code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries CDM,RRUCLASM-1100011100--0111-SM30125-1000-9220,HB SINGLE MED/SURG,9220.0,5071.0,0.01,19253.0,65 CDM,RRUCLASM-1100011200--0112-SM30170-1000-9220,HB SINGLE OB,9220.0,5071.0,0.01,19253.0,65 CDM,RRUCLASM-1100011300--0113-SM30180-1000-9220,HB SINGLE PEDS,9220.0,5071.0,0.01,19253.0,65 CDM,RRUCLASM-1100011700--0117-SM30125-1000-9220,HB SINGLE ONCOLOGY,9220.0,5071.0,0.01,19253.0,65 CDM,RRUCLASM-1200012100--0121-SM30125-1000-9220,HB SEMIPRIVATE MED SURG GYN,9220.0,5071.0,0.01,19253.0,65 CDM,RRUCLASM-1200012200--0122-SM33800-1000-9220,HB SEMIPRIVATE OB,9220.0,5071.0,0.01,19253.0,65 CDM,RRUCLASM-1200012700--0127-SM30125-1000-9220,HB SEMIPRIVATE ONCOLOGY,9220.0,5071.0,0.01,19253.0,65 CDM,RRUCLASM-1300013000--0130-SM30170-1000-9220,HB MULTIBED STANDARD,9220.0,5071.0,0.01,19253.0,65 CDM,RRUCLASM-1300013100--0131-SM30170-1000-9220,HB MULTIBED MED SURG GYN,9220.0,5071.0,0.01,19253.0,65 CDM,RRUCLASM-1450042100-33967-0761-SM44281-1000-2650,HB PERFUSION IABP INSERT/CHANGE VIA FEM ART PERCUTN,2650.0,1457.5,662.5,2385.0,113 CDM,RRUCLASM-1450042400-33968-0761-SM44281-1000-170,HB PERFUSION IABP REMOVE VIA FEM ART PERCUTN,170.0,93.5,42.5,153.0,113 CDM,RRUCLASM-1450110015--0360-SM44281-1000-530,HB PERFUSION BYPASS PER 15 MINS,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-1450110060--0360-SM44281-1000-11300,HB PERFUSION SETUP,11300.0,6215.0,2825.0,10170.0,114 CDM,RRUCLASM-1450119015--0360-SM44281-1000-400,HB PERFUSION STANDBY PER 15 MINS,400.0,220.0,100.0,360.0,113 CDM,RRUCLASM-1452042200--0761-SM44281-1000-2760,HB PERFUSION IABP SUPPORT+CONSOLE EA 24HR,2760.0,1518.0,690.0,2484.0,113 CDM,RRUCLASM-1600016400--0164-SM30125-1000-14480,HB ISOLATION,14480.0,7964.0,0.01,19253.0,65 CDM,RRUCLASM-1700017000--0170-SM35300-1000-1100,HB NURSERY BOARDER,1100.0,605.0,0.01,16055.0,65 CDM,RRUCLASM-1700017100--0171-SM30700-1000-1100,HB NURSERY NEWBORN,1100.0,605.0,0.01,16055.0,65 CDM,RRUCLASM-1700017200--0172-SM30185-1000-9540,HB SCU NURSERY,9540.0,5247.0,0.01,23366.0,64 CDM,RRUCLASM-1700017300--0173-SM30185-1000-13140,HB SCU MONITORED NURSERY,13140.0,7227.0,0.01,23366.0,64 CDM,RRUCLASM-1700017400--0174-SM30700-1000-21410,HB NICU,21410.0,11775.5,0.01,23366.0,65 CDM,RRUCLASM-2000020000--0200-SM30130-1000-20590,HB ICU,20590.0,11324.5,0.01,23366.0,65 CDM,RRUCLASM-2000020300--0203-SM30130-1000-21210,HB ICU PEDIATRIC,21210.0,11665.5,0.01,23366.0,65 CDM,RRUCLASM-2000020600--0206-SM30125-1000-12900,HB MONITORED ACCOMMODATION,12900.0,7095.0,0.01,19253.0,65 CDM,RRUCLASM-2609636000-96360-0260-SM30185-1000-860,HB NONCHEMO IV HYDRATION 1ST HOUR,860.0,473.0,51.3,957.0,123 CDM,RRUCLASM-2609636100-96361-0260-SM30185-1000-280,HB NONCHEMO IV HYDRATION EACH ADDL HR,280.0,154.0,14.6,957.0,123 CDM,RRUCLASM-2609636500-96365-0260-SM30185-1000-990,HB NONCHEMO IV INFUSION 1ST HOUR,990.0,544.5,62.6,957.0,123 CDM,RRUCLASM-2609636600-96366-0260-SM30185-1000-320,HB NONCHEMO IV INFUSION EACH ADDITIONAL HR,320.0,176.0,19.27,957.0,123 CDM,RRUCLASM-2609636700-96367-0260-SM40100-1000-350,HB NONCHEMO IV INFUSION SEQUENTIAL UPTO 1HR,350.0,192.5,31.05,957.0,123 CDM,RRUCLASM-2609636800-96368-0260-SM40100-1000-320,HB NONCHEMO IV INFUSION CONCURRENT EA DRUG,320.0,176.0,17.96,957.0,113 CDM,RRUCLASM-2701999900-A9999-0290-SM47701-1000-20,HB CATHETER TO STENT-LARYNGECTMY,20.0,11.0,5.0,18.0,113 CDM,RRUCLASM-2714166000-L1660-0274-SM47704-1000-480,HB HO ABDUC CONTR-PLAST ADJ+FIT,480.0,264.0,73.1,432.0,111 CDM,RRUCLASM-2714584800-L5848-0274-SM47704-1000-3160,HB PRSTHADENDSKL-KS STANCE EXT,3160.0,1738.0,677.28,2844.0,111 CDM,RRUCLASM-2714736800-L7368-0274-SM47704-1000-1480,HB PROSTH LITHIUM BATTERY CHARGER,1480.0,814.0,317.87,1332.0,111 CDM,RRUCLASM-2716526400-V5264-0271-SM47700-1000-150,HB EAR MOLD,150.0,82.5,37.5,135.0,113 CDM,RRUCLASM-2716526402-V5264-0271-SM47700-1000-130,HB SWIM MOLDS (1),130.0,71.5,32.5,117.0,113 CDM,RRUCLASM-2716526404-V5264-0271-SM47701-1000-180,HB MUSICIAN EARPLUG WITH FILTER EACH,180.0,99.0,45.0,162.0,113 CDM,RRUCLASM-2716526501-V5265-0271-SM47701-1000-70,HB MUSICIAN EARPLUG FILTER ONLY EACH,70.0,38.5,17.5,63.0,113 CDM,RRUCLASM-2720000710--0272-SM44210-1000-500,HB CHEST TUBE,500.0,275.0,125.0,450.0,113 CDM,RRUCLASM-2720000975-C1769-0272-SM46302-1000-1100,HB GUIDEWIRE NITNOL ENDOVASC EV3,1100.0,605.0,275.0,990.0,113 CDM,RRUCLASM-2720007133-C1769-0272-SM46302-1000-600,HB GUIDEWIRE GLIDEWIRE STANDARD BSCI TERUMO,600.0,330.0,150.0,540.0,113 CDM,RRUCLASM-2720023048-C1894-0272-SM45700-1000-130,HB SHEATH INTRDCR DIAG MICROPUNCTURE COOK,130.0,71.5,32.5,117.0,113 CDM,RRUCLASM-2720661439--0272-SM46200-1000-2960,HB ELECTRODE EEG SUBDURAL 4X5,2960.0,1628.0,740.0,2664.0,113 CDM,RRUCLASM-2720661440--0272-SM46200-1000-1450,HB ELECTRODE EEG INTRAOPERATIVE MONITORING 1X4,1450.0,797.5,362.5,1305.0,113 CDM,RRUCLASM-2720661441--0272-SM46200-1000-2280,HB ELECTRODE EEG INTRAOPERATIVE MONITORING 1X8,2280.0,1254.0,570.0,2052.0,113 CDM,RRUCLASM-2720665169--0272-SM46200-1000-4500,HB ELECTRODE EEG INTRAOPERATIVE MONITORING 8X8,4500.0,2475.0,1125.0,4050.0,113 CDM,RRUCLASM-2720670433--0272-SM46200-1000-660,HB ELECTRODE EPIDURAL SPINAL 3 CONTACT,660.0,363.0,165.0,594.0,113 CDM,RRUCLASM-2720670435--0272-SM46200-1000-2500,HB ELECTRODE EEG INTRAOPERATIVE MONITORING 2X8,2500.0,1375.0,625.0,2250.0,113 CDM,RRUCLASM-2720684096--0272-SM46200-1000-1960,HB HEADBAND EEG CERIBELL,1960.0,1078.0,490.0,1764.0,113 CDM,RRUCLASM-2720700275--0272-SM46200-1000-20,HB ELECTRODE EEG NEEDLE DISPOSABL,20.0,11.0,5.0,18.0,113 CDM,RRUCLASM-2740612772-L8509-0274-SM47701-1000-140,HB TEP VOICE CLIN INSRT PROVOX XTRAFLANGE ATOS,140.0,77.0,35.0,140.0,111 CDM,RRUCLASM-2741460401-A4604-0292-SM46202-1000-120,HB SLEEP LAB CPAP TUBING WITH INTEGRATED HEATING ELEMENT RESMED ,120.0,66.0,30.0,108.0,113 CDM,RRUCLASM-2741550000-A5500-0274-SM47704-1000-220,HB DIABETIC INSERT DENS CUSTOM EA,220.0,121.0,47.49,198.0,111 CDM,RRUCLASM-2741550001-A5500-0274-SM47704-1000-220,HB DIABETIC INSERT DENS PREFAB EA,220.0,121.0,47.49,198.0,111 CDM,RRUCLASM-2741550002-A5500-0274-SM47704-1000-290,HB DIABETIC SHOE OTS CUSTOM PREP+FIT EA,290.0,159.5,47.49,261.0,111 CDM,RRUCLASM-2741550100-A5501-0274-SM47704-1000-660,HB DIABETIC CUSTOM MOLDED SHOE,660.0,363.0,142.43,594.0,111 CDM,RRUCLASM-2741550300-A5503-0274-SM47704-1000-110,HB DIABETIC SHOE MOD W/ ROLLER/RIGID BTM,110.0,60.5,21.12,99.0,111 CDM,RRUCLASM-2741551200-A5512-0274-SM47704-1000-90,HB DIABETIC MULTI DEN INSERT MOLDED PREFAB,90.0,49.5,19.38,81.0,111 CDM,RRUCLASM-2741551300-A5513-0274-SM47704-1000-130,HB MULTI DEN INSERT CUSTOM MOLD,130.0,71.5,28.91,117.0,111 CDM,RRUCLASM-2741750700-A7507-0274-SM45700-1000-300,HB TRCHTUBE STOMA FILTER HOLDER PROVOX ATOS,300.0,165.0,5.797588,270.0,111 CDM,RRUCLASM-2741752000-A7520-0274-SM47701-1000-450,HB TUBE LARYNGECTOMY FENESTRATED STOMASOFT INHEALTH,450.0,247.5,110.187396,405.0,111 CDM,RRUCLASM-2741752001-A7520-0274-SM47701-1000-260,HB TUBE LARYNGECTOMY ATOS,260.0,143.0,65.0,234.0,111 CDM,RRUCLASM-2741752002-A7520-0274-SM47701-1000-450,HB TUBE LARYNGECTOMY STOMASOFT INHEALTH,450.0,247.5,110.187396,405.0,111 CDM,RRUCLASM-2741752005-A7520-0274-SM47701-1000-380,HB TUBE LARYNGECTOMY PROVOX ATOS,380.0,209.0,95.0,342.0,111 CDM,RRUCLASM-2741800000-A8000-0290-SM47704-1000-530,HB SOFT PROTECT HELMET PREFAB,530.0,291.5,35.599516,477.0,113 CDM,RRUCLASM-2741800200-A8002-0290-SM47704-1000-1500,HB SOFT PROTECT HELMET CUSTOM+ACCESSORIES,1500.0,825.0,375.0,1350.0,113 CDM,RRUCLASM-2741800300-A8003-0290-SM47704-1000-1500,HB HARD PROTECT HELMET CUSTOM+ACCESSORIES,1500.0,825.0,375.0,1350.0,113 CDM,RRUCLASM-2741928300-A9283-0271-SM47704-1000-80,HB OFF LOAD/SUPPORT DEVICE FOOT PRESSURE,80.0,44.0,20.0,72.0,113 CDM,RRUCLASM-2744012000-L0120-0274-SM47704-1000-100,HB OD CERV COLLAR FLEX NONADJ FOAM,100.0,55.0,21.3,90.0,111 CDM,RRUCLASM-2744012001-L0120-0274-SM47704-1000-100,HB OD CERVICAL COLLAR FOAM,100.0,55.0,21.3,90.0,111 CDM,RRUCLASM-2744013000-L0130-0274-SM47704-1000-500,HB OD CERV COLLAR THERMOPLASTIC,500.0,275.0,74.1,450.0,111 CDM,RRUCLASM-2744014000-L0140-0274-SM47704-1000-180,HB OD CERV COLLAR PLASTIC ADJUST,180.0,99.0,38.55,162.0,111 CDM,RRUCLASM-2744015000-L0150-0274-SM47704-1000-400,HB OD CERV COLLAR+CHIN CUP/ASPEN,400.0,220.0,68.26,360.0,111 CDM,RRUCLASM-2744016000-L0160-0274-SM47704-1000-500,HB OD CERV WIREFRAME+CHIN SUPPORT,500.0,275.0,76.48,450.0,111 CDM,RRUCLASM-2744017000-L0170-0274-SM47704-1000-2400,HB OD CERV COLLAR/PHILIDELPHIA,2400.0,1320.0,357.73,2160.0,111 CDM,RRUCLASM-2744017200-L0172-0274-SM47704-1000-450,HB OD CERV COLLAR THERMOPLAST 2PC,450.0,247.5,90.81,405.0,111 CDM,RRUCLASM-2744017298-L0172-0274-SM31500-1000-450,HB OD CERV COLLAR REPAIR PAD SET THERMOPLAST,450.0,247.5,112.5,405.0,111 CDM,RRUCLASM-2744017400-L0174-0274-SM47704-1000-1030,HB OD CERV COLLAR THERMPLAST+THOR,1030.0,566.5,182.93,927.0,111 CDM,RRUCLASM-2744018000-L0180-0274-SM47704-1000-1330,HB OD CERV COLLAR MULTIPOST ADJST,1330.0,731.5,177.53,1197.0,111 CDM,RRUCLASM-2744019000-L0190-0274-SM47704-1000-1860,HB OD CERV COLLAR MULTPOST+ADJBAR,1860.0,1023.0,259.73,1674.0,111 CDM,RRUCLASM-2744020000-L0200-0274-SM47704-1000-1930,HB OD CERV COLLAR MULTIPOST+THOR,1930.0,1061.5,349.54,1737.0,111 CDM,RRUCLASM-2744022000-L0220-0274-SM47704-1000-340,HB OD THORACIC RIB BELT CUST,340.0,187.0,34.48,306.0,111 CDM,RRUCLASM-2744045000-L0450-0274-SM47704-1000-650,HB TLSO FLEX DORSOLUMBAR SUPPORT,650.0,357.5,103.376476,585.0,111 CDM,RRUCLASM-2744045200-L0452-0274-SM47704-1000-1050,HB TLSO FLEX DORSOLUMBAR CUST FAB,1050.0,577.5,262.5,945.0,111 CDM,RRUCLASM-2744045400-L0454-0274-SM47704-1000-1020,HB TLSO FLEX D-LUMBAR ELAST+PNL,1020.0,561.0,218.02,918.0,111 CDM,RRUCLASM-2744045600-L0456-0274-SM47704-1000-2920,HB TLSO FLEX D-LUMBAR HYPEREXTNSN,2920.0,1606.0,625.21,2628.0,111 CDM,RRUCLASM-2744045700-L0457-0274-SM47704-1000-730,HB TLSO FLEX RIGID PREFAB PANEL OTS,730.0,401.5,182.5,732.33,111 CDM,RRUCLASM-2744046000-L0460-0274-SM47704-1000-2940,HB TLSO 2 SHL SYMPHYSIS STERN PREFAB W CUSTOM FIT,2940.0,1617.0,631.0,2646.0,111 CDM,RRUCLASM-2744046200-L0462-0274-SM47704-1000-3660,HB TLSO 3MOD SYMPHYSIS STERN PREFAB,3660.0,2013.0,784.86,3294.0,111 CDM,RRUCLASM-2744046400-L0464-0274-SM47704-1000-4360,HB TLSO 4MOD SYMPHYSIS STERN PREFAB,4360.0,2398.0,934.38,3924.0,111 CDM,RRUCLASM-2744046600-L0466-0274-SM47704-1000-1400,HB TLSO ANT-POST CONTROL/TAYLOR,1400.0,770.0,299.99,1260.0,111 CDM,RRUCLASM-2744046800-L0468-0274-SM47704-1000-1700,HB TLSO ANT-POS CONTROL PREFB+FIT,1700.0,935.0,363.6,1530.0,111 CDM,RRUCLASM-2744047000-L0470-0274-SM47704-1000-2390,HB TLSO ANT-POST-LAT CONTR/KNIGHT,2390.0,1314.5,511.92,2151.0,111 CDM,RRUCLASM-2744047200-L0472-0274-SM47704-1000-1520,HB TLSO A-P-L-ROTAT CONTR HYPERXT,1520.0,836.0,324.66,1368.0,111 CDM,RRUCLASM-2744048600-L0486-0274-SM44210-1000-6320,HB TLSO A-P-L CONTR+INTERFC/KYDEX,6320.0,3476.0,0.6296,5688.0,111 CDM,RRUCLASM-2744062100-L0621-0274-SM47704-1000-350,HB SO FLEX+PELV/SACR SUPP PREFAB OTS,350.0,192.5,54.503972,315.0,111 CDM,RRUCLASM-2744062300-L0623-0274-SM47704-1000-520,HB SO RIG PELV/SACR SUPP PREFAB OTS,520.0,286.0,97.711784,468.0,111 CDM,RRUCLASM-2744062501-L0625-0274-SM47704-1000-160,HB LO FLEX+LUMB SUPP PREFAB+FIT,160.0,88.0,30.499632,144.0,111 CDM,RRUCLASM-2744062600-L0626-0274-SM47704-1000-230,HB LO RIGID POST PANEL PREFAB+FIT,230.0,126.5,49.0,207.0,111 CDM,RRUCLASM-2744062700-L0627-0274-SM47704-1000-1210,HB LO RIGID ANT-POST PANEL PREFAB,1210.0,665.5,258.38,1089.0,111 CDM,RRUCLASM-2744062800-L0628-0274-SM47704-1000-250,HB LSO FLEX+LUMBOSACR SUPP PREFAB,250.0,137.5,46.43054,225.0,111 CDM,RRUCLASM-2744062900-L0629-0274-SM47704-1000-500,HB LSO FLEX+LUMBOSACR SUPP CUSTOM,500.0,275.0,125.0,450.0,111 CDM,RRUCLASM-2744063000-L0630-0274-SM47704-1000-480,HB LSO RIGID POST PANEL PREFB+FIT,480.0,264.0,101.81,432.0,111 CDM,RRUCLASM-2744063100-L0631-0274-SM44210-1000-3010,HB LSO RIGID ANT-POST PNL PREFAB,3010.0,1655.5,645.31,2709.0,111 CDM,RRUCLASM-2744063200-L0632-0274-SM47704-1000-2500,HB LSO RIGID ANT-POST PNL CUSTOM,2500.0,1375.0,625.0,2250.0,111 CDM,RRUCLASM-2744063300-L0633-0274-SM47704-1000-840,HB LSO RIGID POST FRAME/PNL PREFB,840.0,462.0,180.25,756.0,111 CDM,RRUCLASM-2744063400-L0634-0274-SM47704-1000-2500,HB LSO RIGID POST FRAME/PNL CUST,2500.0,1375.0,625.0,2250.0,111 CDM,RRUCLASM-2744063500-L0635-0274-SM47704-1000-3590,HB LSO RIGID POST FRAME+LAT PREFB,3590.0,1974.5,768.58,3231.0,111 CDM,RRUCLASM-2744063600-L0636-0274-SM47704-1000-5310,HB LSO RIGID POST FRAME+LAT CUST,5310.0,2920.5,0.6296,4779.0,111 CDM,RRUCLASM-2744063700-L0637-0274-SM47704-1000-3550,HB LSO RIGID A-P FRAME+LAT PREFAB,3550.0,1952.5,760.51,3195.0,111 CDM,RRUCLASM-2744063800-L0638-0274-SM47704-1000-3870,HB LSO RIGID A-P FRAME+LAT CUSTOM,3870.0,2128.5,829.08,3483.0,111 CDM,RRUCLASM-2744063900-L0639-0274-SM47704-1000-3550,HB LSO RIGID POST SHELL PREFB+FIT,3550.0,1952.5,760.51,3195.0,111 CDM,RRUCLASM-2744064000-L0640-0274-SM47704-1000-3070,HB LSO RIGID POST SHELL CUSTOM,3070.0,1688.5,657.77,2763.0,111 CDM,RRUCLASM-2744064100-L0641-0274-SM47704-1000-230,HB LO RIGID POS PNL L1 TO L5 VERT PREFAB OTS,230.0,126.5,43.141364,207.0,111 CDM,RRUCLASM-2744064200-L0642-0274-SM47704-1000-1210,HB LO RIGID ANT POS PNL L1 TO L5 VERT PREFAB OTS,1210.0,665.5,227.517952,1089.0,111 CDM,RRUCLASM-2744064300-L0643-0274-SM47704-1000-480,HB LSO RIGID POS PNL SAC TO T9 VERT PREFAB OTS,480.0,264.0,89.638352,432.0,111 CDM,RRUCLASM-2744064800-L0648-0274-SM47704-1000-3010,HB LSO RIGID ANT POS PNL SAC TO T9 VERT PREFAB OTS,3010.0,1655.5,568.196848,2709.0,111 CDM,RRUCLASM-2744064900-L0649-0274-SM47704-1000-840,HB LSO RIGID SAG-COR CTRL POS LAT PNL SAC TO T9 VERT PREFAB OTS,840.0,462.0,158.711048,756.0,111 CDM,RRUCLASM-2744065000-L0650-0274-SM47704-1000-3550,HB LSO RIGID SAG-COR CTRL ANT POS PNL SAC TO T9 VERT PREFAB OTS,3550.0,1952.5,657.436512,3195.0,111 CDM,RRUCLASM-2744065100-L0651-0274-SM47704-1000-3550,HB LSO RIGID SAG-COR CTRL POS SHLL SAC TO T9 VERT PREFAB OTS,3550.0,1952.5,657.436512,3195.0,111 CDM,RRUCLASM-2744070000-L0700-0274-SM47704-1000-3440,HB CTLSO A-P-L CONTR MOLD MINERVA,3440.0,1892.0,860.0,3440.0,111 CDM,RRUCLASM-2744071000-L0710-0274-SM47704-1000-7830,HB CTLSO A-P-L CONTR MOLD+INTERFC,7830.0,4306.5,0.6296,7047.0,111 CDM,RRUCLASM-2744072000-L0720-0274-SM47704-1000-6850,HB CTLSO A-P-L PREFB MOLD+FIT,6850.0,3767.5,0.6296,6165.0,111 CDM,RRUCLASM-2744081000-L0810-0274-SM44210-1000-9660,HB OD CERV HALO+JACKET VEST,9660.0,5313.0,0.6296,8694.0,111 CDM,RRUCLASM-2744086100-L0861-0274-SM44210-1000-630,HB HALO ADD-REPLAC LINER/INTERFAC,630.0,346.5,135.49,567.0,111 CDM,RRUCLASM-2744097000-L0970-0274-SM47704-1000-430,HB TLSO CORSET FRONT,430.0,236.5,74.83,387.0,111 CDM,RRUCLASM-2744097400-L0974-0274-SM47704-1000-650,HB TLSO SPINE ADDN-FULL CORSET,650.0,357.5,114.88,585.0,111 CDM,RRUCLASM-2744097600-L0976-0274-SM47704-1000-460,HB LSO CORSET FULL,460.0,253.0,82.0,414.0,111 CDM,RRUCLASM-2744098400-L0984-0274-SM47704-1000-190,HB SO SPINE ADD-PROTCT BODSOCK EA,190.0,104.5,38.1,171.0,111 CDM,RRUCLASM-2744099900-L0999-0274-SM47704-1000-50,HB SPINAL ORTHO ADDN REPLC CERV COLLAR PADS,50.0,27.5,12.5,45.0,111 CDM,RRUCLASM-2744100000-L1000-0274-SM47704-1000-7610,HB CTLSO INITIAL+MODEL-MILWAUKEE,7610.0,4185.5,0.6296,6849.0,111 CDM,RRUCLASM-2744100500-L1005-0274-SM47704-1000-4050,HB ORTH SCOLIOSIS TENSION+PADS+FIT+ADJ,4050.0,2227.5,1012.5,4050.0,111 CDM,RRUCLASM-2744101000-L1010-0274-SM47704-1000-210,HB CTLSO ADDN-AXILLA SLING,210.0,115.5,31.31,189.0,111 CDM,RRUCLASM-2744102000-L1020-0274-SM47704-1000-320,HB CTLSO ADDN-KYPHOSIS PAD,320.0,176.0,62.06,288.0,111 CDM,RRUCLASM-2744104000-L1040-0274-SM47704-1000-290,HB CTLSO ADDN-LUMBAR/L-RIB PAD,290.0,159.5,54.85,261.0,111 CDM,RRUCLASM-2744105000-L1050-0274-SM47704-1000-310,HB CTLSO ADDN-STERNAL PAD,310.0,170.5,58.02,279.0,111 CDM,RRUCLASM-2744106000-L1060-0274-SM47704-1000-360,HB CTLSO ADDN-THORACIC PAD,360.0,198.0,57.78,324.0,111 CDM,RRUCLASM-2744107000-L1070-0274-SM47704-1000-340,HB CTLSO ADDN-TRAPEZIUS SLING,340.0,187.0,53.75,306.0,111 CDM,RRUCLASM-2744108000-L1080-0274-SM47704-1000-180,HB CTLSO ADDN-OUTRIGGER,180.0,99.0,29.15,162.0,111 CDM,RRUCLASM-2744112000-L1120-0274-SM47704-1000-150,HB CTLSO ADDN-UPRIGHT COVER EACH,150.0,82.5,31.89,135.0,111 CDM,RRUCLASM-2744120000-L1200-0274-SM47704-1000-5870,HB TLSO INITIAL ORTHOSIS /BOSTON,5870.0,3228.5,0.6296,5283.0,111 CDM,RRUCLASM-2744121000-L1210-0274-SM47704-1000-1180,HB TLSO ADDN LOW PROFILE LAT THOR EXTENSION,1180.0,649.0,139.61,1062.0,111 CDM,RRUCLASM-2744122000-L1220-0274-SM47704-1000-1000,HB TLSO ADDN LOW PROFILE ANT THOR EXTENSION,1000.0,550.0,139.61,900.0,111 CDM,RRUCLASM-2744124000-L1240-0274-SM47704-1000-290,HB TLSO ADDN-LUMBAR DEROTATE PAD,290.0,159.5,50.4,261.0,111 CDM,RRUCLASM-2744125000-L1250-0274-SM47704-1000-230,HB TLSO ADDN-ANTERIOR ASIS PAD,230.0,126.5,38.06,207.0,111 CDM,RRUCLASM-2744126000-L1260-0274-SM47704-1000-250,HB TLSO ADDN-ANT THOR DEROTAT PAD,250.0,137.5,41.96,225.0,111 CDM,RRUCLASM-2744127000-L1270-0274-SM47704-1000-350,HB TLSO ADDN LOW PROFILE ABDOMINAL PAD,350.0,192.5,56.61,315.0,111 CDM,RRUCLASM-2744129000-L1290-0274-SM47704-1000-290,HB TLSO ADDN-LAT TROCHANTERIC PAD,290.0,159.5,63.11,261.0,111 CDM,RRUCLASM-2744132000-L1320-0274-SM47704-1000-850,HB THOR PECTUS CARINATUM ORTHO STERN COMPRESS RIGID CUST FAB,850.0,467.5,212.5,765.0,111 CDM,RRUCLASM-2744149900-L1499-0274-SM47704-1000-2400,HB SO TLSO A-P-L +INTERFACE NOT OTH SPEC,2400.0,1320.0,600.0,2160.0,111 CDM,RRUCLASM-2744149902-L1499-0274-SM47704-1000-2060,HB ORTHO PECTUS-CUSTOM TO CAST,2060.0,1133.0,515.0,1854.0,111 CDM,RRUCLASM-2744149903-L1499-0274-SM47704-1000-1570,HB ORTHO PECTUS-CUSTOM TO MEASUREMENT,1570.0,863.5,392.5,1413.0,111 CDM,RRUCLASM-2744149904-L1499-0274-SM47704-1000-680,HB ORTHO PECTUS-CUSTOM TO FIT,680.0,374.0,170.0,612.0,111 CDM,RRUCLASM-2744162000-L1620-0274-SM47704-1000-470,HB HO ABDUC CONTR-PAVLKHARNES+FIT,470.0,258.5,100.03,423.0,111 CDM,RRUCLASM-2744165000-L1650-0274-SM47704-1000-760,HB HO ABDUC CONTR-ILFLED ADJ+FIT,760.0,418.0,154.6,684.0,111 CDM,RRUCLASM-2744165200-L1652-0274-SM47704-1000-1190,HB HO BILAT CUFF THIGH W ADJ ABDCT SPRD BAR ADULT PREFAB+FIT,1190.0,654.5,224.08,1071.0,111 CDM,RRUCLASM-2744168500-L1685-0274-SM47704-1000-4460,HB HO ABDUC CONTR-POSTOP HIP CUST,4460.0,2453.0,955.08,4014.0,111 CDM,RRUCLASM-2744168600-L1686-0274-SM47704-1000-3420,HB HO ABDC CONTR- P-OP PREFAB+FIT,3420.0,1881.0,654.94,3078.0,111 CDM,RRUCLASM-2744173000-L1730-0274-SM47704-1000-4240,HB OD LEGG PERTH SCOTT RITE CUST,4240.0,2332.0,820.7,3816.0,111 CDM,RRUCLASM-2744181200-L1812-0274-SM47704-1000-370,HB KO ELASTIC+JOINTS PREFAB OTS,370.0,203.5,91.64,333.0,111 CDM,RRUCLASM-2744182000-L1820-0274-SM47704-1000-440,HB KO ELAST+CONDYL PAD&JT PRE+FIT,440.0,242.0,80.69,396.0,111 CDM,RRUCLASM-2744183000-L1830-0274-SM44210-1000-330,HB KO IMMOBILZR CANVAS PREFB+FIT,330.0,181.5,70.24,297.0,111 CDM,RRUCLASM-2744183001-L1830-0274-SM47704-1000-330,HB KO IMMOBILZR CANVAS PREFB+FIT DJ ORTHO,330.0,181.5,70.24,297.0,111 CDM,RRUCLASM-2744183002-L1830-0274-SM47704-1000-330,HB IMMOBILIZER KNEE,330.0,181.5,70.24,297.0,111 CDM,RRUCLASM-2744183100-L1831-0274-SM47704-1000-860,HB KO LOCKING POSITIONAL W FIT+ADJ,860.0,473.0,185.01,774.0,111 CDM,RRUCLASM-2744183200-L1832-0274-SM47704-1000-2040,HB KO ADJST JNTS RIGID PREFAB+FIT,2040.0,1122.0,384.13,1836.0,111 CDM,RRUCLASM-2744183300-L1833-0274-SM47704-1000-2040,HB KO ADJ JNT POS RIGID SUP PREFAB OTS,2040.0,1122.0,510.0,1836.0,111 CDM,RRUCLASM-2744183400-L1834-0274-SM47704-1000-3090,HB KO WO JNT RIGID CUSTOM,3090.0,1699.5,400.4,2781.0,111 CDM,RRUCLASM-2744184000-L1840-0274-SM47704-1000-3450,HB KO DEROTAT CRUCIAT CUST/LINNOX,3450.0,1897.5,655.72,3105.0,111 CDM,RRUCLASM-2744184300-L1843-0274-SM47704-1000-2630,HB KO SGL UPRT TGH+CLF ADJST FLXION PREFAB TRMD BNT MLD,2630.0,1446.5,259.7,2367.0,111 CDM,RRUCLASM-2744184400-L1844-0274-SM47704-1000-5960,HB KO SGL UPRT ADJST JNT CUSTOM,5960.0,3278.0,0.6296,5364.0,111 CDM,RRUCLASM-2744184500-L1845-0274-SM47704-1000-2300,HB KO DBL UPRT ADJST JNT PRE+FIT,2300.0,1265.0,349.56,2070.0,111 CDM,RRUCLASM-2744184600-L1846-0274-SM47704-1000-4190,HB KO PLAST DBL UPRT CUST/POLYPRO,4190.0,2304.5,644.44,3771.0,111 CDM,RRUCLASM-2744184601-L1846-0274-SM47704-1000-4190,HB KO PLAST POLYCENTRC PNEUM CUST,4190.0,2304.5,644.44,3771.0,111 CDM,RRUCLASM-2744185000-L1850-0274-SM47704-1000-1080,HB KO SWEDISH CAGE PREFAB+FIT,1080.0,594.0,174.42,972.0,111 CDM,RRUCLASM-2744190000-L1900-0274-SM47704-1000-860,HB AFO SPRING WIR DRSFLX CLF BND CUST,860.0,473.0,132.35,774.0,111 CDM,RRUCLASM-2744190200-L1902-0274-SM47704-1000-260,HB AFO ANKLE GAUNTLET PREFAB+FIT,260.0,143.0,65.0,234.0,111 CDM,RRUCLASM-2744190400-L1904-0274-SM47704-1000-1760,HB AFO ANKLE GAUNTLET W WO JTS CUST,1760.0,968.0,337.31,1584.0,111 CDM,RRUCLASM-2744190600-L1906-0274-SM47704-1000-450,HB AFO SUPPRT MULTILIG PREFAB+FIT,450.0,247.5,96.56,405.0,111 CDM,RRUCLASM-2744190700-L1907-0274-SM47704-1000-1650,HB AFO SUPRAMALLEOLAR+STRAP CUST,1650.0,907.5,353.71,1485.0,111 CDM,RRUCLASM-2744191000-L1910-0274-SM47704-1000-1000,HB AFO POST SGL BAR PREFAB+FIT,1000.0,550.0,147.95,900.0,111 CDM,RRUCLASM-2744193000-L1930-0274-SM47704-1000-890,HB AFO PLASTIC PREFAB+FIT,890.0,489.5,132.43,801.0,111 CDM,RRUCLASM-2744193200-L1932-0274-SM47704-1000-2620,HB AFO RIGID ANT TIB SECTION TOTAL CARBON FIBER PREFAB + FIT&ADJ,2620.0,1441.0,560.94,2358.0,111 CDM,RRUCLASM-2744193300-L1933-0274-SM47704-1000-3150,HB AFO RIGID ANT TIB SECTION TOTAL CARBON FIBER PREFAB OTS,3150.0,1732.5,787.5,2835.0,111 CDM,RRUCLASM-2744194000-L1940-0274-SM47704-1000-1850,HB AFO PLASTIC CUSTOM,1850.0,1017.5,347.88,1665.0,111 CDM,RRUCLASM-2744194500-L1945-0274-SM47704-1000-3470,HB AFO MOLDED PLAS RIGID ANT TIBIAL CUSTOM,3470.0,1908.5,554.4,3123.0,111 CDM,RRUCLASM-2744195000-L1950-0274-SM47704-1000-2790,HB AFO SPIRAL PLASTIC CUST,2790.0,1534.5,437.48,2511.0,111 CDM,RRUCLASM-2744195100-L1951-0274-SM47704-1000-2460,HB AFO SPIRAL PLASTIC/OTHER PREFAB+FIT,2460.0,1353.0,527.93,2214.0,111 CDM,RRUCLASM-2744196000-L1960-0274-SM47704-1000-2080,HB AFO PLAST POST SOLID ANKL CUST,2080.0,1144.0,332.0,1872.0,111 CDM,RRUCLASM-2744197000-L1970-0274-SM47704-1000-2170,HB AFO PLASTIC+ANKLE JOINT CUSTOM,2170.0,1193.5,449.28,1953.0,111 CDM,RRUCLASM-2744197100-L1971-0274-SM47704-1000-1370,HB AFO PLASTIC+ANKLE JOINT PREFAB+FIT,1370.0,753.5,294.64,1233.0,111 CDM,RRUCLASM-2744198000-L1980-0274-SM47704-1000-1380,HB AFO SINGL SOLID STIRRUP CALF BND CUST,1380.0,759.0,235.66,1242.0,111 CDM,RRUCLASM-2744199000-L1990-0274-SM47704-1000-1670,HB AFO DBL UP STIRRUP BAR-BK CUST,1670.0,918.5,274.89,1503.0,111 CDM,RRUCLASM-2744200000-L2000-0274-SM47704-1000-3800,HB KAFO SINGL FREE TGH+CLF BND CUST,3800.0,2090.0,814.41,3420.0,111 CDM,RRUCLASM-2744200500-L2005-0274-SM47704-1000-12020,HB KAFO STANCE CONTROL CUSTOM,12020.0,6611.0,0.6296,10818.0,111 CDM,RRUCLASM-2744200600-L2006-0274-SM47704-1000-111810,HB KAFO STANCE MICROPROCESSOR CONTROL CUST,111810.0,61495.5,0.6296,100629.0,111 CDM,RRUCLASM-2744201000-L2010-0274-SM47704-1000-3460,HB KAFO SINGL FREE ANKLE TGH+CLF BND WO KNEE CUST,3460.0,1903.0,742.41,3114.0,111 CDM,RRUCLASM-2744202000-L2020-0274-SM47704-1000-4380,HB KAFO DBL STIRRUP FREE AK CUST,4380.0,2409.0,925.91,3942.0,111 CDM,RRUCLASM-2744203000-L2030-0274-SM47704-1000-3800,HB KAFO DBL SOLID STIRRUP TGH+CLF BND WO KNEE CUST,3800.0,2090.0,753.2,3420.0,111 CDM,RRUCLASM-2744203400-L2034-0274-SM47704-1000-5880,HB KAFO SGL W WO FREE MOT KNEE MED-LAT ROT CONT W WO FREE MOT AN,5880.0,3234.0,0.6296,5292.0,111 CDM,RRUCLASM-2744203500-L2035-0274-SM47704-1000-510,HB KAFO STATIC PED WO FREE MOT ANKLE PREFAB+FIT,510.0,280.5,83.31,459.0,111 CDM,RRUCLASM-2744203600-L2036-0274-SM47704-1000-6230,HB KAFO PLAST DBL UPRT FREE CUST,6230.0,3426.5,0.6296,5607.0,111 CDM,RRUCLASM-2744203700-L2037-0274-SM47704-1000-6240,HB KAFO SGL UPRT W WO FREE MOT KNEE W WO FREE MOT ANKLE CUST,6240.0,3432.0,0.6296,5616.0,111 CDM,RRUCLASM-2744203800-L2038-0274-SM47704-1000-4590,HB KAFO PLAST MULTAXIS WO JT CUST,4590.0,2524.5,811.87,4131.0,111 CDM,RRUCLASM-2744204000-L2040-0274-SM47704-1000-500,HB HKAFO TORS CONT BILAT ROT STRAPS PELV BND/BELT CUST,500.0,275.0,68.52,450.0,111 CDM,RRUCLASM-2744205000-L2050-0274-SM47704-1000-1780,HB HKAFO TORS CONT BILAT TORS CBLS HIP JT PELV BND/BELT CUST,1780.0,979.0,249.84,1602.0,111 CDM,RRUCLASM-2744206000-L2060-0274-SM47704-1000-2180,HB HKAFO TORS CONT BILAT TORS CBLS BLL BR HIP JT PELV BND/BELT C,2180.0,1199.0,427.86,1962.0,111 CDM,RRUCLASM-2744207000-L2070-0274-SM47704-1000-420,HB HKAFO TORS CONT UNILAT ROT STRAPS PELV BND/BELT CUST,420.0,231.0,61.09,378.0,111 CDM,RRUCLASM-2744208000-L2080-0274-SM47704-1000-1350,HB HKAFO TORS CONT UNILAT TORS CBLE HIP JT PELV BND/BELT CUST,1350.0,742.5,173.82,1215.0,111 CDM,RRUCLASM-2744209000-L2090-0274-SM47704-1000-1640,HB HKAFO TORS CONT UNILAT TORS CBLE BLL BR HIP JT PELV BND/BELT ,1640.0,902.0,264.25,1476.0,111 CDM,RRUCLASM-2744210600-L2106-0274-SM47704-1000-2550,HB AFO FX TIB CAST THERMPLST CUST,2550.0,1402.5,162.4,2295.0,111 CDM,RRUCLASM-2744210800-L2108-0274-SM47704-1000-3700,HB AFO FX TIBIAL CAST CUSTOM,3700.0,2035.0,565.16,3330.0,111 CDM,RRUCLASM-2744211200-L2112-0274-SM47704-1000-1610,HB AFO FX TIB CAST SFT PREFAB+FIT,1610.0,885.5,237.44,1449.0,111 CDM,RRUCLASM-2744212600-L2126-0274-SM47704-1000-3850,HB KAFO FX FEMUR CAST RIDIGCUSTOM,3850.0,2117.5,660.98,3465.0,111 CDM,RRUCLASM-2744212800-L2128-0274-SM47704-1000-6050,HB KAFO FX FEMUR CAST CUSTOM,6050.0,3327.5,0.6296,5445.0,111 CDM,RRUCLASM-2744213600-L2136-0274-SM47704-1000-4430,HB KAFO FX FEMUR RIGID PREFAB+FIT,4430.0,2436.5,820.93,3987.0,111 CDM,RRUCLASM-2744218000-L2180-0274-SM47704-1000-440,HB FX ORTH ADD-SHOE INSRT+ANKL JT,440.0,242.0,94.02,396.0,111 CDM,RRUCLASM-2744218200-L2182-0274-SM47704-1000-300,HB FX ORTH ADD-DROP LOCK KNEE JNT,300.0,165.0,44.63,270.0,111 CDM,RRUCLASM-2744218400-L2184-0274-SM47704-1000-350,HB FX ORTH ADD-LIMIT MOTION KNEE,350.0,192.5,40.08,315.0,111 CDM,RRUCLASM-2744218600-L2186-0274-SM47704-1000-420,HB FX ORTH ADD-ADJ MOTION KNEE JT,420.0,231.0,61.32,378.0,111 CDM,RRUCLASM-2744218800-L2188-0274-SM47704-1000-840,HB FX ORTH ADD-LE QUADRILAT BRIM,840.0,462.0,38.99,756.0,111 CDM,RRUCLASM-2744219200-L2192-0274-SM47704-1000-1340,HB FX ORTH ADD-HIP/PELV/THGH BELT,1340.0,737.0,250.24,1206.0,111 CDM,RRUCLASM-2744220000-L2200-0274-SM47704-1000-180,HB ADD LWR EXT LMTD ANKLE MOT EACH JT,180.0,99.0,28.64,162.0,111 CDM,RRUCLASM-2744221000-L2210-0274-SM47704-1000-250,HB SASK ADD-DORSASSIST&PLNTRESIST,250.0,137.5,30.8,225.0,111 CDM,RRUCLASM-2744222000-L2220-0274-SM47704-1000-310,HB SASKADD-DORS&PLNT ADJ ANKL JNT,310.0,170.5,50.55,279.0,111 CDM,RRUCLASM-2744223000-L2230-0274-SM47704-1000-290,HB ADD LWR EXT SPLT FLT CALPR STIRRUPS+PLATE,290.0,159.5,54.08,261.0,111 CDM,RRUCLASM-2744223200-L2232-0274-SM47704-1000-290,HB ADD LWR EXT ORTC RCKR BTTM TTL CNCT AFO CUST ONLY,290.0,159.5,62.56,261.0,111 CDM,RRUCLASM-2744224000-L2240-0274-SM47704-1000-310,HB ADD LWR EXT RND CLPR+PLATE,310.0,170.5,50.85,279.0,111 CDM,RRUCLASM-2744225000-L2250-0274-SM47704-1000-1330,HB SASK ADD-FT PLATE MOLD+STIRRUP,1330.0,731.5,285.31,1197.0,111 CDM,RRUCLASM-2744226000-L2260-0274-SM47704-1000-750,HB SASK ADD-SOLID REINFOR STIRRUP,750.0,412.5,160.96,675.0,111 CDM,RRUCLASM-2744226500-L2265-0274-SM47704-1000-440,HB ADD LWR EXT LONG TONGUE STIRRUP,440.0,242.0,52.64,396.0,111 CDM,RRUCLASM-2744227000-L2270-0274-SM47704-1000-200,HB SASKADD-VAR/VALGUS T-STRAP+PAD,200.0,110.0,43.12,180.0,111 CDM,RRUCLASM-2744227500-L2275-0274-SM47704-1000-440,HB SASK ADD-VAR/VALGU PLASTIC+PAD,440.0,242.0,72.37,396.0,111 CDM,RRUCLASM-2744228000-L2280-0274-SM47704-1000-1700,HB ADD LWR EXT MOLDED INNER BOOT,1700.0,935.0,258.15,1530.0,111 CDM,RRUCLASM-2744230000-L2300-0274-SM47704-1000-1010,HB SASK ADD-BAR ABDUCTN JOINTED ADJ,1010.0,555.5,216.18,909.0,111 CDM,RRUCLASM-2744233000-L2330-0274-SM47704-1000-1470,HB ADD LWR EXT LACR MOLDED TO PT MODEL CUST ONLY,1470.0,808.5,206.53,1323.0,111 CDM,RRUCLASM-2744234000-L2340-0274-SM47704-1000-1670,HB SASK ADD-PRETIBIAL SHELL MOLD,1670.0,918.5,262.19,1503.0,111 CDM,RRUCLASM-2744235000-L2350-0274-SM47704-1000-3340,HB ADD LWR EXT PROST PTB AFO SOCKET MOLDED TO PT MODEL,3340.0,1837.0,715.46,3006.0,111 CDM,RRUCLASM-2744237000-L2370-0274-SM47704-1000-960,HB ADD LWR EXT PATTEN BTTM,960.0,528.0,206.12,864.0,111 CDM,RRUCLASM-2744237500-L2375-0274-SM47704-1000-420,HB SASK ADD-ANKL TORSCONTR+STIRUP,420.0,231.0,70.18,378.0,111 CDM,RRUCLASM-2744238000-L2380-0274-SM47704-1000-460,HB ADD LWR EXT TORS CONT STRT KNEE EACH JT,460.0,253.0,82.86,414.0,111 CDM,RRUCLASM-2744238500-L2385-0274-SM47704-1000-500,HB SASK ADD-KNEE STRAIT HEAVYDUTY,500.0,275.0,76.95,450.0,111 CDM,RRUCLASM-2744238700-L2387-0274-SM47704-1000-620,HB ADD LWR EXT POLY KNEE CUST FAB KAFO EACH JT,620.0,341.0,132.88,558.0,111 CDM,RRUCLASM-2744239000-L2390-0274-SM47704-1000-410,HB ADD LWR EXT OFFSET KNEE EACH JT,410.0,225.5,62.06,369.0,111 CDM,RRUCLASM-2744239500-L2395-0274-SM47704-1000-540,HB SASK ADD-KNE OFFSET HVYDUTY/JT,540.0,297.0,85.54,486.0,111 CDM,RRUCLASM-2744239700-L2397-0274-SM47704-1000-90,HB ADD LWR EXT ORTHOSIS SUSPN SLEEVE,90.0,49.5,22.5,90.0,111 CDM,RRUCLASM-2744240500-L2405-0274-SM47704-1000-260,HB KO ADD-DROP LOCK EACH JOINT,260.0,143.0,37.82,234.0,111 CDM,RRUCLASM-2744241500-L2415-0274-SM47704-1000-360,HB KO ADD-KNEE CAM LOCK/JOINT,360.0,198.0,73.41,324.0,111 CDM,RRUCLASM-2744242500-L2425-0274-SM47704-1000-420,HB ADD KNEE DISC OR DIAL LOCK ADJ FLEX EACH JT,420.0,231.0,70.12,378.0,111 CDM,RRUCLASM-2744243000-L2430-0274-SM47704-1000-420,HB ADD KNEE RTCHT LOCK ACTV PROG KNEE EXT EACH JT,420.0,231.0,46.55,378.0,111 CDM,RRUCLASM-2744249200-L2492-0274-SM47704-1000-330,HB ADD KNEE LIFT LOOP DROP LOCK RING,330.0,181.5,57.2,297.0,111 CDM,RRUCLASM-2744250000-L2500-0274-SM47704-1000-1180,HB ADD LWR EXT THIGH GLUTE/ISCHIAL WGT/BEARING,1180.0,649.0,158.01,1062.0,111 CDM,RRUCLASM-2744251000-L2510-0274-SM47704-1000-2720,HB PRSTH ADD LE THIGH/WEIGHT-BEAR QUADRILAT BRIM MOLDED PATIENT ,2720.0,1496.0,401.2,2448.0,111 CDM,RRUCLASM-2744252000-L2520-0274-SM47704-1000-1730,HB ADD LWR EXT THIGH QUADLAT WGT BEARING CUST,1730.0,951.5,307.56,1557.0,111 CDM,RRUCLASM-2744252500-L2525-0274-SM47704-1000-4260,HB ADD LWR EXT THIGH WGT BEARING ISCHIAL CONT NRRW M-L BRIM PT M,4260.0,2343.0,415.52,3834.0,111 CDM,RRUCLASM-2744252600-L2526-0274-SM47704-1000-2380,HB ADD LWR EXT THIGH WGT BEARING ISCHIAL CONT NRRW M-L BRIM CUST,2380.0,1309.0,200.48,2142.0,111 CDM,RRUCLASM-2744253000-L2530-0274-SM47704-1000-880,HB WT BEAR ADD-LACER NONMOLDED,880.0,484.0,151.25,792.0,111 CDM,RRUCLASM-2744254000-L2540-0274-SM47704-1000-1580,HB ADD LWR EXT THIGH WGT BEARING LACER PT MOLDED,1580.0,869.0,242.5,1422.0,111 CDM,RRUCLASM-2744255000-L2550-0274-SM47704-1000-1080,HB ADD LWR EXT THIGH WGT BEARING HIGH ROLL CUFF,1080.0,594.0,171.62,972.0,111 CDM,RRUCLASM-2744257000-L2570-0274-SM47704-1000-1780,HB PELVTHOR CONTR ADD HIP JT 2POS,1780.0,979.0,257.6,1602.0,111 CDM,RRUCLASM-2744260000-L2600-0274-SM47704-1000-770,HB PELVTHOR CONTR ADD HIP JT FREE,770.0,423.5,122.42,693.0,111 CDM,RRUCLASM-2744261000-L2610-0274-SM47704-1000-910,HB PELVTHOR CONTR ADD HIP JT LOCK,910.0,500.5,194.99,819.0,111 CDM,RRUCLASM-2744262000-L2620-0274-SM47704-1000-1000,HB PELVTHOR CONTR ADD HIP HVYDUTY,1000.0,550.0,190.07,900.0,111 CDM,RRUCLASM-2744262400-L2624-0274-SM47704-1000-1240,HB PELVTHOR CONTR ADD HIP ADJ FEA,1240.0,682.0,265.89,1116.0,111 CDM,RRUCLASM-2744263000-L2630-0274-SM47704-1000-930,HB PELVTHOR CONTR ADD BELT UNILAT,930.0,511.5,116.7,837.0,111 CDM,RRUCLASM-2744264000-L2640-0274-SM47704-1000-1260,HB LE ADD-PELVC CONTROL BAND/BELT BILATERAL,1260.0,693.0,165.93,1134.0,111 CDM,RRUCLASM-2744275500-L2755-0274-SM47704-1000-380,HB PRSTH ADD LE ORTHOSIS HI STRENGTH LITEWT HYBRID COMPOSITE/SEG,380.0,209.0,61.87,342.0,111 CDM,RRUCLASM-2744276000-L2760-0274-SM47704-1000-230,HB GEN ORTH ADD-EXTENSION/BAR,230.0,126.5,37.59,207.0,111 CDM,RRUCLASM-2744276800-L2768-0274-SM47704-1000-380,HB GEN ORTH ADD-BAR DISCONNECT EA,380.0,209.0,81.9,342.0,111 CDM,RRUCLASM-2744278000-L2780-0274-SM47704-1000-250,HB GEN ORTH ADD-NONCORROSV FINISH,250.0,137.5,40.07,225.0,111 CDM,RRUCLASM-2744278500-L2785-0274-SM47704-1000-120,HB GEN ORTH ADD-DROPLOC RETAIN EA,120.0,66.0,11.15,108.0,111 CDM,RRUCLASM-2744279500-L2795-0274-SM47704-1000-320,HB GEN ORTH ADD-KNECAP FULL CONTR,320.0,176.0,59.71,288.0,111 CDM,RRUCLASM-2744280000-L2800-0274-SM47704-1000-400,HB GEN ORTH ADD-KNECAP M-LAT PULL,400.0,220.0,73.36,360.0,111 CDM,RRUCLASM-2744281000-L2810-0274-SM47704-1000-290,HB GEN ORTH ADD-KNEE CONDYLAR PAD,290.0,159.5,59.15,261.0,111 CDM,RRUCLASM-2744282000-L2820-0274-SM47704-1000-330,HB GEN ORTH ADD-BK SOFT INTERFACE,330.0,181.5,69.73,297.0,111 CDM,RRUCLASM-2744283000-L2830-0274-SM47704-1000-350,HB GEN ORTH ADD-AK SOFT INTERFACE,350.0,192.5,75.44,315.0,111 CDM,RRUCLASM-2744284000-L2840-0274-SM47704-1000-120,HB GEN ORTH ADD-TIBIA LENGTH SOCK,120.0,66.0,18.48,108.0,111 CDM,RRUCLASM-2744285000-L2850-0274-SM47704-1000-210,HB GEN ORTH ADD-FEMOR LENGTH SOCK,210.0,115.5,24.64,189.0,111 CDM,RRUCLASM-2744286100-L2861-0274-SM47704-1000-900,HB ADD LWR EXT KNEE/ANKLE TORS MECHANISM CUST ONLY EA,900.0,495.0,225.0,810.0,111 CDM,RRUCLASM-2744299900-L2999-0274-SM47704-1000-28310,HB PRSTH ADD LE BELOW KNEE HI DEFN SILICONE COSMESIS,28310.0,15570.5,0.6296,25479.0,111 CDM,RRUCLASM-2744299901-L2999-0274-SM47704-1000-28310,HB PRSTH ADD LE PARTIAL FOOT HI DEFN SILICONE CUSTOM,28310.0,15570.5,0.6296,25479.0,111 CDM,RRUCLASM-2744299902-L2999-0274-SM47704-1000-3960,HB PROSTH ADD LE IND ADJ CUSTOM DMP+ENRGY STOR SGTL ALIGN EA,3960.0,2178.0,990.0,3564.0,111 CDM,RRUCLASM-2744299903-L2999-0274-SM47704-1000-900,HB KNEE ORTHOSIS CONDYL PAD HINGE CUSTOM,900.0,495.0,225.0,810.0,111 CDM,RRUCLASM-2744300000-L3000-0274-SM47704-1000-920,HB SHOE ORTH INSRT-UCB MOLDED EA,920.0,506.0,227.19,828.0,111 CDM,RRUCLASM-2744300200-L3002-0274-SM47704-1000-370,HB SHOE ORTH INSRT-PLASTOZOTE EA,370.0,203.5,92.5,333.0,111 CDM,RRUCLASM-2744301000-L3010-0274-SM47704-1000-200,HB SHOE ORTH INSRT-LONG ARCH SUPP,200.0,110.0,50.0,200.0,111 CDM,RRUCLASM-2744302000-L3020-0274-SM47704-1000-200,HB INSERT FOOT MOLDED REMOV CUSTOM EACH,200.0,110.0,50.0,200.0,111 CDM,RRUCLASM-2744303100-L3031-0274-SM47704-1000-360,HB SHOE ORTH INSRT/PLATE-FT REMOV,360.0,198.0,90.0,324.0,111 CDM,RRUCLASM-2744304000-L3040-0274-SM47704-1000-130,HB ARCH ORTH SUPP MOLDED REMOV LONG,130.0,71.5,32.5,117.0,111 CDM,RRUCLASM-2744308000-L3080-0274-SM47704-1000-90,HB ARCH ORTH SUPP-METATARSL ATTCH,90.0,49.5,22.5,81.0,111 CDM,RRUCLASM-2744314000-L3140-0274-SM47704-1000-260,HB FOOT ABDCTN ROTATION BAR+SHOES,260.0,143.0,55.97,234.0,111 CDM,RRUCLASM-2744315000-L3150-0274-SM47704-1000-240,HB BAR ABDUCTN&ROTAT FOOT WO SHOE,240.0,132.0,51.17,216.0,111 CDM,RRUCLASM-2744316000-L3160-0274-SM47704-1000-270,HB FOOT ADJ SHOE POSITIONING DEVICE,270.0,148.5,67.5,243.0,111 CDM,RRUCLASM-2744317000-L3170-0274-SM47704-1000-150,HB HEEL CUP STABILIZ PR DJ ORTHO,150.0,82.5,37.5,135.0,111 CDM,RRUCLASM-2744321500-L3215-0274-SM47704-1000-420,HB SHOE ORTHO WOMEN OXFORD EAC,420.0,231.0,42.12,378.0,111 CDM,RRUCLASM-2744322400-L3224-0274-SM47704-1000-220,HB SHOE ORTHO WOMAN OXFORD BRACE,220.0,121.0,55.0,198.0,111 CDM,RRUCLASM-2744322500-L3225-0274-SM47704-1000-250,HB SHOE ORTHO MAN OXFORD BRACE,250.0,137.5,62.5,225.0,111 CDM,RRUCLASM-2744323000-L3230-0274-SM47704-1000-640,HB SHOE DEPTH INLAY CUSTOM,640.0,352.0,160.0,576.0,111 CDM,RRUCLASM-2744325000-L3250-0274-SM47704-1000-1220,HB PROSTH SHOE CUSTOM MOLD REMOV INNER MOLD EA,1220.0,671.0,171.02,1098.0,111 CDM,RRUCLASM-2744326000-L3260-0274-SM44210-1000-140,HB BOOT SURGICAL AMBULATORY EA,140.0,77.0,35.0,126.0,111 CDM,RRUCLASM-2744330000-L3300-0274-SM47704-1000-150,HB SHOE LIFT HEEL TAPER TO METATARSAL,150.0,82.5,32.78,135.0,111 CDM,RRUCLASM-2744331000-L3310-0274-SM47704-1000-240,HB SHOE MODIF-HEEL&SOLE NEOPRN/IN,240.0,132.0,41.17,216.0,111 CDM,RRUCLASM-2744333200-L3332-0274-SM47704-1000-220,HB SHOE MODIF-LIFT TAPER UPTO 1/2,220.0,121.0,39.16,198.0,111 CDM,RRUCLASM-2744333400-L3334-0274-SM47704-1000-110,HB SHOE MODIF-LIFT HEEL PER INCH,110.0,60.5,4.93,99.0,111 CDM,RRUCLASM-2744335000-L3350-0274-SM47704-1000-70,HB SHOE MODIF-WEDGE HEEL,70.0,38.5,6.57,63.0,111 CDM,RRUCLASM-2744336000-L3360-0274-SM47704-1000-100,HB SHOE MODIF-WEDGE SOLE OUTSIDE,100.0,55.0,7.96,90.0,111 CDM,RRUCLASM-2744337000-L3370-0274-SM47704-1000-150,HB SHOE SOLE WEDGE BETWEEN SOLE,150.0,82.5,12.53,135.0,111 CDM,RRUCLASM-2744338000-L3380-0274-SM47704-1000-150,HB SHOE MODIF-CLUBFOOT WEDGE,150.0,82.5,10.33,135.0,111 CDM,RRUCLASM-2744339000-L3390-0274-SM47704-1000-150,HB SHOE OUTFLARE WEDGE,150.0,82.5,19.04,135.0,111 CDM,RRUCLASM-2744340000-L3400-0274-SM47704-1000-120,HB SHOE MODIF-M-TARS BAR WDG RCKR,120.0,66.0,6.17,108.0,111 CDM,RRUCLASM-2744341000-L3410-0274-SM47704-1000-270,HB SHOE METATARSAL BAR WEDGE BETWEEN,270.0,148.5,22.79,243.0,111 CDM,RRUCLASM-2744342000-L3420-0274-SM47704-1000-160,HB SHOE FULL SOLE HEEL WEDGE BETWEEN,160.0,88.0,17.36,144.0,111 CDM,RRUCLASM-2744345000-L3450-0274-SM47704-1000-310,HB SHOE MODIF-HEEL SACH CUSHION,310.0,170.5,62.81,279.0,111 CDM,RRUCLASM-2744346000-L3460-0274-SM47704-1000-100,HB SHOE MODIF-HEEL NEW RUBBER,100.0,55.0,4.1,90.0,111 CDM,RRUCLASM-2744354000-L3540-0274-SM47704-1000-150,HB SHOE ADDITION FULL SOLE,150.0,82.5,31.99,135.0,111 CDM,RRUCLASM-2744358000-L3580-0274-SM47704-1000-190,HB SHOE ADD-ORTHOPED VELCRO CLOS,190.0,104.5,18.17,171.0,111 CDM,RRUCLASM-2744360000-L3600-0274-SM47704-1000-220,HB TRNSFR BTW SHOES CALIPER EXIST,220.0,121.0,34.09,198.0,111 CDM,RRUCLASM-2744361000-L3610-0274-SM47704-1000-290,HB TRNSFR BTW SHOES CALIPER NEW,290.0,159.5,63.15,261.0,111 CDM,RRUCLASM-2744362000-L3620-0274-SM47704-1000-220,HB TRNSFR BTW SHOES STIRRUP EXIST,220.0,121.0,27.3,198.0,111 CDM,RRUCLASM-2744363000-L3630-0274-SM47704-1000-290,HB TRNSFR BTW SHOES STIRRUP NEW,290.0,159.5,62.31,261.0,111 CDM,RRUCLASM-2744364900-L3649-0274-SM47704-1000-120,HB SHOE MOD ADD TRANS NOS,120.0,66.0,30.0,108.0,111 CDM,RRUCLASM-2744365000-L3650-0274-SM47704-1000-220,HB SO FIGURE8 ABDUCTN PREFAB+FIT,220.0,121.0,35.98,198.0,111 CDM,RRUCLASM-2744367000-L3670-0274-SM44210-1000-410,HB SO SHOULDER DESIGN WITHOUT JOINT CUSTOM,410.0,225.5,88.85,369.0,111 CDM,RRUCLASM-2744367100-L3670-0274-SM47704-1000-410,HB SO SHOULDER DESIGN WITHOUT JOINT CUSTOM,410.0,225.5,88.85,369.0,111 CDM,RRUCLASM-2744370200-L3702-0274-SM47701-1000-770,HB EO WO JOINTS CUSTOM,770.0,423.5,165.19,693.0,111 CDM,RRUCLASM-2744371000-L3710-0274-SM47704-1000-380,HB EO ELASTIC+METAL JOINTS PREFAB,380.0,209.0,58.14,342.0,111 CDM,RRUCLASM-2744372000-L3720-0274-SM47704-1000-2400,HB EO DBL UPRT+CUFF FREE CUST,2400.0,1320.0,513.92,2160.0,111 CDM,RRUCLASM-2744373000-L3730-0274-SM47704-1000-3310,HB EO DBL UPRT EXT/FLX ASST CUST,3310.0,1820.5,560.26,2979.0,111 CDM,RRUCLASM-2744374000-L3740-0274-SM47704-1000-3920,HB EO DBL UPRT+CUFF ADJ LOCK CUST,3920.0,2156.0,842.23,3528.0,111 CDM,RRUCLASM-2744376000-L3760-0274-SM47704-1000-1340,HB EO ADJ JOINT PREFAB W CUSTOM FIT,1340.0,737.0,286.1,1206.0,111 CDM,RRUCLASM-2744376100-L3761-0274-SM47704-1000-1340,HB EO ADJ LOCK JOINT PREFAB OTS,1340.0,737.0,335.0,1206.0,111 CDM,RRUCLASM-2744376200-L3762-0274-SM47701-1000-290,HB EO RIGID WO JOINTS PREFAB+FIT,290.0,159.5,61.51,261.0,111 CDM,RRUCLASM-2744376300-L3763-0274-SM47702-1000-2250,HB EWHO RIGID WO JOINTS CUSTOM,2250.0,1237.5,562.5,2025.0,111 CDM,RRUCLASM-2744376301-L3763-0274-SM47704-1000-2250,HB FX ORTH-COLLES CUSTOM,2250.0,1237.5,562.5,2025.0,111 CDM,RRUCLASM-2744376400-L3764-0274-SM47702-1000-2590,HB EWHO +NONTORSION JOINTS CUST,2590.0,1424.5,647.5,2331.0,111 CDM,RRUCLASM-2744376401-L3764-0274-SM47704-1000-2590,HB FX ORTH-FOREARM+WRST HING CUST,2590.0,1424.5,647.5,2331.0,111 CDM,RRUCLASM-2744376500-L3765-0274-SM47704-1000-3420,HB EWHFO RIGID WO JOINTS CUSTOM,3420.0,1881.0,733.55,3078.0,111 CDM,RRUCLASM-2744380600-L3806-0274-SM47701-1000-1210,HB WHFO +NONOTORSION JOINTS CUST,1210.0,665.5,292.28,1089.0,111 CDM,RRUCLASM-2744380700-L3807-0274-SM47700-1000-670,HB WHFO WO JT PREFB+FIT ANY TYPE,670.0,368.5,167.5,603.0,111 CDM,RRUCLASM-2744380800-L3808-0274-SM47700-1000-1210,HB WHFO RIGID WO JOINTS CUSTOM,1210.0,665.5,168.41,1089.0,111 CDM,RRUCLASM-2744380801-L3808-0274-SM47704-1000-1210,HB WHFO RIGID WO JOINTS CUSTOM SHORT OPPONENS,1210.0,665.5,168.41,1089.0,111 CDM,RRUCLASM-2744380900-L3809-0274-SM47704-1000-670,HB WHFO WO JT PREFAB,670.0,368.5,167.5,603.0,111 CDM,RRUCLASM-2744390500-L3905-0274-SM47702-1000-2650,HB WHO +NONOTORSION JOINTS CUST,2650.0,1457.5,567.35,2385.0,111 CDM,RRUCLASM-2744390600-L3906-0274-SM47700-1000-1450,HB WHFO WRIST GAUNTLET MOLD CUST,1450.0,797.5,310.46,1305.0,111 CDM,RRUCLASM-2744390800-L3908-0274-SM47700-1000-220,HB WHO WRSTCONTR COCKUP PREFB+FIT,220.0,121.0,47.08,198.0,111 CDM,RRUCLASM-2744391200-L3912-0274-SM47704-1000-350,HB HFO GLOV FLEX+FINGER PREFB+FIT,350.0,192.5,62.73,315.0,111 CDM,RRUCLASM-2744391300-L3913-0274-SM47701-1000-720,HB HFO WO JOINTS CUSTOM,720.0,396.0,154.95,648.0,111 CDM,RRUCLASM-2744391500-L3915-0274-SM47700-1000-1420,HB WHO WRST E-COCKUP+JT PREFB+FIT,1420.0,781.0,317.18,1278.0,111 CDM,RRUCLASM-2744391900-L3919-0274-SM47701-1000-850,HB HAND ORTHOSIS WO JT CUST FAB+FIT,850.0,467.5,154.95,765.0,111 CDM,RRUCLASM-2744392100-L3921-0274-SM47701-1000-860,HB HFO +NONTORSION JOINTS CUSTOM,860.0,473.0,183.77,774.0,111 CDM,RRUCLASM-2744392300-L3923-0274-SM47700-1000-240,HB HFO WO JOINTS PREFAB+FIT,240.0,132.0,22.26,216.0,111 CDM,RRUCLASM-2744392400-L3924-0274-SM47701-1000-240,HB HAND FINGER ORTHOSIS WO JOINTS,240.0,132.0,60.0,216.0,111 CDM,RRUCLASM-2744392500-L3925-0274-SM47701-1000-180,HB FO NONTORSION JT PREFAB+FIT,180.0,99.0,40.25,162.0,111 CDM,RRUCLASM-2744392700-L3927-0274-SM47701-1000-90,HB FINGER ORTHOSIS PROX INTERPHA WO JOINT,90.0,49.5,21.42,81.0,111 CDM,RRUCLASM-2744392900-L3929-0274-SM47704-1000-290,HB HFO1+NONTORSION JTS PREFAB+FIT,290.0,159.5,65.79,261.0,111 CDM,RRUCLASM-2744393101-L3931-0274-SM47704-1000-640,HB WHFO WRIST DORSAL PREFAB+FIT,640.0,352.0,146.94,576.0,111 CDM,RRUCLASM-2744393102-L3931-0274-SM47700-1000-640,HB WHFO1+NONTORSION JTS PREFB+FIT,640.0,352.0,146.94,576.0,111 CDM,RRUCLASM-2744393300-L3933-0274-SM47701-1000-570,HB FO WO JOINTS CUSTOM,570.0,313.5,122.06,513.0,111 CDM,RRUCLASM-2744393500-L3935-0274-SM47701-1000-590,HB FO NONTSORSION JOINT CUSTOM,590.0,324.5,126.38,531.0,111 CDM,RRUCLASM-2744396000-L3960-0274-SM47704-1000-2690,HB SEWHO ABD AIRPLANE PREFAB+FIT,2690.0,1479.5,392.52,2421.0,111 CDM,RRUCLASM-2744398000-L3980-0274-SM47704-1000-1130,HB FX ORTH-HUMERAL PREFAB+FIT,1130.0,621.5,242.9,1017.0,111 CDM,RRUCLASM-2744398100-L3981-0274-SM47704-1000-2690,HB UE FRACTURE ORTH HUMERAL W SHLD CAP W WO JTS FOREARM PREFAB+F,2690.0,1479.5,672.5,2421.0,111 CDM,RRUCLASM-2744398200-L3982-0274-SM47704-1000-1370,HB FX ORTH-RADIUS/ULNA PREFAB+FIT,1370.0,753.5,293.32,1233.0,111 CDM,RRUCLASM-2744398400-L3984-0274-SM47704-1000-1260,HB FX ORTH-WRIST PREFAB+FIT,1260.0,693.0,168.89,1134.0,111 CDM,RRUCLASM-2744399500-L3995-0274-SM47704-1000-100,HB FX ORTHADD-UE SOCK FX/EQUAL EA,100.0,55.0,18.48,90.0,111 CDM,RRUCLASM-2744400000-L4000-0274-SM47704-1000-4780,HB ORTH REPLACE GIRDLE CTLSO/SO,4780.0,2629.0,394.2,4302.0,111 CDM,RRUCLASM-2744400200-L4002-0274-SM47704-1000-150,HB ORTH REPLAC STRAP ANY ORTHOSIS,150.0,82.5,7.5,135.0,111 CDM,RRUCLASM-2744404000-L4040-0274-SM47704-1000-1530,HB ORTH REPLAC THIGH LACER MOLDED,1530.0,841.5,327.76,1377.0,111 CDM,RRUCLASM-2744404500-L4045-0274-SM47704-1000-1230,HB ORTH REPLAC THIGH LACER NONMLD,1230.0,676.5,251.3,1107.0,111 CDM,RRUCLASM-2744405000-L4050-0274-SM47704-1000-1550,HB ORTH REPLACE CALF LACER MOLDED,1550.0,852.5,331.49,1395.0,111 CDM,RRUCLASM-2744405500-L4055-0274-SM47704-1000-1000,HB ORTH REPLAC CALF LACER NONMOLD,1000.0,550.0,214.65,900.0,111 CDM,RRUCLASM-2744406000-L4060-0274-SM47704-1000-1190,HB ORTH REPLACE CUFF-HIGH ROLL,1190.0,654.5,234.96,1071.0,111 CDM,RRUCLASM-2744407000-L4070-0274-SM47704-1000-1050,HB ORTH REPLC KAFO UPRT-PROX&DIST,1050.0,577.5,225.97,945.0,111 CDM,RRUCLASM-2744408000-L4080-0274-SM47704-1000-320,HB ORTH REPLC KAFO BANDS-PROXTHGH,320.0,176.0,46.92,288.0,111 CDM,RRUCLASM-2744409000-L4090-0274-SM47704-1000-310,HB ORTH REPLC KAFO-AFO BANDS-CALF,310.0,170.5,44.6,279.0,111 CDM,RRUCLASM-2744410000-L4100-0274-SM47704-1000-390,HB ORTH REPLC KAFO LTHRCFF P-THGH,390.0,214.5,58.02,351.0,111 CDM,RRUCLASM-2744411000-L4110-0274-SM47704-1000-320,HB ORTH REPLC KAFO LTHRCUFF CALF,320.0,176.0,57.29,288.0,111 CDM,RRUCLASM-2744420500-L4205-0274-SM47704-1000-100,HB ORTH REPAIR-LABOR PER 15MIN,100.0,55.0,16.47,90.0,111 CDM,RRUCLASM-2744421000-L4210-0274-SM47704-1000-60,HB ORTH REPAIR/REPLAC-MINOR PARTS,60.0,33.0,15.0,54.0,111 CDM,RRUCLASM-2744435000-L4350-0274-SM47704-1000-330,HB REPR PNEUM ANKL SPLNT PRFB+FIT,330.0,181.5,71.78,297.0,111 CDM,RRUCLASM-2744435001-L4350-0274-SM47704-1000-330,HB SUPPORT AIRCAST ANKLE CONTROL SPLINT,330.0,181.5,71.78,297.0,111 CDM,RRUCLASM-2744436000-L4360-0274-SM47704-1000-910,HB REPR PNEUM WALK SPLNT PRFB+FIT,910.0,500.5,168.0,819.0,111 CDM,RRUCLASM-2744436002-L4360-0274-SM47704-1000-910,HB REPR PNEUM WALK SPLNT PREFAB+FIT PNEUMATIC UNNA,910.0,500.5,168.0,819.0,111 CDM,RRUCLASM-2744436003-L4360-0274-SM40100-1000-910,HB WALK BOOT PNEUM SPLNT PREFAB+FIT DJORTHOTICS,910.0,500.5,168.0,819.0,111 CDM,RRUCLASM-2744436100-L4361-0274-SM47704-1000-910,HB BOOT PNEUM WALK W WO JTS/INTERFACE PREFAB,910.0,500.5,227.5,819.0,111 CDM,RRUCLASM-2744437000-L4370-0274-SM47704-1000-530,HB REPR PNEUM LEG SPLNT PREFB+FIT,530.0,291.5,106.4,477.0,111 CDM,RRUCLASM-2744438600-L4386-0274-SM47704-1000-470,HB REPR WALK BOOT NONPNEUM PREFB,470.0,258.5,99.66,423.0,111 CDM,RRUCLASM-2744438601-L4386-0274-SM47704-1000-470,HB WALK BOOT NEXTEP DJ ORTHO,470.0,258.5,99.66,423.0,111 CDM,RRUCLASM-2744438700-L4387-0274-SM47704-1000-470,HB BOOT NONPNEUM WALK W WO JTS/INTERFACE PREFAB,470.0,258.5,116.74,423.0,111 CDM,RRUCLASM-2744439200-L4392-0274-SM47704-1000-70,HB ORTH REPLC INTERFACE STATC AFO,70.0,38.5,17.5,63.0,111 CDM,RRUCLASM-2744439600-L4396-0274-SM47704-1000-480,HB REPR STATIC AFO POSITION/PRESS,480.0,264.0,99.32,432.0,111 CDM,RRUCLASM-2744439700-L4397-0274-SM47704-1000-480,HB AFO STATIC/DYNAMIC ADJ POSITION PREFAB,480.0,264.0,120.0,432.0,111 CDM,RRUCLASM-2744439800-L4398-0274-SM47704-1000-220,HB SPLINT FOOT RECUMBENT POS DEV PREFAB,220.0,121.0,45.72,198.0,111 CDM,RRUCLASM-2744463100-L4631-0274-SM47704-1000-5520,HB AF ORTHOSIS WALKING BOOT ROCKER BOTTOM TIB SHELL ARCH+STRAP C,5520.0,3036.0,0.6296,4968.0,111 CDM,RRUCLASM-2744500000-L5000-0274-SM47704-1000-1800,HB PROSTH P-FT SHOE INSRT L-ARCH,1800.0,990.0,195.45,1620.0,111 CDM,RRUCLASM-2744501000-L5010-0274-SM47704-1000-4040,HB PROSTH PARTIAL-FT ANKLE HEIGHT,4040.0,2222.0,558.45,3636.0,111 CDM,RRUCLASM-2744502000-L5020-0274-SM47704-1000-7910,HB PROSTH PARTIAL-FT TIBIA HEIGHT,7910.0,4350.5,0.6296,7119.0,111 CDM,RRUCLASM-2744505000-L5050-0274-SM47704-1000-7970,HB PROSTH ANKL SYMES-SACH FOOT,7970.0,4383.5,0.6296,7173.0,111 CDM,RRUCLASM-2744506000-L5060-0274-SM47704-1000-11030,HB PROSTH ANKL SYMES-ARTIC FOOT,11030.0,6066.5,0.6296,9927.0,111 CDM,RRUCLASM-2744510000-L5100-0274-SM47704-1000-8050,HB PROSTH BK M-SCKT SHIN SACH FT,8050.0,4427.5,0.6296,7245.0,111 CDM,RRUCLASM-2744510500-L5105-0274-SM47704-1000-13870,HB PROSTH BK PLASTIC SCKT SACH FT,13870.0,7628.5,0.6296,12483.0,111 CDM,RRUCLASM-2744515000-L5150-0274-SM47704-1000-14020,HB PROSTH D-KNE EXTRNL JT SACH FT,14020.0,7711.0,0.6296,12618.0,111 CDM,RRUCLASM-2744516000-L5160-0274-SM47704-1000-15250,HB PROSTH D-KNEE BENT JNT SACH FT,15250.0,8387.5,0.6296,13725.0,111 CDM,RRUCLASM-2744520000-L5200-0274-SM47704-1000-12020,HB PROSTH AK 1AXIS FRICTN SACH FT,12020.0,6611.0,0.6296,10818.0,111 CDM,RRUCLASM-2744521000-L5210-0274-SM47704-1000-8860,HB PROSTH AK STUBBIES+FT BLOCK-EA,8860.0,4873.0,0.6296,7974.0,111 CDM,RRUCLASM-2744522000-L5220-0274-SM47704-1000-11010,HB PROSTH AK SHORT NO KNEE JT W ARTIC AF,11010.0,6055.5,0.6296,9909.0,111 CDM,RRUCLASM-2744523000-L5230-0274-SM47704-1000-15190,HB PROSTH AK PROX FEM FOCAL DEFIC,15190.0,8354.5,0.6296,13671.0,111 CDM,RRUCLASM-2744525000-L5250-0274-SM47704-1000-20710,HB PROSTH DISARTIC HIP-CANADIAN,20710.0,11390.5,0.6296,18639.0,111 CDM,RRUCLASM-2744527000-L5270-0274-SM47704-1000-20530,HB HIP TILT TBL LOCKING SGL AXIS SACH FOOT,20530.0,11291.5,0.6296,18477.0,111 CDM,RRUCLASM-2744528000-L5280-0274-SM47704-1000-20330,HB PROSTH HEMIPELVECTOMY-CANADIAN,20330.0,11181.5,0.6296,18297.0,111 CDM,RRUCLASM-2744530100-L5301-0274-SM47704-1000-9130,HB PROSTH ENDOSKEL BK SYSTEM,9130.0,5021.5,0.6296,8217.0,111 CDM,RRUCLASM-2744531100-L5301-0274-SM47704-1000-9130,HB PROSTH ENDOSKEL D-KNEE SYSTEM,9130.0,5021.5,0.6296,8217.0,111 CDM,RRUCLASM-2744531200-L5312-0274-SM47704-1000-11800,HB KNEE DISART MOLDED SCKT SACH FT ENDO SYS,11800.0,6490.0,0.6296,10620.0,111 CDM,RRUCLASM-2744532100-L5321-0274-SM47704-1000-13120,HB PROSTH ENDOSKEL AK SYSTEM,13120.0,7216.0,0.6296,11808.0,111 CDM,RRUCLASM-2744533100-L5331-0274-SM47704-1000-17440,HB PROSTH ENDOSKEL D-HIP SYSTEM,17440.0,9592.0,0.6296,15696.0,111 CDM,RRUCLASM-2744534100-L5341-0274-SM47704-1000-20170,HB PROSTH ENDOSKEL HEMPELVCT SYST,20170.0,11093.5,0.6296,18153.0,111 CDM,RRUCLASM-2744540000-L5400-0274-SM47704-1000-4750,HB PROSTH EARLY FIT-BK+CAST CHNG,4750.0,2612.5,668.05,4275.0,111 CDM,RRUCLASM-2744541000-L5410-0274-SM47704-1000-1250,HB PROSTH EARLY FIT-BK ADDL CAST,1250.0,687.5,202.18,1125.0,111 CDM,RRUCLASM-2744542000-L5420-0274-SM47704-1000-6070,HB PROSTH EARLYFIT-AK/KD+CAST CHG,6070.0,3338.5,0.6296,5463.0,111 CDM,RRUCLASM-2744543000-L5430-0274-SM47704-1000-1690,HB PROSTH EARLYFIT-AK/KD ADD CAST,1690.0,929.5,208.92,1521.0,111 CDM,RRUCLASM-2744545000-L5450-0274-SM47704-1000-1220,HB PROSTH EARLYFIT-BK NONWT DRESS,1220.0,671.0,132.66,1098.0,111 CDM,RRUCLASM-2744546000-L5460-0274-SM47704-1000-1630,HB POSTOP APP NON-WGT BEAR RGD ABV KNEE,1630.0,896.5,164.63,1467.0,111 CDM,RRUCLASM-2744552000-L5520-0274-SM47704-1000-5740,HB PREP BLW KNEE PTB SACH FT THERMOPLS MOLDED,5740.0,3157.0,0.6296,5166.0,111 CDM,RRUCLASM-2744553000-L5530-0274-SM47704-1000-6890,HB PREP BK PTB THERMPLASTC MOLDED,6890.0,3789.5,0.6296,6201.0,111 CDM,RRUCLASM-2744553500-L5535-0274-SM47704-1000-6770,HB PREP BLW KNEE PTB SACH FT PREFAB,6770.0,3723.5,0.6296,6093.0,111 CDM,RRUCLASM-2744554000-L5540-0274-SM47704-1000-7220,HB PREP BK PTB LAMINAT SCK MOLDED,7220.0,3971.0,0.6296,6498.0,111 CDM,RRUCLASM-2744557000-L5570-0274-SM47704-1000-7720,HB PREP ABV KNEE ISCHIAL SACH FT THERMOPLS FORMED,7720.0,4246.0,0.6296,6948.0,111 CDM,RRUCLASM-2744558000-L5580-0274-SM47704-1000-9370,HB PREP AK ISCHIAL THERMO MOLD,9370.0,5153.5,0.6296,8433.0,111 CDM,RRUCLASM-2744558500-L5585-0274-SM47704-1000-8290,HB PREP ABV KNEE ISCHIAL SACH FT PREFAB,8290.0,4559.5,0.6296,7461.0,111 CDM,RRUCLASM-2744559000-L5590-0274-SM47704-1000-9600,HB PREP AK ISCHIAL LAMINATED MOLD,9600.0,5280.0,0.6296,8640.0,111 CDM,RRUCLASM-2744559500-L5595-0274-SM47704-1000-16070,HB PREP HIP DISART SACH FT THERMOPLS MOLDED,16070.0,8838.5,0.6296,14463.0,111 CDM,RRUCLASM-2744560000-L5600-0274-SM47704-1000-17750,HB PREP HIP DISART SACH FT LAMINATED MOLDED,17750.0,9762.5,0.6296,15975.0,111 CDM,RRUCLASM-2744561100-L5611-0274-SM47704-1000-5930,HB PRSTHADD-AK/KD4BARFRCTNCONTR,5930.0,3261.5,0.6296,5337.0,111 CDM,RRUCLASM-2744561300-L5613-0274-SM47704-1000-9780,HB PRSTHADD-AK/KD4BAR HYDR-CONT,9780.0,5379.0,0.6296,8802.0,111 CDM,RRUCLASM-2744561400-L5614-0274-SM47704-1000-4960,HB PRSTHADD-AK 4BAR PNEUM CONTR,4960.0,2728.0,1062.81,4464.0,111 CDM,RRUCLASM-2744561600-L5616-0274-SM47704-1000-4230,HB PRSTHADD-AK MLTPLX FRCTNCONT,4230.0,2326.5,631.81,3807.0,111 CDM,RRUCLASM-2744561700-L5617-0274-SM47704-1000-1640,HB PRSTHADD-AK/BK QUICK CHNG UN,1640.0,902.0,244.46,1476.0,111 CDM,RRUCLASM-2744561800-L5618-0274-SM47704-1000-860,HB PRSTHADD-LE TEST SOCKT SYMES,860.0,473.0,108.27,774.0,111 CDM,RRUCLASM-2744562000-L5620-0274-SM47704-1000-880,HB PRSTHADD-BK TEST SOCKET,880.0,484.0,108.27,792.0,111 CDM,RRUCLASM-2744562200-L5622-0274-SM47704-1000-1130,HB PRSTHADD-KNE DISARTC TESTSCKT,1130.0,621.5,149.81,1017.0,111 CDM,RRUCLASM-2744562400-L5624-0274-SM47704-1000-1240,HB PRSTHADD-AK TEST SOCKET,1240.0,682.0,149.81,1116.0,111 CDM,RRUCLASM-2744562600-L5626-0274-SM47704-1000-1640,HB PRSTHADD-HIP DISARTC TESTSCKT,1640.0,902.0,174.1,1476.0,111 CDM,RRUCLASM-2744562800-L5628-0274-SM47704-1000-1450,HB PRSTHADD-HEMIPELVCTM TESTSCKT,1450.0,797.5,174.1,1305.0,111 CDM,RRUCLASM-2744562900-L5629-0274-SM47704-1000-950,HB PRSTHADD-BK ACRYLIC/EPOXY,950.0,522.5,98.56,855.0,111 CDM,RRUCLASM-2744563000-L5630-0274-SM47704-1000-1650,HB PRSTHADD-LE WALL SOCKET SYMES,1650.0,907.5,170.79,1485.0,111 CDM,RRUCLASM-2744563100-L5631-0274-SM47704-1000-1320,HB PRSTHADD-AK/KD ACRYLIC SOCKT,1320.0,726.0,192.5,1188.0,111 CDM,RRUCLASM-2744563200-L5632-0274-SM47704-1000-710,HB PRSTHADD-LE SYMES PTB BRMSCKT,710.0,390.5,80.69,639.0,111 CDM,RRUCLASM-2744563400-L5634-0274-SM47704-1000-1210,HB ADD LE SYMES POST OPEN SCKT,1210.0,665.5,227.81,1089.0,111 CDM,RRUCLASM-2744563600-L5636-0274-SM47704-1000-760,HB PRSTHADD-LE SYMES MEDIAL SCKT,760.0,418.0,113.17,684.0,111 CDM,RRUCLASM-2744563700-L5637-0274-SM47704-1000-1150,HB PRSTHADD-BK TOTAL CONTACT,1150.0,632.5,246.15,1035.0,111 CDM,RRUCLASM-2744564300-L5643-0274-SM47704-1000-4660,HB PRSTHADD-HD FLEX SOCKT EXFRAM,4660.0,2563.0,690.03,4194.0,111 CDM,RRUCLASM-2744564500-L5645-0274-SM47704-1000-2700,HB PRSTHADD-BK FLEX INNER SOCKT,2700.0,1485.0,427.29,2430.0,111 CDM,RRUCLASM-2744564700-L5647-0274-SM47704-1000-3180,HB PRSTHADD-BK SUCTION SOCKET,3180.0,1749.0,539.64,2862.0,111 CDM,RRUCLASM-2744564900-L5649-0274-SM47704-1000-5740,HB PRSTHADD-LE ISCHIAL M-L SCKT,5740.0,3157.0,0.6296,5166.0,111 CDM,RRUCLASM-2744565000-L5650-0274-SM47704-1000-1950,HB PRSTHADD-AK/KD TOTAL CONTACT,1950.0,1072.5,203.88,1755.0,111 CDM,RRUCLASM-2744565100-L5651-0274-SM47704-1000-3600,HB PRSTHADD-AK FLEX SOCKT EXFRM,3600.0,1980.0,470.98,3240.0,111 CDM,RRUCLASM-2744565200-L5652-0274-SM47704-1000-1310,HB PRSTHADD-AK/KD SCTN SUSP SCKT,1310.0,720.5,81.2,1179.0,111 CDM,RRUCLASM-2744565300-L5653-0274-SM47704-1000-1950,HB ADD LE KNEE DISART EXPAND WALL SCKT,1950.0,1072.5,402.64,1755.0,111 CDM,RRUCLASM-2744565400-L5654-0274-SM47704-1000-1220,HB ADD LE SYMES POST SCKT INSRT,1220.0,671.0,159.58,1098.0,111 CDM,RRUCLASM-2744565500-L5655-0274-SM47704-1000-1060,HB PRSTHADD-BK SOFT LINR KEMBLO,1060.0,583.0,129.77,954.0,111 CDM,RRUCLASM-2744565600-L5656-0274-SM47704-1000-1480,HB PRSTHADD-KD SOFT LINR KEMBLO,1480.0,814.0,137.12,1332.0,111 CDM,RRUCLASM-2744565800-L5658-0274-SM47704-1000-1130,HB PRSTHADD-AK SOCKT INSRT SOFT,1130.0,621.5,137.12,1017.0,111 CDM,RRUCLASM-2744566100-L5661-0274-SM47704-1000-2250,HB ADD LE SYMES SCKT INSRT MULTIDUROMETER,2250.0,1237.5,344.89,2025.0,111 CDM,RRUCLASM-2744566500-L5665-0274-SM47704-1000-2040,HB PRSTHADD-BK SCKTINSRT MLTDUR,2040.0,1122.0,392.19,1836.0,111 CDM,RRUCLASM-2744566600-L5666-0274-SM47704-1000-280,HB PRSTHADD-BK SCKT INSRT CUFF,280.0,154.0,45.14,252.0,111 CDM,RRUCLASM-2744566800-L5668-0274-SM47704-1000-400,HB PRSTHADD-BK MOLD DISTL CUSHN,400.0,220.0,58.8,360.0,111 CDM,RRUCLASM-2744567000-L5670-0274-SM47704-1000-1080,HB PRSTHADD-BK SUPRACONDYL SUSP,1080.0,594.0,117.05,972.0,111 CDM,RRUCLASM-2744567100-L5671-0274-SM47704-1000-1990,HB PRSTHADD-BK/AK SUSPENS LOCK,1990.0,1094.5,425.5,1791.0,111 CDM,RRUCLASM-2744567200-L5672-0274-SM47704-1000-940,HB PRSTHADD-BK REMOVBL MED BRIM,940.0,517.0,135.28,846.0,111 CDM,RRUCLASM-2744567300-L5673-0274-SM47704-1000-2350,HB PRSTHADD-LE CUST INSRT LCKMECH,2350.0,1292.5,502.73,2115.0,111 CDM,RRUCLASM-2744567600-L5676-0274-SM47704-1000-1450,HB PRSTHADD-BK KNE JT SGL AX/PR,1450.0,797.5,203.01,1305.0,111 CDM,RRUCLASM-2744567700-L5677-0274-SM47704-1000-1970,HB PRSTHADD-BK POLYCENTR KNE/PR,1970.0,1083.5,369.53,1773.0,111 CDM,RRUCLASM-2744567800-L5678-0274-SM47704-1000-160,HB PRSTHADD-BK JOINT COVERS/PR,160.0,88.0,23.76,144.0,111 CDM,RRUCLASM-2744567900-L5679-0274-SM47704-1000-1950,HB PRSTHADD-LE CUST INSRT WO LOCK,1950.0,1072.5,418.94,1755.0,111 CDM,RRUCLASM-2744568000-L5680-0274-SM47704-1000-950,HB ADD LE BLW KNEE THIGH LACER NONMOLDED,950.0,522.5,134.76,855.0,111 CDM,RRUCLASM-2744568100-L5681-0274-SM47704-1000-3870,HB PRSTHADD-LE CUST INSRT CNG/ATY,3870.0,2128.5,828.47,3483.0,111 CDM,RRUCLASM-2744568200-L5682-0274-SM47704-1000-2500,HB PRSTHADD-BK GLUT THGH LACER,2500.0,1375.0,248.88,2250.0,111 CDM,RRUCLASM-2744568300-L5683-0274-SM47704-1000-3870,HB PRSTHADD-LE CUST INSRT OTHER,3870.0,2128.5,828.47,3483.0,111 CDM,RRUCLASM-2744568400-L5684-0274-SM47704-1000-190,HB PRSTHADD-BK FORK STRAP,190.0,104.5,32.98,171.0,111 CDM,RRUCLASM-2744568500-L5685-0274-SM47704-1000-380,HB PRSTHADD-LE BK SUSPN/SEAL SLV,380.0,209.0,80.66,342.0,111 CDM,RRUCLASM-2744568600-L5686-0274-SM47704-1000-190,HB ADD LE BLW KNEE BACK CHECK,190.0,104.5,19.85,171.0,111 CDM,RRUCLASM-2744568800-L5688-0274-SM47704-1000-240,HB ADD LE BLW KNEE WAIST BELT WEBBING,240.0,132.0,43.44,216.0,111 CDM,RRUCLASM-2744569000-L5690-0274-SM47704-1000-390,HB PRSTHADD-BK WAIST BELT PAD,390.0,214.5,75.6,351.0,111 CDM,RRUCLASM-2744569200-L5692-0274-SM47704-1000-530,HB PRSTHADD-AK PELVIC BELT LIGH,530.0,291.5,88.65,477.0,111 CDM,RRUCLASM-2744569400-L5694-0274-SM47704-1000-720,HB PRSTHADD-AK PELVIC BELT PAD,720.0,396.0,105.52,648.0,111 CDM,RRUCLASM-2744569500-L5695-0274-SM47704-1000-650,HB PRSTHADD-AK PELVCNTR NEOPREN,650.0,357.5,94.5,585.0,111 CDM,RRUCLASM-2744569600-L5696-0274-SM47704-1000-740,HB PRSTHADD-AK PELVIC JOINT-HIP,740.0,407.0,105.52,666.0,111 CDM,RRUCLASM-2744569700-L5697-0274-SM47704-1000-320,HB PRSTHADD-AK PELVICBAND METAL,320.0,176.0,46.45,288.0,111 CDM,RRUCLASM-2744569800-L5698-0274-SM47704-1000-410,HB PRSTHADD-AK SILESIAN BANDAGE,410.0,225.5,49.14,369.0,111 CDM,RRUCLASM-2744570000-L5700-0274-SM47704-1000-10930,HB PROSTH REPLAC BK SOCKET MOLDED,10930.0,6011.5,0.6296,9837.0,111 CDM,RRUCLASM-2744570100-L5701-0274-SM47704-1000-13570,HB PROSTH REPLAC AK/KD SCKT/PLATE,13570.0,7463.5,0.6296,12213.0,111 CDM,RRUCLASM-2744570200-L5702-0274-SM47704-1000-17340,HB PROSTH REPLC HD SCKT+HIPMOLDED,17340.0,9537.0,0.6296,15606.0,111 CDM,RRUCLASM-2744570300-L5703-0274-SM47704-1000-7210,HB ANKLE SYMES MOLDED SOCKET WO CUSHION REPLACE ONLY,7210.0,3965.5,0.6296,6489.0,111 CDM,RRUCLASM-2744570400-L5704-0274-SM47704-1000-1830,HB PROSTH REPLC BK PROTECT COVER,1830.0,1006.5,271.4,1647.0,111 CDM,RRUCLASM-2744570500-L5705-0274-SM47704-1000-3000,HB PROSTH REPLAC AK PROTECT COVER,3000.0,1650.0,445.55,2700.0,111 CDM,RRUCLASM-2744570600-L5706-0274-SM47704-1000-2970,HB PROSTH REPLAC KD PROTECT COVER,2970.0,1633.5,441.59,2673.0,111 CDM,RRUCLASM-2744570700-L5707-0274-SM47704-1000-4220,HB PROSTH REPLAC HD PROTECT COVER,4220.0,2321.0,627.74,3798.0,111 CDM,RRUCLASM-2744571000-L5710-0274-SM47704-1000-1440,HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS MAN LOCK,1440.0,792.0,221.64,1296.0,111 CDM,RRUCLASM-2744571100-L5711-0274-SM47704-1000-2080,HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS MAN LACK ULTRA LIGHT,2080.0,1144.0,359.38,1872.0,111 CDM,RRUCLASM-2744571200-L5712-0274-SM47704-1000-1720,HB KNEE-SHIN EXO FRICT SWING & STANCE,2680.0,1474.0,289.0,3276.0,222 CDM,RRUCLASM-2744571400-L5714-0274-SM47704-1000-1490,HB PRSTHADENDSKL-KS VARIFRCTN,1490.0,819.5,170.66,1341.0,111 CDM,RRUCLASM-2744571600-L5716-0274-SM47704-1000-2910,HB KNEE-SHIN EXO MECH STANCE PHASE LOCK,2910.0,1600.5,520.11,2619.0,111 CDM,RRUCLASM-2744572200-L5722-0274-SM47704-1000-3250,HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS PNEUM SWING FRICT,3250.0,1787.5,696.14,2925.0,111 CDM,RRUCLASM-2744572400-L5724-0274-SM47704-1000-5770,HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS FLUID SWING PHASE,5770.0,3173.5,0.6296,5193.0,111 CDM,RRUCLASM-2744572600-L5726-0274-SM47704-1000-5900,HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS EXT JTS FLUID SWING PHASE,5900.0,3245.0,0.6296,5310.0,111 CDM,RRUCLASM-2744572800-L5728-0274-SM47704-1000-9500,HB KNEE-SHIN FLUID SWING & STANCE,9500.0,5225.0,0.6296,8550.0,111 CDM,RRUCLASM-2744578000-L5780-0274-SM47704-1000-4570,HB ADD EXOSKELETAL KNEE-SHIN SNGL AXIS PNEUM/HYDRA SWING PHASE,4570.0,2513.5,345.48,4113.0,111 CDM,RRUCLASM-2744578100-L5781-0274-SM47704-1000-11760,HB PRSTHADD-LO LIMB VACUUM PUMP,11760.0,6468.0,0.6296,10584.0,111 CDM,RRUCLASM-2744578200-L5782-0274-SM47704-1000-12400,HB HVY DUTY LOW LIMB PROS VACUUM PUMP,12400.0,6820.0,0.6296,11160.0,111 CDM,RRUCLASM-2744578500-L5785-0274-SM47704-1000-1640,HB PROSTH MOD-BK ULTRALT MATERIAL,1640.0,902.0,317.63,1476.0,111 CDM,RRUCLASM-2744579000-L5790-0274-SM47704-1000-2650,HB PROSTH MOD-AK ULTRALT MATERIAL,2650.0,1457.5,417.97,2385.0,111 CDM,RRUCLASM-2744579500-L5795-0274-SM47704-1000-3340,HB ADD EXOSKELETAL HIP DISART ULTRA LIGHT,3340.0,1837.0,534.19,3006.0,111 CDM,RRUCLASM-2744581000-L5810-0274-SM47704-1000-1940,HB PRSTHADENDSKL-KS 1AX MANUAL,1940.0,1067.0,384.51,1746.0,111 CDM,RRUCLASM-2744581100-L5811-0274-SM47704-1000-2910,HB PRSTHADENDSKL-KS U-LT MANL,2910.0,1600.5,623.88,2619.0,111 CDM,RRUCLASM-2744581200-L5812-0274-SM47704-1000-2260,HB PRSTHADENDSKL-KS SAFTYKNEE,2260.0,1243.0,393.19,2034.0,111 CDM,RRUCLASM-2744581400-L5814-0274-SM47704-1000-10920,HB PRSTHADENDSKL-KS POLYC HYDR,10920.0,6006.0,0.6296,9828.0,111 CDM,RRUCLASM-2744581600-L5816-0274-SM47704-1000-3390,HB PRSTHADENDSKL-KS POLYC SYST,3390.0,1864.5,689.08,3051.0,111 CDM,RRUCLASM-2744581800-L5818-0274-SM47704-1000-3830,HB PRSTHADENDSKL-KS FRICT SW&ST,3830.0,2106.5,728.7,3447.0,111 CDM,RRUCLASM-2744582200-L5822-0274-SM47704-1000-5100,HB PRSTHADENDSKL-KS PNEUM SW&ST,5100.0,2805.0,0.6296,4590.0,111 CDM,RRUCLASM-2744582400-L5824-0274-SM47704-1000-6120,HB PRSTHADENDSKL-KS FLUID SWING,6120.0,3366.0,0.6296,5508.0,111 CDM,RRUCLASM-2744582600-L5826-0274-SM47704-1000-9180,HB PRSTHADENDSKL-KS HYDRL MINI,9180.0,5049.0,0.6296,8262.0,111 CDM,RRUCLASM-2744582800-L5828-0274-SM47704-1000-10950,HB PRSTHADENDSKL-KS FLUID SW&ST,10950.0,6022.5,0.6296,9855.0,111 CDM,RRUCLASM-2744583000-L5830-0274-SM47704-1000-7570,HB PRSTHADENDSKL-KS PNEUM SWING,7570.0,4163.5,0.6296,6813.0,111 CDM,RRUCLASM-2744584000-L5840-0274-SM47704-1000-12080,HB PRSTHADENDSKL-KS 4BAR LINK,12080.0,6644.0,0.6296,10872.0,111 CDM,RRUCLASM-2744584500-L5845-0274-SM47704-1000-5270,HB PRSTHADENDSKL-KS ADJ FLEX,5270.0,2898.5,0.6296,4743.0,111 CDM,RRUCLASM-2744585000-L5850-0274-SM47704-1000-380,HB PRSTHADENDSKL-AK/HD KNE-ASST,380.0,209.0,73.68,342.0,111 CDM,RRUCLASM-2744585500-L5855-0274-SM47704-1000-1230,HB PRSTHADENDSKL-HD MECH HIPASST,1230.0,676.5,183.27,1107.0,111 CDM,RRUCLASM-2744585600-L5856-0274-SM47704-1000-70560,HB PRSTHADENDSKL-KS MCRPRC SW&ST,70560.0,38808.0,0.6296,63504.0,111 CDM,RRUCLASM-2744585700-L5857-0274-SM47704-1000-25040,HB PRSTHADENDSKL-KS MCRPRC SW,25040.0,13772.0,0.6296,22536.0,111 CDM,RRUCLASM-2744585800-L5858-0274-SM47704-1000-54620,HB ADD LE PROSTH ENDOSKELETAL KNEE-SHIN SYST MICRO CNTRL STANCE ,54620.0,30041.0,0.6296,49158.0,111 CDM,RRUCLASM-2744585900-L5859-0274-SM47704-1000-42640,HB ADD LE PROSTH ENDOSKELETAL KNEE-SHIN SYST FLEX/EXT CNTRL,42640.0,23452.0,0.6296,38376.0,111 CDM,RRUCLASM-2744591000-L5910-0274-SM47704-1000-1080,HB PRSTHADENDSKL-BK ALIGN SYST,1080.0,594.0,161.19,972.0,111 CDM,RRUCLASM-2744592000-L5920-0274-SM47704-1000-1590,HB PRSTHADENDSKL-AK/HD ALGN SYST,1590.0,874.5,236.13,1431.0,111 CDM,RRUCLASM-2744592500-L5925-0274-SM47704-1000-1310,HB PRSTHADENDSKL-AK MANL LOCK,1310.0,720.5,194.09,1179.0,111 CDM,RRUCLASM-2744593000-L5930-0274-SM47704-1000-9890,HB PRSTHADENDSKL-HI ACT KNE CONTR,9890.0,5439.5,0.6296,8901.0,111 CDM,RRUCLASM-2744594000-L5940-0274-SM47704-1000-1600,HB PRSTHADENDSKL-BK TITANIUM,1600.0,880.0,310.89,1440.0,111 CDM,RRUCLASM-2744595000-L5950-0274-SM47704-1000-2330,HB PRSTHADENDSKL-AK TITANIUM,2330.0,1281.5,453.71,2097.0,111 CDM,RRUCLASM-2744596000-L5960-0274-SM47704-1000-2890,HB PRSTHADENDSKL-HD ULTRALT,2890.0,1589.5,562.2,2601.0,111 CDM,RRUCLASM-2744596100-L5961-0274-SM47704-1000-15360,HB ENDO POLY HIP PNEUM/HYDRAULIC/ROTATE,15360.0,8448.0,0.6296,13824.0,111 CDM,RRUCLASM-2744596200-L5962-0274-SM47704-1000-2350,HB PRSTHADENDSKL-BK PROT COVR,2350.0,1292.5,348.79,2115.0,111 CDM,RRUCLASM-2744596400-L5964-0274-SM47704-1000-3380,HB PRSTHADENDSKL-AK PROT COVR,3380.0,1859.0,502.11,3042.0,111 CDM,RRUCLASM-2744596600-L5966-0274-SM47704-1000-4380,HB PRSTHADENDSKL-HD PROT COVR,4380.0,2409.0,650.97,3942.0,111 CDM,RRUCLASM-2744596800-L5968-0274-SM47704-1000-10680,HB PRSTH AD LOWER LIMB PROSTH MULTIAXIAL ANKLE SWING PHASE+DORSI,10680.0,5874.0,0.6296,9612.0,111 CDM,RRUCLASM-2744596801-L5968-0274-SM47704-1000-10680,HB PRSTH AD LOWER LIMB PROSTH MULTIAX ANKLE SWING PHASE+DORSI KI,10680.0,5874.0,0.6296,9612.0,111 CDM,RRUCLASM-2744597000-L5970-0274-SM47704-1000-760,HB PRSTHADENDSKL-FT KEEL SACH,760.0,418.0,76.53,684.0,111 CDM,RRUCLASM-2744597100-L5971-0274-SM47704-1000-760,HB ADD ALL LE PROSTH SACH FOOT REPLACE ONLY,760.0,418.0,163.92,684.0,111 CDM,RRUCLASM-2744597200-L5972-0274-SM47704-1000-1410,HB PRSTHADD-FOOT FLEXIBLE KEEL,1410.0,775.5,209.13,1269.0,111 CDM,RRUCLASM-2744597300-L5973-0274-SM47704-1000-51670,HB ADD ENDOSKELETAL ANKLE/FOOT SYST MICRO CNTRL DORSI/PLANTR FLE,51670.0,28418.5,0.6296,46503.0,111 CDM,RRUCLASM-2744597400-L5974-0274-SM47704-1000-930,HB PRSTHADD-FOOT SGL AXIS ANKLE,930.0,511.5,143.8,837.0,111 CDM,RRUCLASM-2744597500-L5975-0274-SM47704-1000-1360,HB PRSTHADD-FT COMBO ANKL+KEEL,1360.0,748.0,207.16,1224.0,111 CDM,RRUCLASM-2744597600-L5976-0274-SM47704-1000-2240,HB PRSTHADD-FT SEATTL ENERGY STO,2240.0,1232.0,332.32,2016.0,111 CDM,RRUCLASM-2744597800-L5978-0274-SM47704-1000-1160,HB PRSTHADD-FT MULTAXIAL ANKL/FT,1160.0,638.0,178.44,1044.0,111 CDM,RRUCLASM-2744597900-L5979-0274-SM47704-1000-9020,HB PRSTHADD-FT MULTAX ANK+DYN1PC,9020.0,4961.0,0.6296,8118.0,111 CDM,RRUCLASM-2744598000-L5980-0274-SM47704-1000-12640,HB PRSTHADD-LE FOOT FLEX SYSTEM,12640.0,6952.0,0.6296,11376.0,111 CDM,RRUCLASM-2744598100-L5981-0274-SM47704-1000-9810,HB PRSTHADD-LE WALK FLEX SYSTEM,9810.0,5395.5,0.6296,8829.0,111 CDM,RRUCLASM-2744598200-L5982-0274-SM47704-1000-2310,HB PRSTHADD-EXSKL-LE AX ROTAT UN,2310.0,1270.5,384.33,2079.0,111 CDM,RRUCLASM-2744598400-L5984-0274-SM47704-1000-2270,HB PRSTHADENDSKL-LE AX ROTAT UN,2270.0,1248.5,338.05,2043.0,111 CDM,RRUCLASM-2744598500-L5985-0274-SM47704-1000-830,HB PRSTHADENDSKL-LE DYNAM PYLON,830.0,456.5,123.37,747.0,111 CDM,RRUCLASM-2744598600-L5986-0274-SM47704-1000-2530,HB PRSTHADD-LE MULTIAX ROTAT UN,2530.0,1391.5,376.03,2277.0,111 CDM,RRUCLASM-2744598700-L5987-0274-SM47704-1000-21140,HB PRSTHADD-FOOT SHANK SYSTEM,21140.0,11627.0,0.6296,19026.0,111 CDM,RRUCLASM-2744598800-L5988-0274-SM47704-1000-5870,HB PRSTHADD-LO LIMB+V-SHCK REDUC,5870.0,3228.5,0.6296,5283.0,111 CDM,RRUCLASM-2744599000-L5990-0274-SM47704-1000-5330,HB PRSTHADD-LO EXTR ADJ HEEL HGT,5330.0,2931.5,0.6296,4797.0,111 CDM,RRUCLASM-2744599900-L5999-0274-SM47704-1000-31380,HB PRSTH FOOT OSSUR PRO-FLEX PIVOT,31380.0,17259.0,0.6296,28242.0,111 CDM,RRUCLASM-2744599901-L5999-0274-SM47704-1000-117540,HB PROSTH KNEE SYSTEM GENIUM OTTOBOCK,117540.0,64647.0,0.6296,105786.0,111 CDM,RRUCLASM-2744600000-L6000-0274-SM47704-1000-5300,HB PART HAND THUMB REMAINING,5300.0,2915.0,0.6296,4770.0,111 CDM,RRUCLASM-2744601000-L6010-0274-SM47704-1000-5900,HB PART HAND LITTLE/RING REMAINING,5900.0,3245.0,0.6296,5310.0,111 CDM,RRUCLASM-2744602000-L6020-0274-SM47704-1000-5500,HB PART HAND NO FINGERS REMAINING,5500.0,3025.0,0.6296,4950.0,111 CDM,RRUCLASM-2744602600-L6026-0274-SM47704-1000-13880,HB TRANS/METACARPAL OR PART HAND PROSTH MYO CNTRL EXCL TERM DEVC,13880.0,7634.0,0.6296,12492.0,111 CDM,RRUCLASM-2744605000-L6050-0274-SM47704-1000-7560,HB PROSTH WRST FLXHING TRICEP PAD,7560.0,4158.0,0.6296,6804.0,111 CDM,RRUCLASM-2744605500-L6055-0274-SM47704-1000-9690,HB PROSTH D-WRIST SOCKET+INTERFAC,9690.0,5329.5,0.6296,8721.0,111 CDM,RRUCLASM-2744610000-L6100-0274-SM47704-1000-6290,HB PROSTH ELBO FLXHING TRICEP PAD,6290.0,3459.5,0.6296,5661.0,111 CDM,RRUCLASM-2744611000-L6110-0274-SM47704-1000-8150,HB PROSTH ELBO MOLD-SOCKET SUSPEN,8150.0,4482.5,0.6296,7335.0,111 CDM,RRUCLASM-2744612000-L6120-0274-SM47704-1000-9250,HB PROSTH ELBO HINGE HALF-CUFF,9250.0,5087.5,0.6296,8325.0,111 CDM,RRUCLASM-2744613000-L6130-0274-SM47704-1000-10330,HB BLW ELBOW MOLDED ACTVTD LOCK HINGE,10330.0,5681.5,0.6296,9297.0,111 CDM,RRUCLASM-2744620000-L6200-0274-SM47704-1000-10890,HB PROSTH ELBO OUTSIDE LOCK HINGE,10890.0,5989.5,0.6296,9801.0,111 CDM,RRUCLASM-2744620500-L6205-0274-SM47704-1000-13290,HB ELBOW DISART MOLDED W EXPAND INTERFACE OUT LOCK HINGES,13290.0,7309.5,0.6296,11961.0,111 CDM,RRUCLASM-2744625000-L6250-0274-SM47704-1000-10720,HB PROSTH ABOV ELBO INTERNAL LOCK,10720.0,5896.0,0.6296,9648.0,111 CDM,RRUCLASM-2744630000-L6300-0274-SM47704-1000-14870,HB PROSTH SD HUMERAL SOCKED SECTN,14870.0,8178.5,0.6296,13383.0,111 CDM,RRUCLASM-2744631000-L6310-0274-SM47704-1000-12110,HB PROSTH SD PASSIV RESTOR COMPLT,12110.0,6660.5,0.6296,10899.0,111 CDM,RRUCLASM-2744632000-L6320-0274-SM47704-1000-6820,HB PROSTH SD PASSVRESTOR CAP ONLY,6820.0,3751.0,0.6296,6138.0,111 CDM,RRUCLASM-2744635000-L6350-0274-SM47704-1000-15520,HB PROSTH INTERSCAP HUMERAL SECTN,15520.0,8536.0,0.6296,13968.0,111 CDM,RRUCLASM-2744636000-L6360-0274-SM47704-1000-12710,HB PROSTH IT PASSIV RESTOR COMPLT,12710.0,6990.5,0.6296,11439.0,111 CDM,RRUCLASM-2744637000-L6370-0274-SM47704-1000-8110,HB PROSTH IT PASSVRESTOR CAP ONLY,8110.0,4460.5,0.6296,7299.0,111 CDM,RRUCLASM-2744638000-L6380-0274-SM47704-1000-1820,HB APPLY RIGID DRESSING CUSTOM WRIST DISART OR BELOW ELBOW,1820.0,1001.0,455.0,1820.0,111 CDM,RRUCLASM-2744640000-L6400-0274-SM47704-1000-9260,HB PROSTH ENDSKL BE SCKT+SFT SHAP,9260.0,5093.0,0.6296,8334.0,111 CDM,RRUCLASM-2744645000-L6450-0274-SM47704-1000-11290,HB PROSTH ENDSKL ED SCKT+SFT SHAP,11290.0,6209.5,0.6296,10161.0,111 CDM,RRUCLASM-2744650000-L6500-0274-SM47704-1000-10260,HB PROSTH ENDSKL AE SCKT+SFT SHAP,10260.0,5643.0,0.6296,9234.0,111 CDM,RRUCLASM-2744655000-L6550-0274-SM47704-1000-15220,HB PROSTH ENDSKL SHLDR DISARTIC SOCKET,15220.0,8371.0,0.6296,13698.0,111 CDM,RRUCLASM-2744657000-L6570-0274-SM47704-1000-17470,HB PROSTH ENDSKL INTERSCAP THORACIC SOCKET,17470.0,9608.5,0.6296,15723.0,111 CDM,RRUCLASM-2744658000-L6580-0274-SM47704-1000-5350,HB PREP WRIST OR BLW ELBOW BOWDEN CBL CNTRL MOLDED,5350.0,2942.5,0.6296,4815.0,111 CDM,RRUCLASM-2744658200-L6582-0274-SM47704-1000-4120,HB PREP WRIST OR BLW ELBOW BOWDEN CBL CNTRL DIR FORMED,4120.0,2266.0,649.95,3708.0,111 CDM,RRUCLASM-2744658400-L6584-0274-SM47704-1000-6690,HB PREP ELBOW FAIR LEAD CBL CNTRL MOLDED,6690.0,3679.5,0.6296,6021.0,111 CDM,RRUCLASM-2744658600-L6586-0274-SM47704-1000-5690,HB PREP ELBOW FAIR LEAD CBL CNTRL DIR FORMED,5690.0,3129.5,0.6296,5121.0,111 CDM,RRUCLASM-2744658800-L6588-0274-SM47704-1000-9680,HB PREP SHOULDER FAIR LEAD CBL CNTRL MOLDED,9680.0,5324.0,0.6296,8712.0,111 CDM,RRUCLASM-2744659000-L6590-0274-SM47704-1000-8510,HB PREP SHOULDER FAIR LEAD CBL CNTRL DIR FORMED,8510.0,4680.5,0.6296,7659.0,111 CDM,RRUCLASM-2744660000-L6600-0274-SM47704-1000-750,HB PRSTHADD-ARM-PLYCNTRC HNG/PR,750.0,412.5,67.89,675.0,111 CDM,RRUCLASM-2744660500-L6605-0274-SM47704-1000-740,HB PRSTHADD-ARM-SGL PIVOTHNG/PR,740.0,407.0,75.29,666.0,111 CDM,RRUCLASM-2744661000-L6610-0274-SM47704-1000-660,HB ADD UE FLEX METAL HINGE PAIR,660.0,363.0,64.44,594.0,111 CDM,RRUCLASM-2744661100-L6611-0274-SM47704-1000-1210,HB ADD UE PROSTH EXT POWER ADD SWITCH,1210.0,665.5,270.47,1089.0,111 CDM,RRUCLASM-2744661500-L6615-0274-SM47704-1000-550,HB PRSTHADD-ARM-DISCNCT LOCWRST,550.0,302.5,71.22,495.0,111 CDM,RRUCLASM-2744661600-L6616-0274-SM47704-1000-190,HB PRSTHADD-ARM-ADDL DISCNCT LOCWRST,190.0,104.5,28.0,171.0,111 CDM,RRUCLASM-2744662000-L6620-0274-SM47704-1000-1140,HB ADD UE FLEX/EXT WRIST W WO FRICTION,1140.0,627.0,149.29,1026.0,111 CDM,RRUCLASM-2744662100-L6621-0274-SM47704-1000-6720,HB PRSTH ADD UE FLEX/EXT WRIST USE WITH EXT POWERED TERM DEVICE,6720.0,3696.0,0.6296,6048.0,111 CDM,RRUCLASM-2744662300-L6623-0274-SM47704-1000-1920,HB ADD UE SPRING ASST ROT WRIST W LATCH,1920.0,1056.0,247.89,1728.0,111 CDM,RRUCLASM-2744662400-L6624-0274-SM47704-1000-11070,HB ADD UE FLEX/EXT/ROT WRIST UNIT,11070.0,6088.5,0.6296,9963.0,111 CDM,RRUCLASM-2744662500-L6625-0274-SM47704-1000-2120,HB ADD UE ROT WRIST W CBL LOCK,2120.0,1166.0,272.66,1908.0,111 CDM,RRUCLASM-2744662800-L6628-0274-SM47704-1000-1430,HB PRSTH ADD UE QUICK DISCONNECT HOOK ADAPTOR OTO BOCK L,1430.0,786.5,280.56,1287.0,111 CDM,RRUCLASM-2744662900-L6629-0274-SM47704-1000-520,HB PRSTH ADD UE QUICK DISCONNECT LAMINAT COLLAR+COUPLING OTTOBOC,520.0,286.0,79.33,468.0,111 CDM,RRUCLASM-2744663000-L6630-0274-SM47704-1000-650,HB ADD UE STANLESS STEEL ANY WRIST,650.0,357.5,76.95,585.0,111 CDM,RRUCLASM-2744663200-L6632-0274-SM47704-1000-190,HB ADD UE LATEX SUSP SLEEVE EACH,190.0,104.5,36.96,171.0,111 CDM,RRUCLASM-2744663500-L6635-0274-SM47704-1000-700,HB ADD UE ELBOW LIFT ASSIST,700.0,385.0,115.08,630.0,111 CDM,RRUCLASM-2744663700-L6637-0274-SM47704-1000-1280,HB ADD UE NUDGE CNTRL ELBOW LOCK,1280.0,704.0,203.7,1152.0,111 CDM,RRUCLASM-2744663800-L6638-0274-SM47704-1000-7350,HB ADD UE PROSTH ELEC LOCK ONLY W MAN POWER ELBOW,7350.0,4042.5,0.6296,6615.0,111 CDM,RRUCLASM-2744664000-L6640-0274-SM47704-1000-840,HB ADD UE SHOULDER ABD JT PAIR,840.0,462.0,109.69,756.0,111 CDM,RRUCLASM-2744664100-L6641-0274-SM47704-1000-600,HB ADD UE EXCURSION AMP PULLEY,600.0,330.0,103.34,540.0,111 CDM,RRUCLASM-2744664200-L6642-0274-SM47704-1000-780,HB ADD UE EXCURSION AMP LEVER,780.0,429.0,129.68,702.0,111 CDM,RRUCLASM-2744664500-L6645-0274-SM47704-1000-1270,HB PRSTHADD-SHLDR FLX-ABD JT/EA,1270.0,698.5,149.05,1143.0,111 CDM,RRUCLASM-2744664600-L6646-0274-SM47704-1000-9270,HB ADD UE SHOULDER JT MULTIPOS LOCKING,9270.0,5098.5,0.6296,8343.0,111 CDM,RRUCLASM-2744664700-L6647-0274-SM47704-1000-1530,HB ADD UE SHOULDER LOCK BODY POWER ACTUATOR,1530.0,841.5,327.03,1377.0,111 CDM,RRUCLASM-2744664800-L6648-0274-SM47704-1000-9560,HB ADD UE SHOULDER LOCK EXT POWER ACTUATOR,9560.0,5258.0,0.6296,8604.0,111 CDM,RRUCLASM-2744665000-L6650-0274-SM47704-1000-1350,HB ADD UE SHOULDER UNIVERSAL JT EACH,1350.0,742.5,145.71,1215.0,111 CDM,RRUCLASM-2744665500-L6655-0274-SM47704-1000-300,HB PRSTHADD-ARM-CONTROL X-CABLE,300.0,165.0,32.03,270.0,111 CDM,RRUCLASM-2744666000-L6660-0274-SM47704-1000-370,HB PRSTHADD-UE HEAVY DUTY CABLE,370.0,203.5,78.52,333.0,111 CDM,RRUCLASM-2744666500-L6665-0274-SM47704-1000-150,HB PRSTHADD-UE CABL LINING TEFLN,150.0,82.5,21.89,135.0,111 CDM,RRUCLASM-2744667000-L6670-0274-SM47704-1000-190,HB PRSTHADD-HOOK-HND CABL ADAPT,190.0,104.5,26.84,171.0,111 CDM,RRUCLASM-2744667200-L6672-0274-SM47704-1000-670,HB PRSTHADD-CHEST/SHLDR HARNESS,670.0,368.5,104.77,603.0,111 CDM,RRUCLASM-2744667500-L6675-0274-SM47704-1000-460,HB PRSTHADD-ARM HARNESS-FIG 8 S,460.0,253.0,62.51,414.0,111 CDM,RRUCLASM-2744667600-L6676-0274-SM47704-1000-480,HB PRSTHADD-ARM HARNESS-FIG 8 D,480.0,264.0,77.72,432.0,111 CDM,RRUCLASM-2744667700-L6677-0274-SM47704-1000-870,HB ADD UE HARNESS TRIPLE CONTROL,870.0,478.5,186.83,783.0,111 CDM,RRUCLASM-2744668000-L6680-0274-SM47704-1000-930,HB PRSTHADD-D-WRST/BE TEST SCKT,930.0,511.5,179.71,837.0,111 CDM,RRUCLASM-2744668200-L6682-0274-SM47704-1000-920,HB PRSTHADD-D-ELBO/AE TEST SCKT,920.0,506.0,179.71,828.0,111 CDM,RRUCLASM-2744668400-L6684-0274-SM47704-1000-1390,HB PRSTHADD-D-SHLDR/IT TEST SCK,1390.0,764.5,179.71,1251.0,111 CDM,RRUCLASM-2744668600-L6686-0274-SM47704-1000-2360,HB PRSTHADD-UE SUCTION SOCKET,2360.0,1298.0,364.79,2124.0,111 CDM,RRUCLASM-2744668700-L6687-0274-SM47704-1000-1750,HB PRSTHADD-BE/D-WRST FRAM SCKT,1750.0,962.5,265.3,1575.0,111 CDM,RRUCLASM-2744668800-L6688-0274-SM47704-1000-1890,HB PRSTHADD-D-ELBO/AE FRAM SCKT,1890.0,1039.5,291.55,1701.0,111 CDM,RRUCLASM-2744668900-L6689-0274-SM47704-1000-2160,HB PRSTHADD-D-SHLDR FRAME SCKT,2160.0,1188.0,350.18,1944.0,111 CDM,RRUCLASM-2744669000-L6690-0274-SM47704-1000-2500,HB PRSTHADD-INTERSCAP FRAM SCKT,2500.0,1375.0,380.01,2250.0,111 CDM,RRUCLASM-2744669100-L6691-0274-SM47704-1000-1380,HB PRSTHADD-UE REMOVBL INSRT EA,1380.0,759.0,209.13,1242.0,111 CDM,RRUCLASM-2744669200-L6692-0274-SM47704-1000-2230,HB PRSTHADD-UE SILICON INSRT EA,2230.0,1226.5,413.0,2007.0,111 CDM,RRUCLASM-2744669300-L6693-0274-SM47704-1000-8340,HB PRSTH ADD UE LOCKING ELBOW FOREARM COUNTERBALANCE,8340.0,4587.0,0.6296,7506.0,111 CDM,RRUCLASM-2744669400-L6694-0274-SM47704-1000-2350,HB ADD UE PROSTH ELBOW SOCKET INSRT W LOCK CUST/PREFAB,2350.0,1292.5,502.73,2115.0,111 CDM,RRUCLASM-2744669500-L6695-0274-SM47704-1000-1950,HB ADD UE PROSTH ELBOW SOCKET INSRT WO LOCK CUST/PREFAB,1950.0,1072.5,418.94,1755.0,111 CDM,RRUCLASM-2744669600-L6696-0274-SM47704-1000-3870,HB ADD UE PROSTH ELBOW SOCKET INSRT CONG/ATYPICAL CUST,3870.0,2128.5,828.47,3483.0,111 CDM,RRUCLASM-2744669700-L6697-0274-SM47704-1000-3870,HB ADD UE PROSTH ELBOW SOCKET INSRT NOT CONG/ATYPICAL CUST,3870.0,2128.5,828.47,3483.0,111 CDM,RRUCLASM-2744669800-L6698-0274-SM47704-1000-1990,HB PRSTHADD-UE AE/BE LCK MEC EXCL SCKT INS,1990.0,1094.5,425.5,1791.0,111 CDM,RRUCLASM-2744670300-L6703-0274-SM47704-1000-1080,HB TERM DEV PASS HAND/MITT,1080.0,594.0,240.5,972.0,111 CDM,RRUCLASM-2744670400-L6704-0274-SM47704-1000-2340,HB TERM DEV SPRT/REC/WORK ATTACH,2340.0,1287.0,522.51,2106.0,111 CDM,RRUCLASM-2744670600-L6706-0274-SM47704-1000-1290,HB TERM DEV HOOK MECHANICAL VOLUNTARY OPEN,1290.0,709.5,288.79,1161.0,111 CDM,RRUCLASM-2744670700-L6707-0274-SM47704-1000-4930,HB TERM DEV HOOK MECHANICAL VOLUNTARY CLOSE,4930.0,2711.5,1102.72,4437.0,111 CDM,RRUCLASM-2744670800-L6708-0274-SM47704-1000-3340,HB TERM DEV HAND MECHANICAL VOLUNTARY OPEN,3340.0,1837.0,746.3,3006.0,111 CDM,RRUCLASM-2744670900-L6709-0274-SM47704-1000-4840,HB TERM DEV HAND MECHANICAL VOLUNTARY CLOSE,4840.0,2662.0,1080.94,4356.0,111 CDM,RRUCLASM-2744671100-L6711-0274-SM47704-1000-1980,HB TERM DEV HOOK MECHANICAL VOLUNTARY OPEN PEDS,1980.0,1089.0,476.26,1782.0,111 CDM,RRUCLASM-2744671200-L6712-0274-SM47704-1000-3640,HB TERM DEV HOOK MECHANICAL VOLUNTARY CLOSE PEDS,3640.0,2002.0,876.88,3276.0,111 CDM,RRUCLASM-2744671300-L6713-0274-SM47704-1000-4590,HB TERM DEV HAND MECHANICAL VOLUNTARY OPEN PEDS,4590.0,2524.5,1106.72,4131.0,111 CDM,RRUCLASM-2744671400-L6714-0274-SM47704-1000-3890,HB TERM DEV HAND MECHANICAL VOLUNTARY CLOSE PEDS,3890.0,2139.5,937.39,3501.0,111 CDM,RRUCLASM-2744671500-L6715-0274-SM47704-1000-9280,HB TERM DEV MULTI ART DIGIT W MOTOR,9280.0,5104.0,0.6296,8352.0,111 CDM,RRUCLASM-2744672100-L6721-0274-SM47704-1000-6910,HB TERM DEV HOOK OR HAND HVY DTY VOLUNTARY OPEN,6910.0,3800.5,0.6296,6219.0,111 CDM,RRUCLASM-2744672200-L6722-0274-SM47704-1000-5960,HB TERM DEV HOOK OR HAND HVY DTY VOLUNTARY CLOSE,5960.0,3278.0,0.6296,5364.0,111 CDM,RRUCLASM-2744680500-L6805-0274-SM47704-1000-1270,HB ADD TERM DEV MODIFIER WRIST UNIT,1270.0,698.5,157.33,1143.0,111 CDM,RRUCLASM-2744681000-L6810-0274-SM47704-1000-650,HB ADD TERM DEV PRECISION PINCH DEVICE,650.0,357.5,96.51,585.0,111 CDM,RRUCLASM-2744688000-L6880-0274-SM47704-1000-70220,HB PRSTH ELECTR HAND SWITCH/MYOELECTR CONTROL INDEP ARTIC DIGITS,70220.0,38621.0,0.6296,63198.0,111 CDM,RRUCLASM-2744688100-L6881-0274-SM47704-1000-12020,HB PROSTH HAND TERM DEVIC-AUTOGRP,12020.0,6611.0,0.6296,10818.0,111 CDM,RRUCLASM-2744688200-L6882-0274-SM47704-1000-9110,HB PROSTH HAND TERM DEV-MICROPROC,9110.0,5010.5,0.6296,8199.0,111 CDM,RRUCLASM-2744688300-L6883-0274-SM47704-1000-5150,HB REPLC SOCKET BLW ELBOW/WRIST DISART MOLDED,5150.0,2832.5,0.6296,4635.0,111 CDM,RRUCLASM-2744688400-L6884-0274-SM47704-1000-8910,HB REPLC SOCKET ABV ELBOW/ELBOW DISART MOLDED,8910.0,4900.5,0.6296,8019.0,111 CDM,RRUCLASM-2744688500-L6885-0274-SM47704-1000-12710,HB REPLC SOCKET SHOULDER DISART/INTERSCAP THORACIC MOLDED,12710.0,6990.5,0.6296,11439.0,111 CDM,RRUCLASM-2744689000-L6890-0274-SM47704-1000-680,HB PROSTH ABOV HAND GLOV-PRODUCTN,680.0,374.0,92.39,612.0,111 CDM,RRUCLASM-2744689500-L6895-0274-SM47704-1000-1670,HB PROSTH ABOV HAND GLOV-SPECIAL,1670.0,918.5,215.08,1503.0,111 CDM,RRUCLASM-2744692000-L6920-0274-SM47704-1000-22320,HB WRIST DISART EXT POWER SWITCH CONTROL,22320.0,12276.0,0.6296,20088.0,111 CDM,RRUCLASM-2744692500-L6925-0274-SM47704-1000-25480,HB PRSTH WRST D-ARTC E-PWR MYOELC,25480.0,14014.0,0.6296,22932.0,111 CDM,RRUCLASM-2744693000-L6930-0274-SM47704-1000-20780,HB BLW ELBOW EXT POWER SWITCH CONTROL,20780.0,11429.0,0.6296,18702.0,111 CDM,RRUCLASM-2744693500-L6935-0274-SM47704-1000-24130,HB PROSTH B-LO WRIST MYOELEC SET,24130.0,13271.5,0.6296,21717.0,111 CDM,RRUCLASM-2744694000-L6940-0274-SM47704-1000-26300,HB ELBOW DISART EXT POWER SWITCH CONTROL,26300.0,14465.0,0.6296,23670.0,111 CDM,RRUCLASM-2744694500-L6945-0274-SM47704-1000-30560,HB ELBOW DISART EXT POWER MYOELECTRONIC CONTROL,30560.0,16808.0,0.6296,27504.0,111 CDM,RRUCLASM-2744695000-L6950-0274-SM47704-1000-29860,HB ABV ELBOW EXT POWER SWITCH CONTROL,29860.0,16423.0,0.6296,26874.0,111 CDM,RRUCLASM-2744695500-L6955-0274-SM47704-1000-35760,HB PRSTH AE EXTERNAL POWER SYST MYOELECTRONIC CONTROL TE,35760.0,19668.0,0.6296,32184.0,111 CDM,RRUCLASM-2744696000-L6960-0274-SM47704-1000-38260,HB SHOULDER DISART EXT POWER SWITCH CONTROL,38260.0,21043.0,0.6296,34434.0,111 CDM,RRUCLASM-2744696500-L6965-0274-SM47704-1000-44420,HB SHOULDER DISART EXT POWER MYOELECTRONIC CONTROL,44420.0,24431.0,0.6296,39978.0,111 CDM,RRUCLASM-2744697000-L6970-0274-SM47704-1000-47050,HB INTERSCAP-THOR EXT POWER SWITCH CONTROL,47050.0,25877.5,0.6296,42345.0,111 CDM,RRUCLASM-2744697500-L6975-0274-SM47704-1000-55630,HB INTERSCAP-THOR EXT POWER MYOELECTRONIC CONTROL,55630.0,30596.5,0.6296,50067.0,111 CDM,RRUCLASM-2744700700-L7007-0274-SM47704-1000-10300,HB ELECTRIC HAND ADULT,10300.0,5665.0,0.6296,9270.0,111 CDM,RRUCLASM-2744700900-L7009-0274-SM47704-1000-10510,HB ELECTRIC HOOK ADULT,10510.0,5780.5,0.6296,9459.0,111 CDM,RRUCLASM-2744704000-L7040-0274-SM47704-1000-8440,HB PROSTH PREHENSILE ACTUATOR SWITCH CONTROLLED,8440.0,4642.0,0.6296,7596.0,111 CDM,RRUCLASM-2744717000-L7170-0274-SM47704-1000-17550,HB ELECTRONIC ELBOW HOSMER SWITCH CONTROL,17550.0,9652.5,0.6296,15795.0,111 CDM,RRUCLASM-2744718000-L7180-0274-SM47704-1000-108480,HB ELECTRONIC ELBOW MICROPROCESSOR SEQ CONTROL,108480.0,59664.0,0.6296,97632.0,111 CDM,RRUCLASM-2744718100-L7181-0274-SM47704-1000-117770,HB ELECTRONIC ELBOW MICROPROCESSOR SIMUL CONTROL,117770.0,64773.5,0.6296,105993.0,111 CDM,RRUCLASM-2744725900-L7259-0274-SM47704-1000-12080,HB ELECTRONIC WRIST ROTATOR ANY TYPE,12080.0,6644.0,0.6296,10872.0,111 CDM,RRUCLASM-2744736001-L7360-0274-SM47704-1000-730,HB PROSTH BATTERY 6V-OTTO BOCK,730.0,401.5,111.21,657.0,111 CDM,RRUCLASM-2744736200-L7362-0274-SM47704-1000-770,HB PROSTH BATTERY 6V-CHARGER BOCK,770.0,423.5,116.81,693.0,111 CDM,RRUCLASM-2744736400-L7364-0274-SM47704-1000-1420,HB TWELVE VOLT BATTERY EACH,1420.0,781.0,214.03,1278.0,111 CDM,RRUCLASM-2744736600-L7366-0274-SM47704-1000-1840,HB BATTERY CHARGER TWELVE VOLT EACH,1840.0,1012.0,280.0,1656.0,111 CDM,RRUCLASM-2744736700-L7367-0274-SM47704-1000-1140,HB PROSTH LITHIUM ION BATTERY REPLACEMENT,1140.0,627.0,245.21,1026.0,111 CDM,RRUCLASM-2744740000-L7400-0274-SM47704-1000-900,HB PRSTH ADD UE BELOW ELBOW/WRIST DISARTRICULATION ULTRALIGHT MA,900.0,495.0,193.03,810.0,111 CDM,RRUCLASM-2744740100-L7401-0274-SM47704-1000-1010,HB PRSTH ADD UE ABOVE ELBOW DISARTICULATION ULTRALIGHT L,1010.0,555.5,216.1,909.0,111 CDM,RRUCLASM-2744740200-L7402-0274-SM47704-1000-1090,HB ADD UE PROSTH SHOULDER DISART/INTERSCAP THORACIC ULTRALIGHT,1090.0,599.5,233.38,981.0,111 CDM,RRUCLASM-2744740300-L7403-0274-SM47704-1000-1080,HB PRSTH ADD UE ABOVE ELBOW/WRIST DISARTICULATION ACRYLIC MATERI,1080.0,594.0,231.94,972.0,111 CDM,RRUCLASM-2744740400-L7404-0274-SM47704-1000-1630,HB PRSTH ADD UE ABOVE ELBOW DISARTICULATION ACRYLIC MATL,1630.0,896.5,350.06,1467.0,111 CDM,RRUCLASM-2744740500-L7405-0274-SM47704-1000-2140,HB ADD UE PROSTH SHOULDER DISART/INTERSCAP THORACIC ACRYLIC,2140.0,1177.0,457.84,1926.0,111 CDM,RRUCLASM-2744749911-L7499-0274-SM47704-1000-127280,HB PRSTH PARTL HAND MYOELECTRIC I-DIGITS CUSTOM FAB,127280.0,70004.0,0.6296,114552.0,111 CDM,RRUCLASM-2744751002-L7510-0274-SM47704-1000-270,HB REPAIR PROSTH DEVICE,270.0,148.5,67.5,243.0,111 CDM,RRUCLASM-2744760000-L7600-0274-SM47704-1000-120,HB PROSTH DONNING SLEEVE EA,120.0,66.0,30.0,108.0,111 CDM,RRUCLASM-2744770000-L7700-0274-SM47704-1000-370,HB PROS SOC INSERT GASKET/SEAL EA,370.0,203.5,92.5,333.0,111 CDM,RRUCLASM-2744830000-L8300-0274-SM47704-1000-330,HB TRUSS SINGLE W STANDARD PAD,330.0,181.5,72.16,297.0,111 CDM,RRUCLASM-2744831000-L8310-0274-SM47704-1000-520,HB TRUSS DOUBLE W STANDARD PAD,520.0,286.0,113.93,468.0,111 CDM,RRUCLASM-2744840000-L8400-0274-SM47704-1000-60,HB PROSTH SHEATH BELOW KNEE-EA,60.0,33.0,11.88,54.0,111 CDM,RRUCLASM-2744841000-L8410-0274-SM47704-1000-80,HB PROSTH SHEATH ABOVE KNEE EACH,80.0,44.0,11.88,72.0,111 CDM,RRUCLASM-2744841500-L8415-0274-SM47704-1000-70,HB PROSTH SHEATH UPPER LIMB EA,70.0,38.5,10.94,63.0,111 CDM,RRUCLASM-2744841700-L8417-0274-SM47704-1000-220,HB PROSTH SHEATH BK/AK+GEL CUSHN,220.0,121.0,36.31,198.0,111 CDM,RRUCLASM-2744842000-L8420-0274-SM47704-1000-80,HB PROSTH SOCK MULTIPLE PLY BK EA,80.0,44.0,11.79,72.0,111 CDM,RRUCLASM-2744843000-L8430-0274-SM47704-1000-80,HB PROSTH SOCK MULTIPLE PLY AK EA,80.0,44.0,11.79,72.0,111 CDM,RRUCLASM-2744843500-L8435-0274-SM47704-1000-80,HB PROSTH SOCK MULTIPLE PLY UPPER LMB,80.0,44.0,11.99,72.0,111 CDM,RRUCLASM-2744844000-L8440-0274-SM47704-1000-170,HB PROSTH SHRINKER BELOW KNEE-EA,170.0,93.5,25.68,153.0,111 CDM,RRUCLASM-2744846000-L8460-0274-SM47704-1000-270,HB PROSTH SHRINKER ABOVE KNEE-EA,270.0,148.5,57.02,243.0,111 CDM,RRUCLASM-2744846500-L8465-0274-SM47704-1000-150,HB PROSTH SHRINKER UPPER LIMB EA,150.0,82.5,19.08,135.0,111 CDM,RRUCLASM-2744847000-L8470-0274-SM47704-1000-30,HB PROSTH SOCK SGL PLY BELOW KNEE,30.0,16.5,4.48,27.0,111 CDM,RRUCLASM-2744848000-L8480-0274-SM47704-1000-30,HB PROSTH SOCK SGL PLY ABOVE KNEE,30.0,16.5,5.22,27.0,111 CDM,RRUCLASM-2744848500-L8485-0274-SM47704-1000-40,HB PROSTH SOCK SGL PLY FIT UPPER LMB,40.0,22.0,9.22,36.0,111 CDM,RRUCLASM-2744850002-L8500-0274-SM47701-1000-1650,HB LARYNX ARTIFICIAL SOLATONE ELECTROLARYNX,1650.0,907.5,339.06,1485.0,111 CDM,RRUCLASM-2744850004-L8500-0274-SM47701-1000-690,HB LARYNX ARTIFICIAL BLOMSINGER ELECTROLARYNX,690.0,379.5,172.5,690.0,111 CDM,RRUCLASM-2744850100-L8501-0274-SM47700-1000-200,HB TRACH TUBE SPEAKING VALVE PASSY-MUIR,200.0,110.0,50.0,200.0,111 CDM,RRUCLASM-2744850700-L8507-0274-SM47701-1000-130,HB TEP VOICE PT INSERTED-DUCKBILL,130.0,71.5,26.38,117.0,111 CDM,RRUCLASM-2744850701-L8507-0274-SM47701-1000-200,HB TEP VOICE PT INSERTED-LOPRESS,200.0,110.0,26.38,180.0,111 CDM,RRUCLASM-2744850702-L8507-0274-SM47701-1000-290,HB TEP VOICE PT INSERTED-PRVX NID,290.0,159.5,26.38,261.0,111 CDM,RRUCLASM-2744850900-L8509-0274-SM47701-1000-160,HB TEP VOICE CLIN INSRT-DUCKBILL,160.0,88.0,40.0,160.0,111 CDM,RRUCLASM-2744850901-L8509-0274-SM47701-1000-330,HB TEP VOICE CLIN INSRT-DUCKBL SP,330.0,181.5,68.78,297.0,111 CDM,RRUCLASM-2744850902-L8509-0274-SM47701-1000-660,HB TEP VOICE CLIN INSRT-INDWEL,660.0,363.0,68.78,594.0,111 CDM,RRUCLASM-2744850903-L8509-0274-SM47701-1000-730,HB TEP VOICE CLIN INSRT-INDWEL SP,730.0,401.5,68.78,657.0,111 CDM,RRUCLASM-2744850904-L8509-0274-SM47701-1000-200,HB TEP VOICE CLIN INSRT-LOPRSS,200.0,110.0,50.0,200.0,111 CDM,RRUCLASM-2744850905-L8509-0274-SM47701-1000-300,HB TEP VOICE CLIN INSRT-LOPRSS SP,300.0,165.0,68.78,270.0,111 CDM,RRUCLASM-2744850906-L8509-0274-SM47701-1000-290,HB TEP VOICE CLIN INSRT-NID,290.0,159.5,68.78,261.0,111 CDM,RRUCLASM-2744850907-L8509-0274-SM47701-1000-490,HB TEP VOICE CLIN INSRT-PROVX2,490.0,269.5,68.78,441.0,111 CDM,RRUCLASM-2744850912-L8509-0274-SM47701-1000-830,HB TEP VOICE CLIN INSRT BLM-SINGER ADV INHEALTH,830.0,456.5,68.78,747.0,111 CDM,RRUCLASM-2744850913-L8509-0274-SM47701-1000-1030,HB TEP VOICE CLIN INSRT BLM-SINGER ?DUO INHEALTH,1030.0,566.5,68.78,927.0,111 CDM,RRUCLASM-2744850915-L8509-0274-SM47701-1000-960,HB TEP VOICE CLIN INSRT PROVOX VEGA ATOS,960.0,528.0,68.78,864.0,111 CDM,RRUCLASM-2744850916-L8509-0274-SM47701-1000-1110,HB TEP VOICE CLIN INSRT PROVOX VEGA XTRASEAL ATOS,1110.0,610.5,68.78,999.0,111 CDM,RRUCLASM-2744850917-L8509-0274-SM47701-1000-4270,HB TEP VOICE CLIN INSRT PROVOX ACTIVALVE ATOS,4270.0,2348.5,68.78,3843.0,111 CDM,RRUCLASM-2745180200-E1802-0274-SM47701-1000-1370,HB DYNAMIC ADJ PRON/SUP FOREARM DEVC W SFT INTERFACE MATERIAL,1370.0,753.5,342.5,1233.0,111 CDM,RRUCLASM-2749104000-S1040-0274-SM47704-1000-1650,HB CRANIAL REMOLDING ORTH PED RIGID SFT CUSTOM+FIT,1650.0,907.5,412.5,1485.0,111 CDM,RRUCLASM-2780000719-C1729-0272-SM46300-1000-210,HB CATH DRAIN CHEST,210.0,115.5,52.5,189.0,113 CDM,RRUCLASM-2780055090-C1886-0272-SM44210-1000-6750,HB PROBE ABLATION CERTUS NEUWAVE,6750.0,3712.5,1687.5,6075.0,113 CDM,RRUCLASM-2780532904-A4648-0278-SM46302-1000-2400,HB TISSUE MARKER IMPLANT EVIVA HOLOGIC,2400.0,1320.0,600.0,2160.0,112 CDM,RRUCLASM-2780592454-Q0508-0274-SM44210-1000-300,HB VAD HEARTWAVE PATIENT PACK REPLACEMENT P100047,300.0,165.0,75.0,270.0,111 CDM,RRUCLASM-2780673843-A4648-0278-SM46302-1000-410,HB TISSUE MARKER IMPLANT MAMMOSTAR LEICA,410.0,225.5,102.5,369.0,112 CDM,RRUCLASM-2780676787-A4648-0278-SM46402-1000-170,HB FIDUCIAL MARKER IMPLANT EACH RAD ONC,170.0,93.5,42.5,153.0,112 CDM,RRUCLASM-2780683944-A4648-0278-SM46302-1000-210,HB TISSUE MARKER IMPLANT ULTRACLIP BARD,210.0,115.5,52.5,189.0,112 CDM,RRUCLASM-2780697098-A4648-0278-SM46302-1000-1730,HB TISSUE MARKER IMPLANT SAVI SCOUT CIANNA,1730.0,951.5,432.5,1557.0,112 CDM,RRUCLASM-2783263500-C2635-0278-SM46402-1000-400,HB BRACHYTHER SOURCE PALLADIUM103 NONSTR/SOURCE,400.0,220.0,88.1542,385.692412,122 CDM,RRUCLASM-2784407200-C1751-0272-SM46302-1000-560,HB CATH PICC 2 LUMEN ARROW,560.0,308.0,140.0,504.0,113 CDM,RRUCLASM-2784411400-C1751-0272-SM46302-1000-450,HB CATH PICC POWERPICC NAVILYST,450.0,247.5,112.5,405.0,113 CDM,RRUCLASM-2784411800-C1751-0272-SM46302-1000-700,HB CATH PICC POWERPICC BARD,700.0,385.0,175.0,630.0,113 CDM,RRUCLASM-2901800100-A8001-0290-SM47704-1000-530,HB HELMET PROTECTIVE HARD PREFAB WITH ALL COMPONENTS & ACCESSORI,530.0,291.5,35.599516,477.0,113 CDM,RRUCLASM-2915047001-E0470-0291-SM46202-1000-290,HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED RNTL,290.0,159.5,72.5,261.0,113 CDM,RRUCLASM-2915047100-E0471-0291-SM46202-1000-610,HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS RNTL,610.0,335.5,152.5,549.0,113 CDM,RRUCLASM-2915047102-E0471-0291-SM46202-1000-680,HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS RNTL,680.0,374.0,170.0,612.0,113 CDM,RRUCLASM-2915047104-E0471-0291-SM46202-1000-740,HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED RNTL,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-2915060100-E0601-0291-SM46202-1000-100,HB SLEEP LAB CPAP DRMSTN RESPIRONICS RNTL,100.0,55.0,25.0,90.0,113 CDM,RRUCLASM-2915060101-E0601-0291-SM46202-1000-120,HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED RNTL,120.0,66.0,30.0,108.0,113 CDM,RRUCLASM-2915060102-E0601-0291-SM46202-1000-130,HB SLEEP LAB CPAP AIRSENSE 11 AUTOSET ELITE RESMED RNTL,130.0,71.5,32.5,117.0,113 CDM,RRUCLASM-2921703001-A7030-0292-SM46202-1000-260,HB SLEEP LAB CPAP FULL FACE MASK EA FRAME RESMED,260.0,143.0,65.0,250.751823,113 CDM,RRUCLASM-2921703002-A7030-0292-SM46202-1000-320,HB SLEEP LAB CPAP FULL FACE MASK EA FFM RESMED,320.0,176.0,80.0,288.0,113 CDM,RRUCLASM-2921703004-A7030-0292-SM46202-1000-300,HB SLEEP LAB CPAP FULL FACE MASK EACH FFM AMARA RESPIRONICS,300.0,165.0,75.0,270.0,113 CDM,RRUCLASM-2921703101-A7031-0292-SM46202-1000-100,HB SLEEP LAB CPAP FACE MASK INTERFACE REPLACE EA RESMED,100.0,55.0,25.0,93.641821,113 CDM,RRUCLASM-2921703201-A7032-0292-SM46202-1000-60,HB SLEEP LAB CPAP CUSHION REPLACE ONLY MIRAGE RESMED,60.0,33.0,15.0,54.0,113 CDM,RRUCLASM-2921703203-A7032-0292-SM46202-1000-80,HB SLEEP LAB CPAP CUSHION REPLACEMENT ONLY RESPIRONICS,80.0,44.0,20.0,72.0,113 CDM,RRUCLASM-2921703301-A7033-0292-SM46202-1000-50,HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR SWIFT RESMED,50.0,27.5,12.5,45.0,113 CDM,RRUCLASM-2921703302-A7033-0292-SM46202-1000-80,HB SLEEP LAB CPAP PILLOW FOR NASAL CANNULA INTERFACE REPLAC PAIR,80.0,44.0,20.0,72.0,113 CDM,RRUCLASM-2921703402-A7034-0292-SM46202-1000-120,HB SLEEP LAB CPAP NASAL INTERFACE FRAME SYSTEM RESMED,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-2921703403-A7034-0292-SM46202-1000-160,HB SLEEP LAB CPAP NASAL INTERFACE MASK/FRAME SYSTEM RESMED,160.0,88.0,40.0,156.533153,113 CDM,RRUCLASM-2921703404-A7034-0292-SM46202-1000-210,HB SLEEP LAB CPAP NASAL INTERFACE PILLOWS SYSTEM RESMED,210.0,115.5,52.5,189.0,113 CDM,RRUCLASM-2921703407-A7034-0292-SM46202-1000-190,HB SLEEP LAB CPAP NASAL INTERFACE MASK W OR WO STRAP RESPIRONICS,190.0,104.5,47.5,171.0,113 CDM,RRUCLASM-2921703501-A7035-0292-SM46202-1000-40,HB SLEEP LAB CPAP HEAD GEAR & CLIPS RESMED,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-2921703503-A7035-0292-SM46202-1000-50,HB SLEEP LAB CPAP HEAD GEAR MIRAGE RESMED,50.0,27.5,12.5,50.0,113 CDM,RRUCLASM-2921703504-A7035-0292-SM46202-1000-60,HB SLEEP LAB CPAP HEAD GEAR MIRAGE SWIFT RESMED,60.0,33.0,15.0,54.0,113 CDM,RRUCLASM-2921703507-A7035-0292-SM46202-1000-50,HB SLEEP LAB CPAP HEAD GEAR STANDARD RESMED,50.0,27.5,12.5,50.0,113 CDM,RRUCLASM-2921703508-A7035-0292-SM46202-1000-50,HB SLEEP LAB CPAP HEAD GEAR RESPIRONICS,50.0,27.5,12.5,50.0,113 CDM,RRUCLASM-2921703601-A7036-0292-SM46202-1000-30,HB SLEEP LAB CPAP CHIN STRAP RESMED,30.0,16.5,7.5,27.0,113 CDM,RRUCLASM-2921703602-A7036-0292-SM46202-1000-40,HB SLEEP LAB CPAP CHIN STRAP RESPIRONICS,40.0,22.0,10.0,36.0,113 CDM,RRUCLASM-2921703701-A7037-0292-SM46202-1000-30,HB SLEEP LAB CPAP TUBING AIR 6FT OR SLIMLINE RESMED,30.0,16.5,7.5,30.0,113 CDM,RRUCLASM-2921703705-A7037-0292-SM46202-1000-30,HB SLEEP LAB CPAP TUBING 6FT RESPIRONICS,30.0,16.5,7.5,30.0,113 CDM,RRUCLASM-2921703808-A7038-0292-SM46202-1000-10,HB SLEEP LAB CPAP FILTER 1PACK RESMED RESP,10.0,5.5,2.5,9.0,113 CDM,RRUCLASM-2921703809-A7038-0292-SM46202-1000-20,HB SLEEP LAB CPAP FILTER 2PACK OR 3PACK RESMED,20.0,11.0,3.87,18.0,113 CDM,RRUCLASM-2921704601-A7046-0292-SM46202-1000-30,HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA C-SERIES RESMED,30.0,16.5,7.5,29.907402,113 CDM,RRUCLASM-2921704602-A7046-0292-SM46202-1000-80,HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA H4I H5I 2IC RES,80.0,44.0,17.15,72.0,113 CDM,RRUCLASM-2921704603-A7046-0292-SM46202-1000-130,HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA HUMIDAIRE RESME,130.0,71.5,17.15,117.0,113 CDM,RRUCLASM-2921704604-A7046-0292-SM46202-1000-60,HB SLEEP LAB BIPAP HMDFR WATER CHAMBER REPLACE EA RESPIRONICS,60.0,33.0,15.0,54.0,113 CDM,RRUCLASM-2925011400-E0114-0292-SM47704-1000-150,HB CRUTCHES FOREARM ADJUST,150.0,82.5,19.884564,135.0,113 CDM,RRUCLASM-2925047001-E0470-0292-SM46202-1000-2500,HB SLEEP LAB CPAP BI-LEVEL PRESS WO BACKUP S9 VPAP AUTO RESMED P,2500.0,1375.0,625.0,2250.0,113 CDM,RRUCLASM-2925047005-E0470-0292-SM46202-1000-2300,HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS PURCH,2300.0,1265.0,575.0,2070.0,113 CDM,RRUCLASM-2925047006-E0470-0292-SM46202-1000-2900,HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED PURCH,2900.0,1595.0,725.0,2610.0,113 CDM,RRUCLASM-2925047103-E0471-0292-SM46202-1000-5080,HB SLEEP LAB CPAP BI-LEVEL PRESS & BACKUP S9 VPAP ST RESMED PURC,5080.0,2794.0,1270.0,4572.0,113 CDM,RRUCLASM-2925047105-E0471-0292-SM46202-1000-7000,HB SLEEP LAB CPAP BI-LEVEL PRESS & BACKUP VPAP ADAPT RESMED PURC,7000.0,3850.0,1750.0,6300.0,113 CDM,RRUCLASM-2925047106-E0470-0292-SM46202-1000-3670,HB SLEEP LAB CPAP BI PRESS WO BACKUP AUTO DS760 RESPIRONICS PURC,3670.0,2018.5,917.5,3303.0,113 CDM,RRUCLASM-2925047114-E0471-0292-SM46202-1000-7350,HB SLEEP LAB CPAP BI PRESS & BACKUP & HMDFR VPAP ADAPT RESMED PU,7350.0,4042.5,1837.5,6615.0,113 CDM,RRUCLASM-2925047120-E0471-0292-SM46202-1000-10000,HB SLEEP LAB CPAP BI PRESS & BACKUP DS1160/DS960 RESPIRONICS PUR,10000.0,5500.0,2500.0,9000.0,113 CDM,RRUCLASM-2925047124-E0471-0292-SM46202-1000-6760,HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS PURCH,6760.0,3718.0,1690.0,6084.0,113 CDM,RRUCLASM-2925047125-E0471-0292-SM46202-1000-6900,HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED PURCH,6900.0,3795.0,1725.0,6210.0,113 CDM,RRUCLASM-2925047126-E0471-0292-SM46202-1000-7430,HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED PURCH,7430.0,4086.5,1857.5,6687.0,113 CDM,RRUCLASM-2925056202-E0562-0292-SM46202-1000-350,HB SLEEP LAB CPAP HMDFR H5I RESMED,350.0,192.5,27.210456,315.0,113 CDM,RRUCLASM-2925057201-E0572-0292-SM46202-1000-370,HB SLEEP LAB CPAP AEROSOL COMPRESSOR RESPIRONICS,370.0,203.5,55.06878,333.0,113 CDM,RRUCLASM-2925060101-E0601-0292-SM46202-1000-1610,HB SLEEP LAB CPAP REMSTAR60 & HMDFR AUTO RESPIRONICS PURCH,1610.0,885.5,402.5,1449.0,113 CDM,RRUCLASM-2925060103-E0601-0292-SM46202-1000-1470,HB SLEEP LAB CPAP S9 AUTOSET & CLIMATE CONTROL RESMED PURCH,1470.0,808.5,367.5,1323.0,113 CDM,RRUCLASM-2925060115-E0601-0292-SM46202-1000-980,HB SLEEP LAB CPAP DRMSTN RESPIRONICS PURCH,980.0,539.0,245.0,882.0,113 CDM,RRUCLASM-2925060116-E0601-0292-SM46202-1000-1200,HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED PURCH,1200.0,660.0,300.0,1080.0,113 CDM,RRUCLASM-2925060117-E0601-0292-SM46202-1000-1310,HB SLEEP LAB CPAP AIRSENSE 11 AUTOSET ELITE RESMED PURCH,1310.0,720.5,327.5,1179.0,113 CDM,RRUCLASM-2941702700-A7027-0294-SM46202-1000-400,HB SLEEP LAB CPAP ORAL/MASK COMBO EA AIRFIT X30I STD STPK RESMED,400.0,220.0,100.0,360.0,113 CDM,RRUCLASM-2941702900-A7029-0294-SM46202-1000-70,HB SLEEP LAB CPAP NASAL PILLOW COMBO REPLC PAIR AIRFIT X30I RESM,70.0,38.5,17.5,63.0,113 CDM,RRUCLASM-3003641000-36410-0761-SM40100-1000-60,HB NON-ROUTINE VENIPUNCTURE >= 3 YRS,60.0,33.0,15.0,54.0,113 CDM,RRUCLASM-3003641500-36415-0300-SM30185-48-40,HB VENIPUNCTURE BLOOD DRAW,40.0,22.0,3.63,36.0,136 CDM,RRUCLASM-3003641502-36415-0300-SM40100-1000-35,HB EXAM EVIDENTRY BLOOD DRAW,35.0,19.25,3.63,31.5,136 CDM,RRUCLASM-3003641600-36416-0300-SM45000-48-30,HB CAPILLARY BLOOD DRAW,30.0,16.5,3.63,27.0,114 CDM,RRUCLASM-3003641699-36416-0300-SM35300-1000-6,HB NEWBORN SCRN-CAPILLARY BLOOD DRAW,6.0,3.3,1.5,5.4,114 CDM,RRUCLASM-3003660000-36600-0300-SM40100-1000-510,HB ARTERIAL PUNCTURE BLOOD DRAW,510.0,280.5,127.5,459.0,113 CDM,RRUCLASM-3008685000-86850-0300-SM45400-1000-230,HB AB SCREEN RBC EA TECHNIQUE,230.0,126.5,57.5,230.0,113 CDM,RRUCLASM-3008685090-86850-0300-SM45400-1000-45.5,HB AB SCREEN RBC EA TECHNIQUE *RC,45.5,25.03,11.375,45.5,113 CDM,RRUCLASM-3008686000-86860-0300-SM45400-1000-360,HB AB ID RBC EACH ELUTION,360.0,198.0,90.0,360.0,113 CDM,RRUCLASM-3008686090-86860-0300-SM45400-1000-85,HB AB ID RBC EACH ELUTION *RC,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3008687000-86870-0300-SM45400-1000-500,HB AB ID RBC EA PANEL,500.0,275.0,125.0,500.0,113 CDM,RRUCLASM-3008687020-86870-0300-SM45400-1000-500,HB AB ID RBC ENZYME EACH,500.0,275.0,125.0,500.0,113 CDM,RRUCLASM-3008687090-86870-0300-SM45400-1000-75,HB AB ID RBC EA PANEL6-8 CELLS *RC,75.0,41.25,18.75,75.0,113 CDM,RRUCLASM-3008688000-86880-0300-SM45400-1000-95,HB DIRECT ANTIGLOBULIN TEST-IGG,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3008688010-86880-0300-SM45400-1000-95,HB DIRECT ANTIGLOBULIN TEST-C3,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3008688019-86880-0300-SM45400-1000-24.5,HB COOMB DIRECT/DAT EA ANTISER *RC,24.5,13.48,6.125,24.5,113 CDM,RRUCLASM-3008688500-86885-0300-SM45400-1000-350,HB AB ID RBC INDIRECT QUAL EA REAGENT,350.0,192.5,87.5,350.0,113 CDM,RRUCLASM-3008688590-86885-0300-SM45400-1000-11.5,HB AB ID RBC INDIRECT QUAL EA REAGENT *RC,11.5,6.33,2.875,11.5,113 CDM,RRUCLASM-3008688600-86886-0300-SM45400-1000-400,HB AB ID RBC TITER INDIR SALINE,400.0,220.0,100.0,400.0,113 CDM,RRUCLASM-3008688610-86886-0300-SM45400-1000-400,HB AB ID RBC TITER INDIRECT EA,400.0,220.0,100.0,400.0,113 CDM,RRUCLASM-3008688690-86886-0300-SM45400-1000-85,HB AB ID RBC TITER INDIRECT EA *RC,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3008690000-86900-0300-SM45400-1000-230,HB ABO BLOOD TYPING,230.0,126.5,57.5,230.0,113 CDM,RRUCLASM-3008690090-86900-0300-SM45400-1000-25,HB ABO BLOOD TYPING *RC,25.0,13.75,6.25,25.0,113 CDM,RRUCLASM-3008690100-86901-0300-SM45400-1000-160,HB RH BLOOD TYPING,160.0,88.0,40.0,160.0,113 CDM,RRUCLASM-3008690190-86901-0300-SM45400-1000-18.5,HB RH BLOOD TYPING *RC,18.5,10.18,4.625,18.5,113 CDM,RRUCLASM-3008690200-86902-0300-SM45400-1000-270,HB AG SCREEN COMPATIBLE DONOR UNIT,270.0,148.5,67.5,270.0,113 CDM,RRUCLASM-3008690290-86902-0300-SM45400-1000-39.5,HB AG TYPING PER AG /UNIT *RC,39.5,21.73,9.875,39.5,113 CDM,RRUCLASM-3008690500-86905-0300-SM45400-1000-250,HB AG TYPING RBC RECIPIENT,250.0,137.5,62.5,250.0,113 CDM,RRUCLASM-3008690590-86905-0300-SM45400-1000-63,HB PT RBC PHENOTYPE NOT ABO/D *RC,63.0,34.65,15.75,63.0,113 CDM,RRUCLASM-3008690690-86906-0300-SM45400-1000-63,HB RH PHENOTYPE COMPLETE *RC,63.0,34.65,15.75,63.0,113 CDM,RRUCLASM-3008695000-86950-0300-SM45400-1000-470,HB LEUKOCYTE TRANSFUSION,470.0,258.5,117.5,470.0,113 CDM,RRUCLASM-3008697000-86970-0300-SM45400-1000-150,HB AB ID RBC-INCUB CHM/DRUG EA,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3008697090-86970-0300-SM45400-1000-50.5,HB AB ID RBC-INCUB CHM/DRUG EA *RC,50.5,27.78,12.625,50.5,113 CDM,RRUCLASM-3018004800-80048-0301-SM45000-48-210,HB METABOLIC PANEL BASIC,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3018005000-80050-0301-SM45000-48-490,HB GENERAL HEALTH PANEL,490.0,269.5,122.5,490.0,113 CDM,RRUCLASM-3018005100-80051-0301-SM45000-48-240,HB ELECTROLYTE PANEL,240.0,132.0,60.0,240.0,113 CDM,RRUCLASM-3018005300-80053-0301-SM45000-48-340,HB METABOLIC PANEL COMPREHENSV,340.0,187.0,85.0,340.0,113 CDM,RRUCLASM-3018006100-80061-0301-SM45000-48-140,HB LIPID PANEL,140.0,77.0,35.0,140.0,113 CDM,RRUCLASM-3018006900-80069-0301-SM45000-48-190,HB RENAL FUNCTION PANEL,190.0,104.5,47.5,190.0,113 CDM,RRUCLASM-3018007600-80076-0301-SM45000-48-250,HB HEPATIC FUNCTION PANEL,250.0,137.5,62.5,250.0,113 CDM,RRUCLASM-3018014300-80143-0301-SM45000-48-90,HB ACETAMINOPHEN,90.0,49.5,14.91,90.0,123 CDM,RRUCLASM-3018015600-80156-0301-SM45000-48-150,HB CARBAMAZEPINE TOTAL SER,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3018016200-80162-0301-SM45000-48-210,HB DIGOXIN,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3018016400-80164-0301-SM45000-48-180,HB VALPROIC ACID QUANT,180.0,99.0,45.0,180.0,113 CDM,RRUCLASM-3018017000-80170-0301-SM45000-48-70,HB GENTAMICIN QUANT,70.0,38.5,17.5,70.0,113 CDM,RRUCLASM-3018017900-80179-0301-SM45000-48-65,HB SALICYLATE,65.0,35.75,14.91,65.0,123 CDM,RRUCLASM-3018018400-80184-0301-SM45000-48-85,HB PHENOBARBITAL QUANT,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3018018500-80185-0301-SM45000-48-210,HB PHENYTOIN DILANTIN TOTAL,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3018020200-80202-0301-SM45000-48-270,HB VANCOMYCIN QUANT,270.0,148.5,67.5,270.0,113 CDM,RRUCLASM-3018020400-80204-0301-SM45000-48-120,HB METHOTREXATE,120.0,66.0,30.86,120.0,123 CDM,RRUCLASM-3018030703-80307-0301-SM45000-48-230,HB PRESUMPTIVE-PENTOBARBITAL,230.0,126.5,51.72,230.0,123 CDM,RRUCLASM-3018030704-80307-0301-SM45000-48-230,HB PRESUMPTIVE-PHENCYCLIDINE,230.0,126.5,51.72,230.0,123 CDM,RRUCLASM-3018030706-80307-0301-SM45000-48-230,HB PRESUMPTIVE-OXYCODONE,230.0,126.5,51.72,230.0,123 CDM,RRUCLASM-3018030708-80307-0301-SM45000-48-230,HB PRESUMPTIVE-DRUG SCRN QUAL,230.0,126.5,51.72,230.0,123 CDM,RRUCLASM-3018030710-80307-0301-SM45000-48-230,HB PRESUMPTIVE-BENZO/TRICY,230.0,126.5,51.72,230.0,123 CDM,RRUCLASM-3018030712-80307-0301-SM45000-48-230,HB PRESUMPTIVE-FENTANYL,230.0,126.5,51.72,230.0,123 CDM,RRUCLASM-3018030713-80307-0301-SM45000-48-230,HB PRESUMPTIVE-HYDROCODONE,230.0,126.5,51.72,230.0,123 CDM,RRUCLASM-3018100100-81001-0307-SM45000-48-95,HB URINALYSIS AUTO W MICROSCOPIC,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3018100202-81002-0307-SM45000-48-55,HB URINALYSIS DIPSTICK,55.0,30.25,2.15,55.0,123 CDM,RRUCLASM-3018100300-81003-0307-SM45000-48-90,HB URINALYSIS DIPSTICK AUTO,90.0,49.5,22.5,90.0,113 CDM,RRUCLASM-3018100500-81005-0301-SM45000-48-30,HB REDUCING SUBSTANCES UR QUAL,30.0,16.5,7.5,30.0,113 CDM,RRUCLASM-3018101500-81015-0301-SM45000-48-25,HB URINALYSIS MICROSCOPIC,25.0,13.75,6.25,25.0,113 CDM,RRUCLASM-3018102501-81025-0307-SM45000-48-80,HB HCG QUAL URINE PREG TEST,80.0,44.0,2.8,80.0,123 CDM,RRUCLASM-3018200900-82009-0301-SM45000-48-110,HB KETONES QUAL,110.0,60.5,27.5,110.0,113 CDM,RRUCLASM-3018204000-82040-0301-SM45000-48-60,HB ALBUMIN,60.0,33.0,15.0,60.0,113 CDM,RRUCLASM-3018204200-82042-0301-SM45000-48-150,HB ALBUMIN URINE OR OTH SOURCE,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3018204300-82043-0301-SM45000-48-50,HB ALBUMIN MICRO URINE QUANT,50.0,27.5,12.5,50.0,113 CDM,RRUCLASM-3018207700-82077-0301-SM45000-48-75,HB ALCOHOL ETHANOL EXCEPT URINE/BREATH,75.0,41.25,13.82,75.0,123 CDM,RRUCLASM-3018214000-82140-0301-SM45000-48-230,HB AMMONIA,230.0,126.5,57.5,230.0,113 CDM,RRUCLASM-3018215000-82150-0301-SM45000-48-150,HB AMYLASE,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3018224700-82247-0301-SM45000-48-70,HB BILIRUBIN TOTAL,70.0,38.5,17.5,70.0,113 CDM,RRUCLASM-3018224800-82248-0301-SM45000-48-85,HB BILIRUBIN DIRECT,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3018227001-82270-0301-SM45000-48-50,HB OCCULT BLOOD STOOL 1-3TESTS SINGLE DETERM,50.0,27.5,12.5,50.0,113 CDM,RRUCLASM-3018227100-82271-0301-SM45000-48-40,HB OCCULT BLOOD GASTRIC CONTENTS,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-3018227200-82272-0301-SM45000-48-50,HB OCCULT BLOOD STOOL 1-3TESTS SIMULT DETERM,50.0,27.5,12.5,50.0,113 CDM,RRUCLASM-3018230600-82306-0301-SM45000-48-140,HB VITAMIN D25 HYDROXY,140.0,77.0,35.0,140.0,113 CDM,RRUCLASM-3018231000-82310-0301-SM45000-48-65,HB CALCIUM TOTAL,65.0,35.75,16.25,65.0,113 CDM,RRUCLASM-3018233000-82330-0301-SM45000-48-80,HB CALCIUM IONIZED,80.0,44.0,20.0,80.0,113 CDM,RRUCLASM-3018234000-82340-0301-SM45000-48-70,HB CALCIUM URINE QUANT TIMED,70.0,38.5,17.5,70.0,113 CDM,RRUCLASM-3018237400-82374-0301-SM45000-48-65,HB CO2 BICARBONATE,65.0,35.75,16.25,65.0,113 CDM,RRUCLASM-3018237500-82375-0301-SM45000-48-150,HB COOX PNL HBCO QUANT,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3018243500-82435-0301-SM45000-48-50,HB CHLORIDE,50.0,27.5,3.01,50.0,135 CDM,RRUCLASM-3018243600-82436-0301-SM45000-48-55,HB CHLORIDE URINE,55.0,30.25,13.75,55.0,113 CDM,RRUCLASM-3018243800-82438-0301-SM45000-48-35,HB CF SCRN,35.0,19.25,8.75,35.0,113 CDM,RRUCLASM-3018246500-82465-0301-SM45000-48-60,HB CHOLESTEROL TOTAL,60.0,33.0,15.0,60.0,113 CDM,RRUCLASM-3018255000-82550-0301-SM45000-48-95,HB CREATINE KINASE TOTAL CK,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3018255300-82553-0301-SM45000-48-100,HB CREATINE KINASE MB FRACTION,100.0,55.0,25.0,100.0,113 CDM,RRUCLASM-3018256500-82565-0301-SM45000-48-120,HB CREATININE BLOOD,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3018257000-82570-0301-SM45000-48-65,HB CREATININE OTH SOURCE,65.0,35.75,16.25,65.0,113 CDM,RRUCLASM-3018257500-82575-0301-SM45000-48-120,HB CREATININE CLEARANCE,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3018267001-82670-0301-SM45000-48-140,HB ESTRADIOL TOTAL,140.0,77.0,35.0,140.0,113 CDM,RRUCLASM-3018280300-82803-0301-SM45000-48-270,HB BLOOD GASES,285.0,156.75,67.5,300.0,226 CDM,RRUCLASM-3018294500-82945-0301-SM45000-48-130,HB GLUCOSE OTH THAN BLOOD,130.0,71.5,32.5,130.0,113 CDM,RRUCLASM-3018294700-82947-0301-SM45000-48-120,HB GLUCOSE QUANT BLOOD,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3018295000-82950-0301-SM45000-48-55,HB GLUCOSE POSTPRANDIAL GLUCOS,55.0,30.25,13.75,55.0,113 CDM,RRUCLASM-3018295100-82951-0301-SM45000-48-220,HB GLUCOSE TOLERANCE 3 SPECS,220.0,121.0,55.0,220.0,113 CDM,RRUCLASM-3018295200-82952-0301-SM45000-48-50,HB GLUCOSE TOLERANCE EA ADDL,50.0,27.5,12.5,50.0,113 CDM,RRUCLASM-3018296200-82962-0301-SM45000-48-50,HB GLUCOSE BLOOD BY MONITOR,50.0,27.5,2.0,50.0,123 CDM,RRUCLASM-3018297700-82977-0301-SM45000-48-120,HB GGT:GAMMA GLUTAMYLTRANSFERASE,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3018303600-83036-0301-SM45000-48-65,HB HEMOGLOBIN A1C,65.0,35.75,16.25,65.0,113 CDM,RRUCLASM-3018305000-83050-0301-SM45000-48-75,HB COOX PNL METHB QUANT,75.0,41.25,18.75,75.0,113 CDM,RRUCLASM-3018306000-83060-0301-SM45000-48-75,HB COOX PNL SULFHEMOGLOBIN QNT,75.0,41.25,18.75,75.0,113 CDM,RRUCLASM-3018351605-83516-0302-SM45000-48-45,HB GLIADIN PNL IGA,45.0,24.75,11.25,45.0,113 CDM,RRUCLASM-3018354000-83540-0301-SM45000-48-80,HB IRON,80.0,44.0,20.0,80.0,113 CDM,RRUCLASM-3018355000-83550-0301-SM45000-48-120,HB IRON BINDING CAPACITY,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3018360500-83605-0301-SM45000-48-250,HB LACTATE,250.0,137.5,62.5,250.0,113 CDM,RRUCLASM-3018361500-83615-0301-SM45000-48-95,HB LACTATE DEHYDROGENASE LD,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3018369000-83690-0301-SM45000-48-160,HB LIPASE,160.0,88.0,40.0,160.0,113 CDM,RRUCLASM-3018371800-83718-0301-SM45000-48-55,HB CHOLESTEROL HDL,55.0,30.25,13.75,55.0,113 CDM,RRUCLASM-3018372100-83721-0301-SM45000-48-55,HB CHOLESTEROL LDL QUANT,55.0,30.25,13.75,55.0,113 CDM,RRUCLASM-3018373500-83735-0301-SM45000-48-80,HB MAGNESIUM,80.0,44.0,20.0,80.0,113 CDM,RRUCLASM-3018393000-83930-0301-SM45000-48-120,HB OSMOLALITY BLOOD,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3018393500-83935-0301-SM45000-48-100,HB OSMOLALITY URINE,100.0,55.0,25.0,100.0,113 CDM,RRUCLASM-3018398600-83986-0301-SM45000-48-35,HB PH BODY FLUID,35.0,19.25,8.75,35.0,113 CDM,RRUCLASM-3018407500-84075-0301-SM45000-48-60,HB ALKALINE PHOSPHATASE,60.0,33.0,15.0,60.0,113 CDM,RRUCLASM-3018410000-84100-0301-SM45000-48-70,HB PHOSPHORUS INORGANIC,70.0,38.5,17.5,70.0,113 CDM,RRUCLASM-3018410500-84105-0301-SM45000-48-40,HB PHOSPHORUS INORGANIC URINE,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-3018411200-84112-0301-SM45000-48-300,HB EVAL CERVICOVAG PAMG 1,300.0,165.0,75.0,300.0,113 CDM,RRUCLASM-3018413200-84132-0301-SM45000-48-75,HB POTASSIUM BLOOD,75.0,41.25,18.75,75.0,113 CDM,RRUCLASM-3018413300-84133-0301-SM45000-48-60,HB POTASSIUM URINE,60.0,33.0,15.0,60.0,113 CDM,RRUCLASM-3018413400-84134-0301-SM45000-48-140,HB PREALBUMIN,140.0,77.0,35.0,140.0,113 CDM,RRUCLASM-3018414500-84145-0301-SM45000-48-170,HB PROCALCITONIN,170.0,93.5,42.5,170.0,113 CDM,RRUCLASM-3018415500-84155-0301-SM45000-48-40,HB TOTAL PROTEIN BLOOD,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-3018415600-84156-0301-SM45000-48-65,HB TOTAL PROTEIN URINE,65.0,35.75,16.25,65.0,113 CDM,RRUCLASM-3018415700-84157-0301-SM45000-48-130,HB TOTAL PROTEIN OTH SOURCE,130.0,71.5,32.5,130.0,113 CDM,RRUCLASM-3018416500-84165-0301-SM45000-48-160,HB PROTEIN ELECTRPHR FRACT SER,160.0,88.0,40.0,160.0,113 CDM,RRUCLASM-3018416600-84166-0301-SM45000-48-120,HB PROTEIN ELECTRPHR FRACT OTH FLD,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3018429500-84295-0301-SM45000-48-80,HB SODIUM BLOOD,80.0,44.0,20.0,80.0,113 CDM,RRUCLASM-3018430000-84300-0301-SM45000-48-70,HB SODIUM URINE,70.0,38.5,17.5,70.0,113 CDM,RRUCLASM-3018430200-84302-0301-SM45000-48-45,HB SODIUM OTH SOURCE,45.0,24.75,11.25,45.0,113 CDM,RRUCLASM-3018445000-84450-0301-SM45000-48-80,HB ASPARTATE AMINO AST SGOT,80.0,44.0,20.0,80.0,113 CDM,RRUCLASM-3018446000-84460-0301-SM45000-48-80,HB ALANINE AMINO ALT SGPT,80.0,44.0,20.0,80.0,113 CDM,RRUCLASM-3018447800-84478-0301-SM45000-48-60,HB TRIGLYCERIDES,60.0,33.0,15.0,60.0,113 CDM,RRUCLASM-3018448400-84484-0301-SM45000-48-240,HB TROPONIN I QUANT,240.0,132.0,60.0,240.0,113 CDM,RRUCLASM-3018452000-84520-0301-SM45000-48-95,HB UREA NITROGEN QUANT,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3018454000-84540-0301-SM45000-48-85,HB UREA NITROGEN URINE,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3018454500-84545-0301-SM45000-48-45,HB UREA NITROGEN CLEARANCE,45.0,24.75,11.25,45.0,113 CDM,RRUCLASM-3018455000-84550-0301-SM45000-48-75,HB URIC ACID BLOOD,75.0,41.25,18.75,75.0,113 CDM,RRUCLASM-3018456000-84560-0301-SM45000-48-35,HB URIC ACID OTH SOURCE,35.0,19.25,8.75,35.0,113 CDM,RRUCLASM-3018470200-84702-0301-SM45000-48-260,HB HCG QUANT,260.0,143.0,65.0,260.0,113 CDM,RRUCLASM-3018470301-84703-0301-SM45000-48-210,HB HCG QUAL,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3018499902-84999-0301-SM45000-48-100,HB POTASSIUM OTH SOURCE,100.0,55.0,25.0,100.0,113 CDM,RRUCLASM-3018530700-85307-0305-SM45000-48-55,HB APC RESISTANCE ASSAY,55.0,30.25,13.75,55.0,113 CDM,RRUCLASM-3018692300-86923-0300-SM45400-1000-300,HB CROSSMATCH EA UN ELECTRONIC,300.0,165.0,75.0,300.0,113 CDM,RRUCLASM-3018763300-87633-0306-SM45000-48-1320,HB RESPIRATORY VIRUS,1320.0,726.0,330.0,1320.0,113 CDM,RRUCLASM-3018905000-89050-0300-SM45000-48-150,HB BODY FLUID COUNT,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3018905100-89051-0300-SM45000-48-160,HB AP CELL COUNT DIFF MISC BODY FLUID,160.0,88.0,40.0,160.0,113 CDM,RRUCLASM-3028260700-82607-0301-SM45000-48-130,HB VITAMIN B12 SER,130.0,71.5,32.5,130.0,113 CDM,RRUCLASM-3028272800-82728-0301-SM45000-48-160,HB FERRITIN,160.0,88.0,40.0,160.0,113 CDM,RRUCLASM-3028273100-82731-0301-SM45000-48-600,HB FETAL FIBRONECTIN SEMIQUANT,600.0,330.0,150.0,600.0,113 CDM,RRUCLASM-3028274600-82746-0301-SM45000-48-130,HB FOLATE SER,130.0,71.5,32.5,130.0,113 CDM,RRUCLASM-3028300100-83001-0301-SM45000-48-150,HB FOLLICLE STIMULATNG HORMONE,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3028300200-83002-0301-SM45000-48-160,HB LUTEINIZING HORMONE,160.0,88.0,40.0,160.0,113 CDM,RRUCLASM-3028388000-83880-0301-SM45000-48-250,HB BNP B TYPE NATRIURETIC PEPTID,250.0,137.5,62.5,250.0,113 CDM,RRUCLASM-3028397000-83970-0301-SM45000-48-240,HB PARATHYROID HORMONE,240.0,132.0,60.0,240.0,113 CDM,RRUCLASM-3028414401-84144-0301-SM45000-48-120,HB PROGESTERONE,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3028600301-86003-0302-SM45000-48-15,HB ALLERGEN IGE EA QUANT,15.0,8.25,3.75,15.0,113 CDM,RRUCLASM-3028602201-86022-0302-SM45400-1000-65,HB AB ID PLATELET CROSSMATCH,65.0,35.75,16.25,65.0,113 CDM,RRUCLASM-3028614000-86140-0302-SM45000-48-120,HB C REACTIVE PROTEIN,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3028614100-86141-0302-SM45000-48-95,HB HSCRP CARDIO CRP & CV RISK,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3028615600-86156-0302-SM45400-1000-30,HB COLD AGGLUTININ SCREEN,30.0,16.5,7.5,30.0,113 CDM,RRUCLASM-3028615700-86157-0302-SM45400-1000-30,HB COLD AGGLUTININ TITER,30.0,16.5,7.5,30.0,113 CDM,RRUCLASM-3028630800-86308-0302-SM45000-48-80,HB HETEROPHILE AB SCRN,80.0,44.0,20.0,80.0,113 CDM,RRUCLASM-3028633400-86334-0302-SM45000-48-290,HB IMMUNOFIX ELECTROPHORES BLOOD,290.0,159.5,72.5,290.0,113 CDM,RRUCLASM-3028658001-86580-0302-SM40100-1000-60,HB SKIN TEST TB INTRADERMAL,60.0,33.0,3.36,106.765435,123 CDM,RRUCLASM-3028659200-86592-0302-SM45000-48-100,HB SYPHILIS TEST QUAL,100.0,55.0,25.0,100.0,113 CDM,RRUCLASM-3028669400-86694-0302-SM45000-48-30,HB HERPES SIMPLEX,30.0,16.5,7.5,30.0,113 CDM,RRUCLASM-3028670100-86701-0302-SM45000-48-45,HB HIV1,45.0,24.75,11.25,45.0,113 CDM,RRUCLASM-3028670300-86703-0302-SM45000-48-90,HB HIV1 & HIV2,90.0,49.5,22.5,90.0,113 CDM,RRUCLASM-3028690239-86902-0300-SM45400-1000-126,HB PLATELET AG NEG COMPNENT EA(2) *RC,126.0,69.3,31.5,126.0,113 CDM,RRUCLASM-3028692000-86920-0300-SM45400-1000-350,HB CROSSMATCH-COMPAT IMMED SPIN,350.0,192.5,87.5,350.0,113 CDM,RRUCLASM-3028692200-86922-0300-SM45400-1000-380,HB CROSSMATCH-ANTIGLOBULIN,380.0,209.0,95.0,380.0,113 CDM,RRUCLASM-3028694100-86941-0300-SM45400-1000-40,HB HEMOLYSIN INCUB DONATHLANDSTNR,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-3028694150-86941-0300-SM45400-1000-40,HB THERMAL AMPLITUDE PNL- 4C,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-3028694160-86941-0300-SM45400-1000-40,HB THERMAL AMPLITUDE PNL-30C,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-3028694170-86941-0300-SM45400-1000-40,HB THERMAL AMPLITUDE PNL-37C,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-3028694180-86941-0300-SM45400-1000-40,HB THERMAL AMPLITUDE PNL-RTEMP,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-3028697190-86971-0300-SM45400-1000-18,HB AB ID RBC-PRETRT ENZYMES EA *RC,18.0,9.9,4.5,18.0,113 CDM,RRUCLASM-3028697800-86978-0302-SM45400-1000-160,HB AB ID RBC-SER DIFF ADSRP EA,160.0,88.0,40.0,160.0,113 CDM,RRUCLASM-3058259501-82595-0301-SM45000-48-120,HB CRYOGLOBULIN QUAL,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3058500200-85002-0305-SM45000-48-190,HB BLEEDING TIME TEMPLATE,190.0,104.5,47.5,190.0,113 CDM,RRUCLASM-3058500400-85004-0305-SM45000-48-45,HB BLOOD COUNT AUTO DIFF WBC,45.0,24.75,11.25,45.0,113 CDM,RRUCLASM-3058500700-85007-0305-SM45000-48-60,HB BLOOD COUNT MAN DIFF WBC,60.0,33.0,15.0,60.0,113 CDM,RRUCLASM-3058500800-85008-0305-SM45000-48-75,HB RBC MORPHOLOGY ONLY,75.0,41.25,18.75,75.0,113 CDM,RRUCLASM-3058500900-85009-0305-SM45200-48-25,HB AP BLOOD COUNT MAN DIFF BUFFY COAT,25.0,13.75,6.25,25.0,113 CDM,RRUCLASM-3058501400-85014-0305-SM45000-48-130,HB HEMATOCRIT AUTO,130.0,71.5,32.5,130.0,113 CDM,RRUCLASM-3058501800-85018-0305-SM45000-48-40,HB HEMOGLOBIN,40.0,22.0,10.0,40.0,113 CDM,RRUCLASM-3058502500-85025-0305-SM45000-48-140,HB CBC & PLATELET CT & DIFF,140.0,77.0,35.0,140.0,113 CDM,RRUCLASM-3058502700-85027-0305-SM45000-48-110,HB CBC AND PLATELET COUNT,110.0,60.5,27.5,110.0,113 CDM,RRUCLASM-3058503200-85032-0305-SM45000-48-45,HB WHITE BLD CELL COUNT MAN,45.0,24.75,11.25,45.0,113 CDM,RRUCLASM-3058504600-85046-0305-SM45000-48-85,HB RETICULOCYTE AUTO AND CELLPARM,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3058504900-85049-0305-SM45000-48-150,HB PLATELET COUNT AUTO,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3058505500-85055-0305-SM45000-48-120,HB RETICULATED PLATELET FRACT,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3058524000-85240-0305-SM45000-48-170,HB CLOTTING FACT VIII,170.0,93.5,42.5,170.0,113 CDM,RRUCLASM-3058525000-85250-0305-SM45000-48-170,HB CLOTTING FACT IX,170.0,93.5,42.5,170.0,113 CDM,RRUCLASM-3058537900-85379-0305-SM45000-48-240,HB D DIMER QUANT,240.0,132.0,60.0,240.0,113 CDM,RRUCLASM-3058538400-85384-0305-SM45000-48-180,HB FIBRINOGEN ACTIVITY,180.0,99.0,45.0,180.0,113 CDM,RRUCLASM-3058546100-85461-0305-SM45400-1000-35,HB FETAL SCREENING TEST,35.0,19.25,8.75,35.0,113 CDM,RRUCLASM-3058552000-85520-0305-SM45000-48-280,HB HEPARIN ASSAY,280.0,154.0,70.0,280.0,113 CDM,RRUCLASM-3058552500-85525-0305-SM45000-48-85,HB HEPARIN NEUTRALIZATION,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3058554000-85540-0305-SM45200-48-80,HB AP LEUKOCYTE ALK PHOS W COUNT,80.0,44.0,20.0,80.0,113 CDM,RRUCLASM-3058561000-85610-0305-SM45000-48-110,HB PROTHROMBIN TIME,110.0,60.5,27.5,110.0,113 CDM,RRUCLASM-3058561100-85611-0305-SM45000-48-35,HB PT CORRECTION EA FRACTION,35.0,19.25,8.75,35.0,113 CDM,RRUCLASM-3058565200-85652-0305-SM45000-48-60,HB SED RATE ERYTHROCYTE AUTO,60.0,33.0,15.0,60.0,113 CDM,RRUCLASM-3058573000-85730-0305-SM45000-48-140,HB APTT ACTIVATED PTT,140.0,77.0,35.0,140.0,113 CDM,RRUCLASM-3058573200-85732-0305-SM45000-48-60,HB APTT CORRECTION EA FRACTION,60.0,33.0,15.0,60.0,113 CDM,RRUCLASM-3068704000-87040-0306-SM45000-48-430,HB BACT CULTURE BLOOD,430.0,236.5,107.5,430.0,113 CDM,RRUCLASM-3068707000-87070-0306-SM45000-48-210,HB BACT CULTURE OTH SOURCE,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3068707500-87075-0306-SM45000-48-280,HB ANAEROBE CULTURE,280.0,154.0,70.0,280.0,113 CDM,RRUCLASM-3068707600-87076-0306-SM45000-48-120,HB ANAEROBE ISOLATE EA,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3068707700-87077-0306-SM45000-48-85,HB AEROBIC ID EA ISOLATE,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3068708100-87081-0306-SM45000-48-85,HB CULTURE PRESUMPTIVE SCRN,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3068708600-87086-0306-SM45000-48-170,HB BACT CULTURE URINE QUANT,170.0,93.5,42.5,170.0,113 CDM,RRUCLASM-3068708800-87088-0306-SM45000-48-160,HB PRESUMPTIVE ID UR EA ISOLAT,160.0,88.0,40.0,160.0,113 CDM,RRUCLASM-3068710100-87101-0306-SM45000-48-180,HB FUNGI CULT SKIN HAIR NAIL,180.0,99.0,45.0,180.0,113 CDM,RRUCLASM-3068710200-87102-0306-SM45000-48-230,HB FUNGAL CULTURE OTH SOURCE,230.0,126.5,57.5,230.0,113 CDM,RRUCLASM-3068710600-87106-0306-SM45000-48-120,HB CULTURE FUNGI ID DEFINITIVE EA,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3068710700-87107-0306-SM45000-48-160,HB CULTURE MOLD ID DEFINITIVE EA,160.0,88.0,40.0,160.0,113 CDM,RRUCLASM-3068711800-87118-0306-SM45000-48-95,HB AFB DEFINITIVE ID EA ISOLATE,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3068714000-87140-0306-SM45000-48-45,HB CULTURE TYPING EA ANTISERA,45.0,24.75,11.25,45.0,113 CDM,RRUCLASM-3068714700-87147-0306-SM45000-48-45,HB ID BACTERIA SEROTYP EA AB,45.0,24.75,11.25,45.0,113 CDM,RRUCLASM-3068714701-87147-0306-SM45000-48-45,HB PBP2A LFA MRSA SCRN,45.0,24.75,11.25,45.0,113 CDM,RRUCLASM-3068714900-87149-0306-SM45000-48-120,HB ID NUC PROBE EA,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3068715300-87153-0309-SM45000-48-530,HB ID NUC SEQ EA ISOLATE,530.0,291.5,132.5,530.0,113 CDM,RRUCLASM-3068718100-87181-0306-SM45000-48-55,HB GRADIENT STRIP PER AGENT,55.0,30.25,13.75,55.0,113 CDM,RRUCLASM-3068718400-87184-0306-SM45000-48-110,HB DISK METH PER PLATE 12 OR FEWER AGENTS,110.0,60.5,27.5,110.0,113 CDM,RRUCLASM-3068718500-87185-0306-SM45000-48-60,HB ENZYME DETECTION PER ENZYME,60.0,33.0,15.0,60.0,113 CDM,RRUCLASM-3068718805-87188-0306-SM45000-48-25,HB SENSI MIC MACRODIL EA AGENT,25.0,13.75,6.25,25.0,113 CDM,RRUCLASM-3068719000-87190-0306-SM45000-48-20,HB MYCOBACTERIA EA AGENT,20.0,11.0,5.0,20.0,113 CDM,RRUCLASM-3068719700-87197-0306-SM45000-48-190,HB SER BACTERICIDAL TEST,190.0,104.5,47.5,190.0,113 CDM,RRUCLASM-3068720500-87205-0306-SM45000-48-100,HB GRAM STAIN,100.0,55.0,25.0,100.0,113 CDM,RRUCLASM-3068720600-87206-0306-SM45000-48-70,HB ACID FAST STAIN FUNGAL PARASITE,70.0,38.5,17.5,70.0,113 CDM,RRUCLASM-3068723000-87230-0306-SM45000-48-140,HB CLOSTRIDM DIFFCILE TOXIN ASSAY,140.0,77.0,35.0,140.0,113 CDM,RRUCLASM-3068725300-87253-0306-SM45000-48-65,HB CULTURE ADDL ID EA ISOLATE,65.0,35.75,16.25,65.0,113 CDM,RRUCLASM-3068725400-87254-0306-SM45000-48-85,HB VIRUS SHELL VIAL EARLY AG ID2,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3068727000-87270-0306-SM45000-48-95,HB CHLAMYDIA AG DIRECT FLUORESCNT,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3068727200-87272-0306-SM45000-48-75,HB CRYPTOSPORIDIUM EXAM DFA,75.0,41.25,18.75,75.0,113 CDM,RRUCLASM-3068727500-87275-0306-SM45000-48-85,HB INFLUENZA B AG,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3068727600-87276-0306-SM45000-48-85,HB INFLUENZA A AG,85.0,46.75,21.25,85.0,113 CDM,RRUCLASM-3068728000-87280-0306-SM45000-48-90,HB RSV AG DIRECT FLUORESCENT,90.0,49.5,22.5,90.0,113 CDM,RRUCLASM-3068732400-87324-0306-SM45000-48-70,HB CLOSTRIDIUM DIFFICILE A&B AG,70.0,38.5,17.5,70.0,113 CDM,RRUCLASM-3068732700-87327-0306-SM45000-48-140,HB CRYPTOCOCCAL AG,140.0,77.0,35.0,140.0,113 CDM,RRUCLASM-3068738900-87389-0306-SM45000-48-210,HB HIV1 & HIV2 AB AG COMBO 4TH GEN,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3068744900-87449-0306-SM45000-48-95,HB CAMPY STOOL EIA QUAL,95.0,52.25,23.75,95.0,113 CDM,RRUCLASM-3068749300-87493-0306-SM45000-48-290,HB CLOST DIFFICILE AMP PROBE,290.0,159.5,72.5,290.0,113 CDM,RRUCLASM-3068749600-87496-0306-SM45000-48-240,HB CMV AMP PROBE,240.0,132.0,60.0,240.0,113 CDM,RRUCLASM-3068749800-87498-0306-SM45000-48-120,HB ENTEROVIRUS,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3068752900-87529-0306-SM45000-48-180,HB HSV AMP PROBE,180.0,99.0,45.0,180.0,113 CDM,RRUCLASM-3068763100-87631-0306-SM45000-48-460,HB INFLUENZA A B RESPIRATORY,460.0,253.0,61.07,460.0,123 CDM,RRUCLASM-3068763101-87631-0306-SM45000-48-460,HB INFLUENZA A B RESPIRATORY1,460.0,253.0,115.0,460.0,113 CDM,RRUCLASM-3068763601-87636-0306-SM45000-48-430,HB INFECT AGENT INFLUENZA AB COVID19 MULTI AMP PROBE1,430.0,236.5,107.5,430.0,113 CDM,RRUCLASM-3068765100-87651-0306-SM45000-48-130,HB STREP A AMP PROBE,130.0,71.5,32.5,130.0,113 CDM,RRUCLASM-3068779806-87798-0306-SM45000-48-240,HB INFECTIOUS AGENT AMP PROBE EA1,240.0,132.0,60.0,240.0,113 CDM,RRUCLASM-3068779807-87798-0306-SM45000-48-180,HB INFECTIOUS AGENT AMP PROBE EA2,180.0,99.0,45.0,180.0,113 CDM,RRUCLASM-3068780400-87804-0306-SM45000-48-130,HB INFLUENZA AG DIRECT OPTIC,130.0,71.5,32.5,130.0,113 CDM,RRUCLASM-3068780700-87807-0306-SM45000-48-150,HB RSV AG DIRECT OPTIC DETECT,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3068780900-87809-0306-SM45000-48-180,HB ADENOVIRUS OPTIC OBSERV,180.0,99.0,45.0,180.0,113 CDM,RRUCLASM-3068788000-87880-0306-SM45000-48-110,HB GROUP A STREP AG DIRECT OPTIC OBSERV,110.0,60.5,27.5,110.0,113 CDM,RRUCLASM-3078105000-81050-0307-SM45000-48-15,HB VOLUME MEASURE TIMED URINE EA,15.0,8.25,1.41,15.0,123 CDM,RRUCLASM-3078201000-82010-0307-SM45000-48-80,HB BETA-HYDROXYBUTYRATE QUANT,80.0,44.0,20.0,80.0,113 CDM,RRUCLASM-3098692700-86927-0309-SM45400-1000-620,HB THAW FRESH FROZEN PLASMA,620.0,341.0,155.0,620.0,113 CDM,RRUCLASM-3098693110-86931-0309-SM45400-1000-410,HB THAW BLOOD / BLOOD PRODUCT,410.0,225.5,114.8,628.886167,123 CDM,RRUCLASM-3098694500-86945-0309-SM45400-1000-120,HB IRRADIATION BLOOD ORBLOOD PROD,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3098696000-86960-0309-SM45400-1000-470,HB VOL REDUCTION BLOOD/BLOOD PROD,470.0,258.5,117.5,470.0,113 CDM,RRUCLASM-3098696001-86960-0309-SM45400-1000-470,HB VOL REDUCTION BLOOD/BL PROD,470.0,258.5,117.5,470.0,113 CDM,RRUCLASM-3098696500-86965-0309-SM45400-1000-300,HB POOL/COMBINE CRYO&PLASMA,300.0,165.0,84.0,628.886167,123 CDM,RRUCLASM-3098698500-86985-0309-SM45400-1000-470,HB ALIQUOT SPLIT BLOOD/BLOOD PROD,470.0,258.5,131.6,628.886167,123 CDM,RRUCLASM-3098906000-89060-0300-SM45000-48-150,HB CRYSTAL ID BODY FLUID,150.0,82.5,37.5,150.0,113 CDM,RRUCLASM-3108117000-81170-0310-SM45000-48-950,HB AP BCR-ABL GENE REARRANGEMENT,950.0,522.5,237.5,950.0,113 CDM,RRUCLASM-3108121000-81210-0310-SM45000-48-610,HB AP BRAF GENE ANAL NGS,610.0,335.5,152.5,610.0,113 CDM,RRUCLASM-3108121003-81210-0310-SM45000-48-560,HB AP BRAF V600 MUTATION ANAL IDYLLA,560.0,308.0,140.0,560.0,113 CDM,RRUCLASM-3108121200-81212-0310-SM45000-48-580,HB AP BRCA1 BRCA2 AJ GENE ANAL VARIANTS,580.0,319.0,145.0,580.0,113 CDM,RRUCLASM-3108121800-81218-0310-SM45000-48-770,HB AP CEBPA MUTA ANALYSIS,770.0,423.5,192.5,770.0,113 CDM,RRUCLASM-3108121900-81219-0310-SM45000-48-430,HB AP CALRETICULIN MUTA ANAL,430.0,236.5,107.5,430.0,113 CDM,RRUCLASM-3108122000-81220-0310-SM45000-48-1750,HB AP CFTR GENE ANAL ACMG,1750.0,962.5,437.5,1750.0,113 CDM,RRUCLASM-3108123500-81235-0310-SM45000-48-1020,HB AP EGFR GENE ANAL RT PCR,1020.0,561.0,255.0,1020.0,113 CDM,RRUCLASM-3108123502-81235-0310-SM45000-48-1020,HB AP EGFR GENE ANAL AMPLISEQ,1020.0,561.0,255.0,1020.0,113 CDM,RRUCLASM-3108124000-81240-0310-SM45000-48-320,HB AP F2 GENE ANAL 20210A,320.0,176.0,80.0,320.0,113 CDM,RRUCLASM-3108124100-81241-0310-SM45000-48-380,HB AP F5 GENE ANAL LEIDEN,380.0,209.0,95.0,380.0,113 CDM,RRUCLASM-3108124300-81243-0310-SM45000-48-230,HB AP FMR1 GENE ANAL DETECTION,230.0,126.5,57.5,230.0,113 CDM,RRUCLASM-3108124500-81245-0310-SM45000-48-530,HB AP FLT3 ITD,530.0,291.5,132.5,530.0,113 CDM,RRUCLASM-3108125600-81256-0310-SM45000-48-480,HB AP HFE GENE ANAL VARIANTS,480.0,264.0,120.0,480.0,113 CDM,RRUCLASM-3108126100-81261-0310-SM45000-48-630,HB AP GENE REARR IGH ANAL PCR,630.0,346.5,157.5,630.0,113 CDM,RRUCLASM-3108126200-81262-0310-SM45000-48-370,HB AP GENE REARR IGH ANAL BLOT,370.0,203.5,92.5,370.0,113 CDM,RRUCLASM-3108126502-81265-0310-SM45000-48-1280,HB AP STR MRKRS BMT POST TRANS,1280.0,704.0,320.0,1280.0,113 CDM,RRUCLASM-3108126700-81267-0310-SM45000-48-1100,HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP,1100.0,605.0,275.0,1100.0,113 CDM,RRUCLASM-3108127000-81270-0310-SM45000-48-550,HB AP JAK2 GENE ANAL V617F,550.0,302.5,137.5,550.0,113 CDM,RRUCLASM-3108127200-81272-0310-SM45000-48-320,HB AP KIT ANALYSIS TARGETED SEQ,320.0,176.0,80.0,320.0,113 CDM,RRUCLASM-3108127300-81273-0310-SM45000-48-320,HB AP KIT ANALYSIS D816 VARIANTS,320.0,176.0,80.0,320.0,113 CDM,RRUCLASM-3108127500-81275-0310-SM45000-48-610,HB AP KRAS GENE ANALYSIS RT PCR,610.0,335.5,152.5,610.0,113 CDM,RRUCLASM-3108127501-81275-0310-SM45000-48-610,HB AP KRAS GENE ANALYSIS AMPLISEQ,610.0,335.5,152.5,610.0,113 CDM,RRUCLASM-3108127502-81275-0310-SM45000-48-610,HB AP KRAS GENE ANALYSIS NGS,610.0,335.5,152.5,610.0,113 CDM,RRUCLASM-3108127700-81277-0310-SM45000-48-3650,HB AP CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS,3650.0,2007.5,928.0,3650.0,123 CDM,RRUCLASM-3108129100-81291-0310-SM45000-48-480,HB AP MTHFR GENE ANAL VARIANTS,480.0,264.0,120.0,480.0,113 CDM,RRUCLASM-3108130100-81301-0310-SM45000-48-1130,HB AP MICROSATELLITE INSTAB ANAL,1130.0,621.5,282.5,1130.0,113 CDM,RRUCLASM-3108131000-81310-0310-SM45000-48-780,HB AP NGS NPM1,780.0,429.0,195.0,780.0,113 CDM,RRUCLASM-3108131100-81311-0310-SM45000-48-930,HB AP NEXT GENERATION SEQUEN NRAS,930.0,511.5,232.5,930.0,113 CDM,RRUCLASM-3108131101-81311-0310-SM45000-48-360,HB AP NRAS ION AMPLISEQ MUTATION,360.0,198.0,90.0,360.0,113 CDM,RRUCLASM-3108132100-81321-0310-SM45000-48-1950,HB AP PTEN FULL GENE SEQ ANAL,1950.0,1072.5,487.5,1950.0,113 CDM,RRUCLASM-3108134100-81341-0310-SM45000-48-370,HB AP TRB GENE ANAL BLOT,370.0,203.5,92.5,370.0,113 CDM,RRUCLASM-3108134200-81342-0310-SM45000-48-720,HB AP TRG GENE ANAL,720.0,396.0,180.0,720.0,113 CDM,RRUCLASM-3108140101-81401-0310-SM45000-48-410,HB AP MOPATH LEV2 ABCC8 HTT,410.0,225.5,102.5,410.0,113 CDM,RRUCLASM-3108140201-81402-0310-SM45000-48-470,HB AP MOPATH LEV5 MEFV FAM VARIANTS,470.0,258.5,117.5,470.0,113 CDM,RRUCLASM-3108140300-81403-0310-SM45000-48-590,HB AP MOPATH LEV4,590.0,324.5,147.5,590.0,113 CDM,RRUCLASM-3108140303-81403-0310-SM45000-48-590,HB AP MOPATH LEV4 IDH1 COMMON EXON,590.0,324.5,147.5,590.0,113 CDM,RRUCLASM-3108140304-81403-0310-SM45000-48-590,HB AP MOPATH LEV4 IDH2 COMMON EXON,590.0,324.5,147.5,590.0,113 CDM,RRUCLASM-3108140501-81405-0310-SM45000-48-950,HB AP MOPATH LEV6 NGS,950.0,522.5,237.5,950.0,113 CDM,RRUCLASM-3108140601-81406-0310-SM45000-48-8310,HB AP MOPATH LEV7 MICROARRAY NEOPLASIA,8310.0,4570.5,2077.5,8310.0,113 CDM,RRUCLASM-3108140602-81406-0310-SM45000-48-1250,HB AP MOPATH LEV7 NGS,1250.0,687.5,312.5,1250.0,113 CDM,RRUCLASM-3108140701-81407-0310-SM45000-48-1380,HB AP MOPATH LEV8 NGS,1380.0,759.0,345.0,1380.0,113 CDM,RRUCLASM-3108145000-81450-0310-SM45000-48-2420,HB AP NEXT GEN SEQ HEMATOLOGIC MALIGNANCY PNL,2420.0,1331.0,605.0,2420.0,113 CDM,RRUCLASM-3108147906-81479-0310-SM45000-48-650,HB AP MOPATH UNLIST BCL2 ANAL,650.0,357.5,162.5,650.0,113 CDM,RRUCLASM-3108147911-81479-0310-SM45000-48-330,HB AP MOPATH UNLIST ERBB2 ION AMPLISEQ MUTATION,330.0,181.5,82.5,330.0,113 CDM,RRUCLASM-3108147912-81479-0310-SM45000-48-330,HB AP MOPATH UNLIST PIK3CA ION AMPLISEQ MUTATION,330.0,181.5,82.5,330.0,113 CDM,RRUCLASM-3108607800-86078-0302-SM45400-1000-390,HB TRANSFUSION REACTION STUDY,390.0,214.5,43.85,628.886167,123 CDM,RRUCLASM-3108833100-88331-0310-SM45200-48-430,HB AP PATH CONSULT IN SURG 1BLOCK SGL SPEC,430.0,236.5,107.5,430.0,113 CDM,RRUCLASM-3108833200-88332-0310-SM45200-48-190,HB AP CONSULT IN SURG EA ADD BLOCK,190.0,104.5,47.5,190.0,113 CDM,RRUCLASM-3117012300-G0123-0311-SM45200-48-230,HB AP CYTOPATH SCRN CERV VAG THIN PREP,230.0,126.5,57.5,230.0,114 CDM,RRUCLASM-3118810400-88104-0311-SM45200-48-180,HB AP CYTOPATH NONGYN W INTERP,180.0,99.0,45.0,180.0,113 CDM,RRUCLASM-3118810801-88108-0311-SM45200-48-210,HB AP CYTOPATH NONGYN CONCENTRATION,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3118811200-88112-0311-SM45200-48-400,HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP,400.0,220.0,100.0,400.0,113 CDM,RRUCLASM-3118817200-88172-0311-SM45200-48-330,HB AP CYTOPATH FNA FIRST EVAL EA SITE,330.0,181.5,82.5,330.0,113 CDM,RRUCLASM-3118817300-88173-0311-SM45200-48-610,HB AP CYTOPATH FNA EVAL INTERP AND REPORT,610.0,335.5,152.5,610.0,113 CDM,RRUCLASM-3118817301-88173-0311-SM45200-48-610,HB AP CYTOPATH FNA EVAL INTERP AND REPORT1,610.0,335.5,152.5,610.0,113 CDM,RRUCLASM-3118817302-88173-0311-SM45200-48-610,HB AP CYTOPATH FNA EVAL INTERP AND REPORT2,610.0,335.5,152.5,610.0,113 CDM,RRUCLASM-3118817700-88177-0311-SM45200-48-120,HB AP CYTOPATH FNA EA ADD EVAL SAME SITE,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3118818200-88182-0311-SM45200-48-200,HB AP FLOW CYTOMETRY DNA ANAL,200.0,110.0,50.0,200.0,113 CDM,RRUCLASM-3118823000-88230-0311-SM45200-48-410,HB AP TISSUE CULTURE LYMPHOCYTE,410.0,225.5,102.5,410.0,113 CDM,RRUCLASM-3118823300-88233-0311-SM45200-48-440,HB AP TISSUE CULTURE SKIN TISSUE BIOPSY,440.0,242.0,110.0,440.0,113 CDM,RRUCLASM-3118823700-88237-0311-SM45200-48-470,HB AP TISSUE CULTURE NEOPLASTIC BONE MARROW,470.0,258.5,117.5,470.0,113 CDM,RRUCLASM-3118823900-88239-0311-SM45200-48-460,HB AP TISSUE CULTURE NEOPLASTIC SOLID TUMOR,460.0,253.0,115.0,460.0,113 CDM,RRUCLASM-3118826100-88261-0311-SM45000-48-830,HB AP CHROMOSOME ANAL 1-5 CELL,830.0,456.5,207.5,830.0,113 CDM,RRUCLASM-3118826200-88262-0311-SM45200-48-400,HB AP CHROMOSOME ANAL 15-20 CELL,400.0,220.0,100.0,400.0,113 CDM,RRUCLASM-3118826700-88267-0311-SM45200-48-600,HB AP CHROMOSOME ANAL CVS 15 CELL,600.0,330.0,150.0,600.0,113 CDM,RRUCLASM-3118827100-88271-0311-SM45200-48-210,HB AP MOLE CYTOGENETICS DNA PROBE EA,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3118827400-88274-0311-SM45200-48-240,HB AP MOLE CYTOGENETICS INTERPHASE ISH 25-99 CELL,240.0,132.0,60.0,240.0,113 CDM,RRUCLASM-3118828000-88280-0311-SM45200-48-210,HB AP CHROMOSOME ANAL ADD KAROTYPES EA SYUDY,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3118828500-88285-0311-SM45200-48-120,HB AP CHROMOSOME ANAYLSIS ADD CELL COUNT EA STUDY,120.0,66.0,30.0,120.0,113 CDM,RRUCLASM-3118828900-88289-0311-SM45200-48-130,HB AP CHROMOSOME ANAYLSIS ADD HI RES STUDY,130.0,71.5,32.5,130.0,113 CDM,RRUCLASM-31200141-38208-0310-SM45018-1000-3150,HB BM TRANSPLANT PREP-HARVESTED THAW,3150.0,1732.5,787.5,2835.0,113 CDM,RRUCLASM-31200341-38208-0310-SM45018-1000-3150,HB STEMCELL TRANSPLANT/DLI PREP-HARVESTED THAW,3150.0,1732.5,787.5,2835.0,113 CDM,RRUCLASM-3128830000-88300-0312-SM45200-48-170,HB AP SURGICAL PATH LEV1,170.0,93.5,42.5,170.0,113 CDM,RRUCLASM-3128830200-88302-0312-SM45200-48-270,HB AP SURGICAL PATH LEV2,270.0,148.5,67.5,270.0,113 CDM,RRUCLASM-3128830400-88304-0312-SM45200-48-320,HB AP SURGICAL PATH LEV3,320.0,176.0,80.0,320.0,113 CDM,RRUCLASM-3128830500-88305-0312-SM45200-48-370,HB AP SURGICAL PATH LEV4,370.0,203.5,92.5,370.0,113 CDM,RRUCLASM-3128830501-88305-0312-SM45200-48-370,HB AP SURGICAL PATH LEV4-1,370.0,203.5,92.5,370.0,113 CDM,RRUCLASM-3128830502-88305-0312-SM45200-48-370,HB AP SURGICAL PATH LEV4-2,370.0,203.5,92.5,370.0,113 CDM,RRUCLASM-3128830503-88305-0312-SM45200-48-370,HB AP SURGICAL PATH LEV4-3,370.0,203.5,92.5,370.0,113 CDM,RRUCLASM-3128830700-88307-0312-SM45200-48-950,HB AP SURGICAL PATH LEV5,950.0,522.5,237.5,950.0,113 CDM,RRUCLASM-3128830900-88309-0312-SM45200-48-1450,HB AP SURGICAL PATH LEV6,1450.0,797.5,362.5,1450.0,113 CDM,RRUCLASM-3128831100-88311-0310-SM45200-48-100,HB AP DECALCIFICATION PROCEDURE,100.0,55.0,25.0,100.0,113 CDM,RRUCLASM-3128831200-88312-0312-SM45200-48-330,HB AP SPECIAL STAIN GROUP 1 MICRO INTERP REPORT,330.0,181.5,82.5,330.0,113 CDM,RRUCLASM-3128831300-88313-0312-SM45200-48-210,HB AP SPECIAL STAIN INTERP AND REPORT GRP II OTHR,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3128831400-88314-0312-SM45200-48-340,HB AP HISTOCHEMICAL STAIN FRZN SPEC,340.0,187.0,85.0,340.0,113 CDM,RRUCLASM-3128831900-88319-0312-SM45200-48-1010,HB AP SPECIAL STAIN GROUP3 ENZYME CONSTITUENTS,1010.0,555.5,252.5,1010.0,113 CDM,RRUCLASM-3128832300-88323-0312-SM45200-48-410,HB AP CONSULT REFER SLIDE PREP,410.0,225.5,102.5,410.0,113 CDM,RRUCLASM-3128833300-88333-0312-SM45200-48-590,HB AP SURG CYTOLOGIC EXAM INITIAL SITE,590.0,324.5,147.5,590.0,113 CDM,RRUCLASM-3128833400-88334-0312-SM45200-48-210,HB AP SURG CYTOLOGIC EXAM ADD SITE,210.0,115.5,52.5,210.0,113 CDM,RRUCLASM-3128834100-88341-0312-SM45200-48-330,HB IMMUNOHISTOCHEM PER SPEC ADD SINGLE AB STAIN,330.0,181.5,82.5,330.0,113 CDM,RRUCLASM-3128834200-88342-0312-SM45200-48-530,HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN,530.0,291.5,132.5,530.0,113 CDM,RRUCLASM-3128834400-88344-0312-SM45200-48-530,HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN,530.0,291.5,132.5,530.0,113 CDM,RRUCLASM-3128834601-88346-0312-SM45200-48-500,HB AP IMMUNOFLUORESCENT 1ST AB,500.0,275.0,125.0,500.0,113 CDM,RRUCLASM-3128834800-88348-0312-SM45200-48-1690,HB AP ELECTRON MICROSCOPY DIAGNOSTIC,1690.0,929.5,422.5,1690.0,113 CDM,RRUCLASM-3128836000-88360-0312-SM45000-48-480,HB AP MORPHOMETR ANAL TUMOR MAN EA AB,480.0,264.0,120.0,480.0,113 CDM,RRUCLASM-3128836500-88365-0312-SM45000-48-590,HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN,590.0,324.5,147.5,590.0,113 CDM,RRUCLASM-3128836700-88367-0312-SM45200-48-790,HB AP MORPHOMETRIC ANAL AUTO PER SPEC INIT SINGLE PROBE,790.0,434.5,197.5,790.0,113 CDM,RRUCLASM-3128836800-88368-0312-SM45200-48-740,HB AP MORPHOMETRIC ANAL MAN PER SPEC INIT SINGLE PROBE,740.0,407.0,185.0,740.0,113 CDM,RRUCLASM-3128836900-88369-0312-SM45200-48-650,HB AP MORPHOMETRIC ANAL MAN EA ADD SINGLE PROBE PER SPEC,650.0,357.5,162.5,650.0,113 CDM,RRUCLASM-3128837700-88377-0312-SM45200-48-620,HB AP MORPHOMETR ANAL MAN EA MULITPLEX PROBE PER SPEC,620.0,341.0,155.0,620.0,113 CDM,RRUCLASM-3147041600-G0416-0314-SM45200-48-420,HB AP SURG PATH PROSTATE NEEDLE BIOPSY,420.0,231.0,105.0,378.0,113 CDM,RRUCLASM-3203973300-C9733-0320-SM46300-1000-1210,HB FLUORESCENCE VASCULAR ANGIOGRAPHY FVA NON-OPHTHALMIC,1210.0,665.5,338.8,1287.796839,123 CDM,RRUCLASM-3206230200-62302-0320-SM46300-1000-4280,HB MYELOGRAPHY VIA LUMBAR INJ CERVICAL,4280.0,2354.0,1070.0,3852.0,113 CDM,RRUCLASM-3206230300-62303-0320-SM46300-1000-4310,HB MYELOGRAPHY VIA LUMBAR INJ THORACIC,4310.0,2370.5,1077.5,3879.0,113 CDM,RRUCLASM-3206230400-62304-0320-SM46300-1000-4280,HB MYELOGRAPHY VIA LUMBAR INJ LUMBOSACRAL,4280.0,2354.0,1070.0,3852.0,113 CDM,RRUCLASM-3206230500-62305-0320-SM46300-1000-4520,HB MYELOGRAPHY VIA LUMBAR INJ 2 OR MORE REGIONS,4520.0,2486.0,1130.0,4068.0,113 CDM,RRUCLASM-3207001500-70015-0320-SM46300-1000-1820,HB CISTERNOGRAM S&I,1820.0,1001.0,455.0,1638.0,113 CDM,RRUCLASM-3207003000-70030-0320-SM46300-1000-240,HB EYE FOREIGN BODY DETECTION,240.0,132.0,60.0,216.0,113 CDM,RRUCLASM-3207010000-70100-0320-SM46300-1000-400,HB MANDIBLE < 4 VIEWS,400.0,220.0,100.0,360.0,113 CDM,RRUCLASM-3207011000-70110-0320-SM46300-1000-490,HB MANDIBLE 4+ VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207012000-70120-0320-SM46300-1000-300,HB MASTOIDS < 3 VIEWS PER SIDE,300.0,165.0,75.0,270.0,113 CDM,RRUCLASM-3207013000-70130-0320-SM46300-1000-450,HB MASTOIDS 3+ VIEWS PER SIDE,450.0,247.5,112.5,405.0,113 CDM,RRUCLASM-3207013400-70134-0320-SM46300-1000-460,HB MIDDLE EAR (IAM),460.0,253.0,115.0,414.0,113 CDM,RRUCLASM-3207014000-70140-0320-SM46300-1000-660,HB FACIAL BONES < 3 VIEWS,660.0,363.0,165.0,594.0,113 CDM,RRUCLASM-3207015000-70150-0320-SM46300-1000-960,HB FACIAL BONES 3+ VIEWS,960.0,528.0,240.0,864.0,113 CDM,RRUCLASM-3207016000-70160-0320-SM46300-1000-900,HB NASAL BONES 3+ VIEWS,900.0,495.0,225.0,810.0,113 CDM,RRUCLASM-3207020000-70200-0320-SM46300-1000-950,HB ORBITS 4+ VIEWS,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-3207021000-70210-0320-SM46300-1000-470,HB SINUSES < 3 VIEWS,470.0,258.5,117.5,423.0,113 CDM,RRUCLASM-3207022000-70220-0320-SM46300-1000-700,HB SINUSES 3+ VIEWS,700.0,385.0,175.0,630.0,113 CDM,RRUCLASM-3207024000-70240-0320-SM46300-1000-230,HB SELLA TURCICA SERIES,230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-3207025000-70250-0320-SM46300-1000-740,HB SKULL < 4 VIEWS,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-3207026000-70260-0320-SM46300-1000-930,HB SKULL 4+ VIEWS,930.0,511.5,232.5,837.0,113 CDM,RRUCLASM-3207031000-70310-0320-SM46300-1000-490,HB XRAY TEETH PARTIAL MOUTH,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207032000-70320-0320-SM44200-1000-550,HB XRAY TEETH COMPLETE FULL MOUTH,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-3207032800-70328-0320-SM46300-1000-260,HB TEMPOROMANDIBULAR JOINT UNILAT,260.0,143.0,65.0,234.0,113 CDM,RRUCLASM-3207033000-70330-0320-SM46300-1000-400,HB TEMPOROMANDIBULAR JOINT BILAT,400.0,220.0,100.0,360.0,113 CDM,RRUCLASM-3207035500-70355-0320-SM46300-1000-230,HB ORTHOPANTOGRAM (PANOREX),230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-3207036000-70360-0320-SM46300-1000-640,HB NECK SOFT TISSUE,640.0,352.0,160.0,576.0,113 CDM,RRUCLASM-3207037000-70370-0320-SM46300-1000-320,HB PHARYNX / LARYNX,320.0,176.0,80.0,288.0,113 CDM,RRUCLASM-3207037100-70371-0320-SM46300-1000-460,HB VIDEO SPEECH EVALUATION,460.0,253.0,115.0,414.0,113 CDM,RRUCLASM-3207038000-70380-0320-SM46300-1000-230,HB SALIVARY GLAND FOR STONE,230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-3207110000-71100-0320-SM46300-1000-530,HB RIBS UNILATERAL 2 VIEWS,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-3207110100-71101-0320-SM46300-1000-740,HB RIBS UNILATERAL + PA CHEST,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-3207111000-71110-0320-SM46300-1000-790,HB RIBS BILATERAL 3 VIEWS,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-3207111100-71111-0320-SM46300-1000-1100,HB RIBS BILATERAL + PA CHEST,1100.0,605.0,275.0,990.0,113 CDM,RRUCLASM-3207112000-71120-0320-SM46300-1000-700,HB STERNUM 2 VIEWS,700.0,385.0,175.0,630.0,113 CDM,RRUCLASM-3207113000-71130-0320-SM46300-1000-850,HB STERNOCLAVICULAR JOINTS 3+ VWS,850.0,467.5,212.5,765.0,113 CDM,RRUCLASM-3207202000-72020-0320-SM46300-1000-430,HB SPINE 1 VIEW,430.0,236.5,107.5,387.0,113 CDM,RRUCLASM-3207204000-72040-0320-SM46300-1000-590,HB C-SPINE 2-3 VIEWS,590.0,324.5,147.5,531.0,113 CDM,RRUCLASM-3207205000-72050-0320-SM46300-1000-740,HB C-SPINE SERIES 4+ VIEWS,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-3207205200-72052-0320-SM46300-1000-870,HB C-SPINE + FLEXION-EXTENSION,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-3207207000-72070-0320-SM46300-1000-630,HB T-SPINE 2 VIEWS,630.0,346.5,157.5,567.0,113 CDM,RRUCLASM-3207207200-72072-0320-SM46300-1000-690,HB T-SPINE 3 VIEWS,690.0,379.5,172.5,621.0,113 CDM,RRUCLASM-3207207400-72074-0320-SM46300-1000-790,HB T-SPINE 4+ VIEWS,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-3207208000-72080-0320-SM46300-1000-550,HB THORACOLUMBAR SPINE 2 VIEWS,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-3207208100-72081-0320-SM46300-1000-340,HB SPINE THORACIC LUMBAR EXAM 1 VIEW,340.0,187.0,85.0,306.0,113 CDM,RRUCLASM-3207208200-72082-0320-SM46300-1000-770,HB SPINE THORACIC LUMBAR EXAM 2 OR 3 VIEWS,770.0,423.5,192.5,693.0,113 CDM,RRUCLASM-3207208300-72083-0320-SM46300-1000-1000,HB SPINE THORACIC LUMBAR EXAM 4 OR 5 VIEWS,1000.0,550.0,250.0,900.0,113 CDM,RRUCLASM-3207208400-72084-0320-SM46300-1000-1160,HB SPINE THORACIC LUMBAR EXAM MIN 6 VIEWS,1160.0,638.0,290.0,1044.0,113 CDM,RRUCLASM-3207210000-72100-0320-SM46300-1000-670,HB L-SPINE 2-3 VIEWS,670.0,368.5,167.5,603.0,113 CDM,RRUCLASM-3207211000-72110-0320-SM46300-1000-740,HB L-SPINE 4+ VIEWS,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-3207211400-72114-0320-SM46300-1000-760,HB L-SPINE COMPLETE + BENDING VWS,760.0,418.0,190.0,684.0,113 CDM,RRUCLASM-3207212000-72120-0320-SM46300-1000-740,HB L-SPINE BENDING 4+ VIEWS,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-3207217000-72170-0320-SM46300-1000-490,HB PELVIS 1-2 VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207219000-72190-0320-SM46300-1000-630,HB PELVIS 3+ VIEWS,630.0,346.5,157.5,567.0,113 CDM,RRUCLASM-3207220000-72200-0320-SM46300-1000-400,HB SACROILIAC JTS < 3 VIEWS,400.0,220.0,100.0,360.0,113 CDM,RRUCLASM-3207220200-72202-0320-SM46300-1000-470,HB SACROILIAC JTS 3+ VIEWS,470.0,258.5,117.5,423.0,113 CDM,RRUCLASM-3207222000-72220-0320-SM46300-1000-490,HB SACRUM / COCCYX 2+ VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207224000-72240-0320-SM46300-1000-1700,HB MYELOGRAM CERVICAL S&I,1700.0,935.0,425.0,1530.0,113 CDM,RRUCLASM-3207225500-72255-0320-SM46300-1000-1700,HB MYELOGRAM THORACIC S&I,1700.0,935.0,425.0,1530.0,113 CDM,RRUCLASM-3207226500-72265-0320-SM46300-1000-1700,HB MYELOGRAM LUMBAR S&I,1700.0,935.0,425.0,1530.0,113 CDM,RRUCLASM-3207227000-72270-0320-SM46300-1000-2630,HB MYELOGRAM SPINE COMPLETE S&I,2630.0,1446.5,657.5,2367.0,113 CDM,RRUCLASM-3207228500-72285-0320-SM46300-1000-4490,HB DISKOGRAM CERV THOR S&I,4490.0,2469.5,1122.5,4041.0,113 CDM,RRUCLASM-3207229500-72295-0320-SM46300-1000-4490,HB DISKOGRAM LUMBAR S&I,4490.0,2469.5,1122.5,4041.0,113 CDM,RRUCLASM-3207300000-73000-0320-SM46300-1000-670,HB CLAVICLE SERIES,670.0,368.5,167.5,603.0,113 CDM,RRUCLASM-3207301000-73010-0320-SM46300-1000-770,HB SCAPULA SERIES,770.0,423.5,192.5,693.0,113 CDM,RRUCLASM-3207302000-73020-0320-SM46300-1000-430,HB SHOULDER 1 VIEW,430.0,236.5,107.5,387.0,113 CDM,RRUCLASM-3207303000-73030-0320-SM46300-1000-550,HB SHOULDER 2+ VIEWS,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-3207305000-73050-0320-SM46300-1000-690,HB AC JOINTS BILATERAL,690.0,379.5,172.5,621.0,113 CDM,RRUCLASM-3207306000-73060-0320-SM46300-1000-540,HB HUMERUS 2+ VIEWS,540.0,297.0,135.0,486.0,113 CDM,RRUCLASM-3207307000-73070-0320-SM46300-1000-430,HB ELBOW 2 VIEWS,430.0,236.5,107.5,387.0,113 CDM,RRUCLASM-3207308000-73080-0320-SM46300-1000-490,HB ELBOW 3+ VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207309000-73090-0320-SM46300-1000-490,HB FOREARM 2 VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207309200-73092-0320-SM46300-1000-550,HB UPPER EXTREMITY INFANT 2+ VWS,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-3207310000-73100-0320-SM46300-1000-430,HB WRIST 2 VIEWS,430.0,236.5,107.5,387.0,113 CDM,RRUCLASM-3207311000-73110-0320-SM46300-1000-490,HB WRIST 3+ VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207312000-73120-0320-SM46300-1000-540,HB HAND 2 VIEWS,540.0,297.0,135.0,486.0,113 CDM,RRUCLASM-3207313000-73130-0320-SM46300-1000-590,HB HAND 3+ VIEWS,590.0,324.5,147.5,531.0,113 CDM,RRUCLASM-3207314000-73140-0320-SM46300-1000-480,HB FINGER(S) 2+ VIEWS,480.0,264.0,120.0,432.0,113 CDM,RRUCLASM-3207350100-73501-0320-SM46300-1000-470,HB HIP & PELVIS UNILATERAL 1 VIEW,470.0,258.5,117.5,423.0,113 CDM,RRUCLASM-3207350200-73502-0320-SM46300-1000-530,HB HIP & PELVIS UNILATERAL 2-3 VIEWS,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-3207350300-73503-0320-SM46300-1000-580,HB HIP & PELVIS UNILATERAL MIN 4 VIEWS,580.0,319.0,145.0,522.0,113 CDM,RRUCLASM-3207352100-73521-0320-SM46300-1000-800,HB HIPS & PELVIS BILATERAL 2 VIEWS,800.0,440.0,200.0,720.0,113 CDM,RRUCLASM-3207352200-73522-0320-SM46300-1000-790,HB HIPS & PELVIS BILATERAL 3-4 VIEWS,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-3207352300-73523-0320-SM46300-1000-870,HB HIPS & PELVIS BILATERAL MIN 5 VIEWS,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-3207355100-73551-0320-SM46300-1000-320,HB FEMUR 1 VIEW,320.0,176.0,80.0,288.0,113 CDM,RRUCLASM-3207355200-73552-0320-SM46300-1000-480,HB FEMUR MIN 2 VIEWS,480.0,264.0,120.0,432.0,113 CDM,RRUCLASM-3207356000-73560-0320-SM46300-1000-490,HB KNEE 1-2 VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207356200-73562-0320-SM46300-1000-540,HB KNEE 3 VIEWS,540.0,297.0,135.0,486.0,113 CDM,RRUCLASM-3207356400-73564-0320-SM46300-1000-630,HB KNEE 4+ VIEWS,630.0,346.5,157.5,567.0,113 CDM,RRUCLASM-3207356500-73565-0320-SM46300-1000-550,HB KNEES AP STANDING BILATERAL,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-3207359000-73590-0320-SM46300-1000-490,HB TIBIA/FIBULA 2 VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207359200-73592-0320-SM46300-1000-280,HB LOWER EXTREMITY INFANT 2+VIEWS,280.0,154.0,70.0,252.0,113 CDM,RRUCLASM-3207360000-73600-0320-SM46300-1000-490,HB ANKLE 2 VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207361000-73610-0320-SM46300-1000-530,HB ANKLE 3+ VIEWS,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-3207362000-73620-0320-SM46300-1000-490,HB FOOT 2 VIEWS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207363000-73630-0320-SM46300-1000-540,HB FOOT 3+ VIEWS,540.0,297.0,135.0,486.0,113 CDM,RRUCLASM-3207365000-73650-0320-SM46300-1000-400,HB CALCANEUS 2+ VIEWS,400.0,220.0,100.0,360.0,113 CDM,RRUCLASM-3207366000-73660-0320-SM46300-1000-400,HB TOE(S) 2+ VIEWS,400.0,220.0,100.0,360.0,113 CDM,RRUCLASM-3207401800-74018-0320-SM46300-1000-480,HB ABDOMEN 1 VIEW,480.0,264.0,120.0,432.0,113 CDM,RRUCLASM-3207401900-74019-0320-SM46300-1000-660,HB ABDOMEN 2 VIEWS,660.0,363.0,165.0,594.0,113 CDM,RRUCLASM-3207402100-74021-0320-SM46300-1000-690,HB ABDOMEN >= 3 VIEWS,690.0,379.5,172.5,621.0,113 CDM,RRUCLASM-3207402201-74022-0320-SM46300-1000-590,HB ABDOMEN ACUTE 2+VWS + 1 VW CHEST,590.0,324.5,147.5,531.0,113 CDM,RRUCLASM-3207419000-74190-0320-SM46301-1000-1220,HB PERITONEOGRAM S&I,1220.0,671.0,305.0,1098.0,113 CDM,RRUCLASM-3207421001-74210-0320-SM46300-1000-740,HB PHARYNX/CERV ESOPHAGUS W CONTRAST,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-3207422001-74220-0320-SM46300-1000-880,HB ESOPHAGUS W SGL CONTRAST,880.0,484.0,220.0,792.0,113 CDM,RRUCLASM-3207422100-74221-0320-SM46300-1000-990,HB ESOPHAGUS W DBL CONTRAST,990.0,544.5,247.5,891.0,113 CDM,RRUCLASM-3207423001-74230-0320-SM46300-1000-770,HB SWALLOW FUNCTN W CONTRAST,770.0,423.5,192.5,693.0,113 CDM,RRUCLASM-3207424001-74240-0320-SM46300-1000-950,HB UPPER GI W SGL CONTRAST,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-3207424601-74246-0320-SM46300-1000-1050,HB UPPER GI W DBL CONTRAST,1050.0,577.5,262.5,945.0,113 CDM,RRUCLASM-3207424800-74248-0320-SM46300-1000-480,HB SMALL BOWEL FOLLOW-THRU W MULT SERIAL IMAG,480.0,264.0,120.0,432.0,113 CDM,RRUCLASM-3207425001-74250-0320-SM46300-1000-950,HB SMALL BOWEL W SGL CONTRAST,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-3207425101-74251-0320-SM46300-1000-1050,HB SMALL BOWEL W DBL CONTRAST,1050.0,577.5,262.5,945.0,113 CDM,RRUCLASM-3207427001-74270-0320-SM46300-1000-990,HB COLON W SGL CONTRAST,990.0,544.5,247.5,891.0,113 CDM,RRUCLASM-3207428001-74280-0320-SM46300-1000-1090,HB COLON W DBL CONTRAST,1090.0,599.5,272.5,981.0,113 CDM,RRUCLASM-3207428300-74283-0320-SM46300-1000-760,HB BARIUM ENEMA THERAPEUTIC,760.0,418.0,190.0,684.0,113 CDM,RRUCLASM-3207430000-74300-0320-SM46300-1000-720,HB CHOLANGIOGRAM OR OPERATIVE,720.0,396.0,180.0,648.0,113 CDM,RRUCLASM-3207430100-74301-0320-SM46300-1000-440,HB CHOLANGIOGRAM OR ADDL SET,440.0,242.0,110.0,396.0,113 CDM,RRUCLASM-3207434000-74340-0320-SM46300-1000-900,HB LONG GI TUBE PLACEMENT S&I,900.0,495.0,225.0,810.0,113 CDM,RRUCLASM-3207436300-74363-0320-SM46301-1000-1840,HB BILIARY DILATION S&I,1840.0,1012.0,460.0,1656.0,113 CDM,RRUCLASM-3207440000-74400-0320-SM46300-1000-970,HB INTRAVENOUS PYELOGRAM,970.0,533.5,242.5,873.0,113 CDM,RRUCLASM-3207441000-74410-0320-SM46300-1000-920,HB UROGRAM INFUSION WO TOMOGRAMS,920.0,506.0,230.0,828.0,113 CDM,RRUCLASM-3207441500-74415-0320-SM46300-1000-980,HB UROGRAM INFUSION + TOMOGRAMS,980.0,539.0,245.0,882.0,113 CDM,RRUCLASM-3207442000-74420-0320-SM46300-1000-1270,HB UROGRAM RETROGRADE,1270.0,698.5,317.5,1143.0,113 CDM,RRUCLASM-3207442502-74425-0320-SM46300-1000-710,HB UROGRAPHY ANTEGRADE S&I,710.0,390.5,177.5,639.0,113 CDM,RRUCLASM-3207443000-74430-0320-SM46300-1000-740,HB CYSTOGRAM S&I,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-3207444500-74445-0320-SM46300-1000-820,HB CORPORA CAVERNOSOGRAM S&I,820.0,451.0,205.0,738.0,113 CDM,RRUCLASM-3207445000-74450-0320-SM46300-1000-760,HB URETHROCYSTOGRM RETROGRADE S&I,760.0,418.0,190.0,684.0,113 CDM,RRUCLASM-3207445500-74455-0320-SM46300-1000-1370,HB CYSTOURETHROGRAM VOIDING S&I,1370.0,753.5,342.5,1233.0,113 CDM,RRUCLASM-3207447000-74470-0320-SM46700-1000-660,HB RENAL CYST STUDY S&I,660.0,363.0,165.0,594.0,113 CDM,RRUCLASM-3207448501-74485-0320-SM46300-1000-7600,HB DILATION URETER/URETHRA S&I,7600.0,4180.0,1900.0,6840.0,113 CDM,RRUCLASM-3207474000-74740-0320-SM46300-1000-720,HB HYSTEROSALPINGOGRAM S&I,720.0,396.0,180.0,648.0,113 CDM,RRUCLASM-3207477500-74775-0320-SM46300-1000-970,HB PERINEOGRAM,970.0,533.5,242.5,873.0,113 CDM,RRUCLASM-3207580300-75803-0320-SM46700-1000-4960,HB LYMPHANGIOGRAM EXTREM BI S&I,4960.0,2728.0,1240.0,4464.0,113 CDM,RRUCLASM-3207580700-75807-0320-SM46301-1000-5040,HB LYMPHANGIOGRAM ABDOM-PELV BI,5040.0,2772.0,1260.0,4536.0,113 CDM,RRUCLASM-3207582000-75820-0320-SM45700-1000-1930,HB VENOGRM EXTREMITY UNILAT S&I,1930.0,1061.5,482.5,1737.0,113 CDM,RRUCLASM-3207582200-75822-0320-SM46301-1000-3470,HB VENOGRM EXTREMITY BILAT S&I,3470.0,1908.5,867.5,3123.0,113 CDM,RRUCLASM-3207582500-75825-0320-SM46301-1000-6860,HB VENOGRM INFERIOR VENA CAVA S&I,6860.0,3773.0,1715.0,6174.0,113 CDM,RRUCLASM-3207582700-75827-0320-SM46301-1000-5790,HB VENOGRM SUPERIOR VENACAVA S&I,5790.0,3184.5,1447.5,5211.0,113 CDM,RRUCLASM-3207583100-75831-0320-SM46301-1000-6050,HB VENOGRM RENAL UNILAT S&I,6050.0,3327.5,1512.5,5445.0,113 CDM,RRUCLASM-3207583300-75833-0320-SM46301-1000-7050,HB VENOGRM RENAL BILAT S&I,7050.0,3877.5,1762.5,6345.0,113 CDM,RRUCLASM-3207586000-75860-0320-SM46301-1000-6860,HB VENOGRM SINUS/JUGULAR S&I,6860.0,3773.0,1715.0,6174.0,113 CDM,RRUCLASM-3207588500-75885-0320-SM46301-1000-6860,HB PORTOGRAM + HEMODYNAMIC EVAL,6860.0,3773.0,1715.0,6174.0,113 CDM,RRUCLASM-3207588700-75887-0320-SM46301-1000-4070,HB PORTOGRAM WO HEMODYNAMIC EVAL,4070.0,2238.5,1017.5,3663.0,113 CDM,RRUCLASM-3207589300-75893-0320-SM46301-1000-13400,HB VENOUS ORGAN BLOOD SAMPLNG S&I,13400.0,7370.0,3350.0,12060.0,113 CDM,RRUCLASM-3207589400-75894-0320-SM46301-1000-7600,HB TRANSCATH EMBOLIZATION S&I,7600.0,4180.0,1900.0,6840.0,113 CDM,RRUCLASM-3207598400-75984-0320-SM46300-1000-1400,HB X-RAY PERCUTAN DRAIN CATH CHANGE W CONTRAST S&I,1400.0,770.0,350.0,1260.0,113 CDM,RRUCLASM-3207598900-75989-0320-SM46301-1000-1710,HB PERCUTANEOUS DRAIN GUIDE S&I,1710.0,940.5,427.5,1539.0,113 CDM,RRUCLASM-3207600000-76000-0320-SM46300-1000-1060,HB FLUOROSCOPY SEPARATE PROCEDURE UPTO 1 HR,1060.0,583.0,265.0,954.0,113 CDM,RRUCLASM-3207608000-76080-0320-SM46300-1000-670,HB ABSCESSOGRAM/SINOGRAM S&I,670.0,368.5,167.5,603.0,113 CDM,RRUCLASM-3207609800-76098-0320-SM46300-1000-1500,HB SURGICAL SPECIMEN,1500.0,825.0,375.0,1350.0,113 CDM,RRUCLASM-3207610000-76100-0320-SM46300-1000-450,HB TOMOGRAM LINEAR,450.0,247.5,112.5,405.0,113 CDM,RRUCLASM-3207612000-76120-0320-SM46300-1000-450,HB CINE/VIDEORADIOGRAPHY PRIMARY PROCEDURE,450.0,247.5,112.5,405.0,113 CDM,RRUCLASM-3207612500-76125-0320-SM46300-1000-420,HB CINE/VIDEORADIOGRAPHY TO COMPLEMENT ROUTINE IN ADD TO PRIMARY,420.0,231.0,105.0,378.0,113 CDM,RRUCLASM-3207649600-76496-0320-SM46300-1000-580,HB FLUORO PROCEDURE DIAGNOSTIC OR INTERVENTIONAL UNLISTED,580.0,319.0,145.0,522.0,113 CDM,RRUCLASM-3207649900-76499-0320-SM46300-1000-240,HB XR DIAGNOSTIC UNLISTED,240.0,132.0,60.0,216.0,113 CDM,RRUCLASM-3207700100-77001-0320-SM46301-1000-1400,HB CV CATH FLUORO GUIDE S&I,1400.0,770.0,350.0,1260.0,113 CDM,RRUCLASM-3207700200-77002-0320-SM46300-1000-1400,HB FLUORO NDL PLACEMENT S&I,1400.0,770.0,350.0,1260.0,113 CDM,RRUCLASM-3207700300-77003-0320-SM46300-1000-1000,HB FLUORO NDL LOCALIZ SPINE S&I,1000.0,550.0,250.0,900.0,113 CDM,RRUCLASM-3207705300-77053-0320-SM46303-1000-1470,HB BREAST DUCTOGRAM SINGLE S&I,1470.0,808.5,367.5,1323.0,113 CDM,RRUCLASM-3207705400-77054-0320-SM46303-1000-1620,HB BREAST DUCTOGRAM MULTIPLE S&I,1620.0,891.0,405.0,1458.0,113 CDM,RRUCLASM-3207707100-77071-0320-SM46300-1000-240,HB STRESS VW EXTREMITY JOINT,240.0,132.0,24.56,321.235656,123 CDM,RRUCLASM-3207707200-77072-0320-SM46300-1000-490,HB BONE AGE STUDY,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207707300-77073-0320-SM46300-1000-490,HB BONE LENGTH STUDY / SCANOGRAM,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-3207707400-77074-0320-SM46300-1000-620,HB BONE SURVEY LTD,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-3207707500-77075-0320-SM46300-1000-680,HB BONE SURVEY COMPLETE,680.0,374.0,170.0,612.0,113 CDM,RRUCLASM-3207707600-77076-0320-SM46300-1000-710,HB BONE SURVEY INFANT,710.0,390.5,177.5,639.0,113 CDM,RRUCLASM-3207707700-77077-0320-SM46300-1000-330,HB JOINT SURVEY 1 VIEW,330.0,181.5,82.5,297.0,113 CDM,RRUCLASM-3207708000-77080-0320-SM46500-1000-690,HB BONE DEXA DENSITY 1+SITE AXIAL,690.0,379.5,172.5,621.0,113 CDM,RRUCLASM-3207708100-77081-0320-SM46500-1000-370,HB BONE DEXA DENSITY 1+ SITE PERIPH,370.0,203.5,92.5,333.0,113 CDM,RRUCLASM-3207708300-G0130-0320-SM46300-1000-430,HB RADIOGRAPHIC ABSORPTIOMETRY,430.0,236.5,120.4,387.0,123 CDM,RRUCLASM-3207708500-77085-0320-SM46500-1000-920,HB BONE DEXA DENSITY 1+SITE AXIAL W VERT FRACTURE,920.0,506.0,230.0,828.0,113 CDM,RRUCLASM-3207708600-77086-0320-SM46500-1000-230,HB BONE DEXA DENSITY VERT FUNCTN,230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-3227304000-73040-0322-SM46300-1000-1130,HB ARTHROGRAM SHOULDER S&I,1130.0,621.5,282.5,1017.0,113 CDM,RRUCLASM-3227352500-73525-0322-SM46300-1000-1180,HB ARTHROGRAM HIP S&I,1180.0,649.0,295.0,1062.0,113 CDM,RRUCLASM-3227358000-73580-0322-SM46300-1000-1130,HB ARTHROGRAM KNEE S&I,1130.0,621.5,282.5,1017.0,113 CDM,RRUCLASM-3237562500-75625-0323-SM45700-1000-6860,HB ANGIO ABDOMINAL AORTA S&I,6860.0,3773.0,1715.0,6174.0,113 CDM,RRUCLASM-3237563000-75630-0323-SM45700-1000-8240,HB ANGIO ABDOMINOPELV + RUNOFF,8240.0,4532.0,2060.0,7416.0,113 CDM,RRUCLASM-3237570500-75705-0323-SM45700-1000-8890,HB ANGIO SPINAL SELECTIVE S&I,8890.0,4889.5,2222.5,8001.0,113 CDM,RRUCLASM-3237571000-75710-0323-SM45700-1000-6160,HB ANGIO EXTREMITY UNILAT S&I,6160.0,3388.0,1540.0,5544.0,113 CDM,RRUCLASM-3237571600-75716-0323-SM45700-1000-9030,HB ANGIO EXTREMITY BILAT S&I,9030.0,4966.5,2257.5,8127.0,113 CDM,RRUCLASM-3237572600-75726-0323-SM45700-1000-11100,HB ANGIO VISCERAL ARTERY S&I,11100.0,6105.0,2775.0,9990.0,113 CDM,RRUCLASM-3237573600-75736-0323-SM45700-1000-9320,HB ANGIO PELVIC SELECTIVE S&I,9320.0,5126.0,2330.0,8388.0,113 CDM,RRUCLASM-3237574100-75741-0323-SM46301-1000-5250,HB ANGIO PULMNRY SELECT UNI S&I,5250.0,2887.5,1312.5,4725.0,113 CDM,RRUCLASM-3237574300-75743-0323-SM46301-1000-7880,HB ANGIO PULMNRY SELECT BILAT S&I,7880.0,4334.0,1970.0,7092.0,113 CDM,RRUCLASM-3237575600-75756-0323-SM46301-1000-5430,HB ANGIO INTERNAL MAMMARY S&I,5430.0,2986.5,1357.5,4887.0,113 CDM,RRUCLASM-3237577400-75774-0323-SM45700-1000-6260,HB ANGIO SELECTIVE EA ADDL VESSEL,6260.0,3443.0,1565.0,5634.0,113 CDM,RRUCLASM-3237589800-75898-0323-SM46301-1000-2400,HB ANGIO TRANSCATH FOLLOW-UP,2400.0,1320.0,600.0,2160.0,113 CDM,RRUCLASM-3247104500-71045-0324-SM46300-1000-360,HB CHEST SINGLE VIEW,360.0,198.0,90.0,324.0,113 CDM,RRUCLASM-3247104600-71046-0324-SM46300-1000-420,HB CHEST 2 VIEWS,420.0,231.0,105.0,378.0,113 CDM,RRUCLASM-3247104700-71047-0324-SM46300-1000-500,HB CHEST 3 VIEWS,500.0,275.0,125.0,450.0,113 CDM,RRUCLASM-3247104800-71048-0324-SM46300-1000-760,HB CHEST >= 4 VIEWS,760.0,418.0,190.0,684.0,113 CDM,RRUCLASM-3319640100-96401-0331-SM40100-1000-590,HB CHEMO IM/SUBQ EACH NONHORMONAL,590.0,324.5,10.66,829.0,124 CDM,RRUCLASM-3319640200-96402-0331-SM46401-1000-460,HB CHEMO IM/SUBQ EACH HORMONAL,460.0,253.0,10.66,829.0,124 CDM,RRUCLASM-3319640900-96409-0331-SM31505-1000-970,HB CHEMO IV PUSH SINGLE /INTIAL DRUG,970.0,533.5,17.96,1219.257508,124 CDM,RRUCLASM-3330395000-0395T-0333-SM46402-1000-2820,HB HDR ELECTRONIC BRACHYTHERAPY INTERSTITAL PER FRACTION,2820.0,1551.0,789.6,2570.896923,123 CDM,RRUCLASM-3331929600-19296-0333-SM46402-1000-28510,HB PLACE RADTX CATH BREAST POSTMAST SEPDATE,28510.0,15680.5,7127.5,25659.0,113 CDM,RRUCLASM-3331929800-19298-0333-SM46402-1000-24680,HB PLACE BRACH NDL BREAST AFTERLOAD,24680.0,13574.0,6170.0,22212.0,113 CDM,RRUCLASM-3332055500-20555-0333-SM46402-1000-9920,HB PLACE RADTX NDL/CATH MUSCLE TISSUE,9920.0,5456.0,2480.0,8928.0,113 CDM,RRUCLASM-3333164300-31643-0333-SM46402-1000-5190,HB PLACE BRACH NDL/CATH LUNG BRONCHOSCOPY,5190.0,2854.5,1297.5,4671.0,113 CDM,RRUCLASM-3333255300-32553-0761-SM46402-1000-6570,HB PLACE FIDUCIAL MARKER THORAX,6570.0,3613.5,1642.5,5913.0,113 CDM,RRUCLASM-3333972500-C9725-0333-SM46402-1000-2880,HB BRACHYTHER HI ENDORECTAL INTRACAV PLACE,2880.0,1584.0,806.4,3432.752183,123 CDM,RRUCLASM-3333972600-C9726-0333-SM46402-1000-6150,HB BREAST RAD THER APPLIC PLACE & REMOVAL,6150.0,3382.5,1537.5,5535.0,113 CDM,RRUCLASM-3334101900-41019-0333-SM46402-1000-16750,HB PLACE RADTX NDL/CATH HEAD &/ NECK,16750.0,9212.5,4187.5,15075.0,113 CDM,RRUCLASM-3334941100-49411-0761-SM46402-1000-6020,HB PLACE FIDUCIAL MARKER ABD/PELV,6020.0,3311.0,1505.0,5418.0,113 CDM,RRUCLASM-3335586000-55860-0333-SM46402-1000-14300,HB EXPOSE PROSTATE INSERT RADIOACTIVE SUBST,14300.0,7865.0,3575.0,12870.0,113 CDM,RRUCLASM-3335587400-55874-0761-SM46402-1000-17250,HB PLACE TRANSPERINEAL PERI-PROSTATIC INJ W IMAGE GUIDANCE,17250.0,9487.5,4830.0,19791.996707,123 CDM,RRUCLASM-3335587500-55875-0333-SM46402-1000-14330,HB PLACE BRACH NDL/CATH PROSTATE TRANSPERIN,14330.0,7881.5,3582.5,12897.0,113 CDM,RRUCLASM-3335587600-55876-0761-SM46402-1000-5450,HB PLACE FIDUCIAL MARKER PROSTATE,5450.0,2997.5,1362.5,4905.0,113 CDM,RRUCLASM-3335592000-55920-0333-SM46402-1000-8910,HB PLACE RADTX NDL/CATH PELVIC &/ GENITAL,8910.0,4900.5,2227.5,8019.0,113 CDM,RRUCLASM-3335715500-57155-0333-SM46402-1000-6060,HB PLACE BRACH SOURCE UTERINE TANDEM,6060.0,3333.0,1515.0,5454.0,113 CDM,RRUCLASM-3335715600-57156-0333-SM46402-1000-1270,HB PLACE BRACH DEVICE AFTERLOAD VAGINAL,1270.0,698.5,317.5,1143.0,113 CDM,RRUCLASM-3337687300-76873-0402-SM46402-1000-740,HB BRACHY ECHO PROSTATE VOL STUDY TRANSRECT,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-3337728000-77280-0333-SM46402-1000-2360,HB THERAPEUTIC RAD SIMULAT FIELD SET SIMPLE,2360.0,1298.0,590.0,55700.0,114 CDM,RRUCLASM-3337728500-77285-0333-SM46402-1000-3130,HB THERAPEUTIC RAD SIMULAT FIELD SET INTRMD,3130.0,1721.5,782.5,55700.0,113 CDM,RRUCLASM-3337729000-77290-0333-SM46402-1000-3890,HB THERAPEUTIC RAD SIMULAT FIELD SET CMPLX,3890.0,2139.5,972.5,55700.0,114 CDM,RRUCLASM-3337729300-77293-0333-SM46402-1000-1630,HB RADONC RESP MOTION MANAGEMENT SIMULATION FOR INTERNAL TUMOR V,1630.0,896.5,407.5,1467.0,113 CDM,RRUCLASM-3337729500-77295-0333-SM46402-1000-10510,HB 3D SIMULATION RECONSTRCT TUMOR,10510.0,5780.5,1685.0,89028.0,114 CDM,RRUCLASM-3337730000-77300-0333-SM46402-1000-1240,HB BASIC DOSIMETRY CALCULATION,1240.0,682.0,310.0,55700.0,114 CDM,RRUCLASM-3337730100-77301-0333-SM46402-1000-13060,HB IMRT-PLANNING MULT SETUP,13060.0,7183.0,1685.0,89028.0,113 CDM,RRUCLASM-3337730600-77306-0333-SM46402-1000-1880,HB TELETHERAPY ISODOS PLAN SIMPLE,1880.0,1034.0,470.0,1692.0,113 CDM,RRUCLASM-3337730700-77307-0333-SM46402-1000-3930,HB TELETHERAPY ISODOSE PLAN COMPLEX,3930.0,2161.5,982.5,3537.0,113 CDM,RRUCLASM-3337731600-77316-0333-SM46402-1000-1880,HB BRACHYTHER ISODOSE CALC SIMPLE1-8SOURCE,1880.0,1034.0,470.0,1692.0,113 CDM,RRUCLASM-3337731700-77317-0333-SM46402-1000-2310,HB BRACHYTHER ISODOSE CALC INTRMD9-12SOURCE,2310.0,1270.5,577.5,2079.0,113 CDM,RRUCLASM-3337731800-77318-0333-SM46402-1000-2650,HB BRACHYTHER ISODOSE CALC COMPLEX>12SOURCE,2650.0,1457.5,662.5,2385.0,113 CDM,RRUCLASM-3337732100-77321-0333-SM46402-1000-2310,HB SPECIAL TELETHERAPY PORT PLAN,2310.0,1270.5,577.5,89028.0,114 CDM,RRUCLASM-3337733100-77331-0333-SM46402-1000-1090,HB SPECIAL DOSIMETRY MEASUREMENT,1090.0,599.5,272.5,981.0,113 CDM,RRUCLASM-3337733200-77332-0333-SM46402-1000-930,HB TREATMENT DEVICE SIMPLE,930.0,511.5,232.5,837.0,113 CDM,RRUCLASM-3337733300-77333-0333-SM46402-1000-1170,HB TREATMENT DEVICE INTERMEDIATE,1170.0,643.5,292.5,1053.0,113 CDM,RRUCLASM-3337733400-77334-0333-SM46402-1000-2400,HB TREATMENT DEVICE COMPLEX,2400.0,1320.0,600.0,55700.0,114 CDM,RRUCLASM-3337733600-77336-0333-SM46401-1000-1240,HB CONTINUING PHYSICS CONSULT PER WEEK,1240.0,682.0,310.0,89028.0,114 CDM,RRUCLASM-3337733800-77338-0333-SM46402-1000-5080,HB IMRT MLC DEVICE DESIGN CONSTRUCT / PLAN,5080.0,2794.0,1270.0,55700.0,114 CDM,RRUCLASM-3337737000-77370-0333-SM46402-1000-2700,HB SPECIAL MED RAD PHYSCS CONSULT,2700.0,1485.0,675.0,89028.0,114 CDM,RRUCLASM-3337737200-77372-0333-SM46402-1000-34920,HB STEREOTACTIC RAD TRTMNT DELIVERY CRANIAL 1LSN LINEAR ACCELERA,34920.0,19206.0,806.21,65333.0,123 CDM,RRUCLASM-3337737300-77373-0333-SM46402-1000-14470,HB STEREOTACTIC RAD TRTMNT DELIVERY BODY PER FRACTION 1/MORE LSN,14470.0,7958.5,958.06,65333.0,123 CDM,RRUCLASM-3337739900-77399-0333-SM46402-1000-500,HB MED RADIATION PHYSICS DOSIMETRY/TRTMNT DEVICE/ SPECIAL SVC UN,500.0,275.0,125.0,450.0,113 CDM,RRUCLASM-3337740202-77402-0333-SM46402-1000-560,HB RAD TX DELIV LVL 1 W WO IMAG GUIDE,560.0,308.0,42.4,504.0,123 CDM,RRUCLASM-3337740702-77407-0333-SM46402-1000-5500,HB RAD TX DELIV LVL 2 SGL ISOCTR PHOTONS W WO IMAG GUIDE,5500.0,3025.0,38.77,4950.0,123 CDM,RRUCLASM-3337741202-77425-0333-SM46402-1000-7130,HB RAD TX DELIV LVL 3 MULTI/SGL ISOCTR PHOTON THER W ACTIVE MOTI,7130.0,3921.5,43.2,6417.0,123 CDM,RRUCLASM-3337741700-77417-0333-SM46402-1000-540,HB THERAPEUTIC RAD PORT FILM,540.0,297.0,9.82,486.0,113 CDM,RRUCLASM-3337742400-77424-0333-SM46402-1000-29220,HB INTRAOPERATIVE RADIATION TREATMENT DELIVERY XRAY SINGLE SESSI,29220.0,16071.0,8181.6,27187.498233,123 CDM,RRUCLASM-3337742500-77425-0333-SM46402-1000-30590,HB INTRAOPERATIVE RADIATION TREATMENT DELIVERY ELECTRON SINGLE S,30590.0,16824.5,8565.2,27531.0,123 CDM,RRUCLASM-3337743500-77435-0333-SM46402-1000-2150,HB STEREOTACTIC BODY RAD MNGT/COURSE 5FRACT,2150.0,1182.5,536.14,89028.0,114 CDM,RRUCLASM-3337747000-77470-0333-SM46402-1000-4740,HB SPECIAL TREATMENT PROCEDURE RAD ONCOLOGY,4740.0,2607.0,1185.0,89028.0,114 CDM,RRUCLASM-3337771000-77771-0333-SM46402-1000-7150,HB HDR-REMOTE AFTERLOAD BRACHY 2-12 CHANNELS,7150.0,3932.5,1787.5,6435.0,113 CDM,RRUCLASM-3337772000-77772-0333-SM46402-1000-10050,HB HDR-REMOTE AFTERLOAD BRACHY >12 CHANNELS,10050.0,5527.5,2512.5,9045.0,113 CDM,RRUCLASM-3337775000-77750-0333-SM46402-1000-890,HB INFUSION /INSTILLATION OF RADIOELEM SOLN,890.0,489.5,135.04,1423.719465,123 CDM,RRUCLASM-3337776100-77761-0333-SM46402-1000-1920,HB RAD APPLY INTRACAVITARY SIMPLE,1920.0,1056.0,322.48,2039.598792,123 CDM,RRUCLASM-3337776200-77762-0333-SM46402-1000-2110,HB RAD APPLY INTRACAVITARY INTRMD,2110.0,1160.5,427.42,2039.598792,123 CDM,RRUCLASM-3337776300-77763-0333-SM46402-1000-2840,HB RAD APPLY INTRACAVITARY COMPLX,2840.0,1562.0,603.48,2570.896923,123 CDM,RRUCLASM-3337776700-77767-0333-SM46402-1000-1090,HB HDR-REMOTE AFTERLOAD BRACHY 1CHANNEL OR UP TO 2 CM,1090.0,599.5,272.5,981.0,113 CDM,RRUCLASM-3337776800-77768-0333-SM46402-1000-1310,HB HDR SURFACE BRACHY REMOTE AFTERLOAD >1 CHANNEL,1310.0,720.5,327.5,1179.0,113 CDM,RRUCLASM-3337777000-77770-0333-SM46402-1000-6200,HB HDR-REMOTE AFTERLOAD BRACHY 1 CHANNEL,6200.0,3410.0,1550.0,5580.0,113 CDM,RRUCLASM-3337777800-77778-0333-SM46402-1000-4080,HB RAD APPLY INTERSTITIAL COMPLEX,4080.0,2244.0,1020.0,3672.0,113 CDM,RRUCLASM-3337778900-77789-0333-SM46402-1000-480,HB SURFACE APPLICATION OF RADIATION SOURCE,480.0,264.0,120.0,432.0,113 CDM,RRUCLASM-3337779000-77790-0333-SM46402-1000-1060,HB SUPERVIS/HANDLING/LOAD RADIATION SOURCE,1060.0,583.0,14.1,954.0,113 CDM,RRUCLASM-3337779900-77799-0333-SM46402-1000-1110,HB UNLIST CLIN BRACHY PROC,1110.0,610.5,131.2277,999.0,123 CDM,RRUCLASM-3359641300-96413-0335-SM31505-1000-1460,HB CHEMO IV INFUSION 1ST HOUR,1460.0,803.0,28.59,1314.0,124 CDM,RRUCLASM-3359641500-96415-0335-SM31505-1000-540,HB CHEMO IV INFUSION EACH ADDL HR,540.0,297.0,21.49,957.0,124 CDM,RRUCLASM-3359641700-96417-0335-SM31505-1000-650,HB CHEMO IV INFUSION EA ADD SEQUENTIAL DRUG,650.0,357.5,28.59,957.0,124 CDM,RRUCLASM-3359642200-96422-0335-SM46301-1000-780,HB CHEMO INTRAARTERIAL INFUSION 1ST HOUR,780.0,429.0,37.15,1219.257508,124 CDM,RRUCLASM-3359645000-96450-0331-SM46300-1000-1760,HB CHEMO INTRATHECAL INFUSION,1760.0,968.0,130.64,1584.0,124 CDM,RRUCLASM-3407944500-79445-0340-SM46301-1000-1100,HB RADPHARM THER INTRA-ART PARTICULAT ADMIN,1100.0,605.0,275.0,990.0,113 CDM,RRUCLASM-3417800600-78014-0341-SM46500-1000-2210,HB THYROID IMAGING SGL DETERMINATION,2210.0,1215.5,552.5,1989.0,113 CDM,RRUCLASM-3417801200-78012-0341-SM46500-1000-1760,HB THYROID UPTAKE SINGLE OR MULTIPLE DETERMINATION,1760.0,968.0,440.0,1584.0,113 CDM,RRUCLASM-3417801300-78013-0341-SM46500-1000-3090,HB THYROID IMAGE ONLY,3090.0,1699.5,772.5,2781.0,113 CDM,RRUCLASM-3417801800-78018-0341-SM46500-1000-4550,HB THYROID CA METS I131 WHOLE BODY,4550.0,2502.5,1137.5,4095.0,113 CDM,RRUCLASM-3417802000-78020-0341-SM46500-1000-560,HB THYROID CA METASTATES UPTAKE,560.0,308.0,140.0,504.0,113 CDM,RRUCLASM-3417807000-78070-0341-SM46500-1000-1410,HB PARATHYROID IMAGING,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-3417807100-78071-0341-SM46500-1000-1660,HB PARATHYROID IMAGING+SPECT,1660.0,913.0,415.0,1494.0,113 CDM,RRUCLASM-3417807200-78072-0341-SM46500-1000-3700,HB PARATHYROID IMAGING+SPECT & CT,3700.0,2035.0,925.0,3330.0,113 CDM,RRUCLASM-3417810300-78103-0341-SM46500-1000-1410,HB BONE MARROW IMAGE MULTI AREAS,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-3417819500-78195-0341-SM46500-1000-3520,HB LYMPH DRAINAGE IMAGING,3520.0,1936.0,880.0,3168.0,113 CDM,RRUCLASM-3417820100-78201-0341-SM46500-1000-4530,HB RBC LIVER IMAGING STATIC ONLY,4530.0,2491.5,1132.5,4077.0,113 CDM,RRUCLASM-3417821500-78215-0341-SM46500-1000-1630,HB LIVER&SPLEEN IMAGING STATIC ONLY,1630.0,896.5,407.5,1467.0,113 CDM,RRUCLASM-3417821600-78216-0341-SM46500-1000-1340,HB LIVER&SPLEEN IMAGING WITH VASCULAR FLOW USING RADIO-LABEL RBC,1340.0,737.0,335.0,1206.0,113 CDM,RRUCLASM-3417822300-78226-0341-SM46500-1000-1410,HB HEPATOBILIDUCTAL SYSTEM +/-PHARM GBEF,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-3417826400-78264-0341-SM46500-1000-3620,HB GASTRIC EMPTYING STUDY,3620.0,1991.0,905.0,3258.0,113 CDM,RRUCLASM-3417827800-78278-0341-SM46500-1000-1660,HB GI BLEED ACUTE IMAGING,1660.0,913.0,415.0,1494.0,113 CDM,RRUCLASM-3417829000-78290-0341-SM46500-1000-1730,HB MECKELS DIVERTICULM IMAGING,1730.0,951.5,432.5,1557.0,113 CDM,RRUCLASM-3417830000-78300-0341-SM46500-1000-1630,HB BONE IMAGING LIMITED VIEW,1630.0,896.5,407.5,1467.0,113 CDM,RRUCLASM-3417830500-78305-0341-SM46500-1000-1790,HB BONE JOINT IMAGING MULTI AREAS,1790.0,984.5,447.5,1611.0,113 CDM,RRUCLASM-3417830600-78306-0341-SM46500-1000-3270,HB BONE AND/OR JOINT IMAG WHOLE BODY,3270.0,1798.5,817.5,2943.0,113 CDM,RRUCLASM-3417831500-78315-0341-SM46500-1000-3360,HB BONE AND/OR JOINT IMAG 3 PHASE STUDY,3360.0,1848.0,840.0,3024.0,113 CDM,RRUCLASM-3417842800-78428-0341-SM46500-1000-1660,HB CARDIAC SHUNT DETECTION,1660.0,913.0,415.0,1494.0,113 CDM,RRUCLASM-3417845100-78451-0341-SM46500-1000-5360,HB CARDIAC STRESS/REST SPECT SINGLE,5360.0,2948.0,1340.0,4824.0,113 CDM,RRUCLASM-3417845200-78452-0341-SM46500-1000-5890,HB CARDIAC STRESS/REST SPECT MULTI,5890.0,3239.5,1472.5,5301.0,113 CDM,RRUCLASM-3417845400-78454-0341-SM46500-1000-3240,HB CARDIAC STRESS/REST PLANAR MULTI,3240.0,1782.0,810.0,2916.0,113 CDM,RRUCLASM-3417847200-78472-0341-SM46500-1000-1730,HB CARDIAC GATED STRESS & REST SINGLE,1730.0,951.5,432.5,1557.0,113 CDM,RRUCLASM-3417847300-78473-0341-SM46500-1000-1810,HB CARDIAC GATED STRESS & REST MULTI,1810.0,995.5,452.5,1629.0,113 CDM,RRUCLASM-3417849400-78494-0341-SM46500-1000-1410,HB CARDIAC GATED WALL MOTION SPECT,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-3417858000-78580-0341-SM46500-1000-1660,HB LUNG PERFUSION IMAGE PARTICULATE,1660.0,913.0,415.0,1494.0,113 CDM,RRUCLASM-3417858200-78582-0341-SM46500-1000-3930,HB PULM VENT & PERF IMG,3930.0,2161.5,982.5,3537.0,113 CDM,RRUCLASM-3417858500-78579-0341-SM46500-1000-1410,HB LUNG VENTILATION & PERFUSION IMAGING,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-3417858700-78579-0341-SM46500-1000-1410,HB LUNG VENTILATION IMAGING MULT VIEWS,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-3417859300-78579-0341-SM46500-1000-1410,HB LUNG VENTILATION IMAGING SINGLE GASEOUS,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-3417859600-78597-0341-SM46500-1000-2320,HB LUNG QUANT DIFFERENTIAL STUDY,2320.0,1276.0,580.0,2088.0,113 CDM,RRUCLASM-3417859800-78598-0341-SM46500-1000-2130,HB LUNG QUANT DIFF PULM PERF & VENTILATION W IMAG,2130.0,1171.5,532.5,1917.0,113 CDM,RRUCLASM-3417863000-78630-0341-SM46500-1000-2140,HB CISTERNOGRAM CSF FLOW IMAGING,2140.0,1177.0,535.0,1926.0,113 CDM,RRUCLASM-3417870700-78707-0341-SM46500-1000-3350,HB KIDNEY IMAGING FNCT&FLO SGL WO RX,3350.0,1842.5,837.5,3015.0,113 CDM,RRUCLASM-3417870800-78708-0341-SM46500-1000-3110,HB KIDNEY IMAGING FNCT&FLO SGL,3110.0,1710.5,777.5,2799.0,113 CDM,RRUCLASM-3417870900-78709-0341-SM46500-1000-3310,HB KIDNEY IMAGING FNCT&FLO MULT+/-RX,3310.0,1820.5,827.5,2979.0,113 CDM,RRUCLASM-3417872500-78725-0341-SM46500-1000-1730,HB KIDNEY FNCT STUDY NON-IMAGING,1730.0,951.5,432.5,1557.0,113 CDM,RRUCLASM-3417874000-78740-0341-SM46500-1000-1510,HB VOIDING CYSTOGRAM RADIOPHARM,1510.0,830.5,377.5,1359.0,113 CDM,RRUCLASM-3417876100-78761-0341-SM46500-1000-1410,HB TESTICULAR IMAGING +VASC FLOW,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-3417880001-78800-0341-SM46500-1000-1760,HB TUMOR RADIOPHARM LOCALIZ PLANAR SGL AREA/DAY,1760.0,968.0,440.0,1584.0,113 CDM,RRUCLASM-3417880201-78802-0341-SM46500-1000-5250,HB TUMOR RADIOPHARM LOCALIZ PLANAR WHOLE BODY SGL DAY,5250.0,2887.5,1312.5,4725.0,113 CDM,RRUCLASM-3417880302-78803-0341-SM46500-1000-5460,HB TUMOR RADIOPHARM LOCALIZ SPECT SGL AREA OR ACQ/SGL DAY,5460.0,3003.0,1365.0,4914.0,113 CDM,RRUCLASM-3417883001-78830-0341-SM46500-1000-5670,HB TUMOR RADIOPHARM LOCALIZ SPECT W CT SGL AREA OR ACQ/SGL DAY,5670.0,3118.5,1417.5,5103.0,113 CDM,RRUCLASM-3417883101-78831-0341-SM46500-1000-5880,HB TUMOR RADIOPHARM LOCALIZ SPECT 2+AREAS SGL DAY OR SGL AREA OR,5880.0,3234.0,1470.0,5292.0,113 CDM,RRUCLASM-3417883201-78832-0341-SM46500-1000-6090,HB TUMOR RADIOPHARM LOCALIZ SPECT W CT 2+AREAS SGL DAY OR SGL AR,6090.0,3349.5,1522.5,5481.0,113 CDM,RRUCLASM-3427822700-78227-0341-SM46500-1000-2190,HB HEPATOBILIARY SYSTEM IMAGE WITH PHARMACOLOGIC INTERVENTION,2190.0,1204.5,547.5,1971.0,113 CDM,RRUCLASM-3427880101-78801-0342-SM46500-1000-1790,HB TUMOR RADIOPHARM LOCALIZ PLANAR 2+AREAS 1+DAYS,1790.0,984.5,447.5,1611.0,113 CDM,RRUCLASM-3427880401-78804-0342-SM46500-1000-5630,HB TUMOR RADIOPHARM LOCALIZ PLANAR WHOLE BODY 2+DAYS,5630.0,3096.5,1407.5,5067.0,113 CDM,RRUCLASM-3427900500-79005-0342-SM46500-1000-2160,HB ADMIN RADPHARM ORAL I131 THYROID ABLAT,2160.0,1188.0,540.0,1944.0,113 CDM,RRUCLASM-3427910102-79101-0342-SM46500-1000-1550,HB ADMIN RADPHARM IV THERAPEUTIC,1550.0,852.5,387.5,1395.0,113 CDM,RRUCLASM-3427940300-79403-0342-SM46500-1000-1720,HB RADPHARM THERAPY IV MONOCLONAL ANTIBODY,1720.0,946.0,430.0,1548.0,113 CDM,RRUCLASM-3507047100-70471-0350-SM46800-1000-1350,HB CTA HEAD+NECK W CONTRAST W WO NONCONTRAST IMAG+POSTPROS,1350.0,742.5,337.5,1215.0,114 CDM,RRUCLASM-3507047200-70472-0350-SM46800-1000-620,HB CT CEREBRAL PRFU ANALYS+CONTRAST W IMAG POSTPROS W CONCUR CT/,620.0,341.0,155.0,558.0,114 CDM,RRUCLASM-3507047300-70473-0350-SM46800-1000-680,HB CT CEREBRAL PRFU+CONTRAST W IMAG POSTPROS WO CONCUR CT/CT ANG,680.0,374.0,170.0,612.0,114 CDM,RRUCLASM-3507426100-74261-0350-SM46800-1000-1260,HB CT COLONOGRAPHY DIAGNOSTIC WO CONTRAST,1260.0,693.0,315.0,1134.0,114 CDM,RRUCLASM-3507426200-74262-0350-SM46800-1000-1340,HB CT COLONOGRAPHY DIAGNOSTIC W/WO CONTRAST,1340.0,737.0,335.0,1206.0,114 CDM,RRUCLASM-3507426300-74263-0350-SM46800-1000-1390,HB CT COLONOGRAPHY SCREENING,1390.0,764.5,347.5,1251.0,114 CDM,RRUCLASM-3507558000-75580-0350-SM46800-1000-4200,HB CORONARY FFR CT ANGIO W INTERP RPT,4200.0,2310.0,400.0,3780.0,114 CDM,RRUCLASM-3507637600-76376-0350-SM45900-1000-770,HB 3D CT MR US WO POST PROCESS,770.0,423.5,192.5,693.0,114 CDM,RRUCLASM-3507637700-76377-0409-SM45900-1000-1000,HB 3D RENDER W IMAGE POST PROCESS,1000.0,550.0,250.0,900.0,113 CDM,RRUCLASM-3507638000-76380-0350-SM46301-1000-600,HB CT LIMITED OR FOLLOW-UP EXAM,600.0,330.0,150.0,540.0,114 CDM,RRUCLASM-3507701100-77011-0350-SM46800-1000-2100,HB CT STEREOTACTIC LOCALIZATION GUIDANCE,2100.0,1155.0,400.0,1890.0,114 CDM,RRUCLASM-3507701200-77012-0350-SM46300-1000-2140,HB CT NDL PLACEMENT GUIDANCE S&I,2140.0,1177.0,400.0,1926.0,114 CDM,RRUCLASM-3507701300-77013-0350-SM46301-1000-2140,HB CT PARENCHYMAL TISSUE ABLATION GUIDANCE,2140.0,1177.0,400.0,1926.0,114 CDM,RRUCLASM-3507707800-77078-0350-SM46800-1000-270,HB CT BONE DENSITY 1+ SITES AXIAL,270.0,148.5,67.5,400.0,114 CDM,RRUCLASM-3517045000-70450-0351-SM46800-1000-2940,HB CT BRAIN WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3517046000-70460-0351-SM46800-1000-3680,HB CT BRAIN W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3517047000-70470-0351-SM46800-1000-3990,HB CT BRAIN WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3517048000-70480-0351-SM46800-1000-2940,HB CT ORBIT SELLA IAC WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3517048100-70481-0351-SM46800-1000-3680,HB CT ORBIT/SELLA/FOSSA W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3517048200-70482-0351-SM46800-1000-3990,HB CT ORBIT/SELLA/FOSSA WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3517048600-70486-0351-SM46800-1000-2890,HB CT MAXILLOFACIAL WO CONTRAST,2890.0,1589.5,400.0,2601.0,114 CDM,RRUCLASM-3517048700-70487-0351-SM46800-1000-3680,HB CT MAXILLOFACIAL W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3517048800-70488-0351-SM46800-1000-3990,HB CT MAXILLOFACIAL WO FOLLOW CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3517049000-70490-0351-SM46800-1000-2940,HB CT SOFT TISSUE NECK WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3517049100-70491-0351-SM46800-1000-3680,HB CT SOFT TISSUE NECK W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3517049200-70492-0351-SM46800-1000-3990,HB CT SOFT TISSUE NECK WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3517049600-70496-0351-SM46800-1000-4990,HB CT ANGIOGRAM HEAD W/WO CONTRAST,4990.0,2744.5,400.0,4491.0,114 CDM,RRUCLASM-3527028800-G0288-0352-SM46800-1000-890,HB CT 3D RECONSTRCT AORTA SURGPLN,890.0,489.5,222.5,801.0,114 CDM,RRUCLASM-3527049800-70498-0351-SM46800-1000-4990,HB CT ANGIOGRAM NECK W/WO CONTRAST,4990.0,2744.5,400.0,4491.0,114 CDM,RRUCLASM-3527125000-71250-0352-SM46800-1000-2940,HB CT CHEST DIAG WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3527126000-71260-0352-SM46800-1000-3680,HB CT CHEST DIAG W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3527127000-71270-0352-SM46800-1000-3990,HB CT CHEST DIAG WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3527127100-71271-0352-SM46800-1000-480,HB CT THORAX LOW DOSE LUNG CANCER SCRN WO CONTRAST,480.0,264.0,120.0,432.0,114 CDM,RRUCLASM-3527127500-71275-0352-SM46800-1000-4990,HB CT ANGIOGRAM CHEST W/WO CONTRAST,4990.0,2744.5,400.0,4491.0,114 CDM,RRUCLASM-3527212500-72125-0352-SM46800-1000-2940,HB CT C-SPINE WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3527212600-72126-0352-SM46800-1000-3680,HB CT C-SPINE W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3527212700-72127-0352-SM46800-1000-3990,HB CT C-SPINE WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3527212800-72128-0352-SM46800-1000-2940,HB CT T-SPINE WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3527212900-72129-0352-SM46800-1000-3680,HB CT T-SPINE W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3527213000-72130-0352-SM46800-1000-3990,HB CT T-SPINE WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3527213100-72131-0352-SM46800-1000-2940,HB CT L-SPINE WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3527213200-72132-0352-SM46800-1000-3680,HB CT L-SPINE W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3527213300-72133-0352-SM46800-1000-3990,HB CT L-SPINE WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3527219100-72191-0352-SM46800-1000-4990,HB CT ANGIOGRAM PELVIS W/WO CONTRAST,4990.0,2744.5,400.0,4491.0,114 CDM,RRUCLASM-3527219200-72192-0352-SM46301-1000-2940,HB CT PELVIS WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3527219300-72193-0352-SM46800-1000-3680,HB CT PELVIS W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3527219400-72194-0352-SM46800-1000-3990,HB CT PELVIS WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3527320000-73200-0352-SM46800-1000-2940,HB CT UPPER EXTREMITY WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3527320100-73201-0352-SM46800-1000-3680,HB CT UPPER EXTREMITY W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3527320200-73202-0352-SM46800-1000-3990,HB CT UPPER EXTREMITY WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3527320600-73206-0352-SM46800-1000-4990,HB CT ANGIO UPPER EXTREM W/WO CONTRAST,4990.0,2744.5,400.0,4491.0,114 CDM,RRUCLASM-3527370000-73700-0352-SM46800-1000-2940,HB CT LOWER EXTREMITY WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3527370100-73701-0352-SM46800-1000-3680,HB CT LOWER EXTREMITY W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3527370200-73702-0352-SM46800-1000-3990,HB CT LOWER EXTREMITY WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3527370600-73706-0352-SM46800-1000-4990,HB CT ANGIOGRAM LOWER EXTREMITY W/WO CONTRAST,4990.0,2744.5,400.0,4491.0,114 CDM,RRUCLASM-3527415000-74150-0352-SM46800-1000-2940,HB CT ABDOMEN WO CONTRAST,2940.0,1617.0,400.0,2646.0,114 CDM,RRUCLASM-3527416000-74160-0352-SM46800-1000-3680,HB CT ABDOMEN W CONTRAST,3680.0,2024.0,400.0,3312.0,114 CDM,RRUCLASM-3527417000-74170-0352-SM46800-1000-3990,HB CT ABDOMEN WO FOLLOW W CONTRAST,3990.0,2194.5,400.0,3591.0,114 CDM,RRUCLASM-3527417400-74174-0352-SM46800-1000-6830,HB CT ANGIO ABDOMEN PELVIS W/WO CONTRAST,6830.0,3756.5,400.0,6147.0,114 CDM,RRUCLASM-3527417500-74175-0352-SM46800-1000-4990,HB CT ANGIOGRAM ABDOMEN W/WO CONTRAST,4990.0,2744.5,400.0,4491.0,114 CDM,RRUCLASM-3527417600-74176-0352-SM46800-1000-3570,HB CT ABDOMEN&PELVIS WO CONTRAST,3570.0,1963.5,400.0,3213.0,114 CDM,RRUCLASM-3527417700-74177-0352-SM46300-1000-4510,HB CT ABDOMEN PELVIS W CONTRAST,4510.0,2480.5,400.0,4059.0,114 CDM,RRUCLASM-3527417800-74178-0352-SM46800-1000-5460,HB CT ABD PELVIS WO 1/+ REGION FOLLOW W CONTRAST,5460.0,3003.0,400.0,4914.0,114 CDM,RRUCLASM-3527557100-75571-0352-SM46800-1000-1130,HB CT HEART WO CONTRAST+CORONARY CALCIUM,1130.0,621.5,282.5,1017.0,114 CDM,RRUCLASM-3527557200-75572-0352-SM46800-1000-1500,HB CT HEART FUNCTION EVAL W CONTRAST 3D,1500.0,825.0,375.0,1350.0,114 CDM,RRUCLASM-3527557300-75573-0352-SM46800-1000-1390,HB CT LV/RV HEART FUNCTION W CONTRAST EVAL CONGENITAL,1390.0,764.5,347.5,1251.0,114 CDM,RRUCLASM-3527557400-75574-0352-SM46800-1000-2310,HB CTA CORONARY+/-GRAFT W CONTRAST STRUCTURE & MORPH,2310.0,1270.5,400.0,2079.0,114 CDM,RRUCLASM-3527563500-75635-0352-SM46800-1000-2890,HB CT ANGIO ABD AORTA ILEOFEM LE RUNOFF W/WO CONTRAST,2890.0,1589.5,400.0,2601.0,114 CDM,RRUCLASM-3600000040--0360-SM42310-1000-1110,HB OR PROC ROOM EVAL,1110.0,610.5,277.5,999.0,113 CDM,RRUCLASM-3600000901--0360-SM44200-1000-4200,HB LVL 1 OR 1ST 15 MINS,4200.0,2310.0,1050.0,3780.0,113 CDM,RRUCLASM-3600000902--0360-SM44200-1000-5250,HB LVL 2 OR 1ST 15 MINS,5250.0,2887.5,1312.5,4725.0,113 CDM,RRUCLASM-3600000903--0360-SM44200-1000-6830,HB LVL 3 OR 1ST 15 MINS,6830.0,3756.5,1707.5,6147.0,113 CDM,RRUCLASM-3600000904--0360-SM44200-1000-8400,HB LVL 4 OR 1ST 15 MINS,8400.0,4620.0,2100.0,7560.0,113 CDM,RRUCLASM-3600000905--0360-SM44200-1000-10500,HB LVL 5 OR 1ST 15 MINS,10500.0,5775.0,2625.0,9450.0,114 CDM,RRUCLASM-3600000911--0360-SM44200-1000-1050,HB LVL 1 OR EA ADD 15 MINS,1050.0,577.5,262.5,945.0,113 CDM,RRUCLASM-3600000912--0360-SM44200-1000-1580,HB LVL 2 OR EA ADD 15 MINS,1580.0,869.0,395.0,1422.0,113 CDM,RRUCLASM-3600000913--0360-SM44200-1000-2310,HB LVL 3 OR EA ADD 15 MINS,2310.0,1270.5,577.5,2079.0,113 CDM,RRUCLASM-3600000914--0360-SM44200-1000-2730,HB LVL 4 OR EA ADD 15 MINS,2730.0,1501.5,682.5,2457.0,113 CDM,RRUCLASM-3600000915--0360-SM44200-1000-3200,HB LVL 5 OR EA ADD 15 MINS,3200.0,1760.0,800.0,2880.0,113 CDM,RRUCLASM-3600000922--0360-SM44000-1000-4360,HB OR L&D 1ST 15 MINS,4360.0,2398.0,1090.0,3924.0,113 CDM,RRUCLASM-3600000932--0360-SM44000-1000-1640,HB OR L&D EA ADD 15 MINS,1640.0,902.0,410.0,1476.0,113 CDM,RRUCLASM-3609921100-G0463-0761-SM42310-1000-300,HB OR PROC ROOM EVAL NOT SURG DAY/CANCEL,300.0,165.0,84.0,491.446172,123 CDM,RRUCLASM-3610361010--0361-SM46301-1000-31500,HB IR BASE NEURO PROCEDURE,31500.0,17325.0,6200.0,28350.0,114 CDM,RRUCLASM-3700002500--0370-SM44500-1000-210,HB ANESTHESIA HOURS 0.25,210.0,115.5,52.5,189.0,113 CDM,RRUCLASM-3700005000--0370-SM44500-1000-420,HB ANESTHESIA HOURS 0.50,420.0,231.0,105.0,378.0,113 CDM,RRUCLASM-3700007500--0370-SM44500-1000-630,HB ANESTHESIA HOURS 0.75,630.0,346.5,157.5,567.0,113 CDM,RRUCLASM-3700010000--0370-SM44500-1000-840,HB ANESTHESIA HOURS 1.00,840.0,462.0,210.0,756.0,113 CDM,RRUCLASM-3700012500--0370-SM44500-1000-1050,HB ANESTHESIA HOURS 1.25,1050.0,577.5,262.5,945.0,113 CDM,RRUCLASM-3700015000--0370-SM44500-1000-1260,HB ANESTHESIA HOURS 1.50,1260.0,693.0,315.0,1134.0,113 CDM,RRUCLASM-3700017500--0370-SM44500-1000-1470,HB ANESTHESIA HOURS 1.75,1470.0,808.5,367.5,1323.0,113 CDM,RRUCLASM-3700020000--0370-SM44500-1000-1680,HB ANESTHESIA HOURS 2.00,1680.0,924.0,420.0,1512.0,113 CDM,RRUCLASM-3700022500--0370-SM44500-1000-1890,HB ANESTHESIA HOURS 2.25,1890.0,1039.5,472.5,1701.0,113 CDM,RRUCLASM-3700025000--0370-SM44500-1000-2100,HB ANESTHESIA HOURS 2.50,2100.0,1155.0,525.0,1890.0,113 CDM,RRUCLASM-3700027500--0370-SM44500-1000-2310,HB ANESTHESIA HOURS 2.75,2310.0,1270.5,577.5,2079.0,113 CDM,RRUCLASM-3700030000--0370-SM44500-1000-2520,HB ANESTHESIA HOURS 3.00,2520.0,1386.0,630.0,2268.0,113 CDM,RRUCLASM-3700032500--0370-SM44500-1000-2730,HB ANESTHESIA HOURS 3.25,2730.0,1501.5,682.5,2457.0,113 CDM,RRUCLASM-3700035000--0370-SM44500-1000-2940,HB ANESTHESIA HOURS 3.50,2940.0,1617.0,735.0,2646.0,113 CDM,RRUCLASM-3700037500--0370-SM44500-1000-3150,HB ANESTHESIA HOURS 3.75,3150.0,1732.5,787.5,2835.0,113 CDM,RRUCLASM-3700040000--0370-SM44500-1000-3360,HB ANESTHESIA HOURS 4.00,3360.0,1848.0,840.0,3024.0,113 CDM,RRUCLASM-3700042500--0370-SM44500-1000-3570,HB ANESTHESIA HOURS 4.25,3570.0,1963.5,892.5,3213.0,113 CDM,RRUCLASM-3700045000--0370-SM44500-1000-3780,HB ANESTHESIA HOURS 4.50,3780.0,2079.0,945.0,3402.0,113 CDM,RRUCLASM-3700047500--0370-SM44500-1000-3990,HB ANESTHESIA HOURS 4.75,3990.0,2194.5,997.5,3591.0,113 CDM,RRUCLASM-3700050000--0370-SM44500-1000-4200,HB ANESTHESIA HOURS 5.00,4200.0,2310.0,1050.0,3780.0,113 CDM,RRUCLASM-3700052500--0370-SM44500-1000-4410,HB ANESTHESIA HOURS 5.25,4410.0,2425.5,1102.5,3969.0,113 CDM,RRUCLASM-3700055000--0370-SM44500-1000-4620,HB ANESTHESIA HOURS 5.50,4620.0,2541.0,1155.0,4158.0,113 CDM,RRUCLASM-3700057500--0370-SM44500-1000-4830,HB ANESTHESIA HOURS 5.75,4830.0,2656.5,1207.5,4347.0,113 CDM,RRUCLASM-3700060000--0370-SM44500-1000-5040,HB ANESTHESIA HOURS 6.00,5040.0,2772.0,1260.0,4536.0,113 CDM,RRUCLASM-3700062500--0370-SM44500-1000-5250,HB ANESTHESIA HOURS 6.25,5250.0,2887.5,1312.5,4725.0,113 CDM,RRUCLASM-3700065000--0370-SM44500-1000-5460,HB ANESTHESIA HOURS 6.50,5460.0,3003.0,1365.0,4914.0,113 CDM,RRUCLASM-3700067500--0370-SM44500-1000-5670,HB ANESTHESIA HOURS 6.75,5670.0,3118.5,1417.5,5103.0,113 CDM,RRUCLASM-3700070000--0370-SM44500-1000-5880,HB ANESTHESIA HOURS 7.00,5880.0,3234.0,1470.0,5292.0,113 CDM,RRUCLASM-3700072500--0370-SM44500-1000-6090,HB ANESTHESIA HOURS 7.25,6090.0,3349.5,1522.5,5481.0,113 CDM,RRUCLASM-3700075000--0370-SM44500-1000-6300,HB ANESTHESIA HOURS 7.50,6300.0,3465.0,1575.0,5670.0,113 CDM,RRUCLASM-3700077500--0370-SM44500-1000-6510,HB ANESTHESIA HOURS 7.75,6510.0,3580.5,1627.5,5859.0,113 CDM,RRUCLASM-3700080000--0370-SM44500-1000-6720,HB ANESTHESIA HOURS 8.00,6720.0,3696.0,1680.0,6048.0,113 CDM,RRUCLASM-3700082500--0370-SM44500-1000-6930,HB ANESTHESIA HOURS 8.25,6930.0,3811.5,1732.5,6237.0,113 CDM,RRUCLASM-3700085000--0370-SM44500-1000-7140,HB ANESTHESIA HOURS 8.50,7140.0,3927.0,1785.0,6426.0,113 CDM,RRUCLASM-3700087500--0370-SM44500-1000-7350,HB ANESTHESIA HOURS 8.75,7350.0,4042.5,1837.5,6615.0,113 CDM,RRUCLASM-3700090000--0370-SM44500-1000-7560,HB ANESTHESIA HOURS 9.00,7560.0,4158.0,1890.0,6804.0,113 CDM,RRUCLASM-3700092500--0370-SM44500-1000-7770,HB ANESTHESIA HOURS 9.25,7770.0,4273.5,1942.5,6993.0,113 CDM,RRUCLASM-3700095000--0370-SM44500-1000-7980,HB ANESTHESIA HOURS 9.50,7980.0,4389.0,1995.0,7182.0,113 CDM,RRUCLASM-3700097500--0370-SM44500-1000-8190,HB ANESTHESIA HOURS 9.75,8190.0,4504.5,2047.5,7371.0,113 CDM,RRUCLASM-3700100000--0370-SM44500-1000-8400,HB ANESTHESIA HOURS 10.00,8400.0,4620.0,2100.0,7560.0,113 CDM,RRUCLASM-3700102500--0370-SM44500-1000-8610,HB ANESTHESIA HOURS 10.25,8610.0,4735.5,2152.5,7749.0,113 CDM,RRUCLASM-3700105000--0370-SM44500-1000-8820,HB ANESTHESIA HOURS 10.50,8820.0,4851.0,2205.0,7938.0,113 CDM,RRUCLASM-3700107500--0370-SM44500-1000-9030,HB ANESTHESIA HOURS 10.75,9030.0,4966.5,2257.5,8127.0,113 CDM,RRUCLASM-3700110000--0370-SM44500-1000-9240,HB ANESTHESIA HOURS 11.00,9240.0,5082.0,2310.0,8316.0,113 CDM,RRUCLASM-3700112500--0370-SM44500-1000-9450,HB ANESTHESIA HOURS 11.25,9450.0,5197.5,2362.5,8505.0,113 CDM,RRUCLASM-3700115000--0370-SM44500-1000-9660,HB ANESTHESIA HOURS 11.50,9660.0,5313.0,2415.0,8694.0,113 CDM,RRUCLASM-3700117500--0370-SM44500-1000-9870,HB ANESTHESIA HOURS 11.75,9870.0,5428.5,2467.5,8883.0,113 CDM,RRUCLASM-3700120000--0370-SM44500-1000-10080,HB ANESTHESIA HOURS 12.00,10080.0,5544.0,2520.0,9072.0,113 CDM,RRUCLASM-3700122500--0370-SM44500-1000-10290,HB ANESTHESIA HOURS 12.25,10290.0,5659.5,2572.5,9261.0,113 CDM,RRUCLASM-3700125000--0370-SM44500-1000-10500,HB ANESTHESIA HOURS 12.50,10500.0,5775.0,2625.0,9450.0,113 CDM,RRUCLASM-3700127500--0370-SM44500-1000-10710,HB ANESTHESIA HOURS 12.75,10710.0,5890.5,2677.5,9639.0,113 CDM,RRUCLASM-3700130000--0370-SM44500-1000-10920,HB ANESTHESIA HOURS 13.00,10920.0,6006.0,2730.0,9828.0,113 CDM,RRUCLASM-3700132500--0370-SM44500-1000-11130,HB ANESTHESIA HOURS 13.25,11130.0,6121.5,2782.5,10017.0,113 CDM,RRUCLASM-3700135000--0370-SM44500-1000-11340,HB ANESTHESIA HOURS 13.50,11340.0,6237.0,2835.0,10206.0,113 CDM,RRUCLASM-3700137500--0370-SM44500-1000-11550,HB ANESTHESIA HOURS 13.75,11550.0,6352.5,2887.5,10395.0,113 CDM,RRUCLASM-3700140000--0370-SM44500-1000-11760,HB ANESTHESIA HOURS 14.00,11760.0,6468.0,2940.0,10584.0,113 CDM,RRUCLASM-3700142500--0370-SM44500-1000-11970,HB ANESTHESIA HOURS 14.25,11970.0,6583.5,2992.5,10773.0,113 CDM,RRUCLASM-3700145000--0370-SM44500-1000-12180,HB ANESTHESIA HOURS 14.50,12180.0,6699.0,3045.0,10962.0,113 CDM,RRUCLASM-3700147500--0370-SM44500-1000-12390,HB ANESTHESIA HOURS 14.75,12390.0,6814.5,3097.5,11151.0,113 CDM,RRUCLASM-3700150000--0370-SM44500-1000-12600,HB ANESTHESIA HOURS 15.00,12600.0,6930.0,3150.0,11340.0,113 CDM,RRUCLASM-3700152500--0370-SM44500-1000-12810,HB ANESTHESIA HOURS 15.25,12810.0,7045.5,3202.5,11529.0,113 CDM,RRUCLASM-3700155000--0370-SM44500-1000-13020,HB ANESTHESIA HOURS 15.50,13020.0,7161.0,3255.0,11718.0,113 CDM,RRUCLASM-3700157500--0370-SM44500-1000-13230,HB ANESTHESIA HOURS 15.75,13230.0,7276.5,3307.5,11907.0,113 CDM,RRUCLASM-3700160000--0370-SM44500-1000-13440,HB ANESTHESIA HOURS 16.00,13440.0,7392.0,3360.0,12096.0,113 CDM,RRUCLASM-3700162500--0370-SM44500-1000-13650,HB ANESTHESIA HOURS 16.25,13650.0,7507.5,3412.5,12285.0,113 CDM,RRUCLASM-3700165000--0370-SM44500-1000-13860,HB ANESTHESIA HOURS 16.50,13860.0,7623.0,3465.0,12474.0,113 CDM,RRUCLASM-3700167500--0370-SM44500-1000-14070,HB ANESTHESIA HOURS 16.75,14070.0,7738.5,3517.5,12663.0,113 CDM,RRUCLASM-3700170000--0370-SM44500-1000-14280,HB ANESTHESIA HOURS 17.00,14280.0,7854.0,3570.0,12852.0,113 CDM,RRUCLASM-3700172500--0370-SM44500-1000-14490,HB ANESTHESIA HOURS 17.25,14490.0,7969.5,3622.5,13041.0,113 CDM,RRUCLASM-3700175000--0370-SM44500-1000-14700,HB ANESTHESIA HOURS 17.50,14700.0,8085.0,3675.0,13230.0,113 CDM,RRUCLASM-3700177500--0370-SM44500-1000-14910,HB ANESTHESIA HOURS 17.75,14910.0,8200.5,3727.5,13419.0,113 CDM,RRUCLASM-3700180000--0370-SM44500-1000-15120,HB ANESTHESIA HOURS 18.00,15120.0,8316.0,3780.0,13608.0,113 CDM,RRUCLASM-3700182500--0370-SM44500-1000-15330,HB ANESTHESIA HOURS 18.25,15330.0,8431.5,3832.5,13797.0,113 CDM,RRUCLASM-3700185000--0370-SM44500-1000-15540,HB ANESTHESIA HOURS 18.50,15540.0,8547.0,3885.0,13986.0,113 CDM,RRUCLASM-3700187500--0370-SM44500-1000-15750,HB ANESTHESIA HOURS 18.75,15750.0,8662.5,3937.5,14175.0,113 CDM,RRUCLASM-3700190000--0370-SM44500-1000-15960,HB ANESTHESIA HOURS 19.00,15960.0,8778.0,3990.0,14364.0,113 CDM,RRUCLASM-3700192500--0370-SM44500-1000-16170,HB ANESTHESIA HOURS 19.25,16170.0,8893.5,4042.5,14553.0,113 CDM,RRUCLASM-3700195000--0370-SM44500-1000-16380,HB ANESTHESIA HOURS 19.50,16380.0,9009.0,4095.0,14742.0,113 CDM,RRUCLASM-3700197500--0370-SM44500-1000-16590,HB ANESTHESIA HOURS 19.75,16590.0,9124.5,4147.5,14931.0,113 CDM,RRUCLASM-3700200000--0370-SM44500-1000-16800,HB ANESTHESIA HOURS 20.00,16800.0,9240.0,4200.0,15120.0,113 CDM,RRUCLASM-3700202500--0370-SM44500-1000-17010,HB ANESTHESIA HOURS 20.25,17010.0,9355.5,4252.5,15309.0,113 CDM,RRUCLASM-3700205000--0370-SM44500-1000-17220,HB ANESTHESIA HOURS 20.50,17220.0,9471.0,4305.0,15498.0,113 CDM,RRUCLASM-3700207500--0370-SM44500-1000-17430,HB ANESTHESIA HOURS 20.75,17430.0,9586.5,4357.5,15687.0,113 CDM,RRUCLASM-3700210000--0370-SM44500-1000-17640,HB ANESTHESIA HOURS 21.00,17640.0,9702.0,4410.0,15876.0,113 CDM,RRUCLASM-3700212500--0370-SM44500-1000-17850,HB ANESTHESIA HOURS 21.25,17850.0,9817.5,4462.5,16065.0,113 CDM,RRUCLASM-3700215000--0370-SM44500-1000-18060,HB ANESTHESIA HOURS 21.50,18060.0,9933.0,4515.0,16254.0,113 CDM,RRUCLASM-3700217500--0370-SM44500-1000-18270,HB ANESTHESIA HOURS 21.75,18270.0,10048.5,4567.5,16443.0,113 CDM,RRUCLASM-3700220000--0370-SM44500-1000-18480,HB ANESTHESIA HOURS 22.00,18480.0,10164.0,4620.0,16632.0,113 CDM,RRUCLASM-3700222500--0370-SM44500-1000-18690,HB ANESTHESIA HOURS 22.25,18690.0,10279.5,4672.5,16821.0,113 CDM,RRUCLASM-3700225000--0370-SM44500-1000-18900,HB ANESTHESIA HOURS 22.50,18900.0,10395.0,4725.0,17010.0,113 CDM,RRUCLASM-3700227500--0370-SM44500-1000-19110,HB ANESTHESIA HOURS 22.75,19110.0,10510.5,4777.5,17199.0,113 CDM,RRUCLASM-3700230000--0370-SM44500-1000-19320,HB ANESTHESIA HOURS 23.00,19320.0,10626.0,4830.0,17388.0,113 CDM,RRUCLASM-3700232500--0370-SM44500-1000-19530,HB ANESTHESIA HOURS 23.25,19530.0,10741.5,4882.5,17577.0,113 CDM,RRUCLASM-3700235000--0370-SM44500-1000-19740,HB ANESTHESIA HOURS 23.50,19740.0,10857.0,4935.0,17766.0,113 CDM,RRUCLASM-3700237500--0370-SM44500-1000-19950,HB ANESTHESIA HOURS 23.75,19950.0,10972.5,4987.5,17955.0,113 CDM,RRUCLASM-3700240000--0370-SM44500-1000-20160,HB ANESTHESIA HOURS 24.00,20160.0,11088.0,5040.0,18144.0,113 CDM,RRUCLASM-3707050000-G0500-0370-SM40100-1000-140,HB GI SEDATION >5YRS 1ST 15 SAME MD,140.0,77.0,35.0,126.0,113 CDM,RRUCLASM-3709915100-99151-0370-SM40100-1000-150,HB SEDATION <5YRS 1ST 15 SAME MD,150.0,82.5,37.5,135.0,113 CDM,RRUCLASM-3709915200-99152-0370-SM40100-1000-140,HB SEDATION >5YRS 1ST 15 SAME MD,140.0,77.0,35.0,126.0,113 CDM,RRUCLASM-3709915300-99153-0370-SM40100-1000-130,HB SEDATION EA ADDL 15 SAME MD,130.0,71.5,10.09,117.0,113 CDM,RRUCLASM-3709915500-99155-0370-SM40100-1000-150,HB SEDATION <5YRS 1ST 15 OTHER MD,150.0,82.5,37.5,135.0,113 CDM,RRUCLASM-3709915600-99156-0370-SM40100-1000-140,HB SEDATION >5YRS 1ST 15 OTHER MD,140.0,77.0,35.0,126.0,113 CDM,RRUCLASM-3709915700-99157-0370-SM40100-1000-130,HB SEDATION EA ADDL 15 OTHER MD,130.0,71.5,32.5,117.0,113 CDM,RRUCLASM-3749781000-97810-0374-SM40100-1000-100,HB ACUPUNCTURE >= 1 NDL WO ELECTRICAL STIM INIT 15 MINS,100.0,55.0,20.0,106.765435,123 CDM,RRUCLASM-3749781100-97811-0374-SM40100-1000-90,HB ACUPUNCTURE >= 1 NDL WO ELECTRICAL STIM ADDL 15 MINS,90.0,49.5,20.0,81.0,113 CDM,RRUCLASM-3900232000-0232T-0761-SM40787-1000-1650,HB PLATELET RICH PLASMA INJECTION WITH IMAGE GUIDANCE,1650.0,907.5,462.0,1648.99294,123 CDM,RRUCLASM-3903950700-C9507-0390-SM45400-1000-2750,HB COVID-19 CONVALESCENT PLASMA,2750.0,1512.5,540.7928,2475.0,123 CDM,RRUCLASM-3908901020-P9010-0390-SM45400-1000-930,HB WHOLE BLOOD UNIT,930.0,511.5,238.9896,837.0,123 CDM,RRUCLASM-3908901021-P9011-0390-SM45400-1000-570,HB WHOLE BLOOD SPLIT UNIT,570.0,313.5,149.2,563.05669,123 CDM,RRUCLASM-3908901101-P9011-0390-SM45400-1000-540,HB COVID-19 CONVALESCENT PLASMA SPLIT UNIT,540.0,297.0,149.2,563.05669,123 CDM,RRUCLASM-3908901150-P9011-0390-SM45400-1000-570,HB PLASMA FR FROZ SPLIT UNIT,570.0,313.5,149.2,563.05669,123 CDM,RRUCLASM-3908901170-P9011-0390-SM45400-1000-570,HB PLATELETPHERESIS LEUKRED IRRAD SPLT UNIT,570.0,313.5,149.2,563.05669,123 CDM,RRUCLASM-3908901180-P9011-0390-SM45400-1000-570,HB RBC LEUKRED SPLIT UNIT,570.0,313.5,149.2,563.05669,123 CDM,RRUCLASM-3908901210-P9012-0390-SM45400-1000-300,HB CRYOPRECIPITATE UNIT,300.0,165.0,41.24,270.0,123 CDM,RRUCLASM-3908901600-P9016-0390-SM45400-1000-770,HB RBC LEUKRED UNIT,770.0,423.5,185.15,693.0,123 CDM,RRUCLASM-3908901720-P9017-0390-SM45400-1000-350,HB PLASMA FR FROZ UNIT,350.0,192.5,67.03,315.0,123 CDM,RRUCLASM-3908902600-P9026-0390-SM45400-1000-2270,HB CRYO FIBRINOGEN COMPLEX PATH REDUCE EA UNIT,2270.0,1248.5,124.83432,2043.0,123 CDM,RRUCLASM-3908903700-P9037-0390-SM45400-1000-2590,HB PLATELETPHERESIS LEUKRED IRRAD UNIT,2590.0,1424.5,624.66,2459.073113,123 CDM,RRUCLASM-3908905000-P9050-0390-SM45400-1000-7680,HB GRANULOCYTES PHERESIS UNIT,7680.0,4224.0,1387.55,6912.0,113 CDM,RRUCLASM-3913643000-36430-0391-SM30125-1000-2060,HB TRANSFUSION BLOOD/BLOOD COMPONENTS,2060.0,1133.0,515.0,1854.0,113 CDM,RRUCLASM-4017027900-G0279-0401-SM46303-1000-270,HB DIAG DIGITAL BREAST TOMOSYNTHESIS UNILAT OR BILAT,270.0,148.5,67.5,243.0,113 CDM,RRUCLASM-4017706600-77066-0401-SM46700-1000-810,HB DIAG CAD MAMMOGRAM BILAT,810.0,445.5,202.5,729.0,113 CDM,RRUCLASM-4020686000-0686T-0402-SM46700-1000-66710,HB HISTOTRIPSY MALIGNANT HEPATOCELLULAR TISS W IMAG GUIDE,66710.0,36690.5,17500.5,63230.059165,123 CDM,RRUCLASM-4027650600-76506-0402-SM46600-1000-530,HB US HEAD,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-4027651000-76510-0402-SM40100-1000-1030,HB US OPHTHALMIC DIAG B & A-SCAN,1030.0,566.5,257.5,927.0,113 CDM,RRUCLASM-4027651100-76511-0402-SM40100-1000-460,HB US OPHTHALMIC DIAG A-SCAN ONLY,460.0,253.0,115.0,414.0,113 CDM,RRUCLASM-4027651200-76512-0402-SM40100-1000-400,HB US EYE B-SCAN,400.0,220.0,100.0,360.0,113 CDM,RRUCLASM-4027651300-76513-0402-SM46700-1000-490,HB US OPHTHALMIC DIAG ANT B-SCAN SEGMNT UNILAT/BILAT,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-4027651400-76514-0402-SM40100-1000-80,HB US OPHTHALMIC DIAGNOSTIC CORNEAL PACHYMETRY UNI/BILAL,80.0,44.0,20.0,72.0,113 CDM,RRUCLASM-4027651600-76516-0402-SM40100-1000-460,HB US OPHTHALMIC BIOMETRY ECHOGRAPHY A-SCAN,460.0,253.0,115.0,414.0,113 CDM,RRUCLASM-4027651900-76519-0402-SM40100-1000-650,HB US OPHTHALMIC BIOMETRY ECHOGRAPHY A-SCAN WITH IOL POWER CALCU,650.0,357.5,162.5,585.0,113 CDM,RRUCLASM-4027653600-76536-0402-SM40100-1000-1060,HB US SOFT TISSUE HEAD & NECK,1060.0,583.0,265.0,954.0,113 CDM,RRUCLASM-4027660400-76604-0402-SM40100-1000-920,HB US CHEST,920.0,506.0,230.0,828.0,113 CDM,RRUCLASM-4027664100-76641-0402-SM46700-1000-1050,HB US BREAST UNILAT COMPLETE,1050.0,577.5,262.5,945.0,113 CDM,RRUCLASM-4027664200-76642-0402-SM40100-1000-740,HB US BREAST UNILAT LIMITED,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-4027670000-76700-0402-SM40100-1000-1490,HB US ABDOMEN COMPLETE,1490.0,819.5,372.5,1341.0,113 CDM,RRUCLASM-4027670500-76705-0402-SM40100-1000-810,HB US ABDOMEN LTD,810.0,445.5,202.5,729.0,113 CDM,RRUCLASM-4027670600-76706-0402-SM46700-1000-930,HB US ABDOMEN AORTIC ANEURYS SCRN,930.0,511.5,232.5,837.0,113 CDM,RRUCLASM-4027677000-76770-0402-SM46301-1000-1290,HB US RETROPERITONEAL COMPLETE,1290.0,709.5,322.5,1161.0,113 CDM,RRUCLASM-4027677500-76775-0402-SM40100-1000-1030,HB US RETROPERITONEAL LTD,1030.0,566.5,257.5,927.0,113 CDM,RRUCLASM-4027677600-76776-0402-SM45900-1000-1330,HB US RENAL TRANSPLANT,1330.0,731.5,332.5,1197.0,113 CDM,RRUCLASM-4027680000-76800-0402-SM46700-1000-530,HB US SPINAL CANAL,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-4027680100-76801-0402-SM46700-1000-540,HB US FETL/MTRNL 1ST TRI 1 GEST,540.0,297.0,135.0,486.0,113 CDM,RRUCLASM-4027680200-76802-0402-SM46700-1000-340,HB US FETL/MTRNL<1ST TRI ADD GEST,340.0,187.0,85.0,306.0,113 CDM,RRUCLASM-4027680500-76805-0402-SM46700-1000-1320,HB US FETL/MTRNL>1ST TRI TRANSABDOMINAL SGL/1ST GEST,1320.0,726.0,330.0,1188.0,113 CDM,RRUCLASM-4027680501-76805-0402-SM33810-1000-1320,HB US FETL/MTRNL>1ST TRI SGL GEST,1320.0,726.0,330.0,1188.0,113 CDM,RRUCLASM-4027681000-76810-0402-SM33810-1000-1130,HB US PREG UTER>1ST TRI ADDL GEST,1130.0,621.5,282.5,1017.0,113 CDM,RRUCLASM-4027681100-76811-0402-SM44000-1000-1530,HB US PREG UTER+DETAIL 1 GEST,1530.0,841.5,382.5,1377.0,113 CDM,RRUCLASM-4027681200-76812-0402-SM44000-1000-1160,HB US PREG UTER+DETAIL ADDL,1160.0,638.0,290.0,1044.0,113 CDM,RRUCLASM-4027681300-76813-0402-SM46700-1000-530,HB US PREG UTER FETAL NUCHAL 1ST,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-4027681400-76814-0402-SM46700-1000-300,HB US PREG UTER FETAL NUCHAL ADDL,300.0,165.0,75.0,270.0,113 CDM,RRUCLASM-4027681500-76815-0402-SM40100-1000-840,HB US PREG UTERUS LTD,840.0,462.0,210.0,756.0,113 CDM,RRUCLASM-4027681600-76816-0402-SM46700-1000-760,HB US PREG UTERUS FOLLOWUP REPEAT,760.0,418.0,190.0,684.0,113 CDM,RRUCLASM-4027681700-76817-0402-SM40100-1000-530,HB US OB TRANSVAGINAL,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-4027681800-76818-0402-SM44040-1000-1050,HB US FETAL BIOPHYS PROFILE+NONST,1050.0,577.5,134.4631,945.0,123 CDM,RRUCLASM-4027681900-76819-0402-SM44040-1000-740,HB US FETAL BIOPHYS PROFILE WO,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-4027682000-76820-0402-SM44000-1000-430,HB DOPPLER FETAL UMBILICAL ART,430.0,236.5,107.5,387.0,113 CDM,RRUCLASM-4027683000-76830-0402-SM40100-1000-1140,HB US PELVIS TRANSVAGINAL,1140.0,627.0,285.0,1026.0,113 CDM,RRUCLASM-4027683100-76831-0402-SM46700-1000-1030,HB HYSTEROSONOGRAM S&I,1030.0,566.5,257.5,927.0,113 CDM,RRUCLASM-4027685600-76856-0402-SM40100-1000-1440,HB US PELVIS NONOBSTETRIC,1440.0,792.0,360.0,1296.0,113 CDM,RRUCLASM-4027685700-76857-0402-SM40100-1000-680,HB US PELVIS LIMITED,680.0,374.0,170.0,612.0,113 CDM,RRUCLASM-4027687000-76870-0402-SM40100-1000-1470,HB US SCROTUM/TESTICLES,1470.0,808.5,367.5,1323.0,113 CDM,RRUCLASM-4027687200-76872-0402-SM46700-1000-850,HB US TRANSRECTAL,850.0,467.5,212.5,765.0,113 CDM,RRUCLASM-4027688100-76881-0402-SM46700-1000-1160,HB US EXTREMITY NONVASCULAR CMPLT,1160.0,638.0,290.0,1044.0,113 CDM,RRUCLASM-4027688201-76882-0402-SM40100-1000-460,HB US LTD JT OR FOCAL EVAL OF OTHR NONVASC EXTREMITY,460.0,253.0,115.0,414.0,113 CDM,RRUCLASM-4027688500-76885-0402-SM46700-1000-1100,HB US INFANT HIPS DYNAMIC,1100.0,605.0,275.0,990.0,113 CDM,RRUCLASM-4027688600-76886-0402-SM46700-1000-620,HB US INFANT HIPS STATIC,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-4027693600-76936-0402-SM46700-1000-1560,HB US PSEUDOANEURYSM ABLATION,1560.0,858.0,390.0,1404.0,113 CDM,RRUCLASM-4027693601-76936-0402-SM46700-1000-1250,HB US PSEUDOANEURYSM REPAIR,1250.0,687.5,312.5,1125.0,113 CDM,RRUCLASM-4027693700-76937-0402-SM45700-1000-1200,HB US GUIDE VASCULAR ACCESS S&I,1200.0,660.0,300.0,1080.0,113 CDM,RRUCLASM-4027694000-76940-0402-SM46600-1000-460,HB US ABLATION GUIDANCE S&I,460.0,253.0,115.0,414.0,113 CDM,RRUCLASM-4027694100-76941-0402-SM44000-1000-150,HB US GUIDANCE CORDOCENT/PUBS,150.0,82.5,37.5,135.0,113 CDM,RRUCLASM-4027694200-76942-0402-SM46301-1000-1180,HB US NDL PLACEMENT GUIDANCE S&I,1180.0,649.0,295.0,1062.0,113 CDM,RRUCLASM-4027694500-76945-0402-SM44040-1000-140,HB US GUIDANCE CHORION VILL SAMPL,140.0,77.0,35.0,126.0,113 CDM,RRUCLASM-4027694600-76946-0402-SM44000-1000-810,HB US GUIDANCE AMNIOCENTESIS,810.0,445.5,202.5,729.0,113 CDM,RRUCLASM-4027697800-76978-0402-SM46700-1000-890,HB US TRGT DYN MICROBUBBL INIT LESION,890.0,489.5,222.5,801.0,113 CDM,RRUCLASM-4027697900-76979-0402-SM46700-1000-610,HB US TRGT DYN MICROBUBBL EA ADDL LESION,610.0,335.5,152.5,549.0,113 CDM,RRUCLASM-4027698100-76981-0402-SM46700-1000-510,HB US ELASTOGRAPHY PARENCHYMA,510.0,280.5,127.5,459.0,113 CDM,RRUCLASM-4027699800-76998-0402-SM46700-1000-800,HB US INTRAOPERATIVE,800.0,440.0,116.55,720.0,113 CDM,RRUCLASM-4027699901-76999-0402-SM40100-1000-370,HB US SOFT TISSUE,370.0,203.5,92.5,333.0,113 CDM,RRUCLASM-4029297800-92978-0402-SM46700-1000-390,HB US INTRAVASCULAR CORONARY VESSEL OR GRAFT INITIAL VESSEL,390.0,214.5,97.5,45624.0,113 CDM,RRUCLASM-4037706300-77063-0403-SM46303-1000-200,HB SCREENING DIGITAL BREAST TOMOSYNTHESIS BILATERAL,200.0,110.0,50.0,180.0,113 CDM,RRUCLASM-4109464000-94640-0410-SM30185-1000-200,HB RESP INHAL TREATMENT NEBULIZER PRESS/NONPRESS,200.0,110.0,11.7,808.309957,123 CDM,RRUCLASM-4109464001-94640-0410-SM40100-1000-200,HB INHAL TREATMENT NEBULIZER,200.0,110.0,11.7,808.309957,123 CDM,RRUCLASM-4109466900-94669-0410-SM47200-1000-540,HB RESP MECHANICAL CHEST WALL OSCILLATION PER SESSION,540.0,297.0,25.96,808.309957,123 CDM,RRUCLASM-4109472900-94729-0460-SM47200-1000-660,HB RESP CARBON MONOXIDE DIFFUSING CAPACITY,660.0,363.0,165.0,599.0,113 CDM,RRUCLASM-4109998100--0760-SM47200-1000-870,HB?RESP PULM BRONCH MED PROCEDURE LEVEL 1,870.0,478.5,217.5,17048.0,113 CDM,RRUCLASM-4109998200--0760-SM47200-1000-1740,HB?RESP PULM BRONCH MED PROCEDURE LEVEL 2,1740.0,957.0,435.0,17048.0,113 CDM,RRUCLASM-4109998300--0760-SM47200-1000-2610,HB?RESP PULM BRONCH MED PROCEDURE LEVEL 3,2610.0,1435.5,652.5,17048.0,113 CDM,RRUCLASM-4109998400--0760-SM47200-1000-4860,HB?RESP PULM BRONCH MED PROCEDURE LEVEL 4,4860.0,2673.0,1215.0,17048.0,113 CDM,RRUCLASM-4109998500--0760-SM47200-1000-8360,HB RESP PULM BRONCH MED PROCEDURE LEVEL 5,8360.0,4598.0,2090.0,17048.0,113 CDM,RRUCLASM-4129461000-94610-0412-SM47200-1000-550,HB RESP SURFACTANT THERAPY,550.0,302.5,137.5,599.0,113 CDM,RRUCLASM-4129464200-94642-0412-SM47200-1000-210,HB AEROSOL NEB PENTAMIDINE PNEUMOCYSTIS,210.0,115.5,58.8,808.309957,123 CDM,RRUCLASM-4129464400-94644-0410-SM47200-1000-210,HB RESP CONTINUOUS INHAL TREATMENT 1ST HR,210.0,115.5,17.0,599.0,123 CDM,RRUCLASM-4129464500-94645-0410-SM47200-1000-65,HB RESP CONTINUOUS INHAL TREATMENT EACH ADDL HR,65.0,35.75,12.4,599.0,113 CDM,RRUCLASM-4129466000-94660-0412-SM47303-1000-320,HB RESP CPAP INITIATION AND MANAGEMENT,320.0,176.0,40.8,808.309957,123 CDM,RRUCLASM-4129466400-94664-0412-SM47200-1000-200,HB RESP AEROSOL NEB MDI IPPB THERAPY DEMO,200.0,110.0,8.6,808.309957,123 CDM,RRUCLASM-4202906500-29065-0761-SM40100-1000-1060,HB CAST APPLY LONG ARM,1060.0,583.0,265.0,954.0,113 CDM,RRUCLASM-4202907500-29075-0761-SM40100-1000-700,HB CAST APPLY SHORT ARM,700.0,385.0,175.0,630.0,113 CDM,RRUCLASM-4202908500-29085-0761-SM40100-1000-550,HB CAST APPLY HAND&LO ARM GAUNTLET,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-4202910500-29105-0761-SM40100-1000-620,HB SPLINT APPLY LONG ARM,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-4202912500-29125-0761-SM40100-1000-460,HB SPLINT APPLY SHORT ARM STATIC,460.0,253.0,115.0,414.0,113 CDM,RRUCLASM-4202912600-29126-0761-SM40100-1000-530,HB SPLINT APPLY SHORT ARM DYNAMIC,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-4202913000-29130-0761-SM40100-1000-300,HB SPLINT APPLY FINGER STATIC,300.0,165.0,75.0,270.0,113 CDM,RRUCLASM-4202913100-29131-0761-SM40100-1000-370,HB SPLINT APPLY FINGER DYNAMIC,370.0,203.5,92.5,333.0,113 CDM,RRUCLASM-4202928000-29280-0761-SM40100-1000-150,HB STRAPPING HAND OR FINGER,150.0,82.5,37.5,135.0,113 CDM,RRUCLASM-4202930500-29305-0761-SM40100-1000-1070,HB CAST APPLY HIP SPICA,1070.0,588.5,267.5,963.0,113 CDM,RRUCLASM-4202934500-29345-0761-SM40100-1000-1170,HB CAST APPLY LONG LEG/THIGH TOES,1170.0,643.5,292.5,1053.0,113 CDM,RRUCLASM-4202935500-29355-0761-SM40100-1000-960,HB CAST APPLY LONG LEG+WALKER,960.0,528.0,240.0,864.0,113 CDM,RRUCLASM-4202935800-29358-0761-SM40100-1000-960,HB CAST APPLY LONG LEG BRACE,960.0,528.0,240.0,864.0,113 CDM,RRUCLASM-4202936500-29365-0761-SM40100-1000-960,HB CAST APPLY CYLINDER THIGH ANKL,960.0,528.0,240.0,864.0,113 CDM,RRUCLASM-4202940500-29405-0761-SM40100-1000-1070,HB CAST APPLY SHORT LEG/KNEE TOES,1070.0,588.5,267.5,963.0,113 CDM,RRUCLASM-4202942500-29425-0761-SM40100-1000-990,HB CAST APPLY SHORT LEG+WALKER,990.0,544.5,247.5,891.0,113 CDM,RRUCLASM-4202944000-29440-0761-SM40100-1000-550,HB CAST ADD-WALKER TO EXISTING,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-4202944500-29445-0761-SM40100-1000-1060,HB CAST APPLY LEG TOTAL CONTACT,1060.0,583.0,265.0,954.0,113 CDM,RRUCLASM-4202950500-29505-0761-SM40100-1000-780,HB SPLINT APPLY LONG LEG,780.0,429.0,195.0,702.0,113 CDM,RRUCLASM-4202951500-29515-0761-SM40100-1000-620,HB SPLINT APPLY SHORT LEG,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-4202953000-29530-0761-SM40100-1000-420,HB STRAPPING KNEE,420.0,231.0,105.0,378.0,113 CDM,RRUCLASM-4202954000-29540-0761-SM40100-1000-550,HB STRAPPING ANKLE,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-4202958000-29580-0761-SM40100-1000-590,HB STRAPPING UNNA BOOT,590.0,324.5,147.5,531.0,113 CDM,RRUCLASM-4202958100-29581-0761-SM40100-1000-620,HB APPLY WOUND COMPRESS SYST BELOW KNEE,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-4202970000-29700-0761-SM40100-1000-1030,HB CAST REMOVE REPR HAND BOOT BODY,1030.0,566.5,257.5,927.0,113 CDM,RRUCLASM-4202970500-29705-0761-SM40100-1000-1040,HB CAST REMOVE REPR FULL ARM LEG,1040.0,572.0,260.0,936.0,113 CDM,RRUCLASM-4202972000-29720-0761-SM40100-1000-620,HB CAST REPR SPICA BODY CAST JACKET,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-4202972001-29720-0761-SM40100-1000-620,HB CAST APPLY SPICA HIP 1.5 /BOTH,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-4202973000-29730-0761-SM40100-1000-620,HB CAST WINDOWING,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-4207028300-G0283-0420-SM47700-1000-170,HB PT ELECTRICAL STIM-UNATTENDED,170.0,93.5,42.5,599.0,113 CDM,RRUCLASM-4207028303-G0283-0420-SM47700-1000-170,HB PT ELECTRSTIM-UNATTND+ICE/HEAT,170.0,93.5,42.5,599.0,113 CDM,RRUCLASM-4209090100-90901-0420-SM47700-1000-370,HB PT BIOFEEDBACK M TRAIN RE-ED,370.0,203.5,92.5,599.0,113 CDM,RRUCLASM-4209091200-90912-0420-SM47700-1000-510,HB PT BIOFEEDBACK PERI/URO/RECTAL INIT 15 MINS,510.0,280.5,127.5,599.0,113 CDM,RRUCLASM-4209091300-90913-0420-SM47700-1000-260,HB PT BIOFEEDBACK PERI/URO/RECTAL EA ADDL 15 MINS,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4209599200-95992-0420-SM40100-1000-300,HB CANALITH REPOSITIONING PROC PER DAY,300.0,165.0,41.92,599.0,123 CDM,RRUCLASM-4209611000-96110-0420-SM47700-1000-410,HB PT DVLPMTAL SCREEN W SCORE+DOC/STND INSTRUMNT,410.0,225.5,54.9,599.0,113 CDM,RRUCLASM-4209611200-96112-0420-SM47700-1000-640,HB PT DVLPMTAL TEST ADMIN BY MD/QUAL NONMD W INTERP RPT 1ST HR,640.0,352.0,116.57,599.0,123 CDM,RRUCLASM-4209701200-97012-0420-SM47700-1000-200,HB PT MECHANICAL TRACTION,200.0,110.0,50.0,599.0,113 CDM,RRUCLASM-4209701202-97012-0420-SM47700-1000-200,HB PT MECHANICAL TRACTN+ICE/HEAT,200.0,110.0,50.0,599.0,113 CDM,RRUCLASM-4209702200-97022-0420-SM47700-1000-140,HB PT WHIRLPOOL,140.0,77.0,35.0,599.0,113 CDM,RRUCLASM-4209703200-97032-0420-SM47700-1000-140,HB PT ELECTRICAL STIM-ATTENDED/15,140.0,77.0,35.0,599.0,113 CDM,RRUCLASM-4209703300-97033-0420-SM47700-1000-160,HB PT IONTOPHORESIS/15MIN,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4209703302-97033-0420-SM47700-1000-160,HB PT IONTOPHORESIS/15+ICE/HEAT,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4209703400-97034-0420-SM47700-1000-110,HB PT CONTRAST BATH/15MIN,110.0,60.5,27.5,599.0,113 CDM,RRUCLASM-4209703500-97035-0420-SM47700-1000-160,HB PT ULTRASOUND/15MIN,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4209703502-97035-0420-SM47700-1000-160,HB PT ULTRASOUND/15MIN+ICE/HEAT,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4209703700-97037-0420-SM47701-1000-160,HB PT LOW LVL LASER THERP FOR POST-OP PAIN REDUCT,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4209711000-97110-0420-SM47700-1000-210,HB PT THERAPEUTIC EXERCISE/15MIN,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209711001-97110-0420-SM47700-1000-210,HB PT THERAP EXERCISE/15MIN+ASST,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209711002-97110-0420-SM47700-1000-210,HB PT THERAP EXERCISE/15+ICE/HEAT,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209711200-97112-0420-SM47700-1000-260,HB PT NEUROMUSCULAR RE-ED/15MIN,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4209711201-97112-0420-SM47700-1000-260,HB PT NEUROMUSC RE-ED/15MIN+ASST,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4209711202-97112-0420-SM47700-1000-260,HB PT NEUROMUSC RE-ED/15+ICE/HEAT,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4209711301-97113-0420-SM47700-1000-220,HB PT AQUATIC THERAPY/15MIN+ASST,220.0,121.0,55.0,599.0,113 CDM,RRUCLASM-4209711600-97116-0420-SM47700-1000-210,HB PT GAIT TRAINING/15MIN,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209711601-97116-0420-SM47700-1000-210,HB PT GAIT TRAINING/15MIN+ASST,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209712400-97124-0420-SM47700-1000-150,HB PT MASSAGE PER 15MIN,150.0,82.5,37.5,599.0,113 CDM,RRUCLASM-4209714000-97140-0420-SM47700-1000-210,HB PT MANUAL THERAPY/15MIN,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209714001-97140-0420-SM47700-1000-210,HB PT MANUAL THERAPY/15+ICE/HEAT,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209753000-97530-0420-SM47700-1000-230,HB PT THERAPEUTIC ACTIVITY/15MIN,230.0,126.5,57.5,599.0,113 CDM,RRUCLASM-4209753001-97530-0420-SM47700-1000-230,HB PT THERAP ACTIVITY/15MIN+ASST,230.0,126.5,57.5,599.0,113 CDM,RRUCLASM-4209753300-97533-0420-SM47700-1000-240,HB PT SENSORY INTEGRATION/15MIN,240.0,132.0,60.0,599.0,113 CDM,RRUCLASM-4209753301-97533-0420-SM47700-1000-240,HB PT SENSORY INTEGRAT/15MIN+ASST,240.0,132.0,60.0,599.0,113 CDM,RRUCLASM-4209753500-97535-0420-SM47700-1000-180,HB PT SELFCARE/HOME TRAIN/15MIN,180.0,99.0,45.0,599.0,113 CDM,RRUCLASM-4209753501-97535-0420-SM47700-1000-180,HB PT SELFCARE/HOME TRAIN/15+ASST,180.0,99.0,45.0,599.0,113 CDM,RRUCLASM-4209753700-97537-0420-SM47700-1000-160,HB PT COMMUNITY TRAINING/15MIN,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4209754200-97542-0420-SM47700-1000-130,HB PT WHEELCHAIR MGMT/15MIN,130.0,71.5,32.5,599.0,113 CDM,RRUCLASM-4209754201-97542-0420-SM47700-1000-130,HB PT WHEELCHAIR MGMT/15MIN+ASST,130.0,71.5,32.5,599.0,113 CDM,RRUCLASM-4209755000-97550-0420-SM47700-1000-150,HB PT CAREGIVER TRAIN STRATEGY 1ST 30 MINS,150.0,82.5,37.5,599.0,113 CDM,RRUCLASM-4209755100-97551-0420-SM47700-1000-85,HB PT CAREGIVER TRAIN STRATEGY EA ADDL 15 MINS,85.0,46.75,21.25,599.0,113 CDM,RRUCLASM-4209775000-97750-0420-SM47700-1000-210,HB PT PHYSICAL PERF TEST W REPORT EA 15MIN,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209775001-97750-0420-SM47700-1000-210,HB PT PHYSICAL PERF TEST/15 +ASST,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209775002-97750-0420-SM47700-1000-210,HB PT PHYSICAL PERF TEST/15MIN,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4209776002-97760-0420-SM47700-1000-230,HB PT ORTHO MGMT/TRAINING 1ST ENC ?EA 15MIN,230.0,126.5,57.5,599.0,113 CDM,RRUCLASM-4209776102-97761-0420-SM47700-1000-200,HB PT PROSTHETIC TRAINING 1ST ENC EA 15MIN,200.0,110.0,50.0,599.0,113 CDM,RRUCLASM-4209776300-97763-0420-SM47700-1000-260,HB PT PROSTH MGMT/TRAINING EA 15MIN,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4209779902-97799-0420-SM47700-1000-25,HB PT PHYSICAL MED REHAB SERVICE UNLISTED,25.0,13.75,6.25,599.0,113 CDM,RRUCLASM-4209896000-98960-0420-SM47700-1000-200,HB PT EDU+TRAIN SELF-MGMT BY QUAL NONMD EA 30MIN INDIV PT,200.0,110.0,27.54,599.0,113 CDM,RRUCLASM-4209896100-98961-0420-SM47700-1000-100,HB PT EDU+TRAIN SELF-MGMT BY QUAL NONMD EA 30MIN 2-4 PTS,100.0,55.0,12.66,599.0,113 CDM,RRUCLASM-4239715002-97150-0423-SM47700-1000-160,HB PT THERAPEUTIC PROC-GROUP LVL2,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4249716100-97161-0424-SM47700-1000-390,HB PT EVALUATION LOW COMPLEXITY,390.0,214.5,97.5,599.0,113 CDM,RRUCLASM-4249716200-97162-0424-SM47700-1000-480,HB PT EVALUATION MOD COMPLEXITY,480.0,264.0,120.0,599.0,113 CDM,RRUCLASM-4249716300-97163-0424-SM47700-1000-600,HB PT EVALUATION HIGH COMPLEXITY,600.0,330.0,150.0,599.0,113 CDM,RRUCLASM-4249716400-97164-0424-SM47700-1000-340,HB PT RE-EVALUATION,340.0,187.0,85.0,599.0,113 CDM,RRUCLASM-4307028300-G0283-0430-SM47700-1000-170,HB OT ELECTRICAL STIM-UNATTENDED,170.0,93.5,42.5,599.0,113 CDM,RRUCLASM-4307028303-G0283-0430-SM47700-1000-170,HB OT ELECTRSTIM-UNATTND+ICE/HEAT,170.0,93.5,42.5,599.0,113 CDM,RRUCLASM-4309091200-90912-0430-SM47700-1000-510,HB OT BIOFEEDBACK PERI/URO/RECTAL INIT 15 MINS,510.0,280.5,127.5,599.0,113 CDM,RRUCLASM-4309091300-90913-0430-SM47700-1000-260,HB OT BIOFEEDBACK PERI/URO/RECTAL EA ADDL 15 MINS,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4309252601-92526-0430-SM47700-1000-330,HB OT SWALLOWING TREATMENT LVL1,330.0,181.5,82.5,599.0,113 CDM,RRUCLASM-4309252602-92526-0430-SM47700-1000-410,HB OT SWALLOWING TREATMENT LVL2,410.0,225.5,102.5,599.0,113 CDM,RRUCLASM-4309252603-92526-0430-SM47700-1000-450,HB OT SWALLOWING TREATMENT LVL3,450.0,247.5,112.5,599.0,113 CDM,RRUCLASM-4309252604-92526-0430-SM47700-1000-490,HB OT SWALLOWING TREATMENT LVL4,490.0,269.5,122.5,599.0,113 CDM,RRUCLASM-4309261001-92610-0430-SM47700-1000-610,HB OT SWALLOWING EVAL LVL1-BEDSID,610.0,335.5,152.5,599.0,113 CDM,RRUCLASM-4309261002-92610-0430-SM47700-1000-630,HB OT SWALLOWING EVAL LVL2-BEDSID,630.0,346.5,157.5,599.0,113 CDM,RRUCLASM-4309261003-92610-0430-SM47700-1000-650,HB OT SWALLOWING EVAL LVL3-BEDSID,650.0,357.5,162.5,599.0,113 CDM,RRUCLASM-4309261004-92610-0430-SM47700-1000-670,HB OT SWALLOWING EVAL LVL4-BEDSID,670.0,368.5,167.5,603.0,113 CDM,RRUCLASM-4309261005-92610-0430-SM47700-1000-690,HB OT SWALLOWING EVAL LVL5-BEDSID,690.0,379.5,172.5,621.0,113 CDM,RRUCLASM-4309261006-92610-0430-SM47700-1000-710,HB OT SWALLOWING EVAL LVL6-BEDSID,710.0,390.5,177.5,639.0,113 CDM,RRUCLASM-4309261101-92611-0430-SM47700-1000-640,HB OT SWALLOWING STUDY EVAL LVL1,640.0,352.0,160.0,599.0,113 CDM,RRUCLASM-4309611000-96110-0430-SM47700-1000-410,HB OT DVLPMTAL SCREEN W SCORE+DOC/STND INSTRUMNT,410.0,225.5,54.9,599.0,113 CDM,RRUCLASM-4309611200-96112-0430-SM47700-1000-640,HB OT DVLPMTAL TEST ADMIN BY MD/QUAL NONMD W INTERP RPT 1ST HR,640.0,352.0,116.57,599.0,123 CDM,RRUCLASM-4309701800-97018-0430-SM47700-1000-160,HB OT PARAFFIN,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4309702200-97022-0430-SM47700-1000-230,HB OT WHIRLPOOL/FLUIDOTHERAPY,230.0,126.5,57.5,599.0,113 CDM,RRUCLASM-4309703200-97032-0430-SM47700-1000-140,HB OT ELECTRICAL STIM-ATTENDED/15,140.0,77.0,35.0,599.0,113 CDM,RRUCLASM-4309703202-97032-0430-SM47700-1000-140,HB OT ELCTRSTIM-ATTND/15+ICE/HEAT,140.0,77.0,35.0,599.0,113 CDM,RRUCLASM-4309703300-97033-0430-SM47700-1000-160,HB OT IONTOPHORESIS/15MIN,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4309703400-97034-0430-SM47700-1000-110,HB OT CONTRAST BATH/15MIN,110.0,60.5,27.5,599.0,113 CDM,RRUCLASM-4309703500-97035-0430-SM47700-1000-160,HB OT ULTRASOUND/15MIN,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4309703700-97037-0430-SM47701-1000-160,HB OT LOW LVL LASER THERP FOR POST-OP PAIN REDUCT,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4309711000-97110-0430-SM47700-1000-210,HB OT THERAPEUTIC EXERCISE/15MIN,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4309711001-97110-0430-SM47700-1000-210,HB OT THERAP EXERCISE/15MIN+ASST,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4309711002-97110-0430-SM47700-1000-210,HB OT THERAP EXERCISE/15+ICE/HEAT,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4309711200-97112-0430-SM47700-1000-260,HB OT NEUROMUSCULAR RE-ED/15MIN,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4309711201-97112-0430-SM47700-1000-260,HB OT NEUROMUSC RE-ED/15MIN+ASST,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4309711202-97112-0430-SM47700-1000-260,HB OT NEUROMUSC RE-ED/15+ICE/HEAT,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4309712400-97124-0430-SM47700-1000-150,HB OT MASSAGE PER 15MIN,150.0,82.5,37.5,599.0,113 CDM,RRUCLASM-4309712900-97129-0430-SM47700-1000-130,HB OT THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT,130.0,71.5,32.5,599.0,113 CDM,RRUCLASM-4309713000-97130-0430-SM47700-1000-140,HB OT THER INTERVNTN COGNITIVE FUNCT EA ADDL 15MIN CONTACT,140.0,77.0,35.0,599.0,113 CDM,RRUCLASM-4309714000-97140-0430-SM47700-1000-210,HB OT MANUAL THERAPY/15MIN,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4309714001-97140-0430-SM47700-1000-210,HB OT MANUAL THERAPY/15MIN+ASST,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4309714002-97140-0430-SM47700-1000-210,HB OT MANUAL THERAPY/15+ICE/HEAT,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4309715002-97150-0430-SM47700-1000-160,HB OT THERAPEUTIC PROC-GROUP LVL2,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4309753000-97530-0430-SM47700-1000-230,HB OT THERAPEUTIC ACTIVITY/15MIN,230.0,126.5,57.5,599.0,113 CDM,RRUCLASM-4309753001-97530-0430-SM47700-1000-230,HB OT THERAP ACTIVITY/15MIN+ASST,230.0,126.5,57.5,599.0,113 CDM,RRUCLASM-4309753300-97533-0430-SM47700-1000-240,HB OT SENSORY INTEGRATION/15MIN,240.0,132.0,60.0,599.0,113 CDM,RRUCLASM-4309753301-97533-0430-SM47700-1000-240,HB OT SENSORY INTEGRAT/15MIN+ASST,240.0,132.0,60.0,599.0,113 CDM,RRUCLASM-4309753500-97535-0430-SM47700-1000-180,HB OT SELFCARE/HOME TRAIN/15MIN,180.0,99.0,45.0,599.0,113 CDM,RRUCLASM-4309753501-97535-0430-SM47700-1000-180,HB OT SELFCARE/HOME TRAIN/15+ASST,180.0,99.0,45.0,599.0,113 CDM,RRUCLASM-4309753700-97537-0430-SM47700-1000-160,HB OT COMMUNITY TRAINING EA 15MIN,160.0,88.0,40.0,599.0,113 CDM,RRUCLASM-4309754200-97542-0430-SM47700-1000-130,HB OT WHEELCHAIR MGMT/15MIN,130.0,71.5,32.5,599.0,113 CDM,RRUCLASM-4309754201-97542-0430-SM47700-1000-130,HB OT WHEELCHAIR MGMT/15MIN+ASST,130.0,71.5,32.5,599.0,113 CDM,RRUCLASM-4309755000-97550-0430-SM47700-1000-150,HB OT CAREGIVER TRAIN STRATEGY 1ST 30 MINS,150.0,82.5,37.5,599.0,113 CDM,RRUCLASM-4309755100-97551-0430-SM47700-1000-85,HB OT CAREGIVER TRAIN STRATEGY EA ADDL 15 MINS,85.0,46.75,21.25,599.0,113 CDM,RRUCLASM-4309759701-97597-0430-SM47700-1000-450,HB OT WOUND DEBRID W TOPICAL APP 1ST <= 20 SQCM,450.0,247.5,112.5,599.0,113 CDM,RRUCLASM-4309759702-97597-0430-SM47700-1000-710,HB OT WOUND DEBRID LVL2 <20CM SQ,710.0,390.5,177.5,639.0,113 CDM,RRUCLASM-4309759711-97597-0430-SM47700-1000-590,HB OT WOUND DEBRID L1+ASST<20CMSQ,590.0,324.5,147.5,599.0,113 CDM,RRUCLASM-4309759712-97597-0430-SM47700-1000-920,HB OT WOUND DEBRID W TOPICAL APP+ASST 1ST <= 20 SQCM,920.0,506.0,230.0,828.0,113 CDM,RRUCLASM-4309775000-97750-0430-SM47700-1000-210,HB OT PHYSICAL PERF TEST/15MIN,210.0,115.5,52.5,599.0,113 CDM,RRUCLASM-4309776002-97760-0430-SM47700-1000-230,HB OT ORTHO MGMT/TRAINING 1ST ENC EA 15MIN,230.0,126.5,57.5,599.0,113 CDM,RRUCLASM-4309776102-97761-0430-SM47700-1000-200,HB OT PROSTHETIC TRAINING 1ST ENC EA 15MIN,200.0,110.0,50.0,599.0,113 CDM,RRUCLASM-4309776301-97763-0430-SM47700-1000-260,HB OT ORTHO MGMT/TRAINING SUB ENC EA 15MIN,260.0,143.0,65.0,599.0,113 CDM,RRUCLASM-4309896000-98960-0430-SM47700-1000-200,HB OT EDU+TRAIN SELF-MGMT BY QUAL NONMD EA 30MIN INDIV PT,200.0,110.0,27.54,599.0,113 CDM,RRUCLASM-4309896100-98961-0430-SM47700-1000-100,HB OT EDU+TRAIN SELF-MGMT BY QUAL NONMD EA 30MIN 2-4 PTS,100.0,55.0,12.66,599.0,113 CDM,RRUCLASM-4349716500-97165-0434-SM47700-1000-390,HB OT EVALUATION LOW COMPLEXITY,390.0,214.5,97.5,599.0,113 CDM,RRUCLASM-4349716600-97166-0434-SM47700-1000-480,HB OT EVALUATION MOD COMPLEXITY,480.0,264.0,120.0,599.0,113 CDM,RRUCLASM-4349716700-97167-0434-SM47700-1000-600,HB OT EVALUATION HIGH COMPLEXITY,600.0,330.0,150.0,599.0,113 CDM,RRUCLASM-4349716800-97168-0434-SM47700-1000-340,HB OT RE-EVALUATION,340.0,187.0,85.0,599.0,113 CDM,RRUCLASM-4409250612-92522-0440-SM47701-1000-420,HB SPCH-ORAL STRUCTURE ASMNT SP PROGRAM,420.0,231.0,105.0,599.0,113 CDM,RRUCLASM-4409250711-92507-0440-SM47700-1000-740,HB SPCH-LANG THERAPY INDIVIDUAL,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-4409250811-92508-0440-SM47701-1000-200,HB SPEECH COMMUN/COGNITIVE GROUP THERAPY,200.0,110.0,50.0,599.0,113 CDM,RRUCLASM-4409252000-92520-0440-SM47700-1000-250,HB SPEECH LARYNGEAL FUNCTION STUDIES REDUCED SVC,250.0,137.5,62.5,599.0,113 CDM,RRUCLASM-4409252100-92521-0440-SM47701-1000-450,HB SPEECH EVAL FLUENCY,450.0,247.5,112.5,599.0,113 CDM,RRUCLASM-4409252200-92522-0440-SM47700-1000-420,HB SPEECH EVAL SOUND PRODUCTION,420.0,231.0,105.0,599.0,113 CDM,RRUCLASM-4409252300-92523-0440-SM47700-1000-800,HB SPEECH EVAL SOUND PRODUCTION+LANGUAGE COMPREHENSION&EXPRESSIO,800.0,440.0,200.0,720.0,113 CDM,RRUCLASM-4409252400-92524-0440-SM47700-1000-620,HB VOICE & RESONANCE BEHAVIORAL & QUALITATIVE ANALYSIS,620.0,341.0,155.0,599.0,113 CDM,RRUCLASM-4409252611-92526-0440-SM47700-1000-420,HB SPEECH DYSPHAGIA THERAPY SPECIAL PROGRAM,420.0,231.0,105.0,599.0,113 CDM,RRUCLASM-4409261011-92610-0440-SM47700-1000-610,HB SPEECH CLINICAL SWALLOW EXAM,610.0,335.5,152.5,599.0,113 CDM,RRUCLASM-4409612500-96125-0440-SM47700-1000-420,HB STANDARD COGNITIVE PERFORMANCE TESTING + RESULTS & REPORT,420.0,231.0,91.47,599.0,123 CDM,RRUCLASM-4409712900-97129-0440-SM47700-1000-130,HB SPCH THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT,130.0,71.5,32.5,599.0,113 CDM,RRUCLASM-4409713000-97130-0440-SM47700-1000-140,HB SPCH THER INTERVNTN COGNITIVE FUNCT EA ADDL 15MIN CONTACT,140.0,77.0,35.0,599.0,113 CDM,RRUCLASM-4409755000-97550-0440-SM47700-1000-150,HB SPEECH CAREGIVER TRAIN STRATEGY 1ST 30 MINS,150.0,82.5,42.0,599.0,123 CDM,RRUCLASM-4409755100-97551-0440-SM47700-1000-85,HB SPEECH CAREGIVER TRAIN STRATEGY EA ADDL 15 MINS,85.0,46.75,23.8,599.0,123 CDM,RRUCLASM-4449259711-92597-0444-SM47700-1000-570,HB SPEECH EVAL +/ FITTING VOICE PROSTHETIC DEVC,570.0,313.5,142.5,599.0,113 CDM,RRUCLASM-4449260711-92607-0444-SM47701-1000-470,HB SPEECH AUGMENT DEVICE COMMUN EVAL 1ST HOUR,470.0,258.5,117.5,599.0,113 CDM,RRUCLASM-4449260811-92608-0444-SM47701-1000-240,HB SPEECH AUGMENT DEVICE COMMUN EVAL ADDL30,240.0,132.0,60.0,599.0,113 CDM,RRUCLASM-4449261111-92611-0444-SM47700-1000-950,HB SPEECH MODIFIED BARIUM SWALLOW,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-4449261211-92612-0444-SM47700-1000-670,HB SPEECH ENDOSCOPIC SWALLOW EVALUATION,670.0,368.5,167.5,603.0,113 CDM,RRUCLASM-4449610511-96105-0444-SM47700-1000-580,HB SPEECH APHASIA ASSESSMENT PER HOUR,580.0,319.0,145.0,599.0,113 CDM,RRUCLASM-4509928100-99281-0450-SM40100-1000-520,HB ER DEPT VISIT ACUITY 1,520.0,286.0,15.18,3339.0,123 CDM,RRUCLASM-4509928200-99282-0450-SM40100-1000-1030,HB ER DEPT VISIT ACUITY 2,1030.0,566.5,24.38,3339.0,123 CDM,RRUCLASM-4509928300-99283-0450-SM40100-1000-1600,HB ER DEPT VISIT ACUITY 3,1600.0,880.0,44.6,3339.0,123 CDM,RRUCLASM-4509928400-99284-0450-SM40100-1000-2420,HB ER DEPT VISIT ACUITY 4,2420.0,1331.0,68.35,3339.0,123 CDM,RRUCLASM-4509928500-99285-0450-SM40100-1000-3200,HB ER DEPT VISIT ACUITY 5,3200.0,1760.0,108.08,3339.0,123 CDM,RRUCLASM-4509928501-99285-0450-SM40100-1000-1890,HB ER EXAM REQ BY POLICE ADULT,1890.0,1039.5,108.08,3339.0,123 CDM,RRUCLASM-4509929100-99291-0450-SM40100-1000-3670,HB CRITICAL CARE 1ST 30-74 MINS,3670.0,2018.5,121.6,3339.0,123 CDM,RRUCLASM-4509929200-99292-0450-SM40100-1000-1650,HB CRITICAL CARE EA ADD 30,1650.0,907.5,58.9,3339.0,113 CDM,RRUCLASM-4600010600--0410-SM47200-1000-320,HB RESP OXYGEN MANAGEMENT-1ST DAY,320.0,176.0,80.0,599.0,113 CDM,RRUCLASM-4600010700--0410-SM47200-1000-290,HB RESP OXYGEN MANAGMNT-SUBSEQ DAY,290.0,159.5,72.5,599.0,113 CDM,RRUCLASM-4600216100-94002-0410-SM47200-1000-2730,HB RESP NITRIC OXIDE 1ST DAY-VENT,2730.0,1501.5,44.8,2457.0,123 CDM,RRUCLASM-4600216200-94003-0410-SM47200-1000-2210,HB RESP NITRIC OXIDE SUBQ DAY-VENT,2210.0,1215.5,35.3,2280.444313,123 CDM,RRUCLASM-4600240600-94002-0410-SM47200-1000-2730,HB RESP VENTILATOR MANAGEMENT-1ST DAY,2730.0,1501.5,44.8,2457.0,123 CDM,RRUCLASM-4600240700-94003-0410-SM47200-1000-2200,HB RESP VENTILATOR MANAGMNT-SUBSEQ DAY,2200.0,1210.0,35.3,2280.444313,123 CDM,RRUCLASM-4600242000-94002-0410-SM40100-1000-2730,HB RESP BI-PAP MANAGEMENT-1ST DAY,2730.0,1501.5,44.8,2457.0,123 CDM,RRUCLASM-4600242100-94003-0410-SM40100-1000-2210,HB RESP BI-PAP MANAGMNT-SUBSEQ DAY,2210.0,1215.5,35.3,2280.444313,123 CDM,RRUCLASM-4603640600-36406-0761-SM47200-1000-260,HB RESP UMBILICAL VEIN CATH BLOOD DRAW,260.0,143.0,65.0,234.0,113 CDM,RRUCLASM-4603641500-36415-0300-SM47200-1000-40,HB RESP VENIPUNCTURE BLOOD DRAW,40.0,22.0,3.63,36.0,136 CDM,RRUCLASM-4603641600-36416-0300-SM47200-1000-30,HB RESP CAPILLARY BLOOD DRAW<3 YRS OLD,30.0,16.5,3.63,27.0,114 CDM,RRUCLASM-4603660000-36600-0300-SM40100-1000-510,HB RESP ARTERIAL PUNCTURE BLOOD DRAW,510.0,280.5,127.5,459.0,113 CDM,RRUCLASM-4609401000-94010-0460-SM47200-1000-680,HB SPIROMETRY,680.0,374.0,170.0,612.0,113 CDM,RRUCLASM-4609406000-94060-0460-SM47200-1000-1340,HB SPIROMETRY PRE&POST DILATOR,1340.0,737.0,335.0,1206.0,113 CDM,RRUCLASM-4609407000-94070-0460-SM47200-1000-1410,HB RESP SPIROMETRY PROLONGED POSTEXPOSURE,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-4609415000-94150-0460-SM47200-1000-590,HB SPIROMETRY VITAL CAP FEV1,590.0,324.5,147.5,599.0,113 CDM,RRUCLASM-4609420000-94200-0460-SM47200-1000-550,HB RESP BREATHING CAPACITY MAXIMUM,550.0,302.5,137.5,599.0,113 CDM,RRUCLASM-4609424000-94726-0460-SM47200-1000-1160,HB RESP FUNCTIONAL RESIDUAL CAPACITY-FRC,1160.0,638.0,290.0,1044.0,113 CDM,RRUCLASM-4609426000-94726-0460-SM47200-1000-1190,HB RESP THORACIC GAS VOLUME,1190.0,654.5,297.5,1071.0,113 CDM,RRUCLASM-4609468100-94681-0460-SM47200-1000-1190,HB O2 CONSUMPTION /UPTAKE EXPIR GAS+CO2,1190.0,654.5,297.5,1071.0,113 CDM,RRUCLASM-4609469000-94690-0460-SM47200-1000-370,HB O2 UPTAK&EXPIRED GAS-INDIRECT,370.0,203.5,92.5,599.0,113 CDM,RRUCLASM-4609476000-94760-0460-SM40100-1000-75,HB PULSE OXIMETRY SPOT CHECK,75.0,41.25,5.59,599.0,113 CDM,RRUCLASM-4609476100-94761-0460-SM40100-1000-340,HB PULSE OXIMETRY MULTIPLE,340.0,187.0,85.0,599.0,113 CDM,RRUCLASM-4609476200-94762-0460-SM47303-1000-620,HB PULSE OXIMETRY CONTINUOUS OVERNIGHT,620.0,341.0,155.0,599.0,113 CDM,RRUCLASM-4609478000-94780-0460-SM44000-1000-150,HB CARSEAT BED TEST AIRWAY INTEGRTY <= 12MO 60MIN,150.0,82.5,42.0,599.0,123 CDM,RRUCLASM-4609478100-94781-0460-SM44000-1000-50,HB CARSEAT BED TEST AIRWAY INTEGRTY <= 12MO EA ADDL 30MIN,50.0,27.5,12.5,599.0,113 CDM,RRUCLASM-4709263000-92630-0470-SM47700-1000-490,HB AUD COCHLEAR EVAL PRE-LINGUAL HEAR LOSS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-4709263303-92633-0470-SM47700-1000-490,HB AUD COCHLEAR EVAL POST-LINGUAL HEAR LOSS,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-4809327900-93279-0480-SM45900-1000-410,HB PCMKR EVAL +/- REPROG SGL/LEADLESS,410.0,225.5,102.5,369.0,113 CDM,RRUCLASM-4809328500-93285-0480-SM45900-1000-220,HB SUBQ CARD RHYTHM MONIT EVAL +/- REPROGRAM,220.0,121.0,55.0,198.0,113 CDM,RRUCLASM-4809328800-93288-0480-SM45900-1000-230,HB PCMKR INTERROG EVAL +/-REPROG SGL/MULT/LEADLESS,230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-4809329100-93291-0480-SM45900-1000-220,HB SUBQ CARD RHYTHM MONIT INTERROG EVAL,220.0,121.0,55.0,198.0,113 CDM,RRUCLASM-4809364400-93644-0480-SM45900-1000-700,HB EP EVAL SUBQ IMPLANT DEFIB,700.0,385.0,175.0,30851.0,113 CDM,RRUCLASM-4810002500--0481-SM45700-1000-9450,HB CATH LAB IR HOURS 0.25,9450.0,5197.5,2362.5,8505.0,114 CDM,RRUCLASM-4810005000--0481-SM45700-1000-11550,HB CATH LAB IR HOURS 0.50,11550.0,6352.5,2887.5,10395.0,114 CDM,RRUCLASM-4810007500--0481-SM45700-1000-13650,HB CATH LAB IR HOURS 0.75,13650.0,7507.5,3412.5,12285.0,114 CDM,RRUCLASM-4810010000--0481-SM45700-1000-15750,HB CATH LAB IR HOURS 1.00,15750.0,8662.5,3937.5,14175.0,114 CDM,RRUCLASM-4810012500--0481-SM45700-1000-17850,HB CATH LAB IR HOURS 1.25,17850.0,9817.5,4462.5,16065.0,114 CDM,RRUCLASM-4810015000--0481-SM45700-1000-19950,HB CATH LAB IR HOURS 1.50,19950.0,10972.5,4987.5,17955.0,114 CDM,RRUCLASM-4810017500--0481-SM45700-1000-22050,HB CATH LAB IR HOURS 1.75,22050.0,12127.5,5512.5,19845.0,114 CDM,RRUCLASM-4810020000--0481-SM45700-1000-24150,HB CATH LAB IR HOURS 2.00,24150.0,13282.5,6037.5,21735.0,114 CDM,RRUCLASM-4810022500--0481-SM45700-1000-26250,HB CATH LAB IR HOURS 2.25,26250.0,14437.5,6200.0,23625.0,114 CDM,RRUCLASM-4810025000--0481-SM45700-1000-28350,HB CATH LAB IR HOURS 2.50,28350.0,15592.5,6200.0,25515.0,114 CDM,RRUCLASM-4810027500--0481-SM45700-1000-30450,HB CATH LAB IR HOURS 2.75,30450.0,16747.5,6200.0,27405.0,114 CDM,RRUCLASM-4810030000--0481-SM45700-1000-32550,HB CATH LAB IR HOURS 3.00,32550.0,17902.5,6200.0,29295.0,114 CDM,RRUCLASM-4810032500--0481-SM45700-1000-34650,HB CATH LAB IR HOURS 3.25,34650.0,19057.5,6200.0,31185.0,114 CDM,RRUCLASM-4810035000--0481-SM45700-1000-36750,HB CATH LAB IR HOURS 3.50,36750.0,20212.5,6200.0,33075.0,114 CDM,RRUCLASM-4810037500--0481-SM45700-1000-38850,HB CATH LAB IR HOURS 3.75,38850.0,21367.5,6200.0,34965.0,114 CDM,RRUCLASM-4810040000--0481-SM45700-1000-40950,HB CATH LAB IR HOURS 4.00,40950.0,22522.5,6200.0,36855.0,114 CDM,RRUCLASM-4810042500--0481-SM45700-1000-43050,HB CATH LAB IR HOURS 4.25,43050.0,23677.5,6200.0,38745.0,114 CDM,RRUCLASM-4810045000--0481-SM45700-1000-47250,HB CATH LAB IR HOURS 4.50,47250.0,25987.5,6200.0,42525.0,114 CDM,RRUCLASM-4810047500--0481-SM45700-1000-49350,HB CATH LAB IR HOURS 4.75,49350.0,27142.5,6200.0,44415.0,114 CDM,RRUCLASM-4810050000--0481-SM45700-1000-51450,HB CATH LAB IR HOURS 5.00,51450.0,28297.5,6200.0,46305.0,114 CDM,RRUCLASM-4810052500--0481-SM45700-1000-53550,HB CATH LAB IR HOURS 5.25,53550.0,29452.5,6200.0,48195.0,114 CDM,RRUCLASM-4810055000--0481-SM45700-1000-55650,HB CATH LAB IR HOURS 5.50,55650.0,30607.5,6200.0,50085.0,114 CDM,RRUCLASM-4810057500--0481-SM45700-1000-57750,HB CATH LAB IR HOURS 5.75,57750.0,31762.5,6200.0,51975.0,114 CDM,RRUCLASM-4810060000--0481-SM45700-1000-59850,HB CATH LAB IR HOURS 6.00,59850.0,32917.5,6200.0,53865.0,114 CDM,RRUCLASM-4810062500--0481-SM45700-1000-61950,HB CATH LAB IR HOURS 6.25,61950.0,34072.5,6200.0,55755.0,114 CDM,RRUCLASM-4810065000--0481-SM45700-1000-64050,HB CATH LAB IR HOURS 6.50,64050.0,35227.5,6200.0,57645.0,114 CDM,RRUCLASM-4810067500--0481-SM45700-1000-66150,HB CATH LAB IR HOURS 6.75,66150.0,36382.5,6200.0,59535.0,114 CDM,RRUCLASM-4810070000--0481-SM45700-1000-68250,HB CATH LAB IR HOURS 7.00,68250.0,37537.5,6200.0,61425.0,114 CDM,RRUCLASM-4810072500--0481-SM45700-1000-70350,HB CATH LAB IR HOURS 7.25,70350.0,38692.5,6200.0,63315.0,114 CDM,RRUCLASM-4810075000--0481-SM45700-1000-72450,HB CATH LAB IR HOURS 7.50,72450.0,39847.5,6200.0,65205.0,114 CDM,RRUCLASM-4810077500--0481-SM45700-1000-74550,HB CATH LAB IR HOURS 7.75,74550.0,41002.5,6200.0,67095.0,114 CDM,RRUCLASM-4810080000--0481-SM45700-1000-76650,HB CATH LAB IR HOURS 8.00,76650.0,42157.5,6200.0,68985.0,114 CDM,RRUCLASM-4810082500--0481-SM45700-1000-78750,HB CATH LAB IR HOURS 8.25,78750.0,43312.5,6200.0,70875.0,114 CDM,RRUCLASM-4810085000--0481-SM45700-1000-80850,HB CATH LAB IR HOURS 8.50,80850.0,44467.5,6200.0,72765.0,114 CDM,RRUCLASM-4810087500--0481-SM45700-1000-82950,HB CATH LAB IR HOURS 8.75,82950.0,45622.5,6200.0,74655.0,114 CDM,RRUCLASM-4810090000--0481-SM45700-1000-85050,HB CATH LAB IR HOURS 9.00,85050.0,46777.5,6200.0,76545.0,114 CDM,RRUCLASM-4810092500--0481-SM45700-1000-87150,HB CATH LAB IR HOURS 9.25,87150.0,47932.5,6200.0,78435.0,114 CDM,RRUCLASM-4810095000--0481-SM45700-1000-89250,HB CATH LAB IR HOURS 9.50,89250.0,49087.5,6200.0,80325.0,114 CDM,RRUCLASM-4810097500--0481-SM45700-1000-91350,HB CATH LAB IR HOURS 9.75,91350.0,50242.5,6200.0,82215.0,114 CDM,RRUCLASM-4810100000--0481-SM45700-1000-93450,HB CATH LAB IR HOURS 10.00,93450.0,51397.5,6200.0,84105.0,114 CDM,RRUCLASM-4810102500--0481-SM45700-1000-95550,HB CATH LAB IR HOURS 10.25,95550.0,52552.5,6200.0,85995.0,114 CDM,RRUCLASM-4810105000--0481-SM45700-1000-97650,HB CATH LAB IR HOURS 10.50,97650.0,53707.5,6200.0,87885.0,114 CDM,RRUCLASM-4810107500--0481-SM45700-1000-99750,HB CATH LAB IR HOURS 10.75,99750.0,54862.5,6200.0,89775.0,114 CDM,RRUCLASM-4810110000--0481-SM45700-1000-101850,HB CATH LAB IR HOURS 11.00,101850.0,56017.5,6200.0,91665.0,114 CDM,RRUCLASM-4810112500--0481-SM45700-1000-103950,HB CATH LAB IR HOURS 11.25,103950.0,57172.5,6200.0,93555.0,114 CDM,RRUCLASM-4810115000--0481-SM45700-1000-106050,HB CATH LAB IR HOURS 11.50,106050.0,58327.5,6200.0,95445.0,114 CDM,RRUCLASM-4810117500--0481-SM45700-1000-108150,HB CATH LAB IR HOURS 11.75,108150.0,59482.5,6200.0,97335.0,114 CDM,RRUCLASM-4810120000--0481-SM45700-1000-110250,HB CATH LAB IR HOURS 12.00,110250.0,60637.5,6200.0,99225.0,114 CDM,RRUCLASM-4810122500--0481-SM45700-1000-112350,HB CATH LAB IR HOURS 12.25,112350.0,61792.5,6200.0,101115.0,114 CDM,RRUCLASM-4810125000--0481-SM45700-1000-114450,HB CATH LAB IR HOURS 12.50,114450.0,62947.5,6200.0,103005.0,114 CDM,RRUCLASM-4810127500--0481-SM45700-1000-116550,HB CATH LAB IR HOURS 12.75,116550.0,64102.5,6200.0,104895.0,114 CDM,RRUCLASM-4810130000--0481-SM45700-1000-118650,HB CATH LAB IR HOURS 13.00,118650.0,65257.5,6200.0,106785.0,114 CDM,RRUCLASM-4810132500--0481-SM45700-1000-120750,HB CATH LAB IR HOURS 13.25,120750.0,66412.5,6200.0,108675.0,114 CDM,RRUCLASM-4810135000--0481-SM45700-1000-122850,HB CATH LAB IR HOURS 13.50,122850.0,67567.5,6200.0,110565.0,114 CDM,RRUCLASM-4810137500--0481-SM45700-1000-124950,HB CATH LAB IR HOURS 13.75,124950.0,68722.5,6200.0,112455.0,114 CDM,RRUCLASM-4810140000--0481-SM45700-1000-127050,HB CATH LAB IR HOURS 14.00,127050.0,69877.5,6200.0,114345.0,114 CDM,RRUCLASM-4810142500--0481-SM45700-1000-129150,HB CATH LAB IR HOURS 14.25,129150.0,71032.5,6200.0,116235.0,114 CDM,RRUCLASM-4810145000--0481-SM45700-1000-131250,HB CATH LAB IR HOURS 14.50,131250.0,72187.5,6200.0,118125.0,114 CDM,RRUCLASM-4810147500--0481-SM45700-1000-133350,HB CATH LAB IR HOURS 14.75,133350.0,73342.5,6200.0,120015.0,114 CDM,RRUCLASM-4810150000--0481-SM45700-1000-135450,HB CATH LAB IR HOURS 15.00,135450.0,74497.5,6200.0,121905.0,114 CDM,RRUCLASM-4810152500--0481-SM45700-1000-137550,HB CATH LAB IR HOURS 15.25,137550.0,75652.5,6200.0,123795.0,114 CDM,RRUCLASM-4810155000--0481-SM45700-1000-139650,HB CATH LAB IR HOURS 15.50,139650.0,76807.5,6200.0,125685.0,114 CDM,RRUCLASM-4810157500--0481-SM45700-1000-141750,HB CATH LAB IR HOURS 15.75,141750.0,77962.5,6200.0,127575.0,114 CDM,RRUCLASM-4810160000--0481-SM45700-1000-143850,HB CATH LAB IR HOURS 16.00,143850.0,79117.5,6200.0,129465.0,114 CDM,RRUCLASM-4810162500--0481-SM45700-1000-145950,HB CATH LAB IR HOURS 16.25,145950.0,80272.5,6200.0,131355.0,114 CDM,RRUCLASM-4810165000--0481-SM45700-1000-148050,HB CATH LAB IR HOURS 16.50,148050.0,81427.5,6200.0,133245.0,114 CDM,RRUCLASM-4810167500--0481-SM45700-1000-150150,HB CATH LAB IR HOURS 16.75,150150.0,82582.5,6200.0,135135.0,114 CDM,RRUCLASM-4810170000--0481-SM45700-1000-152250,HB CATH LAB IR HOURS 17.00,152250.0,83737.5,6200.0,137025.0,114 CDM,RRUCLASM-4810172500--0481-SM45700-1000-154350,HB CATH LAB IR HOURS 17.25,154350.0,84892.5,6200.0,138915.0,114 CDM,RRUCLASM-4810175000--0481-SM45700-1000-156450,HB CATH LAB IR HOURS 17.50,156450.0,86047.5,6200.0,140805.0,114 CDM,RRUCLASM-4810177500--0481-SM45700-1000-158550,HB CATH LAB IR HOURS 17.75,158550.0,87202.5,6200.0,142695.0,114 CDM,RRUCLASM-4810180000--0481-SM45700-1000-160650,HB CATH LAB IR HOURS 18.00,160650.0,88357.5,6200.0,144585.0,114 CDM,RRUCLASM-4810182500--0481-SM45700-1000-162750,HB CATH LAB IR HOURS 18.25,162750.0,89512.5,6200.0,146475.0,114 CDM,RRUCLASM-4810185000--0481-SM45700-1000-164850,HB CATH LAB IR HOURS 18.50,164850.0,90667.5,6200.0,148365.0,114 CDM,RRUCLASM-4810187500--0481-SM45700-1000-166950,HB CATH LAB IR HOURS 18.75,166950.0,91822.5,6200.0,150255.0,114 CDM,RRUCLASM-4810190000--0481-SM45700-1000-169050,HB CATH LAB IR HOURS 19.00,169050.0,92977.5,6200.0,152145.0,114 CDM,RRUCLASM-4810192500--0481-SM45700-1000-171150,HB CATH LAB IR HOURS 19.25,171150.0,94132.5,6200.0,154035.0,114 CDM,RRUCLASM-4810195000--0481-SM45700-1000-173250,HB CATH LAB IR HOURS 19.50,173250.0,95287.5,6200.0,155925.0,114 CDM,RRUCLASM-4810197500--0481-SM45700-1000-175350,HB CATH LAB IR HOURS 19.75,175350.0,96442.5,6200.0,157815.0,114 CDM,RRUCLASM-4810200000--0481-SM45700-1000-177450,HB CATH LAB IR HOURS 20.00,177450.0,97597.5,6200.0,159705.0,114 CDM,RRUCLASM-4810202500--0481-SM45700-1000-179550,HB CATH LAB IR HOURS 20.25,179550.0,98752.5,6200.0,161595.0,114 CDM,RRUCLASM-4810205000--0481-SM45700-1000-181650,HB CATH LAB IR HOURS 20.50,181650.0,99907.5,6200.0,163485.0,114 CDM,RRUCLASM-4810207500--0481-SM45700-1000-183750,HB CATH LAB IR HOURS 20.75,183750.0,101062.5,6200.0,165375.0,114 CDM,RRUCLASM-4810210000--0481-SM45700-1000-185850,HB CATH LAB IR HOURS 21.00,185850.0,102217.5,6200.0,167265.0,114 CDM,RRUCLASM-4810212500--0481-SM45700-1000-187950,HB CATH LAB IR HOURS 21.25,187950.0,103372.5,6200.0,169155.0,114 CDM,RRUCLASM-4810215000--0481-SM45700-1000-190050,HB CATH LAB IR HOURS 21.50,190050.0,104527.5,6200.0,171045.0,114 CDM,RRUCLASM-4810217500--0481-SM45700-1000-192150,HB CATH LAB IR HOURS 21.75,192150.0,105682.5,6200.0,172935.0,114 CDM,RRUCLASM-4810220000--0481-SM45700-1000-194250,HB CATH LAB IR HOURS 22.00,194250.0,106837.5,6200.0,174825.0,114 CDM,RRUCLASM-4810222500--0481-SM45700-1000-196350,HB CATH LAB IR HOURS 22.25,196350.0,107992.5,6200.0,176715.0,114 CDM,RRUCLASM-4810225000--0481-SM45700-1000-198450,HB CATH LAB IR HOURS 22.50,198450.0,109147.5,6200.0,178605.0,114 CDM,RRUCLASM-4810227500--0481-SM45700-1000-200550,HB CATH LAB IR HOURS 22.75,200550.0,110302.5,6200.0,180495.0,114 CDM,RRUCLASM-4810230000--0481-SM45700-1000-202650,HB CATH LAB IR HOURS 23.00,202650.0,111457.5,6200.0,182385.0,114 CDM,RRUCLASM-4810232500--0481-SM45700-1000-204750,HB CATH LAB IR HOURS 23.25,204750.0,112612.5,6200.0,184275.0,114 CDM,RRUCLASM-4810235000--0481-SM45700-1000-206850,HB CATH LAB IR HOURS 23.50,206850.0,113767.5,6200.0,186165.0,114 CDM,RRUCLASM-4810237500--0481-SM45700-1000-208950,HB CATH LAB IR HOURS 23.75,208950.0,114922.5,6200.0,188055.0,114 CDM,RRUCLASM-4810240000--0481-SM45700-1000-211050,HB CATH LAB IR HOURS 24.00,211050.0,116077.5,6200.0,189945.0,114 CDM,RRUCLASM-4829301700-93017-0482-SM45900-1000-2600,HB STRESS TEST + EXERCISE +/-PHARM+ECG MONITOR,2600.0,1430.0,52.5,2340.0,123 CDM,RRUCLASM-4833892400-C8924-0483-SM45900-1000-2850,HB ECHO TTE 2D W/WO CONTRAST F-UP/LTD,2850.0,1567.5,448.7097,2565.0,123 CDM,RRUCLASM-4833892500-C8925-0483-SM45900-1000-7970,HB ECHO TEE 2D W/WO FOLLOW W CONTRAST W PROBE/IMG/RPT,7970.0,4383.5,1992.5,7173.0,113 CDM,RRUCLASM-4833892900-C8929-0483-SM45900-1000-3640,HB TTE 2D COMPLT W/WO FOLLOW W CONTRAST W COLORFLOW,3640.0,2002.0,910.0,3276.0,113 CDM,RRUCLASM-4839330300-93303-0483-SM45900-1000-3540,HB ECHO TTE CONGEN ANOMLY COMPLETE,3540.0,1947.0,885.0,3186.0,113 CDM,RRUCLASM-4839330400-93304-0483-SM45900-1000-2470,HB ECHO TTE CONGEN ANOMLY F-UP/LTD,2470.0,1358.5,617.5,2223.0,113 CDM,RRUCLASM-4839330600-93306-0483-SM45900-1000-3460,HB ECHO TTE 2D COMPLETE + COLORFLOW,3460.0,1903.0,865.0,3114.0,113 CDM,RRUCLASM-4839330800-93308-0483-SM40100-1000-2580,HB ECHO TTE 2D LIMITED,2580.0,1419.0,645.0,2322.0,113 CDM,RRUCLASM-4839331200-93312-0483-SM45900-1000-6510,HB ECHO TEE 2D+PROBE+IMAG+REPORT COMPLETE,6510.0,3580.5,1627.5,5859.0,113 CDM,RRUCLASM-4839331900-93319-0483-SM45900-1000-2750,HB 3D ECHO IMAG+POST PROCESS TEE/TTE CONGEN ANOMLY,2750.0,1512.5,55.05,2475.0,113 CDM,RRUCLASM-4839332000-93320-0483-SM45900-1000-1750,HB DOPPLER ECHO COMPLETE,1750.0,962.5,437.5,1575.0,113 CDM,RRUCLASM-4839332100-93321-0483-SM45900-1000-1340,HB DOPPLER ECHO F-UP/LTD,1340.0,737.0,335.0,1206.0,113 CDM,RRUCLASM-4839332500-93325-0483-SM45900-1000-1520,HB DOPPLER ECHO COLORFLO VELOCITY MAP,1520.0,836.0,380.0,1368.0,113 CDM,RRUCLASM-4839335000-93350-0483-SM45900-1000-6600,HB STRESS ECHO TTE 2D,6600.0,3630.0,1650.0,5940.0,113 CDM,RRUCLASM-4839335600-93356-0483-SM45900-1000-1230,HB MYOCARDIAL STRAIN IMAG W SPECKLE TRACK ASSMT,1230.0,676.5,36.69,1107.0,113 CDM,RRUCLASM-4899296000-92960-0480-SM40100-1000-5240,HB CARDIOVERSION ELECTIVE EXTERNAL,5240.0,2882.0,122.46,4716.0,123 CDM,RRUCLASM-4899296100-92961-0480-SM40100-1000-2700,HB CARDIOVERSION INTERNAL,2700.0,1485.0,172.78,2439.743376,123 CDM,RRUCLASM-4900000901--0360-SM44200-1000-2730,HB LVL 1 PROC ROOM 1ST 15 MINS,2730.0,1501.5,682.5,2457.0,113 CDM,RRUCLASM-4900000902--0360-SM44200-1000-3470,HB LVL 2 PROC ROOM 1ST 15 MINS,3470.0,1908.5,867.5,3123.0,113 CDM,RRUCLASM-4900000903--0360-SM44200-1000-4200,HB LVL 3 PROC ROOM 1ST 15 MINS,4200.0,2310.0,1050.0,3780.0,113 CDM,RRUCLASM-4900000904--0360-SM44200-1000-4940,HB LVL 4 PROC ROOM 1ST 15 MINS,4940.0,2717.0,1235.0,4446.0,113 CDM,RRUCLASM-4900000905--0360-SM44200-1000-5670,HB LVL 5 PROC ROOM 1ST 15 MINS,5670.0,3118.5,1417.5,5103.0,113 CDM,RRUCLASM-4900000911--0360-SM44200-1000-420,HB LVL 1 PROC ROOM EA ADD 15 MINS,420.0,231.0,105.0,378.0,113 CDM,RRUCLASM-4900000912--0360-SM44200-1000-550,HB LVL 2 PROC ROOM EA ADD 15 MINS,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-4900000913--0360-SM44200-1000-680,HB LVL 3 PROC ROOM EA ADD 15 MINS,680.0,374.0,170.0,612.0,113 CDM,RRUCLASM-4900000914--0360-SM44200-1000-790,HB LVL 4 PROC ROOM EA ADD 15 MINS,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-4900000915--0360-SM44200-1000-890,HB LVL 5 PROC ROOM EA ADD 15 MINS,890.0,489.5,222.5,801.0,113 CDM,RRUCLASM-5109902400-G0463-0510-SM40787-1000-200,HB EST PT LVL1 ASSESSMENT POSTOP,200.0,110.0,56.0,491.446172,120 CDM,RRUCLASM-5109921100-G0463-0761-SM44000-1000-200,HB EST PT LVL1 ASSESSMENT,200.0,110.0,56.0,491.446172,123 CDM,RRUCLASM-5109936700-99367-0510-SM40787-1000-560,HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITHOUT PATIENT 30M,560.0,308.0,140.0,504.0,110 CDM,RRUCLASM-5469946600-99466-0546-SM48715-1000-2310,HB NEONATAL-PED INTERFAC TRNSPRT CRITICAL CARE BY PHYSICIAN 30-7,2310.0,1270.5,193.96,2079.0,113 CDM,RRUCLASM-5469946700-99467-0546-SM48715-1000-1160,HB NEONATAL-PED INTERFAC TRNSPRT CRITICAL CARE BY PHYSICIAN EA A,1160.0,638.0,96.79,1044.0,113 CDM,RRUCLASM-6100071000-0071T-0610-SM46600-1000-14180,HB HIFU ABLAT UTERINE <200CC W MR GUIDANCE,14180.0,7799.0,650.0,12762.0,114 CDM,RRUCLASM-6100072000-0072T-0610-SM46600-1000-15750,HB HIFU ABLAT UTERINE >=200CC W MR GUIDANCE,15750.0,8662.5,650.0,14175.0,114 CDM,RRUCLASM-6103890000-C8900-0610-SM46600-1000-1660,HB MR ANGIO ABDOMEN W CONTRAST,1660.0,913.0,415.0,1494.0,120 CDM,RRUCLASM-6103890100-C8901-0610-SM46600-1000-1370,HB MR ANGIO ABDOMEN WO CONTRAST,1370.0,753.5,342.5,1233.0,119 CDM,RRUCLASM-6103890200-C8902-0610-SM46301-1000-2930,HB MR ANGIO ABDOMEN WO FOLLOW W CONTRAST,2930.0,1611.5,650.0,2637.0,153 CDM,RRUCLASM-6103890300-C8903-0610-SM46600-1000-1590,HB MRI BREAST W CONTRAST UNILAT,1590.0,874.5,397.5,1431.0,114 CDM,RRUCLASM-6103890500-C8905-0610-SM46600-1000-2010,HB MRI BREAST WO FOLLOW W CONTRAST UNILAT,2010.0,1105.5,502.5,1809.0,114 CDM,RRUCLASM-6103890600-C8906-0610-SM46600-1000-3170,HB MRI BREAST W CONTRAST BILAT,3170.0,1743.5,650.0,2853.0,114 CDM,RRUCLASM-6103890800-C8908-0610-SM46600-1000-7070,HB MRI BREAST WO FOLLOW W CONTRAST BILAT,7070.0,3888.5,650.0,6363.0,114 CDM,RRUCLASM-6103890900-C8909-0610-SM46600-1000-1660,HB MR ANGIO CHEST W CONTRAST,1660.0,913.0,415.0,1494.0,120 CDM,RRUCLASM-6103891000-C8910-0610-SM46600-1000-1370,HB MR ANGIO CHEST WO CONTRAST,1370.0,753.5,342.5,1233.0,119 CDM,RRUCLASM-6103891100-C8911-0610-SM46600-1000-2930,HB MR ANGIO CHEST WO FOLLOW W CONTRAST,2930.0,1611.5,650.0,2637.0,153 CDM,RRUCLASM-6103891200-C8912-0610-SM46600-1000-1680,HB MR ANGIO LOWER EXTREMITY W CONTRAST,1680.0,924.0,420.0,1512.0,120 CDM,RRUCLASM-6103891300-C8913-0610-SM46600-1000-1370,HB MR ANGIO LOWER EXT WO CONTRAST,1370.0,753.5,342.5,1233.0,119 CDM,RRUCLASM-6103891400-C8914-0610-SM46600-1000-2930,HB MR ANGIO LOWER EXTREM WO FOLLOW W CONTRAST,2930.0,1611.5,650.0,2637.0,153 CDM,RRUCLASM-6103891800-C8918-0610-SM46600-1000-1590,HB MR ANGIO PELVIS W CONTRAST,1590.0,874.5,397.5,1431.0,119 CDM,RRUCLASM-6103891900-C8919-0610-SM46600-1000-1370,HB MR ANGIO PELVIS WO CONTRAST,1370.0,753.5,342.5,1233.0,119 CDM,RRUCLASM-6103892000-C8920-0610-SM46600-1000-2930,HB MR ANGIO PELVIS WO FOLLOW W CONTRAST,2930.0,1611.5,331.39,2637.0,175 CDM,RRUCLASM-6103893400-C8934-0610-SM46600-1000-3000,HB MR ANGIO UPPER EXTREMITY W CONTRAST,3000.0,1650.0,650.0,2700.0,153 CDM,RRUCLASM-6103893500-C8935-0610-SM46600-1000-2570,HB MR ANGIO UPPER EXTREMITY WO CONTRAST,2570.0,1413.5,642.5,2313.0,152 CDM,RRUCLASM-6103893600-C8936-0610-SM46600-1000-3750,HB MR ANGIO UPPER EXTREMITY WO FOLLOW W CONTRAST,3750.0,2062.5,650.0,3375.0,153 CDM,RRUCLASM-6103893700-C8937-0610-SM46600-1000-1140,HB COMPUTER-AIDED DETECTION CAD BREAST MRI,1140.0,627.0,285.0,1026.0,114 CDM,RRUCLASM-6107054000-70540-0610-SM46402-1000-5890,HB MRI ORBIT/FACE/NECK WO CONTRAST,5890.0,3239.5,650.0,5301.0,114 CDM,RRUCLASM-6107054200-70542-0610-SM46402-1000-7510,HB MRI ORBIT/FACE/NECK W CONTRAST,7510.0,4130.5,650.0,6759.0,114 CDM,RRUCLASM-6107054300-70543-0610-SM46600-1000-9110,HB MRI ORBIT/FACE/NECK WO FOLLOW W CONTRAST,9110.0,5010.5,650.0,8199.0,114 CDM,RRUCLASM-6107054400-70544-0610-SM46600-1000-5470,HB MR ANGIO HEAD WO CONTRAST,5470.0,3008.5,650.0,4923.0,114 CDM,RRUCLASM-6107054500-70545-0610-SM46600-1000-6130,HB MR ANGIO HEAD W CONTRAST,6130.0,3371.5,650.0,5517.0,114 CDM,RRUCLASM-6107054600-70546-0610-SM46600-1000-6790,HB MR ANGIO HEAD WO FOLLOW W CONTRAST,6790.0,3734.5,650.0,6111.0,114 CDM,RRUCLASM-6107054700-70547-0610-SM46600-1000-4520,HB MR ANGIO NECK WO CONTRAST,4520.0,2486.0,650.0,4068.0,114 CDM,RRUCLASM-6107054800-70548-0610-SM46600-1000-5850,HB MR ANGIO NECK W CONTRAST,5850.0,3217.5,650.0,5265.0,114 CDM,RRUCLASM-6107054900-70549-0610-SM46600-1000-7170,HB MR ANGIO NECK WO FOLLOW W CONTRAST,7170.0,3943.5,650.0,6453.0,114 CDM,RRUCLASM-6107155000-71550-0610-SM46402-1000-4600,HB MRI CHEST WO CONTRAST,4600.0,2530.0,650.0,4140.0,114 CDM,RRUCLASM-6107155100-71551-0610-SM46402-1000-7080,HB MRI CHEST W CONTRAST,7080.0,3894.0,650.0,6372.0,114 CDM,RRUCLASM-6107155200-71552-0610-SM46600-1000-8850,HB MRI CHEST WO FOLLOW W CONTRAST,8850.0,4867.5,650.0,7965.0,114 CDM,RRUCLASM-6107219500-72195-0610-SM46402-1000-4880,HB MRI PELVIS WO CONTRAST,4880.0,2684.0,650.0,4392.0,114 CDM,RRUCLASM-6107219600-72196-0610-SM46402-1000-7080,HB MRI PELVIS W CONTRAST,7080.0,3894.0,650.0,6372.0,114 CDM,RRUCLASM-6107219700-72197-0614-SM46600-1000-9170,HB MRI PELVIS WO FOLLOW W CONTRAST,9170.0,5043.5,650.0,8253.0,114 CDM,RRUCLASM-6107321800-73218-0610-SM46402-1000-4270,HB MRI UPPER EXTREMITY NONJOINT WO CONTRAST,4270.0,2348.5,650.0,3843.0,114 CDM,RRUCLASM-6107321900-73219-0610-SM46402-1000-5310,HB MRI UPPER EXTREMITY NONJOINT W CONTRAST,5310.0,2920.5,650.0,4779.0,114 CDM,RRUCLASM-6107322000-73220-0610-SM46600-1000-6490,HB MRI UPPER EXTREM NONJNT WO FOLLOW W CONTRAST,6490.0,3569.5,650.0,5841.0,114 CDM,RRUCLASM-6107322100-73221-0610-SM46300-1000-5520,HB MRI UPPER EXTREMITY JOINT WO CONTRAST,5520.0,3036.0,650.0,4968.0,114 CDM,RRUCLASM-6107322200-73222-0610-SM46402-1000-7080,HB MRI UPPER EXTREMITY JOINT W CONTRAST,7080.0,3894.0,650.0,6372.0,114 CDM,RRUCLASM-6107322300-73223-0610-SM46600-1000-9300,HB MRI UPPER EXTREM JOINT WO FOLLOW W CONTRAST,9300.0,5115.0,650.0,8370.0,114 CDM,RRUCLASM-6107371800-73718-0610-SM46402-1000-5470,HB MRI LOWER EXTREMITY NONJNT WO CONTRAST,5470.0,3008.5,650.0,4923.0,114 CDM,RRUCLASM-6107371900-73719-0610-SM46402-1000-7080,HB MRI LOWER EXTREMITY NONJNT W CONTRAST,7080.0,3894.0,650.0,6372.0,114 CDM,RRUCLASM-6107372000-73720-0610-SM46600-1000-7670,HB MRI LOWER EXTREM NONJNT WO FOLLOW W CONTRAST,7670.0,4218.5,650.0,6903.0,114 CDM,RRUCLASM-6107372100-73721-0610-SM46402-1000-5700,HB MRI LOWER EXTREMITY JOINT WO CONTRAST,5700.0,3135.0,650.0,5130.0,114 CDM,RRUCLASM-6107372200-73722-0610-SM46402-1000-7080,HB MRI LOWER EXTREMITY JOINT W CONTRAST,7080.0,3894.0,650.0,6372.0,114 CDM,RRUCLASM-6107372300-73723-0610-SM46600-1000-9440,HB MRI LOWER EXTREMITY JOINT WO FOLLOW W CONTRAST,9440.0,5192.0,650.0,8496.0,114 CDM,RRUCLASM-6107418100-74181-0610-SM46402-1000-5840,HB MRI ABDOMEN WO CONTRAST,5840.0,3212.0,650.0,5256.0,114 CDM,RRUCLASM-6107418200-74182-0610-SM46402-1000-6690,HB MRI ABDOMEN W CONTRAST,6690.0,3679.5,650.0,6021.0,114 CDM,RRUCLASM-6107418300-74183-0610-SM46600-1000-9110,HB MRI ABDOMEN WO FOLLOW W CONTRAST,9110.0,5010.5,650.0,8199.0,114 CDM,RRUCLASM-6107471200-74712-0610-SM46600-1000-2480,HB MRI FETAL MATERNAL PELVIC IMAGE SINGLE/1ST GEST,2480.0,1364.0,620.0,2232.0,114 CDM,RRUCLASM-6107471300-74713-0610-SM46600-1000-810,HB MRI FETAL MATERNAL PELVIC IMAGE EA ADD GEST,810.0,445.5,202.5,729.0,114 CDM,RRUCLASM-6107555700-75557-0610-SM46600-1000-2720,HB MRI CARDIAC MORPH WO CONTRAST,2720.0,1496.0,650.0,2448.0,114 CDM,RRUCLASM-6107555900-75559-0610-SM46600-1000-3680,HB MRI CARDIAC WO CONTRAST W STRESS IMG,3680.0,2024.0,650.0,3312.0,114 CDM,RRUCLASM-6107556100-75561-0610-SM46600-1000-7740,HB MRI CARDIAC MORPH WO FOLLOW W CONTRAST,7740.0,4257.0,650.0,6966.0,114 CDM,RRUCLASM-6107556152-75561-0610-SM46600-1000-1930,HB MRI CARDIAC MORPH WO FOLLOW W CONTRAST,1930.0,1061.5,482.5,1737.0,114 CDM,RRUCLASM-6107556300-75563-0610-SM46600-1000-8400,HB MRI CARDIAC MORPH WO FOLLOW W CONTRAST W STRESS,8400.0,4620.0,650.0,7560.0,114 CDM,RRUCLASM-6107556500-75565-0610-SM46600-1000-3590,HB MRI CARDIAC MAPPING VELOCITY FLOW,3590.0,1974.5,650.0,3231.0,114 CDM,RRUCLASM-6107639000-76390-0610-SM46600-1000-2480,HB MR SPECTROSCOPY,2480.0,1364.0,620.0,2232.0,114 CDM,RRUCLASM-6107649800-76498-0610-SM46402-1000-2630,HB MRI DIAGNOSTIC OR INTERVENTIONAL UNLISTED,2630.0,1446.5,650.0,2367.0,114 CDM,RRUCLASM-6107702101-77021-0610-SM46600-1000-2360,HB MR NDL PLACE IMAG GUIDANCE S&I,2360.0,1298.0,590.0,2124.0,114 CDM,RRUCLASM-6107702201-77022-0610-SM46600-1000-2430,HB MR PARENCHYMAL TISSUE ABLATION GUIDANCE,2430.0,1336.5,607.5,2187.0,114 CDM,RRUCLASM-6107704600-77046-0614-SM46600-1000-1020,HB MRI BREAST WO CONTRAST UNILAT,1020.0,561.0,255.0,918.0,114 CDM,RRUCLASM-6107704700-77047-0614-SM46600-1000-2040,HB MRI BREAST WO CONTRAST BILAT,2040.0,1122.0,510.0,1836.0,114 CDM,RRUCLASM-6107704800MCAL-77048-0610-SM46600-1000-3150,HB MCAL MRI BREAST WO/W CONTRAST CAD UNILAT,3150.0,1732.5,650.0,2835.0,114 CDM,RRUCLASM-6107704900MCAL-77049-0610-SM46600-1000-8210,HB MCAL MRI BREAST WO/W CONTRAST CAD BILAT,8210.0,4515.5,650.0,7389.0,114 CDM,RRUCLASM-6117033600-70336-0614-SM46600-1000-7430,HB MRI TMJ,7430.0,4086.5,650.0,6687.0,114 CDM,RRUCLASM-6117055100-70551-0611-SM46402-1000-6090,HB MRI BRAIN WO CONTRAST,6090.0,3349.5,650.0,5481.0,114 CDM,RRUCLASM-6117055200-70552-0611-SM46402-1000-6830,HB MRI BRAIN W CONTRAST,6830.0,3756.5,650.0,6147.0,114 CDM,RRUCLASM-6117055300-70553-0611-SM46600-1000-9110,HB MRI BRAIN WO FOLLOW W CONTRAST,9110.0,5010.5,650.0,8199.0,114 CDM,RRUCLASM-6117055500-70555-0611-SM46600-1000-2860,HB MRI BRAIN FUNCTIONAL BY MD,2860.0,1573.0,650.0,2574.0,114 CDM,RRUCLASM-6117055700-70557-0611-SM46402-1000-1370,HB MRI BRAIN OPERATIVE WO CONTRAST,1370.0,753.5,342.5,1233.0,114 CDM,RRUCLASM-6117055800-70558-0611-SM46402-1000-1580,HB MRI BRAIN OPERATIVE W CONTRAST,1580.0,869.0,395.0,1422.0,114 CDM,RRUCLASM-6117055900-70559-0611-SM46600-1000-2000,HB MRI BRAIN OPERATIVE WO FOLLOW W CONTRAST,2000.0,1100.0,500.0,1800.0,114 CDM,RRUCLASM-6123893100-C8931-0612-SM46600-1000-1660,HB MR ANGIO SPINAL CANAL W CONTRAST,1660.0,913.0,415.0,1494.0,120 CDM,RRUCLASM-6123893200-C8932-0612-SM46600-1000-1050,HB MR ANGIO SPINAL CANAL WO CONTRAST,1050.0,577.5,262.5,945.0,119 CDM,RRUCLASM-6123893300-C8933-0618-SM46600-1000-2960,HB MR ANGIO SPINAL CANAL WO FOLLOW W CONTRAST,2960.0,1628.0,740.0,2664.0,152 CDM,RRUCLASM-6127214100-72141-0612-SM46402-1000-5570,HB MRI C-SPINE WO CONTRAST,5570.0,3063.5,650.0,5013.0,114 CDM,RRUCLASM-6127214200-72142-0612-SM46402-1000-6830,HB MRI C-SPINE W CONTRAST,6830.0,3756.5,650.0,6147.0,114 CDM,RRUCLASM-6127214600-72146-0612-SM46402-1000-5570,HB MRI T-SPINE WO CONTRAST,5570.0,3063.5,650.0,5013.0,114 CDM,RRUCLASM-6127214700-72147-0612-SM46402-1000-6830,HB MRI T-SPINE W CONTRAST,6830.0,3756.5,650.0,6147.0,114 CDM,RRUCLASM-6127214800-72148-0612-SM46402-1000-5570,HB MRI L-SPINE WO CONTRAST,5570.0,3063.5,650.0,5013.0,114 CDM,RRUCLASM-6127214900-72149-0612-SM46402-1000-6830,HB MRI L-SPINE W CONTRAST,6830.0,3756.5,650.0,6147.0,114 CDM,RRUCLASM-6127215600-72156-0612-SM46600-1000-9200,HB MRI C-SPINE WO FOLLOW W CONTRAST,9200.0,5060.0,650.0,8280.0,114 CDM,RRUCLASM-6127215700-72157-0612-SM46600-1000-9200,HB MRI T-SPINE WO FOLLOW W CONTRAST,9200.0,5060.0,650.0,8280.0,114 CDM,RRUCLASM-6127215800-72158-0612-SM46600-1000-9200,HB MRI L-SPINE WO FOLLOW W CONTRAST,9200.0,5060.0,650.0,8280.0,114 CDM,RRUCLASM-6146171500-61715-0614-SM46600-1000-47530,HB MRGFUS STEREOTACTIC ABLAT TARGET INTRACRANIAL,47530.0,26141.5,650.0,42777.0,114 CDM,RRUCLASM-6147639100-76391-0614-SM46600-1000-970,HB MR ELASTOGRAPHY,970.0,533.5,242.5,873.0,114 CDM,RRUCLASM-6193973400-C9734-0619-SM46301-1000-44670,HB FOCUSED US ABLAT/THERAPEUTIC W/ MR GUIDANCE,44670.0,24568.5,650.0,47391.418004,120 CDM,RRUCLASM-6195588200-55882-0619-SM46600-1000-52000,HB ABLAT PROSTATE TRANSURETHL W THERM US+MR IMAG GUIDE W WO PLAC,52000.0,28600.0,650.0,46800.0,114 CDM,RRUCLASM-6362339300-J3393-0892-SM45018-1000-11200000,HB ZYNTEGLO BETIBEGLOGENE AUTOTEMCEL 73554311101,11200000.0,6160000.0,11961.0,10080000.0,122 CDM,RRUCLASM-6362339400-J3394-0892-SM45018-1000-12400000,HB LYFGENIA LOVOTIBEGLOGENE AUTOTEMCEL 73554111101,12400000.0,6820000.0,11961.0,11160000.0,122 CDM,RRUCLASM-6363171700-C1717-0278-SM46402-1000-1030,HB BRACHYTHER SOURCE IR192 HDR NONSTR/SOURCE,1030.0,566.5,288.4,1291.626854,122 CDM,RRUCLASM-6363263400-C2634-0278-SM46402-1000-410,HB BRACHYTHER SOURCE IODINE125 HI ACT/SOURC,410.0,225.5,114.8,628.886167,122 CDM,RRUCLASM-6363263800-C2638-0636-SM46402-1000-120,HB BRACHYTHER SOURCE IODINE125 PER SOURCE,120.0,66.0,33.6,600.3,123 CDM,RRUCLASM-6363264000-C2640-0636-SM46402-1000-280,HB BRACHYTHER SOURCE PALLADIUM103 STR/SOURCE,280.0,154.0,78.4,1400.7,123 CDM,RRUCLASM-6363939925-C9399-0891-SM45018-1000-2248000,HB AMTAGVI LIFILEUCEL 73776000111,2042870.0,1123578.5,11961.0,2151336.0,226 CDM,RRUCLASM-6368204100-Q2041-0891-SM45018-1000-1646700,HB YESCARTA 71287011901,1646700.0,905685.0,11961.0,1527391.7288,123 CDM,RRUCLASM-6368204200-Q2042-0891-SM45018-1000-1780600,HB KYMRIAH ALL 00078084619,1780600.0,979330.0,11961.0,1625944.831,123 CDM,RRUCLASM-6368204201-Q2042-0891-SM45018-1000-1466781,HB KYMRIAH DLBCL 00078095819,1466781.0,806729.55,11961.0,1625944.831,123 CDM,RRUCLASM-6368205300-Q2053-0891-SM45018-1000-1510740,HB TECARTUS MCL 71287021901,1510740.0,830907.0,11961.0,1404722.074,123 CDM,RRUCLASM-6368205302-Q2053-0891-SM45018-1000-1510740,HB TECARTUS ALL 71287022001,1510740.0,830907.0,11961.0,1404722.074,123 CDM,RRUCLASM-6368205400-Q2054-0891-SM45018-1000-1673754,HB BREYANZI DLBCL 73153090001,1673754.0,920564.7,11961.0,1613517.5588,123 CDM,RRUCLASM-6368205500-Q2055-0891-SM45018-1000-1632485,HB ABECMA MM 500 ML 59572051503,1632485.0,897866.75,11961.0,1601694.5364,123 CDM,RRUCLASM-6368205501-Q2055-0891-SM45018-1000-1632485,HB ABECMA MM 250 ML 59572051502,1632485.0,897866.75,11961.0,1601694.5364,123 CDM,RRUCLASM-6368205502-Q2055-0891-SM45018-1000-1632485,HB ABECMA MM 50 ML 59572051501,1632485.0,897866.75,11961.0,1601694.5364,123 CDM,RRUCLASM-6369038000-90380-0636-SM40100-1000-1845,HB MAB IM INJ RESP SYNCYTIAL VIRUS 0.5ML SEASONAL DOSE BEYFORTUS,1845.0,1014.75,461.25,9229.6125,113 CDM,RRUCLASM-6369038100-90381-0636-SM40100-1000-1845,HB MAB IM INJ RESP SYNCYTIAL VIRUS 1ML SEASONAL DOSE BEYFORTUS 4,1845.0,1014.75,461.25,9229.6125,113 CDM,RRUCLASM-6369067800-90678-0636-SM40787-1000-823,HB IMMUNIZATION ABRYSVO RESP SYNCYTIAL VIRUS PREF BIVAL IM 00069,823.0,452.65,205.75,4117.0575,113 CDM,RRUCLASM-6369067900-90679-0636-SM40787-1000-829,HB IMMUNIZATION AREXVY RESP SYNCYTIAL VIRUS PREF RECOMB ADJUV IM,829.0,455.95,207.25,4147.0725,113 CDM,RRUCLASM-6369073400-90734-0636-SM40787-1000-355,HB IMMUNIZATION MENINGOCOCCAL QUAD DIPHTH TOX OR CRM197 CARRIER ,355.0,195.25,88.75,1775.8875,113 CDM,RRUCLASM-6369130400-91304-0636-SM40787-1000-480,HB IMMUNIZATION SARSCOV-2 COVID-19 5MCG/0.5ML IM NOVAVAX 8063101,480.0,264.0,120.0,2401.2,113 CDM,RRUCLASM-6369131800-91318-0636-SM40787-1000-160,HB IMMUNIZATION SARSCOV-2 COVID-19 3MCG/0.3ML TRS SUCR PFIZER-BI,160.0,88.0,40.0,800.4,113 CDM,RRUCLASM-6369131900-91319-0636-SM40787-1000-231,HB IMMUNIZATION SARSCOV-2 COVID-19 10MCG/0.3ML TRS SUCR PFIZER-B,231.0,127.05,57.75,1155.5775,113 CDM,RRUCLASM-6369132000-91320-0636-SM40787-1000-364,HB IMMUNIZATION SARSCOV-2 COVID-19 30MCG/0.3ML TRS SUCR PFIZER-B,364.0,200.2,91.0,1820.91,113 CDM,RRUCLASM-6369132100-91321-0636-SM40787-1000-220,HB IMMUNIZATION SARSCOV-2 COVID-19 25MCG/0.25ML MODERNA 80777028,220.0,121.0,55.0,1100.55,113 CDM,RRUCLASM-6369132200-91322-0636-SM40787-1000-220,HB IMMUNIZATION SARSCOV-2 COVID-19 50MCG/0.5ML MODERNA 807770102,220.0,121.0,55.0,1100.55,113 CDM,RRUCLASM-6817039000-G0390-0681-SM40100-1000-18010,HB ER TRAUMA TEAM ACTIVATION FULL,18010.0,9905.5,0.01,18010.0,161 CDM,RRUCLASM-6817039002-G0390-0681-SM40100-1000-10620,HB ER TRAUMA TEAM ACTIVATION PARTIAL,10620.0,5841.0,0.01,10620.0,161 CDM,RRUCLASM-6817039003--0681-SM40100-1000-16320,HB ER TRAUMA TEAM ACTIVATION < 30MIN CRIT CARE,16320.0,8976.0,0.01,16320.0,151 CDM,RRUCLASM-6819928500-99285-0450-SM40100-1000-3340,HB ER DEPT VISIT ACUITY 5 TRAUMA,3340.0,1837.0,108.08,3339.0,123 CDM,RRUCLASM-6819929100-99291-0450-SM40100-1000-3900,HB CRITICAL CARE 0.5-1.25HR TRAUMA,3900.0,2145.0,121.6,3510.0,123 CDM,RRUCLASM-6819929200-99292-0450-SM40100-1000-1880,HB CRITICAL CARE EA ADD 30 TRAUMA,1880.0,1034.0,58.9,3339.0,113 CDM,RRUCLASM-7100071000--0710-SM30700-1000-250,HB RECOVERY PER 15MIN,250.0,137.5,62.5,225.0,113 CDM,RRUCLASM-7100071004--0710-SM42310-1000-820,HB ISOLATION RECOVERY PER 15MIN,820.0,451.0,205.0,738.0,113 CDM,RRUCLASM-7100071900--0710-SM42310-1000-2230,HB OVERNIGHT RECOVERY,2230.0,1226.5,557.5,2007.0,113 CDM,RRUCLASM-7100071901--0710-SM30125-1000-8780,HB HOSP OVERNIGHT RECOVERY,8780.0,4829.0,2195.0,7902.0,113 CDM,RRUCLASM-7200010010--0720-SM44000-1000-550,HB LABOR ROOM TIME PER 1 HOUR,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-7200720015--0720-SM44000-1000-140,HB LABOR ROOM TIME EA ADD 15MIN,140.0,77.0,35.0,126.0,113 CDM,RRUCLASM-7209921101-G0463-0720-SM44000-1000-300,HB L&D PT ASSESSMENT,300.0,165.0,84.0,491.446172,123 CDM,RRUCLASM-7209921102-G0463-0720-SM44040-1000-300,HB OB CHECK,300.0,165.0,84.0,491.446172,123 CDM,RRUCLASM-7209921103--0720-SM44000-1000-170,HB L&D ASSESSMENT TRANSFERRED FROM ER,170.0,93.5,42.5,153.0,113 CDM,RRUCLASM-7209946400-99464-0720-SM40100-1000-550,HB NEWBORN STABILIZATION ATTENDANCE AT DELIVERY,550.0,302.5,59.2,495.0,113 CDM,RRUCLASM-7309300500-93005-0730-SM44500-1000-500,HB EKG 12-LEAD TRACING ONLY,500.0,275.0,16.4,450.0,123 CDM,RRUCLASM-7309300501-93005-0730-SM44040-1000-500,HB EKG 12-LEAD SM,500.0,275.0,16.4,450.0,123 CDM,RRUCLASM-7409570000-95700-0740-SM46200-1000-970,HB EEG RECORDING >=8 CHANNEL TECH IN PERSON,970.0,533.5,198.7981,873.0,123 CDM,RRUCLASM-7409570500-95705-0740-SM46200-1000-840,HB EEG WO VIDEO REVIEW DATA TECH 2-12HR UNMONIT,840.0,462.0,221.87,797.037171,123 CDM,RRUCLASM-7409570600-95706-0740-SM46200-1000-1050,HB EEG WO VIDEO REVIEW DATA TECH 2-12HR INTERMIT MONIT,1050.0,577.5,277.7133,945.0,123 CDM,RRUCLASM-7409570700-95707-0740-SM46200-1000-1260,HB EEG WO VIDEO REVIEW DATA TECH 2-12HR CONT MONIT,1260.0,693.0,277.7133,1134.0,123 CDM,RRUCLASM-7409570800-95708-0740-SM46200-1000-1700,HB EEG WO VIDEO REVIEW DATA TECH EA 12-26HR UNMONIT,1700.0,935.0,265.07,1530.0,123 CDM,RRUCLASM-7409570900-95709-0740-SM46200-1000-1910,HB EEG WO VIDEO REVIEW DATA TECH EA 12-26HR INTERMIT MONIT,1910.0,1050.5,479.943,1719.0,123 CDM,RRUCLASM-7409571000-95710-0740-SM46200-1000-2120,HB EEG WO VIDEO REVIEW DATA TECH EA 12-26HR CONT MONIT,2120.0,1166.0,479.943,1908.0,123 CDM,RRUCLASM-7409571100-95711-0740-SM46200-1000-1050,HB EEG W VIDEO REVIEW DATA TECH 2-12HR UNMONIT,1050.0,577.5,221.87,945.0,123 CDM,RRUCLASM-7409571200-95712-0740-SM46200-1000-1260,HB EEG W VIDEO REVIEW DATA TECH 2-12HR INTERMIT MONIT,1260.0,693.0,352.8,1377.43641,123 CDM,RRUCLASM-7409571300-95713-0740-SM46200-1000-1790,HB EEG W VIDEO REVIEW DATA TECH 2-12HR CONT MONIT,1790.0,984.5,479.943,1611.0,123 CDM,RRUCLASM-7409571400-95714-0740-SM46200-1000-1790,HB EEG W VIDEO REVIEW DATA TECH EA 12-26HR UNMONIT,1790.0,984.5,265.07,1611.0,123 CDM,RRUCLASM-7409571500-95715-0740-SM46200-1000-2100,HB EEG W VIDEO REVIEW DATA TECH EA 12-26HR INTERMIT MONIT,2100.0,1155.0,479.943,1890.0,123 CDM,RRUCLASM-7409571600-95716-0740-SM46200-1000-3470,HB EEG W VIDEO REVIEW DATA TECH EA 12-26HR CONT MONIT,3470.0,1908.5,971.6,3169.867071,123 CDM,RRUCLASM-7409581200-95812-0740-SM46200-1000-780,HB EEG EXTENDED MONITORING TO 1HR,780.0,429.0,195.0,702.0,113 CDM,RRUCLASM-7409581301-95813-0740-SM46200-1000-1100,HB EEG EXTENDED MONITOR 61-119 MINS,1100.0,605.0,275.0,990.0,113 CDM,RRUCLASM-7409581600-95816-0740-SM46200-1000-1170,HB EEG AWAKE & DROWSY,1170.0,643.5,292.5,1053.0,113 CDM,RRUCLASM-7409581900-95819-0740-SM46200-1000-1100,HB EEG AWAKE & ASLEEP,1100.0,605.0,275.0,990.0,113 CDM,RRUCLASM-7409582200-95822-0740-SM46200-1000-700,HB EEG COMA/SLEEP ONLY,700.0,385.0,175.0,630.0,113 CDM,RRUCLASM-7409582400-95824-0740-SM46200-1000-1500,HB EEG BRAIN DEATH EVALUATION,1500.0,825.0,375.0,1350.0,113 CDM,RRUCLASM-7409582900-95829-0740-SM46200-1000-2190,HB ELECTROCORTICOGRAM AT SURGERY,2190.0,1204.5,547.5,1971.0,113 CDM,RRUCLASM-7409595400-95954-0740-SM46200-1000-1500,HB EEG DRUG ACTIVATION TEST,1500.0,825.0,375.0,1350.0,113 CDM,RRUCLASM-7409595700-95957-0740-SM46200-1000-1200,HB EEG DIGITAL ANALYSIS,1200.0,660.0,300.0,1080.0,113 CDM,RRUCLASM-7409595800-95958-0740-SM46200-1000-2840,HB EEG & WADA ACTIVATION TEST,2840.0,1562.0,710.0,2556.0,113 CDM,RRUCLASM-7409596100-95961-0740-SM46200-1000-2590,HB FUNCTIONAL CORTICAL MAP 1ST HR,2590.0,1424.5,725.2,3169.867071,123 CDM,RRUCLASM-7509111000--0750-SM47600-1000-5800,HB GI IMAG INTRALUM ESOPH TO ILEUM+CAPSULE,5800.0,3190.0,1450.0,5220.0,113 CDM,RRUCLASM-7509111200--0750-SM47600-1000-7090,HB GI TRANSIT&PRESS MEAS STOM TO COLON+CAPSULE,7090.0,3899.5,1772.5,6381.0,113 CDM,RRUCLASM-7600000000--0760-SM44040-1000-3120,HB PROCEDURE ROOM,3120.0,1716.0,780.0,17048.0,113 CDM,RRUCLASM-7610339000-0339T-0761-SM46301-1000-20180,HB TRANSCATH DENERV RENAL SYMPATHETIC PERQ BI,20180.0,11099.0,5650.4,21009.267027,123 CDM,RRUCLASM-7610441000-0441T-0761-SM46800-1000-7600,HB ABLAT PERC CRYOABLATION LE DISTL/PERIPH NERVE W IMAGE GUIDE,7600.0,4180.0,2128.0,7208.093109,123 CDM,RRUCLASM-7610442000-0442T-0361-SM46700-1000-22960,HB ABLAT PERC CRYOABLATION NERVE PLEX TRNCL NERVE W IMAGE GUIDE,22960.0,12628.0,5326.0,32394.290691,124 CDM,RRUCLASM-7610581000-0581T-0761-SM46303-1000-14600,HB ABLAT BREAST TUMOR PERCUTN CRYO UNILAT W WO IMAG GUIDE,14600.0,8030.0,3650.0,13140.0,113 CDM,RRUCLASM-7610600002-0600T-0361-SM46800-1000-41020,HB ABLAT IRE >=1 TUMOR PER ORGAN OTHR THAN LIVER/PROSTATE W WO I,41020.0,22561.0,1211.02,39237.899827,124 CDM,RRUCLASM-7610601000-0601T-0361-SM46800-1000-40550,HB ABLAT IRREVERSBL ELECTROPORATION >=1 TUMOR/ORGAN W FLUORO/US ,40550.0,22302.5,1211.02,39237.899827,124 CDM,RRUCLASM-7611000500-10005-0761-SM40100-1000-2560,HB FNA BIOPSY W US GUIDANCE 1ST LESION,2560.0,1408.0,640.0,2304.0,113 CDM,RRUCLASM-7611000600-10006-0761-SM40100-1000-970,HB FNA BIOPSY W US GUIDANCE EA ADDL LESION,970.0,533.5,242.5,873.0,113 CDM,RRUCLASM-7611000900-10009-0761-SM40100-1000-3180,HB FNA BIOPSY W CT GUIDANCE 1ST LESION,3180.0,1749.0,795.0,2862.0,113 CDM,RRUCLASM-7611002100-10021-0761-SM40100-1000-1560,HB FNA BIOPSY WO GUIDANCE 1ST LSN,1560.0,858.0,390.0,1404.0,113 CDM,RRUCLASM-7611002101-10021-0761-SM40100-1000-1560,HB FNA BIOPSY WO GUIDANCE 1ST LESION,1560.0,858.0,390.0,1404.0,113 CDM,RRUCLASM-7611003000-10030-0761-SM40100-1000-2770,HB IMAGE GUIDED PERQ CATH DRAIN FLUID SOFT TISS,2770.0,1523.5,692.5,2493.0,113 CDM,RRUCLASM-7611003500-10035-0361-SM46700-1000-2460,HB PLACE SOFT TISSUE LOCALIZATION DEVICE LESION IMAGE GUIDANCE 1,2460.0,1353.0,615.0,5326.0,113 CDM,RRUCLASM-7611003600-10036-0361-SM46800-1000-980,HB PLACE SOFT TISSUE LOCALIZATION DEVICE LESION IMAGE GUIDANCE E,980.0,539.0,245.0,5326.0,113 CDM,RRUCLASM-7611006000-10060-0761-SM40100-1000-1390,HB I&D ABSCESS SIMPLE SINGLE,1390.0,764.5,347.5,1251.0,113 CDM,RRUCLASM-7611006100-10061-0761-SM40100-1000-1560,HB I&D ABSCESS COMPLEX MULTIPLE,1560.0,858.0,390.0,1404.0,113 CDM,RRUCLASM-7611008000-10080-0761-SM40100-1000-2420,HB I&D PILONIDAL CYST SIMPLE,2420.0,1331.0,605.0,2178.0,113 CDM,RRUCLASM-7611008100-10081-0761-SM40100-1000-2920,HB I&D PILONIDAL CYST COMPLEX,2920.0,1606.0,730.0,2628.0,113 CDM,RRUCLASM-7611012000-10120-0761-SM40100-1000-2420,HB SKIN FB REMOVE SIMPLE,2420.0,1331.0,605.0,2178.0,113 CDM,RRUCLASM-7611012100-10121-0761-SM40100-1000-5330,HB SKIN FB REMOVE DEEP DEEP/COMPLEX,5330.0,2931.5,1332.5,4797.0,113 CDM,RRUCLASM-7611014000-10140-0761-SM40100-1000-6990,HB I&D HEMATOMA SEROMA FLUID CYST,6990.0,3844.5,1747.5,6291.0,113 CDM,RRUCLASM-7611016000-10160-0761-SM40100-1000-1560,HB NEEDLE PUNCTURE ASPIRATION,1560.0,858.0,390.0,1404.0,113 CDM,RRUCLASM-7611018000-10180-0761-SM40100-1000-11220,HB I&D POSTOP WOUND INFECTION,11220.0,6171.0,2805.0,10098.0,113 CDM,RRUCLASM-7611100000-11000-0761-SM40100-1000-2080,HB DEBRIDE SKIN INFECTED 10% BODY SURFACE,2080.0,1144.0,520.0,1872.0,113 CDM,RRUCLASM-7611101000-11010-0761-SM40100-1000-920,HB DEBRIDE SKIN SUBQ OPEN FRACTURE,920.0,506.0,230.0,828.0,113 CDM,RRUCLASM-7611101200-11012-0761-SM40100-1000-9600,HB DEBRIDE SKIN SUBQ MUSCLE BONE OPEN FRACT,9600.0,5280.0,2400.0,8640.0,113 CDM,RRUCLASM-7611104200-11042-0761-SM40100-1000-1520,HB DEBRIDE SKIN & SUBQ TISSUE,1520.0,836.0,380.0,1368.0,113 CDM,RRUCLASM-7611104300-11043-0761-SM40100-1000-2610,HB DEBRIDE SKIN SUBQ MUSCLE,2610.0,1435.5,652.5,2349.0,113 CDM,RRUCLASM-7611104400-11044-0761-SM40100-1000-5460,HB DEBRIDE SKIN SUBQ MUSCLE BONE,5460.0,3003.0,1365.0,4914.0,113 CDM,RRUCLASM-7611105500-11055-0761-SM40100-1000-410,HB PARING CUTTING BENIGN HYPERKERAT SGL LSN,410.0,225.5,102.5,369.0,113 CDM,RRUCLASM-7611110200-11102-0761-SM40100-1000-750,HB SKIN BIOPSY TANGENTIAL SGL LESION,750.0,412.5,187.5,675.0,113 CDM,RRUCLASM-7611110300-11103-0761-SM40100-1000-450,HB SKIN BIOPSY TANGENTIAL EA ADDL LESION,450.0,247.5,112.5,405.0,113 CDM,RRUCLASM-7611110400-11104-0761-SM40100-1000-1360,HB SKIN BIOPSY PUNCH SGL LESION,1360.0,748.0,340.0,1224.0,113 CDM,RRUCLASM-7611110500-11105-0761-SM40100-1000-490,HB SKIN BIOPSY PUNCH EA ADDL LESION,490.0,269.5,122.5,441.0,113 CDM,RRUCLASM-7611110600-11106-0761-SM40100-1000-2350,HB SKIN BIOPSY INCISION SGL LESION,2350.0,1292.5,587.5,2115.0,113 CDM,RRUCLASM-7611110700-11107-0761-SM40100-1000-740,HB SKIN BIOPSY INCISION EA ADDL LESION,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-7611120000-11200-0761-SM40100-1000-990,HB SKIN TAG REMOVE UP TO 15,990.0,544.5,247.5,891.0,113 CDM,RRUCLASM-7611130000-11300-0761-SM40100-1000-580,HB SHAVE TRUNK LIMB <.5CM SGL LSN,580.0,319.0,145.0,522.0,113 CDM,RRUCLASM-7611130100-11301-0761-SM40100-1000-630,HB SHAVE TRUNK LIMB 0.6 - 1.0 CM,630.0,346.5,157.5,567.0,113 CDM,RRUCLASM-7611130200-11302-0761-SM40100-1000-680,HB SHAVE TRUNK LIMB 1.1 - 2.0 CM,680.0,374.0,170.0,612.0,113 CDM,RRUCLASM-7611130300-11303-0761-SM40100-1000-740,HB SHAVE TRUNK LIMB > 2.0 CM,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-7611130500-11305-0761-SM40100-1000-530,HB SHAVE HEAD NECK HAND FT GENITALIA <.5CM,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-7611130600-11306-0761-SM40100-1000-580,HB SHAVE HEAD NECK HAND FT GENITALIA 0.6-1,580.0,319.0,145.0,522.0,113 CDM,RRUCLASM-7611130700-11307-0761-SM40100-1000-630,HB SHAVE HEAD NECK HAND FT GENITALIA 1.1-2,630.0,346.5,157.5,567.0,113 CDM,RRUCLASM-7611130800-11308-0761-SM40100-1000-680,HB SHAVE HEAD NECK HAND FT GENITALIA >2.0,680.0,374.0,170.0,612.0,113 CDM,RRUCLASM-7611131000-11310-0761-SM40100-1000-610,HB SHAVE FACE EAR MUCOUS MEMBRANE <0.5CM,610.0,335.5,152.5,549.0,113 CDM,RRUCLASM-7611131100-11311-0761-SM40100-1000-710,HB SHAVE FACE EAR MUCOUS MEMBRANE 0.6-1,710.0,390.5,177.5,639.0,113 CDM,RRUCLASM-7611131200-11312-0761-SM40100-1000-820,HB SHAVE FACE EAR MUCOUS MEMBRANE 1.1-2,820.0,451.0,205.0,738.0,113 CDM,RRUCLASM-7611131300-11313-0761-SM40100-1000-920,HB SHAVE FACE EAR MUCOUS MEMBRANE >2.0CM,920.0,506.0,230.0,828.0,113 CDM,RRUCLASM-7611140000-11400-0761-SM40100-1000-3150,HB EXCIS BENIGN TRUNK LIMB <0.5CM,3150.0,1732.5,787.5,2835.0,113 CDM,RRUCLASM-7611140100-11401-0761-SM40100-1000-3570,HB EXCIS BENIGN TRUNK LIMB 0.6-1CM,3570.0,1963.5,892.5,3213.0,113 CDM,RRUCLASM-7611140200-11402-0761-SM40100-1000-3990,HB EXCIS BENIGN TRUNK LIMB 1.1-2CM,3990.0,2194.5,997.5,3591.0,113 CDM,RRUCLASM-7611140300-11403-0761-SM40100-1000-4410,HB EXCIS BENIGN TRUNK LIMB 2.1-3CM,4410.0,2425.5,1102.5,3969.0,113 CDM,RRUCLASM-7611140400-11404-0761-SM40100-1000-4830,HB EXCIS BENIGN TRUNK LIMB 3.1-4CM,4830.0,2656.5,1207.5,4347.0,113 CDM,RRUCLASM-7611140600-11406-0761-SM40100-1000-5250,HB EXCIS BENIGN TRUNK LIMB >4.0CM,5250.0,2887.5,1312.5,4725.0,113 CDM,RRUCLASM-7611142000-11420-0761-SM40100-1000-5250,HB EXCIS BENIGN HEAD HAND FT GENITALIA<0.5,5250.0,2887.5,1312.5,4725.0,113 CDM,RRUCLASM-7611142100-11421-0761-SM40100-1000-5780,HB EXCIS BENIGN HEAD HAND FT GENITALIA0.6-1,5780.0,3179.0,1445.0,5202.0,113 CDM,RRUCLASM-7611142200-11422-0761-SM40100-1000-6300,HB EXCIS BENIGN HEAD HAND FT GENITALIA1.1-2,6300.0,3465.0,1575.0,5670.0,113 CDM,RRUCLASM-7611142300-11423-0761-SM40100-1000-6830,HB EXCIS BENIGN HEAD HAND FT GENITALIA2.1-3,6830.0,3756.5,1707.5,6147.0,113 CDM,RRUCLASM-7611142400-11424-0761-SM40100-1000-7350,HB EXCIS BENIGN HEAD HAND FT GENITALIA3.1-4,7350.0,4042.5,1837.5,6615.0,113 CDM,RRUCLASM-7611142600-11426-0761-SM40100-1000-7880,HB EXCIS BENIGN HEAD HAND FT GENITALIA>4.0,7880.0,4334.0,1970.0,7092.0,113 CDM,RRUCLASM-7611144300-11443-0761-SM40100-1000-3990,HB EXCIS BENGN FACE EAR LIP 2.1-3,3990.0,2194.5,997.5,3591.0,113 CDM,RRUCLASM-7611171900-11719-0761-SM40100-1000-230,HB NAIL TRIM NONDYSTROPHC ANY QTY,230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-7611172000-11720-0761-SM40100-1000-180,HB NAIL DEBRIDEMENT 1-5 DIGITS,180.0,99.0,45.0,162.0,113 CDM,RRUCLASM-7611173000-11730-0761-SM40100-1000-290,HB NAIL AVULSION SIMPLE SINGLE,290.0,159.5,72.5,261.0,113 CDM,RRUCLASM-7611173200-11732-0761-SM40100-1000-120,HB NAIL AVULSION EACH ADDL NAIL,120.0,66.0,30.0,108.0,113 CDM,RRUCLASM-7611174000-11740-0761-SM40100-1000-530,HB NAIL SUBUNGUAL HEMATOMA DRAIN,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-7611175000-11750-0761-SM40100-1000-2150,HB NAIL MATRIX REMOVE PARTIAL FULL,2150.0,1182.5,537.5,1935.0,113 CDM,RRUCLASM-7611176000-11760-0761-SM40100-1000-2790,HB NAIL BED REPR,2790.0,1534.5,697.5,2511.0,113 CDM,RRUCLASM-7611176200-11762-0761-SM40100-1000-4190,HB NAIL BED REPR WITH GRAFT,4190.0,2304.5,1047.5,3771.0,113 CDM,RRUCLASM-7611176500-11765-0761-SM40100-1000-1040,HB NAIL INGROWN EXCIS SKIN WEDGE,1040.0,572.0,260.0,936.0,113 CDM,RRUCLASM-7611177000-11770-0761-SM40100-1000-9230,HB EXCIS PILONIDAL CYST SINUS SIMPLE,9230.0,5076.5,2307.5,8307.0,113 CDM,RRUCLASM-7611190000-11900-0761-SM40100-1000-410,HB INTRALESIONAL INJECTION UPTO 7,410.0,225.5,102.5,369.0,113 CDM,RRUCLASM-7611198101-11981-0761-SM40100-1000-550,HB INSERT DRUG DELIVERY IMPLANT BIORESORB/BIO&NON-BIODEGRADE,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-7611198200-11982-0761-SM40100-1000-1580,HB DRUG DELIVERY DEVICE REMOVE,1580.0,869.0,395.0,1422.0,113 CDM,RRUCLASM-7611200100-12001-0761-SM40100-1000-1130,HB REPR1 SCALP TRUNK LIMB GENITALIA <2.6CM,1130.0,621.5,282.5,1017.0,113 CDM,RRUCLASM-7611200200-12002-0761-SM40100-1000-1290,HB REPR1 SCALP TRUNK LIMB GENITALIA 2.6-7.5,1290.0,709.5,322.5,1161.0,113 CDM,RRUCLASM-7611200400-12004-0761-SM40100-1000-1450,HB REPR1 SCALP TRUNK LIMB GENITALIA7.6-12.5,1450.0,797.5,362.5,1305.0,113 CDM,RRUCLASM-7611200500-12005-0761-SM40100-1000-1610,HB REPR1 SCALP TRUNK LIMB GENITALIA 12.6-20,1610.0,885.5,402.5,1449.0,113 CDM,RRUCLASM-7611200600-12006-0761-SM40100-1000-1760,HB REPR1 SCALP TRUNK LIMB GENITALIA 20.1-30,1760.0,968.0,440.0,1584.0,113 CDM,RRUCLASM-7611200700-12007-0761-SM40100-1000-1920,HB REPR1 SCALP TRUNK LIMB GENITALIA >30.0,1920.0,1056.0,480.0,1728.0,113 CDM,RRUCLASM-7611201100-12011-0761-SM40100-1000-1130,HB REPR1 FACE EAR MUCOUS MEMBRANE <2.5 CM,1130.0,621.5,282.5,1017.0,113 CDM,RRUCLASM-7611201300-12013-0761-SM40100-1000-1290,HB REPR1 FACE EAR MUCOUS MEMBRANE 2.6-5CM,1290.0,709.5,322.5,1161.0,113 CDM,RRUCLASM-7611201400-12014-0761-SM40100-1000-1450,HB REPR1 FACE EAR MUCOUS MEMBRANE 5.1-7.5,1450.0,797.5,362.5,1305.0,113 CDM,RRUCLASM-7611201500-12015-0761-SM40100-1000-1610,HB REPR1 FACE EAR MUCOUS MEMBRANE 7.6-12.6,1610.0,885.5,402.5,1449.0,113 CDM,RRUCLASM-7611201600-12016-0761-SM40100-1000-1760,HB REPR1 FACE EAR MUCOUS MEMBRANE 12.6-20,1760.0,968.0,440.0,1584.0,113 CDM,RRUCLASM-7611201700-12017-0761-SM40100-1000-1920,HB REPR1 FACE EAR MUCOUS MEMBRANE 20.1-30,1920.0,1056.0,480.0,1728.0,113 CDM,RRUCLASM-7611202000-12020-0761-SM40100-1000-2670,HB WOUND DEHIS 2ND CLOSE SIMPLE,2670.0,1468.5,667.5,2403.0,113 CDM,RRUCLASM-7611202100-12021-0761-SM40100-1000-1260,HB WOUND DEHIS 2ND CLOSE SIMPLE+PACK,1260.0,693.0,315.0,1134.0,113 CDM,RRUCLASM-7611203100-12031-0761-SM40100-1000-1550,HB REPR2 SCALP TRUNK LIMB <2.6 CM,1550.0,852.5,387.5,1395.0,113 CDM,RRUCLASM-7611203200-12032-0761-SM40100-1000-1710,HB REPR2 SCALP TRUNK LIMB 2.6-7.5,1710.0,940.5,427.5,1539.0,113 CDM,RRUCLASM-7611203400-12034-0761-SM40100-1000-1870,HB REPR2 SCALP TRUNK LIMB 7.6-12.5,1870.0,1028.5,467.5,1683.0,113 CDM,RRUCLASM-7611203500-12035-0761-SM40100-1000-2030,HB REPR2 SCALP TRUNK LIMB 12.6-20,2030.0,1116.5,507.5,1827.0,113 CDM,RRUCLASM-7611203600-12036-0761-SM40100-1000-2180,HB REPR2 SCALP TRUNK LIMB 20.1-30,2180.0,1199.0,545.0,1962.0,113 CDM,RRUCLASM-7611203700-12037-0761-SM40100-1000-2340,HB REPR2 SCALP TRUNK LIMB >30.0,2340.0,1287.0,585.0,2106.0,113 CDM,RRUCLASM-7611204100-12041-0761-SM40100-1000-1550,HB REPR2 NECK HAND FOOT GENITALIA <2.5CM,1550.0,852.5,387.5,1395.0,113 CDM,RRUCLASM-7611204200-12042-0761-SM40100-1000-1710,HB REPR2 NECK HAND FOOT GENITALIA 2.6-7.5,1710.0,940.5,427.5,1539.0,113 CDM,RRUCLASM-7611204400-12044-0761-SM40100-1000-1870,HB REPR2 NECK HAND FOOT GENITALIA 7.6-12.5,1870.0,1028.5,467.5,1683.0,113 CDM,RRUCLASM-7611204500-12045-0761-SM40100-1000-2030,HB REPR2 NECK HAND FOOT GENITALIA 12.6-20,2030.0,1116.5,507.5,1827.0,113 CDM,RRUCLASM-7611205100-12051-0761-SM40100-1000-1550,HB REPR2 FACE EAR MUCOUS MEMBRANE <2.5CM,1550.0,852.5,387.5,1395.0,113 CDM,RRUCLASM-7611205200-12052-0761-SM40100-1000-1710,HB REPR2 FACE EAR MUCOUS MEMBRANE 2.6-5CM,1710.0,940.5,427.5,1539.0,113 CDM,RRUCLASM-7611205300-12053-0761-SM40100-1000-1870,HB REPR2 FACE EAR MUCOUS MEMBRANE 5.1-7.5,1870.0,1028.5,467.5,1683.0,113 CDM,RRUCLASM-7611205400-12054-0761-SM40100-1000-2030,HB REPR2 FACE EAR MUCOUS MEMBRANE 7.6-12.5,2030.0,1116.5,507.5,1827.0,113 CDM,RRUCLASM-7611205500-12055-0761-SM40100-1000-2180,HB REPR2 FACE EAR MUCOUS MEMBRANE 12.6-20,2180.0,1199.0,545.0,1962.0,113 CDM,RRUCLASM-7611205600-12056-0761-SM40100-1000-2340,HB REPR2 FACE EAR MUCOUS MEMBRANE 20.1-30,2340.0,1287.0,585.0,2106.0,113 CDM,RRUCLASM-7611310000-13100-0761-SM40100-1000-2180,HB REPR3 TRUNK 1.1-2.5 CM,2180.0,1199.0,545.0,1962.0,113 CDM,RRUCLASM-7611310100-13101-0761-SM40100-1000-2390,HB REPR3 TRUNK 2.6-7.5 CM,2390.0,1314.5,597.5,2151.0,113 CDM,RRUCLASM-7611310200-13102-0761-SM40100-1000-790,HB REPR3 TRUNK EA ADDL 5 CM,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-7611312000-13120-0761-SM40100-1000-2180,HB REPR3 SCALP ARM LEG 1.1-2.5CM,2180.0,1199.0,545.0,1962.0,113 CDM,RRUCLASM-7611312100-13121-0761-SM40100-1000-2390,HB REPR3 SCALP ARM LEG 2.6-7.5CM,2390.0,1314.5,597.5,2151.0,113 CDM,RRUCLASM-7611312200-13122-0761-SM40100-1000-790,HB REPR3 SCALP ARM LEG EA ADDL 5CM,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-7611313100-13131-0761-SM40100-1000-2180,HB REPR3 HAND FT FACE OTHER1.1-2.5,2180.0,1199.0,545.0,1962.0,113 CDM,RRUCLASM-7611313200-13132-0761-SM40100-1000-2390,HB REPR3 HAND FT FACE OTHER2.6-7.5,2390.0,1314.5,597.5,2151.0,113 CDM,RRUCLASM-7611313300-13133-0761-SM40100-1000-790,HB REPR3 HAND FT FACE OTHR EA ADDL 5,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-7611315100-13151-0761-SM40100-1000-2180,HB REPR3 LID NOSE EAR LIP 1.1-2.5,2180.0,1199.0,545.0,1962.0,113 CDM,RRUCLASM-7611315200-13152-0761-SM40100-1000-2390,HB REPR3 LID NOSE EAR LIP 2.6-7.5,2390.0,1314.5,597.5,2151.0,113 CDM,RRUCLASM-7611315300-13153-0761-SM40100-1000-790,HB REPR3 LID NOSE EAR LIP EA ADDL 5,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-7611316000-13160-0761-SM40100-1000-6340,HB WOUND DEHIS 2ND CLOSE EXTENSIVE,6340.0,3487.0,1585.0,5706.0,113 CDM,RRUCLASM-7611406000-14060-0761-SM40100-1000-7350,HB TRNSF TISSUE LID NOSE EAR LIP <= 10CM,7350.0,4042.5,1837.5,6615.0,113 CDM,RRUCLASM-7611524000-15240-0761-SM40100-1000-7160,HB GRAFT FULL HAND FT FC OTH+DONOR CLOSE<20,7160.0,3938.0,1790.0,6444.0,113 CDM,RRUCLASM-7611576000-15760-0761-SM40100-1000-6340,HB GRAFT COMPOSITE EAR NOSE+DONOR CLOSE,6340.0,3487.0,1585.0,5706.0,113 CDM,RRUCLASM-7611582200-15822-0761-SM40100-1000-6050,HB EYE LID BLEPHAROPLASTY UPPER,6050.0,3327.5,1512.5,5445.0,113 CDM,RRUCLASM-7611585100-15851-0761-SM40100-1000-6970,HB REMV SUTURES UNDER ANES OTHR SURGEON,6970.0,3833.5,1742.5,6273.0,113 CDM,RRUCLASM-7611585200-15852-0761-SM40100-1000-810,HB DRESSING CHANGE OTHER THAN BURNS UNDER ANESTHESIA OL,810.0,445.5,202.5,729.0,113 CDM,RRUCLASM-7611600000-16000-0761-SM40100-1000-700,HB BURN TREATMENT FIRST DEGREE,700.0,385.0,175.0,630.0,113 CDM,RRUCLASM-7611602000-16020-0761-SM40100-1000-320,HB BURN DRESS & DEBRIDEMENT SMALL,320.0,176.0,80.0,288.0,113 CDM,RRUCLASM-7611602500-16025-0761-SM40100-1000-830,HB BURN DRESS & DEBRIDEMENT MEDIUM,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7611603000-16030-0761-SM40100-1000-1590,HB BURN DRESS & DEBRIDEMENT LARGE,1590.0,874.5,397.5,1431.0,113 CDM,RRUCLASM-7611700000-17000-0761-SM40100-1000-480,HB DESTRUCT BENIGN PREMALIGNANT 1ST LSN,480.0,264.0,120.0,432.0,113 CDM,RRUCLASM-7611700300-17003-0761-SM40100-1000-220,HB DESTRUCT BENIGN PREMALIGNANT 2-14LSN EA,220.0,121.0,55.0,198.0,113 CDM,RRUCLASM-7611700400-17004-0761-SM40100-1000-1560,HB DESTRUCT BENIGN PREMALIGNANT >15 LSN,1560.0,858.0,390.0,1404.0,113 CDM,RRUCLASM-7611725000-17250-0761-SM40100-1000-590,HB CHEM CAUTERY GRANULATION TISSUE,590.0,324.5,147.5,531.0,113 CDM,RRUCLASM-7611900000-19000-0761-SM40100-1000-2840,HB CYST ASPIRATION BREAST,2840.0,1562.0,710.0,2556.0,113 CDM,RRUCLASM-7611900100-19001-0761-SM40100-1000-420,HB CYST ASPIRATION BREAST EA ADDL,420.0,231.0,105.0,378.0,113 CDM,RRUCLASM-7611902000-19020-0761-SM40100-1000-5450,HB I&D BREAST ABSCESS,5450.0,2997.5,1362.5,4905.0,113 CDM,RRUCLASM-7611903000-19030-0361-SM46303-1000-270,HB BREAST DUCTOGRAM INJECTION,270.0,148.5,67.5,5326.0,113 CDM,RRUCLASM-7611908100-19081-0761-SM46303-1000-6720,HB PLACE BREAST LOCALIZATION DEVICE 1ST LESION STEREOTACTIC GUID,6720.0,3696.0,1680.0,55700.0,114 CDM,RRUCLASM-7611908200-19082-0761-SM46303-1000-2350,HB PLACE BREAST LOCALIZATION DEVICE EACH ADD LESION STEREOTACTIC,2350.0,1292.5,587.5,2115.0,113 CDM,RRUCLASM-7611908300-19083-0761-SM46303-1000-6720,HB PLACE BREAST LOCALIZATION DEVICE 1ST LESION US GUIDANCE,6720.0,3696.0,1680.0,6048.0,113 CDM,RRUCLASM-7611908400-19084-0761-SM46303-1000-2350,HB PLACE BREAST LOCALIZATION DEVICE EACH ADD LESION US GUIDANCE,2350.0,1292.5,587.5,2115.0,113 CDM,RRUCLASM-7611908500-19085-0761-SM46303-1000-6930,HB PLACE BREAST LOCALIZATION DEVICE 1ST LESION MR GUIDANCE,6930.0,3811.5,1732.5,6237.0,113 CDM,RRUCLASM-7611908600-19086-0761-SM46303-1000-2430,HB PLACE BREAST LOCALIZATION DEVICE EACH ADD LESION MR GUIDANCE,2430.0,1336.5,607.5,2187.0,113 CDM,RRUCLASM-7611910000-19100-0761-SM40100-1000-2240,HB BIOPSY BREAST PERCUTANEOUS NDL CORE WO IMAGE GUIDE,2240.0,1232.0,560.0,2016.0,113 CDM,RRUCLASM-7611910500-19105-0361-SM46303-1000-14600,HB ABLAT CRYOSURG FIBROADENOMA EA W US GUIDE,14600.0,8030.0,3650.0,13140.0,114 CDM,RRUCLASM-7611928100-19281-0761-SM46303-1000-3260,HB LOCALIZATION DEVICE BREAST 1ST MAMMO GUIDANCE,3260.0,1793.0,815.0,2934.0,113 CDM,RRUCLASM-7611928200-19282-0761-SM46303-1000-1140,HB LOCALIZATION DEVICE BREAST EACH ADDL MAMMO GUIDANCE,1140.0,627.0,285.0,1026.0,113 CDM,RRUCLASM-7611928300-19283-0761-SM46300-1000-3360,HB LOCALIZATION DEVICE BREAST 1ST STEREOTACTIC GUIDANCE,3360.0,1848.0,840.0,55700.0,114 CDM,RRUCLASM-7611928500-19285-0761-SM46303-1000-3360,HB LOCALIZATION DEVICE BREAST PERCUTN 1ST LSN +US GUIDE,3360.0,1848.0,840.0,3024.0,113 CDM,RRUCLASM-7611928600-19286-0761-SM46303-1000-1180,HB LOCALIZATION DEVICE BREAST EACH ADDL US GUIDANCE,1180.0,649.0,295.0,1062.0,113 CDM,RRUCLASM-7611928700-19287-0761-SM46303-1000-3470,HB LOCALIZATION DEVICE BREAST 1ST MR GUIDANCE,3470.0,1908.5,867.5,3123.0,113 CDM,RRUCLASM-7611928800-19288-0761-SM46300-1000-1220,HB LOCALIZATION DEVICE BREAST EACH ADDL MR GUIDANCE,1220.0,671.0,305.0,1098.0,113 CDM,RRUCLASM-7612010000-20100-0761-SM40100-1000-1960,HB EXPLOR PENETRAT WOUND SEP PX NECK,1960.0,1078.0,490.0,1764.0,113 CDM,RRUCLASM-7612010200-20102-0761-SM40100-1000-6050,HB EXPLOR WOUND PENETRATING ABD FLANK BACK,6050.0,3327.5,1512.5,5445.0,113 CDM,RRUCLASM-7612010300-20103-0761-SM40100-1000-2210,HB EXPLOR WOUND PENETRATING EXTREMITY,2210.0,1215.5,552.5,1989.0,113 CDM,RRUCLASM-7612020600-20206-0361-SM46301-1000-4830,HB NEEDLE BIOPSY SOFT TISSUE,4830.0,2656.5,1207.5,5326.0,113 CDM,RRUCLASM-7612022000-20220-0761-SM46700-1000-3620,HB NEEDLE BIOPSY BONE SUPERFICIAL,3620.0,1991.0,905.0,3258.0,113 CDM,RRUCLASM-7612022500-20225-0761-SM46700-1000-5500,HB NEEDLE BIOPSY BONE DEEP,5500.0,3025.0,1375.0,4950.0,113 CDM,RRUCLASM-7612050100-20501-0361-SM46300-1000-140,HB SINOGRAM INJECTION,140.0,77.0,35.0,5326.0,113 CDM,RRUCLASM-7612052000-20520-0761-SM40100-1000-5330,HB MUSCLE FB REMOVE SIMPLE,5330.0,2931.5,1332.5,4797.0,113 CDM,RRUCLASM-7612052500-20525-0761-SM40100-1000-8980,HB MUSCLE FB REMOVE DEEP COMPLEX,8980.0,4939.0,2245.0,8082.0,113 CDM,RRUCLASM-7612052600-20526-0761-SM40787-1000-1140,HB INJ CARPAL TUNNEL,1140.0,627.0,285.0,1026.0,113 CDM,RRUCLASM-7612055000-20550-0761-SM40100-1000-1170,HB INJ TRGGRPNTS LIGAMENT TENDON,1170.0,643.5,292.5,1053.0,113 CDM,RRUCLASM-7612055100-20551-0761-SM40100-1000-1170,HB INJ TENDON ORIGIN INSERTION,1170.0,643.5,292.5,1053.0,113 CDM,RRUCLASM-7612055200-20552-0761-SM40100-1000-1200,HB INJ TRGGRPNTS SGL MULT 1OR2 MUSCLE GROUP,1200.0,660.0,300.0,1080.0,113 CDM,RRUCLASM-7612055300-20553-0761-SM40100-1000-1290,HB INJ TRGGRPNTS SGL MULT 3+ MUSCLE GROUP,1290.0,709.5,322.5,1161.0,113 CDM,RRUCLASM-7612056000-20560-0761-SM40100-1000-110,HB INSRT NDL WO INJ 1OR2 MUSCLES,110.0,60.5,27.5,99.0,113 CDM,RRUCLASM-7612056100-20561-0761-SM40100-1000-130,HB INSRT NDL WO INJ >=3 MUSCLES,130.0,71.5,32.5,117.0,113 CDM,RRUCLASM-7612060000-20600-0761-SM40100-1000-1070,HB ARTHROCENTESIS ASPIR INJ SM JT,1070.0,588.5,267.5,963.0,113 CDM,RRUCLASM-7612060400-20604-0761-SM46700-1000-1280,HB ARTHROCENTESIS ASPIR INJ SM JT US GUIDANCE,1280.0,704.0,320.0,1152.0,113 CDM,RRUCLASM-7612060500-20605-0761-SM40100-1000-1230,HB ARTHROCENTESIS ASPIR INJ MEDJT,1230.0,676.5,307.5,1107.0,113 CDM,RRUCLASM-7612060600-20606-0761-SM40100-1000-1440,HB ARTHROCENTESIS ASPIR INJ MEDJT US GUIDANCE,1440.0,792.0,360.0,1296.0,113 CDM,RRUCLASM-7612061000-20610-0761-SM40100-1000-1390,HB ARTHROCENTESIS ASPIR INJ LG JT,1390.0,764.5,347.5,1251.0,113 CDM,RRUCLASM-7612061100-20611-0761-SM40100-1000-1600,HB ARTHROCENTESIS ASPIR INJ LG JT US GUIDANCE,1600.0,880.0,400.0,1440.0,113 CDM,RRUCLASM-7612061200-20612-0761-SM40100-1000-1260,HB GANGLION CYST ASPIRATION & INJECTION,1260.0,693.0,315.0,1134.0,113 CDM,RRUCLASM-7612065000-20650-0761-SM40100-1000-12740,HB BONE PIN INSERTION STEINMAN,12740.0,7007.0,3185.0,11466.0,113 CDM,RRUCLASM-7612066100-20661-0450-SM40100-1000-590,HB HALO CRANIAL APPLY,590.0,324.5,147.5,3339.0,113 CDM,RRUCLASM-7612066500-20665-0761-SM40100-1000-1180,HB REMV TONGS OR HALO APPLIED BY ANOTHER INDIV,1180.0,649.0,295.0,1062.0,113 CDM,RRUCLASM-7612067000-20670-0761-SM40100-1000-5210,HB REMOVE WIRE PIN ETC SUPERFICIAL,5210.0,2865.5,1302.5,4689.0,113 CDM,RRUCLASM-7612095000-20950-0761-SM40100-1000-2210,HB MUSCLE COMPARTMENT PRESS DETEC,2210.0,1215.5,552.5,1989.0,113 CDM,RRUCLASM-7612098200-20982-0361-SM46800-1000-27300,HB RF ABLATION BONE TUMOR(S),27300.0,15015.0,6200.0,24570.0,114 CDM,RRUCLASM-7612098300-20983-0361-SM46701-1000-27300,HB CRYOABLATION BONE TUMOR(S) PERCUTANEOUS,27300.0,15015.0,6200.0,24570.0,114 CDM,RRUCLASM-7612131501-21315-0761-SM40100-1000-5860,HB CLSD FXTX NASALBONE W MANIP WO STABILZATION,5860.0,3223.0,1465.0,5274.0,113 CDM,RRUCLASM-7612132001-21320-0761-SM40100-1000-10880,HB CLSD FXTX NASALBONE W MANIP W STABILZATION,10880.0,5984.0,2720.0,9792.0,113 CDM,RRUCLASM-7612132500-21325-0761-SM40100-1000-8740,HB OPEN FXTX NOSE UNCOMPLICATED,8740.0,4807.0,2185.0,7866.0,113 CDM,RRUCLASM-7612142100-21421-0761-SM40100-1000-13490,HB CLSD FXTX PALATAL ORMAXILLARY LEFORT I WITH WIRE FIXT,13490.0,7419.5,3372.5,12141.0,113 CDM,RRUCLASM-7612144000-21440-0761-SM40100-1000-9610,HB CLSD FXTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE,9610.0,5285.5,2402.5,8649.0,113 CDM,RRUCLASM-7612145000-21450-0761-SM40100-1000-1880,HB CLSD FXTX MANDIBULAR WO MANIP,1880.0,1034.0,470.0,1692.0,113 CDM,RRUCLASM-7612145100-21451-0761-SM40100-1000-4390,HB CLSD FXTX MANDIBULAR +MANIP,4390.0,2414.5,1097.5,3951.0,113 CDM,RRUCLASM-7612145300-21453-0761-SM40100-1000-17860,HB CLSD FXTX MANDIBLE+INTERDENTAL FIXATION,17860.0,9823.0,4465.0,16074.0,113 CDM,RRUCLASM-7612148000-21480-0761-SM40100-1000-1130,HB CLSD DISLOCTX TEMPOMANDIBULAR,1130.0,621.5,282.5,1017.0,113 CDM,RRUCLASM-7612149700-21497-0761-SM40100-1000-6350,HB WIRING INTERDENTAL OTHER THAN FX,6350.0,3492.5,1587.5,5715.0,113 CDM,RRUCLASM-7612189900-21899-0761-SM40100-1000-910,HB UNLISTED PROC NECK OR THRX,910.0,500.5,227.5,819.0,113 CDM,RRUCLASM-7612251100-22511-0361-SM46800-1000-11780,HB VERTEBROPLSTY INJ LUMBOSACRAL SGL,11780.0,6479.0,2945.0,10602.0,114 CDM,RRUCLASM-7612251200-22512-0361-SM46800-1000-7400,HB VERTEBROPLSTY INJ CERVICOTHORACIC LUMBOSACRAL EA ADDL,7400.0,4070.0,1850.0,11706.55,113 CDM,RRUCLASM-7612333000-23330-0761-SM40100-1000-6380,HB SHOULDER FB REMOVE SUBQ,6380.0,3509.0,1595.0,5742.0,113 CDM,RRUCLASM-7612335000-23350-0361-SM46300-1000-1500,HB ARTHROGRAM SHOULDER INJECTION,1500.0,825.0,375.0,5326.0,113 CDM,RRUCLASM-7612350500-23505-0761-SM40100-1000-5900,HB CLSD FXTX CLAVICLE +MANIP,5900.0,3245.0,1475.0,5310.0,113 CDM,RRUCLASM-7612352000-23520-0761-SM40100-1000-6100,HB CLSD DISLOCTX STERNOCLAVICLE WO MANIP,6100.0,3355.0,1525.0,5490.0,113 CDM,RRUCLASM-7612354500-23545-0761-SM40100-1000-830,HB CLSD DISLOCTX ACROCLAV +MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612357500-23575-0761-SM40100-1000-5880,HB CLSD FXTX SCAPULA +MANIP,5880.0,3234.0,1470.0,5292.0,113 CDM,RRUCLASM-7612360000-23600-0761-SM40100-1000-870,HB CLSD FXTX HUMERAL PROX WO MANIP,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-7612360500-23605-0761-SM40100-1000-5910,HB CLSD FXTX HUMERAL PROX+MANIP,5910.0,3250.5,1477.5,5319.0,113 CDM,RRUCLASM-7612362000-23620-0761-SM40100-1000-910,HB CLSD FXTX GREATER HUMERAL TUBEROSITY WO MANIP,910.0,500.5,227.5,819.0,113 CDM,RRUCLASM-7612362500-23625-0761-SM40100-1000-5470,HB CLSD FXTX HUMERAL GRT TUBER+MANIP,5470.0,3008.5,1367.5,4923.0,113 CDM,RRUCLASM-7612365000-23650-0761-SM40100-1000-1390,HB CLSD DISLOCTX SHOULDER WO ANESTH,1390.0,764.5,347.5,1251.0,113 CDM,RRUCLASM-7612365500-23655-0761-SM40100-1000-5900,HB CLSD DISLOCTX SHOULDER +ANESTH,5900.0,3245.0,1475.0,5310.0,113 CDM,RRUCLASM-7612366500-23665-0761-SM40100-1000-2320,HB CLSD DISLOCTX SHOULDER+ FX HUM TUBER,2320.0,1276.0,580.0,2088.0,113 CDM,RRUCLASM-7612367500-23675-0761-SM40100-1000-2440,HB CLSD DISLOCTX SHOULDER+FX HUMERAL NECK,2440.0,1342.0,610.0,2196.0,113 CDM,RRUCLASM-7612393100-23931-0761-SM40100-1000-5290,HB I&D ELBO+UPPER ARM BURSA,5290.0,2909.5,1322.5,4761.0,113 CDM,RRUCLASM-7612420000-24200-0761-SM40100-1000-2240,HB REMOVE FB UPPER ARM/ELBOW SUBQ,2240.0,1232.0,560.0,2016.0,113 CDM,RRUCLASM-7612422000-24220-0361-SM46300-1000-350,HB ARTHROGRAM ELBOW INJECTION,350.0,192.5,87.5,5326.0,113 CDM,RRUCLASM-7612434100-24341-0761-SM40100-1000-9020,HB REPR ELBO+UPPER ARM TENDON MUSCLE EACH,9020.0,4961.0,2255.0,8118.0,113 CDM,RRUCLASM-7612450000-24500-0761-SM40100-1000-830,HB CLSD FXTX HUMERAL SHAFT WO MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612450500-24505-0761-SM40100-1000-5910,HB CLSD FXTX HUMERAL SHAFT W MANIP W WO SKEL TRACT,5910.0,3250.5,1477.5,5319.0,113 CDM,RRUCLASM-7612453000-24530-0761-SM40100-1000-960,HB CLSD FXTX HUMERAL S-CONDYL WO MANIP,960.0,528.0,240.0,864.0,113 CDM,RRUCLASM-7612453500-24535-0761-SM40100-1000-5910,HB CLSD FXTX HUMERAL S/T-CONDYL W WO INTERCONDYL EXT W MANIP W W,5910.0,3250.5,1477.5,5319.0,113 CDM,RRUCLASM-7612456500-24565-0761-SM40100-1000-5880,HB CLSD FXTX HUMERAL E-CONDYL +MANIP,5880.0,3234.0,1470.0,5292.0,113 CDM,RRUCLASM-7612457700-24577-0761-SM40100-1000-5790,HB CLSD FXTX HUMERAL CONDYL W MANIP,5790.0,3184.5,1447.5,5211.0,113 CDM,RRUCLASM-7612460000-24600-0761-SM40100-1000-950,HB CLSD DISLOCTX ELBOW WO ANESTH,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-7612460500-24605-0761-SM40100-1000-5360,HB CLSD DISLOCTX ELBOW +ANESTH,5360.0,2948.0,1340.0,4824.0,113 CDM,RRUCLASM-7612462000-24620-0761-SM40100-1000-5550,HB CLSD DISLOCTX ELBOW MONTEG+MANIP,5550.0,3052.5,1387.5,4995.0,113 CDM,RRUCLASM-7612464000-24640-0761-SM40100-1000-1090,HB CLSD DISLOCTX RADIAL SUBLUX+MANIP,1090.0,599.5,272.5,981.0,113 CDM,RRUCLASM-7612465000-24650-0761-SM40100-1000-830,HB CLSD FXTX RADIAL HEAD NECK WO MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612465500-24655-0761-SM40100-1000-5910,HB CLSD FXTX RADIAL HEAD NECK W MANIP,5910.0,3250.5,1477.5,5319.0,113 CDM,RRUCLASM-7612467000-24670-0761-SM40100-1000-830,HB CLSD FXTX ULNAR PROX WO MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612467500-24675-0761-SM40100-1000-6620,HB CLSD FXTX ULNAR PROX W MANIP,6620.0,3641.0,1655.0,5958.0,113 CDM,RRUCLASM-7612499900-24999-0761-SM40100-1000-5910,HB CLSD FXTX HUMERAL DISTAL W MANIP W SKEL TRACT,5910.0,3250.5,1477.5,5319.0,113 CDM,RRUCLASM-7612524600-25246-0361-SM46300-1000-980,HB ARTHROGRAM WRIST INJECTION,980.0,539.0,245.0,5326.0,113 CDM,RRUCLASM-7612550000-25500-0761-SM40100-1000-830,HB CLSD FXTX RADIAL SHAFT WO MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612550500-25505-0761-SM40100-1000-6740,HB CLSD FXTX RADIAL SHAFT W MANIP,6740.0,3707.0,1685.0,6066.0,113 CDM,RRUCLASM-7612552000-25520-0761-SM40100-1000-6740,HB CLSD FXTX RADIAL SHAFT + DISLOCTX DISTAL RADIOULNAR,6740.0,3707.0,1685.0,6066.0,113 CDM,RRUCLASM-7612553500-25535-0761-SM40100-1000-1020,HB CLSD FXTX ULNAR SHAFT +MANIP,1020.0,561.0,255.0,918.0,113 CDM,RRUCLASM-7612556000-25560-0761-SM40100-1000-830,HB CLSD FXTX RADIAL ULNAR WO MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612556500-25565-0761-SM40100-1000-6740,HB CLSD FXTX RADIAL ULNAR W MANIP,6740.0,3707.0,1685.0,6066.0,113 CDM,RRUCLASM-7612560000-25600-0761-SM40100-1000-950,HB CLSD FXTX DISTAL RADIUS WO MANIP,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-7612560500-25605-0761-SM40100-1000-4370,HB CLSD FXTX DISTAL RADIAL + TREATMENT ULNAR STYLOID W MANIP,4370.0,2403.5,1092.5,3933.0,113 CDM,RRUCLASM-7612560600-25606-0761-SM40100-1000-10360,HB PERCUTANEOUS SKEL FIX RADIAL DISTAL FX,10360.0,5698.0,2590.0,9324.0,113 CDM,RRUCLASM-7612562400-25624-0761-SM40100-1000-2170,HB CLSD FXTX NAVICULAR CARPAL+MANIP,2170.0,1193.5,542.5,1953.0,113 CDM,RRUCLASM-7612563500-25635-0761-SM40100-1000-2440,HB CLSD FXTX CARPAL +MANIP EA,2440.0,1342.0,610.0,2196.0,113 CDM,RRUCLASM-7612565000-25650-0761-SM40100-1000-840,HB CLSD FXTX ULNAR STYLOID,840.0,462.0,210.0,756.0,113 CDM,RRUCLASM-7612566000-25660-0761-SM40100-1000-870,HB CLSD DISLOCTX RADIAL OR INTERCARPAL,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-7612567500-25675-0761-SM40100-1000-880,HB CLSD DISLOCTX RADIOULNAR DIST,880.0,484.0,220.0,792.0,113 CDM,RRUCLASM-7612568000-25680-0761-SM40100-1000-880,HB CLSD FXTX TRANSSCAPHPERILUNAR+MANIP,880.0,484.0,220.0,792.0,113 CDM,RRUCLASM-7612569000-25690-0761-SM40100-1000-5630,HB CLSD DISLOCTX LUNATE +MANIP,5630.0,3096.5,1407.5,5067.0,113 CDM,RRUCLASM-7612601000-26010-0761-SM40100-1000-870,HB I&D FINGER ABSCESS SIMPLE,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-7612601100-26011-0761-SM40100-1000-6010,HB DRAIN FINGER ABSCESS COMPLICATED,6010.0,3305.5,1502.5,5409.0,113 CDM,RRUCLASM-7612605500-26055-0761-SM40100-1000-6120,HB TENDON SHEATH INCISION,6120.0,3366.0,1530.0,5508.0,113 CDM,RRUCLASM-7612623600-26236-0761-SM40100-1000-5890,HB PARTIAL REMOVAL DISTAL FINGER BONE,5890.0,3239.5,1472.5,5301.0,113 CDM,RRUCLASM-7612635000-26350-0761-SM40100-1000-10210,HB REPR TENDON FLEXOR NO ZONE 2 WO GRAFT EA,10210.0,5615.5,2552.5,9189.0,113 CDM,RRUCLASM-7612641800-26418-0761-SM40100-1000-5970,HB REPR FNGR TENDN EXTNSR WO GRFT,5970.0,3283.5,1492.5,5373.0,113 CDM,RRUCLASM-7612660000-26600-0761-SM40100-1000-830,HB CLSD FXTX METACARPAL WO MANIP EA,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612660500-26605-0761-SM40100-1000-1410,HB CLSD FXTX METACARPAL +MANIP,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-7612664100-26641-0761-SM40100-1000-1020,HB CLSD DISLOCTX THUMB +MANIP,1020.0,561.0,255.0,918.0,113 CDM,RRUCLASM-7612664500-26645-0761-SM40100-1000-5510,HB CLSD FXTX CARPOMETACARPAL THUMB W MANIP,5510.0,3030.5,1377.5,4959.0,113 CDM,RRUCLASM-7612667000-26670-0761-SM40100-1000-900,HB CLSD DISLOCTX HAND CMC WO ANESTH,900.0,495.0,225.0,810.0,113 CDM,RRUCLASM-7612670000-26700-0761-SM40100-1000-1090,HB CLSD DISLOCTX HAND MCP WO ANESTH,1090.0,599.5,272.5,981.0,113 CDM,RRUCLASM-7612670500-26705-0761-SM40100-1000-2170,HB CLSD DISLOCTX HAND MCP +ANESTH,2170.0,1193.5,542.5,1953.0,113 CDM,RRUCLASM-7612672000-26720-0761-SM40100-1000-850,HB CLSD FXTX HAND PIP MIP WO MANIP,850.0,467.5,212.5,765.0,113 CDM,RRUCLASM-7612672500-26725-0761-SM40100-1000-1270,HB CLSD FXTX HAND PIP MIP +MANIP,1270.0,698.5,317.5,1143.0,113 CDM,RRUCLASM-7612673500-26735-0761-SM40100-1000-10210,HB OPEN FXTX FINGER SHAFT,10210.0,5615.5,2552.5,9189.0,113 CDM,RRUCLASM-7612674200-26742-0761-SM40100-1000-2440,HB CLSD FXTX HAND ARTIC MCP IP+MANIP,2440.0,1342.0,610.0,2196.0,113 CDM,RRUCLASM-7612675000-26750-0761-SM40100-1000-830,HB CLSD FXTX HAND DIP JT WO MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612675500-26755-0761-SM40100-1000-950,HB CLSD FXTX HAND DIP JT+MANIP,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-7612676500-26765-0761-SM40100-1000-10210,HB OPEN FXTX HAND DISTAL PHALANGE,10210.0,5615.5,2552.5,9189.0,113 CDM,RRUCLASM-7612677000-26770-0761-SM40100-1000-1370,HB CLSD DISLOCTX HAND IP WO ANESTH,1370.0,753.5,342.5,1233.0,113 CDM,RRUCLASM-7612677500-26775-0761-SM40100-1000-1760,HB CLSD DISLOCTX HAND IP +ANESTH,1760.0,968.0,440.0,1584.0,113 CDM,RRUCLASM-7612678500-26785-0761-SM40100-1000-4250,HB OPEN DISLOCTX INTERPHALANGEAL JOINT SGL,4250.0,2337.5,1062.5,3825.0,113 CDM,RRUCLASM-7612695100-26951-0761-SM40100-1000-11010,HB AMPUTAT FNGR THMB SGL DIRCT CLOS,11010.0,6055.5,2752.5,9909.0,113 CDM,RRUCLASM-7612695200-26952-0761-SM40100-1000-11760,HB AMPUTAT FNGR THMB SGL ADVANCEMENT FLAP,11760.0,6468.0,3292.8,12077.93293,123 CDM,RRUCLASM-7612698900-26989-0761-SM40100-1000-920,HB REVISE AMPUTAT FNGR THMB W LOCAL ADV FLAP WO NEURECTOMY,920.0,506.0,230.0,828.0,113 CDM,RRUCLASM-7612709300-27093-0361-SM46300-1000-1730,HB ARTHROGRAM HIP INJECTION,1730.0,951.5,432.5,5326.0,113 CDM,RRUCLASM-7612722000-27220-0761-SM40100-1000-830,HB CLSD FXTX HIP ACETABULUM WO MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612722200-27222-0450-SM40100-1000-1220,HB CLSD FXTX HIP ACETABULUM+MANIP,1220.0,671.0,305.0,3339.0,113 CDM,RRUCLASM-7612723000-27230-0761-SM40100-1000-830,HB CLSD FXTX FEM PROX OR NECK WO MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612723200-27232-0450-SM40100-1000-960,HB CLSD FXTX FEM PROX OR NECK+MANIP,960.0,528.0,240.0,3339.0,113 CDM,RRUCLASM-7612724000-27240-0450-SM40100-1000-1290,HB CLSD FXTX FEM TROCHANTER,1290.0,709.5,322.5,3339.0,113 CDM,RRUCLASM-7612725000-27250-0761-SM40100-1000-1040,HB CLSD DISLOCTX HIP TRAUMA WO ANESTHESIA,1040.0,572.0,260.0,936.0,113 CDM,RRUCLASM-7612725200-27252-0761-SM40100-1000-5550,HB CLSD DISLOCTX HIP TRAUMA +ANESTH,5550.0,3052.5,1387.5,4995.0,113 CDM,RRUCLASM-7612725600-27256-0761-SM40100-1000-1020,HB CLSD DISLOCTX HIP SPONTANEOUS,1020.0,561.0,255.0,918.0,113 CDM,RRUCLASM-7612725700-27257-0761-SM40100-1000-5440,HB CLSD DISLOCTX HIP SPON+MANIP+ANESTH,5440.0,2992.0,1360.0,4896.0,113 CDM,RRUCLASM-7612726500-27265-0761-SM40100-1000-950,HB CLSD DISLOCTX HIP POST ARTHROPLASTY,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-7612726600-27266-0761-SM40100-1000-5510,HB CLSD DISLOCTX HIP PROSTH +ANESTH,5510.0,3030.5,1377.5,4959.0,113 CDM,RRUCLASM-7612726800-27268-0761-SM40100-1000-1270,HB CLSD FXTX FEM PROX+MANIP,1270.0,698.5,317.5,1143.0,113 CDM,RRUCLASM-7612729900-27299-0361-SM46800-1000-11780,HB CEMENTOPLASTY OF ISCHIUM+ACETABULUM,11780.0,6479.0,2945.0,10602.0,114 CDM,RRUCLASM-7612730100-27301-0761-SM40100-1000-10910,HB I&D THIGH OR KNEE ABSCESS HEMATOM DEEP,10910.0,6000.5,2727.5,9819.0,113 CDM,RRUCLASM-7612736900-27369-0361-SM46300-1000-590,HB ARTHROGRAM OR CT/MRI ARTHROGRAM KNEE INJECTION,590.0,324.5,147.5,5326.0,113 CDM,RRUCLASM-7612750200-27502-0761-SM40100-1000-6740,HB CLSD FXTX FEM SHAFT+MANIP,6740.0,3707.0,1685.0,6066.0,113 CDM,RRUCLASM-7612750300-27503-0761-SM40100-1000-2170,HB CLSD FXTX FEM S T-CONDYL+MANIP,2170.0,1193.5,542.5,1953.0,113 CDM,RRUCLASM-7612750800-27508-0761-SM40100-1000-840,HB CLSD FXTX FEM D L CONDL WO MANIP,840.0,462.0,210.0,756.0,113 CDM,RRUCLASM-7612750900-27509-0761-SM40100-1000-21630,HB PERCUTANEOUS SKEL FIX FEM DISTAL FX,21630.0,11896.5,5407.5,19467.0,113 CDM,RRUCLASM-7612751000-27510-0761-SM40100-1000-2170,HB CLSD FXTX FEM D M L-CONDYL+MANIP,2170.0,1193.5,542.5,1953.0,113 CDM,RRUCLASM-7612752000-27520-0761-SM40100-1000-870,HB CLSD FXTX PATELLA WO MANIP,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-7612753000-27530-0761-SM40100-1000-890,HB CLSD FXTX TIBIA PROX PLATEAU WO MANIP,890.0,489.5,222.5,801.0,113 CDM,RRUCLASM-7612753200-27532-0761-SM40100-1000-4870,HB CLSD FXTX TIBIA PROX PLATEAU W&WO MANIP,4870.0,2678.5,1217.5,4383.0,113 CDM,RRUCLASM-7612755000-27550-0761-SM40100-1000-890,HB CLSD DISLOCTX KNEE WO ANESTH,890.0,489.5,222.5,801.0,113 CDM,RRUCLASM-7612756000-27560-0761-SM40100-1000-950,HB CLSD DISLOCTX PATELLA WO ANESTH,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-7612756200-27562-0761-SM40100-1000-1050,HB CLSD DISLOCTX PATELLA W ANESTH,1050.0,577.5,262.5,945.0,113 CDM,RRUCLASM-7612759900-27599-0761-SM40100-1000-900,HB MANIP KNEE/FEMUR W CONSCIOUS SEDATION,900.0,495.0,225.0,810.0,113 CDM,RRUCLASM-7612765000-27650-0761-SM40100-1000-10360,HB REPR ACHILLES OPEN OR PERCUTANEOUS,10360.0,5698.0,2590.0,9324.0,113 CDM,RRUCLASM-7612775000-27750-0761-SM40100-1000-840,HB CLSD FXTX TIBIA +/- FIBULA WO MANIP,840.0,462.0,210.0,756.0,113 CDM,RRUCLASM-7612775200-27752-0761-SM40100-1000-6740,HB CLSD FXTX TIBIA +/- FIBULA +MANIP,6740.0,3707.0,1685.0,6066.0,113 CDM,RRUCLASM-7612776000-27760-0761-SM40100-1000-870,HB CLSD FXTX MED MALLEOLUS WO MANIP,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-7612776200-27762-0761-SM40100-1000-5910,HB CLSD FXTX MED MALLEOLUS +MANIP,5910.0,3250.5,1477.5,5319.0,113 CDM,RRUCLASM-7612776800-27768-0761-SM40100-1000-6620,HB CLSD FXTX POST MALLEOLUS +MANIP,6620.0,3641.0,1655.0,5958.0,113 CDM,RRUCLASM-7612778100-27781-0761-SM40100-1000-5630,HB CLSD FXTX FIBULA PROX SHAFT +MANIP,5630.0,3096.5,1407.5,5067.0,113 CDM,RRUCLASM-7612778600-27786-0761-SM40100-1000-870,HB CLSD FXTX FIBULA DISTAL WO MANIP,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-7612778800-27788-0761-SM40100-1000-950,HB CLSD FXTX FIBULA DISTAL +MANIP,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-7612780800-27808-0761-SM40100-1000-830,HB CLSD FXTX ANKLE BIMALLEOLAR,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612781000-27810-0761-SM40100-1000-5510,HB CLSD FXTX ANKLE BIMALLEOLAR W MANIP,5510.0,3030.5,1377.5,4959.0,113 CDM,RRUCLASM-7612781600-27816-0761-SM40100-1000-870,HB CLSD FXTX ANKLE TRIMALLEOLAR,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-7612781800-27818-0761-SM40100-1000-6230,HB CLSD FXTX ANKLE TRIMALLEOLAR W MANIP,6230.0,3426.5,1557.5,5607.0,113 CDM,RRUCLASM-7612782400-27824-0761-SM40100-1000-880,HB CLSD FXTX TIBIA DISTAL WT BEAR WO MANIP,880.0,484.0,220.0,792.0,113 CDM,RRUCLASM-7612782500-27825-0761-SM40100-1000-5910,HB CLSD FXTX DISTAL TIBIA W WO ANES W SKELT TRCTN W WO MANIP,5910.0,3250.5,1477.5,5319.0,113 CDM,RRUCLASM-7612783000-27830-0761-SM40100-1000-870,HB CLSD DISLOCTX TIBIOFIB PROX JNT,870.0,478.5,217.5,783.0,113 CDM,RRUCLASM-7612784000-27840-0761-SM40100-1000-1020,HB CLSD DISLOCTX ANKLE WO ANESTH,1020.0,561.0,255.0,918.0,113 CDM,RRUCLASM-7612784200-27842-0761-SM40100-1000-5210,HB CLSD DISLOCTX ANKLE +ANESTH,5210.0,2865.5,1302.5,4689.0,113 CDM,RRUCLASM-7612802200-28022-0761-SM40100-1000-12370,HB ARTHROTOMY EXPLOR/DRAIN/REMV FB METATARSLPHALANGL JT,12370.0,6803.5,3092.5,11133.0,113 CDM,RRUCLASM-7612819000-28190-0761-SM40100-1000-2810,HB FOOT FB REMOVE SUBQ,2810.0,1545.5,702.5,2529.0,113 CDM,RRUCLASM-7612820800-28208-0761-SM40100-1000-10500,HB REPR FOOT EXTENSOR TENDON,10500.0,5775.0,2625.0,9450.0,113 CDM,RRUCLASM-7612840000-28400-0761-SM40100-1000-830,HB CLSD FXTX CALCANEAL WO MANIP,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612840500-28405-0761-SM40100-1000-1880,HB CLSD FXTX CALCANEAL +MANIP,1880.0,1034.0,470.0,1692.0,113 CDM,RRUCLASM-7612843500-28435-0761-SM40100-1000-5910,HB CLSD FXTX TALUS W MANIP,5910.0,3250.5,1477.5,5319.0,113 CDM,RRUCLASM-7612845500-28455-0761-SM40100-1000-2440,HB CLSD FXTX TARSAL +MANIP,2440.0,1342.0,610.0,2196.0,113 CDM,RRUCLASM-7612847000-28470-0761-SM40100-1000-910,HB CLSD FXTX METATARSAL WO MANIP EA,910.0,500.5,227.5,819.0,113 CDM,RRUCLASM-7612847500-28475-0761-SM40100-1000-950,HB CLSD FXTX METATARSAL +MANIP,950.0,522.5,237.5,855.0,113 CDM,RRUCLASM-7612849500-28495-0761-SM40100-1000-1030,HB CLSD FXTX BIG TOE +MANIP,1030.0,566.5,257.5,927.0,113 CDM,RRUCLASM-7612851000-28510-0761-SM40100-1000-830,HB CLSD FXTX OTHR TOE(S) WO MANIP EA,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612851500-28515-0761-SM40100-1000-1110,HB CLSD FXTX OTHER TOE(S)+MANIP EA,1110.0,610.5,277.5,999.0,113 CDM,RRUCLASM-7612854000-28540-0761-SM40100-1000-830,HB CLSD DISLOCTX FOOT TARSAL WO ANESTHESIA,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612857000-28570-0761-SM40100-1000-830,HB CLSD DISLOCTX FOOT TALOTARSAL WO ANESTH,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612860000-28600-0761-SM40100-1000-830,HB CLSD DISLOCTX FOOT TARSOMETATARSAL,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7612860600-28606-0761-SM40100-1000-10210,HB PERCUTANEOUS FIX TARSOMETARSAL DISLOC,10210.0,5615.5,2552.5,9189.0,113 CDM,RRUCLASM-7612863000-28630-0761-SM40100-1000-990,HB CLSD DISLOCTX FOOT MTP WO ANESTH,990.0,544.5,247.5,891.0,113 CDM,RRUCLASM-7612863600-28636-0761-SM40100-1000-10210,HB PERCUTANEOUS FIX METATARSOPHLNG DISLOC,10210.0,5615.5,2552.5,9189.0,113 CDM,RRUCLASM-7612866000-28660-0761-SM40100-1000-1250,HB CLSD DISLOCTX FOOT IP JT WO ANESTH,1250.0,687.5,312.5,1125.0,113 CDM,RRUCLASM-7612866500-28665-0761-SM40100-1000-1320,HB CLSD DISLOCTX FOOT IP JT+ANESTH,1320.0,726.0,330.0,1188.0,113 CDM,RRUCLASM-7613002000-30020-0761-SM40100-1000-2050,HB ABSCESS DRAIN NASAL SEPTUM,2050.0,1127.5,512.5,1845.0,113 CDM,RRUCLASM-7613030000-30300-0761-SM40100-1000-530,HB NASAL FB REMOVE,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-7613090100-30901-0761-SM40100-1000-680,HB NOSEBLEED PACK ANTERIOR SIMPLE,680.0,374.0,170.0,612.0,113 CDM,RRUCLASM-7613090300-30903-0761-SM40100-1000-810,HB NOSEBLEED PACK ANTERIOR COMPLEX,810.0,445.5,202.5,729.0,113 CDM,RRUCLASM-7613090500-30905-0761-SM40100-1000-450,HB NOSEBLEED PACK POSTERIOR INITIAL,450.0,247.5,112.5,405.0,113 CDM,RRUCLASM-7613090600-30906-0761-SM40100-1000-720,HB NOSEBLEED PACK POSTERIOR SUBSQ,720.0,396.0,180.0,648.0,113 CDM,RRUCLASM-7613123100-31231-0761-SM40100-1000-720,HB NASAL ENDOSCOPY DIAG UNI/BI,720.0,396.0,180.0,648.0,113 CDM,RRUCLASM-7613123700-31237-0761-SM40100-1000-5780,HB NASAL OR SINUS ENDOSCOPY SURG BIOPSY OR POLYPECTOMY OR DEBRID,5780.0,3179.0,1445.0,5202.0,113 CDM,RRUCLASM-7613123800-31238-0761-SM40100-1000-7270,HB NASAL OR SINUS ENDOSCOPY SURG CONTROL OF NASAL HEMORRHAGE,7270.0,3998.5,1817.5,6543.0,113 CDM,RRUCLASM-7613150000-31500-0761-SM40100-1000-1290,HB ENDOTRACHEAL INTUBATION,1290.0,709.5,322.5,1161.0,113 CDM,RRUCLASM-7613150200-31502-0761-SM40100-1000-760,HB TRACH TUBE CHANGE,760.0,418.0,190.0,684.0,113 CDM,RRUCLASM-7613150500-31505-0761-SM40100-1000-710,HB LARYNGOSCOPY INDIRECT DIAGNOSTIC,710.0,390.5,177.5,639.0,113 CDM,RRUCLASM-7613151100-31511-0761-SM40100-1000-790,HB LARYNGOSCOPY INDIRECT +FB REMOVE,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-7613151500-31515-0761-SM40100-1000-3010,HB LARYNGOSCOPY DIRECT FOR ASPIRATION,3010.0,1655.5,752.5,2709.0,113 CDM,RRUCLASM-7613152500-31525-0761-SM40100-1000-3580,HB LARYNGOSCOPY DIRECT DIAGNOSTIC,3580.0,1969.0,895.0,3222.0,113 CDM,RRUCLASM-7613153000-31530-0761-SM40100-1000-5100,HB LARYNGOSCOPY DIRECT +FB REMOVE,5100.0,2805.0,1275.0,4590.0,113 CDM,RRUCLASM-7613157500-31575-0761-SM40100-1000-780,HB LARYNGOSCOPY FLEX DIAG,780.0,429.0,195.0,702.0,113 CDM,RRUCLASM-7613157700-31577-0761-SM40100-1000-6290,HB LARYNGOSCOPY FLEXIBLE W FB REMOVE,6290.0,3459.5,1572.5,5661.0,113 CDM,RRUCLASM-7613160000-31600-0761-SM40100-1000-8490,HB TRACHEOSTOMY PLANNED,8490.0,4669.5,2122.5,7641.0,113 CDM,RRUCLASM-7613160300-31603-0761-SM40100-1000-4390,HB TRACHEOSTOMY TRANSTRACH EMERG,4390.0,2414.5,1097.5,3951.0,113 CDM,RRUCLASM-7613160500-31605-0761-SM40100-1000-1770,HB TRACHEOSTOMY CRICOTHYROID EMERG,1770.0,973.5,442.5,1593.0,113 CDM,RRUCLASM-7613161500-31615-0761-SM40100-1000-1940,HB TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INCIS,1940.0,1067.0,485.0,1746.0,113 CDM,RRUCLASM-7613162200-31622-0761-SM40100-1000-5480,HB BRONCH +/- CELL WASHING,5480.0,3014.0,1370.0,4932.0,113 CDM,RRUCLASM-7613162400-31624-0761-SM40100-1000-5340,HB BRONCH + ALVEOLAR LAVAGE,5340.0,2937.0,1335.0,4806.0,113 CDM,RRUCLASM-7613163500-31635-0761-SM40100-1000-5100,HB BRONCH +REMOVE FOREIGN BODY,5100.0,2805.0,1275.0,4590.0,113 CDM,RRUCLASM-7613164500-31645-0761-SM40100-1000-5100,HB BRONCH +THERAPY ASPIRATION,5100.0,2805.0,1275.0,4590.0,113 CDM,RRUCLASM-7613189900-31899-0761-SM40100-1000-640,HB UNLISTED PROCEDURE TRACHEA BRONCHI,640.0,352.0,160.0,576.0,113 CDM,RRUCLASM-7613210000-32100-0761-SM40100-1000-2590,HB THORACOTOMY W EXPLORATION,2590.0,1424.5,647.5,2331.0,113 CDM,RRUCLASM-7613211000-32110-0450-SM40100-1000-2420,HB THORACOTOMY CONTROL TRAUMA BLEED,2420.0,1331.0,605.0,3339.0,113 CDM,RRUCLASM-7613216000-32160-0450-SM40100-1000-2940,HB THORACOTOMY CARDIAC MASSAGE,2940.0,1617.0,735.0,3339.0,113 CDM,RRUCLASM-7613240000-32400-0361-SM46800-1000-4340,HB NEEDLE BIOPSY PLEURA,4340.0,2387.0,1085.0,5326.0,113 CDM,RRUCLASM-7613240800-32408-0761-SM46700-1000-5340,HB NEEDLE BIOPSY LUNG/MEDIASTINUM W WO IMAGE GUIDANCE,5340.0,2937.0,1335.0,4806.0,113 CDM,RRUCLASM-7613255000-32550-0361-SM40100-1000-12610,HB CATH PLACE PLEURAL TUNNELLED,12610.0,6935.5,3152.5,11349.0,114 CDM,RRUCLASM-7613255100-32551-0761-SM40100-1000-4780,HB TUBE THORACOSTOMY,4780.0,2629.0,1195.0,4302.0,113 CDM,RRUCLASM-7613255200-32552-0361-SM46700-1000-1500,HB REMOV INDWELL TUN PLEURAL CATH,1500.0,825.0,375.0,6925.0,113 CDM,RRUCLASM-7613255400-32554-0761-SM40100-1000-2470,HB THORACENTESIS WO IMAGING,2470.0,1358.5,617.5,2223.0,113 CDM,RRUCLASM-7613255500-32555-0761-SM40100-1000-3640,HB THORACENTESIS WITH IMAGING,3640.0,2002.0,910.0,3276.0,113 CDM,RRUCLASM-7613255600-32556-0761-SM40100-1000-2870,HB DRAIN PLEURA WO IMAGING,2870.0,1578.5,717.5,2583.0,113 CDM,RRUCLASM-7613255700-32557-0761-SM40100-1000-3940,HB DRAIN PLEURA W IMAGING,3940.0,2167.0,985.0,3546.0,113 CDM,RRUCLASM-7613256000-32560-0361-SM46800-1000-2430,HB CHEMICAL PLEURODESIS,2430.0,1336.5,607.5,5326.0,113 CDM,RRUCLASM-7613256100-32561-0361-SM40100-1000-2470,HB INSTIL FBRLYTC CHESTTUBE 1ST DAY,2470.0,1358.5,617.5,5326.0,113 CDM,RRUCLASM-7613299400-32994-0361-SM46800-1000-19430,HB CRYOABLATION >= 1 PULM TUMOR PERQ UNI WITH IMAGE GUIDANCE,19430.0,10686.5,4857.5,17487.0,114 CDM,RRUCLASM-7613299800-32998-0361-SM46800-1000-22660,HB ABLATION RF PULMONARY UNILAT,22660.0,12463.0,5247.77,20394.0,114 CDM,RRUCLASM-7613299900-32999-0361-SM46800-1000-2950,HB ABLATION LUNG LESION,2950.0,1622.5,737.5,3921.41,113 CDM,RRUCLASM-7613299902-32999-0361-SM46700-1000-2590,HB PLEURAL DRAIN REPLACE W IMAGING,2590.0,1424.5,647.5,3921.41,113 CDM,RRUCLASM-7613299903-32999-0761-SM46800-1000-2470,HB PLACE FIDUCIAL MARKER LUNG W CT IMAG GUIDE,2470.0,1358.5,617.5,2223.0,113 CDM,RRUCLASM-7613299905-32999-0761-SM46800-1000-2470,HB AUTOLOGOUS BLOOD PATCH INSTILL VIA CHEST TUBE,2470.0,1358.5,617.5,2223.0,113 CDM,RRUCLASM-7613301600-33016-0761-SM40100-1000-7210,HB PERICARDIOCENTESIS W WO IMAG GUIDE,7210.0,3965.5,1802.5,6489.0,113 CDM,RRUCLASM-7613302000-33020-0761-SM40100-1000-17540,HB PERICARDIOTOMY RMV CLOT FB,17540.0,9647.0,4385.0,15786.0,113 CDM,RRUCLASM-7613321000-33210-0761-SM40100-1000-24380,HB TEMPORARY PACEMAKER INSERT BEDSIDE,24380.0,13409.0,6095.0,21942.0,113 CDM,RRUCLASM-7613328500-33285-0761-SM45900-1000-31550,HB INSERT SUBQ CARDIAC RHYTHM MONIT W PROGRAM BEDSIDE,31550.0,17352.5,7887.5,28395.0,113 CDM,RRUCLASM-7613330000-33300-0761-SM40100-1000-7830,HB REPAIR CARDIAC WOUND WO BYPASS,7830.0,4306.5,1957.5,7047.0,113 CDM,RRUCLASM-7613395200-33952-0361-SM40100-1000-11210,HB ECMO SUPPORT INSERT PERIPH CANNULA >= 6 Y/O,11210.0,6165.5,1211.02,10931.0,114 CDM,RRUCLASM-7613520600-35206-0761-SM40100-1000-9890,HB RPR BLOOD VESSEL DIRECT UPPER EXTREMITY,9890.0,5439.5,2472.5,8901.0,113 CDM,RRUCLASM-7613522600-35226-0761-SM40100-1000-2280,HB REPR BLOOD VESSEL DIRECT LOWER EXTREMITY,2280.0,1254.0,570.0,2052.0,113 CDM,RRUCLASM-7613586000-35860-0761-SM40100-1000-9700,HB EXPLOR POSTOP HEM THRMB INFECT EXTREMITY,9700.0,5335.0,2425.0,8730.0,113 CDM,RRUCLASM-7613600200-36002-0361-SM46700-1000-1610,HB PSEUDOANEURYSM INJ THROMBIN,1610.0,885.5,402.5,5326.0,113 CDM,RRUCLASM-7613600500-36005-0361-SM46700-1000-500,HB VENOGRM INJECTION,500.0,275.0,125.0,6925.0,113 CDM,RRUCLASM-7613601100-36011-0761-SM40100-1000-1610,HB CATH VEIN 1ST ORDER,1610.0,885.5,402.5,1449.0,113 CDM,RRUCLASM-7613640000-36400-0761-SM40100-1000-440,HB VENIPUNCT FEM/JUG VEIN >=3Y/O,440.0,242.0,110.0,396.0,113 CDM,RRUCLASM-7613640600-36406-0761-SM40100-1000-260,HB VENIPUNCT REQ MD SKILL <=3Y/O,260.0,143.0,65.0,234.0,113 CDM,RRUCLASM-7613647100-36471-0761-SM46700-1000-530,HB SCLEROTHERAPY MULT INCMPTNT VEINS SAME LEG INJ,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-7613651100-36511-0761-SM45430-1000-7490,HB THER APHERES LEUKO DEPLETED,7490.0,4119.5,1872.5,6741.0,113 CDM,RRUCLASM-7613651200-36512-0761-SM45430-1000-7490,HB THER APHERES RED CELL EXCHANGE,7490.0,4119.5,1872.5,6741.0,113 CDM,RRUCLASM-7613651300-36513-0761-SM45430-1000-5260,HB THER APHERES PLATELET DEPLETED,5260.0,2893.0,1315.0,4734.0,113 CDM,RRUCLASM-7613651400-36514-0761-SM45430-1000-7490,HB THER APHERES PLASMA EXCHANGE,7490.0,4119.5,1872.5,6741.0,113 CDM,RRUCLASM-7613652200-36522-0761-SM45430-1000-17860,HB PHOTOPHERESIS EXTRACORPOREAL,17860.0,9823.0,4465.0,16074.0,113 CDM,RRUCLASM-7613655500-36555-0761-SM40100-1000-6860,HB CV CATH NONTUNNL INSRT CENTRAL<5YRS,6860.0,3773.0,1715.0,6174.0,113 CDM,RRUCLASM-7613655600-36556-0761-SM40100-1000-6240,HB CV CATH NONTUNNL INSRT CENTRAL>5YRS,6240.0,3432.0,1560.0,5616.0,113 CDM,RRUCLASM-7613655700-36557-0761-SM40100-1000-15680,HB CV CATH TUNNEL INSRT CENTR<5YR,15680.0,8624.0,3920.0,14112.0,113 CDM,RRUCLASM-7613655800-36558-0761-SM40100-1000-11780,HB CV CATH TUNNEL INSRT CENTR>5YR,11780.0,6479.0,2945.0,10602.0,113 CDM,RRUCLASM-7613656100-36561-0761-SM46300-1000-11710,HB VEN ACC DEVC TUNNEL+SQPORT>5YR,11710.0,6440.5,2927.5,10539.0,113 CDM,RRUCLASM-7613656901-36569-0761-SM40100-1000-3120,HB PICC LINE PLACE > 5 YEARS WO PORT/IMAG GUIDANCE,3120.0,1716.0,780.0,2808.0,113 CDM,RRUCLASM-7613657200-36572-0761-SM40100-1000-5320,HB PICC LINE PLACE < 5 YEARS WO PORT W IMAG GUIDANCE,5320.0,2926.0,1330.0,4788.0,113 CDM,RRUCLASM-7613657300-36573-0761-SM40100-1000-4840,HB PICC LINE PLACE > 5 YEARS WO PORT W IMAG GUIDANCE,4840.0,2662.0,1210.0,4356.0,113 CDM,RRUCLASM-7613657500-36575-0761-SM40100-1000-2950,HB CV CATH REPAIR WO SQPORT OR SQPUMP,2950.0,1622.5,737.5,2655.0,113 CDM,RRUCLASM-7613657600-36576-0761-SM40100-1000-3910,HB VEN ACCESS DEVC REPR+SQPORT OR SQ PUMP,3910.0,2150.5,977.5,3519.0,113 CDM,RRUCLASM-7613658000-36580-0361-SM48720-1000-4310,HB CV CATH REPLAC CENTR SAME ACC,4310.0,2370.5,1077.5,5326.0,113 CDM,RRUCLASM-7613658401-36584-0761-SM40100-1000-4780,HB PICC LINE REPLACE WO PORT VIA SAME VEN ACC W IMAG GUIDE,4780.0,2629.0,1195.0,4302.0,113 CDM,RRUCLASM-7613658900-36589-0761-SM40100-1000-2870,HB CV CATH TUNNELLED REMOVE,2870.0,1578.5,717.5,2583.0,113 CDM,RRUCLASM-7613659000-36590-0761-SM40100-1000-3710,HB VEN ACCESS DEVC REMOVE +SQ PORT/PUMP,3710.0,2040.5,927.5,3339.0,113 CDM,RRUCLASM-7613659300-36593-0761-SM40100-1000-2130,HB DECLOT CATH OR VASC ACCESS DEVICE+/-TPA,2130.0,1171.5,532.5,1917.0,113 CDM,RRUCLASM-7613659301-36593-0761-SM45430-1000-2130,HB PHERESIS DECLOT CATH OR VASC ACCESS DEVICE+/-TPA,2130.0,1171.5,532.5,1917.0,113 CDM,RRUCLASM-7613659700-36597-0361-SM48720-1000-5440,HB CV CATH REPOSITION,5440.0,2992.0,1360.0,5326.0,113 CDM,RRUCLASM-7613659800-36598-0361-SM46300-1000-690,HB VEN ACC DEVC CHECK+FLUORO,690.0,379.5,172.5,5326.0,113 CDM,RRUCLASM-7613662000-36620-0761-SM40100-1000-2770,HB CATHETERIZATION ARTERIAL PERCUTANEOUS,2770.0,1523.5,692.5,2493.0,113 CDM,RRUCLASM-7613666000-36660-0450-SM40100-1000-190,HB CATHETERIZATION ARTERIAL UMBILICAL,190.0,104.5,47.5,3339.0,113 CDM,RRUCLASM-7613668000-36680-0761-SM40100-1000-1350,HB IV PLACEMENT INTRAOSSEOUS INFUSION,1350.0,742.5,337.5,1215.0,113 CDM,RRUCLASM-7613719500-37195-0761-SM40100-1000-1500,HB THROMBOLYSIS CEREBRAL BY IV INFUSION,1500.0,825.0,375.0,1350.0,113 CDM,RRUCLASM-7613724100-37241-0761-SM46300-1000-25580,HB VASC EMBO/OCCLUS CONGENITAL/ACQUIRED VENOUS MALFORMATIONS,25580.0,14069.0,6395.0,23022.0,113 CDM,RRUCLASM-7613724200-37242-0761-SM46300-1000-29800,HB VASC EMBO/OCCLUS CONGENITAL/ACQUIRED ARTERIAL MALFORMATIONS,29800.0,16390.0,7450.0,26820.0,113 CDM,RRUCLASM-7613724401-37244-0761-SM40100-1000-41060,HB VASC EMBO/OCCLUS FOR ARTERIAL/VENOUS HEMORRHAGE/LYMPH EXTRAVA,41060.0,22583.0,10265.0,36954.0,113 CDM,RRUCLASM-7613779900-37799-0361-SM48720-1000-2520,HB SCLEROTHER/THRMBCT UNSPECIFIED,2520.0,1386.0,630.0,3921.41,113 CDM,RRUCLASM-7613820510-38205-0761-SM45430-1000-11110,HB STEMCELL HARVST ALLO DONOR 10L-15L,11110.0,6110.5,2777.5,9999.0,113 CDM,RRUCLASM-7613820520-38205-0761-SM45430-1000-11110,HB STEMCELL HARVST ALLO DONOR >15L,11110.0,6110.5,2777.5,9999.0,113 CDM,RRUCLASM-7613820600-38206-0761-SM45430-1000-6730,HB STEMCELL HARVST AUTO DONOR PED,6730.0,3701.5,1682.5,6057.0,113 CDM,RRUCLASM-7613820610-38206-0761-SM45430-1000-7690,HB STEMCELL HARVST AUTO DONOR 10L,7690.0,4229.5,1922.5,6921.0,113 CDM,RRUCLASM-7613820620-38206-0761-SM45430-1000-10140,HB STEMCELL HARVST AUTO DONOR 20L,10140.0,5577.0,2535.0,9126.0,113 CDM,RRUCLASM-7613822000-38220-0761-SM40100-1000-2540,HB DX BONE MARROW ASPIRATION,2540.0,1397.0,635.0,2286.0,113 CDM,RRUCLASM-7613822100-38221-0761-SM40100-1000-2420,HB DX BONE MARROW NEEDLE BIOPSY,2420.0,1331.0,605.0,2178.0,113 CDM,RRUCLASM-7613822200-38222-0761-SM46301-1000-5040,HB DIAG BONE MARROW BIOPSY AND ASPIRATION,5040.0,2772.0,1411.2,10722.174778,123 CDM,RRUCLASM-7613850500-38505-0761-SM40100-1000-3430,HB NEEDLE BIOPSY LYMPH NODE,3430.0,1886.5,857.5,3087.0,113 CDM,RRUCLASM-7613899900-38999-0761-SM46700-1000-1860,HB UNLISTED PROC HEMIC OR LYMPHATIC SYST,1860.0,1023.0,465.0,1674.0,113 CDM,RRUCLASM-7614065000-40650-0761-SM40100-1000-1970,HB REPR LIP FULL THICK VERMILION,1970.0,1083.5,492.5,1773.0,113 CDM,RRUCLASM-7614065200-40652-0761-SM40100-1000-2500,HB RPR LIP FULL THKNS UP TO 1/2 VERT HGHT,2500.0,1375.0,625.0,2250.0,113 CDM,RRUCLASM-7614065400-40654-0761-SM40100-1000-5620,HB RPR LIP FULL THKNS > 1/2 VERT HGHT/CMPLX,5620.0,3091.0,1405.0,5058.0,113 CDM,RRUCLASM-7614080000-40800-0761-SM40100-1000-2770,HBMOUTH DRAIN ABSCESS CYST SIMPLE,2770.0,1523.5,692.5,2493.0,113 CDM,RRUCLASM-7614080100-40801-0761-SM40100-1000-3700,HB MOUTH DRAIN ABSCESS CYST COMPLEX,3700.0,2035.0,925.0,3330.0,113 CDM,RRUCLASM-7614080400-40804-0761-SM40100-1000-1230,HB MOUTH EMBEDDED FB REMOVE SIMPLE,1230.0,676.5,307.5,1107.0,113 CDM,RRUCLASM-7614080500-40805-0761-SM40100-1000-1940,HB REMV EMBEDDED FB VESTIBULE MOUTH COMPL,1940.0,1067.0,485.0,1746.0,113 CDM,RRUCLASM-7614080800-40808-0761-SM40100-1000-1080,HB MOUTH VESTIBULE BIOPSY,1080.0,594.0,270.0,972.0,113 CDM,RRUCLASM-7614083000-40830-0761-SM40100-1000-1050,HB CLOSE LACERATION VESTIBULE OF MOUTH <=2.5 CM,1050.0,577.5,262.5,945.0,113 CDM,RRUCLASM-7614083100-40831-0761-SM40100-1000-2100,HB CLOSE LACERATION VESTIBULE OF MOUTH >=2.5 CM,2100.0,1155.0,525.0,1890.0,113 CDM,RRUCLASM-7614100500-41005-0761-SM40100-1000-910,HB I&D INTRAORAL SUBLING ABSCES SUPERFICIAL,910.0,500.5,227.5,819.0,113 CDM,RRUCLASM-7614100800-41008-0761-SM40100-1000-12360,HB INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,12360.0,6798.0,3090.0,11124.0,113 CDM,RRUCLASM-7614100900-41009-0761-SM40100-1000-1940,HB INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE,1940.0,1067.0,485.0,1746.0,113 CDM,RRUCLASM-7614110000-41100-0761-SM40100-1000-1940,HB BX TONGUE ANTERIOR 2/3,1940.0,1067.0,485.0,1746.0,113 CDM,RRUCLASM-7614111500-41115-0761-SM40100-1000-4970,HB EXCIS LINGUAL FRENUM,4970.0,2733.5,1242.5,4473.0,113 CDM,RRUCLASM-7614125000-41250-0761-SM40100-1000-860,HB REPR TONGUE LACERATION ANT<2.5,860.0,473.0,215.0,774.0,113 CDM,RRUCLASM-7614125100-41251-0761-SM40100-1000-970,HB REPR TONGUE LACERATION POST 1/3 <=2.5CM,970.0,533.5,242.5,873.0,113 CDM,RRUCLASM-7614125200-41252-0761-SM40100-1000-1880,HB REPR TONGUE LACERATION > 2.6 CM,1880.0,1034.0,470.0,1692.0,113 CDM,RRUCLASM-7614159900-41599-0761-SM40100-1000-890,HB SUBLINGUAL FB REMOVE,890.0,489.5,249.2,874.284082,123 CDM,RRUCLASM-7614180000-41800-0761-SM40100-1000-890,HB I&D ABSC CYST HEM DENTOALVEOLR,890.0,489.5,222.5,801.0,113 CDM,RRUCLASM-7614189900-41899-0761-SM40100-1000-1460,HB DENTOALVEOLAR STRUCTURE SERVICE UNLISTED,1460.0,803.0,365.0,1314.0,113 CDM,RRUCLASM-7614200000-42000-0761-SM40100-1000-680,HB I&D PALATE UVULA ABSCESS,680.0,374.0,170.0,612.0,113 CDM,RRUCLASM-7614218000-42180-0761-SM40100-1000-2080,HB REPR PALATE LACERATION <=2 CM,2080.0,1144.0,582.4,1990.822855,123 CDM,RRUCLASM-7614240000-42400-0361-SM46301-1000-2630,HB BIOPSY SALIVARY GLAND NEEDLE,2630.0,1446.5,657.5,5326.0,113 CDM,RRUCLASM-7614270000-42700-0761-SM40100-1000-1000,HB I&D PERITONSILLAR ABSCESS,1000.0,550.0,250.0,900.0,113 CDM,RRUCLASM-7614272000-42720-0761-SM40100-1000-3630,HB I&D RETRO PARAPHARYNGEAL ABSCESS,3630.0,1996.5,907.5,3267.0,113 CDM,RRUCLASM-7614280900-42809-0761-SM40100-1000-1620,HB PHARYNX FB REMOVE,1620.0,891.0,405.0,1458.0,113 CDM,RRUCLASM-7614296000-42960-0761-SM40100-1000-1620,HB OROPHARYNG CONTROL BLEED SIMPLE,1620.0,891.0,405.0,1458.0,113 CDM,RRUCLASM-7614299901-42999-0761-SM40100-1000-900,HB DRAIN BRANCHIAL CLEFT CYST,900.0,495.0,225.0,810.0,113 CDM,RRUCLASM-7614319700-43197-0761-SM40100-1000-3470,HB ESOPHAGOSCOPY FLEX TRNSNASL DIAG,3470.0,1908.5,867.5,3123.0,113 CDM,RRUCLASM-7614321500-43215-0761-SM40100-1000-5510,HB ESOPHAGOSCOPY FB REMOVE,5510.0,3030.5,1377.5,4959.0,113 CDM,RRUCLASM-7614323500-43235-0761-SM40100-1000-3600,HB GASTROSCOPY +/- COLLECT SPECIMEN,3600.0,1980.0,900.0,3240.0,113 CDM,RRUCLASM-7614323900-43239-0761-SM40100-1000-4000,HB UPPER GI EDG(J) +BIOPSY SINGLE/MULTIPLE,4000.0,2200.0,1000.0,3600.0,113 CDM,RRUCLASM-7614324700-43247-0761-SM40100-1000-5070,HB GASTROSCOPY +FB REMOVE,5070.0,2788.5,1267.5,4563.0,113 CDM,RRUCLASM-7614325500-43255-0761-SM40100-1000-5340,HB GASTROSCOPY +CONTROL BLEEDING,5340.0,2937.0,1335.0,4806.0,113 CDM,RRUCLASM-7614375200-43752-0361-SM40100-1000-1730,HB NASOGASTRIC TUBE PLACEMENT,1730.0,951.5,432.5,5326.0,113 CDM,RRUCLASM-7614375300-43753-0761-SM40100-1000-1000,HB NASOGASTRIC INTUBATION LAVAGE,1000.0,550.0,250.0,900.0,113 CDM,RRUCLASM-7614376100-43761-0361-SM40100-1000-910,HB GASTROSTOMY TUBE REPOSITIONING,910.0,500.5,227.5,5326.0,113 CDM,RRUCLASM-7614376200-43762-0761-SM40100-1000-930,HB GASTROSTOMY TUBE REPLACE WO TRACT REVISION,930.0,511.5,232.5,837.0,113 CDM,RRUCLASM-7614450000-44500-0361-SM40100-1000-1610,HB LONG GI TUBE PLACEMENT,1610.0,885.5,402.5,5326.0,113 CDM,RRUCLASM-7614470500-G0455-0761-SM40100-1000-1250,HB PREP WITH INSTILL FECAL MICROBIOTA,1250.0,687.5,350.0,3432.752183,123 CDM,RRUCLASM-7614479902-44799-0761-SM40100-1000-3580,HB UNLISTED PROC INTESTINE J-TUBE EXCHANGE,3580.0,1969.0,895.0,3222.0,113 CDM,RRUCLASM-7614500500-45005-0761-SM40100-1000-3610,HB I&D RECTUM SUBMUCOSAL ABSCESS,3610.0,1985.5,902.5,3249.0,113 CDM,RRUCLASM-7614530000-45300-0761-SM40100-1000-3740,HB PROCTOSIGMOIDOSCOPY DIAGNOSTIC,3740.0,2057.0,935.0,3366.0,113 CDM,RRUCLASM-7614530700-45307-0761-SM40100-1000-8940,HB PROCTOSIGMOIDOSCOPY +FB REMOVE,8940.0,4917.0,2235.0,8046.0,113 CDM,RRUCLASM-7614533000-45330-0761-SM40100-1000-3350,HB FLEX SIGMOIDOSCOPY DIAGNOSTIC+/-SPECIMEN,3350.0,1842.5,837.5,3015.0,113 CDM,RRUCLASM-7614533100-45331-0761-SM40100-1000-2870,HB FLEX SIGMOIDOSCOPY +BIOPSY(S),2870.0,1578.5,717.5,2583.0,113 CDM,RRUCLASM-7614533700-45337-0761-SM40100-1000-4570,HB FLEX SIGMOID DECOMPRESS VOLVUS,4570.0,2513.5,1142.5,4113.0,113 CDM,RRUCLASM-7614538000-45380-0761-SM40100-1000-4640,HB COLONOSCOPY FLEX W BIOPSY SGL OR MULT,4640.0,2552.0,1160.0,4176.0,113 CDM,RRUCLASM-7614591500-45915-0761-SM40100-1000-3610,HB FECAL IMPACTION REMOVE +ANESTH,3610.0,1985.5,902.5,3249.0,113 CDM,RRUCLASM-7614599900-45999-0761-SM40100-1000-3560,HB UNLISTED PROCEDURE RECTUM,3560.0,1958.0,890.0,3204.0,113 CDM,RRUCLASM-7614604000-46040-0761-SM40100-1000-5540,HB I&D ISHIO& PERIRECTAL ABSCESS,5540.0,3047.0,1385.0,4986.0,113 CDM,RRUCLASM-7614605000-46050-0761-SM40100-1000-4060,HB I&D PERIANAL ABSCESS,4060.0,2233.0,1015.0,3654.0,113 CDM,RRUCLASM-7614608300-46083-0761-SM40100-1000-1130,HB HEMORRHOID THROMBOSED INCISE,1130.0,621.5,282.5,1017.0,113 CDM,RRUCLASM-7614622100-46221-0761-SM40100-1000-3600,HB HEMORRHOID EXCISION BY LIGATURE,3600.0,1980.0,900.0,3240.0,113 CDM,RRUCLASM-7614632000-46320-0761-SM40100-1000-5240,HB HEMORRHOID EXCIS THROMBOSED EXTRNL,5240.0,2882.0,1310.0,4716.0,113 CDM,RRUCLASM-7614660000-46600-0761-SM40100-1000-830,HB ANOSCOPY DIAGNOSTIC +/-SPECIMEN,830.0,456.5,207.5,747.0,113 CDM,RRUCLASM-7614660800-46608-0761-SM40100-1000-2980,HB ANOSCOPY DIAGNOSTIC RECTUM FB REMOVE,2980.0,1639.0,745.0,2682.0,113 CDM,RRUCLASM-7614661400-46614-0761-SM40100-1000-4390,HB ANOSCOPY DIAGNOSTIC +CONTROL BLEEDING,4390.0,2414.5,1097.5,3951.0,113 CDM,RRUCLASM-7614700000-47000-0761-SM46700-1000-4680,HB LIVER BIOPSY NEEDLE,4680.0,2574.0,1170.0,4212.0,113 CDM,RRUCLASM-7614738000-47380-0361-SM46700-1000-6230,HB INTRAOP RF ABLATION LIVER TUMR,6230.0,3426.5,1557.5,11883.0,113 CDM,RRUCLASM-7614738200-47382-0361-SM46700-1000-11780,HB RF ABLATION LIVER TUMOR(S),11780.0,6479.0,2945.0,13417.0,114 CDM,RRUCLASM-7614738300-47383-0361-SM46800-1000-16770,HB CRYOABLATION LIVER TUMOR(S) PERCUTANEOUS,16770.0,9223.5,4192.5,15093.0,114 CDM,RRUCLASM-7614739900-47399-0761-SM46700-1000-2500,HB ETHANOL ABLATION LIVER,2500.0,1375.0,625.0,2250.0,113 CDM,RRUCLASM-7614749000-47490-0361-SM46300-1000-6800,HB ABSCESS DRAIN GALLBLADDER,6800.0,3740.0,1700.0,6120.0,113 CDM,RRUCLASM-7614753100-47531-0361-SM46300-1000-6760,HB CHOLANGIOGRAM INJECTION WITH IMAGE GUIDANCE S&I EXISTING ACCE,6760.0,3718.0,1690.0,6084.0,113 CDM,RRUCLASM-7614753200-47532-0361-SM46300-1000-13610,HB CHOLANGIOGRAM INJECTION WITH NEW ACCESS,13610.0,7485.5,3402.5,12249.0,114 CDM,RRUCLASM-7614753600-47536-0361-SM40100-1000-7470,HB CHOLANGIOGRAM BILIARY DRAINAGE EXCHANGE WITH IMAGE GUIDANCE,7470.0,4108.5,1867.5,6723.0,113 CDM,RRUCLASM-7614810200-48102-0361-SM46700-1000-4410,HB NEEDLE BIOPSY PANCREAS,4410.0,2425.5,1102.5,5326.0,113 CDM,RRUCLASM-7614908200-49082-0761-SM40100-1000-1280,HB PARACENTESIS ABDOM WO IMAG GUIDE,1280.0,704.0,320.0,1152.0,113 CDM,RRUCLASM-7614908300-49083-0761-SM40100-1000-3570,HB PARACENTESIS ABDOM W IMAG GUIDE,3570.0,1963.5,892.5,3213.0,113 CDM,RRUCLASM-7614908400-49084-0761-SM40100-1000-3570,HB PERITONEAL LAVAGE +/- IMAGING,3570.0,1963.5,892.5,3213.0,113 CDM,RRUCLASM-7614918000-49180-0761-SM40100-1000-3580,HB NEEDLE BIOPSY ABDOMINAL MASS,3580.0,1969.0,895.0,3222.0,113 CDM,RRUCLASM-7614918500-49185-0361-SM46700-1000-4070,HB FLUID COLLECT SCLEROTHERAPY WITH IMAGE GUIDANCE S&I,4070.0,2238.5,1017.5,5326.0,113 CDM,RRUCLASM-7614940500-49405-0761-SM40100-1000-4850,HB CATH DRAIN FLUID VISCERAL PERCUTANEOUS,4850.0,2667.5,1212.5,4365.0,113 CDM,RRUCLASM-7614940600-49406-0761-SM40100-1000-4850,HB CATH DRAIN FLUID PERITONEAL/RETROPERITONEAL PERCUTANEOUS,4850.0,2667.5,1212.5,4365.0,113 CDM,RRUCLASM-7614940700-49407-0761-SM40100-1000-4850,HB CATH DRAIN FLUID PERITONEAL/RETROPERITONEAL TRANSVAGINA/TRANS,4850.0,2667.5,1212.5,4365.0,113 CDM,RRUCLASM-7614941800-49418-0361-SM46700-1000-13600,HB IP CATH TUNNELLED PERQ INSERT,13600.0,7480.0,3400.0,12240.0,114 CDM,RRUCLASM-7614942200-49422-0361-SM46700-1000-6120,HB CATH REMOVE INTRAPERITONL PERM,6120.0,3366.0,1530.0,6925.0,113 CDM,RRUCLASM-7614942300-49423-0361-SM46700-1000-3930,HB CATH CHANGE ABSCESS DRAIN,3930.0,2161.5,982.5,5326.0,113 CDM,RRUCLASM-7614942400-49424-0361-SM46300-1000-810,HB ABSCESSOGRAM INJECTION,810.0,445.5,202.5,5326.0,113 CDM,RRUCLASM-7614945000-49450-0761-SM40100-1000-3570,HB GASTROSTOMY /CECOSTMY CHG +FL,3570.0,1963.5,892.5,3213.0,113 CDM,RRUCLASM-7614945100-49451-0361-SM40100-1000-2630,HB DUODEN/JEJUNOSTOMY CHG+FLUORO,2630.0,1446.5,657.5,6925.0,113 CDM,RRUCLASM-7614946500-49465-0361-SM46300-1000-950,HB GI TUBE CHECK,950.0,522.5,237.5,5326.0,113 CDM,RRUCLASM-7614999900-49999-0361-SM46301-1000-2860,HB ABLAT ADB PERITONEUM OMENT LSN,2860.0,1573.0,715.0,5997.45,113 CDM,RRUCLASM-7615020000-50200-0361-SM46700-1000-3810,HB NEEDLE BIOPSY KIDNEY,3810.0,2095.5,952.5,5326.0,113 CDM,RRUCLASM-7615038400-50384-0361-SM46700-1000-7370,HB REMOVE URETERAL STENT,7370.0,4053.5,1842.5,6925.0,113 CDM,RRUCLASM-7615038700-50387-0361-SM46700-1000-4270,HB REMOV/REPLC URETERAL STENT EXT,4270.0,2348.5,1067.5,6925.0,113 CDM,RRUCLASM-7615038900-50389-0361-SM46300-1000-2770,HB REMOVE NEPHROSTOMY TUBE,2770.0,1523.5,692.5,5326.0,113 CDM,RRUCLASM-7615039000-50390-0361-SM46700-1000-2960,HB INJ / ASPIR RENAL CYST /PELVIS,2960.0,1628.0,740.0,5326.0,113 CDM,RRUCLASM-7615043000-50430-0361-SM46300-1000-2690,HB NEPHROSTOGRAM INJECTION WITH IMAGE GUIDANCE NEW ACCESS,2690.0,1479.5,672.5,5326.0,113 CDM,RRUCLASM-7615043100-50431-0361-SM46300-1000-2470,HB NEPHROSTOGRAM INJECTION WITH IMAGE GUIDANCE EXISTING ACCESS,2470.0,1358.5,617.5,5326.0,113 CDM,RRUCLASM-7615043200-50432-0361-SM46300-1000-6690,HB NEPHROSTOMY PLACEMENT WITH IMAGE GUIDANCE S&I,6690.0,3679.5,1672.5,6021.0,113 CDM,RRUCLASM-7615043300-50433-0361-SM46300-1000-7210,HB NEPHROSTOMY PLACEMENT WITH IMAGE GUIDANCE S&I NEW ACCESS,7210.0,3965.5,1802.5,6489.0,113 CDM,RRUCLASM-7615043400-50434-0361-SM46700-1000-4170,HB NEPHROSTOMY CONVERT WITH IMAGE GUIDANCE S&I,4170.0,2293.5,1042.5,5326.0,113 CDM,RRUCLASM-7615043500-50435-0361-SM40100-1000-6090,HB NEPHROSTOMY EXCHANGE WITH IMAGE GUIDANCE S&I,6090.0,3349.5,1522.5,5481.0,113 CDM,RRUCLASM-7615046300-G0463-0761-SM40787-1000-300,HB HOSPITAL OUTPATIENT CLINIC ASSESSMENT & MANAGEMENT,300.0,165.0,84.0,491.446172,123 CDM,RRUCLASM-7615059200-50592-0361-SM46700-1000-14790,HB RF ABLATION RENAL TUMOR(S),14790.0,8134.5,3697.5,13417.0,114 CDM,RRUCLASM-7615059300-50593-0361-SM46800-1000-31620,HB CRYOABLATION RENAL TUMOR UNI,31620.0,17391.0,5997.45,28458.0,114 CDM,RRUCLASM-7615069000-50690-0361-SM46300-1000-250,HB LOOPOGRAM INJECTION,250.0,137.5,62.5,5326.0,113 CDM,RRUCLASM-7615069300-50693-0361-SM46700-1000-10300,HB URETERAL STENT PLACEMENT WITH IMAGE GUIDANCE S&I,10300.0,5665.0,2575.0,9270.0,114 CDM,RRUCLASM-7615069400-50694-0361-SM46700-1000-10710,HB URETERAL STENT PLACEMENT WITH IMAGE GUIDANCE S&I NEW ACCESS W,11590.0,6374.5,2677.5,11223.0,228 CDM,RRUCLASM-7615070600-50706-0361-SM46700-1000-6930,HB URETERAL BALLN DILATION WITH IMAGE GUIDANCE S&I,6930.0,3811.5,1732.5,6925.0,113 CDM,RRUCLASM-7615110200-51102-0761-SM40100-1000-7740,HB SUPRAPUBIC ASPIR INSERT,7740.0,4257.0,1935.0,6966.0,113 CDM,RRUCLASM-7615160000-51600-0361-SM46300-1000-650,HB CYSTOGRAM / VCUG INJECTION,650.0,357.5,162.5,6925.0,113 CDM,RRUCLASM-7615161000-51610-0361-SM46300-1000-1930,HB RETROGRADE URETHROCYSTOGRM INJ,1930.0,1061.5,482.5,6925.0,113 CDM,RRUCLASM-7615170000-51700-0761-SM40100-1000-800,HB BLADDER IRRIGATION LAVAGE SIMPLE,800.0,440.0,200.0,720.0,113 CDM,RRUCLASM-7615170100-51701-0761-SM40100-1000-260,HB CATHETERIZATION BLADDER STRAIGHT,260.0,143.0,65.0,234.0,113 CDM,RRUCLASM-7615170200-51702-0761-SM40100-1000-390,HB CATHETERIZATION BLADDER FOLEY SIMPLE,390.0,214.5,97.5,351.0,113 CDM,RRUCLASM-7615170300-51703-0761-SM40100-1000-600,HB CATHETERIZATION BLADDER FOLEY COMPLEX,600.0,330.0,150.0,540.0,113 CDM,RRUCLASM-7615170500-51705-0761-SM40100-1000-970,HB CYSTOSTOMY TUBE CHANGE,970.0,533.5,242.5,873.0,113 CDM,RRUCLASM-7615179800-51798-0761-SM40100-1000-290,HB US MEASURE POSTVOID RES URINE/BLADDERCAP,290.0,159.5,72.5,261.0,113 CDM,RRUCLASM-7615200000-52000-0761-SM40100-1000-2840,HB CYSTOURETHROSCOPY,2840.0,1562.0,710.0,2556.0,113 CDM,RRUCLASM-7615200100-52001-0761-SM40100-1000-4540,HB CYSTOURETHROSCOPY+IRRIGATION+CLOT EXTRACTION,4540.0,2497.0,1135.0,4086.0,113 CDM,RRUCLASM-7615200500-52005-0761-SM40100-1000-8060,HB CYSTOURETHROSCOPY+URETER CATH,8060.0,4433.0,2015.0,7254.0,113 CDM,RRUCLASM-7615228100-52281-0761-SM40100-1000-6720,HB CYSTOURETHROSCOPY+CALIBRATION+/-DILAT,6720.0,3696.0,1680.0,6048.0,113 CDM,RRUCLASM-7615231000-52310-0761-SM40100-1000-7630,HB CYSTOURETHROSCOPY+FB REMOVE SIMPLE,7630.0,4196.5,1907.5,6867.0,113 CDM,RRUCLASM-7615302000-53020-0761-SM40100-1000-7920,HB MEATOTOMY CUTTING OF MEATUS EXCEPT INFANT,7920.0,4356.0,1980.0,7128.0,113 CDM,RRUCLASM-7615360000-53600-0761-SM40100-1000-920,HB DILATE URETHRAL STRICTURE MALE INITIAL,920.0,506.0,230.0,828.0,113 CDM,RRUCLASM-7615389900-53899-0361-SM46700-1000-970,HB RENAL ABLATION PROCEDURE,970.0,533.5,242.5,3921.41,113 CDM,RRUCLASM-7615406000-54060-0761-SM40100-1000-6340,HB PENIS LESION DESTRUCT SIMPLE SURG EXCISN,6340.0,3487.0,1585.0,5706.0,113 CDM,RRUCLASM-7615410000-54100-0761-SM40100-1000-5490,HB PENIS BIOPSY,5490.0,3019.5,1372.5,4941.0,113 CDM,RRUCLASM-7615422000-54220-0761-SM40100-1000-1130,HB CORPORA CAVERNOSA PRIAPISM IRRIGATION,1130.0,621.5,282.5,1017.0,113 CDM,RRUCLASM-7615423000-54230-0361-SM46800-1000-330,HB CORPORA CAVERNOSOGRAM INJECTN,330.0,181.5,82.5,297.0,113 CDM,RRUCLASM-7615423500-54235-0761-SM40100-1000-890,HB CORPORA CAVERNOSA PRIAPISM INJECTION,890.0,489.5,222.5,801.0,113 CDM,RRUCLASM-7615442000-54420-0761-SM40100-1000-6800,HB CORPORA CAVERNOSA PRIAPISM OPERATION UNI OR BILAT,6800.0,3740.0,1700.0,6120.0,113 CDM,RRUCLASM-7615445000-54450-0761-SM40100-1000-10320,HB FORESKIN MANIPULATION,10320.0,5676.0,2580.0,9288.0,113 CDM,RRUCLASM-7615470000-54700-0761-SM40100-1000-7920,HB I&D EPIDIDYMIS TESTIS SCROTAL SPACE,7920.0,4356.0,1980.0,7128.0,113 CDM,RRUCLASM-7615510000-55100-0761-SM40100-1000-5910,HB I&D SCROTAL WALL ABSCESS,5910.0,3250.5,1477.5,5319.0,113 CDM,RRUCLASM-7615570600-55706-0761-SM46700-1000-13720,HB NDL BIOPSY PROSTATE TRANSPERNL STEREO SAT SAMPL W IMAG GUIDE,13720.0,7546.0,3430.0,12348.0,113 CDM,RRUCLASM-7615570700-55707-0361-SM46600-1000-13600,HB BX PROSTATE TRANSRECT US GUIDE,13600.0,7480.0,3400.0,12240.0,114 CDM,RRUCLASM-7615570800-55708-0361-SM46600-1000-13600,HB BX PROSTATE TRANSRECT US W MRI FUSN-GUIDE 1ST LSN,13600.0,7480.0,3400.0,12240.0,114 CDM,RRUCLASM-7615570900-55709-0361-SM46600-1000-13600,HB BX PROSTATE TRANSPERNL US GUIDE,13600.0,7480.0,3400.0,12240.0,114 CDM,RRUCLASM-7615571000-55710-0361-SM46600-1000-13600,HB BX PROSTATE TRANSPERNL US W MRI FUSN-GUIDE 1ST LSN,13600.0,7480.0,3400.0,12240.0,114 CDM,RRUCLASM-7615571100-55711-0361-SM46600-1000-13600,HB BX PROSTATE TRANSRECT MRI-US FUSN GUIDE 1ST LSN,13600.0,7480.0,3400.0,12240.0,114 CDM,RRUCLASM-7615571200-55712-0361-SM46600-1000-13600,HB BX PROSTATE TRANSPERNL MRI-US FUSN GUIDE 1ST LSN,13600.0,7480.0,3400.0,12240.0,114 CDM,RRUCLASM-7615571400-55714-0361-SM46600-1000-20690,HB BX PROSTATE IN-BORE CT OR MRI GUIDE 1ST LSN,20690.0,11379.5,5172.5,18621.0,114 CDM,RRUCLASM-7615589900-55899-0761-SM40100-1000-1160,HB UNLISTED MALE GENITAL SYSTEM PROCEDURE,1160.0,638.0,309.0226,1044.0,123 CDM,RRUCLASM-7615640500-56405-0761-SM40100-1000-1400,HB I&D VULVA PERINEAL ABSCESS,1400.0,770.0,350.0,1260.0,113 CDM,RRUCLASM-7615642000-56420-0761-SM40100-1000-860,HB I&D BARTHOLIN GLAND ABSCESS,860.0,473.0,215.0,774.0,113 CDM,RRUCLASM-7615660500-56605-0761-SM40100-1000-3050,HB VULVA PERINEUM BIOPSY 1ST LSN,3050.0,1677.5,762.5,2745.0,113 CDM,RRUCLASM-7615702300-57023-0761-SM40100-1000-10270,HB I&D VAGINAL HEMATOMA NON-OB,10270.0,5648.5,2567.5,9243.0,113 CDM,RRUCLASM-7615710000-57100-0761-SM40100-1000-3690,HB BIOPSY VAGINAL MUCOSA SIMPLE,3690.0,2029.5,922.5,3321.0,113 CDM,RRUCLASM-7615713000-57130-0761-SM40100-1000-9020,HB VAGINAL SEPTUM EXCISION,9020.0,4961.0,2255.0,8118.0,113 CDM,RRUCLASM-7615713500-57135-0761-SM40100-1000-9190,HB VAGINAL CYST OR TUMOR EXCISION,9190.0,5054.5,2297.5,8271.0,113 CDM,RRUCLASM-7615716000-57160-0761-SM40100-1000-760,HB PESSARY FITTING & INSERT REMOVE,760.0,418.0,190.0,684.0,113 CDM,RRUCLASM-7615718000-57180-0761-SM40100-1000-790,HB INTRODUCE HEMOSTATIC AGENT VAGINA NON-OB,790.0,434.5,197.5,711.0,113 CDM,RRUCLASM-7615720000-57200-0761-SM40100-1000-11370,HB COLPORRHAPHY SUTURE VAGINA INJURY NON-OB,11370.0,6253.5,2842.5,10233.0,113 CDM,RRUCLASM-7615741500-57415-0761-SM40100-1000-8940,HB VAGINAL FB REMOVE,8940.0,4917.0,2235.0,8046.0,113 CDM,RRUCLASM-7615745200-57452-0761-SM40100-1000-820,HB COLPOSCOPY CERVIX&VAG,820.0,451.0,205.0,738.0,113 CDM,RRUCLASM-7615745400-57454-0761-SM40100-1000-1520,HB COLPOSCOPY CERVIX&VAG+BIOPSY+CURRETAGE,1520.0,836.0,380.0,1368.0,113 CDM,RRUCLASM-7615746000-57460-0761-SM40100-1000-9070,HB COLPOSCOPY CERVIX&VAG+LOOP ELECTR BIOPSY,9070.0,4988.5,2267.5,8163.0,113 CDM,RRUCLASM-7615750000-57500-0761-SM40100-1000-3050,HB CERVICAL BIOPSY,3050.0,1677.5,762.5,2745.0,113 CDM,RRUCLASM-7615750500-57505-0761-SM40100-1000-2770,HB CERVICAL CURRETTAGE ENDOCERVICAL,2770.0,1523.5,692.5,2493.0,113 CDM,RRUCLASM-7615751000-57510-0761-SM40100-1000-9020,HB CERVICAL CAUTERIZE ELECTROTHERM,9020.0,4961.0,2255.0,8118.0,113 CDM,RRUCLASM-7615751100-57511-0761-SM40100-1000-1080,HB CERVICAL CRYOTHERAPY,1080.0,594.0,270.0,972.0,113 CDM,RRUCLASM-7615772000-57720-0761-SM40100-1000-9020,HB UTERINE CERVIX PLASTIC REPAIR TRACHELORRHAPHY VAG APPROACH,9020.0,4961.0,2255.0,8118.0,113 CDM,RRUCLASM-7615810000-58100-0761-SM40100-1000-900,HB ENDOMETRIAL SAMPLING BIOPSY,900.0,495.0,225.0,810.0,113 CDM,RRUCLASM-7615812000-58120-0761-SM40100-1000-4200,HB D&C DIAG OR THERAPEUTIC NON-OB,4200.0,2310.0,1050.0,3780.0,113 CDM,RRUCLASM-7615830000-58300-0761-SM40100-1000-650,HB IUD INSERTION,650.0,357.5,162.5,585.0,113 CDM,RRUCLASM-7615830100-58301-0761-SM40100-1000-1000,HB IUD REMOVAL,1000.0,550.0,250.0,900.0,113 CDM,RRUCLASM-7615834000-58340-0761-SM46300-1000-530,HB HYSTEROSONO+/-SALPINGOGRAM INJ,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-7615900000-59000-0720-SM44000-1000-1080,HB DX AMNIOCENTESIS,1080.0,594.0,270.0,972.0,113 CDM,RRUCLASM-7615902000-59020-0720-SM44000-1000-1010,HB FETAL CONTRACTION STRESS TEST OXYTOCIN,1010.0,555.5,252.5,909.0,113 CDM,RRUCLASM-7615902500-59025-0720-SM44000-1000-610,HB FETAL NONSTRESS TEST,610.0,335.5,152.5,549.0,113 CDM,RRUCLASM-7615903000-59030-0720-SM44000-1000-1020,HB FETAL SCALP BLOOD SAMPLING,1020.0,561.0,255.0,918.0,113 CDM,RRUCLASM-7615916000-59160-0761-SM40100-1000-4240,HB D&C POSTPARTUM,4240.0,2332.0,1060.0,3816.0,113 CDM,RRUCLASM-7615930000-59300-0761-SM40100-1000-3860,HB EPISIOTMY OR TEAR REPR ONLY,3860.0,2123.0,965.0,3474.0,113 CDM,RRUCLASM-7615932000-59320-0720-SM44000-1000-8650,HB APPLY CERCLAGE PREG-VAGINA,8650.0,4757.5,2162.5,7785.0,113 CDM,RRUCLASM-7615940900-59409-0720-SM40100-1000-5200,HB OB CARE VAGINAL DELIVERY LEVEL 1,5200.0,2860.0,1300.0,4680.0,113 CDM,RRUCLASM-7615940901-59409-0720-SM40100-1000-6500,HB OB CARE VAGINAL DELIVERY LEVEL 2,6500.0,3575.0,1625.0,5850.0,113 CDM,RRUCLASM-7615941200-59412-0720-SM44000-1000-4330,HB FETAL EXTERNAL CEPHALIC VERSION,4330.0,2381.5,1082.5,3897.0,113 CDM,RRUCLASM-7615941400-59414-0720-SM40100-1000-5200,HB OB CARE DELIVERY OF PLACENTA ONLY,5200.0,2860.0,1300.0,4680.0,113 CDM,RRUCLASM-7615951400-59514-0450-SM40100-1000-6030,HB CESAREAN DELIVERY ONLY,6030.0,3316.5,1507.5,5427.0,114 CDM,RRUCLASM-7615981200-59812-0761-SM40100-1000-10400,HB TREAT INCOMPLETE ABORTION,10400.0,5720.0,2600.0,9360.0,113 CDM,RRUCLASM-7615982000-59820-0761-SM40100-1000-10400,HB TREAT MISSED ABORTION 1ST TRIMESTER,10400.0,5720.0,2600.0,9360.0,113 CDM,RRUCLASM-7615982100-59821-0761-SM40100-1000-10400,HB TREAT MISSED ABORTION 2ND TRIMESTER,10400.0,5720.0,2600.0,9360.0,113 CDM,RRUCLASM-7615984000-59840-0761-SM40100-1000-11220,HB INDUCED ABORTION BY D&C,11220.0,6171.0,2805.0,10098.0,113 CDM,RRUCLASM-7615986600-59866-0761-SM44040-1000-3630,HB MULTIFETAL PREGNCY REDUCTION,3630.0,1996.5,907.5,3267.0,113 CDM,RRUCLASM-7615987100-59871-0720-SM44000-1000-8650,HB REMOVE CERCLAGE W/ANES,8650.0,4757.5,2162.5,7785.0,113 CDM,RRUCLASM-7616010000-60100-0761-SM40100-1000-2770,HB NEEDLE BIOPSY THYROID,2770.0,1523.5,692.5,2493.0,113 CDM,RRUCLASM-7616030000-60300-0761-SM40100-1000-2770,HB THYROID FNA ASPRIATION /INJECT,2770.0,1523.5,692.5,2493.0,113 CDM,RRUCLASM-7616066000-60660-0761-SM46700-1000-6490,HB RF ABLAT >=1 THYROID NODL PERCUTN 1 LOBE W IMAG GUIDE,6490.0,3569.5,1622.5,5841.0,113 CDM,RRUCLASM-7616066100-60661-0761-SM46700-1000-3790,HB RF ABLAT >=1 THYROID NODL PERCUTN ADDL LOBE W IMAG GUIDE,3790.0,2084.5,947.5,3411.0,113 CDM,RRUCLASM-7616069900-60699-0761-SM46700-1000-20580,HB ENDOCRINE MICROWAVE ABLAT/OTH,20580.0,11319.0,5145.0,18522.0,113 CDM,RRUCLASM-7616069902-60699-0761-SM46700-1000-21720,HB ABLATION ALCOHOL THYROID,21720.0,11946.0,5430.0,19548.0,113 CDM,RRUCLASM-7616102000-61020-0761-SM40100-1000-2590,HB BRAIN VENTRIC PUNCT REMOVE FLUID,2590.0,1424.5,647.5,2331.0,113 CDM,RRUCLASM-7616107000-61070-0361-SM40100-1000-2800,HB PUNCT SHUNT/RESRVR ASPIRATE/INJ,2800.0,1540.0,700.0,5326.0,113 CDM,RRUCLASM-7616110700-61107-0450-SM40100-1000-930,HB BRAIN VENTRIC TWIST DRILL CATH INSERT,930.0,511.5,232.5,3339.0,113 CDM,RRUCLASM-7616121000-61210-0761-SM40100-1000-24260,HB BURR HOLE VENTRIC CATH/OTHER MONIT DEVICE,24260.0,13343.0,6065.0,21834.0,113 CDM,RRUCLASM-7616225200-62252-0761-SM40100-1000-1180,HB REPROGRAM PROGRAMMABLE CEREBROSPINAL SHUNT,1180.0,649.0,295.0,1062.0,113 CDM,RRUCLASM-7616226700-62267-0361-SM46800-1000-2600,HB SPINAL DISK PERQ ASPIR DIAG,2600.0,1430.0,650.0,5326.0,113 CDM,RRUCLASM-7616227000-62270-0761-SM40100-1000-2380,HB LUMBAR PUNCTURE DIAGNOSTIC,2380.0,1309.0,595.0,2142.0,113 CDM,RRUCLASM-7616227200-62272-0761-SM40100-1000-2720,HB LUMBAR PUNCTURE THERAPEUTIC,2720.0,1496.0,680.0,2448.0,113 CDM,RRUCLASM-7616227300-62273-0761-SM40100-1000-5100,HB EPIDURAL INJECT BLOOD PATCH,5100.0,2805.0,1275.0,4590.0,113 CDM,RRUCLASM-7616228400-62284-0761-SM46300-1000-1130,HB MYELOGRAM LUMBAR PUNCTURE INJ,1130.0,621.5,282.5,1017.0,113 CDM,RRUCLASM-7616232100-62321-0761-SM46800-1000-2720,HB INTERLAMNR EPIDURL INJ C/T W IMAGING GUIDANCE,2720.0,1496.0,680.0,2448.0,113 CDM,RRUCLASM-7616232300-62323-0761-SM46300-1000-3310,HB INTERSLAMNR EPIDURL INJ L/S W IMAGING GUIDANCE,3310.0,1820.5,827.5,2979.0,113 CDM,RRUCLASM-7616232800-62328-0761-SM46300-1000-3120,HB LUMBAR PUNCTURE DIAG W FLUORO OR CT,3120.0,1716.0,780.0,2808.0,113 CDM,RRUCLASM-7616232900-62329-0761-SM46300-1000-3240,HB SPINAL PUNCTURE DRAIN CSF W FLUORO OR CT,3240.0,1782.0,810.0,2916.0,113 CDM,RRUCLASM-7616236700-62367-0761-SM40100-1000-1050,HB ELCTR ANALYSIS PUMP WO REPROGRAM,1050.0,577.5,262.5,945.0,113 CDM,RRUCLASM-7616236800-62368-0761-SM40787-1000-1180,HB ELCTR ANLAYSIS PUMP+REPROGRAM,1180.0,649.0,295.0,1062.0,113 CDM,RRUCLASM-7616236900-62369-0761-SM40787-1000-1300,HB ELECTR ANALYSIS PUMP+REPROG+REFILL,1300.0,715.0,325.0,1170.0,113 CDM,RRUCLASM-7616237000-62370-0761-SM40100-1000-1180,HB ELECTRONIC ANALYSIS PROG IMPLANTED DRUG PUMP+PROG&REFILL MD S,1180.0,649.0,295.0,1062.0,113 CDM,RRUCLASM-7616368800-63688-0761-SM40787-1000-11640,HB REMOVE REVISE NEURSTM GNRTR RECVR SPINAL,11640.0,6402.0,2910.0,10476.0,113 CDM,RRUCLASM-7616440001-64400-0761-SM40100-1000-1170,HB INJ ANES AGNT AND/OR STEROID TRIGEM NERV,1170.0,643.5,292.5,1053.0,113 CDM,RRUCLASM-7616440501-64405-0761-SM40100-1000-1640,HB INJ ANESTH AGNT AND/OR STEROID > OCCIPITAL NERV,1640.0,902.0,410.0,1476.0,113 CDM,RRUCLASM-7616440801-64408-0761-SM40100-1000-1140,HB INJ ANESTH AGNT AND/OR STEROID VAGUS NERV,1140.0,627.0,285.0,1026.0,113 CDM,RRUCLASM-7616441502-64415-0761-SM40100-1000-3710,HB INJ ANESTH AGNT AND/OR STEROID BRACHL PLEX W WO IMAG GUIDE,3710.0,2040.5,927.5,3339.0,113 CDM,RRUCLASM-7616441602-64416-0761-SM40100-1000-3640,HB INJ ANESTH AGNT AND/OR STEROID BRACHL PLEX CONT INFUSN CATH P,3640.0,2002.0,910.0,3276.0,113 CDM,RRUCLASM-7616441702-64417-0761-SM40100-1000-3710,HB INJ ANESTH AGNT AND/OR STEROID AXILLARY NERV W WO IMAG GUIDE,3710.0,2040.5,927.5,3339.0,113 CDM,RRUCLASM-7616441801-64418-0761-SM40100-1000-2720,HB INJ ANESTH AGNT AND/OR STEROID SUPRASCAPLR NERV,2720.0,1496.0,680.0,2448.0,113 CDM,RRUCLASM-7616442001-64420-0761-SM40100-1000-4080,HB INJ ANESTH AGNT AND/OR STEROID INTERCSTL NERV SGL,4080.0,2244.0,1020.0,3672.0,113 CDM,RRUCLASM-7616442101-64421-0761-SM40100-1000-3590,HB INJ ANESTH AGNT AND/OR STEROID INTERCSTL NERV EA ADDL LVL,3590.0,1974.5,897.5,3231.0,113 CDM,RRUCLASM-7616442501-64425-0761-SM40100-1000-2720,HB INJ ANESTH AGNT AND/OR STEROID ILIOINGUINAL NERV,2720.0,1496.0,680.0,2448.0,113 CDM,RRUCLASM-7616443001-64430-0761-SM40100-1000-3960,HB INJ ANESTH AGNT AND/OR STEROID PUDENDAL NERV,3960.0,2178.0,990.0,3564.0,113 CDM,RRUCLASM-7616444502-64445-0761-SM40100-1000-2800,HB INJ ANESTH AGNT AND/OR STEROID SCIATIC NERV W WO IMAG GUIDE,2800.0,1540.0,700.0,2520.0,113 CDM,RRUCLASM-7616444602-64446-0761-SM40100-1000-3590,HB INJ ANESTH AGNT AND/OR STEROID SCIATIC NERV CONT INFUSN CATH ,3590.0,1974.5,897.5,3231.0,113 CDM,RRUCLASM-7616444702-64447-0761-SM40100-1000-2800,HB INJ ANESTH AGNT AND/OR STEROID FEMORAL NERV W WO IMAG GUIDE,2800.0,1540.0,700.0,2520.0,113 CDM,RRUCLASM-7616444802-64448-0761-SM40100-1000-3710,HB INJ ANESTH AGNT AND/OR STEROID FEMORAL NERVE CONT INFUSN CATH,3710.0,2040.5,927.5,3339.0,113 CDM,RRUCLASM-7616444901-64449-0761-SM40100-1000-3550,HB INJ ANESTH AGNT AND/OR STEROID LUMBAR PLEX CONT INFUSN,3550.0,1952.5,887.5,3195.0,113 CDM,RRUCLASM-7616445001-64450-0761-SM40100-1000-3010,HB INJ ANESTH AGNT AND/OR STEROID OTH PERIPH NERV,3010.0,1655.5,752.5,2709.0,113 CDM,RRUCLASM-7616445400-64454-0761-SM46800-1000-2720,HB INJ ANESTH AGNT AND/OR STEROID GENICULAR NERV W WO IMAG GUIDE,2720.0,1496.0,680.0,2448.0,113 CDM,RRUCLASM-7616447300-64473-0761-SM46800-1000-3360,HB INJ BLOCK FASCIAL PLANE LE UNILAT W WO IMAG GUIDE,3360.0,1848.0,840.0,3024.0,113 CDM,RRUCLASM-7616447900-64479-0761-SM46800-1000-4620,HB TRANSFORAMINL INJ C/T SGL LVL W IMAG GUIDE,4620.0,2541.0,1155.0,4158.0,113 CDM,RRUCLASM-7616448000-64480-0761-SM46800-1000-1220,HB TRANSFORAMINL INJ C/T ADD LVL W IMAG GUIDE,1220.0,671.0,305.0,1098.0,113 CDM,RRUCLASM-7616448300-64483-0761-SM46300-1000-4490,HB TRANSFORAMINL INJ LUMBAR SGL LVL W IMAG GUIDE,4490.0,2469.5,1122.5,4041.0,113 CDM,RRUCLASM-7616448400-64484-0761-SM46300-1000-2610,HB TRANSFORAMINL INJ LUMBAR ADD LVL W IMAG GUIDE,2610.0,1435.5,652.5,2349.0,113 CDM,RRUCLASM-7616448600-64486-0761-SM40100-1000-1310,HB TAP BLOCK UNILATERAL BY INJECTION,1310.0,720.5,327.5,1179.0,113 CDM,RRUCLASM-7616449000-64490-0361-SM46800-1000-4890,HB FACET JT INJ CERV/THOR 1 LVL,4890.0,2689.5,1222.5,5326.0,113 CDM,RRUCLASM-7616449100-64491-0761-SM40100-1000-2080,HB FACET JT INJ CERV/THORAC 2ND LVL W IMG GUID,2080.0,1144.0,520.0,1872.0,113 CDM,RRUCLASM-7616449200-64492-0361-SM46800-1000-2080,HB FACET JT INJ CERV/THOR 3+LVL,2080.0,1144.0,520.0,5326.0,113 CDM,RRUCLASM-7616449300-64493-0761-SM40100-1000-4240,HB FACET JT INJ LUMBAR/SACRAL 1 LVL,4240.0,2332.0,1060.0,3816.0,113 CDM,RRUCLASM-7616449400-64494-0361-SM46800-1000-2000,HB FACET JT INJ LUMBAR/SACR 2 LVL,2000.0,1100.0,500.0,5326.0,113 CDM,RRUCLASM-7616449500-64495-0361-SM46800-1000-2000,HB FACET JT INJ LUMBAR/SACR 3+LVL,2000.0,1100.0,500.0,5326.0,113 CDM,RRUCLASM-7616450500-64505-0761-SM40100-1000-1080,HB SPHENOPALATINE GANGLION BLOCK,1080.0,594.0,270.0,972.0,113 CDM,RRUCLASM-7616452000-64520-0761-SM40100-1000-4040,HB PARAVERTEBRAL SYMPATHET LUMB THOR BLOCK,4040.0,2222.0,1010.0,3636.0,113 CDM,RRUCLASM-7616453000-64530-0761-SM40100-1000-7980,HB CELIAC PLEXUS INJECTION,7980.0,4389.0,1995.0,7182.0,113 CDM,RRUCLASM-7616461100-64611-0361-SM46700-1000-1020,HB CHEMODENERV SALIVARY GLANDS BILAT,1020.0,561.0,255.0,6925.0,113 CDM,RRUCLASM-7616461500-64615-0761-SM40787-1000-1170,HB CHEMODENERV FAC/TRIGEM/CERV BI,1170.0,643.5,292.5,1053.0,113 CDM,RRUCLASM-7616461600-64616-0761-SM40100-1000-1140,HB CHEMODENERVATION NECK UNILATERAL,1140.0,627.0,285.0,1026.0,113 CDM,RRUCLASM-7616461700-64617-0761-SM40100-1000-2190,HB CHEMODENERVATION LARYNX UNILATERAL PERCUTANEOUS + EMG,2190.0,1204.5,547.5,1971.0,113 CDM,RRUCLASM-7616462000-64620-0761-SM46800-1000-2720,HB DESTRUCT INTERCOSTAL NERVE,2720.0,1496.0,680.0,2448.0,113 CDM,RRUCLASM-7616462200-64635-0761-SM46800-1000-6200,HB DESTRUCT PARAVERT LUMB SACR SGL,6200.0,3410.0,1550.0,5580.0,113 CDM,RRUCLASM-7616462300-64636-0761-SM46800-1000-3230,HB DESTRUCT PARAVERT LUMB SACR ADD,3230.0,1776.5,807.5,2907.0,113 CDM,RRUCLASM-7616462400-64624-0761-SM46800-1000-6340,HB DESTRUCT GENICULAR NERVE BY NEUROLYTIC AGENT W IMAG GUIDE,6340.0,3487.0,1585.0,5706.0,113 CDM,RRUCLASM-7616462800-64628-0761-SM46800-1000-44550,HB THERM DESTRUCT INTRAOSSEOUS NERV LUMB/SACR W IMAG GUIDE 1ST 2,44550.0,24502.5,11137.5,40095.0,113 CDM,RRUCLASM-7616462900-64629-0761-SM46800-1000-8620,HB THERM DESTRUCT INTRAOSSEOUS NERV LUMB/SACR W IMAG GUIDE EA AD,8620.0,4741.0,2155.0,7758.0,113 CDM,RRUCLASM-7616463300-64633-0361-SM46800-1000-7110,HB DESTRUCT C/THOR FACET SGL+IMAG,7110.0,3910.5,1777.5,6399.0,113 CDM,RRUCLASM-7616463400-64634-0361-SM46800-1000-2000,HB DESTRUCT C/THOR FACET ADD+IMAG,2000.0,1100.0,500.0,5326.0,113 CDM,RRUCLASM-7616464000-64640-0761-SM46800-1000-2720,HB DESTRUCT OTH PERIPH NERV BRANCH,2720.0,1496.0,680.0,2448.0,113 CDM,RRUCLASM-7616464200-64642-0761-SM40100-1000-2190,HB CHEMODENERVATION 1 EXTREMITY 1-4 MUSCLES,2190.0,1204.5,547.5,1971.0,113 CDM,RRUCLASM-7616464600-64646-0761-SM40100-1000-2310,HB CHEMODENERVATION TRUNK MUSCLES 1-5 MUSCLES,2310.0,1270.5,577.5,2079.0,113 CDM,RRUCLASM-7616464700-64647-0761-SM40100-1000-2730,HB CHEMODENERVATION TRUNK MUSCLES 6 OR MORE MUSCLES,2730.0,1501.5,682.5,2457.0,113 CDM,RRUCLASM-7616468000-64680-0361-SM46800-1000-3550,HB CELIAC PLEXUS DESTRCT NEURAGNT,3550.0,1952.5,887.5,5326.0,113 CDM,RRUCLASM-7616499900-64999-0761-SM46600-1000-1390,HB NERVOUS SYSTEM UNLISTED PROCEDURE/SERVICE,1390.0,764.5,375.0684,1251.0,123 CDM,RRUCLASM-7616499902-64999-0761-SM40100-1000-1390,HB NERVOUS SYST UNLISTD INJ PHRENIC NERVE,1390.0,764.5,347.5,1251.0,113 CDM,RRUCLASM-7616499904-64999-0761-SM40100-1000-1390,HB NERVOUS SYST UNLISTD INJ LUMBAR SACRAL,1390.0,764.5,347.5,1251.0,113 CDM,RRUCLASM-7616520500-65205-0761-SM40100-1000-480,HB EYE CONJUNCT SUPERFICIAL FB REMOVE,480.0,264.0,120.0,432.0,113 CDM,RRUCLASM-7616522000-65220-0761-SM40100-1000-530,HB EYE CORNEA FB REMOVE WO SLITLAMP,530.0,291.5,132.5,477.0,113 CDM,RRUCLASM-7616522200-65222-0761-SM40100-1000-590,HB EYE CORNEA FB REMOVE +SLITLAMP,590.0,324.5,147.5,531.0,113 CDM,RRUCLASM-7616527000-65270-0761-SM40100-1000-9030,HB REPR LACERATION CONJUNCT W WO NONPERF LACERATION SCLERA DIRCT,9030.0,4966.5,2257.5,8127.0,113 CDM,RRUCLASM-7616528600-65286-0761-SM40100-1000-7970,HB REPR CORNEA/SCLERA LACERATION APPLY GLUE,7970.0,4383.5,1992.5,7173.0,113 CDM,RRUCLASM-7616543000-65430-0761-SM40100-1000-1090,HB CORNEA SCRAPING DIAG SMEAR +/- CULTURE,1090.0,599.5,272.5,981.0,113 CDM,RRUCLASM-7616580000-65800-0761-SM40100-1000-6350,HB PARACENTESIS ANT CHMBR EYE W REM AQUEOUS,6350.0,3492.5,1587.5,5715.0,113 CDM,RRUCLASM-7616618000-66180-0761-SM40100-1000-16960,HB AQUEOUS SHUNT EXTRAOCUL RESRVR W GRAFT,16960.0,9328.0,4240.0,15264.0,113 CDM,RRUCLASM-7616671000-66710-0761-SM40100-1000-8230,HB DESTRUCT CILIARY BODY TRANSSCLERAL CYCLOPHOTOCOAG,8230.0,4526.5,2057.5,7407.0,113 CDM,RRUCLASM-7616676100-66761-0761-SM40100-1000-2220,HB IRIDOTOMY/IRIDECTOMY BY LASER PER SESSION,2220.0,1221.0,555.0,1998.0,113 CDM,RRUCLASM-7616701500-67015-0761-SM40100-1000-10800,HB EYE VITREAL ASPIRATION/RELEASE,10800.0,5940.0,2700.0,9720.0,113 CDM,RRUCLASM-7616702800-67028-0761-SM40100-1000-1390,HB EYE INTRAVITREAL ANTIBOTIC INJ,1390.0,764.5,347.5,1251.0,113 CDM,RRUCLASM-7616710100-67101-0761-SM40100-1000-9010,HB REPR RETINAL DETACH CRYOTHERAPY W DRAIN,9010.0,4955.5,2252.5,8109.0,113 CDM,RRUCLASM-7616710500-67105-0761-SM40100-1000-2380,HB REPR RETINAL DETACH W DRAIN+PHOTOCOAG,2380.0,1309.0,595.0,2142.0,113 CDM,RRUCLASM-7616711000-67110-0761-SM40100-1000-7970,HB REPR RETINAL DETACH INJ BY AIR/GAS,7970.0,4383.5,1992.5,7173.0,113 CDM,RRUCLASM-7616714500-67145-0761-SM40100-1000-2020,HB PROPH RETINAL DETACH WO DRAIN+PHOTOCOAG 1+SESSIONS,2020.0,1111.0,505.0,1818.0,113 CDM,RRUCLASM-7616770000-67700-0761-SM40100-1000-1100,HB BLEPHAROTOMY DRAIN ABSCESS EYELID,1100.0,605.0,275.0,990.0,113 CDM,RRUCLASM-7616771500-67715-0761-SM40100-1000-7060,HB EYE CANTHOTOMY,7060.0,3883.0,1765.0,6354.0,113 CDM,RRUCLASM-7616782000-67820-0761-SM40100-1000-420,HB CORRECT TRICHIASIS/EPILATION BY FORCEPS,420.0,231.0,13.48,491.121001,123 CDM,RRUCLASM-7616787500-67875-0761-SM40100-1000-4410,HB TEMP CLOSURE EYELID BY SUTURE,4410.0,2425.5,1102.5,3969.0,113 CDM,RRUCLASM-7616788200-67882-0761-SM40100-1000-8890,HB CONSTRUCT INTERMARG ADHES TARSOR/CANTHOR W TRNSPOS,8890.0,4889.5,2222.5,8001.0,113 CDM,RRUCLASM-7616793000-67930-0761-SM40100-1000-3130,HB REPR EYELID NEW WOUND SUPERFCIAL,3130.0,1721.5,782.5,2817.0,113 CDM,RRUCLASM-7616793500-67935-0761-SM40100-1000-9360,HB DIRECT CLOSURE EYELID WOUND BY SUTURE,9360.0,5148.0,2340.0,8424.0,113 CDM,RRUCLASM-7616793800-67938-0761-SM40100-1000-1250,HB EYE LID FB REMOVE,1250.0,687.5,312.5,1125.0,113 CDM,RRUCLASM-7616810000-68100-0761-SM40100-1000-9200,HB BIOPSY CONJUNCTIVA,9200.0,5060.0,2300.0,8280.0,113 CDM,RRUCLASM-7616839900-68399-0761-SM40100-1000-1140,HB I&D CONJUNCTIVA ABSCESS,1140.0,627.0,285.0,1026.0,113 CDM,RRUCLASM-7616842000-68420-0761-SM40100-1000-9200,HB I&D LACRIMAL SAC,9200.0,5060.0,2300.0,8280.0,113 CDM,RRUCLASM-7616870000-68700-0761-SM40100-1000-8410,HB PLASTIC REPAIR CANALICULI,8410.0,4625.5,2102.5,7569.0,113 CDM,RRUCLASM-7616881500-68815-0761-SM40100-1000-9200,HB PROBE NASOLACRIMAL DUCT W WO IRRIG+TUBE/STENT INSERT,9200.0,5060.0,2300.0,8280.0,113 CDM,RRUCLASM-7616889900-68899-0761-SM40100-1000-1140,HB REPR LACERATION CANALICULUS,1140.0,627.0,285.0,1026.0,113 CDM,RRUCLASM-7616900000-69000-0761-SM40100-1000-2440,HB EAR EXT DRAIN ABSCESS HEMATOMA SIMPLE,2440.0,1342.0,610.0,2196.0,113 CDM,RRUCLASM-7616900500-69005-0761-SM40100-1000-5210,HB EAR EXT DRAIN ABSC HEMATOMA COMPLICATED,5210.0,2865.5,1302.5,4689.0,113 CDM,RRUCLASM-7616902000-69020-0761-SM40100-1000-1000,HB EAR EXTERNAL AUDITORY CANAL ABSC DRAIN,1000.0,550.0,250.0,900.0,113 CDM,RRUCLASM-7616920000-69200-0761-SM40100-1000-440,HB EAR EXTERNAL CANAL FB REMOVE,440.0,242.0,110.0,396.0,113 CDM,RRUCLASM-7616920900-69209-0761-SM40100-1000-260,HB REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNI,260.0,143.0,65.0,234.0,113 CDM,RRUCLASM-7616921000-69210-0761-SM40100-1000-220,HB EAR CERUMEN REMOVE W INSTRUMENT UNI,220.0,121.0,55.0,198.0,113 CDM,RRUCLASM-7617026001-G0260-0361-SM46300-1000-2650,HB SACROILIAC JT INJ ANESTH/THER AGNT +/-ARTHROGRAM,2650.0,1457.5,742.0,5326.0,123 CDM,RRUCLASM-7617026900-G0269-0361-SM46301-1000-930,HB PLACE OCCLUSIVE DEVC POST PROC,930.0,511.5,232.5,5326.0,113 CDM,RRUCLASM-7619251100-92511-0761-SM40100-1000-570,HB NASOPHARYNGOSCOPY,570.0,313.5,41.79,736.807925,123 CDM,RRUCLASM-7619295000-92950-0761-SM40100-1000-2500,HB CARDIOPULMONARY RESUSCITATION,2500.0,1375.0,115.0,2250.0,123 CDM,RRUCLASM-7619295300-92953-0761-SM40100-1000-2100,HB TEMPORARY PACING TRANSCUTANEOUS,2100.0,1155.0,20.4,2439.743376,123 CDM,RRUCLASM-7619652200-96522-0761-SM40100-1000-800,HB REFILL & MAINTAIN DRUG DELIV PUMP IMPLANT,800.0,440.0,28.07,785.150492,123 CDM,RRUCLASM-7619759700-97597-0761-SM40100-1000-710,HB PT SIMPULSE WOUND DEBRIDEMENT,710.0,390.5,42.11,740.601491,123 CDM,RRUCLASM-7619760200-97602-0761-SM40100-1000-650,HB DEBRIDE WOUND NONSELCT DEVITAL WO ANESTH,650.0,357.5,182.0,740.601491,123 CDM,RRUCLASM-7619949700-99497-0510-SM48718-1000-220,HB ADVANCED CARE PLAN 30 MIN,220.0,121.0,61.6,374.997644,120 CDM,RRUCLASM-7619949800-99498-0510-SM48718-1000-200,HB ADVANCED CARE PLAN ADDL 30 MIN,200.0,110.0,50.0,180.0,110 CDM,RRUCLASM-7627037800-G0378-0762-SM30125-1000-380,HB OBSERVATION PER HOUR,380.0,209.0,95.0,17048.0,113 CDM,RRUCLASM-7715022400-M0224-0771-SM40100-1000-1420,HB IV AB INFUSION PEMIVIBART INVIVYD +POST ADMIN MONITOR,1420.0,781.0,397.6,1627.676015,122 CDM,RRUCLASM-7717000800-G0008-0771-SM30185-1000-140,HB IMMUNIZATION ADMIN INFLUENZA,140.0,77.0,4.46,265.775489,145 CDM,RRUCLASM-7717000900-G0009-0771-SM30185-1000-140,HB IMMUNIZATION ADMIN PNEUMOCOCCL,140.0,77.0,4.46,265.775489,145 CDM,RRUCLASM-7717001000-G0010-0771-SM48718-1000-140,HB IMMUNIZATION ADMIN HEPATITIS B,140.0,77.0,4.46,265.775489,145 CDM,RRUCLASM-7719047100-90471-0771-SM40100-1000-210,HB IMMUNIZATION 1ST ADMIN,210.0,115.5,4.46,265.775489,123 CDM,RRUCLASM-7719047200-90472-0771-SM40100-1000-45,HB IMMUNIZATION ADMIN EACH ADDL,45.0,24.75,4.46,40.5,113 CDM,RRUCLASM-7719048001-90480-0771-SM40787-1000-160,HB IMMUNIZATION ADMIN SARSCOV-2 COVID-19 1ST/ONLY COMP,160.0,88.0,40.0,150.013465,123 CDM,RRUCLASM-7719638000-96380-0771-SM40100-1000-210,HB ADMIN MAB IM INJ RSV SEASONAL DOSE W COUNSEL BEYFORTUS,210.0,115.5,52.5,189.0,113 CDM,RRUCLASM-7719638100-96381-0771-SM40100-1000-170,HB ADMIN MAB IM INJ RSV SEASONAL DOSE BEYFORTUS,170.0,93.5,42.5,153.0,113 CDM,RRUCLASM-7809250612-92522-0780-SM47701-1000-340,HB TELHLTH SPCH-ORAL STRUCTURE ASMNT SP PROGRAM,340.0,187.0,85.0,306.0,113 CDM,RRUCLASM-7809250711-92507-0780-SM47700-1000-740,HB TELHLTH SPCH-LANG THERAPY INDIVIDUAL,740.0,407.0,185.0,666.0,113 CDM,RRUCLASM-7809250811-92508-0780-SM47701-1000-200,HB TELHLTH SPEECH COMMUN/COGNITIVE GROUP THERAPY,200.0,110.0,50.0,180.0,113 CDM,RRUCLASM-7809252100-92521-0780-SM47701-1000-450,HB TELHLTH SPEECH EVAL FLUENCY,450.0,247.5,112.5,405.0,113 CDM,RRUCLASM-7809252200-92522-0780-SM47700-1000-340,HB TELHLTH SPEECH EVAL SOUND PRODUCTION,340.0,187.0,85.0,306.0,113 CDM,RRUCLASM-7809252300-92523-0780-SM47700-1000-800,HB TELHLTH SPEECH EVAL SOUND PRODUCTION+LANGUAGE COMPREHENSION&E,800.0,440.0,200.0,720.0,113 CDM,RRUCLASM-7809252400-92524-0780-SM47700-1000-620,HB TELHLTH VOICE & RESONANCE BEHAVIORAL & QUALITATIVE ANALYSIS,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-7809252611-92526-0780-SM47700-1000-420,HB TELHLTH SPEECH DYSPHAGIA THERAPY SPECIAL PROGRAM,420.0,231.0,105.0,378.0,113 CDM,RRUCLASM-7809260101-92601-0780-SM47700-1000-640,HB TELHLTH DIAG EVAL COCHLEAR IMPLANT+PROGRAM<7YRS,640.0,352.0,160.0,576.0,113 CDM,RRUCLASM-7809260200-92602-0780-SM47700-1000-620,HB TELHLTH DIAG EVAL COCHLEAR IMPLANT+REPROGRM<7YRS,620.0,341.0,155.0,558.0,113 CDM,RRUCLASM-7809260300-92603-0780-SM47700-1000-580,HB TELHLTH DIAG EVAL COCHLEAR IMPLANT+PROGRAM>7YRS,580.0,319.0,145.0,522.0,113 CDM,RRUCLASM-7809260400-92604-0780-SM47700-1000-570,HB TELHLTH DIAG EVAL COCHLEAR IMPLANT+REPROGRM>7YRS,570.0,313.5,142.5,513.0,113 CDM,RRUCLASM-7809261011-92610-0780-SM47700-1000-610,HB TELHLTH SPEECH CLINICAL SWALLOW EXAM,610.0,335.5,152.5,549.0,113 CDM,RRUCLASM-7809262602-92626-0780-SM47701-1000-580,HB TELHLTH AUD EVAL SURG IMPLNT DEVC CANDIDATE/POST OP 1ST HOUR,580.0,319.0,145.0,522.0,113 CDM,RRUCLASM-7809262701-92627-0780-SM47701-1000-150,HB TELHLTH AUD EVAL SURG IMPLNT DEVC CANDIDT/POSTOP EA ADDL15MIN,150.0,82.5,37.5,135.0,113 CDM,RRUCLASM-7809610511-96105-0780-SM47700-1000-580,HB TELHLTH SPEECH APHASIA ASSESSMENT PER HOUR,580.0,319.0,145.0,522.0,113 CDM,RRUCLASM-7809612500-96125-0780-SM47700-1000-420,HB TELHLTH STANDARD COGNITIVE PERFORMANCE TESTING + RESULTS & RE,420.0,231.0,105.0,378.0,113 CDM,RRUCLASM-7809711000-97110-0780-SM47700-1000-210,HB TELHLTH PT THERAPEUTIC EXERCISE/15MIN,210.0,115.5,52.5,189.0,113 CDM,RRUCLASM-7809711001-97110-0780-SM47700-1000-210,HB TELHLTH OT THERAPEUTIC EXERCISE/15MIN,210.0,115.5,52.5,189.0,113 CDM,RRUCLASM-7809711200-97112-0780-SM47700-1000-260,HB TELHLTH PT NEUROMUSCULAR RE-ED/15MIN,260.0,143.0,65.0,234.0,113 CDM,RRUCLASM-7809711201-97112-0780-SM47700-1000-260,HB TELHLTH OT NEUROMUSCULAR RE-ED/15MIN,260.0,143.0,65.0,234.0,113 CDM,RRUCLASM-7809711600-97116-0780-SM47700-1000-210,HB TELHLTH PT GAIT TRAINING/15MIN,210.0,115.5,52.5,189.0,113 CDM,RRUCLASM-7809712900-97129-0780-SM47700-1000-130,HB TELHLTH PT THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT,130.0,71.5,32.5,117.0,113 CDM,RRUCLASM-7809712901-97129-0780-SM47700-1000-130,HB TELHLTH OT THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT,130.0,71.5,32.5,117.0,113 CDM,RRUCLASM-7809712902-97129-0780-SM47701-1000-130,HB TELHLTH SPCH THER INTERVNTN COGNITIVE FUNCT 1ST 15MIN CONTACT,130.0,71.5,32.5,117.0,113 CDM,RRUCLASM-7809713002-97130-0780-SM47701-1000-140,HB TELHLTH SPCH THER INTERVNTN COGNITIVE FUNCT EA ADDL 15MIN CON,140.0,77.0,35.0,126.0,113 CDM,RRUCLASM-7809716100-97161-0780-SM47700-1000-390,HB TELHLTH PT EVALUATION LOW COMPLEXITY,390.0,214.5,97.5,351.0,113 CDM,RRUCLASM-7809716200-97162-0780-SM47700-1000-480,HB TELHLTH PT EVALUATION MOD COMPLEXITY,480.0,264.0,120.0,432.0,113 CDM,RRUCLASM-7809716300-97163-0780-SM47700-1000-600,HB TELHLTH PT EVALUATION HIGH COMPLEXITY,600.0,330.0,150.0,540.0,113 CDM,RRUCLASM-7809716400-97164-0780-SM47700-1000-340,HB TELHLTH PT RE-EVALUATION,340.0,187.0,85.0,306.0,113 CDM,RRUCLASM-7809716500-97165-0780-SM47700-1000-390,HB TELHLTH OT EVALUATION LOW COMPLEXITY,390.0,214.5,97.5,351.0,113 CDM,RRUCLASM-7809716600-97166-0780-SM47700-1000-480,HB TELHLTH OT EVALUATION MOD COMPLEXITY,480.0,264.0,120.0,432.0,113 CDM,RRUCLASM-7809716700-97167-0780-SM47700-1000-600,HB TELHLTH OT EVALUATION HIGH COMPLEXITY,600.0,330.0,150.0,540.0,113 CDM,RRUCLASM-7809716800-97168-0780-SM47700-1000-340,HB TELHLTH OT RE-EVALUATION,340.0,187.0,85.0,306.0,113 CDM,RRUCLASM-7809753000-97530-0780-SM47700-1000-230,HB TELHLTH PT THERAPEUTIC ACTIVITY/15MIN,230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-7809753001-97530-0780-SM47700-1000-230,HB TELHLTH OT THERAPEUTIC ACTIVITY/15MIN,230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-7809753500-97535-0780-SM47700-1000-180,HB TELHLTH PT SELFCARE/HOME TRAIN/15MIN,180.0,99.0,45.0,162.0,113 CDM,RRUCLASM-7809753501-97535-0780-SM47700-1000-180,HB TELHLTH OT SELFCARE/HOME TRAIN/15MIN,180.0,99.0,45.0,162.0,113 CDM,RRUCLASM-7809775500-97755-0780-SM47701-1000-120,HB TELHLTH PT ASSISTIVE TECHNOLOGY ASMNT EA 15MIN,120.0,66.0,30.0,108.0,113 CDM,RRUCLASM-7809776003-97760-0780-SM47700-1000-230,HB TELHLTH OT ORTHO MGMT/TRAINING 1ST ENC EA 15MIN,230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-7809776301-97763-0780-SM47700-1000-260,HB TELHLTH OT ORTHO MGMT/TRAINING SUB ENC EA 15 MIN,260.0,143.0,65.0,234.0,113 CDM,RRUCLASM-7809944300-S9443-0780-SM44040-1000-140,HB TELHLTH LACTATION CLASS NON-MD PER SESSION,140.0,77.0,35.0,126.0,113 CDM,RRUCLASM-8009099700-90997-0809-SM47400-1000-1750,HB HEMOPERFUSION,1750.0,962.5,87.67,1575.0,113 CDM,RRUCLASM-8010090935-90935-0801-SM47400-1000-2900,HB HEMODIALYS INPT,2900.0,1595.0,56.6,2610.0,123 CDM,RRUCLASM-8019094501-90945-0809-SM47400-1000-1670,HB CRRT PER TRMT DAY,1670.0,918.5,72.16,1540.240317,123 CDM,RRUCLASM-8019094502-90945-0809-SM47400-1000-3120,HB SCUF PER TRMT DAY,3120.0,1716.0,72.16,2808.0,123 CDM,RRUCLASM-8039094501-90945-0803-SM47400-1000-2590,HB CAPD PER TRMT DAY,2590.0,1424.5,72.16,2331.0,123 CDM,RRUCLASM-8049094501-90945-0804-SM47400-1000-2900,HB CCPD PER TRMT DAY,2900.0,1595.0,72.16,2610.0,123 CDM,RRUCLASM-8099094502-90945-0809-SM47400-1000-4190,HB CVVHD PER TRMT DAY,4190.0,2304.5,72.16,3771.0,123 CDM,RRUCLASM-8099094701-90947-0809-SM47400-1000-3120,HB CVVH PER TRMT DAY,3120.0,1716.0,108.24,2808.0,113 CDM,RRUCLASM-8200090935-90935-0820-SM47400-1000-3390,HB HEMODIALYS OP PER TRMT DAY,3390.0,1864.5,56.6,3051.0,123 CDM,RRUCLASM-8290070257-G0257-0829-SM47400-1000-2940,HB DIALYSIS OP UNSCHEDULED DCU,2940.0,1617.0,823.2,2646.0,123 CDM,RRUCLASM-8918205800-Q2058-0891-SM45018-1000-2100000,HB AUCATZYL OBECABTAGENE AUTOLEUCEL 83047041004,2100000.0,1155000.0,11961.0,1890000.0,118 CDM,RRUCLASM-9209578200-95782-0920-SM46202-1000-8040,HB SLEEP STAGE PNEUMOGRAM <6 YEARS OLD,8040.0,4422.0,2010.0,7236.0,113 CDM,RRUCLASM-9209578300-95783-0920-SM46202-1000-8490,HB SLEEP STAGE PNEUMOGRAM <6 YEARS OLD WITH CPAP,8490.0,4669.5,2122.5,7641.0,113 CDM,RRUCLASM-9209580300-95803-0920-SM46202-1000-440,HB ACTIGRAPHY TESTING MIN 72HRS TO 14 DAYS,440.0,242.0,75.4736,396.0,123 CDM,RRUCLASM-9209580500-95805-0920-SM46202-1000-3680,HB MULTIPLE SLEEP WAKEFULNESS LATENCY TEST,3680.0,2024.0,920.0,3312.0,113 CDM,RRUCLASM-9209580700-95807-0920-SM46202-1000-3950,HB SLEEP STAGE PNEUMOGRAM SCREEN,3950.0,2172.5,987.5,3555.0,113 CDM,RRUCLASM-9209581000-95810-0920-SM46202-1000-7450,HB SLEEP STAGE PNEUMOGRAM >6 YEARS OLD,7450.0,4097.5,1862.5,6705.0,113 CDM,RRUCLASM-9209581052-95810-0920-SM46202-1000-6700,HB NOCT POLYSOMNOGRAM REDUCED,6700.0,3685.0,1675.0,6030.0,113 CDM,RRUCLASM-9209581100-95811-0920-SM46202-1000-7860,HB SLEEP STAGE PNEUMOGRAM PAPNAP >6 YEARS OLD,7860.0,4323.0,1965.0,7074.0,113 CDM,RRUCLASM-9209592000-95941-0920-SM46200-1000-1370,HB INTRAOP NEUROTESTING PER 1HR,1370.0,753.5,342.5,1233.0,113 CDM,RRUCLASM-9209592500-95925-0920-SM46200-1000-1220,HB OR SOMATOSENSORY STUDY ARMS,1220.0,671.0,305.0,1098.0,113 CDM,RRUCLASM-9209592600-95926-0920-SM46200-1000-1540,HB EP SOMATOSENSORY STUDY LEGS CMPLX,1540.0,847.0,385.0,1386.0,113 CDM,RRUCLASM-9209592800-95928-0920-SM46200-1000-4190,HB MEP CENTRAL MOTOR EVOK POTENTIAL UPPER,4190.0,2304.5,1047.5,3771.0,113 CDM,RRUCLASM-9209592900-95929-0920-SM46200-1000-3860,HB MEP CENTRAL MOTOR EVOK POTENTIAL LOWER,3860.0,2123.0,965.0,3474.0,113 CDM,RRUCLASM-9209593000-95930-0920-SM46200-1000-1050,HB VISUAL EVOKED POTENTIAL,1050.0,577.5,262.5,945.0,113 CDM,RRUCLASM-9209593800-95938-0920-SM46200-1000-2430,HB EP SOMATOSENSORY 4LIMB,2430.0,1336.5,607.5,2187.0,113 CDM,RRUCLASM-9209593900-95939-0920-SM46200-1000-2240,HB MEP CENTRAL MOTOR EVKPOT 4LIMB,2240.0,1232.0,560.0,2016.0,113 CDM,RRUCLASM-9209597101-95971-0920-SM40787-1000-440,HB ELCTR ANALYSIS NEURSTIM SIMPLE +PROGRAM,440.0,242.0,33.72,396.0,123 CDM,RRUCLASM-9219328000-93280-0489-SM45900-1000-430,HB PACEMAKER EVAL +/- REPROGRAM DUAL,430.0,236.5,107.5,387.0,113 CDM,RRUCLASM-9219328100-93281-0489-SM45900-1000-450,HB PACEMAKER EVAL +/- REPROGRAM MULTIPLE,450.0,247.5,112.5,405.0,113 CDM,RRUCLASM-9219328200-93282-0489-SM45900-1000-580,HB ICD EVAL +/- REPROGRAM SGL LEAD,580.0,319.0,145.0,522.0,113 CDM,RRUCLASM-9219328300-93283-0489-SM45900-1000-640,HB ICD EVAL +/- REPROGRAM DUAL LEAD,640.0,352.0,160.0,576.0,113 CDM,RRUCLASM-9219328400-93284-0489-SM45900-1000-670,HB ICD EVAL +/- REPROGRAM MULTI LEAD,670.0,368.5,167.5,603.0,113 CDM,RRUCLASM-9219328600-93286-0489-SM45900-1000-190,HB PACEMAKER EVAL PERIPROCED +/- REPROGRAM,190.0,104.5,47.5,171.0,113 CDM,RRUCLASM-9219328700-93287-0489-SM45900-1000-220,HB ICD EVAL PERIPROCEDURE +/- REPROGRAM,220.0,121.0,55.0,198.0,113 CDM,RRUCLASM-9219328900-93289-0489-SM45900-1000-330,HB ICD INTERROGATION+/-REPROGRAM,330.0,181.5,82.5,297.0,113 CDM,RRUCLASM-9219329000-93290-0489-SM45900-1000-230,HB CV MONITOR SYSTEM IMPLANT INTERRROGATION,230.0,126.5,57.5,207.0,113 CDM,RRUCLASM-9219329200-93292-0489-SM45900-1000-220,HB DEFIB WEARABLE SYSTSEM INTERROGATION,220.0,121.0,55.0,198.0,113 CDM,RRUCLASM-9219329600-93296-0489-SM45900-1000-820,HB REMOTE INTERROGATE PCMKR/ICD UPTO 90DAYS,820.0,451.0,33.96,738.0,123 CDM,RRUCLASM-9219388000-93880-0921-SM45900-1000-2230,HB DUPLEX CAROTIDS CMPLT BILAT,2230.0,1226.5,557.5,2007.0,113 CDM,RRUCLASM-9219388200-93882-0921-SM45900-1000-1480,HB DUPLEX CAROTID UNILAT / LTD,1480.0,814.0,370.0,1332.0,113 CDM,RRUCLASM-9219388600-93886-0921-SM45900-1000-2420,HB DOPPLER INTRACRANL ART CMPLT,2420.0,1331.0,605.0,2178.0,113 CDM,RRUCLASM-9219388800-93888-0921-SM45900-1000-850,HB DOPPLER INTRACRANL ART LTD,850.0,467.5,212.5,765.0,113 CDM,RRUCLASM-9219392200-93922-0921-SM45900-1000-860,HB DOPPLER AAI WO TREADMLL 1 LVL,860.0,473.0,215.0,774.0,113 CDM,RRUCLASM-9219392300-93923-0921-SM45900-1000-1560,HB UE/LE ART 3+ LVL DOPPLER SEGMENTAL PRESS CMPLT BILAT,1560.0,858.0,390.0,1404.0,113 CDM,RRUCLASM-9219392500-93925-0921-SM45900-1000-2100,HB DUPLEX LE ARTERIES CMPLT BILAT,2100.0,1155.0,525.0,1890.0,113 CDM,RRUCLASM-9219392600-93926-0921-SM45900-1000-1400,HB DUPLEX LE ARTERIES UNILAT LTD,1400.0,770.0,350.0,1260.0,113 CDM,RRUCLASM-9219393000-93930-0921-SM45900-1000-2100,HB DUPLEX UE ARTERIES CMPLT BILAT,2100.0,1155.0,525.0,1890.0,113 CDM,RRUCLASM-9219393100-93931-0921-SM45900-1000-1400,HB DUPLEX UE ARTERIES UNILAT LTD,1400.0,770.0,350.0,1260.0,113 CDM,RRUCLASM-9219397000-93970-0921-SM45900-1000-2380,HB DUPLEX EXTREM VEINS BILAT,2380.0,1309.0,595.0,2142.0,113 CDM,RRUCLASM-9219397100-93971-0921-SM45900-1000-1580,HB DUPLEX EXTREM VEINS UNILAT LTD,1580.0,869.0,395.0,1422.0,113 CDM,RRUCLASM-9219397500-93975-0921-SM45900-1000-2110,HB DUPLEX ABD/PEL VESSELS COMPLETE,2110.0,1160.5,527.5,1899.0,113 CDM,RRUCLASM-9219397600-93976-0921-SM45900-1000-1950,HB DUPLEX ABD/PELV VESSELS LTD,1950.0,1072.5,487.5,1755.0,113 CDM,RRUCLASM-9219397800-93978-0921-SM45900-1000-2100,HB DUPLEX AORTA/IVC/ILIAC COMPLETE,2100.0,1155.0,525.0,1890.0,113 CDM,RRUCLASM-9219397900-93979-0921-SM46700-1000-1580,HB DUPLEX AORTA/IVC/ILIAC LTD,1580.0,869.0,395.0,1422.0,113 CDM,RRUCLASM-9219399000-93990-0921-SM45900-1000-1410,HB DUPLEX HEMODIALYSIS ACCESS,1410.0,775.5,352.5,1269.0,113 CDM,RRUCLASM-9229586000-95860-0922-SM46200-1000-420,HB EMG 1 EXTREMITY,420.0,231.0,65.6,491.121001,123 CDM,RRUCLASM-9229586100-95861-0922-SM46200-1000-500,HB EMG 2 EXTREMITIES,500.0,275.0,98.4,491.121001,123 CDM,RRUCLASM-9229586700-95867-0922-SM46200-1000-960,HB EMG CRANIAL N UNILATERAL,960.0,528.0,240.0,864.0,113 CDM,RRUCLASM-9229586800-95868-0922-SM46200-1000-1440,HB EMG CRANIAL N BILATERAL,1440.0,792.0,360.0,1296.0,113 CDM,RRUCLASM-9229586900-95869-0922-SM46200-1000-500,HB EMG THORACIC PARASPINAL MUSCLE,500.0,275.0,125.0,450.0,113 CDM,RRUCLASM-9229587000-95870-0922-SM46200-1000-190,HB EMG MUSCLE OTHER LIMITED,190.0,104.5,47.5,171.0,113 CDM,RRUCLASM-9249507000-95070-0924-SM47200-1000-2100,HB INHAL BRONCH CHALLENG W HISTAMINE,2100.0,1155.0,41.2,1890.0,123 CDM,RRUCLASM-9249518000-95180-0924-SM48718-1000-660,HB ALLERGY RAPID DESENSITZ PROCEDURE/HOUR,660.0,363.0,61.0,1648.99294,123 CDM,RRUCLASM-9403600000-36000-0761-SM40100-1000-550,HB IV START,550.0,302.5,137.5,495.0,113 CDM,RRUCLASM-9409637200-96372-0940-SM30125-1000-130,HB NONCHEMO IM /SUBQ INJECTION EACH,130.0,71.5,18.75,829.0,123 CDM,RRUCLASM-9409637300-96373-0940-SM47400-1000-840,HB NONCHEMO INTRAARTERTIAL INJECTION EACH,840.0,462.0,15.9,829.0,123 CDM,RRUCLASM-9409637400-96374-0940-SM30185-1000-840,HB NONCHEMO IV PUSH SINGLE INITIAL,840.0,462.0,49.82,829.0,123 CDM,RRUCLASM-9409637500-96375-0940-SM30185-1000-440,HB NONCHEMO IV PUSH EACH ADDL SEQUENTIAL,440.0,242.0,21.29,829.0,123 CDM,RRUCLASM-9409637600-96376-0940-SM30185-1000-440,HB NONCHEMO IV PUSH SAME EACH ADDL SEQUENTL,440.0,242.0,110.0,829.0,113 CDM,RRUCLASM-9409919500-99195-0940-SM48718-1000-470,HB PHLEBOTOMY THERAPEUTIC+TRAY,470.0,258.5,16.4,829.0,123 CDM,RRUCLASM-9429780200-97802-0942-SM45900-1000-150,HB MEDICAL NUTRITION THERAPY ASSESS PER 15,150.0,82.5,30.35,135.0,123 CDM,RRUCLASM-9429780300-97803-0942-SM45900-1000-140,HB MEDICAL NUTRITION THERAPY RE-ASSESS PER 15,140.0,77.0,26.11,126.0,123 CDM,RRUCLASM-9429940700-99407-0942-SM40100-1000-130,HB MAP TOBACCO & SMOKING CESSATION COUNSELING >10MIN,130.0,71.5,19.93,138.307309,123 CDM,RRUCLASM-9429944200-S9442-0942-SM44040-1000-160,HB BIRTHING CLASS NON-MD PER SESSION,160.0,88.0,40.0,144.0,113 CDM,RRUCLASM-9429944300-S9443-0942-SM44040-1000-210,HB LACTATION CLASS NON-MD PER SESSION,210.0,115.5,52.5,189.0,113 CDM,RRUCLASM-9429944400-S9444-0942-SM44040-1000-160,HB PARENTING CLASS NON-MD PER SESSION,160.0,88.0,40.0,144.0,113 CDM,RRUCLASM-9429944600-S9446-0442-SM44040-1000-160,HB MATERNITY PARENT-INFANT CLASS NON-MD PER SESSION,160.0,88.0,40.0,599.0,113 DRG,001,Heart,,,392259.0,638913.0,3 DRG,001,Heart - Adult & Pediatric,,,319644.0,319644.0,1 DRG,001,Heart Transplant,,,70000.0,489259.0,15 DRG,002,Heart,,,392259.0,638913.0,3 DRG,002,Heart - Adult & Pediatric,,,319644.0,319644.0,1 DRG,002,Heart Transplant,,,70000.0,489259.0,15 DRG,005,Liver,,,472175.0,628857.0,3 DRG,005-C,Liver,,,472175.0,628857.0,3 DRG,005-C,Liver Transplant - Cadaveric,,,422070.0,422070.0,1 DRG,005-D,Liver (Deceased Donor) - Adult & Pediatri,,,297460.0,297460.0,1 DRG,005-I,Intestinal - Adult & Pediatric,,,533493.0,533493.0,1 DRG,005-L,Liver,,,472175.0,628857.0,3 DRG,005-L,Liver (Live Donor) - Adult & Pediatric,,,297460.0,297460.0,1 DRG,005-L,Liver Transplant - Living,,,423940.0,423940.0,1 DRG,005-LK,Liver/Kidney Transplant,,,130000.0,543998.0,2 DRG,006,Liver,,,472175.0,628857.0,3 DRG,006-C,Liver,,,472175.0,628857.0,3 DRG,006-C,Liver Transplant - Cadaveric,,,422070.0,422070.0,1 DRG,006-D,Liver (Deceased Donor) - Adult & Pediatri,,,297460.0,297460.0,1 DRG,006-L,Liver,,,472175.0,628857.0,3 DRG,006-L,Liver (Live Donor) - Adult & Pediatric,,,297460.0,297460.0,1 DRG,006-L,Liver Transplant - Living,,,423940.0,423940.0,1 DRG,007-D,Lung (Double),,,197600.0,908558.0,4 DRG,007-D,Lung (Double) - Adult,,,436420.0,436420.0,1 DRG,007-D,Lung Transplant - Double,,,115000.0,534618.0,3 DRG,007-S,Lung (Single),,,161000.0,619177.0,4 DRG,007-S,Lung (Single) - Adult,,,349135.0,349135.0,1 DRG,007-S,Lung Transplant - Single,,,90000.0,450211.0,4 DRG,008,Kidney-Pancreas (SPK),,,361982.0,656064.0,3 DRG,008,Kidney/Pancreas - Adult,,,377798.0,377798.0,1 DRG,008,Simultaneous Kidney/Pancreas Transplant,,,80000.0,351721.0,10 DRG,010,PANCREAS TRANSPLANT,,,2175.0,230025.0,27 DRG,010,Pancreas,,,392936.0,416315.69,2 DRG,010,Pancreas - Adult,,,266660.0,266660.0,1 DRG,010,Pancreas Adult,,,484786.0,484786.0,1 DRG,014,Allogeneic Bone Marrow/Stem Cell Related (Single),,,522628.0,553724.37,3 DRG,014-R,Allogeneic Related BMT ? Adult & Pediatric,,,288536.0,288536.0,1 DRG,014-R,BMT Allogeneic Related Transplant,,,384553.0,384553.0,1 DRG,014-U,Allogeneic Unrelated BMT ? Adult & Pediatric,,,288536.0,288536.0,1 DRG,014-U,BMT Allogeneic Unrelated Transplant,,,431443.0,431443.0,1 DRG,016,Autologous BMT - Adult & Pediatric,,,172248.0,172248.0,1 DRG,016,Autologous Bone Marrow/ Stem Cell (Single),,,282538.0,300499.63,3 DRG,016-A,Adult BMT Autologous Transplant,,,271999.0,271999.0,1 DRG,016-P,Pediatric BMT Autologous Transplant,,,284199.0,284199.0,1 DRG,017,Autologous BMT - Adult & Pediatric,,,172248.0,172248.0,1 DRG,017,Autologous Bone Marrow/ Stem Cell (Single),,,282538.0,300499.63,3 DRG,017-A,Adult BMT Autologous Transplant,,,271999.0,271999.0,1 DRG,017-P,Pediatric BMT Autologous Transplant,,,284199.0,284199.0,1 DRG,019,Kidney-Pancreas (SPK),,,361982.0,656064.0,3 DRG,019,Kidney/Pancreas - Adult,,,377798.0,377798.0,1 DRG,019,Simultaneous Kidney/Pancreas Transplant,,,80000.0,351721.0,10 DRG,650,Kidney,,,271081.0,271081.0,1 DRG,650,Kidney (Deceased & Live Donor) - Adult & Pediatric,,,233375.0,233375.0,1 DRG,650-C,Kidney Transplant - Cadaveric,,,253239.0,253239.0,1 DRG,650-L,Kidney Transplant - Living,,,39000.0,217599.0,4 DRG,650C,Kidney Transplant - Cadaveric Donor,,,244518.0,244518.0,2 DRG,650L,Kidney Transplant - Live Donor,,,233859.0,233859.0,2 DRG,651,Kidney,,,271081.0,271081.0,1 DRG,651,Kidney (Deceased & Live Donor) - Adult & Pediatric,,,233375.0,233375.0,1 DRG,651-C,Kidney Transplant - Cadaveric,,,253239.0,253239.0,1 DRG,651-L,Kidney Transplant - Living,,,39000.0,217599.0,4 DRG,651C,Kidney Transplant - Cadaveric Donor,,,244518.0,244518.0,2 DRG,651L,Kidney Transplant - Live Donor,,,233859.0,233859.0,2 DRG,652,Kidney,,,271081.0,271081.0,1 DRG,652,Kidney (Deceased & Live Donor) - Adult & Pediatric,,,233375.0,233375.0,1 DRG,652-C,Kidney Transplant - Cadaveric,,,253239.0,253239.0,1 DRG,652-L,Kidney Transplant - Living,,,39000.0,217599.0,4 DRG,652C,Kidney Transplant - Cadaveric Donor,,,244518.0,244518.0,2 DRG,652L,Kidney Transplant - Live Donor,,,233859.0,233859.0,2 DRG,999-A,Allogeneic,,,121980.0,121980.0,1 DRG,999-A,"Allogeneic, Related Donor",,,156600.0,156600.0,1 DRG,999-A,Autologous Tandem BMT - Adult & Pediatric,,,301435.0,301435.0,1 DRG,999-A,Bone Marrow Transplant - Allogeneic,,,105000.0,145000.0,2 DRG,999-A,Bone Marrow Transplant - Allogeneic (Related Donor),,,105000.0,105000.0,1 DRG,999-A,Bone Marrow Transplant - Allogeneic (Related),,,105000.0,105000.0,1 DRG,999-A,Breast Cancer,,,75000.0,75000.0,1 DRG,999-A,Liver Small Bowel,,,678338.0,947082.0,3 DRG,999-A,Liver and Small Bowel,,,862894.0,862894.0,1 DRG,999-B,"Allogeneic, Unrelated Donor",,,189000.0,189000.0,1 DRG,999-B,Autologous,,,71155.0,129500.0,3 DRG,999-B,Bone Marrow Transplant - Allogeneic (Unrelated Donor),,,125000.0,125000.0,1 DRG,999-B,Bone Marrow Transplant - Allogeneic (Unrelated),,,125000.0,125000.0,1 DRG,999-B,Bone Marrow Transplant - Autologous,,,80000.0,110000.0,3 DRG,999-B,Kidney/Liver - Adult & Pediatric,,,429373.0,429373.0,1 DRG,999-B,Liver-Kidney,,,554309.0,703058.0,3 DRG,999-B,Small Bowel Transplant,,,160000.0,590901.0,4 DRG,999-BM,Tandem Bone Marrow Transplant Autologous/Autologous,,,226030.0,226030.0,1 DRG,999-C,Autologous,,,71155.0,129500.0,3 DRG,999-C,Bone Marrow Transplant - Autologous,,,80000.0,110000.0,3 DRG,999-C,Bone Marrow Transplant - Autologous/Stem Cell,,,95000.0,95000.0,1 DRG,999-C,Heart/Lung Transplant,,,128000.0,165850.0,3 DRG,999-C,Small Bowel Transplant,,,160000.0,590901.0,4 DRG,999-C,Stem Cell for Breast Cancer,,,70000.0,75000.0,2 DRG,999-CB,Cord Blood Related or Unrelated (single or multiple units),,,541826.0,541826.0,1 DRG,999-D,Allogeneic Bone Marrow/Stem Cell Related (Single),,,522628.0,553724.37,3 DRG,999-D,Bone Marrow Transplant - Breast Cancer,,,80000.0,80000.0,1 DRG,999-D,Heart/Lung Transplant,,,128000.0,165850.0,3 DRG,999-D,Liver /Kidney Transplant,,,181900.0,259200.0,2 DRG,999-D,Stem Cell for Breast Cancer,,,70000.0,75000.0,2 DRG,999-E,Autologous Bone Marrow/ Stem Cell (Single),,,282538.0,300499.63,3 DRG,999-E,Heart/Lung Transplant,,,128000.0,165850.0,3 DRG,999-E,Liver/Kidney Transplant,,,130000.0,543998.0,2 DRG,999-E,Liver/Small Bowel Transplant,,,135000.0,299600.0,2 DRG,999-F,Liver /Kidney Transplant,,,181900.0,259200.0,2 DRG,999-F,Liver/Small Bowel Transplant,,,135000.0,299600.0,2 DRG,999-F,Small Bowel Transplant,,,160000.0,590901.0,4 DRG,999-H,Small Bowel Transplant,,,160000.0,590901.0,4 DRG,999-HL,Heart-Lung Adult,,,903260.0,903260.0,1 DRG,999-LB,Liver Small Bowel,,,678338.0,947082.0,3 DRG,999-LK,Liver-Kidney,,,554309.0,703058.0,3 DRG,999-S,Sequential Autologous Transplants (3 or 4 autologous transplants),,,226030.0,226030.0,1 DRG,999-SB,Small Bowel,,,699458.0,699458.0,1 HCPCS,0001U,RBC DNA HEA 35 AG 11 BLD GRP,,,576.0,2066.4,22 HCPCS,0002M,LIVER DIS 10 ASSAYS W/ASH,,,503.4,1444.758,21 HCPCS,0002U,ONC CLRCT 3 UR METAB ALG PLP,,,25.0,71.75,21 HCPCS,0003M,LIVER DIS 10 ASSAYS W/NASH,,,503.4,1444.758,21 HCPCS,0003U,ONC OVAR 5 PRTN SER ALG SCOR,,,760.0,2726.5,22 HCPCS,0004M,SCOLIOSIS DNA ALYS,,,79.0,226.73,21 HCPCS,0005U,ONCO PRST8 3 GENE UR ALG,,,760.0,2181.2,21 HCPCS,0006M,ONC HEP GENE RISK CLASSIFIER,,,150.0,430.5,21 HCPCS,0007M,ONC GASTRO 51 GENE NOMOGRAM,,,375.0,1076.25,21 HCPCS,0007U,RX TEST PRSMV UR W/DEF CONF,,,91.54,328.4141,22 HCPCS,0008U,HPYLORI DETCJ ABX RSTNC DNA,,,597.91,1716.0017,21 HCPCS,0009U,ONC BRST CA ERBB2 AMP/NONAMP,,,107.0,307.09,21 HCPCS,00100,ANES PX SALIVARY GLAND W/BX,,,63.33,63.33,1 HCPCS,00102,ANES PX PLSTC RPR CLEFT LIP,,,75.93,75.93,1 HCPCS,00103,ANES RCNSTV PX EYELID,,,63.33,63.33,1 HCPCS,00104,ANES ELECTROCONVULSIVE THER,,,50.58,50.58,1 HCPCS,0010U,NFCT DS STRN TYP WHL GEN SEQ,,,427.26,1226.2362,21 HCPCS,0011M,ONC PRST8 CA MRNA 12 GEN ALG,,,760.0,2181.2,21 HCPCS,0011U,RX MNTR LC-MS/MS ORAL FLUID,,,114.43,328.4141,21 HCPCS,00120,ANES PX EAR W/BX NOS,,,63.33,63.33,1 HCPCS,00124,ANES PX EAR OTOSCOPY,,,50.58,50.58,1 HCPCS,00126,ANES PX EAR TYMPANOTOMY,,,50.58,50.58,1 HCPCS,0012M,ONC MRNA 5 GEN RSK URTHL CA,,,760.0,2181.2,21 HCPCS,0013M,ONC MRNA 5 GEN RECR URTHL CA,,,760.0,2181.2,21 HCPCS,00140,ANES PROCEDURES ON EYE NOS,,,63.33,63.33,1 HCPCS,00142,ANES PX ON EYE LENS SURGERY,,,75.93,75.93,1 HCPCS,00144,ANES PX EYE CORNEAL TRNSPL,,,75.93,75.93,1 HCPCS,00145,ANES PX EYE VITREORTNL SURG,,,75.93,75.93,1 HCPCS,00147,ANES PX ON EYE IRIDECTOMY,,,50.58,50.58,1 HCPCS,00148,ANES PX EYE OPHTHALMOSCOPY,,,50.58,50.58,1 HCPCS,0015M,ADRNL CORTCL TUM BCHM ASY 25,,,1305.37,3746.4119,21 HCPCS,00160,ANES PX NOSE&SINUS NOS,,,63.33,63.33,1 HCPCS,00162,ANES PX NOSE&SINUS RAD SURG,,,88.54,88.54,1 HCPCS,00164,ANES PX NOSE&SINS BX SFT TIS,,,50.58,50.58,1 HCPCS,0016M,ONC BLADDER MRNA 219 GEN ALG,,,3489.63,10015.2381,21 HCPCS,0016U,ONC HMTLMF NEO RNA BCR/ABL1,,,131.17,470.5652,22 HCPCS,00170,ANES INTRAORAL PX NOS,,,63.33,63.33,1 HCPCS,00172,ANES NTRORAL PX RPR CLFT PAL,,,75.93,75.93,1 HCPCS,00174,ANES NTRORL EXC RTRPHRNG TUM,,,75.93,75.93,1 HCPCS,00176,ANES INTRAORAL PX RAD SURG,,,88.54,88.54,1 HCPCS,0017M,ONC DLBCL MRNA 20 GENES ALG,,,2510.21,7204.3027,22 HCPCS,0017U,ONC HMTLMF NEO JAK2 MUT DNA,,,73.33,263.0642,22 HCPCS,0018M,TRNSPLJ RNL MEAS CD154+CLL,,,640.73,1838.8951,21 HCPCS,0018U,ONC THYR 10 MICRORNA SEQ ALG,,,2401.67,8615.9983,22 HCPCS,00190,ANES PX FACIAL B1/SKULL NOS,,,63.33,63.33,1 HCPCS,00192,ANES PX FCL B1/SKL RAD SURG,,,88.54,88.54,1 HCPCS,0019M,CV DS PLASMA ALYS PRTN BMRK,,,712.4,2044.588,19 HCPCS,0019U,ONC RNA TISS PREDICT ALG,,,3675.0,10547.25,21 HCPCS,0020M,ONC CNS ALYS 30000 DNA LOCI,,,2500.0,7175.0,10 HCPCS,00210,ANES INTRACRANIAL PX NOS,,,139.12,139.12,1 HCPCS,00212,ANES ICR PX SUBDURAL TAPS,,,63.33,63.33,1 HCPCS,00214,ANES ICR PX BURR HOLES,,,113.9,113.9,1 HCPCS,00215,ANES ICR PX CRNOP/ELVTN FX,,,113.9,113.9,1 HCPCS,00216,ANES ICR PX VASCULAR PX,,,189.84,189.84,1 HCPCS,00218,ANES ICR PX IN SITTING POS,,,164.48,164.48,1 HCPCS,0021U,ONC PRST8 DETCJ 8 AUTOANTB,,,760.0,2181.2,21 HCPCS,00220,ANES ICR PX CSF SHUNTING PX,,,126.51,126.51,1 HCPCS,00222,ANES ICR PX ECOAG ICR NRV,,,75.93,75.93,1 HCPCS,0022U,TGSAP NSM LUNG NEO DNA&RNA23,,,1560.0,5596.5,22 HCPCS,0023U,ONC AML DNA DETCJ/NONDETCJ,,,198.81,713.2237,22 HCPCS,0024U,GLYCA NUC MR SPECTRSC QUAN,,,34.19,98.1253,21 HCPCS,0025U,TENOFOVIR LIQ CHROM UR QUAN,,,102.924,328.4141,21 HCPCS,0026U,ONC THYR DNA&MRNA 112 GENES,,,2880.0,10332.0,22 HCPCS,0027U,JAK2 GENE TRGT SEQ ALYS,,,97.53,349.8817,22 HCPCS,0029U,RX METAB ADVRS TRGT SEQ ALYS,,,742.27,2130.3149,21 HCPCS,00300,ANES ALL PX INTEG H/N/PTRUNK,,,63.33,63.33,1 HCPCS,0030U,RX METAB WARF TRGT SEQ ALYS,,,134.13,384.9531,21 HCPCS,0031U,CYP1A2 GENE,,,174.81,501.7047,21 HCPCS,00320,ANES ALL PX NECK NOS 1YR/>,,,75.93,75.93,1 HCPCS,00322,ANES ALL PX NCK NDL BX THYR,,,37.97,37.97,1 HCPCS,00326,ANES ALL PX LARYNX&TRACH<1YR,,,101.15,101.15,1 HCPCS,0032U,COMT GENE,,,174.81,501.7047,21 HCPCS,0033U,HTR2A HTR2C GENES,,,349.62,580.788744,11 HCPCS,0034U,TPMT NUDT15 GENES,,,372.94,1337.9079,22 HCPCS,00350,ANES PX MAJOR VSL NECK NOS,,,126.51,126.51,1 HCPCS,00352,ANES PX MAJ VSL NCK SMPL LIG,,,63.33,63.33,1 HCPCS,0035U,NEURO CSF PRION PRTN QUAL,,,432.79,1552.6413,22 HCPCS,0036U,XOME TUM & NML SPEC SEQ ALYS,,,4780.0,13718.6,21 HCPCS,0037U,TRGT GEN SEQ DNA 324 GENES,,,2800.0,10045.0,22 HCPCS,0038U,VITAMIN D SRM MICROSAMP QUAN,,,23.68,84.952,22 HCPCS,0039U,DNA ANTB 2STRAND HI AVIDITY,,,10.99,39.4338,22 HCPCS,00400,ANES INTEGUMENTARY SYS NOS,,,37.97,37.97,1 HCPCS,00402,ANES INTEG SYS RCNSTV BREAST,,,63.33,63.33,1 HCPCS,00404,ANES INTEG SYS RAD/MODF BRST,,,63.33,63.33,1 HCPCS,00406,ANES INTEG SYS RAD BRST DSJ,,,164.48,164.48,1 HCPCS,0040U,BCR/ABL1 GENE MAJOR BP QUAN,,,327.92,1176.413,22 HCPCS,00410,ANES INTEG SYS CONV ARRHYT,,,50.58,50.58,1 HCPCS,0041U,B BRGDRFERI ANTB 5 PRTN IGM,,,13.77,49.3927,22 HCPCS,0042U,B BRGDRFERI ANTB 12 PRTN IGG,,,13.77,49.3927,22 HCPCS,0043U,TBRF B GRP ANTB 4 PRTN IGM,,,11.89,42.6482,22 HCPCS,0044U,TBRF B GRP ANTB 4 PRTN IGG,,,11.89,42.6482,22 HCPCS,00450,ANES PX CLAV&SCAPULA NOS,,,63.33,63.33,1 HCPCS,00454,ANES PX CLAV&SCAPULA BX CLAV,,,37.97,37.97,1 HCPCS,0045U,ONC BRST DUX CARC IS 12 GENE,,,3873.0,11115.51,21 HCPCS,0046U,FLT3 GENE ITD VARIANTS QUAN,,,325.94,1169.3241,22 HCPCS,00470,ANES PARTIAL RIB RESCJ NOS,,,75.93,75.93,1 HCPCS,00472,ANES PRTL RIB RESCJ THORACOP,,,126.51,126.51,1 HCPCS,00474,ANES PRTL RIB RESCJ RAD PX,,,164.48,164.48,1 HCPCS,0047U,ONC PRST8 MRNA 17 GENE ALG,,,3098.4,11115.51,22 HCPCS,0048U,ONC SLD ORG NEO DNA 468 GENE,,,2919.6,8379.252,21 HCPCS,0049U,NPM1 GENE ANALYSIS QUAN,,,325.94,1169.3241,22 HCPCS,00500,ANES ALL PX ON ESOPHAGUS,,,189.84,189.84,1 HCPCS,0050U,TRGT GEN SEQ DNA 194 GENES,,,2333.28,8370.642,22 HCPCS,0051U,RX MNTR LC-MS/MS UR/BLD 31,,,154.97,708.6604,22 HCPCS,00520,ANES CLOSED CHEST PX NOS,,,75.93,75.93,1 HCPCS,00522,ANES CLSD CH PX NDL BX PLEUR,,,50.58,50.58,1 HCPCS,00524,ANES CLSD CH PX PNEUMOCENTS,,,50.58,50.58,1 HCPCS,00528,ANES CLSD CH MEDIAST&THRC WO,,,101.15,101.15,1 HCPCS,00529,ANES CLSD CH MEDIAST&THRC W/,,,139.12,139.12,1 HCPCS,0052U,LPOPRTN BLD W/5 MAJ CLASSES,,,27.09,97.1782,22 HCPCS,00530,ANES PERM TRANSVNS PM INSJ,,,50.58,50.58,1 HCPCS,00532,ANES ACCESS CTR VENOUS CRCJ,,,50.58,50.58,1 HCPCS,00534,ANES INSERTION/RPLCMT CVDFB,,,88.54,88.54,1 HCPCS,00537,ANES CARDIAC EP PROCEDURES,,,88.54,88.54,1 HCPCS,00539,ANES TRACHEOBRONCHIAL RCNSTJ,,,227.66,227.66,1 HCPCS,00540,ANES THORACOTOMY PX NOS,,,164.48,164.48,1 HCPCS,00541,ANES THRCM PX 1 LUNG VNTJ,,,189.84,189.84,1 HCPCS,00542,ANES THRCM PX DECORTICATION,,,189.84,189.84,1 HCPCS,00546,ANES THRCM PX PULM RESCJ,,,189.84,189.84,1 HCPCS,00548,ANES THRCM PX TRACH&BRONCHI,,,189.84,189.84,1 HCPCS,0054U,RX MNTR 14+ DRUGS & SBSTS,,,119.17,570.3838,22 HCPCS,00550,ANES FOR STERNAL DEBRIDEMENT,,,126.51,126.51,1 HCPCS,0055U,CARD HRT TRNSPL 96 DNA SEQ,,,3240.0,9298.8,21 HCPCS,00560,ANES PX HEART W/O PUMP OXTJ,,,189.84,189.84,1 HCPCS,00561,ANES PX HEART W/PUMP<1 YR,,,316.35,316.35,1 HCPCS,00562,ANES PX HRT W/PUMP AGE 1YR+,,,253.02,253.02,1 HCPCS,00563,ANES PX HEART W/PMP CRC ARST,,,316.35,316.35,1 HCPCS,00566,ANES DIRECT CABG W/O PUMP,,,316.35,316.35,1 HCPCS,00580,ANES HEART/LUNG TRANSPLANT,,,253.02,253.02,1 HCPCS,0058U,ONC MERKEL CLL CARC SRM QUAN,,,258.37,926.8952,22 HCPCS,0059U,ONC MERKEL CLL CARC SRM +/-,,,258.37,926.8952,22 HCPCS,00600,ANES PX CRV SPINE&CORD NOS,,,126.51,126.51,1 HCPCS,00604,ANES PX CRV SPN&CORD SITTING,,,164.48,164.48,1 HCPCS,0060U,TWN ZYG GEN SEQ ALYS CHRMS2,,,759.05,2178.4735,21 HCPCS,0061U,TC MEAS 5 BMRK SFDI M-S ALYS,,,25.1,72.037,21 HCPCS,00620,ANES PX THRC SPINE&CORD NOS,,,126.51,126.51,1 HCPCS,00625,ANES THRC SPINE WO 1LNG VENT,,,164.48,164.48,1 HCPCS,00626,ANES THRC SPINE W/1 LNG VENT,,,189.84,189.84,1 HCPCS,0062U,AI SLE IGG&IGM ALYS 80 BMRK,,,380.72,1092.6664,21 HCPCS,00630,ANES PX LUMBAR REGION NOS,,,101.15,101.15,1 HCPCS,00632,ANES PX LUMBAR SYMPATHECTOMY,,,88.54,88.54,1 HCPCS,00635,ANES DX/THER LUMBAR PNXR,,,50.58,50.58,1 HCPCS,0063U,NEURO AUTISM 32 AMINES ALG,,,750.0,2152.5,21 HCPCS,00640,ANES SPINE MANIPULATION,,,37.97,37.97,1 HCPCS,0064U,ANTB TP TOTAL&RPR IA QUAL,,,25.06,89.9171,22 HCPCS,0065U,SYFLS TST NONTREPONEMAL ANTB,,,14.47,51.9183,22 HCPCS,0066U,PAMG-1 IA CERVICO-VAG FLUID,,,22.615439,25.399748,2 HCPCS,00670,ANES XTNSV SP&SPI CORD PX,,,164.48,164.48,1 HCPCS,0067U,ONC BRST IMHCHEM PRFL 4 BMRK,,,1897.0,5444.39,21 HCPCS,0068U,CANDIDA SPECIES PNL AMP PRB,,,114.1,409.3481,22 HCPCS,0069U,ONC CLRCT MICRORNA MIR-31-3P,,,380.0,1090.6,21 HCPCS,00700,ANES PX UPR ANT ABD WALL NOS,,,37.97,37.97,1 HCPCS,00702,ANES UPR ANT ABD WALL LVR BX,,,50.58,50.58,1 HCPCS,0070U,CYP2D6 GEN COM&SLCT RAR VRNT,,,676.37,1941.1819,21 HCPCS,0071T,US LEIOMYOMATA ABLATE <200,,,4039.9108,11949.200228,21 HCPCS,0071U,CYP2D6 FULL GENE SEQUENCE,,,600.0,1722.0,21 HCPCS,0072T,FCSD US ABLTJ LEIOMYOM>=200,,,4039.9108,11949.200228,21 HCPCS,0072U,CYP2D6 GEN CYP2D6-2D7 HYBRID,,,450.91,1294.1117,21 HCPCS,00730,ANES PX UPPER PST ABDL WALL,,,63.33,63.33,1 HCPCS,00731,ANES UPR GI NDSC PX NOS,,,70.05,70.05,1 HCPCS,00732,ANES UPR GI NDSC PX ERCP,,,84.06,84.06,1 HCPCS,0073U,CYP2D6 GEN CYP2D7-2D6 HYBRID,,,450.91,1294.1117,21 HCPCS,0074U,CYP2D6 NONDUPLICATED GENE,,,450.91,1294.1117,21 HCPCS,00750,ANES HRNA RPR UPR ABD NOS,,,50.58,50.58,1 HCPCS,00752,ANES HRNA RPR LMBR&VNT&/DEHS,,,75.93,75.93,1 HCPCS,00754,ANES HRNA RPR OMPHALOCELE,,,88.54,88.54,1 HCPCS,00756,ANES HRNA RPR DIPHRG HRNA,,,88.54,88.54,1 HCPCS,0075U,CYP2D6 5' GENE DUP/MLT,,,450.91,1294.1117,21 HCPCS,0076U,CYP2D6 3' GENE DUP/MLT,,,450.91,1294.1117,21 HCPCS,00770,ANES PX MAJ ABD BLOOD VESSEL,,,189.84,189.84,1 HCPCS,0077U,IG PARAPROTEIN QUAL BLD/UR,,,34.74,124.6441,22 HCPCS,0078U,PAIN MGT OPI USE GNOTYP PNL,,,541.092,749.051692,4 HCPCS,00790,ANES IPER UPR ABD NOS,,,88.54,88.54,1 HCPCS,00792,ANES IPER UPR ABD PRTL HPTC,,,164.48,164.48,1 HCPCS,00794,ANES IPER UPR ABD PNCRTECT,,,101.15,101.15,1 HCPCS,00796,ANES IPER UPR ABD LVR TRNSPL,,,379.53,379.53,1 HCPCS,00797,ANES IPER UPR ABD GSTR PX MO,,,101.15,101.15,1 HCPCS,00800,ANES PX LWR ANT ABDL WAL NOS,,,37.97,37.97,1 HCPCS,00802,ANES PX LWR ABDL WAL PANNIC,,,63.33,63.33,1 HCPCS,0080U,ONC LNG 5 CLIN RSK FACTR ALG,,,3520.0,10102.4,21 HCPCS,00811,ANES LWR INTST NDSC NOS,,,56.04,56.04,1 HCPCS,00812,ANES LWR INTST SCR COLSC,,,42.03,42.03,1 HCPCS,00813,ANES UPR LWR GI NDSC PX,,,70.05,70.05,1 HCPCS,00820,ANES PX LWR POST ABDL WALL,,,63.33,63.33,1 HCPCS,0082U,RX TEST DEF 90+ RX/SBSTS UR,,,197.54,708.6604,22 HCPCS,00830,ANES HERNIA RPR LWR ABD NOS,,,50.58,50.58,1 HCPCS,00832,ANES HERNIA REPAIR VNT&INCAL,,,75.93,75.93,1 HCPCS,00834,ANES HERNIA REPAIR<1 YR AGE,,,63.33,63.33,1 HCPCS,00836,ANES HRNA RPR<37WK BRTH<50,,,75.93,75.93,1 HCPCS,0083U,ONC RSPSE CHEMO CNTRST TOMOG,,,167.35,480.2945,21 HCPCS,00840,ANES IPER PX LOWER ABD NOS,,,75.93,75.93,1 HCPCS,00842,ANES IPER PX AMNIOCENTESIS,,,61.59,61.59,1 HCPCS,00844,ANES IPER PX ABDMNPRNL RESCJ,,,88.54,88.54,1 HCPCS,00846,ANES IPER PX RAD HYSTRECTOMY,,,101.15,101.15,1 HCPCS,00848,ANES IPER PX PEL EXENTRATION,,,101.15,101.15,1 HCPCS,0084U,RBC DNA GNOTYP 10 BLD GROUPS,,,576.0,2066.4,22 HCPCS,00851,ANES IPER PX TUBAL LIGATION,,,75.93,75.93,1 HCPCS,00860,ANES XTRPRTL PX LWR ABD NOS,,,75.93,75.93,1 HCPCS,00862,ANES XTRPRTL LWR ABD RNL PX,,,88.54,88.54,1 HCPCS,00864,ANES XTRPRT LWR ABD TOT CSTC,,,101.15,101.15,1 HCPCS,00865,ANES XTRPRT LWR ABD PRST8ECT,,,88.54,88.54,1 HCPCS,00866,ANES XTRPRT LW ABD ADRNLCTMY,,,126.51,126.51,1 HCPCS,00868,ANES XTRPRTL PX RNL TRANSPL,,,126.51,126.51,1 HCPCS,0086U,NFCT DS BACT&FNG ORG ID 6+,,,200.0,574.0,21 HCPCS,00870,ANES XTRPRTL CYSTOLITHOTOMY,,,63.33,63.33,1 HCPCS,00872,ANES LITHOTRP ESW WATER BATH,,,88.54,88.54,1 HCPCS,00873,ANES LITHOTRP ESW WO WTR BTH,,,88.54,88.54,1 HCPCS,0087U,CRD HRT TRNSPL MRNA 1283 GEN,,,2527.54,9067.5354,22 HCPCS,00880,ANES MAJ LWR ABD VESSEL NOS,,,189.84,189.84,1 HCPCS,00882,ANES MAJ LWR ADB VSL IVC LIG,,,126.51,126.51,1 HCPCS,0088U,TRNSPLJ KDN ALGRFT REJ 1494,,,2527.54,9067.5354,22 HCPCS,0089U,ONC MLNMA PRAME & LINC00518,,,760.0,2181.2,21 HCPCS,00902,ANES ANORECTAL PX,,,50.58,50.58,1 HCPCS,00904,ANES RADICAL PERINEAL PX,,,88.54,88.54,1 HCPCS,00906,ANES VULVECTOMY,,,50.58,50.58,1 HCPCS,00908,ANES PERINEAL PROSTATECTOMY,,,75.93,75.93,1 HCPCS,0090U,ONC CUTAN MLNMA MRNA 23 GENE,,,1950.0,5596.5,21 HCPCS,00910,ANES TRANSURETHRAL PX NOS,,,37.97,37.97,1 HCPCS,00912,ANES TRURL PX RESCJ BLDR TUM,,,63.33,63.33,1 HCPCS,00914,ANES TRURL PX RESCJ PRST8,,,63.33,63.33,1 HCPCS,00916,ANES TRURL PX RESCJ BLEEDING,,,63.33,63.33,1 HCPCS,00918,ANES TRURL PX URTRL CAL RMVL,,,63.33,63.33,1 HCPCS,00920,ANES PX MALE GENITALIA NOS,,,37.97,37.97,1 HCPCS,00921,ANES PX MALE GENITALIA VASEC,,,37.97,37.97,1 HCPCS,00922,ANES PX MALE GENT SEM VES,,,75.93,75.93,1 HCPCS,00924,ANES MALE GENT UNDSCND TSTIS,,,50.58,50.58,1 HCPCS,00926,ANES MALE GENT RAD ORCH ING,,,50.58,50.58,1 HCPCS,00928,ANES MALE GENT RAD ORCH ABD,,,75.93,75.93,1 HCPCS,0092U,ONC LNG 3 PRTN BMRK PLSM ALG,,,2488.0,7140.56,21 HCPCS,00930,ANES PX MALE GENT ORCHIOPEXY,,,50.58,50.58,1 HCPCS,00932,ANES MALE GENT COMPL AMP PNS,,,50.58,50.58,1 HCPCS,00934,ANES RAD AMP PENIS INGUN LYM,,,75.93,75.93,1 HCPCS,00936,ANES RAD AMP PNS INGUN&ILAC,,,101.15,101.15,1 HCPCS,00938,ANES INSJ PENILE PROSTHESIS,,,50.58,50.58,1 HCPCS,0093U,RX MNTR 65 COM DRUGS URINE,,,62.14,178.3418,21 HCPCS,00940,ANES VAGINAL PX NOS,,,37.97,37.97,1 HCPCS,00942,ANES VAG PX CLPTMY VGNC CLPR,,,50.58,50.58,1 HCPCS,00944,ANES VAG PX VAG HYSTERECTOMY,,,75.93,75.93,1 HCPCS,00948,ANES VAG PX CRV CERCLAGE,,,61.59,61.59,1 HCPCS,0094U,GENOME RAPID SEQUENCE ALYS,,,7582.2,21760.914,21 HCPCS,00950,ANES VAG PX CULDOSCOPY,,,63.33,63.33,1 HCPCS,00952,ANES VAG PX HYSTSC&/HSG,,,50.58,50.58,1 HCPCS,0095U,EE 2 PRTN BMRK MBP ELISA EST,,,771.98,2215.5826,21 HCPCS,0096U,HPV HI RISK TYPES MALE URINE,,,35.09,100.7083,21 HCPCS,0101T,ESW MUSCSKEL SYS NOS,,,304.7915,910.522998,21 HCPCS,0101U,HERED COLON CA DO 15 GENES,,,1743.95,5005.1365,21 HCPCS,0102T,ESW PHY ANES LAT HMRL EPCNDL,,,4122.6015,12077.93293,21 HCPCS,0102U,HERED BRST CA RLTD DO 17 GEN,,,1303.95,3742.3365,21 HCPCS,0103U,HERED OVA CA PNL 24 GENES,,,1743.95,5005.1365,21 HCPCS,0105U,NEPH CKD MULT ECLIA TUM NEC,,,950.0,2726.5,21 HCPCS,0106T,TOUCH QUANT SENSORY TEST,,,48.0396,137.873652,21 HCPCS,0106U,GSTR EMPTG 7 TIMED BRTH SPEC,,,874.49,2509.7863,21 HCPCS,0107T,VIBRATE QUANT SENSORY TEST,,,48.0396,137.873652,21 HCPCS,0107U,C DIFF TOX AG DETCJ IA STOOL,,,12.8,45.92,22 HCPCS,0108T,COOL QUANT SENSORY TEST,,,75.4736,217.758093,21 HCPCS,0108U,GI BARRETT ESOPH 9 PRTN BMRK,,,4950.0,14206.5,21 HCPCS,0109T,HEAT QUANT SENSORY TEST,,,48.0396,137.873652,21 HCPCS,0109U,ID ASPERGILLUS DNA 4 SPECIES,,,114.1,409.3481,22 HCPCS,0110T,NOS QUANT SENSORY TEST,,,163.7803,491.121001,21 HCPCS,0110U,RX MNTR 1+ORAL ONC RX&SBSTS,,,27.11,77.8057,21 HCPCS,01112,ANES BONE MARROW ASPIR&/BX,,,63.33,63.33,1 HCPCS,0111U,ONC COLON CA KRAS&NRAS ALYS,,,682.29,1958.1723,21 HCPCS,01120,ANES PX ON BONY PELVIS,,,75.93,75.93,1 HCPCS,0112U,IADI 16S&18S RRNA GENES,,,356.13,1022.0931,21 HCPCS,01130,ANES BODY CAST APPL/REVJ,,,37.97,37.97,1 HCPCS,0113U,ONC PRST8 PCA3&TMPRSS2-ERG,,,760.0,2181.2,21 HCPCS,01140,ANES NTRPLVABDMNL AMPUTATION,,,189.84,189.84,1 HCPCS,0114U,GI BARRETTS ESOPH VIM&CCNA1,,,1938.01,5562.0887,21 HCPCS,01150,ANES RAD PX TUMOR OF PELVIS,,,101.15,101.15,1 HCPCS,0115U,RESPIR IADNA 18 VIRAL&2 BACT,,,275.35,790.2545,21 HCPCS,01160,ANES CLSD PX SYMPH PUB/SI JT,,,50.58,50.58,1 HCPCS,0116U,RX MNTR NZM IA 35+ORAL FLU,,,246.92,708.6604,21 HCPCS,01170,ANES OPN PX SYMPH PUB/SI JT,,,101.15,101.15,1 HCPCS,01173,ANES OPN RPR FX DISRPJ PLVS,,,151.87,151.87,1 HCPCS,0117U,PAIN MGMT 11 ENDOGENOUS ANAL,,,840.65,2412.6655,21 HCPCS,0118U,TRNSPLJ DON-DRV CLL-FR DNA,,,2753.25,7901.8275,21 HCPCS,0119U,CRD CERAMIDES LIQ CHROM PLSM,,,83.76,240.3912,21 HCPCS,01200,ANES ALL CLOSED PX HIP JOINT,,,50.58,50.58,1 HCPCS,01202,ANES ARTHROSCOPIC PX HIP JT,,,50.58,50.58,1 HCPCS,0120U,ONC B CLL LYMPHM MRNA 58 GEN,,,2008.17,7204.3027,22 HCPCS,01210,ANES OPEN PX HIP JOINT NOS,,,75.93,75.93,1 HCPCS,01212,ANES OPEN PX HIP JT DISRTCJ,,,126.51,126.51,1 HCPCS,01214,ANES OPEN PX TOT HIP ARTHRP,,,126.51,126.51,1 HCPCS,01215,ANES OPN REVJ TOT HIP ARTHRP,,,126.51,126.51,1 HCPCS,0121U,SC DIS VCAM-1 WHOLE BLOOD,,,509.2,1461.404,21 HCPCS,01220,ANES CLSD PX UPPER 2/3 FEMUR,,,50.58,50.58,1 HCPCS,0122U,SC DIS P-SELECTIN WHL BLOOD,,,526.23,1510.2801,21 HCPCS,01230,ANES OPN UPPER 2/3 FEMUR NOS,,,75.93,75.93,1 HCPCS,01232,ANES OPN PX UPR 2/3 FEM AMP,,,63.33,63.33,1 HCPCS,01234,ANES OPN UPR 2/3 FEM RAD RES,,,101.15,101.15,1 HCPCS,0123U,MCHNL FRAGILITY RBC PRFLG,,,357.63,1026.3981,21 HCPCS,01250,ANES ALL PX NRV MUSC UPR LEG,,,50.58,50.58,1 HCPCS,01260,ANES ALL PX VEINS UPPER LEG,,,37.97,37.97,1 HCPCS,01270,ANES PX ARTERIES UPR LEG NOS,,,101.15,101.15,1 HCPCS,01272,ANES PX ART FEMORAL ART LIG,,,50.58,50.58,1 HCPCS,01274,ANES PX ART FEM ART EMBLC,,,75.93,75.93,1 HCPCS,0129U,HERED BRST CA RLTD DO PANEL,,,1303.95,3742.3365,21 HCPCS,0130U,HERED COLON CA DO MRNA PNL,,,584.9,1678.663,21 HCPCS,0131U,HERED BRST CA RLTD DO PNL 13,,,710.0,1179.452,11 HCPCS,01320,ANES ALL PX NRV MSC KNE&/POP,,,50.58,50.58,1 HCPCS,0132U,HERED OVA CA RLTD DO PNL 17,,,741.64,1232.012368,11 HCPCS,0133U,HERED PRST8 CA RLTD DO 11,,,690.29,1981.1323,21 HCPCS,01340,ANES CLSD PX LOWER 1/3 FEMUR,,,50.58,50.58,1 HCPCS,0134U,HERED PAN CA MRNA PNL 18 GEN,,,748.39,2147.8793,21 HCPCS,0135U,HERED GYN CA MRNA PNL 12 GEN,,,700.56,1163.770272,11 HCPCS,01360,ANES OPEN PX LOWER 1/3 FEMUR,,,63.33,63.33,1 HCPCS,0136U,ATM MRNA SEQ ALYS,,,407.43,1169.3241,21 HCPCS,0137U,PALB2 MRNA SEQ ALYS,,,282.88,811.8656,21 HCPCS,01380,ANES ALL CLSD PX KNEE JOINT,,,37.97,37.97,1 HCPCS,01382,ANES DX ARTHRS PX KNEE JT,,,37.97,37.97,1 HCPCS,0138U,BRCA1 BRCA2 MRNA SEQ ALYS,,,468.33,1344.1071,21 HCPCS,01390,ANES CLS PX UPR TIB FIB&/PAT,,,37.97,37.97,1 HCPCS,01392,ANES OPN PX UPR TIB FIB&/PAT,,,50.58,50.58,1 HCPCS,01400,ANES OPN/ARTHRS KNEE JT NOS,,,50.58,50.58,1 HCPCS,01402,ANES OPN/ARTH TOT KNE ARTHRP,,,88.54,88.54,1 HCPCS,01404,ANES OPN/ARTHRS DISRTCJ KNEE,,,63.33,63.33,1 HCPCS,0140U,NFCT DS FUNGI DNA 15 TRGT,,,156.75,449.8725,22 HCPCS,0141U,NFCT DS BACT&FNG GRAM POS,,,156.75,449.8725,22 HCPCS,01420,ANES CST APPL RMV/RPR KNE JT,,,37.97,37.97,1 HCPCS,0142U,NFCT DS BACT&FNG GRAM NEG,,,156.75,449.8725,22 HCPCS,01430,ANES PX VEINS KNEE&POP NOS,,,37.97,37.97,1 HCPCS,01432,ANES PX VN KNEE&POP AV FSTL,,,75.93,75.93,1 HCPCS,01440,ANES PX ART KNEE&POP NOS,,,63.33,63.33,1 HCPCS,01442,ANES PX ART KNEE&POP TEAEC,,,101.15,101.15,1 HCPCS,01444,ANES PX ART KNEE&POP EXC&GRF,,,101.15,101.15,1 HCPCS,01462,ANES CLSD PX LOWER L/A/F,,,37.97,37.97,1 HCPCS,01464,ANES ARTHRS PX ANKLE&/FOOT,,,37.97,37.97,1 HCPCS,01470,ANES PX NRV MSC LW L/A/F NOS,,,37.97,37.97,1 HCPCS,01472,ANES RPR RPT ACHILLES TENDON,,,63.33,63.33,1 HCPCS,01474,ANES GASTROCNEMIUS RECESSION,,,63.33,63.33,1 HCPCS,01480,ANES OPEN PX LOWER L/A/F NOS,,,37.97,37.97,1 HCPCS,01482,ANES OPN LWR L/A/F RAD RESCJ,,,50.58,50.58,1 HCPCS,01484,ANES OPN LW L/A/F OSTE/OSTPL,,,50.58,50.58,1 HCPCS,01486,ANES OPEN TOTAL ANKLE RPLCMT,,,88.54,88.54,1 HCPCS,01490,ANES LWR LEG CST APP RMV/RPR,,,37.97,37.97,1 HCPCS,01500,ANES PX ART LOWER LEG NOS,,,101.15,101.15,1 HCPCS,01502,ANES PX ART LOWER LEG EMBLC,,,75.93,75.93,1 HCPCS,01520,ANES PX VEINS LOWER LEG NOS,,,37.97,37.97,1 HCPCS,01522,ANES PX VN LWR LEG VEN THRMB,,,63.33,63.33,1 HCPCS,0152U,NFCT DS DNA UNTRGT NGNRJ SEQ,,,2126.2,6102.194,21 HCPCS,0153U,ONC BREAST MRNA 101 GENES,,,3159.42,9067.5354,21 HCPCS,0154U,ONC URTHL CA RNA FGFR3 GENE,,,385.71,1383.7418,22 HCPCS,0155U,ONC BRST CA DNA PIK3CA GENE,,,219.86,788.7621,22 HCPCS,0156U,COPY NUMBER SEQUENCE ALYS,,,1740.0,4993.8,21 HCPCS,0157U,APC MRNA SEQ ALYS,,,282.88,811.8656,22 HCPCS,0158U,MLH1 MRNA SEQ ALYS,,,282.88,811.8656,22 HCPCS,0159U,MSH2 MRNA SEQ ALYS,,,282.88,811.8656,22 HCPCS,0160U,MSH6 MRNA SEQ ALYS,,,282.88,811.8656,22 HCPCS,01610,ANES ALL PX NRV MUSC SHO&AX,,,63.33,63.33,1 HCPCS,0161U,PMS2 MRNA SEQ ALYS,,,282.88,811.8656,22 HCPCS,01620,ANES CLSD PX SHOULDER JOINT,,,50.58,50.58,1 HCPCS,01622,ANES DX ARTHR PX SHOULDER JT,,,50.58,50.58,1 HCPCS,0162U,HERED COLON CA TRGT MRNA PNL,,,486.54,1396.3698,22 HCPCS,01630,ANES OPN/ARTHR PX SHO JT NOS,,,63.33,63.33,1 HCPCS,01634,ANES OPEN/ARTHRS SHO DISRTCJ,,,113.9,113.9,1 HCPCS,01636,ANES OPEN/ARTHR NTRTHRC AMP,,,189.84,189.84,1 HCPCS,01638,ANES OPN/ARTHR TOT SHO RPLCM,,,126.51,126.51,1 HCPCS,0163U,ONC CLRCT SCR 3 PRTN ALG,,,577.958325,649.1139,2 HCPCS,0164U,GI IBS IA ANTI-CDTB&VINCULIN,,,112.02,321.4974,21 HCPCS,01650,ANES ART SHO&AX NOS,,,75.93,75.93,1 HCPCS,01652,ANES ART SHO&AX AX-BRCH ARSM,,,126.51,126.51,1 HCPCS,01654,ANES ART SHO&AX BYPASS GRF,,,101.15,101.15,1 HCPCS,01656,ANES ART SHO&AX AX-FEM BPG,,,126.51,126.51,1 HCPCS,0165U,PEANUT ALLG ASMT EPI PRB ALL,,,463.76,1330.9912,22 HCPCS,0166U,LIVER DS 10 BIOCHEM ASY SRM,,,402.72,1444.758,22 HCPCS,01670,ANES ALL PX VN SHOULDER&AX,,,50.58,50.58,1 HCPCS,0167U,CHORNC GONADOTROPIN HCG IA,,,6.02,10.528,3 HCPCS,01680,ANES SHO CAST APPL RMVL/RPR,,,37.97,37.97,1 HCPCS,0169U,NUDT15&TPMT GENE COM VRNT,,,372.94,1337.9079,22 HCPCS,0170U,NEURO ASD RNA NEXT GEN SEQ,,,1950.0,5596.5,21 HCPCS,01710,ANES PX NRV MUSC UPR A&E NOS,,,37.97,37.97,1 HCPCS,01712,ANES PX NRV MSC UPR A&E TNOT,,,63.33,63.33,1 HCPCS,01714,ANES NRV MSC UPR A&E TNPLSTY,,,63.33,63.33,1 HCPCS,01716,ANES NRV MSC UPR A&E TNDSIS,,,63.33,63.33,1 HCPCS,0171U,TRGT GEN SEQ ALYS PNL DNA 23,,,1519.06,4359.7022,22 HCPCS,0172U,ONC SLD TUM ALYS BRCA1 BRCA2,,,2424.0,8696.1,22 HCPCS,01730,ANES CLSD PX HUMERUS&ELBOW,,,37.97,37.97,1 HCPCS,01732,ANES DX ARTHRS PX ELBOW JT,,,37.97,37.97,1 HCPCS,0173U,PSYC GEN ALYS PANEL 14 GENES,,,466.17,1337.9079,21 HCPCS,01740,ANES OPN/ARTHRS PX ELBW NOS,,,50.58,50.58,1 HCPCS,01742,ANES OPN/ARTHRS ELBW OSTEOT,,,63.33,63.33,1 HCPCS,01744,ANES OPN/ARTHRS ELBW RPR HUM,,,63.33,63.33,1 HCPCS,0174U,ONC SOLID TUMOR 30 PRTN TRGT,,,1305.37,3746.4119,21 HCPCS,01756,ANES OPN/ARTHRS ELBW RAD PX,,,75.93,75.93,1 HCPCS,01758,ANES OPN/ARTHRS ELBW EXC CST,,,63.33,63.33,1 HCPCS,0175U,PSYC GEN ALYS PANEL 15 GENES,,,1336.09,3834.5783,21 HCPCS,01760,ANES OPN/ARTHR ELB TOT RPLCT,,,88.54,88.54,1 HCPCS,0176U,CDTB&VINCULIN IGG ANTB IA,,,64.19,184.2253,21 HCPCS,01770,ANES PX ART UPR ARM&ELBW NOS,,,75.93,75.93,1 HCPCS,01772,ANES ART UPR ARM&ELBW EMBLC,,,75.93,75.93,1 HCPCS,0177U,ONC BRST CA DNA PIK3CA 11,,,219.86,788.7621,22 HCPCS,01780,ANES PX VN UPR ARM&ELBW NOS,,,37.97,37.97,1 HCPCS,01782,ANES VN UPR ARM&ELBW PHLBRPY,,,50.58,50.58,1 HCPCS,0178U,PEANUT ALLG ASMT EPI CLIN RX,,,459.86,1319.7982,22 HCPCS,0179U,ONC NONSM CLL LNG CA ALYS 23,,,1943.21,5577.0127,21 HCPCS,0180U,ABO GNOTYP ABO 7 EXONS,,,274.83,788.7621,22 HCPCS,01810,ANES PX NRV MUSC F/ARM WRST,,,37.97,37.97,1 HCPCS,0181U,CO GNOTYP AQP1 EXON 1,,,148.16,531.524,22 HCPCS,01820,ANES CLSD PX RDS U/W/H BONES,,,37.97,37.97,1 HCPCS,01829,ANES DX ARTHROSCOPIC PX WRST,,,37.97,37.97,1 HCPCS,0182U,CROM GNOTYP CD55 EXONS 1-10,,,241.08,864.8745,22 HCPCS,01830,ANES ARTHR/NDSC WRST/HND NOS,,,37.97,37.97,1 HCPCS,01832,ANES ARTHR/NDSC TOT WRST RPL,,,75.93,75.93,1 HCPCS,0183U,DI GNOTYP SLC4A1 EXON 19,,,148.16,531.524,22 HCPCS,01840,ANES ART F/ARM WRST&HND NOS,,,75.93,75.93,1 HCPCS,01842,ANES ART FARM WRST&HND EMBLC,,,75.93,75.93,1 HCPCS,01844,ANES VASC SHUNT/SHUNT REVJ,,,75.93,75.93,1 HCPCS,0184T,EXC RECTAL TUMOR ENDOSCOPIC,,,7563.6404,22409.501856,21 HCPCS,0184U,DO GNOTYP ART4 EXON 2,,,148.16,531.524,22 HCPCS,01850,ANES VEIN F/ARM WRST&HND NOS,,,37.97,37.97,1 HCPCS,01852,ANES PX VN F/ARM PHLBRRHAPHY,,,50.58,50.58,1 HCPCS,0185U,FUT1 GNOTYP FUT1 EXON 4,,,148.16,531.524,22 HCPCS,01860,ANES FOREARM WRIST/HAND CAST,,,37.97,37.97,1 HCPCS,0186U,FUT2 GNOTYP FUT2 EXON 2,,,148.16,531.524,22 HCPCS,0187U,FY GNOTYP ACKR1 EXONS 1-2,,,219.86,788.7621,22 HCPCS,0188U,GE GNOTYP GYPC EXONS 1-4,,,219.86,788.7621,22 HCPCS,0189U,GYPA GNOTYP NTRNS 1 5 EXON 2,,,219.86,788.7621,22 HCPCS,0190U,GYPB GNOTYP NTRNS 1 5 SEUX 3,,,219.86,788.7621,22 HCPCS,01916,ANES DX ARTERIOGRAPHY/VNGRPH,,,63.33,63.33,1 HCPCS,0191U,IN GNOTYP CD44 EXONS 2 3 6,,,219.86,788.7621,22 HCPCS,01920,ANES CARDIAC CATHETERIZATION,,,88.54,88.54,1 HCPCS,01922,ANES N-INVAS IMG/RADJ THER,,,88.54,88.54,1 HCPCS,01924,ANES THER IVNTL RAD ARTL NOS,,,63.33,63.33,1 HCPCS,01925,ANES IVNTL RAD ARTL CRTD/C,,,88.54,88.54,1 HCPCS,01926,ANES IVNTL RAD ICR ICAR/AORT,,,101.15,101.15,1 HCPCS,0192U,JK GNOTYP SLC14A1 EXON 9,,,219.86,788.7621,22 HCPCS,01930,ANES THER IVNTL RAD VEN NOS,,,63.33,63.33,1 HCPCS,01931,ANES IVNT RAD NTRHPT/PRT CRC,,,88.54,88.54,1 HCPCS,01932,ANES TH IVNT RAD NTRTHRC/JUG,,,75.93,75.93,1 HCPCS,01933,ANES THER IVNTL RAD PX ICR,,,88.54,88.54,1 HCPCS,0193U,JR GNOTYP ABCG2 EXONS 2-26,,,226.3,811.8656,22 HCPCS,0194U,KEL GNOTYP KEL EXON 8,,,148.16,531.524,22 HCPCS,01951,ANES 2&3 BURN LESS 4 % TBSA,,,37.97,37.97,1 HCPCS,01952,ANES 2&3 BURN 4-9% TBSA,,,63.33,63.33,1 HCPCS,01953,ANES 2&3 BURN EA ADD 9% TBSA,,,12.61,12.61,1 HCPCS,01958,ANES XTRNL CEPHALIC VERSION,,,77.11,77.11,1 HCPCS,0195U,KLF1 TARGETED SEQUENCING,,,300.2,1076.9675,22 HCPCS,01960,ANES VAGINAL DELIVERY ONLY,,,77.11,77.11,1 HCPCS,01961,ANES CESAREAN DELIVERY ONLY,,,107.82,107.82,1 HCPCS,01962,ANES URGENT HYSTERECTOMY,,,101.17,101.17,1 HCPCS,01963,ANES CESAREAN HYSTERECTOMY,,,101.17,101.17,1 HCPCS,01965,ANES INCOMPL/MISSED AB PX,,,61.59,61.59,1 HCPCS,01966,ANES INDUCED ABORTION PX,,,61.59,61.59,1 HCPCS,01967,NEURAXL LBR ANES VAG DLVR,,,77.11,77.11,1 HCPCS,01968,ANES/ANALG CS DLVR NEURAXIAL,,,30.88,30.88,1 HCPCS,01969,ANES C HYST FLWG NEURAXIAL,,,77.11,77.11,1 HCPCS,0196U,LU GNOTYP BCAM EXON 3,,,148.16,531.524,22 HCPCS,0197U,LW GNOTYP ICAM4 EXON 1,,,148.16,531.524,22 HCPCS,0198T,OCULAR BLOOD FLOW MEASURE,,,163.7803,491.121001,21 HCPCS,0198U,RHD&RHCE GNTYP RHD1-10&RHCE5,,,226.3,811.8656,22 HCPCS,01990,PHYSIOL SUPPORT HRVG ORGANS,,,88.54,88.54,1 HCPCS,01991,ANES DX/THER NRV BLK&INJ OTH,,,37.97,37.97,1 HCPCS,01992,ANES DX/THER NRV BLK&INJ PRN,,,63.33,63.33,1 HCPCS,01996,DLY HOSP MGMT EDRL RX ADMIN,,,37.97,37.97,1 HCPCS,0199U,SC GNOTYP ERMAP EXONS 4 12,,,219.86,788.7621,22 HCPCS,0200T,PERQ SACRAL AUGMT UNILAT INJ,,,9076.8233,26784.860767,21 HCPCS,0200U,XK GNOTYP XK EXONS 1-3,,,219.86,788.7621,22 HCPCS,0201T,PERQ SACRAL AUGMT BILAT INJ,,,9076.8233,26784.860767,21 HCPCS,0201U,YT GNOTYP ACHE EXON 2,,,185.2,531.524,21 HCPCS,0202T,POST VERT ARTHRPLST 1 LUMBAR,,,16512.6892,47391.418004,10 HCPCS,0202U,NFCT DS 22 TRGT SARS-COV-2,,,238.88,1196.1586,23 HCPCS,0203U,AI IBD MRNA XPRSN PRFL 17,,,760.0,2181.2,21 HCPCS,0204U,ONC THYR MRNA XPRSN ALYS 593,,,2335.68,4087.44,3 HCPCS,0205U,OPH AMD ALYS 3 GENE VARIANTS,,,47.0,134.89,21 HCPCS,0206U,NEURO ALZHEIMER CELL AGGREGJ,,,2215.4,6358.198,21 HCPCS,0207T,CLEAR EYELID GLAND W/HEAT,,,163.7803,491.121001,21 HCPCS,0207U,NEURO ALZHEIMER QUAN IMAGING,,,756.11592,849.20544,2 HCPCS,0208T,AUDIOMETRY AIR ONLY,,,48.0396,137.873652,21 HCPCS,0209T,AUDIOMETRY AIR & BONE,,,20.4,474.97065,43 HCPCS,0209U,CYTOG CONST ALYS INTERROG,,,787.15,2259.1205,21 HCPCS,0210T,SPEECH AUDIOMETRY THRESHOLD,,,48.0396,137.873652,21 HCPCS,0210U,SYPHILIS TST ANTB IA QUAN,,,14.9,53.4681,22 HCPCS,0211T,SPEECH AUDIOM THRESH & RECOG,,,48.0396,137.873652,21 HCPCS,0211U,ONC PAN-TUM DNA&RNA GNRJ SEQ,,,8455.0,24265.85,13 HCPCS,0212T,COMPRE AUDIOMETRY EVALUATION,,,165.495,474.97065,21 HCPCS,0212U,RARE DS GEN DNA ALYS PROBAND,,,5475.2,15713.824,21 HCPCS,0213T,NJX PARAVERT W/US CER/THOR,,,1131.2025,3264.854026,21 HCPCS,0213U,RARE DS GEN DNA ALYS EA COMP,,,2709.95,7777.5565,21 HCPCS,0214U,RARE DS XOM DNA ALYS PROBAND,,,5224.6,14994.602,21 HCPCS,0215U,RARE DS XOM DNA ALYS EA COMP,,,2574.65,7389.2455,21 HCPCS,0216T,NJX PARAVERT W/US LUMB/SAC,,,1131.2025,3264.854026,21 HCPCS,0216U,NEURO INH ATAXIA DNA 12 COM,,,1537.02,4411.2474,22 HCPCS,0217U,NEURO INH ATAXIA DNA 51 GENE,,,2198.35,6309.2645,22 HCPCS,0218U,NEURO MUSC DYS DMD SEQ ALYS,,,1823.2,6540.73,22 HCPCS,0219T,PLMT POST FACET IMPLT CERV,,,16512.6892,47391.418004,10 HCPCS,0219U,NFCT AGT HIV GNRJ SEQ ALYS,,,725.0,2080.75,22 HCPCS,0220T,PLMT POST FACET IMPLT THOR,,,16512.6892,47391.418004,10 HCPCS,0220U,ONC BRST CA AI ASSMT 12 FEAT,,,706.25,2026.9375,21 HCPCS,0221T,PLMT POST FACET IMPLT LUMB,,,9076.8233,26784.860767,21 HCPCS,0221U,ABO GNOTYP NEXT GNRJ SEQ ABO,,,274.83,788.7621,22 HCPCS,0222U,RHD&RHCE GNTYP NEXT GNRJ SEQ,,,282.88,811.8656,22 HCPCS,0223U,NFCT DS 22 TRGT SARS-COV-2,,,238.88,1196.1586,23 HCPCS,0224U,ANTIBODY SARS-COV-2 TITER(S),,,33.7,147.6041,22 HCPCS,0225U,NFCT DS DNA&RNA 21 SARSCOV2,,,416.78,1196.1586,22 HCPCS,0226U,SVNT SARSCOV2 ELISA PLSM SRM,,,42.28,121.3436,21 HCPCS,0227U,RX ASY PRSMV 30+RX/METABLT,,,62.14,178.3418,22 HCPCS,0228U,ONC PRST8 MA MOLEC PRFL ALG,,,173.03,496.5961,21 HCPCS,0229U,BCAT1&IKZF1 PRMTR MTHLN ALYS,,,384.0,1102.08,21 HCPCS,0230U,AR FULL SEQUENCE ANALYSIS,,,301.35,864.8745,22 HCPCS,0231U,CACNA1A FULL GENE ANALYSIS,,,846.27,2428.7949,22 HCPCS,0232U,CSTB FULL GENE ANALYSIS,,,274.83,788.7621,22 HCPCS,0233U,FXN GENE ANALYSIS,,,274.83,788.7621,22 HCPCS,0234T,TRLUML PERIP ATHRC RENAL ART,,,14409.3282,42613.060007,21 HCPCS,0234U,MECP2 FULL GENE ANALYSIS,,,527.87,1514.9869,22 HCPCS,0235U,PTEN FULL GENE ANALYSIS,,,600.0,1722.0,22 HCPCS,0236T,TRLUML PERIP ATHRC ABD AORTA,,,14409.3282,42613.060007,21 HCPCS,0236U,SMN1&SMN2 FULL GENE ANALYSIS,,,602.7,1729.749,22 HCPCS,0237T,TRLUML PERIP ATHRC BRCHIOCPH,,,14409.3282,42613.060007,21 HCPCS,0237U,CAR ION CHNLPTHY GEN SEQ PNL,,,584.9,1678.663,22 HCPCS,0238T,TRLUML PERIP ATHRC ILIAC ART,,,22815.8084,67667.562186,21 HCPCS,0238U,ONC LNCH SYN GEN DNA SEQ ALY,,,584.9,1678.663,22 HCPCS,0239U,TRGT GEN SEQ ALYS PNL 311+,,,3500.0,10045.0,22 HCPCS,0240U,NFCT DS VIR RESP RNA 3 TRGT,,,142.63,236.936956,11 HCPCS,0241U,NFCT DS VIR RESP RNA 4 TRGT,,,142.63,236.936956,11 HCPCS,0242U,TRGT GEN SEQ ALYS PNL 55-74,,,5000.0,14350.0,22 HCPCS,0243U,OB PE BIOCHEM ASSAY PGF ALG,,,64.41,184.8567,21 HCPCS,0244U,ONC SOLID ORGN DNA 257 GENES,,,3500.0,10045.0,22 HCPCS,0245U,ONC THYR MUT ALYS 10 GEN&37,,,1266.07,3633.6209,21 HCPCS,0246U,RBC DNA GNOTYP 16 BLD GROUPS,,,720.0,2066.4,22 HCPCS,0247U,OB PRTRM BRTH IBP4 SHBG MEAS,,,750.0,2152.5,21 HCPCS,0248U,ONC SPHRD CELL CUL 12 RX PNL,,,3033.86,8707.1782,21 HCPCS,0249U,ONC BRST ALYS 32 PHSPRTN ALG,,,2219.13,6368.9031,21 HCPCS,0250U,ONC SLD ORG NEO DNA 505 GENE,,,2919.6,8379.252,21 HCPCS,0251U,HEPCIDIN-25 ELISA SERUM/PLSM,,,17.27,49.5649,21 HCPCS,0252U,FTL ANEUPLOIDY STR ALYS DNA,,,759.05,2178.4735,21 HCPCS,0253T,INSERT AQUEOUS DRAIN DEVICE,,,5111.4459,15257.700066,21 HCPCS,0253U,RPRDTVE MED RNA GEN PRFL 238,,,3159.42,9067.5354,21 HCPCS,0254U,REPRDTVE MED ALYS 24 CHRMSM,,,759.05,2178.4735,21 HCPCS,0255U,ANDROLOGY INFERTILITY ASSMT,,,31.6,90.692,21 HCPCS,0256U,TMA/TMAO PRFL MS/MS UR ALG,,,159.95,459.0565,21 HCPCS,0257U,VLCAD LEUK NZM ACTV WHL BLD,,,712.47,2044.7889,21 HCPCS,0258U,AI PSOR MRNA 50-100 GEN ALG,,,3675.0,10547.25,21 HCPCS,0259U,NEPH CKD NUC MRS MEAS GFR,,,52.71,151.2777,21 HCPCS,0260U,RARE DS ID OPT GENOME MAPG,,,1263.53,3626.3311,21 HCPCS,0261U,ONC CLRCT CA IMG ALYS W/AI,,,2513.25,7213.0275,21 HCPCS,0262U,ONC SLD TUM RT-PCR 7 GEN,,,3200.0,9184.0,21 HCPCS,0263T,IM B1 MRW CEL THER CMPL,,,5601.9036,16077.463332,21 HCPCS,0263U,NEURO ASD MEAS 16 C METBLT,,,750.0,2152.5,21 HCPCS,0264T,IM B1 MRW CEL THER XCL HRVST,,,5601.9036,16077.463332,21 HCPCS,0264U,RARE DS ID OPT GENOME MAPG,,,1263.53,3626.3311,21 HCPCS,0265T,IM B1 MRW CEL THER HRVST ONL,,,5601.9036,16077.463332,21 HCPCS,0265U,RAR DO WHL GN&MTCDRL DNA ALS,,,5475.8,15715.546,21 HCPCS,0266T,IMPLT/RPL CRTD SNS DEV TOTAL,,,45000.5,82615.33798,11 HCPCS,0266U,UNXPL CNST HRTBL DO GN XPRSN,,,3200.0,9184.0,21 HCPCS,0267T,IMPLT/RPL CRTD SNS DEV LEAD,,,4369.6061,5951.72634,11 HCPCS,0267U,RARE DO ID OPT GEN MAPG&SEQ,,,6739.33,19341.8771,21 HCPCS,0268T,IMPLT/RPL CRTD SNS DEV GEN,,,38719.7435,54316.7597,11 HCPCS,0268U,HEM AHUS GEN SEQ ALYS 15 GEN,,,608.17,1745.4479,21 HCPCS,0269T,REV/REMVL CRTD SNS DEV TOTAL,,,8137.0113,11652.24984,11 HCPCS,0269U,HEM AUT DM CGEN TRMBCTPNA 22,,,608.17,1745.4479,21 HCPCS,0270T,REV/REMVL CRTD SNS DEV LEAD,,,4369.6061,5951.72634,11 HCPCS,0270U,HEM CGEN COAGJ DO 20 GENES,,,608.17,1745.4479,21 HCPCS,0271T,REV/REMVL CRTD SNS DEV GEN,,,4369.6061,5951.72634,11 HCPCS,0271U,HEM CGEN NEUTROPENIA 24 GEN,,,608.17,1745.4479,21 HCPCS,0272T,INTERROGATE CRTD SNS DEV,,,198.7981,273.23338,11 HCPCS,0272U,HEM GENETIC BLD DO 60 GENES,,,608.17,1745.4479,21 HCPCS,0273T,INTERROGATE CRTD SNS W/PGRMG,,,198.7981,273.23338,11 HCPCS,0273U,HEM GEN HYPRFIBRNLYSIS 9 GEN,,,608.17,1745.4479,21 HCPCS,0274T,PRQ LAMOT/LAM DCMPR CRV/THRC,,,9076.8233,26784.860767,21 HCPCS,0274U,HEM GEN PLTLT DO 62 GENES,,,608.17,1745.4479,21 HCPCS,0275T,PERQ LAMOT/LAM LUMBAR,,,9076.8233,12513.93668,11 HCPCS,0275U,HEM HEPRN NDUC TRMBCTPNA SRM,,,18.37,52.7219,22 HCPCS,0276U,HEM INH THROMBOCYTOPENIA 42,,,2448.56,7027.3672,21 HCPCS,0277U,HEM GEN PLTLT FUNCJ DO 40,,,608.17,1745.4479,21 HCPCS,0278T,TEMPR,,,165.495,474.97065,21 HCPCS,0278U,HEM GEN THROMBOSIS 14 GENES,,,608.17,1745.4479,21 HCPCS,0279U,HEM VW FACTOR&CLGN III BNDG,,,11.53,33.0911,22 HCPCS,0280U,HEM VW FACTOR&CLGN IV BNDG,,,17.27,49.5649,22 HCPCS,0281U,HEM VWD PROPEPTIDE AG LVL,,,17.27,49.5649,22 HCPCS,0282U,RBC DNA GNTYP 12 BLD GRP GEN,,,720.0,2066.4,22 HCPCS,0283U,VW FACTOR TYPE 2B EVAL PLSM,,,18.4,52.808,22 HCPCS,0284U,VW FACTOR TYPE 2N EVAL PLSM,,,17.27,49.5649,22 HCPCS,0285U,ONC DS PROG&RSPSE MNTR RADJ,,,443.31,1272.2997,21 HCPCS,0286U,CEP72 NUDT15&TPMT GENE ALYS,,,134.13,384.9531,21 HCPCS,0287U,ONC THYR DNA&MRNA 112 GENES,,,2880.0,10332.0,22 HCPCS,0288U,ONC LUNG MRNA QUAN PCR 11&3,,,3873.0,11115.51,21 HCPCS,0289U,NEURO ALZHEIMER MRNA 24 GEN,,,760.0,2181.2,21 HCPCS,0290U,PAIN MGMT MRNA GEN XPRSN 36,,,760.0,2181.2,21 HCPCS,0291U,PSYC MOOD DO MRNA 144 GENES,,,1755.0,5036.85,21 HCPCS,0292U,PSYC STRS DO MRNA 72 GENES,,,1755.0,5036.85,21 HCPCS,0293U,PSYC SUICIDAL IDEA MRNA 54,,,760.0,2181.2,21 HCPCS,0294U,LNGVTY&MRTLTY RSK MRNA 18GEN,,,1124.116,1262.512,2 HCPCS,0295U,ONC BRST DUX CARC 7 PROTEINS,,,5435.0,15598.45,21 HCPCS,0296U,ONC ORL&/OROP CA 20 MLC FEAT,,,1950.0,5596.5,21 HCPCS,0297U,ONC PAN TUM WHL GEN SEQ DNA,,,2919.6,8379.252,21 HCPCS,0298U,ONC PAN TUM WHL TRNS SEQ RNA,,,2919.6,8379.252,21 HCPCS,0299U,ONC PAN TUM WHL GEN OPT MAPG,,,1863.22,5347.4414,21 HCPCS,0300U,ONC PAN TUM WHL GEN SEQ&OPT,,,4183.13,12005.5831,21 HCPCS,0301U,IADNA BARTONELLA DDPCR,,,262.72,754.0064,21 HCPCS,0302U,IADNA BRTNLA DDPCR FLWG LIQ,,,361.37,1037.1319,21 HCPCS,0303U,HEM RBC ADS WHL BLD HYPOXIC,,,2201.62,6318.6494,21 HCPCS,0304U,HEM RBC ADS WHL BLD NORMOXIC,,,2075.8,5957.546,21 HCPCS,0305U,HEM RBC FNCLTY&DFRM SHR STRS,,,662.58,1901.6046,21 HCPCS,0306U,ONC MRD NXT-GNRJ ALYS 1ST,,,3878.45,11131.1515,21 HCPCS,0307U,ONC MRD NXT-GNRJ ALYS SBSQ,,,794.49,2280.1863,21 HCPCS,0308T,INSJ OCULAR TELESCOPE PROSTH,,,20858.7287,60761.844815,21 HCPCS,0308U,CRD CAD ALYS 3 PRTN 3 PARAM,,,390.75,1121.4525,21 HCPCS,0309U,CRD CV DS ALY 4 PRTN PLM ALG,,,390.75,1121.4525,21 HCPCS,0310U,PED VSCLTS KD ALYS 3 BMRKS,,,390.75,1121.4525,21 HCPCS,0311U,NFCT DS BCT QUAN ANTMCRB SC,,,8.08,23.1896,21 HCPCS,0312U,AI DS SLE ALYS 8 IGG AUTOANT,,,840.65,2412.6655,21 HCPCS,0313U,ONC PNCRS DNA&MRNA SEQ 74,,,3600.0,10332.0,21 HCPCS,0314U,ONC CUTAN MLNMA MRNA 35 GENE,,,1950.0,5596.5,21 HCPCS,0315U,ONC CUTAN SQ CLL CA MRNA 40,,,8500.0,24395.0,21 HCPCS,0316U,B BRGDRFERI LYME DS OSPA EVL,,,18.66,53.5542,21 HCPCS,0317U,ONC LUNG CA 4-PRB FISH ASSAY,,,2030.0,5826.1,21 HCPCS,0318U,PED WHL GEN MTHYLTN ALYS 50+,,,1770.48,5081.2776,21 HCPCS,0319U,NEPH RNA PRETRNSPL PERPH BLD,,,2650.0,7605.5,21 HCPCS,0320U,NEPH RNA PSTTRNSPL PERPH BLD,,,2650.0,7605.5,21 HCPCS,0321U,IADNA GU PTHGN 20BCT&FNG ORG,,,500.136,1821.9908,23 HCPCS,0322U,NEURO ASD MEAS 14 ACYL CARN,,,750.0,2152.5,21 HCPCS,0323U,IADNA CNS PTHGN NEXT GEN SEQ,,,2126.2,6102.194,21 HCPCS,0326U,TRGT GEN SEQ ALYS PNL 83+,,,5000.0,14350.0,21 HCPCS,0327U,FTL ANEUPLOIDY TRSMY DNA SEQ,,,795.0,2281.65,21 HCPCS,0328U,DRUG ASSAY 120+ RX&METABLT,,,114.43,328.4141,21 HCPCS,0329U,ONC NEO XOME&TRNS SEQ ALYS,,,3437.98,9867.0026,21 HCPCS,0330T,TEAR FILM IMG UNI/BI W/I&R,,,48.0396,137.873652,21 HCPCS,0330U,IADNA VAG PTHGN PANEL 27 ORG,,,416.78,1196.1586,21 HCPCS,0331T,HEART SYMP IMAGE PLNR,,,1658.7429,4778.935728,21 HCPCS,0331U,ONC HL NEO OPT GEN MAPPING,,,1863.22,5347.4414,21 HCPCS,0332T,HEART SYMP IMAGE PLNR SPECT,,,1658.7429,4778.935728,21 HCPCS,0332U,ONC PAN TUM GEN PRFLG 8 DNA,,,1142.06,3277.7122,21 HCPCS,0333U,ONC LVR SURVEILANC HCC CFDNA,,,662.32,1900.8584,21 HCPCS,0334U,ONC SLD ORGN TGSA DNA 84/+,,,3500.0,10045.0,19 HCPCS,0335T,INSJ SINUS TARSI IMPLANT,,,9076.8233,26784.860767,21 HCPCS,0335U,RARE DS WHL GEN SEQ FETAL,,,5224.6,14994.602,21 HCPCS,0336U,RARE DS WHL GEN SEQ BLD/SLV,,,2574.65,7389.2455,21 HCPCS,0337U,ONC PLSM CELL DO&MYELOMA ID,,,2435.0,6988.45,21 HCPCS,0338T,TRNSCTH RENAL SYMP DENRV UNL,,,7244.3513,21009.267027,21 HCPCS,0338U,ONC SLD TUM CRCG TUM CL SLCT,,,2435.0,6988.45,21 HCPCS,0339U,ONC PRST8 MRNA HOXC6 & DLX1,,,760.0,2181.2,21 HCPCS,0340U,ONC PAN CA ALYS MRD PLASMA,,,3590.0,10303.3,21 HCPCS,0341U,FTL ANEUP DNA SEQ CMPR ALYS,,,1900.2,5453.574,21 HCPCS,0342T,THXP APHERESIS W/HDL DELIP,,,5601.9036,16077.463332,21 HCPCS,0342U,ONC PNCRTC CA MULT IA ECLIA,,,1326.7527,1490.0964,2 HCPCS,0343U,ONC PRST8 XOM ALY 442 SNCRNA,,,760.0,2181.2,21 HCPCS,0344U,HEP NAFLD SEMIQ EVL 28 LIPID,,,792.17,2273.5279,21 HCPCS,0345U,PSYC GENOM ALYS PNL 15 GEN,,,1336.09,3834.5783,21 HCPCS,0346U,BETA AMYL A?40&A?42 LC-MS/MS,,,111.912,130.564,2 HCPCS,0347T,INS BONE DEVICE FOR RSA,,,75.4736,217.758093,21 HCPCS,0347U,RX METAB/PCX DNA 16 GEN ALYS,,,1336.09,3834.5783,21 HCPCS,0348T,RSA SPINE EXAM,,,134.4631,385.909097,21 HCPCS,0348U,RX METAB/PCX DNA 25 GEN ALYS,,,742.27,2130.3149,21 HCPCS,0349T,RSA UPPER EXTR EXAM,,,134.4631,385.909097,21 HCPCS,0349U,RX METAB/PCX DNA 27GEN RX IA,,,742.27,2130.3149,21 HCPCS,0350T,RSA LOWER EXTR EXAM,,,111.8763,321.235656,21 HCPCS,0350U,RX METAB/PCX DNA 27 GEN ALYS,,,1336.09,3834.5783,21 HCPCS,0351U,NFCT DS BCT/VIRAL TRAIL IP10,,,260.5,747.635,21 HCPCS,0352U,NFCT DS BV&VAGINITIS AMP PRB,,,171.156,199.682,2 HCPCS,0353U,IADNA CHLMYD&GONORR AMP PRB,,,84.216,98.252,2 HCPCS,0354U,HPV HI RSK QUAL MRNA E6/E7,,,42.108,49.126,2 HCPCS,0355U,APOL1 RISK VARIANTS,,,137.0,393.19,21 HCPCS,0356U,ONC OROP/ANAL 17 DNA DDPCR,,,1800.0,5166.0,19 HCPCS,0358T,BIA WHOLE BODY,,,31.117,106.765435,21 HCPCS,0358U,NEURO ALYS á-AMYL 1-42&1-40,,,260.5,747.635,21 HCPCS,0359U,ONC PRST8 CA ALYS ALL PSA,,,760.0,2181.2,21 HCPCS,0360U,ONC LUNG ELISA 7 AUTOANT ALG,,,782.93,2412.6655,21 HCPCS,0361U,NEURFLMNT LT CHN DIG IA QUAN,,,116.23,193.081276,9 HCPCS,0362T,BHV ID SUPRT ASSMT EA 15 MIN,,,37.8512,138.307309,21 HCPCS,0362U,ONC PAP THYR CA RNA 82&10,,,3600.0,10332.0,21 HCPCS,0363U,ONC URTHL MRNA 5 GEN ALG,,,760.0,2181.2,21 HCPCS,0364U,ONC HL NEO GEN SEQ ALYS ALG,,,2007.25,5760.8075,19 HCPCS,0365U,ONC BLDR 10 UR HRBR URTHL CA,,,897.0,2574.39,21 HCPCS,0366U,ONC BLDR 10 PRB RECR BLDR CA,,,897.0,2574.39,21 HCPCS,0367U,ONC BLDR 10 FLWG TRURL RESCJ,,,902.18,2589.2566,21 HCPCS,0368U,ONC CLRCT CA MUT&MTHYLTN MRK,,,616.459298,692.354936,2 HCPCS,0369U,IADNA GI PTHGN 31 ORG&21 ARG,,,416.78,692.354936,10 HCPCS,0370U,IADNA SURG WND PTHGN 34&21,,,416.78,692.354936,10 HCPCS,0371U,IADNA GU PTHGN SEMIQ DNA16&1,,,416.78,1196.1586,21 HCPCS,0372U,NFCT DS GU PTHGN ARG DETCJ,,,416.78,1196.1586,21 HCPCS,0373T,ADAPT BHV TX EA 15 MIN,,,37.8512,138.307309,21 HCPCS,0373U,IADNA RSP TR NFCT 17 8 13&16,,,416.78,692.354936,10 HCPCS,0374U,IADNA GU PTHGN 21 ORG&21ARG,,,416.78,692.354936,10 HCPCS,0375U,ONC OVRN BCHM ASY 7 PRTN ALG,,,897.0,2574.39,21 HCPCS,0376U,ONC PRST8 CA IMG ALYS 128,,,706.25,2026.9375,21 HCPCS,0377U,CV DS QUAN ADVSRM/PLSM LPRTN,,,47.58,136.5546,21 HCPCS,0378U,RFC1 REPEAT XPNSJ VRNT ALYS,,,137.0,393.19,21 HCPCS,0379T,VIS FIELD ASSMNT TECH SUPPT,,,48.0396,137.873652,21 HCPCS,0379U,TGSAP SL OR NEO DNA523&RNA55,,,3288.51,9438.0237,19 HCPCS,0380U,RX METB ADVRS TRGT SQ ALY 20,,,500.136,583.492,2 HCPCS,0381U,MAPLE SYRUP UR DS MNTR QUAN,,,44.12,126.6244,19 HCPCS,0382U,HYPRPHENYLALNINMIA MNTR QUAN,,,51.64,148.2068,19 HCPCS,0383U,TYROSINEMIA TYP I MNTR QUAN,,,52.05,149.3835,19 HCPCS,0384U,NEPH CKD RSK HI STG KDN DS,,,750.0,2152.5,21 HCPCS,0385U,NEPH CKD ALG RSK DBTC KDN DS,,,390.75,1121.4525,21 HCPCS,0387U,ONC MLNMA AMBRA1&AMLO,,,948.5,2722.195,21 HCPCS,0388U,ONC NONSM CLL LNG CA 37 GEN,,,3500.0,10045.0,19 HCPCS,0389U,PED FBRL KD IFI27&MCEMP1 RNA,,,70.2,201.474,19 HCPCS,0390U,OB PE KDR ENG&RBP4 IA ALG,,,64.41,184.8567,21 HCPCS,0391U,ONC SLD TUM DNA&RNA 437 GEN,,,3600.0,10332.0,21 HCPCS,0392U,RX METAB GEN-RX IA 16 GENES,,,1336.09,3834.5783,21 HCPCS,0393U,NEU PRKSN MSFL a-SYNCLN PRTN,,,540.99,1552.6413,21 HCPCS,0394T,HDR ELCTRNC SKN SURF BRCHYTX,,,334.1424,470.09438,11 HCPCS,0394U,PFAS 16 PFAS COMPND LC MS/MS,,,198.74,570.3838,21 HCPCS,0395U,ONC LNG MULTIOMICS PLSM ALG,,,797.45,2288.6815,19 HCPCS,0398T,MRGFUS STRTCTC LES ABLTJ,,,20423.77956,23827.74282,2 HCPCS,0398U,GI BARET ESPH DNA MTHYLN ALY,,,1755.0,5036.85,19 HCPCS,0399U,NEURO CERE FOLATE DEFNCY SRM,,,300.0,861.0,19 HCPCS,0400U,OB XPND CAR SCR 145 GENES,,,2154.871208,2420.169056,2 HCPCS,0401U,CRD C HRT DS 9 GEN 12 VRNTS,,,489.68,1405.3816,19 HCPCS,0402T,COLGN CRS-LINK CRN&PACHYMTRY,,,2964.259,8776.009123,21 HCPCS,0402U,NFCT AGT STI MULT AMP PRB TQ,,,142.63,409.3481,21 HCPCS,0403U,ONC PRST8 MRNA 18 GEN 1ST UR,,,760.0,2181.2,21 HCPCS,0404U,ONC BRST SEMIQ MEAS THYM KN,,,322.96,926.8952,21 HCPCS,0405U,ONC PNCRTC 59 MTHLTN BLK MRK,,,1770.48,5081.2776,21 HCPCS,0406U,ONC LUNG FLOW CYTMTRY 5 MRK,,,760.0,2181.2,21 HCPCS,0407U,NEPH DBTC CKD MULT ECLIA ALG,,,912.0,2726.5,21 HCPCS,0408T,INSJ/RPLC CARDIAC MODULJ SYS,,,40371.3242,115865.700454,21 HCPCS,0408U,IAAD BLK AC WV BSNSR SARSCV2,,,14.13,40.5531,19 HCPCS,0409T,INSJ/RPLC CAR MODULJ PLS GN,,,28520.129,82107.702859,21 HCPCS,0409U,ONC SLD TUM DNA 80 & RNA 36,,,2919.6,8379.252,21 HCPCS,0410T,INSJ/RPLC CAR MODULJ ATR ELT,,,10515.4602,30546.941719,21 HCPCS,0410U,ONC PNCRTC DNA WHL GN SEQ 5-,,,1160.0,3329.2,21 HCPCS,0411T,INSJ/RPLC CAR MODULJ VNT ELT,,,10515.4602,30546.941719,21 HCPCS,0411U,PSYC GENOM ALYS PNL 15 GEN,,,1336.09,3834.5783,21 HCPCS,0412T,RMVL CARDIAC MODULJ PLS GEN,,,4624.0946,13794.236841,21 HCPCS,0412U,BETA AMYLOID Aá42/40 IMPRCIP,,,750.0,2152.5,19 HCPCS,0413T,RMVL CAR MODULJ TRANVNS ELT,,,4624.0946,13794.236841,21 HCPCS,0413U,ONC HL NEO OPT GEN MAPG DNA,,,1263.53,3626.3311,21 HCPCS,0414T,RMVL & RPL CAR MODULJ PLS GN,,,28520.129,82107.702859,21 HCPCS,0414U,ONC LNG AUG ALG ALY WHL SLD8,,,706.25,2026.9375,21 HCPCS,0415T,REPOS CAR MODULJ TRANVNS ELT,,,785.5612,2315.563068,21 HCPCS,0415U,CV DS ACS BLD ALG 5 YR SCORE,,,390.75,1121.4525,21 HCPCS,0416T,RELOC SKIN POCKET PLS GEN,,,2324.2196,7616.186158,21 HCPCS,0416U,IADNA GU PTHGN 20BCT&FNG ORG,,,500.136,1821.9908,23 HCPCS,0417T,PRGRMG EVAL CARDIAC MODULJ,,,47.3807,137.765453,21 HCPCS,0417U,RARE DS ALYS 335 NUC GENES,,,2842.53,8158.0611,19 HCPCS,0418T,INTERRO EVAL CARDIAC MODULJ,,,47.3807,137.765453,21 HCPCS,0418U,ONC BRST AUG ALG ALY WHL SL8,,,706.25,2026.9375,21 HCPCS,0419T,DSTRJ NEUROFIBROMA XTNSV,,,777.7724,2728.136474,21 HCPCS,0419U,NRPSYC GEN SEQ VRNT ALY 13,,,1336.09,3834.5783,21 HCPCS,0420T,DSTRJ NEUROFIBROMA XTNSV,,,777.7724,2728.136474,21 HCPCS,0420U,ONC URTHL MRNA XPRSN 6 SNP,,,1328.32,3812.2784,10 HCPCS,0421T,WATERJET PROSTATE ABLTJ CMPL,,,1211.02,16114.23632,13 HCPCS,0421U,ONC CLRCT SCR SGL AMP 8 RNA,,,752.669617,845.334844,2 HCPCS,0422T,TACTILE BREAST IMG UNI/BI,,,111.8763,321.235656,21 HCPCS,0422U,ONC PAN SOLID TUM ALYS DNA,,,1943.21,5577.0127,10 HCPCS,0423U,PSYC GENOMIC ALYS PNL 26 GEN,,,416.78,1196.1586,19 HCPCS,0424U,ONC PRST8 XOM ALYS 53 SNCRNA,,,760.0,2181.2,19 HCPCS,0425U,GENOM RPD SEQ ALYS EA CMPRTR,,,4094.39,11750.8993,10 HCPCS,0426U,GENOME ULTRA-RAPID SEQ ALYS,,,7582.2,21760.914,10 HCPCS,0427U,MONOCYTE DSTRBJ WDTH WHL BLD,,,4.48,12.8576,19 HCPCS,0429U,HPV OROP SWAB 14 HI-RISK TYP,,,35.09,100.7083,19 HCPCS,0430U,GI MALABS AAT CALPRO PNCRTC,,,61.54,176.6198,19 HCPCS,0431U,GLY RCPTR ALPHA1 IGG SRM/CSF,,,36.57,104.9559,19 HCPCS,0432U,KLHL11 ANTB SR/CSF ASY QUAL,,,36.57,104.9559,19 HCPCS,0433U,ONC PRST8 5 DNA REG MRK PCR,,,760.0,2181.2,19 HCPCS,0434U,RX METAB ADVRS VRNT ALYS 25,,,416.78,1196.1586,19 HCPCS,0435U,ONC CHEMO RX CYTOX CSC 14 RX,,,3033.86,8707.1782,19 HCPCS,0436U,ONC LNG PLSM ALYS 388 PRTN,,,1504.24,4317.1688,10 HCPCS,0437U,PSYC ANXIETY DO MRNA 15 BMRK,,,760.0,2181.2,19 HCPCS,0438U,RX METAB ADVRS VRNT ALYS 33,,,416.78,1196.1586,19 HCPCS,0439U,CRD CHD DNA ALYS 5 SNP 3 DNA,,,854.0,2450.98,10 HCPCS,0440T,ABLTJ PERC UXTR/PERPH NRV,,,2481.1896,7208.093109,21 HCPCS,0440U,CRD CHD DNA ALYS 10 SNP 6DNA,,,854.0,2450.98,10 HCPCS,0441U,NFCT DS BCT FNGL/VIRAL SEMIQ,,,444.08,1274.5096,10 HCPCS,0442U,NFCT DS RESPIR NFCTJ MXA&CRP,,,41.38,118.7606,19 HCPCS,0443U,NEURFLMNT LT CHN ULTRSENS IA,,,116.23,333.5801,10 HCPCS,0444U,ONC SLD ORGN NEO TGSAP 361,,,2919.6,8379.252,19 HCPCS,0445U,ABETA42 & PTAU181 ECLIA CSF,,,260.5,747.635,19 HCPCS,0446T,INSJ IMPLTBL GLUCOSE SENSOR,,,2324.2196,15357.239415,21 HCPCS,0446U,AI DS SLE ALYS 10 CYTOKINE,,,840.65,2412.6655,19 HCPCS,0447T,RMVL IMPLTBL GLUCOSE SENSOR,,,252.4682,740.601491,21 HCPCS,0447U,AI DS SLE ALYS 11 CYTOKINE,,,840.65,2412.6655,19 HCPCS,0448T,REMVL INSJ IMPLTBL GLUC SENS,,,2324.2196,15357.239415,21 HCPCS,0449T,INSJ AQUEOUS DRAIN DEV 1ST,,,6555.9275,19642.525098,21 HCPCS,0449U,CAR SCR SEV INH COND 5 GENES,,,2699.180008,3031.490656,2 HCPCS,0450U,ONC MM LC-MS/MS MONOC P-PRTN,,,43.43,72.145916,8 HCPCS,0451U,ONC MM LC-MS/MS PEP ION QUAN,,,43.43,72.145916,8 HCPCS,0452U,ONC BLDR MTHYL PENK LTE-QMSP,,,192.0,551.04,19 HCPCS,0453U,ONC CLRCT CA CFDNA QPCR ASY,,,192.0,551.04,19 HCPCS,0454U,RARE DS ID OPT GENOME MAPG,,,1263.53,3626.3311,21 HCPCS,0455U,NFCT AGT STI MULT AMP PRB UR,,,142.63,409.3481,19 HCPCS,0457U,PFAS 9 CMPND LC-MS/MS PLS/SR,,,198.74,570.3838,19 HCPCS,0458U,ONC BRST CA S100 A8&A9 ELISA,,,260.5,747.635,19 HCPCS,0459U,ABETA42 & TTAU ECLIA CSF,,,260.5,747.635,19 HCPCS,0460U,ONC WHL BLD/BUCC RTPCR 24GEN,,,917.08,2632.0196,10 HCPCS,0461U,ONC RXGENOM ALYS RTPCR 24GEN,,,917.08,2632.0196,10 HCPCS,0462U,MELATONIN LVL TST SLP STD7/9,,,17.27,49.5649,19 HCPCS,0463U,ONC CRVX MRNA GENXPRSN 14BMK,,,760.0,2181.2,10 HCPCS,0464T,VISUAL EP TEST FOR GLAUCOMA,,,165.495,474.97065,21 HCPCS,0464U,ONC CLRCT SCR QRTSA DNA MRK,,,591.92,1698.8104,13 HCPCS,0465U,ONC URTHL CARC DNA QMSP 2GEN,,,1938.01,5562.0887,19 HCPCS,0466U,CRD CAD DNA GWAS 564856 SNP,,,345.43,991.3841,10 HCPCS,0467U,ONC BLDR DNA NGS 60GEN&ANEUP,,,1519.06,4359.7022,19 HCPCS,0468U,HEP NASH MIR-34A5P A2M YKL40,,,251.7,722.379,19 HCPCS,0469U,RARE DS WHL GEN SEQ FTL SAMP,,,1197.94,3438.0878,19 HCPCS,0470U,ONC OROP DETCJ MRD 8 DNA HPV,,,597.91,1716.0017,10 HCPCS,0471U,ONC CLRC CA 35 VRN KRAS&NRAS,,,760.0,2181.2,19 HCPCS,0472T,PRGRMG IO RTA ELTRD RA,,,381.0656,1133.736674,21 HCPCS,0472U,CA VI PSP&SP1 ANTB SJ™GREN,,,27.9,80.073,10 HCPCS,0473T,REPRGRMG IO RTA ELTRD RA,,,116.6284,350.93499,21 HCPCS,0473U,ONC SLD TUM BLD/SLV 648 GENE,,,4500.0,12915.0,19 HCPCS,0474U,HERED PAN CA GSAP 88GENE NGS,,,1303.95,3742.3365,19 HCPCS,0475U,HERED PRST8 CA GSAP 23 GENES,,,1303.95,3742.3365,19 HCPCS,0476U,RX METAB PSYC 14GEN&CYP2D6,,,416.78,1196.1586,19 HCPCS,0477U,RX METAB PSY 14&CYP2D6 GN-RX,,,416.78,1196.1586,19 HCPCS,0478U,ONC NSCLC DNA&RNA DPCR 9GENS,,,552.99,1587.0813,10 HCPCS,0479T,FXJL ABL LSR 1ST 100 SQ CM,,,777.7724,2728.136474,21 HCPCS,0479U,TAU PHOSPHORYLATED PTAU217,,,17.27,49.5649,19 HCPCS,0480U,NFCT DS CSF METAG NGS ALYS,,,2126.2,6102.194,19 HCPCS,0481T,NJX AUTOL WBC CONCENTRATE,,,507.0202,1648.99294,21 HCPCS,0481U,IDH1 IDH2&TERT PROMOTER NGS,,,674.24,1935.0688,19 HCPCS,0482U,OB PE BIOCHEM ASY SFLT1&PLGF,,,128.82,369.7134,19 HCPCS,0483U,NFCT DS NG GYRA S91F PT MUT,,,35.09,100.7083,10 HCPCS,0484U,NFCT DS MGEN 23S RRNA PT MUT,,,35.09,100.7083,10 HCPCS,0485T,OCT MID EAR I&R UNILATERAL,,,48.0396,137.873652,21 HCPCS,0485U,ONC SOL TUM CFDNA&RNA NGS GM,,,3649.48,10474.0076,10 HCPCS,0486T,OCT MID EAR I&R BILATERAL,,,48.0396,137.873652,21 HCPCS,0486U,ONC PAN SOL TUM NGS CFCTDNA,,,1644.25,4718.9975,10 HCPCS,0487U,ONC SOL TUM CFCDNA TGSAP 84,,,2919.6,8379.252,19 HCPCS,0488U,OB FETAL AG NIPT CFDNA ALYS,,,1122.710855,1260.93386,2 HCPCS,0490U,ONC CUTAN/UVEAL MLNMA CD146,,,2435.0,6988.45,19 HCPCS,0491U,ONC SOL TUM CTC SLCT ER PRTN,,,2435.0,6988.45,19 HCPCS,0492U,ONC SOL TUM CTC SLCTN PD-L1,,,2435.0,6988.45,19 HCPCS,0493U,TRNSPL MED QUAN DD-CFDNA NGS,,,2753.25,7901.8275,19 HCPCS,0494U,RBC AG FTL RHD GENE ALYS NGS,,,759.05,2178.4735,19 HCPCS,0495U,ONC PRST8 ALYS CRCG PLSM PRT,,,760.0,2181.2,19 HCPCS,0496U,ONC CLRCT CFDNA 8/7 GENES,,,485.86,1394.4182,10 HCPCS,0497U,ONC PRST8 MRNA RT-PCR 6GENES,,,3873.0,11115.51,19 HCPCS,0498U,ONC CLRCT NGS MUT DETC 43GEN,,,1345.31,3861.0397,10 HCPCS,0499U,ONC CLRCT&LNG DNA NGS 8GENES,,,597.91,1716.0017,19 HCPCS,0500U,AUTOINFLAM DS VEXAS SYND DNA,,,175.4,503.398,19 HCPCS,0502U,HPV E6/E7 MRK HI-RSK TYP CRV,,,35.09,100.7083,19 HCPCS,0503U,NEURO ALZ DS áAMYL&TAU PRTN,,,750.0,2152.5,19 HCPCS,0504U,NFCT DS UTI ID 17 PATH ORGS,,,416.78,1196.1586,19 HCPCS,0505T,EV FEMPOP ARTL REVSC,,,14409.3282,42613.060007,21 HCPCS,0505U,NFCT DS VAG INFCTJ ID 32ORGS,,,679.77,1950.9399,19 HCPCS,0506T,MAC PGMT OPT DNS MEAS HFP,,,75.4736,217.758093,21 HCPCS,0506U,GI BARRETTS ESOPHGL CELL 89,,,1938.01,5562.0887,19 HCPCS,0507T,NEAR IFR 2IMG MIBMN GLND I&R,,,75.4736,217.758093,21 HCPCS,0507U,ONC OVR DNA WHOLE GEN W/5HMC,,,1160.0,3329.2,19 HCPCS,0509T,PATTERN ERG W/I&R,,,277.7133,797.037171,21 HCPCS,0510T,RMVL SINUS TARSI IMPLANT,,,4122.6015,12077.93293,21 HCPCS,0510U,ONC PNCRTC CA ALG ALYS 16GEN,,,473.91,1360.1217,10 HCPCS,0511T,RMVL&RINSJ SINUS TARSI IMPLT,,,9076.8233,26784.860767,21 HCPCS,0511U,ONC SOL TUM 3DMICROENVIR 36+,,,3033.86,8707.1782,19 HCPCS,0512T,ESW INTEG WND HLG 1ST WND,,,252.4682,740.601491,21 HCPCS,0512U,ONC PRST8 ALYS DGTZ IMG MSI,,,706.25,2026.9375,19 HCPCS,0513U,ONC PRST8 ALG ALYS MSI&HRD,,,706.25,2026.9375,19 HCPCS,0514U,GI IBD IA QUAN DETER ADL LVL,,,38.57,110.6959,19 HCPCS,0515T,INSJ WCS LV COMPL SYS,,,28520.129,82107.702859,21 HCPCS,0515U,GI IBD IA QUAN DETER IFX LVL,,,38.57,110.6959,19 HCPCS,0516T,INSJ WCS LV ELTRD ONLY,,,13297.2483,38581.446162,21 HCPCS,0516U,RX METAB RXGENOMIC GNOTYP 40,,,416.78,1196.1586,19 HCPCS,0517T,INSJ WCS LV BOTH COMPNT PG,,,13297.2483,38581.446162,21 HCPCS,0517U,THER RX MNTR 80+ PSYACTIV RX,,,246.92,708.6604,19 HCPCS,0518T,RMVL PG WCS LV BATTERY ONLY,,,4624.0946,13794.236841,21 HCPCS,0518U,THER RX MNTR 90+ PN&MTL HLTH,,,246.92,708.6604,19 HCPCS,0519T,RMV&RPLCMT PG WCS LV BOTH,,,13297.2483,38581.446162,21 HCPCS,0519U,THER RX MNTR MEDS P/D/A 110+,,,246.92,708.6604,19 HCPCS,0520T,RMV&RPLCMT PG WCS LV BATTERY,,,13297.2483,38581.446162,21 HCPCS,0520U,THER RX MNTR 200+ RX/SBSTS,,,246.92,708.6604,19 HCPCS,0521T,INTERROG DEV EVAL WCS IP,,,31.117,106.765435,21 HCPCS,0521U,RF IGA&IGM CCP ANTB SR-A IA,,,51.8,148.666,10 HCPCS,0522T,PRGRMG DEV EVAL WCS IP,,,47.3807,137.765453,21 HCPCS,0522U,CA VI PSP&SP1 ANTB CL SEMIQL,,,260.5,747.635,10 HCPCS,0523U,ONC SOLTUM DNA NGS SNV 22GEN,,,1352.09,3880.4983,10 HCPCS,0524T,EV CATH DIR CHEM ABLTJ W/IMG,,,3999.2135,11655.206899,21 HCPCS,0524U,OB PE SFLT-1/PLGF IA SRM/PLS,,,128.82,369.7134,10 HCPCS,0525T,INSJ/RPLCMT COMPL IIMS,,,16010.1396,71100.675702,21 HCPCS,0525U,ONC SPHRD CELL CUL 11-RX PNL,,,3033.86,8707.1782,10 HCPCS,0526T,INSJ/RPLCMT IIMS ELTRD ONLY,,,10515.4602,30546.941719,21 HCPCS,0527T,INSJ/RPLCMT IIMS IMPLT MNTR,,,10515.4602,30546.941719,21 HCPCS,0527U,HSV 1&2 VZV AMP PRB TQ PTHGN,,,142.63,409.3481,10 HCPCS,0528T,PRGRMG DEV EVAL IIMS IP,,,47.3807,137.765453,21 HCPCS,0528U,LRT IAD 18BCT/8VIR&7ARG RNA,,,634.84,1821.9908,10 HCPCS,0529T,INTERROG DEV EVAL IIMS IP,,,47.3807,137.765453,21 HCPCS,0530T,REMOVAL COMPLETE IIMS,,,4624.0946,13794.236841,21 HCPCS,0530U,ONC PAN-SOL TUM CTDNA 77 GEN,,,2919.6,8379.252,10 HCPCS,0531T,REMOVAL IIMS ELECTRODE ONLY,,,4624.0946,13794.236841,21 HCPCS,0532T,REMOVAL IIMS IMPLT MNTR ONLY,,,4624.0946,13794.236841,21 HCPCS,0532U,RARE DS WHLGEN&MITOCHDRL DNA,,,5031.2,14439.544,10 HCPCS,0533U,RX METAB ADVRS GNOTYP 16GENS,,,416.78,1196.1586,10 HCPCS,0535U,PFAS LC-MS/MS PLSM/SRM QUAN,,,62.14,178.3418,10 HCPCS,0536U,RBCAG FTL RHD PCR ALYS EXON4,,,192.0,551.04,10 HCPCS,0537U,ONC CLRCT CA CFDNA >2500 DMR,,,1495.0,4290.65,11 HCPCS,0538U,ONC SOL TUM NGTS FFPE 600GEN,,,2989.55,8580.0085,10 HCPCS,0539U,ONC SOL TUMOR CFCTDNA 152GEN,,,3288.51,9438.0237,10 HCPCS,0540T,CAR-T CLL ADMN AUTOLOGOUS,,,507.77184,592.40048,2 HCPCS,0540U,TRNSPLJ MED QUAN DD-CFDNA,,,2753.25,7901.8275,10 HCPCS,0541T,MYOCARDIAL IMAGING MCG,,,479.943,1377.43641,21 HCPCS,0543U,ONC SOL TUM NGS DNA 517 GENS,,,2989.55,8580.0085,10 HCPCS,0545U,ACHR ANTB ID IMFLUOR LIVECLL,,,37.73,108.2851,10 HCPCS,0546U,LDNS LRP4 ANTB IMFLR LIVECLL,,,37.73,108.2851,10 HCPCS,0547U,NEURFLMNT LT CHN CLEIA PLSM,,,116.23,333.5801,10 HCPCS,0548U,GFAP CLEIA PLASMA,,,116.23,333.5801,10 HCPCS,0549U,ONC URTHL DNA MTHYLTD RT PCR,,,760.0,2181.2,10 HCPCS,0553U,REPR MED PGA EMBRY TE STRUX,,,759.05,2178.4735,10 HCPCS,0554U,REPR MED PGA 24CHRM TE BX QC,,,759.05,2178.4735,10 HCPCS,0555T,B1 STR&FX RSK TRANSMIS DATA,,,31.117,106.765435,21 HCPCS,0555U,REPR MED PGA EMBRYONIC TE QC,,,759.05,2178.4735,10 HCPCS,0556T,B1 STR & FX RSK ASSESSMENT,,,306.8821,880.751627,21 HCPCS,0556U,NFCT DS P-S DNA&RNA 12 TRGTS,,,142.63,409.3481,10 HCPCS,0557U,NFCT DS BV DNA MRK VAG FLUID,,,262.99,754.7813,10 HCPCS,0558T,CT SCAN F/BIOMCHN CT ALYS,,,111.8763,321.235656,21 HCPCS,0558U,ONC CLRCT ELISA BF7 AG SERUM,,,20.81,59.7247,10 HCPCS,0559T,ANTMC MDL 3D PRINT 1ST CMPNT,,,75.4736,491.121001,21 HCPCS,0559U,ONC BRS QUAN ELISA BF9AG SRM,,,20.81,59.7247,10 HCPCS,0560U,ONC MRD GSA CFDNA BASELINE,,,3878.45,11131.1515,10 HCPCS,0561T,ANTMC GUIDE 3D PRINT 1ST GD,,,75.4736,491.121001,21 HCPCS,0561U,ONC MRD GSA CFDNA SUBSEQUENT,,,794.49,2280.1863,10 HCPCS,0562U,ONC SOL TUM TGSA 33GENS SNVS,,,597.91,1716.0017,10 HCPCS,0563T,EVAC MEIBOMIAN GLND HEAT BI,,,75.4736,217.758093,21 HCPCS,0563U,NFCT DS PTHGN-SNA 11VIR&4BCT,,,416.78,1196.1586,10 HCPCS,0564T,ONC CHEMO RX CYTOTOX CSC 14,,,81.2454,94.7863,2 HCPCS,0564U,NFCT DS PTHGN-SNA 10VIR&4BCT,,,416.78,1196.1586,10 HCPCS,0565U,ONC HCC NGS DETC 6626EPIGALT,,,1160.0,3329.2,10 HCPCS,0566U,ONC LNG QPCR-BSD ALYS 13DMRS,,,416.78,1196.1586,10 HCPCS,0567U,RARE DS WHL GEN SEQ SRS&LRS,,,5031.2,14439.544,10 HCPCS,0568U,NEUROL DEMENTIA BAMYL PTAU,,,897.0,2574.39,10 HCPCS,0570U,NEUROL TBI ALYS GFAP&UCH-L1,,,260.5,747.635,10 HCPCS,0571T,INSJ/RPLCMT ICDS SS ELTRD,,,40371.3242,115865.700454,21 HCPCS,0571U,ONC SOL TUM DNA80&RNA10G NGS,,,2919.6,8379.252,10 HCPCS,0572T,INSERTION SS DFB ELECTRODE,,,10515.4602,30546.941719,21 HCPCS,0573T,REMOVAL SS DFB ELECTRODE,,,4624.0946,13794.236841,21 HCPCS,0574T,REPOS PREV SS IMPL DFB ELTRD,,,4624.0946,13794.236841,21 HCPCS,0575T,PRGRMG DEV EVAL ICDS SS IP,,,47.3807,137.765453,21 HCPCS,0575U,TRNSPLJ MED LAR RTPCR 4GENES,,,380.0,1090.6,10 HCPCS,0576T,INTERROG DEV EVAL ICDS SS IP,,,47.3807,137.765453,21 HCPCS,0576U,TRNSPLJ MED LAR QUAN DDCFDNA,,,3240.0,9298.8,10 HCPCS,0577T,EPHYS EVAL ICDS SS,,,1542.4957,4494.300321,21 HCPCS,0577U,ONC OVR SERUM ALYS 39 GPS,,,246.92,708.6604,10 HCPCS,0578U,ONC CUTAN MLN RNA QPCR 10GEN,,,3873.0,11115.51,10 HCPCS,0579T,REM INTERROG DEV ICDS TECH,,,47.3807,137.765453,21 HCPCS,0579U,NFRO DBTC CKD ELISA APOA4,,,390.75,1121.4525,10 HCPCS,0580T,RMVL SS IMPL DFB PG ONLY,,,4624.0946,13794.236841,21 HCPCS,0580U,BBRGDRFERI ANTB DETC 24RPRTN,,,17.21,49.3927,10 HCPCS,0581T,ABLTJ MAL BRST TUM PERQ CRTX,,,4865.4832,14453.039027,21 HCPCS,0581U,TRNSPL MED ANTB NOHLA 39TRGT,,,325.8,935.046,10 HCPCS,0582T,TRURL ABLTJ MAL PRST8 TISS,,,16968.9901,48701.001587,10 HCPCS,0582U,RARE DS RPD WHLGEN DNA VRNTS,,,7582.2,21760.914,10 HCPCS,0583T,TMPST AUTO TUBE DLVR SYS,,,1882.1144,5727.359659,21 HCPCS,0583U,RARE DS RPD WHLGEN CMPTR DNA,,,3791.1,10880.457,10 HCPCS,0584U,NEURO CSF PRION PRTN QUAL,,,432.79,1552.6413,22 HCPCS,0585U,TGSAP SO NEO CFDNA 521 GENES,,,2919.6,8379.252,10 HCPCS,0586U,ONC MRNA GEN XPRSN 216 GENES,,,2919.6,8379.252,10 HCPCS,0587T,PERQ IMPLTJ/RPLCMT ISDNS PTN,,,8196.7357,23524.631459,21 HCPCS,0587U,THER RX MNTR 60-150RX&METABL,,,114.43,328.4141,10 HCPCS,0588T,REVISION/REMOVAL ISDNS PTN,,,4369.6061,12905.175416,21 HCPCS,0588U,NFCT DS BCT/VIR 32GENES MRNA,,,760.0,2181.2,10 HCPCS,0589T,ELEC ALYS SMPL PRGRMG IINS,,,116.6284,350.93499,21 HCPCS,0589U,PFAS24CMPND HI-PERF LC-MS/MS,,,198.74,570.3838,10 HCPCS,0590T,ELEC ALYS CPLX PRGRMG IINS,,,116.6284,350.93499,21 HCPCS,0591U,ONC PRST8 CA 3PRTNS PLSM SRM,,,760.0,2181.2,10 HCPCS,0592U,ONC HL NEO DNA TGS 417 GENES,,,2919.6,8379.252,10 HCPCS,0593U,NFCT DS GU PTHGN DNA 46TRGT,,,634.84,1821.9908,10 HCPCS,0594T,OSTEOT HUM XTRNL LNGTH DEV,,,9076.8233,26784.860767,21 HCPCS,0595U,NFCT DS TFP VCTRBRN&ZOONOTIC,,,262.99,754.7813,10 HCPCS,0596T,TEMP FML IU VLV-PMP 1ST INSJ,,,848.0874,2573.931948,21 HCPCS,0597T,TEMP FML IU VALVE-PMP RPLCMT,,,848.0874,2573.931948,21 HCPCS,0598T,R-T FLUOR WOUND IMG 1ST SITE,,,277.7133,797.037171,21 HCPCS,0598U,GI IBS IGG ANTB 18FOOD ITEMS,,,300.0,861.0,10 HCPCS,0599U,ONC PNCRTC CA MULT IA SERUM,,,897.0,2574.39,10 HCPCS,0604T,REM OCT RTA DEV SETUP&EDUCAJ,,,198.19596,231.22862,2 HCPCS,0605T,REM OCT RTA TECHL SPRT MIN 8,,,56.53968,65.96296,2 HCPCS,0609T,MRS DISC PAIN ACQUISJ DATA,,,306.8821,880.751627,21 HCPCS,0611T,MRS DISC PAIN ALG ALYS DATA,,,306.8821,880.751627,21 HCPCS,0614T,RMVL&RPLCMT SS IMPL DFB PG,,,28520.129,82107.702859,21 HCPCS,0615T,AUTO ALYS BINOCULAR EYE MVMT,,,163.7803,491.121001,21 HCPCS,0616T,INSERTION OF IRIS PROSTHESIS,,,26012.35392,30347.74624,2 HCPCS,0617T,INSJ IRIS PROSTH W/RMVL&INSJ,,,26012.35392,30347.74624,2 HCPCS,0618T,INSJ IRIS PROSTH SEC IO LENS,,,26012.35392,30347.74624,2 HCPCS,0619T,CYSTO W/PRST8 COMMISSUROTOMY,,,11749.4288,16114.23632,11 HCPCS,0620T,EVASC VEN ARTLZ TIBL/PRNL VN,,,35000.5,162588.741665,21 HCPCS,0621T,TRABECULOSTOMY INTERNO LASER,,,5111.4459,15257.700066,19 HCPCS,0625T,AUTO QUAN C PLAQ CPTR ALYS,,,950.5,1745.00018,11 HCPCS,0627T,PERQ NJX ALGC FLUOR LMBR 1ST,,,16348.5815,47391.418004,21 HCPCS,0629T,PERQ NJX ALGC CT LMBR 1ST,,,16348.5815,47391.418004,21 HCPCS,0631T,TC VIS LIT HYPERSPECTRAL IMG,,,31.117,52.08378,11 HCPCS,0632T,PERQ TCAT US ABLTJ NRV P-ART,,,22815.8084,67667.562186,21 HCPCS,0633T,CT BREAST W/3D UNI C-,,,134.4631,385.909097,21 HCPCS,0634T,CT BREAST W/3D UNI C+,,,225.5949,647.457363,21 HCPCS,0635T,CT BREAST W/3D UNI C-/C+,,,225.5949,647.457363,21 HCPCS,0636T,CT BREAST W/3D BI C-,,,306.8821,880.751627,21 HCPCS,0637T,CT BREAST W/3D BI C+,,,448.7097,1287.796839,21 HCPCS,0638T,CT BREAST W/3D BI C-/C+,,,448.7097,1287.796839,21 HCPCS,0640T,NCNTC IFR SPCTRSC O/T PAD 1,,,48.0396,137.873652,21 HCPCS,0644T,TCAT RMVL/DBLK ICAR MAS PERQ,,,7244.3513,21009.267027,21 HCPCS,0645T,TCAT IMPLTJ C SINS RDCTJ DEV,,,22815.8084,67667.562186,21 HCPCS,0647T,INSJ GTUBE PERQ MAG GASTRPXY,,,2410.3155,7083.262459,21 HCPCS,0648T,QUAN MR TIS WO MRI 1ORGN,,,950.5,3434.197515,21 HCPCS,0649T,QUAN MR TISS W/MRI 1ORGN,,,950.5,3434.197515,21 HCPCS,0650T,PRGRMG DEV EVAL SCRMS REMOTE,,,47.3807,137.765453,21 HCPCS,0651T,MAG CTRLD CAPSULE ENDOSCOPY,,,1166.5345,3347.954015,21 HCPCS,0652T,EGD FLX TRANSNASAL DX BR/WA,,,2410.3155,7083.262459,21 HCPCS,0653T,EGD FLX TRANSNASAL BX 1/MLT,,,2410.3155,7083.262459,21 HCPCS,0654T,EGD FLX TRANSNASAL TUBE/CATH,,,4834.0358,14231.704053,21 HCPCS,0655T,TPRNL FOCAL ABLTJ MAL PRST8,,,5226.86484,19791.996707,21 HCPCS,0656T,ANT LMBR VRT BDY TETH <7 SEG,,,22551.4185,64722.571095,10 HCPCS,0657T,ANT LMBR VRT BDY TETH 8+ SEG,,,22551.4185,64722.571095,10 HCPCS,0658T,ELEC IMPD SPECTRSC 1+SKN LES,,,75.4736,217.758093,21 HCPCS,0660T,IMPLT ANT SGM IO NBIO RX SYS,,,5111.4459,15257.700066,19 HCPCS,0661T,RMVL&RIMPLTJ ANT SGM IMPLT,,,5111.4459,15257.700066,19 HCPCS,0662T,SCALP COOL 1ST MEAS&CALBRJ,,,1750.5,3002.650155,11 HCPCS,0671T,INSJ ANT SGM AQ DRG DEV 1+,,,6555.9275,19642.525098,21 HCPCS,0673T,ABLTJ B9 THYR NDUL PERQ LASR,,,2058.6769,6096.540387,21 HCPCS,0674T,LAPS INSJ NW/RPCMT PRM ISDSS,,,38719.7435,113905.010303,19 HCPCS,0675T,LAPS INSJ NW/RPCMT ISDSS 1LD,,,14331.368,41131.02616,19 HCPCS,0677T,LAPS REPOS LEAD ISDSS 1ST LD,,,13228.4961,39237.899827,19 HCPCS,0679T,LAPS RMVL LEAD ISDSS,,,13228.4961,39237.899827,19 HCPCS,0680T,INSJ/RPLCMT PG ONLY ISDSS,,,24951.7883,71611.632421,19 HCPCS,0681T,RLCJ PULSE GEN ONLY ISDSS,,,4369.6061,12905.175416,19 HCPCS,0682T,REMOVAL PULSE GEN ONLY ISDSS,,,4369.6061,12905.175416,19 HCPCS,0683T,PRGRMG DEV EVAL ISDSS IP,,,47.3807,137.765453,19 HCPCS,0685T,INTERROG DEV EVAL ISDSS IP,,,47.3807,137.765453,19 HCPCS,0689T,QUAN US TIS CHARAC W/O DX US,,,111.8763,321.235656,21 HCPCS,0692T,THERAPEUTIC ULTRAFILTRATION,,,650.85996,5748.929431,21 HCPCS,0693T,COMPRE FUL BDY 3D MTN ALYS,,,350.5,1266.371715,21 HCPCS,0696T,BDY SURF MAPG PM/CVDFB F/UP,,,47.3807,137.765453,21 HCPCS,0697T,QUAN MR TIS WO MRI MLT ORGN,,,950.5,3434.197515,21 HCPCS,0698T,QUAN MR TISS W/MRI MLT ORGN,,,950.5,3434.197515,21 HCPCS,0699T,NJX PST CHMBR EYE MEDICATION,,,2897.8955,8518.86889,21 HCPCS,0707T,NJX B1 SUB MTRL SBCHDRL DFCT,,,4122.6015,12077.93293,21 HCPCS,0712T,N-NVS ARTL PLAQ ALYS QUAN,,,111.8763,797.037171,21 HCPCS,0714T,TPLA B9 PRST8 HYPRPLSA<50ML,,,6459.2476,19791.996707,21 HCPCS,0716T,CAR ACOUS WAVFRM REC CAD RSK,,,75.4736,217.758093,21 HCPCS,0717T,ADRC THER PRTL RC TEAR,,,4557.8223,13080.950001,21 HCPCS,0718T,ADRC THER PRTL RC TEAR NJX,,,4557.8223,13080.950001,21 HCPCS,0720T,PRQ ELC NRV STIM CN WO IMPLT,,,1292.6957,1828.86298,11 HCPCS,0721T,QUAN CT TISS CHARAC W/O CT,,,650.5,2350.284615,21 HCPCS,0722T,QUAN CT TISS CHARAC W/CT,,,650.5,2350.284615,21 HCPCS,0723T,QMRCP W/O DX MRI SM ANAT SES,,,950.5,3434.197515,21 HCPCS,0724T,QMRCP W/DX MRI SAME ANATOMY,,,950.5,3434.197515,21 HCPCS,0731T,AUGMNT AI-BASED FCL PHNT A/R,,,75.4736,217.758093,21 HCPCS,0733T,REM R-T MTN NREHAB THER SPLY,,,56.53968,1266.371715,21 HCPCS,0736T,COLONIC LAVAGE 35+L WATER,,,165.495,474.97065,21 HCPCS,0737T,XENOGRAFT IMPLTJ ARTCLR SURF,,,16348.5815,47391.418004,19 HCPCS,0740T,REM AUTON ALG NSLN CAL SETUP,,,75.4736,217.758093,21 HCPCS,0741T,REM AUTON ALG NSLN DATA COLL,,,47.3807,137.765453,21 HCPCS,0743T,B1 STR & FX RSK VRT FX ASSMT,,,306.8821,880.751627,19 HCPCS,0744T,INSJ BIOPROSTC VLV FEM VN,,,6868.4824,20540.185617,21 HCPCS,0764T,ASSTV ALG ECG RSK ASMT CNCRT,,,163.7803,491.121001,19 HCPCS,0765T,ASSTV ALG ECG RSK ASMT PREV,,,163.7803,491.121001,19 HCPCS,0766T,TC MAG STIMJ PN 1ST NERVE,,,234.20004,797.037171,21 HCPCS,0778T,SMMG CNCRNT APPL IMU SNR,,,165.495,474.97065,21 HCPCS,0779T,GI MYOELECTRICAL ACTV STUDY,,,479.943,1377.43641,21 HCPCS,0780T,INSTLJ FECAL MICROBIOTA SSP,,,163.7803,491.121001,21 HCPCS,0783T,TC AURICULR NEUROSTIMULATION,,,165.495,474.97065,21 HCPCS,0784T,INS/RPLMT ELTRD RA SPI NSTIM,,,14331.368,41131.02616,21 HCPCS,0785T,REVJ/RMVL NEA SPI W/NSTIM,,,4369.6061,12905.175416,21 HCPCS,0786T,INSJ/RPLCMT PRQ RA SAC NSTIM,,,14331.368,41131.02616,12 HCPCS,0787T,REVJ/RMVL NEA SAC W/NSTIM,,,4369.6061,12905.175416,21 HCPCS,0788T,ELEC ALY SMP IINS SP/SAC NRV,,,116.6284,350.93499,21 HCPCS,0789T,ELEC ALY CPX IINS SP/SAC NRV,,,116.6284,350.93499,21 HCPCS,0790T,REVJ RPLCMT/RMVL VRT TETHRG,,,22551.4185,64722.571095,10 HCPCS,0793T,PRQ TCAT THRM ABLT NRV P-ART,,,22815.8084,67667.562186,21 HCPCS,0794T,PT SPEC ALG RX-ONC TX OPTION,,,75.4736,217.758093,21 HCPCS,0795T,TCAT INS 2CHMBR LDLS PM CMPL,,,24231.8159,71100.675702,21 HCPCS,0796T,TCAT INS 2CHMBR LDLS PM RA,,,24231.8159,71100.675702,21 HCPCS,0797T,TCAT INS 2CHMBR LDLS PM RV,,,24231.8159,71100.675702,21 HCPCS,0798T,TCAT RMV 2CHMBR LDLS PM CMPL,,,3999.2135,11655.206899,21 HCPCS,0799T,TCAT RMVL 2CHMBR LDLS PM RA,,,3999.2135,11655.206899,21 HCPCS,0800T,TCAT RMVL 2CHMBR LDLS PM RV,,,3999.2135,11655.206899,21 HCPCS,0801T,TCAT RMV&RPL 2CHMBR LDLS PM,,,24231.8159,71100.675702,21 HCPCS,0802T,TCAT RMV&RPL2CHMB LDLS PM RA,,,24231.8159,71100.675702,21 HCPCS,0803T,TCAT RMV&RPL2CHMB LDLS PM RV,,,24231.8159,71100.675702,21 HCPCS,0804T,PRGRMG EVL LDLS PM 2CHMBR IP,,,47.3807,137.765453,21 HCPCS,0807T,PULM TISS VNTJ ALYS PREV CT,,,277.7133,797.037171,21 HCPCS,0808T,PULM TISS VNTJ ALYS W/CT,,,277.7133,797.037171,21 HCPCS,0810T,SUBRTA NJX RX AGT W/VTRC,,,4250.5,15357.239415,21 HCPCS,0811T,REM MLT DAY UROFLOW SETUP,,,163.7422,491.446172,21 HCPCS,0812T,REM MLT DAY UROFLOW DEV SPLY,,,56.53968,474.97065,21 HCPCS,0813T,EGD VOL ADJMT BARIATRIC BALO,,,1166.5345,3347.954015,21 HCPCS,0816T,OPN INSJ/RPLCMT INS PTN SUBQ,,,24951.7883,71611.632421,21 HCPCS,0817T,OPN INSJ/RPLCMT INS PTN SUBF,,,24951.7883,71611.632421,21 HCPCS,0818T,REVJ/RMVL INS PTN SUBQ,,,4369.6061,12905.175416,21 HCPCS,0819T,REVJ/RMVL INS PTN SUBF,,,4369.6061,12905.175416,21 HCPCS,0823T,TCAT INS 1CHMBR LDLS PM RA,,,24231.8159,71100.675702,21 HCPCS,0824T,TCAT RMV 1CHMBR LDLS PM RA,,,3999.2135,11655.206899,21 HCPCS,0825T,TCAT RMV&RPL1CHMB LDLS PM RA,,,24231.8159,71100.675702,21 HCPCS,0826T,PRGRMG EVL LDLS PM 1CHMBR IP,,,47.3807,137.765453,21 HCPCS,0857T,OPTO-ACOUSTIC IMG BREAST UNI,,,134.4631,385.909097,21 HCPCS,0861T,RMVL PG WCS LV BOTH COMPNT,,,4624.0946,13794.236841,21 HCPCS,0862T,RLCJ PG WCS LV BATTERY ONLY,,,2324.2196,7616.186158,21 HCPCS,0863T,RLCJ PG WCS LV TRNSMTR ONLY,,,2324.2196,7616.186158,21 HCPCS,0864T,LOW NTSTY ESWT CORPUS CVRNSM,,,309.0226,922.265316,21 HCPCS,0865T,QUAN MRI ALYS BRN W/O DX MRI,,,306.8821,880.751627,21 HCPCS,0866T,QUAN MRI ALYS BRN W/DX MRI,,,306.8821,880.751627,21 HCPCS,0867T,TPLA B9 PRST8 HYPRPLSA>=50ML,,,6459.2476,19791.996707,19 HCPCS,0868T,HI-RES GASTRIC EP MAPPING,,,479.943,1377.43641,19 HCPCS,0869T,NJX B1 SUB MTRL HW FIXJ AUG,,,4122.6015,12077.93293,19 HCPCS,0870T,IMP SUBQ PRTL ASCTS PMP SYS,,,44062.1295,126458.311665,10 HCPCS,0871T,RPLCMT SUBQ PRTL ASCITES PMP,,,34620.3795,99360.489165,10 HCPCS,0872T,RPLCMT NDWLLG BLDR&PRTL CATH,,,4604.9933,13216.330771,10 HCPCS,0873T,REVJ SUBQ PRTL ASCT PMP SYS,,,4604.9933,13216.330771,10 HCPCS,0874T,RMVL PERTL ASCITES PMP SYS,,,4604.9933,13216.330771,10 HCPCS,0875T,PRGRM SUBQ PRTL ASCT PMP SYS,,,48.0019,137.765453,10 HCPCS,0877T,AUGMNT ALYS CH CT ILD W/O CT,,,650.5,2350.284615,19 HCPCS,0878T,AUGMNT ALYS CH CT ILD W/CT,,,650.5,2350.284615,19 HCPCS,0881T,CRYOTHERAPY ORAL CAVITY,,,507.0202,1648.99294,19 HCPCS,0884T,ESPHGSC FLX 1ST TNDSC DILAT,,,7563.6404,22409.501856,19 HCPCS,0885T,COLSC FLX 1ST TNDSC DILAT,,,7563.6404,22409.501856,19 HCPCS,0886T,SGMDSC FLX 1ST TNDSC DILAT,,,7563.6404,22409.501856,19 HCPCS,0888T,HISTOTRIPSY MAL RENAL TISSUE,,,17500.5,63230.059165,19 HCPCS,0889T,PRSNLZ TRGT DVL ARHFCMRIGTBS,,,950.5,3434.197515,19 HCPCS,0890T,ARHFCMRIGTBS 1ST TX DAY,,,3750.5,13550.717915,19 HCPCS,0891T,ARHFCMRIGTBS SBSQ TX DAY,,,3750.5,13550.717915,19 HCPCS,0892T,ARHFCMRIGTBS SBSQ PER TX DAY,,,3750.5,13550.717915,19 HCPCS,0893T,N-INVAS ASSMT BLD OXYGNATION,,,75.4736,491.121001,19 HCPCS,0897T,N-INVAS AUGMNT ARRHYT ALYS,,,1104.4833,3169.867071,19 HCPCS,0898T,N-INVAS PRST8 CANCER EST MAP,,,1104.4833,3169.867071,19 HCPCS,0902T,QTC NTRVL AUGMNT ALG ALY ECG,,,163.7803,491.121001,19 HCPCS,0904T,ECG ALG 12 LD RDCD TRCG ONLY,,,75.4736,217.758093,19 HCPCS,0906T,COMS THER 1ST APPL<=50 SQ CM,,,252.4682,740.601491,19 HCPCS,0908T,OPN IMP INT NSTM SYS VGS NRV,,,39688.1569,113905.010303,10 HCPCS,0909T,RPLCMT INT NSTIM SYS VGS NRV,,,39688.1569,113905.010303,10 HCPCS,0910T,RMVL INT NSTIM SYS VAGUS NRV,,,4496.5768,12905.175416,10 HCPCS,0911T,ELEC ALY NSTM SYS VGS NRV WO,,,75.8739,217.758093,10 HCPCS,0912T,ELEC ALYS NSTIM SYS VGS SMPL,,,122.277,350.93499,10 HCPCS,0913T,PRQ TCAT THER RX NTRAC BALO1,,,7244.3513,42613.060007,19 HCPCS,0915T,INSJ PERM CCM-D SYS PG&ELTRD,,,40371.3242,115865.700454,19 HCPCS,0916T,INSJ PERM CCM-D SYS PG ONLY,,,28520.129,82107.702859,19 HCPCS,0917T,INSJ PERM CCM-D SYS 1 LEAD,,,10515.4602,30546.941719,19 HCPCS,0918T,INSJ PERM CCM-D SYS DUAL LD,,,10515.4602,30546.941719,19 HCPCS,0919T,RMVL PERM CCM-D SYS PG ONLY,,,4624.0946,13794.236841,19 HCPCS,0920T,RMVL PERM CCM-D SYS 1 PAC LD,,,4624.0946,13794.236841,19 HCPCS,0921T,RMVL PERM CCM-D SYS 1 DFB LD,,,4624.0946,13794.236841,19 HCPCS,0922T,RMVL PERM CCM-D SYS DUAL LD,,,4624.0946,13794.236841,19 HCPCS,0923T,RMVL&RPLCMT PERM CCM-D PG,,,28520.129,82107.702859,19 HCPCS,0924T,RPOS PRV CCM-D TRNSVNS ELTRD,,,785.5612,2315.563068,19 HCPCS,0925T,RLCJ SKIN POCKET CCM-D PG,,,2324.2196,7616.186158,19 HCPCS,0926T,PRGRMG DEV EVAL CCM-D IP,,,47.3807,137.765453,19 HCPCS,0927T,INTERROG DEV EVAL CCM-D IP,,,47.3807,137.765453,19 HCPCS,0929T,REM INTERROG DEV CCM-D TECH,,,47.3807,137.765453,19 HCPCS,0930T,EPHYS EVAL CCM-D LD 1ST IMPL,,,1542.4957,4494.300321,19 HCPCS,0931T,EPHYS EVAL CCM-D LD SEPARATE,,,1542.4957,4494.300321,19 HCPCS,0932T,N-INVS DET HRT FAIL AUG ECHO,,,381.0656,1133.736674,19 HCPCS,0933T,TCAT IMPL WRLS L ATR PRS SNR,,,4086.7705,11966.940272,19 HCPCS,0944T,3D CNTR SIMULA TRGT LVR LES,,,306.8821,880.751627,19 HCPCS,0946T,ORTHO IMPL MVMT ALYS PAIR CT,,,134.4631,385.909097,19 HCPCS,0949T,REM INTERROG DEV CCM TECH,,,47.3807,137.765453,11 HCPCS,0950T,ABLTJ B9 PRST8 TISSUE HIFU,,,11749.4288,34943.545518,11 HCPCS,0956T,PRT CRN CH CR&TUN ELT S-SCLP,,,28589.1353,100159.802533,11 HCPCS,0957T,REV S-SCLP ELTR RA RCVR&TLMT,,,2033.4809,5935.579307,11 HCPCS,0958T,RMV S-SCLP ELTR RA RCVR&TLMT,,,4122.6015,12077.93293,11 HCPCS,0959T,RMV/RPLC MAGNET COIL ASSEM,,,2058.6769,6096.540387,11 HCPCS,0960T,RPL S-SCLP ELTR RA RCVR&TLMT,,,28589.1353,100159.802533,11 HCPCS,0962T,ASSTV ALG ALYS ACOUS&ECG REC,,,163.7803,491.121001,11 HCPCS,0963T,ANOSC SBMCSL NJX BULKING AGT,,,1498.139,4417.161896,11 HCPCS,0964T,I&CUST PREP JAW XPNSJ 1ARCH,,,4120.6447,12238.352154,11 HCPCS,0965T,I&CST PRP JW XPN DL ARCH NON,,,4120.6447,12238.352154,11 HCPCS,0966T,I&CST PRP JW XPN DL ARCH FXD,,,4120.6447,12238.352154,11 HCPCS,0967T,TRANAL INS TMP CLRC ANST DEV,,,1498.139,4417.161896,11 HCPCS,0970T,ABLT B9 BRST TUM PERQ LSR EA,,,4865.4832,14453.039027,11 HCPCS,0971T,ABLT MAL BRST TUM PQ LSR UNI,,,4865.4832,14453.039027,11 HCPCS,0973T,SLCTV NZMTC DBRDMT T/A/L 1ST,,,507.6428,1500.568881,11 HCPCS,0975T,SLCTV NZMTC DBRDMT S/N/HF 1,,,507.6428,1500.568881,11 HCPCS,0977T,UPR GI BLD DETCJ SNR CAPSULE,,,1166.5345,3347.954015,11 HCPCS,0981T,TCAT IMPL WRLS IVC SNR,,,22815.8084,67667.562186,11 HCPCS,0982T,REM MNTR IMPL IVC SNR SET-UP,,,163.7422,491.446172,11 HCPCS,0983T,REM MNTR IMPL IVC SNR PHYS,,,47.3807,137.765453,11 HCPCS,0989T,REVJ/RMVL INS PTN SUBQ&SUBF,,,4496.5768,12905.175416,10 HCPCS,0991T,CYSTO LO-NRG LITHTRP&MCRSPHR,,,12175.4514,34943.545518,10 HCPCS,0992T,N-INVAS ASSMT CAR RSK W/O CT,,,306.8821,880.751627,10 HCPCS,0993T,N-INVAS ASSMT CAR RSK W/CT,,,306.8821,880.751627,10 HCPCS,0996T,INS&SCLR FIX CAPS BAG PROSTH,,,2968.247,8518.86889,10 HCPCS,10005,FNA BX W/US GDN 1ST LES,,,893.9815,2613.928268,21 HCPCS,10007,FNA BX W/FLUOR GDN 1ST LES,,,893.9815,2613.928268,21 HCPCS,10009,FNA BX W/CT GDN 1ST LES,,,893.9815,2613.928268,21 HCPCS,10011,FNA BX W/MR GDN 1ST LES,,,893.9815,2613.928268,21 HCPCS,10021,FNA BX W/O IMG GDN 1ST LES,,,507.6428,1500.568881,21 HCPCS,1002T,AIR DISPLACMNT PLETHYSMOGRAP,,,37.2005,106.765435,10 HCPCS,10030,IMG GID FLU COLL DRG SFT TIS,,,893.9815,2613.928268,21 HCPCS,10035,PLMT SFT TISS LOCLZJ DEV 1ST,,,893.9815,2613.928268,21 HCPCS,1003T,ARTHRP 1ST CRP/MTCRPL PROSTC,,,16512.6892,47391.418004,10 HCPCS,10040,EXTRACTION,,,252.4682,740.601491,21 HCPCS,1004T,ELEC ALYS S-SCL EEG WO PRGRM,,,171.1223,491.121001,10 HCPCS,1005T,ELEC ALYS S-SCL EEG PRGR 1ST,,,122.277,350.93499,10 HCPCS,10060,I&D ABSCESS SIMPLE/SINGLE,,,252.4682,740.601491,21 HCPCS,10061,I&D ABSCESS COMP/MULTIPLE,,,507.6428,1500.568881,21 HCPCS,10080,I&D PILONIDAL CYST SIMPLE,,,893.9815,2613.928268,21 HCPCS,10081,I&D PILONIDAL CYST COMP,,,893.9815,2613.928268,21 HCPCS,1008T,REM MNTR S-SCL EEG SYS SETUP,,,171.2356,491.446172,10 HCPCS,1010T,CPTR OPH ALYS MONOC EYE MVMT,,,171.1223,491.121001,10 HCPCS,10120,INC&RMVL FB SUBQ TISS SMPL,,,507.6428,1500.568881,21 HCPCS,10121,INC&RMVL FB SUBQ TISS COMP,,,2058.6769,6096.540387,21 HCPCS,1012T,MTRZ AB NTRNO TRPH SCL/TR MW,,,5316.2718,15257.700066,10 HCPCS,1013T,LAP SRG IMP/RPL ESO NEA&PG/R,,,24951.7883,71611.632421,10 HCPCS,10140,I&D HMTMA SEROMA/FLUID COLLJ,,,2058.6769,6096.540387,21 HCPCS,1014T,LAP RV/RMV ESO SPH NSTM ELTR,,,14331.368,41131.02616,10 HCPCS,1015T,REV/RMV LW ESOPH SPHNC NPG/R,,,4496.5768,12905.175416,10 HCPCS,10160,PNXR ASPIR ABSC HMTMA BULLA,,,507.6428,1500.568881,21 HCPCS,1017T,ELEC ALY NPGS ESOPH SBSQ W/O,,,75.8739,217.758093,10 HCPCS,10180,I&D COMPLEX PO WOUND INFCTJ,,,3636.5207,10722.174778,21 HCPCS,1018T,ELEC ALYS NPGS ESOPH SBSQ W/,,,48.0019,137.765453,10 HCPCS,1019T,LYMPHOVENOUS BYPASS PER XTR,,,8540.365,24510.84755,10 HCPCS,1020T,RAMAN SPECTROSCOPY 1+SKN LES,,,75.8739,217.758093,10 HCPCS,1021T,ACTIVE THRC IRRIGATION SPX,,,806.8164,2315.563068,10 HCPCS,1025T,ALT ELEC FLD DOS&DLV SIM MDL,,,172.8721,496.142927,10 HCPCS,11000,DBRDMT ECZ/INFECTED SKIN<10%,,,522.8463,1500.568881,21 HCPCS,11010,DEBRIDE SKIN AT FX SITE,,,893.9815,2613.928268,21 HCPCS,11011,DEBRIDE SKIN MUSC AT FX SITE,,,893.9815,2613.928268,21 HCPCS,11012,DEB SKIN BONE AT FX SITE,,,3636.5207,10722.174778,21 HCPCS,11042,DBRDMT SUBQ TIS 1ST 20SQCM/<,,,507.6428,1500.568881,21 HCPCS,11043,DBRDMT MUSC&/FSCA 1ST 20/<,,,777.7724,2728.136474,21 HCPCS,11044,DBRDMT BONE 1ST 20 SQ CM/<,,,2058.6769,6096.540387,21 HCPCS,11055,PARING/CUTG B9 HYPRKER LES 1,,,252.4682,740.601491,21 HCPCS,11056,PARNG/CUTG B9 HYPRKR LES 2-4,,,252.4682,740.601491,21 HCPCS,11057,PARNG/CUTG B9 HYPRKR LES >4,,,252.4682,740.601491,21 HCPCS,11102,TANGNTL BX SKIN SINGLE LES,,,252.4682,1500.568881,21 HCPCS,11104,PUNCH BX SKIN SINGLE LESION,,,507.6428,1500.568881,21 HCPCS,11106,INCAL BX SKN SINGLE LES,,,777.7724,2728.136474,21 HCPCS,11200,RMVL SKIN TAGS UP TO&INC 15,,,252.4682,740.601491,21 HCPCS,11300,SHAVE SKIN LESION 0.5 CM/<,,,252.4682,1500.568881,42 HCPCS,11301,SHAVE SKIN LESION 0.6-1.0 CM,,,252.4682,740.601491,21 HCPCS,11302,SHAVE SKIN LESION 1.1-2.0 CM,,,252.4682,1500.568881,42 HCPCS,11303,SHAVE SKIN LESION >2.0 CM,,,507.6428,1500.568881,21 HCPCS,11305,SHAVE SKIN LESION 0.5 CM/<,,,252.4682,1500.568881,42 HCPCS,11306,SHAVE SKIN LESION 0.6-1.0 CM,,,252.4682,740.601491,21 HCPCS,11307,SHAVE SKIN LESION 1.1-2.0 CM,,,252.4682,1500.568881,42 HCPCS,11308,SHAVE SKIN LESION >2.0 CM,,,507.6428,1500.568881,21 HCPCS,11310,SHAVE SKIN LESION 0.5 CM/<,,,252.4682,1500.568881,42 HCPCS,11311,SHAVE SKIN LESION 0.6-1.0 CM,,,252.4682,740.601491,21 HCPCS,11312,SHAVE SKIN LESION 1.1-2.0 CM,,,252.4682,1500.568881,42 HCPCS,11313,SHAVE SKIN LESION >2.0 CM,,,507.6428,1500.568881,21 HCPCS,11400,EXC TR-EXT B9+MARG 0.5 CM<,,,893.9815,2613.928268,21 HCPCS,11401,EXC TR-EXT B9+MARG 0.6-1 CM,,,507.6428,1500.568881,21 HCPCS,11402,EXC TR-EXT B9+MARG 1.1-2 CM,,,893.9815,2613.928268,21 HCPCS,11403,EXC TR-EXT B9+MARG 2.1-3CM,,,893.9815,2613.928268,21 HCPCS,11404,EXC TR-EXT B9+MARG 3.1-4 CM,,,2058.6769,6096.540387,21 HCPCS,11406,EXC TR-EXT B9+MARG >4.0 CM,,,2058.6769,6096.540387,21 HCPCS,11420,EXC H-F-NK-SP B9+MARG 0.5/<,,,2058.6769,6096.540387,21 HCPCS,11421,EXC H-F-NK-SP B9+MARG 0.6-1,,,893.9815,2613.928268,21 HCPCS,11422,EXC H-F-NK-SP B9+MARG 1.1-2,,,2058.6769,6096.540387,21 HCPCS,11423,EXC H-F-NK-SP B9+MARG 2.1-3,,,2058.6769,6096.540387,21 HCPCS,11424,EXC H-F-NK-SP B9+MARG 3.1-4,,,2058.6769,6096.540387,21 HCPCS,11426,EXC H-F-NK-SP B9+MARG >4 CM,,,3636.5207,10722.174778,21 HCPCS,11440,EXC FACE-MM B9+MARG 0.5 CM/<,,,893.9815,2613.928268,21 HCPCS,11441,EXC FACE-MM B9+MARG 0.6-1 CM,,,893.9815,2613.928268,21 HCPCS,11442,EXC FACE-MM B9+MARG 1.1-2 CM,,,893.9815,5229.75,23 HCPCS,11443,EXC FACE-MM B9+MARG 2.1-3 CM,,,2058.6769,6096.540387,21 HCPCS,11444,EXC FACE-MM B9+MARG 3.1-4 CM,,,2058.6769,6096.540387,21 HCPCS,11446,EXC FACE-MM B9+MARG >4 CM,,,3636.5207,10722.174778,21 HCPCS,11450,EXC SKN HDRDNT AX SMPL/NTRM,,,3636.5207,10722.174778,21 HCPCS,11451,EXC SKN HDRDNT AX COMPLEX,,,3636.5207,10722.174778,21 HCPCS,11462,EXC SKN HDRDNT ING SMPL/NTRM,,,3636.5207,10722.174778,21 HCPCS,11463,EXC SKN HDRDNT ING COMPLEX,,,3636.5207,10722.174778,21 HCPCS,11470,EXC SKN H/P/P/U SMPL/NTRM,,,3636.5207,10722.174778,21 HCPCS,11471,EXC SKN H/P/P/U COMPLEX,,,3636.5207,10722.174778,21 HCPCS,11600,EXC TR-EXT MAL+MARG 0.5 CM/<,,,893.9815,2613.928268,21 HCPCS,11601,EXC TR-EXT MAL+MARG 0.6-1 CM,,,893.9815,2613.928268,21 HCPCS,11602,EXC TR-EXT MAL+MARG 1.1-2 CM,,,507.6428,1500.568881,21 HCPCS,11603,EXC TR-EXT MAL+MARG 2.1-3 CM,,,893.9815,2613.928268,21 HCPCS,11604,EXC TR-EXT MAL+MARG 3.1-4 CM,,,893.9815,2613.928268,21 HCPCS,11606,EXC TR-EXT MAL+MARG >4 CM,,,2058.6769,6096.540387,21 HCPCS,11620,EXC H-F-NK-SP MAL+MARG 0.5/<,,,2058.6769,6096.540387,21 HCPCS,11621,EXC S/N/H/F/G MAL+MRG 0.6-1,,,893.9815,2613.928268,21 HCPCS,11622,EXC S/N/H/F/G MAL+MRG 1.1-2,,,893.9815,2613.928268,21 HCPCS,11623,EXC S/N/H/F/G MAL+MRG 2.1-3,,,2058.6769,6096.540387,22 HCPCS,11624,EXC S/N/H/F/G MAL+MRG 3.1-4,,,2058.6769,6096.540387,21 HCPCS,11626,EXC S/N/H/F/G MAL+MRG >4 CM,,,3636.5207,10722.174778,21 HCPCS,11640,EXC F/E/E/N/L MAL+MRG 0.5CM<,,,893.9815,2613.928268,21 HCPCS,11641,EXC F/E/E/N/L MAL+MRG 0.6-1,,,893.9815,2613.928268,21 HCPCS,11642,EXC F/E/E/N/L MAL+MRG 1.1-2,,,893.9815,2613.928268,21 HCPCS,11643,EXC F/E/E/N/L MAL+MRG 2.1-3,,,2058.6769,6096.540387,21 HCPCS,11644,EXC F/E/E/N/L MAL+MRG 3.1-4,,,2058.6769,6096.540387,21 HCPCS,11646,EXC F/E/E/N/L MAL+MRG >4 CM,,,3636.5207,10722.174778,21 HCPCS,11719,TRIM NAIL(S) ANY NUMBER,,,75.4736,217.758093,21 HCPCS,11720,DEBRIDE NAIL 1-5,,,75.4736,217.758093,21 HCPCS,11721,DEBRIDE NAIL 6 OR MORE,,,75.4736,217.758093,21 HCPCS,11730,AVULSION NAIL PLATE SIMPLE 1,,,252.4682,740.601491,21 HCPCS,11740,EVACUATION SUBUNGUAL HMTMA,,,163.7803,491.121001,21 HCPCS,11750,EXCISION NAIL&NAIL MATRIX,,,507.6428,1500.568881,21 HCPCS,11755,BIOPSY NAIL UNIT,,,893.9815,2613.928268,21 HCPCS,11760,REPAIR OF NAIL BED,,,777.7724,2728.136474,21 HCPCS,11762,RECONSTRUCTION OF NAIL BED,,,2324.2196,7616.186158,21 HCPCS,11765,WEDGE EXCISION SKN NAIL FOLD,,,507.6428,1500.568881,21 HCPCS,11770,EXC PILONIDAL CYST SIMPLE,,,3636.5207,10722.174778,21 HCPCS,11771,EXC PILONIDAL CYST XTNSV,,,3636.5207,10722.174778,21 HCPCS,11772,EXC PILONIDAL CYST COMP,,,3636.5207,10722.174778,21 HCPCS,11900,INJECT SKIN LESIONS 7,,,252.4682,740.601491,21 HCPCS,11920,CORRECT SKIN COLOR 6.0 CM/<,,,777.7724,2728.136474,21 HCPCS,11921,CORRECT SKN COLOR 6.1-20.0CM,,,777.7724,2728.136474,21 HCPCS,11950,SUBQ NJX FILLING MATRL 1CC/<,,,252.4682,740.601491,21 HCPCS,11951,SUBQ NJX FIL MATRL 1.1-5.0CC,,,777.7724,2728.136474,21 HCPCS,11952,SUBQ NJX FIL MATRL 5.1-10CC,,,777.7724,2728.136474,21 HCPCS,11954,SUBQ NJX FIL MATRL>10.0 CC,,,777.7724,2728.136474,21 HCPCS,11960,INSERT TISSUE EXPANDER(S),,,4557.8223,13080.950001,21 HCPCS,11970,RPLCMT TISS XPNDR PERM IMPLT,,,7998.44,26784.860767,23 HCPCS,11971,RMVL TIS XPNDR WO INSJ IMPLT,,,3636.5207,10722.174778,21 HCPCS,11976,REMOVE CONTRACEPTIVE CAPSULE,,,893.9815,2613.928268,21 HCPCS,11980,IMPLANT HORMONE PELLET(S),,,507.0202,1648.99294,21 HCPCS,11981,INSERTION DRUG DLVR IMPLANT,,,163.7803,491.121001,21 HCPCS,11982,REMOVE DRUG IMPLANT DEVICE,,,507.0202,1648.99294,21 HCPCS,11983,REMOVE/INSERT DRUG IMPLANT,,,507.0202,1648.99294,21 HCPCS,12001,RPR S/N/AX/GEN/TRNK 2.5CM/<,,,252.4682,740.601491,21 HCPCS,12002,RPR S/N/AX/GEN/TRNK2.6-7.5CM,,,252.4682,740.601491,21 HCPCS,12004,RPR S/N/AX/GEN/TRK7.6-12.5CM,,,252.4682,740.601491,21 HCPCS,12005,RPR S/N/A/GEN/TRK12.6-20.0CM,,,507.6428,1500.568881,21 HCPCS,12006,RPR S/N/A/GEN/TRK20.1-30.0CM,,,507.6428,1500.568881,21 HCPCS,12007,RPR S/N/AX/GEN/TRNK >30.0 CM,,,252.4682,740.601491,21 HCPCS,12011,RPR F/E/E/N/L/M 2.5 CM/<,,,252.4682,740.601491,21 HCPCS,12013,RPR F/E/E/N/L/M 2.6-5.0 CM,,,252.4682,740.601491,21 HCPCS,12014,RPR F/E/E/N/L/M 5.1-7.5 CM,,,252.4682,740.601491,21 HCPCS,12015,RPR F/E/E/N/L/M 7.6-12.5 CM,,,252.4682,740.601491,21 HCPCS,12016,RPR FE/E/EN/L/M 12.6-20.0 CM,,,507.6428,1500.568881,21 HCPCS,12017,RPR FE/E/EN/L/M 20.1-30.0 CM,,,507.6428,1500.568881,21 HCPCS,12018,RPR F/E/E/N/L/M >30.0 CM,,,252.4682,740.601491,21 HCPCS,12020,TX SUPFC WND DEHSN SMPL CLSR,,,777.7724,2728.136474,21 HCPCS,12021,TX SUPFC WND DEHSN W/PACKING,,,507.6428,1500.568881,21 HCPCS,12031,INTMD RPR S/A/T/EXT 2.5 CM/<,,,507.6428,1500.568881,21 HCPCS,12032,INTMD RPR S/A/T/EXT 2.6-7.5,,,507.6428,1500.568881,21 HCPCS,12034,INTMD RPR S/TR/EXT 7.6-12.5,,,507.6428,1500.568881,21 HCPCS,12035,INTMD RPR S/A/T/EXT 12.6-20,,,507.6428,1500.568881,21 HCPCS,12036,INTMD RPR S/A/T/EXT 20.1-30,,,777.7724,2728.136474,21 HCPCS,12037,INTMD RPR S/TR/EXT >30.0 CM,,,2324.2196,7616.186158,21 HCPCS,12041,INTMD RPR N-HF/GENIT 2.5CM/<,,,507.6428,1500.568881,21 HCPCS,12042,INTMD RPR N-HF/GENIT2.6-7.5,,,507.6428,1500.568881,21 HCPCS,12044,INTMD RPR N-HF/GENIT7.6-12.5,,,777.7724,2728.136474,21 HCPCS,12045,INTMD RPR N-HF/GENIT12.6-20,,,777.7724,2728.136474,21 HCPCS,12046,INTMD RPR N-HF/GENIT20.1-30,,,777.7724,2728.136474,21 HCPCS,12047,INTMD RPR N-HF/GENIT >30.0CM,,,2324.2196,7616.186158,21 HCPCS,12051,INTMD RPR FACE/MM 2.5 CM/<,,,507.6428,1500.568881,21 HCPCS,12052,INTMD RPR FACE/MM 2.6-5.0 CM,,,507.6428,1500.568881,21 HCPCS,12053,INTMD RPR FACE/MM 5.1-7.5 CM,,,507.6428,1500.568881,21 HCPCS,12054,INTMD RPR FACE/MM 7.6-12.5CM,,,507.6428,1500.568881,21 HCPCS,12055,INTMD RPR FACE/MM 12.6-20 CM,,,507.6428,1500.568881,21 HCPCS,12056,INTMD RPR FACE/MM 20.1-30.0,,,507.6428,1500.568881,21 HCPCS,12057,INTMD RPR FACE/MM >30.0 CM,,,507.6428,1500.568881,21 HCPCS,13100,CMPLX RPR TRUNK 1.1-2.5 CM,,,777.7724,2728.136474,21 HCPCS,13101,CMPLX RPR TRUNK 2.6-7.5 CM,,,777.7724,2728.136474,21 HCPCS,13120,CMPLX RPR S/A/L 1.1-2.5 CM,,,522.8463,1500.568881,21 HCPCS,13121,CMPLX RPR S/A/L 2.6-7.5 CM,,,522.8463,1500.568881,21 HCPCS,13131,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,507.6428,1500.568881,32 HCPCS,13132,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,507.6428,1500.568881,32 HCPCS,13151,CMPLX RPR E/N/E/L 1.1-2.5 CM,,,777.7724,2728.136474,21 HCPCS,13152,CMPLX RPR E/N/E/L 2.6-7.5 CM,,,777.7724,2728.136474,21 HCPCS,13160,SEC CLSR SURG WND/DEHSN XTN,,,2324.2196,13080.950001,21 HCPCS,14000,TIS TRNFR TRUNK 10 SQ CM/<,,,2324.2196,7616.186158,22 HCPCS,14001,TIS TRNFR TRUNK 10.1-30SQCM,,,2324.2196,7616.186158,22 HCPCS,14020,TIS TRNFR S/A/L 10 SQ CM/<,,,2324.2196,7616.186158,21 HCPCS,14021,TIS TRNFR S/A/L 10.1-30 SQCM,,,2324.2196,7616.186158,21 HCPCS,14040,TIS TRNFR F/C/C/M/N/A/G/H/F,,,2324.2196,7616.186158,22 HCPCS,14041,TIS TRNFR F/C/C/M/N/A/G/H/F,,,2324.2196,7616.186158,22 HCPCS,14060,TIS TRNFR E/N/E/L 10 SQ CM/<,,,2324.2196,7616.186158,21 HCPCS,14061,TIS TRNFR E/N/E/L10.1-30SQCM,,,2324.2196,7616.186158,21 HCPCS,14301,TIS TRNFR ANY 30.1-60 SQ CM,,,4557.8223,13080.950001,22 HCPCS,14350,FILLETED FINGER/TOE FLAP,,,2324.2196,7616.186158,22 HCPCS,1494F,COGNIT ASSESSED AND REVIEWED,,,29.0,29.0,1 HCPCS,15002,WOUND PREP TRK/ARM/LEG,,,950.5702,3189.88964,21 HCPCS,15004,WOUND PREP F/N/HF/G,,,522.8463,1500.568881,21 HCPCS,15011,HRV SKN CLL SSP AGRFT 1ST 25,,,2324.2196,7616.186158,19 HCPCS,15013,PREPJ SKN CLL SSP AGRFT 1ST,,,7250.5,26196.368415,19 HCPCS,15015,APP SKN CL SSP AGRFT T/A/L 1,,,2324.2196,7616.186158,19 HCPCS,15017,APP SKN CLL SSP F/N/G/HF 1ST,,,2324.2196,7616.186158,19 HCPCS,15040,HARVEST CULTURED SKIN GRAFT,,,2324.2196,7616.186158,21 HCPCS,15050,PINCH GRAFT UP TO 2 CM DIAM,,,777.7724,2728.136474,21 HCPCS,15100,SPLT AGRFT T/A/L 1ST 100SQCM,,,2324.2196,7616.186158,21 HCPCS,15110,EPIDRM AGRFT T/A/L 1ST 100,,,2324.2196,7616.186158,21 HCPCS,15115,EPDRM AGRFT F/S/N/H/F/G/M 1,,,2324.2196,7616.186158,21 HCPCS,15120,SPLT AGRFT F/S/N/H/F/G/M 1ST,,,4557.8223,13080.950001,21 HCPCS,15130,DRM AGRFT T/A/L 1ST 100 SQCM,,,2324.2196,7616.186158,21 HCPCS,15135,DRM AGRFT F/S/N/H/F/G/M 1ST,,,4557.8223,13080.950001,21 HCPCS,15150,TIS CLTR SKN AGRFT T/A/L 1ST,,,2324.2196,7616.186158,21 HCPCS,15155,TIS CLTR AGRFT F/S/N/H/F/G 1,,,4557.8223,13080.950001,21 HCPCS,15200,FTH/GFT FR TRNK 20 SQ CM/<,,,2324.2196,7616.186158,21 HCPCS,15220,FTH/GFT FR S/A/L 20 SQ CM/<,,,2324.2196,7616.186158,21 HCPCS,15240,FTH/GFT F/C/C/M/N/AX/G/H/F20,,,2324.2196,7616.186158,21 HCPCS,15260,FTH/GFT FR N/E/E/L 20 SQCM/<,,,2324.2196,7616.186158,21 HCPCS,15271,SKIN SUB GRAFT TRNK/ARM/LEG,,,950.5702,3189.88964,21 HCPCS,15273,SKIN SUB GRFT T/ARM/LG CHILD,,,2653.7234,7616.186158,21 HCPCS,15275,SKIN SUB GRAFT FACE/NK/HF/G,,,950.5702,3189.88964,21 HCPCS,15277,SKN SUB GRFT F/N/HF/G CHILD,,,2324.2196,7616.186158,21 HCPCS,15570,SKIN PEDICLE FLAP TRUNK,,,2324.2196,7616.186158,21 HCPCS,15572,SKIN PEDICLE FLAP ARMS/LEGS,,,4557.8223,13080.950001,21 HCPCS,15574,PEDCLE FH/CH/CH/M/N/AX/G/H/F,,,2324.2196,7616.186158,21 HCPCS,15576,PEDICLE E/N/E/L/NTRORAL,,,2324.2196,7616.186158,21 HCPCS,15600,DELAY FLAP TRUNK,,,4557.8223,13080.950001,21 HCPCS,15610,DELAY FLAP ARMS/LEGS,,,2324.2196,7616.186158,21 HCPCS,15620,DELAY FLAP F/C/C/N/AX/G/H/F,,,2324.2196,7616.186158,21 HCPCS,15630,DELAY FLAP EYE/NOS/EAR/LIP,,,2324.2196,7616.186158,21 HCPCS,15650,TRANSFER SKIN PEDICLE FLAP,,,2324.2196,7616.186158,21 HCPCS,15730,MDFC FLAP W/PRSRV VASC PEDCL,,,4557.8223,13080.950001,21 HCPCS,15731,FOREHEAD FLAP W/VASC PEDICLE,,,4557.8223,13080.950001,21 HCPCS,15733,MUSC MYOQ/FSCQ FLP H&N PEDCL,,,4557.8223,13080.950001,21 HCPCS,15734,MUSCLE-SKIN GRAFT TRUNK,,,4557.8223,13080.950001,22 HCPCS,15736,MUSCLE-SKIN GRAFT ARM,,,2324.2196,7616.186158,21 HCPCS,15738,MUSCLE-SKIN GRAFT LEG,,,4557.8223,13080.950001,21 HCPCS,15740,ISLAND PEDICLE FLAP GRAFT,,,2324.2196,7616.186158,21 HCPCS,15750,NEUROVASCULAR PEDICLE FLAP,,,4557.8223,13080.950001,21 HCPCS,15760,COMPOSITE SKIN GRAFT,,,2324.2196,7616.186158,21 HCPCS,15769,GRFG AUTOL SOFT TISS DIR EXC,,,4557.8223,13080.950001,21 HCPCS,15770,DERMA-FAT-FASCIA GRAFT,,,4557.8223,13080.950001,21 HCPCS,15771,GRFG AUTOL FAT LIPO 50 CC/<,,,4557.8223,21011.28,23 HCPCS,15773,GRFG AUTOL FAT LIPO 25 CC/<,,,2324.2196,7616.186158,21 HCPCS,15775,HAIR TRNSPL 1-15 PUNCH GRFTS,,,507.6428,1500.568881,21 HCPCS,15776,HAIR TRNSPL >15 PUNCH GRAFTS,,,507.6428,1500.568881,21 HCPCS,15780,DERMABRASION TOTAL FACE,,,3636.5207,10722.174778,21 HCPCS,15781,DERMABRASION SEGMENTAL FACE,,,893.9815,2613.928268,21 HCPCS,15782,DERMABRASION OTHER THAN FACE,,,3636.5207,10722.174778,21 HCPCS,15783,DERMABRASION SUPRFL ANY SITE,,,507.6428,1500.568881,21 HCPCS,15786,ABRASION LESION SINGLE,,,252.4682,740.601491,21 HCPCS,15788,CHEMICAL PEEL FACIAL EPIDRM,,,507.6428,1500.568881,21 HCPCS,15789,CHEMICAL PEEL FACIAL DERMAL,,,777.7724,2728.136474,21 HCPCS,15792,CHEM PEEL NONFACIAL EPIDRM,,,777.7724,2728.136474,21 HCPCS,15793,CHEMICAL PEEL NONFACIAL DRM,,,507.6428,1500.568881,21 HCPCS,15819,PLASTIC SURGERY NECK,,,2734.19112,3189.88964,2 HCPCS,15820,BLEPHAROPLASTY LOWER EYELID,,,2324.2196,7616.186158,21 HCPCS,15821,BLEPHARP LWR EYELID FAT PAD,,,2324.2196,7616.186158,21 HCPCS,15822,BLEPHAROPLASTY UPPER EYELID,,,2324.2196,7616.186158,21 HCPCS,15823,BLEPHARP UPR EYELID XCSV SKN,,,2324.2196,7616.186158,21 HCPCS,15824,RHYTIDECTOMY FOREHEAD,,,2324.2196,7616.186158,21 HCPCS,15825,RHYTDCT NCK PLTYSML TGHTG,,,4557.8223,13080.950001,21 HCPCS,15826,RHYTIDECTOMY GLBLR FRN LINES,,,4557.8223,13080.950001,21 HCPCS,15828,RHYTIDECTOMY CHEEK CHN & NCK,,,4557.8223,13080.950001,21 HCPCS,15829,RHYTIDECTOMY SMAS FLAP,,,4557.8223,13080.950001,21 HCPCS,15830,EXC EXCESSIVE SKIN ABDOMEN,,,8286.1671,24510.84755,21 HCPCS,15832,EXC EXCESSIVE SKIN THIGH,,,3636.5207,10722.174778,21 HCPCS,15833,EXC EXCESSIVE SKIN LEG,,,3636.5207,10722.174778,21 HCPCS,15834,EXC EXCESSIVE SKIN HIP,,,3636.5207,10722.174778,21 HCPCS,15835,EXC EXCESSIVE SKIN BUTTOCK,,,3636.5207,10722.174778,21 HCPCS,15836,EXC EXCESSIVE SKIN ARM,,,3636.5207,10722.174778,21 HCPCS,15837,EXC EXCSV SKIN FOREARM/HAND,,,3636.5207,10722.174778,21 HCPCS,15838,EXC EXCSV SUBMENTAL FAT PAD,,,3636.5207,10722.174778,21 HCPCS,15839,EXC EXCESSIVE SKN OTHER AREA,,,3636.5207,10722.174778,21 HCPCS,15840,NERVE PALSY FASCIAL GRAFT,,,4557.8223,13080.950001,21 HCPCS,15841,NERVE PALSY MUSCLE GRAFT,,,4557.8223,13080.950001,21 HCPCS,15842,NERVE PALSY MICROSURG GRAFT,,,2324.2196,7616.186158,21 HCPCS,15845,SKIN AND MUSCLE REPAIR FACE,,,4557.8223,13080.950001,21 HCPCS,15851,REMOVAL SUTR/STAPLE REQ ANES,,,2324.2196,7616.186158,21 HCPCS,15852,DRESSING CHANGE NOT FOR BURN,,,777.7724,2728.136474,21 HCPCS,15860,IV NJX TST VASC FLO FLAP/GRF,,,507.0202,1648.99294,21 HCPCS,15876,SUCTION LIPECTOMY HEAD&NECK,,,4557.8223,13080.950001,21 HCPCS,15877,SUCTION LIPECTOMY TRUNK,,,4557.8223,13080.950001,21 HCPCS,15878,SUCTION LIPECTOMY UPR EXTREM,,,2324.2196,7616.186158,21 HCPCS,15879,SUCTION LIPECTOMY LWR EXTREM,,,4557.8223,13080.950001,21 HCPCS,15920,EXC COCCYGL PR ULC PRIM SUTR,,,3636.5207,10722.174778,21 HCPCS,15922,EXC COCCYGL PR ULC FLAP CLSR,,,4557.8223,13080.950001,21 HCPCS,15931,EXC SACRAL PR ULC PRIM SUTR,,,3636.5207,10722.174778,21 HCPCS,15933,EXC SAC PR ULC PRIM STR OSTC,,,3636.5207,10722.174778,21 HCPCS,15934,EXC SACRAL PR ULC SKN FLAP,,,4557.8223,13080.950001,21 HCPCS,15935,EXC SAC PR ULC SKN FLP OSTC,,,4557.8223,13080.950001,21 HCPCS,15936,EXC SAC PR ULC PREP MUS FLAP,,,2324.2196,7616.186158,21 HCPCS,15937,EXC SAC PR ULC PREP MUS OSTC,,,2324.2196,7616.186158,21 HCPCS,15940,EXC ISCHIAL PR ULC PRIM SUTR,,,3636.5207,10722.174778,21 HCPCS,15941,EXC ISCH PR ULC PRM SUT OSTC,,,3636.5207,10722.174778,21 HCPCS,15944,EXC ISCH PR ULC SKN FLP CLSR,,,4557.8223,13080.950001,21 HCPCS,15945,EXC ISCH PR ULC SKN FLP OSTC,,,2324.2196,7616.186158,21 HCPCS,15946,EXC ISCH PR ULC PREP MUS FLP,,,2324.2196,7616.186158,21 HCPCS,15950,EXC TRCHNTR PR ULC PRIM SUTR,,,2058.6769,6096.540387,21 HCPCS,15951,EXC TRCHNTR PR ULC OSTC,,,3636.5207,10722.174778,21 HCPCS,15952,EXC TRCHNTR PR ULC FLP CLSR,,,2324.2196,7616.186158,21 HCPCS,15953,EXC TRCHNTR PR ULC FLP OSTC,,,4557.8223,13080.950001,21 HCPCS,15956,EXC TRCHNTR PR ULC PREP FLAP,,,2324.2196,7616.186158,21 HCPCS,15958,EXC TRCHNTR PR ULC PREP OSTC,,,4557.8223,13080.950001,21 HCPCS,15999,UNLISTED PX EXC PRESSURE ULC,,,893.9815,2613.928268,21 HCPCS,16000,INITIAL TREATMENT OF BURN(S),,,252.4682,740.601491,21 HCPCS,16020,DRESS/DEBRID P-THICK BURN S,,,252.4682,740.601491,21 HCPCS,16025,DRESS/DEBRID P-THICK BURN M,,,252.4682,740.601491,21 HCPCS,16030,DRESS/DEBRID P-THICK BURN L,,,507.6428,1500.568881,21 HCPCS,16035,ESCHAROTOMY 1ST INCISION,,,507.6428,1500.568881,21 HCPCS,17000,DESTRUCT PREMALG LESION,,,252.4682,740.601491,21 HCPCS,17004,DESTROY PREMAL LESIONS 15/>,,,507.6428,1500.568881,21 HCPCS,17106,DSTR CUT VSC PRLF LES<10SQCM,,,507.6428,1500.568881,21 HCPCS,17107,DSTR CUT VSC PRLF LES10-50SQ,,,777.7724,2728.136474,21 HCPCS,17108,DSTR CUT VSC PRLF LES>50SQCM,,,2324.2196,7616.186158,21 HCPCS,17110,DESTRUCTION B9 LES UP TO 14,,,252.4682,740.601491,21 HCPCS,17111,DESTRUCTION B9 LESIONS 15/>,,,252.4682,740.601491,21 HCPCS,17250,CHEM CAUT OF GRANLTJ TISSUE,,,252.4682,740.601491,21 HCPCS,17260,DSTRJ MAL LES T/A/L 0.5 CM/<,,,252.4682,740.601491,21 HCPCS,17261,DSTRJ MAL LES T/A/L .6-1.0CM,,,252.4682,740.601491,21 HCPCS,17262,DSTRJ MAL LES T/A/L 1.1-2.0,,,252.4682,740.601491,21 HCPCS,17263,DSTRJ MAL LES T/A/L 2.1-3.0,,,252.4682,740.601491,21 HCPCS,17264,DSTRJ MAL LES T/A/L 3.1-4.0,,,507.6428,1500.568881,21 HCPCS,17266,DSTRJ MAL LES T/A/L >4.0 CM,,,507.6428,1500.568881,21 HCPCS,17270,DSTR MAL LES S/N/H/F/G .5 /<,,,252.4682,740.601491,21 HCPCS,17271,DSTR MAL LES S/N/H/F/G 0.6-1,,,252.4682,740.601491,21 HCPCS,17272,DSTR MAL LES S/N/H/F/G 1.1-2,,,252.4682,740.601491,21 HCPCS,17273,DSTR MAL LES S/N/H/F/G 2.1-3,,,507.6428,1500.568881,21 HCPCS,17274,DSTR MAL LES S/N/H/F/G 3.1-4,,,507.6428,1500.568881,21 HCPCS,17276,DSTR MAL LES S/N/H/F/G >4.0,,,507.6428,1500.568881,21 HCPCS,17280,DSTR MAL LS F/E/E/N/L/M .5/<,,,252.4682,740.601491,21 HCPCS,17281,DSTR MAL LS F/E/E/N/L/M .6-1,,,252.4682,740.601491,21 HCPCS,17282,DSTR MAL LS F/E/E/N/L/M1.1-2,,,252.4682,740.601491,21 HCPCS,17283,DSTR MAL LS F/E/E/N/L/M2.1-3,,,507.6428,1500.568881,21 HCPCS,17284,DSTR MAL LS F/E/E/N/L/M3.1-4,,,777.7724,2728.136474,21 HCPCS,17286,DSTR MAL LS F/E/E/N/L/M>4.0,,,777.7724,2728.136474,21 HCPCS,17311,MOHS 1 STAGE H/N/HF/G,,,777.7724,2728.136474,21 HCPCS,17313,MOHS 1 STAGE T/A/L,,,777.7724,2728.136474,21 HCPCS,17340,CRYOTHERAPY FOR ACNE,,,75.4736,217.758093,21 HCPCS,17360,CHEMICAL EXFOLIATION ACNE,,,252.4682,740.601491,21 HCPCS,17380,ELECTROLYSIS EPILATION EA 30,,,777.7724,2728.136474,21 HCPCS,17999,UNLISTD PX SKN MUC MEMB SUBQ,,,252.4682,740.601491,21 HCPCS,19000,PUNCTURE ASPIR CYST BREAST,,,893.9815,2613.928268,21 HCPCS,19020,MASTOTOMY EXPL DRG ABSC DP,,,2058.6769,6096.540387,21 HCPCS,19081,BX BREAST 1ST LESION STRTCTC,,,2058.6769,6096.540387,21 HCPCS,19083,BX BREAST 1ST LESION US IMAG,,,2058.6769,6096.540387,21 HCPCS,19085,BX BREAST 1ST LESION MR IMAG,,,2058.6769,6096.540387,21 HCPCS,19100,BX BREAST PERCUT W/O IMAGE,,,2058.6769,6096.540387,21 HCPCS,19101,BIOPSY OF BREAST OPEN,,,4865.4832,14453.039027,21 HCPCS,19105,CRYOSURG ABLATE FA EACH,,,4865.4832,14453.039027,21 HCPCS,19110,NIPPLE EXPLORATION,,,4865.4832,14453.039027,22 HCPCS,19112,EXCISE BREAST DUCT FISTULA,,,4865.4832,14453.039027,21 HCPCS,19120,REMOVAL OF BREAST LESION,,,4865.4832,14453.039027,23 HCPCS,19125,EXCISION BREAST LESION,,,4865.4832,14453.039027,23 HCPCS,19281,PERQ DEVICE BREAST 1ST IMAG,,,2058.6769,6096.540387,21 HCPCS,19283,PERQ DEV BREAST 1ST STRTCTC,,,893.9815,2613.928268,21 HCPCS,19285,PERQ DEV BREAST 1ST US IMAG,,,893.9815,2613.928268,21 HCPCS,19287,PERQ DEV BREAST 1ST MR GUIDE,,,893.9815,2613.928268,21 HCPCS,19296,PLACE PO BREAST CATH FOR RAD,,,10512.3437,30170.426419,21 HCPCS,19298,PLACE BREAST RAD TUBE/CATHS,,,8286.1671,50869.62209,21 HCPCS,19300,MASTECTOMY FOR GYNECOMASTIA,,,4865.4832,14453.039027,21 HCPCS,19301,PARTIAL MASTECTOMY,,,4865.4832,14453.039027,23 HCPCS,19302,P-MASTECTOMY W/LN REMOVAL,,,8286.1671,24510.84755,21 HCPCS,19303,MAST SIMPLE COMPLETE,,,7416.07,24510.84755,23 HCPCS,19307,MAST MOD RAD,,,8286.1671,24510.84755,21 HCPCS,19316,MASTOPEXY,,,8286.1671,24510.84755,23 HCPCS,19318,BREAST REDUCTION,,,7416.07,24510.84755,23 HCPCS,19325,BREAST AUGMENTATION W/IMPLT,,,10512.3437,30170.426419,22 HCPCS,19328,RMVL INTACT BREAST IMPLANT,,,4865.4832,14453.039027,21 HCPCS,19330,RMVL RUPTURED BREAST IMPLANT,,,4865.4832,14453.039027,21 HCPCS,19340,INSJ BREAST IMPLT SM D MAST,,,8286.1671,30170.426419,21 HCPCS,19342,INSJ/RPLCMT BRST IMPLT SEP D,,,10512.3437,30170.426419,21 HCPCS,19350,NIPPLE/AREOLA RECONSTRUCTION,,,4865.4832,14453.039027,22 HCPCS,19355,CORRECT INVERTED NIPPLE(S),,,4865.4832,14453.039027,21 HCPCS,19357,TISS XPNDR PLMT BRST RCNSTJ,,,8431.03,50869.62209,23 HCPCS,19364,BRST RCNSTJ FREE FLAP,,,9688.18,9688.18,1 HCPCS,19370,REVJ PERI-IMPLT CAPSULE BRST,,,4865.4832,14453.039027,23 HCPCS,19371,PERI-IMPLT CAPSLC BRST COMPL,,,4865.4832,14453.039027,22 HCPCS,19380,REVJ RECONSTRUCTED BREAST,,,8286.1671,24510.84755,23 HCPCS,19396,DESIGN CUSTOM BREAST IMPLANT,,,4865.4832,14453.039027,21 HCPCS,19499,UNLISTED PROCEDURE BREAST,,,4865.4832,14453.039027,21 HCPCS,20100,EXPL PENTRG WOUND NECK,,,647.0531,1990.822855,21 HCPCS,20101,EXPL PENTRG WOUND CHEST,,,2324.2196,7616.186158,21 HCPCS,20102,EXPL PENTRG WND ABD/FLNK/BK,,,2324.2196,7616.186158,21 HCPCS,20103,EXPL PENTRG WOUND EXTREMITY,,,2058.6769,6096.540387,21 HCPCS,20150,EXCISION EPIPHYSEAL BAR,,,4122.6015,12077.93293,21 HCPCS,20200,MUSCLE BIOPSY SUPERFICIAL,,,2058.6769,6096.540387,21 HCPCS,20205,DEEP MUSCLE BIOPSY,,,3636.5207,10722.174778,21 HCPCS,20206,BIOPSY MUSCLE PERQ NEEDLE,,,2058.6769,6096.540387,21 HCPCS,20220,BONE BIOPSY TROCAR/NDL SUPFC,,,2058.6769,6096.540387,21 HCPCS,20225,BONE BIOPSY TROCAR/NDL DEEP,,,2058.6769,6096.540387,21 HCPCS,20240,BONE BIOPSY OPEN SUPERFICIAL,,,3636.5207,10722.174778,21 HCPCS,20245,BONE BIOPSY OPEN DEEP,,,3636.5207,10722.174778,21 HCPCS,20250,BIOPSY VRT BDY OPEN THORACIC,,,4122.6015,12077.93293,21 HCPCS,20251,BIOPSY VRT BDY OPEN LMBR/CRV,,,9076.8233,26784.860767,21 HCPCS,20500,NJX SINUS TRACT THERAPEUTIC,,,1882.1144,5727.359659,21 HCPCS,20520,RMVL FB MUSC/TDN SIMPLE,,,2058.6769,6096.540387,21 HCPCS,20525,RMVL FB MUSC/TDN DEEP/COMP,,,3636.5207,10722.174778,21 HCPCS,20526,THER INJECTION CARP TUNNEL,,,375.0684,1133.05017,21 HCPCS,20527,NJX NZM PALMAR FASCIAL CORD,,,375.0684,1133.05017,21 HCPCS,20550,NJX 1 TENDON SHEATH/LIGAMENT,,,375.0684,1133.05017,21 HCPCS,20551,NJX 1 TENDON ORIGIN/INSJ,,,375.0684,1133.05017,21 HCPCS,20552,NJX 1/MLT TRIGGER POINT 1/2,,,375.0684,1133.05017,21 HCPCS,20553,NJX 1/MLT TRIGGER POINTS 3/>,,,375.0684,1133.05017,21 HCPCS,20555,PLACE NDL MUSC/TIS FOR RT,,,4122.6015,12077.93293,21 HCPCS,20560,NDL INSJ W/O NJX 1 OR 2 MUSC,,,31.117,106.765435,21 HCPCS,20561,NDL INSJ W/O NJX 3+ MUSC,,,31.117,106.765435,21 HCPCS,20600,DRAIN/INJ JOINT/BURSA W/O US,,,375.0684,1133.05017,21 HCPCS,20604,DRAIN/INJ JOINT/BURSA W/US,,,375.0684,2605.618183,42 HCPCS,20605,DRAIN/INJ JOINT/BURSA W/O US,,,375.0684,1133.05017,21 HCPCS,20606,DRAIN/INJ JOINT/BURSA W/US,,,375.0684,2605.618183,42 HCPCS,20610,DRAIN/INJ JOINT/BURSA W/O US,,,375.0684,1133.05017,21 HCPCS,20611,DRAIN/INJ JOINT/BURSA W/US,,,375.0684,2605.618183,42 HCPCS,20612,ASPIRATE/INJ GANGLION CYST,,,375.0684,1133.05017,21 HCPCS,20615,TREATMENT OF BONE CYST,,,893.9815,2613.928268,21 HCPCS,20650,INSERT AND REMOVE BONE PIN,,,4122.6015,12077.93293,21 HCPCS,20660,APPLY REM FIXATION DEVICE,,,2033.4809,5935.579307,21 HCPCS,20661,APPLICATION HALO CRANIAL,,,2068.1461,5935.579307,10 HCPCS,20662,APPLICATION HALO PELVIC,,,2033.4809,5935.579307,21 HCPCS,20663,APPLICATION HALO FEMORAL,,,4122.6015,12077.93293,21 HCPCS,20664,APPL HALO CRANIAL 6+PINS,,,2068.1461,5935.579307,10 HCPCS,20665,RMVL TONGS/HALO ANTHR INDIV,,,507.0202,1648.99294,21 HCPCS,20670,REMOVAL IMPLANT SUPERFICIAL,,,2058.6769,6096.540387,21 HCPCS,20680,REMOVAL OF IMPLANT DEEP,,,3636.5207,10931.0,24 HCPCS,20690,APPL UNIPLN UNI EXT FIXJ SYS,,,9076.8233,26784.860767,21 HCPCS,20692,APPL MLTPLN UNI EXT FIXJ SYS,,,16348.5815,47391.418004,21 HCPCS,20693,ADJMT/REVJ EXT FIXJ SYS ANES,,,9076.8233,26784.860767,21 HCPCS,20694,RMVL EXT FIXJ SYS UNDER ANES,,,2033.4809,5935.579307,21 HCPCS,20696,APP MLTPLN UNI XTRNL FIX 1ST,,,23366.3975,100159.802533,21 HCPCS,20697,APP MLTPLN UNI XTRNL FIX XCH,,,2033.4809,5935.579307,21 HCPCS,20802,REPLANTATION ARM COMPLETE,,,22551.4185,64722.571095,10 HCPCS,20805,REPLANT FOREARM COMPLETE,,,22551.4185,64722.571095,10 HCPCS,20808,REPLANTATION HAND COMPLETE,,,22551.4185,64722.571095,10 HCPCS,20816,REPLANTATION DIGIT COMPLETE,,,2033.4809,5935.579307,21 HCPCS,20822,REPLANTATION DIGIT COMPLETE,,,2033.4809,5935.579307,21 HCPCS,20824,REPLANTATION THUMB COMPLETE,,,2068.1461,5935.579307,10 HCPCS,20827,REPLANTATION THUMB COMPLETE,,,2068.1461,5935.579307,10 HCPCS,20838,REPLANTATION FOOT COMPLETE,,,22551.4185,64722.571095,10 HCPCS,20900,REMOVAL OF BONE FOR GRAFT,,,9076.8233,26784.860767,21 HCPCS,20902,REMOVAL OF BONE FOR GRAFT,,,9076.8233,26784.860767,21 HCPCS,20910,REMOVE CARTILAGE FOR GRAFT,,,777.7724,13080.950001,42 HCPCS,20912,REMOVE CARTILAGE FOR GRAFT,,,777.7724,13080.950001,42 HCPCS,20920,REMOVAL OF FASCIA FOR GRAFT,,,2324.2196,7616.186158,21 HCPCS,20922,REMOVAL OF FASCIA FOR GRAFT,,,2324.2196,7616.186158,21 HCPCS,20924,REMOVAL OF TENDON FOR GRAFT,,,9076.8233,26784.860767,21 HCPCS,20950,MNTR INTRSTITIAL FLUID PRESS,,,893.9815,2613.928268,21 HCPCS,20955,FIBULA BONE GRAFT MICROVASC,,,9332.7041,26784.860767,10 HCPCS,20956,ILIAC BONE GRAFT MICROVASC,,,9332.7041,26784.860767,10 HCPCS,20957,MT BONE GRAFT MICROVASC,,,9332.7041,26784.860767,10 HCPCS,20962,OTHER BONE GRAFT MICROVASC,,,9332.7041,26784.860767,10 HCPCS,20969,BONE/SKIN GRAFT MICROVASC,,,9332.7041,26784.860767,10 HCPCS,20970,BONE/SKIN GRAFT ILIAC CREST,,,9332.7041,26784.860767,10 HCPCS,20972,BONE/SKIN GRAFT METATARSAL,,,9076.8233,26784.860767,21 HCPCS,20973,BONE/SKIN GRAFT GREAT TOE,,,9076.8233,26784.860767,21 HCPCS,20974,ESTIM AID BONE HEALG N-INVAS,,,61.71,177.1077,19 HCPCS,20979,LW NTSTY US STIMJ BONE HEALG,,,31.117,106.765435,21 HCPCS,20982,ABLATE BONE TUMOR(S) PERQ,,,9076.8233,64722.571095,42 HCPCS,20983,ABLATE BONE TUMOR(S) PERQ,,,9076.8233,64722.571095,42 HCPCS,20999,UNLISTED PX MUSCSKEL GENERAL,,,304.7915,7998.44,23 HCPCS,21010,INCISION OF JAW JOINT,,,4120.6447,12238.352154,21 HCPCS,21011,EXC FACE LES SC <2 CM,,,2058.6769,6096.540387,22 HCPCS,21012,EXC FACE LES SBQ 2 CM/>,,,2058.6769,6096.540387,21 HCPCS,21013,EXC FACE TUM DEEP < 2 CM,,,2058.6769,6096.540387,21 HCPCS,21014,EXC FACE TUM DEEP 2 CM/>,,,3636.5207,10722.174778,21 HCPCS,21015,RESECT FACE/SCALP TUM < 2 CM,,,3636.5207,10722.174778,21 HCPCS,21016,RESECT FACE/SCALP TUM 2 CM/>,,,3636.5207,10722.174778,21 HCPCS,21025,EXCISION OF BONE LOWER JAW,,,7516.4376,21851.864587,21 HCPCS,21026,EXCISION OF FACIAL BONE(S),,,7516.4376,21851.864587,21 HCPCS,21029,CONTOUR OF FACE BONE LESION,,,4120.6447,12238.352154,21 HCPCS,21030,EXCISE MAX/ZYGOMA B9 TUMOR,,,7516.4376,21851.864587,21 HCPCS,21031,REMOVE EXOSTOSIS MANDIBLE,,,4120.6447,12238.352154,21 HCPCS,21032,REMOVE EXOSTOSIS MAXILLA,,,4120.6447,12238.352154,21 HCPCS,21034,EXCISE MAX/ZYGOMA MAL TUMOR,,,7516.4376,21851.864587,21 HCPCS,21040,EXCISE MANDIBLE LESION,,,4120.6447,12238.352154,21 HCPCS,21044,REMOVAL OF JAW BONE LESION,,,7516.4376,21851.864587,21 HCPCS,21045,EXTENSIVE JAW SURGERY,,,7613.8901,21851.864587,10 HCPCS,21046,REMOVE MANDIBLE CYST COMPLEX,,,7516.4376,21851.864587,21 HCPCS,21047,EXCISE LWR JAW CYST W/REPAIR,,,7516.4376,21851.864587,21 HCPCS,21048,REMOVE MAXILLA CYST COMPLEX,,,7516.4376,21851.864587,21 HCPCS,21049,EXCIS UPPR JAW CYST W/REPAIR,,,7516.4376,21851.864587,21 HCPCS,21050,REMOVAL OF JAW JOINT,,,7516.4376,21851.864587,21 HCPCS,21060,REMOVE JAW JOINT CARTILAGE,,,7516.4376,21851.864587,21 HCPCS,21070,REMOVE CORONOID PROCESS,,,7516.4376,21851.864587,21 HCPCS,21073,MNPJ OF TMJ W/ANESTH,,,1882.1144,5727.359659,21 HCPCS,21076,IMPRES&PREP SURG OBT PROSTH,,,1882.1144,5727.359659,21 HCPCS,21077,IMPRES&PREP ORBITAL PROSTH,,,7516.4376,21851.864587,21 HCPCS,21079,IMPRES&PREP INTRM OBT PROSTH,,,4120.6447,12238.352154,21 HCPCS,21080,IMPRES&PREP DEF OBT PROSTH,,,4120.6447,12238.352154,21 HCPCS,21081,IMPRES&PREP MNDBL RES PROSTH,,,7516.4376,21851.864587,21 HCPCS,21082,IMPRES&PREP PALTL AUG PROSTH,,,4120.6447,12238.352154,21 HCPCS,21083,IMPRES&PREP PALTL LFT PROSTH,,,4120.6447,12238.352154,21 HCPCS,21084,IMPRES&PREP SP AID PROSTH,,,4120.6447,12238.352154,21 HCPCS,21085,IMPRES&PREP ORAL SURG SPLINT,,,295.0587,874.284082,21 HCPCS,21086,IMPRES&PREP AURICULAR PROSTH,,,4120.6447,12238.352154,21 HCPCS,21087,IMPRES&PREP NASAL PROSTH,,,7516.4376,21851.864587,21 HCPCS,21088,IMPRES&PREP FACIAL PROSTH,,,4120.6447,12238.352154,21 HCPCS,21089,UNLISTED MAXLFCL PROSTH PX,,,295.0587,874.284082,21 HCPCS,21100,MAXILLOFACIAL FIXATION,,,7516.4376,21851.864587,21 HCPCS,21110,INTERDENTAL FIXATION,,,1882.1144,5727.359659,21 HCPCS,21120,GENIOPLASTY AUGMENTATION,,,7516.4376,21851.864587,21 HCPCS,21121,GENIOP SLDG OSTEOT 1,,,4120.6447,12238.352154,21 HCPCS,21122,GENIOP SLDG OSTEOT 2/>,,,7516.4376,21851.864587,21 HCPCS,21123,GENIOP SLDG AUGMENTATION,,,4120.6447,12238.352154,21 HCPCS,21125,AUGMENTATION MNDBLR PROSTC,,,7516.4376,21851.864587,21 HCPCS,21127,AUGMENTATION MNDBLR B1 GRF,,,7516.4376,21851.864587,21 HCPCS,21137,RDCTJ FOREHEAD CNTRG ONLY,,,4120.6447,12238.352154,21 HCPCS,21138,RDCTJ FOREHEAD CNTRG&PROSTC,,,7516.4376,21851.864587,21 HCPCS,21139,RDCTJ FOREHEAD CNTRG&SETBACK,,,7516.4376,21851.864587,21 HCPCS,21141,RCNSTJ MIDFACE LEFORT I 1PC,,,7516.4376,21851.864587,21 HCPCS,21142,RCNSTJ MIDFACE LEFORT I 2PCS,,,7516.4376,21851.864587,21 HCPCS,21143,RCNSTJ MDFACE LEFORT I 3/>PC,,,7516.4376,21851.864587,21 HCPCS,21145,RCNSTJ MDFC LEFORT I 1 W/GRF,,,7613.8901,21851.864587,10 HCPCS,21146,RCNSTJ MDFC LEFORT I 2 W/GRF,,,7613.8901,21851.864587,10 HCPCS,21147,RCNSTJ MDFC LEFORT I 3/>GRF,,,7613.8901,21851.864587,10 HCPCS,21150,RCNSTJ MDFC LEFRTII ANT NTRU,,,7516.4376,21851.864587,21 HCPCS,21151,RCNSTJ MDFC LEFRTII W/B1 GRF,,,7613.8901,21851.864587,10 HCPCS,21154,RCNSTJ MDFC LEFORT III W/O I,,,7613.8901,21851.864587,10 HCPCS,21155,RCNSTJ MDFC LEFORT III W/I,,,7613.8901,21851.864587,10 HCPCS,21159,RCNST MDFC LFRTIII ADVM WO I,,,7613.8901,21851.864587,10 HCPCS,21160,RCNST MDFC LFRTIII ADVM W/I,,,7613.8901,21851.864587,10 HCPCS,21172,RCNST SUPR-LAT ORB RM&LW FHD,,,7516.4376,21851.864587,21 HCPCS,21175,RCNST BFRNT SP ORB RM&LW FHD,,,7516.4376,21851.864587,21 HCPCS,21179,RCNSTJ FOREHEAD WITH GRAFTS,,,7613.8901,21851.864587,10 HCPCS,21180,RCNSTJ FOREHEAD W/AUTOGRAFT,,,7613.8901,21851.864587,10 HCPCS,21181,RCNST CNTRG B9 TUM CRNL XTRC,,,7516.4376,21851.864587,21 HCPCS,21182,RECONSTRUCT CRANIAL BONE,,,7613.8901,21851.864587,10 HCPCS,21183,RECONSTRUCT CRANIAL BONE,,,7613.8901,21851.864587,10 HCPCS,21184,RECONSTRUCT CRANIAL BONE,,,7613.8901,21851.864587,10 HCPCS,21188,RECONSTRUCTION OF MIDFACE,,,7613.8901,21851.864587,10 HCPCS,21193,RECONST LWR JAW W/O GRAFT,,,7516.4376,21851.864587,21 HCPCS,21194,RECONST LWR JAW W/GRAFT,,,7516.4376,21851.864587,21 HCPCS,21195,RECONST LWR JAW W/O FIXATION,,,7516.4376,21851.864587,21 HCPCS,21196,RECONST LWR JAW W/FIXATION,,,7516.4376,21851.864587,21 HCPCS,21198,RECONSTR LWR JAW SEGMENT,,,7516.4376,21851.864587,21 HCPCS,21199,RECONSTR LWR JAW W/ADVANCE,,,7516.4376,21851.864587,21 HCPCS,21206,RECONSTRUCT UPPER JAW BONE,,,7516.4376,21851.864587,21 HCPCS,21208,AUGMENTATION OF FACIAL BONES,,,7516.4376,21851.864587,21 HCPCS,21209,REDUCTION OF FACIAL BONES,,,7516.4376,21851.864587,21 HCPCS,21210,FACE BONE GRAFT,,,7516.4376,21851.864587,21 HCPCS,21215,LOWER JAW BONE GRAFT,,,7516.4376,21851.864587,21 HCPCS,21230,RIB CARTILAGE GRAFT,,,7516.4376,21851.864587,21 HCPCS,21235,EAR CARTILAGE GRAFT,,,7516.4376,21851.864587,21 HCPCS,21240,RECONSTRUCTION OF JAW JOINT,,,7516.4376,100159.802533,42 HCPCS,21242,RECONSTRUCTION OF JAW JOINT,,,7516.4376,100159.802533,42 HCPCS,21243,RECONSTRUCTION OF JAW JOINT,,,7516.4376,100159.802533,42 HCPCS,21244,RECONSTRUCTION OF LOWER JAW,,,7516.4376,21851.864587,21 HCPCS,21245,RECONSTRUCTION OF JAW,,,7516.4376,21851.864587,21 HCPCS,21246,RECONSTRUCTION OF JAW,,,7516.4376,21851.864587,21 HCPCS,21247,RECONSTRUCT LOWER JAW BONE,,,7516.4376,21851.864587,21 HCPCS,21248,RECONSTRUCTION OF JAW,,,7516.4376,21851.864587,21 HCPCS,21249,RECONSTRUCTION OF JAW,,,7516.4376,21851.864587,21 HCPCS,21255,RECONSTRUCT LOWER JAW BONE,,,7516.4376,21851.864587,21 HCPCS,21256,RECONSTRUCTION OF ORBIT,,,7516.4376,21851.864587,21 HCPCS,21260,REVISE EYE SOCKETS,,,7516.4376,21851.864587,21 HCPCS,21261,REVISE EYE SOCKETS,,,7516.4376,21851.864587,21 HCPCS,21263,REVISE EYE SOCKETS,,,7516.4376,21851.864587,21 HCPCS,21267,REVISE EYE SOCKETS,,,7516.4376,21851.864587,21 HCPCS,21268,REVISE EYE SOCKETS,,,7516.4376,21851.864587,21 HCPCS,21270,AUGMENTATION CHEEK BONE,,,7516.4376,21851.864587,21 HCPCS,21275,REVISION ORBITOFACIAL BONES,,,7516.4376,21851.864587,21 HCPCS,21280,MEDIAL CANTHOPEXY,,,4120.6447,12238.352154,21 HCPCS,21282,LATERAL CANTHOPEXY,,,4120.6447,12238.352154,21 HCPCS,21295,REVISION OF JAW MUSCLE/BONE,,,1882.1144,12238.352154,42 HCPCS,21296,REVISION OF JAW MUSCLE/BONE,,,1882.1144,12238.352154,42 HCPCS,21299,UNLISTED CRANFCL&MAXLFCL PX,,,295.0587,874.284082,21 HCPCS,21315,CLSD TX NSL FX MNPJ WO STBLJ,,,1882.1144,5727.359659,21 HCPCS,21320,CLSD TX NSL FX W/MNPJ&STABLJ,,,4120.6447,12238.352154,21 HCPCS,21325,OPEN TX NOSE FX UNCOMPLICATD,,,4120.6447,12238.352154,21 HCPCS,21330,OPEN TX NOSE FX W/SKELE FIXJ,,,7516.4376,21851.864587,21 HCPCS,21335,OPEN TX NOSE & SEPTAL FX,,,4120.6447,12238.352154,21 HCPCS,21336,OPEN TX SEPTAL FX W/WO STABJ,,,4122.6015,12077.93293,21 HCPCS,21337,CLOSED TX SEPTAL&NOSE FX,,,4120.6447,12238.352154,21 HCPCS,21338,OPEN NASOETHMOID FX W/O FIXJ,,,7516.4376,21851.864587,21 HCPCS,21339,OPEN NASOETHMOID FX W/ FIXJ,,,7516.4376,21851.864587,21 HCPCS,21340,PERQ TX NASOETHMOID FX,,,4120.6447,12238.352154,21 HCPCS,21343,OPEN TX DPRSD FRONT SINUS FX,,,7613.8901,21851.864587,10 HCPCS,21344,OPEN TX COMPL FRONT SINUS FX,,,7613.8901,21851.864587,10 HCPCS,21345,CLOSED TX NOSE/JAW FX,,,1882.1144,5727.359659,21 HCPCS,21346,OPN TX NASOMAX FX W/FIXJ,,,7516.4376,21851.864587,21 HCPCS,21347,OPN TX NASOMAX FX MULTPLE,,,7516.4376,21851.864587,21 HCPCS,21348,OPN TX NASOMAX FX W/GRAFT,,,7613.8901,21851.864587,10 HCPCS,21355,PERQ TX MALAR FRACTURE,,,4120.6447,12238.352154,21 HCPCS,21356,OPN TX DPRSD ZYGOMATIC ARCH,,,7516.4376,21851.864587,21 HCPCS,21360,OPN TX DPRSD MALAR FRACTURE,,,7516.4376,21851.864587,21 HCPCS,21365,OPN TX COMPLX MALAR FX,,,7516.4376,21851.864587,21 HCPCS,21366,OPN TX COMPLX MALAR W/GRFT,,,7516.4376,21851.864587,21 HCPCS,21385,OPN TX ORBIT FX TRANSANTRAL,,,7516.4376,21851.864587,21 HCPCS,21386,OPN TX ORBIT FX PERIORBITAL,,,7516.4376,21851.864587,21 HCPCS,21387,OPN TX ORBIT FX COMBINED,,,7516.4376,21851.864587,21 HCPCS,21390,OPN TX ORBIT PERIORBTL IMPLT,,,7516.4376,21851.864587,21 HCPCS,21395,OPN TX ORBIT PERIORBT W/GRFT,,,7516.4376,21851.864587,21 HCPCS,21400,CLOSED TX ORBIT W/O MANIPULJ,,,647.0531,1990.822855,21 HCPCS,21401,CLOSED TX ORBIT W/MANIPULJ,,,1882.1144,5727.359659,21 HCPCS,21406,OPN TX ORBIT FX W/O IMPLANT,,,7516.4376,21851.864587,21 HCPCS,21407,OPN TX ORBIT FX W/IMPLANT,,,7516.4376,21851.864587,21 HCPCS,21408,OPN TX ORBIT FX W/BONE GRFT,,,7516.4376,21851.864587,21 HCPCS,21421,CLTX PALATAL/MAX FX WIRE FIX,,,4120.6447,12238.352154,21 HCPCS,21422,OPTX PALATAL/MAX FRACTURE,,,7516.4376,21851.864587,21 HCPCS,21423,OPTX PALATAL/MAX FX COMP,,,7613.8901,21851.864587,10 HCPCS,21431,CLTX CRANIOFACIAL SEPARATION,,,7613.8901,21851.864587,10 HCPCS,21432,OPTX CRANFCL SEP W/WIRING,,,7613.8901,21851.864587,10 HCPCS,21433,OPTX CRANFCL SEP COMP MLT,,,7613.8901,21851.864587,10 HCPCS,21435,OPTX CRNFC SEP COMP INT&/XTR,,,7613.8901,21851.864587,10 HCPCS,21436,OPTX CRNFCL SEP COMP MLT INT,,,7613.8901,21851.864587,10 HCPCS,21440,CLTX MNDBLR/MAX ALV RIDGE FX,,,4120.6447,12238.352154,21 HCPCS,21445,OPTX MNDBLR/MAX ALV RIDGE FX,,,7516.4376,21851.864587,21 HCPCS,21450,CLTX MNDBLR FX W/O MNPJ,,,647.0531,1990.822855,21 HCPCS,21451,CLTX MNDBLR FX W/MNPJ,,,1882.1144,5727.359659,21 HCPCS,21452,PERQ TX MNDBLR FX XTRNL FIXJ,,,7516.4376,21851.864587,21 HCPCS,21453,CLTX MNDBLR FX NTRDNTL FIXJ,,,7516.4376,21851.864587,21 HCPCS,21454,OPTX MNDBLR FX XTRNL FIXJ,,,7516.4376,21851.864587,21 HCPCS,21461,OPTX MNDBLR FX WO NTRDNTL,,,7516.4376,21851.864587,21 HCPCS,21462,OPTX MNDBLR FX W/NTRDNTL,,,7516.4376,21851.864587,21 HCPCS,21465,OPTX MNDBLR CNDYLR FX,,,7516.4376,21851.864587,21 HCPCS,21470,OPTX COMPLICATED MNDBLR FX,,,7516.4376,21851.864587,21 HCPCS,21480,CLTX TMPRMAND DISLC 1ST/SBSQ,,,304.7915,910.522998,21 HCPCS,21485,CLTX TMPRMAND DISLC COMP,,,1882.1144,5727.359659,21 HCPCS,21490,OPTX TMPRMAND DISLOCATION,,,4120.6447,12238.352154,21 HCPCS,21497,INTERDENTAL WIRG OTH/THN FX,,,1882.1144,5727.359659,21 HCPCS,21499,UNLISTED MUSCSKEL PX HEAD,,,295.0587,874.284082,21 HCPCS,21501,I&D DP ABSC/HMTMA SFT TS NCK,,,3636.5207,10722.174778,22 HCPCS,21502,I&D DP ABS/HMTM NCK RIB OSTC,,,4122.6015,12077.93293,21 HCPCS,21510,INC DEEP OPNG B1 CRTX THORAX,,,4208.339,12077.93293,10 HCPCS,21550,BIOPSY OF NECK/CHEST,,,2058.6769,6096.540387,21 HCPCS,21552,EXC NECK LES SC 3 CM/>,,,3636.5207,10722.174778,23 HCPCS,21554,EXC NECK TUM DEEP 5 CM/>,,,3636.5207,10722.174778,22 HCPCS,21555,EXC NECK LES SC < 3 CM,,,2058.6769,6998.63,24 HCPCS,21556,EXC NECK TUM DEEP < 5 CM,,,3636.5207,10722.174778,21 HCPCS,21557,RESECT NECK THORAX TUMOR<5CM,,,3636.5207,10722.174778,21 HCPCS,21558,RESECT NECK TUMOR 5 CM/>,,,3636.5207,10722.174778,21 HCPCS,21600,PARTIAL REMOVAL OF RIB,,,9076.8233,26784.860767,21 HCPCS,21601,EXC CHEST WALL TUMOR W/RIBS,,,3636.5207,10722.174778,21 HCPCS,21602,EXC CH WAL TUM W/O LYMPHADEC,,,9332.7041,26784.860767,10 HCPCS,21603,EXC CH WAL TUM W/LYMPHADEC,,,9332.7041,26784.860767,10 HCPCS,21610,COSTOTRANSVERSECTOMY,,,4122.6015,12077.93293,21 HCPCS,21615,EXCISION 1ST &/CERVICAL RIB,,,9332.7041,26784.860767,10 HCPCS,21616,EXC 1ST&/CRV RIB W/SYMPTH,,,9332.7041,26784.860767,10 HCPCS,21620,OSTECTOMY STERNUM PARTIAL,,,4208.339,12077.93293,10 HCPCS,21627,STERNAL DEBRIDEMENT,,,4208.339,12077.93293,10 HCPCS,21630,RADICAL RESECTION STERNUM,,,9332.7041,26784.860767,10 HCPCS,21685,HYOID MYOTOMY & SUSPENSION,,,7516.4376,21851.864587,21 HCPCS,21700,REVISION OF NECK MUSCLE,,,893.9815,26784.860767,63 HCPCS,21705,REVISION OF NECK MUSCLE/RIB,,,9332.7041,26784.860767,10 HCPCS,21720,REVISION OF NECK MUSCLE,,,893.9815,26784.860767,63 HCPCS,21725,REVISION OF NECK MUSCLE,,,893.9815,26784.860767,63 HCPCS,21740,RECONSTRUCTION OF STERNUM,,,9332.7041,26784.860767,10 HCPCS,21742,REPAIR STERN/NUSS W/O SCOPE,,,4122.6015,12077.93293,21 HCPCS,21743,REPAIR STERNUM/NUSS W/SCOPE,,,4122.6015,12077.93293,21 HCPCS,21750,REPAIR OF STERNUM SEPARATION,,,9332.7041,26784.860767,10 HCPCS,21811,OPTX OF RIB FX W/FIXJ SCOPE,,,9076.8233,26784.860767,21 HCPCS,21812,TREATMENT OF RIB FRACTURE,,,2033.4809,26784.860767,42 HCPCS,21813,TREATMENT OF RIB FRACTURE,,,2033.4809,26784.860767,42 HCPCS,21820,TREAT STERNUM FRACTURE,,,304.7915,26784.860767,31 HCPCS,21825,TREAT STERNUM FRACTURE,,,304.7915,26784.860767,31 HCPCS,21899,UNLISTED PX NECK/THORAX,,,295.0587,874.284082,21 HCPCS,21920,BIOPSY SOFT TISSUE OF BACK,,,2058.6769,6096.540387,21 HCPCS,21925,BIOPSY SOFT TISSUE OF BACK,,,2058.6769,6096.540387,21 HCPCS,21930,EXC BACK LES SC < 3 CM,,,2058.6769,6998.63,23 HCPCS,21931,EXC BACK LES SC 3 CM/>,,,2058.6769,6998.63,24 HCPCS,21932,EXC BACK TUM DEEP < 5 CM,,,3636.5207,10722.174778,22 HCPCS,21933,EXC BACK TUM DEEP 5 CM/>,,,3636.5207,10722.174778,22 HCPCS,21935,RESECT BACK TUM < 5 CM,,,3636.5207,10722.174778,21 HCPCS,21936,RESECT BACK TUM 5 CM/>,,,3636.5207,10722.174778,22 HCPCS,22010,I&D P-SPINE C/T/CERV-THOR,,,9332.7041,26784.860767,10 HCPCS,22015,I&D ABSCESS P-SPINE L/S/LS,,,9332.7041,26784.860767,10 HCPCS,22100,REMOVE PART OF NECK VERTEBRA,,,9076.8233,26784.860767,21 HCPCS,22101,REMOVE PART THORAX VERTEBRA,,,9076.8233,26784.860767,21 HCPCS,22102,REMOVE PART LUMBAR VERTEBRA,,,9076.8233,26784.860767,21 HCPCS,22110,REMOVE PART OF NECK VERTEBRA,,,9076.8233,26784.860767,21 HCPCS,22112,REMOVE PART THORAX VERTEBRA,,,9076.8233,26784.860767,21 HCPCS,22114,REMOVE PART LUMBAR VERTEBRA,,,9076.8233,26784.860767,21 HCPCS,22206,INCIS SPINE 3 COLUMN THORAC,,,9332.7041,26784.860767,10 HCPCS,22207,INCIS SPINE 3 COLUMN LUMBAR,,,9332.7041,26784.860767,10 HCPCS,22210,INCIS 1 VERTEBRAL SEG CERV,,,9332.7041,26784.860767,10 HCPCS,22212,INCIS 1 VERTEBRAL SEG THORAC,,,9332.7041,26784.860767,10 HCPCS,22214,INCIS 1 VERTEBRAL SEG LUMBAR,,,9332.7041,26784.860767,10 HCPCS,22220,OSTEOT DSC ANT 1 VRT SGM CRV,,,9332.7041,26784.860767,10 HCPCS,22222,OSTEOT DSC ANT 1VRT SGM THRC,,,9332.7041,26784.860767,10 HCPCS,22224,OSTEOT DSC ANT 1VRT SGM LMBR,,,9332.7041,26784.860767,10 HCPCS,22310,CLOSED TX VERT FX W/O MANJ,,,304.7915,910.522998,21 HCPCS,22315,CLOSED TX VERT FX W/MANJ,,,4122.6015,12077.93293,21 HCPCS,22318,TREAT ODONTOID FX W/O GRAFT,,,16512.6892,47391.418004,10 HCPCS,22319,TREAT ODONTOID FX W/GRAFT,,,16512.6892,47391.418004,10 HCPCS,22325,TREAT SPINE FRACTURE,,,16512.6892,47391.418004,10 HCPCS,22326,TREAT NECK SPINE FRACTURE,,,16512.6892,47391.418004,10 HCPCS,22327,TREAT THORAX SPINE FRACTURE,,,16512.6892,47391.418004,10 HCPCS,22505,MANIPULATION OF SPINE,,,2033.4809,5935.579307,21 HCPCS,22510,PERQ CERVICOTHORACIC INJECT,,,4122.6015,12077.93293,21 HCPCS,22511,PERQ LUMBOSACRAL INJECTION,,,4122.6015,12077.93293,21 HCPCS,22513,PERQ VERTEBRAL AUGMENTATION,,,9076.8233,26784.860767,21 HCPCS,22514,PERQ VERTEBRAL AUGMENTATION,,,9076.8233,26784.860767,21 HCPCS,22532,ARTHRD LAT XTRCVTRY TQ THRC,,,16512.6892,47391.418004,10 HCPCS,22533,ARTHRD LAT XTRCVTRY TQ LMBR,,,22551.4185,64722.571095,10 HCPCS,22548,ARTHRD ANT TORAL/XORAL C1-C2,,,16512.6892,47391.418004,10 HCPCS,22551,ARTHRD ANT NTRBDY CERVICAL,,,5997.45,47391.418004,23 HCPCS,22554,ARTHRD ANT NTRBD MIN DSC CRV,,,16348.5815,47391.418004,21 HCPCS,22556,ARTHRD ANT NTRBD MIN DSC THC,,,22551.4185,64722.571095,10 HCPCS,22558,ARTHRD ANT NTRBD MIN DSC LUM,,,5997.45,100159.802533,11 HCPCS,22586,ARTHRD PRE-SAC NTRBDY L5-S1,,,22551.4185,64722.571095,10 HCPCS,22590,ARTHRD PST TQ CRANIOCERVICAL,,,16512.6892,47391.418004,10 HCPCS,22595,ARTHRD PST TQ ATLAS-AXIS,,,16512.6892,47391.418004,10 HCPCS,22600,ARTHRD PST TQ 1NTRSPC CRV,,,22551.4185,64722.571095,10 HCPCS,22610,ARTHRD PST TQ 1NTRSPC THRC,,,22551.4185,64722.571095,10 HCPCS,22612,ARTHRD PST TQ 1NTRSPC LUMBAR,,,22551.4185,64722.571095,21 HCPCS,22630,ARTHRD PST TQ 1NTRSPC LUM,,,23366.3975,100159.802533,21 HCPCS,22633,ARTHRD CMBN 1NTRSPC LUMBAR,,,23366.3975,100159.802533,21 HCPCS,22800,ARTHRD PST DFRM<6 VRT SGM,,,22551.4185,64722.571095,10 HCPCS,22802,ARTHRD PST DFRM 7-12 VRT SGM,,,22551.4185,64722.571095,10 HCPCS,22804,ARTHRD PST DFRM 13+ VRT SGM,,,22551.4185,64722.571095,10 HCPCS,22808,ARTHRD ANT DFRM 2-3 VRT SGM,,,22551.4185,64722.571095,10 HCPCS,22810,ARTHRD ANT DFRM 4-7 VRT SGM,,,22551.4185,64722.571095,10 HCPCS,22812,ARTHRD ANT DFRM 8+ VRT SGM,,,22551.4185,64722.571095,10 HCPCS,22818,KYPHECTOMY 1-2 SEGMENTS,,,22551.4185,64722.571095,10 HCPCS,22819,KYPHECTOMY 3 OR MORE,,,22551.4185,64722.571095,10 HCPCS,22830,EXPLORATION OF SPINAL FUSION,,,9332.7041,26784.860767,10 HCPCS,22836,ANT THRC VRT BODY TETHRG <7,,,22551.4185,64722.571095,10 HCPCS,22837,ANT THRC VRT BODY TETHRG 8+,,,22551.4185,64722.571095,10 HCPCS,22838,REV RPLC/RMV THRC VRT TETHRG,,,22551.4185,64722.571095,10 HCPCS,22849,REINSERT SPINAL FIXATION,,,16512.6892,47391.418004,10 HCPCS,22850,REMOVE SPINE FIXATION DEVICE,,,9332.7041,26784.860767,10 HCPCS,22852,REMOVE SPINE FIXATION DEVICE,,,9332.7041,26784.860767,10 HCPCS,22855,REMOVAL ANTERIOR INSTRMJ,,,9332.7041,26784.860767,10 HCPCS,22856,TOT DISC ARTHRP 1NTRSPC CRV,,,13417.0,64722.571095,22 HCPCS,22857,TOT DISC ARTHRP 1NTRSPC LMBR,,,22551.4185,64722.571095,10 HCPCS,22858,TOT DISC ARTHRP 2ND LVL CRV,,,1211.02,1211.02,1 HCPCS,22861,REV RPLCM ARTHRP 1NTRSPC CRV,,,22551.4185,64722.571095,10 HCPCS,22862,REV RPLCM RTHRP 1NTRSPC LMBR,,,22551.4185,64722.571095,10 HCPCS,22864,RMVL TOT ARTHRP 1NTRSPC CRV,,,9332.7041,26784.860767,10 HCPCS,22865,RMVL TOT ARTHRP 1NTRSPC LMBR,,,9332.7041,26784.860767,10 HCPCS,22867,INSJ STABLJ DEV W/DCMPRN,,,22551.4185,64722.571095,21 HCPCS,22869,INSJ STABLJ DEV W/O DCMPRN,,,16348.5815,47391.418004,21 HCPCS,22899,UNLISTED PROCEDURE SPINE,,,304.7915,910.522998,21 HCPCS,22900,EXC ABDL TUM DEEP < 5 CM,,,3636.5207,10722.174778,21 HCPCS,22901,EXC ABDL TUM DEEP 5 CM/>,,,3636.5207,10722.174778,21 HCPCS,22902,EXC ABD LES SC < 3 CM,,,2058.6769,6096.540387,22 HCPCS,22903,EXC ABD LES SC 3 CM/>,,,3636.5207,10722.174778,22 HCPCS,22904,RADICAL RESECT ABD TUMOR<5CM,,,3636.5207,10722.174778,21 HCPCS,22905,RAD RESECT ABD TUMOR 5 CM/>,,,3636.5207,10722.174778,21 HCPCS,22999,UNLISTED PX ABDOMEN MUSCSKEL,,,304.7915,910.522998,21 HCPCS,23000,RMVL SBDLTD CLCREOUS DEP OPN,,,3636.5207,10722.174778,21 HCPCS,23020,CAPSULAR CONTRACTURE RELEASE,,,4122.6015,12077.93293,21 HCPCS,23030,I&D SHOULDER DEEP ABSC/HMTMA,,,3636.5207,10722.174778,21 HCPCS,23031,I&D SHOULDER INFECTED BURSA,,,3636.5207,10722.174778,21 HCPCS,23035,INCISION BONE CORTEX SHO,,,2033.4809,5935.579307,21 HCPCS,23040,ARTHRT GH JT EXPL/DRG/RMV FB,,,4122.6015,12077.93293,21 HCPCS,23044,ARTHRT AC SC JT EXP/RMVL FB,,,4122.6015,12077.93293,21 HCPCS,23065,BIOPSY SHOULDER TISSUES,,,2058.6769,10722.174778,42 HCPCS,23066,BIOPSY SHOULDER TISSUES,,,2058.6769,10722.174778,42 HCPCS,23071,EXC SHOULDER LES SC 3 CM/>,,,2058.6769,6096.540387,22 HCPCS,23073,EXC SHOULDER TUM DEEP 5 CM/>,,,3636.5207,10722.174778,21 HCPCS,23075,EXC SHOULDER LES SC < 3 CM,,,2058.6769,6096.540387,21 HCPCS,23076,EXC SHOULDER TUM DEEP < 5 CM,,,3636.5207,10722.174778,21 HCPCS,23077,RAD RESCJ TUM SHOULDER<5 CM,,,3636.5207,10722.174778,21 HCPCS,23078,RAD RESCJ TUM SHOULDER 5CM/>,,,3636.5207,10722.174778,21 HCPCS,23100,ARTHROTOMY GLENHUMRL JT W/BX,,,4122.6015,12077.93293,21 HCPCS,23101,ARTHRT ACRMCLV/STRNCLAV JT,,,4122.6015,12077.93293,21 HCPCS,23105,ARTHROTOMY GLENOHUMERAL JT,,,9076.8233,26784.860767,21 HCPCS,23106,ARTHROTOMY STRNCLAV JOINT,,,4122.6015,12077.93293,21 HCPCS,23107,ARTHRT GLENHUMRL JT W/EXPL,,,9076.8233,26784.860767,21 HCPCS,23120,CLAVICULECTOMY PARTIAL,,,4122.6015,12077.93293,22 HCPCS,23125,CLAVICULECTOMY TOTAL,,,4122.6015,12077.93293,21 HCPCS,23130,ACROMP/ACROMIONECTOMY PRTL,,,4122.6015,12077.93293,21 HCPCS,23140,REMOVAL OF BONE LESION,,,4122.6015,26784.860767,44 HCPCS,23145,REMOVAL OF BONE LESION,,,4122.6015,26784.860767,44 HCPCS,23146,REMOVAL OF BONE LESION,,,4122.6015,26784.860767,44 HCPCS,23150,REMOVAL OF HUMERUS LESION,,,4122.6015,26784.860767,44 HCPCS,23155,REMOVAL OF HUMERUS LESION,,,4122.6015,26784.860767,44 HCPCS,23156,REMOVAL OF HUMERUS LESION,,,4122.6015,26784.860767,44 HCPCS,23170,SEQUESTRECTOMY CLAVICLE,,,4122.6015,12077.93293,21 HCPCS,23172,SEQUESTRECTOMY SCAPULA,,,4122.6015,12077.93293,21 HCPCS,23174,SQSTRCTMY HUMRL HEAD SRG NCK,,,9076.8233,26784.860767,21 HCPCS,23180,PRTL EXCISION BONE CLAVICLE,,,9076.8233,26784.860767,21 HCPCS,23182,PRTL EXCISION BONE SCAPULA,,,9076.8233,26784.860767,21 HCPCS,23184,PRTL EXCISION BONE PROX HUM,,,9076.8233,26784.860767,21 HCPCS,23190,OSTECTOMY SCAPULA PARTIAL,,,4122.6015,12077.93293,21 HCPCS,23195,RESECTION HUMERAL HEAD,,,9076.8233,26784.860767,21 HCPCS,23200,RADICAL RESCJ TUMOR CLAVICLE,,,9332.7041,26784.860767,10 HCPCS,23210,RADICAL RESCJ TUMOR SCAPULA,,,5247.77,26784.860767,11 HCPCS,23220,RADICAL RESCJ TUMOR PROX HUM,,,9332.7041,26784.860767,10 HCPCS,23330,REMOVE SHOULDER FOREIGN BODY,,,2058.6769,6096.540387,21 HCPCS,23333,REMOVE SHOULDER FB DEEP,,,3636.5207,10722.174778,21 HCPCS,23334,SHOULDER PROSTHESIS REMOVAL,,,3636.5207,26784.860767,21 HCPCS,23335,SHOULDER PROSTHESIS REMOVAL,,,3636.5207,26784.860767,21 HCPCS,23395,MUSCLE TRANSFER SHOULDER/ARM,,,9076.8233,26784.860767,21 HCPCS,23397,MUSCLE TRANSFERS,,,9076.8233,26784.860767,21 HCPCS,23400,FIXATION OF SHOULDER BLADE,,,9076.8233,26784.860767,21 HCPCS,23405,INCISION OF TENDON & MUSCLE,,,9076.8233,26784.860767,21 HCPCS,23406,INCISE TENDON(S) & MUSCLE(S),,,9076.8233,26784.860767,21 HCPCS,23410,REPAIR ROTATOR CUFF ACUTE,,,9076.8233,26784.860767,21 HCPCS,23412,REPAIR ROTATOR CUFF CHRONIC,,,9076.8233,26784.860767,21 HCPCS,23415,RELEASE OF SHOULDER LIGAMENT,,,9076.8233,26784.860767,21 HCPCS,23420,REPAIR OF SHOULDER,,,9076.8233,26784.860767,21 HCPCS,23430,REPAIR BICEPS TENDON,,,9076.8233,26784.860767,22 HCPCS,23440,REMOVE/TRANSPLANT TENDON,,,7416.07,26784.860767,23 HCPCS,23450,REPAIR SHOULDER CAPSULE,,,9076.8233,26784.860767,21 HCPCS,23455,REPAIR SHOULDER CAPSULE,,,9076.8233,26784.860767,21 HCPCS,23460,REPAIR SHOULDER CAPSULE,,,9076.8233,26784.860767,21 HCPCS,23462,REPAIR SHOULDER CAPSULE,,,9076.8233,26784.860767,21 HCPCS,23465,REPAIR SHOULDER CAPSULE,,,9076.8233,26784.860767,21 HCPCS,23466,REPAIR SHOULDER CAPSULE,,,9076.8233,26784.860767,21 HCPCS,23470,RECONSTRUCT SHOULDER JOINT,,,5997.45,64722.571095,45 HCPCS,23472,RECONSTRUCT SHOULDER JOINT,,,5997.45,64722.571095,45 HCPCS,23473,REVIS RECONST SHOULDER JOINT,,,16348.5815,47391.418004,21 HCPCS,23474,REVIS RECONST SHOULDER JOINT,,,16348.5815,47391.418004,21 HCPCS,23480,REVISION OF COLLAR BONE,,,9076.8233,47391.418004,42 HCPCS,23485,REVISION OF COLLAR BONE,,,9076.8233,47391.418004,42 HCPCS,23490,REINFORCE CLAVICLE,,,9076.8233,26784.860767,21 HCPCS,23491,REINFORCE SHOULDER BONES,,,16348.5815,47391.418004,21 HCPCS,23500,CLTX CLAVICULAR FX W/O MNPJ,,,304.7915,910.522998,21 HCPCS,23505,CLTX CLAVICULAR FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,23515,OPTX CLAVICULAR FX W/INT FIX,,,9076.8233,26784.860767,21 HCPCS,23520,CLTX STRNCLAV DISLC W/O MNPJ,,,2033.4809,5935.579307,21 HCPCS,23525,CLTX STRNCLAV DISLC W/MNPJ,,,304.7915,910.522998,21 HCPCS,23530,OPTX STRNCLAV DISLC AQT/CHRN,,,9076.8233,26784.860767,21 HCPCS,23532,OPTX STRCLV DSLC AQ/CHRN GRF,,,9076.8233,26784.860767,21 HCPCS,23540,CLTX ACROMCLAV DISLC WO MNPJ,,,304.7915,910.522998,21 HCPCS,23545,CLTX ACROMCLAV DISLC W/MNPJ,,,304.7915,910.522998,21 HCPCS,23550,OPTX ACROMCLV DISLC AQT/CHRN,,,9076.8233,26784.860767,21 HCPCS,23552,OPTX ACRCLV DSLC AQ/CHRN GRF,,,9076.8233,26784.860767,21 HCPCS,23570,CLTX SCAPULAR FX W/O MNPJ,,,304.7915,910.522998,21 HCPCS,23575,CLTX SCAP FX W/MNPJ +-TRACTJ,,,2033.4809,5935.579307,21 HCPCS,23585,OPTX SCAPULAR FX W/INT FIXJ,,,9076.8233,26784.860767,21 HCPCS,23600,CLTX PROX HUMRL FX W/O MNPJ,,,304.7915,910.522998,21 HCPCS,23605,CLTX PRX HMRL FX MNPJ+-TRACT,,,2033.4809,5935.579307,21 HCPCS,23615,OPTX PROX HUMRL FX W/INT FIX,,,9890.38,47391.418004,22 HCPCS,23616,OPTX PRX HMRL FX FIX RPR RPL,,,22551.4185,64722.571095,21 HCPCS,23620,CLTX GR HMRL TBRS FX WO MNPJ,,,304.7915,910.522998,21 HCPCS,23625,CLTX GR HMRL TBRS FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,23630,OPTX GR HMRL TBRS FX INT FIX,,,9076.8233,26784.860767,21 HCPCS,23650,CLTX SHO DSLC W/MNPJ WO ANES,,,304.7915,910.522998,21 HCPCS,23655,CLTX SHO DSLC W/MNPJ W/ANES,,,2033.4809,5935.579307,21 HCPCS,23660,OPTX ACUTE SHOULDER DISLC,,,9076.8233,26784.860767,21 HCPCS,23665,CLTX SHO DSLC FX GR HMRL TBR,,,2033.4809,5935.579307,21 HCPCS,23670,OPTX SHO DISLC FX,,,9076.8233,26784.860767,21 HCPCS,23675,CLTX SHO DISLC NECK FX MNPJ,,,2033.4809,5935.579307,21 HCPCS,23680,OPTX SHO DISLC NECK FX FIXJ,,,16348.5815,47391.418004,21 HCPCS,23700,MNPJ ANES SHO JT FIXJ APRATS,,,2033.4809,5935.579307,21 HCPCS,23800,ARTHRODESIS GLENOHUMERAL JT,,,9076.8233,26784.860767,21 HCPCS,23802,ARTHRD GLENOHUMERAL JT W/GRF,,,16348.5815,47391.418004,21 HCPCS,23900,INTERTHORACOSCPLR AMPUTATION,,,16512.6892,47391.418004,10 HCPCS,23920,DISARTICULATION SHOULDER,,,16512.6892,47391.418004,10 HCPCS,23921,DISARTICULATION SHO SEC CLSR,,,2324.2196,7616.186158,21 HCPCS,23929,UNLISTED PROCEDURE SHOULDER,,,304.7915,910.522998,21 HCPCS,23930,I&D UPR A/E DP ABSC/HMTMA,,,3636.5207,10722.174778,21 HCPCS,23931,I&D UPR A/E BURSA,,,2058.6769,6096.540387,21 HCPCS,23935,INC DP OPN B1 CRTX HUM/ELBW,,,4122.6015,12077.93293,21 HCPCS,24000,ARTHRT ELBW EXPL DRG/RMVL FB,,,4122.6015,12077.93293,21 HCPCS,24006,ARTHRT ELBW CAPSL EXC RLS,,,4122.6015,12077.93293,21 HCPCS,24065,BIOPSY ARM/ELBOW SOFT TISSUE,,,2058.6769,10722.174778,43 HCPCS,24066,BIOPSY ARM/ELBOW SOFT TISSUE,,,2058.6769,10722.174778,43 HCPCS,24071,EXC ARM/ELBOW LES SC 3 CM/>,,,3636.5207,10722.174778,21 HCPCS,24073,EX ARM/ELBOW TUM DEEP 5 CM/>,,,3636.5207,10722.174778,21 HCPCS,24075,EXC ARM/ELBOW LES SC < 3 CM,,,2058.6769,6998.63,22 HCPCS,24076,EX ARM/ELBOW TUM DEEP < 5 CM,,,3636.5207,10722.174778,21 HCPCS,24077,RAD RESCJ TUM TISS A/E <5CM,,,3636.5207,10722.174778,21 HCPCS,24079,RAD RESCJ TUM TISS A/E 5 CM+,,,3636.5207,10722.174778,21 HCPCS,24100,ARTHRT ELBW SYNOVIAL BX ONLY,,,4122.6015,12077.93293,21 HCPCS,24101,ARTHRT ELBW JT EXPL BX RMVL,,,4122.6015,12077.93293,21 HCPCS,24102,ARTHRT ELBOW W/SYNOVECTOMY,,,4122.6015,12077.93293,21 HCPCS,24105,EXCISION OLECRANON BURSA,,,4122.6015,12077.93293,23 HCPCS,24110,EXC/CURTG B1 CST/B9 TUM HUM,,,4122.6015,12077.93293,21 HCPCS,24115,EXC/CRTG B1 CST/TUM HUM AGRF,,,9076.8233,26784.860767,21 HCPCS,24116,EXC/CRTG B1 CST/TUM HUM ALGR,,,9076.8233,26784.860767,21 HCPCS,24120,EXC/CRTG B1 CST/B9 TUM RDS,,,4122.6015,12077.93293,21 HCPCS,24125,EXC/CRTG B1 CST/TUM RDS AGRF,,,4122.6015,12077.93293,21 HCPCS,24126,EXC/CRTG B1 CST/TUM RDS ALGR,,,9076.8233,26784.860767,21 HCPCS,24130,EXCISION RADIAL HEAD,,,4122.6015,12077.93293,21 HCPCS,24134,SEQUESTRECTOMY SHFT/DSTL HUM,,,9076.8233,26784.860767,21 HCPCS,24136,SEQUESTRECTOMY RADIAL H/N,,,4122.6015,12077.93293,21 HCPCS,24138,SEQUESTRECTOMY OLECRN PROCES,,,9076.8233,26784.860767,21 HCPCS,24140,PARTIAL EXC BONE HUMERUS,,,4122.6015,12077.93293,21 HCPCS,24145,PRTL EXC BONE RADIAL H/N,,,9076.8233,26784.860767,21 HCPCS,24147,PRTL EXC BONE OLECRN PROCESS,,,4122.6015,12077.93293,21 HCPCS,24149,RADICAL RESECTION OF ELBOW,,,9076.8233,26784.860767,21 HCPCS,24150,RAD RESCJ TUM DSTL/SHFT HUM,,,9076.8233,26784.860767,21 HCPCS,24152,RAD RESECTION TUM RADIAL H/N,,,9076.8233,26784.860767,21 HCPCS,24155,RESECTION OF ELBOW JOINT,,,4122.6015,12077.93293,21 HCPCS,24160,RMVL PROSTHHUMRL&ULNAR CMPNT,,,4122.6015,12077.93293,21 HCPCS,24164,REMOVAL PROSTH RADIAL HEAD,,,4122.6015,12077.93293,21 HCPCS,24200,RMVL FB UPPER ARM/ELBW SUBQ,,,2058.6769,6096.540387,21 HCPCS,24201,RMVL FB UPPER ARM/ELBW DEEP,,,3636.5207,10722.174778,21 HCPCS,24300,MNPJ ELBOW UNDER ANES,,,2033.4809,5935.579307,21 HCPCS,24301,MUSC/TDN TRANSFER UPR A/E 1,,,9076.8233,26784.860767,22 HCPCS,24305,TENDON LNGTH UPR A/E EA TDN,,,4122.6015,12077.93293,21 HCPCS,24310,TNOT OPN ELBW TO SHO EA TDN,,,4122.6015,12077.93293,21 HCPCS,24320,TENOPLASTY ELBOW TO SHO 1,,,9076.8233,26784.860767,21 HCPCS,24330,FLEXOR-PLASTY ELBOW,,,9076.8233,26784.860767,21 HCPCS,24331,FLEXOR-PLASTY ELBW W/ADVMNT,,,9076.8233,26784.860767,21 HCPCS,24332,TENOLYSIS TRICEPS,,,4122.6015,12077.93293,21 HCPCS,24340,TENODESIS BICEPS TDN AT ELBW,,,9076.8233,26784.860767,21 HCPCS,24341,RPR TDN/MUSC UPR A/E EACH,,,9076.8233,26784.860767,21 HCPCS,24342,REPAIR OF RUPTURED TENDON,,,5997.45,26784.860767,23 HCPCS,24343,REPR ELBOW LAT LIGMNT W/TISS,,,4122.6015,12077.93293,21 HCPCS,24344,RECONSTRUCT ELBOW LAT LIGMNT,,,9076.8233,26784.860767,22 HCPCS,24345,REPR ELBW MED LIGMNT W/TISSU,,,9076.8233,26784.860767,21 HCPCS,24346,RECONSTRUCT ELBOW MED LIGMNT,,,16348.5815,47391.418004,21 HCPCS,24357,REPAIR ELBOW PERC,,,4122.6015,12077.93293,21 HCPCS,24358,REPAIR ELBOW W/DEB OPEN,,,4122.6015,12077.93293,22 HCPCS,24359,REPAIR ELBOW DEB/ATTCH OPEN,,,4122.6015,12077.93293,22 HCPCS,24360,RECONSTRUCT ELBOW JOINT,,,9076.8233,64722.571095,63 HCPCS,24361,RECONSTRUCT ELBOW JOINT,,,9076.8233,64722.571095,63 HCPCS,24362,RECONSTRUCT ELBOW JOINT,,,9076.8233,64722.571095,63 HCPCS,24363,REPLACE ELBOW JOINT,,,22551.4185,64722.571095,21 HCPCS,24365,RECONSTRUCT HEAD OF RADIUS,,,8431.03,47391.418004,22 HCPCS,24366,RECONSTRUCT HEAD OF RADIUS,,,8431.03,47391.418004,22 HCPCS,24370,REVISE RECONST ELBOW JOINT,,,16348.5815,64722.571095,42 HCPCS,24371,REVISE RECONST ELBOW JOINT,,,16348.5815,64722.571095,42 HCPCS,24400,OSTEOT HUMERUS W/WO INT FIXJ,,,9076.8233,26784.860767,21 HCPCS,24410,MLT OSTEOT RLGNM IMED RD HUM,,,16348.5815,47391.418004,21 HCPCS,24420,OSTEOPLASTY HUMERUS,,,9076.8233,26784.860767,21 HCPCS,24430,RPR NON/MAL HUMERUS WO GRAFT,,,16348.5815,47391.418004,21 HCPCS,24435,RPR NON/MAL HUM WITH AGRFT,,,16348.5815,47391.418004,21 HCPCS,24470,HEMIEPIPHYSEAL ARREST,,,4122.6015,12077.93293,21 HCPCS,24495,DECOMPRESSION FASCT FOREARM,,,9076.8233,26784.860767,21 HCPCS,24498,PROPH TX W/WO MTHYLMTHCRYLT,,,16348.5815,47391.418004,21 HCPCS,24500,CLTX HUMRL SHFT FX W/O MNPJ,,,304.7915,910.522998,21 HCPCS,24505,CLTX HUMRL SHFT FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,24515,OPTX HUMRL SHFT FX PLATE/SCR,,,16348.5815,47391.418004,21 HCPCS,24516,TX HUMRL SHAFT FX IMED IMPLT,,,16348.5815,47391.418004,21 HCPCS,24530,CLTX SPRCNDYLR HUMERAL FX WO,,,304.7915,910.522998,21 HCPCS,24535,CLTX SPRCNDYLR HUMERAL FX W/,,,2033.4809,5935.579307,21 HCPCS,24538,PRQ SKEL FIX SPRCNDLR HUM FX,,,9076.8233,26784.860767,21 HCPCS,24545,OPTX HUM FX WO NTRCNDYLR XTN,,,16348.5815,47391.418004,21 HCPCS,24546,OPTX HUM FX W/NTRCNDYLR XTN,,,16348.5815,47391.418004,21 HCPCS,24560,CLTX HUM EPCNDYLR FX WO MNPJ,,,304.7915,910.522998,21 HCPCS,24565,CLTX HUM EPCNDYLR FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,24566,PRQ SKEL FIX EPCNDYLR HUM FX,,,2033.4809,5935.579307,21 HCPCS,24575,OPTX HUMERAL EPCNDYLR FX,,,16348.5815,47391.418004,21 HCPCS,24576,CLTX HUMRL CNDYLR FX WO MNPJ,,,304.7915,910.522998,21 HCPCS,24577,CLTX HUMRL CNDYLR FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,24579,OPTX HUMRL CNDYLR FRACTURE,,,16348.5815,47391.418004,21 HCPCS,24582,PRQ SKEL FIX HUMRL CNDYLR FX,,,9076.8233,26784.860767,21 HCPCS,24586,OPTX PARTCLR FX&/DISLC ELBOW,,,16348.5815,47391.418004,21 HCPCS,24587,OPTX PARTCLR FX&/DSLC ELBW W,,,16348.5815,47391.418004,21 HCPCS,24600,TX CLSD ELBOW DISLC W/O ANES,,,304.7915,910.522998,21 HCPCS,24605,TX CLSD ELBOW DISLC REQ ANES,,,2033.4809,5935.579307,21 HCPCS,24615,OPTX AQT/CHRNC ELBOW DISLC,,,9076.8233,26784.860767,21 HCPCS,24620,CLTX MONTEGGIA FX DISLC ELBW,,,2033.4809,5935.579307,21 HCPCS,24635,OPTX MONTEGGIA FX DISLC ELBW,,,9076.8233,26784.860767,21 HCPCS,24640,CLTX RDL HEAD SUBLXTJ NRSEMD,,,304.7915,910.522998,21 HCPCS,24650,CLTX RDL HEAD/NCK FX WO MNPJ,,,304.7915,910.522998,21 HCPCS,24655,CLTX RDL HEAD/NCK FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,24665,OPTX RADIAL HEAD/NECK FX,,,9076.8233,26784.860767,21 HCPCS,24666,OPTX RADIAL HEAD/NCK FX RPLC,,,16348.5815,47391.418004,21 HCPCS,24670,CLTX ULNAR FX PROX W/O MNPJ,,,304.7915,910.522998,21 HCPCS,24675,CLTX ULNAR FX PROX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,24685,OPTX ULNAR FX PROX END W/FIX,,,5997.45,26784.860767,23 HCPCS,24800,ARTHRODESIS ELBW JOINT LOCAL,,,9076.8233,26784.860767,21 HCPCS,24802,ARTHRD ELBOW JT AUTOG GRAFT,,,16348.5815,47391.418004,21 HCPCS,24900,AMPUTATION OF UPPER ARM,,,16512.6892,47391.418004,10 HCPCS,24920,AMPUTATION OF UPPER ARM,,,16512.6892,47391.418004,10 HCPCS,24925,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,24930,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,24931,AMPUTATE UPPER ARM & IMPLANT,,,16512.6892,47391.418004,10 HCPCS,24935,REVISION OF AMPUTATION,,,9076.8233,26784.860767,21 HCPCS,24940,REVISION OF UPPER ARM,,,16512.6892,47391.418004,10 HCPCS,24999,UNLISTED PX HUMERUS/ELBOW,,,304.7915,910.522998,21 HCPCS,25000,INCISION OF TENDON SHEATH,,,2033.4809,7998.44,23 HCPCS,25001,INCISE FLEXOR CARPI RADIALIS,,,4122.6015,12077.93293,21 HCPCS,25020,DECOMPRESS FOREARM 1 SPACE,,,2033.4809,12077.93293,42 HCPCS,25023,DECOMPRESS FOREARM 1 SPACE,,,2033.4809,12077.93293,42 HCPCS,25024,DECOMPRESS FOREARM 2 SPACES,,,2033.4809,12077.93293,42 HCPCS,25025,DECOMPRESS FOREARM 2 SPACES,,,2033.4809,12077.93293,42 HCPCS,25028,I&D F/ARM&/WRST DP ABSC/HMTM,,,4122.6015,12077.93293,21 HCPCS,25031,I&D FOREARM&/WRIST BURSA,,,2033.4809,5935.579307,21 HCPCS,25035,INC DP BONE CRTX F/ARM&/WRST,,,9076.8233,26784.860767,21 HCPCS,25040,ARTHRT RDCRPL/MIDCARPL JT,,,4122.6015,12077.93293,21 HCPCS,25065,BIOPSY FOREARM SOFT TISSUES,,,2058.6769,10722.174778,42 HCPCS,25066,BIOPSY FOREARM SOFT TISSUES,,,2058.6769,10722.174778,42 HCPCS,25071,EXC FOREARM LES SC 3 CM/>,,,2058.6769,6096.540387,22 HCPCS,25073,EXC FOREARM TUM DEEP 3 CM/>,,,3636.5207,10722.174778,21 HCPCS,25075,EXC FOREARM LES SC < 3 CM,,,2058.6769,6096.540387,21 HCPCS,25076,EXC FOREARM TUM DEEP < 3 CM,,,2058.6769,6096.540387,21 HCPCS,25077,RESECT FOREARM/WRIST TUM<3CM,,,3636.5207,10722.174778,21 HCPCS,25078,RESECT FORARM/WRIST TUM 3CM>,,,3636.5207,10722.174778,21 HCPCS,25085,INCISION OF WRIST CAPSULE,,,4122.6015,12077.93293,21 HCPCS,25100,BIOPSY OF WRIST JOINT,,,4122.6015,12077.93293,21 HCPCS,25101,EXPLORE/TREAT WRIST JOINT,,,4122.6015,12077.93293,21 HCPCS,25105,REMOVE WRIST JOINT LINING,,,4122.6015,12077.93293,21 HCPCS,25107,REMOVE WRIST JOINT CARTILAGE,,,4122.6015,12077.93293,21 HCPCS,25109,EXCISE TENDON FOREARM/WRIST,,,4122.6015,12077.93293,21 HCPCS,25110,REMOVE WRIST TENDON LESION,,,2033.4809,5997.45,22 HCPCS,25111,REMOVE WRIST TENDON LESION,,,2033.4809,5997.45,22 HCPCS,25112,REREMOVE WRIST TENDON LESION,,,2033.4809,5935.579307,21 HCPCS,25115,REMOVE WRIST/FOREARM LESION,,,2033.4809,12077.93293,42 HCPCS,25116,REMOVE WRIST/FOREARM LESION,,,2033.4809,12077.93293,42 HCPCS,25118,EXCISE WRIST TENDON SHEATH,,,2033.4809,5935.579307,21 HCPCS,25119,PARTIAL REMOVAL OF ULNA,,,4122.6015,12077.93293,21 HCPCS,25120,REMOVAL OF FOREARM LESION,,,4122.6015,12077.93293,21 HCPCS,25125,REMOVE/GRAFT FOREARM LESION,,,2033.4809,12077.93293,42 HCPCS,25126,REMOVE/GRAFT FOREARM LESION,,,2033.4809,12077.93293,42 HCPCS,25130,REMOVAL OF WRIST LESION,,,4122.6015,12077.93293,21 HCPCS,25135,REMOVE & GRAFT WRIST LESION,,,9076.8233,26784.860767,22 HCPCS,25136,REMOVE & GRAFT WRIST LESION,,,9076.8233,26784.860767,22 HCPCS,25145,REMOVE FOREARM BONE LESION,,,4122.6015,12077.93293,21 HCPCS,25150,PARTIAL REMOVAL OF ULNA,,,4122.6015,12077.93293,21 HCPCS,25151,PARTIAL REMOVAL OF RADIUS,,,4122.6015,12077.93293,21 HCPCS,25170,RESECT RADIUS/ULNAR TUMOR,,,9076.8233,26784.860767,21 HCPCS,25210,REMOVAL OF WRIST BONE,,,4122.6015,12077.93293,21 HCPCS,25215,REMOVAL OF WRIST BONES,,,4122.6015,12077.93293,21 HCPCS,25230,PARTIAL REMOVAL OF RADIUS,,,4122.6015,12077.93293,21 HCPCS,25240,PARTIAL REMOVAL OF ULNA,,,4122.6015,12077.93293,21 HCPCS,25248,REMOVE FOREARM FOREIGN BODY,,,2033.4809,5935.579307,21 HCPCS,25250,REMOVAL OF WRIST PROSTHESIS,,,2033.4809,12077.93293,42 HCPCS,25251,REMOVAL OF WRIST PROSTHESIS,,,2033.4809,12077.93293,42 HCPCS,25259,MANIPULATE WRIST W/ANESTHES,,,2033.4809,5935.579307,21 HCPCS,25260,REPAIR FOREARM TENDON/MUSCLE,,,4122.6015,26784.860767,42 HCPCS,25263,REPAIR FOREARM TENDON/MUSCLE,,,4122.6015,26784.860767,42 HCPCS,25265,REPAIR FOREARM TENDON/MUSCLE,,,4122.6015,26784.860767,42 HCPCS,25270,REPAIR FOREARM TENDON/MUSCLE,,,4122.6015,26784.860767,42 HCPCS,25272,REPAIR FOREARM TENDON/MUSCLE,,,4122.6015,26784.860767,42 HCPCS,25274,REPAIR FOREARM TENDON/MUSCLE,,,4122.6015,26784.860767,42 HCPCS,25275,REPAIR FOREARM TENDON SHEATH,,,4122.6015,12077.93293,21 HCPCS,25280,REVISE WRIST/FOREARM TENDON,,,4122.6015,12077.93293,22 HCPCS,25290,INCISE WRIST/FOREARM TENDON,,,4122.6015,12077.93293,21 HCPCS,25295,RELEASE WRIST/FOREARM TENDON,,,4122.6015,12077.93293,21 HCPCS,25300,FUSION OF TENDONS AT WRIST,,,4122.6015,12077.93293,21 HCPCS,25301,FUSION OF TENDONS AT WRIST,,,4122.6015,12077.93293,21 HCPCS,25310,TRANSPLANT FOREARM TENDON,,,4122.6015,12077.93293,22 HCPCS,25312,TRANSPLANT FOREARM TENDON,,,4122.6015,12077.93293,22 HCPCS,25315,REVISE PALSY HAND TENDON(S),,,9076.8233,26784.860767,21 HCPCS,25316,REVISE PALSY HAND TENDON(S),,,9076.8233,26784.860767,21 HCPCS,25320,REPAIR/REVISE WRIST JOINT,,,9076.8233,26784.860767,21 HCPCS,25332,REVISE WRIST JOINT,,,4122.6015,12077.93293,21 HCPCS,25335,CENTRALIZATION WRIST ON ULNA,,,4122.6015,12077.93293,21 HCPCS,25337,RECONSTRUCT ULNA/RADIOULNAR,,,9076.8233,26784.860767,21 HCPCS,25350,REVISION OF RADIUS,,,4122.6015,26784.860767,42 HCPCS,25355,REVISION OF RADIUS,,,4122.6015,26784.860767,42 HCPCS,25360,REVISION OF ULNA,,,9076.8233,26784.860767,21 HCPCS,25365,REVISE RADIUS & ULNA,,,4122.6015,47391.418004,42 HCPCS,25370,REVISE RADIUS OR ULNA,,,4122.6015,12077.93293,21 HCPCS,25375,REVISE RADIUS & ULNA,,,4122.6015,47391.418004,42 HCPCS,25390,SHORTEN RADIUS OR ULNA,,,9076.8233,26784.860767,21 HCPCS,25391,LENGTHEN RADIUS OR ULNA,,,16348.5815,47391.418004,21 HCPCS,25392,SHORTEN RADIUS & ULNA,,,9076.8233,26784.860767,21 HCPCS,25393,LENGTHEN RADIUS & ULNA,,,9076.8233,26784.860767,21 HCPCS,25394,REPAIR CARPAL BONE SHORTEN,,,4122.6015,12077.93293,21 HCPCS,25400,REPAIR RADIUS OR ULNA,,,7998.44,26784.860767,22 HCPCS,25405,REPAIR/GRAFT RADIUS OR ULNA,,,9076.8233,26784.860767,21 HCPCS,25415,REPAIR RADIUS & ULNA,,,9076.8233,26784.860767,21 HCPCS,25420,REPAIR/GRAFT RADIUS & ULNA,,,4122.6015,26784.860767,42 HCPCS,25425,REPAIR/GRAFT RADIUS OR ULNA,,,9076.8233,26784.860767,21 HCPCS,25426,REPAIR/GRAFT RADIUS & ULNA,,,4122.6015,26784.860767,42 HCPCS,25430,VASC GRAFT INTO CARPAL BONE,,,4122.6015,12077.93293,21 HCPCS,25431,REPAIR NONUNION CARPAL BONE,,,9076.8233,26784.860767,21 HCPCS,25440,REPAIR NONU SCPHD CARPL B1,,,9076.8233,26784.860767,22 HCPCS,25441,ARTHRP W/PROSTC DSTL RDS,,,16348.5815,47391.418004,21 HCPCS,25442,ARTHRP W/PROSTC DSTL ULNA,,,22551.4185,64722.571095,21 HCPCS,25443,ARTHRP PROSTC DSTL SCPH CRPL,,,9076.8233,26784.860767,21 HCPCS,25444,ARTHRP W/PROSTC LUNATE,,,16348.5815,47391.418004,21 HCPCS,25445,ARTHRP W/PROSTC TRAPEZIUM,,,9076.8233,26784.860767,21 HCPCS,25446,ARTHRP W/PROSTC DST RDS&CRPS,,,22551.4185,64722.571095,21 HCPCS,25447,ARTHRP NTRCRP/CRP/MTCR NTRPS,,,4122.6015,12077.93293,22 HCPCS,25448,ARTHRP NTRCRPL/CRP/MTCRP SSP,,,4122.6015,12077.93293,19 HCPCS,25449,REVJ ARTHRP WRIST JOINT,,,9076.8233,26784.860767,21 HCPCS,25450,EPIPHYSL ARRST DSTL RDS/ULNA,,,4122.6015,12077.93293,21 HCPCS,25455,EPIPHYSL ARRST DSTL RDS&ULNA,,,4122.6015,12077.93293,21 HCPCS,25490,PROPHYLACTIC TX RADIUS,,,9076.8233,26784.860767,21 HCPCS,25491,PROPHYLACTIC TX ULNA,,,16348.5815,47391.418004,21 HCPCS,25492,PROPHYLACTIC TX RADIUS&ULNA,,,4122.6015,12077.93293,21 HCPCS,25500,CLTX RDL SHFT FX W/O MNPJ,,,304.7915,910.522998,21 HCPCS,25505,CLTX RDL SHFT FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,25515,OPTX RADIAL SHAFT FRACTURE,,,9076.8233,26784.860767,21 HCPCS,25520,CLTX RDL SHFT FX&DISLC,,,2033.4809,5935.579307,21 HCPCS,25525,OPTX RDL SHFT FX&CLTX RAD/UL,,,9076.8233,26784.860767,21 HCPCS,25526,OPTX RDL SHFT FX&DSTL RAD/UL,,,9076.8233,26784.860767,21 HCPCS,25530,CLTX ULNAR SHFT FX W/O MNPJ,,,304.7915,910.522998,21 HCPCS,25535,CLTX ULNAR SHFT FX W/MNPJ,,,304.7915,910.522998,21 HCPCS,25545,OPTX ULNAR SHFT FX INT FIXJ,,,7998.44,26784.860767,22 HCPCS,25560,CLTX RDL&ULN SHFT FX WO MNPJ,,,304.7915,910.522998,21 HCPCS,25565,CLTX RDL&ULN SHFT FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,25574,OPTX RDL&ULN SHFT FX RDS/ULN,,,9076.8233,26784.860767,21 HCPCS,25575,OPTX RDL&ULN SHFT FX RDS&ULN,,,7998.44,26784.860767,22 HCPCS,25600,CLTX DST RDL FX/EPHYS SEP WO,,,304.7915,910.522998,21 HCPCS,25605,CLTX DST RDL FX/EPHYS SEP W/,,,2033.4809,5935.579307,21 HCPCS,25606,PERQ SKEL FIXJ DSTL RDL FX,,,4122.6015,12077.93293,21 HCPCS,25607,OPTX DST RD XARTC FX/EPI SEP,,,9076.8233,26784.860767,22 HCPCS,25608,OPTX DST RD XART FX/EPI SEP2,,,8431.03,26784.860767,22 HCPCS,25609,OPTX DST RD XART FX/EP SEP3+,,,8431.03,26784.860767,24 HCPCS,25622,CLTX CARPL SCPHD FX W/O MNPJ,,,304.7915,910.522998,21 HCPCS,25624,CLTX CARPL SCPHD FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,25628,OPTX CARPL SCPHD FX INT FIXJ,,,9076.8233,26784.860767,21 HCPCS,25630,CLTX CARPL FX W/O MNPJ EA B1,,,304.7915,910.522998,21 HCPCS,25635,CLTX CARPL FX W/MNPJ EA B1,,,2033.4809,5935.579307,21 HCPCS,25645,OPTX CRPL FX OTH/THN SCPH EA,,,4122.6015,12077.93293,21 HCPCS,25650,CLTX ULNAR STYLOID FRACTURE,,,304.7915,910.522998,21 HCPCS,25651,PERQ SKEL FIX ULNAR STYLD FX,,,4122.6015,12077.93293,21 HCPCS,25652,OPTX ULNAR STYLOID FRACTURE,,,9076.8233,26784.860767,21 HCPCS,25660,CLTX RDCRPL/NTRCRPL DISLC 1+,,,304.7915,910.522998,21 HCPCS,25670,OPTX RDCRPL/NTRCRPL DISLC 1+,,,9076.8233,26784.860767,21 HCPCS,25671,PERQ SKEL FIX RAD/ULN DISLC,,,4122.6015,12077.93293,21 HCPCS,25675,CLTX DSTL RAD/ULN DISLC MNPJ,,,304.7915,910.522998,21 HCPCS,25676,OPTX RAD/ULN DISLC AQT/CHRNC,,,9076.8233,26784.860767,21 HCPCS,25680,CLTX TRNS-SCPHPRLNR FX MNPJ,,,304.7915,910.522998,21 HCPCS,25685,OPTX TRNS-SCPHPRLNR FX DISLC,,,9076.8233,26784.860767,21 HCPCS,25690,CLTX LUNATE DISLC W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,25695,OPTX LUNATE DISLOCATION,,,9076.8233,26784.860767,21 HCPCS,25800,ARTHRD WRIST COMPLETE WO GRF,,,9076.8233,26784.860767,21 HCPCS,25805,ARTHRD WRIST W/SLIDING GRAFT,,,9076.8233,26784.860767,21 HCPCS,25810,ARTHRD WRST ILIAC/OTH AGRFT,,,16348.5815,47391.418004,21 HCPCS,25820,ARTHRD WRIST LMTD W/O B1 GRF,,,9076.8233,26784.860767,21 HCPCS,25825,ARTHRD WRIST WITH AUTOGRAFT,,,9076.8233,26784.860767,21 HCPCS,25830,ARTHRD DST RAD/UL JT SGM RSC,,,9076.8233,26784.860767,21 HCPCS,25900,AMPUTATION OF FOREARM,,,9332.7041,26784.860767,10 HCPCS,25905,AMPUTATION OF FOREARM,,,9332.7041,26784.860767,10 HCPCS,25907,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,25909,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,25915,AMPUTATION OF FOREARM,,,9332.7041,26784.860767,10 HCPCS,25920,AMPUTATE HAND AT WRIST,,,2033.4809,12077.93293,31 HCPCS,25922,AMPUTATE HAND AT WRIST,,,2033.4809,12077.93293,31 HCPCS,25924,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,25927,AMPUTATION OF HAND,,,4208.339,12077.93293,10 HCPCS,25929,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,25931,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,25999,UNLISTED PX FOREARM/WRIST,,,304.7915,910.522998,21 HCPCS,26010,DRAINAGE OF FINGER ABSCESS,,,252.4682,6096.540387,42 HCPCS,26011,DRAINAGE OF FINGER ABSCESS,,,252.4682,6096.540387,42 HCPCS,26020,DRAIN HAND TENDON SHEATH,,,4122.6015,12077.93293,21 HCPCS,26025,DRAINAGE OF PALM BURSA,,,4122.6015,12077.93293,21 HCPCS,26030,DRAINAGE OF PALM BURSAS,,,4122.6015,12077.93293,21 HCPCS,26034,TREAT HAND BONE LESION,,,2033.4809,5935.579307,21 HCPCS,26035,DECOMPRESS FINGERS/HAND,,,4122.6015,12077.93293,21 HCPCS,26037,DECOMPRESS FINGERS/HAND,,,4122.6015,12077.93293,21 HCPCS,26040,RELEASE PALM CONTRACTURE,,,2033.4809,12077.93293,43 HCPCS,26045,RELEASE PALM CONTRACTURE,,,2033.4809,12077.93293,43 HCPCS,26055,INCISE FINGER TENDON SHEATH,,,2033.4809,5935.579307,21 HCPCS,26060,INCISION OF FINGER TENDON,,,2033.4809,5935.579307,21 HCPCS,26070,EXPLORE/TREAT HAND JOINT,,,2033.4809,5935.579307,21 HCPCS,26075,EXPLORE/TREAT FINGER JOINT,,,2033.4809,12077.93293,42 HCPCS,26080,EXPLORE/TREAT FINGER JOINT,,,2033.4809,12077.93293,42 HCPCS,26100,BIOPSY HAND JOINT LINING,,,4122.6015,12077.93293,21 HCPCS,26105,BIOPSY FINGER JOINT LINING,,,2033.4809,12077.93293,42 HCPCS,26110,BIOPSY FINGER JOINT LINING,,,2033.4809,12077.93293,42 HCPCS,26111,EXC HAND LES SC 1.5 CM/>,,,2058.6769,6096.540387,22 HCPCS,26113,EXC HAND TUM DEEP 1.5 CM/>,,,2058.6769,6096.540387,21 HCPCS,26115,EXC HAND LES SC < 1.5 CM,,,2058.6769,6096.540387,21 HCPCS,26116,EXC HAND TUM DEEP < 1.5 CM,,,2058.6769,6998.63,22 HCPCS,26117,RAD RESECT HAND TUMOR < 3 CM,,,3636.5207,10722.174778,21 HCPCS,26118,RAD RESECT HAND TUMOR 3 CM/>,,,3636.5207,10722.174778,21 HCPCS,26121,RELEASE PALM CONTRACTURE,,,2033.4809,12077.93293,43 HCPCS,26123,RELEASE PALM CONTRACTURE,,,2033.4809,12077.93293,43 HCPCS,26130,REMOVE WRIST JOINT LINING,,,4122.6015,12077.93293,21 HCPCS,26135,REVISE FINGER JOINT EACH,,,2033.4809,12077.93293,42 HCPCS,26140,REVISE FINGER JOINT EACH,,,2033.4809,12077.93293,42 HCPCS,26145,TENDON EXCISION PALM/FINGER,,,2033.4809,5935.579307,21 HCPCS,26160,REMOVE TENDON SHEATH LESION,,,2033.4809,7998.44,22 HCPCS,26170,REMOVAL OF PALM TENDON EACH,,,2033.4809,5935.579307,21 HCPCS,26180,REMOVAL OF FINGER TENDON,,,2033.4809,5935.579307,21 HCPCS,26185,REMOVE FINGER BONE,,,2033.4809,5935.579307,21 HCPCS,26200,REMOVE HAND BONE LESION,,,2033.4809,5935.579307,21 HCPCS,26205,REMOVE/GRAFT BONE LESION,,,9076.8233,26784.860767,21 HCPCS,26210,REMOVAL OF FINGER LESION,,,2033.4809,5935.579307,21 HCPCS,26215,REMOVE/GRAFT FINGER LESION,,,4122.6015,12077.93293,21 HCPCS,26230,PARTIAL REMOVAL OF HAND BONE,,,4122.6015,12077.93293,21 HCPCS,26235,PARTIAL REMOVAL FINGER BONE,,,2033.4809,5935.579307,21 HCPCS,26236,PARTIAL REMOVAL FINGER BONE,,,2033.4809,5935.579307,21 HCPCS,26250,EXTENSIVE HAND SURGERY,,,4122.6015,12077.93293,21 HCPCS,26260,RESECT PROX FINGER TUMOR,,,4122.6015,12077.93293,21 HCPCS,26262,RESECT DISTAL FINGER TUMOR,,,2033.4809,5935.579307,21 HCPCS,26320,REMOVAL OF IMPLANT FROM HAND,,,2058.6769,6096.540387,21 HCPCS,26340,MANIPULATE FINGER W/ANESTH,,,2033.4809,5935.579307,21 HCPCS,26341,MANIPULAT PALM CORD POST INJ,,,304.7915,910.522998,21 HCPCS,26350,REPAIR FINGER/HAND TENDON,,,4122.6015,12077.93293,22 HCPCS,26352,REPAIR/GRAFT HAND TENDON,,,4122.6015,26784.860767,42 HCPCS,26356,REPAIR FINGER/HAND TENDON,,,4122.6015,12077.93293,22 HCPCS,26357,REPAIR FINGER/HAND TENDON,,,4122.6015,12077.93293,22 HCPCS,26358,REPAIR/GRAFT HAND TENDON,,,4122.6015,26784.860767,42 HCPCS,26370,REPAIR FINGER/HAND TENDON,,,4122.6015,12077.93293,22 HCPCS,26372,REPAIR/GRAFT HAND TENDON,,,4122.6015,26784.860767,42 HCPCS,26373,REPAIR FINGER/HAND TENDON,,,4122.6015,12077.93293,22 HCPCS,26390,REVISE HAND/FINGER TENDON,,,9076.8233,26784.860767,21 HCPCS,26392,REPAIR/GRAFT HAND TENDON,,,4122.6015,26784.860767,42 HCPCS,26410,REPAIR HAND TENDON,,,2033.4809,5935.579307,21 HCPCS,26412,REPAIR/GRAFT HAND TENDON,,,4122.6015,26784.860767,42 HCPCS,26415,EXCISION HAND/FINGER TENDON,,,4122.6015,12077.93293,21 HCPCS,26416,GRAFT HAND OR FINGER TENDON,,,4122.6015,12077.93293,21 HCPCS,26418,REPAIR FINGER TENDON,,,2033.4809,12077.93293,42 HCPCS,26420,REPAIR/GRAFT FINGER TENDON,,,4122.6015,12077.93293,21 HCPCS,26426,REPAIR FINGER/HAND TENDON,,,4122.6015,12077.93293,22 HCPCS,26428,REPAIR/GRAFT FINGER TENDON,,,4122.6015,12077.93293,21 HCPCS,26432,REPAIR FINGER TENDON,,,2033.4809,12077.93293,42 HCPCS,26433,REPAIR FINGER TENDON,,,2033.4809,12077.93293,42 HCPCS,26434,REPAIR/GRAFT FINGER TENDON,,,4122.6015,12077.93293,21 HCPCS,26437,REALIGNMENT OF TENDONS,,,4122.6015,12077.93293,21 HCPCS,26440,RELEASE PALM/FINGER TENDON,,,2033.4809,5997.45,22 HCPCS,26442,RELEASE PALM & FINGER TENDON,,,4122.6015,12077.93293,21 HCPCS,26445,RELEASE HAND/FINGER TENDON,,,4122.6015,12077.93293,21 HCPCS,26449,RELEASE FOREARM/HAND TENDON,,,4122.6015,12077.93293,21 HCPCS,26450,INCISION OF PALM TENDON,,,4122.6015,12077.93293,21 HCPCS,26455,INCISION OF FINGER TENDON,,,2033.4809,5935.579307,21 HCPCS,26460,INCISE HAND/FINGER TENDON,,,2033.4809,5935.579307,21 HCPCS,26471,FUSION OF FINGER TENDONS,,,2033.4809,12077.93293,42 HCPCS,26474,FUSION OF FINGER TENDONS,,,2033.4809,12077.93293,42 HCPCS,26476,TENDON LENGTHENING,,,4122.6015,12077.93293,21 HCPCS,26477,TENDON SHORTENING,,,4122.6015,12077.93293,21 HCPCS,26478,LENGTHENING OF HAND TENDON,,,4122.6015,12077.93293,21 HCPCS,26479,SHORTENING OF HAND TENDON,,,4122.6015,12077.93293,21 HCPCS,26480,TRANSPLANT HAND TENDON,,,4122.6015,12077.93293,22 HCPCS,26483,TRANSPLANT/GRAFT HAND TENDON,,,4122.6015,12077.93293,21 HCPCS,26485,TRANSPLANT PALM TENDON,,,4122.6015,12077.93293,21 HCPCS,26489,TRANSPLANT/GRAFT PALM TENDON,,,4122.6015,12077.93293,21 HCPCS,26490,REVISE THUMB TENDON,,,4122.6015,12077.93293,21 HCPCS,26492,TENDON TRANSFER WITH GRAFT,,,4122.6015,12077.93293,21 HCPCS,26494,HAND TENDON/MUSCLE TRANSFER,,,4122.6015,12077.93293,21 HCPCS,26496,REVISE THUMB TENDON,,,4122.6015,12077.93293,21 HCPCS,26497,FINGER TENDON TRANSFER,,,4122.6015,12077.93293,21 HCPCS,26498,FINGER TENDON TRANSFER,,,4122.6015,12077.93293,21 HCPCS,26499,CORRECTION CLAW FINGER OTHER,,,4122.6015,12077.93293,21 HCPCS,26500,HAND TENDON RECONSTRUCTION,,,4122.6015,26784.860767,43 HCPCS,26502,HAND TENDON RECONSTRUCTION,,,4122.6015,26784.860767,43 HCPCS,26508,RELEASE THUMB CONTRACTURE,,,4122.6015,12077.93293,21 HCPCS,26510,THUMB TENDON TRANSFER,,,4122.6015,12077.93293,21 HCPCS,26516,FUSION OF KNUCKLE JOINT,,,4122.6015,12077.93293,21 HCPCS,26517,FUSION OF KNUCKLE JOINTS,,,4122.6015,26784.860767,42 HCPCS,26518,FUSION OF KNUCKLE JOINTS,,,4122.6015,26784.860767,42 HCPCS,26520,RELEASE KNUCKLE CONTRACTURE,,,4122.6015,12077.93293,21 HCPCS,26525,RELEASE FINGER CONTRACTURE,,,2033.4809,5935.579307,21 HCPCS,26530,REVISE KNUCKLE JOINT,,,9076.8233,26784.860767,21 HCPCS,26531,REVISE KNUCKLE WITH IMPLANT,,,9076.8233,26784.860767,21 HCPCS,26535,REVISE FINGER JOINT,,,4122.6015,12077.93293,21 HCPCS,26536,REVISE/IMPLANT FINGER JOINT,,,9076.8233,26784.860767,21 HCPCS,26540,REPAIR HAND JOINT,,,4122.6015,12077.93293,23 HCPCS,26541,REPAIR HAND JOINT WITH GRAFT,,,4122.6015,12077.93293,21 HCPCS,26542,REPAIR HAND JOINT WITH GRAFT,,,4122.6015,12077.93293,21 HCPCS,26545,RECONSTRUCT FINGER JOINT,,,4122.6015,12077.93293,21 HCPCS,26546,REPAIR NONUNION HAND,,,9076.8233,26784.860767,22 HCPCS,26548,RECONSTRUCT FINGER JOINT,,,4122.6015,12077.93293,21 HCPCS,26550,POLLICIZATION DIGIT,,,4122.6015,12077.93293,21 HCPCS,26551,GREAT TOE-HAND TRANSFER,,,9332.7041,26784.860767,10 HCPCS,26553,SINGLE TRANSFER TOE-HAND,,,9332.7041,26784.860767,10 HCPCS,26554,DOUBLE TRANSFER TOE-HAND,,,9332.7041,26784.860767,10 HCPCS,26555,POSITIONAL CHANGE OF FINGER,,,9076.8233,26784.860767,21 HCPCS,26556,TOE JOINT TRANSFER,,,9332.7041,26784.860767,10 HCPCS,26560,REPAIR OF WEB FINGER,,,2033.4809,12077.93293,42 HCPCS,26561,REPAIR OF WEB FINGER,,,2033.4809,12077.93293,42 HCPCS,26562,REPAIR OF WEB FINGER,,,2033.4809,12077.93293,42 HCPCS,26565,CORRECT METACARPAL FLAW,,,4122.6015,12077.93293,21 HCPCS,26567,CORRECT FINGER DEFORMITY,,,4122.6015,12077.93293,21 HCPCS,26568,LENGTHEN METACARPAL/FINGER,,,9076.8233,26784.860767,21 HCPCS,26580,REPAIR CLEFT HAND,,,4122.6015,12077.93293,21 HCPCS,26587,RECONSTRUCT EXTRA FINGER,,,4122.6015,12077.93293,21 HCPCS,26590,REPAIR FINGER DEFORMITY,,,2033.4809,5935.579307,21 HCPCS,26591,REPAIR MUSCLES OF HAND,,,4122.6015,12077.93293,21 HCPCS,26593,RELEASE MUSCLES OF HAND,,,4122.6015,12077.93293,21 HCPCS,26596,EXCISION CONSTRICTING TISSUE,,,4122.6015,12077.93293,21 HCPCS,26600,TREAT METACARPAL FRACTURE,,,304.7915,12077.93293,42 HCPCS,26605,TREAT METACARPAL FRACTURE,,,304.7915,12077.93293,42 HCPCS,26607,TREAT METACARPAL FRACTURE,,,304.7915,12077.93293,42 HCPCS,26608,TREAT METACARPAL FRACTURE,,,304.7915,12077.93293,42 HCPCS,26615,TREAT METACARPAL FRACTURE,,,304.7915,12077.93293,42 HCPCS,26641,TREAT THUMB DISLOCATION,,,304.7915,910.522998,21 HCPCS,26645,TREAT THUMB FRACTURE,,,2033.4809,12077.93293,42 HCPCS,26650,TREAT THUMB FRACTURE,,,2033.4809,12077.93293,42 HCPCS,26665,TREAT THUMB FRACTURE,,,2033.4809,12077.93293,42 HCPCS,26670,TREAT HAND DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26675,TREAT HAND DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26676,PIN HAND DISLOCATION,,,4122.6015,12077.93293,21 HCPCS,26685,TREAT HAND DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26686,TREAT HAND DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26700,TREAT KNUCKLE DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26705,TREAT KNUCKLE DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26706,PIN KNUCKLE DISLOCATION,,,4122.6015,12077.93293,21 HCPCS,26715,TREAT KNUCKLE DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26720,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26725,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26727,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26735,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26740,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26742,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26746,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26750,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26755,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26756,PIN FINGER FRACTURE EACH,,,4122.6015,12077.93293,23 HCPCS,26765,TREAT FINGER FRACTURE EACH,,,304.7915,12077.93293,65 HCPCS,26770,TREAT FINGER DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26775,TREAT FINGER DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26776,PIN FINGER DISLOCATION,,,4122.6015,12077.93293,21 HCPCS,26785,TREAT FINGER DISLOCATION,,,304.7915,12077.93293,63 HCPCS,26820,THUMB FUSION WITH GRAFT,,,9076.8233,26784.860767,21 HCPCS,26841,FUSION OF THUMB,,,9076.8233,26784.860767,21 HCPCS,26842,THUMB FUSION WITH GRAFT,,,9076.8233,26784.860767,21 HCPCS,26843,FUSION OF HAND JOINT,,,9076.8233,26784.860767,21 HCPCS,26844,FUSION/GRAFT OF HAND JOINT,,,9076.8233,26784.860767,21 HCPCS,26850,FUSION OF KNUCKLE,,,9076.8233,26784.860767,21 HCPCS,26852,FUSION OF KNUCKLE WITH GRAFT,,,9076.8233,26784.860767,21 HCPCS,26860,FUSION OF FINGER JOINT,,,4122.6015,12077.93293,21 HCPCS,26862,FUSION/GRAFT OF FINGER JOINT,,,4122.6015,12077.93293,21 HCPCS,26910,AMPUTATE METACARPAL BONE,,,4122.6015,12077.93293,21 HCPCS,26951,AMPUTATION OF FINGER/THUMB,,,4122.6015,12077.93293,21 HCPCS,26989,UNLISTED PX HANDS/FINGERS,,,304.7915,910.522998,21 HCPCS,26990,DRAINAGE OF PELVIS LESION,,,4122.6015,12077.93293,21 HCPCS,26991,DRAINAGE OF PELVIS BURSA,,,2033.4809,5935.579307,21 HCPCS,26992,DRAINAGE OF BONE LESION,,,4208.339,12077.93293,10 HCPCS,27000,TENOTOMY ADDUCTOR HIP PERQ,,,2033.4809,5935.579307,21 HCPCS,27001,TENOTOMY ADDUCTOR HIP OPEN,,,4122.6015,12077.93293,21 HCPCS,27003,TNOT ADDUCTR SUBQ OPN NEURCT,,,9076.8233,26784.860767,21 HCPCS,27005,TENOTOMY HIP FLEXOR OPEN,,,4208.339,12077.93293,10 HCPCS,27006,TENOTOMY ABDUCTOR&/XTNSR HIP,,,4122.6015,12077.93293,21 HCPCS,27025,FASCIOTOMY HIP/THIGH ANY TYP,,,4208.339,12077.93293,10 HCPCS,27027,DCMPRN FASCT PEL COMPARTMENT,,,9076.8233,26784.860767,21 HCPCS,27030,ARTHROTOMY HIP W/DRAINAGE,,,9332.7041,26784.860767,10 HCPCS,27033,ARTHRT HIP EXPL/RMV LOOSE/FB,,,9076.8233,26784.860767,21 HCPCS,27035,DENERVATION OF HIP JOINT,,,4122.6015,12077.93293,21 HCPCS,27036,CAPSULECTOMY/CAPSULOTOMY HIP,,,9332.7041,26784.860767,10 HCPCS,27040,BIOPSY OF SOFT TISSUES,,,2058.6769,6096.540387,21 HCPCS,27041,BIOPSY OF SOFT TISSUES,,,2058.6769,6096.540387,21 HCPCS,27043,EXC HIP PELVIS LES SC 3 CM/>,,,3636.5207,10722.174778,21 HCPCS,27045,EXC HIP/PELV TUM DEEP 5 CM/>,,,3636.5207,10722.174778,22 HCPCS,27047,EXC HIP/PELVIS LES SC < 3 CM,,,3636.5207,10722.174778,21 HCPCS,27048,EXC HIP/PELV TUM DEEP < 5 CM,,,3636.5207,10722.174778,21 HCPCS,27049,RESECT HIP/PELV TUM < 5 CM,,,3636.5207,10722.174778,21 HCPCS,27050,BIOPSY OF SACROILIAC JOINT,,,2033.4809,5935.579307,21 HCPCS,27052,BIOPSY OF HIP JOINT,,,2033.4809,5935.579307,21 HCPCS,27054,REMOVAL OF HIP JOINT LINING,,,4208.339,12077.93293,10 HCPCS,27057,BUTTOCK FASCIOTOMY W/DBRDMT,,,2033.4809,5935.579307,21 HCPCS,27059,RESECT HIP/PELV TUM 5 CM/>,,,3636.5207,10722.174778,21 HCPCS,27060,REMOVAL OF ISCHIAL BURSA,,,9076.8233,26784.860767,21 HCPCS,27062,REMOVE FEMUR LESION/BURSA,,,4122.6015,12077.93293,21 HCPCS,27065,REMOVE HIP BONE LES SUPER,,,9076.8233,26784.860767,21 HCPCS,27066,REMOVE HIP BONE LES DEEP,,,4122.6015,12077.93293,21 HCPCS,27067,REMOVE/GRAFT HIP BONE LESION,,,9076.8233,26784.860767,21 HCPCS,27070,PART REMOVE HIP BONE SUPER,,,4208.339,12077.93293,10 HCPCS,27071,PART REMOVAL HIP BONE DEEP,,,4208.339,12077.93293,10 HCPCS,27075,RESECT HIP TUMOR,,,9332.7041,26784.860767,10 HCPCS,27076,RESECT HIP TUM INCL ACETABUL,,,9332.7041,26784.860767,10 HCPCS,27077,RESECT HIP TUM W/INNOM BONE,,,9332.7041,26784.860767,10 HCPCS,27078,RSECT HIP TUM INCL FEMUR,,,9332.7041,26784.860767,10 HCPCS,27080,REMOVAL OF TAIL BONE,,,4122.6015,12077.93293,21 HCPCS,27086,REMOVE HIP FOREIGN BODY,,,3636.5207,12077.93293,42 HCPCS,27087,REMOVE HIP FOREIGN BODY,,,3636.5207,12077.93293,42 HCPCS,27090,REMOVAL OF HIP PROSTHESIS,,,9332.7041,47391.418004,20 HCPCS,27091,REMOVAL OF HIP PROSTHESIS,,,9332.7041,47391.418004,20 HCPCS,27096,INJECT SACROILIAC JOINT,,,3921.41,5229.75,2 HCPCS,27097,REVISION OF HIP TENDON,,,4122.6015,12077.93293,21 HCPCS,27098,TRANSFER TENDON TO PELVIS,,,4122.6015,12077.93293,21 HCPCS,27100,TRANSFER OF ABDOMINAL MUSCLE,,,9076.8233,26784.860767,21 HCPCS,27105,TRANSFER OF SPINAL MUSCLE,,,4122.6015,12077.93293,21 HCPCS,27110,TRANSFER OF ILIOPSOAS MUSCLE,,,4122.6015,26784.860767,42 HCPCS,27111,TRANSFER OF ILIOPSOAS MUSCLE,,,4122.6015,26784.860767,42 HCPCS,27120,RECONSTRUCTION OF HIP SOCKET,,,9332.7041,47391.418004,20 HCPCS,27122,RECONSTRUCTION OF HIP SOCKET,,,9332.7041,47391.418004,20 HCPCS,27125,PARTIAL HIP REPLACEMENT,,,16512.6892,47391.418004,10 HCPCS,27130,TOTAL HIP ARTHROPLASTY,,,5997.45,47391.418004,24 HCPCS,27132,TOTAL HIP ARTHROPLASTY,,,5997.45,47391.418004,24 HCPCS,27134,REVISE HIP JOINT REPLACEMENT,,,16512.6892,47391.418004,10 HCPCS,27137,REVISE HIP JOINT REPLACEMENT,,,16512.6892,47391.418004,10 HCPCS,27138,REVISE HIP JOINT REPLACEMENT,,,16512.6892,47391.418004,10 HCPCS,27140,TRANSPLANT FEMUR RIDGE,,,9332.7041,26784.860767,10 HCPCS,27146,INCISION OF HIP BONE,,,5997.45,26784.860767,11 HCPCS,27147,REVISION OF HIP BONE,,,9332.7041,26784.860767,10 HCPCS,27151,INCISION OF HIP BONES,,,9332.7041,26784.860767,10 HCPCS,27156,REVISION OF HIP BONES,,,9332.7041,26784.860767,10 HCPCS,27158,REVISION OF PELVIS,,,9332.7041,26784.860767,10 HCPCS,27161,INCISION OF NECK OF FEMUR,,,9332.7041,26784.860767,10 HCPCS,27165,INCISION/FIXATION OF FEMUR,,,9332.7041,26784.860767,10 HCPCS,27170,REPAIR/GRAFT FEMUR HEAD/NECK,,,9332.7041,26784.860767,10 HCPCS,27175,TREAT SLIPPED EPIPHYSIS,,,4208.339,26784.860767,20 HCPCS,27176,TREAT SLIPPED EPIPHYSIS,,,4208.339,26784.860767,20 HCPCS,27177,TREAT SLIPPED EPIPHYSIS,,,4208.339,26784.860767,20 HCPCS,27178,TREAT SLIPPED EPIPHYSIS,,,4208.339,26784.860767,20 HCPCS,27179,REVISE HEAD/NECK OF FEMUR,,,9076.8233,26784.860767,21 HCPCS,27181,TREAT SLIPPED EPIPHYSIS,,,4208.339,26784.860767,20 HCPCS,27185,REVISION OF FEMUR EPIPHYSIS,,,4208.339,12077.93293,10 HCPCS,27187,REINFORCE HIP BONES,,,9332.7041,26784.860767,10 HCPCS,27197,CLSD TX PELVIC RING FX,,,304.7915,910.522998,21 HCPCS,27198,CLSD TX PELVIC RING FX,,,304.7915,910.522998,21 HCPCS,27200,TREAT TAIL BONE FRACTURE,,,304.7915,12077.93293,42 HCPCS,27202,TREAT TAIL BONE FRACTURE,,,304.7915,12077.93293,42 HCPCS,27220,TREAT HIP SOCKET FRACTURE,,,304.7915,910.522998,21 HCPCS,27222,TREAT HIP SOCKET FRACTURE,,,304.7915,910.522998,21 HCPCS,27226,TREAT HIP WALL FRACTURE,,,9332.7041,26784.860767,10 HCPCS,27227,TREAT HIP FRACTURE(S),,,9332.7041,26784.860767,10 HCPCS,27228,TREAT HIP FRACTURE(S),,,9332.7041,26784.860767,10 HCPCS,27230,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27232,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27235,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27236,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27238,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27240,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27244,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27245,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27246,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27248,TREAT THIGH FRACTURE,,,304.7915,26784.860767,63 HCPCS,27250,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27252,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27253,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27254,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27256,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27257,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27258,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27259,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27265,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27266,TREAT HIP DISLOCATION,,,304.7915,26784.860767,62 HCPCS,27267,CLTX THIGH FX,,,4122.6015,12077.93293,21 HCPCS,27268,CLTX THIGH FX W/MNPJ,,,2068.1461,5935.579307,10 HCPCS,27269,OPTX THIGH FX,,,8431.03,26784.860767,11 HCPCS,27275,MANIPULATION OF HIP JOINT,,,2033.4809,5935.579307,21 HCPCS,27278,ARTHRD SI JT PLMT IARTIC DEV,,,22551.4185,64722.571095,21 HCPCS,27279,ARTHRD SI JT PLMT TARTCLR DV,,,22551.4185,64722.571095,21 HCPCS,27280,ARTHR SI JT OPN B1GRF INSTRM,,,22551.4185,64722.571095,10 HCPCS,27282,ARTHRODESIS SYMPHYSIS PUBIS,,,4208.339,12077.93293,10 HCPCS,27284,ARTHRODESIS HIP JOINT,,,16512.6892,47391.418004,10 HCPCS,27286,ARTHRD HIP JT SBTRCHC OSTEOT,,,16512.6892,47391.418004,10 HCPCS,27290,AMPUTATION OF LEG AT HIP,,,22551.4185,64722.571095,10 HCPCS,27295,AMPUTATION OF LEG AT HIP,,,22551.4185,64722.571095,10 HCPCS,27299,UNLISTED PX PELVIS/HIP JOINT,,,304.7915,910.522998,21 HCPCS,27301,DRAIN THIGH/KNEE LESION,,,3636.5207,10722.174778,21 HCPCS,27303,DRAINAGE OF BONE LESION,,,4208.339,12077.93293,10 HCPCS,27305,INCISE THIGH TENDON & FASCIA,,,4122.6015,12077.93293,21 HCPCS,27306,INCISION OF THIGH TENDON,,,4122.6015,12077.93293,21 HCPCS,27307,INCISION OF THIGH TENDONS,,,4122.6015,12077.93293,21 HCPCS,27310,EXPLORATION OF KNEE JOINT,,,4122.6015,12077.93293,21 HCPCS,27323,BIOPSY THIGH SOFT TISSUES,,,2058.6769,10722.174778,42 HCPCS,27324,BIOPSY THIGH SOFT TISSUES,,,2058.6769,10722.174778,42 HCPCS,27325,NEURECTOMY HAMSTRING,,,2481.1896,7208.093109,21 HCPCS,27326,NEURECTOMY POPLITEAL,,,2481.1896,7208.093109,21 HCPCS,27327,EXC THIGH/KNEE LES SC < 3 CM,,,2058.6769,6096.540387,21 HCPCS,27328,EXC THIGH/KNEE TUM DEEP <5CM,,,3636.5207,10722.174778,21 HCPCS,27329,RESECT THIGH/KNEE TUM < 5 CM,,,3636.5207,10722.174778,21 HCPCS,27330,BIOPSY KNEE JOINT LINING,,,4122.6015,12077.93293,21 HCPCS,27331,EXPLORE/TREAT KNEE JOINT,,,4122.6015,12077.93293,21 HCPCS,27332,REMOVAL OF KNEE CARTILAGE,,,4122.6015,12077.93293,21 HCPCS,27333,REMOVAL OF KNEE CARTILAGE,,,4122.6015,12077.93293,21 HCPCS,27334,REMOVE KNEE JOINT LINING,,,4122.6015,26784.860767,42 HCPCS,27335,REMOVE KNEE JOINT LINING,,,4122.6015,26784.860767,42 HCPCS,27337,EXC THIGH/KNEE LES SC 3 CM/>,,,3636.5207,10722.174778,23 HCPCS,27339,EXC THIGH/KNEE TUM DEP 5CM/>,,,3636.5207,10722.174778,23 HCPCS,27340,REMOVAL OF KNEECAP BURSA,,,4122.6015,12077.93293,22 HCPCS,27345,REMOVAL OF KNEE CYST,,,4122.6015,12077.93293,22 HCPCS,27347,REMOVE KNEE CYST,,,4122.6015,12077.93293,22 HCPCS,27350,REMOVAL OF KNEECAP,,,9076.8233,26784.860767,21 HCPCS,27355,REMOVE FEMUR LESION,,,4122.6015,12077.93293,22 HCPCS,27356,REMOVE FEMUR LESION/GRAFT,,,9076.8233,47391.418004,42 HCPCS,27357,REMOVE FEMUR LESION/GRAFT,,,9076.8233,47391.418004,42 HCPCS,27360,PARTIAL REMOVAL LEG BONE(S),,,4122.6015,12077.93293,21 HCPCS,27364,RESECT THIGH/KNEE TUM 5 CM/>,,,3636.5207,10722.174778,23 HCPCS,27365,RESECT FEMUR/KNEE TUMOR,,,4208.339,12077.93293,10 HCPCS,27372,REMOVAL OF FOREIGN BODY,,,3636.5207,10722.174778,21 HCPCS,27380,REPAIR OF KNEECAP TENDON,,,9076.8233,26784.860767,21 HCPCS,27381,REPAIR/GRAFT KNEECAP TENDON,,,9076.8233,26784.860767,21 HCPCS,27385,REPAIR OF THIGH MUSCLE,,,9076.8233,26784.860767,21 HCPCS,27386,REPAIR/GRAFT OF THIGH MUSCLE,,,9076.8233,26784.860767,21 HCPCS,27390,INCISION OF THIGH TENDON,,,4122.6015,12077.93293,21 HCPCS,27391,INCISION OF THIGH TENDONS,,,4122.6015,12077.93293,21 HCPCS,27392,INCISION OF THIGH TENDONS,,,4122.6015,12077.93293,21 HCPCS,27393,LENGTHENING OF THIGH TENDON,,,9076.8233,26784.860767,21 HCPCS,27394,LENGTHENING OF THIGH TENDONS,,,4122.6015,26784.860767,42 HCPCS,27395,LENGTHENING OF THIGH TENDONS,,,4122.6015,26784.860767,42 HCPCS,27396,TRANSPLANT OF THIGH TENDON,,,9076.8233,26784.860767,21 HCPCS,27397,TRANSPLANTS OF THIGH TENDONS,,,9076.8233,26784.860767,21 HCPCS,27400,REVISE THIGH MUSCLES/TENDONS,,,9076.8233,26784.860767,21 HCPCS,27403,REPAIR OF KNEE CARTILAGE,,,9076.8233,26784.860767,21 HCPCS,27405,REPAIR OF KNEE LIGAMENT,,,9076.8233,26784.860767,21 HCPCS,27407,REPAIR OF KNEE LIGAMENT,,,9076.8233,26784.860767,21 HCPCS,27409,REPAIR OF KNEE LIGAMENTS,,,9076.8233,26784.860767,21 HCPCS,27412,AUTOCHONDROCYTE IMPLANT KNEE,,,9076.8233,26784.860767,22 HCPCS,27415,OSTEOCHONDRAL KNEE ALLOGRAFT,,,16348.5815,47391.418004,22 HCPCS,27416,OSTEOCHONDRAL KNEE AUTOGRAFT,,,9076.8233,26784.860767,21 HCPCS,27418,REPAIR DEGENERATED KNEECAP,,,9076.8233,26784.860767,21 HCPCS,27420,REVISION OF UNSTABLE KNEECAP,,,9076.8233,26784.860767,22 HCPCS,27422,REVISION OF UNSTABLE KNEECAP,,,9076.8233,26784.860767,22 HCPCS,27424,REVISION/REMOVAL OF KNEECAP,,,9076.8233,26784.860767,21 HCPCS,27425,LAT RETINACULAR RELEASE OPEN,,,4122.6015,12077.93293,21 HCPCS,27427,RECONSTRUCTION KNEE,,,9076.8233,47391.418004,42 HCPCS,27428,RECONSTRUCTION KNEE,,,9076.8233,47391.418004,42 HCPCS,27429,RECONSTRUCTION KNEE,,,9076.8233,47391.418004,42 HCPCS,27430,REVISION OF THIGH MUSCLES,,,9076.8233,26784.860767,21 HCPCS,27435,INCISION OF KNEE JOINT,,,4122.6015,12077.93293,21 HCPCS,27437,REVISE KNEECAP,,,9076.8233,26784.860767,21 HCPCS,27438,REVISE KNEECAP WITH IMPLANT,,,16348.5815,47391.418004,21 HCPCS,27440,REVISION OF KNEE JOINT,,,16348.5815,47391.418004,22 HCPCS,27441,REVISION OF KNEE JOINT,,,16348.5815,47391.418004,22 HCPCS,27442,REVISION OF KNEE JOINT,,,16348.5815,47391.418004,22 HCPCS,27443,REVISION OF KNEE JOINT,,,16348.5815,47391.418004,22 HCPCS,27446,REVISION OF KNEE JOINT,,,16348.5815,47391.418004,22 HCPCS,27447,TOTAL KNEE ARTHROPLASTY,,,5997.45,47391.418004,24 HCPCS,27448,INCISION OF THIGH,,,9332.7041,26784.860767,10 HCPCS,27450,INCISION OF THIGH,,,9332.7041,26784.860767,10 HCPCS,27454,REALIGNMENT OF THIGH BONE,,,9332.7041,26784.860767,10 HCPCS,27455,REALIGNMENT OF KNEE,,,9332.7041,26784.860767,10 HCPCS,27457,REALIGNMENT OF KNEE,,,9332.7041,26784.860767,10 HCPCS,27458,OSTEOT FEMUR IMED LNGTH DEV,,,9332.7041,26784.860767,10 HCPCS,27465,SHORTENING OF THIGH BONE,,,9332.7041,26784.860767,10 HCPCS,27466,LENGTHENING OF THIGH BONE,,,9332.7041,26784.860767,10 HCPCS,27470,REPAIR OF THIGH,,,9332.7041,26784.860767,10 HCPCS,27472,REPAIR/GRAFT OF THIGH,,,9332.7041,26784.860767,10 HCPCS,27475,SURGERY TO STOP LEG GROWTH,,,5229.75,26784.860767,22 HCPCS,27477,SURGERY TO STOP LEG GROWTH,,,5229.75,26784.860767,22 HCPCS,27479,SURGERY TO STOP LEG GROWTH,,,5229.75,26784.860767,22 HCPCS,27485,SURGERY TO STOP LEG GROWTH,,,5229.75,26784.860767,22 HCPCS,27486,REVISE/REPLACE KNEE JOINT,,,9890.38,64722.571095,21 HCPCS,27487,REVISE/REPLACE KNEE JOINT,,,9890.38,64722.571095,21 HCPCS,27488,REMOVAL OF KNEE PROSTHESIS,,,16512.6892,47391.418004,10 HCPCS,27495,REINFORCE THIGH,,,9332.7041,26784.860767,10 HCPCS,27496,DECOMPRESSION OF THIGH/KNEE,,,2033.4809,26784.860767,63 HCPCS,27497,DECOMPRESSION OF THIGH/KNEE,,,2033.4809,26784.860767,63 HCPCS,27498,DECOMPRESSION OF THIGH/KNEE,,,2033.4809,26784.860767,63 HCPCS,27499,DECOMPRESSION OF THIGH/KNEE,,,2033.4809,26784.860767,63 HCPCS,27500,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27501,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27502,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27503,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27506,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27507,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27508,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27509,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27510,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27511,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27513,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27514,TREATMENT OF THIGH FRACTURE,,,304.7915,47391.418004,74 HCPCS,27516,TREAT THIGH FX GROWTH PLATE,,,304.7915,26784.860767,52 HCPCS,27517,TREAT THIGH FX GROWTH PLATE,,,304.7915,26784.860767,52 HCPCS,27519,TREAT THIGH FX GROWTH PLATE,,,304.7915,26784.860767,52 HCPCS,27520,TREAT KNEECAP FRACTURE,,,304.7915,26784.860767,42 HCPCS,27524,TREAT KNEECAP FRACTURE,,,304.7915,26784.860767,42 HCPCS,27530,TREAT KNEE FRACTURE,,,304.7915,26784.860767,52 HCPCS,27532,TREAT KNEE FRACTURE,,,304.7915,26784.860767,52 HCPCS,27535,TREAT KNEE FRACTURE,,,304.7915,26784.860767,52 HCPCS,27536,TREAT KNEE FRACTURE,,,304.7915,26784.860767,52 HCPCS,27538,TREAT KNEE FRACTURE(S),,,304.7915,910.522998,21 HCPCS,27540,TREAT KNEE FRACTURE,,,304.7915,26784.860767,52 HCPCS,27550,TREAT KNEE DISLOCATION,,,304.7915,26784.860767,52 HCPCS,27552,TREAT KNEE DISLOCATION,,,304.7915,26784.860767,52 HCPCS,27556,TREAT KNEE DISLOCATION,,,304.7915,26784.860767,52 HCPCS,27557,TREAT KNEE DISLOCATION,,,304.7915,26784.860767,52 HCPCS,27558,TREAT KNEE DISLOCATION,,,304.7915,26784.860767,52 HCPCS,27560,TREAT KNEECAP DISLOCATION,,,304.7915,26784.860767,42 HCPCS,27562,TREAT KNEECAP DISLOCATION,,,304.7915,26784.860767,42 HCPCS,27566,TREAT KNEECAP DISLOCATION,,,304.7915,26784.860767,42 HCPCS,27570,FIXATION OF KNEE JOINT,,,2033.4809,5935.579307,21 HCPCS,27580,FUSION OF KNEE,,,16512.6892,47391.418004,10 HCPCS,27590,AMPUTATE LEG AT THIGH,,,4208.339,12077.93293,10 HCPCS,27591,AMPUTATE LEG AT THIGH,,,4208.339,12077.93293,10 HCPCS,27592,AMPUTATE LEG AT THIGH,,,4208.339,12077.93293,10 HCPCS,27594,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,27596,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,27598,AMPUTATE LOWER LEG AT KNEE,,,4208.339,12077.93293,10 HCPCS,27599,UNLISTED PX FEMUR/KNEE,,,304.7915,910.522998,21 HCPCS,27600,DECOMPRESSION OF LOWER LEG,,,4122.6015,12077.93293,21 HCPCS,27601,DECOMPRESSION OF LOWER LEG,,,4122.6015,12077.93293,21 HCPCS,27602,DECOMPRESSION OF LOWER LEG,,,4122.6015,12077.93293,21 HCPCS,27603,DRAIN LOWER LEG LESION,,,3636.5207,10722.174778,21 HCPCS,27604,DRAIN LOWER LEG BURSA,,,4122.6015,12077.93293,21 HCPCS,27605,INCISION OF ACHILLES TENDON,,,2033.4809,12077.93293,42 HCPCS,27606,INCISION OF ACHILLES TENDON,,,2033.4809,12077.93293,42 HCPCS,27607,TREAT LOWER LEG BONE LESION,,,4122.6015,12077.93293,21 HCPCS,27610,EXPLORE/TREAT ANKLE JOINT,,,4122.6015,12077.93293,21 HCPCS,27612,EXPLORATION OF ANKLE JOINT,,,4122.6015,12077.93293,21 HCPCS,27613,BIOPSY LOWER LEG SOFT TISSUE,,,2058.6769,10722.174778,42 HCPCS,27614,BIOPSY LOWER LEG SOFT TISSUE,,,2058.6769,10722.174778,42 HCPCS,27615,RESECT LEG/ANKLE TUM < 5 CM,,,3636.5207,10722.174778,21 HCPCS,27616,RESECT LEG/ANKLE TUM 5 CM/>,,,3636.5207,10722.174778,22 HCPCS,27618,EXC LEG/ANKLE TUM < 3 CM,,,2058.6769,6096.540387,21 HCPCS,27619,EXC LEG/ANKLE TUM DEEP <5 CM,,,3636.5207,10722.174778,21 HCPCS,27620,EXPLORE/TREAT ANKLE JOINT,,,4122.6015,12077.93293,21 HCPCS,27625,REMOVE ANKLE JOINT LINING,,,4122.6015,12077.93293,21 HCPCS,27626,REMOVE ANKLE JOINT LINING,,,4122.6015,12077.93293,21 HCPCS,27630,REMOVAL OF TENDON LESION,,,4122.6015,12077.93293,21 HCPCS,27632,EXC LEG/ANKLE LES SC 3 CM/>,,,3636.5207,10722.174778,21 HCPCS,27634,EXC LEG/ANKLE TUM DEP 5 CM/>,,,3636.5207,10722.174778,22 HCPCS,27635,REMOVE LOWER LEG BONE LESION,,,4122.6015,12077.93293,21 HCPCS,27637,REMOVE/GRAFT LEG BONE LESION,,,7998.44,26784.860767,22 HCPCS,27638,REMOVE/GRAFT LEG BONE LESION,,,7998.44,26784.860767,22 HCPCS,27640,PARTIAL REMOVAL OF TIBIA,,,4122.6015,12077.93293,21 HCPCS,27641,PARTIAL REMOVAL OF FIBULA,,,4122.6015,12077.93293,21 HCPCS,27645,RESECT TIBIA TUMOR,,,4208.339,12077.93293,10 HCPCS,27646,RESECT FIBULA TUMOR,,,4208.339,12077.93293,10 HCPCS,27647,RESECT TALUS/CALCANEUS TUM,,,4122.6015,12077.93293,21 HCPCS,27650,REPAIR ACHILLES TENDON,,,9076.8233,26784.860767,21 HCPCS,27652,REPAIR/GRAFT ACHILLES TENDON,,,9076.8233,26784.860767,21 HCPCS,27654,REPAIR OF ACHILLES TENDON,,,9076.8233,26784.860767,21 HCPCS,27656,REPAIR LEG FASCIA DEFECT,,,4122.6015,12077.93293,21 HCPCS,27658,REPAIR OF LEG TENDON EACH,,,4122.6015,26784.860767,42 HCPCS,27659,REPAIR OF LEG TENDON EACH,,,4122.6015,26784.860767,42 HCPCS,27664,REPAIR OF LEG TENDON EACH,,,4122.6015,26784.860767,42 HCPCS,27665,REPAIR OF LEG TENDON EACH,,,4122.6015,26784.860767,42 HCPCS,27675,REPAIR LOWER LEG TENDONS,,,4122.6015,26784.860767,42 HCPCS,27676,REPAIR LOWER LEG TENDONS,,,4122.6015,26784.860767,42 HCPCS,27680,RELEASE OF LOWER LEG TENDON,,,4122.6015,12077.93293,21 HCPCS,27681,RELEASE OF LOWER LEG TENDONS,,,4122.6015,12077.93293,21 HCPCS,27685,REVISION OF LOWER LEG TENDON,,,4122.6015,12077.93293,23 HCPCS,27686,REVISE LOWER LEG TENDONS,,,4122.6015,12077.93293,21 HCPCS,27687,REVISION OF CALF TENDON,,,4122.6015,12077.93293,22 HCPCS,27690,REVISE LOWER LEG TENDON,,,7416.07,26784.860767,22 HCPCS,27691,REVISE LOWER LEG TENDON,,,7416.07,26784.860767,22 HCPCS,27695,REPAIR OF ANKLE LIGAMENT,,,9076.8233,26784.860767,21 HCPCS,27696,REPAIR OF ANKLE LIGAMENTS,,,9076.8233,26784.860767,21 HCPCS,27698,REPAIR OF ANKLE LIGAMENT,,,9076.8233,26784.860767,21 HCPCS,27700,REVISION OF ANKLE JOINT,,,9076.8233,26784.860767,21 HCPCS,27702,RECONSTRUCT ANKLE JOINT,,,23366.3975,100159.802533,21 HCPCS,27703,RECONSTRUCTION ANKLE JOINT,,,22551.4185,64722.571095,10 HCPCS,27704,REMOVAL OF ANKLE IMPLANT,,,4122.6015,12077.93293,21 HCPCS,27705,OSTEOTOMY TIBIA,,,9076.8233,26784.860767,21 HCPCS,27707,OSTEOTOMY FIBULA,,,4122.6015,12077.93293,21 HCPCS,27709,OSTEOTOMY TIBIA & FIBULA,,,16348.5815,47391.418004,21 HCPCS,27712,OSTEOT MLT RELIGNMT IMED ROD,,,16512.6892,47391.418004,10 HCPCS,27713,OSTEOT TIBIA IMED LNGTH DEV,,,9332.7041,26784.860767,10 HCPCS,27715,OSTPL TIBFIB LNGTH/SHRT,,,16512.6892,47391.418004,10 HCPCS,27720,REPAIR OF TIBIA,,,9076.8233,26784.860767,21 HCPCS,27722,REPAIR/GRAFT OF TIBIA,,,9076.8233,26784.860767,21 HCPCS,27724,REPAIR/GRAFT OF TIBIA,,,9076.8233,26784.860767,21 HCPCS,27725,REPAIR OF LOWER LEG,,,4208.339,26784.860767,20 HCPCS,27726,REPAIR FIBULA NONUNION,,,9076.8233,26784.860767,21 HCPCS,27727,REPAIR OF LOWER LEG,,,4208.339,26784.860767,20 HCPCS,27730,REPAIR OF TIBIA EPIPHYSIS,,,4122.6015,12077.93293,21 HCPCS,27732,REPAIR OF FIBULA EPIPHYSIS,,,4122.6015,12077.93293,21 HCPCS,27734,REPAIR LOWER LEG EPIPHYSES,,,4122.6015,12077.93293,21 HCPCS,27740,REPAIR OF LEG EPIPHYSES,,,4122.6015,12077.93293,21 HCPCS,27742,REPAIR OF LEG EPIPHYSES,,,4122.6015,12077.93293,21 HCPCS,27745,REINFORCE TIBIA,,,9076.8233,26784.860767,21 HCPCS,27750,TREATMENT OF TIBIA FRACTURE,,,304.7915,47391.418004,85 HCPCS,27752,TREATMENT OF TIBIA FRACTURE,,,304.7915,47391.418004,85 HCPCS,27756,TREATMENT OF TIBIA FRACTURE,,,304.7915,47391.418004,85 HCPCS,27758,TREATMENT OF TIBIA FRACTURE,,,304.7915,47391.418004,85 HCPCS,27759,TREATMENT OF TIBIA FRACTURE,,,304.7915,47391.418004,85 HCPCS,27760,CLTX MEDIAL ANKLE FX,,,304.7915,910.522998,21 HCPCS,27762,CLTX MED ANKLE FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,27766,OPTX MEDIAL ANKLE FX,,,9076.8233,26784.860767,21 HCPCS,27767,CLTX POST ANKLE FX,,,304.7915,910.522998,21 HCPCS,27768,CLTX POST ANKLE FX W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,27769,OPTX POST ANKLE FX,,,9076.8233,26784.860767,21 HCPCS,27780,TREATMENT OF FIBULA FRACTURE,,,304.7915,26784.860767,63 HCPCS,27781,TREATMENT OF FIBULA FRACTURE,,,304.7915,26784.860767,63 HCPCS,27784,TREATMENT OF FIBULA FRACTURE,,,304.7915,26784.860767,63 HCPCS,27786,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27788,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27792,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27808,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27810,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27814,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27816,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27818,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27822,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27823,TREATMENT OF ANKLE FRACTURE,,,304.7915,26784.860767,63 HCPCS,27824,TREAT LOWER LEG FRACTURE,,,304.7915,47391.418004,84 HCPCS,27825,TREAT LOWER LEG FRACTURE,,,304.7915,47391.418004,84 HCPCS,27826,TREAT LOWER LEG FRACTURE,,,304.7915,47391.418004,84 HCPCS,27827,TREAT LOWER LEG FRACTURE,,,304.7915,47391.418004,84 HCPCS,27828,TREAT LOWER LEG FRACTURE,,,304.7915,47391.418004,84 HCPCS,27829,TREAT LOWER LEG JOINT,,,9076.8233,26784.860767,21 HCPCS,27830,TREAT LOWER LEG DISLOCATION,,,304.7915,26784.860767,63 HCPCS,27831,TREAT LOWER LEG DISLOCATION,,,304.7915,26784.860767,63 HCPCS,27832,TREAT LOWER LEG DISLOCATION,,,304.7915,26784.860767,63 HCPCS,27840,TREAT ANKLE DISLOCATION,,,304.7915,26784.860767,63 HCPCS,27842,TREAT ANKLE DISLOCATION,,,304.7915,26784.860767,63 HCPCS,27846,TREAT ANKLE DISLOCATION,,,304.7915,26784.860767,63 HCPCS,27848,TREAT ANKLE DISLOCATION,,,304.7915,26784.860767,63 HCPCS,27860,FIXATION OF ANKLE JOINT,,,4122.6015,12077.93293,21 HCPCS,27870,FUSION OF ANKLE JOINT OPEN,,,16348.5815,47391.418004,21 HCPCS,27871,FUSION OF TIBIOFIBULAR JOINT,,,16348.5815,47391.418004,21 HCPCS,27880,AMPUTATION OF LOWER LEG,,,4208.339,26784.860767,20 HCPCS,27881,AMPUTATION OF LOWER LEG,,,4208.339,26784.860767,20 HCPCS,27882,AMPUTATION OF LOWER LEG,,,4208.339,26784.860767,20 HCPCS,27884,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,27886,AMPUTATION FOLLOW-UP SURGERY,,,2324.2196,26784.860767,63 HCPCS,27888,AMPUTATION OF FOOT AT ANKLE,,,4208.339,12077.93293,10 HCPCS,27889,ANKLE DISARTICULATION,,,9076.8233,26784.860767,21 HCPCS,27892,DECOMPRESSION OF LEG,,,4122.6015,26784.860767,42 HCPCS,27893,DECOMPRESSION OF LEG,,,4122.6015,26784.860767,42 HCPCS,27894,DECOMPRESSION OF LEG,,,4122.6015,26784.860767,42 HCPCS,27899,UNLISTED PX LEG/ANKLE,,,304.7915,910.522998,21 HCPCS,28001,DRAINAGE OF BURSA OF FOOT,,,2058.6769,6096.540387,21 HCPCS,28002,TREATMENT OF FOOT INFECTION,,,2033.4809,12077.93293,42 HCPCS,28003,TREATMENT OF FOOT INFECTION,,,2033.4809,12077.93293,42 HCPCS,28005,TREAT FOOT BONE LESION,,,4122.6015,12077.93293,21 HCPCS,28008,INCISION OF FOOT FASCIA,,,4122.6015,12077.93293,21 HCPCS,28010,INCISION OF TOE TENDON,,,2033.4809,5997.45,22 HCPCS,28011,INCISION OF TOE TENDONS,,,2033.4809,5935.579307,21 HCPCS,28020,EXPLORATION OF FOOT JOINT,,,4122.6015,12077.93293,21 HCPCS,28022,EXPLORATION OF FOOT JOINT,,,4122.6015,12077.93293,21 HCPCS,28024,EXPLORATION OF TOE JOINT,,,2033.4809,5935.579307,21 HCPCS,28035,DECOMPRESSION OF TIBIA NERVE,,,2481.1896,7208.093109,21 HCPCS,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,,,3636.5207,10722.174778,21 HCPCS,28041,EXC FOOT/TOE TUM DEP 1.5CM/>,,,3636.5207,10722.174778,21 HCPCS,28043,EXC FOOT/TOE TUM SC < 1.5 CM,,,2058.6769,6096.540387,21 HCPCS,28045,EXC FOOT/TOE TUM DEEP <1.5CM,,,3636.5207,10722.174778,21 HCPCS,28046,RESECT FOOT/TOE TUMOR < 3 CM,,,3636.5207,10722.174778,21 HCPCS,28047,RESECT FOOT/TOE TUMOR 3 CM/>,,,3636.5207,10722.174778,21 HCPCS,28050,BIOPSY OF FOOT JOINT LINING,,,4122.6015,12077.93293,21 HCPCS,28052,BIOPSY OF FOOT JOINT LINING,,,4122.6015,12077.93293,21 HCPCS,28054,BIOPSY OF TOE JOINT LINING,,,4122.6015,12077.93293,21 HCPCS,28055,NEURECTOMY FOOT,,,2481.1896,7208.093109,21 HCPCS,28060,PARTIAL REMOVAL FOOT FASCIA,,,4122.6015,12077.93293,21 HCPCS,28062,REMOVAL OF FOOT FASCIA,,,4122.6015,12077.93293,21 HCPCS,28070,REMOVAL OF FOOT JOINT LINING,,,4122.6015,26784.860767,42 HCPCS,28072,REMOVAL OF FOOT JOINT LINING,,,4122.6015,26784.860767,42 HCPCS,28080,REMOVAL OF FOOT LESION,,,2033.4809,12077.93293,43 HCPCS,28086,EXCISE FOOT TENDON SHEATH,,,4122.6015,12077.93293,21 HCPCS,28088,EXCISE FOOT TENDON SHEATH,,,4122.6015,12077.93293,21 HCPCS,28090,REMOVAL OF FOOT LESION,,,2033.4809,12077.93293,43 HCPCS,28092,REMOVAL OF TOE LESIONS,,,2033.4809,5997.45,22 HCPCS,28100,REMOVAL OF ANKLE/HEEL LESION,,,4122.6015,12077.93293,21 HCPCS,28102,REMOVE/GRAFT FOOT LESION,,,9076.8233,26784.860767,21 HCPCS,28103,REMOVE/GRAFT FOOT LESION,,,9076.8233,26784.860767,21 HCPCS,28104,REMOVAL OF FOOT LESION,,,2033.4809,12077.93293,43 HCPCS,28106,REMOVE/GRAFT FOOT LESION,,,9076.8233,26784.860767,21 HCPCS,28107,REMOVE/GRAFT FOOT LESION,,,9076.8233,26784.860767,21 HCPCS,28108,REMOVAL OF TOE LESIONS,,,2033.4809,5997.45,22 HCPCS,28110,PART REMOVAL OF METATARSAL,,,4122.6015,12077.93293,22 HCPCS,28111,PART REMOVAL OF METATARSAL,,,4122.6015,12077.93293,22 HCPCS,28112,PART REMOVAL OF METATARSAL,,,4122.6015,12077.93293,22 HCPCS,28113,PART REMOVAL OF METATARSAL,,,4122.6015,12077.93293,22 HCPCS,28114,REMOVAL OF METATARSAL HEADS,,,4122.6015,12077.93293,21 HCPCS,28116,REVISION OF FOOT,,,4122.6015,12077.93293,21 HCPCS,28118,REMOVAL OF HEEL BONE,,,4122.6015,12077.93293,21 HCPCS,28119,REMOVAL OF HEEL SPUR,,,4122.6015,12077.93293,21 HCPCS,28120,PART REMOVAL OF ANKLE/HEEL,,,4122.6015,12077.93293,21 HCPCS,28122,PARTIAL REMOVAL OF FOOT BONE,,,4122.6015,12077.93293,21 HCPCS,28124,PARTIAL REMOVAL OF TOE,,,4122.6015,12077.93293,21 HCPCS,28126,PARTIAL REMOVAL OF TOE,,,4122.6015,12077.93293,21 HCPCS,28130,REMOVAL OF ANKLE BONE,,,9076.8233,26784.860767,21 HCPCS,28140,REMOVAL OF METATARSAL,,,4122.6015,12077.93293,21 HCPCS,28150,REMOVAL OF TOE,,,4122.6015,12077.93293,21 HCPCS,28153,PARTIAL REMOVAL OF TOE,,,4122.6015,12077.93293,21 HCPCS,28160,PARTIAL REMOVAL OF TOE,,,4122.6015,12077.93293,21 HCPCS,28171,RESECT TARSAL TUMOR,,,4122.6015,12077.93293,21 HCPCS,28173,RESECT METATARSAL TUMOR,,,4122.6015,12077.93293,21 HCPCS,28175,RESECT PHALANX OF TOE TUMOR,,,2033.4809,5935.579307,21 HCPCS,28190,REMOVAL OF FOOT FOREIGN BODY,,,893.9815,6096.540387,42 HCPCS,28192,REMOVAL OF FOOT FOREIGN BODY,,,893.9815,6096.540387,42 HCPCS,28193,REMOVAL OF FOOT FOREIGN BODY,,,893.9815,6096.540387,42 HCPCS,28200,REPAIR OF FOOT TENDON,,,4122.6015,12077.93293,21 HCPCS,28202,REPAIR/GRAFT OF FOOT TENDON,,,9076.8233,26784.860767,21 HCPCS,28208,REPAIR OF FOOT TENDON,,,4122.6015,12077.93293,21 HCPCS,28210,REPAIR/GRAFT OF FOOT TENDON,,,9076.8233,26784.860767,21 HCPCS,28220,RELEASE OF FOOT TENDON,,,2033.4809,12077.93293,42 HCPCS,28222,RELEASE OF FOOT TENDONS,,,4122.6015,12077.93293,21 HCPCS,28225,RELEASE OF FOOT TENDON,,,2033.4809,12077.93293,42 HCPCS,28226,RELEASE OF FOOT TENDONS,,,4122.6015,12077.93293,21 HCPCS,28230,INCISION OF FOOT TENDON(S),,,2033.4809,5935.579307,21 HCPCS,28232,INCISION OF TOE TENDON,,,2033.4809,5997.45,22 HCPCS,28234,INCISION OF FOOT TENDON,,,2033.4809,5935.579307,21 HCPCS,28238,REVISION OF FOOT TENDON,,,2033.4809,26784.860767,42 HCPCS,28240,RELEASE OF BIG TOE,,,4122.6015,12077.93293,21 HCPCS,28250,REVISION OF FOOT FASCIA,,,4122.6015,12077.93293,21 HCPCS,28260,RELEASE OF MIDFOOT JOINT,,,2033.4809,12077.93293,42 HCPCS,28261,REVISION OF FOOT TENDON,,,2033.4809,26784.860767,42 HCPCS,28262,REVISION OF FOOT AND ANKLE,,,9076.8233,26784.860767,21 HCPCS,28264,RELEASE OF MIDFOOT JOINT,,,2033.4809,12077.93293,42 HCPCS,28270,RELEASE OF FOOT CONTRACTURE,,,4122.6015,12077.93293,22 HCPCS,28272,RELEASE OF TOE JOINT EACH,,,2033.4809,5935.579307,21 HCPCS,28280,FUSION OF TOES,,,4122.6015,12077.93293,21 HCPCS,28285,REPAIR OF HAMMERTOE,,,4122.6015,12077.93293,23 HCPCS,28286,REPAIR OF HAMMERTOE,,,4122.6015,12077.93293,23 HCPCS,28288,PARTIAL REMOVAL OF FOOT BONE,,,4122.6015,12077.93293,21 HCPCS,28289,CORRJ HALUX RIGDUS W/O IMPLT,,,4122.6015,12077.93293,22 HCPCS,28291,CORRJ HALUX RIGDUS W/IMPLT,,,5997.45,26784.860767,22 HCPCS,28292,COR HLX VLGS RSC PRX PHLX BS,,,4122.6015,12077.93293,21 HCPCS,28295,COR HLX VLGS PRX MTAR OSTEOT,,,4122.6015,12077.93293,21 HCPCS,28296,COR HLX VLGS DSTL MTAR OSTEO,,,4122.6015,12077.93293,23 HCPCS,28297,COR HLX VLGS JT ARTHRD,,,7998.44,47391.418004,22 HCPCS,28298,COR HLX VLGS PRX PHLX OSTEOT,,,9076.8233,26784.860767,21 HCPCS,28299,COR HLX VLGS DOUBLE OSTEOT,,,9076.8233,26784.860767,21 HCPCS,28300,INCISION OF HEEL BONE,,,9076.8233,26784.860767,21 HCPCS,28302,INCISION OF ANKLE BONE,,,9076.8233,26784.860767,21 HCPCS,28304,INCISION OF MIDFOOT BONES,,,9076.8233,26784.860767,21 HCPCS,28305,INCISE/GRAFT MIDFOOT BONES,,,9076.8233,26784.860767,21 HCPCS,28306,INCISION OF METATARSAL,,,4122.6015,26784.860767,43 HCPCS,28307,INCISION OF METATARSAL,,,4122.6015,26784.860767,43 HCPCS,28308,INCISION OF METATARSAL,,,4122.6015,26784.860767,43 HCPCS,28309,INCISION OF METATARSALS,,,9076.8233,26784.860767,21 HCPCS,28310,REVISION OF BIG TOE,,,9076.8233,26784.860767,21 HCPCS,28312,REVISION OF TOE,,,4122.6015,12077.93293,21 HCPCS,28313,REPAIR DEFORMITY OF TOE,,,4122.6015,12077.93293,21 HCPCS,28315,REMOVAL OF SESAMOID BONE,,,4122.6015,12077.93293,21 HCPCS,28320,REPAIR OF FOOT BONES,,,16348.5815,47391.418004,21 HCPCS,28322,REPAIR OF METATARSALS,,,9076.8233,26784.860767,21 HCPCS,28340,RESECT ENLARGED TOE TISSUE,,,4122.6015,12077.93293,21 HCPCS,28341,RESECT ENLARGED TOE,,,4122.6015,12077.93293,21 HCPCS,28344,REPAIR EXTRA TOE(S),,,4122.6015,12077.93293,21 HCPCS,28345,REPAIR WEBBED TOE(S),,,2033.4809,5935.579307,21 HCPCS,28360,RECONSTRUCT CLEFT FOOT,,,9076.8233,26784.860767,21 HCPCS,28400,CLTX CALCANEAL FX W/O MNPJ,,,304.7915,910.522998,21 HCPCS,28405,CLTX CALCANEAL FX W/MNPJ,,,304.7915,910.522998,21 HCPCS,28406,PRQ SKEL FIX CLCNL FX W/MNPJ,,,9076.8233,26784.860767,21 HCPCS,28415,OPTX CALCANEAL FRACTURE,,,9076.8233,26784.860767,21 HCPCS,28420,OPTX CALCANEAL FX W/BONE GRF,,,16348.5815,47391.418004,21 HCPCS,28430,CLTX TALUS FRACTURE W/O MNPJ,,,304.7915,910.522998,21 HCPCS,28435,CLTX TALUS FRACTURE W/MNPJ,,,2033.4809,5935.579307,21 HCPCS,28436,PRQ SKEL FIX TALUS FX W/MNPJ,,,9076.8233,26784.860767,21 HCPCS,28445,OPTX TALUS FRACTURE,,,9076.8233,26784.860767,21 HCPCS,28446,OPN OSTEOCHONDRL AGRFT TALUS,,,9076.8233,26784.860767,21 HCPCS,28450,TX TARSAL B1 FX W/O MNPJ EA,,,304.7915,910.522998,21 HCPCS,28455,TX TARSAL B1 FX W/MNPJ EACH,,,2033.4809,5935.579307,21 HCPCS,28456,PRQ SKEL FIX TARSL FX W/MNPJ,,,9076.8233,26784.860767,21 HCPCS,28465,OPTX TARSAL BONE FX EACH,,,9076.8233,26784.860767,21 HCPCS,28470,CLTX METATARSAL FX WO MNP EA,,,304.7915,910.522998,21 HCPCS,28475,CLTX METATARSAL FX W/MNPJ EA,,,304.7915,910.522998,21 HCPCS,28476,PRQ SKEL FIX METAR FX W/MNPJ,,,4122.6015,12077.93293,21 HCPCS,28485,OPTX METATARSAL FX EACH,,,9076.8233,26784.860767,21 HCPCS,28490,TREAT BIG TOE FRACTURE,,,304.7915,12077.93293,42 HCPCS,28495,TREAT BIG TOE FRACTURE,,,304.7915,12077.93293,42 HCPCS,28496,TREAT BIG TOE FRACTURE,,,304.7915,12077.93293,42 HCPCS,28505,TREAT BIG TOE FRACTURE,,,304.7915,12077.93293,42 HCPCS,28510,TREATMENT OF TOE FRACTURE,,,304.7915,910.522998,21 HCPCS,28515,TREATMENT OF TOE FRACTURE,,,304.7915,910.522998,21 HCPCS,28525,TREAT TOE FRACTURE,,,4122.6015,12077.93293,21 HCPCS,28530,TREAT SESAMOID BONE FRACTURE,,,304.7915,26784.860767,42 HCPCS,28531,TREAT SESAMOID BONE FRACTURE,,,304.7915,26784.860767,42 HCPCS,28540,TREAT FOOT DISLOCATION,,,304.7915,26784.860767,84 HCPCS,28545,TREAT FOOT DISLOCATION,,,304.7915,26784.860767,84 HCPCS,28546,TREAT FOOT DISLOCATION,,,304.7915,26784.860767,84 HCPCS,28555,REPAIR FOOT DISLOCATION,,,9076.8233,26784.860767,21 HCPCS,28570,TREAT FOOT DISLOCATION,,,304.7915,26784.860767,84 HCPCS,28575,TREAT FOOT DISLOCATION,,,304.7915,26784.860767,84 HCPCS,28576,TREAT FOOT DISLOCATION,,,304.7915,26784.860767,84 HCPCS,28585,REPAIR FOOT DISLOCATION,,,9076.8233,26784.860767,21 HCPCS,28600,TREAT FOOT DISLOCATION,,,304.7915,26784.860767,84 HCPCS,28605,TREAT FOOT DISLOCATION,,,304.7915,26784.860767,84 HCPCS,28606,TREAT FOOT DISLOCATION,,,304.7915,26784.860767,84 HCPCS,28615,REPAIR FOOT DISLOCATION,,,9076.8233,26784.860767,21 HCPCS,28630,TREAT TOE DISLOCATION,,,304.7915,12077.93293,84 HCPCS,28635,TREAT TOE DISLOCATION,,,304.7915,12077.93293,84 HCPCS,28636,TREAT TOE DISLOCATION,,,304.7915,12077.93293,84 HCPCS,28645,REPAIR TOE DISLOCATION,,,4122.6015,12077.93293,21 HCPCS,28660,TREAT TOE DISLOCATION,,,304.7915,12077.93293,84 HCPCS,28665,TREAT TOE DISLOCATION,,,304.7915,12077.93293,84 HCPCS,28666,TREAT TOE DISLOCATION,,,304.7915,12077.93293,84 HCPCS,28675,REPAIR OF TOE DISLOCATION,,,4122.6015,12077.93293,21 HCPCS,28705,ARTHRODESIS PANTALAR,,,22551.4185,64722.571095,21 HCPCS,28715,ARTHRODESIS TRIPLE,,,16348.5815,47391.418004,21 HCPCS,28725,ARTHRODESIS SUBTALAR,,,16348.5815,47391.418004,21 HCPCS,28730,FUSION OF FOOT BONES,,,9076.8233,47391.418004,42 HCPCS,28735,FUSION OF FOOT BONES,,,9076.8233,47391.418004,42 HCPCS,28737,REVISION OF FOOT BONES,,,16348.5815,47391.418004,21 HCPCS,28740,FUSION OF FOOT BONES,,,9076.8233,47391.418004,42 HCPCS,28750,FUSION OF BIG TOE JOINT,,,9076.8233,26784.860767,22 HCPCS,28755,FUSION OF BIG TOE JOINT,,,9076.8233,26784.860767,22 HCPCS,28760,FUSION OF BIG TOE JOINT,,,9076.8233,26784.860767,22 HCPCS,28800,AMPUTATION OF MIDFOOT,,,4208.339,12077.93293,10 HCPCS,28805,AMPUTATION THRU METATARSAL,,,4122.6015,12077.93293,21 HCPCS,28810,AMPUTATION TOE & METATARSAL,,,4122.6015,12077.93293,21 HCPCS,28820,AMPUTATION OF TOE,,,4122.6015,12077.93293,21 HCPCS,28825,PARTIAL AMPUTATION OF TOE,,,4122.6015,12077.93293,21 HCPCS,28890,HI ENRGY ESWT PLANTAR FASCIA,,,2033.4809,5935.579307,21 HCPCS,28899,UNLISTED PX FOOT/TOES,,,304.7915,910.522998,21 HCPCS,29000,APPL HALO TYPE BODY CAST,,,337.4459,1032.427109,21 HCPCS,29010,APPL RISSER JACKET BODY ONLY,,,337.4459,1032.427109,21 HCPCS,29015,APPL RISSR JACKET BDY W/HEAD,,,337.4459,1032.427109,21 HCPCS,29035,APPL BODY CAST SHO TO HIPS,,,337.4459,1032.427109,21 HCPCS,29040,APPL BDY CST SHO TO HIP HEAD,,,337.4459,1032.427109,21 HCPCS,29044,APPL BDY CST SHO TO HIP 1THI,,,200.488,599.837462,21 HCPCS,29046,APPL BDY CST SHO TO HIP B TH,,,337.4459,1032.427109,21 HCPCS,29049,APPL CAST FIGURE-OF-EIGHT,,,337.4459,1032.427109,21 HCPCS,29055,APPL CAST SHOULDER SPICA,,,337.4459,1032.427109,21 HCPCS,29058,APPL CAST PLASTER VELPEAU,,,337.4459,1032.427109,21 HCPCS,29065,APPL CST SHO TO HAND LNG ARM,,,337.4459,1032.427109,21 HCPCS,29075,APPL CST ELBW FNGR SHORT ARM,,,337.4459,1032.427109,21 HCPCS,29085,APPL CAST HAND&LWR FOREARM,,,200.488,599.837462,21 HCPCS,29086,APPLICATION CAST FINGER,,,200.488,599.837462,21 HCPCS,29105,APPLICATION LONG ARM SPLINT,,,200.488,599.837462,21 HCPCS,29125,APPL SHORT ARM SPLINT STATIC,,,163.7803,491.121001,21 HCPCS,29126,APPL SHORT ARM SPLINT DYN,,,163.7803,491.121001,21 HCPCS,29130,APPL FINGER SPLINT STATIC,,,163.7803,491.121001,21 HCPCS,29131,APPL FINGER SPLINT DYNAMIC,,,75.4736,217.758093,21 HCPCS,29200,STRAPPING THORAX,,,200.488,599.837462,21 HCPCS,29240,STRAPPING OF SHOULDER,,,163.7803,491.121001,21 HCPCS,29260,STRAPPING OF ELBOW OR WRIST,,,75.4736,217.758093,21 HCPCS,29280,STRAPPING OF HAND OR FINGER,,,75.4736,217.758093,21 HCPCS,29305,APPL HIP SPICA CAST 1 LEG,,,337.4459,1032.427109,21 HCPCS,29325,APPL HIP SPICA CAST1&1/2,,,337.4459,1032.427109,21 HCPCS,29345,APPLICATION OF LONG LEG CAST,,,337.4459,1032.427109,21 HCPCS,29355,APPL LONG LEG CAST WALKER,,,337.4459,1032.427109,21 HCPCS,29358,APPL LONG LEG CAST BRACE,,,337.4459,1032.427109,21 HCPCS,29365,APPL CYLINDER CAST,,,337.4459,1032.427109,21 HCPCS,29405,APPL SHORT LEG CAST,,,337.4459,1032.427109,21 HCPCS,29425,APPL SHORT LEG CAST WALKING,,,337.4459,1032.427109,21 HCPCS,29435,APPL PATLLR TDN BEARING CAST,,,337.4459,1032.427109,21 HCPCS,29440,ADDING WALKER TO PREV CAST,,,200.488,599.837462,21 HCPCS,29445,APPL RIGID TOT CNTC LEG CAST,,,337.4459,1032.427109,21 HCPCS,29450,APPLICATION CLUBFOOT CAST,,,200.488,599.837462,21 HCPCS,29505,APPLICATION LONG LEG SPLINT,,,200.488,599.837462,21 HCPCS,29515,APPLICATION SHORT LEG SPLINT,,,200.488,599.837462,21 HCPCS,29520,STRAPPING OF HIP,,,163.7803,491.121001,21 HCPCS,29530,STRAPPING OF KNEE,,,163.7803,491.121001,21 HCPCS,29540,STRAPPING ANKLE &/FOOT,,,200.488,599.837462,21 HCPCS,29550,STRAPPING OF TOES,,,75.4736,217.758093,21 HCPCS,29580,STRAPPING UNNA BOOT,,,200.488,599.837462,21 HCPCS,29581,APPL MULTLAYER CMPRN SYS LEG,,,200.488,599.837462,21 HCPCS,29584,APPL MLTLAY CMPRN SYS UP ARM,,,200.488,599.837462,21 HCPCS,29700,RMVL/BIVLV GAUNTLET BOOT/CST,,,337.4459,1032.427109,21 HCPCS,29705,RMVL/BIVLV FULL ARM/LEG CAST,,,337.4459,1032.427109,21 HCPCS,29710,RMVL/BIVLV SHO/HIP SPICA,,,337.4459,1032.427109,21 HCPCS,29720,REPAIR SPICA BODY CST/JACKET,,,200.488,599.837462,21 HCPCS,29730,WINDOWING OF CAST,,,200.488,599.837462,21 HCPCS,29740,WEDGING OF CAST,,,337.4459,1032.427109,21 HCPCS,29750,WEDGING OF CLUBFOOT CAST,,,337.4459,1032.427109,21 HCPCS,29799,UNLISTED PX CASTING/STRPG,,,200.488,599.837462,21 HCPCS,29800,JAW ARTHROSCOPY/SURGERY,,,4122.6015,12077.93293,21 HCPCS,29804,JAW ARTHROSCOPY/SURGERY,,,4122.6015,12077.93293,21 HCPCS,29805,SHO ARTHRS DX +- SYNOVIAL BX,,,4122.6015,12077.93293,21 HCPCS,29806,SHO ARTHRS SRG CAPSULORRAPHY,,,5997.45,26784.860767,24 HCPCS,29807,SHO ARTHRS SRG RPR SLAP LES,,,5997.45,26784.860767,22 HCPCS,29819,SHO ARTHRS SRG RMVL LOOSE/FB,,,4122.6015,12077.93293,21 HCPCS,29820,SHO ARTHRS SRG PRTL SYNVCT,,,9076.8233,26784.860767,21 HCPCS,29821,SHO ARTHRS SRG COMPL SYNVCT,,,4122.6015,12077.93293,21 HCPCS,29822,SHO ARTHRS SRG LMTD DBRDMT,,,4122.6015,12077.93293,21 HCPCS,29823,SHO ARTHRS SRG XTNSV DBRDMT,,,4122.6015,12077.93293,21 HCPCS,29824,SHO ARTHRS SRG DSTL CLAVICLC,,,4122.6015,12077.93293,22 HCPCS,29825,SHO ARTHRS SRG LSS&RESCJ ADS,,,4122.6015,12077.93293,22 HCPCS,29827,SHO ARTHRS SRG RT8TR CUF RPR,,,8431.03,26784.860767,24 HCPCS,29828,SHO ARTHRS SRG BICP TENODSIS,,,9076.8233,26784.860767,21 HCPCS,29830,ELBOW ARTHROSCOPY,,,4122.6015,12077.93293,21 HCPCS,29834,ELBOW ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29835,ELBOW ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29836,ELBOW ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29837,ELBOW ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29838,ELBOW ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29840,WRIST ARTHROSCOPY,,,4122.6015,12077.93293,21 HCPCS,29843,WRIST ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,43 HCPCS,29844,WRIST ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,43 HCPCS,29845,WRIST ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,43 HCPCS,29846,WRIST ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,43 HCPCS,29847,WRIST ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,43 HCPCS,29848,WRIST ENDOSCOPY/SURGERY,,,2033.4809,5935.579307,21 HCPCS,29850,KNEE ARTHROSCOPY/SURGERY,,,2033.4809,5935.579307,21 HCPCS,29851,KNEE ARTHROSCOPY/SURGERY,,,2033.4809,5935.579307,21 HCPCS,29855,TIBIAL ARTHROSCOPY/SURGERY,,,9076.8233,47391.418004,42 HCPCS,29856,TIBIAL ARTHROSCOPY/SURGERY,,,9076.8233,47391.418004,42 HCPCS,29860,HIP ARTHROSCOPY DX,,,9076.8233,26784.860767,21 HCPCS,29861,HIP ARTHRO W/FB REMOVAL,,,9076.8233,26784.860767,21 HCPCS,29862,HIP ARTHR0 W/DEBRIDEMENT,,,9076.8233,26784.860767,21 HCPCS,29863,HIP ARTHR0 W/SYNOVECTOMY,,,4122.6015,12077.93293,21 HCPCS,29866,AUTGRFT IMPLNT KNEE W/SCOPE,,,9076.8233,26784.860767,21 HCPCS,29867,ALLGRFT IMPLNT KNEE W/SCOPE,,,16348.5815,47391.418004,22 HCPCS,29868,MENISCAL TRNSPL KNEE W/SCPE,,,9076.8233,26784.860767,21 HCPCS,29870,ARTHRS KNEE DX W/WO SYN BX,,,4122.6015,12077.93293,21 HCPCS,29871,ARTHRS KNEE SURG FOR INFCTJ,,,4122.6015,12077.93293,21 HCPCS,29873,ARTHRS KNEE SURG W/LAT RLS,,,4122.6015,12077.93293,22 HCPCS,29874,ARTHRS KNEE SURG RMV LOOS/FB,,,4122.6015,12077.93293,21 HCPCS,29875,ARTHRS KNEE SURG SYNVCT LMTD,,,4122.6015,12077.93293,21 HCPCS,29876,ARTHRS KNEE SURG SYNVCT MAJ,,,4122.6015,12077.93293,21 HCPCS,29877,ARTHRS KNEE SURG DBRDMT/SHVG,,,4122.6015,12077.93293,22 HCPCS,29879,ARTHRS KNE SRG ABRASJ ARTHRP,,,4122.6015,12077.93293,22 HCPCS,29880,ARTHRS KNE SRG MNISECTMY M&L,,,4122.6015,12077.93293,23 HCPCS,29881,ARTHRS KNE SRG MNISECTMY M/L,,,4122.6015,12077.93293,24 HCPCS,29882,ARTHRS KNE SRG MNISC RPR M/L,,,4122.6015,12077.93293,22 HCPCS,29883,ARTHRS KNE SRG MNISC RPR M&L,,,4122.6015,12077.93293,22 HCPCS,29884,ARTHRS KNEE SURG LYSIS ADS,,,4122.6015,12077.93293,21 HCPCS,29885,ARTHRS KNE SRG DRLG OST DISS,,,9076.8233,26784.860767,21 HCPCS,29886,ARTHRS KNEE SURG DRLG OD LES,,,4122.6015,12077.93293,21 HCPCS,29887,ARTHRS KNEE SRG DRLG OD FIXJ,,,9076.8233,26784.860767,21 HCPCS,29888,ARTHRS AID ACL RPR/AGMNTJ,,,5997.45,26784.860767,23 HCPCS,29889,ARTHRS AID PCL RPR/AGMNTJ,,,16348.5815,47391.418004,21 HCPCS,29891,ARTHR ANK OSTCHN DF TAL&/TIB,,,4122.6015,12077.93293,21 HCPCS,29892,ARTHRS AID RPR OD LES/TIB FX,,,9076.8233,26784.860767,21 HCPCS,29893,ENDOSCOPIC PLANTR FASCIOTOMY,,,4122.6015,12077.93293,21 HCPCS,29894,ANKLE ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29895,ANKLE ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29897,ANKLE ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29898,ANKLE ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29899,ANKLE ARTHROSCOPY/SURGERY,,,4122.6015,26784.860767,42 HCPCS,29900,MCP JOINT ARTHROSCOPY DX,,,4122.6015,12077.93293,21 HCPCS,29901,MCP JOINT ARTHROSCOPY SURG,,,2033.4809,12077.93293,42 HCPCS,29902,MCP JOINT ARTHROSCOPY SURG,,,2033.4809,12077.93293,42 HCPCS,29904,SUBTALAR ARTHRO W/FB RMVL,,,4122.6015,12077.93293,21 HCPCS,29905,SUBTALAR ARTHRO W/EXC,,,9076.8233,26784.860767,21 HCPCS,29906,SUBTALAR ARTHRO W/DEB,,,4122.6015,12077.93293,21 HCPCS,29907,SUBTALAR ARTHRO W/FUSION,,,16348.5815,47391.418004,21 HCPCS,29914,HIP ARTHRO W/FEMOROPLASTY,,,9076.8233,26784.860767,21 HCPCS,29915,HIP ARTHRO ACETABULOPLASTY,,,9076.8233,26784.860767,21 HCPCS,29916,HIP ARTHRO W/LABRAL REPAIR,,,9076.8233,26784.860767,21 HCPCS,29999,UNLISTED PX ARTHROSCOPY,,,304.7915,910.522998,21 HCPCS,30000,DRAINAGE OF NOSE LESION,,,295.0587,1990.822855,42 HCPCS,30020,DRAINAGE OF NOSE LESION,,,295.0587,1990.822855,42 HCPCS,30100,INTRANASAL BIOPSY,,,1882.1144,5727.359659,21 HCPCS,30110,REMOVAL OF NOSE POLYP(S),,,1882.1144,12238.352154,42 HCPCS,30115,REMOVAL OF NOSE POLYP(S),,,1882.1144,12238.352154,42 HCPCS,30117,REMOVAL OF INTRANASAL LESION,,,4120.6447,12238.352154,21 HCPCS,30118,REMOVAL OF INTRANASAL LESION,,,4120.6447,12238.352154,21 HCPCS,30120,REVISION OF NOSE,,,4120.6447,21851.864587,42 HCPCS,30124,REMOVAL OF NOSE LESION,,,1882.1144,21851.864587,42 HCPCS,30125,REMOVAL OF NOSE LESION,,,1882.1144,21851.864587,42 HCPCS,30130,EXCISE INFERIOR TURBINATE,,,4120.6447,12238.352154,21 HCPCS,30140,RESECT INFERIOR TURBINATE,,,4120.6447,12238.352154,23 HCPCS,30150,RHINECTOMY PARTIAL,,,7516.4376,21851.864587,21 HCPCS,30160,RHINECTOMY TOTAL,,,7516.4376,21851.864587,21 HCPCS,30200,INJECTION TREATMENT OF NOSE,,,647.0531,1990.822855,21 HCPCS,30210,NASAL SINUS THERAPY,,,1882.1144,5727.359659,21 HCPCS,30220,INSERT NASAL SEPTAL BUTTON,,,1882.1144,5727.359659,21 HCPCS,30300,REMOVE NASAL FOREIGN BODY,,,163.7803,12238.352154,63 HCPCS,30310,REMOVE NASAL FOREIGN BODY,,,163.7803,12238.352154,63 HCPCS,30320,REMOVE NASAL FOREIGN BODY,,,163.7803,12238.352154,63 HCPCS,30400,RECONSTRUCTION OF NOSE,,,7516.4376,21851.864587,21 HCPCS,30410,RECONSTRUCTION OF NOSE,,,7516.4376,21851.864587,21 HCPCS,30420,RECONSTRUCTION OF NOSE,,,7516.4376,21851.864587,21 HCPCS,30430,REVISION OF NOSE,,,4120.6447,21851.864587,42 HCPCS,30435,REVISION OF NOSE,,,4120.6447,21851.864587,42 HCPCS,30450,REVISION OF NOSE,,,4120.6447,21851.864587,42 HCPCS,30460,REVISION OF NOSE,,,4120.6447,21851.864587,42 HCPCS,30462,REVISION OF NOSE,,,4120.6447,21851.864587,42 HCPCS,30465,REPAIR NASAL STENOSIS,,,7516.4376,21851.864587,22 HCPCS,30468,RPR NSL VLV COLLAPSE W/IMPLT,,,7516.4376,21851.864587,21 HCPCS,30469,RPR NSL VLV COLLAPSE W/RMDLG,,,7516.4376,21851.864587,21 HCPCS,30520,REPAIR OF NASAL SEPTUM,,,4120.6447,12238.352154,23 HCPCS,30540,RPR CHOANAL ATRESIA NTRANASL,,,7516.4376,21851.864587,21 HCPCS,30545,RPR CHOANAL ATRESIA TRSNPLTN,,,7516.4376,21851.864587,21 HCPCS,30560,LYSIS INTRANASAL SYNECHIA,,,647.0531,5247.77,22 HCPCS,30580,REPAIR UPPER JAW FISTULA,,,7516.4376,21851.864587,21 HCPCS,30600,REPAIR MOUTH/NOSE FISTULA,,,7516.4376,21851.864587,21 HCPCS,30620,INTRANASAL RECONSTRUCTION,,,7516.4376,21851.864587,21 HCPCS,30630,REPAIR NASAL SEPTUM DEFECT,,,4120.6447,12238.352154,21 HCPCS,30801,ABLATE INF TURBINATE SUPERF,,,1882.1144,5727.359659,22 HCPCS,30802,ABLATE INF TURBINATE SUBMUC,,,1882.1144,5727.359659,21 HCPCS,30901,CONTROL OF NOSEBLEED,,,163.7803,491.121001,21 HCPCS,30903,CONTROL OF NOSEBLEED,,,163.7803,491.121001,21 HCPCS,30905,CONTROL OF NOSEBLEED,,,163.7803,491.121001,21 HCPCS,30906,REPEAT CONTROL OF NOSEBLEED,,,295.0587,874.284082,21 HCPCS,30915,LIGATION NASAL SINUS ARTERY,,,3999.2135,11655.206899,21 HCPCS,30920,LIGATION UPPER JAW ARTERY,,,3999.2135,11655.206899,21 HCPCS,30930,THER FX NASAL INF TURBINATE,,,4120.6447,12238.352154,22 HCPCS,30999,UNLISTED PROCEDURE NOSE,,,295.0587,874.284082,21 HCPCS,31000,IRRIGATION MAXILLARY SINUS,,,295.0587,874.284082,21 HCPCS,31002,IRRIGATION SPHENOID SINUS,,,1882.1144,5727.359659,21 HCPCS,31020,EXPLORATION MAXILLARY SINUS,,,4120.6447,21851.864587,64 HCPCS,31030,EXPLORATION MAXILLARY SINUS,,,4120.6447,21851.864587,64 HCPCS,31032,EXPLORE SINUS REMOVE POLYPS,,,7516.4376,21851.864587,21 HCPCS,31040,EXPLORATION BEHIND UPPER JAW,,,7516.4376,21851.864587,21 HCPCS,31050,EXPLORATION SPHENOID SINUS,,,7516.4376,21851.864587,21 HCPCS,31051,SPHENOID SINUS SURGERY,,,7516.4376,21851.864587,21 HCPCS,31070,EXPLORATION OF FRONTAL SINUS,,,7516.4376,21851.864587,21 HCPCS,31075,EXPLORATION OF FRONTAL SINUS,,,7516.4376,21851.864587,21 HCPCS,31080,REMOVAL OF FRONTAL SINUS,,,7516.4376,21851.864587,21 HCPCS,31081,REMOVAL OF FRONTAL SINUS,,,7516.4376,21851.864587,21 HCPCS,31084,REMOVAL OF FRONTAL SINUS,,,7516.4376,21851.864587,21 HCPCS,31085,REMOVAL OF FRONTAL SINUS,,,7516.4376,21851.864587,21 HCPCS,31086,REMOVAL OF FRONTAL SINUS,,,7516.4376,21851.864587,21 HCPCS,31087,REMOVAL OF FRONTAL SINUS,,,7516.4376,21851.864587,21 HCPCS,31090,EXPLORATION OF SINUSES,,,7516.4376,21851.864587,21 HCPCS,31200,REMOVAL OF ETHMOID SINUS,,,1882.1144,21851.864587,63 HCPCS,31201,REMOVAL OF ETHMOID SINUS,,,1882.1144,21851.864587,63 HCPCS,31205,REMOVAL OF ETHMOID SINUS,,,1882.1144,21851.864587,63 HCPCS,31231,NASAL ENDOSCOPY DX,,,246.6743,736.807925,21 HCPCS,31233,NSL/SINS NDSC DX MAX SINUSC,,,493.3867,1443.735993,21 HCPCS,31235,NSL/SINS NDSC DX SPHN SINUSC,,,2191.1116,6570.138029,21 HCPCS,31237,NSL/SINS NDSC SURG BX POLYPC,,,2191.1116,6570.138029,21 HCPCS,31238,NSL/SINS NDSC SRG NSL HEMRRG,,,2191.1116,6570.138029,21 HCPCS,31239,NSL/SINUS ENDOSCOPY SURG DCR,,,4684.6387,13762.44212,21 HCPCS,31240,NSL/SNS NDSC CNCH BULL RESCJ,,,2191.1116,6570.138029,21 HCPCS,31241,NSL/SNS NDSC LIG SPHNPTN ART,,,2191.1116,6570.138029,21 HCPCS,31242,NSL/SINUS NDSC RF ABLTJ PNN,,,7516.4376,21851.864587,21 HCPCS,31243,NSL/SINUS NDSC CRYOABLTJ PNN,,,7516.4376,21851.864587,21 HCPCS,31253,NSL/SINS NDSC TOTAL,,,8431.03,26051.196066,22 HCPCS,31254,NSL/SINS NDSC W/PRTL ETHMDCT,,,8795.6904,26051.196066,21 HCPCS,31255,NSL/SINS NDSC W/TOT ETHMDCT,,,8431.03,26051.196066,23 HCPCS,31256,EXPLORATION MAXILLARY SINUS,,,4120.6447,21851.864587,64 HCPCS,31257,NSL/SINS NDSC TOT W/SPHENDT,,,8431.03,26051.196066,22 HCPCS,31259,NSL/SINS NDSC SPHN TISS RMVL,,,8795.6904,26051.196066,22 HCPCS,31267,ENDOSCOPY MAXILLARY SINUS,,,8795.6904,26051.196066,21 HCPCS,31276,NSL/SINS NDSC FRNT TISS RMVL,,,8795.6904,26051.196066,21 HCPCS,31287,NASAL/SINUS ENDOSCOPY SURG,,,8795.6904,26051.196066,21 HCPCS,31288,NASAL/SINUS ENDOSCOPY SURG,,,8795.6904,26051.196066,21 HCPCS,31292,NSL/SINS NDSC MED/INF DCMPRN,,,8795.6904,26051.196066,21 HCPCS,31293,NSL/SINS NDSC MED&INF DCMPRN,,,8795.6904,26051.196066,21 HCPCS,31294,NSL/SINS NDSC SURG ON DCMPRN,,,8795.6904,26051.196066,21 HCPCS,31295,NSL/SINS NDSC SURG MAX SINS,,,8795.6904,26051.196066,21 HCPCS,31296,NSL/SINS NDSC SURG FRNT SINS,,,8795.6904,26051.196066,21 HCPCS,31297,NSL/SINS NDSC SURG SPHN SINS,,,8795.6904,26051.196066,21 HCPCS,31298,NSL/SINS NDSC SURG FRNT&SPHN,,,8795.6904,26051.196066,21 HCPCS,31299,UNLISTED PX ACCESSORY SINUS,,,295.0587,874.284082,21 HCPCS,31300,REMOVAL OF LARYNX LESION,,,4120.6447,13762.44212,42 HCPCS,31380,PARTIAL REMOVAL OF LARYNX,,,7416.07,7416.07,1 HCPCS,31400,REVISION OF LARYNX,,,7516.4376,21851.864587,21 HCPCS,31420,EPIGLOTTIDECTOMY,,,7516.4376,21851.864587,21 HCPCS,31500,INSERT EMERGENCY AIRWAY,,,295.0587,874.284082,21 HCPCS,31502,CHANGE OF WINDPIPE AIRWAY,,,295.0587,874.284082,21 HCPCS,31505,DIAGNOSTIC LARYNGOSCOPY,,,246.6743,736.807925,21 HCPCS,31510,LARYNGOSCOPY WITH BIOPSY,,,2191.1116,13762.44212,42 HCPCS,31511,REMOVE FOREIGN BODY LARYNX,,,246.6743,736.807925,21 HCPCS,31512,REMOVAL OF LARYNX LESION,,,4120.6447,13762.44212,42 HCPCS,31513,INJECTION INTO VOCAL CORD,,,493.3867,1443.735993,21 HCPCS,31515,LARYNGOSCOPY FOR ASPIRATION,,,493.3867,1443.735993,21 HCPCS,31520,DX LARYNGOSCOPY NEWBORN,,,493.3867,1443.735993,21 HCPCS,31525,DX LARYNGOSCOPY EXCL NB,,,2191.1116,6570.138029,21 HCPCS,31526,DX LARYNGOSCOPY W/OPER SCOPE,,,2191.1116,6570.138029,21 HCPCS,31527,LARYNGOSCOPY FOR TREATMENT,,,4684.6387,13762.44212,21 HCPCS,31528,LARYNGOSCOPY AND DILATION,,,4684.6387,13762.44212,22 HCPCS,31529,LARYNGOSCOPY AND DILATION,,,4684.6387,13762.44212,22 HCPCS,31530,LARYNGOSCOPY W/FB REMOVAL,,,2191.1116,6570.138029,21 HCPCS,31531,LARYNGOSCOPY W/FB & OP SCOPE,,,4684.6387,13762.44212,21 HCPCS,31535,LARYNGOSCOPY W/BIOPSY,,,4684.6387,13762.44212,21 HCPCS,31536,LARYNGOSCOPY W/BX & OP SCOPE,,,4684.6387,13762.44212,21 HCPCS,31540,LARYNGOSCOPY W/EXC OF TUMOR,,,4684.6387,13762.44212,21 HCPCS,31541,LARYNSCOP W/TUMR EXC + SCOPE,,,4684.6387,13762.44212,23 HCPCS,31545,REMOVE VC LESION W/SCOPE,,,4684.6387,13762.44212,21 HCPCS,31546,REMOVE VC LESION SCOPE/GRAFT,,,8795.6904,26051.196066,21 HCPCS,31551,LARYNGOPLASTY LARYNGEAL STEN,,,7516.4376,21851.864587,21 HCPCS,31552,LARYNGOPLASTY LARYNGEAL STEN,,,7516.4376,21851.864587,21 HCPCS,31553,LARYNGOPLASTY LARYNGEAL STEN,,,7516.4376,21851.864587,21 HCPCS,31554,LARYNGOPLASTY LARYNGEAL STEN,,,7516.4376,21851.864587,21 HCPCS,31560,LARYNGOSCOP W/ARYTENOIDECTOM,,,8795.6904,26051.196066,21 HCPCS,31561,LARYNSCOP REMVE CART + SCOP,,,8431.03,26051.196066,22 HCPCS,31570,LARYNGOSCOPE W/VC INJ,,,4684.6387,13762.44212,21 HCPCS,31571,LARYNGOSCOP W/VC INJ + SCOPE,,,4684.6387,13762.44212,21 HCPCS,31572,LARGSC W/LASER DSTRJ LES,,,4684.6387,13762.44212,21 HCPCS,31573,LARGSC W/THER INJECTION,,,2191.1116,6570.138029,21 HCPCS,31574,LARGSC W/NJX AUGMENTATION,,,2191.1116,6570.138029,21 HCPCS,31575,DIAGNOSTIC LARYNGOSCOPY,,,246.6743,736.807925,21 HCPCS,31576,LARYNGOSCOPY WITH BIOPSY,,,2191.1116,13762.44212,42 HCPCS,31577,LARGSC W/RMVL FOREIGN BDY(S),,,493.3867,1443.735993,21 HCPCS,31578,LARGSC W/REMOVAL LESION,,,4684.6387,13762.44212,21 HCPCS,31579,LARYNGOSCOPY TELESCOPIC,,,493.3867,1443.735993,21 HCPCS,31580,LARYNGOPLASTY LARYNGEAL WEB,,,7516.4376,21851.864587,21 HCPCS,31584,LARYNGOPLASTY FX RDCTJ FIXJ,,,7516.4376,21851.864587,21 HCPCS,31587,LARYNGOPLASTY CRICOID SPLIT,,,7516.4376,21851.864587,21 HCPCS,31590,REINNERVATE LARYNX,,,7516.4376,21851.864587,21 HCPCS,31591,LARYNGOPLASTY MEDIALIZATION,,,7516.4376,21851.864587,21 HCPCS,31592,CRICOTRACHEAL RESECTION,,,7516.4376,21851.864587,21 HCPCS,31599,UNLISTED PROCEDURE LARYNX,,,295.0587,9890.38,22 HCPCS,31600,PLANNED TRACHEOSTOMY,,,4120.6447,12238.352154,21 HCPCS,31601,PLANNED TRACHEOSTOMY<2 YRS,,,7516.4376,21851.864587,21 HCPCS,31603,EMER TRACHEOSTOMY TTRACH,,,1882.1144,5727.359659,21 HCPCS,31605,EMER TRACHEOSTOMY CTHYR MEM,,,295.0587,874.284082,21 HCPCS,31610,TRACHEOSTOMY FENEST SKIN FLP,,,7516.4376,21851.864587,21 HCPCS,31611,CONSTJ TRACHESOPHGL FSTL,,,4120.6447,12238.352154,21 HCPCS,31612,PERQ TRCHL PNXR TTRACH ASPIR,,,4120.6447,12238.352154,21 HCPCS,31613,TRACHEOSTOMA REVJ SIMPLE,,,4120.6447,12238.352154,21 HCPCS,31614,TRACHEOSTOMA REVJ COMPLEX,,,7516.4376,21851.864587,21 HCPCS,31615,TRCHEOBRNCHSC EST TRACHS INC,,,647.0531,1990.822855,21 HCPCS,31622,DX BRONCHOSCOPE/WASH,,,2191.1116,6570.138029,21 HCPCS,31623,DX BRONCHOSCOPE/BRUSH,,,2191.1116,6570.138029,22 HCPCS,31624,DX BRONCHOSCOPE/LAVAGE,,,2191.1116,6570.138029,21 HCPCS,31625,BRONCHOSCOPY W/BIOPSY(S),,,2191.1116,6570.138029,22 HCPCS,31626,BRONCHOSCOPY W/MARKERS,,,5997.45,26051.196066,22 HCPCS,31628,BRONCHOSCOPY/LUNG BX EACH,,,4684.6387,13762.44212,21 HCPCS,31629,BRONCHOSCOPY/NEEDLE BX EACH,,,4684.6387,13762.44212,21 HCPCS,31630,BRONCHOSCOPY DILATE/FX REPR,,,4684.6387,13762.44212,22 HCPCS,31631,BRONCHOSCOPY DILATE W/STENT,,,8795.6904,26051.196066,21 HCPCS,31634,BRONCH W/BALLOON OCCLUSION,,,8795.6904,26051.196066,21 HCPCS,31635,BRONCHOSCOPY W/FB REMOVAL,,,2191.1116,6570.138029,21 HCPCS,31636,BRONCHOSCOPY BRONCH STENTS,,,6925.0,26051.196066,23 HCPCS,31638,BRONCHOSCOPY REVISE STENT,,,8795.6904,26051.196066,21 HCPCS,31640,BRONCHOSCOPY W/TUMOR EXCISE,,,4684.6387,13762.44212,21 HCPCS,31641,BRONCHOSCOPY TREAT BLOCKAGE,,,4684.6387,13762.44212,21 HCPCS,31643,DIAG BRONCHOSCOPE/CATHETER,,,2191.1116,6570.138029,21 HCPCS,31645,BRNCHSC W/THER ASPIR 1ST,,,2191.1116,6570.138029,21 HCPCS,31646,BRNCHSC W/THER ASPIR SBSQ,,,493.3867,1443.735993,21 HCPCS,31647,BRONCHIAL VALVE INIT INSERT,,,8795.6904,26051.196066,21 HCPCS,31648,BRONCHIAL VALVE REMOV INIT,,,4684.6387,13762.44212,21 HCPCS,31649,BRONCHIAL VALVE REMOV ADDL,,,2191.1116,6570.138029,21 HCPCS,31652,BRONCH EBUS SAMPLNG 1/2 NODE,,,4684.6387,13762.44212,22 HCPCS,31653,BRONCH EBUS SAMPLNG 3/> NODE,,,4684.6387,13762.44212,21 HCPCS,31660,BRONCH THERMOPLSTY 1 LOBE,,,8795.6904,26051.196066,21 HCPCS,31661,BRONCH THERMOPLSTY 2/> LOBES,,,8795.6904,26051.196066,21 HCPCS,31717,BRONCHIAL BRUSH BIOPSY,,,493.3867,1443.735993,21 HCPCS,31720,CLEARANCE OF AIRWAYS,,,258.4273,808.309957,21 HCPCS,31730,INTRO WINDPIPE WIRE/TUBE,,,2191.1116,6570.138029,21 HCPCS,31750,TRACHEOPLASTY CERVICAL,,,7516.4376,21851.864587,21 HCPCS,31755,TRACHPLSTY TRCHPHRYNGL FSTLJ,,,7516.4376,21851.864587,21 HCPCS,31785,REMOVE WINDPIPE LESION,,,7516.4376,21851.864587,21 HCPCS,31820,CLOSURE OF WINDPIPE LESION,,,4120.6447,12238.352154,21 HCPCS,31825,REPAIR OF WINDPIPE DEFECT,,,4120.6447,12238.352154,21 HCPCS,31830,REVISE WINDPIPE SCAR,,,4120.6447,12238.352154,21 HCPCS,31899,UNLISTED PX TRACHEA BRONCHI,,,246.6743,736.807925,21 HCPCS,32400,NEEDLE BIOPSY CHEST LINING,,,2058.6769,6096.540387,21 HCPCS,32408,CORE NDL BX LNG/MED PERQ,,,2058.6769,6096.540387,21 HCPCS,32550,INSERT PLEURAL CATH,,,4484.0236,13216.330771,21 HCPCS,32551,INSERTION OF CHEST TUBE,,,1973.8009,5810.676333,21 HCPCS,32552,REMOVE LUNG CATHETER,,,785.5612,2315.563068,21 HCPCS,32553,INS MARK THOR FOR RT PERQ,,,1738.5112,5109.240297,21 HCPCS,32554,ASPIRATE PLEURA W/O IMAGING,,,785.5612,2315.563068,21 HCPCS,32555,ASPIRATE PLEURA W/ IMAGING,,,785.5612,2315.563068,21 HCPCS,32556,INSERT CATH PLEURA W/O IMAGE,,,2410.3155,7083.262459,21 HCPCS,32557,INSERT CATH PLEURA W/ IMAGE,,,1973.8009,5810.676333,21 HCPCS,32560,TREAT PLEURODESIS W/AGENT,,,785.5612,2315.563068,21 HCPCS,32561,LYSE CHEST FIBRIN INIT DAY,,,785.5612,2315.563068,21 HCPCS,32562,LYSE CHEST FIBRIN SUBQ DAY,,,785.5612,2315.563068,21 HCPCS,32601,THORACOSCOPY DIAGNOSTIC,,,7413.1378,22315.851747,21 HCPCS,32604,THORACOSCOPY WBX SAC,,,13228.4961,39237.899827,21 HCPCS,32606,THORACOSCOPY W/BX MED SPACE,,,7413.1378,22315.851747,21 HCPCS,32607,THORACOSCOPY W/BX INFILTRATE,,,13228.4961,39237.899827,21 HCPCS,32608,THORACOSCOPY W/BX NODULE,,,13228.4961,39237.899827,21 HCPCS,32609,THORACOSCOPY W/BX PLEURA,,,7413.1378,22315.851747,24 HCPCS,32663,THORACOSCOPY W/LOBECTOMY,,,3921.41,3921.41,1 HCPCS,32960,THERAPEUTIC PNEUMOTHORAX,,,785.5612,2315.563068,21 HCPCS,32994,ABLATE PULM TUMOR PERQ CRYBL,,,13228.4961,39237.899827,21 HCPCS,32998,ABLATE PULM TUMOR PERQ RF,,,7413.1378,22315.851747,21 HCPCS,32999,UNLISTED PX LUNGS & PLEURA,,,785.5612,2315.563068,21 HCPCS,33016,PERICARDIOCENTESIS W/IMAGING,,,1973.8009,5810.676333,21 HCPCS,33206,INSERT HEART PM ATRIAL,,,13297.2483,38581.446162,21 HCPCS,33207,INSERT HEART PM VENTRICULAR,,,13297.2483,38581.446162,21 HCPCS,33208,INSRT HEART PM ATRIAL & VENT,,,13297.2483,38581.446162,21 HCPCS,33210,INSERT ELECTRD/PM CATH SNGL,,,10515.4602,30546.941719,21 HCPCS,33211,INSERT CARD ELECTRODES DUAL,,,10515.4602,30546.941719,21 HCPCS,33212,INSERT PULSE GEN SNGL LEAD,,,10515.4602,30546.941719,21 HCPCS,33213,INSERT PULSE GEN DUAL LEADS,,,13297.2483,38581.446162,21 HCPCS,33214,UPGRADE OF PACEMAKER SYSTEM,,,13297.2483,38581.446162,21 HCPCS,33215,REPOSITION PACING-DEFIB LEAD,,,3999.2135,11655.206899,21 HCPCS,33216,INSERT 1 ELECTRODE PM-DEFIB,,,10515.4602,30546.941719,21 HCPCS,33217,INSERT 2 ELECTRODE PM-DEFIB,,,10515.4602,30546.941719,21 HCPCS,33218,REPAIR LEAD PACE-DEFIB ONE,,,4624.0946,13794.236841,21 HCPCS,33220,REPAIR LEAD PACE-DEFIB DUAL,,,4624.0946,13794.236841,21 HCPCS,33221,INSERT PULSE GEN MULT LEADS,,,24231.8159,71100.675702,21 HCPCS,33222,RELOCATION POCKET PACEMAKER,,,2324.2196,7616.186158,21 HCPCS,33223,RELOCATE POCKET FOR DEFIB,,,2324.2196,7616.186158,21 HCPCS,33224,INSERT PACING LEAD & CONNECT,,,13297.2483,38581.446162,21 HCPCS,33226,REPOSITION L VENTRIC LEAD,,,3999.2135,11655.206899,21 HCPCS,33227,REMOVE&REPLACE PM GEN SINGL,,,10515.4602,30546.941719,21 HCPCS,33228,REMV&REPLC PM GEN DUAL LEAD,,,13297.2483,38581.446162,21 HCPCS,33229,REMV&REPLC PM GEN MULT LEADS,,,24231.8159,71100.675702,21 HCPCS,33230,INSRT PULSE GEN W/DUAL LEADS,,,28520.129,82107.702859,21 HCPCS,33231,INSRT PULSE GEN W/MULT LEADS,,,40371.3242,115865.700454,21 HCPCS,33233,REMOVAL OF PM GENERATOR,,,10515.4602,30546.941719,21 HCPCS,33234,REMOVAL OF PACEMAKER SYSTEM,,,4624.0946,13794.236841,21 HCPCS,33235,REMOVAL PACEMAKER ELECTRODE,,,4624.0946,13794.236841,21 HCPCS,33240,INSRT PULSE GEN W/SINGL LEAD,,,28520.129,82107.702859,21 HCPCS,33241,REMOVE PULSE GENERATOR,,,4624.0946,13794.236841,21 HCPCS,33244,REMOVE ELCTRD TRANSVENOUSLY,,,4624.0946,13794.236841,21 HCPCS,33249,INSJ/RPLCMT DEFIB W/LEAD(S),,,40371.3242,115865.700454,21 HCPCS,33262,RMVL& REPLC PULSE GEN 1 LEAD,,,28520.129,82107.702859,21 HCPCS,33263,RMVL & RPLCMT DFB GEN 2 LEAD,,,28520.129,82107.702859,21 HCPCS,33264,RMVL & RPLCMT DFB GEN MLT LD,,,40371.3242,115865.700454,21 HCPCS,33270,INS/REP SUBQ DEFIBRILLATOR,,,40371.3242,115865.700454,21 HCPCS,33271,INSJ SUBQ IMPLTBL DFB ELCTRD,,,10515.4602,30546.941719,21 HCPCS,33272,RMVL OF SUBQ DEFIBRILLATOR,,,4624.0946,13794.236841,21 HCPCS,33273,REPOS PREV IMPLTBL SUBQ DFB,,,4624.0946,13794.236841,21 HCPCS,33274,TCAT INSJ/RPL PERM LDLS PM,,,24231.8159,71100.675702,21 HCPCS,33275,TCAT RMVL PERM LDLS PM W/IMG,,,3999.2135,11655.206899,21 HCPCS,33276,INSJ PHRNC NRV STIM SYS,,,45000.5,162588.741665,21 HCPCS,33278,RMVL PHRNC NRV STIM SYS,,,4369.6061,12905.175416,21 HCPCS,33279,RMVL PHRNC NRV STIM TRANSVNS,,,4369.6061,12905.175416,21 HCPCS,33280,RMVL PHRNC NRV STIM PG ONLY,,,4369.6061,12905.175416,21 HCPCS,33281,REPOSG PHRNC NRV STIM TRNSVN,,,4369.6061,12905.175416,21 HCPCS,33285,INSJ SUBQ CAR RHYTHM MNTR,,,10515.4602,30546.941719,21 HCPCS,33286,RMVL SUBQ CAR RHYTHM MNTR,,,893.9815,2613.928268,21 HCPCS,33287,RMV&RPLCMT PHRNC NRV STIM PG,,,38719.7435,113905.010303,21 HCPCS,33288,RMV&RPLCMT PHRNC NRV STIM LD,,,14331.368,41131.02616,21 HCPCS,33289,TCAT IMPL WRLS P-ART PRS SNR,,,36121.0361,105878.852107,21 HCPCS,33900,PERQ P-ART REVSC 1 NM NT UNI,,,14409.3282,42613.060007,21 HCPCS,33901,PERQ P-ART REVSC 1 NM NT BI,,,14409.3282,42613.060007,21 HCPCS,33902,PERQ P-ART REVSC 1 ABNOR UNI,,,22815.8084,67667.562186,21 HCPCS,33903,PERQ P-ART REVSC 1 ABNOR BI,,,14409.3282,42613.060007,21 HCPCS,33999,UNLISTED PX CARDIAC SURGERY,,,785.5612,2315.563068,21 HCPCS,34101,REMOVAL OF ARTERY CLOT,,,6868.4824,20540.185617,21 HCPCS,34111,REMOVAL OF ARM ARTERY CLOT,,,6868.4824,20540.185617,21 HCPCS,34201,REMOVAL OF ARTERY CLOT,,,6868.4824,20540.185617,21 HCPCS,34203,REMOVAL OF LEG ARTERY CLOT,,,6868.4824,20540.185617,21 HCPCS,34421,REMOVAL OF VEIN CLOT,,,785.5612,11655.206899,42 HCPCS,34471,REMOVAL OF VEIN CLOT,,,785.5612,11655.206899,42 HCPCS,34490,REMOVAL OF VEIN CLOT,,,785.5612,11655.206899,42 HCPCS,34501,REPAIR VALVE FEMORAL VEIN,,,6868.4824,20540.185617,21 HCPCS,34510,TRANSPOSITION OF VEIN VALVE,,,6868.4824,20540.185617,21 HCPCS,34520,CROSS-OVER VEIN GRAFT,,,6868.4824,20540.185617,21 HCPCS,34530,LEG VEIN FUSION,,,3999.2135,11655.206899,21 HCPCS,35011,REPAIR DEFECT OF ARTERY,,,6868.4824,20540.185617,21 HCPCS,35045,REPAIR DEFECT OF ARM ARTERY,,,6868.4824,20540.185617,21 HCPCS,35180,RPR CGEN AV FISTULA HEAD&NCK,,,1973.8009,5810.676333,21 HCPCS,35184,RPR CGEN AV FISTULA XTR,,,3999.2135,11655.206899,21 HCPCS,35188,RPR ACQ AV FISTULA HEAD&NECK,,,6868.4824,20540.185617,21 HCPCS,35190,REPAIR ACQ AV FISTULA XTR,,,6868.4824,20540.185617,21 HCPCS,35201,REPAIR BLOOD VESSEL DIR NECK,,,6868.4824,20540.185617,21 HCPCS,35206,REPAIR BLOOD VESSEL DIR UXTR,,,3999.2135,11655.206899,21 HCPCS,35207,RPR BLD VSL DIR HAND FINGER,,,3999.2135,11655.206899,21 HCPCS,35226,REPAIR BLOOD VESSEL DIR LXTR,,,893.9815,2613.928268,21 HCPCS,35231,REPAIR BLVSL VN GRF NECK,,,3999.2135,11655.206899,21 HCPCS,35236,REPAIR BLVSL VN GRF UXTR,,,6868.4824,20540.185617,21 HCPCS,35256,REPAIR BLVSL VN GRF LXTR,,,6868.4824,20540.185617,21 HCPCS,35261,RPR BLVSL GRF OTH/THN VN NCK,,,3999.2135,11655.206899,21 HCPCS,35266,RPR BLVSL GRF OTH/TH VN UXTR,,,6868.4824,20540.185617,21 HCPCS,35286,RPR BLVSL GRF OTH/TH VN LXTR,,,6868.4824,20540.185617,21 HCPCS,35321,RECHANNELING OF ARTERY,,,6868.4824,20540.185617,21 HCPCS,35372,RECHANNELING OF ARTERY,,,6868.4824,20540.185617,21 HCPCS,35800,EXPLORE NECK VESSELS,,,7156.8591,20540.185617,10 HCPCS,35860,EXPLORE LIMB VESSELS,,,3999.2135,11655.206899,21 HCPCS,35875,REMOVAL OF CLOT IN GRAFT,,,6868.4824,20540.185617,21 HCPCS,35876,REMOVAL OF CLOT IN GRAFT,,,6868.4824,20540.185617,21 HCPCS,35879,REVISE GRAFT W/VEIN,,,6868.4824,20540.185617,21 HCPCS,35881,REVISE GRAFT W/VEIN,,,6868.4824,20540.185617,21 HCPCS,35883,REVJ FEM ANAST NONAUTOG GRF,,,6868.4824,20540.185617,21 HCPCS,35884,REVJ FEM ANAST AUTOG VN GRF,,,6868.4824,20540.185617,21 HCPCS,35903,EXCISION GRAFT EXTREMITY,,,3999.2135,11655.206899,21 HCPCS,36002,PSEUDOANEURYSM INJECTION TRT,,,785.5612,2315.563068,21 HCPCS,36221,PLACE CATH THORACIC AORTA,,,3999.2135,11655.206899,21 HCPCS,36222,PLACE CATH CAROTID/INOM ART,,,3999.2135,20540.185617,42 HCPCS,36223,PLACE CATH CAROTID/INOM ART,,,3999.2135,20540.185617,42 HCPCS,36224,PLACE CATH CAROTD ART,,,6868.4824,20540.185617,21 HCPCS,36225,PLACE CATH SUBCLAVIAN ART,,,3999.2135,11655.206899,21 HCPCS,36226,PLACE CATH VERTEBRAL ART,,,6868.4824,20540.185617,21 HCPCS,36251,INS CATH REN ART 1ST UNILAT,,,3999.2135,11655.206899,21 HCPCS,36252,INS CATH REN ART 1ST BILAT,,,3999.2135,11655.206899,21 HCPCS,36253,INS CATH REN ART 2ND+ UNILAT,,,6868.4824,20540.185617,21 HCPCS,36254,INS CATH REN ART 2ND+ BILAT,,,3999.2135,11655.206899,21 HCPCS,36260,INSERTION OF INFUSION PUMP,,,6868.4824,20540.185617,21 HCPCS,36261,REVISION OF INFUSION PUMP,,,4624.0946,13794.236841,21 HCPCS,36262,REMOVAL OF INFUSION PUMP,,,4624.0946,13794.236841,21 HCPCS,36420,VENIPUNCTURE CUTDOWN < 1 YR,,,163.7803,491.121001,21 HCPCS,36425,VENIPUNCTURE CUTDOWN 1 YR/>,,,507.0202,1648.99294,21 HCPCS,36430,TRANSFUSION BLD/BLD COMPNT,,,555.4809,1628.50688,21 HCPCS,36440,BLD PUSH TFUJ 2 YR/<,,,555.4809,1628.50688,21 HCPCS,36450,BLD EXCHANGE TRUJ NEWBORN,,,555.4809,1628.50688,21 HCPCS,36455,BLD EXCHANGE TRUJ OTH THN NB,,,555.4809,1628.50688,21 HCPCS,36456,PRTL EXCHANGE TRANSFUSE NB,,,555.4809,1628.50688,21 HCPCS,36460,INTRAUTERINE TRANSFUSION FTL,,,555.4809,1628.50688,21 HCPCS,36465,NJX NONCMPND SCLRSNT 1 VEIN,,,2324.2196,7616.186158,21 HCPCS,36466,NJX NONCMPND SCLRSNT MLT VN,,,2324.2196,7616.186158,21 HCPCS,36468,NJX SCLRSNT SPIDER VEINS,,,507.6428,1500.568881,21 HCPCS,36470,NJX SCLRSNT 1 INCMPTNT VEIN,,,507.6428,1500.568881,21 HCPCS,36471,NJX SCLRSNT MLT INCMPTNT VN,,,507.6428,1500.568881,21 HCPCS,36473,ENDOVENOUS MCHNCHEM 1ST VEIN,,,3999.2135,11655.206899,21 HCPCS,36475,ENDOVENOUS RF 1ST VEIN,,,3999.2135,11655.206899,21 HCPCS,36478,ENDOVENOUS LASER 1ST VEIN,,,3999.2135,11655.206899,21 HCPCS,36482,ENDOVEN THER CHEM ADHES 1ST,,,6868.4824,20540.185617,21 HCPCS,36511,APHERESIS WBC,,,2003.1113,5748.929431,21 HCPCS,36512,APHERESIS RBC,,,2003.1113,5748.929431,21 HCPCS,36513,APHERESIS PLATELETS,,,555.4809,1628.50688,21 HCPCS,36514,APHERESIS PLASMA,,,2003.1113,5748.929431,21 HCPCS,36516,APHERESIS IMMUNOADS SLCTV,,,5601.9036,16077.463332,21 HCPCS,36522,PHOTOPHERESIS,,,5601.9036,16077.463332,21 HCPCS,36555,INSERT NON-TUNNEL CV CATH,,,3999.2135,11655.206899,21 HCPCS,36556,INSERT NON-TUNNEL CV CATH,,,3999.2135,11655.206899,21 HCPCS,36557,INSERT TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36558,INSERT TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36560,INSERT TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36561,INSERT TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36563,INSERT TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36565,INSERT TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36566,INSERT TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36568,INSJ PICC <5 YR W/O IMAGING,,,1973.8009,5810.676333,21 HCPCS,36569,INSJ PICC 5 YR+ W/O IMAGING,,,1973.8009,5810.676333,21 HCPCS,36570,INSERT PICVAD CATH,,,3999.2135,11655.206899,21 HCPCS,36571,INSERT PICVAD CATH,,,3999.2135,11655.206899,21 HCPCS,36572,INSJ PICC RS&I <5 YR,,,785.5612,2315.563068,21 HCPCS,36573,INSJ PICC RS&I 5 YR+,,,1973.8009,5810.676333,21 HCPCS,36575,REPAIR TUNNELED CV CATH,,,785.5612,5810.676333,42 HCPCS,36576,REPAIR TUNNELED CV CATH,,,785.5612,5810.676333,42 HCPCS,36578,REPLACE TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36580,REPLACE CVAD CATH,,,1973.8009,5810.676333,21 HCPCS,36581,REPLACE TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36582,REPLACE TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36583,REPLACE TUNNELED CV CATH,,,3999.2135,20540.185617,42 HCPCS,36584,COMPL RPLCMT PICC RS&I,,,1973.8009,5810.676333,21 HCPCS,36585,REPLACE PICVAD CATH,,,3921.41,11655.206899,22 HCPCS,36589,REMOVAL TUNNELED CV CATH,,,785.5612,5810.676333,42 HCPCS,36590,REMOVAL TUNNELED CV CATH,,,785.5612,5810.676333,42 HCPCS,36591,DRAW BLOOD OFF VENOUS DEVICE,,,163.7803,491.121001,21 HCPCS,36592,COLLECT BLOOD FROM PICC,,,163.7803,491.121001,21 HCPCS,36593,DECLOT VASCULAR DEVICE,,,421.4453,1219.257508,21 HCPCS,36595,MECH REMOV TUNNELED CV CATH,,,1973.8009,11655.206899,42 HCPCS,36596,MECH REMOV TUNNELED CV CATH,,,1973.8009,11655.206899,42 HCPCS,36597,REPOSITION VENOUS CATHETER,,,1973.8009,5810.676333,21 HCPCS,36598,INJ W/FLUOR EVAL CV DEVICE,,,267.7027,785.150492,21 HCPCS,36600,WITHDRAWAL OF ARTERIAL BLOOD,,,163.7803,491.121001,21 HCPCS,36640,INSERTION CATHETER ARTERY,,,3999.2135,11655.206899,21 HCPCS,36680,INSERT NEEDLE BONE CAVITY,,,507.0202,1648.99294,21 HCPCS,36800,INSERTION OF CANNULA,,,3999.2135,20540.185617,42 HCPCS,36810,INSERTION OF CANNULA,,,3999.2135,20540.185617,42 HCPCS,36815,INSERTION OF CANNULA,,,3999.2135,20540.185617,42 HCPCS,36818,AV FUSE UPPR ARM CEPHALIC,,,6868.4824,20540.185617,21 HCPCS,36819,AV FUSE UPPR ARM BASILIC,,,6868.4824,20540.185617,21 HCPCS,36820,AV FUSION/FOREARM VEIN,,,6868.4824,20540.185617,21 HCPCS,36821,AV FUSION DIRECT ANY SITE,,,3999.2135,11655.206899,21 HCPCS,36825,ARTERY-VEIN AUTOGRAFT,,,6868.4824,20540.185617,21 HCPCS,36830,ARTERY-VEIN NONAUTOGRAFT,,,6868.4824,20540.185617,21 HCPCS,36831,OPEN THROMBECT AV FISTULA,,,6868.4824,20540.185617,21 HCPCS,36832,AV FISTULA REVISION OPEN,,,6868.4824,20540.185617,21 HCPCS,36833,AV FISTULA REVISION,,,6868.4824,20540.185617,21 HCPCS,36835,INSERTION THOMAS SHUNT,,,3999.2135,11655.206899,21 HCPCS,36836,PRQ AV FSTL CRTJ UXTR 1 ACS,,,22815.8084,67667.562186,21 HCPCS,36837,PRQ AV FSTL CRT UXTR SEP ACS,,,22815.8084,67667.562186,21 HCPCS,36838,DIST REVAS LIGATION HEMO,,,6868.4824,20540.185617,21 HCPCS,36860,EXTERNAL CANNULA DECLOTTING,,,1973.8009,5810.676333,21 HCPCS,36861,CANNULA DECLOTTING,,,6868.4824,20540.185617,21 HCPCS,36901,INTRO CATH DIALYSIS CIRCUIT,,,1973.8009,42613.060007,63 HCPCS,36902,INTRO CATH DIALYSIS CIRCUIT,,,1973.8009,42613.060007,63 HCPCS,36903,INTRO CATH DIALYSIS CIRCUIT,,,1973.8009,42613.060007,63 HCPCS,36904,THRMBC/NFS DIALYSIS CIRCUIT,,,7244.3513,67667.562186,63 HCPCS,36905,THRMBC/NFS DIALYSIS CIRCUIT,,,7244.3513,67667.562186,63 HCPCS,36906,THRMBC/NFS DIALYSIS CIRCUIT,,,7244.3513,67667.562186,63 HCPCS,37182,INSERT HEPATIC SHUNT (TIPS),,,23577.5478,67667.562186,10 HCPCS,37183,REVISION TIPS,,,7244.3513,21009.267027,21 HCPCS,37184,PRIM ART M-THRMBC 1ST VSL,,,22815.8084,67667.562186,21 HCPCS,37187,VENOUS MECH THROMBECTOMY,,,14409.3282,42613.060007,21 HCPCS,37188,VEN MECHNL THRMBC REPEAT TX,,,3999.2135,11655.206899,21 HCPCS,37191,INS ENDOVAS VENA CAVA FILTR,,,6868.4824,20540.185617,21 HCPCS,37192,REDO ENDOVAS VENA CAVA FILTR,,,3999.2135,11655.206899,21 HCPCS,37193,REM ENDOVAS VENA CAVA FILTER,,,3999.2135,11655.206899,22 HCPCS,37195,THROMBOLYTIC THERAPY STROKE,,,421.4453,1219.257508,21 HCPCS,37197,REMOVE INTRVAS FOREIGN BODY,,,3999.2135,11655.206899,21 HCPCS,37200,TRANSCATHETER BIOPSY,,,6868.4824,20540.185617,21 HCPCS,37211,THROMBOLYTIC ART THERAPY,,,6868.4824,20540.185617,21 HCPCS,37212,THROMBOLYTIC VENOUS THERAPY,,,3999.2135,11655.206899,21 HCPCS,37213,THROMBLYTIC ART/VEN THERAPY,,,3999.2135,11655.206899,21 HCPCS,37214,CESSJ THERAPY CATH REMOVAL,,,3999.2135,11655.206899,21 HCPCS,37220,ILIAC REVASC,,,7244.3513,9997.88692,11 HCPCS,37221,ILIAC REVASC W/STENT,,,14409.3282,19452.59307,11 HCPCS,37224,FEM/POPL REVAS W/TLA,,,7244.3513,9997.88692,11 HCPCS,37225,FEM/POPL REVAS W/ATHER,,,22815.8084,30801.34134,11 HCPCS,37226,FEM/POPL REVASC W/STENT,,,14409.3282,19452.59307,11 HCPCS,37227,FEM/POPL REVASC STNT & ATHER,,,22815.8084,30801.34134,11 HCPCS,37228,TIB/PER REVASC W/TLA,,,14409.3282,19452.59307,11 HCPCS,37229,TIB/PER REVASC W/ATHER,,,22815.8084,30801.34134,11 HCPCS,37230,TIB/PER REVASC W/STENT,,,22815.8084,30801.34134,11 HCPCS,37231,TIB/PER REVASC STENT & ATHER,,,22815.8084,30801.34134,11 HCPCS,37236,OPEN/PERQ PLACE STENT 1ST,,,14409.3282,42613.060007,21 HCPCS,37238,OPEN/PERQ PLACE STENT SAME,,,7416.07,42613.060007,22 HCPCS,37241,VASC EMBOLIZE/OCCLUDE VENOUS,,,14409.3282,42613.060007,21 HCPCS,37242,VASC EMBOLIZE/OCCLUDE ARTERY,,,22815.8084,67667.562186,21 HCPCS,37243,VASC EMBOLIZE/OCCLUDE ORGAN,,,1211.02,42613.060007,23 HCPCS,37244,VASC EMBOLIZE/OCCLUDE BLEED,,,14409.3282,42613.060007,21 HCPCS,37246,TRLUML BALO ANGIOP 1ST ART,,,7244.3513,21009.267027,21 HCPCS,37248,TRLUML BALO ANGIOP 1ST VEIN,,,7244.3513,21009.267027,21 HCPCS,37254,REVSC EVASC IVT ANGIO SF 1ST,,,7320.3021,21009.267027,10 HCPCS,37256,REVSC EVASC IVT ANGIO CPLX 1,,,7320.3021,21009.267027,10 HCPCS,37258,REVSC EVASC IVT STENT SF 1ST,,,14847.7561,42613.060007,10 HCPCS,37260,REVSC EVASC IVT ST CPLX 1ST,,,14847.7561,42613.060007,10 HCPCS,37263,REVSC EVASC FPVT ANGIO SF 1,,,7320.3021,21009.267027,10 HCPCS,37265,REVSC EVSC FPVT ANGIO CPLX 1,,,7320.3021,21009.267027,10 HCPCS,37267,REVSC EVSC FPVT STENT SF 1ST,,,14847.7561,42613.060007,10 HCPCS,37269,REVSC EVASC FPVT ST CPLX 1ST,,,14847.7561,42613.060007,10 HCPCS,37271,REVSC EVSC FPVT ATHRC SF 1ST,,,23577.5478,67667.562186,10 HCPCS,37273,REVSC EVSC FPVT ATHRC CPLX 1,,,23577.5478,67667.562186,10 HCPCS,37275,RVSC EVSC FPVT ST ATHRC SF 1,,,23577.5478,67667.562186,10 HCPCS,37277,RVSC EVSC FPVT ST ATHR CPX 1,,,23577.5478,67667.562186,10 HCPCS,37280,REVSC EVSC TPVT ANGIO SF 1ST,,,14847.7561,42613.060007,10 HCPCS,37282,RVSC EVSC TPVT ANGIO CPLX 1,,,14847.7561,42613.060007,10 HCPCS,37284,REVSC EVASC TPVT ST SF 1ST,,,23577.5478,67667.562186,10 HCPCS,37286,REVSC EVASC TPVT ST CPLX 1ST,,,23577.5478,67667.562186,10 HCPCS,37288,REVSC EVSC TPVT ATHRC SF 1ST,,,23577.5478,67667.562186,10 HCPCS,37290,REVSC EVSC TPVT ATHRC CPLX 1,,,23577.5478,67667.562186,10 HCPCS,37292,RVSC EVSC TPVT ST ATHRC SF 1,,,23577.5478,67667.562186,10 HCPCS,37294,RVSC EVSC TPVT ST ATHR CPX 1,,,23577.5478,67667.562186,10 HCPCS,37296,REVSC EVASC IMVT ANGIO SF 1,,,14847.7561,42613.060007,10 HCPCS,37298,REVSC EVSC IMVT ANGIO CPLX 1,,,14847.7561,42613.060007,10 HCPCS,37500,ENDOSCOPY LIGATE PERF VEINS,,,6868.4824,9612.49982,11 HCPCS,37501,UNLISTED VASC ENDOSCOPY PX,,,785.5612,2315.563068,21 HCPCS,37565,LIGATION INT JUGULAR VEIN,,,3999.2135,11655.206899,21 HCPCS,37600,LIGATION XTRNL CAROTID ART,,,3999.2135,11655.206899,21 HCPCS,37605,LIGATION INT/COM CAROTID ART,,,3999.2135,11655.206899,21 HCPCS,37606,LIG INT/COM CAROTID ART OCCL,,,3999.2135,11655.206899,21 HCPCS,37607,LIG/BANDING ANGIOACS AV FSTL,,,3999.2135,11655.206899,21 HCPCS,37609,LIGATION/BX TEMPORAL ARTERY,,,2058.6769,6096.540387,21 HCPCS,37615,LIGATION MAJOR ARTERY NECK,,,3999.2135,11655.206899,21 HCPCS,37617,LIGATION MAJOR ARTERY ABD,,,7156.8591,20540.185617,10 HCPCS,37619,LIGATION OF INF VENA CAVA,,,6868.4824,20540.185617,21 HCPCS,37650,LIGATION OF FEMORAL VEIN,,,3999.2135,11655.206899,21 HCPCS,37700,LIGATION&DIV LONG SAPH VEIN,,,3999.2135,11655.206899,21 HCPCS,37718,LIG DIV&STRPG SHORT SAPH VN,,,3999.2135,11655.206899,21 HCPCS,37722,LIG DIV&STRPG LONG SAPH VEIN,,,3999.2135,11655.206899,21 HCPCS,37735,LIG&DIV&COMPL STRPG SAPH VN,,,3999.2135,11655.206899,21 HCPCS,37760,LIG PRFRATR VN RADICAL 1 LEG,,,3999.2135,11655.206899,21 HCPCS,37761,LIGATE LEG VEINS OPEN,,,3999.2135,11655.206899,21 HCPCS,37765,STAB PHLEB VEINS XTR 10-20,,,3999.2135,11655.206899,21 HCPCS,37766,PHLEB VEINS - EXTREM 20+,,,3999.2135,11655.206899,21 HCPCS,37780,REVISION OF LEG VEIN,,,3999.2135,11655.206899,21 HCPCS,37785,LIGATE/DIVIDE/EXCISE VEIN,,,3999.2135,11655.206899,21 HCPCS,37790,PENILE VENOUS OCCLUSION,,,4382.2613,13011.760041,21 HCPCS,37799,UNLISTED PX VASCULAR SURGERY,,,785.5612,2315.563068,21 HCPCS,38120,LAPAROSCOPY SPLENECTOMY,,,13228.4961,39237.899827,21 HCPCS,38129,UNLISTED LAPS PX SPLEEN,,,7413.1378,22315.851747,21 HCPCS,38206,HARVEST AUTO STEM CELLS,,,2003.1113,5748.929431,21 HCPCS,38207,CRYOPRESERVE STEM CELLS,,,555.4809,1628.50688,21 HCPCS,38208,THAW PRESERVED STEM CELLS,,,555.4809,1628.50688,21 HCPCS,38209,WASH HARVEST STEM CELLS,,,555.4809,1628.50688,21 HCPCS,38210,T-CELL DEPLETION OF HARVEST,,,555.4809,1628.50688,21 HCPCS,38211,TUMOR CELL DEPLETE OF HARVST,,,555.4809,1628.50688,21 HCPCS,38212,RBC DEPLETION OF HARVEST,,,555.4809,1628.50688,21 HCPCS,38213,PLATELET DEPLETE OF HARVEST,,,555.4809,1628.50688,21 HCPCS,38214,VOLUME DEPLETE OF HARVEST,,,555.4809,1628.50688,21 HCPCS,38215,HARVEST STEM CELL CONCENTRTE,,,555.4809,1628.50688,21 HCPCS,38220,DX BONE MARROW ASPIRATIONS,,,2058.6769,6096.540387,21 HCPCS,38221,DX BONE MARROW BIOPSIES,,,2058.6769,6096.540387,21 HCPCS,38228,CAR-T ADMN AUTOLOGOUS,,,421.4453,1219.257508,19 HCPCS,38230,BONE MARROW HARVEST ALLOGEN,,,2003.1113,5748.929431,21 HCPCS,38232,BONE MARROW HARVEST AUTOLOG,,,5601.9036,16077.463332,21 HCPCS,38240,TRANSPLT ALLO HCT/DONOR,,,75146.2445,232186.861011,21 HCPCS,38241,TRANSPLT AUTOL HCT/DONOR,,,2003.1113,5748.929431,21 HCPCS,38242,TRANSPLT ALLO LYMPHOCYTES,,,2003.1113,5748.929431,21 HCPCS,38243,TRANSPLJ HEMATOPOIETIC BOOST,,,2003.1113,5748.929431,21 HCPCS,38300,DRAINAGE LYMPH NODE LESION,,,3636.5207,10722.174778,21 HCPCS,38305,DRAINAGE LYMPH NODE LESION,,,3636.5207,10722.174778,21 HCPCS,38308,INCISION OF LYMPH CHANNELS,,,4865.4832,14453.039027,21 HCPCS,38500,BIOPSY/REMOVAL LYMPH NODES,,,4865.4832,14453.039027,23 HCPCS,38505,NEEDLE BIOPSY LYMPH NODES,,,2058.6769,6096.540387,21 HCPCS,38510,BIOPSY/REMOVAL LYMPH NODES,,,4865.4832,14453.039027,23 HCPCS,38520,BIOPSY/REMOVAL LYMPH NODES,,,4865.4832,14453.039027,23 HCPCS,38525,BIOPSY/REMOVAL LYMPH NODES,,,4865.4832,14453.039027,23 HCPCS,38530,BIOPSY/REMOVAL LYMPH NODES,,,4865.4832,14453.039027,23 HCPCS,38531,OPEN BX/EXC INGUINOFEM NODES,,,4865.4832,14453.039027,22 HCPCS,38542,EXPLORE DEEP NODE(S) NECK,,,7413.1378,22315.851747,21 HCPCS,38550,REMOVAL NECK/ARMPIT LESION,,,4865.4832,24510.84755,42 HCPCS,38555,REMOVAL NECK/ARMPIT LESION,,,4865.4832,24510.84755,42 HCPCS,38562,REMOVAL PELVIC LYMPH NODES,,,10512.3437,30170.426419,10 HCPCS,38570,LAPAROSCOPY LYMPH NODE BIOP,,,7413.1378,22315.851747,21 HCPCS,38571,LAPAROSCOPY LYMPHADENECTOMY,,,13228.4961,39237.899827,21 HCPCS,38572,LAPAROSCOPY LYMPHADENECTOMY,,,13228.4961,39237.899827,21 HCPCS,38573,LAPS PELVIC LYMPHADEC,,,13228.4961,39237.899827,21 HCPCS,38589,UNLISTED LAPS PX LYMPHTC SYS,,,7413.1378,22315.851747,21 HCPCS,38700,REMOVAL OF LYMPH NODES NECK,,,5997.45,24510.84755,23 HCPCS,38720,REMOVAL OF LYMPH NODES NECK,,,5997.45,24510.84755,23 HCPCS,38724,REMOVAL OF LYMPH NODES NECK,,,5997.45,24510.84755,23 HCPCS,38740,REMOVE ARMPIT LYMPH NODES,,,7413.1378,22315.851747,21 HCPCS,38745,REMOVE ARMPIT LYMPH NODES,,,7413.1378,22315.851747,21 HCPCS,38760,REMOVE GROIN LYMPH NODES,,,8286.1671,24510.84755,21 HCPCS,38792,RA TRACER ID OF SENTINL NODE,,,510.5652,1475.675075,21 HCPCS,38999,UNLISTD PX HEMIC/LYMPHTC SYS,,,555.4809,1628.50688,21 HCPCS,39401,MEDIASTINOSCPY W/MEDSTNL BX,,,7413.1378,22315.851747,21 HCPCS,39402,MEDIASTINOSCPY W/LMPH NOD BX,,,7413.1378,22315.851747,21 HCPCS,40490,BIOPSY OF LIP,,,295.0587,874.284082,21 HCPCS,40500,PARTIAL EXCISION OF LIP,,,4120.6447,12238.352154,21 HCPCS,40510,PARTIAL EXCISION OF LIP,,,4120.6447,12238.352154,21 HCPCS,40520,PARTIAL EXCISION OF LIP,,,4120.6447,12238.352154,21 HCPCS,40525,RECONSTRUCT LIP WITH FLAP,,,4120.6447,21851.864587,42 HCPCS,40527,RECONSTRUCT LIP WITH FLAP,,,4120.6447,21851.864587,42 HCPCS,40530,PARTIAL REMOVAL OF LIP,,,4120.6447,12238.352154,21 HCPCS,40650,RPR LIP FTH VERMILION ONLY,,,647.0531,1990.822855,21 HCPCS,40652,RPR LIP FTH1HALF VER HT/CPX,,,1882.1144,5727.359659,21 HCPCS,40700,REPAIR CLEFT LIP/NASAL,,,4120.6447,21851.864587,42 HCPCS,40701,REPAIR CLEFT LIP/NASAL,,,4120.6447,21851.864587,42 HCPCS,40702,REPAIR CLEFT LIP/NASAL,,,4120.6447,21851.864587,42 HCPCS,40720,REPAIR CLEFT LIP/NASAL,,,4120.6447,21851.864587,42 HCPCS,40761,REPAIR CLEFT LIP/NASAL,,,4120.6447,21851.864587,42 HCPCS,40799,UNLISTED PROCEDURE LIPS,,,295.0587,874.284082,21 HCPCS,40800,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,40801,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,40804,REMOVAL FOREIGN BODY MOUTH,,,647.0531,3347.954015,42 HCPCS,40805,REMOVAL FOREIGN BODY MOUTH,,,647.0531,3347.954015,42 HCPCS,40806,INCISION OF LIP FOLD,,,647.0531,1990.822855,21 HCPCS,40808,BIOPSY OF MOUTH LESION,,,647.0531,1990.822855,21 HCPCS,40810,EXCISION OF MOUTH LESION,,,4120.6447,12238.352154,21 HCPCS,40812,EXCISE/REPAIR MOUTH LESION,,,1882.1144,12238.352154,43 HCPCS,40814,EXCISE/REPAIR MOUTH LESION,,,1882.1144,12238.352154,43 HCPCS,40816,EXCISION OF MOUTH LESION,,,4120.6447,12238.352154,21 HCPCS,40818,EXCISE ORAL MUCOSA FOR GRAFT,,,647.0531,1990.822855,21 HCPCS,40819,EXCISE LIP OR CHEEK FOLD,,,1882.1144,5727.359659,21 HCPCS,40820,TREATMENT OF MOUTH LESION,,,4120.6447,12238.352154,21 HCPCS,40830,REPAIR MOUTH LACERATION,,,295.0587,1990.822855,42 HCPCS,40831,REPAIR MOUTH LACERATION,,,295.0587,1990.822855,42 HCPCS,40840,RECONSTRUCTION OF MOUTH,,,7516.4376,21851.864587,21 HCPCS,40842,RECONSTRUCTION OF MOUTH,,,7516.4376,21851.864587,21 HCPCS,40843,RECONSTRUCTION OF MOUTH,,,7516.4376,21851.864587,21 HCPCS,40844,RECONSTRUCTION OF MOUTH,,,7516.4376,21851.864587,21 HCPCS,40845,RECONSTRUCTION OF MOUTH,,,7516.4376,21851.864587,21 HCPCS,40899,UNLISTED PX VESTIBULE MOUTH,,,295.0587,874.284082,21 HCPCS,41000,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41005,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41006,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41007,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41008,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41009,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41010,INCISION OF TONGUE FOLD,,,1882.1144,5727.359659,21 HCPCS,41015,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41016,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41017,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41018,DRAINAGE OF MOUTH LESION,,,295.0587,21851.864587,126 HCPCS,41019,PLACE NEEDLES H&N FOR RT,,,7516.4376,21851.864587,21 HCPCS,41100,BIOPSY OF TONGUE,,,647.0531,12238.352154,42 HCPCS,41105,BIOPSY OF TONGUE,,,647.0531,12238.352154,42 HCPCS,41108,BIOPSY OF FLOOR OF MOUTH,,,2058.6769,6096.540387,21 HCPCS,41110,EXCISION OF TONGUE LESION,,,4120.6447,12238.352154,21 HCPCS,41112,EXCISION OF TONGUE LESION,,,4120.6447,12238.352154,21 HCPCS,41113,EXCISION OF TONGUE LESION,,,4120.6447,12238.352154,21 HCPCS,41114,EXCISION OF TONGUE LESION,,,4120.6447,12238.352154,21 HCPCS,41115,EXCISION OF TONGUE FOLD,,,1882.1144,5727.359659,21 HCPCS,41116,EXCISION OF MOUTH LESION,,,4120.6447,12238.352154,21 HCPCS,41120,PARTIAL REMOVAL OF TONGUE,,,7516.4376,21851.864587,23 HCPCS,41250,REPAIR TONGUE LACERATION,,,295.0587,1648.99294,42 HCPCS,41251,REPAIR TONGUE LACERATION,,,295.0587,1648.99294,42 HCPCS,41252,REPAIR TONGUE LACERATION,,,295.0587,1648.99294,42 HCPCS,41510,TONGUE TO LIP SURGERY,,,4120.6447,12238.352154,21 HCPCS,41512,TONGUE SUSPENSION,,,7516.4376,21851.864587,21 HCPCS,41520,RECONSTRUCTION TONGUE FOLD,,,4120.6447,12238.352154,21 HCPCS,41530,TONGUE BASE VOL REDUCTION,,,4120.6447,12238.352154,21 HCPCS,41800,DRAINAGE OF GUM LESION,,,163.7803,491.121001,21 HCPCS,41805,REMOVAL FOREIGN BODY GUM,,,1882.1144,5727.359659,21 HCPCS,41806,REMOVAL FOREIGN BODY JAWBONE,,,1882.1144,5727.359659,21 HCPCS,41820,EXCISION GUM EACH QUADRANT,,,4120.6447,12238.352154,21 HCPCS,41821,EXCISION OF GUM FLAP,,,1882.1144,5727.359659,21 HCPCS,41822,EXCISION OF GUM LESION,,,1882.1144,21851.864587,63 HCPCS,41823,EXCISION OF GUM LESION,,,1882.1144,21851.864587,63 HCPCS,41825,EXCISION OF GUM LESION,,,1882.1144,21851.864587,63 HCPCS,41826,EXCISION OF GUM LESION,,,1882.1144,21851.864587,63 HCPCS,41827,EXCISION OF GUM LESION,,,1882.1144,21851.864587,63 HCPCS,41828,EXCISION OF GUM LESION,,,1882.1144,21851.864587,63 HCPCS,41830,REMOVAL OF GUM TISSUE,,,4120.6447,12238.352154,21 HCPCS,41850,TREATMENT OF GUM LESION,,,1882.1144,5727.359659,21 HCPCS,41870,PERIODONTAL MUCOSAL GRAFTING,,,1882.1144,5727.359659,21 HCPCS,41872,GINGIVOPLASTY EACH QUADRANT,,,4120.6447,12238.352154,21 HCPCS,41874,ALVEOLOPLASTY EACH QUADRANT,,,4120.6447,12238.352154,21 HCPCS,41899,UNLISTED PX DENTALVLR STRUX,,,295.0587,874.284082,21 HCPCS,42000,DRAINAGE MOUTH ROOF LESION,,,295.0587,874.284082,21 HCPCS,42100,BIOPSY ROOF OF MOUTH,,,1882.1144,5727.359659,21 HCPCS,42104,EXCISION LESION MOUTH ROOF,,,4120.6447,21851.864587,42 HCPCS,42106,EXCISION LESION MOUTH ROOF,,,4120.6447,21851.864587,42 HCPCS,42107,EXCISION LESION MOUTH ROOF,,,4120.6447,21851.864587,42 HCPCS,42120,REMOVE PALATE/LESION,,,7516.4376,21851.864587,21 HCPCS,42140,EXCISION OF UVULA,,,4120.6447,12238.352154,21 HCPCS,42145,REPAIR PALATE PHARYNX/UVULA,,,7516.4376,21851.864587,23 HCPCS,42160,TREATMENT MOUTH ROOF LESION,,,4120.6447,12238.352154,21 HCPCS,42182,REPAIR PALATE,,,7516.4376,21851.864587,21 HCPCS,42200,RECONSTRUCT CLEFT PALATE,,,4120.6447,21851.864587,42 HCPCS,42205,RECONSTRUCT CLEFT PALATE,,,4120.6447,21851.864587,42 HCPCS,42210,RECONSTRUCT CLEFT PALATE,,,4120.6447,21851.864587,42 HCPCS,42215,RECONSTRUCT CLEFT PALATE,,,4120.6447,21851.864587,42 HCPCS,42220,RECONSTRUCT CLEFT PALATE,,,4120.6447,21851.864587,42 HCPCS,42225,RECONSTRUCT CLEFT PALATE,,,4120.6447,21851.864587,42 HCPCS,42226,LENGTHENING OF PALATE,,,7516.4376,21851.864587,21 HCPCS,42227,LENGTHENING OF PALATE,,,7516.4376,21851.864587,21 HCPCS,42235,REPAIR PALATE,,,7516.4376,21851.864587,21 HCPCS,42260,REPAIR NOSE TO LIP FISTULA,,,7516.4376,21851.864587,21 HCPCS,42280,PREPARATION PALATE MOLD,,,647.0531,1990.822855,21 HCPCS,42281,INSERTION PALATE PROSTHESIS,,,7516.4376,21851.864587,21 HCPCS,42299,UNLISTED PX PALATE UVULA,,,295.0587,874.284082,21 HCPCS,42300,DRAINAGE OF SALIVARY GLAND,,,647.0531,12238.352154,63 HCPCS,42305,DRAINAGE OF SALIVARY GLAND,,,647.0531,12238.352154,63 HCPCS,42310,DRAINAGE OF SALIVARY GLAND,,,647.0531,12238.352154,63 HCPCS,42320,DRAINAGE OF SALIVARY GLAND,,,647.0531,12238.352154,63 HCPCS,42330,REMOVAL OF SALIVARY STONE,,,4120.6447,12238.352154,21 HCPCS,42335,REMOVAL OF SALIVARY STONE,,,4120.6447,12238.352154,21 HCPCS,42340,REMOVAL OF SALIVARY STONE,,,4120.6447,12238.352154,21 HCPCS,42400,BIOPSY OF SALIVARY GLAND,,,893.9815,5727.359659,42 HCPCS,42405,BIOPSY OF SALIVARY GLAND,,,893.9815,5727.359659,42 HCPCS,42408,EXCISION OF SALIVARY CYST,,,4120.6447,12238.352154,22 HCPCS,42409,DRAINAGE OF SALIVARY CYST,,,4120.6447,12238.352154,21 HCPCS,42410,EXCISE PAROTID GLAND/LESION,,,7516.4376,21851.864587,22 HCPCS,42415,EXCISE PAROTID GLAND/LESION,,,7516.4376,21851.864587,22 HCPCS,42420,EXCISE PAROTID GLAND/LESION,,,7516.4376,21851.864587,22 HCPCS,42425,EXCISE PAROTID GLAND/LESION,,,7516.4376,21851.864587,22 HCPCS,42440,EXCISE SUBMAXILLARY GLAND,,,7516.4376,21851.864587,22 HCPCS,42450,EXCISE SUBLINGUAL GLAND,,,7516.4376,21851.864587,21 HCPCS,42500,REPAIR SALIVARY DUCT,,,7516.4376,21851.864587,22 HCPCS,42505,REPAIR SALIVARY DUCT,,,7516.4376,21851.864587,22 HCPCS,42507,PAROTID DUCT DIVERSION,,,4120.6447,21851.864587,42 HCPCS,42509,PAROTID DUCT DIVERSION,,,4120.6447,21851.864587,42 HCPCS,42510,PAROTID DUCT DIVERSION,,,4120.6447,21851.864587,42 HCPCS,42600,CLOSURE OF SALIVARY FISTULA,,,4120.6447,12238.352154,21 HCPCS,42650,DILATION OF SALIVARY DUCT,,,647.0531,5727.359659,42 HCPCS,42660,DILATION OF SALIVARY DUCT,,,647.0531,5727.359659,42 HCPCS,42665,LIGATION OF SALIVARY DUCT,,,4120.6447,12238.352154,21 HCPCS,42699,UNLISTED PX SALIVRY GLND/DUX,,,295.0587,5247.77,22 HCPCS,42700,I&D ABSCESS PERITONSILLAR,,,295.0587,874.284082,21 HCPCS,42720,I&D ABSC PHRNGL NTRAORL APPR,,,4120.6447,12238.352154,21 HCPCS,42725,I&D ABSC PHRNGL XTRNL APPR,,,7516.4376,21851.864587,21 HCPCS,42800,BIOPSY OF THROAT,,,1882.1144,5727.359659,21 HCPCS,42804,BIOPSY OF UPPER NOSE/THROAT,,,4120.6447,12238.352154,21 HCPCS,42806,BIOPSY OF UPPER NOSE/THROAT,,,4120.6447,12238.352154,21 HCPCS,42808,EXCISE PHARYNX LESION,,,4120.6447,12238.352154,21 HCPCS,42809,REMOVE PHARYNX FOREIGN BODY,,,507.0202,1648.99294,21 HCPCS,42810,EXCISION OF NECK CYST,,,4120.6447,21851.864587,42 HCPCS,42815,EXCISION OF NECK CYST,,,4120.6447,21851.864587,42 HCPCS,42820,REMOVE TONSILS AND ADENOIDS,,,4120.6447,21851.864587,44 HCPCS,42821,REMOVE TONSILS AND ADENOIDS,,,4120.6447,21851.864587,44 HCPCS,42825,REMOVAL OF TONSILS,,,4120.6447,21851.864587,45 HCPCS,42826,REMOVAL OF TONSILS,,,4120.6447,21851.864587,45 HCPCS,42830,REMOVAL OF ADENOIDS,,,4120.6447,12238.352154,22 HCPCS,42831,REMOVAL OF ADENOIDS,,,4120.6447,12238.352154,22 HCPCS,42835,REMOVAL OF ADENOIDS,,,4120.6447,12238.352154,22 HCPCS,42836,REMOVAL OF ADENOIDS,,,4120.6447,12238.352154,22 HCPCS,42842,EXTENSIVE SURGERY OF THROAT,,,7516.4376,21851.864587,21 HCPCS,42844,EXTENSIVE SURGERY OF THROAT,,,7516.4376,21851.864587,21 HCPCS,42860,EXCISION OF TONSIL TAGS,,,4120.6447,12238.352154,21 HCPCS,42870,EXCISION OF LINGUAL TONSIL,,,7516.4376,21851.864587,21 HCPCS,42890,LIMITED PHARYNGECTOMY,,,7516.4376,21851.864587,21 HCPCS,42892,REVISION OF PHARYNGEAL WALLS,,,7516.4376,21851.864587,21 HCPCS,42900,REPAIR THROAT WOUND,,,1882.1144,5727.359659,21 HCPCS,42950,RECONSTRUCTION OF THROAT,,,7516.4376,21851.864587,21 HCPCS,42955,SURGICAL OPENING OF THROAT,,,1882.1144,5727.359659,21 HCPCS,42960,CONTROL THROAT BLEEDING,,,647.0531,12238.352154,42 HCPCS,42962,CONTROL THROAT BLEEDING,,,647.0531,12238.352154,42 HCPCS,42970,CONTROL NOSE/THROAT BLEEDING,,,295.0587,12238.352154,42 HCPCS,42972,CONTROL NOSE/THROAT BLEEDING,,,295.0587,12238.352154,42 HCPCS,42975,DISE EVAL SLP DO BRTH FLX DX,,,2191.1116,6570.138029,21 HCPCS,42999,UNLISTED PX PHRNX ADND/TNSL,,,295.0587,874.284082,21 HCPCS,43020,INCISION OF ESOPHAGUS,,,1882.1144,5727.359659,21 HCPCS,43030,CRICOPHARYNGEAL MYOTOMY,,,7516.4376,21851.864587,21 HCPCS,43130,REMOVAL OF ESOPHAGUS POUCH,,,7516.4376,21851.864587,22 HCPCS,43180,ESOPHAGOSCOPY RIGID TRNSO,,,7516.4376,21851.864587,21 HCPCS,43191,ESOPHAGOSCOPY RIGID TRNSO DX,,,2410.3155,7083.262459,21 HCPCS,43192,ESOPHAGOSCP RIG TRNSO INJECT,,,2410.3155,7083.262459,21 HCPCS,43193,ESOPHAGOSCP RIG TRNSO BIOPSY,,,2410.3155,7083.262459,21 HCPCS,43194,ESOPHAGOSCP RIG TRNSO REM FB,,,2410.3155,7083.262459,21 HCPCS,43195,ESOPHAGOSCOPY RIGID BALLOON,,,4834.0358,14231.704053,21 HCPCS,43196,ESOPHAGOSCP GUIDE WIRE DILAT,,,2410.3155,7083.262459,21 HCPCS,43197,ESOPHAGOSCOPY FLEX DX BRUSH,,,1166.5345,3347.954015,21 HCPCS,43198,ESOPHAGOSC FLEX TRNSN BIOPSY,,,1166.5345,3347.954015,21 HCPCS,43200,ESOPHAGOSCOPY FLEXIBLE BRUSH,,,1166.5345,3347.954015,21 HCPCS,43201,ESOPH SCOPE W/SUBMUCOUS INJ,,,2410.3155,7083.262459,21 HCPCS,43202,ESOPHAGOSCOPY FLEX BIOPSY,,,2410.3155,7083.262459,21 HCPCS,43204,ESOPH SCOPE W/SCLEROSIS INJ,,,2410.3155,7083.262459,21 HCPCS,43205,ESOPHAGUS ENDOSCOPY/LIGATION,,,2410.3155,7083.262459,21 HCPCS,43206,ESOPH OPTICAL ENDOMICROSCOPY,,,2410.3155,7083.262459,21 HCPCS,43210,EGD ESOPHAGOGASTRC FNDOPLSTY,,,13228.4961,39237.899827,21 HCPCS,43211,ESOPHAGOSCOP MUCOSAL RESECT,,,2410.3155,7083.262459,21 HCPCS,43212,ESOPHAGOSCOP STENT PLACEMENT,,,7563.6404,22409.501856,21 HCPCS,43213,ESOPHAGOSCOPY RETRO BALLOON,,,2410.3155,7083.262459,21 HCPCS,43214,ESOPHAGOSC DILATE BALLOON 30,,,2410.3155,7083.262459,21 HCPCS,43215,ESOPHAGOSCOPY FLEX REMOVE FB,,,2410.3155,7083.262459,21 HCPCS,43216,ESOPHAGOSCOPY LESION REMOVAL,,,2410.3155,7083.262459,21 HCPCS,43217,ESOPHAGOSCOPY SNARE LES REMV,,,2410.3155,7083.262459,21 HCPCS,43220,ESOPHAGOSCOPY BALLOON <30MM,,,2410.3155,7083.262459,21 HCPCS,43226,ESOPH ENDOSCOPY DILATION,,,2410.3155,7083.262459,21 HCPCS,43227,ESOPHAGOSCOPY CONTROL BLEED,,,2410.3155,7083.262459,21 HCPCS,43229,ESOPHAGOSCOPY LESION ABLATE,,,4834.0358,14231.704053,21 HCPCS,43231,ESOPHAGOSCOP ULTRASOUND EXAM,,,2410.3155,7083.262459,21 HCPCS,43232,ESOPHAGOSCOPY W/US NEEDLE BX,,,2410.3155,7083.262459,21 HCPCS,43233,EGD BALLOON DIL ESOPH30 MM/>,,,2410.3155,7083.262459,21 HCPCS,43235,EGD DIAGNOSTIC BRUSH WASH,,,1166.5345,3347.954015,21 HCPCS,43236,UPPR GI SCOPE W/SUBMUC INJ,,,1166.5345,6998.63,22 HCPCS,43237,ENDOSCOPIC US EXAM ESOPH,,,2410.3155,7083.262459,22 HCPCS,43238,EGD US FINE NEEDLE BX/ASPIR,,,2410.3155,7083.262459,23 HCPCS,43239,EGD BIOPSY SINGLE/MULTIPLE,,,1166.5345,3347.954015,21 HCPCS,43240,EGD W/TRANSMURAL DRAIN CYST,,,7563.6404,22409.501856,21 HCPCS,43241,EGD TUBE/CATH INSERTION,,,2410.3155,7083.262459,22 HCPCS,43242,EGD US FINE NEEDLE BX/ASPIR,,,2410.3155,7083.262459,23 HCPCS,43243,EGD INJECTION VARICES,,,2410.3155,7083.262459,21 HCPCS,43244,EGD VARICES LIGATION,,,2410.3155,7083.262459,23 HCPCS,43245,EGD DILATE STRICTURE,,,2410.3155,7083.262459,21 HCPCS,43246,EGD PLACE GASTROSTOMY TUBE,,,2410.3155,7083.262459,21 HCPCS,43247,EGD REMOVE FOREIGN BODY,,,1166.5345,3347.954015,21 HCPCS,43248,EGD GUIDE WIRE INSERTION,,,1166.5345,5247.77,22 HCPCS,43249,ESOPH EGD DILATION <30 MM,,,2410.3155,7083.262459,23 HCPCS,43250,EGD CAUTERY TUMOR POLYP,,,2410.3155,7083.262459,21 HCPCS,43251,EGD REMOVE LESION SNARE,,,2410.3155,7083.262459,23 HCPCS,43252,EGD OPTICAL ENDOMICROSCOPY,,,2410.3155,7083.262459,21 HCPCS,43253,EGD US TRANSMURAL INJXN/MARK,,,2410.3155,7083.262459,21 HCPCS,43254,EGD ENDO MUCOSAL RESECTION,,,2410.3155,7083.262459,23 HCPCS,43255,EGD CONTROL BLEEDING ANY,,,2410.3155,7083.262459,21 HCPCS,43257,EGD W/THRML TXMNT GERD,,,4834.0358,14231.704053,21 HCPCS,43259,EGD US EXAM DUODENUM/JEJUNUM,,,2410.3155,7998.44,24 HCPCS,43260,ERCP W/SPECIMEN COLLECTION,,,4834.0358,14231.704053,21 HCPCS,43261,ENDO CHOLANGIOPANCREATOGRAPH,,,4834.0358,14231.704053,21 HCPCS,43262,ENDO CHOLANGIOPANCREATOGRAPH,,,4834.0358,14231.704053,21 HCPCS,43263,ERCP SPHINCTER PRESSURE MEAS,,,2410.3155,7083.262459,21 HCPCS,43264,ERCP REMOVE DUCT CALCULI,,,4834.0358,14231.704053,23 HCPCS,43265,ERCP LITHOTRIPSY CALCULI,,,7563.6404,22409.501856,21 HCPCS,43266,EGD ENDOSCOPIC STENT PLACE,,,7563.6404,22409.501856,21 HCPCS,43270,EGD LESION ABLATION,,,2410.3155,7083.262459,21 HCPCS,43274,ERCP DUCT STENT PLACEMENT,,,7563.6404,22409.501856,21 HCPCS,43275,ERCP REMOVE FORGN BODY DUCT,,,2410.3155,7083.262459,21 HCPCS,43276,ERCP STENT EXCHANGE W/DILATE,,,5247.77,22409.501856,23 HCPCS,43277,ERCP EA DUCT/AMPULLA DILATE,,,4834.0358,14231.704053,22 HCPCS,43278,ERCP LESION ABLATE W/DILATE,,,4834.0358,14231.704053,21 HCPCS,43280,LAPAROSCOPY FUNDOPLASTY,,,13228.4961,39237.899827,23 HCPCS,43281,LAP PARAESOPHAG HERN REPAIR,,,12920.55,39237.899827,22 HCPCS,43282,LAP PARAESOPH HER RPR W/MESH,,,13228.4961,39237.899827,21 HCPCS,43284,LAPS ESOPHGL SPHNCTR AGMNTJ,,,13228.4961,39237.899827,21 HCPCS,43285,RMVL ESOPHGL SPHNCTR DEV,,,7413.1378,22315.851747,21 HCPCS,43289,UNLISTED LAPS PX ESOPH,,,7413.1378,22315.851747,21 HCPCS,43290,EGD FLX TRNSORL DPLMNT BALO,,,2410.3155,7083.262459,21 HCPCS,43291,EGD FLX TRNSORL RMVL BALO,,,1166.5345,3347.954015,21 HCPCS,43420,REPAIR ESOPHAGUS OPENING,,,4120.6447,12238.352154,21 HCPCS,43450,DILATE ESOPHAGUS 1/MULT PASS,,,1166.5345,3347.954015,21 HCPCS,43453,DILATE ESOPHAGUS,,,2410.3155,7083.262459,21 HCPCS,43497,TRANSORL LWR ESOPHGL MYOTOMY,,,7563.6404,22409.501856,21 HCPCS,43499,UNLISTED PROCEDURE ESOPHAGUS,,,1166.5345,3347.954015,21 HCPCS,43510,SURGICAL OPENING OF STOMACH,,,1166.5345,3347.954015,21 HCPCS,43631,REMOVAL OF STOMACH PARTIAL,,,5229.75,5229.75,1 HCPCS,43647,LAP IMPL ELECTRODE ANTRUM,,,14331.368,41131.02616,21 HCPCS,43648,LAP REVISE/REMV ELTRD ANTRUM,,,13228.4961,39237.899827,21 HCPCS,43651,LAPAROSCOPY VAGUS NERVE,,,7413.1378,22315.851747,21 HCPCS,43652,LAPAROSCOPY VAGUS NERVE,,,7413.1378,22315.851747,21 HCPCS,43653,LAPAROSCOPY GASTROSTOMY,,,7413.1378,22315.851747,21 HCPCS,43659,UNLISTED LAPS PX STOMACH,,,7413.1378,22315.851747,21 HCPCS,43752,NASAL/OROGASTRIC W/TUBE PLMT,,,507.0202,1648.99294,21 HCPCS,43753,TX GASTRO INTUB W/ASP,,,277.7133,797.037171,21 HCPCS,43754,DX GASTR INTUB W/ASP SPEC,,,277.7133,797.037171,21 HCPCS,43755,DX GASTR INTUB W/ASP SPECS,,,165.495,474.97065,21 HCPCS,43756,DX DUOD INTUB W/ASP SPEC,,,1166.5345,3347.954015,21 HCPCS,43757,DX DUOD INTUB W/ASP SPECS,,,1166.5345,3347.954015,21 HCPCS,43761,REPOSITION GASTROSTOMY TUBE,,,309.0226,922.265316,21 HCPCS,43762,RPLC GTUBE NO REVJ TRC,,,309.0226,922.265316,21 HCPCS,43763,RPLC GTUBE REVJ GSTRST TRC,,,309.0226,922.265316,21 HCPCS,43770,LAP PLACE GASTR ADJ DEVICE,,,13228.4961,39237.899827,21 HCPCS,43772,LAP RMVL GASTR ADJ DEVICE,,,4834.0358,14231.704053,21 HCPCS,43773,LAP REPLACE GASTR ADJ DEVICE,,,7413.1378,22315.851747,21 HCPCS,43774,LAP RMVL GASTR ADJ ALL PARTS,,,4834.0358,14231.704053,21 HCPCS,43830,GSTRST OPEN WO CONSTJ TUBE,,,2410.3155,7083.262459,21 HCPCS,43831,GASTROSTOMY OPEN NEONATAL,,,1166.5345,3347.954015,21 HCPCS,43840,GSTRRPHY SUTR DUOL/GSTR ULCR,,,4958.7819,14231.704053,10 HCPCS,43870,CLOSURE GASTROSTOMY SURGICAL,,,4834.0358,14231.704053,21 HCPCS,43886,GSTR RSTCV PX OPN REVJ PORT,,,4557.8223,13080.950001,21 HCPCS,43887,GSTR RSTCV PX OPN RMVL PORT,,,2324.2196,7616.186158,21 HCPCS,43888,GSTR RSTCV PX OPN RMVL&RPLC,,,4557.8223,13080.950001,21 HCPCS,43889,GSTR RSTCV PX TRNSORL ESG,,,13671.7421,39237.899827,10 HCPCS,43999,UNLISTED PROCEDURE STOMACH,,,1166.5345,5229.75,23 HCPCS,44100,BIOPSY OF BOWEL,,,1166.5345,3347.954015,21 HCPCS,44180,LAP ENTEROLYSIS,,,7413.1378,22315.851747,22 HCPCS,44186,LAP JEJUNOSTOMY,,,7413.1378,22315.851747,21 HCPCS,44238,UNLISTED LAPS PX INTESTINE,,,7413.1378,22315.851747,21 HCPCS,44300,OPEN BOWEL TO SKIN,,,2468.0357,7083.262459,10 HCPCS,44312,REVISION OF ILEOSTOMY,,,4557.8223,13080.950001,21 HCPCS,44314,REVISION OF ILEOSTOMY,,,4557.8223,13080.950001,21 HCPCS,44340,REVISION OF COLOSTOMY,,,4557.8223,13080.950001,21 HCPCS,44345,REVISION OF COLOSTOMY,,,4557.8223,13080.950001,21 HCPCS,44346,REVISION OF COLOSTOMY,,,4557.8223,13080.950001,21 HCPCS,44360,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44361,SMALL BOWEL ENDOSCOPY/BIOPSY,,,2410.3155,7083.262459,22 HCPCS,44363,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44364,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44365,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44366,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44369,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44370,SMALL BOWEL ENDOSCOPY/STENT,,,7563.6404,22409.501856,21 HCPCS,44372,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44373,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44376,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44377,SMALL BOWEL ENDOSCOPY/BIOPSY,,,2410.3155,7083.262459,22 HCPCS,44378,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44379,S BOWEL ENDOSCOPE W/STENT,,,7563.6404,22409.501856,21 HCPCS,44380,SMALL BOWEL ENDOSCOPY BR/WA,,,1166.5345,7083.262459,42 HCPCS,44381,SMALL BOWEL ENDOSCOPY BR/WA,,,1166.5345,7083.262459,42 HCPCS,44382,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44384,SMALL BOWEL ENDOSCOPY,,,1166.5345,7083.262459,42 HCPCS,44385,ENDOSCOPY OF BOWEL POUCH,,,1158.4187,3432.752183,21 HCPCS,44386,ENDOSCOPY BOWEL POUCH/BIOP,,,1158.4187,3432.752183,21 HCPCS,44388,COLONOSCOPY THRU STOMA SPX,,,1158.4187,3432.752183,21 HCPCS,44389,COLONOSCOPY WITH BIOPSY,,,1498.139,4417.161896,21 HCPCS,44390,COLONOSCOPY FOR FOREIGN BODY,,,1158.4187,3432.752183,21 HCPCS,44391,COLONOSCOPY FOR BLEEDING,,,1498.139,4417.161896,21 HCPCS,44392,COLONOSCOPY & POLYPECTOMY,,,1498.139,4417.161896,21 HCPCS,44394,COLONOSCOPY W/SNARE,,,1498.139,4417.161896,21 HCPCS,44401,COLONOSCOPY WITH ABLATION,,,1498.139,4417.161896,21 HCPCS,44402,COLONOSCOPY W/STENT PLCMT,,,7563.6404,22409.501856,21 HCPCS,44403,COLONOSCOPY W/RESECTION,,,1498.139,10245.794958,45 HCPCS,44404,COLONOSCOPY W/INJECTION,,,1498.139,4417.161896,21 HCPCS,44405,COLONOSCOPY W/DILATION,,,1498.139,4417.161896,21 HCPCS,44406,COLONOSCOPY W/ULTRASOUND,,,1498.139,4417.161896,21 HCPCS,44407,COLONOSCOPY W/NDL ASPIR/BX,,,1498.139,4417.161896,21 HCPCS,44408,COLONOSCOPY W/DECOMPRESSION,,,1158.4187,4417.161896,42 HCPCS,44500,INTRO GASTROINTESTINAL TUBE,,,1166.5345,3347.954015,21 HCPCS,44602,SUTURE SMALL INTESTINE,,,4958.7819,14231.704053,10 HCPCS,44799,UNLISTED PX SMALL INTESTINE,,,1166.5345,3347.954015,21 HCPCS,44950,APPENDECTOMY,,,5229.75,23896.81105,22 HCPCS,44970,LAPAROSCOPY APPENDECTOMY,,,7413.1378,22315.851747,23 HCPCS,44979,UNLISTED LAPS PX APPENDIX,,,7413.1378,22315.851747,22 HCPCS,45000,DRAINAGE OF PELVIC ABSCESS,,,1498.139,4417.161896,21 HCPCS,45005,DRAINAGE OF RECTAL ABSCESS,,,1498.139,10245.794958,42 HCPCS,45020,DRAINAGE OF RECTAL ABSCESS,,,1498.139,10245.794958,42 HCPCS,45100,BIOPSY OF RECTUM,,,3484.4807,10245.794958,21 HCPCS,45108,ANORECTAL MYOMECTOMY,,,3484.4807,10245.794958,21 HCPCS,45150,EXCISION OF RECTAL STRICTURE,,,1498.139,4417.161896,21 HCPCS,45160,EXCISION OF RECTAL LESION,,,3484.4807,10245.794958,21 HCPCS,45171,EXC RECT TUM TRANSANAL PART,,,3484.4807,10245.794958,21 HCPCS,45172,EXC RECT TUM TRANSANAL FULL,,,3484.4807,10245.794958,21 HCPCS,45190,DESTRUCTION RECTAL TUMOR,,,3484.4807,10245.794958,21 HCPCS,45300,PROCTOSIGMOIDOSCOPY DX,,,1158.4187,3432.752183,21 HCPCS,45303,PROCTOSIGMOIDOSCOPY DILATE,,,1498.139,4417.161896,21 HCPCS,45305,PROCTOSIGMOIDOSCOPY W/BX,,,1498.139,4417.161896,21 HCPCS,45307,PROCTOSIGMOIDOSCOPY FB,,,3484.4807,10245.794958,21 HCPCS,45308,PROCTOSIGMOIDOSCOPY REMOVAL,,,1498.139,10245.794958,42 HCPCS,45309,PROCTOSIGMOIDOSCOPY REMOVAL,,,1498.139,10245.794958,42 HCPCS,45315,PROCTOSIGMOIDOSCOPY REMOVAL,,,1498.139,10245.794958,42 HCPCS,45317,PROCTOSIGMOIDOSCOPY BLEED,,,1498.139,4417.161896,21 HCPCS,45320,PROCTOSIGMOIDOSCOPY ABLATE,,,3484.4807,10245.794958,21 HCPCS,45321,PROCTOSIGMOIDOSCOPY VOLVUL,,,3484.4807,10245.794958,21 HCPCS,45327,PROCTOSIGMOIDOSCOPY W/STENT,,,7563.6404,22409.501856,21 HCPCS,45330,DIAGNOSTIC SIGMOIDOSCOPY,,,1158.4187,3432.752183,21 HCPCS,45331,SIGMOIDOSCOPY AND BIOPSY,,,1158.4187,3432.752183,21 HCPCS,45332,SIGMOIDOSCOPY W/FB REMOVAL,,,1498.139,4417.161896,21 HCPCS,45333,SIGMOIDOSCOPY & POLYPECTOMY,,,1158.4187,3432.752183,21 HCPCS,45334,SIGMOIDOSCOPY FOR BLEEDING,,,1498.139,4417.161896,21 HCPCS,45335,SIGMOIDOSCOPY W/SUBMUC INJ,,,1158.4187,3432.752183,21 HCPCS,45337,SIGMOIDOSCOPY & DECOMPRESS,,,1158.4187,3432.752183,21 HCPCS,45338,SIGMOIDOSCOPY W/TUMR REMOVE,,,1498.139,4417.161896,21 HCPCS,45340,SIG W/TNDSC BALLOON DILATION,,,1498.139,4417.161896,21 HCPCS,45341,SIGMOIDOSCOPY W/ULTRASOUND,,,1158.4187,3921.41,22 HCPCS,45342,SIGMOIDOSCOPY W/US GUIDE BX,,,1498.139,4417.161896,22 HCPCS,45346,SIGMOIDOSCOPY W/ABLATION,,,1498.139,4417.161896,21 HCPCS,45347,SIGMOIDOSCOPY W/PLCMT STENT,,,7563.6404,22409.501856,21 HCPCS,45349,SIGMOIDOSCOPY W/RESECTION,,,3484.4807,10245.794958,21 HCPCS,45350,SGMDSC W/BAND LIGATION,,,1498.139,4417.161896,21 HCPCS,45378,DIAGNOSTIC COLONOSCOPY,,,1158.4187,6998.63,24 HCPCS,45379,COLONOSCOPY W/FB REMOVAL,,,1498.139,4417.161896,21 HCPCS,45380,COLONOSCOPY AND BIOPSY,,,1498.139,4417.161896,21 HCPCS,45381,COLONOSCOPY SUBMUCOUS NJX,,,1498.139,5247.77,22 HCPCS,45382,COLONOSCOPY W/CONTROL BLEED,,,1498.139,4417.161896,21 HCPCS,45384,COLONOSCOPY W/LESION REMOVAL,,,1498.139,6998.63,24 HCPCS,45385,COLONOSCOPY W/LESION REMOVAL,,,1498.139,6998.63,24 HCPCS,45386,COLONOSCOPY W/BALLOON DILAT,,,1498.139,5247.77,22 HCPCS,45388,COLONOSCOPY W/ABLATION,,,1498.139,4417.161896,21 HCPCS,45389,COLONOSCOPY W/STENT PLCMT,,,7563.6404,22409.501856,21 HCPCS,45390,COLONOSCOPY W/RESECTION,,,1498.139,10245.794958,45 HCPCS,45391,COLONOSCOPY W/ENDOSCOPE US,,,1498.139,4417.161896,21 HCPCS,45392,COLONOSCOPY W/ENDOSCOPIC FNB,,,1498.139,4417.161896,21 HCPCS,45393,COLONOSCOPY W/DECOMPRESSION,,,1158.4187,4417.161896,42 HCPCS,45398,COLONOSCOPY W/BAND LIGATION,,,1498.139,4417.161896,21 HCPCS,45399,UNLISTED PROCEDURE COLON,,,1158.4187,3432.752183,21 HCPCS,45499,LAPAROSCOPE PROC RECTUM,,,7413.1378,22315.851747,21 HCPCS,45500,REPAIR OF RECTUM,,,3484.4807,10245.794958,21 HCPCS,45505,REPAIR OF RECTUM,,,3484.4807,10245.794958,21 HCPCS,45520,TREATMENT OF RECTAL PROLAPSE,,,1158.4187,3432.752183,21 HCPCS,45541,CORRECT RECTAL PROLAPSE,,,3484.4807,10245.794958,21 HCPCS,45560,REPAIR OF RECTOCELE,,,3484.4807,10245.794958,21 HCPCS,45900,REDUCTION OF RECTAL PROLAPSE,,,1158.4187,3432.752183,21 HCPCS,45905,DILATION OF ANAL SPHINCTER,,,1498.139,4417.161896,21 HCPCS,45910,DILATION OF RECTAL NARROWING,,,1498.139,4417.161896,21 HCPCS,45915,REMOVE RECTAL OBSTRUCTION,,,1498.139,4417.161896,21 HCPCS,45990,SURG DX EXAM ANORECTAL,,,3484.4807,10245.794958,21 HCPCS,45999,UNLISTED PROCEDURE RECTUM,,,1158.4187,3432.752183,21 HCPCS,46020,PLACEMENT OF SETON,,,3484.4807,10245.794958,22 HCPCS,46030,REMOVAL ANAL SETON OTH MRK,,,1498.139,4417.161896,21 HCPCS,46040,I&D ISCHIORCT&/PERIRCT ABSC,,,1498.139,4417.161896,21 HCPCS,46045,I&D ABSC TRANAL UNDER ANES,,,3484.4807,10245.794958,21 HCPCS,46050,I&D PERIANAL ABSCESS SUPFC,,,1158.4187,3432.752183,21 HCPCS,46060,I&D ISCHIORECTAL/NTRMRL ABSC,,,3484.4807,10245.794958,21 HCPCS,46070,INCISION ANAL SEPTUM INFANT,,,3484.4807,10245.794958,21 HCPCS,46080,SPHNCTROTMY ANAL DIV SPHNCTR,,,3484.4807,10245.794958,21 HCPCS,46083,INC THROMBOSED HROID XTRNL,,,309.0226,922.265316,21 HCPCS,46200,REMOVAL OF ANAL FISSURE,,,3484.4807,10245.794958,21 HCPCS,46220,EXCISE ANAL EXT TAG/PAPILLA,,,1498.139,4417.161896,22 HCPCS,46221,LIGATION OF HEMORRHOID(S),,,1158.4187,3432.752183,21 HCPCS,46230,REMOVAL OF ANAL TAGS,,,3484.4807,10245.794958,21 HCPCS,46250,REMOVE EXT HEM GROUPS 2+,,,3484.4807,10245.794958,21 HCPCS,46255,REMOVE INT/EXT HEM 1 GROUP,,,3484.4807,10245.794958,22 HCPCS,46257,REMOVE IN/EX HEM GRP & FISS,,,3484.4807,10245.794958,22 HCPCS,46258,REMOVE IN/EX HEM GRP W/FISTU,,,3484.4807,10245.794958,21 HCPCS,46260,REMOVE IN/EX HEM GROUPS 2+,,,3484.4807,10245.794958,21 HCPCS,46261,REMOVE IN/EX HEM GRPS & FISS,,,3484.4807,10245.794958,21 HCPCS,46262,REMOVE IN/EX HEM GRPS W/FIST,,,3484.4807,10245.794958,21 HCPCS,46270,REMOVE ANAL FIST SUBQ,,,3484.4807,10245.794958,21 HCPCS,46275,REMOVE ANAL FIST INTER,,,3484.4807,10245.794958,21 HCPCS,46280,REMOVE ANAL FIST COMPLEX,,,3484.4807,10245.794958,21 HCPCS,46285,REMOVE ANAL FIST 2 STAGE,,,3484.4807,10245.794958,21 HCPCS,46288,REPAIR ANAL FISTULA,,,3484.4807,10245.794958,21 HCPCS,46320,REMOVAL OF HEMORRHOID CLOT,,,1498.139,4417.161896,21 HCPCS,46500,INJECTION INTO HEMORRHOID(S),,,1158.4187,3432.752183,21 HCPCS,46505,CHEMODENERVATION ANAL MUSC,,,1498.139,4417.161896,21 HCPCS,46600,DIAGNOSTIC ANOSCOPY SPX,,,163.7803,491.121001,21 HCPCS,46601,DIAGNOSTIC ANOSCOPY,,,191.52384,1648.99294,21 HCPCS,46604,ANOSCOPY AND DILATION,,,1498.139,4417.161896,21 HCPCS,46606,ANOSCOPY AND BIOPSY,,,1498.139,4417.161896,21 HCPCS,46607,DIAGNOSTIC ANOSCOPY & BIOPSY,,,1498.139,4417.161896,21 HCPCS,46608,ANOSCOPY REMOVE FOR BODY,,,1158.4187,3432.752183,21 HCPCS,46610,ANOSCOPY REMOVE LESION,,,3484.4807,10245.794958,21 HCPCS,46611,ANOSCOPY,,,1158.4187,10245.794958,42 HCPCS,46612,ANOSCOPY REMOVE LESIONS,,,3484.4807,10245.794958,21 HCPCS,46614,ANOSCOPY CONTROL BLEEDING,,,1498.139,4417.161896,21 HCPCS,46615,ANOSCOPY,,,1158.4187,10245.794958,42 HCPCS,46700,REPAIR OF ANAL STRICTURE,,,3484.4807,10245.794958,21 HCPCS,46706,REPR OF ANAL FISTULA W/GLUE,,,3484.4807,10245.794958,21 HCPCS,46707,REPAIR ANORECTAL FIST W/PLUG,,,3484.4807,10245.794958,21 HCPCS,46750,REPAIR OF ANAL SPHINCTER,,,3484.4807,10245.794958,21 HCPCS,46753,RECONSTRUCTION OF ANUS,,,3484.4807,10245.794958,21 HCPCS,46754,REMOVAL OF SUTURE FROM ANUS,,,3484.4807,10245.794958,21 HCPCS,46760,REPAIR OF ANAL SPHINCTER,,,3484.4807,10245.794958,21 HCPCS,46761,REPAIR OF ANAL SPHINCTER,,,3484.4807,10245.794958,21 HCPCS,46900,DESTRUCTION ANAL LESION(S),,,507.6428,10245.794958,63 HCPCS,46910,DESTRUCTION ANAL LESION(S),,,507.6428,10245.794958,63 HCPCS,46916,CRYOSURGERY ANAL LESION(S),,,252.4682,740.601491,21 HCPCS,46917,LASER SURGERY ANAL LESIONS,,,3484.4807,10245.794958,21 HCPCS,46922,EXCISION OF ANAL LESION(S),,,3484.4807,10245.794958,22 HCPCS,46924,DESTRUCTION ANAL LESION(S),,,507.6428,10245.794958,63 HCPCS,46930,DESTROY INTERNAL HEMORRHOIDS,,,1498.139,4417.161896,21 HCPCS,46940,TREATMENT OF ANAL FISSURE,,,1158.4187,10245.794958,42 HCPCS,46942,TREATMENT OF ANAL FISSURE,,,1158.4187,10245.794958,42 HCPCS,46945,INT HRHC LIG 1 HROID W/O IMG,,,3484.4807,10245.794958,21 HCPCS,46946,INT HRHC LIG 2+HROID W/O IMG,,,3484.4807,10245.794958,21 HCPCS,46947,HEMORRHOIDOPEXY BY STAPLING,,,3484.4807,10245.794958,21 HCPCS,46948,INT HRHC TRANAL DARTLZJ 2+,,,3484.4807,10245.794958,21 HCPCS,46999,UNLISTED PROCEDURE ANUS,,,1158.4187,3432.752183,21 HCPCS,47000,NEEDLE BIOPSY OF LIVER PERQ,,,2058.6769,6096.540387,21 HCPCS,47370,LAPARO ABLATE LIVER TUMOR RF,,,13228.4961,39237.899827,21 HCPCS,47371,LAPARO ABLATE LIVER CRYOSURG,,,13228.4961,39237.899827,21 HCPCS,47379,UNLISTED LAPS PX LIVER,,,7413.1378,22315.851747,21 HCPCS,47382,PERCUT ABLATE LIVER RF,,,7413.1378,22315.851747,21 HCPCS,47383,PERQ ABLTJ LVR CRYOABLATION,,,13228.4961,39237.899827,21 HCPCS,47384,ABLTJ IRE LIVER 1+ TUM PERQ,,,13671.7421,39237.899827,10 HCPCS,47399,UNLISTED PROCEDURE LIVER,,,893.9815,2613.928268,21 HCPCS,47490,INCISION OF GALLBLADDER,,,4484.0236,13216.330771,21 HCPCS,47531,INJECTION FOR CHOLANGIOGRAM,,,4484.0236,13216.330771,21 HCPCS,47532,INJECTION FOR CHOLANGIOGRAM,,,4484.0236,13216.330771,21 HCPCS,47533,PLMT BILIARY DRAINAGE CATH,,,4484.0236,13216.330771,21 HCPCS,47534,PLMT BILIARY DRAINAGE CATH,,,4484.0236,13216.330771,21 HCPCS,47535,CONVERSION EXT BIL DRG CATH,,,4484.0236,13216.330771,21 HCPCS,47536,EXCHANGE BILIARY DRG CATH,,,4484.0236,13216.330771,21 HCPCS,47537,REMOVAL BILIARY DRG CATH,,,1166.5345,3921.41,22 HCPCS,47538,PERQ PLMT BILE DUCT STENT,,,7413.1378,22315.851747,21 HCPCS,47539,PERQ PLMT BILE DUCT STENT,,,7413.1378,22315.851747,21 HCPCS,47540,PERQ PLMT BILE DUCT STENT,,,7413.1378,22315.851747,21 HCPCS,47541,PLMT ACCESS BIL TREE SM BWL,,,7928.2264,23896.81105,21 HCPCS,47552,BILIARY ENDO PERQ DX W/SPECI,,,7928.2264,23896.81105,21 HCPCS,47553,BILIARY ENDOSCOPY THRU SKIN,,,4484.0236,39237.899827,53 HCPCS,47554,BILIARY ENDOSCOPY THRU SKIN,,,4484.0236,39237.899827,53 HCPCS,47555,BILIARY ENDOSCOPY THRU SKIN,,,4484.0236,39237.899827,53 HCPCS,47556,BILIARY ENDOSCOPY THRU SKIN,,,4484.0236,39237.899827,53 HCPCS,47562,LAPAROSCOPIC CHOLECYSTECTOMY,,,7413.1378,22315.851747,24 HCPCS,47563,LAPARO CHOLECYSTECTOMY/GRAPH,,,7413.1378,22315.851747,21 HCPCS,47564,LAPARO CHOLECYSTECTOMY/EXPLR,,,13228.4961,39237.899827,21 HCPCS,47579,UNLISTED LAPS PX BILIARY TRC,,,7413.1378,22315.851747,21 HCPCS,47999,UNLISTED PX BILIARY TRACT,,,1166.5345,3347.954015,21 HCPCS,48102,NEEDLE BIOPSY PANCREAS,,,2058.6769,6096.540387,21 HCPCS,48999,UNLISTED PROCEDURE PANCREAS,,,893.9815,2613.928268,21 HCPCS,49010,EXPLORATION BEHIND ABDOMEN,,,8326.415,23896.81105,10 HCPCS,49082,ABD PARACENTESIS,,,1166.5345,3347.954015,21 HCPCS,49083,ABD PARACENTESIS W/IMAGING,,,1166.5345,3347.954015,21 HCPCS,49084,PERITONEAL LAVAGE,,,1166.5345,3347.954015,21 HCPCS,49180,BIOPSY ABDOMINAL MASS,,,2058.6769,6096.540387,21 HCPCS,49185,SCLEROTX FLUID COLLECTION,,,2058.6769,6096.540387,21 HCPCS,49250,EXCISION OF UMBILICUS,,,4484.0236,13216.330771,21 HCPCS,49255,REMOVAL OF OMENTUM,,,8326.415,23896.81105,10 HCPCS,49320,DIAG LAPARO SEPARATE PROC,,,5997.45,22315.851747,22 HCPCS,49321,LAPAROSCOPY BIOPSY,,,7413.1378,22315.851747,22 HCPCS,49322,LAPAROSCOPY ASPIRATION,,,7413.1378,22315.851747,21 HCPCS,49323,LAPARO DRAIN LYMPHOCELE,,,7413.1378,22315.851747,21 HCPCS,49324,LAP INSERT TUNNEL IP CATH,,,5997.45,22315.851747,22 HCPCS,49325,LAP REVISION PERM IP CATH,,,7413.1378,22315.851747,21 HCPCS,49329,UNLSTD LAPS PX ABD PERTM&OMN,,,7413.1378,22315.851747,23 HCPCS,49402,REMOVE FOREIGN BODY ADBOMEN,,,4484.0236,13216.330771,21 HCPCS,49405,IMAGE CATH FLUID COLXN VISC,,,2058.6769,6096.540387,21 HCPCS,49406,IMAGE CATH FLUID PERI/RETRO,,,2058.6769,6096.540387,21 HCPCS,49407,IMAGE CATH FLUID TRNS/VGNL,,,2058.6769,6096.540387,21 HCPCS,49411,INS MARK ABD/PEL FOR RT PERQ,,,1738.5112,5109.240297,21 HCPCS,49418,INSERT TUN IP CATH PERC,,,4484.0236,13216.330771,21 HCPCS,49419,INSERT TUN IP CATH W/PORT,,,6868.4824,20540.185617,21 HCPCS,49421,INS TUN IP CATH FOR DIAL OPN,,,4484.0236,13216.330771,21 HCPCS,49422,REMOVE TUNNELED IP CATH,,,3999.2135,11655.206899,21 HCPCS,49423,EXCHANGE DRAINAGE CATHETER,,,2410.3155,7083.262459,21 HCPCS,49426,REVISE ABDOMEN-VENOUS SHUNT,,,4484.0236,13216.330771,21 HCPCS,49429,REMOVAL OF SHUNT,,,3999.2135,11655.206899,21 HCPCS,49436,EMBEDDED IP CATH EXIT-SITE,,,2410.3155,7083.262459,21 HCPCS,49440,PLACE GASTROSTOMY TUBE PERC,,,2410.3155,7083.262459,21 HCPCS,49441,PLACE DUOD/JEJ TUBE PERC,,,2410.3155,7083.262459,21 HCPCS,49442,PLACE CECOSTOMY TUBE PERC,,,1498.139,4417.161896,21 HCPCS,49446,CHANGE G-TUBE TO G-J PERC,,,2410.3155,7083.262459,21 HCPCS,49450,REPLACE G/C TUBE PERC,,,1166.5345,3347.954015,21 HCPCS,49451,REPLACE DUOD/JEJ TUBE PERC,,,1166.5345,3347.954015,21 HCPCS,49452,REPLACE G-J TUBE PERC,,,1166.5345,5247.77,22 HCPCS,49460,FIX G/COLON TUBE W/DEVICE,,,1166.5345,3347.954015,21 HCPCS,49465,FLUORO EXAM OF G/COLON TUBE,,,306.8821,880.751627,21 HCPCS,49491,RPR HERN PREEMIE REDUC,,,7413.1378,22315.851747,21 HCPCS,49492,RPR ING HERN PREMIE BLOCKED,,,4484.0236,13216.330771,21 HCPCS,49495,RPR ING HERNIA BABY REDUC,,,4484.0236,13216.330771,21 HCPCS,49496,RPR ING HERNIA BABY BLOCKED,,,4484.0236,13216.330771,21 HCPCS,49500,RPR ING HERNIA INIT REDUCE,,,7928.2264,23896.81105,21 HCPCS,49501,RPR ING HERNIA INIT BLOCKED,,,4484.0236,13216.330771,21 HCPCS,49505,PRP I/HERN INIT REDUC >5 YR,,,4484.0236,13216.330771,24 HCPCS,49507,PRP I/HERN INIT BLOCK >5 YR,,,4484.0236,13216.330771,21 HCPCS,49520,REREPAIR ING HERNIA REDUCE,,,4484.0236,13216.330771,21 HCPCS,49521,REREPAIR ING HERNIA BLOCKED,,,7928.2264,23896.81105,21 HCPCS,49525,REPAIR ING HERNIA SLIDING,,,4484.0236,13216.330771,21 HCPCS,49540,REPAIR LUMBAR HERNIA,,,7413.1378,22315.851747,21 HCPCS,49550,RPR REM HERNIA INIT REDUCE,,,4484.0236,13216.330771,21 HCPCS,49553,RPR FEM HERNIA INIT BLOCKED,,,4484.0236,15754.83,22 HCPCS,49555,REREPAIR FEM HERNIA REDUCE,,,4484.0236,13216.330771,21 HCPCS,49557,REREPAIR FEM HERNIA BLOCKED,,,4484.0236,13216.330771,21 HCPCS,49591,RPR AA HRN 1ST < 3 CM RDC,,,4484.0236,13216.330771,22 HCPCS,49592,RPR AA HRN 1ST < 3 NCR/STRN,,,7413.1378,22315.851747,21 HCPCS,49593,RPR AA HRN 1ST 3-10 RDC,,,5187.147,23896.81105,22 HCPCS,49594,RPR AA HRN 1ST 3-10 NCR/STRN,,,7413.1378,22315.851747,21 HCPCS,49595,RPR AA HRN 1ST > 10 RDC,,,5187.147,23896.81105,21 HCPCS,49600,REPAIR UMBILICAL LESION,,,4484.0236,13216.330771,21 HCPCS,49613,RPR AA HRN RCR < 3 RDC,,,4484.0236,13216.330771,21 HCPCS,49614,RPR AA HRN RCR < 3 NCR/STRN,,,7413.1378,22315.851747,21 HCPCS,49615,RPR AA HRN RCR 3-10 RDC,,,5187.147,23896.81105,21 HCPCS,49650,LAP ING HERNIA REPAIR INIT,,,7413.1378,22315.851747,24 HCPCS,49651,LAP ING HERNIA REPAIR RECUR,,,7413.1378,22315.851747,23 HCPCS,49659,UNLSTD LAPS PX HRNAP HRNRPHY,,,7413.1378,22315.851747,23 HCPCS,49999,UNLISTED PX ABD PERTM&OMN,,,1166.5345,3347.954015,21 HCPCS,50020,DRG PERIRNL/RENAL ABSC OPEN,,,2602.8368,7716.231488,21 HCPCS,50080,PERQ NL/PL LITHOTRP SMPL<2CM,,,10931.0,34943.545518,22 HCPCS,50081,PERQ NL/PL LITHOTRP CPLX>2CM,,,11706.55,34943.545518,23 HCPCS,50200,RENAL BIOPSY PERQ,,,2058.6769,6096.540387,21 HCPCS,50382,CHANGE URETER STENT PERCUT,,,2602.8368,7716.231488,21 HCPCS,50384,REMOVE URETER STENT PERCUT,,,2602.8368,7716.231488,21 HCPCS,50385,CHANGE STENT VIA TRANSURETH,,,2602.8368,7716.231488,21 HCPCS,50386,REMOVE STENT VIA TRANSURETH,,,2602.8368,7716.231488,21 HCPCS,50387,CHANGE NEPHROURETERAL CATH,,,2602.8368,7716.231488,21 HCPCS,50389,REMOVE RENAL TUBE W/FLUORO,,,848.0874,2573.931948,21 HCPCS,50390,DRAINAGE OF KIDNEY LESION,,,893.9815,2613.928268,21 HCPCS,50391,INSTLL RX AGNT INTO RNAL TUB,,,309.0226,922.265316,21 HCPCS,50396,MEASURE KIDNEY PRESSURE,,,848.0874,2573.931948,21 HCPCS,50430,NJX PX NFROSGRM &/URTRGRM,,,848.0874,2573.931948,21 HCPCS,50431,NJX PX NFROSGRM &/URTRGRM,,,848.0874,2573.931948,21 HCPCS,50432,PLMT NEPHROSTOMY CATHETER,,,2602.8368,7716.231488,21 HCPCS,50433,PLMT NEPHROURETERAL CATHETER,,,4382.2613,13011.760041,21 HCPCS,50434,CONVERT NEPHROSTOMY CATHETER,,,2602.8368,7716.231488,21 HCPCS,50435,EXCHANGE NEPHROSTOMY CATH,,,2602.8368,7716.231488,21 HCPCS,50436,DILAT XST TRC NDURLGC PX,,,4382.2613,13011.760041,21 HCPCS,50437,DILAT XST TRC NEW ACCESS RCS,,,4382.2613,15754.83,22 HCPCS,50541,LAPARO ABLATE RENAL CYST,,,13228.4961,39237.899827,21 HCPCS,50542,LAPARO ABLATE RENAL MASS,,,13228.4961,39237.899827,21 HCPCS,50543,LAPARO PARTIAL NEPHRECTOMY,,,11706.55,39237.899827,22 HCPCS,50544,LAPAROSCOPY PYELOPLASTY,,,13228.4961,39237.899827,21 HCPCS,50549,UNLISTED LAPS PX RENAL,,,7413.1378,22315.851747,21 HCPCS,50551,KIDNEY ENDOSCOPY,,,848.0874,19791.996707,63 HCPCS,50553,KIDNEY ENDOSCOPY,,,848.0874,19791.996707,63 HCPCS,50555,KIDNEY ENDOSCOPY & BIOPSY,,,4382.2613,34943.545518,42 HCPCS,50557,KIDNEY ENDOSCOPY & TREATMENT,,,6459.2476,34943.545518,42 HCPCS,50561,KIDNEY ENDOSCOPY & TREATMENT,,,6459.2476,34943.545518,42 HCPCS,50562,RENAL SCOPE W/TUMOR RESECT,,,11749.4288,34943.545518,21 HCPCS,50570,KIDNEY ENDOSCOPY,,,848.0874,19791.996707,63 HCPCS,50572,KIDNEY ENDOSCOPY,,,848.0874,19791.996707,63 HCPCS,50574,KIDNEY ENDOSCOPY & BIOPSY,,,4382.2613,34943.545518,42 HCPCS,50575,KIDNEY ENDOSCOPY,,,848.0874,19791.996707,63 HCPCS,50576,KIDNEY ENDOSCOPY & TREATMENT,,,6459.2476,34943.545518,42 HCPCS,50580,KIDNEY ENDOSCOPY & TREATMENT,,,6459.2476,34943.545518,42 HCPCS,50590,FRAGMENTING OF KIDNEY STONE,,,4382.2613,21011.28,23 HCPCS,50592,PERC RF ABLATE RENAL TUMOR,,,7413.1378,22315.851747,21 HCPCS,50593,PERC CRYO ABLATE RENAL TUM,,,13228.4961,39237.899827,21 HCPCS,50600,EXPLORATION OF URETER,,,13228.4961,17858.469735,8 HCPCS,50686,MEASURE URETER PRESSURE,,,165.495,474.97065,21 HCPCS,50688,CHANGE OF URETER TUBE/STENT,,,2602.8368,7716.231488,21 HCPCS,50693,PLMT URETERAL STENT PRQ,,,4382.2613,13011.760041,21 HCPCS,50694,PLMT URETERAL STENT PRQ,,,4382.2613,13011.760041,21 HCPCS,50695,PLMT URETERAL STENT PRQ,,,4382.2613,13011.760041,21 HCPCS,50727,REVISE URETER,,,4382.2613,13011.760041,21 HCPCS,50945,LAPAROSCOPY URETEROLITHOTOMY,,,7413.1378,22315.851747,21 HCPCS,50947,LAPARO NEW URETER/BLADDER,,,13228.4961,39237.899827,21 HCPCS,50948,LAPARO NEW URETER/BLADDER,,,13228.4961,39237.899827,21 HCPCS,50949,UNLISTED LAPS PX URETER,,,7413.1378,22315.851747,21 HCPCS,50951,ENDOSCOPY OF URETER,,,4382.2613,13011.760041,21 HCPCS,50953,ENDOSCOPY OF URETER,,,4382.2613,13011.760041,21 HCPCS,50955,URETER ENDOSCOPY & BIOPSY,,,6459.2476,19791.996707,21 HCPCS,50957,URETER ENDOSCOPY & TREATMENT,,,6459.2476,19791.996707,21 HCPCS,50961,URETER ENDOSCOPY & TREATMENT,,,6459.2476,19791.996707,21 HCPCS,50970,URETER ENDOSCOPY,,,4382.2613,13011.760041,21 HCPCS,50972,URETER ENDOSCOPY & CATHETER,,,4382.2613,13011.760041,21 HCPCS,50974,URETER ENDOSCOPY & BIOPSY,,,6459.2476,19791.996707,21 HCPCS,50976,URETER ENDOSCOPY & TREATMENT,,,6459.2476,19791.996707,21 HCPCS,50980,URETER ENDOSCOPY & TREATMENT,,,6459.2476,19791.996707,21 HCPCS,51020,CYSTOTOMY/CYSTOSTOMY W/FULG,,,4382.2613,13011.760041,21 HCPCS,51030,INCISE & TREAT BLADDER,,,5226.86484,6098.00898,2 HCPCS,51040,INCISE & DRAIN BLADDER,,,2602.8368,7716.231488,22 HCPCS,51045,INCISE BLADDER/DRAIN URETER,,,2602.8368,7716.231488,21 HCPCS,51050,REMOVAL OF BLADDER STONE,,,6459.2476,19791.996707,21 HCPCS,51060,REMOVAL OF URETER STONE,,,2602.8368,7716.231488,21 HCPCS,51065,REMOVE URETER CALCULUS,,,4382.2613,13011.760041,21 HCPCS,51080,DRAINAGE OF BLADDER ABSCESS,,,3636.5207,10722.174778,21 HCPCS,51100,DRAIN BLADDER BY NEEDLE,,,309.0226,922.265316,21 HCPCS,51101,DRAIN BLADDER BY TROCAR/CATH,,,1104.4833,3169.867071,21 HCPCS,51102,DRAIN BL W/CATH INSERTION,,,2602.8368,7716.231488,21 HCPCS,51500,REMOVAL OF BLADDER CYST,,,7413.1378,22315.851747,21 HCPCS,51520,REMOVAL OF BLADDER LESION,,,4382.2613,13011.760041,21 HCPCS,51535,REPAIR OF URETER LESION,,,4382.2613,13011.760041,21 HCPCS,51700,IRRIGATION OF BLADDER,,,309.0226,922.265316,21 HCPCS,51701,INSERT BLADDER CATHETER,,,163.7803,491.121001,21 HCPCS,51702,INSERT TEMP BLADDER CATH,,,163.7803,491.121001,21 HCPCS,51703,INSERT BLADDER CATH COMPLEX,,,165.495,474.97065,21 HCPCS,51705,CHANGE OF BLADDER TUBE,,,309.0226,2573.931948,42 HCPCS,51710,CHANGE OF BLADDER TUBE,,,309.0226,2573.931948,42 HCPCS,51715,ENDOSCOPIC INJECTION/IMPLANT,,,4382.2613,13011.760041,21 HCPCS,51720,TREATMENT OF BLADDER LESION,,,848.0874,2573.931948,21 HCPCS,51725,SIMPLE CYSTOMETROGRAM,,,309.0226,922.265316,21 HCPCS,51726,COMPLEX CYSTOMETROGRAM,,,309.0226,922.265316,21 HCPCS,51727,CYSTOMETROGRAM W/UP,,,848.0874,2573.931948,21 HCPCS,51728,CYSTOMETROGRAM W/VP,,,848.0874,2573.931948,21 HCPCS,51729,CYSTOMETROGRAM W/VP&UP,,,848.0874,2573.931948,21 HCPCS,51736,URINE FLOW MEASUREMENT,,,163.7803,491.121001,21 HCPCS,51741,ELECTRO-UROFLOWMETRY FIRST,,,277.7133,797.037171,21 HCPCS,51784,ANAL/URINARY MUSCLE STUDY,,,165.495,922.265316,42 HCPCS,51785,ANAL/URINARY MUSCLE STUDY,,,165.495,922.265316,42 HCPCS,51792,URINARY REFLEX STUDY,,,75.4736,217.758093,21 HCPCS,51798,US URINE CAPACITY MEASURE,,,75.4736,217.758093,21 HCPCS,51840,ATTACH BLADDER/URETHRA,,,6433.9861,18465.540107,10 HCPCS,51845,REPAIR BLADDER NECK,,,6272.2534,18465.540107,21 HCPCS,51860,REPAIR OF BLADDER WOUND,,,11749.4288,34943.545518,21 HCPCS,51880,REPAIR OF BLADDER OPENING,,,4382.2613,13011.760041,21 HCPCS,51990,LAPARO URETHRAL SUSPENSION,,,7413.1378,22315.851747,21 HCPCS,51992,LAPARO SLING OPERATION,,,7413.1378,22315.851747,21 HCPCS,51999,UNLISTED LAPS PX BLADDER,,,7413.1378,22315.851747,21 HCPCS,52000,CYSTOURETHROSCOPY,,,848.0874,2573.931948,21 HCPCS,52001,CYSTO W/IRRG&EVAC MLT CLOTS,,,4382.2613,13011.760041,21 HCPCS,52005,CYSTO W/URTRL CATHJ,,,2602.8368,7716.231488,21 HCPCS,52007,CYSTO URTRL CATHJ BRUSH BX,,,4382.2613,13011.760041,21 HCPCS,52010,CYSTOSCOPY & DUCT CATHETER,,,848.0874,2573.931948,21 HCPCS,52204,CYSTOSCOPY W/BIOPSY(S),,,2602.8368,7716.231488,22 HCPCS,52214,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52224,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52234,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52235,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52240,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52250,CYSTOSCOPY AND RADIOTRACER,,,4382.2613,13011.760041,21 HCPCS,52260,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52265,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52270,CYSTOSCOPY & REVISE URETHRA,,,2602.8368,7716.231488,21 HCPCS,52275,CYSTOSCOPY & REVISE URETHRA,,,2602.8368,7716.231488,21 HCPCS,52276,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52277,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52281,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52282,CYSTOSCOPY IMPLANT STENT,,,4382.2613,13011.760041,21 HCPCS,52283,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52284,CYSTO RX BALO CATH URTL STRX,,,6459.2476,19791.996707,21 HCPCS,52285,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52287,CYSTOSCOPY CHEMODENERVATION,,,2602.8368,7716.231488,22 HCPCS,52290,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52300,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52301,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52305,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52310,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52315,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52317,REMOVE BLADDER STONE,,,4382.2613,13011.760041,22 HCPCS,52318,REMOVE BLADDER STONE,,,4382.2613,13011.760041,22 HCPCS,52320,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52325,CYSTOSCOPY STONE REMOVAL,,,6459.2476,19791.996707,21 HCPCS,52327,CYSTOSCOPY INJECT MATERIAL,,,6459.2476,19791.996707,21 HCPCS,52330,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52332,CYSTOSCOPY AND TREATMENT,,,848.0874,19791.996707,87 HCPCS,52334,CREATE PASSAGE TO KIDNEY,,,4382.2613,13011.760041,21 HCPCS,52341,CYSTO W/URETER STRICTURE TX,,,4382.2613,13011.760041,21 HCPCS,52342,CYSTO W/UP STRICTURE TX,,,4382.2613,13011.760041,21 HCPCS,52343,CYSTO W/RENAL STRICTURE TX,,,4382.2613,13011.760041,21 HCPCS,52344,CYSTO/URETERO STRICTURE TX,,,4382.2613,13011.760041,22 HCPCS,52345,CYSTO/URETERO W/UP STRICTURE,,,4382.2613,13011.760041,21 HCPCS,52346,CYSTOURETERO W/RENAL STRICT,,,6459.2476,19791.996707,21 HCPCS,52351,CYSTOURETERO & OR PYELOSCOPE,,,4382.2613,13011.760041,23 HCPCS,52352,CYSTOURETERO W/STONE REMOVE,,,4382.2613,13011.760041,23 HCPCS,52353,CYSTOURETERO W/LITHOTRIPSY,,,6459.2476,19791.996707,23 HCPCS,52354,CYSTOURETERO W/BIOPSY,,,6459.2476,19791.996707,22 HCPCS,52355,CYSTOURETERO W/EXCISE TUMOR,,,6459.2476,19791.996707,21 HCPCS,52356,CYSTO/URETERO W/LITHOTRIPSY,,,6459.2476,19791.996707,24 HCPCS,52400,CYSTO CGEN POST URTL VALVES,,,4382.2613,13011.760041,21 HCPCS,52402,CYSTO TRURL RESCJ EJACUL DUX,,,4382.2613,13011.760041,22 HCPCS,52443,CYSTO 1ST TRURL PRST8 COMIS,,,12175.4514,34943.545518,10 HCPCS,52450,TRANSURETHRAL INC PROSTATE,,,4382.2613,13011.760041,21 HCPCS,52500,TRURL RESECTION BLADDER NECK,,,4382.2613,13011.760041,23 HCPCS,52597,TRURL RBTC WTRJT RESCJ PRST8,,,12175.4514,34943.545518,10 HCPCS,52601,PROSTATECTOMY (TURP),,,6459.2476,19791.996707,23 HCPCS,52630,REMOVE PROSTATE REGROWTH,,,6459.2476,19791.996707,21 HCPCS,52640,RELIEVE BLADDER CONTRACTURE,,,4382.2613,13011.760041,21 HCPCS,52647,LASER SURGERY OF PROSTATE,,,6459.2476,19791.996707,21 HCPCS,52648,LASER SURGERY OF PROSTATE,,,6459.2476,19791.996707,21 HCPCS,52649,PROSTATE LASER ENUCLEATION,,,6459.2476,19791.996707,24 HCPCS,52700,DRAINAGE OF PROSTATE ABSCESS,,,4382.2613,13011.760041,21 HCPCS,53000,INCISION OF URETHRA,,,2602.8368,19791.996707,42 HCPCS,53010,INCISION OF URETHRA,,,2602.8368,19791.996707,42 HCPCS,53020,INCISION OF URETHRA,,,2602.8368,19791.996707,42 HCPCS,53025,INCISION OF URETHRA,,,2602.8368,19791.996707,42 HCPCS,53040,DRAINAGE OF URETHRA ABSCESS,,,2602.8368,13011.760041,42 HCPCS,53060,DRAINAGE OF URETHRA ABSCESS,,,2602.8368,13011.760041,42 HCPCS,53080,DRAINAGE OF URINARY LEAKAGE,,,848.0874,7716.231488,42 HCPCS,53085,DRAINAGE OF URINARY LEAKAGE,,,848.0874,7716.231488,42 HCPCS,53200,BIOPSY OF URETHRA,,,2602.8368,7716.231488,21 HCPCS,53210,REMOVAL OF URETHRA,,,4382.2613,19791.996707,42 HCPCS,53215,REMOVAL OF URETHRA,,,4382.2613,19791.996707,42 HCPCS,53220,TREATMENT OF URETHRA LESION,,,2602.8368,13011.760041,42 HCPCS,53230,REMOVAL OF URETHRA LESION,,,6459.2476,19791.996707,21 HCPCS,53235,REMOVAL OF URETHRA LESION,,,6459.2476,19791.996707,21 HCPCS,53240,SURGERY FOR URETHRA POUCH,,,4382.2613,13011.760041,21 HCPCS,53250,REMOVAL OF URETHRA GLAND,,,4382.2613,13011.760041,22 HCPCS,53260,TREATMENT OF URETHRA LESION,,,2602.8368,13011.760041,42 HCPCS,53265,TREATMENT OF URETHRA LESION,,,2602.8368,13011.760041,42 HCPCS,53270,REMOVAL OF URETHRA GLAND,,,4382.2613,13011.760041,22 HCPCS,53275,REPAIR OF URETHRA DEFECT,,,4382.2613,19791.996707,42 HCPCS,53400,REVISE URETHRA STAGE 1,,,6459.2476,19791.996707,21 HCPCS,53405,REVISE URETHRA STAGE 2,,,6459.2476,19791.996707,21 HCPCS,53410,RECONSTRUCTION OF URETHRA,,,4382.2613,34943.545518,63 HCPCS,53420,RECONSTRUCT URETHRA STAGE 1,,,6459.2476,19791.996707,21 HCPCS,53425,RECONSTRUCT URETHRA STAGE 2,,,6459.2476,19791.996707,21 HCPCS,53430,RECONSTRUCTION OF URETHRA,,,4382.2613,34943.545518,63 HCPCS,53431,RECONSTRUCT URETHRA/BLADDER,,,6459.2476,19791.996707,21 HCPCS,53440,MALE SLING PROCEDURE,,,16508.1689,48701.001587,21 HCPCS,53442,REMOVE/REVISE MALE SLING,,,5229.75,19791.996707,22 HCPCS,53444,INSERT TANDEM CUFF,,,25575.3483,76506.330173,21 HCPCS,53445,INSERT URO/VES NCK SPHINCTER,,,5229.75,76506.330173,22 HCPCS,53446,REMOVE URO SPHINCTER,,,6459.2476,19791.996707,21 HCPCS,53447,REMOVE/REPLACE UR SPHINCTER,,,25575.3483,76506.330173,21 HCPCS,53449,REPAIR URO SPHINCTER,,,11749.4288,34943.545518,21 HCPCS,53450,REVISION OF URETHRA,,,4382.2613,18465.540107,42 HCPCS,53451,TPRNL BALO CNTNC DEV BI,,,16508.1689,48701.001587,21 HCPCS,53452,TPRNL BALO CNTNC DEV UNI,,,11749.4288,34943.545518,21 HCPCS,53453,TPRNL BALO CNTNC DEV RMVL EA,,,4382.2613,13011.760041,21 HCPCS,53454,TPRNL BALO CNTNC DEV ADJMT,,,309.0226,922.265316,21 HCPCS,53460,REVISION OF URETHRA,,,4382.2613,18465.540107,42 HCPCS,53500,URETHRLYS TRANSVAG W/ SCOPE,,,4382.2613,13011.760041,21 HCPCS,53502,REPAIR OF URETHRA INJURY,,,4382.2613,19791.996707,42 HCPCS,53505,REPAIR OF URETHRA INJURY,,,4382.2613,19791.996707,42 HCPCS,53510,REPAIR OF URETHRA INJURY,,,4382.2613,19791.996707,42 HCPCS,53515,REPAIR OF URETHRA INJURY,,,4382.2613,19791.996707,42 HCPCS,53520,REPAIR OF URETHRA DEFECT,,,4382.2613,19791.996707,42 HCPCS,53600,DILATE URETHRA STRICTURE,,,163.7803,13011.760041,84 HCPCS,53601,DILATE URETHRA STRICTURE,,,163.7803,13011.760041,84 HCPCS,53605,DILATE URETHRA STRICTURE,,,163.7803,13011.760041,84 HCPCS,53620,DILATE URETHRA STRICTURE,,,163.7803,13011.760041,84 HCPCS,53621,DILATE URETHRA STRICTURE,,,163.7803,13011.760041,84 HCPCS,53660,DILATION OF URETHRA,,,163.7803,7716.231488,63 HCPCS,53661,DILATION OF URETHRA,,,163.7803,7716.231488,63 HCPCS,53665,DILATION OF URETHRA,,,163.7803,7716.231488,63 HCPCS,53850,PROSTATIC MICROWAVE THERMOTX,,,4382.2613,13011.760041,21 HCPCS,53852,PROSTATIC RF THERMOTX,,,4382.2613,13011.760041,21 HCPCS,53854,TRURL DSTRJ PRST8 TISS RF WV,,,4382.2613,13011.760041,21 HCPCS,53855,INSERT PROST URETHRAL STENT,,,2602.8368,7716.231488,21 HCPCS,53860,TRANSURETHRAL RF TREATMENT,,,2602.8368,7716.231488,21 HCPCS,53865,CYSTO INSJ DEV ISCHMC RMDLG,,,11749.4288,34943.545518,19 HCPCS,53866,CATHJ RMVL DEV ISCHMC RMDLG,,,309.0226,922.265316,19 HCPCS,53899,UNLISTED PX URINARY SYSTEM,,,309.0226,922.265316,21 HCPCS,54000,SLITTING OF PREPUCE,,,2602.8368,13011.760041,42 HCPCS,54001,SLITTING OF PREPUCE,,,2602.8368,13011.760041,42 HCPCS,54015,I&D PENIS DEEP,,,2058.6769,6096.540387,21 HCPCS,54050,DESTRUCTION PENIS LESION(S),,,507.6428,7616.186158,42 HCPCS,54055,DESTRUCTION PENIS LESION(S),,,507.6428,7616.186158,42 HCPCS,54056,CRYOSURGERY PENIS LESION(S),,,252.4682,740.601491,21 HCPCS,54057,LASER SURG PENIS LESION(S),,,2324.2196,7616.186158,21 HCPCS,54060,EXCISION OF PENIS LESION(S),,,2324.2196,7616.186158,21 HCPCS,54065,DESTRUCTION PENIS LESION(S),,,507.6428,7616.186158,42 HCPCS,54100,BIOPSY OF PENIS,,,2058.6769,10722.174778,42 HCPCS,54105,BIOPSY OF PENIS,,,2058.6769,10722.174778,42 HCPCS,54110,TREATMENT OF PENIS LESION,,,3636.5207,13011.760041,42 HCPCS,54111,TREAT PENIS LESION GRAFT,,,5247.77,34943.545518,44 HCPCS,54112,TREAT PENIS LESION GRAFT,,,5247.77,34943.545518,44 HCPCS,54115,TREATMENT OF PENIS LESION,,,3636.5207,13011.760041,42 HCPCS,54120,PARTIAL REMOVAL OF PENIS,,,4382.2613,13011.760041,21 HCPCS,54150,CIRCUMCISION W/REGIONL BLOCK,,,2602.8368,7716.231488,21 HCPCS,54160,CIRCUMCISION NEONATE,,,848.0874,2573.931948,21 HCPCS,54161,CIRCUM 28 DAYS OR OLDER,,,2602.8368,7716.231488,22 HCPCS,54162,LYSIS PENIL CIRCUMIC LESION,,,2602.8368,7716.231488,21 HCPCS,54163,REPAIR OF CIRCUMCISION,,,2602.8368,7716.231488,21 HCPCS,54164,FRENULOTOMY OF PENIS,,,2602.8368,7716.231488,22 HCPCS,54200,INJECTION PX PEYRONIE DS,,,309.0226,922.265316,21 HCPCS,54205,NJX PX PEYRONIE DS EXPS PLAQ,,,6459.2476,19791.996707,21 HCPCS,54220,IRRG CRPRA CAVRNOSA PRIAPISM,,,309.0226,922.265316,21 HCPCS,54231,DYNAMIC CAVERNOSOMETRY,,,309.0226,922.265316,21 HCPCS,54235,NJX CORPORA CAVERNOSA RX AGT,,,309.0226,922.265316,21 HCPCS,54240,PENILE PLETHYSMOGRAPHY,,,277.7133,797.037171,21 HCPCS,54250,NCTRNL PEN TMSCN&/RGDITY TST,,,309.0226,922.265316,21 HCPCS,54300,REVISION OF PENIS,,,4382.2613,13011.760041,22 HCPCS,54304,REVISION OF PENIS,,,4382.2613,13011.760041,22 HCPCS,54308,RECONSTRUCTION OF URETHRA,,,4382.2613,34943.545518,63 HCPCS,54312,RECONSTRUCTION OF URETHRA,,,4382.2613,34943.545518,63 HCPCS,54316,RECONSTRUCTION OF URETHRA,,,4382.2613,34943.545518,63 HCPCS,54318,RECONSTRUCTION OF URETHRA,,,4382.2613,34943.545518,63 HCPCS,54322,RECONSTRUCTION OF URETHRA,,,4382.2613,34943.545518,63 HCPCS,54324,RECONSTRUCTION OF URETHRA,,,4382.2613,34943.545518,63 HCPCS,54326,RECONSTRUCTION OF URETHRA,,,4382.2613,34943.545518,63 HCPCS,54328,REVISE PENIS/URETHRA,,,4382.2613,13011.760041,21 HCPCS,54332,REVISE PENIS/URETHRA,,,4382.2613,13011.760041,21 HCPCS,54336,REVISE PENIS/URETHRA,,,4382.2613,13011.760041,21 HCPCS,54340,RPR HYPSPAD COMP SIMPLE,,,4382.2613,13011.760041,21 HCPCS,54344,RRP HYPSPAD COMP MOBLJ&URTP,,,11749.4288,34943.545518,21 HCPCS,54348,RPR HYPSPAD COMP DSJ & URTP,,,6459.2476,19791.996707,21 HCPCS,54352,REVJ PRIOR HYPSPAD REPAIR,,,6459.2476,19791.996707,21 HCPCS,54360,PENIS PLASTIC SURGERY,,,4382.2613,13011.760041,23 HCPCS,54380,REPAIR PENIS,,,2602.8368,7716.231488,21 HCPCS,54385,REPAIR PENIS,,,2602.8368,7716.231488,21 HCPCS,54400,INSERT SEMI-RIGID PROSTHESIS,,,16508.1689,48701.001587,21 HCPCS,54401,INSERT SELF-CONTD PROSTHESIS,,,25575.3483,76506.330173,21 HCPCS,54405,INSERT MULTI-COMP PENIS PROS,,,5997.45,76506.330173,23 HCPCS,54406,REMOVE MUTI-COMP PENIS PROS,,,4382.2613,13011.760041,21 HCPCS,54408,REPAIR MULTI-COMP PENIS PROS,,,6459.2476,19791.996707,21 HCPCS,54410,REMOVE/REPLACE PENIS PROSTH,,,5997.45,76506.330173,22 HCPCS,54411,REMOV/REPLC PENIS PROS COMP,,,25575.3483,76506.330173,21 HCPCS,54415,REMOVE SELF-CONTD PENIS PROS,,,4382.2613,13011.760041,21 HCPCS,54416,REMV/REPL PENIS CONTAIN PROS,,,25575.3483,76506.330173,21 HCPCS,54417,REMV/REPLC PENIS PROS COMPL,,,16508.1689,76506.330173,21 HCPCS,54420,REVISION OF PENIS,,,4382.2613,13011.760041,22 HCPCS,54435,REVISION OF PENIS,,,4382.2613,13011.760041,22 HCPCS,54437,REPAIR CORPOREAL TEAR,,,4382.2613,13011.760041,21 HCPCS,54440,REPAIR OF PENIS,,,4382.2613,13011.760041,21 HCPCS,54450,PREPUTIAL STRETCHING,,,309.0226,922.265316,21 HCPCS,54500,BIOPSY OF TESTIS,,,3636.5207,13011.760041,42 HCPCS,54505,BIOPSY OF TESTIS,,,3636.5207,13011.760041,42 HCPCS,54512,EXCISE LESION TESTIS,,,4382.2613,13011.760041,21 HCPCS,54520,REMOVAL OF TESTIS,,,4382.2613,13216.330771,44 HCPCS,54522,ORCHIECTOMY PARTIAL,,,4382.2613,13011.760041,21 HCPCS,54530,REMOVAL OF TESTIS,,,4382.2613,13216.330771,44 HCPCS,54535,EXTENSIVE TESTIS SURGERY,,,4382.2613,13011.760041,21 HCPCS,54550,EXPLORATION FOR TESTIS,,,2602.8368,13216.330771,42 HCPCS,54560,EXPLORATION FOR TESTIS,,,2602.8368,13216.330771,42 HCPCS,54600,REDUCE TESTIS TORSION,,,4382.2613,13011.760041,21 HCPCS,54620,SUSPENSION OF TESTIS,,,4382.2613,13011.760041,21 HCPCS,54640,ORCHIOPEXY INGUN/SCROT APPR,,,4484.0236,13216.330771,21 HCPCS,54650,ORCHIOPEXY (FOWLER-STEPHENS),,,4484.0236,13216.330771,21 HCPCS,54660,REVISION OF TESTIS,,,6459.2476,19791.996707,21 HCPCS,54670,REPAIR TESTIS INJURY,,,4382.2613,13011.760041,21 HCPCS,54680,RELOCATION OF TESTIS(ES),,,4382.2613,13011.760041,21 HCPCS,54690,LAPAROSCOPY ORCHIECTOMY,,,7413.1378,22315.851747,21 HCPCS,54692,LAPAROSCOPY ORCHIOPEXY,,,7413.1378,22315.851747,21 HCPCS,54699,UNLISTED LAPS PX TESTIS,,,7413.1378,22315.851747,21 HCPCS,54700,I&D EPDIDYMS TSTIS&/SCROT SP,,,2602.8368,7716.231488,21 HCPCS,54800,BIOPSY OF EPIDIDYMIS,,,2058.6769,6096.540387,21 HCPCS,54830,REMOVE EPIDIDYMIS LESION,,,2602.8368,13011.760041,42 HCPCS,54840,REMOVE EPIDIDYMIS LESION,,,2602.8368,13011.760041,42 HCPCS,54860,REMOVAL OF EPIDIDYMIS,,,4382.2613,13011.760041,21 HCPCS,54861,REMOVAL OF EPIDIDYMIS,,,4382.2613,13011.760041,21 HCPCS,54865,EXPLORE EPIDIDYMIS,,,4382.2613,13011.760041,21 HCPCS,54900,FUSION OF SPERMATIC DUCTS,,,2602.8368,13011.760041,43 HCPCS,54901,FUSION OF SPERMATIC DUCTS,,,2602.8368,13011.760041,43 HCPCS,55000,DRAINAGE OF HYDROCELE,,,893.9815,2613.928268,21 HCPCS,55040,REMOVAL OF HYDROCELE,,,4382.2613,13216.330771,42 HCPCS,55041,REMOVAL OF HYDROCELES,,,4484.0236,13216.330771,21 HCPCS,55060,REPAIR OF HYDROCELE,,,4382.2613,13011.760041,21 HCPCS,55100,DRAINAGE OF SCROTUM ABSCESS,,,2058.6769,6096.540387,21 HCPCS,55110,EXPLORE SCROTUM,,,4382.2613,13011.760041,21 HCPCS,55120,REMOVAL OF SCROTUM LESION,,,2602.8368,7716.231488,21 HCPCS,55150,REMOVAL OF SCROTUM,,,4382.2613,13011.760041,21 HCPCS,55175,REVISION OF SCROTUM,,,4382.2613,19791.996707,42 HCPCS,55180,REVISION OF SCROTUM,,,4382.2613,19791.996707,42 HCPCS,55200,INCISION OF SPERM DUCT,,,4382.2613,13011.760041,21 HCPCS,55250,REMOVAL OF SPERM DUCT(S),,,2602.8368,7716.231488,21 HCPCS,55400,REPAIR OF SPERM DUCT,,,4382.2613,13011.760041,21 HCPCS,55500,REMOVAL OF HYDROCELE,,,4382.2613,13216.330771,42 HCPCS,55520,REMOVAL OF SPERM CORD LESION,,,4382.2613,13011.760041,22 HCPCS,55530,REVISE SPERMATIC CORD VEINS,,,4382.2613,23896.81105,45 HCPCS,55535,REVISE SPERMATIC CORD VEINS,,,4382.2613,23896.81105,45 HCPCS,55540,REVISE HERNIA & SPERM VEINS,,,4484.0236,13216.330771,21 HCPCS,55550,LAPARO LIGATE SPERMATIC VEIN,,,7413.1378,22315.851747,21 HCPCS,55559,UNLSTD LAPS PX SPRMATIC CORD,,,7413.1378,22315.851747,21 HCPCS,55600,VESICULOTOMY,,,2602.8368,7716.231488,21 HCPCS,55680,REMOVE SPERM POUCH LESION,,,4382.2613,13011.760041,21 HCPCS,55700,BIOPSY OF PROSTATE,,,2602.8368,3562.81114,11 HCPCS,55705,BX PRST8 ANY APPROACH NONIMG,,,4382.2613,13011.760041,21 HCPCS,55706,BX PRST8 NDL SAT SAMPLING,,,4382.2613,13011.760041,21 HCPCS,55707,BX PRST8 TRCT US GUIDED,,,4533.7143,13011.760041,10 HCPCS,55708,BX PRST8 TRCT US W/MRI FUS 1,,,4533.7143,13011.760041,10 HCPCS,55709,BX PRST8 TPRNL US GUIDED,,,4533.7143,13011.760041,10 HCPCS,55710,BX PRST8 TPRN US W/MRI FUS 1,,,4533.7143,13011.760041,10 HCPCS,55711,BX PRST8 TRCT MRI-US 1ST,,,4533.7143,13011.760041,10 HCPCS,55712,BX PRST8 TPRNL MRI-US 1ST,,,4533.7143,13011.760041,10 HCPCS,55713,BX PRST8 IN-BORE CT/MRI BX 1,,,6896.1661,19791.996707,10 HCPCS,55714,BX PRST8 IN-BORE CT/MRI 1,,,6896.1661,19791.996707,10 HCPCS,55720,DRAINAGE OF PROSTATE ABSCESS,,,4382.2613,13011.760041,21 HCPCS,55725,DRAINAGE OF PROSTATE ABSCESS,,,4382.2613,13011.760041,21 HCPCS,55860,SURGICAL EXPOSURE PROSTATE,,,6459.2476,19791.996707,21 HCPCS,55866,LAPS SURG PRST8ECT RPBIC RAD,,,13228.4961,39237.899827,21 HCPCS,55867,LAPS SURG PRST8ECT SMPL STOT,,,13228.4961,39237.899827,21 HCPCS,55868,LAP SRG PRST8CT LYMPH NOD BX,,,13671.7421,39237.899827,10 HCPCS,55869,LAP SRG PRST8CT BI PL LMPHAD,,,13671.7421,39237.899827,10 HCPCS,55870,ELECTROEJACULATION,,,1106.3622,3399.873463,21 HCPCS,55873,CRYOABLATE PROSTATE,,,11749.4288,34943.545518,21 HCPCS,55875,TRANSPERI NEEDLE PLACE PROS,,,6459.2476,19791.996707,21 HCPCS,55876,PLACE RT DEVICE/MARKER PROS,,,1738.5112,5109.240297,21 HCPCS,55877,ABLTJ IRE PRST8 1+ TUM PERQ,,,13671.7421,39237.899827,10 HCPCS,55880,ABLTJ MAL PRST8 TISS HIFU,,,11749.4288,34943.545518,21 HCPCS,55882,ABLT TRURL PRST8 TIS TRNSDCR,,,16508.1689,48701.001587,19 HCPCS,55920,PLACE NEEDLES PELVIC FOR RT,,,6272.2534,18465.540107,21 HCPCS,55970,SEX TRANSFORMATION M TO F,,,6272.2534,18465.540107,21 HCPCS,55980,SEX TRANSFORMATION F TO M,,,4382.2613,13011.760041,21 HCPCS,56405,I&D VULVA/PERINEAL ABSCESS,,,386.5038,1124.848571,21 HCPCS,56420,I&D BARTHOLINS GLAND ABSCESS,,,255.6066,746.274046,21 HCPCS,56440,MRSPLZATN BRTHLNS GLND CST,,,4039.9108,11949.200228,21 HCPCS,56441,LYSIS OF LABIAL ADHESIONS,,,4039.9108,11949.200228,21 HCPCS,56442,HYMENOTOMY,,,4039.9108,11949.200228,21 HCPCS,56501,DESTROY VULVA LESIONS SIM,,,2324.2196,7616.186158,21 HCPCS,56515,DESTROY VULVA LESION/S COMPL,,,2324.2196,7616.186158,21 HCPCS,56605,BIOPSY OF VULVA/PERINEUM,,,1106.3622,3399.873463,21 HCPCS,56620,VULVECTOMY SIMPLE PARTIAL,,,4039.9108,11949.200228,22 HCPCS,56625,VULVECTOMY SIMPLE COMPLETE,,,4039.9108,11949.200228,21 HCPCS,56630,VULVECTOMY RADICAL PARTIAL,,,6433.9861,18465.540107,10 HCPCS,56700,PRTL HYMNCTMY/REVJ HYMNL RNG,,,4039.9108,11949.200228,21 HCPCS,56740,EXC BARTHOLINS GLAND/CYST,,,4039.9108,11949.200228,21 HCPCS,56800,PLASTIC REPAIR INTROITUS,,,4039.9108,11949.200228,21 HCPCS,56805,CLITOROPLASTY INTERSEX STATE,,,4039.9108,11949.200228,21 HCPCS,56810,PERINEOPLASTY RPR PER NONOB,,,4039.9108,11949.200228,21 HCPCS,56820,COLPOSCOPY VULVA,,,255.6066,746.274046,21 HCPCS,56821,COLPOSCOPY VULVA W/BIOPSY,,,386.5038,1124.848571,21 HCPCS,57000,COLPOTOMY W/EXPLORATION,,,4039.9108,11949.200228,21 HCPCS,57010,COLPOTOMY DRG PEL ABSCESS,,,4039.9108,11949.200228,21 HCPCS,57020,COLPOCENTESIS SEP PX,,,6272.2534,18465.540107,21 HCPCS,57022,I&D VAGINAL HEMATOMA OB/PP,,,3636.5207,10722.174778,21 HCPCS,57023,I&D VAGINAL HEMATOMA NON-OB,,,3636.5207,10722.174778,21 HCPCS,57061,DESTRUCTION VAG LESIONS SMPL,,,4039.9108,11949.200228,21 HCPCS,57065,DESTRUCTION VAG LESION XTNSV,,,4039.9108,11949.200228,21 HCPCS,57100,BIOPSY VAGINAL MUCOSA SIMPLE,,,1106.3622,3399.873463,21 HCPCS,57105,BIOPSY VAGINAL MUCOSA XTNSV,,,4039.9108,11949.200228,21 HCPCS,57106,VAGNC PRTL RMVL VAG WALL,,,4039.9108,11949.200228,21 HCPCS,57107,VAGNC COMPL RMVL PARAVAG TIS,,,4039.9108,11949.200228,21 HCPCS,57109,VAGNC BI TOTAL PEL LYMPHADEC,,,4039.9108,11949.200228,21 HCPCS,57120,COLPOCLEISIS LE FORT TYPE,,,6272.2534,18465.540107,21 HCPCS,57130,EXCISION VAGINAL SEPTUM,,,4039.9108,11949.200228,21 HCPCS,57135,EXCISION VAGINAL CYST/TUMOR,,,4039.9108,11949.200228,21 HCPCS,57150,TREAT VAGINA INFECTION,,,75.4736,217.758093,21 HCPCS,57155,INSERT UTERI TANDEM/OVOIDS,,,6272.2534,18465.540107,21 HCPCS,57156,INS VAG BRACHYTX DEVICE,,,386.5038,1124.848571,21 HCPCS,57160,INSERT PESSARY/OTHER DEVICE,,,255.6066,746.274046,21 HCPCS,57170,FITTING OF DIAPHRAGM/CAP,,,255.6066,746.274046,21 HCPCS,57180,TREAT VAGINAL BLEEDING,,,255.6066,746.274046,21 HCPCS,57200,REPAIR OF VAGINA,,,4039.9108,11949.200228,21 HCPCS,57210,REPAIR VAGINA/PERINEUM,,,4039.9108,11949.200228,21 HCPCS,57220,REVISION OF URETHRA,,,4382.2613,18465.540107,42 HCPCS,57230,REPAIR OF URETHRAL LESION,,,4039.9108,11949.200228,21 HCPCS,57240,ANTERIOR COLPORRHAPHY,,,6272.2534,18465.540107,22 HCPCS,57250,REPAIR RECTUM & VAGINA,,,6272.2534,18465.540107,22 HCPCS,57260,CMBN ANT PST COLPRHY,,,6272.2534,18465.540107,22 HCPCS,57265,CMBN AP COLPRHY W/NTRCL RPR,,,6272.2534,18465.540107,21 HCPCS,57268,REPAIR OF BOWEL BULGE,,,6272.2534,18465.540107,21 HCPCS,57282,COLPOPEXY EXTRAPERITONEAL,,,9395.8456,27372.594291,21 HCPCS,57283,COLPOPEXY INTRAPERITONEAL,,,9395.8456,27372.594291,21 HCPCS,57284,REPAIR PARAVAG DEFECT OPEN,,,6272.2534,18465.540107,21 HCPCS,57285,REPAIR PARAVAG DEFECT VAG,,,5997.45,27372.594291,22 HCPCS,57287,REVISE/REMOVE SLING REPAIR,,,4039.9108,15612.33,22 HCPCS,57288,REPAIR BLADDER DEFECT,,,6272.2534,18465.540107,23 HCPCS,57289,REPAIR BLADDER & VAGINA,,,9395.8456,27372.594291,21 HCPCS,57291,CONSTRUCTION OF VAGINA,,,6272.2534,18465.540107,21 HCPCS,57292,CONSTRUCT VAGINA WITH GRAFT,,,6272.2534,18465.540107,21 HCPCS,57295,REVISE VAG GRAFT VIA VAGINA,,,4039.9108,11949.200228,21 HCPCS,57300,REPAIR RECTUM-VAGINA FISTULA,,,4039.9108,11949.200228,21 HCPCS,57310,REPAIR URETHROVAGINAL LESION,,,9395.8456,27372.594291,21 HCPCS,57320,REPAIR BLADDER-VAGINA LESION,,,6272.2534,27372.594291,42 HCPCS,57330,REPAIR BLADDER-VAGINA LESION,,,6272.2534,27372.594291,42 HCPCS,57335,REPAIR VAGINA,,,6272.2534,18465.540107,21 HCPCS,57400,DILATION OF VAGINA,,,4039.9108,11949.200228,21 HCPCS,57410,PELVIC EXAMINATION,,,4039.9108,11949.200228,21 HCPCS,57415,REMOVE VAGINAL FOREIGN BODY,,,4039.9108,11949.200228,21 HCPCS,57420,EXAM OF VAGINA W/SCOPE,,,386.5038,1124.848571,21 HCPCS,57421,EXAM/BIOPSY OF VAG W/SCOPE,,,1106.3622,3399.873463,21 HCPCS,57423,REPAIR PARAVAG DEFECT LAP,,,13228.4961,39237.899827,21 HCPCS,57425,LAPAROSCOPY SURG COLPOPEXY,,,9688.18,39237.899827,22 HCPCS,57426,REVISE PROSTH VAG GRAFT LAP,,,9395.8456,27372.594291,21 HCPCS,57452,EXAM OF CERVIX W/SCOPE,,,255.6066,746.274046,21 HCPCS,57454,BX/CURETT OF CERVIX W/SCOPE,,,386.5038,1124.848571,21 HCPCS,57455,BIOPSY OF CERVIX W/SCOPE,,,386.5038,1124.848571,21 HCPCS,57456,ENDOCERV CURETTAGE W/SCOPE,,,386.5038,1124.848571,21 HCPCS,57460,BX OF CERVIX W/SCOPE LEEP,,,4039.9108,11949.200228,21 HCPCS,57461,CONZ OF CERVIX W/SCOPE LEEP,,,4039.9108,11949.200228,21 HCPCS,57500,BIOPSY OF CERVIX,,,1106.3622,3399.873463,21 HCPCS,57505,ENDOCERVICAL CURETTAGE,,,1106.3622,3399.873463,21 HCPCS,57510,CAUTERIZATION OF CERVIX,,,4039.9108,11949.200228,21 HCPCS,57511,CRYOCAUTERY OF CERVIX,,,386.5038,1124.848571,21 HCPCS,57513,LASER SURGERY OF CERVIX,,,4039.9108,11949.200228,21 HCPCS,57520,CONIZATION OF CERVIX,,,4039.9108,11949.200228,22 HCPCS,57522,CONIZATION OF CERVIX,,,4039.9108,11949.200228,22 HCPCS,57530,REMOVAL OF CERVIX,,,6272.2534,18465.540107,21 HCPCS,57550,REMOVAL OF RESIDUAL CERVIX,,,6272.2534,18465.540107,21 HCPCS,57555,REMOVE CERVIX/REPAIR VAGINA,,,6272.2534,18465.540107,21 HCPCS,57556,REMOVE CERVIX REPAIR BOWEL,,,6272.2534,18465.540107,21 HCPCS,57558,D&C OF CERVICAL STUMP,,,4039.9108,11949.200228,21 HCPCS,57700,REVISION OF CERVIX,,,4039.9108,11949.200228,21 HCPCS,57720,REVISION OF CERVIX,,,4039.9108,11949.200228,21 HCPCS,57800,DILATION OF CERVICAL CANAL,,,4039.9108,11949.200228,21 HCPCS,58100,BIOPSY OF UTERUS LINING,,,255.6066,746.274046,21 HCPCS,58120,DILATION AND CURETTAGE,,,4039.9108,11949.200228,21 HCPCS,58145,MYOMECTOMY VAG METHOD,,,4039.9108,11949.200228,21 HCPCS,58146,MYOMECTOMY ABDOM COMPLEX,,,11243.96,11243.96,1 HCPCS,58260,VAGINAL HYSTERECTOMY,,,3921.41,18465.540107,22 HCPCS,58262,VAG HYST INCLUDING T/O,,,6272.2534,18465.540107,21 HCPCS,58263,VAG HYST W/T/O & VAG REPAIR,,,6272.2534,18465.540107,21 HCPCS,58270,VAG HYST W/ENTEROCELE REPAIR,,,6272.2534,18465.540107,21 HCPCS,58290,VAG HYST COMPLEX,,,9395.8456,27372.594291,21 HCPCS,58291,VAG HYST INCL T/O COMPLEX,,,6272.2534,18465.540107,21 HCPCS,58292,VAG HYST T/O & REPAIR COMPL,,,9395.8456,27372.594291,21 HCPCS,58294,VAG HYST W/ENTEROCELE COMPL,,,6272.2534,18465.540107,21 HCPCS,58301,REMOVE INTRAUTERINE DEVICE,,,386.5038,1124.848571,21 HCPCS,58321,ARTIFICIAL INSEMINATION,,,255.6066,1124.848571,42 HCPCS,58322,ARTIFICIAL INSEMINATION,,,255.6066,1124.848571,42 HCPCS,58323,SPERM WASHING,,,255.6066,746.274046,21 HCPCS,58345,REOPEN FALLOPIAN TUBE,,,4039.9108,18465.540107,43 HCPCS,58346,INSERT HEYMAN UTERI CAPSULE,,,6272.2534,18465.540107,21 HCPCS,58350,REOPEN FALLOPIAN TUBE,,,4039.9108,18465.540107,43 HCPCS,58353,ENDOMETR ABLATE THERMAL,,,6272.2534,18465.540107,21 HCPCS,58356,ENDOMETRIAL CRYOABLATION,,,6272.2534,18465.540107,21 HCPCS,58541,LSH UTERUS 250 G OR LESS,,,7416.07,39237.899827,22 HCPCS,58542,LSH W/T/O UT 250 G OR LESS,,,7416.07,39237.899827,22 HCPCS,58543,LSH UTERUS ABOVE 250 G,,,13228.4961,39237.899827,21 HCPCS,58544,LSH W/T/O UTERUS ABOVE 250 G,,,9890.38,39237.899827,22 HCPCS,58545,LAPAROSCOPIC MYOMECTOMY,,,7413.1378,22315.851747,23 HCPCS,58546,LAPARO-MYOMECTOMY COMPLEX,,,13228.4961,39237.899827,23 HCPCS,58550,LAPARO-ASST VAG HYSTERECTOMY,,,7413.1378,22315.851747,21 HCPCS,58552,LAPARO-VAG HYST INCL T/O,,,13228.4961,39237.899827,21 HCPCS,58553,LAPARO-VAG HYST COMPLEX,,,13228.4961,39237.899827,21 HCPCS,58554,LAPARO-VAG HYST W/T/O COMPL,,,13228.4961,39237.899827,21 HCPCS,58555,HYSTEROSCOPY DX SEP PROC,,,4039.9108,11949.200228,22 HCPCS,58558,HYSTEROSCOPY BIOPSY,,,4039.9108,11949.200228,24 HCPCS,58559,HYSTEROSCOPY LYSIS,,,6272.2534,18465.540107,22 HCPCS,58560,HYSTEROSCOPY RESECT SEPTUM,,,6272.2534,18465.540107,21 HCPCS,58561,HYSTEROSCOPY REMOVE MYOMA,,,5997.45,18465.540107,23 HCPCS,58562,HYSTEROSCOPY REMOVE FB,,,4039.9108,11949.200228,22 HCPCS,58563,HYSTEROSCOPY ABLATION,,,6272.2534,18465.540107,22 HCPCS,58565,HYSTEROSCOPY STERILIZATION,,,6272.2534,18465.540107,21 HCPCS,58570,TLH UTERUS 250 G OR LESS,,,11243.96,39237.899827,22 HCPCS,58571,TLH W/T/O 250 G OR LESS,,,8431.03,39237.899827,24 HCPCS,58572,TLH UTERUS OVER 250 G,,,13228.4961,39237.899827,21 HCPCS,58573,TLH W/T/O UTERUS OVER 250 G,,,8431.03,39237.899827,23 HCPCS,58578,UNLISTED LAPS PX UTERUS,,,7413.1378,22315.851747,21 HCPCS,58579,UNLISTED HYSTSC PX UTERUS,,,255.6066,5997.45,22 HCPCS,58580,TRANSCRV ABLTJ UTRN FIBRD RF,,,9395.8456,27372.594291,21 HCPCS,58600,DIVISION OF FALLOPIAN TUBE,,,4039.9108,11949.200228,21 HCPCS,58615,OCCLUDE FALLOPIAN TUBE(S),,,4039.9108,11949.200228,21 HCPCS,58660,LAPAROSCOPY LYSIS,,,7413.1378,22315.851747,21 HCPCS,58661,LAPAROSCOPY REMOVE ADNEXA,,,7413.1378,22315.851747,23 HCPCS,58662,LAPAROSCOPY EXCISE LESIONS,,,7413.1378,22315.851747,23 HCPCS,58670,LAPAROSCOPY TUBAL CAUTERY,,,7413.1378,22315.851747,21 HCPCS,58671,LAPAROSCOPY TUBAL BLOCK,,,7413.1378,22315.851747,21 HCPCS,58672,LAPAROSCOPY FIMBRIOPLASTY,,,7413.1378,22315.851747,21 HCPCS,58673,LAPAROSCOPY SALPINGOSTOMY,,,13228.4961,39237.899827,21 HCPCS,58674,LAPS ABLTJ UTERINE FIBROIDS,,,13228.4961,39237.899827,21 HCPCS,58679,UNLISTED LAPS PX OVIDCT OVRY,,,7413.1378,22315.851747,21 HCPCS,58770,CREATE NEW TUBAL OPENING,,,4039.9108,11949.200228,21 HCPCS,58800,DRAINAGE OF OVARIAN CYST(S),,,4039.9108,11949.200228,21 HCPCS,58805,DRAINAGE OF OVARIAN CYST(S),,,4039.9108,11949.200228,21 HCPCS,58820,DRAIN OVARY ABSCESS OPEN,,,4039.9108,11949.200228,21 HCPCS,58900,BIOPSY OF OVARY(S),,,4039.9108,11949.200228,21 HCPCS,58920,PARTIAL REMOVAL OF OVARY(S),,,9395.8456,27372.594291,21 HCPCS,58925,REMOVAL OF OVARIAN CYST(S),,,6272.2534,18465.540107,21 HCPCS,58970,RETRIEVAL OF OOCYTE,,,1106.3622,3399.873463,21 HCPCS,58974,EMBRYO TRANSFER INTRAUTERINE,,,1106.3622,3399.873463,21 HCPCS,58976,TRANSFER OF EMBRYO,,,386.5038,1124.848571,21 HCPCS,58999,UNLISTED PX FML GENITAL SYS,,,255.6066,746.274046,21 HCPCS,59000,AMNIOCENTESIS DIAGNOSTIC,,,1106.3622,3399.873463,21 HCPCS,59001,AMNIOCENTESIS THERAPEUTIC,,,386.5038,1124.848571,21 HCPCS,59012,FETAL CORD PUNCTURE PRENATAL,,,386.5038,1124.848571,21 HCPCS,59015,CHORION BIOPSY,,,1106.3622,3399.873463,21 HCPCS,59020,FETAL CONTRACT STRESS TEST,,,255.6066,746.274046,21 HCPCS,59025,FETAL NON-STRESS TEST,,,255.6066,746.274046,21 HCPCS,59030,FETAL SCALP BLOOD SAMPLING,,,386.5038,1124.848571,21 HCPCS,59070,TRANSABDOM AMNIOINFUS W/US,,,386.5038,1124.848571,21 HCPCS,59072,UMBILICAL CORD OCCLUD W/US,,,386.5038,1124.848571,21 HCPCS,59074,FETAL FLUID DRAINAGE W/US,,,386.5038,1124.848571,21 HCPCS,59076,FETAL SHUNT PLACEMENT W/US,,,386.5038,1124.848571,21 HCPCS,59100,REMOVE UTERUS LESION,,,6272.2534,18465.540107,21 HCPCS,59150,TREAT ECTOPIC PREGNANCY,,,7413.1378,22315.851747,22 HCPCS,59151,TREAT ECTOPIC PREGNANCY,,,7413.1378,22315.851747,22 HCPCS,59160,D & C AFTER DELIVERY,,,4039.9108,11949.200228,21 HCPCS,59200,INSERT CERVICAL DILATOR,,,386.5038,1124.848571,21 HCPCS,59300,EPISIOTOMY OR VAGINAL REPAIR,,,4039.9108,11949.200228,21 HCPCS,59320,REVISION OF CERVIX,,,4039.9108,11949.200228,21 HCPCS,59409,OBSTETRICAL CARE,,,544.28,11949.200228,22 HCPCS,59412,ANTEPARTUM MANIPULATION,,,4039.9108,11949.200228,21 HCPCS,59414,DELIVER PLACENTA,,,4039.9108,11949.200228,21 HCPCS,59612,VBAC DELIVERY ONLY,,,544.28,11949.200228,22 HCPCS,59620,ATTEMPTED VBAC DELIVERY ONLY,,,544.72,544.72,1 HCPCS,59812,TREATMENT OF MISCARRIAGE,,,4039.9108,11949.200228,21 HCPCS,59820,CARE OF MISCARRIAGE,,,4039.9108,11949.200228,21 HCPCS,59821,TREATMENT OF MISCARRIAGE,,,4039.9108,11949.200228,21 HCPCS,59840,INDUCED ABORTION D&C,,,250.85,11949.200228,22 HCPCS,59841,INDUCED ABORTION DILAT&EVAC,,,4039.9108,11949.200228,22 HCPCS,59866,ABORTION (MPR),,,386.5038,1124.848571,21 HCPCS,59870,EVACUATE MOLE OF UTERUS,,,4039.9108,11949.200228,21 HCPCS,59871,REMOVE CERCLAGE SUTURE,,,4039.9108,11949.200228,21 HCPCS,59897,UNLISTED FETAL INVAS PX W/US,,,255.6066,746.274046,21 HCPCS,59898,UNLSTD LAPS PX MAT CARE&DLVR,,,7413.1378,22315.851747,21 HCPCS,59899,UNLISTED PX MAT CARE&DLVR,,,255.6066,746.274046,21 HCPCS,60000,I&D THYROGLSSL DUX CST INFCT,,,1882.1144,5727.359659,21 HCPCS,60100,BIOPSY OF THYROID,,,893.9815,2613.928268,21 HCPCS,60200,REMOVE THYROID LESION,,,7413.1378,22315.851747,21 HCPCS,60210,PARTIAL THYROID EXCISION,,,7413.1378,22315.851747,22 HCPCS,60212,PARTIAL THYROID EXCISION,,,7413.1378,22315.851747,22 HCPCS,60220,PARTIAL REMOVAL OF THYROID,,,7413.1378,22315.851747,23 HCPCS,60225,PARTIAL REMOVAL OF THYROID,,,7413.1378,22315.851747,23 HCPCS,60240,REMOVAL OF THYROID,,,5229.75,22315.851747,47 HCPCS,60252,REMOVAL OF THYROID,,,5229.75,22315.851747,47 HCPCS,60260,REPEAT THYROID SURGERY,,,7516.4376,21851.864587,22 HCPCS,60271,REMOVAL OF THYROID,,,5229.75,22315.851747,47 HCPCS,60280,REMOVE THYROID DUCT LESION,,,7413.1378,22315.851747,21 HCPCS,60281,REMOVE THYROID DUCT LESION,,,7413.1378,22315.851747,21 HCPCS,60300,ASPIR/INJ THYROID CYST,,,893.9815,2613.928268,21 HCPCS,60500,EXPLORE PARATHYROID GLANDS,,,7516.4376,21851.864587,23 HCPCS,60502,RE-EXPLORE PARATHYROIDS,,,7516.4376,21851.864587,21 HCPCS,60520,REMOVAL OF THYMUS GLAND,,,7516.4376,21851.864587,21 HCPCS,60659,UNLISTED LAPS PX ENDOC SYS,,,7413.1378,22315.851747,21 HCPCS,60660,ABLTJ 1/+THYR NDUL 1LOBE PRQ,,,2058.6769,6096.540387,19 HCPCS,60699,UNLISTED PX ENDOCRINE SYSTEM,,,7413.1378,22315.851747,21 HCPCS,61000,REMOVE CRANIAL CAVITY FLUID,,,879.9159,2605.618183,21 HCPCS,61001,REMOVE CRANIAL CAVITY FLUID,,,879.9159,2605.618183,21 HCPCS,61020,REMOVE BRAIN CAVITY FLUID,,,1131.2025,3264.854026,21 HCPCS,61026,INJECTION INTO BRAIN CANAL,,,375.0684,2605.618183,42 HCPCS,61050,REMOVE BRAIN CANAL FLUID,,,375.0684,1133.05017,21 HCPCS,61055,INJECTION INTO BRAIN CANAL,,,375.0684,2605.618183,42 HCPCS,61070,BRAIN CANAL SHUNT PROCEDURE,,,879.9159,2605.618183,21 HCPCS,61215,INS SUBQ RSVR PMP/NFS SYS,,,8137.0113,32394.290691,21 HCPCS,61330,DCMPRN ORBIT ONLY TRANSCRNL,,,4120.6447,12238.352154,21 HCPCS,61623,EVASC TEMP BALO ARTL OCC H/N,,,14409.3282,42613.060007,21 HCPCS,61624,TCAT PERM OCCLS/EMBOLJ CNS,,,23577.5478,67667.562186,10 HCPCS,61626,TCAT PERM OCCLS/EMBOL NONCNS,,,14409.3282,42613.060007,21 HCPCS,61715,MRGFUS STRTCTC ABLT TRGT ICR,,,14331.368,41131.02616,19 HCPCS,61720,INCISE SKULL/BRAIN SURGERY,,,8137.0113,32394.290691,21 HCPCS,61770,INCISE SKULL FOR TREATMENT,,,4393.7372,12610.025764,21 HCPCS,61782,SCAN PROC CRANIAL EXTRA,,,5326.0,5326.0,1 HCPCS,61790,TREAT TRIGEMINAL NERVE,,,2481.1896,7208.093109,21 HCPCS,61791,TREAT TRIGEMINAL TRACT,,,2481.1896,7208.093109,21 HCPCS,61880,REVISE/REMOVE NEUROELECTRODE,,,4369.6061,12905.175416,21 HCPCS,61885,INSRT/REDO NEUROSTIM 1 ARRAY,,,27247.2419,113905.010303,21 HCPCS,61886,IMPLANT NEUROSTIM ARRAYS,,,38719.7435,113905.010303,21 HCPCS,61888,REVISE/REMOVE NEURORECEIVER,,,14331.368,41131.02616,21 HCPCS,61891,REV/RPLCMT SK-MNT CRNL NSTM,,,27247.2419,113905.010303,21 HCPCS,61892,RMV SK-MNT CRNL NSTM PG/RCVR,,,4122.6015,12077.93293,21 HCPCS,62000,TREAT SKULL FRACTURE,,,4120.6447,12238.352154,21 HCPCS,62194,REPLACE/IRRIGATE CATHETER,,,2481.1896,12610.025764,42 HCPCS,62225,REPLACE/IRRIGATE CATHETER,,,2481.1896,12610.025764,42 HCPCS,62230,REPLACE/REVISE BRAIN SHUNT,,,8137.0113,32394.290691,21 HCPCS,62252,CSF SHUNT REPROGRAM,,,381.0656,1133.736674,21 HCPCS,62263,EPIDURAL LYSIS MULT SESSIONS,,,1131.2025,3264.854026,21 HCPCS,62264,EPIDURAL LYSIS ON SINGLE DAY,,,1131.2025,3264.854026,21 HCPCS,62267,INTERDISCAL PERQ ASPIR DX,,,893.9815,2613.928268,21 HCPCS,62268,DRAIN SPINAL CORD CYST,,,1131.2025,3264.854026,21 HCPCS,62269,NEEDLE BIOPSY SPINAL CORD,,,2058.6769,6096.540387,21 HCPCS,62270,DX LMBR SPI PNXR,,,879.9159,2605.618183,21 HCPCS,62272,THER SPI PNXR DRG CSF,,,879.9159,2605.618183,21 HCPCS,62273,INJECT EPIDURAL PATCH,,,879.9159,2605.618183,21 HCPCS,62280,TREAT SPINAL CORD LESION,,,1131.2025,3264.854026,21 HCPCS,62281,TREAT SPINAL CORD LESION,,,1131.2025,3264.854026,21 HCPCS,62282,TREAT SPINAL CANAL LESION,,,1131.2025,3264.854026,21 HCPCS,62287,DCMPRN PQ NUC PUL 1/MLT LMBR,,,2481.1896,7208.093109,21 HCPCS,62292,NJX CHEMONUCLEOLYSIS LMBR,,,2481.1896,7208.093109,21 HCPCS,62294,INJECTION INTO SPINAL ARTERY,,,1131.2025,3264.854026,21 HCPCS,62302,MYELOGRAPHY LUMBAR INJECTION,,,1003.8502,2893.68611,21 HCPCS,62303,MYELOGRAPHY LUMBAR INJECTION,,,1003.8502,2893.68611,21 HCPCS,62304,MYELOGRAPHY LUMBAR INJECTION,,,1003.8502,2893.68611,21 HCPCS,62305,MYELOGRAPHY LUMBAR INJECTION,,,1003.8502,2893.68611,21 HCPCS,62320,NJX INTERLAMINAR CRV/THRC,,,879.9159,3264.854026,42 HCPCS,62321,NJX INTERLAMINAR CRV/THRC,,,879.9159,3264.854026,42 HCPCS,62322,NJX INTERLAMINAR LMBR/SAC,,,879.9159,3264.854026,42 HCPCS,62323,NJX INTERLAMINAR LMBR/SAC,,,879.9159,3264.854026,42 HCPCS,62324,NJX INTERLAMINAR CRV/THRC,,,879.9159,3264.854026,42 HCPCS,62325,NJX INTERLAMINAR CRV/THRC,,,879.9159,3264.854026,42 HCPCS,62326,NJX INTERLAMINAR LMBR/SAC,,,879.9159,3264.854026,42 HCPCS,62327,NJX INTERLAMINAR LMBR/SAC,,,879.9159,3264.854026,42 HCPCS,62328,DX LMBR SPI PNXR W/FLUOR/CT,,,879.9159,2605.618183,21 HCPCS,62329,THER SPI PNXR CSF FLUOR/CT,,,879.9159,2605.618183,21 HCPCS,62330,DCMPRN PRQ RMV LIG FLV 1LMBR,,,9332.7041,26784.860767,10 HCPCS,62350,IMPLANT SPINAL CANAL CATH,,,8137.0113,32394.290691,42 HCPCS,62351,IMPLANT SPINAL CANAL CATH,,,8137.0113,32394.290691,42 HCPCS,62355,REMOVE SPINAL CANAL CATHETER,,,2481.1896,7208.093109,21 HCPCS,62360,INSERT SPINE INFUSION DEVICE,,,22456.7369,66531.440829,21 HCPCS,62361,IMPLANT SPINE INFUSION PUMP,,,22456.7369,66531.440829,21 HCPCS,62362,IMPLANT SPINE INFUSION PUMP,,,22456.7369,66531.440829,21 HCPCS,62365,REMOVE SPINE INFUSION DEVICE,,,4393.7372,12610.025764,21 HCPCS,62367,ANALYZE SPINE INFUS PUMP,,,381.0656,1133.736674,21 HCPCS,62368,ANALYZE SP INF PUMP W/REPROG,,,381.0656,1133.736674,21 HCPCS,62369,ANAL SP INF PMP W/REPRG&FILL,,,381.0656,1133.736674,21 HCPCS,62370,ANL SP INF PMP W/MDREPRG&FIL,,,381.0656,1133.736674,21 HCPCS,62380,NDSC DCMPRN 1 NTRSPC LUMBAR,,,9076.8233,26784.860767,21 HCPCS,63001,REMOVE SPINE LAMINA 1/2 CRVL,,,9076.8233,26784.860767,21 HCPCS,63003,REMOVE SPINE LAMINA 1/2 THRC,,,9076.8233,26784.860767,21 HCPCS,63005,REMOVE SPINE LAMINA 1/2 LMBR,,,9076.8233,26784.860767,21 HCPCS,63011,REMOVE SPINE LAMINA 1/2 SCRL,,,9076.8233,26784.860767,21 HCPCS,63012,REMOVE LAMINA/FACETS LUMBAR,,,9076.8233,26784.860767,21 HCPCS,63015,REMOVE SPINE LAMINA >2 CRVCL,,,9076.8233,26784.860767,21 HCPCS,63016,REMOVE SPINE LAMINA >2 THRC,,,9076.8233,26784.860767,21 HCPCS,63017,REMOVE SPINE LAMINA >2 LMBR,,,9076.8233,26784.860767,21 HCPCS,63020,LAMOT DCMPRN NRV RT 1 CERV,,,9076.8233,26784.860767,21 HCPCS,63030,LAMOT DCMPRN NRV RT 1 LMBR,,,9076.8233,26784.860767,23 HCPCS,63040,LAMINOTOMY SINGLE CERVICAL,,,9076.8233,26784.860767,21 HCPCS,63042,LAMINOTOMY SINGLE LUMBAR,,,9076.8233,26784.860767,21 HCPCS,63045,LAM FACETEC & FORAMOT CRV,,,9076.8233,26784.860767,22 HCPCS,63046,LAM FACETEC & FORAMOT THRC,,,9076.8233,26784.860767,21 HCPCS,63047,LAM FACETEC & FORAMOT LUMBAR,,,9076.8233,26784.860767,23 HCPCS,63055,DECOMPRESS SPINAL CORD THRC,,,9076.8233,26784.860767,21 HCPCS,63056,DECOMPRESS SPINAL CORD LMBR,,,9076.8233,26784.860767,21 HCPCS,63064,DECOMPRESS SPINAL CORD THRC,,,9076.8233,26784.860767,21 HCPCS,63075,NECK SPINE DISK SURGERY,,,9076.8233,26784.860767,21 HCPCS,63265,EXCISE INTRASPINL LESION CRV,,,9076.8233,26784.860767,21 HCPCS,63266,EXCISE INTRSPINL LESION THRC,,,9076.8233,26784.860767,21 HCPCS,63267,EXCISE INTRSPINL LESION LMBR,,,3921.41,26784.860767,22 HCPCS,63268,EXCISE INTRSPINL LESION SCRL,,,9076.8233,26784.860767,21 HCPCS,63600,REMOVE SPINAL CORD LESION,,,2481.1896,7208.093109,21 HCPCS,63610,STIMULATION OF SPINAL CORD,,,2481.1896,7208.093109,21 HCPCS,63650,IMPLANT NEUROELECTRODES,,,5247.77,71611.632421,66 HCPCS,63655,IMPLANT NEUROELECTRODES,,,5247.77,71611.632421,66 HCPCS,63661,REMOVE SPINE ELTRD PERQ ARAY,,,2481.1896,7208.093109,22 HCPCS,63662,REMOVE SPINE ELTRD PLATE,,,4369.6061,12905.175416,21 HCPCS,63663,REVISE SPINE ELTRD PERQ ARAY,,,8196.7357,23524.631459,21 HCPCS,63664,REVISE SPINE ELTRD PLATE,,,14331.368,41131.02616,21 HCPCS,63685,INS/RPLC SPI NPG/RCVR POCKET,,,6998.63,113905.010303,22 HCPCS,63688,REV/RMV IMP SP NPG/R DTCH CN,,,4369.6061,12905.175416,21 HCPCS,63741,INSTALL SPINAL SHUNT,,,8137.0113,32394.290691,21 HCPCS,63744,REVISION OF SPINAL SHUNT,,,4393.7372,12610.025764,21 HCPCS,63746,REMOVAL OF SPINAL SHUNT,,,2481.1896,7208.093109,21 HCPCS,64400,NJX AA&/STRD TRIGEMINAL NRV,,,375.0684,1133.05017,21 HCPCS,64405,NJX AA&/STRD GR OCPL NRV,,,375.0684,1133.05017,21 HCPCS,64408,NJX AA&/STRD VAGUS NRV,,,375.0684,1133.05017,21 HCPCS,64415,NJX AA&/STRD BRCH PLXS IMG,,,1131.2025,3264.854026,21 HCPCS,64416,NJX AA&/STRD BRCH PL NFS IMG,,,1131.2025,3264.854026,21 HCPCS,64417,NJX AA&/STRD AX NERVE IMG,,,1131.2025,3264.854026,21 HCPCS,64418,NJX AA&/STRD SPRSCAP NRV,,,879.9159,2605.618183,21 HCPCS,64420,NJX AA&/STRD NTRCOST NRV 1,,,879.9159,2605.618183,21 HCPCS,64421,NJX AA&/STRD NTRCOST NRV EA,,,1131.2025,3264.854026,21 HCPCS,64425,NJX AA&/STRD II IH NERVES,,,879.9159,2605.618183,21 HCPCS,64430,NJX AA&/STRD PUDENDAL NERVE,,,1131.2025,3264.854026,21 HCPCS,64435,NJX AA&/STRD PARACRV NRV,,,879.9159,2605.618183,21 HCPCS,64445,NJX AA&/STRD SCIATIC NRV IMG,,,879.9159,2605.618183,21 HCPCS,64446,NJX AA&/STRD SC NRV NFS IMG,,,1131.2025,3264.854026,21 HCPCS,64447,NJX AA&/STRD FEMORAL NRV IMG,,,879.9159,2605.618183,21 HCPCS,64448,NJX AA&/STRD FEM NRV NFS IMG,,,1131.2025,3264.854026,21 HCPCS,64449,NJX AA&/STRD LMBR PLEX NFS,,,1131.2025,3264.854026,21 HCPCS,64450,NJX AA&/STRD OTHER PN/BRANCH,,,879.9159,2605.618183,21 HCPCS,64451,NJX AA&/STRD NRV NRVTG SI JT,,,879.9159,2605.618183,21 HCPCS,64454,NJX AA&/STRD GNCLR NRV BRNCH,,,879.9159,2605.618183,21 HCPCS,64455,NJX AA&/STRD PLTR COM DG NRV,,,375.0684,1133.05017,21 HCPCS,64461,PVB THORACIC SINGLE INJ SITE,,,879.9159,3921.41,22 HCPCS,64463,PVB THORACIC CONT INFUSION,,,879.9159,2605.618183,21 HCPCS,64479,NJX AA&/STRD TFRM EPI C/T 1,,,1131.2025,3264.854026,21 HCPCS,64483,NJX AA&/STRD TFRM EPI L/S 1,,,1131.2025,3264.854026,21 HCPCS,64488,TAP BLOCK BI INJECTION,,,3921.41,3921.41,1 HCPCS,64490,INJ PARAVERT F JNT C/T 1 LEV,,,1131.2025,3264.854026,21 HCPCS,64493,INJ PARAVERT F JNT L/S 1 LEV,,,1131.2025,3264.854026,21 HCPCS,64505,N BLOCK SPENOPALATINE GANGL,,,375.0684,1133.05017,21 HCPCS,64510,N BLOCK STELLATE GANGLION,,,1131.2025,5229.75,23 HCPCS,64517,N BLOCK INJ HYPOGAS PLXS,,,1131.2025,3264.854026,21 HCPCS,64520,N BLOCK LUMBAR/THORACIC,,,1131.2025,3264.854026,21 HCPCS,64530,N BLOCK INJ CELIAC PELUS,,,1131.2025,3264.854026,21 HCPCS,64553,IMPLANT NEUROELECTRODES,,,5247.77,71611.632421,66 HCPCS,64555,IMPLANT NEUROELECTRODES,,,5247.77,71611.632421,66 HCPCS,64561,IMPLANT NEUROELECTRODES,,,5247.77,71611.632421,66 HCPCS,64566,NEUROELTRD STIM POST TIBIAL,,,375.0684,1133.05017,21 HCPCS,64567,PERQ ELEC NRV FIELD STIMJ CN,,,1166.5345,3347.954015,10 HCPCS,64568,OPN IMPLTJ CRNL NRV NEA&PG,,,38719.7435,162588.741665,21 HCPCS,64569,REVISE/REPL VAGUS N ELTRD,,,14331.368,41131.02616,21 HCPCS,64570,REMOVE VAGUS N ELTRD,,,4393.7372,12610.025764,21 HCPCS,64575,OPN IMPLTJ NEA PERPH NERVE,,,14331.368,41131.02616,21 HCPCS,64580,OPN IMPLTJ NEA NEUROMUSCULAR,,,24951.7883,71611.632421,21 HCPCS,64581,OPN IMPLTJ NEA SACRAL NERVE,,,8196.7357,23524.631459,21 HCPCS,64582,OPN MPLTJ HPGLSL NSTM ARY PG,,,38719.7435,113905.010303,21 HCPCS,64583,REV/RPLCT HPGLSL NSTM ARY PG,,,14331.368,41131.02616,21 HCPCS,64584,RMVL HPGLSL NSTIM ARY PG,,,4393.7372,12610.025764,21 HCPCS,64585,REV/RMV PERPH NSTIM ELTRD RA,,,4369.6061,12905.175416,21 HCPCS,64590,INS/RPL PRPH SAC/GSTR NPG/R,,,24951.7883,71611.632421,21 HCPCS,64595,REV/RMV PRPH SAC/GSTR NPG/R,,,4369.6061,12905.175416,21 HCPCS,64596,INS/RPLCMT PRQ ELTRD RA PN 1,,,14331.368,41131.02616,21 HCPCS,64598,REVJ/RMVL NEA PN W/INT NSTIM,,,4369.6061,12905.175416,21 HCPCS,64600,INJECTION TREATMENT OF NERVE,,,1131.2025,7208.093109,42 HCPCS,64605,INJECTION TREATMENT OF NERVE,,,1131.2025,7208.093109,42 HCPCS,64610,INJECTION TREATMENT OF NERVE,,,1131.2025,7208.093109,42 HCPCS,64611,CHEMODENERV SALIV GLANDS,,,375.0684,1133.05017,21 HCPCS,64612,DESTROY NERVE FACE MUSCLE,,,375.0684,1133.05017,21 HCPCS,64615,CHEMODENERV MUSC MIGRAINE,,,375.0684,1133.05017,21 HCPCS,64616,CHEMODENERV MUSC NECK DYSTON,,,375.0684,1133.05017,21 HCPCS,64617,CHEMODENER MUSCLE LARYNX EMG,,,879.9159,2605.618183,21 HCPCS,64620,INJECTION TREATMENT OF NERVE,,,1131.2025,7208.093109,42 HCPCS,64624,DSTRJ NULYT AGT GNCLR NRV,,,2481.1896,7208.093109,21 HCPCS,64625,RF ABLTJ NRV NRVTG SI JT,,,2481.1896,7208.093109,21 HCPCS,64628,TRML DSTRJ IOS BVN 1ST 2 L/S,,,16348.5815,47391.418004,21 HCPCS,64630,INJECTION TREATMENT OF NERVE,,,1131.2025,7208.093109,42 HCPCS,64632,N BLOCK INJ COMMON DIGIT,,,375.0684,1133.05017,21 HCPCS,64633,DESTROY CERV/THOR FACET JNT,,,2481.1896,7208.093109,21 HCPCS,64635,DESTROY LUMB/SAC FACET JNT,,,2481.1896,7208.093109,21 HCPCS,64640,INJECTION TREATMENT OF NERVE,,,1131.2025,7208.093109,42 HCPCS,64642,CHEMODENERV 1 EXTREMITY 1-4,,,879.9159,2605.618183,21 HCPCS,64644,CHEMODENERV 1 EXTREM 5/> MUS,,,879.9159,2605.618183,21 HCPCS,64646,CHEMODENERV TRUNK MUSC 1-5,,,879.9159,2605.618183,21 HCPCS,64647,CHEMODENERV TRUNK MUSC 6/>,,,879.9159,2605.618183,21 HCPCS,64650,CHEMODENERV ECCRINE GLANDS,,,375.0684,1133.05017,21 HCPCS,64653,CHEMODENERV ECCRINE GLANDS,,,375.0684,1133.05017,21 HCPCS,64654,1ST OPN IMPLT BAT MODULJ SYS,,,56651.1295,162588.741665,10 HCPCS,64655,REVJ/RPLCMT BAT MOD SYS LEAD,,,4496.5768,12905.175416,10 HCPCS,64656,REVJ/RPLCMT BAT MOD SYS PG,,,39688.1569,113905.010303,10 HCPCS,64657,RMVL BAT MODULJ SYS TOT SYS,,,4393.7372,12610.025764,10 HCPCS,64658,RMVL BAT MODUL SYS LEAD ONLY,,,4496.5768,12905.175416,10 HCPCS,64659,RMVL BAT MODULJ SYS PG ONLY,,,4496.5768,12905.175416,10 HCPCS,64680,INJECTION TREATMENT OF NERVE,,,1131.2025,7208.093109,42 HCPCS,64681,INJECTION TREATMENT OF NERVE,,,1131.2025,7208.093109,42 HCPCS,64702,REVISE FINGER/TOE NERVE,,,2481.1896,7208.093109,21 HCPCS,64704,REVISE HAND/FOOT NERVE,,,2481.1896,7208.093109,21 HCPCS,64708,REVISE ARM/LEG NERVE,,,2481.1896,7208.093109,23 HCPCS,64712,REVISION OF SCIATIC NERVE,,,2481.1896,7208.093109,21 HCPCS,64713,REVISION OF ARM NERVE(S),,,2481.1896,7208.093109,21 HCPCS,64714,REVISE LOW BACK NERVE(S),,,2481.1896,7208.093109,21 HCPCS,64716,REVISION OF CRANIAL NERVE,,,2481.1896,7208.093109,21 HCPCS,64718,REVISE ULNAR NERVE AT ELBOW,,,2481.1896,7208.093109,24 HCPCS,64719,REVISE ULNAR NERVE AT WRIST,,,2481.1896,7208.093109,21 HCPCS,64721,CARPAL TUNNEL SURGERY,,,2481.1896,7208.093109,23 HCPCS,64722,DECOMPRESSION UNSPEC NERVE,,,2481.1896,7208.093109,21 HCPCS,64726,DCMPRN PLANTAR DIGITAL NERVE,,,2481.1896,7208.093109,21 HCPCS,64728,DCMPRN MEDIAN NRV CARPL TUNL,,,2511.5307,7208.093109,10 HCPCS,64732,INCISION OF BROW NERVE,,,2481.1896,7208.093109,21 HCPCS,64734,INCISION OF CHEEK NERVE,,,2481.1896,7208.093109,21 HCPCS,64736,INCISION OF CHIN NERVE,,,2481.1896,7208.093109,21 HCPCS,64738,INCISION OF JAW NERVE,,,2481.1896,7208.093109,21 HCPCS,64740,INCISION OF TONGUE NERVE,,,2481.1896,7208.093109,21 HCPCS,64742,INCISION OF FACIAL NERVE,,,2481.1896,7208.093109,21 HCPCS,64744,INCISE NERVE BACK OF HEAD,,,2481.1896,7208.093109,21 HCPCS,64746,INCISE DIAPHRAGM NERVE,,,2481.1896,7208.093109,21 HCPCS,64763,INCISE HIP/THIGH NERVE,,,2481.1896,7208.093109,21 HCPCS,64766,INCISE HIP/THIGH NERVE,,,2481.1896,7208.093109,21 HCPCS,64771,SEVER CRANIAL NERVE,,,2481.1896,7208.093109,22 HCPCS,64772,INCISION OF SPINAL NERVE,,,2481.1896,7208.093109,22 HCPCS,64774,REMOVE SKIN NERVE LESION,,,2481.1896,7998.44,23 HCPCS,64776,REMOVE DIGIT NERVE LESION,,,2481.1896,7208.093109,21 HCPCS,64782,REMOVE LIMB NERVE LESION,,,2481.1896,7208.093109,21 HCPCS,64784,REMOVE NERVE LESION,,,2481.1896,7208.093109,21 HCPCS,64786,REMOVE SCIATIC NERVE LESION,,,4393.7372,12610.025764,21 HCPCS,64788,REMOVE SKIN NERVE LESION,,,2481.1896,7998.44,23 HCPCS,64790,REMOVAL OF NERVE LESION,,,2481.1896,12610.025764,44 HCPCS,64792,REMOVAL OF NERVE LESION,,,2481.1896,12610.025764,44 HCPCS,64795,BIOPSY OF NERVE,,,2481.1896,7208.093109,21 HCPCS,64802,SYMPATHECTOMY CERVICAL,,,2481.1896,7208.093109,21 HCPCS,64804,SYMPATHECTOMY CERVICOTHORAC,,,2481.1896,7208.093109,21 HCPCS,64820,SYMPATHECTOMY DIGITAL ARTERY,,,2481.1896,7208.093109,21 HCPCS,64821,SYMPATHECTOMY RADIAL ARTERY,,,4122.6015,12077.93293,21 HCPCS,64822,SYMPATHECTOMY ULNAR ARTERY,,,4122.6015,12077.93293,21 HCPCS,64823,SYMPATHECTOMY SUPFC PALMAR,,,4122.6015,12077.93293,21 HCPCS,64831,REPAIR OF DIGIT NERVE,,,2481.1896,10931.0,23 HCPCS,64834,REPAIR OF HAND OR FOOT NERVE,,,4393.7372,12610.025764,21 HCPCS,64835,REPAIR OF HAND OR FOOT NERVE,,,4393.7372,12610.025764,21 HCPCS,64836,REPAIR OF HAND OR FOOT NERVE,,,4393.7372,12610.025764,21 HCPCS,64840,REPAIR OF LEG NERVE,,,8137.0113,32394.290691,21 HCPCS,64856,REPAIR/TRANSPOSE NERVE,,,8137.0113,32394.290691,21 HCPCS,64857,REPAIR ARM/LEG NERVE,,,4393.7372,12610.025764,21 HCPCS,64858,REPAIR SCIATIC NERVE,,,2481.1896,7208.093109,21 HCPCS,64861,REPAIR OF ARM NERVES,,,2481.1896,7208.093109,21 HCPCS,64862,REPAIR OF LOW BACK NERVES,,,4393.7372,12610.025764,21 HCPCS,64864,REPAIR OF FACIAL NERVE,,,4393.7372,32394.290691,31 HCPCS,64865,REPAIR OF FACIAL NERVE,,,4393.7372,32394.290691,31 HCPCS,64885,NERVE GRAFT HEAD/NECK <4 CM,,,8137.0113,32394.290691,21 HCPCS,64886,NERVE GRAFT HEAD/NECK >4 CM,,,8137.0113,32394.290691,21 HCPCS,64890,NRV GRF 1STRND HND/FOOT <4CM,,,8137.0113,32394.290691,21 HCPCS,64891,NRV GRF 1STRND HND/FOOT >4CM,,,8137.0113,32394.290691,21 HCPCS,64892,NRV GRF 1STRND ARM/LEG <4CM,,,8137.0113,32394.290691,21 HCPCS,64893,NRV GRF 1STRND ARM/LEG >4 CM,,,4393.7372,12610.025764,21 HCPCS,64895,NRV GRF MLTST HND/FOOT <4 CM,,,8137.0113,32394.290691,21 HCPCS,64896,NRV GRF MLTST HND/FOOT >4 CM,,,8137.0113,32394.290691,21 HCPCS,64897,NRV GRF MLTST ARM/LEG <4 CM,,,8137.0113,32394.290691,21 HCPCS,64898,NRV GRF MLTST ARM/LEG >4 CM,,,8137.0113,32394.290691,21 HCPCS,64905,NERVE PEDICLE TRANSFER,,,8137.0113,32394.290691,21 HCPCS,64907,NERVE PEDICLE TRANSFER,,,8137.0113,32394.290691,21 HCPCS,64910,NERVE REPAIR W/ALLOGRAFT,,,8137.0113,32394.290691,21 HCPCS,64911,NEURORRAPHY W/VEIN AUTOGRAFT,,,8137.0113,32394.290691,21 HCPCS,64912,NRV RPR W/NRV ALGRFT 1ST,,,8137.0113,32394.290691,21 HCPCS,65091,REVISE EYE,,,4791.4326,14511.967876,21 HCPCS,65093,REVISE EYE WITH IMPLANT,,,4791.4326,14511.967876,21 HCPCS,65101,REMOVAL OF EYE,,,4791.4326,14511.967876,21 HCPCS,65103,REMOVE EYE/INSERT IMPLANT,,,4791.4326,14511.967876,21 HCPCS,65105,REMOVE EYE/ATTACH IMPLANT,,,4791.4326,14511.967876,21 HCPCS,65110,REMOVAL OF EYE,,,4791.4326,14511.967876,21 HCPCS,65112,REMOVE EYE/REVISE SOCKET,,,4791.4326,14511.967876,21 HCPCS,65114,REMOVE EYE/REVISE SOCKET,,,4791.4326,14511.967876,21 HCPCS,65125,REVISE OCULAR IMPLANT,,,2964.259,14511.967876,42 HCPCS,65130,INSERT OCULAR IMPLANT,,,4791.4326,14511.967876,21 HCPCS,65135,INSERT OCULAR IMPLANT,,,4791.4326,14511.967876,21 HCPCS,65140,ATTACH OCULAR IMPLANT,,,4791.4326,14511.967876,21 HCPCS,65150,REVISE OCULAR IMPLANT,,,2964.259,14511.967876,42 HCPCS,65155,REINSERT OCULAR IMPLANT,,,4791.4326,14511.967876,21 HCPCS,65175,REMOVAL OF OCULAR IMPLANT,,,4791.4326,14511.967876,21 HCPCS,65205,REMOVE FOREIGN BODY FROM EYE,,,6.74,8518.86889,67 HCPCS,65210,REMOVE FOREIGN BODY FROM EYE,,,6.74,8518.86889,67 HCPCS,65220,REMOVE FOREIGN BODY FROM EYE,,,6.74,8518.86889,67 HCPCS,65222,REMOVE FOREIGN BODY FROM EYE,,,6.74,8518.86889,67 HCPCS,65235,REMOVE FOREIGN BODY FROM EYE,,,6.74,8518.86889,67 HCPCS,65260,REMOVE FOREIGN BODY FROM EYE,,,6.74,8518.86889,67 HCPCS,65265,REMOVE FOREIGN BODY FROM EYE,,,6.74,8518.86889,67 HCPCS,65270,REPAIR OF EYE WOUND,,,2897.8955,19642.525098,84 HCPCS,65272,REPAIR OF EYE WOUND,,,2897.8955,19642.525098,84 HCPCS,65275,REPAIR OF EYE WOUND,,,2897.8955,19642.525098,84 HCPCS,65280,REPAIR OF EYE WOUND,,,2897.8955,19642.525098,84 HCPCS,65285,REPAIR OF EYE WOUND,,,2897.8955,19642.525098,84 HCPCS,65286,REPAIR OF EYE WOUND,,,2897.8955,19642.525098,84 HCPCS,65290,REPAIR OF EYE SOCKET WOUND,,,4791.4326,14511.967876,21 HCPCS,65400,REMOVAL OF EYE LESION,,,1230.6269,11243.96,43 HCPCS,65410,BIOPSY OF CORNEA,,,2964.259,8776.009123,21 HCPCS,65420,REMOVAL OF EYE LESION,,,1230.6269,11243.96,43 HCPCS,65426,REMOVAL OF EYE LESION,,,1230.6269,11243.96,43 HCPCS,65430,CORNEAL SMEAR,,,137.75,1648.99294,22 HCPCS,65435,CURETTE/TREAT CORNEA,,,42.07,8776.009123,44 HCPCS,65436,CURETTE/TREAT CORNEA,,,42.07,8776.009123,44 HCPCS,65450,TREATMENT OF CORNEAL LESION,,,379.8205,1171.637607,21 HCPCS,65600,REVISION OF CORNEA,,,2964.259,8776.009123,21 HCPCS,65710,CORNEAL TRANSPLANT,,,5111.4459,19642.525098,42 HCPCS,65730,CORNEAL TRANSPLANT,,,5111.4459,19642.525098,42 HCPCS,65750,CORNEAL TRANSPLANT,,,5111.4459,19642.525098,42 HCPCS,65755,CORNEAL TRANSPLANT,,,5111.4459,19642.525098,42 HCPCS,65756,CORNEAL TRNSPL ENDOTHELIAL,,,5111.4459,15257.700066,21 HCPCS,65770,KERATOPROSTHESIS,,,18155.9973,53546.381259,21 HCPCS,65772,CORRECTION OF ASTIGMATISM,,,1230.6269,8776.009123,42 HCPCS,65775,CORRECTION OF ASTIGMATISM,,,1230.6269,8776.009123,42 HCPCS,65778,COVER EYE W/MEMBRANE,,,1230.6269,3679.775953,21 HCPCS,65779,COVER EYE W/MEMBRANE SUTURE,,,4791.4326,14511.967876,21 HCPCS,65780,OCULAR RECONST TRANSPLANT,,,4791.4326,19642.525098,42 HCPCS,65781,OCULAR RECONST TRANSPLANT,,,4791.4326,19642.525098,42 HCPCS,65782,OCULAR RECONST TRANSPLANT,,,4791.4326,19642.525098,42 HCPCS,65785,IMPLTJ NTRSTRML CRNL RNG SEG,,,5111.4459,15257.700066,21 HCPCS,65800,DRAINAGE OF EYE,,,2897.8955,8518.86889,21 HCPCS,65810,DRAINAGE OF EYE,,,2897.8955,8518.86889,21 HCPCS,65815,DRAINAGE OF EYE,,,2897.8955,8518.86889,21 HCPCS,65820,GONIOTOMY,,,5111.4459,15257.700066,21 HCPCS,65850,TRABECULOTOMY AB EXTERNO,,,2897.8955,8518.86889,21 HCPCS,65855,TRABECULOPLASTY LASER SURG,,,697.0512,3921.41,22 HCPCS,65860,SEVERING ADS ANT SGM LASER,,,697.0512,2030.204995,21 HCPCS,65865,INCISE INNER EYE ADHESIONS,,,2897.8955,15257.700066,42 HCPCS,65870,INCISE INNER EYE ADHESIONS,,,2897.8955,15257.700066,42 HCPCS,65875,INCISE INNER EYE ADHESIONS,,,2897.8955,15257.700066,42 HCPCS,65880,INCISE INNER EYE ADHESIONS,,,2897.8955,15257.700066,42 HCPCS,65900,REMOVE EYE LESION,,,2897.8955,8776.009123,42 HCPCS,65920,REMOVE IMPLANT OF EYE,,,2897.8955,8518.86889,21 HCPCS,65930,REMOVE BLOOD CLOT FROM EYE,,,2897.8955,8518.86889,21 HCPCS,66020,INJECTION TREATMENT OF EYE,,,2897.8955,8518.86889,21 HCPCS,66030,INJECTION TREATMENT OF EYE,,,2897.8955,8518.86889,21 HCPCS,66130,REMOVE EYE LESION,,,2897.8955,8776.009123,42 HCPCS,66150,GLAUCOMA SURGERY,,,2897.8955,15257.700066,42 HCPCS,66155,GLAUCOMA SURGERY,,,2897.8955,15257.700066,42 HCPCS,66160,GLAUCOMA SURGERY,,,2897.8955,15257.700066,42 HCPCS,66170,GLAUCOMA SURGERY,,,2897.8955,15257.700066,42 HCPCS,66172,INCISION OF EYE,,,2897.8955,8518.86889,21 HCPCS,66174,TRLUML DIL AQ O/F CAN W/O ST,,,5111.4459,15257.700066,21 HCPCS,66175,TRLUML DIL AQ O/F CAN W/ST,,,6555.9275,19642.525098,21 HCPCS,66179,AQUEOUS SHUNT EYE W/O GRAFT,,,6555.9275,19642.525098,21 HCPCS,66180,AQUEOUS SHUNT EYE W/GRAFT,,,6096.0,19642.525098,21 HCPCS,66183,INSERT ANT DRAINAGE DEVICE,,,5111.4459,15257.700066,21 HCPCS,66184,REVISION OF AQUEOUS SHUNT,,,2897.8955,8518.86889,21 HCPCS,66185,REVISE AQUEOUS SHUNT EYE,,,2897.8955,8518.86889,21 HCPCS,66225,REPAIR/GRAFT EYE LESION,,,6555.9275,19642.525098,21 HCPCS,66250,FOLLOW-UP SURGERY OF EYE,,,2964.259,8776.009123,21 HCPCS,66500,INCISION OF IRIS,,,2897.8955,8518.86889,21 HCPCS,66505,INCISION OF IRIS,,,2897.8955,8518.86889,21 HCPCS,66600,REMOVE IRIS AND LESION,,,5111.4459,15257.700066,21 HCPCS,66605,REMOVAL OF IRIS,,,2897.8955,8518.86889,21 HCPCS,66625,REMOVAL OF IRIS,,,2897.8955,8518.86889,21 HCPCS,66630,REMOVAL OF IRIS,,,2897.8955,8518.86889,21 HCPCS,66635,REMOVAL OF IRIS,,,2897.8955,8518.86889,21 HCPCS,66680,REPAIR IRIS & CILIARY BODY,,,2897.8955,8518.86889,21 HCPCS,66682,REPAIR IRIS & CILIARY BODY,,,2897.8955,8518.86889,21 HCPCS,66683,IMPLANTATION IRIS PROSTHESIS,,,20858.7287,60761.844815,19 HCPCS,66700,DESTRUCTION CILIARY BODY,,,2897.8955,8776.009123,42 HCPCS,66710,CILIARY TRANSSLERAL THERAPY,,,2964.259,8776.009123,21 HCPCS,66711,ECP CILIARY BODY DESTRUCTION,,,2897.8955,8518.86889,21 HCPCS,66720,DESTRUCTION CILIARY BODY,,,2897.8955,8776.009123,42 HCPCS,66740,DESTRUCTION CILIARY BODY,,,2897.8955,8776.009123,42 HCPCS,66761,REVISION OF IRIS,,,697.0512,2030.204995,21 HCPCS,66762,REVISION OF IRIS,,,697.0512,2030.204995,21 HCPCS,66770,REMOVAL OF INNER EYE LESION,,,697.0512,2030.204995,21 HCPCS,66820,INCISION SECONDARY CATARACT,,,2897.8955,8518.86889,21 HCPCS,66821,AFTER CATARACT LASER SURGERY,,,697.0512,2030.204995,21 HCPCS,66825,REPOSITION INTRAOCULAR LENS,,,2897.8955,8518.86889,21 HCPCS,66830,REMOVAL OF LENS LESION,,,2897.8955,8518.86889,21 HCPCS,66840,REMOVAL OF LENS MATERIAL,,,2897.8955,15257.700066,42 HCPCS,66850,REMOVAL OF LENS MATERIAL,,,2897.8955,15257.700066,42 HCPCS,66852,REMOVAL OF LENS MATERIAL,,,2897.8955,15257.700066,42 HCPCS,66920,EXTRACTION OF LENS,,,2897.8955,15257.700066,42 HCPCS,66930,EXTRACTION OF LENS,,,2897.8955,15257.700066,42 HCPCS,66940,EXTRACTION OF LENS,,,2897.8955,15257.700066,42 HCPCS,66982,XCAPSL CTRC RMVL CPLX WO ECP,,,2897.8955,8518.86889,21 HCPCS,66983,CATARACT SURG W/IOL 1 STAGE,,,2897.8955,8518.86889,21 HCPCS,66984,XCAPSL CTRC RMVL W/O ECP,,,2897.8955,8518.86889,21 HCPCS,66985,INSERT LENS PROSTHESIS,,,2897.8955,8518.86889,21 HCPCS,66986,EXCHANGE LENS PROSTHESIS,,,2897.8955,8518.86889,21 HCPCS,66987,XCAPSL CTRC RMVL CPLX W/ECP,,,5111.4459,15257.700066,21 HCPCS,66988,XCAPSL CTRC RMVL W/ECP,,,5111.4459,15257.700066,21 HCPCS,66989,XCPSL CTRC RMVL CPLX INSJ 1+,,,6555.9275,19642.525098,21 HCPCS,66991,XCAPSL CTRC RMVL INSJ 1+,,,6555.9275,19642.525098,21 HCPCS,66999,UNLISTED PX ANT SEGMENT EYE,,,2897.8955,8518.86889,21 HCPCS,67005,PARTIAL REMOVAL OF EYE FLUID,,,2897.8955,8518.86889,21 HCPCS,67010,PARTIAL REMOVAL OF EYE FLUID,,,2897.8955,8518.86889,21 HCPCS,67015,RELEASE OF EYE FLUID,,,2897.8955,8518.86889,21 HCPCS,67025,REPLACE EYE FLUID,,,2897.8955,8518.86889,21 HCPCS,67027,IMPLANT EYE DRUG SYSTEM,,,17945.8335,51504.542145,21 HCPCS,67028,INJECTION EYE DRUG,,,421.4453,1219.257508,21 HCPCS,67030,INCISE INNER EYE STRANDS,,,2897.8955,8518.86889,21 HCPCS,67031,LASER SURGERY EYE STRANDS,,,697.0512,2030.204995,21 HCPCS,67036,REMOVAL OF INNER EYE FLUID,,,5111.4459,15257.700066,21 HCPCS,67039,LASER TREATMENT OF RETINA,,,5111.4459,15257.700066,21 HCPCS,67040,LASER TREATMENT OF RETINA,,,5111.4459,15257.700066,21 HCPCS,67041,VIT FOR MACULAR PUCKER,,,5111.4459,15257.700066,21 HCPCS,67042,VIT FOR MACULAR HOLE,,,5111.4459,15257.700066,21 HCPCS,67043,VIT FOR MEMBRANE DISSECT,,,5111.4459,15257.700066,21 HCPCS,67101,REPAIR DETACHED RETINA CRTX,,,2897.8955,8518.86889,21 HCPCS,67105,REPAIR DETACHED RETINA PC,,,697.0512,2030.204995,21 HCPCS,67107,REPAIR DETACHED RETINA,,,2897.8955,15257.700066,42 HCPCS,67108,REPAIR DETACHED RETINA,,,2897.8955,15257.700066,42 HCPCS,67110,REPAIR DETACHED RETINA,,,2897.8955,15257.700066,42 HCPCS,67113,REPAIR RETINAL DETACH CPLX,,,6555.9275,19642.525098,21 HCPCS,67115,RELEASE ENCIRCLING MATERIAL,,,5111.4459,15257.700066,21 HCPCS,67120,REMOVE EYE IMPLANT MATERIAL,,,2897.8955,8518.86889,21 HCPCS,67121,REMOVE EYE IMPLANT MATERIAL,,,2897.8955,8518.86889,21 HCPCS,67141,PROPH RTA DTCHMNT CRTX DTHRM,,,379.8205,1171.637607,21 HCPCS,67145,PROPH RTA DTCHMNT PC,,,697.0512,2030.204995,21 HCPCS,67208,TREATMENT OF RETINAL LESION,,,379.8205,14511.967876,63 HCPCS,67210,TREATMENT OF RETINAL LESION,,,379.8205,14511.967876,63 HCPCS,67218,TREATMENT OF RETINAL LESION,,,379.8205,14511.967876,63 HCPCS,67220,TREATMENT OF CHOROID LESION,,,697.0512,2030.204995,21 HCPCS,67221,OCULAR PHOTODYNAMIC THER,,,697.0512,2030.204995,21 HCPCS,67227,DSTRJ EXTENSIVE RETINOPATHY,,,4791.4326,14511.967876,21 HCPCS,67228,TREATMENT X10SV RETINOPATHY,,,697.0512,2030.204995,21 HCPCS,67229,TR RETINAL LES PRETERM INF,,,697.0512,2030.204995,21 HCPCS,67250,REINFORCE EYE WALL,,,2964.259,8776.009123,21 HCPCS,67255,REINFORCE/GRAFT EYE WALL,,,5111.4459,15257.700066,21 HCPCS,67299,UNLISTED PX POSTERIOR SEGMNT,,,2897.8955,8518.86889,21 HCPCS,67311,REVISE EYE MUSCLE,,,2964.259,8776.009123,22 HCPCS,67312,REVISE TWO EYE MUSCLES,,,2964.259,14511.967876,42 HCPCS,67314,REVISE EYE MUSCLE,,,2964.259,8776.009123,22 HCPCS,67316,REVISE TWO EYE MUSCLES,,,2964.259,14511.967876,42 HCPCS,67318,REVISE EYE MUSCLE(S),,,2964.259,8776.009123,21 HCPCS,67343,RELEASE EYE TISSUE,,,2964.259,8776.009123,21 HCPCS,67345,DESTROY NERVE OF EYE MUSCLE,,,379.8205,1171.637607,21 HCPCS,67346,BIOPSY EYE MUSCLE,,,4791.4326,14511.967876,21 HCPCS,67399,UNLISTED PX EXTRAOCULAR MUSC,,,379.8205,1171.637607,21 HCPCS,67400,EXPLORE/BIOPSY EYE SOCKET,,,4791.4326,14511.967876,21 HCPCS,67405,EXPLORE/DRAIN EYE SOCKET,,,2964.259,14511.967876,42 HCPCS,67412,EXPLORE/TREAT EYE SOCKET,,,2964.259,14511.967876,42 HCPCS,67413,EXPLORE/TREAT EYE SOCKET,,,2964.259,14511.967876,42 HCPCS,67414,EXPLR/DECOMPRESS EYE SOCKET,,,4791.4326,14511.967876,21 HCPCS,67415,ASPIRATION ORBITAL CONTENTS,,,2964.259,8776.009123,21 HCPCS,67420,EXPLORE/TREAT EYE SOCKET,,,2964.259,14511.967876,42 HCPCS,67430,EXPLORE/TREAT EYE SOCKET,,,2964.259,14511.967876,42 HCPCS,67440,EXPLORE/DRAIN EYE SOCKET,,,2964.259,14511.967876,42 HCPCS,67445,EXPLR/DECOMPRESS EYE SOCKET,,,4791.4326,14511.967876,21 HCPCS,67450,EXPLORE/BIOPSY EYE SOCKET,,,4791.4326,14511.967876,21 HCPCS,67500,INJECT/TREAT EYE SOCKET,,,379.8205,1171.637607,21 HCPCS,67505,INJECT/TREAT EYE SOCKET,,,379.8205,1171.637607,21 HCPCS,67515,INJECT/TREAT EYE SOCKET,,,379.8205,1171.637607,21 HCPCS,67516,SPRCHOROIDAL SPC NJX RX AGT,,,421.4453,1219.257508,21 HCPCS,67550,INSERT EYE SOCKET IMPLANT,,,4791.4326,14511.967876,21 HCPCS,67560,REVISE EYE SOCKET IMPLANT,,,4791.4326,14511.967876,21 HCPCS,67570,DECOMPRESS OPTIC NERVE,,,4791.4326,14511.967876,21 HCPCS,67599,UNLISTED PROCEDURE ORBIT,,,379.8205,1171.637607,21 HCPCS,67700,BLEPHAROTOMY DRG ABSC EYELID,,,379.8205,1171.637607,21 HCPCS,67710,SEVERING TARSORRHAPHY,,,1230.6269,3679.775953,21 HCPCS,67715,CANTHOTOMY,,,2964.259,8776.009123,21 HCPCS,67800,REMOVE EYELID LESION,,,379.8205,3679.775953,42 HCPCS,67801,REMOVE EYELID LESIONS,,,379.8205,3679.775953,42 HCPCS,67805,REMOVE EYELID LESIONS,,,379.8205,3679.775953,42 HCPCS,67808,REMOVE EYELID LESION(S),,,2964.259,8776.009123,21 HCPCS,67810,INCAL BX EYELID SKN LID MRGN,,,379.8205,1171.637607,21 HCPCS,67825,REVISE EYELASHES,,,379.8205,8776.009123,63 HCPCS,67830,REVISE EYELASHES,,,379.8205,8776.009123,63 HCPCS,67835,REVISE EYELASHES,,,379.8205,8776.009123,63 HCPCS,67840,REMOVE EYELID LESION,,,379.8205,3679.775953,42 HCPCS,67850,DSTRJ LESION LID MARGIN <1CM,,,1230.6269,3679.775953,21 HCPCS,67875,CLOSURE OF EYELID BY SUTURE,,,1230.6269,3679.775953,21 HCPCS,67880,REVISION OF EYELID,,,2964.259,8776.009123,21 HCPCS,67882,REVISION OF EYELID,,,2964.259,8776.009123,21 HCPCS,67900,REPAIR BROW DEFECT,,,2964.259,8776.009123,21 HCPCS,67901,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67902,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67903,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67904,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67906,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67908,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67909,REVISE EYELID DEFECT,,,2964.259,8776.009123,21 HCPCS,67911,REVISE EYELID DEFECT,,,2964.259,8776.009123,21 HCPCS,67912,CORRECTION EYELID W/IMPLANT,,,2964.259,8776.009123,21 HCPCS,67914,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67915,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67916,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67917,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67921,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67922,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67923,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67924,REPAIR EYELID DEFECT,,,2964.259,14511.967876,42 HCPCS,67930,REPAIR EYELID WOUND,,,2964.259,8776.009123,21 HCPCS,67935,REPAIR EYELID WOUND,,,2964.259,8776.009123,21 HCPCS,67938,REMOVE EYELID FOREIGN BODY,,,273.27,1171.637607,22 HCPCS,67950,REVISION OF EYELID,,,2964.259,8776.009123,21 HCPCS,67961,REVISION OF EYELID,,,2964.259,8776.009123,21 HCPCS,67966,REVISION OF EYELID,,,2964.259,8776.009123,21 HCPCS,67971,RECONSTRUCTION OF EYELID,,,2964.259,14511.967876,42 HCPCS,67973,RECONSTRUCTION OF EYELID,,,2964.259,14511.967876,42 HCPCS,67974,RECONSTRUCTION OF EYELID,,,2964.259,14511.967876,42 HCPCS,67975,RECONSTRUCTION OF EYELID,,,2964.259,14511.967876,42 HCPCS,67999,UNLISTED PROCEDURE EYELIDS,,,379.8205,1171.637607,21 HCPCS,68020,INCISE/DRAIN EYELID LINING,,,1230.6269,3679.775953,21 HCPCS,68040,TREATMENT OF EYELID LESIONS,,,379.8205,1171.637607,21 HCPCS,68100,BIOPSY CONJUNCTIVA,,,2964.259,8776.009123,21 HCPCS,68110,EXC LES CONJUNCTIVA <1 CM,,,2964.259,8776.009123,21 HCPCS,68115,EXC LES CONJUNCTIVA >1 CM,,,2964.259,8776.009123,21 HCPCS,68130,EXC LES CONJUNCTIVA ADJ SCL,,,2964.259,8776.009123,21 HCPCS,68135,DESTRUCTION LES CONJUNCTIVA,,,2964.259,8776.009123,21 HCPCS,68200,TREAT EYELID BY INJECTION,,,507.0202,1648.99294,21 HCPCS,68320,REVISE/GRAFT EYELID LINING,,,2964.259,14511.967876,42 HCPCS,68325,REVISE/GRAFT EYELID LINING,,,2964.259,14511.967876,42 HCPCS,68326,REVISE/GRAFT EYELID LINING,,,2964.259,14511.967876,42 HCPCS,68328,REVISE/GRAFT EYELID LINING,,,2964.259,14511.967876,42 HCPCS,68330,REVISE EYELID LINING,,,2897.8955,14511.967876,63 HCPCS,68335,REVISE/GRAFT EYELID LINING,,,2964.259,14511.967876,42 HCPCS,68340,SEPARATE EYELID ADHESIONS,,,2964.259,8776.009123,21 HCPCS,68360,REVISE EYELID LINING,,,2897.8955,14511.967876,63 HCPCS,68362,REVISE EYELID LINING,,,2897.8955,14511.967876,63 HCPCS,68371,HARVEST EYE TISSUE ALOGRAFT,,,2964.259,8776.009123,21 HCPCS,68399,UNLISTED PX CONJUNCTIVA,,,379.8205,1171.637607,21 HCPCS,68400,I&D LACRIMAL GLAND,,,1230.6269,3679.775953,21 HCPCS,68420,I&D LACRIMAL SAC,,,2964.259,8776.009123,21 HCPCS,68440,SNIP INC LACRIMAL PUNCTUM,,,379.8205,1171.637607,21 HCPCS,68500,REMOVAL OF TEAR GLAND,,,4791.4326,14511.967876,21 HCPCS,68505,PARTIAL REMOVAL TEAR GLAND,,,4791.4326,14511.967876,21 HCPCS,68510,BIOPSY OF TEAR GLAND,,,2964.259,8776.009123,21 HCPCS,68520,REMOVAL OF TEAR SAC,,,4791.4326,14511.967876,21 HCPCS,68525,BIOPSY OF TEAR SAC,,,2964.259,8776.009123,21 HCPCS,68530,CLEARANCE OF TEAR DUCT,,,379.8205,1171.637607,21 HCPCS,68540,REMOVE TEAR GLAND LESION,,,2964.259,14511.967876,42 HCPCS,68550,REMOVE TEAR GLAND LESION,,,2964.259,14511.967876,42 HCPCS,68700,REPAIR TEAR DUCTS,,,2964.259,8776.009123,21 HCPCS,68705,REVISE TEAR DUCT OPENING,,,379.8205,1171.637607,21 HCPCS,68720,CREATE TEAR SAC DRAIN,,,4791.4326,14511.967876,21 HCPCS,68745,CREATE TEAR DUCT DRAIN,,,4791.4326,14511.967876,21 HCPCS,68750,CREATE TEAR DUCT DRAIN,,,4791.4326,14511.967876,21 HCPCS,68760,CLOSE TEAR DUCT OPENING,,,125.47,1171.637607,22 HCPCS,68761,CLOSE TEAR DUCT OPENING,,,125.47,1171.637607,22 HCPCS,68770,CLOSE TEAR SYSTEM FISTULA,,,2964.259,8776.009123,21 HCPCS,68801,DILATE TEAR DUCT OPENING,,,136.63,1648.99294,22 HCPCS,68810,PROBE NASOLACRIMAL DUCT,,,379.8205,8776.009123,42 HCPCS,68811,PROBE NASOLACRIMAL DUCT,,,379.8205,8776.009123,42 HCPCS,68815,PROBE NASOLACRIMAL DUCT,,,379.8205,8776.009123,42 HCPCS,68816,PROBE NL DUCT W/BALLOON,,,2964.259,8776.009123,21 HCPCS,68840,EXPLORE/IRRIGATE TEAR DUCTS,,,379.8205,1171.637607,21 HCPCS,68841,INSJ RX ELUT IMPLT LAC CANAL,,,2964.259,8776.009123,21 HCPCS,68899,UNLISTED PX LACRIMAL SYSTEM,,,379.8205,1171.637607,21 HCPCS,69000,DRG XTRNL EAR ABSC/HEM SMPL,,,893.9815,2613.928268,21 HCPCS,69005,DRG XTRNL EAR ABSC/HEM COMP,,,2058.6769,6096.540387,21 HCPCS,69020,DRG XTRNL AUD CANAL ABSCESS,,,893.9815,2613.928268,21 HCPCS,69100,BIOPSY OF EXTERNAL EAR,,,295.0587,874.284082,21 HCPCS,69105,BIOPSY OF EXTERNAL EAR CANAL,,,1882.1144,5727.359659,21 HCPCS,69110,REMOVE EXTERNAL EAR PARTIAL,,,3636.5207,10722.174778,21 HCPCS,69120,REMOVAL OF EXTERNAL EAR,,,7516.4376,21851.864587,21 HCPCS,69140,REMOVE EAR CANAL LESION(S),,,3636.5207,21851.864587,42 HCPCS,69145,REMOVE EAR CANAL LESION(S),,,3636.5207,21851.864587,42 HCPCS,69150,EXTENSIVE EAR CANAL SURGERY,,,7516.4376,21851.864587,21 HCPCS,69200,CLEAR OUTER EAR CANAL,,,163.7803,6096.540387,42 HCPCS,69205,CLEAR OUTER EAR CANAL,,,163.7803,6096.540387,42 HCPCS,69209,REMOVE IMPACTED EAR WAX UNI,,,75.4736,217.758093,21 HCPCS,69210,REMOVE IMPACTED EAR WAX UNI,,,75.4736,217.758093,21 HCPCS,69220,CLEAN OUT MASTOID CAVITY,,,252.4682,1990.822855,42 HCPCS,69222,CLEAN OUT MASTOID CAVITY,,,252.4682,1990.822855,42 HCPCS,69300,REVISE EXTERNAL EAR,,,4120.6447,12238.352154,21 HCPCS,69310,REBUILD OUTER EAR CANAL,,,7516.4376,21851.864587,21 HCPCS,69320,REBUILD OUTER EAR CANAL,,,7516.4376,21851.864587,21 HCPCS,69399,UNLISTED PX EXTERNAL EAR,,,295.0587,874.284082,21 HCPCS,69420,INCISION OF EARDRUM,,,295.0587,12238.352154,42 HCPCS,69421,INCISION OF EARDRUM,,,295.0587,12238.352154,42 HCPCS,69424,REMOVE VENTILATING TUBE,,,4120.6447,12238.352154,21 HCPCS,69433,CREATE EARDRUM OPENING,,,647.0531,6925.0,44 HCPCS,69436,CREATE EARDRUM OPENING,,,647.0531,6925.0,44 HCPCS,69440,EXPLORATION OF MIDDLE EAR,,,4120.6447,12238.352154,21 HCPCS,69450,EARDRUM REVISION,,,4120.6447,12238.352154,21 HCPCS,69501,MASTOIDECTOMY,,,7516.4376,21851.864587,21 HCPCS,69502,MASTOIDECTOMY,,,7516.4376,21851.864587,21 HCPCS,69505,REMOVE MASTOID STRUCTURES,,,7516.4376,21851.864587,21 HCPCS,69511,EXTENSIVE MASTOID SURGERY,,,7516.4376,21851.864587,21 HCPCS,69530,EXTENSIVE MASTOID SURGERY,,,7516.4376,21851.864587,21 HCPCS,69540,EXCISION AURAL POLYP,,,1882.1144,5727.359659,21 HCPCS,69550,EXC AURL GLOMUS TUM TRNSCANL,,,7516.4376,21851.864587,21 HCPCS,69552,EXC AURL GLOMUS TUM TRNSMSTD,,,7516.4376,21851.864587,21 HCPCS,69601,REVJ MSTDC RSLTG COMPL MSTDC,,,7516.4376,21851.864587,21 HCPCS,69602,REV MSTDC RSLT MOD RAD MSTDC,,,7516.4376,21851.864587,21 HCPCS,69603,REVJ MSTDC RSLTG RAD MSTDC,,,7516.4376,21851.864587,21 HCPCS,69604,REVJ MSTDC RSLTG TYMPANPLSTY,,,7516.4376,21851.864587,21 HCPCS,69610,TYMPANIC MEMBRANE REPAIR,,,1882.1144,5727.359659,21 HCPCS,69620,MYRINGOPLASTY,,,4120.6447,12238.352154,22 HCPCS,69631,REPAIR EARDRUM STRUCTURES,,,7516.4376,21851.864587,21 HCPCS,69632,REBUILD EARDRUM STRUCTURES,,,7516.4376,21851.864587,21 HCPCS,69633,REBUILD EARDRUM STRUCTURES,,,7516.4376,21851.864587,21 HCPCS,69635,REPAIR EARDRUM STRUCTURES,,,7516.4376,21851.864587,21 HCPCS,69636,REBUILD EARDRUM STRUCTURES,,,7516.4376,21851.864587,21 HCPCS,69637,REBUILD EARDRUM STRUCTURES,,,7516.4376,21851.864587,21 HCPCS,69641,REVISE MIDDLE EAR & MASTOID,,,7516.4376,21851.864587,21 HCPCS,69642,REVISE MIDDLE EAR & MASTOID,,,7516.4376,21851.864587,21 HCPCS,69643,REVISE MIDDLE EAR & MASTOID,,,7516.4376,21851.864587,21 HCPCS,69644,REVISE MIDDLE EAR & MASTOID,,,7516.4376,21851.864587,21 HCPCS,69645,REVISE MIDDLE EAR & MASTOID,,,7516.4376,21851.864587,21 HCPCS,69646,REVISE MIDDLE EAR & MASTOID,,,7516.4376,21851.864587,21 HCPCS,69650,STAPES MOBILIZATION,,,4120.6447,12238.352154,21 HCPCS,69660,REVISE MIDDLE EAR BONE,,,7516.4376,21851.864587,21 HCPCS,69661,REVISE MIDDLE EAR BONE,,,7516.4376,21851.864587,21 HCPCS,69662,REVISE MIDDLE EAR BONE,,,7516.4376,21851.864587,21 HCPCS,69666,REPAIR MIDDLE EAR STRUCTURES,,,4120.6447,12238.352154,21 HCPCS,69667,REPAIR MIDDLE EAR STRUCTURES,,,4120.6447,12238.352154,21 HCPCS,69670,REMOVE MASTOID AIR CELLS,,,7516.4376,21851.864587,21 HCPCS,69676,REMOVE MIDDLE EAR NERVE,,,4120.6447,12238.352154,21 HCPCS,69700,CLOSE MASTOID FISTULA,,,1882.1144,5727.359659,21 HCPCS,69705,NPS SURG DILAT EUST TUBE UNI,,,7516.4376,21851.864587,21 HCPCS,69706,NPS SURG DILAT EUST TUBE BI,,,1615.07,21851.864587,22 HCPCS,69711,REMOVE/REPAIR HEARING AID,,,4120.6447,12238.352154,21 HCPCS,69714,IMPL OI IMPLT SKULL PERQ ESP,,,16348.5815,47391.418004,21 HCPCS,69716,IMPL OI IMPLT SK TC ESP<100,,,16348.5815,47391.418004,21 HCPCS,69717,RPLCMT OI IMPLT SKL PRQ ESP,,,9076.8233,26784.860767,21 HCPCS,69719,RPLCM OI IMPLT SK TC ESP<100,,,16348.5815,47391.418004,21 HCPCS,69720,RELEASE FACIAL NERVE,,,7516.4376,21851.864587,21 HCPCS,69725,RELEASE FACIAL NERVE,,,7516.4376,21851.864587,21 HCPCS,69726,RMV NTR OI IMPLT SKL PRQ ESP,,,4122.6015,12077.93293,21 HCPCS,69727,RMV NTR OI IMP SK TC ESP<100,,,4122.6015,12077.93293,21 HCPCS,69728,RMV NTR OI IMP SK TC>=100,,,4122.6015,12077.93293,21 HCPCS,69729,IMPL OI IMPLT SK TC ESP>=100,,,16348.5815,47391.418004,21 HCPCS,69730,RPLC OI IMPLT SK TC ESP>=100,,,16348.5815,47391.418004,21 HCPCS,69740,REPAIR FACIAL NERVE,,,7516.4376,21851.864587,21 HCPCS,69745,REPAIR FACIAL NERVE,,,7516.4376,21851.864587,21 HCPCS,69799,UNLISTED PX MIDDLE EAR,,,295.0587,6998.63,22 HCPCS,69801,INCISE INNER EAR,,,1882.1144,5727.359659,21 HCPCS,69805,EXPLORE INNER EAR,,,7516.4376,21851.864587,21 HCPCS,69806,EXPLORE INNER EAR,,,7516.4376,21851.864587,21 HCPCS,69905,REMOVE INNER EAR,,,7516.4376,21851.864587,21 HCPCS,69910,REMOVE INNER EAR & MASTOID,,,7516.4376,21851.864587,21 HCPCS,69915,INCISE INNER EAR NERVE,,,4120.6447,12238.352154,21 HCPCS,69930,IMPLANT COCHLEAR DEVICE,,,40415.0161,121709.978173,21 HCPCS,69949,UNLISTED PX INNER EAR,,,295.0587,874.284082,21 HCPCS,69955,RELEASE FACIAL NERVE,,,7516.4376,21851.864587,21 HCPCS,69960,RELEASE INNER EAR CANAL,,,7516.4376,21851.864587,21 HCPCS,69970,REMOVE INNER EAR LESION,,,7516.4376,21851.864587,21 HCPCS,69979,UNLISTED PX TEMPORAL BONE,,,295.0587,874.284082,21 HCPCS,70010,CONTRAST X-RAY OF BRAIN,,,50.04,2893.68611,44 HCPCS,70015,CONTRAST X-RAY OF BRAIN,,,50.04,2893.68611,44 HCPCS,70030,X-RAY EYE FOR FOREIGN BODY,,,24.68,321.235656,22 HCPCS,70100,X-RAY EXAM OF JAW <4VIEWS,,,25.1,321.235656,22 HCPCS,70110,X-RAY EXAM OF JAW 4/> VIEWS,,,34.04,385.909097,22 HCPCS,70120,X-RAY EXAM OF MASTOIDS,,,25.98,385.909097,23 HCPCS,70130,X-RAY EXAM OF MASTOIDS,,,25.98,385.909097,23 HCPCS,70134,X-RAY EXAM OF MIDDLE EAR,,,45.84,2016.981183,22 HCPCS,70140,X-RAY EXAM OF FACIAL BONES,,,25.98,385.909097,44 HCPCS,70150,X-RAY EXAM OF FACIAL BONES,,,25.98,385.909097,44 HCPCS,70160,X-RAY EXAM OF NASAL BONES,,,24.79,321.235656,22 HCPCS,70170,X-RAY EXAM OF TEAR DUCT,,,43.28,880.751627,22 HCPCS,70190,X-RAY EXAM OF EYE SOCKETS,,,25.98,385.909097,44 HCPCS,70200,X-RAY EXAM OF EYE SOCKETS,,,25.98,385.909097,44 HCPCS,70210,X-RAY EXAM OF SINUSES,,,21.62,321.235656,23 HCPCS,70220,X-RAY EXAM OF SINUSES,,,21.62,321.235656,23 HCPCS,70240,X-RAY EXAM PITUITARY SADDLE,,,21.62,321.235656,22 HCPCS,70250,X-RAY EXAM OF SKULL,,,25.98,385.909097,23 HCPCS,70260,X-RAY EXAM OF SKULL,,,25.98,385.909097,23 HCPCS,70300,X-RAY EXAM OF TEETH,,,8.63,880.751627,44 HCPCS,70310,X-RAY EXAM OF TEETH,,,8.63,880.751627,44 HCPCS,70320,FULL MOUTH X-RAY OF TEETH,,,34.61,880.751627,22 HCPCS,70328,X-RAY EXAM OF JAW JOINT,,,24.45,880.751627,44 HCPCS,70330,X-RAY EXAM OF JAW JOINTS,,,38.09,321.235656,22 HCPCS,70332,X-RAY EXAM OF JAW JOINT,,,24.45,880.751627,44 HCPCS,70336,MAGNETIC IMAGE JAW JOINT,,,306.8821,880.751627,21 HCPCS,70350,X-RAY HEAD FOR ORTHODONTIA,,,14.55,321.235656,22 HCPCS,70355,PANORAMIC X-RAY OF JAWS,,,16.04,321.235656,22 HCPCS,70360,X-RAY EXAM OF NECK,,,17.3,321.235656,22 HCPCS,70370,THROAT X-RAY & FLUOROSCOPY,,,38.09,321.235656,22 HCPCS,70371,SPEECH EVALUATION COMPLEX,,,306.8821,880.751627,21 HCPCS,70380,X-RAY EXAM OF SALIVARY GLAND,,,27.7,321.235656,22 HCPCS,70390,X-RAY EXAM OF SALIVARY DUCT,,,41.33,880.751627,22 HCPCS,70450,CT HEAD/BRAIN W/O DYE,,,101.27,385.909097,22 HCPCS,70460,CT HEAD/BRAIN W/DYE,,,142.83,647.457363,22 HCPCS,70470,CT HEAD/BRAIN W/O & W/DYE,,,168.04,647.457363,22 HCPCS,70471,CTA H&N C+ W/NONCONTRAST IMG,,,448.7097,1287.796839,10 HCPCS,70473,CT CERE PRFU ALY C+WO CT/CTA,,,225.5949,647.457363,10 HCPCS,70480,CT ORBIT/EAR/FOSSA W/O DYE,,,134.4631,385.909097,22 HCPCS,70481,CT ORBIT/EAR/FOSSA W/DYE,,,175.41,647.457363,22 HCPCS,70482,CT ORBIT/EAR/FOSSA W/O&W/DYE,,,206.28,647.457363,22 HCPCS,70486,CT MAXILLOFACIAL W/O DYE,,,123.35,385.909097,22 HCPCS,70487,CT MAXILLOFACIAL W/DYE,,,146.65,647.457363,22 HCPCS,70488,CT MAXILLOFACIAL W/O & W/DYE,,,179.54,647.457363,22 HCPCS,70490,CT SOFT TISSUE NECK W/O DYE,,,134.4631,385.909097,22 HCPCS,70491,CT SOFT TISSUE NECK W/DYE,,,178.55,647.457363,22 HCPCS,70492,CT SFT TSUE NCK W/O & W/DYE,,,214.84,647.457363,22 HCPCS,70496,CT ANGIOGRAPHY HEAD,,,225.5949,647.457363,22 HCPCS,70498,CT ANGIOGRAPHY NECK,,,225.5949,647.457363,22 HCPCS,70540,MRI ORBIT/FACE/NECK W/O DYE,,,222.97,880.751627,22 HCPCS,70542,MRI ORBIT/FACE/NECK W/DYE,,,264.84,1287.796839,22 HCPCS,70543,MRI ORBT/FAC/NCK W/O &W/DYE,,,333.68,1287.796839,22 HCPCS,70544,MR ANGIOGRAPHY HEAD W/O DYE,,,210.94,880.751627,22 HCPCS,70545,MR ANGIOGRAPHY HEAD W/DYE,,,222.78,1287.796839,22 HCPCS,70546,MR ANGIOGRAPH HEAD W/O&W/DYE,,,324.17,1287.796839,22 HCPCS,70547,MR ANGIOGRAPHY NECK W/O DYE,,,211.59,880.751627,22 HCPCS,70548,MR ANGIOGRAPHY NECK W/DYE,,,240.58,1287.796839,22 HCPCS,70549,MR ANGIOGRAPH NECK W/O&W/DYE,,,339.06,1287.796839,22 HCPCS,70551,MRI BRAIN STEM W/O DYE,,,190.16,880.751627,22 HCPCS,70552,MRI BRAIN STEM W/DYE,,,264.23,1287.796839,22 HCPCS,70553,MRI BRAIN STEM W/O & W/DYE,,,311.06,1287.796839,22 HCPCS,70554,FMRI BRAIN BY TECH,,,306.8821,880.751627,22 HCPCS,70555,FMRI BRAIN BY PHYS/PSYCH,,,99.01,880.751627,22 HCPCS,70557,MRI BRAIN W/O DYE,,,171.75,2016.981183,22 HCPCS,70558,MRI BRAIN W/DYE,,,177.25,647.457363,22 HCPCS,70559,MRI BRAIN W/O & W/DYE,,,166.78,647.457363,22 HCPCS,71045,X-RAY EXAM CHEST 1 VIEW,,,17.67,321.235656,22 HCPCS,71046,X-RAY EXAM CHEST 2 VIEWS,,,27.48,321.235656,22 HCPCS,71047,X-RAY EXAM CHEST 3 VIEWS,,,35.27,321.235656,22 HCPCS,71048,X-RAY EXAM CHEST 4+ VIEWS,,,37.87,385.909097,22 HCPCS,71100,X-RAY EXAM RIBS UNI 2 VIEWS,,,27.16,321.235656,22 HCPCS,71101,X-RAY EXAM UNILAT RIBS/CHEST,,,32.32,385.909097,22 HCPCS,71110,X-RAY EXAM RIBS BIL 3 VIEWS,,,33.31,385.909097,22 HCPCS,71111,X-RAY EXAM RIBS/CHEST4/> VWS,,,42.4,385.909097,22 HCPCS,71120,X-RAY EXAM BREASTBONE 2/>VWS,,,25.98,321.235656,22 HCPCS,71130,X-RAY STRENOCLAVIC JT 3/>VWS,,,25.98,321.235656,22 HCPCS,71250,CT THORAX DX C-,,,127.32,385.909097,22 HCPCS,71260,CT THORAX DX C+,,,160.94,647.457363,22 HCPCS,71270,CT THORAX DX C-/C+,,,191.61,647.457363,22 HCPCS,71271,CT THORAX LUNG CANCER SCR C-,,,131.79,385.909097,22 HCPCS,71275,CT ANGIOGRAPHY CHEST,,,225.5949,647.457363,22 HCPCS,71550,MRI CHEST W/O DYE,,,306.8821,880.751627,22 HCPCS,71551,MRI CHEST W/DYE,,,374.13,2893.68611,22 HCPCS,71552,MRI CHEST W/O & W/DYE,,,448.7097,1287.796839,22 HCPCS,71555,MRI ANGIO CHEST W OR W/O DYE,,,329.74,329.74,1 HCPCS,72020,X-RAY EXAM OF SPINE 1 VIEW,,,17.3,321.235656,22 HCPCS,72040,X-RAY EXAM NECK SPINE 2-3 VW,,,25.98,321.235656,22 HCPCS,72050,X-RAY EXAM NECK SPINE 4/5VWS,,,40.0,385.909097,22 HCPCS,72052,X-RAY EXAM NECK SPINE 6/>VWS,,,50.31,385.909097,22 HCPCS,72070,X-RAY EXAM THORAC SPINE 2VWS,,,28.04,385.909097,22 HCPCS,72072,X-RAY EXAM THORAC SPINE 3VWS,,,30.83,385.909097,22 HCPCS,72074,X-RAY EXAM THORAC SPINE4/>VW,,,35.11,385.909097,22 HCPCS,72080,X-RAY EXAM THORACOLMB 2/> VW,,,27.39,321.235656,22 HCPCS,72081,X-RAY EXAM ENTIRE SPI 1 VW,,,34.72,321.235656,22 HCPCS,72082,X-RAY EXAM ENTIRE SPI 2/3 VW,,,56.31,385.909097,22 HCPCS,72083,X-RAY EXAM ENTIRE SPI 4/5 VW,,,61.12,385.909097,22 HCPCS,72084,X-RAY EXAM ENTIRE SPI 6/> VW,,,73.11,385.909097,22 HCPCS,72100,X-RAY EXAM L-S SPINE 2/3 VWS,,,30.29,385.909097,22 HCPCS,72110,X-RAY EXAM L-2 SPINE 4/>VWS,,,43.85,385.909097,22 HCPCS,72114,X-RAY EXAM L-S SPINE BENDING,,,52.91,385.909097,22 HCPCS,72120,X-RAY BEND ONLY L-S SPINE,,,34.61,385.909097,22 HCPCS,72125,CT NECK SPINE W/O DYE,,,124.99,385.909097,22 HCPCS,72126,CT NECK SPINE W/DYE,,,163.08,1287.796839,22 HCPCS,72127,CT NECK SPINE W/O & W/DYE,,,192.38,647.457363,22 HCPCS,72128,CT CHEST SPINE W/O DYE,,,124.68,385.909097,22 HCPCS,72129,CT CHEST SPINE W/DYE,,,164.34,647.457363,22 HCPCS,72130,CT CHEST SPINE W/O & W/DYE,,,193.14,647.457363,22 HCPCS,72131,CT LUMBAR SPINE W/O DYE,,,124.34,385.909097,22 HCPCS,72132,CT LUMBAR SPINE W/DYE,,,163.08,1287.796839,22 HCPCS,72133,CT LUMBAR SPINE W/O & W/DYE,,,192.07,647.457363,22 HCPCS,72141,MRI NECK SPINE W/O DYE,,,185.65,880.751627,22 HCPCS,72142,MRI NECK SPINE W/DYE,,,270.65,1287.796839,22 HCPCS,72146,MRI CHEST SPINE W/O DYE,,,185.35,880.751627,22 HCPCS,72147,MRI CHEST SPINE W/DYE,,,267.74,1287.796839,22 HCPCS,72148,MRI LUMBAR SPINE W/O DYE,,,186.0,880.751627,22 HCPCS,72149,MRI LUMBAR SPINE W/DYE,,,265.53,1287.796839,22 HCPCS,72156,MRI NECK SPINE W/O & W/DYE,,,313.24,1287.796839,22 HCPCS,72157,MRI CHEST SPINE W/O & W/DYE,,,313.58,1287.796839,22 HCPCS,72158,MRI LUMBAR SPINE W/O & W/DYE,,,312.29,1287.796839,22 HCPCS,72159,MR ANGIO SPINE W/O&W/DYE,,,340.97,340.97,1 HCPCS,72170,X-RAY EXAM OF PELVIS,,,21.62,385.909097,23 HCPCS,72190,X-RAY EXAM OF PELVIS,,,21.62,385.909097,23 HCPCS,72191,CT ANGIOGRAPH PELV W/O&W/DYE,,,225.5949,647.457363,22 HCPCS,72192,CT PELVIS W/O DYE,,,127.59,385.909097,22 HCPCS,72193,CT PELVIS W/DYE,,,204.45,647.457363,22 HCPCS,72194,CT PELVIS W/O & W/DYE,,,225.5949,647.457363,22 HCPCS,72195,MRI PELVIS W/O DYE,,,226.34,880.751627,22 HCPCS,72196,MRI PELVIS W/DYE,,,265.03,1287.796839,22 HCPCS,72197,MRI PELVIS W/O & W/DYE,,,332.91,1287.796839,22 HCPCS,72200,X-RAY EXAM SI JOINTS,,,21.62,385.909097,22 HCPCS,72202,X-RAY EXAM SI JOINTS 3/> VWS,,,29.57,385.909097,22 HCPCS,72220,X-RAY EXAM SACRUM TAILBONE,,,25.02,321.235656,22 HCPCS,72240,MYELOGRAPHY NECK SPINE,,,87.55,2893.68611,22 HCPCS,72255,MYELOGRAPHY THORACIC SPINE,,,87.02,2893.68611,22 HCPCS,72265,MYELOGRAPHY L-S SPINE,,,81.98,2893.68611,22 HCPCS,72270,MYELOGPHY 2/> SPINE REGIONS,,,112.92,2893.68611,22 HCPCS,72285,DISCOGRAPHY CERV/THOR SPINE,,,100.47,7208.093109,22 HCPCS,72295,X-RAY OF LOWER SPINE DISK,,,87.48,7208.093109,22 HCPCS,73000,X-RAY EXAM OF COLLAR BONE,,,20.78,321.235656,22 HCPCS,73010,X-RAY EXAM OF SHOULDER BLADE,,,21.39,385.909097,22 HCPCS,73020,X-RAY EXAM OF SHOULDER,,,17.3,321.235656,23 HCPCS,73030,X-RAY EXAM OF SHOULDER,,,17.3,321.235656,23 HCPCS,73040,CONTRAST X-RAY OF SHOULDER,,,50.69,1287.796839,22 HCPCS,73050,X-RAY EXAM OF SHOULDERS,,,25.9,321.235656,22 HCPCS,73060,X-RAY EXAM OF HUMERUS,,,20.78,321.235656,22 HCPCS,73070,X-RAY EXAM OF ELBOW,,,20.78,321.235656,23 HCPCS,73080,X-RAY EXAM OF ELBOW,,,20.78,321.235656,23 HCPCS,73085,CONTRAST X-RAY OF ELBOW,,,71.82,1287.796839,22 HCPCS,73090,X-RAY EXAM OF FOREARM,,,20.78,321.235656,22 HCPCS,73092,X-RAY EXAM OF ARM INFANT,,,20.78,385.909097,22 HCPCS,73100,X-RAY EXAM OF WRIST,,,17.3,321.235656,23 HCPCS,73110,X-RAY EXAM OF WRIST,,,17.3,321.235656,23 HCPCS,73115,CONTRAST X-RAY OF WRIST,,,41.14,1287.796839,22 HCPCS,73120,X-RAY EXAM OF HAND,,,17.3,385.909097,44 HCPCS,73130,X-RAY EXAM OF HAND,,,17.3,385.909097,44 HCPCS,73140,X-RAY EXAM OF FINGER(S),,,15.59,321.235656,22 HCPCS,73200,CT UPPER EXTREMITY W/O DYE,,,134.4631,385.909097,22 HCPCS,73201,CT UPPER EXTREMITY W/DYE,,,196.77,1287.796839,22 HCPCS,73202,CT UPPR EXTREMITY W/O&W/DYE,,,225.5949,647.457363,22 HCPCS,73206,CT ANGIO UPR EXTRM W/O&W/DYE,,,225.5949,647.457363,22 HCPCS,73218,MRI UPPER EXTREMITY W/O DYE,,,303.23,880.751627,22 HCPCS,73219,MRI UPPER EXTREMITY W/DYE,,,329.93,1287.796839,22 HCPCS,73220,MRI UPPR EXTREMITY W/O&W/DYE,,,390.48,1287.796839,22 HCPCS,73221,MRI JOINT UPR EXTREM W/O DYE,,,197.26,880.751627,22 HCPCS,73222,MRI JOINT UPR EXTREM W/DYE,,,312.36,2893.68611,22 HCPCS,73223,MRI JOINT UPR EXTR W/O&W/DYE,,,386.13,1287.796839,22 HCPCS,73225,MR ANGIO UPR EXTR W/O&W/DYE,,,338.3,338.3,1 HCPCS,73501,X-RAY EXAM HIP UNI 1 VIEW,,,26.51,321.235656,22 HCPCS,73502,X-RAY EXAM HIP UNI 2-3 VIEWS,,,37.28,321.235656,22 HCPCS,73503,X-RAY EXAM HIP UNI 4/> VIEWS,,,46.57,385.909097,22 HCPCS,73521,X-RAY EXAM HIPS BI 2 VIEWS,,,34.8,385.909097,22 HCPCS,73522,X-RAY EXAM HIPS BI 3-4 VIEWS,,,43.85,385.909097,22 HCPCS,73523,X-RAY EXAM HIPS BI 5/> VIEWS,,,51.04,385.909097,22 HCPCS,73525,CONTRAST X-RAY OF HIP,,,75.29,1287.796839,22 HCPCS,73551,X-RAY EXAM OF FEMUR 1,,,24.94,321.235656,22 HCPCS,73552,X-RAY EXAM OF FEMUR 2/>,,,29.15,321.235656,22 HCPCS,73560,X-RAY EXAM OF KNEE 1 OR 2,,,19.02,321.235656,22 HCPCS,73562,X-RAY EXAM OF KNEE 3,,,23.38,321.235656,22 HCPCS,73564,X-RAY EXAM KNEE 4 OR MORE,,,27.7,385.909097,22 HCPCS,73565,X-RAY EXAM OF KNEES,,,19.02,321.235656,22 HCPCS,73580,CONTRAST X-RAY OF KNEE JOINT,,,69.22,1287.796839,22 HCPCS,73590,X-RAY EXAM OF LOWER LEG,,,20.78,321.235656,22 HCPCS,73592,X-RAY EXAM OF LEG INFANT,,,20.78,321.235656,22 HCPCS,73600,X-RAY EXAM OF ANKLE,,,19.02,321.235656,23 HCPCS,73610,X-RAY EXAM OF ANKLE,,,19.02,321.235656,23 HCPCS,73615,CONTRAST X-RAY OF ANKLE,,,75.29,1287.796839,22 HCPCS,73620,X-RAY EXAM OF FOOT,,,17.3,321.235656,23 HCPCS,73630,X-RAY EXAM OF FOOT,,,17.3,321.235656,23 HCPCS,73650,X-RAY EXAM OF HEEL,,,19.02,321.235656,22 HCPCS,73660,X-RAY EXAM OF TOE(S),,,15.59,321.235656,22 HCPCS,73700,CT LOWER EXTREMITY W/O DYE,,,124.34,385.909097,22 HCPCS,73701,CT LOWER EXTREMITY W/DYE,,,161.28,647.457363,22 HCPCS,73702,CT LWR EXTREMITY W/O&W/DYE,,,189.47,647.457363,22 HCPCS,73706,CT ANGIO LWR EXTR W/O&W/DYE,,,225.5949,647.457363,22 HCPCS,73718,MRI LOWER EXTREMITY W/O DYE,,,220.07,880.751627,22 HCPCS,73719,MRI LOWER EXTREMITY W/DYE,,,258.96,1287.796839,22 HCPCS,73720,MRI LWR EXTREMITY W/O&W/DYE,,,333.07,1287.796839,22 HCPCS,73721,MRI JNT OF LWR EXTRE W/O DYE,,,196.92,880.751627,22 HCPCS,73722,MRI JOINT OF LWR EXTR W/DYE,,,313.01,2893.68611,22 HCPCS,73723,MRI JOINT LWR EXTR W/O&W/DYE,,,384.87,1287.796839,22 HCPCS,73725,MR ANG LWR EXT W OR W/O DYE,,,330.05,330.05,1 HCPCS,74018,RADEX ABDOMEN 1 VIEW,,,24.63,321.235656,22 HCPCS,74019,RADEX ABDOMEN 2 VIEWS,,,30.1,385.909097,22 HCPCS,74021,RADEX ABDOMEN 3+ VIEWS,,,35.12,385.909097,22 HCPCS,74022,RADEX COMPL AQT ABD SERIES,,,39.42,385.909097,22 HCPCS,74150,CT ABDOMEN W/O CONTRAST,,,131.18,385.909097,22 HCPCS,74160,CT ABDOMEN W/CONTRAST,,,208.76,647.457363,22 HCPCS,74170,CT ABD WO CNTRST FLWD CNTRST,,,225.5949,647.457363,22 HCPCS,74174,CTA ABD&PLVS W/CONTRAST,,,351.77,1287.796839,22 HCPCS,74175,CTA ABDOMEN W/CONTRAST,,,225.5949,647.457363,22 HCPCS,74176,CT ABD & PELVIS W/O CONTRAST,,,174.31,880.751627,22 HCPCS,74177,CT ABD & PELVIS W/CONTRAST,,,281.8,1287.796839,22 HCPCS,74178,CT ABD&PLV WO CNTR FLWD CNTR,,,319.24,1287.796839,22 HCPCS,74181,MRI ABDOMEN W/O CONTRAST,,,190.96,880.751627,22 HCPCS,74182,MRI ABDOMEN W/CONTRAST,,,299.22,1287.796839,22 HCPCS,74183,MRI ABD W/O CNTR FLWD CNTR,,,333.52,1287.796839,22 HCPCS,74185,MRA ABD W OR W/O CNTRST,,,332.03,332.03,1 HCPCS,74190,PERITONEOGRAM RS&I,,,34.53,2016.981183,22 HCPCS,74210,X-RAY XM PHRNX&/CRV ESOPH C+,,,38.09,647.457363,22 HCPCS,74220,X-RAY XM ESOPHAGUS 1CNTRST,,,38.09,647.457363,22 HCPCS,74221,X-RAY XM ESOPHAGUS 2CNTRST,,,99.39,647.457363,22 HCPCS,74230,X-RAY XM SWLNG FUNCJ C+,,,51.91,647.457363,22 HCPCS,74235,REMOVE ESOPHAGUS OBSTRUCTION,,,120.52,120.52,1 HCPCS,74240,X-RAY XM UPR GI TRC 1CNTRST,,,102.03,647.457363,22 HCPCS,74246,X-RAY XM UPR GI TRC 2CNTRST,,,115.25,647.457363,22 HCPCS,74248,X-RAY SM INT F-THRU STD,,,74.76,74.76,1 HCPCS,74250,X-RAY XM SM INT 1CNTRST STD,,,94.62,647.457363,22 HCPCS,74251,X-RAY XM SM INT 2CNTRST STD,,,225.5949,647.457363,22 HCPCS,74261,CT COLONOGRAPHY DX,,,134.4631,413.94,22 HCPCS,74262,CT COLONOGRAPHY DX W/DYE,,,225.5949,647.457363,22 HCPCS,74263,CT COLONOGRAPHY SCREENING,,,306.8821,880.751627,19 HCPCS,74270,X-RAY XM COLON 1CNTRST STD,,,51.91,647.457363,22 HCPCS,74280,X-RAY XM COLON 2CNTRST STD,,,62.84,647.457363,22 HCPCS,74283,THER NMA RDCTJ INTUS/OBSTRCJ,,,225.5949,647.457363,21 HCPCS,74290,CONTRAST X-RAY GALLBLADDER,,,38.43,647.457363,22 HCPCS,74300,X-RAY BILE DUCTS/PANCREAS,,,43.28,43.28,1 HCPCS,74301,X-RAYS AT SURGERY ADD-ON,,,21.62,21.62,1 HCPCS,74328,X-RAY BILE DUCT ENDOSCOPY,,,115.13,115.13,1 HCPCS,74329,X-RAY FOR PANCREAS ENDOSCOPY,,,115.13,115.13,1 HCPCS,74330,X-RAY BILE/PANC ENDOSCOPY,,,115.13,115.13,1 HCPCS,74340,X-RAY GUIDE FOR GI TUBE,,,63.18,63.18,1 HCPCS,74355,X-RAY GUIDE INTESTINAL TUBE,,,103.06,103.06,1 HCPCS,74360,X-RAY GUIDE GI DILATION,,,108.98,108.98,1 HCPCS,74363,X-RAY BILE DUCT DILATION,,,132.17,132.17,1 HCPCS,74400,UROGRAPHY IV +-KUB TOMOG,,,65.74,647.457363,22 HCPCS,74410,UROGRAPHY NFS DRIP&/BOLUS,,,86.52,647.457363,22 HCPCS,74415,UROGRAPHY NFS DRIP&/BLS W/NF,,,99.32,647.457363,22 HCPCS,74420,UROGRAPHY RTRGR +-KUB,,,56.42,1287.796839,22 HCPCS,74425,UROGRAPHY ANTEGRADE RS&I,,,50.19,1287.796839,22 HCPCS,74430,CONTRAST X-RAY BLADDER,,,33.16,1287.796839,22 HCPCS,74440,X-RAY MALE GENITAL TRACT,,,38.09,880.751627,22 HCPCS,74445,X-RAY EXAM OF PENIS,,,51.91,385.909097,22 HCPCS,74450,X-RAY URETHRA/BLADDER,,,41.52,880.751627,23 HCPCS,74455,X-RAY URETHRA/BLADDER,,,41.52,880.751627,23 HCPCS,74470,X-RAY EXAM OF KIDNEY LESION,,,43.28,2016.981183,22 HCPCS,74485,DILATION URTR/URT RS&I,,,83.01,7716.231488,22 HCPCS,74712,MRI FETAL SNGL/1ST GESTATION,,,306.8821,880.751627,22 HCPCS,74713,MRI FETAL EA ADDL GESTATION,,,193.48,193.48,1 HCPCS,74740,X-RAY FEMALE GENITAL TRACT,,,46.72,880.751627,22 HCPCS,74775,X-RAY EXAM OF PERINEUM,,,306.8821,880.751627,21 HCPCS,75557,CARDIAC MRI FOR MORPH,,,306.8821,880.751627,21 HCPCS,75559,CARDIAC MRI W/STRESS IMG,,,696.67,2016.981183,21 HCPCS,75561,CARDIAC MRI FOR MORPH W/DYE,,,361.03,1287.796839,22 HCPCS,75563,CARD MRI W/STRESS IMG & DYE,,,1003.8502,2893.68611,21 HCPCS,75565,CARD MRI VELOC FLOW MAPPING,,,45.76,45.76,1 HCPCS,75571,CT HRT W/O DYE W/CA TEST,,,81.33,321.235656,22 HCPCS,75572,CT HRT W/3D IMAGE,,,218.16,1287.796839,22 HCPCS,75573,CT HRT C+ STRUX CGEN HRT DS,,,275.47584,1287.796839,22 HCPCS,75574,CT ANGIO HRT W/3D IMAGE,,,275.47584,1287.796839,22 HCPCS,75577,QUAN&CHAR C ATHROSCLRTC PLAQ,,,1196.5845,3434.197515,10 HCPCS,75580,N-INVAS EST C FFR SW ALY CTA,,,1104.4833,3169.867071,21 HCPCS,75600,CONTRAST EXAM THORACIC AORTA,,,110.55,20540.185617,44 HCPCS,75605,CONTRAST EXAM THORACIC AORTA,,,110.55,20540.185617,44 HCPCS,75625,CONTRAST EXAM ABDOMINL AORTA,,,114.98,11655.206899,22 HCPCS,75630,X-RAY AORTA LEG ARTERIES,,,142.22,11655.206899,22 HCPCS,75635,CT ANGIO ABDOMINAL ARTERIES,,,225.5949,647.457363,22 HCPCS,75705,ARTERY X-RAYS SPINE,,,211.36,20540.185617,22 HCPCS,75710,ARTERY X-RAYS ARM/LEG,,,136.14,11655.206899,22 HCPCS,75716,ARTERY X-RAYS ARMS/LEGS,,,146.99,11655.206899,22 HCPCS,75726,ARTERY X-RAYS ABDOMEN,,,130.26,20540.185617,22 HCPCS,75731,ARTERY X-RAYS ADRENAL GLAND,,,139.47,11655.206899,22 HCPCS,75733,ARTERY X-RAYS ADRENALS,,,154.79,11655.206899,22 HCPCS,75736,ARTERY X-RAYS PELVIS,,,129.35,20540.185617,22 HCPCS,75741,ARTERY X-RAYS LUNG,,,119.03,11655.206899,23 HCPCS,75743,ARTERY X-RAYS LUNGS,,,134.54,11655.206899,22 HCPCS,75746,ARTERY X-RAYS LUNG,,,119.03,11655.206899,23 HCPCS,75756,ARTERY X-RAYS CHEST,,,145.39,11655.206899,22 HCPCS,75774,ARTERY X-RAY EACH VESSEL,,,75.52,75.52,1 HCPCS,75801,LYMPH VESSEL X-RAY ARM/LEG,,,129.8,2315.563068,22 HCPCS,75803,LYMPH VESSEL X-RAY ARMS/LEGS,,,129.8,5810.676333,22 HCPCS,75805,LYMPH VESSEL X-RAY TRUNK,,,130.76,11655.206899,23 HCPCS,75807,LYMPH VESSEL X-RAY TRUNK,,,130.76,11655.206899,23 HCPCS,75809,NONVASCULAR SHUNT X-RAY,,,24.83,385.909097,22 HCPCS,75810,VEIN X-RAY SPLEEN/LIVER,,,392.2,11655.206899,22 HCPCS,75820,VEIN X-RAY ARM/LEG,,,61.12,5810.676333,22 HCPCS,75822,VEIN X-RAY ARMS/LEGS,,,93.82,5810.676333,22 HCPCS,75825,VEIN X-RAY TRUNK,,,103.52,11655.206899,22 HCPCS,75827,VEIN X-RAY CHEST,,,109.25,5810.676333,22 HCPCS,75831,VEIN X-RAY KIDNEY,,,3999.2135,11655.206899,21 HCPCS,75833,VEIN X-RAY KIDNEYS,,,3999.2135,11655.206899,21 HCPCS,75840,VEIN X-RAY ADRENAL GLAND,,,3999.2135,11655.206899,21 HCPCS,75842,VEIN X-RAY ADRENAL GLANDS,,,145.05,9612.49982,12 HCPCS,75860,VEIN X-RAY NECK,,,3999.2135,11655.206899,21 HCPCS,75870,VEIN X-RAY SKULL,,,133.66,11655.206899,22 HCPCS,75872,VEIN X-RAY SKULL EPIDURAL,,,785.5612,2315.563068,21 HCPCS,75880,VEIN X-RAY EYE SOCKET,,,785.5612,2315.563068,21 HCPCS,75885,VEIN X-RAY LIVER W/HEMODYNAM,,,123.46,11655.206899,22 HCPCS,75887,VEIN X-RAY LIVER W/O HEMODYN,,,3999.2135,11655.206899,21 HCPCS,75889,VEIN X-RAY LIVER W/HEMODYNAM,,,123.46,11655.206899,22 HCPCS,75891,VEIN X-RAY LIVER,,,3999.2135,11655.206899,21 HCPCS,75893,VENOUS SAMPLING BY CATHETER,,,6868.4824,20540.185617,21 HCPCS,75898,FOLLOW-UP ANGIOGRAPHY,,,103.9,11655.206899,22 HCPCS,75901,REMOVE CVA DEVICE OBSTRUCT,,,99.36,99.36,1 HCPCS,75902,REMOVE CVA LUMEN OBSTRUCT,,,64.75,64.75,1 HCPCS,75956,XRAY ENDOVASC THOR AO REPR,,,279.45,326.18,2 HCPCS,75957,XRAY ENDOVASC THOR AO REPR,,,279.45,326.18,2 HCPCS,75958,XRAY PLACE PROX EXT THOR AO,,,186.35,186.35,1 HCPCS,75959,XRAY PLACE DIST EXT THOR AO,,,163.18,163.18,1 HCPCS,75984,XRAY CONTROL CATHETER CHANGE,,,67.73,67.73,1 HCPCS,75989,ABSCESS DRAINAGE UNDER X-RAY,,,104.52,104.52,1 HCPCS,76000,FLUOROSCOPY <1 HR PHYS/QHP,,,27.96,880.751627,22 HCPCS,76010,X-RAY NOSE TO RECTUM,,,23.34,321.235656,22 HCPCS,76014,MR SFTY IMPLT&/FB ASMT STF 1,,,31.117,106.765435,19 HCPCS,76016,MR SAFETY DETER PHYS/QHP,,,111.8763,321.235656,19 HCPCS,76017,MR SFTY MED PHYSICS XM CSTMZ,,,306.8821,880.751627,19 HCPCS,76018,MR SAFETY IMPLANT ELEC PREPJ,,,116.6284,350.93499,19 HCPCS,76019,MR SAFETY IMPLT POS&/IMMOBLJ,,,75.4736,217.758093,19 HCPCS,76080,X-RAY EXAM OF FISTULA,,,41.79,2016.981183,22 HCPCS,76098,X-RAY EXAM SURGICAL SPECIMEN,,,14.48,2016.981183,22 HCPCS,76100,X-RAY EXAM OF BODY SECTION,,,57.11,385.909097,22 HCPCS,76120,CINE/VIDEO X-RAYS,,,52.72,385.909097,22 HCPCS,76125,CINE/VIDEO X-RAYS ADD-ON,,,30.29,30.29,1 HCPCS,76140,X-RAY CONSULTATION,,,18.6,18.6,1 HCPCS,76145,MED PHYSIC DOS EVAL RAD EXPS,,,479.943,1377.43641,22 HCPCS,76380,CAT SCAN FOLLOW-UP STUDY,,,111.8763,321.235656,22 HCPCS,76390,MR SPECTROSCOPY,,,111.8763,321.235656,21 HCPCS,76391,MR ELASTOGRAPHY,,,199.37,880.751627,22 HCPCS,76496,UNLISTED FLUOROSCOPIC PX,,,111.8763,321.235656,21 HCPCS,76497,UNLISTED CT PROCEDURE,,,111.8763,321.235656,21 HCPCS,76498,UNLISTED MR PROCEDURE,,,111.8763,321.235656,21 HCPCS,76499,UNLISTED DX RADIOGRAPHIC PX,,,111.8763,321.235656,21 HCPCS,76506,ECHO EXAM OF HEAD,,,62.23,385.909097,22 HCPCS,76510,OPH US DX B-SCAN&QUAN A-SCAN,,,63.11,491.121001,22 HCPCS,76511,OPH US DX QUAN A-SCAN ONLY,,,51.15,385.909097,22 HCPCS,76512,OPH US DX B-SCAN,,,43.09,385.909097,22 HCPCS,76513,OPH US DX ANT SGM US UNI/BI,,,66.43,385.909097,22 HCPCS,76514,ECHO EXAM OF EYE THICKNESS,,,10.12,106.765435,22 HCPCS,76516,ECHO EXAM OF EYE,,,42.29,385.909097,45 HCPCS,76519,ECHO EXAM OF EYE,,,42.29,385.909097,45 HCPCS,76529,ECHO EXAM OF EYE,,,42.29,385.909097,45 HCPCS,76536,US EXAM OF HEAD AND NECK,,,59.74,385.909097,22 HCPCS,76604,US EXAM CHEST,,,53.17,385.909097,22 HCPCS,76641,ULTRASOUND BREAST COMPLETE,,,96.23,385.909097,22 HCPCS,76642,ULTRASOUND BREAST LIMITED,,,78.46,321.235656,22 HCPCS,76700,US EXAM ABDOM COMPLETE,,,83.2,385.909097,22 HCPCS,76705,ECHO EXAM OF ABDOMEN,,,60.74,385.909097,22 HCPCS,76706,US ABDL AORTA SCREEN AAA,,,85.45,385.909097,22 HCPCS,76770,US EXAM ABDO BACK WALL COMP,,,80.72,385.909097,22 HCPCS,76775,US EXAM ABDO BACK WALL LIM,,,51.38,385.909097,22 HCPCS,76776,US EXAM K TRANSPL W/DOPPLER,,,110.4,385.909097,22 HCPCS,76800,US EXAM SPINAL CANAL,,,80.98,385.909097,22 HCPCS,76801,OB US < 14 WKS SINGLE FETUS,,,78.42,385.909097,22 HCPCS,76802,OB US < 14 WKS ADDL FETUS,,,55.12,55.12,1 HCPCS,76805,OB US >/= 14 WKS SNGL FETUS,,,94.32,385.909097,22 HCPCS,76810,OB US >/= 14 WKS ADDL FETUS,,,80.41,80.41,1 HCPCS,76811,OB US DETAILED SNGL FETUS,,,158.68,880.751627,22 HCPCS,76812,OB US DETAILED ADDL FETUS,,,119.18,119.18,1 HCPCS,76813,OB US NUCHAL MEAS 1 GEST,,,108.6,385.909097,22 HCPCS,76814,OB US NUCHAL MEAS ADD-ON,,,68.57,68.57,1 HCPCS,76815,OB US LIMITED FETUS(S),,,62.95,385.909097,22 HCPCS,76816,OB US FOLLOW-UP PER FETUS,,,51.84,385.909097,22 HCPCS,76817,TRANSVAGINAL US OBSTETRIC,,,82.17,385.909097,22 HCPCS,76819,FETAL BIOPHYS PROFIL W/O NST,,,76.9,385.909097,22 HCPCS,76820,UMBILICAL ARTERY ECHO,,,38.73,385.909097,22 HCPCS,76821,MIDDLE CEREBRAL ARTERY ECHO,,,82.17,385.909097,22 HCPCS,76825,ECHO EXAM OF FETAL HEART,,,34.0,2016.981183,67 HCPCS,76826,ECHO EXAM OF FETAL HEART,,,34.0,2016.981183,67 HCPCS,76827,ECHO EXAM OF FETAL HEART,,,34.0,2016.981183,67 HCPCS,76828,ECHO EXAM OF FETAL HEART,,,34.0,2016.981183,67 HCPCS,76830,TRANSVAGINAL US NON-OB,,,67.65,385.909097,22 HCPCS,76831,ECHO EXAM UTERUS,,,75.52,880.751627,22 HCPCS,76856,US EXAM PELVIC COMPLETE,,,67.65,385.909097,22 HCPCS,76857,US EXAM PELVIC LIMITED,,,42.17,385.909097,22 HCPCS,76870,US EXAM SCROTUM,,,59.78,385.909097,22 HCPCS,76872,US TRANSRECTAL,,,67.65,385.909097,22 HCPCS,76873,ECHOGRAP TRANS R PROS STUDY,,,107.95,385.909097,22 HCPCS,76881,US COMPL JOINT R-T W/IMG,,,53.29,385.909097,22 HCPCS,76882,US LMTD JT/FCL EVL NVASC XTR,,,26.25,385.909097,22 HCPCS,76883,US NRV&ACC STRUX 1XTR COMPRE,,,134.4631,385.909097,21 HCPCS,76885,US EXAM INFANT HIPS DYNAMIC,,,76.09,321.235656,22 HCPCS,76886,US EXAM INFANT HIPS STATIC,,,67.81,321.235656,22 HCPCS,76932,ECHO GUIDE FOR HEART BIOPSY,,,66.93,66.93,1 HCPCS,76936,ECHO GUIDE FOR ARTERY REPAIR,,,277.7133,797.037171,21 HCPCS,76937,US GUIDE VASCULAR ACCESS,,,28.15,28.15,1 HCPCS,76940,US GUIDE TISSUE ABLATION,,,139.7,139.7,1 HCPCS,76941,ECHO GUIDE FOR TRANSFUSION,,,112.96,112.96,1 HCPCS,76942,ECHO GUIDE FOR BIOPSY,,,50.62,50.62,1 HCPCS,76946,ECHO GUIDE FOR AMNIOCENTESIS,,,28.65,28.65,1 HCPCS,76965,ECHO GUIDANCE RADIOTHERAPY,,,45.23,79.07,2 HCPCS,76975,GI ENDOSCOPIC ULTRASOUND,,,47.9,880.751627,22 HCPCS,76977,US BONE DENSITY MEASURE,,,134.4631,385.909097,21 HCPCS,76978,US TRGT DYN MBUBB 1ST LES,,,226.1922,1287.796839,22 HCPCS,76979,US TRGT DYN MBUBB EA ADDL,,,186.0,186.0,1 HCPCS,76981,USE PARENCHYMA,,,97.6,385.909097,22 HCPCS,76982,USE 1ST TARGET LESION,,,87.55,385.909097,22 HCPCS,76983,USE EA ADDL TARGET LESION,,,53.29,53.29,1 HCPCS,76999,ECHO EXAMINATION PROCEDURE,,,111.8763,321.235656,21 HCPCS,77001,FLUOROGUIDE FOR VEIN DEVICE,,,63.56,63.56,1 HCPCS,77002,NEEDLE LOCALIZATION BY XRAY,,,66.51,66.51,1 HCPCS,77003,FLUOROGUIDE FOR SPINE INJECT,,,56.88,56.88,1 HCPCS,77011,CT SCAN FOR LOCALIZATION,,,199.48,199.48,1 HCPCS,77012,CT SCAN FOR NEEDLE BIOPSY,,,111.05,111.05,1 HCPCS,77013,CT GUIDE FOR TISSUE ABLATION,,,160.82,160.82,1 HCPCS,77014,CT SCAN FOR THERAPY GUIDE,,,105.16,105.16,1 HCPCS,77021,MRI GUIDANCE NDL PLMT RS&I,,,366.76,366.76,1 HCPCS,77022,MRI GDN PARNCHYMA TISS ABLTJ,,,171.59,171.59,1 HCPCS,77046,MRI BREAST C- UNILATERAL,,,208.8,880.751627,22 HCPCS,77047,MRI BREAST C- BILATERAL,,,214.07,880.751627,22 HCPCS,77048,MRI BREAST C-+ W/CAD UNI,,,331.54,331.54,1 HCPCS,77049,MRI BREAST C-+ W/CAD BI,,,337.84,337.84,1 HCPCS,77053,X-RAY OF MAMMARY DUCT,,,49.32,880.751627,22 HCPCS,77054,X-RAY OF MAMMARY DUCTS,,,63.76,880.751627,22 HCPCS,77063,BREAST TOMOSYNTHESIS BI,,,47.52,190.1088,20 HCPCS,77065,DX MAMMO INCL CAD UNI,,,117.08,482.4757,20 HCPCS,77066,DX MAMMO INCL CAD BI,,,148.03,611.5396,20 HCPCS,77067,SCR MAMMO BI INCL CAD,,,119.45,494.6158,20 HCPCS,77072,BONE AGE STUDIES,,,19.67,385.909097,22 HCPCS,77073,BONE LENGTH STUDIES,,,32.05,385.909097,22 HCPCS,77074,RADEX OSSEOUS SURVEY LMTD,,,56.42,385.909097,22 HCPCS,77075,RADEX OSSEOUS SURVEY COMPL,,,78.5,385.909097,22 HCPCS,77076,RADEX OSSEOUS SURVEY INFANT,,,63.6,385.909097,22 HCPCS,77077,JOINT SURVEY SINGLE VIEW,,,33.23,385.909097,22 HCPCS,77078,CT BONE DENSITY AXIAL,,,111.8763,321.235656,21 HCPCS,77080,DXA BONE DENSITY AXIAL,,,34.27,385.909097,22 HCPCS,77081,DXA BONE DENSITY APPENDICULR,,,25.1,321.235656,22 HCPCS,77084,MRI BONE MARROW BLOOD SUPPLY,,,306.8821,880.751627,21 HCPCS,77085,DXA BONE DENSITY AXL VRT FX,,,47.1,385.909097,22 HCPCS,77086,VRT FRACTURE ASSMT VIA DXA,,,30.22,321.235656,22 HCPCS,77089,TBS DXA CAL W/I&R FX RISK,,,37.36,37.36,1 HCPCS,77090,TBS TECHL PREP&TRANSMIS DATA,,,2.1,321.235656,22 HCPCS,77091,TBS TECHL CALCULATION ONLY,,,26.4,321.235656,22 HCPCS,77092,TBS I&R FX RSK QHP,,,8.82,8.82,1 HCPCS,77261,THER RADIOLOGY TX PLNG SMPL,,,61.12,61.12,1 HCPCS,77262,THER RADIOLOGY TX PLNG INTRM,,,92.79,92.79,1 HCPCS,77263,THER RADIOLOGY TX PLNG CPLX,,,144.24,144.24,1 HCPCS,77280,THER RAD SIMULAJ FIELD SMPL,,,80.14,496.142927,22 HCPCS,77285,THER RAD SIMULAJ FIELD INTRM,,,127.02,1382.133452,22 HCPCS,77290,THER RAD SIMULAJ FIELD CPLX,,,155.89,1382.133452,22 HCPCS,77293,RESPIRATOR MOTION MGMT SIMUL,,,387.69,387.69,1 HCPCS,77295,3-D RADIOTHERAPY PLAN,,,429.75,5109.240297,22 HCPCS,77299,UNLISTED PX THER RAD TX PLNG,,,168.6976,496.142927,21 HCPCS,77300,RADIATION THERAPY DOSE PLAN,,,56.12,496.142927,22 HCPCS,77301,RADIOTHERAPY DOSE PLAN IMRT,,,1237.18,5109.240297,22 HCPCS,77306,TELETHX ISODOSE PLAN SIMPLE,,,128.69,1382.133452,22 HCPCS,77307,TELETHX ISODOSE PLAN CPLX,,,251.14,1382.133452,22 HCPCS,77316,BRACHYTX ISODOSE PLAN SIMPLE,,,166.29,1382.133452,22 HCPCS,77317,BRACHYTX ISODOSE INTERMED,,,217.44,1382.133452,22 HCPCS,77318,BRACHYTX ISODOSE COMPLEX,,,313.4,1382.133452,22 HCPCS,77321,SPECIAL TELETX PORT PLAN,,,81.71,1382.133452,22 HCPCS,77331,SPECIAL RADIATION DOSIMETRY,,,53.4,496.142927,22 HCPCS,77332,RADIATION TREATMENT AID(S),,,34.34,1382.133452,45 HCPCS,77333,RADIATION TREATMENT AID(S),,,34.34,1382.133452,45 HCPCS,77334,RADIATION TREATMENT AID(S),,,34.34,1382.133452,45 HCPCS,77336,RADIATION PHYSICS CONSULT,,,55.08,496.142927,23 HCPCS,77338,DESIGN MLC DEVICE FOR IMRT,,,414.16,1382.133452,22 HCPCS,77370,RADIATION PHYSICS CONSULT,,,55.08,496.142927,23 HCPCS,77371,SRS MULTISOURCE,,,1062.56,27187.498233,22 HCPCS,77385,NTSTY MODUL RAD TX DLVR SMPL,,,735.004,1029.68782,11 HCPCS,77386,NTSTY MODUL RAD TX DLVR CPLX,,,735.004,1029.68782,11 HCPCS,77399,UNLISTED PX MED RADJ PHYSICS,,,168.6976,496.142927,21 HCPCS,77401,RADIATION TX DELIVERY SUPFC,,,19.06,209.74884,12 HCPCS,77423,NEUTRON BEAM TX COMPLEX,,,87.41,2039.598792,22 HCPCS,77427,RADIATION TX MANAGEMENT X5,,,114.37,114.37,1 HCPCS,77431,RADIATION THERAPY MANAGEMENT,,,79.34,79.34,1 HCPCS,77432,STEREOTACTIC RADIATION TRMT,,,284.32,284.32,1 HCPCS,77436,SURF RADJ THER TX PLANNING,,,48.0396,137.873652,10 HCPCS,77437,SURF RADJ THER SUPFC<=150KV,,,131.2277,376.623499,10 HCPCS,77438,SURF RAD THR ORTHVLT>150-500,,,131.2277,376.623499,10 HCPCS,77469,IO RADIATION TX MANAGEMENT,,,248.27,248.27,1 HCPCS,77470,SPECIAL RADIATION TREATMENT,,,116.24,2039.598792,22 HCPCS,77520,PROTON TRMT SIMPLE W/O COMP,,,710.6616,2039.598792,21 HCPCS,77522,PROTON TRMT SIMPLE W/COMP,,,1607.3761,4613.169407,21 HCPCS,77523,PROTON TRMT INTERMEDIATE,,,1607.3761,4613.169407,21 HCPCS,77525,PROTON TREATMENT COMPLEX,,,1607.3761,4613.169407,21 HCPCS,77600,HYPERTHERMIA EXT GEN SUPFC,,,169.38,1423.719465,22 HCPCS,77605,HYPERTHERMIA EXT GEN DEEP,,,881.555,2570.896923,21 HCPCS,77610,HYPERTHERMIA NTRSTL PRB 5/<,,,169.38,2039.598792,22 HCPCS,77615,HYPERTHERMIA NTRSTL PRB>5,,,227.48,2039.598792,22 HCPCS,77620,HYPERTHERMIA GEN INTRCV PRB,,,710.6616,2039.598792,21 HCPCS,77767,HDR RDNCL SKN SURF BRACHYTX,,,204.94,1423.719465,23 HCPCS,77768,HDR RDNCL SKN SURF BRACHYTX,,,204.94,1423.719465,23 HCPCS,77770,HDR RDNCL NTRSTL/ICAV BRCHTX,,,290.89,2570.896923,24 HCPCS,77771,HDR RDNCL NTRSTL/ICAV BRCHTX,,,290.89,2570.896923,24 HCPCS,77772,HDR RDNCL NTRSTL/ICAV BRCHTX,,,290.89,2570.896923,24 HCPCS,77778,APPLY INTERSTIT RADIAT COMPL,,,734.59,2570.896923,22 HCPCS,77789,APPLY SURF LDR RADIONUCLIDE,,,106.73,376.623499,22 HCPCS,78012,THYROID UPTAKE MEASUREMENT,,,510.5652,1475.675075,21 HCPCS,78013,THYROID IMAGING W/BLOOD FLOW,,,174.04,1475.675075,23 HCPCS,78014,THYROID IMAGING W/BLOOD FLOW,,,174.04,1475.675075,23 HCPCS,78015,THYROID MET IMAGING,,,80.91,1475.675075,22 HCPCS,78016,THYROID MET IMAGING/STUDIES,,,109.48,1475.675075,22 HCPCS,78018,THYROID MET IMAGING BODY,,,129.8,2004.263352,22 HCPCS,78020,THYROID MET UPTAKE,,,29.22,29.22,1 HCPCS,78070,PARATHYROID PLANAR IMAGING,,,96.11,1475.675075,22 HCPCS,78071,PARATHYRD PLANAR W/WO SUBTRJ,,,311.86,1475.675075,22 HCPCS,78072,PARATHYRD PLANAR W/SPECT&CT,,,364.92,2004.263352,22 HCPCS,78075,ADRENAL CORTEX & MEDULLA IMG,,,217.82,4778.935728,22 HCPCS,78099,UNLISTED ENDOCRINE PX DX NUC,,,25.52,1475.675075,22 HCPCS,78102,BONE MARROW IMAGING LTD,,,93.25,1475.675075,22 HCPCS,78103,BONE MARROW IMAGING MULT,,,510.5652,1475.675075,21 HCPCS,78104,BONE MARROW IMAGING BODY,,,510.5652,1475.675075,21 HCPCS,78110,PLASMA VOLUME SINGLE,,,34.61,4778.935728,22 HCPCS,78111,PLASMA VOLUME MULTIPLE,,,52.41,4778.935728,22 HCPCS,78120,RED CELL MASS SINGLE,,,51.91,1475.675075,22 HCPCS,78121,RED CELL MASS MULTIPLE,,,70.52,2004.263352,22 HCPCS,78122,WHL BLD VOLUME DETERMINATION,,,88.32,2004.263352,22 HCPCS,78130,RED CELL SURVIVAL STUDY,,,86.52,1475.675075,22 HCPCS,78140,RED CELL SEQUESTRATION,,,86.52,1475.675075,22 HCPCS,78185,SPLEEN IMAGING,,,86.52,1475.675075,22 HCPCS,78191,PLATELET SURVIVAL STUDY,,,115.36,1475.675075,22 HCPCS,78195,LYMPH SYSTEM IMAGING,,,189.55,2004.263352,22 HCPCS,78199,UNLSTD HEMATOP RET/ENDO LYMP,,,510.5652,1475.675075,21 HCPCS,78201,LIVER IMAGING STATIC ONLY,,,77.89,2004.263352,22 HCPCS,78202,LIVER IMAGING WITH VASC FLOW,,,120.14,2004.263352,22 HCPCS,78215,LVR&SPLEEN IMG STATIC ONLY,,,86.52,1475.675075,22 HCPCS,78216,LVR&SPLEEN IMG W/VASC FLOW,,,113.8,1475.675075,22 HCPCS,78226,HEPATOBILIARY SYSTEM IMAGING,,,291.01,1475.675075,22 HCPCS,78227,HEPATOBIL SYST IMAGE W/DRUG,,,391.93,2004.263352,22 HCPCS,78230,SALIVARY GLAND IMAGING,,,60.59,1475.675075,22 HCPCS,78231,SALIVARY GLND IMG SERIAL IMG,,,70.17,1475.675075,22 HCPCS,78232,SALIVARY GLAND FUNCTION STD,,,86.52,1475.675075,22 HCPCS,78258,ESOPHAGEAL MOTILITY,,,129.35,1475.675075,22 HCPCS,78261,GASTRIC MUCOSA IMAGING,,,108.14,1475.675075,22 HCPCS,78262,GASTROESOPHAGEAL REFLUX STD,,,108.14,1475.675075,22 HCPCS,78264,GASTRIC EMPTYING IMG STUDY,,,295.67,1475.675075,22 HCPCS,78265,GSTR EMPTG IMG SM BWL TRNST,,,349.8,1475.675075,22 HCPCS,78266,GSTR EMPT IMG SM BWL&COLON,,,392.54,2004.263352,22 HCPCS,78267,UREA BREATH TST C-14 ACQUISJ,,,11.06,31.7422,21 HCPCS,78268,UREA BREATH TEST C-14 ALYS,,,94.41,270.9567,21 HCPCS,78278,ACUTE GI BLOOD LOSS IMAGING,,,129.8,1475.675075,22 HCPCS,78282,GI PROTEIN LOSS,,,51.91,1475.675075,22 HCPCS,78290,INTESTINE IMAGING,,,108.14,1475.675075,22 HCPCS,78291,PERTL-VEN SHUNT PATENCY TEST,,,141.11,1475.675075,22 HCPCS,78299,UNLISTED GI PX DX NUC MED,,,510.5652,1475.675075,21 HCPCS,78300,BONE IMAGING LIMITED AREA,,,80.91,1475.675075,22 HCPCS,78305,BONE IMAGING MULTIPLE AREAS,,,112.92,1475.675075,22 HCPCS,78306,BONE IMAGING WHOLE BODY,,,141.03,1475.675075,22 HCPCS,78315,BONE IMAGING 3 PHASE,,,131.1,1475.675075,22 HCPCS,78399,UNLISTED MUSCSKEL PX DX NUC,,,510.5652,1475.675075,21 HCPCS,78414,NON-IMAGING HEART FUNCTION,,,103.83,2004.263352,22 HCPCS,78428,CARDIAC SHUNT IMAGING,,,510.5652,1475.675075,21 HCPCS,78429,MYOCRD IMG PET 1 STD W/CT,,,72.5,5278.366814,22 HCPCS,78430,MYOCRD IMG PET RST/STRS W/CT,,,68.78,5278.366814,22 HCPCS,78431,MYOCRD IMG PET RST&STRS CT,,,80.1,8131.153415,22 HCPCS,78432,MYOCRD IMG PET 2RTRACER,,,85.21,5602.023315,22 HCPCS,78433,MYOCRD IMG PET 2RTRACER CT,,,93.13,8131.153415,22 HCPCS,78434,AQMBF PET REST & RX STRESS,,,27.03,27.03,1 HCPCS,78445,VASCULAR FLOW IMAGING,,,120.83,1475.675075,22 HCPCS,78451,HT MUSCLE IMAGE SPECT SING,,,201.93,4778.935728,22 HCPCS,78452,HT MUSCLE IMAGE SPECT MULT,,,348.12,4778.935728,22 HCPCS,78453,HT MUSCLE IMAGE PLANAR SING,,,176.6,4778.935728,22 HCPCS,78454,HT MUSC IMAGE PLANAR MULT,,,168.31,4778.935728,22 HCPCS,78456,ACUTE VENOUS THROMBUS IMAGE,,,148.64,4778.935728,22 HCPCS,78457,VENOUS THROMBOSIS IMAGING,,,69.22,2004.263352,22 HCPCS,78458,VEN THROMBOSIS IMAGES BILAT,,,94.32,1475.675075,22 HCPCS,78459,MYOCRD IMG PET SINGLE STUDY,,,1658.7429,4778.935728,21 HCPCS,78466,HEART INFARCT IMAGE,,,87.52,1475.675075,22 HCPCS,78468,HEART INFARCT IMAGE (EF),,,115.98,2004.263352,22 HCPCS,78469,HEART INFARCT IMAGE (3D),,,683.9259,2004.263352,21 HCPCS,78472,GATED HEART PLANAR SINGLE,,,167.77,1475.675075,22 HCPCS,78473,GATED HEART MULTIPLE,,,250.82,1475.675075,22 HCPCS,78481,HEART FIRST PASS SINGLE,,,158.03,2004.263352,22 HCPCS,78483,HEART FIRST PASS MULTIPLE,,,215.26,2004.263352,22 HCPCS,78491,MYOCRD IMG PET 1STD RST/STRS,,,1839.1522,5278.366814,21 HCPCS,78492,MYOCRD IMG PET MLT RST&STRS,,,1839.1522,5278.366814,21 HCPCS,78494,HEART IMAGE SPECT,,,203.76,1475.675075,22 HCPCS,78496,HEART FIRST PASS ADD-ON,,,38.31,38.31,1 HCPCS,78499,UNLISTED CV PX DX NUC MED,,,510.5652,1475.675075,21 HCPCS,78579,LUNG VENTILATION IMAGING,,,157.94,1475.675075,22 HCPCS,78580,LUNG PERFUSION IMAGING,,,112.5,1475.675075,22 HCPCS,78582,LUNG VENTILAT&PERFUS IMAGING,,,290.92,2004.263352,22 HCPCS,78597,LUNG PERFUSION DIFFERENTIAL,,,177.59,1475.675075,22 HCPCS,78598,LUNG PERF&VENTILAT DIFERENTL,,,271.3,2004.263352,22 HCPCS,78599,UNLISTED RESP PX DX NUC MED,,,510.5652,1475.675075,21 HCPCS,78600,BRAIN IMAGE < 4 VIEWS,,,117.35,1475.675075,22 HCPCS,78601,BRAIN IMAGE W/FLOW < 4 VIEWS,,,137.79,1475.675075,22 HCPCS,78605,BRAIN IMAGE 4+ VIEWS,,,134.12,2004.263352,22 HCPCS,78606,BRAIN IMAGE W/FLOW 4 + VIEWS,,,159.18,2004.263352,22 HCPCS,78608,BRAIN IMAGING (PET),,,1839.1522,5278.366814,21 HCPCS,78610,BRAIN FLOW IMAGING ONLY,,,40.22,2004.263352,22 HCPCS,78630,CEREBROSPINAL FLUID SCAN,,,169.19,2004.263352,22 HCPCS,78635,CSF VENTRICULOGRAPHY,,,149.36,2004.263352,22 HCPCS,78645,CSF SHUNT EVALUATION,,,149.36,2004.263352,22 HCPCS,78650,CSF LEAKAGE IMAGING,,,147.95,4778.935728,22 HCPCS,78660,NUCLEAR EXAM OF TEAR FLOW,,,86.52,1475.675075,22 HCPCS,78699,UNLISTED NRVS SYS PX DX NUC,,,510.5652,1475.675075,21 HCPCS,78700,KIDNEY IMAGING MORPHOL,,,77.89,1475.675075,22 HCPCS,78701,KIDNEY IMAGING WITH FLOW,,,119.83,1475.675075,22 HCPCS,78707,K FLOW/FUNCT IMAGE W/O DRUG,,,192.95,2004.263352,22 HCPCS,78708,K FLOW/FUNCT IMAGE W/DRUG,,,155.59,2004.263352,22 HCPCS,78709,K FLOW/FUNCT IMAGE MULTIPLE,,,182.63,2004.263352,22 HCPCS,78725,KIDNEY FUNCTION STUDY,,,77.01,1475.675075,22 HCPCS,78730,URINARY BLADDER RETENTION,,,65.86,65.86,1 HCPCS,78740,URETERAL REFLUX STUDY,,,67.5,1475.675075,22 HCPCS,78761,TESTICULAR IMAGING W/FLOW,,,86.52,1475.675075,22 HCPCS,78799,UNLISTED GU PX DX NUC MED,,,510.5652,1475.675075,21 HCPCS,78800,RP LOCLZJ TUM 1 AREA 1 D IMG,,,89.12,1475.675075,22 HCPCS,78801,RP LOCLZJ TUM 2+AREA 1+D IMG,,,132.4,1475.675075,22 HCPCS,78802,RP LOCLZJ TUM WHBDY 1 D IMG,,,154.9,2483.81168,22 HCPCS,78803,RP LOCLZJ TUM SPECT 1 AREA,,,698.3496,2483.81168,21 HCPCS,78804,RP LOCLZJ TUM WHBDY 2+D IMG,,,189.7,2483.81168,22 HCPCS,78808,IV INJ RA DRUG DX STUDY,,,36.25,1475.675075,22 HCPCS,78811,PET IMAGE LTD AREA,,,1658.7429,4778.935728,22 HCPCS,78812,PET IMAGE SKULL-THIGH,,,1839.1522,5278.366814,22 HCPCS,78813,PET IMAGE FULL BODY,,,1839.1522,5278.366814,22 HCPCS,78814,PET IMAGE W/CT LMTD,,,1839.1522,5278.366814,22 HCPCS,78815,PET IMAGE W/CT SKULL-THIGH,,,1839.1522,5278.366814,22 HCPCS,78816,PET IMAGE W/CT FULL BODY,,,1839.1522,5278.366814,22 HCPCS,78830,RP LOCLZJ TUM SPECT W/CT 1,,,432.46,4778.935728,22 HCPCS,78831,RP LOCLZJ TUM SPECT 2 AREAS,,,631.33,4778.935728,22 HCPCS,78832,RP LOCLZJ TUM SPECT W/CT 2,,,822.94,5278.366814,22 HCPCS,78835,RP QUAN MEAS SINGLE AREA,,,88.62,88.62,1 HCPCS,78999,UNLISTED MISC PX DX NUC MED,,,510.5652,1475.675075,21 HCPCS,79005,NUCLEAR RX ORAL ADMIN,,,119.11,861.313404,22 HCPCS,79101,NUCLEAR RX IV ADMIN,,,126.14,861.313404,22 HCPCS,79200,NUCLEAR RX INTRACAV ADMIN,,,103.83,861.313404,22 HCPCS,79300,NUCLR RX INTERSTIT COLLOID,,,259.61,861.313404,22 HCPCS,79403,HEMATOPOIETIC NUCLEAR TX,,,142.26,861.313404,22 HCPCS,79440,NUCLEAR RX INTRA-ARTICULAR,,,284.7796,861.313404,21 HCPCS,79445,NUCLEAR RX INTRA-ARTERIAL,,,200.5,861.313404,22 HCPCS,79999,RP THERAPY UNLISTED PX,,,284.7796,861.313404,21 HCPCS,80047,BASIC METABLC PNL IONIZED CA,,,8.17,39.4051,22 HCPCS,80048,BASIC METABOLIC PNL TOTAL CA,,,7.27,24.2802,22 HCPCS,80051,ELECTROLYTE PANEL,,,6.23,20.1187,22 HCPCS,80053,COMPREHEN METABOLIC PANEL,,,9.28,30.3072,22 HCPCS,80055,OBSTETRIC PANEL,,,35.83,137.2147,22 HCPCS,80061,LIPID PANEL,,,11.54,38.4293,22 HCPCS,80069,RENAL FUNCTION PANEL,,,7.6,24.9116,22 HCPCS,80074,ACUTE HEPATITIS PANEL,,,41.79,136.6981,22 HCPCS,80076,HEPATIC FUNCTION PANEL,,,6.38,23.4479,22 HCPCS,80081,OBSTETRIC PANEL INC HIV TSTG,,,66.54,214.8482,22 HCPCS,80145,DRUG ASSAY ADALIMUMAB,,,38.57,110.6959,22 HCPCS,80150,ASSAY OF AMIKACIN,,,13.4,43.2796,22 HCPCS,80151,DRUG ASSAY AMIODARONE,,,14.91,53.4968,22 HCPCS,80155,DRUG ASSAY CAFFEINE,,,15.4,110.6959,22 HCPCS,80156,ASSAY CARBAMAZEPINE TOTAL,,,12.61,41.8159,22 HCPCS,80157,ASSAY CARBAMAZEPINE FREE,,,10.99,38.0275,22 HCPCS,80158,DRUG ASSAY CYCLOSPORINE,,,16.04,51.8035,22 HCPCS,80159,DRUG ASSAY CLOZAPINE,,,16.44,57.8305,22 HCPCS,80161,"ASY CARBAMAZEPIN 10,11-EPXID",,,14.91,53.4968,22 HCPCS,80162,ASSAY OF DIGOXIN TOTAL,,,11.8,38.1136,22 HCPCS,80163,ASSAY OF DIGOXIN FREE,,,11.8,38.1136,22 HCPCS,80164,ASSAY DIPROPYLACETIC ACD TOT,,,12.04,38.8598,22 HCPCS,80165,DIPROPYLACETIC ACID FREE,,,12.04,38.8598,22 HCPCS,80167,DRUG ASSAY FELBAMATE,,,14.91,53.4968,22 HCPCS,80168,ASSAY OF ETHOSUXIMIDE,,,14.52,46.8958,22 HCPCS,80169,DRUG ASSAY EVEROLIMUS,,,12.21,39.4051,22 HCPCS,80170,ASSAY OF GENTAMICIN,,,14.56,47.0106,22 HCPCS,80171,DRUG SCREEN QUANT GABAPENTIN,,,14.43,62.1929,22 HCPCS,80173,ASSAY OF HALOPERIDOL,,,12.95,45.2886,22 HCPCS,80175,DRUG SCREEN QUAN LAMOTRIGINE,,,11.78,38.0275,22 HCPCS,80176,ASSAY OF LIDOCAINE,,,13.06,42.1603,22 HCPCS,80177,DRUG SCRN QUAN LEVETIRACETAM,,,11.78,38.0275,22 HCPCS,80178,ASSAY OF LITHIUM,,,5.88,18.9707,22 HCPCS,80180,DRUG SCRN QUAN MYCOPHENOLATE,,,16.04,51.8035,22 HCPCS,80181,DRUG ASSAY FLECAINIDE,,,14.91,53.4968,22 HCPCS,80183,DRUG SCRN QUANT OXCARBAZEPIN,,,11.78,38.0275,22 HCPCS,80184,ASSAY OF PHENOBARBITAL,,,8.4,43.911,22 HCPCS,80185,ASSAY OF PHENYTOIN TOTAL,,,11.78,38.0275,22 HCPCS,80186,ASSAY OF PHENYTOIN FREE,,,12.23,39.4912,22 HCPCS,80187,DRUG ASSAY POSACONAZOLE,,,21.69,77.8057,22 HCPCS,80188,ASSAY OF PRIMIDONE,,,14.75,47.6133,22 HCPCS,80189,DRUG ASSAY ITRACONAZOLE,,,21.69,77.8057,22 HCPCS,80190,ASSAY OF PROCAINAMIDE,,,14.89,172.2,44 HCPCS,80192,ASSAY OF PROCAINAMIDE,,,14.89,172.2,44 HCPCS,80193,DRUG ASSAY LEFLUNOMIDE,,,30.86,110.6959,22 HCPCS,80194,ASSAY OF QUINIDINE,,,12.98,41.902,22 HCPCS,80195,ASSAY OF SIROLIMUS,,,11.99,39.4051,22 HCPCS,80197,ASSAY OF TACROLIMUS,,,12.21,39.4051,22 HCPCS,80198,ASSAY OF THEOPHYLLINE,,,12.57,40.5818,22 HCPCS,80199,DRUG SCREEN QUANT TIAGABINE,,,19.66,77.8057,22 HCPCS,80200,ASSAY OF TOBRAMYCIN,,,14.33,46.2931,22 HCPCS,80201,ASSAY OF TOPIRAMATE,,,10.59,34.2104,22 HCPCS,80202,ASSAY OF VANCOMYCIN,,,12.04,38.8598,22 HCPCS,80203,DRUG SCREEN QUANT ZONISAMIDE,,,11.78,38.0275,22 HCPCS,80210,DRUG ASSAY RUFINAMIDE,,,21.69,77.8057,22 HCPCS,80220,DRUG ASY HYDROXYCHLOROQUINE,,,18.64,53.4968,22 HCPCS,80230,DRUG ASSAY INFLIXIMAB,,,30.86,110.6959,22 HCPCS,80235,DRUG ASSAY LACOSAMIDE,,,21.69,77.8057,22 HCPCS,80280,DRUG ASSAY VEDOLIZUMAB,,,30.86,110.6959,22 HCPCS,80285,DRUG ASSAY VORICONAZOLE,,,21.69,77.8057,22 HCPCS,80299,QUANTITATIVE ASSAY DRUG,,,12.59,53.4968,22 HCPCS,80305,DRUG TEST PRSMV DIR OPT OBS,,,10.08,36.162,22 HCPCS,80306,DRUG TEST PRSMV INSTRMNT,,,13.71,49.1918,22 HCPCS,80400,ACTH STIMULATION PANEL,,,32.62,249.5752,66 HCPCS,80402,ACTH STIMULATION PANEL,,,32.62,249.5752,66 HCPCS,80406,ACTH STIMULATION PANEL,,,32.62,249.5752,66 HCPCS,80408,ALDOSTERONE SUPPRESSION EVAL,,,125.5,360.185,22 HCPCS,80410,CALCITONIN STIMUL PANEL,,,80.37,230.6619,22 HCPCS,80412,CRH STIMULATION PANEL,,,371.04,2300.6494,22 HCPCS,80414,TESTOSTERONE RESPONSE PANEL,,,51.64,148.2068,22 HCPCS,80415,TOT ESTRADIOL RESPONSE PANEL,,,55.89,160.4043,22 HCPCS,80416,RENIN STIMULATION PANEL,,,43.99,600.7484,44 HCPCS,80417,RENIN STIMULATION PANEL,,,43.99,600.7484,44 HCPCS,80418,PITUITARY EVALUATION PANEL,,,579.48,1663.1076,22 HCPCS,80420,DEXAMETHASONE PANEL,,,81.1,464.5956,22 HCPCS,80422,GLUCAGON TOLERANCE PANEL,,,46.07,144.935,44 HCPCS,80424,GLUCAGON TOLERANCE PANEL,,,46.07,144.935,44 HCPCS,80426,GONADOTROPIN HORMONE PANEL,,,148.41,425.9367,22 HCPCS,80428,GROWTH HORMONE PANEL,,,66.7,371.1771,44 HCPCS,80430,GROWTH HORMONE PANEL,,,66.7,371.1771,44 HCPCS,80432,INSULIN SUPPRESSION PANEL,,,145.11,475.3007,22 HCPCS,80434,INSULIN TOLERANCE PANEL,,,103.0,818.0361,44 HCPCS,80435,INSULIN TOLERANCE PANEL,,,103.0,818.0361,44 HCPCS,80436,METYRAPONE PANEL,,,91.16,261.6292,22 HCPCS,80438,TRH STIMULATION PANEL,,,50.41,192.8927,44 HCPCS,80439,TRH STIMULATION PANEL,,,50.41,192.8927,44 HCPCS,80503,PATH CLIN CONSLTJ SF 5-20,,,23.04,192.358306,22 HCPCS,80504,PATH CLIN CONSLTJ MOD 21-40,,,45.8,628.886167,22 HCPCS,80505,PATH CLIN CONSLTJ HIGH 41-60,,,82.67,628.886167,22 HCPCS,80506,PATH CLIN CONSLTJ PROLNG SVC,,,36.99,36.99,1 HCPCS,81000,URINALYSIS NONAUTO W/SCOPE,,,2.58,11.5374,22 HCPCS,81001,URINALYSIS AUTO W/SCOPE,,,2.77,9.0979,22 HCPCS,81003,URINALYSIS AUTO W/O SCOPE,,,1.96,6.4575,22 HCPCS,81005,URINALYSIS,,,1.77,6.2279,22 HCPCS,81007,URINE SCREEN FOR BACTERIA,,,2.79,86.0426,22 HCPCS,81015,MICROSCOPIC EXAM OF URINE,,,2.5,8.7535,22 HCPCS,81020,URINALYSIS GLASS TEST,,,4.7,13.489,21 HCPCS,81105,HPA-1 GENOTYPING,,,108.64,350.7714,22 HCPCS,81106,HPA-2 GENOTYPING,,,108.64,350.7714,22 HCPCS,81107,HPA-3 GENOTYPING,,,108.64,350.7714,22 HCPCS,81108,HPA-4 GENOTYPING,,,108.64,350.7714,22 HCPCS,81109,HPA-5 GENOTYPING,,,108.64,350.7714,22 HCPCS,81110,HPA-6 GENOTYPING,,,108.64,350.7714,22 HCPCS,81111,HPA-9 GENOTYPING,,,108.64,350.7714,22 HCPCS,81112,HPA-15 GENOTYPING,,,108.64,350.7714,22 HCPCS,81120,IDH1 COMMON VARIANTS,,,154.6,554.6275,22 HCPCS,81121,IDH2 COMMON VARIANTS,,,236.63,848.9173,22 HCPCS,81161,DMD DUP/DELET ANALYSIS,,,112.9,800.73,22 HCPCS,81162,BRCA1&2 GEN FULL SEQ DUP/DEL,,,1622.11,5237.4056,22 HCPCS,81163,BRCA1&2 GENE FULL SEQ ALYS,,,374.4,1343.16,22 HCPCS,81164,BRCA1&2 GEN FUL DUP/DEL ALYS,,,467.38,1676.7401,22 HCPCS,81165,BRCA1 GENE FULL SEQ ALYS,,,226.3,811.8656,22 HCPCS,81166,BRCA1 GENE FULL DUP/DEL ALYS,,,241.08,864.8745,22 HCPCS,81167,BRCA2 GENE FULL DUP/DEL ALYS,,,226.3,811.8656,22 HCPCS,81168,CCND1/IGH TRANSLOCATION ALYS,,,165.85,594.9797,22 HCPCS,81170,ABL1 GENE,,,240.0,861.0,22 HCPCS,81171,AFF2 GEN ALY DETC ABNL ALLEL,,,109.6,393.19,22 HCPCS,81172,AFF2 GEN ALYS CHARAC ALLELES,,,219.86,788.7621,22 HCPCS,81173,AR GENE FULL GENE SEQUENCE,,,241.08,864.8745,22 HCPCS,81174,AR GENE KNOWN FAMIL VARIANT,,,148.16,531.524,22 HCPCS,81175,ASXL1 FULL GENE SEQUENCE,,,541.2,1941.555,22 HCPCS,81176,ASXL1 GENE TARGET SEQ ALYS,,,215.01,694.253,22 HCPCS,81177,ATN1 GENE DETC ABNOR ALLELES,,,109.6,393.19,22 HCPCS,81178,ATXN1 GENE DETC ABNOR ALLELE,,,109.6,393.19,22 HCPCS,81179,ATXN2 GENE DETC ABNOR ALLELE,,,109.6,393.19,22 HCPCS,81180,ATXN3 GENE DETC ABNOR ALLELE,,,109.6,393.19,22 HCPCS,81181,ATXN7 GENE DETC ABNOR ALLELE,,,109.6,393.19,22 HCPCS,81182,ATXN8OS GEN DETC ABNOR ALLEL,,,109.6,393.19,22 HCPCS,81183,ATXN10 GENE DETC ABNOR ALLEL,,,109.6,393.19,22 HCPCS,81184,CACNA1A GEN DETC ABNOR ALLEL,,,109.6,393.19,22 HCPCS,81185,CACNA1A GENE FULL GENE SEQ,,,677.01,2428.7949,22 HCPCS,81186,CACNA1A GEN KNOWN FAMIL VRNT,,,148.16,531.524,22 HCPCS,81187,CNBP GENE DETC ABNOR ALLELE,,,109.6,393.19,22 HCPCS,81188,CSTB GENE DETC ABNOR ALLELE,,,109.6,393.19,22 HCPCS,81189,CSTB GENE FULL GENE SEQUENCE,,,219.86,788.7621,22 HCPCS,81190,CSTB GENE KNOWN FAMIL VRNT,,,148.16,531.524,22 HCPCS,81191,NTRK1 TRANSLOCATION ANALYSIS,,,165.85,594.9797,22 HCPCS,81192,NTRK2 TRANSLOCATION ANALYSIS,,,165.85,594.9797,22 HCPCS,81193,NTRK3 TRANSLOCATION ANALYSIS,,,165.85,594.9797,22 HCPCS,81194,NTRK TRANSLOCATION ANALYSIS,,,414.62,1487.4636,22 HCPCS,81195,CYTOG GENOM-WID ALYS HEM MAL,,,1263.53,5347.4414,19 HCPCS,81200,ASPA GENE,,,47.25,135.6075,21 HCPCS,81201,APC GENE FULL SEQUENCE,,,599.94,2238.6,22 HCPCS,81202,APC GENE KNOWN FAM VARIANTS,,,75.15,803.6,22 HCPCS,81203,APC GENE DUP/DELET VARIANTS,,,160.0,574.0,22 HCPCS,81204,AR GENE CHARAC ALLELES,,,109.6,393.19,22 HCPCS,81205,BCKDHB GENE,,,94.99,272.6213,21 HCPCS,81206,BCR/ABL1 GENE MAJOR BP,,,86.7,470.5652,22 HCPCS,81207,BCR/ABL1 GENE MINOR BP,,,72.3,415.6908,22 HCPCS,81208,BCR/ABL1 GENE OTHER BP,,,120.14,615.9594,22 HCPCS,81209,BLM GENE,,,39.31,112.8197,21 HCPCS,81210,BRAF GENE,,,77.96,503.398,22 HCPCS,81212,BRCA1&2 185&5385&6174 VRNT,,,141.01,1262.8,22 HCPCS,81215,BRCA1 GENE KNOWN FAMIL VRNT,,,74.41,1076.9675,22 HCPCS,81216,BRCA2 GENE FULL SEQ ALYS,,,148.1,531.2944,22 HCPCS,81217,BRCA2 GENE KNOWN FAMIL VRNT,,,74.41,1076.9675,22 HCPCS,81218,CEBPA GENE FULL SEQUENCE,,,215.02,694.253,22 HCPCS,81219,CALR GENE COM VARIANTS,,,108.11,349.0781,22 HCPCS,81220,CFTR GENE COM VARIANTS,,,180.0,1597.442,22 HCPCS,81221,CFTR GENE KNOWN FAM VARIANTS,,,75.15,279.0214,22 HCPCS,81222,CFTR GENE DUP/DELET VARIANTS,,,435.07,1248.6509,22 HCPCS,81223,CFTR GENE FULL SEQUENCE,,,499.0,1432.13,22 HCPCS,81224,CFTR GENE INTRON POLY T,,,66.06,484.3125,22 HCPCS,81225,CYP2C19 GENE COM VARIANTS,,,255.3,836.2032,22 HCPCS,81226,CYP2D6 GENE COM VARIANTS,,,450.91,1294.1117,21 HCPCS,81227,CYP2C9 GENE COM VARIANTS,,,174.81,501.7047,21 HCPCS,81228,CYTOG ALYS CHRML ABNR CGH,,,900.0,2583.0,21 HCPCS,81229,CYTOG ALYS CHRML ABNR SNPCGH,,,1160.0,3329.2,21 HCPCS,81230,CYP3A4 GENE COMMON VARIANTS,,,174.81,501.7047,21 HCPCS,81231,CYP3A5 GENE COMMON VARIANTS,,,174.81,501.7047,21 HCPCS,81232,DPYD GENE COMMON VARIANTS,,,174.81,501.7047,21 HCPCS,81233,BTK GENE COMMON VARIANTS,,,140.32,503.398,22 HCPCS,81234,DMPK GENE DETC ABNOR ALLELE,,,109.6,393.19,22 HCPCS,81235,EGFR GENE COM VARIANTS,,,180.0,931.5446,22 HCPCS,81236,EZH2 GENE FULL GENE SEQUENCE,,,226.3,811.8656,22 HCPCS,81237,EZH2 GENE COMMON VARIANTS,,,140.32,503.398,22 HCPCS,81238,F9 FULL GENE SEQUENCE,,,480.0,1722.0,22 HCPCS,81239,DMPK GENE CHARAC ALLELES,,,219.86,788.7621,22 HCPCS,81240,F2 GENE,,,65.69,188.5303,21 HCPCS,81241,F5 GENE,,,73.37,210.5719,21 HCPCS,81242,FANCC GENE,,,36.62,105.0994,21 HCPCS,81243,FMR1 GEN ALY DETC ABNL ALLEL,,,45.63,163.7048,22 HCPCS,81244,FMR1 GEN ALYS CHARAC ALLELES,,,35.91,128.8343,22 HCPCS,81245,FLT3 GENE,,,132.4,475.0137,22 HCPCS,81246,FLT3 GENE ANALYSIS,,,66.4,238.21,22 HCPCS,81247,G6PD GENE ALYS CMN VARIANT,,,174.81,501.7047,21 HCPCS,81248,G6PD KNOWN FAMILIAL VARIANT,,,375.25,1076.9675,21 HCPCS,81249,G6PD FULL GENE SEQUENCE,,,600.0,1722.0,21 HCPCS,81250,G6PC GENE,,,46.79,167.8663,22 HCPCS,81251,GBA GENE,,,47.25,135.6075,21 HCPCS,81252,GJB2 GENE FULL SEQUENCE,,,101.12,290.2144,21 HCPCS,81253,GJB2 GENE KNOWN FAM VARIANTS,,,61.52,176.5624,21 HCPCS,81254,GJB6 GENE COM VARIANTS,,,35.0,100.45,21 HCPCS,81255,HEXA GENE,,,51.45,147.6615,21 HCPCS,81256,HFE GENE,,,56.16,187.5832,22 HCPCS,81257,HBA1/HBA2 GENE,,,102.26,293.4862,22 HCPCS,81258,HBA1/HBA2 GENE FAM VRNT,,,300.2,1076.9675,22 HCPCS,81259,HBA1/HBA2 FULL GENE SEQUENCE,,,480.0,1722.0,22 HCPCS,81260,IKBKAP GENE,,,31.44,112.8197,22 HCPCS,81261,IGH GENE REARRANGE AMP METH,,,197.99,568.2313,21 HCPCS,81262,IGH GENE REARRANG DIR PROBE,,,68.55,196.7385,21 HCPCS,81263,IGH VARI REGIONAL MUTATION,,,294.52,845.2724,21 HCPCS,81264,IGK REARRANGEABN CLONAL POP,,,172.73,495.7351,21 HCPCS,81265,STR MARKERS SPECIMEN ANAL,,,191.15,668.9109,22 HCPCS,81266,STR MARKERS SPEC ANAL ADDL,,,304.81,874.8047,22 HCPCS,81267,CHIMERISM ANAL NO CELL SELEC,,,119.78,595.4102,22 HCPCS,81268,CHIMERISM ANAL W/CELL SELECT,,,119.78,748.4673,22 HCPCS,81269,HBA1/HBA2 GENE DUP/DEL VRNTS,,,161.92,580.888,22 HCPCS,81270,JAK2 GENE,,,66.3,263.0642,22 HCPCS,81271,HTT GENE DETC ABNOR ALLELES,,,109.6,393.19,22 HCPCS,81272,KIT GENE TARGETED SEQ ANALYS,,,263.6,945.6937,22 HCPCS,81273,KIT GENE ANALYS D816 VARIANT,,,99.89,358.3769,22 HCPCS,81274,HTT GENE CHARAC ALLELES,,,219.86,788.7621,22 HCPCS,81275,KRAS GENE VARIANTS EXON 2,,,154.6,554.6275,22 HCPCS,81276,KRAS GENE ADDL VARIANTS,,,154.6,554.6275,22 HCPCS,81278,IGH@/BCL2 TRANSLOCATION ALYS,,,165.85,594.9797,22 HCPCS,81279,JAK2 GENE TRGT SEQUENCE ALYS,,,148.16,531.524,22 HCPCS,81283,IFNL3 GENE,,,58.69,210.5719,22 HCPCS,81284,FXN GENE DETC ABNOR ALLELES,,,109.6,393.19,22 HCPCS,81285,FXN GENE CHARAC ALLELES,,,219.86,788.7621,22 HCPCS,81286,FXN GENE FULL GENE SEQUENCE,,,219.86,788.7621,22 HCPCS,81287,MGMT GENE PRMTR MTHYLTN ALYS,,,124.64,357.7168,22 HCPCS,81288,MLH1 GENE,,,192.32,551.9584,22 HCPCS,81289,FXN GENE KNOWN FAMIL VARIANT,,,148.16,531.524,22 HCPCS,81290,MCOLN1 GENE,,,39.31,112.8197,21 HCPCS,81291,MTHFR GENE,,,65.34,187.5258,21 HCPCS,81292,MLH1 GENE FULL SEQ,,,515.7,1938.398,22 HCPCS,81293,MLH1 GENE KNOWN VARIANTS,,,75.12,949.97,22 HCPCS,81294,MLH1 GENE DUP/DELETE VARIANT,,,152.16,580.888,22 HCPCS,81295,MSH2 GENE FULL SEQ,,,121.06,1095.479,22 HCPCS,81296,MSH2 GENE KNOWN VARIANTS,,,75.15,969.2851,22 HCPCS,81297,MSH2 GENE DUP/DELETE VARIANT,,,121.06,612.171,22 HCPCS,81298,MSH6 GENE FULL SEQ,,,229.69,1842.1095,22 HCPCS,81299,MSH6 GENE KNOWN VARIANTS,,,75.15,883.96,22 HCPCS,81300,MSH6 GENE DUP/DELETE VARIANT,,,129.02,683.06,22 HCPCS,81301,MICROSATELLITE INSTABILITY,,,256.67,1000.3672,22 HCPCS,81302,MECP2 GENE FULL SEQ,,,527.87,1514.9869,21 HCPCS,81303,MECP2 GENE KNOWN VARIANT,,,120.0,344.4,21 HCPCS,81304,MECP2 GENE DUP/DELET VARIANT,,,150.0,430.5,21 HCPCS,81305,MYD88 GENE P.LEU265PRO VRNT,,,140.32,503.398,22 HCPCS,81306,NUDT15 GENE COMMON VARIANTS,,,233.08,836.2032,22 HCPCS,81307,PALB2 GENE FULL GENE SEQ,,,676.5,1941.555,21 HCPCS,81308,PALB2 GENE KNOWN FAMIL VRNT,,,301.35,864.8745,21 HCPCS,81309,PIK3CA GENE TRGT SEQ ALYS,,,219.86,788.7621,22 HCPCS,81310,NPM1 GENE,,,197.21,707.5124,22 HCPCS,81311,NRAS GENE VARIANTS EXON 2&3,,,236.63,848.9173,22 HCPCS,81312,PABPN1 GENE DETC ABNOR ALLEL,,,109.6,393.19,22 HCPCS,81313,PCA3/KLK3 ANTIGEN,,,255.05,731.9935,21 HCPCS,81314,PDGFRA GENE,,,263.6,945.6937,22 HCPCS,81315,PML/RARALPHA COM BREAKPOINTS,,,94.03,594.9797,22 HCPCS,81316,PML/RARALPHA 1 BREAKPOINT,,,184.28,594.9797,22 HCPCS,81317,PMS2 GENE FULL SEQ ANALYSIS,,,514.06,1941.555,22 HCPCS,81318,PMS2 KNOWN FAMILIAL VARIANTS,,,75.15,949.97,22 HCPCS,81319,PMS2 GENE DUP/DELET VARIANTS,,,162.8,584.045,22 HCPCS,81320,PLCG2 GENE COMMON VARIANTS,,,233.08,836.2032,22 HCPCS,81321,PTEN GENE FULL SEQUENCE,,,479.36,1722.0,22 HCPCS,81322,PTEN GENE KNOWN FAM VARIANT,,,38.05,133.742,22 HCPCS,81323,PTEN GENE DUP/DELET VARIANT,,,69.9,861.0,22 HCPCS,81324,PMP22 GENE DUP/DELET,,,758.36,2176.4932,21 HCPCS,81325,PMP22 GENE FULL SEQUENCE,,,769.58,2208.6946,21 HCPCS,81326,PMP22 GENE KNOWN FAM VARIANT,,,46.6,133.742,21 HCPCS,81327,SEPT9 GEN PRMTR MTHYLTN ALYS,,,192.0,551.04,21 HCPCS,81328,SLCO1B1 GENE COM VARIANTS,,,174.81,501.7047,21 HCPCS,81329,SMN1 GENE DOS/DELETION ALYS,,,109.6,393.19,22 HCPCS,81330,SMPD1 GENE COMMON VARIANTS,,,47.0,134.89,21 HCPCS,81331,SNRPN/UBE3A GENE,,,40.85,146.5709,22 HCPCS,81332,SERPINA1 GENE,,,43.65,125.2755,21 HCPCS,81333,TGFBI GENE COMMON VARIANTS,,,137.0,393.19,21 HCPCS,81334,RUNX1 GENE TARGETED SEQ ALYS,,,263.6,945.6937,22 HCPCS,81335,TPMT GENE COM VARIANTS,,,139.84,501.7047,22 HCPCS,81336,SMN1 GENE FULL GENE SEQUENCE,,,241.08,864.8745,22 HCPCS,81337,SMN1 GEN NOWN FAMIL SEQ VRNT,,,148.16,531.524,22 HCPCS,81338,MPL GENE COMMON VARIANTS,,,120.26,431.4471,22 HCPCS,81339,MPL GENE SEQ ALYS EXON 10,,,148.16,531.524,22 HCPCS,81340,TRB@ GENE REARRANGE AMPLIFY,,,208.92,599.6004,22 HCPCS,81341,TRB@ GENE REARRANGE DIRPROBE,,,36.35,142.3233,22 HCPCS,81342,TRG GENE REARRANGEMENT ANAL,,,118.5,578.305,22 HCPCS,81343,PPP2R2B GEN DETC ABNOR ALLEL,,,109.6,393.19,22 HCPCS,81344,TBP GENE DETC ABNOR ALLELES,,,109.6,393.19,22 HCPCS,81345,TERT GENE TARGETED SEQ ALYS,,,148.16,531.524,22 HCPCS,81346,TYMS GENE COM VARIANTS,,,174.81,501.7047,21 HCPCS,81347,SF3B1 GENE COMMON VARIANTS,,,154.6,554.6275,22 HCPCS,81348,SRSF2 GENE COMMON VARIANTS,,,140.32,503.398,22 HCPCS,81349,CYTOG ALYS CHRML ABNR LW-PS,,,1197.94,3438.0878,21 HCPCS,81350,UGT1A1 GENE COMMON VARIANTS,,,234.0,671.58,21 HCPCS,81351,TP53 GENE FULL GENE SEQUENCE,,,513.48,1842.1095,22 HCPCS,81352,TP53 GENE TRGT SEQUENCE ALYS,,,263.61,945.6937,22 HCPCS,81353,TP53 GENE KNOWN FAMIL VRNT,,,246.4,883.96,22 HCPCS,81354,CYTOG ALYS CHRML ABNOR OGM,,,1263.53,3626.3311,10 HCPCS,81355,VKORC1 GENE,,,88.2,253.134,21 HCPCS,81357,U2AF1 GENE COMMON VARIANTS,,,154.6,554.6275,22 HCPCS,81360,ZRSR2 GENE COMMON VARIANTS,,,154.6,554.6275,22 HCPCS,81361,HBB GENE COM VARIANTS,,,139.84,501.7047,22 HCPCS,81362,HBB GENE KNOWN FAM VARIANT,,,300.2,1076.9675,22 HCPCS,81363,HBB GENE DUP/DEL VARIANTS,,,161.92,580.888,22 HCPCS,81364,HBB FULL GENE SEQUENCE,,,259.66,931.5446,22 HCPCS,81370,HLA I & II TYPING LR,,,357.44,1154.0844,22 HCPCS,81371,HLA I & II TYPE VERIFY LR,,,262.03,1160.9724,22 HCPCS,81372,HLA I TYPING COMPLETE LR,,,240.49,1158.3033,22 HCPCS,81373,HLA I TYPING 1 LOCUS LR,,,101.94,365.7241,22 HCPCS,81374,HLA I TYPING 1 ANTIGEN LR,,,64.66,213.3271,22 HCPCS,81375,HLA II TYPING AG EQUIV LR,,,196.21,633.5238,22 HCPCS,81376,HLA II TYPING 1 LOCUS LR,,,108.64,350.7714,22 HCPCS,81377,HLA II TYPE 1 AG EQUIV LR,,,81.61,271.9038,22 HCPCS,81378,HLA I & II TYPING HR,,,307.17,991.7859,22 HCPCS,81379,HLA I TYPING COMPLETE HR,,,298.12,962.5406,22 HCPCS,81380,HLA I TYPING 1 LOCUS HR,,,157.55,508.7075,22 HCPCS,81381,HLA I TYPING 1 ALLELE HR,,,102.97,487.613,22 HCPCS,81382,HLA II TYPING 1 LOC HR,,,109.94,354.9616,22 HCPCS,81383,HLA II TYPING 1 ALLELE HR,,,97.01,313.2031,22 HCPCS,81400,MOPATH PROCEDURE LEVEL 1,,,63.96,183.5652,22 HCPCS,81401,MOPATH PROCEDURE LEVEL 2,,,137.0,393.19,22 HCPCS,81402,MOPATH PROCEDURE LEVEL 3,,,150.33,431.4471,22 HCPCS,81403,MOPATH PROCEDURE LEVEL 4,,,185.2,531.524,22 HCPCS,81404,MOPATH PROCEDURE LEVEL 5,,,274.83,788.7621,22 HCPCS,81405,MOPATH PROCEDURE LEVEL 6,,,301.35,864.8745,22 HCPCS,81406,MOPATH PROCEDURE LEVEL 7,,,282.88,811.8656,22 HCPCS,81407,MOPATH PROCEDURE LEVEL 8,,,846.27,2428.7949,22 HCPCS,81408,MOPATH PROCEDURE LEVEL 9,,,2000.0,5740.0,22 HCPCS,81410,AORTIC DYSFUNCTION/DILATION,,,504.0,3875.0453,42 HCPCS,81411,AORTIC DYSFUNCTION/DILATION,,,504.0,3875.0453,42 HCPCS,81412,ASHKENAZI JEWISH ASSOC DIS,,,2448.56,7027.3672,21 HCPCS,81413,CAR ION CHNNLPATH INC 10 GNS,,,519.91,1678.663,22 HCPCS,81414,CAR ION CHNNLPATH INC 2 GNS,,,519.91,1678.663,22 HCPCS,81415,EXOME SEQUENCE ANALYSIS,,,4780.0,34440.0,42 HCPCS,81416,EXOME SEQUENCE ANALYSIS,,,4780.0,34440.0,42 HCPCS,81417,EXOME RE-EVALUATION,,,320.0,918.4,21 HCPCS,81418,RX METAB GEN SEQ ALYS PNL 6,,,917.08,2632.0196,21 HCPCS,81419,EPILEPSY GEN SEQ ALYS PANEL,,,1958.85,7027.3672,22 HCPCS,81420,FETAL CHRMOML ANEUPLOIDY,,,232.0,2178.4735,22 HCPCS,81422,FETAL CHRMOML MICRODELTJ,,,759.05,2178.4735,21 HCPCS,81425,GENOME SEQUENCE ANALYSIS,,,2709.95,14439.544,42 HCPCS,81426,GENOME SEQUENCE ANALYSIS,,,2709.95,14439.544,42 HCPCS,81427,GENOME RE-EVALUATION,,,2337.65,6709.0555,21 HCPCS,81430,HEARING LOSS SEQUENCE ANALYS,,,1625.0,4663.75,21 HCPCS,81431,HEARING LOSS DUP/DEL ANALYS,,,679.57,1950.3659,21 HCPCS,81432,HRDTRY BRST CA-RLATD DO 5+,,,543.24,3742.3365,22 HCPCS,81433,HRDTRY BRST CA-RLATD DSORDRS,,,526.716,729.150516,4 HCPCS,81434,HERED RTA DO GEN SEQ 15,,,478.33,1716.0017,22 HCPCS,81435,HERED COLON CA-RLATD DO 5+,,,584.9,3742.3365,22 HCPCS,81436,HEREDITARY COLON CA DSORDRS,,,584.9,971.63588,5 HCPCS,81437,HERED NEUROEND TUM-RLT DO 5+,,,526.716,3742.3365,21 HCPCS,81438,HEREDTRY NURONDCRN TUM DSRDR,,,526.716,729.150516,4 HCPCS,81439,HRDTRY CARDMYPY GENE PANEL,,,519.91,1678.663,22 HCPCS,81440,MITOCHONDRIAL GENE,,,3324.0,9539.88,21 HCPCS,81441,IBMFS SEQ ALYS PNL 30 GENES,,,2448.56,7027.3672,21 HCPCS,81442,NOONAN SPECTRUM DISORDERS,,,2143.6,6152.132,21 HCPCS,81443,GENETIC TSTG SEVERE INH COND,,,2448.56,7027.3672,21 HCPCS,81445,SO NEO GSAP 5-50DNA/DNA&RNA,,,597.91,1716.0017,22 HCPCS,81448,HRDTRY PERPH NEURPHY PANEL,,,519.91,1678.663,22 HCPCS,81449,SO NEO GSAP 5-50 RNA ALYS,,,597.91,1716.0017,21 HCPCS,81450,HL NEO GSAP 5-50DNA/DNA&RNA,,,759.53,2179.8511,21 HCPCS,81451,HL NEO GSAP 5-50 RNA ALYS,,,759.53,2179.8511,21 HCPCS,81455,SO/HL 51/>GSAP DNA/DNA&RNA,,,2335.68,8379.252,22 HCPCS,81456,SO/HL 51/>GSAP RNA ALYS,,,2919.6,8379.252,21 HCPCS,81457,SO NEO GSAP DNA MCRSTL INS,,,896.87,2574.0169,19 HCPCS,81458,SO GSAP DNA CPY NMBR&MCRSTL,,,1046.35,3003.0245,19 HCPCS,81459,SO NEO GSAP DNA/DNA&RNA,,,2989.55,8580.0085,19 HCPCS,81460,WHOLE MITOCHONDRIAL GENOME,,,936.0,3693.69,42 HCPCS,81462,SO GSAP CLL FR DNA/DNA&RNA,,,1195.83,3432.0321,19 HCPCS,81463,SO GSAP CL FR CPY NMBR&MCRST,,,1345.31,3861.0397,19 HCPCS,81464,SO GSAP CLL FR MCRSTL INS,,,3288.51,9438.0237,19 HCPCS,81465,WHOLE MITOCHONDRIAL GENOME,,,936.0,3693.69,42 HCPCS,81470,X-LINKED INTELLECTUAL DBLT,,,914.0,2623.18,21 HCPCS,81471,X-LINKED INTELLECTUAL DBLT,,,914.0,2623.18,21 HCPCS,81490,AUTOIMMUNE RA ALYS 12 BMRK,,,840.65,2412.6655,21 HCPCS,81493,COR ARTERY DISEASE MRNA,,,1050.0,3013.5,21 HCPCS,81500,ONCO (OVAR) TWO PROTEINS,,,260.5,747.635,22 HCPCS,81503,ONCO (OVAR) FIVE PROTEINS,,,897.0,2574.39,22 HCPCS,81504,ONCOLOGY TISSUE OF ORIGIN,,,520.0,1492.4,21 HCPCS,81506,ENDO ASSAY SEVEN ANAL,,,68.92,197.8004,22 HCPCS,81507,FETAL ANEUPLOIDY TRISOM RISK,,,636.0,2281.65,22 HCPCS,81508,FTL CGEN ABNOR TWO PROTEINS,,,54.3,272.37,22 HCPCS,81509,FTL CGEN ABNOR 3 PROTEINS,,,1487.37,4268.7519,22 HCPCS,81510,FTL CGEN ABNOR THREE ANAL,,,55.54,159.3998,22 HCPCS,81511,FTL CGEN ABNOR FOUR ANAL,,,153.5,440.545,22 HCPCS,81512,FTL CGEN ABNOR FIVE ANAL,,,69.52,199.5224,22 HCPCS,81513,NFCT DS BV RNA VAG FLU ALG,,,114.1,409.3481,22 HCPCS,81514,NFCT DS BV&VAGINITIS DNA ALG,,,210.39,754.7813,22 HCPCS,81515,NFCT DS BV&VAGINITIS DNA ALG,,,210.39,754.7813,22 HCPCS,81517,LIVER DS ALYS 3 BMRK SRM ALG,,,176.19,704.76,21 HCPCS,81518,ONC BRST MRNA 11 GENES,,,3098.4,11115.51,22 HCPCS,81519,ONCOLOGY BREAST MRNA,,,3098.4,11115.51,22 HCPCS,81520,ONC BREAST MRNA 58 GENES,,,2231.29,7204.3027,22 HCPCS,81521,ONC BREAST MRNA 70 GENES,,,3098.4,11115.51,22 HCPCS,81522,ONC BREAST MRNA 12 GENES,,,3098.4,11115.51,22 HCPCS,81523,ONC BRST MRNA 70 CNT 31 GENE,,,3873.0,11115.51,22 HCPCS,81525,ONCOLOGY COLON MRNA,,,3116.0,8942.92,21 HCPCS,81528,ONCOLOGY COLORECTAL SCR,,,404.3,1460.4569,22 HCPCS,81529,ONC CUTAN MLNMA MRNA 31 GENE,,,7193.0,20643.91,21 HCPCS,81535,ONCOLOGY GYNECOLOGIC,,,177.56,1663.0502,42 HCPCS,81536,ONCOLOGY GYNECOLOGIC,,,177.56,1663.0502,42 HCPCS,81538,ONCOLOGY LUNG,,,2871.0,8239.77,21 HCPCS,81539,ONCOLOGY PROSTATE PROB SCORE,,,760.0,2181.2,21 HCPCS,81540,ONCOLOGY TUM UNKNOWN ORIGIN,,,3750.0,10762.5,21 HCPCS,81541,ONC PROSTATE MRNA 46 GENES,,,3098.4,11115.51,22 HCPCS,81542,ONC PROSTATE MRNA 22 CNT GEN,,,3873.0,11115.51,22 HCPCS,81546,"ONC THYR MRNA 10,196 GEN ALG",,,2880.0,10332.0,22 HCPCS,81551,ONC PROSTATE 3 GENES,,,2030.0,5826.1,21 HCPCS,81552,ONC UVEAL MLNMA MRNA 15 GENE,,,7776.0,22317.12,22 HCPCS,81554,PULM DS IPF MRNA 190 GEN ALG,,,5409.6,15525.552,21 HCPCS,81558,TRNSPL REJ KDN MRNA QPCR 139,,,3240.0,9298.8,19 HCPCS,81560,TRNSPLJ PD LVR&BWL CD154+CLL,,,640.73,1838.8951,21 HCPCS,81595,CARDIOLOGY HRT TRNSPL MRNA,,,3240.0,9298.8,22 HCPCS,81596,NFCT DS CHRNC HCV 6 ASSAYS,,,57.75,207.1853,22 HCPCS,82009,KETONE BODYS QUAL,,,3.76,12.9724,22 HCPCS,82010,KETONE BODYS QUAN,,,7.15,23.4479,22 HCPCS,82013,ACETYLCHOLINESTERASE ASSAY,,,9.93,35.2723,22 HCPCS,82016,ACYLCARNITINES QUAL,,,13.19,47.3263,22 HCPCS,82017,ACYLCARNITINES QUANT,,,14.99,48.4169,22 HCPCS,82024,ASSAY OF ACTH,,,34.33,110.8394,22 HCPCS,82030,ASSAY OF ADP & AMP,,,22.93,74.046,22 HCPCS,82040,ASSAY OF SERUM ALBUMIN,,,4.02,14.2065,22 HCPCS,82042,OTHER SOURCE ALBUMIN QUAN EA,,,2.83,22.3286,22 HCPCS,82043,UR ALBUMIN QUANTITATIVE,,,5.08,16.5886,22 HCPCS,82044,UR ALBUMIN SEMIQUANTITATIVE,,,3.92,17.8801,22 HCPCS,82045,ALBUMIN ISCHEMIA MODIFIED,,,30.17,97.4078,22 HCPCS,82075,ASSAY OF BREATH ETHANOL,,,30.0,86.1,21 HCPCS,82085,ASSAY OF ALDOLASE,,,8.63,27.8677,22 HCPCS,82088,ASSAY OF ALDOSTERONE,,,36.22,116.9525,22 HCPCS,82103,ALPHA-1-ANTITRYPSIN TOTAL,,,11.94,38.5728,22 HCPCS,82104,ALPHA-1-ANTITRYPSIN PHENO,,,12.86,41.5002,22 HCPCS,82105,ALPHA-FETOPROTEIN SERUM,,,16.77,85.0,22 HCPCS,82106,ALPHA-FETOPROTEIN AMNIOTIC,,,12.03,48.79,22 HCPCS,82107,ALPHA-FETOPROTEIN L3,,,57.26,184.8567,22 HCPCS,82108,ASSAY OF ALUMINUM,,,19.72,73.1276,22 HCPCS,82120,AMINES VAGINAL FLUID QUAL,,,4.01,17.1913,22 HCPCS,82127,AMINO ACID SINGLE QUAL,,,12.33,40.6966,22 HCPCS,82128,AMINO ACIDS MULT QUAL,,,12.33,39.8069,22 HCPCS,82131,AMINO ACIDS SINGLE QUANT,,,18.36,65.9526,22 HCPCS,82135,ASSAY AMINOLEVULINIC ACID,,,14.63,47.2115,22 HCPCS,82136,AMINO ACIDS QUANT 2-5,,,15.69,56.2807,22 HCPCS,82139,AMINO ACIDS QUAN 6 OR MORE,,,14.99,48.4169,22 HCPCS,82140,ASSAY OF AMMONIA,,,12.95,41.8159,22 HCPCS,82143,AMNIOTIC FLUID SCAN,,,7.48,26.8345,22 HCPCS,82150,ASSAY OF AMYLASE,,,5.73,18.5976,22 HCPCS,82154,ANDROSTANEDIOL GLUCURONIDE,,,25.63,82.7421,22 HCPCS,82157,ASSAY OF ANDROSTENEDIONE,,,26.02,84.0336,22 HCPCS,82160,ASSAY OF ANDROSTERONE,,,22.23,73.3285,22 HCPCS,82163,ASSAY OF ANGIOTENSIN II,,,18.24,58.8924,22 HCPCS,82164,ANGIOTENSIN I ENZYME TEST,,,12.98,41.902,22 HCPCS,82166,ASSAY ANTI-MULLERIAN HORM,,,38.62,110.8394,21 HCPCS,82172,ASSAY OF APOLIPOPROTEIN,,,13.15,60.5283,22 HCPCS,82175,ASSAY OF ARSENIC,,,16.86,54.4439,22 HCPCS,82180,ASSAY OF ASCORBIC ACID,,,8.79,28.3843,22 HCPCS,82190,ATOMIC ABSORPTION,,,15.9,45.633,21 HCPCS,82232,ASSAY OF BETA-2 PROTEIN,,,14.38,46.4366,22 HCPCS,82233,BETA-AMYLOID 1-40 (ABETA 40),,,128.92,370.0004,10 HCPCS,82234,BETA-AMYLOID 1-42 (ABETA 42),,,128.92,370.0004,10 HCPCS,82239,BILE ACIDS TOTAL,,,14.56,49.1344,22 HCPCS,82240,BILE ACIDS CHOLYLGLYCINE,,,23.63,76.2846,22 HCPCS,82247,BILIRUBIN TOTAL,,,4.09,14.4074,22 HCPCS,82248,BILIRUBIN DIRECT,,,4.41,14.4074,22 HCPCS,82252,FECAL BILIRUBIN TEST,,,4.05,13.0872,22 HCPCS,82261,ASSAY OF BIOTINIDASE,,,13.86,48.4169,22 HCPCS,82270,OCCULT BLOOD FECES,,,2.92,12.5706,22 HCPCS,82271,OCCULT BLOOD OTHER SOURCES,,,3.54,15.2684,22 HCPCS,82272,OCCULT BLD FECES 1-3 TESTS,,,2.56,12.1401,22 HCPCS,82274,ASSAY TEST FOR BLOOD FECAL,,,14.14,45.6904,22 HCPCS,82286,ASSAY OF BRADYKININ,,,4.58,14.8092,22 HCPCS,82300,ASSAY OF CADMIUM,,,20.57,67.8468,22 HCPCS,82306,VITAMIN D 25 HYDROXY,,,24.79,84.952,22 HCPCS,82308,ASSAY OF CALCITONIN,,,23.81,76.8873,22 HCPCS,82310,ASSAY OF CALCIUM,,,4.1,39.2616,44 HCPCS,82330,ASSAY OF CALCIUM,,,4.1,39.2616,44 HCPCS,82331,CALCIUM INFUSION TEST,,,5.63,38.2858,22 HCPCS,82340,ASSAY OF CALCIUM IN URINE,,,5.36,17.3061,22 HCPCS,82355,CALCULUS ANALYSIS QUAL,,,10.29,33.2346,22 HCPCS,82360,CALCULUS ASSAY QUANT,,,11.44,36.9369,22 HCPCS,82365,CALCULUS SPECTROSCOPY,,,11.46,37.023,22 HCPCS,82370,X-RAY ASSAY CALCULUS,,,11.13,35.9324,22 HCPCS,82373,ASSAY C-D TRANSFER MEASURE,,,9.32,51.8322,22 HCPCS,82374,ASSAY BLOOD CARBON DIOXIDE,,,1.36,14.0056,22 HCPCS,82375,ASSAY CARBOXYHB QUANT,,,10.95,35.3584,22 HCPCS,82376,ASSAY CARBOXYHB QUAL,,,5.32,40.3809,22 HCPCS,82378,CARCINOEMBRYONIC ANTIGEN,,,16.85,54.4152,22 HCPCS,82379,ASSAY OF CARNITINE,,,14.99,48.4169,22 HCPCS,82380,ASSAY OF CAROTENE,,,8.2,26.4614,22 HCPCS,82382,ASSAY URINE CATECHOLAMINES,,,18.72,78.351,22 HCPCS,82383,ASSAY BLOOD CATECHOLAMINES,,,23.26,83.4596,22 HCPCS,82384,ASSAY THREE CATECHOLAMINES,,,22.45,72.4675,22 HCPCS,82387,ASSAY OF CATHEPSIN-D,,,16.04,51.8322,22 HCPCS,82390,ASSAY OF CERULOPLASMIN,,,9.55,30.8238,22 HCPCS,82397,CHEMILUMINESCENT ASSAY,,,12.55,40.5244,22 HCPCS,82415,ASSAY OF CHLORAMPHENICOL,,,11.26,36.3629,22 HCPCS,82436,ASSAY OF URINE CHLORIDE,,,4.39,16.5025,22 HCPCS,82438,ASSAY OTHER FLUID CHLORIDES,,,4.34,14.35,22 HCPCS,82441,TEST FOR CHLOROHYDROCARBONS,,,5.34,17.2487,22 HCPCS,82465,ASSAY BLD/SERUM CHOLESTEROL,,,3.87,12.4845,22 HCPCS,82480,ASSAY SERUM CHOLINESTERASE,,,7.0,22.5869,22 HCPCS,82482,ASSAY RBC CHOLINESTERASE,,,7.84,28.1547,22 HCPCS,82485,ASSAY CHONDROITIN SULFATE,,,18.36,59.2655,22 HCPCS,82495,ASSAY OF CHROMIUM,,,18.03,58.2036,22 HCPCS,82507,ASSAY OF CITRATE,,,24.71,79.786,22 HCPCS,82523,COLLAGEN CROSSLINKS,,,16.61,53.6116,22 HCPCS,82525,ASSAY OF COPPER,,,11.03,35.6167,22 HCPCS,82528,ASSAY OF CORTICOSTERONE,,,20.02,64.6324,22 HCPCS,82530,CORTISOL FREE,,,14.85,47.9577,22 HCPCS,82533,TOTAL CORTISOL,,,14.49,46.781,22 HCPCS,82540,ASSAY OF CREATINE,,,4.12,13.3168,22 HCPCS,82542,COL CHROMOTOGRAPHY QUAL/QUAN,,,15.35,69.1383,22 HCPCS,82550,ASSAY OF CK (CPK),,,5.79,18.6837,22 HCPCS,82552,ASSAY OF CPK IN BLOOD,,,11.9,38.4293,22 HCPCS,82553,CREATINE MB FRACTION,,,10.13,33.1485,22 HCPCS,82554,CREATINE ISOFORMS,,,10.55,34.0669,22 HCPCS,82565,ASSAY OF CREATININE,,,4.31,14.6944,22 HCPCS,82570,ASSAY OF URINE CREATININE,,,4.6,14.8666,22 HCPCS,82575,CREATININE CLEARANCE TEST,,,8.4,27.1502,22 HCPCS,82585,ASSAY OF CRYOFIBRINOGEN,,,9.34,40.5818,22 HCPCS,82595,ASSAY OF CRYOGLOBULIN,,,5.32,18.5689,22 HCPCS,82600,ASSAY OF CYANIDE,,,17.24,55.678,22 HCPCS,82607,VITAMIN B-12,,,13.33,43.2796,22 HCPCS,82608,B-12 BINDING CAPACITY,,,12.73,41.0984,22 HCPCS,82610,CYSTATIN C,,,14.8,53.1524,22 HCPCS,82615,TEST FOR URINE CYSTINES,,,7.64,27.4085,22 HCPCS,82626,DEHYDROEPIANDROSTERONE,,,19.62,72.5249,44 HCPCS,82627,DEHYDROEPIANDROSTERONE,,,19.62,72.5249,44 HCPCS,82633,DESOXYCORTICOSTERONE,,,27.54,88.9126,22 HCPCS,82634,DEOXYCORTISOL,,,26.02,84.0336,22 HCPCS,82638,ASSAY OF DIBUCAINE NUMBER,,,10.89,35.1575,22 HCPCS,82642,DIHYDROTESTOSTERONE,,,26.02,84.0336,22 HCPCS,82652,VIT D 1 25-DIHYDROXY,,,33.18,110.495,22 HCPCS,82653,EL-1 FECAL QUANTITATIVE,,,22.97,65.9239,22 HCPCS,82656,EL-1 FECAL QUAL/SEMIQ,,,10.1,33.0911,22 HCPCS,82657,ENZYME CELL ACTIVITY,,,17.74,63.6279,22 HCPCS,82658,ENZYME CELL ACTIVITY RA,,,19.66,126.3661,22 HCPCS,82664,ELECTROPHORETIC TEST,,,24.01,176.505,22 HCPCS,82668,ASSAY OF ERYTHROPOIETIN,,,16.71,53.9273,22 HCPCS,82670,ASSAY OF TOTAL ESTRADIOL,,,24.71,80.1878,22 HCPCS,82671,ASSAY OF ESTROGENS,,,28.71,92.701,22 HCPCS,82672,ASSAY OF ESTROGEN,,,19.28,252.2156,44 HCPCS,82677,ASSAY OF ESTRIOL,,,21.49,69.3966,22 HCPCS,82679,ASSAY OF ESTRONE,,,22.18,71.6065,22 HCPCS,82681,ASSAY DIR MEAS FR ESTRADIOL,,,22.35,80.1878,22 HCPCS,82693,ASSAY OF ETHYLENE GLYCOL,,,13.25,42.763,22 HCPCS,82696,ASSAY OF ETIOCHOLANOLONE,,,20.99,75.3088,22 HCPCS,82705,FATS/LIPIDS FECES QUAL,,,4.53,14.637,22 HCPCS,82710,FATS/LIPIDS FECES QUANT,,,14.94,48.216,22 HCPCS,82715,ASSAY OF FECAL FAT,,,18.37,65.9239,22 HCPCS,82725,ASSAY OF BLOOD FATTY ACIDS,,,14.5,53.8699,22 HCPCS,82726,LONG CHAIN FATTY ACIDS,,,16.05,56.6825,22 HCPCS,82728,ASSAY OF FERRITIN,,,12.07,39.1181,22 HCPCS,82731,ASSAY OF FETAL FIBRONECTIN,,,56.19,184.8567,22 HCPCS,82735,ASSAY OF FLUORIDE,,,16.48,53.2098,22 HCPCS,82746,ASSAY OF FOLIC ACID SERUM,,,13.07,42.189,22 HCPCS,82747,ASSAY OF FOLIC ACID RBC,,,11.49,50.6555,22 HCPCS,82757,ASSAY OF SEMEN FRUCTOSE,,,17.34,49.7658,21 HCPCS,82759,ASSAY OF RBC GALACTOKINASE,,,19.07,61.6476,22 HCPCS,82760,ASSAY OF GALACTOSE,,,9.95,32.144,22 HCPCS,82775,ASSAY GALACTOSE TRANSFERASE,,,18.73,60.4709,22 HCPCS,82776,GALACTOSE TRANSFERASE TEST,,,7.9,33.6938,22 HCPCS,82777,GALECTIN-3,,,44.25,126.9975,21 HCPCS,82784,ASSAY IGA/IGD/IGG/IGM EACH,,,6.08,26.691,22 HCPCS,82785,ASSAY OF IGE,,,14.6,47.2402,22 HCPCS,82787,IGG 1 2 3 OR 4 EACH,,,7.13,23.0174,22 HCPCS,82800,BLOOD PH,,,6.67,31.57,22 HCPCS,82803,BLOOD GASES ANY COMBINATION,,,11.85,74.8209,22 HCPCS,82805,BLOOD GASES W/O2 SATURATION,,,24.3,226.0699,22 HCPCS,82810,BLOOD GASES O2 SAT ONLY,,,7.82,28.0399,22 HCPCS,82820,HEMOGLOBIN-OXYGEN AFFINITY,,,10.67,38.2858,22 HCPCS,82930,GASTRIC ANALY W/PH EA SPEC,,,5.37,19.2577,22 HCPCS,82938,GASTRIN TEST,,,15.73,50.7703,22 HCPCS,82941,ASSAY OF GASTRIN,,,15.68,50.5981,22 HCPCS,82943,ASSAY OF GLUCAGON,,,12.7,41.0123,22 HCPCS,82945,GLUCOSE OTHER FLUID,,,3.29,11.2791,22 HCPCS,82946,GLUCAGON TOLERANCE TEST,,,14.22,50.9999,22 HCPCS,82947,ASSAY GLUCOSE BLOOD QUANT,,,3.3,11.2791,22 HCPCS,82948,REAGENT STRIP/BLOOD GLUCOSE,,,2.71,14.4648,22 HCPCS,82950,GLUCOSE TEST,,,4.19,13.6325,22 HCPCS,82951,GLUCOSE TOLERANCE TEST (GTT),,,11.27,36.9369,22 HCPCS,82952,GTT-ADDED SAMPLES,,,3.46,11.2504,22 HCPCS,82955,ASSAY OF G6PD ENZYME,,,8.62,27.839,22 HCPCS,82960,TEST FOR G6PD ENZYME,,,5.38,17.3635,22 HCPCS,82963,ASSAY OF GLUCOSIDASE,,,19.1,61.6476,22 HCPCS,82965,ASSAY OF GDH ENZYME,,,8.42,37.7405,22 HCPCS,82977,ASSAY OF GGT,,,6.4,20.664,22 HCPCS,82978,ASSAY OF GLUTATHIONE,,,12.67,44.3415,22 HCPCS,82979,ASSAY RBC GLUTATHIONE,,,7.5,27.0928,22 HCPCS,82985,ASSAY OF GLYCATED PROTEIN,,,13.41,48.1012,22 HCPCS,83001,ASSAY OF GONADOTROPIN (FSH),,,16.41,53.3246,22 HCPCS,83002,ASSAY OF GONADOTROPIN (LH),,,16.38,53.1524,22 HCPCS,83003,ASSAY GROWTH HORMONE (HGH),,,14.82,47.8429,22 HCPCS,83006,GROWTH STIMULATION GENE 2,,,75.6,216.972,21 HCPCS,83009,H PYLORI (C-13) BLOOD,,,59.88,193.3232,22 HCPCS,83010,ASSAY OF HAPTOGLOBIN QUANT,,,10.99,36.1046,22 HCPCS,83012,ASSAY OF HAPTOGLOBINS,,,18.72,77.1743,22 HCPCS,83013,H PYLORI (C-13) BREATH,,,59.88,193.3232,22 HCPCS,83014,H PYLORI DRUG ADMIN,,,6.99,22.5582,22 HCPCS,83015,HEAVY METAL QUAL ANY NUMBER,,,12.16,60.0978,22 HCPCS,83018,HEAVY METAL QUAN EACH NES,,,19.52,63.0252,22 HCPCS,83020,HEMOGLOBIN ELECTROPHORESIS,,,10.93,36.9369,22 HCPCS,83021,HEMOGLOBIN CHROMOTOGRAPHY,,,15.4,51.8322,22 HCPCS,83026,HEMOGLOBIN COPPER SULFATE,,,2.58,11.5087,22 HCPCS,83030,HEMOGLOBIN F FETAL CHEMICAL,,,8.59,30.8238,22 HCPCS,83033,HEMOGLOBIN FTL F ASSAY QUAL,,,6.39,22.96,22 HCPCS,83036,HEMOGLOBIN GLYCOSYLATED A1C,,,8.54,27.8677,22 HCPCS,83037,HB GLYCOSYLATED A1C HOME DEV,,,9.71,27.8677,21 HCPCS,83045,HGB METHEMOGLOBIN QUAL,,,5.19,18.6263,22 HCPCS,83050,HGB METHEMOGLOBIN QUAN,,,6.34,23.534,22 HCPCS,83051,HEMOGLOBIN PLASMA,,,6.5,20.9797,22 HCPCS,83060,HGB SULFHEMOGLOBIN QUAN,,,7.35,25.256,22 HCPCS,83065,HEMOGLOBIN THERMOLABILE,,,7.2,25.83,22 HCPCS,83068,HEMOGLOBIN UNSTABLE SCREEN,,,7.58,27.1789,22 HCPCS,83069,HEMOGLOBIN URINE,,,3.51,11.3365,22 HCPCS,83070,ASSAY OF HEMOSIDERIN QUAL,,,4.22,13.6325,22 HCPCS,83080,ASSAY OF B HEXOSAMINIDASE EA,,,14.99,48.4169,22 HCPCS,83088,ASSAY OF HISTAMINE,,,26.25,84.7511,22 HCPCS,83090,ASSAY OF HOMOCYSTEINE,,,14.99,51.4304,22 HCPCS,83150,ASSAY OF HOMOVANILLIC ACID,,,11.4,64.3167,22 HCPCS,83491,ASY HYDROXYCORTICOSTEROIDS17,,,15.58,51.373,22 HCPCS,83497,ASSAY OF 5-HIAA,,,11.46,37.023,22 HCPCS,83498,ASY HYDROXYPROGESTERONE 17-D,,,23.93,77.9779,22 HCPCS,83500,ASSAY FREE HYDROXYPROLINE,,,20.13,65.0055,22 HCPCS,83505,ASSAY TOTAL HYDROXYPROLINE,,,21.6,69.741,22 HCPCS,83516,IMMUNOASSAY NONANTIBODY,,,8.6,33.0911,22 HCPCS,83518,IMMUNOASSAY DIPSTICK,,,5.93,27.6668,22 HCPCS,83519,RIA NONANTIBODY,,,12.27,52.808,22 HCPCS,83520,IMMUNOASSAY QUANT NOS NONAB,,,10.24,49.5649,22 HCPCS,83521,IG LIGHT CHAINS FREE EACH,,,17.27,49.5649,22 HCPCS,83525,ASSAY OF INSULIN,,,10.16,37.1665,44 HCPCS,83527,ASSAY OF INSULIN,,,10.16,37.1665,44 HCPCS,83528,ASSAY OF INTRINSIC FACTOR,,,15.85,56.8834,22 HCPCS,83529,ASAY OF INTERLEUKIN-6 (IL-6),,,17.27,49.5649,22 HCPCS,83540,ASSAY OF IRON,,,5.72,18.5689,22 HCPCS,83550,IRON BINDING TEST,,,6.89,25.0838,22 HCPCS,83570,ASSAY OF IDH ENZYME,,,7.87,25.3995,22 HCPCS,83582,ASSAY OF KETOGENIC STEROIDS,,,12.6,44.3989,22 HCPCS,83586,ASSAY 17- KETOSTEROIDS,,,11.38,36.736,22 HCPCS,83593,FRACTIONATION KETOSTEROIDS,,,23.38,81.795,22 HCPCS,83605,ASSAY OF LACTIC ACID,,,9.41,33.2059,22 HCPCS,83615,LACTATE (LD) (LDH) ENZYME,,,5.37,17.3348,22 HCPCS,83625,ASSAY OF LDH ENZYMES,,,11.37,36.7073,22 HCPCS,83630,LACTOFERRIN FECAL (QUAL),,,17.45,56.539,22 HCPCS,83631,LACTOFERRIN FECAL (QUANT),,,17.45,56.3381,22 HCPCS,83632,PLACENTAL LACTOGEN,,,17.98,58.0314,22 HCPCS,83633,TEST URINE FOR LACTOSE,,,5.98,32.2875,22 HCPCS,83655,ASSAY OF LEAD,,,10.63,34.7557,22 HCPCS,83661,L/S RATIO FETAL LUNG,,,19.54,63.1113,22 HCPCS,83662,FOAM STABILITY FETAL LUNG,,,16.8,54.2717,22 HCPCS,83663,FLUORO POLARIZE FETAL LUNG,,,10.46,54.2717,22 HCPCS,83664,LAMELLAR BDY FETAL LUNG,,,5.22,55.4484,22 HCPCS,83670,ASSAY OF LAP ENZYME,,,8.15,28.1547,22 HCPCS,83690,ASSAY OF LIPASE,,,6.08,19.7743,22 HCPCS,83695,ASSAY OF LIPOPROTEIN(A),,,11.51,41.0984,22 HCPCS,83698,ASSAY LIPOPROTEIN PLA2,,,36.95,132.9097,22 HCPCS,83700,LIPOPRO BLD ELECTROPHORETIC,,,10.01,32.3162,22 HCPCS,83701,LIPOPROTEIN BLD HR FRACTION,,,27.02,97.1782,22 HCPCS,83704,LIPOPROTEIN BLD QUAN PART,,,28.05,98.1253,22 HCPCS,83718,ASSAY OF LIPOPROTEIN,,,6.75,23.5053,22 HCPCS,83719,ASSAY OF BLOOD LIPOPROTEIN,,,8.22,36.5925,44 HCPCS,83721,ASSAY OF BLOOD LIPOPROTEIN,,,8.22,36.5925,44 HCPCS,83722,LIPOPRTN DIR MEAS SD LDL CHL,,,28.04,98.1253,22 HCPCS,83727,ASSAY OF LRH HORMONE,,,15.28,49.3353,22 HCPCS,83735,ASSAY OF MAGNESIUM,,,5.96,19.229,22 HCPCS,83775,ASSAY MALATE DEHYDROGENASE,,,6.55,21.1519,22 HCPCS,83785,ASSAY OF MANGANESE,,,21.86,76.4855,22 HCPCS,83789,MASS SPECTROMETRY QUAL/QUAN,,,16.34,69.1957,22 HCPCS,83825,ASSAY OF MERCURY,,,14.12,46.6662,22 HCPCS,83835,ASSAY OF METANEPHRINES,,,15.06,48.6178,22 HCPCS,83857,ASSAY OF METHEMALBUMIN,,,9.54,30.8238,22 HCPCS,83861,MICROFLUID ANALY TEARS,,,17.98,64.5176,22 HCPCS,83864,MUCOPOLYSACCHARIDES,,,15.94,81.795,22 HCPCS,83872,ASSAY SYNOVIAL FLUID MUCIN,,,5.21,16.8182,22 HCPCS,83873,ASSAY OF CSF PROTEIN,,,15.29,49.364,22 HCPCS,83874,ASSAY OF MYOGLOBIN,,,11.48,37.0804,22 HCPCS,83876,ASSAY MYELOPEROXIDASE,,,15.13,145.9682,22 HCPCS,83880,ASSAY OF NATRIURETIC PEPTIDE,,,30.15,112.6762,22 HCPCS,83883,ASSAY NEPHELOMETRY NOT SPEC,,,12.09,39.032,22 HCPCS,83884,ASSAY NEURFLMNT LIGHT CHAIN,,,116.23,333.5801,10 HCPCS,83885,ASSAY OF NICKEL,,,21.79,70.3437,22 HCPCS,83915,ASSAY OF NUCLEOTIDASE,,,9.91,32.0005,22 HCPCS,83916,OLIGOCLONAL BANDS,,,21.9,78.6093,22 HCPCS,83918,ORGANIC ACIDS TOTAL QUANT,,,17.91,67.732,22 HCPCS,83919,ORGANIC ACIDS QUAL EACH,,,14.63,47.2115,22 HCPCS,83921,ORGANIC ACID SINGLE QUANT,,,14.68,60.8727,22 HCPCS,83930,ASSAY OF BLOOD OSMOLALITY,,,5.88,18.9707,22 HCPCS,83935,ASSAY OF URINE OSMOLALITY,,,6.02,19.5734,22 HCPCS,83937,ASSAY OF OSTEOCALCIN,,,29.85,85.6695,21 HCPCS,83945,ASSAY OF OXALATE,,,11.56,41.4715,22 HCPCS,83950,ONCOPROTEIN HER-2/NEU,,,64.41,184.8567,21 HCPCS,83951,ONCOPROTEIN DCP,,,57.26,184.8567,22 HCPCS,83970,ASSAY OF PARATHORMONE,,,34.84,118.4736,22 HCPCS,83986,ASSAY PH BODY FLUID NOS,,,3.18,10.2746,22 HCPCS,83987,EXHALED BREATH CONDENSATE,,,3.18,10.2746,22 HCPCS,83993,ASSAY FOR CALPROTECTIN FECAL,,,17.45,56.3381,22 HCPCS,84030,ASSAY OF BLOOD PKU,,,4.89,15.785,22 HCPCS,84035,ASSAY OF PHENYLKETONES,,,3.25,11.4226,22 HCPCS,84060,ASSAY ACID PHOSPHATASE,,,6.56,21.9268,22 HCPCS,84066,ASSAY PROSTATE PHOSPHATASE,,,8.59,27.7242,22 HCPCS,84075,ASSAY ALKALINE PHOSPHATASE,,,4.13,23.7062,44 HCPCS,84078,ASSAY ALKALINE PHOSPHATASE,,,4.13,23.7062,44 HCPCS,84080,ASSAY ALKALINE PHOSPHATASES,,,13.14,42.4186,22 HCPCS,84081,ASSAY PHOSPHATIDYLGLYCEROL,,,14.68,47.4124,22 HCPCS,84085,ASSAY OF RBC PG6D ENZYME,,,7.34,27.0928,22 HCPCS,84087,ASSAY PHOSPHOHEXOSE ENZYMES,,,9.18,30.7951,22 HCPCS,84100,ASSAY OF PHOSPHORUS,,,4.21,13.6038,22 HCPCS,84105,ASSAY OF URINE PHOSPHORUS,,,4.62,16.5886,22 HCPCS,84106,TEST FOR PORPHOBILINOGEN,,,4.65,16.7034,22 HCPCS,84110,ASSAY OF PORPHOBILINOGEN,,,7.5,24.2228,22 HCPCS,84112,EVAL AMNIOTIC FLUID PROTEIN,,,98.11,281.5757,21 HCPCS,84119,TEST URINE FOR PORPHYRINS,,,9.38,38.3432,22 HCPCS,84120,ASSAY OF URINE PORPHYRINS,,,13.08,42.2177,22 HCPCS,84126,ASSAY OF FECES PORPHYRINS,,,27.73,112.2457,22 HCPCS,84132,ASSAY OF SERUM POTASSIUM,,,3.44,13.6612,22 HCPCS,84133,ASSAY OF URINE POTASSIUM,,,3.83,13.5751,22 HCPCS,84134,ASSAY OF PREALBUMIN,,,12.47,41.8733,22 HCPCS,84135,ASSAY OF PREGNANEDIOL,,,17.02,61.0449,22 HCPCS,84138,ASSAY OF PREGNANETRIOL,,,16.84,60.4135,22 HCPCS,84140,ASSAY OF PREGNENOLONE,,,18.38,59.3229,22 HCPCS,84143,ASSAY OF 17-HYDROXYPREGNENO,,,20.28,65.4647,22 HCPCS,84144,ASSAY OF PROGESTERONE,,,18.3,186.2056,44 HCPCS,84145,PROCALCITONIN (PCT),,,22.21,78.1214,22 HCPCS,84146,ASSAY OF PROLACTIN,,,17.11,55.6206,22 HCPCS,84150,ASSAY OF PROSTAGLANDIN,,,27.17,119.8799,22 HCPCS,84152,ASSAY OF PSA COMPLEXED,,,16.35,52.7793,22 HCPCS,84153,ASSAY OF PSA TOTAL,,,16.35,52.7793,22 HCPCS,84154,ASSAY OF PSA FREE,,,16.35,52.7793,22 HCPCS,84155,ASSAY OF PROTEIN SERUM,,,2.96,10.5329,22 HCPCS,84156,ASSAY OF PROTEIN URINE,,,3.26,10.5329,22 HCPCS,84157,ASSAY OF PROTEIN OTHER,,,2.99,11.48,22 HCPCS,84160,ASSAY OF PROTEIN ANY SOURCE,,,4.6,16.1007,22 HCPCS,84163,PAPPA SERUM,,,13.38,43.1935,22 HCPCS,84165,PROTEIN E-PHORESIS SERUM,,,9.55,30.8238,22 HCPCS,84166,PROTEIN E-PHORESIS/URINE/CSF,,,15.85,51.1721,22 HCPCS,84181,WESTERN BLOT TEST,,,15.14,48.8761,22 HCPCS,84182,PROTEIN WESTERN BLOT TEST,,,19.59,83.8327,22 HCPCS,84202,ASSAY RBC PROTOPORPHYRIN,,,12.75,41.1845,22 HCPCS,84203,TEST RBC PROTOPORPHYRIN,,,7.79,27.9538,22 HCPCS,84206,ASSAY OF PROINSULIN,,,19.39,76.6003,22 HCPCS,84207,ASSAY OF VITAMIN B-6,,,24.97,80.647,22 HCPCS,84210,ASSAY OF PYRUVATE,,,11.58,41.5576,22 HCPCS,84220,ASSAY OF PYRUVATE KINASE,,,8.39,27.0928,22 HCPCS,84228,ASSAY OF QUININE,,,10.34,33.3781,22 HCPCS,84233,ASSAY OF ESTROGEN,,,19.28,252.2156,44 HCPCS,84234,ASSAY OF PROGESTERONE,,,18.3,186.2056,44 HCPCS,84235,ASSAY OF ENDOCRINE HORMONE,,,56.98,204.4301,22 HCPCS,84238,ASSAY NONENDOCRINE RECEPTOR,,,32.5,104.9559,22 HCPCS,84244,ASSAY OF RENIN,,,19.55,63.1113,22 HCPCS,84252,ASSAY OF VITAMIN B-2,,,17.99,58.0888,22 HCPCS,84255,ASSAY OF SELENIUM,,,22.69,73.2711,22 HCPCS,84260,ASSAY OF SEROTONIN,,,27.54,88.9126,22 HCPCS,84270,ASSAY OF SEX HORMONE GLOBUL,,,18.72,62.3651,22 HCPCS,84275,ASSAY OF SIALIC ACID,,,11.94,38.5728,22 HCPCS,84285,ASSAY OF SILICA,,,20.92,72.3527,22 HCPCS,84295,ASSAY OF SERUM SODIUM,,,3.51,13.8047,22 HCPCS,84300,ASSAY OF URINE SODIUM,,,4.32,14.5222,22 HCPCS,84302,ASSAY OF SWEAT SODIUM,,,4.32,13.9482,22 HCPCS,84305,ASSAY OF SOMATOMEDIN,,,18.39,61.0162,22 HCPCS,84307,ASSAY OF SOMATOSTATIN,,,16.25,52.4636,22 HCPCS,84311,SPECTROPHOTOMETRY,,,6.48,23.247,22 HCPCS,84315,BODY FLUID SPECIFIC GRAVITY,,,2.62,9.4136,22 HCPCS,84375,CHROMATOGRAM ASSAY SUGARS,,,21.34,111.93,22 HCPCS,84376,SUGARS SINGLE QUAL,,,4.69,15.785,22 HCPCS,84377,SUGARS MULTIPLE QUAL,,,4.89,15.785,22 HCPCS,84378,SUGARS SINGLE QUANT,,,10.24,33.0911,22 HCPCS,84379,SUGARS MULTIPLE QUANT,,,10.24,33.0911,22 HCPCS,84392,ASSAY OF URINE SULFATE,,,4.39,15.7563,22 HCPCS,84393,TAU PHOSPHORYLATED EA,,,128.92,370.0004,10 HCPCS,84394,TOTAL TAU,,,128.92,370.0004,10 HCPCS,84402,ASSAY OF FREE TESTOSTERONE,,,22.64,73.0989,22 HCPCS,84403,ASSAY OF TOTAL TESTOSTERONE,,,22.8,74.0747,22 HCPCS,84410,TESTOSTERONE BIOAVAILABLE,,,45.58,147.1736,22 HCPCS,84425,ASSAY OF VITAMIN B-1,,,18.87,60.9301,22 HCPCS,84430,ASSAY OF THIOCYANATE,,,10.34,33.3781,22 HCPCS,84431,THROMBOXANE URINE,,,35.11,100.7657,21 HCPCS,84432,ASSAY OF THYROGLOBULIN,,,14.28,46.0922,22 HCPCS,84433,ASY THIOPURIN S-MTHYLTRNSFRS,,,22.17,63.6279,21 HCPCS,84436,ASSAY OF TOTAL THYROXINE,,,6.03,19.7169,22 HCPCS,84437,ASSAY OF NEONATAL THYROXINE,,,5.75,18.5689,22 HCPCS,84439,ASSAY OF FREE THYROXINE,,,7.91,25.8874,22 HCPCS,84442,ASSAY OF THYROID ACTIVITY,,,13.14,42.4186,22 HCPCS,84443,ASSAY THYROID STIM HORMONE,,,14.76,48.216,22 HCPCS,84445,ASSAY OF TSI GLOBULIN,,,45.2,145.9682,22 HCPCS,84446,ASSAY OF VITAMIN E,,,12.0,40.6966,22 HCPCS,84449,ASSAY OF TRANSCORTIN,,,18.0,51.66,21 HCPCS,84450,TRANSFERASE (AST) (SGOT),,,4.41,14.8666,22 HCPCS,84460,ALANINE AMINO (ALT) (SGPT),,,4.58,15.211,22 HCPCS,84466,ASSAY OF TRANSFERRIN,,,11.01,36.6212,22 HCPCS,84478,ASSAY OF TRIGLYCERIDES,,,5.02,16.4738,22 HCPCS,84479,ASSAY OF THYROID (T3 OR T4),,,5.68,18.5689,22 HCPCS,84480,ASSAY TRIIODOTHYRONINE (T3),,,12.59,40.6966,22 HCPCS,84481,FREE ASSAY (FT-3),,,14.97,48.6178,22 HCPCS,84482,T3 REVERSE,,,14.01,45.2312,22 HCPCS,84484,ASSAY OF TROPONIN QUANT,,,8.47,35.7889,22 HCPCS,84485,ASSAY DUODENAL FLUID TRYPSIN,,,6.4,20.664,22 HCPCS,84488,TEST FECES FOR TRYPSIN,,,6.49,20.951,22 HCPCS,84490,ASSAY OF FECES FOR TRYPSIN,,,7.94,28.4991,22 HCPCS,84510,ASSAY OF TYROSINE,,,9.25,30.5081,22 HCPCS,84512,ASSAY OF TROPONIN QUAL,,,8.07,28.9583,22 HCPCS,84520,ASSAY OF UREA NITROGEN,,,3.15,11.3365,22 HCPCS,84525,UREA NITROGEN SEMI-QUANT,,,4.1,14.7231,22 HCPCS,84540,ASSAY OF URINE/UREA-N,,,3.31,15.9572,22 HCPCS,84545,UREA-N CLEARANCE TEST,,,5.88,20.664,22 HCPCS,84550,ASSAY OF BLOOD/URIC ACID,,,4.01,12.9724,22 HCPCS,84560,ASSAY OF URINE/URIC ACID,,,4.22,14.5796,22 HCPCS,84577,ASSAY OF FECES/UROBILINOGEN,,,13.58,48.216,22 HCPCS,84578,TEST URINE UROBILINOGEN,,,3.54,12.8289,22 HCPCS,84580,ASSAY OF URINE UROBILINOGEN,,,4.84,27.4085,44 HCPCS,84583,ASSAY OF URINE UROBILINOGEN,,,4.84,27.4085,44 HCPCS,84585,ASSAY OF URINE VMA,,,13.78,44.485,22 HCPCS,84586,ASSAY OF VIP,,,35.33,101.3971,21 HCPCS,84588,ASSAY OF VASOPRESSIN,,,30.17,97.4078,22 HCPCS,84590,ASSAY OF VITAMIN A,,,10.21,33.3207,22 HCPCS,84591,ASSAY OF NOS VITAMIN,,,12.63,48.9622,22 HCPCS,84597,ASSAY OF VITAMIN K,,,12.2,39.3764,22 HCPCS,84600,ASSAY OF VOLATILES,,,14.29,49.1057,22 HCPCS,84620,XYLOSE TOLERANCE TEST,,,10.53,37.0517,22 HCPCS,84630,ASSAY OF ZINC,,,10.12,32.6893,22 HCPCS,84681,ASSAY OF C-PEPTIDE,,,17.83,59.7247,22 HCPCS,84702,CHORIONIC GONADOTROPIN TEST,,,13.24,43.1935,22 HCPCS,84703,CHORIONIC GONADOTROPIN ASSAY,,,6.46,21.5824,22 HCPCS,84704,HCG FREE BETACHAIN TEST,,,13.38,43.8823,22 HCPCS,84830,OVULATION TESTS,,,9.7,36.449,22 HCPCS,85002,BLEEDING TIME TEST,,,4.01,13.8334,22 HCPCS,85004,AUTOMATED DIFF WBC COUNT,,,5.17,18.5689,22 HCPCS,85007,BL SMEAR W/DIFF WBC COUNT,,,2.71,10.906,22 HCPCS,85008,BL SMEAR W/O DIFF WBC COUNT,,,0.52,9.8441,22 HCPCS,85009,MANUAL DIFF WBC COUNT B-COAT,,,4.05,14.5509,22 HCPCS,85013,SPUN MICROHEMATOCRIT,,,2.03,20.09,22 HCPCS,85014,HEMATOCRIT,,,2.11,6.8019,22 HCPCS,85018,HEMOGLOBIN,,,2.07,6.8019,22 HCPCS,85025,COMPLETE CBC W/AUTO DIFF WBC,,,6.75,22.2999,22 HCPCS,85027,COMPLETE CBC AUTOMATED,,,5.71,18.5689,22 HCPCS,85032,MANUAL CELL COUNT EACH,,,3.83,12.3697,22 HCPCS,85041,AUTOMATED RBC COUNT,,,2.67,8.6674,22 HCPCS,85044,MANUAL RETICULOCYTE COUNT,,,2.64,12.3697,22 HCPCS,85045,AUTOMATED RETICULOCYTE COUNT,,,3.55,11.4513,22 HCPCS,85046,RETICYTE/HGB CONCENTRATE,,,4.61,15.9859,22 HCPCS,85048,AUTOMATED LEUKOCYTE COUNT,,,2.26,7.2898,22 HCPCS,85049,AUTOMATED PLATELET COUNT,,,3.77,12.8576,22 HCPCS,85055,RETICULATED PLATELET ASSAY,,,28.59,102.5738,22 HCPCS,85060,BLOOD SMEAR INTERPRETATION,,,12.63,12.63,1 HCPCS,85097,BONE MARROW INTERPRETATION,,,35.25,2974.004208,22 HCPCS,85130,CHROMOGENIC SUBSTRATE ASSAY,,,10.57,34.1243,22 HCPCS,85170,BLOOD CLOT RETRACTION,,,3.94,46.781,22 HCPCS,85175,BLOOD CLOT LYSIS TIME,,,4.95,58.4619,22 HCPCS,85210,CLOT FACTOR II PROTHROM SPEC,,,11.54,37.2526,22 HCPCS,85220,BLOOC CLOT FACTOR V TEST,,,15.69,50.6555,22 HCPCS,85230,CLOT FACTOR VII PROCONVERTIN,,,15.91,51.373,22 HCPCS,85240,CLOT FACTOR VIII AHG 1 STAGE,,,15.86,51.373,22 HCPCS,85244,CLOT FACTOR VIII RELTD ANTGN,,,18.15,58.6054,22 HCPCS,85245,CLOT FACTOR VIII VW RISTOCTN,,,20.39,65.8378,22 HCPCS,85246,CLOT FACTOR VIII VW ANTIGEN,,,20.39,65.8378,22 HCPCS,85247,CLOT FACTOR VIII MULTIMETRIC,,,20.39,65.8378,22 HCPCS,85250,CLOT FACTOR IX PTC/CHRSTMAS,,,16.93,54.6448,22 HCPCS,85260,CLOT FACTOR X STUART-POWER,,,15.91,51.373,22 HCPCS,85270,CLOT FACTOR XI PTA,,,15.91,51.373,22 HCPCS,85280,CLOT FACTOR XII HAGEMAN,,,17.2,55.5345,22 HCPCS,85290,CLOT FACTOR XIII FIBRIN STAB,,,14.52,46.8958,22 HCPCS,85291,CLOT FACTOR XIII FIBRIN SCRN,,,7.91,26.1457,22 HCPCS,85292,CLOT FACTOR FLETCHER FACT,,,16.83,54.3291,22 HCPCS,85293,CLOT FACTOR WGHT KININOGEN,,,16.83,54.3291,22 HCPCS,85300,ANTITHROMBIN III ACTIVITY,,,10.47,34.0095,22 HCPCS,85301,ANTITHROMBIN III ANTIGEN,,,9.61,31.0247,22 HCPCS,85302,CLOT INHIBIT PROT C ANTIGEN,,,10.68,34.4687,22 HCPCS,85303,CLOT INHIBIT PROT C ACTIVITY,,,12.3,39.7208,22 HCPCS,85305,CLOT INHIBIT PROT S TOTAL,,,10.32,33.3207,22 HCPCS,85306,CLOT INHIBIT PROT S FREE,,,13.62,43.9684,22 HCPCS,85307,ASSAY ACTIVATED PROTEIN C,,,13.62,43.9684,22 HCPCS,85335,FACTOR INHIBITOR TEST,,,11.44,36.9369,22 HCPCS,85337,THROMBOMODULIN,,,11.35,49.5649,22 HCPCS,85345,COAGULATION TIME LEE & WHITE,,,3.83,13.4603,22 HCPCS,85347,COAGULATION TIME ACTIVATED,,,3.65,12.2836,22 HCPCS,85348,COAGULATION TIME OTR METHOD,,,3.59,12.8863,22 HCPCS,85360,EUGLOBULIN LYSIS,,,7.47,24.1367,22 HCPCS,85362,FIBRIN DEGRADATION PRODUCTS,,,5.91,19.7743,22 HCPCS,85366,FIBRINOGEN TEST,,,8.57,230.9202,44 HCPCS,85370,FIBRINOGEN TEST,,,8.57,230.9202,44 HCPCS,85378,FIBRIN DEGRADE SEMIQUANT,,,6.5,27.8964,22 HCPCS,85379,FIBRIN DEGRADATION QUANT,,,9.05,29.2166,22 HCPCS,85380,FIBRIN DEGRADJ D-DIMER,,,4.72,29.2166,22 HCPCS,85384,FIBRINOGEN ACTIVITY,,,7.63,27.8964,22 HCPCS,85385,FIBRINOGEN ANTIGEN,,,9.25,41.5002,22 HCPCS,85390,FIBRINOLYSINS SCREEN I&R,,,5.63,44.4276,22 HCPCS,85396,CLOTTING ASSAY WHOLE BLOOD,,,17.73,17.73,1 HCPCS,85397,CLOTTING FUNCT ACTIVITY,,,24.68,88.5682,22 HCPCS,85400,FIBRINOLYTIC PLASMIN,,,6.84,22.1277,22 HCPCS,85410,FIBRINOLYTIC ANTIPLASMIN,,,6.85,22.1277,22 HCPCS,85415,FIBRINOLYTIC PLASMINOGEN,,,5.81,49.3353,66 HCPCS,85420,FIBRINOLYTIC PLASMINOGEN,,,5.81,49.3353,66 HCPCS,85421,FIBRINOLYTIC PLASMINOGEN,,,5.81,49.3353,66 HCPCS,85441,HEINZ BODIES DIRECT,,,3.73,12.054,22 HCPCS,85445,HEINZ BODIES INDUCED,,,6.06,19.5734,22 HCPCS,85460,HEMOGLOBIN FETAL,,,4.17,26.8632,44 HCPCS,85461,HEMOGLOBIN FETAL,,,4.17,26.8632,44 HCPCS,85475,HEMOLYSIN ACID,,,7.89,25.4569,22 HCPCS,85520,HEPARIN ASSAY,,,11.47,37.5683,22 HCPCS,85525,HEPARIN NEUTRALIZATION,,,10.1,33.9808,22 HCPCS,85530,HEPARIN-PROTAMINE TOLERANCE,,,11.64,37.5683,22 HCPCS,85536,IRON STAIN PERIPHERAL BLOOD,,,5.75,19.7456,22 HCPCS,85540,WBC ALKALINE PHOSPHATASE,,,7.65,24.682,22 HCPCS,85547,RBC MECHANICAL FRAGILITY,,,7.65,24.682,22 HCPCS,85549,MURAMIDASE,,,16.67,53.8125,22 HCPCS,85555,RBC OSMOTIC FRAGILITY,,,5.98,38.3432,44 HCPCS,85557,RBC OSMOTIC FRAGILITY,,,5.98,38.3432,44 HCPCS,85576,BLOOD PLATELET AGGREGATION,,,11.9,71.4917,22 HCPCS,85597,PHOSPHOLIPID PLTLT NEUTRALIZ,,,15.98,51.6026,22 HCPCS,85598,HEXAGNAL PHOSPH PLTLT NEUTRL,,,15.98,51.6026,22 HCPCS,85610,PROTHROMBIN TIME,,,3.49,12.3123,22 HCPCS,85611,PROTHROMBIN TEST,,,3.51,11.3078,22 HCPCS,85612,VIPER VENOM PROTHROMBIN TIME,,,10.42,50.1963,22 HCPCS,85613,RUSSELL VIPER VENOM DILUTED,,,8.45,27.4946,22 HCPCS,85635,REPTILASE TEST,,,8.75,28.2695,22 HCPCS,85651,RBC SED RATE NONAUTOMATED,,,2.37,12.2549,22 HCPCS,85652,RBC SED RATE AUTOMATED,,,2.4,7.749,22 HCPCS,85660,RBC SICKLE CELL TEST,,,4.52,15.8137,22 HCPCS,85670,THROMBIN TIME PLASMA,,,4.99,16.5599,22 HCPCS,85675,THROMBIN TIME TITER,,,6.08,19.6595,22 HCPCS,85705,THROMBOPLASTIN INHIBITION,,,8.56,27.6381,22 HCPCS,85730,THROMBOPLASTIN TIME PARTIAL,,,5.34,18.5689,44 HCPCS,85732,THROMBOPLASTIN TIME PARTIAL,,,5.34,18.5689,44 HCPCS,85810,BLOOD VISCOSITY EXAMINATION,,,10.37,33.4929,22 HCPCS,86000,AGGLUTININS FEBRILE ANTIGEN,,,5.32,20.0326,22 HCPCS,86001,ALLERGEN SPECIFIC IGG,,,5.68,22.4434,22 HCPCS,86003,ALLG SPEC IGE CRUDE XTRC EA,,,4.64,14.9814,22 HCPCS,86005,ALLG SPEC IGE MULTIALLG SCR,,,7.97,22.8739,21 HCPCS,86008,ALLG SPEC IGE RECOMB EA,,,15.94,51.4591,22 HCPCS,86015,ACTIN ANTIBODY EACH,,,11.53,34.5835,22 HCPCS,86021,WBC ANTIBODY IDENTIFICATION,,,13.38,43.1935,22 HCPCS,86022,PLATELET ANTIBODIES,,,16.33,52.7219,22 HCPCS,86023,IMMUNOGLOBULIN ASSAY,,,11.07,35.7602,22 HCPCS,86036,ANCA SCREEN EACH ANTIBODY,,,12.05,34.5835,22 HCPCS,86037,ANCA TITER EACH ANTIBODY,,,12.05,34.5835,22 HCPCS,86038,ANTINUCLEAR ANTIBODIES,,,10.63,34.6983,22 HCPCS,86039,ANTINUCLEAR ANTIBODIES (ANA),,,9.92,32.0292,22 HCPCS,86041,ACETYLCHOLN RCPTR BNDNG ANTB,,,18.4,52.808,21 HCPCS,86042,ACETYLCHOLN RCPTR BLCKG ANTB,,,18.4,52.808,21 HCPCS,86043,ACETYLCHOLN RCPTR MODLG ANTB,,,12.05,34.5835,21 HCPCS,86051,AQUAPORIN-4 ANTB ELISA,,,11.53,33.0911,22 HCPCS,86052,AQUAPORIN-4 ANTB CBA EACH,,,12.05,34.5835,22 HCPCS,86053,AQAPRN-4 ANTB FLO CYTMTRY EA,,,12.05,108.2851,22 HCPCS,86060,ANTISTREPTOLYSIN O TITER,,,6.49,20.951,22 HCPCS,86063,ANTISTREPTOLYSIN O SCREEN,,,5.13,16.5599,22 HCPCS,86077,PHYS BLOOD BANK SERV XMATCH,,,31.117,106.765435,22 HCPCS,86079,PHYS BLOOD BANK SERV AUTHRJ,,,43.56,192.358306,22 HCPCS,86140,C-REACTIVE PROTEIN,,,4.6,14.8666,22 HCPCS,86141,C-REACTIVE PROTEIN HS,,,11.19,37.1665,22 HCPCS,86146,BETA-2 GLYCOPROTEIN ANTIBODY,,,20.47,73.0415,22 HCPCS,86147,CARDIOLIPIN ANTIBODY EA IG,,,20.02,73.0415,22 HCPCS,86148,ANTI-PHOSPHOLIPID ANTIBODY,,,14.28,46.1209,22 HCPCS,86152,CELL ENUMERATION & ID,,,250.78,719.7386,21 HCPCS,86155,CHEMOTAXIS ASSAY,,,14.21,45.8913,22 HCPCS,86156,COLD AGGLUTININ SCREEN,,,6.46,23.1609,22 HCPCS,86157,COLD AGGLUTININ TITER,,,7.17,23.1322,22 HCPCS,86160,COMPLEMENT ANTIGEN,,,10.51,34.44,22 HCPCS,86161,COMPLEMENT/FUNCTION ACTIVITY,,,10.67,34.44,22 HCPCS,86162,COMPLEMENT TOTAL (CH50),,,18.07,58.3184,22 HCPCS,86171,COMPLEMENT FIXATION EACH,,,8.9,28.7287,22 HCPCS,86200,CCP ANTIBODY,,,7.1,37.1665,22 HCPCS,86215,DEOXYRIBONUCLEASE ANTIBODY,,,11.77,38.0275,22 HCPCS,86225,DNA ANTIBODY NATIVE,,,12.21,39.4338,22 HCPCS,86226,DNA ANTIBODY SINGLE STRAND,,,10.76,34.7557,22 HCPCS,86231,EMA EACH IG CLASS,,,12.09,34.6983,22 HCPCS,86235,NUCLEAR ANTIGEN ANTIBODY,,,14.59,51.4591,22 HCPCS,86255,FLUORESCENT ANTIBODY SCREEN,,,10.71,34.5835,22 HCPCS,86256,FLUORESCENT ANTIBODY TITER,,,10.39,34.5835,22 HCPCS,86258,DGP ANTIBODY EACH IG CLASS,,,11.53,34.5835,22 HCPCS,86277,GROWTH HORMONE ANTIBODY,,,13.99,45.1738,22 HCPCS,86280,HEMAGGLUTINATION INHIBITION,,,7.28,23.5053,22 HCPCS,86294,IMMUNOASSAY TUMOR QUAL,,,20.45,73.3859,22 HCPCS,86300,IMMUNOASSAY TUMOR CA 15-3,,,18.5,59.7247,22 HCPCS,86301,IMMUNOASSAY TUMOR CA 19-9,,,18.5,59.7247,22 HCPCS,86304,IMMUNOASSAY TUMOR CA 125,,,18.5,59.7247,22 HCPCS,86305,HUMAN EPIDIDYMIS PROTEIN 4,,,18.5,59.7247,22 HCPCS,86308,HETEROPHILE ANTIBODY SCREEN,,,4.49,14.8666,22 HCPCS,86309,HETEROPHILE ANTIBODY TITER,,,5.75,18.5689,22 HCPCS,86310,HETEROPHILE ANTIBODY ABSRBJ,,,6.55,21.1519,22 HCPCS,86316,IMMUNOASSAY TUMOR OTHER,,,18.5,59.7247,22 HCPCS,86317,IMMUNOASSAY INFECTIOUS AGENT,,,13.32,43.0213,22 HCPCS,86318,IA INFECTIOUS AGENT ANTIBODY,,,14.1,51.9183,22 HCPCS,86320,SERUM IMMUNOELECTROPHORESIS,,,23.93,85.8704,22 HCPCS,86325,OTHER IMMUNOELECTROPHORESIS,,,19.88,66.3831,22 HCPCS,86327,IMMUNOELECTROPHORESIS ASSAY,,,23.93,49.703104,5 HCPCS,86328,IA NFCT AB SARSCOV2 COVID19,,,45.23,129.9536,22 HCPCS,86329,IMMUNODIFFUSION NES,,,12.49,40.3235,22 HCPCS,86331,IMMUNODIFFUSION OUCHTERLONY,,,5.9,34.3826,22 HCPCS,86332,IMMUNE COMPLEX ASSAY,,,21.66,69.9419,22 HCPCS,86334,IMMUNOFIX E-PHORESIS SERUM,,,19.86,64.1158,22 HCPCS,86335,IMMUNFIX E-PHORSIS/URINE/CSF,,,26.09,84.2345,22 HCPCS,86336,INHIBIN A,,,13.85,44.7433,22 HCPCS,86337,INSULIN ANTIBODIES,,,19.03,61.4467,22 HCPCS,86340,INTRINSIC FACTOR ANTIBODY,,,13.4,43.2796,22 HCPCS,86341,ISLET CELL ANTIBODY,,,18.09,67.6459,22 HCPCS,86343,LEUKOCYTE HISTAMINE RELEASE,,,11.07,35.7602,22 HCPCS,86344,LEUKOCYTE PHAGOCYTOSIS,,,8.31,29.8193,22 HCPCS,86352,CELL FUNCTION ASSAY W/STIM,,,135.86,389.9182,21 HCPCS,86353,LYMPHOCYTE TRANSFORMATION,,,43.58,140.7161,22 HCPCS,86355,B CELLS TOTAL COUNT,,,33.53,108.2851,22 HCPCS,86356,MONONUCLEAR CELL ANTIGEN,,,23.8,76.8586,22 HCPCS,86357,NK CELLS TOTAL COUNT,,,33.37,108.2851,22 HCPCS,86359,T CELLS TOTAL COUNT,,,33.53,108.2851,22 HCPCS,86360,T CELL ABSOLUTE COUNT/RATIO,,,41.76,134.8326,22 HCPCS,86361,T CELL ABSOLUTE COUNT,,,23.8,76.8586,22 HCPCS,86362,MOG-IGG1 ANTB CBA EACH,,,12.05,34.5835,22 HCPCS,86363,MOG-IGG1 ANTB FLO CYTMTRY EA,,,12.05,108.2851,22 HCPCS,86364,TISS TRNSGLTMNASE EA IG CLAS,,,11.53,33.0911,22 HCPCS,86366,MUSCLE-SPECIFIC KINASE ANTB,,,18.4,52.808,21 HCPCS,86367,STEM CELLS TOTAL COUNT,,,41.07,223.2286,22 HCPCS,86376,MICROSOMAL ANTIBODY EACH,,,12.93,41.7585,22 HCPCS,86381,MITOCHONDRIAL ANTIBODY EACH,,,25.45,73.0415,22 HCPCS,86382,NEUTRALIZATION TEST VIRAL,,,15.03,48.5317,22 HCPCS,86384,NITROBLUE TETRAZOLIUM DYE,,,10.89,39.0607,22 HCPCS,86386,NUCLEAR MATRIX PROTEIN 22,,,21.78,62.5086,21 HCPCS,86403,PARTICLE AGGLUT ANTBDY SCRN,,,9.23,33.1198,22 HCPCS,86406,PARTICLE AGGLUT ANTBDY TITR,,,9.45,30.5368,22 HCPCS,86408,NEUTRLZG ANTB SARSCOV2 SCR,,,42.13,120.9131,22 HCPCS,86409,NEUTRLZG ANTB SARSCOV2 TITER,,,79.61,228.4807,22 HCPCS,86413,SARS-COV-2 ANTB QUANTITATIVE,,,51.43,147.6041,22 HCPCS,86430,RHEUMATOID FACTOR TEST QUAL,,,5.04,17.6218,22 HCPCS,86431,RHEUMATOID FACTOR QUANT,,,5.02,16.2729,22 HCPCS,86480,TB TEST CELL IMMUN MEASURE,,,55.04,177.8826,22 HCPCS,86481,TB AG RESPONSE T-CELL SUSP,,,69.78,287.0,22 HCPCS,86485,SKIN TEST CANDIDA,,,31.117,106.765435,21 HCPCS,86486,SKIN TEST UNLISTED ANTIGN EA,,,4.48,106.765435,22 HCPCS,86490,COCCIDIOIDOMYCOSIS SKIN TEST,,,4.02,106.99486,3 HCPCS,86510,HISTOPLASMOSIS SKIN TEST,,,5.16,137.873652,22 HCPCS,86581,STRPTCS PNEUM ANTB SEROT IA,,,92.03,264.1261,10 HCPCS,86590,STREPTOKINASE ANTIBODY,,,10.13,36.3342,22 HCPCS,86592,SYPHILIS TEST NON-TREP QUAL,,,3.8,12.2549,22 HCPCS,86593,SYPHILIS TEST NON-TREP QUANT,,,3.91,12.628,22 HCPCS,86596,VOLTAGE-GTD CA CHNL ANTB EA,,,12.05,34.5835,22 HCPCS,86602,ANTINOMYCES ANTIBODY,,,9.05,29.2166,22 HCPCS,86603,ADENOVIRUS ANTIBODY,,,11.44,36.9369,22 HCPCS,86606,ASPERGILLUS ANTIBODY,,,13.38,43.1935,22 HCPCS,86609,BACTERIUM ANTIBODY,,,11.45,36.9656,22 HCPCS,86611,BARTONELLA ANTIBODY,,,9.05,29.2166,22 HCPCS,86612,BLASTOMYCES ANTIBODY,,,11.47,37.023,22 HCPCS,86615,BORDETELLA ANTIBODY,,,11.72,37.8553,22 HCPCS,86617,LYME DISEASE ANTIBODY,,,13.77,48.8761,44 HCPCS,86618,LYME DISEASE ANTIBODY,,,13.77,48.8761,44 HCPCS,86619,BORRELIA ANTIBODY,,,11.89,38.4006,22 HCPCS,86622,BRUCELLA ANTIBODY,,,7.94,25.6291,22 HCPCS,86625,CAMPYLOBACTER ANTIBODY,,,11.66,37.6544,22 HCPCS,86628,CANDIDA ANTIBODY,,,10.67,34.4687,22 HCPCS,86631,CHLAMYDIA ANTIBODY,,,10.51,33.9234,22 HCPCS,86632,CHLAMYDIA IGM ANTIBODY,,,11.28,36.3916,22 HCPCS,86635,COCCIDIOIDES ANTIBODY,,,10.2,32.9189,22 HCPCS,86638,Q FEVER ANTIBODY,,,10.78,34.7844,22 HCPCS,86641,CRYPTOCOCCUS ANTIBODY,,,12.81,41.3567,22 HCPCS,86644,CMV ANTIBODY,,,12.38,41.2993,22 HCPCS,86645,CMV ANTIBODY IGM,,,14.36,48.3595,22 HCPCS,86648,DIPHTHERIA ANTIBODY,,,13.52,43.6527,22 HCPCS,86651,ENCEPHALITIS CALIFORN ANTBDY,,,11.72,37.8553,22 HCPCS,86652,ENCEPHALTIS EAST EQNE ANBDY,,,11.72,37.8553,22 HCPCS,86653,ENCEPHALTIS ST LOUIS ANTBODY,,,11.72,37.8553,22 HCPCS,86654,ENCEPHALTIS WEST EQNE ANTBDY,,,11.72,37.8553,22 HCPCS,86658,ENTEROVIRUS ANTIBODY,,,11.58,37.3961,22 HCPCS,86663,EPSTEIN-BARR ANTIBODY,,,11.66,37.6544,22 HCPCS,86664,EPSTEIN-BARR NUCLEAR ANTIGEN,,,13.6,43.8823,22 HCPCS,86665,EPSTEIN-BARR CAPSID VCA,,,15.82,52.0618,22 HCPCS,86666,EHRLICHIA ANTIBODY,,,9.05,29.2166,22 HCPCS,86668,FRANCISELLA TULARENSIS,,,11.32,40.6392,22 HCPCS,86671,FUNGUS NES ANTIBODY,,,10.89,35.1575,22 HCPCS,86674,GIARDIA LAMBLIA ANTIBODY,,,13.08,42.2464,22 HCPCS,86677,HELICOBACTER PYLORI ANTIBODY,,,12.95,48.3595,22 HCPCS,86682,HELMINTH ANTIBODY,,,11.56,37.3387,22 HCPCS,86684,HEMOPHILUS INFLUENZA ANTIBDY,,,14.08,45.4608,22 HCPCS,86687,HTLV-I ANTIBODY,,,7.46,26.0883,22 HCPCS,86688,HTLV-II ANTIBODY,,,12.45,40.18,22 HCPCS,86689,HTLV/HIV CONFIRMJ ANTIBODY,,,17.2,55.5345,22 HCPCS,86692,HEPATITIS DELTA AGENT ANTBDY,,,15.25,49.2492,22 HCPCS,86694,HERPES SIMPLEX NES ANTBDY,,,10.41,41.2993,22 HCPCS,86695,HERPES SIMPLEX TYPE 1 TEST,,,11.72,37.8553,22 HCPCS,86696,HERPES SIMPLEX TYPE 2 TEST,,,17.2,55.5345,22 HCPCS,86698,HISTOPLASMA ANTIBODY,,,11.11,39.5773,22 HCPCS,86701,HIV-1ANTIBODY,,,7.9,25.5143,22 HCPCS,86702,HIV-2 ANTIBODY,,,11.81,38.8024,22 HCPCS,86703,HIV-1/HIV-2 1 RESULT ANTBDY,,,11.96,39.3477,22 HCPCS,86704,HEP B CORE ANTIBODY TOTAL,,,10.71,34.5835,22 HCPCS,86705,HEP B CORE ANTIBODY IGM,,,10.37,33.7799,22 HCPCS,86706,HEP B SURFACE ANTIBODY,,,9.51,30.8238,22 HCPCS,86707,HEPATITIS BE ANTIBODY,,,4.68,33.2059,22 HCPCS,86708,HEPATITIS A ANTIBODY,,,11.01,35.5593,22 HCPCS,86709,HEPATITIS A IGM ANTIBODY,,,9.91,32.3162,22 HCPCS,86710,INFLUENZA VIRUS ANTIBODY,,,12.05,38.8885,22 HCPCS,86711,JOHN CUNNINGHAM ANTIBODY,,,13.51,48.4743,22 HCPCS,86713,LEGIONELLA ANTIBODY,,,13.6,43.911,22 HCPCS,86717,LEISHMANIA ANTIBODY,,,10.89,35.1575,22 HCPCS,86720,LEPTOSPIRA ANTIBODY,,,12.23,46.494,22 HCPCS,86723,LISTERIA MONOCYTOGENES,,,11.72,37.8553,22 HCPCS,86727,LYMPH CHORIOMENINGITIS AB,,,11.44,36.9369,22 HCPCS,86732,MUCORMYCOSIS ANTIBODY,,,12.0,43.05,22 HCPCS,86735,MUMPS ANTIBODY,,,11.59,37.4535,22 HCPCS,86738,MYCOPLASMA ANTIBODY,,,11.77,37.9988,22 HCPCS,86741,NEISSERIA MENINGITIDIS,,,11.72,37.8553,22 HCPCS,86744,NOCARDIA ANTIBODY,,,12.79,45.8913,22 HCPCS,86747,PARVOVIRUS ANTIBODY,,,13.36,43.1361,22 HCPCS,86750,MALARIA ANTIBODY,,,11.72,37.8553,22 HCPCS,86753,PROTOZOA ANTIBODY NOS,,,11.01,35.5593,22 HCPCS,86756,RESPIRATORY VIRUS ANTIBODY,,,11.19,45.6043,22 HCPCS,86757,RICKETTSIA ANTIBODY,,,17.2,55.5345,22 HCPCS,86759,ROTAVIRUS ANTIBODY,,,14.36,52.3201,22 HCPCS,86762,RUBELLA ANTIBODY,,,12.79,41.2993,22 HCPCS,86765,RUBEOLA ANTIBODY,,,11.45,36.9656,22 HCPCS,86768,SALMONELLA ANTIBODY,,,11.72,37.8553,22 HCPCS,86769,SARS-COV-2 COVID-19 ANTIBODY,,,42.13,120.9131,22 HCPCS,86771,SHIGELLA ANTIBODY,,,14.36,70.2576,22 HCPCS,86774,TETANUS ANTIBODY,,,13.15,42.476,22 HCPCS,86777,TOXOPLASMA ANTIBODY,,,12.79,41.2993,22 HCPCS,86778,TOXOPLASMA ANTIBODY IGM,,,12.8,41.3567,22 HCPCS,86780,TREPONEMA PALLIDUM,,,11.4,37.9988,22 HCPCS,86784,TRICHINELLA ANTIBODY,,,11.17,36.0472,22 HCPCS,86787,VARICELLA-ZOSTER ANTIBODY,,,11.38,36.9656,22 HCPCS,86788,WEST NILE VIRUS AB IGM,,,14.98,48.3595,22 HCPCS,86789,WEST NILE VIRUS ANTIBODY,,,12.79,41.2993,22 HCPCS,86790,VIRUS ANTIBODY NOS,,,11.45,36.9656,22 HCPCS,86793,YERSINIA ANTIBODY,,,11.72,37.8553,22 HCPCS,86794,ZIKA VIRUS IGM ANTIBODY,,,14.97,48.3595,22 HCPCS,86800,THYROGLOBULIN ANTIBODY,,,14.11,45.6617,22 HCPCS,86803,HEPATITIS C AB TEST,,,12.57,40.9549,22 HCPCS,86804,HEP C AB TEST CONFIRM,,,13.77,44.4563,22 HCPCS,86805,LYMPHOCYTOTOXICITY ASSAY,,,36.74,543.8937,44 HCPCS,86806,LYMPHOCYTOTOXICITY ASSAY,,,36.74,543.8937,44 HCPCS,86807,CYTOTOXIC ANTIBODY SCREENING,,,26.38,225.7255,44 HCPCS,86808,CYTOTOXIC ANTIBODY SCREENING,,,26.38,225.7255,44 HCPCS,86812,HLA TYPING A B OR C,,,22.94,166.46,44 HCPCS,86813,HLA TYPING A B OR C,,,22.94,166.46,44 HCPCS,86816,HLA TYPING DR/DQ,,,24.76,304.6218,44 HCPCS,86817,HLA TYPING DR/DQ,,,24.76,304.6218,44 HCPCS,86821,LYMPHOCYTE CULTURE MIXED,,,19.49,104.9272,22 HCPCS,86825,HLA X-MATH NON-CYTOTOXIC,,,87.44,314.2363,22 HCPCS,86826,HLA X-MATCH NONCYTOTOXC ADDL,,,29.15,104.8411,22 HCPCS,86828,HLA CLASS I&II ANTIBODY QUAL,,,43.09,184.2253,22 HCPCS,86829,HLA CLASS I/II ANTIBODY QUAL,,,23.37,184.2253,22 HCPCS,86830,HLA CLASS I PHENOTYPE QUAL,,,10.27,274.1424,22 HCPCS,86831,HLA CLASS II PHENOTYPE QUAL,,,10.27,234.9956,22 HCPCS,86832,HLA CLASS I HIGH DEFIN QUAL,,,10.27,929.1625,22 HCPCS,86833,HLA CLASS II HIGH DEFIN QUAL,,,10.27,935.046,22 HCPCS,86834,HLA CLASS I SEMIQUANT PANEL,,,10.27,1026.1972,22 HCPCS,86835,HLA CLASS II SEMIQUANT PANEL,,,10.27,926.8952,22 HCPCS,86850,RBC ANTIBODY SCREEN,,,2.6,192.358306,22 HCPCS,86860,RBC ANTIBODY ELUTION,,,19.83,628.886167,22 HCPCS,86870,RBC ANTIBODY IDENTIFICATION,,,16.52,1323.132566,22 HCPCS,86880,COOMBS TEST DIRECT,,,4.79,217.758093,22 HCPCS,86885,COOMBS TEST INDIRECT QUAL,,,5.09,628.886167,22 HCPCS,86886,COOMBS TEST INDIRECT TITER,,,4.22,628.886167,22 HCPCS,86890,AUTOLOGOUS BLOOD PROCESS,,,217.73,628.886167,21 HCPCS,86891,AUTOLOGOUS BLOOD OP SALVAGE,,,1036.2384,2974.004208,21 HCPCS,86900,BLOOD TYPING SEROLOGIC ABO,,,2.38,491.121001,22 HCPCS,86901,BLOOD TYPING SEROLOGIC RH(D),,,2.46,137.873652,22 HCPCS,86902,BLOOD TYPE ANTIGEN DONOR EA,,,3.28,1323.132566,22 HCPCS,86904,BLOOD TYPING PATIENT SERUM,,,6.84,217.758093,22 HCPCS,86905,BLOOD TYPING RBC ANTIGENS,,,3.35,1323.132566,22 HCPCS,86906,BLD TYPING SEROLOGIC RH PHNT,,,5.21,137.873652,22 HCPCS,86920,COMPATIBILITY TEST SPIN,,,217.73,628.886167,21 HCPCS,86921,COMPATIBILITY TEST INCUBATE,,,217.73,628.886167,21 HCPCS,86922,COMPATIBILITY TEST ANTIGLOB,,,217.73,628.886167,21 HCPCS,86923,COMPATIBILITY TEST ELECTRIC,,,217.73,628.886167,21 HCPCS,86927,PLASMA FRESH FROZEN,,,217.73,628.886167,21 HCPCS,86930,FROZEN BLOOD PREP,,,217.73,628.886167,21 HCPCS,86932,FROZEN BLOOD FREEZE/THAW,,,48.0396,137.873652,21 HCPCS,86940,HEMOLYSINS/AGGLUTININS AUTO,,,7.29,25.1699,22 HCPCS,86941,HEMOLYSINS/AGGLUTININS,,,10.58,34.7557,22 HCPCS,86945,BLOOD PRODUCT/IRRADIATION,,,25.16,137.873652,22 HCPCS,86950,LEUKACYTE TRANSFUSION,,,217.73,628.886167,21 HCPCS,86960,VOL REDUCTION OF BLOOD/PROD,,,217.73,628.886167,21 HCPCS,86970,RBC PRETX INCUBATJ W/CHEMICL,,,17.28,217.758093,22 HCPCS,86971,RBC PRETX INCUBATJ W/ENZYMES,,,17.28,628.886167,22 HCPCS,86972,RBC PRETX INCUBATJ W/DENSITY,,,16.65,628.886167,22 HCPCS,86975,RBC SERUM PRETX INCUBJ DRUGS,,,16.65,1648.99294,22 HCPCS,86976,RBC SERUM PRETX ID DILUTION,,,16.65,106.765435,22 HCPCS,86977,RBC SERUM PRETX INCUBJ/INHIB,,,16.65,628.886167,22 HCPCS,86978,RBC PRETREATMENT SERUM,,,19.97,217.758093,22 HCPCS,86999,UNLISTED TRANSFUSION MED PX,,,31.117,106.765435,21 HCPCS,87003,SMALL ANIMAL INOCULATION,,,14.97,48.3308,22 HCPCS,87015,SPECIMEN INFECT AGNT CONCNTJ,,,5.81,19.1716,22 HCPCS,87040,BLOOD CULTURE FOR BACTERIA,,,8.98,29.6184,22 HCPCS,87045,FECES CULTURE AEROBIC BACT,,,8.32,27.0928,22 HCPCS,87046,STOOL CULTR AEROBIC BACT EA,,,2.61,27.0928,22 HCPCS,87070,CULTURE OTHR SPECIMN AEROBIC,,,7.51,24.7394,22 HCPCS,87071,CULTURE AEROBIC QUANT OTHER,,,5.22,28.3843,22 HCPCS,87073,CULTURE BACTERIA ANAEROBIC,,,5.22,27.7242,22 HCPCS,87075,CULTR BACTERIA EXCEPT BLOOD,,,8.42,27.1789,22 HCPCS,87076,CULTURE ANAEROBE IDENT EACH,,,7.18,23.1896,22 HCPCS,87077,CULTURE AEROBIC IDENTIFY,,,7.08,23.1896,22 HCPCS,87081,CULTURE SCREEN ONLY,,,5.68,19.0281,22 HCPCS,87084,CULTURE OF SPECIMEN BY KIT,,,9.38,77.6909,22 HCPCS,87086,URINE CULTURE/COLONY COUNT,,,7.15,23.1609,22 HCPCS,87088,URINE BACTERIA CULTURE,,,6.08,23.2183,22 HCPCS,87101,SKIN FUNGI CULTURE,,,6.85,22.1277,22 HCPCS,87102,FUNGUS ISOLATION CULTURE,,,7.44,24.1367,22 HCPCS,87103,BLOOD FUNGUS CULTURE,,,8.01,58.7202,22 HCPCS,87106,FUNGI IDENTIFICATION YEAST,,,8.12,29.6184,22 HCPCS,87107,FUNGI IDENTIFICATION MOLD,,,9.18,29.6184,22 HCPCS,87109,MYCOPLASMA,,,13.68,44.1693,22 HCPCS,87110,CHLAMYDIA CULTURE,,,17.29,56.252,22 HCPCS,87116,MYCOBACTERIA CULTURE,,,9.12,30.996,22 HCPCS,87118,MYCOBACTERIC IDENTIFICATION,,,11.68,41.9307,22 HCPCS,87140,CULTURE TYPE IMMUNOFLUORESC,,,4.95,15.9859,22 HCPCS,87143,CULTURE TYPING GLC/HPLC,,,11.13,35.9324,22 HCPCS,87147,CULTURE TYPE IMMUNOLOGIC,,,3.91,14.8666,22 HCPCS,87149,DNA/RNA DIRECT PROBE,,,16.24,57.5435,22 HCPCS,87150,DNA/RNA AMPLIFIED PROBE,,,23.05,100.7083,22 HCPCS,87152,CULTURE TYPE PULSE FIELD GEL,,,5.7,22.2138,22 HCPCS,87153,DNA/RNA SEQUENCING,,,102.54,331.0832,22 HCPCS,87154,CUL TYP ID BLD PTHGN 6+ TRGT,,,218.06,625.8322,22 HCPCS,87158,CULTURE TYPING ADDED METHOD,,,5.7,22.2138,22 HCPCS,87164,DARK FIELD EXAM SPEC COLLJ,,,9.55,30.8238,22 HCPCS,87166,DARK FIELD EXAM W/O COLLJ,,,10.04,32.431,22 HCPCS,87168,MACROSCOPIC EXAM ARTHROPOD,,,3.8,12.2549,22 HCPCS,87169,MACROSCOPIC EXAM PARASITE,,,3.8,12.3697,22 HCPCS,87172,PINWORM EXAM,,,3.8,12.2549,22 HCPCS,87176,TISSUE HOMOGENIZATION CULTR,,,5.23,16.8756,22 HCPCS,87177,OVA AND PARASITES SMEARS,,,7.91,25.543,22 HCPCS,87181,SC STD AGAR DILUTION PER AGT,,,1.16,13.6325,22 HCPCS,87183,SC STD CARBAPENEM RESIST GEN,,,35.09,100.7083,10 HCPCS,87184,SC STD DISK METHOD PER PLATE,,,4.23,21.4676,22 HCPCS,87185,SC STD ENZYME DETCJ PER NZM,,,1.21,13.6325,22 HCPCS,87186,SC STD MICRODIL/AGAR DIL,,,7.57,24.8255,22 HCPCS,87187,SC STD MICRODIL/AGAR MLC,,,11.28,115.2879,22 HCPCS,87188,SC STD MACROBROTH DIL METH,,,5.9,19.0568,22 HCPCS,87190,SC STD MYOBACTERIA PROP METH,,,4.56,20.9797,22 HCPCS,87197,SERUM BACTERICIDAL TITER,,,13.36,43.1074,22 HCPCS,87205,SMEAR GRAM STAIN,,,3.46,12.2549,22 HCPCS,87206,SMEAR FLUORESCENT/ACID STAI,,,4.79,15.4693,22 HCPCS,87207,SMEAR SPECIAL STAIN,,,5.33,17.1913,22 HCPCS,87209,SMEAR COMPLEX STAIN,,,15.98,51.6026,22 HCPCS,87210,SMEAR WET MOUNT SALINE/INK,,,3.56,16.7034,22 HCPCS,87220,TISSUE EXAM FOR FUNGI,,,3.73,12.2549,22 HCPCS,87230,TOXIN/ANTITOXIN ASY TISS CUL,,,17.55,56.6538,22 HCPCS,87250,VIRUS INOCULATE EGGS/ANIMAL,,,17.39,56.1372,22 HCPCS,87252,VIRUS INOCULATION TISSUE,,,21.29,74.8209,22 HCPCS,87253,VIRUS INOCULATE TISSUE ADDL,,,16.0,57.974,22 HCPCS,87254,VIRUS INOCULATION SHELL VIA,,,5.41,56.1372,22 HCPCS,87255,GENET VIRUS ISOLATE HSV,,,30.1,97.1782,22 HCPCS,87260,ADENOVIRUS AG IF,,,10.1,41.4141,22 HCPCS,87265,PERTUSSIS AG IF,,,10.1,34.3826,22 HCPCS,87267,ENTEROVIRUS ANTIBODY DFA,,,10.1,38.5154,22 HCPCS,87269,GIARDIA AG IF,,,10.1,39.0607,22 HCPCS,87270,CHLAMYDIA TRACHOMATIS AG IF,,,10.1,34.3826,22 HCPCS,87271,CYTOMEGALOVIRUS DFA,,,10.1,38.5154,22 HCPCS,87272,CRYPTOSPORIDIUM AG IF,,,10.1,34.3826,22 HCPCS,87273,HERPES SIMPLEX 2 AG IF,,,10.1,34.3826,22 HCPCS,87274,HERPES SIMPLEX 1 AG IF,,,10.1,34.3826,22 HCPCS,87275,INFLUENZA B AG IF,,,5.93,35.1575,22 HCPCS,87276,INFLUENZA A AG IF,,,5.97,46.1209,22 HCPCS,87278,LEGION PNEUMOPHILIA AG IF,,,10.1,44.772,22 HCPCS,87279,PARAINFLUENZA AG IF,,,10.1,47.1541,22 HCPCS,87280,RESPIRATORY SYNCYTIAL AG IF,,,8.84,38.5154,22 HCPCS,87281,PNEUMOCYSTIS CARINII AG IF,,,10.1,34.3826,22 HCPCS,87283,RUBEOLA AG IF,,,10.1,174.496,22 HCPCS,87285,TREPONEMA PALLIDUM AG IF,,,10.1,34.9566,22 HCPCS,87290,VARICELLA ZOSTER AG IF,,,10.1,38.5154,22 HCPCS,87299,ANTIBODY DETECTION NOS IF,,,10.1,46.207,22 HCPCS,87300,AG DETECTION POLYVAL IF,,,5.14,34.3826,22 HCPCS,87301,ADENOVIRUS AG IA,,,10.1,34.3826,22 HCPCS,87305,ASPERGILLUS AG IA,,,8.66,34.3826,22 HCPCS,87320,CHLMYD TRACH AG IA,,,10.1,43.05,22 HCPCS,87324,CLOSTRIDIUM AG IA,,,8.8,34.3826,22 HCPCS,87327,CRYPTOCOCCUS NEOFORM AG IA,,,10.1,38.5154,22 HCPCS,87328,CRYPTOSPORIDIUM AG IA,,,8.62,39.6634,22 HCPCS,87329,GIARDIA AG IA,,,8.28,34.3826,22 HCPCS,87332,CYTOMEGALOVIRUS AG IA,,,10.1,34.3826,22 HCPCS,87335,E COLI 0157 AG IA,,,10.1,36.3342,22 HCPCS,87336,ENTAMOEB HIST DISPR AG IA,,,10.1,45.92,22 HCPCS,87337,ENTAMOEB HIST GROUP AG IA,,,10.1,34.3826,22 HCPCS,87338,HPYLORI STOOL AG IA,,,12.79,41.2706,22 HCPCS,87339,H PYLORI AG IA,,,10.1,45.92,22 HCPCS,87340,HEPATITIS B SURFACE AG IA,,,9.12,29.6471,22 HCPCS,87341,HEP B SURFACE AG NEUTRLZJ IA,,,9.18,29.6471,22 HCPCS,87350,HEPATITIS BE AG IA,,,10.24,33.0911,22 HCPCS,87380,HEPATITIS DELTA AGENT AG IA,,,14.69,52.6932,22 HCPCS,87385,HISTOPLASMA CAPSUL AG IA,,,10.1,38.0275,22 HCPCS,87389,HIV-1 AG W/HIV-1&-2 AB AG IA,,,20.26,69.1096,22 HCPCS,87390,HIV-1 AG IA,,,16.5,69.0522,22 HCPCS,87391,HIV-2 AG IA,,,17.52,62.853,22 HCPCS,87400,INFLUENZA A/B EACH AG IA,,,5.79,40.5531,22 HCPCS,87420,RESP SYNCYTIAL VIRUS AG IA,,,2.92,39.9217,22 HCPCS,87425,ROTAVIRUS AG IA,,,8.86,34.3826,22 HCPCS,87426,SARSCOV CORONAVIRUS AG IA,,,35.33,101.3971,22 HCPCS,87427,SHIGA-LIKE TOXIN AG IA,,,8.82,34.3826,22 HCPCS,87428,SARSCOV & INF VIR A&B AG IA,,,63.59,201.7323,22 HCPCS,87430,STREP A AG IA,,,8.18,48.2447,22 HCPCS,87449,NOS EACH ORGANISM AG IA,,,8.4,34.3826,22 HCPCS,87451,POLYVALENT MULT ORG EA AG IA,,,5.93,30.1637,22 HCPCS,87467,HEPATITIS B SURFACE AG QUAN,,,25.32,72.6684,19 HCPCS,87468,ANAPLSMA PHGCYTOPHLM AMP PRB,,,35.09,100.7083,21 HCPCS,87469,BABESIA MICROTI AMP PRB,,,35.09,100.7083,21 HCPCS,87471,BARTONELLA DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87472,BARTONELLA DNA QUANT,,,38.08,122.9508,22 HCPCS,87475,LYME DIS DNA DIR PROBE,,,17.82,57.5435,22 HCPCS,87476,LYME DIS DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87478,BORRELIA MIYAMOTOI AMP PRB,,,35.09,100.7083,21 HCPCS,87480,CANDIDA DNA DIR PROBE,,,17.83,57.5435,22 HCPCS,87481,CANDIDA DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87482,CANDIDA DNA QUANT,,,44.59,159.9738,22 HCPCS,87483,CNS DNA AMP PROBE TYPE 12-25,,,370.47,1196.1586,22 HCPCS,87484,EHRLICHA CHAFFEENSIS AMP PRB,,,35.09,100.7083,21 HCPCS,87485,CHLMYD PNEUM DNA DIR PROBE,,,17.82,57.5435,22 HCPCS,87486,CHLMYD PNEUM DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87487,CHLMYD PNEUM DNA QUANT,,,38.08,122.9508,22 HCPCS,87490,CHLMYD TRACH DNA DIR PROBE,,,17.17,65.2925,22 HCPCS,87491,CHLMYD TRACH DNA AMP PROBE,,,31.17,100.7083,22 HCPCS,87492,CHLMYD TRACH DNA QUANT,,,38.06,153.4589,22 HCPCS,87493,C DIFF AMPLIFIED PROBE,,,28.64,106.9649,22 HCPCS,87494,CHLMY TRCH&NEISRA GONOR MULT,,,70.18,201.4166,10 HCPCS,87495,CYTOMEG DNA DIR PROBE,,,21.83,86.1861,22 HCPCS,87496,CYTOMEG DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87497,CYTOMEG DNA QUANT,,,38.08,122.9508,22 HCPCS,87498,ENTEROVIRUS PROBE&REVRS TRNS,,,31.19,100.7083,22 HCPCS,87500,VANOMYCIN DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87501,INFLUENZA DNA AMP PROB 1+,,,45.61,147.2597,22 HCPCS,87502,INFLUENZA DNA AMP PROBE,,,76.64,274.946,22 HCPCS,87503,INFLUENZA DNA AMP PROB ADDL,,,22.61,83.8614,22 HCPCS,87505,NFCT AGENT DETECTION GI,,,114.04,368.1923,22 HCPCS,87506,IADNA-DNA/RNA PROBE TQ 6-11,,,210.39,754.7813,22 HCPCS,87507,IADNA-DNA/RNA PROBE TQ 12-25,,,370.47,1196.1586,22 HCPCS,87510,GARDNER VAG DNA DIR PROBE,,,17.83,57.5435,22 HCPCS,87511,GARDNER VAG DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87512,GARDNER VAG DNA QUANT,,,37.12,119.8512,22 HCPCS,87513,H PYLRI CLRTHMCN RST AMP PRB,,,35.09,100.7083,19 HCPCS,87516,HEPATITIS B DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87517,HEPATITIS B DNA QUANT,,,38.08,122.9508,22 HCPCS,87520,HEPATITIS C RNA DIR PROBE,,,21.83,89.6014,22 HCPCS,87521,HEPATITIS C PROBE&RVRS TRNSC,,,31.19,100.7083,22 HCPCS,87522,HEPATITIS C REVRS TRNSCRPJ,,,38.08,122.9508,22 HCPCS,87523,HEPATITIS D QUANTIFICATION,,,42.84,122.9508,21 HCPCS,87525,HEPATITIS G DNA DIR PROBE,,,21.83,85.526,22 HCPCS,87526,HEPATITIS G DNA AMP PROBE,,,31.41,112.6762,22 HCPCS,87527,HEPATITIS G DNA QUANT,,,37.12,119.8512,22 HCPCS,87528,HSV DNA DIR PROBE,,,17.82,57.5435,22 HCPCS,87529,HSV DNA AMP PROBE,,,30.73,100.7083,22 HCPCS,87530,HSV DNA QUANT,,,38.08,122.9508,22 HCPCS,87531,HHV-6 DNA DIR PROBE,,,21.83,166.46,22 HCPCS,87532,HHV-6 DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87533,HHV-6 DNA QUANT,,,37.12,119.8512,22 HCPCS,87534,HIV-1 DNA DIR PROBE,,,17.83,62.9104,22 HCPCS,87535,HIV-1 PROBE&REVERSE TRNSCRPJ,,,31.19,100.7083,22 HCPCS,87536,HIV-1 QUANT&REVRSE TRNSCRPJ,,,75.64,244.237,22 HCPCS,87537,HIV-2 DNA DIR PROBE,,,17.82,62.9104,22 HCPCS,87538,HIV-2 PROBE&REVRSE TRNSCRIPJ,,,31.19,100.7083,22 HCPCS,87539,HIV-2 QUANT&REVRSE TRNSCRIPJ,,,46.63,168.2394,22 HCPCS,87540,LEGION PNEUMO DNA DIR PROB,,,17.83,57.5435,22 HCPCS,87541,LEGION PNEUMO DNA AMP PROB,,,31.19,100.7083,22 HCPCS,87542,LEGION PNEUMO DNA QUANT,,,37.12,119.8512,22 HCPCS,87550,MYCOBACTERIA DNA DIR PROBE,,,17.83,57.5435,22 HCPCS,87551,MYCOBACTERIA DNA AMP PROBE,,,38.21,138.4488,22 HCPCS,87552,MYCOBACTERIA DNA QUANT,,,38.08,122.9508,22 HCPCS,87555,M.TUBERCULO DNA DIR PROBE,,,21.5,77.1456,22 HCPCS,87556,M.TUBERCULO DNA AMP PROBE,,,33.34,119.6216,22 HCPCS,87557,M.TUBERCULO DNA QUANT,,,38.08,122.9508,22 HCPCS,87560,M.AVIUM-INTRA DNA DIR PROB,,,21.83,78.3223,22 HCPCS,87561,M.AVIUM-INTRA DNA AMP PROB,,,31.19,100.7083,22 HCPCS,87562,M.AVIUM-INTRA DNA QUANT,,,38.08,122.9508,22 HCPCS,87563,M. GENITALIUM AMP PROBE,,,35.09,100.7083,22 HCPCS,87564,MTB RIFAMPIN RST AMP PRB TQ,,,76.77,220.3299,19 HCPCS,87580,M.PNEUMON DNA DIR PROBE,,,17.83,57.5435,22 HCPCS,87581,M.PNEUMON DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87582,M.PNEUMON DNA QUANT,,,45.46,868.5194,22 HCPCS,87590,N.GONORRHOEAE DNA DIR PROB,,,12.61,77.1456,22 HCPCS,87591,N.GONORRHOEAE DNA AMP PROB,,,31.07,100.7083,22 HCPCS,87592,N.GONORRHOEAE DNA QUANT,,,38.08,122.9508,22 HCPCS,87593,ORTHOPOXVIRUS AMP PRB EACH,,,35.09,147.2597,20 HCPCS,87594,PNEUMCYSTS JIROVECII AMP PRB,,,35.09,100.7083,19 HCPCS,87623,HPV LOW-RISK TYPES,,,35.09,100.7083,21 HCPCS,87624,HPV HI-RISK TYP POOLED RSLT,,,31.19,100.7083,22 HCPCS,87625,HPV TYPES 16 & 18 ONLY,,,32.44,116.3785,22 HCPCS,87626,HPV SEP HI-RSK TYP&POOL RSLT,,,70.2,201.474,19 HCPCS,87627,JT SPC PTHGN&RX RSIST GEN26+,,,679.77,1950.9399,10 HCPCS,87632,RESP VIRUS 6-11 TARGETS,,,154.59,625.8322,22 HCPCS,87633,RESP VIRUS 12-25 TARGETS,,,370.47,1196.1586,22 HCPCS,87634,RSV DNA/RNA AMP PROBE,,,62.39,201.474,22 HCPCS,87635,SARS-COV-2 COVID-19 AMP PRB,,,51.31,147.2597,22 HCPCS,87636,SARSCOV2 & INF A&B AMP PRB,,,142.63,409.3481,22 HCPCS,87637,SARSCOV2&INF A&B&RSV AMP PRB,,,142.63,409.3481,22 HCPCS,87640,STAPH A DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87641,MR-STAPH DNA AMP PROBE,,,30.88,100.7083,22 HCPCS,87650,STREP A DNA DIR PROBE,,,17.83,57.5435,22 HCPCS,87651,STREP A DNA AMP PROBE,,,31.19,100.7083,22 HCPCS,87652,STREP A DNA QUANT,,,37.12,119.8512,22 HCPCS,87653,STREP B DNA AMP PROBE,,,30.52,100.7083,22 HCPCS,87660,TRICHOMONAS VAGIN DIR PROBE,,,17.83,57.5435,22 HCPCS,87661,TRICHOMONAS VAGINALIS AMPLIF,,,30.54,100.7083,22 HCPCS,87662,ZIKA VIRUS DNA/RNA AMP PROBE,,,45.61,147.2597,22 HCPCS,87797,DETECT AGENT NOS DNA DIR,,,21.83,86.1861,22 HCPCS,87798,DETECT AGENT NOS DNA AMP,,,30.15,100.7083,22 HCPCS,87799,DETECT AGENT NOS DNA QUANT,,,38.08,122.9508,22 HCPCS,87800,DETECT AGNT MULT DNA DIREC,,,22.17,125.3329,22 HCPCS,87801,DETECT AGNT MULT DNA AMPLI,,,38.8,201.474,22 HCPCS,87802,STREP B ASSAY W/OPTIC,,,10.1,36.5351,22 HCPCS,87803,CLOSTRIDIUM TOXIN A W/OPTIC,,,10.1,45.92,22 HCPCS,87804,INFLUENZA ASSAY W/OPTIC,,,8.85,47.4985,22 HCPCS,87806,HIV AG W/HIV1&2 ANTB W/OPTIC,,,26.21,94.0499,22 HCPCS,87807,RSV ASSAY W/OPTIC,,,8.57,37.597,22 HCPCS,87808,TRICHOMONAS ASSAY W/OPTIC,,,10.1,43.8823,22 HCPCS,87809,ADENOVIRUS ASSAY W/OPTIC,,,10.1,62.4512,22 HCPCS,87810,CHLMYD TRACH ASSAY W/OPTIC,,,10.1,101.2823,22 HCPCS,87811,SARS-COV-2 COVID19 W/OPTIC,,,41.38,118.7606,22 HCPCS,87812,SARSCOV2&INF TYP A&B W/OPTIC,,,74.48,213.7576,10 HCPCS,87850,N. GONORRHOEAE ASSAY W/OPTIC,,,10.1,70.4872,22 HCPCS,87880,STREP A ASSAY W/OPTIC,,,6.99,47.4411,22 HCPCS,87899,AGENT NOS ASSAY W/OPTIC,,,4.87,46.1209,22 HCPCS,87900,PHENOTYPE INFECT AGENT DRUG,,,115.86,374.1045,22 HCPCS,87901,NFCT AGT GNTYP ALYS HIV1 REV,,,228.84,738.8815,22 HCPCS,87902,NFCT AGT GNTYP ALYS HEP C,,,228.84,738.8815,22 HCPCS,87903,PHENOTYPE DNA HIV W/CULTURE,,,434.36,1402.4542,22 HCPCS,87904,PHENOTYPE DNA HIV W/CLT ADD,,,23.17,74.8209,22 HCPCS,87905,IA NZMTC ACTV OTH/THN VIRUS,,,10.86,35.0714,22 HCPCS,87906,NFCT AGT GNTYP ALYS HIV1,,,114.42,369.4551,22 HCPCS,87910,NFCT AGT GNTYP ALYS CMV,,,23.38,738.8815,22 HCPCS,87912,NFCT AGT GNTYP ALYS HEP B,,,23.38,738.8815,22 HCPCS,87913,NFCT AGT GNTYP ALYS SARSCOV2,,,257.45,738.8815,21 HCPCS,88104,CYTOPATH FL NONGYN SMEARS,,,25.82,137.873652,22 HCPCS,88106,CYTOPATH FL NONGYN FILTER,,,25.82,106.765435,22 HCPCS,88108,CYTOPATH CONCENTRATE TECH,,,28.92,137.873652,22 HCPCS,88112,CYTOPATH CELL ENHANCE TECH,,,60.92,192.358306,22 HCPCS,88120,CYTP URNE 3-5 PROBES EA SPEC,,,217.73,628.886167,22 HCPCS,88121,CYTP URINE 3-5 PROBES CMPTR,,,217.73,628.886167,22 HCPCS,88125,FORENSIC CYTOPATHOLOGY,,,67.0238,192.358306,21 HCPCS,88130,SEX CHROMATIN IDENTIFICATION,,,7.1,51.6026,44 HCPCS,88140,SEX CHROMATIN IDENTIFICATION,,,7.1,51.6026,44 HCPCS,88141,CYTOPATH C/V INTERPRET,,,10.53,10.53,1 HCPCS,88142,CYTOPATH C/V THIN LAYER,,,18.0,58.1462,22 HCPCS,88143,CYTOPATH C/V THIN LAYER REDO,,,18.43,66.1248,22 HCPCS,88147,CYTOPATH C/V AUTOMATED,,,12.39,145.1072,22 HCPCS,88148,CYTOPATH C/V AUTO RESCREEN,,,13.5,53.2098,22 HCPCS,88150,CYTOPATH C/V MANUAL,,,11.5,53.2098,22 HCPCS,88152,CYTOPATH C/V AUTO REDO,,,11.5,79.3268,22 HCPCS,88153,CYTOPATH C/V REDO,,,11.5,68.9661,22 HCPCS,88155,CYTOPATH C/V INDEX ADD-ON,,,6.52,42.0455,22 HCPCS,88160,CYTOPATH SMEAR OTHER SOURCE,,,20.66,192.358306,45 HCPCS,88161,CYTOPATH SMEAR OTHER SOURCE,,,20.66,192.358306,45 HCPCS,88162,CYTOPATH SMEAR OTHER SOURCE,,,20.66,192.358306,45 HCPCS,88164,CYTOPATH TBS C/V MANUAL,,,9.65,53.2098,22 HCPCS,88165,CYTOPATH TBS C/V REDO,,,11.5,121.1714,22 HCPCS,88166,CYTOPATH TBS C/V AUTO REDO,,,11.5,53.2098,22 HCPCS,88167,CYTOPATH TBS C/V SELECT,,,11.5,53.2098,22 HCPCS,88172,CYTP DX EVAL FNA 1ST EA SITE,,,28.29,628.886167,22 HCPCS,88173,CYTOPATH EVAL FNA REPORT,,,51.98,192.358306,22 HCPCS,88174,CYTOPATH C/V AUTO IN FLUID,,,18.29,72.8119,22 HCPCS,88175,CYTOPATH C/V AUTO FLUID REDO,,,23.5,76.3707,22 HCPCS,88177,CYTP FNA EVAL EA ADDL,,,21.74,21.74,1 HCPCS,88182,CELL MARKER STUDY,,,67.0238,192.358306,22 HCPCS,88184,FLOWCYTOMETRY/ TC 1 MARKER,,,42.18,1323.132566,22 HCPCS,88185,FLOWCYTOMETRY/TC ADD-ON,,,20.68,20.68,1 HCPCS,88187,FLOWCYTOMETRY/READ 2-8,,,32.96,32.96,1 HCPCS,88188,FLOWCYTOMETRY/READ 9-15,,,55.88,55.88,1 HCPCS,88189,FLOWCYTOMETRY/READ 16 & >,,,69.18,69.18,1 HCPCS,88199,UNLISTED CYTOPATHOLOGY PX,,,67.0238,192.358306,21 HCPCS,88230,TISSUE CULTURE LYMPHOCYTE,,,100.98,334.3263,22 HCPCS,88233,TISSUE CULTURE SKIN/BIOPSY,,,125.08,403.8951,22 HCPCS,88235,TISSUE CULTURE PLACENTA,,,75.03,431.361,22 HCPCS,88237,TISSUE CULTURE BONE MARROW,,,99.64,412.5625,22 HCPCS,88239,TISSUE CULTURE TUMOR,,,131.12,423.3824,22 HCPCS,88240,CELL CRYOPRESERVE/STORAGE,,,7.99,37.5109,22 HCPCS,88241,FROZEN CELL PREPARATION,,,7.99,34.6983,22 HCPCS,88245,CHROMOSOME ANALYSIS 20-25,,,115.68,496.9979,44 HCPCS,88248,CHROMOSOME ANALYSIS 50-100,,,153.93,496.9979,22 HCPCS,88249,CHROMOSOME ANALYSIS 100,,,153.93,496.9979,22 HCPCS,88261,CHROMOSOME ANALYSIS 5,,,190.0,758.6558,22 HCPCS,88262,CHROMOSOME ANALYSIS 15-20,,,107.81,360.1563,22 HCPCS,88263,CHROMOSOME ANALYSIS 45,,,133.59,431.3323,22 HCPCS,88264,CHROMOSOME ANALYSIS 20-25,,,115.68,496.9979,44 HCPCS,88267,CHROMOSOME ANALYS PLACENTA,,,159.8,541.1959,22 HCPCS,88269,CHROMOSOME ANALYS AMNIOTIC,,,147.84,498.4042,22 HCPCS,88271,CYTOGENETICS DNA PROBE,,,16.8,61.4754,22 HCPCS,88272,CYTOGENETICS 3-5,,,29.15,116.809,22 HCPCS,88273,CYTOGENETICS 10-30,,,28.56,99.9047,22 HCPCS,88274,CYTOGENETICS 25-99,,,33.9,121.6306,22 HCPCS,88275,CYTOGENETICS 100-300,,,31.68,146.9153,22 HCPCS,88280,CHROMOSOME KARYOTYPE STUDY,,,19.17,96.0589,22 HCPCS,88283,CHROMOSOME BANDING STUDY,,,9.71,196.882,22 HCPCS,88285,CHROMOSOME COUNT ADDITIONAL,,,7.6,77.2317,22 HCPCS,88289,CHROMOSOME STUDY ADDITIONAL,,,12.08,98.8141,22 HCPCS,88291,CYTO/MOLECULAR REPORT,,,13.62,13.62,1 HCPCS,88299,UNLISTED CYTOGENETIC STUDY,,,67.0238,192.358306,21 HCPCS,88300,SURGICAL PATH GROSS,,,8.37,106.765435,22 HCPCS,88302,TISSUE EXAM BY PATHOLOGIST,,,20.94,2974.004208,89 HCPCS,88304,TISSUE EXAM BY PATHOLOGIST,,,20.94,2974.004208,89 HCPCS,88305,TISSUE EXAM BY PATHOLOGIST,,,20.94,2974.004208,89 HCPCS,88307,TISSUE EXAM BY PATHOLOGIST,,,20.94,2974.004208,89 HCPCS,88309,TISSUE EXAM BY PATHOLOGIST,,,20.94,2974.004208,89 HCPCS,88311,DECALCIFY TISSUE,,,7.9,7.9,1 HCPCS,88312,SPECIAL STAINS GROUP 1,,,32.83,192.358306,22 HCPCS,88313,SPECIAL STAINS GROUP 2,,,38.56,491.121001,22 HCPCS,88314,HISTOCHEMICAL STAINS ADD-ON,,,43.23,43.23,1 HCPCS,88319,ENZYME HISTOCHEMISTRY,,,68.78,2974.004208,22 HCPCS,88321,CONSLTJ&REPRT SLD PREP ELSWR,,,48.0396,137.873652,22 HCPCS,88323,CONSLTJ&REPRT MATRL PREP SLD,,,67.0238,192.358306,22 HCPCS,88325,CONSLTJ COMPRE RVW REC REPRT,,,101.51,628.886167,22 HCPCS,88329,PATH CONSLTJ DRG SURG,,,32.48,217.758093,22 HCPCS,88331,PATH CONSLTJ SURG 1 BLK 1SPC,,,44.52,628.886167,22 HCPCS,88332,PATH CONSLTJ SURG EA ADD BLK,,,19.39,19.39,1 HCPCS,88333,PATH CONSLTJ SURG CYTO XM 1,,,79.42,2974.004208,22 HCPCS,88334,PATH CONSLTJ SURG CYTO XM EA,,,49.68,49.68,1 HCPCS,88341,IMHCHEM/IMCYTCHM EA ADD ANTB,,,60.62,60.62,1 HCPCS,88342,IMHCHEM/IMCYTCHM 1ST ANTB,,,53.79,628.886167,22 HCPCS,88344,IMHCHEM/IMCYTCHM EA MLT ANTB,,,104.92,1323.132566,22 HCPCS,88346,IMFLUOR 1ST 1ANTB STAIN PX,,,56.05,628.886167,22 HCPCS,88348,ELECTRON MICROSCOPY DX,,,237.71,2974.004208,22 HCPCS,88350,IMFLUOR EA ADDL 1ANTB STN PX,,,64.66,64.66,1 HCPCS,88355,M/PHMTRC ALYS SKELETAL MUSC,,,117.31,628.886167,22 HCPCS,88356,ANALYSIS NERVE,,,67.0238,192.358306,22 HCPCS,88358,ANALYSIS TUMOR,,,66.78,628.886167,22 HCPCS,88360,TUMOR IMMUNOHISTOCHEM/MANUAL,,,56.74,628.886167,22 HCPCS,88361,TUMOR IMMUNOHISTOCHEM/COMPUT,,,80.16,1323.132566,22 HCPCS,88362,NERVE TEASING PREPARATIONS,,,180.51,2974.004208,22 HCPCS,88363,XM ARCHIVE TISSUE MOLEC ANAL,,,17.77,106.765435,22 HCPCS,88364,INSITU HYBRIDIZATION (FISH),,,87.58,628.886167,23 HCPCS,88365,INSITU HYBRIDIZATION (FISH),,,87.58,628.886167,23 HCPCS,88366,INSITU HYBRIDIZATION (FISH),,,87.58,628.886167,23 HCPCS,88367,INSITU HYBRIDIZATION AUTO,,,96.07,1323.132566,22 HCPCS,88368,INSITU HYBRIDIZATION MANUAL,,,75.41,1323.132566,22 HCPCS,88369,M/PHMTRC ALYSISHQUANT/SEMIQ,,,65.87,65.87,1 HCPCS,88371,PROTEIN WESTERN BLOT TISSUE,,,19.76,36.928476,3 HCPCS,88372,PROTEIN ANALYSIS W/PROBE,,,20.97,43.556664,3 HCPCS,88373,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,54.01,628.886167,24 HCPCS,88374,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,54.01,628.886167,24 HCPCS,88375,OPTICAL ENDOMICROSCPY INTERP,,,23.24,23.24,1 HCPCS,88377,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,54.01,628.886167,24 HCPCS,88380,MICRODISSECTION LASER,,,118.82,118.82,1 HCPCS,88381,MICRODISSECTION MANUAL,,,112.83,112.83,1 HCPCS,88387,MACROSCOPIC XM DSJ&PREP TISS,,,30.33,30.33,1 HCPCS,88388,TISS EX MOLECUL STUDY ADD-ON,,,30.09,30.09,1 HCPCS,88399,UNLISTED SURGICAL PATH PX,,,67.0238,192.358306,21 HCPCS,88720,BILIRUBIN TOTAL TRANSCUT,,,4.3,14.4074,22 HCPCS,88738,HGB QUANT TRANSCUTANEOUS,,,5.02,14.4074,21 HCPCS,88740,TRANSCUTANEOUS CARBOXYHB,,,9.37,26.8919,21 HCPCS,88741,TRANSCUTANEOUS METHB,,,9.37,26.8919,21 HCPCS,89049,CHCT FOR MAL HYPERTHERMIA,,,217.68,628.886167,22 HCPCS,89050,BODY FLUID CELL COUNT,,,3.55,16.072,44 HCPCS,89051,BODY FLUID CELL COUNT,,,3.55,16.072,44 HCPCS,89055,LEUKOCYTE ASSESSMENT FECAL,,,3.8,12.2549,22 HCPCS,89060,EXAM SYNOVIAL FLUID CRYSTALS,,,6.36,21.0371,22 HCPCS,89125,SPECIMEN FAT STAIN,,,4.7,16.8756,22 HCPCS,89160,EXAM FECES FOR MEAT FIBERS,,,3.88,13.9195,22 HCPCS,89190,NASAL SMEAR FOR EOSINOPHILS,,,4.63,16.6173,22 HCPCS,89220,SPUTUM SPECIMEN COLLECTION,,,10.33,628.886167,22 HCPCS,89230,COLLECT SWEAT FOR TEST,,,2.2,192.358306,22 HCPCS,89240,UNLISTED MISC PATH TEST,,,67.0238,192.358306,21 HCPCS,89250,CULTR OOCYTE/EMBRYO <4 DAYS,,,217.73,628.886167,21 HCPCS,89251,CULTR OOCYTE/EMBRYO <4 DAYS,,,217.73,628.886167,21 HCPCS,89253,EMBRYO HATCHING,,,217.73,628.886167,21 HCPCS,89254,OOCYTE IDENTIFICATION,,,217.73,628.886167,21 HCPCS,89255,PREPARE EMBRYO FOR TRANSFER,,,67.0238,192.358306,21 HCPCS,89257,SPERM IDENTIFICATION,,,67.0238,192.358306,21 HCPCS,89258,CRYOPRESERVATION EMBRYO(S),,,1036.2384,2974.004208,21 HCPCS,89259,CRYOPRESERVATION SPERM,,,217.73,628.886167,21 HCPCS,89260,SPERM ISOLATION SIMPLE,,,67.0238,192.358306,21 HCPCS,89261,SPERM ISOLATION COMPLEX,,,67.0238,192.358306,21 HCPCS,89264,IDENTIFY SPERM TISSUE,,,67.0238,192.358306,21 HCPCS,89268,INSEMINATION OF OOCYTES,,,217.73,628.886167,21 HCPCS,89272,EXTENDED CULTURE OF OOCYTES,,,1036.2384,2974.004208,21 HCPCS,89280,ASSIST OOCYTE FERTILIZATION,,,217.73,2974.004208,42 HCPCS,89281,ASSIST OOCYTE FERTILIZATION,,,217.73,2974.004208,42 HCPCS,89290,BIOPSY OOCYTE POLAR BODY <=5,,,217.73,628.886167,21 HCPCS,89291,BIOPSY OOCYTE POLAR BODY,,,217.73,628.886167,21 HCPCS,89300,SEMEN ANALYSIS W/HUHNER,,,9.84,28.2408,21 HCPCS,89310,SEMEN ANALYSIS W/COUNT,,,8.61,24.7107,21 HCPCS,89320,SEMEN ANAL VOL/COUNT/MOT,,,12.31,35.3297,21 HCPCS,89321,SEMEN ANAL SPERM DETECTION,,,12.05,34.5835,21 HCPCS,89322,SEMEN ANAL STRICT CRITERIA,,,15.5,44.485,21 HCPCS,89325,SPERM ANTIBODY TEST,,,10.67,30.6229,21 HCPCS,89329,SPERM EVALUATION TEST,,,19.59,56.2233,21 HCPCS,89330,EVALUATION CERVICAL MUCUS,,,10.38,29.7906,21 HCPCS,89331,RETROGRADE EJACULATION ANAL,,,19.59,56.2233,21 HCPCS,89335,CRYOPRESERVE TESTICULAR TISS,,,67.0238,192.358306,21 HCPCS,89337,CRYOPRESERVATION OOCYTE(S),,,217.73,628.886167,21 HCPCS,89342,STORAGE/YEAR EMBRYO(S),,,217.73,628.886167,21 HCPCS,89343,STORAGE/YEAR SPERM/SEMEN,,,217.73,628.886167,21 HCPCS,89344,STORAGE/YEAR REPROD TISSUE,,,217.73,628.886167,21 HCPCS,89346,STORAGE/YEAR OOCYTE(S),,,217.73,628.886167,21 HCPCS,89352,THAWING CRYOPRESRVED EMBRYO,,,217.73,628.886167,21 HCPCS,89353,THAWING CRYOPRESRVED SPERM,,,67.0238,192.358306,21 HCPCS,89354,THAW CRYOPRSVRD REPROD TISS,,,217.73,628.886167,21 HCPCS,89356,THAWING CRYOPRESRVED OOCYTE,,,217.73,628.886167,21 HCPCS,89398,UNLISTED REPROD MED LAB PROC,,,67.0238,192.358306,21 HCPCS,90281,HUMAN IG IM,,,96.9765,96.9765,2 HCPCS,90291,CMV IG IV,,,1791.987,1791.987,2 HCPCS,90371,HEP B IG IM,,,134.19,395.5434,24 HCPCS,90376,RABIES IG HEAT TREATED,,,175.36,1011.5028,24 HCPCS,90377,RABIES IG HT&SOL HUMAN IM/SC,,,222.25,689.1731,22 HCPCS,90382,RSV MONOC ANTB SEASN .7ML IM,,,567.12,567.12,2 HCPCS,90385,RH IG MINIDOSE IM,,,30.4385,229.6,12 HCPCS,90386,RH IG IV,,,10.5145,10.5145,2 HCPCS,90389,TETANUS IG IM,,,662.15,662.15,2 HCPCS,90473,IMMUNE ADMIN ORAL/NASAL,,,90.4286,265.775489,21 HCPCS,90476,ADENOVIRUS VACCINE TYPE 4,,,55.2,64.4,2 HCPCS,90585,BCG VACCINE PERCUT,,,161.53,185.606,3 HCPCS,90586,BCG VACCINE INTRAVESICAL,,,185.606,185.606,2 HCPCS,90587,DENGUE VACC QUAD 3 DOSE SUBQ,,,67.32,105.44,3 HCPCS,90589,CHIKUNGUNYA VACCINE LIVE IM,,,280.5,280.5,2 HCPCS,90593,CHIKUNGUNYA VACC RECOMB IM,,,280.5,280.5,2 HCPCS,90611,SMALLPOX&MONKEYPOX VAC 0.5ML,,,0.01,275.4,23 HCPCS,90619,MENACWY-TT VACCINE IM,,,159.82,180.523,3 HCPCS,90621,MENB-FHBP VACC 2/3 DOSE IM,,,183.41,211.3355,3 HCPCS,90622,VACCINIA VRS VAC 0.3 ML PERQ,,,0.01,0.0287,21 HCPCS,90623,MENACWY-TT MENB-FHBP VACC IM,,,241.638,241.638,2 HCPCS,90624,MENB-4C&MENACWY VACC IM,,,255.6375,255.6375,2 HCPCS,90630,FLU VACC IIV4 NO PRESERV ID,,,18.1985,24.8,3 HCPCS,90644,HIB-MENCY VACC 6WK-18M0 IM,,,24.9475,27.67,3 HCPCS,90649,4VHPV VACCINE 3 DOSE IM,,,163.2425,164.72,3 HCPCS,90650,2VHPV VACCINE 3 DOSE IM,,,132.59,135.116,3 HCPCS,90653,IIV ADJUVANT VACCINE IM,,,63.99,138.693588,5 HCPCS,90654,FLU VACC IIV3 NO PRESERV ID,,,16.0803,20.36,3 HCPCS,90655,IIV3 VACC NO PRSV 0.25 ML IM,,,14.654,30.51,3 HCPCS,90657,IIV3 VACCINE SPLT 0.25 ML IM,,,9.877,18.156916,5 HCPCS,90658,IIV3 VACCINE SPLT 0.5 ML IM,,,19.7455,36.313832,5 HCPCS,90660,LAIV3 VACCINE INTRANASAL,,,17.88,47.958844,5 HCPCS,90661,CCIIV3 VAC ABX FR 0.5 ML IM,,,44.285,61.21522,4 HCPCS,90670,PCV13 VACCINE IM,,,230.8345,428.572988,5 HCPCS,90671,PCV15 VACCINE IM,,,245.31,421.213872,5 HCPCS,90672,LAIV4 VACCINE INTRANASAL,,,24.8625,32.25,3 HCPCS,90673,RIV3 VACCINE NO PRESERV IM,,,45.07,87.8305,3 HCPCS,90674,CCIIV4 VAC NO PRSV 0.5 ML IM,,,30.5745,50.00212,5 HCPCS,90676,RABIES VACCINE ID,,,77.0355,679.7882,23 HCPCS,90682,RIV4 VACC RECOMBINANT DNA IM,,,65.671,77.86,3 HCPCS,90683,RSV VACC MRNA LIPID NANO IM,,,295.8,295.8,2 HCPCS,90684,PCV21 VACCINE IM,,,308.0145,544.690868,4 HCPCS,90685,IIV4 VACC NO PRSV 0.25 ML IM,,,19.363,22.82,3 HCPCS,90687,IIV4 VACCINE SPLT 0.25 ML IM,,,9.3415,14.9,3 HCPCS,90688,IIV4 VACCINE SPLT 0.5 ML IM,,,18.683,25.34,3 HCPCS,90694,VACC AIIV4 NO PRSRV 0.5ML IM,,,69.2155,81.82,3 HCPCS,90697,DTAP-IPV-HIB-HEPB VACCINE IM,,,146.55,158.984,3 HCPCS,90698,DTAP-IPV/HIB VACCINE IM,,,109.9,121.822,3 HCPCS,90701,DTP VACCINE IM,,,15.9375,15.9375,2 HCPCS,90702,DT VACCINE UNDER 7 YRS IM,,,67.1585,69.05,3 HCPCS,90733,MPSV4 VACCINE SUBQ,,,126.88,126.88,1 HCPCS,90736,HZV VACCINE LIVE SUBQ,,,216.92,217.13,3 HCPCS,90743,HEPB VACC 2 DOSE ADOLESC IM,,,73.5335,124.83918,5 HCPCS,90748,HIB-HEPB VACCINE IM,,,42.8995,46.35,3 HCPCS,90756,CCIIV4 VACC ABX FREE IM,,,28.968,36.83,3 HCPCS,90759,HEP B VAC 3AG 10MCG 3 DOS IM,,,66.045,122.629784,5 HCPCS,90785,PSYTX COMPLEX INTERACTIVE,,,3.88,3.88,1 HCPCS,90791,PSYCH DIAGNOSTIC EVALUATION,,,128.08,655.189143,22 HCPCS,90792,PSYCH DIAG EVAL W/MED SRVCS,,,103.25,655.189143,22 HCPCS,90832,PSYTX W PT 30 MINUTES,,,52.87,655.189143,22 HCPCS,90833,PSYTX W PT W E/M 30 MIN,,,34.49,34.49,1 HCPCS,90834,PSYTX W PT 45 MINUTES,,,67.16,655.189143,22 HCPCS,90836,PSYTX W PT W E/M 45 MIN,,,56.02,56.02,1 HCPCS,90837,PSYTX W PT 60 MINUTES,,,98.02,655.189143,22 HCPCS,90838,PSYTX W PT W E/M 60 MIN,,,90.57,90.57,1 HCPCS,90839,PSYTX CRISIS INITIAL 60 MIN,,,38.01,655.189143,22 HCPCS,90840,PSYTX CRISIS EA ADDL 30 MIN,,,62.46,62.46,1 HCPCS,90845,PSYCHOANALYSIS,,,204.1473,655.189143,21 HCPCS,90846,FAMILY PSYTX W/O PT 50 MIN,,,86.64,655.189143,22 HCPCS,90847,FAMILY PSYTX W/PT 50 MIN,,,51.0,655.189143,22 HCPCS,90849,MULTIPLE FAMILY GROUP PSYTX,,,31.85,655.189143,22 HCPCS,90853,GROUP PSYCHOTHERAPY,,,23.96,374.997644,22 HCPCS,90865,NARCOSYNTHESIS,,,204.1473,655.189143,21 HCPCS,90867,TCRANIAL MAGN STIM TX PLAN,,,277.7133,797.037171,21 HCPCS,90868,TCRANIAL MAGN STIM TX DELI,,,277.7133,797.037171,21 HCPCS,90869,TCRAN MAGN STIM REDETEMINE,,,277.7133,797.037171,21 HCPCS,90870,ELECTROCONVULSIVE THERAPY,,,75.77,3169.867071,22 HCPCS,90880,HYPNOTHERAPY,,,52.11,374.997644,22 HCPCS,90899,UNLISTED PSYC SVC/THERAPY,,,37.8512,138.307309,21 HCPCS,90901,BIOFEEDBACK TRAIN ANY METH,,,23.22,66.6414,19 HCPCS,90912,BFB TRAINING 1ST 15 MIN,,,52.06,149.4122,19 HCPCS,90913,BFB TRAINING EA ADDL 15 MIN,,,29.16,83.6892,19 HCPCS,90937,HEMODIALYSIS REPEATED EVAL,,,153.36,153.36,1 HCPCS,90940,HEMODIALYSIS ACCESS STUDY,,,103.51,103.51,1 HCPCS,90951,ESRD SERV 4 VISITS P MO <2YR,,,821.0,821.0,1 HCPCS,90954,ESRD SERV 4 VSTS P MO 2-11,,,664.1,664.1,1 HCPCS,90955,ESRD SRV 2-3 VSTS P MO 2-11,,,377.8,377.8,1 HCPCS,90956,ESRD SRV 1 VISIT P MO 2-11,,,256.0,256.0,1 HCPCS,90957,ESRD SRV 4 VSTS P MO 12-19,,,535.3,535.3,1 HCPCS,90958,ESRD SRV 2-3 VSTS P MO 12-19,,,361.9,361.9,1 HCPCS,90959,ESRD SERV 1 VST P MO 12-19,,,237.4,237.4,1 HCPCS,90960,ESRD SRV 4 VISITS P MO 20+,,,240.0,240.0,1 HCPCS,90961,ESRD SRV 2-3 VSTS P MO 20+,,,193.2,193.2,1 HCPCS,90962,ESRD SERV 1 VISIT P MO 20+,,,139.3,139.3,1 HCPCS,90963,ESRD HOME PT SERV P MO <2YRS,,,459.7,459.7,1 HCPCS,90964,ESRD HOME PT SERV P MO 2-11,,,381.5,381.5,1 HCPCS,90965,ESRD HOME PT SERV P MO 12-19,,,363.0,363.0,1 HCPCS,90966,ESRD HOME PT SERV P MO 20+,,,190.9,190.9,1 HCPCS,90967,ESRD SVC PR DAY PT <2,,,16.7,16.7,1 HCPCS,90968,ESRD SVC PR DAY PT 2-11,,,12.8,12.8,1 HCPCS,90969,ESRD SVC PR DAY PT 12-19,,,12.5,12.5,1 HCPCS,90970,ESRD SVC PR DAY PT 20+,,,6.7,6.7,1 HCPCS,90989,DIALYSIS TRAINING COMPLETE,,,667.4,667.4,1 HCPCS,90993,DIALYSIS TRAINING INCOMPL,,,27.86,27.86,1 HCPCS,91010,ESOPHAGUS MOTILITY STUDY,,,69.11,1377.43641,22 HCPCS,91013,ESOPHGL MOTIL W/STIM/PERFUS,,,20.74,20.74,1 HCPCS,91020,GASTRIC MOTILITY STUDIES,,,92.09,1377.43641,22 HCPCS,91022,DUODENAL MOTILITY STUDY,,,95.0,1377.43641,22 HCPCS,91030,ACID PERFUSION OF ESOPHAGUS,,,40.46,1377.43641,22 HCPCS,91034,GASTROESOPHAGEAL REFLUX TEST,,,77.61,1377.43641,22 HCPCS,91035,G-ESOPH REFLX TST W/ELECTROD,,,102.43,3169.867071,22 HCPCS,91037,ESOPH IMPED FUNCTION TEST,,,134.22,797.037171,22 HCPCS,91038,ESOPH IMPED FUNCT TEST > 1HR,,,113.84,1377.43641,22 HCPCS,91040,ESOPH BALLOON DISTENSION TST,,,416.6,1377.43641,22 HCPCS,91065,BREATH HYDROGEN/METHANE TEST,,,27.03,797.037171,22 HCPCS,91110,GI TRC IMG INTRAL ESOPH-ILE,,,804.29,3347.954015,22 HCPCS,91111,GI TRC IMG INTRAL ESOPHAGUS,,,1166.5345,3347.954015,21 HCPCS,91112,GI WIRELESS CAPSULE MEASURE,,,1081.07,3347.954015,22 HCPCS,91113,GI TRC IMG INTRAL COLON I&R,,,889.25,3432.752183,22 HCPCS,91117,COLON MOTILITY 6 HR STUDY,,,277.7133,797.037171,21 HCPCS,91120,RECTAL SENSATION TEST,,,395.6648,549.03702,11 HCPCS,91122,ANORECTAL MANOMETRY,,,60.37,549.03702,12 HCPCS,91124,RCT SNSATN TONE&CMPLIANC STD,,,277.7133,797.037171,10 HCPCS,91125,ANRCT MANO RCT SNSATN&BALO,,,479.943,1377.43641,10 HCPCS,91132,ELECTROGASTROGRAPHY,,,94.04,797.037171,22 HCPCS,91133,ELECTROGASTROGRAPHY W/TEST,,,112.85,491.121001,22 HCPCS,91200,LIVER ELASTOGRAPHY,,,32.05,474.97065,22 HCPCS,91299,UNLISTED DX GI PROCEDURE,,,165.495,474.97065,21 HCPCS,91323,SARSCOV2 VAC 10 MCG/0.2ML IM,,,180.659,180.659,2 HCPCS,92002,INTRM OPH EXAM NEW PATIENT,,,37.15,491.446172,22 HCPCS,92004,COMPRE OPH EXAM NEW PT 1/>,,,39.44,491.446172,22 HCPCS,92012,INTRM OPH EXAM EST PATIENT,,,37.15,491.446172,22 HCPCS,92014,COMPRE OPH EXAM EST PT 1/>,,,39.44,491.446172,22 HCPCS,92015,DETERMINE REFRACTIVE STATE,,,8.01,8.01,1 HCPCS,92018,COMPL OPH EXAM GENERAL ANES,,,47.88,8776.009123,22 HCPCS,92019,LMTD OPH EXAM GENERAL ANES,,,43.1,8776.009123,22 HCPCS,92020,GONIOSCOPY,,,19.21,491.121001,22 HCPCS,92025,CPTRIZED CORNEAL TOPOGRAPHY,,,26.82,217.758093,22 HCPCS,92060,SENSORIMOTOR EXAMINATION,,,33.78,217.758093,22 HCPCS,92066,ORTHOP TRAING SUPVJ PHYS/QHP,,,75.4736,217.758093,21 HCPCS,92071,CONTACT LENS FITTING FOR TX,,,32.04,32.04,1 HCPCS,92072,FITG C-LENS KERATOCONUS 1ST,,,101.93,101.93,1 HCPCS,92081,LIMITED VISUAL FIELD XM,,,16.4,217.758093,22 HCPCS,92082,INTERMEDIATE VISUAL FIELD XM,,,34.07,217.758093,22 HCPCS,92083,EXTENDED VISUAL FIELD XM,,,22.14,491.121001,22 HCPCS,92100,SERIAL TONOMETRY,,,28.93,28.93,1 HCPCS,92132,CPTRZD OPH DX IMG ANT SGM,,,32.24,217.758093,22 HCPCS,92133,CPTRZD OPH DX IMG PST SGM ON,,,32.25,217.758093,22 HCPCS,92134,CPTRZ OPH DX IMG PST SGM RTA,,,39.33,217.758093,22 HCPCS,92136,OPHTHALMIC BIOMETRY,,,67.14,491.121001,22 HCPCS,92137,CPTRZ OPH IMG PST SG RTA OCT,,,277.7133,797.037171,19 HCPCS,92145,CORNEAL HYSTERESIS DETER,,,75.4736,217.758093,21 HCPCS,92201,OPSCPY EXTND RTA DRAW UNI/BI,,,22.11,217.758093,22 HCPCS,92202,OPSCPY EXTND ON/MAC DRAW,,,14.02,217.758093,22 HCPCS,92227,IMG RTA DETCJ/MNTR DS STAFF,,,10.72,217.758093,22 HCPCS,92228,IMG RTA DETC/MNTR DS PHY/QHP,,,26.66,137.873652,22 HCPCS,92229,IMG RTA DETC/MNTR DS POC ALY,,,75.4736,217.758093,21 HCPCS,92230,FLUORESCEIN ANGIOSCOPY I&R,,,46.44,1377.43641,22 HCPCS,92235,FLUORESCEIN ANGRPH MLTIFRAME,,,81.73,797.037171,22 HCPCS,92240,ICG ANGIOGRAPHY I&R UNI/BI,,,73.99,797.037171,22 HCPCS,92242,FLUORESCEIN&ICG ANGIOGRAPHY,,,207.76,797.037171,22 HCPCS,92250,FUNDUS PHOTOGRAPHY W/I&R,,,42.13,491.121001,22 HCPCS,92260,OPHTHALMODYNAMOMETRY,,,32.8,137.873652,22 HCPCS,92265,NDL OCULOELECTROMYOGRAPHY 1+,,,42.24,217.758093,22 HCPCS,92270,ELECTRO-OCULOGRAPHY W/I&R,,,33.29,491.121001,22 HCPCS,92273,FULL FIELD ERG W/I&R,,,122.88,797.037171,22 HCPCS,92274,MULTIFOCAL ERG W/I&R,,,82.66,474.97065,22 HCPCS,92283,EXTND COLOR VISION XM,,,16.79,217.758093,22 HCPCS,92284,DX DARK ADAPTATION EXAM I&R,,,20.39,1648.99294,22 HCPCS,92285,EXTERNAL OCULAR PHOTOGRAPHY,,,48.0396,137.873652,21 HCPCS,92286,ANT SGM IMG I&R SPECLR MIC,,,163.7803,491.121001,21 HCPCS,92287,ANT SGM IMG IR FLRSCN ANGRPH,,,163.7803,491.121001,21 HCPCS,92310,CONTACT LENS FITTING OU,,,36.4,36.4,1 HCPCS,92311,CONTACT LENS FITG APHAKIA 1,,,36.67,1648.99294,22 HCPCS,92312,CONTACT LENS FITG APHAKIA OU,,,36.4,491.121001,22 HCPCS,92313,C-LENS FITG CORNEOSCLRL LENS,,,32.95,491.121001,22 HCPCS,92314,C-LENS FITG TECH OU,,,36.04,36.04,1 HCPCS,92315,C-LENS FITG TECH APHAKIA 1,,,36.04,491.121001,22 HCPCS,92316,C-LENS FITG TECH APHAKIA OU,,,47.68,491.121001,22 HCPCS,92317,C-LENS FITG TECH CORNEOSCLRL,,,26.55,137.873652,22 HCPCS,92325,MODIFICATION OF CONTACT LENS,,,12.21,491.121001,22 HCPCS,92326,REPLACEMENT OF CONTACT LENS,,,75.4736,217.758093,21 HCPCS,92340,FIT SPECTACLES MONOFOCAL,,,10.77,10.77,1 HCPCS,92341,FIT SPECTACLES BIFOCAL,,,15.9,15.9,1 HCPCS,92342,FIT SPECTACLES MULTIFOCAL,,,21.88,21.88,1 HCPCS,92352,FIT APHAKIA SPECTCL MONOFOCL,,,10.77,217.758093,22 HCPCS,92353,FIT APHAKIA SPECTCL MULTIFOC,,,15.9,217.758093,22 HCPCS,92354,FITG SPECT LOW VIS 1SYSTEM,,,48.0396,137.873652,21 HCPCS,92355,FITG SPECT LW VIS CMPND LENS,,,48.0396,137.873652,21 HCPCS,92358,APHAKIA PROSTH SERVICE TEMP,,,75.4736,217.758093,21 HCPCS,92370,RPR&REFITG SPECT XCP APHAKIA,,,6.3,6.3,1 HCPCS,92371,RPR&REFIT SPCT PRSTH APHAKIA,,,6.3,217.758093,22 HCPCS,92499,UNLISTED OPH SVC/PROCEDURE,,,31.117,106.765435,21 HCPCS,92502,EAR AND THROAT EXAMINATION,,,61.76,1990.822855,22 HCPCS,92504,EAR MICROSCOPY EXAMINATION,,,16.65,16.65,1 HCPCS,92507,TX SP LANG VOICE COMM INDIV,,,29.72,286.4834,20 HCPCS,92508,TX SP LANG VOICE COMM GROUP,,,2.46,88.1664,20 HCPCS,92512,NASAL FUNCTION STUDIES,,,24.58,797.037171,22 HCPCS,92516,FACIAL NERVE FUNCTION TEST,,,19.65,797.037171,22 HCPCS,92517,VEMP TEST I&R CERVICAL,,,165.495,474.97065,21 HCPCS,92518,VEMP TEST I&R OCULAR,,,165.495,474.97065,21 HCPCS,92519,VEMP TST I&R CERVICAL&OCULAR,,,277.7133,797.037171,21 HCPCS,92520,LARYNGEAL FUNCTION STUDIES,,,30.13,491.121001,22 HCPCS,92521,EVALUATION OF SPEECH FLUENCY,,,74.98,500.2697,20 HCPCS,92522,EVALUATE SPEECH PRODUCTION,,,53.84,420.1106,20 HCPCS,92523,SPEECH SOUND LANG COMPREHEN,,,130.58,851.816,20 HCPCS,92524,BEHAVRAL QUALIT ANALYS VOICE,,,53.84,413.4522,20 HCPCS,92526,ORAL FUNCTION THERAPY,,,33.82,312.6578,20 HCPCS,92533,CALORIC VESTIBULAR TEST,,,27.86,27.86,1 HCPCS,92537,CALORIC VSTBLR TEST W/REC,,,17.93,797.037171,33 HCPCS,92538,CALORIC VSTBLR TEST W/REC,,,17.93,797.037171,33 HCPCS,92540,BASIC VESTIBULAR EVALUATION,,,82.13,797.037171,22 HCPCS,92541,SPONTANEOUS NYSTAGMUS TEST,,,14.57,491.121001,22 HCPCS,92542,POSITIONAL NYSTAGMUS TEST,,,13.93,491.121001,22 HCPCS,92544,OPTOKINETIC NYSTAGMUS TEST,,,13.93,474.97065,22 HCPCS,92545,OSCILLATING TRACKING TEST,,,13.93,797.037171,22 HCPCS,92546,SINUSOIDAL ROTATIONAL TEST,,,13.93,474.97065,22 HCPCS,92547,SUPPLEMENTAL ELECTRICAL TEST,,,13.93,13.93,1 HCPCS,92548,CDP-SOT 6 COND W/I&R,,,163.7803,491.121001,21 HCPCS,92549,CDP-SOT 6 COND W/I&R MCT&ADT,,,163.7803,491.121001,21 HCPCS,92550,TYMPANOMETRY & REFLEX THRESH,,,17.67,797.037171,22 HCPCS,92551,PURE TONE HEARING TEST AIR,,,10.2,10.2,1 HCPCS,92552,PURE TONE AUDIOMETRY AIR,,,11.08,491.121001,22 HCPCS,92553,AUDIOMETRY AIR & BONE,,,20.4,474.97065,43 HCPCS,92555,SPEECH THRESHOLD AUDIOMETRY,,,11.2,217.758093,22 HCPCS,92556,SPEECH AUDIOMETRY COMPLETE,,,27.0,217.758093,22 HCPCS,92557,COMPREHENSIVE HEARING TEST,,,40.86,474.97065,22 HCPCS,92562,LOUDNESS BALANCE TEST,,,7.7,797.037171,22 HCPCS,92563,TONE DECAY HEARING TEST,,,7.16,137.873652,22 HCPCS,92565,STENGER TEST PURE TONE,,,9.29,217.758093,22 HCPCS,92567,TYMPANOMETRY,,,48.0396,137.873652,21 HCPCS,92568,ACOUSTIC REFL THRESHOLD TST,,,9.28,137.873652,22 HCPCS,92570,ACOUSTIC IMMITANCE TESTING,,,26.84,474.97065,22 HCPCS,92571,FILTERED SPEECH TEST,,,9.53,137.873652,22 HCPCS,92572,STAGGERED SPONDAIC WORD TEST,,,2.08,474.97065,22 HCPCS,92575,SENSORINEURAL ACUITY LVL TST,,,7.44,137.873652,22 HCPCS,92576,SYNTHETIC SENTENCE ID TEST,,,12.07,137.873652,22 HCPCS,92577,STENGER TEST SPEECH,,,13.61,1377.43641,22 HCPCS,92579,VISUAL AUDIOMETRY (VRA),,,25.43,797.037171,22 HCPCS,92582,CONDITIONING PLAY AUDIOMETRY,,,38.06,474.97065,22 HCPCS,92583,SELECT PICTURE AUDIOMETRY,,,75.4736,217.758093,21 HCPCS,92584,ELECTROCOCHLEOGRAPHY,,,165.495,474.97065,21 HCPCS,92587,EVOKED AUDITORY TEST LIMITED,,,41.0,797.037171,22 HCPCS,92588,EVOKED AUDITORY TST COMPLETE,,,51.26,1377.43641,22 HCPCS,92590,HEARING AID XM&SLCTN MONAURL,,,34.36,34.36,1 HCPCS,92591,HEARING AID XM&SLCTN BINAURL,,,34.36,34.36,1 HCPCS,92594,ELECTRO HEARNG AID TEST ONE,,,20.32,20.32,1 HCPCS,92595,ELECTRO HEARNG AID TST BOTH,,,37.3,37.3,1 HCPCS,92596,EAR PROTECTOR EVALUATION,,,48.0396,137.873652,21 HCPCS,92597,ORAL SPEECH DEVICE EVAL,,,81.89,267.771,20 HCPCS,92601,COCHLEAR IMPLT F/UP EXAM <7,,,114.93,474.97065,22 HCPCS,92602,REPROGRAM COCHLEAR IMPLT <7,,,80.56,474.97065,22 HCPCS,92603,COCHLEAR IMPLT F/UP EXAM 7/>,,,77.32,474.97065,22 HCPCS,92604,REPROGRAM COCHLEAR IMPLT 7/>,,,52.68,474.97065,22 HCPCS,92605,EX FOR NONSPEECH DEVICE RX,,,34.76,34.76,1 HCPCS,92606,NON-SPEECH DEVICE SERVICE,,,34.76,34.76,1 HCPCS,92607,EX FOR SPEECH DEVICE RX 1HR,,,95.97,450.303,20 HCPCS,92608,EX FOR SPEECH DEVICE RX ADDL,,,18.8,175.3857,20 HCPCS,92609,USE OF SPEECH DEVICE SERVICE,,,51.95,375.7691,20 HCPCS,92610,EVALUATE SWALLOWING FUNCTION,,,48.78,230.3462,20 HCPCS,92611,MOTION FLUOROSCOPY/SWALLOW,,,39.95,332.7191,20 HCPCS,92612,ENDOSCOPY SWALLOW (FEES) VID,,,74.78,214.6186,20 HCPCS,92613,ENDOSCOPY SWALLOW (FEES) I&R,,,33.73,33.73,1 HCPCS,92614,LARYNGOSCOPIC SENSORY VID,,,74.61,214.1307,20 HCPCS,92615,LARYNGOSCOPIC SENSORY I&R,,,28.26,28.26,1 HCPCS,92616,FEES W/LARYNGEAL SENSE TEST,,,110.4,316.848,20 HCPCS,92617,FEES W/LARYNGEAL SENSE I&R,,,37.47,37.47,1 HCPCS,92618,EX FOR NONSPEECH DEV RX ADD,,,27.54,27.54,1 HCPCS,92620,AUDITORY FUNCTION 60 MIN,,,40.75,474.97065,22 HCPCS,92621,AUDITORY FUNCTION + 15 MIN,,,10.11,10.11,1 HCPCS,92622,DX ALY AUD OI SND PRCSR 1ST,,,165.495,474.97065,21 HCPCS,92625,TINNITUS ASSESSMENT,,,40.07,474.97065,22 HCPCS,92626,EVAL AUD FUNCJ 1ST HOUR,,,20.05,474.97065,22 HCPCS,92627,EVAL AUD FUNCJ EA ADDL 15,,,20.05,20.05,1 HCPCS,92640,AUD BRAINSTEM IMPLT PROGRAMG,,,165.495,474.97065,21 HCPCS,92650,AEP SCR AUDITORY POTENTIAL,,,25.68,25.68,1 HCPCS,92651,AEP HEARING STATUS DETER I&R,,,80.62,797.037171,22 HCPCS,92652,AEP THRSHLD EST MLT FREQ I&R,,,104.64,797.037171,22 HCPCS,92653,AEP NEURODIAGNOSTIC I&R,,,76.92,797.037171,22 HCPCS,92700,UNLISTED ORL SERVICE/PX,,,31.117,106.765435,21 HCPCS,92920,PRQ TRLUML C ANGIOP 1ART&/BR,,,435.12,21009.267027,22 HCPCS,92924,PRQ TRLUML C ATHRC 1 ART&/BR,,,517.26,42613.060007,22 HCPCS,92928,PRQ TCAT PLMT NTRAC ST 1 LES,,,483.05,42613.060007,22 HCPCS,92930,PRQ TCAT PLMT NTRAC ST 2+LES,,,23577.5478,67667.562186,10 HCPCS,92933,PRQ TRLML C ATHRC ST ANGIOP1,,,540.15,67667.562186,22 HCPCS,92937,PRQ TRLUML REVSC CAB GRF 1,,,482.46,42613.060007,22 HCPCS,92941,PRQ TRLML REVSC TOT OCCL AMI,,,541.18,541.18,1 HCPCS,92943,PRQ TRLUML REVSC CH OCC ANT,,,541.18,42613.060007,22 HCPCS,92945,PRQ TRL RVS CH OCC ANT&RTRGR,,,14847.7561,42613.060007,10 HCPCS,92970,CARDIOASSIST INTERNAL,,,188.49,188.49,1 HCPCS,92971,CARDIOASSIST EXTERNAL,,,79.24,79.24,1 HCPCS,92973,PRQ TRLUML C MCHN ASP THRMBC,,,146.71,146.71,1 HCPCS,92974,CATH PLACE CARDIO BRACHYTX,,,159.17,159.17,1 HCPCS,92975,DISSOLVE CLOT HEART VESSEL,,,249.43,592.40048,13 HCPCS,92977,DISSOLVE CLOT HEART VESSEL,,,249.43,592.40048,13 HCPCS,92979,ENDOLUMINL IVUS OCT C EA,,,137.79,137.79,1 HCPCS,92986,REVISION OF AORTIC VALVE,,,965.88,21009.267027,22 HCPCS,92987,REVISION OF MITRAL VALVE,,,1043.85,42613.060007,22 HCPCS,92990,REVISION OF PULMONARY VALVE,,,819.02,42613.060007,22 HCPCS,92997,PUL ART BALLOON REPR PERCUT,,,283.71,42613.060007,23 HCPCS,92998,PUL ART BALLOON REPR PERCUT,,,283.71,42613.060007,23 HCPCS,93000,ELECTROCARDIOGRAM COMPLETE,,,28.7,28.7,1 HCPCS,93010,ELECTROCARDIOGRAM REPORT,,,12.3,12.3,1 HCPCS,93015,CV STRESS TEST SUPVJ I&R,,,95.91,95.91,1 HCPCS,93016,CV STRESS TEST SUPVJ ONLY,,,24.57,24.57,1 HCPCS,93018,CV STRESS TEST I&R ONLY,,,18.84,18.84,1 HCPCS,93024,ERGONOVINE PROVOCATION TEST,,,104.53,1648.99294,22 HCPCS,93025,MICROVOLT T-WAVE ASSESS,,,165.495,474.97065,22 HCPCS,93040,RHYTHM ECG WITH REPORT,,,13.07,13.07,1 HCPCS,93041,RHYTHM ECG TRACING,,,5.13,217.758093,22 HCPCS,93042,RHYTHM ECG REPORT,,,8.53,8.53,1 HCPCS,93050,ART PRESSURE WAVEFORM ANALYS,,,15.38,106.765435,22 HCPCS,93145,INTERROG CRTD SINS BAT IP WO,,,165.495,474.97065,10 HCPCS,93146,INTERROG CRTD SINS BAT IP W/,,,165.495,474.97065,10 HCPCS,93150,THERAPY ACTIVATION IPNSS,,,116.6284,350.93499,21 HCPCS,93151,INTERROG&PRGRMG IPNSS,,,116.6284,350.93499,21 HCPCS,93152,INTERROG&PRGRMG IPNSS POLYSM,,,381.0656,1133.736674,21 HCPCS,93153,INTERROG W/O PRGRMG IPNSS,,,116.6284,350.93499,21 HCPCS,93224,XTRNL ECG REC UP TO 48 HRS,,,110.84,110.84,1 HCPCS,93225,XTRNL ECG REC<48 HRS REC,,,29.82,491.121001,22 HCPCS,93226,XTRNL ECG REC<48 HR SCAN A/R,,,55.94,217.758093,22 HCPCS,93227,XTRNL ECG REC<48 HR R&I,,,25.08,25.08,1 HCPCS,93228,REMOTE 30 DAY ECG REV/REPORT,,,21.55,137.765453,23 HCPCS,93229,REMOTE 30 DAY ECG TECH SUPP,,,395.6648,1377.43641,22 HCPCS,93242,EXT ECG>48HR<7D RECORDING,,,14.03,137.873652,22 HCPCS,93243,EXT ECG>48HR<7D SCAN A/R,,,163.7803,491.121001,21 HCPCS,93244,EXT ECG>48HR<7D REV&INTERPJ,,,21.06,21.06,1 HCPCS,93246,EXT ECG>7D<15D RECORDING,,,14.03,137.873652,22 HCPCS,93247,EXT ECG>7D<15D SCAN A/R,,,163.7803,491.121001,21 HCPCS,93248,EXT ECG>7D<15D REV&INTERPJ,,,23.17,23.17,1 HCPCS,93260,PRGRMG DEV EVAL IMPLTBL SYS,,,47.3807,137.765453,22 HCPCS,93261,INTERROGATE SUBQ DEFIB,,,47.3807,137.765453,22 HCPCS,93264,REM MNTR WRLS P-ART PRS SNR,,,44.72,137.765453,20 HCPCS,93268,ECG RECORD/REVIEW,,,141.44,141.44,1 HCPCS,93270,REMOTE 30 DAY ECG REV/REPORT,,,21.55,137.765453,23 HCPCS,93271,ECG/MONITORING AND ANALYSIS,,,79.8,350.93499,22 HCPCS,93272,ECG/REVIEW INTERPRET ONLY,,,21.75,21.75,1 HCPCS,93278,ECG/SIGNAL-AVERAGED,,,26.91,217.758093,22 HCPCS,93279,PRGRMG DEV EVAL PM/LDLS PM,,,47.3807,137.765453,22 HCPCS,93280,PM DEVICE PROGR EVAL DUAL,,,47.3807,137.765453,22 HCPCS,93281,PM DEVICE PROGR EVAL MULTI,,,47.3807,137.765453,22 HCPCS,93282,PRGRMG EVAL IMPLANTABLE DFB,,,47.3807,137.765453,24 HCPCS,93283,PRGRMG EVAL IMPLANTABLE DFB,,,47.3807,137.765453,24 HCPCS,93284,PRGRMG EVAL IMPLANTABLE DFB,,,47.3807,137.765453,24 HCPCS,93285,PRGRMG DEV EVAL SCRMS IP,,,42.23,137.765453,22 HCPCS,93286,PERI-PX EVAL PM/LDLS PM IP,,,23.84,23.84,1 HCPCS,93287,PERI-PX DEVICE EVAL & PRGR,,,31.19,31.19,1 HCPCS,93288,INTERROG EVL PM/LDLS PM IP,,,38.02,137.765453,22 HCPCS,93289,INTERROG DEVICE EVAL HEART,,,47.3807,137.765453,22 HCPCS,93290,INTERROG DEV EVAL ICPMS IP,,,27.4,137.765453,22 HCPCS,93291,INTERROG DEV EVAL SCRMS IP,,,31.117,106.765435,22 HCPCS,93292,WCD DEVICE INTERROGATE,,,36.62,137.765453,22 HCPCS,93293,PM PHONE R-STRIP DEVICE EVAL,,,47.3807,137.765453,22 HCPCS,93294,REM INTERROG EVL PM/LDLS PM,,,31.34,31.34,1 HCPCS,93295,DEV INTERROG REMOTE 1/2/MLT,,,56.76,56.76,1 HCPCS,93297,REM INTERROG DEV EVAL ICPMS,,,21.55,137.765453,20 HCPCS,93298,REM INTERROG DEV EVAL SCRMS,,,25.27,137.765453,20 HCPCS,93303,ECHO TRANSTHORACIC,,,83.48,2016.981183,23 HCPCS,93304,ECHO TRANSTHORACIC,,,83.48,2016.981183,23 HCPCS,93306,TTE W/DOPPLER COMPLETE,,,239.76,2016.981183,22 HCPCS,93307,TTE W/O DOPPLER COMPLETE,,,150.1,880.751627,22 HCPCS,93308,TTE F-UP OR LMTD,,,75.05,880.751627,22 HCPCS,93312,ECHO TRANSESOPHAGEAL,,,155.74,2016.981183,23 HCPCS,93313,ECHO TRANSESOPHAGEAL,,,155.74,2016.981183,23 HCPCS,93315,ECHO TRANSESOPHAGEAL,,,155.74,2016.981183,23 HCPCS,93316,ECHO TRANSESOPHAGEAL,,,155.74,2016.981183,23 HCPCS,93318,ECHO TRANSESOPHAGEAL INTRAOP,,,256.0,2016.981183,22 HCPCS,93320,DOPPLER ECHO COMPLETE,,,76.57,76.57,1 HCPCS,93321,DOPPLER ECHO F-UP/LMTD STD,,,38.94,38.94,1 HCPCS,93325,DOPPLER ECHO COLOR FLOW MAPG,,,77.88,77.88,1 HCPCS,93350,STRESS TTE ONLY,,,96.12,2016.981183,22 HCPCS,93351,STRESS TTE COMPLETE,,,247.29,2016.981183,22 HCPCS,93352,ADMIN ECG CONTRAST AGENT,,,34.77,34.77,1 HCPCS,93355,ECHO TRANSESOPHAGEAL (TEE),,,193.26,193.26,1 HCPCS,93451,RIGHT HEART CATH,,,698.63,15612.33,23 HCPCS,93452,LEFT HRT CATH W/VENTRCLGRPHY,,,762.86,11966.940272,22 HCPCS,93453,R&L HRT CATH W/VENTRICLGRPHY,,,998.44,11966.940272,22 HCPCS,93454,CORONARY ARTERY ANGIO S&I,,,787.65,15612.33,23 HCPCS,93455,CORONARY ART/GRFT ANGIO S&I,,,919.49,11966.940272,22 HCPCS,93456,R HRT CORONARY ARTERY ANGIO,,,985.01,11966.940272,22 HCPCS,93457,R HRT ART/GRFT ANGIO,,,1116.74,11966.940272,22 HCPCS,93458,L HRT ARTERY/VENTRICLE ANGIO,,,950.01,20265.0,23 HCPCS,93459,L HRT ART/GRFT ANGIO,,,1048.57,11966.940272,22 HCPCS,93460,R&L HRT ART/VENTRICLE ANGIO,,,1120.29,11966.940272,23 HCPCS,93461,R&L HRT ART/VENTRICLE ANGIO,,,1120.29,11966.940272,23 HCPCS,93462,L HRT CATH TRNSPTL PUNCTURE,,,165.14,165.14,1 HCPCS,93463,DRUG ADMIN & HEMODYNMIC MEAS,,,87.95,87.95,1 HCPCS,93464,EXERCISE W/HEMODYNAMIC MEAS,,,224.81,224.81,1 HCPCS,93503,INSERT/PLACE HEART CATHETER,,,126.98,5810.676333,23 HCPCS,93505,ENDOMYOCARDIAL BIOPSY,,,237.76,11655.206899,22 HCPCS,93563,NJX CGEN CAR CTH SLCTV C ANG,,,46.9,46.9,1 HCPCS,93564,NJX CGEN CAR CATH SLCTV OPAC,,,47.63,47.63,1 HCPCS,93565,NJX CAR CTH SLCTV LV/LA ANG,,,36.03,36.03,1 HCPCS,93566,NJX CAR CTH SLCTV RV/RA ANG,,,154.69,154.69,1 HCPCS,93567,NJX CAR CTH SPRVLV AORTGRPHY,,,93.2,93.2,1 HCPCS,93568,NJX CAR CTH NSLC P-ART ANGRP,,,93.2,93.2,1 HCPCS,93571,IV DOP VEL&/PRESS C FLO 1ST,,,242.81,242.81,1 HCPCS,93572,IV DOP VEL&/PRESS C FLO EA,,,224.77,224.77,1 HCPCS,93580,TRANSCATH CLOSURE OF ASD,,,603.92,67667.562186,22 HCPCS,93581,TRANSCATH CLOSURE OF VSD,,,760.72,67667.562186,22 HCPCS,93582,PERQ TRANSCATH CLOSURE PDA,,,565.26,67667.562186,22 HCPCS,93583,PERQ TRANSCATH SEPTAL REDUXN,,,503.21,503.21,1 HCPCS,93590,PERQ TRANSCATH CLS MITRAL,,,1006.03,67667.562186,22 HCPCS,93591,PERQ TRANSCATH CLS AORTIC,,,835.12,67667.562186,22 HCPCS,93592,PERQ TRANSCATH CLOSURE EACH,,,367.38,367.38,1 HCPCS,93593,R HRT CATH CHD NML NT CNJ,,,4086.7705,11966.940272,21 HCPCS,93594,R HRT CATH CHD ABNL NT CNJ,,,4086.7705,11966.940272,21 HCPCS,93595,L HRT CATH CHD NM/ABN NT CNJ,,,4086.7705,11966.940272,21 HCPCS,93596,R&L HRT CATH CHD NML NT CNJ,,,4086.7705,11966.940272,21 HCPCS,93597,R&L HRT CATH CHD ABNL NT CNJ,,,4086.7705,11966.940272,21 HCPCS,93600,BUNDLE OF HIS RECORDING,,,163.45,28790.894335,22 HCPCS,93602,INTRA-ATRIAL RECORDING,,,105.88,28790.894335,22 HCPCS,93603,RIGHT VENTRICULAR RECORDING,,,159.31,4494.300321,22 HCPCS,93609,INTRA-VNTR MAPG TCHYCAR SITE,,,293.96,293.96,1 HCPCS,93610,INTRA-ATRIAL PACING,,,105.88,28790.894335,22 HCPCS,93612,INTRAVENTRICULAR PACING,,,105.88,28790.894335,22 HCPCS,93613,INTRACARDIAC EPHYS 3D MAPG,,,312.54,312.54,1 HCPCS,93615,ESOPHAGEAL RECORDING,,,82.0,4494.300321,22 HCPCS,93616,ESOPHAGEAL RECORDING W/PACG,,,93.48,4494.300321,22 HCPCS,93618,INDCTJ ARRHYTHMIA ELEC PACG,,,176.92,4494.300321,22 HCPCS,93619,COMPREHENSIVE EP EVALUATION,,,596.46,28790.894335,22 HCPCS,93620,COMP EP EVL R AT VEN PAC&REC,,,699.34,28790.894335,22 HCPCS,93621,COMP EP EVL L PAC&REC C SINS,,,699.34,699.34,1 HCPCS,93622,COMP EP EVAL L VENTR PAC&REC,,,699.34,699.34,1 HCPCS,93624,EP F-UP STUDY PACG&REC,,,285.62,28790.894335,22 HCPCS,93631,NTRAOP EPICAR&ENDCAR PAC&MAP,,,561.65,561.65,1 HCPCS,93640,EP EVAL 1/2CHMBR PACG CVDFB,,,483.41,483.41,1 HCPCS,93641,EP EVL 1/2CHMB PAC CVDFB TST,,,543.06,543.06,1 HCPCS,93642,EP EVL 1/2CHMB TRNSVNS CVDFB,,,524.85,4494.300321,22 HCPCS,93644,EP EVAL SUBQ IMPL DFB,,,260.64,260.64,1 HCPCS,93650,ICAR CATH ABLTJ AV NODE FUNC,,,715.71,28790.894335,22 HCPCS,93653,COMPRE EP EVAL TX SVT,,,659.46,96482.66411,22 HCPCS,93654,COMPRE EP EVAL TX VT,,,880.22,96482.66411,22 HCPCS,93655,ICAR CATH ABLTJ DSCRT ARRHYT,,,329.8,329.8,1 HCPCS,93656,COMPRE EP EVAL ABLTJ ATR FIB,,,880.47,96482.66411,22 HCPCS,93657,TX L/R ATRIAL FIB ADDL,,,329.97,329.97,1 HCPCS,93660,TILT TABLE EVALUATION,,,479.943,1377.43641,21 HCPCS,93662,INTRACARDIAC ECG (ICE),,,270.56,270.56,1 HCPCS,93668,PERIPHERAL VASCULAR REHAB,,,75.4736,217.758093,21 HCPCS,93701,BIOIMPEDANCE CV ANALYSIS,,,163.7803,491.121001,21 HCPCS,93702,BIS XTRACELL FLUID ANALYSIS,,,105.13,474.97065,22 HCPCS,93724,ELEC ALYS ANTITCHYCAR PM SYS,,,274.98,1133.736674,22 HCPCS,93740,TEMPERATURE GRADIENT STUDIES,,,165.495,474.97065,21 HCPCS,93745,SET-UP CARDIOVERT-DEFIBRILL,,,74.23,1133.736674,22 HCPCS,93750,INTERROGATION VAD IN PERSON,,,44.29,350.93499,22 HCPCS,93784,AMBL BP MNTR W/SOFTWARE,,,48.4,48.4,1 HCPCS,93786,AMBL BP MNTR W/SW REC ONLY,,,27.39,491.121001,22 HCPCS,93788,AMBL BP MNTR W/SW A/R,,,4.81,491.121001,22 HCPCS,93790,AMBL BP MNTR W/SW I&R,,,16.15,16.15,1 HCPCS,93793,ANTICOAG MGMT PT WARFARIN,,,10.53,10.53,1 HCPCS,93797,PHYS/QHP OP CAR RHAB WO ECG,,,14.46,475.837677,22 HCPCS,93798,PHYS/QHP OP CAR RHAB W/ECG,,,22.25,475.837677,22 HCPCS,93799,UNLISTED CV SVC/PROCEDURE,,,165.495,474.97065,21 HCPCS,93880,EXTRACRANIAL BILAT STUDY,,,156.64,880.751627,22 HCPCS,93882,EXTRACRANIAL UNI/LTD STUDY,,,76.24,385.909097,22 HCPCS,93886,INTRACRANIAL COMPLETE STUDY,,,195.88,880.751627,22 HCPCS,93888,INTRACRANIAL LIMITED STUDY,,,130.16,385.909097,22 HCPCS,93890,TCD VASOREACTIVITY STUDY,,,211.24,428.62204,3 HCPCS,93892,TCD EMBOLI DETECT W/O INJ,,,134.4631,385.909097,22 HCPCS,93893,TCD STD ICR ART VEN-ART SHNT,,,134.4631,385.909097,22 HCPCS,93922,UPR/L XTREMITY ART 2 LEVELS,,,52.1,491.121001,22 HCPCS,93923,UPR/LXTR ART STDY 3+ LVLS,,,97.36,797.037171,22 HCPCS,93924,LWR XTR VASC STDY BILAT,,,106.42,797.037171,22 HCPCS,93925,LOWER EXTREMITY STUDY,,,84.89,880.751627,44 HCPCS,93926,LOWER EXTREMITY STUDY,,,84.89,880.751627,44 HCPCS,93930,UPPER EXTREMITY STUDY,,,82.86,880.751627,44 HCPCS,93931,UPPER EXTREMITY STUDY,,,82.86,880.751627,44 HCPCS,93970,EXTREMITY STUDY,,,84.56,880.751627,44 HCPCS,93971,EXTREMITY STUDY,,,84.56,880.751627,44 HCPCS,93975,VASCULAR STUDY,,,79.33,880.751627,46 HCPCS,93976,VASCULAR STUDY,,,79.33,880.751627,46 HCPCS,93978,VASCULAR STUDY,,,79.33,880.751627,46 HCPCS,93979,VASCULAR STUDY,,,79.33,880.751627,46 HCPCS,93980,PENILE VASCULAR STUDY,,,124.3,385.909097,23 HCPCS,93981,PENILE VASCULAR STUDY,,,124.3,385.909097,23 HCPCS,93985,DUP-SCAN HEMO COMPL BI STD,,,247.34,880.751627,22 HCPCS,93986,DUP-SCAN HEMO COMPL UNI STD,,,134.4631,385.909097,22 HCPCS,93990,DOPPLER FLOW TESTING,,,71.75,385.909097,22 HCPCS,93998,UNLISTD NONINVAS VASC DX STD,,,31.117,106.765435,21 HCPCS,94010,BREATHING CAPACITY TEST,,,24.6,797.037171,22 HCPCS,94011,SPIROMETRY UP TO 2 YRS OLD,,,165.495,474.97065,21 HCPCS,94012,SPIRMTRY W/BRNCHDIL INF-2 YR,,,277.7133,797.037171,21 HCPCS,94013,MEAS LUNG VOL THRU 2 YRS,,,479.943,1377.43641,21 HCPCS,94014,PATIENT RECORDED SPIROMETRY,,,14.43,1648.99294,44 HCPCS,94015,PATIENT RECORDED SPIROMETRY,,,14.43,1648.99294,44 HCPCS,94016,REVIEW PATIENT SPIROMETRY,,,23.48,95.8293,20 HCPCS,94060,EVALUATION OF WHEEZING,,,45.03,1377.43641,22 HCPCS,94070,EVALUATION OF WHEEZING,,,45.03,1377.43641,22 HCPCS,94150,VITAL CAPACITY TEST,,,5.57,474.97065,22 HCPCS,94200,LUNG FUNCTION TEST (MBC/MVV),,,16.4,217.758093,22 HCPCS,94375,RESPIRATORY FLOW VOLUME LOOP,,,23.22,797.037171,22 HCPCS,94450,BREATHING RESPONSE HYPOXIA,,,24.2,474.97065,22 HCPCS,94452,HAST W/I&R PHYS/QHP,,,163.7803,491.121001,21 HCPCS,94453,HAST W/SUPPL OXYGEN TITRJ,,,163.7803,491.121001,21 HCPCS,94610,INTRAPULM SURFACTANT ADMN,,,258.4273,808.309957,21 HCPCS,94617,EXERCISE TST BRNCSPSM W/ECG,,,86.45,491.121001,22 HCPCS,94618,PULMONARY STRESS TESTING,,,30.12,491.121001,22 HCPCS,94619,EXERCISE TST BRNCSPSM WO ECG,,,66.53,217.758093,22 HCPCS,94621,CARDIOPULM EXERCISE TESTING,,,99.61,1377.43641,22 HCPCS,94625,PHY/QHP OP PULM RHB W/O MNTR,,,59.31,217.758093,22 HCPCS,94626,PHY/QHP OP PULM RHB W/MNTR,,,67.14,217.758093,22 HCPCS,94662,NEG PRESS VENTILATION CNP,,,28.0,1133.991495,12 HCPCS,94667,MNPJ CHEST WALL 1ST,,,19.9,491.121001,22 HCPCS,94668,MNPJ CHEST WALL SBSQ,,,11.7,491.121001,22 HCPCS,94680,O2 UPTK RST&XERS DIR SIMPLE,,,41.0,474.97065,22 HCPCS,94681,O2 UPTK CO2 OUTP % O2 XTRC,,,82.0,1377.43641,22 HCPCS,94690,O2 UPTK REST INDIRECT,,,14.86,217.758093,22 HCPCS,94726,PLETHYSMOGRAPHY LUNG VOLUMES,,,48.09,1377.43641,22 HCPCS,94727,GAS DIL/WSHOT DETER LNG VOL,,,37.62,797.037171,22 HCPCS,94728,AIRWY RESIST BY OSCILLOMETRY,,,37.62,474.97065,22 HCPCS,94729,DIFFUSING CAPACITY,,,48.2,48.2,1 HCPCS,94762,N-INVAS EAR/PLS OXIMTRY CONT,,,165.495,474.97065,21 HCPCS,94772,CIRCADIAN RESPIR PATTERN REC,,,43.8,1377.43641,22 HCPCS,94775,PED HOME APNEA MNTR ATT ONLY,,,165.495,474.97065,21 HCPCS,94776,PED HOME APNEA MNTR DL&ALYS,,,165.495,474.97065,21 HCPCS,94799,UNLISTED PULMONARY SVC/PX,,,165.495,474.97065,21 HCPCS,95004,PERQ TESTS W/ALRGNC XTRCS,,,1.9,3169.867071,22 HCPCS,95012,NITRIC OXIDE EXP GAS DETER,,,18.75,137.873652,22 HCPCS,95017,ALL TSTG PERQ&IQ W/VENOMS,,,7.75,106.765435,22 HCPCS,95018,ALL TSTG PERQ&IQ DRUGS/BIOL,,,19.39,137.873652,22 HCPCS,95024,IQ TESTS W/ALLERGENIC XTRCS,,,2.8,217.758093,22 HCPCS,95027,IQ TSTS SEQL&INCRL AIRBORNE,,,2.8,106.765435,22 HCPCS,95028,IQ TSTS ALLERGY DELAYED RXN,,,4.2,137.873652,22 HCPCS,95044,PATCH/APPLICATION TESTS,,,3.7,3169.867071,22 HCPCS,95052,PHOTO PATCH TESTS,,,4.6,217.758093,22 HCPCS,95056,PHOTO TESTS,,,3.2,491.121001,22 HCPCS,95060,OPH MUCOUS MEMBRANE TESTS,,,6.5,491.121001,22 HCPCS,95065,DIR NSL MUCOUS MEMBRANE TEST,,,4.1,137.873652,22 HCPCS,95076,INGEST CHALLENGE INI 120 MIN,,,102.04,1377.43641,22 HCPCS,95079,INGEST CHALLENGE ADDL 60 MIN,,,70.57,70.57,1 HCPCS,95115,IMMUNOTHERAPY ONE INJECTION,,,4.9,172.848046,22 HCPCS,95117,IMMUNOTHERAPY INJECTIONS,,,9.45,172.848046,22 HCPCS,95144,ANTIGEN THERAPY SERVICES,,,8.59,265.775489,44 HCPCS,95145,ANTIGEN THERAPY SERVICES,,,8.59,265.775489,44 HCPCS,95146,ANTIGEN THERAPY SERVICES,,,8.59,265.775489,44 HCPCS,95147,ANTIGEN THERAPY SERVICES,,,8.59,265.775489,44 HCPCS,95148,ANTIGEN THERAPY SERVICES,,,8.59,265.775489,44 HCPCS,95149,ANTIGEN THERAPY SERVICES,,,8.59,265.775489,44 HCPCS,95165,ANTIGEN THERAPY SERVICES,,,8.59,265.775489,44 HCPCS,95170,ANTIGEN THERAPY SERVICES,,,8.59,265.775489,44 HCPCS,95199,UNLISTED ALL/IMMLG SVC/PX,,,5.1,106.765435,22 HCPCS,95249,CONT GLUC MNTR PT PROV EQP,,,75.4736,217.758093,21 HCPCS,95250,CONT GLUC MNTR PHYS/QHP EQP,,,138.19,491.446172,22 HCPCS,95251,CONT GLUC MNTR ANALYSIS I&R,,,29.0,29.0,1 HCPCS,95717,EEG PHYS/QHP 2-12 HR W/O VID,,,89.87,89.87,1 HCPCS,95718,EEG PHYS/QHP 2-12 HR W/VEEG,,,118.42,118.42,1 HCPCS,95719,EEG PHYS/QHP EA INCR W/O VID,,,139.05,139.05,1 HCPCS,95720,EEG PHY/QHP EA INCR W/VEEG,,,183.3,183.3,1 HCPCS,95721,EEG PHY/QHP>36<60 HR W/O VID,,,184.97,184.97,1 HCPCS,95722,EEG PHY/QHP>36<60 HR W/VEEG,,,224.28,224.28,1 HCPCS,95723,EEG PHY/QHP>60<84 HR W/O VID,,,229.16,229.16,1 HCPCS,95724,EEG PHY/QHP>60<84 HR W/VEEG,,,286.49,286.49,1 HCPCS,95725,EEG PHY/QHP>84 HR W/O VID,,,261.7,261.7,1 HCPCS,95726,EEG PHY/QHP>84 HR W/VEEG,,,362.05,362.05,1 HCPCS,95782,POLYSOM <6 YRS 4/> PARAMTRS,,,946.52,3169.867071,22 HCPCS,95783,POLYSOM <6 YRS CPAP/BILVL,,,1009.82,3169.867071,22 HCPCS,95800,SLP STDY UNATTENDED,,,137.76,797.037171,22 HCPCS,95801,SLP STDY UNATND W/ANAL,,,75.4736,217.758093,22 HCPCS,95805,MULTIPLE SLEEP LATENCY TEST,,,195.72,3169.867071,22 HCPCS,95806,SLEEP STUDY UNATT&RESP EFFT,,,82.72,797.037171,22 HCPCS,95807,SLEEP STUDY ATTENDED,,,211.29,1377.43641,22 HCPCS,95808,POLYSOM ANY AGE 1-3> PARAM,,,233.85,3169.867071,22 HCPCS,95810,POLYSOM 6/> YRS 4/> PARAM,,,348.07,3169.867071,22 HCPCS,95811,POLYSOM 6/>YRS CPAP 4/> PARM,,,357.72,3169.867071,22 HCPCS,95812,EEG 41-60 MINUTES,,,81.82,797.037171,22 HCPCS,95813,EEG EXTND MNTR 61-119 MIN,,,111.34,797.037171,22 HCPCS,95816,EEG AWAKE AND DROWSY,,,75.58,797.037171,22 HCPCS,95819,EEG AWAKE AND ASLEEP,,,65.01,797.037171,22 HCPCS,95822,EEG COMA OR SLEEP ONLY,,,65.01,797.037171,22 HCPCS,95824,EEG CEREBRAL DEATH ONLY,,,40.82,1377.43641,22 HCPCS,95829,SURGERY ELECTROCORTICOGRAM,,,222.48,222.48,1 HCPCS,95830,INSERT ELECTRODES FOR EEG,,,79.34,79.34,1 HCPCS,95836,ECOG IMPLTD BRN NPGT <30 D,,,47.3807,137.765453,22 HCPCS,95851,RANGE OF MOTION MEASUREMENTS,,,6.76,26.6049,40 HCPCS,95852,RANGE OF MOTION MEASUREMENTS,,,6.76,26.6049,40 HCPCS,95857,CHOLINESTERASE CHALLENGE,,,29.72,797.037171,22 HCPCS,95863,NEEDLE EMG 3 EXTREMITIES,,,111.45,474.97065,22 HCPCS,95864,NEEDLE EMG 4 EXTREMITIES,,,164.0,474.97065,22 HCPCS,95865,NEEDLE EMG LARYNX,,,99.84,491.121001,22 HCPCS,95866,NEEDLE EMG HEMIDIAPHRAGM,,,66.47,474.97065,22 HCPCS,95867,NDL EMG CRANIAL NRV MUSC UNI,,,48.23,797.037171,22 HCPCS,95868,NDL EMG CRANIAL NRV MUSC BI,,,81.41,797.037171,22 HCPCS,95869,NDL EMG THRC PARASPINAL MUSC,,,26.24,797.037171,22 HCPCS,95870,NDL EMG LMTD STD MUSC 1 XTR,,,20.25,491.121001,22 HCPCS,95872,NDL EMG SINGLE FIBER ELTRD,,,73.25,797.037171,22 HCPCS,95873,GUIDE NERV DESTR ELEC STIM,,,24.49,24.49,1 HCPCS,95874,GUIDE NERV DESTR NEEDLE EMG,,,24.83,24.83,1 HCPCS,95875,LIMB EXERCISE TEST,,,51.18,474.97065,22 HCPCS,95885,MUSC TST DONE W/NERV TST LIM,,,49.84,49.84,1 HCPCS,95886,MUSC TEST DONE W/N TEST COMP,,,76.84,76.84,1 HCPCS,95887,MUSC TST DONE W/N TST NONEXT,,,68.83,68.83,1 HCPCS,95905,MOTOR &/ SENS NRVE CNDJ TEST,,,70.8,1648.99294,22 HCPCS,95907,NVR CNDJ TST 1-2 STUDIES,,,82.81,797.037171,22 HCPCS,95908,NRV CNDJ TST 3-4 STUDIES,,,102.19,797.037171,22 HCPCS,95909,NRV CNDJ TST 5-6 STUDIES,,,122.34,797.037171,22 HCPCS,95910,NRV CNDJ TEST 7-8 STUDIES,,,160.95,1377.43641,22 HCPCS,95911,NRV CNDJ TEST 9-10 STUDIES,,,194.55,1377.43641,22 HCPCS,95912,NRV CNDJ TEST 11-12 STUDIES,,,227.53,1377.43641,22 HCPCS,95913,NRV CNDJ TEST 13/> STUDIES,,,263.45,1377.43641,22 HCPCS,95919,QUAN PUPLMTRY PHY/QHP UNI/BI,,,163.7803,491.121001,21 HCPCS,95921,AUTONOMIC NRV PARASYM INERVJ,,,165.495,474.97065,21 HCPCS,95922,AUTONOMIC NRV ADRENRG INERVJ,,,163.7803,491.121001,21 HCPCS,95923,AUTONOMIC NRV SYST FUNJ TEST,,,163.7803,491.121001,21 HCPCS,95924,ANS PARASYMP & SYMP W/TILT,,,128.82,797.037171,22 HCPCS,95925,SOMATOSENSORY TESTING,,,84.75,3169.867071,45 HCPCS,95926,SOMATOSENSORY TESTING,,,84.75,3169.867071,45 HCPCS,95927,SOMATOSENSORY TESTING,,,84.75,3169.867071,45 HCPCS,95928,C MOTOR EVOKED UPPR LIMBS,,,153.15,3169.867071,22 HCPCS,95929,C MOTOR EVOKED LWR LIMBS,,,159.69,1377.43641,22 HCPCS,95930,VISUAL EP TEST CNS W/I&R,,,34.44,797.037171,22 HCPCS,95933,BLINK REFLEX TEST,,,75.4736,217.758093,21 HCPCS,95937,NEUROMUSCULAR JUNCTION TEST,,,22.29,474.97065,22 HCPCS,95938,SOMATOSENSORY TESTING,,,84.75,3169.867071,45 HCPCS,95939,C MOTOR EVOKED UPR&LWR LIMBS,,,415.54,3169.867071,22 HCPCS,95940,IONM IN OPERATNG ROOM 15 MIN,,,27.05,27.05,1 HCPCS,95954,EEG MONITORING/GIVING DRUGS,,,479.943,1377.43641,21 HCPCS,95955,EEG DURING SURGERY,,,111.16,111.16,1 HCPCS,95957,EEG DIGITAL ANALYSIS,,,116.35,116.35,1 HCPCS,95958,EEG MONITORING/FUNCTION TEST,,,247.26,3169.867071,22 HCPCS,95965,MEG SPONTANEOUS,,,1104.4833,3169.867071,21 HCPCS,95966,MEG EVOKED SINGLE,,,1104.4833,3169.867071,21 HCPCS,95970,ALYS NPGT W/O PRGRMG,,,19.79,491.121001,22 HCPCS,95972,ALYS CPLX SP/PN NPGT W/PRGRM,,,64.73,350.93499,22 HCPCS,95976,ALYS SMPL CN NPGT PRGRMG,,,35.02,137.765453,22 HCPCS,95977,ALYS CPLX CN NPGT PRGRMG,,,46.54,350.93499,22 HCPCS,95981,IO ANAL GAST N-STIM SUBSQ,,,75.4736,217.758093,21 HCPCS,95982,IO GA N-STIM SUBSQ W/REPROG,,,47.3807,137.765453,21 HCPCS,95983,ALYS BRN NPGT PRGRMG 15 MIN,,,43.92,350.93499,22 HCPCS,95984,ALYS BRN NPGT PRGRMG ADDL 15,,,38.29,38.29,1 HCPCS,95990,SPIN/BRAIN PUMP REFIL & MAIN,,,49.52,1219.257508,44 HCPCS,95991,SPIN/BRAIN PUMP REFIL & MAIN,,,49.52,1219.257508,44 HCPCS,95999,UNLISTED NEUROLOGICAL DX PX,,,165.495,474.97065,21 HCPCS,96000,MOTION ANALYSIS VIDEO/3D,,,479.943,1377.43641,21 HCPCS,96001,MOTION TEST W/FT PRESS MEAS,,,1104.4833,3169.867071,21 HCPCS,96002,DYNAMIC SURFACE EMG,,,277.7133,797.037171,21 HCPCS,96003,DYNAMIC FINE WIRE EMG,,,470.60316,549.03702,2 HCPCS,96020,FUNCTIONAL BRAIN MAPPING,,,141.3,141.3,1 HCPCS,96105,ASSESSMENT OF APHASIA,,,51.2,367.5896,20 HCPCS,96113,DEVEL TST PHYS/QHP EA ADDL,,,51.87,51.87,1 HCPCS,96116,NUBHVL XM PHYS/QHP 1ST HR,,,56.2,797.037171,22 HCPCS,96121,NUBHVL XM PHY/QHP EA ADDL HR,,,70.17,70.17,1 HCPCS,96127,BRIEF EMOTIONAL/BEHAV ASSMT,,,4.81,137.873652,22 HCPCS,96130,PSYCL TST EVAL PHYS/QHP 1ST,,,257.63,797.037171,22 HCPCS,96131,PSYCL TST EVAL PHYS/QHP EA,,,75.81,75.81,1 HCPCS,96132,NRPSYC TST EVAL PHYS/QHP 1ST,,,116.97,1377.43641,22 HCPCS,96133,NRPSYC TST EVAL PHYS/QHP EA,,,86.43,86.43,1 HCPCS,96136,PSYCL/NRPSYC TST PHY/QHP 1ST,,,41.88,491.121001,22 HCPCS,96137,PSYCL/NRPSYC TST PHY/QHP EA,,,39.01,39.01,1 HCPCS,96138,PSYCL/NRPSYC TECH 1ST,,,35.69,1648.99294,22 HCPCS,96139,PSYCL/NRPSYC TST TECH EA,,,35.69,35.69,1 HCPCS,96146,PSYCL/NRPSYC TST AUTO RESULT,,,1.84,106.765435,22 HCPCS,96156,HLTH BHV ASSMT/REASSESSMENT,,,84.3,374.997644,22 HCPCS,96158,HLTH BHV IVNTJ INDIV 1ST 30,,,47.45,655.189143,22 HCPCS,96159,HLTH BHV IVNTJ INDIV EA ADDL,,,20.11,20.11,1 HCPCS,96160,PT-FOCUSED HLTH RISK ASSMT,,,37.8512,138.307309,21 HCPCS,96161,CAREGIVER HEALTH RISK ASSMT,,,37.8512,138.307309,21 HCPCS,96164,HLTH BHV IVNTJ GRP 1ST 30,,,10.5,138.307309,22 HCPCS,96165,HLTH BHV IVNTJ GRP EA ADDL,,,4.01,4.01,1 HCPCS,96167,HLTH BHV IVNTJ FAM 1ST 30,,,37.8512,138.307309,22 HCPCS,96168,HLTH BHV IVNTJ FAM EA ADDL,,,21.95,21.95,1 HCPCS,96170,HLTH BHV IVNTJ FAM WO PT 1ST,,,70.29,70.29,1 HCPCS,96171,HLTH BHV IVNTJ FAM W/O PT EA,,,25.55,25.55,1 HCPCS,96202,MLT FAM GRP BHV TRAIN 1ST 60,,,24.57,70.5159,19 HCPCS,96203,MLT FAM GRP BHV TRAIN EA ADD,,,6.91,19.8317,19 HCPCS,96369,SC THER INFUSION UP TO 1 HR,,,138.41,785.150492,22 HCPCS,96370,SC THER INFUSION ADDL HR,,,13.53,172.848046,22 HCPCS,96371,SC THER INFUSION RESET PUMP,,,67.73,265.775489,22 HCPCS,96377,APPLICATON ON-BODY INJECTOR,,,58.6255,172.848046,21 HCPCS,96379,UNL THER/PROP/DIAG INJ/INF,,,58.6255,172.848046,21 HCPCS,96405,CHEMO INTRALESIONAL UP TO 7,,,39.31,265.775489,22 HCPCS,96406,CHEMO INTRALESIONAL OVER 7,,,51.74,785.150492,22 HCPCS,96411,CHEMO IV PUSH ADDL DRUG,,,17.96,265.775489,22 HCPCS,96416,CHEMO PROLONG INFUSE W/PUMP,,,46.19,1219.257508,22 HCPCS,96420,CHEMO IA PUSH TECNIQUE,,,42.17,1219.257508,22 HCPCS,96423,CHEMO IA INFUSE EACH ADDL HR,,,16.72,172.848046,22 HCPCS,96425,CHEMOTHERAPY INFUSION METHOD,,,153.04,1219.257508,22 HCPCS,96440,CHMOTX ADMN PLRL CAV THRCNTS,,,166.38,1219.257508,22 HCPCS,96446,CHEMOTX ADMN PERTL CAV IMPL,,,124.26,1219.257508,22 HCPCS,96521,REFILL/MAINT PORTABLE PUMP,,,16.53,785.150492,22 HCPCS,96523,IRRIG DRUG DELIVERY DEVICE,,,75.4736,217.758093,21 HCPCS,96542,CHEMOTHERAPY INJECTION,,,85.52,1219.257508,22 HCPCS,96549,UNLISTED CHEMOTHERAPY PX,,,58.6255,172.848046,21 HCPCS,96567,PDT DSTR PRMLG LES SKN,,,252.4682,740.601491,21 HCPCS,96573,PDT DSTR PRMLG LES PHYS/QHP,,,175.99,740.601491,22 HCPCS,96574,DBRDMT PRMLG LES W/PDT,,,225.33,740.601491,22 HCPCS,96900,ACTINOTHERAPY UV LIGHT,,,7.4,137.873652,22 HCPCS,96910,PHOTCHMTX TAR&UVB/PTRLTM&UVB,,,24.6,217.758093,22 HCPCS,96912,PHOTOCHEMOTHERAPY PUVA,,,15.96,217.758093,22 HCPCS,96913,PHOTOCHEMOTX SEV DERMATOSES,,,32.63,1500.568881,22 HCPCS,96920,EXCIMER LSR PSRIASIS<250SQCM,,,124.29,740.601491,22 HCPCS,96921,EXCIMER LSR PSRIASIS 250-500,,,133.17,740.601491,22 HCPCS,96922,EXCIMER LSR PSRIASIS>500SQCM,,,182.15,1500.568881,22 HCPCS,96999,UNLISTED SPEC DERM SVC/PX,,,252.4682,740.601491,21 HCPCS,97007,MCHNL SCLP COOL MEAS FITG,,,1826.0345,5240.719015,10 HCPCS,97010,HOT OR COLD PACKS THERAPY,,,9.84,9.84,1 HCPCS,97012,MECHANICAL TRACTION THERAPY,,,11.14,53.4107,20 HCPCS,97014,ELECTRIC STIMULATION THERAPY,,,11.14,11.14,1 HCPCS,97016,VASOPNEUMATIC DEVICE THERAPY,,,11.14,43.7675,20 HCPCS,97018,PARAFFIN BATH THERAPY,,,7.7,22.099,20 HCPCS,97022,WHIRLPOOL THERAPY,,,11.14,58.6915,20 HCPCS,97024,DIATHERMY EG MICROWAVE,,,9.28,27.6381,20 HCPCS,97026,INFRARED THERAPY,,,8.66,24.8542,20 HCPCS,97028,ULTRAVIOLET THERAPY,,,9.84,31.1395,20 HCPCS,97032,APPL MODALITY 1+ESTIM EA 15,,,8.66,54.8457,20 HCPCS,97033,APP MDLTY 1+IONTPHRSIS EA 15,,,9.18,69.6549,20 HCPCS,97034,APP MDLTY 1+CNTRST BTH EA 15,,,7.83,51.1434,20 HCPCS,97035,APP MDLTY 1+ULTRASOUND EA 15,,,7.43,52.1766,20 HCPCS,97036,APP MDLTY 1+HUBBRD TNK EA 15,,,11.14,133.9716,20 HCPCS,97037,APPL MODALITY 1+LLLT PO PAIN,,,48.0396,137.873652,21 HCPCS,97039,UNLISTED MODALITY,,,14.27,14.27,1 HCPCS,97110,THERAPEUTIC EXERCISES,,,10.96,107.0797,20 HCPCS,97112,NEUROMUSCULAR REEDUCATION,,,12.22,120.3965,20 HCPCS,97113,AQUATIC THERAPY/EXERCISES,,,13.93,137.3008,20 HCPCS,97116,GAIT TRAINING THERAPY,,,11.28,107.0797,20 HCPCS,97124,MASSAGE THERAPY,,,10.29,111.0116,20 HCPCS,97129,THER IVNTJ 1ST 15 MIN,,,20.78,80.5896,20 HCPCS,97130,THER IVNTJ EA ADDL 15 MIN,,,19.84,76.1698,20 HCPCS,97139,UNLISTED THERAPEUTIC PX,,,7.65,7.65,1 HCPCS,97140,MANUAL THERAPY 1/> REGIONS,,,22.21,102.172,20 HCPCS,97150,GROUP THERAPEUTIC PROCEDURES,,,13.54,66.7275,20 HCPCS,97151,BHV ID ASSMT BY PHYS/QHP,,,117.5305,374.997644,21 HCPCS,97152,BHV ID SUPRT ASSMT BY 1 TECH,,,117.5305,374.997644,21 HCPCS,97153,ADAPTIVE BEHAVIOR TX BY TECH,,,117.5305,374.997644,21 HCPCS,97154,GRP ADAPT BHV TX BY TECH,,,37.8512,138.307309,21 HCPCS,97155,ADAPT BEHAVIOR TX PHYS/QHP,,,204.1473,655.189143,21 HCPCS,97156,FAM ADAPT BHV TX GDN PHY/QHP,,,37.8512,138.307309,21 HCPCS,97157,MULT FAM ADAPT BHV TX GDN,,,37.8512,138.307309,21 HCPCS,97158,GRP ADAPT BHV TX BY PHY/QHP,,,37.8512,138.307309,21 HCPCS,97161,PT EVAL LOW COMPLEX 20 MIN,,,126.19,362.8541,19 HCPCS,97162,PT EVAL MOD COMPLEX 30 MIN,,,126.19,362.8541,19 HCPCS,97163,PT EVAL HIGH COMPLEX 45 MIN,,,126.19,362.8541,20 HCPCS,97164,PT RE-EVAL EST PLAN CARE,,,86.04,247.7958,20 HCPCS,97165,OT EVAL LOW COMPLEX 30 MIN,,,128.99,371.0336,19 HCPCS,97166,OT EVAL MOD COMPLEX 45 MIN,,,128.99,371.0336,19 HCPCS,97167,OT EVAL HIGH COMPLEX 60 MIN,,,125.74,371.0336,20 HCPCS,97168,OT RE-EVAL EST PLAN CARE,,,87.32,251.9573,20 HCPCS,97530,THERAPEUTIC ACTIVITIES,,,11.14,130.2693,20 HCPCS,97533,SENSORY INTEGRATION,,,24.17,235.4261,20 HCPCS,97535,SELF CARE MNGMENT TRAINING,,,5.31,118.9041,20 HCPCS,97537,COMMUNITY/WORK REINTEGRATION,,,40.61,117.5265,19 HCPCS,97542,WHEELCHAIR MNGMENT TRAINING,,,39.57,114.4556,19 HCPCS,97552,GROUP CAREGIVER TRAINING,,,13.13,40.138,19 HCPCS,97598,DBRDMT OPN WND ADDL 20CM/<,,,53.47,53.47,1 HCPCS,97605,NEG PRS WND THER DME<=50SQCM,,,252.4682,740.601491,21 HCPCS,97606,NEG PRS WND THER DME>50 SQCM,,,507.6428,1500.568881,21 HCPCS,97607,NEG PRS WND THR NDME<=50SQCM,,,507.6428,1500.568881,21 HCPCS,97608,NEG PRS WND THER NDME>50SQCM,,,507.6428,1500.568881,21 HCPCS,97610,LOW FREQUENCY NON-THERMAL US,,,252.4682,740.601491,21 HCPCS,97750,PHYSICAL PERFORMANCE TEST,,,11.5,124.4145,20 HCPCS,97755,ASSISTIVE TECHNOLOGY ASSESS,,,48.65,140.7161,19 HCPCS,97760,ORTHOTIC MGMT&TRAING 1ST ENC,,,60.21,173.9794,19 HCPCS,97761,PROSTHETIC TRAING 1ST ENC,,,52.32,150.4741,19 HCPCS,97763,ORTHC/PROSTC MGMT SBSQ ENC,,,66.46,191.1994,19 HCPCS,97804,MEDICAL NUTRITION GROUP,,,13.91,47.6994,20 HCPCS,97813,ACUP 1/> W/ESTIM 1ST 15 MIN,,,20.0,106.765435,22 HCPCS,97814,ACUP 1/> W/ESTIM EA ADDL 15,,,20.0,20.0,1 HCPCS,98925,OSTEOPATH MANJ 1-2 REGIONS,,,27.57,79.703631,22 HCPCS,98926,OSTEOPATH MANJ 3-4 REGIONS,,,27.7713,79.703631,22 HCPCS,98927,OSTEOPATH MANJ 5-6 REGIONS,,,27.7713,79.703631,21 HCPCS,98928,OSTEOPATH MANJ 7-8 REGIONS,,,27.7713,79.703631,21 HCPCS,98929,OSTEOPATH MANJ 9-10 REGIONS,,,27.7713,79.703631,21 HCPCS,98940,CHIROPRACT MANJ 1-2 REGIONS,,,16.72,79.703631,22 HCPCS,98941,CHIROPRACT MANJ 3-4 REGIONS,,,16.72,79.703631,22 HCPCS,98942,CHIROPRACTIC MANJ 5 REGIONS,,,16.72,79.703631,22 HCPCS,98962,EDU&TRN PT SLF-MGMT NQHP 5-8,,,9.77,9.77,1 HCPCS,98966,PH1 ASSMT&MGMT NQHP 5-10,,,14.49,41.5863,19 HCPCS,98967,PH1 ASSMT&MGMT NQHP 11-20,,,28.26,81.1062,19 HCPCS,98968,PH1 ASSMT&MGMT NQHP 21-30,,,41.5,119.105,19 HCPCS,98970,NQHP OL DIG ASSMT&MGMT 5-10,,,14.49,41.5863,19 HCPCS,98971,NQHP OL DIG ASSMT&MGMT 11-20,,,26.33,75.5671,19 HCPCS,98972,NQHP OL DIG ASSMT&MGMT 21+,,,40.46,116.1202,19 HCPCS,98975,RTM 1ST SET-UP&PT EDUCAJ EQP,,,163.7422,491.446172,21 HCPCS,98976,RTM DEV SPLY RESP SYS 16-30D,,,47.3807,137.765453,21 HCPCS,98977,RTM DEV SPLY MSCSKL 16-30 D,,,47.3807,137.765453,21 HCPCS,98978,RTM DEV SPLY CBT 16-30 D,,,47.3807,137.765453,21 HCPCS,98979,RTM TX MGMT 1ST 10 MIN,,,16.43,47.1541,10 HCPCS,98980,RTM TX MGMT 1ST 20 MIN,,,35.88,102.9756,11 HCPCS,98981,RTM TX MGMT EA ADDL 20 MIN,,,35.38,101.5406,11 HCPCS,98984,RTM DEV SPLY RESP SYS 2-15 D,,,48.0019,137.765453,10 HCPCS,98985,RTM DEV SPLY MSCSK SYS 2-15D,,,48.0019,137.765453,10 HCPCS,98986,RTM DEV SPLY CBT 2-15 D,,,48.0019,137.765453,10 HCPCS,99056,MED SERVICE OUT OF OFFICE,,,7.5,7.5,1 HCPCS,99082,UNUSUAL PHYSICIAN TRAVEL,,,50.4,50.4,1 HCPCS,99091,COLLJ & INTERPJ DATA EA 30 D,,,48.32,48.32,1 HCPCS,99170,ANOGENITAL EXAM CHILD W IMAG,,,108.8,746.274046,22 HCPCS,99173,VISUAL ACUITY SCREEN,,,4.03,4.03,1 HCPCS,99183,HYPERBARIC OXYGEN THERAPY,,,92.9,92.9,1 HCPCS,99184,HYPOTHERMIA ILL NEONATE,,,199.1,199.1,1 HCPCS,99188,APP TOPICAL FLUORIDE VARNISH,,,18.0,18.0,1 HCPCS,99202,OFFICE O/P NEW SF 15 MIN,,,34.3,34.3,1 HCPCS,99203,OFFICE O/P NEW LOW 30 MIN,,,57.2,57.2,1 HCPCS,99204,OFFICE O/P NEW MOD 45 MIN,,,68.9,68.9,1 HCPCS,99205,OFFICE O/P NEW HI 60 MIN,,,82.7,82.7,1 HCPCS,99211,OFF/OP EST MAY X REQ PHY/QHP,,,12.0,12.0,1 HCPCS,99212,OFFICE O/P EST SF 10 MIN,,,11.41,11.41,1 HCPCS,99213,OFFICE O/P EST LOW 20 MIN,,,24.0,24.0,1 HCPCS,99214,OFFICE O/P EST MOD 30 MIN,,,37.5,37.5,1 HCPCS,99215,OFFICE O/P EST HI 40 MIN,,,57.2,57.2,1 HCPCS,99221,1ST HOSP IP/OBS SF/LOW 40,,,34.3,34.3,1 HCPCS,99222,1ST HOSP IP/OBS MODERATE 55,,,73.2,73.2,1 HCPCS,99223,1ST HOSP IP/OBS HIGH 75,,,80.1,80.1,1 HCPCS,99231,SBSQ HOSP IP/OBS SF/LOW 25,,,27.5,27.5,1 HCPCS,99232,SBSQ HOSP IP/OBS MODERATE 35,,,37.8,37.8,1 HCPCS,99233,SBSQ HOSP IP/OBS HIGH 50,,,45.8,45.8,1 HCPCS,99234,HOSP IP/OBS SM DT SF/LOW 45,,,74.7,74.7,1 HCPCS,99235,HOSP IP/OBS SAME DATE MOD 70,,,103.5,103.5,1 HCPCS,99236,HOSP IP/OBS SAME DATE HI 85,,,124.6,124.6,1 HCPCS,99238,HOSP IP/OBS DSCHRG MGMT 30/<,,,37.6,37.6,1 HCPCS,99239,HOSP IP/OBS DSCHRG MGMT >30,,,53.4,53.4,1 HCPCS,99242,OFF/OP CONSLTJ NEW/EST SF 20,,,47.2,47.2,1 HCPCS,99243,OFF/OP CNSLTJ NEW/EST LOW 30,,,59.5,59.5,1 HCPCS,99244,OFF/OP CNSLTJ NEW/EST MOD 40,,,81.4,81.4,1 HCPCS,99245,OFF/OP CONSLTJ NEW/EST HI 55,,,102.2,102.2,1 HCPCS,99252,IP/OBS CONSLTJ NEW/EST SF 35,,,32.46,32.46,1 HCPCS,99253,IP/OBS CNSLTJ NEW/EST LOW 45,,,46.44,46.44,1 HCPCS,99254,IP/OBS CNSLTJ NEW/EST MOD 60,,,65.01,65.01,1 HCPCS,99255,IP/OBS CONSLTJ NEW/EST HI 80,,,86.25,86.25,1 HCPCS,99304,1ST NF CARE SF/LOW MDM 25,,,37.8,37.8,1 HCPCS,99305,1ST NF CARE MODERATE MDM 35,,,46.9,46.9,1 HCPCS,99306,1ST NF CARE HIGH MDM 50,,,72.1,72.1,1 HCPCS,99307,SBSQ NF CARE SF MDM 10,,,13.7,13.7,1 HCPCS,99308,SBSQ NF CARE LOW MDM 20,,,27.5,27.5,1 HCPCS,99309,SBSQ NF CARE MODERATE MDM 30,,,40.0,40.0,1 HCPCS,99310,SBSQ NF CARE HIGH MDM 45,,,52.0,52.0,1 HCPCS,99315,NF DSCHRG MGMT 30 MIN/LESS,,,38.4,38.4,1 HCPCS,99316,NF DSCHRG MGMT 30 MIN+,,,46.6,46.6,1 HCPCS,99341,HOME/RES VST NEW SF MDM 15,,,41.2,41.2,1 HCPCS,99342,HOME/RES VST NEW LOW MDM 30,,,49.2,49.2,1 HCPCS,99344,HOME/RES VST NEW MOD MDM 60,,,77.0,77.0,1 HCPCS,99345,HOME/RES VST NEW HIGH MDM 75,,,94.3,94.3,1 HCPCS,99347,HOME/RES VST EST SF MDM 20,,,25.2,25.2,1 HCPCS,99348,HOME/RES VST EST LOW MDM 30,,,34.3,34.3,1 HCPCS,99349,HOME/RES VST EST MOD MDM 40,,,51.6,51.6,1 HCPCS,99350,HOME/RES VST EST HIGH MDM 60,,,80.1,80.1,1 HCPCS,99358,PROLONG SERVICE W/O CONTACT,,,42.2,42.2,1 HCPCS,99359,PROLONG SERV W/O CONTACT ADD,,,21.1,21.1,1 HCPCS,99360,PHYSICIAN STANDBY SERVICES,,,25.5,25.5,1 HCPCS,99366,TEAM CONF W/PAT BY HC PROF,,,30.54,30.54,1 HCPCS,99368,TEAM CONF W/O PAT BY HC PRO,,,31.44,31.44,1 HCPCS,99381,INIT PM E/M NEW PAT INFANT,,,45.33,45.33,1 HCPCS,99382,INIT PM E/M NEW PAT 1-4 YRS,,,47.13,47.13,1 HCPCS,99383,PREV VISIT NEW AGE 5-11,,,54.83,54.83,1 HCPCS,99384,PREV VISIT NEW AGE 12-17,,,65.78,65.78,1 HCPCS,99385,PREV VISIT NEW AGE 18-39,,,114.1,114.1,1 HCPCS,99386,PREV VISIT NEW AGE 40-64,,,132.2,132.2,1 HCPCS,99387,INIT PM E/M NEW PAT 65+ YRS,,,143.0,143.0,1 HCPCS,99391,PER PM REEVAL EST PAT INFANT,,,34.69,34.69,1 HCPCS,99392,PREV VISIT EST AGE 1-4,,,37.39,37.39,1 HCPCS,99393,PREV VISIT EST AGE 5-11,,,43.85,43.85,1 HCPCS,99394,PREV VISIT EST AGE 12-17,,,54.83,54.83,1 HCPCS,99395,PREV VISIT EST AGE 18-39,,,102.9,102.9,1 HCPCS,99396,PREV VISIT EST AGE 40-64,,,109.9,109.9,1 HCPCS,99397,PER PM REEVAL EST PAT 65+ YR,,,118.4,118.4,1 HCPCS,99401,PREV MED CNSL INDIV APPRX 15,,,12.94,12.94,1 HCPCS,99402,PREV MED CNSL INDIV APPRX 30,,,25.58,25.58,1 HCPCS,99403,PREV MED CNSL INDIV APPRX 45,,,38.37,38.37,1 HCPCS,99404,PREV MED CNSL INDIV APPRX 60,,,51.16,51.16,1 HCPCS,99406,BEHAV CHNG SMOKING 3-10 MIN,,,10.41,138.307309,22 HCPCS,99408,AUDIT/DAST 15-30 MIN,,,31.24,31.24,1 HCPCS,99409,AUDIT/DAST OVER 30 MIN,,,59.61,59.61,1 HCPCS,99411,PREVENTIVE COUNSELING GROUP,,,18.79,23.27,2 HCPCS,99412,PREVENTIVE COUNSELING GROUP,,,18.79,23.27,2 HCPCS,99415,PROLNG CLIN STAFF SVC 1ST HR,,,8.11,8.11,1 HCPCS,99416,PROLNG CLIN STAFF SVC EA ADD,,,4.49,4.49,1 HCPCS,99417,PROLNG OP E/M EACH 15 MIN,,,28.38,28.38,1 HCPCS,99418,PROLNG IP/OBS E/M EA 15 MIN,,,33.01,33.01,1 HCPCS,99424,PRIN CARE MGMT PHYS 1ST 30,,,71.31,71.31,1 HCPCS,99425,PRIN CARE MGMT PHYS EA ADDL,,,51.53,51.53,1 HCPCS,99426,PRIN CARE MGMT STAFF 1ST 30,,,54.41,374.997644,22 HCPCS,99427,PRIN CARE MGMT STAFF EA ADDL,,,41.93,41.93,1 HCPCS,99437,CHRNC CARE MGMT PHYS EA ADDL,,,52.49,52.49,1 HCPCS,99439,CHRNC CARE MGMT STAF EA ADDL,,,32.58,32.58,1 HCPCS,99445,REM MNTR PHYSIOL PARAM 2-15,,,48.0019,137.765453,10 HCPCS,99451,NTRPROF PH1/NTRNET/EHR 5/>,,,31.45,31.45,1 HCPCS,99453,REM MNTR PHYSIOL PARAM SETUP,,,17.77,491.446172,22 HCPCS,99454,REM MNTR PHYSIOL PARAM 16-30,,,47.3807,137.765453,22 HCPCS,99457,RPM TX MGMT 1ST 20 MIN,,,44.84,44.84,1 HCPCS,99458,RPM TX MGMT EA ADDL 20 MIN,,,35.59,35.59,1 HCPCS,99460,INIT NB EM PER DAY HOSP,,,47.2,491.446172,22 HCPCS,99461,INIT NB EM PER DAY NON-FAC,,,72.8,72.8,1 HCPCS,99462,SBSQ NB EM PER DAY HOSP,,,25.2,25.2,1 HCPCS,99463,SAME DAY NB DISCHARGE,,,93.28,491.446172,22 HCPCS,99465,NB RESUSCITATION,,,122.0,2439.743376,22 HCPCS,99468,NEONATE CRIT CARE INITIAL,,,299.0,299.0,1 HCPCS,99469,NEONATE CRIT CARE SUBSQ,,,143.52,143.52,1 HCPCS,99471,PED CRITICAL CARE INITIAL,,,299.0,299.0,1 HCPCS,99472,PED CRITICAL CARE SUBSQ,,,143.52,143.52,1 HCPCS,99473,SELF-MEAS BP PT EDUCAJ/TRAIN,,,31.117,106.765435,21 HCPCS,99475,PED CRIT CARE AGE 2-5 INIT,,,299.0,299.0,1 HCPCS,99476,PED CRIT CARE AGE 2-5 SUBSQ,,,143.52,143.52,1 HCPCS,99477,INIT DAY HOSP NEONATE CARE,,,265.48,265.48,1 HCPCS,99478,"SBSQ IC VLBW INF<1,500 GM",,,121.51,121.51,1 HCPCS,99479,"SBSQ IC LBW INF 1,500-2,500",,,104.41,104.41,1 HCPCS,99480,"SBSQ IC INF PBW 2,501-5,000",,,98.63,98.63,1 HCPCS,99483,ASSMT & CARE PLN PT COG IMP,,,117.5305,374.997644,22 HCPCS,99484,CARE MGMT SVC BHVL HLTH COND,,,37.8512,138.307309,21 HCPCS,99485,SUPRV INTERFACILTY TRANSPORT,,,62.57,62.57,1 HCPCS,99486,SUPRV INTERFAC TRNSPORT ADDL,,,54.44,54.44,1 HCPCS,99487,CPLX CHRNC CARE 1ST 60 MIN,,,204.1473,655.189143,21 HCPCS,99490,CHRNC CARE MGMT STAFF 1ST 20,,,45.11,374.997644,22 HCPCS,99491,CHRNC CARE MGMT PHYS 1ST 30,,,71.19,71.19,1 HCPCS,99492,1ST PSYC COLLAB CARE MGMT,,,117.5305,374.997644,22 HCPCS,99493,SBSQ PSYC COLLAB CARE MGMT,,,112.14,374.997644,22 HCPCS,99494,1ST/SBSQ PSYC COLLAB CARE,,,57.88,57.88,1 HCPCS,99495,TRANSJ CARE MGMT MOD F2F 14D,,,163.7422,491.446172,21 HCPCS,99496,TRANSJ CARE MGMT HIGH F2F 7D,,,163.7422,491.446172,21 HCPCS,99605,MTMS BY PHARM NP 15 MIN,,,43.0,43.0,1 HCPCS,99606,MTMS BY PHARM EST 15 MIN,,,43.0,43.0,1 HCPCS,99607,MTMS BY PHARM ADDL 15 MIN,,,32.0,32.0,1 HCPCS,A0120,Noner transport mini-bus,,,17.65,17.65,1 HCPCS,A0130,Noner transport wheelch van,,,20.3,20.3,1 HCPCS,A0225,Neonatal emergency transport,,,179.92,179.92,1 HCPCS,A0380,Basic life support mileage,,,1.5,1.5,1 HCPCS,A0390,Advanced life support mileag,,,1.3,1.3,1 HCPCS,A0420,Ambulance waiting 1/2 hr,,,19.76,19.76,1 HCPCS,A0422,Ambulance 02 life sustaining,,,9.98,9.98,1 HCPCS,A0424,Extra ambulance attendant,,,16.44,16.44,1 HCPCS,A0425,Ground mileage,,,3.55,3.55,1 HCPCS,A0426,Als 1,,,107.16,107.16,1 HCPCS,A0427,Als1-emergency,,,118.2,118.2,1 HCPCS,A0428,Bls,,,107.16,107.16,1 HCPCS,A0429,Bls-emergency,,,118.2,118.2,1 HCPCS,A0430,Fixed wing air transport,,,1275.0,1275.0,1 HCPCS,A0431,Rotary wing air transport,,,1800.0,1800.0,1 HCPCS,A0433,Als 2,,,118.2,118.2,1 HCPCS,A0434,Specialty care transport,,,118.2,118.2,1 HCPCS,A0435,Fixed wing air mileage,,,14.25,14.25,1 HCPCS,A0436,Rotary wing air mileage,,,22.1,22.1,1 HCPCS,A2001,"Innovamatrix ac, per sq cm",,,160.0565,459.362155,10 HCPCS,A2002,Mirragen adv wnd mat per sq,,,160.0565,459.362155,10 HCPCS,A2005,"Microlyte matrix, per sq cm",,,160.0565,459.362155,10 HCPCS,A2006,Novosorb synpath per sq cm,,,160.0565,459.362155,10 HCPCS,A2007,"Restrata, per sq cm",,,160.0565,459.362155,10 HCPCS,A2008,"Theragenesis, per sq cm",,,160.0565,459.362155,10 HCPCS,A2009,"Symphony, per sq cm",,,160.0565,459.362155,10 HCPCS,A2010,"Apis, per square centimeter",,,160.0565,459.362155,10 HCPCS,A2011,"Supra sdrm, per sq cm",,,160.0565,459.362155,10 HCPCS,A2012,"Suprathel, per sq cm",,,160.0565,459.362155,10 HCPCS,A2013,"Innovamatrix fs, per sq cm",,,160.0565,459.362155,10 HCPCS,A2015,"Phoenix wnd mtrx, per sq cm",,,160.0565,459.362155,10 HCPCS,A2016,"Permeaderm b, per sq cm",,,160.0565,459.362155,10 HCPCS,A2018,"Permeaderm c, per sq cm",,,160.0565,459.362155,10 HCPCS,A2019,Kerecis marigen shld sq cm,,,160.0565,459.362155,10 HCPCS,A2021,Neomatrix per sq cm,,,160.0565,459.362155,10 HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,160.0565,459.362155,10 HCPCS,A2024,Resolve or xenopatch sq cm,,,160.0565,459.362155,10 HCPCS,A2025,Miro3d per cubic cm,,,160.0565,459.362155,10 HCPCS,A2027,Matriderm per sq cm,,,160.0565,459.362155,10 HCPCS,A2029,Mirotract matrix sheet,,,160.0565,459.362155,10 HCPCS,A2031,"Mirodry, per sq cm",,,160.0565,459.362155,10 HCPCS,A2036,Cohealyx col dml mx pr sq cm,,,160.0565,459.362155,10 HCPCS,A2038,"Marigen pacto, per sq cm",,,160.0565,459.362155,10 HCPCS,A2039,"Innovamatrix fd, per sq cm",,,160.0565,459.362155,10 HCPCS,A4221,Supp non-insulin inf cath/wk,,,40.556922,41.845628,2 HCPCS,A4222,Infusion supplies with pump,,,78.865612,79.372136,2 HCPCS,A4224,Supply insulin inf cath/wk,,,40.556922,41.845628,2 HCPCS,A4225,Sup/ext insulin inf pump syr,,,5.058522,5.614856,2 HCPCS,A4233,Alkalin batt for glucose mon,,,0.847212,0.847212,1 HCPCS,A4234,J-cell batt for glucose mon,,,3.920432,3.920432,1 HCPCS,A4235,Lithium batt for glucose mon,,,1.6612,1.6612,1 HCPCS,A4236,Silvr oxide batt glucose mon,,,1.926992,1.926992,1 HCPCS,A4238,Adju cgm supply allowance,,,457.178852,457.178852,1 HCPCS,A4239,Non-adju cgm supply allow,,,445.068704,445.068704,1 HCPCS,A4253,Blood glucose/reagent strips,,,13.821184,13.821184,1 HCPCS,A4255,Glucose monitor platforms,,,9.535288,9.535288,1 HCPCS,A4256,Calibrator solution/chips,,,5.614856,5.614856,1 HCPCS,A4257,Replace lensshield cartridge,,,29.619196,29.619196,1 HCPCS,A4258,Lancet device each,,,3.521744,3.521744,1 HCPCS,A4259,Lancets per box,,,2.358904,2.358904,1 HCPCS,A4265,Paraffin,,,7.907312,7.907312,1 HCPCS,A4267,Male condom,,,14.99,14.99,1 HCPCS,A4268,Female condom,,,10.83,10.83,1 HCPCS,A4269,Spermicide,,,14.99,14.99,1 HCPCS,A4271,Home lancing/test cartridges,,,55.533916,55.533916,1 HCPCS,A4280,Brst prsths adhsv attchmnt,,,3.0,12.027088,2 HCPCS,A4310,Insert tray w/o bag/cath,,,17.924348,17.924348,1 HCPCS,A4311,Catheter w/o bag 2-way latex,,,34.38684,34.38684,1 HCPCS,A4312,Cath w/o bag 2-way silicone,,,41.86224,41.86224,1 HCPCS,A4313,Catheter w/bag 3-way,,,42.991856,42.991856,1 HCPCS,A4314,Cath w/drainage 2-way latex,,,58.673584,58.673584,1 HCPCS,A4315,Cath w/drainage 2-way silcne,,,61.21522,61.21522,1 HCPCS,A4316,Cath w/drainage 3-way,,,65.916416,65.916416,1 HCPCS,A4320,Irrigation tray,,,10.532008,10.532008,1 HCPCS,A4322,Irrigation syringe,,,7.076712,7.076712,1 HCPCS,A4326,Male external catheter,,,21.67866,21.67866,1 HCPCS,A4327,Fem urinary collect dev cup,,,103.525984,103.525984,1 HCPCS,A4328,Fem urinary collect pouch,,,24.220296,24.220296,1 HCPCS,A4330,Stool collection pouch,,,16.013968,16.013968,1 HCPCS,A4331,Extension drainage tubing,,,7.375728,7.375728,1 HCPCS,A4332,Lube sterile packet,,,0.24918,0.24918,1 HCPCS,A4333,Urinary cath anchor device,,,5.14972,5.14972,1 HCPCS,A4334,Urinary cath leg strap,,,11.412444,11.412444,1 HCPCS,A4336,Urethral insert,,,3.339012,3.339012,1 HCPCS,A4338,Indwelling catheter latex,,,28.472968,28.472968,1 HCPCS,A4340,Indwelling catheter special,,,65.152264,65.152264,1 HCPCS,A4341,Iduc valve pat inst repl,,,566.352916,566.352916,1 HCPCS,A4342,Iduc valve sply repl,,,1430.027408,1430.027408,1 HCPCS,A4344,Cath indw foley 2 way silicn,,,37.144432,37.144432,1 HCPCS,A4346,Cath indw foley 3 way,,,44.088248,44.088248,1 HCPCS,A4349,Disposable male external cat,,,4.667972,4.667972,1 HCPCS,A4351,Straight tip urine catheter,,,3.57158,3.57158,1 HCPCS,A4352,Coude tip urinary catheter,,,14.900964,14.900964,1 HCPCS,A4353,Intermittent urinary cath,,,16.263148,16.263148,1 HCPCS,A4354,Cath insertion tray w/bag,,,27.4098,27.4098,1 HCPCS,A4355,Bladder irrigation tubing,,,20.698552,20.698552,1 HCPCS,A4356,Ext ureth clmp or compr dvc,,,105.9015,105.9015,1 HCPCS,A4357,Bedside drainage bag,,,22.542484,22.542484,1 HCPCS,A4358,Urinary leg or abdomen bag,,,15.183368,15.183368,1 HCPCS,A4360,Disposable ext urethral dev,,,1.146228,1.146228,1 HCPCS,A4361,Ostomy face plate,,,42.60978,42.60978,1 HCPCS,A4362,Solid skin barrier,,,7.923924,7.923924,1 HCPCS,A4363,"Ostomy clamp, replacement",,,5.498572,5.498572,1 HCPCS,A4364,"Adhesive, liquid or equal",,,5.797588,5.797588,1 HCPCS,A4366,Ostomy vent,,,2.99016,2.99016,1 HCPCS,A4367,Ostomy belt,,,16.1967,16.1967,1 HCPCS,A4368,Ostomy filter,,,0.58142,0.58142,1 HCPCS,A4369,Skin barrier liquid per oz,,,4.784256,4.784256,1 HCPCS,A4371,Skin barrier powder per oz,,,8.339224,8.339224,1 HCPCS,A4372,Skin barrier solid 4x4 equiv,,,9.751244,9.751244,1 HCPCS,A4373,Skin barrier with flange,,,14.552112,14.552112,1 HCPCS,A4375,Drainable plastic pch w fcpl,,,39.852188,39.852188,1 HCPCS,A4376,Drainable rubber pch w fcplt,,,110.436576,110.436576,1 HCPCS,A4377,Drainable plstic pch w/o fp,,,9.950588,9.950588,1 HCPCS,A4378,Drainable rubber pch w/o fp,,,71.365152,71.365152,1 HCPCS,A4379,Urinary plastic pouch w fcpl,,,34.851976,34.851976,1 HCPCS,A4380,Urinary rubber pouch w fcplt,,,86.648192,86.648192,1 HCPCS,A4381,Urinary plastic pouch w/o fp,,,10.731352,10.731352,1 HCPCS,A4382,Urinary hvy plstc pch w/o fp,,,57.14528,57.14528,1 HCPCS,A4383,Urinary rubber pouch w/o fp,,,65.418056,65.418056,1 HCPCS,A4384,Ostomy faceplt/silicone ring,,,22.293304,22.293304,1 HCPCS,A4385,Ost skn barrier sld ext wear,,,11.827744,11.827744,1 HCPCS,A4387,Ost clsd pouch w att st barr,,,5.216168,5.216168,1 HCPCS,A4388,Drainable pch w ex wear barr,,,10.116708,10.116708,1 HCPCS,A4389,Drainable pch w st wear barr,,,14.402604,14.402604,1 HCPCS,A4390,Drainable pch ex wear convex,,,22.276692,22.276692,1 HCPCS,A4391,Urinary pouch w ex wear barr,,,16.396044,16.396044,1 HCPCS,A4392,Urinary pouch w st wear barr,,,18.970904,18.970904,1 HCPCS,A4393,Urine pch w ex wear bar conv,,,20.980956,20.980956,1 HCPCS,A4394,Ostomy pouch liq deodorant,,,6.013544,6.013544,1 HCPCS,A4395,Ostomy pouch solid deodorant,,,0.08306,0.08306,1 HCPCS,A4396,Peristomal hernia supprt blt,,,93.957472,93.957472,1 HCPCS,A4398,Ostomy irrigation bag,,,32.077772,32.077772,1 HCPCS,A4399,Ostomy irrig cone/cath w brs,,,24.203684,24.203684,1 HCPCS,A4400,Ostomy irrigation set,,,113.426736,113.426736,1 HCPCS,A4402,Lubricant per ounce,,,3.704476,3.704476,1 HCPCS,A4404,Ostomy ring each,,,3.887208,3.887208,1 HCPCS,A4405,Nonpectin based ostomy paste,,,7.923924,7.923924,1 HCPCS,A4406,Pectin based ostomy paste,,,13.2896,13.2896,1 HCPCS,A4407,"Ext wear ost skn barr <=4sq""",,,20.333088,20.333088,1 HCPCS,A4408,"Ext wear ost skn barr >4sq""",,,22.907948,22.907948,1 HCPCS,A4409,Ost skn barr convex <=4 sq i,,,14.402604,14.402604,1 HCPCS,A4410,Ost skn barr extnd >4 sq,,,20.980956,20.980956,1 HCPCS,A4411,Ost skn barr extnd =4sq,,,11.827744,11.827744,1 HCPCS,A4412,Ost pouch drain high output,,,6.279336,6.279336,1 HCPCS,A4413,2 pc drainable ost pouch,,,12.79124,12.79124,1 HCPCS,A4414,Ost sknbar w/o conv<=4 sq in,,,11.412444,11.412444,1 HCPCS,A4415,Ost skn barr w/o conv >4 sqi,,,13.920856,13.920856,1 HCPCS,A4416,Ost pch clsd w barrier/filtr,,,6.39562,6.39562,1 HCPCS,A4417,Ost pch w bar/bltinconv/fltr,,,8.654852,8.654852,1 HCPCS,A4418,Ost pch clsd w/o bar w filtr,,,4.202836,4.202836,1 HCPCS,A4419,Ost pch for bar w flange/flt,,,4.003492,4.003492,1 HCPCS,A4422,Ost pouch absorbent material,,,0.24918,0.24918,1 HCPCS,A4423,Ost pch for bar w lk fl/fltr,,,4.302508,4.302508,1 HCPCS,A4424,Ost pch drain w bar & filter,,,11.04698,11.04698,1 HCPCS,A4425,Ost pch drain for barrier fl,,,8.306,8.306,1 HCPCS,A4426,Ost pch drain 2 piece system,,,6.329172,6.329172,1 HCPCS,A4427,Ost pch drain/barr lk flng/f,,,6.47868,6.47868,1 HCPCS,A4428,Urine ost pouch w faucet/tap,,,15.133532,15.133532,1 HCPCS,A4429,Urine ost pouch w bltinconv,,,19.153636,19.153636,1 HCPCS,A4430,Ost urine pch w b/bltin conv,,,19.76828,19.76828,1 HCPCS,A4431,Ost pch urine w barrier/tapv,,,14.402604,14.402604,1 HCPCS,A4432,Os pch urine w bar/fange/tap,,,8.322612,8.322612,1 HCPCS,A4433,Urine ost pch bar w lock fln,,,7.791028,7.791028,1 HCPCS,A4434,Ost pch urine w lock flng/ft,,,8.7213,8.7213,1 HCPCS,A4435,1pc ost pch drain hgh output,,,13.37266,13.37266,1 HCPCS,A4436,Irr supply sleev reus per mo,,,37.825524,37.825524,1 HCPCS,A4437,Irr supply sleev disp per mo,,,37.825524,37.825524,1 HCPCS,A4438,Adhesive clip ext ens contr,,,3.206116,3.206116,1 HCPCS,A4450,Non-waterproof tape,,,0.16612,0.16612,1 HCPCS,A4452,Waterproof tape,,,0.813988,0.813988,1 HCPCS,A4453,Rec cath man pump enema repl,,,22.858112,22.858112,1 HCPCS,A4455,Adhesive remover per ounce,,,3.305788,3.305788,1 HCPCS,A4456,"Adhesive remover, wipes",,,0.564808,0.564808,1 HCPCS,A4459,"Manual pump enema, reusable",,,261.256924,261.256924,1 HCPCS,A4461,Surgicl dress hold non-reuse,,,7.658132,7.658132,1 HCPCS,A4463,Surgical dress holder reuse,,,30.89832,30.89832,1 HCPCS,A4481,Tracheostoma filter,,,0.847212,0.847212,1 HCPCS,A4541,Monthly supp use with e0733,,,65.800132,65.800132,1 HCPCS,A4542,Supp ext up limb tremor stim,,,858.043024,858.043024,1 HCPCS,A4544,Electro nerve stimulator rls,,,10.332664,10.332664,1 HCPCS,A4545,Suppl accessor tibial stim,,,67.394884,67.394884,1 HCPCS,A4556,"Electrodes, pair",,,12.02,23.954504,2 HCPCS,A4557,"Lead wires, pair",,,16.05,27.925408,3 HCPCS,A4558,Conductive gel or paste,,,12.658344,12.658344,1 HCPCS,A4559,Coupling gel or paste,,,0.215956,0.215956,1 HCPCS,A4561,Pessary reusable rub anytype,,,46.297644,46.297644,1 HCPCS,A4562,Pessary reusable nonrubber,,,115.320504,115.320504,1 HCPCS,A4563,Vag inser rectal control sys,,,2671.442168,2671.442168,1 HCPCS,A4565,Slings,,,17.874512,17.874512,1 HCPCS,A4593,Neuromod sti sys adj rehab,,,73.109412,73.109412,1 HCPCS,A4594,Neuromod adj rehab mouthpie,,,5040.795116,5040.795116,1 HCPCS,A4595,Tens suppl 2 lead per month,,,17.44,38.412227,3 HCPCS,A4596,Ces system monthly supp,,,65.800132,65.800132,1 HCPCS,A4602,Replace lithium battery 1.5v,,,8.654852,8.654852,1 HCPCS,A4605,Trach suction cath close sys,,,38.074704,38.074704,1 HCPCS,A4608,Transtracheal oxygen cath,,,116.350448,116.350448,1 HCPCS,A4614,Hand-held pefr meter,,,55.201676,55.201676,1 HCPCS,A4615,Cannula nasal,,,0.85,1.694424,2 HCPCS,A4616,Tubing (oxygen) per foot,,,0.132896,0.132896,1 HCPCS,A4617,Mouth piece,,,7.192996,7.192996,1 HCPCS,A4618,Breathing circuits,,,2.392128,2.392128,1 HCPCS,A4619,Face tent,,,2.1,4.153,3 HCPCS,A4620,Variable concentration mask,,,0.74,1.478468,2 HCPCS,A4623,Tracheostomy inner cannula,,,12.940748,12.940748,1 HCPCS,A4624,Tracheal suction tube,,,6.129828,6.129828,1 HCPCS,A4625,Trach care kit for new trach,,,14.20326,14.20326,1 HCPCS,A4626,Tracheostomy cleaning brush,,,6.279336,6.279336,1 HCPCS,A4628,Oropharyngeal suction cath,,,8.47212,8.47212,1 HCPCS,A4629,Tracheostomy care kit,,,10.731352,10.731352,1 HCPCS,A4630,Repl bat t.e.n.s. own by pt,,,12.29288,12.29288,1 HCPCS,A4633,Uvl replacement bulb,,,95.253208,95.253208,1 HCPCS,A4635,Underarm crutch pad,,,1.611364,4.1,2 HCPCS,A4636,Handgrip for cane etc,,,0.621222,2.91,3 HCPCS,A4637,Repl tip cane/crutch/walker,,,0.365464,1.54,3 HCPCS,A4639,Infrared ht sys replcmnt pad,,,66.680568,66.680568,1 HCPCS,A4640,Alternating pressure pad,,,9.402392,45.18,3 HCPCS,A5051,Pouch clsd w barr attached,,,4.784256,4.784256,1 HCPCS,A5052,Clsd ostomy pouch w/o barr,,,3.455296,3.455296,1 HCPCS,A5053,Clsd ostomy pouch faceplate,,,4.003492,4.003492,1 HCPCS,A5054,Clsd ostomy pouch w/flange,,,4.169612,4.169612,1 HCPCS,A5055,Stoma cap,,,3.089832,3.089832,1 HCPCS,A5056,1 pc ost pouch w filter,,,10.847636,10.847636,1 HCPCS,A5057,1 pc ost pou w built-in conv,,,22.276692,22.276692,1 HCPCS,A5061,Pouch drainable w barrier at,,,8.206328,8.206328,1 HCPCS,A5062,Drnble ostomy pouch w/o barr,,,4.81748,4.81748,1 HCPCS,A5063,Drain ostomy pouch w/flange,,,6.279336,6.279336,1 HCPCS,A5071,Urinary pouch w/barrier,,,13.95408,13.95408,1 HCPCS,A5072,Urinary pouch w/o barrier,,,8.206328,8.206328,1 HCPCS,A5073,Urinary pouch on barr w/flng,,,7.375728,7.375728,1 HCPCS,A5081,"Stoma plug or seal, any type",,,7.691356,7.691356,1 HCPCS,A5082,Continent stoma catheter,,,23.489368,23.489368,1 HCPCS,A5083,Stoma absorptive cover,,,1.49508,1.49508,1 HCPCS,A5093,Ostomy accessory convex inse,,,4.535076,4.535076,1 HCPCS,A5102,Bedside drain btl w/wo tube,,,51.978948,51.978948,1 HCPCS,A5105,Urinary suspensory,,,94.638564,94.638564,1 HCPCS,A5112,Urinary leg bag,,,80.368856,80.368856,1 HCPCS,A5113,Latex leg strap,,,9.286108,9.286108,1 HCPCS,A5114,Foam/fabric leg strap,,,20.765,20.765,1 HCPCS,A5120,"Skin barrier, wipe or swab",,,0.531584,0.531584,1 HCPCS,A5121,Solid skin barrier 6x6,,,17.293092,17.293092,1 HCPCS,A5122,Solid skin barrier 8x8,,,29.801928,29.801928,1 HCPCS,A5126,Disk/foam pad +or- adhesive,,,2.591472,2.591472,1 HCPCS,A5131,Appliance cleaner,,,36.79558,36.79558,1 HCPCS,A5200,Percutaneous catheter anchor,,,26.213736,26.213736,1 HCPCS,A5504,Diabetic shoe with wedge,,,21.12,75.185912,2 HCPCS,A5505,Diab shoe w/metatarsal bar,,,21.12,75.185912,2 HCPCS,A5506,Diabetic shoe w/off set heel,,,21.12,75.185912,2 HCPCS,A5507,Modification diabetic shoe,,,21.12,75.185912,2 HCPCS,A5514,Mult den insert dir carv/cam,,,89.837696,89.837696,1 HCPCS,A6010,Collagen based wound filler,,,71.880124,71.880124,1 HCPCS,A6011,Collagen gel/paste wound fil,,,5.299228,5.299228,1 HCPCS,A6021,Collagen dressing <=16 sq in,,,48.806056,48.806056,1 HCPCS,A6022,Collagen drsg>16<=48 sq in,,,48.806056,48.806056,1 HCPCS,A6023,Collagen dressing >48 sq in,,,441.71308,441.71308,1 HCPCS,A6024,Collagen dsg wound filler,,,14.352768,14.352768,1 HCPCS,A6154,Wound pouch each,,,33.340284,33.340284,1 HCPCS,A6196,Alginate dressing <=16 sq in,,,17.077136,17.077136,1 HCPCS,A6197,Alginate drsg >16 <=48 sq in,,,38.174376,38.174376,1 HCPCS,A6199,Alginate drsg wound filler,,,12.243044,12.243044,1 HCPCS,A6203,Composite drsg <= 16 sq in,,,7.824252,7.824252,1 HCPCS,A6204,Composite drsg >16<=48 sq in,,,14.435828,14.435828,1 HCPCS,A6207,Contact layer >16<= 48 sq in,,,17.043912,17.043912,1 HCPCS,A6209,Foam drsg <=16 sq in w/o bdr,,,17.342928,17.342928,1 HCPCS,A6210,Foam drg >16<=48 sq in w/o b,,,46.247808,46.247808,1 HCPCS,A6211,Foam drg > 48 sq in w/o brdr,,,68.175648,68.175648,1 HCPCS,A6212,Foam drg <=16 sq in w/border,,,22.542484,22.542484,1 HCPCS,A6214,Foam drg > 48 sq in w/border,,,23.904668,23.904668,1 HCPCS,A6216,Non-sterile gauze<=16 sq in,,,0.08306,0.08306,1 HCPCS,A6219,Gauze <= 16 sq in w/border,,,2.209396,2.209396,1 HCPCS,A6220,Gauze >16 <=48 sq in w/bordr,,,6.013544,6.013544,1 HCPCS,A6222,Gauze <=16 in no w/sal w/o b,,,4.950376,4.950376,1 HCPCS,A6223,Gauze >16<=48 no w/sal w/o b,,,5.631468,5.631468,1 HCPCS,A6224,Gauze > 48 in no w/sal w/o b,,,8.355836,8.355836,1 HCPCS,A6229,Gauze >16<=48 sq in watr/sal,,,8.355836,8.355836,1 HCPCS,A6231,Hydrogel dsg<=16 sq in,,,10.88086,10.88086,1 HCPCS,A6232,Hydrogel dsg>16<=48 sq in,,,15.930908,15.930908,1 HCPCS,A6233,Hydrogel dressing >48 sq in,,,44.503548,44.503548,1 HCPCS,A6234,Hydrocolld drg <=16 w/o bdr,,,15.19998,15.19998,1 HCPCS,A6235,Hydrocolld drg >16<=48 w/o b,,,39.0382,39.0382,1 HCPCS,A6236,Hydrocolld drg > 48 in w/o b,,,63.241884,63.241884,1 HCPCS,A6237,Hydrocolld drg <=16 in w/bdr,,,18.35626,18.35626,1 HCPCS,A6238,Hydrocolld drg >16<=48 w/bdr,,,52.925832,52.925832,1 HCPCS,A6240,Hydrocolld drg filler paste,,,28.423132,28.423132,1 HCPCS,A6241,Hydrocolloid drg filler dry,,,5.963708,5.963708,1 HCPCS,A6242,Hydrogel drg <=16 in w/o bdr,,,14.053752,14.053752,1 HCPCS,A6243,Hydrogel drg >16<=48 w/o bdr,,,28.605864,28.605864,1 HCPCS,A6244,Hydrogel drg >48 in w/o bdr,,,91.183268,91.183268,1 HCPCS,A6245,Hydrogel drg <= 16 in w/bdr,,,16.877792,16.877792,1 HCPCS,A6246,Hydrogel drg >16<=48 in w/b,,,23.057456,23.057456,1 HCPCS,A6247,Hydrogel drg > 48 sq in w/b,,,55.201676,55.201676,1 HCPCS,A6248,Hydrogel drsg gel filler,,,37.70924,37.70924,1 HCPCS,A6251,Absorpt drg <=16 sq in w/o b,,,4.618136,4.618136,1 HCPCS,A6252,Absorpt drg >16 <=48 w/o bdr,,,7.55846,7.55846,1 HCPCS,A6253,Absorpt drg > 48 sq in w/o b,,,14.70162,14.70162,1 HCPCS,A6254,Absorpt drg <=16 sq in w/bdr,,,2.774204,2.774204,1 HCPCS,A6255,Absorpt drg >16<=48 in w/bdr,,,7.0601,7.0601,1 HCPCS,A6257,Transparent film <= 16 sq in,,,3.554968,3.554968,1 HCPCS,A6258,Transparent film >16<=48 in,,,10.000424,10.000424,1 HCPCS,A6259,Transparent film > 48 sq in,,,25.383136,25.383136,1 HCPCS,A6266,Impreg gauze no h20/sal/yard,,,4.435404,4.435404,1 HCPCS,A6402,Sterile gauze <= 16 sq in,,,0.24918,0.24918,1 HCPCS,A6403,Sterile gauze>16 <= 48 sq in,,,0.946884,0.946884,1 HCPCS,A6407,"Packing strips, non-impreg",,,4.335732,4.335732,1 HCPCS,A6410,Sterile eye pad,,,0.863824,0.863824,1 HCPCS,A6441,"Pad band w>=3"" <5""/yd",,,1.57814,1.57814,1 HCPCS,A6442,"Conform band n/s w<3""/yd",,,0.382076,0.382076,1 HCPCS,A6443,"Conform band n/s w>=3"" <5""/yd",,,0.647868,0.647868,1 HCPCS,A6444,"Conform band n/s w>=5""/yd",,,1.295736,1.295736,1 HCPCS,A6445,"Conform band s w <3""/yd",,,0.730928,0.730928,1 HCPCS,A6446,"Conform band s w>=3"" <5""/yd",,,0.897048,0.897048,1 HCPCS,A6447,"Conform band s w >=5""/yd",,,1.57814,1.57814,1 HCPCS,A6448,"Lt compres band <3""/yd",,,2.674532,2.674532,1 HCPCS,A6449,"Lt compres band >=3"" <5""/yd",,,4.06994,4.06994,1 HCPCS,A6450,"Lt compres band >=5""/yd",,,4.06994,4.06994,1 HCPCS,A6451,"Mod compres band w>=3""<5""/yd",,,4.06994,4.06994,1 HCPCS,A6452,"High compres band w>=3""<5""yd",,,13.688288,13.688288,1 HCPCS,A6453,"Self-adher band w <3""/yd",,,1.461856,1.461856,1 HCPCS,A6454,"Self-adher band w>=3"" <5""/yd",,,1.82732,1.82732,1 HCPCS,A6455,"Self-adher band >=5""/yd",,,3.23934,3.23934,1 HCPCS,A6456,"Zinc paste band w >=3""<5""/yd",,,2.9071,2.9071,1 HCPCS,A6457,Tubular dressing,,,2.641308,2.641308,1 HCPCS,A6520,G com garmnt glove nghttime,,,204.543556,204.543556,1 HCPCS,A6521,G com garmnt glove nght cust,,,811.595872,811.595872,1 HCPCS,A6522,G com garment arm nighttime,,,496.997816,496.997816,1 HCPCS,A6523,G com garment arm nght custm,,,1179.20282,1179.20282,1 HCPCS,A6524,G com garmnt lwr leg/ft nght,,,620.059512,620.059512,1 HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,1251.79726,1251.79726,1 HCPCS,A6526,G com garmt full leg/ft nght,,,1121.044208,1121.044208,1 HCPCS,A6527,G garmt full leg/ft nght cus,,,2061.449528,2061.449528,1 HCPCS,A6528,G com garment bra nighttime,,,1077.95268,1077.95268,1 HCPCS,A6529,G com garmt bra night custm,,,1703.328032,1703.328032,1 HCPCS,A6530,Compression stocking bk18-30,,,63.192048,63.192048,1 HCPCS,A6531,Compress stking bk30-40 surg,,,100.41954,100.41954,1 HCPCS,A6532,Compress stking bk40-50 surg,,,141.501016,141.501016,1 HCPCS,A6533,Gc stocking thighlngth 18-30,,,88.741304,88.741304,1 HCPCS,A6534,Gc stocking thighlngth 30-40,,,101.3332,101.3332,1 HCPCS,A6535,Gc stocking thighlngth 40+,,,116.666076,116.666076,1 HCPCS,A6536,Gc stocking full lngth 18-30,,,119.623012,119.623012,1 HCPCS,A6537,Gc stocking full lngth 30-40,,,141.816644,141.816644,1 HCPCS,A6538,Gc stocking full lngth 40+,,,166.03694,166.03694,1 HCPCS,A6539,Gc stocking waistlngth 18-30,,,158.295748,158.295748,1 HCPCS,A6540,Gc stocking waistlngth 30-40,,,188.728932,188.728932,1 HCPCS,A6541,Gc stocking waistlngth 40+,,,223.564296,223.564296,1 HCPCS,A6544,Gc stocking garter belt,,,11.5,11.5,1 HCPCS,A6545,Grad com non-elastic bk surg,,,71.56,197.732636,2 HCPCS,A6550,Neg pres wound ther drsg set,,,21.0,50.649988,3 HCPCS,A6552,Grad com stocking bk 30-40,,,93.77474,93.77474,1 HCPCS,A6553,G com stcking bk 30-40 custm,,,366.178316,366.178316,1 HCPCS,A6554,Grad com stocking bk 40+,,,128.942344,128.942344,1 HCPCS,A6555,G com stcking bk 40+ custm,,,366.178316,366.178316,1 HCPCS,A6556,G com stcking thgh18-30 cust,,,501.831908,501.831908,1 HCPCS,A6557,G com stcking thgh30-40 cust,,,501.831908,501.831908,1 HCPCS,A6558,G com stcking thgh 40+ cust,,,517.8791,517.8791,1 HCPCS,A6562,G com stckng waist18-30 cust,,,1642.395216,1642.395216,1 HCPCS,A6563,G com stckng waist30-40 cust,,,1642.395216,1642.395216,1 HCPCS,A6564,G com stckng waist 40+ cust,,,1769.211224,1769.211224,1 HCPCS,A6565,Grad comp gauntlet custom,,,283.799408,283.799408,1 HCPCS,A6566,Grad com garment neck/head,,,412.06066,412.06066,1 HCPCS,A6567,G com garment neck/head cust,,,1294.706056,1294.706056,1 HCPCS,A6568,G com garment torso/shldr,,,268.931668,268.931668,1 HCPCS,A6569,G com garmnt torso/shdr cust,,,1531.37722,1531.37722,1 HCPCS,A6570,Grad com garment genital,,,183.23036,183.23036,1 HCPCS,A6571,G com garment genital custm,,,1101.275928,1101.275928,1 HCPCS,A6572,Grad com garment toe caps,,,170.02382,170.02382,1 HCPCS,A6573,Grad com garmnt toe cap cust,,,403.455644,403.455644,1 HCPCS,A6574,Custom gradient sleev/glov,,,514.357356,514.357356,1 HCPCS,A6575,Gradient comp sleev/glov,,,166.684808,166.684808,1 HCPCS,A6576,Custom grad com sleeve med,,,315.677836,315.677836,1 HCPCS,A6577,Custom grad cm sleeve heavy,,,261.273536,261.273536,1 HCPCS,A6578,Gradient comp sleeve,,,128.676552,128.676552,1 HCPCS,A6579,Custom grad com glove med,,,506.699224,506.699224,1 HCPCS,A6580,Custom grad com glove heavy,,,502.978136,502.978136,1 HCPCS,A6581,Gradient comp glove,,,118.061484,118.061484,1 HCPCS,A6582,Gradient comp gauntlet,,,78.74088,78.74088,1 HCPCS,A6583,Grad com wrap w straps bk,,,259.014304,259.014304,1 HCPCS,A6585,Grad com wrap w straps ak,,,306.690744,306.690744,1 HCPCS,A6586,Grad com wrap w straps leg,,,903.52668,903.52668,1 HCPCS,A6587,Grad com wrap w straps foot,,,118.3605,118.3605,1 HCPCS,A6588,Grad com wrap w straps arm,,,394.468552,394.468552,1 HCPCS,A6589,Grad com wrap w straps bra,,,155.720888,155.720888,1 HCPCS,A6590,Urinary cath disp suc pump,,,726.60888,726.60888,1 HCPCS,A6591,Urinary cath suc pump,,,147.614232,147.614232,1 HCPCS,A6594,G comp bandge liner lwr extr,,,56.696756,56.696756,1 HCPCS,A6595,G comp bandge liner upr extr,,,55.766484,55.766484,1 HCPCS,A6596,G comp bandge conform gauze,,,0.299016,0.299016,1 HCPCS,A6597,G comp bandage long stretch,,,2.508412,2.508412,1 HCPCS,A6598,G comp bandage med stretch,,,1.212676,1.212676,1 HCPCS,A6599,G comp bandage short stretch,,,2.757592,2.757592,1 HCPCS,A6600,G com bandge hgh dn foam sht,,,4.966988,4.966988,1 HCPCS,A6601,G com bandge hgh dn foam pad,,,5.581632,5.581632,1 HCPCS,A6602,G com bandge hgh dn foamroll,,,8.13988,8.13988,1 HCPCS,A6603,G com bandge low dn foamchnl,,,3.82076,3.82076,1 HCPCS,A6604,G com bandge low dn foam flt,,,2.226008,2.226008,1 HCPCS,A6605,G com bandage padded foam,,,2.541636,2.541636,1 HCPCS,A6606,G com bandage padded textile,,,7.55846,7.55846,1 HCPCS,A6607,G com bandage tub protct lyr,,,2.026664,2.026664,1 HCPCS,A6608,G com bandage tub protct pad,,,8.422284,8.422284,1 HCPCS,A6610,G com stcking bk 18-30 custm,,,366.178316,366.178316,1 HCPCS,A7000,Disposable canister for pump,,,9.35,16.77812,3 HCPCS,A7001,Nondisposable pump canister,,,38.51,76.764052,2 HCPCS,A7002,Tubing used w suction pump,,,8.904032,8.904032,1 HCPCS,A7003,Nebulizer administration set,,,3.089832,4.230226,2 HCPCS,A7004,Disposable nebulizer sml vol,,,2.558248,3.032155,2 HCPCS,A7005,Nondisposable nebulizer set,,,19.037352,42.524125,3 HCPCS,A7006,Filtered nebulizer admin set,,,13.256376,16.56592,2 HCPCS,A7007,Lg vol nebulizer disposable,,,5.614856,7.720902,2 HCPCS,A7008,Disposable nebulizer prefill,,,25.516032,25.516032,1 HCPCS,A7009,Nebulizer reservoir bottle,,,97.612112,97.612112,1 HCPCS,A7010,Disposable corrugated tubing,,,30.100944,38.589719,2 HCPCS,A7012,Nebulizer water collec devic,,,5.598244,6.522831,2 HCPCS,A7013,Disposable compressor filter,,,1.096392,1.375563,2 HCPCS,A7014,Compressor nondispos filter,,,6.295948,7.646947,2 HCPCS,A7015,Aerosol mask used w nebulize,,,1.79,3.120901,3 HCPCS,A7016,Nebulizer dome & mouthpiece,,,16.844568,16.844568,1 HCPCS,A7017,Nebulizer not used w oxygen,,,22.974396,24.715761,2 HCPCS,A7018,Water distilled w/nebulizer,,,0.631256,0.695177,2 HCPCS,A7020,"Interface, cough stim device",,,16.85,33.589464,2 HCPCS,A7021,Suppl and access lung expan,,,220.457852,220.457852,1 HCPCS,A7025,Replace chest compress vest,,,100.951124,100.951124,1 HCPCS,A7026,Replace chst cmprss sys hose,,,66.713792,66.713792,1 HCPCS,A7028,Repl oral cushion combo mask,,,47.41,82.637317,3 HCPCS,A7039,"Filter, non disposable w pap",,,11.05,19.243091,3 HCPCS,A7040,One way chest drain valve,,,91.598568,91.598568,1 HCPCS,A7041,Water seal drain container,,,172.199992,172.199992,1 HCPCS,A7044,Pap oral interface,,,106.57,185.804542,3 HCPCS,A7045,Repl exhalation port for pap,,,2.541636,16.44,3 HCPCS,A7047,Resp suction oral interface,,,280.626516,280.626516,1 HCPCS,A7048,Vacuum drain bottle/tube kit,,,36.66,95.867852,2 HCPCS,A7501,Tracheostoma valve w diaphra,,,243.747876,243.747876,1 HCPCS,A7502,Replacement diaphragm/fplate,,,115.8687,115.8687,1 HCPCS,A7503,Hmes filter holder or cap,,,26.33002,26.33002,1 HCPCS,A7504,Tracheostoma hmes filter,,,1.57814,1.57814,1 HCPCS,A7505,Hmes or trach valve housing,,,10.88086,10.88086,1 HCPCS,A7506,Hmes/trachvalve adhesivedisk,,,0.74754,0.74754,1 HCPCS,A7508,Housing & integrated adhesiv,,,6.661412,6.661412,1 HCPCS,A7509,Heat & moisture exchange sys,,,3.272564,3.272564,1 HCPCS,A7521,Trach/laryn tube cuffed,,,109.190676,109.190676,1 HCPCS,A7522,Trach/laryn tube stainless,,,104.82172,104.82172,1 HCPCS,A7524,Tracheostoma stent/stud/bttn,,,179.692004,179.692004,1 HCPCS,A7525,Tracheostomy mask,,,4.784256,4.784256,1 HCPCS,A7526,Tracheostomy tube collar,,,7.874088,7.874088,1 HCPCS,A7527,Trach/laryn tube plug/stop,,,8.306,8.306,1 HCPCS,A9504,Tc99m apcitide,,,380.0,380.0,1 HCPCS,A9506,Tc-99m graphite crucible,,,328.6,943.082,19 HCPCS,A9507,In111 capromab,,,1730.29,4965.9323,11 HCPCS,A9508,"I131 iodobenguate, dx",,,460.96,2735.1387,11 HCPCS,A9510,Tc99m disofenin,,,34.83,34.83,1 HCPCS,A9513,Lutetium lu 177 dotatat ther,,,278.46,920.5812,22 HCPCS,A9515,Choline c-11,,,2062.94,7222.1541,19 HCPCS,A9517,"I131 iodide cap, rx",,,23.13,152.28,22 HCPCS,A9521,Tc99m exametazime,,,454.09,2662.5277,20 HCPCS,A9524,"I131 serum albumin, dx",,,45.45,45.45,1 HCPCS,A9526,Nitrogen n-13 ammonia,,,659.0,659.0,1 HCPCS,A9527,Iodine i-125 sodium iodide,,,94.65252,1431.921064,21 HCPCS,A9528,"Iodine i-131 iodide cap, dx",,,30.46,30.46,1 HCPCS,A9530,"I131 iodide sol, rx",,,20.77,59.6099,21 HCPCS,A9532,"I125 serum albumin, dx",,,469.06,1346.2022,10 HCPCS,A9536,Tc99m depreotide,,,608.0,608.0,1 HCPCS,A9542,"In111 ibritumomab, dx",,,798.02,3490.46,10 HCPCS,A9543,"Y90 ibritumomab, rx",,,14774.74,163086.4298,22 HCPCS,A9547,In111 oxyquinoline,,,233.29,2386.2902,20 HCPCS,A9552,F18 fdg,,,360.0,360.0,1 HCPCS,A9553,Cr51 chromate,,,168.04,5504.5452,11 HCPCS,A9554,"I125 iothalamate, dx",,,467.05,1864.4668,11 HCPCS,A9558,Xe133 xenon 10mci,,,235.61,235.61,1 HCPCS,A9559,Co57 cyano,,,129.94,129.94,1 HCPCS,A9560,Tc99m labeled rbc,,,51.8,51.8,1 HCPCS,A9561,Tc99m oxidronate,,,22.43,22.43,1 HCPCS,A9562,Tc99m mertiatide,,,306.98,306.98,1 HCPCS,A9563,P32 na phosphate,,,98.18,798.5488,20 HCPCS,A9564,P32 chromic phosphate,,,525.62,525.62,1 HCPCS,A9566,Tc99m fanolesomab,,,794.81,794.81,1 HCPCS,A9567,Technetium tc-99m aerosol,,,61.74,61.74,1 HCPCS,A9568,Technetium tc99m arcitumomab,,,809.51,1092.8385,9 HCPCS,A9570,Indium in-111 auto wbc,,,1031.39,3166.1553,19 HCPCS,A9576,Inj prohance multipack,,,1.42,1.42,1 HCPCS,A9577,Inj multihance,,,1.84,1.84,1 HCPCS,A9578,Inj multihance multipack,,,1.81,1.81,1 HCPCS,A9579,"Gad-base mr contrast nos,1ml",,,1.58,1.58,1 HCPCS,A9581,Gadoxetate disodium inj,,,14.75,14.75,1 HCPCS,A9584,Iodine i-123 ioflupane,,,1387.74,3982.8138,19 HCPCS,A9585,Gadobutrol injection,,,0.33,0.33,1 HCPCS,A9589,Insti hexaminolevulinate hcl,,,4156.92,4156.92,1 HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,324.85,475.454,3 HCPCS,A9592,Copper cu 64 dotatate diag,,,594.28,1705.5836,20 HCPCS,A9593,Gallium ga-68 psma-11 ucsf,,,534.91,1578.8731,21 HCPCS,A9596,Gallium illuccix 1 millicure,,,478.52,1388.352,22 HCPCS,A9602,Fluorodopa f-18 diag per mci,,,498.62,2455.4285,22 HCPCS,A9606,Radium ra223 dichloride ther,,,160.66,493.3817,22 HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,651.67,1926.3727,21 HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,530.0,1521.1,11 HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,36.091,107.625,21 HCPCS,A9616,Gallium gozellix 1 millicuri,,,1171.3,3361.631,11 HCPCS,A9697,"Inj, magtrace per study dose",,,1137.96,3598.98,19 HCPCS,A9800,Gallium locametz 1 millicuri,,,362.5,1222.816,22 HCPCS,B4164,Parenteral 50% dextrose solu,,,16.25,16.25,1 HCPCS,B4168,Parenteral sol amino acid 3.,,,23.7,23.7,1 HCPCS,B4176,Parenteral sol amino acid 7-,,,45.85,45.85,1 HCPCS,B4178,Parenteral sol amino acid >,,,55.03,55.03,1 HCPCS,B4180,Parenteral sol carb > 50%,,,23.33,23.33,1 HCPCS,B4185,Pn soln nos 10 grams lipids,,,10.74,10.74,1 HCPCS,B4216,Parenteral nutrition additiv,,,7.38,7.38,1 HCPCS,B9002,Enter nutr inf pump any type,,,907.45,907.45,1 HCPCS,C1052,"Hemostatic agent, gi, topic",,,1211.02,1615.07,2 HCPCS,C1716,"Brachytx, non-str, gold-198",,,426.30612,1855.550571,21 HCPCS,C1719,"Brachytx, ns, non-hdrir-192",,,548.27652,3283.172088,21 HCPCS,C2616,"Brachytx, non-str,yttrium-90",,,22216.5681,64207.423315,21 HCPCS,C2636,"Brachy linear, non-str,p-103",,,67.2274,323.006159,21 HCPCS,C2639,"Brachytx, non-stranded,i-125",,,44.6108,132.381907,21 HCPCS,C2641,"Brachytx, non-stranded,p-103",,,81.1739,232.969093,21 HCPCS,C2642,"Brachytx, stranded, c-131",,,137.0469,430.349612,21 HCPCS,C2643,"Brachytx, non-stranded,c-131",,,122.6891,360.581634,21 HCPCS,C2645,"Brachytx planar, p-103",,,5.9042,16.945054,21 HCPCS,C2698,"Brachytx, stranded, nos",,,44.3888,127.395856,21 HCPCS,C2699,"Brachytx, non-stranded, nos",,,44.6108,132.381907,21 HCPCS,C5271,Low cost skin substitute app,,,777.7724,3189.88964,22 HCPCS,C5273,Low cost skin substitute app,,,777.7724,3189.88964,22 HCPCS,C5275,Low cost skin substitute app,,,777.7724,3189.88964,22 HCPCS,C5277,Low cost skin substitute app,,,777.7724,3189.88964,22 HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,37.8512,138.307309,21 HCPCS,C7901,"Hopd mntl hlt, 30-60 min",,,117.5305,374.997644,21 HCPCS,C7903,"Hopd mntl hlt, grp",,,37.8512,138.307309,21 HCPCS,C8001,3d anat seg imaging preop,,,111.8763,474.97065,19 HCPCS,C8002,"Prep skin cell susp, automtd",,,7250.5,26196.368415,19 HCPCS,C8003,Imp extar knee shck absrb,,,22551.4185,64722.571095,19 HCPCS,C8004,Sim ang w/prs cath rad emb,,,14409.3282,42613.060007,11 HCPCS,C8005,Pef bronch ablt 3d nav ebus,,,22031.3795,63230.059165,11 HCPCS,C8006,Inst pleu-perit shnt w pump,,,7928.2264,23896.81105,11 HCPCS,C8900,"Mra w/cont, abd",,,448.7097,1287.796839,21 HCPCS,C8901,"Mra w/o cont, abd",,,306.8821,880.751627,21 HCPCS,C8902,"Mra w/o fol w/cont, abd",,,448.7097,1287.796839,21 HCPCS,C8903,"Mri w/cont, breast, uni",,,225.5949,647.457363,21 HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,448.7097,1287.796839,21 HCPCS,C8906,"Mri w/cont, breast, bi",,,448.7097,1287.796839,21 HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,448.7097,1287.796839,21 HCPCS,C8909,"Mra w/cont, chest",,,448.7097,1287.796839,21 HCPCS,C8910,"Mra w/o cont, chest",,,306.8821,880.751627,21 HCPCS,C8911,"Mra w/o fol w/cont, chest",,,448.7097,1287.796839,21 HCPCS,C8912,"Mra w/cont, lwr ext",,,448.7097,1287.796839,21 HCPCS,C8913,"Mra w/o cont, lwr ext",,,306.8821,880.751627,21 HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,448.7097,1287.796839,21 HCPCS,C8918,"Mra w/cont, pelvis",,,448.7097,1287.796839,21 HCPCS,C8919,"Mra w/o cont, pelvis",,,306.8821,880.751627,21 HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,1003.8502,2893.68611,21 HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,1003.8502,2893.68611,21 HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,1003.8502,2893.68611,21 HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,1003.8502,2893.68611,21 HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,1003.8502,2893.68611,21 HCPCS,C8927,"Tee w or w/o fol w/cont, mon",,,1003.8502,2893.68611,21 HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,1003.8502,2893.68611,21 HCPCS,C8929,"Tte w or wo fol wcon,doppler",,,1003.8502,2893.68611,21 HCPCS,C8930,"Tte w or w/o contr, cont ecg",,,1003.8502,2893.68611,21 HCPCS,C8931,"Mra, w/dye, spinal canal",,,448.7097,1287.796839,21 HCPCS,C8932,"Mra, w/o dye, spinal canal",,,306.8821,880.751627,21 HCPCS,C8933,"Mra, w/o&w/dye, spinal canal",,,448.7097,1287.796839,21 HCPCS,C8934,"Mra, w/dye, upper extremity",,,448.7097,1287.796839,21 HCPCS,C8935,"Mra, w/o dye, upper extr",,,306.8821,880.751627,21 HCPCS,C8936,"Mra, w/o&w/dye, upper extr",,,448.7097,1287.796839,21 HCPCS,C8957,"Prolonged iv inf, req pump",,,273.5716,785.150492,21 HCPCS,C9046,Cocaine hcl nasal (goprelto),,,1.8105,1.8105,2 HCPCS,C9047,"Injection, caplacizumab-yhdp",,,724.91,2302.4575,15 HCPCS,C9067,Gallium ga-68 dotatoc,,,3.61,10.3607,21 HCPCS,C9088,"Instill, bupivac and meloxic",,,0.71,2.962701,24 HCPCS,C9089,"Bupivacaine implant, 1 mg",,,0.85,1.458,11 HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,1.156,5.59,13 HCPCS,C9143,Cocaine hcl nasal (numbrino),,,1.43,2.2865,3 HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.493,4.94,14 HCPCS,C9145,"Inj, aponvie, 1 mg",,,1.86,6.27,24 HCPCS,C9150,"Xe129 xenon, diagnostic",,,1060.8,1060.8,2 HCPCS,C9160,Inj daxibotulinumtoxina-lanm,,,3.11,8.9257,23 HCPCS,C9169,"Inj, nogapendekin pmln 1 mcg",,,91.29,91.29,2 HCPCS,C9170,"Inj, tarlatamab-dlle, 1 mg",,,1530.0,1530.0,2 HCPCS,C9171,"Inj, pegulicianine, 1 mg",,,36.091,107.625,21 HCPCS,C9172,"Inj, beqvez, per tx dose",,,3570000.0,4866750.0,10 HCPCS,C9173,"Inj, nypozi, 1 mcg",,,0.527,0.729,10 HCPCS,C9174,"Datopotamab deruxtecan, 1 mg",,,49.8865,147.9485,13 HCPCS,C9175,"Inj, treosulfan, 50 mg",,,31.11,89.544,13 HCPCS,C9176,Dom nonheu tc99m add-on/dose,,,10.0,28.7,10 HCPCS,C9248,"Inj, clevidipine butyrate",,,2.8,3.8205,10 HCPCS,C9250,Artiss fibrin sealant,,,134.5,408.8889,21 HCPCS,C9254,"Injection, lacosamide",,,0.204,4.82,3 HCPCS,C9257,Bevacizumab injection,,,1.82,211.3181,47 HCPCS,C9285,"Patch, lidocaine/tetracaine",,,16.95,17.289,3 HCPCS,C9290,"Inj, bupivacaine liposome",,,1.445,5.85,24 HCPCS,C9293,"Injection, glucarpidase",,,389.26,1287.7403,13 HCPCS,C9300,"Indigotindisulfonate, 1 mg",,,10.2,10.2,2 HCPCS,C9301,Obecabtagene car pos t,,,267750.0,267750.0,2 HCPCS,C9302,"Inj zanidatamab, 2 mg",,,24.174,24.174,2 HCPCS,C9303,"Inj zolbetuximab, 1 mg",,,16.32,16.32,2 HCPCS,C9304,"Inj marstacimab, 0.5 mg",,,52.02,52.02,2 HCPCS,C9305,"Inj, nipocalimab-aahu, 3 mg",,,31.824,93.9638,13 HCPCS,C9306,Telisotuzumab vedotin-tllv,,,142.596,418.6469,13 HCPCS,C9307,Inj linvoseltamab-gcpt 1 mg,,,95.88,277.8734,12 HCPCS,C9308,"Inj, carboplatin (avyxa)",,,5.1,14.7805,12 HCPCS,C9360,"Surgimend, neonatal",,,9.0,9.0,1 HCPCS,C9361,Neuromend nerve wrap,,,212.09,212.09,1 HCPCS,C9362,"Implnt,bon void filler-strip",,,40.7,40.7,1 HCPCS,C9363,Integra meshed bil wound mat,,,14.3,459.362155,11 HCPCS,C9364,"Porcine implant, permacol",,,14.14,14.14,1 HCPCS,C9460,"Injection, cangrelor",,,18.82,57.1991,24 HCPCS,C9462,"Injection, delafloxacin",,,0.51,4.93,3 HCPCS,C9482,Sotalol hydrochloride iv,,,22.78,72.0083,24 HCPCS,C9488,Conivaptan hcl,,,49.03,66.136,3 HCPCS,C9600,Perc drug-el cor stent sing,,,14409.3282,42613.060007,21 HCPCS,C9602,Perc d-e cor stent ather s,,,22815.8084,67667.562186,21 HCPCS,C9604,Perc d-e cor revasc t cabg s,,,14409.3282,42613.060007,21 HCPCS,C9607,Perc d-e cor revasc chro sin,,,22815.8084,67667.562186,21 HCPCS,C9727,Insert palate implants,,,1882.1144,5727.359659,21 HCPCS,C9728,"Place device/marker, non pro",,,155.26,5109.240297,22 HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,6459.2476,19791.996707,21 HCPCS,C9740,Cysto impl 4 or more,,,11749.4288,34943.545518,21 HCPCS,C9751,"Microwave bronch, 3d, ebus",,,3750.5,6885.45298,11 HCPCS,C9757,Spine device implant surgery,,,16348.5815,47391.418004,21 HCPCS,C9758,Blind interatrial shunt ide,,,17500.5,63230.059165,21 HCPCS,C9760,Non-blind interatrial shunt,,,27500.5,99360.489165,21 HCPCS,C9761,"Cysto, litho, vacuum kidney",,,11749.4288,34943.545518,21 HCPCS,C9762,Cardiac mri seg dys strain,,,696.67,2016.981183,21 HCPCS,C9763,Cardiac mri seg dys stress,,,696.67,2016.981183,21 HCPCS,C9764,Revasc intravasc lithotripsy,,,14409.3282,42613.060007,21 HCPCS,C9765,Revasc intra lithotrip-stent,,,22815.8084,67667.562186,21 HCPCS,C9766,Revasc intra lithotrip-ather,,,22815.8084,67667.562186,21 HCPCS,C9767,Revasc lithotrip-stent-ather,,,22815.8084,67667.562186,21 HCPCS,C9769,Cysto w/temp pros implant,,,13812.20256,16114.23632,2 HCPCS,C9772,Revasc lithotrip tibi/perone,,,14409.3282,42613.060007,21 HCPCS,C9773,Revasc lithotr-stent tib/per,,,22815.8084,67667.562186,21 HCPCS,C9774,Revasc lithotr-ather tib/per,,,22815.8084,67667.562186,21 HCPCS,C9775,Revasc lith-sten-ath tib/per,,,22815.8084,67667.562186,21 HCPCS,C9777,Esophag muc integ w/eso egd,,,4834.0358,14231.704053,21 HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,6272.2534,18465.540107,21 HCPCS,C9779,Esd endoscopy or colonoscopy,,,4834.0358,14231.704053,21 HCPCS,C9780,Insert cv cath inf & sup app,,,8250.5,29809.411415,21 HCPCS,C9781,Arthro/shoul surg; w/spacer,,,16348.5815,47391.418004,21 HCPCS,C9782,Blind myocar trpl bon marrow,,,17500.5,63230.059165,21 HCPCS,C9783,Blind cor sinus reducer impl,,,14409.3282,42613.060007,21 HCPCS,C9784,Endo sleeve gastro w/tube,,,13228.4961,18005.8312,11 HCPCS,C9785,Endo outlet restrict w/tube,,,13228.4961,39237.899827,21 HCPCS,C9786,Echo cad for hf preserved ef,,,447.83316,522.47202,2 HCPCS,C9787,Gastric ep mapg simult pt sx,,,803.61012,937.54514,2 HCPCS,C9789,Instill pharm renal pelvis,,,1574.2545,4518.110415,21 HCPCS,C9790,Kidney histotripsy w/image,,,19670.88684,22949.36798,2 HCPCS,C9791,Mri hyperpolarized xenon129,,,1250.5,4518.110415,21 HCPCS,C9792,Blind/nonblind trans atrial,,,9750.5,35228.975915,21 HCPCS,C9793,Pre-plan 3d model w/ccta,,,1104.4833,3169.867071,21 HCPCS,C9794,Complex simulation w/pet-ct,,,1950.5,7047.240515,21 HCPCS,C9795,Sbrt w/positron emission del,,,3750.5,11744.196415,21 HCPCS,C9796,Rpr intst excl anrect fist,,,3484.4807,10245.794958,19 HCPCS,C9797,Vasc emb/occ w/prs cath,,,22815.8084,67667.562186,19 HCPCS,C9901,Endo defect closure gi tract,,,13228.4961,39237.899827,19 HCPCS,D0120,Periodic oral evaluation,,,163.7422,491.446172,21 HCPCS,D0140,Limit oral eval problm focus,,,163.7422,491.446172,21 HCPCS,D0150,Comprehensve oral evaluation,,,163.7422,491.446172,21 HCPCS,D0160,Extensv oral eval prob focus,,,163.7422,491.446172,21 HCPCS,D0170,"Re-eval,est pt,problem focus",,,163.7422,491.446172,21 HCPCS,D0171,Re-eval post-op visit,,,163.7422,491.446172,21 HCPCS,D0180,Comp periodontal evaluation,,,163.7422,491.446172,21 HCPCS,D0191,Assessment of a patient,,,163.7422,491.446172,21 HCPCS,D0210,Intraor comprehensive series,,,306.8821,880.751627,21 HCPCS,D0220,Intraoral periapical first,,,111.8763,321.235656,21 HCPCS,D0240,Intraoral occlusal film,,,111.8763,321.235656,21 HCPCS,D0250,Extraoral 2d project image,,,111.8763,321.235656,21 HCPCS,D0251,Extraoral posterior image,,,111.8763,321.235656,21 HCPCS,D0270,Dental bitewing single image,,,111.8763,321.235656,21 HCPCS,D0272,Dental bitewings two images,,,111.8763,321.235656,21 HCPCS,D0273,Bitewings - three images,,,306.8821,880.751627,21 HCPCS,D0274,Bitewings four images,,,306.8821,880.751627,21 HCPCS,D0277,Vert bitewings 7 to 8 images,,,306.8821,880.751627,21 HCPCS,D0310,Dental saliography,,,306.8821,880.751627,21 HCPCS,D0320,Dental tmj arthrogram incl i,,,306.8821,880.751627,21 HCPCS,D0321,Other tmj images by report,,,111.8763,321.235656,21 HCPCS,D0322,Dental tomographic survey,,,134.4631,385.909097,21 HCPCS,D0330,Panoramic image,,,306.8821,880.751627,21 HCPCS,D0340,2d cephalometric image,,,111.8763,321.235656,21 HCPCS,D0350,Oral/facial photo images,,,111.8763,321.235656,21 HCPCS,D0364,Cone beam ct capt & interp,,,134.4631,385.909097,21 HCPCS,D0365,Cone beam ct interprete man,,,134.4631,385.909097,21 HCPCS,D0366,Cone beam ct interprete max,,,134.4631,385.909097,21 HCPCS,D0367,Cone beam ct interp both jaw,,,134.4631,385.909097,21 HCPCS,D0368,Cone beam ct interprete tmj,,,134.4631,385.909097,21 HCPCS,D0369,Max mri capture & interprete,,,134.4631,385.909097,21 HCPCS,D0370,Max ultrasound capt & interp,,,134.4631,385.909097,21 HCPCS,D0371,Sialoendoscopy capt & interp,,,111.8763,321.235656,21 HCPCS,D0380,Cone beam ct capture limited,,,134.4631,385.909097,21 HCPCS,D0381,Cone beam ct capt mandible,,,134.4631,385.909097,21 HCPCS,D0382,Cone beam ct capt maxilla,,,134.4631,385.909097,21 HCPCS,D0383,Cone beam ct both jaws,,,134.4631,385.909097,21 HCPCS,D0384,Cone beam ct capture tmj,,,134.4631,385.909097,21 HCPCS,D0385,Max mri image capture,,,134.4631,385.909097,21 HCPCS,D0386,Max ultrasound image capture,,,134.4631,385.909097,21 HCPCS,D0393,Trtmnt simulation 3d image,,,111.8763,321.235656,21 HCPCS,D0394,Digital sub 2 or more images,,,111.8763,321.235656,21 HCPCS,D0395,Fusion 2 or more 3d images,,,111.8763,321.235656,21 HCPCS,D0460,Pulp vitality test,,,831.4909,2851.925895,21 HCPCS,D0600,Non-ionizing diag proc,,,831.4909,2851.925895,21 HCPCS,D0701,Pano radio image,,,111.8763,321.235656,21 HCPCS,D0702,2d cephal radio image,,,111.8763,321.235656,21 HCPCS,D0703,2d oral/facial photo image,,,111.8763,321.235656,21 HCPCS,D0705,Extra oral post radio image,,,111.8763,321.235656,21 HCPCS,D0706,Intraoral occlus radio image,,,111.8763,321.235656,21 HCPCS,D0707,Intraoral periap radio image,,,111.8763,321.235656,21 HCPCS,D0708,Intraoral bite radio image,,,111.8763,321.235656,21 HCPCS,D0709,Intraoral comp image capture,,,111.8763,321.235656,21 HCPCS,D1110,Dental prophylaxis adult,,,163.7422,491.446172,21 HCPCS,D1510,Space maintainer fxd unilat,,,831.4909,2851.925895,21 HCPCS,D1516,"Fixed bilat space maint, max",,,831.4909,2851.925895,21 HCPCS,D1517,"Fixed bilat space maint, man",,,831.4909,2851.925895,21 HCPCS,D1520,Remove unilat space maintain,,,831.4909,2851.925895,21 HCPCS,D1526,"Remove bilat space main, max",,,831.4909,2851.925895,21 HCPCS,D1527,"Remove bilat space main, man",,,831.4909,2851.925895,21 HCPCS,D1551,Recement space maint - max,,,831.4909,2851.925895,21 HCPCS,D1552,Recement space maint - man,,,831.4909,2851.925895,21 HCPCS,D1553,Recement unilat space maint,,,831.4909,2851.925895,21 HCPCS,D1575,"Dist space maint, fixed unil",,,831.4909,2851.925895,21 HCPCS,D2140,Amalgam one surface permanen,,,831.4909,2851.925895,21 HCPCS,D2150,Amalgam two surfaces permane,,,831.4909,2851.925895,21 HCPCS,D2160,Amalgam three surfaces perma,,,831.4909,2851.925895,21 HCPCS,D2161,Amalgam 4 or > surfaces perm,,,831.4909,2851.925895,21 HCPCS,D2330,Resin one surface-anterior,,,831.4909,2851.925895,21 HCPCS,D2331,Resin two surfaces-anterior,,,831.4909,2851.925895,21 HCPCS,D2332,Resin three surfaces-anterio,,,831.4909,2851.925895,21 HCPCS,D2335,Resin 4/> surf or w incis an,,,831.4909,2851.925895,21 HCPCS,D2390,Ant resin-based cmpst crown,,,831.4909,2851.925895,21 HCPCS,D2391,Post 1 srfc resinbased cmpst,,,831.4909,2851.925895,21 HCPCS,D2392,Post 2 srfc resinbased cmpst,,,831.4909,2851.925895,21 HCPCS,D2393,Post 3 srfc resinbased cmpst,,,831.4909,2851.925895,21 HCPCS,D2394,Post >=4srfc resinbase cmpst,,,831.4909,2851.925895,21 HCPCS,D2410,Dental gold foil one surface,,,831.4909,2851.925895,21 HCPCS,D2420,Dental gold foil two surface,,,831.4909,2851.925895,21 HCPCS,D2430,Dental gold foil three surfa,,,831.4909,2851.925895,21 HCPCS,D2510,Dental inlay metalic 1 surf,,,831.4909,2851.925895,21 HCPCS,D2520,Dental inlay metallic 2 surf,,,831.4909,2851.925895,21 HCPCS,D2530,Dental inlay metl 3/more sur,,,831.4909,2851.925895,21 HCPCS,D2542,Dental onlay metallic 2 surf,,,831.4909,2851.925895,21 HCPCS,D2543,Dental onlay metallic 3 surf,,,831.4909,2851.925895,21 HCPCS,D2544,Dental onlay metl 4/more sur,,,831.4909,2851.925895,21 HCPCS,D2610,Inlay porcelain/ceramic 1 su,,,831.4909,2851.925895,21 HCPCS,D2620,Inlay porcelain/ceramic 2 su,,,831.4909,2851.925895,21 HCPCS,D2630,Dental onlay porc 3/more sur,,,831.4909,2851.925895,21 HCPCS,D2642,Dental onlay porcelin 2 surf,,,831.4909,2851.925895,21 HCPCS,D2643,Dental onlay porcelin 3 surf,,,831.4909,2851.925895,21 HCPCS,D2644,Dental onlay porc 4/more sur,,,831.4909,2851.925895,21 HCPCS,D2650,Inlay composite/resin one su,,,831.4909,2851.925895,21 HCPCS,D2651,Inlay composite/resin two su,,,831.4909,2851.925895,21 HCPCS,D2652,Dental inlay resin 3/mre sur,,,831.4909,2851.925895,21 HCPCS,D2662,Dental onlay resin 2 surface,,,831.4909,2851.925895,21 HCPCS,D2663,Dental onlay resin 3 surface,,,831.4909,2851.925895,21 HCPCS,D2664,Dental onlay resin 4/mre sur,,,831.4909,2851.925895,21 HCPCS,D2710,Crown resin-based indirect,,,831.4909,2851.925895,21 HCPCS,D2712,Crown 3/4 resin-based compos,,,831.4909,2851.925895,21 HCPCS,D2720,Crown resin w/ high noble me,,,831.4909,2851.925895,21 HCPCS,D2721,Crown resin w/ base metal,,,831.4909,2851.925895,21 HCPCS,D2722,Crown resin w/ noble metal,,,831.4909,2851.925895,21 HCPCS,D2740,Crown porcelain/ceramic,,,831.4909,2851.925895,21 HCPCS,D2750,Crown porcelain w/ h noble m,,,831.4909,2851.925895,21 HCPCS,D2751,Crown porcelain fused base m,,,831.4909,2851.925895,21 HCPCS,D2752,Crown porcelain w/ noble met,,,831.4909,2851.925895,21 HCPCS,D2753,Crown porc fused to titanium,,,831.4909,2851.925895,21 HCPCS,D2780,Crown 3/4 cast hi noble met,,,831.4909,2851.925895,21 HCPCS,D2781,Crown 3/4 cast base metal,,,831.4909,2851.925895,21 HCPCS,D2782,Crown 3/4 cast noble metal,,,831.4909,2851.925895,21 HCPCS,D2783,Crown 3/4 porcelain/ceramic,,,831.4909,2851.925895,21 HCPCS,D2790,Crown full cast high noble m,,,831.4909,2851.925895,21 HCPCS,D2791,Crown full cast base metal,,,831.4909,2851.925895,21 HCPCS,D2792,Crown full cast noble metal,,,831.4909,2851.925895,21 HCPCS,D2794,Crown-titanium,,,831.4909,2851.925895,21 HCPCS,D2799,Interim crown,,,831.4909,2851.925895,21 HCPCS,D2910,Recement inlay onlay or part,,,831.4909,2851.925895,21 HCPCS,D2915,Recement cast or prefab post,,,831.4909,2851.925895,21 HCPCS,D2920,Re-cement or re-bond crown,,,831.4909,2851.925895,21 HCPCS,D2921,Reattach tooth fragment,,,831.4909,2851.925895,21 HCPCS,D2928,Prefab porc/cer crown perm,,,831.4909,2851.925895,21 HCPCS,D2929,Prefab porc/ceram crown pri,,,831.4909,2851.925895,21 HCPCS,D2930,Prefab stnlss steel crwn pri,,,831.4909,2851.925895,21 HCPCS,D2931,Prefab stnlss steel crown pe,,,831.4909,2851.925895,21 HCPCS,D2932,Prefabricated resin crown,,,831.4909,2851.925895,21 HCPCS,D2933,Prefab stainless steel crown,,,831.4909,2851.925895,21 HCPCS,D2934,Prefab steel crown primary,,,831.4909,2851.925895,21 HCPCS,D2940,Protective restoration,,,831.4909,2851.925895,21 HCPCS,D2941,Int therapeutic restoration,,,1320.09972,1540.11634,2 HCPCS,D2949,Restorative foundation,,,831.4909,2851.925895,21 HCPCS,D2950,Core build-up incl any pins,,,831.4909,2851.925895,21 HCPCS,D2951,Tooth pin retention,,,831.4909,2851.925895,21 HCPCS,D2952,Post and core cast + crown,,,831.4909,2851.925895,21 HCPCS,D2954,Prefab post/core + crown,,,831.4909,2851.925895,21 HCPCS,D2957,Each addtnl prefab post,,,831.4909,2851.925895,21 HCPCS,D2960,Labial veneer resin direct,,,831.4909,2851.925895,21 HCPCS,D2961,Labial veneer resin indirect,,,831.4909,2851.925895,21 HCPCS,D2962,Labial veneer porc indirect,,,831.4909,2851.925895,21 HCPCS,D2971,Add proc construct new crown,,,831.4909,2851.925895,21 HCPCS,D2975,Coping,,,831.4909,2851.925895,21 HCPCS,D2980,Crown repair,,,831.4909,2851.925895,21 HCPCS,D2981,Inlay repair,,,831.4909,2851.925895,21 HCPCS,D2982,Onlay repair,,,831.4909,2851.925895,21 HCPCS,D2983,Veneer repair,,,831.4909,2851.925895,21 HCPCS,D2990,Resin infiltration of lesion,,,831.4909,2851.925895,21 HCPCS,D2999,Dental unspec restorative pr,,,831.4909,2851.925895,21 HCPCS,D3110,Pulp cap direct,,,831.4909,2851.925895,21 HCPCS,D3120,Pulp cap indirect,,,831.4909,2851.925895,21 HCPCS,D3220,Therapeutic pulpotomy,,,831.4909,2851.925895,21 HCPCS,D3221,Gross pulpal debridement,,,831.4909,2851.925895,21 HCPCS,D3222,Part pulp for apexogenesis,,,831.4909,2851.925895,21 HCPCS,D3230,Pulpal therapy anterior prim,,,831.4909,2851.925895,21 HCPCS,D3240,Pulpal therapy posterior pri,,,831.4909,2851.925895,21 HCPCS,D3310,"End thxpy, anterior tooth",,,831.4909,2851.925895,21 HCPCS,D3320,"End thxpy, premolar tooth",,,831.4909,2851.925895,21 HCPCS,D3330,"End thxpy, molar tooth",,,831.4909,2851.925895,21 HCPCS,D3331,Non-surg tx root canal obs,,,831.4909,2851.925895,21 HCPCS,D3332,Incomplete endodontic tx,,,831.4909,2851.925895,21 HCPCS,D3333,Internal root repair,,,831.4909,2851.925895,21 HCPCS,D3346,Retreat root canal anterior,,,831.4909,2851.925895,21 HCPCS,D3347,Retreat root canal premolar,,,831.4909,2851.925895,21 HCPCS,D3348,Retreat root canal molar,,,831.4909,2851.925895,21 HCPCS,D3351,Apexification/recalc initial,,,831.4909,2851.925895,21 HCPCS,D3352,Apexification/recalc interim,,,831.4909,2851.925895,21 HCPCS,D3353,Apexification/recalc final,,,831.4909,2851.925895,21 HCPCS,D3355,Pulpal regeneration initial,,,831.4909,2851.925895,21 HCPCS,D3356,Pulpal regeneration interim,,,831.4909,2851.925895,21 HCPCS,D3357,Pulpal regeneration complete,,,831.4909,2851.925895,21 HCPCS,D3410,Apicoectomy - anterior,,,831.4909,2851.925895,21 HCPCS,D3421,Root surgery premolar,,,831.4909,2851.925895,21 HCPCS,D3425,Root surgery molar,,,831.4909,2851.925895,21 HCPCS,D3428,Bone graft peri per tooth,,,831.4909,2851.925895,21 HCPCS,D3430,Retrograde filling,,,831.4909,2851.925895,21 HCPCS,D3431,Biological materials,,,831.4909,2851.925895,21 HCPCS,D3432,Guided tissue regeneration,,,831.4909,2851.925895,21 HCPCS,D3450,Root amputation,,,831.4909,2851.925895,21 HCPCS,D3460,Endodontic endosseous implan,,,831.4909,2851.925895,21 HCPCS,D3470,Intentional replantation,,,831.4909,2851.925895,21 HCPCS,D3471,Surg rep root res anterior,,,831.4909,2851.925895,21 HCPCS,D3472,Surg rep root res premolar,,,831.4909,2851.925895,21 HCPCS,D3473,Surg rep root res molar,,,831.4909,2851.925895,21 HCPCS,D3501,Surg exp root surf anterior,,,831.4909,2851.925895,21 HCPCS,D3502,Surg exp root surf premolar,,,831.4909,2851.925895,21 HCPCS,D3503,Surg exp root surf molar,,,831.4909,2851.925895,21 HCPCS,D3910,Isolation- tooth w rubb dam,,,831.4909,2851.925895,21 HCPCS,D3911,Intraorifice barrier,,,831.4909,2851.925895,21 HCPCS,D3920,Tooth splitting,,,831.4909,2851.925895,21 HCPCS,D3921,Decor or submerg erupt tooth,,,831.4909,2851.925895,21 HCPCS,D3950,Canal prep/fitting of dowel,,,831.4909,2851.925895,21 HCPCS,D3999,Endodontic procedure,,,831.4909,2851.925895,21 HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,4120.6447,12238.352154,21 HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,4120.6447,12238.352154,21 HCPCS,D4212,Gingivectomy/plasty rest,,,4120.6447,12238.352154,21 HCPCS,D4230,Ana crown exp 4 or> per quad,,,4120.6447,12238.352154,21 HCPCS,D4231,Ana crown exp 1-3 per quad,,,1882.1144,5727.359659,21 HCPCS,D4240,Gingival flap proc w/ planin,,,4120.6447,12238.352154,21 HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,1882.1144,5727.359659,21 HCPCS,D4245,Apically positioned flap,,,1882.1144,5727.359659,21 HCPCS,D4249,Crown lengthen hard tissue,,,831.4909,2851.925895,21 HCPCS,D4260,Osseous surgery 4 or more,,,7516.4376,21851.864587,21 HCPCS,D4261,Osseous surg 1 to 3 teeth,,,4120.6447,12238.352154,21 HCPCS,D4263,Bone replce graft first site,,,831.4909,2851.925895,21 HCPCS,D4265,Bio mtrls to aid soft/os reg,,,831.4909,2851.925895,21 HCPCS,D4266,Guided tiss regen resorble,,,1882.1144,5727.359659,21 HCPCS,D4267,Guided tiss regen nonresorb,,,1882.1144,5727.359659,21 HCPCS,D4268,Surgical revision procedure,,,831.4909,2851.925895,21 HCPCS,D4270,Pedicle soft tissue graft pr,,,1882.1144,5727.359659,21 HCPCS,D4273,Auto tissue graft 1st tooth,,,1882.1144,5727.359659,21 HCPCS,D4274,Mesial/distal wedge proc,,,831.4909,2851.925895,21 HCPCS,D4275,Non-auto graft 1st tooth,,,1882.1144,5727.359659,21 HCPCS,D4276,Con tissue w pedicle graft,,,1882.1144,5727.359659,21 HCPCS,D4277,Soft tissue graft firsttooth,,,1882.1144,5727.359659,21 HCPCS,D4322,Splint intra-coronal,,,831.4909,2851.925895,21 HCPCS,D4323,Splint extra-coronal,,,831.4909,2851.925895,21 HCPCS,D4341,Periodontal scaling & root,,,831.4909,2851.925895,21 HCPCS,D4342,Periodontal scaling 1-3teeth,,,831.4909,2851.925895,21 HCPCS,D4346,Scaling gingiv inflammation,,,831.4909,2851.925895,21 HCPCS,D4355,Full mouth debridement,,,831.4909,2851.925895,21 HCPCS,D4381,Localized delivery antimicro,,,831.4909,2851.925895,21 HCPCS,D4910,Periodontal maint procedures,,,831.4909,2851.925895,21 HCPCS,D4920,Unscheduled dressing change,,,831.4909,2851.925895,21 HCPCS,D4921,Gingival irrigation per quad,,,163.7422,491.446172,21 HCPCS,D4999,Unspecified periodontal proc,,,295.0587,874.284082,21 HCPCS,D5911,Facial moulage sectional,,,831.4909,2851.925895,21 HCPCS,D5912,Facial moulage complete,,,831.4909,2851.925895,21 HCPCS,D5983,Radiation applicator,,,831.4909,2851.925895,21 HCPCS,D5984,Radiation shield,,,831.4909,2851.925895,21 HCPCS,D5985,Radiation cone locator,,,831.4909,2851.925895,21 HCPCS,D5987,Commissure splint,,,831.4909,2851.925895,21 HCPCS,D5988,Surgical splint,,,831.4909,2851.925895,21 HCPCS,D6920,Dental connector bar,,,831.4909,2851.925895,21 HCPCS,D7111,Extraction coronal remnants,,,831.4909,2851.925895,21 HCPCS,D7140,Extraction erupted tooth/exr,,,831.4909,2851.925895,21 HCPCS,D7210,Rem imp tooth w mucoper flp,,,1882.1144,5727.359659,21 HCPCS,D7220,Impact tooth remov soft tiss,,,831.4909,2851.925895,21 HCPCS,D7230,Impact tooth remov part bony,,,831.4909,2851.925895,21 HCPCS,D7240,Impact tooth remov comp bony,,,831.4909,2851.925895,21 HCPCS,D7241,Impact tooth rem bony w/comp,,,831.4909,2851.925895,21 HCPCS,D7250,Tooth root removal,,,831.4909,2851.925895,21 HCPCS,D7251,Coronectomy,,,1882.1144,5727.359659,21 HCPCS,D7260,Oral antral fistula closure,,,831.4909,2851.925895,21 HCPCS,D7261,Primary closure sinus perf,,,831.4909,2851.925895,21 HCPCS,D7270,Tooth reimplantation,,,831.4909,2851.925895,21 HCPCS,D7272,Tooth transplantation,,,831.4909,2851.925895,21 HCPCS,D7280,Exposure of unerupted tooth,,,831.4909,2851.925895,21 HCPCS,D7291,Transseptal fiberotomy,,,831.4909,2851.925895,21 HCPCS,D7310,Alveoplasty w/ extraction,,,1882.1144,5727.359659,21 HCPCS,D7311,Alveoloplasty w/extract 1-3,,,1882.1144,5727.359659,21 HCPCS,D7320,Alveoplasty w/o extraction,,,1882.1144,5727.359659,19 HCPCS,D7321,Alveoloplasty not w/extracts,,,1882.1144,5727.359659,19 HCPCS,D7340,Vestibuloplasty ridge extens,,,7516.4376,21851.864587,21 HCPCS,D7350,Vestibuloplasty exten graft,,,7516.4376,21851.864587,21 HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,1882.1144,5727.359659,21 HCPCS,D7411,Excision benign lesion>1.25c,,,1882.1144,5727.359659,21 HCPCS,D7412,Excision benign lesion compl,,,1882.1144,5727.359659,21 HCPCS,D7413,Excision malig lesion<=1.25c,,,1882.1144,5727.359659,21 HCPCS,D7414,Excision malig lesion>1.25cm,,,1882.1144,5727.359659,21 HCPCS,D7415,Excision malig les complicat,,,1882.1144,5727.359659,21 HCPCS,D7440,Malig tumor exc to 1.25 cm,,,4120.6447,12238.352154,21 HCPCS,D7441,Malig tumor > 1.25 cm,,,4120.6447,12238.352154,21 HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,4120.6447,12238.352154,21 HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,4120.6447,12238.352154,21 HCPCS,D7460,Rem nonodonto cyst to 1.25cm,,,831.4909,2851.925895,21 HCPCS,D7461,Rem nonodonto cyst > 1.25 cm,,,831.4909,2851.925895,21 HCPCS,D7471,Rem exostosis any site,,,4120.6447,12238.352154,19 HCPCS,D7472,Removal of torus palatinus,,,831.4909,2851.925895,21 HCPCS,D7473,Remove torus mandibularis,,,831.4909,2851.925895,21 HCPCS,D7485,Surg reduct osseoustuberosit,,,7516.4376,21851.864587,21 HCPCS,D7510,I&d absc intraoral soft tiss,,,893.9815,2613.928268,21 HCPCS,D7511,Incision/drain abscess intra,,,893.9815,2613.928268,21 HCPCS,D7520,I&d abscess extraoral,,,893.9815,2613.928268,21 HCPCS,D7521,Incision/drain abscess extra,,,893.9815,2613.928268,21 HCPCS,D7530,Removal fb skin/areolar tiss,,,831.4909,2851.925895,21 HCPCS,D7540,Removal of fb reaction,,,831.4909,2851.925895,21 HCPCS,D7550,Removal of sloughed off bone,,,831.4909,2851.925895,21 HCPCS,D7670,Closd rductn splint alveolus,,,4120.6447,12238.352154,21 HCPCS,D7671,Alveolus open reduction,,,7516.4376,21851.864587,21 HCPCS,D7770,Open reduc compd alveolus fx,,,7516.4376,21851.864587,21 HCPCS,D7771,Alveolus clsd reduc stblz te,,,4120.6447,12238.352154,21 HCPCS,D7874,Tmj arthroscopy disc reposit,,,4122.6015,12077.93293,21 HCPCS,D7922,Place intra-socket bio dress,,,831.4909,2851.925895,21 HCPCS,D7940,Reshaping bone orthognathic,,,831.4909,2851.925895,21 HCPCS,D7950,Mandible graft,,,7516.4376,21851.864587,21 HCPCS,D9930,Treatment of complications,,,831.4909,2851.925895,21 HCPCS,D9944,"Occ guard, hard, full arch",,,831.4909,2851.925895,21 HCPCS,D9945,"Occ guard, soft, full arch",,,831.4909,2851.925895,21 HCPCS,D9946,"Occ guard, hard, part arch",,,831.4909,2851.925895,21 HCPCS,D9950,Occlusion analysis,,,831.4909,2851.925895,21 HCPCS,D9951,Limited occlusal adjustment,,,831.4909,2851.925895,21 HCPCS,D9952,Complete occlusal adjustment,,,831.4909,2851.925895,21 HCPCS,E0100,Cane adjust/fixed with tip,,,13.738124,15.99,2 HCPCS,E0105,Cane adjust/fixed quad/3 pro,,,20.582268,37.5,2 HCPCS,E0110,Crutch forearm pair,,,37.094596,62.07,2 HCPCS,E0111,Crutch forearm each,,,19.568936,19.568936,1 HCPCS,E0112,Crutch underarm pair wood,,,23.074068,29.6,2 HCPCS,E0113,Crutch underarm each wood,,,11.927416,11.927416,1 HCPCS,E0116,Crutch underarm each no wood,,,11.246324,11.246324,1 HCPCS,E0117,Underarm springassist crutch,,,44.702892,154.17,2 HCPCS,E0130,Walker rigid adjust/fixed ht,,,9.236272,47.27,3 HCPCS,E0135,Walker folding adjust/fixed,,,9.252884,52.71,3 HCPCS,E0140,Walker w trunk support,,,54.520584,210.56,3 HCPCS,E0141,Rigid wheeled walker adj/fix,,,9.568512,66.02,3 HCPCS,E0143,Walker folding wheeled w/o s,,,9.568512,64.69,3 HCPCS,E0144,Enclosed walker w rear seat,,,51.738918,254.76,3 HCPCS,E0147,Walker variable wheel resist,,,78.57476,279.69,3 HCPCS,E0148,Heavyduty walker no wheels,,,16.412656,85.71,3 HCPCS,E0149,Heavy duty wheeled walker,,,24.66882,95.28,3 HCPCS,E0153,Forearm crutch platform atta,,,18.223364,55.5,2 HCPCS,E0154,Walker platform attachment,,,9.518676,48.88,3 HCPCS,E0155,"Walker wheel attachment,pair",,,4.153,21.43,3 HCPCS,E0156,Walker seat attachment,,,3.255952,17.2,3 HCPCS,E0157,Walker crutch attachment,,,10.498784,51.56,3 HCPCS,E0158,Walker leg extenders set of4,,,4.219448,21.99,3 HCPCS,E0159,Brake for wheeled walker,,,2.707756,13.35,3 HCPCS,E0160,Sitz type bath or equipment,,,5.73114,7.144053,2 HCPCS,E0161,Sitz bath/equipment w/faucet,,,4.551688,5.428297,2 HCPCS,E0162,Sitz bath chair,,,30.167392,30.167392,1 HCPCS,E0163,Commode chair with fixed arm,,,10.21638,73.31,3 HCPCS,E0165,Commode chair with detacharm,,,23.888056,162.36,3 HCPCS,E0167,Commode chair pail or pan,,,2.109724,9.6,3 HCPCS,E0168,Heavyduty/wide commode chair,,,22.625544,119.45,3 HCPCS,E0170,Commode chair electric,,,317.006796,1542.91,3 HCPCS,E0171,Commode chair non-electric,,,58.365286,277.63,3 HCPCS,E0175,Commode chair foot rest,,,13.057032,13.057032,1 HCPCS,E0181,Press pad alternating w/ pum,,,31.330232,250.2,3 HCPCS,E0182,"Replace pump, alt press pad",,,41.86224,251.33,3 HCPCS,E0183,Press underlay alter w/pump,,,31.330232,41.148562,2 HCPCS,E0184,Dry pressure mattress,,,31.745532,132.4,3 HCPCS,E0185,Gel pressure mattress pad,,,32.64258,219.62,3 HCPCS,E0186,Air pressure mattress,,,38.338272,194.88,3 HCPCS,E0187,Water pressure mattress,,,43.736987,222.82,3 HCPCS,E0188,Synthetic sheepskin pad,,,5.083272,21.14,3 HCPCS,E0189,Lambswool sheepskin pad,,,9.767856,41.57,3 HCPCS,E0191,Protector heel or elbow,,,2.026664,2.026664,1 HCPCS,E0193,Powered air flotation bed,,,1382.899164,1448.77845,2 HCPCS,E0194,Air fluidized bed,,,7365.528232,7365.528232,1 HCPCS,E0196,Gel pressure mattress,,,62.660464,311.9,3 HCPCS,E0197,Air pressure pad for mattres,,,34.951648,134.96,3 HCPCS,E0198,Water pressure pad for mattr,,,51.447364,179.65,2 HCPCS,E0199,Dry pressure pad for mattres,,,6.123474,25.64,3 HCPCS,E0200,Heat lamp without stand,,,24.984448,24.984448,1 HCPCS,E0201,Penile contractur devic manu,,,23.854832,23.854832,1 HCPCS,E0202,Phototherapy light w/ photom,,,123.560056,123.560056,1 HCPCS,E0205,Heat lamp with stand,,,49.553596,49.553596,1 HCPCS,E0210,Electric heat pad standard,,,7.14316,26.11,2 HCPCS,E0215,Electric heat pad moist,,,17.210032,17.210032,1 HCPCS,E0217,Water circ heat pad w pump,,,128.277864,128.277864,1 HCPCS,E0225,Hydrocollator unit,,,85.252784,85.252784,1 HCPCS,E0235,Paraffin bath unit portable,,,40.03492,40.03492,1 HCPCS,E0236,Pump for water circulating p,,,102.695384,102.695384,1 HCPCS,E0239,Hydrocollator unit portable,,,104.423032,104.423032,1 HCPCS,E0241,Bath tub wall rail,,,14.62,14.62,1 HCPCS,E0243,Toilet rail,,,42.76,42.76,1 HCPCS,E0244,Toilet seat raised,,,46.04,46.04,1 HCPCS,E0245,Tub stool or bench,,,55.07,55.07,1 HCPCS,E0246,Transfer tub rail attachment,,,37.08,37.08,1 HCPCS,E0247,Trans bench w/wo comm open,,,81.42,81.42,1 HCPCS,E0249,Pad water circulating heat u,,,25.399748,25.399748,1 HCPCS,E0250,Hosp bed fixed ht w/ mattres,,,120.154596,136.772377,2 HCPCS,E0251,Hosp bed fixd ht w/o mattres,,,111.748924,119.008386,2 HCPCS,E0255,Hospital bed var ht w/ mattr,,,120.752628,148.250193,2 HCPCS,E0256,Hospital bed var ht w/o matt,,,115.403564,118.416746,2 HCPCS,E0260,Hosp bed semi-electr w/ matt,,,120.752628,180.716438,2 HCPCS,E0261,Hosp bed semi-electr w/o mat,,,120.752628,169.179458,2 HCPCS,E0265,Hosp bed total electr w/ mat,,,297.637204,302.194921,2 HCPCS,E0266,Hosp bed total elec w/o matt,,,258.98108,266.400701,2 HCPCS,E0271,Mattress innerspring,,,23.738548,128.57,3 HCPCS,E0272,Mattress foam rubber,,,26.795156,140.19,3 HCPCS,E0275,Bed pan standard,,,2.74098,2.9582,2 HCPCS,E0276,Bed pan fracture,,,2.342292,2.736335,2 HCPCS,E0277,Powered pres-redu air mattrs,,,300.145616,795.7558,2 HCPCS,E0280,Bed cradle,,,6.2295,6.581995,2 HCPCS,E0290,Hosp bed fx ht w/o rails w/m,,,106.864996,109.719638,2 HCPCS,E0291,Hosp bed fx ht w/o rail w/o,,,80.285548,443.14,3 HCPCS,E0292,Hosp bed var ht no sr w/matt,,,116.732524,119.600026,2 HCPCS,E0293,Hosp bed var ht no sr no mat,,,105.740859,583.49,3 HCPCS,E0294,Hosp bed semi-elect w/ mattr,,,120.752628,166.620615,2 HCPCS,E0295,Hosp bed semi-elect w/o matt,,,120.752628,1222.56,3 HCPCS,E0296,Hosp bed total elect w/ matt,,,223.151817,232.219148,2 HCPCS,E0297,Hosp bed total elect w/o mat,,,204.925632,1302.24,3 HCPCS,E0300,Enclosed ped crib hosp grade,,,470.531292,2270.9,3 HCPCS,E0301,"Hd hosp bed, 350-600 lbs",,,304.531184,377.140918,2 HCPCS,E0302,Ex hd hosp bed > 600 lbs,,,922.21518,1071.652323,2 HCPCS,E0303,Hosp bed hvy dty xtra wide,,,306.275444,2785.63,3 HCPCS,E0304,Hosp bed xtra hvy dty x wide,,,927.265228,7398.43,3 HCPCS,E0305,Rails bed side half length,,,20.665328,170.78,3 HCPCS,E0310,Rails bed side full length,,,20.997568,123.34,3 HCPCS,E0316,Bed safety enclosure,,,353.416154,1950.43,3 HCPCS,E0325,Urinal male jug-type,,,1.694424,2.396142,2 HCPCS,E0326,Urinal female jug-type,,,2.010052,2.129904,2 HCPCS,E0350,Control unit bowel system,,,5442.8,5442.8,1 HCPCS,E0352,Disposable pack w/bowel syst,,,36.43,36.43,1 HCPCS,E0371,Nonpower mattress overlay,,,300.145616,551.955747,2 HCPCS,E0372,Powered air mattress overlay,,,300.145616,630.732613,2 HCPCS,E0373,Nonpowered pressure mattress,,,300.145616,695.783431,2 HCPCS,E0424,Stationary compressed gas 02,,,152.963296,249.908736,2 HCPCS,E0431,Portable gaseous 02,,,35.38356,44.594865,2 HCPCS,E0433,Portable liquid oxygen sys,,,75.700338,77.960116,2 HCPCS,E0434,Portable liquid 02,,,75.700338,77.960116,2 HCPCS,E0439,Stationary liquid 02,,,152.963296,249.908736,2 HCPCS,E0441,"Stationary o2 contents, gas",,,65.24,111.400072,3 HCPCS,E0442,"Stationary o2 contents, liq",,,65.24,111.400072,3 HCPCS,E0443,"Portable 02 contents, gas",,,62.64,104.380087,3 HCPCS,E0444,"Portable 02 contents, liquid",,,62.64,104.380087,3 HCPCS,E0447,"Port o2 cont, liq over 4 lpm",,,144.723744,158.455983,2 HCPCS,E0462,Rocking bed w/ or w/o side r,,,676.374192,676.374192,1 HCPCS,E0465,Home vent invasive interface,,,1883.152932,1883.152932,1 HCPCS,E0466,Home vent non-invasive inter,,,1883.152932,1883.152932,1 HCPCS,E0467,Home vent multi-function,,,2000.18693,2250.411028,2 HCPCS,E0468,Home vent dual fnct incl all,,,2041.6148,2041.6148,1 HCPCS,E0469,Lung expans high oscil neb,,,2548.44692,2548.44692,1 HCPCS,E0470,Rad w/o backup non-inv intfc,,,215.058952,2364.67,3 HCPCS,E0471,Rad w/backup non inv intrfc,,,533.32826,6164.88,3 HCPCS,E0472,Rad w backup invasive intrfc,,,885.469436,6164.88,3 HCPCS,E0480,Percussor elect/pneum home m,,,100.236808,414.62,2 HCPCS,E0482,Cough stimulating device,,,950.804432,3932.74,2 HCPCS,E0483,Hi freq chest wall oscil sys,,,2467.563092,2467.563092,1 HCPCS,E0484,Non-elec oscillatory pep dvc,,,8.571792,43.0,2 HCPCS,E0490,Control unit nm hw remote,,,176.618784,176.618784,1 HCPCS,E0491,Oral dv nm mouthpc hw remote,,,171.60196,171.60196,1 HCPCS,E0500,Ippb all types,,,254.761632,254.761632,1 HCPCS,E0530,Electronic posa treatment,,,60.451068,60.451068,1 HCPCS,E0550,Humidif extens supple w ippb,,,116.36706,116.36706,1 HCPCS,E0560,Humidifier supplemental w/ i,,,40.20104,40.20104,1 HCPCS,E0561,Humidifier nonheated w pap,,,15.249816,93.39,3 HCPCS,E0565,Compressor air power source,,,85.501964,585.7,3 HCPCS,E0570,Nebulizer with compression,,,9.850916,154.56,3 HCPCS,E0574,Ultrasonic generator w svneb,,,89.522068,89.522068,1 HCPCS,E0575,Nebulizer ultrasonic,,,238.564932,238.564932,1 HCPCS,E0580,Nebulizer for use w/ regulat,,,23.325407,26.82838,2 HCPCS,E0585,Nebulizer w/ compressor & he,,,55.949216,62.580721,2 HCPCS,E0600,Suction pump portab hom modl,,,106.266964,439.58,2 HCPCS,E0601,Cont airway pressure device,,,81.598144,609.55,3 HCPCS,E0602,Manual breast pump,,,6.910592,23.62,2 HCPCS,E0603,Electric breast pump,,,93.15,93.15,1 HCPCS,E0605,Vaporizer room type,,,7.14316,30.75,2 HCPCS,E0606,Drainage board postural,,,50.483868,50.483868,1 HCPCS,E0607,Blood glucose monitor home,,,15.498996,53.46,2 HCPCS,E0610,Pacemaker monitr audible/vis,,,58.22506,58.22506,1 HCPCS,E0615,Pacemaker monitr digital/vis,,,115.420176,115.420176,1 HCPCS,E0617,Automatic ext defibrillator,,,705.67776,705.67776,1 HCPCS,E0618,Apnea monitor,,,605.806416,605.806416,1 HCPCS,E0620,Cap bld skin piercing laser,,,202.91558,202.91558,1 HCPCS,E0621,Patient lift sling or seat,,,15.482384,71.86,3 HCPCS,E0627,"Seat lift mech, electric any",,,51.679932,58.454032,2 HCPCS,E0629,"Seat lift mech, non-electric",,,51.264632,58.173003,2 HCPCS,E0630,Patient lift hydraulic,,,111.250564,852.38,3 HCPCS,E0635,Patient lift electric,,,235.561466,1174.66,3 HCPCS,E0636,Pt support & positioning sys,,,1933.121828,2007.759922,2 HCPCS,E0639,Moveable patient lift system,,,256.2401,256.2401,1 HCPCS,E0640,Fixed patient lift system,,,256.2401,256.2401,1 HCPCS,E0650,Pneuma compresor non-segment,,,206.287816,576.18,2 HCPCS,E0651,Pneum compressor segmental,,,185.107516,624.53,2 HCPCS,E0652,Pneum compres w/cal pressure,,,1216.08146,1216.08146,1 HCPCS,E0655,Pneumatic appliance half arm,,,25.100732,86.34,2 HCPCS,E0656,Segmental pneumatic trunk,,,134.125288,505.39,2 HCPCS,E0657,Segmental pneumatic chest,,,126.00202,474.81,2 HCPCS,E0658,Seg pneum comp 2 arm chest,,,291.756556,291.756556,1 HCPCS,E0659,Seg pneum comp head neck che,,,291.756556,291.756556,1 HCPCS,E0660,Pneumatic appliance full leg,,,32.792088,108.63,2 HCPCS,E0665,Pneumatic appliance full arm,,,28.472968,98.23,2 HCPCS,E0666,Pneumatic appliance half leg,,,28.057668,93.9,2 HCPCS,E0667,Seg pneumatic appl full leg,,,84.854096,259.02,2 HCPCS,E0668,Seg pneumatic appl full arm,,,101.216916,353.5,2 HCPCS,E0669,Seg pneumatic appli half leg,,,42.543332,146.65,2 HCPCS,E0670,Seg pneum int legs/trunk,,,312.322212,1088.82,2 HCPCS,E0671,Pressure pneum appl full leg,,,96.465884,332.28,2 HCPCS,E0672,Pressure pneum appl full arm,,,74.969956,258.18,2 HCPCS,E0673,Pressure pneum appl half leg,,,62.245164,214.54,2 HCPCS,E0675,Pneumatic compression device,,,892.529536,892.529536,1 HCPCS,E0677,Non pneum seq comp trunk,,,134.125288,134.125288,1 HCPCS,E0678,Non pneum seq comp full leg,,,75.152688,75.152688,1 HCPCS,E0679,Non pneum seq comp half leg,,,42.543332,42.543332,1 HCPCS,E0680,Non pneum comp control cal,,,1230.484064,1230.484064,1 HCPCS,E0681,Non pneu comp control w/o ca,,,181.187084,181.187084,1 HCPCS,E0682,Non pneum compress full arm,,,102.562488,102.562488,1 HCPCS,E0683,Non pneu peristalic comp pmp,,,132.779716,132.779716,1 HCPCS,E0691,Uvl pnl 2 sq ft or less,,,208.547048,208.547048,1 HCPCS,E0692,Uvl sys panel 4 ft,,,261.854956,261.854956,1 HCPCS,E0693,Uvl sys panel 6 ft,,,322.870832,322.870832,1 HCPCS,E0694,Uvl md cabinet sys 6 ft,,,1027.585096,1027.585096,1 HCPCS,E0705,Transfer device,,,8.904032,40.54,3 HCPCS,E0720,Tens two lead,,,111.96488,379.167285,3 HCPCS,E0730,Tens four lead,,,111.034608,382.391723,3 HCPCS,E0731,Conductive garment for tens/,,,145.820136,439.958295,2 HCPCS,E0732,Ces system,,,72.51138,72.51138,1 HCPCS,E0733,Trans elec nerv for trigemin,,,72.51138,72.51138,1 HCPCS,E0734,Ext up limb tremor stim wris,,,730.163848,730.163848,1 HCPCS,E0735,Non-invasive vagus nerv stim,,,72.51138,72.51138,1 HCPCS,E0736,Transcut tibial nerv stimula,,,72.51138,72.51138,1 HCPCS,E0738,Upper extremity rehab,,,3321.81858,3321.81858,1 HCPCS,E0739,Rehab sys active assist rt,,,2601.987396,2601.987396,1 HCPCS,E0740,Non-implant pelv flr e-stim,,,121.367272,121.367272,1 HCPCS,E0743,Ext low ext nerve stimu rls,,,394.45194,394.45194,1 HCPCS,E0744,Neuromuscular stim for scoli,,,195.074716,195.074716,1 HCPCS,E0745,Neuromuscular stim for shock,,,176.618784,176.618784,1 HCPCS,E0747,Elec osteogen stim not spine,,,767.72358,2398.5,2 HCPCS,E0748,Elec osteogen stim spinal,,,902.978484,3030.73,2 HCPCS,E0749,Elec osteogen stim implanted,,,660.011372,660.011372,1 HCPCS,E0760,Osteogen ultrasound stimltor,,,750.413876,2329.64,2 HCPCS,E0762,Trans elec jt stim dev sys,,,255.210156,255.210156,1 HCPCS,E0764,Functional neuromuscularstim,,,2568.580664,2568.580664,1 HCPCS,E0766,Elec stim cancer treatment,,,26684.619752,26684.619752,1 HCPCS,E0776,Iv pole,,,29.718868,75.46,3 HCPCS,E0779,Amb infusion pump mechanical,,,32.333126,153.88,3 HCPCS,E0780,Mech amb infusion pump <8hrs,,,8.3,24.070788,3 HCPCS,E0781,External ambulatory infus pu,,,483.532581,500.35344,2 HCPCS,E0782,Non-programble infusion pump,,,996.55388,996.55388,1 HCPCS,E0783,Programmable infusion pump,,,1900.230068,7269.63,2 HCPCS,E0784,Ext amb infusn pump insulin,,,811.212395,902.164496,2 HCPCS,E0785,Replacement impl pump cathet,,,1096.707628,1096.707628,1 HCPCS,E0786,Implantable pump replacement,,,1786.653824,6835.16,2 HCPCS,E0791,Parenteral infusion pump sta,,,575.991122,2529.6,3 HCPCS,E0840,Tract frame attach headboard,,,37.891972,58.62,2 HCPCS,E0849,Cervical pneum trac equip,,,119.623012,412.25,2 HCPCS,E0850,Traction stand free standing,,,33.489792,78.22,2 HCPCS,E0855,Cervical traction equipment,,,114.722472,114.722472,1 HCPCS,E0856,Cervic collar w air bladders,,,35.7158,35.7158,1 HCPCS,E0860,Tract equip cervical tract,,,15.133532,30.82,2 HCPCS,E0870,Tract frame attach footboard,,,31.130888,58.62,2 HCPCS,E0880,Trac stand free stand extrem,,,45.749448,78.22,2 HCPCS,E0890,Traction frame attach pelvic,,,58.62,76.215856,2 HCPCS,E0900,Trac stand free stand pelvic,,,64.12232,78.22,2 HCPCS,E0910,Trapeze bar attached to bed,,,21.462704,169.25,3 HCPCS,E0911,Hd trapeze bar attach to bed,,,81.863936,478.56,3 HCPCS,E0912,Hd trapeze bar free standing,,,158.694436,1098.91,3 HCPCS,E0920,Fracture frame attached to b,,,91.066984,376.51,2 HCPCS,E0930,Fracture frame free standing,,,95.68512,395.52,2 HCPCS,E0935,Cont pas motion exercise dev,,,46.34748,46.34748,1 HCPCS,E0940,Trapeze bar free standing,,,39.353828,325.25,3 HCPCS,E0941,Gravity assisted traction de,,,100.735168,100.735168,1 HCPCS,E0942,Cervical head harness/halter,,,5.465348,15.88,2 HCPCS,E0944,Pelvic belt/harness/boot,,,9.103376,31.2,2 HCPCS,E0945,Belt/harness extremity,,,10.266216,35.46,2 HCPCS,E0946,Fracture frame dual w cross,,,137.331404,137.331404,1 HCPCS,E0947,Fracture frame attachmnts pe,,,145.93642,485.17,2 HCPCS,E0948,Fracture frame attachmnts ce,,,136.102116,469.27,2 HCPCS,E0950,Tray,,,14.485664,86.16,3 HCPCS,E0951,Loop heel,,,2.641308,16.31,3 HCPCS,E0952,"Toe loop/holder, each",,,2.884245,15.32,3 HCPCS,E0953,W/c lateral thigh/knee sup,,,14.768068,15.767206,2 HCPCS,E0954,"Foot box, any type each foot",,,9.939552,10.71474,2 HCPCS,E0955,Cushioned headrest,,,27.692204,133.7,3 HCPCS,E0956,W/c lateral trunk/hip suppor,,,14.768068,89.07,3 HCPCS,E0957,W/c medial thigh support,,,23.157128,131.62,3 HCPCS,E0958,Whlchr att- conv 1 arm drive,,,78.15946,392.19,3 HCPCS,E0959,Amputee adapter,,,8.652735,44.21,3 HCPCS,E0960,W/c shoulder harness/straps,,,14.153424,83.22,3 HCPCS,E0961,Wheelchair brake extension,,,4.31912,24.11,3 HCPCS,E0966,Wheelchair head rest extensi,,,13.472332,71.37,3 HCPCS,E0967,Man wc rim/projection rep ea,,,13.030871,65.23,3 HCPCS,E0968,Wheelchair commode seat,,,37.642792,37.642792,1 HCPCS,E0969,Wheelchair narrowing device,,,35.998204,35.998204,1 HCPCS,E0970,Wheelchair no. 2 footplates,,,39.63,39.63,1 HCPCS,E0971,Wheelchair anti-tipping devi,,,5.847424,40.85,3 HCPCS,E0973,W/ch access det adj armrest,,,10.997144,76.54,3 HCPCS,E0974,W/ch access anti-rollback,,,14.402604,75.36,3 HCPCS,E0978,"W/c acc,saf belt pelv strap",,,4.601524,30.86,3 HCPCS,E0980,Wheelchair safety vest,,,6.545128,6.545128,1 HCPCS,E0981,"Seat upholstery, replacement",,,7.69132,35.89,3 HCPCS,E0982,"Back upholstery, replacement",,,7.617365,41.9,3 HCPCS,E0983,Add pwr joystick,,,553.727796,2862.96,2 HCPCS,E0984,Add pwr tiller,,,376.909668,1623.99,2 HCPCS,E0985,W/c seat lift mechanism,,,40.267488,194.4,3 HCPCS,E0986,Man w/c push-rim powr system,,,1129.03458,4864.24,2 HCPCS,E0988,Lever-activated wheel drive,,,694.7969,694.7969,1 HCPCS,E0990,Wheelchair elevating leg res,,,13.771348,91.17,3 HCPCS,E0992,Wheelchair solid seat insert,,,16.180088,77.14,3 HCPCS,E0994,Wheelchair arm rest,,,4.136388,4.136388,1 HCPCS,E0995,"Wc calf rest, pad replacemnt",,,4.984567,24.94,3 HCPCS,E1002,Pwr seat tilt,,,676.510758,4053.21,3 HCPCS,E1003,Pwr seat recline,,,761.174442,4391.3,3 HCPCS,E1004,Pwr seat recline mech,,,840.291501,4869.05,3 HCPCS,E1005,Pwr seat recline pwr,,,914.350038,5270.36,3 HCPCS,E1006,Pwr seat combo w/o shear,,,1122.903138,6455.7,3 HCPCS,E1007,Pwr seat combo w/shear,,,1458.141153,8741.27,3 HCPCS,E1008,Pwr seat combo pwr shear,,,1476.1418,8742.05,3 HCPCS,E1010,Add pwr leg elevation,,,196.764673,1143.79,3 HCPCS,E1012,Ctr mount pwr elev leg rest,,,196.764673,225.059376,2 HCPCS,E1014,Reclining back add ped w/c,,,84.787648,365.14,2 HCPCS,E1015,Shock absorber for man w/c,,,22.077348,114.7,3 HCPCS,E1016,Shock absorber for power w/c,,,21.34642,123.87,3 HCPCS,E1020,Residual limb support system,,,34.918424,168.6,3 HCPCS,E1028,W/c manual swingaway,,,26.33002,127.1,3 HCPCS,E1029,W/c vent tray fixed,,,64.252104,369.54,3 HCPCS,E1030,W/c vent tray gimbaled,,,202.695864,1165.27,3 HCPCS,E1031,Rollabout chair with casters,,,84.920544,604.56,3 HCPCS,E1032,Wheelchair joystick drive,,,26.33002,26.33002,1 HCPCS,E1033,Wheelchair hardware headrest,,,26.33002,26.33002,1 HCPCS,E1034,Wheelchair trunk hip support,,,26.33002,26.33002,1 HCPCS,E1035,Patient transfer system <300,,,1110.777992,7726.32,3 HCPCS,E1036,Patient transfer system >300,,,1661.316284,1674.992004,2 HCPCS,E1037,"Transport chair, ped size",,,194.161056,1084.9,3 HCPCS,E1038,Transport chair pt wt<=300lb,,,28.057668,216.36,3 HCPCS,E1039,Transport chair pt wt >300lb,,,62.295,410.4,3 HCPCS,E1050,Whelchr fxd full length arms,,,236.405372,236.405372,1 HCPCS,E1060,Wheelchair detachable arms,,,256.007532,256.007532,1 HCPCS,E1070,Wheelchair detachable foot r,,,251.655188,251.655188,1 HCPCS,E1083,Hemi-wheelchair fixed arms,,,155.338812,155.338812,1 HCPCS,E1084,Hemi-wheelchair detachable a,,,216.902884,216.902884,1 HCPCS,E1087,Wheelchair lightwt fixed arm,,,293.683548,293.683548,1 HCPCS,E1088,Wheelchair lightweight det a,,,305.893368,305.893368,1 HCPCS,E1092,Wheelchair wide w/ leg rests,,,263.100856,263.100856,1 HCPCS,E1093,Wheelchair wide w/ foot rest,,,248.665028,248.665028,1 HCPCS,E1100,Whchr s-recl fxd arm leg res,,,240.923836,240.923836,1 HCPCS,E1110,Wheelchair semi-recl detach,,,200.540064,200.540064,1 HCPCS,E1150,Wheelchair standard w/ leg r,,,168.595188,168.595188,1 HCPCS,E1160,Wheelchair fixed arms,,,143.926368,143.926368,1 HCPCS,E1161,Manual adult wc w tiltinspac,,,549.159496,2366.09,2 HCPCS,E1170,Whlchr ampu fxd arm leg rest,,,186.021176,186.021176,1 HCPCS,E1171,Wheelchair amputee w/o leg r,,,178.545776,178.545776,1 HCPCS,E1172,Wheelchair amputee detach ar,,,227.41828,227.41828,1 HCPCS,E1180,Wheelchair amputee w/ foot r,,,235.209308,235.209308,1 HCPCS,E1190,Wheelchair amputee w/ leg re,,,239.611488,239.611488,1 HCPCS,E1195,Wheelchair amputee heavy dut,,,291.557212,291.557212,1 HCPCS,E1200,Wheelchair amputee fixed arm,,,201.952084,201.952084,1 HCPCS,E1221,Wheelchair spec size w foot,,,110.287068,151.91674,2 HCPCS,E1222,Wheelchair spec size w/ leg,,,157.299028,171.568736,2 HCPCS,E1223,Wheelchair spec size w foot,,,110.287068,151.91674,2 HCPCS,E1224,Wheelchair spec size w/ leg,,,157.299028,171.568736,2 HCPCS,E1225,Manual semi-reclining back,,,71.298704,373.73,3 HCPCS,E1226,Manual fully reclining back,,,72.611052,376.02,3 HCPCS,E1227,Wheelchair spec sz spec ht a,,,54.753152,54.753152,1 HCPCS,E1228,Wheelchair spec sz spec ht b,,,55.6502,233.27,2 HCPCS,E1230,Power operated vehicle,,,444.985644,1707.13,2 HCPCS,E1232,Folding ped wc tilt-in-space,,,496.36656,2138.41,2 HCPCS,E1233,Rig ped wc tltnspc w/o seat,,,514.257684,2215.73,2 HCPCS,E1234,Fld ped wc tltnspc w/o seat,,,447.726624,1928.95,2 HCPCS,E1235,Rigid ped wc adjustable,,,431.131236,1857.43,2 HCPCS,E1236,Folding ped wc adjustable,,,380.364964,1638.73,2 HCPCS,E1237,Rgd ped wc adjstabl w/o seat,,,383.65414,1653.05,2 HCPCS,E1238,Fld ped wc adjstabl w/o seat,,,380.364964,1638.73,2 HCPCS,E1240,Whchr litwt det arm leg rest,,,203.264432,203.264432,1 HCPCS,E1270,Wheelchair lightweight leg r,,,155.754112,155.754112,1 HCPCS,E1280,Whchr h-duty det arm leg res,,,258.947856,258.947856,1 HCPCS,E1295,Wheelchair heavy duty fixed,,,281.922252,281.922252,1 HCPCS,E1296,Wheelchair special seat heig,,,107.346744,374.93,2 HCPCS,E1297,Wheelchair special seat dept,,,26.977888,72.09,2 HCPCS,E1298,Wheelchair spec seat depth/w,,,93.19332,325.53,2 HCPCS,E1310,Whirlpool non-portable,,,426.26392,426.26392,1 HCPCS,E1353,Oxygen supplies regulator,,,32.97,65.733684,2 HCPCS,E1355,Oxygen supplies stand/rack,,,24.84,49.536984,2 HCPCS,E1372,Oxy suppl heater for nebuliz,,,22.92456,35.720265,2 HCPCS,E1390,Oxygen concentrator,,,152.963296,249.908736,2 HCPCS,E1391,"Oxygen concentrator, dual",,,152.963296,249.908736,2 HCPCS,E1392,Portable oxygen concentrator,,,75.700338,77.960116,2 HCPCS,E1405,O2/water vapor enrich w/heat,,,208.912512,312.489457,2 HCPCS,E1406,O2/water vapor enrich w/o he,,,162.814212,271.681088,2 HCPCS,E1700,Jaw motion rehab system,,,80.053228,80.053228,1 HCPCS,E1701,Repl cushions for jaw motion,,,24.602372,24.602372,1 HCPCS,E1702,Repl measr scales jaw motion,,,49.570208,49.570208,1 HCPCS,E1800,Adjust elbow ext & flex dev,,,284.330992,284.330992,1 HCPCS,E1801,Sps elbow device,,,285.294488,285.294488,1 HCPCS,E1803,Adjust elbow extension dev,,,284.330992,284.330992,1 HCPCS,E1804,Adjust elbow flexion dev,,,284.330992,284.330992,1 HCPCS,E1805,Adjust wrist ext & flex dev,,,293.268248,293.268248,1 HCPCS,E1806,Sps wrist device,,,234.14614,234.14614,1 HCPCS,E1807,Adjust wrist extension dev,,,293.268248,293.268248,1 HCPCS,E1808,Adjust wrist flexion device,,,293.268248,293.268248,1 HCPCS,E1810,Adjust knee ext & flex dev,,,289.181696,1195.97,2 HCPCS,E1811,Sps knee device,,,296.590648,296.590648,1 HCPCS,E1812,Knee ext/flex w act res ctrl,,,199.59318,199.59318,1 HCPCS,E1813,Adjust knee extension device,,,289.181696,289.181696,1 HCPCS,E1814,Adjust knee flexion device,,,289.181696,289.181696,1 HCPCS,E1815,Adjust ankle ext & flex dev,,,293.268248,293.268248,1 HCPCS,E1816,Sps ankle device,,,301.208784,301.208784,1 HCPCS,E1818,Sps forearm device,,,307.504732,307.504732,1 HCPCS,E1820,Soft interface material,,,17.924348,17.924348,1 HCPCS,E1821,Replacement interface spsd,,,24.353192,24.353192,1 HCPCS,E1822,Adjust ankle extension dev,,,293.268248,293.268248,1 HCPCS,E1823,Adjust ankle flexion device,,,293.268248,293.268248,1 HCPCS,E1825,Adjust finger ext & flex dev,,,293.268248,293.268248,1 HCPCS,E1826,Adjust finger extension dev,,,293.268248,293.268248,1 HCPCS,E1827,Adjust finger flexion device,,,293.268248,293.268248,1 HCPCS,E1828,Adjust toe extension device,,,293.268248,293.268248,1 HCPCS,E1829,Adjust toe flexion device,,,293.268248,293.268248,1 HCPCS,E1830,Adjust toe ext & flex device,,,293.268248,293.268248,1 HCPCS,E1831,Static str toe dev ext/flex,,,153.32876,153.32876,1 HCPCS,E1832,Sps finger device,,,153.32876,153.32876,1 HCPCS,E1840,Adj shoulder ext/flex device,,,872.694808,872.694808,1 HCPCS,E1841,Static str shldr dev rom adj,,,1051.390092,1051.390092,1 HCPCS,E1905,Vr cbt therapy,,,1098.950248,1098.950248,1 HCPCS,E2000,Gastric suction pump hme mdl,,,114.53974,473.86,2 HCPCS,E2001,Suct pum ext mgmt sys,,,106.266964,106.266964,1 HCPCS,E2100,Bld glucose monitor w voice,,,126.932292,437.37,2 HCPCS,E2101,Bld glucose monitor w lance,,,43.77262,150.85,2 HCPCS,E2102,Adju cgm receiver/monitor,,,38.95514,38.95514,1 HCPCS,E2103,Non-adju cgm receiver/mon,,,49.071848,49.071848,1 HCPCS,E2104,Glucose monitor w cartridge,,,8.904032,8.904032,1 HCPCS,E2120,Pulse gen sys tx endolymp fl,,,658.051156,658.051156,1 HCPCS,E2201,"Man w/ch acc seat w>=20""<24""",,,60.118828,373.1,3 HCPCS,E2202,Seat width 24-27 in,,,86.664804,473.98,3 HCPCS,E2203,Frame depth less than 22 in,,,79.106344,479.05,3 HCPCS,E2204,Frame depth 22 to 25 in,,,140.088996,813.4,3 HCPCS,E2205,"Manual wc accessory, handrim",,,6.2295,32.1,3 HCPCS,E2206,Man wc whl lock comp repl ea,,,7.30928,35.26,3 HCPCS,E2207,Crutch and cane holder,,,8.455508,42.62,3 HCPCS,E2208,Cylinder tank carrier,,,14.984024,97.9,3 HCPCS,E2209,Arm trough each,,,15.432548,95.89,3 HCPCS,E2210,Wheelchair bearings,,,1.046556,6.03,3 HCPCS,E2211,Pneumatic propulsion tire,,,6.81092,40.91,3 HCPCS,E2212,Pneumatic prop tire tube,,,1.129616,5.78,3 HCPCS,E2213,Pneumatic prop tire insert,,,5.465348,29.91,3 HCPCS,E2214,Pneumatic caster tire each,,,6.279336,36.0,3 HCPCS,E2215,Pneumatic caster tire tube,,,1.908039,9.45,3 HCPCS,E2216,Foam filled propulsion tire,,,9.003704,9.658523,2 HCPCS,E2217,Foam filled caster tire each,,,7.97376,8.549198,2 HCPCS,E2218,Foam propulsion tire each,,,9.003704,9.658523,2 HCPCS,E2219,Foam caster tire any size ea,,,7.97376,41.85,3 HCPCS,E2220,"Solid propuls tire, repl, ea",,,5.502252,26.61,3 HCPCS,E2221,"Solid caster tire repl, each",,,4.933764,23.84,3 HCPCS,E2222,"Solid caster integ whl, repl",,,4.119776,19.86,3 HCPCS,E2224,Propulsion whl excl tire rep,,,16.877792,81.48,3 HCPCS,E2225,Caster wheel excludes tire,,,3.505132,49.83,6 HCPCS,E2226,Caster fork replacement only,,,7.30928,37.94,3 HCPCS,E2227,Gear reduction drive wheel,,,434.221068,1569.13,2 HCPCS,E2228,"Mwc acc, wheelchair brake",,,179.359764,865.9,3 HCPCS,E2231,Solid seat support base,,,26.313408,160.91,3 HCPCS,E2298,Pwr seat elev sys for crt,,,342.572664,342.572664,1 HCPCS,E2310,Electro connect btw control,,,196.646345,1170.24,3 HCPCS,E2311,Electro connect btw 2 sys,,,397.508125,2369.2,3 HCPCS,E2312,Mini-prop remote joystick,,,468.0431,1764.3,2 HCPCS,E2313,"Pwc harness, expand control",,,74.371924,320.26,2 HCPCS,E2321,Hand interface joystick,,,267.12546,1198.22,3 HCPCS,E2322,Mult mech switches,,,244.436066,1063.45,3 HCPCS,E2323,Special joystick handle,,,11.951128,66.17,3 HCPCS,E2324,Chin cup interface,,,7.587783,41.92,3 HCPCS,E2325,Sip and puff interface,,,233.54989,1346.83,3 HCPCS,E2326,Breath tube kit,,,60.406444,347.14,3 HCPCS,E2327,Head control interface mech,,,454.394311,1969.8,3 HCPCS,E2328,Head/extremity control inter,,,860.717872,4955.32,3 HCPCS,E2329,Head control nonproportional,,,307.20907,1766.13,3 HCPCS,E2330,Head control proximity switc,,,595.234213,3422.09,3 HCPCS,E2340,W/c wdth 20-23 in seat frame,,,83.209508,358.36,2 HCPCS,E2341,W/c wdth 24-27 in seat frame,,,124.75612,537.58,2 HCPCS,E2342,W/c dpth 20-21 in seat frame,,,103.974508,447.98,2 HCPCS,E2343,W/c dpth 22-25 in seat frame,,,166.352568,716.78,2 HCPCS,E2351,Electronic sgd interface,,,121.567229,691.51,3 HCPCS,E2359,Gr34 sealed leadacid battery,,,33.174164,187.04,3 HCPCS,E2360,22nf nonsealed leadacid,,,21.491323,106.53,3 HCPCS,E2361,22nf sealed leadacid battery,,,22.26008,128.24,3 HCPCS,E2362,Gr24 nonsealed leadacid,,,18.252094,90.44,3 HCPCS,E2363,Gr24 sealed leadacid battery,,,28.556028,166.83,3 HCPCS,E2364,U1nonsealed leadacid battery,,,21.491323,106.53,3 HCPCS,E2365,U1 sealed leadacid battery,,,14.884352,94.85,3 HCPCS,E2366,"Battery charger, single mode",,,32.260504,212.64,3 HCPCS,E2367,"Battery charger, dual mode",,,71.691977,263.62,3 HCPCS,E2368,Pwr wc drivewheel motor repl,,,78.591372,379.5,3 HCPCS,E2369,Pwr wc drivewheel gear repl,,,74.272252,358.6,3 HCPCS,E2370,Pwr wc dr wh motor/gear comb,,,102.147188,493.2,3 HCPCS,E2371,Gr27 sealed leadacid battery,,,26.097452,144.21,3 HCPCS,E2373,Hand/chin ctrl spec joystick,,,140.041188,614.99,3 HCPCS,E2374,Hand/chin ctrl std joystick,,,90.165936,534.02,3 HCPCS,E2375,Non-expandable controller,,,124.722896,602.2,3 HCPCS,E2376,"Expandable controller, repl",,,225.355676,1342.27,3 HCPCS,E2377,"Expandable controller, initl",,,82.474616,485.71,3 HCPCS,E2378,Pw actuator replacement,,,102.856614,447.62,3 HCPCS,E2381,Pneum drive wheel tire,,,11.229712,57.32,3 HCPCS,E2382,"Tube, pneum wheel drive tire",,,3.342766,19.02,3 HCPCS,E2383,"Insert, pneum wheel drive",,,24.120624,140.87,3 HCPCS,E2384,Pneumatic caster tire,,,11.71146,71.58,3 HCPCS,E2385,"Tube, pneumatic caster tire",,,8.061095,45.51,3 HCPCS,E2386,Foam filled drive wheel tire,,,19.701832,126.97,3 HCPCS,E2387,Foam filled caster tire,,,9.352556,57.37,3 HCPCS,E2388,Foam drive wheel tire,,,8.549198,48.19,3 HCPCS,E2389,Foam caster tire,,,4.718329,26.18,3 HCPCS,E2390,Solid drive wheel tire,,,7.321545,40.93,3 HCPCS,E2391,Solid caster tire,,,3.339012,19.39,3 HCPCS,E2392,"Solid caster tire, integrate",,,8.13988,48.78,3 HCPCS,E2394,Drive wheel excludes tire,,,11.04698,68.5,3 HCPCS,E2395,Caster wheel excludes tire,,,3.505132,49.83,6 HCPCS,E2396,Caster fork,,,9.983812,60.38,3 HCPCS,E2397,"Pwc acc, lith-based battery",,,81.880548,414.13,3 HCPCS,E2398,Wc dynamic pos back hardware,,,26.629036,26.629036,1 HCPCS,E2402,Neg press wound therapy pump,,,1281.250336,2122.375381,2 HCPCS,E2500,Sgd digitized pre-rec <=8min,,,90.767968,391.06,2 HCPCS,E2502,Sgd prerec msg >8min <=20min,,,277.58652,1195.8,2 HCPCS,E2504,Sgd prerec msg>20min <=40min,,,366.161704,1577.42,2 HCPCS,E2506,Sgd prerec msg > 40 min,,,536.81678,2312.96,2 HCPCS,E2508,Sgd spelling phys contact,,,830.134864,3576.61,2 HCPCS,E2510,Sgd w multi methods msg/accs,,,1570.91378,6768.25,2 HCPCS,E2513,"Sgd accessory, emg sensor",,,731.442972,731.442972,1 HCPCS,E2601,Gen w/c cushion wdth < 22 in,,,7.342504,50.7,3 HCPCS,E2602,Gen w/c cushion wdth >=22 in,,,16.213312,103.14,3 HCPCS,E2603,Skin protect wc cus wd <22in,,,19.85134,129.02,3 HCPCS,E2604,Skin protect wc cus wd>=22in,,,28.672312,169.68,3 HCPCS,E2605,Position wc cush wdth <22 in,,,40.516668,243.36,3 HCPCS,E2606,Position wc cush wdth>=22 in,,,62.809972,384.42,3 HCPCS,E2607,Skin pro/pos wc cus wd <22in,,,40.250876,250.12,3 HCPCS,E2608,Skin pro/pos wc cus wd>=22in,,,51.66332,306.64,3 HCPCS,E2611,Gen use back cush wdth <22in,,,29.120836,236.8,3 HCPCS,E2612,Gen use back cush wdth>=22in,,,59.520796,369.34,3 HCPCS,E2613,Position back cush wd <22in,,,57.261564,356.61,3 HCPCS,E2614,Position back cush wd>=22in,,,85.319232,508.32,3 HCPCS,E2615,Pos back post/lat wdth <22in,,,67.062644,408.76,3 HCPCS,E2616,Pos back post/lat wdth>=22in,,,92.146764,550.23,3 HCPCS,E2619,Replace cover w/c seat cush,,,8.756272,49.09,3 HCPCS,E2620,Wc planar back cush wd <22in,,,72.411708,469.33,3 HCPCS,E2621,Wc planar back cush wd>=22in,,,84.521856,519.21,3 HCPCS,E2622,Adj skin pro w/c cus wd<22in,,,56.013517,299.68,3 HCPCS,E2623,Adj skin pro wc cus wd>=22in,,,71.055964,381.33,3 HCPCS,E2624,Adj skin pro/pos cus<22in,,,56.693903,302.14,3 HCPCS,E2625,Adj skin pro/pos wc cus>=22,,,70.967218,382.49,3 HCPCS,E2626,Seo mobile arm sup att to wc,,,121.400496,667.16,3 HCPCS,E2627,Arm supp att to wc rancho ty,,,192.416796,1064.58,3 HCPCS,E2628,Mobile arm supports reclinin,,,147.414888,801.99,3 HCPCS,E2629,Friction dampening arm supp,,,186.277854,1014.9,3 HCPCS,E2630,Monosuspension arm/hand supp,,,126.367484,709.72,3 HCPCS,E2631,Elevat proximal arm support,,,51.33108,283.9,3 HCPCS,E2632,Offset/lat rocker arm w/ela,,,32.758864,180.52,3 HCPCS,E2633,Mobile arm support supinator,,,27.426412,152.6,3 HCPCS,E3000,Speech volume modulation sys,,,398.754448,398.754448,1 HCPCS,E3200,Gait mod systm rhym auditory,,,1919.59966,1919.59966,1 HCPCS,G0012,Injection of hiv prep drug,,,71.22144,265.775489,21 HCPCS,G0013,"Hiv prep counsel, clin staff",,,37.8512,155.92094,21 HCPCS,G0019,Comm hlth intg svs sdoh 60mn,,,117.5305,374.997644,21 HCPCS,G0023,Pin service 60m per month,,,117.5305,374.997644,21 HCPCS,G0027,Semen analysis,,,6.5,18.655,21 HCPCS,G0101,Ca screen;pelvic/breast exam,,,117.5305,374.997644,21 HCPCS,G0103,Psa screening,,,19.31,55.4197,21 HCPCS,G0104,Ca screen;flexi sigmoidscope,,,1158.4187,3432.752183,21 HCPCS,G0105,Colorectal scrn; hi risk ind,,,1158.4187,6925.0,22 HCPCS,G0106,Colon ca screen;barium enema,,,275.47584,321.38848,2 HCPCS,G0108,Diab manage trn per indiv,,,45.74,206.0373,20 HCPCS,G0109,Diab manage trn ind/group,,,12.26,58.9498,20 HCPCS,G0117,Glaucoma scrn hgh risk direc,,,31.117,137.873652,42 HCPCS,G0118,Glaucoma scrn hgh risk direc,,,31.117,137.873652,42 HCPCS,G0120,Colon ca scrn; barium enema,,,576.60144,672.70168,2 HCPCS,G0121,Colon ca scrn not hi rsk ind,,,1158.4187,3432.752183,21 HCPCS,G0123,Screen cerv/vag thin layer,,,20.26,58.1462,21 HCPCS,G0127,Trim nail(s),,,75.4736,217.758093,21 HCPCS,G0136,Adm of soc dtr assess 5-15 m,,,37.8512,138.307309,21 HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,650.5,2350.284615,19 HCPCS,G0140,Nav srv peer sup 60 min pr m,,,117.5305,374.997644,21 HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,26.49,126.1939,63 HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,26.49,126.1939,63 HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,26.49,126.1939,63 HCPCS,G0147,"Scr c/v cyto, automated sys",,,18.19,53.2098,21 HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,31.94,91.6678,21 HCPCS,G0156,"Hhcp-svs of aide,ea 15 min",,,7.09,7.09,1 HCPCS,G0162,"Hhc rn e&m plan svs, 15 min",,,17.04,17.04,1 HCPCS,G0166,"Extrnl counterpulse, per tx",,,163.7803,491.121001,21 HCPCS,G0175,"Opps service,sched team conf",,,536.6691,1540.240317,21 HCPCS,G0176,Opps/php/iop; activity thrpy,,,35.0,35.0,1 HCPCS,G0183,Software meas of cardiac vol,,,111.8763,321.235656,11 HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,697.0512,2030.204995,21 HCPCS,G0235,Pet not otherwise specified,,,510.5652,1475.675075,21 HCPCS,G0237,Therapeutic procd strg endur,,,12.08,106.765435,22 HCPCS,G0238,"Oth resp proc, indiv",,,31.117,106.765435,21 HCPCS,G0239,"Oth resp proc, group",,,48.0396,137.873652,21 HCPCS,G0245,Initial foot exam pt lops,,,163.7422,491.446172,21 HCPCS,G0246,Followup eval of foot pt lop,,,163.7422,491.446172,21 HCPCS,G0247,Routine footcare pt w lops,,,252.4682,740.601491,21 HCPCS,G0248,Demonstrate use home inr mon,,,163.7422,491.446172,21 HCPCS,G0249,Provide inr test mater/equip,,,163.7422,491.446172,21 HCPCS,G0270,Mnt subs tx for change dx,,,29.84,85.6408,19 HCPCS,G0271,Group mnt 2 or more 30 mins,,,16.62,47.6994,19 HCPCS,G0276,Pild/placebo control clin tr,,,9076.8233,26784.860767,21 HCPCS,G0277,"Hbot, full body chamber, 30m",,,175.2157,507.957856,21 HCPCS,G0279,"Tomosynthesis, mammo",,,47.52,146.657,20 HCPCS,G0281,Elec stim unattend for press,,,14.52,42.7343,19 HCPCS,G0283,Elec stim other than wound,,,15.57,45.92,19 HCPCS,G0293,"Non-cov surg proc,clin trial",,,48.0396,137.873652,21 HCPCS,G0294,"Non-cov proc, clinical trial",,,48.0396,137.873652,21 HCPCS,G0296,Visit to determ ldct elig,,,117.5305,374.997644,21 HCPCS,G0299,Hhs/hospice of rn ea 15 min,,,10.15,10.15,1 HCPCS,G0300,Hhs/hospice of lpn ea 15 min,,,11.03,11.03,1 HCPCS,G0302,Pre-op service lvrs complete,,,479.943,1377.43641,21 HCPCS,G0303,Pre-op service lvrs 10-15dos,,,277.7133,797.037171,21 HCPCS,G0304,Pre-op service lvrs 1-9 dos,,,479.943,1377.43641,21 HCPCS,G0305,Post op service lvrs min 6,,,479.943,1377.43641,21 HCPCS,G0306,Cbc/diffwbc w/o platelet,,,7.77,22.2999,21 HCPCS,G0307,Cbc without platelet,,,6.47,18.5689,21 HCPCS,G0323,Care manage beh svs 20mins,,,37.8512,138.307309,21 HCPCS,G0328,Fecal blood scrn immunoassay,,,18.05,51.8035,21 HCPCS,G0329,Electromagntic tx for ulcers,,,13.92,41.4428,19 HCPCS,G0330,Facility svs dental rehab,,,4120.6447,12238.352154,21 HCPCS,G0379,Direct refer hospital observ,,,765.9525,2198.283675,21 HCPCS,G0380,Lev 1 hosp type b ed visit,,,95.6009,274.374583,21 HCPCS,G0381,Lev 2 hosp type b ed visit,,,119.4696,342.877752,21 HCPCS,G0382,Lev 3 hosp type b ed visit,,,221.0754,634.486398,21 HCPCS,G0383,Lev 4 hosp type b ed visit,,,339.9408,975.630096,21 HCPCS,G0384,Lev 5 hosp type b ed visit,,,513.1826,1516.105052,21 HCPCS,G0396,Alcohol/subs interv 15-30mn,,,31.24,138.307309,22 HCPCS,G0397,Alcohol/subs interv >30 min,,,60.61,655.189143,22 HCPCS,G0398,Home sleep test/type 2 porta,,,198.7981,797.037171,21 HCPCS,G0399,Home sleep test/type 3 porta,,,198.7981,797.037171,21 HCPCS,G0400,Home sleep test/type 4 porta,,,277.7133,797.037171,21 HCPCS,G0402,Initial preventive exam,,,163.7422,491.446172,21 HCPCS,G0404,Ekg tracing for initial prev,,,31.117,106.765435,21 HCPCS,G0412,Open tx iliac spine uni/bil,,,9332.7041,26784.860767,10 HCPCS,G0413,Pelvic ring fracture uni/bil,,,9076.8233,26784.860767,21 HCPCS,G0414,Pelvic ring fx treat int fix,,,9332.7041,26784.860767,10 HCPCS,G0415,Open tx post pelvic fxcture,,,4208.339,12077.93293,10 HCPCS,G0416,"Prostate biopsy, any mthd",,,342.3,1323.132566,22 HCPCS,G0420,Ed svc ckd ind per session,,,139.97,429.1224,19 HCPCS,G0421,Ed svc ckd grp per session,,,33.58,103.0904,19 HCPCS,G0422,Intens cardiac rehab w/exerc,,,94.8,475.837677,22 HCPCS,G0423,Intens cardiac rehab no exer,,,94.8,475.837677,22 HCPCS,G0429,Dermal filler injection(s),,,2324.2196,7616.186158,21 HCPCS,G0432,Eia hiv-1/hiv-2 screen,,,14.93,56.1659,22 HCPCS,G0433,Elisa hiv-1/hiv-2 screen,,,14.63,52.4923,22 HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,10.1,34.3826,22 HCPCS,G0438,"Ppps, initial visit",,,206.14,632.9498,19 HCPCS,G0439,"Ppps, subseq visit",,,160.69,497.1127,19 HCPCS,G0442,Annual alcohol screen 15 min,,,16.5,138.307309,22 HCPCS,G0443,Brief alcohol misuse counsel,,,117.5305,374.997644,21 HCPCS,G0444,Depression screen annual,,,37.8512,138.307309,21 HCPCS,G0445,High inten beh couns std 30m,,,117.5305,374.997644,21 HCPCS,G0446,Intens behave ther cardio dx,,,21.28,138.307309,22 HCPCS,G0447,Behavior counsel obesity 15m,,,22.26,374.997644,22 HCPCS,G0451,Devlopment test interpt&rep,,,117.5305,374.997644,21 HCPCS,G0452,Molecular pathology interpr,,,15.89,15.89,1 HCPCS,G0460,Autolog prp not diab ulcer,,,2324.2196,7616.186158,21 HCPCS,G0465,Autolog prp diab wound ulcer,,,2324.2196,7616.186158,21 HCPCS,G0471,Ven blood coll snf/hha,,,11.09,32.5458,21 HCPCS,G0472,Hep c screen high risk/other,,,46.35,133.0245,22 HCPCS,G0473,Group behave couns 2-10,,,10.68,138.307309,22 HCPCS,G0475,Hiv combination assay,,,24.08,69.1096,22 HCPCS,G0476,Hpv combo assay ca screen,,,35.09,100.7083,21 HCPCS,G0480,Drug test def 1-7 classes,,,63.95,328.4141,22 HCPCS,G0481,Drug test def 8-14 classes,,,98.39,449.4133,22 HCPCS,G0482,Drug test def 15-21 classes,,,132.82,570.3838,22 HCPCS,G0483,Drug test def 22+ classes,,,172.18,708.6604,22 HCPCS,G0498,Chemo extend iv infus w/pump,,,421.4453,1219.257508,21 HCPCS,G0499,Hepb screen high risk indiv,,,28.27,81.1349,22 HCPCS,G0506,Comp asses care plan ccm svc,,,55.57,55.57,1 HCPCS,G0508,Crit care telehea consult 60,,,168.71,168.71,1 HCPCS,G0509,Crit care telehea consult 50,,,162.69,162.69,1 HCPCS,G0516,"Insert drug del implant, >=4",,,507.0202,1648.99294,21 HCPCS,G0517,Remove drug implant,,,507.0202,1648.99294,21 HCPCS,G0518,Remove w insert drug implant,,,507.0202,1648.99294,21 HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,37.8512,138.307309,19 HCPCS,G0538,Ascvd rsk mng clin stf pr mo,,,117.5305,374.997644,19 HCPCS,G0539,Initial care training 30 m,,,56.69,162.7003,17 HCPCS,G0540,Train for caregiver add 15,,,30.26,86.8462,17 HCPCS,G0541,No pt prsnt train initial 30,,,37.2005,106.765435,17 HCPCS,G0542,No pt prsnt train add 15,,,33.04,44.604,7 HCPCS,G0543,Group train w/o patient,,,14.15,106.765435,17 HCPCS,G0544,Post d/c phone follow up,,,117.5305,374.997644,19 HCPCS,G0552,Supply of digital device,,,163.7422,491.446172,19 HCPCS,G0553,Monthly tx for dmht 20mins,,,163.7422,491.446172,19 HCPCS,G0555,Replacment pt electronic sys,,,1104.4833,3169.867071,19 HCPCS,G0556,Adv prim care mgmt lvl 1,,,37.8512,138.307309,19 HCPCS,G0557,Adv prim care mgmt lvl 2,,,37.8512,138.307309,19 HCPCS,G0558,Adv prim care mgmt lvl 3,,,117.5305,374.997644,19 HCPCS,G0560,Safety plan interven,,,57.64,165.4268,17 HCPCS,G0562,Complex simulation w/pet-ct,,,1950.5,7047.240515,21 HCPCS,G0563,Sbrt w/positron emission del,,,3750.5,11744.196415,21 HCPCS,G0564,365 d implant glucose sensor,,,3250.5,5575.615155,8 HCPCS,G0565,Rem/ins glu snsr 365 dif sit,,,3250.5,5575.615155,8 HCPCS,G0566,3d bn img algor drvd fr mri,,,165.495,474.97065,11 HCPCS,G0567,Screening hep c detect,,,35.09,100.7083,10 HCPCS,G0568,"Int psych care mng, 1 cal mo",,,130.6612,374.997644,10 HCPCS,G0569,"Subs psych care mng, subs mo",,,130.6612,374.997644,10 HCPCS,G0570,"Care manage serv, pr cal mo",,,48.1907,138.307309,10 HCPCS,G0659,Drug test def simple all cl,,,62.14,178.3418,22 HCPCS,G2000,Blinded conv. tx mdd clin tr,,,479.943,1377.43641,21 HCPCS,G2010,Remot image submit by pt,,,10.87,10.87,1 HCPCS,G2011,Alcohol/sub misuse assess,,,14.81,106.765435,22 HCPCS,G2012,Brief check in by md/qhp,,,12.48,12.48,1 HCPCS,G2082,Visit esketamine 56m or less,,,1150.5,3795.501815,21 HCPCS,G2083,"Visit esketamine, > 56m",,,1450.5,5963.327615,21 HCPCS,G2086,Off base opioid tx 70min,,,204.1473,655.189143,22 HCPCS,G2087,"Off base opioid tx, 60 m",,,204.1473,655.189143,22 HCPCS,G2088,"Off base opioid tx, add30",,,61.69,61.69,1 HCPCS,G2213,Initiat med assist tx in er,,,58.05,58.05,1 HCPCS,G2214,Init/sub psych care m 1st 30,,,117.5305,374.997644,21 HCPCS,G2250,"Remot img sub by pt, non e/m",,,10.98,31.5126,19 HCPCS,G2251,"Brief chkin, 5-10, non-e/m",,,14.84,42.5908,19 HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,30.41,87.2767,19 HCPCS,G6001,ECHO GUIDANCE RADIOTHERAPY,,,45.23,79.07,2 HCPCS,G6002,Stereoscopic x-ray guidance,,,67.5,67.5,1 HCPCS,G6003,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6004,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6005,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6006,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6007,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6008,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6009,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6010,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6011,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6012,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6013,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6014,Radiation treatment delivery,,,115.02,230.04,11 HCPCS,G6015,Radiation tx delivery imrt,,,333.22,333.22,1 HCPCS,G6016,Delivery comp imrt,,,332.68,332.68,1 HCPCS,G8431,Pos clin depres scrn f/u doc,,,29.68,29.68,1 HCPCS,G8510,"Scr dep neg, no plan reqd",,,17.14,17.14,1 HCPCS,G9001,"Mccd, initial rate",,,1000.0,1000.0,1 HCPCS,G9002,"Mccd,maintenance rate",,,200.0,200.0,1 HCPCS,G9012,Other specified case mgmt,,,35.77,35.77,1 HCPCS,G9037,Intrpro req fr rec phys/qhcp,,,50.45,68.1075,6 HCPCS,G9038,Co-management services,,,62.87,84.8745,6 HCPCS,G9143,Warfarin respon genetic test,,,178.556952,200.540064,2 HCPCS,G9873,1 em core session,,,20.0,20.0,1 HCPCS,G9874,4 em core sessions,,,40.0,40.0,1 HCPCS,G9875,9 em core sessions,,,72.0,72.0,1 HCPCS,G9876,2 em core ms mo 7-9 no wl,,,12.0,12.0,1 HCPCS,G9877,2 em core ms mo 10-12 no wl,,,12.0,12.0,1 HCPCS,G9878,2 em core ms mo 7-9 wl,,,48.0,48.0,1 HCPCS,G9879,2 em core ms mo 10-12 wl,,,48.0,48.0,1 HCPCS,G9880,Em 5 percent wl,,,128.0,128.0,1 HCPCS,G9881,Em 9 percent wl,,,20.0,20.0,1 HCPCS,G9882,2 em ongoing ms mo 13-15 wl,,,40.0,40.0,1 HCPCS,G9883,2 em ongoing ms mo 16-18 wl,,,40.0,40.0,1 HCPCS,G9884,2 em ongoing ms mo 19-21 wl,,,40.0,40.0,1 HCPCS,G9885,2 em ongoing ms mo 22-24 wl,,,40.0,40.0,1 HCPCS,G9890,Em bridge payment,,,20.0,20.0,1 HCPCS,G9919,Scrn nd pos nd prov of rec,,,29.0,29.0,1 HCPCS,G9920,Scrning perf and negative,,,13.49,13.49,1 HCPCS,J0013,"Esketamine, nasal spray",,,15.198,15.198,2 HCPCS,J0130,Abciximab injection,,,1375.147,1375.147,2 HCPCS,J0131,"Inj, acetaminophen (nos)",,,0.1105,4.53,3 HCPCS,J0134,Inj acetaminophen -fresenius,,,0.06,4.51,5 HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.06,4.53,5 HCPCS,J0138,Inj acetaminoph 10mg/ibu 3mg,,,0.04,0.2583,13 HCPCS,J0162,Inj epinephrine (fresenius),,,0.646,0.646,2 HCPCS,J0163,Epinephrine in nacl (endo),,,1.02,1.02,2 HCPCS,J0164,Epinephrine in nacl (baxter),,,0.9265,0.9265,2 HCPCS,J0165,Inj epinephrine nos 0.1 mg,,,0.3315,0.3315,2 HCPCS,J0166,Inj epinephrine (bpi),,,1.122,1.122,2 HCPCS,J0167,Inj epinephrine (hospira),,,1.4025,1.4025,2 HCPCS,J0168,Epinephrine (intl med sys),,,1.4025,1.4025,2 HCPCS,J0169,Inj epinephrine (adrenalin),,,0.833,0.833,2 HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,5.7545,10.44,14 HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,4.09,11.9392,21 HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,323.71,1012.5647,24 HCPCS,J0180,Agalsidase beta injection,,,222.06,660.9897,24 HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.06,27.4659,24 HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.64,6.2,24 HCPCS,J0202,"Injection, alemtuzumab",,,2297.23,7023.177,24 HCPCS,J0207,Amifostine,,,1075.87,1092.8365,3 HCPCS,J0208,"Inj, pedmark, 100 mg",,,93.16,275.6922,24 HCPCS,J0209,"Inj, sod thiosulfate (hope)",,,0.816,2.5256,12 HCPCS,J0210,Methyldopate hcl injection,,,40.8,44.46,3 HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,1.9975,6.1992,21 HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,7.42,7.42,1 HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,404.46,1335.2101,24 HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,381.57,1135.1424,24 HCPCS,J0220,Alglucosidase alfa injection,,,178.632,211.1,5 HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,98.83,286.9139,24 HCPCS,J0223,Inj givosiran 0.5 mg,,,112.14,346.3516,24 HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,317.88,941.4174,24 HCPCS,J0248,"Inj, remdesivir, 1 mg",,,6.35,19.7743,24 HCPCS,J0257,Glassia injection,,,5.51,16.3303,24 HCPCS,J0275,Alprostadil urethral suppos,,,74.749,74.749,2 HCPCS,J0281,Inj aminocaproic acid 1 gram,,,1.6405,1.6405,2 HCPCS,J0288,Ampho b cholesteryl sulfate,,,25.49,25.49,1 HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.5,10.0737,24 HCPCS,J0300,Amobarbital 125 mg inj,,,137.088,187.72,5 HCPCS,J0349,"Inj, rezafungin, 1 mg",,,10.12,31.0247,24 HCPCS,J0350,Injection anistreplase 30 u,,,2404.2165,2404.2165,2 HCPCS,J0364,Apomorphine hydrochloride,,,35.411,35.411,2 HCPCS,J0391,"Inj, artesunate, 1mg",,,49.73,148.7234,24 HCPCS,J0400,Aripiprazole injection,,,5.22,5.22,1 HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,5.92,17.2774,24 HCPCS,J0456,Azithromycin,,,4.1565,6.25,3 HCPCS,J0457,"Injection, aztreonam, 100 mg",,,3.0345,6.98,5 HCPCS,J0458,Aztreonam/avibactam 10 mg,,,1.666,4.7929,13 HCPCS,J0462,"Atropine sulf, nte, 0.01 mg",,,0.1615,0.1615,2 HCPCS,J0470,Dimecaprol injection,,,54.553,83.734,5 HCPCS,J0485,Belatacept injection,,,3.81,11.1643,24 HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,17.29,52.6071,24 HCPCS,J0517,"Inj., benralizumab, 1 mg",,,163.96,470.5652,24 HCPCS,J0525,Inj cefotetan disodium 10 mg,,,0.2465,0.2465,2 HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,38.76,114.2834,24 HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,108.15,347.8153,14 HCPCS,J0570,Buprenorphine implant 74.2mg,,,1262.25,1836.45,5 HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,4.0715,4.0715,2 HCPCS,J0575,Bupren/nal over 10mg bupreno,,,8.1345,8.1345,2 HCPCS,J0577,"Inj, brixadi, 7 days or less",,,420.05,1205.5435,21 HCPCS,J0578,"Inj brixadi, more than 7 day",,,1680.21,4822.2027,21 HCPCS,J0582,Bivalirudin (endo) 1 mg,,,0.1955,0.1955,2 HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,3.11,8.9257,23 HCPCS,J0591,"Inj deoxycholic acid, 1 mg",,,15.3,15.3,2 HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,87.19,250.2353,14 HCPCS,J0596,"Injection, ruconest",,,34.67,105.5299,24 HCPCS,J0597,"C-1 esterase, berinert",,,68.36,217.7182,24 HCPCS,J0598,"C-1 esterase, cinryze",,,64.07,188.3581,24 HCPCS,J0599,"Inj., haegarda 10 units",,,11.73,15.04,4 HCPCS,J0600,Edetate calcium disodium inj,,,4654.345,17821.7529,23 HCPCS,J0603,Sevelamer hydrochloride 20mg,,,0.102,0.102,2 HCPCS,J0605,Sucroferric oxyhydroxide 5mg,,,0.1785,0.1785,2 HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,2.29,8.21,15 HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.0595,0.0595,2 HCPCS,J0609,Ferric citrate orl 3 mg iron,,,0.1105,0.1105,2 HCPCS,J0611,Calcium glucon (wg critical),,,3.1195,3.1195,2 HCPCS,J0612,"Inj, calcium gluconate, nos",,,0.051,4.51,5 HCPCS,J0614,"Inj, treosulfan, 50 mg",,,31.11,89.544,13 HCPCS,J0616,Inj metoprolol tartrate 1 mg,,,0.204,0.204,2 HCPCS,J0618,"Inj, calcium chloride, 2 mg",,,0.0255,0.0255,2 HCPCS,J0636,Inj calcitriol per 0.1 mcg,,,1.0115,5.21,3 HCPCS,J0641,Inj levoleucovorin nos 0.5mg,,,0.084,4.79,5 HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,1.836,5.52,5 HCPCS,J0650,"Inj, levothyroxine nos 10mcg",,,9.707,9.707,2 HCPCS,J0651,"Inj, levothyroxine, freskabi",,,3.75,19.8891,21 HCPCS,J0652,"Inj, levothyroxine, hikma",,,5.14,7.6415,11 HCPCS,J0654,"Inj, liothyronine, 1 mcg",,,39.52,113.4224,12 HCPCS,J0666,"Inj, bupivacaine liposome",,,1.445,5.85,24 HCPCS,J0668,"Instill, bupivac and meloxic",,,0.71,2.962701,24 HCPCS,J0675,"Inj, carboprost, 0.1 mg",,,13.7,51.05,13 HCPCS,J0681,Inj ceftobipole medocarl 3mg,,,1.0795,3.2144,13 HCPCS,J0687,Inj cefazolin (wg crit care),,,0.95,1.404,11 HCPCS,J0688,"Inj cefazolin sodium, hikma",,,0.93,5.92,12 HCPCS,J0691,Inj lefamulin 1 mg,,,0.697,5.14,5 HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,2.28,6.9167,24 HCPCS,J0712,Ceftaroline fosamil inj,,,3.94,12.1401,24 HCPCS,J0716,Centruroides immune f(ab),,,1051.33,6815.172,24 HCPCS,J0720,Chloramphenicol sodium injec,,,49.623,144.2462,13 HCPCS,J0738,"Hiv prep, inj, lenacapavir",,,15.521,46.2931,13 HCPCS,J0739,"Hiv prep, inj, cabotegravir",,,6.81,20.4918,22 HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,22.9,69.3392,24 HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,0.88,6.5745,22 HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,70.03,204.6884,22 HCPCS,J0752,"Hiv prep, oral lenacapavir",,,449.03,1788.4118,13 HCPCS,J0759,"Inj, clevidepine, 1 mg",,,2.85,8.2082,13 HCPCS,J0795,Corticorelin ovine triflutal,,,9.3075,13.59,3 HCPCS,J0800,Corticotropin injection,,,3567.45,3567.45,2 HCPCS,J0801,Inj. acthar gel to 40 units,,,4094.55,11975.1611,15 HCPCS,J0802,"Inj. (ani), up to 40 units",,,3393.56,10193.4651,15 HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,1027.17,14135.2092,24 HCPCS,J0850,Cytomegalovirus imm iv /vial,,,1672.05,5189.8784,24 HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.04,0.527,11 HCPCS,J0873,Inj daptomycin (xellia),,,0.04,0.085,11 HCPCS,J0875,"Injection, dalbavancin",,,15.58,44.7146,24 HCPCS,J0877,"Inj, daptomycin (hospira)",,,0.084,4.52,5 HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.06,4.69,12 HCPCS,J0887,Epoetin beta esrd use,,,1.944,6.17,5 HCPCS,J0888,Epoetin beta non esrd,,,1.16,6.17,14 HCPCS,J0889,Daprodustat oral 1mg esrd,,,3.9865,3.9865,2 HCPCS,J0891,Argatroban nonesrd (accord),,,1.81,5.67,24 HCPCS,J0892,Argatroban dialysis (accord),,,2.184,4.83,5 HCPCS,J0893,"Inj, decitabine (sun pharma)",,,0.936,6.58,5 HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,40.62,122.7499,24 HCPCS,J0898,Argatroban nonesrd (auromed),,,1.42,8.36,14 HCPCS,J0899,"Argatroban dialysis, auromed",,,3.978,8.36,5 HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.1445,0.1445,2 HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,5.97,17.1339,21 HCPCS,J1050,Medroxyprogesterone acetate,,,0.5525,5.03,3 HCPCS,J1072,"Inj, testosterone, azmiro",,,1.275,3.7884,13 HCPCS,J1073,Testosterone pellet 75 mg,,,74.4,213.528,12 HCPCS,J1094,Inj dexamethasone acetate,,,0.3995,0.3995,2 HCPCS,J1095,"Injection, dexamethasone 9%",,,1.173,5.61,3 HCPCS,J1096,Dexametha opth insert 0.1 mg,,,112.95,356.426735,22 HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,0.65,1.053,14 HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,0.2125,4.67,3 HCPCS,J1163,"Inj, diltiazem hcl, 0.5 mg",,,0.0425,0.0425,2 HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,14.87,49.0483,24 HCPCS,J1202,Miglustat oral 65 mg,,,34.629,34.629,2 HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,88.06,261.744,21 HCPCS,J1240,Dimenhydrinate injection,,,13.4045,13.4045,2 HCPCS,J1246,"Inj, dinutuximab, 0.1 mg",,,91.919,91.919,2 HCPCS,J1260,Dolasetron mesylate,,,10.63,10.63,1 HCPCS,J1267,Doripenem injection,,,0.8075,5.22,3 HCPCS,J1270,"Injection, doxercalciferol",,,1.02,4.88,3 HCPCS,J1299,"Inj, eculizumab, 2 mg",,,44.353,129.2074,13 HCPCS,J1301,"Injection, edaravone, 1 mg",,,14.0505,50.1389,24 HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,18.13,54.5874,24 HCPCS,J1304,Inj tofersen intrathec 1 mg,,,146.76,459.2,24 HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,183.6,565.8492,24 HCPCS,J1306,"Injection, inclisiran, 1 mg",,,12.19,36.4203,24 HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,530.6975,1582.8337,21 HCPCS,J1322,"Elosulfase alfa, injection",,,285.38,895.2678,24 HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,32.64,96.6042,13 HCPCS,J1330,Ergonovine maleate injection,,,4.8705,4.8705,2 HCPCS,J1370,"Inj, esomeprazole sod, 1 mg",,,0.204,0.204,2 HCPCS,J1411,"Inj, hemgenix, per tx dose",,,3570000.0,10576715.3142,23 HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,11332.59,36029.1477,24 HCPCS,J1414,"Inj, beqvez, per tx dose",,,3570000.0,4866750.0,10 HCPCS,J1426,"Injection, casimersen, 10 mg",,,163.2,476.9653,16 HCPCS,J1427,Inj. viltolarsen,,,57.528,82.362,5 HCPCS,J1434,"Inj, focinvez, 1mg",,,2.63,7.5481,21 HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,20.77,65.4934,24 HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,1.1,5.58,24 HCPCS,J1443,Inj ferric pyrophosphate cit,,,0.0331,0.0331,2 HCPCS,J1444,Fe pyro cit pow 0.1 mg iron,,,0.0331,0.0331,2 HCPCS,J1445,Inj triferic avnu 0.1mg iron,,,0.1785,4.64,3 HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.24,4.88,24 HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.36,15.5554,24 HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,20.87,67.5885,24 HCPCS,J1454,"Inj fosnetupitant, palonoset",,,532.84,1569.6891,24 HCPCS,J1456,"Inj, fosaprepitant (teva)",,,0.44,4.63,24 HCPCS,J1551,Inj cutaquig 100 mg,,,14.82,42.5334,15 HCPCS,J1552,"Inj, alyglo, 500 mg",,,123.84,355.4208,21 HCPCS,J1554,Inj. asceniv,,,482.698,1407.5915,24 HCPCS,J1555,"Inj cuvitru, 100 mg",,,16.61,49.5362,24 HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,76.772,228.5668,15 HCPCS,J1558,"Inj. xembify, 100 mg",,,14.26,43.1935,24 HCPCS,J1560,Gamma globulin > 10 cc inj,,,104.52,710.164,24 HCPCS,J1562,"Vivaglobin, inj",,,16.41,16.41,1 HCPCS,J1572,Flebogamma injection,,,44.54,260.4238,24 HCPCS,J1573,"Hepagam b intravenous, inj",,,65.94,199.6946,24 HCPCS,J1574,"Inj, ganciclovir (exela)",,,51.0,54.46,3 HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,17.5,52.5784,24 HCPCS,J1576,"Inj, panzyga, 500 mg",,,67.46,204.4014,24 HCPCS,J1597,"Inj glycopyrrolate, glyrx-pf",,,1.632,1.632,2 HCPCS,J1598,Inj glycopyrrolate fres kabi,,,1.34,2.601,11 HCPCS,J1599,"Ivig non-lyophilized, nos",,,106.87,120.989,3 HCPCS,J1600,Gold sodium thiomaleate inj,,,26.97,26.97,1 HCPCS,J1611,"Inj glucagon hcl, fresenius",,,108.93,411.1275,24 HCPCS,J1612,Inj glucagon (gvoke) 0.01 mg,,,2.567,7.4333,13 HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,4.29,12.3123,24 HCPCS,J1628,"Inj., guselkumab, 1 mg",,,72.93,209.3091,24 HCPCS,J1632,"Inj., brexanolone, 1 mg",,,75.99,100.94,5 HCPCS,J1643,"Inj heparin, pfizer, 1000u",,,5.496,9.64,5 HCPCS,J1645,Dalteparin sodium,,,30.1155,30.1155,2 HCPCS,J1726,"Makena, 10 mg",,,13.82,20.621,12 HCPCS,J1729,Inj hydroxyprogst capoat nos,,,13.9145,25.452,5 HCPCS,J1737,Inj meloxicam (azurity) 1mg,,,1.02,3.0422,12 HCPCS,J1738,Inj. meloxicam 1 mg,,,3.196,7.59,3 HCPCS,J1740,Ibandronate sodium injection,,,29.36,81.6,3 HCPCS,J1742,Ibutilide fumarate injection,,,172.31,569.695,23 HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,77.06,222.5111,24 HCPCS,J1748,"Inj, zymfentra, 10 mg",,,99.76,286.3112,12 HCPCS,J1749,"Inj, iloprost, 0.1 mcg",,,5.61,5.61,2 HCPCS,J1786,Imuglucerase injection,,,43.19,124.0701,24 HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.4845,4.93,5 HCPCS,J1807,"Inj, ethacrynate sod, 1 mg",,,12.88,58.14,13 HCPCS,J1809,"Inj, fosdenopterin, 0.1mg",,,16.97,49.4501,13 HCPCS,J1811,Fiasp for insulin pump use,,,7.41,14.756,14 HCPCS,J1812,Inj. insulin (fiasp),,,1.479,6.12,3 HCPCS,J1813,Lyumjev for insulin pump use,,,14.008,21.798,5 HCPCS,J1814,Inj. insulin (lyumjev),,,1.4025,6.08,3 HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,476.8415,1422.1998,24 HCPCS,J1826,Interferon beta-1a inj,,,1937.64,2974.239,14 HCPCS,J1834,"Inj, isoniazid, 1 mg",,,0.2975,0.861,13 HCPCS,J1836,"Inj, metronidazole, 10 mg",,,0.024,4.48,5 HCPCS,J1837,"Inj, posaconazole, 1 mg",,,0.34,1.02,12 HCPCS,J1920,"Inj, labetalol hcl, 5mg",,,0.204,4.64,5 HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,3.06,7.18,5 HCPCS,J1931,Laronidase injection,,,38.62,114.6565,24 HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,29.84,109.6627,24 HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,0.37,5.46,12 HCPCS,J1941,"Inj, furoscix, 20 mg",,,250.053,2059.46,3 HCPCS,J1943,"Inj., aristada initio, 1 mg",,,3.13,9.2988,24 HCPCS,J1945,Lepirudin,,,540.55,540.55,1 HCPCS,J1951,Inj fensolvi 0.25 mg,,,136.48,401.4269,24 HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,55.0,163.6761,24 HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,235.28,2028.1142,23 HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,21.454,63.9723,24 HCPCS,J1980,Hyoscyamine sulfate inj,,,55.08,55.08,2 HCPCS,J2002,"Inj, lidocaine in d5w, 1 mg",,,0.014791,0.016612,2 HCPCS,J2010,Lincomycin injection,,,9.69,15.5,3 HCPCS,J2021,"Inj, linezolid (hospira)",,,18.2,28.084,5 HCPCS,J2062,Loxapine for inhalation 1 mg,,,15.0,45.633,14 HCPCS,J2151,"Inj, mannitol, 250 mg",,,0.1275,0.1275,2 HCPCS,J2170,Mecasermin injection,,,374.9775,374.9775,2 HCPCS,J2182,"Injection, mepolizumab, 1mg",,,30.44,91.4956,24 HCPCS,J2183,Inj meropenem (wg crit care),,,1.62,2.187,11 HCPCS,J2184,"Inj, meropenem (b. braun)",,,2.532,6.56,5 HCPCS,J2247,"Inj, micafungin (par pharm)",,,0.408,4.86,5 HCPCS,J2249,"Inj, remimazolam, 1 mg",,,2.2355,6.53,3 HCPCS,J2252,Inj midazolam in 0.8% nacl,,,0.068,0.068,2 HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,39.54,120.2817,21 HCPCS,J2272,"Inj, morphine (fresenius)",,,3.111,11.53,5 HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,25.22,75.9689,21 HCPCS,J2278,Ziconotide injection,,,9.65,30.3072,24 HCPCS,J2281,Inj moxifloxacin (fres kabi),,,6.972,11.73,5 HCPCS,J2290,"Inj, nafcillin sodium, 20 mg",,,0.1955,0.1955,2 HCPCS,J2291,"Inj, nafcillin (baxter) 20mg",,,0.2465,0.2465,2 HCPCS,J2311,"Inj, naloxone hcl (zimhi)",,,6.912,12.75,5 HCPCS,J2312,"Inj naloxone hcl nos, 0.01mg",,,0.17,0.17,2 HCPCS,J2313,"Inj, naloxone (zimhi) 0.01mg",,,0.1275,0.1275,2 HCPCS,J2325,Nesiritide injection,,,71.978,75.06,3 HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,1114.77,3691.2218,24 HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,14.63,42.8491,24 HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,69.03,201.4166,24 HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,58.77,170.2484,24 HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,45.7725,135.0048,13 HCPCS,J2355,Oprelvekin injection,,,449.582,449.582,2 HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,17.82,51.1434,24 HCPCS,J2357,Omalizumab injection,,,37.76,130.5563,24 HCPCS,J2358,Olanzapine long-acting inj,,,2.92,7.38,14 HCPCS,J2359,"Inj. olanzapine, 0.5mg",,,1.14,5.35,5 HCPCS,J2360,Orphenadrine injection,,,9.13,14.994,3 HCPCS,J2370,Phenylephrine hcl injection,,,3.111,3.111,2 HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.204,4.64,5 HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.14,0.204,11 HCPCS,J2402,Chloroprocaine (clorotekal),,,0.3145,4.77,3 HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.58,1.6646,23 HCPCS,J2406,"Injection, oritavancin 10 mg",,,42.48,123.5535,24 HCPCS,J2407,"Injection, oritavancin",,,28.46,81.6802,24 HCPCS,J2410,Oxymorphone hcl injection,,,3.1875,3.1875,2 HCPCS,J2427,"Inj, invega hafyera/trinza",,,12.62,37.2813,24 HCPCS,J2428,"Inj, erzofri, 1 mg",,,15.3,43.911,13 HCPCS,J2468,"Inj, palonosetron (posfrea)",,,58.24,168.0959,21 HCPCS,J2470,Inj pantoprazole sodium 40mg,,,1.9295,1.9295,2 HCPCS,J2471,Inj pantoprazole(hikma) 40mg,,,3.57,3.57,2 HCPCS,J2472,"Inj, pantoprazole sodium chl",,,7.9645,7.9645,2 HCPCS,J2502,"Inj, pasireotide long acting",,,479.84,1650.4222,23 HCPCS,J2503,Pegaptanib sodium injection,,,755.8625,789.96,3 HCPCS,J2504,"Pegademase bovine, 25 iu",,,354.076,372.42,3 HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,211.22,648.4478,24 HCPCS,J2510,Penicillin g procaine inj,,,40.94,57.316,14 HCPCS,J2516,"Inj, pentamidine isethionate",,,0.3315,0.3315,2 HCPCS,J2547,"Injection, peramivir",,,1.615,6.04,24 HCPCS,J2561,"Inj, sezaby, 1 mg",,,0.65,5.79,22 HCPCS,J2596,Vasopressin (long grove) 1 u,,,3.315,3.315,2 HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,0.552,5.02,5 HCPCS,J2711,Inj neostigmin/glycopyrrolat,,,0.7225,0.7225,2 HCPCS,J2724,Protein c concentrate,,,15.01,43.0787,24 HCPCS,J2725,Inj protirelin per 250 mcg,,,20.961,20.961,2 HCPCS,J2770,Quinupristin/dalfopristin,,,4.26,691.558,13 HCPCS,J2779,"Inj, susvimo 0.1 mg",,,76.22,218.7514,24 HCPCS,J2780,Ranitidine hydrochloride inj,,,6.5705,10.58,3 HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,138.04,396.1748,24 HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,102.91,295.3517,21 HCPCS,J2786,"Injection, reslizumab, 1mg",,,10.31,31.9431,24 HCPCS,J2788,Rho d immune globulin 50 mcg,,,29.97,29.988,3 HCPCS,J2790,Rho d immune globulin inj,,,81.76,84.49,3 HCPCS,J2791,Rhophylac injection,,,9.31,10.5145,3 HCPCS,J2792,"Rho(d) immune globulin h, sd",,,25.46,97.3217,24 HCPCS,J2793,Rilonacept injection,,,27.642,28.81,3 HCPCS,J2796,Romiplostim injection,,,100.21,134.442,5 HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,0.901,5.35,3 HCPCS,J2798,"Inj., perseris, 0.5 mg",,,12.13,34.8131,24 HCPCS,J2799,"Inj, uzedy, 1 mg",,,24.72,71.8648,24 HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,12.5375,37.3961,21 HCPCS,J2804,"Inj, rifampin, 1 mg",,,0.2635,0.2635,2 HCPCS,J2806,"Inj sincalide, maia, 5 mcg",,,27.8715,27.8715,2 HCPCS,J2810,Inj theophylline per 40 mg,,,0.3995,0.3995,2 HCPCS,J2840,Inj sebelipase alfa 1 mg,,,514.96,1550.0296,24 HCPCS,J2865,Inj sulfameth/trim 5 mg/1 mg,,,0.0765,0.0765,2 HCPCS,J2993,Reteplase injection,,,2777.14,8336.1159,23 HCPCS,J2998,Inj plasminogen tvmh 1mg,,,32.52,99.4455,24 HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,2.208,7.46,5 HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,18.69,58.835,24 HCPCS,J3060,"Inj, taliglucerase alfa 10 u",,,40.94,117.4978,24 HCPCS,J3070,Pentazocine injection,,,104.295,112.85,3 HCPCS,J3095,Telavancin injection,,,6.38,21.1232,24 HCPCS,J3121,Inj testostero enanthate 1mg,,,0.085,0.085,2 HCPCS,J3145,Testosterone undecanoate 1mg,,,1.92,6.2,24 HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,332.46,1059.9197,24 HCPCS,J3244,Inj. tigecycline (accord),,,2.55,6.96,5 HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,123.78,355.2486,24 HCPCS,J3246,Tirofiban hcl,,,2.176,6.048,4 HCPCS,J3247,Inj secukinumab intrav 1mg,,,17.54,51.8609,21 HCPCS,J3290,"Inj, tranexamic acid 5 mg",,,0.0255,0.0255,2 HCPCS,J3291,Tranexamic acid in sod chlor,,,0.102,0.102,2 HCPCS,J3303,Triamcinolone hexacetonl inj,,,8.07,8.2875,3 HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,17.75,53.2959,24 HCPCS,J3310,Perphenazine injeciton,,,6.375,6.375,2 HCPCS,J3315,Triptorelin pamoate,,,406.21,1329.3553,24 HCPCS,J3350,Urea injection,,,75.3525,75.3525,2 HCPCS,J3355,"Urofollitropin, 75 iu",,,127.653,127.653,2 HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,137.6575,215.8785,14 HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,12.49,35.8463,24 HCPCS,J3371,"Inj, vancomycin hcl (mylan)",,,7.164,10.71,5 HCPCS,J3372,"Inj, vancomycin hcl (xellia)",,,7.82,10.95,5 HCPCS,J3373,"Inj, vancomycin hcl, 10 mg",,,0.0595,0.0595,2 HCPCS,J3374,"Inj, vancomycin (mylan) 10mg",,,0.153,0.153,2 HCPCS,J3375,Inj vancomycin (xellia) 10mg,,,0.1615,0.1615,2 HCPCS,J3376,Inj vancomycin (hikma) 10mg,,,0.085,0.085,2 HCPCS,J3379,"Inj, valproate sod, 5 mg",,,0.051,0.051,2 HCPCS,J3380,Inj vedolizumab iv 1 mg,,,21.31,61.3319,24 HCPCS,J3385,Velaglucerase alfa,,,370.2,1109.0254,24 HCPCS,J3387,Inj elivaldogene autotemecel,,,3060000.0,9126600.0,12 HCPCS,J3389,Topi adm prad zami per treat,,,3209940.0,9573803.4,12 HCPCS,J3391,"Inj, atidarsagene autotemcel",,,4335000.0,12929350.0,13 HCPCS,J3392,"Inj, exagamglogene autotem",,,2244000.0,6692840.0,21 HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,260.46,803.8583,14 HCPCS,J3398,Inj luxturna 1 billion vec g,,,2837.79,8686.8873,24 HCPCS,J3400,Triflupromazine hcl inj,,,8.5,8.5,2 HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,970.0,3496.85,24 HCPCS,J3402,Inj. remestemcel-l-rknd/ td,,,197880.0,578790.0874,13 HCPCS,J3403,"Revakinagene, per implant",,,255000.0,760550.0,13 HCPCS,J3425,Hydroxocobalamin im 10mcg,,,0.01,4.47,10 HCPCS,J3471,"Ovine, up to 999 usp units",,,0.51,0.51,2 HCPCS,J3486,Ziprasidone mesylate,,,14.41,16.7025,3 HCPCS,J3520,Edetate disodium per 150 mg,,,1.2665,1.2665,2 HCPCS,J7040,Normal saline solution infus,,,4.301,5.75,3 HCPCS,J7060,5% dextrose/water,,,4.3775,6.09,3 HCPCS,J7165,"Inj, human-lans, per i.u",,,1.55,4.879,21 HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,52.02,162.0402,24 HCPCS,J7171,"Inj, adzynma, 10 iu",,,34.51,101.7989,21 HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,50.47,144.8489,13 HCPCS,J7173,"Inj. concizumab-mtci, 0.5 mg",,,85.5,245.385,13 HCPCS,J7174,Injection fitusiran 0.04 mg,,,131.699,380.6194,13 HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.11,28.4704,23 HCPCS,J7178,Inj human fibrinogen con nos,,,1.45,5.84,24 HCPCS,J7180,Factor xiii anti-hem factor,,,10.16,30.8812,23 HCPCS,J7181,Factor xiii recomb a-subunit,,,17.17,53.2672,23 HCPCS,J7182,Factor viii recomb novoeight,,,1.38,4.4485,23 HCPCS,J7183,Wilate injection,,,1.28,3.7884,23 HCPCS,J7185,Xyntha inj,,,1.48,4.5346,23 HCPCS,J7188,Factor viii recomb obizur,,,3.009,9.2701,23 HCPCS,J7191,Factor viii (porcine),,,5.46,15.6702,10 HCPCS,J7193,Factor ix non-recombinant,,,1.34,3.9032,23 HCPCS,J7194,Factor ix complex,,,1.547,4.879,23 HCPCS,J7196,Antithrombin recombinant,,,143.31,143.31,2 HCPCS,J7200,Factor ix recombinan rixubis,,,1.73,4.9651,14 HCPCS,J7201,Factor ix alprolix recomb,,,3.58,10.332,23 HCPCS,J7202,Factor ix idelvion inj,,,5.05,15.2397,23 HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.39,13.0585,23 HCPCS,J7204,Inj recombin esperoct per iu,,,2.17,6.4001,23 HCPCS,J7205,Factor viii fc fusion recomb,,,2.34,7.0602,23 HCPCS,J7207,Factor viii pegylated recomb,,,2.1,6.1992,23 HCPCS,J7208,Inj. jivi 1 iu,,,2.44,7.6055,23 HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.12,3.2431,23 HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.46,4.5059,23 HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.48,4.5059,23 HCPCS,J7212,Factor viia recomb sevenfact,,,2.35,6.7445,14 HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.81,5.9122,23 HCPCS,J7214,Altuviiio per factor viii iu,,,4.6,13.202,23 HCPCS,J7294,Seg acet and eth estr yearly,,,2216.29,2468.961,3 HCPCS,J7295,Eth estr and eton monthly,,,105.893,155.52,3 HCPCS,J7299,Intraut copp cont (miudella),,,1161.78,1161.78,2 HCPCS,J7301,"Skyla, 13.5 mg",,,917.35,1031.611,3 HCPCS,J7303,Contraceptive vaginal ring,,,157.59,157.59,2 HCPCS,J7304,Contraceptive hormone patch,,,43.265,43.265,2 HCPCS,J7306,Levonorgestrel implant sys,,,431.375,431.375,2 HCPCS,J7309,"Methyl aminolevulinate, top",,,74.17,74.17,1 HCPCS,J7310,Ganciclovir long act implant,,,16960.0,16960.0,1 HCPCS,J7312,Dexamethasone intra implant,,,200.0645,587.0011,24 HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,521.3135,1520.7556,24 HCPCS,J7315,Ophthalmic mitomycin,,,430.0,438.6,3 HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,1007.42,1051.39,3 HCPCS,J7318,"Inj, durolane 1 mg",,,6.52,18.955,24 HCPCS,J7320,"Genvisc 850, inj, 1mg",,,4.75,16.2775,24 HCPCS,J7322,Hymovis injection 1 mg,,,17.42,50.6268,24 HCPCS,J7324,Orthovisc inj per dose,,,92.14,487.56,24 HCPCS,J7326,Gel-one,,,515.3,1515.5035,24 HCPCS,J7328,Gelsyn-3 injection 0.1 mg,,,0.588,5.0,15 HCPCS,J7329,"Inj, trivisc 1 mg",,,3.6,18.394,23 HCPCS,J7330,Cultured chondrocytes implnt,,,71167.1,71167.1,2 HCPCS,J7331,"Synojoynt, inj., 1 mg",,,13.608,23.749,5 HCPCS,J7332,"Inj., triluron, 1 mg",,,10.09,29.0157,24 HCPCS,J7333,Visco-3 inj dose,,,339.66,339.66,2 HCPCS,J7336,Capsaicin 8% patch,,,3.27,9.8154,24 HCPCS,J7340,Carbidopa levodopa ent 100ml,,,226.8,699.6486,24 HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,28.32,42.028,5 HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.66,5.1086,24 HCPCS,J7351,Inj bimatoprost itc imp1mcg,,,206.23,613.8643,24 HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2423.63,8447.6154,24 HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,56.99,164.0779,21 HCPCS,J7354,"Cantharidin top, applicator",,,654.76,1884.1263,21 HCPCS,J7355,Inj travoprost intra impl,,,189.72,563.1514,21 HCPCS,J7356,Inj foscarb/foslevodopa 5 mg,,,0.697,0.697,2 HCPCS,J7401,Mometasone furoate sinus imp,,,30.5022,30.5022,2 HCPCS,J7402,Mometasone sinus sinuva,,,11.1435,32.5458,24 HCPCS,J7502,Cyclosporine oral 100 mg,,,4.488,4.488,2 HCPCS,J7503,Tacrol envarsus ex rel oral,,,1.802,1.802,2 HCPCS,J7506,Prednisone oral,,,0.1955,0.1955,2 HCPCS,J7507,Tacrolimus imme rel oral 1mg,,,0.7395,0.7395,2 HCPCS,J7508,Tacrol astagraf ex rel oral,,,0.5865,0.5865,2 HCPCS,J7514,Mycophenol (myhibbin) 100 mg,,,2.227,2.227,2 HCPCS,J7521,Tacrolim granules oral susp,,,1.7255,1.7255,2 HCPCS,J7528,Mycophen mofetil for susp,,,1.445,1.445,2 HCPCS,J7601,Ensifentrine inh 3 mg,,,50.15,50.15,2 HCPCS,J7611,Albuterol non-comp con,,,0.12,0.357,3 HCPCS,J7635,Atropine comp con,,,1.7085,1.7085,2 HCPCS,J7636,Atropine comp unit,,,1.0625,1.0625,2 HCPCS,J7640,Formoterol comp unit,,,2.8815,2.8815,2 HCPCS,J7665,Mannitol for inhaler,,,6.7065,6.7065,2 HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.306,0.306,2 HCPCS,J8510,Oral busulfan,,,10.12,140.114,21 HCPCS,J8515,"Cabergoline, oral 0.25mg",,,1.598,1.598,2 HCPCS,J8521,"Capecitabine, oral, 500 mg",,,0.51,0.51,2 HCPCS,J8541,"Oral, hemady, 0.25 mg",,,0.3655,0.3655,2 HCPCS,J8560,Etoposide oral 50 mg,,,86.79,249.0873,14 HCPCS,J8565,Gefitinib oral,,,143.0125,143.0125,2 HCPCS,J8600,Melphalan oral 2 mg,,,9.3415,9.3415,2 HCPCS,J8610,Methotrexate oral 2.5 mg,,,0.561,0.561,2 HCPCS,J8611,Oral methotrexate (jylamvo),,,18.47,53.4968,21 HCPCS,J8650,Nabilone oral,,,39.984,39.984,2 HCPCS,J8655,"Oral netupitant, palonosetro",,,380.18,1091.1166,23 HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.58,5.74,24 HCPCS,J8705,Topotecan oral,,,123.8025,359.0083,14 HCPCS,J9011,"Datopotamab deruxtecan, 1 mg",,,49.8865,147.9485,13 HCPCS,J9019,Erwinaze injection,,,411.145,598.178,5 HCPCS,J9020,"Asparaginase, nos",,,69.02,69.02,1 HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,52.79,161.2079,24 HCPCS,J9023,"Injection, avelumab, 10 mg",,,95.18,301.2926,24 HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,31.5265,92.127,13 HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,91.29,271.8464,21 HCPCS,J9029,"Instill adstiladrin, tx dose",,,15000.0,184468.6473,24 HCPCS,J9030,Bcg live intravesical 1mg,,,2.92,9.3849,13 HCPCS,J9033,"Inj, bendamustine hcl, 1mg",,,1.8,15.88,24 HCPCS,J9034,"Inj., bendeka 1 mg",,,12.83,36.8221,24 HCPCS,J9035,Bevacizumab injection,,,1.82,211.3181,47 HCPCS,J9036,Inj. belrapzo/bendamustine,,,12.28,39.1468,24 HCPCS,J9037,Inj belantamab mafodot blmf,,,41.73,65.492,13 HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,53.55,159.7155,13 HCPCS,J9043,Cabazitaxel injection,,,213.8,662.3673,24 HCPCS,J9044,"Inj, bortezomib, nos, 0.1 mg",,,6.5365,6.5365,2 HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,3.46,67.97,24 HCPCS,J9048,"Inj, bortezomib freseniuskab",,,6.97,67.97,24 HCPCS,J9049,"Inj, bortezomib, hospira",,,1.824,8.058,5 HCPCS,J9051,"Inj, bortezomib (maia)",,,3.4935,7.89,3 HCPCS,J9052,"Inj, carmustine (accord)",,,0.05,350.595,14 HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,25.63,73.5581,13 HCPCS,J9056,"Inj, vivimusta, 1 mg",,,27.84,91.8113,24 HCPCS,J9057,"Inj., copanlisib, 1 mg",,,89.16,125.2935,13 HCPCS,J9058,Inj apotex/bendamustine 1 mg,,,24.936,37.52,5 HCPCS,J9059,"Inj bendamustine, baxter 1mg",,,23.868,29.092,5 HCPCS,J9061,"Inj, amivantamab-vmjw",,,20.67,64.7185,24 HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.6,8.33,24 HCPCS,J9072,Inj cyclophos avyxa 5mg,,,4.512,25.8013,16 HCPCS,J9073,Inj cyclophosphamd (ingenus),,,0.69,2.992,21 HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,3.84,11.0208,21 HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,4.92,14.1204,13 HCPCS,J9098,Cytarabine liposome inj,,,604.656,604.656,2 HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,28.21,82.3403,24 HCPCS,J9144,"Daratumumab, hyaluronidase",,,51.39,157.9935,24 HCPCS,J9153,"Inj daunorubicin, cytarabine",,,232.4,747.6063,24 HCPCS,J9172,"Docetaxel (docivyx), 1 mg",,,49.75,142.7825,21 HCPCS,J9173,"Inj., durvalumab, 10 mg",,,81.82,247.5949,24 HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,45.645,136.1241,13 HCPCS,J9176,"Injection, elotuzumab, 1mg",,,7.58,23.0461,24 HCPCS,J9178,"Inj, epirubicin hcl, 2 mg",,,1.9635,5.91,3 HCPCS,J9184,Inj gemcitabin (avyxa) 200mg,,,397.8,1152.879,12 HCPCS,J9196,Inj gemcitabine hcl (accord),,,8.15,12.292,5 HCPCS,J9198,"Inj. infugem, 100 mg",,,38.76,56.392,11 HCPCS,J9199,"Injection, infugem, 200 mg",,,77.52,77.52,2 HCPCS,J9200,Floxuridine injection,,,3555.46,12211.6204,24 HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,226.3,689.2592,24 HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,231.8,727.4302,24 HCPCS,J9214,Interferon alfa-2b inj,,,31.348,45.598,5 HCPCS,J9215,Interferon alfa-n3 inj,,,30.719,30.719,2 HCPCS,J9219,Leuprolide acetate implant,,,4528.81,4528.81,1 HCPCS,J9220,Indigotindisulfonate sod 1mg,,,9.3,26.691,13 HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,201.28,604.9386,24 HCPCS,J9225,Vantas implant,,,4971.3355,7232.806,5 HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,2534.01,8084.1012,24 HCPCS,J9230,Mechlorethamine hcl inj,,,315.9025,326.18,3 HCPCS,J9246,"Inj., evomela, 1 mg",,,17.35,53.4681,24 HCPCS,J9247,"Inj, melphalan flufenami 1mg",,,484.5,704.9,5 HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,765.0,2281.65,21 HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,62.3305,185.8899,13 HCPCS,J9256,"Inj, nipocalimab-aahu, 3 mg",,,31.824,93.9638,13 HCPCS,J9259,Paclitaxel (american regent),,,16.7195,21.63,5 HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,3.876,5.544,12 HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,328.94,1024.6474,24 HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,172.72,562.6922,24 HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,208.29,637.7427,24 HCPCS,J9275,"Inj cosibelimab-ipdl, 2 mg",,,22.0575,65.7804,12 HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,24.174,71.7213,13 HCPCS,J9281,Mitomycin instillation,,,294.37,929.593,24 HCPCS,J9282,Mitomycin intravesical inst,,,274.125,794.4447,12 HCPCS,J9285,"Inj, olaratumab, 10 mg",,,50.099,56.53,3 HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,27.0045,79.786,13 HCPCS,J9292,"Inj, pemetrexed (avyxa) 10mg",,,81.23,233.1301,13 HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,0.62,14.77,24 HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.5165,16.4451,24 HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.66,27.9251,24 HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,1.56,9.792,5 HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,188.08,578.7355,24 HCPCS,J9301,Obinutuzumab inj,,,74.59,234.2494,24 HCPCS,J9302,Ofatumumab injection,,,61.54,178.6001,24 HCPCS,J9303,Panitumumab injection,,,154.18,498.4329,24 HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,39.93,114.5991,24 HCPCS,J9312,"Inj., rituximab, 10 mg",,,74.76,214.5612,24 HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,22.508,67.1293,24 HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,5.52,43.9971,24 HCPCS,J9315,Romidepsin injection,,,326.264,326.264,2 HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,60.96,174.9552,24 HCPCS,J9317,Sacituzumab govitecan-hziy,,,34.67,106.1326,24 HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,28.51,81.8237,24 HCPCS,J9322,Inj pemetrexed (bluepoint),,,9.2905,30.422,14 HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.12,14.94,24 HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,73.31,210.3997,21 HCPCS,J9325,Inj talimogene laherparepvec,,,70.36,212.1791,24 HCPCS,J9326,Telisotuzumab vedotin-tllv,,,142.596,418.6469,13 HCPCS,J9329,"Inj, tislelizumab-jsgr",,,56.8565,744.687,21 HCPCS,J9331,Inj sirolimus prot part 1 mg,,,83.8185,250.0057,24 HCPCS,J9332,Inj efgartigimod 2mg,,,32.15,92.4714,24 HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,22.593,67.0719,24 HCPCS,J9341,Inj thiotepa (tepylute) 1 mg,,,37.8845,37.8845,2 HCPCS,J9342,Inj thiotepa nos 1 mg,,,8.86,25.4282,13 HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,29.2,87.5924,24 HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,584.0,1969.0496,24 HCPCS,J9349,"Inj., tafasitamab-cxix",,,13.71,40.8688,24 HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,48.21,154.2338,24 HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,40.45,121.0853,24 HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,61.06,175.2422,24 HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,200.4,634.9014,24 HCPCS,J9361,"Inj, efbemalenograstim alfa-",,,117.3,117.3,2 HCPCS,J9371,"Inj, vincristine sul lip 1mg",,,3443.8,4789.092,5 HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,88.2725,263.2651,13 HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,36.9,110.1506,24 HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,32.3,96.3172,13 HCPCS,J9393,"Inj, fulvestrant (teva)",,,20.4,119.5929,24 HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,12.26,77.8057,24 HCPCS,J9600,Porfimer sodium injection,,,23789.46,69535.5654,23 HCPCS,K0001,Standard wheelchair,,,45.217864,639.24,3 HCPCS,K0002,Stnd hemi (low seat) whlchr,,,87.578464,871.92,3 HCPCS,K0003,Lightweight wheelchair,,,67.876632,943.8,3 HCPCS,K0004,High strength ltwt whlchr,,,83.72448,1363.08,3 HCPCS,K0005,Ultralightweight wheelchair,,,421.928188,1817.84,2 HCPCS,K0006,Heavy duty wheelchair,,,133.7266,1279.2,3 HCPCS,K0007,Extra heavy duty wheelchair,,,186.253744,2034.0,3 HCPCS,K0009,Other manual wheelchair/base,,,172.548844,172.548844,1 HCPCS,K0010,Stnd wt frame power whlchr,,,988.729628,4259.9,2 HCPCS,K0011,Stnd wt pwr whlchr w control,,,1171.179224,5046.0,2 HCPCS,K0012,Ltwt portbl power whlchr,,,718.435776,3095.1,2 HCPCS,K0015,Detach non-adj ht armrst rep,,,27.891548,107.68,3 HCPCS,K0017,Detach adjust armrest base,,,8.504825,38.46,3 HCPCS,K0018,Detach adjust armrst upper,,,4.762702,21.5,3 HCPCS,K0019,"Arm pad repl, each",,,2.591472,15.51,3 HCPCS,K0020,Fixed adjust armrest pair,,,7.942767,43.7,3 HCPCS,K0037,Hi mount flip-up footrest ea,,,7.469455,42.12,3 HCPCS,K0038,Leg strap each,,,4.126689,22.82,3 HCPCS,K0039,Leg strap h style each,,,9.066883,50.69,3 HCPCS,K0040,Adjustable angle footplate,,,10.3825,63.88,3 HCPCS,K0041,Large size footplate each,,,8.756272,49.46,3 HCPCS,K0042,Standard size ftplate rep ea,,,5.383924,29.03,3 HCPCS,K0043,Ftrst lowr exten tube rep ea,,,3.342766,17.92,3 HCPCS,K0044,Ftrst upr hanger brac rep ea,,,2.854663,15.59,3 HCPCS,K0045,Ftrst compl assembly repl ea,,,9.880388,51.28,3 HCPCS,K0046,Elev lgrst lwr exten repl ea,,,3.342766,18.04,3 HCPCS,K0047,Elev legrst upr hangr rep ea,,,12.513186,63.74,3 HCPCS,K0050,Ratchet assembly replacement,,,5.546625,29.57,3 HCPCS,K0051,Cam rel asm ft/legrst rep ea,,,8.8746,46.78,3 HCPCS,K0052,Swingaway detach ftrest repl,,,13.555392,65.4,3 HCPCS,K0053,Elevate footrest articulate,,,15.914296,94.02,3 HCPCS,K0056,Seat ht <17 or >=21 ltwt wc,,,17.808064,93.51,3 HCPCS,K0065,Spoke protectors,,,8.63824,8.800645,2 HCPCS,K0069,Rr whl compl sol tire rep ea,,,17.924348,98.23,3 HCPCS,K0070,Rr whl compl pne tire rep ea,,,30.267064,146.1,3 HCPCS,K0071,Fr cstr comp pne tire rep ea,,,20.3497,98.3,3 HCPCS,K0072,Fr cstr semi-pne tire rep ea,,,12.641732,61.0,3 HCPCS,K0073,Caster pin lock each,,,6.545128,31.6,3 HCPCS,K0077,Fr cstr asmb sol tire rep ea,,,10.432336,50.4,3 HCPCS,K0098,"Drive belt for pwc, repl",,,4.385568,16.92,3 HCPCS,K0105,Iv hanger,,,18.60544,97.76,3 HCPCS,K0195,Elevating whlchair leg rests,,,22.608932,246.6,3 HCPCS,K0455,Pump uninterrupted infusion,,,614.743672,614.743672,1 HCPCS,K0552,Sup/ext non-ins inf pump syr,,,2.09,5.614856,3 HCPCS,K0601,Repl batt silver oxide 1.5 v,,,0.88,2.541636,3 HCPCS,K0602,Repl batt silver oxide 3 v,,,5.09,14.352768,3 HCPCS,K0603,Repl batt alkaline 1.5 v,,,0.46,1.295736,3 HCPCS,K0604,Repl batt lithium 3.6 v,,,4.87,13.837796,3 HCPCS,K0605,Repl batt lithium 4.5 v,,,11.68,33.074492,3 HCPCS,K0606,Aed garment w elec analysis,,,5844.982036,5844.982036,1 HCPCS,K0607,Repl batt for aed,,,45.10158,45.10158,1 HCPCS,K0608,Repl garment for aed,,,28.190564,28.190564,1 HCPCS,K0609,Repl electrode for aed,,,1870.9265,1870.9265,1 HCPCS,K0672,Removable soft interface le,,,165.638252,165.638252,1 HCPCS,K0730,Ctrl dose inh drug deliv sys,,,400.133244,400.133244,1 HCPCS,K0733,12-24hr sealed lead acid,,,5.249392,28.9,3 HCPCS,K0738,Portable gas oxygen system,,,75.700338,77.960116,2 HCPCS,K0739,Repair/svc dme non-oxygen eq,,,16.47,49.91906,2 HCPCS,K0740,Repair/svc oxygen equipment,,,16.47,16.47,1 HCPCS,K0800,Pov group 1 std up to 300lbs,,,164.408964,989.4,3 HCPCS,K0801,Pov group 1 hd 301-450 lbs,,,293.517428,1595.13,3 HCPCS,K0802,Pov group 1 vhd 451-600 lbs,,,390.564732,1805.18,3 HCPCS,K0806,Pov group 2 std up to 300lbs,,,258.280442,1196.9,3 HCPCS,K0807,Pov group 2 hd 301-450 lbs,,,395.881115,1816.18,3 HCPCS,K0808,Pov group 2 vhd 451-600 lbs,,,612.229072,2810.01,3 HCPCS,K0813,Pwc gp 1 std port seat/back,,,512.696156,2894.88,3 HCPCS,K0814,Pwc gp 1 std port cap chair,,,528.693512,3705.36,3 HCPCS,K0815,Pwc gp 1 std seat/back,,,570.721872,4219.56,3 HCPCS,K0816,Pwc gp 1 std cap chair,,,551.966924,4040.88,3 HCPCS,K0820,Pwc gp 2 std port seat/back,,,527.530672,3091.92,3 HCPCS,K0821,Pwc gp 2 std port cap chair,,,554.658068,3969.24,3 HCPCS,K0822,Pwc gp 2 std seat/back,,,577.383284,3997.5,3 HCPCS,K0823,Pwc gp 2 std cap chair,,,557.963856,4828.44,3 HCPCS,K0824,Pwc gp 2 hd seat/back,,,887.678832,5811.24,3 HCPCS,K0825,Pwc gp 2 hd cap chair,,,826.912136,4433.2,3 HCPCS,K0826,Pwc gp 2 vhd seat/back,,,1465.92594,7523.16,3 HCPCS,K0827,Pwc gp vhd cap chair,,,1274.72182,6397.08,3 HCPCS,K0828,Pwc gp 2 xtra hd seat/back,,,1729.3092,8289.84,3 HCPCS,K0829,Pwc gp 2 xtra hd cap chair,,,1634.03938,7612.44,3 HCPCS,K0830,Pwc gp2 std seat elevate s/b,,,4696.92,4696.92,1 HCPCS,K0831,Pwc gp2 std seat elevate cap,,,4696.92,4696.92,1 HCPCS,K0835,Pwc gp2 std sing pow opt s/b,,,726.841448,4057.4,3 HCPCS,K0836,Pwc gp2 std sing pow opt cap,,,753.869172,5049.0,3 HCPCS,K0837,Pwc gp 2 hd sing pow opt s/b,,,932.248828,5811.24,3 HCPCS,K0838,Pwc gp 2 hd sing pow opt cap,,,826.28088,4332.2,3 HCPCS,K0839,Pwc gp2 vhd sing pow opt s/b,,,1238.34154,7523.16,3 HCPCS,K0840,Pwc gp2 xhd sing pow opt s/b,,,1901.260012,11397.96,3 HCPCS,K0841,Pwc gp2 std mult pow opt s/b,,,819.071272,5182.32,3 HCPCS,K0842,Pwc gp2 std mult pow opt cap,,,817.89182,5182.32,3 HCPCS,K0843,Pwc gp2 hd mult pow opt s/b,,,970.938176,6239.52,3 HCPCS,K0848,Pwc gp 3 std seat/back,,,1585.731684,5284.4,2 HCPCS,K0849,Pwc gp 3 std cap chair,,,1524.5663,6096.84,2 HCPCS,K0850,Pwc gp 3 hd seat/back,,,1839.347088,6129.8,2 HCPCS,K0851,Pwc gp 3 hd cap chair,,,1768.563356,5893.7,2 HCPCS,K0852,Pwc gp 3 vhd seat/back,,,2125.25622,8499.12,2 HCPCS,K0853,Pwc gp 3 vhd cap chair,,,2183.198876,8730.72,2 HCPCS,K0854,Pwc gp 3 xhd seat/back,,,2892.265484,11566.32,2 HCPCS,K0855,Pwc gp 3 xhd cap chair,,,2732.159028,10926.12,2 HCPCS,K0856,Pwc gp3 std sing pow opt s/b,,,1702.06552,6806.76,2 HCPCS,K0857,Pwc gp3 std sing pow opt cap,,,1736.20318,6943.2,2 HCPCS,K0858,Pwc gp3 hd sing pow opt s/b,,,2111.783888,8445.12,2 HCPCS,K0859,Pwc gp3 hd sing pow opt cap,,,2014.005656,6711.7,2 HCPCS,K0860,Pwc gp3 vhd sing pow opt s/b,,,3016.971768,12064.92,2 HCPCS,K0861,Pwc gp3 std mult pow opt s/b,,,1704.8065,6817.68,2 HCPCS,K0862,Pwc gp3 hd mult pow opt s/b,,,2111.783888,8445.12,2 HCPCS,K0863,Pwc gp3 vhd mult pow opt s/b,,,3016.971768,12064.92,2 HCPCS,K0864,Pwc gp3 xhd mult pow opt s/b,,,3590.18544,11964.5,2 HCPCS,K1007,Bil hkaf pc s/d micro sensor,,,154851.58204,154851.58204,1 HCPCS,L0112,Cranial cervical orthosis,,,2734.235528,2734.235528,1 HCPCS,L0113,Cranial cervical torticollis,,,201.62,557.100032,2 HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,191.918436,482.881777,3 HCPCS,L0458,Tlso 2mod symphis-xipho pre,,,560.62,1742.216724,2 HCPCS,L0467,Tlso r fram soft pre ots,,,215.241684,616.518462,3 HCPCS,L0469,Tlso rig fram pelvic pre ots,,,274.247508,760.375728,3 HCPCS,L0480,Tlso rigid plastic custom fa,,,974.23,3027.62006,2 HCPCS,L0482,Tlso rigid lined custom fab,,,1111.01,3452.770976,2 HCPCS,L0484,Tlso rigid plastic cust fab,,,1250.29,3885.563412,2 HCPCS,L0488,Tlso rigid lined pre one pie,,,631.0,1960.996764,2 HCPCS,L0490,Tlso rigid plastic pre one,,,177.82,552.648016,2 HCPCS,L0491,Tlso 2 piece rigid shell,,,482.78,1500.296168,2 HCPCS,L0492,Tlso 3 piece rigid shell,,,333.14,1035.326288,2 HCPCS,L0622,Sio flex pelvisacral custom,,,207.43,644.645272,2 HCPCS,L0820,Halo cervical into body jack,,,1109.32,5073.919444,2 HCPCS,L0830,Halo cerv into milwaukee typ,,,2517.85,7824.783584,2 HCPCS,L0859,Mri compatible system,,,733.62,2279.91394,2 HCPCS,L0972,Lso corset front,,,74.83,256.804908,2 HCPCS,L0978,Axillary crutch extension,,,154.56,480.33598,2 HCPCS,L0980,Peroneal straps pair pre ots,,,5.99,32.675804,2 HCPCS,L0982,Stocking sup grips 4 pre ots,,,7.12,32.410012,2 HCPCS,L1006,Scoliosis orth sag/ cor,,,2132.017304,2132.017304,1 HCPCS,L1025,Kyphosis pad floating,,,68.69,290.560492,2 HCPCS,L1030,Lumbar bolster pad,,,23.75,124.706284,2 HCPCS,L1085,Outrigger bil w/ vert extens,,,102.92,384.102664,2 HCPCS,L1090,Lumbar sling,,,57.13,228.730628,2 HCPCS,L1100,Ring flange plastic/leather,,,118.66,396.827456,2 HCPCS,L1110,Ring flange plas/leather mol,,,167.6,637.302768,2 HCPCS,L1230,Milwaukee type superstructur,,,139.61,1110.827828,2 HCPCS,L1280,Rib gusset (elastic) each,,,64.4,215.274908,2 HCPCS,L1300,Body jacket mold to patient,,,1026.38,4168.266428,2 HCPCS,L1310,Post-operative body jacket,,,811.44,3917.076376,2 HCPCS,L1600,Ho flex frejka w/cov pre cst,,,74.47,306.441564,2 HCPCS,L1610,Ho frejka cov only pre cst,,,18.63,109.539528,2 HCPCS,L1630,Abduct control hip semi-flex,,,77.6,344.998016,2 HCPCS,L1640,Pelv band/spread bar thigh c,,,167.12,863.558208,2 HCPCS,L1653,Ho abduction static ots,,,696.341816,696.341816,1 HCPCS,L1680,Pelvic & hip control thigh c,,,780.18,3040.361464,2 HCPCS,L1681,Ho bilateral hip abduction,,,4552.452152,4552.452152,1 HCPCS,L1690,Combination bilateral ho,,,977.03,3777.668472,2 HCPCS,L1700,Leg perthes orth toronto typ,,,850.78,3810.62668,2 HCPCS,L1710,Legg perthes orth newington,,,1263.72,4460.753912,2 HCPCS,L1720,Legg perthes orthosis trilat,,,827.65,3288.129444,2 HCPCS,L1755,Legg perthes patten bottom t,,,565.86,3930.56532,2 HCPCS,L1810,Ko elastic with joints,,,72.69,243.133232,2 HCPCS,L1821,Ko elas w/ condyle pads otf,,,296.059064,296.059064,1 HCPCS,L1836,Ko rigid w/o joints pre ots,,,83.37,189.679784,3 HCPCS,L1847,Ko dbl upright w/air pre cst,,,290.6,1123.619068,2 HCPCS,L1848,Ko dbl upright w/air pre ots,,,423.51,1123.619068,2 HCPCS,L1851,Ko single upright prefab ots,,,672.58,1275.42793,3 HCPCS,L1852,Ko double upright prefab ots,,,586.95,1154.762952,3 HCPCS,L1860,Ko supracondylar socket mold,,,518.05,2677.621832,2 HCPCS,L1920,Afo sing upright w/ adjust s,,,219.54,682.271452,2 HCPCS,L1952,Afo spiral prefab ots,,,1640.634344,1640.634344,1 HCPCS,L2114,Afo tib fx semi-rigid,,,434.0,1448.367056,2 HCPCS,L2116,Afo tibial fracture rigid,,,477.58,1776.40422,2 HCPCS,L2132,Kafo femoral fx cast soft,,,500.63,1555.87992,2 HCPCS,L2134,Kafo fem fx cast semi-rigid,,,644.0,2413.424584,2 HCPCS,L2190,Waist belt,,,44.24,163.428856,2 HCPCS,L2310,Abduction bar-straight,,,98.78,306.973148,2 HCPCS,L2320,Non-molded lacer,,,93.1,513.427084,2 HCPCS,L2335,Anterior swing band,,,147.53,566.867888,2 HCPCS,L2360,Extended steel shank,,,27.36,127.713056,2 HCPCS,L2580,Pelvic control pelvic sling,,,308.61,1158.10558,2 HCPCS,L2622,Hip joint adjustable flexion,,,238.26,765.215168,2 HCPCS,L2627,Plastic mold recipro hip & c,,,874.72,3208.292172,2 HCPCS,L2628,Metal frame recipro hip & ca,,,666.32,3135.481776,2 HCPCS,L2650,Pelv & thor control gluteal,,,48.18,250.243168,2 HCPCS,L2660,Thoracic control thoracic ba,,,104.65,465.069552,2 HCPCS,L2670,Thorac cont paraspinal uprig,,,89.17,381.627476,2 HCPCS,L2680,Thorac cont lat support upri,,,78.31,354.284124,2 HCPCS,L2750,Plating chrome/nickel pr bar,,,31.68,156.418592,2 HCPCS,L3001,Foot insert remov molded spe,,,258.39966,258.39966,1 HCPCS,L3003,Foot insert silicone gel eac,,,340.446328,340.446328,1 HCPCS,L3030,Foot arch support remov prem,,,149.0927,149.0927,1 HCPCS,L3050,Foot arch supp premold metat,,,91.930808,91.930808,1 HCPCS,L3060,Foot arch supp longitud/meta,,,144.059264,144.059264,1 HCPCS,L3070,Arch suprt att to sho longit,,,62.062432,62.062432,1 HCPCS,L3090,Arch supp att to shoe long/m,,,79.521644,79.521644,1 HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,16.73,84.455408,2 HCPCS,L3201,Oxford w supinat/pronat inf,,,40.44,40.44,1 HCPCS,L3202,Oxford w/ supinat/pronator c,,,42.68,42.68,1 HCPCS,L3203,Oxford w/ supinator/pronator,,,42.68,42.68,1 HCPCS,L3204,Hightop w/ supp/pronator inf,,,40.44,40.44,1 HCPCS,L3206,Hightop w/ supp/pronator chi,,,42.68,42.68,1 HCPCS,L3207,Hightop w/ supp/pronator jun,,,42.68,42.68,1 HCPCS,L3208,Surgical boot each infant,,,19.6,19.6,1 HCPCS,L3209,Surgical boot each child,,,21.84,21.84,1 HCPCS,L3211,Surgical boot each junior,,,23.52,23.52,1 HCPCS,L3212,Benesch boot pair infant,,,36.4,36.4,1 HCPCS,L3213,Benesch boot pair child,,,39.2,39.2,1 HCPCS,L3214,Benesch boot pair junior,,,44.24,44.24,1 HCPCS,L3216,Orthoped ladies shoes dpth i,,,73.92,73.92,1 HCPCS,L3217,Ladies shoes hightop depth i,,,58.8,58.8,1 HCPCS,L3219,Orthopedic mens shoes oxford,,,53.35,53.35,1 HCPCS,L3221,Orthopedic mens shoes dpth i,,,73.92,73.92,1 HCPCS,L3222,Mens shoes hightop depth inl,,,58.8,58.8,1 HCPCS,L3251,Shoe molded to pt silicone s,,,255.36,255.36,1 HCPCS,L3252,Shoe molded plastazote cust,,,50.4,157.92,2 HCPCS,L3253,Shoe molded plastazote cust,,,50.4,157.92,2 HCPCS,L3254,Orth foot non-stndard size/w,,,21.28,21.28,1 HCPCS,L3255,Orth foot non-standard size/,,,21.28,21.28,1 HCPCS,L3257,Orth foot add charge split s,,,39.2,39.2,1 HCPCS,L3265,Plastazote sandal each,,,50.4,50.4,1 HCPCS,L3320,Shoe lift elev heel/sole cor,,,100.78,100.78,1 HCPCS,L3330,Lifts elevation metal extens,,,224.25,1105.61166,2 HCPCS,L3340,Shoe wedge sach,,,21.36,166.5353,2 HCPCS,L3430,Sho heel count plast reinfor,,,20.64,313.05314,2 HCPCS,L3440,Heel leather reinforced,,,22.78,149.0927,2 HCPCS,L3455,Shoe heel new leather standa,,,9.25,79.521644,2 HCPCS,L3465,Shoe heel thomas with wedge,,,15.27,114.257336,2 HCPCS,L3470,Shoe heel thomas extend to b,,,17.8,121.716124,2 HCPCS,L3480,Shoe heel pad & depress for,,,15.66,121.716124,2 HCPCS,L3485,Shoe heel pad removable for,,,30.24,30.24,1 HCPCS,L3500,Ortho shoe add leather insol,,,6.16,57.14528,2 HCPCS,L3510,Orthopedic shoe add rub insl,,,6.16,57.14528,2 HCPCS,L3520,O shoe add felt w leath insl,,,8.4,62.062432,2 HCPCS,L3530,Ortho shoe add half sole,,,19.97,62.062432,2 HCPCS,L3550,O shoe add standard toe tap,,,5.58,17.342928,2 HCPCS,L3560,O shoe add horseshoe toe tap,,,4.48,44.752728,2 HCPCS,L3570,O shoe add instep extension,,,53.57,166.5353,2 HCPCS,L3590,O shoe convert to sof counte,,,20.64,104.339972,2 HCPCS,L3595,Ortho shoe add march bar,,,9.6,81.963608,2 HCPCS,L3640,Shoe dennis browne splint bo,,,13.82,84.455408,2 HCPCS,L3660,So 8 ab rstr can/web pre ots,,,66.05,222.76692,2 HCPCS,L3671,So cap design w/o jnts cf,,,515.5,1602.044668,2 HCPCS,L3674,So airplane w/wo joint cf,,,759.82,2101.534284,2 HCPCS,L3675,So vest canvas/web pre ots,,,87.86,312.006584,2 HCPCS,L3766,Ewhfo w/joint(s) cf,,,776.78,2414.022616,2 HCPCS,L3900,Hinge extension/flex wrist/f,,,612.56,2901.235964,2 HCPCS,L3901,Hinge ext/flex wrist finger,,,815.48,3571.131476,2 HCPCS,L3904,Whfo electric custom fitted,,,2049.88,7150.668624,2 HCPCS,L3916,Who nontorsion jnts pre ots,,,356.2,945.05668,2 HCPCS,L3917,Metacarp fx orthosis pre cst,,,60.43,187.898332,2 HCPCS,L3918,Metacarp fx orthosis pre ots,,,70.8,187.898332,2 HCPCS,L3930,Hfo nontorsion jnts pre ots,,,71.94,190.888492,2 HCPCS,L3961,Sewho cap design w/o jnts cf,,,961.18,2987.053556,2 HCPCS,L3962,Sewho erbs palsey design abd,,,396.89,1751.967968,2 HCPCS,L3967,Sewho airplane w/o jnts cf,,,1134.82,3526.7276,2 HCPCS,L3971,Sewho cap design w/jnt(s) cf,,,1077.21,3347.700076,2 HCPCS,L3973,Sewho airplane w/jnt(s) cf,,,1134.82,3526.7276,2 HCPCS,L3975,Sewhfo cap design w/o jnt cf,,,961.18,2987.053556,2 HCPCS,L3976,Sewhfo airplane w/o jnts cf,,,961.18,2987.053556,2 HCPCS,L3977,Sewhfo cap desgn w/jnt(s) cf,,,1077.21,3347.700076,2 HCPCS,L3978,Sewhfo airplane w/jnt(s) cf,,,1134.82,3526.7276,2 HCPCS,L4010,Replace trilateral socket br,,,439.24,1674.639108,2 HCPCS,L4020,Replace quadlat socket brim,,,488.05,2149.293784,2 HCPCS,L4030,Replace socket brim cust fit,,,313.41,1259.837468,2 HCPCS,L4130,Replace pretibial shell,,,325.36,1238.0093,2 HCPCS,L4394,Replace foot drop spint,,,32.924984,32.924984,1 HCPCS,L5500,Init bk ptb plaster direct,,,580.66,3400.277056,2 HCPCS,L5505,Init ak ischal plstr direct,,,701.9,4623.883752,2 HCPCS,L5510,Prep bk ptb plaster molded,,,785.76,3507.573964,2 HCPCS,L5560,Prep ak ischial plast molded,,,1050.23,4687.258532,2 HCPCS,L5610,Above knee hydracadence,,,1572.18,4885.871604,2 HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,14284.32656,14284.32656,1 HCPCS,L5638,Below knee leather socket,,,327.5,1293.759172,2 HCPCS,L5639,Below knee wood socket,,,959.1,2980.6081,2 HCPCS,L5640,Knee disarticulat leather so,,,134.48,1546.9925,2 HCPCS,L5642,Above knee leather socket,,,134.48,1235.318156,2 HCPCS,L5644,Above knee wood socket,,,134.48,1177.641292,2 HCPCS,L5646,Below knee cushion socket,,,207.11,1092.438344,2 HCPCS,L5648,Above knee cushion socket,,,220.79,1312.696852,2 HCPCS,L5699,Shoulder harness,,,144.67,495.668856,2 HCPCS,L5783,Add low ext mec limb vol sys,,,5130.28396,5130.28396,1 HCPCS,L5827,Endo knee shin single axis,,,12906.676788,12906.676788,1 HCPCS,L5841,Addition endoskletl knee-shi,,,6219.599248,6219.599248,1 HCPCS,L5926,Endoskel posit rotat unit,,,1514.43298,1514.43298,1 HCPCS,L5991,Low pros ext osseo connector,,,19144.58246,19144.58246,1 HCPCS,L6382,Postop dsg cast chg elb dis/,,,660.1,3244.589392,2 HCPCS,L6384,Postop dsg cast chg shlder/t,,,1101.63,4207.254792,2 HCPCS,L6386,Postop ea cast chg & realign,,,222.95,1067.603404,2 HCPCS,L6388,Postop applicat rigid dsg on,,,232.49,1089.979768,2 HCPCS,L6700,Ue add ext power myoel,,,48061.107472,48061.107472,1 HCPCS,L6900,Hand restorat thumb/1 finger,,,654.89,3999.870584,2 HCPCS,L6905,Hand restoration multiple fi,,,624.89,3903.172132,2 HCPCS,L6910,Hand restoration no fingers,,,648.48,3802.4868,2 HCPCS,L6915,Hand restoration replacmnt g,,,417.3,1609.819084,2 HCPCS,L7008,Pediatric electric hand,,,3870.97,11533.96078,2 HCPCS,L7045,Pediatric electric hook,,,675.62,3222.711388,2 HCPCS,L7185,Electron elbow adolescent sw,,,2695.0,11936.619048,2 HCPCS,L7186,Electron elbow child switch,,,3797.5,17636.644772,2 HCPCS,L7190,Elbow adolescent myoelectron,,,3543.75,15635.264236,2 HCPCS,L7191,Elbow child myoelectronic ct,,,4706.24,18429.253128,2 HCPCS,L7406,Add to upp extr user adj mec,,,5130.28396,5130.28396,1 HCPCS,L7520,Repair prosthesis per 15 min,,,16.47,92.711572,2 HCPCS,L8000,Mastectomy bra,,,30.71,97.063916,2 HCPCS,L8001,Breast prosthesis bra & form,,,78.99,245.541972,2 HCPCS,L8002,Brst prsth bra & bilat form,,,103.9,322.904056,2 HCPCS,L8010,Mastectomy sleeve,,,27.93,27.93,1 HCPCS,L8015,Ext breastprosthesis garment,,,37.75,117.347168,2 HCPCS,L8020,Mastectomy form,,,91.47,416.778468,2 HCPCS,L8030,Breast prosthes w/o adhesive,,,245.02,761.460856,2 HCPCS,L8031,Breast prosthesis w adhesive,,,761.460856,761.460856,1 HCPCS,L8032,Reusable nipple prosthesis,,,76.680992,76.680992,1 HCPCS,L8035,Custom breast prosthesis,,,2196.13,7171.034936,2 HCPCS,L8040,Nasal prosthesis,,,2050.884296,2050.884296,1 HCPCS,L8041,Midfacial prosthesis,,,2472.214452,2472.214452,1 HCPCS,L8042,Orbital prosthesis,,,2777.69252,2777.69252,1 HCPCS,L8043,Upper facial prosthesis,,,3110.945852,3110.945852,1 HCPCS,L8044,Hemi-facial prosthesis,,,3444.282244,3444.282244,1 HCPCS,L8045,Auricular prosthesis,,,2164.826004,2164.826004,1 HCPCS,L8046,Partial facial prosthesis,,,2222.087568,2222.087568,1 HCPCS,L8047,Nasal septal prosthesis,,,1138.868884,1138.868884,1 HCPCS,L8320,Truss addition to std pad wa,,,26.96,142.099048,2 HCPCS,L8330,Truss add to std pad scrotal,,,26.07,131.2348,2 HCPCS,L8510,Voice amplifier,,,159.15,494.605688,2 HCPCS,L8511,Indwelling trach insert,,,142.36484,142.36484,1 HCPCS,L8512,Gel cap for trach voice pros,,,4.219448,4.219448,1 HCPCS,L8513,Trach pros cleaning device,,,10.166544,10.166544,1 HCPCS,L8514,Repl trach puncture dilator,,,184.542708,184.542708,1 HCPCS,L8515,Gel cap app device for trach,,,123.51022,123.51022,1 HCPCS,L8600,Implant breast silicone/eq,,,1357.001056,1357.001056,1 HCPCS,L8603,Collagen imp urinary 2.5 ml,,,281.33,874.239724,2 HCPCS,L8605,Inj bulking agent anal canal,,,523.18,1401.919904,2 HCPCS,L8606,Synthetic implnt urinary 1ml,,,146.09,453.956124,2 HCPCS,L8607,Inj vocal cord bulking agent,,,31.98,83.923824,2 HCPCS,L8609,Artificial cornea,,,12753.0324,12753.0324,1 HCPCS,L8610,Ocular implant,,,1167.026224,1167.026224,1 HCPCS,L8612,Aqueous shunt prosthesis,,,1586.213432,1586.213432,1 HCPCS,L8613,Ossicular implant,,,588.81234,588.81234,1 HCPCS,L8614,Cochlear device,,,39329.82366,39329.82366,1 HCPCS,L8615,Coch implant headset replace,,,284.06,882.794904,2 HCPCS,L8616,Coch implant microphone repl,,,66.16,205.623336,2 HCPCS,L8617,Coch implant trans coil repl,,,57.78,179.592332,2 HCPCS,L8618,Coch implant tran cable repl,,,16.51,51.297856,2 HCPCS,L8619,Coch imp ext proc/contr rplc,,,16884.0215,16884.0215,1 HCPCS,L8621,Repl zinc air battery,,,0.42,1.229288,2 HCPCS,L8622,Repl alkaline battery,,,0.22,0.631256,2 HCPCS,L8623,"Lith ion batt cid,non-earlvl",,,40.74,126.633276,2 HCPCS,L8624,"Lith ion batt cid, ear level",,,101.57,315.661224,2 HCPCS,L8625,Charger coch impl/aoi battry,,,369.650224,369.650224,1 HCPCS,L8627,Cid ext speech process repl,,,5189.6,14341.488452,2 HCPCS,L8628,Cid ext controller repl,,,920.17,2542.54966,2 HCPCS,L8629,Cid transmit coil and cable,,,350.446752,350.446752,1 HCPCS,L8630,Metacarpophalangeal implant,,,671.739444,671.739444,1 HCPCS,L8631,Mcp joint repl 2 pc or more,,,4461.783856,4461.783856,1 HCPCS,L8641,Metatarsal joint implant,,,705.910328,705.910328,1 HCPCS,L8642,Hallux implant,,,690.6439,690.6439,1 HCPCS,L8658,Interphalangeal joint spacer,,,608.530784,608.530784,1 HCPCS,L8659,Interphalangeal joint repl,,,3777.07044,3777.07044,1 HCPCS,L8670,"Vascular graft, synthetic",,,1109.897556,1109.897556,1 HCPCS,L8678,Ext sply implt neurostim,,,18.43932,38.412227,2 HCPCS,L8679,Imp neurosti pls gn any type,,,17149.348364,17149.348364,1 HCPCS,L8681,Pt prgrm for implt neurostim,,,2150.954984,2150.954984,1 HCPCS,L8682,Implt neurostim radiofq rec,,,12252.811856,12252.811856,1 HCPCS,L8683,Radiofq trsmtr for implt neu,,,10785.307776,10785.307776,1 HCPCS,L8684,Radiof trsmtr implt scrl neu,,,1570.398808,1570.398808,1 HCPCS,L8689,External recharg sys intern,,,3376.322552,3376.322552,1 HCPCS,L8690,"Aud osseo dev, int/ext comp",,,9311.474524,9311.474524,1 HCPCS,L8691,Aoi snd proc repl excl actua,,,3370.82398,3370.82398,1 HCPCS,L8693,"Aud osseo dev, abutment",,,2967.98298,2967.98298,1 HCPCS,L8694,Aoi transducer/actuator repl,,,1848.467076,1848.467076,1 HCPCS,L8695,External recharg sys extern,,,32.576132,32.576132,1 HCPCS,L8696,Ext antenna phren nerve stim,,,424.237256,424.237256,1 HCPCS,L8701,Ewh s/d uprt micro sensor,,,56953.311728,56953.311728,1 HCPCS,L8702,Ewhf s/d uprt micro sensor,,,112052.358792,112052.358792,1 HCPCS,M0201,Pne flu hepb cov home admin,,,35.5,133.140735,22 HCPCS,M0220,Tixagev and cilgav inj,,,150.5,276.29938,10 HCPCS,M0221,Tixagev and cilgav inj hm,,,250.5,459.88698,10 HCPCS,M0222,Bebtelovimab injection,,,350.5,643.47458,10 HCPCS,M0223,Bebtelovimab injection home,,,550.5,1010.64978,10 HCPCS,M0235,"Intrav inf, mon anti, fir do",,,567.1345,1627.676015,11 HCPCS,M0236,"Intrav inf, mon anti, sec do",,,567.1345,1627.676015,11 HCPCS,M0237,"Intrav inf, toci, first dose",,,567.1345,1627.676015,11 HCPCS,M0238,"Intrav inf, toci, second dos",,,567.1345,1627.676015,11 HCPCS,M0240,Casiri and imdev repeat,,,450.5,827.06218,10 HCPCS,M0241,Casiri and imdev repeat hm,,,750.5,1377.82498,10 HCPCS,M0243,Casirivi and imdevi inj,,,450.5,827.06218,10 HCPCS,M0244,Casirivi and imdevi inj hm,,,750.5,1377.82498,10 HCPCS,M0245,Bamlan and etesev infusion,,,450.5,827.06218,10 HCPCS,M0246,Bamlan and etesev infus home,,,750.5,1377.82498,10 HCPCS,M0247,Sotrovimab infusion,,,450.5,827.06218,10 HCPCS,M0248,"Sotrovimab inf, home admin",,,750.5,1377.82498,10 HCPCS,M0249,Adm tocilizu covid-19 1st,,,450.5,1627.676015,21 HCPCS,M0250,Adm tocilizu covid-19 2nd,,,450.5,1627.676015,21 HCPCS,P2028,Cephalin floculation test,,,4.95,14.2065,21 HCPCS,P2029,Congo red blood test,,,4.95,14.2065,21 HCPCS,P2031,Hair analysis,,,7.321545,8.22294,2 HCPCS,P2033,Blood thymol turbidity,,,4.95,14.2065,21 HCPCS,P2038,Blood mucoprotein,,,4.95,14.2065,21 HCPCS,P3000,Screen pap by tech w md supv,,,18.19,53.2098,21 HCPCS,P9019,"Platelets, each unit",,,66.9357,192.105459,22 HCPCS,P9020,Plaelet rich plasma unit,,,363.5,2022.545252,22 HCPCS,P9021,Red blood cells unit,,,129.66,544.015962,22 HCPCS,P9022,Washed red blood cells unit,,,277.03,1331.695498,22 HCPCS,P9023,"Frozen plasma, pooled, sd",,,5.31,202.18576,22 HCPCS,P9025,Plasma cryo redu path each,,,168.3905,568.4973,21 HCPCS,P9027,Rbc o2 co2 reduced,,,618.9093,1848.396809,19 HCPCS,P9031,Platelets leukocytes reduced,,,107.51,521.217543,22 HCPCS,P9032,"Platelets, irradiated",,,121.72,1419.817413,22 HCPCS,P9033,Platelets leukoreduced irrad,,,139.94,684.996963,22 HCPCS,P9034,"Platelets, pheresis",,,388.9497,1116.285639,22 HCPCS,P9035,Platelet pheres leukoreduced,,,499.53,1848.396809,22 HCPCS,P9036,Platelet pheresis irradiated,,,417.71,3429.247626,22 HCPCS,P9038,Rbc irradiated,,,182.8175,524.686225,22 HCPCS,P9039,Rbc deglycerolized,,,347.23,1130.882459,22 HCPCS,P9040,Rbc leukoreduced irradiated,,,240.27,958.937602,22 HCPCS,P9041,"Albumin (human),5%, 50ml",,,10.61,30.4507,13 HCPCS,P9043,"Plasma protein fract,5%,50ml",,,10.2097,29.301839,22 HCPCS,P9044,Cryoprecipitatereducedplasma,,,83.69,477.102199,22 HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,21.23,60.9301,22 HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,44.4643,187.33274,22 HCPCS,P9051,"Blood, l/r, cmv-neg",,,147.9,547.665167,22 HCPCS,P9052,"Platelets, hla-m, l/r, unit",,,645.94,2558.251129,22 HCPCS,P9053,"Plt, pher, l/r cmv-neg, irr",,,583.4976,1818.986484,22 HCPCS,P9054,"Blood, l/r, froz/degly/wash",,,218.81,958.142899,22 HCPCS,P9055,"Plt, aph/pher, l/r, cmv-neg",,,288.7439,905.031253,22 HCPCS,P9056,"Blood, l/r, irradiated",,,106.44,305.4828,22 HCPCS,P9057,"Rbc, frz/deg/wsh, l/r, irrad",,,373.99,1527.197028,22 HCPCS,P9058,"Rbc, l/r, cmv-neg, irrad",,,263.49,901.093039,22 HCPCS,P9059,"Plasma, frz between 8-24hour",,,77.93,266.534317,22 HCPCS,P9060,Fr frz plasma donor retested,,,52.64,192.394468,22 HCPCS,P9070,Pathogen reduced plasma pool,,,49.15956,201.535418,21 HCPCS,P9071,Pathogen reduced plasma sing,,,364.41612,1063.968983,21 HCPCS,P9073,Platelets pheresis path redu,,,624.66,2194.670632,22 HCPCS,P9099,Blood component/product noc,,,44.4643,127.612541,21 HCPCS,P9100,Pathogen test for platelets,,,75.4736,217.758093,21 HCPCS,P9612,Catheterize for urine spec,,,9.09,26.8058,21 HCPCS,P9615,Urine specimen collect mult,,,13.445019,15.100308,2 HCPCS,Q0035,Cardiokymography,,,48.0396,137.873652,21 HCPCS,Q0091,Obtaining screen pap smear,,,31.117,106.765435,21 HCPCS,Q0092,Set up port xray equipment,,,14.27,14.27,1 HCPCS,Q0111,Wet mounts/ w preparations,,,3.66,53.2098,22 HCPCS,Q0112,Potassium hydroxide preps,,,4.72,16.7321,22 HCPCS,Q0113,Pinworm examinations,,,3.8,12.2549,22 HCPCS,Q0114,Fern test,,,9.74,27.9538,21 HCPCS,Q0115,Post-coital mucous exam,,,25.0,71.75,21 HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.32,4.96,24 HCPCS,Q0166,Granisetron hcl 1 mg oral,,,1.01,3.06,3 HCPCS,Q0167,Dronabinol 2.5mg oral,,,1.9975,1.9975,2 HCPCS,Q0173,Trimethobenzamide hcl 250mg,,,1.2325,1.2325,2 HCPCS,Q0174,Thiethylperazine maleate10mg,,,0.5185,0.5185,2 HCPCS,Q0180,Dolasetron mesylate oral,,,60.3075,60.3075,2 HCPCS,Q0220,"Tixagev and cilgav, 300mg",,,0.014791,0.016612,2 HCPCS,Q0221,"Tixagev and cilgav, 600mg",,,0.014791,0.016612,2 HCPCS,Q0222,Bebtelovimab 175 mg,,,2142.0,3351.6,4 HCPCS,Q0235,"Inj, monoclon antibody, 1 mg",,,4.998,4.998,2 HCPCS,Q0237,"Inj, tocilizumab-anoh, hospi",,,4.403,4.403,2 HCPCS,Q0240,Casirivi and imdevi 600 mg,,,0.014791,0.016612,2 HCPCS,Q0243,Casirivimab and imdevimab,,,0.014791,0.016612,2 HCPCS,Q0244,Casirivi and imdevi 1200 mg,,,0.014791,0.016612,2 HCPCS,Q0245,Bamlanivimab and etesevima,,,0.014791,0.016612,2 HCPCS,Q0247,Sotrovimab,,,2142.0,3976.9128,4 HCPCS,Q0477,Pwr module pt cable lvad rpl,,,1518.519532,1518.519532,1 HCPCS,Q0478,"Power adapter, combo vad",,,359.716248,359.716248,1 HCPCS,Q0479,"Power module combo vad, rep",,,23430.744252,23430.744252,1 HCPCS,Q0480,"Driver pneumatic vad, rep",,,176288.088916,176288.088916,1 HCPCS,Q0481,"Microprcsr cu elec vad, rep",,,28441.98662,28441.98662,1 HCPCS,Q0482,"Microprcsr cu combo vad, rep",,,8908.567076,8908.567076,1 HCPCS,Q0483,"Monitor elec vad, rep",,,36699.363296,36699.363296,1 HCPCS,Q0484,Monitor elec or comb vad rep,,,7126.913464,7126.913464,1 HCPCS,Q0485,"Monitor cable elec vad, rep",,,688.052428,688.052428,1 HCPCS,Q0486,Mon cable elec/pneum vad rep,,,572.6987,572.6987,1 HCPCS,Q0487,"Leads any type vad, rep only",,,668.151252,668.151252,1 HCPCS,Q0489,"Pwr pck base combo vad, rep",,,31816.332344,31816.332344,1 HCPCS,Q0490,"Emr pwr source elec vad, rep",,,1376.237752,1376.237752,1 HCPCS,Q0491,Emr pwr source combo vad rep,,,2163.596716,2163.596716,1 HCPCS,Q0492,"Emr pwr cbl elec vad, rep",,,174.276492,174.276492,1 HCPCS,Q0493,"Emr pwr cbl combo vad, rep",,,496.349948,496.349948,1 HCPCS,Q0494,"Emr hd pmp elec/combo, rep",,,420.017808,420.017808,1 HCPCS,Q0495,"Charger elec/combo vad, rep",,,8175.977876,8175.977876,1 HCPCS,Q0496,"Battery elec/combo vad, rep",,,1062.02,2934.493188,2 HCPCS,Q0497,"Bat clps elec/comb vad, rep",,,916.334532,916.334532,1 HCPCS,Q0498,"Holster elec/combo vad, rep",,,1005.4413,1005.4413,1 HCPCS,Q0499,Belt/vest elec/combo vad rep,,,326.67498,326.67498,1 HCPCS,Q0500,"Filters elec/combo vad, rep",,,59.786588,59.786588,1 HCPCS,Q0501,"Shwr cov elec/combo vad, rep",,,999.577264,999.577264,1 HCPCS,Q0502,"Mobility cart pneum vad, rep",,,1272.595484,1272.595484,1 HCPCS,Q0503,Battery pneum vad replacemnt,,,2545.29064,2545.29064,1 HCPCS,Q0504,"Pwr adpt pneum vad, rep veh",,,1343.096812,1343.096812,1 HCPCS,Q0506,Lith-ion batt elec/pneum vad,,,1671.848292,1671.848292,1 HCPCS,Q0515,Sermorelin acetate injection,,,1.734,1.734,2 HCPCS,Q2004,Bladder calculi irrig sol,,,103.2155,205.688,4 HCPCS,Q2017,"Teniposide, 50 mg",,,2545.869,2545.869,2 HCPCS,Q2026,Radiesse injection,,,333.42,1002.1753,21 HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,1.0,6.1992,21 HCPCS,Q2033,"Influenza vaccine, (flublok)",,,33.2775,33.2775,2 HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,16.32,16.32,2 HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,7.2921,7.2921,2 HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,15.827,15.827,2 HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,10.778,10.778,2 HCPCS,Q2043,Sipuleucel-t auto cd54+,,,53477.33,156139.767,24 HCPCS,Q2049,Imported lipodox inj,,,298.74,857.3838,24 HCPCS,Q2056,Ciltacabtagene car-pos t,,,99409.39,1686554.2659,24 HCPCS,Q2057,Afamitresgene autoleucel,,,741540.0,2211679.4,13 HCPCS,Q3014,Telehealth facility fee,,,22.94,22.94,1 HCPCS,Q4001,Cast sup body cast plaster,,,101.565768,101.565768,1 HCPCS,Q4002,Cast sup body cast fiberglas,,,383.770424,383.770424,1 HCPCS,Q4003,Cast sup shoulder cast plstr,,,72.92668,72.92668,1 HCPCS,Q4004,Cast sup shoulder cast fbrgl,,,252.485788,252.485788,1 HCPCS,Q4005,Cast sup long arm adult plst,,,26.894828,26.894828,1 HCPCS,Q4006,Cast sup long arm adult fbrg,,,60.583964,60.583964,1 HCPCS,Q4007,Cast sup long arm ped plster,,,13.439108,13.439108,1 HCPCS,Q4008,Cast sup long arm ped fbrgls,,,30.283676,30.283676,1 HCPCS,Q4009,Cast sup sht arm adult plstr,,,17.957572,17.957572,1 HCPCS,Q4010,Cast sup sht arm adult fbrgl,,,40.383772,40.383772,1 HCPCS,Q4011,Cast sup sht arm ped plaster,,,8.953868,8.953868,1 HCPCS,Q4012,Cast sup sht arm ped fbrglas,,,20.250028,20.250028,1 HCPCS,Q4013,Cast sup gauntlet plaster,,,32.692416,32.692416,1 HCPCS,Q4014,Cast sup gauntlet fiberglass,,,55.118616,55.118616,1 HCPCS,Q4015,Cast sup gauntlet ped plster,,,16.36282,16.36282,1 HCPCS,Q4016,Cast sup gauntlet ped fbrgls,,,27.542696,27.542696,1 HCPCS,Q4017,Cast sup lng arm splint plst,,,18.887844,18.887844,1 HCPCS,Q4018,Cast sup lng arm splint fbrg,,,30.100944,30.100944,1 HCPCS,Q4019,Cast sup lng arm splnt ped p,,,9.452228,9.452228,1 HCPCS,Q4020,Cast sup lng arm splnt ped f,,,15.11692,15.11692,1 HCPCS,Q4021,Cast sup sht arm splint plst,,,13.987304,13.987304,1 HCPCS,Q4022,Cast sup sht arm splint fbrg,,,25.25024,25.25024,1 HCPCS,Q4023,Cast sup sht arm splnt ped p,,,7.026876,7.026876,1 HCPCS,Q4024,Cast sup sht arm splnt ped f,,,12.641732,12.641732,1 HCPCS,Q4025,Cast sup hip spica plaster,,,78.375416,78.375416,1 HCPCS,Q4026,Cast sup hip spica fiberglas,,,244.811044,244.811044,1 HCPCS,Q4027,Cast sup hip spica ped plstr,,,39.220932,39.220932,1 HCPCS,Q4028,Cast sup hip spica ped fbrgl,,,122.480276,122.480276,1 HCPCS,Q4029,Cast sup long leg plaster,,,59.96932,59.96932,1 HCPCS,Q4030,Cast sup long leg fiberglass,,,157.847224,157.847224,1 HCPCS,Q4031,Cast sup lng leg ped plaster,,,29.951436,29.951436,1 HCPCS,Q4032,Cast sup lng leg ped fbrgls,,,78.923612,78.923612,1 HCPCS,Q4033,Cast sup lng leg cylinder pl,,,55.949216,55.949216,1 HCPCS,Q4034,Cast sup lng leg cylinder fb,,,139.075664,139.075664,1 HCPCS,Q4035,Cast sup lngleg cylndr ped p,,,27.957996,27.957996,1 HCPCS,Q4036,Cast sup lngleg cylndr ped f,,,69.587668,69.587668,1 HCPCS,Q4037,Cast sup shrt leg plaster,,,34.071212,34.071212,1 HCPCS,Q4038,Cast sup shrt leg fiberglass,,,85.46874,85.46874,1 HCPCS,Q4039,Cast sup shrt leg ped plster,,,17.093748,17.093748,1 HCPCS,Q4040,Cast sup shrt leg ped fbrgls,,,42.726064,42.726064,1 HCPCS,Q4041,Cast sup lng leg splnt plstr,,,41.496776,41.496776,1 HCPCS,Q4042,Cast sup lng leg splnt fbrgl,,,70.833568,70.833568,1 HCPCS,Q4043,Cast sup lng leg splnt ped p,,,20.748388,20.748388,1 HCPCS,Q4044,Cast sup lng leg splnt ped f,,,35.46662,35.46662,1 HCPCS,Q4045,Cast sup sht leg splnt plstr,,,24.0874,24.0874,1 HCPCS,Q4046,Cast sup sht leg splnt fbrgl,,,38.739184,38.739184,1 HCPCS,Q4047,Cast sup sht leg splnt ped p,,,11.993864,11.993864,1 HCPCS,Q4048,Cast sup sht leg splnt ped f,,,19.386204,19.386204,1 HCPCS,Q4049,"Finger splint, static",,,4.368956,4.368956,1 HCPCS,Q4081,"Epoetin alfa, 100 units esrd",,,1.6915,5.17,3 HCPCS,Q4101,Apligraf,,,30.36,459.362155,11 HCPCS,Q4102,Oasis wound matrix,,,9.8,459.362155,11 HCPCS,Q4103,Oasis burn matrix,,,4.35,459.362155,11 HCPCS,Q4104,Integra bmwd,,,11.87,459.362155,11 HCPCS,Q4105,Integra drt or omnigraft,,,11.87,459.362155,11 HCPCS,Q4106,Dermagraft,,,16.25,16.25,1 HCPCS,Q4107,Graftjacket,,,95.72,459.362155,11 HCPCS,Q4108,Integra matrix,,,18.85,459.362155,11 HCPCS,Q4110,Primatrix,,,42.7,459.362155,11 HCPCS,Q4111,Gammagraft,,,6.99,459.362155,11 HCPCS,Q4112,Cymetra injectable,,,311.36,311.36,1 HCPCS,Q4113,Graftjacket xpress,,,311.36,311.36,1 HCPCS,Q4114,Integra flowable wound matri,,,897.11,897.11,1 HCPCS,Q4115,Alloskin,,,23.4,459.362155,11 HCPCS,Q4116,Alloderm,,,25.78,459.362155,11 HCPCS,Q4117,Hyalomatrix,,,8.71,459.362155,11 HCPCS,Q4118,Matristem micromatrix,,,1.86,1.86,1 HCPCS,Q4121,Theraskin,,,41.96,459.362155,11 HCPCS,Q4122,"Dermacell, awm, porous sq cm",,,160.0565,459.362155,10 HCPCS,Q4123,Alloskin,,,23.4,459.362155,11 HCPCS,Q4124,Oasis tri-layer wound matrix,,,9.11,459.362155,11 HCPCS,Q4125,Arthroflex,,,160.0565,459.362155,10 HCPCS,Q4126,Memoderm/derma/tranz/integup,,,88.18,459.362155,11 HCPCS,Q4127,Talymed,,,77.31,459.362155,11 HCPCS,Q4128,Flexhd/allopatchhd/sq cm,,,30.68,459.362155,11 HCPCS,Q4130,Strattice tm,,,160.0565,459.362155,10 HCPCS,Q4132,"Grafix core, grafixpl core",,,131.42,459.362155,11 HCPCS,Q4133,Grafix stravix prime pl sqcm,,,134.06,459.362155,11 HCPCS,Q4134,Hmatrix,,,160.0565,459.362155,10 HCPCS,Q4135,Mediskin,,,160.0565,459.362155,10 HCPCS,Q4136,Ezderm,,,160.0565,459.362155,10 HCPCS,Q4137,Amnioexcel biodexcel 1sq cm,,,160.0565,459.362155,10 HCPCS,Q4138,"Biodfence dryflex, 1cm",,,160.0565,459.362155,10 HCPCS,Q4140,Biodfence 1cm,,,160.0565,459.362155,10 HCPCS,Q4141,"Alloskin ac, 1 cm",,,160.0565,459.362155,10 HCPCS,Q4142,Xcm biologic tiss matrix 1cm,,,160.0565,459.362155,10 HCPCS,Q4143,"Repriza, 1cm",,,160.0565,459.362155,10 HCPCS,Q4146,"Tensix, 1cm",,,160.0565,459.362155,10 HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,160.0565,459.362155,10 HCPCS,Q4148,Neox neox rt or clarix cord,,,160.0565,459.362155,10 HCPCS,Q4149,"Excellagen, 0.1 cc",,,147.9,147.9,2 HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,160.0565,459.362155,10 HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,120.84,459.362155,11 HCPCS,Q4152,Dermapure 1 square cm,,,160.0565,459.362155,10 HCPCS,Q4153,"Dermavest, plurivest sq cm",,,160.0565,459.362155,10 HCPCS,Q4154,Biovance 1 square cm,,,158.17,459.362155,11 HCPCS,Q4156,Neox 100 or clarix 100,,,160.0565,459.362155,10 HCPCS,Q4157,Revitalon 1 square cm,,,160.0565,459.362155,10 HCPCS,Q4158,"Kerecis omega3, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4159,Affinity1 square cm,,,160.0565,459.362155,11 HCPCS,Q4160,Nushield 1 square cm,,,94.06,459.362155,11 HCPCS,Q4161,Bio-connekt per square cm,,,160.0565,459.362155,10 HCPCS,Q4163,"Woundex, bioskin, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4164,"Helicoll, per square cm",,,160.0565,459.362155,10 HCPCS,Q4165,"Keramatrix, kerasorb sq cm",,,160.0565,459.362155,10 HCPCS,Q4166,"Cytal, per square centimeter",,,160.0565,459.362155,10 HCPCS,Q4167,"Truskin, per sq centimeter",,,102.799,459.362155,12 HCPCS,Q4169,"Artacent wound, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4170,"Cygnus, per sq cm",,,68.41,459.362155,11 HCPCS,Q4173,Palingen or palingen xplus,,,160.0565,459.362155,10 HCPCS,Q4175,Miroderm,,,63.38,459.362155,11 HCPCS,Q4176,"Neopatch or therion, 1 sq cm",,,129.62,459.362155,11 HCPCS,Q4178,"Floweramniopatch, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4179,"Flowerderm, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4180,"Revita, per sq cm",,,160.0565,459.362155,11 HCPCS,Q4181,"Amnio wound, per square cm",,,160.0565,459.362155,10 HCPCS,Q4182,"Transcyte, per sq centimeter",,,160.0565,459.362155,10 HCPCS,Q4183,"Surgigraft, 1 sq cm",,,160.0565,459.362155,10 HCPCS,Q4184,Cellesta or duo per sq cm,,,160.0565,459.362155,10 HCPCS,Q4186,Epifix 1 sq cm,,,153.46,459.362155,11 HCPCS,Q4187,Epicord 1 sq cm,,,160.0565,459.362155,11 HCPCS,Q4188,Amnioarmor 1 sq cm,,,160.0565,459.362155,10 HCPCS,Q4190,Artacent ac 1 sq cm,,,160.0565,459.362155,10 HCPCS,Q4191,Restorigin 1 sq cm,,,160.0565,459.362155,10 HCPCS,Q4193,Coll-e-derm 1 sq cm,,,160.0565,459.362155,10 HCPCS,Q4194,Novachor 1 sq cm,,,160.0565,459.362155,10 HCPCS,Q4195,Puraply 1 sq cm,,,71.23,459.362155,11 HCPCS,Q4196,Puraply am 1 sq cm,,,104.48,459.362155,11 HCPCS,Q4197,Puraply xt 1 sq cm,,,160.0565,459.362155,11 HCPCS,Q4198,Genesis amnio membrane 1sqcm,,,160.0565,459.362155,10 HCPCS,Q4199,"Cygnus matrix, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4200,Skin te 1 sq cm,,,160.0565,459.362155,10 HCPCS,Q4201,Matrion 1 sq cm,,,160.0565,459.362155,11 HCPCS,Q4203,"Derma-gide, 1 sq cm",,,160.0565,459.362155,11 HCPCS,Q4204,Xwrap 1 sq cm,,,160.0565,459.362155,10 HCPCS,Q4205,Membrane graft or wrap sq cm,,,160.0565,459.362155,10 HCPCS,Q4208,Novafix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4209,Surgraft per sq cm,,,160.0565,459.362155,10 HCPCS,Q4211,Amnion bio or axobio sq cm,,,160.0565,459.362155,10 HCPCS,Q4214,Cellesta cord per sq cm,,,160.0565,459.362155,10 HCPCS,Q4216,Artacent cord per sq cm,,,160.0565,459.362155,10 HCPCS,Q4217,Woundfix biowound plus xplus,,,160.0565,459.362155,10 HCPCS,Q4218,Surgicord per sq cm,,,160.0565,459.362155,10 HCPCS,Q4219,Surgigraft dual per sq cm,,,160.0565,459.362155,10 HCPCS,Q4220,"Bellacell hd, surederm sq cm",,,160.0565,459.362155,10 HCPCS,Q4221,Amniowrap2 per sq cm,,,160.0565,459.362155,10 HCPCS,Q4222,"Progenamatrix, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4225,"Amnio or derma tl, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4227,Amniocore per sq cm,,,160.0565,459.362155,11 HCPCS,Q4229,Cogenex amnio memb per sq cm,,,160.0565,459.362155,11 HCPCS,Q4231,"Corplex p, per cc",,,677.32,677.32,1 HCPCS,Q4232,"Corplex, per sq cm",,,160.0565,459.362155,11 HCPCS,Q4234,"Xcellerate, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4235,Amniorepair or altiply sq cm,,,150.55,459.362155,11 HCPCS,Q4236,Carepatch per sq cm,,,160.0565,459.362155,10 HCPCS,Q4237,"Cryo-cord, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4238,"Derm-maxx, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,160.0565,459.362155,10 HCPCS,Q4246,"Coretext or protext, per cc",,,2968.0,2968.0,1 HCPCS,Q4247,"Amniotext patch, per sq cm",,,160.0565,530.0,11 HCPCS,Q4248,Dermacyte amn mem allo sq cm,,,119.42,459.362155,11 HCPCS,Q4249,"Amniply, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4250,Amnioamp-mp per sq cm,,,160.0565,459.362155,10 HCPCS,Q4251,"Vim, per square centimeter",,,160.0565,459.362155,10 HCPCS,Q4253,Zenith amniotic membrane psc,,,160.0565,459.362155,10 HCPCS,Q4254,Novafix dl per sq cm,,,160.0565,459.362155,10 HCPCS,Q4255,"Reguard, topical use per sq",,,160.0565,459.362155,10 HCPCS,Q4256,"Mlg complet, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4257,"Relese, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4258,"Enverse, per sq cm",,,61.23,459.362155,11 HCPCS,Q4259,Celera per sq cm,,,160.0565,459.362155,10 HCPCS,Q4260,"Signature apatch, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4261,"Tag, per square centimeter",,,160.0565,459.362155,10 HCPCS,Q4262,"Dual layer impax, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4263,"Surgraft tl, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4264,"Cocoon membrane, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4265,Neostim tl per sq cm,,,160.0565,459.362155,10 HCPCS,Q4266,Neostim per sq cm,,,160.0565,459.362155,10 HCPCS,Q4267,Neostim dl per sq cm,,,160.0565,459.362155,10 HCPCS,Q4268,Surgraft ft per sq cm,,,160.0565,459.362155,10 HCPCS,Q4269,Surgraft xt per sq cm,,,160.0565,459.362155,10 HCPCS,Q4270,Complete sl per sq cm,,,160.0565,459.362155,10 HCPCS,Q4271,Complete ft per sq cm,,,160.0565,459.362155,10 HCPCS,Q4272,"Esano a, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4273,"Esano aaa, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4274,"Esano ac, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4275,"Esano aca, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4276,"Orion, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4278,"Epieffect, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4279,"Vendaje ac, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4280,Xcell amnio matrix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4281,Barrera slor dl per sq cm,,,160.0565,459.362155,10 HCPCS,Q4282,Cygnus dual per sq cm,,,160.0565,459.362155,10 HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,160.0565,459.362155,10 HCPCS,Q4284,"Dermabind sl, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,160.0565,459.362155,10 HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4287,"Dermabind dl, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4288,"Dermabind ch, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4290,Membrane wrap hydr per sq cm,,,160.0565,459.362155,10 HCPCS,Q4291,"Lamellas xt, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4292,"Lamellas, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4293,"Acesso dl, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4294,"Amnio quad-core, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4295,"Amnio tri-core, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4296,"Rebound matrix, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4297,"Emerge matrix, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4298,"Amnicore pro, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4299,"Amnicore pro+, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4300,"Acesso tl, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4301,"Activate matrix, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4302,"Complete aca, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4303,"Complete aa, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4304,"Grafix plus, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4305,Amer am ac tri-lay per sq cm,,,160.0565,459.362155,10 HCPCS,Q4306,Americ amnion ac per sq cm,,,160.0565,459.362155,10 HCPCS,Q4307,"American amnion, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4308,"Sanopellis, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4309,"Via matrix, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4311,"Acesso, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4312,"Acesso ac, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4313,"Dermabind fm, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4314,"Reeva, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4315,Regenelink amniotic mem allo,,,160.0565,459.362155,10 HCPCS,Q4316,"Amchoplast, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4317,"Vitograft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4318,"E-graft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4319,"Sanograft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4320,"Pellograft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4321,"Renograft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4322,"Caregraft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4323,"Alloply, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4324,"Amniotx, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4325,"Acapatch, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4326,"Woundplus, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4327,"Duoamnion, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4328,"Most, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4329,"Singlay, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4330,"Total, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4331,"Axolotl graft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4332,"Axolotl dualgraft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4333,"Ardeograft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4334,"Amnioplast 1, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4335,"Amnioplast 2, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4336,"Artecent c, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4337,"Artecent trident, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4338,"Artacent velos, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4339,"Artacent vericlen, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4340,"Simpligraft, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4341,"Simplimax, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4342,"Theramend, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4343,Dermacyte ac matrx per sq cm,,,160.0565,459.362155,10 HCPCS,Q4344,"Tri membrane wrap, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4345,Matrix hd allogrft per sq cm,,,160.0565,459.362155,10 HCPCS,Q4346,Shelter dm matrix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4347,Rampart dl matrix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4348,Sentry sl matrix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4349,Mantle dl matrix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4350,Palisade dm matrix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4351,"Enclose tl matrix, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4352,"Overlay sl matrix, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4353,Xceed tl matrix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4354,Palingen dual-layer sq cm,,,160.0565,459.362155,10 HCPCS,Q4355,Abio xpl abio xpl hy p sq cm,,,160.0565,459.362155,10 HCPCS,Q4356,Abio mem abio hyd per sq cm,,,160.0565,459.362155,10 HCPCS,Q4357,"Xwrap plus, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4358,"Xwrap dual, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4359,"Choriply, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4360,Amchoplast fd per sq cm,,,160.0565,459.362155,10 HCPCS,Q4361,"Epixpress, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4362,"Cygnus disk, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4363,Am bur mem hydro per sq cm,,,160.0565,459.362155,10 HCPCS,Q4364,Am bur xp mem xpl hy p sq cm,,,160.0565,459.362155,10 HCPCS,Q4365,Amnio bur dl mem per sq cm,,,160.0565,459.362155,10 HCPCS,Q4366,Dl amnio bur x-mem per sq cm,,,160.0565,459.362155,10 HCPCS,Q4367,"Amniocore sl, per sq cm",,,160.0565,459.362155,10 HCPCS,Q4368,Amchothick per sq cm,,,160.0565,459.362155,10 HCPCS,Q4369,Amnioplast 3 per sq cm,,,160.0565,459.362155,10 HCPCS,Q4370,Aeroguard per sq cm,,,160.0565,459.362155,10 HCPCS,Q4371,Neoguard per sq cm,,,160.0565,459.362155,10 HCPCS,Q4372,Amchoplast excl per sq cm,,,160.0565,459.362155,10 HCPCS,Q4373,Membrane wrp lt per sq cm,,,160.0565,459.362155,10 HCPCS,Q4375,Duograft ac per sq cm,,,160.0565,459.362155,10 HCPCS,Q4376,Duograft aa per sq cm,,,160.0565,459.362155,10 HCPCS,Q4377,Trigraft ft per sq cm,,,160.0565,459.362155,10 HCPCS,Q4378,Renew ft matrix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4379,Amniodefend ft per sq cm,,,160.0565,459.362155,10 HCPCS,Q4380,Advograft one per sq cm,,,160.0565,459.362155,10 HCPCS,Q4382,Advograft dual per sq cm,,,160.0565,459.362155,10 HCPCS,Q4383,Axolotl graft ult per sq cm,,,160.0565,459.362155,10 HCPCS,Q4384,Axolotl dual ult per sq cm,,,160.0565,459.362155,10 HCPCS,Q4385,Apollo ft per sq cm,,,160.0565,459.362155,10 HCPCS,Q4386,Acesso trifaca per sq cm,,,160.0565,459.362155,10 HCPCS,Q4387,Neothelium ft per sq cm,,,160.0565,459.362155,10 HCPCS,Q4388,Neothelium 4l per sq cm,,,160.0565,459.362155,10 HCPCS,Q4389,Neothelium 4l+ per sq cm,,,160.0565,459.362155,10 HCPCS,Q4390,Ascendion per sq cm,,,160.0565,459.362155,10 HCPCS,Q4391,Amnioplast double per sq cm,,,160.0565,459.362155,10 HCPCS,Q4392,Grafix duo per sq cm,,,160.0565,459.362155,10 HCPCS,Q4393,Surgraft ac per sq cm,,,160.0565,459.362155,10 HCPCS,Q4394,Surgraft aca per sq cm,,,160.0565,459.362155,10 HCPCS,Q4395,Acelagraft per sq cm,,,160.0565,459.362155,10 HCPCS,Q4396,Natalin per sq cm,,,160.0565,459.362155,10 HCPCS,Q4397,Summit aaa per sq cm,,,160.0565,459.362155,10 HCPCS,Q4398,Summit ac per sq cm,,,160.0565,459.362155,10 HCPCS,Q4399,Summit fx per sq cm,,,160.0565,459.362155,10 HCPCS,Q4400,Polygon3 per sq cm,,,160.0565,459.362155,10 HCPCS,Q4401,Absolv3 per sq cm,,,160.0565,459.362155,10 HCPCS,Q4402,Xwrap 2.0 per sq cm,,,160.0565,459.362155,10 HCPCS,Q4403,Xwrap dual plus per sq cm,,,160.0565,459.362155,10 HCPCS,Q4404,Xwrap hydro plus per sq cm,,,160.0565,459.362155,10 HCPCS,Q4405,Xwrap fenestra plus sq cm,,,160.0565,459.362155,10 HCPCS,Q4406,Xwrap fenestra per sq cm,,,160.0565,459.362155,10 HCPCS,Q4407,Xwrap tribus per sq cm,,,160.0565,459.362155,10 HCPCS,Q4408,Xwrap hydro per sq cm,,,160.0565,459.362155,10 HCPCS,Q4409,Amniomatrixf3x per sq cm,,,160.0565,459.362155,10 HCPCS,Q4410,Amchomatrixdl per sq cm,,,160.0565,459.362155,10 HCPCS,Q4411,Amniomatrixf4x per sq cm,,,160.0565,459.362155,10 HCPCS,Q4412,Choriofix per sq cm,,,160.0565,459.362155,10 HCPCS,Q4413,Cygnus solo per sq cm,,,160.0565,459.362155,10 HCPCS,Q4414,Simplichor per sq cm,,,160.0565,459.362155,10 HCPCS,Q4415,Alexiguard st-l per sq cm,,,160.0565,459.362155,10 HCPCS,Q4416,Alexiguard tl-t per sq cm,,,160.0565,459.362155,10 HCPCS,Q4417,Alexiguard dl-t per sq cm,,,160.0565,459.362155,10 HCPCS,Q4420,Nuform per sq cm,,,160.0565,459.362155,10 HCPCS,Q4431,"Pma skin substitute, nos",,,160.0565,459.362155,10 HCPCS,Q4432,"510(k) skin subs, nos",,,160.0565,459.362155,10 HCPCS,Q4433,"361 hct/p skin subs, nos",,,160.0565,459.362155,10 HCPCS,Q5098,"Inj ustekinumab-srlf, 1 mg",,,8.6275,8.6275,2 HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,2.38,12.64,3 HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,3.1365,70.8316,13 HCPCS,Q5110,Nivestym,,,0.27,4.76,24 HCPCS,Q5112,Inj ontruzant 10 mg,,,19.0,90.0745,24 HCPCS,Q5113,Inj herzuma 10 mg,,,24.64,159.0841,24 HCPCS,Q5121,"Inj. avsola, 10 mg",,,19.83,68.3347,24 HCPCS,Q5123,"Inj. riabni, 10 mg",,,20.89,73.117,24 HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,60.21,262.514,24 HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.33,4.99,24 HCPCS,Q5126,Inj alymsys 10 mg,,,33.01,94.7387,24 HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,147.23,460.096,24 HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,83.34,366.912,24 HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,38.15,109.4905,24 HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,127.22,365.1214,24 HCPCS,Q5131,"Inj, idacio, 20 mg",,,458.49,458.49,2 HCPCS,Q5132,"Inj, abrilada, 10 mg",,,165.4355,1032.04,3 HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.54,16.0146,21 HCPCS,Q5134,"Inj, tyruko, 1 mg",,,24.1485,69.9706,12 HCPCS,Q5135,"Inj, tyenne, 1 mg",,,4.11,12.0253,21 HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,27.268,81.0201,13 HCPCS,Q5137,"Inj, wezlana, sub cu, 1 mg",,,63.1125,63.1125,2 HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,1.5725,33.4068,13 HCPCS,Q5140,"Inj adalimumab-fkjp, 1 mg",,,13.18,117.639,11 HCPCS,Q5141,"Inj adalimumab-aaty, 1 mg",,,13.2345,58.8195,11 HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,10.47,18.036,11 HCPCS,Q5143,"Inj adalimumab-adbm, 1 mg",,,10.43,117.639,11 HCPCS,Q5144,"Inj, idacio, 1 mg",,,7.69,19.7505,11 HCPCS,Q5145,"Inj, abrilada, 1 mg",,,16.541,134.5005,11 HCPCS,Q5146,"Inj, hercessi, 10 mg",,,37.15,106.6205,13 HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,859.36,2485.994,13 HCPCS,Q5148,"Inj, nyposi 1 mcg",,,0.55,2.8413,13 HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,31.0505,90.8929,13 HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg",,,39.9245,121.5158,13 HCPCS,Q5156,"Inj, tocilizumab-anoh, 1 mg",,,4.403,4.403,2 HCPCS,Q5157,"Inj, denosumab-bmwo, 1 mg",,,28.13,80.7331,13 HCPCS,Q5158,"Inj, denosumab-bnht, 1 mg",,,28.72,82.4264,13 HCPCS,Q5159,"Inj, denosumab-dssb, 1 mg",,,16.575,16.575,2 HCPCS,Q5160,"Inj, jobevne, 10 mg",,,81.192,242.1419,12 HCPCS,Q9950,Inj sulf hexa lipid microsph,,,28.985,28.985,2 HCPCS,Q9953,"Inj fe-based mr contrast,1ml",,,24.33,24.33,1 HCPCS,Q9954,"Oral mr contrast, 100 ml",,,7.18,7.18,1 HCPCS,Q9957,"Inj perflutren lip micros,ml",,,50.24,158.1,3 HCPCS,Q9958,"Hocm <=149 mg/ml iodine, 1ml",,,0.08,0.08,1 HCPCS,Q9960,"Hocm 200-249mg/ml iodine,1ml",,,0.22,0.22,1 HCPCS,Q9961,"Hocm 250-299mg/ml iodine,1ml",,,0.15,0.15,1 HCPCS,Q9962,"Hocm 300-349mg/ml iodine,1ml",,,0.15,0.15,1 HCPCS,Q9964,"Hocm>= 400mg/ml iodine, 1ml",,,0.16,0.16,1 HCPCS,Q9965,"Locm 100-199mg/ml iodine,1ml",,,1.49,1.49,1 HCPCS,Q9966,"Locm 200-299mg/ml iodine,1ml",,,0.48,0.48,1 HCPCS,Q9967,"Locm 300-399mg/ml iodine,1ml",,,0.17,0.17,1 HCPCS,Q9969,Non-heu tc-99m add-on/dose,,,10.0,14.0,11 HCPCS,Q9983,Florbetaben f18 diagnostic,,,1273.76,4548.0029,22 HCPCS,Q9991,Buprenorph xr 100 mg or less,,,1891.44,5735.7811,24 HCPCS,Q9992,Buprenorphine xr over 100 mg,,,1891.44,5735.7811,24 HCPCS,Q9996,Ustekinumab- ttwe sub cu inj,,,47.0305,47.0305,2 HCPCS,Q9997,Ustekinumab-ttwe iv inj 1 mg,,,8.26,23.7062,13 HCPCS,Q9998,Ustekinumab-aekn inj,,,10.982,123.984,13 HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,12.0955,94.5665,13 HCPCS,R0070,Transport portable x-ray,,,174.06,174.06,1 HCPCS,S0012,"Butorphanol tartrate, nasal",,,61.846,61.846,2 HCPCS,S0014,"Tacrine hydrochloride, 10 mg",,,2.482,2.482,2 HCPCS,S0020,"Injection, bupivicaine hydro",,,1.309,1.309,2 HCPCS,S0021,"Injection, cefoperazone sod",,,15.3,15.3,2 HCPCS,S0023,"Injection, cimetidine hydroc",,,2.4395,2.4395,2 HCPCS,S0028,"Injection, famotidine, 20 mg",,,0.9095,0.9095,2 HCPCS,S0030,"Injection, metronidazole",,,1.955,1.955,2 HCPCS,S0034,"Injection, ofloxacin, 400 mg",,,23.46,23.46,2 HCPCS,S0040,"Injection, ticarcillin disod",,,13.6,13.6,2 HCPCS,S0073,"Injection, aztreonam, 500 mg",,,14.79,14.79,2 HCPCS,S0077,"Injection, clindamycin phosp",,,1.445,1.445,2 HCPCS,S0081,"Injection, piperacillin sodi",,,1.7765,1.7765,2 HCPCS,S0088,Imatinib 100 mg,,,3.026,3.026,2 HCPCS,S0090,"Sildenafil citrate, 25 mg",,,0.272,0.272,2 HCPCS,S0104,"Zidovudine, oral, 100 mg",,,0.986,0.986,2 HCPCS,S0106,Bupropion hcl sr 60 tablets,,,13.243,13.243,2 HCPCS,S0108,Mercaptopurine 50 mg,,,3.315,3.315,2 HCPCS,S0122,Inj menotropins 75 iu,,,257.5075,257.5075,2 HCPCS,S0126,Inj follitropin alfa 75 iu,,,246.3385,246.3385,2 HCPCS,S0128,Inj follitropin beta 75 iu,,,221.85,221.85,2 HCPCS,S0136,"Clozapine, 25 mg",,,0.7565,0.7565,2 HCPCS,S0137,"Didanosine, 25 mg",,,0.5695,0.5695,2 HCPCS,S0138,"Finasteride, 5 mg",,,0.085,0.085,2 HCPCS,S0139,"Minoxidil, 10 mg",,,0.4675,0.4675,2 HCPCS,S0146,Peg interferon alfa-2b/10,,,28.5005,28.5005,2 HCPCS,S0155,Epoprostenol dilutant,,,14.79,14.79,2 HCPCS,S0156,"Exemestane, 25 mg",,,1.7,1.7,2 HCPCS,S0157,"Becaplermin gel 1%, 0.5 gm",,,46.2315,46.2315,2 HCPCS,S0160,Dextroamphetamine,,,0.7055,0.7055,2 HCPCS,S0161,Calcitrol,,,0.2805,1.445,4 HCPCS,S0166,Inj olanzapine 2.5mg,,,8.245,8.245,2 HCPCS,S0169,Calcitrol,,,0.2805,1.445,4 HCPCS,S0170,Anastrozole 1 mg,,,0.408,0.408,2 HCPCS,S0171,Bumetanide 0.5 mg,,,0.918,0.918,2 HCPCS,S0172,Chlorambucil 2 mg,,,269.433,269.433,2 HCPCS,S0174,Dolasetron 50 mg,,,30.1495,30.1495,2 HCPCS,S0175,Flutamide 125 mg,,,45.4325,45.4325,2 HCPCS,S0176,Hydroxyurea 500 mg,,,0.408,0.408,2 HCPCS,S0177,Levamisole 50 mg,,,5.627,5.627,2 HCPCS,S0178,Lomustine 10 mg,,,107.066,107.066,2 HCPCS,S0179,Megestrol 20 mg,,,0.2465,0.2465,2 HCPCS,S0182,"Procarbazine, oral",,,180.2765,180.2765,2 HCPCS,S0187,Tamoxifen 10 mg,,,0.1955,0.1955,2 HCPCS,S1090,Mometasone sinus implant,,,841.5,841.5,2 HCPCS,S5011,5% dextrose in lactated ring,,,4.845,4.845,2 HCPCS,S5565,Insulin cartridge 150 u,,,22.134,22.134,2 HCPCS,U0001,2019-ncov diagnostic p,,,35.91,103.0904,22 HCPCS,U0002,Covid-19 lab test non-cdc,,,51.31,147.2597,22 HCPCS,U0003,Cov-19 amp prb hgh thruput,,,75.0,105.0,8 HCPCS,U0004,Cov-19 test non-cdc hgh thru,,,75.0,105.0,8 HCPCS,U0005,Infec agen detec ampli probe,,,25.0,35.0,8 HCPCS,V2020,Vision svcs frames purchases,,,21.31,166.684808,2 HCPCS,V2100,Lens spher single plano 4.00,,,18.3,78.109624,2 HCPCS,V2101,Single visn sphere 4.12-7.00,,,21.69,104.705436,2 HCPCS,V2102,Singl visn sphere 7.12-20.00,,,25.75,126.982128,2 HCPCS,V2103,Spherocylindr 4.00d/12-2.00d,,,18.48,74.571268,2 HCPCS,V2104,Spherocylindr 4.00d/2.12-4d,,,18.62,78.890388,2 HCPCS,V2105,Spherocylinder 4.00d/4.25-6d,,,29.39,86.515296,2 HCPCS,V2106,Spherocylinder 4.00d/>6.00d,,,31.14,103.509372,2 HCPCS,V2107,Spherocylinder 4.25d/12-2d,,,21.89,111.416684,2 HCPCS,V2108,Spherocylinder 4.25d/2.12-4d,,,22.18,105.918112,2 HCPCS,V2109,Spherocylinder 4.25d/4.25-6d,,,33.01,119.058204,2 HCPCS,V2110,Spherocylinder 4.25d/over 6d,,,37.34,101.981068,2 HCPCS,V2111,Spherocylindr 7.25d/.25-2.25,,,25.74,120.204432,2 HCPCS,V2112,Spherocylindr 7.25d/2.25-4d,,,25.74,126.16814,2 HCPCS,V2113,Spherocylindr 7.25d/4.25-6d,,,37.4,125.08836,2 HCPCS,V2114,Spherocylinder over 12.00d,,,29.9,135.520696,2 HCPCS,V2115,Lens lenticular bifocal,,,77.05,225.973036,4 HCPCS,V2118,Lens aniseikonic single,,,188.496364,188.496364,1 HCPCS,V2121,"Lenticular lens, single",,,64.77,201.270992,2 HCPCS,V2200,Lens spher bifoc plano 4.00d,,,29.39,116.732524,2 HCPCS,V2201,Lens sphere bifocal 4.12-7.0,,,36.38,142.0326,2 HCPCS,V2202,Lens sphere bifocal 7.12-20.,,,42.6,131.101904,2 HCPCS,V2203,Lens sphcyl bifocal 4.00d/.1,,,29.76,126.982128,2 HCPCS,V2204,Lens sphcy bifocal 4.00d/2.1,,,29.77,128.875896,2 HCPCS,V2205,Lens sphcy bifocal 4.00d/4.2,,,43.91,127.214696,2 HCPCS,V2206,Lens sphcy bifocal 4.00d/ove,,,44.17,142.962872,2 HCPCS,V2207,Lens sphcy bifocal 4.25-7d/.,,,36.41,138.79326,2 HCPCS,V2208,Lens sphcy bifocal 4.25-7/2.,,,38.48,152.896848,2 HCPCS,V2209,Lens sphcy bifocal 4.25-7/4.,,,49.81,143.461232,2 HCPCS,V2210,Lens sphcy bifocal 4.25-7/ov,,,51.64,153.013132,2 HCPCS,V2211,Lens sphcy bifo 7.25-12/.25-,,,42.31,185.821832,2 HCPCS,V2212,Lens sphcyl bifo 7.25-12/2.2,,,42.6,174.442612,2 HCPCS,V2213,Lens sphcyl bifo 7.25-12/4.2,,,52.37,162.481972,2 HCPCS,V2214,Lens sphcyl bifocal over 12.,,,44.87,183.761944,2 HCPCS,V2215,Lens lenticular bifocal,,,77.05,225.973036,4 HCPCS,V2218,Lens aniseikonic bifocal,,,216.919496,216.919496,1 HCPCS,V2219,Lens bifocal seg width over,,,88.774528,88.774528,1 HCPCS,V2220,Lens bifocal add over 3.25d,,,14.31,83.8906,2 HCPCS,V2221,"Lenticular lens, bifocal",,,75.56,234.81062,2 HCPCS,V2300,Lens sphere trifocal 4.00d,,,42.35,144.391504,2 HCPCS,V2301,Lens sphere trifocal 4.12-7.,,,22.07,177.781624,2 HCPCS,V2302,Lens sphere trifocal 7.12-20,,,54.33,163.495304,2 HCPCS,V2303,Lens sphcy trifocal 4.0/.12-,,,19.61,155.770724,2 HCPCS,V2304,Lens sphcy trifocal 4.0/2.25,,,50.21,161.601536,2 HCPCS,V2305,Lens sphcy trifocal 4.0/4.25,,,19.61,162.099896,2 HCPCS,V2306,Lens sphcyl trifocal 4.00/>6,,,55.36,163.412244,2 HCPCS,V2307,Lens sphcy trifocal 4.25-7/.,,,22.07,175.057256,2 HCPCS,V2308,Lens sphc trifocal 4.25-7/2.,,,47.6,170.721524,2 HCPCS,V2309,Lens sphc trifocal 4.25-7/4.,,,22.07,206.719728,2 HCPCS,V2310,Lens sphc trifocal 4.25-7/>6,,,62.09,174.59212,2 HCPCS,V2311,Lens sphc trifo 7.25-12/.25-,,,32.18,213.746604,2 HCPCS,V2312,Lens sphc trifo 7.25-12/2.25,,,54.59,238.232692,2 HCPCS,V2313,Lens sphc trifo 7.25-12/4.25,,,32.18,266.04118,2 HCPCS,V2314,Lens sphcyl trifocal over 12,,,54.33,246.93738,2 HCPCS,V2315,Lens lenticular trifocal,,,306.375116,306.375116,1 HCPCS,V2318,Lens aniseikonic trifocal,,,389.9667,389.9667,1 HCPCS,V2319,Lens trifocal seg width > 28,,,99.024132,99.024132,1 HCPCS,V2320,Lens trifocal add over 3.25d,,,14.31,104.456256,2 HCPCS,V2321,"Lenticular lens, trifocal",,,93.54,290.660164,2 HCPCS,V2410,Lens variab asphericity sing,,,57.05,238.365588,2 HCPCS,V2430,Lens variable asphericity bi,,,97.71,287.271316,2 HCPCS,V2500,Contact lens pmma spherical,,,65.94,175.306436,2 HCPCS,V2501,Cntct lens pmma-toric/prism,,,103.69,275.7592,2 HCPCS,V2502,Contact lens pmma bifocal,,,403.455644,403.455644,1 HCPCS,V2503,Cntct lens pmma color vision,,,280.07832,280.07832,1 HCPCS,V2510,Cntct gas permeable sphericl,,,88.64,235.72428,2 HCPCS,V2511,Cntct toric prism ballast,,,143.27,380.91316,2 HCPCS,V2512,Cntct lens gas permbl bifocl,,,442.228052,442.228052,1 HCPCS,V2513,Contact lens extended wear,,,152.59,405.7481,2 HCPCS,V2520,Contact lens hydrophilic,,,78.21,207.932404,2 HCPCS,V2521,Cntct lens hydrophilic toric,,,136.15,362.008704,2 HCPCS,V2522,Cntct lens hydrophil bifocl,,,469.754136,469.754136,1 HCPCS,V2523,Cntct lens hydrophil extend,,,112.92,300.245288,2 HCPCS,V2524,Cntct lens hydrophil photoch,,,240.641432,240.641432,1 HCPCS,V2530,Contact lens gas impermeable,,,444.686628,444.686628,1 HCPCS,V2531,Contact lens gas permeable,,,1059.828988,1059.828988,1 HCPCS,V2599,Contact lens/es other type,,,56.77,56.77,1 HCPCS,V2623,Plastic eye prosth custom,,,2386.330412,2386.330412,1 HCPCS,V2624,Polishing artifical eye,,,31.96,121.383884,2 HCPCS,V2625,Enlargemnt of eye prosthesis,,,860.568048,860.568048,1 HCPCS,V2626,Reduction of eye prosthesis,,,530.387936,530.387936,1 HCPCS,V2627,Scleral cover shell,,,2569.12886,2569.12886,1 HCPCS,V2628,Fabrication & fitting,,,606.620404,606.620404,1 HCPCS,V2630,Anter chamber intraocul lens,,,237.335644,237.335644,1 HCPCS,V2631,Iris support intraoclr lens,,,237.335644,237.335644,1 HCPCS,V2632,Post chmbr intraocular lens,,,237.335644,237.335644,1 HCPCS,V2700,Balance lens,,,116.45012,116.45012,1 HCPCS,V2710,Glass/plastic slab off prism,,,40.0,161.418804,2 HCPCS,V2715,Prism lens/es,,,8.17,30.89832,2 HCPCS,V2718,Fresnell prism press-on lens,,,15.78,75.900228,2 HCPCS,V2730,Special base curve,,,54.454136,54.454136,1 HCPCS,V2744,Tint photochromatic lens/es,,,17.19,32.709028,2 HCPCS,V2745,"Tint, any color/solid/grad",,,3.54,21.196912,2 HCPCS,V2750,Anti-reflective coating,,,15.33,47.659828,2 HCPCS,V2755,Uv lens/es,,,9.37,33.124328,2 HCPCS,V2760,Scratch resistant coating,,,13.7,42.576556,2 HCPCS,V2762,"Polarization, any lens",,,37.54,116.666076,2 HCPCS,V2770,Occluder lens/es,,,7.68,51.879276,2 HCPCS,V2780,Oversize lens/es,,,33.30706,33.30706,1 HCPCS,V2782,"Lens, 1.54-1.65 p/1.60-1.79g",,,126.018632,126.018632,1 HCPCS,V2783,"Lens, >= 1.66 p/>=1.80 g",,,142.0326,142.0326,1 HCPCS,V2784,Lens polycarb or equal,,,4.0,92.379332,2 HCPCS,V5008,Hearing screening,,,18.07,18.07,1 HCPCS,V5010,Assessment for hearing aid,,,52.7,52.7,1 HCPCS,V5011,Hearing aid fitting/checking,,,32.42,32.42,1 HCPCS,V5014,Hearing aid repair/modifying,,,25.0,25.0,1 HCPCS,V5264,Ear mold/insert,,,27.52,27.52,1 MS-DRG,0-L,Kidney Transplant - Living,,,39000.0,217599.0,4 MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,2500.0,698545.309803,42 MS-DRG,001,Heart Transplant,,,70000.0,489259.0,15 MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,2500.0,282465.172286,42 MS-DRG,002,Heart Transplant,,,70000.0,489259.0,15 MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,6263.68,529075.678604,25 MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,2175.0,345270.661978,21 MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,2175.0,257007.462085,22 MS-DRG,005,Liver Transplant,,,165000.0,539641.0,7 MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,2175.0,115585.43249,22 MS-DRG,006,Liver Transplant,,,165000.0,539641.0,7 MS-DRG,007,Lung Transplant - Single,,,90000.0,450211.0,4 MS-DRG,007,Lung transplant,,,2175.0,322806.656854,28 MS-DRG,008,Kidney and Pancreas Transplant,,,85000.0,143750.0,2 MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,61932.93,92899.41,14 MS-DRG,008,Simultaneous Kidney/Pancreas Transplant,,,80000.0,351721.0,10 MS-DRG,008,Simultaneous pancreas/kidney transplant,,,2175.0,139704.575142,8 MS-DRG,010,PANCREAS TRANSPLANT,,,2175.0,230025.0,27 MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,61421.25,92131.88,13 MS-DRG,011,"Tracheostomy for face,mouth & neck diagnoses w MCC",,,2175.0,135953.096257,8 MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,46793.01,70189.52,13 MS-DRG,012,"Tracheostomy for face,mouth & neck diagnoses w CC",,,2175.0,105091.26232,8 MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,30336.52,45504.79,13 MS-DRG,013,"Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC",,,2175.0,71833.965786,8 MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,2175.0,345051.0,26 MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,2175.0,147808.268069,22 MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,2175.0,135409.692671,22 MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,427262.01,661298.8,13 MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY,,,2175.0,1076407.723556,8 MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,2175.0,177842.533242,22 MS-DRG,019,Simultaneous Kidney/Pancreas Transplant,,,80000.0,351721.0,10 MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,2175.0,196143.767776,36 MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,2175.0,131957.335026,36 MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,2175.0,130239.0,36 MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,2175.0,142837.870131,29 MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,2175.0,130239.0,36 MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,2175.0,130239.0,36 MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,2175.0,130239.0,36 MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,2175.0,130239.0,36 MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,2175.0,149767.512191,21 MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,2175.0,85040.168532,21 MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,2175.0,54719.245504,21 MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,2175.0,130239.0,36 MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,2175.0,130239.0,36 MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,2175.0,130239.0,36 MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,2175.0,96484.048639,21 MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,2175.0,59587.443685,21 MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,2175.0,48427.728756,21 MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,2175.0,130239.0,36 MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,2175.0,130239.0,36 MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,2175.0,130239.0,36 MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,2175.0,130239.0,25 MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,2175.0,130239.0,25 MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,2175.0,130239.0,25 MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,2175.0,45149.858501,21 MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,2175.0,24408.293184,21 MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,2175.0,38060.685113,21 MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,2175.0,25415.334692,21 MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,2175.0,57907.379387,21 MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,2175.0,32295.123212,21 MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,2175.0,42612.313315,21 MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,2175.0,30931.628893,21 MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,2175.0,22927.643046,21 MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,2175.0,68725.597567,21 MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,2175.0,43801.320244,21 MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,2175.0,34992.199726,21 MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,2175.0,50127.73447,21 MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,2175.0,25183.515731,21 MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,2175.0,17059.881388,21 MS-DRG,067,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,16807.49,25211.24,6 MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,2175.0,36609.947099,15 MS-DRG,068,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,10316.36,15474.55,6 MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,2175.0,21546.699988,15 MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,2175.0,19911.503876,21 MS-DRG,070,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,,,20021.36,30032.04,6 MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,2175.0,41498.086696,15 MS-DRG,071,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,,,12268.0,18402.01,6 MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,2175.0,25574.86602,15 MS-DRG,072,NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,8829.99,13245.0,6 MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,2175.0,18849.623474,15 MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,2175.0,39990.017111,21 MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,2175.0,25694.514516,21 MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,2175.0,47797.081475,21 MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,2175.0,20569.570604,21 MS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC,,,17842.18,17842.18,1 MS-DRG,078,HYPERTENSIVE ENCEPHALOPATHY WITH CC,,,11634.06,11634.06,1 MS-DRG,079,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,,,7884.74,7884.74,1 MS-DRG,07D,Lung Transplant - Double,,,115000.0,534618.0,3 MS-DRG,07S,Lung Transplant - Single,,,90000.0,450211.0,4 MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,2175.0,45117.4537,21 MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,2175.0,22324.415212,21 MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,2175.0,56972.625512,21 MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,2175.0,34792.785566,21 MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,2175.0,23825.006766,21 MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,2175.0,56631.128763,21 MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,2175.0,32472.103279,21 MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,2175.0,22800.516519,21 MS-DRG,088,CONCUSSION WITH MCC,,,2175.0,33696.007686,21 MS-DRG,089,CONCUSSION WITH CC,,,2175.0,27384.549522,21 MS-DRG,090,CONCUSSION WITHOUT CC/MCC,,,2175.0,20519.717064,21 MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,2175.0,43776.393474,21 MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,2175.0,25500.08571,21 MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,2175.0,19849.186951,21 MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,2175.0,87727.274338,21 MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,2175.0,64291.125184,21 MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,2175.0,64291.125184,21 MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,2175.0,90030.507886,21 MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,2175.0,57204.444473,21 MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,2175.0,33960.231448,21 MS-DRG,1-L,Kidney Transplant - Living,,,39000.0,217599.0,4 MS-DRG,100,SEIZURES WITH MCC,,,2175.0,48278.168136,20 MS-DRG,101,SEIZURES WITHOUT MCC,,,2175.0,22498.902602,20 MS-DRG,102,HEADACHES WITH MCC,,,2175.0,27940.416493,20 MS-DRG,103,HEADACHES WITHOUT MCC,,,2175.0,20846.257751,20 MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,2175.0,58605.328947,20 MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,2175.0,33725.91981,20 MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,2175.0,38260.099273,20 MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,2175.0,45070.092837,20 MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,2175.0,27043.052773,20 MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,2175.0,28997.311541,20 MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,2175.0,19587.455866,20 MS-DRG,123,Neurological eye disorders,,,2175.0,19906.518522,20 MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,2175.0,32980.609387,20 MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,2175.0,19138.774006,20 MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,2175.0,54091.0909,20 MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,2175.0,25308.149581,20 MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,2175.0,37220.652964,20 MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,2175.0,22090.103574,20 MS-DRG,139,Salivary gland procedures,,,2175.0,30802.009689,20 MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,2175.0,106320.152081,20 MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,2175.0,54367.778047,20 MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,2175.0,39793.095628,20 MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,2175.0,100271.0,21 MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,2175.0,100271.0,21 MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,2175.0,100271.0,21 MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,2175.0,52779.942798,20 MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,2175.0,31694.388055,20 MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,2175.0,19869.128367,20 MS-DRG,149,Dysequilibrium,,,2175.0,18734.960332,20 MS-DRG,150,EPISTAXIS WITH MCC,,,2175.0,33189.994255,20 MS-DRG,151,EPISTAXIS WITHOUT MCC,,,2175.0,18296.24918,20 MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,2175.0,29468.427494,20 MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,2175.0,18400.941614,20 MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,2175.0,38973.004895,20 MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,2175.0,22845.384705,20 MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,2175.0,17226.890747,20 MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,2175.0,42794.278736,20 MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,2175.0,22678.375346,20 MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,2175.0,17660.616545,20 MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,2175.0,154581.0,37 MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,2175.0,154581.0,37 MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,2175.0,154581.0,37 MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,2175.0,93168.788229,20 MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,2175.0,44952.937018,20 MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,34059.938528,20 MS-DRG,173,Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism,,,2175.0,74192.038228,19 MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,2175.0,34239.411272,20 MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,2175.0,20066.04985,20 MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,2175.0,38953.063479,20 MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,2175.0,24328.52752,20 MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,2175.0,18819.71135,20 MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,2175.0,44020.67582,20 MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,2175.0,26696.57067,20 MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,2175.0,18789.799226,20 MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,2175.0,38135.465423,20 MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,2175.0,26524.575957,20 MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,2175.0,19604.904605,20 MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,2175.0,38848.371045,20 MS-DRG,187,PLEURAL EFFUSION WITH CC,,,2175.0,24655.068207,20 MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,2175.0,17877.479444,20 MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,2175.0,30794.531658,20 MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,2175.0,27611.383129,20 MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,2175.0,21013.26711,20 MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,2175.0,16002.98634,20 MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,2175.0,32763.746488,20 MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,2175.0,20088.483943,20 MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,2175.0,15666.474945,20 MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,2175.0,47041.800344,20 MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,2175.0,23657.997407,20 MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,2175.0,17852.552674,20 MS-DRG,199,PNEUMOTHORAX WITH MCC,,,2175.0,43973.314957,20 MS-DRG,1HT,Heart Transplant,,,70000.0,489259.0,15 MS-DRG,2-L,Kidney Transplant - Living,,,39000.0,217599.0,4 MS-DRG,200,PNEUMOTHORAX WITH CC,,,2175.0,27401.998261,20 MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,2175.0,17825.133227,20 MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,2175.0,24208.879024,20 MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,2175.0,16700.9359,20 MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,2175.0,20125.874098,20 MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,2175.0,45640.91587,20 MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,2175.0,23458.583247,20 MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,2175.0,160396.286919,20 MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,2175.0,68516.212699,20 MS-DRG,212,Concomitant Aortic and Mitral Valve Procedures,,,2175.0,271056.189657,20 MS-DRG,215,Other heart assist system implant,,,2175.0,248195.84889,39 MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,2500.0,243853.605556,43 MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,2500.0,163900.990781,43 MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,2500.0,163900.990781,43 MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,2500.0,191395.218091,43 MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,2500.0,154581.0,42 MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,2500.0,154581.0,43 MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,2500.0,154581.0,40 MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,2500.0,154581.0,40 MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,2175.0,210130.178423,41 MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,2175.0,154581.0,41 MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,88026.57,133233.49,12 MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC,,,2175.0,190570.142004,31 MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,60564.3,90846.45,12 MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC,,,2175.0,154581.0,31 MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,2175.0,154581.0,43 MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,2175.0,154581.0,43 MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,2175.0,122682.083909,20 MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,2175.0,71053.757885,20 MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,2175.0,34508.620388,20 MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,2175.0,82089.0,41 MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,2175.0,82089.0,41 MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,2175.0,82089.0,41 MS-DRG,245,AICD generator procedures,,,2175.0,131258.0,41 MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,6263.68,56718.0,31 MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,6263.68,56718.0,31 MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,2175.0,131258.0,35 MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,2175.0,131258.0,35 MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,2175.0,131258.0,35 MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,2175.0,67237.469398,20 MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,2175.0,42323.162783,20 MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,2175.0,27225.018194,20 MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,2175.0,82089.0,41 MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,2175.0,82089.0,41 MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,2175.0,82089.0,41 MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,2175.0,82089.0,41 MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,2175.0,82089.0,40 MS-DRG,263,VEIN LIGATION AND STRIPPING,,,2175.0,76211.106598,20 MS-DRG,264,Other circulatory system O.R. procedures,,,2175.0,131258.0,35 MS-DRG,265,AICD lead procedures,,,2175.0,92778.0,26 MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,68155.77,102233.66,12 MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC,,,2175.0,152761.217268,25 MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,53596.58,80394.88,12 MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC,,,2175.0,118671.366616,17 MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,2175.0,171443.831383,31 MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,2175.0,131258.0,31 MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,6263.68,131521.116551,31 MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,6263.68,131258.0,31 MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,6263.68,131258.0,31 MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,44603.64,66905.47,12 MS-DRG,273,PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC,,,2175.0,102835.389635,19 MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,35668.44,53502.66,12 MS-DRG,274,PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC,,,2175.0,82051.448809,19 MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,2175.0,177737.840808,24 MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,2175.0,149725.136682,22 MS-DRG,277,Cardiac Defibrillator Implant without MCC,,,2175.0,115124.287245,22 MS-DRG,278,Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC,,,2175.0,138747.387174,20 MS-DRG,279,Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC,,,2175.0,89895.903328,20 MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,2175.0,39985.031757,20 MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,2175.0,22910.194307,20 MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,2175.0,18024.547387,20 MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,2175.0,49374.946016,20 MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,2175.0,17254.310194,20 MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,2175.0,14928.642553,20 MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,2175.0,55157.956656,34 MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,2175.0,44972.0,34 MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,2175.0,67456.824974,20 MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,2175.0,42547.503713,20 MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,2175.0,23174.418069,20 MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,2175.0,32000.987326,20 MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,2175.0,21162.82773,20 MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,2175.0,14108.55182,20 MS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,,,14238.89,14238.89,1 MS-DRG,295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC,,,9278.28,9278.28,1 MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,2175.0,38933.122063,20 MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,2175.0,15803.57218,20 MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,2175.0,11344.173027,20 MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,2175.0,40697.937379,20 MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,2175.0,26609.326975,20 MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,2175.0,17939.796369,20 MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,2175.0,29827.372982,20 MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,2175.0,16780.701564,20 MS-DRG,304,HYPERTENSION WITH MCC,,,2175.0,29662.8563,20 MS-DRG,305,HYPERTENSION WITHOUT MCC,,,2175.0,18822.204027,20 MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,2175.0,39279.604166,20 MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,2175.0,22763.126364,20 MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,2175.0,30011.83108,20 MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,2175.0,18338.624689,20 MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,2175.0,14111.044497,20 MS-DRG,311,ANGINA PECTORIS,,,2175.0,17496.099863,20 MS-DRG,312,SYNCOPE AND COLLAPSE,,,2175.0,21726.172732,20 MS-DRG,313,Chest pain,,,2175.0,17947.2744,20 MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,2175.0,51977.300804,20 MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,2175.0,24011.957541,20 MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,2175.0,17002.549817,20 MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,70370.04,166672.847605,18 MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,2175.0,111245.681833,25 MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,2175.0,92778.0,25 MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,31594.74,48846.57,12 MS-DRG,321,Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices,,,12497.0,67820.755816,15 MS-DRG,322,Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC,,,12497.0,43945.89551,27 MS-DRG,323,Coronary Intravascular Lithotripsy with Intraluminal Device with MCC,,,2175.0,107868.104498,22 MS-DRG,324,Coronary Intravascular Lithotripsy with Intraluminal Device without MCC,,,2175.0,78544.25227,22 MS-DRG,325,Coronary Intravascular Lithotripsy without Intraluminal Device ,,,2175.0,80024.902408,22 MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,2175.0,124319.772698,20 MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,2175.0,60926.011234,20 MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,2175.0,39940.163571,20 MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,2175.0,114575.898305,20 MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,2175.0,59754.453044,20 MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,2175.0,41949.261233,20 MS-DRG,332,RECTAL RESECTION WITH MCC,,,2175.0,90252.356139,20 MS-DRG,333,RECTAL RESECTION WITH CC,,,2175.0,58383.480694,20 MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,2175.0,40827.556583,20 MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,2175.0,89011.002993,20 MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,2175.0,52563.079899,20 MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,2175.0,38262.59195,20 MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,2175.0,64380.861556,20 MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,2175.0,37507.310819,20 MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,2175.0,29568.134574,20 MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,2175.0,57221.893212,20 MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,2175.0,32624.156576,20 MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,2175.0,21701.245962,20 MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,2175.0,62115.018163,20 MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,2175.0,38000.860865,20 MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,2175.0,29109.482006,20 MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,2175.0,72337.48654,20 MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,2175.0,41936.797848,20 MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,2175.0,33526.50565,20 MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,2175.0,109498.315256,20 MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,2175.0,57967.203635,20 MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,34845.131783,20 MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,2175.0,39680.925163,20 MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,2175.0,24931.755354,20 MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,2175.0,17468.680416,20 MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,2175.0,44197.655887,20 MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,2175.0,25450.23217,20 MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,2175.0,18131.732498,20 MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,2175.0,53310.882999,20 MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,2175.0,30151.420992,20 MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,2175.0,23039.813511,20 MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,2175.0,45566.13556,20 MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,2175.0,24445.683339,20 MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,2175.0,15713.835808,20 MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,2175.0,48911.308094,20 MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,2175.0,27008.155295,20 MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,2175.0,19956.372062,20 MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,2175.0,34416.391339,20 MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,2175.0,21307.402996,20 MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,2175.0,39441.628171,20 MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,2175.0,24336.005551,20 MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,2175.0,16982.608401,20 MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,2175.0,36811.853936,20 MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,2175.0,19687.162946,20 MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,2175.0,13560.16288,20 MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,2175.0,31614.622391,20 MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,2175.0,19432.909892,20 MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,2175.0,39865.383261,20 MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,2175.0,23323.978689,20 MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,2175.0,16177.47373,20 MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,2175.0,59697.121473,19 MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,17467.47,26201.21,12 MS-DRG,398,Appendix Procedures without MCC/CC,,,2175.0,37729.159072,7 MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,2175.0,28533.673619,19 MS-DRG,4-M,ALLOGENEIC BONE MARROW TRANSPLANT,,,2175.0,345051.0,26 MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,42345.67502,100218.078785,18 MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,2175.0,136361.895285,20 MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,2175.0,72292.618354,20 MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,2175.0,55327.458692,20 MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,2175.0,88878.891112,20 MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,2175.0,54273.056321,20 MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,2175.0,39576.232729,20 MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,2175.0,82340.599341,20 MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,2175.0,52408.533925,20 MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,2175.0,41390.901585,20 MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,2175.0,88804.110802,20 MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,2175.0,51516.155559,20 MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,2175.0,33982.665541,20 MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,2175.0,59485.243928,20 MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,2175.0,42166.124132,20 MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,2175.0,34044.982466,20 MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,2175.0,84927.998067,20 MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,2175.0,43310.262875,20 MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,2175.0,34885.014615,20 MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,2175.0,103520.87581,20 MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,2175.0,54537.280083,20 MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,37397.633031,20 MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,116080.127728,274722.917524,18 MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,76029.471384,179936.381922,18 MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,59213.37768,140138.30094,18 MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,94756.48,224580.226992,18 MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,60741.634724,143755.175267,18 MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,2175.0,49060.868714,20 MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,2175.0,26327.654474,20 MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,2175.0,17760.323625,20 MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,2175.0,45782.998459,20 MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,2175.0,28194.669547,20 MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,2175.0,21270.012841,20 MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,2175.0,40635.620454,20 MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,2175.0,20968.398924,20 MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,2175.0,15489.494878,20 MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,2175.0,44736.074119,20 MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,2175.0,24061.811081,20 MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,2175.0,17441.260969,20 MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,2175.0,41650.139993,20 MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,2175.0,27279.857088,20 MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,2175.0,20621.916821,20 MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,70373.551104,166550.706432,18 MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,44665.971552,105709.446216,18 MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,56133.692224,132849.713392,18 MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,34023.994176,80523.437808,18 MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,2175.0,209469.619018,20 MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,2175.0,148640.822187,20 MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,2175.0,104009.440502,20 MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,63706.93,104711.13,12 MS-DRG,461,Bilateral or multiple major joint procs of lower extremity w MCC,,,2175.0,137670.55071,8 MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,30898.0,49135.24,12 MS-DRG,462,Bilateral or multiple major joint procs of lower extremity w/o MCC,,,2175.0,66305.2082,8 MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,2175.0,142070.125615,20 MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,2175.0,77639.410519,20 MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,2175.0,45458.950449,20 MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,2175.0,129753.808558,20 MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,2175.0,87906.747082,20 MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,2175.0,68498.76396,20 MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,35174.73,56010.7,12 MS-DRG,469,Major joint replacement or reattachment of lower extremity w MCC,,,2175.0,75607.878764,8 MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,21682.06,32523.1,12 MS-DRG,470,Major joint replacement or reattachment of lower extremity w/o MCC,,,2175.0,48081.246653,8 MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,2175.0,120363.894299,20 MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,2175.0,73436.757097,20 MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,2175.0,60853.723601,20 MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,2175.0,107008.130933,20 MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,2175.0,56725.850489,20 MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,2175.0,29418.573954,20 MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,2175.0,86112.019642,20 MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,2175.0,61299.912784,20 MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,2175.0,46336.372753,20 MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,2175.0,72594.232271,20 MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,2175.0,52209.119765,20 MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,2175.0,40655.56187,20 MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,29184.1,43776.16,12 MS-DRG,483,MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,,,2175.0,69094.513763,8 MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,2175.0,80441.179467,20 MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,2175.0,52124.368747,20 MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,2175.0,39040.307174,20 MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,2175.0,44092.963453,20 MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,2175.0,27838.216736,20 MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,2175.0,91521.128732,20 MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,2175.0,63216.781397,20 MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,2175.0,50015.564005,20 MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,2175.0,90376.989989,20 MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,2175.0,44965.400403,20 MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,2175.0,30119.016191,20 MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,2175.0,75199.079736,20 MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,2175.0,50222.456196,20 MS-DRG,4KT,KIDNEY TRANSPLANT,,,2175.0,110000.0,28 MS-DRG,4LT,Liver Transplant,,,165000.0,539641.0,7 MS-DRG,4LT,Lung transplant,,,2175.0,322806.656854,28 MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,2175.0,78888.241696,20 MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,2175.0,43574.486637,20 MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,2175.0,33548.939743,20 MS-DRG,503,FOOT PROCEDURES WITH MCC,,,2175.0,69573.107747,20 MS-DRG,504,FOOT PROCEDURES WITH CC,,,2175.0,46593.118484,20 MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,2175.0,44688.713256,20 MS-DRG,506,Major thumb or joint procedures,,,2175.0,33631.198084,20 MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,2175.0,45027.717328,20 MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,2175.0,37749.100488,20 MS-DRG,509,ARTHROSCOPY,,,20223.99,20223.99,1 MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,32692.3,49038.46,12 MS-DRG,510,"Shoulder,elbow or forearm proc,exc major joint proc w MCC",,,2175.0,75291.308785,8 MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,22539.02,33808.53,12 MS-DRG,511,"Shoulder,elbow or forearm proc,exc major joint proc w CC",,,2175.0,51832.725538,8 MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,18538.38,27807.58,12 MS-DRG,512,"Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC",,,2175.0,41263.775058,8 MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,2175.0,39242.214011,20 MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,2175.0,25482.636971,20 MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,2175.0,79439.123313,20 MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,2175.0,51800.320737,20 MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,38304.967459,20 MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,2175.0,93158.817521,20 MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,2175.0,49858.525354,20 MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,2175.0,37238.101703,20 MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,2175.0,71544.815254,20 MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,2175.0,52787.420829,20 MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,2175.0,39077.697329,20 MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,2175.0,20093.469297,20 MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,2175.0,31956.11914,20 MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,2175.0,20130.859452,20 MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,2175.0,23787.616611,20 MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,2175.0,17954.752431,20 MS-DRG,539,OSTEOMYELITIS WITH MCC,,,2175.0,49098.258869,20 MS-DRG,540,OSTEOMYELITIS WITH CC,,,2175.0,32312.571951,20 MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,2175.0,19627.338698,20 MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,2175.0,44033.139205,20 MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,2175.0,25624.71956,20 MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,2175.0,18809.740642,20 MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,2175.0,61860.765109,20 MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,2175.0,28750.536518,20 MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,2175.0,20843.765074,20 MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,2175.0,48131.100193,20 MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,2175.0,30091.596744,20 MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,2175.0,21788.489657,20 MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,2175.0,41779.759197,20 MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,2175.0,23962.104001,20 MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,2175.0,32312.571951,20 MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,2175.0,20691.711777,20 MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,2175.0,32948.204586,20 MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,2175.0,20704.175162,20 MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,2175.0,37063.614313,20 MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,2175.0,22264.590964,20 MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,2175.0,46485.933373,20 MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,2175.0,28070.035697,20 MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,2175.0,20038.630403,20 MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,16743.06,25357.28,12 MS-DRG,562,"Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC",,,2175.0,35515.661896,8 MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,10455.6,15683.41,12 MS-DRG,563,"Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC",,,2175.0,22321.922535,8 MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,2175.0,38476.962172,20 MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,2175.0,24288.644688,20 MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,2175.0,18677.628761,20 MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,2175.0,73312.123247,20 MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,2175.0,42113.777915,20 MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,2175.0,28573.556451,20 MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,2175.0,163305.240978,20 MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,2175.0,86530.789378,20 MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,2175.0,44793.40569,20 MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,2175.0,122171.085124,20 MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,2175.0,66073.389239,20 MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,2175.0,40042.363328,20 MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,2175.0,80725.344645,20 MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,2175.0,43073.45856,20 MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,2175.0,35971.821787,20 MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,2175.0,48023.915082,20 MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,2175.0,42983.722188,20 MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,2175.0,53360.736539,20 MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,2175.0,48086.232007,20 MS-DRG,592,SKIN ULCERS WITH MCC,,,2175.0,48240.777981,20 MS-DRG,593,SKIN ULCERS WITH CC,,,2175.0,29570.627251,20 MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,2175.0,21606.524236,20 MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,2175.0,52862.201139,20 MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,2175.0,26983.228525,20 MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,2175.0,41555.418267,20 MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,2175.0,28199.654901,20 MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,2175.0,19178.656838,20 MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,2175.0,25963.723632,20 MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,2175.0,15080.69585,20 MS-DRG,602,CELLULITIS WITH MCC,,,2175.0,35428.418201,20 MS-DRG,603,CELLULITIS WITHOUT MCC,,,2175.0,21708.723993,20 MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,2175.0,36694.698117,20 MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,2175.0,22832.92132,20 MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,2175.0,37719.188364,20 MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,2175.0,22593.624328,20 MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,2175.0,54634.494486,20 MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,2175.0,34880.029261,20 MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,2175.0,86929.617698,20 MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,2175.0,46620.537931,20 MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,2175.0,35353.637891,20 MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,6263.68,71973.555698,33 MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,6263.68,50058.0,33 MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,6263.68,50058.0,33 MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,2175.0,88719.359784,20 MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,2175.0,44716.132703,20 MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,2175.0,31205.823363,20 MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,2175.0,75281.338077,20 MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,2175.0,37375.198938,20 MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,2175.0,33110.228591,20 MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,2175.0,92897.086436,20 MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,2175.0,54310.446476,20 MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,2175.0,36380.620815,20 MS-DRG,637,DIABETES WITH MCC,,,2175.0,35812.290459,20 MS-DRG,638,DIABETES WITH CC,,,2175.0,22339.371274,20 MS-DRG,639,DIABETES WITHOUT CC/MCC,,,2175.0,15484.509524,20 MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,15370.93,23056.4,12 MS-DRG,640,Nutritional & misc metabolic disorders w MCC,,,2175.0,33292.194012,8 MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,9183.19,13774.79,12 MS-DRG,641,Nutritional & misc metabolic disorders w/o MCC,,,2175.0,19398.012414,8 MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,14387.19,21777.95,12 MS-DRG,642,Inborn errors of metabolism,,,2175.0,35448.359617,8 MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,2175.0,41031.956097,20 MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,2175.0,25549.93925,20 MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,2175.0,19151.237391,20 MS-DRG,650,KIDNEY TRANSPLANT,,,2175.0,110000.0,28 MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,2175.0,117190.716478,21 MS-DRG,651,KIDNEY TRANSPLANT,,,2175.0,110000.0,28 MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,2175.0,92373.624266,21 MS-DRG,652,KIDNEY TRANSPLANT,,,2175.0,110000.0,28 MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,2175.0,129529.467628,20 MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,2175.0,69777.507261,20 MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,2175.0,52760.001382,20 MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,2175.0,79361.850326,20 MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,2175.0,45615.9891,20 MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,2175.0,38681.361686,20 MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,2175.0,63336.429893,20 MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,2175.0,32945.711909,20 MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,2175.0,25809.177658,20 MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,2175.0,76313.306355,20 MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,2175.0,37893.675754,20 MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,2175.0,26095.835513,20 MS-DRG,665,PROSTATECTOMY WITH MCC,,,2175.0,77801.434524,20 MS-DRG,666,PROSTATECTOMY WITH CC,,,2175.0,43604.398761,20 MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,2175.0,27573.992974,20 MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,2175.0,72786.1684,20 MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,2175.0,38686.34704,20 MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,2175.0,24360.932321,20 MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,2175.0,44743.55215,20 MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,2175.0,26908.448215,20 MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,2175.0,104732.316832,20 MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,2175.0,58293.744322,20 MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,2175.0,40914.800278,20 MS-DRG,682,RENAL FAILURE WITH MCC,,,6263.68,36916.54637,19 MS-DRG,683,RENAL FAILURE WITH CC,,,6263.68,21830.865166,19 MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,6263.68,14963.540031,19 MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,6263.68,44960.415049,19 MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,6263.68,26118.269606,19 MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,6263.68,19699.626331,19 MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,6263.68,28922.531231,19 MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,2175.0,20178.220315,20 MS-DRG,693,URINARY STONES WITH MCC,,,2175.0,33514.042265,21 MS-DRG,694,URINARY STONES WITHOUT MCC,,,2175.0,19485.256109,21 MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,2175.0,28511.239526,20 MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,2175.0,17174.54453,20 MS-DRG,697,URETHRAL STRICTURE,,,2175.0,26866.072706,20 MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,2175.0,41238.848288,20 MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,2175.0,25300.67155,20 MS-DRG,7-D,Lung (Double),,,197600.0,908558.0,4 MS-DRG,7-D,Lung Transplant - Double,,,115000.0,534618.0,3 MS-DRG,7-S,Lung (Single),,,161000.0,619177.0,4 MS-DRG,7-S,Lung Transplant - Single,,,90000.0,450211.0,4 MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,2175.0,17196.978623,20 MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,2175.0,49861.018031,20 MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,2175.0,38242.650534,20 MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,2175.0,58007.086467,20 MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,2175.0,34927.390124,20 MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,2175.0,51942.403326,20 MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,2175.0,27411.968969,20 MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,2175.0,37474.906018,20 MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,2175.0,26357.566598,20 MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,2175.0,55768.662521,20 MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,2175.0,36667.27867,20 MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,2175.0,47124.058685,20 MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,2175.0,33479.144787,20 MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,2175.0,45109.975669,20 MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,2175.0,28483.820079,20 MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,2175.0,16344.483089,20 MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,2175.0,29169.306254,20 MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,2175.0,17997.12794,20 MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,2175.0,36963.907233,20 MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,2175.0,20220.595824,20 MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,2175.0,26389.971399,20 MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,2175.0,16750.78944,20 MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,2175.0,53094.0201,20 MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,2175.0,33538.969035,20 MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,2175.0,89100.739365,20 MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,2175.0,51364.102262,20 MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,2175.0,36604.961745,20 MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,41472.95,68104.3,12 MS-DRG,739,"Uterine,adnexa proc for non-ovarian/adnexal malig w MCC",,,2175.0,89307.631556,8 MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,20921.33,31382.0,12 MS-DRG,740,"Uterine,adnexa proc for non-ovarian/adnexal malig w CC",,,2175.0,45107.482992,8 MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,15887.14,23830.72,12 MS-DRG,741,"Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC",,,2175.0,35548.066697,8 MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,2175.0,45735.637596,20 MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,2175.0,30926.643539,20 MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,2175.0,51077.444407,20 MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,2175.0,28354.200875,20 MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,2175.0,43300.292167,20 MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,2175.0,21429.544169,20 MS-DRG,748,Female reproductive system reconstructive procedures,,,2175.0,34580.908021,20 MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,2175.0,64001.974652,20 MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,36786.927166,20 MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,2175.0,45907.632309,20 MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,2175.0,27115.340406,20 MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,2175.0,23942.162585,20 MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,2175.0,35692.641963,20 MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,2175.0,24403.30783,20 MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,2175.0,16541.404572,20 MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,2175.0,25113.720775,20 MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,2175.0,14220.722285,20 MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,900.0,26711.526732,37 MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,2175.0,42121.255946,20 MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,2175.0,24994.072279,20 MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,2175.0,16319.556319,20 MS-DRG,779,ABORTION WITHOUT D&C,,,2175.0,20970.891601,20 MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,1000.0,61197.713027,31 MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,1000.0,27194.0,31 MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,1000.0,27194.0,31 MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,1000.0,41116.707115,31 MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,1000.0,27838.216736,31 MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,1000.0,27194.0,31 MS-DRG,789,"Neonates, died or transferred to another acute care facility",,,2175.0,44923.024894,20 MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,2175.0,148152.257495,20 MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,2175.0,101177.75943,20 MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,2175.0,61050.645084,20 MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,2175.0,103934.660192,20 MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,2175.0,36789.419843,20 MS-DRG,795,NORMAL NEWBORN,,,2104.381512,6263.68,21 MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,900.0,29089.54059,31 MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,900.0,24936.740708,31 MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,900.0,23857.411567,31 MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,2175.0,112890.848653,20 MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,2175.0,70029.267638,20 MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,2175.0,47582.711253,20 MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,2175.0,99310.744357,20 MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,2175.0,46336.372753,20 MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,2175.0,33800.70012,20 MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,900.0,26900.970184,30 MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,900.0,18794.78458,30 MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,900.0,18531.0,30 MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,2175.0,55035.815483,20 MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,2175.0,31554.798143,20 MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,2175.0,26088.357482,20 MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,2175.0,35004.663111,20 MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,2175.0,22887.760214,20 MS-DRG,813,Coagulation disorders,,,2175.0,38020.802281,20 MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,2175.0,53011.761759,20 MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,2175.0,25275.74478,20 MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,2175.0,15753.71864,20 MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,2175.0,56872.918432,20 MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,2175.0,28895.111784,20 MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,21434.529523,20 MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,2175.0,146190.520696,20 MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,2175.0,55801.067322,20 MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,30011.83108,20 MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,2175.0,114284.255096,20 MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,2175.0,56474.090112,20 MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,2175.0,33636.183438,20 MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,2175.0,116602.444706,20 MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,2175.0,57610.750824,20 MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,42470.230726,20 MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,2175.0,78768.5932,20 MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,2175.0,37514.78885,20 MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,2175.0,29974.440925,20 MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,2175.0,17987.157232,20 MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,13034.208033,20 MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,62908.75,94363.14,12 MS-DRG,834,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC,,,2175.0,136845.474623,8 MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,24317.88,36775.05,12 MS-DRG,835,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC,,,2175.0,51992.256866,8 MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,14390.39,22083.41,12 MS-DRG,836,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,30398.196015,8 MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,2175.0,119755.681111,20 MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,2175.0,52032.139698,20 MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,2175.0,35991.763203,20 MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,2175.0,80635.608273,20 MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,2175.0,40665.532578,20 MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,2175.0,25186.008408,20 MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,2175.0,49723.920796,20 MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,2175.0,30345.849798,20 MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,2175.0,21227.637332,20 MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,2175.0,64622.651225,20 MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,2175.0,32609.200514,20 MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,2175.0,21172.798438,20 MS-DRG,849,RADIOTHERAPY,,,2175.0,67539.083315,20 MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,91205.66418,215853.364815,18 MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,2175.0,123103.346322,20 MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,2175.0,49806.179137,20 MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,37320.360044,20 MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,2175.0,113384.398699,20 MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,2175.0,53380.677955,20 MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,2175.0,34720.497933,20 MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,2175.0,45458.950449,20 MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,2175.0,24874.423783,20 MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,2175.0,22127.493729,20 MS-DRG,865,VIRAL ILLNESS WITH MCC,,,2175.0,37347.779491,20 MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,2175.0,21676.319192,20 MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,2175.0,52176.714964,20 MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,2175.0,25701.992547,20 MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,2175.0,18189.064069,20 MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,2175.0,172288.848886,20 MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,2175.0,48420.250725,20 MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,2175.0,25507.563741,20 MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,2175.0,96339.473373,20 MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,2175.0,23934.684554,20 MS-DRG,881,Depressive neuroses,,,2175.0,23453.597893,20 MS-DRG,882,Neuroses except depressive,,,2175.0,26766.365626,20 MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,2175.0,49013.507851,20 MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,2175.0,40104.680253,20 MS-DRG,885,PSYCHOSES,,,2175.0,34817.712336,20 MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,2175.0,51730.525781,20 MS-DRG,887,Other mental disorder diagnoses,,,2175.0,26694.077993,20 MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,7402.49,11103.74,12 MS-DRG,894,"Alcohol/drug abuse or dependence, left AMA",,,2175.0,15377.324413,8 MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,16637.63,25092.38,12 MS-DRG,895,Alcohol/drug abuse or dependence w rehabilitation therapy,,,2175.0,35286.335612,8 MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,20413.58,30745.23,12 MS-DRG,896,Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC,,,2175.0,43499.706327,8 MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,10324.29,15486.44,12 MS-DRG,897,Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC,,,2175.0,22005.352556,8 MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,2175.0,104607.682982,20 MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,2175.0,47722.301165,20 MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,2175.0,29154.350192,20 MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,2175.0,91558.518887,20 MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,2175.0,36976.370618,20 MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,2175.0,48963.654311,20 MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,2175.0,130239.0,35 MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,2175.0,130239.0,35 MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,2175.0,130239.0,35 MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,2175.0,40745.298242,20 MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,2175.0,22072.654835,20 MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,2175.0,41916.856432,20 MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,2175.0,16608.706851,20 MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,2175.0,39095.146068,20 MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,2175.0,21364.734567,20 MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,2175.0,45635.930516,20 MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,2175.0,24984.101571,20 MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,2175.0,17159.588468,20 MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,2175.0,43606.891438,20 MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,2175.0,25367.973829,20 MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,2175.0,532199.002885,21 MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,2175.0,178792.243179,20 MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,2175.0,80284.140816,20 MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,2175.0,97069.827734,20 MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,2175.0,55103.117762,20 MS-DRG,935,Non-extensive burns,,,2175.0,51349.1462,20 MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,2175.0,90446.784945,20 MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,2175.0,58251.368813,20 MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,2175.0,50544.011529,20 MS-DRG,945,REHABILITATION WITH CC/MCC,,,2175.0,38601.596022,20 MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,2175.0,28586.019836,20 MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,2175.0,31642.041838,20 MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,2175.0,19953.879385,20 MS-DRG,949,AFTERCARE WITH CC/MCC,,,2175.0,29655.378269,20 MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,2175.0,15646.533529,20 MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,2175.0,13859.28412,20 MS-DRG,955,Craniotomy for multiple significant trauma,,,2175.0,167784.581547,25 MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,2175.0,93799.43551,20 MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,2175.0,189939.494723,20 MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,2175.0,105038.916103,20 MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,2175.0,73386.903557,20 MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,2175.0,68144.803826,20 MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,2175.0,38202.767702,20 MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,2175.0,23443.627185,20 MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,2175.0,152584.237201,20 MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,2175.0,65741.863198,20 MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,2175.0,71938.65822,20 MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,2175.0,32280.16715,20 MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,2175.0,22501.395279,20 MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,2175.0,32347.469429,20 MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,2175.0,116951.419486,20 MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,2175.0,61282.464045,20 MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,2175.0,42724.48378,20 MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,2175.0,85458.938268,20 MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,2175.0,40969.639172,20 MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,2175.0,29892.182584,20 MS-DRG,KPT,Kidney and Pancreas Transplant,,,85000.0,143750.0,2 MS-DRG,LOR,Allogeneic (Related Donor),,,163500.0,163500.0,1 MS-DRG,LOU,Allogeneic (Unrelated Donor),,,163500.0,163500.0,1 MS-DRG,UTO,Autologous,,,71155.0,129500.0,3 NDC,00000000024,BECLOMETHASONE DIPROPIONATE 0.5 MG/ML SUSPENSION (PTL),4.0,2.2,1.0,3.6,113 NDC,00000000025,NIFEDIPINE 4 MG/ML ORAL SUSPENSION (IMMEDIATE RELEASE)(PTL),4.0,2.2,1.12,459.362155,118 NDC,00000000026,CLONIDINE 20 MCG/ML SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,00000000027,CYCLOSPORINE VAGINAL CREAM (PTL),110.0,60.5,27.5,99.0,113 NDC,00000000028,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,00000001988,SODIUM BENZOATE 5 G/30 ML ORAL SOLUTION,4.0,2.2,1.0,20.01,113 NDC,00000198801,ARGATROBAN 250 MG/250 ML DRIP (STRAIGHT DRUG) (MULTI-GPI),2176.4,1197.02,544.1,10887.441,113 NDC,00000198888,TENECTEPLASE 50MG IV AND SUPPLY STROKE KIT,21216.72,11669.2,5304.18,106136.6418,113 NDC,00000934071,SURGICAL SEALANT,1783.32,980.83,445.83,8921.0583,113 NDC,00000999961,PET IDS 18-F FAPI-74,1.0,0.55,0.25,5.0025,113 NDC,00000999983,IDS LUTETIUM LU-177 EDOTREOTIDE (177LU-DOTATOC),1.0,0.55,0.25,5.0025,113 NDC,00000999997,TACROLIMUS 0.5MG/ML ORAL SUSPENSION,573.83,315.61,143.4575,2870.584575,113 NDC,00000999998,HYDROXYUREA 100 MG/ML SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,00000999999,IDS ACTINIUM AC-225 DOTATATE,1.0,0.55,0.25,5.0025,113 NDC,00002021301,INSULIN REGULAR HUMAN 100 UNIT/ML 3 ML VIAL (BULK CHARGE),40.0,22.0,5.53,36.0,113 NDC,00002021301_2,INSULIN REGULAR HUMAN 100 UNIT/ML FOR CORRECTIVE,40.0,22.0,5.53,36.0,113 NDC,00002021301_3,INSULIN REGULAR HUMAN 100 UNIT/ML FOR CORRECTIVE HIGH DOSE,40.0,22.0,5.53,36.0,113 NDC,00002021301_4,INSULIN REGULAR HUMAN 100 UNIT/ML FOR NEU ORDERSETS,40.0,22.0,5.53,36.0,113 NDC,00002021301_5,INSULIN REGULAR HUMAN 100 UNIT/ML IVP ROUTE,40.0,22.0,5.53,36.0,113 NDC,00002120001,FLORBETAPIR F 18 500-1900 MBQ/ML IV SOLN,9087.0,4997.85,1825.64,45457.7175,122 NDC,00002121001,FLORTAUCIPIR F 18 300-1900 MBQ/ML IV SOLN,8074.5,4440.98,371.0,40392.68625,123 NDC,00002122001,FLORTAUCIPIR F 18 300-3700 MBQ/ML IV SOLN,11550.0,6352.5,371.0,57778.875,123 NDC,00002418230,BARICITINIB 2 MG PO TABS (COVID-19 USE ONLY),244.44,134.44,61.11,219.996,113 NDC,00002473230,BARICITINIB 1 MG PO TABS (COVID-19 USE ONLY),244.44,134.44,61.11,219.996,113 NDC,00002751101,INSULIN LISPRO PROT & LISPRO (75-25) 100 UNIT/ML SC SUSP,116.65,64.16,5.53,104.985,113 NDC,00002751201,INSULIN LISPRO PROT & LISPRO (50-50) 100 UNIT/ML SC SUSP,116.4,64.02,5.53,104.76,113 NDC,00002753301,INSULIN LISPRO 100 UNIT/ML SC SOLN FOR PUMP,44.1,24.26,5.53,39.69,113 NDC,00002762301,PEMETREXED DISODIUM 500 MG IV SOLR,10985.25,6041.89,2746.3125,54953.713125,113 NDC,00002766901,RAMUCIRUMAB 100 MG/10ML IV SOLN,4370.37,2403.7,71.07,21862.775925,124 NDC,00002767801,RAMUCIRUMAB 500 MG/50ML IV SOLN,15300.0,8415.0,3825.0,76538.25,113 NDC,00002771459,INSULIN LISPRO (0.5 UNIT DIAL) 100 UNIT/ML SC SOPN,72.06,39.63,5.53,64.854,113 NDC,00002773701,INSULIN LISPRO 100 UNIT/ML IJ SOLN,56.63,31.15,14.1575,50.967,113 NDC,00002814701,SOMATROPIN 6 MG IJ CART,5416.14,2978.88,48.92,4874.526,117 NDC,00002821501,INSULIN REGULAR HUMAN 100 UNIT/ML IJ SOLN,40.0,22.0,10.0,36.0,113 NDC,00002831501,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,40.0,22.0,10.0,36.0,113 NDC,00002840001,TERIPARATIDE 600 MCG/2.4ML SC SOPN,24089.23,13249.08,6022.3075,21680.307,113 NDC,00002850101,INSULIN REGULAR HUMAN (CONC) 500 UNIT/ML SC SOLN,3999.93,2199.96,5.53,3599.937,113 NDC,00002850101_2,INSULIN REGULAR HUMAN (CONC) 500 UNIT/ML SC SOLN FOR PUMP,3999.93,2199.96,5.53,3599.937,113 NDC,00002871501,INSULIN NPH ISOPHANE & REGULAR (70-30) 100 UNIT/ML SC SUSP,40.0,22.0,5.53,36.0,113 NDC,00002879759,INSULIN LISPRO PROT & LISPRO (75-25) 100 UNIT/ML SC SUPN,43.73,24.05,10.9325,39.357,113 NDC,00002880359,INSULIN NPH ISOPHANE & REGULAR (70-30) 100 UNIT/ML SC SUPN,40.0,22.0,5.53,36.0,113 NDC,00002940101,DONANEMAB-AZBT 350 MG/20ML IV SOLN,2782.6,1530.43,695.65,13919.9565,113 NDC,00003031505,TRIAMCINOLONE ACETONIDE 80 MG/ML IJ SUSP,42.4,23.32,1.8105,212.106,113 NDC,00003037113,BELATACEPT 250 MG IV SOLR,3879.52,2133.74,969.88,19407.2988,113 NDC,00003049420,TRIAMCINOLONE ACETONIDE 10 MG/ML IJ SUSP,40.0,22.0,1.8105,200.1,113 NDC,00003052411,DASATINIB 70 MG PO TABS,2618.67,1440.27,654.6675,2356.803,113 NDC,00003052711,DASATINIB 20 MG PO TABS,2864.17,1575.29,716.0425,2577.753,113 NDC,00003052811,DASATINIB 50 MG PO TABS,2445.09,1344.8,611.2725,2200.581,113 NDC,00003085222,DASATINIB 100 MG PO TABS,2359.86,1297.92,589.965,2123.874,113 NDC,00003089331,APIXABAN 2.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00003089431,APIXABAN 5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00003161412,ENTECAVIR 0.05 MG/ML PO SOLN,103.59,56.97,25.8975,93.231,113 NDC,00003218713,ABATACEPT 250 MG IV SOLR,3973.71,2185.54,43.44,19878.484275,123 NDC,00003218811,ABATACEPT 125 MG/ML SC SOSY,3868.66,2127.76,43.44,3702.30762,123 NDC,00003218811_2,ABATACEPT 125 MG/ML SC SOSY|DISCARDED DRUG NOT ADMINISTERED,3868.66,2127.76,43.44,3702.30762,123 NDC,00003229111,ELOTUZUMAB 300 MG IV SOLR,6693.12,3681.22,1673.28,33482.3328,113 NDC,00003232711,IPILIMUMAB 50 MG/10ML IV SOLN,26109.42,14360.18,6527.355,130612.37355,113 NDC,00003232822,IPILIMUMAB 200 MG/40ML IV SOLN,81107.46,44609.1,0.657,72996.714,124 NDC,00003364111,ATAZANAVIR-COBICISTAT 300-150 MG PO TABS,121.17,66.64,30.2925,109.053,113 NDC,00003377211,NIVOLUMAB 40 MG/4ML IV SOLN,3817.32,2099.53,31.75,19096.1433,124 NDC,00003377412,NIVOLUMAB 100 MG/10ML IV SOLN,9543.27,5248.8,2385.8175,47740.208175,113 NDC,00003712511,NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN|DISCARDED DRUG NOT ADMINISTERED,118584.96,65221.73,0.657,106726.464,113 NDC,00003712511_2,NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN,118654.96,65260.23,0.657,106789.464,113 NDC,00004038140,ENFUVIRTIDE 90 MG SC SOLR,161.98,89.09,40.495,145.782,113 NDC,00005200010,PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY,730.17,401.59,182.5425,3652.675425,113 NDC,00006011228,SITAGLIPTIN PHOSPHATE 50 MG PO TABS,36.76,20.22,9.19,33.084,113 NDC,00006022128,SITAGLIPTIN PHOSPHATE 25 MG PO TABS,36.76,20.22,9.19,33.084,113 NDC,00006022761,RALTEGRAVIR POTASSIUM 400 MG PO TABS,80.71,44.39,20.1775,72.639,113 NDC,00006027728,SITAGLIPTIN PHOSPHATE 100 MG PO TABS,36.76,20.22,9.19,33.084,113 NDC,00006056840,VORINOSTAT 100 MG PO CAPS,1313.34,722.34,328.335,1182.006,113 NDC,00006057761,SITAGLIPTIN-METFORMIN HCL 50-1000 MG PO TABS,18.38,10.11,4.595,16.542,113 NDC,00006302602,PEMBROLIZUMAB 100 MG/4ML IV SOLN,17346.24,9540.43,57.6,86774.5656,124 NDC,00006306901,DORAVIRINE 100 MG PO TABS,170.79,93.93,42.6975,153.711,113 NDC,00006307504,LETERMOVIR 240 MG PO TABS,1045.28,574.9,261.32,940.752,113 NDC,00006307604,LETERMOVIR 480 MG PO TABS,1045.28,574.9,261.32,940.752,113 NDC,00006360361,RALTEGRAVIR POTASSIUM 100 MG PO PACK,18.84,10.36,4.71,16.956,113 NDC,00006382310,CASPOFUNGIN ACETATE 70 MG IV SOLR,162.09,89.15,9.9875,810.855225,113 NDC,00006385602,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 G IV SOLR,1111.94,611.57,2.5,5562.47985,118 NDC,00006386203,APREPITANT 80 & 125 MG PO MISC,2454.55,1350.0,11.169,12278.886375,113 NDC,00006404741,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN,199.5,109.73,49.875,997.99875,113 NDC,00006412102,HPV 9-VALENT RECOMB VACCINE IM SUSY,1114.68,613.07,278.67,5576.1867,113 NDC,00006417100,MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR,1035.6,569.58,159.228,5180.589,114 NDC,00006468100,MEASLES MUMPS & RUBELLA VAC IJ SOLR,246.68,135.67,61.67,1234.0167,113 NDC,00006482700,VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR,608.61,334.74,152.1525,3044.571525,113 NDC,00006483141,HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP,72.46,39.85,18.115,362.48115,113 NDC,00006483703,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ INJ (MULTI-GPI),371.13,204.12,92.7825,1856.577825,113 NDC,00006489700,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP,66.04,36.32,16.51,330.3651,113 NDC,00006499200,HEPATITIS B VAC RECOMBINANT 40 MCG/ML IJ SUSP,359.42,197.68,89.855,1797.99855,113 NDC,00006500401,LETERMOVIR 480 MG/24ML IV SOLN,1445.76,795.17,361.44,7232.4144,113 NDC,00006542312,SUGAMMADEX SODIUM 200 MG/2ML IV SOLN,411.0,226.05,102.75,2056.0275,113 NDC,00006542402,ANTIVENIN LATRODECTUS MACTANS IJ KIT,69.28,38.1,17.32,346.5732,113 NDC,00008010001,INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR,67707.06,37238.88,0.657,60936.354,113 NDC,00008411701,ETHIONAMIDE 250 MG PO TABS,12.69,6.98,3.1725,11.421,113 NDC,00008451001,GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR,29689.68,16329.32,7422.42,148522.6242,113 NDC,00009000501,HYDROCORTISONE SOD SUC (PF) 1000 MG IJ SOLR,501.87,276.03,16.014,2510.604675,113 NDC,00009001104,HYDROCORTISONE 50 MG/ML IV SYRINGE,48.5,26.68,12.125,242.62125,113 NDC,00009001104_2,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR,48.5,26.68,12.125,242.62125,113 NDC,00009001305,HYDROCORTISONE SOD SUC (PF) 250 MG IJ SOLR,89.2,49.06,16.014,446.223,113 NDC,00009001612,HYDROCORTISONE SOD SUC (PF) 500 MG IJ SOLR,214.83,118.16,16.014,1074.687075,113 NDC,00009002001,METHYLPREDNISOLONE 2 MG PO TABS,4.0,2.2,0.3145,20.01,113 NDC,00009003928,METHYLPREDNISOLONE 4 MG/ML SYRINGE (NICU/PEDS)|DISCARDED DRUG NOT ADMINISTERED,11.46,6.3,0.1275,57.32865,117 NDC,00009003928_2,METHYLPREDNISOLONE 40 MG/ML SYRINGE (PEDS)|DISCARDED DRUG NOT ADMINISTERED,11.46,6.3,0.1275,57.32865,117 NDC,00009003928_3,METHYLPREDNISOLONE NA SUC (PF) 40 MG IJ SOLR|DISCARDED DRUG NOT ADMINISTERED,11.46,6.3,0.1275,57.32865,117 NDC,00009003928_4,METHYLPREDNISOLONE NA SUC (PF) 40 MG/ML IV SYRINGE|DISCARDED DRUG NOT ADMINISTERED,11.46,6.3,0.1275,57.32865,117 NDC,00009003928_5,METHYLPREDNISOLONE 4 MG/ML SYRINGE (NICU/PEDS),40.0,22.0,0.1275,200.1,117 NDC,00009003928_6,METHYLPREDNISOLONE NA SUC (PF) 40 MG IJ SOLR,40.0,22.0,0.1275,200.1,117 NDC,00009003928_7,METHYLPREDNISOLONE 40 MG/ML SYRINGE (PEDS),110.0,60.5,0.1275,550.275,117 NDC,00009003928_8,METHYLPREDNISOLONE NA SUC (PF) 40 MG/ML IV SYRINGE,110.0,60.5,0.1275,550.275,117 NDC,00009027101,ESTRADIOL CYPIONATE 5 MG/ML IM OIL,40.0,22.0,10.0,200.1,113 NDC,00009028301,GELATIN ABSORBABLE EX FILM,6986.48,3842.56,1746.62,34949.8662,113 NDC,00009029703,GELATIN ADSORBABLE OP FILM,675.6,371.58,168.9,608.04,113 NDC,00009034702,TESTOSTERONE CYPIONATE 100 MG/ML IM SOLN,45.0,24.75,11.25,225.1125,113 NDC,00009035301,GELATIN ABSORBABLE 100 CM EX MISC,45.21,24.87,11.3025,226.163025,113 NDC,00009043304,GELATIN ABSORBABLE MT POWD,155.03,85.27,38.7575,139.527,113 NDC,00009043601,ARGININE HCL (DIAGNOSTIC) 10 % IV SOLN,100.0,55.0,25.0,500.25,113 NDC,00009043601_2,ARGININE HCL 10 % (IV FOR PO),100.0,55.0,25.0,500.25,113 NDC,00009043601_3,ARGININE 10% (FOR AMMONUL PANEL) LOADING DOSE,164.9,90.7,41.225,824.91225,113 NDC,00009043601_4,ARGININE 10% (FOR AMMONUL PANEL) MAINTENANCE INFUSION,164.9,90.7,41.225,824.91225,113 NDC,00009043601_5,ARGININE HCL 10% IV SYRINGE (PEDS),164.9,90.7,41.225,824.91225,113 NDC,00009077526,CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN|DISCARDED DRUG NOT ADMINISTERED,4.66,2.56,1.165,23.31165,113 NDC,00009077526_2,CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN,40.0,22.0,10.0,200.1,113 NDC,00009085001,METHYLPREDNISOLONE SODIUM SUCC 2000 MG IJ SOLR,276.66,152.16,0.1275,1383.99165,117 NDC,00009087026,CLINDAMYCIN PHOSPHATE 300 MG/2ML IJ SOLN|DISCARDED DRUG NOT ADMINISTERED,3.79,2.08,0.9475,18.959475,113 NDC,00009087026_2,CLINDAMYCIN PHOSPHATE 300 MG/2ML IJ SOLN,40.0,22.0,10.0,200.1,113 NDC,00009316906,ALPROSTADIL 500 MCG/ML IJ SOLN,410.8,225.94,0.391,2055.027,113 NDC,00009370105,ALPROSTADIL (VASODILATOR) 20 MCG IC SOLR,285.34,156.94,0.391,1427.41335,113 NDC,00009470913,MEDROXYPROGESTERONE ACETATE 104 MG/0.65ML SC SUSY,119.18,65.55,29.795,596.19795,113 NDC,00009722402,LYMPHOCYTEANTI-THYMO IMM GLOB 50 MG/ML IV SOLN,12197.3,6708.52,3415.244,61016.99325,123 NDC,00009752903,IRINOTECAN IN LC BEADS 100-300 MICRON,116.33,63.98,5.984,581.940825,114 NDC,00009752903_2,IRINOTECAN IN LC BEADS 70-150 MICRON,116.33,63.98,5.984,581.940825,114 NDC,00009752903_3,IRINOTECAN IN ONCOZENE MICROSPHERES 100 MICRON,116.33,63.98,5.984,581.940825,114 NDC,00009752903_4,IRINOTECAN IN ONCOZENE MICROSPHERES 40 MICRON,116.33,63.98,5.984,581.940825,114 NDC,00009752903_5,IRINOTECAN IN ONCOZENE MICROSPHERES 75 MICRON,116.33,63.98,5.984,581.940825,114 NDC,00019905040,INDIUM IN-111 PENTETREOTIDE IV KIT,14981.25,8239.69,1914.61,74943.703125,122 NDC,00019906820,TECHNETIUM TC 99M-LABELED RED BLOOD CELLS,422.4,232.32,105.6,2113.056,113 NDC,00019909620,TECHNETIUM TC 99M MERTIATIDE,790.5,434.78,197.625,3954.47625,113 NDC,00023114501,ONABOTULINUMTOXINA 100 UNITS IJ SOLR,2584.0,1421.2,6.41,12926.46,123 NDC,00023320503,BIMATOPROST 0.01 % OP SOLN,796.5,438.08,199.125,716.85,113 NDC,00023334807,DEXAMETHASONE 0.7 MG IZ IMPL,4119.0,2265.45,1029.75,20605.2975,113 NDC,00023391950,ONABOTULINUMTOXINA (COSMETIC) 50 UNITS IM SOLR,1448.0,796.4,6.41,7243.62,123 NDC,00023392102,ONABOTULINUMTOXINA 200 UNITS IJ SOLR,3876.0,2131.8,6.41,19389.69,123 NDC,00023455430,CARBOXYMETHYLCELLULOSE SOD PF 1 % OP GEL,4.0,2.2,1.0,3.6,113 NDC,00023585801,LEVONORGESTREL 20.1 MCG/DAY IU IUD,1774.72,976.1,443.68,8878.0368,113 NDC,00023608210,IRON DEXTRAN 50 MG/ML IJ SOLN,80.36,44.2,17.4,402.0009,123 NDC,00023608210_2,IRON DEXTRAN SYRINGE (<100 MG)|DISCARDED DRUG NOT ADMINISTERED,80.36,44.2,17.4,402.0009,123 NDC,00023608210_3,IRON DEXTRAN SYRINGE (TEST DOSE)|DISCARDED DRUG NOT ADMINISTERED,80.36,44.2,17.4,402.0009,123 NDC,00023608210_4,IRON DEXTRAN SYRINGE (<100 MG),150.36,82.7,17.4,752.1759,123 NDC,00023608210_5,IRON DEXTRAN SYRINGE (TEST DOSE),150.36,82.7,17.4,752.1759,123 NDC,00023884205,NEDOCROMIL SODIUM 2 % OP SOLN,710.43,390.74,177.6075,639.387,113 NDC,00023921105,BRIMONIDINE TARTRATE-TIMOLOL 0.2-0.5 % OP SOLN,646.77,355.72,161.6925,582.093,113 NDC,00023923201,ONABOTULINUMTOXINA (COSMETIC) 100 UNITS IM SOLR,2404.0,1322.2,6.41,12026.01,123 NDC,00023927705,KETOROLAC TROMETHAMINE 0.4 % OP SOLN,1025.8,564.19,256.45,923.22,113 NDC,00023932105,BRIMONIDINE TARTRATE 0.1 % OP SOLN,616.07,338.84,154.0175,554.463,113 NDC,00023965201,BIMATOPROST 10 MCG IO IMPL,5961.0,3278.55,1490.25,29819.9025,113 NDC,00024065401,ISATUXIMAB-IRFC 100 MG/5ML IV SOLN,3165.96,1741.28,78.05,15837.7149,124 NDC,00024065601,ISATUXIMAB-IRFC 500 MG/25ML IV SOLN,11872.44,6529.84,78.05,59391.8811,124 NDC,00024159601,PRIMAQUINE PHOSPHATE 26.3 (15 BASE) MG PO TABS,4.63,2.55,1.1575,4.167,113 NDC,00024414260,DRONEDARONE HCL 400 MG PO TABS,29.51,16.23,7.3775,26.559,113 NDC,00024515010,RASBURICASE 1.5 MG IV SOLR,3223.55,1772.95,369.97,16125.808875,123 NDC,00024515175,RASBURICASE 7.5 MG IV SOLR,16117.71,8864.74,369.97,80628.844275,123 NDC,00024582411,CABAZITAXEL 60 MG/1.5ML IV SOLN,42439.59,23341.77,0.657,38195.631,113 NDC,00024584001,ZIV-AFLIBERCEPT 100 MG/4ML IV SOLN,4800.0,2640.0,6.5,24012.0,124 NDC,00024584101,ZIV-AFLIBERCEPT 200 MG/8ML IV SOLN,9600.0,5280.0,2400.0,48024.0,113 NDC,00024591001,SARILUMAB 200 MG/1.14ML SC SOSY,6319.25,3475.59,1579.8125,31612.048125,113 NDC,00024591401,DUPILUMAB 300 MG/2ML SC SOSY,5166.84,2841.76,1291.71,4650.156,113 NDC,00025016608,NAFARELIN ACETATE 2 MG/ML NA SOLN,10956.56,6026.11,2739.14,9860.904,113 NDC,00025273231,DISOPYRAMIDE PHOSPHATE ER 100 MG PO CP12,9.68,5.32,2.42,8.712,113 NDC,00025274231,DISOPYRAMIDE PHOSPHATE ER 150 MG PO CP12,11.44,6.29,2.86,10.296,113 NDC,00026378555,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT|DISCARDED DRUG NOT ADMINISTERED,2.33,1.28,0.6524,4.5633,122 NDC,00026378555_2,ANTIHEMOPHILIC FACTOR VIII RECOMBINANT (KOGENATE FS)|DISCARDED DRUG NOT ADMINISTERED,2.33,1.28,0.6524,4.5633,122 NDC,00026378555_3,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT,40.0,22.0,1.54,38.28,122 NDC,00026378555_4,ANTIHEMOPHILIC FACTOR VIII RECOMBINANT (KOGENATE FS),110.0,60.5,1.54,105.27,122 NDC,00031869412,DEXTROMETHORPHAN HBR 7.5 MG/5ML PO SYRP,4.0,2.2,1.0,3.6,113 NDC,00032004570,PANCRELIPASE (LIP-PROT-AMYL) 3000-9500 UNITS PO CPEP,4.0,2.2,1.0,3.6,113 NDC,00032004670,PANCRELIPASE (LIP-PROT-AMYL) 6000-19000 UNITS PO CPEP,4.71,2.59,1.1775,4.239,113 NDC,00037024523,AZELASTINE-FLUTICASONE 137-50 MCG/ACT NA SUSP,474.63,261.05,118.6575,427.167,113 NDC,00037225030,CARISOPRODOL 250 MG PO TABS,16.59,9.12,4.1475,14.931,113 NDC,00037440101,PENICILLAMINE 250 MG PO TABS,176.42,97.03,44.105,158.778,113 NDC,00037682315,PRAMOXINE HCL (PERIANAL) 1 % EX FOAM,207.93,114.36,51.9825,187.137,113 NDC,00046074905,ESTROGENS CONJUGATED 25 MG IJ SOLR,1333.4,733.37,373.352,6670.3335,123 NDC,00046087221,ESTROGENS CONJUGATED 0.625 MG/GM VA CREA,1019.05,560.48,254.7625,917.145,113 NDC,00046110081,ESTROGENS CONJUGATED 0.3 MG PO TABS,15.64,8.6,3.91,14.076,113 NDC,00046110181,ESTROGENS CONJUGATED 0.45 MG PO TABS,15.64,8.6,3.91,14.076,113 NDC,00046110281,ESTROGENS CONJUGATED 0.625 MG PO TABS,15.64,8.6,3.91,14.076,113 NDC,00046110511,CONJ ESTROG-MEDROXYPROGEST ACE 0.3-1.5 MG PO TABS,19.56,10.76,4.89,17.604,113 NDC,00046110611,CONJ ESTROG-MEDROXYPROGEST ACE 0.45-1.5 MG PO TABS,19.56,10.76,4.89,17.604,113 NDC,00046110711,CONJ ESTROG-MEDROXYPROGEST ACE 0.625-2.5 MG PO TABS,19.56,10.76,4.89,17.604,113 NDC,00046110811,CONJ ESTROG-MEDROXYPROGEST ACE 0.625-5 MG PO TABS,19.56,10.76,4.89,17.604,113 NDC,00049011428,ANIDULAFUNGIN 50 MG IV SOLR,98.3,54.07,1.4195,491.74575,113 NDC,00049011628,ANIDULAFUNGIN 100 MG IV SOLR,235.95,129.77,1.4195,1180.339875,113 NDC,00049234045,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS,218.93,120.41,54.7325,197.037,113 NDC,00049316044,VORICONAZOLE 40 MG/ML PO SUSR,962.33,529.28,240.5825,866.097,113 NDC,00051846233,TESTOSTERONE 20.25 MG/ACT (1.62%) TD GEL,1403.78,772.08,350.945,1263.402,113 NDC,00052031510,CHORIONIC GONADOTROPIN 10000 UNITS IM SOLR,367.92,202.36,18.19,1840.5198,113 NDC,00052060202,BCG LIVE 50 MG IS SUSR,538.37,296.1,134.5925,2693.195925,114 NDC,00054001020,FLECAINIDE ACETATE 50 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00054001221,FLECAINIDE ACETATE 150 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00054004544,IPRATROPIUM BROMIDE 0.03 % NA SOLN,41.38,22.76,10.345,37.242,113 NDC,00054004641,IPRATROPIUM BROMIDE 0.06 % NA SOLN,19.95,10.97,4.9875,17.955,113 NDC,00054005746,DIGOXIN 0.05 MG/ML PO SOLN,257.8,141.79,64.45,232.02,113 NDC,00054007928,BALSALAZIDE DISODIUM 750 MG PO CAPS,5.12,2.82,1.28,4.608,113 NDC,00054018813,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL,8.0,4.4,2.0,7.2,113 NDC,00054023524,MORPHINE SULFATE 15 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00054023624,MORPHINE SULFATE 30 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00054024324,CODEINE SULFATE 15 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00054024424,CODEINE SULFATE 30 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00054028325,OXYMORPHONE HCL 5 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00054032656,FLUTICASONE-SALMETEROL 100-50 MCG/ACT IN AEPB,180.0,99.0,45.0,162.0,113 NDC,00054032756,FLUTICASONE-SALMETEROL 250-50 MCG/ACT IN AEPB,214.2,117.81,53.55,192.78,113 NDC,00054033425,CEVIMELINE HCL 30 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00054038663,HYDROMORPHONE HCL 1 MG/ML PO LIQD,329.6,181.28,82.4,296.64,113 NDC,00054060313,DESVENLAFAXINE SUCCINATE ER 25 MG PO TB24,4.0,2.2,1.0,3.6,113 NDC,00054071020,METHADONE HCL 10 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00054071119,DEFERIPRONE 1000 MG PO TABS,380.14,209.08,95.035,342.126,113 NDC,00054317644,DEXAMETHASONE 1 MG/ML PO CONC,44.95,24.72,0.0595,224.862375,113 NDC,00054317757,DEXAMETHASONE 0.5 MG/5ML PO SOLN,70.15,38.58,0.0595,350.925375,113 NDC,00054319446,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5ML PO LIQD,158.5,87.18,39.625,142.65,113 NDC,00054353244,LORAZEPAM 2 MG/ML PO CONC,20.2,11.11,5.05,18.18,113 NDC,00054354563,MEPERIDINE HCL 50 MG/5ML PO SOLN,164.23,90.33,41.0575,147.807,113 NDC,00054355344,METHADONE HCL 10 MG/ML PO CONC,45.93,25.26,11.4825,41.337,113 NDC,00054355563,METHADONE HCL 1 MG/ML PO SOLN (NICU),62.08,34.14,15.52,55.872,113 NDC,00054372263,PREDNISONE 5 MG/5ML PO SOLN,21.83,12.01,0.153,3018.158325,339 NDC,00054372263_2,PREDNISONE 5 MG/5ML PO SOLN (EP ORAL),603.33,331.83,0.153,3018.158325,113 NDC,00054458111,MERCAPTOPURINE 50 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00054817625,DEXAMETHASONE 2 MG PO TABS,4.0,2.2,0.0595,20.01,113 NDC,00054817925,DEXAMETHASONE 0.5 MG PO TABS,4.0,2.2,0.0595,20.01,113 NDC,00054818025,DEXAMETHASONE 0.75 MG PO TABS,4.0,2.2,0.0595,20.01,113 NDC,00054818125,DEXAMETHASONE 1.5 MG PO TABS,4.0,2.2,0.0595,20.01,113 NDC,00054849619,LEUCOVORIN CALCIUM 5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00054852625,LITHIUM CARBONATE 150 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00054852725,LITHIUM CARBONATE 300 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00065002315,CARBACHOL 0.01 % IO SOLN,40.0,22.0,10.0,200.1,113 NDC,00065008515,NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % OP SOLN,40.0,22.0,10.0,36.0,113 NDC,00065009265,FLUORESCEIN SODIUM 10 % IV SOLN,118.08,64.94,29.52,590.6952,113 NDC,00065009605,FLUOROMETHOLONE ACETATE 0.1 % OP SUSP,244.08,134.24,61.02,219.672,113 NDC,00065035902,CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OP SOLN,72.3,39.77,18.075,65.07,113 NDC,00065039515,CYCLOPENTOLATE HCL 0.5 % OP SOLN,237.18,130.45,59.295,213.462,113 NDC,00065039702,CYCLOPENTOLATE HCL 2 % OP SOLN,90.53,49.79,22.6325,81.477,113 NDC,00065040872,HYPROMELLOSE 0.5 % OP SOLN,63.33,34.83,15.8325,56.997,113 NDC,00065041130,POVIDONE-IODINE 5 % OP SOLN,40.0,22.0,10.0,36.0,113 NDC,00065045407,POLYETHYL GLYCOL-PROPYL GLYCOL 0.4-0.3 % OP GEL,40.0,22.0,10.0,36.0,113 NDC,00065074114,TETRACAINE HCL 0.5 % OP SOLN,40.0,22.0,10.0,36.0,113 NDC,00065074114_2,TETRACAINE HCL 0.5% OP SOLN (BULK CHARGE),40.0,22.0,10.0,36.0,113 NDC,00065079515,BSS IO SOLN,40.0,22.0,10.0,200.1,113 NDC,00065079515_2,BSS IO SOLN 15ML (BULK CHARGE),40.0,22.0,10.0,200.1,113 NDC,00065080050,BSS PLUS IO SOLN,186.61,102.64,46.6525,933.516525,113 NDC,00065806401,HYPROMELLOSE 0.3 % OP GEL,40.0,22.0,10.0,36.0,113 NDC,00067628212R,ONCOLOGY MOUTHWASH (COMPOUNDED),4.0,2.2,1.0,3.6,113 NDC,00069013601,BOSUTINIB 500 MG PO TABS,2089.72,1149.35,522.43,10453.8243,113 NDC,00069023801,RITUXIMAB-PVVR 100 MG/10ML IV SOLN,2113.72,1162.55,13.27,10573.8843,123 NDC,00069024230,FESOTERODINE FUMARATE ER 4 MG PO TB24,21.88,12.03,5.47,19.692,113 NDC,00069024430,FESOTERODINE FUMARATE ER 8 MG PO TB24,21.88,12.03,5.47,19.692,113 NDC,00069024901,RITUXIMAB-PVVR 500 MG/50ML IV SOLN,7926.39,4359.51,1981.5975,39651.765975,113 NDC,00069029702,TICK-BORNE ENCEPHALITIS VACC 1.2 MCG/0.25ML IM SUSY,1157.72,636.75,285.46,5791.4943,113 NDC,00069030501,TRASTUZUMAB-QYYP 420 MG IV SOLR,7302.36,4016.3,8.2,36530.0559,123 NDC,00069031501,BEVACIZUMAB-BVZR 100 MG/4ML IV SOLN,2151.52,1183.34,23.0,10762.9788,123 NDC,00069031501_2,BEVACIZUMAB-BVZR 25 MG/ML INTRALESIONAL INJ,2151.52,1183.34,23.0,10762.9788,123 NDC,00069032401,PEGFILGRASTIM-APGF 6 MG/0.6ML SC SOSY,4944.48,2719.46,74.856,24734.7612,123 NDC,00069034201,BEVACIZUMAB-BVZR 400 MG/16ML IV SOLN,6454.53,3549.99,23.0,32288.786325,123 NDC,00069034405,RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR,822.92,452.61,205.73,4116.6573,113 NDC,00069041110,TICK-BORNE ENCEPHALITIS VACC 2.4 MCG/0.5ML IM SUSY,1157.72,636.75,285.46,5791.4943,113 NDC,00069080901,INFLIXIMAB-DYYB 100 MG IV SOLR,2262.04,1244.12,11.55,11315.8551,123 NDC,00069100101,TOFACITINIB CITRATE 5 MG PO TABS,261.93,144.06,65.4825,235.737,113 NDC,00069100201,TOFACITINIB CITRATE 10 MG PO TABS,261.93,144.06,65.4825,235.737,113 NDC,00069130510,EPOETIN ALFA-EPBX 2000 UNIT/ML IJ SOLN,43.33,23.83,0.75,216.758325,118 NDC,00069130610,EPOETIN ALFA-EPBX 3000 UNIT/ML IJ SOLN,65.0,35.75,7.47,325.1625,123 NDC,00069130710,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN,86.66,47.66,0.75,433.51665,118 NDC,00069130810,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN,259.99,142.99,7.47,1300.599975,123 NDC,00069130904,EPOETIN ALFA-EPBX 40000 UNIT/ML IJ SOLN,1386.61,762.64,0.75,6936.516525,118 NDC,00069243210,COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY,363.76,200.07,90.94,1819.7094,113 NDC,00069252202,ELRANATAMAB-BCMM 44 MG/1.1ML SC SOLN,23551.05,12953.08,5887.7625,117814.127625,113 NDC,00069303220,DOXORUBICIN CHEMO SYRINGE,121.48,66.81,7.14,607.7037,114 NDC,00069420030,SILDENAFIL CITRATE 25 MG PO TABS,237.55,130.65,59.3875,213.795,113 NDC,00069449402,ELRANATAMAB-BCMM 76 MG/1.9ML SC SOLN,40679.1,22373.51,0.657,36611.19,122 NDC,00069600125,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN,40.0,22.0,1.34,200.1,119 NDC,00069814020,CRIZOTINIB 250 MG PO CAPS,1410.53,775.79,352.6325,7056.176325,113 NDC,00071036940,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS,4.21,2.32,1.0525,3.789,113 NDC,00071041724,NITROGLYCERIN 0.3 MG SL SUBL,4.0,2.2,1.0,3.6,113 NDC,00071041924,NITROGLYCERIN 0.6 MG SL SUBL,4.0,2.2,1.0,3.6,113 NDC,00074012402,ADALIMUMAB 80 MG/0.8ML SC AJKT,18809.51,10345.23,2201.388,16928.559,114 NDC,00074024302,ADALIMUMAB 40 MG/0.4ML SC PSKT,9404.73,5172.6,91.73,8464.257,117 NDC,00074057611,VENETOCLAX 100 MG PO TABS,449.68,247.32,112.42,2249.5242,113 NDC,00074061602,ADALIMUMAB 20 MG/0.2ML SC PSKT,9404.73,5172.6,91.73,8464.257,117 NDC,00074104004,BERACTANT IN NACL 25-0.9 MG/ML-% INTRATRACHEA SUSP,728.46,400.65,182.115,3644.12115,113 NDC,00074165801,PARICALCITOL 5 MCG/ML IV SOLN,40.0,22.0,2.04,200.1,113 NDC,00074210803,LEUPROLIDE ACETATE (PED) 7.5 MG IM KIT,5606.94,3083.82,1528.8,28048.71735,123 NDC,00074228203,LEUPROLIDE ACETATE (PED) 11.25 MG IM KIT,10179.24,5598.58,1528.8,50921.6481,123 NDC,00074228203_2,LEUPROLIDE ACETATE (PED) 11.25 MG IM KIT|DISCARDED DRUG NOT ADMINISTERED,10179.24,5598.58,1528.8,50921.6481,123 NDC,00074231030,UPADACITINIB ER 30 MG PO TB24,679.55,373.75,169.8875,611.595,113 NDC,00074244003,LEUPROLIDE ACETATE (PED) 15 MG IM KIT,11211.42,6166.28,1528.8,56085.12855,123 NDC,00074334603,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT,1832.84,1008.06,170.77,9168.7821,124 NDC,00074339930,RITONAVIR 100 MG PO PACK,19.41,10.68,4.8525,17.469,113 NDC,00074347303,LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT,3665.72,2016.15,170.77,18337.7643,124 NDC,00074364103,LEUPROLIDE ACETATE 3.75 MG IM KIT,4991.64,2745.4,1397.6592,24970.6791,123 NDC,00074364203,LEUPROLIDE ACETATE 7.5 MG IM KIT,572.53,314.89,160.3084,2864.081325,124 NDC,00074366303,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT,13982.4,7690.32,1528.8,69946.956,123 NDC,00074368303,LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT,2443.76,1344.07,170.77,12224.9094,124 NDC,00074377903,LEUPROLIDE ACETATE (PED)(3MON) 11.25 MG IM KIT,31148.43,17131.64,1528.8,155820.021075,123 NDC,00074379902,ADALIMUMAB 40 MG/0.8ML SC PSKT,9404.73,5172.6,2201.388,8464.257,114 NDC,00074395646,LOPINAVIR-RITONAVIR 400-100 MG/5ML PO SOLN,1159.45,637.7,289.8625,1043.505,113 NDC,00074433902,ADALIMUMAB 40 MG/0.8ML SC AJKT,9404.73,5172.6,91.73,8464.257,117 NDC,00074445604,SEVOFLURANE IN SOLN,149.33,82.13,37.3325,747.023325,113 NDC,00074463701,PARICALCITOL 2 MCG/ML IV SOLN,40.0,22.0,2.04,200.1,113 NDC,00074501501,RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN,27496.29,15122.96,6874.0725,137550.190725,113 NDC,00074714811,LEVOTHYROXINE SODIUM 200 MCG FT TABS,4.0,2.2,1.0,3.6,113 NDC,00074714811_2,LEVOTHYROXINE SODIUM 200 MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00074714990,LEVOTHYROXINE SODIUM 300 MCG FT TABS,4.0,2.2,1.0,3.6,113 NDC,00074714990_2,LEVOTHYROXINE SODIUM 300 MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00074969403,LEUPROLIDE ACETATE (PED)(3MON) 30 MG IM KIT,29027.73,15965.25,1528.8,145211.219325,123 NDC,00078010901,CYCLOSPORINE 50 MG/ML IV SOLN,185.88,102.23,46.47,929.8647,113 NDC,00078024615,CYCLOSPORINE MODIFIED 25 MG PO CAPS,12.13,6.67,1.122,60.680325,113 NDC,00078024815,CYCLOSPORINE MODIFIED 100 MG PO CAPS,24.23,13.33,6.0575,121.210575,113 NDC,00078027422,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,1320.5,726.28,330.125,6605.80125,113 NDC,00078033184,BASILIXIMAB 20 MG IV SOLR,13007.04,7153.87,3641.9712,65067.7176,123 NDC,00078034342,ESTRADIOL 0.0375 MG/24HR TD PTTW,43.42,23.88,10.855,39.078,113 NDC,00078036034,VALSARTAN 320 MG PO TABS,28.48,15.66,7.12,25.632,113 NDC,00078036542,ESTRADIOL 0.025 MG/24HR TD PTTW,43.41,23.88,10.8525,39.069,113 NDC,00078037005,METHYLPHENIDATE HCL ER (LA) 20 MG PO CP24,28.58,15.72,7.145,25.722,113 NDC,00078037905,AMLODIPINE BESY-BENAZEPRIL HCL 10-40 MG PO CAPS,36.85,20.27,9.2125,33.165,113 NDC,00078038334,VALSARTAN-HYDROCHLOROTHIAZIDE 160-25 MG PO TABS,29.05,15.98,7.2625,26.145,113 NDC,00078039361,BASILIXIMAB 10 MG IV SOLR,9910.17,5450.59,2774.8476,49575.625425,123 NDC,00078040505,AMLODIPINE BESY-BENAZEPRIL HCL 5-10 MG PO CAPS,27.26,14.99,6.815,24.534,113 NDC,00078041420,EVEROLIMUS 0.5 MG PO TABS (IMMUNOSUPPRESSION),51.12,28.12,2.125,255.7278,113 NDC,00078041520,EVEROLIMUS 0.75 MG PO TABS (IMMUNOSUPPRESSION),76.68,42.17,19.17,383.5917,113 NDC,00078041720,EVEROLIMUS 0.25 MG PO TABS (IMMUNOSUPPRESSION),25.56,14.06,2.125,127.8639,113 NDC,00078042220,EVEROLIMUS 1 MG PO TABS,95.46,52.5,2.125,477.53865,113 NDC,00078043205,DEXMETHYLPHENIDATE HCL ER 20 MG PO CP24,11.62,6.39,2.905,10.458,113 NDC,00078047234,VALSARTAN-HYDROCHLOROTHIAZIDE 320-25 MG PO TABS,36.81,20.25,9.2025,33.129,113 NDC,00078052687,NILOTINIB HCL 200 MG PO CAPS,626.3,344.47,156.575,3133.06575,113 NDC,00078056751,EVEROLIMUS 10 MG PO TABS (CHEMO),2666.93,1466.81,666.7325,13341.317325,113 NDC,00078056845,ARTEMETHER-LUMEFANTRINE 20-120 MG PO TABS,12.72,7.0,3.18,11.448,113 NDC,00078059287,NILOTINIB HCL 150 MG PO CAPS,1252.59,688.92,313.1475,6266.081475,113 NDC,00078059451,EVEROLIMUS 2.5 MG PO TABS (CHEMO),2549.69,1402.33,637.4225,12754.824225,113 NDC,00078060715,FINGOLIMOD HCL 0.5 MG PO CAPS,1283.86,706.12,320.965,1155.474,113 NDC,00078067119,LAPATINIB DITOSYLATE 250 MG PO TABS,992.85,546.07,248.2125,893.565,113 NDC,00078068515,ELTROMBOPAG OLAMINE 25 MG PO TABS,845.44,464.99,211.36,760.896,113 NDC,00078068715,ELTROMBOPAG OLAMINE 75 MG PO TABS,2622.83,1442.56,655.7075,2360.547,113 NDC,00078069620,SACUBITRIL-VALSARTAN 97-103 MG PO TABS,25.71,14.14,6.4275,23.139,113 NDC,00078069899,MIDOSTAURIN 25 MG PO CAPS,1346.36,740.5,336.59,1211.724,113 NDC,00078073461,CANAKINUMAB 150 MG/ML SC SOLN,58331.58,32082.37,0.657,52498.422,123 NDC,00078077720,SACUBITRIL-VALSARTAN 49-51 MG PO TABS,25.71,14.14,6.4275,23.139,113 NDC,00078081181,OCTREOTIDE ACETATE 10 MG IM KIT,10150.68,5582.87,199.17,50778.7767,123 NDC,00078081301,TOBRAMYCIN 0.3 % OP OINT,1384.56,761.51,346.14,1246.104,113 NDC,00078081881,OCTREOTIDE ACETATE 20 MG IM KIT,13299.12,7314.52,199.17,66528.8478,123 NDC,00078082581,OCTREOTIDE ACETATE 30 MG IM KIT,19914.39,10952.91,199.17,99621.735975,123 NDC,00078087601,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP OINT,1965.36,1080.95,491.34,1768.824,113 NDC,00078088361,CRIZANLIZUMAB-TMCA 100 MG/10ML IV SOLN,7358.82,4047.35,125.103,36812.49705,123 NDC,00078089778,TRIAMCINOLONE ACETONIDE 40 MG/ML IO SUSP,3419.96,1880.98,8.49,17108.3499,118 NDC,00078100060,INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY,10246.74,5635.71,2561.685,51259.31685,113 NDC,00078110515,TRAMETINIB DIMETHYL SULFOXIDE 0.5 MG PO TABS,542.15,298.18,135.5375,2712.105375,113 NDC,0008060701,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,00085138101,TEMOZOLOMIDE 100 MG IV SOLR,3634.08,1998.74,10.234,18179.4852,124 NDC,00085138101_2,TEMOZOLOMIDE CHEMO INFUSION|DISCARDED DRUG NOT ADMINISTERED,3634.08,1998.74,10.234,18179.4852,124 NDC,00085138101_3,TEMOZOLOMIDE CHEMO INFUSION,3704.08,2037.24,10.234,18529.6602,124 NDC,00087040501,POLY-VI-SOL/IRON 11 MG/ML PO SOLN,4.0,2.2,1.0,3.6,113 NDC,00088210224,RIFAPENTINE 150 MG PO TABS,10.97,6.03,2.7425,9.873,113 NDC,00088221905,INSULIN GLARGINE 100 UNIT/ML SC SOPN,41.67,22.92,5.53,37.503,113 NDC,00088222033,INSULIN GLARGINE 100 UNIT/ML SC SOLN,166.65,91.66,41.6625,833.666625,113 NDC,00088250033,INSULIN GLULISINE 100 UNIT/ML IJ SOLN,229.17,126.04,57.2925,1146.422925,113 NDC,00093026215,FLUOCINONIDE 0.05 % EX CREA,16.88,9.28,4.22,15.192,113 NDC,00093026315,FLUOCINONIDE EMULSIFIED BASE 0.05 % EX CREA,87.25,47.99,21.8125,78.525,113 NDC,00093031401,KETOROLAC TROMETHAMINE 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00093071101,FLURBIPROFEN 100 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00093075701,PIROXICAM 20 MG PO CAPS,4.77,2.62,1.1925,4.293,113 NDC,00093202694,AZITHROMYCIN 200 MG/5ML PO SUSR,25.45,14.0,6.05,22.905,113 NDC,00093202723,AZITHROMYCIN 100 MG/5ML PO SUSR,23.35,12.84,5.8375,21.015,113 NDC,00093226401,AMOXICILLIN 875 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00093226801,AMOXICILLIN 250 MG PO CHEW,4.0,2.2,1.0,3.6,113 NDC,00093306156,RASAGILINE MESYLATE 1 MG PO TABS,4.68,2.57,1.17,4.212,113 NDC,00093312298,NORETHINDRONE-ETH ESTRADIOL 1-5 MG-MCG PO TABS,5.31,2.92,1.3275,4.779,113 NDC,00093312301,DICLOXACILLIN SODIUM 250 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00093312501,DICLOXACILLIN SODIUM 500 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00093312701,DISOPYRAMIDE PHOSPHATE 100 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00093312901,DISOPYRAMIDE PHOSPHATE 150 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00093316006,CEFDINIR 300 MG PO CAPS,8.69,4.78,2.1725,7.821,113 NDC,00093319653,CEFADROXIL 500 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00093323940,BUPRENORPHINE 7.5 MCG/HR TD PTWK,204.23,112.33,51.0575,183.807,113 NDC,00093354656,ATOMOXETINE HCL 60 MG PO CAPS,9.11,5.01,2.2775,8.199,113 NDC,00093365640,BUPRENORPHINE 5 MCG/HR TD PTWK,119.91,65.95,29.9775,107.919,113 NDC,00093406130,FORMOTEROL FUMARATE 20 MCG/2ML IN NEBU,36.37,20.0,4.88,181.940925,113 NDC,00093412773,PENICILLIN V POTASSIUM 250 MG/5ML PO SOLR,17.25,9.49,4.3125,15.525,113 NDC,00093417573,CEPHALEXIN 125 MG/5ML PO SUSR,14.28,7.85,3.57,12.852,113 NDC,00093503156,TIAGABINE HCL 4 MG PO TABS,14.37,7.9,3.5925,12.933,113 NDC,00093541784,CLOZAPINE 25 MG PO TBDP,4.23,2.33,1.0575,3.807,113 NDC,00093541984,CLOZAPINE 100 MG PO TBDP,14.81,8.15,3.7025,13.329,113 NDC,00093552856,ATAZANAVIR SULFATE 300 MG PO CAPS,23.86,13.12,5.965,21.474,113 NDC,00093598627,EPINEPHRINE 0.3 MG/0.3ML IJ SOAJ,475.49,261.52,118.8725,2378.638725,113 NDC,00093717801,NEFAZODONE HCL 50 MG PO TABS,5.07,2.79,1.2675,4.563,113 NDC,00093727256,PIOGLITAZONE HCL 30 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00093735156,LANSOPRAZOLE 30 MG PO CPDR,4.27,2.35,1.0675,3.843,113 NDC,00093811956,FAMCICLOVIR 500 MG PO TABS,7.31,4.02,1.8275,6.579,113 NDC,00096070735,ALUMINUM CHLORIDE 20 % EX SOLN,19.25,10.59,4.8125,17.325,113 NDC,00096072416,AQUANIL SKIN CLEANSER EX LOTN,27.23,14.98,6.8075,24.507,113 NDC,00115107001,DIPYRIDAMOLE 25 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00115107101,DIPYRIDAMOLE 50 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00115107201,DIPYRIDAMOLE 75 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00115443301,DANTROLENE SODIUM 100 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00115993278,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU,4.0,2.2,1.0,3.6,113 NDC,00121043130,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP,4.0,2.2,1.0,3.6,113 NDC,00121053005,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN,6.61,3.64,1.6525,5.949,113 NDC,00121064610,AMANTADINE HCL 50 MG/5ML PO SOLN,7.0,3.85,1.75,6.3,113 NDC,00121065304,FLUPHENAZINE HCL 5 MG/ML PO CONC,4.0,2.2,1.0,3.6,113 NDC,00121065816,TRIHEXYPHENIDYL HCL 0.4 MG/ML PO SOLN,4.0,2.2,1.0,3.6,113 NDC,00121067016,ETHOSUXIMIDE 250 MG/5ML PO SOLN,86.1,47.36,21.525,77.49,113 NDC,00121067616,POTASSIUM CITRATE-CITRIC ACID 1100-334 MG/5ML PO SOLN,4.0,2.2,1.0,3.6,113 NDC,00121067816,NORTRIPTYLINE HCL 10 MG/5ML PO SOLN,355.68,195.62,88.92,320.112,113 NDC,00121082601,OXYCODONE HCL 100 MG/5ML PO CONC,54.38,29.91,13.595,48.942,113 NDC,00121086800,NYSTATIN 100000 UNIT/ML MT SUSP,4.28,2.35,1.07,3.852,113 NDC,00121089020,VANCOMYCIN HCL 250 MG PO CAPS,9.06,4.98,2.265,8.154,113 NDC,00121115440,LACTULOSE 10 GM/15ML PO SOLN,4.0,2.2,1.0,3.6,113 NDC,00121119000,CITRIC ACID-SODIUM CITRATE 334-500 MG/5 ML PO SOLN (NICU),9.27,5.1,2.3175,8.343,113 NDC,00121148800,GUAIFENESIN 100 MG/5ML PO LIQD,4.0,2.2,1.0,3.6,113 NDC,00121157610,METOCLOPRAMIDE HCL 10 MG/10ML PO SOLN,6.22,3.42,1.555,5.598,113 NDC,00121176230,ALUM & MAG HYDROXIDE-SIMETH 400-400-40 MG/5ML PO SUSP,7.37,4.05,1.8425,6.633,113 NDC,00121177505,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN,8.0,4.4,2.0,7.2,113 NDC,00121187000,DOCUSATE SODIUM 150 MG/15ML PO LIQD,4.0,2.2,1.0,3.6,113 NDC,00121187000_2,DOCUSATE SODIUM 50 MG/5ML PO LIQD,4.0,2.2,1.0,3.6,113 NDC,00121202495,LACOSAMIDE 10 MG/ML PO SOLN,106.58,58.62,26.645,95.922,113 NDC,00121467540,VALPROIC ACID 250 MG/5ML PO SOLN,4.0,2.2,1.0,3.6,113 NDC,00121467540_2,VALPROIC ACID 250 MG/5ML PO SOLN (EP ORAL),4.0,2.2,1.0,3.6,113 NDC,00121479940,LEVETIRACETAM 100 MG/ML PO SOLN,18.830000000000002,10.355,1.365,28.98,226 NDC,00121495040,LIDOCAINE VISCOUS HCL 2 % MT SOLN,10.91,6.0,2.7275,9.819,113 NDC,00126028766,SODIUM FLUORIDE 1.1 % DT CREA,43.3,23.82,10.825,38.97,113 NDC,00126028802,SODIUM FLUORIDE 1.1 % DT GEL,86.6,47.63,21.65,77.94,113 NDC,00131248035,LACOSAMIDE 200 MG PO TABS,44.17,24.29,11.0425,39.753,113 NDC,00132007924,GLYCERIN (LAXATIVE) 2 G RE SUPP,4.0,2.2,1.0,3.6,113 NDC,00132019012,GLYCERIN (LIQUID) 2.8 G RE SUPP,4.0,2.2,1.0,3.6,113 NDC,00132020220,FLEET PEDIATRIC 3.5-9.5 GM/59ML RE ENEM,4.0,2.2,1.0,3.6,113 NDC,00132030140,MINERAL OIL RE ENEM,4.5,2.48,1.125,4.05,113 NDC,00132070336,BISACODYL 10 MG/30ML RE ENEM,4.4,2.42,1.1,3.96,113 NDC,00143314150,DOXYCYCLINE HYCLATE 50 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00143902202,FULVESTRANT 250 MG/5ML IM SOSY,198.09,108.95,6.66,990.945225,119 NDC,00143909201,DOXORUBICIN HCL 10 MG IV SOLR,87.28,48.0,7.14,436.6182,114 NDC,00143909301,DOXORUBICIN HCL 50 MG IV SOLR,792.12,435.67,7.14,3962.5803,114 NDC,00143916210,VANCOMYCIN CONTINUOUS INFUSION INGREDIENT,40.0,22.0,3.06,200.1,113 NDC,00143916210_2,VANCOMYCIN HCL 1 G IV SOLR,40.0,22.0,3.06,200.1,113 NDC,00143920401,DOCETAXEL 20 MG/ML IV CONC,163.05,89.68,2.04,815.657625,114 NDC,00143921801,IDARUBICIN HCL 10 MG/10ML IV SOLN,150.6,82.83,37.65,753.3765,114 NDC,00143921801_2,IDARUBICIN CHEMO SYRINGE,195.5,107.53,48.875,977.98875,114 NDC,00143924510,DACARBAZINE 200 MG IV SOLR,40.0,22.0,6.12,200.1,114 NDC,00143924701,DEXRAZOXANE HCL 250 MG IV SOLR,465.99,256.29,58.01,2331.114975,123 NDC,00143927701,DOXORUBICIN 25 MG/ML SYRINGE FOR CHEMOEMBOLIZATION,862.12,474.17,7.14,4312.7553,114 NDC,00143927701_2,DOXORUBICIN IN LC BEAD 100-300 MICRON,862.12,474.17,7.14,4312.7553,114 NDC,00143927701_3,DOXORUBICIN IN LC BEAD 300-500 MICRON,862.12,474.17,7.14,4312.7553,114 NDC,00143927701_4,DOXORUBICIN IN LC BEAD 75-150 MICRON,862.12,474.17,7.14,4312.7553,114 NDC,00143927701_5,DOXORUBICIN IN ONCOZENE MICROSPHERES 100 MICRON,862.12,474.17,7.14,4312.7553,114 NDC,00143927701_6,DOXORUBICIN IN ONCOZENE MICROSPHERES 40 MICRON,862.12,474.17,7.14,4312.7553,114 NDC,00143927701_7,DOXORUBICIN IN ONCOZENE MICROSPHERES 75 MICRON,862.12,474.17,7.14,4312.7553,114 NDC,00143927701_8,DOXORUBICIN IN QUADRASPHERE,862.12,474.17,7.14,4312.7553,114 NDC,00143938010,MIDAZOLAM-SODIUM CHLORIDE 100-0.9 MG/100ML-% (TITRATABLE RATE) IV SOLN,110.0,60.5,0.336,550.275,114 NDC,00143938010_2,MIDAZOLAM-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN (FIXED RATE),110.0,60.5,0.336,550.275,114 NDC,00143939210,REMIFENTANIL HCL 2 MG IV SOLR,362.8,199.54,90.7,1814.907,113 NDC,00143939810,ERTAPENEM SODIUM 1 G IJ SOLR,55.48,30.51,13.87,277.5387,113 NDC,00143939810_2,ERTAPENEM SODIUM 1 G IV,55.48,30.51,13.87,277.5387,113 NDC,00143939810_3,ERTAPENEM SODIUM 1 G IV SOLR,55.48,30.51,13.87,277.5387,113 NDC,00143950710,ETOMIDATE 2 MG/ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00143950710_2,ETOMIDATE 2 MG/ML IV SOLN - CODE USE PEDS,40.0,22.0,10.0,200.1,113 NDC,00143950910,KETAMINE HCL 100 MG/ML IJ SOLN,45.0,24.75,11.25,225.1125,113 NDC,00143952510,DEXMEDETOMIDINE 400 MCG/100ML DRIP RTU (TITRATABLE RATE),110.0,60.5,27.5,550.275,113 NDC,00143952510_2,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML RTU (PEDS),110.0,60.5,27.5,550.275,113 NDC,00143953101,IFOSFAMIDE 1 GM/20ML IV SOLN,73.4,40.37,18.35,367.1835,114 NDC,00143953410,LINEZOLID 600 MG/300ML IV SOLN,40.0,22.0,2.856,200.1,113 NDC,00143953410_2,LINEZOLID 2 MG/ML IN DEXTROSE 5% IT INJ,110.0,60.5,2.856,550.275,113 NDC,00143953410_3,LINEZOLID 2 MG/ML IVPB FROM RTU (PED),110.0,60.5,2.856,550.275,113 NDC,00143953410_4,LINEZOLID 2 MG/ML SYRINGE FROM RTU (PED),110.0,60.5,2.856,550.275,113 NDC,00143955501,LEUCOVORIN CALCIUM 50 MG IJ SOLR,40.0,22.0,7.786,200.1,114 NDC,00143956601,AZATHIOPRINE SODIUM 100 MG IJ SOLR,698.99,384.44,195.7172,3496.697475,123 NDC,00143957010,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,40.0,22.0,4.148,200.1,113 NDC,00143957510,LIDOCAINE HCL 2 % IJ SOLN 50 ML VIAL (BULK CHARGE),40.0,22.0,10.0,200.1,111 NDC,00143965901,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,45.0,24.75,0.0425,225.1125,113 NDC,00143967401,ARGATROBAN 250 MG/2.5ML IV SOLN,602.32,331.28,0.6,3013.1058,123 NDC,00143968225,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN|DISCARDED DRUG NOT ADMINISTERED,1.45,0.8,0.3625,7.253625,117 NDC,00143968225_2,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,40.0,22.0,0.46,200.1,117 NDC,00143972024,LEVOFLOXACIN 750 MG/150 ML RTU,110.0,60.5,4.2925,550.275,113 NDC,00143972224,LEVOFLOXACIN 250 MG/50 ML RTU,110.0,60.5,4.2925,550.275,113 NDC,00143972905,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN,103.84,57.11,25.5,519.4596,113 NDC,00143978310,FLUMAZENIL 1 MG/10ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00143978410,FLUMAZENIL 0.5 MG/5ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00143978510,VALPROATE SODIUM 100 MG/ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00143978610,ENALAPRILAT 0.125 MG/ML SYRINGE (PEDS),40.0,22.0,10.0,200.1,113 NDC,00143978610_2,ENALAPRILAT 1.25 MG/ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00143983001,METHOTREXATE SODIUM 1 G IJ SOLR,98.8,54.34,3.4255,494.247,114 NDC,00143985101,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR|DISCARDED DRUG NOT ADMINISTERED,18.88,10.38,0.1275,94.4472,117 NDC,00143985101_2,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR,40.0,22.0,0.1275,200.1,117 NDC,00143987101,CLADRIBINE 10 MG/10ML IV SOLN,195.63,107.6,7.41,978.639075,124 NDC,00143987525,AMIODARONE HCL 150 MG/3 ML IV SOLN 3 ML VIAL (BULK CHARGE),40.0,22.0,0.476,200.1,113 NDC,00143987525_2,AMIODARONE HCL 150 MG/3ML IV SOLN,40.0,22.0,0.476,200.1,113 NDC,00143987525_3,AMIODARONE HCL 150 MG/3ML IV SOLN -CODE USE PEDS,40.0,22.0,0.476,200.1,113 NDC,00143988901,AMOXICILLIN 250 MG/5ML PO SUSR,5.3,2.92,1.325,4.77,113 NDC,00143992490,CEFAZOLIN 100 MG/ML SYRINGE|DISCARDED DRUG NOT ADMINISTERED,1.36,0.75,0.34,6.8034,113 NDC,00143992490_2,CEFAZOLIN 330 MG/ML IM INJECTION|DISCARDED DRUG NOT ADMINISTERED,1.36,0.75,0.34,6.8034,113 NDC,00143992490_3,CEFAZOLIN SODIUM 1 G IJ SOLR (INTRA-ARTICULAR ONLY)|DISCARDED DRUG NOT ADMINISTERED,1.36,0.75,0.34,6.8034,113 NDC,00143992490_4,CEFAZOLIN SODIUM 1 G IJ SOLR|DISCARDED DRUG NOT ADMINISTERED,1.36,0.75,0.34,6.8034,113 NDC,00143992490_5,CEFAZOLIN SODIUM 1 G IJ SOLR,40.0,22.0,1.836,200.1,113 NDC,00143992490_6,CEFAZOLIN SODIUM 1 G IJ SOLR (INTRA-ARTICULAR ONLY),40.0,22.0,1.836,200.1,113 NDC,00143992490_7,CEFAZOLIN 100 MG/ML SYRINGE,110.0,60.5,1.836,550.275,113 NDC,00143992490_8,CEFAZOLIN 330 MG/ML IM INJECTION,110.0,60.5,1.836,550.275,113 NDC,00143997722,CEFUROXIME SODIUM 1.5 G IV SOLR,40.0,22.0,2.9665,200.1,113 NDC,00143997922,CEFUROXIME SODIUM 750 MG IJ SOLR,40.0,22.0,2.9665,200.1,113 NDC,00143998303,CEFAZOLIN SODIUM 10 G IJ SOLR,40.0,22.0,1.836,200.1,113 NDC,00168000215,TRIAMCINOLONE ACETONIDE 0.5 % EX CREA,9.4,5.17,2.35,8.46,113 NDC,00168004015,BETAMETHASONE VALERATE 0.1 % EX CREA,24.43,13.44,6.1075,21.987,113 NDC,00168004160,BETAMETHASONE VALERATE 0.1 % EX LOTN,75.88,41.73,18.97,68.292,113 NDC,00168005515,BETAMETHASONE DIPROPIONATE 0.05 % EX CREA,52.98,29.14,13.245,47.682,113 NDC,00168005760,BETAMETHASONE DIPROPIONATE 0.05 % EX LOTN,59.75,32.86,14.9375,53.775,113 NDC,00168009915,KETOCONAZOLE 2 % EX CREA,29.18,16.05,7.295,26.262,113 NDC,00168025815,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA,17.88,9.83,4.47,16.092,113 NDC,00168026760,BETAMETHASONE DIPROPIONATE AUG 0.05 % EX LOTN,190.4,104.72,47.6,171.36,113 NDC,00168026950,CLOBETASOL PROPIONATE 0.05 % EX SOLN,81.03,44.57,20.2575,72.927,113 NDC,00168027740,CLINDAMYCIN PHOSPHATE 2 % VA CREA,146.4,80.52,36.6,131.76,113 NDC,00168032346,METRONIDAZOLE 0.75 % EX CREA,150.4,82.72,37.6,135.36,113 NDC,00168033230,FLUTICASONE PROPIONATE 0.05 % EX CREA,55.38,30.46,13.845,49.842,113 NDC,00169266015,INSULIN DEGLUDEC 100 UNIT/ML SC SOPN,276.29,151.96,5.53,248.661,113 NDC,00169368512,INSULIN ASPART PROT & ASPART (70-30) 100 UNIT/ML SC SUSP,196.56,108.11,5.53,176.904,113 NDC,00169368712,INSULIN DETEMIR 100 UNIT/ML SC SOLN,256.59,141.12,0.2295,1283.591475,113 NDC,00169406012,LIRAGLUTIDE 18 MG/3ML SC SOPN,861.46,473.8,215.365,4309.45365,113 NDC,00169517603,ESTRADIOL 10 MCG VA TABS,48.16,26.49,12.04,43.344,113 NDC,00169633910,INSULIN ASPART 100 UNIT/ML SC SOPN,63.27,34.8,5.53,56.943,113 NDC,00169720101,COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR,5896.44,3243.04,2.52,5642.89308,122 NDC,00169720201,COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR,11558.4,6357.12,2.52,11061.3888,122 NDC,00169720501,COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR,29482.14,16215.18,2.52,28214.40798,122 NDC,00169720801,COAGULATION FACTOR VIIA RECOMB 8 MG IV SOLR,47171.4,25944.27,0.657,45143.0298,122 NDC,00169750111,INSULIN ASPART 100 UNIT/ML IJ SOLN,196.56,108.11,5.53,176.904,113 NDC,00169750111_2,INSULIN ASPART 100 UNIT/ML SC SOLN FOR PUMP,196.56,108.11,5.53,176.904,113 NDC,00172208960,HYDROCHLOROTHIAZIDE 50 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00172640649,CROMOLYN SODIUM 20 MG/2ML IN NEBU,9.7,5.34,2.425,8.73,113 NDC,00173051700,EPOPROSTENOL SODIUM 0.5 MG IV SOLR (FLOLAN),58.4,32.12,14.6,292.146,113 NDC,00173051900,EPOPROSTENOL SODIUM 1.5 MG IV SOLR (FLOLAN),169.29,93.11,19.0655,846.873225,113 NDC,00173052100,SALMETEROL XINAFOATE 50 MCG/ACT IN AEPB,958.8,527.34,239.7,862.92,113 NDC,00173068224,ALBUTEROL SULFATE HFA 108 (90 BASE) 8 GM INHALER (OR BULK CHARGE),50.93,28.01,12.7325,45.837,113 NDC,00173068224_2,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,50.93,28.01,12.7325,45.837,113 NDC,00173085702,GLYCINE DILUENT PH12 IV SOLN,43.99,24.19,10.9975,220.059975,113 NDC,00173085914,FLUTICASONE FUROATE-VILANTEROL 100-25 MCG/ACT IN AEPB,144.41,79.43,36.1025,129.969,113 NDC,00173086906,UMECLIDINIUM-VILANTEROL 62.5-25 MCG/ACT IN AEPB,146.97,80.83,36.7425,132.273,113 NDC,00173087614,FLUTICASONE FUROATE 200 MCG/ACT IN AEPB,210.6,115.83,52.65,189.54,113 NDC,00173088101,MEPOLIZUMAB 100 MG SC SOLR,10388.76,5713.82,2597.19,51969.7719,113 NDC,00173088214,FLUTICASONE FUROATE-VILANTEROL 200-25 MCG/ACT IN AEPB,144.41,79.43,36.1025,129.969,113 NDC,00173089803,DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN,34689.36,19079.15,235.28,173533.5234,124 NDC,00178061001,POTASSIUM CITRATE ER 10 MEQ (1080 MG) PO TBCR,4.84,2.66,1.21,4.356,113 NDC,00178082130,CITRANATAL 90 DHA 90-1 & 300 MG PO MISC,9.93,5.46,2.4825,8.937,113 NDC,00185021101,BENAZEPRIL-HYDROCHLOROTHIAZIDE 20-12.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00185067405,HYDROXYZINE PAMOATE 25 MG PO CAPS,4.0,2.2,0.1275,20.01,113 NDC,00186037028,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO,138.15,75.98,34.5375,124.335,113 NDC,00186037228,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO,276.3,151.97,69.075,248.67,113 NDC,00186077739,TICAGRELOR 90 MG PO TABS,16.94,9.32,4.235,15.246,113 NDC,00186091706,BUDESONIDE 90 MCG/ACT IN AEPB,625.31,343.92,156.3275,562.779,113 NDC,00186502031,ESOMEPRAZOLE MAGNESIUM 20 MG PO CPDR,20.76,11.42,5.19,18.684,113 NDC,00187019201,ISOSORBIDE DINITRATE 40 MG PO TABS,45.71,25.14,11.4275,41.139,113 NDC,00187093801,TOLCAPONE 100 MG PO TABS,376.55,207.1,94.1375,338.895,113 NDC,00187301330,PYRIDOSTIGMINE BROMIDE ER 180 MG PO TBCR,86.79,47.73,21.6975,78.111,113 NDC,00187517015,TRETINOIN 0.025 % EX GEL,33.98,18.69,8.495,30.582,113 NDC,00187517245,TRETINOIN 0.01 % EX GEL,101.9,56.05,25.475,91.71,113 NDC,00187560015,VERTEPORFIN 15 MG IV SOLR,4866.63,2676.65,11.5,24345.316575,123 NDC,00223172001,SODIUM BICARBONATE 325 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00225052547,AYR SALINE NASAL NA GEL,12.6,6.93,3.15,11.34,113 NDC,00225080047,PHENYLEPHRINE HCL 0.25 % NA SOLN,7.88,4.33,1.97,7.092,113 NDC,00225080047_2,PHENYLEPHRINE HCL 0.25 % NA SOLN 15 ML BOTTLE (BULK CHARGE),7.88,4.33,1.97,7.092,113 NDC,00225080547,PHENYLEPHRINE HCL 0.5 % NA SOLN,7.88,4.33,1.97,7.092,113 NDC,00225081047,PHENYLEPHRINE HCL 1 % NA SOLN,8.83,4.86,2.2075,7.947,113 NDC,00228206710,OXAZEPAM 10 MG PO CAPS,8.0,4.4,2.0,7.2,113 NDC,00228206910,OXAZEPAM 15 MG PO CAPS,8.0,4.4,2.0,7.2,113 NDC,00228262011,ISOSORBIDE MONONITRATE 20 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00228278111,PROPRANOLOL HCL ER 160 MG PO CP24,7.23,3.98,1.8075,6.507,113 NDC,00228284903,FLUVOXAMINE MALEATE ER 150 MG PO CP24,13.55,7.45,3.3875,12.195,113 NDC,00228285011,GUANFACINE HCL ER 1 MG PO TB24,4.0,2.2,1.0,3.6,113 NDC,00228285311,GUANFACINE HCL ER 3 MG PO TB24,4.0,2.2,1.0,3.6,113 NDC,00228308306,ALPRAZOLAM ER 0.5 MG PO TB24,8.0,4.4,2.0,7.2,113 NDC,00245010801,FERROUS SULFATE 325 (65 FE) MG PO TBEC,4.0,2.2,1.0,3.6,113 NDC,00245014401,AMIODARONE HCL 100 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00245531501,POTASSIUM CHLORIDE ER 8 MEQ PO TBCR,4.0,2.2,1.0,3.6,113 NDC,00245531689,POTASSIUM CHLORIDE ER 10 MEQ PO TBCR,4.0,2.2,1.0,3.6,113 NDC,00245531689_2,POTASSIUM CHLORIDE ER 10 MEQ PO TBCR CCU,4.0,2.2,1.0,3.6,113 NDC,00245531901,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR,4.0,2.2,1.0,3.6,113 NDC,00254101636,POSACONAZOLE 40 MG/ML PO SUSP,105.8,58.19,26.45,95.22,113 NDC,00254302802,LUBIPROSTONE 8 MCG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00259160501,INCOBOTULINUMTOXINA 50 UNITS IM SOLR,1072.0,589.6,5.25,5362.68,123 NDC,00259161001,INCOBOTULINUMTOXINA 100 UNITS IM SOLR,2044.0,1124.2,511.0,10225.11,113 NDC,00264100990,LEVETIRACETAM 1000 MG/100ML RTU,110.0,60.5,0.0595,550.275,113 NDC,00264180031,SODIUM CHLORIDE 0.9 % IV 50 ML (LINE CARE),70.0,38.5,17.5,350.175,113 NDC,00264310311,CEFAZOLIN SODIUM-DEXTROSE 1-4 GM-%(50ML) IV SOLR,110.0,60.5,1.836,550.275,113 NDC,00264310511,CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR,110.0,60.5,1.836,550.275,113 NDC,00264312511,CEFOXITIN SODIUM-DEXTROSE 2-2.2 GM-%(50ML) IV SOLR,110.0,60.5,6.256,550.275,113 NDC,00264315311,CEFTRIAXONE SODIUM-DEXTROSE 1-3.74 GM-%(50ML) IV SOLR,110.0,60.5,0.969,550.275,113 NDC,00264315511,CEFTRIAXONE SODIUM-DEXTROSE 2-2.22 GM-%(50ML) IV SOLR,110.0,60.5,0.969,550.275,113 NDC,00264318511,MEROPENEM-SODIUM CHLORIDE 1 GM/50ML IV SOLR|DISCARDED DRUG NOT ADMINISTERED,27.09,14.9,0.6205,135.517725,113 NDC,00264318511_2,MEROPENEM 1 GM/50 ML NS (X2) SPLIT INFUSION|DISCARDED DRUG NOT ADMINISTERED,54.18,29.8,0.6205,271.03545,113 NDC,00264318511_3,MEROPENEM 1 GM/50 ML NS (X2) SPLIT INFUSION,110.0,60.5,0.6205,550.275,113 NDC,00264318511_4,MEROPENEM-SODIUM CHLORIDE 1 GM/50ML IV SOLR,110.0,60.5,0.6205,550.275,113 NDC,00264319311,CEFEPIME-DEXTROSE 1-5 GM-%(50ML) IV SOLR,110.0,60.5,2.3885,550.275,113 NDC,00264319511,CEFEPIME-DEXTROSE 2-5 GM-%(50ML) IV SOLR,110.0,60.5,6.324,550.275,114 NDC,00264410090,ACETAMINOPHEN 10 MG/ML SYRINGE (NICU),40.0,22.0,0.072,200.1,114 NDC,00264410090_2,ACETAMINOPHEN 10 MG/ML 0-50 ML SYRINGE,110.0,60.5,0.072,550.275,114 NDC,00264410090_3,ACETAMINOPHEN 10 MG/ML 0-50 ML SYRINGE (2 DAY MAX DURATION),110.0,60.5,0.072,550.275,114 NDC,00264410090_4,ACETAMINOPHEN 10 MG/ML 50-100 ML INTRAVIA,110.0,60.5,0.072,550.275,114 NDC,00264410090_5,ACETAMINOPHEN 10 MG/ML 50-100 ML INTRAVIA (2 DAY MAX DURATION),110.0,60.5,0.072,550.275,114 NDC,00264410090_6,ACETAMINOPHEN 10 MG/ML IV SOLN,110.0,60.5,0.072,550.275,114 NDC,00264410090_7,ACETAMINOPHEN 10 MG/ML IV SOLN (2 DAY MAX DURATION),110.0,60.5,0.072,550.275,114 NDC,00264446030,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL,130.0,71.5,32.5,650.325,113 NDC,00264446030_2,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL SYRINGE (NICU/PEDS),130.0,71.5,32.5,650.325,113 NDC,00264446030_3,FAT EMULSION PLANT BASED 20 % IV 250 ML (BULK CHARGE),130.0,71.5,32.5,650.325,113 NDC,00264450005,PLENAMINE 15 % IV SOLN,176.32,96.98,44.08,882.0408,113 NDC,00264500990,LEVETIRACETAM 500 MG/100ML RTU,110.0,60.5,0.0595,550.275,113 NDC,00264553532,METRONIDAZOLE 5MG/ML IVPB|DISCARDED DRUG NOT ADMINISTERED,2.93,1.61,0.7325,14.657325,113 NDC,00264553532_2,METRONIDAZOLE 5MG/ML IVPB,110.0,60.5,27.5,550.275,113 NDC,00264751010,DEXTROSE 5 % IV SOLN DEHP FREE,70.0,38.5,5.355,63.0,113 NDC,00264762200,DEXTROSE 10 %/0.45 % NACL,70.0,38.5,17.5,63.0,113 NDC,00264762200_2,DEXTROSE-NACL 10-0.45 % IV SOLN,70.0,38.5,17.5,63.0,113 NDC,00264762200_3,DEXTROSE-NACL 10-0.45 % IV SOLN (PEDS DKA),70.0,38.5,17.5,63.0,113 NDC,00264764500,DEXTROSE 5 %/0.2 % NACL/20 MEQ KCL,100.0,55.0,0.391,500.25,113 NDC,00264770700,ISOLYTE-S PH 7.4 IV BOLUS,40.0,22.0,10.0,36.0,113 NDC,00264770700_2,ISOLYTE-S PH 7.4 IV SOLN,70.0,38.5,17.5,63.0,113 NDC,00264780200,SODIUM CHLORIDE 0.45% IV BOLUS FOR REPLACEMENT,70.0,38.5,17.5,350.175,113 NDC,00264958720,HEPARIN 100 UNITS/ML (CAPS),110.0,60.5,0.5695,550.275,113 NDC,00264987210,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN,110.0,60.5,0.5695,550.275,113 NDC,00270009101,RUBIDIUM RB 82 CHLORIDE IV SOLR,2862.87,1574.58,715.7175,14321.507175,113 NDC,00270044540,DIATRIZOATE MEGLUMINE & SODIUM 66-10 % PO SOLN (NON-DIAGNOSTIC),47.08,25.89,0.21,42.372,112 NDC,00270709916,SULFUR HEXAFLUORIDE MICROSPH 60.7-25 MG IJ SUSR,262.76,144.52,65.69,1314.4569,113 NDC,00281020502,SURGILUBE EX GEL,11.55,6.35,2.8875,10.395,113 NDC,00281032608,NITROGLYCERIN 2 % TD OINT,4.99,2.74,1.2475,4.491,113 NDC,00283061026,BENZOCAINE 20 % MT SOLN,22.94,12.62,5.735,20.646,113 NDC,00283087131,BENZOCAINE 20 % MT GEL,16.88,9.28,4.22,15.192,113 NDC,00299382230,DOXYCYCLINE 40 MG PO CPDR,68.99,37.94,17.2475,62.091,113 NDC,00299384704,CLOBETASOL PROPIONATE 0.05 % EX SHAM,1987.53,1093.14,496.8825,1788.777,113 NDC,00299384904,CLOBETASOL PROPIONATE 0.05 % EX LIQD,2075.58,1141.57,518.895,1868.022,113 NDC,00299392708,CETAPHIL EX LIQD,15.95,8.77,3.9875,14.355,113 NDC,00299596312,RESTYLANE-L LYFT 1 ML,1149.76,632.37,287.44,5751.6744,113 NDC,00299596410,RESTYLANE-L REFYNE 1 ML,1284.8,706.64,321.2,6427.212,113 NDC,00299596713,RESTYLANE-L 1 ML,1061.32,583.73,265.33,5309.2533,113 NDC,00310028060,QUETIAPINE FUMARATE ER 50 MG PO TB24,18.5,10.18,4.625,16.65,113 NDC,00310028260,QUETIAPINE FUMARATE ER 200 MG PO TB24,34.55,19.0,8.6375,31.095,113 NDC,00310110530,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PO PACK,38.4,21.12,9.6,34.56,113 NDC,00310111030,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,38.4,21.12,9.6,34.56,113 NDC,00310320004,COAG FACT XA INACTIVATED-ZHZO 200 MG IV SOLR|DISCARDED DRUG NOT ADMINISTERED,7248.75,3986.81,127.5,6937.05375,123 NDC,00310320004_2,COAG FACT XA INACTIVATED-ZHZO IV INFUSION|DISCARDED DRUG NOT ADMINISTERED,7248.75,3986.81,127.5,6937.05375,123 NDC,00310320004_3,COAG FACT XA INACTIVATED-ZHZO IVPB BOLUS|DISCARDED DRUG NOT ADMINISTERED,7248.75,3986.81,127.5,6937.05375,123 NDC,00310320004_4,COAG FACT XA INACTIVATED-ZHZO 200 MG IV SOLR,7318.75,4025.31,127.5,7004.04375,123 NDC,00310320004_5,COAG FACT XA INACTIVATED-ZHZO IV INFUSION,7318.75,4025.31,127.5,7004.04375,123 NDC,00310320004_6,COAG FACT XA INACTIVATED-ZHZO IVPB BOLUS,7318.75,4025.31,127.5,7004.04375,123 NDC,00310450012,DURVALUMAB 120 MG/2.4ML IV SOLN,3962.8,2179.54,990.7,19823.907,113 NDC,00310450525,TREMELIMUMAB-ACTL 25 MG/1.25ML IV SOLN,9945.0,5469.75,2486.25,49749.8625,113 NDC,00310453530,TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN,119340.0,65637.0,0.657,107406.0,124 NDC,00310621039,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,29.82,16.4,7.455,26.838,113 NDC,00316022515,MICONAZOLE NITRATE 2 % EX POWD,7.28,4.0,1.82,6.552,113 NDC,00338000404,STERILE WATER FOR IRRIGATION FOR ORAL USE,4.0,2.2,1.0,6.0,113 NDC,00338000404_2,STERILE WATER FOR IRRIGATION IR SOLN,40.0,22.0,6.0,36.0,113 NDC,00338000404_3,WATER FOR IRRIGATION STERILE IR SOLN,40.0,22.0,6.0,36.0,113 NDC,00338001304,STERILE WATER FOR INJECTION IV SOLN (LARGE VOLUME),70.0,38.5,6.0,63.0,113 NDC,00338001702,DEXTROSE 5 % IV SOLN 250 ML (BULK CHARGE),70.0,38.5,5.355,63.0,113 NDC,00338001702_2,DEXTROSE 5% IV SOLN (250 ML),70.0,38.5,5.355,63.0,113 NDC,00338001703,DEXTROSE 5 % IV SOLN 500ML (BULK CHARGE),70.0,38.5,5.355,63.0,113 NDC,00338001703_2,DEXTROSE 5% IV SOLN (500 ML),70.0,38.5,5.355,63.0,113 NDC,00338001704,DEXTROSE 5 % IV BOLUS,70.0,38.5,5.355,63.0,113 NDC,00338001704_2,DEXTROSE 5 % IV SOLN,70.0,38.5,5.355,63.0,113 NDC,00338001704_3,DEXTROSE 5 % IV SOLN 1000ML (BULK CHARGE),70.0,38.5,5.355,63.0,113 NDC,00338001704_4,DEXTROSE 5 % POSTDILUTION SOLUTION,70.0,38.5,5.355,63.0,113 NDC,00338001704_5,DEXTROSE 5 % PREDILUTION SOLUTION,70.0,38.5,5.355,63.0,113 NDC,00338001704_6,DEXTROSE 5% BOLUS (IV FOR PO),70.0,38.5,7.72,63.0,113 NDC,00338001731,DEXTROSE 5 % IV SOLN 50ML (BULK CHARGE),70.0,38.5,17.5,63.0,113 NDC,00338001748,DEXTROSE 5 % IV SOLN 100 ML (BULK CHARGE),70.0,38.5,17.5,63.0,113 NDC,00338001748_2,DEXTROSE 5% IV SOLN (100 ML),70.0,38.5,17.5,63.0,113 NDC,00338002303,DEXTROSE 10 % IV SOLN 500 ML (BULK CHARGE),70.0,38.5,17.5,63.0,113 NDC,00338002304,DEXTROSE 10 % IV BOLUS,70.0,38.5,17.5,63.0,113 NDC,00338002304_2,DEXTROSE 10 % IV BOLUS (PEDS DKA),70.0,38.5,17.5,63.0,113 NDC,00338002304_3,DEXTROSE 10 % IV MINI-BOLUS (NICU),70.0,38.5,17.5,63.0,113 NDC,00338002304_4,DEXTROSE 10 % IV SOLN,70.0,38.5,17.5,63.0,113 NDC,00338002304_5,DEXTROSE 10 % IV SOLN (HIET PROTOCOL),70.0,38.5,17.5,63.0,113 NDC,00338002304_6,DEXTROSE 10 % IV SOLN (PEDS DKA),70.0,38.5,17.5,63.0,113 NDC,00338004303,SODIUM CHLORIDE 0.45 % IV SOLN 500ML (BULK CHARGE),70.0,38.5,17.5,63.0,113 NDC,00338004304,SODIUM CHLORIDE 0.45 % IV BOLUS,70.0,38.5,17.5,350.175,113 NDC,00338004304_2,SODIUM CHLORIDE 0.45 % IV SOLN,70.0,38.5,17.5,63.0,113 NDC,00338004304_3,SODIUM CHLORIDE 0.45 % IV SOLN 1000ML (BULK CHARGE),70.0,38.5,17.5,63.0,113 NDC,00338004304_4,SODIUM CHLORIDE 0.45 % POSTDILUTION SOLUTION,70.0,38.5,17.5,63.0,113 NDC,00338004304_5,SODIUM CHLORIDE 0.45 % PREDILUTION SOLUTION,70.0,38.5,17.5,63.0,113 NDC,00338004747,SODIUM CHLORIDE 0.9 % IRRIGATION SOLN 3000ML BAG (BULK CHARGE),40.0,22.0,10.0,36.0,113 NDC,00338004804,SODIUM CHLORIDE 0.9 % IR SOLN,40.0,22.0,6.0,36.0,113 NDC,00338004902,SODIUM CHLORIDE 0.9 % IV 250 ML (LINE CARE),70.0,38.5,4.3775,63.0,113 NDC,00338004902_2,SODIUM CHLORIDE 0.9 % IV SOLN 250 ML (BULK CHARGE),70.0,38.5,4.3775,63.0,113 NDC,00338004902_3,SODIUM CHLORIDE 0.9% IV SOLN (250 ML),70.0,38.5,4.3775,63.0,113 NDC,00338004903,SODIUM CHLORIDE 0.9% IV SOLN (500 ML),70.0,38.5,6.0,63.0,113 NDC,00338004904,SODIUM CHLORIDE 0.9 % BOLUS (APHERESIS),70.0,38.5,5.61,63.0,113 NDC,00338004904_10,SODIUM CHLORIDE 0.9 % POSTDILUTION SOLUTION,70.0,38.5,5.61,63.0,113 NDC,00338004904_11,SODIUM CHLORIDE 0.9 % PREDILUTION SOLUTION,70.0,38.5,5.61,63.0,113 NDC,00338004904_12,SODIUM CHLORIDE 0.9% IV SOLN (1000 ML),70.0,38.5,5.61,63.0,113 NDC,00338004904_2,SODIUM CHLORIDE 0.9 % IV BOLUS,70.0,38.5,5.61,63.0,113 NDC,00338004904_3,SODIUM CHLORIDE 0.9 % IV BOLUS (PEDS DKA),70.0,38.5,5.61,63.0,113 NDC,00338004904_4,SODIUM CHLORIDE 0.9 % IV BOLUS (SEPSIS),70.0,38.5,5.61,63.0,113 NDC,00338004904_5,SODIUM CHLORIDE 0.9 % IV SOLN,70.0,38.5,5.61,63.0,113 NDC,00338004904_6,SODIUM CHLORIDE 0.9 % IV SOLN (EKOS),70.0,38.5,5.61,63.0,113 NDC,00338004904_7,SODIUM CHLORIDE 0.9 % IV SOLN (MORGAN LENS),70.0,38.5,5.61,63.0,113 NDC,00338004904_8,SODIUM CHLORIDE 0.9 % IV SOLN (PEDS DKA),70.0,38.5,5.61,63.0,113 NDC,00338004904_9,SODIUM CHLORIDE 0.9 % IV SOLN 1000 ML (BULK CHARGE),70.0,38.5,5.61,63.0,113 NDC,00338004918,SODIUM CHLORIDE 0.9% IV SOLN (100 ML),70.0,38.5,6.0,63.0,113 NDC,00338004938,SODIUM CHLORIDE 0.9 % IV 100 ML (LINE CARE),70.0,38.5,4.3775,63.0,113 NDC,00338004938_2,SODIUM CHLORIDE 0.9 % IV SOLN 100 ML (BULK CHARGE),70.0,38.5,4.3775,63.0,113 NDC,00338005403,SODIUM CHLORIDE 3 % IVPB (ADULT),40.0,22.0,0.17,200.1,113 NDC,00338005403_2,SODIUM CHLORIDE 3 % IVPB (PEDS),40.0,22.0,0.17,200.1,113 NDC,00338005403_3,SODIUM CHLORIDE 3 % DRIP (ADULT),70.0,38.5,0.17,63.0,113 NDC,00338005403_4,SODIUM CHLORIDE 3 % DRIP (PEDS),70.0,38.5,0.17,63.0,113 NDC,00338005403_5,SODIUM CHLORIDE 3 % IV SOLN,70.0,38.5,0.17,63.0,113 NDC,00338005403_6,SODIUM CHLORIDE 3 % SYRINGE,110.0,60.5,0.17,550.275,113 NDC,00338005403_7,SODIUM CHLORIDE 3 % SYRINGE (NICU),110.0,60.5,0.17,550.275,113 NDC,00338007304,DEXTROSE-SODIUM CHLORIDE 2.5-0.45 % IV SOLN,70.0,38.5,17.5,63.0,113 NDC,00338007704,DEXTROSE 5 %/0.2 % NACL,70.0,38.5,17.5,63.0,113 NDC,00338008503,DEXTROSE 5 %/0.45 % NACL 500ML (BULK CHARGE),70.0,38.5,17.5,63.0,113 NDC,00338008504,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN,40.0,22.0,10.0,36.0,113 NDC,00338008504_2,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS,70.0,38.5,17.5,63.0,113 NDC,00338008504_3,DEXTROSE 5 %/0.45 % NACL,70.0,38.5,17.5,63.0,113 NDC,00338008504_4,DEXTROSE 5 %/0.45% NACL 1000ML (BULK CHARGE),70.0,38.5,17.5,63.0,113 NDC,00338008903,DEXTROSE 5%/0.9% NACL 500ML (BULK CHARGE),70.0,38.5,3.0175,63.0,113 NDC,00338008904,DEXTROSE 5%/0.9% NACL 1000ML (BULK CHARGE),70.0,38.5,3.0175,63.0,113 NDC,00338008904_2,DEXTROSE-NACL 5-0.9 % IV SOLN,70.0,38.5,3.0175,63.0,113 NDC,00338011704,LACTATED RINGERS IV BOLUS,70.0,38.5,6.91,63.0,113 NDC,00338011704_2,LACTATED RINGERS IV BOLUS (REPLACEMENT),70.0,38.5,6.91,63.0,113 NDC,00338011704_3,LACTATED RINGERS IV BOLUS (SEPSIS),70.0,38.5,6.91,63.0,113 NDC,00338011704_4,LACTATED RINGERS IV SOLN,70.0,38.5,6.91,63.0,113 NDC,00338011704_5,LACTATED RINGERS IV SOLN (MORGAN LENS),70.0,38.5,6.91,63.0,113 NDC,00338012204,VANCOMYCIN 1.25 GM/250 ML RTU,110.0,60.5,3.06,550.275,113 NDC,00338012404,VANCOMYCIN 1.5 GM/300 ML RTU,110.0,60.5,3.06,550.275,113 NDC,00338012504,DEXTROSE 5 %/LACTATED RINGERS,70.0,38.5,8.143,63.0,113 NDC,00338012612,INSULIN REGULAR HUMAN 100 UNITS/100 ML (PEDS DKA) DRIP >/= 11 YO RTU,45.29,24.91,11.3225,226.563225,113 NDC,00338012612_2,INSULIN REGULAR HUMAN 100 UNITS/100 ML (PEDS DKA) DRIP 6-10 YO RTU,45.29,24.91,11.3225,226.563225,113 NDC,00338012612_3,INSULIN REGULAR HUMAN 100 UNITS/100 ML DRIP (DKA) RTU,45.29,24.91,11.3225,226.563225,113 NDC,00338012612_4,INSULIN REGULAR HUMAN 100 UNITS/100 ML DRIP (NSURG) RTU,45.29,24.91,11.3225,226.563225,113 NDC,00338012612_5,INSULIN REGULAR HUMAN 100 UNITS/100 ML DRIP (PEDS) RTU,45.29,24.91,11.3225,226.563225,113 NDC,00338012612_6,INSULIN REGULAR HUMAN 100 UNITS/100 ML DRIP FOR FLOOR RTU,45.29,24.91,11.3225,226.563225,113 NDC,00338012612_7,INSULIN REGULAR HUMAN 100 UNITS/100 ML DRIP FOR ICU DRIP RTU,45.29,24.91,11.3225,226.563225,113 NDC,00338012612_8,INSULIN REGULAR HUMAN 100 UNITS/100 ML DRIP FOR TYPE 1 DM RTU,45.29,24.91,11.3225,226.563225,113 NDC,00338012612_9,INSULIN REGULAR HUMAN 100 UNITS/100 ML DRIP RTU,45.29,24.91,11.3225,226.563225,113 NDC,00338022104,PLASMA-LYTE A IV BOLUS,40.0,22.0,10.0,36.0,113 NDC,00338022104_2,PLASMA-LYTE-A PH 7.4 IV SOLN,70.0,38.5,17.5,63.0,113 NDC,00338028947,GLYCINE UROLOGIC 1.5 % IR SOLN,40.0,22.0,10.0,200.1,113 NDC,00338029547,SORBITOL 3 % IR SOLN,40.0,22.0,10.0,200.1,113 NDC,00338032201,THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR,104.5,57.48,26.125,94.05,113 NDC,00338035303,MANNITOL 10 % IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00338035702,MANNITOL 20 % IV <=50 ML SYRINGE,49.71,27.34,12.4275,248.674275,113 NDC,00338035702_2,MANNITOL 20 % IV <=150 ML,70.0,38.5,17.5,350.175,113 NDC,00338035702_3,MANNITOL 20 % IV <=250 ML,70.0,38.5,17.5,350.175,113 NDC,00338035702_4,MANNITOL 20% IV 250 ML RTU,70.0,38.5,17.5,350.175,113 NDC,00338041102,LIDOCAINE IN D5W 8-5 MG/ML-% IV SOLN|DISCARDED DRUG NOT ADMINISTERED,3.43,1.89,0.0425,17.158575,113 NDC,00338041102_2,LIDOCAINE IN D5W 8-5 MG/ML-% IV SOLN,110.0,60.5,0.0425,550.275,113 NDC,00338050748,GENTAMICIN 120 MG/100 ML RTU,110.0,60.5,3.1025,550.275,113 NDC,00338050941,GENTAMICIN 80 MG/50 ML RTU,110.0,60.5,3.1025,550.275,113 NDC,00338050941_2,GENTAMICIN 80 MG/50 ML RTU (EXTENDED),110.0,60.5,3.1025,550.275,113 NDC,00338050941_3,GENTAMICIN 80 MG/50 ML RTU (TRADITIONAL),110.0,60.5,3.1025,550.275,113 NDC,00338051141,GENTAMICIN 100 MG/50 ML RTU,110.0,60.5,3.1025,550.275,113 NDC,00338064406,TRAVASOL 10 % IV SOLN,52.2,28.71,13.05,261.1305,113 NDC,00338065604,ACETIC ACID 0.25 % IR SOLN,40.0,22.0,10.0,200.1,113 NDC,00338066904,DEXTROSE 5 %/0.45 % NACL/10 MEQ KCL,100.0,55.0,0.391,500.25,113 NDC,00338067104,DEXTROSE 5 %/0.45 % NACL/20 MEQ KCL,100.0,55.0,0.391,500.25,113 NDC,00338067304,DEXTROSE 5 %/0.45 % NACL/30 MEQ KCL,100.0,55.0,25.0,500.25,113 NDC,00338067504,DEXTROSE 5 %/0.45 % NACL/40 MEQ KCL,100.0,55.0,25.0,500.25,113 NDC,00338068304,POTASSIUM CL IN DEXTROSE 5% 20 MEQ/L IV SOLN,110.0,60.5,0.391,550.275,113 NDC,00338069104,SODIUM CHLORIDE 0.9 %/20 MEQ KCL,100.0,55.0,0.391,500.25,113 NDC,00338069504,SODIUM CHLORIDE 0.9 %/40 MEQ KCL,100.0,55.0,0.391,500.25,113 NDC,00338070341,POTASSIUM CHLORIDE 20 MEQ/50 ML (0.4 MEQ/ML) SYR-RTU,110.0,60.5,0.391,550.275,113 NDC,00338070341_2,POTASSIUM CHLORIDE 20 MEQ/50ML RTU,110.0,60.5,0.391,550.275,113 NDC,00338070341_3,POTASSIUM CHLORIDE 20 MEQ/50ML RTU CCU,110.0,60.5,0.391,550.275,113 NDC,00338070434,SODIUM CHLORIDE 0.45 %/20 MEQ KCL,100.0,55.0,0.391,500.25,113 NDC,00338070434_2,SODIUM CHLORIDE 0.45 %/20 MEQ KCL (MULTI-GPI),100.0,55.0,0.391,500.25,113 NDC,00338070434_3,SODIUM CHLORIDE 0.45%/20 MEQ KCL (REPLACEMENT),100.0,55.0,0.391,500.25,113 NDC,00338070541,POTASSIUM CHLORIDE 10 MEQ/50ML IV SOLN RTU,110.0,60.5,0.391,550.275,113 NDC,00338070548,POTASSIUM CHLORIDE 20 MEQ/100ML RTU,110.0,60.5,0.391,550.275,113 NDC,00338070948,POTASSIUM CHLORIDE 0.1 MEQ/ML INTRAVIA (PERIPHERAL),110.0,60.5,0.391,550.275,113 NDC,00338070948_2,POTASSIUM CHLORIDE 0.1 MEQ/ML SYRINGE (PERIPHERAL),110.0,60.5,0.391,550.275,113 NDC,00338070948_3,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN RTU,110.0,60.5,0.391,550.275,113 NDC,00338071224,DAPTOMYCIN 350 MG/50 ML RTU,110.0,60.5,0.0765,550.275,113 NDC,00338071424,DAPTOMYCIN 500 MG/50 ML RTU,110.0,60.5,0.0765,550.275,113 NDC,00338071612,DAPTOMYCIN 700 MG/100 ML RTU,110.0,60.5,0.0765,550.275,113 NDC,00338071812,DAPTOMYCIN 1000 MG/100 ML RTU,110.0,60.5,0.0765,550.275,113 NDC,00338071906,DEXTROSE 70 % IV SOLN,70.0,38.5,17.5,350.175,113 NDC,00338080304,DEXTROSE 5 %/0.9 % NACL/20 MEQ KCL,100.0,55.0,0.391,500.25,113 NDC,00338100702,DOPAMINE 400 MG/250 ML RTU (FIXED RATE),110.0,60.5,0.595,550.275,113 NDC,00338100702_2,DOPAMINE 400 MG/250 ML RTU (TITRATABLE RATE) (PERIPHERAL),110.0,60.5,0.595,550.275,113 NDC,00338100702_3,DOPAMINE 400 MG/250 ML RTU (TITRATABLE RATE/ICU),110.0,60.5,0.595,550.275,113 NDC,00338101541,OXACILLIN 2 GM/50 ML RTU,110.0,60.5,2.244,550.275,113 NDC,00338101541_2,OXACILLIN CONTINUOUS INFUSION 2 GM/50 ML RTU,110.0,60.5,2.244,550.275,113 NDC,00338102541,PENICILLIN G POT IN DEXTROSE 60000 UNIT/ML IV SOLN,40.0,22.0,0.5185,200.1,113 NDC,00338104702,NITROGLYCERIN IN D5W 100-5 MCG/ML-% IV SOLN,110.0,60.5,1.548,550.275,114 NDC,00338104902,NITROGLYCERIN 50 MG/250 ML RTU|DISCARDED DRUG NOT ADMINISTERED,3.46,1.9,0.865,17.30865,113 NDC,00338104902_2,NITROGLYCERIN 50 MG/250 ML RTU,110.0,60.5,27.5,550.275,113 NDC,00338105102,NITROGLYCERIN 100 MG/250 ML RTU|DISCARDED DRUG NOT ADMINISTERED,11.28,6.2,1.548,56.4282,114 NDC,00338105102_2,NITROGLYCERIN 100 MG/250 ML RTU,110.0,60.5,1.548,550.275,114 NDC,00338107502,DOBUTAMINE 500 MG/250 ML RTU (FIXED RATE),110.0,60.5,6.8,550.275,113 NDC,00338107502_2,DOBUTAMINE 500 MG/250 ML RTU (TITRATABLE RATE/ICU),110.0,60.5,6.8,550.275,113 NDC,00338113004,PREMASOL 10 % IV SOLN,350.36,192.7,87.59,1752.6759,113 NDC,00338113403,AMINO ACID INFUSION IN D10W 4.25 % IV SOLN,30.69,16.88,7.6725,153.526725,113 NDC,00338130141,CEFEPIME 1 GM/50 ML RTU,110.0,60.5,6.768,550.275,114 NDC,00338130141_2,CEFEPIME 20 MG/ML IVPB RTU (PEDS),110.0,60.5,6.768,550.275,114 NDC,00338130141_3,CEFEPIME 20 MG/ML SYRINGE RTU (PEDS),110.0,60.5,6.768,550.275,114 NDC,00338130148,CEFEPIME 2 GM/100 ML RTU,110.0,60.5,6.768,550.275,114 NDC,00338350341,CEFAZOLIN SODIUM-DEXTROSE 1-4 GM/50ML-% IV SOLN,110.0,60.5,1.836,550.275,113 NDC,00338350841,CEFAZOLIN SODIUM-DEXTROSE 2-4 GM/100ML-% IV SOLN,110.0,60.5,1.476,550.275,114 NDC,00338355148,VANCOMYCIN 500 MG/100 ML RTU,110.0,60.5,3.06,550.275,113 NDC,00338355248,VANCOMYCIN 1 GM/200 ML RTU,110.0,60.5,3.06,550.275,113 NDC,00338355248_2,VANCOMYCIN CONTINUOUS INFUSION 1 G/200 ML RTU,110.0,60.5,3.06,550.275,113 NDC,00338358048,VANCOMYCIN 5 MG/ML IVPB-RTU (PEDS),110.0,60.5,3.06,550.275,113 NDC,00338358048_2,VANCOMYCIN 5 MG/ML SYR-RTU (NICU),110.0,60.5,3.06,550.275,113 NDC,00338358048_3,VANCOMYCIN 5 MG/ML SYR-RTU (PEDS),110.0,60.5,3.06,550.275,113 NDC,00338358048_4,VANCOMYCIN 750 MG/150 ML RTU,110.0,60.5,3.06,550.275,113 NDC,00338358048_5,VANCOMYCIN CONTINUOUS INFUSION 750 MG/150 ML RTU,110.0,60.5,3.06,550.275,113 NDC,00338361224,CLINDAMYCIN 600 MG/50 ML IN D5W RTU|DISCARDED DRUG NOT ADMINISTERED,4.69,2.58,1.071,23.461725,114 NDC,00338361224_2,CLINDAMYCIN 12 MG/ML SYR-RTU D5W (PEDS),110.0,60.5,1.071,550.275,114 NDC,00338361224_3,CLINDAMYCIN 600 MG/50 ML IN D5W RTU,110.0,60.5,1.071,550.275,114 NDC,00338500241,CEFTRIAXONE 1 GM/50 ML RTU,110.0,60.5,0.969,550.275,113 NDC,00338500341,CEFTRIAXONE 2 GM/50 ML RTU,110.0,60.5,0.969,550.275,113 NDC,00338500341_2,CEFTRIAXONE 40 MG/ML SYRINGE-RTU (PEDS),115.53,63.54,0.969,577.938825,113 NDC,00338519741,FAMOTIDINE 20 MG/50 ML RTU,110.0,60.5,27.5,550.275,113 NDC,00338905112,MICAFUNGIN SODIUM-NACL 50-0.9 MG/50ML-% IV SOLN,110.0,60.5,0.7905,550.275,113 NDC,00338905312,MICAFUNGIN 100 MG/100 ML RTU,110.0,60.5,0.7905,550.275,113 NDC,00338905510,MICAFUNGIN 150 MG/150 ML RTU,110.0,60.5,0.7905,550.275,113 NDC,00338954304,SODIUM CHLORIDE 0.9 % IV 500 ML (LINE CARE),70.0,38.5,5.61,63.0,113 NDC,00338954304_2,SODIUM CHLORIDE 0.9 % IV SOLN 500 ML (BULK CHARGE),70.0,38.5,5.61,63.0,113 NDC,00338954304_3,SODIUM CHLORIDE 0.9 % IV SOLN DEHP FREE,70.0,38.5,5.61,63.0,113 NDC,00338954304_4,SODIUM CHLORIDE 0.9 % SOLN (APHERESIS),70.0,38.5,5.61,63.0,113 NDC,00338954304_5,SODIUM CHLORIDE 0.9 % SOLN 500 ML (PHOTOPHERESIS),70.0,38.5,5.61,63.0,113 NDC,00338954924,CLINDAMYCIN 600 MG/50 ML IN NS RTU|DISCARDED DRUG NOT ADMINISTERED,4.69,2.58,1.1725,23.461725,113 NDC,00338954924_2,CLINDAMYCIN 12 MG/ML SYR-RTU NS (PEDS),110.0,60.5,27.5,550.275,113 NDC,00338954924_3,CLINDAMYCIN 600 MG/50 ML IN NS RTU,110.0,60.5,27.5,550.275,113 NDC,00338955324,CLINDAMYCIN PHOSPHATE IN NACL 900-0.9 MG/50ML-% IV SOLN|DISCARDED DRUG NOT ADMINISTERED,5.8,3.19,1.45,29.0145,114 NDC,00338955324_2,CLINDAMYCIN 18 MG/ML SYR-RTU NS (PEDS),110.0,60.5,2.1,550.275,114 NDC,00338955324_3,CLINDAMYCIN PHOSPHATE IN NACL 900-0.9 MG/50ML-% IV SOLN,110.0,60.5,2.1,550.275,114 NDC,00338963624,PIPERACILLIN-TAZOBACTAM 3.375 G/50 ML RTU,110.0,60.5,1.751,550.275,113 NDC,00338963624_2,PIPERACILLIN-TAZOBACTAM 3.375 GM/50 ML RTU (EXT 4HR),110.0,60.5,1.751,550.275,113 NDC,00338963812,PIPERACILLIN-TAZOBACTAM 4.5 GM/100 ML RTU,110.0,60.5,1.751,550.275,113 NDC,00338963812_2,PIPERACILLIN-TAZOBACTAM 4.5 GM/100 ML RTU (EXT 4HR),110.0,60.5,1.751,550.275,113 NDC,00338964012,VASOPRESSIN IN NS 20 UNITS/100 ML RTU (MULTI-GPI)|DISCARDED DRUG NOT ADMINISTERED,53.76,29.57,13.44,268.9344,113 NDC,00338964012_2,VASOPRESSIN IN NS 20 UNITS/100 ML RTU (MULTI-GPI),110.0,60.5,27.5,550.275,113 NDC,00338964712,VASOPRESSIN 40 UNITS/100 ML RTU|DISCARDED DRUG NOT ADMINISTERED,105.16,57.84,2.01,526.0629,122 NDC,00338964712_2,VASOPRESSIN 40 UNITS/100 ML RTU,110.0,60.5,2.01,550.275,122 NDC,00338964812,PANTOPRAZOLE SODIUM-NACL 80-0.9 MG/100ML-% IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00378005201,PINDOLOL 5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00378209601,NISOLDIPINE ER 8.5 MG PO TB24,8.52,4.69,2.13,7.668,113 NDC,00378222201,NISOLDIPINE ER 20 MG PO TB24,25.37,13.95,6.3425,22.833,113 NDC,00378233078,RUFINAMIDE 200 MG PO TABS,5.87,3.23,1.4675,5.283,113 NDC,00378335199,ESTRADIOL 0.075 MG/24HR TD PTWK,24.5,13.48,6.125,22.05,113 NDC,00378335299,ESTRADIOL 0.1 MG/24HR TD PTWK,33.96,18.68,8.49,30.564,113 NDC,00378416001,ATOVAQUONE-PROGUANIL HCL 62.5-25 MG PO TABS,4.79,2.63,1.1975,4.311,113 NDC,00378427093,AMBRISENTAN 5 MG PO TABS,38.39,21.11,9.5975,34.551,113 NDC,00378612001,DILTIAZEM HCL ER 120 MG PO CP12,6.13,3.37,1.5325,5.517,113 NDC,00378632177,VALSARTAN-HYDROCHLOROTHIAZIDE 80-12.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00378632277,VALSARTAN-HYDROCHLOROTHIAZIDE 160-12.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00378632477,VALSARTAN-HYDROCHLOROTHIAZIDE 320-12.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00378655053,LEVONORGESTREL-ETHINYL ESTRAD 0.15-30 MG-MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00378661193,ISOTRETINOIN 10 MG PO CAPS,13.85,7.62,3.4625,12.465,113 NDC,00378661293,ISOTRETINOIN 20 MG PO CAPS,12.4,6.82,3.1,11.16,113 NDC,00378661493,ISOTRETINOIN 40 MG PO CAPS,19.1,10.51,4.775,17.19,113 NDC,00378699393,LEVALBUTEROL HCL 1.25 MG/0.5ML IN NEBU,12.14,6.68,3.035,10.926,113 NDC,00378699789,SODIUM CHLORIDE 3 % IN NEBU,4.0,2.2,1.0,3.6,113 NDC,00378699889,SODIUM CHLORIDE 10 % IN NEBU,4.0,2.2,1.0,3.6,113 NDC,00378709693,BROMOCRIPTINE MESYLATE 5 MG PO CAPS,6.35,3.49,1.5875,5.715,113 NDC,00378728353,NORETHIN ACE-ETH ESTRAD-FE 1-20 MG-MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00378728490,LEVONORGEST-ETH ESTRAD 91-DAY 0.1-0.02 & 0.01 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00378729253,NORETHINDRONE 0.35 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00378729553,ESTRADIOL-NORETHINDRONE ACET 1-0.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00378801593,LANSOPRAZOLE 15 MG PO CPDR,4.0,2.2,1.0,3.6,113 NDC,00378802193,FLUVASTATIN SODIUM 40 MG PO CAPS,6.35,3.49,1.5875,5.715,113 NDC,00378868854,CLINDAMYCIN PHOS-BENZOYL PEROX 1-5 % EX GEL,339.65,186.81,84.9125,305.685,113 NDC,00378907193,RIVASTIGMINE 9.5 MG/24HR TD PT24,4.0,2.2,1.0,3.6,113 NDC,00378910293,NITROGLYCERIN 0.1 MG/HR TD PT24,4.0,2.2,1.0,3.6,113 NDC,00378910493,NITROGLYCERIN 0.2 MG/HR TD PT24,4.0,2.2,1.0,3.6,113 NDC,00378911293,NITROGLYCERIN 0.4 MG/HR TD PT24,4.0,2.2,1.0,3.6,113 NDC,00378911693,NITROGLYCERIN 0.6 MG/HR TD PT24,4.0,2.2,1.0,3.6,113 NDC,00378912198,FENTANYL 25 MCG/HR TD PT72,13.88,7.63,3.47,12.492,113 NDC,00378912298,FENTANYL 50 MCG/HR TD PT72,24.65,13.56,6.1625,22.185,113 NDC,00378912398,FENTANYL 75 MCG/HR TD PT72,38.96,21.43,9.74,35.064,113 NDC,00378912498,FENTANYL 100 MCG/HR TD PT72,53.64,29.5,13.41,48.276,113 NDC,00378965132,TRAVOPROST (BAK FREE) 0.004 % OP SOLN,193.5,106.43,48.375,174.15,113 NDC,00386000103,ETHYL CHLORIDE EX AERO,81.43,44.79,20.3575,73.287,113 NDC,00386000404,PENTAFLUOROPROP-TETRAFLUOROETH EX AERO,77.13,42.42,19.2825,69.417,113 NDC,00394085932,HYDROCORTISONE 1 % EX LOTN,16.43,9.04,4.1075,14.787,113 NDC,00395042096,PRAMOXINE-CALAMINE 1-8 % EX LOTN,7.48,4.11,1.87,6.732,113 NDC,00395051592,CASTOR OIL OIL,7.55,4.15,1.8875,6.795,113 NDC,00395061716,COAL TAR EXTRACT 20 % SOLN,60.08,33.04,15.02,300.5502,113 NDC,00395103116,GLYCERIN LIQD,45.13,24.82,11.2825,225.762825,113 NDC,00395124928,ISOPROPYL ALCOHOL (RUBBING) 70 % SOLN,78.38,43.11,19.595,70.542,113 NDC,00406012362,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00406048462,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00406051262,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00406114601,METHYLPHENIDATE HCL 20 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00406575562,METHADONE HCL 5 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00406800330,MORPHINE SULFATE (CONCENTRATE) 20 MG/ML PO SOLN,8.0,4.4,2.0,7.2,113 NDC,00406831562,MORPHINE SULFATE ER 15 MG PO TBCR,8.0,4.4,2.0,7.2,113 NDC,00406833062,MORPHINE SULFATE ER 30 MG PO TBCR,8.0,4.4,2.0,7.2,113 NDC,00406838062,MORPHINE SULFATE ER 60 MG PO TBCR,8.0,4.4,2.0,7.2,113 NDC,00406839062,MORPHINE SULFATE ER 100 MG PO TBCR,8.0,4.4,2.0,7.2,113 NDC,00406896201,DEXTROAMPHETAMINE SULFATE ER 15 MG PO CP24,8.0,4.4,2.0,7.2,113 NDC,00406911276,FENTANYL 12 MCG/HR TD PT72,36.78,20.23,9.195,33.102,113 NDC,00407270703,PERFLUTREN PROTEIN A MICROSPH IV SUSP,491.4,270.27,30.52,2458.2285,113 NDC,00409015224,METRONIDAZOLE 500 MG/100ML IV SOLN|DISCARDED DRUG NOT ADMINISTERED,1.43,0.79,0.3575,7.153575,113 NDC,00409015224_2,METRONIDAZOLE 5 MG/ML IVPB FROM RTU (PEDS)|DISCARDED DRUG NOT ADMINISTERED,3.58,1.97,0.895,17.90895,113 NDC,00409015224_3,METRONIDAZOLE 5 MG/ML SYR FROM RTU (NICU)|DISCARDED DRUG NOT ADMINISTERED,3.58,1.97,0.895,17.90895,113 NDC,00409015224_4,METRONIDAZOLE 5 MG/ML SYR FROM RTU (PEDS)|DISCARDED DRUG NOT ADMINISTERED,3.58,1.97,0.895,17.90895,113 NDC,00409015224_5,METRONIDAZOLE 5 MG/ML IVPB FROM RTU (PEDS),110.0,60.5,27.5,550.275,113 NDC,00409015224_6,METRONIDAZOLE 5 MG/ML SYR FROM RTU (NICU),110.0,60.5,27.5,550.275,113 NDC,00409015224_7,METRONIDAZOLE 5 MG/ML SYR FROM RTU (PEDS),110.0,60.5,27.5,550.275,113 NDC,00409015224_8,METRONIDAZOLE 500 MG/100ML IV SOLN,110.0,60.5,27.5,550.275,113 NDC,00409018501,GEMCITABINE HCL 200 MG IV SOLR,48.6,26.73,8.39,243.1215,114 NDC,00409018701,GEMCITABINE HCL 2 G IV SOLR,719.18,395.55,8.39,3597.69795,114 NDC,00409021202,MILRINONE LACTATE 20 MG/20ML IV SOLN,40.0,22.0,2.0485,200.1,113 NDC,00409080101,PENTOSTATIN 10 MG IV SOLR,6908.28,3799.55,1934.3184,34558.6707,124 NDC,00409115902,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,40.0,22.0,0.012,200.1,112 NDC,00409116201,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,40.0,22.0,0.012,200.1,112 NDC,00409116202,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN 30ML VIAL (BULK CHARGE)|DISCARDED DRUG NOT ADMINISTERED,4.65,2.56,1.1625,23.261625,113 NDC,00409116202_2,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN 30ML VIAL (BULK CHARGE),40.0,22.0,10.0,200.1,113 NDC,00409117630,MEPERIDINE HCL 25 MG/ML (IV ROUTE) SOLN,45.0,24.75,4.1735,225.1125,113 NDC,00409117630_2,MEPERIDINE HCL 25 MG/ML IJ SOLN,45.0,24.75,4.1735,225.1125,113 NDC,00409117830,MEPERIDINE HCL 50 MG/ML (IV ROUTE) SOLN,45.0,24.75,4.1735,225.1125,113 NDC,00409117830_2,MEPERIDINE HCL 50 MG/ML IJ SOLN,45.0,24.75,4.1735,225.1125,113 NDC,00409117930,MEPERIDINE HCL 75 MG/ML (IV ROUTE) SOLN,45.0,24.75,4.1735,225.1125,113 NDC,00409117930_2,MEPERIDINE HCL 75 MG/ML IJ SOLN,45.0,24.75,4.1735,225.1125,113 NDC,00409120703,GENTAMICIN SULFATE 40 MG/ML 2 ML VIAL (BULK CHARGE),40.0,22.0,3.1025,200.1,113 NDC,00409120703_2,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,40.0,22.0,3.1025,200.1,113 NDC,00409120703_3,GENTAMICIN SULFATE FOR INHALATION,40.0,22.0,3.1025,200.1,113 NDC,00409120703_4,GENTAMICIN 40 MG/ML SYRINGE (IM),110.0,60.5,3.1025,550.275,113 NDC,00409120703_5,GENTAMICIN 40 MG/ML SYRINGE (IM) (NICU),110.0,60.5,3.1025,550.275,113 NDC,00409127332,DIAZEPAM 10 MG/2 ML INJ (BULK CHARGE),53.89,29.64,9.9365,269.584725,113 NDC,00409127332_2,DIAZEPAM 5 MG/ML IJ SOLN,53.89,29.64,9.9365,269.584725,113 NDC,00409128331,HYDROMORPHONE HCL 1 MG/ML IJ SOLN|DISCARDED DRUG NOT ADMINISTERED,4.21,2.32,0.09,21.060525,117 NDC,00409128331_2,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,45.0,24.75,0.09,225.1125,117 NDC,00409130431,HYDROMORPHONE HCL 4 MG/ML IJ SOLN|DISCARDED DRUG NOT ADMINISTERED,4.21,2.32,0.09,21.060525,117 NDC,00409130431_2,HYDROMORPHONE HCL 4 MG/ML IJ SOLN,45.0,24.75,0.09,225.1125,117 NDC,00409132305,LIDOCAINE HCL(CARDIAC)20 MG/ML -CODE USE PEDS,40.0,22.0,10.0,200.1,113 NDC,00409139122,MEROPENEM 1 G IV SOLR,40.0,22.0,0.6205,200.1,113 NDC,00409146301,NALBUPHINE HCL 10 MG/ML IJ SOLN,40.0,22.0,4.7855,200.1,113 NDC,00409146501,NALBUPHINE HCL 20 MG/ML IJ SOLN,40.0,22.0,4.7855,200.1,113 NDC,00409155930,BUPIVACAINE 0.25 % INFUSION|DISCARDED DRUG NOT ADMINISTERED,19.79,10.88,4.9475,98.999475,113 NDC,00409155930_2,BUPIVACAINE 0.25 % INFUSION,110.0,60.5,27.5,550.275,113 NDC,00409158210,BUPIVACAINE 0.75% 10 ML SDV (BULK CHARGE)|DISCARDED DRUG NOT ADMINISTERED,9.38,5.16,2.345,46.92345,113 NDC,00409158210_2,BUPIVACAINE 0.75% 10 ML SDV (BULK CHARGE),40.0,22.0,10.0,200.1,113 NDC,00409158210_3,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,40.0,22.0,10.0,200.1,113 NDC,00409161050,BUPIVACAINE HCL 0.5 % IJ SOLN,40.0,22.0,0.012,200.1,112 NDC,00409162601,BUTORPHANOL TARTRATE 2 MG/ML IJ SOLN,45.0,24.75,7.0,225.1125,113 NDC,00409174610,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN,40.0,22.0,10.0,200.1,113 NDC,00409174630,BUPIVACAINE-EPINEPHRINE (PF) 0.25 % IJ SOLN 30ML VIAL (BULK CHARGE),40.0,22.0,10.0,200.1,113 NDC,00409176110,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN,110.0,60.5,27.5,550.275,113 NDC,00409188602,LEVETIRACETAM 100 MG/ML IV SYRINGE,40.0,22.0,0.0595,200.1,113 NDC,00409188602_2,LEVETIRACETAM 500 MG/5ML IV SOLN,40.0,22.0,0.0595,200.1,113 NDC,00409189001,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,45.0,24.75,11.25,225.1125,113 NDC,00409190201,PROCAINAMIDE HCL 100 MG/ML IJ SOLN,173.43,95.39,48.5604,988.8011,123 NDC,00409196607,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % IJ SOLN,40.0,22.0,10.0,200.1,113 NDC,00409201232,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN,45.0,24.75,4.7855,225.1125,113 NDC,00409222212,HEPARIN (PORCINE) IN NACL 2000-0.9 UNIT/L-% IV SOLN,110.0,60.5,0.5695,550.275,113 NDC,00409230024,CIPROFLOXACIN 2 MG/ML IVPB-RTU (PEDS),40.0,22.0,3.315,200.1,113 NDC,00409230024_2,CIPROFLOXACIN 2 MG/ML SYR-RTU (PEDS),110.0,60.5,3.315,550.275,113 NDC,00409230024_3,CIPROFLOXACIN 200 MG/100 ML RTU,110.0,60.5,3.315,550.275,113 NDC,00409230505,MIDAZOLAM 50 MG/50 ML DRIP SYRINGE (STRAIGHT),45.0,24.75,0.34,225.1125,113 NDC,00409230505_2,MIDAZOLAM HCL (PF) 5 MG/5ML IJ SOLN,45.0,24.75,0.34,225.1125,113 NDC,00409230517,MIDAZOLAM HCL (PF) 2 MG/2ML IJ SOLN,45.0,24.75,0.34,225.1125,113 NDC,00409230517_2,MIDAZOLAM HCL (PF) 2 MG/2ML IJ SOLN (NICU),45.0,24.75,0.34,225.1125,113 NDC,00409230517_3,MIDAZOLAM HCL 1 MG/ML INTRANASAL,45.0,24.75,0.34,225.1125,113 NDC,00409230801,MIDAZOLAM HCL (PF) 5 MG/ML IJ SOLN,45.0,24.75,0.34,225.1125,113 NDC,00409230801_2,MIDAZOLAM HCL 5 MG/ML INTRANASAL,45.0,24.75,4.63,40.5,113 NDC,00409230802,MIDAZOLAM HCL (PF) 10 MG/2ML IJ SOLN,45.0,24.75,0.34,225.1125,113 NDC,00409233725,DEFEROXAMINE MESYLATE 2 G IJ SOLR,79.6,43.78,12.2145,398.199,113 NDC,00409234402,DOBUTAMINE HCL 12.5 MG/ML IV SOLN,40.0,22.0,6.8,200.1,113 NDC,00409234402_2,DOBUTAMINE HCL 250 MG/20ML IV SOLN,40.0,22.0,6.8,200.1,113 NDC,00409234632,DOBUTAMINE-DEXTROSE 1-5 MG/ML-% IV SOLN,110.0,60.5,6.8,550.275,113 NDC,00409234732,DOBUTAMINE 2000 MCG/ML SYR FROM RTU (NICU),110.0,60.5,6.8,550.275,113 NDC,00409258705,MIDAZOLAM HCL 10 MG/10ML IJ SOLN,45.0,24.75,0.34,225.1125,113 NDC,00409259603,MIDAZOLAM HCL 25 MG/5ML IJ SOLN,45.0,24.75,0.34,225.1125,113 NDC,00409263450,HYDROMORPHONE HCL PF 500 MG/50ML IJ SOLN,277.25,152.49,0.09,1386.943125,117 NDC,00409272002,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,40.0,22.0,0.5695,200.1,113 NDC,00409272002_2,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN (APHERESIS),40.0,22.0,0.5695,200.1,113 NDC,00409272002_3,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN - PER PROTOCOL,40.0,22.0,0.5695,200.1,113 NDC,00409272002_4,HEPARIN SODIUM 1000 UNIT/ML SOLN 10 ML VIAL (BULK CHARGE),40.0,22.0,0.5695,200.1,113 NDC,00409272003,HEPARIN 20000 UNITS/20 ML SYRINGE (STRAIGHT DRUG),40.0,22.0,0.5695,200.1,113 NDC,00409272301,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,40.0,22.0,0.5695,200.1,113 NDC,00409317701,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN,40.0,22.0,10.0,200.1,113 NDC,00409317802,LIDOCAINE-EPINEPHRINE 1% 30ML (BULK CHARGE),40.0,22.0,10.0,200.1,111 NDC,00409318201,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN,40.0,22.0,10.0,200.1,111 NDC,00409318301,LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200000 IJ SOLN,40.0,22.0,10.0,200.1,113 NDC,00409318301_2,LIDOCAINE-EPINEPHRINE 2%-1:200000 20 ML (BULK CHARGE),40.0,22.0,10.0,200.1,113 NDC,00409341401,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN (NICU),40.0,22.0,2.244,200.1,113 NDC,00409381412,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN,45.0,24.75,4.437,225.1125,113 NDC,00409381412_2,MORPHINE SULFATE (PF) 0.5 MG/ML INJ SOLN 10 ML VIAL (BULK CHARGE),45.0,24.75,4.437,225.1125,113 NDC,00409381512,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN,45.0,24.75,4.437,225.1125,113 NDC,00409397703,BACTERIOSTATIC WATER(BENZ ALC) IJ SOLN,40.0,22.0,1.029944,200.1,113 NDC,00409409001,ZINC CHLORIDE 1 MG/ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00409427501,LIDOCAINE HCL 0.5 % IJ SOLN,40.0,22.0,10.0,200.1,111 NDC,00409427601,LIDOCAINE HCL 1 % IJ SOLN,40.0,22.0,10.0,200.1,111 NDC,00409427601_2,LIDOCAINE HCL 1% IJ SOLN 20ML VIAL (BULK CHARGE),40.0,22.0,10.0,200.1,111 NDC,00409427602,LIDOCAINE HCL 1 % IJ SOLN 50 ML VIAL (BULK CHARGE),40.0,22.0,10.0,200.1,111 NDC,00409427801,LIDOCAINE HCL (PF) 0.5 % IJ SOLN,40.0,22.0,10.0,200.1,111 NDC,00409428301,LIDOCAINE HCL (PF) 4 % IJ SOLN,40.0,22.0,10.0,200.1,111 NDC,00409433201,VANCOMYCIN HCL 500 MG IV SOLR,40.0,22.0,3.06,200.1,113 NDC,00409433201_2,VANCOMYCIN HCL 500 MG TOPICAL,40.0,22.0,3.06,200.1,113 NDC,00409488710,STERILE WATER FOR INJECTION IJ SOLN (10 ML VIAL),40.0,22.0,10.0,36.0,113 NDC,00409488710_2,STERILE WATER FOR INJECTION SOLN 10 ML VIAL (BULK CHARGE),40.0,22.0,10.0,36.0,113 NDC,00409488720,STERILE WATER FOR INJECTION IJ SOLN,40.0,22.0,10.0,36.0,113 NDC,00409488750,STERILE WATER FOR INJECTION SOLN 50 ML VIAL (BULK CHARGE),40.0,22.0,1.029944,36.0,113 NDC,00409488810,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,40.0,22.0,10.0,36.0,113 NDC,00409488850,SODIUM CHLORIDE (PF) 0.9 % INJ SOLN 50 ML VIAL (BULK CHARGE),40.0,22.0,10.0,36.0,113 NDC,00409490014,SODIUM BICARBONATE 8.4 % IV SOLN -CODE USE PEDS,49.84,27.41,12.46,249.3246,113 NDC,00409490234,DEXTROSE 50 % IV SOLN 50 ML SYRINGE (BULK CHARGE),40.0,22.0,10.0,200.1,113 NDC,00409509216,CEFTAZIDIME 1 G IV SOLR,40.0,22.0,2.176,200.1,113 NDC,00409553414,SODIUM BICARBONATE 4.2 % IV SOLN,40.76,22.42,10.19,203.9019,113 NDC,00409592201,AMINOPHYLLINE 25 MG/ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00409610210,FUROSEMIDE 10 MG/ML IJ SOLN 10 ML VIAL (BULK CHARGE),40.0,22.0,0.0425,200.1,113 NDC,00409648201,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,155.96,85.78,38.99,780.1899,114 NDC,00409663714,SODIUM BICARBONATE 8.4 % IV SYRINGE,40.0,22.0,10.0,200.1,113 NDC,00409664802,DEXTROSE 50 % IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00409664802_2,DEXTROSE 50 % IV SOLN 50 ML VIAL (BULK CHARGE),40.0,22.0,10.0,200.1,113 NDC,00409664802_3,DEXTROSE 50 % IV SOLN FOR INITIATION (HIET PROTOCOL),40.0,22.0,10.0,200.1,113 NDC,00409664802_4,DEXTROSE 50 % IV SOLN FOR MAINTENANCE (HIET PROTOCOL),40.0,22.0,10.0,200.1,113 NDC,00409672923,MAGNESIUM SULFATE 4 GM/100ML IV DRIP,110.0,60.5,0.4675,550.275,113 NDC,00409672923_2,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,110.0,60.5,0.4675,550.275,113 NDC,00409672923_3,MAGNESIUM SULFATE 4 GM/100ML IV SOLN CCU,110.0,60.5,0.4675,550.275,113 NDC,00409724803,HETASTARCH-NACL 6-0.9 % IV SOLN,70.0,38.5,17.5,350.175,113 NDC,00409724803_2,HETASTARCH-NACL 6-0.9 % IV SOLN (GI USE ONLY),70.0,38.5,17.5,350.175,113 NDC,00409724803_3,HETASTARCH-NACL 6-0.9 % IV SOLN (GI USE ONLY) IVAS,70.0,38.5,17.5,350.175,113 NDC,00409729501,POTASSIUM PHOSPHATE 3 MMOL/ML (IV FOR PO),30.86,16.97,7.715,27.774,113 NDC,00409729501_2,POTASSIUM PHOSPHATES 3 MMOL/ML IV SOLN (MULTI-GPI),40.0,22.0,10.0,200.1,113 NDC,00409729501_3,POTASSIUM PHOSPHATES 45 MMOLE/15ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00409729501_4,POTASSIUM PHOSPHATES(66 MEQ K) 45 MMOLE/15ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00409729973,SODIUM ACETATE 2 MEQ/ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00409733201,CEFTRIAXONE SODIUM 1 G IJ SOLR,40.0,22.0,0.969,200.1,113 NDC,00409733201_2,CEFTRIAXONE 100 MG/ML SYRINGE,110.0,60.5,0.969,550.275,113 NDC,00409733349,CEFTRIAXONE SODIUM 1 G IV SOLR,40.0,22.0,0.969,200.1,113 NDC,00409733503,CEFTRIAXONE SODIUM 2 G IJ SOLR,40.0,22.0,0.969,200.1,113 NDC,00409733701,CEFTRIAXONE SODIUM 250 MG IJ SOLR,40.0,22.0,0.969,200.1,113 NDC,00409741803,DEXTRAN 40 IN D5W 10 % IV SOLN,110.0,60.5,27.5,550.275,113 NDC,00409741903,DEXTRAN 40 IN SALINE 10-0.9 % IV SOLN,110.0,60.5,27.5,550.275,113 NDC,00409765062,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN (PEDS),110.0,60.5,0.5695,550.275,113 NDC,00409796905,PLEGISOL PF SOLN,100.0,55.0,25.0,500.25,113 NDC,00409818301,POTASSIUM ACETATE 2 MEQ/ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00409909422,FENTANYL 50 MCG/ML INJ 2 ML (BULK CHARGE),45.0,24.75,2.431,225.1125,113 NDC,00409909422_2,FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN,45.0,24.75,2.431,225.1125,113 NDC,00409909422_3,FENTANYL 50 MCG/ML DRIP SYRINGE 2 ML (NICU/PEDS),110.0,60.5,2.431,550.275,113 NDC,00409909425,FENTANYL 50 MCG/ML INJ 5ML (BULK CHARGE),45.0,24.75,2.431,225.1125,113 NDC,00409909425_2,FENTANYL CITRATE (PF) 250 MCG/5ML IJ SOLN,45.0,24.75,2.431,225.1125,113 NDC,00409909425_3,FENTANYL 50 MCG/ML DRIP SYRINGE 5 ML (NICU/PEDS),110.0,60.5,2.431,550.275,113 NDC,00409909428,FENTANYL CITRATE (PF) 500 MCG/10ML IJ SOLN,45.0,24.75,2.431,225.1125,113 NDC,00409909431,FENTANYL 50 MCG/ML INJ 20ML (BULK CHARGE),45.0,24.75,2.431,225.1125,113 NDC,00409909431_2,FENTANYL 50 MCG/ML DRIP SYRINGE 20 ML (NICU/PEDS),110.0,60.5,2.431,550.275,113 NDC,00409909461,FENTANYL 50 MCG/ML PCA SYRINGE,45.0,24.75,2.431,225.1125,113 NDC,00409909461_2,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,45.0,24.75,2.431,225.1125,113 NDC,00409909461_3,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN (MULTI GPI),45.0,24.75,2.431,225.1125,113 NDC,00409909461_4,FENTANYL 50 MCG/ML DRIP SYRINGE 50 ML (NICU/PEDS),110.0,60.5,2.431,550.275,113 NDC,00409910420,DOPAMINE HCL 40 MG/ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00409915701,PHYTONADIONE 1 MG/0.5 ML IM SYRINGE (NICU),40.0,22.0,6.12,200.1,113 NDC,00409915701_2,VITAMIN K1 1 MG/0.5ML IJ SOLN,40.0,22.0,6.12,200.1,113 NDC,00409915801,VITAMIN K1 10 MG/ML IJ SOLN,57.99,31.89,6.12,290.094975,113 NDC,00409956610,CEFEPIME HCL 1 G IJ SOLR,40.0,22.0,2.3885,200.1,113 NDC,00409956610_2,CEFEPIME 100 MG/ML SYRINGE,110.0,60.5,2.3885,550.275,113 NDC,00409963005,ATROPINE SULFATE 0.25 MG/5ML IJ SOSY,40.0,22.0,10.0,200.1,113 NDC,00409973510,CEFEPIME HCL 2 G IV SOLR,40.0,22.0,2.3885,200.1,113 NDC,00430097903,RISEDRONATE SODIUM 35 MG PO TBEC,181.07,99.59,45.2675,162.963,113 NDC,00430375414,ESTRADIOL 0.1 MG/GM VA CREA,1561.35,858.74,390.3375,1405.215,113 NDC,00436067216,DAKINS (1/4 STRENGTH) 0.125 % EX SOLN,31.15,17.13,7.7875,28.035,113 NDC,00436093616,DAKINS (1/2 STRENGTH) 0.25 % EX SOLN,31.15,17.13,7.7875,28.035,113 NDC,00436094616,DAKINS (FULL STRENGTH) 0.5 % EX SOLN,31.15,17.13,7.7875,28.035,113 NDC,00456046201,THYROID 180 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00456060010,CEFTAROLINE FOSAMIL 600 MG IV SOLR,753.96,414.68,188.49,3771.6849,113 NDC,00456111030,VILAZODONE HCL 10 MG PO TABS,26.21,14.42,6.5525,23.589,113 NDC,00456114030,VILAZODONE HCL 40 MG PO TABS,26.21,14.42,6.5525,23.589,113 NDC,00456120130,LINACLOTIDE 145 MCG PO CAPS,40.81,22.45,10.2025,36.729,113 NDC,00456120230,LINACLOTIDE 290 MCG PO CAPS,40.81,22.45,10.2025,36.729,113 NDC,00456120330,LINACLOTIDE 72 MCG PO CAPS,40.81,22.45,10.2025,36.729,113 NDC,00456152560,MILNACIPRAN HCL 25 MG PO TABS,18.4,10.12,4.6,16.56,113 NDC,00456155060,MILNACIPRAN HCL 50 MG PO TABS,18.4,10.12,4.6,16.56,113 NDC,00456270010,CEFTAZIDIME-AVIBACTAM 2.5 (2-0.5) G IV SOLR,1361.48,748.81,99.9,6810.8037,123 NDC,00469042001,ISAVUCONAZONIUM SULFATE 372 MG IV SOLR,1109.72,610.35,0.98,5551.3743,123 NDC,00469052002,ISAVUCONAZONIUM SULFATE 186 MG PO CAPS,488.54,268.7,122.135,439.686,113 NDC,00469286035,ISAVUCONAZONIUM SULFATE 74.5 MG PO CAPS,407.98,224.39,101.995,367.182,113 NDC,00469301601,TACROLIMUS 5 MG/ML IV SOLN,288.21,158.52,80.6988,1441.770525,123 NDC,00469305130,AMPHOTERICIN B LIPOSOME (AMBISOME) INH SYR,280.8,154.44,20.72,1404.702,123 NDC,00469305130_2,AMPHOTERICIN B LIPOSOME (AMBISOME) INH SYR|DISCARDED DRUG NOT ADMINISTERED,280.8,154.44,20.72,1404.702,123 NDC,00469305130_3,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR|DISCARDED DRUG NOT ADMINISTERED,280.8,154.44,20.72,1404.702,123 NDC,00469305130_4,AMPHOTERICIN B LIPOSOME 2 MG/ML LOCK SYRINGE,350.8,192.94,20.72,1754.877,123 NDC,00469305130_5,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR,655.2,360.36,20.72,3277.638,123 NDC,00469325010,MICAFUNGIN SODIUM 50 MG IV SOLR,254.07,139.74,0.5525,1270.985175,113 NDC,00469502099,MIRABEGRON ER 8 MG/ML PO SRER,15.69,8.63,3.9225,14.121,113 NDC,00472037145,BETAMETHASONE VALERATE 0.1 % EX OINT,64.65,35.56,16.1625,58.185,113 NDC,00472038115,BETAMETHASONE DIPROPIONATE 0.05 % EX OINT,57.58,31.67,14.395,51.822,113 NDC,00472080302,DESONIDE 0.05 % EX LOTN,264.68,145.57,66.17,238.212,113 NDC,00472173803,MICONAZOLE NITRATE 200 MG VA SUPP,29.73,16.35,7.4325,26.757,113 NDC,00480372056,PYRIMETHAMINE 25 MG PO TABS,448.25,246.54,112.0625,403.425,113 NDC,00480773606,DARUNAVIR 600 MG PO TABS,26.5,14.58,6.625,23.85,113 NDC,00487590199,RACEPINEPHRINE HCL 2.25 % IN NEBU,4.0,2.2,1.0,3.6,113 NDC,00487900730,SODIUM CHLORIDE 7 % IN NEBU,4.0,2.2,1.0,3.6,113 NDC,00487960101,BUDESONIDE 0.25 MG/2ML IN SUSP,7.62,4.19,1.905,6.858,113 NDC,00487990130,ALBUTEROL SULFATE (5 MG/ML) 0.5% IN NEBU,25.0,13.75,1.0,33.75,339 NDC,00487990130_2,ALBUTEROL SULFATE (5MG/ML) IN NEBU 0.5 ML VIAL (BULK CHARGE),25.0,13.75,1.0,33.75,339 NDC,00487990130_3,ALBUTEROL SULFATE 2.5 MG/0.5ML IN NEBU,4.0,2.2,1.0,3.6,113 NDC,00496074804,PRAMOXINE HCL 1 % EX LOTN,37.08,20.39,9.27,33.372,113 NDC,00517037405,METHYLENE BLUE 0.5 % IV SOLN,271.71,149.44,8.53,1359.229275,122 NDC,00517042001,ESTRADIOL VALERATE 20 MG/ML IM OIL,263.07,144.69,15.08,1316.007675,113 NDC,00517072001,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP,84.03,46.22,8.908,420.360075,113 NDC,00517100125,ATROPINE SULFATE 1 MG/ML IV SOLN,40.0,22.0,0.306,200.1,113 NDC,00517100425,ATROPINE SULFATE 0.4 MG/ML IV SOLN,40.0,22.0,0.306,200.1,113 NDC,00517182001,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,75.48,41.51,18.87,377.5887,113 NDC,00517182001_2,CHLOROTHIAZIDE 28 MG/ML SYRINGE,220.95,121.52,55.2375,1105.302375,113 NDC,00517234010,IRON SUCROSE 20 MG/ML IV SOLN,80.39,44.21,0.5185,402.150975,113 NDC,00517250210,CAFFEINE-SODIUM BENZOATE 125-125 MG/ML IJ SOLN,40.0,22.0,10.0,200.1,113 NDC,00517420125,HYDROXYZINE HCL 25 MG/ML IM SOLN,40.4,22.22,10.1,202.101,113 NDC,00517481025,NITROGLYCERIN 5 MG/ML IV SOLN|DISCARDED DRUG NOT ADMINISTERED,27.49,15.12,1.548,137.518725,114 NDC,00517481025_2,NITROGLYCERIN 5 MG/ML IV SOLN,40.0,22.0,1.548,200.1,114 NDC,00517560125,HYDROXYZINE HCL 50 MG/ML IM SOLN,47.35,26.04,11.8375,236.868375,113 NDC,00517671010,CALCIUM CHLORIDE 10 % IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00517671010_2,CALCIUM CHLORIDE 10 % IV SOLN 10 ML VIAL (BULK CHARGE),40.0,22.0,10.0,200.1,113 NDC,00517671010_3,CALCIUM CHLORIDE 10 % IV SOLN EXCHANGE TRANSFUSION (NICU),40.0,22.0,10.0,200.1,113 NDC,00517671010_4,CALCIUM CHLORIDE 10% IV SOLN FOR PCTU,40.0,22.0,10.0,200.1,113 NDC,00517760425,ACETYLCYSTEINE 20 % IN SOLN (INHALATION),4.0,2.2,1.0,3.6,113 NDC,00517760425_2,ACETYLCYSTEINE 20 % IN SOLN,9.34,5.14,2.335,8.406,113 NDC,00517912025,AMINOCAPROIC ACID 250 MG/ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00517930525,TRACE MINERALS CU-MN-SE-ZN 300-55-60-3000 MCG/ML IV SOLN,52.53,28.89,13.1325,262.781325,113 NDC,00517970225,DROPERIDOL 2.5 MG/ML IJ SOLN,40.0,22.0,9.877,200.1,113 NDC,00527131301,PILOCARPINE HCL 5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00527136801,DANAZOL 100 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00527136906,DANAZOL 200 MG PO CAPS,7.35,4.04,1.8375,6.615,113 NDC,00527139501,LOXAPINE SUCCINATE 10 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00527150537,AMPHETAMINE-DEXTROAMPHETAMINE 20 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00527178801,FLUPHENAZINE HCL 1 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00527179101,FLUPHENAZINE HCL 10 MG PO TABS,8.96,4.93,2.24,8.064,113 NDC,00527194870,LEVOFLOXACIN 25 MG/ML PO SOLN,1772.9,975.1,443.225,1595.61,113 NDC,00527410937,MEXILETINE HCL 250 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00536009185,ALUMINUM HYDROXIDE GEL 320 MG/5ML PO SUSP,10.08,5.54,2.52,9.072,113 NDC,00536110945,UREA 20 % EX CREA,16.43,9.04,4.1075,14.787,113 NDC,00536111825,CAPSAICIN 0.075 % EX CREA,10.63,5.85,2.6575,9.567,113 NDC,00536118612,PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % RE SUPP,4.0,2.2,1.0,3.6,113 NDC,00536121195,DIBUCAINE 1 % EX OINT,7.45,4.1,1.8625,6.705,113 NDC,00536122858,PHENOL 1.4 % MT LIQD,6.4,3.52,1.6,5.76,113 NDC,00536125240,KETOTIFEN FUMARATE 0.035 % OP SOLN,40.0,22.0,10.0,36.0,113 NDC,00536125494,SODIUM CHLORIDE (HYPERTONIC) 5 % OP SOLN,40.0,22.0,10.0,36.0,113 NDC,00536127180,POVIDONE-IODINE 10 % EX OINT,4.0,2.2,1.0,3.6,113 NDC,00536128636,BISMUTH SUBSALICYLATE 262 MG/15ML PO SUSP,4.0,2.2,1.0,3.6,113 NDC,00536128806,PHENYLEPHRINE-MINERAL OIL-PET 0.25-14-74.9 % RE OINT,4.75,2.61,1.1875,4.275,113 NDC,00536131543,TOLNAFTATE 1 % EX CREA,4.7,2.59,1.175,4.23,113 NDC,00536132926,TOLNAFTATE 1 % EX POWD,4.0,2.2,1.0,3.6,113 NDC,00536196297,SALICYLIC ACID-SULFUR 2-2 % EX SHAM,4.05,2.23,1.0125,3.645,113 NDC,00536199553,SELENIUM SULFIDE 1 % EX LOTN,5.58,3.07,1.395,5.022,113 NDC,00536252525,CAPSAICIN 0.025 % EX CREA,7.08,3.89,1.77,6.372,113 NDC,00536322301,CITRUS CALCIUM/VITAMIN D 200-6.25 MG-MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00536430608,CALCIUM POLYCARBOPHIL 625 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00536741551,ENEMA 7-19 GM/118ML RE ENEM,4.0,2.2,1.0,3.6,113 NDC,00536741551_2,FLEET ENEMA 7-19 GM/118ML RE ENEM,4.0,2.2,1.0,3.6,113 NDC,0054012322,LOSARTAN POTASSIUM 12.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,0054329446,FUROSEMIDE 1 MCG/ML SOLN FOR DESENSITIZATION,4.0,2.2,1.0,3.6,113 NDC,0054329446_2,FUROSEMIDE 1 MG/ML SOLN FOR DESENSITIZATION,4.0,2.2,1.0,3.6,113 NDC,0054329446_3,FUROSEMIDE 10 MCG/ML SOLN FOR DESENSITIZATION,4.0,2.2,1.0,3.6,113 NDC,0054329446_4,FUROSEMIDE 100 MCG/ML SOLN FOR DESENSITIZATION,4.0,2.2,1.0,3.6,113 NDC,0054429725,FUROSEMIDE 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00548540025,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,56.61,31.14,14.1525,283.191525,113 NDC,00548560800,ENOXAPARIN SODIUM 300 MG/3ML IJ SOLN SPLIT SYRINGE,72.48,39.86,1.462,362.5812,113 NDC,00548585000,GLUCAGON (RDNA) 1 MG (MULTI-GPI),1014.4,557.92,164.86,5074.536,123 NDC,00548585000_2,GLUCAGON (RDNA) 1 MG IJ KIT,1014.4,557.92,164.86,5074.536,123 NDC,00548590000,COSYNTROPIN 0.25 MG IJ SOLR,45.29,24.91,11.3225,226.563225,113 NDC,00548909010,HYALURONIDASE BOVINE 150 UNIT/ML IJ SOLN,76.08,41.84,19.02,380.5902,113 NDC,00548950200,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN,633.99,348.69,158.4975,3171.534975,113 NDC,00555006602,ISONIAZID 100 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00555017178,MEFLOQUINE HCL 250 MG PO TABS,8.76,4.82,2.19,7.884,113 NDC,00555060602,MEGESTROL ACETATE 20 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00555063302,DANAZOL 50 MG PO CAPS,5.75,3.16,1.4375,5.175,113 NDC,00555087202,MEDROXYPROGESTERONE ACETATE 2.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00555095302,DEXTROAMPHETAMINE SULFATE 10 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00555097402,AMPHETAMINE-DEXTROAMPHETAMINE 30 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00555105686,ISOTRETINOIN 30 MG PO CAPS,14.27,7.85,3.5675,12.843,113 NDC,00555900867,NORETHINDRONE-ETH ESTRADIOL 0.5-35 MG-MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00555905058,DESOGESTREL-ETHINYL ESTRADIOL 0.15-0.02/0.01 MG (21/5) PO TABS,4.0,2.2,1.0,3.6,113 NDC,00555906458,ETHYNODIOL DIAC-ETH ESTRADIOL 1-35 MG-MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00555906667,NORETHIN-ETH ESTRAD TRIPHASIC 0.5/1/0.5-35 MG-MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00574030316,ORA-PLUS PO LIQD,34.45,18.95,8.6125,31.005,113 NDC,00574030416,ORA-SWEET PO SYRP,40.08,22.04,10.02,36.072,113 NDC,00574052174,CHARCOAL ACTIVATED PO LIQD,26.0,14.3,6.5,23.4,113 NDC,00574060115,PODOPHYLLUM RESIN 25 % EX SOLN,190.73,104.9,47.6825,171.657,113 NDC,00574113304,SPIRONOLACTONE 25 MG/5ML PO SUSP,422.83,232.56,105.7075,380.547,113 NDC,00574200815,NYSTATIN 100000 UNIT/GM EX POWD,10.98,6.04,2.745,9.882,113 NDC,00574206130,CICLOPIROX 0.77 % EX GEL,146.15,80.38,36.5375,131.535,113 NDC,00574220120,TRETINOIN 0.1 % EX CREA,51.28,28.2,12.82,46.152,113 NDC,00574402235,BACITRACIN 500 UNIT/GM OP OINT,588.98,323.94,147.245,530.082,113 NDC,00574403125,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP,40.0,22.0,10.0,36.0,113 NDC,00574703412,ASPIRIN 300 MG RE SUPP,4.0,2.2,1.0,3.6,113 NDC,00574704012,BELLADONNA ALKALOIDS-OPIUM 16.2-60 MG RE SUPP,60.6,33.33,15.15,54.54,113 NDC,00574704512,BELLADONNA ALKALOIDS-OPIUM 16.2-30 MG RE SUPP,49.85,27.42,12.4625,44.865,113 NDC,00574705050,BISACODYL 10 MG RE SUPP,40.0,22.0,10.0,36.0,113 NDC,00574709312,HYDROCORTISONE ACETATE 30 MG RE SUPP,31.17,17.14,7.7925,28.053,113 NDC,00574722406,HYDROMORPHONE HCL 3 MG RE SUPP,19.1,10.51,4.775,17.19,113 NDC,00574722612,PROCHLORPERAZINE 25 MG RE SUPP,16.03,8.82,4.0075,14.427,113 NDC,00591240630,AMBRISENTAN 10 MG PO TABS,250.59,137.82,62.6475,225.531,113 NDC,00591288830,HYDROXOCOBALAMIN ACETATE 1000 MCG/ML IM SOLN|DISCARDED DRUG NOT ADMINISTERED,1.78,0.98,0.445,8.90445,113 NDC,00591288830_2,HYDROXOCOBALAMIN ACETATE 1000 MCG/ML IM SOLN,40.0,22.0,10.0,200.1,113 NDC,00591350854,CLONIDINE 0.1 MG/24HR TD PTWK,15.81,8.7,3.9525,14.229,113 NDC,00591350954,CLONIDINE 0.2 MG/24HR TD PTWK,34.47,18.96,8.6175,31.023,113 NDC,00591351054,CLONIDINE 0.3 MG/24HR TD PTWK,50.59,27.82,12.6475,45.531,113 NDC,00591352530,LIDOCAINE 5 % EX PTCH,4.0,2.2,1.0,3.6,113 NDC,00591387044,MEMANTINE HCL 5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00591533501,TRIHEXYPHENIDYL HCL 2 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00591534701,PROBENECID 500 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00591555701,PROPRANOLOL HCL 80 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00597002402,IPRATROPIUM-ALBUTEROL 20-100 MCG/ACT IN AERS,1103.55,606.95,275.8875,993.195,113 NDC,00597003510,SPESOLIMAB-SBZO 450 MG/7.5ML IV SOLN,76699.5,42184.73,0.657,69029.55,123 NDC,00597004237,TELMISARTAN-HCTZ 80-25 MG PO TABS,10.59,5.82,2.6475,9.531,113 NDC,00597004337,TELMISARTAN-HCTZ 40-12.5 MG PO TABS,10.59,5.82,2.6475,9.531,113 NDC,00597004437,TELMISARTAN-HCTZ 80-12.5 MG PO TABS,10.59,5.82,2.6475,9.531,113 NDC,00597007575,TIOTROPIUM BROMIDE MONOHYDRATE 18 MCG IN CAPS,116.65,64.16,29.1625,104.985,113 NDC,00597008717,IPRATROPIUM BROMIDE HFA 17 MCG/ACT IN AERS,2137.75,1175.76,534.4375,1923.975,113 NDC,00597010051,TIOTROPIUM BROMIDE MONOHYDRATE 2.5 MCG/ACT IN AERS,84.93,46.71,21.2325,76.437,113 NDC,00597014030,LINAGLIPTIN 5 MG PO TABS,30.91,17.0,7.7275,27.819,113 NDC,00597015237,EMPAGLIFLOZIN 10 MG PO TABS,30.44,16.74,7.61,27.396,113 NDC,00597015337,EMPAGLIFLOZIN 25 MG PO TABS,30.44,16.74,7.61,27.396,113 NDC,00597015570,TIOTROPIUM BROMIDE-OLODATEROL 2.5-2.5 MCG/ACT IN AERS,106.43,58.54,26.6075,95.787,113 NDC,00597019705,IDARUCIZUMAB 2.5 GM/50ML IV SOLN,7322.45,4027.35,1830.6125,36630.556125,113 NDC,00597035556,DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS,7.11,3.91,1.7775,6.399,113 NDC,00597036082,DABIGATRAN ETEXILATE MESYLATE 150 MG PO CAPS,7.11,3.91,1.7775,6.399,113 NDC,00603116158,DICYCLOMINE HCL 10 MG/5ML PO SOLN,4.0,2.2,1.0,3.6,113 NDC,00603358121,FELODIPINE ER 2.5 MG PO TB24,4.0,2.2,1.0,3.6,113 NDC,00641036725,DEXAMETHASONE SODIUM PHOS 10 MG/ML IJ SOLN 1 ML VIAL (BULK CHARGE),40.0,22.0,0.1955,200.1,113 NDC,00641036725_2,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN,40.0,22.0,0.1955,200.1,113 NDC,00641037625,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,40.0,22.0,1.1985,200.1,113 NDC,00641037625_2,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN (APHERESIS),40.0,22.0,1.1985,200.1,113 NDC,00641037625_3,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN 1 ML VIAL (BULK CHARGE),40.0,22.0,1.1985,200.1,113 NDC,00641139735,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN,62.14,34.18,15.535,310.85535,113 NDC,00641139835,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN,51.45,28.3,12.8625,257.378625,113 NDC,00641141035,DIGOXIN 0.25 MG/ML IJ SOLN,40.0,22.0,5.984,200.1,113 NDC,00641255510,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,40.0,22.0,0.867,200.1,113 NDC,00641256944,DIPYRIDAMOLE 5 MG/ML IV SOLN,41.74,22.96,4.0375,208.80435,113 NDC,00641601310,DILTIAZEM HCL 25 MG/5ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00641601510,DILTIAZEM HCL 125 MG/25ML IV SOLN,40.0,22.0,10.0,200.1,113 NDC,00641604425,LORAZEPAM 2 MG/ML IJ SOLN,45.0,24.75,1.581,225.1125,113 NDC,00641604710,LORAZEPAM 4 MG/ML IJ SOLN,45.0,24.75,1.581,225.1125,113 NDC,00641605425,MEPERIDINE HCL 100 MG/ML (IV ROUTE) SOLN,45.0,24.75,4.1735,225.1125,113 NDC,00641605425_2,MEPERIDINE HCL 100 MG/ML IJ SOLN,45.0,24.75,4.1735,225.1125,113 NDC,00641605725,MIDAZOLAM HCL 2 MG/2ML IJ SOLN,45.0,24.75,0.34,225.1125,113 NDC,00641605910,MIDAZOLAM HCL 5 MG/5ML IJ SOLN,45.0,24.75,0.34,225.1125,113 NDC,00641611110,SUFENTANIL CITRATE 100 MCG/2ML IV SOLN,45.0,24.75,11.25,225.1125,113 NDC,00641612525,MORPHINE SULFATE 4 MG/ML IV/IJ SOLN (MULTI-GPI),45.0,24.75,4.437,225.1125,113 NDC,00641612725,MORPHINE SULFATE 10 MG/ML IV SOLN,45.0,24.75,4.437,225.1125,113 NDC,00641613710,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN,40.0,22.0,10.0,200.1,113 NDC,00641614910,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,40.0,22.0,0.714,200.1,113 NDC,00641615125,HYDROMORPHONE HCL 2 MG/ML IJ SOLN (MULTI-GPI)|DISCARDED DRUG NOT ADMINISTERED,1.52,0.84,0.09,7.6038,117 NDC,00641615125_2,HYDROMORPHONE HCL 2 MG/ML IJ SOLN|DISCARDED DRUG NOT ADMINISTERED,1.52,0.84,0.09,7.6038,117 NDC,00641615125_3,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,45.0,24.75,0.09,225.1125,117 NDC,00641615125_4,HYDROMORPHONE HCL 2 MG/ML IJ SOLN (MULTI-GPI),45.0,24.75,0.09,225.1125,117 NDC,00641616710,AMIKACIN SULFATE 500 MG/2ML IJ SOLN,40.0,22.0,1.53,200.1,113 NDC,00641617410,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN,40.0,22.0,5.58,36.0,113 NDC,00641617510,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN,40.0,22.0,5.58,36.0,113 NDC,00641623125,HYDRALAZINE HCL 20 MG/ML IJ SOLN,40.0,22.0,9.6985,200.1,113 NDC,00658004803,ICAPS AREDS 2 PO CHEW,4.0,2.2,1.0,3.6,113 NDC,0069008801,TOBRAMYCIN INTRAVITREAL INJ (0.2MG/0.1ML),110.0,60.5,27.5,550.275,113 NDC,0069258703,VANCOMYCIN OPHTHALMIC SOLN 25 MG/ML,110.0,60.5,27.5,550.275,113 NDC,00703011003,HYDROMORPHONE (PF) 10 MG/ML INTRATHECAL SYRINGE,220.6,121.33,0.09,1103.5515,117 NDC,00703024101,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP 1ML VIAL (BULK CHARGE),40.0,22.0,1.8105,200.1,113 NDC,00703067601,TREPROSTINIL 50 MG/20ML IJ SOLN,3903.16,2146.74,54.48,19525.5579,123 NDC,00703068601,TREPROSTINIL 100 MG/20ML IJ SOLN,5854.68,3220.07,54.48,29288.0367,123 NDC,00703069601,TREPROSTINIL 200 MG/20ML IJ SOLN,11709.45,6440.2,54.48,58576.523625,123 NDC,00703321301,PACLITAXEL 30 MG/5ML IV CONC,40.0,22.0,0.3315,200.1,114 NDC,00703367501,METHOTREXATE SODIUM (PF) 250 MG/10ML IJ SOLN,40.0,22.0,0.187,200.1,114 NDC,00703398601,OXALIPLATIN 100 MG/20ML IV SOLN,271.71,149.44,0.391,1359.229275,114 NDC,00703424401,CARBOPLATIN 50 MG/5ML IV SOLN,40.0,22.0,7.22,200.1,114 NDC,00703424601,CARBOPLATIN 150 MG/15ML IV SOLN,46.13,25.37,7.22,230.765325,114 NDC,00703463601,STREPTOZOCIN 1 G IV SOLR,1262.96,694.63,315.74,6317.9574,115 NDC,00703463601_2,STREPTOZOCIN CHEMO SYRINGE,1332.96,733.13,333.24,6668.1324,115 NDC,00703574711,CISPLATIN CHEMOEMBOLIZATION (1 MG/ML),114.28,62.85,4.199,571.6857,114 NDC,00703574711_2,CISPLATIN FOR CHEMOPERFUSION,114.28,62.85,4.199,571.6857,114 NDC,00713013212,PROMETHAZINE HCL 50 MG RE SUPP,52.21,28.72,13.0525,46.989,113 NDC,00713022315,FLUOCINOLONE ACETONIDE 0.01 % EX CREA,84.78,46.63,21.195,76.302,113 NDC,00713022415,FLUOCINOLONE ACETONIDE 0.025 % EX OINT,35.5,19.53,8.875,31.95,113 NDC,00713050324,HYDROCORTISONE ACETATE 25 MG RE SUPP,4.0,2.2,1.0,3.6,113 NDC,00713052612,PROMETHAZINE HCL 25 MG RE SUPP,11.24,6.18,2.81,10.116,113 NDC,00713053612,PROMETHAZINE HCL 12.5 MG RE SUPP,5.64,3.1,1.41,5.076,113 NDC,00713063415,MOMETASONE FUROATE 0.1 % EX CREA,9.58,5.27,2.395,8.622,113 NDC,00713067815,NYSTATIN 100000 UNIT/GM EX CREA,9.23,5.08,2.3075,8.307,113 NDC,00713068315,GENTAMICIN SULFATE 0.1 % EX CREA,15.03,8.27,3.7575,13.527,113 NDC,00713088509,CLOMIPHENE CITRATE 50 MG PO TABS,17.81,9.8,4.4525,16.029,113 NDC,00781108901,ALPRAZOLAM 2 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00781194382,AMOXICILLIN-POT CLAVULANATE ER 1000-62.5 MG PO TB12,10.79,5.93,2.6975,9.711,113 NDC,00781214501,AMPICILLIN 500 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00781232151,APREPITANT 40 MG PO CAPS,201.63,110.9,11.169,1008.654075,113 NDC,00781232268,APREPITANT 80 MG PO CAPS,435.99,239.79,11.169,2181.039975,113 NDC,00781232368,APREPITANT 125 MG PO CAPS,573.59,315.47,11.169,2869.383975,113 NDC,00781300095,MEROPENEM 500 MG IV SOLR,40.0,22.0,0.6205,200.1,113 NDC,00781304095,PYRIDOSTIGMINE BROMIDE 10 MG/2ML IV SOLN,68.17,37.49,17.0425,341.020425,113 NDC,00781311395,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,40.0,22.0,1.751,200.1,113 NDC,00781311495,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,40.0,22.0,1.751,200.1,113 NDC,00781315401,FERUMOXYTOL 510 MG/17ML IV SOLN,776.65,427.16,0.32,3885.191625,123 NDC,00781323434,GLATIRAMER ACETATE 20 MG/ML SC SOSY,96.53,53.09,24.1325,233.388,118 NDC,00781329009,CLINDAMYCIN 900 MG/50 ML RTU|DISCARDED DRUG NOT ADMINISTERED,8.56,4.71,1.071,42.8214,114 NDC,00781329009_2,CLINDAMYCIN 18 MG/ML SYR-RTU (NICU)|DISCARDED DRUG NOT ADMINISTERED,21.4,11.77,1.071,107.0535,114 NDC,00781329009_3,CLINDAMYCIN 18 MG/ML SYR-RTU D5W (PEDS)|DISCARDED DRUG NOT ADMINISTERED,21.4,11.77,1.071,107.0535,114 NDC,00781329009_4,CLINDAMYCIN 18 MG/ML SYR-RTU (NICU),110.0,60.5,1.071,550.275,114 NDC,00781329009_5,CLINDAMYCIN 18 MG/ML SYR-RTU D5W (PEDS),110.0,60.5,1.071,550.275,114 NDC,00781329009_6,CLINDAMYCIN 900 MG/50 ML RTU,110.0,60.5,1.071,550.275,114 NDC,00781340295,AMPICILLIN SODIUM 250 MG IJ SOLR,40.0,22.0,2.5075,200.1,113 NDC,00781340495,AMPICILLIN SODIUM 1 G IJ SOLR,40.0,22.0,2.5075,200.1,113 NDC,00781340795,AMPICILLIN SODIUM 100 MG/ML IJ 500 MG VIAL (RECON),40.0,22.0,2.5075,200.1,113 NDC,00781340795_2,AMPICILLIN SODIUM 500 MG IJ SOLR,40.0,22.0,2.5075,200.1,113 NDC,00781341195,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,40.0,22.0,0.867,200.1,113 NDC,00781344395,FONDAPARINUX 5 MG/ML SC SOLN CUSTOM SYRINGE,40.0,22.0,4.896,200.1,113 NDC,00781344395_2,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,40.0,22.0,4.896,200.1,113 NDC,00781345095,CEFAZOLIN SODIUM 50 MG/ML IJ SOLR,40.0,22.0,1.836,200.1,113 NDC,00781345095_2,CEFAZOLIN SODIUM 500 MG IJ SOLR,40.0,22.0,1.836,200.1,113 NDC,00781349395,DEXMEDETOMIDINE HCL IN NACL 80 MCG/20ML IV SOLN,110.0,60.5,27.5,550.275,113 NDC,00781400332,LEUPROLIDE ACETATE 1 MG/0.2ML IJ KIT,2020.12,1111.07,16.5,1933.25484,115 NDC,00781543820,CEFPODOXIME PROXETIL 100 MG PO TABS,4.74,2.61,1.185,4.266,113 NDC,00781602352,CLARITHROMYCIN 250 MG/5ML PO SUSR,151.83,83.51,37.9575,136.647,113 NDC,00781603958,AMOXICILLIN 125 MG/5ML PO SUSR,5.48,3.01,1.37,4.932,113 NDC,00781613694,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR,40.0,22.0,0.5185,200.1,113 NDC,00781613957,AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR,15.03,8.27,3.7575,13.527,113 NDC,00781615395,PENICILLIN G SODIUM 5000000 UNITS IJ SOLR,40.0,22.0,10.0,200.1,113 NDC,00781627043,OXCARBAZEPINE 300 MG/5ML PO SUSP,373.7,205.54,93.425,336.33,113 NDC,00781730431,RIVASTIGMINE 4.6 MG/24HR TD PT24,5.14,2.83,1.285,4.626,113 NDC,00832051201,BETHANECHOL CHLORIDE 25 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00832107430,TOPIRAMATE ER 100 MG PO CS24,27.54,15.15,6.885,24.786,113 NDC,00832112035,TESTOSTERONE 50 MG/5GM (1%) TD GEL,10.92,6.01,2.73,9.828,113 NDC,00832121101,WARFARIN SODIUM 1 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00832121401,WARFARIN SODIUM 3 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00832121501,WARFARIN SODIUM 4 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00832121601,WARFARIN SODIUM 5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00832121701,WARFARIN SODIUM 6 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00832121801,WARFARIN SODIUM 7.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00832121901,WARFARIN SODIUM 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00832169011,ETHACRYNIC ACID 25 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00832602211,CARBAMAZEPINE ER 100 MG PO TB12,4.0,2.2,1.0,3.6,113 NDC,00832604550,FAMOTIDINE 40 MG/5ML PO SUSR,55.25,30.39,13.8125,49.725,113 NDC,00832712401,DIVALPROEX SODIUM 500 MG PO TBEC,4.0,2.2,1.0,3.6,113 NDC,00869060243,MAGNESIUM SULFATE (LAXATIVE) PO GRAN,4.0,2.2,1.0,3.6,113 NDC,00904027746,VITAMIN E 450 MG (1000 UNIT) PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00904052361,ASCORBIC ACID 500 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904053061,DAILY VITES PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904053061_2,TAB-A-VITE/BETA CAROTENE PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904053961,MULTI-VITAMINS PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904110309,POVIDONE-IODINE 10 % EX SOLN,5.95,3.27,1.4875,5.355,113 NDC,00904188361,OYSTER CALCIUM 1250 (500 CA) MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904205661,DIPHENHYDRAMINE HCL 50 MG PO CAPS,4.0,2.2,0.017,20.01,113 NDC,00904208560,VITAMIN A 3000 MCG (10000 UT) PO CAPS (FOR PO PEDS),4.0,2.2,1.0,3.6,113 NDC,00904253321,CALAMINE-ZINC OXIDE 8-8 % EX LOTN,4.0,2.2,1.0,3.6,113 NDC,00904386575,SALINE NASAL SPRAY 0.65 % NA SOLN,4.0,2.2,1.0,3.6,113 NDC,00904386575_2,SALINE SPRAY 0.65 % NA SOLN,40.0,22.0,10.0,36.0,113 NDC,00904515460,GUAIFENESIN 200 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904522452,LACTASE 3000 UNITS PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904544861,PENTOXIFYLLINE ER 400 MG PO TBCR,4.0,2.2,1.0,3.6,113 NDC,00904552461,DOXAZOSIN MESYLATE 4 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904561646,COENZYME Q10 50 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00904578961,ACYCLOVIR 200 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00904579146,ACETAMINOPHEN 80 MG PO CHEW,4.0,2.2,1.0,3.6,113 NDC,00904585361,IBUPROFEN 400 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904585561,IBUPROFEN 800 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904592161,DIGOXIN 125 MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904595961,CLINDAMYCIN HCL 150 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00904598426,AMMONIUM LACTATE 12 % EX LOTN,8.78,4.83,2.195,7.902,113 NDC,00904600761,LORAZEPAM 0.5 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00904608261,ZOLPIDEM TARTRATE 5 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00904608461,CITALOPRAM HYDROBROMIDE 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904608561,CITALOPRAM HYDROBROMIDE 20 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904629161,ATORVASTATIN CALCIUM 20 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904632461,METOPROLOL SUCCINATE ER 100 MG PO TB24,4.0,2.2,1.0,3.6,113 NDC,00904635161,LEVOFLOXACIN 250 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904635261,LEVOFLOXACIN 500 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904635361,LEVOFLOXACIN 750 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904636961,AMLODIPINE BESYLATE 2.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904637361,ROPINIROLE HCL 0.25 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904637461,ROPINIROLE HCL 1 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904640761,BISACODYL 5 MG PO TBEC,4.0,2.2,1.0,3.6,113 NDC,00904642661,ESCITALOPRAM OXALATE 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904642761,ESCITALOPRAM OXALATE 20 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904645061,ISOSORBIDE MONONITRATE ER 60 MG PO TB24,4.0,2.2,1.0,3.6,113 NDC,00904647861,DONEPEZIL HCL 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904650661,MEMANTINE HCL 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904657561,PHENOBARBITAL 32.4 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00904659961,PERPHENAZINE 2 MG PO TABS,4.0,2.2,0.476,20.01,113 NDC,00904660061,PERPHENAZINE 4 MG PO TABS,4.0,2.2,1.0,20.01,113 NDC,00904663961,QUETIAPINE FUMARATE 50 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904664361,QUETIAPINE FUMARATE 400 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904668108,DOFETILIDE 125 MCG PO CAPS,7.32,4.03,1.83,6.588,113 NDC,00904670310,LEUCOVORIN CALCIUM 25 MG PO TABS,21.37,11.75,5.3425,19.233,113 NDC,00904670961,GLYCOPYRROLATE 1 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904673061,ACETAMINOPHEN 500 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904679761,LISINOPRIL 5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904680861,MONTELUKAST SODIUM 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904685261,LORATADINE 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904686861,TRAZODONE HCL 50 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904690706,PSEUDOEPHEDRINE HCL 60 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904699061,PSEUDOEPHEDRINE HCL 30 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904708461,BUPROPION HCL ER (XL) 150 MG PO TB24,4.2,2.31,1.05,3.78,113 NDC,00904716261,METFORMIN HCL 500 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904717761,FUROSEMIDE 20 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904717861,FUROSEMIDE 40 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904718361,DOCUSATE SODIUM 100 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00904722961,NIFEDIPINE 10 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00904723661,MEGESTROL ACETATE 40 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904723761,DIPHENHYDRAMINE HCL 25 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00904724361,CIPROFLOXACIN HCL 500 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904730761,CARVEDILOL 12.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904734661,FLUOXETINE HCL 20 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,00904743535,OXYMETAZOLINE HCL 0.05 % NA SOLN,4.53,2.49,1.1325,4.077,113 NDC,00904759161,FERROUS SULFATE 325 (65 FE) MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904772714,ALUM HYDROXIDE-MAG CARBONATE 95-358 MG/15ML PO SUSP,7.53,4.14,1.8825,6.777,113 NDC,00904772861,CLONAZEPAM 1 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,00904773445,MICONAZOLE NITRATE 2 % VA CREA,11.48,6.31,2.87,10.332,113 NDC,00904791461,IBUPROFEN 200 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00904880567,BACITRACIN-NEOMYCIN-POLYMIXIN EX OINT 0.9GM (BULK CHARGE),4.0,2.2,1.0,3.6,113 NDC,00944265603,IMMUNE GLOBULIN (HUMAN) 5 G IV SOLR (GAMMAGARD S/D),1920.0,1056.0,78.8,9604.8,122 NDC,00944265804,IMMUNE GLOBULIN (HUMAN) 10 G IV SOLR (GAMMAGARD S/D),6502.44,3576.34,78.8,32528.4561,122 NDC,00944270002,IMMUNE GLOBULIN (HUMAN) 1 GM/10ML IJ SOLN (GAMMAGARD),368.76,202.82,92.19,1844.7219,113 NDC,00944270004,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML IJ SOLN (GAMMAGARD),2107.16,1158.94,45.31,10541.0679,122 NDC,00944284310,ANTIHEM FACTOR RECOMB (RFVIII) 801-1240 UNITS IV SOLR|DISCARDED DRUG NOT ADMINISTERED,3.03,1.67,0.8484,4.5633,122 NDC,00944284310_2,ANTIHEM FACTOR RECOMB (RFVIII) 801-1240 UNITS IV SOLR,40.0,22.0,1.54,38.28,122 NDC,00944288401,ALPHA1-PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN|DISCARDED DRUG NOT ADMINISTERED,1.6,0.88,0.4,8.004,113 NDC,00944288401_2,ALPHA1-PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN,110.0,60.5,27.5,550.275,113 NDC,00944304510,ANTIHEMOPHIL FACTOR (RAHF-PFM) 2000 UNITS IV SOLR|DISCARDED DRUG NOT ADMINISTERED,3.04,1.67,0.8512,4.5633,122 NDC,00944304510_2,ANTIHEMOPHIL FACTOR (RAHF-PFM) 2000 UNITS IV SOLR,110.0,60.5,1.54,105.27,122 NDC,00944305202,ANTIHEMOPHIL FACTOR (RAHF-PFM) 500 UNITS IV SOLR|DISCARDED DRUG NOT ADMINISTERED,2.63,1.45,0.7364,4.5633,122 NDC,00944305202_2,ANTIHEMOPHIL FACTOR (RAHF-PFM) 500 UNITS IV SOLR,110.0,60.5,1.54,105.27,122 NDC,00944305302,ANTIHEMOPHILIC FACTOR VIII RECOMBINANT (ADVATE)|DISCARDED DRUG NOT ADMINISTERED,3.26,1.79,0.9128,4.5633,122 NDC,00944305302_2,ANTIHEMOPHILIC FACTOR VIII RECOMBINANT (ADVATE),110.0,60.5,1.54,105.27,122 NDC,00944394402,ANTIHEMOPHILIC FACTOR 1000 UNITS IV SOLR|DISCARDED DRUG NOT ADMINISTERED,3.08,1.69,0.8624,3.1857,122 NDC,00944394402_2,ANTIHEMOPHILIC FACTOR VIII (KOATE DVI)|DISCARDED DRUG NOT ADMINISTERED,3.08,1.69,0.8624,3.1857,122 NDC,00944394402_3,ANTIHEMOPHILIC FACTOR 1000 UNITS IV SOLR,40.0,22.0,1.09,38.28,122 NDC,00944394402_4,ANTIHEMOPHILIC FACTOR VIII (KOATE DVI),110.0,60.5,1.09,105.27,122 NDC,00944394602,ANTIHEMOPHILIC FACTOR 1700 UNITS IV SOLR|DISCARDED DRUG NOT ADMINISTERED,1.94,1.07,0.5432,3.1857,122 NDC,00944394602_2,ANTIHEMOPHILIC FACTOR 1700 UNITS IV SOLR,110.0,60.5,1.09,105.27,122 NDC,00944755102,VON WILLEBRAND FACTOR (RECOMB) 650 UNITS IV SOLR|DISCARDED DRUG NOT ADMINISTERED,4.95,2.72,1.386,24.762375,122 NDC,00944755102_2,VON WILLEBRAND FACTOR (RECOMB) 650 UNITS IV SOLR,110.0,60.5,1.83,550.275,122 NDC,00944755302,VON WILLEBRAND FACTOR (RECOMB) 1300 UNITS IV SOLR|DISCARDED DRUG NOT ADMINISTERED,4.79,2.63,1.1975,23.961975,113 NDC,00944755302_2,VON WILLEBRAND FACTOR (RECOMB) 1300 UNITS IV SOLR,110.0,60.5,27.5,550.275,113 NDC,00955104290,IRBESARTAN 300 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,00990713936,STERILE WATER FOR IRRIGATION IR SOLN FOR WAM MIXTURE,10.76,5.92,2.69,9.684,113 NDC,00990767009,NORMOSOL-R PH 7.4 IV BOLUS,40.0,22.0,10.0,36.0,113 NDC,00990767009_2,NORMOSOL-R PH 7.4 IV SOLN,70.0,38.5,17.5,63.0,113 NDC,00990771503,MANNITOL 20 % IV <=500 ML,70.0,38.5,17.5,350.175,113 NDC,00990771503_2,MANNITOL 20 % IV SOLN,70.0,38.5,17.5,350.175,113 NDC,00990771503_3,MANNITOL 20 % IV SOLN 500 ML BAG (BULK CHARGE),100.0,55.0,25.0,500.25,113 NDC,00990793519,DEXTROSE 20 % IV SOLN,70.0,38.5,17.5,63.0,113 NDC,00990793519_2,DEXTROSE 20 % IV SOLN (HIET PROTOCOL),70.0,38.5,17.5,63.0,113 NDC,00990797307,WATER FOR IRRIGATION STERILE IR SOLN 2000ML (BULK CHARGE),40.0,22.0,6.0,36.0,113 NDC,00998101002,MICROFIBRILLAR COLL HEMOSTAT EX POWD,1000.26,550.14,250.065,5003.80065,113 NDC,0121053105,PHENOBARBITAL 20 MG/5ML PO ELIX (NICU),8.0,4.4,2.0,7.2,113 NDC,0121146515,POTASSIUM CHLORIDE 10 MEQ/7.5 ML ORAL SOLUTION,4.0,2.2,1.0,3.6,113 NDC,0121157610,METOCLOPRAMIDE 1 MG/1 ML ORAL SOLUTION (NICU),4.0,2.2,1.0,3.6,113 NDC,0172443049,MISOPROSTOL 25 MCG PO TABS,4.0,2.2,1.0,3.6,113 NDC,0182125900,TRAZODONE HCL 25 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,0228280311,SPIRONOLACTONE 12.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,0378001801,METOPROLOL TARTRATE 12.5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,0378013701,ALLOPURINOL 50 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,04142000007,SACCHAROMYCES BOULARDII 250 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,04444000002,PET ISOTOPE 18-F DOPA,3340.0,1837.0,835.0,16708.35,113 NDC,04444000003,PET ISOTOPE 15-O H2O (WATER),840.0,462.0,210.0,4202.1,113 NDC,04444000006,PET ISOTOPE 11-C ACETATE,1670.0,918.5,417.5,8354.175,113 NDC,04444000007,LEECH (MEDICINAL),41.25,22.69,10.3125,206.353125,113 NDC,04444000028,LAMINARIA # 4,40.0,22.0,10.0,200.1,113 NDC,04444000029,LAMINARIA # 5,40.0,22.0,10.0,200.1,113 NDC,04444000030,LAMINARIA # 6,40.0,22.0,10.0,200.1,113 NDC,04444000032,LAMINARIA # 8,40.0,22.0,10.0,200.1,113 NDC,04444000035,DILAPAN-S SIZE 4 X 65MM,240.0,132.0,60.0,1200.6,113 NDC,04444000036,RESTYLANE 1 ML,863.03,474.67,215.7575,4317.307575,113 NDC,04444000037,RESTYLANE-L 0.5 ML,612.5,336.88,153.125,3064.03125,113 NDC,04444000039,JUVEDERM ULTRA XC 1 ML,1242.0,683.1,310.5,6213.105,113 NDC,04444000053,GLUCOSE TOLERANCE TEST 100 GM,10.71,5.89,2.6775,53.576775,113 NDC,04444000054,SODIUM IODIDE I 131 CAPSULE DIAGNOSTIC,398.43,219.14,99.6075,1993.146075,113 NDC,04444000058,PET IDS 18-F LFAC,33400.0,18370.0,8350.0,167083.5,113 NDC,04444000059,PET IDS 18-F FLT,2340.0,1287.0,585.0,11705.85,113 NDC,04444000067,JUVEDERM ULTRA PLUS XC 1 ML,1242.0,683.1,310.5,6213.105,113 NDC,04444113707,INDIUM IN-111 WBC,35284.5,19406.48,8821.125,176510.71125,113 NDC,0536141501,NEPHRO-VITE 0.8 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,0536222075,SIMETHICONE 40 MG/0.6ML PO SUSP (NICU),7.89,4.34,1.0,10.602,226 NDC,0536222075_2,SIMETHICONE 40 MG/0.6ML PO SUSP (NICU),7.89,4.34,1.0,10.602,226 NDC,05446063730,ALUM POTASSIUM SULFATE 10% IRRIGATION SOLN,250.0,137.5,62.5,1250.625,113 NDC,0574014704,FAMOTIDINE 20 MG/2.5ML PO SUSR,4.0,2.2,1.0,3.6,113 NDC,05928000100,SINUS RINSE KIT NA PACK,4.0,2.2,1.0,3.6,113 NDC,08065183085,SODIUM HYALURONATE 8.5 MG/0.85ML IO SOSY,232.92,128.11,58.23,1165.1823,113 NDC,08065183710,NA CHONDROIT SULF-NA HYALURON 40-17 MG/ML IO SOLN,203.52,111.94,50.88,1018.1088,113 NDC,08065183905,NA CHONDROIT SULF-NA HYALURON 20-15 MG/0.5ML IO SOSY,206.22,113.42,51.555,1031.61555,113 NDC,08065183905_2,NA CHONDROIT-NA HYALURON 40-30 MG/ML IO SOLN 0.5ML SYR (BULK CHARGE),206.22,113.42,51.555,1031.61555,113 NDC,08137003623,AVEENO MOISTURIZING EX BAR,5.85,3.22,1.4625,5.265,113 NDC,08137003640,AVEENO SOOTHING BATH TREATMENT EX PACK,4.0,2.2,1.0,3.6,113 NDC,08252000003,PROPYLTHIOURACIL 200 MG RECTAL SUPP,4.42,2.43,1.105,3.978,113 NDC,08252000022,PENTOXIFYLLINE 20 MG/ML ORAL SUSPENSION,5.25,2.89,1.3125,4.725,113 NDC,08252000025,FLUCYTOSINE 50MG/ML SUSPENSION,78.0,42.9,19.5,70.2,113 NDC,08252000026,CINACALCET 5 MG/ML ORAL SUSPENSION (PTL),46.63,25.65,11.6575,41.967,113 NDC,08252000027,CEFUROXIME INTRACAMERAL INJ (1 MG/0.1ML),40.0,22.0,10.0,200.1,113 NDC,08252000028,GENTAMICIN 5 MG/ML LOCK SYRINGE,110.0,60.5,27.5,550.275,113 NDC,08252000030,FMT30 30 ML NASOGASTRIC,4785.0,2631.75,1196.25,23936.9625,113 NDC,08252000032,TROPHAMINE 6.8 % CUSTOM IV SOLN,4000.0,2200.0,1000.0,20010.0,113 NDC,08252000041,DOPAMINE 1600 MCG/ML SYR FROM RTU (NICU),110.0,60.5,27.5,550.275,113 NDC,08252000045,HYDROCORTISONE SOD SUCC 5 MG/ML SYRINGE (NICU),110.0,60.5,27.5,550.275,113 NDC,08252000050,SACUBITRIL-VALSARTAN 4 MG/ML PO SUSP,25.64,14.1,6.41,23.076,113 NDC,08252000052,MORPHINE SULFATE 60MG-BACLOFEN 1.8MG-BUPIVACAINE 90 MG IN 12 ML INTRATHECAL SYR,670.0,368.5,167.5,3351.675,113 NDC,08252000054,IMATINIB 40 MG/ML ORAL SUSPENSION,9.81,5.4,2.4525,8.829,113 NDC,08252000056,ASPIRIN 8.1 MG/ML ORAL SUSPENSION,112.95,62.12,28.2375,101.655,113 NDC,08252000057,ASPIRIN 10 MG/ML ORAL SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,08252000063,BLEOMYCIN CHEMO OPHTHALMIC SYRINGE,118.93,65.41,29.7325,594.947325,113 NDC,08252000064,MAGNESIUM SULFATE 2 GM/50ML IV SOLN (MAKER),110.0,60.5,27.5,550.275,113 NDC,08252000065,MAGNESIUM SULFATE 4 GM/100ML IV SOLN (MAKER),110.0,60.5,27.5,550.275,113 NDC,08252000067,BENZOCAINE 20% LIDOCAINE 8% TETRACAINE 8% CREAM,65.55,36.05,16.3875,58.995,113 NDC,08252000071,HYDROMORPHONE 500 MG/50 ML PCA SYRINGE (STRAIGHT DRUG),301.85,166.02,75.4625,1510.004625,113 NDC,08252000073,CALCIUM GLUCONATE IVPB (APHERESIS),110.0,60.5,27.5,550.275,113 NDC,08252000076,BACLOFEN 5 MG/ML PO SUSP (PTL),4.0,2.2,1.0,3.6,113 NDC,08252000080,BOSENTAN 6.25 MG/ML ORAL SUSPENSION,43.82,24.1,10.955,39.438,113 NDC,08252000081,MITOMYCIN 0.5 MG/ML TOPICAL SYRINGE (OPH),448.03,246.42,112.0075,2241.270075,113 NDC,08252000085,SODIUM THIOSULFATE 10% CREAM,5.42,2.98,1.355,4.878,113 NDC,08252000086,MITOMYCIN 2 MCG/0.1 ML INTRAOCULAR SYRINGE,417.91,229.85,104.4775,2090.594775,113 NDC,08252000089,LIQUIBAND SKIN ADHESIVE,35.93,19.76,8.9825,179.739825,113 NDC,08252000095,PET IDS GA-68 GOZETOTIDE,3587.73,1973.25,896.9325,17947.619325,113 NDC,08252000107,GLUTARALDEHYDE 0.625% EX SOLN,143.75,79.06,35.9375,719.109375,113 NDC,08252000111,GANCICLOVIR INTRAVITREAL INJ (2 MG/0.05 ML),159.96,87.98,39.99,800.1999,113 NDC,08252000112,INSULIN ASPART 10 UNITS/ML (DILUTED) IN NS (PEDS/NICU),40.0,22.0,10.0,36.0,113 NDC,08252000119,KETAMINE HCL 10 MG/ML (IV FOR PO),63.63,35.0,15.9075,318.309075,113 NDC,08252000120,HEPARIN (PORCINE) IN NACL 5000-0.9 UNIT/L-% IV SOLN,110.0,60.5,27.5,550.275,113 NDC,08252000122,HEPARIN (PORCINE) IN NACL 2500-0.9 UT/500ML-% IV SOLN,110.0,60.5,27.5,550.275,113 NDC,08252000128,DEXTROSE 12.5% IV SOLN (CUSTOM),70.0,38.5,17.5,63.0,113 NDC,08252000129,PET IDS 18-F FHBG,2340.0,1287.0,585.0,11705.85,113 NDC,08252000130,LU-177 LUTETIUM PSMA,1270.0,698.5,317.5,6353.175,113 NDC,08252000139,FMT CAPSULE G3,5850.0,3217.5,1462.5,29264.625,113 NDC,08252000140,FMT250 250 ML ENEMA,3987.5,2193.13,996.875,19947.46875,113 NDC,08252000141,CASPOFUNGIN OPHTHALMIC SOLN 0.5%,110.0,60.5,27.5,99.0,113 NDC,08252000143,PROPYLTHIOURACIL 5 MG/ML ORAL SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,08252000145,LAMINARIA # 2,40.0,22.0,10.0,200.1,113 NDC,08252000146,LAMINARIA # 3,40.0,22.0,10.0,200.1,113 NDC,08252000147,LAMINARIA # 10,40.0,22.0,10.0,200.1,113 NDC,08252000148,POTASSIUM CHLORIDE 0.4 MEQ/ML SYRINGE (PEDS) FROM IVAS MAKER,110.0,60.5,27.5,550.275,113 NDC,08252000148_2,POTASSIUM CHLORIDE 0.4 MEQ/ML SYRINGE (PEDS) FROM IVAS MAKER CARDIAC,110.0,60.5,27.5,550.275,113 NDC,08252000155,AMIODARONE 10MG/ML SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,08252000156,DILTIAZEM 2 MG/ML SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,08252000157,QUETIAPINE 10 MG/ML ORAL SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,08252000158,AMPHOTERICIN INTRAVITREAL INJ (10MCG/0.1ML),198.92,109.41,49.73,995.0973,113 NDC,08252000159,AZATHIOPRINE 10MG/ML ORAL SUSPENSION,4.0,2.2,1.0,20.01,113 NDC,08252000162,CIDOFOVIR INTRAVITREAL INJ 20 MCG/0.1 ML,1997.4,1098.57,499.35,9991.9935,113 NDC,08252000166,VANCOMYCIN 1 GM/250 ML D5W RTU IVAS,110.0,60.5,27.5,550.275,113 NDC,08252000166_2,VANCOMYCIN CONTINUOUS INFUSION 1 G/250 ML RTU IVAS,110.0,60.5,27.5,550.275,113 NDC,08252000168,ZONISAMIDE 20 MG/ML ORAL SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,08252000171,PRASUGREL 10 MG - 6 TAB LOADING DOSE ONLY,11.19,6.15,2.7975,10.071,113 NDC,08252000172,TREPROSTINIL SYRINGE 30000 NG/ML (NICU RX USE),1606.52,883.59,401.63,8036.6163,113 NDC,08252000173,TREPROSTINIL SYRINGE 120000 NG/ML (NICU RX USE),1606.52,883.59,401.63,8036.6163,113 NDC,08252000176,SARGRAMOSTIM 250 MCG NEBULIZER SOLUTION,871.7,479.44,217.925,784.53,113 NDC,08252000179,CALCIUM CHLORIDE IVPB (APHERESIS),110.0,60.5,27.5,550.275,113 NDC,08252000179_2,CALCIUM CHLORIDE IVPB (APHERESIS) PRN,110.0,60.5,27.5,550.275,113 NDC,08252000181,METHOTREXATE INTRAVITREAL INJ 400 MCG/0.05ML,110.0,60.5,27.5,550.275,113 NDC,08252000185,METOPROLOL TARTRATE 10 MG/ML ORAL SUSPENSION (PTL),4.0,2.2,1.0,3.6,113 NDC,08252000190,TREPROSTINIL SYRINGE 25000 NG/ML (NICU RX USE),1606.52,883.59,401.63,8036.6163,113 NDC,08252000193,TECHNETIUM TC 99M PENTETATE AEROSOL,423.48,232.91,105.87,2118.4587,113 NDC,08252000194,PET IDS 18-F METHYL 4-FDG,500.0,275.0,125.0,2501.25,113 NDC,08252000195,PET IDS 18-F HX4 HYPOXIA,1.0,0.55,0.25,5.0025,113 NDC,08252000196,PET IDS 11-C BTA BENZTHIAZOLEAMYLOID,840.0,462.0,210.0,4202.1,113 NDC,08252000197,PET IDS 18-F DDNP,630.0,346.5,157.5,3151.575,113 NDC,08252000198,PET IDS 18-F FLURPIRIDAZ,1.0,0.55,0.25,5.0025,113 NDC,08252000199,PET IDS 18-F MPPF,500.0,275.0,125.0,2501.25,113 NDC,08252000200,SODIUM IODIDE I 131 CAPSULE THERAPEUTIC,375.0,206.25,93.75,1875.9375,113 NDC,08252000201,YTTRIUM Y-90 IMPLANT,54000.0,29700.0,0.6296,48600.0,112 NDC,08252000203,PET IDS 18-F FLORTAUCIPIR (AV-1451),1.0,0.55,0.25,5.0025,113 NDC,08252000204,PET IDS 18-F FLORBETABEN (NEURACEQ),1.0,0.55,0.25,5.0025,113 NDC,08252000205,PET IDS 18-F FLUTEMETAMOL (VIZAMYL),1.0,0.55,0.25,5.0025,113 NDC,08252000206,PET IDS 18-F MK6240,1.0,0.55,0.25,5.0025,113 NDC,08252000207,PET IDS 18-F CLOFARABINE,1.0,0.55,0.25,5.0025,113 NDC,08252000209,PET IDS 18-F FLORBETAPIR (AMYVID),1.0,0.55,0.25,5.0025,113 NDC,08252000217,PET IDS GA-68 FAPI-46,1012.44,556.84,253.11,5064.7311,113 NDC,08252000218,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSPENSION (PTL),4.0,2.2,1.0,3.6,113 NDC,08252000221,PET IDS ZR-89 GIRENTUXIMAB (TLX250),1.0,0.55,0.25,5.0025,113 NDC,08252000222,PET IDS 18-F DCFPYL,1.0,0.55,0.25,5.0025,113 NDC,08252000223,TREPROSTINIL 1 MG/ML SC SYRINGE CADD MS-3,220.63,121.35,55.1575,1103.701575,113 NDC,08252000224,TREPROSTINIL 2.5 MG/ML SC SYRINGE CADD MS-3,521.89,287.04,130.4725,2610.754725,113 NDC,08252000225,TREPROSTINIL 5 MG/ML SC SYRINGE CADD MS-3,1124.4,618.42,281.1,5624.811,113 NDC,08252000226,TREPROSTINIL 10 MG/ML SC SYRINGE CADD MS-3,2178.8,1198.34,544.7,10899.447,113 NDC,08252000229,TREPROSTINIL 1 MG/ML SC SYRINGE REMUNITY,220.63,121.35,55.1575,1103.701575,113 NDC,08252000230,TREPROSTINIL 2.5 MG/ML SC SYRINGE REMUNITY,334.07,183.74,83.5175,1671.185175,113 NDC,08252000231,TREPROSTINIL 5 MG/ML SC SYRINGE REMUNITY,948.2,521.51,237.05,4743.3705,113 NDC,08252000232,TREPROSTINIL 10 MG/ML SC SYRINGE REMUNITY,2178.8,1198.34,544.7,10899.447,113 NDC,08252000233,IDS TECHNETIUM TC 99M PSMA I&S,1661.0,913.55,415.25,8309.1525,113 NDC,08252000235,IDS I131-1095 DIAGNOSTIC WHOLE BODY IV SOLN,130.5,71.78,32.625,652.82625,113 NDC,08252000236,IDS I131-1095 THERAPEUTIC IV SOLN,1.0,0.55,0.25,5.0025,113 NDC,08252000237,IDS I131-1095 PSMA IV SOLN,10.0,5.5,2.5,50.025,113 NDC,08252000243,MTP-101LR 35 ML COLONOSCOPIC ROUTE,4237.5,2330.63,1059.375,3813.75,113 NDC,08252000244,MTP-101LF 35 ML COLONOSCOPIC ROUTE,4237.5,2330.63,1059.375,3813.75,113 NDC,08252000247,ACETYLCYSTEINE OPHTHALMIC SOLN 20%,110.0,60.5,27.5,550.275,113 NDC,08252000250,IDS LUTETIUM LU-177 PNT2002,1.0,0.55,0.25,5.0025,113 NDC,08252000251,PET IDS GA-68 FAPI-46 SOFIE,1800.0,990.0,450.0,9004.5,113 NDC,08252000253,IDS CLR I-131 THERAPEUTIC IV SOLUTION,1.0,0.55,0.25,5.0025,113 NDC,08252000286,DEXTROSE 20% ORAL SOLUTION,15.6,8.58,3.9,14.04,113 NDC,08252000294,CASPOFUNGIN 250 MCG/0.1 ML INTRAVITREAL INJECTION SOLUTION,85.05,46.78,21.2625,425.462625,113 NDC,08252000298,TREPROSTINIL 1 MG/ML SC SYRINGE CADD MS-3 (NICU),205.61,113.09,51.4025,1028.564025,113 NDC,08252000299,TREPROSTINIL 2.5 MG/ML SC SYRINGE CADD MS-3 (NICU),521.89,287.04,130.4725,2610.754725,113 NDC,08252000300,AMIKACIN INTRAVITREAL INJ (0.6MG/0.1ML),110.0,60.5,27.5,550.275,113 NDC,08252000307,FENTANYL 2 MCG/1ML IN D5 SYRINGE BATCH (NICU),45.0,24.75,11.25,225.1125,113 NDC,08252000322,HEPARIN (PORCINE) IN NACL 5000-0.9 UT/500ML-% IV SOLN,110.0,60.5,27.5,550.275,113 NDC,08252000415,TERBINAFINE 25 MG/ML SUSPENSION (PTL),4.0,2.2,1.0,3.6,113 NDC,08252000416,MINOCYCLINE 10MG/ML SUSPENSION,4.0,2.2,1.0,3.6,113 NDC,08252001000,CEFTAZIDIME SUBCONJUNCTIVAL INJ (200 MG/0.5 ML),110.0,60.5,27.5,550.275,113 NDC,08252001100,GENTAMICIN SUBCONJUNCTIVAL INJ (20 MG/0.5 ML),110.0,60.5,27.5,550.275,113 NDC,08252001200,TOBRAMYCIN SUBCONJUNCTIVAL INJ (20 MG/0.5 ML),110.0,60.5,27.5,550.275,113 NDC,08252001300,CEFAZOLIN SUBCONJUNCTIVAL INJ (100 MG/0.44 ML),110.0,60.5,27.5,550.275,113 NDC,08252001400,VANCOMYCIN SUBCONJUNCTIVAL INJ (25 MG/0.5 ML),110.0,60.5,27.5,550.275,113 NDC,08252001500,AMPICILLIN SUBCONJUNCTIVAL INJ (125 MG/0.5 ML),110.0,60.5,27.5,550.275,113 NDC,08252001600,METHOTREXATE INTRAVITREAL INJ 200 MCG/0.1ML,110.0,60.5,27.5,550.275,113 NDC,08252001800,VORICONAZOLE OPHTHALMIC SOLN 10 MG/ML,256.48,141.06,64.12,1283.0412,113 NDC,08252001900,AMIKACIN OPHTHALMIC SOLN 25 MG/ML,110.0,60.5,27.5,550.275,113 NDC,08252002000,CEFAZOLIN INTRAVITREAL INJ (2MG/0.1ML),110.0,60.5,27.5,550.275,113 NDC,08252002100,CEFAZOLIN OPHTHALMIC SOLN 50 MG/ML,110.0,60.5,27.5,550.275,113 NDC,08252002200,CEFAZOLIN OPHTHALMIC SOLN 100 MG/ML,110.0,60.5,27.5,550.275,113 NDC,08252002300,CEFTAZIDIME INTRAVITREAL INJ (2.25MG/0.05ML),110.0,60.5,27.5,550.275,113 NDC,08252002400,CEFTAZIDIME INTRAVITREAL INJ (2.25MG/0.1ML),110.0,60.5,27.5,550.275,113 NDC,08252002510,CEFTAZIDIME OPHTHALMIC SOLN 50 MG/ML,110.0,60.5,27.5,550.275,113 NDC,08252002518,CEFUROXIME 100 MG/ML SYRINGE,110.0,60.5,27.5,550.275,113 NDC,08252002700,VANCOMYCIN OPHTHALMIC SOLN 50 MG/ML,110.0,60.5,27.5,550.275,113 NDC,08252003300,AMIKACIN INTRAVITREAL INJ (0.2MG/0.1ML),110.0,60.5,27.5,550.275,113 NDC,08252003400,AMIKACIN INTRAVITREAL INJ (0.4MG/0.1ML),110.0,60.5,27.5,550.275,113 NDC,08252004000,GENTAMICIN OPHTHALMIC SOLN 15 MG/ML,110.0,60.5,27.5,550.275,113 NDC,08252007501,COLISTIMETHATE INHALATION SYRINGE,133.27,73.3,33.3175,666.683175,113 NDC,08252007501_2,COLISTIN 75 MG/ML SYRINGE (PEDS),133.27,73.3,33.3175,666.683175,113 NDC,08252012345,VANCOMYCIN 1 GM/250 ML NS RTU IVAS,110.0,60.5,27.5,550.275,113 NDC,08252012345_2,VANCOMYCIN CONTINUOUS INFUSION 1 G/250 ML NS RTU IVAS,110.0,60.5,27.5,550.275,113 NDC,08252014610,OXACILLIN 167 MG/ML IM INJECTION,110.0,60.5,27.5,550.275,113 NDC,08252025010,NITROGLYCERIN 100 MCG/ML 10 ML SYRINGE,110.0,60.5,27.5,550.275,113 NDC,08252036750,DUOBIOTIC ORTHOPEDIC IRRIGATION SOLN (OP USE) 500ML,110.0,60.5,27.5,550.275,113 NDC,08252037650,MAGNESIUM SULFATE 50% ORAL SOLUTION,13.75,7.56,3.4375,68.784375,113 NDC,08252043030,BONNEYS BLUE DYE 2%,28.65,15.76,7.1625,25.785,113 NDC,08252062022,AMMONIA AROMATIC IN INHA,4.0,2.2,1.0,3.6,113 NDC,08252099912,ROCURONIUM BROMIDE 10 MG/ML 10 ML DRIP SYRINGE (STRAIGHT DRUG),40.0,22.0,10.0,200.1,113 NDC,08252099913,ROCURONIUM BROMIDE 10 MG/ML 25 ML DRIP SYRINGE (STRAIGHT DRUG),40.0,22.0,10.0,200.1,113 NDC,08252099914,ROCURONIUM BROMIDE 10 MG/ML 50 ML DRIP SYRINGE (STRAIGHT DRUG),59.68,32.82,14.92,298.5492,113 NDC,08252099915,ROCURONIUM BROMIDE 10 MG/ML 100 ML DRIP (STRAIGHT DRUG),119.36,65.65,29.84,597.0984,113 NDC,08252114501,ONABOTULINUMTOXINA (BOTOX) 100 UNITS WITH 0.9% NS (10ML),2404.0,1322.2,601.0,12026.01,113 NDC,08252193810,PHENOL 80 % LIQD,63.68,35.02,15.92,318.5592,113 NDC,08252433201,VANCOMYCIN 1 MG/ML IRRIGATION SOLN,40.0,22.0,10.0,200.1,113 NDC,08252457401,PROMETHAZINE 6.25 MG IN 50 ML NS IVPB (BATCHED),110.0,60.5,27.5,550.275,113 NDC,08290236712,LACTINEX PO PACK,4.0,2.2,1.0,3.6,113 NDC,08290306414,HEPARIN SOD (PORK) LOCK FLUSH 10 UNIT/ML IV SOLN (MULTI-GPI),40.0,22.0,0.204,200.1,113 NDC,09990073620,HYDROMORPHONE 30 MG/ML INJECTION,275.0,151.25,68.75,1375.6875,113 NDC,09991000125,ACETYLCHOLINE INTRACORONARY SYRINGE,261.85,144.02,65.4625,1309.904625,113 NDC,09992019007,ACETAZOLAMIDE 100 MG/ML SYRINGE(PEDS),129.33,71.13,32.3325,646.973325,113 NDC,10006070028,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,10019036040,ISOFLURANE IN SOLN,52.31,28.77,13.0775,261.680775,113 NDC,10019064134,DESFLURANE IN SOLN,291.41,160.28,72.8525,262.269,113 NDC,10019092501,IFOSFAMIDE 1 G IV SOLR,65.78,36.18,16.445,329.06445,114 NDC,10019092602,IFOSFAMIDE 3 G IV SOLR,233.67,128.52,58.4175,1168.934175,113 NDC,10019095301,MESNA 100 MG/ML IV SOLN,40.0,22.0,5.1,200.1,114 NDC,10019095301_2,MESNA SYRINGE,110.0,60.5,5.1,550.275,114 NDC,10119000252,EYE WASH OP SOLN,40.0,22.0,10.0,36.0,113 NDC,10122051001,PORACTANT ALFA 120 MG/1.5ML INTRATRACHEA SUSP,2064.44,1135.44,516.11,10327.3611,113 NDC,10122051001_2,PORACTANT ALFA 80 MG/ML INTRATRACHEAL SUSP (MULTI GPI),2064.44,1135.44,516.11,10327.3611,113 NDC,10122051003,PORACTANT ALFA 240 MG/3ML INTRATRACHEA SUSP,4017.76,2209.77,1004.44,20098.8444,113 NDC,10122061010,CLEVIDIPINE 25 MG/50ML IV EMUL|DISCARDED DRUG NOT ADMINISTERED,75.95,41.77,18.9875,379.939875,113 NDC,10122061010_2,CLEVIDIPINE 25 MG/50ML IV EMUL,110.0,60.5,27.5,550.275,113 NDC,10122061110,CLEVIDIPINE 50 MG/100ML IV EMUL,151.89,83.54,37.9725,759.829725,113 NDC,10122062010,CANGRELOR TETRASODIUM 50 MG IV SOLR,3450.47,1897.76,862.6175,17260.976175,113 NDC,10135067181,CLOTRIMAZOLE 1 % EX SOLN,30.5,16.78,7.625,27.45,113 NDC,10135067181_2,CLOTRIMAZOLE 1% EX SOLN (OTIC USE),30.5,16.78,7.625,27.45,113 NDC,1013512601,ASPIRIN 325 MG PO TBEC,4.0,2.2,1.0,3.6,113 NDC,1013557901,TERBUTALINE SULFATE 2.5 MG PO TABS,4.79,2.63,1.1975,4.311,113 NDC,1013558001,TERBUTALINE SULFATE 5 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,1013559501,CYCLOBENZAPRINE HCL 10 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,1013562101,PHENAZOPYRIDINE HCL 200 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,1013563701,CARVEDILOL 25 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,1013567601,ROPINIROLE HCL 2 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,1013571001,CLONIDINE HCL 0.3 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,1013573101,MEXILETINE HCL 200 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,1013577401,PREDNISONE 1 MG PO TABS,4.0,2.2,1.0,20.01,113 NDC,1013577501,PREDNISONE 2.5 MG PO TABS,4.0,2.2,1.0,20.01,113 NDC,1013577601,PREDNISONE 5 MG PO TABS,4.0,2.2,1.0,20.01,113 NDC,1013577701,PREDNISONE 10 MG PO TABS,4.0,2.2,1.0,20.01,113 NDC,1013577901,PREDNISONE 50 MG PO TABS,4.0,2.2,1.0,20.01,113 NDC,1014706861,METHYLPHENIDATE HCL ER (OSM) 36 MG PO TBCR,8.0,4.4,2.0,7.2,113 NDC,10147092103,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,58.63,32.25,12.5,293.296575,113 NDC,10223020103,BUTAMBEN-TETRACAINE-BENZOCAINE 2-2-14 % EX AERO,302.25,166.24,75.5625,272.025,113 NDC,10361079301,SOD BICARB-CITRIC AC-SIMETH 2.21-1.53-0.04 G PO PACK,4.0,2.2,1.0,3.6,113 NDC,10454071010,RIMABOTULINUMTOXINB 2500 UNIT/0.5ML IM SOLN,1245.24,684.88,12.954,6229.3131,123 NDC,10454071110,RIMABOTULINUMTOXINB 5000 UNIT/ML IM SOLN,2490.48,1369.76,12.954,12458.6262,123 NDC,10454071210,RIMABOTULINUMTOXINB 10000 UNIT/2ML IM SOLN,3735.72,2054.65,12.954,18687.9393,123 NDC,10511300102,HEXAMINOLEVULINATE HCL 100 MG IS SOLR,3087.0,1697.85,771.75,15442.7175,113 NDC,10572010001,PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR,44.38,24.41,11.095,39.942,113 NDC,10572030201,PEG 3350-KCL-NA BICARB-NACL 420 G PO SOLR,52.75,29.01,13.1875,47.475,113 NDC,10599000301,MOMETASONE FUROATE 1350 MCG NA IMPL,4423.05,2432.68,1105.7625,22126.307625,113 NDC,10631020602,METFORMIN HCL 500 MG/5ML PO SOLN,15.8,8.69,3.95,14.22,113 NDC,10702003615,SODIUM POLYSTYRENE SULFONATE 15 G/60 ML PO SUSP (PWD RECON),28.33,15.58,7.0825,25.497,113 NDC,10702003645,SODIUM POLYSTYRENE SULFONATE PO POWD,155.1,85.31,38.775,139.59,113 NDC,10702003645_2,SODIUM POLYSTYRENE SULFONATE PO POWD FOR FEED DECANTING,155.1,85.31,38.775,139.59,113 NDC,1070201201,HYDROXYZINE HCL 50 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,1070280501,OXYCODONE HCL ER 40 MG PO T12A,21.84,12.01,5.46,19.656,113 NDC,10733041260,LUMICAIN ALUMINUM CHLORIDE 25% TOPICAL HEMOSTATIC SOLUTION,29.73,16.35,7.4325,148.724325,113 NDC,11523715702,LORATADINE 10 MG PO TBDP,4.0,2.2,1.0,3.6,113 NDC,1153419201,AMPHETAMINE-DEXTROAMPHETAMINE 10 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,11845013198,COENZYME Q10 100 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,11845014638,SUPER OMEGA-3 1000 MG PO CAPS,4.0,2.2,1.0,3.6,113 NDC,1184506011,B COMPLEX PO CAPS,4.0,2.2,1.0,3.6,113 NDC,1191714868,MELATONIN 3 MG PO TBDP,4.0,2.2,1.0,3.6,113 NDC,11980017410,PREDNISOLONE ACETATE 0.12 % OP SUSP,1162.24,639.23,290.56,1046.016,113 NDC,11994000602,TECHNETIUM TC 99M BICISATE IV KIT,4275.75,2351.66,339.34,21389.439375,122 NDC,11994001104,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,438.11,240.96,109.5275,2191.645275,113 NDC,11994001601,SAMARIUM SM 153 LEXIDRONAM 1850 MBQ/ML IV SOLN,53733.48,29553.41,0.657,48360.132,123 NDC,11994009011,TECHNET TC 99M PERTECHNETATE CO KIT,529.2,291.06,132.3,2647.323,113 NDC,11994012106,GALLIUM CITRATE GA 67 2 MCI/ML IV SOLN,603.0,331.65,135.02,3016.5075,113 NDC,12496120803,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM,20.33,11.18,5.0825,18.297,113 NDC,12547017162,DIPHENHYDRAMINE-ZINC ACETATE 1-0.1 % EX CREA,14.35,7.89,3.5875,12.915,113 NDC,1263443712,CARISOPRODOL 350 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,12870000102,SILVER NITRATE-POT NITRATE 75-25 % EX MISC,4.0,2.2,1.0,3.6,113 NDC,1310706001,ACETAMINOPHEN-CODEINE 300-60 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,1310708401,LORAZEPAM 1 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,1310708501,LORAZEPAM 2 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,1310728201,CLORAZEPATE DIPOTASSIUM 3.75 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,1310728301,CLORAZEPATE DIPOTASSIUM 7.5 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,1327310803,HYOSCYAMINE SULFATE 0.125 MG PO TABS,4.0,2.2,1.0,3.6,113 NDC,1327311103,HYOSCYAMINE SULFATE 0.125 MG SL SUBL,4.0,2.2,1.0,3.6,113 NDC,13517010030,DIAZOXIDE 50 MG/ML PO SUSP,570.6,313.83,142.65,513.54,113 NDC,1351710716,PHENOBARBITAL 20 MG/5ML PO ELIX,8.0,4.4,2.0,7.2,113 NDC,1351711001,PHENOBARBITAL 16.2 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,1351711301,PHENOBARBITAL 97.2 MG PO TABS,8.0,4.4,2.0,7.2,113 NDC,13533031801,RABIES IMMUNE GLOBULIN 300 UNIT/ML IJ SOLN,2498.64,1374.25,279.85,12499.4466,122 NDC,13533031805,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN,9369.9,5153.45,279.85,46872.92475,122 NDC,13533033504,IMMUNE GLOBULIN (HUMAN) IM INJ (GAMASTAN),275.52,151.54,48.4925,1378.2888,122 NDC,13533060612,ANTITHROMBIN III HUMAN (THROMBATE III)|DISCARDED DRUG NOT ADMINISTERED,4813.19,2647.25,3.85,4606.22283,123 NDC,13533060612_2,ANTITHROMBIN III HUMAN (THROMBATE III),4883.19,2685.75,3.85,4673.21283,123 NDC,13533063111,RHO D IMMUNE GLOBULIN 1500 UNITS IM SOSY,214.56,118.01,53.64,1073.3364,113 NDC,13533063402,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2079.44,1143.69,572.07,10402.3986,123 NDC,13533070501,ALPHA1-PROTEINASE INHIBITOR 1000 MG/20ML IV SOLN|DISCARDED DRUG NOT ADMINISTERED,1.25,0.69,0.35,15.4119,123 NDC,13533070501_2,ALPHA1-PROTEINASE INHIBITOR 1000 MG/20ML IV SOLN,110.0,60.5,4.94,550.275,123 NDC,13533080020,IMMUNE GLOBULIN (GAMUNEX) 5 G/50 ML IV SOLN (NICU)(