC TAB UD,2.0,,0.512,1.8,55
NDC,00904658661,GABAPENTIN SOLN 300MG,2.0,,0.512,1.8,55
NDC,00904658661,GABAPENTIN SOLN 50MG/ML,2.57,,0.65792,2.31,55
NDC,00904663961,QUETIAPINE TAB 50MG UD,2.0,,0.512,1.8,55
NDC,00904671760,CETIRIZINE TAB 10MG UP      NF,2.0,,0.512,1.8,55
NDC,00904676130,OXYMETAZOLINE NASAL SPRAY 30ML,8.25,,2.11,7.42,55
NDC,00904680806,MONTELUKAST TAB 10MG UD,2.0,,0.512,1.8,55
NDC,00904682894,OXYCODONE ORAL SOL 5MG/5ML UD,16.13,,4.13,14.52,55
NDC,00904686861,TRAZODONE TAB  50MG UD,2.0,,0.512,1.8,55
NDC,00904692461,SERTRALINE TAB 25MG UP,2.0,,0.512,1.8,55
NDC,00904693181,POLYETHYLENE GLYCOL PWD 17GMUD,5.7,,1.46,5.13,55
NDC,00904700635,OXYMETAZOLINE NASAL SPRAY 15ML,8.25,,2.11,7.42,55
NDC,00904702061,PRAZOSIN CAP 1MG UD NF,2.47,,0.63232,2.22,55
NDC,00904704661,HYDROXYCHLOROQ TAB 100MG (1/2),3.19,,0.81664,2.87,55
NDC,00904723761,DIPHENHYDRAMINE CAP 50MG UD-,2.0,,0.35,1.8,56
NDC,00904759060,FERROUS SO4 TAB 325MG UD,2.0,,0.512,1.8,55
NDC,00904791152,MAGNESIUM CHLORIDE TAB 70MG,2.0,,0.512,1.8,55
NDC,00904791461,IBUPROFEN TAB 200MG UD,2.0,,0.512,1.8,55
NDC,00941042453,DIALYSIS ULTRA1.5% L CA 2.5L,581.25,,148.8,523.12,55
NDC,00942064104,ANTICOAG CIT DEXT SOL 1000ML,207.42,,53.1,186.68,55
NDC,00942950625,ANTICOAG CIT DEXT SOL 250ML,298.59,,76.44,268.73,55
NDC,00944049302,ALBUMIN VL 25% 100ML,346.22,,64.76,311.6,168
NDC,00944049302,ALBUMIN VL 25% 50ML,178.08,,64.76,160.27,56
NDC,00944049505,"ALBUMIN/5%,250ML BU 5% 250ML",286.44,,48.83,257.8,68
NDC,00944265603,GAMMAGARD SD 500MG BU-5GM/96ML,436.19,,41.69,392.57,68
NDC,00944265804,GAMMAGARD SD 500MG BU-10GM/192,436.19,,41.69,392.57,68
NDC,00944270002,GAMMAGARD 500MG BU-1GM/10ML,300.73,,41.69,270.66,68
NDC,00944270003,GAMMAGARD 500MG BU-2.5GM/25ML,300.71,,41.69,270.64,68
NDC,00944270004,GAMMAGARD 500MG BU-5GM/50ML,300.72,,41.69,270.65,68
NDC,00944270004,GAMMAGARD LIQ 500MG BU/5000MG,226.38,,41.69,203.74,408
NDC,00944270004,IMMUN GLOB IV GAMMAGARD 500MG,226.38,,41.69,203.74,68
NDC,00944270004,IMMUN GLOB IV GAMMAGUARD 500MG,226.38,,41.69,203.74,204
NDC,00944270004,IMMUNE GLOB IV GAMMAGARD 500MG,226.38,,41.69,203.74,136
NDC,00944270005,GAMMAGARD 500MG BU-10GM/100ML,300.72,,41.69,270.65,68
NDC,00944270005,GAMMAGARD 500MG BU/10000MG VL,226.38,,41.69,203.74,408
NDC,00944270006,GAMMAGARD 500MG BU-20GM/200ML,300.72,,41.69,270.65,68
NDC,00944270006,GAMMAGARD 500MG BU/20000MG VL,226.38,,41.69,203.74,408
NDC,00944270007,GAMMAGARD 500MG BU-30GM/300ML,300.99,,41.69,270.89,68
NDC,00944270007,GAMMAGARD 500MG BU/30000MG VL,226.87,,41.69,204.18,408
NDC,00955100410,ENOXAPARIN INJ 40MG UD SYRINGE,54.96,,0.69,49.46,55
NDC,00955102001,DOCETAXEL 20MG/1ML VIAL,98.0,,0.4636,88.2,385
NDC,00955102001,DOCETAXEL INJ 1MG,4.2,,0.4636,3.78,385
NDC,00990417905,AMINOSYN-PF 10% SF 1000ML,413.3,,105.8,371.97,55
NDC,01106018800,LEVOLEUCOVORIN CA VL 0.5MG,2.0,,0.0488,1.8,168
NDC,01671419001,GUANFACINE TABLET EXT REL 1MG,2.0,,0.512,1.8,55
NDC,01747838020,METHADONE HCL INJ 20MG/2ML,2751.56,,17.55,2476.4,55
NDC,05967603401,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,69
NDC,06622001703,AMIFOSTINE INJ 500MG,1370.73,,407.25,1233.66,57
NDC,06641613225,NALOXONE INJ 0.4MG/ML 1ML VL,9.8,,0.0854,8.82,110
NDC,06647010008,CARDIOPLEGIA REPERFUS LOW KCL,454.26,,116.29,408.83,55
NDC,07266011825,KETOROLAC INJ/15MG BU 30MG VL,1.54,,0.2484,1.39,68
NDC,08026407000,BENZOIN TINCTURE 120ML SPRAY,29.19,,7.47,26.27,55
NDC,08065183055,HYALURONATE SOD PFS 0.55ML IO,826.25,,211.52,743.62,55
NDC,08065183905,CHONDR SULF A/HYALURON SYR IO,876.45,,224.37,788.8,55
NDC,08065601185,SILIKON 1000 OIL 8.5ML VIAL,3076.5,,787.58,2768.85,55
NDC,08290306510,HEPARIN NA FLUSH 50U/5ML SYR,2.56,,0.01,2.3,55
NDC,10006070013,MAG CHLORIDE TAB 64MG,2.0,,0.512,1.8,55
NDC,10019007587,ESMOLOL 20MG/ML 100ML NS BAG,859.01,,219.91,773.11,55
NDC,10019092501,IFOSFAMIDE 1GM/30ML VIAL,84.5,,26.31,127.5,224
NDC,10019092501,IFOSFAMIDE VL 1GM,84.5,,26.31,127.5,56
NDC,10019092602,IFOSFAMIDE 3GM/75ML VIAL,294.9,,26.31,265.41,280
NDC,10019095301,MESNA AMP 200MG,57.6,,1.62,51.84,280
NDC,10019099101,BORTEZOMIB 0.1MG BU/3.5MG VL,320.92,,1.94,288.83,57
NDC,10122016002,ELFABRIO 1MG BU/20MG VIAL,328.26,,164.13,313.72,68
NDC,10122016502,ELFABRIO 1MG BU/5MG VIAL,818.05,,209.91,736.25,68
NDC,10122051001,PORACTANT 120MG/1.5ML IT VIAL,3853.29,,986.44,3467.96,55
NDC,10122051003,PORACTANT 240MG/3ML IT VIAL,7499.17,,1919.79,6749.25,55
NDC,10122062010,CANGRELOR INJ / 1MG BU 50MG VL,128.52,,18.38,115.67,68
NDC,10223020103,CETACAINE TOPICAL SPRAY 20GM,613.65,,157.09,552.28,55
NDC,10310022240,BENZOCAINE 10% GEL TOPICAL 7GM,19.45,,4.98,17.5,55
NDC,10310028313,BENZO/MEN/ZINC ORAL GEL 11.9GM,29.4,,7.53,26.46,55
NDC,10310031840,BENZO/MEN/ZINC ORAL GEL 5.1GM,19.2,,4.92,17.28,55
NDC,10481011108,LUGOLS TOPICAL IODINE SOLN 8ML,12.92,,3.31,11.63,55
NDC,10511300102,HEXAMINOLEVULINATE HCL,2700.0,,1350.0,2430.0,55
NDC,10599000301,MOMETASONE IMPL 10MCG (SINUVA),83.7,,10.44,75.33,68
NDC,10939905404,ZINC SULFATE ORAL TABLET 50MG,2.0,,0.512,1.8,55
NDC,11111111111,HALOPERIDOL CONC 5MG,2.0,,0.512,1.8,55
NDC,11534016615,SOD POLYSTYRENE POWDER 15GM,27.68,,7.09,24.91,55
NDC,11701004523,MICONAZOLE OSTOMY CR 57GM,12.65,,3.24,11.38,55
NDC,11994001116,PERFLUTREN LIPID MICOR PER ML,237.0,,50.26,213.3,55
NDC,11994001116,PERFLUTREN VL 6.25MG/ML 2ML,553.0,,50.26,497.7,275
NDC,11994001116,PERFLUTREN VL 6.52MG/ML 2ML,513.5,,50.26,497.7,275
NDC,12496010001,BUPRENORPHINE 100MG ER INJ SYR,14115.64,,1855.11,12704.08,68
NDC,12496030001,BUPRENORPH ER INJ/BU 300MG 300,14115.64,,1855.11,12704.08,68
NDC,12547017162,DIPHENHYDRAMINE CRM 1% 30GM,17.95,,4.6,16.16,55
NDC,13107000130,MIRTAZAPINE TABLET 7.5MG,3.98,,1.02,3.58,55
NDC,13533031801,HYPERRAB/150IU BU 300IU/1ML VL,2213.44,,257.46,1992.1,68
NDC,13533031805,HYPERRAB/150IU BU 1500IU/5ML V,2213.45,,257.46,1992.11,68
NDC,13533060250,THROMBATE 1IU/500IU +/- VIAL,24.57,,3.5,22.11,68
NDC,13533070501,ALPHA1-PROT INJ HU/10MG BU 1GM,4.4350000000000005,,1.0,7.51,136
NDC,13533080020,GAMUNEX-C 500MG (5GM/50ML VL),234.5,,42.19,211.05,340
NDC,13533080020,GAMUNEX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,340
NDC,13533080020,GAMUNUX-C 500MG BU PER 5GM VL,234.5,,42.19,211.05,68
NDC,13533080024,GAMUNEX-C 500MG (20GM/200ML),234.5,,42.19,211.05,340
NDC,13533080024,GAMUNEX-C 500MG BU PER 20GM VL,234.5,,42.19,211.05,408
NDC,13533080040,GAMUNEX-C 500MG BU PER 40GM VL,234.5,,42.19,211.05,408
NDC,13533080071,GAMUNEX-C 500MG BU PER 10GM VL,234.5,,42.19,211.05,408
NDC,14537081775,ANTICOAG CIT DEXT SOL 750ML,214.59,,54.94,193.13,55
NDC,14789001002,DICYCLOMINE INJ 20MG/2ML VL NF,541.04,,14.25,486.94,55
NDC,14789001505,ISOPROTERENOL 0.2MG/50ML NS UP,518.46,,132.73,466.61,55
NDC,15054050001,ABOBOTULINUM TOXIN A VL 5U,58.8,,8.05,52.92,136
NDC,15054106004,LANREOTIDE ACE 1MG BU PER 60MG,117.1,,31.33,105.39,136
NDC,15054106004,LANREOTIDE SQ INJ 60MG,7041.0,,31.33,6336.9,136
NDC,15054109004,LANREOTIDE ACE 1MG BU PER 90MG,90.15,,31.33,81.14,136
NDC,15054109004,LANREOTIDE INJ 90MG,8104.5,,31.33,7294.05,328
NDC,15054112004,LANREOTIDE  1MG BU PER 120MG,140.6,,31.33,126.54,204
NDC,15054112004,LANREOTIDE INJ 120MG,16806.0,,31.33,15125.4,396
NDC,16714015901,ODANSETRON ODT 8MG TABLET,2.0,,0.0122,1.8,55
NDC,16714020030,ONDANSETRON OD TAB 4MG,2.0,,0.0122,1.8,55
NDC,16714038802,CEFADROXIL 500MG ORAL CAPSULE,2.0,,0.512,1.8,55
NDC,16714039002,CEFADROXIL ORAL SUSP 100MG/ML,2.0,,0.512,1.8,55
NDC,16714039401,CEFPODOXIME 100MG TABLET,13.45,,3.44,12.11,55
NDC,16714053625,GLYCOPYROL PED INJ 3.3MCG/ML,2.0,,0.4232,1.8,68
NDC,16714053625,GLYCOPYRROLATE INJ 0.2MG/ML,3.99,,0.4232,3.59,68
NDC,16714067102,ONDANSETRON 4MG/5ML ORAL SOLN,6.11,,1.56,5.5,55
NDC,16714079601,SUMATRIPTAN TAB 25MG UD NF,4.08,,1.04,3.67,55
NDC,16714085701,CYCLOPHOSPH INJ/5MG BU 1000MG,6.58,,0.4416,5.92,68
NDC,16714088601,BLEOMYCIN VL 15U,144.9,,25.5,164.25,112
NDC,16714089201,DAPTOMYCIN INJ 500MG VIAL,102.97,,0.0366,92.67,55
NDC,16729011408,ETOPOSIDE 10MG BU PER 500MG VL,4.0,,0.77,3.75,336
NDC,16729011505,MITOMYCIN INJ 5MG,374.01,,18.72,336.61,396
NDC,16729022405,DECITABINE PER 1MG BU 50MG VL,9.01,,1.94,8.11,55
NDC,16729027730,METHOTREXATE 50MG/2ML VIAL,26.4,,2.33,23.76,56
NDC,16729029512,CARBOPLATIN 600MG/60ML VIAL,236.4,,2.57,212.76,336
NDC,17238042406,INDOCYANINE GREEN VL 25MG,1023.54,,262.03,921.19,55
NDC,17238090030,FLUORESCEIN SOD STRIP 1MG/APP,2.0,,0.512,1.8,55
NDC,17478020102,PHENYLEPHRINE OPH SOL 2.5% 2ML,119.5,,30.59,107.55,55
NDC,17478020605,PHENYLEPHRINE OPH SOL 10% 5ML,123.5,,31.62,111.15,55
NDC,17478021502,PTROPINE SO4 OPTH SOLN 1% 2ML,152.6,,39.07,137.34,55
NDC,17478025310,FLUORESCEIN INJ 10% 5ML A  *NF,734.6,,188.06,661.14,55
NDC,17478034038,TOBRAMYCIN INH SOLN 300MG/5ML,26.48,,6.78,23.83,55
NDC,17478050410,METHYLENE BLUE/1MG BU 1% 10MG,12.87,,6.43,12.0,68
NDC,17478052603,DIMERCAPROL 300MG/3ML INJ AMP,1184.9,,59.81,1066.41,56
NDC,17478052603,DIMERCAPROL/100MG BU 300MG VL,355.47,,59.81,319.92,56
NDC,17478054001,HYDROMORPHONE INJ 10MG/ML AMP,60.63,,0.1098,54.57,56
NDC,17478054602,GRANISETRON HCL 100MCG,4.6,,0.2806,16.5,336
NDC,18657011704,HYLENEX 1U BU PER 150U/ML VIAL,2.5,,0.36,2.25,110
NDC,23155004303,LEFLUNOMIDE TAB 10MG UP NF,3.37,,0.86272,3.03,55
NDC,23155007001,METHIMAZOLE TAB 2.5MG (1/2),2.0,,0.512,1.8,55
NDC,23155010800,NIMODIPINE CAP 30MG UD,4.03,,1.03,3.63,55
NDC,23155021631,CIDOFOVIR INJ 375MG/5ML VL,1049.79,,502.59,944.81,136
NDC,23155029042,AMIKACIN INJ 100MG,3.1,,0.7564,2.79,385
NDC,23155060041,MIDAZOLAM INJ 1MG/ML 2ML VIAL,3.52,,0.13,3.17,55
NDC,23155074841,PENTAMIDINE ISETHIONATE 300MG,275.31,,70.48,247.78,55
NDC,24201010024,ACETAMIN VL 10MG,16.2,,0.061,14.58,55
NDC,24208004040,XIPERE INJ/1MG BU 40MG VIAL,288.75,,44.13,259.88,68
NDC,24208053920,ACETYLCHOLINE 5.4MCG/30ML ICSY,2.0,,0.512,1.8,55
NDC,24208053920,ACETYLCHOLINE 540MCG/30ML ICSY,16.39,,4.2,14.75,55
NDC,24208053920,ACETYLCHOLINE CHL 1% 2ML IO,390.35,,99.93,351.31,55
NDC,24208091055,ERYTHROMYCN OP OINT 1GM CANADA,55.9,,14.31,50.31,55
NDC,24338023012,NIMODIPINE 30MG/5ML ORAL SOLN,241.21,,61.75,217.09,55
NDC,24338026012,NIMODIPINE 60MG/10ML ORAL SOLN,480.13,,122.91,432.12,55
NDC,24357030030,POTASSIUM ALUM 10GM STER PWD,324.68,,83.12,292.21,55
NDC,24571011705,PHOXILLUM B22K4/0 CRRT SOLN 5L,500.44,,128.11,450.4,55
NDC,25021011504,CLINDAMYCIN/ 300MG BU 10MG PED,6.62,,2.04,5.96,56
NDC,25021011504,CLINDAMYCIN/ 300MG BU 2MG NEO,6.62,,2.04,5.96,56
NDC,25021011504,CLINDAMYCIN/ 300MG BU 600MG VL,6.62,,2.04,5.96,56
NDC,25021011506,CLINDAMYCIN INJ 900MG,9.0,,2.3,8.1,55
NDC,25021011506,CLINDAMYCIN INJ 900MG/6ML VIAL,17.56,,4.5,15.8,55
NDC,25021011810,CEFUROXIME INJ 750MG VIAL,12.17,,1.94,10.95,55
NDC,25021012250,CEFEPIME INJ 500MG,12.3,,1.5,11.07,55
NDC,25021013282,LEVOFLOXACIN INJ 500MG/100ML,10.81,,0.4,9.73,55
NDC,25021017302,AMIKACIN INJ PF 250MG FOR INH,9.98,,0.7564,8.98,55
NDC,25021017302,AMIKACIN INJ PF 500MG FOR INH,49.88,,0.7564,44.89,55
NDC,25021017302,AMIKACIN ITRAVITREAL 40MG/10ML,49.88,,0.7564,44.89,55
NDC,25021018482,FLUCONAZ SOD CHL 200MG/100ML,34.8,,2.76,31.32,55
NDC,25021018487,FLUCONAZOLE VL 200MG,34.8,,2.76,31.32,110
NDC,25021018510,GANCICLOVIR INJ 500MG,229.95,,12.84,206.96,110
NDC,25021020751,DOXORUBICIN 10MG BU PER 200MG,25.4,,2.7,22.86,336
NDC,25021023604,TOPOTECAN INJ 0.1MG,4.4,,1.28,3.96,330
NDC,25021024501,DOCETAXEL INJ 20MG/ML 1ML VL,151.27,,0.4636,136.14,55
NDC,25021024750,CYCLOPHOS 5MG BU PER 500MG VL,3.1,,0.4416,2.79,272
NDC,25021024851,CYCLOPHOS 5MG BU PER 1000MG VL,2.3,,0.4416,2.07,272
NDC,25021024951,CYCLOPHOS 5MG BU PER 2000MG VL,2.0,,0.4416,1.8,272
NDC,25021040010,HEPARIN SOD INJ 10000U/500ML,179.04,,0.2684,161.14,55
NDC,25021050002,VIT B1 (THIAMINE) INJ 100MG,14.049999999999999,,2.18,16.11,330
NDC,25021060103,CAFFINE CITRATE 5MG/ML PED INJ,41.86,,0.55,37.67,57
NDC,25021060103,CAFFINE ORAL SOL 20MG/ML SBS,9.96,,2.55,8.96,55
NDC,25021060820,PROPOFOL INJ 200MG/20ML VIAL,12.23,,0.1098,11.01,55
NDC,25021060850,PROPOFOL INJ 500MG/50ML VIAL,2.0,,0.1098,1.8,55
NDC,25021060851,PROPOFOL INJ 1000MG/100ML VL,70.81,,18.13,63.73,55
NDC,25021081530,LEUCOVORIN CA INJ 200MG VIAL,104.23,,2.8,93.81,56
NDC,25021082682,ZOLEDRONIC ACID BAG 4MG/100ML,160.86,,6.34,144.77,55
NDC,25021082682,ZOLEDRONIC ACID/1MG BU 4MG BAG,2.0,,1.0,9.71,55
NDC,25021082850,LEUCOVORIN CA INJ 500MG VIAL,289.59,,2.8,260.63,56
NDC,25682000101,ECULIZUMAB 10MG BU PER 300MG V,811.75,,207.81,730.58,342
NDC,25682000101,ECULIZUMAB 2MG BU PER 300MG VL,162.6,,41.23,146.34,408
NDC,25682000101,ECULIZUMAB PER 2MG BU 300MG VL,304.41,,41.23,273.97,67
NDC,25682000701,SEBELIPASE ALFA VL 1MG,1172.43,,496.72,1055.19,68
NDC,25682002501,RAVULIZUMAB 10MG BU/300MG VL,797.45,,207.1,717.71,68
NDC,25682002801,RAVULIZUMAB 10MG BU/1100MG VL,800.2,,207.1,720.18,68
NDC,30237890006,SIPULEUCEL-T PER INFUSION,74974.28,,37487.14,68254.08,56
NDC,31722050430,EFAVIRENZ TAB 600MG UP,9.8,,2.51,8.82,55
NDC,31722054501,LITHIUM CARB CAP 300MG UD,2.0,,0.512,1.8,55
NDC,31722072830,MONTELUKAST TABLET 2.5MG,2.0,,0.512,1.8,55
NDC,31722077701,ACYCLOVIR 400MG TABLET,2.0,,0.512,1.8,55
NDC,32909081453,BARIUM SULF 40% ORAL 20ML,35.85,,9.18,32.27,55
NDC,33332002403,AFLURIA TRIVA PFS 2024-25,146.79,,20.5,132.11,224
NDC,33332002404,FLUARIX PFS 0.5ML 2024-2025,180.8,,20.5,162.72,560
NDC,33332012410,VACC FLU TRIVALENT / AFLURIA,94.5,,20.5,85.05,56
NDC,36000000924,CIPROFLOXACIN 400MG/200ML D5W,174.71,,1.0,157.24,55
NDC,36000001225,ONDANSETRON INJ 4MG/2ML,2.9,,0.09,6.0,56
NDC,36000028225,FUROSEMIDE INJ  20MG/2ML V-,3.38,,0.0244,3.04,55
NDC,36000028425,FUROSEMIDE 1MG BU PER 100MG VL,2.0,,0.0244,1.8,330
NDC,36000032010,LABETALOL HCL 5MG VIAL,7.0,,0.4758,6.3,224
NDC,36000032010,LABETALOL INJ  20MG/4ML UD,44.77,,0.4758,40.29,56
NDC,36000032402,LABETALOL INJ 200MG/40ML VIAL,30.52,,0.4758,27.47,55
NDC,37000002304,PSYLLIUM MUCILLOID 3.4GM PACK,2.29,,0.58624,2.06,55
NDC,37000002404,PSYLLIUM MUCILLOID SF 3.4GM PK,2.29,,0.58624,2.06,55
NDC,39822105505,AMPHOTERICIN B 1MG/10ML IRRIG,242.97,,38.93,218.67,55
NDC,39822107701,VORICONAZOLE 700MCG/0.7ML IVIT,2.0,,0.9516,1.8,55
NDC,39822210002,DACTINOMYCN/0.5MG BU 0.5ML V,3218.25,,302.07,2896.43,68
NDC,39822552503,PROMETHAZINE INJ 25MG/1ML AMP-,9.62,,2.31,8.66,55
NDC,39822552503,PROMETHAZINE INJ 25MG/1ML INJ,10.62,,2.31,9.56,55
NDC,42023011310,KETAMINE 20MG/2ML SYR SBS,74.02,,18.95,66.62,55
NDC,42023011310,KETAMINE HCL INJ 200MG/20ML V,74.02,,18.95,66.62,55
NDC,42023015925,EPINEPHRINE INJ  1-1000 1MLA-,90.11,,1.61,81.1,55
NDC,42023015925,EPINEPHRINE INJ  1-1000 1MLUD-,90.11,,1.61,81.1,55
NDC,42023016801,EPINEPHRINE INJ  1-1000/30ML V,1094.24,,1.61,984.82,55
NDC,42023017905,BUPRENORPHINE 0.3MG/ML 1ML VL,83.22,,4.48,74.9,55
NDC,42023017905,BUPRENORPHINE INJ 0.1MG,30.8,,4.48,27.72,55
NDC,42023023710,VASOPRESSIN INJ 20U/100ML VIAL,289.65,,74.15,260.69,55
NDC,42192033901,LEVSIN SUB-LINGUAL 0.125MG TAB,2.0,,0.512,1.8,220
NDC,42292003920,LEVOTHYROXINE TAB 112MCG UP,2.71,,0.69376,2.44,55
NDC,42292004020,LEVOTHYROXINE TAB 175MCG,3.13,,0.80128,2.82,55
NDC,42292004120,LEVOTHYROXINE TAB 137MCG,3.05,,0.7808,2.75,55
NDC,42367052125,BENDAMUSTINE 1MG BU/100MG VL,2.0,,1.0,21.61,408
NDC,42367054032,DANTROLENE SOD 250MG/5ML VIAL,21668.36,,5547.1,19501.52,55
NDC,42494041625,PHENOBARBITAL/65MG BU 130MG VL,174.56,,33.38,157.1,55
NDC,42747076101,MOGAMULIZUMAB-KPKC 1MG/20MG VL,882.2,,203.88,793.98,136
NDC,42852066502,+ROPIVACAINE 0.2% 550ML ON-Q,997.66,,0.07,897.89,55
NDC,42858000110,OXYCODONE TAB 5MG UD,2.0,,0.512,1.8,55
NDC,42858000210,OXYCODONE TABLET 10MG,2.16,,0.55296,1.94,55
NDC,42858035340,BUPRENORPHINE 7.5MCG/HR PATCH,345.58,,88.47,311.02,55
NDC,42858049340,BUPRENORPHINE 10MCG/HR PATCH,370.26,,94.79,333.23,55
NDC,42858058640,BUPRENORPHINE 15MCG/HR PATCH,534.1,,136.73,480.69,55
NDC,42858075040,BUPRENORPHINE 5MCG/HR PATCH,246.84,,63.19,222.16,55
NDC,42858086806,DRONABINOL CAP 5MG UD NF,14.3,,3.66,12.87,55
NDC,43066001910,ROPIVACAINE INJ 1MG,2.0,,0.07,1.8,55
NDC,43066015010,AMIODARONE INJ 150MG/100ML BAG,98.24,,0.23,88.42,55
NDC,43066036020,AMIODARONE INJ 360MG/200ML BAG,123.29,,0.23,110.96,55
NDC,43528000301,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,385
NDC,43528000305,HEP B VACC ADULT IM 2 DOSE,628.75,,216.62,565.88,275
NDC,43547022610,METHOCARBAMOL TAB 750MG UD,2.0,,0.512,1.8,55
NDC,43598012725,METHYLPRED SOD / 5MG BU 40MG,2.0,,0.1932,1.8,68
NDC,43598012811,METHYLPRED SOD / 5MG BU 500MG,2.0,,0.1932,1.8,68
NDC,43598012925,METHYLPRED SOD / 5MG BU 125MG,2.0,,0.1932,1.8,68
NDC,43598013074,METHYLPRED SOD / 5MG BU 1000MG,2.0,,0.1932,1.8,68
NDC,43598017111,THIOTEPA INJ/15MG BU 15MG UP,1062.04,,9.7,955.84,68
NDC,43598037074,PEMETREXED PWDR VL 10MG,313.46,,4.01,282.11,402
NDC,43598063710,LEVETIRACETAM 1500MG/100ML BAG,68.68,,0.061,61.81,55
NDC,43598069858,CARBOPROST TROMET 250MCG/ML VL,463.43,,118.64,417.09,55
NDC,43598093109,DESMOPRESSIN PER 1MCG BU 4MCG,34.57,,3.24,31.11,68
NDC,43598094558,NEOSTIGMINE INJ 3MG/3ML SYR,52.14,,0.09,46.93,56
NDC,43825010201,ACETAMIN INJ 10MG/ML 100ML,36.56,,0.061,32.9,55
NDC,43825020001,TERLIPRESSIN INJ 0.85MG VIAL,6583.5,,1685.38,5925.15,55
NDC,44087353501,AVELUMAB INJ 10MG,492.8,,84.7,443.52,204
NDC,44206025110,ALBUMIN VL 25% 100MG,346.22,,64.76,311.6,56
NDC,44206025110,ALBUMIN VL 25% 100ML,346.22,,64.76,311.6,112
NDC,44206030010,RHO (D) IVIG RHOPHYLAC 100IU,26.8,,4.73,24.12,55
NDC,44206031050,ALBURX 5% 500ML (25GM/500ML),498.0,,12.96,448.2,56
NDC,44206043605,PRIVIGEN 500MG BU PER 5GM/50ML,250.25,,41.5,225.22,476
NDC,44206043710,IMMUNE GLOBULIN IV 500MG,250.25,,41.5,225.22,464
NDC,44206043710,PRIVIGEN 500MG BU PER 10GM VL,250.25,,41.5,225.22,476
NDC,44206043820,PRIVIGEN 500MG BU PER 20GM VL,249.55,,41.5,224.59,476
NDC,44206043940,PRIVIGEN 500MG BU PER 40GM VL,250.25,,41.5,225.22,464
NDC,44206053211,CYTOMEGALOVIRUS IMM GLOB VL,2446.21,,1223.11,2486.89,272
NDC,44567023525,CEFTAZIDIME 14MG/0.7ML IVIT,4.7,,1.95,4.23,55
NDC,44567023525,CEFTAZIDIME INJ 1GM,18.79,,1.95,16.91,55
NDC,44567023610,CEFTAZIDIME INJ 500MG,11.7,,1.95,10.53,220
NDC,44567023706,CEFTAZADIME INJ SBS MLTDSE 1GM,105.9,,1.95,95.31,55
NDC,44567060324,DEXMEDETOMIDIN INJ 400MCG/100M,106.53,,27.27,95.88,55
NDC,44567062024,CALCIUM GLUC 1000MG/5OML BAG,55.47,,0.0488,49.92,56
NDC,44567062124,CALCIUM GLUC 2000MG/100ML BAG,117.04,,0.0488,105.34,56
NDC,44567070510,IMIPENEM/CILAS IM INJ 500MG,174.3,,6.33,156.87,55
NDC,44567070725,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,55
NDC,44567070810,CEFAZOLIN 250MG INJ UP SBS,3.86,,0.97,3.47,55
NDC,44567081210,ESMOLOL 20MG/ML 100ML H2O BAG,653.3,,167.24,587.97,55
NDC,45802011222,MUPIROCIN OINT 2% 22GM     *NF,28.3,,7.24,25.47,55
NDC,45802021001,NITROGLYCERIN ORAL SPRAY 4.9GM,624.45,,159.86,562.0,55
NDC,45802035803,DIPHENHYDRAMINE 2% CREAM 30GM,7.9,,2.02,7.11,55
NDC,45802058084,"SCOPOLAMINE,TRANSDERM PATCH UD",58.53,,14.98,52.68,55
NDC,45802089726,IBUPROFEN SUSP 600MG/30ML UP,8.54,,2.19,7.69,55
NDC,45963076552,DOCETAXEL 80MG/4ML VIAL,100.44,,0.4636,90.4,385
NDC,46287002001,SPIRONOLACTONE SUSP 5MG/ML,6.62,,1.69,5.96,55
NDC,47335017795,TILDRAKIZUMAB INJ 1MG (ILUMYA),660.59,,117.25,594.53,408
NDC,47335063149,BUDESONID RESPULE 0.25MG/2ML,11.6,,2.97,10.44,55
NDC,47335099301,METRONIDAZOLE INJ/10MGBU 500MG,2.0,,0.0366,1.8,56
NDC,47426020101,APREPITANT 1MG BU/130MG VIAL A,12.43,,1.51,11.19,68
NDC,47426020101,APREPITANT INJ/1MG BU 130MG VL,12.43,,1.51,11.19,68
NDC,47426020101,APREPITANT VL 1MG (CINVANTI),11.3,,1.51,10.17,396
NDC,47781057807,DEXRAZOXANE INJ/250MG BU 500MG,499.45,,39.15,449.5,68
NDC,49281012065,VACC FLU VIRUS QUAD HIGH DOSE,386.75,,20.5,348.07,56
NDC,49281012288,FLUZONE HIGH-DOSE VACCINE,130.76,,20.5,117.68,56
NDC,49281040010,DIP/TET/ACE PERT VACC > 7YR IM,152.4,,43.91,137.16,55
NDC,49281040010,DIP/TET/ACE PERT VACC >7YR IM,309.33,,43.91,278.4,935
NDC,49281040010,DIP/TET/ACE PERT VACC>7 YR IM,309.33,,43.91,278.4,55
NDC,49281040010,DIP/TET/ACE PERT VACC>7YR IM,309.33,,43.91,278.4,55
NDC,49281041450,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
NDC,49281041950,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,2912
NDC,49281041950,FLU VACC QUAD PRESERV > 3YR,51.36,,11.74,46.22,56
NDC,49281041950,FLU VACC QUSD PRESERV> 3 YR,51.36,,11.74,46.22,56
NDC,49281042350,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
NDC,49281048901,MENINGOCOCCAL POLY VACC SQ,632.95,,101.42,569.65,280
NDC,49281051005,VAC DP(A)TPOL/HIB C-T PENTACEL,451.91,,109.26,406.72,56
NDC,49281054503,HEMOPHILUS INFLUENZA B VACC,120.7,,19.26,108.63,112
NDC,49281054503,HIB CONJ/DIP/TET INJ 0.5ML,120.7,,19.26,108.63,448
NDC,49281057415,NIRSEVIMAB-ALIP INJ 100MG/ML,3052.77,,781.51,2747.49,55
NDC,49281057515,NIRSEVIMAB-ALIP INJ 50MG/0.5ML,3052.77,,781.51,2747.49,55
NDC,49281058905,MENING CON VACC ACY W135 IM,632.95,,117.74,569.65,840
NDC,49281058905,MENING CONJ DIP TOX VACC IM,632.95,,117.74,569.65,56
NDC,49281059005,VACC MENINGOCOCCAL B-MENQUADFI,1169.5,,163.98,1052.55,56
NDC,49281059010,MENQUADFI 10MCG/0.5ML SDV,668.3,,334.15,601.47,378
NDC,49281071810,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,336
NDC,49281072010,FLU VACC RIV4 PF IM,169.05,,20.7,152.15,392
NDC,49281079088,DIP/TET PF VACC >7YR IM DOSE,248.01,,44.37,223.21,55
NDC,49281079088,TYPHOID VACC VI CAP (VICPS),624.5,,142.2,562.05,168
NDC,49281086010,VACC POLIO (IPV) INACT 0.5ML,263.32,,26.0,236.99,280
NDC,49348004214,ACETAMINOPHEN TABLET 500MG,2.0,,0.512,1.8,55
NDC,49348015472,BACITRACIN OINT 30GM,14.55,,3.72,13.1,55
NDC,49348060247,COAL TAR 0.5% SHAMPOO 8.5OZ,5.66,,1.45,5.09,55
NDC,49401010101,BELIMUMAB 10MG BU PER 120MG VL,276.01,,46.18,248.41,476
NDC,49401010201,BELIMUMAB 10MG BU PER 400MG VL,275.38,,46.18,247.84,476
NDC,49502050002,EPINEPHRINE 0.3MG AUTO INJECT,785.82,,1.61,707.24,55
NDC,49502050102,EPINEPHRINE 0.15MG AUTO INJECT,965.48,,1.61,868.93,55
NDC,49502080693,REVEFENACIN 175MCG/3ML NEB VL,31.54,,0.2,28.39,55
NDC,49702020548,LAMIVUDINE SOLN 10MG/ML   UP,3.19,,0.81664,2.87,55
NDC,49702021326,ZIDOVUDINE NEONAT INJ 2MG/ML,9.39,,1.51,8.45,55
NDC,49884000604,SOD PHENYLBUTYRATE PWDR 1GM,66.2,,16.95,59.58,55
NDC,49884011074,ALPRAZOLAM 0.25MG ODT TABLET,3.95,,1.01,3.56,55
NDC,49884021374,ALPRAZOLAM 1MG ODT TABLET,6.6,,1.69,5.94,55
NDC,49884030702,CLONAZEPAM WAFER 0.25MG,4.26,,1.09,3.83,55
NDC,50228046601,NAMBUMETONE TAB 750MG UD NF,2.0,,0.512,1.8,55
NDC,50242004164,ALTEPLASE PER 1MG BU 1MG,596.23,,24.75,536.61,69
NDC,50242004164,ALTEPLASE PER 1MG BU 2MG,596.23,,24.75,536.61,69
NDC,50242004164,ALTEPLASE VL 1MG,161.07,,24.75,144.96,747
NDC,50242005121,RITUXIMAB 10MG BU PER 100MG VL,313.53,,69.2,282.18,408
NDC,50242005121,RITUXIMAB PER 10MG BU 100MG VL,559.01,,69.2,503.11,68
NDC,50242005306,RITUXIMAB 10MG BU PER 500MG VL,306.32,,69.2,275.69,408
NDC,50242005306,RITUXIMAB PER 10MG BU 500MG VL,559.01,,69.2,503.11,68
NDC,50242006001,BEVACIZUMAB 10MG BU PER 100MG,396.35,,51.0,356.72,207
NDC,50242006001,BEVACIZUMAB INJ 10MG,396.34,,51.0,356.71,69
NDC,50242006101,BEVACIZUMAB 10MG BU PER 400MG,352.17,,51.0,316.95,138
NDC,50242007001,OBINUTUZUMAB VL 10MG,373.38,,63.74,336.04,396
NDC,50242007701,HYALURON/TRASTUZUMAB INJ 10MG,193.76,,56.52,174.38,192
NDC,50242008701,ADO-TRASTUZUMAB 1MG (160MG VL),200.2,,32.79,180.18,396
NDC,50242008801,ADO-TRASTUZUMAB 1MG (100MG VL),200.2,,32.79,180.18,396
NDC,50242010301,POLATUZUMAB 1MG BU PER 30MG VL,673.19,,110.72,605.87,136
NDC,50242010501,POLATUZUMAB 1MG BU PER 140MG,676.27,,110.72,608.64,135
NDC,50242010801,RITUXIMAB/HYALURON INJ 10MG,163.45,,33.75,147.1,340
NDC,50242012047,TENECTEPLASE PER 1MG BU 50MG V,1058.6,,129.26,952.74,68
NDC,50242012501,GLOFITAMAB GXBM/2.5MG BU 2.5MG,4037.68,,2018.84,3805.84,136
NDC,50242012701,GLOFITAMAB-GXBM 2.5MG BU/10MG,4023.56,,2011.78,3805.84,136
NDC,50242013201,TRASTUZUMAB VL 10MG,396.69,,54.75,357.02,402
NDC,50242013201,TRASTUZUMAB/10MG BU 150MG VIAL,618.48,,54.75,556.63,69
NDC,50242013501,TOCILIZUMAB 1MG BU PER 80MG VL,32.2,,5.25,28.98,544
NDC,50242013501,TOCILIZUMAB VL 80MG/4ML IV,3591.7,,5.25,3232.53,68
NDC,50242013601,TOCILIZUMAB 1MG BU PER 200MG V,31.9,,5.25,28.71,544
NDC,50242013601,TOCILIZUMAB VL 200MG/10ML IV,8979.32,,5.25,8081.39,68
NDC,50242013701,TOCILIZUMAB 1MG BU PER 400MG V,31.9,,5.25,28.71,544
NDC,50242014201,MOSUNETUZUMAB AXGB INJ 30MGVL,27903.0,,602.26,25112.7,138
NDC,50242014501,PERTUZUMAB 1MG BU/420MG VIAL,109.65,,12.95,98.69,68
NDC,50242014501,PERTUZUMAB INJ 1MG,98.7,,12.95,88.83,396
NDC,50242015001,OCRELIZUMAB 1MG BU PER 300MG,307.23,,54.66,276.51,68
NDC,50242015001,OCRELIZUMAB INJ 1MG,293.65,,54.66,264.29,340
NDC,50242015901,MOSUNETUZUMAB AXGB INJ 1MG,935.38,,467.69,1090.84,138
NDC,50242021403,OMALIZUMAB 5MG BU PER 75MG SYR,208.04,,37.7,187.24,68
NDC,50242022701,OMALIZUMAB 5MG BU PER 300MG VL,215.95,,37.7,194.35,136
NDC,50242026001,PERTUZ/TRASTU/HYALUR-ZZXF 10MG,290.5,,57.13,261.45,204
NDC,50242091701,ATEZOLIZUMAB 10MG BU/1200MG VL,634.69,,78.28,571.22,68
NDC,50242091701,ATEZOLIZUMAB INJ 10MG,450.45,,78.28,405.4,396
NDC,50242091801,ATEZOLIZUMAB 10MG BU/840MG VL,642.34,,78.28,578.11,68
NDC,50268005913,ATOMOXETINE CAP 60MG UP,21.91,,5.61,19.72,55
NDC,50268018715,COLCHICINE TAB 0.3MG (1/2),6.84,,1.75,6.16,55
NDC,50268071115,ROSUVASTATIN TAB 40MG UD,6.0,,1.54,5.4,55
NDC,50268071715,SILDENAFIL TAB 10MG (1/2),2.0,,0.512,1.8,55
NDC,50268075415,TORSEMIDE 5MG TABLET,2.0,,0.512,1.8,55
NDC,50268086615,CHOLECALCIFEROL 5000U TAB,2.0,,0.512,1.8,55
NDC,50383004004,PREDNISOLONE 15MG/5ML ORAL UP,29.86,,0.12,26.87,55
NDC,50383077517,LIDOCAINE VISC SOLN 2% 15ML UD,17.18,,4.4,15.46,55
NDC,50419025091,RIOCIGUAT ORAL TABLET 0.5MG,768.47,,196.73,691.62,55
NDC,50419025391,RIOCIGUAT ORAL TABLET 2MG,768.47,,196.73,691.62,55
NDC,50419025491,RIOCIGUAT ORAL TABLET 2.5MG,768.47,,196.73,691.62,55
NDC,50419042301,LEVONORGES IU SYS 52MG 5 YR,4656.1,,1036.22,4190.49,56
NDC,50419042301,LEVONORGES IU SYS 52MG MIRENA,1639.75,,819.88,1778.22,56
NDC,50419042301,LEVONORGES IU SYS MIRENA 52MG,1639.75,,819.88,1778.22,56
NDC,50458056201,PALIPERIDONE INJ ER 1MG,53.0,,12.1,47.7,136
NDC,50458057710,RIVAROXABAN TAB 2.5MG,2.0,,0.512,1.8,55
NDC,50474047009,BRIVARACETAM TABLET 25MG,110.11,,28.19,99.1,55
NDC,50474057009,BRIVARACETAM TABLET 50MG,110.11,,28.19,99.1,55
NDC,50474070062,CERTOLIZUMAB 1MG BU PER 200MG,28.4,,3.6,25.56,272
NDC,50474071081,CERTOLIZUMAB PACK 200MG,3976.0,,5.48,3578.4,56
NDC,50474097075,BRIVARACETAM INJ 50MG/5ML,31.71,,8.12,28.54,55
NDC,50474098079,RYSTIGGO 1MG BU PER 280MG/2ML,166.4,,21.32,149.76,68
NDC,50632001001,VACC RABAVERT 1ML BU/1ML PFS,2300.41,,288.59,2070.37,68
NDC,50633021011,GLUCARPIDASE INJ 1000 UNIT VL,288218.0,,144109.0,259396.2,54
NDC,50633031011,HYDROXOCOBALAMIN/ 25MG BU 5GM,32.12,,4.77,28.91,68
NDC,50881000560,RUXOLITINIB TAB 5MG,1429.15,,365.86,1286.23,55
NDC,50881000603,RETIFANLIMAB-DLWR 1MG BU/500MG,152.0,,28.12,136.8,68
NDC,50881001060,RUXOLITINIB TAB 10MG,1429.15,,365.86,1286.23,55
NDC,50881002311,AXATILIMAB-CSFR 0.1MG BU/22MG,279.79,,51.2,251.81,68
NDC,50881003412,AXATILIMAB-CSFR 0.1MG BU/9MG,80.66,,40.33,76.52,136
NDC,51079002420,METOLAZONE TAB  5MG UD,11.38,,2.91,10.24,55
NDC,51079004720,BUPROPION XL TABLET 150MG,4.59,,1.18,4.13,55
NDC,51079007220,FUROSEMIDE TAB 10MG (1/2),2.0,,0.512,1.8,55
NDC,51079007320,FUROSEMIDE TAB 40MG UD,2.0,,0.512,1.8,55
NDC,51079007420,HYDRALAZINE TAB 5MG (1/2),2.0,,0.512,1.8,55
NDC,51079010903,BUPROPION XL TABLET 300MG,2.0,,0.512,1.8,55
NDC,51079044420,LEVOTHYROXINE TAB 0.025MG UP,2.0,,0.512,1.8,55
NDC,51079062381,MAFENIDE ACETATE 8.5% CRM 2OZ,333.0,,85.25,299.7,55
NDC,51079088820,METOCLOPRAMIDE TAB 10MG UD,2.0,,1.0,1.8,54
NDC,51079098520,BUSPIRONE HCL TAB 2.5MG (1/2),2.0,,0.512,1.8,55
NDC,51144000301,TISOTUMAB VEDOTIN TFTV VL 1MG,640.0,,173.66,576.0,136
NDC,51144002001,ENFORT VED-EJFV 0.25MG BU/20MG,170.59,,27.96,153.53,204
NDC,51144003001,ENFORT VED-EJFV 0.25MG BU/30MG,169.96,,27.96,152.96,136
NDC,51144005001,BRENTUXIMAB VL 1MG,495.74,,175.28,446.17,396
NDC,51167033101,TRIKAFTA 100-50-75MG MULTI TAB,1592.76,,407.75,1433.48,55
NDC,51167033101,TRIKAFTA 150MG IVACAFTOR TAB,1592.76,,407.75,1433.48,55
NDC,51754100601,NITROPRUSSIDE INJ 50MG/100ML,273.56,,70.03,246.2,55
NDC,51754425003,EPHEDRINE SO4 5MG/ML SYR 5ML,75.63,,19.36,68.07,55
NDC,51759030510,RISPERIDONE ER/1MG BU 50MG INJ,169.05,,23.04,152.15,68
NDC,51759041010,RISPERIDONE ER/1MG BU 75MG INJ,169.05,,23.04,152.15,68
NDC,51759052010,RISPERIDONE ER/1MGBU 100MG INJ,169.05,,23.04,152.15,68
NDC,51759063010,RISPERIDONE ER/1MGBU 125MG INJ,169.05,,23.04,152.15,68
NDC,51862046288,ITRACONAZOLE 65MG ORAL CAPSULE,158.82,,40.66,142.94,55
NDC,51991014417,METHYLERGONOVIN INJ .2MG/1MLA-,105.88,,19.57,95.29,55
NDC,51991094298,DEXRAZOXANE 250MG BU PER 500MG,316.05,,39.15,284.44,408
NDC,52244010010,THEOPHYLLINE ER 100MG CAPSULE,16.19,,4.14,14.57,55
NDC,52244020010,THEOPHYLLINE ER 200MG CAPSULE,24.06,,6.16,21.65,55
NDC,52244030010,THEOPHYLLINE ER 300MG CAPSULE,29.57,,7.57,26.61,55
NDC,52268001201,SOD/POT/MAG SULBOWEL PREP KIT,531.85,,136.15,478.67,55
NDC,52380000103,POVIDONE-IODINE TOP SOL 22.5ML,47.1,,12.06,42.39,55
NDC,52817031910,BACLOFEN 2.5MG TABLET,2.0,,0.512,1.8,55
NDC,52817031910,BACLOFEN 5MG TABLET,2.0,,0.512,1.8,55
NDC,53436008430,PATIROMER 8.4GM ORAL PWD PKT,110.65,,28.33,99.58,55
NDC,53436016830,PATIROMER 16.8GM ORAL PWD PKT,110.65,,28.33,99.58,55
NDC,53436025230,PATIROMER 25.2GM ORAL PWD PKT,110.65,,28.33,99.58,55
NDC,53489070007,QUININE CAP 324MG,25.99,,6.65,23.39,55
NDC,54092070104,VELAGLUCERASE VL 100U (VPRIV),814.14,,346.15,732.73,204
NDC,54288010515,DEHYDRATED ALCOHOL 99% 5ML AMP,5277.93,,1351.15,4750.14,55
NDC,54288011105,HYOSCYAMINE INJ 0.5MG/1ML VL,308.95,,11.05,278.06,56
NDC,54288015905,METHYL BLUE 1%/1MG BU 20MG SYR,9.66,,4.83,12.0,68
NDC,54629409760,N-ACETYL-L-CYSTEINE CAP 600MG,2.0,,0.512,1.8,55
NDC,54799050505,TETRACAINE 0.5% OPHTH DROP 5ML,109.8,,28.11,98.82,55
NDC,54838050140,HALOPERIDOL CONC 0.5MG/0.25ML,2.0,,0.512,1.8,55
NDC,54838050140,HALOPERIDOL ORAL CONC 0.5MG,2.0,,0.512,1.8,55
NDC,55111046601,METOPROLOL TAB EXT REL 25MG UP,2.68,,0.68608,2.41,55
NDC,55111055610,DECITABINE VL 1MG,5.2,,1.94,4.68,220
NDC,55111068507,ZOLEDRONIC ACID VL 1MG-ZOMETA,16.0,,6.34,14.4,385
NDC,55111068852,ZOLEDRONIC ACID VL 1MG-RECLAST,42.2,,6.34,37.98,330
NDC,55135013201,SACITUZUMAB GOVITECAN HZIY 2.5,181.02,,33.38,162.92,260
NDC,55150011720,AMPICILLIN-SULBACTAM 3 GM VIAL,25.4,,1.82,22.86,55
NDC,55150012030,PIPER/TAXO VL 1/0.125GM,2.0,,1.0,1.8,55
NDC,55150012030,PIPER/TAZO VL 1/0.125GM,2.0,,1.0,1.8,385
NDC,55150015520,ACYCLOVIR INJ 500MG/10ML VIAL,30.9,,0.0366,27.81,55
NDC,55150016072,LIDOCAINE 2% INJ 2ML MULTI PKG,13.58,,3.48,12.22,55
NDC,55150016205,LIDOCAINE 1% INJ 5ML MULTI PKG,7.33,,1.88,6.6,55
NDC,55150016505,LIDOCAINE 2% INJ 5ML VL,10.04,,2.57,9.04,55
NDC,55150017301,SUMATRIPITAN 6MG/0.5ML VL,30.0,,0.78,27.0,55
NDC,55150017410,AZITHROMYCIN VL 500MG,18.0,,3.18,16.2,55
NDC,55150019520,ROPIVACAINE INJ 0.2% 20ML,42.1,,0.07,37.89,55
NDC,55150019830,ROPIVACAINE INJ 5MG/ML 30ML V,28.32,,0.07,25.49,55
NDC,55150020210,PANTOPRAZOLE INJ 40MG UD+,41.0,,11.64,36.9,56
NDC,55150022505,ROCURONIUM INJ 10MG/ML 50MG V,10.3,,2.64,9.27,55
NDC,55150037025,VASOPRESSIN INJ 20U/ML 1ML AMP,138.38,,35.43,124.54,55
NDC,55150038301,PEMETREXED 10MG BU PER 1000MG,8.6,,4.01,71.81,345
NDC,55150043401,DEXRAZOXANE 250MG BU PER 250MG,584.01,,39.15,525.61,408
NDC,55150043401,DEXRAZOXANE INJ/250MG BU 250MG,499.45,,39.15,449.5,68
NDC,55150043810,KETAMINE 200 MG/20 ML VIAL,109.85,,54.92,98.86,54
NDC,55292020111,SUCCIMER 100MG ORAL CAPSULE,110.17,,28.2,99.15,55
NDC,55292070255,HEMIN PER 1MG BU 350MG VIAL,217.1,,24.44,195.39,68
NDC,55292070255,HEMIN VL 1MG DOSE,196.3,,24.44,176.67,272
NDC,55513000304,DARBEPOETIN ESRD/1MCG BU 40MCG,23.53,,2.7,21.18,68
NDC,55513002101,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,69
NDC,55513002301,DARBEPOETIN 1MCG ESRD,19.2,,2.7,17.28,68
NDC,55513002504,DARBEPOETIN 1MCG ESRD,19.2,,2.7,17.28,68
NDC,55513002504,DARBEPOETIN 1MCG NON ESRD,16.9,,2.7,15.21,885
NDC,55513005901,IMDELLTRA 1MG BU PER 1MG VIAL,2285.8,,1142.9,2151.38,136
NDC,55513007801,TALIMOGENE LAHER VL 1MILL PFU,237.79,,53.92,214.01,260
NDC,55513011201,TEZEPELUMAB EKKO SQ 1MG,131.1,,16.57,117.99,136
NDC,55513012610,EPOETIN NESRD/1000U BU 2000U,110.99,,7.86,99.89,69
NDC,55513014101,KANJINTI 10MG BU/150MG VIAL,594.31,,43.75,534.88,68
NDC,55513014101,TRASTUZUMAB ANNS INJ 10MG,46.83,,23.41,65.38,340
NDC,55513014810,EPOETIN NESRD/1000U BU 4000U,110.99,,7.86,99.89,69
NDC,55513016001,BLINATUMOMAB VL 1MCG,621.67,,118.59,559.5,204
NDC,55513019201,PEGFILFRAST ONPRO 0.5MG BU/6MG,33.5,,16.75,122.84,408
NDC,55513019201,PEGFILGRAST/0.5MG BU ONPRO 6MG,2610.78,,71.25,2349.7,68
NDC,55513020601,BEVACIZUMAB-AWWB 10MG BU/100MG,140.1,,25.63,126.09,408
NDC,55513020601,BEVACIZUMAB-AWWB/10MG BU 100MG,457.11,,25.63,411.4,68
NDC,55513020701,BEVACIZUMAB-AWWB 10MG BU/400MG,184.8,,25.63,166.32,408
NDC,55513020701,BEVACIZUMAB-AWWB/10MG BU 400MG,370.69,,25.63,333.62,68
NDC,55513022101,ROMIPLOSTIM 1MCG BU PER 250MCG,38.3,,10.13,34.47,408
NDC,55513022101,ROMIPLOSTIM/1MCG BU 250MCG SDV,77.08,,10.13,69.37,68
NDC,55513022201,ROMIPLOSTIM 1MCG BU PER 500MCG,38.2,,10.13,34.38,476
NDC,55513022201,ROMIPLOSTIM/1MCG BU 500MCG SDV,77.08,,10.13,69.37,68
NDC,55513026710,EPOETIN NESRD/1000U BU 3000U,110.88,,7.86,99.79,69
NDC,55513053010,FILGRASTIM VL 300MCG/ML 1ML,720.0,,0.92,648.0,396
NDC,55513053010,FILGRASTIM/1MCG BU 300MCG,7.02,,0.92,6.32,68
NDC,55513054610,FILGRASTIM INJ 1MCG,2.4,,0.92,2.16,68
NDC,55513054610,FILGRASTIM INJ 480MCG,1728.0,,0.92,1555.2,464
NDC,55513054610,FILGRASTIM/1MCG BU 480MCG,6.77,,0.92,6.09,68
NDC,55513067001,INFLIXIMAB-AXXQ 10MG BU 100MG,284.12,,18.78,255.71,68
NDC,55513067001,INFLIXIMAB-AXXQ VL 10MG,126.2,,18.78,113.58,272
NDC,55513071021,DENOSUMAB SQ 1MG BU/60MG VL,37.26,,18.63,40.4,408
NDC,55513073001,XGEVA-DENOSUMAB 1MG BU/120MG,38.07,,19.04,40.4,408
NDC,55513080060,IVABRADINE 5MG ORAL TABLET,45.76,,11.71,41.18,55
NDC,55513081060,IVABRADINE 7.5MG ORAL TABLET,45.76,,11.71,41.18,55
NDC,55513095401,PANITUMUMAB 10MG BU PER 100MG,561.47,,123.55,505.32,408
NDC,55513095401,PANITUMUMAB VL 10MG,561.47,,123.55,505.32,396
NDC,55513095601,PANITUMUMAB 10MG BU PER 400MG,561.26,,123.55,505.13,407
NDC,55513099802,ROMOSOZUMAB 1MG BU PER 105MG,160.8,,9.01,144.72,203
NDC,55566105001,NADOFARAGINE FIRADENOVEC VNCG,85592.75,,42796.38,87095.63,68
NDC,55566220000,DESMOPRESSIN INJ 1MCG,29.2,,3.24,26.28,68
NDC,55566220000,DESMOPRESSIN INJ 1MCG-IT,29.2,,3.24,26.28,272
NDC,55566830301,DEGARELIX VIAL 1MG,27.9,,3.84,25.11,328
NDC,57664050652,METOPROLOL TAB 25MG UD,2.0,,0.512,1.8,55
NDC,57665010141,AMPHOT B LIPD/10MG BU 1MG PED,4.86,,1.24,4.37,55
NDC,57746005022,RISPERIDONE DISINTEGRT TAB 4MG,10.6,,2.71,9.54,55
NDC,57770005501,OCUCOAT OPHTHALMIC VISCOS 1ML,307.0,,78.59,276.3,55
NDC,57894003001,INFLIXIMAB INJ 10MG BU/100MG V,789.29,,28.6,710.36,68
NDC,57894003001,INFLIXIMAB VL 10MG,190.1,,28.6,171.09,396
NDC,57894003001,INFLIXIMAB10MG INTRAARTICULR,789.29,,28.6,710.36,68
NDC,57894005427,USTEKINUMAB IV INJ 1MG,92.4,,11.95,83.16,396
NDC,57894006003,USTEKINUMAB INJ SC 1MG,640.29,,137.45,576.26,68
NDC,57894006003,USTEKINUMAB VL 1MG,640.29,,137.45,576.26,204
NDC,57894006103,USTEKINUMAB INJ SC 1MG,640.29,,159.0,576.26,57
NDC,57894016001,INFLIX UNBRAND 10MG BU/100MG,188.0,,28.6,169.2,136
NDC,57894035001,GOLIMUMAB INJ IV 1MG,69.8,,10.16,62.82,272
NDC,57894042101,SILTUXIMAB VL 10MG,522.06,,111.94,469.85,136
NDC,57894044901,TECLISTAMAB-CQYV/0.5MG BU 30MG,164.71,,19.9,148.24,68
NDC,57894045001,TECLISTAMAB-COYV INJ SQ 0.5MG,71.37,,19.9,64.23,68
NDC,57894045001,TECLISTAMAB-CQYV INJ SQ 0.5MG,71.37,,19.9,64.23,136
NDC,57894045001,TECLISTAMAB-CQYV/0.5MG BU153MG,164.41,,19.9,147.97,68
NDC,57894046901,TALQUETAMAB-TGVS/0.25MG BU 3MG,342.91,,66.81,308.62,68
NDC,57894047001,TALQUETAMAB-TGVS/0.25MGBU 40MG,347.155,,66.81,316.26,272
NDC,57894050101,AMIVANTAMAB VMJW INJ 2MG,148.7,,20.74,133.83,136
NDC,57894050301,DARAT HYAL-FIHJ 10MG BU/1800MG,390.92,,51.12,351.83,68
NDC,57894050301,DARATUMUMAB/HYAL SQ 10MG,270.48,,51.12,243.43,408
NDC,57894050505,DARATUMUMAB 10MG BU PER 100MG,309.96,,56.29,278.96,136
NDC,57894050520,DARATUMUMAB 10MG BU PER 400MG,309.89,,56.29,278.9,136
NDC,57894064001,GUSELKUMAB INJ 1MG (TREMFYA),302.47,,69.89,272.22,272
NDC,57970010001,DALBAVANCIN INJ/5MG BU 500MG V,64.37,,14.36,57.93,68
NDC,57970010001,DALBAVANCIN VL 5MG (DALVANCE),73.0,,14.36,65.7,340
NDC,58160074021,ROTAVIRUS (ORAL) VACC VL 2ML,710.25,,95.4,639.23,56
NDC,58160081152,VACC HEP B/DP(A)T-POL PEDIARIX,451.91,,22.0,406.72,56
NDC,58160082052,VACC HEPB ENGERX 10MCG/0.5 PED,135.83,,38.64,122.25,55
NDC,58160082111,VACC HEPB ENGERX 20MCG/ML ADLT,313.29,,156.65,281.96,55
NDC,58160082143,HEPATITIS B VACC ADULT IM,852.1,,85.86,766.89,55
NDC,58160082152,VACC HEPB ENGERX 20MCG/ML SYR,313.29,,80.2,281.96,55
NDC,58160082311,SHINGRIX SDV 50MCG 0.5ML,981.75,,66.8,883.58,1100
NDC,58160082311,VAC VARICEL-ZOST 50MCG/0.5MLVL,1298.02,,332.29,1168.22,55
NDC,58160082652,VACC HEPATITIS A 1440U/ML SYR,469.29,,88.67,422.36,55
NDC,58160088452,VACC FLU TRIVALENT / FLAURIX,105.35,,11.74,94.81,56
NDC,58160096412,VACC RABIES W/DILUENT-RABAVERT,1120.53,,288.59,1008.48,340
NDC,58160097606,MENING REC SERO B IM,957.35,,197.48,861.62,56
NDC,58160097606,VACC MENINGOCCAL B INJ BEXSERO,1169.5,,197.48,1052.55,56
NDC,58160097620,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,840
NDC,58204000400,MVW COMPLETE FORM MULTIVI SFGL,2.73,,0.69888,2.46,55
NDC,58204000409,MVW COMPLETE FORM D5000 SFGL,2.73,,0.69888,2.46,55
NDC,58394063403,BENEFIX 1IU/500-999IU VIAL,2.0,,0.512,1.8,55
NDC,58394063403,FACT IX RECOMB 1IU/500-999IU,8.4,,1.53,7.56,68
NDC,58394063503,BENEFIX 1IU/1000-1999IU VIAL,7.0,,1.53,6.3,68
NDC,58394063703,BENEFIX 1IU/3000IU+ VIAL,7.0,,1.53,6.3,68
NDC,58394063703,FACT IX RECOMB 1IU/3000+ IU,8.4,,1.53,7.56,68
NDC,58406001004,ETANERCEPT 25MG BU-25MG/0.5ML,6444.11,,994.41,5799.7,68
NDC,58406005504,ETANERCEPT 25MG BU PER 25MG VL,1286.54,,643.27,1486.21,67
NDC,58468004001,AGALSIDASE BETA 1MG BU/35MG VL,4767.23,,109.5,4290.51,69
NDC,58468004101,AGALSIDASE  VL 1MG,705.9,,109.5,635.31,276
NDC,58468004101,AGALSIDASE BETA 1MG BU/5MG VL,698.42,,109.5,628.58,69
NDC,58468004101,AGALSIDASE VL 1MG,705.9,,109.5,635.31,69
NDC,58468009003,HYLAN POLYMERS INJ 1MG SYNVISC,183.61,,7.31,165.25,68
NDC,58468012301,DOXERCALCIFEROL INJ 4MCG/2ML,8.65,,0.33,7.79,55
NDC,58468020001,ALEMTUZUMAB INJ 1MG (LEMTRADA),4022.82,,1984.32,3620.54,408
NDC,58468022501,CAPLACIZUMAB-YHDP/1MG BU 11MG,4200.12,,2100.06,3780.11,55
NDC,58468035701,CAMPATH INJ / 1MG BU 30MG VIAL,2.0,,1.0,3341.1,68
NDC,58468184904,THYROTROPIN ALPHA INJ 1.1MG,2806.26,,1403.13,2909.94,136
NDC,58468466301,IMIGLUCERASE VL 10U,219.24,,39.73,197.32,272
NDC,58980001205,BACITRACIN-POLYMX OINT 15GM,27.2,,6.96,24.48,55
NDC,58980040925,GLYCERIN SUPP PEDIATRIC 25CT,2.0,,1.0,46.8,56
NDC,58980041025,GLYCERIN SUPP ADULT 25CT,14.75,,7.38,85.86,55
NDC,59011041520,OXYCODONE CR ORAL TABLET 15MG,30.36,,7.77,27.32,55
NDC,59011042020,OXYCODONE CR TAB 20MG,38.45,,9.84,34.6,55
NDC,59011075204,BUPRENORPHINE 20MCG/HR PATCH,567.79,,145.35,511.01,55
NDC,59148001871,ARIPIPRAZOLE IM INJ ER 1MG,30.2,,5.7,27.18,272
NDC,59148004580,ARIPIPRAZOLE ER/1MGBU 300MG SY,43.12,,5.7,38.81,68
NDC,59148007280,ARIPIPRAZOLE ER/1MGBU 400MG SY,43.56,,5.7,39.2,68
NDC,59267060902,COVID-19 VACCINE 3MCG/0.2ML IM,0.01,,0.005,0.009,165
NDC,59267431501,SARSCV2 VACC 3MCG TRS-SUC VL,512.2,,79.97,460.98,165
NDC,59267433101,SARSCV2 VACC 10MCG TRS-SUC VL,512.2,,107.09,460.98,165
NDC,59267442602,VAC COVID PFIZER 3MCG (6M-4 Y),1110.9,,79.97,999.81,55
NDC,59267443802,VAC COVID PFIZER (5-11 Y) VIAL,495.88,,107.09,446.29,55
NDC,59338077501,FERUMOXYTOL INJ 1MG ESRD,2.3,,0.2944,2.07,68
NDC,59338077501,FERUMOXYTOL INJ 1MG NON ESRD,2.3,,0.05,2.07,532
NDC,59365512801,COPPER INTRAUTERINE DEVICE IUD,4963.9,,888.5,4467.51,57
NDC,59365512801,DEVICE IUD PARAGARD,4968.0,,888.5,4471.2,114
NDC,59385002160,BUPRENORPHINE 75MCG ORAL FILM,32.86,,8.41,29.57,55
NDC,59385002260,BUPRENORPHINE 150MCG ORAL FILM,32.86,,8.41,29.57,55
NDC,59385002360,BUPRENORPHINE 300MCG ORAL FILM,51.61,,13.21,46.45,55
NDC,59385002460,BUPRENORPHINE 450MCG ORAL FILM,70.13,,17.95,63.12,55
NDC,59385002660,BUPRENORPHINE 750MCG ORAL FILM,78.69,,20.14,70.82,55
NDC,59572071101,REBLOZYL 25MG SDV PER 0.25MG,209.79,,38.62,188.81,136
NDC,59572071101,REBOLZYL 25MG SDV PER 0.25MG,209.79,,38.62,188.81,68
NDC,59572077501,REBLOZYL 75MG SDV PER 0.25MG,207.48,,38.62,186.73,204
NDC,59572098401,ROMIDEPSIN LYOPH INJ 0.1MG,161.56,,28.32,145.4,136
NDC,59630026610,CEFIDEROCOL INJ 10MG BU/1GM VL,14.14,,2.23,12.73,68
NDC,59630026610,CEFIDEROCOL INJ/10MG BU 1GM VL,14.14,,2.23,12.73,68
NDC,59651000205,OMEPRAZOLE SR CAP 20MG NF,2.0,,0.512,1.8,55
NDC,59676031002,EPOETIN NESRD 10000U/ML 1ML,975.82,,7.86,878.24,69
NDC,59676031002,EPOETIN NESRD/1000U BU 10000U,97.58,,7.86,87.82,69
NDC,59676034001,EPOETIN NESRD/1000U BU 40000U,97.59,,7.86,87.83,69
NDC,59676034001,EPOETIN VL 1000U NON ESRD,63.9,,7.86,57.51,471
NDC,59676061001,TRABECTEDIN VL 0.1MG,791.88,,318.93,712.69,272
NDC,59676061001,TRABECTEDIN/0.1MG BU 1MG VIAL,2413.59,,318.93,2172.23,68
NDC,59676096001,DOXORUBICIN (LIPO) VL 10MG,13.1,,6.55,293.09,68
NDC,59676096602,DOXORUB LIPO/10MG BU 50MGV,1448.23,,486.55,1303.41,68
NDC,59746017506,PREDNISONE TAB 20MG UD,2.0,,0.01,1.8,55
NDC,59762500701,MISOPROSTOL TABLET 100MCG,3.05,,0.7808,2.75,55
NDC,59762502901,FLUCONAZOLE SUSP 10MG/ML 1ML,2.0,,0.512,1.8,55
NDC,60267070550,SOD THIOSULFATE HOPE INJ 100MG,7.9,,1.13,7.11,56
NDC,60267070550,SOD THIOSULFATE INJ 100MG,7.9,,3.95,130.78,136
NDC,60267070550,SOD THIOSULFATE/100MGBU 12.5GM,5.43,,2.71,130.78,68
NDC,60267070550,SODIUM THIOSULFATE 12.5G/50ML,691.25,,1.13,622.12,168
NDC,60432026415,FLUTICASONE NSL SPY .05% 120DS,39.05,,10.0,35.15,55
NDC,60432046551,LIDOCAINE HCL TOP SLN 4%  50ML,183.9,,47.08,165.51,55
NDC,60432046551,MENING REC SERO B 0.5ML,957.35,,197.48,861.62,56
NDC,60505025801,DESMOPRESSIN TABLET 0.2MG,3.79,,0.97024,3.41,55
NDC,60505058204,MOXIFLOXACIN 0.5% OPH DRP 3ML,153.9,,39.4,138.51,55
NDC,60505607604,AZITHROMYCIN VL 500MG,18.0,,3.18,16.2,165
NDC,60505614205,CEFAZOLIN INJ 500MG,2.8,,0.97,2.52,330
NDC,60505614205,CEFAZOLIN SODIUM INJ 1GM,6.13,,0.97,5.52,55
NDC,60505614700,CEFEPIME INJ 1 GM VIAL NF,16.18,,1.5,14.56,55
NDC,60505614700,CEFEPIME INJ 1GM ADD VIAL,18.63,,1.5,16.77,55
NDC,60505614700,CEFEPIME INJ 2GM ADDVANTAGE NF,38.94,,9.97,35.05,55
NDC,60505614700,CEFEPIME INJ 2GRAM VL,30.38,,1.5,27.34,55
NDC,60505614700,CEFEPIME INJ 500MG,12.3,,1.5,11.07,550
NDC,60505614700,CEFEPIME PEDI INJ 20MG/ML   NF,4.05,,1.5,3.65,55
NDC,60574411401,PALIVIZUMAB/50MG BU 1MG PED,254.89,,65.25,229.4,55
NDC,60687012125,ACAMPROSATE 333MG TABLET,8.26,,2.11,7.43,55
NDC,60687023101,SERTALINE TAB 1.25MG (1/2),2.0,,0.512,1.8,55
NDC,60687025301,SERTRALINE TAB 100MG UD,2.0,,0.512,1.8,55
NDC,60687043301,AMITRIPTYLINE TAB 12.5MG (1/2),2.0,,0.512,1.8,55
NDC,60687050001,ERGOCALCIFEROL CAP 1.25MG UP,2.0,,0.512,1.8,55
NDC,60687050001,ERGOCALCIFEROL TAB 1.25MG UP,2.0,,0.512,1.8,55
NDC,60687051365,DOXYCYCLINE CAP 100MG UD,2.0,,0.512,1.8,55
NDC,60687055801,CYCLOBENZAPRINE HCL 10MG UD*NF,2.0,,0.512,1.8,55
NDC,60687075021,TRANEXAMIC ACID TABLET 650MG,13.5,,3.46,12.15,55
NDC,60758011905,PREDNISOLONE AC OPHTH 1% 5ML,203.45,,52.08,183.1,55
NDC,60793021505,THROMBIN  TOPICAL  5000U V,218.4,,55.91,196.56,55
NDC,60793021720,THROMBIN TOPICAL 20000UN VL,861.3,,220.49,775.17,55
NDC,60793070010,PEN G BEN/75000UN/0.125ML PED,113.33,,29.01,102.0,55
NDC,60793070102,PCN G BENZ LA INJ 100000U,36.42,,15.16,41.26,272
NDC,60793070110,BICILLIN L-A 100000U/1200000U,2.0,,1.0,41.26,68
NDC,60793070110,PENCILN G BN/100000U BU 1.2MU,162.92,,15.16,146.63,68
NDC,60793070110,PENICILLIN G BEN INJ 1.2MU UD-,1962.89,,15.16,1766.6,68
NDC,60977014101,PRALIDOXIME CL INJ 1GM/20 VL,559.16,,91.9,503.24,56
NDC,61314031801,FILGRASTIM INJ 1MCG,2.5,,0.4232,2.25,396
NDC,61314031801,FILGRASTIM-SNDZ 1MCG/300MCG SY,2.84,,0.4232,2.56,68
NDC,61314032601,FILGRASTIM-SNDZ 1MCG/480MCG SY,2.76,,0.4232,2.48,68
NDC,61314065625,CIPROFLOXACIN OPTH SOLN 2.5ML,48.25,,12.35,43.42,55
NDC,61314086601,PEGFILGRASTIN-BMEZ/0.5MGBU 6MG,946.18,,27.89,851.56,68
NDC,61533012078,METHADONE PED INJ 1MG/ML 1ML,13.76,,6.88,27.95,55
NDC,61553013250,FENT/BUPI 2MCG/ML-.0625%/NS250,288.42,,73.84,259.58,55
NDC,61553014940,METHADONE HCL INJ 10MG/1ML,137.58,,17.55,123.82,55
NDC,61553035240,HYDROMORPHONE 0.5MG/ML-NS SYR,16.74,,0.1098,15.07,56
NDC,61553055134,NEOSTIGMINE INJ 1MG/ML SYR 3ML,80.91,,0.09,72.82,56
NDC,61703030906,VINCRISTINE 1MG BU PER 1MG VL,43.6,,5.34,39.24,336
NDC,61703030906,VINCRISTINE SO4 INJ 1MG/ML VL,36.4,,5.34,35.25,56
NDC,61703030916,VINCRISTINE 1MG BU PER 2MG VL,43.7,,5.34,39.33,336
NDC,61703030916,VINCRISTINE VL 1MG/ML 1ML,43.7,,5.34,39.33,336
NDC,61703032418,PAMIDRONATE LYOPH VL 30MG,95.4,,11.52,221.25,280
NDC,61703033956,CARBOPLATIN VL 50MG,20.0,,2.57,122.25,336
NDC,61703034250,PACLITAXEL 300MG/50ML VL,210.0,,0.1342,189.0,385
NDC,61703034250,PACLITAXEL INJ 1MG,2.0,,0.1342,1.8,385
NDC,61703034916,IRINOTECAN VL 20MG/ML 1ML,32.1,,1.71,126.0,336
NDC,61703035038,METHOTREXATE PWDR VL 50MG,13.2,,2.33,11.88,280
NDC,61703036322,OXALIPLATIN 0.5MG BU PER 100MG,0.8,,0.1098,7.5,336
NDC,61703036322,OXALIPLATIN VL 0.5MG,2.0,,0.1098,7.5,336
NDC,61755000801,CEMIPLIMAB-RWLC VL 1MG-LIBTAYO,148.54,,26.95,133.69,328
NDC,61958140101,COBICISTAT 150MG ORAL TABLET,45.5,,11.65,40.95,55
NDC,61958190101,GENVOYA ORAL ARV COMBO TABLET,609.51,,156.03,548.56,55
NDC,61958220101,SOFOSB 400MG/VELPATA 100MG TAB,4091.8,,1047.5,3682.62,55
NDC,61958230101,TENOFOVIR ALAF FUM 25MG TABLET,220.7,,56.5,198.63,55
NDC,61958250101,BICTE/EMTRI/TENO 50-200-25 TAB,609.51,,156.03,548.56,55
NDC,61958290102,REMDESIVIR 1.25MG/ML PED,41.96,,10.74,37.76,55
NDC,61958290102,REMDESIVIR 1MG BU/100MG VIAL,41.96,,6.19,37.76,68
NDC,61958290102,REMDESIVIR INJ 1MG (VEKLURY),46.2,,6.19,41.58,68
NDC,61958290102,REMDESIVIR/1MG BU 100MG VIAL,41.96,,6.19,37.76,68
NDC,62135026660,TETRACYCLINE CAP 500MG,15.1,,3.87,13.59,55
NDC,62223016502,DEXAMETH INJ 1MG,2.0,,0.13,1.8,55
NDC,62327022242,TALC STERILE 2GM PWD VIAL,560.0,,143.36,504.0,55
NDC,62332041510,OSELTAMIVIR PHOS CAP 75MG NF,8.51,,2.18,7.66,55
NDC,62332065560,FORMOTEROL 20MCG/2ML VIAL,45.09,,2.4,40.58,55
NDC,62530000011,UREA 15GM ORAL POWDER PACKET,18.13,,4.64,16.32,55
NDC,62756030101,PHENOBARBITAL INJ 100MG PF VL,791.14,,202.53,712.03,55
NDC,62856021201,LECANEMAB-IRMB/1MG BU 200MG VL,9.6,,1.21,8.64,136
NDC,62856021501,LECANEMAB-IRMB/1MG BU 500MG VL,9.7,,1.21,8.73,136
NDC,62856038901,ERIBULIN MESYLATE VL 0.1MG,537.53,,82.19,483.78,396
NDC,62856060001,DECITABINE VL 1MG,5.2,,1.94,4.68,55
NDC,62935022710,LEUP ACE 7.5MG BU / 22.5MG SYR,593.67,,162.33,534.3,414
NDC,62935030640,LEUP ACE 7.5MG BU / 30MG SYR,83.9,,41.95,517.5,483
NDC,62935046150,LEUP ACE 7.5MG BU / 45MG SYR,50.2,,25.1,517.5,483
NDC,62935075680,LEUP ACE 7.5MG BU / 7.5MG SYR,595.77,,162.33,536.19,483
NDC,63020053330,PONATINIB TAB 30MG,3624.54,,927.88,3262.09,55
NDC,63020053430,PONATINIB TAB 45MG,3624.54,,927.88,3262.09,55
NDC,63020053530,PONATINIB TAB 15MG,3624.54,,927.88,3262.09,55
NDC,63302010101,TREPROSTINIL/1MG BU 1MG/1ML,138.69,,50.33,124.82,68
NDC,63302010501,TREPROSTINIL/1MG BU 5MG/1ML,138.69,,50.33,124.82,68
NDC,63302011001,TREPROSTINIL/1MG BU 10MG/1ML,138.69,,50.33,124.82,68
NDC,63323001002,GENTAMICIN INJ 80MG,11.6,,1.79,10.44,220
NDC,63323001230,OXYTOCIN INJ 300U/30ML VIAL,347.51,,0.53,312.76,56
NDC,63323004401,VIT B12 VL 1000MCG/ML 1ML,6.5,,1.16,8.19,990
NDC,63323004401,VIT B12 VL 1000MCG/ML 1ML IT,6.0,,1.16,5.4,55
NDC,63323004401,VIT B12 VL 1000MCG/ML 1ML-IT,6.0,,1.16,5.4,330
NDC,63323008305,SODIUM BICARB INJ 4.2% 5ML VL,151.39,,38.76,136.25,55
NDC,63323008605,POT PHOSPHATE INJ 15MM/5ML VL,73.25,,18.75,65.92,55
NDC,63323010365,CISPLATIN INJ 100MG/100ML VL,220.71,,3.98,198.64,56
NDC,63323010450,ETOPOSIDE INJ 10MG/0.5ML SBS,62.86,,0.77,56.57,56
NDC,63323010605,MAG SO4 INJ 10MG/ML 100ML BAG,175.59,,0.42,158.03,55
NDC,63323010605,MAG SO4 INJ 40MG/ML 50ML BAG,179.46,,0.42,161.51,55
NDC,63323010615,MAG SO4 INJ 40MG/ML 500ML BAG,177.86,,0.42,160.07,55
NDC,63323010705,MAG SO4 INJ 80MG/ML 50ML BAG,171.17,,0.42,154.05,55
NDC,63323011310,PENTAMIDINE INH 300MG,275.31,,100.49,247.78,165
NDC,63323011310,PENTAMIDINE ISETHIONATE 300MG,275.31,,70.48,247.78,110
NDC,63323011720,FLUOROURACIL 1000MG/20ML VL,31.8,,1.53,28.62,336
NDC,63323011720,FLUOROURACIL INJ 500MG 02,15.9,,1.53,14.31,225
NDC,63323011751,FLUOROURACIL INJ 2.5GM/50ML,57.05,,14.6,51.34,55
NDC,63323011761,FLUOROURACIL 5000MG/100ML VL,16.0,,1.53,14.4,336
NDC,63323012020,CYTARABINE VL 100MG,4.6,,0.68,4.14,275
NDC,63323012820,DACARBAZINE VL 100MG,30.3,,4.46,27.27,330
NDC,63323014010,CLADRIBINE INJ 1MG +,695.17,,9.83,625.65,69
NDC,63323014010,CLADRIBINE INJ/1MG BU 10MG VL,69.52,,9.83,62.57,69
NDC,63323014010,CLADRIBINE VL 1MG,87.1,,9.83,78.39,207
NDC,63323016501,DEXAMETH INJ 1MG,2.0,,0.13,1.8,1045
NDC,63323016501,DEXAMETH NA PHOS INJ 1MG-IT,2.0,,0.13,1.8,440
NDC,63323016501,DEXAMETHASONE INJ 4MG/ML,3.13,,0.13,2.82,55
NDC,63323017005,SOD PHOS INJ 0.15MM/0.05ML UP,3.76,,0.96256,3.38,55
NDC,63323017005,SOD PHOS INJ 15MM/5ML,116.16,,29.74,104.54,55
NDC,63323017015,SOD PHOS INJ 0.1MM/0.3ML UP,2.0,,0.512,1.8,55
NDC,63323017015,SODIUM PHOSPHATE 45MMOL/15ML,173.3,,86.65,155.97,162
NDC,63323018610,SODIUM CHLORIDE 0.9%   10ML V,6.05,,1.55,5.45,55
NDC,63323019202,FLUDARABINE 50MG BU PER 5OMG,380.66,,62.74,342.59,138
NDC,63323019202,FLUDARABINE/50MG BU 50MG VL,265.93,,62.74,294.0,69
NDC,63323020320,VANCOMYCIN INJ 750MG VIAL,59.36,,0.0366,53.42,55
NDC,63323020500,FAT EMULS 10% OMEGAVEN 100ML,551.74,,141.25,496.57,55
NDC,63323020500,FAT EMULS 10% OMEGAVEN 15ML UP,82.76,,21.19,74.48,55
NDC,63323020550,FAT EMULS 10% OMEGAVEN 50ML,193.16,,49.45,173.84,55
NDC,63323022905,PROTAMINE SO4 INJ 1%  5ML AMP,70.09,,1.08,63.08,55
NDC,63323022930,PROTAMINE SO4 INJ 1% 25ML VIAL,210.63,,1.08,189.57,55
NDC,63323025402,MINERAL OIL TOP-STERILE 2ML,79.44,,20.34,71.5,55
NDC,63323025410,MINERAL OIL TOP-STERILE 10ML,91.81,,23.5,82.63,55
NDC,63323026929,PROPOFOL INJ 10MG/1ML,2.0,,0.1098,1.8,55
NDC,63323027602,HEPARIN SOD PF INJ 1000U/ML2ML,34.05,,0.2684,30.64,55
NDC,63323027810,VINBLASTINE VL 1MG,21.2,,3.98,19.08,336
NDC,63323028002,FUROSEMIDE 1MG BU PER 20MG VL,13.7,,0.0244,12.33,330
NDC,63323028110,FLUPHENAZINE 2.5MG/ML VL 10ML,706.02,,6.75,635.42,68
NDC,63323028563,ROPIVACAINE 0.2% (400MG/200ML),457.01,,0.07,411.31,55
NDC,63323028820,ROPIVACAINE 1% INJ 20ML AMP,146.1,,0.07,131.49,55
NDC,63323030502,TOBRAMYCIN INJ  20MG,31.6,,3.0,28.44,55
NDC,63323030655,TOBRAMYCIN IVPB 80MG,16.6,,3.0,14.94,220
NDC,63323031510,GANCICLOVIR PED INJ 5MG/ML,3.22,,1.61,48.34,55
NDC,63323036019,CA GLUC INJ 10MG,2.0,,0.0488,1.8,280
NDC,63323036019,CA GLUCONATE INJ 10MG,2.0,,0.0488,1.8,56
NDC,63323036059,CA GLUCONATE INJ100MG/ML50ML,123.84,,0.0488,111.46,56
NDC,63323036061,CALC GLUC INJ 46.5MEQ SBS APHE,247.61,,0.0488,222.85,56
NDC,63323036501,OCREOTIDE INJ 0.025MG,9.6,,0.7442,8.64,55
NDC,63323040220,AZTREONAM INJ 2GM VIAL     *NF,382.65,,97.96,344.38,55
NDC,63323041125,MIDAZOLAM INJ   5MG/5ML VIAL,8.95,,0.13,8.05,55
NDC,63323043400,ACETAMIN 1000MG/ 100ML BAG,51.59,,0.0732,46.43,55
NDC,63323045401,MORPHINE SULFATE 4MG/ML VIAL,34.2,,9.92,30.78,112
NDC,63323046037,BUPIVACAINE INJ 0.75% EPI 30ML,82.58,,21.14,74.32,55
NDC,63323046157,BUPIVACAINE INJ 0.25% EPI 50ML,57.47,,14.71,51.72,55
NDC,63323046617,BUPIVACAINE/0.5MG BU 50MG VL,2.48,,0.0122,2.23,55
NDC,63323046837,BUPIVACAINE INJ 0.25% EPI 30ML,68.23,,17.47,61.41,55
NDC,63323047237,BUPIVACAINE 0.75% 30ML VIAL,48.47,,12.41,43.62,55
NDC,63323047537,CHLOROPROCAINE INJ 1% 30MLVL,109.16,,0.0488,98.24,56
NDC,63323048217,LIDO HCL 1% EP 1-100T 10ML,22.27,,5.7,20.04,55
NDC,63323049227,LIDOCAINE HCL INJ 1% 2ML VIAL,12.1,,3.1,10.89,55
NDC,63323049257,LIDOCAINE HCL INJ 1% 5ML VIAL,7.33,,1.88,6.6,55
NDC,63323049507,LIDOCAINE HCL INJ 2% 5ML VIAL,13.58,,3.48,12.22,55
NDC,63323049527,LIDOCAINE HCL INJ 2% 2ML VL,17.83,,4.56,16.05,55
NDC,63323050601,DEXAMETHASONE INJ 10MG/ML PF V,11.07,,0.13,9.96,55
NDC,63323052374,HEPARIN 25THUN/FLUID 250ML BAG,200.44,,0.2684,180.4,55
NDC,63323054011,HEPARIN SOD INJ 2000U/2ML SBS,12.68,,0.2684,11.41,55
NDC,63323054302,HEPARIN SOD INJ  5000U/0.5MLUD,16.16,,0.2684,14.54,55
NDC,63323059603,GLUCAGON PER 1MG BU 1MG VL,794.01,,167.85,714.61,68
NDC,63323061401,HYDRALAZINE INJ 20MG,10.3,,3.38,9.27,110
NDC,63323061401,HYDRALAZINE INJ 20MG-IT,9.3,,3.38,8.37,330
NDC,63323061401,HYDRALAZINE VL 20MG/ML 1ML,10.3,,3.38,9.27,440
NDC,63323061401,HYDRAZALINE INJ 20MG,9.3,,3.38,8.37,55
NDC,63323063710,ARSENIC TRIOXIDE INJ 1MG/ML 1M,50.8,,7.15,45.72,402
NDC,63323063710,ARSENIC TRIOXIDE/1MG BU 10MGV,31.61,,7.15,33.0,69
NDC,63323066401,DIPHENHYDRAMINE INJ50MG/1MLUD-,3.35,,0.65,3.02,55
NDC,63323067389,PALONOSETRON 25MCG BU/250MCGVL,13.51,,0.549,27.75,56
NDC,63323072405,REMIFENTANIL INJ 2MG/5ML VL,827.8,,211.92,745.02,55
NDC,63323072810,MICAFUNGIN INJ 50MG,601.79,,0.3782,541.61,55
NDC,63323073912,FAMOTIDINE INJ 20MG/2ML UP*NF,4.44,,2.22,4.0,54
NDC,63323073912,FAMOTIDINE INJ 20MG/2ML VL,5.1,,1.31,4.59,55
NDC,63323082000,FAT EMULS 20% SMOFLIPID 15MLUP,20.99,,5.37,18.89,55
NDC,63323082050,FAT EMULS 20% SMOFLIPID 500ML,206.27,,52.81,185.64,55
NDC,63323082074,FAT EMULS 20% SMOFLIPID 250ML,166.64,,42.66,149.98,55
NDC,63323085110,HYDROMORPHONE INJ 10MG/ML PFVL,6.66,,0.1098,5.99,56
NDC,63323085110,HYDROMORPHONE INJ 10MG/ML VL,60.63,,0.1098,54.57,56
NDC,63323085325,HYDROMORPHONE 2MG/ML 1ML VIAL,13.4,,0.1098,12.06,56
NDC,63323087550,FOSCARNET/1GM BU 6GM VIAL,457.36,,14.79,411.62,68
NDC,63323087715,PENTAMIDINE INH 300MG,275.31,,100.49,247.78,55
NDC,63323088116,SODIUM PHOSPHATE 45MMOL/15ML,173.3,,86.65,155.97,54
NDC,63323088510,LEVOTHYROXINE 100MCG/5ML VIAL,459.27,,117.57,413.34,55
NDC,63323096010,TIGCYCLINE INJ 1MG,2.0,,0.6222,1.8,220
NDC,63323096730,POT CL INJ 60MEQ/30ML VIAL,22.14,,0.15,19.93,55
NDC,63402020230,ESLICARBAZEPINE ACET 200MG TAB,194.07,,49.68,174.66,55
NDC,63402020430,ESLICARBAZEPINE ACET 400MG TAB,194.07,,49.68,174.66,55
NDC,63402020660,ESLICARBAZEPINE ACET 600MG TAB,194.65,,49.83,175.19,55
NDC,63402020830,ESLICARBAZEPINE ACET 800MG TAB,194.07,,49.68,174.66,55
NDC,63402030230,LURASIDONE 20MG ORAL TABLET,184.62,,47.26,166.16,55
NDC,63402030430,LURASIDONE 40MG ORAL TABLET,184.62,,47.26,166.16,55
NDC,63402030630,LURASIDONE 60MG ORAL TABLET,184.62,,47.26,166.16,55
NDC,63402030830,LURASIDONE 80MG ORAL TABLET,184.62,,47.26,166.16,55
NDC,63402031230,LURASIDONE 120MG ORAL TABLET,275.58,,70.55,248.02,55
NDC,63459010310,RITUXIMAB-ABBS 10MG BU/100MG,139.5,,27.03,125.55,476
NDC,63459010310,RITUXIMAB-ABBS/10MG BU 100MG,327.85,,27.03,295.06,68
NDC,63459010450,RITUXIMAB-ABBS 10MG BU/500MG,147.07,,27.03,132.36,476
NDC,63459034804,BENDEKA 1MG BU PER 100MG VIAL,78.1,,12.41,70.29,68
NDC,63459091036,TBO-FILGRASTIM/1MCG BU 10MCG,3.69,,0.2576,3.32,68
NDC,63459091036,TBO-FILGRASTIM/1MCG BU 20MCG,3.69,,0.2576,3.32,68
NDC,63459091036,TBO-FILGRASTIM/1MCG BU 50MCG,3.69,,0.2576,3.32,68
NDC,63459091859,TBO-FILGRASTIM/1MCG BU 300 VL,3.35,,0.2576,3.02,68
NDC,63459092059,TBO-FILGRASTIM INJ 1MCG,2.0,,0.2576,1.8,340
NDC,63481068447,DICLOFENAC TOP GEL 1% 100GM,36.65,,9.38,32.98,55
NDC,63736023824,OCULAR LUBRICANT SOP ONT 3.5GM,26.95,,6.9,24.25,55
NDC,63739012610,HYDRALAZINE TAB 12.5MG UP,2.0,,0.512,1.8,55
NDC,63739021202,ASPIRIN TAB EC 81MG UD,4.14,,1.06,3.73,55
NDC,63739023610,GABAPENTIN CAP 300MG UD,2.0,,0.512,1.8,55
NDC,63739035010,LISINOPRIL TAB 20MG UD     *NF,2.0,,0.512,1.8,55
NDC,63739043401,ASPIRIN ORAL SOLN 0.1MG/0.1ML,2.0,,0.512,1.8,55
NDC,63739044001,ACETAMINOPHEN TAB 325MG UD,2.0,,0.512,1.8,55
NDC,63739048610,HYDROXYZINE TABLET 25MG UD,2.0,,0.512,1.8,55
NDC,63739056710,TAMSULOSIN CAP 0.4MG UP,2.0,,0.512,1.8,55
NDC,63739059110,GABAPENTIN CAP 100MG UD,2.0,,0.512,1.8,55
NDC,63739064510,FAMOTIDINE TAB 20MG UD,2.0,,0.512,1.8,55
NDC,63739067110,TRAMADOL 50MG TAB,2.0,,0.512,1.8,55
NDC,63739077710,HYDROXYCHLOROQUINE TAB 200MGUP,6.88,,1.76,6.19,55
NDC,63739095325,HEPARIN SOD INJ 2500U/0.5ML UP,6.31,,0.2684,5.68,55
NDC,63739098410,GABAPENTIN CAP 400MG UP,2.0,,0.512,1.8,55
NDC,63824017563,DEXTROMETH POLISTIREX 5ML UD,2.0,,0.512,1.8,55
NDC,63833038602,KCENTRA 1IU/400-620IU VIAL,14.98,,3.83,13.48,55
NDC,63833038602,PROTHROMBIN COMP CONC VL 1U,13.6,,1.97,12.24,68
NDC,63833038702,KCENTRA 1IU/800-1240IU VIAL,14.98,,3.83,13.48,55
NDC,63833061502,HUMATE-P 1IU/500-999IU VIAL,7.585,,1.21,8.01,544
NDC,63833061602,HUMATE-P 1IU/1000-1600IU VIAL,7.585,,1.21,8.01,544
NDC,63833061702,HUMATE-P 1IU/1600-3000IU VIAL,7.585,,1.21,8.01,476
NDC,63833061702,VON WILLEBRAND FACTOR PER IU,2.0,,1.0,2.05,136
NDC,64067021601,METHOXSALEN INJ 20MCG/ML 10ML,4399.33,,1126.23,3959.4,55
NDC,64193042402,ANTI-INHIB COAG CMPLX VL 1IU,3.19,,1.59,3.31,136
NDC,64193042402,FEIBA 1IU/651-1200IU VIAL,13.79,,2.05,12.41,68
NDC,64193042502,FEIBA 1IU/1750-3250IU VIAL,13.79,,2.05,12.41,68
NDC,64193042602,FEIBA 1IU/400-650IU VIAL,13.79,,2.05,12.41,68
NDC,64253022235,HEPARIN NA FLUSH INJ 10U,2.0,,0.01,1.8,112
NDC,64253033335,HEPARIN 5000UN/5ML INJ SYR,3.61,,0.01,3.25,55
NDC,64370053202,VINORELBINE VL 10MG/ML 1ML,51.5,,2.39,89.25,336
NDC,64406000801,NATALIZUMAB VL 1MG,44.3,,21.63,39.87,464
NDC,64764030020,VEDOLIZUMAB INJ 1MG,154.5,,19.61,139.05,408
NDC,64764080028,MARIBAVIR 200MG TABLET,1114.27,,285.25,1002.84,55
NDC,64875000101,MIFEPRISTONE 200MG TABLET,215.0,,55.04,193.5,55
NDC,64950036204,COCAINE 4% NASAL SOLN 4ML,1351.65,,1.31,1216.48,55
NDC,64980058851,EDETATE CA DIS/1000MG BU 1GMVL,40228.13,,5594.42,36205.32,68
NDC,65162000103,PRASUGREL 5MG TABLET 30CT,2.99,,0.76544,2.69,55
NDC,65162000103,PRASUGREL TAB 5MG,2.99,,0.76544,2.69,55
NDC,65162046610,IBUPROFEN TAB 800MG UD,2.0,,0.512,1.8,55
NDC,65162068210,PHENAZOPYRIDINE TAB 200MG UP,2.0,,0.512,1.8,55
NDC,65162071110,GUANFACINE 0.5MG HALF TAB UP,2.0,,0.512,1.8,55
NDC,65219059004,TOCILIZ-AAZG 1MG BU PER 80MG,20.4,,4.07,18.36,476
NDC,65219059004,TOCILIZUMAB-AAZG/ 1MG BU 80MG,32.08,,4.07,28.87,68
NDC,65219059210,TOCILIZ-AAZG 1MG BU PER 200MG,23.2,,4.07,20.88,476
NDC,65219059210,TOCILIZUMAB-AAZG/ 1MG BU 200MG,32.08,,4.07,28.87,68
NDC,65219059420,TOCILIZ-AAZG 1MG BU PER 400MG,23.2,,4.07,20.88,476
NDC,65219059420,TOCILIZUMAB-AAZG/ 1MG BU 400MG,32.08,,4.07,28.87,68
NDC,65250013309,BUPIVACAINE LIPO VL 133MG/10ML,1382.96,,354.04,1244.66,55
NDC,65293000511,CLEVIDIPINE VL 0.5MG/ML 100ML,1079.42,,3.51,971.48,57
NDC,65293000555,CLEVIDIPINE VL 0.5MG/ML 50ML,539.73,,3.51,485.76,57
NDC,65293001410,MINOCYCLINE INJ/1MG BU 100MG V,17.54,,2.46,15.79,68
NDC,65293001503,ORITAVANCIN/10MG BU 400MG VIAL,185.67,,23.8,167.1,68
NDC,65597040601,FAM-TRASTUZUMAB DERUXTECAN 1MG,146.79,,24.14,132.11,328
NDC,65597080101,DATROWAY 1MG BU PER 100MG VL,262.64,,47.44,236.38,68
NDC,65597080101,DATROWAY 1MG BU/100 MG VL,262.64,,61.46,236.38,56
NDC,65628005004,MG AL/DIPH/LIDO MOUTHWASH 4OZ,413.8,,105.93,372.42,55
NDC,65628020205,METRONIDAZOLE SUSP 50MG/1ML,3.45,,0.8832,3.1,55
NDC,65628020810,VANCOMYCIN 50MG ORAL LIQUID,3.03,,0.77568,2.73,55
NDC,65628022010,METOPROLOL SUSP 10MG/ML UP,7.5,,1.92,6.75,55
NDC,65649055102,METHYLNALTREXONE BR 12MG 0.6ML,1031.8,,2.33,928.62,57
NDC,65649055103,METHYLNALTREXONE INJ 12MG SYR,1032.86,,2.33,929.57,57
NDC,65649055204,METHYLNALTREXONE INJ 8MG SYR,1032.86,,2.33,929.57,57
NDC,65862037305,ESCITALOPRAM TAB 2.5MG (1/2),2.0,,0.512,1.8,55
NDC,66220001703,AMIFOSTINE INJ 500MG,1370.73,,407.25,1233.66,57
NDC,66220028708,IBUPROFEN INJ 800MG/8ML VIAL,152.54,,3.71,137.29,55
NDC,66220028708,IBUPROFEN PEDI INJ 4MG/ML,19.07,,3.71,17.16,55
NDC,66302010201,TREPROSTINIL/1MG BU 2.5MG/1ML,138.69,,50.33,124.82,68
NDC,66302030201,TREPROSTINIL ER 0.25MG TABLET,81.24,,20.8,73.12,55
NDC,66302031001,TREPROSTINIL ER 1MG TABLET,324.98,,83.19,292.48,55
NDC,66312017616,LIDOCAINE DENT 1-100T 10PK UP,218.2,,55.86,196.38,55
NDC,66312017616,LIDOCAINE DENTAL 1-100T 1.8ML,6.11,,1.56,5.5,55
NDC,66553000101,ASPIRIN TAB  325MG UD,2.0,,0.512,1.8,55
NDC,66553000201,ASPIRIN TAB BABY 81MG UD,2.0,,0.512,1.8,55
NDC,66621079002,ANTIV ANAVIP 120MG BU/120MG VL,8578.92,,961.54,7721.03,68
NDC,66647010002,CARDIOPLEGIA WARM IND HIGH KCL,455.89,,116.71,410.3,55
NDC,66647218311,FENTANYL 250MCG/BUPI0.1% 100ML,224.31,,57.42,201.88,55
NDC,66647808694,TROMETHAMINE 0.3 MOLAR 50ML,149.76,,38.34,134.78,55
NDC,66658011203,PALIFERMIN INJ 0.05MG,114.7,,22.81,103.23,204
NDC,66733094823,CETUXIMAB 10MG BU PER 100MG VL,364.56,,45.0,328.1,126
NDC,66733094823,CETUZIMAB 10MG BU/100MG VIAL,543.73,,45.0,489.36,69
NDC,66733095823,CETUXIMAB 10MG BU PER 200MG VL,352.87,,45.0,317.58,195
NDC,66733095823,CETUXIMAB 10MG BU/200MG VIAL,543.73,,45.0,489.36,69
NDC,66758004201,EPIRUBICIN VL 2MG/ML 1ML,10.1,,1.53,25.5,112
NDC,66794001525,SEVOFLURANE INHAL LQD,2.0,,0.512,1.8,55
NDC,66794001710,ISOFLURANE FOR INHALAT100ML,69.4,,17.77,62.46,55
NDC,66887000410,TESTOPEL 75MG PELLET,445.62,,222.81,401.06,54
NDC,66993037179,MEDROXYPROG INJ 1MG,2.0,,0.56,1.8,504
NDC,66993037179,MEDROXYPROG INJ 1MG IT,2.0,,0.56,1.8,336
NDC,66993037179,MEDROXYPROGE AC INJ 150MG/MLV-,353.71,,0.56,318.34,56
NDC,66993048983,DACTINOMYCIN VL 0.5MG,844.75,,302.07,1044.53,260
NDC,67066000501,SECRETIN VL 1MCG,289.17,,34.78,260.25,136
NDC,67308010106,AMINOLEVULINIC ACID SOL 20%,533.6,,266.8,539.12,339
NDC,67313039055,SEALANT FIBRIN EVICEL 5M,600.53,,153.74,540.48,55
NDC,67386013051,EPTINEZUMAB INJ 1MG,140.1,,18.37,126.09,204
NDC,67457010810,KETAMINE HCL INJ 1000MG/10ML,74.92,,19.18,67.43,55
NDC,67457015318,AMIODARONE HCL 900MG/18ML VL,86.66,,0.23,77.99,55
NDC,67457017750,DIMETHYL SULF/50%-50ML BU 50ML,4473.21,,635.67,4025.89,68
NDC,67457018210,ESMOLOL HCL INJ 10MG/ML 10ML V,28.32,,7.25,25.49,55
NDC,67457019602,THIAMINE 200 MG/2ML VIAL,12.6,,2.18,11.34,55
NDC,67457019803,REMIFENTANIL INJ 1MG/3ML VL,160.77,,41.16,144.69,55
NDC,67457032325,MOXIFLOXACIN INJ 100MG,67.5,,9.36,60.75,165
NDC,67457034903,AMPICIL/SULBAC INJ 3GM VL  *NF,24.27,,1.82,21.84,55
NDC,67457043322,FAMOTIDINE 20MG/2ML VIAL,2.0,,0.0122,1.8,392
NDC,67457043650,DOXORUBICIN/10MG BU 50MG PWD V,1448.23,,99.79,1303.41,68
NDC,67457044753,FLUMAZENIL 0.5MG/5ML VIAL,25.9,,6.63,23.31,55
NDC,67457052810,LEUCOVORIN CA INJ 100MG VIAL,44.38,,2.8,39.94,56
NDC,67457062910,INTEGRILIN PER 5MG BU 20MG VL,128.66,,27.58,115.79,57
NDC,67457064099,PROCHLORPERAZINE INJ 10MG/2 V-,17.7,,3.07,15.93,55
NDC,67457067502,CALCITONIN 400U BU-400U/2ML VL,5310.13,,446.17,4779.12,68
NDC,67457067502,CALCITONIN VL 400 UNITS/2ML,1542.25,,446.17,2839.22,272
NDC,67457082399,VANCOMYCIN INJ 1.25GM VIAL,125.51,,0.0366,112.96,55
NDC,67457082499,VANCOMYCIN INJ 1500MG VIAL,155.23,,0.0366,139.71,55
NDC,67457083306,FULPHILA INJ PFS 6MG/0.6ML,1888.8,,91.2,1699.92,272
NDC,67457083306,PEGFILFRASTIM JMDB SQ 0.5MG,168.69,,84.34,151.82,68
NDC,67457083306,PEGFILGRASTIM JMDB SQ 0.5MG,168.69,,84.34,151.82,272
NDC,67457083306,PEGFILGRASTIM JMDP SQ 0.5MG,168.69,,84.34,151.82,68
NDC,67457083306,PEGFILGRASTIM-JMDB/0.5MGBU 6MG,998.74,,91.2,898.87,68
NDC,67457083306,PEGFILGRASTIMJMDB SQ 0.5MG,168.69,,84.34,151.82,68
NDC,67457085502,ADENOSINE INJ 6MG/2ML VIAL-,12.05,,0.5612,10.85,55
NDC,67457089308,BUSULFAN INJ 1MG,5.1,,0.8096,4.59,136
NDC,67457099115,TRASTUZUMAB-DKST/10MG BU 150MG,386.54,,37.07,347.89,68
NDC,67684190101,ETHIODIZED OIL INJ 4.8GM/10ML,9583.0,,2453.25,8624.7,55
NDC,67684190102,ETHIODIZED OIL 4.8GM/10ML VIAL,9583.0,,2453.25,8624.7,55
NDC,67850014105,POLIDOCANOL INJ 1% 20MG/2ML,145.46,,37.24,130.91,55
NDC,67919001101,DAPTOMYCIN PWDR INJ 1MG,2.0,,0.0366,1.8,330
NDC,67919002010,ALVIMOPAN 12MG CAPSULE,573.43,,146.8,516.09,55
NDC,67919003001,CEFTOL-TAZOBA/75MG BU 1.5GM VL,33.7,,6.49,30.33,68
NDC,68084009801,ATORVASTAT TABLET 20MG UD,2.0,,0.512,1.8,55
NDC,68084009901,ATORVASTAT TABLET 40MG UD,2.0,,0.512,1.8,55
NDC,68084020201,PRIMIDONE TAB 25MG (1/2),2.0,,0.512,1.8,55
NDC,68084031801,LAMOTRIGINE TAB 12.5MG,2.0,,0.512,1.8,55
NDC,68084036009,POT CL SR TAB 20MEQ UD,2.0,,0.512,1.8,55
NDC,68084044601,NITROFURANTOIN MONO 100MG CAP,13.52,,3.46,12.17,55
NDC,68084047901,CALCIUM ACETATE CAPSULE 667MG,5.12,,1.31,4.61,55
NDC,68084049101,MECLIZINE TAB 25MG UD,2.16,,0.55296,1.94,55
NDC,68084059025,ATORVASTATIN 80MG TABLET,2.0,,0.512,1.8,55
NDC,68084060621,DESMOPRESSIN TAB 0.05MG,11.24,,2.88,10.12,55
NDC,68084062121,MODAFINIL 100MG TABLET,40.21,,10.29,36.19,55
NDC,68084075325,CYCLOBENZAPRINE 5MG/.5TAB NF,2.0,,0.512,1.8,55
NDC,68084079701,GABAPENTIN TAB 600MG UD,2.4,,0.6144,2.16,55
NDC,68084081309,PANTOPRAZOLE TAB 40MG UD,2.0,,0.512,1.8,55
NDC,68084089509,HYDROCOD/APAP 5MG/325MG TAB,2.0,,0.512,1.8,55
NDC,68084097501,OXYCODONE IR TAB 15MG UD,3.15,,0.8064,2.83,55
NDC,68094003062,ACETAMINOPHN LQ 650/20.3ML UD,14.18,,3.63,12.76,55
NDC,68094076462,MIDAZOLAM ORL SYRP 10MG/5ML UD,28.07,,7.19,25.26,55
NDC,68180015001,FAMOTIDINE ORAL 0.1MG/0.0125ML,2.0,,0.512,1.8,55
NDC,68462015713,ODANSETRON ODT 8MG TABLET,2.0,,0.0122,1.8,55
NDC,68462015813,ODANSETRON ODT 8MG TABLET,2.0,,0.0122,1.8,55
NDC,68462029052,BETAMETHASONE DIP AF .05%CR 50,13.8,,3.53,12.42,55
NDC,68462063945,NITROGLYCERIN HT 0.4MG 25'S,9.56,,2.45,8.6,55
NDC,68516460302,ALPHANATE/VON WILLEBRAND FX 1U,8.7,,1.14,7.83,68
NDC,68546014256,RASAGILINE 0.5MG TABLET,31.58,,8.08,28.42,55
NDC,68547011110,SULBACTAM 1G/DURLOBACTA 1G INJ,3493.0,,894.21,3143.7,110
NDC,68547050102,ANGIOTENSIN II 2.5MG/ML INJ VL,11339.65,,2902.95,10205.68,55
NDC,68682020175,PEG-3350 GI SOLUTION POWDER,248.8,,63.69,223.92,55
NDC,68682073205,FLUOR/BENOX .3%/.4% OP SOL 5ML,110.3,,28.24,99.27,55
NDC,68727071201,LURBINECTEDIN INJ 0.1MG,743.75,,190.56,669.38,204
NDC,68727074502,CYTARA/DAUNO INJ 2.27MG/1MG,525.91,,197.79,473.32,204
NDC,68727074502,DAUNO-CYTAR/3.27MG BU 144MG VL,402.28,,197.79,362.05,68
NDC,68727090001,ASPARG RECOMB 0.1MG BU/10MG VL,128.19,,51.03,115.37,68
NDC,68727090003,ASPARG RECOMB 0.1MG BU/10MG VL,270.27,,51.03,243.24,68
NDC,68803072225,TISSUEBLUE OPTH .025%/0.5MLSYR,1101.8,,282.06,991.62,55
NDC,68817013450,PACLITAX ALB 1MG BU PER 100MG,85.4,,8.25,76.86,483
NDC,68817013450,PACLITAXEL ABP VL 1MG,85.4,,8.25,76.86,402
NDC,68982034701,FIBRYGA 1MG BU/700-1300MG VIAL,5.46,,1.07,4.91,68
NDC,68982034701,OCTOPHARMA FIBRYGA VL 1MG,9.3,,1.07,8.37,204
NDC,68992301001,TACROLIMUS ER 1MG TABLET,5.29,,1.38,4.76,55
NDC,68992304001,TACROLIMUS ER 4MG TABLET,15.87,,1.38,14.28,55
NDC,68992307501,TACROLIMUS ER 0.75MG TABLET,25.62,,1.38,23.06,55
NDC,69097070996,PHYTONADIONE INJ 1MG/0.5ML VL,16.48,,3.46,14.83,55
NDC,69097084064,IPRATROP/ALBUT 0.5MG/3MG 3MLUD,2.3,,0.5888,2.07,55
NDC,69097092735,PALONOSETRON VL 25MCG,118.6,,0.549,106.74,336
NDC,69171039801,IRINOTECAN LIPOSOMAL INJ 1MG,249.48,,54.33,224.53,396
NDC,69374031410,MIDAZOLAM 1MG/ML 100ML NS BAG,119.74,,0.13,107.77,55
NDC,69374098810,AMINO ACID INJ 50GM/1000ML BAG,895.0,,447.5,805.5,54
NDC,69452024120,TRIHEXPHENIDYL TAB 1MG (1/2),2.0,,0.512,1.8,55
NDC,69502000157,MICONAZOLE 2% TOUCHLESS TOPSPR,34.6,,8.86,31.14,55
NDC,69543037910,POT CL 20MEQ ORAL POWDER PKT,11.58,,2.96,10.42,55
NDC,69724011210,SOTALOL INJ 1MG BU-150MG/10ML,154.58,,23.05,139.12,68
NDC,69784023020,SODIUM ACETATE INJ 100MEQ/50ML,116.93,,29.93,105.24,55
NDC,69784023120,SODIUM ACET INJ 200MEQ/100ML,40.55,,10.38,36.49,55
NDC,69794020301,BUROSUMAB TWZA INJ 1MG/20MG VL,632.44,,316.22,665.69,136
NDC,69794030401,BUROSUMAB TWZA INJ 1MG/30MG VL,951.93,,361.9,856.74,136
NDC,69866200503,ANACAULASE-BCDB/ 1G BU 55G GEL,286.65,,53.65,257.99,68
NDC,69918089910,DESMOPRESSN/1MCG BU .05MCG PED,2.0,,0.512,1.8,55
NDC,69918090110,DESMOPRESSN/1MCG BU 0.2MCG PED,138.27,,35.4,124.44,55
NDC,69918090110,DESMOPRESSN/1MCG BU 0.5MCG PED,138.27,,35.4,124.44,55
NDC,69968006009,BACITRACIN-POLYMX OINT 0.9GMUD,2.0,,0.512,1.8,55
NDC,69968009502,BENGAY ULTRA STRENGTH 57GM,22.15,,5.67,19.93,55
NDC,70004082540,PHENYLEPHRINE 40MG/250ML BAG,218.45,,0.0122,196.6,55
NDC,70010075405,METHOCARBAMOL TAB 500MG UD,2.0,,0.512,1.8,55
NDC,70020191001,IXABEPILONE INJ 15MG VIAL,6477.45,,101.19,5829.7,204
NDC,70020191101,IXABEPILONE INJ 45MG VIAL,8334.9,,101.19,7501.41,204
NDC,70069002125,DEXAMETHASONE PED INJ .01MG/ML,1.11,,0.13,0.999,55
NDC,70092131046,METHOHEXITAL INJ 100MG/10ML SY,118.57,,30.35,106.71,55
NDC,70092161746,EPINEPHRINE 10MCG/ML SYR 10ML,55.87,,1.61,50.28,55
NDC,70114010101,PEGFILGRAST-CBQV/0.5MGBU 6MG,1814.12,,97.82,1632.71,68
NDC,70114010101,PEGFILGRASTIM CBQV UDENYCA .5,645.96,,97.82,581.36,396
NDC,70114013001,UDENYCA CBQV 0.5MG BU/6MG VL,592.97,,97.82,533.67,204
NDC,70114013001,UDENYCA CBQV BU/6MG VL,592.97,,97.82,533.67,68
NDC,70121116901,TRIAMCINOLONE ACE INJ400MG/10M,145.95,,1.05,131.35,55
NDC,70121123801,CYCLOPHOSPH INJ/5MG BU 500MG,4.91,,0.4416,4.42,68
NDC,70121139605,GLYCOPYRROLATE INJ 0.2MG/1 5ML,14.93,,0.4232,13.44,68
NDC,70121157305,METHYLPRED ACE INJ 40MG,48.0,,0.1104,43.2,272
NDC,70121157405,METHYLPRED ACE INJ 40MG,48.0,,0.1104,43.2,68
NDC,70121157405,METHYLPRED ACE VL 80MG/ML 1ML,64.0,,0.1104,57.6,340
NDC,70127010010,CANNABIDIOL ORAL SOLN 100MG/ML,81.75,,20.93,73.58,55
NDC,70257005151,HEP B IMMUNE GLOB/0.5ML BU 5ML,363.09,,61.31,326.78,68
NDC,70257005151,HEPATITIS B IMM GLOB VL 0.5ML,311.01,,61.31,279.91,136
NDC,70257005251,HEP B IMMUNE GLOB/0.5ML BU 1ML,264.43,,61.31,237.99,68
NDC,70436002082,VANCOMYCIN 7MG/0.7ML IVIT,12.49,,0.0366,11.24,55
NDC,70461002403,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,56
NDC,70461002403,VACC FLU TRIVALADJUVANT/FLUAD,386.75,,66.05,348.07,56
NDC,70461002404,FLU VACC QUAD PRESERV > 3 YR,51.36,,11.74,46.22,56
NDC,70461002404,FLUAD TRIVALENT 2024-2025 SDV,513.52,,20.5,462.17,280
NDC,70461002404,FLUAD TRIVALENT 2024-2025 SUV,513.52,,20.5,462.17,112
NDC,70515026210,DIGOXIN NEO INJ 5MCG/ML-,19.76,,4.88,17.78,55
NDC,70515026210,DIGOXIN PED INJ 100MCG/1ML AMP,886.5,,4.88,797.85,55
NDC,70515026310,DIGOXIN PED INJ 100MCG/1ML,797.85,,4.88,718.07,55
NDC,70710153001,DOXORUBICIN (LIPO) VL 10MG,13.1,,6.55,293.09,192
NDC,70710153001,DOXORUBICIN LIPO 10MG BU/20MG,271.32,,99.79,293.09,272
NDC,70710153101,DOXORUBICIN LIPO 10MG BU/50MG,312.83,,99.79,293.09,272
NDC,70720010010,CETIRIZINE INJ/0.5MG BU 10MGVL,119.24,,15.2,107.32,68
NDC,70720095036,GOSER ACE 3.6MG BU PER 3.6MG,1569.16,,435.0,1412.24,483
NDC,70720095130,GOSER ACE 3.6MG BU PER 10.8MG,1569.88,,435.0,1412.89,483
NDC,70720095130,GOSERELIN ACET INJ 3.6MG,1569.16,,435.0,1412.24,609
NDC,70756020112,AMITRIPTYLINE TAB 5MG (1/2),2.0,,0.512,1.8,55
NDC,70801000301,TRIAMCIN ACE PF ER MIC INJ 1MG,130.4,,16.84,117.36,272
NDC,70842014003,ORITAVANCIN INJ 10MG,147.0,,23.8,132.3,408
NDC,70842024001,REZAFUNGIN INJ/1MG BU 200MG VL,70.3,,9.78,63.27,68
NDC,70842024001,REZAFUNGIN PER 1MG BU/200MG VL,102.4,,9.78,92.16,136
NDC,70860011999,NAFCILLIN INJ 100MG UP SBS,32.63,,8.35,29.37,55
NDC,70860030125,DILTIAZEM INJ 125MG/25ML VIAL,35.85,,17.93,32.27,54
NDC,70860060382,LEVETIRACETAM 1000MG/100ML BAG,61.15,,0.061,55.03,55
NDC,71266200102,SUCCINYLCHOLINE 200MG/10ML SYR,173.53,,44.42,156.18,55
NDC,71266861001,GLYCERIN STERILE INJ 5GM/10ML,223.79,,57.29,201.41,55
NDC,71266903101,PHENYLEPH INJ 0.4MG/10ML SYR,7.32,,1.87,6.59,55
NDC,71266908002,KETAMINE SYR 10MG/ML 5ML,74.02,,18.95,66.62,55
NDC,71285030001,TRISODIUM CIT 0.5L/NS-H2O 4LTR,197.67,,50.6,177.9,55
NDC,71285605701,NOREPINEPHRINE 8MG/D5W 250ML B,262.66,,67.24,236.39,55
NDC,71285701901,EPINEPHRINE 8MG/D5W 250ML BAG,202.15,,1.61,181.94,55
NDC,71285706001,VANCOMYCIN 1.75GM/500ML NS BAG,149.25,,0.0366,134.32,55
NDC,71286200307,FENTANYL PCA SYR 1250MCG/25ML,108.71,,0.78,97.84,55
NDC,71286207107,FENTANYL INJ 10MCG/ML 3ML SYR,45.29,,0.78,40.76,55
NDC,71286606501,NEOSTIGMINE INJ 1MG/ML SYR 5ML,40.45,,0.09,36.41,56
NDC,71288011290,MELPHALAN 50MG VIAL,454.86,,88.23,409.37,136
NDC,71288011810,BORTEZOMIB 0.1MG BU PER 3.5MG,3.15,,1.0,44.97,342
NDC,71288015501,PLERIXAFOR 1MG BU PER 24MG VL,36.1,,18.05,365.29,476
NDC,71288016610,PEMETREXED 10MG BU PER 100MG,4.4,,2.2,71.81,414
NDC,71288016750,PEMETREXED 10MG BU PER 500MG,3.7,,1.85,71.81,414
NDC,71288040211,HEPARIN SOD INJ 1000U/ML 10ML,12.68,,0.2684,11.41,55
NDC,71288040231,HEPARIN 30000U / NS 1000ML SBS,182.37,,0.2684,164.13,55
NDC,71321080230,VIT E DROP 22.5MG/ML SYNTH 1ML,3.36,,0.86016,3.02,55
NDC,71336100001,PATISIRAN INJ 0.1MG (ONPATTRO),507.85,,91.97,457.06,204
NDC,71336100101,GIVOSIRAN SQ INJ 0.5MG,594.16,,106.88,534.74,136
NDC,71336100201,LUMASIRAN 0.5MG INJ (OXLUMO),1158.3,,302.73,1042.47,68
NDC,71336100301,VUTRISIRAN SQ INJ 1MG,7224.04,,3612.02,6880.01,136
NDC,71351001250,LACTINEX TAB UP,2.0,,0.512,1.8,55
NDC,71469023101,AMINOLEVULIN ACID 30MG/ML ORAL,319.6,,81.82,287.64,55
NDC,71699002530,CENOBAMATE TABLET 25MG,180.65,,46.25,162.59,55
NDC,71699005030,CENOBAMATE 50MG ORAL TABLET,180.65,,46.25,162.59,55
NDC,71699010030,CENOBAMATE 100MG ORAL TABLET,180.65,,46.25,162.59,55
NDC,71699015030,CENOBAMATE TABLET 150MG,180.65,,46.25,162.59,55
NDC,71699020030,CENOBAMATE TABLET 200MG,180.65,,46.25,162.59,55
NDC,72078006599,VANCOMYCIN INJ 1750MG,241.08,,0.0366,216.97,55
NDC,72078006699,VANCOMYCIN INJ 2000MG,275.52,,0.0366,247.97,55
NDC,72187040101,TAGRAXOFUSP VL 10MCG-ELZONRIA,1146.15,,270.59,1031.54,136
NDC,72187040101,TAGRAXOFUSP-ERZS 10MCG BU/1MG,2250.44,,270.59,2025.4,68
NDC,72485010125,DIPHENHYD VL 50MG/ML 1ML-IT,6.4,,0.65,5.76,385
NDC,72485010401,CAFFINE ORAL 10MG/0.5ML SBS,4.99,,1.28,4.49,55
NDC,72485010401,CAFFINE ORAL 15MG/0.75ML SBS,7.48,,1.91,6.73,55
NDC,72485010401,CAFFINE ORAL 25MG/1.25ML SBS,12.46,,3.19,11.21,55
NDC,72485010710,TRANEXAMIC ACID 100MG/ML 10ML,27.62,,7.07,24.86,55
NDC,72485040410,PIPERACILLIN/TAZO INJ 4.5GM V+,44.18,,1.35,39.76,55
NDC,72493010303,MITOMYCIN INSTILL/1MG BU 80MG,38.11,,19.05,437.98,68
NDC,72493010303,MITOMYCIN URETHERAL GEL 1MG,904.16,,293.05,813.74,68
NDC,72578009010,TRIAMTERENE 37.5/HCTZ 25 CAP,2.0,,0.512,1.8,55
NDC,72618300002,RIMEGEPANT TAB ODT 75MG,591.35,,151.39,532.22,55
NDC,72677055101,INEBILIZUMAB-CDON VL 1MG,1043.73,,455.91,939.36,136
NDC,72694095401,PEGASPARGASE PER SDV BU 3750IU,36545.22,,18272.61,39083.08,204
NDC,72893000201,BELINOSTAT 10MG BU PER 500MG,199.43,,42.79,179.49,136
NDC,72893000501,PRALATREXATE 1MG BU PER 40MG,733.4,,311.22,660.06,136
NDC,72903085301,MIRVETUXIMAB SORAVTANSINE 1MG,148.7,,63.93,133.83,204
NDC,72960011201,DAXIBOTULINUMTOXINA-LANM 1UNIT,21.7,,2.9,19.53,68
NDC,73150015006,UBLITUXIMAB/1MG BU 150MG VIAL,351.4,,65.09,316.26,68
NDC,73302045601,ULIPRISTAL 30MG TABLET,178.15,,45.61,160.34,55
NDC,73462010101,TRIACICLIB INJ 1MG,38.7,,5.02,34.83,136
NDC,73475304105,EFGARTIGIMOD ALFA FCAB VL 2MG,163.52,,29.58,147.17,136
NDC,73475310203,VYVGART HYTRULO 2MG BU/1008MG,170.45,,31.18,153.41,68
NDC,73535020801,TAFASITAMAB-CXIX VL 2MG,101.2,,13.17,91.08,136
NDC,73594931001,FERRIC DERISOMALTOSE VL 10MG,115.2,,20.26,103.68,272
NDC,73607000111,ARTESUNATE 110MG INJ VIAL,37649.5,,9638.27,33884.55,55
NDC,73607001111,ARTESUNATE/1MG BU 110MG INJ VL,685.22,,47.68,616.7,68
NDC,73776000112,AMTAGVI (LIFILEUCEL),3934000.0,,1007104.0,3540600.0,56
NDC,73776002201,ALDESLEUKIN PER SDV 22MM U INJ,42420.0,,605.25,38178.0,69
NDC,75833060101,HEPZATO/1MGBU 250MG VL 50MMKIT,5250.0,,731.4,4725.0,68
NDC,75833060102,HEPZATO/1MGBU 250MG VL 62MMKIT,5250.0,,731.4,4725.0,68
NDC,75987008010,PEGLOTICASE INJ 1MG,4792.57,,2396.28,5033.64,272
NDC,75987013015,TEPROTUMUMAB-TRBW VL 10MG,1281.05,,315.88,1152.94,136
NDC,76014000210,NEOSTIGMINE INJ 0.5MG/ML 10ML,51.49,,0.09,46.34,56
NDC,76045073710,HALOPERIDOL INJ 5MG/ML SYR,3.57,,0.91,3.21,55
NDC,76075010101,CARFILZOMIB 1MG BU PER 60MG VL,184.41500000000002,,39.2,166.13,340
NDC,76075010101,CARFILZOMIB 1MG BU/60MG VIAL,381.68,,39.2,343.51,68
NDC,76075010101,CARFILZOMIB PER 1MG BU 60MG,382.83,,39.2,344.55,68
NDC,76075010201,CARFILZOMIB 1MG BU PER 30MG VL,207.48,,39.2,186.73,272
NDC,76075010201,CARFILZOMIB 1MG BU/30MG VIAL,381.68,,39.2,343.51,68
NDC,76075010301,CARFILZOMIB 1MG BU PER 10MG VL,235.48,,39.2,211.93,272
NDC,76075010301,CARFILZOMIB 1MG BU/10MG VIAL,382.07,,39.2,343.86,68
NDC,76125015002,VACC RABIES IMM/150IU BU 300IU,1541.12,,257.46,1387.01,68
NDC,76128015575,PORFIMER NA VL 75MG,46646.0,,3004.74,41981.4,272
NDC,76204020030,ALBUTEROL  INH 0.083% 3ML UD,2.0,,0.04,1.8,55
NDC,76329124001,PHYTONADIONE PF 1MG/0.5ML SYR,153.64,,3.46,138.28,55
NDC,76329301105,LIDOCAINE 2% JEL UROJET 5ML,32.05,,8.2,28.84,55
NDC,76329330401,CALCIUM CHLOR INJ 40.8MEQ SBS,171.21,,43.83,154.09,55
NDC,76329331601,EPINEPHRINE INJ 1-10T 21GA UD-,66.94,,1.61,60.25,55
NDC,76329339001,LIDOCAINE 2% INJ 5ML MULTI PKG,13.58,,3.48,12.22,55
NDC,76329630005,LIDOCAINE HCL TOP SLN 4% 4ML,130.48,,33.4,117.43,55
NDC,76478050150,PENTOBARB INJ 1000MG/20ML VIAL,4602.08,,31.0,4141.87,56
NDC,77333093410,THIAMINE HCL TAB 100MG UD,2.0,,0.512,1.8,55
NDC,78206016201,INFLIXIMAB-ABDA VL 10MG,52.14,,24.84,46.93,136
NDC,78206016201,INFLIXIMAB-ABDA VL10MG,52.14,,24.84,46.93,68
NDC,79952011001,LONCASTUXIMAB TESIRINE 0.075MG,768.9,,199.55,692.01,136
NDC,80803015350,FYARRO 1MG BU PER 100MG VIAL,397.25,,77.8,357.52,68
NDC,81052013810,PAFOLACIANINE INJ 3.2MG /1.6ML,19337.5,,123.16,17403.75,55
NDC,81284031505,INDIGOTINDISUL/1MG BU 40MG AMP,56.7,,9.16,51.03,68
NDC,81643927001,FLOXURIDINE 500MG BU PER 500MG,7799.82,,46.44,7019.84,136
NDC,82705000201,EPKINLY PER 0.16MG BU 4MG VL,80.44,,40.22,76.78,204
NDC,82705001001,EPKINLY PER 0.16MG BU 48MG VL,118.53,,51.37,106.68,136
NDC,82959011101,IMETELSTAT 1MG BU PER 188MG VL,290.01,,52.47,261.01,204
NDC,82959011201,IMETELSTAT 1MG BU PER 47MG VL,290.92,,52.47,261.83,204
NDC,83257000111,TRASTUZ-DKST 10MG BU PER 150MG,163.87,,37.07,147.48,476
NDC,83490023560,SOD CL 3.5% FOR INHL 4ML VL,3.38,,0.86528,3.04,55