code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
CDM,10000190,HCHG ADOL. PSYCH ROOM,4146.0,2073.0,1482.0,17224.0,4
CDM,10000290,HCHG ADULT PSYCH ROOM,3172.0,1586.0,1482.0,17224.0,4
CDM,10000390,HCHG CARDIAC CARE ROOM,8477.0,4238.5,1482.0,17224.0,2
CDM,10000490,HCHG DD RESIDENTIAL ROOM,1585.0,792.5,1482.0,17224.0,4
CDM,10000590,HCHG DUAL DIAGNOSIS ROOM,3172.0,1586.0,1482.0,17224.0,4
CDM,10000690,HCHG INTENSIVE CARE BM ROOM,8476.0,4238.0,1482.0,17224.0,2
CDM,10000790,HCHG INTENSIVE CARE ROOM,8476.0,4238.0,1482.0,17224.0,2
CDM,10000890,HCHG ISOLATION ROOM,3565.0,1782.5,1482.0,17224.0,2
CDM,10001090,HCHG NEWBORN ROOM,1246.0,623.0,1170.0,17224.0,3
CDM,10001190,HCHG NN LEVEL 4,10656.0,5328.0,1482.0,17224.0,2
CDM,10001290,HCHG NN LEVEL 2,7189.0,3594.5,1482.0,17224.0,3
CDM,10001390,HCHG NN LEVEL 3,8880.0,4440.0,1482.0,17224.0,3
CDM,10001490,HCHG NURSERY,2907.0,1453.5,1170.0,17224.0,3
CDM,10001590,HCHG OB ROOM,2774.0,1387.0,1482.0,17224.0,2
CDM,10001690,HCHG PEDS INTENSIVE CARE ROOM,8476.0,4238.0,1482.0,17224.0,2
CDM,10001790,HCHG PEDS STEP DOWN ROOM,6056.0,3028.0,1482.0,17224.0,2
CDM,10001890,HCHG PSYCH ICU ROOM,5547.0,2773.5,1482.0,17224.0,4
CDM,10001990,HCHG RESIDENTIAL ROOM,1585.0,792.5,1482.0,17224.0,4
CDM,10002090,HCHG ROUTINE ROOM,2774.0,1387.0,1482.0,17224.0,2
CDM,10002190,HCHG STEP DOWN ROOM,6056.0,3028.0,1482.0,17224.0,2
CDM,10002290,HCHG TELEMETRY ROOM,3764.0,1882.0,1482.0,17224.0,2
CDM,10002390,HCHG SNU ROOM,1223.0,611.5,1482.0,17224.0,2
CDM,10002490,HCHG OBSERVATION HOUR - TELEMETRY,157.0,78.5,515.0,1500.0,7
CDM,10003090,HCHG LTA DUAL DIAGNOSIS ROOM,2451.0,1225.5,1482.0,17224.0,4
CDM,10003490,HCHG NN INTENSIVE CARE ROOM LEVEL 4,10656.0,5328.0,1482.0,17224.0,2
CDM,10012190,HCHG REHAB ROOM,2365.0,1182.5,250.0,17224.0,6
CDM,10012390,HCHG NN LEVEL 1,4777.0,2388.5,1170.0,17224.0,3
CDM,11005190,HCHG PHARMACY FLAT RATE,37.0,18.5,1482.0,17224.0,2
CDM,11027390,HCHG NITROGLYCERIN SPRAY - 12 GM,1710.0,855.0,,,0
CDM,11027490,HCHG 0.9% NS 250 ML,18.0,9.0,1482.0,17224.0,2
CDM,11027590,HCHG ASPIRIN 81 MG TAB,1.0,0.5,,,0
CDM,11028390,HCHG SODIUM CHLORIDE SYRINGE,2.0,1.0,1482.0,17224.0,2
CDM,11028490,HCHG ECT PHARMACY CHARGE,228.0,114.0,1482.0,17224.0,2
CDM,11029990,HCHG GI COCKTAIL - MAALOX MAX 10ML & LIDOCANE VISCOUS 2% 5ML- PER 15ML,6.0,3.0,1482.0,17224.0,2
CDM,11032390,HCHG METHOTREXATE OPHTH 400MCG/0.1ML PER DOSE,1.0,0.5,1482.0,17224.0,2
CDM,11033390,HCHG SUFENTANIL 50MCG/ML INJ (SUFENTA) - PER 1ML,52.0,26.0,1482.0,17224.0,2
CDM,11033490,HCHG GANCICLOVIR OPHTH 2MG/0.1ML PER DOSE,1.0,0.5,1482.0,17224.0,2
CDM,11033790,HCHG BUPIVACAINE HCL PF (MARCAINE) 0.25% INJ PER 1ML,2.0,1.0,1482.0,17224.0,2
CDM,11034890,"HCHG INJECT, INTRAVITREAL VANCOMYCIN, PER DOSE",1.0,0.5,1482.0,17224.0,2
CDM,11035690,HCHG HYDRALAZINE PER 25 MG TAB,1.0,0.5,1482.0,17224.0,2
CDM,11037990,HCHG OLODATEROL RESPIMAT (STRIVERDI) PER DEVICE,831.0,415.5,,,0
CDM,11040790,HCHG CLINDAMYCIN INTRAVITREAL INJ PER 1MG/0.1ML,29.0,14.5,1482.0,17224.0,2
CDM,11046790,HCHG JUV DERM ULTRA PLUS XC PER (1) 0.55ML SYRINGE,1292.0,646.0,1482.0,17224.0,2
CDM,11046890,HCHG JUV DERM ULTRA PLUS XC PER 1ML SYRINGE,1571.0,785.5,1482.0,17224.0,2
CDM,11046990,HCHG JUV DERM VOLBELLA XC PER (1) 0.55ML SYRINGE,923.0,461.5,1482.0,17224.0,2
CDM,11047090,HCHG JUV DERM VOLBELLA XC PER 1ML SYRINGE,1692.0,846.0,1482.0,17224.0,2
CDM,11047190,HCHG JUV DERM VOLLURE PER 1ML SYRINGE,1692.0,846.0,1482.0,17224.0,2
CDM,11047290,HCHG RESTYLANE PER 1ML SYRINGE,1348.0,674.0,1482.0,17224.0,2
CDM,11047390,HCHG BELOTERO BALANCE PER 1ML SYRINGE,1283.0,641.5,1482.0,17224.0,2
CDM,11047490,HCHG BELOTERO BALANCE WITH LIDOCAINE PER 1ML SYRINGE,1481.0,740.5,1482.0,17224.0,2
CDM,11048090,HCHG SODIUM TETRADECYL SULFATE (SOTRADECOL) PER 1ML,117.0,58.5,1482.0,17224.0,2
CDM,30000090,"HCHG SPECIAL PROCEDURE,PER MIN",68.0,34.0,,,0
CDM,30000390,HCHG DELIVERY CHARGE,1038.0,519.0,1482.0,17224.0,2
CDM,30000490,HCHG RULE OUT LABOR/HOUR,201.0,100.5,1482.0,17224.0,2
CDM,30000690,HCHG OB - MAJOR SURGERY,95.0,47.5,,,0
CDM,30000790,HCHG OB TRANSPORT EVAL,246.0,123.0,1482.0,17224.0,2
CDM,30000890,HCHG OB - MINOR SURGERY,67.0,33.5,,,0
CDM,30001090,HCHG FOLLICLE STUDY,85.0,42.5,1482.0,17224.0,2
CDM,30001190,HCHG O.B.-EMERGENCY PACK,113.0,56.5,1482.0,17224.0,2
CDM,30001390,HCHG OB-CONTRACTION STRESS TEST,221.0,110.5,1482.0,17224.0,2
CDM,30001490,HCHG OB-OXYTOCIN CHALLENGE TEST,293.0,146.5,1482.0,17224.0,2
CDM,30001590,HCHG PERINEAL COLD THERAPY,85.0,42.5,1482.0,17224.0,2
CDM,30001690,HCHG OB US AMNIO S&I,174.0,87.0,,,0
CDM,30002090,HCHG OB-POST ANESTHETIC RECOVERY,236.0,118.0,,,0
CDM,30002390,HCHG CESAREAN SECTION PACK,937.0,468.5,,,0
CDM,30003190,HCHG SCALP PH SAMPLING,166.0,83.0,1482.0,17224.0,2
CDM,30003690,HCHG CHILDBIRTH CLASSES,236.0,118.0,,,0
CDM,30003790,HCHG INTRAN,450.0,225.0,1482.0,17224.0,2
CDM,30004190,HCHG LDR HIGH RISK CARE/HOUR,263.0,131.5,1482.0,17224.0,2
CDM,30004390,HCHG FETAL PULSE OXIMETRY PROBE,757.0,378.5,,,0
CDM,30004490,HCHG INTRAUTERINE BALLOON,2103.0,1051.5,,,0
CDM,30004990,HCHG AMNIOCENTESIS,240.0,120.0,,,0
CDM,30005090,"HCHG EXCISION OF LESION,CORNEA",2997.0,1498.5,,,0
CDM,30005190,HCHG DEST LESION-CORNEA CRYOTH,2106.0,1053.0,,,0
CDM,30005290,HCHG DESTRUCTION/RETINOPATHY,3204.0,1602.0,,,0
CDM,30005990,HCHG AIRCAST,662.0,331.0,,,0
CDM,30006190,HCHG CAST CYLINDER FIBERGLASS LE,995.0,497.5,,,0
CDM,30006290,HCHG CAST HIP SPICA W/BODY CAST PLT,2702.0,1351.0,,,0
CDM,30006390,HCHG CAST LONG ARM PLASTER,650.0,325.0,,,0
CDM,30006490,HCHG CAST LONG ARM FIBERGLASS,748.0,374.0,,,0
CDM,30006590,HCHG SPLINT LONG ARM PLASTER,396.0,198.0,,,0
CDM,30006690,HCHG CAST SHORT LEG PLASTER,556.0,278.0,,,0
CDM,30006790,HCHG CAST SHORT LEG FIBERGLASS,823.0,411.5,,,0
CDM,30006890,HCHG SPLINT SHORT LEG PLASTER,450.0,225.0,,,0
CDM,30006990,HCHG CAST THUMB SPICA PLASTER,463.0,231.5,,,0
CDM,30007090,HCHG CAST THUMB SPICA FIBERGLASS,524.0,262.0,,,0
CDM,30007190,HCHG CAST SHORT ARM - FIBERGLASS,774.0,387.0,,,0
CDM,30007290,HCHG SHORT ARM SPLINT,242.0,121.0,,,0
CDM,30007390,HCHG CAST LONG LEG - PLASTER,940.0,470.0,,,0
CDM,30007490,HCHG CAST LONG LEG - FIBERGLASS,1611.0,805.5,,,0
CDM,30007590,HCHG CAST PTB - PLASTER,720.0,360.0,,,0
CDM,30007690,HCHG CAST SHORT ARM - PLASTER,505.0,252.5,,,0
CDM,30007790,HCHG SPLINT LONG ARM FIBERGLASS,500.0,250.0,,,0
CDM,30007890,"HCHG SPLINT-SHORT LEG, FIBERGLASS",520.0,260.0,,,0
CDM,30007990,HCHG SPLINT-CUSTOM A/P,1745.0,872.5,,,0
CDM,30008090,"HCHG SPLINT-SUGAR TONG, PLASTER",461.0,230.5,,,0
CDM,30008290,HCHG CAST CLUBFOOT INFANT,360.0,180.0,,,0
CDM,30008390,"HCHG CAST HIP SPICA W/BODY,FIBERGLS",3230.0,1615.0,,,0
CDM,30008490,"HCHG SPLINT, PREFAB TIB/FIB,YOUTH",567.0,283.5,,,0
CDM,30008590,"HCHG SPLINT, PREFAB TIB/FIB, ADULT",659.0,329.5,,,0
CDM,30009090,"HCHG SHORT LEG WALKER, PREFAB",600.0,300.0,,,0
CDM,30009190,"HCHG SPLINT/BRACE/CAST FAB, 15 MIN",148.0,74.0,,,0
CDM,30009290,"HCHG MEASURE/FIT BRACE/SPLINT,15MIN",148.0,74.0,,,0
CDM,30009390,"HCHG LINING/STRAPPING SPLINT,15 MIN",148.0,74.0,,,0
CDM,30009490,"HCHG REVISE/ADJ SPLINT/CAST,15 MIN",160.0,80.0,,,0
CDM,30009590,"HCHG BIVALVE CAST, 15 MIN",148.0,74.0,,,0
CDM,30009690,"HCHG TRIM/PETAL CAST, 15 MIN",160.0,80.0,,,0
CDM,30009790,HCHG CAST BODY FIBERGLASS,2626.0,1313.0,,,0
CDM,30010190,HCHG ARM LYMPHEDEMA KIT,846.0,423.0,,,0
CDM,30010290,HCHG LEG LYMPHEDEMA KIT,1043.0,521.5,,,0
CDM,30011390,HCHG LYMPHEDEMA ARM KIT,802.0,401.0,,,0
CDM,30011490,HCHG LYMPHEDEMA LEG KIT,989.0,494.5,,,0
CDM,30011690,HCHG PHASE III MONTHLY CHARGE,25.0,12.5,,,0
CDM,30012090,HCHG BRONCHSCOPY/RADIO ELEMENT PLCM,3024.0,1512.0,,,0
CDM,30012290,HCHG BRONCHOSCOPY FIBER,691.0,345.5,,,0
CDM,30012490,HCHG BASKET OR TRIPOD - (LARGE),835.0,417.5,,,0
CDM,30012590,HCHG BRONCHOSCOPY ROOM/QTR HR.,478.0,239.0,,,0
CDM,30012690,HCHG BRONCHOSCOPY W/BRUSHING,3024.0,1512.0,,,0
CDM,30012790,HCHG BRONCHOSCOPY,2943.0,1471.5,,,0
CDM,30012890,HCHG BRONCHOSCOPY W/ALVEOLAR LAVAGE,3087.0,1543.5,,,0
CDM,30012990,HCHG BRONCHOSCOPY W/BX,3087.0,1543.5,,,0
CDM,30013090,HCHG BRONCHOSCOPY W/TRANBRONCH BX,3087.0,1543.5,,,0
CDM,30013190,HCHG BRONCHOSCOPYW/TRANBRONCHNEEDLE,3087.0,1543.5,,,0
CDM,30013290,HCHG BRONCHOSCOPY/LASER/CRYO,4001.0,2000.5,,,0
CDM,30014190,HCHG AEROSOL TR MASK W 24H O2,533.0,266.5,,,0
CDM,30014290,HCHG CROUPETTE(INIT) W 24H 02,837.0,418.5,,,0
CDM,30014390,HCHG CROUPETTE/DAY W 02,508.0,254.0,,,0
CDM,30014590,HCHG AEROSOL F MASK W 24H O2,491.0,245.5,,,0
CDM,30014790,HCHG INITIAL HEATED HUMIDIFIED HIGH FLOW CANNULA SYSTEM,923.0,461.5,,,0
CDM,30014890,HCHG SUBQ HEATED HUMIDIFIED HIGH FLOW CANNULA SYSTEM,335.0,167.5,,,0
CDM,30015290,HCHG HELI-OXY,1186.0,593.0,,,0
CDM,30015390,HCHG BRONCHOSCOPY ASSIST,2563.0,1281.5,,,0
CDM,30015490,HCHG OXYHOOD W 24H O2,578.0,289.0,,,0
CDM,30015690,HCHG FACE TENT W 24H O2,502.0,251.0,,,0
CDM,30015890,HCHG VENTILATION CIRCUIT/USE,1240.0,620.0,,,0
CDM,30016690,HCHG NITRIC OXIDE PER HOUR,940.0,470.0,1482.0,17224.0,2
CDM,30016790,HCHG NASAL CPAP CIRCUIT,1344.0,672.0,,,0
CDM,30017690,HCHG EPIDURAL SPINAL ELECTRODE,736.0,368.0,,,0
CDM,30018290,HCHG SPEECH EVALUATION,444.0,222.0,,,0
CDM,30018390,HCHG SPEECH THERAPY PER 15 MIN,200.0,100.0,,,0
CDM,30023890,HCHG VISIT FEE UNIV. HEALTH SERVICE,151.0,75.5,,,0
CDM,30024090,HCHG CO-PAYMENT BILLED,40.0,20.0,,,0
CDM,30024190,HCHG ALLERGY INJECTION-MULTIPLE,81.0,40.5,,,0
CDM,30024290,HCHG LAB SENDOUT,19.0,9.5,,,0
CDM,30024390,HCHG LAB STAT REQUEST,17.0,8.5,,,0
CDM,30024490,HCHG ALLERGY INJECTION - SIMPLE,59.0,29.5,,,0
CDM,30025290,HCHG MINOR SURGERY,109.0,54.5,,,0
CDM,30025790,HCHG CRUTCHES AND TIPS,155.0,77.5,,,0
CDM,30025990,HCHG TRAVEL (FIRST VISIT),151.0,75.5,,,0
CDM,30026090,HCHG TRAVEL (RETURN),22.0,11.0,,,0
CDM,30026190,HCHG HOLDING ROOM,122.0,61.0,,,0
CDM,30026390,HCHG REFERENCE FEE,22.0,11.0,,,0
CDM,30066190,HCHG MONOPOLAR STIMULATOR PROBE,700.0,350.0,,,0
CDM,30067090,HCHG MISC VASCULAR OR PROCEDURE,0.01,0.01,,,0
CDM,30068990,"HCHG TUBE, LARYNEGECTOMY",854.0,427.0,,,0
CDM,30069690,"HCHG EXCISION OF LESION,CORNEA,BI",5991.0,2995.5,,,0
CDM,30069790,"HCHG DEST LESION-CORNEA CRYOTH,BI",4214.0,2107.0,,,0
CDM,30069890,"HCHG DESTRUCTION/RETINOPATHY,BI",6404.0,3202.0,,,0
CDM,30082690,HCHG C-SECTION RETRACTOR,935.0,467.5,,,0
CDM,30082990,HCHG ED ULTRASOUND PROC,713.0,356.5,,,0
CDM,30097890,HCHG S.A. NURSING EXAM,350.0,175.0,,,0
CDM,30113090,HCHG INPT SCREENING FOR SLEEP APNEA,1098.0,549.0,1482.0,17224.0,2
CDM,30113190,HCHG INPT SLEEP APNEA MONITORING SET UP,1919.0,959.5,1482.0,17224.0,2
CDM,30113290,HCHG INPT SLEEP APNEA MONITORING,1098.0,549.0,1482.0,17224.0,2
CDM,30126990,HCHG CARDIO-PULMONARY REHAB SUPERVISED FITNESS-SELFPAY,30.0,15.0,,,0
CDM,30410690,HCHG MINOR WC PROCEDURE,659.0,329.5,,,0
CDM,30410790,HGHG LEVEL II WC PROCEDURE,963.0,481.5,,,0
CDM,30410890,HCHG LEVEL III WC PROCEDURE,1141.0,570.5,,,0
CDM,30410990,HCHG MAJOR WC PROCEDURE,1509.0,754.5,,,0
CDM,30412290,HCHG CORTICAL ELECTRODE - STRIP,2524.0,1262.0,,,0
CDM,36006990,HCHG FLOSEAL BLEED CTL DEVICE,1709.0,854.5,,,0
CDM,36007290,HCHG ZASSI BOWEL KIT,1811.0,905.5,,,0
CDM,36007390,HCHG INTRACRANIAL KIT,3421.0,1710.5,,,0
CDM,36009190,HCHG ENDOBRONCHIAL US (EBUS),1387.0,693.5,,,0
CDM,36009290,HCHG ELECTROMAGNETIC NAV BRONCHO,8606.0,4303.0,,,0
CDM,36009390,HCHG SUPERTRAX BIOPSY FORECEPS,604.0,302.0,,,0
CDM,36009590,HCHG SUPERTRAX BIOPSY NEEDLES,693.0,346.5,,,0
CDM,36009690,HCHG NEEDLE TIPPED CYTO BRUSH,514.0,257.0,,,0
CDM,36009790,HCHG BRONCHOSCOPY WITH PLACEMENT OF FIDUCIAL MARKERS,9688.0,4844.0,,,0
CDM,36010190,HCHG BAL CATHETER BRONCHOALVEOLAR LAVAGE,755.0,377.5,,,0
CDM,36012490,HCHG NAVA CATHETER,967.0,483.5,,,0
CDM,36012590,HCHG NAVA VENTILATION (INITIAL),4153.0,2076.5,,,0
CDM,36012690,HCHG NAVA VENTILATION (SUBSEQUENT),3108.0,1554.0,,,0
CDM,50000590,HCHG TRAIDYNE,725.0,362.5,,,0
CDM,50000790,"HCHG KIT, INTRODUCER, PERC SHEATH",541.0,270.5,,,0
CDM,50000890,"HCHG BRACE, AIR-STIRRUP ANKLE",610.0,305.0,,,0
CDM,50001290,"HCHG CATHETER, INTRAUTERINE",526.0,263.0,,,0
CDM,50001390,"HCHG CATHETER, VIP, SWAN GANZ",1300.0,650.0,,,0
CDM,50001590,"HCHG TRAY, JAMSHIDI LIVER BIOPSY",580.0,290.0,,,0
CDM,50001690,"HCHG TRAY, BLOOD, EXCHANGE",576.0,288.0,,,0
CDM,50001790,"HCHG SET, FUHRMAN PL & PNEUM. DRAIN",957.0,478.5,,,0
CDM,50001890,"HCHG LINER, KODEL",1351.0,675.5,,,0
CDM,50001990,"HCHG TUBE, TRACHEOSTOMY",824.0,412.0,,,0
CDM,50002090,"HCHG TUBING, LEVEL 1 DW 100",1145.0,572.5,,,0
CDM,50002190,"HCHG TUBE, ESOPHAGEAL/NG",1930.0,965.0,,,0
CDM,50002290,"HCHG SPLINT, TRACTION BUCK'S",959.0,479.5,,,0
CDM,50002390,"HCHG KIT, HICKMAN REPAIR ADULT",1017.0,508.5,,,0
CDM,50002590,"HCHG KIT, TRANSDUCER, BIFURCATED",520.0,260.0,,,0
CDM,50002690,"HCHG KIT, TRANSDUCER TRIFURCATED",738.0,369.0,,,0
CDM,50003190,"HCHG UNIT, CHEST DRAINAGE",1348.0,674.0,,,0
CDM,50003290,"HCHG DEVICE, FEMOSTOP DISPOSABLES",29.0,14.5,,,0
CDM,50003390,"HCHG COLLAR, CERVICAL",521.0,260.5,,,0
CDM,50003590,"HCHG CATHETER, THERM. SWAN GANZ",1051.0,525.5,,,0
CDM,50003690,"HCHG CATHETER, BIPOLAR PACING SG",1132.0,566.0,,,0
CDM,50003790,"HCHG CATHETER, MULTI-LUMEN",626.0,313.0,,,0
CDM,50003890,HCHG CO-SET,522.0,261.0,,,0
CDM,50003990,HCHG IMMOBILIZER KNEE ADULT,493.0,246.5,,,0
CDM,50004290,"HCHG BOOT, VASCULAR, PERIOPERATIVE",1036.0,518.0,,,0
CDM,50004390,"HCHG SLEEVE, SEQUENTIAL COMPRESSION",1227.0,613.5,,,0
CDM,50004490,"HCHG HARNESS, GER",757.0,378.5,,,0
CDM,50004590,HCHG MAHURKAR CATHETER DUAL LUMEN,971.0,485.5,,,0
CDM,50004690,HCHG SET INTRO PERC TRACH TRAY,2272.0,1136.0,,,0
CDM,50004790,HCHG BLOM SINGER ELECTROLARYNX,3972.0,1986.0,,,0
CDM,50005090,HCHG 20CM NIAGRA TRAY,1302.0,651.0,,,0
CDM,50005190,HCHG 15CM NIAGRA TRAY,1559.0,779.5,,,0
CDM,50005290,HCHG 20CM NIAGRA CATHETER,995.0,497.5,,,0
CDM,50005390,HCHG 15CM NIAGRA CATHETER,995.0,497.5,,,0
CDM,50005690,HCHG HALO WITH VEST,11241.0,5620.5,,,0
CDM,50005790,HCHG MRI COMP SYS,4414.0,2207.0,,,0
CDM,50005890,HCHG JEWETT BRACE,3947.0,1973.5,,,0
CDM,50006190,HCHG TRAY THORACENTESIS DISP CS/10,743.0,371.5,,,0
CDM,50006490,"HCHG TRAY, CAVH",1066.0,533.0,,,0
CDM,50006590,HCHG PICC CATHETER,1213.0,606.5,,,0
CDM,50006790,HCHG PICC/MIDLINE CATH INSERT KIT,896.0,448.0,,,0
CDM,50006890,HCHG DEVLMNTL PKT(500-1200 GMS),577.0,288.5,,,0
CDM,50006990,HCHG DEVLMNTL PKT(1200-2200 GMS),599.0,299.5,,,0
CDM,50007090,HCHG PORTA-WARM MATTRESS,668.0,334.0,,,0
CDM,50007290,HCHG REPOSITIONING SLING,669.0,334.5,,,0
CDM,50007490,HCHG BARIATRIC SLING,1120.0,560.0,,,0
CDM,50007690,HCHG CATH INTRO SYSTEM NON-LATEX,2382.0,1191.0,,,0
CDM,50007790,HCHG CATH KIT ICY 9.3FR 39CM TRIPLE,5401.0,2700.5,,,0
CDM,50007890,HCHG CATH KIT QUATTRO,6438.0,3219.0,,,0
CDM,50007990,HCHG THERMOGUARD START-UP KIT,2249.0,1124.5,,,0
CDM,50008090,HCHG CATH KIT COOL LINE 9.3FR 22CM,3202.0,1601.0,,,0
CDM,50008190,HCHG IMPLANT RADIESSE VOICE GEL,2326.0,1163.0,,,0
CDM,50008390,HCHG FISTULA WOUND MGMT SYSTEM MAX,1272.0,636.0,,,0
CDM,50008490,HCHG FISTUAL WOUND MGMT SYSTEM MIDI,1223.0,611.5,,,0
CDM,50008590,HCHG FISTULA WOUND MGMT SYSTEM MINI,780.0,390.0,,,0
CDM,50008890,HCHG HON CATHETER,2949.0,1474.5,,,0
CDM,50008990,HCHG XCELA KIT W/PASV,1582.0,791.0,,,0
CDM,50009090,HCHG PLEURX PERITONEAL CATH KIT,5623.0,2811.5,,,0
CDM,50009190,HCHG CATH INSERTION KIT,4362.0,2181.0,,,0
CDM,50009390,HCHG HEMOSTAT SURGICEL,504.0,252.0,,,0
CDM,50009490,HCHG ABTHERA TUBING,701.0,350.5,,,0
CDM,50009590,HCHG ABTHERA ABDOMEN DRESSING,2797.0,1398.5,,,0
CDM,50009690,"HCHG PREVENA INCISION MGT SYSTEM, 150624",2448.0,1224.0,,,0
CDM,50009790,HCHG PREVENA INCISION DRESSING,2256.0,1128.0,,,0
CDM,50009990,HCHG BROVIAC CATH SNGL LUM,1620.0,810.0,,,0
CDM,50010090,HCHG HICKMAN CATH 12FR TL,3224.0,1612.0,,,0
CDM,50010190,HCHG HICKMAN CATH DUAL LUMEN,1924.0,962.0,,,0
CDM,50021790,HCHG PROS PENILE DURA II 72009310,3985.0,1992.5,,,0
CDM,50029690,HCHG TRAY HEMO CATH DL,954.0,477.0,,,0
CDM,50029790,HCHG TRAY HEMO CATH DLT,701.0,350.5,,,0
CDM,50029890,HCHG TRAY HEMO CATH SLX,576.0,288.0,,,0
CDM,50030090,HCHG CATH DIAL SLX DL,708.0,354.0,,,0
CDM,50030190,HCHG CATH SWAN GANZ HEPARIN COATED,1458.0,729.0,,,0
CDM,50030290,HCHG KIT CATH OXIMETRY,2916.0,1458.0,,,0
CDM,50030390,HCHG SENSOR FLO TRAC,2865.0,1432.5,,,0
CDM,50030590,HCHG VASONOVA STYLET BEDSIDE KIT,946.0,473.0,,,0
CDM,50030990,HCHG SET COLLECTION SPECTRA OPTIA,1813.0,906.5,,,0
CDM,50031090,HCHG DRESSING NEG WND CARE THERAPY,3372.0,1686.0,,,0
CDM,50031190,HCHG MAXAIR MATTRESS SINGLE PT USE,592.0,296.0,,,0
CDM,50031990,HCHG VERAFLO DRESSING,831.0,415.5,,,0
CDM,50032190,HCHG DIAL CATHETER 7FR X 10CM STR DL,549.0,274.5,,,0
CDM,50032290,HCHG DIAL CATHETER 8FR X 12CM STR DL,774.0,387.0,,,0
CDM,50032490,HCHG DIAL CATHETER 11.5FR X 15CM STR DL,705.0,352.5,,,0
CDM,50032890,HCHG ARCTIC GEL PAM S/M/L,4562.0,2281.0,,,0
CDM,50033090,HCHG HOSPICE DAILY,919.0,459.5,1482.0,17224.0,2
CDM,50033190,HCHG VERATRAC DUO TUBE VAC SET,568.0,284.0,,,0
CDM,50033290,HCHG SEPS KIT,7673.0,3836.5,,,0
CDM,50033390,HCHG PICC DL 2FR 30IN,633.0,316.5,,,0
CDM,50033490,HCHG PICC LINE DUAL 2.6FR 20CM,992.0,496.0,,,0
CDM,50033590,HCHG EBUS NEEDLE,1095.0,547.5,,,0
CDM,50033890,HCHG PAD ARCTICGEL M-L,5642.0,2821.0,,,0
CDM,50033990,HCHG PAD ARCTICGEL UNIVERSAL,1878.0,939.0,,,0
CDM,50034090,HCHG LARYNGECTOMY POST OP KIT,1350.0,675.0,,,0
CDM,50034390,HCHG EVD DRAIN,1293.0,646.5,,,0
CDM,50034790,HCHG TRAY CATH HEMO CVD,1348.0,674.0,,,0
CDM,50034890,HCHG TRAY CATH HEMO STR,1284.0,642.0,,,0
CDM,50035090,HCHG KIT DRILL ALN PARENCHYMA BIT STPR KY CH5,551.0,275.5,,,0
CDM,50035190,HCHG KIT PRESS MONITOR CH5 VRSN 1 LUM PORT NEUROVENT-PTO/-TO,1024.0,512.0,,,0
CDM,50035390,HCHG CAT ICP NEUROVENT-PTO 5FR TEMP PTIO2 PLG PLAY SYS-129487,6373.0,3186.5,,,0
CDM,50036190,HCHG POSITIONER TORTOISE BARIATRIC,1339.0,669.5,,,0
CDM,50036290,HCHG KIT INTRODUCER LUMEN 9FR,684.0,342.0,,,0
CDM,50036390,HCHG KIT CATHETER REPAIR,1100.0,550.0,,,0
CDM,50036490,HCHG PUMP PAIN AUTOINFUSER CATH KIT,779.0,389.5,,,0
CDM,50036590,HCHG PUMP PAIN W/DUAL AUTOSELECTOR,1565.0,782.5,,,0
CDM,50036690,HCHG CUFF FINGER CLEARSIGHT,1671.0,835.5,,,0
CDM,50036790,HCHG KIT CATH TRIPLE LUMEN DIALYSIS 12FR,799.0,399.5,,,0
CDM,50037090,HCHG SYSTEM NASAL TUBE BRIDLE,516.0,258.0,,,0
CDM,50037190,HCHG DEVICE SECURING BRIDLE,391.0,195.5,,,0
CDM,50037390,HCHG  CATH DIALYSIS CM STR DL 13.5FR,778.0,389.0,,,0
CDM,50038090,HCHG DEVICE SECURING BRIDLE AMT 6FR,563.0,281.5,,,0
CDM,50038190,HCHG TUBE NASOGASTRIC AMT BRIDLE 8F,561.0,280.5,,,0
CDM,50038290,HCHG DEVICE SECURING AMT BRIDLE 10F,545.0,272.5,,,0
CDM,50038390,HCHG TUBE FEEDING AMT BRIDLE 12FR,551.0,275.5,,,0
CDM,50038490,HCHG DEVICE SECURING BRIDLE 14FR,579.0,289.5,,,0
CDM,50038690,HCHG BELT SUPPORT 9IN LFT SIDE MED,436.0,218.0,,,0
CDM,50038790,HCHG BELT SUPPORT 9IN RGT SIDE LRG,436.0,218.0,,,0
CDM,50038890,HCHG BELT SUPPORT 9IN RGT SIDE MED,436.0,218.0,,,0
CDM,50038990,HCHG BELT SUPPORT 9IN LFT SIDE XL,453.0,226.5,,,0
CDM,50039190,HCHG BELT SUPPORT 9IN RGT SIDE XL,439.0,219.5,,,0
CDM,50039390,HCHG SYSTEM NASAL TUBE BRIDLE 16FR,719.0,359.5,,,0
CDM,50039490,HCHG SYSTEM NASAL TUBE BRIDLE 18FR,527.0,263.5,,,0
CDM,50132690,HCHG ROOKE BKA RIGID DRESSING,1635.0,817.5,,,0
CDM,50132890,HCHG POSITIONER TORTOISE PDA ADULT,1015.0,507.5,,,0
CDM,50133790,HCHG PAD THERAPEUTIC ARCTICGEL,4158.0,2079.0,,,0
CDM,50133890,"HCHG SLING PT C600LB (L120892,120891,120893)",1274.0,637.0,,,0
CDM,50134890,HCHG CATH BACTISEAL VENTRIC (L65323/63183),2729.0,1364.5,,,0
CDM,50134990,HCHG CATH BACTISEAL HAKIM W/RA ADAP (L36615),4356.0,2178.0,,,0
CDM,50135090,HCHG CATH BACTISEAL CLEAR EVD (L91535),3921.0,1960.5,,,0
CDM,50135990,HCHG HEMOSTAT ABS SRGCL OXD - 126683,1027.0,513.5,,,0
CDM,50136090,HCHG KIT INTROD HALYARD 16FR 20FR - 136148,1095.0,547.5,,,0
CDM,50136190,HCHG KIT 22FR 18FR LOW PROF SYRG - 136149,1095.0,547.5,,,0
CDM,50136290,HCHG KIT 24FR 20FR LOW PROF SYRG - 136150,1095.0,547.5,,,0
CDM,50136390,HCHG TRAY TRACH 24-28FR SHLY CGL BL - 143862,1805.0,902.5,,,0
CDM,50140290,HCHG TUBE TRACH 2.5MM 82MM 4MM BVN-150717,976.0,488.0,,,0
CDM,50140390,HCHG TUBE TRACH 3MM 84MM 4.7MM BVN-150718,888.0,444.0,,,0
CDM,50140490,HCHG TUBE TRACH 3.5MM 86MM 5.3MM BV-150719,908.0,454.0,,,0
CDM,50140590,HCHG TUBE TRACH 4MM 88MM 6MM BVN NE-150720,976.0,488.0,,,0
CDM,50140690,HCHG TUBE TRACH 5MM 106MM 7.3MM BVN-150721,855.0,427.5,,,0
CDM,50140790,HCHG TUBE TRACH 5.5MM 108MM 8MM BVN-150722,855.0,427.5,,,0
CDM,50140990,HCHG TUBE TRACH 7MM 80MM 10MM BVN C-150724,384.0,192.0,,,0
CDM,50141590,HCHG DEVICE SECURE BRIDLE PRO 16-18 (131347),516.0,258.0,,,0
CDM,50141990,HCHG DIGNITY CT DUAL PORT WITH SILI- LAWSON # 152429,1137.0,568.5,,,0
CDM,50142090,HCHG CATH REPR WHT 71CM 4.2FR 1- LAWSON # 28133,837.0,418.5,,,0
CDM,50142190,HCHG TRACKER NAVIGATE AXIEM PNTR ST-MEDTRONIC-126957,1726.0,863.0,,,0
CDM,50142290,HCHG TRACKER NAVIGATE NINVS STRL LF-MEDTRONIC-115370,676.0,338.0,,,0
CDM,50142390,HCHG STYLET 2 COIL SNGL PK-MEDTRONIC-115371,1718.0,859.0,,,0
CDM,50151490,HCHG CATH CEN VEN CL LN 9.3 FR 22CM,2249.0,1124.5,,,0
CDM,50151590,HCHG CATH CEN VEN ICY 9.3FR 38CM HE,3384.0,1692.0,,,0
CDM,50151690,HCHG CATH ACC 50CM 2.6FR VS PICC - 100295,520.0,260.0,,,0
CDM,50152190,HCHG TUBE IRRAFLOW,8860.0,4430.0,,,0
CDM,51000190,HCHG CATH ER-REBOA P-TIP 32MM GW FR,6827.0,3413.5,,,0
CDM,51000290,HCHG PAD ARCTICGEL LRG 2KITS/CS,4240.0,2120.0,,,0
CDM,51000390,HCHG PAD ARCTICGEL MED 2KITS/CS,4240.0,2120.0,,,0
CDM,51000490,HCHG CATH BAL SENSA PLUS 40 CC IABP,4617.0,2308.5,,,0
CDM,51000590,HCHG CATH BAL SENSA PLUS 50 CC IABP,4482.0,2241.0,,,0
CDM,51000690,HCHG PAD ARCTIC SUN GEL,4834.0,2417.0,,,0
CDM,51000790,HCHG KIT CATH QUATTRO 9.3 X45CM,4421.0,2210.5,,,0
CDM,51000890,HCHG CATH KIT ICY 9.3FR 38CM,3832.0,1916.0,,,0
CDM,51000990,HCHG KIT OLM INTRACRANIAL PRESSURE,3242.0,1621.0,,,0
CDM,51001090,HCHG CATH HON TRP LUMEN6FR,2465.0,1232.5,,,0
CDM,51001190,"HCHG SYSTEM PREVENA INCISION MGMT, 68142",2399.0,1199.5,,,0
CDM,51001290,HCHG CATH HICKMAN 7FR DUAL LUM PED,2344.0,1172.0,,,0
CDM,51001390,HCHG CATH BROV PED SNGL LUM 4.2FR,1621.0,810.5,,,0
CDM,51001490,HCHG CATH HICKMAN 12FR TL 27CM,3067.0,1533.5,,,0
CDM,51001590,HCHG CATH HICKMAN 12FR TL TRIFUSION,1946.0,973.0,,,0
CDM,51001690,HCHG CATH HICKMAN 12FR TL 23CM,2029.0,1014.5,,,0
CDM,51001790,HCHG CATH PA 7FR 110CM SG CCTH,1790.0,895.0,,,0
CDM,51001890,HCHG TRAY CATH PWR HICKMAN 9.5FR DL,1847.0,923.5,,,0
CDM,51001990,HCHG SET INTROD PERC TRACH TRAY,1635.0,817.5,,,0
CDM,51002090,HCHG CATH HICKMAN 12FR DUAL,1600.0,800.0,,,0
CDM,51002190,HCHG TUBE FEEDING TRANSGAS 22FR,1663.0,831.5,,,0
CDM,51002290,HCHG PAD ARCTIC SUN GEL UNIV KIT,1560.0,780.0,,,0
CDM,51002390,HCHG TUBE ESOPH 20FR ADULT BLAKEMOR,1527.0,763.5,,,0
CDM,51002490,HCHG SYRINGE STELLANT DUAL 20/BX,1508.0,754.0,,,0
CDM,51002590,HCHG CIRCUIT OSCILLATOR ADULT,1462.0,731.0,,,0
CDM,51002790,HCHG CATH BROV SNGL LUM W/CUFF,1426.0,713.0,,,0
CDM,51002890,HCHG NEEDLE ASP SNGL USE 19GA,1382.0,691.0,,,0
CDM,51002990,"HCHG TIP BILICHECK 50/BG, 64319",1339.0,669.5,,,0
CDM,51003090,HCHG CABLE TRUWAVE TRIFURCATED,1313.0,656.5,,,0
CDM,51003190,HCHG SYSTEM DRG DEL 2-14ML/HR ONQ,1327.0,663.5,,,0
CDM,51003290,HCHG CASSETTE 6FT PAT LINE,1242.0,621.0,,,0
CDM,51003390,HCHG CATH EDM VENTRIC,1166.0,583.0,,,0
CDM,51003490,HCHG PROBE TEMP INJECTATE REUSABLE,1218.0,609.0,,,0
CDM,51003590,HCHG CATH BROV PED SNGL LUM 2.7FR,1141.0,570.5,,,0
CDM,51003690,HCHG CATH LUMBAR EDM 46419,1121.0,560.5,,,0
CDM,51003790,HCHG KIT FEED JEJUNAL 18 X 45,1153.0,576.5,,,0
CDM,51003890,HCHG KIT TRANSGASTRIC ENDO 16FR,1153.0,576.5,,,0
CDM,51003990,HCHG KIT TRANSGASTRIC ENDO 18FR,1151.0,575.5,,,0
CDM,51004090,HCHG KIT FEED JEJUNAL 16 X 15,1093.0,546.5,,,0
CDM,51004190,HCHG TUBE JEJUNAL 22FRX45CM,1138.0,569.0,,,0
CDM,51004290,HCHG KIT INTROD LAPROSCOPIC 14FR,1145.0,572.5,,,0
CDM,51004390,HCHG KIT LAPAROSCOPIC 12FR MIC,1145.0,572.5,,,0
CDM,51004490,HCHG KIT REPR BROV 2.7FR SNGL LUM,1083.0,541.5,,,0
CDM,51004590,HCHG KIT REPAIR CATH 5587000,1129.0,564.5,,,0
CDM,51004690,HCHG FISTULA WOUND MGT SYSTEM MAX,1120.0,560.0,,,0
CDM,51004790,HCHG KIT MIC INTRODUCER 18FR,1087.0,543.5,,,0
CDM,51004890,HCHG KIT MIC INTRODUCER 16FR,1059.0,529.5,,,0
CDM,51004990,HCHG TUBE TRACH SZ 3.5 PED STR,1039.0,519.5,,,0
CDM,51005090,HCHG TUBE TRACH SZ 4.0 PED STR,1018.0,509.0,,,0
CDM,51005190,HCHG KIT HICKMAN REPR ADULT,989.0,494.5,,,0
CDM,51005290,HCHG SLING ROLL MAXIONCE,892.0,446.0,,,0
CDM,51005390,HCHG KIT MIC INTRODUCER 14FR,1050.0,525.0,,,0
CDM,51005490,HCHG COVER MATTRESS BILI BASSINET,1040.0,520.0,,,0
CDM,51005590,HCHG TUBE 30MM 4MM 2.5MM SFT FLXB,1033.0,516.5,,,0
CDM,51005690,HCHG TUBE VOICE PROVOX LARYTUBE STD,952.0,476.0,,,0
CDM,51005790,HCHG TUBE TRACH LARYTUBE PROVOX,983.0,491.5,,,0
CDM,51005890,HCHG TUBE 55MM 13.5MM 10.5MM 5 HFLO,980.0,490.0,,,0
CDM,51005990,HCHG NEEDLE ENDOSCOPIC ASPIRATION,976.0,488.0,,,0
CDM,51006090,HCHG TUBE CAPILLARY PLASTIC 125UL,963.0,481.5,,,0
CDM,51006190,HCHG ULTRA ENZYME LF,959.0,479.5,,,0
CDM,51006290,HCHG RESERVOIR FLUID LRG VOLUME,922.0,461.0,,,0
CDM,51006390,HCHG CABLE CARDIAC OUTPUT 7FT,951.0,475.5,,,0
CDM,51006490,HCHG LEAD COMBICORD FOR SPACE PUMP,944.0,472.0,,,0
CDM,51006590,HCHG STOMA TRCH LARYCLIP PRVX 2 PC,944.0,472.0,,,0
CDM,51006690,HCHG CATH THERMODILUTION 5FR 75CML,837.0,418.5,,,0
CDM,51006790,HCHG KIT INTRO ER-REBOA 5FR,827.0,413.5,,,0
CDM,51006890,HCHG CABLE TRUWAVE BIFURCATED,797.0,398.5,,,0
CDM,51006990,HCHG CABLE TRUWAVE REUSABLE,812.0,406.0,,,0
CDM,51007090,HCHG KIT INTROD 5FR FOR HICKMAN,805.0,402.5,,,0
CDM,51007190,HCHG KIT TEST COMBO INSURE FIT,803.0,401.5,,,0
CDM,51007290,"HCHG SET NEEDLE AND STABILIZER 45MM, 106370",739.0,369.5,,,0
CDM,51007390,"HCHG NEEDLE SET 25MM W/STRABILIZER, 106369",731.0,365.5,,,0
CDM,51007490,"HCHG NEEDLE W/STABILIZER 15MM, 109069",712.0,356.0,,,0
CDM,51007590,HCHG GW .018IN 9CM 80CM FIX COR SS,606.0,303.0,,,0
CDM,51007690,HCHG SENSOR OXI SOMATIC INF <40KG,728.0,364.0,,,0
CDM,51007790,HCHG SENSOR OXI CEREBRAL INF <40KG,723.0,361.5,,,0
CDM,51007890,HCHG CABLE 3M SP02 8PIN ADAPTER,733.0,366.5,,,0
CDM,51007990,HCHG PAK CHARGE WITH 2 ELECTRODES,612.0,306.0,,,0
CDM,51008090,HCHG CABLE ADAPTER SP02 8 TO 9 PIN,733.0,366.5,,,0
CDM,51008190,HCHG BAND ID MOTHER FATHER INF,729.0,364.5,,,0
CDM,51008290,HCHG REGULATOR FLOTEK RW RR807310M5,715.0,357.5,,,0
CDM,51008390,HCHG GAS HELIUM 244H A CYLINDER,683.0,341.5,,,0
CDM,51008490,HCHG TUBE JEJUNAL 22FR 020022,692.0,346.0,,,0
CDM,51008590,HCHG TUBE JEJUNAL 18FR 020018,691.0,345.5,,,0
CDM,51008690,HCHG TUBE FEED JEJUNAL 12FR EA,691.0,345.5,,,0
CDM,51008790,HCHG TUBE JEJUNAL 16FR 020016,691.0,345.5,,,0
CDM,51008890,HCHG TUBE FEEDING MIC JEJUNAL 14FR,691.0,345.5,,,0
CDM,51008990,HCHG KIT ENDOSCOPIC EBUS GUIDE,657.0,328.5,,,0
CDM,51009090,HCHG CIRCUIT PED FLEXIBLE BREATHING,683.0,341.5,,,0
CDM,51009190,HCHG CABLE MX40 TELEMETRY 1M SPO2,644.0,322.0,,,0
CDM,51009290,HCHG NEEDLE ENDOS ASP 21GA EBUS,599.0,299.5,,,0
CDM,51009390,HCHG PACK PACEMAKER CUSTOM,600.0,300.0,,,0
CDM,51009490,HCHG CATH MIDLINE POWERGLIDE 22G,592.0,296.0,,,0
CDM,51009590,HCHG KIT CATH VENOUS DL 7FRX16CM,572.0,286.0,,,0
CDM,51009690,HCHG PAD DEFIB PED ELECTRODE REPL,616.0,308.0,,,0
CDM,51009790,HCHG CABLE ECG 5 LEAD GRABBER/AAMI,588.0,294.0,,,0
CDM,51009890,HCHG CABLE 10FT MULTILINK 5 LEAD AH,560.0,280.0,,,0
CDM,51009990,HCHG SET DBL LUM CTRL VENOUS 4FX5CM,566.0,283.0,,,0
CDM,51010090,"HCHG CATH,CENTRAL VENOUS TRAY, 59522",539.0,269.5,,,0
CDM,51010190,HCHG TRAY CATH 4FR 12CM CTRL VENOUS,536.0,268.0,,,0
CDM,51010290,HCHG SENSOR OXI CEREBRAL PEDS,546.0,273.0,,,0
CDM,51010390,HCHG KIT GASTRO MIC 20FR 2.5,524.0,262.0,,,0
CDM,51010690,HCHG PEROXIDE HYDRO 80ML TROPHON,526.0,263.0,,,0
CDM,51010790,HCHG FILTER CARTRIDGE HE CAPR,498.0,249.0,,,0
CDM,51010890,HCHG ATTACHMENT ESCP 4MM 12.4MM RND,510.0,255.0,,,0
CDM,51010990,HCHG CABLE 5 LEAD ECG TRUNK,509.0,254.5,,,0
CDM,51011090,HCHG KIT GASTRO MIC 14FR 0.8,505.0,252.5,,,0
CDM,51011190,HCHG KIT GASTRO MIC 14FR 1.5,479.0,239.5,,,0
CDM,51011290,HCHG KIT GASTRO MIC 14FR 1.0,502.0,251.0,,,0
CDM,51011390,HCHG KIT GASTRO MIC 14FR 1.2,502.0,251.0,,,0
CDM,51011490,HCHG KIT GASTRO MIC 18FRR 2.5,501.0,250.5,,,0
CDM,51026690,"HCHG B4087 GASTRO/JEJUNOSTOMY TUBE, STANDARD",338.0,169.0,,,0
CDM,51029490,HCHG STIM BONE EXTERN BONE GRW NINV 103271,5039.0,2519.5,,,0
CDM,51044090,HCHG CATHETER VENOUS ARROW CENTRAL,737.0,368.5,,,0
CDM,51044190,"HCHG ENDOSEE CANNULAS ESPX5, 162501",872.0,436.0,,,0
CDM,51044390,HCHG DISP CYSTOSCOPE,1028.0,514.0,,,0
CDM,51044590,HCHG THD SENSYPROBE,478.0,239.0,,,0
CDM,51044690,"HCHG UTERINE VACUUME EXTRACT JADA, 315687",4454.0,2227.0,,,0
CDM,51380390,HCHG PAD ARCTICGEL UNIV,1429.0,714.5,,,0
CDM,51402390,"HCHG SURGICEL 4X8 ABSORB-HEMO 19, 25633",429.0,214.5,,,0
CDM,51409890,"HCHG TEMP ARC SN SM ARCTICGEL N_ONST LF DISP, 101334",4240.0,2120.0,,,0
CDM,51409990,"HCHG SLING BASIC BARIATRIC XXL, 118046",1250.0,625.0,,,0
CDM,51410090,"HCHG SLING PED C600 LB S GP, 120863",1040.0,520.0,,,0
CDM,51410190,"HCHG BINDER RIB FRACTURE, 131331",974.0,487.0,,,0
CDM,51410290,"HCHG SET DRAIN 15CM 8.5FR 18GA FUHR_MAN PLR PNMPRCRD POLYUR 6, 76886",971.0,485.5,,,0
CDM,51410690,"HCHG BOOT EXTREMITY HLFLT SYS ROOKE_3 TOE CALF XTEND FOOT GTT, 13159",563.0,281.5,,,0
CDM,51410790,"HCHG CATH ARROW 12FR 20CM 3 LUM_STRL LF DISP ACUTE HEMO HI, 115111",562.0,281.0,,,0
CDM,51410890,"HCHG TRAY CATH 12.5FR 16CM MAHURKAR_DBL-D 3 LUM PASS ATRAUMA TIP, 117856",520.0,260.0,,,0
CDM,51410990,"HCHG TRAY CATH 12FR 16CM MAHURKAR 3_LUM CURVE EXT HI PRESS HEMO, 153830",520.0,260.0,,,0
CDM,51412290,"HCHG ELECTRODE EEG CERIBELL-MED/LG/SM, 324791, 324792",2329.0,1164.5,,,0
CDM,51412390,HCHG DRESSING VAC PREVENA L35 CM PEEL AND PLACEA L122245,1139.0,569.5,,,0
CDM,51412590,"HCHG SET PRESS MONITOR, PREFL SYRG DIAP CHAM SDPRT NDLE, 42617",546.0,273.0,,,0
CDM,51413790,HCHG DEVICE STAB TPD 2 PRT BELT MECH PUL VELCRO PLAST ORNG PELVIS LF 77534,503.0,251.5,,,0
CDM,51416190,HCHG BRONCHSCP FLXB H-STERISCOPE INSERTION TUBE  ULTHN CHNL 315600,1046.0,523.0,,,0
CDM,51416390,HCHG BRONCHSCP FLXB H-STERISCOPE INSERTION TUBE ULTHN CHNL 315602,1077.0,538.5,,,0
CDM,51416490,HCHG BRONCHSCP FLXB H-STERISCOPE INSERTION TUBE ULTHN CHNL 315603,1046.0,523.0,,,0
CDM,51418090,"HCHG UNIV IV BELMONT 3 BAG SPIKE 250UM, 42403",891.0,445.5,,,0
CDM,51418290,"HCHG SYSTEM REGULATION IRRAFLOW TUBE SET PRESSURE CERBROSPINAL, 330148",8434.0,4217.0,,,0
CDM,51427190,"HCHG TUBE TRACH BVN SUPERSLICK SIL PED 6MM 118MM 8.7MM CUF, 156261",933.0,466.5,,,0
CDM,51427290,"HCHG TUBE TRACH BVN SUPERSLICK SIL_PED 4MM 106MM 6MM CUF, 156257",935.0,467.5,,,0
CDM,51427390,"HCHG TUBE TRACH 3MM 91MM 4.7MM BVN_PED CUF OBTURATOR, 154692",946.0,473.0,,,0
CDM,51427490,"HCHG CABLE SPO2 BLU D CONN_PHILLIPS MONITOR, 21060",462.0,231.0,,,0
CDM,51427590,"HCHG CABLE OXIMETER 3MR OXMX 8, 83866",554.0,277.0,,,0
CDM,51427690,"HCHG SET LEADWIRE 5 LEAD GRAB AAMI CLR CD SPO2 33.5IN NONST LF, 78492",435.0,217.5,,,0
CDM,51427790,"HCHG CABLE OXIMETER 3MR 8, 63806",554.0,277.0,,,0
CDM,51427890,"HCHG SENSOR INFANT RD RNBW SET LOW PERF 2 FLAT OXIMETER SMOOTH EDGE, 313343",461.0,230.5,,,0
CDM,51427990,"HCHG SENSOR NEO RD RNBW SET LOW PERF 2 FLAT OXIMETER SMOOTH EDGE, 313342",461.0,230.5,,,0
CDM,51428090,"HCHG SENSOR OXYALERT NIRSENSOR OXIMETER LF, 154555",544.0,272.0,,,0
CDM,51428190,"HCHG BUTTON 14FR MINIONE ENFIT 2.7CM APPLE BAL GASTRO STRL LF, 319989",511.0,255.5,,,0
CDM,51428290,"HCHG BUTTON 12FR MINIONE ENFIT 1.7CM  APPLE BAL  SFT SIL GASTRO STRL LF, 320001",511.0,255.5,,,0
CDM,51428390,"HCHG BUTTON 14FR MINIONE ENFIT 2CM  APPLE BAL SFT SIL GASTRO STRL LF, 319986",511.0,255.5,,,0
CDM,51428490,"HCHG PAD TEMP 14X35IN ARCTICGEL 18.5IN SM UNIV 95LB TEMP MGMT SYS, 111967",3514.0,1757.0,,,0
CDM,51428590,"HCHG KIT THRP 14X35IN ARC SN ARCTICGEL 2XS 18.5IN THN CL KIT TEMP MGMT SYS, 108873",3997.0,1998.5,,,0
CDM,51428690,"HCHG EXTERN DRAIN ACCUDRAIN HRMTC + CSF ANRFLX V  700ML STRL, 30812",830.0,415.0,,,0
CDM,51428790,"HCHG CORD POWER SPC PUMP, 105862",412.0,206.0,,,0
CDM,51428990,"HCHG EXTERN FIX AGEE DGTWDGT SYSTEM STRL LTX DISP PIP JNT FLXN CNCTR, 96187",4827.0,2413.5,,,0
CDM,51444790,"HCHG CATHETER ENDOS ION FULLY ARTICUL 8-LIFE NONST LF REUS, WK 325452",14744.0,7372.0,,,0
CDM,51444890,"HCHG PROBE ION VSN ENDOS NONST LF REUSE, WK 154864",5161.0,2580.5,,,0
CDM,51444990,"HCHG GUIDE CATHETER NONSTERILE LATEX FREE, WK 154865",227.0,113.5,,,0
CDM,51445990,HCHG 514459 TRACKPAK WITH QUICKLINE; SKELETAL TRACTION SYSTEM,2971.0,1485.5,,,0
CDM,51450890,HCHG SEALDIVD BIPOLAR 8MM DAVINCI XI ENDOWRIST CAUT VESSEL 120654,2276.0,1138.0,,,0
CDM,51451090,"HCHG PAD THRP COMPLETE KIT LRG ALTRIX NONST LF  SINGLE, 345044",2195.0,1097.5,,,0
CDM,51451190,"HCHG PAD THRP COMPLETE KIT SM ALTRIX NONST LF  SINGLE, 345043",2195.0,1097.5,,,0
CDM,51451690,HCHG ENDOSCOPIC SCISSOR RATCHET HNDL 360D CURVE 21CM STRL LF 5MM 5DCS 79549,1109.0,554.5,,,0
CDM,51451790,HCHG SEALDIVD BIPOLAR 8MM DAVINCI Xl ENDOWRIST CAUT VESSEL 120654,2276.0,1138.0,,,0
CDM,51452490,"HCHG CANNULA ASPIR IRR SURG NON-ILLUMINATING STRL LF DISP, 338302",1368.0,684.0,,,0
CDM,51464190,"HCHG SHEET LFTR 44X60 CMFT GLD LOW AIR LOSS MATT W/ REPOSITION HNDL, 350778",458.0,229.0,,,0
CDM,55000190,HCHG ABM GEL,3916.0,1958.0,,,0
CDM,55000290,HCHG ACCURUS TOTAL PLUS PACK,1890.0,945.0,,,0
CDM,55000390,HCHG ACF SPACER,4701.0,2350.5,,,0
CDM,55000490,HCHG ADAPTER ENDOCLIP II,484.0,242.0,,,0
CDM,55000790,HCHG AGEE-WRIST JACK,5387.0,2693.5,,,0
CDM,55000890,HCHG ANCHOR MINI QUICK,1476.0,738.0,,,0
CDM,55000990,HCHG ANESTHESIA TIME (PER MIN) (OB),11.0,5.5,,,0
CDM,55001290,HCHG ANT. VITRECTOMY PROBE,857.0,428.5,,,0
CDM,55001490,HCHG ARGON COAGULATOR PROBE,1024.0,512.0,,,0
CDM,55001690,HCHG ASH SPLIT CATHETER,1952.0,976.0,,,0
CDM,55001990,HCHG BALLOON SYS PDB,866.0,433.0,,,0
CDM,55002090,HCHG BAND FLORIO,493.0,246.5,,,0
CDM,55002190,HCHG BASKET ZERO TIP,922.0,461.0,,,0
CDM,55002290,HCHG BILARY WALL STENT,6304.0,3152.0,,,0
CDM,55002590,HCHG BLEDSOE BRACE,614.0,307.0,,,0
CDM,55002690,HCHG BOLT,693.0,346.5,,,0
CDM,55002790,HCHG BONE CRUSHED CANCELLOUS,2030.0,1015.0,,,0
CDM,55002890,HCHG BONE SUBSTITUTE,1379.0,689.5,,,0
CDM,55003090,HCHG BURR HOLE COVER,837.0,418.5,,,0
CDM,55003290,HCHG CARBON ROD,986.0,493.0,,,0
CDM,55003390,HCHG CARTRIDGE BIOGLUE,2633.0,1316.5,,,0
CDM,55004990,HCHG CATH.SHUNT MISC.,163.0,81.5,,,0
CDM,55005290,HCHG CATHETER GROSHONG (ALL),541.0,270.5,,,0
CDM,55005590,HCHG CEMENT,487.0,243.5,,,0
CDM,55005890,HCHG CLAMP,2450.0,1225.0,,,0
CDM,55006090,HCHG CLIP ANEURYSM,1301.0,650.5,,,0
CDM,55006490,HCHG COLONOSCOPY,2320.0,1160.0,,,0
CDM,55007090,HCHG CRS FAST SET PUTTY 10CC,9909.0,4954.5,,,0
CDM,55007190,HCHG CRS FAST SET PUTTY 3CC,3372.0,1686.0,,,0
CDM,55007290,HCHG CRS FAST SET PUTTY 5CC,5007.0,2503.5,,,0
CDM,55007490,HCHG CUSTOM SPINE TRAY,699.0,349.5,,,0
CDM,55007590,HCHG DBX PUTTY - 10CC,5167.0,2583.5,,,0
CDM,55007690,HCHG DBX PUTTY - 5CC,3690.0,1845.0,,,0
CDM,55008090,HCHG DISP. PACK ADULT OPEN HEART,1911.0,955.5,,,0
CDM,55008190,HCHG DISP. PACK PEDS OPEN HEART,2090.0,1045.0,,,0
CDM,55008890,HCHG DISPOSABLE TRAY CRANI-CUSTOM,1298.0,649.0,,,0
CDM,55009090,HCHG DOUBLE PIGTAIL STENT,729.0,364.5,,,0
CDM,55009290,HCHG DRAIN KIT EXTERNAL CORDIS,1074.0,537.0,,,0
CDM,55009590,HCHG DUOVISC,419.0,209.5,1482.0,17224.0,2
CDM,55009690,HCHG DURAL GRAFT MATRIX,2271.0,1135.5,,,0
CDM,55009890,HCHG ENDO GIA II,734.0,367.0,,,0
CDM,55010090,HCHG ENDO RELOAD,720.0,360.0,,,0
CDM,55010290,HCHG ENDOCLIP APPLIER,784.0,392.0,,,0
CDM,55010490,HCHG ENDOSTITCH,489.0,244.5,,,0
CDM,55010690,HCHG ESOPH WALL STENT,1981.0,990.5,,,0
CDM,55010990,HCHG EXPANDER TISSUE,1090.0,545.0,,,0
CDM,55011090,HCHG EXTRACTOR STONE,930.0,465.0,,,0
CDM,55011290,HCHG FABRIC VELOUR FILAMENTOUS,540.0,270.0,,,0
CDM,55011390,HCHG FEM/TIB NAIL,4435.0,2217.5,,,0
CDM,55011490,HCHG FIBER LASER,528.0,264.0,,,0
CDM,55011890,HCHG FLEX SIGMOIDOSCOPY,928.0,464.0,,,0
CDM,55012290,HCHG GASTROSCOPY,863.0,431.5,,,0
CDM,55013190,HCHG IMPLANT POREX (#6331),1736.0,868.0,,,0
CDM,55013390,HCHG INJECTABLE PUTTY - 10CC,4428.0,2214.0,,,0
CDM,55013590,HCHG INTER SURGERY-B (PER 1ST MINUTE),1665.0,832.5,,,0
CDM,55013690,HCHG INTER SURGERY-B (PER SUBSEQ MINUTES),168.0,84.0,,,0
CDM,55013790,HCHG INTER SURGERY-HI B (PER 1ST MINUTE),1966.0,983.0,,,0
CDM,55013890,HCHG INTER SURGERY-HI B (PER SUBSEQ MINUTES),198.0,99.0,,,0
CDM,55013990,HCHG INTERCEED,1122.0,561.0,,,0
CDM,55014690,HCHG KIT CATH SPINAL,2535.0,1267.5,,,0
CDM,55014790,HCHG KIT CELL SAVER FAST START,568.0,284.0,,,0
CDM,55014990,HCHG KIT CRANIOPLASTY,3176.0,1588.0,,,0
CDM,55015090,HCHG KIT NEPHROSTOMY SURGITEIC,791.0,395.5,,,0
CDM,55015890,HCHG LENS,791.0,395.5,,,0
CDM,55016090,HCHG LIFE SITE SYSTEM,14417.0,7208.5,,,0
CDM,55016190,HCHG LIGASURE,1554.0,777.0,,,0
CDM,55016290,HCHG LOOP ELECTRODE,607.0,303.5,,,0
CDM,55016390,HCHG MAJOR SURGERY-C (PER 1ST MINUTE),3216.0,1608.0,,,0
CDM,55016490,HCHG MAJOR SURGERY-C (PER SUBSEQ MINUTES),322.0,161.0,,,0
CDM,55016590,HCHG MAJOR SURGERY-HI C (PER 1ST MINUTE),3580.0,1790.0,,,0
CDM,55016790,HCHG MENISCUS MENDER,523.0,261.5,,,0
CDM,55016990,HCHG MESH,568.0,284.0,,,0
CDM,55017190,HCHG MESH MARLEX 10 X 14,803.0,401.5,,,0
CDM,55017390,HCHG MICROSCISSORS,522.0,261.0,,,0
CDM,55017490,HCHG MINOR SURGERY-A (PER 1ST MINUTE),1217.0,608.5,,,0
CDM,55017590,HCHG MINOR SURGERY-A (PER SUBSEQ MINUTES),123.0,61.5,,,0
CDM,55017690,HCHG MINOR SURGERY-D (PER 1ST MINUTE),706.0,353.0,,,0
CDM,55017790,HCHG MINOR SURGERY-D (PER SUBSEQ MINUTES),69.0,34.5,,,0
CDM,55017890,HCHG MINOR SURGERY-HI A (PER 1ST MINUTE),1300.0,650.0,,,0
CDM,55017990,HCHG MINOR SURGERY-HI A (PER SUBSEQ MINUTES),131.0,65.5,,,0
CDM,55018090,HCHG MINOR SURGERY-HI D (PER 1ST MINUTE),764.0,382.0,,,0
CDM,55018190,HCHG MINOR SURGERY-HI D (PER SUBSEQ MINUTES),77.0,38.5,,,0
CDM,55018590,HCHG NEEDLE BIOPSY,1030.0,515.0,,,0
CDM,55019290,HCHG OMNIPAQUE,191.0,95.5,,,0
CDM,55019390,HCHG OPTI KIT,1275.0,637.5,,,0
CDM,55019590,HCHG OR STANDBY CHARGE (PER MINUTE),40.0,20.0,,,0
CDM,55019690,HCHG ORIGIN TACKER,1223.0,611.5,,,0
CDM,55021690,HCHG OXYGENATOR,1613.0,806.5,,,0
CDM,55021890,HCHG PACK CUSA COOPERVISION,798.0,399.0,,,0
CDM,55021990,HCHG PACK LYMPHATIC NAVIGATOR,703.0,351.5,,,0
CDM,55022390,HCHG PATCH,1193.0,596.5,,,0
CDM,55022590,HCHG PEDS PERFORATOR,914.0,457.0,,,0
CDM,55022790,HCHG PERFLURON,1608.0,804.0,,,0
CDM,55022890,HCHG PERFORATOR 26-1221 CODMAN,637.0,318.5,,,0
CDM,55023190,HCHG PLATE ADAPTOR,1464.0,732.0,,,0
CDM,55023590,HCHG PLEUR-VAC INFANT DEKNATAL,2293.0,1146.5,,,0
CDM,55023690,HCHG POWERFLEX BALLOON,998.0,499.0,,,0
CDM,55023990,HCHG PROCTOSCOPY,204.0,102.0,,,0
CDM,55024090,HCHG PROLONGED ACID REFLUX,798.0,399.0,,,0
CDM,55024190,HCHG PROTRACTOR LRG,636.0,318.0,,,0
CDM,55024790,HCHG RESERVOIR CELL SAVER,178.0,89.0,,,0
CDM,55024890,HCHG RESERVOIR CSF OMMAYA,1510.0,755.0,,,0
CDM,55025090,HCHG RETRACTOR,522.0,261.0,,,0
CDM,55025190,HCHG RETRIEVAL BALLOON,547.0,273.5,,,0
CDM,55025590,HCHG ROLLER BALL ELECTRODE,479.0,239.5,,,0
CDM,55025890,HCHG SEAMGUARD ENDO,864.0,432.0,,,0
CDM,55026390,HCHG SET LUMBAR DRAIN,520.0,260.0,,,0
CDM,55026490,HCHG SET VENTRIC CATH,589.0,294.5,,,0
CDM,55026590,HCHG SHEAR ULTRA,1103.0,551.5,,,0
CDM,55026890,HCHG SHUNT INTEGRAL SYSTEM CORDIS,2800.0,1400.0,,,0
CDM,55027190,HCHG SILICONE OIL SETUP,1638.0,819.0,,,0
CDM,55027490,HCHG SONGER CABLE,2498.0,1249.0,,,0
CDM,55027590,HCHG SPECIAL PROCEDURES (PER HR),2970.0,1485.0,,,0
CDM,55027690,HCHG SPECIAL PROCEDURES (PER MIN),51.0,25.5,,,0
CDM,55028390,HCHG SPECIALTY PIN,813.0,406.5,,,0
CDM,55028590,HCHG SPECIALTY PLATE II,887.0,443.5,,,0
CDM,55028690,HCHG SPECIALTY PLATE III,3276.0,1638.0,,,0
CDM,55029290,HCHG SPECIALTY TUBE,554.0,277.0,,,0
CDM,55029390,HCHG SPECIALTY WIRE,530.0,265.0,,,0
CDM,55029590,HCHG STAPLE PLCRU/PLC 50 ETHICON,570.0,285.0,,,0
CDM,55029690,HCHG STAPLE ROTICULATOR TA 55 3.5,923.0,461.5,,,0
CDM,55030290,HCHG STAPLER/REFILL,753.0,376.5,,,0
CDM,55030390,HCHG STENT,2299.0,1149.5,,,0
CDM,55030590,HCHG STENT DOUBLE J,712.0,356.0,,,0
CDM,55030690,HCHG STENT SINGLE J,569.0,284.5,,,0
CDM,55030990,HCHG SUB Q PORT,1233.0,616.5,,,0
CDM,55031590,HCHG SYSTEM PAIN CONTROL,1003.0,501.5,,,0
CDM,55031790,HCHG SYSTEM VENTRICULAR DRAINAGE,682.0,341.0,,,0
CDM,55031890,HCHG TAP,553.0,276.5,,,0
CDM,55032090,HCHG THERMO BALLOON DILATION CATHETER,3093.0,1546.5,,,0
CDM,55032290,HCHG TISSEEL KIT,1365.0,682.5,,,0
CDM,55032390,HCHG TISSUE MANIPULATOR,821.0,410.5,,,0
CDM,55032490,HCHG TITANIUM CAP LOCK,945.0,472.5,,,0
CDM,55032590,HCHG TITANIUM HEAD,2101.0,1050.5,,,0
CDM,55032690,HCHG TITANIUM HOOK,1692.0,846.0,,,0
CDM,55032890,HCHG TITANIUM ROD,611.0,305.5,,,0
CDM,55033290,HCHG TRANSCONNECTOR,3428.0,1714.0,,,0
CDM,55033490,HCHG TRAY BONE MARROW,1003.0,501.5,,,0
CDM,55034290,HCHG TROCAR,494.0,247.0,,,0
CDM,55034590,HCHG TUBING KIT,1108.0,554.0,,,0
CDM,55034690,HCHG TVT DEVICE,4878.0,2439.0,,,0
CDM,55034890,HCHG VALVE TRUMPET HYDRO DISSECTION,482.0,241.0,,,0
CDM,55034990,HCHG VASOVIEW KIT,2866.0,1433.0,,,0
CDM,55035090,HCHG VGFI TUBING,523.0,261.5,,,0
CDM,55035190,HCHG VISIPAQUE PER ML,497.0,248.5,,,0
CDM,55035790,HCHG ACID REFLUX STUDY,489.0,244.5,,,0
CDM,55035890,HCHG ANESTHESIA TIME (PER HOUR),382.0,191.0,,,0
CDM,55035990,HCHG ANESTHESIA TIME (PER MIN),9.0,4.5,,,0
CDM,55036090,HCHG ANESTHESIA-TIME (PER HOUR),253.0,126.5,,,0
CDM,55036190,HCHG ANESTHESIA-TIME (PER MIN),9.0,4.5,,,0
CDM,55036290,HCHG BERSTEIN TEST,462.0,231.0,,,0
CDM,55036390,HCHG BICAP PROCEDURE,462.0,231.0,,,0
CDM,55036490,HCHG BILIARY DRAINAGE,405.0,202.5,,,0
CDM,55036990,HCHG BONE CARTR/STAPLES (7310/7010),803.0,401.5,,,0
CDM,55037290,HCHG CATHETERIZATION,64.0,32.0,,,0
CDM,55037390,HCHG COLLAGEN SYRINGES,851.0,425.5,,,0
CDM,55037790,HCHG ELECTRONIC ANALYSIS,3201.0,1600.5,,,0
CDM,55037990,HCHG ENDO BABCOCK,791.0,395.5,,,0
CDM,55038090,HCHG ENDO STAPLER,1174.0,587.0,,,0
CDM,55038190,HCHG ENDO STAPLER RELOAD,1445.0,722.5,,,0
CDM,55038490,HCHG ENDOSCOPY BIOPSY,227.0,113.5,,,0
CDM,55038590,HCHG ENDOSCOPY W/LASER,782.0,391.0,,,0
CDM,55038790,HCHG EPIDURAL TRAY/OB,171.0,85.5,,,0
CDM,55039090,HCHG ESOPHAGEAL DILITATION,155.0,77.5,,,0
CDM,55039290,"HCHG FILTER, VENA CAVA (GREENFIELD)",2081.0,1040.5,,,0
CDM,55039490,HCHG GASTRIC ANALYSIS,880.0,440.0,,,0
CDM,55039690,HCHG GOLD IMPLANT,658.0,329.0,,,0
CDM,55039790,HCHG HYDROXY IMPLANT,1823.0,911.5,,,0
CDM,55039990,HCHG INJECTION (W/O PHYSICIAN),929.0,464.5,,,0
CDM,55040090,HCHG INJECTION (WITH PHYSICIAN),929.0,464.5,,,0
CDM,55040290,"HCHG KIT, PERCUTANEOUS GAST.35885",538.0,269.0,,,0
CDM,55040490,HCHG LEVEL A PROCEDURE,928.0,464.0,,,0
CDM,55040590,HCHG LEVEL B PROCEDURE,2504.0,1252.0,,,0
CDM,55040690,HCHG LEVEL C PROCEDURE,3758.0,1879.0,,,0
CDM,55040890,HCHG MAJOR SURGERY-HI C (PER SUBSEQ MINUTES),359.0,179.5,,,0
CDM,55041090,HCHG MINIMAX VRB,503.0,251.5,,,0
CDM,55041190,HCHG MOBILE LITHOTRIPSY,7472.0,3736.0,,,0
CDM,55041490,"HCHG PROBE, GOLD",850.0,425.0,,,0
CDM,55041690,"HCHG PROSTHESIS, PENILE HYDRO",4421.0,2210.5,,,0
CDM,55042090,HCHG SORIN ADULT PACK,2881.0,1440.5,,,0
CDM,55042190,HCHG SPEC PROC-HI SDCU(PER HR),3548.0,1774.0,,,0
CDM,55042290,HCHG SPEC PROC-HI SDCU(PER MIN),69.0,34.5,,,0
CDM,55042390,HCHG TISSUE STABILIZER,4667.0,2333.5,,,0
CDM,55042990,HCHG KIDNEY ACQUISITION - CAD,31730.0,15865.0,1482.0,17224.0,2
CDM,55043090,HCHG KIDNEY ACQUISITION - LR,23268.0,11634.0,1482.0,17224.0,2
CDM,55043190,"HCHG RECOVERY, LEVEL 1, QUARTER HR",337.0,168.5,,,0
CDM,55043290,"HCHG RECOVERY, LEVEL 2, QUARTER HR",88.0,44.0,,,0
CDM,55043390,HCHG PERFUSION CHARGE STANDARD 8HR,6768.0,3384.0,,,0
CDM,55043590,HCHG INTRAAORTIC BALLOON INSERT 2HR,986.0,493.0,,,0
CDM,55043690,HCHG BENTLEY B102 OXYGENATOR,1149.0,574.5,,,0
CDM,55043790,HCHG TERUMO CXSX 10,1796.0,898.0,,,0
CDM,55043890,HCHG LILLIPUT 1,1645.0,822.5,,,0
CDM,55043990,HCHG MONOLYTH,1077.0,538.5,,,0
CDM,55044090,HCHG SCIMED 08 OXYGENATOR,1280.0,640.0,,,0
CDM,55044190,HCHG SHILEY 5100A OXYGENATOR,1101.0,550.5,,,0
CDM,55044290,HCHG TERUMO 08 OXYGENATOR,1280.0,640.0,,,0
CDM,55044390,HCHG TERUMO 16 OXYGENATOR,1536.0,768.0,,,0
CDM,55045090,HCHG BP 50,909.0,454.5,,,0
CDM,55045190,HCHG BIOMEDICUS BP50,873.0,436.5,,,0
CDM,55045690,HCHG HEART LUNG PACK,589.0,294.5,,,0
CDM,55045790,HCHG TUBING SET ECMO PEDS,1814.0,907.0,,,0
CDM,55045890,HCHG TUBING LVAD ADULT,836.0,418.0,,,0
CDM,55045990,HCHG TUBING LVAD PEDS,836.0,418.0,,,0
CDM,55046090,HCHG CDI SENSOR,456.0,228.0,,,0
CDM,55046490,HCHG FRESENIUS AT 1,361.0,180.5,,,0
CDM,55047090,HCHG DATASCOPE 8.0,3714.0,1857.0,,,0
CDM,55047190,HCHG PERC FEM CANNULA,680.0,340.0,,,0
CDM,55047490,HCHG CARDIOPULMONARY BYPASS 10 > HR,787.0,393.5,,,0
CDM,55047590,HCHG SETUP FOR EXTENDED CPB 3HR,1315.0,657.5,,,0
CDM,55047690,HCHG EXTENDED CPB > 3HR,350.0,175.0,,,0
CDM,55047790,HCHG EXTENDED 1AB >2HR,350.0,175.0,,,0
CDM,55048090,HCHG IN-HOUSE STANDBY HOUR,350.0,175.0,,,0
CDM,55048390,HCHG CARDIOPULMONARY SUPPORT 3HR,2518.0,1259.0,,,0
CDM,55048490,HCHG CPS MONITOR >3HR,319.0,159.5,,,0
CDM,55048590,HCHG SETUP HYPERTHERMIC PERF 3HR,1315.0,657.5,,,0
CDM,55048690,HCHG PTCA ANGIOPLASTY 2HR,1266.0,633.0,,,0
CDM,55048790,HCHG PTCA ANGIOPLASTY >2HR,307.0,153.5,,,0
CDM,55048890,HCHG EMERGENCY CPB TUBING PACK,2611.0,1305.5,,,0
CDM,55048990,HCHG EMERGENCY CPB ACCESSORY PACK,538.0,269.0,,,0
CDM,55049390,HCHG CARMEDA PUMP SET,7313.0,3656.5,,,0
CDM,55049490,HCHG CPS CARMEDA,3928.0,1964.0,,,0
CDM,55049590,HCHG HLP CARMEDA,5997.0,2998.5,,,0
CDM,55049690,HCHG PERC CANNULA,983.0,491.5,,,0
CDM,55050190,HCHG LEUKO GUARD-6,556.0,278.0,,,0
CDM,55050290,HCHG 1/4 X 1/4 HLP,2827.0,1413.5,,,0
CDM,55050390,HCHG 1/4 X 3/8 HLP,1182.0,591.0,,,0
CDM,55050490,HCHG 3/8 X 3/8 HLP,1034.0,517.0,,,0
CDM,55050790,HCHG PEDIATRIC ELCS PACK,3768.0,1884.0,,,0
CDM,55050990,HCHG MONOLYTH OPEN,564.0,282.0,,,0
CDM,55051590,HCHG PERF EXCHANGER CARDIO,1060.0,530.0,,,0
CDM,55051690,HCHG PERF FILTER BLOOD PALL,1033.0,516.5,,,0
CDM,55051890,HCHG PERF LINE TABEL CARDIOP,207.0,103.5,,,0
CDM,55051990,HCHG PERF MEMBRANE OXYGENATOR,1016.0,508.0,,,0
CDM,55052090,HCHG PERF OXYGENATOR PED,1625.0,812.5,,,0
CDM,55052290,HCHG PERF PACK ADULT HEART,2507.0,1253.5,,,0
CDM,55052490,HCHG PERF PACK MAXIMA,4588.0,2294.0,,,0
CDM,55052590,HCHG PERF PUMP BLOOD ADULT,722.0,361.0,,,0
CDM,55052690,HCHG PERF RESERVOIR CARDIOTOMY,721.0,360.5,,,0
CDM,55052790,HCHG PERF SET TUBING PEDS,2723.0,1361.5,,,0
CDM,55052890,HCHG PERF TUBING,115.0,57.5,,,0
CDM,55054990,HCHG MAJOR SURGERY-C-P (PER SUBSEQ MINUTES),390.0,195.0,,,0
CDM,55055090,HCHG PILL CAM PROCEDURE,668.0,334.0,,,0
CDM,55057990,"HCHG TUBE TRACH PED STR (L107172,107173 & 107174))",1225.0,612.5,,,0
CDM,55058090,"HCHG TRACH TUBE SFT (L 121110, 121152, 121153,121116)",1143.0,571.5,,,0
CDM,55060090,"HCHG WOUND VAC SUPPLIES (L8871,L8870,L8869)",1047.0,523.5,,,0
CDM,55063390,HCHG MITRACLIPS,52767.0,26383.5,,,0
CDM,55063490,HCHG TAVR,51665.0,25832.5,,,0
CDM,55063590,HCHG TENDYNE,51247.0,25623.5,,,0
CDM,55063690,HCHG WATCHMAN,35119.0,17559.5,,,0
CDM,55067290,HCHG HEART FAILURE IMPLANT,151022.0,75511.0,,,0
CDM,55067790,HCHG MAJOR SURGERY-C-P (PER 1ST MINUTE),3342.0,1671.0,,,0
CDM,60058090,HCHG MEDICOLEGAL HANDLING,31.0,15.5,,,0
CDM,60064490,HCHG SLIDE PREPARATION PROCESSING,38.0,19.0,,,0
CDM,60075290,HCHG STAT SERVICE-CHEM-SNGL TEST,20.0,10.0,,,0
CDM,60077290,HCHG RECUT/DEEPER,22.0,11.0,,,0
CDM,60078490,HCHG SPECIMEN COLLECTION/TRAVEL,29.0,14.5,,,0
CDM,60078790,HCHG PROC FEE-HLA PHER,2254.0,1127.0,,,0
CDM,60373390,HCHG MISCELLANEOUS-REFERENCE LAB2,690.0,345.0,,,0
CDM,60373490,HCHG MISCELLANEOUS-REFERENCE LAB3,48.0,24.0,,,0
CDM,60373590,HCHG MISCELLANEOUS-REFERENCE LAB4,4091.0,2045.5,,,0
CDM,60373690,HCHG MISCELLANEOUS-REFERENCE LAB5,336.0,168.0,,,0
CDM,60373790,HCHG MISCELLANEOUS-REFERENCE LAB6,29.0,14.5,,,0
CDM,60373890,HCHG MISCELLANEOUS-REFERENCE LAB7,24.0,12.0,,,0
CDM,60373990,HCHG MISCELLANEOUS-REFERENCE LAB8,173.0,86.5,,,0
CDM,60603790,HCHG Micro spec processing,30.0,15.0,,,0
CDM,60603890,HCHG Micro spec processing 2,60.0,30.0,,,0
CDM,60603990,HCHG Micro spec processing 3,90.0,45.0,,,0
CDM,60604090,HCHG Micro spec processing 4,120.0,60.0,,,0
CDM,60604190,HCHG Micro spec processing 5,150.0,75.0,,,0
CDM,60604290,HCHG MICRO SPEC PROCESSING 6,122.0,61.0,,,0
CDM,60605590,HCHG Spec Process Fee: Sub-culture,10.0,5.0,,,0
CDM,70000090,HCHG ADDITIONAL BLOOD SAMPLES,524.0,262.0,1482.0,17224.0,2
CDM,70000190,HCHG AUTOLOGOUS DONOR BLOOD UNITS,431.0,215.5,1482.0,17224.0,2
CDM,70000290,"HCHG BIOPSY, ADDITIONAL SITE",254.0,127.0,,,0
CDM,70000390,"HCHG BIOPSY, SKIN, FIRST SITE",254.0,127.0,,,0
CDM,70000690,HCHG BONE MARROW BIOPSY,354.0,177.0,,,0
CDM,70000790,HCHG BONE MARROW BIOSPY,354.0,177.0,,,0
CDM,70000890,HCHG CANCER CENTER PROCEDURE,217.0,108.5,,,0
CDM,70001190,HCHG COLPOSCOPY,480.0,240.0,,,0
CDM,70001290,HCHG CT SAMPLE PROCUREMENT,514.0,257.0,1482.0,17224.0,2
CDM,70001390,HCHG DONOR INFORMATION SESSIONS,2274.0,1137.0,1482.0,17224.0,2
CDM,70001490,HCHG DONOR PHYSICAL EXAMINATION,3980.0,1990.0,1482.0,17224.0,2
CDM,70001590,HCHG ELECTROLYTE REPLACEMENT,137.0,68.5,1482.0,17224.0,2
CDM,70001690,HCHG FLAP CLOSURE,491.0,245.5,,,0
CDM,70001790,HCHG FORMAL SEARCH,4750.0,2375.0,1482.0,17224.0,2
CDM,70001890,HCHG HLA TYPING - SENDOUT,3748.0,1874.0,1482.0,17224.0,2
CDM,70001990,HCHG HYDRATION,365.0,182.5,1482.0,17224.0,2
CDM,70002790,HCHG INFECTIOUS DISEASE TESTING,575.0,287.5,1482.0,17224.0,2
CDM,70003690,HCHG LAYERED CLOSURE,421.0,210.5,,,0
CDM,70003790,HCHG LEEP,1000.0,500.0,,,0
CDM,70003890,HCHG LUMBAR PUNCTURE - DIAGNOSTIC,247.0,123.5,,,0
CDM,70003990,HCHG LUMBAR PUNCTURE-DIAGNOSTIC,247.0,123.5,,,0
CDM,70004090,HCHG LUMBAR PUNCTURE-THERAPEUTIC,421.0,210.5,,,0
CDM,70004190,HCHG MARROW PROCUREMENT,68617.0,34308.5,1482.0,17224.0,2
CDM,70004290,HCHG MARROW WORKUP CANCELLATION,14497.0,7248.5,1482.0,17224.0,2
CDM,70004490,HCHG MOHS STAGE 1,1699.0,849.5,,,0
CDM,70004590,HCHG MOHS STAGE 2,3072.0,1536.0,,,0
CDM,70004690,HCHG MOHS STAGE 3,4231.0,2115.5,,,0
CDM,70004790,HCHG MOHS STAGE 4,5055.0,2527.5,,,0
CDM,70004890,HCHG MOHS STAGE 5,5667.0,2833.5,,,0
CDM,70005890,"HCHG OMAYA RESERVOIR, CHEMO",391.0,195.5,,,0
CDM,70005990,"HCHG OPT BMT/STEM INFUSION, ALLO",2951.0,1475.5,,,0
CDM,70006090,"HCHG OPT BMT/STEM INFUSION, AUTO",2951.0,1475.5,,,0
CDM,70006190,HCHG OPT LYMPHOCYTE INFUSION,3328.0,1664.0,,,0
CDM,70006290,HCHG PARACENTESIS,376.0,188.0,,,0
CDM,70006490,HCHG SKIN GRAFT,491.0,245.5,,,0
CDM,70006590,"HCHG STEM CELL COLLECTION,ALLOGENIC",9281.0,4640.5,,,0
CDM,70006690,"HCHG CELLULAR THERAPY COLLECTION, AUTOLOGOUS",9281.0,4640.5,,,0
CDM,70006890,HCHG THORACENTESIS,378.0,189.0,,,0
CDM,70006990,HCHG UNSTIMULATED LEUKAPHERESIS,494.0,247.0,,,0
CDM,70007190,HCHG WORK-UP FEES,2610.0,1305.0,1482.0,17224.0,2
CDM,70007290,HCHG CONE BIOPSY,284.0,142.0,,,0
CDM,70007390,HCHG LINE PLACEMENT,1030.0,515.0,,,0
CDM,70007490,HCHG KENLOG INJECTION,206.0,103.0,,,0
CDM,72000490,"HCHG ALBUTEROL,INHAL,DME,UNIT DOSE,1MG",5.0,2.5,1482.0,17224.0,2
CDM,72002090,"HCHG LEVALBUTEROL, INHAL, UNIT DOSE, PER TREATMENT",4.0,2.0,1482.0,17224.0,2
CDM,72016590,HCHG DISP ELECTRODE SET,618.0,309.0,,,0
CDM,75023590,HCHG SPORTS CAMP PHYSICAL,54.0,27.0,,,0
CDM,75057990,HCHG PREDNISOLONE SODIUM PHOS ODT (ORAPRED) PER 5 MG,50.0,25.0,,,0
CDM,75058190,HCHG ALBUTEROL INHALED DME PER 1 MG,4.0,2.0,,,0
CDM,75058890,HCHG ANTIPYRINE AND BENZOCAINE-OTIC SOLN,8.0,4.0,,,0
CDM,75061190,HCHG EPIPEN 0.1 MG,207.0,103.5,,,0
CDM,75071690,"HCHG-ROTAGLIDE, LUBRICATION USED FOR ROTOBLADOR DEVICE",424.0,212.0,,,0
CDM,75072190,HCHG NEBULIZER,36.0,18.0,,,0
CDM,75072290,HCHG MITRACLIP -ONE CLIP,52861.0,26430.5,,,0
CDM,75072390,HCHG MITRACLIP -TWO CLIP,54368.0,27184.0,,,0
CDM,75079590,HCHG ART PRESSURE WAVEFORM ANALYS,151.0,75.5,,,0
CDM,75112790,"HCHG LEADLESS PM INSERT, VENT",18874.0,9437.0,,,0
CDM,75112890,HCHG LEADLESS PM REMOVAL,16458.0,8229.0,,,0
CDM,75116590,HCHG AZITHROMYCIN 500MG TAB,1.0,0.5,,,0
CDM,78017390,"HCHG MOHS EACH ADDITIONAL BLOCK, ANY STAGE",1077.0,538.5,,,0
CDM,80023590,HCHG MR ANG LWR EXT W OR W/O DYE,3094.0,1547.0,,,0
CDM,80026090,HCHG MRA UPR EXT WO & W CONT,1890.0,945.0,,,0
CDM,80041390,HCHG SPECIAL SUPPLIES,1884.0,942.0,,,0
CDM,80041590,HCHG MRI ANGIO CHEST WO CONTRAST,2041.0,1020.5,,,0
CDM,80041890,HCHG HDR ENDOBRONCHIAL CATHE 1000MM,860.0,430.0,,,0
CDM,80042490,"HCHG CYST ASP, BREAST",1164.0,582.0,,,0
CDM,80042690,HCHG INTRO LONG GI TUBE,1975.0,987.5,,,0
CDM,80043990,"HCHG U/S NDL BX, RENAL",1170.0,585.0,,,0
CDM,80056590,HCHG MRA CHEST W/ & W/O CONTRAST,2908.0,1454.0,,,0
CDM,82116490,"HCHG ECMO, INITIATION",16536.0,8268.0,,,0
CDM,82116590,"HCHG ECMO, DAILY",7395.0,3697.5,,,0
CDM,85001290,HCHG AORTIC BALLOON INSERTION,17310.0,8655.0,,,0
CDM,85004590,HCHG BALLOON SEPTOSTOMY,1495.0,747.5,,,0
CDM,85006190,HCHG BONE CEMENT PERCISION SYSTEM,4931.0,2465.5,,,0
CDM,85007190,HCHG CATH - MISC,1279.0,639.5,,,0
CDM,85007990,HCHG CATH DX,263.0,131.5,,,0
CDM,85008090,HCHG CATH DX VENOUS,284.0,142.0,,,0
CDM,85008390,HCHG CATH LAB EXT RECOV PER 15 MINUTES,348.0,174.0,,,0
CDM,85008590,HCHG CATH PRESSURE WEDGE,277.0,138.5,,,0
CDM,85009390,"HCHG CATHETER, THERM SWAN GANZ",951.0,475.5,,,0
CDM,85010490,HCHG COIL - GDC,5477.0,2738.5,,,0
CDM,85010590,HCHG COIL - HELICAL COMPLEX,1161.0,580.5,,,0
CDM,85010690,HCHG COIL - HYDROCOIL,7014.0,3507.0,,,0
CDM,85010790,HCHG COIL - MATRIX,6854.0,3427.0,,,0
CDM,85010890,HCHG COIL - MISC,507.0,253.5,,,0
CDM,85010990,HCHG COIL - TRUFILL ORBIT,9572.0,4786.0,,,0
CDM,85011090,HCHG COIL BERN LIQUID,1215.0,607.5,,,0
CDM,85011190,HCHG COIL MISC II,4575.0,2287.5,,,0
CDM,85011290,HCHG COIL PUSHER,708.0,354.0,,,0
CDM,85011390,HCHG COIL TORNADO,782.0,391.0,,,0
CDM,85011490,HCHG COLOSCOPE BRUSH,144.0,72.0,,,0
CDM,85013290,HCHG PERICARDIAL WINDOW,8870.0,4435.0,,,0
CDM,85013590,HCHG DELIVERY SYS W/GUIDE&CATH,2449.0,1224.5,,,0
CDM,85013690,"HCHG DEVICE, FEMOSTOP DISPOSABLES",577.0,288.5,,,0
CDM,85014190,HCHG DILATOR KIT W/ 2 DILATORS,731.0,365.5,,,0
CDM,85016290,HCHG ICD SYSTEM INSERTION  - SINGLE,22661.0,11330.5,,,0
CDM,85016390,HCHG ICD SYSTEM INSERTION - DUAL,22661.0,11330.5,,,0
CDM,85016590,HCHG EMBOLIC THERAPY,1204.0,602.0,,,0
CDM,85016690,HCHG EMBOLIZATION PARTICLES,783.0,391.5,,,0
CDM,85018090,HCHG FEEDING TUBE,480.0,240.0,,,0
CDM,85018190,HCHG FLUID MGMT SYSTEM,667.0,333.5,,,0
CDM,85018790,HCHG FORCEPS BIOPSY I,1879.0,939.5,,,0
CDM,85018890,HCHG GDC CABLE,649.0,324.5,,,0
CDM,85020390,HCHG HEMASHIELD FINNESS,1286.0,643.0,,,0
CDM,85020490,HCHG HEMOSTAT,181.0,90.5,,,0
CDM,85020990,HCHG ICD POCKET REVISOIN/DEFIB,17824.0,8912.0,,,0
CDM,85021090,HCHG ICD REMOVAL  ONLY,16458.0,8229.0,,,0
CDM,85021890,HCHG INFLATION KIT,284.0,142.0,,,0
CDM,85025090,HCHG INJECTOR DEL SET,723.0,361.5,,,0
CDM,85026290,HCHG INSERTION OF DUAL LEADS PCM/ICD,18874.0,9437.0,,,0
CDM,85026390,HCHG INSERTION OF SINGLE LEAD PCM/ICD,17022.0,8511.0,,,0
CDM,85026490,HCHG INSERT LD FOR LV (PREVIOUS SYSTEM),17632.0,8816.0,,,0
CDM,85026790,HCHG ICD GEN INSERTR DUAL (CHANGE),17666.0,8833.0,,,0
CDM,85026890,HCHG ICD GEN INSERT-SINGLE (CHANGE),21393.0,10696.5,,,0
CDM,85029290,HCHG INTRODUCER KIT/SET,267.0,133.5,,,0
CDM,85029390,HCHG INTRODUCER/SHEATH,2940.0,1470.0,,,0
CDM,85030590,HCHG MISC OR SURG REV CODE 360,626.0,313.0,,,0
CDM,85031090,HCHG NEEDLE,222.0,111.0,,,0
CDM,85031190,HCHG NEEDLE  BRK TRANSEPTAL,1441.0,720.5,,,0
CDM,85031690,HCHG NEEDLE GUIDE,663.0,331.5,,,0
CDM,85031790,HCHG NEEDLE INTRODUCER,533.0,266.5,,,0
CDM,85032190,HCHG PACEMAKER SYS INSERTION DUAL,16730.0,8365.0,,,0
CDM,85032290,HCHG PACEMAKER SYS INSERTION SINGLE ATRIAL,18874.0,9437.0,,,0
CDM,85032390,HCHG PACEMAKER SYS INSERTION SINGLE VENTRICULAR,15233.0,7616.5,,,0
CDM,85032490,HCHG PACEMAKER UPGRADE,17022.0,8511.0,,,0
CDM,85032790,HCHG PACEMAKER GENERATOR CHANGE - SINGLE,12077.0,6038.5,,,0
CDM,85034390,HCHG PERICARDIOCENTESIS,10084.0,5042.0,,,0
CDM,85034490,HCHG PERICARDIOCENTESIS KIT I,924.0,462.0,,,0
CDM,85034590,HCHG PERICARDIOCENTESIS KIT II,923.0,461.5,,,0
CDM,85036890,HCHG PNEUMOTHORAX SET,870.0,435.0,,,0
CDM,85036990,HCHG POCKET REVISION/PACEMAKER,13321.0,6660.5,,,0
CDM,85039590,HCHG REMOVAL OF PCM GENERATOR,13323.0,6661.5,,,0
CDM,85039690,HCHG REMOVAL OF PCM LEAD - SINGLE,18874.0,9437.0,,,0
CDM,85039790,HCHG REMOVAL OF PCM LEAD - DUAL,18874.0,9437.0,,,0
CDM,85040190,HCHG REMOVAL OF SINGLE OR DUAL ICD LEADS,13323.0,6661.5,,,0
CDM,85041890,HCHG REPAIR OF LEAD - SINGLE,17022.0,8511.0,,,0
CDM,85042990,HCHG REPOS OF LV LEAD,18874.0,9437.0,,,0
CDM,85043090,HCHG REPOSITION OF IMPLANTED LEAD,18874.0,9437.0,,,0
CDM,85043490,HCHG RETRIEVAL DEVICE KIT II,1308.0,654.0,,,0
CDM,85044890,HCHG ROTOBLATOR ADVANCER,1780.0,890.0,,,0
CDM,85047490,HCHG SUTURE ANCHOR,485.0,242.5,,,0
CDM,85047690,HCHG HEMOSTATIC PATCH,1932.0,966.0,,,0
CDM,85047790,HCHG TEMPORARY PACEMAKER INSERTION,3304.0,1652.0,,,0
CDM,85050190,HCHG TRUFILL GLUE,7440.0,3720.0,,,0
CDM,85050290,HCHG TRUFILL SYRINGE,1790.0,895.0,,,0
CDM,85050390,HCHG TUBING,1094.0,547.0,,,0
CDM,85052490,HCHG WIRE PRESSURE,4046.0,2023.0,,,0
CDM,85054590,HCHG BONE BIOPSY KIT,594.0,297.0,,,0
CDM,85054690,HCHG DRAIN,2118.0,1059.0,,,0
CDM,85054890,HCHG BALLOON SIZING,1662.0,831.0,,,0
CDM,85054990,HCHG CATH EMBOLECTOMY ART,342.0,171.0,,,0
CDM,85055090,HCHG COIL MICRONESTOR,394.0,197.0,,,0
CDM,85062390,HCHG ENDOBRONC CATH 150MM,860.0,430.0,,,0
CDM,85062890,HCHG ABORTED GAMMA KNIFE,4545.0,2272.5,,,0
CDM,85062990,HCHG ICD GEN INSERT ONLY-DUAL,16458.0,8229.0,,,0
CDM,85063190,HCHG REPARI OF LEA/DUAL,18874.0,9437.0,,,0
CDM,85063690,HCHG CRYOABLATION COAXIAL UMBILICAL,891.0,445.5,,,0
CDM,85063990,"HCHG PERC RF ABLATE TUMOR,W/S&I",35751.0,17875.5,,,0
CDM,85064190,"HCHG CURETTE, KYPHON",1924.0,962.0,,,0
CDM,85064290,"HCHG CEMENT, KYPHON",551.0,275.5,,,0
CDM,85064390,"HCHG BIOSPY, KYPHX",619.0,309.5,,,0
CDM,85064490,"HCHG TRAY, KYPHOPAK",7956.0,3978.0,,,0
CDM,85064590,"HCHG INTRODUCER SYSTEM,KYPHX",1458.0,729.0,,,0
CDM,85064690,"HCHG INTRODUCE DEVICE, KYPHX OSTEO",1268.0,634.0,,,0
CDM,85066590,"HCHG TUBING, ASPIRATION PENUMBRA",1639.0,819.5,,,0
CDM,85066690,"HCHG CANISTER, PUMP PENUMBER",1330.0,665.0,,,0
CDM,85066890,"HCHG BEAD, LC EMBOLIC",9895.0,4947.5,,,0
CDM,85067090,HCHG PLUG VASCULAR,2650.0,1325.0,,,0
CDM,85067290,"HCHG DEVICE, PERCUTANEOUS LV ASSIST",45966.0,22983.0,,,0
CDM,85067490,HCHG LC BEADS,3754.0,1877.0,,,0
CDM,85067590,HCHG DELIVERY KIT,152.0,76.0,,,0
CDM,85069090,"HCHG KIT, ACCESSORY",675.0,337.5,,,0
CDM,85069690,HCHG SLEEP CENTER NO SHOW,181.0,90.5,,,0
CDM,85070490,HCHG HI THORACENTESIS,1295.0,647.5,,,0
CDM,85070590,HCHG HI WOUND DEBRIDEMENT,656.0,328.0,,,0
CDM,85072790,HCHG KIT HASKAL,1797.0,898.5,,,0
CDM,85073290,HCHG HERO ARTERIAL GRAFT COMPONENT,5047.0,2523.5,,,0
CDM,85073390,HCHG HERO ACCESSORY KIT,2704.0,1352.0,,,0
CDM,85077890,"HCHG DEVICE, RADIAL ARTERY COMPRESSION",134.0,67.0,,,0
CDM,85081290,"HCHG CRYOABLATION RETRACTION KIT, MANUAL",10224.0,5112.0,,,0
CDM,85082790,HCHG COSMETIC SCLEROTHERAPY,424.0,212.0,,,0
CDM,85100290,HCHG EMBOLIZATION DEVICE PIPELINE 10-20 MM,24722.0,12361.0,,,0
CDM,85100390,HCHG EMBOLIZATION DEVICE PIPELINE 25-35 MM,26698.0,13349.0,,,0
CDM,85106790,HCHG CRYOABLATION OF BONE MASS,81196.0,40598.0,,,0
CDM,85107090,HCHG REMOVAL OF INTRA-AORTIC BALLOON PUMP - PERC,2869.0,1434.5,,,0
CDM,85107190,HCHG INSERTION OF IMPELLA-PERC,3362.0,1681.0,,,0
CDM,85107290,HCHG REPOSITIONING OF IMPELLA W/ IMAGING-PERC,1225.0,612.5,,,0
CDM,85107390,HCHG REMOVAL OF IMPELLA-PERC,2872.0,1436.0,,,0
CDM,85108290,HCHG - CATHETER FOR ICE,4298.0,2149.0,,,0
CDM,85112590,HCHG VALVULOPLASTY BALLOON,3398.0,1699.0,,,0
CDM,85112690,HCHG PENUMBRA REPERFUSION CATHETER,10998.0,5499.0,,,0
CDM,85114490,HCHG EKOS PERFUSION CATHETER,6939.0,3469.5,,,0
CDM,85114590,HCHG ALLOMAP,134.0,67.0,,,0
CDM,85115990,HCHG BOLUS MATERIAL,3351.0,1675.5,,,0
CDM,85118390,HCHG CORONARY LASER CATHETER,5738.0,2869.0,,,0
CDM,85118490,HCHG VASCULAR LASER CATHETER,8668.0,4334.0,,,0
CDM,85119490,HCHG S-ICD,61203.0,30601.5,,,0
CDM,85124990,HCHG WATCHMAN  ACCESS SYSTEM,4634.0,2317.0,,,0
CDM,85125090,HCHG WATCHMAN LAA CLOSURE DEVICE,29741.0,14870.5,,,0
CDM,85125490,HCHG CANNULA W DILATOR,22785.0,11392.5,,,0
CDM,85125590,HCHG CIRCUIT,4531.0,2265.5,,,0
CDM,86153790,HCHG WEB DETACHMENT CONTROLLER,702.0,351.0,,,0
CDM,86153890,HCHG DEVICE EMBL WEB,27503.0,13751.5,,,0
CDM,89999590,HCHG BRONCHSCP FLXB 600MM 5.8MM 2.8,1464.0,732.0,,,0
CDM,89999790,HCHG KIT VENTRICULOSTOMY STD RZR,1594.0,797.0,,,0
CDM,89999890,HCHG BRONCHSCP FLXB 600MM 5MM 2.2MM,1273.0,636.5,,,0
CDM,89999990,HCHG BRONCHSCP FLXB 600MM 3.8MM 1.2,1316.0,658.0,,,0
CDM,90088890,"HCHG BAKRI POSTPARTUM BALLOON, 72857",1145.0,572.5,,,0
CDM,90129490,"HCHG EZ-IO 25MM NEEDLE SET, 76135",563.0,281.5,,,0
CDM,90129990,"HCHG EZ-IO 15MM NEEDLE SET, 76133",563.0,281.5,,,0
CDM,90165090,HCHG ARTHROSCOPE CAMERA,2344.0,1172.0,,,0
CDM,90171690,"HCHG RAD SITZ MARKER, 300447",551.0,275.5,,,0
CDM,90343490,"HCHG PREVENA 13CM DRESSINGPEEL, 110620",1153.0,576.5,,,0
CDM,90458090,HCHG STAPLER PROXIMATE HEMMORR,1320.0,660.0,,,0
CDM,90470890,HCHG DRESSING PREVENA INCISIONAL L90 CM  - L324666,1389.0,694.5,,,0
CDM,90625090,HCHG SET MINICAP EXT LIFE PD TRANSFER,426.0,213.0,,,0
CDM,90715390,HCHG SET MINI CAP EXT LIFE PD TRANSFER,774.0,387.0,,,0
CDM,90845490,HCHG ZZ CAPSULE PILLCAM SB3EX,1903.0,951.5,,,0
CDM,90850190,"HCHG PREVENA INCISIONAL VAC 13CM, 110619",2083.0,1041.5,,,0
CDM,91960590,HCHG PHENOL EZ SWABS EACH,19.0,9.5,1482.0,17224.0,2
CDM,91960690,"HCHG SILVADENE 1% CREAM, PER 1 GM",2.0,1.0,1482.0,17224.0,2
CDM,91960790,HCHG SILVER NITRATE SWABS - EACH,4.0,2.0,1482.0,17224.0,2
CDM,91960890,HCHG TRIPLE ANTIBIOTIC OINTMENT (NEOSPORIN) UNIT DOSE PACKETS,2.0,1.0,1482.0,17224.0,2
CDM,91967190,HCHG CASSETTE IMPELLA CONTROLLER (L69912),811.0,405.5,,,0
CDM,91972090,HCHG HM2 SYSTEM CONTROLLER BACKUP,13104.0,6552.0,,,0
CDM,91972190,HCHG HM2 BATTERY SET (14 VOLT)-8,12370.0,6185.0,,,0
CDM,91972290,HCHG HM2 BATTERY CLIP  SET,6804.0,3402.0,,,0
CDM,91972390,HCHG HM2 SHOWER BAG SET,1940.0,970.0,,,0
CDM,91972490,HCHG HM2 TRAVEL BAG,738.0,369.0,,,0
CDM,91972590,HCHG HM2 HOLTER VEST,1758.0,879.0,,,0
CDM,91972690,HCHG HM2 HM MPU,19054.0,9527.0,,,0
CDM,92057990,HCHG HM2 BATTERY CHARGER,16865.0,8432.5,,,0
CDM,92058290,HCHG PREVENA PLLUS 125 THERAPY UNIT VAC L122244,1303.0,651.5,,,0
CDM,92058890,HCHG HM2 BATTERY ONE ONLY,3185.0,1592.5,,,0
CDM,92058990,HCHG HM2 BATTERY ONE CLIP,3304.0,1652.0,,,0
CDM,92060090,HCHG HM2 SHOWER BAG ONE,970.0,485.0,,,0
CDM,96000090,HCHG CATH CV POWERHOHN POLY 5FR,1036.0,518.0,,,0
CDM,96000490,HCHG TRAY CATH 6FR CRTL VENOUS,1059.0,529.5,,,0
CDM,96000890,HCHG TRAY CATH 6FR CRTL VENOUS 3 LUMEN,1085.0,542.5,,,0
CDM,96001290,HCHG PICO KIT,1280.0,640.0,,,0
CDM,96003690,HCHG KIT CATH MIDLINE 4FR,672.0,336.0,,,0
CDM,96007290,HCHG LEVEL 2 NERVE INJECTIONS - NJX INTERLAMINAR IMBR/SAC,323.0,161.5,,,0
CDM,96014190,HCHG SPECTRA OPTIA APHERSIS EXC-108843,1451.0,725.5,,,0
CDM,97003390,HCHG ET DRAINAGE WAYNE PNMTHRX  (L129282 ),866.0,433.0,,,0
CDM,97003490,HCHG HEARTMATE 3 LVAD CONTROLLER,12387.0,6193.5,,,0
CDM,97003590,HCHG HEARTMATE 3 LVAD MODULAR CABLE,11349.0,5674.5,,,0
CDM,97009990,HCHG KIDNEY HARVEST LIVE DONOR-OTHER FACILITY,130300.0,65150.0,1482.0,17224.0,2
CDM,97015790,HCHG KIDNEY TRANSPLANT,302132.0,151066.0,1482.0,17224.0,2
CDM,97015890,HCHG HEART TRANSPLANT,377168.0,188584.0,1482.0,17224.0,2
CDM,97102090,"HCHG GADAVIST, 10ML SYRINGE",304.0,152.0,,,0
CDM,97169690,HCHG NITRIC OXIDE PER HALF HOUR,510.0,255.0,1482.0,17224.0,2
CDM,97177990,HCHG CYTOSORB FILTER-148898,4399.0,2199.5,,,0
CDM,97205390,HCHG CLINICAL DECISION SUPPORT MECHANISM NATIONAL IMAGING ASSOCIATES-MEDICARE,0.01,0.01,,,0
CDM,97205490,HCHG CLINICAL DECISION SUPPORT MECHANISM TEST APPROPRIATE-MEDICARE,0.01,0.01,,,0
CDM,97205790,HCHG CLINICAL DECISION SUPPORT MECHANISM SAGE HEALTH MANAGEMENT SOLUTIONS-MEDICARE,0.01,0.01,,,0
CDM,97327290,HCHG NEUROMOD EVALUATION FOR PNE,2150.0,1075.0,,,0
CDM,97384090,HCHG 68818-0510 PROBING OF NASOLACRIMAL DUCT; W TRANSL BALLOON CATH DILAT,5683.0,2841.5,,,0
CDM,97434390,"HCHG BRONCHOSCOPE FLEX ADULT (NORMAL, LG, EXTRA)",1109.0,554.5,,,0
CDM,97565190,"HCHG SYSTEM WOUND HEALING ACTIGRAFT PRO, 329541",318.0,159.0,,,0
CDM,97610590,HCHG TRAUMA ACTIVATION,2239.0,1119.5,,,0
CDM,97639190,HCHG PROF FLOAT SESSION (SELF PAY ONLY),50.0,25.0,,,0
CDM,97639290,"HCHG PROF PBM SESSION, 20 MINS (SELF PAY ONLY)",20.0,10.0,,,0
CDM,97641090,"HCHG PBM SESSION, 20 MINUTES (NON-BILLABLE)",22.0,11.0,,,0
CDM,97657990,HCHG 69339-0510 AURICULAR ACCUPUNCTURE,35.0,17.5,,,0
CPT,00000,Sevelamer Carbonate,1.8,0.9,1482.0,17224.0,2
CPT,0003M,MOLECULAR PATHOLOGY TEST FOR LIVER DISEASE; INCLUDING NON-ALCOHOL LIVER DISEASE (NASH FIBROSURE),915.4,457.7,327.21,1334.01,24
CPT,0022U,TGSAP NSM LUNG NEO DNA&RNA23,4938.0,2469.0,1267.5,5167.5,24
CPT,0023U,DNA GENE ANALYSIS FOR ACUTE MYELOGENOUS LEUKEMIA,620.0,310.0,161.53,658.55,24
CPT,0034U,GENE ANALYSIS (THIOPURINE S-METHYLTRANSFERASE) FOR COMMON VARIANTS,1389.2,694.6,303.01,1235.35,24
CPT,0035U,NEURO CSF PRION PRTN QUAL,366.5,183.25,351.64,1433.62,48
CPT,0042T,COMPUTED TOMOGRAPHY (CT) OF BRAIN BLOOD FLOW; VOLUME; AND TIMING OF FLOW ANALYSIS WITH CONTRAST,3507.0,1753.5,,,0
CPT,0046U,GENE ANALYSIS (FMS-RELATED TYROSINE KINASE 3) FOR INTERNAL TANDEM DUPLICATION VARIANTS,5195.0,2597.5,264.83,1079.69,48
CPT,0054T,BONE SRGRY CMPTR FLUOR IMAGE,10593.0,5296.5,,,0
CPT,0054T,COMPUTER-ASSISTED; FLUOROSCOPIC IMAGE-GUIDED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC OPERATION,18932.16,9466.08,,,0
CPT,0055T,MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC OPERATION USING IMAGING GUIDANCE,15588.57,7794.285,,,0
CPT,0064U,ANTB TP TOTAL&RPR IA QUAL,125.0,62.5,20.36,83.02,24
CPT,0065U,SYFLS TST NONTREPONEMAL ANTB,64.0,32.0,11.76,47.94,24
CPT,0075T,INSERTION OF STENTS INTO VERTEBRAL ARTERY VIA CATHETER; OPEN OR ACCESSED THROUGH THE SKIN INCLUDING RADIOLOGIC SUPERVISION AND INTERPRETATION; INITIAL VESSEL,21283.0,10641.5,,,0
CPT,0075T,PERQ STENT/CHEST VERT ART,22880.0,11440.0,,,0
CPT,0076T,S&I STENT/CHEST VERT ART,22880.0,11440.0,,,0
CPT,0077U,DETECTION OF IMMUNOGLOBULIN PARAPROTEIN (M-PROTEIN) IN BLOOD OR URINE,322.0,161.0,28.23,115.09,24
CPT,0086U,FISH IDENTIFICATION OF ORGANISMS IN BLOOD CULTURE,689.0,344.5,130.0,530.0,24
CPT,0175T,CAD CXR REMOTE,223.0,111.5,,,0
CPT,01967,NEURAXL LBR ANES VAG DLVR,863.0,431.5,,,0
CPT,01968,ANES/ANALG CS DLVR NEURAXIAL,1325.0,662.5,,,0
CPT,01996,HOSP MANAGE CONT DRUG ADMIN,187.0,93.5,,,0
CPT,0200T,PERQ SACRAL AUGMT UNILAT INJ,13800.0,6900.0,4539.89,18508.79,24
CPT,0201T,PERQ SACRAL AUGMT BILAT INJ,13800.0,6900.0,4539.89,18508.79,24
CPT,0202U,TEST FOR DETECTION OF RESPIRATORY DISEASE-CAUSING ORGANISMS FROM BACK OF NOSE AND THROAT (NASOPHARYNX) SPECIMEN; 22 TARGET ORGANISMS INCLUDING SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2,1068.0,534.0,270.91,1104.47,103
CPT,0211U,NEXT-GENERATION SEQUENCING OF DNA AND RNA IN TUMOR TISSUE SPECIMEN WITH INTERPRETATIVE REPORT,10719.0,5359.5,5495.75,22405.75,24
CPT,0213T,NJX PARAVERT W/US CER/THOR,2260.0,1130.0,553.38,2256.08,24
CPT,0216T,NJX PARAVERT W/US LUMB/SAC,2393.0,1196.5,553.38,2256.08,24
CPT,0232T,HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE,5848.5,2924.25,279.49,1139.47,72
CPT,0232T,NJX PLATELET PLASMA,1141.0,570.5,279.49,1139.47,24
CPT,0238T,TRLUML PERIP ATHRC ILIAC ART,23527.0,11763.5,11469.29,46759.41,24
CPT,0241U,RESPIRATORY INFECTIOUS AGENT DETECTION BY RNA FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID 19); INFLUENZA A; INFLUENZA B; AND RESPIRATORY SYNCYTIAL VIRUS; UPPER RESPIRATORY SPECIMEN; EAC,505.0,252.5,,,0
CPT,0250U,GENE ANALYSIS OF 505 GENES ASSOCIATED WITH SOLID ORGAN CANCER IN TUMOR TISSUE SAMPLE; TARGETED GENOMIC SEQUENCE INTERROGATION FOR SOMATIC ALTERATIONS; MICROSATELLITE INSTABILITY AND TUMOR-MUTATION BUR,4500.0,2250.0,1897.74,7736.94,72
CPT,0268T,IMPLANTATION OR REPLACEMENT OF CAROTID SINUS BAROREFLEX ACTIVATION DEVICE PULSE GENERATOR,16433.0,8216.5,,,0
CPT,0275T,REMOVAL OF BONE FROM LOWER SPINE FOR DECOMPRESSION OF NERVE TISSUE USING IMAGING GUIDANCE; ACCESSED THROUGH THE SKIN,15378.0,7689.0,,,0
CPT,0279U,ELISA DETECTION OF VON WILLEBRAND FACTOR (VWF) AND COLLAGEN III BINDING IN PLASMA SPECIMEN; REPORT OF COLLAGEN III BINDING,350.0,175.0,7.49,30.55,24
CPT,0282U,RED BLOOD CELL ANTIGEN GENOTYPING OF 12 BLOOD GROUP SYSTEM GENES TO PREDICT 44 RED BLOOD CELL ANTIGEN PHENOTYPES,570.0,285.0,468.0,1908.0,48
CPT,0313U,LAPS REVJ/REPLCMT NSTIM ELTRD ARRAY VAGUS NRV,1500.0,750.0,2340.0,9540.0,24
CPT,0338T,TRNSCTH RENAL SYMP DENRV UNL,10617.0,5308.5,3560.95,14517.73,24
CPT,0339T,DESTRUCTION OF NERVES OF ARTERIES OF ONE KIDNEY ACCESSED THROUGH THE SKIN WITH FLUOROSCOPY AND RADIOLOGICAL SUPERVISION AND INTERPRETATION,9876.0,4938.0,3560.95,14517.73,24
CPT,0339T,TRNSCTH RENAL SYMP DENRV BIL,10617.0,5308.5,3560.95,14517.73,24
CPT,0346U,BETA AMYL AB40&AB42 LC-MS/MS,900.0,450.0,,,0
CPT,0358T,BIA WHOLE BODY,74.0,37.0,18.1,73.78,24
CPT,0362T,BHV ID SUPRT ASSMT EA 15 MIN,322.0,161.0,23.44,95.56,24
CPT,0373T,ADAPT BHV TX EA 15 MIN,555.0,277.5,23.44,95.56,23
CPT,0402T,COLGN CRS-LINK CRN&PACHYMTRY,6172.0,3086.0,1487.49,6064.37,24
CPT,0402T,COLLAGEN CROSS-LINKING TREATMENT OF DISEASE OF CORNEA,7861.0,3930.5,1487.49,6064.37,72
CPT,0408T,INSERTION OR REPLACEMENT OF PULSE GENERATOR AND ELECTRODES OF HEART CONTRACTILITY MODULATOR SYSTEM,23840.0,11920.0,19638.62,80065.14,24
CPT,0408T,INSJ/RPLC CARDIAC MODULJ SYS,25628.0,12814.0,19638.62,80065.14,24
CPT,0409T,INSJ/RPLC CAR MODULJ PLS GN,19687.0,9843.5,13916.82,56737.8,24
CPT,0410T,INSJ/RPLC CAR MODULJ ATR ELT,7398.0,3699.0,5177.54,21108.44,24
CPT,0411T,INSJ/RPLC CAR MODULJ VNT ELT,7398.0,3699.0,5177.54,21108.44,24
CPT,0412T,RMVL CARDIAC MODULJ PLS GEN,7808.0,3904.0,2338.05,9532.05,24
CPT,0413T,RMVL CAR MODULJ TRANVNS ELT,7808.0,3904.0,2338.05,9532.05,24
CPT,0414T,RMVL & RPL CAR MODULJ PLS GN,19687.0,9843.5,13916.82,56737.8,24
CPT,0415T,REPOS CAR MODULJ TRANVNS ELT,1736.0,868.0,392.48,1600.1,24
CPT,0416T,RELOC SKIN POCKET PLS GEN,5040.0,2520.0,1290.9,5262.9,24
CPT,0417T,PRGRMG EVAL CARDIAC MODULJ,111.0,55.5,23.35,95.19,24
CPT,0418T,INTERRO EVAL CARDIAC MODULJ,111.0,55.5,23.35,95.19,24
CPT,0420T,DESTRUCTION OF MORE THAN 100 NEUROFIBROMAS OF SKIN OF HEAD AND NECK,9903.0,4951.5,462.4,1885.18,24
CPT,0440T,ABLTJ PERC UXTR/PERPH NRV,4988.0,2494.0,1221.73,4980.91,24
CPT,0440T,FREEZING DESTRUCTION OF NERVE IN ARM; ACCESSED THROUGH THE SKIN; USING IMAGING GUIDANCE,5036.0,2518.0,1221.73,4980.91,24
CPT,0441T,ABLTJ PERC LXTR/PERPH NRV,5249.0,2624.5,1221.73,4980.91,24
CPT,0441T,FREEZING DESTRUCTION OF NERVE IN LEG; ACCESSED THROUGH THE SKIN; USING IMAGING GUIDANCE,6436.0,3218.0,488.7,4980.91,264
CPT,0442T,ABLTJ PERC PLEX/TRNCL NRV,13234.0,6617.0,5490.66,22385.0,24
CPT,0442T,FREEZING DESTRUCTION OF NERVE PLEXUS; ACCESSED THROUGH THE SKIN; USING IMAGING GUIDANCE,11182.0,5591.0,1098.13,22385.0,336
CPT,0449T,INSERTION OF INITIAL AQUEOUS FLUID DRAINAGE DEVICE INTO EYE,8149.0,4074.5,3329.31,13573.33,24
CPT,0479T,FXJL ABL LSR 1ST 100 SQ CM,1867.0,933.5,462.4,1885.18,24
CPT,0483T,TMVI PERCUTANEOUS APPROACH,22989.0,11494.5,,,0
CPT,0502T,COR FFR DATA PREP & TRANSMIS,6337.0,3168.5,,,0
CPT,0503T,COR FFR ALYS GNRJ FFR MDL,6337.0,3168.5,,,0
CPT,0509T,PATTERN ERG W/I&R,712.0,356.0,15.18,550.78,37
CPT,0518T,RMVL PG WCS LV BATTERY ONLY,7808.0,3904.0,2338.05,9532.05,24
CPT,0523T,NTRAPX C FFR W/3D FUNCJL MAP,7263.0,3631.5,,,0
CPT,0524T,EV CATH DIR CHEM ABLTJ W/IMG,6856.0,3428.0,1975.49,8053.93,24
CPT,0569T,TTVR PERQ APPR 1ST PROSTH,22882.0,11441.0,,,0
CPT,0570T,TTVR PERQ EA ADDL PROSTH,44055.0,22027.5,,,0
CPT,0571T,INSERTION OR REPLACEMENT OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR SYSTEM WITH ELECTRODES UNDER BREASTBONE,22177.0,11088.5,19638.62,80065.14,24
CPT,0571T,INSJ/RPLCMT ICDS SS ELTRD,23841.0,11920.5,19638.62,80065.14,24
CPT,0572T,INSERTION SS DFB ELECTRODE,7398.0,3699.0,5177.54,21108.44,24
CPT,0573T,REMOVAL SS DFB ELECTRODE,7808.0,3904.0,2338.05,9532.05,24
CPT,0574T,REPOS PREV SS IMPL DFB ELTRD,7808.0,3904.0,2338.05,9532.05,24
CPT,0575T,PRGRMG DEV EVAL ICDS SS IP,105.0,52.5,23.35,95.19,24
CPT,0576T,INTERROG DEV EVAL ICDS SS IP,111.0,55.5,23.35,95.19,24
CPT,0577T,EPHYS EVAL ICDS SS,3475.0,1737.5,761.76,3105.64,24
CPT,0579T,REM INTERROG DEV ICDS TECH,111.0,55.5,23.35,95.19,24
CPT,0580T,RMVL SS IMPL DFB PG ONLY,7808.0,3904.0,2338.05,9532.05,24
CPT,0591T,HLTH&WB COACHING INDIV 1ST,78.0,39.0,,,0
CPT,0592T,HLTH&WB COACHING INDIV F-UP,78.0,39.0,,,0
CPT,0593T,HLTH&WB COACHING GROUP,78.0,39.0,,,0
CPT,0614T,RMVL&RPLCMT SS IMPL DFB PG,19687.0,9843.5,13916.82,56737.8,24
CPT,0620T,EVASC VEN ARTLZ TIBL/PRNL VN,112501.0,56250.5,27693.62,112904.76,24
CPT,0621T,LASER INCISION OF DRAINAGE TISSUE WITHIN EYE (TRABECULAR MESHWORK),8230.33,4115.165,2586.1,10543.32,48
CPT,0627T,PERQ NJX ALGC FLUOR LMBR 1ST,16885.0,8442.5,8032.6,32748.28,24
CPT,0628T,PERQ NJX ALGC FLUOR LMBR EA,10938.0,5469.0,,,0
CPT,0629T,PERQ NJX ALGC CT LMBR 1ST,16885.0,8442.5,8032.6,32748.28,24
CPT,0630T,PERQ NJX ALGC CT LMBR EA,10938.0,5469.0,,,0
CPT,0644T,TCAT RMVL/DBLK ICAR MAS PERQ,14681.0,7340.5,3560.95,14517.73,24
CPT,0646T,TTVI/RPLCMT W/PRSTC VLV PERQ,12029.0,6014.5,,,0
CPT,0662T,INITIAL MEASUREMENT AND CALIBRATION OF CAP FOR MECHANICAL COOLING OF SCALP,4376.0,2188.0,1500.0,1500.0,1
CPT,0663T,PLACEMENT; MONITORING; AND REMOVAL OF DEVICE FOR MECHANICAL COOLING OF SCALP,95.0,47.5,1500.0,1500.0,1
CPT,0715T,PERQ TRLUML CORONRY LITHOTRP,299.0,149.5,,,0
CPT,0764T,ASSTV ALG ECG RSK ASMT CNCRT,340.0,170.0,83.66,341.06,24
CPT,0765T,ASSTV ALG ECG RSK ASMT PREV,340.0,170.0,83.25,339.39,24
CPT,0793T,PRQ TCAT THRM ABLT NRV P-ART,21145.0,10572.5,11469.29,46759.41,24
CPT,0795T,TCAT INS 2CHMBR LDLS PM CMPL,29955.0,14977.5,12051.19,49131.77,24
CPT,0796T,TCAT INS 2CHMBR LDLS PM RA,23965.0,11982.5,12051.19,49131.77,24
CPT,0797T,TCAT INS 2CHMBR LDLS PM RV,19771.0,9885.5,12051.19,49131.77,24
CPT,0798T,TCAT RMV 2CHMBR LDLS PM CMPL,6856.0,3428.0,1975.49,8053.93,24
CPT,0799T,TCAT RMVL 2CHMBR LDLS PM RA,6856.0,3428.0,1975.49,8053.93,24
CPT,0800T,TCAT RMVL 2CHMBR LDLS PM RV,6856.0,3428.0,1975.49,8053.93,24
CPT,0801T,TCAT RMV&RPL 2CHMBR LDLS PM,19771.0,9885.5,12051.19,49131.77,24
CPT,0802T,TCAT RMV&RPL2CHMB LDLS PM RA,19771.0,9885.5,12051.19,49131.77,24
CPT,0803T,TCAT RMV&RPL2CHMB LDLS PM RV,19771.0,9885.5,12051.19,49131.77,24
CPT,0804T,PRGRMG EVL LDLS PM 2CHMBR IP,99.0,49.5,23.35,95.19,24
CPT,0816T,OPN INSJ/RPLCMT INS PTN SUBQ,9316.0,4658.0,12137.79,49484.83,24
CPT,0823T,TCAT INS 1CHMBR LDLS PM RA,18392.0,9196.0,12051.19,49131.77,24
CPT,0824T,TCAT RMV 1CHMBR LDLS PM RA,6856.0,3428.0,1975.49,8053.93,24
CPT,0825T,TCAT RMV&RPL1CHMB LDLS PM RA,19771.0,9885.5,12051.19,49131.77,24
CPT,0826T,PRGRMG EVL LDLS PM 1CHMBR IP,100.5,50.25,23.35,95.19,48
CPT,0882T,INTRAOP THER ESTIM PN 1ST,3823.0,1911.5,,,0
CPT,0913T,PRQ TCAT THER RX NTRAC BALO1,10305.0,5152.5,7222.68,29446.32,24
CPT,0914T,PRQ TCAT THR RX NTRC BAL SEP,6183.0,3091.5,,,0
CPT,0915T,INSJ PERM CCM-D SYS PG&ELTRD,25040.0,12520.0,19638.62,80065.14,24
CPT,0916T,INSJ PERM CCM-D SYS PG ONLY,18864.0,9432.0,13916.82,56737.8,24
CPT,0917T,INSJ PERM CCM-D SYS 1 LEAD,7174.0,3587.0,5177.54,21108.44,24
CPT,0918T,INSJ PERM CCM-D SYS DUAL LD,7174.0,3587.0,5177.54,21108.44,24
CPT,0919T,RMVL PERM CCM-D SYS PG ONLY,7275.0,3637.5,2338.05,9532.05,24
CPT,0920T,RMVL PERM CCM-D SYS 1 PAC LD,7275.0,3637.5,2338.05,9532.05,24
CPT,0921T,RMVL PERM CCM-D SYS 1 DFB LD,7275.0,3637.5,2338.05,9532.05,24
CPT,0922T,RMVL PERM CCM-D SYS DUAL LD,7275.0,3637.5,2338.05,9532.05,24
CPT,0923T,RMVL&RPLCMT PERM CCM-D PG,18864.0,9432.0,13916.82,56737.8,24
CPT,0924T,RPOS PRV CCM-D TRNSVNS ELTRD,1662.0,831.0,392.48,1600.1,24
CPT,0925T,RLCJ SKIN POCKET CCM-D PG,4916.0,2458.0,1290.9,5262.9,24
CPT,0926T,PRGRMG DEV EVAL CCM-D IP,100.0,50.0,23.35,95.19,24
CPT,0927T,INTERROG DEV EVAL CCM-D IP,100.0,50.0,23.35,95.19,24
CPT,0930T,EPHYS EVAL CCM-D LD 1ST IMPL,3263.0,1631.5,761.76,3105.64,24
CPT,0931T,EPHYS EVAL CCM-D LD SEPARATE,3263.0,1631.5,761.76,3105.64,24
CPT,0992T,N-INVAS ASSMT CAR RSK W/O CT,609.0,304.5,149.29,608.63,24
CPT,0993T,N-INVAS ASSMT CAR RSK W/CT,609.0,304.5,149.29,608.63,24
CPT,0994T,EVASC DLVR A-WAL STBL RX PRQ,20380.0,10190.0,,,0
CPT,0995T,EVASC DLVR A-WAL STBL RX OPN,13244.0,6622.0,,,0
CPT,10004,FINE NEEDLE ASPIRATION BIOPSY; EACH ADDITIONAL GROWTH,521.0,260.5,24.56,100.12,37
CPT,10004,FNA BX W/O IMG GDN EA ADDL,561.0,280.5,24.56,100.12,37
CPT,10005,FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; FIRST GROWTH,3149.0,1574.5,62.77,1806.27,194
CPT,10006,FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; EACH ADDITIONAL GROWTH,3035.0,1517.5,28.47,116.07,170
CPT,10006,FNA BX W/US GDN EA ADDL,1667.0,833.5,28.47,116.07,37
CPT,10007,FNA BX W/FLUOR GDN 1ST LES,3311.0,1655.5,80.58,1806.27,37
CPT,10008,FNA BX W/FLUOR GDN EA ADDL,393.0,196.5,31.7,129.24,37
CPT,10009,FNA BX W/CT GDN 1ST LES,3311.0,1655.5,97.68,1806.27,37
CPT,10010,FNA BX W/CT GDN EA ADDL,393.0,196.5,44.31,180.65,37
CPT,10011,FNA BX W/MR GDN 1ST LES,3311.0,1655.5,140.95,1806.27,37
CPT,10012,FNA BX W/MR GDN EA ADDL,393.0,196.5,137.88,157.57,6
CPT,10021,FINE NEEDLE ASPIRATION BIOPSY; FIRST GROWTH,4453.0,2226.5,25.0,1036.92,170
CPT,10021,FNA BX W/O IMG GDN 1ST LES,1481.0,740.5,65.35,1036.92,37
CPT,10030,DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE,1965.5,982.75,131.54,1806.27,74
CPT,10030,IMG GID FLU COLL DRG SFT TIS,2532.0,1266.0,131.54,1806.27,37
CPT,10035,PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY; FIRST GROWTH,1585.0,792.5,73.77,1806.27,253
CPT,10035,PLMT SFT TISS LOCLZJ DEV 1ST,1817.5,908.75,73.77,1806.27,74
CPT,10036,PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY; EACH ADDITIONAL GROWTH,808.0,404.0,24.45,99.69,48
CPT,10036,PLMT SFT TISS LOCLZJ DEV EA,808.0,404.0,24.45,209.72,37
CPT,10040,ACNE SURGERY,522.0,261.0,21.0,511.77,85
CPT,10040,EXTRACTION,562.0,281.0,21.0,511.77,37
CPT,10060,I&D ABSCESS SIMPLE/SINGLE,878.0,439.0,24.68,511.77,37
CPT,10060,SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS,638.0,319.0,24.68,511.77,375
CPT,10061,COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS,1796.0,898.0,25.0,1036.92,122
CPT,10061,I&D ABSCESS COMP/MULTIPLE,1796.0,898.0,55.13,1036.92,37
CPT,10080,I&D PILONIDAL CYST SIMPLE,1817.5,908.75,37.8,1806.27,74
CPT,10080,SIMPLE DRAINAGE OF CYST OF TAILBONE,3589.0,1794.5,25.0,1806.27,98
CPT,10081,COMPLICATED DRAINAGE OF CYST OF TAILBONE,7078.0,3539.0,25.0,1806.27,74
CPT,10081,I&D PILONIDAL CYST COMP,1898.5,949.25,25.0,1806.27,74
CPT,10120,INC&RMVL FB SUBQ TISS SMPL,1038.0,519.0,25.0,1036.92,37
CPT,10120,REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE,4703.0,2351.5,25.0,1036.92,218
CPT,10121,INC&RMVL FB SUBQ TISS COMP,5899.0,2949.5,25.0,4212.81,37
CPT,10121,REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; COMPLEX,8127.0,4063.5,68.25,4212.81,122
CPT,10140,DRAINAGE OF BLOOD OR FLUID ACCUMULATION,6365.0,3182.5,24.68,4212.81,146
CPT,10140,I&D HMTMA SEROMA/FLUID COLLJ,6843.0,3421.5,24.68,4212.81,37
CPT,10160,ASPIRATION OF ABSCESS; BLOOD; OR CYST,1891.0,945.5,25.2,1036.92,218
CPT,10160,PNXR ASPIR ABSC HMTMA BULLA,2033.0,1016.5,25.2,1036.92,37
CPT,10180,COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY,5285.33,2642.665,162.0,7409.19,74
CPT,10180,I&D COMPLEX PO WOUND INFCTJ,9051.0,4525.5,25.0,7409.19,37
CPT,1022T,PRQ TIS DSPLMT NTRA-ABDL/PEL,2202.0,1101.0,,,0
CPT,11000,DBRDMT ECZ/INFECTED SKIN<10%,1679.5,839.75,25.0,1036.92,74
CPT,11000,REMOVAL OF INFLAMED OR INFECTED SKIN; UP TO 10% OF BODY SURFACE,1525.0,762.5,254.34,1036.92,24
CPT,11005,REMOVAL OF INFECTED SKIN; TISSUE OR MUSCLE OF ABDOMEN,56582.0,28291.0,205.8,1927.82,31
CPT,11008,RMV PRSTC MTRL/MESH ABD WALL,4350.0,2175.0,167.23,681.79,31
CPT,11010,DEBRIDE SKIN AT FX SITE,2546.0,1273.0,205.8,1806.27,36
CPT,11010,REMOVAL OF FOREIGN MATERIAL FROM SKIN AND TISSUE AT OPEN BROKEN AND/OR DISLOCATED BONE,3617.66,1808.83,205.8,1806.27,36
CPT,11011,DEBRIDE SKIN MUSC AT FX SITE,1826.0,913.0,205.8,1806.27,36
CPT,11011,REMOVAL OF FOREIGN MATERIAL FROM SKIN; TISSUE; AND MUSCLE AT OPEN BROKEN AND/OR DISLOCATED BONE,9966.0,4983.0,205.8,1806.27,60
CPT,11012,REMOVAL OF FOREIGN MATERIAL FROM SKIN; TISSUE; MUSCLE; AND BONE AT OPEN BROKEN AND/OR DISLOCATED BONE,7785.415,3892.71,25.0,7409.19,168
CPT,11042,DBRDMT SUBQ TIS 1ST 20SQCM/<,1325.5,662.75,25.0,1500.0,74
CPT,11042,REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS,3404.665,1702.335,25.0,1500.0,290
CPT,11043,REMOVAL OF MUSCLE AND/OR TISSUE; 20.0 SQ CM OR LESS,7133.83,3566.92,34.65,1885.18,266
CPT,11044,DBRDMT BONE 1ST 20 SQ CM/<,4218.0,2109.0,34.65,4212.81,37
CPT,11044,REMOVAL OF BONE; 20.0 SQ CM OR LESS,9073.0,4536.5,25.0,4212.81,194
CPT,11045,REMOVAL OF SKIN AND TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS,2051.415,1025.71,14.7,1500.0,203
CPT,11046,DBRDMT MUSC&/FSCA EA ADDL,890.0,445.0,32.14,209.72,31
CPT,11046,REMOVAL OF MUSCLE AND/OR TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS,4807.415,2403.71,32.14,1500.0,110
CPT,11047,DBRDMT BONE EACH ADDL,2457.0,1228.5,57.39,233.97,31
CPT,11055,PARING/CUTG B9 HYPRKER LES 1,878.0,439.0,21.0,511.77,37
CPT,11055,REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 1 GROWTH,3383.66,1691.83,21.0,511.77,290
CPT,11056,PARNG/CUTG B9 HYPRKR LES 2-4,513.0,256.5,31.16,511.77,37
CPT,11056,REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 2-4 GROWTHS,816.0,408.0,31.16,511.77,61
CPT,11057,PARNG/CUTG B9 HYPRKR LES >4,513.0,256.5,40.89,1500.0,37
CPT,11057,REMOVAL OF NONCANCER THICKENED SKIN GROWTH; MORE THAN 4 GROWTHS,716.0,358.0,40.89,511.77,37
CPT,11102,BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH,3097.875,1548.94,33.84,1036.92,482
CPT,11102,TANGNTL BX SKIN SINGLE LES,1039.0,519.5,25.0,1036.92,37
CPT,11103,BIOPSY OF RELATED SKIN GROWTH; EACH ADDITIONAL GROWTH,597.0,298.5,11.54,47.04,242
CPT,11103,TANGNTL BX SKIN EA SEP/ADDL,418.0,209.0,11.54,47.04,37
CPT,11104,PUNCH BIOPSY; FIRST SKIN GROWTH,1753.83,876.915,42.45,1036.92,314
CPT,11104,PUNCH BX SKIN SINGLE LESION,1269.0,634.5,25.0,1036.92,37
CPT,11105,PUNCH BIOPSY; EACH ADDITIONAL SKIN GROWTH,1570.25,785.125,14.18,57.82,268
CPT,11106,INCAL BX SKN SINGLE LES,1888.0,944.0,51.67,1885.18,37
CPT,11106,INCISION BIOPSY; FIRST SKIN GROWTH,2840.33,1420.165,51.67,1885.18,122
CPT,11107,INCAL BX SKN EA SEP/ADDL,739.0,369.5,16.39,66.81,37
CPT,11107,INCISION BIOPSY; EACH ADDITIONAL SKIN GROWTH,920.87,460.44,16.39,66.81,135
CPT,11200,REMOVAL OF SKIN TAG; 1-15 SKIN TAGS,1744.5,872.25,25.0,511.77,242
CPT,11200,RMVL SKIN TAGS UP TO&INC 15,518.0,259.0,32.55,511.77,37
CPT,11201,REMOVAL OF SKIN TAG; EACH ADDITIONAL 10 SKIN TAGS,40.0,20.0,8.52,107.0,37
CPT,11201,RMVL SKIN TAGS EA ADDL 10,43.0,21.5,8.52,107.0,37
CPT,11300,SHAVE SKIN LESION 0.5 CM/<,1039.0,519.5,26.25,1036.92,37
CPT,11300,SHAVING OF SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS,2091.0,1045.5,26.25,1036.92,218
CPT,11301,SHAVE SKIN LESION 0.6-1.0 CM,513.0,256.5,33.6,511.77,37
CPT,11301,SHAVING OF SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM,1074.0,537.0,33.6,511.77,242
CPT,11302,SHAVE SKIN LESION 1.1-2.0 CM,513.0,256.5,39.9,511.77,37
CPT,11302,SHAVING OF SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM,586.0,293.0,39.9,511.77,85
CPT,11303,SHAVE SKIN LESION >2.0 CM,1039.0,519.5,49.35,1036.92,37
CPT,11303,SHAVING OF SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 2.0 CM,1451.5,725.75,49.35,1036.92,61
CPT,11305,SHAVE SKIN LESION 0.5 CM/<,513.0,256.5,29.4,511.77,37
CPT,11305,SHAVING OF SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.5 CM OR LESS,958.5,479.25,29.4,511.77,157
CPT,11306,SHAVE SKIN LESION 0.6-1.0 CM,513.0,256.5,36.75,511.77,37
CPT,11306,SHAVING OF SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM,639.0,319.5,36.75,511.77,85
CPT,11307,SHAVE SKIN LESION 1.1-2.0 CM,513.0,256.5,43.05,511.77,37
CPT,11307,SHAVING OF SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM,514.0,257.0,43.05,511.77,61
CPT,11308,SHAVE SKIN LESION >2.0 CM,1038.0,519.0,52.5,1036.92,37
CPT,11308,SHAVING OF SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 2.0 CM,950.0,475.0,254.34,1036.92,48
CPT,11310,SHAVE SKIN LESION 0.5 CM/<,513.0,256.5,33.6,511.77,37
CPT,11310,SHAVING OF SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS,737.0,368.5,33.6,511.77,205
CPT,11311,SHAVE SKIN LESION 0.6-1.0 CM,513.0,256.5,39.9,511.77,37
CPT,11311,SHAVING OF SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM,411.0,205.5,39.9,511.77,61
CPT,11312,SHAVE SKIN LESION 1.1-2.0 CM,1171.0,585.5,52.5,1036.92,74
CPT,11312,SHAVING OF SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM,1213.0,606.5,52.5,1036.92,61
CPT,11313,SHAVE SKIN LESION >2.0 CM,1038.0,519.0,66.15,1036.92,37
CPT,11313,SHAVING OF SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; MORE THAN 2.0 CM,1294.5,647.25,66.15,1036.92,61
CPT,11400,EXC TR-EXT B9+MARG 0.5 CM<,1932.0,966.0,39.38,1806.27,37
CPT,11400,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS,2795.5,1397.75,39.38,1806.27,98
CPT,11401,EXC TR-EXT B9+MARG 0.6-1 CM,1848.0,924.0,48.83,1036.92,37
CPT,11401,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM,10767.5,5383.75,48.83,1036.92,170
CPT,11402,EXC TR-EXT B9+MARG 1.1-2 CM,3231.0,1615.5,56.7,1806.27,37
CPT,11402,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM,4594.0,2297.0,56.7,1806.27,170
CPT,11403,EXC TR-EXT B9+MARG 2.1-3CM,3918.0,1959.0,68.25,1806.27,37
CPT,11403,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM,2828.12,1414.06,68.25,1806.27,146
CPT,11404,EXC TR-EXT B9+MARG 3.1-4 CM,4224.5,2112.25,84.53,4212.81,74
CPT,11404,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM,4836.0,2418.0,84.53,4212.81,122
CPT,11406,EXC TR-EXT B9+MARG >4.0 CM,4224.5,2112.25,25.0,4212.81,74
CPT,11406,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM,6358.08,3179.04,123.38,4212.81,98
CPT,11420,EXC H-F-NK-SP B9+MARG 0.5/<,4476.0,2238.0,42.0,4212.81,74
CPT,11420,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.5 CM OR LESS,5790.0,2895.0,42.0,4212.81,170
CPT,11421,EXC H-F-NK-SP B9+MARG 0.6-1,1809.0,904.5,44.63,1806.27,37
CPT,11421,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM,2274.56,1137.285,25.0,1806.27,292
CPT,11422,EXC H-F-NK-SP B9+MARG 1.1-2,4219.0,2109.5,39.38,4212.81,37
CPT,11422,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM,4698.0,2349.0,39.38,4212.81,170
CPT,11423,EXC H-F-NK-SP B9+MARG 2.1-3,4225.0,2112.5,37.8,4212.81,74
CPT,11423,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM,5533.5,2766.75,37.8,4212.81,98
CPT,11424,EXC H-F-NK-SP B9+MARG 3.1-4,4219.0,2109.5,90.83,4212.81,37
CPT,11424,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM,8438.0,4219.0,90.83,4212.81,146
CPT,11426,EXC H-F-NK-SP B9+MARG >4 CM,7420.0,3710.0,127.05,7409.19,37
CPT,11426,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM,7108.0,3554.0,127.05,7409.19,74
CPT,11440,EXC FACE-MM B9+MARG 0.5 CM/<,2055.0,1027.5,57.23,1806.27,37
CPT,11440,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS,2697.625,1348.815,57.23,1806.27,362
CPT,11441,EXC FACE-MM B9+MARG 0.6-1 CM,2375.0,1187.5,68.78,1806.27,37
CPT,11441,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM,6147.0,3073.5,68.78,1806.27,194
CPT,11442,EXC FACE-MM B9+MARG 1.1-2 CM,2664.0,1332.0,82.43,1806.27,37
CPT,11442,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM,2664.0,1332.0,82.43,1806.27,170
CPT,11443,EXC FACE-MM B9+MARG 2.1-3 CM,4225.0,2112.5,93.45,4212.81,74
CPT,11443,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM,6152.25,3076.13,93.45,4212.81,242
CPT,11444,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM,5871.5,2935.75,122.85,4212.81,98
CPT,11446,EXC FACE-MM B9+MARG >4 CM,7426.0,3713.0,124.43,7409.19,37
CPT,11446,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; MORE THAN 4.0 CM,15049.0,7524.5,124.43,7409.19,98
CPT,11450,EXC SKN HDRDNT AX SMPL/NTRM,7426.0,3713.0,192.4,7409.19,37
CPT,11450,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR,54771.665,27385.835,192.4,7409.19,61
CPT,11451,EXC SKN HDRDNT AX COMPLEX,7420.0,3710.0,205.8,7409.19,37
CPT,11451,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH COMPLEX REPAIR,21436.67,10718.34,1817.35,7409.19,24
CPT,11462,EXC SKN HDRDNT ING SMPL/NTRM,7426.0,3713.0,182.65,7409.19,37
CPT,11463,EXC SKN HDRDNT ING COMPLEX,7420.0,3710.0,205.8,7409.19,37
CPT,11463,REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH COMPLICATED REPAIR,13748.67,6874.34,205.8,7409.19,37
CPT,11470,EXC SKN H/P/P/U SMPL/NTRM,7426.0,3713.0,205.8,7409.19,37
CPT,11471,EXC SKN H/P/P/U COMPLEX,7420.0,3710.0,205.8,7409.19,37
CPT,11471,REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH COMPLICATED REPAIR,20623.0,10311.5,205.8,7409.19,37
CPT,11600,EXC TR-EXT MAL+MARG 0.5 CM/<,2297.0,1148.5,84.0,1806.27,37
CPT,11600,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS,2073.0,1036.5,84.0,1806.27,61
CPT,11601,EXC TR-EXT MAL+MARG 0.6-1 CM,3087.0,1543.5,103.95,1806.27,37
CPT,11601,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM,2142.5,1071.25,443.05,1806.27,48
CPT,11602,EXC TR-EXT MAL+MARG 1.1-2 CM,1849.0,924.5,85.05,1036.92,37
CPT,11602,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM,2720.0,1360.0,85.05,1036.92,242
CPT,11603,EXC TR-EXT MAL+MARG 2.1-3 CM,3256.0,1628.0,89.78,1806.27,37
CPT,11603,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM,4554.0,2277.0,89.78,1806.27,231
CPT,11604,EXC TR-EXT MAL+MARG 3.1-4 CM,3062.0,1531.0,131.78,1806.27,37
CPT,11604,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM,8238.665,4119.335,131.78,1806.27,146
CPT,11606,EXC TR-EXT MAL+MARG >4 CM,7631.0,3815.5,205.8,4212.81,37
CPT,11606,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM,7135.3099999999995,3567.6549999999997,205.8,4212.81,194
CPT,11620,EXC H-F-NK-SP MAL+MARG 0.5/<,4218.0,2109.0,96.08,4212.81,37
CPT,11620,REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.5 CM OR LESS,4588.0,2294.0,96.08,4212.81,37
CPT,11621,EXC S/N/H/F/G MAL+MRG 0.6-1,3125.0,1562.5,69.83,1806.27,37
CPT,11621,REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM,36875.0,18437.5,69.83,1806.27,37
CPT,11622,EXC S/N/H/F/G MAL+MRG 1.1-2,3062.0,1531.0,117.6,1806.27,37
CPT,11622,REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM,7477.0,3738.5,117.6,1806.27,122
CPT,11623,EXC S/N/H/F/G MAL+MRG 2.1-3,5508.0,2754.0,119.18,4212.81,37
CPT,11623,REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM,9642.0,4821.0,119.18,4212.81,122
CPT,11624,EXC S/N/H/F/G MAL+MRG 3.1-4,4231.0,2115.5,198.45,4212.81,37
CPT,11624,REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM,5733.625,2866.815,198.45,4212.81,98
CPT,11626,EXC S/N/H/F/G MAL+MRG >4 CM,9654.0,4827.0,205.8,7409.19,37
CPT,11626,REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM,12501.76,6250.88,205.8,7409.19,61
CPT,11640,EXC F/E/E/N/L MAL+MRG 0.5CM<,3363.0,1681.5,80.85,1806.27,37
CPT,11640,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS,2845.75,1422.88,80.85,1806.27,133
CPT,11641,EXC F/E/E/N/L MAL+MRG 0.6-1,2838.0,1419.0,97.65,1806.27,37
CPT,11641,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM,3731.25,1865.63,443.05,1806.27,96
CPT,11642,EXC F/E/E/N/L MAL+MRG 1.1-2,3627.0,1813.5,141.75,1806.27,37
CPT,11642,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM,5893.165,2946.585,141.75,1806.27,98
CPT,11643,EXC F/E/E/N/L MAL+MRG 2.1-3,6571.0,3285.5,200.72,4212.81,37
CPT,11643,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM,6825.5,3412.75,200.72,4212.81,194
CPT,11644,EXC F/E/E/N/L MAL+MRG 3.1-4,7432.0,3716.0,205.8,4212.81,37
CPT,11644,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM,7432.0,3716.0,205.8,4212.81,146
CPT,11646,EXC F/E/E/N/L MAL+MRG >4 CM,8083.0,4041.5,205.8,7409.19,37
CPT,11646,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; MORE THAN 4.0 CM,10294.67,5147.335,205.8,7409.19,74
CPT,11719,TRIM NAIL(S) ANY NUMBER,278.0,139.0,5.41,150.47,31
CPT,11719,TRIMMING OF FINGERNAILS OR TOENAILS,268.0,134.0,5.41,150.47,103
CPT,11720,DEBRIDE NAIL 1-5,247.0,123.5,11.07,150.47,37
CPT,11720,REMOVAL OF FINGERNAILS OR TOENAILS; 1-5 NAILS,229.0,114.5,11.07,150.47,109
CPT,11721,DEBRIDE NAIL 6 OR MORE,285.0,142.5,18.02,150.47,37
CPT,11721,REMOVAL OF FINGERNAILS OR TOENAILS; 6 OR MORE NAILS,229.0,114.5,18.02,150.47,157
CPT,11730,REMOVAL OF NAIL PLATE,770.0,385.0,25.0,511.77,37
CPT,11730,SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL,1447.83,723.915,25.0,511.77,469
CPT,11732,REMOVE NAIL PLATE ADD-ON,251.5,125.75,9.91,1500.0,70
CPT,11732,SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; EACH ADDITIONAL NAIL,624.8299999999999,312.41499999999996,9.91,40.39,192
CPT,11740,DRAIN BLOOD FROM UNDER NAIL,406.0,203.0,25.2,339.39,37
CPT,11740,REMOVAL OF BLOOD ACCUMULATION UNDER FINGERNAIL OR TOENAIL,378.0,189.0,25.0,339.39,205
CPT,11750,PERMANENT REMOVAL FINGERNAIL OR TOENAIL,3075.0,1537.5,25.0,1036.92,493
CPT,11750,REMOVAL OF NAIL BED,1519.0,759.5,105.0,1036.92,37
CPT,11755,BIOPSY OF FINGERNAIL OR TOENAIL,5102.0,2551.0,79.02,1806.27,229
CPT,11760,REPAIR OF FINGERNAIL OR TOENAIL BED,4402.0,2201.0,24.15,1885.18,399
CPT,11762,REPAIR OF FINGERNAIL OR TOENAIL BED WITH GRAFT,19545.0,9772.5,1290.9,5262.9,24
CPT,11765,EXCISION OF NAIL FOLD TOE,1906.0,953.0,25.0,1036.92,37
CPT,11765,REMOVAL OF SKIN OF FINGERNAIL OR TOENAIL,1493.0,746.5,25.0,1036.92,85
CPT,11770,REMOVE PILONIDAL CYST SIMPLE,7420.0,3710.0,159.04,7409.19,37
CPT,11770,SIMPLE REMOVAL OF CYST OF TAILBONE,7426.0,3713.0,25.0,7409.19,111
CPT,11771,EXTENSIVE REMOVAL OF CYST OF TAILBONE,7178.0,3589.0,205.8,7409.19,37
CPT,11771,REMOVE PILONIDAL CYST EXTEN,7420.0,3710.0,205.8,7409.19,37
CPT,11772,COMPLICATED REMOVAL OF CYST OF TAILBONE,5839.0,2919.5,205.8,7409.19,37
CPT,11772,REMOVE PILONIDAL CYST COMPL,7426.0,3713.0,205.8,7409.19,37
CPT,11900,INJECT SKIN LESIONS </W 7,513.0,256.5,105.0,511.77,31
CPT,11900,INJECTION INTO SKIN GROWTH; 1-7 GROWTHS,1737.25,868.625,105.0,511.77,302
CPT,11901,INJECT SKIN LESIONS >7,513.0,256.5,105.0,511.77,31
CPT,11901,INJECTION INTO SKIN GROWTH; MORE THAN 7 GROWTHS,514.0,257.0,105.0,511.77,55
CPT,11920,CORRECT SKIN COLOR 6.0 CM/<,1888.0,944.0,85.7,1885.18,31
CPT,11950,INJECTION OF FILLING MATERIAL UNDER SKIN; 1.0 CC OR LESS,586.0,293.0,39.64,511.77,55
CPT,11950,TX CONTOUR DEFECTS 1 CC/<,630.0,315.0,25.0,511.77,31
CPT,11951,TX CONTOUR DEFECTS 1.1-5.0CC,1888.0,944.0,55.07,1885.18,31
CPT,11952,INJECTION OF FILLING MATERIAL UNDER SKIN; 5.1-10.0 CC,1706.0,853.0,77.47,1885.18,31
CPT,11952,TX CONTOUR DEFECTS 5.1-10CC,1888.0,944.0,77.47,1885.18,31
CPT,11954,TX CONTOUR DEFECTS >10.0 CC,1888.0,944.0,85.44,1885.18,31
CPT,11960,INSERTION OF TISSUE EXPANDER,26783.0,13391.5,205.8,9039.15,37
CPT,11970,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,20216.67,10108.34,4539.89,18508.79,168
CPT,11970,RPLCMT TISS XPNDR PERM IMPLT,13800.0,6900.0,205.8,18508.79,37
CPT,11971,REMOVAL OF TISSUE EXPANDER,10962.755000000001,5481.38,1817.35,7409.19,48
CPT,11976,REMOVAL OF IMPLANTABLE CONTRACEPTIVE CAPSULES,2546.0,1273.0,32.03,1806.27,37
CPT,11980,IMPLANT HORMONE PELLET(S),1141.0,570.5,42.21,1139.47,31
CPT,11980,PLACEMENT OF HORMONE PELLET UNDER SKIN,1227.0,613.5,42.21,1139.47,31
CPT,11981,INSERTION DRUG DLVR IMPLANT,492.0,246.0,48.64,339.39,37
CPT,11981,INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE,4028.0,2014.0,48.64,339.39,122
CPT,11982,REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE,3080.165,1540.085,56.1,1139.47,98
CPT,11982,REMOVE DRUG IMPLANT DEVICE,1826.0,913.0,56.1,1139.47,37
CPT,11983,REMOVAL WITH REINSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE,2511.5,1255.75,79.53,1139.47,98
CPT,11983,REMOVE/INSERT DRUG IMPLANT,1141.0,570.5,79.53,1139.47,37
CPT,12001,RPR S/N/AX/GEN/TRNK 2.5CM/<,803.0,401.5,25.73,511.77,37
CPT,12001,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS,721.0,360.5,25.0,511.77,327
CPT,12002,RPR S/N/AX/GEN/TRNK2.6-7.5CM,926.0,463.0,25.0,511.77,37
CPT,12002,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM,3335.5,1667.75,25.0,511.77,242
CPT,12004,RPR S/N/AX/GEN/TRK7.6-12.5CM,879.0,439.5,50.93,511.77,37
CPT,12004,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM,816.0,408.0,25.0,511.77,37
CPT,12005,RPR S/N/A/GEN/TRK12.6-20.0CM,1616.0,808.0,96.6,1036.92,37
CPT,12005,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM,1228.0,614.0,25.0,1036.92,37
CPT,12006,RPR S/N/A/GEN/TRK20.1-30.0CM,1304.0,652.0,25.0,1036.92,37
CPT,12006,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM,1213.0,606.5,25.0,1036.92,37
CPT,12007,RPR S/N/AX/GEN/TRNK >30.0 CM,585.0,292.5,19.32,511.77,37
CPT,12007,SIMPLE REPAIR OF SURFACE WOUND TO SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; MORE THAN 30.0 CM,9227.0,4613.5,19.32,511.77,37
CPT,12011,RPR F/E/E/N/L/M 2.5 CM/<,790.0,395.0,25.0,511.77,37
CPT,12011,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS,790.0,395.0,25.0,511.77,205
CPT,12013,RPR F/E/E/N/L/M 2.6-5.0 CM,723.0,361.5,25.0,511.77,37
CPT,12013,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM,4069.4,2034.7,25.0,511.77,146
CPT,12014,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM,657.0,328.5,25.0,511.77,122
CPT,12015,RPR F/E/E/N/L/M 7.6-12.5 CM,812.0,406.0,25.0,511.77,37
CPT,12015,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM,586.0,293.0,25.0,511.77,37
CPT,12016,RPR FE/E/EN/L/M 12.6-20.0 CM,1269.0,634.5,25.0,1036.92,37
CPT,12016,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 12.6-20.0 CM,1083.0,541.5,25.0,1036.92,37
CPT,12017,RPR FE/E/EN/L/M 20.1-30.0 CM,1038.0,519.0,25.0,1036.92,37
CPT,12020,SIMPLE CLOSURE OF SURFACE WOUND REOPENING,8166.0,4083.0,98.7,1885.18,98
CPT,12020,TX SUPFC WND DEHSN SMPL CLSR,1888.0,944.0,25.0,1885.18,37
CPT,12021,TX SUPFC WND DEHSN W/PACKING,1213.0,606.5,25.0,1036.92,37
CPT,12031,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS,2971.455,1485.73,25.0,1036.92,279
CPT,12031,INTMD RPR S/A/T/EXT 2.5 CM/<,1174.0,587.0,25.0,1036.92,37
CPT,12032,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM,2717.415,1358.71,25.0,1036.92,375
CPT,12032,INTMD RPR S/A/T/EXT 2.6-7.5,1855.0,927.5,34.65,1036.92,37
CPT,12034,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM,7276.665,3638.335,25.0,1036.92,303
CPT,12035,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM,2722.41,1361.205,25.0,1036.92,255
CPT,12035,INTMD RPR S/A/T/EXT 12.6-20,1879.0,939.5,25.0,1036.92,37
CPT,12036,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM,4821.0,2410.5,96.6,1885.18,98
CPT,12036,INTMD RPR S/A/T/EXT 20.1-30,2107.0,1053.5,96.6,1885.18,37
CPT,12037,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; MORE THAN 30.0 CM,6936.0,3468.0,205.8,5262.9,36
CPT,12037,INTMD RPR S/TR/EXT >30.0 CM,7547.0,3773.5,205.8,5262.9,36
CPT,12041,INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.5 CM OR LESS,3537.66,1768.83,25.0,1036.92,218
CPT,12041,INTMD RPR N-HF/GENIT 2.5CM/<,1616.0,808.0,25.73,1036.92,37
CPT,12042,INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM,2069.08,1034.54,37.28,1036.92,314
CPT,12042,INTMD RPR N-HF/GENIT2.6-7.5,1548.0,774.0,37.28,1036.92,37
CPT,12044,INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 7.6-12.5 CM,4821.0,2410.5,25.0,1885.18,170
CPT,12044,INTMD RPR N-HF/GENIT7.6-12.5,1999.0,999.5,50.93,1885.18,37
CPT,12045,INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 12.6-20.0 CM,13188.33,6594.17,462.4,1885.18,24
CPT,12045,INTMD RPR N-HF/GENIT12.6-20,2798.0,1399.0,96.6,1885.18,37
CPT,12046,INTMD RPR N-HF/GENIT20.1-30,1877.5,938.75,25.0,1885.18,74
CPT,12051,INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS,1321.0,660.5,25.0,1036.92,327
CPT,12051,INTMD RPR FACE/MM 2.5 CM/<,1321.0,660.5,33.08,1036.92,37
CPT,12052,INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM,3890.62,1945.31,25.0,1036.92,266
CPT,12052,INTMD RPR FACE/MM 2.6-5.0 CM,1416.0,708.0,25.0,1036.92,37
CPT,12053,INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM,1940.08,970.04,25.0,1036.92,146
CPT,12053,INTMD RPR FACE/MM 5.1-7.5 CM,1304.0,652.0,49.88,1036.92,37
CPT,12054,INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM,5058.83,2529.415,25.0,1036.92,146
CPT,12054,INTMD RPR FACE/MM 7.6-12.5CM,1366.0,683.0,64.58,1036.92,37
CPT,12055,INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 12.6-20.0 CM,1213.0,606.5,96.6,1036.92,37
CPT,12055,INTMD RPR FACE/MM 12.6-20 CM,1906.0,953.0,25.0,1036.92,37
CPT,12056,INTMD RPR FACE/MM 20.1-30.0,1038.5,519.25,25.0,1036.92,74
CPT,13100,CMPLX RPR TRUNK 1.1-2.5 CM,1867.0,933.5,63.0,1885.18,37
CPT,13100,COMPLICATED REPAIR OF WOUND OF TRUNK; 1.1-2.5 CM,2006.0,1003.0,63.0,1885.18,61
CPT,13101,CMPLX RPR TRUNK 2.6-7.5 CM,3153.0,1576.5,25.0,1885.18,36
CPT,13101,COMPLICATED REPAIR OF WOUND OF TRUNK; 2.6-7.5 CM,3019.95,1509.975,205.8,1885.18,264
CPT,13102,CMPLX RPR TRUNK ADDL 5CM/<,1155.0,577.5,25.0,209.72,31
CPT,13102,COMPLICATED REPAIR OF WOUND OF TRUNK; EACH ADDITIONAL 5.0 CM OR LESS,3222.0,1611.0,39.65,209.72,182
CPT,13120,CMPLX RPR S/A/L 1.1-2.5 CM,1038.0,519.0,63.0,1036.92,37
CPT,13120,COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 1.1-2.5 CM,4083.0,2041.5,63.0,1036.92,146
CPT,13121,CMPLX RPR S/A/L 2.6-7.5 CM,2919.0,1459.5,205.8,1036.92,36
CPT,13121,COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 2.6-7.5 CM,3589.0,1794.5,25.0,1036.92,348
CPT,13122,CMPLX RPR S/A/L ADDL 5 CM/>,1417.0,708.5,44.84,209.72,31
CPT,13122,COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; EACH ADDITIONAL 5.0 CM OR LESS,4822.125,2411.065,25.0,209.72,165
CPT,13131,CMPLX RPR F/C/C/M/N/AX/G/H/F,2092.0,1046.0,74.55,1036.92,37
CPT,13131,COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 1.1-2.5 CM,2092.0,1046.0,25.0,1036.92,194
CPT,13132,CMPLX RPR F/C/C/M/N/AX/G/H/F,1518.0,759.0,205.8,1036.92,72
CPT,13132,COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 2.6-7.5 CM,7231.27,3615.6400000000003,25.0,1036.92,216
CPT,13133,CMPLX RPR F/C/C/M/N/AX/G/H/F,1000.0,500.0,67.11,273.61,31
CPT,13133,COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; EACH ADDITIONAL 5.0 CM OR LESS,4410.33,2205.17,25.0,273.61,110
CPT,13151,CMPLX RPR E/N/E/L 1.1-2.5 CM,2726.0,1363.0,25.0,1885.18,37
CPT,13151,COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 1.1-2.5 CM,3405.33,1702.665,25.0,1885.18,122
CPT,13152,CMPLX RPR E/N/E/L 2.6-7.5 CM,2097.0,1048.5,25.0,1885.18,72
CPT,13152,COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 2.6-7.5 CM,7515.995,3758.0,25.0,1885.18,192
CPT,13153,CMPLX RPR E/N/E/L ADDL 5CM/<,1155.0,577.5,75.14,306.34,31
CPT,13153,COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; EACH ADDITIONAL 5.0 CM OR LESS,1074.0,537.0,25.0,306.34,31
CPT,13160,EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING,9561.0,4780.5,205.8,9039.15,146
CPT,13160,SEC CLSR SURG WND/DEHSN XTN,9051.5,4525.75,25.0,9039.15,74
CPT,14000,REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS,5608.0,2804.0,1290.9,5262.9,24
CPT,14000,TIS TRNFR TRUNK 10 SQ CM/<,6198.0,3099.0,122.85,5262.9,37
CPT,14001,REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.1-30.0 SQ CM,8031.5,4015.75,205.8,5262.9,37
CPT,14001,TIS TRNFR TRUNK 10.1-30SQCM,5270.0,2635.0,205.8,5262.9,37
CPT,14020,REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS,11787.0,5893.5,157.5,5262.9,74
CPT,14020,TIS TRNFR S/A/L 10 SQ CM/<,5270.0,2635.0,157.5,5262.9,37
CPT,14021,REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM,11956.33,5978.17,205.8,5262.9,37
CPT,14021,TIS TRNFR S/A/L 10.1-30 SQCM,7976.0,3988.0,205.8,5262.9,37
CPT,14040,REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS,7020.0,3510.0,186.38,5262.9,146
CPT,14040,TIS TRNFR F/C/C/M/N/A/G/H/F,8489.0,4244.5,186.38,5262.9,37
CPT,14041,REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.1-30.0 SQ CM,23587.5,11793.75,205.8,5262.9,74
CPT,14041,TIS TRNFR F/C/C/M/N/A/G/H/F,7942.0,3971.0,205.8,5262.9,37
CPT,14060,REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS,5608.0,2804.0,205.8,5262.9,146
CPT,14060,TIS TRNFR E/N/E/L 10 SQ CM/<,6213.0,3106.5,205.8,5262.9,37
CPT,14061,REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM,10503.0,5251.5,205.8,5262.9,74
CPT,14061,TIS TRNFR E/N/E/L10.1-30SQCM,7537.0,3768.5,205.8,5262.9,37
CPT,14301,REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM,10569.0,5284.5,205.8,9039.15,96
CPT,14301,TIS TRNFR ANY 30.1-60 SQ CM,11362.0,5681.0,205.8,9039.15,36
CPT,14302,REPAIR OF WOUND BY TRANSFERRING SKIN; EACH ADDITIONAL 30.0 SQ CM,6932.5,3466.25,121.61,495.79,86
CPT,15002,PREPARATION OF SKIN GRAFT SITE OF TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,4244.58,2122.295,205.8,1885.18,60
CPT,15003,PREPARATION OF SKIN GRAFT SITE OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,2590.165,1295.085,26.86,209.72,55
CPT,15004,PREPARATION OF SKIN GRAFT SITE OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,8848.5,4424.25,205.8,1036.92,84
CPT,15004,WOUND PREP F/N/HF/G,1552.0,776.0,25.0,1500.0,72
CPT,15005,PREPARATION OF SKIN GRAFT SITE OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; O,3770.83,1885.42,52.73,214.99,31
CPT,15100,PARTIAL THICKNESS SELF SKIN GRAFT TO TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,9681.59,4840.8,205.8,5262.9,60
CPT,15101,PARTIAL THICKNESS SELF SKIN GRAFT OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,2590.165,1295.085,66.2,269.9,55
CPT,15120,PARTIAL THICKNESS SELF SKIN GRAFT TO FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,11685.0,5842.5,205.8,9039.15,84
CPT,15120,SPLT AGRFT F/S/N/H/F/G/M 1ST,9052.0,4526.0,205.8,9039.15,36
CPT,15121,PARTIAL THICKNESS SELF SKIN GRAFT OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN,6363.16,3181.58,78.03,318.11,31
CPT,15135,DEEP LAYER SELF SKIN GRAFT OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA OF INFANTS AND CHILDREN; OR LESS,6977.0,3488.5,205.8,9039.15,36
CPT,15200,FTH/GFT FR TRNK 20 SQ CM/<,5270.0,2635.0,205.8,5262.9,36
CPT,15200,FULL THICKNESS SKIN GRAFT TO TRUNK; 20.0 SQ CM OR LESS,28515.5,14257.75,205.8,5262.9,60
CPT,15201,FTH/GFT FR TRNK EACH ADDL,2662.0,1331.0,43.08,209.72,31
CPT,15220,FTH/GFT FR S/A/L 20 SQ CM/<,7033.0,3516.5,205.8,5262.9,36
CPT,15220,FULL THICKNESS SKIN GRAFT TO SCALP; ARMS; OR LEGS; 20.0 SQ CM OR LESS,6635.8099999999995,3317.9049999999997,205.8,5262.9,72
CPT,15221,FTH/GFT FR S/A/L EACH ADDL,2616.0,1308.0,38.38,209.72,31
CPT,15221,FULL THICKNESS SKIN GRAFT TO SCALP; ARMS; OR LEGS; EACH ADDITIONAL 20.0 SQ CM,6028.3099999999995,3014.1549999999997,38.38,209.72,62
CPT,15240,FTH/GFT F/C/C/M/N/AX/G/H/F20,5788.0,2894.0,25.0,5262.9,72
CPT,15240,FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 20.0 SQ CM OR LESS,8365.29,4182.65,205.8,5262.9,168
CPT,15241,FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; EACH ADDITIONAL 20.0 SQ CM,3890.62,1945.31,59.25,241.55,31
CPT,15260,FTH/GFT FR N/E/E/L 20 SQCM/<,6029.0,3014.5,205.8,5262.9,36
CPT,15260,FULL THICKNESS SKIN GRAFT TO NOSE; EARS; EYELIDS; OR LIPS; 20.0 SQ CM OR LESS,5608.0,2804.0,205.8,5262.9,144
CPT,15261,FTH/GFT FR N/E/E/L EACH ADDL,3271.0,1635.5,73.41,299.29,28
CPT,15261,FULL THICKNESS SKIN GRAFT TO NOSE; EARS; EYELIDS; OR LIPS; EACH ADDITIONAL 20.0 SQ CM,2406.6,1203.3,73.41,299.29,31
CPT,15271,APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS,3531.0,1765.5,205.8,1885.18,120
CPT,15272,APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 25.0 SQ CM OF WOUND 100.0 SQ CM OR LESS,1940.0,970.0,9.82,1500.0,86
CPT,15272,SKIN SUB GRAFT T/A/L ADD-ON,1879.0,939.5,9.82,40.04,31
CPT,15273,SKIN SUB GRFT T/ARM/LG CHILD,5836.0,2918.0,205.8,5262.9,36
CPT,15273,SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,8997.5,4498.75,205.8,5262.9,36
CPT,15274,SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,8997.5,4498.75,26.37,107.51,31
CPT,15274,SKN SUB GRFT T/A/L CHILD ADD,3210.0,1605.0,26.37,107.51,31
CPT,15275,APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS,4905.5,2452.755,205.8,1885.18,168
CPT,15276,APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; EACH ADDITIONAL 25.0 SQ CM OF WOUND 100.0 SQ CM OR LESS,4424.25,2212.13,14.7,59.94,31
CPT,15276,SKIN SUB GRAFT F/N/HF/G ADDL,1879.0,939.5,19.05,1500.0,31
CPT,15277,SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDRE,9145.0,4572.5,205.8,5262.9,36
CPT,15277,SKN SUB GRFT F/N/HF/G CHILD,3182.0,1591.0,205.8,5262.9,36
CPT,15278,SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INF,9145.0,4572.5,32.77,133.61,31
CPT,15278,SKN SUB GRFT F/N/HF/G CH ADD,1676.0,838.0,32.77,133.61,31
CPT,15574,CREATION OF FLAP GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET,5078.75,2539.38,205.8,5262.9,36
CPT,15576,CREATION OF FLAP GRAFT TO EYELIDS; NOSE; EARS; LIPS; OR MOUTH,8014.16,4007.08,205.8,5262.9,36
CPT,15576,PEDICLE E/N/E/L/NTRORAL,5296.5,2648.25,205.8,5262.9,72
CPT,15620,TRANSFER OF SKIN FLAP TO FOREHEAD; CHEEKS; CHIN; NECK; UNDERARMS; GENITALS; HANDS; OR FEET,7903.625,3951.815,205.8,5262.9,61
CPT,15630,DELAY FLAP EYE/NOS/EAR/LIP,5903.5,2951.75,205.8,5262.9,74
CPT,15630,TRANSFER OF SKIN FLAP TO EYELIDS; NOSE; EARS; OR LIPS,12244.5,6122.25,205.8,5262.9,61
CPT,15730,CREATION OF FLAP GRAFT TO MIDFACE,18483.0,9241.5,205.8,9039.15,72
CPT,15730,MDFC FLAP W/PRSRV VASC PEDCL,9052.0,4526.0,205.8,9039.15,36
CPT,15731,CREATION OF FLAP GRAFT TO NOSE; FOREHEAD; TEMPLE; OR SCALP,7918.625,3959.315,205.8,9039.15,60
CPT,15733,CREATION OF FLAP GRAFT TO HEAD AND/OR NECK,11581.5,5790.75,205.8,9039.15,60
CPT,15734,CREATION OF MUSCLE GRAFT TO TRUNK,23028.495000000003,11514.25,205.8,9039.15,156
CPT,15736,CREATION OF MUSCLE GRAFT TO ARM,11249.515,5624.76,205.8,5262.9,60
CPT,15738,CREATION OF MUSCLE GRAFT TO LEG,12685.0,6342.5,205.8,9039.15,36
CPT,15740,CREATION OF SKIN AND TISSUE GRAFT,7218.25,3609.125,205.8,5262.9,61
CPT,15740,ISLAND PEDICLE FLAP GRAFT,5270.0,2635.0,205.8,5262.9,37
CPT,15750,CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT,25276.0,12638.0,67.2,9039.15,37
CPT,15756,MUSCLE GRAFT WITH REPAIR OF SMALL BLOOD VESSEL,20268.52,10134.26,205.8,5228.77,31
CPT,15757,SKIN GRAFT WITH REPAIR OF SMALL BLOOD VESSEL,30479.0,15239.5,205.8,5184.43,31
CPT,15760,COMPOSITE SKIN GRAFT,5692.0,2846.0,205.8,5262.9,37
CPT,15769,GRFG AUTOL SOFT TISS DIR EXC,9150.0,4575.0,205.8,9039.15,37
CPT,15769,SELF SOFT TISSUE GRAFT,9935.494999999999,4967.75,205.8,9039.15,109
CPT,15770,CREATION OF SKIN; FAT AND MUSCLE GRAFT,4930.5,2465.25,100.8,9039.15,37
CPT,15771,GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; 50.0 CC OR LESS,6734.25,3367.13,205.8,9039.15,180
CPT,15772,GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; EACH ADDITIONAL 50.0 CC,6258.33,3129.17,83.75,341.43,127
CPT,15773,GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO FACE; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; OR FEET; 25.0 CC OR LESS,13411.165,6705.585,376.77,5262.9,60
CPT,15773,GRFG AUTOL FAT LIPO 25 CC/<,4916.0,2458.0,376.77,5262.9,36
CPT,15777,IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE,7202.875,3601.44,121.31,494.57,151
CPT,15780,DERMABRASION TOTAL FACE,7420.0,3710.0,487.43,7409.19,31
CPT,15781,DERMABRASION OF SKIN OF PART OF FACE,5819.0,2909.5,307.8,1806.27,31
CPT,15781,DERMABRASION SEGMENTAL FACE,2209.0,1104.5,307.8,1806.27,31
CPT,15782,DERMABRASION OTHER THAN FACE,7420.0,3710.0,271.26,7409.19,31
CPT,15783,DERMABRASION SUPRFL ANY SITE,1039.0,519.5,254.34,1036.92,31
CPT,15788,CHEMICAL PEEL FACIAL EPIDRM,1039.0,519.5,156.47,1036.92,31
CPT,15789,CHEMICAL PEEL FACIAL DERMAL,1888.0,944.0,301.88,1885.18,31
CPT,15792,CHEM PEEL NONFACIAL EPIDRM,1888.0,944.0,151.06,1885.18,31
CPT,15820,BLEPHAROPLASTY LOWER EYELID,4916.0,2458.0,25.0,5262.9,36
CPT,15820,REPAIR OF LOWER EYELID DEFECT,2895.12,1447.56,1936.36,7894.38,24
CPT,15821,REMOVAL OF EXCESSIVE SKIN OF LOWER EYELID AND FAT AROUND EYE,8765.0,4382.5,1936.36,7894.38,24
CPT,15822,BLEPHAROPLASTY UPPER EYELID,6174.0,3087.0,287.72,5262.9,36
CPT,15822,REMOVAL OF EXCESSIVE SKIN OF UPPER EYELID,4040.58,2020.29,1936.36,7894.38,48
CPT,15823,BLEPHARP UPR EYELID XCSV SKN,8106.0,4053.0,205.8,5262.9,36
CPT,15823,REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID,2691.745,1345.875,205.8,7894.38,324
CPT,15830,REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,32302.5,16151.25,205.8,16937.42,84
CPT,15833,EXC EXCESSIVE SKIN LEG,8294.0,4147.0,659.6,7409.19,31
CPT,15836,REMOVAL OF EXTRA SKIN AND TISSUE OF ARM,35357.75,17678.875,599.12,7409.19,55
CPT,15839,EXC EXCESSIVE SKN OTHER AREA,8362.0,4181.0,558.46,7409.19,31
CPT,15839,REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA,23010.0,11505.0,558.46,7409.19,79
CPT,15840,TISSUE GRAFT TO TREAT FACIAL PARALYSIS,9739.0,4869.5,135.03,9039.15,37
CPT,15845,MUSCLE TRANSFER TO TREAT FACIAL PARALYSIS,15927.25,7963.625,137.76,9039.15,61
CPT,15847,EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,27333.0,13666.5,,,0
CPT,15851,REMOVAL OF SUTURES UNDER ANESTHESIA BY OTHER SURGEON,4074.0,2037.0,205.8,5262.9,62
CPT,15851,REMOVAL SUTR/STAPLE REQ ANES,5270.0,2635.0,25.0,5262.9,31
CPT,15852,DRESSING CHANGE NOT FOR BURN,1888.0,944.0,205.8,1885.18,36
CPT,15852,DRESSING CHANGE UNDER ANESTHESIA,1706.0,853.0,205.8,1885.18,36
CPT,15853,REMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),560.0,280.0,7.47,25.0,16
CPT,15853,REMOVAL SUTR/STAPL XREQ ANES,601.0,300.5,7.47,25.0,9
CPT,15854,REMOVAL SUTR&STAPL XREQ ANES,601.0,300.5,9.52,1500.0,8
CPT,15860,INJECTION OF AGENT INTO VEIN TO ASSESS BLOOD FLOW OF SKIN GRAFT OR FLAP,7286.5,3643.25,82.35,1139.47,31
CPT,15877,SUCTION ASSISTED REMOVAL OF FAT OF BODY,3999.66,1999.83,2217.15,9039.15,24
CPT,15879,SUCTION ASSISTED REMOVAL OF FAT OF LEG,25243.0,12621.5,2217.15,9039.15,48
CPT,16000,FIRST DEGREE BURN TREATMENT,600.0,300.0,18.9,511.77,37
CPT,16020,DRESS/DEBRID P-THICK BURN S,686.0,343.0,21.0,511.77,37
CPT,16020,DRESSING CHANGE OR REMOVAL OF BURN TISSUE; LESS THAN 5% OF TOTAL BODY SURFACE,638.0,319.0,21.0,511.77,37
CPT,16025,DRESS/DEBRID P-THICK BURN M,781.0,390.5,105.58,511.77,37
CPT,16025,DRESSING CHANGE OR REMOVAL OF BURN TISSUE; 5-10% OF TOTAL BODY SURFACE,638.0,319.0,25.0,511.77,37
CPT,16030,DRESS/DEBRID P-THICK BURN L,1070.0,535.0,120.83,1036.92,37
CPT,16030,DRESSING CHANGE OR REMOVAL OF BURN TISSUE; MORE THAN 10% OF TOTAL BODY SURFACE,1191.0,595.5,25.0,1036.92,37
CPT,17000,DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH,563.5,281.75,21.0,511.77,314
CPT,17003,DESTRUCT PREMALG LES 2-14,93.0,46.5,1.06,209.72,37
CPT,17003,DESTRUCTION OF PRECANCER SKIN GROWTH; 2-14 GROWTHS,308.0,154.0,1.06,209.72,242
CPT,17004,DESTROY PREMAL LESIONS 15/>,1039.0,519.5,122.21,1036.92,37
CPT,17004,DESTRUCTION OF PRECANCER SKIN GROWTH; 15 OR MORE GROWTHS,1417.0,708.5,122.21,1036.92,109
CPT,17106,DESTRUCTION OF BIRTHMARK; LESS THAN 10.0 SQ CM,1417.0,708.5,51.45,1036.92,122
CPT,17106,DESTRUCTION OF SKIN LESIONS,1038.0,519.0,51.45,1036.92,37
CPT,17107,DESTRUCTION OF BIRTHMARK; 10.0-50.0 SQ CM,3724.835,1862.42,51.45,1885.18,98
CPT,17107,DESTRUCTION OF SKIN LESIONS,1888.0,944.0,51.45,1885.18,37
CPT,17108,DESTRUCTION OF BIRTHMARK; MORE THAN 50.0 SQ CM,8750.0,4375.0,55.65,5262.9,98
CPT,17108,DESTRUCTION OF SKIN LESIONS,5344.0,2672.0,55.65,5262.9,37
CPT,17110,DESTRUCT B9 LESION 1-14,513.0,256.5,25.0,511.77,37
CPT,17110,DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS,3389.0,1694.5,51.45,511.77,314
CPT,17111,DESTRUCT LESION 15 OR MORE,513.0,256.5,53.94,511.77,37
CPT,17111,DESTRUCTION OF SKIN GROWTH; 15 OR MORE GROWTHS,2153.83,1076.92,53.94,511.77,146
CPT,17250,APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND,1877.125,938.565,25.0,1500.0,170
CPT,17250,CHEM CAUT OF GRANLTJ TISSUE,770.0,385.0,25.0,511.77,37
CPT,17260,DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK; ARMS; OR LEGS; 0.5 CM OR LESS,1077.0,538.5,54.01,511.77,61
CPT,17260,DSTRJ MAL LES T/A/L 0.5 CM/<,759.0,379.5,54.01,511.77,37
CPT,17261,DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK; ARMS; OR LEGS; 0.6-1.0 CM,439.0,219.5,69.05,511.77,85
CPT,17261,DSTRJ MAL LES T/A/L .6-1.0CM,513.0,256.5,69.05,511.77,37
CPT,17262,DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK; ARMS; OR LEGS; 1.1-2.0 CM,514.0,257.0,89.25,511.77,109
CPT,17262,DSTRJ MAL LES T/A/L 1.1-2.0,513.0,256.5,89.25,511.77,37
CPT,17263,DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK; ARMS; OR LEGS; 2.1-3.0 CM,880.5,440.25,103.95,511.77,109
CPT,17264,DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK; ARMS; OR LEGS; 3.1-4.0 CM,1083.0,541.5,254.34,1036.92,24
CPT,17264,DSTRJ MAL LES T/A/L 3.1-4.0,1039.0,519.5,116.09,1036.92,37
CPT,17266,DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK; ARMS; OR LEGS; MORE THAN 4.0 CM,1213.0,606.5,254.34,1036.92,24
CPT,17266,DSTRJ MAL LES T/A/L >4.0 CM,1851.0,925.5,135.04,1036.92,37
CPT,17270,DSTR MAL LES S/N/H/F/G .5 /<,514.0,257.0,59.96,511.77,37
CPT,17271,DESTRUCTION OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM,587.0,293.5,125.53,511.77,24
CPT,17271,DSTR MAL LES S/N/H/F/G 0.6-1,587.0,293.5,69.83,511.77,37
CPT,17272,DESTRUCTION OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM,958.5,479.25,107.37,511.77,85
CPT,17273,DSTR MAL LES S/N/H/F/G 2.1-3,1041.0,520.5,119.18,1036.92,37
CPT,17274,DSTR MAL LES S/N/H/F/G 3.1-4,1301.0,650.5,151.7,1036.92,37
CPT,17276,DSTR MAL LES S/N/H/F/G >4.0,1039.0,519.5,184.12,1036.92,37
CPT,17281,DSTR MAL LS F/E/E/N/L/M .6-1,1010.0,505.0,97.65,511.77,37
CPT,17282,DSTR MAL LS F/E/E/N/L/M1.1-2,1002.0,501.0,123.26,511.77,37
CPT,17283,DSTR MAL LS F/E/E/N/L/M2.1-3,1038.0,519.0,155.05,1036.92,37
CPT,17284,DSTR MAL LS F/E/E/N/L/M3.1-4,1888.0,944.0,186.09,1885.18,37
CPT,17311,MOHS 1 STAGE H/N/HF/G,2029.0,1014.5,205.8,1885.18,37
CPT,17311,REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD; NECK; HANDS; FEET; OR GENITALS; 1-5 TISSUE BLOCKS,2029.0,1014.5,205.8,1885.18,133
CPT,17312,MOHS ADDL STAGE,2029.0,1014.5,99.59,406.03,37
CPT,17312,REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD; NECK; HANDS; FEET; OR GENITALS; EACH ADDITIONAL STAGE; 1-5 TISSUE BLOCKS,1887.0,943.5,99.59,406.03,37
CPT,17313,MOHS 1 STAGE T/A/L,1888.0,944.0,205.8,1885.18,37
CPT,17313,REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK; ARMS; OR LEGS; 1-5 TISSUE BLOCKS,1887.0,943.5,205.8,1885.18,61
CPT,17314,MOHS ADDL STAGE T/A/L,2029.0,1014.5,90.88,370.5,37
CPT,17314,REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL STAGE; 1-5 TISSUE BLOCKS,1887.0,943.5,90.88,370.5,37
CPT,17315,MOHS SURG ADDL BLOCK,368.0,184.0,25.91,107.0,37
CPT,17315,REMOVAL AND MICROSCOPIC EXAM OF GROWTH; EACH ADDITIONAL BLOCK AFTER 5 TISSUE BLOCKS,1026.0,513.0,25.91,107.0,37
CPT,17380,ELECTROLYSIS EPILATION EA 30,1888.0,944.0,462.4,1885.18,24
CPT,17380,HAIR REMOVAL BY ELECTROLYSIS; EACH 30 MINUTES,1887.0,943.5,462.4,1885.18,48
CPT,17999,OTHER PROCEDURE ON SKIN; MUCOUS MEMBRANE; AND TISSUE,6823.0,3411.5,125.53,511.77,86
CPT,17999,UNLISTD PX SKN MUC MEMB SUBQ,770.0,385.0,25.0,511.77,31
CPT,19000,ASPIRATION OF CYST OF BREAST; FIRST CYST,2546.0,1273.0,38.33,1806.27,85
CPT,19000,PUNCTURE ASPIR CYST BREAST,2737.0,1368.5,25.0,1806.27,37
CPT,19001,ASPIRATION OF CYST OF BREAST; EACH ADDITIONAL CYST,1925.0,962.5,11.97,48.79,72
CPT,19001,PUNCTURE ASPIR CYST BRST EA,1369.0,684.5,18.41,107.0,37
CPT,19020,DRAINAGE OF ABSCESS OF BREAST,10557.915,5278.96,1033.33,4212.81,48
CPT,19020,MASTOTOMY EXPL DRG ABSC DP,5370.0,2685.0,76.65,4212.81,37
CPT,19030,NJX PX ONLY MAM DUCTO/GLCTO,177.0,88.5,42.29,172.41,37
CPT,19081,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH,4258.0,2129.0,155.72,4212.81,133
CPT,19081,BX BREAST 1ST LESION STRTCTC,5186.0,2593.0,155.72,4212.81,37
CPT,19082,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; EACH ADDITIONAL GROWTH,2213.5,1106.75,45.9,187.12,133
CPT,19082,BX BREAST ADD LESION STRTCTC,2299.0,1149.5,45.9,187.12,37
CPT,19083,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH,7888.0,3944.0,145.83,7409.19,205
CPT,19083,BX BREAST 1ST LESION US IMAG,3988.5,1994.25,145.83,4212.81,74
CPT,19084,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; EACH ADDITIONAL GROWTH,2901.0,1450.5,43.04,175.46,181
CPT,19084,BX BREAST ADD LESION US IMAG,2901.0,1450.5,43.04,175.46,37
CPT,19085,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI; FIRST GROWTH,7491.0,3745.5,516.67,7409.19,120
CPT,19085,BX BREAST 1ST LESION MR IMAG,5369.0,2684.5,170.21,4212.81,37
CPT,19086,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI; EACH ADDITIONAL GROWTH,2592.0,1296.0,49.74,202.8,72
CPT,19086,BX BREAST ADD LESION MR IMAG,2686.0,1343.0,49.74,202.8,37
CPT,19100,BX BREAST PERCUT W/O IMAGE,5369.0,2684.5,64.31,4212.81,37
CPT,19100,NEEDLE BIOPSY OF BREAST,5875.0,2937.5,1033.33,4212.81,24
CPT,19101,BIOPSY OF BREAST OPEN,10237.0,5118.5,153.3,9987.29,74
CPT,19101,BIOPSY OF BREAST THROUGH INCISION,5502.58,2751.295,2449.71,9987.29,48
CPT,19110,EXPLORATION OF BREAST NIPPLE,10811.0,5405.5,2449.71,9987.29,24
CPT,19120,REMOVAL OF BREAST LESION,10534.0,5267.0,181.65,9987.29,37
CPT,19120,REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE,9068.0,4534.0,181.65,9987.29,181
CPT,19125,REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; FIRST GROWTH,12461.0,6230.5,2449.71,9987.29,168
CPT,19126,REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; EACH ADDITIONAL GROWTH,5362.0,2681.0,98.36,401.0,48
CPT,19281,PERQ DEVICE BREAST 1ST IMAG,6577.0,3288.5,86.72,4212.81,37
CPT,19281,PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE; FIRST GROWTH,6577.0,3288.5,1033.33,4212.81,216
CPT,19282,PERQ DEVICE BREAST EA IMAG,3205.0,1602.5,27.16,110.72,37
CPT,19282,PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE; EACH ADDITIONAL GROWTH,3057.0,1528.5,27.16,110.72,48
CPT,19283,PERQ DEV BREAST 1ST STRTCTC,6577.0,3288.5,87.55,1806.27,37
CPT,19284,PERQ DEV BREAST ADD STRTCTC,3287.0,1643.5,28.09,114.51,37
CPT,19285,PERQ DEV BREAST 1ST US IMAG,2607.0,1303.5,74.25,1806.27,37
CPT,19285,PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE; FIRST GROWTH,2607.0,1303.5,74.25,1806.27,349
CPT,19286,PERQ DEV BREAST ADD US IMAG,2115.0,1057.5,23.84,97.18,37
CPT,19286,PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE; EACH ADDITIONAL GROWTH,3440.875,1720.44,23.84,97.18,144
CPT,19287,PERQ DEV BREAST 1ST MR GUIDE,2375.0,1187.5,121.36,1806.27,37
CPT,19294,PREPJ TUM CAV IORT PRTL MAST,211.0,105.5,101.19,412.53,31
CPT,19300,REMOVAL OF EXTRA BREAST TISSUE IN MALE,22933.0,11466.5,2449.71,9987.29,48
CPT,19301,PARTIAL MASTECTOMY,10001.0,5000.5,205.8,9987.29,36
CPT,19301,PARTIAL REMOVAL OF BREAST,12594.25,6297.125,205.8,16937.42,300
CPT,19302,PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES,38546.67,19273.34,4154.46,16937.42,72
CPT,19303,SIMPLE COMPLETE REMOVAL OF BREAST,28467.52,14233.76,205.8,16937.42,132
CPT,19307,REMOVAL OF BREAST AND UNDERARM LYMPH NODES,32331.34,16165.67,205.8,16937.42,84
CPT,19316,REPAIR FOR SAGGING OF THE BREAST,10981.0,5490.5,4154.46,16937.42,120
CPT,19318,BREAST REDUCTION,20545.915,10272.96,4154.46,16937.42,192
CPT,19325,INSERTION OF BREAST IMPLANT,24094.5,12047.25,5113.73,20848.27,24
CPT,19328,REMOVAL OF INTACT BREAST IMPLANT,11259.0,5629.5,2449.71,9987.29,48
CPT,19330,REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL,7808.25,3904.13,2449.71,9987.29,72
CPT,19340,PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION,16475.1,8237.555,205.8,35151.75,108
CPT,19342,PLACEMENT OF IMPLANT ON SEPARATE DAY OF BREAST RECONSTRUCTION,21701.0,10850.5,205.8,20848.27,132
CPT,19350,NIPPLE/AREOLA RECONSTRUCTION,10123.0,5061.5,205.8,9987.29,36
CPT,19350,RECONSTRUCTION OF NIPPLE OR AREA AROUND NIPPLE,10350.0,5175.0,205.8,9987.29,84
CPT,19357,RECONSTRUCTION OF BREAST USING TISSUE EXPANDER,15078.67,7539.34,205.8,35151.75,180
CPT,19357,TISS XPNDR PLMT BRST RCNSTJ,21169.0,10584.5,205.8,35151.75,36
CPT,19370,REVISION OF CAPSULE AROUND BREAST IMPLANT,12161.66,6080.83,2449.71,16937.42,120
CPT,19371,REMOVAL OF CAPSULE AROUND BREAST IMPLANT,11289.0,5644.5,2449.71,9987.29,168
CPT,19380,SURGICAL CHANGE TO RECONSTRUCTED BREAST,13083.5,6541.75,205.8,16937.42,180
CPT,19499,UNLISTED PROCEDURE BREAST,4001.0,2000.5,2449.71,9987.29,24
CPT,20101,EXPL PENTRG WOUND CHEST,5325.0,2662.5,205.8,5262.9,36
CPT,20102,EXPL PENTRG WND ABD/FLNK/BK,6029.0,3014.5,25.0,5262.9,36
CPT,20102,EXPLORATION OF WOUND OF ABDOMEN; BACK; OR FLANK,2870.33,1435.17,1290.9,5262.9,24
CPT,20103,EXPL PENTRG WOUND EXTREMITY,4729.0,2364.5,25.0,4212.81,72
CPT,20103,EXPLORATION OF WOUND OF ARM OR LEG,10361.0,5180.5,25.0,4212.81,120
CPT,20200,BIOPSY OF MUSCLE,6090.5,3045.25,85.05,4212.81,61
CPT,20205,DEEP BIOPSY OF MUSCLE,7388.0,3694.0,104.48,7409.19,61
CPT,20205,DEEP MUSCLE BIOPSY,7420.0,3710.0,104.48,7409.19,37
CPT,20206,BIOPSY MUSCLE PERQ NEEDLE,5239.0,2619.5,59.21,4212.81,37
CPT,20206,NEEDLE BIOPSY OF MUSCLE,5056.0,2528.0,59.21,4212.81,181
CPT,20220,BIOPSY OF BONE USING NEEDLE OR TROCAR,4007.0,2003.5,66.15,4212.81,85
CPT,20220,BONE BIOPSY TROCAR/NDL SUPFC,4152.0,2076.0,66.15,4212.81,37
CPT,20225,BONE BIOPSY TROCAR/NDL DEEP,5371.0,2685.5,102.9,4212.81,37
CPT,20225,DEEP BIOPSY OF BONE USING NEEDLE OR TROCAR,5183.5,2591.75,102.9,4212.81,109
CPT,20240,BIOPSY OF SURFACE BONE,11075.0,5537.5,99.75,7409.19,37
CPT,20240,BONE BIOPSY OPEN SUPERFICIAL,7420.0,3710.0,99.75,7409.19,37
CPT,20500,INJECTION OF SINUS TRACT,3981.0,1990.5,36.75,3957.72,37
CPT,20501,INJECT SINUS TRACT FOR X-RAY,2235.0,1117.5,20.51,107.0,37
CPT,20501,INJECTION OF ABNORMAL MUSCLE DRAINAGE TRACT FOR X-RAY STUDY,2079.0,1039.5,20.51,107.0,37
CPT,20520,REMOVAL OF FOREIGN BODY,5239.0,2619.5,25.0,4212.81,37
CPT,20520,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON,10121.0,5060.5,65.63,4212.81,122
CPT,20525,COMPLICATED REMOVAL OF FOREIGN BODY IN DEEP MUSCLE OR TENDON,7716.0,3858.0,1817.35,7409.19,48
CPT,20525,REMOVAL OF FOREIGN BODY,7826.0,3913.0,126.0,7409.19,37
CPT,20526,INJECTION OF CARPAL TUNNEL,1568.0,784.0,43.24,1174.45,637
CPT,20526,THER INJECTION CARP TUNNEL,784.0,392.0,43.24,782.97,37
CPT,20527,INJ DUPUYTREN CORD W/ENZYME,784.0,392.0,49.08,782.97,37
CPT,20550,INJ TENDON SHEATH/LIGAMENT,1009.0,504.5,33.6,782.97,37
CPT,20550,INJECTION INTO TENDON OR LIGAMENT,1876.0,938.0,33.6,1174.45,1621
CPT,20551,INJ TENDON ORIGIN/INSERTION,784.0,392.0,40.7,782.97,37
CPT,20551,INJECTION INTO TENDON AT ATTACHMENT TO BONE OR MUSCLE,794.5,397.25,40.7,782.97,421
CPT,20552,INJ TRIGGER POINT 1/2 MUSCL,1315.0,657.5,32.61,782.97,37
CPT,20552,INJECTION OF TRIGGER POINTS; 1-2 MUSCLES,1315.0,657.5,25.0,782.97,578
CPT,20553,INJECT TRIGGER POINTS 3/>,1118.0,559.0,36.19,782.97,37
CPT,20553,INJECTION OF TRIGGER POINTS; 3 OR MORE MUSCLES,1118.0,559.0,36.19,782.97,397
CPT,20560,INSERTION OF NEEDLE; 1-2 MUSCLES,118.0,59.0,7.24,73.78,103
CPT,20561,INSERTION OF NEEDLE; 3 MUSCLES OR MORE,140.0,70.0,18.1,73.78,24
CPT,20561,NDL INSJ W/O NJX 3+ MUSC,140.0,70.0,17.24,73.78,31
CPT,20600,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT,1559.5,779.75,18.9,1174.45,1165
CPT,20600,DRAIN/INJ JOINT/BURSA W/O US,1091.0,545.5,18.9,782.97,37
CPT,20604,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE,1060.0,530.0,38.9,1174.45,541
CPT,20604,DRAIN/INJ JOINT/BURSA W/US,1028.0,514.0,38.9,782.97,74
CPT,20605,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT,2355.25,1177.625,22.58,1174.45,613
CPT,20605,DRAIN/INJ JOINT/BURSA W/O US,1150.0,575.0,22.58,782.97,37
CPT,20606,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE,3139.0,1569.5,44.47,2700.77,253
CPT,20606,DRAIN/INJ JOINT/BURSA W/US,3139.0,1569.5,25.0,1800.52,37
CPT,20610,ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT,2138.0,1069.0,24.68,1500.0,1023
CPT,20611,ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE,2536.0,1268.0,25.0,1174.45,445
CPT,20611,DRAIN/INJ JOINT/BURSA W/US,1314.0,657.0,52.31,782.97,37
CPT,20612,ASPIRATE/INJ GANGLION CYST,998.0,499.0,25.0,782.97,37
CPT,20612,ASPIRATION AND/OR INJECTION OF CYST OF TENDON,998.0,499.0,31.14,782.97,133
CPT,20615,ASPIRATION AND INJECTION OF CYST OF BONE,4780.0,2390.0,148.26,1806.27,37
CPT,20615,TREATMENT OF BONE CYST,1809.0,904.5,148.26,1806.27,37
CPT,20650,INSERT AND REMOVE BONE PIN,10398.0,5199.0,25.0,8346.04,37
CPT,20650,INSERTION OF WIRE OR PIN TO BONE FOR TRACTION,8594.02,4297.01,105.0,8346.04,37
CPT,20660,PLACEMENT OF DEVICE TO SKULL,2152.0,1076.0,205.8,4101.59,31
CPT,20661,PLACEMENT OF STABILIZING DEVICE TO SKULL,3916.0,1958.0,205.8,4101.59,31
CPT,20664,APPLICATION OF CRANIAL HALO (STABILIZATION DEVICE FOR SKULL),13996.0,6998.0,205.8,4101.59,31
CPT,20670,REMOVAL IMPLANT SUPERFICIAL,6359.0,3179.5,25.0,4212.81,37
CPT,20670,REMOVAL OF SURFACE IMPLANT FROM BONE,5089.5,2544.75,25.0,4212.81,266
CPT,20680,REMOVAL OF DEEP IMPLANT FROM BONE,14654.0,7327.0,25.0,7409.19,482
CPT,20680,REMOVAL OF IMPLANT DEEP,9051.0,4525.5,25.0,7409.19,37
CPT,20690,APPL UNIPLN UNI EXT FIXJ SYS,12891.0,6445.5,205.8,18508.79,36
CPT,20690,PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,5434.835,2717.42,205.8,18508.79,108
CPT,20692,PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,12228.59,6114.3,8032.6,32748.28,48
CPT,20693,REVISION OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,20584.375,10292.19,165.9,18508.79,61
CPT,20694,REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,18204.75,9102.375,205.8,4101.59,156
CPT,20694,RMVL EXT FIXJ SYS UNDER ANES,7794.0,3897.0,205.8,4101.59,36
CPT,20700,INSERTION OF DRUG-DELIVERY DEVICE IN DEEP TISSUE,6546.83,3273.42,47.32,192.92,24
CPT,20701,RMVL DEEP RX DELIVERY DEVICE,3237.0,1618.5,36.63,209.72,31
CPT,20703,REMOVAL OF DRUG-DELIVERY DEVICES FROM MARROW CAVITY OF BONE,9349.33,4674.67,60.58,246.98,31
CPT,20703,RMVL IMED RX DELIVERY DEVICE,7691.0,3845.5,60.58,246.98,31
CPT,20704,INSERTION OF DRUG-DELIVERY DEVICE IN JOINT,13256.5,6628.25,86.08,350.94,24
CPT,20900,HARVEST OF GRAFT FROM SMALL BONE,7133.83,3566.92,41.37,18508.79,37
CPT,20902,HARVEST OF GRAFT FROM LARGE BONE,5949.5,2974.75,53.26,18508.79,61
CPT,20910,RIB CARTILAGE GRAFT,10545.75,5272.88,359.27,1885.18,37
CPT,20912,GRAFT OF NOSE CARTILAGE,4175.62,2087.81,205.8,9039.15,37
CPT,20930,PLACEMENT OF FRAGMENTED BONE GRAFT OR MATERIAL TO SPINE TO PROMOTE BONE GROWTH,11184.5,5592.25,,,0
CPT,20931,GRAFT OF DONOR BONE TO SPINE,14721.25,7360.63,67.67,275.89,31
CPT,20936,HARVEST OF BONE FROM SAME SPINE INCISION FOR GRAFT,17354.0,8677.0,,,0
CPT,20950,FLUID PRESSURE MUSCLE,2055.0,1027.5,66.92,1806.27,36
CPT,20950,PLACEMENT OF DEVICE IN MUSCLE TO MONITOR FLUID PRESSURE,1911.0,955.5,66.92,1806.27,60
CPT,20970,PLACEMENT OF BONE AND SKIN FLAP FROM HIP BONE WITH CONNECTION OF SMALL BLOOD VESSELS,12596.0,6298.0,205.8,18508.79,31
CPT,20974,ELECTRICAL BONE STIMULATION,70.0,35.0,38.86,78.6,29
CPT,20982,ABLATE BONE TUMOR(S) PERQ,21337.0,10668.5,205.8,44724.37,72
CPT,20982,DESTRUCTION OF GROWTHS AND ADJACENT SOFT TISSUE,23474.0,11737.0,205.8,44724.37,36
CPT,20983,ABLATE BONE TUMOR(S) PERQ,13800.0,6900.0,205.8,18508.79,31
CPT,20985,COMPUTER-ASSISTED SURGERY FOR MUSCLE AND BONE PROCEDURE,16338.330000000002,8169.17,83.04,338.54,103
CPT,20999,OTHER PROCEDURE ON MUSCLE OR BONE,5044.0,2522.0,154.33,629.19,48
CPT,20999,UNLISTED PX MUSCSKEL GENERAL,4461.0,2230.5,25.0,629.19,48
CPT,21011,EXC FACE LES SC <2 CM,7749.0,3874.5,198.62,4212.81,37
CPT,21011,REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP; LESS THAN 2.0 CM,9535.0,4767.5,198.62,4212.81,37
CPT,21012,EXC FACE LES SBQ 2 CM/>,7485.0,3742.5,205.8,4212.81,37
CPT,21012,REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP; 2.0 CM OR MORE,8535.165,4267.585,205.8,4212.81,74
CPT,21013,REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP; LESS THAN 2.0 CM,18545.0,9272.5,205.8,4212.81,37
CPT,21014,REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP; 2.0 CM OR MORE,8512.67,4256.34,205.8,7409.19,37
CPT,21016,EXTENSIVE REMOVAL OF GROWTH OF FACE OR SCALP; 2.0 CM OR MORE,8839.76,4419.88,205.8,7409.19,60
CPT,21025,EXCISION OF BONE LOWER JAW,15121.0,7560.5,205.8,15099.99,36
CPT,21025,REMOVAL OF LOWER JAW BONE,10874.0,5437.0,205.8,15099.99,36
CPT,21026,EXCISION OF FACIAL BONE(S),15121.0,7560.5,205.8,15099.99,36
CPT,21026,REMOVAL OF FACE BONE,13257.625,6628.8150000000005,205.8,15099.99,72
CPT,21029,REMOVAL OF GROWTH OF FACE BONE,11999.0,5999.5,205.8,8456.92,36
CPT,21030,REMOVAL OF GROWTH OR CYST OF JAW OR UPPER CHEEK,12461.0,6230.5,205.8,15099.99,37
CPT,21040,REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE,10767.0,5383.5,139.13,8456.92,37
CPT,21044,REMOVAL OF JAW BONE LESION,17279.0,8639.5,205.8,15099.99,36
CPT,21048,REMOVAL OF GROWTH OR CYST OF UPPER JAW BONE THROUGH MOUTH,11241.0,5620.5,205.8,15099.99,37
CPT,21070,PARTIAL REMOVAL OF LOWER JAW BONE,32844.67,16422.34,3703.77,15099.99,24
CPT,21073,MANIPULATION OF HINGED JOINTS OF UPPER AND LOWER JAW BONES UNDER ANESTHESIA,5124.67,2562.34,182.47,3957.72,36
CPT,21085,IMPRES&PREP ORAL SURG SPLINT,808.0,404.0,148.19,853.6,36
CPT,21086,IMPRES&PREP AURICULAR PROSTH,8469.0,4234.5,205.8,8456.92,36
CPT,21086,IMPRESSION AND CUSTOM PREPARATION OF OUTER EAR PROSTHESIS,9486.0,4743.0,2074.34,8456.92,24
CPT,21110,APPLICATION AND REMOVAL OF DENTAL FIXATION DEVICE,3703.0,1851.5,25.0,3957.72,55
CPT,21110,INTERDENTAL FIXATION,3963.0,1981.5,25.0,3957.72,31
CPT,21120,IMPLANTATION OF GRAFT TO ENLARGE CHIN BONE,131694.0,65847.0,369.31,15099.99,31
CPT,21122,ENLARGEMENT OF CHIN BY MOVEMENT OF MULTIPLE BONES,50297.5,25148.75,551.25,15099.99,31
CPT,21143,REPAIR OF MIDFACE BONES; 3 OR MORE BONES,67555.0,33777.5,1040.49,15099.99,31
CPT,21208,INCISION AND REPAIR OF BONY DEFECT OF CHEEK BONE WITH REPOSITIONING OF BONY SEGMENT,25222.52,12611.26,205.8,15099.99,36
CPT,21209,INCISION AND REPAIR OF BONY DEFECT OF CHEEK BONE INCLUDING BONY SEGMENT REDUCTION,25148.75,12574.38,205.8,15099.99,36
CPT,21210,REPAIR OF NASAL OR CHEEK BONE WITH BONE GRAFT,26992.67,13496.34,205.8,15099.99,36
CPT,21215,REPAIR OF LOWER JAW BONE WITH BONE GRAFT,14823.75,7411.88,205.8,15099.99,36
CPT,21230,HARVEST OF RIB CARTILAGE FOR GRAFTING,27482.5,13741.25,205.8,15099.99,36
CPT,21235,OBTAINING EAR CARTILAGE FOR GRAFTING,19113.0,9556.5,205.8,15099.99,108
CPT,21244,RECONSTRUCTION OF LOWER JAW BONE WITH INSERTION OF BONE PLATE,40784.0,20392.0,3703.77,15099.99,24
CPT,21256,RECONSTRUCTION OF EYE SOCKET BONE WITH BONE GRAFT,15379.76,7689.88,205.8,15099.99,55
CPT,21282,LATERAL CANTHOPEXY,8469.0,4234.5,205.8,8456.92,36
CPT,21282,TIGHTENING OF TENDON OF OUTER EDGE OF LOWER EYELID,7178.0,3589.0,2074.34,8456.92,24
CPT,21295,REDUCTION OF MUSCLE USED FOR CHEWING AND LOWER JAW BONE FROM OUTSIDE MOUTH,14159.34,7079.67,144.38,3957.72,36
CPT,21299,OTHER PROCEDURE ON SKULL; FACE; AND UPPER JAW BONES,18383.165,9191.585,148.19,604.15,48
CPT,21299,UNLISTED CRANFCL&MAXLFCL PX,663.0,331.5,148.19,604.15,24
CPT,21315,CLOSED TREATMENT OF BROKEN NOSE BONE WITH MANIPULATION,4317.5,2158.75,25.0,3957.72,74
CPT,21320,CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,6064.0,3032.0,25.0,8456.92,146
CPT,21320,CLSD TX NSL FX W/MNPJ&STABLJ,8469.0,4234.5,126.8,8456.92,37
CPT,21330,TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,7935.5,3967.75,205.8,15099.99,37
CPT,21337,CLOSED TREATMENT OF BROKEN BONE SEPARATING NOSE AIRWAYS,14032.0,7016.0,45.15,8456.92,37
CPT,21337,CLOSED TX SEPTAL&NOSE FX,9399.0,4699.5,25.0,8456.92,37
CPT,21338,TREATMENT OF BROKEN NOSE AND EYE BONES,4069.4,2034.7,189.53,15099.99,37
CPT,21344,TREATMENT OF COMPLICATED BROKEN FRONT SINUS BONE,15563.66,7781.83,1044.6,15099.99,31
CPT,21355,TREATMENT OF BROKEN CHEEK BONE ACCESSED THROUGH THE SKIN WITH MANIPULATION,13231.0,6615.5,2074.34,8456.92,24
CPT,21356,TREATMENT OF DEPRESSED BROKEN UPPER PORTION OF CHEEK BONE,7687.0,3843.5,3703.77,15099.99,24
CPT,21360,TREATMENT OF DEPRESSED BROKEN CHEEK BONE,37760.0,18880.0,3703.77,15099.99,24
CPT,21365,TREATMENT OF COMPLICATED BROKEN CHEEK BONE WITH PLACEMENT OF INTERNAL STABILIZING DEVICE,57081.0,28540.5,3703.77,15099.99,48
CPT,21390,TREATMENT OF BROKEN FLOOR OF EYE BONE THROUGH EYE AREA WITH IMPLANT,10297.835,5148.92,111.12,15099.99,109
CPT,21406,TREATMENT OF BROKEN EYE BONE,32253.34,16126.67,3703.77,15099.99,24
CPT,21407,TREATMENT OF BROKEN EYE BONE WITH IMPLANT,21856.5,10928.25,3703.77,15099.99,48
CPT,21421,CLOSED TREATMENT OF BROKEN ROOF OF MOUTH OR UPPER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,9244.0,4622.0,25.0,8456.92,37
CPT,21421,CLTX PALATAL/MAX FX WIRE FIX,9938.0,4969.0,25.0,8456.92,37
CPT,21440,CLTX MNDBLR/MAX ALV RIDGE FX,9070.0,4535.0,25.0,8456.92,62
CPT,21450,CLTX MNDBLR FX W/O MNPJ,1378.0,689.0,141.75,1375.69,37
CPT,21451,CLTX MNDBLR FX W/MNPJ,4453.0,2226.5,25.0,3957.72,37
CPT,21453,CLOSED TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,22959.5,11479.75,205.8,15099.99,61
CPT,21454,OPTX MNDBLR FX XTRNL FIXJ,17095.0,8547.5,25.0,15099.99,37
CPT,21461,TREATMENT OF BROKEN LOWER JAW BONE,25514.0,12757.0,116.55,15099.99,85
CPT,21462,TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,38788.5,19394.25,116.55,15099.99,61
CPT,21470,COMPLICATED TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,27686.0,13843.0,113.4,15099.99,37
CPT,21480,CLOSED TREATMENT OF DISLOCATED JAW JOINT,1011.0,505.5,25.0,943.8,72
CPT,21480,CLTX TMPRMAND DISLC 1ST/SBSQ,725.0,362.5,25.0,629.19,37
CPT,21497,INTERDENTAL WIRG OTH/THN FX,4849.0,2424.5,25.0,3957.72,31
CPT,21497,WIRING OF JAW OR ORAL SPLINT TO TEETH,4510.0,2255.0,25.0,3957.72,31
CPT,21499,OTHER PROCEDURE ON HEAD MUSCLE OR HEAD BONE,16311.0,8155.5,148.19,604.15,24
CPT,21501,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION IN SOFT TISSUE OF NECK OR CHEST,23703.0,11851.5,92.93,7409.19,37
CPT,21501,I&D DP ABSC/HMTMA SFT TS NCK,7419.0,3709.5,92.93,7409.19,37
CPT,21550,BIOPSY OF NECK/CHEST,4933.0,2466.5,36.23,4212.81,37
CPT,21552,EXC NECK LES SC 3 CM/>,9207.0,4603.5,205.8,7409.19,36
CPT,21552,REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST; 3.0 CM OR MORE,12307.0,6153.5,205.8,7409.19,96
CPT,21554,REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST; 5.0 CM OR MORE,13776.5,6888.25,205.8,7409.19,36
CPT,21555,EXC NECK LES SC < 3 CM,8314.0,4157.0,39.38,4212.81,37
CPT,21555,REMOVAL OF GROWTH UNDER SKIN OF NECK OR FRONT OF CHEST; LESS THAN 3.0 CM,8851.75,4425.88,39.38,4212.81,98
CPT,21556,REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST; LESS THAN 5.0 CM,14694.0,7347.0,126.0,7409.19,61
CPT,21557,EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST; LESS THAN 5.0 CM,28209.0,14104.5,205.8,7409.19,36
CPT,21558,EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST; 5.0 CM OR MORE,17400.665,8700.335,205.8,7409.19,60
CPT,21620,PARTIAL REMOVAL OF CHEST BONE,11383.0,5691.5,205.8,8346.04,31
CPT,21685,REPOSITIONING OF BONE AND MUSCLES IN NECK,22113.835,11056.92,205.8,15099.99,60
CPT,21705,REMOVAL OF NECK MUSCLE AND EXTRA RIB AT NECK WITH RELEASE OF NERVES,21243.34,10621.67,417.69,18508.79,31
CPT,21720,RELEASE OF TENDONS OF NECK MUSCLE; OPEN PROCEDURE,196.0,98.0,196.0,8346.04,36
CPT,21899,OTHER PROCEDURE ON NECK OR CHEST,10621.66,5310.83,148.19,604.15,24
CPT,21920,BIOPSY SOFT TISSUE OF BACK,4219.0,2109.5,45.26,4212.81,36
CPT,21930,EXC BACK LES SC < 3 CM,5872.0,2936.0,132.3,4212.81,37
CPT,21930,REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES; LESS THAN 3.0 CM,7896.67,3948.34,132.3,4212.81,122
CPT,21931,EXC BACK LES SC 3 CM/>,7612.0,3806.0,205.8,4212.81,36
CPT,21931,REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES; 3.0 CM OR MORE,12769.0,6384.5,205.8,4212.81,120
CPT,21932,REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES; LESS THAN 5.0 CM,7052.0,3526.0,205.8,7409.19,36
CPT,21933,EXC BACK TUM DEEP 5 CM/>,9701.0,4850.5,205.8,7409.19,36
CPT,21933,REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES; 5.0 CM OR MORE,7891.25,3945.63,205.8,7409.19,36
CPT,21936,EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE; 5.0 CM OR MORE,12852.5,6426.25,205.8,7409.19,36
CPT,22010,DRAINAGE OF ABSCESS OF DEEP TISSUE OF UPPER OR MIDDLE SPINE,24428.0,12214.0,755.85,18508.79,31
CPT,22102,REMOVAL OF REAR PIECE OF LOWER SPINE BONE,8641.955,4320.98,205.8,18508.79,60
CPT,22310,CLOSED TREATMENT OF BROKEN SPINE BONE WITH CAST OR BRACE,591.0,295.5,131.25,629.19,61
CPT,22310,CLOSED TX VERT FX W/O MANJ,630.0,315.0,131.25,629.19,37
CPT,22510,PERQ CERVICOTHORACIC INJECT,9449.0,4724.5,205.8,8346.04,36
CPT,22510,STABILIZATION OF UPPER SPINE BONE,8789.0,4394.5,205.8,8346.04,36
CPT,22511,PERQ LUMBOSACRAL INJECTION,9449.0,4724.5,205.8,8346.04,36
CPT,22511,STABILIZATION OF LOWER SPINE BONE,8789.0,4394.5,205.8,8346.04,60
CPT,22512,STABILIZATION OF SPINE BONE; EACH ADDITIONAL BONE,4395.0,2197.5,122.32,498.7,24
CPT,22512,VERTEBROPLASTY ADDL INJECT,4725.0,2362.5,122.32,498.7,31
CPT,22513,PERQ VERTEBRAL AUGMENTATION,13633.0,6816.5,205.8,18508.79,36
CPT,22513,TREATMENT OF BROKEN MIDDLE SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE USING IMAGING GUIDANCE,23306.5,11653.25,205.8,18508.79,96
CPT,22514,PERQ VERTEBRAL AUGMENTATION,13055.0,6527.5,205.8,18508.79,36
CPT,22514,TREATMENT OF BROKEN LOWER SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE,31994.5,15997.25,205.8,18508.79,120
CPT,22515,PERQ VERTEBRAL AUGMENTATION,7318.0,3659.0,127.52,519.88,31
CPT,22515,TREATMENT OF BROKEN SPINE BONE WITH STABILIZING DEVICE; EACH ADDITIONAL SEGMENT,7678.75,3839.375,127.52,519.88,103
CPT,22548,FUSION OF SPINE BONES AT BASE OF NECK; ORAL APPROACH,60661.0,30330.5,1567.55,32748.28,31
CPT,22551,FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC,29442.5,14721.25,205.8,32748.28,36
CPT,22552,FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; EACH ADDITIONAL DISC,23193.5,11596.75,205.8,990.99,31
CPT,22554,FUSION OF UPPER SPINE BONES THROUGH FRONT OF NECK WITH PARTIAL REMOVAL OF DISC,13976.82,6988.41,205.8,32748.28,60
CPT,22558,FUSION OF LOWER SPINE BONE THROUGH ABDOMEN WITH PARTIAL REMOVAL OF DISC,69416.0,34708.0,205.8,69212.09,31
CPT,22585,FUSION OF SPINE BONES THROUGH FRONT OF BODY WITH PARTIAL REMOVAL OF DISC; EACH ADDITIONAL DISC,13864.14,6932.07,197.39,804.73,31
CPT,22600,FUSION OF SPINE IN NECK BY POSTERIOR APPROACH,57240.0,28620.0,1021.7,44724.37,31
CPT,22610,FUSION OF SPINE IN UPPER BACK,21875.51,10937.76,1003.68,44724.37,31
CPT,22612,FUSION OF SPINE IN LOWER BACK,38654.5,19327.25,814.8,44724.37,36
CPT,22614,FUSION OF ADDITIONAL SEGMENT OF SPINE,2420.0,1210.0,240.56,980.74,31
CPT,22630,FUSION OF LOWER SPINE BONE AND PARTIAL REMOVAL OF SPINE BONE OR DISC THROUGH BACK; 1 DISC,39065.759999999995,19532.879999999997,1232.47,69212.09,55
CPT,22632,FUSION OF LOWER BACK SPINE BONE AND PARTIAL REMOVAL OF SPINE BONE OR DISC THROUGH BACK; EACH ADDITIONAL DISC,6532.8,3266.4,198.76,810.32,31
CPT,22633,FUSION OF SPINE IN LOWER BACK WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,63491.0,31745.5,205.8,69212.09,31
CPT,22634,FUSION OF ADDITIONAL SEGMENT OF SPINE WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,6438.57,3219.29,297.87,1214.39,31
CPT,22840,PLACEMENT OF STABILIZING DEVICE TO BACK OF 1 SPINE BONE IN NECK,19327.25,9663.63,458.13,1867.75,31
CPT,22842,PLACEMENT OF STABILIZING DEVICE TO BACK; 3-6 SPINE BONE SEGMENTS,11777.0,5888.5,467.89,1907.55,31
CPT,22845,PLACEMENT OF STABILIZING DEVICE TO FRONT; 2-3 SPINE BONE SEGMENTS,14721.25,7360.63,445.9,1817.9,79
CPT,22849,REINSERTION OF SPINAL FIXATION DEVICE,41119.0,20559.5,205.8,32748.28,31
CPT,22850,REMOVAL OF STABILIZING DEVICE FROM BACK OF SPINE,20974.0,10487.0,572.62,18508.79,31
CPT,22852,REMOVAL OF SEGMENTAL STABILIZING DEVICE FROM BACK OF SPINE,15921.0,7960.5,205.8,18508.79,31
CPT,22853,INSERTION OF CAGE OR MESH DEVICE TO SPINE BONE AND DISC SPACE DURING SPINE FUSION,17354.0,8677.0,157.24,641.04,31
CPT,22854,INSERTION OF CAGE OR MESH DEVICE IN DISC SPACE DURING SPINE FUSION,9911.27,4955.635,205.8,845.93,55
CPT,22856,INSERTION OF ARTIFICIAL UPPER SPINE DISC; ANTERIOR APPROACH,43422.0,21711.0,1269.79,44724.37,31
CPT,22869,INSJ STABLJ DEV W/O DCMPRN,16885.0,8442.5,321.7,32748.28,31
CPT,22870,INSJ STABLJ DEV W/O DCMPRN,21074.0,10537.0,66.03,269.19,31
CPT,22899,UNLISTED PROCEDURE SPINE,630.0,315.0,154.33,629.19,24
CPT,22900,REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN; LESS THAN 5.0 CM,6669.0,3334.5,205.8,7409.19,36
CPT,22902,EXC ABD LES SC < 3 CM,4219.0,2109.5,205.8,4212.81,36
CPT,22902,REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL; LESS THAN 3.0 CM,4027.0,2013.5,205.8,4212.81,36
CPT,22903,EXC ABD LES SC 3 CM/>,8534.0,4267.0,205.8,7409.19,36
CPT,22903,REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL; 3.0 CM OR MORE,9577.0,4788.5,205.8,7409.19,72
CPT,22999,OTHER PROCEDURE ON ABDOMINAL MUSCLE OR BONE,21273.32,10636.66,154.33,629.19,24
CPT,23020,RELEASE OF TENDON OF SHOULDER JOINT,8031.5,4015.75,2047.14,8346.04,24
CPT,23065,BIOPSY SHOULDER TISSUES,4219.0,2109.5,36.23,4212.81,37
CPT,23071,EXC SHOULDER LES SC 3 CM/>,4219.0,2109.5,205.8,4212.81,36
CPT,23071,REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA; 3.0 CM OR MORE,8164.0,4082.0,205.8,4212.81,60
CPT,23073,REMOVAL OF GROWTH OF MUSCLE OF SHOULDER; 5.0 CM OR MORE,12769.0,6384.5,205.8,7409.19,108
CPT,23075,REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA; LESS THAN 3.0 CM,4873.0,2436.5,56.7,4212.81,85
CPT,23076,REMOVAL OF GROWTH OF MUSCLE OF SHOULDER; LESS THAN 5.0 CM,12381.5,6190.75,1817.35,7409.19,48
CPT,23120,PARTIAL REMOVAL OF COLLAR BONE,7175.0,3587.5,2047.14,8346.04,48
CPT,23140,REMOVAL OF CYST OR GROWTH OF COLLAR BONE OR SHOULDER BLADE,13847.0,6923.5,2047.14,8346.04,24
CPT,23150,REMOVAL OF CYST OR GROWTH OF TOP PART OF UPPER ARM BONE,20874.0,10437.0,2047.14,8346.04,48
CPT,23155,REMOVAL OF CYST OR GROWTH OF TOP PART OF UPPER ARM BONE WITH SELF BONE GRAFT,36973.34,18486.67,4539.89,18508.79,24
CPT,23156,REMOVAL OF CYST OR GROWTH OF TOP OF UPPER ARM BONE WITH DONOR BONE GRAFT,17697.0,8848.5,4539.89,18508.79,24
CPT,23350,INJECTION FOR SHOULDER X-RAY,1128.0,564.0,27.66,209.72,37
CPT,23350,INJECTION OF CONTRAST FOR IMAGING OF SHOULDER JOINT,1049.0,524.5,27.66,112.76,96
CPT,23410,REPAIR OF ACUTE TORN SHOULDER ROTATOR CUFF,12783.33,6391.67,4539.89,18508.79,24
CPT,23412,REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF,10030.0,5015.0,4539.89,18508.79,48
CPT,23430,ANCHORING OF BICEPS TENDON,12409.5,6204.75,4539.89,18508.79,48
CPT,23430,REPAIR BICEPS TENDON,13800.0,6900.0,79.8,18508.79,37
CPT,23440,REMOVAL OR RELOCATION OF BICEPS TENDON,32260.0,16130.0,4539.89,18508.79,24
CPT,23470,PARTIAL REPLACEMENT OF SHOULDER JOINT,55595.0,27797.5,8032.6,32748.28,48
CPT,23472,PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER,29275.0,14637.5,10970.13,44724.37,72
CPT,23472,RECONSTRUCT SHOULDER JOINT,17439.0,8719.5,25.0,44724.37,31
CPT,23473,REVISION OF TOTAL SHOULDER REPAIR,29935.0,14967.5,8032.6,32748.28,48
CPT,23474,REVISION OF TOTAL SHOULDER REPAIR; TOTAL SHOULDER,58885.0,29442.5,8032.6,32748.28,48
CPT,23485,INCISION OR PARTIAL REMOVAL OF COLLAR BONE WITH BONE GRAFT,22137.665,11068.835,8032.6,32748.28,48
CPT,23491,STABILIZATION OF TOP OF UPPER ARM BONE WITH DEVICE,19664.0,9832.0,8032.6,32748.28,24
CPT,23500,CLOSED TREATMENT OF BROKEN COLLAR BONE,844.0,422.0,74.03,629.19,109
CPT,23500,CLTX CLAVICULAR FX W/O MNPJ,815.0,407.5,74.03,629.19,37
CPT,23505,CLTX CLAVICULAR FX W/MNPJ,4692.0,2346.0,25.0,4101.59,37
CPT,23515,TREATMENT OF BROKEN COLLAR BONE,24971.0,12485.5,4539.89,18508.79,48
CPT,23540,CLOSED TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER,600.0,300.0,154.33,629.19,24
CPT,23540,CLTX ACROMCLAV DISLC WO MNPJ,631.0,315.5,66.15,629.19,37
CPT,23550,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER,17388.0,8694.005000000001,4539.89,18508.79,48
CPT,23552,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER WITH TISSUE GRAFT,35571.335,17785.67,4539.89,18508.79,48
CPT,23570,CLOSED TREATMENT OF BROKEN SHOULDER BLADE,819.0,409.5,61.73,629.19,48
CPT,23570,CLTX SCAPULAR FX W/O MNPJ,821.0,410.5,76.65,629.19,37
CPT,23575,CLTX SCAP FX W/MNPJ +-TRACTJ,4692.0,2346.0,25.0,4101.59,37
CPT,23585,TREATMENT OF BROKEN SHOULDER BLADE,19784.67,9892.34,4539.89,18508.79,24
CPT,23600,CLOSED TREATMENT OF BROKEN TOP OF UPPER ARM BONE,844.0,422.0,122.33,629.19,157
CPT,23600,CLTX PROX HUMRL FX W/O MNPJ,977.0,488.5,25.0,629.19,37
CPT,23605,CLTX PRX HMRL FX MNPJ+-TRACT,4150.0,2075.0,131.25,4101.59,37
CPT,23615,TREATMENT OF BROKEN TOP OF UPPER ARM BONE,26600.0,13300.0,8032.6,32748.28,48
CPT,23616,TREATMENT OF BROKEN UPPER ARM BONE WITH REPLACEMENT,41962.0,20981.0,10970.13,44724.37,24
CPT,23620,CLOSED TREATMENT OF UPPER ARM BONE BROKEN AT SHOULDER JOINT,819.0,409.5,154.33,629.19,72
CPT,23620,CLTX GR HMRL TBRS FX WO MNPJ,657.0,328.5,131.25,629.19,37
CPT,23650,CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION,1364.5,682.25,25.0,943.8,168
CPT,23650,CLTX SHO DSLC W/MNPJ WO ANES,1041.0,520.5,103.95,629.19,37
CPT,23655,CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION UNDER ANESTHESIA,7341.5,3670.75,25.0,4101.59,72
CPT,23655,CLTX SHO DSLC W/MNPJ W/ANES,5011.0,2505.5,25.0,4101.59,37
CPT,23665,CLOSED TREATMENT OF DISLOCATED SHOULDER AND BROKEN UPPER ARM BONE AT SHOULDER JOINT WITH MANIPULATION,4176.0,2088.0,25.0,4101.59,48
CPT,23665,CLTX SHO DSLC FX GR HMRL TBR,4490.0,2245.0,131.25,4101.59,37
CPT,23675,CLTX SHO DISLC NECK FX MNPJ,4150.0,2075.0,25.0,4101.59,37
CPT,23700,MANIPULATION OF SHOULDER JOINT UNDER ANESTHESIA,3431.0,1715.5,1006.05,4101.59,24
CPT,24000,ARTHRT ELBW EXPL DRG/RMVL FB,8358.0,4179.0,205.8,8346.04,37
CPT,24000,INCISION OF ELBOW JOINT FOR EXPLORATION; FLUID DRAINAGE; OR REMOVAL OF FOREIGN BODY,8112.0,4056.0,2047.14,8346.04,24
CPT,24065,BIOPSY ARM/ELBOW SOFT TISSUE,6888.0,3444.0,36.23,4212.81,37
CPT,24066,BIOPSY ARM/ELBOW SOFT TISSUE,7426.0,3713.0,36.23,7409.19,37
CPT,24071,EXC ARM/ELBOW LES SC 3 CM/>,7420.0,3710.0,205.8,7409.19,36
CPT,24071,REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW; 3.0 CM OR MORE,10075.665,5037.835,205.8,7409.19,60
CPT,24073,REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW; 5.0 CM OR MORE,10454.665,5227.335,1817.35,7409.19,48
CPT,24075,EXC ARM/ELBOW LES SC < 3 CM,4563.0,2281.5,56.7,4212.81,37
CPT,24075,REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW; LESS THAN 3.0 CM,4462.75,2231.38,56.7,4212.81,85
CPT,24076,REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW; LESS THAN 5.0 CM,11075.0,5537.5,1817.35,7409.19,24
CPT,24105,EXCISION OLECRANON BURSA,8358.0,4179.0,196.88,8346.04,37
CPT,24105,REMOVAL OF FLUID-FILLED SAC OF ELBOW,10844.0,5422.0,196.88,8346.04,109
CPT,24116,REMOVAL OF CYST OR GROWTH OF UPPER ARM BONE AND DONOR BONE GRAFT,9832.0,4916.0,4539.89,18508.79,24
CPT,24120,REMOVAL OF CYST OR GROWTH OF ELBOW OR UPPER FOREARM BONE,8765.0,4382.5,2047.14,8346.04,24
CPT,24149,EXTENSIVE REMOVAL OF BONY GROWTH AND TISSUE FROM ELBOW TO INCREASE ELBOW MOTION,17430.835,8715.42,4539.89,18508.79,48
CPT,24153,RADICAL RESECTION TUMOR RADIAL HEAD/NECK,14771.0,7385.5,,,0
CPT,24164,REMOVAL OF FOREARM BONE PROSTHESIS AT ELBOW JOINT,47147.0,23573.5,2047.14,8346.04,24
CPT,24200,REMOVAL OF FOREIGN BODY OF UPPER ARM OR ELBOW AREA; ACCESSED BENEATH THE SKIN,4873.0,2436.5,1033.33,4212.81,24
CPT,24200,RMVL FB UPPER ARM/ELBW SUBQ,5239.0,2619.5,25.0,4212.81,37
CPT,24201,REMOVAL OF FOREIGN BODY; UPPER ARM OR ELBOW AREA,7918.0,3959.0,68.25,7409.19,61
CPT,24201,RMVL FB UPPER ARM/ELBW DEEP,9694.0,4847.0,68.25,7409.19,37
CPT,24220,INJECTION OF CONTRAST FOR IMAGING OF ELBOW JOINT,4522.66,2261.33,36.92,150.52,96
CPT,24220,INJECTION PX FOR ELBOW ARTHG,1181.0,590.5,36.75,150.52,37
CPT,24300,MANIPULATION OF ELBOW UNDER ANESTHESIA,3020.0,1510.0,1006.05,4101.59,24
CPT,24305,LENGTHENING OF TENDON OF UPPER ARM OR ELBOW,6076.5,3038.25,2047.14,8346.04,24
CPT,24341,REPAIR OF TENDON OR MUSCLE OF UPPER ARM OR ELBOW,10590.5,5295.25,4539.89,18508.79,72
CPT,24341,RPR TDN/MUSC UPR A/E EACH,15216.0,7608.0,205.8,18508.79,36
CPT,24342,REINSERTION OF TORN UPPER ARM TENDON,27861.0,13930.5,4539.89,18508.79,48
CPT,24343,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW,12131.87,6065.94,2047.14,8346.04,72
CPT,24344,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW WITH TENDON GRAFT,12131.87,6065.94,4539.89,18508.79,24
CPT,24345,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW,15671.165,7835.585,4539.89,18508.79,48
CPT,24357,REPAIR ELBOW PERC,8367.0,4183.5,310.12,8346.04,36
CPT,24359,INCISION AND REPAIR OF ELBOW TENDON WITH REMOVAL OF TISSUE OR BONE,11592.67,5796.34,2047.14,8346.04,144
CPT,24359,REPAIR ELBOW DEB/ATTCH OPEN,8358.0,4179.0,205.8,8346.04,36
CPT,24365,JOINT REPAIR (ARTHROPLASTY) FOREARM BONE ON THE THUMB SIDE (RADIUS) AT THE ELBOW WITHOUT AN IMPLANT,42185.0,21092.5,8032.6,32748.28,24
CPT,24366,JOINT REPAIR (ARTHROPLASTY) FOREARM BONE ON THE THUMB SIDE (RADIUS) AT THE ELBOW WITH AND IMPLANT,23979.165,11989.585,8032.6,32748.28,48
CPT,24430,REPAIR OF NONHEALED BROKEN UPPER ARM BONE,30310.5,15155.25,8032.6,32748.28,48
CPT,24435,REPAIR OF NONHEALED BROKEN UPPER ARM BONE WITH SELF BONE GRAFT,22920.835,11460.42,205.8,32748.28,60
CPT,24498,STABILIZATION OF UPPER ARM BONE WITH DEVICE,29405.5,14702.75,8032.6,32748.28,48
CPT,24500,CLOSED TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE,844.0,422.0,25.0,629.19,133
CPT,24500,TREAT HUMERUS FRACTURE,908.0,454.0,25.0,629.19,37
CPT,24505,CLOSED TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH MANIPULATION,4150.0,2075.0,25.0,4101.59,48
CPT,24505,TREAT HUMERUS FRACTURE,4150.0,2075.0,131.25,4101.59,37
CPT,24515,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (PLATE/SCREWS),25816.835,12908.42,8032.6,32748.28,48
CPT,24530,CLOSED TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW,908.0,454.0,25.0,629.19,109
CPT,24530,TREAT HUMERUS FRACTURE,908.0,454.0,129.68,629.19,37
CPT,24535,TREAT HUMERUS FRACTURE,4692.0,2346.0,131.25,4101.59,37
CPT,24538,PLACEMENT OF STABILIZING DEVICE TO UPPER ARM BROKEN AT ELBOW,10853.0,5426.5,205.8,18508.79,85
CPT,24538,TREAT HUMERUS FRACTURE,13800.0,6900.0,25.0,18508.79,37
CPT,24545,TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW,23975.5,11987.75,8032.6,32748.28,48
CPT,24546,TREATMENT OF BROKEN UPPER ARM BONE AT ELBOW WITH EXTENSION,59904.0,29952.0,8032.6,32748.28,24
CPT,24560,CLOSED TREATMENT OF BROKEN OUTER PART OF UPPER ARM BONE AT ELBOW,1005.0,502.5,116.55,629.19,61
CPT,24560,TREAT HUMERUS FRACTURE,631.0,315.5,116.55,629.19,37
CPT,24565,CLOSED TREATMENT OF BROKEN OUTER PART OF UPPER ARM BONE AT ELBOW WITH MANIPULATION,4661.0,2330.5,25.0,4101.59,24
CPT,24565,TREAT HUMERUS FRACTURE,5011.0,2505.5,131.25,4101.59,37
CPT,24575,TREATMENT OF BROKEN OUTER PART OF UPPER ARM BONE AT ELBOW,22708.5,11354.25,8032.6,32748.28,48
CPT,24576,CLOSED TREATMENT OF BROKEN ELBOW,562.0,281.0,116.55,629.19,85
CPT,24576,TREAT HUMERUS FRACTURE,631.0,315.5,116.55,629.19,37
CPT,24577,TREAT HUMERUS FRACTURE,4692.0,2346.0,131.25,4101.59,37
CPT,24579,TREAT HUMERUS FRACTURE,16871.0,8435.5,25.0,32748.28,37
CPT,24579,TREATMENT OF BROKEN ELBOW,26238.0,13119.0,8032.6,32748.28,48
CPT,24582,PLACEMENT OF STABILIZING DEVICE FOR BROKEN ELBOW WITH MANIPULATION,12482.0,6241.0,4539.89,18508.79,48
CPT,24586,TREATMENT OF BROKEN OR DISLOCATED UPPER OR FOREARM BONES AT ELBOW,35612.5,17806.25,8032.6,32748.28,48
CPT,24600,REPAIR OF DISLOCATED ELBOW,674.0,337.0,25.0,629.19,48
CPT,24600,TREAT ELBOW DISLOCATION,725.0,362.5,25.0,629.19,37
CPT,24605,TREAT ELBOW DISLOCATION,5011.0,2505.5,25.0,4101.59,37
CPT,24615,TREATMENT OF DISLOCATED ELBOW,23944.0,11972.0,4539.89,18508.79,24
CPT,24620,CLOSED TREATMENT OF BROKEN AND DISLOCATED FOREARM BONES AT ELBOW WITH MANIPULATION,4661.0,2330.5,25.0,4101.59,24
CPT,24620,TREAT ELBOW FRACTURE,5011.0,2505.5,25.0,4101.59,37
CPT,24640,CLOSED TREATMENT OF DISLOCATED FOREARM BONE ON THUMB SIDE AT ELBOW WITH MANIPULATION; CHILD,699.5,349.75,25.0,629.19,109
CPT,24640,TREAT ELBOW DISLOCATION,725.0,362.5,25.0,629.19,37
CPT,24650,CLOSED TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW,1638.0,819.0,108.15,943.8,157
CPT,24650,TREAT RADIUS FRACTURE,740.0,370.0,25.0,629.19,37
CPT,24655,CLOSED TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW WITH MANIPULATION,20265.0,10132.5,25.0,4101.59,72
CPT,24655,TREAT RADIUS FRACTURE,4150.0,2075.0,25.0,4101.59,37
CPT,24666,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW WITH PROSTHESIS,48527.52,24263.76,8032.6,32748.28,24
CPT,24670,CLOSED TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW,731.0,365.5,105.0,629.19,85
CPT,24670,TREAT ULNAR FRACTURE,786.0,393.0,105.0,629.19,37
CPT,24675,TREAT ULNAR FRACTURE,4150.0,2075.0,25.0,4101.59,37
CPT,24685,TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW,14897.665,7448.835,4539.89,18508.79,48
CPT,24999,OTHER PROCEDURE ON UPPER ARM OR ELBOW,3464.375,1732.19,25.0,629.19,96
CPT,25000,INCISION OF TENDON SHEATH,5216.0,2608.0,205.8,4101.59,37
CPT,25000,INCISION OR THE TENDON COVERING ON THE TOP SIDE OF THE WRIST,4540.0,2270.0,205.8,4101.59,205
CPT,25001,INCISION OR THE TENDON COVERING ON THE PALM SIDE OF THE WRIST,9381.0,4690.5,2047.14,8346.04,24
CPT,25020,INCISION OF TISSUE OF FOREARM AND/OR WRIST MUSCLE COMPARTMENT ON ONE SIDE OF THE FOREARM TO RELIEVE PRESSURE; WITHOUT REMOVAL OF TISSUE,11845.0,5922.5,1006.05,4101.59,24
CPT,25028,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF FOREARM OR WRIST,3256.25,1628.13,2047.14,8346.04,24
CPT,25031,DRAINAGE OF FOREARM BURSA,4108.0,2054.0,41.48,4101.59,37
CPT,25040,INCISION OF WRIST JOINT FOR EXPLORATION; FLUID DRAINAGE; OR REMOVAL OF FOREIGN BODY,6207.34,3103.67,2047.14,8346.04,24
CPT,25065,BIOPSY FOREARM SOFT TISSUES,4231.0,2115.5,36.23,4212.81,37
CPT,25066,BIOPSY FOREARM SOFT TISSUES,7420.0,3710.0,36.23,7409.19,37
CPT,25071,EXC FOREARM LES SC 3 CM/>,4450.0,2225.0,205.8,4212.81,36
CPT,25071,REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST; 3.0 CM OR MORE,9843.0,4921.5,1033.33,4212.81,24
CPT,25073,REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST; 3.0 CM OR MORE,13420.0,6710.0,205.8,7409.19,60
CPT,25075,EXC FOREARM LES SC < 3 CM,6912.0,3456.0,105.0,4212.81,37
CPT,25075,REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST; LESS THAN 3.0 CM,6167.76,3083.88,1033.33,4212.81,120
CPT,25076,EXC FOREARM TUM DEEP < 3 CM,4219.0,2109.5,123.38,4212.81,37
CPT,25076,REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST; LESS THAN 3.0 CM,8719.0,4359.5,1033.33,4212.81,48
CPT,25085,INCISION TO REPAIR OR RELEASE CAPSULE OF WRIST JOINT,3997.5,1998.75,2047.14,8346.04,24
CPT,25105,INCISION INTO WRIST JOINT WITH REMOVAL OF JOINT LINING TISSUE,2884.25,1442.13,2047.14,8346.04,24
CPT,25107,INCISION TO REPAIR WRIST JOINT WITH REPAIR OF CARTILAGE,12301.0,6150.5,81.69,8346.04,85
CPT,25110,REMOVE WRIST TENDON LESION,4450.0,2225.0,147.0,4101.59,37
CPT,25111,REMOVAL OF FIRST CYST OF WRIST,5645.5,2822.75,1006.05,4101.59,240
CPT,25111,REMOVE WRIST TENDON LESION,6630.0,3315.0,205.8,4101.59,36
CPT,25112,REMOVAL OF RECURRENT CYST OF WRIST,10374.0,5187.0,1006.05,4101.59,48
CPT,25112,REREMOVE WRIST TENDON LESION,6343.0,3171.5,190.58,4101.59,37
CPT,25115,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN PALM SIDE OF WRIST,3830.0,1915.0,1006.05,4101.59,72
CPT,25115,REMOVE WRIST/FOREARM LESION,6428.0,3214.0,71.4,4101.59,37
CPT,25116,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN TOP SIDE OF WRIST,7133.625,3566.815,2047.14,8346.04,48
CPT,25118,EXCISE WRIST TENDON SHEATH,6872.0,3436.0,205.8,4101.59,36
CPT,25118,REMOVAL OF LINING OF TENDON COVERING OF WRIST,6872.0,3436.0,205.8,4101.59,132
CPT,25120,REMOVAL OF CYST OR GROWTH OF LOWER FOREARM BONE,4930.5,2465.25,2047.14,8346.04,24
CPT,25126,REMOVAL OF CYST OR GROWTH OF LOWER FOREARM BONE WITH BONE GRAFT,25243.0,12621.5,2047.14,8346.04,24
CPT,25130,REMOVAL OF CYST OR GROWTH OF WRIST BONE,19920.0,9960.0,2047.14,8346.04,24
CPT,25130,REMOVAL OF WRIST LESION,9450.0,4725.0,205.8,8346.04,37
CPT,25135,REMOVAL OF CYST OR GROWTH OF WRIST BONE WITH SELF BONE GRAFT,22256.0,11128.0,4539.89,18508.79,24
CPT,25150,REMOVAL OF DISEASED PART OF FOREARM BONE ON SMALL FINGER SIDE,8204.67,4102.34,2047.14,8346.04,24
CPT,25210,REMOVAL OF WRIST BONE,12992.67,6496.34,2047.14,8346.04,96
CPT,25215,REMOVAL OF MULTIPLE WRIST BONES,13859.0,6929.5,2047.14,8346.04,48
CPT,25230,PARTIAL REMOVAL OF WRIST BONE NEAR THUMB,5001.75,2500.88,2047.14,8346.04,72
CPT,25240,REMOVAL OR PARTIAL REMOVAL OF LOWER END OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,13932.33,6966.165,2047.14,8346.04,48
CPT,25246,INJECTION FOR WRIST X-RAY,1128.0,564.0,36.75,164.83,37
CPT,25246,INJECTION OF CONTRAST FOR IMAGING OF WRIST,1049.0,524.5,40.43,164.83,48
CPT,25248,REMOVAL OF DEEP FOREIGN BODY IN FOREARM OR WRIST,4667.0,2333.5,1006.05,4101.59,24
CPT,25248,REMOVE FOREARM FOREIGN BODY,4118.0,2059.0,25.0,4101.59,37
CPT,25260,PRIMARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,11229.0,5614.5,205.8,8346.04,85
CPT,25260,REPAIR FOREARM TENDON/MUSCLE,9450.0,4725.0,25.0,8346.04,37
CPT,25265,REPAIR OF FOREARM AND/OR WRIST TENDON OR MUSCLE ON THE UNDERSIDE OF THE WRIST (FLEXOR) WITH GRAFT,23841.0,11920.5,2047.14,8346.04,24
CPT,25270,PRIMARY REPAIR OF TENDON OR MUSCLE OF TOP SIDE OF FOREARM OR WRIST,18097.155,9048.58,205.8,8346.04,60
CPT,25270,REPAIR FOREARM TENDON/MUSCLE,9450.0,4725.0,25.0,8346.04,36
CPT,25275,REPAIR OF FOREARM AND/OR WRIST TENDON COVERING WITH GRAFT,14967.0,7483.5,2047.14,8346.04,48
CPT,25280,LENGTHENING OR SHORTENING OF TENDON OF FOREARM AND/OR WRIST,9002.02,4501.01,205.8,8346.04,84
CPT,25290,INCISION OF TENDON OF FOREARM AND/OR WRIST; OPEN PROCEDURE,5843.34,2921.67,2047.14,8346.04,24
CPT,25295,RELEASE WRIST/FOREARM TENDON,8721.0,4360.5,205.8,8346.04,36
CPT,25295,REMOVAL OF SCAR TISSUE TO RELEASE TENDON OF FOREARM OR WRIST,9286.67,4643.34,205.8,8346.04,180
CPT,25310,RELOCATION OF TENDON OF FOREARM AND/OR WRIST,8561.75,4280.875,93.98,8346.04,61
CPT,25310,TRANSPLANT FOREARM TENDON,9443.0,4721.5,93.98,8346.04,37
CPT,25315,REPAIR OF TENDON OF FOREARM AND/OR WRIST,16311.0,8155.5,4539.89,18508.79,24
CPT,25316,RELEASE AND RELOCATION OF TENDONS OF FOREARM OR WRIST,8615.34,4307.67,4539.89,18508.79,24
CPT,25320,RECONSTRUCTION OF WRIST JOINT,27732.835,13866.42,4539.89,18508.79,48
CPT,25320,REPAIR/REVISE WRIST JOINT,13007.0,6503.5,78.75,18508.79,37
CPT,25332,REPAIR OF WRIST JOINT,10003.5,5001.75,2047.14,8346.04,24
CPT,25337,REPAIR OF TENDONS OF OUTER FOREARM AT WRIST JOINT,13164.835,6582.42,4539.89,18508.79,48
CPT,25390,SHORTENING OF ONE OF THE FOREARM BONES,25330.0,12665.0,78.75,18508.79,85
CPT,25391,LENGTHENING OF ONE OF THE FOREARM BONES WITH PATIENT-DERIVED BONE GRAFT,21172.0,10586.0,8032.6,32748.28,24
CPT,25400,REPAIR NON-HEALED FRACTURE OF FOREARM BONE,24609.0,12304.5,4539.89,18508.79,72
CPT,25415,REPAIR RADIUS & ULNA,12837.0,6418.5,132.3,18508.79,37
CPT,25415,TREATMENT OF BOTH NONHEALED BROKEN FOREARM BONES,28048.0,14024.0,4539.89,18508.79,24
CPT,25430,INSERTION OF VASCULAR BONE GRAFT INTO WRIST BONE,15836.5,7918.25,2047.14,8346.04,24
CPT,25440,REPAIR OF NON-HEALED WRIST BONE; SCAPHOID OR NAVICULAR AT THE BASE OF THE THUMB,26781.0,13390.5,4539.89,18508.79,48
CPT,25447,ARTHRP NTRCRP/CRP/MTCR NTRPS,8896.0,4448.0,92.4,8346.04,37
CPT,25447,REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS,14835.0,7417.5,92.4,8346.04,181
CPT,25500,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE,844.0,422.0,82.43,629.19,61
CPT,25500,CLTX RDL SHFT FX W/O MNPJ,631.0,315.5,82.43,629.19,37
CPT,25505,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE WITH MANIPULATION,4088.0,2044.0,25.0,4101.59,48
CPT,25505,CLTX RDL SHFT FX W/MNPJ,4395.0,2197.5,131.25,4101.59,37
CPT,25515,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE,21079.5,10539.75,4539.89,18508.79,48
CPT,25520,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE AND DISLOCATED WRIST JOINT,4176.0,2088.0,25.0,4101.59,24
CPT,25520,CLTX RDL SHFT FX&DISLC,4490.0,2245.0,25.0,4101.59,36
CPT,25530,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,1323.5,661.75,113.4,629.19,109
CPT,25530,CLTX ULNAR SHFT FX W/O MNPJ,1127.0,563.5,113.4,629.19,37
CPT,25535,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE WITH MANIPULATION,591.0,295.5,25.0,629.19,24
CPT,25535,CLTX ULNAR SHFT FX W/MNPJ,699.0,349.5,25.0,629.19,37
CPT,25545,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,7577.33,3788.665,4539.89,18508.79,48
CPT,25560,CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES,732.0,366.0,120.23,629.19,85
CPT,25560,CLTX RDL&ULN SHFT FX WO MNPJ,787.0,393.5,120.23,629.19,37
CPT,25565,CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH MANIPULATION,5546.0,2773.0,25.0,4101.59,72
CPT,25565,CLTX RDL&ULN SHFT FX W/MNPJ,5962.0,2981.0,131.25,4101.59,37
CPT,25575,OPTX RDL&ULN SHFT FX RDS&ULN,13800.0,6900.0,25.0,18508.79,37
CPT,25575,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE ON BOTH BONES,19135.5,9567.75,4539.89,18508.79,48
CPT,25600,CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION,1323.0,661.5,25.0,943.8,229
CPT,25600,CLTX DST RDL FX/EPHYS SEP WO,949.0,474.5,120.23,629.19,37
CPT,25605,CLOSED TREATMENT OF BROKEN OR GROWTH PLATE SEPARATE OF FOREARM BONE AT WRIST WITH MANIPULATION,5546.0,2773.0,25.0,4101.59,266
CPT,25605,CLTX DST RDL FX/EPHYS SEP W/,5962.0,2981.0,174.3,4101.59,37
CPT,25606,PERQ SKEL FIXJ DSTL RDL FX,9450.0,4725.0,25.0,8346.04,36
CPT,25606,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FOREARM BONE ON THUMB SIDE AT WRIST,7651.25,3825.625,25.0,8346.04,48
CPT,25607,OPTX DST RD XARTC FX/EPI SEP,13800.0,6900.0,25.0,18508.79,36
CPT,25607,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE,15609.5,7804.75,4539.89,18508.79,120
CPT,25608,OPTX DST RD XART FX/EPI SEP2,12837.0,6418.5,205.8,18508.79,36
CPT,25608,TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE,17097.5,8548.75,4539.89,18508.79,48
CPT,25609,OPTX DST RD XART FX/EP SEP3+,13800.0,6900.0,25.0,18508.79,36
CPT,25609,TREATMENT OF 3 OR MORE BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE,17188.0,8594.0,4539.89,32748.28,96
CPT,25622,CLOSED TREATMENT OF BROKEN WRIST BONE NEAR BASE OF THUMB,844.0,422.0,25.0,629.19,133
CPT,25622,CLTX CARPL SCPHD FX W/O MNPJ,631.0,315.5,25.0,629.19,37
CPT,25624,CLTX CARPL SCPHD FX W/MNPJ,4251.5,2125.75,131.25,4101.59,74
CPT,25628,TREATMENT OF BROKEN WRIST BONE LOCATED NEAR BASE OF THUMB,14807.165,7403.585,4539.89,18508.79,48
CPT,25630,CLOSED TREATMENT OF OTHER BROKEN WRIST BONE,652.0,326.0,108.15,629.19,85
CPT,25630,CLTX CARPL FX W/O MNPJ EA B1,630.0,315.0,108.15,629.19,37
CPT,25635,CLTX CARPL FX W/MNPJ EA B1,4692.0,2346.0,25.0,4101.59,37
CPT,25650,CLOSED TREATMENT OF BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,876.0,438.0,131.25,629.19,85
CPT,25652,TREATMENT OF BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,10590.5,5295.25,4539.89,18508.79,24
CPT,25670,TREATMENT OF DISLOCATED WRIST BONES,20719.33,10359.67,4539.89,18508.79,24
CPT,25675,CLTX DSTL RAD/ULN DISLC MNPJ,690.0,345.0,25.0,629.19,37
CPT,25690,CLTX LUNATE DISLC W/MNPJ,4692.0,2346.0,25.0,4101.59,37
CPT,25800,ARTHRD WRIST COMPLETE WO GRF,13007.0,6503.5,93.98,18508.79,37
CPT,25800,COMPLETE FUSION OF WRIST JOINT,31668.0,15834.0,4539.89,18508.79,24
CPT,25810,FUSION OF WRIST JOINT WITH GRAFT FROM HIP OR OTHER BONE,36555.0,18277.5,8032.6,32748.28,24
CPT,25825,FUSION OF PART OF WRIST JOINT WITH PATIENT-DERIVED BONE GRAFT,18231.68,9115.84,4539.89,18508.79,48
CPT,25830,FUSION OF BOTH FOREARM BONES AT WRIST,21988.0,10994.0,4539.89,18508.79,24
CPT,25999,OTHER PROCEDURE ON FOREARM OR WRIST,3933.5,1966.75,154.33,629.19,24
CPT,26010,DRAINAGE OF FINGER ABSCESS,818.0,409.0,25.0,511.77,37
CPT,26010,SIMPLE DRAINAGE OF ABSCESS OF FINGER,4475.0,2237.5,25.0,511.77,325
CPT,26011,COMPLICATED DRAINAGE OF ABSCESS IN FINGER,4994.0,2497.0,1033.33,4212.81,120
CPT,26011,DRAINAGE OF FINGER ABSCESS,4231.0,2115.5,25.0,4212.81,37
CPT,26020,DRAIN HAND TENDON SHEATH,8443.0,4221.5,132.83,8346.04,37
CPT,26020,DRAINAGE OF TENDON OF FINGER AND/OR PALM,8950.0,4475.0,2047.14,8346.04,24
CPT,26040,RELEASE OF TISSUE OF PALM,6323.0,3161.5,205.8,4101.59,133
CPT,26040,RELEASE PALM CONTRACTURE,5248.0,2624.0,205.8,4101.59,37
CPT,26045,PARTIAL RELEASE OF CONNECTIVE TISSUE OF PALM,9057.5,4528.75,2047.14,8346.04,72
CPT,26045,RELEASE PALM CONTRACTURE,8443.0,4221.5,205.8,8346.04,37
CPT,26055,INCISE FINGER TENDON SHEATH,4108.0,2054.0,205.8,4101.59,37
CPT,26055,INCISION OF TENDON COVERING OF FINGER,7012.5,3506.25,205.8,4101.59,1202
CPT,26060,INCISION OF FINGER TENDON,4536.0,2268.0,67.2,4101.59,61
CPT,26070,EXPLORE/TREAT HAND JOINT,4108.0,2054.0,198.45,4101.59,37
CPT,26075,INCISION OF LOWER FINGER JOINT FOR EXPLORATION; FLUID DRAINAGE; OR REMOVAL OF FOREIGN BODY,5614.5,2807.25,2047.14,8346.04,72
CPT,26080,EXPLORE/TREAT FINGER JOINT,4108.0,2054.0,164.85,4101.59,37
CPT,26080,INCISION OF FINGER JOINT FOR EXPLORATION; FLUID DRAINAGE; OR REMOVAL OF FOREIGN BODY,4001.0,2000.5,1006.05,4101.59,144
CPT,26111,EXC HAND LES SC 1.5 CM/>,5909.0,2954.5,205.8,4212.81,36
CPT,26111,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER,8974.67,4487.34,205.8,4212.81,228
CPT,26113,EXC HAND TUM DEEP 1.5 CM/>,4219.0,2109.5,205.8,4212.81,36
CPT,26113,REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER; 1.5 CM OR MORE,9998.0,4999.0,205.8,4212.81,72
CPT,26115,EXC HAND LES SC < 1.5 CM,5181.0,2590.5,39.38,4212.81,37
CPT,26115,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER,5762.0,2881.0,39.38,4212.81,373
CPT,26116,EXC HAND TUM DEEP < 1.5 CM,4888.0,2444.0,126.0,4212.81,37
CPT,26116,REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER; LESS THAN 1.5 CM,6588.0,3294.0,126.0,4212.81,85
CPT,26118,EXTENSIVE REMOVAL OF GROWTH OF HAND OR FINGER; 3.0 CM OR MORE,12769.0,6384.5,1817.35,7409.19,24
CPT,26121,RELEASE PALM CONTRACTURE,8358.0,4179.0,205.8,8346.04,36
CPT,26121,REMOVAL OF CONNECTIVE TISSUE OF PALM,7252.5,3626.25,205.8,8346.04,204
CPT,26123,RELEASE PALM CONTRACTURE,8358.0,4179.0,205.8,8346.04,36
CPT,26123,REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER; FIRST DIGIT,14654.0,7327.0,2047.14,8346.04,336
CPT,26125,RELEASE PALM CONTRACTURE,4163.0,2081.5,152.12,620.18,31
CPT,26125,REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER; EACH ADDITIONAL DIGIT,7058.33,3529.17,152.12,620.18,144
CPT,26135,REPAIR OF HAND JOINT,9535.0,4767.5,2047.14,8346.04,72
CPT,26135,REVISE FINGER JOINT EACH,8358.0,4179.0,205.8,8346.04,36
CPT,26140,REVISE FINGER JOINT EACH,4107.0,2053.5,205.8,4101.59,36
CPT,26145,REPAIR OF TENDON; FINGER; AND/OR PALM OF HAND,4847.0,2423.5,205.8,4101.59,109
CPT,26145,TENDON EXCISION PALM/FINGER,4992.0,2496.0,205.8,4101.59,37
CPT,26160,REMOVAL OF GROWTH OF TENDON FINGER OR HAND,4747.165,2373.585,205.8,4101.59,780
CPT,26160,REMOVE TENDON SHEATH LESION,5709.0,2854.5,205.8,4101.59,36
CPT,26180,REMOVAL OF FINGER TENDON,5356.0,2678.0,205.8,4101.59,37
CPT,26180,REMOVAL OF TENDON OF FINGER,22070.0,11035.0,205.8,4101.59,37
CPT,26200,REMOVAL OF CYST OR GROWTH FROM HAND BONE,10151.0,5075.5,1006.05,4101.59,24
CPT,26200,REMOVE HAND BONE LESION,4108.0,2054.0,182.7,4101.59,37
CPT,26210,REMOVAL OF CYST OR GROWTH OF FINGER BONE,9812.0,4906.0,182.7,4101.59,157
CPT,26210,REMOVAL OF FINGER LESION,4652.0,2326.0,182.7,4101.59,37
CPT,26230,PARTIAL REMOVAL OF HAND BONE,13954.0,6977.0,2047.14,8346.04,24
CPT,26235,PARTIAL REMOVAL OF FINGER BONE NEAREST HAND OR MIDDLE OF FINGER,11852.0,5926.0,1006.05,4101.59,24
CPT,26236,PARTIAL REMOVAL FINGER BONE,5348.0,2674.0,205.8,4101.59,37
CPT,26236,PARTIAL REMOVAL OF FINGER BONE AT END OF FINGER,5749.0,2874.5,25.0,4101.59,144
CPT,26320,REMOVAL OF IMPLANT FROM FINGER OR HAND,4873.0,2436.5,1033.33,4212.81,168
CPT,26320,REMOVAL OF IMPLANT FROM HAND,5239.0,2619.5,205.8,4212.81,37
CPT,26341,MANIPULAT PALM CORD POST INJ,631.0,315.5,58.16,853.6,36
CPT,26341,MANIPULATION OF FINGER FOR CONNECTIVE TISSUE RELEASE FOLLOWING ENZYME INJECTION,591.0,295.5,154.33,629.19,24
CPT,26350,REPAIR FINGER/HAND TENDON,7671.0,3835.5,25.0,8346.04,37
CPT,26350,REPAIR OF FINGER TENDON OF UNDER SIDE OF HAND OTHER THAN UPPER MOST PART OF PALM AND FINGERS,20797.5,10398.75,205.8,8346.04,205
CPT,26352,REPAIR OF FINGER TENDON ON UNDER SIDE OF HAND WITH A GRAFT NOT IN ZONE 2,36814.0,18407.0,4539.89,18508.79,24
CPT,26356,PRIMARY REPAIR OF FINGER TENDON ON UNDERSIDE OF THE HAND WITHOUT A GRAFT IN ZONE 2,19853.0,9926.5,205.8,8346.04,253
CPT,26356,REPAIR FINGER/HAND TENDON,9449.0,4724.5,25.0,8346.04,37
CPT,26370,REPAIR OF TENDON DEEP IN UNDERSIDE OF FINGER,11079.34,5539.67,2047.14,8346.04,192
CPT,26390,REPAIR OF TENDON ON UNDERSIDE OF FINGER OR HAND WITH IMPLANTED ROD,15864.17,7932.085,4539.89,18508.79,48
CPT,26392,REMOVAL OF SYNTHETIC ROD AND INSERTION OF TENDON GRAFT IN HAND OR FINGER,53733.0,26866.5,4539.89,18508.79,24
CPT,26410,REPAIR HAND TENDON,5234.0,2617.0,205.8,4101.59,37
CPT,26410,REPAIR OF TENDON ON TOP OF HAND,5061.125,2530.565,205.8,4101.59,133
CPT,26418,REPAIR FINGER TENDON,5011.0,2505.5,25.0,4101.59,37
CPT,26418,REPAIR OF TENDON ON TOP SIDE OF FINGER,4741.0,2370.5,1006.05,4101.59,336
CPT,26420,REPAIR OF TENDON OF TOP SIDE OF FINGER WITH GRAFT,8790.0,4395.0,2047.14,8346.04,24
CPT,26420,REPAIR/GRAFT FINGER TENDON,8358.0,4179.0,205.8,8346.04,37
CPT,26426,REPAIR FINGER/HAND TENDON,8358.0,4179.0,205.8,8346.04,36
CPT,26426,SECONDARY REPAIR OF TENDON OF TOP OF FINGER USING TISSUE,8112.0,4056.0,2047.14,8346.04,24
CPT,26432,REPAIR FINGER TENDON,4108.0,2054.0,205.8,4101.59,37
CPT,26433,REPAIR FINGER TENDON,8358.0,4179.0,205.8,8346.04,37
CPT,26437,REALIGNMENT OF TENDONS,8358.0,4179.0,205.8,8346.04,36
CPT,26437,REPAIR OF TENDON ON UPPER SIDE OF HAND,8179.5,4089.75,205.8,8346.04,156
CPT,26440,RELEASE OF TENDON OF PALM OR FINGER,7875.0,3937.5,1006.05,4101.59,360
CPT,26440,RELEASE PALM/FINGER TENDON,4107.0,2053.5,187.95,4101.59,37
CPT,26442,RELEASE OF TENDON OF PALM AND FINGER,9157.5,4578.75,2047.14,8346.04,96
CPT,26442,RELEASE PALM & FINGER TENDON,8357.0,4178.5,205.8,8346.04,37
CPT,26445,RELEASE HAND/FINGER TENDON,8357.0,4178.5,205.28,8346.04,37
CPT,26445,RELEASE OF TENDON OF TOP OF HAND OR FINGER,7104.09,3552.05,205.28,8346.04,349
CPT,26449,RELEASE OF TENDON EXTENDING FROM FINGER TO FOREARM,12101.17,6050.585,205.8,8346.04,61
CPT,26455,INCISION OF FINGER TENDON,4661.0,2330.5,198.45,4101.59,37
CPT,26455,INCISION OF TENDON OF FINGER,4661.0,2330.5,1006.05,4101.59,72
CPT,26471,SUTURE OF TENDON TO FIRST JOINT OF FINGER,11074.0,5537.0,2047.14,8346.04,48
CPT,26480,TRANSFER OF TENDON TO BACK OF HAND,13094.0,6547.0,2047.14,8346.04,72
CPT,26483,TRANSFER OF TENDON TO BACK OF HAND WITH GRAFT,24973.34,12486.67,96.6,8346.04,37
CPT,26485,TRANSPLANT PALM TENDON,8358.0,4179.0,78.75,8346.04,37
CPT,26497,FINGER TENDON TRANSFER,8357.0,4178.5,205.8,8346.04,36
CPT,26497,TRANSFER OF TENDON TO RING AND SMALL FINGERS,10994.0,5497.0,205.8,8346.04,84
CPT,26500,REPAIR OF LIGAMENT SURROUNDING FINGER TENDON,28591.0,14295.5,4539.89,18508.79,24
CPT,26510,THUMB TENDON TRANSFER,8358.0,4179.0,205.8,8346.04,36
CPT,26516,REPAIR OF JOINT CAPSULE OF HAND AND PALM; 1 FINGER,13655.0,6827.5,2047.14,8346.04,24
CPT,26520,INCISION OR REMOVAL OF JOINT CAPSULE BETWEEN HAND AND FINGER,5328.75,2664.38,2047.14,8346.04,144
CPT,26520,RELEASE KNUCKLE CONTRACTURE,8357.0,4178.5,205.8,8346.04,36
CPT,26525,RELEASE FINGER CONTRACTURE,4724.0,2362.0,205.8,4101.59,36
CPT,26525,REPAIR OF JOINT CAPSULE OF FINGER,1512.16,756.08,1006.05,4101.59,120
CPT,26531,REPAIR OF JOINT BETWEEN HAND AND FINGER BONES WITH PROSTHESIS,14317.33,7158.67,4539.89,18508.79,72
CPT,26540,REPAIR OF LIGAMENT OF FINGER OR HAND AND FINGER JOINT,8996.0,4498.0,205.8,8346.04,108
CPT,26546,REPAIR NONUNION HAND,12890.0,6445.0,205.8,18508.79,36
CPT,26548,RECONSTRUCT FINGER JOINT,9449.0,4724.5,25.0,8346.04,37
CPT,26548,REPAIR OF JOINT BETWEEN FINGER AND PALM,14234.0,7117.0,2047.14,8346.04,24
CPT,26550,SURGICAL CREATION OF THUMB,45130.0,22565.0,2047.14,8346.04,24
CPT,26561,REPAIR OF WEBBED FINGER WITH SKIN FLAPS AND GRAFTS,45605.0,22802.5,145.85,8346.04,37
CPT,26567,PARTIAL REMOVAL OF FINGER BONE,23885.0,11942.5,2047.14,8346.04,72
CPT,26568,LENGTHENING OF HAND OR FINGER BONE,14292.0,7146.0,4539.89,18508.79,24
CPT,26587,RECONSTRUCT EXTRA FINGER,10398.0,5199.0,25.0,8346.04,36
CPT,26587,REMOVAL OF EXTRA FINGER,21085.0,10542.5,2047.14,8346.04,24
CPT,26591,REPAIR MUSCLES OF HAND,8358.0,4179.0,205.8,8346.04,36
CPT,26591,REPAIR OF HAND MUSCLE,29303.34,14651.67,2047.14,8346.04,24
CPT,26600,CLOSED TREATMENT OF BROKEN HAND BONE,908.0,454.0,25.0,629.19,517
CPT,26600,TREAT METACARPAL FRACTURE,908.0,454.0,25.0,629.19,37
CPT,26605,CLOSED TREATMENT OF BROKEN HAND BONE WITH MANIPULATION,1043.0,521.5,25.0,629.19,181
CPT,26607,TREAT METACARPAL FRACTURE,8358.0,4179.0,131.25,8346.04,37
CPT,26608,TREAT METACARPAL FRACTURE,8903.5,4451.75,25.0,8346.04,72
CPT,26608,TREATMENT OF BROKEN FINGER BONE WITH STABILIZING DEVICE ACCESSED THROUGH SKIN,12461.0,6230.5,205.8,8346.04,180
CPT,26615,TREATMENT OF BROKEN MIDHAND BONE,16094.67,8047.34,205.8,8346.04,229
CPT,26641,TREAT THUMB DISLOCATION,690.0,345.0,25.0,629.19,37
CPT,26645,CLOSED TREATMENT OF BROKEN THUMB AT WRIST WITH MANIPULATION,4088.0,2044.0,25.0,4101.59,24
CPT,26645,TREAT THUMB FRACTURE,4395.0,2197.5,93.45,4101.59,37
CPT,26650,PLACEMENT OF STABILIZING DEVICE FOR BROKEN THUMB AT WRIST WITH MANIPULATION,15559.0,7779.5,2047.14,8346.04,72
CPT,26650,TREAT THUMB FRACTURE,9008.0,4504.0,205.8,8346.04,37
CPT,26665,TREATMENT OF BROKEN THUMB AT WRIST,10853.0,5426.5,2047.14,8346.04,24
CPT,26670,CLOSED TREATMENT OF DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION,562.0,281.0,154.33,629.19,24
CPT,26670,TREAT HAND DISLOCATION,634.0,317.0,25.0,629.19,74
CPT,26675,TREAT HAND DISLOCATION,4692.0,2346.0,25.0,4101.59,37
CPT,26676,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION,4974.0,2487.0,205.8,8346.04,133
CPT,26685,TREATMENT OF BROKEN HAND BONE AT WRIST,4114.43,2057.22,2047.14,8346.04,96
CPT,26686,COMPLICATED TREATMENT OF DISLOCATED MIDHAND BONE AT WRIST,17369.0,8684.5,2047.14,8346.04,24
CPT,26700,CLOSED TREATMENT OF DISLOCATED HAND JOINT AT BASE OF FINGER WITH MANIPULATION,851.0,425.5,25.0,629.19,96
CPT,26700,TREAT KNUCKLE DISLOCATION,882.0,441.0,25.0,629.19,37
CPT,26705,TREAT KNUCKLE DISLOCATION,4692.0,2346.0,25.0,4101.59,37
CPT,26706,PIN KNUCKLE DISLOCATION,8360.0,4180.0,25.0,8346.04,37
CPT,26706,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED HAND JOINT AT BASE OF FINGER WITH MANIPULATION,4643.33,2321.67,2047.14,8346.04,24
CPT,26715,TREATMENT OF DISLOCATED HAND JOINT AT BASE OF FINGER,38003.0,19001.5,2047.14,8346.04,24
CPT,26720,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND,844.0,422.0,58.8,629.19,445
CPT,26720,TREAT FINGER FRACTURE EACH,908.0,454.0,58.8,629.19,37
CPT,26725,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION,908.0,454.0,25.0,629.19,216
CPT,26725,TREAT FINGER FRACTURE EACH,908.0,454.0,80.85,629.19,37
CPT,26727,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION,10039.67,5019.835,2047.14,8346.04,312
CPT,26727,TREAT FINGER FRACTURE EACH,10398.0,5199.0,205.8,8346.04,37
CPT,26735,TREAT FINGER FRACTURE EACH,9450.0,4725.0,25.0,8346.04,37
CPT,26735,TREATMENT OF BROKEN FINGER AT MIDPORTION OR PART NEAR HAND,11079.5,5539.75,2047.14,8346.04,336
CPT,26740,CLOSED TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,610.5,305.25,154.33,629.19,72
CPT,26740,TREAT FINGER FRACTURE EACH,630.0,315.0,40.95,629.19,37
CPT,26742,CLOSED TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER WITH MANIPULATION,4661.0,2330.5,25.0,4101.59,48
CPT,26742,TREAT FINGER FRACTURE EACH,4559.0,2279.5,25.0,4101.59,74
CPT,26746,TREAT FINGER FRACTURE EACH,8357.0,4178.5,25.0,8346.04,37
CPT,26746,TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,11397.76,5698.88,205.8,8346.04,205
CPT,26750,CLOSED TREATMENT OF BROKEN END OF FINGER OR THUMB,844.0,422.0,25.0,629.19,373
CPT,26755,CLOSED TREATMENT OF BROKEN END OF FINGER OR THUMB WITH MANIPULATION,699.5,349.75,25.0,629.19,120
CPT,26755,TREAT FINGER FRACTURE EACH,725.0,362.5,25.0,629.19,37
CPT,26756,PIN FINGER FRACTURE EACH,8903.5,4451.75,25.0,8346.04,74
CPT,26756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB,8797.0,4398.5,25.0,8346.04,144
CPT,26765,TREAT FINGER FRACTURE EACH,9450.0,4725.0,25.0,8346.04,37
CPT,26765,TREATMENT OF BROKEN END OF FINGER OR THUMB,7666.67,3833.335,186.9,8346.04,109
CPT,26770,CLOSED TREATMENT OF DISLOCATED FINGER JOINT WITH MANIPULATION,743.5,371.75,25.0,629.19,192
CPT,26770,TREAT FINGER DISLOCATION,813.0,406.5,38.33,629.19,37
CPT,26775,CLOSED TREATMENT OF DISLOCATED FINGER JOINT WITH MANIPULATION UNDER ANESTHESIA,664.0,332.0,25.0,713.41,24
CPT,26775,TREAT FINGER DISLOCATION,714.0,357.0,25.0,853.6,36
CPT,26776,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED FINGER JOINT WITH MANIPULATION,13450.0,6725.0,2047.14,8346.04,24
CPT,26785,TREAT FINGER DISLOCATION,10398.0,5199.0,25.0,8346.04,37
CPT,26785,TREATMENT OF DISLOCATED FINGER JOINT,9945.585,4972.795,2047.14,8346.04,48
CPT,26850,FUSION OF JOINT BETWEEN FINGER AND HAND,13190.67,6595.34,4539.89,18508.79,24
CPT,26860,FUSION OF FINGER JOINT,9992.0,4996.0,205.8,8346.04,36
CPT,26860,FUSION OF FINGER JOINT; INITIAL JOINT,12301.0,6150.5,2047.14,8346.04,168
CPT,26910,AMPUTATE METACARPAL BONE,9450.0,4725.0,25.0,8346.04,37
CPT,26910,AMPUTATION OF FINGER OR THUMB,14012.5,7006.25,2047.14,8346.04,48
CPT,26951,AMPUTATION OF FINGER OR THUMB WITH DIRECT CLOSURE,8048.5,4024.25,25.0,8346.04,336
CPT,26951,AMPUTATION OF FINGER/THUMB,10398.0,5199.0,25.0,8346.04,37
CPT,26952,AMPUTATION OF FINGER OR THUMB WITH TISSUE FLAP,14980.67,7490.34,25.0,8346.04,72
CPT,26952,AMPUTATION OF FINGER/THUMB,9256.5,4628.25,25.0,8346.04,72
CPT,26989,OTHER PROCEDURE ON HANDS OR FINGERS,13077.0,6538.5,154.33,629.19,168
CPT,26989,UNLISTED PX HANDS/FINGERS,630.0,315.0,154.33,629.19,24
CPT,26990,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF PELVIS OR HIP NEAR JOINT,20236.5,10118.25,92.93,8346.04,37
CPT,27000,INCISION OF HIP TENDON,4107.0,2053.5,124.43,4101.59,37
CPT,27000,INCISION OF HIP TENDON THROUGH SKIN,4107.0,2053.5,1006.05,4101.59,24
CPT,27001,INCISION OF HIP TENDON,7781.25,3890.63,2047.14,8346.04,72
CPT,27043,REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP; 3.0 CM OR MORE,16588.5,8294.25,205.8,7409.19,60
CPT,27045,REMOVAL OF GROWTH OF MUSCLE OF PELVIS AND HIP; 5.0 CM OR MORE,30897.0,15448.5,1817.35,7409.19,24
CPT,27047,EXC HIP/PELVIS LES SC < 3 CM,7419.0,3709.5,56.7,7409.19,37
CPT,27047,REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP; LESS THAN 3.0 CM,7155.0,3577.5,56.7,7409.19,37
CPT,27059,EXTENSIVE REMOVAL OF GROWTH OF PELVIS AND HIP; 5.0 CM OR MORE,19305.0,9652.5,1817.35,7409.19,24
CPT,27080,REMOVAL OF TAILBONE,15387.0,7693.5,205.8,8346.04,36
CPT,27087,REMOVE HIP FOREIGN BODY,13734.0,6867.0,25.0,8346.04,37
CPT,27093,INJECTION FOR HIP X-RAY,1181.0,590.5,38.08,155.26,37
CPT,27093,INJECTION OF CONTRAST FOR IMAGING OF HIP JOINT,1647.0,823.5,38.08,155.26,133
CPT,27095,INJECTION FOR HIP X-RAY,1181.0,590.5,46.27,931.2,36
CPT,27095,INJECTION OF CONTRAST FOR IMAGING OF HIP UNDER ANESTHESIA,11922.0,5961.0,46.27,931.2,156
CPT,27096,INJECT SACROILIAC JOINT,1247.5,623.75,47.5,209.72,74
CPT,27096,INJECTION OF ANESTHETIC OR STEROID INTO JOINT BETWEEN LOWER SPINE AND HIP BONE USING IMAGING GUIDANCE,2020.5,1010.25,47.5,209.72,229
CPT,27120,REPAIR OF HIP SOCKET,43976.0,21988.0,8032.6,32748.28,24
CPT,27130,REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS,44397.5,22198.75,814.8,32748.28,108
CPT,27130,TOTAL HIP ARTHROPLASTY,18137.0,9068.5,814.8,32748.28,36
CPT,27132,TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY,67685.0,33842.5,8032.6,32748.28,48
CPT,27134,REVISION OF THIGH BONE AND HIP JOINT PROSTHESIS,83278.0,41639.0,8032.6,32748.28,24
CPT,27137,REVISION OF HIP SOCKET PART OF HIP PROSTHESIS,60302.0,30151.0,8032.6,32748.28,24
CPT,27138,REVISION OF THIGH BONE PROSTHESIS,26513.0,13256.5,8032.6,32748.28,24
CPT,27146,INCISION OR PARTIAL REMOVAL OF HIP BONE,27748.67,13874.34,4539.89,18508.79,24
CPT,27176,TREATMENT OF GROWTH PLATE AT TOP OF THIGH WITH PINS INSERTED THROUGH SKIN',17278.5,8639.25,2047.14,8346.04,48
CPT,27185,REMOVAL OF GROWTH PLATE OF UPPER THIGH BONE,15740.0,7870.0,2047.14,8346.04,24
CPT,27197,CLOSED TREATMENT OF BROKEN AND/OR DISLOCATED PELVIS AND/OR SACRUM,765.0,382.5,97.8,629.19,37
CPT,27198,CLSD TX PELVIC RING FX,631.0,315.5,154.33,853.6,36
CPT,27200,TREAT TAIL BONE FRACTURE,631.0,315.5,48.83,629.19,37
CPT,27220,TREAT HIP SOCKET FRACTURE,601.0,300.5,131.25,629.19,37
CPT,27222,CLOSED TREATMENT OF BROKEN HIP SOCKET WITH MANIPULATION,541.0,270.5,25.0,629.19,24
CPT,27222,TREAT HIP SOCKET FRACTURE,582.0,291.0,25.0,762.39,31
CPT,27232,TREAT THIGH FRACTURE,2244.0,1122.0,25.0,4101.59,31
CPT,27235,PLACEMENT OF STABILIZING DEVICE FOR UPPER END OF BROKEN THIGH BONE,23843.5,11921.75,4539.89,18508.79,48
CPT,27236,TREATMENT OF UPPER END OF BROKEN THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE OR PROSTHETIC REPLACEMENT,16826.0,8413.0,4539.89,18508.79,24
CPT,27238,TREAT THIGH FRACTURE,4108.0,2054.0,131.25,4101.59,37
CPT,27240,TREAT THIGH FRACTURE,8840.0,4420.0,25.0,4101.59,31
CPT,27244,TREATMENT OF BROKEN NECK OF THIGH BONE WITH PLATE/SCREW IMPLANT,28048.0,14024.0,4539.89,18508.79,24
CPT,27246,TREAT THIGH FRACTURE,631.0,315.5,117.6,629.19,37
CPT,27250,CLOSED TREATMENT OF DISLOCATED HIP,674.0,337.0,25.0,629.19,24
CPT,27250,TREAT HIP DISLOCATION,725.0,362.5,25.0,629.19,37
CPT,27252,TREAT HIP DISLOCATION,4692.0,2346.0,25.0,4101.59,37
CPT,27257,TREAT HIP DISLOCATION,4692.0,2346.0,25.0,4101.59,37
CPT,27257,TREATMENT OF SPONTANEOUS DISLOCATED HIP UNDER ANESTHESIA,5987.0,2993.5,1006.05,4101.59,24
CPT,27265,CLOSED TREATMENT OF DISLOCATED HIP PROSTHESIS,591.0,295.5,25.0,629.19,48
CPT,27265,TREAT HIP DISLOCATION,896.0,448.0,131.25,629.19,37
CPT,27266,CLOSED TREATMENT OF DISLOCATED HIP PROSTHESIS UNDER ANESTHESIA,4891.5,2445.75,25.0,4101.59,96
CPT,27266,TREAT HIP DISLOCATION,5122.0,2561.0,25.0,4101.59,37
CPT,27268,CLTX THIGH FX W/MNPJ,12457.0,6228.5,25.0,4101.59,31
CPT,27279,ARTHRD SI JT PLMT TARTCLR DV,17439.0,8719.5,205.8,44724.37,31
CPT,27279,FUSION OF PELVIC JOINT USING IMAGING GUIDANCE,16645.0,8322.5,205.8,44724.37,103
CPT,27280,FUSION OF SACROILIAC JOINT OBTAINING BONE GRAFT OPEN PROCEDURE,46289.17,23144.585,10970.13,44724.37,48
CPT,27299,OTHER PROCEDURE ON PELVIS OR HIP JOINT,19722.0,9861.0,154.33,629.19,72
CPT,27299,UNLISTED PX PELVIS/HIP JOINT,630.0,315.0,154.33,629.19,24
CPT,27305,INCISION OF CONNECTIVE TISSUE BETWEEN THIGH AND KNEE,8820.165,4410.085,2047.14,8346.04,48
CPT,27310,EXPLORATION OF KNEE JOINT,10398.0,5199.0,205.8,8346.04,37
CPT,27310,INCISION OF KNEE JOINT FOR EXPLORATION; FLUID DRAINAGE; OR REMOVAL OF FOREIGN BODY,13539.0,6769.5,2047.14,8346.04,24
CPT,27323,BIOPSY THIGH SOFT TISSUES,4588.0,2294.0,36.23,4212.81,37
CPT,27327,EXC THIGH/KNEE LES SC < 3 CM,4219.0,2109.5,123.38,4212.81,37
CPT,27327,REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE; 3.0 CM OR MORE,5373.5,2686.75,123.38,4212.81,109
CPT,27329,EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE; LESS THAN 5.0 CM,35032.0,17516.0,800.37,7409.19,36
CPT,27331,INCISION OF KNEE JOINT FOR EXPLORATION; BIOPSY; OR REMOVAL OF FOREIGN BODY,11537.0,5768.5,2047.14,8346.04,24
CPT,27337,REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE; LESS THAN 3.0 CM,10099.75,5049.875,205.8,7409.19,108
CPT,27339,REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE; 5.0 CM OR MORE,20535.0,10267.5,1817.35,7409.19,48
CPT,27340,REMOVAL OF KNEECAP BURSA,9450.0,4725.0,25.0,8346.04,37
CPT,27345,REMOVAL OF KNEE CYST,8358.0,4179.0,205.8,8346.04,37
CPT,27347,REMOVAL OF GROWTH OF KNEE CARTILAGE OR CAPSULE,5246.66,2623.33,2047.14,8346.04,24
CPT,27355,REMOVAL OF CYST OR GROWTH OF THIGH BONE,11277.34,5638.67,2047.14,8346.04,72
CPT,27356,REMOVAL OF CYST OR GROWTH OF THIGH BONE WITH DONOR BONE GRAFT,35469.0,17734.5,8032.6,32748.28,24
CPT,27360,PARTIAL REMOVAL OF THIGH AND/OR LOWER LEG BONES,82106.0,41053.0,2047.14,8346.04,24
CPT,27364,EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE; 5.0 CM OR MORE,17912.0,8956.0,1817.35,7409.19,24
CPT,27369,NJX CNTRST KNE ARTHG/CT/MRI,1250.0,625.0,22.35,91.13,37
CPT,27372,REMOVAL OF FOREIGN BODY DEEP IN TISSUE OF THIGH OR KNEE,10855.34,5427.67,1817.35,7409.19,24
CPT,27380,PRIMARY SUTURE OF TENDON BELOW KNEE,21655.5,10827.75,4539.89,18508.79,48
CPT,27385,PRIMARY SUTURE OF RUPTURED MUSCLE OF THIGH,20877.5,10438.75,4539.89,18508.79,48
CPT,27385,REPAIR OF THIGH MUSCLE,12890.0,6445.0,25.0,18508.79,37
CPT,27386,SECONDARY SUTURE OF RUPTURED MUSCLE OF THIGH,48694.0,24347.0,4539.89,18508.79,24
CPT,27394,LENGTHENING OF MULTIPLE HAMSTRING TENDONS IN LEG,12667.66,6333.83,4539.89,18508.79,24
CPT,27403,INCISION AND REPAIR OF KNEE CARTILAGE,17764.5,8882.25,4539.89,18508.79,24
CPT,27412,IMPLANTATION OF SELF CARTILAGE INTO KNEE JOINT,5473.5,2736.75,4539.89,18508.79,24
CPT,27415,IMPLANTATION OF DONOR CARTILAGE CELLS INTO KNEE JOINT,12340.83,6170.42,8032.6,32748.28,72
CPT,27418,REPAIR OF UPPER END OF SHIN BONE AT KNEE JOINT,12505.984999999999,6252.995,4539.89,18508.79,48
CPT,27420,REPAIR OF DISLOCATING KNEECAP,24609.0,12304.5,4539.89,18508.79,48
CPT,27422,REPAIR OF DISLOCATING KNEECAP WITH REALIGNMENT,31668.0,15834.0,4539.89,18508.79,72
CPT,27427,RECONSTRUCTION OF LIGAMENTS OUTSIDE KNEE JOINT,23467.5,11733.75,4539.89,18508.79,144
CPT,27430,REPAIR OF MUSCLE GROUP ABOVE KNEE JOINT,7971.8099999999995,3985.9049999999997,4539.89,18508.79,48
CPT,27446,REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE,41634.0,20817.0,205.8,32748.28,84
CPT,27447,REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE,38049.335,19024.67,205.8,32748.28,108
CPT,27447,TOTAL KNEE ARTHROPLASTY,18137.0,9068.5,205.8,32748.28,36
CPT,27450,INCISION OR PARTIAL REMOVAL OF MIDDLE PORTION OF THIGH BONE WITH STABILIZING DEVICE,24055.01,12027.51,4539.89,18508.79,24
CPT,27454,MULTIPLE INCISIONS OR REMOVALS OF PARTS OF MIDDLE PORTION OF THIGH BONE WITH PLACEMENT OF ROD,45969.34,22984.67,4539.89,18508.79,24
CPT,27472,REPAIR OF NONHEALED BROKEN THIGH BONE WITH SELF BONE GRAFT,18161.835,9080.92,205.8,18508.79,55
CPT,27475,REMOVAL OF GROWTH PLATE AT LOWER END OF THIGH BONE,14958.0,7479.0,4539.89,18508.79,24
CPT,27477,REMOVAL OF GROWTH PLATE OF BOTH LOWER LEG BONES,28949.0,14474.5,4539.89,18508.79,24
CPT,27479,REMOVAL OF GROWTH PLATE OF LEG AND THIGH BONES,18216.0,9108.0,4539.89,18508.79,24
CPT,27485,REMOVAL OF GROWTH PLATE OF LEG OR THIGH BONES,19722.0,9861.0,4539.89,18508.79,72
CPT,27486,REVISION OF COMPONENT OF TOTAL KNEE JOINT PROSTHESIS,109844.0,54922.0,8032.6,32748.28,24
CPT,27487,REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS,60637.5,30318.75,10970.13,44724.37,48
CPT,27495,STABILIZATION OF THIGH BONE WITH DEVICE,24781.0,12390.5,4539.89,18508.79,24
CPT,27500,TREATMENT OF THIGH FRACTURE,678.0,339.0,25.0,629.19,74
CPT,27501,CLOSED TREATMENT OF BROKEN THIGH BONE AT LOWER END,725.0,362.5,131.25,853.6,36
CPT,27502,CLOSED TREATMENT OF BROKEN THIGH BONE AT MIDPORTION WITH MANIPULATION,7719.0,3859.5,1006.05,4101.59,48
CPT,27502,TREATMENT OF THIGH FRACTURE,6798.0,3399.0,25.0,4101.59,37
CPT,27503,TREATMENT OF THIGH FRACTURE,4108.0,2054.0,205.8,4101.59,36
CPT,27506,TREATMENT OF BROKEN SHAFT OF THIGH BONE WITH IMPLANT,21039.5,10519.75,4539.89,18508.79,24
CPT,27507,TREATMENT OF BROKEN MIDDLE OF THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE,30582.0,15291.0,4539.89,18508.79,24
CPT,27508,CLOSED TREATMENT OF BROKEN INSIDE OR OUTSIDE PORTION OF LOWER END OF THIGH BONE,1228.5,614.25,131.25,943.8,109
CPT,27508,TREATMENT OF THIGH FRACTURE,881.0,440.5,131.25,629.19,37
CPT,27510,CLOSED TREATMENT OF BROKEN THIGH BONE AT KNEE AREA WITH MANIPULATION,4660.0,2330.0,25.0,4101.59,48
CPT,27510,TREATMENT OF THIGH FRACTURE,5010.0,2505.0,25.0,4101.59,37
CPT,27513,TREATMENT OF BROKEN THIGH BONE IN KNEE AREA,24341.0,12170.5,8032.6,32748.28,24
CPT,27514,TREATMENT OF BROKEN SIDE OF LOWER END OF THIGH BONE,26169.665,13084.835,8032.6,32748.28,48
CPT,27520,CLOSED TREATMENT OF BROKEN KNEECAP,920.5,460.25,131.25,629.19,85
CPT,27524,TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP,23342.0,11671.0,4539.89,18508.79,48
CPT,27530,CLOSED TREATMENT OF BROKEN SHIN BONE,844.0,422.0,131.25,629.19,85
CPT,27530,TREAT KNEE FRACTURE,908.0,454.0,131.25,629.19,37
CPT,27532,CLOSED TREATMENT OF BROKEN SHIN BONE WITH TRACTION,8564.0,4282.0,2047.14,8346.04,48
CPT,27532,TREAT KNEE FRACTURE,9450.0,4725.0,131.25,8346.04,37
CPT,27535,TREATMENT OF BROKEN SIDE OF UPPER END OF SHIN BONE,42435.0,21217.5,4539.89,18508.79,24
CPT,27536,TREATMENT OF BROKEN SHIN BONE ON BOTH SIDES OF UPPER END,43863.17,21931.585,4539.89,18508.79,48
CPT,27538,CLOSED TREATMENT OF BROKEN TOP OF SHIN BONE AT KNEE,660.0,330.0,117.6,629.19,85
CPT,27540,TREATMENT OF BROKEN SHIN BONE AT KNEE,26781.0,13390.5,621.52,18508.79,79
CPT,27550,CLOSED TREATMENT OF DISLOCATED KNEE,674.0,337.0,25.0,629.19,24
CPT,27550,TREAT KNEE DISLOCATION,725.0,362.5,25.0,629.19,37
CPT,27560,CLOSED TREATMENT OF DISLOCATED KNEECAP,674.0,337.0,25.0,629.19,48
CPT,27560,TREAT KNEECAP DISLOCATION,725.0,362.5,25.0,629.19,37
CPT,27562,TREAT KNEECAP DISLOCATION,690.0,345.0,25.0,629.19,37
CPT,27566,TREATMENT OF DISLOCATED KNEECAP,6321.62,3160.81,4539.89,18508.79,24
CPT,27570,FIXATION OF KNEE JOINT,5097.0,2548.5,104.48,4101.59,37
CPT,27570,MANIPULATION OF KNEE JOINT UNDER ANESTHESIA,2908.0,1454.0,1006.05,4101.59,72
CPT,27596,RE-AMPUTATION OF THIGH THROUGH THIGH BONE,20552.51,10276.26,2047.14,8346.04,24
CPT,27599,OTHER PROCEDURE ON THIGH OR KNEE,14051.5,7025.75,154.33,629.19,48
CPT,27599,UNLISTED PX FEMUR/KNEE,677.5,338.75,25.0,629.19,48
CPT,27603,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF LEG OR ANKLE,26255.0,13127.5,92.93,7409.19,37
CPT,27604,DRAIN LOWER LEG BURSA,8358.0,4179.0,205.8,8346.04,36
CPT,27605,INCISION OF ACHILLES TENDON,4108.0,2054.0,191.16,4101.59,37
CPT,27605,INCISION OF ACHILLES TENDON USING LOCAL ANESTHETIC,5134.0,2567.0,191.16,4101.59,133
CPT,27606,INCISION OF ACHILLES TENDON,8358.0,4179.0,205.8,8346.04,37
CPT,27606,INCISION OF ACHILLES TENDON UNDER ANESTHESIA,18236.0,9118.0,2047.14,8346.04,48
CPT,27610,INCISION OF ANKLE JOINT FOR EXPLORATION; FLUID DRAINAGE; OR REMOVAL OF FOREIGN BODY,23499.17,11749.585,2047.14,8346.04,48
CPT,27612,INCISION OF ANKLE JOINT WITH RELEASE OF JOINT LINING,20145.0,10072.5,85.68,8346.04,85
CPT,27616,EXTENSIVE REMOVAL OF GROWTH OF LEG OR ANKLE; 5.0 CM OR MORE,25370.0,12685.0,1817.35,7409.19,24
CPT,27618,EXC LEG/ANKLE TUM < 3 CM,4219.0,2109.5,56.7,4212.81,37
CPT,27620,INCISION AND EXPLORATION OF ANKLE JOINT,12923.0,6461.5,2047.14,8346.04,24
CPT,27630,REMOVAL OF GROWTH OF LEG AND/OR ANKLE TENDON LINING OR CAPSULE,6632.25,3316.13,2047.14,8346.04,24
CPT,27632,EXC LEG/ANKLE LES SC 3 CM/>,7419.0,3709.5,205.8,7409.19,36
CPT,27632,REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE; 3.0 CM OR MORE,15541.0,7770.5,1817.35,7409.19,24
CPT,27635,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE,8781.125,4390.5650000000005,2047.14,8346.04,96
CPT,27637,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE WITH SELF BONE GRAFT,18602.67,9301.34,4539.89,18508.79,24
CPT,27638,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE WITH BONE GRAFT,26258.67,13129.34,73.61,18508.79,85
CPT,27640,PARTIAL REMOVAL OF SHIN BONE,12311.34,6155.67,2047.14,8346.04,24
CPT,27641,PARTIAL REMOVAL OF OUTER LOWER LEG BONE,30811.76,15405.88,2047.14,8346.04,48
CPT,27648,INJECTION FOR ANKLE X-RAY,1181.0,590.5,26.25,118.61,37
CPT,27650,REPAIR OF RUPTURED ACHILLES TENDON,19545.0,9772.5,4539.89,18508.79,48
CPT,27654,SECONDARY REPAIR OF RUPTURED ACHILLES TENDON,19264.835,9632.42,4539.89,18508.79,48
CPT,27658,PRIMARY REPAIR OF TENDON ON BACK OF LEG,6695.25,3347.63,2047.14,8346.04,24
CPT,27659,SECONDARY REPAIR OF TENDON ON BACK OF LEG,9319.3,4659.65,205.8,18508.79,60
CPT,27675,REPAIR OF DISLOCATING LOWER LEG TENDONS WITHOUT A CUT THROUGH THE LOWER LEG BONE ON THE OUTSIDE OF THE LEG (FIBULA),5510.6,2755.3,2047.14,8346.04,24
CPT,27676,REPAIR OF DISLOCATED LOWER LEG TENDONS BY INCISION OR PARTIAL REMOVAL OF LOWER LEG BONE,13390.5,6695.25,4539.89,18508.79,24
CPT,27680,RELEASE OF LEG AND/OR ANKLE TENDON,6823.0,3411.5,2047.14,8346.04,72
CPT,27681,RELEASE OF MULTIPLE LEG AND/OR ANKLE TENDONS,6515.0,3257.5,2047.14,8346.04,24
CPT,27685,LENGTHENING OR SHORTENING OF TENDON OF LEG OR ANKLE,18081.375,9040.689999999999,68.36,8346.04,253
CPT,27685,REVISION OF LOWER LEG TENDON,8358.0,4179.0,68.36,8346.04,37
CPT,27686,LENGTHENING OR SHORTENING OF MULTIPLE TENDONS OF LEG OR ANKLE,16773.0,8386.5,2047.14,8346.04,24
CPT,27687,LENGTHENING OF CALF MUSCLE,7534.04,3767.025,2047.14,8346.04,48
CPT,27690,TRANSFER OF TENDON AND MUSCLE REROUTING AT LOWER LEG OR ANKLE,13440.67,6720.34,4539.89,18508.79,72
CPT,27691,TRANSFER OF DEEP TENDON OF FOOT WITH MUSCLE REROUTING,17857.5,8928.75,4539.89,18508.79,72
CPT,27692,TRANSFER OF TENDON WITH MUSCLE REROUTING AT FOOT; EACH ADDITIONAL TENDON,8928.75,4464.38,60.01,244.65,24
CPT,27695,PRIMARY REPAIR OF DISRUPTED ANKLE LIGAMENT,11280.0,5640.0,4539.89,18508.79,72
CPT,27698,SECONDARY REPAIR OF DISRUPTED COLLATERAL LIGAMENT OF ANKLE,16465.0,8232.5,4539.89,18508.79,72
CPT,27702,RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS,33457.915,16728.96,16976.55,69212.09,48
CPT,27703,REPAIR OF ANKLE JOINT WITH REVISION OF PROSTHESIS,64559.02,32279.51,10970.13,44724.37,24
CPT,27704,REMOVAL OF ANKLE IMPLANT,19032.83,9516.42,2047.14,8346.04,48
CPT,27705,INCISION OR PARTIAL REMOVAL OF SHIN BONE,49422.5,24711.25,205.8,18508.79,60
CPT,27709,INCISION OR PARTIAL REMOVAL OF SHIN AND OUTER LOWER LEG BONES,35560.67,17780.335,205.8,32748.28,60
CPT,27712,INSERTION OF ROD IN SHIN BONE,22984.66,11492.33,8032.6,32748.28,24
CPT,27720,REPAIR OF NONHEALED BROKEN SHIN BONE,38039.604999999996,19019.805,4539.89,18508.79,48
CPT,27724,REPAIR OF NONHEALED BROKEN SHIN BONE WITH SELF GRAFT FROM HIP OR OTHER BONE,22826.67,11413.34,4539.89,18508.79,24
CPT,27726,REPAIR OF NONHEALED BROKEN OUTER LOWER LEG BONE WITH PLACEMENT OF STABILIZING DEVICE,23278.0,11639.0,4539.89,18508.79,48
CPT,27730,SCRAPING OR STAPLING OF SHIN BONE GROWTH PLATE OF LOWER LEG BONE AT ANKLE,6877.0,3438.5,2047.14,8346.04,24
CPT,27745,PLACEMENT OF STABILIZING DEVICE FOR SHIN BONE,17090.79,8545.4,4539.89,18508.79,96
CPT,27750,CLOSED TREATMENT OF BROKEN MIDDLE PART OF SHIN BONE,844.0,422.0,25.0,629.19,85
CPT,27750,TREATMENT OF TIBIA FRACTURE,745.0,372.5,131.25,629.19,37
CPT,27752,CLOSED TREATMENT OF MIDDLE PART OF BROKEN SHIN BONE WITH MANIPULATION,4836.0,2418.0,25.0,4101.59,109
CPT,27752,TREATMENT OF TIBIA FRACTURE,5011.0,2505.5,131.25,4101.59,37
CPT,27758,TREATMENT BROKEN MIDDLE PART OF SHIN BONE WITH PLATE OR SCREWS,13343.5,6671.75,8032.6,32748.28,96
CPT,27759,TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD,28953.0,14476.5,8032.6,32748.28,48
CPT,27759,TREATMENT OF TIBIA FRACTURE,16885.0,8442.5,25.0,32748.28,36
CPT,27760,CLOSED TREATMENT OF INSIDE PORTION OF SHIN BONE AT ANKLE,819.0,409.5,61.73,629.19,109
CPT,27760,CLTX MEDIAL ANKLE FX,881.0,440.5,123.38,629.19,37
CPT,27762,CLOSED TREATMENT OF INSIDE PORTION OF SHIN BONE AT ANKLE WITH MANIPULATION,4364.0,2182.0,25.0,4101.59,48
CPT,27762,CLTX MED ANKLE FX W/MNPJ,4692.0,2346.0,25.0,4101.59,37
CPT,27766,OPTX MEDIAL ANKLE FX,13800.0,6900.0,25.0,18508.79,36
CPT,27766,TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE,18365.67,9182.835,4539.89,18508.79,48
CPT,27767,CLOSED TREATMENT OF BACK PORTION OF SHIN BONE AT ANKLE,844.0,422.0,154.33,629.19,24
CPT,27767,CLTX POST ANKLE FX,631.0,315.5,154.33,629.19,37
CPT,27780,CLOSED TREATMENT OF BROKEN MIDDLE OR UPPER END OF OUTSIDE LOWER LEG BONE,844.0,422.0,61.73,629.19,96
CPT,27780,TREATMENT OF FIBULA FRACTURE,638.0,319.0,25.0,629.19,74
CPT,27781,TREATMENT OF FIBULA FRACTURE,4302.0,2151.0,25.0,4101.59,37
CPT,27784,TREATMENT OF BROKEN UPPER OR MIDDLE PART OF OUTER LOWER LEG BONE,11577.0,5788.5,4539.89,18508.79,24
CPT,27786,CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE,11404.0,5702.0,61.73,629.19,157
CPT,27786,TREATMENT OF ANKLE FRACTURE,908.0,454.0,25.0,629.19,37
CPT,27788,CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE WITH MANIPULATION,6151.66,3075.83,154.33,629.19,24
CPT,27788,TREATMENT OF ANKLE FRACTURE,663.5,331.75,25.0,629.19,74
CPT,27792,TREATMENT OF ANKLE FRACTURE,13800.0,6900.0,25.0,18508.79,36
CPT,27792,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE,8445.5,4222.75,4539.89,18508.79,72
CPT,27808,CLOSED TREATMENT OF 2 BROKEN LOWER LEG BONES AT ANKLE,819.0,409.5,126.53,629.19,85
CPT,27808,TREATMENT OF ANKLE FRACTURE,631.0,315.5,25.0,629.19,37
CPT,27810,CLOSED TREATMENT OF 2 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION,5317.0,2658.5,25.0,4101.59,109
CPT,27814,TREATMENT OF ANKLE FRACTURE,13800.0,6900.0,25.0,18508.79,37
CPT,27814,TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE,26057.0,13028.5,4539.89,18508.79,48
CPT,27816,CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE,819.0,409.5,154.33,629.19,24
CPT,27816,TREATMENT OF ANKLE FRACTURE,631.0,315.5,131.25,629.19,37
CPT,27818,CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION,4528.0,2264.0,25.0,4101.59,72
CPT,27818,TREATMENT OF ANKLE FRACTURE,4692.0,2346.0,25.0,4101.59,37
CPT,27822,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE,12906.67,6453.34,4539.89,18508.79,72
CPT,27822,TREATMENT OF ANKLE FRACTURE,13800.0,6900.0,25.0,18508.79,36
CPT,27823,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP,22527.5,11263.75,4539.89,18508.79,48
CPT,27824,CLOSED TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT,876.0,438.0,25.0,629.19,72
CPT,27824,TREAT LOWER LEG FRACTURE,908.0,454.0,147.0,629.19,37
CPT,27825,CLOSED TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT WITH MANIPULATION AND/OR TRACTION,6595.5,3297.75,25.0,4101.59,132
CPT,27827,TREAT LOWER LEG FRACTURE,16885.0,8442.5,205.8,32748.28,36
CPT,27827,TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT,19784.67,9892.34,8032.6,32748.28,72
CPT,27828,TREATMENT OF BROKEN LOWER WEIGHT BEARING JOINT OF BOTH LOWER LEG BONES,16105.5,8052.75,205.8,32748.28,84
CPT,27829,TREAT LOWER LEG JOINT,13800.0,6900.0,25.0,18508.79,36
CPT,27829,TREATMENT OF LIGAMENT TEAR AT ANKLE JOINT,7841.29,3920.65,4539.89,18508.79,120
CPT,27830,TREAT LOWER LEG DISLOCATION,725.0,362.5,25.0,629.19,37
CPT,27840,TREAT ANKLE DISLOCATION,725.0,362.5,25.0,629.19,37
CPT,27842,TREAT ANKLE DISLOCATION,4150.0,2075.0,25.0,4101.59,37
CPT,27870,FUSION OF ANKLE JOINT; OPEN PROCEDURE,29543.875,14771.94,8032.6,32748.28,48
CPT,27880,AMPUTATION OF BOTH LOWER LEG BONES,20145.0,10072.5,4539.89,18508.79,24
CPT,27899,OTHER PROCEDURE ON LEG OR ANKLE,9073.0,4536.5,154.33,629.19,72
CPT,27899,UNLISTED PX LEG/ANKLE,690.0,345.0,25.0,629.19,24
CPT,28008,INCISION OF CONNECTIVE TISSUE OF FOOT AND/OR TOE,8957.75,4478.88,2047.14,8346.04,72
CPT,28010,INCISION OF TOE TENDON,4108.0,2054.0,137.55,4101.59,37
CPT,28010,REPAIR OF TOE TENDON,6491.75,3245.875,137.55,4101.59,181
CPT,28011,INCISION OF TOE TENDONS,4108.0,2054.0,36.75,4101.59,37
CPT,28020,INCISION OF FOOT AT ANKLE JOINT FOR EXPLORATION; FLUID DRAINAGE; OR REMOVAL OF FOREIGN BODY,7131.0,3565.5,2047.14,8346.04,24
CPT,28035,RELEASE OF NERVE BETWEEN TISSUE AND ANKLE BONE,10870.295,5435.15,1221.73,4980.91,48
CPT,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,7420.0,3710.0,205.8,7409.19,36
CPT,28039,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE,8939.0,4469.5,1817.35,7409.19,48
CPT,28041,REMOVAL OF GROWTH OF MUSCLE OF FOOT OR TOE; 1.5 CM OR MORE,13693.0,6846.5,1817.35,7409.19,24
CPT,28043,EXC FOOT/TOE TUM SC < 1.5 CM,7608.0,3804.0,39.38,4212.81,37
CPT,28043,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE,7204.0,3602.0,39.38,4212.81,61
CPT,28045,REMOVAL OF GROWTH OF MUSCLE OF FOOT OR TOE; LESS THAN 1.5 CM,10401.0,5200.5,1817.35,7409.19,48
CPT,28060,PARTIAL REMOVAL OF CONNECTIVE TISSUE AT SOLE OF FOOT,9619.81,4809.905,2047.14,8346.04,48
CPT,28062,REMOVAL OF CONNECTIVE TISSUE AT SOLE OF FOOT,16619.0,8309.5,2047.14,8346.04,24
CPT,28080,REMOVAL OF FIBROUS NERVE GROWTH FROM BETWEEN TOES,12844.0,6422.0,1006.05,4101.59,72
CPT,28090,REMOVAL OF FOOT LESION,6908.0,3454.0,162.23,4101.59,37
CPT,28090,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF FOOT,10690.0,5345.0,1006.05,4101.59,48
CPT,28092,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF TOES,4364.0,2182.0,101.33,4101.59,37
CPT,28092,REMOVAL OF TOE LESIONS,6438.0,3219.0,101.33,4101.59,37
CPT,28100,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE,14262.0,7131.0,2047.14,8346.04,24
CPT,28102,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE WITH SELF BONE GRAFT,24681.66,12340.83,4539.89,18508.79,24
CPT,28104,REMOVAL OF CYST OR GROWTH OF FOOT BONE,6211.0,3105.5,2047.14,8346.04,24
CPT,28107,REMOVAL OF CYST OR GROWTH OF FOOT BONE WITH BONE GRAFT,16619.0,8309.5,4539.89,18508.79,24
CPT,28110,REMOVAL OF BUNION AT FIFTH TOE JOINT,6257.79,3128.9,2047.14,8346.04,144
CPT,28112,REMOVAL OF TOE BONE AT SECOND; THIRD; OR FOURTH JOINTS,4749.5,2374.75,2047.14,8346.04,96
CPT,28113,COMPLETE REMOVAL OF FOOT BONE AT FIFTH TOE JOINT,3709.62,1854.81,2047.14,8346.04,24
CPT,28113,PART REMOVAL OF METATARSAL,7091.0,3545.5,205.8,8346.04,37
CPT,28116,REMOVAL OF ABNORMAL BONES AT ANKLE JOINT,14747.5,7373.75,2047.14,8346.04,48
CPT,28118,REMOVAL OF HEEL BONE,7567.33,3783.67,2047.14,8346.04,48
CPT,28119,REMOVAL OF HEEL BONE SPUR,17469.25,8734.625,2047.14,8346.04,48
CPT,28120,PARTIAL REMOVAL OF INFECTED FOOT OR HEEL BONE,5733.25,2866.63,2047.14,8346.04,72
CPT,28122,PARTIAL REMOVAL OF FOOT OR HEEL BONE,10885.33,5442.67,205.8,8346.04,181
CPT,28124,PARTIAL REMOVAL OF TOE BONE,6008.5,3004.25,2047.14,8346.04,168
CPT,28190,REMOVAL OF FOOT FOREIGN BODY,2328.0,1164.0,32.03,1806.27,37
CPT,28190,REMOVAL OF FOREIGN BODY OF FOOT TISSUE; ACCESSED BENEATH THE SKIN,6719.0,3359.5,25.0,1806.27,157
CPT,28192,REMOVAL OF FOREIGN BODY OF FOOT TISSUE; DEEP,14080.17,7040.085,1033.33,4212.81,96
CPT,28200,REPAIR OF TENDON ON SOLE OF FOOT,10007.165,5003.585,205.8,8346.04,61
CPT,28202,SECONDARY REPAIR OF TENDON ON SOLE OF FOOT WITH GRAFT,5899.9,2949.95,63.21,18508.79,37
CPT,28208,REPAIR OF FOOT TENDON,8357.0,4178.5,25.0,8346.04,37
CPT,28208,REPAIR OF TENDON OF TOP SIDE OF FOOT,8769.585,4384.795,205.8,8346.04,85
CPT,28220,REMOVAL OF SCAR TISSUE OF TENDON ON BOTTOM SIDE OF FOOT,5468.0,2734.0,1006.05,4101.59,24
CPT,28230,INCISION OF FOOT TENDON(S),4718.0,2359.0,117.6,4101.59,37
CPT,28230,INCISION TO LENGTHEN FOOT TENDON,6988.995,3494.5,117.6,4101.59,109
CPT,28232,INCISION OF TOE TENDON,4108.0,2054.0,87.15,4101.59,37
CPT,28232,INCISION TO LENGTHEN TOE TENDON,4025.5,2012.75,1006.05,4101.59,72
CPT,28234,INCISION OF FOOT TENDON,4107.0,2053.5,118.13,4101.59,37
CPT,28234,INCISION TO RELEASE FOOT TENDON,3827.45,1913.725,1006.05,4101.59,48
CPT,28238,RECONSTRUCTION OF ANKLE TENDON WITH REMOVAL OF EXTRA ANKLE JOINT BONE,17581.5,8790.75,205.8,18508.79,108
CPT,28240,RELEASE OR LENGTHENING OF TENDON IN FOOT,5670.16,2835.08,2047.14,8346.04,24
CPT,28262,EXTENSIVE REPAIR OF FOOT DEFECT WITH TENDON LENGTHENING AND RELIEF OF TENSION IN FOOT,27537.0,13768.5,4539.89,18508.79,24
CPT,28264,RELEASE OF CAPSULE OF MIDFOOT,5899.9,2949.95,1006.05,4101.59,24
CPT,28270,INCISION OF JOINT CAPSULE OF FOOT AND TOE,5775.055,2887.5299999999997,2047.14,8346.04,216
CPT,28272,INCISION OF TOE JOINT CAPSULE,11340.0,5670.0,1006.05,4101.59,72
CPT,28285,CORRECTION OF TOE JOINT DEFORMITY,6808.08,3404.04,2047.14,8346.04,600
CPT,28288,REMOVAL OF FOOT BONE SPUR,4248.1849999999995,2124.0950000000003,205.8,8346.04,85
CPT,28289,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE,13646.0,6823.0,2047.14,8346.04,120
CPT,28291,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE USING IMPLANT,22165.5,11082.75,4539.89,18508.79,48
CPT,28292,CORRECTION OF BUNION,12654.26,6327.13,2047.14,8346.04,96
CPT,28296,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA,16611.5,8305.75,2047.14,8346.04,96
CPT,28297,CORRECTION OF BUNION WITH MIDFOOT AND HINDFOOT BONE FUSION,25454.835,12727.42,8032.6,32748.28,96
CPT,28298,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF BIG TOE,12846.0,6423.0,4539.89,18508.79,96
CPT,28299,CORRECTION OF BUNION WITH 2 AREAS OF REALIGNMENT,14958.17,7479.085,4539.89,18508.79,144
CPT,28300,INCISION OR PARTIAL REMOVAL OF HEEL BONE,22440.504999999997,11220.255000000001,4539.89,18508.79,96
CPT,28304,INCISION OR PARTIAL REMOVAL OF FOOT BONE,5899.9,2949.95,4539.89,18508.79,24
CPT,28306,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE TO STRAIGHTEN TOE,10767.0,5383.5,4539.89,18508.79,72
CPT,28308,INCISION OR PARTIAL REMOVAL OF FOOT BONE (OTHER THAN BIG TOE) TO STRAIGHTEN TOE,11580.5,5790.25,205.8,8346.04,252
CPT,28310,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE AT FIRST TOE BONE LEVEL TO STRAIGHTEN TOE,8981.665,4490.835,4539.89,18508.79,48
CPT,28312,INCISION OR PARTIAL REMOVAL OF TOE BONE TO STRAIGHTEN TOE,5541.66,2770.83,2047.14,8346.04,144
CPT,28313,RECONSTRUCTION OF SOFT TISSUE ANGULAR DEFORMITY OF TOE,5221.160000000001,2610.5800000000004,2047.14,8346.04,96
CPT,28315,REMOVAL OF SMALL BONE UNDERLYING LONG BONE OF FOOT AT BIG TOE JOINT,11217.34,5608.67,2047.14,8346.04,72
CPT,28322,REPAIR OF NONHEALED BROKEN FOREFOOT BONE,30403.34,15201.67,4539.89,18508.79,24
CPT,28345,REMOVAL OF CONGENITAL WEB SPACE DEFORMITY OF TOES,7163.0,3581.5,1006.05,4101.59,72
CPT,28400,CLOSED TREATMENT OF BROKEN HEEL BONE,844.0,422.0,131.25,629.19,109
CPT,28400,TREATMENT OF HEEL FRACTURE,908.0,454.0,25.0,629.19,37
CPT,28406,PLACEMENT OF STABILIZING DEVICE FOR BROKEN HEEL BONE WITH MANIPULATION,7689.0,3844.5,4539.89,18508.79,24
CPT,28415,TREATMENT OF BROKEN HEEL BONE,32969.67,16484.835,4539.89,18508.79,48
CPT,28420,TREATMENT OF BROKEN HEEL BONE WITH GRAFT,25192.0,12596.0,8032.6,32748.28,24
CPT,28430,CLOSED TREATMENT OF BROKEN ANKLE JOINT BONE,819.0,409.5,154.33,629.19,72
CPT,28430,TREATMENT OF ANKLE FRACTURE,631.0,315.5,116.55,629.19,37
CPT,28435,TREATMENT OF ANKLE FRACTURE,4107.0,2053.5,25.0,4101.59,37
CPT,28450,TREATMENT OF BROKEN FOOT BONE AT ANKLE,737.5,368.75,61.73,629.19,133
CPT,28455,TREAT MIDFOOT FRACTURE EACH,4108.0,2054.0,131.25,4101.59,37
CPT,28456,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FOOT JOINT WITH MANIPULATION,3844.5,1922.25,4539.89,18508.79,24
CPT,28465,TREAT MIDFOOT FRACTURE EACH,12890.0,6445.0,25.0,18508.79,37
CPT,28465,TREATMENT OF BROKEN HIND PORTION OF FOOT,6926.5,3463.25,58.49,18508.79,37
CPT,28470,CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT,844.0,422.0,25.0,629.19,349
CPT,28470,TREAT METATARSAL FRACTURE,774.0,387.0,25.0,629.19,37
CPT,28475,CLOSED TREATMENT OF BROKEN FOOT WITH MANIPULATION,820.0,410.0,25.0,629.19,109
CPT,28475,TREAT METATARSAL FRACTURE,882.0,441.0,123.9,629.19,37
CPT,28485,TREATMENT OF BROKEN MIDPORTION OF FOOT,14950.41,7475.205,32.24,18508.79,109
CPT,28490,CLOSED TREATMENT OF BROKEN GREAT TOE,819.0,409.5,57.75,629.19,109
CPT,28490,TREAT BIG TOE FRACTURE,630.0,315.0,57.75,629.19,37
CPT,28495,CLOSED TREATMENT OF BROKEN GREAT TOE WITH MANIPULATION,5850.0,2925.0,154.33,629.19,24
CPT,28495,TREAT BIG TOE FRACTURE,639.0,319.5,79.28,629.19,37
CPT,28505,TREAT BIG TOE FRACTURE,8721.0,4360.5,25.0,8346.04,37
CPT,28505,TREATMENT OF BROKEN GREAT TOE,6965.0,3482.5,2047.14,8346.04,24
CPT,28510,CLOSED TREATMENT OF BROKEN TOE,973.0,486.5,51.45,629.19,205
CPT,28515,CLOSED TREATMENT OF BROKEN TOE WITH MANIPULATION,591.0,295.5,25.0,629.19,61
CPT,28515,TREATMENT OF TOE FRACTURE,634.0,317.0,25.0,629.19,74
CPT,28530,CLOSED TREATMENT OF BROKEN SMALL BONE IN TENDON ATTACHED TO GREAT TOE,562.0,281.0,154.33,629.19,24
CPT,28530,TREAT SESAMOID BONE FRACTURE,631.0,315.5,93.92,629.19,37
CPT,28555,TREATMENT OF DISLOCATED MIDFOOT OR HINDFOOT BONES,8831.75,4415.875,4539.89,18508.79,48
CPT,28570,TREAT FOOT DISLOCATION,630.0,315.0,25.0,629.19,37
CPT,28575,TREAT FOOT DISLOCATION,8721.0,4360.5,25.0,8346.04,37
CPT,28585,REPAIR FOOT DISLOCATION,13392.0,6696.0,78.75,18508.79,37
CPT,28600,TREAT FOOT DISLOCATION,690.0,345.0,25.0,629.19,37
CPT,28615,TREATMENT OF DISLOCATED MIDFOOT BONE,15322.83,7661.415,47.04,18508.79,109
CPT,28630,TREAT TOE DISLOCATION,908.0,454.0,57.23,629.19,37
CPT,28645,TREATMENT OF DISLOCATED JOINT BETWEEN TOE AND FOOT,9832.0,4916.0,2047.14,8346.04,72
CPT,28660,CLOSED TREATMENT OF DISLOCATED JOINT IN TOE,838.0,419.0,25.0,629.19,24
CPT,28660,TREAT TOE DISLOCATION,901.0,450.5,50.93,629.19,37
CPT,28665,TREAT TOE DISLOCATION,715.0,357.5,174.99,853.6,36
CPT,28715,FUSION OF 3 BONES OF ANKLE,23187.42,11593.71,8032.6,32748.28,48
CPT,28725,FUSION OF FOOT BELOW ANKLE,24378.415,12189.21,8032.6,32748.28,48
CPT,28730,FUSION OF MULTIPLE FOOT JOINTS,26838.165,13419.085,8032.6,32748.28,48
CPT,28735,FUSION OF MULTIPLE FOOT JOINTS WITH BONE INCISION TO CORRECT A FOOT DEFORMITY,31851.34,15925.67,8032.6,32748.28,24
CPT,28737,FUSION OF UPPER PART OF FOOT AND LENGTHENING OF TENDON,15338.0,7669.0,8032.6,32748.28,24
CPT,28740,FUSION OF FOOT IN MIDFOOT REGION,29134.0,14567.0,4539.89,18508.79,48
CPT,28750,FUSION OF BIG TOE AT JOINT WITH FOOT,12576.0,6288.0,4539.89,18508.79,72
CPT,28755,FUSION OF BIG TOE BETWEEN TOE JOINTS,15200.52,7600.26,4539.89,18508.79,72
CPT,28805,AMPUTATION OF FOOT ACROSS INSTEP,26036.75,13018.375,2047.14,8346.04,48
CPT,28810,AMPUTATION OF TOE AND MIDFOOT BONE,8820.67,4410.34,205.8,8346.04,85
CPT,28810,AMPUTATION TOE & METATARSAL,8248.0,4124.0,25.0,8346.04,74
CPT,28820,AMPUTATION OF TOE,8358.0,4179.0,205.8,8346.04,36
CPT,28820,AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES,6603.5,3301.75,205.8,8346.04,300
CPT,28825,AMPUTATION OF TOE AT TOE JOINT,4591.8099999999995,2295.9049999999997,2047.14,8346.04,216
CPT,28825,PARTIAL AMPUTATION OF TOE,8358.0,4179.0,205.8,8346.04,36
CPT,28899,OTHER PROCEDURE ON FOOT OR TOES,4704.58,2352.29,154.33,629.19,96
CPT,28899,UNLISTED PX FOOT/TOES,660.0,330.0,25.0,629.19,48
CPT,29010,APPLICATION OF JACKET TYPE BODY CAST,12316.0,6158.0,147.53,713.41,37
CPT,29035,APPLICATION OF SHOULDER TO HIP BODY CAST,18683.0,9341.5,127.86,713.41,37
CPT,29046,APPLICATION OF SHOULDER TO HIP BODY CAST AND BOTH THIGHS,10630.0,5315.0,174.99,713.41,24
CPT,29065,APPLICATION OF LONG ARM CAST,1039.0,519.5,25.0,713.41,37
CPT,29065,APPLICATION OF SHOULDER TO HAND CAST,987.0,493.5,25.0,713.41,109
CPT,29075,APPLICATION OF ELBOW TO FINGER CAST,1438.5,719.25,25.0,1070.12,181
CPT,29075,APPLICATION OF FOREARM CAST,1031.0,515.5,25.0,713.41,37
CPT,29085,APPLICATION OF HAND AND LOWER FOREARM CAST,480.0,240.0,28.88,414.49,133
CPT,29085,APPLY HAND/WRIST CAST,516.0,258.0,28.88,414.49,37
CPT,29086,APPLY FINGER CAST,451.0,225.5,36.29,414.49,37
CPT,29105,APPLICATION OF LOWER AND UPPER ARM SPLINT,934.5,467.25,25.0,621.74,205
CPT,29105,APPLY LONG ARM SPLINT,670.0,335.0,35.18,414.49,37
CPT,29125,APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT,427.0,213.5,25.0,339.39,554
CPT,29125,APPLY FOREARM SPLINT,340.0,170.0,27.3,339.39,37
CPT,29126,APPLICATION OF MOVEABLE OR HINGED FOREARM TO HAND SPLINT,449.0,224.5,25.0,339.39,24
CPT,29126,APPLY FOREARM SPLINT,483.0,241.5,27.3,339.39,37
CPT,29130,APPLICATION OF FINGER SPLINT,483.0,241.5,25.0,339.39,31
CPT,29130,APPLICATION OF NONMOVEABLE FINGER SPLINT,466.0,233.0,25.0,339.39,240
CPT,29131,APPLICATION OF FINGER SPLINT,164.0,82.0,26.25,150.47,37
CPT,29240,STRAPPING OF SHOULDER,341.0,170.5,13.13,339.39,37
CPT,29305,APPLICATION OF HIP CAST,714.0,357.0,25.0,713.41,37
CPT,29305,APPLICATION OF HIP SPICA CAST ON LEG,12923.0,6461.5,174.99,713.41,24
CPT,29325,APPLICATION OF HIP SPICA CAST ON BOTH LEGS; OR ON LEG AND PART OF OTHER LEG,9436.67,4718.34,174.99,713.41,24
CPT,29345,APPLICATION OF LONG LEG CAST FROM THIGH TO TOE,996.0,498.0,25.0,713.41,133
CPT,29355,APPLICATION OF LONG LEG CAST,1172.0,586.0,25.0,713.41,37
CPT,29355,APPLICATION OF WALKING CAST COVERING THIGH TO TOE,1441.5,720.75,174.99,1070.12,48
CPT,29358,APPLICATION OF LONG LEG BRACE-TYPE CAST FROM THIGH TO TOE,730.0,365.0,25.0,713.41,24
CPT,29358,APPLY LONG LEG CAST BRACE,785.0,392.5,25.0,713.41,37
CPT,29365,APPLICATION OF LONG LEG CAST,843.0,421.5,63.0,713.41,37
CPT,29405,APPLICATION OF SHORT LEG CAST,2154.5,1077.25,25.0,713.41,133
CPT,29405,APPLY SHORT LEG CAST,921.0,460.5,25.0,713.41,37
CPT,29425,APPLICATION OF WALKING CAST COVERING BELOW KNEE TO TOE,1439.5,719.75,25.0,1070.12,218
CPT,29425,APPLY SHORT LEG CAST,1034.0,517.0,25.0,713.41,37
CPT,29435,APPLY SHORT LEG CAST,715.0,357.5,80.87,713.41,37
CPT,29445,APPLICATION OF WALKING CAST COVERING FOOT; ANKLE; AND LOWER LEG,1612.5,806.25,106.54,1500.0,109
CPT,29445,APPLY RIGID LEG CAST,1156.0,578.0,106.54,713.41,37
CPT,29450,APPLICATION OF LEG CAST,509.0,254.5,43.05,414.49,37
CPT,29450,APPLICATION OF LEG CAST AND MANIPULATION OF FOOT TO TREAT DEFORMITY,3833.165,1916.585,43.05,621.74,157
CPT,29505,APPLICATION OF LONG LEG SPLINT FROM THIGH TO ANKLE OR TOE,578.0,289.0,25.0,414.49,85
CPT,29515,APPLICATION LOWER LEG SPLINT,622.0,311.0,25.0,414.49,37
CPT,29515,APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT,889.0,444.5,25.0,621.74,290
CPT,29540,STRAPPING OF ANKLE AND/OR FT,366.5,183.25,21.0,414.49,74
CPT,29550,STRAPPING OF TOES,151.0,75.5,21.0,209.72,37
CPT,29580,STRAPPING UNNA BOOT,622.0,311.0,101.67,414.49,31
CPT,29580,STRAPPING; UNNA BOOT,867.0,433.5,101.67,621.74,55
CPT,29581,APPLICATION OF VEIN WOUND COMPRESSION BANDAGES ON LOWER LEG; ANKLE; AND FOOT,821.5,410.75,101.67,1500.0,96
CPT,29581,APPLY MULTLAY COMPRS LWR LEG,570.5,285.25,26.53,1500.0,74
CPT,29584,APPL MULTLAY COMPRS ARM/HAND,491.0,245.5,12.67,414.49,37
CPT,29700,REMOVAL OR CUTTING OF GAUNTLET; BOOT; OR BODY CAST,785.0,392.5,25.0,713.41,24
CPT,29700,REMOVAL/REVISION OF CAST,785.0,392.5,174.99,713.41,31
CPT,29705,REMOVAL/REVISION OF CAST,736.0,368.0,174.99,713.41,31
CPT,29730,EXAM OF SKIN SURFACE BY CREATION OF OPENING IN CAST,410.0,205.0,101.67,414.49,24
CPT,29730,WINDOWING OF CAST,410.0,205.0,33.97,414.49,37
CPT,29799,OTHER CASTING OR WRAPPING PROCEDURE,428.0,214.0,101.67,414.49,48
CPT,29799,UNLISTED PX CASTING/STRPG,461.0,230.5,101.67,414.49,24
CPT,29805,DIAGNOSTIC EXAM OF SHOULDER USING AN ENDOSCOPE,12585.0,6292.5,2047.14,8346.04,24
CPT,29805,SHO ARTHRS DX +- SYNOVIAL BX,8358.0,4179.0,195.3,8346.04,37
CPT,29806,REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE,51182.5,25591.25,4539.89,18508.79,48
CPT,29807,REPAIR OF SHOULDER SOCKET USING AN ENDOSCOPE,17606.125,8803.064999999999,4539.89,18508.79,48
CPT,29819,REMOVAL OF LOOSE OR FOREIGN BODY IN SHOULDER JOINT USING AN ENDOSCOPE,17338.17,8669.085,2047.14,8346.04,48
CPT,29822,LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE,8650.0,4325.0,2047.14,8346.04,48
CPT,29823,REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE,17543.0,8771.5,2047.14,8346.04,48
CPT,29824,PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE,9685.875,4842.9400000000005,2047.14,8346.04,48
CPT,29825,REMOVAL OF SHOULDER SCAR TISSUE USING AN ENDOSCOPE,12615.0,6307.5,2047.14,8346.04,48
CPT,29826,SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE,14033.75,7016.875,98.8,402.8,48
CPT,29827,REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE,24325.21,12162.61,4539.89,18508.79,48
CPT,29828,RELEASE OF TENDON CONNECTING BICEPS MUSCLE AND SHOULDER USING AN ENDOSCOPE,15868.54,7934.275,4539.89,18508.79,96
CPT,29834,REMOVAL OF LOOSE OR FOREIGN BODY IN ELBOW JOINT USING AN ENDOSCOPE,5848.75,2924.38,2047.14,8346.04,24
CPT,29836,REMOVAL OF ENTIRE ELBOW JOINT LINING USING AN ENDOSCOPE,15911.47,7955.735,4539.89,18508.79,48
CPT,29838,REMOVAL OF EXTENSIVE DAMAGED TISSUE FROM ELBOW JOINT USING AN ENDOSCOPE,25094.0,12547.0,2047.14,8346.04,24
CPT,29840,DIAGNOSTIC EXAM OF WRIST USING AN ENDOSCOPE,7233.66,3616.83,2047.14,8346.04,24
CPT,29844,PARTIAL REMOVAL OF WRIST JOINT LINING USING AN ENDOSCOPE,9470.0,4735.0,2047.14,8346.04,24
CPT,29846,REMOVAL OR REPAIR OF WRIST CARTILAGE USING AN ENDOSCOPE,15772.0,7886.0,2047.14,8346.04,48
CPT,29847,PLACEMENT OF INTERNAL STABILIZING DEVICE USING AN ENDOSCOPE TO TREAT BROKEN OR UNSTABLE WRIST,23654.0,11827.0,4539.89,18508.79,24
CPT,29848,RELEASE OF WRIST LIGAMENT USING AN ENDOSCOPE,10038.5,5019.25,1006.05,8346.04,144
CPT,29851,TREATMENT OF BROKEN KNEE JOINT WITH PLACEMENT OF STABILIZING DEVICE USING AN ENDOSCOPE,29315.0,14657.5,1006.05,4101.59,24
CPT,29870,DIAGNOSTIC EXAM OF KNEE USING AN ENDOSCOPE,12299.5,6149.75,2047.14,8346.04,48
CPT,29870,KNEE ARTHROSCOPY DX,10783.0,5391.5,205.8,8346.04,36
CPT,29873,RELEASE OF LIGAMENTS AT OUTER SIDE OF KNEE JOINT USING AN ENDOSCOPE,16895.59,8447.795,2047.14,8346.04,48
CPT,29874,REMOVAL OF LOOSE OR FOREIGN BODY IN KNEE JOINT USING AN ENDOSCOPE,10956.0,5478.0,2047.14,8346.04,48
CPT,29875,PARTIAL REMOVAL OF KNEE JOINT LINING USING AN ENDOSCOPE,10013.0,5006.5,2047.14,8346.04,72
CPT,29876,REMOVAL OF JOINT LINING FROM MULTIPLE KNEE JOINT COMPARTMENTS USING AN ENDOSCOPE,26328.5,13164.25,2047.14,8346.04,48
CPT,29877,KNEE ARTHROSCOPY/SURGERY,9451.0,4725.5,205.8,8346.04,36
CPT,29877,REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE,7824.33,3912.165,2047.14,8346.04,72
CPT,29879,REPAIR OF KNEE JOINT WITH DRILLING AND OR SCRAPING OF JOINT USING AN ENDOSCOPE,22618.0,11309.0,2047.14,8346.04,24
CPT,29880,REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE,11931.0,5965.5,2047.14,8346.04,48
CPT,29881,REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE,10472.5,5236.25,2047.14,8346.04,168
CPT,29882,REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,13766.66,6883.33,2047.14,8346.04,72
CPT,29883,KNEE ARTHROSCOPY/SURGERY,9451.0,4725.5,205.8,8346.04,36
CPT,29883,REPAIR OF INSIDE AND OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,26185.085,13092.545,2047.14,8346.04,48
CPT,29884,REMOVAL OF SCAR TISSUE FROM KNEE USING AN ENDOSCOPE,13924.0,6962.0,2047.14,8346.04,48
CPT,29886,REPAIR OF KNEE JOINT BY DRILLING CARTILAGE USING AN ENDOSCOPE,10690.0,5345.0,2047.14,8346.04,48
CPT,29888,REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE,27631.67,13815.835,4539.89,18508.79,240
CPT,29889,REPAIR OF POSTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE,48618.0,24309.0,8032.6,32748.28,72
CPT,29891,REMOVAL OF SHIN AND/OR ANKLE BONE DEFECT USING AN ENDOSCOPE,25040.0,12520.0,2047.14,8346.04,24
CPT,29893,REPAIR OF FIBROUS TISSUE OF ARCH OF FOOT USING AN ENDOSCOPE,13930.0,6965.0,2047.14,8346.04,24
CPT,29895,PARTIAL REMOVAL OF ANKLE JOINT LINING USING AN ENDOSCOPE,6260.0,3130.0,2047.14,8346.04,24
CPT,29897,REMOVAL OF LIMITED DEAD OR INFECTED TISSUE USING AN ENDOSCOPE,16579.34,8289.67,2047.14,8346.04,24
CPT,29914,RESHAPING OF THIGH BONE AT HIP JOINT USING AN ENDOSCOPE,13972.0,6986.0,4539.89,18508.79,48
CPT,29915,RESHAPING OF HIP SOCKET USING AN ENDOSCOPE,39334.0,19667.0,4539.89,18508.79,48
CPT,29916,REPAIR OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,32222.255,16111.13,4539.89,18508.79,48
CPT,29999,OTHER PROCEDURE ON JOINT USING AN ENDOSCOPE,13930.0,6965.0,154.33,629.19,72
CPT,30000,DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NOSE,930.0,465.0,25.0,604.15,24
CPT,30000,DRAINAGE OF NOSE LESION,930.0,465.0,25.0,604.15,37
CPT,30020,DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NASAL CARTILAGE,5740.5,2870.25,25.0,1375.69,74
CPT,30020,DRAINAGE OF NOSE LESION,1596.0,798.0,77.18,1375.69,37
CPT,30100,BIOPSY OF LINING OF NOSE,4115.5650000000005,2057.785,40.43,3957.72,74
CPT,30100,INTRANASAL BIOPSY,4233.0,2116.5,40.43,3957.72,37
CPT,30110,REMOVAL OF NOSE POLYP(S),3963.0,1981.5,47.25,3957.72,37
CPT,30117,REMOVAL OF INTRANASAL LESION,8469.0,4234.5,90.83,8456.92,37
CPT,30117,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE THROUGH NOSE,11383.0,5691.5,90.83,8456.92,37
CPT,30120,REMOVAL OR SCRAPING OF SKIN ON NOSE,9873.0,4936.5,205.8,8456.92,74
CPT,30120,REVISION OF NOSE,8468.0,4234.0,205.8,8456.92,37
CPT,30130,REMOVAL OF NASAL AIR PASSAGE,6932.5,3466.25,2074.34,8456.92,72
CPT,30140,REMOVAL OF NASAL AIR PASSAGE UNDER LINING TISSUE,10425.165,5212.585,205.8,8456.92,109
CPT,30140,RESECT INFERIOR TURBINATE,9399.0,4699.5,25.0,8456.92,37
CPT,30150,PARTIAL REMOVAL OF NOSE,26937.0,13468.5,205.8,15099.99,37
CPT,30220,INSERT NASAL SEPTAL BUTTON,3963.0,1981.5,205.8,3957.72,31
CPT,30220,INSERTION OF IMPLANT TO CLOSE NASAL PASSAGE,4510.0,2255.0,205.8,3957.72,31
CPT,30300,REMOVAL OF FOREIGN BODY IN NOSE,848.0,424.0,23.63,339.39,133
CPT,30300,REMOVE NASAL FOREIGN BODY,382.5,191.25,23.63,339.39,74
CPT,30310,REMOVAL OF FOREIGN BODY IN NOSE UNDER ANESTHESIA,3174.0,1587.0,2074.34,8456.92,24
CPT,30400,RESHAPING OF TIP OF NOSE,51115.0,25557.5,205.8,15099.99,31
CPT,30420,RESHAPING OF BONY CARTILAGE DIVIDING NASAL PASSAGES,23707.34,11853.67,205.8,15099.99,31
CPT,30430,REVISION OF NOSE,15121.0,7560.5,205.8,15099.99,31
CPT,30450,REVISION TO RESHAPE NASAL BONES AND TIP OF NOSE AFTER PREVIOUS REPAIR,55929.0,27964.5,205.8,15099.99,31
CPT,30460,REVISION OF CONGENITAL NASAL DEFECT TO LENGTHEN TIP OF NOSE,26025.0,13012.5,205.8,15099.99,36
CPT,30465,REPAIR OF NASAL PASSAGE,22858.75,11429.375,205.8,15099.99,60
CPT,30468,REPAIR OF COLLAPSED NOSTRIL USING IMPLANT IN SIDE OF NOSE,6870.0,3435.0,205.8,15099.99,36
CPT,30469,REPAIR OF NASAL VALVE COLLAPSE WITH LOW ENERGY; TEMPERATURE-CONTROLLED (IE; RADIOFREQUENCY) SUBCUTANEOUS/SUBMUCOSAL REMODELING,4258.5,2129.25,112.98,15099.99,36
CPT,30520,REPAIR OF NASAL SEPTUM,9399.0,4699.5,25.0,8456.92,36
CPT,30520,RESHAPING OF NASAL CARTILAGE,5412.915,2706.46,205.8,8456.92,60
CPT,30560,RELEASE OF NASAL SCAR TISSUE,3362.64,1681.32,36.75,1375.69,61
CPT,30580,REPAIR OF ABNORMAL DRAINAGE TRACT BETWEEN NASAL SINUSES,9128.67,4564.34,205.8,15099.99,37
CPT,30600,REPAIR OF ABNORMAL DRAINAGE TRACT BETWEEN MOUTH AND NASAL CAVITY,9539.34,4769.67,205.8,15099.99,37
CPT,30620,RECONSTRUCTION OF LINING OF NASAL PASSAGE WITH GRAFT,79449.0,39724.5,3703.77,15099.99,24
CPT,30630,REPAIR OF OPENINGS OF NASAL CARTILAGE,16702.52,8351.26,205.8,8456.92,37
CPT,30801,DESTRUCTION OF SOFT TISSUE OF NASAL PASSAGES,7614.875,3807.44,39.9,3957.72,109
CPT,30802,ABLATE INF TURBINATE SUBMUC,4142.0,2071.0,39.9,3957.72,37
CPT,30802,DESTRUCTION OF SURFACE SOFT TISSUE OF NASAL PASSAGES,11041.66,5520.83,39.9,3957.72,85
CPT,30901,SIMPLE CONTROL OF NOSE BLEED,719.5,359.75,25.0,339.39,170
CPT,30903,COMPLEX CONTROL OF NOSE BLEED,458.0,229.0,25.0,339.39,24
CPT,30903,CONTROL OF NOSEBLEED,601.0,300.5,25.0,339.39,37
CPT,30905,CONTROL OF NOSEBLEED,633.0,316.5,83.25,339.39,37
CPT,30905,INITIAL CONTROL OF NOSE BLEED AND INSERTION OF PACKING,449.0,224.5,83.25,339.39,61
CPT,30906,REPEAT CONTROL OF NOSEBLEED,700.0,350.0,83.48,604.15,37
CPT,30930,THER FX NASAL INF TURBINATE,9399.0,4699.5,25.0,8456.92,37
CPT,30930,THERAPEUTIC FRACTURE OF NASAL PASSAGES,7795.63,3897.815,61.95,8456.92,170
CPT,30999,OTHER PROCEDURE ON NOSE,5685.0,2842.5,25.0,604.15,96
CPT,30999,UNLISTED PROCEDURE NOSE,727.0,363.5,25.0,604.15,24
CPT,31000,IRRIGATION OF NASAL SINUS,9152.75,4576.375,148.19,906.22,48
CPT,31032,REMOVAL OF NASAL SINUS POLYP,38153.34,19076.67,3703.77,15099.99,24
CPT,31085,INSERTION OF MATERIAL TO STOP GROWTH OF NASAL SINUS LINING WITH BONE FLAP THROUGH FOREHEAD,31127.34,15563.67,3703.77,15099.99,24
CPT,31090,REMOVAL OF TISSUE OR GROWTHS IN 3 OR MORE NASAL SINUSES ON SIDE OF FACE,20090.52,10045.26,3703.77,15099.99,24
CPT,31201,REMOVAL OF NASAL SINUS FROM WITHIN NASAL PASSAGE,7961.66,3980.83,970.76,3957.72,24
CPT,31205,REMOVAL OF NASAL SINUS FROM OUTSIDE NASAL PASSAGE,9892.33,4946.17,2074.34,8456.92,24
CPT,31231,DIAGNOSTIC EXAM OF NASAL PASSAGES USING AN ENDOSCOPE,1689.66,844.83,25.0,509.14,314
CPT,31231,NASAL ENDOSCOPY DX,903.0,451.5,25.0,509.14,37
CPT,31233,NSL/SINS NDSC DX MAX SINUSC,1193.0,596.5,21.08,997.65,37
CPT,31235,NSL/SINS NDSC DX SPHN SINUSC,4548.0,2274.0,105.0,4540.06,36
CPT,31237,BIOPSY OR REMOVAL OF NASAL POLYP OR TISSUE USING AN ENDOSCOPE,9144.5,4572.25,205.8,4540.06,288
CPT,31237,NSL/SINS NDSC SURG BX POLYPC,6405.0,3202.5,205.8,4540.06,36
CPT,31238,CONTROL OF BLEEDING OF NOSE USING AN ENDOSCOPE,5958.0,2979.0,25.0,9510.08,216
CPT,31238,NSL/SINS NDSC SRG NSL HEMRRG,7904.0,3952.0,25.0,4540.06,36
CPT,31239,INCISION OF TEAR DUCT USING AN ENDOSCOPE,9589.5,4794.75,205.8,18001.82,132
CPT,31240,NSL/SNS NDSC CNCH BULL RESCJ,6011.0,3005.5,205.8,4540.06,36
CPT,31240,REMOVAL OF NASAL BREATHING PASSAGES USING AN ENDOSCOPE,4379.5,2189.75,205.8,4540.06,132
CPT,31241,TYING OF SPHENOPALATINE ARTERY USING AN ENDOSCOPE,6891.96,3445.985,1113.6,4540.06,48
CPT,31253,COMPLETE EXAM OF NOSE AND SINUSES USING AN ENDOSCOPE,23221.260000000002,11610.630000000001,205.8,18001.82,108
CPT,31253,NSL/SINS NDSC TOTAL,16318.0,8159.0,25.0,18001.82,36
CPT,31254,PARTIAL REMOVAL OF NASAL SINUS USING AN ENDOSCOPE,3371.365,1685.685,205.8,18001.82,204
CPT,31255,REMOVAL OF NASAL SINUS USING AN ENDOSCOPE,11399.5,5699.75,205.8,18001.82,180
CPT,31256,EXPLORATION MAXILLARY SINUS,9523.0,4761.5,205.8,9510.08,36
CPT,31256,INCISION OF NASAL SINUS USING AN ENDOSCOPE,3881.75,1940.875,205.8,9510.08,204
CPT,31257,EXAM OF NOSE AND SINUS WITH REMOVAL OF NASAL SINUS USING AN ENDOSCOPE,3999.4,1999.7,205.8,18001.82,132
CPT,31259,REMOVAL OF TISSUE FROM SPHENOID SINUS USING AN ENDOSCOPE,20178.0,10089.0,4415.54,18001.82,72
CPT,31267,ENDOSCOPY MAXILLARY SINUS,16318.0,8159.0,205.8,18001.82,36
CPT,31267,REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE,13176.67,6588.34,205.8,18001.82,132
CPT,31276,EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE,19997.0,9998.5,205.8,18001.82,132
CPT,31276,NSL/SINS NDSC FRNT TISS RMVL,15865.0,7932.5,205.8,18001.82,36
CPT,31287,INCISION OF SPHENOID NASAL SINUS USING AN ENDOSCOPE,3546.81,1773.405,4415.54,18001.82,48
CPT,31288,REMOVAL OF SPHENOID NASAL SINUS TISSUE USING AN ENDOSCOPE,7539.5,3769.75,4415.54,18001.82,72
CPT,31290,REPAIR OF LEAK OF BRAIN AND SPINAL FLUID FROM SINUS BEHIND BRIDGE OF NOSE USING ENDOSCOPE,18274.0,9137.0,205.8,2636.83,31
CPT,31292,DECOMPRESSION OF MEDIAL OR INFERIOR WALL OF EYE SOCKET USING AN ENDOSCOPE,13571.51,6785.76,205.8,18001.82,84
CPT,31292,NSL/SINS NDSC MED/INF DCMPRN,16318.0,8159.0,25.0,18001.82,36
CPT,31293,DECOMPRESSION OF MEDIAL AND INFERIOR WALL OF EYE SOCKET USING AN ENDOSCOPE,14748.0,7374.0,4415.54,18001.82,24
CPT,31296,DILATION OF FRONTAL NASAL SINUS USING AN ENDOSCOPE,10313.52,5156.76,4415.54,18001.82,24
CPT,31297,DILATION OF SPHENOID NASAL SINUS USING AN ENDOSCOPE,26122.0,13061.0,4415.54,18001.82,24
CPT,31299,OTHER PROCEDURE ON ACCESSORY SINUSES,3420.2,1710.1,148.19,604.15,72
CPT,31299,UNLISTED PX ACCESSORY SINUS,613.0,306.5,148.19,604.15,24
CPT,31360,COMPLETE REMOVAL OF VOICE BOX,12651.0,6325.5,1155.32,4710.16,24
CPT,31500,EMERGENT INSERTION OF BREATHING TUBE INTO WINDPIPE USING AN ENDOSCOPE,881.0,440.5,25.0,604.15,98
CPT,31502,CHANGE OF BREATHING TUBE IN WINDPIPE,353.0,176.5,25.0,604.15,55
CPT,31502,CHANGE OF WINDPIPE AIRWAY,670.0,335.0,148.19,604.15,31
CPT,31505,DIAGNOSTIC EXAM OF VOICE BOX USING AN ENDOSCOPE WITH MIRROR,582.0,291.0,105.0,509.14,31
CPT,31505,DIAGNOSTIC LARYNGOSCOPY,626.0,313.0,25.0,509.14,31
CPT,31513,INJECTION INTO VOCAL CORD,999.0,499.5,126.78,997.65,37
CPT,31520,DX LARYNGOSCOPY NEWBORN,1464.0,732.0,105.0,997.65,37
CPT,31525,DIAGNOSTIC EXAM OF VOICE BOX USING AN ENDOSCOPE,8032.0,4016.0,105.0,4540.06,109
CPT,31525,DX LARYNGOSCOPY EXCL NB,5585.0,2792.5,105.0,4540.06,37
CPT,31526,DIAGNOSTIC EXAM OF VOICE BOX USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,4695.34,2347.67,123.9,4540.06,85
CPT,31526,DX LARYNGOSCOPY W/OPER SCOPE,6396.0,3198.0,123.9,4540.06,37
CPT,31528,INITIAL DILATION OF VOICE BOX USING AN ENDOSCOPE,9770.5,4885.25,205.8,9510.08,36
CPT,31528,LARYNGOSCOPY AND DILATION,9591.0,4795.5,205.8,9510.08,36
CPT,31529,SUBSEQUENT DILATION OF VOICE BOX USING AN ENDOSCOPE,7356.0,3678.0,205.8,9510.08,36
CPT,31530,LARYNGOSCOPY W/FB REMOVAL,4956.0,2478.0,25.0,4540.06,36
CPT,31530,REMOVAL OF FOREIGN BODY IN VOICE BOX USING AN ENDOSCOPE,13053.75,6526.88,205.8,4540.06,36
CPT,31531,LARYNGOSCOPY W/FB & OP SCOPE,10934.0,5467.0,205.8,9510.08,36
CPT,31535,BIOPSY OF VOICE BOX USING AN ENDOSCOPE,9357.5,4678.75,205.8,9510.08,108
CPT,31536,BIOPSY OF VOICE BOX USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,3648.705,1824.355,205.8,9510.08,61
CPT,31540,REMOVAL OF GROWTH OF THROAT AND/OR STRIPPING OF VOCAL CORDS USING AN ENDOSCOPE,20623.0,10311.5,205.8,9510.08,37
CPT,31541,REMOVAL OF GROWTH OF TONGUE AND/OR STRIPPING OF VOCAL CORD USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,14242.0,7121.0,205.8,9510.08,85
CPT,31545,REMOVAL OF VOCAL CORD GROWTHS AND RECONSTRUCTION WITH LOCAL TISSUE FLAP USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,12384.0,6192.0,205.8,9510.08,60
CPT,31561,REMOVAL OF VOICE BOX CARTILAGE USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,8414.33,4207.17,205.8,18001.82,37
CPT,31570,INJECTION INTO VOCAL CORDS USING AN ENDOSCOPE,5069.0,2534.5,198.45,9510.08,98
CPT,31570,LARYNGOSCOPE W/VC INJ,9523.0,4761.5,198.45,9510.08,37
CPT,31571,INJECTION INTO VOCAL CORDS USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,8919.0,4459.5,198.45,9510.08,85
CPT,31572,LARGSC W/LASER DSTRJ LES,9523.0,4761.5,136.66,9510.08,37
CPT,31573,INJECTION OF DRUG INTO SIDE OF VOICE BOX USING AN ENDOSCOPE,6732.33,3366.165,112.2,4540.06,61
CPT,31573,LARGSC W/THER INJECTION,4547.0,2273.5,112.2,4540.06,37
CPT,31574,INJECTION OF SUBSTANCE TO AUGMENT VOICE BOX USING AN ENDOSCOPE,7999.34,3999.67,1113.6,4540.06,96
CPT,31574,LARGSC W/NJX AUGMENTATION,4547.0,2273.5,112.72,4540.06,37
CPT,31575,DIAGNOSTIC EXAM OF VOICE BOX USING A FLEXIBLE ENDOSCOPE,1743.16,871.58,25.0,1500.0,279
CPT,31576,BIOPSY OF VOICE BOX USING A FLEXIBLE ENDOSCOPE,5311.5,2655.75,25.0,4540.06,74
CPT,31576,LARYNGOSCOPY WITH BIOPSY,5711.0,2855.5,25.0,4540.06,37
CPT,31577,LARGSC W/RMVL FOREIGN BDY(S),1318.0,659.0,25.0,997.65,36
CPT,31577,REMOVAL OF FOREIGN BODY IN VOICE BOX USING A FLEXIBLE ENDOSCOPE,1226.0,613.0,25.0,997.65,24
CPT,31578,LARGSC W/REMOVAL LESION,9523.0,4761.5,160.52,9510.08,37
CPT,31579,EXAM TO ASSESS MOVEMENT OF VOCAL CORD FLAPS USING AN ENDOSCOPE,1335.0,667.5,78.75,997.65,36
CPT,31579,LARYNGOSCOPY TELESCOPIC,1131.0,565.5,78.75,997.65,36
CPT,31591,LARYNGOPLASTY MEDIALIZATION,15120.0,7560.0,810.67,15099.99,36
CPT,31591,REPAIR OF SIDE OF VOICE BOX BY MOVING VOCAL CORD TO MIDDLE,24227.0,12113.5,810.67,15099.99,60
CPT,31599,OTHER PROCEDURE ON VOICE BOX,3075.66,1537.83,148.19,604.15,24
CPT,31599,UNLISTED PROCEDURE LARYNX,676.0,338.0,148.19,604.15,24
CPT,31600,INCISION OF WINDPIPE FOR INSERTION OF BREATHING TUBE (OLDER THAN 2 YEARS),8108.0,4054.0,205.8,8456.92,36
CPT,31600,PLANNED TRACHEOSTOMY,5200.5,2600.25,205.8,8456.92,72
CPT,31603,EMER TRACHEOSTOMY TTRACH,3981.0,1990.5,25.0,3957.72,37
CPT,31605,EMER TRACHEOSTOMY CTHYR MEM,759.0,379.5,25.0,604.15,37
CPT,31605,EMERGENT INCISION OF WINDPIPE FOR INSERTION OF BREATHING TUBE,663.0,331.5,25.0,604.15,37
CPT,31612,PUNCTURE OF WINDPIPE FOR ASPIRATION AND/OR INJECTION,8721.0,4360.5,38.85,8456.92,37
CPT,31613,SIMPLE REVISION OF PERMANENT OPENING OF WINDPIPE FOR BREATHING,16619.0,8309.5,204.75,8456.92,37
CPT,31614,REVISION OF PERMANENT OPENING OF WINDPIPE FOR BREATHING WITH FLAP ROTATION,16792.5,8396.25,205.8,15099.99,37
CPT,31615,EXAM OF WINDPIPE AND LUNG AIRWAYS THROUGH PERMANENT WINDPIPE OPENING USING AN ENDOSCOPE,1580.0,790.0,25.0,1375.69,98
CPT,31622,DIAGNOSTIC EXAM OF LUNG AIRWAY USING AN ENDOSCOPE,5513.0,2756.5,105.0,4540.06,146
CPT,31623,EXAM OF LUNG AIRWAYS USING AN ENDOSCOPE,645.0,322.5,141.91,4540.06,98
CPT,31624,DX BRONCHOSCOPE/LAVAGE,4236.0,2118.0,141.91,4540.06,37
CPT,31624,IRRIGATION AND SUCTION OF LUNG AIRWAYS TO OBTAIN CELLS USING AN ENDOSCOPE,2871.0,1435.5,141.91,4540.06,146
CPT,31625,BIOPSY OF LUNG AIRWAY USING AN ENDOSCOPE,1290.0,645.0,165.7,4540.06,98
CPT,31625,BRONCHOSCOPY W/BIOPSY(S),4547.0,2273.5,165.7,4540.06,37
CPT,31626,PLACEMENT OF RADIATION THERAPY MARKERS INTO LUNG AIRWAYS USING AN ENDOSCOPE,23191.5,11595.75,149.27,18001.82,36
CPT,31627,COMPUTER-ASSISTED IMAGE-GUIDED NAVIGATION OF LUNG AIRWAYS USING AN ENDOSCOPE,1564.875,782.44,56.1,228.7,55
CPT,31627,NAVIGATIONAL BRONCHOSCOPY,3612.0,1806.0,56.1,228.7,31
CPT,31628,BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE; 1 LOBE,5742.915,2871.46,184.59,9510.08,170
CPT,31628,BRONCHOSCOPY/LUNG BX EACH,9909.0,4954.5,184.59,9510.08,37
CPT,31629,BRONCHOSCOPY/NEEDLE BX EACH,9523.0,4761.5,196.76,9510.08,37
CPT,31629,NEEDLE BIOPSY OF WINDPIPE CARTILAGE; AIRWAY; AND/OR LUNG USING AN ENDOSCOPE,17434.01,8717.01,196.76,9510.08,98
CPT,31630,DILATION OF WINDPIPE CARTILAGE OR TREATMENT OF BROKEN WINDPIPE CARTILAGE USING AN ENDOSCOPE,10220.0,5110.0,200.83,9510.08,61
CPT,31631,PLACEMENT OF STENT INTO WINDPIPE USING AN ENDOSCOPE,18796.0,9398.0,205.8,18001.82,37
CPT,31632,BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE; EACH ADDITIONAL LOBE,9101.33,4550.67,28.16,209.72,37
CPT,31633,NEEDLE BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE; EACH ADDITIONAL LOBE,4177.7,2088.85,36.83,150.15,37
CPT,31634,BRONCH W/BALLOON OCCLUSION,15865.0,7932.5,105.0,18001.82,36
CPT,31635,BRONCHOSCOPY W/FB REMOVAL,4546.0,2273.0,25.0,4540.06,37
CPT,31635,REMOVAL OF FOREIGN BODY IN LUNG AIRWAYS USING AN ENDOSCOPE,2347.66,1173.83,184.96,4540.06,37
CPT,31636,PLACEMENT OF STENT IN LUNG AIRWAY USING AN ENDOSCOPE; FIRST STENT,6874.5,3437.25,196.16,18001.82,37
CPT,31641,BRONCHOSCOPY TREAT BLOCKAGE,9909.0,4954.5,205.8,9510.08,37
CPT,31641,DESTRUCTION OF GROWTH OR NARROWING OF LUNG AIRWAY USING AN ENDOSCOPE,10566.0,5283.0,205.8,9510.08,37
CPT,31645,ASPIRATION OF INITIAL SECRETION OF LUNG AIRWAY USING AN ENDOSCOPE,1123.5,561.75,155.19,4540.06,74
CPT,31645,BRNCHSC W/THER ASPIR 1ST,5257.5,2628.75,25.0,4540.06,74
CPT,31647,ASSESSMENT OF INITIAL LOBE OF LUNG FOR AIR LEAK AND AIRWAY SIZING WITH INSERTION OF BRONCHIAL VALVE IN LUNG AIRWAY USING AN ENDOSCOPE,13757.0,6878.5,205.8,18001.82,31
CPT,31647,BRONCHIAL VALVE INIT INSERT,12806.0,6403.0,205.8,18001.82,31
CPT,31648,BRONCHIAL VALVE REMOV INIT,11649.0,5824.5,205.8,9510.08,31
CPT,31648,REMOVAL OF BRONCHIAL VALVES OF LUNG AIRWAYS OF LOBE OF LUNG USING AN ENDOSCOPE; INITIAL LOBE,10836.0,5418.0,205.8,9510.08,31
CPT,31649,BRONCHIAL VALVE REMOV ADDL,4548.0,2274.0,51.73,4540.06,31
CPT,31651,ASSESSMENT OF AIR LEAK AND AIRWAY SIZING WITH INSERTION OF BRONCHIAL VALVE IN LUNG AIRWAY USING AN ENDOSCOPE; EACH ADDITIONAL LOBE,3138.0,1569.0,44.13,179.91,31
CPT,31651,BRONCHIAL VALVE ADDL INSERT,1125.0,562.5,44.13,179.91,31
CPT,31652,BRONCH EBUS SAMPLNG 1/2 NODE,6989.0,3494.5,205.8,9510.08,36
CPT,31652,EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE; 1-2 LYMPH NODES,6156.165,3078.085,205.8,9510.08,120
CPT,31653,BRONCH EBUS SAMPLNG 3/> NODE,10934.0,5467.0,205.8,9510.08,36
CPT,31653,EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE; 3 OR MORE LYMPH NODES,10171.0,5085.5,205.8,9510.08,108
CPT,31654,BRONCH EBUS IVNTJ PERPH LES,3216.0,1608.0,39.25,209.72,36
CPT,31654,EXAM OF LUNG AIRWAYS WITH DIAGNOSTIC OR THERAPEUTIC PROCEDURE ON GROWTHS USING AN ENDOSCOPE AND ULTRASOUND,1669.375,834.69,39.25,209.72,96
CPT,31661,BRONCH THERMOPLSTY 2/> LOBES,16303.0,8151.5,149.01,18001.82,31
CPT,31720,CLEARANCE OF AIRWAYS,670.0,335.0,1482.0,17224.0,2
CPT,31720,INSERTION OF TUBE INTO AIRWAY FOR ASPIRATION OF SECRETIONS,623.0,311.5,1482.0,17224.0,2
CPT,31820,CLOSURE OF PERMANENT WINDPIPE OPENING OR ABNORMAL DRAINAGE TRACT,22625.0,11312.5,205.8,8456.92,36
CPT,31820,CLOSURE OF WINDPIPE LESION,8506.0,4253.0,205.8,8456.92,36
CPT,31899,OTHER PROCEDURE ON WINDPIPE OR LUNG AIRWAY,4885.25,2442.63,124.88,509.14,24
CPT,31899,UNLISTED PX TRACHEA BRONCHI,579.0,289.5,25.0,509.14,24
CPT,32100,EXPLORATION OF CHEST,8568.0,4284.0,25.0,2110.01,31
CPT,32100,INCISION AND EXPLORATION OF CHEST CAVITY,17767.0,8883.5,517.55,2110.01,31
CPT,32110,EXPLORE/REPAIR CHEST,17939.0,8969.5,25.0,3803.62,31
CPT,32160,MASSAGE OF HEART MUSCLE THROUGH CHEST,5954.0,2977.0,25.0,2080.59,31
CPT,32160,OPEN CHEST HEART MASSAGE,6401.0,3200.5,25.0,2080.59,31
CPT,32400,NEEDLE BIOPSY OF LINING OF LUNG,3184.0,1592.0,85.09,4212.81,37
CPT,32408,CORE NDL BX LNG/MED PERQ,6195.0,3097.5,127.49,4212.81,37
CPT,32408,CORE NEEDLE BIOPSY OF LUNG OR CENTER CAVITY OF CHEST (MEDIASTINUM); ACCESSED THROUGH SKIN,5762.0,2881.0,127.49,4212.81,109
CPT,32550,INSERT PLEURAL CATH,7615.0,3807.5,205.8,9132.7,36
CPT,32550,INSERTION OF INDWELLING TUBE FOR DRAINAGE OF LUNG FLUID,6014.0,3007.0,205.8,9132.7,36
CPT,32551,INSERTION OF CHEST TUBE,4560.0,2280.0,205.8,4015.28,36
CPT,32551,REMOVAL OF FLUID FROM BETWEEN LUNG AND CHEST CAVITY,6361.5,3180.75,25.0,8053.93,132
CPT,32552,REMOVAL OF INDWELLING TUBE IN LINING OF LUNG,3251.0,1625.5,205.8,1600.1,60
CPT,32552,REMOVE LUNG CATHETER,2549.0,1274.5,205.8,1600.1,72
CPT,32554,ASPIRATION OF FLUID FROM CHEST CAVITY,1848.0,924.0,74.43,1600.1,111
CPT,32555,ASPIRATE PLEURA W/ IMAGING,3660.0,1830.0,93.14,1600.1,37
CPT,32555,ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE,6704.5,3352.25,93.14,1600.1,146
CPT,32556,INSERT CATH PLEURA W/O IMAGE,4265.0,2132.5,102.17,4894.63,74
CPT,32557,INSERT CATH PLEURA W/ IMAGE,4676.0,2338.0,139.23,4015.28,37
CPT,32560,TREAT PLEURODESIS W/AGENT,1603.0,801.5,205.8,1600.1,36
CPT,32561,LYSE CHEST FIBRIN INIT DAY,1615.0,807.5,50.96,1600.1,31
CPT,32606,BIOPSY OF TISSUE OF CHEST USING AN ENDOSCOPE,37022.54,18511.27,357.72,15420.64,36
CPT,32650,ADHESION OF LININGS OF LUNG USING AN ENDOSCOPE,5691.5,2845.75,428.6,1747.38,24
CPT,32662,REMOVAL OF CYST OR GROWTH OF CHEST CAVITY USING AN ENDOSCOPE,32575.34,16287.67,572.43,2333.75,31
CPT,32666,INITIAL REMOVAL OF WEDGE OF LUNG TISSUE USING AN ENDOSCOPE,21711.0,10855.5,557.58,2273.22,24
CPT,32667,REMOVAL OF WEDGE OF TISSUE OF LUNG USING AN ENDOSCOPE; EACH ADDITIONAL REMOVAL,7237.0,3618.5,97.23,396.41,24
CPT,32669,REMOVAL OF SEGMENT OF LUNG TISSUE USING AN ENDOSCOPE,33826.67,16913.34,205.8,3472.03,31
CPT,32674,REMOVAL OF LYMPH NODES OF CHEST CAVITY USING AN ENDOSCOPE,16913.33,8456.67,134.24,547.3,31
CPT,32994,ABLATE PULM TUMOR PERQ CRYBL,23382.0,11691.0,205.8,27114.06,31
CPT,32998,ABLATE PULM TUMOR PERQ RF,16940.0,8470.0,205.8,15420.64,36
CPT,32999,OTHER PROCEDURE ON LUNG AND LUNG LINING,23344.0,11672.0,392.48,1600.1,24
CPT,32999,UNLISTED PX LUNGS & PLEURA,2634.0,1317.0,392.48,1600.1,24
CPT,33016,DRAINAGE OF HEART SAC USING IMAGING GUIDANCE,8659.0,4329.5,203.63,4015.28,74
CPT,33017,DRAINAGE OF HEART SAC USING TUBE AND IMAGING GUIDANCE (6 YEARS OR OLDER),7385.0,3692.5,146.42,596.94,31
CPT,33017,PRCRD DRG 6YR+ W/O CGEN CAR,7939.0,3969.5,146.42,596.94,31
CPT,33018,PRCRD DRG 0-5YR OR W/ANOMLY,7939.0,3969.5,25.0,703.47,31
CPT,33019,PERQ PRCRD DRG INSJ CATH CT,7186.0,3593.0,119.42,486.88,31
CPT,33025,INCISION OF HEART SAC,6640.0,3320.0,25.0,2011.91,31
CPT,33025,SURGICAL REMOVAL OF PIECE OF SAC COVERING HEART FOR DRAINAGE,14433.0,7216.5,493.49,2011.91,31
CPT,33202,INSERT EPICARD ELTRD OPEN,23387.0,11693.5,493.93,2013.71,31
CPT,33206,INSERT HEART PM ATRIAL,11634.0,5817.0,205.8,26660.43,36
CPT,33206,INSERTION OF PACEMAKER AND UPPER HEART CHAMBER ELECTRODE,11085.0,5542.5,6539.35,26660.43,24
CPT,33207,INSERT HEART PM VENTRICULAR,14261.0,7130.5,205.8,26660.43,37
CPT,33207,INSERTION OF PACEMAKER AND LOWER HEART CHAMBER ELECTRODE,11085.0,5542.5,6539.35,26660.43,72
CPT,33208,INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE,13093.5,6546.75,205.8,26660.43,157
CPT,33208,INSRT HEART PM ATRIAL & VENT,14940.0,7470.0,205.8,26660.43,37
CPT,33210,INSERT ELECTRD/PM CATH SNGL,6986.0,3493.0,25.0,21108.44,37
CPT,33211,INSERT CARD ELECTRODES DUAL,7174.0,3587.0,205.8,21108.44,36
CPT,33213,INSERT PULSE GEN DUAL LEADS,11917.0,5958.5,205.8,26660.43,36
CPT,33214,UPGRADE OF PACEMAKER SYSTEM,11634.0,5817.0,205.8,26660.43,36
CPT,33215,REPOSITION PACING-DEFIB LEAD,6624.0,3312.0,205.8,8053.93,36
CPT,33215,REPOSITIONING OF PACEMAKER OR DEFIBRILLATOR ELECTRODE,6161.0,3080.5,205.8,8053.93,36
CPT,33216,INSERT 1 ELECTRODE PM-DEFIB,6986.0,3493.0,205.8,21108.44,37
CPT,33216,INSERTION OF 1 ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR,14623.335,7311.67,205.8,21108.44,122
CPT,33217,INSERT 2 ELECTRODE PM-DEFIB,7174.0,3587.0,205.8,21108.44,36
CPT,33217,INSERTION OF 2 ELECTRODES FOR PERMANENT PACEMAKER OR DEFIBRILLATOR,21371.0,10685.5,205.8,21108.44,36
CPT,33218,REPAIR LEAD PACE-DEFIB ONE,8707.0,4353.5,205.8,9532.05,37
CPT,33218,REPAIR OF ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR,6767.0,3383.5,205.8,9532.05,37
CPT,33220,REPAIR LEAD PACE-DEFIB DUAL,7180.0,3590.0,205.8,9532.05,36
CPT,33221,INSERT PULSE GEN MULT LEADS,18346.0,9173.0,205.8,49131.77,36
CPT,33222,RELOCATION OF PACEMAKER SKIN POCKET,4573.0,2286.5,205.8,5262.9,37
CPT,33222,RELOCATION POCKET PACEMAKER,4916.0,2458.0,205.8,5262.9,37
CPT,33223,RELOCATE POCKET FOR DEFIB,5270.0,2635.0,205.8,5262.9,36
CPT,33224,INSERT PACING LEAD & CONNECT,11634.0,5817.0,205.8,26660.43,36
CPT,33224,INSERTION OF LEFT LOWER HEART ELECTRODE AND ATTACHMENT TO PACEMAKER OR DEFIBRILLATOR,22238.0,11119.0,205.8,26660.43,96
CPT,33225,INSERTION OF LEFT LOWER HEART ELECTRODE FOR PACEMAKER OR DEFIBRILLATOR,10453.0,5226.5,269.21,1097.55,285
CPT,33225,L VENTRIC PACING LEAD ADD-ON,16711.0,8355.5,269.21,1097.55,62
CPT,33226,REPOSITION L VENTRIC LEAD,6856.0,3428.0,205.8,8053.93,36
CPT,33227,REMOVAL AND REPLACEMENT OF SINGLE LEAD PERMANENT PACEMAKER,19360.0,9680.0,205.8,21108.44,84
CPT,33227,REMOVE&REPLACE PM GEN SINGL,6986.0,3493.0,205.8,21108.44,36
CPT,33228,REMOVAL AND REPLACEMENT OF DUAL LEAD PERMANENT PACEMAKER,11242.0,5621.0,205.8,26660.43,216
CPT,33228,REMV&REPLC PM GEN DUAL LEAD,11634.0,5817.0,205.8,26660.43,36
CPT,33229,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD PERMANENT PACEMAKER,14473.5,7236.75,205.8,49131.77,168
CPT,33229,REMV&REPLC PM GEN MULT LEADS,19771.0,9885.5,205.8,49131.77,36
CPT,33230,INSRT PULSE GEN W/DUAL LEADS,18283.0,9141.5,205.8,56737.8,36
CPT,33231,INSERTION OF DEFIBRILLATOR WITH EXISTING MULTIPLE LEADS,23840.0,11920.0,205.8,80065.14,36
CPT,33231,INSRT PULSE GEN W/MULT LEADS,25628.0,12814.0,205.8,80065.14,36
CPT,33233,REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR,9690.0,4845.0,205.8,21108.44,84
CPT,33233,REMOVAL OF PM GENERATOR,6986.0,3493.0,205.8,21108.44,36
CPT,33234,REMOVAL OF PACEMAKER SYSTEM,7808.0,3904.0,205.8,9532.05,36
CPT,33234,REMOVAL OF SINGLE ELECTRODE FROM RIGHT HEART,7263.0,3631.5,205.8,9532.05,36
CPT,33235,REMOVAL OF DUAL ELECTRODES FROM RIGHT HEART,11130.33,5565.17,205.8,9532.05,96
CPT,33235,REMOVAL PACEMAKER ELECTRODE,7001.0,3500.5,205.8,9532.05,36
CPT,33240,INSRT PULSE GEN W/SINGL LEAD,19687.0,9843.5,205.8,56737.8,36
CPT,33241,REMOVAL OF DEFIBRILLATOR,9828.0,4914.0,205.8,9532.05,96
CPT,33241,REMOVE PULSE GENERATOR,7808.0,3904.0,205.8,9532.05,36
CPT,33244,REMOVAL OF DEFIBRILLATOR ELECTRODES THROUGH VEIN,12393.0,6196.5,205.8,9532.05,36
CPT,33244,REMOVE ELCTRD TRANSVENOUSLY,7363.0,3681.5,205.8,9532.05,36
CPT,33249,INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM,23565.5,11782.75,205.8,80065.14,96
CPT,33249,INSJ/RPLCMT DEFIB W/LEAD(S),25040.0,12520.0,205.8,80065.14,36
CPT,33262,REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR,19106.5,9553.25,205.8,56737.8,72
CPT,33262,RMVL& REPLC PULSE GEN 1 LEAD,19687.0,9843.5,205.8,56737.8,36
CPT,33263,REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR,17373.0,8686.5,205.8,56737.8,72
CPT,33263,RMVL & RPLCMT DFB GEN 2 LEAD,19687.0,9843.5,205.8,56737.8,36
CPT,33264,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR,29117.0,14558.5,205.8,80065.14,72
CPT,33264,RMVL & RPLCMT DFB GEN MLT LD,25628.0,12814.0,205.8,80065.14,36
CPT,33270,INS/REP SUBQ DEFIBRILLATOR,25040.0,12520.0,205.8,80065.14,31
CPT,33270,INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE,23293.0,11646.5,205.8,80065.14,31
CPT,33271,INSJ SUBQ IMPLTBL DFB ELCTRD,7174.0,3587.0,205.8,21108.44,31
CPT,33272,REMOVAL OF DEFIBRILLATOR ELECTRODE,8653.5,4326.75,205.8,9532.05,62
CPT,33272,RMVL OF SUBQ DEFIBRILLATOR,7001.0,3500.5,205.8,9532.05,31
CPT,33273,REPOS PREV IMPLTBL SUBQ DFB,7275.0,3637.5,205.8,9532.05,31
CPT,33274,INSERTION OF PERMANENT LEADLESS PACEMAKER USING IMAGING GUIDANCE,16730.0,8365.0,361.84,49131.77,127
CPT,33274,TCAT INSJ/RPL PERM LDLS PM,14676.0,7338.0,361.84,49131.77,31
CPT,33275,REMOVAL OF PERMANENT LEADLESS PACEMAKER USING IMAGING GUIDANCE,1536.5,768.25,385.52,8053.93,31
CPT,33275,TCAT RMVL PERM LDLS PM W/IMG,6856.0,3428.0,385.52,8053.93,31
CPT,33277,INSJ PHRNC NRV STIM TRANSVNS,24375.0,12187.5,174.87,712.93,31
CPT,33278,RMVL PHRNC NRV STIM SYS,7947.0,3973.5,205.8,8917.7,31
CPT,33279,RMVL PHRNC NRV STIM TRANSVNS,11835.0,5917.5,205.8,8917.7,31
CPT,33280,RMVL PHRNC NRV STIM PG ONLY,7947.0,3973.5,205.8,8917.7,31
CPT,33281,REPOSG PHRNC NRV STIM TRNSVN,7947.0,3973.5,205.8,8917.7,31
CPT,33285,INSERTION OF HEART RHYTHM MONITOR UNDER SKIN,19591.5,9795.75,205.8,21108.44,72
CPT,33286,REMOVAL OF HEART RHYTHM MONITOR FROM UNDER THE SKIN,2817.0,1408.5,65.37,1806.27,60
CPT,33286,RMVL SUBQ CAR RHYTHM MNTR,2965.5,1482.75,65.37,1806.27,72
CPT,33287,RMV&RPLCMT PHRNC NRV STIM PG,7947.0,3973.5,205.8,78710.25,31
CPT,33288,RMV&RPLCMT PHRNC NRV STIM LD,24606.0,12303.0,205.8,28422.23,31
CPT,33289,INSERTION OF WIRELESS PRESSURE SENSOR INTO LUNG ARTERY THROUGH TUBE WITH REVIEW BY RADIOLOGIST,14029.5,7014.75,255.81,73164.06,55
CPT,33340,PERQ CLSR TCAT L ATR APNDGE,19049.0,9524.5,406.49,1657.23,31
CPT,33340,REPAIR OF LEFT UPPER HEART CHAMBER WITH IMPLANT WITH REVIEW BY RADIOLOGIST,20406.0,10203.0,595.27,988.08,24
CPT,33418,REPAIR TCAT MITRAL VALVE,13324.0,6662.0,1073.03,4374.65,31
CPT,33419,REPAIR TCAT MITRAL VALVE,5996.0,2998.0,252.1,1027.78,31
CPT,33477,IMPLANT TCAT PULM VLV PERQ,15049.0,7524.5,757.13,3086.75,31
CPT,33477,INSERTION OF PULMONARY VALVE,13999.0,6999.5,757.13,3086.75,25
CPT,33741,TAS CONGENITAL CAR ANOMAL,13526.0,6763.0,445.56,1816.5,31
CPT,33745,TIS CGEN CAR ANOMAL 1ST SHNT,9288.0,4644.0,637.43,2598.75,31
CPT,33746,TIS CGEN CAR ANOMAL EA ADDL,6191.0,3095.5,329.15,618.6,23
CPT,33858,AS-AORT GRF F/AORTIC DSJ,46497.0,23248.5,205.8,8694.76,31
CPT,33859,AS-AORT GRF F/DS OTH/THN DSJ,57381.0,28690.5,205.8,6259.25,31
CPT,33894,EVASC ST RPR THRC/AA ACRS BR,4662.0,2331.0,581.65,2371.35,31
CPT,33894,REPAIR OF AORTA BY INSERTION OF STENT ACROSS MAJOR SIDE BRANCHES,4336.0,2168.0,753.02,2371.35,26
CPT,33895,EVASC ST RPR THRC/AA X CRSG,3487.0,1743.5,462.98,1887.54,31
CPT,33895,REPAIR OF AORTA BY INSERTION OF STENT NOT CROSSING MAJOR SIDE BRANCHES,3243.0,1621.5,598.87,1125.4,23
CPT,33897,BALLOON DILATION OF NATIVE OR RECURRENT NARROWING OF HEART BLOOD VESSEL,6490.0,3245.0,445.48,1402.86,24
CPT,33897,PERQ TRLUML ANGP NT/RECR COA,6977.0,3488.5,344.1,1402.86,31
CPT,33900,PERQ P-ART REVSC 1 NM NT UNI,17700.0,8850.0,454.49,29446.32,31
CPT,33901,PERQ P-ART REVSC 1 NM NT BI,18260.0,9130.0,597.58,29446.32,31
CPT,33902,PERCUTANEOUS PULMONARY ARTERY REVASCULARIZATION BY STENT PLACEMENT; INITIAL; ABNORMAL CONNECTIONS; UNILATERAL,33743.5,16871.75,576.99,46759.41,110
CPT,33902,PERQ P-ART REVSC 1 ABNOR UNI,21145.0,10572.5,576.99,46759.41,31
CPT,33903,PERQ P-ART REVSC 1 ABNOR BI,18260.0,9130.0,679.68,29446.32,31
CPT,33904,PERQ P-ART REVSC EACH ADDL,26880.0,13440.0,176.46,719.42,31
CPT,33946,ECMO/ECLS INITIATION VENOUS,20355.0,10177.5,189.92,774.3,31
CPT,33947,ECMO/ECLS INITIATION ARTERY,20355.0,10177.5,209.72,855.0,31
CPT,33948,ECMO/ECLS DAILY MGMT-VENOUS,9101.0,4550.5,145.63,593.71,31
CPT,33949,ECMO/ECLS DAILY MGMT ARTERY,9101.0,4550.5,140.02,570.86,31
CPT,33951,ECMO/ECLS INSJ PRPH CANNULA,1129.0,564.5,265.71,1083.27,31
CPT,33952,ECMO/ECLS INSJ PRPH CANNULA,1136.0,568.0,262.16,1068.8,31
CPT,33953,ECMO/ECLS INSJ PRPH CANNULA,1267.0,633.5,295.82,1206.04,31
CPT,33954,ECMO/ECLS INSJ PRPH CANNULA,1269.0,634.5,294.82,1201.96,31
CPT,33955,ECMO/ECLS INSJ CTR CANNULA,2215.0,1107.5,518.08,2112.18,31
CPT,33956,ECMO/ECLS INSJ CTR CANNULA,2214.0,1107.0,517.38,2109.32,31
CPT,33957,ECMO/ECLS REPOS PERPH CNULA,493.0,246.5,115.76,471.94,31
CPT,33958,ECMO/ECLS REPOS PERPH CNULA,493.0,246.5,115.76,471.94,31
CPT,33959,ECMO/ECLS REPOS PERPH CNULA,629.0,314.5,147.4,600.94,31
CPT,33962,ECMO/ECLS REPOS PERPH CNULA,629.0,314.5,147.4,600.94,31
CPT,33963,ECMO/ECLS REPOS PERPH CNULA,1250.0,625.0,292.65,1193.11,31
CPT,33964,ECMO/ECLS REPOS PERPH CNULA,1320.0,660.0,308.37,1257.21,31
CPT,33965,ECMO/ECLS RMVL PERPH CANNULA,493.0,246.5,115.76,471.94,31
CPT,33966,ECMO/ECLS RMVL PRPH CANNULA,630.0,315.0,146.93,599.03,31
CPT,33967,INSERT I-AORT PERCUT DEVICE,3968.0,1984.0,153.69,626.59,62
CPT,33967,INSERTION OF BLOOD FLOW ASSIST DEVICE IN AORTA THROUGH SKIN,2602.0,1301.0,8713.65,35524.87,48
CPT,33968,REMOVAL OF BLOOD FLOW ASSIST DEVICE IN AORTA,4154.0,2077.0,20.26,82.6,31
CPT,33969,ECMO/ECLS RMVL PERPH CANNULA,730.0,365.0,170.86,696.58,31
CPT,33975,IMPLANT VENTRICULAR DEVICE,27640.0,13820.0,808.21,3295.01,31
CPT,33976,IMPLANT VENTRICULAR DEVICE,33904.0,16952.0,990.6,4038.6,31
CPT,33977,REMOVE VENTRICULAR DEVICE,23653.0,11826.5,703.1,2866.5,31
CPT,33978,REMOVE VENTRICULAR DEVICE,28270.0,14135.0,839.22,3421.44,31
CPT,33979,INSERT INTRACORPOREAL DEVICE,8234.0,4117.0,1212.89,4944.87,31
CPT,33980,REMOVE INTRACORPOREAL DEVICE,668.0,334.0,1115.62,4548.3,31
CPT,33981,REPLACE VAD PUMP EXT,17766.0,8883.0,518.52,2113.96,31
CPT,33982,REPLACE VAD INTRA W/O BP,8234.0,4117.0,1219.11,4970.21,31
CPT,33983,REPLACE VAD INTRA W/BP,17218.0,8609.0,1435.22,5851.28,31
CPT,33984,ECMO/ECLS RMVL PRPH CANNULA,1013.0,506.5,177.14,722.18,31
CPT,33985,ECMO/ECLS RMVL CTR CANNULA,1371.0,685.5,321.56,1310.95,31
CPT,33986,ECMO/ECLS RMVL CTR CANNULA,1388.0,694.0,326.74,1332.08,31
CPT,33987,ARTERY EXPOS/GRAFT ARTERY,556.0,278.0,130.34,531.38,31
CPT,33988,INSERTION OF LEFT HEART VENT,2078.0,1039.0,485.67,1980.03,31
CPT,33989,REMOVAL OF LEFT HEART VENT,1320.0,660.0,308.37,1257.21,31
CPT,33990,INSERTION OF BLOOD FLOW ASSIST DEVICE IN LOWER HEART CHAMBER THROUGH SKIN WITH REVIEW BY RADIOLOGIST USING ARTERY ACCESS,8358.0,4179.0,214.16,873.12,55
CPT,33990,INSJ PERQ VAD L HRT ARTERIAL,8985.0,4492.5,214.16,873.12,31
CPT,33991,INSJ PERQ VAD L HRT ARTL&VEN,12447.0,6223.5,284.54,1160.04,31
CPT,33992,RMVL PERQ LEFT HEART VAD,4208.0,2104.0,113.05,460.89,31
CPT,33993,REPOSG PERQ R/L HRT VAD,3677.0,1838.5,96.04,391.54,31
CPT,33995,INSJ PERQ VAD R HRT VENOUS,9598.0,4799.0,213.6,870.84,31
CPT,33997,RMVL PERQ RIGHT HEART VAD,7817.0,3908.5,95.37,388.81,31
CPT,33999,OTHER HEART SURGERY PROCEDURE,1849.0,924.5,392.48,1600.1,24
CPT,34701,EVASC RPR A-AO NDGFT,73573.0,36786.5,766.61,3125.41,31
CPT,34702,EVASC RPR A-AO NDGFT RPT,73573.0,36786.5,1128.88,4602.36,31
CPT,34703,EVASC RPR A-UNILAC NDGFT,73573.0,36786.5,851.93,3473.25,31
CPT,34704,EVASC RPR A-UNILAC NDGFT RPT,73573.0,36786.5,1402.73,5718.83,31
CPT,34705,EVAC RPR A-BIILIAC NDGFT,73573.0,36786.5,946.66,3859.46,31
CPT,34706,EVASC RPR A-BIILIAC RPT,73573.0,36786.5,1418.39,5782.67,31
CPT,34707,EVASC RPR ILIO-ILIAC NDGFT,4994.0,2497.0,721.57,2941.76,31
CPT,34708,EVASC RPR ILIO-ILIAC RPT,4994.0,2497.0,1144.12,4664.5,31
CPT,34709,PLMT XTN PROSTH EVASC RPR,7525.0,3762.5,200.44,817.18,31
CPT,34710,DLYD PLMT XTN PROSTH 1ST VSL,7525.0,3762.5,494.23,2014.93,31
CPT,34711,DLYD PLMT XTN PROSTH EA ADDL,3035.0,1517.5,183.68,748.86,31
CPT,34713,PERQ ACCESS & CLSR FEM ART,20380.0,10190.0,76.52,311.96,31
CPT,34717,EVASC RPR A-ILIAC NDGFT,7184.0,3592.0,276.07,1125.51,31
CPT,34718,EVASC RPR N/A A-ILIAC NDGFT,4942.0,2471.0,766.86,3126.44,31
CPT,34812,OPN FEM ART EXPOS,13244.0,6622.0,128.67,524.57,31
CPT,34842,ENDOVASC VISC AORTA 2 GRAFT,12621.0,6310.5,205.8,209.72,7
CPT,34844,ENDOVASC VISC AORTA 4 GRAFT,13376.0,6688.0,205.8,209.72,7
CPT,35011,REPAIR OF ANEURYSM OR ARM ARTERY WITH GRAFT,19092.0,9546.0,3481.45,14193.61,24
CPT,35201,REPAIR BLOOD VESSEL DIR NECK,11566.0,5783.0,25.0,14193.61,36
CPT,35206,REPAIR OF BLOOD VESSEL OF ARM,10546.25,5273.13,205.8,8053.93,36
CPT,35207,REPAIR OF BLOOD VESSEL OF HAND OR FINGER,38638.875,19319.44,1975.49,8053.93,48
CPT,35207,RPR BLD VSL DIR HAND FINGER,6624.0,3312.0,25.0,8053.93,37
CPT,35226,REPAIR BLOOD VESSEL DIR LXTR,1945.0,972.5,205.8,1806.27,36
CPT,35372,RECHANNELING OF ARTERY,11265.0,5632.5,755.08,14193.61,31
CPT,35566,ART BYP FEM-ANT-POST TIB/PRL,45697.0,22848.5,1036.28,4224.84,31
CPT,35800,EXPLORATION OF NECK FOR BLEEDING; BLOOD CLOT; OR INFECTION AFTER SURGERY,27805.34,13902.67,3481.45,14193.61,24
CPT,35875,REMOVAL OF CLOT IN GRAFT,11265.0,5632.5,96.14,14193.61,37
CPT,35883,REVISION OF GROIN ARTERY BYPASS WITH PATCH GRAFT,31468.0,15734.0,3481.45,14193.61,24
CPT,36000,INSERTION OF NEEDLE OR TUBE INTO VEIN,309.0,154.5,8.48,209.72,13
CPT,36002,INJECTION TO CAUSE BLOOD CLOT IN DISEASED OR PSEUDOANEURYSM OF ARM OR LEG,1474.0,737.0,392.48,1600.1,24
CPT,36002,PSEUDOANEURYSM INJECTION TRT,1585.0,792.5,108.5,1600.1,37
CPT,36005,INJECTION EXT VENOGRAPHY,1652.0,826.0,28.18,209.72,37
CPT,36005,INJECTION FOR X-RAY IMAGING PROCEDURE INTO VEIN OF ARM OR LEG,2362.0,1181.0,28.18,209.72,181
CPT,36010,INSERTION OF TUBE INTO VENA CAVA,1292.0,646.0,64.83,264.31,37
CPT,36010,PLACE CATHETER IN VEIN,1389.0,694.5,64.83,264.31,37
CPT,36011,INSERTION OF TUBE INTO VEIN; FIRST ORDER BRANCH,5547.335,2773.67,92.46,376.94,290
CPT,36011,PLACE CATHETER IN VEIN,1055.0,527.5,92.46,376.94,37
CPT,36012,INSERTION OF TUBE INTO VEIN; SECOND ORDER BRANCH,2374.0,1187.0,104.08,424.32,266
CPT,36012,PLACE CATHETER IN VEIN,1187.0,593.5,104.08,424.32,37
CPT,36013,PLACE CATHETER IN ARTERY,1351.0,675.5,75.27,306.87,37
CPT,36014,INSERTION OF TUBE INTO LEFT OR RIGHT PULMONARY ARTERY,4104.0,2052.0,87.98,358.7,24
CPT,36014,PLACE CATHETER IN ARTERY,4412.0,2206.0,87.98,358.7,37
CPT,36015,INSERTION OF TUBE INTO ARTERY OF LOBE OF LUNG,3066.0,1533.0,99.85,407.09,24
CPT,36015,PLACE CATHETER IN ARTERY,1533.0,766.5,99.85,407.09,37
CPT,36140,INSERTION OF NEEDLE OR TUBE INTO ARTERY OF ARM OR LEG,6001.5,3000.75,53.93,219.87,109
CPT,36140,INTRO NDL ICATH UPR/LXTR ART,2136.0,1068.0,82.97,209.72,29
CPT,36160,ESTABLISH ACCESS TO AORTA,1091.0,545.5,71.76,292.56,37
CPT,36200,INSERTION OF TUBE INTO AORTA,8552.0,4276.0,84.67,345.19,98
CPT,36200,PLACE CATHETER IN AORTA,3800.0,1900.0,84.67,345.19,37
CPT,36215,INSERTION OF TUBE INTO CHEST OR ARM ARTERY; EACH FIRST ORDER BRANCH,4181.75,2090.875,125.36,511.08,157
CPT,36215,PLACE CATHETER IN ARTERY,4051.0,2025.5,125.36,511.08,37
CPT,36216,INSERTION OF TUBE INTO CHEST OR ARM ARTERY; INITIAL SECOND ORDER BRANCH,3957.0,1978.5,120.23,676.54,109
CPT,36216,PLACE CATHETER IN ARTERY,3957.0,1978.5,120.23,676.54,37
CPT,36217,INSERTION OF TUBE INTO CHEST OR ARM ARTERY; INITIAL THIRD ORDER BRANCH,4472.0,2236.0,206.47,841.75,72
CPT,36217,PLACE CATHETER IN ARTERY,2236.0,1118.0,205.8,841.75,37
CPT,36218,PLACE CATHETER IN ARTERY,2814.0,1407.0,31.57,209.72,37
CPT,36221,INSERTION OF TUBE INTO CHEST AORTA FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,9698.0,4849.0,182.09,8053.93,37
CPT,36221,PLACE CATH THORACIC AORTA,9565.0,4782.5,182.09,8053.93,37
CPT,36222,INSERTION OF TUBE INTO EXTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,16078.5,8039.25,1975.49,8053.93,48
CPT,36222,PLACE CATH CAROTID/INOM ART,9565.0,4782.5,205.8,8053.93,37
CPT,36223,INSERTION OF TUBE INTO INTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,18402.67,9201.34,3481.45,14193.61,168
CPT,36223,PLACE CATH CAROTID/INOM ART,11265.0,5632.5,205.8,14193.61,37
CPT,36224,INSERTION OF TUBE INTO INTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,8358.08,4179.04,205.8,14193.61,133
CPT,36224,PLACE CATH CAROTD ART,11265.0,5632.5,205.8,14193.61,37
CPT,36225,INSERTION OF TUBE INTO CHEST ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,8986.5,4493.25,1975.49,8053.93,120
CPT,36225,PLACE CATH SUBCLAVIAN ART,9565.0,4782.5,205.8,8053.93,37
CPT,36226,INSERTION OF TUBE INTO BRAIN ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,9498.0,4749.0,3481.45,14193.61,72
CPT,36226,PLACE CATH VERTEBRAL ART,11800.0,5900.0,205.8,14193.61,37
CPT,36227,INSERTION OF TUBE INTO EXTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,12030.0,6015.0,74.86,305.2,96
CPT,36227,PLACE CATH XTRNL CAROTID,11707.0,5853.5,74.86,305.2,37
CPT,36228,PLACE CATH INTRACRANIAL ART,12108.0,6054.0,156.2,636.79,37
CPT,36245,INS CATH ABD/L-EXT ART 1ST,3984.0,1992.0,140.35,572.19,37
CPT,36245,INSERTION OF TUBE INTO ABDOMINAL; PELVIC; OR LEG ARTERY; EACH FIRST ORDER BRANCH,4897.165,2448.585,140.35,572.19,266
CPT,36246,INS CATH ABD/L-EXT ART 2ND,3992.0,1996.0,151.81,618.91,37
CPT,36246,INSERTION OF TUBE INTO ABDOMINAL; PELVIC; OR LEG ARTERY; INITIAL SECOND ORDER BRANCH,7660.335,3830.17,151.81,618.91,242
CPT,36247,INS CATH ABD/L-EXT ART 3RD,3816.0,1908.0,175.04,713.64,37
CPT,36247,INSERTION OF TUBE INTO ABDOMINAL; PELVIC; OR LEG ARTERY; INITIAL THIRD ORDER BRANCH,6328.0,3164.0,175.04,713.64,290
CPT,36248,INS CATH ABD/L-EXT ART ADDL,1478.0,739.0,27.64,209.72,37
CPT,36248,INSERTION OF TUBE INTO ABDOMINAL; PELVIC; OR LEG ARTERY; ADDITIONAL SECOND; THIRD; AND BEYOND,2619.665,1309.835,27.64,209.72,61
CPT,36251,INS CATH REN ART 1ST UNILAT,7168.0,3584.0,205.8,8053.93,37
CPT,36251,INSERTION OF TUBE INTO FIRST ORDER MAIN AND ACCESSORY ARTERIES OF KIDNEY FOR IMAGING WITH REVIEW BY RADIOLOGIST,19842.5,9921.25,1975.49,8053.93,144
CPT,36252,INS CATH REN ART 1ST BILAT,10713.0,5356.5,205.8,8053.93,37
CPT,36252,INSERTION OF TUBE INTO FIRST ORDER MAIN AND ACCESSORY ARTERIES OF BOTH KIDNEYS FOR IMAGING WITH REVIEW BY RADIOLOGIST,10243.5,5121.75,205.8,8053.93,74
CPT,36253,INS CATH REN ART 2ND+ UNILAT,10208.0,5104.0,205.8,14193.61,37
CPT,36253,INSERTION OF TUBE INTO SECOND OR THIRD ORDER BRANCHES OF ARTERIES OF KIDNEY FOR IMAGING WITH REVIEW BY RADIOLOGIST,9766.34,4883.17,205.8,14193.61,133
CPT,36254,INS CATH REN ART 2ND+ BILAT,13688.0,6844.0,205.8,8053.93,37
CPT,36299,OTHER BLOOD VESSEL INJECTION PROCEDURE,396.0,198.0,,,0
CPT,36299,UNLISTED PX VASCULAR NJX,426.0,213.0,,,0
CPT,36406,INSERTION OF NEEDLE INTO VEIN (YOUNGER THAN 3 YEARS),24.0,12.0,4.97,20.27,31
CPT,36406,VNPNXR<3YRS PHY/QHP OTHER VN,26.0,13.0,6.44,1500.0,31
CPT,36410,INSERTION OF NEEDLE INTO VEIN (3 YEARS OR OLDER),1665.935,832.97,5.28,209.72,103
CPT,36415,COLL VENOUS BLD VENIPUNCTURE,16.0,8.0,6.07,24.75,31
CPT,36415,INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE,24.0,12.0,6.07,24.75,247
CPT,36416,COLLJ CAPILLARY BLOOD SPEC,23.5,11.75,,,0
CPT,36416,PUNCTURE OF SKIN FOR COLLECTION OF BLOOD SAMPLE,20.0,10.0,,,0
CPT,36425,VENIPUNCTURE CUTDOWN 1 YR/>,1141.0,570.5,14.7,1139.47,37
CPT,36430,TRANSFUSION BLD/BLD COMPNT,1358.0,679.0,29.23,1125.32,37
CPT,36430,TRANSFUSION OF BLOOD OR BLOOD PRODUCTS,1263.0,631.5,29.23,1125.32,133
CPT,36460,INTRAUTERINE TRANSFUSION FTL,1263.0,631.5,263.79,1125.32,36
CPT,36465,NJX NONCMPND SCLRSNT 1 VEIN,2078.0,1039.0,92.65,5262.9,37
CPT,36466,NJX NONCMPND SCLRSNT MLT VN,4050.0,2025.0,117.1,5262.9,37
CPT,36468,INJECTION OF CHEMICAL AGENT INTO SPIDER VEIN OF ARM; LEG; OR TRUNK,725.0,362.5,254.34,1036.92,24
CPT,36468,NJX SCLRSNT SPIDER VEINS,1039.0,519.5,254.34,1036.92,24
CPT,36470,INJECTION OF CHEMICAL AGENT INTO SINGLE INCOMPETENT VEIN,3866.0,1933.0,9.82,1555.39,109
CPT,36470,NJX SCLRSNT 1 INCMPTNT VEIN,2078.0,1039.0,9.82,1036.92,37
CPT,36471,INJECTION OF CHEMICAL AGENT INTO MULTIPLE INCOMPETENT VEINS OF LEG,1255.0,627.5,58.42,1555.39,109
CPT,36471,NJX SCLRSNT MLT INCMPTNT VN,1350.0,675.0,58.42,1036.92,37
CPT,36473,ENDOVENOUS MCHNCHEM 1ST VEIN,6856.0,3428.0,139.23,8053.93,31
CPT,36474,ENDOVENOUS MCHNCHEM ADD-ON,3013.0,1506.5,53.64,218.7,31
CPT,36475,DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE,20244.0,10122.0,205.8,8053.93,156
CPT,36475,ENDOVENOUS RF 1ST VEIN,6764.5,3382.25,205.8,8053.93,72
CPT,36476,ENDOVENOUS RF VEIN ADD-ON,6693.0,3346.5,80.7,329.02,31
CPT,36478,ENDOVENOUS LASER 1ST VEIN,6367.0,3183.5,205.8,8053.93,36
CPT,36479,ENDOVENOUS LASER VEIN ADDON,3195.0,1597.5,81.28,331.36,31
CPT,36481,INSERTION OF CATHETER VEIN,1641.0,820.5,186.66,761.0,37
CPT,36481,INSERTION OF TUBE INTO PORTAL VEIN OF LIVER,2175.0,1087.5,186.66,761.0,37
CPT,36482,CHEMICAL DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING IMAGING GUIDANCE,16797.0,8398.5,138.2,14193.61,79
CPT,36482,ENDOVEN THER CHEM ADHES 1ST,11265.0,5632.5,138.2,14193.61,31
CPT,36483,ENDOVEN THER CHEM ADHES SBSQ,3013.0,1506.5,54.65,222.79,31
CPT,36500,INSERTION OF TUBE INTO VEIN WITH COLLECTION OF BLOOD SAMPLE,1517.0,758.5,36.75,442.18,85
CPT,36510,INSERTION OF CATHETER VEIN,448.0,224.0,25.0,119.62,37
CPT,36511,APHERESIS WBC,3978.0,1989.0,52.5,3972.61,37
CPT,36512,APHERESIS RBC,3978.0,1989.0,52.5,3972.61,37
CPT,36512,MECHANICAL SEPARATION OF RED BLOOD CELLS FROM BLOOD,1141.0,570.5,52.5,3972.62,37
CPT,36514,APHERESIS PLASMA,3978.0,1989.0,78.75,3972.61,37
CPT,36514,MECHANICAL SEPARATION OF PLASMA FROM BLOOD,1473.0,736.5,78.75,3972.61,37
CPT,36522,MECHANICAL SEPARATION OF WHITE BLOOD CELLS AND PLATELETS FROM BLOOD,13233.5,6616.75,205.8,11109.81,72
CPT,36522,PHOTOPHERESIS,12753.5,6376.75,205.8,11109.81,72
CPT,36555,INSERT NON-TUNNEL CV CATH,6856.0,3428.0,123.73,8053.93,37
CPT,36555,INSERTION OF NON-TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (YOUNGER THAN 5 YEARS),24790.0,12395.0,123.73,8053.93,37
CPT,36556,INSERT NON-TUNNEL CV CATH,6137.0,3068.5,25.0,8053.93,111
CPT,36556,INSERTION OF NON-TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER),5874.0,2937.0,25.0,8053.93,98
CPT,36557,INSERT TUNNELED CV CATH,12038.0,6019.0,205.8,14193.61,37
CPT,36558,INSERT TUNNELED CV CATH,6624.0,3312.0,25.0,8053.93,37
CPT,36558,INSERTION OF TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER),7356.0,3678.0,25.0,8053.93,159
CPT,36560,INSERT TUNNELED CV CATH,6856.0,3428.0,205.8,8053.93,37
CPT,36560,INSERTION OF CENTRAL VENOUS TUBE WITH PORT (YOUNGER THAN 5 YEARS),27074.0,13537.0,205.8,8053.93,61
CPT,36561,INSERT TUNNELED CV CATH,6367.0,3183.5,205.8,8053.93,37
CPT,36561,INSERTION OF CENTRAL VENOUS TUBE WITH PORT (5 YEARS OR OLDER),10282.165,5141.085,205.8,8053.93,194
CPT,36565,INSERT TUNNELED CV CATH,6367.0,3183.5,205.8,8053.93,37
CPT,36566,INSERT TUNNELED CV CATH,11265.0,5632.5,205.8,14193.61,37
CPT,36568,INSERTION OF TUBE FOR INFUSION (YOUNGER THAN 5 YEARS),13043.5,6521.75,92.82,4015.28,74
CPT,36568,INSJ PICC <5 YR W/O IMAGING,4103.0,2051.5,92.82,4015.28,37
CPT,36569,INSERTION OF TUBE FOR INFUSION (5 YEARS OR OLDER),3816.0,1908.0,25.0,4015.28,122
CPT,36569,INSJ PICC 5 YR+ W/O IMAGING,4103.0,2051.5,25.0,4015.28,37
CPT,36571,INSERT PICVAD CATH,6855.0,3427.5,205.8,8053.93,37
CPT,36572,INSERTION OF TUBE FOR INFUSION WITH IMAGING GUIDANCE AND REVIEW BY RADIOLOGIST; PATIENT YOUNGER THAN 5 YEARS,912.0,456.0,79.09,1600.1,37
CPT,36572,INSJ PICC RS&I <5 YR,981.0,490.5,79.09,1600.1,37
CPT,36573,INSERTION OF TUBE FOR INFUSION WITH IMAGING GUIDANCE AND REVIEW BY RADIOLOGIST; PATIENT 5 YEARS OR OLDER,2474.0,1237.0,73.25,4015.28,98
CPT,36573,INSJ PICC RS&I 5 YR+,4006.0,2003.0,73.25,4015.28,37
CPT,36575,REPAIR OF CENTRAL VENOUS TUBE FOR INFUSION,1605.0,802.5,25.0,1600.1,61
CPT,36575,REPAIR TUNNELED CV CATH,1802.0,901.0,25.0,1600.1,37
CPT,36576,REPAIR OF CENTRAL VENOUS TUBE FOR INFUSION WITH PORT OR PUMP,1008.0,504.0,182.81,4015.28,37
CPT,36578,REPLACE TUNNELED CV CATH,6856.0,3428.0,25.0,8053.93,37
CPT,36578,REPLACEMENT OF CENTRAL VENOUS TUBE; TUBE ONLY,6377.0,3188.5,25.0,8053.93,37
CPT,36580,REPLACE CVAD CATH,1188.0,594.0,205.8,4015.28,36
CPT,36581,REPLACE TUNNELED CV CATH,4247.0,2123.5,195.18,8053.93,37
CPT,36581,REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE,5500.0,2750.0,195.18,8053.93,74
CPT,36582,REPLACE TUNNELED CV CATH,5237.0,2618.5,205.8,8053.93,37
CPT,36582,REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE WITH PORT,1233.0,616.5,205.8,8053.93,37
CPT,36584,COMPL RPLCMT PICC RS&I,4102.0,2051.0,25.0,4015.28,37
CPT,36584,REPLACEMENT OF PERIPHERALLY INSERTED CENTRAL VENOUS TUBE (PICC) WITH REVIEW BY RADIOLOGIST,3815.0,1907.5,68.4,4015.28,37
CPT,36589,REMOVAL OF TUNNELED CENTRAL VENOUS TUBE,1773.0,886.5,136.87,1600.1,98
CPT,36589,REMOVAL TUNNELED CV CATH,1715.5,857.75,25.0,1600.1,74
CPT,36590,REMOVAL OF CENTRAL VENOUS TUBE WITH PORT OR PUMP,6356.5,3178.25,193.29,4015.28,170
CPT,36590,REMOVAL TUNNELED CV CATH,4102.0,2051.0,25.0,4015.28,37
CPT,36591,COLLECTION OF BLOOD SAMPLE FROM IMPLANTED DEVICE,231.5,115.75,18.53,339.39,79
CPT,36591,DRAW BLOOD OFF VENOUS DEVICE,341.0,170.5,18.53,339.39,31
CPT,36592,COLLECT BLOOD FROM PICC,341.0,170.5,19.81,339.39,31
CPT,36592,COLLECTION OF BLOOD SAMPLE FROM CENTRAL VENOUS TUBE,122.0,61.0,19.81,339.39,79
CPT,36593,DECLOT VASCULAR DEVICE,1015.0,507.5,23.42,842.51,37
CPT,36593,DECLOTTING OF CENTRAL VENOUS TUBE,807.0,403.5,23.42,842.51,109
CPT,36595,MECHANICAL REMOVAL OF OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS TUBE,6463.0,3231.5,185.16,8053.93,61
CPT,36596,MECH REMOV TUNNELED CV CATH,4006.0,2003.0,45.15,4015.28,37
CPT,36597,REPOSITION VENOUS CATHETER,4021.0,2010.5,61.05,4015.28,37
CPT,36597,REPOSITIONING OF CENTRAL VENOUS TUBE USING FLUOROSCOPIC GUIDANCE,937.0,468.5,61.05,4015.28,37
CPT,36598,CONTRAST INJECTION FOR IMAGING TO EVALUATE CENTRAL VENOUS ACCESS DEVICE,2916.0,1458.0,133.07,542.53,31
CPT,36598,INJ W/FLUOR EVAL CV DEVICE,1308.0,654.0,133.07,542.53,31
CPT,36600,ARTERY PUNCTURE COLLECTION OF BLOOD SAMPLE,264.0,132.0,11.32,1500.0,61
CPT,36620,INSERTION CATHETER ARTERY,2177.0,1088.5,26.78,209.72,37
CPT,36620,INSERTION OF ARTERY TUBE FOR BLOOD SAMPLING OR INFUSION THROUGH SKIN,2025.0,1012.5,26.78,209.72,61
CPT,36680,INSERT NEEDLE BONE CAVITY,1135.0,567.5,25.0,1139.47,74
CPT,36680,INSERTION OF NEEDLE FOR INFUSION INTO BONE,949.0,474.5,25.0,1139.47,37
CPT,36818,RELOCATION OF MAJOR UPPER ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,20989.0,10494.5,205.8,14193.61,84
CPT,36819,RELOCATION OF UPPER ARM SURFACE VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,20446.0,10223.0,3481.45,14193.61,72
CPT,36821,AV FUSION DIRECT ANY SITE,6368.0,3184.0,205.8,8053.93,36
CPT,36821,RELOCATION OF ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,13781.0,6890.5,205.8,8053.93,108
CPT,36830,ARTERY-VEIN NONAUTOGRAFT,11265.0,5632.5,104.97,14193.61,37
CPT,36830,CREATION OF ARTERY-VEIN CONNECTION USING TUBE GRAFT FOR HEMODIALYSIS,21894.0,10947.0,104.97,14193.61,85
CPT,36832,AV FISTULA REVISION OPEN,11265.0,5632.5,205.8,14193.61,36
CPT,36832,REVISION OF HEMODIALYSIS GRAFT,21351.0,10675.5,205.8,14193.61,84
CPT,36833,REVISION OF HEMODIALYSIS GRAFT WITH REMOVAL OF BLOOD CLOT,22256.0,11128.0,205.8,14193.61,36
CPT,36836,PRQ AV FSTL CRTJ UXTR 1 ACS,21145.0,10572.5,269.97,46759.41,31
CPT,36837,PRQ AV FSTL CRT UXTR SEP ACS,23527.0,11763.5,348.72,46759.41,31
CPT,36901,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST,6210.0,3105.0,125.2,4015.28,170
CPT,36901,INTRO CATH DIALYSIS CIRCUIT,6210.0,3105.0,125.2,4015.28,37
CPT,36902,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,8438.835,4219.42,186.54,14517.73,122
CPT,36902,INTRO CATH DIALYSIS CIRCUIT,12026.0,6013.0,186.54,14517.73,37
CPT,36903,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND INSERTION OF STENT IN DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,17700.0,8850.0,7222.68,29446.32,24
CPT,36903,INTRO CATH DIALYSIS CIRCUIT,17700.0,8850.0,205.8,29446.32,37
CPT,36904,REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,9876.0,4938.0,3560.95,14517.73,24
CPT,36904,THRMBC/NFS DIALYSIS CIRCUIT,10617.0,5308.5,205.8,14517.73,37
CPT,36905,REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH IMAGING REVIEW BY RADIOLOGIST; WITH BALLOON TUBE,17110.0,8555.0,205.8,29446.32,37
CPT,36905,THRMBC/NFS DIALYSIS CIRCUIT,18725.0,9362.5,205.8,29446.32,37
CPT,36906,REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT AND PLACEMENT OF STENT WITH REVIEW BY RADIOLOGIST,21885.0,10942.5,386.03,46759.41,37
CPT,36906,THRMBC/NFS DIALYSIS CIRCUIT,21145.0,10572.5,386.03,46759.41,37
CPT,36907,BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,10931.5,5465.75,85.9,350.2,109
CPT,36907,BALO ANGIOP CTR DIALYSIS SEG,11327.0,5663.5,85.9,350.2,37
CPT,36908,STENT PLMT CTR DIALYSIS SEG,7383.0,3691.5,122.83,500.77,37
CPT,36909,DIALYSIS CIRCUIT EMBOLJ,11327.0,5663.5,118.85,484.53,37
CPT,36909,PERMANENT BLOCKAGE OF HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST,5801.66,2900.83,118.85,484.53,37
CPT,37182,INSERT HEPATIC SHUNT (TIPS),29128.0,14564.0,205.8,46759.41,31
CPT,37182,INSERTION OF SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST,44736.0,22368.0,205.8,46759.41,31
CPT,37183,REVISION OF SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST,25572.0,12786.0,205.8,14517.73,60
CPT,37184,PRIM ART M-THRMBC 1ST VSL,21145.0,10572.5,205.8,46759.41,36
CPT,37184,PRIMARY REMOVAL AND DISSOLVING OF BLOOD CLOT FROM ARTERY OR ARTERY GRAFT USING FLUOROSCOPIC GUIDANCE; INITIAL VESSEL,22813.34,11406.67,205.8,46759.41,96
CPT,37185,PRIMARY REMOVAL AND DISSOLVING OF BLOOD CLOT FROM ARTERY OR ARTERY GRAFT USING FLUOROSCOPIC GUIDANCE; SUBSEQUENT VESSELS,27446.0,13723.0,96.11,391.83,31
CPT,37186,SEC ART THROMBECTOMY ADD-ON,27446.0,13723.0,149.6,609.9,31
CPT,37186,SECONDARY REMOVAL AND DISSOLVING OF BLOOD CLOT FROM ARTERY OR ARTERY GRAFT USING FLUOROSCOPIC GUIDANCE,9868.5,4934.25,149.6,609.9,31
CPT,37187,REMOVAL AND DISSOLVING OF BLOOD CLOT FROM VEIN USING FLUOROSCOPIC GUIDANCE; INITIAL TREATMENT,28898.0,14449.0,205.8,46759.41,84
CPT,37187,VENOUS MECH THROMBECTOMY,17700.0,8850.0,205.8,29446.32,36
CPT,37188,VEN MECHNL THRMBC REPEAT TX,8460.0,4230.0,205.8,8053.93,36
CPT,37191,INS ENDOVAS VENA CAVA FILTR,10815.0,5407.5,205.8,14193.61,36
CPT,37191,INSERTION OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST,10060.0,5030.0,205.8,14193.61,36
CPT,37192,REDO ENDOVAS VENA CAVA FILTR,6856.0,3428.0,205.8,8053.93,36
CPT,37193,REM ENDOVAS VENA CAVA FILTER,12135.0,6067.5,205.8,8053.93,36
CPT,37193,REMOVAL OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST,8442.0,4221.0,205.8,8053.93,96
CPT,37195,INFUSION OF DRUG TO DISSOLVE BLOOD CLOT IN BRAIN,969.0,484.5,206.65,842.51,24
CPT,37195,THROMBOLYTIC THERAPY STROKE,935.0,467.5,206.65,842.51,24
CPT,37197,REMOVE INTRVAS FOREIGN BODY,6368.0,3184.0,228.78,8053.93,37
CPT,37197,RETRIEVAL OF FOREIGN BODY IN BLOOD VESSEL WITH REVIEW BY RADIOLOGIST,12523.0,6261.5,228.78,8053.93,37
CPT,37200,BIOPSY OF BLOOD VESSEL USING TUBE,3017.0,1508.5,119.7,14193.61,37
CPT,37200,TRANSCATHETER BIOPSY,3244.0,1622.0,119.7,14193.61,37
CPT,37211,THROMBOLYTIC ART THERAPY,11245.0,5622.5,205.8,14193.61,37
CPT,37212,THROMBOLYTIC VENOUS THERAPY,11245.0,5622.5,205.8,8053.93,37
CPT,37213,THROMBLYTIC ART/VEN THERAPY,11245.0,5622.5,205.8,8053.93,31
CPT,37214,CESSJ THERAPY CATH REMOVAL,5687.0,2843.5,205.8,8053.93,31
CPT,37215,TRANSCATH STENT CCA W/EPS,31890.0,15945.0,608.02,2478.84,31
CPT,37216,TRANSCATH STENT CCA W/O EPS,23917.0,11958.5,735.26,749.27,7
CPT,37217,STENT PLACEMT RETRO CAROTID,13946.0,6973.0,205.8,2735.33,31
CPT,37218,STENT PLACEMT ANTE CAROTID,31292.0,15646.0,503.6,2053.14,31
CPT,37220,BALLOON DILATION OF GROIN ARTERY; INITIAL VESSEL,16189.5,8094.75,,,0
CPT,37221,INSERTION OF STENT IN GROIN ARTERY; INITIAL VESSEL,21050.0,10525.0,205.8,510.6,13
CPT,37222,BALLOON DILATION OF GROIN ARTERY; EACH ADDITIONAL VESSEL,12938.66,6469.33,,,0
CPT,37223,INSERTION OF STENT IN GROIN ARTERY; ADDITIONAL VESSEL,17970.0,8985.0,,,0
CPT,37224,BALLOON DILATION OF ARTERY OF LEG,14713.0,7356.5,,,0
CPT,37225,REMOVAL OF PLAQUE IN ARTERIES OF LEG,36580.0,18290.0,,,0
CPT,37226,INSERTION OF STENT IN ARTERIES OF LEG,21548.0,10774.0,,,0
CPT,37228,BALLOON DILATION OF ARTERY OF LEG; INITIAL VESSEL,10855.5,5427.75,,,0
CPT,37230,INSERTION OF STENT IN ARTERY OF LEG; INITIAL VESSEL,21885.0,10942.5,,,0
CPT,37232,BALLOON DILATION OF ARTERY OF LEG; EACH ADDITIONAL VESSEL,9270.25,4635.125,,,0
CPT,37236,INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY; CHEST; HEART; NECK AND BRAIN) WITH REVIEW BY RADIOLOGIST; INITIAL ARTERY,11620.67,5810.34,205.8,29446.32,146
CPT,37236,OPEN/PERQ PLACE STENT 1ST,10094.0,5047.0,205.8,29446.32,37
CPT,37237,OPEN/PERQ PLACE STENT EA ADD,8560.0,4280.0,130.01,530.03,37
CPT,37238,INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST; INITIAL VEIN,11948.5,5974.25,205.8,29446.32,85
CPT,37238,OPEN/PERQ PLACE STENT SAME,13966.0,6983.0,205.8,29446.32,37
CPT,37239,INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST; EACH ADDITIONAL VEIN,9113.0,4556.5,89.78,366.02,48
CPT,37239,OPEN/PERQ PLACE STENT EA ADD,6220.0,3110.0,89.78,366.02,37
CPT,37241,OCCLUSION OF VEIN WITH REVIEW BY RADIOLOGIST,22251.34,11125.67,205.8,29446.32,98
CPT,37241,VASC EMBOLIZE/OCCLUDE VENOUS,19076.0,9538.0,205.8,29446.32,37
CPT,37242,OCCLUSION OF ARTERY WITH REVIEW BY RADIOLOGIST,15718.5,7859.25,205.8,46759.41,85
CPT,37242,VASC EMBOLIZE/OCCLUDE ARTERY,18052.0,9026.0,205.8,46759.41,37
CPT,37243,OCCLUSION OF GROWTHS OR OBSTRUCTED VESSELS WITH REVIEW BY RADIOLOGIST,10479.0,5239.5,205.8,29446.32,85
CPT,37243,VASC EMBOLIZE/OCCLUDE ORGAN,11265.0,5632.5,205.8,29446.32,37
CPT,37244,OCCLUSION OF ARTERY OR VEIN BLEEDING WITH REVIEW BY RADIOLOGIST,10479.0,5239.5,205.8,29446.32,37
CPT,37244,VASC EMBOLIZE/OCCLUDE BLEED,12975.0,6487.5,205.8,29446.32,37
CPT,37246,BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST; INITIAL ARTERY,10579.5,5289.75,205.8,14517.73,98
CPT,37246,TRLUML BALO ANGIOP 1ST ART,12050.0,6025.0,205.8,14517.73,37
CPT,37247,TRLUML BALO ANGIOP ADDL ART,8466.0,4233.0,103.1,420.34,37
CPT,37248,BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST; INITIAL VEIN,9763.0,4881.5,205.8,14517.73,37
CPT,37248,TRLUML BALO ANGIOP 1ST VEIN,10496.0,5248.0,205.8,14517.73,37
CPT,37249,TRLUML BALO ANGIOP ADDL VEIN,11327.0,5663.5,87.28,355.84,37
CPT,37252,INTRVASC US NONCORONARY 1ST,4109.0,2054.5,54.24,221.12,31
CPT,37252,ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST; INITIAL VESSEL,3855.665,1927.835,54.24,221.12,62
CPT,37253,INTRVASC US NONCORONARY ADDL,2548.0,1274.0,42.68,209.72,31
CPT,37253,ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST; EACH ADDITIONAL VESSEL,1586.0,793.0,42.68,209.72,31
CPT,37254,REVSC EVASC IVT ANGIO SF 1ST,10332.0,5166.0,3560.95,14517.73,24
CPT,37255,REVSC EVASC IVT ANGIO SF EA,4979.5,2489.75,93.98,383.16,48
CPT,37256,REVSC EVASC IVT ANGIO CPLX 1,10332.0,5166.0,3560.95,14517.73,24
CPT,37257,REVSC EVSC IVT ANGIO CPLX EA,4793.0,2396.5,121.71,496.21,24
CPT,37258,REVSC EVASC IVT STENT SF 1ST,23045.0,11522.5,7222.68,29446.32,24
CPT,37259,REVSC EVASC IVT STENT SF EA,8537.0,4268.5,125.78,512.78,24
CPT,37260,REVSC EVASC IVT ST CPLX 1ST,23045.0,11522.5,7222.68,29446.32,24
CPT,37261,REVSC EVASC IVT ST CPLX EA,8537.0,4268.5,133.63,544.81,24
CPT,37262,IV LITHOTRP IVT W/IN SM ART,5166.0,2583.0,92.64,377.68,24
CPT,37263,REVSC EVASC FPVT ANGIO SF 1,14713.0,7356.5,3560.95,14517.73,24
CPT,37264,REVSC EVASC FPVT ANGIO SF EA,7357.0,3678.5,94.05,383.43,24
CPT,37265,REVSC EVSC FPVT ANGIO CPLX 1,14713.0,7356.5,3560.95,14517.73,24
CPT,37266,RVSC EVSC FPVT ANGIO CPLX EA,7357.0,3678.5,125.17,510.31,24
CPT,37267,REVSC EVSC FPVT STENT SF 1ST,21548.0,10774.0,7222.68,29446.32,24
CPT,37268,REVSC EVASC FPVT STENT SF EA,10774.0,5387.0,117.31,478.27,24
CPT,37269,REVSC EVASC FPVT ST CPLX 1ST,21548.0,10774.0,7222.68,29446.32,24
CPT,37270,REVSC EVASC FPVT ST CPLX EA,10774.0,5387.0,157.53,642.25,24
CPT,37271,REVSC EVSC FPVT ATHRC SF 1ST,21885.0,10942.5,11469.29,46759.41,24
CPT,37272,REVSC EVSC FPVT ATHRC SF EA,10943.0,5471.5,124.68,508.32,24
CPT,37273,REVSC EVSC FPVT ATHRC CPLX 1,21885.0,10942.5,11469.29,46759.41,24
CPT,37274,RVSC EVSC FPVT ATHRC CPLX EA,10943.0,5471.5,171.77,700.29,24
CPT,37275,RVSC EVSC FPVT ST ATHRC SF 1,31260.0,15630.0,11469.29,46759.41,24
CPT,37276,RVSC EVSC FPVT ST ATHR SF EA,15630.0,7815.0,132.91,541.85,24
CPT,37277,RVSC EVSC FPVT ST ATHR CPX 1,21885.0,10942.5,11469.29,46759.41,24
CPT,37278,RVSC EVSC FPVT ST ATH CPX EA,10943.0,5471.5,186.54,760.52,24
CPT,37279,IV LITHOTRP FPVT W/IN SM ART,10943.0,5471.5,123.9,505.12,24
CPT,37280,REVSC EVSC TPVT ANGIO SF 1ST,17700.0,8850.0,7222.68,29446.32,24
CPT,37281,REVSC EVSC TPVT ANGIO SF EA,7685.0,3842.5,92.62,377.6,24
CPT,37282,RVSC EVSC TPVT ANGIO CPLX 1,17700.0,8850.0,7222.68,29446.32,24
CPT,37283,RVSC EVSC TPVT ANGIO CPLX EA,7685.0,3842.5,132.0,538.16,24
CPT,37284,REVSC EVASC TPVT ST SF 1ST,21885.0,10942.5,11469.29,46759.41,24
CPT,37285,REVSC EVASC TPVT ST SF EA,14108.0,7054.0,104.44,425.78,24
CPT,37286,REVSC EVASC TPVT ST CPLX 1ST,21885.0,10942.5,11469.29,46759.41,24
CPT,37287,REVSC EVASC TPVT ST CPLX EA,14108.0,7054.0,157.31,641.35,24
CPT,37288,REVSC EVSC TPVT ATHRC SF 1ST,21885.0,10942.5,11469.29,46759.41,24
CPT,37289,REVSC EVSC TPVT ATHRC SF EA,15399.0,7699.5,147.14,599.88,24
CPT,37290,REVSC EVSC TPVT ATHRC CPLX 1,21885.0,10942.5,11469.29,46759.41,24
CPT,37291,REVSC EVSC TPVT ATHR CPLX EA,15399.0,7699.5,200.41,817.07,24
CPT,37292,RVSC EVSC TPVT ST ATHRC SF 1,21885.0,10942.5,11469.29,46759.41,24
CPT,37293,RVSC EVSC TPVT ST ATHR SF EA,21821.0,10910.5,203.5,829.66,24
CPT,37294,RVSC EVSC TPVT ST ATHR CPX 1,21885.0,10942.5,11469.29,46759.41,24
CPT,37295,RVSC EVSC TPVT ST ATH CPX EA,21821.0,10910.5,256.82,1047.04,24
CPT,37296,REVSC EVASC IMVT ANGIO SF 1,17700.0,8850.0,7222.68,29446.32,24
CPT,37297,REVSC EVASC IMVT ANGIO SF EA,8850.0,4425.0,123.62,503.98,24
CPT,37298,REVSC EVSC IMVT ANGIO CPLX 1,17700.0,8850.0,7222.68,29446.32,24
CPT,37299,REVSC EVSC IMVT ANGIO CPX EA,8850.0,4425.0,153.68,626.54,24
CPT,37600,TYING OF EXTERNAL NECK ARTERY,33638.74,16819.37,1975.49,8053.93,24
CPT,37607,LIG/BANDING ANGIOACS AV FSTL,6856.0,3428.0,25.0,8053.93,36
CPT,37607,TYING OR BANDING OF SURGICALLY CREATED ARTERY-VEIN CONNECTION,9631.66,4815.83,205.8,8053.93,84
CPT,37609,LIGATION/BX TEMPORAL ARTERY,8714.0,4357.0,130.2,4212.81,36
CPT,37609,TYING OR BIOPSY OF ARTERY ON SIDE OF SKULL,5061.0,2530.5,130.2,4212.81,192
CPT,37618,LIGATION MAJOR ARTERY XTR,8712.0,4356.0,25.0,989.51,31
CPT,37618,TYING OF MAJOR ARM OR LEG ARTERY,25812.5,12906.25,205.8,989.51,55
CPT,37619,LIGATION OF INF VENA CAVA,12038.0,6019.0,205.8,14193.61,31
CPT,37700,TYING AND DIVISION OF LONG LEG VEIN,12311.34,6155.67,1975.49,8053.93,24
CPT,37718,TYING; INCISION; AND STRIPPING OF SHORT LEG VEIN,9891.25,4945.63,1975.49,8053.93,24
CPT,37761,TYING OF VARICOSE VEINS; SIMPLE PROCEDURE USING ULTRASOUND,15944.25,7972.125,1975.49,8053.93,48
CPT,37765,REMOVAL OF VARICOSE VEINS OF ARM OR LEG; 10-20 INCISIONS,9824.0,4912.0,1975.49,8053.93,48
CPT,37765,STAB PHLEB VEINS XTR 10-20,6856.0,3428.0,205.8,8053.93,36
CPT,37766,PHLEB VEINS - EXTREM 20+,6856.0,3428.0,205.8,8053.93,36
CPT,37766,REMOVAL OF VARICOSE VEINS OF ARM OR LEG; MORE THAN 20 INCISIONS,13770.0,6885.0,1975.49,8053.93,48
CPT,37785,LIGATE/DIVIDE/EXCISE VEIN,6856.0,3428.0,93.98,8053.93,37
CPT,37785,TYING; INCISION; AND/OR REMOVAL OF VARICOSE VEIN CLUSTERS OF LEG,6053.0,3026.5,1975.49,8053.93,24
CPT,37799,OTHER PROCEDURE ON BLOOD VESSEL,9891.25,4945.63,392.48,1600.1,120
CPT,37799,UNLISTED PX VASCULAR SURGERY,2451.0,1225.5,392.48,1600.1,24
CPT,38200,INJECTION FOR SPLEEN X-RAY,5722.0,2861.0,71.93,293.25,37
CPT,38204,BL DONOR SEARCH MANAGEMENT,3858.0,1929.0,1482.0,17224.0,2
CPT,38205,HARVEST ALLOGENEIC STEM CELL,8816.0,4408.0,1482.0,17224.0,2
CPT,38206,COLLECTION OF STEM CELLS FOR TRANSPLANTATION,4480.0,2240.0,77.71,17224.0,40
CPT,38206,HARVEST AUTO STEM CELLS,4480.0,2240.0,1482.0,17224.0,2
CPT,38207,CRYOPRESERVE STEM CELLS,4533.0,2266.5,205.8,17224.0,32
CPT,38207,PRESERVATION AND STORAGE OF STEM CELLS FOR TRANSPLANTATION,1351.0,675.5,205.8,1125.32,30
CPT,38208,THAW PRESERVED STEM CELLS,1102.5,551.25,21.11,17224.0,37
CPT,38208,THAWING OF FROZEN STEM CELLS FOR TRANSPLANTATION,2406.52,1203.26,21.11,1125.32,61
CPT,38212,RBC DEPLETION OF HARVEST,750.0,375.0,35.77,1125.32,31
CPT,38214,PREPARATION OF STEM CELLS FOR TRANSPLANTATION WITH REDUCTION OF BLOOD FLUID (PLASMA) VOLUME,571.0,285.5,205.8,1125.32,30
CPT,38214,VOLUME DEPLETE OF HARVEST,614.0,307.0,205.8,1125.32,30
CPT,38215,HARVEST STEM CELL CONCENTRTE,4253.0,2126.5,1482.0,17224.0,2
CPT,38220,ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS,2812.0,1406.0,57.41,4212.81,37
CPT,38221,BIOPSY OF BONE MARROW,5084.5,2542.25,73.31,7409.19,157
CPT,38221,DX BONE MARROW BIOPSIES,4191.5,2095.75,73.31,4212.81,74
CPT,38222,BIOPSY AND ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS,6301.0,3150.5,66.49,7409.19,314
CPT,38222,DX BONE MARROW BX & ASPIR,7423.0,3711.5,66.49,7409.19,74
CPT,38227,CAR-T RECEIPT&PREPJ ADMN,871.0,435.5,29.85,30.42,7
CPT,38240,TRANSPLT ALLO HCT/DONOR,158946.0,79473.0,177.31,160445.02,30
CPT,38241,TRANSPLANTATION OF PATIENT-DERIVED STEM CELLS,2745.0,1372.5,131.25,3972.61,35
CPT,38241,TRANSPLT AUTOL HCT/DONOR,4406.0,2203.0,131.25,3972.61,35
CPT,38500,BIOPSY OR REMOVAL OF LYMPH NODES,11955.165,5977.585,105.0,16937.42,157
CPT,38500,BIOPSY/REMOVAL LYMPH NODES,10001.0,5000.5,105.0,9987.29,37
CPT,38505,NEEDLE BIOPSY LYMPH NODES,5481.0,2740.5,70.8,4212.81,37
CPT,38505,NEEDLE BIOPSY OR REMOVAL OF SURFACE LYMPH NODES,5098.0,2549.0,70.8,4212.81,133
CPT,38510,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF NECK,15695.0,7847.5,142.8,16937.42,157
CPT,38520,BIOPSY OR REMOVAL OF LYMPH NODES OF NECK WITH REMOVAL OF FAT PAD,37565.33,18782.67,2449.71,9987.29,24
CPT,38525,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF UNDERARM,25597.0,12798.5,163.8,16937.42,181
CPT,38531,BIOPSY OR REMOVAL OF LYMPH NODES OF GROIN,27707.0,13853.5,205.8,16937.42,132
CPT,38542,REMOVAL OF DEEP LYMPH NODES OF NECK,34662.5,17331.25,205.8,15420.64,36
CPT,38562,PARTIAL REMOVAL OF PELVIC AND AORTIC LYMPH NODES,56253.0,28126.5,539.15,20848.27,31
CPT,38570,BIOPSY AND REMOVAL OF LYMPH NODES OF ABDOMINAL CAVITY USING AN ENDOSCOPE,11403.32,5701.66,205.8,15420.64,132
CPT,38571,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS USING AN ENDOSCOPE,21877.0,10938.5,205.8,27114.06,36
CPT,38572,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS AND ABDOMINAL LYMPH NODE BIOPSY USING AN ENDOSCOPE,26756.66,13378.33,205.8,27114.06,36
CPT,38589,OTHER PROCEDURE ON LYMPHATIC SYSTEM USING AN ENDOSCOPE,36736.33,18368.17,3782.42,15420.64,24
CPT,38720,REMOVAL OF LYMPH NODES OF NECK,19853.0,9926.5,205.8,16937.42,84
CPT,38724,REMOVAL OF LYMPH NODES; MUSCLE; AND TISSUE OF NECK,24319.0,12159.5,205.8,3361.76,151
CPT,38745,REMOVAL OF LYMPH NODES OF UNDERARM,23857.0,11928.5,3782.42,15420.64,48
CPT,38760,REMOVAL OF LYMPH NODES OF GROIN,34791.0,17395.5,4154.46,16937.42,24
CPT,38790,INJECT FOR LYMPHATIC X-RAY,821.0,410.5,48.85,199.17,37
CPT,38792,INJECTION OF RADIOACTIVE MATERIAL FOR X-RAY IDENTIFICATION OF LYMPH NODE,10005.415,5002.71,24.19,1019.72,350
CPT,38792,RA TRACER ID OF SENTINL NODE,1877.0,938.5,24.19,1019.72,31
CPT,38794,ACCESS THORACIC LYMPH DUCT,561.0,280.5,165.29,673.87,31
CPT,38900,IMAGING OF LYMPH NODES DURING SURGERY,8358.33,4179.17,83.56,340.68,175
CPT,38999,UNLISTD PX HEMIC/LYMPHTC SYS,1175.0,587.5,276.02,1125.32,24
CPT,39401,EXAM OF CHEST USING AN ENDOSCOPE,23337.0,11668.5,205.8,15420.64,36
CPT,39402,EXAM OF CHEST WITH BIOPSY OF LYMPH NODE USING AN ENDOSCOPE,17081.0,8540.5,205.8,15420.64,36
CPT,39499,UNLISTED PX MEDIASTINUM,16669.0,8334.5,,,0
CPT,40490,BIOPSY OF LIP,627.5,313.75,38.33,604.15,98
CPT,40510,REMOVAL OF WEDGE OF LIP TISSUE WITH CLOSURE,24011.0,12005.5,205.8,8456.92,37
CPT,40525,REMOVAL OF LIP WITH REPAIR USING LOCAL TISSUE GRAFT,14946.66,7473.33,205.8,8456.92,36
CPT,40530,PARTIAL REMOVAL OF LIP,11526.0,5763.0,205.8,8456.92,37
CPT,40650,REPAIR OF LIP AND BORDER,1608.0,804.0,25.0,1375.69,37
CPT,40652,REPAIR OF VERTICAL LIP WOUND EXTENDING TO HALF OF LIP,1495.0,747.5,25.0,1375.69,37
CPT,40652,RPR LIP FTH<HALF VER HEIGHT,1378.0,689.0,25.0,1375.69,37
CPT,40654,RPR LIP FTH>1HALF VER HT/CPX,3963.0,1981.5,25.0,3957.72,37
CPT,40700,PRIMARY PLASTIC REPAIR OF DEFORMITY PRESENT AT BIRTH ON 1 SIDE OF NOSE AND/OR LIP,30017.0,15008.5,205.8,15099.99,36
CPT,40701,PLASTIC REPAIR OF DEFORMITY PRESENT AT BIRTH ON BOTH SIDES OF NOSE AND/OR LIP,40797.0,20398.5,814.8,15099.99,36
CPT,40720,SECONDARY PLASTIC REPAIR OF NOSE AND LIP DEFORMITY PRESENT AT BIRTH,6923.5,3461.75,2074.34,8456.92,24
CPT,40761,PLASTIC REPAIR OF NOSE AND/OR LIP DEFORMITY PRESENT AT BIRTH USING A TISSUE GRAFT,16625.5,8312.75,205.8,15099.99,36
CPT,40799,UNLISTED PROCEDURE LIPS,713.0,356.5,25.0,604.15,24
CPT,40800,DRAINAGE OF MOUTH LESION,2152.0,1076.0,27.83,1806.27,37
CPT,40800,SIMPLE DRAINAGE OF ABSCESS; CYST; OR BLOOD ACCUMULATION OF MOUTH,6668.5,3334.25,25.0,1806.27,74
CPT,40801,DRAINAGE OF MOUTH LESION,1580.0,790.0,25.0,1375.69,37
CPT,40804,REMOVAL FOREIGN BODY MOUTH,2423.5,1211.75,25.0,2313.48,74
CPT,40804,SIMPLE REMOVAL OF EMBEDDED FOREIGN BODY IN MOUTH,3941.0,1970.5,25.0,2313.48,74
CPT,40806,INCISION OF LIP FOLD,1378.0,689.0,205.8,1375.69,31
CPT,40806,INCISION OF TISSUE JOINING LIP AND GUM,2767.66,1383.83,205.8,1375.69,86
CPT,40808,BIOPSY OF MOUTH,1606.0,803.0,38.33,1375.69,98
CPT,40808,BIOPSY OF MOUTH LESION,1378.0,689.0,38.33,1375.69,37
CPT,40810,EXCISION OF MOUTH LESION,8469.0,4234.5,57.23,8456.92,37
CPT,40810,REMOVAL OF GROWTH OF TISSUE OF MOUTH,18775.0,9387.5,57.23,8456.92,37
CPT,40812,REMOVAL OF GROWTH OF MOUTH WITH SIMPLE REPAIR,9897.0,4948.5,68.78,3957.72,98
CPT,40814,REMOVAL OF GROWTH OF MOUTH WITH COMPLICATED REPAIR,5413.5,2706.75,186.38,8456.92,37
CPT,40816,COMPLEX REMOVAL OF TISSUE AND MUSCLE GROWTH OF MOUTH,11726.25,5863.13,186.38,8456.92,37
CPT,40818,REMOVAL OF MOUTH TISSUE FOR GRAFTING,10302.455,5151.23,205.8,1375.69,60
CPT,40819,EXCISE LIP OR CHEEK FOLD,3963.0,1981.5,205.8,3957.72,31
CPT,40819,REMOVAL OF TISSUE AT DENTAL EDGE AND CHEEK,4915.0,2457.5,205.8,3957.72,31
CPT,40820,DESTRUCTION OF GROWTH OR SCAR OF MOUTH,19903.0,9951.5,21.0,8456.92,37
CPT,40820,TREATMENT OF MOUTH LESION,8468.0,4234.0,21.0,8456.92,37
CPT,40830,REPAIR MOUTH LACERATION,626.0,313.0,33.08,604.15,37
CPT,40830,REPAIR OF LACERATED MOUTH; 2.5 CM OR LESS,582.0,291.0,25.0,604.15,37
CPT,40831,REPAIR MOUTH LACERATION,1608.0,804.0,25.0,1375.69,37
CPT,40831,REPAIR OF LACERATED MOUTH; MORE THAN 2.5 CM,1495.0,747.5,25.0,1375.69,37
CPT,40899,OTHER PROCEDURE ON INNER MOUTH,3308.0,1654.0,148.19,604.15,24
CPT,41008,DRAINAGE OF ABSCESS; CYST; OR BLOOD ACCUMULATION UNDER JAW BONE FROM INSIDE MOUTH,9399.0,4699.5,24.68,8456.92,37
CPT,41009,DRAINAGE OF ABSCESS; CYST; OR BLOOD ACCUMULATION UNDER LOWER TEETH FROM INSIDE MOUTH,7841.0,3920.5,24.68,1375.69,37
CPT,41010,INCISION OF TISSUE CONNECTING TONGUE AND FLOOR OF MOUTH,4271.5,2135.75,47.25,3957.72,74
CPT,41010,INCISION OF TONGUE FOLD,5391.0,2695.5,47.25,3957.72,37
CPT,41016,DRAINAGE OF ABSCESS; CYST; OR BLOOD ACCUMULATION BENEATH CHIN FROM OUTSIDE MOUTH,16773.0,8386.5,24.68,15099.99,37
CPT,41017,DRAINAGE OF ABSCESS; CYST; OR BLOOD ACCUMULATION UNDER JAW BONE FROM OUTSIDE MOUTH,7687.0,3843.5,24.68,8456.92,37
CPT,41100,BIOPSY OF FRONT 2/3 OF TONGUE,1606.0,803.0,65.1,1375.69,37
CPT,41100,BIOPSY OF TONGUE,1378.0,689.0,65.1,1375.69,37
CPT,41105,BIOPSY OF BACK 1/3 OF TONGUE,6135.0,3067.5,84.0,8456.92,37
CPT,41105,BIOPSY OF TONGUE,8469.0,4234.5,84.0,8456.92,37
CPT,41108,BIOPSY OF FLOOR OF MOUTH,5181.5,2590.75,25.0,4212.81,74
CPT,41110,EXCISION OF TONGUE LESION,8469.0,4234.5,82.43,8456.92,37
CPT,41110,REMOVAL OF GROWTH OF TONGUE WITHOUT CLOSURE,22408.5,11204.25,82.43,8456.92,74
CPT,41112,EXCISION OF TONGUE LESION,8469.0,4234.5,205.8,8456.92,37
CPT,41112,REMOVAL OF GROWTH OF FRONT 2/3 OF TONGUE WITH SWITCHES,15750.5,7875.25,205.8,8456.92,74
CPT,41115,EXCISION OF TONGUE FOLD,3963.0,1981.5,205.8,3957.72,36
CPT,41115,REMOVAL OF TISSUE CONNECTING TONGUE AND FLOOR OF MOUTH,2971.5,1485.75,205.8,3957.72,72
CPT,41116,EXCISION OF MOUTH LESION,9399.0,4699.5,90.83,8456.92,37
CPT,41116,REMOVAL OF GROWTH OF FLOOR OF MOUTH,10767.0,5383.5,90.83,8456.92,37
CPT,41120,REMOVAL OF LESS THAN HALF OF TONGUE,31270.0,15635.0,205.8,15099.99,36
CPT,41130,PARTIAL REMOVAL OF TONGUE,33335.0,16667.5,740.68,3019.68,31
CPT,41135,PARTIAL REMOVAL OF TONGUE AND SURROUNDING LYMPH NODES ON SIDE OF NECK,34515.0,17257.5,1219.54,4971.96,31
CPT,41145,COMPLETE REMOVAL OF TONGUE AND SURROUNDING LYMPH NODES ON SIDE OF NECK,52414.26,26207.13,1535.87,6261.61,24
CPT,41250,REPAIR TONGUE LACERATION,1320.0,660.0,25.0,1139.47,37
CPT,41251,REPAIR TONGUE LACERATION,727.0,363.5,25.0,604.15,37
CPT,41252,REPAIR OF LACERATED TONGUE OR FLOOR OF MOUTH; MORE THAN 2.6 CM,4566.5,2283.25,25.0,604.15,74
CPT,41252,REPAIR TONGUE LACERATION,727.0,363.5,25.0,604.15,37
CPT,41512,PERMANENT SUSPENSION OF TONGUE BASE USING SUTURES,8619.66,4309.83,480.48,15099.99,31
CPT,41530,DESTRUCTION OF TONGUE TISSUE; PER SESSION,14031.165,7015.585,270.48,8456.92,55
CPT,41599,OTHER PROCEDURE ON TONGUE OR FLOOR OF MOUTH,2344.625,1172.315,148.19,604.15,72
CPT,41800,DRAINAGE OF ABSCESS; CYST; OR BLOOD ACCUMULATION OF DENTAL BONE,857.0,428.5,24.68,339.39,111
CPT,41825,EXCISION OF GUM LESION,8506.0,4253.0,116.12,8456.92,37
CPT,41825,REMOVAL OF DENTAL BONE GROWTH,9642.0,4821.0,116.12,8456.92,37
CPT,41826,REMOVAL OF DENTAL BONE GROWTH WITH SIMPLE REPAIR,14059.125,7029.5650000000005,124.43,8456.92,61
CPT,41827,REMOVAL OF GROWTH OF DENTAL BONE GROWTH WITH COMPLEX REPAIR,14546.5,7273.25,3703.77,15099.99,24
CPT,41830,REMOVAL OF TISSUE OVERGROWTH AT TEETH OR TOOTH SOCKET,47012.67,23506.34,205.8,8456.92,31
CPT,41874,RESHAPING OF TOOTH SOCKET,7273.25,3636.63,205.8,8456.92,31
CPT,41899,OTHER PROCEDURE ON TEETH AND GUMS,9897.0,4948.5,25.0,604.15,134
CPT,41899,UNLISTED PX DENTALVLR STRUX,727.0,363.5,148.19,604.15,31
CPT,42000,DRAINAGE OF ABSCESS OF ROOF OF MOUTH,714.0,357.0,21.0,604.15,37
CPT,42100,BIOPSY OF ROOF OF MOUTH,4802.0,2401.0,75.08,3957.72,37
CPT,42100,BIOPSY ROOF OF MOUTH,5164.0,2582.0,75.08,3957.72,37
CPT,42104,EXCISION LESION MOUTH ROOF,8469.0,4234.5,90.83,8456.92,37
CPT,42104,REMOVAL OF GROWTH OF ROOF OF MOUTH,8108.0,4054.0,90.83,8456.92,37
CPT,42107,REMOVAL OF GROWTH OF ROOF OF MOUTH WITH LOCAL TISSUE GRAFT,28122.0,14061.0,205.8,15099.99,36
CPT,42120,PARTIAL REMOVAL OF ROOF OF MOUTH,29863.0,14931.5,205.8,15099.99,36
CPT,42140,EXCISION OF UVULA,8469.0,4234.5,205.8,8456.92,36
CPT,42140,REMOVAL OF SOFT TISSUE OF ROOF OF MOUTH,13438.0,6719.0,205.8,8456.92,60
CPT,42145,COMPLEX REMOVAL OF SOFT TISSUE OF ROOF OF MOUTH,15987.005000000001,7993.505,205.8,15099.99,60
CPT,42145,REPAIR PALATE PHARYNX/UVULA,15617.0,7808.5,205.8,15099.99,36
CPT,42160,DESTRUCTION OF GROWTH OR SOFT TISSUE OF ROOF OF MOUTH,10767.0,5383.5,124.43,8456.92,37
CPT,42182,REPAIR OF LACERATED ROOF OF MOUTH; MORE THAN 2.0 CM,7225.0,3612.5,49.88,15099.99,37
CPT,42182,REPAIR PALATE,16361.0,8180.5,25.0,15099.99,37
CPT,42200,REPAIR OF DEFECT OF SOFT AND/OR HARD TISSUE OF ROOF OF MOUTH FOR CLEFT PALATE,17798.33,8899.17,205.8,15099.99,36
CPT,42205,REPAIR OF DEFECT OF SOFT TISSUE OF ROOF OF MOUTH FOR CLEFT PALATE,7921.5,3960.75,205.8,8456.92,36
CPT,42210,REPAIR OF CLEFT PALATE WITH BONE GRAFT,22525.835,11262.92,205.8,15099.99,60
CPT,42215,REVISION OF PRIOR CLEFT PALATE REPAIR,36639.0,18319.5,205.8,15099.99,36
CPT,42220,REPAIR OF CLEFT PALATE WITH PALATE LENGTHENING,11075.0,5537.5,1851.89,7550.01,24
CPT,42225,REPAIR OF CLEFT PALATE WITH LOCAL TISSUE GRAFT FROM THROAT,35596.67,17798.34,205.8,15099.99,36
CPT,42235,LENGTHENING OF ROOF OF MOUTH WITH TISSUE GRAFT FROM TISSUE SEPARATING NOSE AIRWAYS,23764.5,11882.25,205.8,15099.99,36
CPT,42300,SIMPLE DRAINAGE OF ABSCESS OF SALIVA GLAND,4849.0,2424.5,25.0,3957.72,37
CPT,42310,DRAINAGE OF SALIVARY GLAND,1608.0,804.0,25.0,1375.69,37
CPT,42330,REMOVAL OF SALIVARY STONE,9399.0,4699.5,67.2,8456.92,37
CPT,42330,UNCOMPLICATED REMOVAL OF SALIVA GLAND STONE FROM INSIDE MOUTH,10013.835,5006.92,25.0,8456.92,135
CPT,42335,COMPLICATED REMOVAL OF SALIVA GLAND STONE FROM INSIDE MOUTH,30639.5,15319.75,164.85,8456.92,37
CPT,42335,REMOVAL OF SALIVARY STONE,8506.0,4253.0,164.85,8456.92,37
CPT,42400,BIOPSY OF SALIVARY GLAND,2267.0,1133.5,36.75,1806.27,37
CPT,42405,BIOPSY OF SALIVA GLAND,4397.08,2198.54,77.18,3957.72,74
CPT,42405,BIOPSY OF SALIVARY GLAND,3963.0,1981.5,77.18,3957.72,37
CPT,42410,REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND; LATERAL LOBE,23600.02,11800.01,205.8,15099.99,84
CPT,42415,EXCISE PAROTID GLAND/LESION,17095.0,8547.5,205.8,15099.99,36
CPT,42415,REMOVAL OF GROWTH OF SALIVA GLAND WITH RELEASE OF FACIAL NERVE,39667.5,19833.75,205.8,15099.99,108
CPT,42420,REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND WITH RELEASE OF FACIAL NERVE,53985.0,26992.5,205.8,15099.99,36
CPT,42425,REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND; AND FACIAL NERVE,81567.5,40783.75,3703.77,15099.99,24
CPT,42426,REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND; AND SURROUNDING LYMPH NODES ON SIDE OF NECK,52510.0,26255.0,763.92,3114.44,24
CPT,42440,REMOVAL OF SALIVA GLAND UNDER FLOOR OF MOUTH,22124.0,11062.0,68.6,15099.99,61
CPT,42500,SIMPLE REPAIR OF SALIVARY DUCT,14931.5,7465.75,205.8,15099.99,37
CPT,42550,INJECTION FOR SALIVARY X-RAY,1908.0,954.0,34.37,140.11,37
CPT,42650,DILATION OF SALIVARY DUCT,4348.0,2174.0,36.75,3957.72,37
CPT,42650,INSERTION OF PROBE TO WIDEN SALIVA GLAND DUCT,7477.125,3738.565,36.75,3957.72,122
CPT,42660,DILATION OF SALIVA GLAND DUCT AND INSERTION OF TUBE,19869.25,9934.625,36.75,1375.69,194
CPT,42660,DILATION OF SALIVARY DUCT,1366.0,683.0,36.75,1375.69,37
CPT,42699,OTHER PROCEDURE ON SALIVA GLAND OR DUCT,8659.25,4329.63,148.19,604.15,72
CPT,42699,UNLISTED PX SALIVRY GLND/DUX,613.0,306.5,148.19,604.15,24
CPT,42700,DRAINAGE OF ABSCESS NEAR TONSIL,3968.0,1984.0,25.0,604.15,146
CPT,42700,DRAINAGE OF TONSIL ABSCESS,1195.0,597.5,65.1,604.15,37
CPT,42720,DRAINAGE OF THROAT ABSCESS,4400.0,2200.0,93.98,8456.92,37
CPT,42800,BIOPSY OF BACK OF THROAT,4289.125,2144.565,57.23,3957.72,74
CPT,42800,BIOPSY OF THROAT,3963.0,1981.5,57.23,3957.72,37
CPT,42804,BIOPSY OF UPPER NOSE/THROAT,8469.0,4234.5,64.05,8456.92,37
CPT,42808,EXCISE PHARYNX LESION,8717.0,4358.5,57.23,8456.92,37
CPT,42808,REMOVAL OR DESTRUCTION OF GROWTH OF THROAT,4645.25,2322.625,57.23,8456.92,61
CPT,42809,REMOVAL OF FOREIGN BODY IN THROAT,1082.0,541.0,25.0,1139.47,37
CPT,42809,REMOVE PHARYNX FOREIGN BODY,1164.0,582.0,25.0,1139.47,37
CPT,42810,REMOVAL OF CONGENITAL SKIN AND TISSUE CYST OF NECK,14313.68,7156.84,205.8,8456.92,84
CPT,42815,REMOVAL OF CONGENITAL CYST OR ABNORMAL DRAINAGE TRACT OF NECK AND/OR THROAT,14171.0,7085.5,61.95,15099.99,85
CPT,42820,REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS),12753.0,6376.5,205.8,15099.99,180
CPT,42821,REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER),15156.0,7578.0,205.8,8456.92,108
CPT,42821,REMOVE TONSILS AND ADENOIDS,9398.0,4699.0,205.8,8456.92,36
CPT,42825,REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS),7959.75,3979.875,205.8,15099.99,60
CPT,42826,REMOVAL OF TONSILS (12 YEARS OR OLDER),9342.0,4671.0,205.8,8456.92,108
CPT,42830,PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS),12980.07,6490.035,205.8,8456.92,156
CPT,42831,PRIMARY REMOVAL OF ADENOIDS (12 YEARS OR OLDER),6870.0,3435.0,205.8,8456.92,36
CPT,42835,SECONDARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS),17724.0,8862.0,205.8,8456.92,60
CPT,42836,SECONDARY REMOVAL OF ADENOIDS (12 YEARS OR OLDER),11229.0,5614.5,205.8,8456.92,36
CPT,42842,EXTENSIVE REMOVAL OF TONSILS; TISSUE; MUSCLE; AND BONE,67277.52,33638.76,3703.77,15099.99,24
CPT,42870,REMOVAL OR DESTRUCTION OF GROWTH OF TONGUE LYMPH NODE,10157.5,5078.75,168.0,15099.99,61
CPT,42890,PARTIAL REMOVAL OF THROAT,157591.0,78795.5,3703.77,15099.99,24
CPT,42950,PLASTIC OR RECONSTRUCTIVE REPAIR OF THROAT,29247.0,14623.5,78.75,15099.99,37
CPT,42960,SIMPLE CONTROL OF BLEEDING OF THROAT,4641.5,2320.75,25.0,1375.69,74
CPT,42962,COMPLICATED CONTROL OF BLEEDING OF THROAT,10151.0,5075.5,83.48,8456.92,37
CPT,42962,CONTROL THROAT BLEEDING,9398.0,4699.0,25.0,8456.92,37
CPT,42975,EVALUATION OF SLEEP-DISORDERED BREATHING BY EXAMINATION OF UPPER AIRWAY USING AN ENDOSCOPE,4444.0,2222.0,73.09,4540.06,151
CPT,42999,OTHER PROCEDURE ON THROAT; ADENOIDS; OR TONSILS,7516.33,3758.165,25.0,604.15,48
CPT,42999,UNLISTED PX PHRNX ADND/TNSL,727.0,363.5,25.0,604.15,24
CPT,43130,REMOVAL OF DEFECT IN WALL OF ESOPHAGUS THROUGH NECK,19192.0,9596.0,205.8,15099.99,31
CPT,43180,ESOPHAGOSCOPY RIGID TRNSO,15120.0,7560.0,205.8,15099.99,36
CPT,43180,REMOVAL OF DEFECT IN WALL OF ESOPHAGUS USING A RIGID ENDOSCOPE,15695.0,7847.5,205.8,15099.99,36
CPT,43193,BIOPSY OF ESOPHAGUS USING A RIGID ENDOSCOPE,16619.0,8309.5,205.8,4894.63,36
CPT,43195,BALLOON DILATION OF ESOPHAGUS USING A RIGID ENDOSCOPE; LESS THAN 3.0 CM,9166.0,4583.0,205.8,9834.36,36
CPT,43197,ESOPHAGOSCOPY FLEX DX BRUSH,2317.0,1158.5,205.8,2313.48,36
CPT,43198,BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE,2344.0,1172.0,205.8,2313.48,36
CPT,43200,DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH,3346.25,1673.13,98.14,2313.48,85
CPT,43201,INJECTION INTO ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,10151.0,5075.5,77.47,4894.63,37
CPT,43202,BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH,3090.0,1545.0,106.55,4894.63,61
CPT,43202,ESOPHAGOSCOPY FLEX BIOPSY,4902.0,2451.0,106.55,4894.63,37
CPT,43210,REPAIR OF MUSCLE AT ESOPHAGUS AND STOMACH USING A FLEXIBLE ENDOSCOPE,14001.0,7000.5,205.8,27114.06,31
CPT,43211,REMOVAL OF TISSUE LINING OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,6940.0,3470.0,205.8,4894.63,36
CPT,43212,PLACEMENT OF STENT IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,2053.33,1026.67,205.8,15485.35,36
CPT,43215,REMOVAL OF FOREIGN BODIES IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,8500.0,4250.0,205.8,4894.63,36
CPT,43220,BALLOON DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM,2064.0,1032.0,116.91,4894.63,37
CPT,43226,DILATION OF ESOPHAGUS WITH INSERTION OF GUIDE WIRE USING A FLEXIBLE ENDOSCOPE,10860.0,5430.0,129.13,4894.63,37
CPT,43229,DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,2608.0,1304.0,205.8,9834.36,60
CPT,43231,ULTRASOUND EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,1342.66,671.33,115.82,4894.63,37
CPT,43233,BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; 3.0 CM OR MORE,10767.0,5383.5,205.8,4894.63,36
CPT,43235,DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,2521.0,1260.5,25.0,2313.48,290
CPT,43236,INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,6155.66,3077.83,159.13,2313.48,85
CPT,43237,ULTRASOUND EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH,5506.335,2753.17,178.43,4894.63,74
CPT,43238,ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,4836.5,2418.25,205.8,4894.63,61
CPT,43239,BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,1808.0,904.0,156.01,2313.48,205
CPT,43239,EGD BIOPSY SINGLE/MULTIPLE,2465.0,1232.5,156.01,2313.48,37
CPT,43240,DRAINAGE OF FLUID COLLECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,11877.5,5938.75,205.8,15485.35,60
CPT,43241,EGD TUBE/CATH INSERTION,4770.0,2385.0,141.79,4894.63,37
CPT,43241,INSERTION OF TUBE OR TUBE IN ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,3748.0,1874.0,141.79,4894.63,61
CPT,43242,ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,2238.665,1119.335,205.8,4894.63,109
CPT,43244,TYING OF DILATED VEINS OF STOMACH AND/OR ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,1290.67,645.34,205.8,4894.63,36
CPT,43245,DILATION OF STOMACH OUTLET USING A FLEXIBLE ENDOSCOPE,2512.0,1256.0,172.01,4894.63,37
CPT,43246,EGD PLACE GASTROSTOMY TUBE,4770.0,2385.0,205.8,4894.63,36
CPT,43246,INSERTION OF STOMACH TUBE USING A FLEXIBLE ENDOSCOPE,4418.5,2209.25,205.8,4894.63,60
CPT,43247,EGD REMOVE FOREIGN BODY,3319.0,1659.5,182.73,2313.48,37
CPT,43247,REMOVAL OF FOREIGN BODIES OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,692.0,346.0,182.73,2313.48,85
CPT,43248,INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3600.0,1800.0,205.8,2313.48,108
CPT,43249,BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM,2256.0,1128.0,129.0,4894.63,192
CPT,43249,ESOPH EGD DILATION <30 MM,4347.0,2173.5,25.0,4894.63,36
CPT,43250,REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY,1781.33,890.665,205.8,4894.63,60
CPT,43251,EGD REMOVE LESION SNARE,4872.0,2436.0,25.0,4894.63,37
CPT,43251,REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE,2762.67,1381.335,198.82,4894.63,109
CPT,43253,INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE OR MARKER IN ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,6044.0,3022.0,205.8,4894.63,36
CPT,43254,REMOVAL OF TISSUE LINING OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,5932.0,2966.0,205.8,4894.63,84
CPT,43255,CONTROL OF BLEEDING OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,2144.0,1072.0,205.8,4894.63,85
CPT,43255,EGD CONTROL BLEEDING ANY,4872.0,2436.0,25.0,4894.63,37
CPT,43259,ULTRASOUND EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,10736.875,5368.44,205.8,4894.63,60
CPT,43260,DIAGNOSTIC EXAM OF GALLBLADDER AND PANCREATIC; LIVER; AND BILE DUCTS USING AN ENDOSCOPE,8000.42,4000.21,205.8,9834.36,60
CPT,43260,ERCP W/SPECIMEN COLLECTION,8077.0,4038.5,205.8,9834.36,36
CPT,43261,BIOPSY OF GALLBLADDER; PANCREATIC; LIVER; AND BILE DUCTS USING A FLEXIBLE ENDOSCOPE,4342.25,2171.13,205.8,9834.36,84
CPT,43262,ENDO CHOLANGIOPANCREATOGRAPH,8077.0,4038.5,151.2,9834.36,36
CPT,43262,INCISION OF PANCREATIC OUTLET USING A FLEXIBLE ENDOSCOPE,3152.665,1576.335,151.2,9834.36,108
CPT,43264,ERCP REMOVE DUCT CALCULI,8077.0,4038.5,205.8,9834.36,36
CPT,43264,REMOVAL OF STONE OR DEBRIS FROM BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE,5638.0,2819.0,205.8,9834.36,84
CPT,43265,DESTRUCTION OF STONE OF BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE,10767.5,5383.75,205.8,15485.35,36
CPT,43266,PLACEMENT OF STENT IN ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,3611.0,1805.5,205.8,15485.35,120
CPT,43270,DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,3580.0,1790.0,205.8,4894.63,60
CPT,43273,EXAM OF COMMON BILE AND/OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE,10767.5,5383.75,66.55,271.31,31
CPT,43274,INSERTION OF STENT INTO PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,4319.415,2159.71,205.8,15485.35,108
CPT,43275,REMOVAL OF STENT FROM PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,2755.375,1377.69,205.8,4894.63,108
CPT,43276,REPLACEMENT OF STENT IN PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,3948.33,1974.17,205.8,15485.35,84
CPT,43277,BALLOON DILATION OF PANCREATIC OR BILE DUCT OR SPHINCTER USING A FLEXIBLE ENDOSCOPE,9073.0,4536.5,205.8,9834.36,84
CPT,43278,DESTRUCTION OF POLYP OR GROWTH OF GALLBLADDER AND/OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,5194.25,2597.13,205.8,9834.36,36
CPT,43279,REPAIR OF MUSCLE AT LOWER ESOPHAGUS AND STOMACH USING AN ENDOSCOPE,81260.0,40630.0,205.8,3290.32,31
CPT,43280,STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE,182260.0,91130.0,205.8,27114.06,36
CPT,43281,LAP PARAESOPHAG HERN REPAIR,24358.0,12179.0,814.8,27114.06,36
CPT,43281,REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH USING AN ENDOSCOPE,64811.75,32405.875,814.8,27114.06,60
CPT,43282,REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH WITH IMPLANTATION OF MESH USING AN ENDOSCOPE,44409.0,22204.5,1350.86,27114.06,31
CPT,43289,OTHER PROCEDURE ON ESOPHAGUS USING AN ENDOSCOPE,30692.0,15346.0,3782.42,15420.64,24
CPT,43450,DILATION OF ESOPHAGUS,804.0,402.0,61.95,2313.48,37
CPT,43453,DILATION OF ESOPHAGUS WITH A GUIDE WIRE,4109.34,2054.67,61.95,4894.63,37
CPT,43460,PRESSURE TREATMENT ESOPHAGUS,448.0,224.0,121.68,496.08,31
CPT,43497,INCISION OF MUSCLE OF LOWER ESOPHAGUS USING AN ENDOSCOPE,14001.0,7000.5,592.95,15485.35,31
CPT,43499,OTHER PROCEDURE ON ESOPHAGUS,4106.67,2053.34,567.46,2313.48,24
CPT,43500,EXPLORATION OF STOMACH OR REMOVAL OF FOREIGN BODY IN STOMACH,28772.0,14386.0,205.8,2037.66,31
CPT,43633,REMOVAL OF LOWER PORTION OF STOMACH WITH REATTACHMENT OF UPPER PORTION OF REMAINING STOMACH TO SMALL BOWEL,64904.0,32452.0,205.8,4872.71,31
CPT,43644,BYPASS OF STOMACH USING AN ENDOSCOPE,91785.0,45892.5,1088.84,4439.12,31
CPT,43651,INCISION OF VAGUS NERVE IN STOMACH USING AN ENDOSCOPE,24399.83,12199.92,511.11,15420.64,36
CPT,43652,INCISION OF SELECTIVE VAGUS NERVES OF STOMACH USING AN ENDOSCOPE,27086.0,13543.0,596.3,15420.64,36
CPT,43653,CREATION OF SURGICAL OPENING FROM STOMACH TO SKIN USING AN ENDOSCOPE,15740.0,7870.0,205.8,15420.64,36
CPT,43659,OTHER PROCEDURE ON STOMACH USING AN ENDOSCOPE,20807.75,10403.88,3782.42,15420.64,24
CPT,43752,INSERTION OF STOMACH TUBE THROUGH NOSE OR MOUTH USING FLUOROSCOPIC GUIDANCE,5380.5,2690.25,279.49,1139.47,48
CPT,43752,NASAL/OROGASTRIC W/TUBE PLMT,1320.0,660.0,30.37,1139.47,31
CPT,43753,INSERTION OF STOMACH TUBE AND ASPIRATION OF STOMACH CONTENTS,688.0,344.0,25.0,853.6,36
CPT,43753,TX GASTRO INTUB W/ASP,740.0,370.0,25.0,853.6,36
CPT,43761,REPOSITION GASTROSTOMY TUBE,2186.0,1093.0,99.15,637.33,37
CPT,43762,REPLACEMENT OF STOMACH STOMA TUBE,2309.0,1154.5,25.0,637.33,159
CPT,43762,RPLC GTUBE NO REVJ TRC,1178.0,589.0,25.0,637.33,37
CPT,43763,RPLC GTUBE REVJ GSTRST TRC,654.0,327.0,71.61,637.33,37
CPT,43770,LAP PLACE GASTR ADJ DEVICE,23382.0,11691.0,875.27,27114.06,31
CPT,43774,REMOVAL OF STOMACH REDUCTION DEVICE AND PORT USING AN ENDOSCOPE,27867.0,13933.5,205.8,9834.36,31
CPT,43775,PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE,42817.67,21408.835,685.55,2794.96,55
CPT,43848,REVISION OF UPPER STOMACH BYPASS,5148.0,2574.0,1204.52,4910.72,31
CPT,43865,REVISION OF ATTACHMENT OF STOMACH TO SMALL BOWEL WITH SEVERING OF VAGUS NERVE,46179.0,23089.5,1070.01,4362.35,31
CPT,43870,CLOSURE OF SURGICALLY CREATED OPENING FROM STOMACH TO SKIN,15695.0,7847.5,205.8,9834.36,36
CPT,43889,GSTR RSTCV PX TRNSORL ESG,23382.0,11691.0,6650.62,27114.06,24
CPT,43999,OTHER PROCEDURE ON STOMACH,4139.665,2069.835,567.46,2313.48,48
CPT,43999,UNLISTED PROCEDURE STOMACH,2344.0,1172.0,567.46,2313.48,24
CPT,44050,REPAIR OF TWISTED OR HERNIATED SMALL BOWEL,7331.0,3665.5,588.14,2397.8,31
CPT,44180,RELEASE OF SMALL BOWEL SCAR TISSUE USING AN ENDOSCOPE,10851.57,5425.79,205.8,15420.64,36
CPT,44206,PARTIAL REMOVAL OF LARGE BOWEL WITH CREATION OF OPENING FROM LARGE BOWEL TO SKIN USING AN ENDOSCOPE,19541.0,9770.5,1066.75,4349.05,31
CPT,44238,OTHER PROCEDURE ON BOWEL USING AN ENDOSCOPE,30261.75,15130.875,3782.42,15420.64,48
CPT,44312,SIMPLE REVISION OF SUPERFICIAL SCAR TISSUE FROM SURGICALLY CREATED OPENING OF SMALL BOWEL TO SKIN,5908.0,2954.0,205.8,9039.15,36
CPT,44340,REVISION OF COLOSTOMY,9150.0,4575.0,25.0,9039.15,36
CPT,44340,SIMPLE REVISION OF SUPERFICIAL SCAR TISSUE FROM SURGICALLY CREATED OPENING OF LARGE BOWEL TO SKIN,19722.0,9861.0,205.8,9039.15,36
CPT,44360,DIAGNOSTIC EXAM OF SMALL BOWEL (EXCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE,1744.0,872.0,142.23,4894.63,37
CPT,44361,BIOPSY OF SMALL BOWEL (EXCEPT ILEUM) USING AN ENDOSCOPE,2064.0,1032.0,156.78,4894.63,37
CPT,44363,REMOVAL OF FOREIGN BODIES FROM SMALL BOWEL USING AN ENDOSCOPE,3344.0,1672.0,188.51,4894.63,37
CPT,44364,REMOVAL OF SMALL BOWEL POLYPS OR GROWTHS USING AN ENDOSCOPE WITH MECHANICAL SNARE,5840.0,2920.0,200.46,4894.63,37
CPT,44366,CONTROL OF BLEEDING OF FIRST OR SECOND PART OF SMALL BOWEL USING AN ENDOSCOPE,2640.0,1320.0,205.8,4894.63,37
CPT,44369,DESTRUCTION OF POLYP OR GROWTH OF SMALL BOWEL USING AN ENDOSCOPE,5512.0,2756.0,205.8,4894.63,37
CPT,44372,INSERTION OF TUBE INTO MIDDLE SMALL BOWEL USING AN ENDOSCOPE,6993.0,3496.5,205.8,4894.63,61
CPT,44373,CONVERSION OF STOMACH TUBE TO TUBE IN MIDDLE SMALL BOWEL USING AN ENDOSCOPE,9843.0,4921.5,187.43,4894.63,37
CPT,44376,DIAGNOSTIC EXAM OF SMALL BOWEL (INCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE,16245.17,8122.585,205.8,4894.63,61
CPT,44377,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE,6562.0,3281.0,46.89,4894.63,37
CPT,44378,CONTROL OF BLEEDING OF SMALL BOWEL USING AN ENDOSCOPE,6972.67,3486.34,205.8,4894.63,36
CPT,44380,DIAGNOSTIC EXAM OF SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM SMALL BOWEL TO SKIN,820.0,410.0,61.51,2313.48,61
CPT,44381,BALLOON DILATION OF SMALL BOWEL USING AN ENDOSCOPE,2698.67,1349.34,205.8,4894.63,36
CPT,44382,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LOWER SMALL BOWEL TO SKIN,2762.665,1381.335,73.25,2313.48,61
CPT,44385,DIAGNOSTIC EXAM OF SURGICALLY CREATED POUCH OF SMALL BOWEL USING AN ENDOSCOPE,1744.0,872.0,98.41,2372.09,37
CPT,44386,BIOPSY OF SMALL BOWEL POUCH USING AN ENDOSCOPE,1808.0,904.0,115.77,2372.09,37
CPT,44388,DIAGNOSTIC EXAM OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN,2416.0,1208.0,105.0,2372.09,85
CPT,44389,BIOPSY OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN,2474.665,1237.335,169.3,3052.35,61
CPT,44394,REMOVAL OF GROWTHS OR POLYPS OF LARGE BOWEL BY MECHANICAL SNARE USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING INTO LARGE BOWEL TO SKIN,2186.67,1093.34,205.8,3052.35,36
CPT,44403,REMOVAL OF LINING OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN,1605.33,802.67,748.69,3052.35,24
CPT,44404,INJECTION BENEATH LINING OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN,2448.0,1224.0,748.69,3052.35,24
CPT,44500,DILATION OF STOMACH AND/OR SMALL BOWEL USING LONG GASTROINTESTINAL TUBE,2562.0,1281.0,20.65,2313.48,37
CPT,44602,SUTURE OF TEAR OF HOLE IN SMALL BOWEL,10636.66,5318.33,2412.2,9834.36,24
CPT,44640,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM SMALL BOWEL TO SKIN,32236.0,16118.0,858.6,3500.46,31
CPT,44705,ASSESSMENT AND OVERSEEING PREPARATION OF DONOR FECAL SPECIMEN,1619.0,809.5,,,0
CPT,44799,OTHER PROCEDURE ON SMALL BOWEL,3565.0,1782.5,567.46,2313.48,72
CPT,44970,LAPAROSCOPY APPENDECTOMY,14775.0,7387.5,205.8,15420.64,36
CPT,44970,REMOVAL OF APPENDIX USING AN ENDOSCOPE,19541.0,9770.5,205.8,15420.64,60
CPT,45005,DRAINAGE OF RECTAL ABSCESS,3446.0,1723.0,25.0,3052.35,37
CPT,45100,BIOPSY OF ANAL AND/OR RECTAL WALL THROUGH ANUS,7925.0,3962.5,158.03,7080.01,74
CPT,45100,BIOPSY OF RECTUM,7090.0,3545.0,158.03,7080.0,37
CPT,45171,REMOVAL OF GROWTH OF RECTUM THROUGH ANUS,5298.67,2649.34,205.8,7080.0,36
CPT,45300,DIAGNOSTIC EXAM OF RECTUM AND LOWER LARGE BOWEL USING AN ENDOSCOPE,961.0,480.5,581.83,2372.09,24
CPT,45300,PROCTOSIGMOIDOSCOPY DX,3922.0,1961.0,25.59,2372.09,37
CPT,45303,PROCTOSIGMOIDOSCOPY DILATE,3057.0,1528.5,29.73,3052.35,37
CPT,45307,PROCTOSIGMOIDOSCOPY FB,7190.0,3595.0,25.0,7080.0,37
CPT,45317,CONTROL OF BLEEDING OF LOWER LARGE BOWEL USING AN ENDOSCOPE,7244.0,3622.0,82.19,3052.35,37
CPT,45330,DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1688.0,844.0,55.81,2372.09,181
CPT,45330,DIAGNOSTIC SIGMOIDOSCOPY,2341.0,1170.5,25.0,2372.09,37
CPT,45331,BIOPSY OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1872.0,936.0,66.85,2372.09,133
CPT,45332,REMOVAL OF FOREIGN BODIES IN LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,896.2,448.1,52.5,3052.35,37
CPT,45333,SIGMOIDOSCOPY & POLYPECTOMY,2376.0,1188.0,99.37,2372.09,37
CPT,45334,CONTROL OF BLEEDING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,6604.0,3302.0,117.6,3052.35,37
CPT,45335,INJECTION BENEATH LINING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,4384.0,2192.0,82.58,2372.09,61
CPT,45338,REMOVAL OF POLYPS OR GROWTHS OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE WITH MECHANICAL SNARE,1666.67,833.335,128.05,3052.35,109
CPT,45340,BALLOON DILATION OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1178.66,589.33,104.39,3052.35,37
CPT,45341,ULTRASOUND EXAM OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2796.0,1398.0,141.19,2372.09,37
CPT,45342,FINE NEEDLE ASPIRATION AND/OR BIOPSY OF LOWER LARGE BOWEL WITH ULTRASOUND GUIDANCE USING A FLEXIBLE ENDOSCOPE,5596.0,2798.0,205.8,3052.35,37
CPT,45346,DESTRUCTION OF POLYP OR GROWTH OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,14048.0,7024.0,205.8,3052.35,36
CPT,45347,INSERTION OF STENT INTO LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2320.0,1160.0,205.8,15485.35,36
CPT,45349,REMOVAL OF LOWER PORTION OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE,7246.0,3623.0,205.8,7080.0,60
CPT,45350,BANDING OF HEMORRHOIDS USING A FLEXIBLE ENDOSCOPE (SIGMOIDOSCOPE),1552.0,776.0,205.8,3052.35,36
CPT,45378,DIAGNOSTIC COLONOSCOPY,2823.0,1411.5,105.0,2372.09,37
CPT,45378,DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1424.0,712.0,105.0,2372.09,301
CPT,45379,REMOVAL OF FOREIGN BODIES IN LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,3305.0,1652.5,205.8,3052.35,37
CPT,45380,BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1490.665,745.335,205.8,3052.35,469
CPT,45380,COLONOSCOPY AND BIOPSY,3081.0,1540.5,205.8,3052.35,37
CPT,45381,INJECTION BENEATH LINING OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,948.0,474.0,205.8,3052.35,229
CPT,45382,CONTROL OF BLEEDING OF UPPER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1861.33,930.67,205.8,3052.35,133
CPT,45384,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY,2373.33,1186.67,205.8,3052.35,85
CPT,45385,COLONOSCOPY W/LESION REMOVAL,3211.0,1605.5,205.8,3052.35,37
CPT,45385,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE,2736.0,1368.0,205.8,3052.35,373
CPT,45386,BALLOON DILATION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1832.0,916.0,205.8,3052.35,37
CPT,45388,DESTRUCTION OF POLYP OR GROWTH OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,813.33,406.67,205.8,3052.35,36
CPT,45390,REMOVAL OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE,2893.335,1446.67,205.8,7080.01,396
CPT,45391,ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2570.67,1285.34,205.8,3052.35,85
CPT,45392,FINE NEEDLE ASPIRATION AND/OR BIOPSY OF LARGE BOWEL WITH ULTRASOUND GUIDANCE USING A FLEXIBLE ENDOSCOPE,9852.0,4926.0,205.8,3052.35,37
CPT,45398,BANDING OF HEMORRHOIDS USING A FLEXIBLE ENDOSCOPE (COLONOSCOPE),932.0,466.0,205.8,3052.35,36
CPT,45399,OTHER PROCEDURE ON LARGE BOWEL,6469.33,3234.67,581.83,2372.09,24
CPT,45399,UNLISTED PROCEDURE COLON,3636.0,1818.0,581.83,2372.09,24
CPT,45400,REPAIR OF RECTAL PROLAPSE USING AN ENDOSCOPE,26427.66,13213.83,684.85,2792.07,31
CPT,45540,SUTURE OF RECTUM TO SACRUM THROUGH ABDOMEN,26320.0,13160.0,639.39,2606.75,31
CPT,45541,CORRECT RECTAL PROLAPSE,8975.0,4487.5,25.0,7080.01,36
CPT,45560,REPAIR OF BULGING OF RECTUM INTO VAGINA,64807.0,32403.5,205.8,7080.0,36
CPT,45900,REDUCTION OF RECTAL PROLAPSE,2490.0,1245.0,25.0,2372.09,31
CPT,45905,DILATION OF SPHINCTER OF ANUS UNDER ANESTHESIA,5266.0,2633.0,46.2,3052.35,61
CPT,45910,DILATION OF NARROWING OF RECTUM UNDER ANESTHESIA,1790.66,895.33,46.2,3052.35,37
CPT,45915,REMOVAL OF IMPACTED STOOL OR FOREIGN BODY IN RECTUM UNDER ANESTHESIA,3075.66,1537.83,40.43,3052.35,37
CPT,45915,REMOVE RECTAL OBSTRUCTION,3446.0,1723.0,25.0,3052.35,37
CPT,45990,DIAGNOSTIC EXAM OF ANUS AND RECTUM UNDER ANESTHESIA,2425.33,1212.67,205.8,7080.0,84
CPT,45999,OTHER PROCEDURE ON RECTUM,7195.0,3597.5,581.83,2372.09,24
CPT,45999,UNLISTED PROCEDURE RECTUM,2904.0,1452.0,25.0,2372.09,24
CPT,46020,INSERTION OF DRAIN (SETON) INTO ANUS,6879.5,3439.75,105.0,7080.0,61
CPT,46020,PLACEMENT OF SETON,8110.5,4055.25,105.0,7080.0,74
CPT,46030,REMOVAL ANAL SETON OTH MRK,3056.0,1528.0,75.6,3052.35,37
CPT,46030,REMOVAL OF DRAIN (SETON) FROM ANUS,1284.0,642.0,75.6,3052.35,37
CPT,46040,DRAINAGE OF DEEP ABSCESS IN RECTUM,6803.5,3401.75,25.0,3052.35,98
CPT,46040,INCISION OF RECTAL ABSCESS,5037.0,2518.5,113.93,3052.35,74
CPT,46045,INCISION OF RECTAL ABSCESS,7625.0,3812.5,136.5,7080.0,37
CPT,46050,DRAINAGE OF SUPERFICIAL RECTAL ABSCESS SURROUNDING ANUS,2818.0,1409.0,25.0,2372.09,159
CPT,46050,INCISION OF ANAL ABSCESS,3246.0,1623.0,79.44,2372.09,37
CPT,46060,INCISION AND DRAINAGE OF ABSCESS IN WALL OF RECTUM OR BETWEEN RECTUM AND MUSCLE WITH INCISION OR REMOVAL OF ABNORMAL DRAINAGE TRACT,11845.0,5922.5,205.8,7080.0,37
CPT,46080,INCISION OF SPHINCTER OF ANUS,5764.17,2882.085,139.65,7080.01,61
CPT,46083,INCISE EXTERNAL HEMORRHOID,941.0,470.5,43.05,637.33,37
CPT,46083,INCISION OF EXTERNAL HEMORRHOID WITH BLOOD CLOT,596.0,298.0,25.0,637.33,37
CPT,46200,REMOVAL OF CHRONIC TEAR OF ANUS,6604.0,3302.0,191.1,7080.0,37
CPT,46220,EXCISE ANAL EXT TAG/PAPILLA,5913.0,2956.5,25.0,3052.35,37
CPT,46220,REMOVAL OF SINGLE EXTERNAL NONCANCER GROWTH OF ANUS,7659.5,3829.75,84.0,3052.35,74
CPT,46221,LIGATION OF HEMORRHOID(S),3833.0,1916.5,48.3,2372.09,37
CPT,46221,REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING,3565.0,1782.5,48.3,2372.09,98
CPT,46230,REMOVAL OF MULTIPLE EXTERNAL NONCANCER GROWTHS OF ANUS,4045.495,2022.75,60.38,7080.01,61
CPT,46250,REMOVAL OF MULTIPLE EXTERNAL HEMORRHOIDS,8102.0,4051.0,135.98,7080.0,37
CPT,46255,REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP,8303.0,4151.5,205.8,7080.0,37
CPT,46257,REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP AND CHRONIC TEAR IN ANUS,13318.0,6659.0,205.8,7080.01,37
CPT,46260,REMOVAL OF MULTIPLE HEMORRHOID GROUPS,11075.0,5537.5,205.8,7080.0,37
CPT,46261,REMOVAL OF MULTIPLE HEMORRHOID GROUPS AND CHRONIC TEAR IN ANUS,10630.0,5315.0,205.8,7080.0,37
CPT,46270,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT,4410.33,2205.17,205.8,7080.0,37
CPT,46275,REPAIR OF ABNORMAL DRAINAGE TRACT IN ANAL SPHINCTER,7995.0,3997.5,205.8,7080.0,37
CPT,46280,REPAIR OF ABNORMAL DRAINAGE TRACT AROUND ANAL SPHINCTER,10921.0,5460.5,205.8,7080.01,61
CPT,46285,SECOND STAGE REPAIR OF ABNORMAL ANAL DRAINAGE TRACT,11691.0,5845.5,158.03,7080.0,37
CPT,46288,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT WITH RECTAL TISSUE FLAP,13385.0,6692.5,205.8,7080.01,36
CPT,46320,REMOVAL OF EXTERNAL HEMORRHOID WITH BLOOD CLOT,5993.0,2996.5,42.0,3052.35,37
CPT,46320,REMOVAL OF HEMORRHOID CLOT,5040.0,2520.0,25.0,3052.35,37
CPT,46505,CHEMODENERVATION ANAL MUSC,4015.0,2007.5,205.8,3052.35,36
CPT,46505,INJECTION OF AGENT TO DESTROY NERVE TO INTERNAL SPHINCTER OF ANUS,4017.17,2008.585,205.8,4578.48,192
CPT,46600,DIAGNOSTIC ANOSCOPY SPX,430.0,215.0,21.0,339.39,37
CPT,46600,DIAGNOSTIC EXAM OF ANUS USING AN ENDOSCOPE,1017.0,508.5,21.0,339.39,122
CPT,46601,DIAGNOSTIC ANOSCOPY,1141.0,570.5,70.52,1139.47,31
CPT,46601,DIAGNOSTIC EXAM OF ANUS WITH MAGNIFICATION AND CHEMICAL AGENT ENHANCEMENT USING AN ENDOSCOPE,347.0,173.5,70.52,1139.47,31
CPT,46604,DILATION OF ANUS USING AN ENDOSCOPE,3480.66,1740.33,46.2,3052.35,37
CPT,46606,BIOPSY OF ANUS USING AN ENDOSCOPE,7388.0,3694.0,21.0,3052.35,37
CPT,46607,BIOPSY OF ANUS WITH MAGNIFICATION AND CHEMICAL AGENT ENHANCEMENT USING AN ENDOSCOPE,2649.33,1324.67,93.68,3052.35,31
CPT,46610,ANOSCOPY REMOVE LESION,7090.0,3545.0,72.74,7080.0,37
CPT,46610,REMOVAL OF ANAL POLYPS OR GROWTHS USING AN ENDOSCOPE WITH ELECTRICAL CAUTERY,4228.5,2114.25,72.74,7080.0,37
CPT,46612,REMOVAL OF MULTIPLE ANAL POLYPS OR GROWTHS USING AN ENDOSCOPE WITH ELECTRICAL CAUTERY OR MECHANICAL SNARE,2590.16,1295.08,84.0,7080.0,37
CPT,46615,DESTRUCTION OF ANAL POLYP OR GROWTH USING AN ENDOSCOPE,8765.0,4382.5,96.23,7080.0,37
CPT,46910,SIMPLE DESTRUCTION OF GROWTH OF ANUS,5993.0,2996.5,112.81,5262.9,37
CPT,46916,CRYOSURGERY ANAL LESION(S),513.0,256.5,122.88,511.77,37
CPT,46916,ELECTRICAL DESTRUCTION OF GROWTH OF ANUS,586.0,293.0,122.88,511.77,61
CPT,46922,EXCISION OF ANAL LESION(S),7113.0,3556.5,113.76,7080.0,74
CPT,46922,SIMPLE REMOVAL OF GROWTH OF ANUS,14835.335,7417.67,113.76,7080.01,61
CPT,46924,EXTENSIVE DESTRUCTION OF GROWTH OF ANUS,7089.0,3544.5,120.75,7080.01,98
CPT,46930,DESTROY INTERNAL HEMORRHOIDS,3167.5,1583.75,86.51,3052.35,74
CPT,46945,INT HRHC LIG 1 HROID W/O IMG,6584.0,3292.0,25.0,7080.0,37
CPT,46945,TYING OF SINGLE INTERNAL HEMORRHOID GROUP,9539.34,4769.67,48.3,7080.0,37
CPT,46946,INT HRHC LIG 2+HROID W/O IMG,7090.0,3545.0,48.3,7080.0,37
CPT,46946,TYING OF MULTIPLE INTERNAL HEMORRHOID GROUPS,14124.0,7062.0,48.3,7080.01,74
CPT,46947,STAPLING OF INTERNAL HEMORRHOID,9073.0,4536.5,205.8,7080.0,37
CPT,46948,TYING OF ARTERIES TO MULTIPLE INTERNAL HEMORRHOID GROUPS,8575.0,4287.5,205.8,7080.0,61
CPT,46999,OTHER PROCEDURE ON ANUS,4965.0,2482.5,581.83,2372.09,48
CPT,46999,UNLISTED PROCEDURE ANUS,4369.0,2184.5,25.0,2372.09,24
CPT,47000,NEEDLE BIOPSY OF LIVER PERQ,4734.0,2367.0,94.13,4212.81,37
CPT,47000,NEEDLE BIOPSY OF LIVER THROUGH SKIN,5889.5,2944.75,94.13,4212.81,98
CPT,47001,NDL BIOPSY LVR TM OTH MAJ PX,1165.0,582.5,63.26,257.9,37
CPT,47100,PARTIAL REMOVAL OF LIVER TISSUE,55234.625,27617.315000000002,205.8,2180.18,55
CPT,47120,PARTIAL REMOVAL OF LIVER LOBE,33572.25,16786.13,1448.31,5904.65,31
CPT,47370,DESTRUCTION OF GROWTHS OF LIVER USING AN ENDOSCOPE,21929.34,10964.67,150.91,27114.06,37
CPT,47379,OTHER PROCEDURE ON LIVER USING AN ENDOSCOPE,37282.67,18641.34,3782.42,15420.64,24
CPT,47382,DESTRUCTION OF GROWTH OF LIVER THROUGH SKIN USING RADIOFREQUENCY,10603.0,5301.5,134.18,15420.64,37
CPT,47382,PERCUT ABLATE LIVER RF,11399.0,5699.5,134.18,15420.64,37
CPT,47383,PERQ ABLTJ LVR CRYOABLATION,23382.0,11691.0,205.8,27114.06,36
CPT,47420,INCISION OR CREATION OF OPENING OF GALLBLADDER WITH DRAINAGE OR REMOVAL OF BILE DUCT STONE,22791.5,11395.75,826.49,3369.55,31
CPT,47490,INSERTION OF TUBE INTO GALLBLADDER USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,7614.0,3807.0,241.66,9132.7,31
CPT,47531,INJECTION FOR CHOLANGIOGRAM,7614.0,3807.0,81.82,9132.7,37
CPT,47531,INJECTION OF BILE DUCT FOR X-RAY THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,2698.0,1349.0,81.82,9132.7,37
CPT,47532,INJECTION FOR CHOLANGIOGRAM,7614.0,3807.0,185.03,9132.7,37
CPT,47533,PLMT BILIARY DRAINAGE CATH,7614.0,3807.0,205.8,9132.7,37
CPT,47534,PLACEMENT OF INTERNAL-EXTERNAL DRAINAGE TUBE OF BILIARY DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,4852.0,2426.0,205.8,9132.7,37
CPT,47534,PLMT BILIARY DRAINAGE CATH,7614.0,3807.0,205.8,9132.7,37
CPT,47536,EXCHANGE BILIARY DRG CATH,7614.0,3807.0,126.19,9132.7,37
CPT,47536,REPLACEMENT OF LIVER DUCT DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,1335.0,667.5,126.19,9132.7,37
CPT,47537,REMOVAL BILIARY DRG CATH,2317.0,1158.5,85.07,2313.48,37
CPT,47538,PERQ PLMT BILE DUCT STENT,15442.0,7721.0,205.8,15420.64,37
CPT,47539,PERQ PLMT BILE DUCT STENT,15442.0,7721.0,205.8,15420.64,37
CPT,47540,PERQ PLMT BILE DUCT STENT,15442.0,7721.0,205.8,15420.64,37
CPT,47541,PLMT ACCESS BIL TREE SM BWL,13863.0,6931.5,205.8,16513.1,37
CPT,47542,BALLOON DILATION OF BILE DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,762.0,381.0,78.16,318.64,37
CPT,47542,DILATE BILIARY DUCT/AMPULLA,2529.0,1264.5,78.16,318.64,37
CPT,47543,ENDOLUMINAL BX BILIARY TREE,4044.0,2022.0,81.79,333.45,37
CPT,47544,REMOVAL DUCT GLBLDR CALCULI,3660.0,1830.0,89.65,365.49,37
CPT,47552,BILIARY ENDO PERQ DX W/SPECI,16668.0,8334.0,105.0,16513.1,31
CPT,47553,BILIARY ENDOSCOPY THRU SKIN,17067.0,8533.5,205.8,16513.1,31
CPT,47555,BILIARY ENDOSCOPY THRU SKIN,7962.0,3981.0,205.8,16513.1,31
CPT,47556,BILIARY ENDOSCOPY THRU SKIN,23382.0,11691.0,205.8,27114.06,37
CPT,47562,REMOVAL OF GALLBLADDER USING AN ENDOSCOPE,41201.5,20600.75,205.8,15420.64,60
CPT,47563,REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE,47370.0,23685.0,205.8,15420.64,36
CPT,47785,CONNECTION OF BILE DUCT WITHIN LIVER TO SMALL BOWEL USING ROUX-EN-Y CONNECTION,30512.5,15256.25,2005.94,8178.06,31
CPT,47999,UNLISTED PX BILIARY TRACT,3103.0,1551.5,567.46,2313.48,24
CPT,48102,NEEDLE BIOPSY PANCREAS,4218.0,2109.0,205.8,4212.81,36
CPT,48999,OTHER PROCEDURE ON PANCREAS,1903.0,951.5,443.05,1806.27,24
CPT,49000,EXPLORATION OF ABDOMEN,17767.0,8883.5,205.8,1969.88,31
CPT,49000,EXPLORATION OF ABDOMINAL CAVITY,21701.0,10850.5,205.8,1969.88,31
CPT,49082,ABD PARACENTESIS,2534.0,1267.0,57.26,2313.48,37
CPT,49082,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY,2357.0,1178.5,57.26,2313.48,37
CPT,49083,ABD PARACENTESIS W/IMAGING,2855.0,1427.5,88.55,2313.48,37
CPT,49083,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE,1229.665,614.835,88.55,2313.48,122
CPT,49180,BIOPSY ABDOMINAL MASS,10507.0,5253.5,85.02,4212.81,37
CPT,49180,NEEDLE BIOPSY OF GROWTH OF ABDOMINAL CAVITY,12356.0,6178.0,85.02,4212.81,37
CPT,49185,INJECTION OF CHEMICAL AGENT INTO FLUID COLLECTION USING IMAGING GUIDANCE,5578.0,2789.0,205.8,4212.81,55
CPT,49185,SCLEROTX FLUID COLLECTION,5997.0,2998.5,205.8,4212.81,31
CPT,49250,REMOVAL OF NAVEL AND SURROUNDING TISSUE,14035.0,7017.5,205.8,9132.7,60
CPT,49320,DIAG LAPARO SEPARATE PROC,16845.0,8422.5,25.0,15420.64,36
CPT,49320,DIAGNOSTIC EXAM OF ABDOMEN USING AN ENDOSCOPE,10036.625,5018.3150000000005,205.8,15420.64,60
CPT,49321,BIOPSY OF ABDOMEN USING AN ENDOSCOPE,20315.0,10157.5,205.8,15420.64,84
CPT,49322,ASPIRATION OF ABDOMINAL CAVITY OR CYST USING AN ENDOSCOPE,8022.0,4011.0,205.8,15420.64,84
CPT,49325,REVISION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE,10305.0,5152.5,205.8,15420.64,36
CPT,49329,OTHER PROCEDURE ON ABDOMEN USING AN ENDOSCOPE,5502.25,2751.13,3782.42,15420.64,24
CPT,49400,AIR INJECTION INTO ABDOMEN,183.0,91.5,50.4,212.42,37
CPT,49405,DRAINAGE OF FLUID COLLECTION BY TUBE THROUGH SKIN USING IMAGING GUIDANCE,22791.0,11395.5,182.04,4212.81,37
CPT,49405,IMAGE CATH FLUID COLXN VISC,8216.0,4108.0,182.04,4212.81,37
CPT,49406,DRAINAGE OF FLUID COLLECTION OF ABDOMINAL CAVITY BY TUBE USING IMAGING GUIDANCE,15503.0,7751.5,182.31,4212.81,61
CPT,49406,IMAGE CATH FLUID PERI/RETRO,8215.0,4107.5,182.31,4212.81,37
CPT,49407,DRAINAGE OF FLUID COLLECTION BY TUBE THROUGH VAGINA OR RECTUM USING IMAGING GUIDANCE,22791.0,11395.5,194.11,4212.81,37
CPT,49407,IMAGE CATH FLUID TRNS/VGNL,8215.0,4107.5,194.11,4212.81,37
CPT,49411,INS MARK ABD/PEL FOR RT PERQ,6646.0,3323.0,166.03,3530.57,37
CPT,49418,INSERT TUN IP CATH PERC,7614.0,3807.0,205.8,9132.7,36
CPT,49418,INSERTION OF ABDOMINAL TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,21017.5,10508.75,205.8,9132.7,60
CPT,49421,INS TUN IP CATH FOR DIAL OPN,7962.0,3981.0,205.8,9132.7,36
CPT,49421,INSERTION OF ABDOMINAL CAVITY TUBE FOR DRAINAGE OR DIALYSIS,17235.0,8617.5,205.8,9132.7,36
CPT,49422,REMOVAL OF ABDOMINAL CAVITY TUBE,9655.0,4827.5,205.8,8053.93,74
CPT,49423,EXCHANGE DRAINAGE CATHETER,3601.5,1800.75,61.74,4894.63,74
CPT,49423,EXCHANGE OF ABDOMINAL CAVITY DRAINAGE TUBE USING IMAGING GUIDANCE,2138.5,1069.25,61.74,4894.63,61
CPT,49424,INJECTION OF CONTRAST THROUGH ABDOMINAL CAVITY TUBE FOR X-RAY STUDY,1039.0,519.5,21.07,209.72,37
CPT,49425,INSERT ABDOMEN-VENOUS DRAIN,16796.0,8398.0,205.8,2015.38,31
CPT,49427,INJECTION ABDOMINAL SHUNT,2017.0,1008.5,23.82,97.1,31
CPT,49440,INSERTION OF STOMACH TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,3937.0,1968.5,185.37,4894.63,98
CPT,49440,PLACE GASTROSTOMY TUBE PERC,4233.0,2116.5,185.37,4894.63,37
CPT,49441,PLACE DUOD/JEJ TUBE PERC,4232.0,2116.0,201.85,4894.63,37
CPT,49446,CHANGE G-TUBE TO G-J PERC,4901.0,2450.5,132.13,4894.63,37
CPT,49446,CONVERSION OF STOMACH TUBE TO STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,2309.0,1154.5,132.13,4894.63,37
CPT,49450,REPLACE G/C TUBE PERC,2885.0,1442.5,53.66,2313.48,37
CPT,49450,REPLACEMENT OF STOMACH OR LARGE BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,10613.0,5306.5,53.66,2313.48,98
CPT,49451,REPLACE DUOD/JEJ TUBE PERC,3593.0,1796.5,25.0,2313.48,37
CPT,49451,REPLACEMENT OF SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,2309.0,1154.5,73.85,2313.48,37
CPT,49452,REPLACE G-J TUBE PERC,3865.0,1932.5,115.27,2313.48,37
CPT,49452,REPLACEMENT OF STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,3463.5,1731.75,115.27,2313.48,85
CPT,49460,FIX G/COLON TUBE W/DEVICE,2289.0,1144.5,37.76,2313.48,37
CPT,49460,MECHANICAL REMOVAL OF OBSTRUCTIVE MATERIAL FROM STOMACH; LARGE; OR SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE,196.0,98.0,37.76,2313.48,37
CPT,49465,CONTRAST INJECTION FOR X-RAY IMAGING THROUGH EXISTING TUBE IN STOMACH; SMALL BOWEL OR LARGE BOWEL,2728.0,1364.0,22.65,608.63,37
CPT,49465,FLUORO EXAM OF G/COLON TUBE,866.0,433.0,22.65,608.63,37
CPT,49495,REPAIR OF GROIN HERNIA IN FULL TERM INFANT YOUNGER THAN 6 MONTHS OR PRETERM INFANT OLDER THAN 50 WEEKS OF AGE POSTCONCEPTION AND YOUNGER THAN 6 MONTHS AT TIME OF SURGERY,12175.76,6087.88,205.8,9132.7,60
CPT,49496,REPAIR OF TRAPPED GROIN HERNIA IN FULL TERM INFANT YOUNGER THAN 6 MONTHS OR PRETERM INFANT OLDER THAN 50 WEEKS POSTCONCEPTION AND YOUNGER THAN 6 MONTHS AT TIME OF SURGERY,6168.66,3084.33,2240.09,9132.7,24
CPT,49500,REPAIR OF GROIN HERNIA (6 MONTHS TO YOUNGER THAN 5 YEARS),11655.75,5827.875,66.68,16513.1,157
CPT,49505,REPAIR OF GROIN HERNIA (5 YEARS OR OLDER),13583.76,6791.88,66.68,15485.35,109
CPT,49507,REPAIR OF TRAPPED GROIN HERNIA (5 YEARS OR OLDER),21393.0,10696.5,205.8,15485.35,108
CPT,49520,REPAIR OF GROIN HERNIA THAT IS NOT TRAPPED,13981.5,6990.75,2240.09,9132.7,24
CPT,49521,REPAIR OF TRAPPED OR STRANGULATED GROIN HERNIA,15670.0,7835.0,4050.38,16513.1,24
CPT,49525,REPAIR OF SLIDING GROIN HERNIA,24009.0,12004.5,2240.09,9132.7,24
CPT,49550,REPAIR OF FEMORAL GROIN HERNIA,16777.0,8388.5,2240.09,9132.7,24
CPT,49553,REPAIR OF TRAPPED FEMORAL GROIN HERNIA,13979.5,6989.75,2240.09,9132.7,24
CPT,49555,REPAIR OF RECURRENT FEMORAL GROIN HERNIA,13981.5,6990.75,2240.09,9132.7,24
CPT,49591,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,11020.0,5510.0,205.8,9132.7,84
CPT,49592,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,16557.66,8278.83,205.8,15420.64,84
CPT,49593,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,38158.0,19079.0,205.8,16513.1,84
CPT,49593,RPR AA HRN 1ST 3-10 RDC,13212.0,6606.0,205.8,16513.1,36
CPT,49594,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,36023.375,18011.69,586.26,15420.64,60
CPT,49595,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,67768.0,33884.0,607.1,16513.1,36
CPT,49596,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,77640.0,38820.0,638.49,2603.07,31
CPT,49613,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); RECURRENT; INCLUDING IMPLANTATION OF MESH OR OTHER P,11537.0,5768.5,329.42,9132.7,36
CPT,49614,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); RECURRENT; INCLUDING IMPLANTATION OF MESH OR OTHER P,33552.0,16776.0,448.57,15420.64,36
CPT,49615,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); RECURRENT; INCLUDING IMPLANTATION OF MESH OR OTHER P,42435.0,21217.5,205.8,16513.1,36
CPT,49616,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); RECURRENT; INCLUDING IMPLANTATION OF MESH OR OTHER P,32896.0,16448.0,533.73,2175.97,31
CPT,49617,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); RECURRENT; INCLUDING IMPLANTATION OF MESH OR OTHER P,60573.75,30286.88,549.83,2241.61,31
CPT,49618,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); RECURRENT; INCLUDING IMPLANTATION OF MESH OR OTHER P,12377.87,6188.94,771.48,3145.26,31
CPT,49622,REPAIR OF PARASTOMAL HERNIA; ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL OR RECURRENT; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS; WHEN PERFORMED; INCARCERATED OR STRANGULATED,63533.0,31766.5,577.28,2353.54,31
CPT,49623,REMOVAL OF TOTAL OR NEAR TOTAL NON-INFECTED MESH OR OTHER PROSTHESIS AT THE TIME OF INITIAL OR RECURRENT ANTERIOR ABDOMINAL HERNIA REPAIR OR PARASTOMAL HERNIA REPAIR; ANY APPROACH (IE; OPEN; LAPAROSCO,16448.0,8224.0,125.96,513.52,31
CPT,49650,LAP ING HERNIA REPAIR INIT,15572.0,7786.0,205.8,15420.64,36
CPT,49650,REPAIR OF GROIN HERNIA USING AN ENDOSCOPE,15016.0,7508.0,205.8,15420.64,180
CPT,49651,REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE,41777.0,20888.5,205.8,15420.64,108
CPT,49659,OTHER REPAIR OF HERNIA USING AN ENDOSCOPE,34054.67,17027.335,3782.42,15420.64,48
CPT,49999,OTHER PROCEDURE ON ABDOMEN,13200.37,6600.19,567.46,2313.48,24
CPT,49999,UNLISTED PX ABD PERTM&OMN,3090.0,1545.0,567.46,2313.48,24
CPT,50075,REMOVAL OF KIDNEY STONES,29607.0,14803.5,848.87,3460.79,24
CPT,50080,REMOVAL OR CRUSHING KIDNEY STONE OR INSERTION OF KIDNEY STENT USING AN ENDOSCOPE; 2.0 CM OR LESS,51318.0,25659.0,205.8,24146.56,85
CPT,50081,REMOVAL OR CRUSHING KIDNEY STONE OR INSERTION OF KIDNEY STENT USING AN ENDOSCOPE; MORE THAN 2.0 CM,41777.0,20888.5,205.8,24146.56,84
CPT,50200,NEEDLE BIOPSY OF KIDNEY,4403.0,2201.5,143.97,4212.81,109
CPT,50200,RENAL BIOPSY PERQ,4734.0,2367.0,143.97,4212.81,37
CPT,50382,CHANGE URETER STENT PERCUT,5339.0,2669.5,205.8,5332.04,36
CPT,50382,REMOVAL AND REPLACEMENT OF STENT IN URETER WITH REVIEW BY RADIOLOGIST,14748.165,7374.085,1307.86,5332.04,48
CPT,50384,REMOVAL OF STENT IN URETER THROUGH SKIN WITH REVIEW BY RADIOLOGIST,7278.0,3639.0,1307.86,5332.04,72
CPT,50384,REMOVE URETER STENT PERCUT,5355.5,2677.75,205.8,5332.04,72
CPT,50386,REMOVAL OF STENT IN URETER THROUGH URETER WITH REVIEW BY RADIOLOGIST,5121.0,2560.5,205.8,5332.04,36
CPT,50386,REMOVE STENT VIA TRANSURETH,5506.0,2753.0,25.0,5332.04,36
CPT,50387,CHANGE NEPHROURETERAL CATH,3347.0,1673.5,85.98,5332.04,37
CPT,50387,REMOVAL AND REPLACEMENT OF STENT IN KIDNEY AND URETER USING FLUOROSCOPIC GUIDANCE WITH REVIEW BY RADIOLOGIST,3347.0,1673.5,1307.86,5332.04,120
CPT,50389,REMOVAL OF KIDNEY DRAINAGE TUBE USING FLUOROSCOPIC GUIDANCE,6003.5,3001.75,47.44,1778.63,170
CPT,50390,ASPIRATION AND/OR INJECTION OF CYST OF KIDNEY,6100.0,3050.0,443.05,1806.27,24
CPT,50390,DRAINAGE OF KIDNEY LESION,3513.0,1756.5,96.13,1806.27,37
CPT,50391,INSTLL RX AGNT INTO RNAL TUB,1016.0,508.0,98.55,637.33,37
CPT,50400,SIMPLE RECONSTRUCTION OF NECK OF KIDNEY,98036.0,49018.0,675.1,2752.34,24
CPT,50430,NJX PX NFROSGRM &/URTRGRM,3018.0,1509.0,142.44,1778.63,37
CPT,50431,INJECTION PROCEDURE FOR IMAGING OF KIDNEY AND URETER THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,2276.0,1138.0,56.18,1778.63,279
CPT,50431,NJX PX NFROSGRM &/URTRGRM,7275.0,3637.5,56.18,1778.63,37
CPT,50432,PLACEMENT OF TUBE OF KIDNEY USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,7090.0,3545.0,188.54,8991.34,205
CPT,50432,PLMT NEPHROSTOMY CATHETER,7090.0,3545.0,188.54,5332.04,37
CPT,50433,PLACEMENT OF TUBE OF KIDNEY AND URINARY TUBE THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,24165.0,12082.5,205.8,8991.34,133
CPT,50433,PLMT NEPHROURETERAL CATHETER,8138.0,4069.0,205.8,8991.34,37
CPT,50434,CONVERSION OF KIDNEY TUBE TO NEPHROURETERAL TUBE USING IMAGING GUIDANCE AND STUDY OF KIDNEY AND URETER WITH REVIEW BY RADIOLOGIST,2036.5,1018.25,1307.86,5332.04,96
CPT,50434,CONVERT NEPHROSTOMY CATHETER,2302.0,1151.0,178.21,5332.04,37
CPT,50435,REPLACEMENT OF KIDNEY DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,5257.0,2628.5,25.0,5332.04,338
CPT,50436,DILATION OF EXISTING OPENING INTO URINARY TRACT USING IMAGING GUIDANCE,13596.665,6798.335,2205.42,8991.34,48
CPT,50437,DILAT XST TRC NEW ACCESS RCS,7238.0,3619.0,205.8,8991.34,37
CPT,50541,DESTRUCTION OF CYST OF KIDNEY USING AN ENDOSCOPE,37711.5,18855.75,694.86,27114.06,60
CPT,50543,PARTIAL REMOVAL OF KIDNEY USING AN ENDOSCOPE,62559.835,31279.92,6650.62,27114.06,48
CPT,50544,REPAIR OF KIDNEY USING AN ENDOSCOPE,29607.0,14803.5,814.8,27114.06,84
CPT,50545,REMOVAL OF KIDNEY AND LYMPH NODES USING AN ENDOSCOPE,70071.0,35035.5,778.42,3173.56,24
CPT,50546,REMOVAL OF KIDNEY AND PARTIAL REMOVAL OF URETER USING AN ENDOSCOPE,81124.0,40562.0,706.33,2879.65,24
CPT,50548,REMOVAL OF KIDNEY AND URETER USING AN ENDOSCOPE,93430.0,46715.0,782.4,3189.78,24
CPT,50561,REMOVAL OF FOREIGN BODY OR STONE IN KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,18083.0,9041.505000000001,3354.64,13676.6,48
CPT,50590,SHOCK WAVE CRUSHING OF KIDNEY STONES,20227.5,10113.75,2205.42,8991.34,48
CPT,50592,DESTRUCTION OF GROWTH OF KIDNEY USING RADIOFREQUENCY,30051.0,15025.5,205.8,15420.64,84
CPT,50593,DESTRUCTION OF GROWTH OF KIDNEY BY FREEZING,26361.0,13180.5,205.8,27114.06,79
CPT,50605,INSERTION OF STENT IN URETER,20396.5,10198.25,205.8,2537.06,79
CPT,50606,ENDOLUMINAL BX URTR RNL PLVS,4878.0,2439.0,84.77,345.59,37
CPT,50684,INJECTION FOR URETER X-RAY,269.0,134.5,29.5,209.72,37
CPT,50688,CHANGE OF TUBE OR STENT IN URETER,5816.0,2908.0,205.8,5332.04,158
CPT,50688,CHANGE OF URETER TUBE/STENT,5339.0,2669.5,205.8,5332.04,31
CPT,50690,INJECTION FOR URETER X-RAY,874.0,437.0,39.77,209.72,37
CPT,50693,PLACEMENT OF STENT OF URETER THROUGH EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,6562.0,3281.0,186.5,8991.34,170
CPT,50693,PLMT URETERAL STENT PRQ,7997.0,3998.5,186.5,8991.34,37
CPT,50694,PLMT URETERAL STENT PRQ,4342.0,2171.0,205.8,8991.34,37
CPT,50695,PLMT URETERAL STENT PRQ,6200.0,3100.0,205.8,8991.34,37
CPT,50705,URETERAL EMBOLIZATION/OCCL,2338.0,1169.0,107.33,437.59,35
CPT,50706,BALLOON DILATE URTRL STRIX,3969.0,1984.5,103.28,421.08,37
CPT,50706,BALLOON DILATION TREATMENT OF STRICTURE OF URETER USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,3969.0,1984.5,103.28,421.08,24
CPT,50715,RELEASE OF SCAR TISSUE AT URETER,52472.51,26236.26,741.6,3023.46,24
CPT,50727,REVISION OF OPENING FROM URINARY TRACT TO SKIN,43093.0,21546.5,2205.42,8991.34,24
CPT,50728,REVISION OF OPENING FROM URINARY TRACT TO SKIN WITH REPAIR OF HERNIA,99792.0,49896.0,412.0,1679.68,31
CPT,50760,REMOVAL AND RECONNECTION OF DISEASED OR INJURED PORTION OF URETER,49345.5,24672.75,676.31,2757.27,24
CPT,50845,CONNECTION OF BLADDER TO POUCH AT JUNCTION OF SMALL AND LARGE BOWEL WITH CREATION OF OPENING TO SKIN,76651.0,38325.5,205.8,2993.23,31
CPT,50947,REPOSITIONING OF URETER AND INSERTION OF STENT USING AN ENDOSCOPE,71551.5,35775.75,6650.62,27114.06,48
CPT,50948,REPOSITIONING OF URETER USING AN ENDOSCOPE,74183.5,37091.75,6650.62,27114.06,48
CPT,50949,OTHER PROCEDURE ON URETER USING AN ENDOSCOPE,21536.66,10768.33,3782.42,15420.64,72
CPT,50951,EXAM OF KIDNEY AND URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED URETER OPENING,13144.0,6572.0,205.8,8991.34,61
CPT,50980,URETER ENDOSCOPY & TREATMENT,12060.0,6030.0,25.0,13676.6,37
CPT,51040,INCISE & DRAIN BLADDER,6757.0,3378.5,25.0,5332.04,37
CPT,51040,INCISION OF BLADDER WITH DRAINAGE,8208.875,4104.4400000000005,44.23,5332.04,74
CPT,51050,INCISION OF BLADDER WITH REMOVAL OF BLADDER STONE,32816.25,16408.13,84.34,13676.6,37
CPT,51100,DRAIN BLADDER BY NEEDLE,638.0,319.0,25.0,637.33,37
CPT,51102,ASPIRATION OF BLADDER WITH INSERTION OF BLADDER TUBE TO SKIN,5334.33,2667.17,25.0,5332.04,170
CPT,51102,DRAIN BL W/CATH INSERTION,7891.0,3945.5,162.06,5332.04,37
CPT,51500,REPAIR OF CONGENITAL DEFECT OF BLADDER,37008.0,18504.0,90.3,15420.64,37
CPT,51600,INJECTION FOR BLADDER X-RAY,1816.0,908.0,24.67,209.72,37
CPT,51600,INJECTION PROCEDURE FOR IMAGING OF BLADDER DURING VOIDING,3346.165,1673.085,24.67,209.72,255
CPT,51610,INJECTION FOR BLADDER X-RAY,2037.0,1018.5,36.23,209.72,37
CPT,51610,INJECTION PROCEDURE THROUGH BLADDER AND URETHRA FOR X-RAY IMAGING,2273.165,1136.585,36.23,209.72,183
CPT,51700,IRRIGATION OF BLADDER,1027.0,513.5,30.14,637.33,37
CPT,51700,SIMPLE BLADDER IRRIGATION AND/OR INSTILLATION,955.0,477.5,30.14,637.33,61
CPT,51701,INSERT BLADDER CATHETER,433.0,216.5,19.05,339.39,37
CPT,51701,INSERTION OF TEMPORARY BLADDER TUBE,402.0,201.0,19.05,339.39,109
CPT,51702,INSERT TEMP BLADDER CATH,493.0,246.5,18.78,339.39,37
CPT,51702,SIMPLE INSERTION OF TEMPORARY BLADDER TUBE,4920.0,2460.0,18.78,339.39,242
CPT,51703,COMPLICATED INSERTION OF BLADDER TUBE,5364.875,2682.44,25.0,328.2,61
CPT,51703,INSERT BLADDER CATH COMPLEX,612.0,306.0,57.65,328.2,37
CPT,51705,CHANGE OF BLADDER TUBE,1021.0,510.5,25.0,637.33,37
CPT,51705,SIMPLE CHANGE OF BLADDER TUBE,3282.5,1641.25,25.0,637.33,98
CPT,51710,CHANGE OF BLADDER TUBE,2739.0,1369.5,25.0,1778.63,37
CPT,51710,COMPLICATED CHANGE OF BLADDER TUBE,2475.5,1237.75,29.4,1778.63,74
CPT,51715,ENDOSCOPIC INJECTION/IMPLANT,9004.0,4502.0,194.97,8991.34,37
CPT,51715,INJECTION OF IMPLANT MATERIAL BENEATH LINING OF BLADDER AND/OR URETHRA USING AN ENDOSCOPE,7053.5,3526.75,194.97,8991.34,61
CPT,51720,INSTILLATION OF ANTI-CANCER DRUG INTO BLADDER,1627.15,813.58,70.29,1778.63,37
CPT,51720,TREATMENT OF BLADDER LESION,1983.0,991.5,70.29,1778.63,37
CPT,51725,SIMPLE CYSTOMETROGRAM,978.0,489.0,44.63,637.33,37
CPT,51725,SIMPLE MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER,1088.0,544.0,44.63,637.33,37
CPT,51726,COMPLEX CYSTOMETROGRAM,931.0,465.5,44.63,637.33,37
CPT,51726,COMPLEX MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER,1372.5,686.25,44.63,637.33,85
CPT,51727,COMPLEX MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER WITH URETHRA PRESSURE STUDIES,2355.0,1177.5,79.53,1778.63,37
CPT,51727,CYSTOMETROGRAM W/UP,1781.0,890.5,79.53,1778.63,37
CPT,51728,COMPLEX MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER WITH VOIDING PRESSURE STUDIES,3317.0,1658.5,77.47,1778.63,61
CPT,51728,CYSTOMETROGRAM W/VP,1995.0,997.5,77.47,1778.63,37
CPT,51729,COMPLEX MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER WITH URETHRA PRESSURE AND VOIDING PRESSURE STUDIES,4343.5,2171.75,94.96,1778.63,85
CPT,51729,CYSTOMETROGRAM W/VP&UP,1781.0,890.5,94.96,1778.63,37
CPT,51736,SIMPLE TIMED ASSESSMENT OF BLADDER EMPTYING,1000.5,500.25,5.92,339.39,61
CPT,51736,URINE FLOW MEASUREMENT,535.0,267.5,5.92,339.39,37
CPT,51741,ELECTRO-UROFLOWMETRY FIRST,552.0,276.0,6.44,550.78,37
CPT,51741,ELECTRONIC ASSESSMENT OF BLADDER EMPTYING,569.0,284.5,6.44,550.78,85
CPT,51784,ANAL/URINARY MUSCLE STUDY,672.0,336.0,27.54,328.2,31
CPT,51784,NON-NEEDLE MEASUREMENT AND RECORDING OF ELECTRICAL ACTIVITY OF MUSCLES AT BLADDER AND BOWEL OPENINGS,569.0,284.5,27.54,328.2,79
CPT,51785,ANAL/URINARY MUSCLE STUDY,639.0,319.5,73.09,637.33,31
CPT,51797,INSERTION OF DEVICE INTO ABDOMEN WITH PRESSURE AND URINE FLOW RATE STUDY,1059.0,529.5,25.34,103.3,61
CPT,51797,INTRAABDOMINAL PRESSURE TEST,1139.0,569.5,25.34,103.3,37
CPT,51798,ULTRASOUND MEASUREMENT OF BLADDER CAPACITY AFTER VOIDING,268.0,134.0,7.98,1500.0,242
CPT,51860,SUTURE OF SIMPLE WOUND; INJURY; OR RUPTURE OF BLADDER,46933.34,23466.67,87.15,24146.56,37
CPT,51999,OTHER PROCEDURE ON BLADDER USING AN ENDOSCOPE,8369.5,4184.75,3782.42,15420.64,24
CPT,52000,DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE,2753.665,1376.835,78.75,1778.63,279
CPT,52001,CYSTO W/IRRG&EVAC MLT CLOTS,9073.0,4536.5,205.8,8991.34,37
CPT,52001,IRRIGATION AND REMOVAL OF MULTIPLE BLOOD CLOTS FROM BLADDER AND URETHRA USING AN ENDOSCOPE,6122.25,3061.125,205.8,8991.34,61
CPT,52005,CYSTO W/URTRL CATHJ,8722.0,4361.0,25.0,5332.04,37
CPT,52005,INSERTION OF TUBE INTO URETER USING AN ENDOSCOPE THROUGH BLADDER AREA,3767.83,1883.915,25.0,5332.04,242
CPT,52204,BIOPSY OF BLADDER USING AN ENDOSCOPE,4916.67,2458.335,129.68,5332.04,122
CPT,52204,CYSTOSCOPY W/BIOPSY(S),6545.0,3272.5,129.68,5332.04,37
CPT,52214,DESTRUCTION OF TISSUE OF BLADDER; URETHRA; OR SURROUNDING GLANDS USING AN ENDOSCOPE,7255.0,3627.5,190.58,8991.34,61
CPT,52224,DESTRUCTION OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE; LESS THAN 0.5 CM,6382.0,3191.0,161.18,8991.34,61
CPT,52234,CYSTOSCOPY AND TREATMENT,9004.0,4502.0,205.8,8991.34,37
CPT,52234,DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE; 0.5-2.0 CM,7225.0,3612.5,205.8,8991.34,85
CPT,52235,CYSTOSCOPY AND TREATMENT,9073.0,4536.5,205.8,8991.34,37
CPT,52235,DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE; 2.0-5.0 CM,5437.0,2718.5,205.8,8991.34,85
CPT,52240,CYSTOSCOPY AND TREATMENT,10953.0,5476.5,205.8,13676.6,37
CPT,52240,DESTRUCTION AND/OR REMOVAL OF LARGE GROWTH OF BLADDER USING AN ENDOSCOPE,14001.0,7000.5,205.8,13676.6,37
CPT,52260,CYSTOSCOPY AND TREATMENT,5947.0,2973.5,97.65,5332.04,37
CPT,52260,DILATION OF BLADDER USING AN ENDOSCOPE UNDER GENERAL OR SPINAL ANESTHESIA,3024.0,1512.0,97.65,5332.04,37
CPT,52265,CYSTOSCOPY AND TREATMENT,5340.0,2670.0,57.23,5332.04,37
CPT,52275,INCISION OF URETHRA IN MALE USING AN ENDOSCOPE,9156.5,4578.25,198.45,5332.04,37
CPT,52276,INCISION OF URETHRA USING AN ENDOSCOPE,9381.0,4690.5,205.8,5332.04,37
CPT,52281,CYSTOSCOPY AND TREATMENT,7893.0,3946.5,112.88,5332.04,37
CPT,52281,DILATION OF URETHRA USING AN ENDOSCOPE,7342.0,3671.0,25.0,5332.04,122
CPT,52285,CYSTOSCOPY AND TREATMENT,1781.0,890.5,176.4,1778.63,37
CPT,52287,CYSTOSCOPY CHEMODENERVATION,5340.0,2670.0,137.28,5332.04,37
CPT,52287,EXAM WITH INJECTIONS OF CHEMICAL FOR DESTRUCTION OF BLADDER USING AN ENDOSCOPE,4462.33,2231.17,137.28,5332.04,122
CPT,52300,REMOVAL OR DESTRUCTION OF ABNORMAL POUCHES OF URETER AT BLADDER USING AN ENDOSCOPE,12769.0,6384.5,204.75,8991.34,37
CPT,52301,REMOVAL OR DESTRUCTION OF ABNORMAL POUCHES OF URETER AT BLADDER; ECTOPIC URETEROCELE; USING AN ENDOSCOPE,8611.0,4305.5,205.8,8991.34,37
CPT,52310,CYSTOSCOPY AND TREATMENT,7893.0,3946.5,135.45,5332.04,37
CPT,52310,SIMPLE REMOVAL OF FOREIGN BODY; STONE; OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE,3216.0,1608.0,135.45,5332.04,170
CPT,52315,COMPLICATED REMOVAL OF FOREIGN BODY; STONE; OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE,8332.5,4166.25,204.75,5332.04,98
CPT,52315,CYSTOSCOPY AND TREATMENT,5340.0,2670.0,204.75,5332.04,37
CPT,52317,CRUSHING; FRAGMENTING; AND REMOVAL OF BLADDER STONES; LESS THAN 2.5 CM,11013.33,5506.665,205.8,8991.34,61
CPT,52318,CRUSHING; FRAGMENTING; AND REMOVAL OF BLADDER STONES; MORE THAN 2.5 CM,17661.5,8830.75,205.8,8991.34,61
CPT,52320,REMOVAL OF STONE IN URETER USING AN ENDOSCOPE,5908.0,2954.0,2205.42,8991.34,24
CPT,52327,INJECTION OF IMPLANT MATERIAL IN BLADDER USING AN ENDOSCOPE,3664.0,1832.0,3354.64,13676.6,72
CPT,52332,CYSTOSCOPY AND TREATMENT,9823.0,4911.5,25.0,8991.34,37
CPT,52332,INSERTION OF STENT IN URETER USING AN ENDOSCOPE,8161.66,4080.83,25.0,8991.34,325
CPT,52334,INSERTION OF GUIDE WIRE THROUGH KIDNEY INTO URETER USING AN ENDOSCOPE,16777.0,8388.5,205.8,8991.34,37
CPT,52341,DILATION OF BLADDER AND URETHRA USING AN ENDOSCOPE,3288.5,1644.255,205.8,8991.34,60
CPT,52344,REPAIR OF STRICTURE OF URETER USING AN ENDOSCOPE,11516.665,5758.335,2205.42,8991.34,96
CPT,52351,DIAGNOSTIC EXAM OF BLADDER; URETHRA; AND URETER OR KIDNEY USING AN ENDOSCOPE,4461.66,2230.83,205.8,8991.34,180
CPT,52352,REMOVAL OR MANIPULATION OF STONE IN URETER OR KIDNEY USING AN ENDOSCOPE,7054.34,3527.17,205.8,8991.34,252
CPT,52353,CRUSHING OF STONE OF URETER USING AN ENDOSCOPE,18486.5,9243.25,3354.64,13676.6,96
CPT,52353,CYSTOURETERO W/LITHOTRIPSY,12060.0,6030.0,205.8,13676.6,36
CPT,52354,BIOPSY AND/OR DESTRUCTION OF GROWTH OF URETER OR KIDNEY USING AN ENDOSCOPE,8854.0,4427.0,205.8,13676.6,132
CPT,52356,CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE,23109.0,11554.5,205.8,13676.6,252
CPT,52356,CYSTO/URETERO W/LITHOTRIPSY,13106.0,6553.0,25.0,13676.6,36
CPT,52500,REMOVAL OF BLADDER NECK THROUGH URETHRA,4256.33,2128.165,205.8,8991.34,60
CPT,52601,PROSTATECTOMY (TURP),12060.0,6030.0,205.8,13676.6,36
CPT,52601,REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE,9383.17,4691.585,205.8,13676.6,60
CPT,52630,COMPLETE REMOVAL OF REMAINING OR REGROWN PROSTATE TISSUE WITH CONTROL OF BLEEDING USING AN ENDOSCOPE,22625.0,11312.5,205.8,13676.6,31
CPT,52630,REMOVE PROSTATE REGROWTH,12060.0,6030.0,25.0,13676.6,31
CPT,52648,COMPLETE LASER VAPORIZATION OF PROSTATE INCLUDING CONTROL OF BLEEDING USING AN ENDOSCOPE,16826.0,8413.0,205.8,13676.6,36
CPT,52648,LASER SURGERY OF PROSTATE,13471.0,6735.5,25.0,13676.6,36
CPT,52649,PROSTATE LASER ENUCLEATION,12060.0,6030.0,205.8,13676.6,36
CPT,53010,INCISION OR REPAIR OF ABNORMAL URETHRA,16077.5,8038.75,205.8,13676.6,36
CPT,53020,INCISION OF URETHRA,5340.0,2670.0,47.25,5332.04,37
CPT,53060,DRAINAGE OF URETHRA ABSCESS,4626.0,2313.0,25.0,5332.04,37
CPT,53200,BIOPSY OF URETHRA,5340.0,2670.0,67.2,5332.04,37
CPT,53220,REMOVAL OR DESTRUCTION OF CANCER URETHRA,4769.66,2384.83,205.8,8991.34,31
CPT,53265,REMOVAL OR DESTRUCTION OF GROWTH OF URETHRA,4205.0,2102.5,120.75,5332.04,37
CPT,53270,REMOVAL OR DESTRUCTION OF MUCOUS GLANDS OF URETHRA,7995.0,3997.5,40.43,8991.34,37
CPT,53400,REPAIR OF ABNORMAL DRAINAGE TRACT; POUCH; OR STRICTURE OF URETHRA; FIRST STAGE,33254.0,16627.0,205.8,13676.6,36
CPT,53410,RECONSTRUCTION OF URETHRA IN MALE,20783.5,10391.75,205.8,13676.6,36
CPT,53425,RECONSTRUCTION OR REPAIR OF URETHRA; STAGE 2 OF 2,24627.0,12313.5,205.8,13676.6,31
CPT,53430,RECONSTRUCTION OF URETHRA IN FEMALE,9539.34,4769.67,205.8,13676.6,36
CPT,53445,INSERTION OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,27707.0,13853.5,205.8,52867.13,36
CPT,53450,REPAIR OF URETHRA AND URINARY OPENING,11537.0,5768.5,145.43,8991.34,37
CPT,53500,RELEASE OF SCAR TISSUE OF URETHRA USING AN ENDOSCOPE,9073.0,4536.5,205.8,8991.34,36
CPT,53502,SUTURE OF WOUND OR INJURY OF URETHRA IN FEMALE,9381.0,4690.5,205.8,8991.34,31
CPT,53520,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM URETHRA TO SKIN IN MALE,14155.0,7077.5,205.8,13676.6,36
CPT,53600,DILATE URETHRA STRICTURE,750.0,375.0,21.0,637.33,37
CPT,53600,INITIAL DILATION OF URETHRA IN MALE USING DILATOR,4148.25,2074.125,21.0,637.33,74
CPT,53601,DILATE URETHRA STRICTURE,340.0,170.0,21.0,339.39,37
CPT,53605,DILATION OF NARROWING OF URETHRA IN MALE UNDER GENERAL OR SPINAL ANESTHESIA,5063.34,2531.67,21.0,8991.34,37
CPT,53620,DILATE URETHRA STRICTURE,1781.0,890.5,21.0,1778.63,37
CPT,53621,DILATE URETHRA STRICTURE,638.0,319.0,21.0,637.33,37
CPT,53661,DILATION OF URETHRA,340.0,170.0,21.0,339.39,37
CPT,53661,SUBSEQUENT DILATION OF URETHRA IN FEMALE,304.0,152.0,21.0,339.39,37
CPT,53854,DESTRUCTION OF PROSTATE TISSUE USING RADIOFREQUENCY INDUCED HEATED WATER VAPOR,4915.0,2457.5,286.18,8991.34,31
CPT,53899,OTHER PROCEDURE ON URINARY SYSTEM,10128.33,5064.17,156.32,637.33,24
CPT,53899,UNLISTED PX URINARY SYSTEM,721.0,360.5,156.32,637.33,24
CPT,54001,INCISION OF FORESKIN,6817.0,3408.5,50.4,5332.04,74
CPT,54001,SLITTING OF PREPUCE,6736.0,3368.0,50.4,5332.04,37
CPT,54050,DESTRUCTION PENIS LESION(S),1037.0,518.5,21.53,1036.92,37
CPT,54056,CRYOSURGERY PENIS LESION(S),510.0,255.0,29.4,511.77,37
CPT,54056,SIMPLE DESTRUCTION OF GROWTH OF PENIS USING FREEZING,368.0,184.0,29.4,511.77,98
CPT,54060,EXCISION OF PENIS LESION(S),5344.0,2672.0,67.73,5262.9,37
CPT,54060,REMOVAL OF GROWTH OF PENIS,6917.0,3458.5,67.73,5262.9,37
CPT,54065,DESTRUCTION OF MULTIPLE GROWTHS OF PENIS,2153.83,1076.92,142.68,5262.9,37
CPT,54100,BIOPSY OF PENIS,4546.0,2273.0,36.75,4212.81,183
CPT,54105,BIOPSY OF DEEP STRUCTURE OF PENIS,8611.0,4305.5,50.4,7409.19,37
CPT,54111,REMOVAL OF ABNORMALLY THICKENED TISSUE IN PENIS WITH GRAFT; 5.0 CM OR LESS,30729.0,15364.5,605.04,13676.6,36
CPT,54112,REMOVAL OF ABNORMALLY THICKENED TISSUE IN PENIS WITH GRAFT; MORE THAN 5.0 CM,29670.0,14835.0,709.53,24146.56,31
CPT,54120,PARTIAL AMPUTATION OF PENIS,8038.75,4019.38,205.8,8991.34,36
CPT,54150,CIRCUMCISION W/REGIONL BLOCK,5340.0,2670.0,82.95,5332.04,37
CPT,54150,REMOVAL OF FORESKIN USING CLAMP OR DEVICE,6786.0,3393.0,82.95,5332.04,74
CPT,54160,CIRCUMCISION NEONATE,1781.0,890.5,134.4,1778.63,37
CPT,54160,REMOVAL OF FORESKIN (28 DAYS OR YOUNGER),1717.0,858.5,134.4,1778.63,37
CPT,54161,CIRCUM 28 DAYS OR OLDER,5340.0,2670.0,134.4,5332.04,37
CPT,54161,REMOVAL OF FORESKIN (OLDER THAN 28 DAYS),3635.0,1817.5,134.4,5332.04,98
CPT,54162,LYSIS PENIL CIRCUMIC LESION,5340.0,2670.0,162.49,5332.04,37
CPT,54162,REMOVAL OF SCAR TISSUE AFTER FORESKIN REMOVAL,4690.5,2345.25,162.49,5332.04,61
CPT,54163,REPAIR OF INCOMPLETE REMOVAL OF FORESKIN,10262.33,5131.17,155.88,5332.04,85
CPT,54164,INCISION OF MEMBRANE ATTACHING FORESKIN AND PENIS,5407.0,2703.5,134.77,5332.04,61
CPT,54200,INJECTION PX PEYRONIE DS,639.0,319.5,105.0,637.33,31
CPT,54220,INJECTION OF DRUG INTO ERECTILE TISSUE AT SIDES AND BACK OF PENIS,698.0,349.0,25.0,853.6,36
CPT,54220,IRRG CRPRA CAVRNOSA PRIAPISM,871.0,435.5,156.32,871.0,36
CPT,54235,INJECTION PROCEDURE TO CAUSE ERECTION,1099.0,549.5,25.0,637.33,55
CPT,54235,NJX CORPORA CAVERNOSA RX AGT,1139.0,569.5,25.0,637.33,31
CPT,54240,PENILE PLETHYSMOGRAPHY,512.0,256.0,49.41,1500.0,37
CPT,54300,REPAIR OF CURVED PENIS,9334.0,4667.0,205.8,8991.34,36
CPT,54304,REPAIR OF CURVED PENIS AND URINARY OUTLET,5309.75,2654.88,205.8,8991.34,36
CPT,54308,REPAIR OF URINARY OUTLET AT UNDERSIDE OF PENIS; LESS THAN 3.0 CM,13440.67,6720.34,205.8,13676.6,36
CPT,54324,REPAIR OF URINARY OUTLET OF PENIS WITH SKIN FLAP,13030.0,6515.0,205.8,8991.34,36
CPT,54326,REPAIR OF URINARY OUTLET AT UNDERSIDE OF PENIS WITH SKIN FLAP,17136.67,8568.34,205.8,8991.34,36
CPT,54328,REPAIR OF URINARY OUTLET AT UNDERSIDE OF HEAD OF PENIS WITH LOCAL SKIN FLAPS; SKIN GRAFT PATCH; AND/OR ISLAND FLAP,25089.0,12544.5,205.8,8991.34,36
CPT,54344,REPAIR OF COMPLICATION OF URINARY OUTLET OF PENIS AT UNDERSIDE OF PENIS WITH MOBILIZATION OF SKIN GRAFT OR FLAP,7691.34,3845.67,205.8,24146.56,36
CPT,54352,EXTENSIVE REVISION OF PREVIOUS REPAIR OF URINARY OUTLET AT UNDERSIDE OF PENIS WITH SKIN GRAFTS AND FLAPS,9539.34,4769.67,205.8,13676.6,36
CPT,54360,SURGERY TO CORRECT ABNORMAL PENIS ANGLE,3692.75,1846.38,205.8,8991.34,36
CPT,54405,INSERTION OF MULTICOMPONENT INFLATABLE PENILE IMPLANT,25089.0,12544.5,205.8,52867.13,31
CPT,54410,REMOVAL AND REPLACEMENT OF MULTICOMPONENT INFLATABLE PENILE IMPLANT DURING SAME SURGERY,32356.64,16178.32,205.8,52867.13,31
CPT,54437,REPAIR OF PENIS,24473.0,12236.5,205.8,8991.34,36
CPT,54450,PREPUTIAL STRETCHING,723.0,361.5,156.32,637.33,31
CPT,54450,REPOSITIONING OF FORESKIN INCLUDING SCAR TISSUE REMOVAL,7687.0,3843.5,156.32,637.33,31
CPT,54505,BIOPSY OF TESTIS,9591.0,4795.5,97.65,8991.34,74
CPT,54505,INCISION OF TESTICLE FOR BIOPSY,14622.5,7311.25,97.65,8991.34,61
CPT,54512,REMOVAL OF GROWTH OF TESTICLE,2768.75,1384.38,205.8,8991.34,228
CPT,54520,SIMPLE REMOVAL OF TESTICLE,13077.0,6538.5,2205.42,8991.34,72
CPT,54530,REMOVAL OF GROWTH OF TESTICLE THROUGH GROIN,13308.0,6654.0,2240.09,9132.7,48
CPT,54550,EXPLORATION OF SPERMATIC VEINS AND SCROTUM USING AN ENDOSCOPE,5970.67,2985.34,2240.09,9132.7,24
CPT,54600,REPAIR OF TWISTED TESTICLE,7825.25,3912.625,2205.42,8991.34,48
CPT,54640,REPOSITIONING AND SUTURE OF MISPLACED TESTICLE,6515.0,3257.5,205.8,9132.7,156
CPT,54660,INSERTION OF TESTICULAR IMPLANT,11577.0,5788.5,3354.64,13676.6,24
CPT,54692,REMOVAL OF CONGENITAL MALPOSITIONED TESTICLE USING AN ENDOSCOPE,21713.0,10856.5,205.8,15420.64,132
CPT,54700,DRAINAGE OF SCROTUM,6481.0,3240.5,25.0,5332.04,37
CPT,54700,INCISION AND DRAINAGE OF SPERM RESERVOIR; TESTIS; AND/OR SCROTAL AREA,6963.34,3481.67,25.0,5332.04,98
CPT,54830,REMOVAL OF GROWTH OF SPERM DUCT,3789.0,1894.505,205.8,8991.34,108
CPT,54840,REMOVAL OF FLUID ACCUMULATION IN SPERM RESERVOIR,8435.665,4217.835,205.8,5332.04,108
CPT,55000,ASPIRATION OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR,2209.0,1104.5,443.05,1806.27,24
CPT,55000,DRAINAGE OF HYDROCELE,2811.0,1405.5,36.75,1806.27,37
CPT,55040,REMOVAL OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR,9744.67,4872.34,205.8,9132.7,84
CPT,55041,REMOVAL OF FLUID COLLECTION IN BOTH TESTICLES AND SPERM RESERVOIRS,15695.0,7847.5,205.8,9132.7,36
CPT,55060,REPAIR OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR,3743.0,1871.5,2205.42,8991.34,24
CPT,55100,DRAINAGE OF ABSCESS OF SCROTUM,7820.0,3910.0,36.75,4212.81,74
CPT,55100,DRAINAGE OF SCROTUM ABSCESS,5239.0,2619.5,36.75,4212.81,37
CPT,55110,SEARCH OF SCROTUM,12392.0,6196.0,132.3,8991.34,61
CPT,55120,REMOVAL OF FOREIGN BODY IN SCROTUM,17235.0,8617.5,84.0,5332.04,37
CPT,55175,SIMPLE REPAIR OF SCROTUM,11695.34,5847.67,205.8,8991.34,36
CPT,55250,REMOVAL OF SPERM DUCT,6425.0,3212.5,155.93,5332.04,74
CPT,55250,REMOVAL OF SPERM DUCT(S),5371.0,2685.5,155.93,5332.04,37
CPT,55400,INCISION OR REPAIR OF SPERM DUCT,29709.0,14854.5,2205.42,8991.34,24
CPT,55520,REMOVAL OF GROWTH OF SPERM CORD,4513.0,2256.5,2205.42,8991.34,24
CPT,55530,REMOVAL OF SPERMATIC CORD VENOUS DILATION OR TYING OF SPERMATIC VEINS,19460.71,9730.355,205.8,8991.34,108
CPT,55550,TYING OF SPERM VEINS USING AN ENDOSCOPE,20161.0,10080.5,3782.42,15420.64,24
CPT,55559,OTHER PROCEDURE ON SPERM CORD USING AN ENDOSCOPE,10238.625,5119.3150000000005,3782.42,15420.64,48
CPT,55700,BIOPSY OF PROSTATE GLAND,7533.0,3766.5,93.98,209.72,13
CPT,55705,BX PRST8 ANY APPROACH NONIMG,9003.0,4501.5,205.8,8991.34,36
CPT,55706,NEEDLE BIOPSY OF PROSTATE GLAND USING IMAGE GUIDANCE,7071.0,3535.5,205.8,8991.34,36
CPT,55707,BX PRST8 TRCT US GUIDED,9003.0,4501.5,2205.42,8991.34,24
CPT,55708,BX PRST8 TRCT US W/MRI FUS 1,9003.0,4501.5,2205.42,8991.34,24
CPT,55711,BX PRST8 TRCT MRI-US 1ST,9003.0,4501.5,2205.42,8991.34,24
CPT,55715,BX PRST8 EA ADD MRI-US/CT/MR,2251.0,1125.5,31.3,127.6,24
CPT,55866,SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE,43754.0,21877.0,906.15,27114.06,31
CPT,55867,LAPAROSCOPY; SURGICAL PROSTATECTOMY; SIMPLE SUBTOTAL (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING; VASECTOMY; MEATOTOMY; URETHRAL CALIBRATION AND/OR DILATION; AND INTERNAL URETHROTOMY); INCLUDES ROBOT,55595.0,27797.5,795.23,27114.06,31
CPT,55874,INJECTION OF BIODEGRADABLE MATERIAL NEXT TO PROSTATE,4865.835,2432.92,123.27,13676.6,60
CPT,55874,TPRNL PLMT BIODEGRDABL MATRL,12060.0,6030.0,25.0,13676.6,36
CPT,55875,INSERTION OF NEEDLE OR TUBE INTO PROSTATE FOR RADIATION THERAPY,1305.75,652.88,205.8,13676.6,36
CPT,55876,PLACE RT DEVICE/MARKER PROS,3536.0,1768.0,205.8,3530.57,36
CPT,55876,PLACEMENT OF DEVICE IN PROSTATE FOR RADIATION THERAPY,2100.33,1050.17,205.8,3530.57,36
CPT,55899,OTHER PROCEDURE ON MALE GENITAL SYSTEM,6669.0,3334.5,156.32,637.33,72
CPT,55899,UNLISTED PX MALE GENITAL SYS,722.0,361.0,156.32,637.33,24
CPT,55920,INSERTION OF NEEDLES OR TUBES INTO PELVIC OR GENITAL ORGANS FOR RADIATION THERAPY,11692.0,5846.0,205.8,12759.99,144
CPT,55920,PLACE NEEDLES PELVIC FOR RT,16213.0,8106.5,205.8,12759.99,36
CPT,56405,I & D OF VULVA/PERINEUM,1208.0,604.0,98.5,777.3,37
CPT,56405,INCISION AND DRAINAGE OF ABSCESS OF EXTERNAL FEMALE GENITALS,4020.0,2010.0,98.5,777.3,98
CPT,56420,DRAINAGE OF GLAND ABSCESS,590.0,295.0,25.0,515.69,37
CPT,56420,INCISION AND DRAINAGE OF ABSCESS OF FEMALE GENITAL GLAND,4185.0,2092.5,25.0,515.69,74
CPT,56440,CREATION OF DRAINAGE TRACT FOR GLAND CYST OF FEMALE GENITALS,4818.83,2409.415,2025.33,8257.11,48
CPT,56440,MRSPLZATN BRTHLNS GLND CST,8269.0,4134.5,171.15,8257.11,37
CPT,56441,LYSIS OF LABIAL ADHESIONS,8268.0,4134.0,66.15,8257.11,37
CPT,56441,REMOVAL OF SCAR TISSUE OF FEMALE GENITALS,36184.0,18092.0,66.15,8257.11,37
CPT,56442,SIMPLE INCISION OF HYMEN,7090.67,3545.34,205.8,8257.11,36
CPT,56501,DESTROY VULVA LESIONS SIM,5270.0,2635.0,66.68,5262.9,37
CPT,56501,SIMPLE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS,6890.5,3445.25,66.68,5262.9,74
CPT,56515,DESTROY VULVA LESION/S COMPL,5755.0,2877.5,122.33,5262.9,37
CPT,56515,EXTENSIVE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS,4160.66,2080.33,122.33,5262.9,37
CPT,56605,BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS; FIRST GROWTH,2525.0,1262.5,58.29,2349.36,122
CPT,56605,BIOPSY OF VULVA/PERINEUM,2353.0,1176.5,58.29,2349.36,37
CPT,56606,BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS; EACH ADDITIONAL GROWTH,1409.5,704.75,16.97,107.0,122
CPT,56606,BIOPSY OF VULVA/PERINEUM,337.0,168.5,16.97,107.0,37
CPT,56620,SIMPLE PARTIAL REMOVAL OF EXTERNAL FEMALE GENITALS,8321.34,4160.67,205.8,8257.11,36
CPT,56625,REMOVAL OF EXTERNAL FEMALE GENITALS,25859.0,12929.5,205.8,8257.11,36
CPT,56700,PARTIAL REMOVAL OF HYMEN,6604.0,3302.0,24.89,8257.11,37
CPT,56700,PRTL HYMNCTMY/REVJ HYMNL RNG,8697.0,4348.5,24.89,8257.11,37
CPT,56740,EXC BARTHOLINS GLAND/CYST,8269.0,4134.5,164.85,8257.11,37
CPT,56740,REMOVAL OF CYST OF FEMALE GENITAL GLAND,18380.0,9190.0,164.85,8257.11,61
CPT,56800,PLASTIC REPAIR OF VAGINAL OPENING,14097.0,7048.5,205.8,8257.11,36
CPT,56805,RECONSTRUCTION OR CREATION OF THE EXTERNAL FEMALE SEXUAL ORGAN FOR INTERSEX STATE,6605.5,3302.75,205.8,8257.11,36
CPT,56810,PERINEOPLASTY RPR PER NONOB,8268.0,4134.0,205.8,8257.11,36
CPT,56820,COLPOSCOPY VULVA,517.0,258.5,64.34,515.69,37
CPT,56820,EXAM OF EXTERNAL FEMALE GENITALS USING AN ENDOSCOPE,604.0,302.0,64.34,515.69,37
CPT,56821,COLPOSCOPY VULVA W/BIOPSY,1077.0,538.5,87.24,777.3,37
CPT,56821,EXAM AND BIOPSY OF EXTERNAL FEMALE GENITALS USING AN ENDOSCOPE,1902.665,951.335,87.24,777.3,74
CPT,57061,SIMPLE DESTRUCTION OF GROWTH OF VAGINA,8672.5,4336.25,73.5,8257.11,74
CPT,57065,EXTENSIVE DESTRUCTION OF GROWTH OF VAGINA,7476.67,3738.34,162.16,8257.11,37
CPT,57100,BIOPSY VAGINAL MUCOSA SIMPLE,2353.0,1176.5,62.99,2349.36,37
CPT,57100,SIMPLE BIOPSY OF VAGINAL MUCOUS MEMBRANE,2213.83,1106.915,62.99,2349.36,122
CPT,57105,BIOPSY VAGINAL MUCOSA XTNSV,8268.0,4134.0,73.5,8257.11,37
CPT,57106,PARTIAL REMOVAL OF VAGINAL WALL,14463.0,7231.5,205.8,8257.11,36
CPT,57106,VAGNC PRTL RMVL VAG WALL,9127.0,4563.5,25.0,8257.11,36
CPT,57120,SUTURE CLOSURE OF VAGINA AND VAGINAL OPENING,9847.34,4923.67,400.45,12759.99,36
CPT,57130,REMOVAL OF ABNORMAL TISSUE DIVIDING VAGINA,15241.66,7620.83,205.8,8257.11,36
CPT,57135,EXCISION VAGINAL CYST/TUMOR,8268.0,4134.0,150.15,8257.11,37
CPT,57135,REMOVAL OF CYST OR GROWTH OF VAGINAL,6105.665,3052.835,150.15,8257.11,74
CPT,57150,IRRIGATION OF VAGINA AND/OR APPLICATION OF DRUG TO TREAT INFECTION,197.0,98.5,28.4,150.47,61
CPT,57150,TREAT VAGINA INFECTION,151.0,75.5,28.4,150.47,37
CPT,57155,INSERT UTERI TANDEM/OVOIDS,3230.0,1615.0,188.74,12759.99,37
CPT,57155,INSERTION OF DEVICE INTO UTERUS FOR RADIATION THERAPY,10999.0,5499.5,188.74,12759.99,61
CPT,57156,INS VAG BRACHYTX DEVICE,1271.0,635.5,190.66,931.2,36
CPT,57156,INSERTION OF DEVICE INTO VAGINA FOR RADIATION THERAPY,1271.0,635.5,190.66,931.2,96
CPT,57160,FITTING AND INSERTION OF VAGINAL SUPPORT DEVICE,678.0,339.0,15.91,515.69,61
CPT,57160,INSERT PESSARY/OTHER DEVICE,729.0,364.5,15.91,515.69,37
CPT,57180,TREAT VAGINAL BLEEDING,541.0,270.5,36.75,515.69,37
CPT,57200,REPAIR OF VAGINA,8697.0,4348.5,25.0,8257.11,74
CPT,57200,SUTURE OF NONOBSTETRICAL INJURY OF VAGINA,7592.5,3796.25,27.83,8257.11,61
CPT,57210,SUTURE OF INJURY OF VAGINA AND/OR SKIN,12501.0,6250.5,205.8,8257.11,36
CPT,57240,REPAIR OF BLADDER HERNIA INTO VAGINAL WALL,18159.0,9079.5,205.8,12759.99,36
CPT,57250,REPAIR OF HERNIATED RECTUM INTO VAGINAL WALL,10613.0,5306.5,205.8,12759.99,36
CPT,57260,PLASTIC REPAIR OF VAGINA AND TISSUE SEPARATING VAGINA; RECTUM; AND BLADDER,18460.0,9230.0,205.8,12759.99,84
CPT,57265,REPAIR OF BULGING OF RECTUM AND BLADDER INTO VAGINAL WALL,14769.0,7384.5,205.8,12759.99,36
CPT,57268,REPAIR OF PROTRUSION OF INTESTINE INTO RECTUM OR VAGINA THROUGH VAGINA,12551.0,6275.5,205.8,12759.99,36
CPT,57282,REPAIR OF PELVIC LIGAMENTS THROUGH VAGINA,8450.17,4225.085,526.54,18914.9,60
CPT,57283,REPAIR OF PROLAPSING VAGINAL VAULT THROUGH VAGINA,21535.0,10767.5,4639.51,18914.9,24
CPT,57287,REMOVAL OR REVISION OF INCONTINENCE SLING,11229.0,5614.5,205.8,8257.11,36
CPT,57287,REVISE/REMOVE SLING REPAIR,8401.0,4200.5,205.8,8257.11,36
CPT,57288,CREATION OF SLING AROUND URETHRA IN FEMALE TO CONTROL LEAKAGE,10767.0,5383.5,205.8,12759.99,36
CPT,57288,REPAIR BLADDER DEFECT,10254.0,5127.0,205.8,12759.99,36
CPT,57295,REVISE VAG GRAFT VIA VAGINA,8268.0,4134.0,205.8,8257.11,36
CPT,57295,REVISION OF PROSTHETIC VAGINAL GRAFT,9843.0,4921.5,205.8,8257.11,36
CPT,57320,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM BLADDER TO VAGINA THROUGH VAGINA,17164.0,8582.0,205.8,12759.99,36
CPT,57335,PLASTIC REPAIR OF VAGINA FOR INTERSEX STATE,6605.5,3302.75,205.8,12759.99,36
CPT,57410,PELVIC EXAM UNDER ANESTHESIA,5535.34,2767.67,41.48,8257.11,37
CPT,57415,REMOVAL OF IMPACTED FOREIGN BODY IN VAGINA UNDER ANESTHESIA,7949.0,3974.5,25.0,8257.11,36
CPT,57415,REMOVE VAGINAL FOREIGN BODY,8268.0,4134.0,25.0,8257.11,36
CPT,57420,EXAM OF VAGINA AND CERVIX USING AN ENDOSCOPE,778.0,389.0,68.97,777.3,122
CPT,57420,EXAM OF VAGINA W/SCOPE,778.0,389.0,68.97,777.3,37
CPT,57421,BIOPSY OF VAGINA AND CERVIX USING AN ENDOSCOPE,2353.0,1176.5,93.93,2349.36,135
CPT,57425,SURGICAL REPAIR OF VAGINAL DEFECT USING AN ENDOSCOPE,15110.0,7555.0,205.8,27114.06,36
CPT,57452,EXAM OF CERVIX AND UPPER PART OF VAGINA USING AN ENDOSCOPE,729.0,364.5,41.48,515.69,98
CPT,57452,EXAM OF CERVIX W/SCOPE,729.0,364.5,41.48,515.69,37
CPT,57454,BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE,4242.5,2121.25,105.0,777.3,98
CPT,57454,BX/CURETT OF CERVIX W/SCOPE,1059.0,529.5,105.0,777.3,37
CPT,57455,BIOPSY OF CERVIX USING AN ENDOSCOPE,1620.0,810.0,105.0,777.3,98
CPT,57455,BIOPSY OF CERVIX W/SCOPE,1077.0,538.5,105.0,777.3,37
CPT,57456,ENDOCERV CURETTAGE W/SCOPE,1062.0,531.0,76.94,777.3,37
CPT,57456,SCRAPING OF CERVIX USING AN ENDOSCOPE,2079.5,1039.75,76.94,777.3,98
CPT,57460,BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE,7680.5,3840.25,157.29,8257.11,74
CPT,57460,BX OF CERVIX W/SCOPE LEEP,8269.0,4134.5,157.29,8257.11,37
CPT,57461,CONE BIOPSY OF CERVIX AND VAGINA USING AN ENDOSCOPE WITH LOOP ELECTRODE,9396.5,4698.25,182.21,8257.11,74
CPT,57461,CONZ OF CERVIX W/SCOPE LEEP,8317.0,4158.5,182.21,8257.11,37
CPT,57500,BIOPSY OF CERVIX,2956.0,1478.0,25.0,2349.36,37
CPT,57500,BIOPSY OF CERVIX OR REMOVAL OF GROWTH,2415.33,1207.665,69.43,2349.36,146
CPT,57505,ENDOCERVICAL CURETTAGE,2683.0,1341.5,23.1,2349.36,37
CPT,57505,SCRAPING OF TISSUE OF CERVIX,2680.0,1340.0,23.1,2349.36,74
CPT,57510,CAUTERIZATION OF CERVIX,8269.0,4134.5,33.6,8257.11,37
CPT,57513,LASER DESTRUCTION OF CERVIX,8862.0,4431.0,54.08,8257.11,37
CPT,57520,CONIZATION OF CERVIX,8268.0,4134.0,205.8,8257.11,37
CPT,57520,REMOVAL OR DESTRUCTION OF CERVIX WITH COLD KNIFE OR LASER,10613.0,5306.5,205.8,8257.11,37
CPT,57522,CONIZATION OF CERVIX,8269.0,4134.5,205.8,8257.11,37
CPT,57522,REMOVAL OR DESTRUCTION OF CERVIX USING LOOP ELECTRODE,8347.0,4173.5,205.8,8257.11,98
CPT,57530,AMPUTATION OF CERVIX,15553.32,7776.66,205.8,12759.99,36
CPT,57700,SUTURE OF CERVIX,6716.0,3358.0,202.65,8257.11,37
CPT,57720,REVISION OF CERVIX,8269.0,4134.5,205.8,8257.11,36
CPT,57800,DILATION OF CERVICAL CANAL,8029.17,4014.585,43.58,8257.11,135
CPT,58100,BIOPSY OF LINING OF UTERUS,696.0,348.0,53.55,515.69,109
CPT,58100,BIOPSY OF UTERUS LINING,749.0,374.5,53.55,515.69,37
CPT,58110,BX DONE W/COLPOSCOPY ADD-ON,254.0,127.0,23.84,209.72,37
CPT,58110,EXAM OF CERVIX USING AN ENDOSCOPE WITH BIOPSY OF LINING OF UTERUS,3290.0,1645.0,23.84,209.72,98
CPT,58120,DILATION AND CURETTAGE,8268.0,4134.0,205.8,8257.11,36
CPT,58120,DILATION AND SCRAPING OF UTERUS,8031.165,4015.585,205.8,8257.11,72
CPT,58146,REMOVAL OF 5 OR MORE GROWTHS OF UTERUS THROUGH ABDOMEN,87652.48,43826.24,671.9,2739.28,31
CPT,58150,REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN,47419.0,23709.5,205.8,2514.43,31
CPT,58260,REMOVAL OF UTERUS THROUGH VAGINA; 250.0 G OR LESS,21713.0,10856.5,205.8,12759.99,36
CPT,58260,VAGINAL HYSTERECTOMY,10936.0,5468.0,205.8,12759.99,36
CPT,58262,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA; 250.0 G OR LESS,23843.75,11921.875,205.8,12759.99,60
CPT,58291,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA; MORE THAN 250.0 G,37281.0,18640.5,205.8,12759.99,36
CPT,58300,INSERT INTRAUTERINE DEVICE,420.0,210.0,18.11,107.0,13
CPT,58300,INSERTION OF IUD FOR PREGNANCY PREVENTION,4500.5,2250.25,18.11,107.0,26
CPT,58301,REMOVAL OF IUD,12482.0,6241.0,18.11,777.3,122
CPT,58301,REMOVE INTRAUTERINE DEVICE,785.0,392.5,18.11,777.3,37
CPT,58340,INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES,1875.0,937.5,33.59,209.72,37
CPT,58350,INJECTION OF X-RAY CONTRAST INTO FALLOPIAN TUBE,10518.625,5259.3150000000005,69.23,12759.99,103
CPT,58541,PARTIAL REMOVAL OF UTERUS WITH RETENTION OF CERVIX USING AN ENDOSCOPE; 250.0 G OR LESS,33554.0,16777.0,205.8,27114.06,36
CPT,58542,PARTIAL REMOVAL OF UTERUS; TUBES; AND/OR OVARIES WITH RETENTION OF CERVIX USING AN ENDOSCOPE; 250.0 G OR LESS,39641.51,19820.76,205.8,27114.06,36
CPT,58545,REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE; 250.0 G OR LESS,55924.0,27962.0,205.8,15420.64,36
CPT,58546,REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE; MORE THAN 250.0 G,81257.0,40628.5,814.8,27114.06,36
CPT,58550,REMOVAL OF UTERUS THROUGH VAGINA USING AN ENDOSCOPE; 250.0 G OR LESS,41119.0,20559.5,205.8,15420.64,36
CPT,58552,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; 250.0 G OR LESS,27627.0,13813.5,205.8,27114.06,60
CPT,58555,DIAGNOSTIC EXAM OF UTERUS USING AN ENDOSCOPE,12830.0,6415.0,182.98,8257.11,37
CPT,58555,HYSTEROSCOPY DX SEP PROC,8401.0,4200.5,182.98,8257.11,37
CPT,58558,BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE,8144.835,4072.42,205.8,8257.11,120
CPT,58558,HYSTEROSCOPY BIOPSY,9508.0,4754.0,205.8,8257.11,36
CPT,58560,RELEASE OF SCAR TISSUE OF UTERUS AND RELEASE OR REMOVAL AND SEPTUM USING AN ENDOSCOPE,5946.0,2973.0,70.94,12759.99,36
CPT,58561,REMOVAL OF GROWTH OF MUSCLE OF UTERUS USING AN ENDOSCOPE,11999.0,5999.5,205.8,12759.99,36
CPT,58562,REMOVAL OF FOREIGN BODY IN UTERUS USING AN ENDOSCOPE,4406.0,2203.0,205.8,8257.11,36
CPT,58563,EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE,9073.0,4536.5,205.8,12759.99,37
CPT,58570,REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS,38816.0,19408.0,205.8,27114.06,36
CPT,58571,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS,44907.5,22453.75,205.8,27114.06,108
CPT,58572,REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; MORE THAN 250.0 G,26662.67,13331.34,205.8,27114.06,36
CPT,58573,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; MORE THAN 250.0 G,56582.0,28291.0,205.8,27114.06,36
CPT,58575,REMOVAL OF UTERUS FOR REMOVAL OF GROWTH USING AN ENDOSCOPE,40135.01,20067.51,1176.94,4798.28,31
CPT,58578,OTHER PROCEDURE ON UTERUS USING AN ENDOSCOPE,45067.0,22533.5,3782.42,15420.64,24
CPT,58660,REMOVAL OF SCAR TISSUE OF OVARIES OR FALLOPIAN TUBES USING AN ENDOSCOPE,46494.67,23247.34,205.8,15420.64,36
CPT,58661,REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE,15378.0,7689.0,205.8,15420.64,132
CPT,58662,DESTRUCTION OR REMOVAL OF OVARY OR GROWTH OF PELVIS USING AN ENDOSCOPE,17007.0,8503.5,205.8,15420.64,132
CPT,58679,OTHER PROCEDURE ON FALLOPIAN TUBE OR OVARY USING AN ENDOSCOPE,7057.33,3528.67,3782.42,15420.64,72
CPT,58720,REMOVAL OF UTERINE TUBES AND OVARIES,26327.0,13163.5,457.88,1866.74,24
CPT,58925,REMOVAL OF CYSTS OF OVARIES,9122.66,4561.33,205.8,12759.99,60
CPT,58960,EXAM OF ABDOMINAL CAVITY WITH REMOVAL OR BIOPSY OF ABDOMINAL LINING OR LYMPH NODES,35693.5,17846.75,620.33,2529.05,31
CPT,58999,OTHER PROCEDURE ON FEMALE GENITAL SYSTEM (NONOBSTETRICAL),2767.66,1383.83,126.49,515.69,24
CPT,58999,UNLISTED PX FML GENITAL SYS,572.0,286.0,25.0,515.69,48
CPT,59000,REMOVAL OF SAMPLE OF AMNIOTIC FLUID SURROUNDING FETUS FOR DIAGNOSIS,2372.0,1186.0,52.5,2349.36,98
CPT,59001,AMNIOCENTESIS THERAPEUTIC,1077.0,538.5,135.93,777.3,37
CPT,59015,CHORION BIOPSY,2353.0,1176.5,61.95,2349.36,37
CPT,59015,REMOVAL OF TISSUE FROM PLACENTA FOR DIAGNOSIS,2183.0,1091.5,61.95,2349.36,37
CPT,59020,FETAL CONTRACT STRESS TEST,1088.0,544.0,28.57,515.69,37
CPT,59025,FETAL NON-STRESS TEST,698.0,349.0,4.96,515.69,37
CPT,59025,FETAL TEST,620.5,310.25,4.96,515.69,253
CPT,59074,FETAL FLUID DRAINAGE W/US,817.0,408.5,43.84,777.3,37
CPT,59130,REMOVAL OF PREGNANCY CONTENTS IN ABDOMINAL CAVITY,8765.0,4382.5,580.87,2368.17,31
CPT,59150,REMOVAL OF OVARIAN OR TUBAL PREGNANCY USING AN ENDOSCOPE,12923.0,6461.5,205.8,15420.64,36
CPT,59151,REMOVAL OF OVARIAN OR TUBAL PREGNANCY WITH REMOVAL OF OVARY AND/OR TUBE USING AN ENDOSCOPE,17007.0,8503.5,205.8,15420.64,84
CPT,59151,TREAT ECTOPIC PREGNANCY,15441.0,7720.5,205.8,15420.64,36
CPT,59160,D & C AFTER DELIVERY,8269.0,4134.5,205.8,8257.11,36
CPT,59160,SCRAPING OF LINING OF UTERUS AFTER DELIVERY,6831.5,3415.75,205.8,8257.11,72
CPT,59200,INSERT CERVICAL DILATOR,837.0,418.5,25.0,17224.0,64
CPT,59200,INSERTION OF DILATOR DEVICE INTO CERVIX,1516.665,758.335,190.66,777.3,62
CPT,59300,EPISIOTOMY OR REPAIR OF VAGINA,9188.0,4594.0,205.8,8257.11,36
CPT,59300,EPISIOTOMY OR VAGINAL REPAIR,9878.0,4939.0,205.8,8257.11,36
CPT,59320,SUTURE OF CERVIX DURING PREGNANCY THROUGH VAGINA,6137.0,3068.5,205.8,8257.11,84
CPT,59400,OBSTETRICAL CARE,11400.0,5700.0,1484.68,6052.92,37
CPT,59409,OBSTETRICAL CARE,7522.0,3761.0,205.8,8257.11,31
CPT,59409,VAGINAL DELIVERY,6997.0,3498.5,205.8,8257.11,55
CPT,59410,OBSTETRICAL CARE,7307.0,3653.5,669.98,2731.46,37
CPT,59412,ANTEPARTUM MANIPULATION,8466.5,4233.25,105.0,8257.11,62
CPT,59412,TURNING OF FETUS THROUGH EXTERNAL MANIPULATION,7836.0,3918.0,105.0,8257.11,31
CPT,59414,DELIVER PLACENTA,799.0,399.5,205.8,8257.11,36
CPT,59425,ANTEPARTUM CARE ONLY,1250.0,625.0,122.0,1103.62,74
CPT,59426,ANTEPARTUM CARE ONLY,4093.0,2046.5,496.52,2024.26,37
CPT,59430,CARE AFTER DELIVERY,140.0,70.0,111.7,455.38,31
CPT,59430,POST DELIVERY CARE,130.0,65.0,111.7,455.38,31
CPT,59525,REMOVE UTERUS AFTER CESAREAN,6671.0,3335.5,296.98,1210.76,31
CPT,59610,VBAC DELIVERY,12172.0,6086.0,1578.38,6434.94,37
CPT,59612,VBAC DELIVERY ONLY,7444.0,3722.0,205.8,8257.11,31
CPT,59614,VBAC CARE AFTER DELIVERY,8074.0,4037.0,205.8,3020.26,31
CPT,59812,TREATMENT OF MISCARRIAGE,7949.0,3974.5,25.0,8257.11,111
CPT,59820,CARE OF MISCARRIAGE,12533.0,6266.5,205.8,8257.11,37
CPT,59820,TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER,6268.0,3134.0,25.0,8257.11,98
CPT,59821,TREATMENT OF MISCARRIAGE DURING SECOND TRIMESTER,7388.0,3694.0,205.8,8257.11,37
CPT,59840,INDUCED ABORTION D&C,8269.0,4134.5,205.8,8257.11,37
CPT,59841,INDUCED ABORTION BY DILATION,6604.0,3302.0,205.8,8257.11,37
CPT,59855,INDUCED ABORTION 1+VAG SUPP,3546.0,1773.0,205.8,1061.09,31
CPT,59899,OTHER MATERNITY CARE AND DELIVERY PROCEDURE,345.5,172.75,126.49,515.69,48
CPT,59899,UNLISTED PX MAT CARE&DLVR,362.5,181.25,126.49,17224.0,26
CPT,60100,NEEDLE BIOPSY OF THYROID THROUGH SKIN,1983.0,991.5,68.78,1806.27,74
CPT,60210,PARTIAL REMOVAL OF THYROID LOBE ON SIDE OF NECK,24396.0,12198.0,205.8,15420.64,60
CPT,60220,PARTIAL REMOVAL OF THYROID,15442.0,7721.0,205.8,15420.64,36
CPT,60220,REMOVAL OF THYROID LOBE ON SIDE OF NECK,17083.17,8541.585,205.8,15420.64,156
CPT,60225,REMOVAL OF THYROID LOBE ON SIDE OF NECK AND PARTIAL REMOVAL OF THYROID LOBE ON OPPOSITE SIDE OF NECK INCLUDING TISSUE IN BETWEEN,16240.5,8120.25,205.8,15420.64,36
CPT,60240,REMOVAL OF THYROID,30171.0,15085.5,205.8,15420.64,96
CPT,60252,REMOVAL OF THYROID AND SURROUNDING LYMPH NODES WITH LIMITED NECK REMOVAL,48537.0,24268.5,205.8,15099.99,84
CPT,60260,REMOVAL OF REMAINING THYROID TISSUE FROM PRIOR OPERATION,30171.0,15085.5,814.8,15099.99,84
CPT,60271,REMOVAL OF THYROID THROUGH CHEST OR BACK,26167.0,13083.5,205.8,15099.99,36
CPT,60280,REMOVAL OF CYST OF THYROID OR DRAINAGE OF THYROID GLAND DUCT,20469.0,10234.5,205.8,15420.64,36
CPT,60300,ASPIR/INJ THYROID CYST,1251.0,625.5,38.65,1806.27,37
CPT,60500,EXPLORE PARATHYROID GLANDS,15177.0,7588.5,205.8,15099.99,36
CPT,60500,REMOVAL OR EXPLORATION OF PARATHYROID GLANDS,23241.0,11620.5,205.8,15099.99,156
CPT,60502,REMOVAL OR RE-EXPLORATION OF PARATHYROID GLANDS,21038.0,10519.0,814.8,15099.99,84
CPT,60512,REMOVAL AND REIMPLANTATION OF PARATHYROID TISSUE,10365.0,5182.5,142.66,581.6,55
CPT,60650,REMOVAL OR EXPLORATION OF ADRENAL GLAND THROUGH ABDOMEN USING AN ENDOSCOPE,49015.0,24507.5,737.15,3005.29,72
CPT,60699,OTHER PROCEDURE ON ENDOCRINE SYSTEM,11172.33,5586.165,3782.42,15420.64,48
CPT,61020,REMOVAL OF CEREBROSPINAL FLUID FROM BRAIN FOR DIAGNOSIS,2475.0,1237.5,205.8,2256.08,36
CPT,61020,REMOVE BRAIN CAVITY FLUID,4238.0,2119.0,205.8,2256.08,36
CPT,61050,REMOVE BRAIN CANAL FLUID,427.0,213.5,192.05,853.6,36
CPT,61055,INJECTION INTO BRAIN CANAL,909.0,454.5,110.78,782.97,37
CPT,61070,ASPIRATION OF CEREBROSPINAL FLUID AND INJECTION IN SHUNT TUBING OR RESERVOIR,8515.0,4257.5,68.25,1800.52,98
CPT,61070,BRAIN CANAL SHUNT PROCEDURE,4486.0,2243.0,25.0,1800.52,37
CPT,61107,TDH PNXR IMPLT VENTR CATH,2444.0,1222.0,201.18,820.2,31
CPT,61215,INSERTION OF DEVICE FOR CONTINUOUS INFUSION IN BRAIN,23001.0,11500.5,205.8,22385.0,31
CPT,61500,REMOVAL OF GROWTH OF BRAIN OR OTHER GROWTH OF SKULL BONE,4924.75,2462.38,205.8,3254.46,31
CPT,61623,ENDOVASC TEMPORY VESSEL OCCL,9498.0,4749.0,456.04,29446.32,36
CPT,61624,OCCLUSION OF CENTRAL NERVOUS SYSTEM OR SPINAL CORD ARTERY,16755.0,8377.5,923.64,46759.41,103
CPT,61624,TCAT PERM OCCLS/EMBOLJ CNS,16755.0,8377.5,923.64,46759.41,31
CPT,61626,TCAT PERM OCCLS/EMBOL NONCNS,9879.0,4939.5,710.56,29446.32,36
CPT,61630,INTRACRANIAL ANGIOPLASTY,27446.0,13723.0,853.04,3477.78,31
CPT,61635,INSERTION OF STENT IN BLOOD VESSEL OF HEAD,27446.0,13723.0,922.31,3760.19,24
CPT,61635,INTRACRAN ANGIOPLSTY W/STENT,27446.0,13723.0,922.31,3760.19,31
CPT,61640,DILATE IC VASOSPASM INIT,6338.0,3169.0,374.97,382.11,7
CPT,61641,DILAT IC VSPSM EA VSL SM TER,6248.0,3124.0,131.76,134.27,7
CPT,61642,DILAT IC VSPSM EA DIFF TER,6338.0,3169.0,263.28,268.29,7
CPT,61645,PERQ ART M-THROMBECT &/NFS,20000.0,10000.0,521.14,2124.66,31
CPT,61650,EVASC PRLNG ADMN RX AGNT 1ST,8136.0,4068.0,362.29,1477.03,31
CPT,61651,EVASC PRLNG ADMN RX AGNT ADD,8136.0,4068.0,154.9,631.5,31
CPT,61737,LASER INTERSTITIAL THERMAL THERAPY (LITT) OF MULTIPLE OR COMPLEX GROWTH WITHIN SKULL,45224.0,22612.0,939.28,3829.36,31
CPT,61750,COMPUTER-ASSISTED BIOPSY; ASPIRATION; OR EXCISION OF GROWTH OF BRAIN,30787.0,15393.5,205.8,3818.57,31
CPT,61751,BRAIN BIOPSY W/CT/MR GUIDE,2336.0,1168.0,205.8,3788.28,31
CPT,61751,COMPUTER-ASSISTED BIOPSY; ASPIRATION; OR EXCISION OF GROWTH OF BRAIN USING CT AND/OR MRI GUIDANCE,16619.0,8309.5,205.8,3788.28,31
CPT,61781,COMPUTER-ASSISTED PROCEDURE INSIDE BRAIN,19409.0,9704.5,150.33,612.89,31
CPT,61782,COMPUTER-ASSISTED PROCEDURE OUTSIDE MEMBRANE COVERING BRAIN,4463.5,2231.75,95.93,391.11,79
CPT,61783,COMPUTER-ASSISTED SPINAL PROCEDURE,6438.57,3219.29,143.55,585.25,79
CPT,61796,COMPUTER-ASSISTED RADIOSURGERY OF SIMPLE GROWTH OF BRAIN; FIRST GROWTH,1196.0,598.0,205.8,2772.14,37
CPT,61797,COMPUTER-ASSISTED RADIOSURGERY OF SIMPLE GROWTH OF BRAIN; EACH ADDITIONAL GROWTH,598.0,299.0,118.11,570.68,37
CPT,61800,COMPUTER-ASSISTED RADIOSURGERY APPLICATION OF HEADFRAME,598.0,299.0,99.71,406.51,31
CPT,61850,CREATION OF OPENING IN SKULL FOR INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN,14510.67,7255.34,663.07,2703.29,31
CPT,61860,REMOVAL OF SKULL BONE FOR INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN,38818.0,19409.0,1038.45,4233.67,31
CPT,61863,REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN; FIRST ARRAY,14113.34,7056.67,1006.53,4103.55,31
CPT,61867,REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN WITH RECORDING; FIRST ARRAY,29860.33,14930.165,1503.84,6131.04,55
CPT,61880,REVISION OR REMOVAL OF BRAIN NEUROSTIMULATOR ELECTRODES,12476.165,6238.085,205.8,8917.7,60
CPT,61885,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO SINGLE ELECTRODE ARRAY,12153.0,6076.5,205.8,78710.25,108
CPT,61886,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO 2 OR MORE ELECTRODE ARRAYS,5839.0,2919.5,205.8,78710.25,108
CPT,61888,REMOVAL OF BRAIN NEUROSTIMULATOR DEVICE,12461.0,6230.5,205.8,28422.23,36
CPT,62140,REPAIR OF SKULL BONE DEFECT; 5 CM OR LESS,22616.67,11308.34,205.8,2662.72,31
CPT,62143,REPLACEMENT OF SKULL BONE FLAP OR SKULL PLATE,53100.0,26550.0,696.96,2841.44,31
CPT,62230,INSERTION OR REVISION OF CEREBROSPINAL FLUID DRAINAGE SHUNT VALVE OR TUBE,48150.0,24075.0,205.8,22385.0,36
CPT,62230,REPLACE/REVISE BRAIN SHUNT,13234.0,6617.0,25.0,22385.0,36
CPT,62252,CSF SHUNT REPROGRAM,1359.0,679.5,25.0,783.42,31
CPT,62252,REPROGRAMMING OF CEREBROSPINAL FLUID SHUNT,1910.5,955.25,105.0,783.42,55
CPT,62267,INTERDISCAL PERQ ASPIR DX,2754.0,1377.0,205.8,1806.27,36
CPT,62268,ASPIRATION OF FLUID FROM CYST OF SPINAL CORD OR FLUID-FILLED CAVITY,2475.0,1237.5,205.8,2256.08,31
CPT,62268,DRAIN SPINAL CORD CYST,2661.0,1330.5,205.8,2256.08,31
CPT,62270,DX LMBR SPI PNXR,2615.0,1307.5,44.1,1800.52,37
CPT,62270,REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST,2615.0,1307.5,44.1,1800.52,146
CPT,62272,REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP,3424.0,1712.0,38.85,1800.52,74
CPT,62272,THER SPI PNXR DRG CSF,1854.0,927.0,38.85,1800.52,37
CPT,62273,INJECTION OF BLOOD OR BLOOD CLOT INTO SPINAL CANAL,1837.0,918.5,25.0,1800.52,111
CPT,62282,TREAT SPINAL CANAL LESION,2408.0,1204.0,123.46,2256.08,37
CPT,62284,INJECTION FOR MYELOGRAM,819.0,409.5,46.78,209.72,37
CPT,62284,INJECTION OF CONTRAST FOR IMAGING OF LOWER SPINAL CANAL,761.0,380.5,46.78,209.72,37
CPT,62287,DCMPRN PQ NUC PUL 1/MLT LMBR,4988.0,2494.0,205.8,4980.91,36
CPT,62290,NJX PX DISCOGRAPHY LUMBAR,2622.0,1311.0,92.07,375.35,37
CPT,62291,NJX PX DISCOGRAPHY CRV/THRC,718.0,359.0,84.0,352.53,37
CPT,62302,MYELOGRAPHY LUMBAR INJECTION,2203.0,1101.5,106.07,1999.58,37
CPT,62302,X-RAY OF UPPER SPINAL CANAL WITH REVIEW BY RADIOLOGIST,837.0,418.5,106.07,1999.58,37
CPT,62303,MYELOGRAPHY LUMBAR INJECTION,900.0,450.0,107.47,1999.58,37
CPT,62303,X-RAY OF MIDDLE SPINAL CANAL WITH REVIEW BY RADIOLOGIST,837.0,418.5,107.47,1999.58,37
CPT,62304,MYELOGRAPHY LUMBAR INJECTION,2169.0,1084.5,104.32,1999.58,37
CPT,62304,X-RAY OF LOWER SPINAL CANAL WITH REVIEW BY RADIOLOGIST,837.0,418.5,104.32,1999.58,37
CPT,62305,MYELOGRAPHY LUMBAR INJECTION,1780.0,890.0,109.29,1999.58,37
CPT,62305,X-RAY OF MULTIPLE REGIONS OF SPINAL CANAL WITH REVIEW BY RADIOLOGIST,1308.5,654.25,109.29,1999.58,61
CPT,62320,NJX INTERLAMINAR CRV/THRC,1803.0,901.5,86.84,1800.52,37
CPT,62321,INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE,5407.5,2703.75,93.66,1800.52,85
CPT,62321,NJX INTERLAMINAR CRV/THRC,5569.0,2784.5,93.66,1800.52,37
CPT,62322,INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL,2649.0,1324.5,553.38,2256.08,24
CPT,62322,NJX INTERLAMINAR LMBR/SAC,2848.0,1424.0,74.71,2256.08,37
CPT,62323,INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE,2425.5,1212.75,74.37,1800.52,290
CPT,62323,NJX INTERLAMINAR LMBR/SAC,2522.0,1261.0,74.37,1800.52,37
CPT,62324,NJX INTERLAMINAR CRV/THRC,2260.0,1130.0,79.76,2256.08,37
CPT,62325,NJX INTERLAMINAR CRV/THRC,2260.0,1130.0,82.1,2256.08,37
CPT,62326,NJX INTERLAMINAR LMBR/SAC,2260.0,1130.0,78.06,2256.08,37
CPT,62327,INSERTION OF TUBE AND INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE,2768.0,1384.0,553.38,2256.08,24
CPT,62327,NJX INTERLAMINAR LMBR/SAC,2260.0,1130.0,80.04,2256.08,37
CPT,62328,DX LMBR SPI PNXR W/FLUOR/CT,2567.0,1283.5,77.05,1800.52,37
CPT,62328,REMOVAL OF SPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST USING IMAGING GUIDANCE,4806.0,2403.0,77.05,1800.52,74
CPT,62329,REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP USING IMAGING GUIDANCE,2857.0,1428.5,96.78,1800.52,37
CPT,62329,THER SPI PNXR CSF FLUOR/CT,3072.0,1536.0,96.78,1800.52,37
CPT,62330,DCMPRN PRQ RMV LIG FLV 1LMBR,12890.0,6445.0,4539.89,18508.79,24
CPT,62331,DCMPRN PRQ RMV LIG FLV ADDL,6445.0,3222.5,123.51,503.53,24
CPT,62350,IMPLANT SPINAL CANAL CATH,13234.0,6617.0,205.8,22385.0,36
CPT,62350,INSERTION; REVISION; OR REPOSITIONING OF SPINAL CANAL TUBE FOR MEDICATION ADMINISTRATION,18002.5,9001.25,205.8,22385.0,60
CPT,62355,REMOVAL OF IMPLANTED TUBE IN SPINAL CANAL,4615.66,2307.83,205.8,4980.91,36
CPT,62360,INSERT SPINE INFUSION DEVICE,11390.0,5695.0,205.8,45974.32,36
CPT,62362,IMPLANT SPINE INFUSION PUMP,11548.0,5774.0,205.8,45974.32,36
CPT,62362,INSERTION OF PROGRAMMABLE SPINAL CANAL DRUG INFUSION PUMP,16212.5,8106.25,205.8,45974.32,60
CPT,62365,REMOVAL OF SPINAL CANAL DRUG INFUSION PUMP OR DEVICE,9231.34,4615.67,205.8,8713.73,36
CPT,62367,ANALYZE SPINE INFUS PUMP,968.0,484.0,18.53,783.42,31
CPT,62367,ELECTRONIC ANALYSIS OF SPINAL CANAL DRUG INFUSION PUMP,900.0,450.0,18.53,783.42,55
CPT,62368,ANALYZE SP INF PUMP W/REPROG,1950.0,975.0,25.74,783.42,37
CPT,62368,ELECTRONIC ANALYSIS AND REPROGRAMMING OF SPINAL CANAL DRUG INFUSION PUMP,1817.0,908.5,25.74,783.42,61
CPT,62369,ANAL SP INF PMP W/REPRG&FILL,1172.0,586.0,26.0,783.42,37
CPT,62369,ELECTRONIC ANALYSIS REPROGRAMMING AND REFILL OF SPINAL CANAL DRUG INFUSION PUMP,4086.0,2043.0,26.0,783.42,85
CPT,62370,ELECTRONIC ANALYSIS REPROGRAMMING AND REFILL OF SPINAL CANAL DRUG INFUSION PUMP BY PHYSICIAN,1168.0,584.0,34.74,783.42,122
CPT,62380,RELEASE OF LOWER SPINAL CORD AND/OR NERVE ROOT USING ENDOSCOPE,39895.0,19947.5,4539.89,18508.79,48
CPT,63005,PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF LOWER SPINAL CORD OR NERVES; 1-2 SEGMENTS,31800.5,15900.25,205.8,18508.79,60
CPT,63017,PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF LOWER SPINAL CORD OR NERVES; MORE THAN 2 SEGMENTS,19722.0,9861.0,205.8,18508.79,36
CPT,63020,NECK SPINE DISK SURGERY,13007.0,6503.5,205.8,18508.79,36
CPT,63020,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC; 1 INTERSPACE,31120.0,15560.0,205.8,18508.79,60
CPT,63030,LOW BACK DISK SURGERY,13007.0,6503.5,205.8,18508.79,36
CPT,63030,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC,29496.0,14748.0,205.8,18508.79,132
CPT,63035,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER OR LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC; EACH ADDITIONAL INTERSPACE,12064.33,6032.17,141.56,577.14,79
CPT,63042,PARTIAL REMOVAL OF SPINE BONE WITH RE-EXPLORATION; RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC; 1 INTERSPACE,28229.0,14114.5,4539.89,18508.79,96
CPT,63044,PARTIAL REMOVAL OF SPINE BONE WITH RE-EXPLORATION; RELEASE OF UPPER OR LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC; EACH ADDITIONAL INTERSPACE,23993.33,11996.67,,,0
CPT,63045,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD AND/OR NERVES; 1 SEGMENT,55755.0,27877.5,814.8,18508.79,36
CPT,63046,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF MIDDLE SPINAL CORD AND/OR NERVES; 1 SEGMENT,54736.0,27368.0,814.8,18508.79,36
CPT,63047,LAM FACETEC & FORAMOT LUMBAR,13007.0,6503.5,205.8,18508.79,36
CPT,63047,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT,18833.75,9416.88,205.8,18508.79,132
CPT,63048,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES; EACH ADDITIONAL SEGMENT,9590.66,4795.33,128.88,525.42,79
CPT,63051,RECONSTRUCTION OF UPPER SPINE BONE AND POSTERIOR BONY ELEMENTS WITH RELEASE OF UPPER SPINAL CORD,51625.0,25812.5,1052.41,4290.59,31
CPT,63052,PARTIAL REMOVAL OF BONE OF SINGLE SEGMENT OF SPINE IN LOWER BACK WITH RELEASE OF SPINAL CORD AND/OR NERVES DURING FUSION OF SPINE IN LOWER BACK,10765.635,5382.82,158.05,644.35,55
CPT,63053,PARTIAL REMOVAL OF BONE OF ADDITIONAL SEGMENT OF SPINE IN LOWER BACK WITH RELEASE OF SPINAL CORD AND/OR NERVES DURING FUSION OF SPINE IN LOWER BACK,7960.66,3980.335,140.91,574.49,55
CPT,63081,REMOVAL OF UPPER SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES; ANTERIOR APPROACH; SINGLE SEGMENT,13864.14,6932.07,1115.46,4547.66,31
CPT,63185,REMOVAL OF SPINE BONE WITH SEVERING OF NERVE ROOTS; 1-2 SEGMENTS,12182.67,6091.34,826.77,3370.69,24
CPT,63200,REMOVAL OF LOWER SPINE BONE WITH RELEASE OF FRAYED SPINAL CORD,28229.0,14114.5,1033.06,4211.72,31
CPT,63267,EXCISE INTRSPINL LESION LMBR,13800.0,6900.0,814.8,18508.79,36
CPT,63267,REMOVAL OF GROWTH OF LOWER SPINE BONE OUTSIDE SPINE MEMBRANE,6755.0,3377.5,814.8,18508.79,36
CPT,63271,REMOVAL OF GROWTH OF MIDDLE SPINE BONE WITHIN SPINE MEMBRANE,123369.0,61684.5,1366.7,5571.92,31
CPT,63282,REMOVAL OR BIOPSY OF GROWTH OF LOWER SPINE BONE WITHIN SPINE MEMBRANE; EXTRAMEDULLARY,37667.5,18833.75,1311.92,5348.6,31
CPT,63286,REMOVAL OR BIOPSY OF GROWTH OF MIDDLE SPINE BONE WITHIN SPINE MEMBRANE; INTRAMEDULLARY,80406.0,40203.0,1701.05,6935.05,31
CPT,63650,IMPLANT NEUROELECTRODES,9520.0,4760.0,205.8,16255.9,36
CPT,63650,INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY THROUGH SKIN,14242.0,7121.0,205.8,16255.9,216
CPT,63655,REMOVAL OF SPINE BONE FOR INSERTION OF NEUROSTIMULATOR ELECTRODE PLATE IN SPINE,35990.0,17995.0,205.8,49484.83,36
CPT,63661,INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE,3486.33,1743.17,205.8,4980.91,36
CPT,63661,REMOVE SPINE ELTRD PERQ ARAY,5123.0,2561.5,205.8,4980.91,36
CPT,63662,REMOVAL OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE USING FLUOROSCOPIC GUIDANCE,11592.67,5796.34,205.8,8917.7,36
CPT,63663,REVISE SPINE ELTRD PERQ ARAY,8051.0,4025.5,205.8,16255.9,36
CPT,63663,REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE,6207.0,3103.5,205.8,16255.9,36
CPT,63664,REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE USING FLUOROSCOPIC GUIDANCE,30401.0,15200.5,205.8,28422.23,36
CPT,63685,INS/RPLC SPI NPG/RCVR POCKET,13328.0,6664.0,63.21,78710.25,37
CPT,63685,INSERTION OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER,10921.0,5460.5,63.21,78710.25,37
CPT,63688,REMOVAL OR REVISION OF NEUROSTIMULATOR GENERATOR OR RECEIVER,6972.67,3486.34,205.8,8917.7,36
CPT,63688,REV/RMV IMP SP NPG/R DTCH CN,7597.0,3798.5,205.8,8917.7,36
CPT,63707,REPAIR OF CEREBROSPINAL FLUID LEAK,8575.33,4287.67,612.13,2495.61,31
CPT,63709,REPAIR OF CEREBROSPINAL FLUID LEAK WITH PARTIAL REMOVAL OF VERTEBRA,9590.66,4795.33,720.0,2935.38,24
CPT,63710,PLACEMENT OF SPINAL CORD GRAFT,5139.87,2569.94,690.29,2814.25,31
CPT,64400,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO FACE NERVE,1427.0,713.5,13.65,1174.45,458
CPT,64405,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE,1439.0,719.5,25.0,1174.45,685
CPT,64405,NJX AA&/STRD GR OCPL NRV,1439.0,719.5,25.0,782.97,37
CPT,64408,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO VAGUS NERVE,1221.5,610.75,36.75,1174.45,61
CPT,64408,NJX AA&/STRD VAGUS NRV,834.0,417.0,36.75,782.97,37
CPT,64415,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE,8351.165,4175.585,553.38,2256.08,264
CPT,64415,NJX AA&/STRD BRCH PLXS IMG,4647.0,2323.5,25.0,2256.08,37
CPT,64416,INJECTION OF ANESTHETIC AGENT BY CONTINUOUS INFUSION AND/OR STEROID INTO ARM NERVE BUNDLE,2875.0,1437.5,553.38,2256.08,120
CPT,64416,NJX AA&/STRD BRCH PL NFS IMG,2958.0,1479.0,59.19,2256.08,74
CPT,64417,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER ARM AND SHOULDER NERVE,4384.5,2192.25,553.38,3384.1,96
CPT,64417,NJX AA&/STRD AX NERVE IMG,3100.0,1550.0,22.05,2256.08,74
CPT,64418,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO SUPRASCAPULAR SHOULDER NERVE,3486.0,1743.0,441.64,2700.77,48
CPT,64418,NJX AA&/STRD SPRSCAP NRV,2496.5,1248.25,36.75,1800.52,74
CPT,64420,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO RIB NERVE,5389.0,2694.5,45.68,2700.77,242
CPT,64420,NJX AA&/STRD NTRCOST NRV 1,2792.0,1396.0,45.68,1800.52,37
CPT,64421,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO MULTIPLE RIB NERVES FOR REGIONAL NERVE BLOCK,4505.0,2252.5,45.68,3384.1,266
CPT,64421,NJX AA&/STRD NTRCOST NRV EA,2334.0,1167.0,45.68,2256.08,37
CPT,64425,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER ABDOMEN AND GROIN NERVE,2360.0,1180.0,36.75,2700.77,205
CPT,64425,NJX AA&/STRD II IH NERVES,2360.0,1180.0,36.75,1800.52,37
CPT,64430,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO EXTERNAL GENITALS AND ANUS NERVE,4520.0,2260.0,553.38,3384.1,192
CPT,64430,NJX AA&/STRD PUDENDAL NERVE,2260.0,1130.0,36.75,2256.08,37
CPT,64435,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UTERUS NERVE,2934.0,1467.0,441.64,1800.52,24
CPT,64435,NJX AA&/STRD PARACRV NRV,3155.0,1577.5,33.6,1800.52,37
CPT,64445,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER BACK AND LEG NERVE,3768.5,1884.25,24.68,2700.77,661
CPT,64445,NJX AA&/STRD SCIATIC NRV IMG,3103.0,1551.5,24.68,1800.52,37
CPT,64446,INJECTION BY CONTINUOUS INFUSION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER BACK AND LEG NERVE,3400.0,1700.0,553.38,2256.08,48
CPT,64446,NJX AA&/STRD SC NRV NFS IMG,3523.0,1761.5,57.91,2256.08,37
CPT,64447,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE,7798.165,3899.085,441.64,2700.77,432
CPT,64447,NJX AA&/STRD FEMORAL NRV IMG,3789.0,1894.5,48.38,1800.52,37
CPT,64448,INJECTION BY CONTINUOUS INFUSION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE,3277.0,1638.5,553.38,2256.08,24
CPT,64448,NJX AA&/STRD FEM NRV NFS IMG,3523.0,1761.5,55.59,2256.08,37
CPT,64449,NJX AA&/STRD LMBR PLEX NFS,2260.0,1130.0,49.67,2256.08,31
CPT,64450,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO OTHER NERVE OR BRANCH,2792.0,1396.0,22.05,2700.77,866
CPT,64450,NJX AA&/STRD OTHER PN/BRANCH,2792.0,1396.0,22.05,1800.52,37
CPT,64451,NJX AA&/STRD NRV NRVTG SI JT,1803.0,901.5,61.76,1800.52,31
CPT,64454,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO KNEE NERVE BRANCH USING IMAGING GUIDANCE,4296.0,2148.0,62.02,2700.77,343
CPT,64454,NJX AA&/STRD GNCLR NRV BRNCH,3004.0,1502.0,62.02,1800.52,31
CPT,64455,INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO FOOT NERVE,1605.0,802.5,24.31,1174.45,181
CPT,64455,NJX AA&/STRD PLTR COM DG NRV,1174.0,587.0,24.31,782.97,37
CPT,64461,INJECTION OF ANESTHETIC AGENT INTO THORACIC VERTEBRA USING IMAGING GUIDANCE; SINGLE SITE,3103.0,1551.5,441.64,2700.77,144
CPT,64461,PVB THORACIC SINGLE INJ SITE,3103.0,1551.5,73.58,1800.52,37
CPT,64462,PVB THORACIC 2ND+ INJ SITE,3510.0,1755.0,29.11,209.72,37
CPT,64463,PVB THORACIC CONT INFUSION,2848.0,1424.0,205.8,1800.52,31
CPT,64466,THRC FASCIAL PLN BLK UNI NJX,1768.0,884.0,40.57,209.72,62
CPT,64467,THRC FASCIAL PLN BLK UNI NFS,417.0,208.5,46.98,209.72,31
CPT,64468,THRC FASCIAL PLN BLK BI NJX,2332.0,1166.0,44.95,209.72,31
CPT,64469,THRC FASCIAL PLN BLK BI NFS,711.0,355.5,49.4,209.72,31
CPT,64473,LWR XTR FSCL PLN BLK UNI NJX,2090.0,1045.0,36.13,209.72,30
CPT,64479,INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO UPPER OR MIDDLE SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL,2963.0,1481.5,105.0,3384.1,181
CPT,64479,NJX AA&/STRD TFRM EPI C/T 1,2529.0,1264.5,105.0,2256.08,37
CPT,64480,INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO UPPER OR MIDDLE SPINE NERVE ROOT USING IMAGING GUIDANCE; EACH ADDITIONAL LEVEL,1789.5,894.75,34.66,141.32,96
CPT,64480,NJX AA&/STRD TFRM EPI C/T EA,1473.0,736.5,34.66,141.32,35
CPT,64483,INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL,5031.0,2515.5,99.79,3384.1,325
CPT,64483,NJX AA&/STRD TFRM EPI L/S 1,3606.0,1803.0,99.79,2256.08,37
CPT,64484,INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; EACH ADDITIONAL LEVEL,2040.0,1020.0,28.48,116.1,209
CPT,64484,NJX AA&/STRD TFRM EPI L/S EA,1462.0,731.0,28.48,116.1,37
CPT,64486,INJECTION OF LOCAL ANESTHETIC FOR ABDOMINAL WALL PAIN CONTROL ON SIDE USING IMAGING GUIDANCE,5386.0,2693.0,31.78,129.58,135
CPT,64486,TAP BLOCK UNIL BY INJECTION,3766.0,1883.0,31.78,209.72,31
CPT,64487,TAP BLOCK UNI BY INFUSION,3306.0,1653.0,36.91,209.72,31
CPT,64488,INJECTION OF LOCAL ANESTHETIC FOR ABDOMINAL WALL PAIN CONTROL ON BOTH SIDES USING IMAGING GUIDANCE,5386.0,2693.0,37.43,209.72,181
CPT,64488,TAP BLOCK BI INJECTION,3766.0,1883.0,37.43,209.72,31
CPT,64489,TAP BLOCK BI BY INFUSION,9065.0,4532.5,46.69,209.72,31
CPT,64490,INJ PARAVERT F JNT C/T 1 LEV,3033.0,1516.5,89.84,2256.08,37
CPT,64490,INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL,6066.0,3033.0,89.84,3384.1,421
CPT,64491,INJ PARAVERT F JNT C/T 2 LEV,3815.0,1907.5,33.23,209.72,37
CPT,64491,INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE; SECOND LEVEL,5455.5,2727.75,33.23,209.72,493
CPT,64492,INJ PARAVERT F JNT C/T 3 LEV,3815.0,1907.5,33.18,209.72,37
CPT,64492,INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE; THIRD AND ANY ADDITIONAL LEVEL,7363.0,3681.5,33.18,209.72,397
CPT,64493,INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL,6554.0,3277.0,75.61,3384.1,517
CPT,64494,INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SECOND LEVEL,5080.5,2540.25,28.48,209.72,589
CPT,64495,INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; THIRD AND ANY ADDITIONAL LEVEL,4770.0,2385.0,29.23,209.72,349
CPT,64505,INJECTION OF ANESTHETIC AGENT; TRIGEMINAL NERVE BUNDLE,1565.5,782.75,25.0,1174.45,109
CPT,64510,INJECTION OF ANESTHETIC AGENT INTO SYMPATHETIC NERVE BUNDLE,2872.0,1436.0,57.23,2256.08,157
CPT,64510,N BLOCK STELLATE GANGLION,2976.0,1488.0,57.23,2256.08,37
CPT,64517,INJECTION OF ANESTHETIC AGENT INTO SACRAL NERVE BUNDLE,2768.0,1384.0,94.71,2256.08,61
CPT,64517,N BLOCK INJ HYPOGAS PLXS,2260.0,1130.0,94.71,2256.08,37
CPT,64520,INJECTION OF ANESTHETIC AGENT INTO MIDDLE OR LOWER SPINE SYMPATHETIC NERVE,3093.0,1546.5,56.7,3384.1,205
CPT,64520,N BLOCK LUMBAR/THORACIC,3093.0,1546.5,56.7,2256.08,37
CPT,64530,INJECTION OF ANESTHETIC AGENT INTO ABDOMINAL SYMPATHETIC NERVE BUNDLE,2923.0,1461.5,56.7,2256.08,85
CPT,64530,N BLOCK INJ CELIAC PELUS,2260.0,1130.0,56.7,2256.08,37
CPT,64555,IMPLANT NEUROELECTRODES,8048.0,4024.0,245.77,16255.9,36
CPT,64555,INSERTION OF PERIPHERAL NERVE NEUROSTIMULATOR ELECTRODE THROUGH SKIN,10266.5,5133.25,245.77,16255.9,156
CPT,64561,IMPLANT NEUROELECTRODES,10179.0,5089.5,205.8,16255.9,36
CPT,64561,INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE ARRAY,12926.67,6463.34,205.8,16255.9,264
CPT,64566,INSERTION OF LOWER LEG NEUROSTIMULATOR ELECTRODE,1040.0,520.0,192.05,782.97,24
CPT,64566,NEUROELTRD STIM POST TIBIAL,981.0,490.5,22.65,782.97,31
CPT,64567,PERQ ELEC NRV FIELD STIMJ CN,2243.0,1121.5,567.46,2313.48,24
CPT,64568,INSERTION OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR,19541.0,9770.5,205.8,112904.76,84
CPT,64569,REVISION OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODES,14267.669999999998,7133.84,609.67,28422.23,60
CPT,64581,INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE,9286.67,4643.34,205.8,16255.9,36
CPT,64582,INSERTION OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTRODE,34602.24,17301.12,633.61,78710.25,127
CPT,64583,REVISION OR REPLACEMENT OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND BREATHING SENSOR ELECTRODE WITH CONNECTION TO EXISTING GENERATOR,13298.83,6649.415,654.97,28422.23,55
CPT,64584,REMOVAL OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTRODE,22471.0,11235.5,2137.33,8713.73,24
CPT,64585,REVISION OF PERIPHERAL NEUROSTIMULATOR ELECTRODES,8647.0,4323.5,205.8,8917.7,120
CPT,64590,INS/RPL PRPH SAC/GSTR NPG/R,10334.0,5167.0,205.8,49484.83,36
CPT,64590,INSERTION OF PERIPHERAL OR GASTRIC NEUROSTIMULATOR GENERATOR,5553.33,2776.67,205.8,49484.83,60
CPT,64595,REVISION OF PERIPHERAL OR GASTRIC NEUROSTIMULATOR GENERATOR,8715.835,4357.92,205.8,8917.7,60
CPT,64600,DESTRUCTION OF FIRST DIVISION OF FACE NERVE BRANCH,9712.0,4856.0,77.18,2256.08,170
CPT,64605,DESTRUCTION OF SECOND AND THIRD DIVISION OF FACE NERVE BRANCH,12352.0,6176.0,1221.73,4980.91,24
CPT,64605,INJECTION TREATMENT OF NERVE,5842.0,2921.0,117.6,4980.91,37
CPT,64610,DESTRUCTION OF FACE NERVE BRANCH UNDER X-RAY MONITORING,18817.0,9408.5,158.03,4980.91,85
CPT,64610,INJECTION TREATMENT OF NERVE,6809.0,3404.5,158.03,4980.91,37
CPT,64611,CHEMODENERV SALIV GLANDS,950.0,475.0,75.42,782.97,37
CPT,64611,INJECTION OF CHEMICAL FOR PARALYSIS OF SALIVARY GLANDS ON BOTH SIDES OF MOUTH,4364.0,2182.0,75.42,782.97,146
CPT,64612,DESTROY NERVE FACE MUSCLE,784.0,392.0,77.18,782.97,37
CPT,64612,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF FACE,1254.0,627.0,76.82,1174.45,277
CPT,64615,CHEMODENERV MUSC MIGRAINE,784.0,392.0,96.51,782.97,37
CPT,64615,INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE,1248.0,624.0,96.51,782.97,133
CPT,64616,CHEMODENERV MUSC NECK DYSTON,784.0,392.0,90.45,782.97,37
CPT,64616,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF NECK EXCLUDING VOICE BOX,1560.0,780.0,76.82,1174.45,229
CPT,64617,CHEMODENER MUSCLE LARYNX EMG,2252.0,1126.0,95.79,1800.52,37
CPT,64617,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF VOICE BOX,3141.0,1570.5,95.79,2700.77,109
CPT,64620,INJECTION OF AGENT TO DESTROY RIB NERVE,4577.83,2288.915,53.55,2256.08,109
CPT,64620,INJECTION TREATMENT OF NERVE,2261.0,1130.5,53.55,2256.08,37
CPT,64624,DESTRUCTION OF NERVE BRANCHES OF KNEE USING IMAGING GUIDANCE,8023.5,4011.75,109.63,4980.91,367
CPT,64624,DSTRJ NULYT AGT GNCLR NRV,4988.0,2494.0,109.63,4980.91,31
CPT,64625,DESTRUCTION OF NERVES SUPPLYING JOINT BETWEEN SPINE AND PELVIS USING IMAGING GUIDANCE,11422.5,5711.25,1221.73,4980.91,48
CPT,64625,RF ABLTJ NRV NRVTG SI JT,4988.0,2494.0,146.95,4980.91,31
CPT,64628,HEAT DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE IN BONES OF SPINE IN LOWER BACK; FIRST TWO BONES,5596.0,2798.0,205.8,32748.28,31
CPT,64628,TRML DSTRJ IOS BVN 1ST 2 L/S,16885.0,8442.5,205.8,32748.28,31
CPT,64629,TRML DSTRJ IOS BVN EA ADDL,21196.0,10598.0,109.75,447.43,31
CPT,64630,DESTRUCTION OF EXTERNAL GENITAL NERVE,2416.66,1208.33,77.18,2256.08,61
CPT,64630,INJECTION TREATMENT OF NERVE,2975.0,1487.5,77.18,2256.08,37
CPT,64632,N BLOCK INJ COMMON DIGIT,1529.0,764.5,45.23,782.97,37
CPT,64633,DESTROY CERV/THOR FACET JNT,4988.0,2494.0,192.17,4980.91,37
CPT,64633,DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT,5989.5,2994.75,192.17,4980.91,253
CPT,64634,DESTROY C/TH FACET JNT ADDL,3006.0,1503.0,37.77,153.99,37
CPT,64634,DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; EACH ADDITIONAL FACET JOINT,4299.0,2149.5,37.77,153.99,229
CPT,64635,DESTROY LUMB/SAC FACET JNT,5938.0,2969.0,188.31,4980.91,37
CPT,64635,DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT,10773.0,5386.5,188.31,4980.91,266
CPT,64636,DESTROY L/S FACET JNT ADDL,3476.0,1738.0,33.23,135.49,37
CPT,64636,DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; EACH ADDITIONAL FACET JOINT,4849.5,2424.75,33.23,135.49,386
CPT,64640,DESTRUCTION OF PERIPHERAL NERVE OR BRANCH,6614.0,3307.0,77.18,3384.1,530
CPT,64640,INJECTION TREATMENT OF NERVE,3056.0,1528.0,77.18,2256.08,37
CPT,64642,CHEMODENERV 1 EXTREMITY 1-4,1810.0,905.0,89.99,1800.52,37
CPT,64642,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG; 1-4 MUSCLES; FIRST EXTREMITY,3895.5,1947.75,89.99,1800.52,303
CPT,64643,CHEMODENERV 1 EXTREM 1-4 EA,2792.0,1396.0,39.96,209.72,37
CPT,64643,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG; 1-4 MUSCLES; EACH ADDITIONAL EXTREMITY,2597.0,1298.5,39.96,209.72,362
CPT,64644,CHEMODENERV 1 EXTREM 5/> MUS,1803.0,901.5,98.22,1800.52,37
CPT,64644,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG; 5 OR MORE MUSCLES; FIRST EXTREMITY,1802.67,901.34,98.22,1800.52,266
CPT,64645,CHEMODENERV 1 EXTREM 5/> EA,547.0,273.5,47.83,209.72,37
CPT,64645,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG; 5 OR MORE MUSCLES; EACH ADDITIONAL EXTREMITY,508.0,254.0,47.83,209.72,61
CPT,64646,CHEMODENERV TRUNK MUSC 1-5,1810.0,905.0,97.34,1800.52,37
CPT,64646,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK; 1-5 MUSCLES,3387.0,1693.5,97.34,1800.52,242
CPT,64647,CHEMODENERV TRUNK MUSC 6/>,1803.0,901.5,112.41,1800.52,37
CPT,64647,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK; 6 OR MORE MUSCLES,1837.0,918.5,112.41,1800.52,37
CPT,64650,CHEMODENERV ECCRINE GLANDS,959.0,479.5,192.05,782.97,31
CPT,64650,INJECTION OF CHEMICAL FOR PARALYSIS OF UNDERARM SWEAT GLANDS,892.0,446.0,192.05,782.97,55
CPT,64653,CHEMODENERV ECCRINE GLANDS,824.0,412.0,192.05,782.97,31
CPT,64653,INJECTION OF CHEMICAL FOR PARALYSIS OF SWEAT GLANDS,884.0,442.0,192.05,782.97,55
CPT,64654,1ST OPN IMPLT BAT MODULJ SYS,112501.0,56250.5,27693.62,112904.76,24
CPT,64655,REVJ/RPLCMT BAT MOD SYS LEAD,7581.0,3790.5,2187.36,8917.7,24
CPT,64656,REVJ/RPLCMT BAT MOD SYS PG,13328.0,6664.0,19306.29,78710.25,24
CPT,64657,RMVL BAT MODULJ SYS TOT SYS,8103.0,4051.5,2137.33,8713.73,24
CPT,64658,RMVL BAT MODUL SYS LEAD ONLY,7581.0,3790.5,2187.36,8917.7,24
CPT,64659,RMVL BAT MODULJ SYS PG ONLY,7581.0,3790.5,2187.36,8917.7,24
CPT,64680,INJECTION TREATMENT OF NERVE,3764.0,1882.0,77.18,2256.08,37
CPT,64681,INJECTION TREATMENT OF NERVE,2260.0,1130.0,204.72,2256.08,37
CPT,64702,RELEASE OF FINGER NERVE,6461.51,3230.76,1221.73,4980.91,192
CPT,64704,RELEASE OF HAND OR FOOT NERVE,11746.81,5873.405,1221.73,4980.91,48
CPT,64708,RELEASE OF ARM OR LEG NERVE,11845.0,5922.5,205.8,4980.91,132
CPT,64712,RELEASE OF SCIATIC NERVE,36917.0,18458.5,1221.73,4980.91,24
CPT,64713,RELEASE OF MAJOR ARM OR LEG NERVE,30366.335,15183.17,1221.73,4980.91,96
CPT,64718,RELEASE AND/OR RELOCATION OF ELBOW NERVE,6302.5,3151.25,205.8,8713.73,372
CPT,64718,REVISE ULNAR NERVE AT ELBOW,6941.0,3470.5,205.8,4980.91,36
CPT,64719,RELEASE AND/OR RELOCATION OF WRIST NERVE,13668.33,6834.17,1221.73,4980.91,72
CPT,64721,CARPAL TUNNEL SURGERY,5836.0,2918.0,205.8,4980.91,37
CPT,64721,RELEASE AND/OR RELOCATION OF HAND NERVE,5842.0,2921.0,205.8,4980.91,541
CPT,64722,RELEASE OF UNSPECIFIED NERVE,2884.25,1442.13,1221.73,4980.91,24
CPT,64726,RELEASE OF SOLE OF FOOT NERVE,8295.5,4147.75,205.8,4980.91,60
CPT,64727,RELEASE OF NERVE USING OPERATING MICROSCOPE,15028.875,7514.4400000000005,93.64,381.76,48
CPT,64742,INCISION OR REMOVAL OF FACE NERVE,6461.51,3230.76,1221.73,4980.91,24
CPT,64772,INCISION OF SPINAL NERVE,5249.0,2624.5,205.8,4980.91,36
CPT,64772,INCISION OR REMOVAL OF SPINAL NERVE,4882.0,2441.0,205.8,4980.91,264
CPT,64774,REMOVAL OF GROWTH OF SKIN NERVE,14553.33,7276.67,1221.73,4980.91,24
CPT,64776,REMOVE DIGIT NERVE LESION,4988.0,2494.0,198.45,4980.91,37
CPT,64782,REMOVAL OF GROWTH OF NERVE OF HAND OR FOOT NERVE; FIRST NERVE,6977.0,3488.5,1221.73,4980.91,24
CPT,64784,REMOVAL OF GROWTH OF PERIPHERAL NERVE,24313.25,12156.625,205.8,4980.91,60
CPT,64786,REMOVAL OR GROWTH OF SCIATIC NERVE,6850.83,3425.42,2137.33,8713.73,24
CPT,64787,IMPLANT NERVE END,4699.0,2349.5,136.12,554.96,31
CPT,64788,REMOVE SKIN NERVE LESION,5243.0,2621.5,205.8,4980.91,36
CPT,64790,REMOVAL OF GROWTH OF MAJOR PERIPHERAL NERVE OR NERVE LINING,34021.0,17010.5,205.8,4980.91,36
CPT,64792,REMOVAL OF GROWTH OF MAJOR PERIPHERAL NERVE OR NERVE LINING; EXTENSIVE INCLUDING GROWTH,19806.0,9903.0,205.8,8713.73,36
CPT,64795,BIOPSY OF NERVE,12417.0,6208.5,205.8,4980.91,36
CPT,64831,REPAIR OF DIGIT NERVE,6281.0,3140.5,25.0,4980.91,37
CPT,64831,SUTURE OF HAND OR FOOT DIGITAL NERVE; FIRST DIGITAL NERVE,13471.66,6735.83,1221.73,4980.91,240
CPT,64832,SUTURE OF HAND OR FOOT DIGITAL NERVE; EACH ADDITIONAL DIGITAL NERVE,6932.5,3466.25,187.77,765.53,37
CPT,64834,SUTURE OF HAND OR FOOT COMMON SENSORY NERVE,13692.92,6846.46,2137.33,8713.73,48
CPT,64836,SUTURE OF FOREARM AND HAND NERVE,13521.34,6760.67,2137.33,8713.73,24
CPT,64857,SUTURE OF ARM OR LEG PERIPHERAL NERVE,15536.67,7768.34,2137.33,8713.73,24
CPT,64885,GRAFT OF HEAD OR NECK NERVE; 4.0 CM OR LESS,33251.0,16625.5,5490.66,22385.0,72
CPT,64898,GRAFT OF MULTIPLE ARM OR LEG NERVES; MORE THAN 4.0 CM,43660.01,21830.01,205.8,22385.0,84
CPT,64902,GRAFT OF MULTIPLE NERVE SECTIONS,26617.5,13308.75,395.56,1612.66,24
CPT,64905,TRANSFER OF NERVE TO INJURED NERVE; STAGE 1 OF 2,18596.0,9298.0,205.8,22385.0,103
CPT,64907,TRANSFER OF NERVE TO INJURED NERVE; STAGE 2 OF 2,62438.0,31219.0,205.8,22385.0,31
CPT,64910,REPAIR OF NERVE WITH GRAFT,19076.67,9538.34,205.8,22385.0,36
CPT,64912,REPAIR OF NERVE USING NERVE GRAFT; FIRST STRAND,19175.0,9587.5,205.8,22385.0,103
CPT,64913,REPAIR OF NERVE USING NERVE GRAFT; EACH ADDITIONAL STRAND,20388.75,10194.375,97.75,398.51,55
CPT,64999,OTHER PROCEDURE ON NERVOUS SYSTEM,6044.0,3022.0,192.05,782.97,312
CPT,65093,REMOVAL OF EYE CONTENTS WITH INSERTION OF IMPLANT,10433.005000000001,5216.505,2459.7,10028.02,48
CPT,65105,REMOVAL OF EYEBALL WITH INSERTION OF IMPLANT ATTACHED TO MUSCLES,15378.0,7689.0,2459.7,10028.02,72
CPT,65110,REMOVAL OF EYE CONTENTS AND EYE SOCKET BONE,17608.0,8804.0,2459.7,10028.02,24
CPT,65130,INSERTION OF EYE IMPLANT IN SCLERAL SHELL AFTER EVISCERATION,3890.33,1945.17,2459.7,10028.02,24
CPT,65140,INSERTION OF EYE IMPLANT ATTACHED TO MUSCLES AFTER REMOVAL OF EYE,12134.67,6067.34,2459.7,10028.02,24
CPT,65150,REINSERTION OF EYE IMPLANT,4025.5,2012.75,2459.7,10028.02,24
CPT,65205,REMOVAL OF FOREIGN BODY FROM EXTERNAL EYE (CONJUNCTIVA),436.0,218.0,25.0,339.39,157
CPT,65205,REMOVE FOREIGN BODY FROM EYE,436.0,218.0,28.88,339.39,37
CPT,65210,REMOVAL OF FOREIGN BODY FROM EXTERNAL EYE (CONJUNCTIVA OR SCLERA),1141.0,570.5,21.0,1139.47,85
CPT,65220,REMOVAL OF FOREIGN BODY IN CORNEA,2357.0,1178.5,25.0,1139.47,133
CPT,65220,REMOVE FOREIGN BODY FROM EYE,1760.0,880.0,27.83,1139.47,37
CPT,65222,REMOVAL OF FOREIGN BODY IN CORNEA USING SLIT LAMP,600.0,300.0,25.0,339.39,133
CPT,65235,REMOVAL OF FOREIGN BODY IN EYE OR LENS,16026.125,8013.0650000000005,1443.9,5886.68,48
CPT,65260,REMOVAL OF FOREIGN BODY IN EYE WITH A MAGNET,9688.41,4844.205,1443.9,5886.68,48
CPT,65270,REPAIR OF EYE WOUND,9709.0,4854.5,40.43,6064.37,37
CPT,65270,REPAIR OF LACERATED CONJUNCTIVA,5193.0,2596.5,1487.49,6064.37,24
CPT,65272,REPAIR OF LACERATED CONJUNCTIVA USING FLAP OR GRAFT,5366.0,2683.0,1487.49,6064.37,24
CPT,65275,REPAIR OF EYE WOUND,9901.0,4950.5,25.0,10028.02,37
CPT,65275,REPAIR OF LACERATED CORNEA,26641.75,13320.875,2459.7,10028.02,48
CPT,65285,REPAIR OF PERFORATING LACERATION OF CORNEA AND/OR SCLERA WITH REPOSITION OR REMOVAL OF UVEAL TISSUE,36580.0,18290.0,205.8,13573.33,85
CPT,65286,REPAIR OF EYE WOUND,7542.0,3771.0,25.0,5886.68,37
CPT,65286,REPAIR OF LACERATED CORNEA AND/OR SCLERA USING TISSUE GLUE,7016.0,3508.0,1443.9,5886.68,24
CPT,65400,REMOVAL OF EYE LESION,2546.0,1273.0,205.8,2542.81,37
CPT,65400,REMOVAL OF GROWTH OF CORNEA,2408.33,1204.165,205.8,2542.81,109
CPT,65410,BIOPSY OF CORNEA,6072.0,3036.0,87.48,6064.37,37
CPT,65426,REMOVAL OF EYE LESION,6868.0,3434.0,205.8,6064.37,37
CPT,65426,REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA WITH GRAFT,9381.0,4690.5,1487.49,6064.37,48
CPT,65435,CURETTE/TREAT CORNEA,4627.0,2313.5,49.93,2542.81,37
CPT,65435,REMOVAL OF OUTER LAYER OF CORNEA,3437.5,1718.75,49.93,2542.81,109
CPT,65436,CURETTE/TREAT CORNEA,7386.0,3693.0,136.5,6064.37,37
CPT,65436,REMOVAL OF OUTER LAYER OF CORNEA WITH APPLICATION OF CHELATING AGENT,6870.0,3435.0,136.5,6064.37,61
CPT,65450,DESTRUCTION OF GROWTH OF CORNEA,3525.375,1762.69,198.59,809.63,48
CPT,65450,TREATMENT OF CORNEAL LESION,861.0,430.5,42.0,809.63,37
CPT,65600,MULTIPLE PUNCTURES OF CORNEA,7128.0,3564.0,245.52,6064.37,85
CPT,65710,TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA,14768.5,7384.25,3329.31,13573.33,48
CPT,65730,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (EXCEPT IN APHAKIA OR PSEUDOPHAKIA),18216.0,9108.0,205.8,10543.32,84
CPT,65750,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (IN APHAKIA),16721.0,8360.5,3329.31,13573.33,48
CPT,65755,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (IN PSEUDOPHAKIA),17542.17,8771.085,2586.1,10543.32,96
CPT,65756,TRANSPLANTATION OF OUTER LAYER OF CORNEAL TISSUE,10258.0,5129.0,205.8,10543.32,132
CPT,65760,KERATOMILEUSIS,1469.0,734.5,,,0
CPT,65770,INSERTION OF CORNEA PROSTHESIS,20301.015,10150.51,9075.83,37001.45,48
CPT,65772,CORRECTION OF ASTIGMATISM,2547.0,1273.5,290.81,2542.81,36
CPT,65772,INCISION OF CORNEA TO CORRECT ASTIGMATISM,5094.0,2547.0,935.55,3814.17,24
CPT,65778,COVER EYE W/MEMBRANE,3247.0,1623.5,32.17,2542.81,36
CPT,65778,PLACEMENT OF AMNIOTIC MEMBRANE ON EYE SURFACE FOR WOUND HEALING,3383.66,1691.83,32.17,2542.81,132
CPT,65779,COVER EYE W/MEMBRANE SUTURE,8828.0,4414.0,77.21,10028.02,36
CPT,65779,PLACEMENT OF AMNIOTIC MEMBRANE ON EYE SURFACE WITH SUTURES FOR WOUND HEALING,3885.25,1942.63,2459.7,10028.02,72
CPT,65780,TRANSPLANTATION OF FETAL SAC TISSUE TO CORNEA,9077.335,4538.67,2459.7,10028.02,48
CPT,65782,TRANSPLANTATION OF STEM CELLS FROM 1 CORNEA TO OTHER CORNEA,4611.34,2305.67,2459.7,10028.02,24
CPT,65785,IMPLTJ NTRSTRML CRNL RNG SEG,9043.0,4521.5,317.84,10543.32,37
CPT,65800,DRAINAGE OF EYE,7544.0,3772.0,105.0,5886.68,36
CPT,65800,REMOVAL OF EYE FLUID,8253.5,4126.75,25.0,5886.68,180
CPT,65810,COMPLEX REMOVAL OF EYE FLUID,5970.66,2985.33,1443.9,5886.68,24
CPT,65810,DRAINAGE OF EYE,5895.0,2947.5,205.8,5886.68,37
CPT,65815,REMOVAL OF BLOOD FROM EYE,4339.33,2169.665,1443.9,5886.68,96
CPT,65820,INCISION TO IMPROVE EYE FLUID FLOW,5727.0,2863.5,2586.1,10543.32,216
CPT,65850,INSERTION OF EYE FLUID DRAINAGE TUBE,5968.335,2984.17,1443.9,5886.68,48
CPT,65855,LASER REPAIR TO IMPROVE EYE FLUID FLOW,3006.0,1503.0,205.8,2104.36,109
CPT,65855,TRABECULOPLASTY LASER SURG,1497.0,748.5,205.8,1402.91,37
CPT,65860,SEVERING ADS ANT SGM LASER,1405.0,702.5,179.89,1402.91,37
CPT,65865,REMOVAL OF SCAR TISSUE IN EYE (GONIOSYNECHIAE),3617.66,1808.83,1443.9,5886.68,72
CPT,65870,REMOVAL OF SCAR TISSUE IN EYE (ANTERIOR SYNECHIAE),12123.5,6061.75,1443.9,5886.68,72
CPT,65875,REMOVAL OF SCAR TISSUE IN EYE (POSTERIOR SYNECHIAE),3890.33,1945.17,1443.9,5886.68,24
CPT,65920,REMOVAL OF IMPLANTED LENS OF EYE,4912.5,2456.25,1443.9,5886.68,48
CPT,66020,INJECTION OF AIR OR LIQUID INTO EYE,5702.0,2851.0,84.0,5886.68,85
CPT,66020,INJECTION TREATMENT OF EYE,5895.0,2947.5,84.0,5886.68,37
CPT,66030,INJECTION OF MEDICATION INTO EYE,3422.67,1711.34,84.0,5886.68,109
CPT,66030,INJECTION TREATMENT OF EYE,10145.0,5072.5,84.0,5886.68,37
CPT,66130,REMOVAL OF GROWTH OF SCLERA,6272.25,3136.13,1487.49,6064.37,24
CPT,66150,PARTIAL REMOVAL OF IRIS AND CREATION OF DRAINAGE HOLE FOR TREATMENT OF GLAUCOMA,4218.67,2109.34,2586.1,10543.32,24
CPT,66170,CREATION OF EYE FLUID DRAINAGE TRACT FOR TREATMENT OF GLAUCOMA,9381.0,4690.5,1443.9,5886.68,48
CPT,66172,CREATION OF EYE FLUID DRAINAGE TRACT FOR TREATMENT OF GLAUCOMA WITH PREVIOUS SCARRING,6714.17,3357.085,1443.9,5886.68,48
CPT,66174,DILATION TO IMPROVE EYE FLUID FLOW,7114.67,3557.34,2586.1,10543.32,72
CPT,66175,DILATION WITH INSERTION OF DEVICE OR STENT TO IMPROVE EYE FLUID FLOW,9045.34,4522.67,3329.31,13573.33,24
CPT,66180,AQUEOUS SHUNT EYE W/GRAFT,7615.0,3807.5,205.8,13573.33,36
CPT,66180,CREATION OF SHUNT TO IMPROVE EYE FLUID FLOW USING TISSUE GRAFT,13206.0,6603.0,3329.31,13573.33,96
CPT,66183,INSERTION OF EYE FLUID DRAINAGE DEVICE,4919.34,2459.67,2586.1,10543.32,24
CPT,66184,REVISION OF EYE FLUID DRAINAGE SHUNT,4914.5,2457.25,1443.9,5886.68,48
CPT,66185,REVISION OF EYE FLUID DRAINAGE SHUNT WITH GRAFT,18908.67,9454.335,1443.9,5886.68,48
CPT,66250,FOLLOW-UP SURGERY OF EYE,9779.0,4889.5,205.8,6064.37,37
CPT,66250,REVISION OR REPAIR OF OPERATIVE WOUND OF EYE,6870.0,3435.0,205.8,6064.37,170
CPT,66500,INCISION OF IRIS TO IMPROVE EYE FLUID FLOW,5129.0,2564.5,1443.9,5886.68,24
CPT,66600,REMOVAL OF IRIS AND GROWTH,6195.165,3097.585,2586.1,10543.32,48
CPT,66630,REMOVAL OF SECTION OF IRIS TO IMPROVE EYE FLUID FLOW,5307.0,2653.5,1443.9,5886.68,24
CPT,66680,REPAIR OF IRIS AND LENS,10369.46,5184.735000000001,1443.9,5886.68,48
CPT,66682,SUTURE OF IRIS AND LENS,10613.0,5306.5,1443.9,5886.68,24
CPT,66710,CILIARY TRANSSLERAL THERAPY,9709.0,4854.5,205.8,6064.37,36
CPT,66710,DESTRUCTION OF LENS TISSUE USING LASER,5153.83,2576.915,205.8,6064.37,216
CPT,66711,DESTRUCTION OF TISSUE ENCIRCLING LENS USING AN ENDOSCOPE,2289.17,1144.585,1443.9,5886.68,48
CPT,66711,ECP CILIARY BODY DESTRUCTION,6266.0,3133.0,205.8,5886.68,36
CPT,66761,CREATION OF EYE FLUID DRAINAGE TRACTS IN IRIS USING A LASER; PER SESSION,2857.5,1428.75,25.0,2104.36,181
CPT,66761,REVISION OF IRIS,2005.0,1002.5,189.53,1500.0,37
CPT,66762,CREATION OF OPENING OF IRIS FOR EYE FLUID DRAINAGE USING A LASER,1041.0,520.5,189.53,1402.91,37
CPT,66762,REVISION OF IRIS,1405.0,702.5,189.53,1402.91,37
CPT,66820,REMOVAL OF RECURRING CATARACT IN LENS CAPSULE BY STAB INCISION,4371.83,2185.92,1443.9,5886.68,48
CPT,66821,AFTER CATARACT LASER SURGERY,1405.0,702.5,205.8,1402.91,37
CPT,66821,REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER,1597.66,798.83,205.8,2104.36,157
CPT,66825,REPOSITIONING OF LENS PROSTHESIS,4100.33,2050.165,205.8,5886.68,156
CPT,66840,ASPIRATION OF LENS MATERIAL BY ASPIRATION,5513.5,2756.75,1443.9,5886.68,48
CPT,66850,ASPIRATION OF LENS MATERIAL BY FRAGMENTING AND ASPIRATION,6694.66,3347.33,1443.9,5886.68,120
CPT,66852,REMOVAL OF LENS MATERIAL,10876.0,5438.0,2586.1,10543.32,120
CPT,66930,REMOVAL OF LENS MATERIAL AND CAPSULE FOR DISLOCATED LENS,8442.0,4221.0,2586.1,10543.32,24
CPT,66940,EXTRACTION OF LENS,5895.0,2947.5,205.8,5886.68,37
CPT,66982,COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS,7906.0,3953.0,721.95,10543.32,264
CPT,66982,XCAPSL CTRC RMVL CPLX WO ECP,5895.0,2947.5,205.8,5886.68,36
CPT,66984,REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS,5729.33,2864.67,205.8,5886.68,469
CPT,66984,XCAPSL CTRC RMVL W/O ECP,6802.0,3401.0,25.0,5886.68,37
CPT,66985,INSERTION OF PROSTHETIC LENS,6212.0,3106.0,205.8,5886.68,85
CPT,66986,EXCHANGE OF PROSTHETIC LENS,5533.54,2766.775,1443.9,5886.68,48
CPT,66987,COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS AND LASER TREATMENT TO DECREASE FLUID PRODUCTION IN EYE,12856.0,6428.0,2586.1,10543.32,24
CPT,66988,REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS AND LASER TREATMENT TO DECREASE FLUID PRODUCTION IN EYE,9134.67,4567.335,2586.1,10543.32,48
CPT,66989,COMPLEX EXTRACAPSULAR REMOVAL OF CATARACT WITH INSERTION OF ARTIFICIAL LENS AND INSERTION OF DRAINAGE DEVICE IN FRONT CHAMBER OF EYE,10672.0,5336.0,3329.31,13573.33,72
CPT,66990,EXAM OF EYE USING AN ENDOSCOPE,4093.375,2046.69,45.45,185.31,55
CPT,66991,EXTRACAPSULAR REMOVAL OF CATARACT WITH INSERTION OF ARTIFICIAL LENS AND INSERTION OF DRAINAGE DEVICE IN FRONT CHAMBER OF EYE,6149.33,3074.665,3329.31,13573.33,48
CPT,66999,OTHER PROCEDURE ON FRONT OF EYE,7103.5,3551.75,1443.9,5886.68,144
CPT,66999,UNLISTED PX ANT SEGMENT EYE,8876.0,4438.0,1443.9,5886.68,24
CPT,67005,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA,6390.67,3195.34,1443.9,5886.68,72
CPT,67010,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA WITH MECHANICAL REMOVAL OF EYE FLUID,11506.335,5753.17,1443.9,5886.68,96
CPT,67015,ASPIRATION OR RELEASE OF EYE FLUID BETWEEN LENS AND RETINA,8138.0,4069.0,25.0,5886.68,181
CPT,67015,RELEASE OF EYE FLUID,5895.0,2947.5,25.0,5886.68,37
CPT,67025,INJECTION OF SYNTHETIC EYE FLUID,4040.0,2020.0,1443.9,5886.68,72
CPT,67027,IMPLANT EYE DRUG SYSTEM,8892.0,4446.0,205.8,35590.51,36
CPT,67027,IMPLANTATION OF EYE DRUG DELIVERY SYSTEM,13338.0,6669.0,8729.75,35590.51,48
CPT,67028,INJECTION EYE DRUG,1553.0,776.5,25.0,842.51,74
CPT,67028,INJECTION OF DRUG INTO EYE,2886.0,1443.0,25.0,1685.06,626
CPT,67031,LASER SURGERY EYE STRANDS,1405.0,702.5,205.8,1402.91,37
CPT,67036,REMOVAL OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA,8191.0,4095.5,2586.1,10543.32,192
CPT,67039,DESTRUCTION OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA USING A LASER,14246.67,7123.34,2586.1,10543.32,72
CPT,67040,DESTRUCTION OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA AND ALL OF RETINA USING A LASER,16223.835,8111.92,2586.1,10543.32,192
CPT,67041,REMOVAL OF MEMBRANE OF RETINA,4552.83,2276.42,2586.1,10543.32,144
CPT,67042,REMOVAL OF MEMBRANE OF RETINA WITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETINA,9586.0,4793.0,2586.1,10543.32,120
CPT,67101,REPAIR DETACHED RETINA CRTX,5895.0,2947.5,205.8,5886.68,37
CPT,67105,REPAIR OF DETACHED RETINA USING A LASER,8596.665,4298.335,25.0,2104.36,157
CPT,67107,REPAIR OF DETACHED RETINA AND DRAINAGE OF EYE FLUID BETWEEN LENS AND RETINA,22223.0,11111.5,2586.1,10543.32,72
CPT,67108,REPAIR DETACHED RETINA,8949.0,4474.5,25.0,10543.32,37
CPT,67108,REPAIR OF DETACHED RETINA WITH DRAINAGE AND REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA,9226.5,4613.25,25.0,10543.32,144
CPT,67110,REPAIR DETACHED RETINA,5677.5,2838.75,25.0,5886.68,74
CPT,67110,REPAIR OF DETACHED RETINA BY INJECTION OF AIR OR GAS,5026.0,2513.0,25.0,5886.68,242
CPT,67113,COMPLEX REPAIR OF DETACHED RETINA AND DRAINAGE OF EYE FLUID BETWEEN LENS AND RETINA,16646.17,8323.085,205.8,13573.33,180
CPT,67120,REMOVAL OF IMPLANT MATERIAL FROM OUTSIDE OF EYE,10672.0,5336.0,1443.9,5886.68,72
CPT,67121,REMOVAL OF IMPLANT MATERIAL FROM INSIDE OF EYE,12391.5,6195.75,1443.9,5886.68,48
CPT,67121,REMOVE EYE IMPLANT MATERIAL,9366.0,4683.0,205.8,5886.68,36
CPT,67141,HEAT OR FREEZING TREATMENT TO PREVENT DETACHMENT OF RETINA,1263.0,631.5,198.59,809.63,37
CPT,67141,PROPH RTA DTCHMNT CRTX DTHRM,1358.0,679.0,198.59,809.63,37
CPT,67145,PHOTOCOAGULATION TREATMENT TO PREVENT DETACHMENT OF RETINA,10142.33,5071.165,25.0,2104.36,373
CPT,67145,PROPH RTA DTCHMNT PC,2339.0,1169.5,205.8,1402.91,37
CPT,67208,DESTRUCTION OF GROWTH OF RETINA BY HEAT OR FREEZING,2726.25,1363.13,198.59,809.63,24
CPT,67208,TREATMENT OF RETINAL LESION,1358.0,679.0,198.59,809.63,37
CPT,67210,DESTRUCTION OF GROWTH OF RETINA USING A LASER,3885.665,1942.835,205.8,2104.36,109
CPT,67210,TREATMENT OF RETINAL LESION,1499.0,749.5,205.8,1402.91,37
CPT,67220,DESTRUCTION OF VASCULAR GROWTH BETWEEN RETINA AND SCLERA BY PHOTOCOAGULATION,8893.0,4446.5,205.8,1402.91,109
CPT,67220,TREATMENT OF CHOROID LESION,9367.0,4683.5,205.8,1402.91,37
CPT,67221,DESTRUCTION OF VASCULAR GROWTH BETWEEN RETINA AND SCLERA BY PHOTODYNAMIC THERAPY,1978.0,989.0,205.8,1402.91,108
CPT,67221,OCULAR PHOTODYNAMIC THER,1405.0,702.5,205.8,1402.91,36
CPT,67225,EYE PHOTODYNAMIC THER ADD-ON,1274.0,637.0,14.25,209.72,37
CPT,67227,DSTRJ EXTENSIVE RETINOPATHY,9227.0,4613.5,205.8,10028.02,37
CPT,67228,DESTRUCTION OF LEAKING BLOOD VESSELS OF RETINA USING LASER,4698.66,2349.33,205.8,2104.36,349
CPT,67228,TREATMENT X10SV RETINOPATHY,2212.0,1106.0,205.8,1402.91,37
CPT,67229,DESTRUCTION OF LEAKING BLOOD VESSELS OF RETINA; PRETERM INFANT,18274.0,9137.0,516.16,2104.36,24
CPT,67255,REPAIR OF DEFECT OF SCLERA WITH GRAFT,13454.67,6727.34,205.8,10543.32,84
CPT,67299,OTHER PROCEDURE ON BACK OF EYE,21240.0,10620.0,1443.9,5886.68,24
CPT,67299,UNLISTED PX POSTERIOR SEGMNT,7015.0,3507.5,1443.9,5886.68,24
CPT,67311,REALIGNMENT OF HORIZONTAL EYE MUSCLE,11075.0,5537.5,205.8,6064.37,133
CPT,67312,REALIGNMENT OF EYE BY REPAIR OF 2 HORIZONTAL MUSCLES,17143.0,8571.5,2459.7,10028.02,96
CPT,67314,REALIGNMENT OF VERTICAL EYE MUSCLE,5152.5,2576.25,1487.49,6064.37,72
CPT,67316,REALIGNMENT OF MULTIPLE VERTICAL EYE MUSCLES,12106.0,6053.0,1487.49,6064.37,72
CPT,67318,REALIGNMENT OF EYE MUSCLE AT UPPER INNER EDGE OF EYE,6864.125,3432.065,1487.49,6064.37,48
CPT,67320,RELOCATION OF EYE MUSCLE TO RESTORE FUNCTION,4461.66,2230.83,89.88,366.44,127
CPT,67331,REALIGNMENT OF EYE MUSCLE FOLLOWING INJURY OR EYE SURGERY,2922.75,1461.38,64.47,267.36,85
CPT,67332,REALIGNMENT OF EYE MUSCLE COMPLICATED BY SCARRING OR RESTRICTIVE MUSCLE MOVEMENT,3332.875,1666.44,104.57,426.31,109
CPT,67334,REALIGNMENT OF EYE MUSCLE BY SUTURE,4076.665,2038.335,63.9,260.5,48
CPT,67335,PLACEMENT OF ADJUSTABLE SUTURES DURING EYE MUSCLE SURGERY,4615.665,2307.835,96.41,393.05,48
CPT,67345,DESTROY NERVE OF EYE MUSCLE,1358.0,679.0,178.77,809.63,37
CPT,67400,EXPLORATION OF CAVITY BEHIND EYE,12307.0,6153.5,2459.7,10028.02,72
CPT,67405,INCISION AND DRAINAGE OF CAVITY BEHIND EYE,9073.0,4536.5,1487.49,6064.37,24
CPT,67412,EXPLORE/TREAT EYE SOCKET,6073.0,3036.5,205.8,6064.37,37
CPT,67412,REMOVAL OF GROWTH OF CAVITY BEHIND EYE,5069.0,2534.5,1487.49,6064.37,72
CPT,67413,EXPLORE/TREAT EYE SOCKET,6073.0,3036.5,205.8,6064.37,36
CPT,67413,REMOVAL OF FOREIGN BODY IN CAVITY BEHIND EYE,6868.0,3434.0,1487.49,6064.37,24
CPT,67414,REMOVAL OF BONE CAVITY BEHIND EYE FOR DECOMPRESSION,3856.07,1928.04,2459.7,10028.02,72
CPT,67420,REMOVAL OF BONE AND GROWTH OF CAVITY BEHIND EYE,34042.0,17021.0,2459.7,10028.02,24
CPT,67445,REMOVAL OF BONE FROM CAVITY BEHIND EYE WITH BONE FLAP,4722.33,2361.17,2459.7,10028.02,24
CPT,67500,INJECT/TREAT EYE SOCKET,1192.0,596.0,43.45,809.63,37
CPT,67500,INJECTION OF DRUG INTO CAVITY BEHIND EYE,2290.08,1145.04,43.45,809.63,61
CPT,67515,INJECT/TREAT EYE SOCKET,926.0,463.0,34.23,809.63,37
CPT,67515,INJECTION OF DRUG OR SUBSTANCE INTO MEMBRANE COVERING EYEBALL,3678.0,1839.0,34.23,1214.42,229
CPT,67516,SPRCHOROIDAL SPC NJX RX AGT,989.0,494.5,205.8,842.51,31
CPT,67560,REMOVAL OR REVISION OF IMPLANT OUTSIDE EYE MUSCLES,11734.5,5867.25,205.8,10028.02,61
CPT,67560,REVISE EYE SOCKET IMPLANT,8828.0,4414.0,25.0,10028.02,37
CPT,67570,RELEASE OF OPTIC NERVE,18796.0,9398.0,2459.7,10028.02,24
CPT,67700,BLEPHAROTOMY DRG ABSC EYELID,1358.0,679.0,25.0,809.63,37
CPT,67700,INCISION AND DRAINAGE OF ABSCESS OF EYELID,1310.5,655.25,25.0,809.63,72
CPT,67710,REMOVAL OF SUTURES BETWEEN UPPER AND LOWER EYELIDS,5046.0,2523.0,623.71,3814.17,72
CPT,67710,SEVERING TARSORRHAPHY,2546.0,1273.0,63.0,2542.81,37
CPT,67715,CANTHOTOMY,7384.0,3692.0,90.44,6064.37,37
CPT,67715,INCISION OF CORNER OF EYE AT EYELID,6868.0,3434.0,25.0,6064.37,48
CPT,67800,REMOVAL OF CHRONIC GROWTH OF EYELID,2138.0,1069.0,25.0,809.63,314
CPT,67800,REMOVE EYELID LESION,851.0,425.5,43.05,809.63,37
CPT,67801,REMOVAL OF MULTIPLE CHRONIC GROWTHS OF SAME EYELID,3907.5,1953.75,64.58,2542.81,85
CPT,67801,REMOVE EYELID LESIONS,4049.0,2024.5,64.58,2542.81,37
CPT,67805,REMOVAL OF MULTIPLE CHRONIC GROWTHS OF DIFFERENT EYELIDS,2962.0,1481.0,80.85,809.63,61
CPT,67805,REMOVE EYELID LESIONS,818.0,409.0,80.85,809.63,37
CPT,67808,REMOVAL OF CHRONIC EYELID GROWTH UNDER GENERAL ANESTHESIA AND/OR REQUIRING HOSPITALIZATION,4364.0,2182.0,205.8,6064.37,132
CPT,67808,REMOVE EYELID LESION(S),6073.0,3036.5,205.8,6064.37,36
CPT,67810,BIOPSY OF EYELID,1263.0,631.5,38.85,809.63,85
CPT,67810,INCAL BX EYELID SKN LID MRGN,1358.0,679.0,38.85,809.63,37
CPT,67820,REMOVAL OF EYELASHES USING FORCEPS,898.0,449.0,25.0,339.39,266
CPT,67820,REVISE EYELASHES,483.0,241.5,36.75,339.39,37
CPT,67825,REMOVAL OF EYELASHES,3110.375,1555.19,100.43,1214.42,277
CPT,67825,REVISE EYELASHES,1358.0,679.0,100.43,809.63,37
CPT,67830,REVISE EYELASHES,2603.0,1301.5,114.92,2542.81,37
CPT,67840,REMOVAL OF GROWTH OF EYELID,4453.0,2226.5,82.43,3814.17,349
CPT,67840,REMOVE EYELID LESION,2597.0,1298.5,82.43,2542.81,37
CPT,67850,DSTRJ LESION LID MARGIN <1CM,4836.0,2418.0,21.0,2542.81,37
CPT,67875,CLOSURE OF EYELID BY SUTURE,4318.0,2159.0,82.75,2542.81,37
CPT,67875,TEMPORARY CLOSURE OF EYELIDS BY SUTURE,4104.285,2052.145,82.75,3814.17,266
CPT,67880,CREATION OF PERMANENT EYELID MARGIN SCARRING,2938.08,1469.04,205.8,6064.37,300
CPT,67880,REVISION OF EYELID,6405.0,3202.5,205.8,6064.37,36
CPT,67900,REPAIR BROW DEFECT,6073.0,3036.5,205.8,6064.37,31
CPT,67900,REPAIR OF BROW PARALYSIS,5651.92,2825.96,205.8,6064.37,206
CPT,67901,REPAIR OF UPPER EYELID MUSCLE TO CORRECT DROOPING OR PARALYSIS USING EXTERNAL MATERIAL,14155.0,7077.5,1487.49,6064.37,72
CPT,67902,REPAIR EYELID DEFECT,8829.0,4414.5,205.8,10028.02,36
CPT,67902,REPAIR OF UPPER EYELID MUSCLE TO CORRECT DROOPING OR PARALYSIS USING INTERNAL TISSUES,12153.0,6076.5,2459.7,10028.02,48
CPT,67903,SHORTENING OR ADVANCEMENT OF UPPER EYELID MUSCLE TO CORRECT DROOPING OR PARALYSIS,3384.75,1692.38,1487.49,6064.37,24
CPT,67904,REPAIR EYELID DEFECT,8388.0,4194.0,205.8,6064.37,36
CPT,67904,REPAIR OF TENDON OF UPPER EYELID,5608.0,2804.0,205.8,6064.37,252
CPT,67908,REMOVAL OF TISSUE; MUSCLE; AND MEMBRANE TO CORRECT EYELID DROOPING OR PARALYSIS,5892.5,2946.25,205.8,6064.37,372
CPT,67908,REPAIR EYELID DEFECT,6073.0,3036.5,205.8,6064.37,36
CPT,67909,REVISE EYELID DEFECT,6072.0,3036.0,205.8,6064.37,36
CPT,67909,REVISION OF SURGERY TO CORRECT DROOPING OR PARALYZED UPPER EYELID,6346.0,3173.0,205.8,6064.37,36
CPT,67911,CORRECTION OF WIDELY-OPENED UPPER EYELID,5685.0,2842.5,1487.49,6064.37,240
CPT,67911,REVISE EYELID DEFECT,6073.0,3036.5,205.8,6064.37,36
CPT,67912,CORRECTION EYELID W/IMPLANT,6073.0,3036.5,205.8,6064.37,36
CPT,67912,RESTORATION OF EYELID BLINKING FUNCTION WITH IMPLANT,8197.0,4098.5,205.8,6064.37,156
CPT,67914,REPAIR EYELID DEFECT,6073.0,3036.5,205.8,6064.37,36
CPT,67914,SUTURE REPAIR OF TURNING-OUTWARD UPPER OR LOWER EYELID DEFECT,6073.0,3036.5,205.8,6064.37,84
CPT,67916,REPAIR OF TURNING-OUTWARD EYELID DEFECT,6072.0,3036.0,205.8,6064.37,36
CPT,67917,EXTENSIVE REPAIR OF TURNING-OUTWARD EYELID DEFECT,3944.25,1972.13,205.8,6064.37,588
CPT,67917,REPAIR EYELID DEFECT,7387.0,3693.5,205.8,6064.37,36
CPT,67921,REPAIR EYELID DEFECT,6868.0,3434.0,205.8,6064.37,36
CPT,67921,SUTURE REPAIR OF TURNING-INWARD EYELID DEFECT,4900.625,2450.315,1487.49,6064.37,48
CPT,67923,REPAIR EYELID DEFECT,6820.0,3410.0,205.8,6064.37,36
CPT,67923,REPAIR OF TURNING-INWARD EYELID DEFECT,4652.08,2326.04,205.8,6064.37,60
CPT,67924,EXTENSIVE REPAIR OF TURNING-INWARD EYELID DEFECT,4794.75,2397.38,205.8,6064.37,276
CPT,67924,REPAIR EYELID DEFECT,6820.0,3410.0,205.8,6064.37,36
CPT,67930,REPAIR EYELID WOUND,6072.0,3036.0,25.0,6064.37,37
CPT,67930,SUTURE OF RECENT WOUND OF EYELID,6186.5,3093.25,25.0,6064.37,48
CPT,67935,REPAIR EYELID WOUND,6820.0,3410.0,205.8,6064.37,37
CPT,67935,REPAIR OF WOUND OF EYELID MARGIN,6582.0,3291.0,25.0,6064.37,61
CPT,67938,REMOVAL OF EMBEDDED FOREIGN BODY IN EYELID,15770.5,7885.25,198.59,809.63,96
CPT,67938,REMOVE EYELID FOREIGN BODY,1249.0,624.5,32.03,809.63,37
CPT,67950,RECONSTRUCTION OF EYELID MARGIN,6784.0,3392.0,205.8,10028.02,349
CPT,67950,REVISION OF EYELID,6742.0,3371.0,205.8,6064.37,37
CPT,67961,REMOVAL OF UP TO 1/4 OF EYELID MARGIN AND REPAIR OF EYELID,9227.0,4613.5,1487.49,6064.37,240
CPT,67961,REVISION OF EYELID,6072.0,3036.0,205.8,6064.37,37
CPT,67966,REMOVAL OF OVER 1/4 OF EYELID MARGIN AND REPAIR OF EYELID,10289.02,5144.51,1487.49,6064.37,240
CPT,67966,REVISION OF EYELID,6072.0,3036.0,205.8,6064.37,37
CPT,67971,RECONSTRUCTION OF UP TO 2/3 OF EYELID WITH TISSUE FROM OPPOSITE EYELID,10196.0,5098.0,205.8,6064.37,109
CPT,67973,RECONSTRUCTION OF EYELID,6073.0,3036.5,205.8,6064.37,36
CPT,67973,RECONSTRUCTION OF LOWER EYELID BY TRANSFER OF EYELID TISSUE FROM OPPOSITE EYELID,8027.165,4013.585,1487.49,6064.37,48
CPT,67974,RECONSTRUCTION OF UPPER EYELID WITH TISSUE FROM OPPOSITE EYELID,7075.34,3537.67,2459.7,10028.02,24
CPT,67975,RECONSTRUCTION OF EYELID,6073.0,3036.5,77.18,6064.37,37
CPT,67975,RECONSTRUCTION OF EYELID BY TRANSFER OF EYELID TISSUE FROM OPPOSITE EYELID,6868.0,3434.0,77.18,6064.37,37
CPT,67999,OTHER PROCEDURE ON EYELID,6008.3099999999995,3004.1549999999997,198.59,1214.42,144
CPT,67999,UNLISTED PROCEDURE EYELIDS,811.0,405.5,198.59,809.63,24
CPT,68020,INCISE/DRAIN EYELID LINING,2603.0,1301.5,25.0,2542.81,37
CPT,68020,INCISION AND DRAINAGE OF CYST OF EYE,2421.0,1210.5,25.0,2542.81,37
CPT,68100,BIOPSY CONJUNCTIVA,6141.0,3070.5,77.18,6064.37,37
CPT,68100,BIOPSY OF EYELID LINING,6141.0,3070.5,1487.49,6064.37,96
CPT,68110,EXC LES CONJUNCTIVA <1 CM,6172.0,3086.0,85.05,6064.37,37
CPT,68110,REMOVAL OF GROWTH OF EYELID LINING; 1.0 CM OR LESS,4809.25,2404.63,85.05,6064.37,229
CPT,68115,EXC LES CONJUNCTIVA >1 CM,6073.0,3036.5,85.05,6064.37,37
CPT,68115,REMOVAL OF GROWTH OF EYELID LINING; MORE THAN 1.0 CM,5578.5,2789.25,1487.49,6064.37,96
CPT,68130,REMOVAL OF GROWTH OF EYELID LINING AND SCLERA,9436.67,4718.34,1487.49,6064.37,24
CPT,68135,DESTRUCTION LES CONJUNCTIVA,6073.0,3036.5,64.05,6064.37,37
CPT,68135,DESTRUCTION OF GROWTH OF EYELID LINING,3114.625,1557.315,1487.49,6064.37,48
CPT,68200,INJECTION INTO CONJUNCTIVA,2169.66,1084.83,24.71,1139.47,181
CPT,68200,TREAT EYELID BY INJECTION,1318.0,659.0,24.71,1139.47,37
CPT,68320,REPAIR OF EYELID LINING WITH GRAFT FROM EXTERNAL EYE,3135.0,1567.5,1487.49,6064.37,24
CPT,68328,RECONSTRUCTION OF CONJUNCTIVA WITH GRAFT FROM CHEEK,8705.0,4352.5,1487.49,6064.37,72
CPT,68330,RELEASE OF SCAR TISSUE FROM CONJUNCTIVA,7616.51,3808.26,205.8,5886.68,84
CPT,68330,REVISE EYELID LINING,5895.0,2947.5,205.8,5886.68,36
CPT,68335,RELEASE OF SCAR TISSUE FROM EYELIDS WITH GRAFT,6604.3099999999995,3302.1549999999997,2459.7,10028.02,48
CPT,68340,RELEASE OF SCAR TISSUE FROM EYELIDS,3553.5,1776.75,1487.49,6064.37,24
CPT,68360,PARTIAL RELOCATION OF CONJUNCTIVAL FLAP,4098.0,2049.0,2459.7,10028.02,24
CPT,68362,RELOCATION OF CONJUNCTIVAL FLAP,9152.17,4576.085,1487.49,6064.37,48
CPT,68399,OTHER PROCEDURE ON CONJUNCTIVA,3683.0,1841.5,297.88,1214.42,24
CPT,68399,UNLISTED PX CONJUNCTIVA,818.0,409.0,25.0,809.63,24
CPT,68420,I&D LACRIMAL SAC,6172.0,3086.0,77.18,6064.37,37
CPT,68420,INCISION AND DRAINAGE OF TEAR DUCT SAC,3800.12,1900.06,1487.49,6064.37,24
CPT,68440,SNIP INC LACRIMAL PUNCTUM,1106.0,553.0,36.75,809.63,37
CPT,68440,SNIP INCISION OF TEAR DUCT AT INNER CORNER OF EYE,1383.83,691.92,36.75,1214.42,133
CPT,68505,PARTIAL REMOVAL OF TEAR PRODUCING GLAND,4921.5,2460.75,2459.7,10028.02,72
CPT,68510,BIOPSY OF TEAR PRODUCING GLAND,9535.0,4767.5,1487.49,6064.37,24
CPT,68530,CLEARANCE OF TEAR DUCT,811.0,405.5,198.59,809.63,37
CPT,68700,PLASTIC REPAIR OF TEAR DUCT,6469.0,3234.5,25.0,6064.37,132
CPT,68700,REPAIR TEAR DUCTS,9709.0,4854.5,25.0,6064.37,36
CPT,68705,RELEASE OF TISSUE AT TEAR DUCT OPENING,2132.3,1066.15,198.59,1214.42,96
CPT,68705,REVISE TEAR DUCT OPENING,811.0,405.5,118.64,809.63,37
CPT,68720,CREATE TEAR SAC DRAIN,9227.0,4613.5,205.8,10028.02,36
CPT,68720,CREATION OF DRAINAGE TRACT FROM TEAR SAC TO NASAL CAVITY,10596.335,5298.17,2459.7,10028.02,96
CPT,68750,CREATE TEAR DUCT DRAIN,8828.0,4414.0,25.0,10028.02,36
CPT,68750,CREATION OF TEAR DRAINAGE TRACT TO NASAL CAVITY WITH INSERTION OF TUBE OR STENT,12933.585,6466.795,2459.7,10028.02,48
CPT,68760,CLOSE TEAR DUCT OPENING,811.0,405.5,40.43,809.63,37
CPT,68760,REPAIR TEAR DUCT OPENING BY HEAT; TYING; OR LASER SURGERY,2314.5,1157.25,297.88,1214.42,48
CPT,68761,CLOSE TEAR DUCT OPENING,1121.0,560.5,66.15,809.63,37
CPT,68761,CLOSURE OF TEAR DUCT OPENING USING PLUG,1563.0,781.5,66.15,1214.42,349
CPT,68801,DILATE TEAR DUCT OPENING,1129.0,564.5,205.8,1139.47,31
CPT,68801,DILATION OF TEAR DRAINAGE OPENING,1618.5,809.25,205.8,1139.47,55
CPT,68810,INSERTION OF PROBE INTO NASAL TEAR DUCT,1068.0,534.0,25.0,1214.42,103
CPT,68810,PROBE NASOLACRIMAL DUCT,1275.0,637.5,25.0,809.63,31
CPT,68811,INSERTION OF PROBE INTO NASAL TEAR DUCT UNDER ANESTHESIA,4588.0,2294.0,1487.49,6064.37,216
CPT,68815,PROBE NASOLACRIMAL DUCT,8811.0,4405.5,205.8,6064.37,37
CPT,68815,PROBING OF NASAL TEAR DUCT WITH INSERTION OF TUBE OR STENT,4794.75,2397.38,25.0,6064.37,314
CPT,68816,PROBING OF NASAL TEAR DUCT WITH BALLOON TUBE DILATION,8149.0,4074.5,1487.49,6064.37,96
CPT,68840,EXPLORE/IRRIGATE TEAR DUCTS,999.0,499.5,36.75,809.63,37
CPT,68840,PROBING OF NASAL TEAR DUCT,1824.33,912.165,198.59,1214.42,48
CPT,68841,INSJ RX ELUT IMPLT LAC CANAL,6171.0,3085.5,23.68,6064.37,37
CPT,68850,INJECTION FOR TEAR SAC X-RAY,291.0,145.5,28.92,117.9,37
CPT,68899,OTHER PROCEDURE ON TEAR PRODUCING DRAINAGE SYSTEM,1974.16,987.08,198.59,1214.42,120
CPT,68899,UNLISTED PX LACRIMAL SYSTEM,811.0,405.5,198.59,809.63,24
CPT,69000,SIMPLE DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF EXTERNAL EAR,2644.0,1322.0,25.0,1806.27,85
CPT,69005,DRG XTRNL EAR ABSC/HEM COMP,4219.0,2109.5,144.35,4212.81,37
CPT,69020,DRAINAGE OF ABSCESS OF EAR CANAL,2108.0,1054.0,36.75,1806.27,37
CPT,69020,DRG XTRNL AUD CANAL ABSCESS,2267.0,1133.5,25.0,1806.27,37
CPT,69090,EAR PIERCING,174.0,87.0,,,0
CPT,69090,PIERCING OF EAR,161.0,80.5,,,0
CPT,69100,BIOPSY OF EAR,843.0,421.5,43.77,604.15,157
CPT,69100,BIOPSY OF EXTERNAL EAR,776.0,388.0,43.77,604.15,37
CPT,69105,BIOPSY OF EAR CANAL,7212.0,3606.0,59.07,3957.72,85
CPT,69105,BIOPSY OF EXTERNAL EAR CANAL,4453.0,2226.5,59.07,3957.72,37
CPT,69110,PARTIAL REMOVAL OF EXTERNAL EAR WITH SIMPLE REPAIR,20680.335,10340.17,122.85,7409.19,109
CPT,69110,REMOVE EXTERNAL EAR PARTIAL,7420.0,3710.0,122.85,7409.19,37
CPT,69140,REMOVAL OF BONY GROWTHS OF EAR CANAL,11691.0,5845.5,3703.77,15099.99,24
CPT,69145,REMOVAL OF GROWTH IN SOFT TISSUE OF EAR CANAL,16023.67,8011.835,90.83,7409.19,61
CPT,69200,CLEAR OUTER EAR CANAL,433.0,216.5,31.5,339.39,37
CPT,69200,REMOVAL OF FOREIGN BODY IN EAR CANAL,618.5,309.25,25.0,339.39,181
CPT,69205,CLEAR OUTER EAR CANAL,5239.0,2619.5,93.25,4212.81,37
CPT,69205,REMOVAL OF FOREIGN BODY IN EAR CANAL UNDER ANESTHESIA,3993.835,1996.92,25.0,4212.81,133
CPT,69209,REMOVAL OF IMPACTED EAR WAX BY WASHING,1096.665,548.335,10.08,209.72,301
CPT,69209,REMOVE IMPACTED EAR WAX UNI,278.0,139.0,10.08,209.72,37
CPT,69210,REMOVAL OF IMPACTED EAR WAX,1466.705,733.355,18.45,209.72,506
CPT,69210,REMOVE IMPACTED EAR WAX UNI,284.0,142.0,21.0,209.72,37
CPT,69220,CLEAN OUT MASTOID CAVITY,687.0,343.5,51.71,511.77,37
CPT,69220,SIMPLE REMOVAL OF SKIN DEBRIS AND DRAINAGE OF MASTOID CAVITY,958.5,479.25,25.0,511.77,109
CPT,69222,CLEAN OUT MASTOID CAVITY,1378.0,689.0,97.13,1375.69,37
CPT,69222,COMPLEX REMOVAL OF SKIN DEBRIS AND DRAINAGE OF MASTOID CAVITY,14455.0,7227.5,337.43,2063.55,72
CPT,69310,RECONSTRUCTION OF EAR CANAL,15955.5,7977.75,3703.77,15099.99,120
CPT,69399,OTHER PROCEDURE ON EXTERNAL EAR,5949.5,2974.75,148.19,604.15,96
CPT,69399,UNLISTED PX EXTERNAL EAR,613.0,306.5,148.19,604.15,24
CPT,69420,INCISION OF EARDRUM,605.0,302.5,78.23,604.15,37
CPT,69420,INCISION; ASPIRATION; AND/OR INFLATION OF EARDRUM,2004.165,1002.085,78.23,604.15,85
CPT,69421,INCISION OF EARDRUM,8468.0,4234.0,205.8,8456.92,36
CPT,69421,INCISION; ASPIRATION; AND INFLATION OF EARDRUM UNDER ANESTHESIA,3902.165,1951.085,2074.34,8456.92,96
CPT,69424,REMOVAL OF IMPLANTED EARDRUM TUBE UNDER ANESTHESIA,2807.25,1403.63,2074.34,8456.92,120
CPT,69433,CREATE EARDRUM OPENING,1985.0,992.5,79.28,1375.69,37
CPT,69433,INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA,2409.0,1204.5,79.28,2063.55,109
CPT,69436,CREATE EARDRUM OPENING,6314.0,3157.0,103.43,3957.72,37
CPT,69436,INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA,3472.0,1736.0,103.43,3957.72,301
CPT,69440,EXPLORATION OF MIDDLE EAR,20993.0,10496.5,2074.34,8456.92,48
CPT,69450,INCISION OF EAR CANAL WITH RELEASE OF SCAR TISSUE,24908.165,12454.085,205.8,8456.92,60
CPT,69501,INCISION OF MASTOID BONE,35693.51,17846.76,3703.77,15099.99,24
CPT,69540,EXCISION AURAL POLYP,3963.0,1981.5,77.18,3957.72,37
CPT,69540,REMOVAL OF POLYP OF OUTER EAR,3956.0,1978.0,970.76,3957.72,24
CPT,69550,REMOVAL OF GROWTH OF OUTER EAR THROUGH EAR CANAL,53100.0,26550.0,3703.77,15099.99,24
CPT,69602,REVISION OF PREVIOUS MASTOID BONE SURGERY,46794.67,23397.34,205.8,15099.99,36
CPT,69610,REPAIR OF EARDRUM,6172.0,3086.0,970.76,3957.72,96
CPT,69610,TYMPANIC MEMBRANE REPAIR,4510.0,2255.0,87.15,3957.72,37
CPT,69620,MYRINGOPLASTY,8743.0,4371.5,205.8,8456.92,36
CPT,69620,REPAIR OF DEFECT OR TEAR OF EARDRUM,8512.0,4256.0,2074.34,8456.92,48
CPT,69631,REPAIR EARDRUM STRUCTURES,15121.0,7560.5,205.8,15099.99,36
CPT,69631,REPAIR OF EARDRUM AND EAR CANAL WITH OPENING TO EAR BONES,20207.0,10103.5,205.8,15099.99,156
CPT,69632,REPAIR OF EARDRUM; EAR CANAL; AND BONES,23063.0,11531.5,3703.77,15099.99,48
CPT,69633,REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH INSERTION OF PROSTHESIS,43252.0,21626.0,3703.77,15099.99,24
CPT,69636,REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH INCISION OF MIDDLE EAR BONE,50674.0,25337.0,3703.77,15099.99,24
CPT,69641,COMPLEX REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MASTOID BONE,75226.0,37613.0,3703.77,15099.99,48
CPT,69642,REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH REMOVAL OF MIDDLE EAR BONE,52855.34,26427.67,205.8,15099.99,84
CPT,69643,REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,100339.0,50169.5,205.8,15099.99,84
CPT,69644,REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH REMOVAL OF MASTOID BONE; WITH INTACT CANAL WALL,76651.0,38325.5,205.8,15099.99,84
CPT,69645,EXTENSIVE REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,89317.5,44658.75,3703.77,15099.99,48
CPT,69646,EXTENSIVE REPAIR AND RECONSTRUCTION OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,54857.25,27428.625,3703.77,15099.99,48
CPT,69660,INCISION OR REMOVAL OF MIDDLE EAR BONE,42928.5,21464.25,3703.77,15099.99,48
CPT,69661,INCISION OR REMOVAL OF EAR BONE WITH DRILLING,40763.5,20381.75,3703.77,15099.99,48
CPT,69666,REPAIR OF OPENING OF MIDDLE TO INNER EAR,9253.0,4626.5,2074.34,8456.92,24
CPT,69705,DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON ONE SIDE OF BODY; USING ENDOSCOPE INSERTED THROUGH NOSE,4524.21,2262.11,131.76,15099.99,103
CPT,69706,DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON BOTH SIDES OF BODY; USING ENDOSCOPE INSERTED THROUGH NOSE,5987.625,2993.815,184.53,15099.99,103
CPT,69714,IMPL OI IMPLT SKULL PERQ ESP,16885.0,8442.5,205.8,32748.28,36
CPT,69714,IMPLANTATION OF COCHLEAR STIMULATING SYSTEM INTO SKULL WITH ATTACHMENT THROUGH SKIN TO EXTERNAL SPEECH PROCESSOR,19076.0,9538.0,205.8,32748.28,84
CPT,69716,IMPLANTATION OF COCHLEAR STIMULATING SYSTEM INTO SKULL WITH MAGNETIC ATTACHMENT TO EXTERNAL SPEECH PROCESSOR,40132.0,20066.0,8032.6,32748.28,48
CPT,69727,RMV NTR OI IMP SK TC ESP<100,8721.0,4360.5,205.8,8346.04,36
CPT,69799,OTHER PROCEDURE ON MIDDLE EAR,5143.625,2571.815,148.19,604.15,48
CPT,69799,UNLISTED PX MIDDLE EAR,605.0,302.5,148.19,604.15,24
CPT,69801,INCISE INNER EAR,3963.0,1981.5,205.8,3957.72,31
CPT,69801,INCISION OF FLUID CANAL OF INNER EAR WITH INFUSION OF DRUGS,5386.0,2693.0,205.8,3957.72,79
CPT,69930,INSERTION OF COCHLEAR DEVICE,50331.0,25165.5,205.8,84103.63,108
CPT,69949,OTHER PROCEDURE ON INNER EAR,16696.0,8348.0,148.19,604.15,48
CPT,69990,USE OF OPERATING MICROSCOPE,22922.665,11461.335,138.42,564.34,55
CPT,70030,X-RAY EYE FOR FOREIGN BODY,462.0,231.0,6.44,221.99,37
CPT,70030,X-RAY OF EYE FOR DETECTION OF FOREIGN BODY,858.0,429.0,54.45,221.99,192
CPT,70110,X-RAY EXAM OF JAW 4/> VIEWS,477.0,238.5,9.01,266.67,37
CPT,70110,X-RAY OF LOWER JAW; MINIMUM OF 4 VIEWS,355.0,177.5,65.41,266.67,48
CPT,70120,X-RAY EXAM OF MASTOIDS,469.0,234.5,6.44,266.67,37
CPT,70130,X-RAY EXAM OF MASTOIDS,382.0,191.0,12.35,266.67,37
CPT,70134,X-RAY EXAM OF MIDDLE EAR,642.0,321.0,12.61,1393.77,37
CPT,70150,X-RAY EXAM OF FACIAL BONES,429.0,214.5,9.26,266.67,37
CPT,70150,X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS,355.0,177.5,65.41,266.67,48
CPT,70160,X-RAY EXAM OF NASAL BONES,382.0,191.0,6.17,221.99,37
CPT,70160,X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS,355.0,177.5,54.45,221.99,24
CPT,70170,X-RAY EXAM OF TEAR DUCT,1092.0,546.0,10.55,608.63,37
CPT,70190,X-RAY EXAM OF EYE SOCKETS,469.0,234.5,7.98,221.99,37
CPT,70200,X-RAY EXAM OF EYE SOCKETS,459.0,229.5,9.78,266.67,37
CPT,70200,X-RAY OF EYE SOCKET; MINIMUM OF 4 VIEWS,355.0,177.5,65.41,266.67,24
CPT,70210,X-RAY EXAM OF SINUSES,382.0,191.0,6.17,221.99,37
CPT,70210,X-RAY OF PARANASAL SINUS; 1-2 VIEWS,355.0,177.5,54.45,221.99,48
CPT,70220,X-RAY EXAM OF SINUSES,389.0,194.5,7.72,221.99,37
CPT,70220,X-RAY OF PARANASAL SINUS; MINIMUM OF 3 VIEWS,355.0,177.5,54.45,221.99,48
CPT,70240,X-RAY EXAM PITUITARY SADDLE,382.0,191.0,6.69,221.99,37
CPT,70250,X-RAY EXAM OF SKULL,392.0,196.0,6.44,266.67,37
CPT,70250,X-RAY OF SKULL; 1-3 VIEWS,710.0,355.0,6.44,266.67,133
CPT,70260,X-RAY EXAM OF SKULL,642.0,321.0,9.78,266.67,37
CPT,70260,X-RAY OF SKULL; MINIMUM OF 4 VIEWS,597.0,298.5,65.41,266.67,48
CPT,70330,X-RAY EXAM OF JAW JOINTS,382.0,191.0,8.49,221.99,37
CPT,70330,X-RAY OF JAW JOINTS ON BOTH SIDES OF MOUTH,355.0,177.5,54.45,221.99,48
CPT,70336,MAGNETIC IMAGE JAW JOINT,1890.0,945.0,51.99,608.63,37
CPT,70336,MRI SCAN OF JAW JOINT,1758.0,879.0,51.99,608.63,85
CPT,70355,PANORAMIC X-RAY OF JAWS,258.0,129.0,7.47,221.99,37
CPT,70355,X-RAY OF LOWER JAWS; UPPER JAWS AND TEETH,240.0,120.0,7.47,221.99,61
CPT,70360,X-RAY EXAM OF NECK,462.0,231.0,6.44,221.99,37
CPT,70360,X-RAY OF SOFT TISSUE OF NECK,429.0,214.5,54.45,221.99,48
CPT,70370,THROAT X-RAY & FLUOROSCOPY,1115.0,557.5,11.32,221.99,37
CPT,70371,SPEECH EVALUATION COMPLEX,943.0,471.5,31.14,608.63,37
CPT,70390,X-RAY EXAM OF SALIVARY DUCT,2352.0,1176.0,13.64,608.63,37
CPT,70450,CT HEAD/BRAIN W/O DYE,2113.0,1056.5,30.11,266.67,37
CPT,70450,CT SCAN HEAD OR BRAIN WITHOUT CONTRAST,1965.0,982.5,30.11,266.67,277
CPT,70460,CT HEAD/BRAIN W/DYE,3267.0,1633.5,39.89,447.4,37
CPT,70460,CT SCAN HEAD OR BRAIN WITH CONTRAST,3039.0,1519.5,39.89,447.4,85
CPT,70470,CT HEAD/BRAIN W/O & W/DYE,3403.0,1701.5,45.03,447.4,37
CPT,70470,CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST,3165.0,1582.5,45.03,447.4,85
CPT,70473,CT CERE PRFU ALY C+WO CT/CTA,3507.0,1753.5,109.74,447.4,24
CPT,70480,CT ORBIT/EAR/FOSSA W/O DYE,2113.0,1056.5,45.55,266.67,37
CPT,70480,CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST,1965.0,982.5,45.55,266.67,133
CPT,70481,CT ORBIT/EAR/FOSSA W/DYE,3267.0,1633.5,39.89,447.4,37
CPT,70481,CT SCAN OF CRANIAL CAVITY WITH CONTRAST,3039.0,1519.5,39.89,447.4,109
CPT,70482,CT ORBIT/EAR/FOSSA W/O&W/DYE,3643.0,1821.5,44.78,447.4,37
CPT,70482,CT SCAN OF CRANIAL CAVITY BEFORE AND AFTER CONTRAST,3388.0,1694.0,44.78,447.4,61
CPT,70486,CT MAXILLOFACIAL W/O DYE,2113.0,1056.5,30.37,266.67,37
CPT,70486,CT SCAN OF FACE WITHOUT CONTRAST,1965.0,982.5,30.37,266.67,109
CPT,70487,CT MAXILLOFACIAL W/DYE,3267.0,1633.5,39.89,447.4,37
CPT,70487,CT SCAN OF FACE WITH CONTRAST,3039.0,1519.5,39.89,447.4,109
CPT,70488,CT MAXILLOFACIAL W/O & W/DYE,3292.0,1646.0,44.78,447.4,37
CPT,70488,CT SCAN OF FACE BEFORE AND AFTER CONTRAST,3388.0,1694.0,44.78,447.4,61
CPT,70490,CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST,1965.0,982.5,45.55,266.67,109
CPT,70490,CT SOFT TISSUE NECK W/O DYE,2113.0,1056.5,45.55,266.67,37
CPT,70491,CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST,3039.0,1519.5,48.64,447.4,181
CPT,70491,CT SOFT TISSUE NECK W/DYE,3267.0,1633.5,48.64,447.4,37
CPT,70492,CT SCAN OF SOFT TISSUE OF NECK BEFORE AND AFTER CONTRAST,3388.0,1694.0,56.88,447.4,85
CPT,70492,CT SFT TSUE NCK W/O & W/DYE,3643.0,1821.5,56.88,447.4,37
CPT,70496,CT ANGIOGRAPHY HEAD,3689.0,1844.5,60.22,447.4,37
CPT,70496,CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST,3431.0,1715.5,60.22,447.4,133
CPT,70498,CT ANGIOGRAPHY NECK,3689.0,1844.5,60.22,447.4,37
CPT,70498,CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST,3431.0,1715.5,60.22,447.4,109
CPT,70540,MRI ORBIT/FACE/NECK W/O DYE,2053.0,1026.5,47.36,608.63,37
CPT,70540,MRI SCAN OF BONE OF EYE SOCKET; FACE; AND/OR NECK WITHOUT CONTRAST,1700.0,850.0,47.36,608.63,85
CPT,70542,MRI ORBIT/FACE/NECK W/DYE,2949.0,1474.5,57.13,889.9,37
CPT,70543,MRI ORBT/FAC/NCK W/O &W/DYE,3879.0,1939.5,76.43,889.9,37
CPT,70543,MRI SCAN OF BONE OF EYE SOCKET; FACE; AND/OR NECK BEFORE AND AFTER CONTRAST,3608.0,1804.0,76.43,889.9,109
CPT,70544,MR ANGIOGRAPHY HEAD W/O DYE,1834.0,917.0,42.21,608.63,37
CPT,70544,MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST,1706.0,853.0,42.21,608.63,157
CPT,70545,MR ANGIOGRAPHY HEAD W/DYE,3142.0,1571.0,42.21,889.9,37
CPT,70546,MR ANGIOGRAPH HEAD W/O&W/DYE,4933.0,2466.5,52.25,889.9,37
CPT,70546,MRI SCAN OF BLOOD VESSELS OF HEAD BEFORE AND AFTER CONTRAST,4588.0,2294.0,52.25,889.9,157
CPT,70547,MR ANGIOGRAPHY NECK W/O DYE,3184.0,1592.0,42.46,608.63,37
CPT,70547,MRI SCAN OF BLOOD VESSELS OF NECK WITHOUT CONTRAST,2961.0,1480.5,42.46,608.63,85
CPT,70548,MR ANGIOGRAPHY NECK W/DYE,3397.0,1698.5,53.01,889.9,37
CPT,70549,MR ANGIOGRAPH NECK W/O&W/DYE,3588.0,1794.0,63.57,889.9,37
CPT,70549,MRI SCAN OF BLOOD VESSELS OF NECK BEFORE AND AFTER CONTRAST,3337.0,1668.5,63.57,889.9,85
CPT,70551,MRI BRAIN STEM W/O DYE,2881.0,1440.5,52.25,608.63,37
CPT,70551,MRI SCAN OF BRAIN WITHOUT CONTRAST,2680.0,1340.0,52.25,608.63,181
CPT,70552,MRI BRAIN STEM W/DYE,3175.0,1587.5,63.05,889.9,37
CPT,70552,MRI SCAN OF BRAIN WITH CONTRAST,2953.0,1476.5,63.05,889.9,61
CPT,70553,MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST,3786.0,1893.0,81.59,889.9,133
CPT,70554,FMRI BRAIN BY TECH,1619.0,809.5,75.66,608.63,31
CPT,70555,FMRI BRAIN BY PHYS/PSYCH,3206.0,1603.0,88.79,608.63,31
CPT,71045,X-RAY EXAM CHEST 1 VIEW,317.0,158.5,6.44,221.99,37
CPT,71045,X-RAY OF CHEST; 1 VIEW,317.0,158.5,6.44,221.99,277
CPT,71046,X-RAY EXAM CHEST 2 VIEWS,317.0,158.5,7.72,221.99,37
CPT,71046,X-RAY OF CHEST; 2 VIEWS,305.5,152.75,7.72,221.99,181
CPT,71047,X-RAY EXAM CHEST 3 VIEWS,322.0,161.0,9.52,221.99,37
CPT,71048,X-RAY EXAM CHEST 4+ VIEWS,348.0,174.0,10.8,266.67,37
CPT,71100,X-RAY EXAM RIBS UNI 2 VIEWS,382.0,191.0,7.98,221.99,37
CPT,71100,X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS,368.5,184.25,54.45,221.99,72
CPT,71101,X-RAY EXAM UNILAT RIBS/CHEST,452.0,226.0,9.52,266.67,37
CPT,71101,X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS,355.0,177.5,65.41,266.67,144
CPT,71110,X-RAY EXAM RIBS BIL 3 VIEWS,455.0,227.5,10.04,266.67,37
CPT,71110,X-RAY OF RIBS ON BOTH SIDES OF BODY; 3 VIEWS,355.0,177.5,65.41,266.67,24
CPT,71111,X-RAY EXAM RIBS/CHEST4/> VWS,642.0,321.0,11.58,266.67,37
CPT,71111,X-RAY OF RIBS ON BOTH SIDES OF BODY; MINIMUM OF 4 VIEWS,597.0,298.5,65.41,266.67,48
CPT,71120,X-RAY EXAM BREASTBONE 2/>VWS,382.0,191.0,6.95,221.99,37
CPT,71120,X-RAY OF CHEST BONE; MINIMUM OF 2 VIEWS,368.5,184.25,54.45,221.99,48
CPT,71130,X-RAY OF JOINT BETWEEN BREAST AND COLLAR BONES; MINIMUM OF 2 VIEWS,355.0,177.5,54.45,221.99,24
CPT,71130,X-RAY STRENOCLAVIC JT 3/>VWS,382.0,191.0,7.72,221.99,37
CPT,71250,CT SCAN OF CHEST WITHOUT CONTRAST,2039.0,1019.5,38.35,266.67,277
CPT,71250,CT THORAX DX C-,2113.0,1056.5,38.35,266.67,37
CPT,71260,CT SCAN OF CHEST WITH CONTRAST,3153.0,1576.5,41.18,447.4,421
CPT,71260,CT THORAX DX C+,3267.0,1633.5,41.18,447.4,37
CPT,71270,CT SCAN OF CHEST BEFORE AND AFTER CONTRAST,3388.0,1694.0,44.27,447.4,85
CPT,71270,CT THORAX DX C-/C+,3643.0,1821.5,44.27,447.4,37
CPT,71271,LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING,240.0,120.0,38.35,266.67,181
CPT,71275,CT ANGIOGRAPHY CHEST,3689.0,1844.5,63.05,447.4,37
CPT,71275,CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST,3431.0,1715.5,63.05,447.4,181
CPT,71550,MRI CHEST W/O DYE,3292.0,1646.0,50.44,608.63,37
CPT,71550,MRI SCAN OF CHEST WITHOUT CONTRAST,3062.0,1531.0,50.44,608.63,85
CPT,71551,MRI CHEST W/DYE,2553.0,1276.5,60.99,1999.58,37
CPT,71552,MRI CHEST W/O & W/DYE,4675.0,2337.5,78.24,889.9,37
CPT,71552,MRI SCAN OF CHEST BEFORE AND AFTER CONTRAST,4348.0,2174.0,78.24,889.9,61
CPT,71555,MRI SCAN OF BLOOD VESSELS OF CHEST,1758.0,879.0,52.7,408.0,61
CPT,72020,X-RAY EXAM OF SPINE 1 VIEW,382.0,191.0,5.66,221.99,37
CPT,72020,X-RAY OF SPINE; 1 VIEW,368.5,184.25,54.45,221.99,96
CPT,72040,X-RAY EXAM NECK SPINE 2-3 VW,353.0,176.5,7.98,221.99,37
CPT,72040,X-RAY OF UPPER SPINE; 2-3 VIEWS,353.0,176.5,7.98,221.99,157
CPT,72050,X-RAY EXAM NECK SPINE 4/5VWS,551.0,275.5,9.52,266.67,37
CPT,72050,X-RAY OF UPPER SPINE; 4-5 VIEWS,531.5,265.75,9.52,266.67,109
CPT,72052,X-RAY EXAM NECK SPINE 6/>VWS,642.0,321.0,10.8,266.67,37
CPT,72052,X-RAY OF UPPER SPINE; 6 OR MORE VIEWS,597.0,298.5,10.8,266.67,85
CPT,72070,X-RAY EXAM THORAC SPINE 2VWS,429.0,214.5,7.2,266.67,37
CPT,72070,X-RAY OF MIDDLE SPINE; 2 VIEWS,392.0,196.0,65.41,266.67,72
CPT,72072,X-RAY EXAM THORAC SPINE 3VWS,382.0,191.0,7.98,266.67,37
CPT,72072,X-RAY OF MIDDLE SPINE; 3 VIEWS,368.5,184.25,7.98,266.67,109
CPT,72074,X-RAY EXAM THORAC SPINE4/>VW,661.0,330.5,8.75,266.67,37
CPT,72074,X-RAY OF MIDDLE SPINE; MINIMUM OF 4 VIEWS,614.0,307.0,65.41,266.67,48
CPT,72080,X-RAY EXAM THORACOLMB 2/> VW,438.0,219.0,7.47,221.99,37
CPT,72080,X-RAY OF MIDDLE AND LOWER SPINE; 2 VIEWS,355.0,177.5,7.47,221.99,157
CPT,72081,X-RAY EXAM ENTIRE SPI 1 VW,382.0,191.0,9.26,221.99,37
CPT,72081,X-RAY OF ENTIRE MIDDLE AND LOWER SPINE; 1 VIEW,368.5,184.25,9.26,221.99,133
CPT,72082,X-RAY EXAM ENTIRE SPI 2/3 VW,402.0,201.0,11.32,266.67,37
CPT,72082,X-RAY OF ENTIRE MIDDLE AND LOWER SPINE; 2-3 VIEWS,374.0,187.0,11.32,266.67,85
CPT,72083,X-RAY EXAM ENTIRE SPI 4/5 VW,424.0,212.0,12.61,266.67,37
CPT,72083,X-RAY OF ENTIRE MIDDLE AND LOWER SPINE; 4-5 VIEWS,394.0,197.0,12.61,266.67,109
CPT,72084,X-RAY EXAM ENTIRE SPI 6/> VW,443.0,221.5,15.18,266.67,37
CPT,72084,X-RAY OF ENTIRE MIDDLE AND LOWER SPINE; MINIMUM OF 6 VIEWS,412.0,206.0,15.18,266.67,109
CPT,72100,X-RAY EXAM L-S SPINE 2/3 VWS,421.0,210.5,7.98,266.67,37
CPT,72100,X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS,388.0,194.0,7.98,266.67,133
CPT,72110,X-RAY EXAM L-2 SPINE 4/>VWS,592.0,296.0,9.26,266.67,37
CPT,72110,X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS,550.0,275.0,9.26,266.67,109
CPT,72114,X-RAY EXAM L-S SPINE BENDING,755.0,377.5,11.07,266.67,37
CPT,72114,X-RAY LOWER AND SACRAL SPINE; MINIMUM OF 6 VIEWS,702.0,351.0,65.41,266.67,48
CPT,72120,X-RAY BEND ONLY L-S SPINE,601.0,300.5,7.98,266.67,37
CPT,72120,X-RAY LOWER AND SACRAL SPINE; 2-3 VIEWS BENDING VIEWS,559.0,279.5,65.41,266.67,24
CPT,72125,CT NECK SPINE W/O DYE,2113.0,1056.5,35.0,266.67,37
CPT,72125,CT SCAN OF UPPER SPINE WITHOUT CONTRAST,1965.0,982.5,35.0,266.67,133
CPT,72126,CT NECK SPINE W/DYE,3267.0,1633.5,42.98,889.9,37
CPT,72126,CT SCAN OF UPPER SPINE WITH CONTRAST,3039.0,1519.5,42.98,889.9,61
CPT,72127,CT NECK SPINE W/O & W/DYE,2207.0,1103.5,44.78,447.4,37
CPT,72127,CT SCAN OF UPPER SPINE BEFORE AND AFTER CONTRAST,3388.0,1694.0,109.74,447.4,24
CPT,72128,CT CHEST SPINE W/O DYE,2113.0,1056.5,35.0,266.67,37
CPT,72128,CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST,1965.0,982.5,35.0,266.67,85
CPT,72129,CT CHEST SPINE W/DYE,3267.0,1633.5,43.24,447.4,37
CPT,72129,CT SCAN OF MIDDLE SPINE WITH CONTRAST,3039.0,1519.5,43.24,447.4,61
CPT,72130,CT CHEST SPINE W/O & W/DYE,2081.0,1040.5,45.03,447.4,37
CPT,72131,CT LUMBAR SPINE W/O DYE,2113.0,1056.5,35.0,266.67,37
CPT,72131,CT SCAN OF LOWER SPINE WITHOUT CONTRAST,1965.0,982.5,35.0,266.67,85
CPT,72132,CT LUMBAR SPINE W/DYE,3267.0,1633.5,42.98,889.9,37
CPT,72132,CT SCAN OF LOWER SPINE WITH CONTRAST,3039.0,1519.5,42.98,889.9,61
CPT,72133,CT LUMBAR SPINE W/O & W/DYE,2085.0,1042.5,44.78,447.4,37
CPT,72141,MRI NECK SPINE W/O DYE,1773.0,886.5,52.5,608.63,74
CPT,72141,MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST,1726.0,863.0,52.5,608.63,109
CPT,72142,MRI NECK SPINE W/DYE,3729.0,1864.5,63.82,889.9,37
CPT,72146,MRI CHEST SPINE W/O DYE,2099.0,1049.5,52.5,608.63,37
CPT,72146,MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST,1952.0,976.0,52.5,608.63,85
CPT,72147,MRI CHEST SPINE W/DYE,2266.0,1133.0,63.05,889.9,37
CPT,72148,MRI LUMBAR SPINE W/O DYE,2099.0,1049.5,52.5,608.63,37
CPT,72148,MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST,1952.0,976.0,52.5,608.63,109
CPT,72149,MRI LUMBAR SPINE W/DYE,3196.0,1598.0,63.57,889.9,37
CPT,72149,MRI SCAN OF LOWER SPINAL CANAL WITH CONTRAST,2973.0,1486.5,63.57,889.9,61
CPT,72156,MRI NECK SPINE W/O & W/DYE,4112.0,2056.0,81.84,889.9,37
CPT,72156,MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST,3825.0,1912.5,81.84,889.9,85
CPT,72157,MRI CHEST SPINE W/O & W/DYE,4192.0,2096.0,81.84,889.9,37
CPT,72157,MRI SCAN OF MIDDLE SPINAL CANAL BEFORE AND AFTER CONTRAST,3899.0,1949.5,81.84,889.9,109
CPT,72158,MRI LUMBAR SPINE W/O & W/DYE,4192.0,2096.0,81.84,889.9,37
CPT,72158,MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST,3899.0,1949.5,81.84,889.9,85
CPT,72159,MR ANGIO SPINE W/O&W/DYE,3245.0,1622.5,52.7,452.76,37
CPT,72159,MRI SCAN OF BLOOD VESSELS OF SPINAL CANAL,3018.0,1509.0,63.57,452.76,30
CPT,72170,X-RAY EXAM OF PELVIS,382.0,191.0,6.17,266.67,37
CPT,72170,X-RAY OF PELVIS; 1-2 VIEWS,532.5,266.25,6.17,266.67,181
CPT,72190,X-RAY EXAM OF PELVIS,444.0,222.0,9.01,266.67,37
CPT,72190,X-RAY OF PELVIS; MINIMUM OF 3 VIEWS,355.0,177.5,65.41,266.67,120
CPT,72191,CT ANGIOGRAPH PELV W/O&W/DYE,3689.0,1844.5,62.02,447.4,37
CPT,72191,CT SCAN OF BLOOD VESSELS OF PELVIS WITH CONTRAST,3431.0,1715.5,62.02,447.4,61
CPT,72192,CT PELVIS W/O DYE,2113.0,1056.5,38.61,266.67,37
CPT,72192,CT SCAN OF PELVIS WITHOUT CONTRAST,2039.0,1019.5,38.61,266.67,205
CPT,72193,CT SCAN OF PELVIS WITH CONTRAST,3039.0,1519.5,40.92,447.4,133
CPT,72194,CT PELVIS W/O & W/DYE,2000.0,1000.0,41.7,447.4,37
CPT,72194,CT SCAN OF PELVIS BEFORE AND AFTER CONTRAST,3388.0,1694.0,41.7,447.4,37
CPT,72195,MRI PELVIS W/O DYE,2917.0,1458.5,51.73,608.63,37
CPT,72195,MRI SCAN OF PELVIS WITHOUT CONTRAST,2713.0,1356.5,51.73,608.63,85
CPT,72196,MRI PELVIS W/DYE,2167.0,1083.5,60.99,889.9,37
CPT,72196,MRI SCAN OF PELVIS WITH CONTRAST,2980.0,1490.0,60.99,889.9,37
CPT,72197,MRI PELVIS W/O & W/DYE,4018.0,2009.0,78.24,889.9,37
CPT,72197,MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST,3737.0,1868.5,78.24,889.9,85
CPT,72198,MRI SCAN OF BLOOD VESSELS OF PELVIS,2876.0,1438.0,80.5,127.19,17
CPT,72202,X-RAY EXAM SI JOINTS 3/> VWS,425.0,212.5,7.98,266.67,37
CPT,72202,X-RAY OF JOINT BETWEEN LOWER SPINE AND HIP BONE; 3 OR MORE VIEWS,355.0,177.5,65.41,266.67,48
CPT,72220,X-RAY EXAM SACRUM TAILBONE,363.0,181.5,6.17,221.99,37
CPT,72220,X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS,345.5,172.75,6.17,221.99,109
CPT,72240,MYELOGRAPHY NECK SPINE,5171.0,2585.5,32.42,1999.58,37
CPT,72255,MYELOGRAPHY THORACIC SPINE,5171.0,2585.5,31.91,1999.58,37
CPT,72265,MYELOGRAPHY L-S SPINE,5171.0,2585.5,29.85,1999.58,37
CPT,72270,MYELOGPHY 2/> SPINE REGIONS,5171.0,2585.5,40.95,1999.58,37
CPT,72285,DISCOGRAPHY CERV/THOR SPINE,4279.0,2139.5,37.8,4980.91,37
CPT,72295,X-RAY OF LOWER SPINE DISK,1426.0,713.0,29.6,4980.91,37
CPT,73000,X-RAY EXAM OF COLLAR BONE,382.0,191.0,5.92,221.99,37
CPT,73000,X-RAY OF COLLAR BONE,710.0,355.0,54.45,221.99,192
CPT,73010,X-RAY EXAM OF SHOULDER BLADE,436.0,218.0,6.44,266.67,37
CPT,73010,X-RAY OF SHOULDER BLADE,613.5,306.75,65.41,266.67,144
CPT,73020,X-RAY EXAM OF SHOULDER,382.0,191.0,5.41,221.99,37
CPT,73020,X-RAY OF SHOULDER; 1 VIEW,559.5,279.75,54.45,221.99,168
CPT,73030,X-RAY EXAM OF SHOULDER,400.0,200.0,6.69,221.99,37
CPT,73030,X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS,710.0,355.0,54.45,221.99,216
CPT,73040,CONTRAST X-RAY OF SHOULDER,1004.0,502.0,17.33,889.9,37
CPT,73050,X-RAY EXAM OF SHOULDERS,447.0,223.5,6.69,221.99,37
CPT,73050,X-RAY OF BOTH COLLAR BONES JOINTS,355.0,177.5,54.45,221.99,24
CPT,73060,X-RAY EXAM OF HUMERUS,384.0,192.0,5.66,221.99,37
CPT,73060,X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS,547.0,273.5,27.22,221.99,240
CPT,73070,X-RAY EXAM OF ELBOW,382.0,191.0,5.92,221.99,37
CPT,73070,X-RAY OF ELBOW; 2 VIEWS,559.5,279.75,27.22,221.99,216
CPT,73080,X-RAY EXAM OF ELBOW,382.0,191.0,6.17,221.99,37
CPT,73080,X-RAY OF ELBOW; MINIMUM OF 3 VIEWS,382.0,191.0,54.45,221.99,168
CPT,73090,X-RAY EXAM OF FOREARM,384.0,192.0,5.66,221.99,37
CPT,73090,X-RAY OF FOREARM; 2 VIEWS,384.0,192.0,27.22,221.99,312
CPT,73092,X-RAY EXAM OF ARM INFANT,588.5,294.25,5.66,266.67,74
CPT,73092,X-RAY OF INFANT ARM; MINIMUM OF 2 VIEWS,436.0,218.0,65.41,266.67,24
CPT,73100,X-RAY EXAM OF WRIST,382.0,191.0,5.92,221.99,37
CPT,73100,X-RAY OF WRIST; 2 VIEWS,382.0,191.0,27.22,221.99,240
CPT,73110,X-RAY EXAM OF WRIST,382.0,191.0,6.17,221.99,37
CPT,73110,X-RAY OF WRIST; MINIMUM OF 3 VIEWS,532.5,266.25,54.45,221.99,216
CPT,73115,CONTRAST X-RAY OF WRIST,1086.0,543.0,20.33,889.9,37
CPT,73120,X-RAY EXAM OF HAND,432.0,216.0,5.92,266.67,37
CPT,73120,X-RAY OF HAND; 2 VIEWS,710.0,355.0,32.7,266.67,264
CPT,73130,X-RAY EXAM OF HAND,382.0,191.0,6.17,221.99,37
CPT,73130,X-RAY OF HAND; MINIMUM OF 3 VIEWS,546.0,273.0,54.45,221.99,264
CPT,73140,X-RAY EXAM OF FINGER(S),382.0,191.0,4.89,221.99,37
CPT,73140,X-RAY OF FINGER; MINIMUM OF 2 VIEWS,382.0,191.0,27.22,221.99,384
CPT,73200,CT SCAN OF ARM WITHOUT CONTRAST,2113.0,1056.5,65.41,564.42,144
CPT,73200,CT UPPER EXTREMITY W/O DYE,2113.0,1056.5,33.97,266.67,37
CPT,73201,CT SCAN OF ARM WITH CONTRAST,3153.0,1576.5,40.92,889.9,181
CPT,73201,CT UPPER EXTREMITY W/DYE,3267.0,1633.5,40.92,889.9,37
CPT,73202,CT UPPR EXTREMITY W/O&W/DYE,3643.0,1821.5,41.43,447.4,37
CPT,73206,CT ANGIO UPR EXTRM W/O&W/DYE,3689.0,1844.5,61.76,447.4,37
CPT,73206,CT SCAN OF BLOOD VESSELS OF ARM WITH CONTRAST,3560.0,1780.0,109.74,447.4,72
CPT,73218,MRI SCAN OF ARM WITHOUT CONTRAST,1714.0,857.0,47.87,608.63,181
CPT,73218,MRI UPPER EXTREMITY W/O DYE,1512.0,756.0,47.87,608.63,74
CPT,73219,MRI UPPER EXTREMITY W/DYE,2467.0,1233.5,57.13,889.9,37
CPT,73220,MRI SCAN OF ARM BEFORE AND AFTER CONTRAST,3882.5,1941.25,76.69,889.9,205
CPT,73220,MRI UPPR EXTREMITY W/O&W/DYE,4023.0,2011.5,76.69,889.9,37
CPT,73221,MRI JOINT UPR EXTREM W/O DYE,1862.0,931.0,47.87,608.63,37
CPT,73221,MRI SCAN OF ARM JOINT WITHOUT CONTRAST,2728.0,1364.0,47.87,1342.83,253
CPT,73222,MRI JOINT UPR EXTREM W/DYE,4176.0,2088.0,57.39,1999.58,37
CPT,73222,MRI SCAN OF ARM JOINT WITH CONTRAST,2742.0,1371.0,490.46,1999.58,144
CPT,73223,MRI JOINT UPR EXTR W/O&W/DYE,4082.0,2041.0,76.69,889.9,37
CPT,73223,MRI SCAN OF ARM JOINT BEFORE AND AFTER CONTRAST,3797.0,1898.5,218.28,889.9,96
CPT,73501,X-RAY EXAM HIP UNI 1 VIEW,382.0,191.0,6.69,221.99,37
CPT,73501,X-RAY OF HIP; 1 VIEW,365.0,182.5,54.45,221.99,216
CPT,73502,X-RAY EXAM HIP UNI 2-3 VIEWS,398.0,199.0,7.98,221.99,37
CPT,73502,X-RAY OF HIP; 2-3 VIEWS,377.5,188.75,54.45,221.99,240
CPT,73503,X-RAY EXAM HIP UNI 4/> VIEWS,427.0,213.5,10.04,266.67,37
CPT,73503,X-RAY OF HIP; MINIMUM OF 4 VIEWS,611.0,305.5,65.41,266.67,168
CPT,73521,X-RAY EXAM HIPS BI 2 VIEWS,382.0,191.0,7.98,266.67,37
CPT,73521,X-RAY OF BOTH HIPS; 2 VIEWS,355.0,177.5,65.41,266.67,48
CPT,73522,X-RAY EXAM HIPS BI 3-4 VIEWS,447.0,223.5,10.29,266.67,37
CPT,73522,X-RAY OF BOTH HIPS; 3-4 VIEWS,364.0,182.0,65.41,266.67,72
CPT,73523,X-RAY EXAM HIPS BI 5/> VIEWS,402.0,201.0,11.32,266.67,37
CPT,73523,X-RAY OF BOTH HIPS; MINIMUM OF 5 VIEWS,374.0,187.0,11.32,266.67,85
CPT,73525,CONTRAST X-RAY OF HIP,1330.0,665.0,20.84,889.9,37
CPT,73551,X-RAY EXAM OF FEMUR 1,453.0,226.5,5.92,221.99,37
CPT,73551,X-RAY OF THIGH BONE; 1 VIEW,404.0,202.0,54.45,221.99,144
CPT,73552,X-RAY EXAM OF FEMUR 2/>,396.0,198.0,6.44,221.99,37
CPT,73552,X-RAY OF THIGH BONE; MINIMUM 2 VIEWS,728.0,364.0,27.22,221.99,240
CPT,73560,X-RAY EXAM OF KNEE 1 OR 2,381.5,190.75,5.92,221.99,74
CPT,73560,X-RAY OF KNEE; 1-2 VIEWS,546.0,273.0,54.45,221.99,360
CPT,73562,X-RAY EXAM OF KNEE 3,382.0,191.0,6.69,221.99,37
CPT,73562,X-RAY OF KNEE; 3 VIEWS,710.0,355.0,54.45,221.99,216
CPT,73564,X-RAY EXAM KNEE 4 OR MORE,562.0,281.0,8.23,266.67,37
CPT,73564,X-RAY OF KNEE; 4 OR MORE VIEWS,803.0,401.5,65.41,266.67,360
CPT,73580,CONTRAST X-RAY OF KNEE JOINT,2611.0,1305.5,17.33,889.9,37
CPT,73590,X-RAY EXAM OF LOWER LEG,382.0,191.0,5.66,221.99,37
CPT,73590,X-RAY OF LOWER LEG; 2 VIEWS,710.0,355.0,27.22,221.99,288
CPT,73592,X-RAY EXAM OF LEG INFANT,1016.5,508.25,5.66,221.99,74
CPT,73592,X-RAY OF INFANT LEG; MINIMUM OF 2 VIEWS,756.0,378.0,54.45,221.99,48
CPT,73600,X-RAY EXAM OF ANKLE,382.0,191.0,5.66,221.99,37
CPT,73600,X-RAY OF ANKLE; 2 VIEWS,368.5,184.25,27.22,221.99,288
CPT,73610,X-RAY EXAM OF ANKLE,382.0,191.0,6.17,221.99,37
CPT,73610,X-RAY OF ANKLE; MINIMUM OF 3 VIEWS,737.0,368.5,54.45,221.99,216
CPT,73620,X-RAY EXAM OF FOOT,381.5,190.75,5.41,221.99,74
CPT,73620,X-RAY OF FOOT; 2 VIEWS,545.0,272.5,27.22,221.99,384
CPT,73630,X-RAY EXAM OF FOOT,382.0,191.0,5.92,221.99,37
CPT,73630,X-RAY OF FOOT; MINIMUM OF 3 VIEWS,710.0,355.0,54.45,221.99,192
CPT,73650,X-RAY EXAM OF HEEL,382.0,191.0,5.66,221.99,37
CPT,73650,X-RAY OF HEEL; MINIMUM OF 2 VIEWS,382.0,191.0,54.45,221.99,240
CPT,73660,X-RAY EXAM OF TOE(S),382.0,191.0,4.63,221.99,37
CPT,73660,X-RAY OF TOE; MINIMUM OF 2 VIEWS,355.0,177.5,27.22,221.99,168
CPT,73700,CT LOWER EXTREMITY W/O DYE,2113.0,1056.5,35.0,266.67,37
CPT,73700,CT SCAN OF LEG WITHOUT CONTRAST,2113.0,1056.5,35.0,564.42,349
CPT,73701,CT LOWER EXTREMITY W/DYE,3267.0,1633.5,40.92,447.4,37
CPT,73701,CT SCAN OF LEG WITH CONTRAST MATERIAL,3267.0,1633.5,40.92,1095.78,301
CPT,73702,CT LWR EXTREMITY W/O&W/DYE,2437.0,1218.5,42.72,447.4,37
CPT,73702,CT SCAN OF LEG BEFORE AND AFTER CONTRAST,4131.0,2065.5,109.74,1095.78,72
CPT,73706,CT ANGIO LWR EXTR W/O&W/DYE,3689.0,1844.5,64.86,447.4,37
CPT,73706,CT SCAN OF BLOOD VESSELS OF LOWER LEG WITH CONTRAST,5146.5,2573.25,109.74,1095.78,120
CPT,73718,MRI LOWER EXTREMITY W/O DYE,3332.5,1666.25,47.61,608.63,74
CPT,73718,MRI SCAN OF LEG WITHOUT CONTRAST,3200.5,1600.25,47.61,1342.83,290
CPT,73719,MRI LOWER EXTREMITY W/DYE,2707.0,1353.5,57.13,889.9,37
CPT,73720,MRI LWR EXTREMITY W/O&W/DYE,8773.0,4386.5,76.69,889.9,74
CPT,73720,MRI SCAN OF LEG BEFORE AND AFTER CONTRAST,5644.5,2822.25,218.28,889.9,144
CPT,73721,MRI JNT OF LWR EXTRE W/O DYE,1869.0,934.5,47.87,608.63,37
CPT,73721,MRI SCAN OF LEG JOINT WITHOUT CONTRAST,2738.0,1369.0,149.29,1342.83,168
CPT,73722,MRI JOINT OF LWR EXTR W/DYE,2815.0,1407.5,57.39,1999.58,37
CPT,73722,MRI SCAN OF LEG JOINT WITH CONTRAST,1681.0,840.5,57.39,1999.58,157
CPT,73723,MRI JOINT LWR EXTR W/O&W/DYE,3765.0,1882.5,76.69,889.9,37
CPT,73723,MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST,5516.0,2758.0,218.28,2164.81,168
CPT,73725,MRI SCAN OF BLOOD VESSELS OF LEG,2878.0,1439.0,53.16,216.74,24
CPT,74018,RADEX ABDOMEN 1 VIEW,462.0,231.0,6.44,221.99,37
CPT,74018,X-RAY OF ABDOMEN; 1 VIEW,429.0,214.5,6.44,221.99,181
CPT,74019,RADEX ABDOMEN 2 VIEWS,462.0,231.0,8.23,266.67,37
CPT,74019,X-RAY OF ABDOMEN; 2 VIEWS,429.0,214.5,8.23,266.67,109
CPT,74021,RADEX ABDOMEN 3+ VIEWS,776.0,388.0,9.52,266.67,37
CPT,74021,X-RAY OF ABDOMEN; MINIMUM OF 3 VIEWS,721.0,360.5,65.41,266.67,24
CPT,74022,RADEX COMPL AQT ABD SERIES,776.0,388.0,11.58,266.67,37
CPT,74022,X-RAY SERIES OF ABDOMEN WITH SINGLE X-RAY OF CHEST,721.0,360.5,65.41,266.67,48
CPT,74150,CT ABDOMEN W/O CONTRAST,2113.0,1056.5,41.95,266.67,37
CPT,74150,CT SCAN OF ABDOMEN WITHOUT CONTRAST,1965.0,982.5,41.95,266.67,133
CPT,74160,CT ABDOMEN W/CONTRAST,3267.0,1633.5,45.03,447.4,37
CPT,74160,CT SCAN OF ABDOMEN WITH CONTRAST,3039.0,1519.5,45.03,447.4,133
CPT,74170,CT ABD WO CNTRST FLWD CNTRST,3643.0,1821.5,47.87,447.4,37
CPT,74170,CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST,3388.0,1694.0,47.87,447.4,85
CPT,74174,CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST,3994.5,1997.25,77.98,889.9,181
CPT,74174,CTA ABD&PLVS W/CONTRAST,4139.0,2069.5,77.98,889.9,37
CPT,74175,CT SCAN OF BLOOD VESSELS OF ABDOMEN WITH CONTRAST,3431.0,1715.5,62.54,447.4,85
CPT,74175,CTA ABDOMEN W/CONTRAST,3689.0,1844.5,62.54,447.4,37
CPT,74176,CT ABD & PELVIS W/O CONTRAST,2113.0,1056.5,61.51,608.63,37
CPT,74176,CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST,2039.0,1019.5,61.51,608.63,253
CPT,74177,CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST,3039.0,1519.5,64.86,889.9,349
CPT,74178,CT ABD&PLV WO CNTR FLWD CNTR,3643.0,1821.5,71.03,889.9,37
CPT,74178,CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST,3388.0,1694.0,71.03,889.9,109
CPT,74181,MRI ABDOMEN W/O CONTRAST,1874.0,937.0,51.47,608.63,37
CPT,74181,MRI SCAN OF ABDOMEN WITHOUT CONTRAST,1725.0,862.5,51.47,608.63,85
CPT,74182,MRI SCAN OF ABDOMEN WITH CONTRAST,1681.0,840.5,60.99,889.9,61
CPT,74183,MRI ABD W/O CNTR FLWD CNTR,4029.0,2014.5,78.24,889.9,37
CPT,74183,MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST,3747.0,1873.5,78.24,889.9,109
CPT,74185,MRI SCAN OF BLOOD VESSELS OF ABDOMEN,2356.0,1178.0,52.95,408.0,37
CPT,74190,PERITONEOGRAM RS&I,571.0,285.5,15.96,1393.77,37
CPT,74220,SINGLE CONTRAST X-RAY OF ESOPHAGUS,823.0,411.5,21.36,447.4,85
CPT,74220,X-RAY XM ESOPHAGUS 1CNTRST,885.0,442.5,21.36,447.4,37
CPT,74221,DOUBLE CONTRAST X-RAY OF ESOPHAGUS,787.0,393.5,24.96,447.4,85
CPT,74221,X-RAY XM ESOPHAGUS 2CNTRST,847.0,423.5,24.96,447.4,37
CPT,74230,IMAGING FOR EVALUATION OF SWALLOWING FUNCTION,812.0,406.0,18.78,447.4,85
CPT,74230,X-RAY XM SWLNG FUNCJ C+,873.0,436.5,18.78,447.4,37
CPT,74240,SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT,823.0,411.5,28.57,447.4,85
CPT,74240,X-RAY XM UPR GI TRC 1CNTRST,859.0,429.5,28.57,447.4,74
CPT,74246,DOUBLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT,774.0,387.0,31.66,447.4,85
CPT,74246,X-RAY XM UPR GI TRC 2CNTRST,1016.0,508.0,31.66,447.4,74
CPT,74248,FOLLOW-THROUGH X-RAY OF SMALL INTESTINES,387.0,193.5,20.53,83.71,85
CPT,74248,X-RAY SM INT F-THRU STD,417.0,208.5,20.53,83.71,37
CPT,74250,SINGLE CONTRAST X-RAY OF SMALL INTESTINE,823.0,411.5,23.63,447.4,61
CPT,74250,X-RAY XM SM INT 1CNTRST STD,885.0,442.5,23.63,447.4,37
CPT,74251,X-RAY XM SM INT 2CNTRST STD,1452.0,726.0,40.15,447.4,37
CPT,74261,CT COLONOGRAPHY DX,1443.0,721.5,65.41,266.67,31
CPT,74262,CT COLONOGRAPHY DX W/DYE,583.0,291.5,86.47,447.4,31
CPT,74263,CT COLONOGRAPHY SCREENING,2008.0,1004.0,81.07,608.63,31
CPT,74270,SINGLE CONTRAST X-RAY OF LARGE INTESTINE,823.0,411.5,23.63,447.4,61
CPT,74270,X-RAY XM COLON 1CNTRST STD,885.0,442.5,23.63,447.4,37
CPT,74280,DOUBLE CONTRAST X-RAY OF LARGE INTESTINE,1350.0,675.0,40.95,447.4,61
CPT,74280,X-RAY XM COLON 2CNTRST STD,991.0,495.5,40.95,447.4,37
CPT,74283,ENEMA USING AIR OR CONTRAST,836.0,418.0,23.63,447.4,61
CPT,74283,THER NMA RDCTJ INTUS/OBSTRCJ,899.0,449.5,23.63,447.4,37
CPT,74300,REVIEW BY RADIOLOGIST OF BILE AND/OR PANCREATIC DUCT IMAGE DURING SURGERY,6793.33,3396.67,8.46,34.5,31
CPT,74300,X-RAY BILE DUCTS/PANCREAS,540.0,270.0,8.46,34.5,31
CPT,74301,X-RAYS AT SURGERY ADD-ON,462.0,231.0,5.97,24.35,31
CPT,74328,REVIEW BY RADIOLOGIST OF IMAGE FROM TUBE PLACEMENT INTO BILE DUCT USING AN ENDOSCOPE,956.0,478.0,15.14,61.72,55
CPT,74328,X-RAY BILE DUCT ENDOSCOPY,1028.0,514.0,15.14,61.72,31
CPT,74329,REVIEW BY RADIOLOGIST OF IMAGE FROM TUBE PLACEMENT INTO PANCREATIC DUCT USING AN ENDOSCOPE,950.0,475.0,15.32,62.46,55
CPT,74329,X-RAY FOR PANCREAS ENDOSCOPY,628.0,314.0,15.32,62.46,31
CPT,74330,REVIEW BY RADIOLOGIST OF IMAGE FROM TUBE PLACEMENT INTO BILE AND PANCREATIC DUCT USING AN ENDOSCOPE,950.0,475.0,17.59,71.71,55
CPT,74330,X-RAY BILE/PANC ENDOSCOPY,1022.0,511.0,17.59,71.71,31
CPT,74340,X-RAY GUIDE FOR GI TUBE,2033.0,1016.5,16.02,65.32,31
CPT,74360,REVIEW BY RADIOLOGIST OF IMAGE TO GUIDE OPENING OF DIGESTIVE TRACT,5422.0,2711.0,18.53,98.84,109
CPT,74360,X-RAY GUIDE GI DILATION,1876.0,938.0,18.53,98.84,37
CPT,74363,X-RAY BILE DUCT DILATION,2186.0,1093.0,25.0,112.48,37
CPT,74400,UROGRAPHY IV +-KUB TOMOG,1800.0,900.0,17.24,447.4,37
CPT,74410,UROGRAPHY NFS DRIP&/BOLUS,1800.0,900.0,17.5,447.4,37
CPT,74415,UROGRAPHY NFS DRIP&/BLS W/NF,1800.0,900.0,17.5,447.4,37
CPT,74420,IMAGING OF URINARY TRACT FOLLOWING INJECTION OF A CONTRAST AGENT,1674.0,837.0,18.27,889.9,61
CPT,74420,UROGRAPHY RTRGR +-KUB,1800.0,900.0,18.27,889.9,37
CPT,74425,REVIEW BY RADIOLOGIST OF UPPER URINARY TRACT IMAGE,779.0,389.5,218.28,889.9,24
CPT,74425,UROGRAPHY ANTEGRADE RS&I,1351.5,675.75,18.27,889.9,74
CPT,74430,CONTRAST X-RAY BLADDER,1800.0,900.0,11.32,889.9,37
CPT,74430,REVIEW BY RADIOLOGIST OF URINARY BLADDER IMAGE,1674.0,837.0,11.32,889.9,61
CPT,74450,REVIEW BY RADIOLOGIST OF URINARY BLADDER AND URETHRA IMAGES WITH CONTRAST,1674.0,837.0,11.32,608.63,85
CPT,74450,X-RAY URETHRA/BLADDER,1800.0,900.0,11.32,608.63,37
CPT,74455,REVIEW BY RADIOLOGIST OF URINARY BLADDER AND URETHRA IMAGES WITH CONTRAST AND AFTER PASSING URINE,1674.0,837.0,11.32,608.63,61
CPT,74455,X-RAY URETHRA/BLADDER,1402.0,701.0,11.32,608.63,37
CPT,74470,X-RAY EXAM OF KIDNEY LESION,2626.0,1313.0,18.27,1393.77,37
CPT,74485,DILATION URTR/URT RS&I,3544.0,1772.0,29.09,5332.04,37
CPT,74712,MRI SCAN OF FETUS FOR SINGLE OR FIRST PREGNANCY,1739.0,869.5,104.23,608.63,55
CPT,74740,REVIEW BY RADIOLOGIST OF UTERINE TUBE AND OVARY IMAGE,615.0,307.5,149.29,608.63,24
CPT,74740,X-RAY FEMALE GENITAL TRACT,615.0,307.5,13.64,608.63,37
CPT,74775,X-RAY EXAM OF PERINEUM,1091.0,545.5,21.62,608.63,37
CPT,75557,CARDIAC MRI FOR MORPH,1890.0,945.0,82.35,608.63,37
CPT,75557,MRI SCAN OF HEART WITHOUT CONTRAST,1758.0,879.0,82.35,608.63,61
CPT,75559,CARDIAC MRI W/STRESS IMG,2569.0,1284.5,101.4,1393.77,37
CPT,75561,CARDIAC MRI FOR MORPH W/DYE,3067.0,1533.5,91.36,889.9,37
CPT,75561,MRI SCAN OF HEART BEFORE AND AFTER CONTRAST,2853.0,1426.5,91.36,889.9,61
CPT,75563,CARD MRI W/STRESS IMG & DYE,3067.0,1533.5,104.49,1999.58,37
CPT,75563,MRI SCAN OF HEART BEFORE AND AFTER CONTRAST WITH STRESS IMAGING,2853.0,1426.5,104.49,1999.58,61
CPT,75565,CARD MRI VELOC FLOW MAPPING,2248.0,1124.0,7.22,29.44,31
CPT,75571,CT HRT W/O DYE W/CA TEST,198.0,99.0,20.59,221.99,37
CPT,75571,CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM,188.5,94.25,20.59,221.99,109
CPT,75572,CT HRT W/3D IMAGE,1738.5,869.25,60.99,889.9,74
CPT,75572,CT SCAN OF HEART STRUCTURE WITH CONTRAST,2604.0,1302.0,60.99,889.9,61
CPT,75573,CT HRT C+ STRUX CGEN HRT DS,1699.0,849.5,90.08,889.9,37
CPT,75573,CT SCAN OF CONGENITAL HEART DISEASE WITH CONTRAST,2604.0,1302.0,90.08,889.9,61
CPT,75574,CT ANGIO HRT W/3D IMAGE,2411.0,1205.5,84.67,889.9,37
CPT,75574,CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST,2604.0,1302.0,84.67,889.9,133
CPT,75577,QUAN&CHAR C ATHROSCLRTC PLAQ,2376.0,1188.0,584.94,2384.76,24
CPT,75580,N-INVAS EST C FFR SW ALY CTA,4146.0,2073.0,205.8,2190.44,31
CPT,75600,CONTRAST EXAM THORACIC AORTA,6624.0,3312.0,17.33,8053.93,37
CPT,75605,CONTRAST EXAM THORACIC AORTA,5726.0,2863.0,28.88,14193.61,37
CPT,75605,REVIEW BY RADIOLOGIST OF CHEST AORTA SERIAL IMAGES,5326.0,2663.0,28.88,14193.61,85
CPT,75625,CONTRAST EXAM ABDOMINL AORTA,5018.0,2509.0,28.88,8053.93,37
CPT,75625,REVIEW BY RADIOLOGIST OF ABDOMINAL AORTA IMAGE,4667.0,2333.5,28.88,8053.93,109
CPT,75630,REVIEW BY RADIOLOGIST OF ABDOMINAL AORTA AND BOTH LEG ARTERIES IMAGE,4642.0,2321.0,1975.49,8053.93,24
CPT,75630,X-RAY AORTA LEG ARTERIES,4991.0,2495.5,71.03,8053.93,37
CPT,75635,CT ANGIO ABDOMINAL ARTERIES,2230.0,1115.0,81.84,447.4,74
CPT,75635,CT SCAN OF ABDOMINAL AORTA AND BOTH LEG ARTERIES WITH CONTRAST,2244.0,1122.0,81.84,447.4,266
CPT,75705,ARTERY X-RAYS SPINE,11752.0,5876.0,23.63,14193.61,37
CPT,75710,ARTERY X-RAYS ARM/LEG,5774.5,2887.25,23.63,8053.93,74
CPT,75710,REVIEW BY RADIOLOGIST OF ARM OR LEG ARTERY IMAGE,4693.0,2346.5,23.63,8053.93,349
CPT,75716,ARTERY X-RAYS ARMS/LEGS,5661.0,2830.5,23.63,8053.93,37
CPT,75716,REVIEW BY RADIOLOGIST OF BOTH ARMS OR LEGS ARTERIES IMAGE,5266.0,2633.0,23.63,8053.93,109
CPT,75726,ARTERY X-RAYS ABDOMEN,6493.0,3246.5,23.63,14193.61,37
CPT,75726,REVIEW BY RADIOLOGIST OF ABDOMINAL ARTERY IMAGE,5852.5,2926.25,23.63,14193.61,277
CPT,75731,ARTERY X-RAYS ADRENAL GLAND,6856.0,3428.0,23.63,8053.93,37
CPT,75733,ARTERY X-RAYS ADRENALS,6624.0,3312.0,23.63,8053.93,37
CPT,75736,ARTERY X-RAYS PELVIS,3704.0,1852.0,23.63,14193.61,37
CPT,75736,REVIEW BY RADIOLOGIST OF PELVIS ARTERY IMAGE,3445.0,1722.5,3481.45,14193.61,24
CPT,75741,ARTERY X-RAYS LUNG,7159.0,3579.5,23.63,8053.93,74
CPT,75741,REVIEW BY RADIOLOGIST OF LUNG ARTERY IMAGE,8286.0,4143.0,1975.49,8053.93,24
CPT,75743,ARTERY X-RAYS LUNGS,6209.0,3104.5,23.63,8053.93,37
CPT,75743,REVIEW BY RADIOLOGIST OF ARTERIES OF BOTH LUNGS IMAGE,6209.0,3104.5,1975.49,8053.93,24
CPT,75746,ARTERY X-RAYS LUNG,7475.0,3737.5,15.75,8053.93,74
CPT,75756,ARTERY X-RAYS CHEST,1324.0,662.0,23.63,8053.93,37
CPT,75774,ARTERY X-RAY EACH VESSEL,4322.0,2161.0,23.63,117.16,37
CPT,75774,REVIEW BY RADIOLOGIST OF ADDITIONAL ARTERY IMAGE,14885.5,7442.75,23.63,117.16,181
CPT,75801,LYMPH VESSEL X-RAY ARM/LEG,3282.0,1641.0,31.91,1600.1,37
CPT,75803,LYMPH VESSEL X-RAY ARMS/LEGS,5788.0,2894.0,40.15,4015.28,37
CPT,75805,LYMPH VESSEL X-RAY TRUNK,6856.0,3428.0,28.06,8053.93,37
CPT,75807,LYMPH VESSEL X-RAY TRUNK,12263.0,6131.5,38.08,8053.93,37
CPT,75809,NONVASCULAR SHUNT X-RAY,503.5,251.75,17.24,266.67,74
CPT,75809,REVIEW BY RADIOLOGIST OF PREVIOUS PLACED SHUNT IMAGE,721.0,360.5,65.41,266.67,24
CPT,75810,VEIN X-RAY SPLEEN/LIVER,6855.0,3427.5,36.03,8053.93,37
CPT,75820,REVIEW BY RADIOLOGIST OF 1 ARM OR LEG VEIN OF 1 ARM OR LEG IMAGE,2273.5,1136.75,23.63,4015.28,277
CPT,75820,VEIN X-RAY ARM/LEG,2356.0,1178.0,23.63,4015.28,37
CPT,75822,REVIEW BY RADIOLOGIST OF BOTH ARMS AND LEGS VEINS OF BOTH ARMS OR LEGS IMAGE,2227.0,1113.5,23.63,4015.28,109
CPT,75822,VEIN X-RAY ARMS/LEGS,3543.0,1771.5,23.63,4015.28,37
CPT,75825,REVIEW BY RADIOLOGIST OF MAJOR LOWER BODY VEIN IMAGE,4185.5,2092.75,23.63,8053.93,109
CPT,75825,VEIN X-RAY TRUNK,4337.0,2168.5,23.63,8053.93,37
CPT,75827,REVIEW BY RADIOLOGIST OF MAJOR UPPER BODY VEIN IMAGE,3312.0,1656.0,23.63,4015.28,109
CPT,75827,VEIN X-RAY CHEST,3561.0,1780.5,23.63,4015.28,37
CPT,75831,REVIEW BY RADIOLOGIST OF KIDNEY IMAGE,4080.0,2040.0,1975.49,8053.93,120
CPT,75831,VEIN X-RAY KIDNEY,4967.0,2483.5,23.63,8053.93,37
CPT,75833,REVIEW BY RADIOLOGIST OF BOTH KIDNEYS VEINS IMAGE,6377.0,3188.5,1975.49,8053.93,24
CPT,75833,VEIN X-RAY KIDNEYS,6856.0,3428.0,23.63,8053.93,37
CPT,75840,VEIN X-RAY ADRENAL GLAND,6856.0,3428.0,23.63,8053.93,37
CPT,75860,REVIEW BY RADIOLOGIST OF HEAD OR NECK VEIN SYSTEM IMAGE,7411.5,3705.75,15.75,8053.93,133
CPT,75860,VEIN X-RAY NECK,5312.0,2656.0,15.75,8053.93,37
CPT,75870,REVIEW BY RADIOLOGIST OF HEAD VEIN SYSTEM IMAGE,8489.0,4244.5,23.63,8053.93,109
CPT,75870,VEIN X-RAY SKULL,4967.0,2483.5,23.63,8053.93,37
CPT,75880,VEIN X-RAY EYE SOCKET,4658.0,2329.0,23.63,1600.1,37
CPT,75885,REVIEW BY RADIOLOGIST OF THE VEIN THAT TRANSPORTS BLOOD TO THE LIVER IMAGE WITH ASSESSMENT OF BLOOD FLOW,6616.5,3308.25,49.15,8053.93,61
CPT,75885,VEIN X-RAY LIVER W/HEMODYNAM,6856.0,3428.0,49.15,8053.93,37
CPT,75887,REVIEW BY RADIOLOGIST OF THE VEIN THAT TRANSPORTS BLOOD TO THE LIVER IMAGE,2989.0,1494.5,49.67,8053.93,61
CPT,75887,VEIN X-RAY LIVER W/O HEMODYN,3214.0,1607.0,49.67,8053.93,37
CPT,75889,REVIEW BY RADIOLOGIST OF LIVER VEIN IMAGE WITH ASSESSMENT OF BLOOD FLOW,3610.0,1805.0,38.86,8053.93,109
CPT,75889,VEIN X-RAY LIVER W/HEMODYNAM,4327.0,2163.5,38.86,8053.93,37
CPT,75891,REVIEW BY RADIOLOGIST OF LIVER VEIN IMAGE,2893.0,1446.5,38.86,8053.93,37
CPT,75891,VEIN X-RAY LIVER,4967.0,2483.5,38.86,8053.93,37
CPT,75893,REVIEW BY RADIOLOGIST OF IMAGING GUIDANCE FOR REMOVAL OF BLOOD SAMPLE,8096.0,4048.0,3481.45,14193.61,72
CPT,75893,VENOUS SAMPLING BY CATHETER,9146.0,4573.0,19.05,14193.61,31
CPT,75894,REVIEW BY RADIOLOGIST OF IMAGE FOR INSERTION OF MATERIAL TO BLOCK BLOOD FLOW,6861.0,3430.5,55.34,343.1,61
CPT,75894,X-RAYS TRANSCATH THERAPY,7793.5,3896.75,55.34,343.1,74
CPT,75898,FOLLOW-UP ANGIOGRAPHY,4967.0,2483.5,68.46,8053.93,31
CPT,75898,IMAGING OF BLOOD VESSEL,1035.0,517.5,68.46,8053.93,55
CPT,75901,REMOVE CVA DEVICE OBSTRUCT,684.0,342.0,14.5,59.1,31
CPT,75901,REVIEW BY RADIOLOGIST OF IMAGE FOR REMOVAL OF OBSTRUCTIVE MATERIAL,968.0,484.0,14.49,59.1,31
CPT,75902,REMOVE CVA LUMEN OBSTRUCT,1487.0,743.5,11.76,47.94,31
CPT,75970,REVIEW BY RADIOLOGIST OF IMAGE FOR BIOPSY OF BLOOD VESSEL WITH TUBE,3839.0,1919.5,10.5,96.99,85
CPT,75970,VASCULAR BIOPSY,4127.0,2063.5,10.5,96.99,37
CPT,75984,REVIEW BY RADIOLOGIST OF IMAGE FOR REPLACEMENT OF STOMACH OR LARGE BOWEL TUBE,820.0,410.0,10.5,97.76,85
CPT,75984,XRAY CONTROL CATHETER CHANGE,882.0,441.0,10.5,97.76,37
CPT,75989,ABSCESS DRAINAGE UNDER X-RAY,1585.0,792.5,10.5,142.81,74
CPT,76000,FLUOROSCOPY <1 HR PHYS/QHP,1152.5,576.25,11.32,608.63,74
CPT,76000,IMAGING GUIDANCE FOR PROCEDURE; 60 MINUTES OR LESS,1207.5,603.75,11.32,608.63,181
CPT,76010,X-RAY FROM NOSE TO RECTUM,546.0,273.0,54.45,221.99,48
CPT,76010,X-RAY NOSE TO RECTUM,566.0,283.0,6.44,221.99,37
CPT,76017,MR SFTY MED PHYSICS XM CSTMZ,650.0,325.0,26.76,608.63,31
CPT,76018,MR SAFETY IMPLANT ELEC PREPJ,247.0,123.5,26.25,242.5,31
CPT,76019,MR SAFETY IMPLT POS&/IMMOBLJ,161.0,80.5,21.36,150.47,31
CPT,76080,REVIEW BY RADIOLOGIST OF ABSCESS OR SINUS CAVITY STUDY,2334.0,1167.0,17.33,1393.77,37
CPT,76080,X-RAY EXAM OF FISTULA,2510.0,1255.0,17.33,1393.77,37
CPT,76098,X-RAY EXAM SURGICAL SPECIMEN,629.0,314.5,11.15,1393.77,37
CPT,76098,X-RAY OF SURGICAL SPECIMEN,585.0,292.5,11.15,1393.77,61
CPT,76376,3D RADIOGRAPHIC PROCEDURE,948.0,474.0,5.97,24.35,189
CPT,76376,3D RENDER W/INTRP POSTPROCES,948.0,474.0,5.97,24.35,93
CPT,76377,3D RADIOGRAPHIC PROCEDURE WITH COMPUTERIZED IMAGE POSTPROCESSING,161.0,80.5,23.74,96.8,103
CPT,76377,3D RENDER W/INTRP POSTPROCES,418.5,209.25,23.74,96.8,62
CPT,76380,CAT SCAN FOLLOW-UP STUDY,414.0,207.0,33.97,221.99,31
CPT,76380,LIMITED OR FOLLOW-UP CT SCAN,399.5,199.75,33.97,221.99,79
CPT,76390,MR SPECTROSCOPY,2205.0,1102.5,54.45,221.99,24
CPT,76390,MRI STUDY FOR MEASURING BIOCHEMICAL CHANGES IN THE BRAIN,2051.0,1025.5,54.45,221.99,48
CPT,76496,OTHER FLUOROSCOPIC PROCEDURE,238.0,119.0,54.45,221.99,48
CPT,76496,UNLISTED FLUOROSCOPIC PX,247.0,123.5,54.45,221.99,24
CPT,76498,OTHER MRI SCAN,3737.0,1868.5,54.45,221.99,48
CPT,76498,UNLISTED MR PROCEDURE,2165.0,1082.5,54.45,221.99,48
CPT,76499,OTHER DIAGNOSTIC IMAGING PROCEDURE,473.0,236.5,54.45,221.99,24
CPT,76506,ECHO EXAM OF HEAD,605.0,302.5,22.65,266.67,74
CPT,76506,ULTRASOUND SCAN OF BRAIN,565.0,282.5,22.65,266.67,109
CPT,76511,OPH US DX QUAN A-SCAN ONLY,600.0,300.0,25.47,266.67,37
CPT,76512,2D ULTRASOUND SCAN OF EYE TISSUE AND STRUCTURES,585.0,292.5,21.87,266.67,277
CPT,76512,OPH US DX B-SCAN,625.5,312.75,21.87,266.67,74
CPT,76513,OPH US DX ANT SGM US UNI/BI,730.0,365.0,23.42,266.67,31
CPT,76513,ULTRASOUND SCAN OF EYE USING WATER BATH METHOD,843.0,421.5,23.42,266.67,103
CPT,76514,ECHO EXAM OF EYE THICKNESS,120.0,60.0,2.0,73.78,37
CPT,76514,ULTRASOUND SCAN OF CORNEA TO DETERMINE THICKNESS,111.0,55.5,2.0,73.78,85
CPT,76516,ECHO EXAM OF EYE,269.0,134.5,16.21,266.67,37
CPT,76519,ECHO EXAM OF EYE,514.0,257.0,21.87,266.67,37
CPT,76519,ULTRASOUND SCAN TO DETERMINE EYE LENGTH AND LENS POWER,476.0,238.0,21.87,266.67,61
CPT,76536,ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE,768.0,384.0,20.08,266.67,218
CPT,76536,US EXAM OF HEAD AND NECK,816.0,408.0,20.08,266.67,74
CPT,76604,ULTRASOUND SCAN OF CHEST,562.5,281.25,20.33,266.67,157
CPT,76604,US EXAM CHEST,605.0,302.5,20.33,266.67,74
CPT,76641,COMPLETE ULTRASOUND SCAN OF 1 BREAST,472.5,236.25,65.41,266.67,168
CPT,76641,ULTRASOUND BREAST COMPLETE,568.5,284.25,26.0,266.67,74
CPT,76642,LIMITED ULTRASOUND SCAN OF 1 BREAST,608.0,304.0,54.45,221.99,264
CPT,76642,ULTRASOUND BREAST LIMITED,608.0,304.0,24.44,221.99,37
CPT,76700,COMPLETE ULTRASOUND SCAN OF ABDOMEN,875.0,437.5,28.57,266.67,85
CPT,76705,ECHO EXAM OF ABDOMEN,935.0,467.5,20.84,266.67,111
CPT,76705,LIMITED ULTRASOUND SCAN OF ABDOMEN,872.0,436.0,20.84,266.67,229
CPT,76706,ULTRASOUND SCAN OF ABDOMINAL AORTA,856.0,428.0,19.3,266.67,85
CPT,76706,US ABDL AORTA SCREEN AAA,887.0,443.5,19.3,266.67,37
CPT,76770,COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY,908.0,454.0,26.0,266.67,277
CPT,76770,US EXAM ABDO BACK WALL COMP,941.0,470.5,26.0,266.67,37
CPT,76775,LIMITED ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY,875.0,437.5,20.59,266.67,205
CPT,76775,US EXAM ABDO BACK WALL LIM,941.0,470.5,20.59,266.67,111
CPT,76776,ULTRASOUND SCAN OF TRANSPLANTED KIDNEY,875.0,437.5,26.76,266.67,85
CPT,76776,US EXAM K TRANSPL W/DOPPLER,941.0,470.5,26.76,266.67,37
CPT,76800,ULTRASOUND SCAN OF SPINAL CANAL,875.0,437.5,47.09,266.67,61
CPT,76800,US EXAM SPINAL CANAL,984.0,492.0,47.09,266.67,37
CPT,76801,OB US < 14 WKS SINGLE FETUS,941.0,470.5,35.0,266.67,37
CPT,76801,ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS,875.0,437.5,35.0,266.67,85
CPT,76802,OB US < 14 WKS ADDL FETUS,630.0,315.0,23.08,102.13,37
CPT,76802,ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); EACH ADDITIONAL FETUS,586.0,293.0,23.08,102.13,61
CPT,76805,OB US >= 14 WKS SNGL FETUS,644.0,322.0,35.26,266.67,37
CPT,76805,ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS,875.0,437.5,35.26,266.67,85
CPT,76810,ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); EACH ADDITIONAL FETUS,976.0,488.0,29.95,122.09,37
CPT,76811,OB US DETAILED SNGL FETUS,1498.0,749.0,66.4,608.63,37
CPT,76811,ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; SINGLE OR FIRST FETUS,1001.5,500.75,66.4,608.63,122
CPT,76812,OB US DETAILED ADDL FETUS,630.0,315.0,47.48,221.06,37
CPT,76812,ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; EACH ADDITIONAL FETUS,586.0,293.0,47.48,221.06,61
CPT,76813,OB US NUCHAL MEAS 1 GEST,437.5,218.75,41.43,266.67,74
CPT,76813,ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); WITH MEASUREMENT OF THE CLEAR SPACE BENEATH SKIN AT THE BACK OF FETAL NECK; SINGLE OR FIRST FETUS,565.0,282.5,41.43,266.67,61
CPT,76814,OB US NUCHAL MEAS ADD-ON,608.0,304.0,27.71,122.96,37
CPT,76814,ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); WITH MEASUREMENT OF THE CLEAR SPACE BENEATH SKIN AT THE BACK OF FETAL NECK; EACH ADDITIONAL FETUS,565.0,282.5,27.71,122.96,61
CPT,76815,LIMITED ULTRASOUND OF PREGNANT UTERUS,586.5,293.25,23.16,266.67,133
CPT,76815,OB US LIMITED FETUS(S),605.0,302.5,23.16,266.67,74
CPT,76816,FOLLOW-UP ULTRASOUND SCAN OF PREGNANT UTERUS,1130.0,565.0,29.85,266.67,133
CPT,76816,OB US FOLLOW-UP PER FETUS,608.0,304.0,29.85,266.67,37
CPT,76817,TRANSVAGINAL US OBSTETRIC,579.0,289.5,26.51,266.67,111
CPT,76817,VAGINAL ULTRASOUND OF PREGNANT UTERUS,546.0,273.0,26.51,266.67,109
CPT,76818,FETAL BIOPHYS PROFILE W/NST,576.0,288.0,36.8,266.67,111
CPT,76818,ULTRASOUND AND MONITORING OF HEART OF FETUS,608.0,304.0,36.8,266.67,109
CPT,76819,FETAL BIOPHYS PROFIL W/O NST,339.0,169.5,27.03,266.67,37
CPT,76819,ULTRASOUND SCAN OF FETUS,315.0,157.5,27.03,266.67,85
CPT,76820,ULTRASOUND SCAN OF FETAL UMBILICAL ARTERY BLOOD FLOW RATE,517.0,258.5,17.24,266.67,61
CPT,76820,UMBILICAL ARTERY ECHO,342.0,171.0,17.24,266.67,111
CPT,76821,MIDDLE CEREBRAL ARTERY ECHO,269.0,134.5,24.71,266.67,37
CPT,76821,ULTRASOUND SCAN OF FETAL BRAIN ARTERY BLOOD FLOW RATE,529.5,264.75,24.71,266.67,61
CPT,76825,ECHO EXAM OF FETAL HEART,1703.0,851.5,19.95,1393.77,37
CPT,76825,ULTRASOUND SCAN OF FETAL HEART,1584.0,792.0,19.95,1393.77,61
CPT,76826,ECHO EXAM OF FETAL HEART,678.0,339.0,27.09,608.63,37
CPT,76826,FOLLOW-UP ULTRASOUND SCAN OF FETAL HEART,1584.0,792.0,27.09,608.63,61
CPT,76827,ECHO EXAM OF FETAL HEART,1262.5,631.25,20.59,266.67,74
CPT,76827,ULTRASOUND SCAN OF FETAL HEART BLOOD FLOW,2323.5,1161.75,20.59,266.67,109
CPT,76828,ECHO EXAM OF FETAL HEART,269.0,134.5,19.3,266.67,37
CPT,76828,FOLLOW-UP ULTRASOUND SCAN OF FETAL HEART BLOOD FLOW,1549.0,774.5,19.3,266.67,85
CPT,76830,TRANSVAGINAL US NON-OB,869.0,434.5,24.44,266.67,37
CPT,76830,ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA,875.0,437.5,24.44,266.67,109
CPT,76831,ECHO EXAM UTERUS,615.0,307.5,25.47,608.63,31
CPT,76856,COMPLETE ULTRASOUND SCAN OF PELVIS,875.0,437.5,24.44,266.67,181
CPT,76856,US EXAM PELVIC COMPLETE,941.0,470.5,24.44,266.67,37
CPT,76857,LIMITED ULTRASOUND SCAN OF PELVIS,565.0,282.5,17.76,266.67,133
CPT,76857,US EXAM PELVIC LIMITED,605.0,302.5,17.76,266.67,74
CPT,76870,ULTRASOUND SCAN OF SCROTUM,875.0,437.5,22.65,266.67,109
CPT,76870,US EXAM SCROTUM,941.0,470.5,22.65,266.67,37
CPT,76872,US TRANSRECTAL,941.0,470.5,23.42,266.67,37
CPT,76873,ECHOGRAP TRANS R PROS STUDY,601.0,300.5,56.62,266.67,31
CPT,76881,COMPLETE ULTRASOUND SCAN OF JOINT,584.0,292.0,31.91,266.67,133
CPT,76881,US COMPL JOINT R-T W/IMG,862.0,431.0,31.91,266.67,74
CPT,76882,LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS,560.0,280.0,8.24,266.67,626
CPT,76882,US LMTD JT/FCL EVL NVASC XTR,602.0,301.0,8.24,266.67,185
CPT,76885,ULTRASOUND SCAN OF INFANT HIP DURING MOVEMENT,565.0,282.5,25.74,221.99,61
CPT,76885,US EXAM INFANT HIPS DYNAMIC,608.0,304.0,25.74,221.99,37
CPT,76886,ULTRASOUND SCAN OF INFANT HIP,608.0,304.0,22.13,221.99,31
CPT,76932,ECHO GUIDE FOR HEART BIOPSY,442.0,221.0,21.34,87.0,37
CPT,76936,ECHO GUIDE FOR ARTERY REPAIR,5100.0,2550.0,71.28,550.78,37
CPT,76937,ULTRASONIC GUIDANCE FOR BLOOD VESSEL ACCESS,1059.0,529.5,8.92,36.38,181
CPT,76937,US GUIDE VASCULAR ACCESS,584.5,292.25,8.92,36.38,74
CPT,76940,ULTRASOUND GUIDANCE FOR TISSUE REMOVAL,2146.0,1073.0,67.01,273.19,55
CPT,76941,ECHO GUIDE FOR TRANSFUSION,1566.0,783.0,40.68,165.86,37
CPT,76942,ECHO GUIDE FOR BIOPSY,1214.0,607.0,19.95,81.33,111
CPT,76942,ULTRASONIC GUIDANCE FOR NEEDLE PLACEMENT,1330.0,665.0,19.95,81.33,807
CPT,76946,ECHO GUIDE FOR AMNIOCENTESIS,421.0,210.5,11.67,47.59,37
CPT,76946,ULTRASONIC GUIDANCE FOR REMOVAL OF AMNIOTIC FLUID,391.0,195.5,11.67,47.59,61
CPT,76965,ECHO GUIDANCE RADIOTHERAPY,1745.0,872.5,42.63,173.81,31
CPT,76978,ULTRASOUND SCAN OF GROWTH USING CONTRAST; FIRST GROWTH,852.0,426.0,57.13,889.9,31
CPT,76978,US TRGT DYN MBUBB 1ST LES,1148.0,574.0,57.13,889.9,31
CPT,76979,US TRGT DYN MBUBB EA ADDL,805.0,402.5,25.23,102.87,31
CPT,76981,ULTRASOUND SCAN OF ORGAN TISSUE FOR MEASURING ELASTICITY,295.5,147.75,21.36,266.67,199
CPT,76981,USE PARENCHYMA,467.0,233.5,21.36,266.67,31
CPT,76998,ULTRASONIC GUIDANCE DURING SURGERY,1134.0,567.0,32.03,130.59,199
CPT,76998,US GUIDE INTRAOP,1134.0,567.0,32.03,130.59,31
CPT,76999,ECHO EXAMINATION PROCEDURE,608.0,304.0,54.45,221.99,24
CPT,77001,FLUOROGUIDE FOR VEIN DEVICE,782.0,391.0,11.54,55.51,37
CPT,77001,FLUOROSCOPIC GUIDANCE FOR INSERTION OR REMOVAL OF CENTRAL VEIN ACCESS DEVICE,727.0,363.5,11.54,55.51,253
CPT,77002,FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT,3189.0,1594.5,17.15,69.93,373
CPT,77002,NEEDLE LOCALIZATION BY XRAY,2917.0,1458.5,17.15,69.93,74
CPT,77003,FLUOROGUIDE FOR SPINE INJECT,615.0,307.5,18.2,74.2,66
CPT,77003,FLUOROSCOPIC GUIDANCE FOR SPINE OR BACK MUSCLE INJECTION,1037.0,518.5,18.2,74.2,181
CPT,77011,CT GUIDANCE FOR NEEDLE OR TUBE LOCALIZATION,1965.0,982.5,38.17,216.72,85
CPT,77011,CT SCAN FOR LOCALIZATION,1658.0,829.0,38.17,216.72,74
CPT,77012,CT SCAN FOR NEEDLE BIOPSY,2863.0,1431.5,43.17,176.01,37
CPT,77012,REVIEW BY RADIOLOGIST OF CT GUIDANCE FOR NEEDLE PLACEMENT,2797.0,1398.5,43.17,176.01,133
CPT,77013,CT GUIDANCE FOR TISSUE REMOVAL,5301.0,2650.5,114.35,466.21,55
CPT,77013,CT GUIDE FOR TISSUE ABLATION,2191.0,1095.5,114.35,466.21,31
CPT,77014,CT GUIDANCE FOR INSERTION OF RADIATION THERAPY FIELDS,636.5,318.25,33.72,81.44,26
CPT,77046,MRI BREAST C- UNILATERAL,2932.0,1466.0,50.96,608.63,37
CPT,77047,MRI BREAST C- BILATERAL,3132.0,1566.0,56.36,608.63,37
CPT,77047,MRI SCAN OF BOTH BREASTS WITHOUT CONTRAST,3474.0,1737.0,56.36,608.63,85
CPT,77048,MRI SCAN OF 1 BREAST,4127.0,2063.5,62.01,264.65,37
CPT,77049,MRI SCAN OF BOTH BREASTS,3978.0,1989.0,67.76,276.26,85
CPT,77053,X-RAY OF MAMMARY DUCT,432.0,216.0,12.87,608.63,37
CPT,77054,X-RAY OF MAMMARY DUCTS,1581.0,790.5,15.96,608.63,37
CPT,77061,3D BREAST MAMMOGRAPHY OF 1 BREAST,71.0,35.5,23.64,27.01,6
CPT,77061,BREAST TOMOSYNTHESIS UNI,144.0,72.0,23.64,27.01,6
CPT,77062,3D BREAST MAMMOGRAPHY OF BOTH BREASTS,90.5,45.25,23.64,27.01,6
CPT,77062,BREAST TOMOSYNTHESIS BI,216.0,108.0,23.64,27.01,6
CPT,77063,BREAST TOMOSYNTHESIS BI,114.0,57.0,17.71,72.19,74
CPT,77063,SCREENING 3D BREAST MAMMOGRAPHY,90.5,45.25,17.71,72.19,349
CPT,77065,DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST,495.0,247.5,24.18,98.58,397
CPT,77065,DX MAMMO INCL CAD UNI,468.5,234.25,24.18,98.58,74
CPT,77066,DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS,608.0,304.0,29.74,121.26,205
CPT,77066,DX MAMMO INCL CAD BI,619.0,309.5,29.74,121.26,74
CPT,77067,SCR MAMMO BI INCL CAD,441.0,220.5,22.4,91.32,111
CPT,77067,SCREENING MAMMOGRAPHY,435.0,217.5,22.4,91.32,325
CPT,77072,BONE AGE STUDIES,367.5,183.75,6.69,266.67,74
CPT,77072,X-RAY FOR ESTIMATING BONE AGE,328.0,164.0,65.41,266.67,24
CPT,77073,BONE LENGTH STUDIES,507.5,253.75,9.78,266.67,74
CPT,77073,X-RAY FOR BONE LENGTH ASSESSMENT,387.5,193.75,9.78,266.67,205
CPT,77075,COMPLETE X-RAY OF BODY BONES,550.0,275.0,19.56,266.67,85
CPT,77075,RADEX OSSEOUS SURVEY COMPL,666.0,333.0,19.56,266.67,37
CPT,77076,RADEX OSSEOUS SURVEY INFANT,592.0,296.0,24.96,266.67,37
CPT,77076,X-RAY OF INFANT BODY BONES,550.0,275.0,65.41,266.67,24
CPT,77080,DXA BONE DENSITY AXIAL,623.5,311.75,6.95,266.67,74
CPT,77080,DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE,601.0,300.5,6.95,266.67,157
CPT,77081,DXA BONE DENSITY APPENDICULR,443.0,221.5,6.95,221.99,37
CPT,77081,DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT,345.0,172.5,54.45,221.99,72
CPT,77084,MRI BONE MARROW BLOOD SUPPLY,1967.0,983.5,56.62,608.63,37
CPT,77085,DXA BONE DENSITY AXL VRT FX,830.0,415.0,10.29,266.67,31
CPT,77086,VRT FRACTURE ASSMT VIA DXA,729.0,364.5,5.92,221.99,31
CPT,77280,OBTAINING DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT; 1 TREATMENT AREA,532.0,266.0,27.79,342.83,157
CPT,77280,THER RAD SIMULAJ FIELD SMPL,572.0,286.0,27.79,342.83,37
CPT,77285,OBTAINING DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT; 2 TREATMENT AREAS,1490.0,745.0,41.95,955.09,37
CPT,77290,OBTAINING DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT; 3 OR MORE TREATMENT AREAS OR ANY NUMBER OF TREATMENT AREAS WHERE SPECIAL TREATMENT IS INVOLVED,1438.0,719.0,61.25,955.09,181
CPT,77290,THER RAD SIMULAJ FIELD CPLX,1490.0,745.0,61.25,955.09,37
CPT,77293,OBTAINING RESPIRATORY DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT,879.0,439.5,65.27,290.48,85
CPT,77293,RESPIRATOR MOTION MGMT SIMUL,945.0,472.5,65.27,290.48,37
CPT,77295,3-D RADIOTHERAPY PLAN,5088.0,2544.0,168.57,3530.57,37
CPT,77295,3D RADIATION THERAPY PLANNING,4910.5,2455.25,168.57,3530.57,157
CPT,77300,CALCULATION OF RADIATION THERAPY DOSE,2644.0,1322.0,22.58,342.83,109
CPT,77300,RADIATION THERAPY DOSE PLAN,654.5,327.25,22.58,342.83,74
CPT,77301,HIGH PRECISION RADIATION THERAPY PLANNING,5864.0,2932.0,314.49,3530.57,85
CPT,77301,RADIOTHERAPY DOSE PLAN IMRT,6304.0,3152.0,314.49,3530.57,37
CPT,77306,SIMPLE RADIATION THERAPY PLANNING FOR DELIVERY OF EXTERNAL RADIATION,532.0,266.0,54.82,955.09,37
CPT,77306,TELETHX ISODOSE PLAN SIMPLE,572.0,286.0,54.82,955.09,37
CPT,77307,COMPLEX RADIATION THERAPY PLANNING FOR DELIVERY OF EXTERNAL RADIATION,1386.0,693.0,104.96,955.09,61
CPT,77307,TELETHX ISODOSE PLAN CPLX,1490.0,745.0,104.96,955.09,37
CPT,77316,BRACHYTX ISODOSE PLAN SIMPLE,572.0,286.0,54.82,955.09,37
CPT,77317,BRACHYTX ISODOSE INTERMED,1479.0,739.5,71.8,955.09,37
CPT,77318,BRACHYTX ISODOSE COMPLEX,1490.0,745.0,114.01,955.09,37
CPT,77321,SPECIAL RADIATION THERAPY PLANNING FOR DELIVERY OF EXTERNAL RADIATION,1386.0,693.0,33.08,955.09,85
CPT,77321,SPECIAL TELETX PORT PLAN,1490.0,745.0,33.08,955.09,37
CPT,77331,SPECIAL RADIATION DOSIMETRY,711.0,355.5,18.33,342.83,37
CPT,77332,DESIGN AND CONSTRUCTION OF SIMPLE RADIATION TREATMENT DEVICE,1020.0,510.0,18.02,342.83,109
CPT,77332,RADIATION TREATMENT AID(S),1097.0,548.5,18.02,342.83,37
CPT,77333,DESIGN AND CONSTRUCTION OF INTERMEDIATE RADIATION TREATMENT DEVICE,1020.0,510.0,17.82,342.83,133
CPT,77333,RADIATION TREATMENT AID(S),1097.0,548.5,17.82,342.83,37
CPT,77334,DESIGN AND CONSTRUCTION OF COMPLEX RADIATION TREATMENT DEVICE,1530.0,765.0,44.78,955.09,109
CPT,77334,RADIATION TREATMENT AID(S),1097.0,548.5,44.78,955.09,37
CPT,77336,CONTINUING RADIATION THERAPY CONSULTATION PER WEEK,661.0,330.5,84.09,342.83,48
CPT,77336,RADIATION PHYSICS CONSULT,711.0,355.5,51.45,342.83,37
CPT,77338,DESIGN AND CONSTRUCTION OF RADIATION TREATMENT DEVICE FOR HIGH PRECISION RADIATION THERAPY,4733.0,2366.5,168.57,955.09,175
CPT,77338,DESIGN MLC DEVICE FOR IMRT,5088.0,2544.0,168.57,955.09,31
CPT,77370,RADIATION PHYSICS CONSULT,711.0,355.5,84.09,342.83,37
CPT,77370,SPECIAL MEDICAL RADIATION THERAPY CONSULTATION,661.0,330.5,84.09,342.83,109
CPT,77371,COMPLETE SINGLE SESSION COURSE OF CRANIAL LESION SURGERY USING RADIATION,37866.0,18933.0,873.81,18787.02,78
CPT,77371,SRS MULTISOURCE,40706.0,20353.0,873.81,18787.02,30
CPT,77372,SRS LINEAR BASED,15031.0,7515.5,622.55,18787.02,37
CPT,77373,CRANIAL LESION SURGERY USING RADIATION OVER MULTIPLE SESSIONS,4874.0,2437.0,654.45,4560.89,133
CPT,77373,STRTCTC BDY RAD THER TX DLVR,5240.0,2620.0,654.45,4560.89,37
CPT,77385,DELIVERY OF SIMPLE HIGH PRECISION RADIATION TREATMENT,1840.0,920.0,232.13,322.56,13
CPT,77386,DELIVERY OF COMPLEX HIGH PRECISION RADIATION TREATMENT,2360.0,1180.0,230.59,341.39,13
CPT,77387,GUIDANCE FOR RADJ TX DLVR,772.0,386.0,22.86,93.2,30
CPT,77387,IMAGING GUIDANCE FOR LOCALIZATION OF RADIATION TREATMENT,718.0,359.0,22.86,93.2,30
CPT,77402,DELIVERY OF SIMPLE RADIATION TREATMENT,1978.0,989.0,22.58,260.26,54
CPT,77407,DELIVERY OF INTERMEDIATE RADIATION TREATMENT,2537.0,1268.5,34.13,983.81,102
CPT,77412,DELIVERY OF COMPLEX RADIATION TREATMENT,2033.0,1016.5,46.2,1409.4,102
CPT,77412,RADIATION TX DELIVERY LVL 3,3247.0,1623.5,46.2,1409.4,30
CPT,77417,THER RADIOLOGY PORT IMAGE(S),241.0,120.5,11.32,15.5,13
CPT,77417,X-RAY DURING RADIATION THERAPY,224.0,112.0,11.32,15.5,13
CPT,77424,IO RAD TX DELIVERY BY X-RAY,33088.5,16544.25,4608.14,18787.02,48
CPT,77436,SURF RADJ THER TX PLANNING,95.0,47.5,23.37,95.27,24
CPT,77437,SURF RADJ THER SUPFC<=150KV,261.0,130.5,63.84,260.26,24
CPT,77438,SURF RAD THR ORTHVLT>150-500,261.0,130.5,63.84,260.26,24
CPT,77439,SURF RAD THR IMG GDN US PLMT,261.0,130.5,9.91,40.39,24
CPT,77470,SPECIAL RADIATION TREATMENT,2550.5,1275.25,22.58,1409.4,122
CPT,77761,APPLY INTRCAV RADIAT SIMPLE,2414.0,1207.0,94.58,1409.4,37
CPT,77762,APPLY INTRCAV RADIAT INTERM,2414.0,1207.0,136.03,1409.4,37
CPT,77763,APPLY INTRCAV RADIAT COMPL,2414.0,1207.0,168.89,1776.53,37
CPT,77768,HDR RDNCL SKN SURF BRACHYTX,1839.0,919.5,54.82,983.81,31
CPT,77770,HDR RDNCL NTRSTL/ICAV BRCHTX,3843.0,1921.5,76.43,1776.53,37
CPT,77770,HIGH DOSE RADIATION THERAPY; 1 CHANNEL,3574.0,1787.0,76.43,1776.53,61
CPT,77771,HDR RDNCL NTRSTL/ICAV BRCHTX,3843.0,1921.5,149.52,1776.53,37
CPT,77771,HIGH DOSE RADIATION THERAPY; 2-12 CHANNELS,3708.5,1854.25,149.52,1776.53,133
CPT,77772,HDR RDNCL NTRSTL/ICAV BRCHTX,3843.0,1921.5,211.03,1776.53,37
CPT,77772,HIGH DOSE RADIATION THERAPY; MORE THAN 12 CHANNELS,3574.0,1787.0,211.03,1776.53,85
CPT,77778,APPLY INTERSTIT RADIAT COMPL,1136.0,568.0,193.15,1776.53,37
CPT,77790,RADIATION HANDLING,733.5,366.75,12.87,21.24,26
CPT,78012,THYROID UPTAKE MEASUREMENT,1023.0,511.5,6.44,1019.72,37
CPT,78013,NUCLEAR MEDICINE STUDY OF THYROID,708.0,354.0,250.12,1019.72,24
CPT,78013,THYROID IMAGING W/BLOOD FLOW,1023.0,511.5,12.87,1019.72,37
CPT,78014,NUCLEAR MEDICINE STUDY OF THYROID AND THYROID FUNCTION,1169.0,584.5,17.5,1019.72,61
CPT,78014,THYROID IMAGING W/BLOOD FLOW,1257.0,628.5,17.5,1019.72,37
CPT,78018,NUCLEAR MEDICINE STUDY OF WHOLE BODY FOR THYROID CANCER,1543.0,771.5,28.82,1385.0,61
CPT,78018,THYROID MET IMAGING BODY,2484.0,1242.0,28.82,1385.0,37
CPT,78070,PARATHYROID PLANAR IMAGING,1023.0,511.5,28.06,1019.72,37
CPT,78072,NUCLEAR MEDICINE STUDY OF PARATHYROID WITH SPECT AND CT SCAN,4611.0,2305.5,54.56,1385.0,85
CPT,78072,PARATHYRD PLANAR W/SPECT&CT,4485.0,2242.5,54.56,1385.0,37
CPT,78075,ADRENAL CORTEX & MEDULLA IMG,2313.0,1156.5,26.25,3302.32,37
CPT,78102,BONE MARROW IMAGING LTD,1470.0,735.0,18.78,1019.72,37
CPT,78102,NUCLEAR MEDICINE STUDY OF BONE MARROW LIMITED AREA,1367.0,683.5,18.78,1019.72,61
CPT,78120,RED CELL MASS SINGLE,2397.0,1198.5,6.95,1019.72,37
CPT,78122,WHL BLD VOLUME DETERMINATION,2397.0,1198.5,15.45,1385.0,37
CPT,78195,LYMPH SYSTEM IMAGING,1397.0,698.5,41.43,1385.0,37
CPT,78195,NUCLEAR MEDICINE STUDY OF LYMPHATIC SYSTEM,1367.0,683.5,41.43,1385.0,157
CPT,78201,LIVER IMAGING STATIC ONLY,1397.0,698.5,15.18,1385.0,37
CPT,78201,NUCLEAR MEDICINE STUDY OF LIVER,1399.0,699.5,339.72,1385.0,72
CPT,78202,LIVER IMAGING WITH VASC FLOW,1387.0,693.5,18.02,1385.0,37
CPT,78215,LVR&SPLEEN IMG STATIC ONLY,1023.0,511.5,17.24,1019.72,37
CPT,78215,NUCLEAR MEDICINE STUDY OF LIVER AND SPLEEN,1411.0,705.5,250.12,1019.72,48
CPT,78226,HEPATOBILIARY SYSTEM IMAGING,3116.0,1558.0,26.0,1019.72,37
CPT,78226,NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM,2898.0,1449.0,26.0,1019.72,61
CPT,78227,HEPATOBIL SYST IMAGE W/DRUG,3116.0,1558.0,31.4,1385.0,37
CPT,78227,NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM WITH USE OF DRUGS,2898.0,1449.0,31.4,1385.0,61
CPT,78231,SALIVARY GLND IMG SERIAL IMG,1369.0,684.5,15.7,1019.72,37
CPT,78262,GASTROESOPHAGEAL REFLUX STD,1369.0,684.5,24.19,1019.72,37
CPT,78264,GASTRIC EMPTYING IMAG STUDY,1725.0,862.5,27.54,1019.72,37
CPT,78264,NUCLEAR MEDICINE STUDY OF STOMACH TO ASSESS EMPTYING,1273.0,636.5,27.54,1019.72,61
CPT,78278,ACUTE GI BLOOD LOSS IMAGING,1369.0,684.5,34.23,1019.72,37
CPT,78278,NUCLEAR MEDICINE STUDY TO ASSESS BLOOD LOSS,1273.0,636.5,250.12,1019.72,24
CPT,78290,MECKELS DIVERT EXAM,1330.0,665.0,23.68,1019.72,37
CPT,78290,NUCLEAR MEDICINE STUDY OF INTESTINE,1301.5,650.75,23.68,1019.72,61
CPT,78300,BONE IMAGING LIMITED AREA,1576.0,788.0,21.87,1019.72,37
CPT,78306,BONE IMAGING WHOLE BODY,1823.0,911.5,29.85,1019.72,37
CPT,78306,NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY,1562.5,781.25,29.85,1019.72,85
CPT,78315,BONE IMAGING 3 PHASE,1831.0,915.5,35.26,1019.72,37
CPT,78315,NUCLEAR MEDICINE STUDY OF BONE TAKEN AT DIFFERENT TIMES,1302.0,651.0,35.26,1019.72,61
CPT,78429,MYOCRD IMG PET 1 STD W/CT,6504.0,3252.0,11.36,3647.43,37
CPT,78429,NUCLEAR MEDICINE STUDY OF HEART MUSCLE WITH METABOLIC EVALUATION AND CONCURRENT CT SCAN,6050.0,3025.0,11.36,3647.43,37
CPT,78430,MYOCRD IMG PET RST/STRS W/CT,6504.0,3252.0,11.37,3647.43,37
CPT,78431,MYOCRD IMG PET RST&STRS CT,10140.0,5070.0,63.05,5646.43,37
CPT,78431,NUCLEAR MEDICINE STUDIES OF BLOOD FLOW IN HEART MUSCLE AT REST AND WITH STRESS WITH CONCURRENT CT SCAN,9432.0,4716.0,63.05,5646.43,61
CPT,78433,MYOCRD IMG PET 2RTRACER CT,10140.0,5070.0,74.12,5646.43,37
CPT,78433,NUCLEAR MEDICINE STUDY OF HEART MUSCLE WITH METABOLIC AND BLOOD FLOW EVALUATION REQUIRING 2 INJECTIONS AND CONCURRENT CT SCAN,9786.0,4893.0,74.12,5646.43,61
CPT,78434,AQMBF PET REST & RX STRESS,470.0,235.0,18.21,132.06,37
CPT,78434,NUCLEAR MEDICINE STUDY OF HEART MUSCLE BLOOD FLOW BY PET,437.0,218.5,18.21,132.06,61
CPT,78445,NUCLEAR MEDICINE STUDY OF NON-CARDIAC BLOOD FLOW,1067.0,533.5,17.76,1019.72,61
CPT,78445,VASCULAR FLOW IMAGING,1148.0,574.0,17.76,1019.72,37
CPT,78451,HT MUSCLE IMAGE SPECT SING,4350.0,2175.0,47.36,3302.32,37
CPT,78451,NUCLEAR MEDICINE STUDY OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT,4046.0,2023.0,47.36,3302.32,61
CPT,78452,HT MUSCLE IMAGE SPECT MULT,4351.0,2175.5,55.85,3302.32,37
CPT,78452,NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT,4047.0,2023.5,55.85,3302.32,85
CPT,78457,VENOUS THROMBOSIS IMAGING,1148.0,574.0,28.06,1385.0,37
CPT,78459,MYOCRD IMG PET SINGLE STUDY,7962.0,3981.0,52.76,3302.32,37
CPT,78466,HEART INFARCT IMAGE,1919.0,959.5,23.68,1019.72,37
CPT,78472,GATED HEART PLANAR SINGLE,2262.0,1131.0,33.72,1019.72,37
CPT,78472,NUCLEAR MEDICINE STUDY OF HEART PUMPING FUNCTION BY LABELING RED BLOOD CELLS WITH MEASUREMENT OF INTERNAL BLOOD VOLUME EJECTED WITH EVERY BEAT OVER MULTIPLE CYCLES,1550.0,775.0,33.72,1019.72,61
CPT,78473,GATED HEART MULTIPLE,2418.0,1209.0,50.96,1019.72,37
CPT,78492,MYOCRD IMG PET MLT RST&STRS,7962.0,3981.0,59.97,3647.43,37
CPT,78580,LUNG PERFUSION IMAGING,1127.0,563.5,26.0,1019.72,37
CPT,78580,NUCLEAR MEDICINE STUDY OF LUNG CIRCULATION,1048.0,524.0,26.0,1019.72,61
CPT,78582,LUNG VENTILAT&PERFUS IMAGING,3310.0,1655.0,36.8,1385.0,37
CPT,78582,NUCLEAR MEDICINE STUDY OF LUNG VENTILATION AND CIRCULATION,3469.5,1734.75,36.8,1385.0,61
CPT,78597,LUNG PERFUSION DIFFERENTIAL,2147.0,1073.5,25.22,1019.72,37
CPT,78597,NUCLEAR MEDICINE STUDY OF LUNG VENTILATION AND BLOOD FLOW TO LUNG,1997.0,998.5,25.22,1019.72,61
CPT,78606,BRAIN IMAGE W/FLOW 4 + VIEWS,3481.0,1740.5,22.39,1385.0,37
CPT,78608,NUCLEAR MEDICINE STUDY OF BRAIN WITH METABOLIC EVALUATION,7684.0,3842.0,49.67,3647.43,157
CPT,78609,BRAIN IMAGING (PET),7143.0,3571.5,52.76,53.77,7
CPT,78610,BRAIN FLOW IMAGING ONLY,1375.0,687.5,10.29,1385.0,37
CPT,78630,CEREBROSPINAL FLUID SCAN,1447.0,723.5,23.68,1385.0,37
CPT,78630,NUCLEAR MEDICINE STUDY OF CEREBROSPINAL FLUID FLOW AFTER INJECTION OF CONTRAST INTO LOWER SPINE,1931.0,965.5,23.68,1385.0,98
CPT,78645,CSF SHUNT EVALUATION,1861.0,930.5,19.81,1385.0,37
CPT,78645,NUCLEAR MEDICINE STUDY OF CEREBROSPINAL FLUID FLOW TO EVALUATE SHUNT,1279.0,639.5,19.81,1385.0,61
CPT,78650,CSF LEAKAGE IMAGING,3414.0,1707.0,18.27,3302.32,37
CPT,78701,KIDNEY IMAGING WITH FLOW,1843.0,921.5,17.5,1019.72,37
CPT,78701,NUCLEAR MEDICINE STUDY OF KIDNEY AND BLOOD FLOW,1714.0,857.0,17.5,1019.72,61
CPT,78707,K FLOW/FUNCT IMAGE W/O DRUG,1843.0,921.5,32.94,1385.0,37
CPT,78707,NUCLEAR MEDICINE STUDY OF KIDNEY; BLOOD FLOW; AND FUNCTION,1714.0,857.0,32.94,1385.0,61
CPT,78708,K FLOW/FUNCT IMAGE W/DRUG,1863.0,931.5,41.7,1385.0,37
CPT,78708,NUCLEAR MEDICINE STUDY OF KIDNEY; BLOOD; FLOW; AND FUNCTION WITH DRUG ADMINISTRATION,1714.0,857.0,41.7,1385.0,61
CPT,78740,URETERAL REFLUX STUDY,1843.0,921.5,20.08,1019.72,37
CPT,78761,TESTICULAR IMAGING W/FLOW,1843.0,921.5,25.22,1019.72,37
CPT,78800,RP LOCLZJ TUM 1 AREA 1 D IMG,2000.0,1000.0,23.16,1019.72,111
CPT,78801,RP LOCLZJ TUM 2+AREA 1+D IMG,1829.0,914.5,25.22,1019.72,37
CPT,78802,NUCLEAR MEDICINE STUDY; WHOLE BODY,2528.0,1264.0,27.54,1385.0,61
CPT,78802,RP LOCLZJ TUM WHBDY 1 D IMG,3548.5,1774.25,27.54,1385.0,74
CPT,78803,NUCLEAR MEDICINE STUDY; 1 AREA WITH SPECT,5226.0,2613.0,37.05,1385.0,61
CPT,78803,RP LOCLZJ TUM SPECT 1 AREA,5937.0,2968.5,37.05,1385.0,74
CPT,78804,NUCLEAR MEDICINE STUDY; WHOLE BODY REQUIRING MULTIPLE IMAGING DAYS,5618.0,2809.0,339.72,1385.0,24
CPT,78804,RP LOCLZJ TUM WHBDY 2+D IMG,5618.0,2809.0,34.48,1385.0,37
CPT,78811,PET IMAGE LTD AREA,5665.0,2832.5,51.21,3302.32,37
CPT,78812,PET IMAGE SKULL-THIGH,7636.0,3818.0,64.86,3647.43,37
CPT,78813,PET IMAGE FULL BODY,7571.0,3785.5,66.14,3647.43,37
CPT,78814,NUCLEAR MEDICINE STUDY LIMITED AREA WITH CT SCAN,7406.0,3703.0,894.65,3647.43,168
CPT,78814,PET IMAGE W/CT LMTD,7962.0,3981.0,73.61,3647.43,37
CPT,78815,NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN,7406.0,3703.0,82.61,3647.43,253
CPT,78815,PET IMAGE W/CT SKULL-THIGH,7962.0,3981.0,82.61,3647.43,37
CPT,78816,NUCLEAR MEDICINE STUDY WHOLE BODY WITH CT SCAN,7406.0,3703.0,82.87,3647.43,181
CPT,78816,PET IMAGE W/CT FULL BODY,7962.0,3981.0,82.87,3647.43,37
CPT,78830,NUCLEAR MEDICINE STUDY; 1 AREA WITH SPECT AND CONCURRENT CT SCAN,5331.0,2665.5,50.18,3302.32,133
CPT,78830,RP LOCLZJ TUM SPECT W/CT 1,5731.0,2865.5,50.18,3302.32,37
CPT,78831,RP LOCLZJ TUM SPECT 2 AREAS,5318.0,2659.0,62.54,3302.32,37
CPT,78832,NUCLEAR MEDICINE STUDY; MULTIPLE AREAS WITH SPECT AND CONCURRENT CT SCAN,6277.0,3138.5,72.06,3647.43,109
CPT,78832,RP LOCLZJ TUM SPECT W/CT 2,6504.0,3252.0,72.06,3647.43,37
CPT,78835,RP QUAN MEAS SINGLE AREA,321.0,160.5,13.62,75.0,37
CPT,78999,UNLISTED MISC PX DX NUC MED,578.0,289.0,250.12,1019.72,24
CPT,79005,NUCLEAR RX ORAL ADMIN,1984.0,992.0,39.68,595.16,37
CPT,79005,RADIOACTIVE DRUG THERAPY BY MOUTH,1194.0,597.0,39.68,595.16,61
CPT,79101,NUCLEAR RX IV ADMIN,1369.0,684.5,39.09,595.16,37
CPT,79101,RADIOACTIVE DRUG THERAPY THROUGH A VEIN,1194.0,597.0,39.09,595.16,85
CPT,79200,NUCLEAR RX INTRACAV ADMIN,1873.0,936.5,59.19,595.16,37
CPT,79445,NUCLEAR RX INTRA-ARTERIAL,1873.0,936.5,82.61,595.16,31
CPT,79445,RADIOACTIVE DRUG THERAPY THROUGH A TUBE INSERTED IN AN ARTERY,1194.0,597.0,82.61,595.16,55
CPT,80047,BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; IONIZED),128.0,64.0,8.92,21.69,85
CPT,80048,BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL),78.0,39.0,5.5,13.37,229
CPT,80050,GENERAL HEALTH PANEL,421.5,210.75,46.08,52.67,26
CPT,80051,BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE),65.0,32.5,4.56,11.08,85
CPT,80053,BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS,77.5,38.75,6.86,16.68,205
CPT,80055,OBSTETRIC PANEL,18.0,9.0,12.6,75.54,37
CPT,80061,BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES),90.7,45.35,8.7,21.16,253
CPT,80061,LIPID PANEL,137.0,68.5,8.7,21.16,74
CPT,80069,KIDNEY FUNCTION BLOOD TEST PANEL,63.5,31.75,5.64,13.71,109
CPT,80074,ACUTE HEPATITIS PANEL,349.5,174.75,30.96,75.26,85
CPT,80076,LIVER FUNCTION BLOOD TEST PANEL,63.0,31.5,5.31,12.91,98
CPT,80143,MEASUREMENT OF ACETAMINOPHEN,28.0,14.0,12.12,29.45,31
CPT,80145,DRUG ASSAY ADALIMUMAB,910.0,455.0,25.07,60.94,31
CPT,80145,MEASUREMENT OF ADALIMUMAB,200.0,100.0,25.07,60.94,31
CPT,80150,ASSAY OF AMIKACIN,218.0,109.0,9.8,23.83,37
CPT,80151,MEASUREMENT OF AMIODARONE,28.0,14.0,12.12,29.45,31
CPT,80155,DRUG ASSAY CAFFEINE,195.0,97.5,16.21,60.94,74
CPT,80156,CARBAMAZEPINE LEVEL; TOTAL,211.0,105.5,9.47,23.02,37
CPT,80157,ASSAY CARBAMAZEPINE FREE,241.5,120.75,8.61,20.94,74
CPT,80158,CYCLOSPORINE LEVEL,348.0,174.0,11.73,28.52,37
CPT,80159,DRUG ASSAY CLOZAPINE,50.0,25.0,13.1,31.84,37
CPT,80162,DIGOXIN LEVEL; TOTAL,118.5,59.25,8.63,20.98,61
CPT,80164,ASSAY DIPROPYLACETIC ACD TOT,45.0,22.5,8.8,22.46,74
CPT,80164,VALPROIC ACID LEVEL; TOTAL,196.0,98.0,8.8,22.46,37
CPT,80165,DIPROPYLACETIC ACID FREE,47.0,23.5,8.8,21.39,37
CPT,80165,VALPROIC ACID LEVEL; FREE,43.0,21.5,8.8,21.39,37
CPT,80167,MEASUREMENT OF FELBAMATE,68.0,34.0,12.12,29.45,31
CPT,80168,ETHOSUXIMIDE LEVEL,18.0,9.0,10.62,25.82,37
CPT,80169,DRUG ASSAY EVEROLIMUS,221.0,110.5,8.92,21.69,111
CPT,80169,EVEROLIMUS LEVEL,38.4,19.2,8.92,21.69,37
CPT,80170,GENTAMICIN (ANTIBIOTIC) LEVEL,181.0,90.5,10.65,25.88,37
CPT,80171,GABAPENTIN LEVEL,50.0,25.0,14.09,34.24,37
CPT,80173,ASSAY OF HALOPERIDOL,66.0,33.0,10.26,24.93,37
CPT,80173,HALOPERIDOL LEVEL,68.43,34.22,10.26,24.93,37
CPT,80175,DRUG SCREEN QUAN LAMOTRIGINE,103.0,51.5,8.61,20.94,37
CPT,80175,LAMOTRIGINE LEVEL,22.0,11.0,8.61,20.94,37
CPT,80176,ASSAY OF LIDOCAINE,41.5,20.75,9.55,23.21,74
CPT,80177,DRUG SCRN QUAN LEVETIRACETAM,103.0,51.5,8.61,20.94,37
CPT,80177,LEVETIRACETAM LEVEL,62.0,31.0,8.61,20.94,37
CPT,80178,LITHIUM LEVEL,95.0,47.5,4.3,10.44,37
CPT,80179,MEASUREMENT OF SALICYLATE,86.0,43.0,12.12,29.45,31
CPT,80180,DRUG SCRN QUAN MYCOPHENOLATE,81.0,40.5,11.73,28.52,37
CPT,80180,MYCOPHENOLATE (MYCOPHENOLIC ACID) LEVEL,116.0,58.0,11.73,28.52,74
CPT,80181,MEASUREMENT OF FLECAINIDE,28.0,14.0,12.12,29.45,31
CPT,80183,OXCARBAZEPINE LEVEL,56.0,28.0,8.61,20.94,37
CPT,80184,ASSAY OF PHENOBARBITAL,100.5,50.25,6.0,24.17,74
CPT,80184,PHENOBARBITAL LEVEL,117.0,58.5,9.94,24.17,37
CPT,80185,ASSAY OF PHENYTOIN TOTAL,211.0,105.5,8.61,20.94,37
CPT,80185,PHENYTOIN LEVEL; TOTAL,127.0,63.5,8.61,20.93,37
CPT,80186,ASSAY OF PHENYTOIN FREE,52.0,26.0,8.94,21.74,37
CPT,80186,PHENYTOIN LEVEL; FREE,316.0,158.0,8.94,21.74,37
CPT,80187,DRUG ASSAY POSACONAZOLE,300.0,150.0,17.62,42.83,37
CPT,80187,MEASUREMENT OF POSACONAZOLE,180.0,90.0,17.62,42.83,37
CPT,80188,PRIMIDONE LEVEL,11.0,5.5,10.78,26.21,37
CPT,80189,MEASUREMENT OF ITRACONAZOLE,126.0,63.0,17.62,42.83,37
CPT,80190,ASSAY OF PROCAINAMIDE,47.0,23.5,20.48,94.8,37
CPT,80192,ASSAY OF PROCAINAMIDE,80.0,40.0,10.89,26.47,37
CPT,80193,DRUG ASSAY LEFLUNOMIDE,228.0,114.0,25.07,60.94,31
CPT,80194,ASSAY OF QUINIDINE,335.0,167.5,9.49,23.07,37
CPT,80195,ASSAY OF SIROLIMUS,53.0,26.5,8.92,21.69,37
CPT,80195,SIROLIMUS LEVEL,64.0,32.0,8.92,21.69,37
CPT,80197,ASSAY OF TACROLIMUS,369.0,184.5,8.92,21.69,37
CPT,80197,TACROLIMUS LEVEL,295.0,147.5,8.92,21.69,61
CPT,80198,THEOPHYLLINE LEVEL,144.0,72.0,9.19,22.34,37
CPT,80199,DRUG SCREEN QUANT TIAGABINE,100.0,50.0,17.62,42.83,37
CPT,80200,ASSAY OF TOBRAMYCIN,245.0,122.5,10.48,25.49,37
CPT,80201,TOPIRAMATE LEVEL,40.0,20.0,7.75,18.83,37
CPT,80202,VANCOMYCIN (ANTIBIOTIC) LEVEL,190.0,95.0,8.8,22.46,37
CPT,80203,ZONISAMIDE LEVEL,57.0,28.5,8.61,20.94,37
CPT,80204,DRUG ASSAY METHOTREXATE,645.0,322.5,25.07,60.94,31
CPT,80204,MEASUREMENT OF METHOTREXATE,378.0,189.0,25.07,60.94,31
CPT,80210,DRUG ASSAY RUFINAMIDE,116.0,58.0,17.62,42.83,62
CPT,80210,MEASUREMENT OF RUFINAMIDE,103.0,51.5,17.62,42.83,31
CPT,80220,MEASUREMENT OF HYDROXYCHLOROQUINE,242.0,121.0,12.12,29.45,31
CPT,80230,DRUG ASSAY INFLIXIMAB,200.0,100.0,25.07,60.94,31
CPT,80230,MEASUREMENT OF INFLIXIMAB,767.0,383.5,25.07,60.94,62
CPT,80235,DRUG ASSAY LACOSAMIDE,159.0,79.5,17.62,42.83,31
CPT,80235,MEASUREMENT OF LACOSAMIDE,160.0,80.0,17.62,42.83,31
CPT,80280,MEASUREMENT OF VEDOLIZUMAB,630.0,315.0,25.07,60.94,62
CPT,80285,MEASUREMENT OF VORICONAZOLE,239.0,119.5,17.62,42.83,37
CPT,80299,QUANTITATION OF THERAPEUTIC DRUG,180.0,90.0,12.12,29.45,74
CPT,80299,QUANTITATIVE ASSAY DRUG,143.0,71.5,12.12,29.45,1405
CPT,80305,DRUG TEST PRSMV DIR OPT OBS,67.5,33.75,8.19,19.91,148
CPT,80306,DRUG TEST PRSMV INSTRMNT,62.0,31.0,11.14,27.08,37
CPT,80306,TESTING FOR PRESENCE OF DRUG; READ BY INSTRUMENT ASSISTED OBSERVATION,37.2,18.6,11.14,27.08,37
CPT,80307,DRUG TEST PRSMV CHEM ANLYZR,158.5,79.25,6.0,98.18,2220
CPT,80307,TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS,295.0,147.5,40.39,98.18,170
CPT,80320,DRUG SCREEN QUANTALCOHOLS,40.0,20.0,10.0,14.11,30
CPT,80321,ALCOHOLS BIOMARKERS 1OR 2,25.0,12.5,10.0,14.11,12
CPT,80321,ALCOHOLS LEVELS; 1 OR 2,197.0,98.5,12.35,14.11,12
CPT,80323,ALKALOIDS LEVELS,80.0,40.0,,,0
CPT,80323,ALKALOIDS NOS,68.0,34.0,,,0
CPT,80324,AMPHETAMINES LEVELS; 1 OR 2,97.0,48.5,16.59,18.96,12
CPT,80324,DRUG SCREEN AMPHETAMINES 1/2,52.0,26.0,16.59,18.96,12
CPT,80326,AMPHETAMINES 5 OR MORE,57.0,28.5,10.0,18.96,18
CPT,80329,ANALGESICS NON-OPIOID 1 OR 2,90.0,45.0,8.12,9.28,6
CPT,80330,ANALGESICS NON-OPIOID 3-5,10.0,5.0,8.12,9.28,6
CPT,80331,ANALGESICS NON-OPIOID 6/MORE,10.0,5.0,8.12,9.28,6
CPT,80333,ANTIDEPRESSANTS CLASS 3-5,10.0,5.0,,,0
CPT,80334,ANTIDEPRESSANTS CLASS 6/MORE,10.0,5.0,,,0
CPT,80335,ANTIDEPRESSANT TRICYCLIC 1/2,32.0,16.0,15.49,17.7,24
CPT,80337,TRICYCLIC & CYCLICALS 6/MORE,10.0,5.0,10.0,16.52,6
CPT,80338,ANTIDEPRESSANT NOT SPECIFIED,10.0,5.0,,,0
CPT,80339,ANTIEPILEPTICS LEVELS; 1-3,164.0,82.0,,,0
CPT,80339,ANTIEPILEPTICS NOS 1-3,162.0,81.0,,,0
CPT,80340,ANTIEPILEPTICS NOS 4-6,10.0,5.0,,,0
CPT,80341,ANTIEPILEPTICS NOS 7/MORE,10.0,5.0,,,0
CPT,80344,ANTIPSYCHOTICS NOS 7/MORE,10.0,5.0,10.0,18.98,6
CPT,80345,BARBITURATES LEVELS,40.0,20.0,13.08,14.95,6
CPT,80345,DRUG SCREENING BARBITURATES,122.0,61.0,10.0,14.95,30
CPT,80346,BENZODIAZEPINES LEVELS; 1-12,164.0,82.0,17.98,20.54,6
CPT,80346,BENZODIAZEPINES1-12,40.0,20.0,10.0,20.54,30
CPT,80347,BENZODIAZEPINES 13 OR MORE,140.5,70.25,17.98,20.54,12
CPT,80348,BUPRENORPHINE LEVEL,85.0,42.5,47.93,54.78,6
CPT,80348,DRUG SCREENING BUPRENORPHINE,15.0,7.5,10.0,51.13,12
CPT,80349,CANNABINOIDS LEVELS; NATURAL,482.0,241.0,13.48,15.41,6
CPT,80349,CANNABINOIDS NATURAL,102.0,51.0,10.0,15.41,24
CPT,80352,CANNABINOIDS LEVELS; SYNTHETIC; 7 OR MORE,150.0,75.0,,,0
CPT,80353,COCAINE LEVEL,40.0,20.0,15.95,18.23,6
CPT,80353,DRUG SCREENING COCAINE,128.0,64.0,10.0,18.23,24
CPT,80354,DRUG SCREENING FENTANYL,40.0,20.0,10.0,41.66,18
CPT,80354,FENTANYL LEVEL,170.0,85.0,36.46,41.66,6
CPT,80355,GABAPENTIN LEVEL NON-BLOOD,40.0,20.0,,,0
CPT,80355,GABAPENTIN NON-BLOOD,33.5,16.75,,,0
CPT,80356,HEROIN METABOLITE,40.0,20.0,,,0
CPT,80357,KETAMINE AND NORKETAMINE,155.0,77.5,,,0
CPT,80358,DRUG SCREENING METHADONE,80.0,40.0,10.0,21.28,30
CPT,80359,METHYLENEDIOXYAMPHETAMINES,69.0,34.5,,,0
CPT,80359,METHYLENEDIOXYAMPHETAMINES LEVELS,124.0,62.0,,,0
CPT,80360,METHYLPHENIDATE,40.0,20.0,,,0
CPT,80360,METHYLPHENIDATE LEVEL,84.5,42.25,,,0
CPT,80361,OPIATES 1 OR MORE,33.0,16.5,10.0,25.42,18
CPT,80362,OPIOIDS & OPIATE ANALOGS 1/2,20.0,10.0,20.0,23.72,6
CPT,80362,OPIOIDS LEVELS; 1 OR 2,85.0,42.5,22.24,25.42,6
CPT,80364,OPIOID &OPIATE ANALOG 5/MORE,33.5,16.75,10.0,25.42,12
CPT,80364,OPIOIDS LEVELS; 5 OR MORE,150.0,75.0,22.24,25.42,6
CPT,80365,DRUG SCREENING OXYCODONE,55.0,27.5,10.0,40.14,24
CPT,80366,DRUG SCREENING PREGABALIN,10.0,5.0,,,0
CPT,80366,PREGABALIN LEVEL,170.0,85.0,,,0
CPT,80367,DRUG SCREENING PROPOXYPHENE,40.0,20.0,,,0
CPT,80368,SEDATIVE HYPNOTICS,82.0,41.0,,,0
CPT,80370,SKEL MUSC RELAXANT 3 OR MORE,10.0,5.0,10.0,21.48,6
CPT,80371,STIMULANTS SYNTHETIC,90.0,45.0,,,0
CPT,80371,SYNTHETIC STIMULANTS LEVELS,150.0,75.0,,,0
CPT,80372,DRUG SCREENING TAPENTADOL,25.0,12.5,,,0
CPT,80373,DRUG SCREENING TRAMADOL,53.5,26.75,,,0
CPT,80375,DRUG/SUBSTANCE NOS 1-3,209.5,104.75,18.62,21.28,24
CPT,80377,DRUG/SUBSTANCE NOS 7/MORE,10.0,5.0,,,0
CPT,80377,DRUGS OR SUBSTANCES MEASUREMENT; 7 OR MORE,220.0,110.0,,,0
CPT,80400,ACTH STIMULATION PANEL,440.0,220.0,21.2,54.07,37
CPT,81000,MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED,32.0,16.0,2.61,6.35,61
CPT,81000,URINALYSIS NONAUTO W/SCOPE,35.0,17.5,2.61,6.35,37
CPT,81001,MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED,104.0,52.0,2.06,5.01,157
CPT,81001,URINALYSIS AUTO W/SCOPE,68.5,34.25,2.06,5.01,74
CPT,81002,URINALYSIS NONAUTO W/O SCOPE,26.0,13.0,2.26,5.5,74
CPT,81002,URINALYSIS; MANUAL TEST,34.5,17.25,2.26,5.5,157
CPT,81003,AUTOMATED URINALYSIS TEST,34.2,17.1,1.46,3.72,157
CPT,81003,URINALYSIS AUTO W/O SCOPE,22.5,11.25,1.46,3.72,148
CPT,81005,URINALYSIS,22.0,11.0,1.41,3.59,74
CPT,81015,URINALYSIS USING MICROSCOPE,57.0,28.5,1.98,4.82,37
CPT,81025,URINE PREGNANCY TEST,40.0,20.0,4.2,13.6,159
CPT,81050,URINALYSIS VOLUME MEASURE,6.0,3.0,2.37,5.75,31
CPT,81099,UNLISTED ANALYSIS OF URINE,144.0,72.0,,,0
CPT,81105,GENE ANALYSIS (HUMAN PLATELET ANTIGEN 1) FOR COMMON VARIANT,155.0,77.5,79.44,193.11,37
CPT,81106,GENE ANALYSIS (HUMAN PLATELET ANTIGEN 2) FOR COMMON VARIANT,155.0,77.5,79.44,193.11,31
CPT,81107,GENE ANALYSIS (HUMAN PLATELET ANTIGEN 3) FOR COMMON VARIANT,155.0,77.5,79.44,193.11,31
CPT,81108,GENE ANALYSIS (HUMAN PLATELET ANTIGEN 4) FOR COMMON VARIANT,155.0,77.5,79.44,193.11,31
CPT,81109,GENE ANALYSIS (HUMAN PLATELET ANTIGEN 5) FOR COMMON VARIANT,155.0,77.5,79.44,193.11,31
CPT,81110,GENE ANALYSIS (HUMAN PLATELET ANTIGEN 6) FOR COMMON VARIANT,155.0,77.5,79.44,193.11,31
CPT,81111,GENE ANALYSIS (HUMAN PLATELET ANTIGEN 9) FOR COMMON VARIANT,155.0,77.5,79.44,193.11,31
CPT,81112,GENE ANALYSIS (HUMAN PLATELET ANTIGEN 15) FOR COMMON VARIANT,155.0,77.5,79.44,193.11,31
CPT,81162,GENE ANALYSIS (BREAST CANCER 1 AND 2) OF FULL SEQUENCE AND ANALYSIS FOR DUPLICATION OR DELETION VARIANTS,2400.0,1200.0,1186.17,2883.31,37
CPT,81163,BRCA1&2 GENE FULL SEQ ALYS,1014.0,507.0,304.2,739.44,37
CPT,81170,ABL1 GENE,830.0,415.0,195.0,474.0,37
CPT,81170,GENE ANALYSIS (ABL PROTO-ONCOGENE 1; NON-RECEPTOR TYROSINE KINASE),594.0,297.0,195.0,474.0,37
CPT,81185,GENE ANALYSIS (CALCIUM VOLTAGE-GATED CHANNEL SUBUNIT ALPHA1 A) OF FULL SEQUENCE,3205.0,1602.5,550.08,1337.11,31
CPT,81188,GENE ANALYSIS (CYSTATIN B) FOR ABNORMAL ALLELES,1274.0,637.0,89.05,216.46,31
CPT,81194,NTRK TRANSLOCATION ANALYSIS,1400.5,700.25,336.88,818.88,62
CPT,81200,ASPA GENE,45.5,22.75,30.71,140.58,74
CPT,81204,GENE ANALYSIS (ANDROGEN RECEPTOR) FOR CHARACTERIZATION OF ALLELES,1742.0,871.0,89.05,216.46,31
CPT,81205,BCKDHB GENE,58.5,29.25,61.74,150.08,62
CPT,81206,BCR/ABL1 GENE MAJOR BP,399.0,199.5,106.57,259.06,186
CPT,81206,TRANSLOCATION ANALYSIS (BCR/ABL1) MAJOR BREAKPOINT,100.0,50.0,106.57,259.06,55
CPT,81207,BCR/ABL1 GENE MINOR BP,655.5,327.75,94.15,228.85,248
CPT,81207,TRANSLOCATION ANALYSIS (BCR/ABL1) MINOR BREAKPOINT,100.0,50.0,94.15,228.85,55
CPT,81208,BCR/ABL1 GENE OTHER BP,398.5,199.25,139.5,339.1,62
CPT,81209,BLM GENE,45.5,22.75,25.55,62.11,62
CPT,81210,BRAF GENE,879.0,439.5,114.01,277.13,259
CPT,81210,GENE ANALYSIS (V-RAF MURINE SARCOMA VIRAL ONCOGENE HOMOLOG B1),400.0,200.0,114.01,277.13,37
CPT,81218,CEBPA GENE FULL SEQUENCE,861.5,430.75,157.24,382.2,74
CPT,81219,CALR GENE COM VARIANTS,813.0,406.5,79.06,192.18,72
CPT,81219,GENE ANALYSIS (CALRETICULIN); COMMON VARIANTS,250.0,125.0,79.06,192.18,48
CPT,81220,CFTR GENE COM VARIANTS,294.0,147.0,162.0,879.43,333
CPT,81220,GENE ANALYSIS (CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULAR) COMMON VARIANTS,250.0,125.0,250.0,879.43,37
CPT,81221,CFTR GENE KNOWN FAM VARIANTS,300.5,150.25,63.19,153.61,74
CPT,81222,CFTR GENE DUP/DELET VARIANTS,1501.0,750.5,282.8,687.41,111
CPT,81222,GENE ANALYSIS (CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULAR) DUPLICATION OR DELETION VARIANTS,214.0,107.0,282.8,687.41,24
CPT,81223,CFTR GENE FULL SEQUENCE,2054.5,1027.25,324.35,788.42,74
CPT,81223,GENE ANALYSIS (CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULAR) FULL GENE SEQUENCE,4930.0,2465.0,324.35,788.42,37
CPT,81225,CYP2C19 GENE COM VARIANTS,1726.0,863.0,189.38,460.35,93
CPT,81225,GENE ANALYSIS (CYTOCHROME P450; FAMILY 2; SUBFAMILY C; POLYPEPTIDE 19) COMMON VARIANTS,1470.0,735.0,189.38,460.35,31
CPT,81226,CYP2D6 GENE COM VARIANTS,621.5,310.75,293.09,712.44,60
CPT,81227,CYP2C9 GENE COM VARIANTS,532.5,266.25,113.63,276.2,124
CPT,81228,CYTOG ALYS CHRML ABNR CGH,2318.0,1159.0,585.0,1422.0,31
CPT,81229,CYTOG ALYS CHRML ABNR SNPCGH,2805.0,1402.5,754.0,1832.8,155
CPT,81229,GENOME-WIDE MICROARRAY ANALYSIS FOR COPY NUMBER AND SINGLE NUCLEOTIDE POLYMORPHISM (SNP) VARIANTS,1551.5,775.75,754.0,1832.8,117
CPT,81232,DPYD GENE COMMON VARIANTS,813.0,406.5,113.63,276.2,48
CPT,81232,GENE ANALYSIS (DIHYDROPYRIMIDINE DEHYDROGENASE) FOR COMMON VARIANT,1476.0,738.0,113.63,276.2,48
CPT,81235,EGFR GENE COM VARIANTS,1477.0,738.5,210.98,512.84,222
CPT,81240,F2 GENE,849.0,424.5,42.7,103.79,74
CPT,81240,GENE ANALYSIS (PROTHROMBIN; COAGULATION FACTOR II) A VARIANT,1066.0,533.0,42.7,103.79,109
CPT,81241,F5 GENE,849.0,424.5,47.69,115.92,74
CPT,81241,GENE ANALYSIS (COAGULATION FACTOR V) LEIDEN VARIANT,805.5,402.75,47.69,115.92,85
CPT,81242,FANCC GENE,241.0,120.5,23.8,57.86,124
CPT,81243,FMR1 GEN ALY DETC ABNL ALLEL,839.5,419.75,37.08,90.12,74
CPT,81243,GENE ANALYSIS (FRAGILE X MENTAL RETARDATION) ABNORMAL ALLELES,150.0,75.0,37.08,90.12,37
CPT,81244,FMR1 GEN ALYS CHARAC ALLELES,563.0,281.5,29.18,99.54,111
CPT,81245,FLT3 GENE,515.0,257.5,107.58,261.51,143
CPT,81246,FLT3 GENE ANALYSIS,439.0,219.5,53.95,131.14,31
CPT,81249,GENE ANALYSIS (GLUCOSE-6-PHOSPHATE DEHYDROGENASE) FULL SEQUENCE ANALYSIS,885.0,442.5,390.0,948.0,31
CPT,81250,G6PC GENE,45.5,22.75,38.02,92.41,48
CPT,81251,GBA GENE,51.0,25.5,30.71,74.66,72
CPT,81255,HEXA GENE,45.5,22.75,33.44,167.81,74
CPT,81256,GENE ANALYSIS (HEMOCHROMATOSIS) COMMON VARIANTS,170.0,85.0,42.48,103.27,85
CPT,81256,HFE GENE,402.0,201.0,42.48,103.27,37
CPT,81257,HBA1/HBA2 GENE,931.0,465.5,66.47,244.45,111
CPT,81259,HBA1/HBA2 FULL GENE SEQUENCE,765.0,382.5,390.0,948.0,93
CPT,81260,IKBKAP GENE,45.5,22.75,25.55,133.66,60
CPT,81261,GENE REARRANGEMENT ANALYSIS (IMMUNOGLOBULIN HEAVY CHAIN LOCUS) TO DETECT ABNORMAL CLONAL POPULATION AMPLIFIED METHODOLOGY,399.0,199.5,128.69,312.82,37
CPT,81261,IGH GENE REARRANGE AMP METH,568.0,284.0,128.69,312.82,219
CPT,81262,IGH GENE REARRANG DIR PROBE,837.5,418.75,44.56,108.31,148
CPT,81263,GENE REARRANGEMENT ANALYSIS (IMMUNOGLOBULIN HEAVY CHAIN LOCUS); VARIABLE REGION SOMATIC MUTATION ANALYSIS,370.0,185.0,191.44,465.34,61
CPT,81263,IGH VARI REGIONAL MUTATION,1050.0,525.0,191.44,465.34,74
CPT,81264,GENE REARRANGEMENT ANALYSIS (IMMUNOGLOBULIN KAPPA LIGHT CHAIN LOCUS) TO DETECT ABNORMAL CLONAL POPULATION,951.0,475.5,112.27,272.91,61
CPT,81264,IGK REARRANGEABN CLONAL POP,510.5,255.25,112.27,272.91,222
CPT,81265,COMPARATIVE ANALYSIS USING SHORT TANDEM REPEAT (STR) MARKERS OF PATIENT AND SPECIMEN,964.5,482.25,151.5,368.25,158
CPT,81265,STR MARKERS SPECIMEN ANAL,484.0,242.0,151.5,368.25,210
CPT,81267,CHIMERISM ANAL NO CELL SELEC,304.0,152.0,134.85,327.79,89
CPT,81267,CHIMERISM ANALYSIS POST TRANSPLANTATION; WITHOUT CELL SELECTION,484.0,242.0,134.85,327.79,55
CPT,81268,CHIMERISM ANAL W/CELL SELECT,478.5,239.25,169.51,412.05,62
CPT,81268,CHIMERISM ANALYSIS POST TRANSPLANTATION; WITH CELL SELECTION,730.0,365.0,169.51,412.05,103
CPT,81269,GENE ANALYSIS (ALPHA GLOBIN 1 AND ALPHA GLOBIN 2) FOR DUPLICATION/DELETION VARIANTS,1238.6399999999999,619.3199999999999,131.56,319.79,62
CPT,81270,GENE ANALYSIS (JANUS KINASE 2) VARIANT,455.0,227.5,59.58,144.82,218
CPT,81270,JAK2 GENE,618.0,309.0,59.58,144.82,259
CPT,81271,GENE ANALYSIS (HUNTINGTIN) FOR ABNORMAL ALLELES,714.0,357.0,89.05,216.46,62
CPT,81272,GENE ANALYSIS (V-KIT HARDY-ZUCKERMAN 4 FELINE SARCOMA VIRAL ONCOGENE HOMOLOG); TARGETED SEQUENCE,400.0,200.0,214.18,520.63,37
CPT,81272,KIT GENE TARGETED SEQ ANALYS,709.0,354.5,214.18,520.63,74
CPT,81273,GENE ANALYSIS (V-KIT HARDY-ZUCKERMAN 4 FELINE SARCOMA VIRAL ONCOGENE HOMOLOG); D816 VARIANTS,1383.0,691.5,81.17,197.29,60
CPT,81275,KRAS GENE VARIANTS EXON 2,452.5,226.25,125.61,305.34,369
CPT,81276,KRAS GENE ADDL VARIANTS,354.5,177.25,125.61,305.34,222
CPT,81279,GENE ANALYSIS (JANUS KINASE 2) TARGETED SEQUENCE ANALYSIS,271.0,135.5,120.38,292.62,37
CPT,81287,MGMT GENE PRMTR MTHYLTN ALYS,1020.5,510.25,81.02,196.93,60
CPT,81288,MLH1 GENE,931.0,465.5,125.01,303.87,31
CPT,81288,TEST FOR DETECTING GENES ASSOCIATED WITH COLON CANCER; PROMOTER METHYLATION ANALYSIS,590.0,295.0,125.01,303.87,103
CPT,81290,MCOLN1 GENE,45.5,22.75,25.55,62.11,62
CPT,81291,GENE ANALYSIS (5; 10-METHYLENETETRAHYDROFOLATE REDUCTASE) COMMON VARIANTS,172.0,86.0,42.47,103.24,55
CPT,81291,MTHFR GENE,227.5,113.75,42.47,103.24,62
CPT,81301,MICROSATELLITE INSTABILITY,1205.0,602.5,226.56,550.72,37
CPT,81301,MICROSATELLITE INSTABILITY ANALYSIS,370.0,185.0,226.56,550.72,61
CPT,81304,MECP2 GENE DUP/DELET VARIANT,1591.0,795.5,97.5,241.9,30
CPT,81305,GENE ANALYSIS (MYELOID DIFFERENTIATION PRIMARY RESPONSE 88) FOR P.LEU265PRO VARIANT,751.0,375.5,114.01,277.13,55
CPT,81306,GENE ANALYSIS (NUDIX HYDROLASE 15) FOR COMMON VARIANTS,364.5,182.25,189.38,460.35,72
CPT,81307,PALB2 GENE FULL GENE SEQ,252.0,126.0,237.62,1068.87,37
CPT,81309,PIK3CA GENE TRGT SEQ ALYS,796.0,398.0,178.64,434.23,31
CPT,81310,GENE ANALYSIS (NUCLEOPHOSMIN) EXON 12 VARIANTS,428.0,214.0,160.24,389.5,61
CPT,81310,NPM1 GENE,915.0,457.5,160.24,389.5,37
CPT,81311,GENE ANALYSIS FOR CANCER (NEUROBLASTOMA),619.0,309.5,192.26,467.35,30
CPT,81311,NRAS GENE VARIANTS EXON 2&3,603.0,301.5,192.26,467.35,90
CPT,81313,PCA3/KLK3 ANTIGEN,660.0,330.0,165.78,402.98,24
CPT,81314,PDGFRA GENE,688.0,344.0,214.18,520.63,37
CPT,81315,PML/RARALPHA COM BREAKPOINTS,593.0,296.5,134.75,327.55,37
CPT,81315,TRANSLOCATION ANALYSIS (PML-RARA REGULATED ADAPTOR MOLECULE 1) COMMON BREAKPOINT,330.0,165.0,134.75,327.55,37
CPT,81321,PTEN GENE FULL SEQUENCE,252.0,126.0,390.0,948.0,31
CPT,81322,PTEN GENE KNOWN FAM VARIANT,164.0,82.0,30.29,73.63,31
CPT,81323,PTEN GENE DUP/DELET VARIANT,252.0,126.0,195.0,474.0,31
CPT,81324,PMP22 GENE DUP/DELET,1990.0,995.0,492.93,1198.21,37
CPT,81327,SEPT9 GEN PRMTR MTHYLTN ALYS,936.0,468.0,124.8,303.36,24
CPT,81328,SLCO1B1 GENE COM VARIANTS,911.0,455.5,113.63,276.2,24
CPT,81329,GENE ANALYSIS (SURVIVAL OF MOTOR NEURON 1; TELOMERIC) FOR DOSAGE/DELETION,379.0,189.5,89.05,216.46,37
CPT,81329,SMN1 GENE DOS/DELETION ALYS,810.5,405.25,89.05,216.46,74
CPT,81330,SMPD1 GENE COMMON VARIANTS,45.5,22.75,30.55,135.78,60
CPT,81331,METHYLATION ANALYSIS (SMALL NUCLEAR RIBONUCLEOPROTEIN POLYPEPTIDE N AND UBIQUITIN PROTEIN LIGASE E3A),356.0,178.0,33.2,81.29,37
CPT,81331,SNRPN/UBE3A GENE,1237.0,618.5,33.2,81.29,37
CPT,81332,SERPINA1 GENE,46.5,23.25,28.37,68.97,148
CPT,81335,GENE ANALYSIS (THIOPURINE S-METHYLTRANSFERASE) FOR COMMON VARIANT,364.5,182.25,113.63,276.2,86
CPT,81338,GENE ANALYSIS (MPL PROTO-ONCOGENE; THROMBOPOIETIN RECEPTOR) FOR DETECTION OF COMMON VARIANTS,776.0,388.0,97.71,237.52,31
CPT,81339,GENE ANALYSIS (MPL PROTO-ONCOGENE; THROMBOPOIETIN RECEPTOR) SEQUENCE ANALYSIS OF EXON 10,260.5,130.25,120.38,292.62,62
CPT,81340,GENE ANALYSIS (T CELL ANTIGEN RECEPTOR BETA) AMPLIFICATION METHODOLOGY,570.0,285.0,135.8,330.09,124
CPT,81340,TRB@ GENE REARRANGE AMPLIFY,533.5,266.75,135.8,330.09,248
CPT,81342,GENE REARRANGEMENT ANALYSIS DETECTION ABNORMAL CLONAL POPULATION (T CELL ANTIGEN RECEPTOR GAMMA),600.0,300.0,130.98,318.37,69
CPT,81342,TRG GENE REARRANGEMENT ANAL,616.0,308.0,130.98,318.37,310
CPT,81350,GENE ANALYSIS (UDP GLUCURONOSYLTRANSFERASE 1 FAMILY; POLYPEPTIDE A1) FOR DETECTION OF COMMON VARIANTS,360.0,180.0,152.1,369.72,16
CPT,81350,UGT1A1 GENE COMMON VARIANTS,1600.5,800.25,152.1,369.72,96
CPT,81351,TP53 GENE FULL GENE SEQUENCE,252.0,126.0,417.2,1014.12,31
CPT,81352,GENE ANALYSIS (TUMOR PROTEIN 53) TARGETED SEQUENCE ANALYSIS,1105.2,552.6,214.18,520.63,16
CPT,81352,TP53 GENE TRGT SEQUENCE ALYS,1656.0,828.0,214.18,520.63,24
CPT,81355,VKORC1 GENE,915.0,457.5,57.33,139.36,44
CPT,81363,HBB GENE DUP/DEL VARIANTS,858.5,429.25,131.56,319.79,62
CPT,81364,GENE ANALYSIS (HEMOGLOBIN; SUBUNIT BETA) FULL SEQUENCE ANALYSIS,1654.8,827.4,210.98,512.84,31
CPT,81364,HBB FULL GENE SEQUENCE,1414.0,707.0,210.98,512.84,93
CPT,81370,HLA CLASS I AND II TYPING LOW RESOLUTION HLA-A; -B; -C; -DRB1/3/4/5 AND -DQB1,1958.0,979.0,261.38,635.35,37
CPT,81370,HLA I & II TYPING LR,1236.0,618.0,261.38,635.35,37
CPT,81371,HLA I & II TYPE VERIFY LR,1641.0,820.5,262.94,639.14,37
CPT,81372,HLA I TYPING COMPLETE LR,268.0,134.0,162.0,637.67,111
CPT,81373,HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS,305.0,152.5,82.83,201.34,37
CPT,81373,HLA I TYPING 1 LOCUS LR,226.0,113.0,82.83,201.34,111
CPT,81374,HLA CLASS I TYPING; LOW RESOLUTION ONE ANTIGEN EQUIVALENT,380.0,190.0,48.31,117.44,37
CPT,81374,HLA I TYPING 1 ANTIGEN LR,497.0,248.5,48.31,117.44,37
CPT,81375,HLA II TYPING AG EQUIV LR,1182.0,591.0,143.48,348.77,37
CPT,81376,HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS,832.0,416.0,79.44,193.11,109
CPT,81376,HLA II TYPING 1 LOCUS LR,231.5,115.75,58.0,193.11,296
CPT,81378,HLA CLASS I AND II TYPING HIGH RESOLUTION HLA-A; -B; -C; AND -DRB1,1274.5,637.25,224.62,546.0,122
CPT,81378,HLA I & II TYPING HR,1717.0,858.5,224.62,546.0,37
CPT,81379,HLA I TYPING COMPLETE HR,1531.5,765.75,218.0,529.9,148
CPT,81380,HLA I TYPING 1 LOCUS HR,2907.0,1453.5,115.21,280.06,37
CPT,81381,HLA CLASS I TYPING HIGH RESOLUTION ONE ALLELE OR ALLELE GROUP,370.0,185.0,108.38,268.44,37
CPT,81381,HLA I TYPING 1 ALLELE HR,826.0,413.0,108.38,268.44,111
CPT,81382,HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS,900.5,450.25,80.39,195.41,146
CPT,81382,HLA II TYPING 1 LOC HR,494.0,247.0,58.0,195.41,259
CPT,81383,HLA II TYPING 1 ALLELE HR,740.0,370.0,70.93,172.43,111
CPT,81400,MOLECULAR PATHOLOGY PROCEDURE LEVEL 1,192.62,96.31,41.57,101.06,31
CPT,81400,MOPATH PROCEDURE LEVEL 1,670.5,335.25,41.57,101.06,62
CPT,81401,MOLECULAR PATHOLOGY PROCEDURE LEVEL 2,478.5,239.25,89.05,216.46,181
CPT,81401,MOPATH PROCEDURE LEVEL 2,841.0,420.5,89.05,216.46,649
CPT,81402,MOPATH PROCEDURE LEVEL 3,627.5,313.75,97.71,237.52,124
CPT,81403,MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,791.3199999999999,395.65999999999997,120.38,292.62,60
CPT,81403,MOPATH PROCEDURE LEVEL 4,846.0,423.0,120.38,292.62,520
CPT,81404,MOLECULAR PATHOLOGY PROCEDURE LEVEL 5,2295.5,1147.75,178.64,434.23,46
CPT,81404,MOPATH PROCEDURE LEVEL 5,1231.0,615.5,178.64,434.23,288
CPT,81405,MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 GENETIC ANALYSIS,656.835,328.42,195.88,476.13,54
CPT,81405,MOPATH PROCEDURE LEVEL 6,981.5,490.75,195.88,476.13,124
CPT,81406,MOLECULAR PATHOLOGY PROCEDURE LEVEL 7,1967.04,983.52,183.87,446.95,85
CPT,81406,MOPATH PROCEDURE LEVEL 7,1601.0,800.5,183.87,446.95,341
CPT,81407,MOLECULAR PATHOLOGY PROCEDURE LEVEL 8,980.76,490.38,550.08,1337.11,31
CPT,81407,MOPATH PROCEDURE LEVEL 8,937.0,468.5,550.08,1337.11,31
CPT,81408,MOLECULAR PATHOLOGY PROCEDURE LEVEL 9,1666.0,833.0,1300.0,3160.0,72
CPT,81408,MOPATH PROCEDURE LEVEL 9,2400.0,1200.0,1300.0,3160.0,24
CPT,81415,EXOME SEQUENCE ANALYSIS,12475.0,6237.5,3107.0,7552.4,37
CPT,81416,EXOME SEQUENCE ANALYSIS,38760.0,19380.0,7800.0,18960.0,31
CPT,81417,EXOME RE-EVALUATION,1034.0,517.0,208.0,505.6,29
CPT,81420,FETAL CHRMOML ANEUPLOIDY,1600.0,800.0,493.38,1199.3,111
CPT,81425,TEST FOR DETECTING GENES ASSOCIATED WITH DISEASE; GENOME SEQUENCE ANALYSIS,3000.0,1500.0,3270.28,7949.3,24
CPT,81426,TEST FOR DETECTING GENES ASSOCIATED WITH DISEASE; GENOME SEQUENCE ANALYSIS; EACH ADDITIONAL COMPARATOR GENOME,6000.0,3000.0,1761.47,4281.72,24
CPT,81432,HRDTRY BRST CA-RLATD DO 5+,2268.0,1134.0,847.57,2060.24,31
CPT,81442,GENE ANALYSIS (NOONAN SYNDROME) GENOMIC SEQUENCE ANALYSIS,1929.0,964.5,1393.34,3386.89,24
CPT,81443,GENETIC TSTG SEVERE INH COND,2475.0,1237.5,1591.56,3868.72,62
CPT,81443,GENOMIC SEQUENCE ANALYSIS PANEL FOR SEVERE INHERITED CONDITIONS WITH SEQUENCING OF 15 OR MORE GENES,4893.4,2446.7,1591.56,3868.72,31
CPT,81445,SO NEO GSAP 5-50DNA/DNA&RNA,2221.0,1110.5,388.64,944.7,148
CPT,81445,TEST FOR DETECTING GENES ASSOCIATED WITH CANCER OF BODY ORGAN,1588.0,794.0,388.64,944.7,183
CPT,81450,HL NEO GSAP 5-50DNA/DNA&RNA,3395.0,1697.5,493.69,1200.06,111
CPT,81450,TEST FOR DETECTING GENES ASSOCIATED WITH BLOOD RELATED CANCER,3830.8,1915.4,493.69,1200.06,183
CPT,81455,TEST FOR DETECTING GENES ASSOCIATED WITH CANCER,1869.0,934.5,1869.0,4612.97,37
CPT,81456,TARGETED GENOMIC SEQUENCE ANALYSIS PANEL; SOLID ORGAN OR HEMATOLYMPHOID NEOPLASM OR DISORDER; 51 OR GREATER GENES (EG; ALK; BRAF; CDKN2A; CEBPA; DNMT3A; EGFR; ERBB2; EZH2; FLT3; IDH1; IDH2; JAK2; KIT;,2665.0,1332.5,1897.74,4612.97,37
CPT,81460,WHOLE MITOCHONDRIAL GENOME,4157.0,2078.5,836.55,2033.46,24
CPT,81479,MOLECULAR PATHOLOGY PROCEDURE,1820.0,910.0,,,0
CPT,81479,UNLISTED MOLECULAR PATHOLOGY,567.0,283.5,,,0
CPT,81500,GENETIC PROFILING ON ONCOLOGY BIOPSY OF OVARIAN LESIONS; ASSAYS OF TWO PROTEINS,1042.0,521.0,169.32,411.59,24
CPT,81508,FETAL CONGENITAL ABNORMALITIES; BIOCHEMICAL ASSAYS OF TWO PROTEINS (PAPP-A; HCG [ANY FORM]); UTILIZING MATERNAL SERUM; ALGORITHM REPORTED AS A RISK SCORE,62.0,31.0,35.3,85.79,24
CPT,81508,FTL CGEN ABNOR TWO PROTEINS,298.0,149.0,35.3,85.79,24
CPT,81511,FETAL CONGENITAL ABNORMALITIES; BIOCHEMICAL ASSAYS OF FOUR ANALYTES (AFP; UE3; HCG [ANY FORM]; DIA) UTILIZING MATERNAL SERUM; ALGORITHM REPORTED AS A RISK SCORE,80.0,40.0,80.0,242.53,30
CPT,81511,FTL CGEN ABNOR FOUR ANAL,344.0,172.0,99.09,242.53,30
CPT,81512,FTL CGEN ABNOR FIVE ANAL,638.0,319.0,45.19,132.95,30
CPT,81513,MEASUREMENT OF RNA OF BACTERIA IN VAGINAL FLUID SPECIMEN,300.0,150.0,92.71,225.36,79
CPT,81513,NFCT DS BV RNA VAG FLU ALG,306.5,153.25,92.71,225.36,62
CPT,81514,NFCT DS BV&VAGINITIS DNA ALG,891.0,445.5,170.94,415.52,31
CPT,81515,NFCT DS BV&VAGINITIS DNA ALG,850.0,425.0,170.94,415.52,31
CPT,81517,LIVER DS ALYS 3 BMRK SRM ALG,680.0,340.0,114.52,278.38,30
CPT,81596,BIOCHEMICAL ASSAYS FOR EVALUATION OF CHRONIC HEPATITIS C VIRUS INFECTION,250.0,125.0,46.92,114.06,61
CPT,81599,MULTIANALYTE ASSAY PROCEDURE WITH ALGORITHMIC ANALYSIS,1350.0,675.0,,,0
CPT,81599,UNLISTED MAAA,1174.0,587.0,,,0
CPT,82009,KETONE BODYS QUAL,86.0,43.0,2.94,7.14,37
CPT,82010,KETONE BODIES ANALYSIS; QUANTITATIVE,78.0,39.0,5.25,12.91,37
CPT,82010,KETONE BODYS QUAN,47.0,23.5,5.25,12.91,37
CPT,82013,ACETYLCHOLINESTERASE ASSAY,204.5,102.25,7.99,19.42,74
CPT,82017,ACYLCARNITINES QUANT,43.0,21.5,10.97,26.65,31
CPT,82017,CHEMICAL TEST FOR GENETIC DISORDER,136.8,68.4,10.97,26.65,62
CPT,82024,ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL,145.0,72.5,25.1,61.02,61
CPT,82040,ALBUMIN (PROTEIN) LEVEL,22.0,11.0,3.22,7.82,85
CPT,82040,ASSAY OF SERUM ALBUMIN,14.0,7.0,3.22,7.82,185
CPT,82042,CEREBROSPINAL FLUID; OR AMNIOTIC FLUID ALBUMIN (PROTEIN) LEVEL,227.0,113.5,5.06,12.29,31
CPT,82042,OTHER SOURCE ALBUMIN QUAN EA,18.5,9.25,5.06,12.29,124
CPT,82043,UR ALBUMIN QUANTITATIVE,35.0,17.5,3.76,9.6,111
CPT,82043,URINE MICROALBUMIN (PROTEIN) LEVEL,54.0,27.0,3.76,9.6,98
CPT,82044,UR ALBUMIN SEMIQUANTITATIVE,20.0,10.0,4.05,9.84,37
CPT,82077,MEASUREMENT OF ALCOHOL LEVEL IN SPECIMEN OTHER THAN BREATH OR URINE,89.0,44.5,11.23,27.29,24
CPT,82085,ALDOLASE (ENZYME) LEVEL,12.0,6.0,6.31,15.34,37
CPT,82088,ALDOSTERONE HORMONE LEVEL,76.0,38.0,26.49,64.39,74
CPT,82088,ASSAY OF ALDOSTERONE,44.5,22.25,24.0,64.39,148
CPT,82103,ALPHA-1-ANTITRYPSIN (PROTEIN) BLOOD TEST; TOTAL,27.0,13.5,8.74,21.24,37
CPT,82103,ALPHA-1-ANTITRYPSIN TOTAL,41.0,20.5,8.74,21.24,407
CPT,82104,ALPHA-1-ANTITRYPSIN (PROTEIN) BLOOD TEST; PHENOTYPE,30.689999999999998,15.344999999999999,9.4,22.85,74
CPT,82104,ALPHA-1-ANTITRYPSIN PHENO,164.5,82.25,9.4,22.85,74
CPT,82105,ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM,190.0,95.0,10.9,26.5,98
CPT,82105,ALPHA-FETOPROTEIN SERUM,22.0,11.0,10.9,26.5,148
CPT,82106,ALPHA-FETOPROTEIN AMNIOTIC,57.0,28.5,11.05,26.86,111
CPT,82107,ALPHA-FETOPROTEIN (AFP) ANALYSIS,233.0,116.5,41.87,101.77,37
CPT,82108,ALUMINUM LEVEL,50.0,25.0,16.56,42.26,37
CPT,82108,ASSAY OF ALUMINUM,27.0,13.5,16.56,40.26,37
CPT,82131,AMINO ACID ANALYSIS; QUANTITATIVE; EACH SPECIMEN,319.82,159.91,14.94,36.31,37
CPT,82131,AMINO ACIDS SINGLE QUANT,206.0,103.0,14.94,36.31,74
CPT,82135,AMINOLEVULINIC ACID (PROTEIN) LEVEL,25.0,12.5,10.69,25.99,37
CPT,82135,ASSAY AMINOLEVULINIC ACID,85.0,42.5,10.69,25.99,74
CPT,82136,AMINO ACIDS QUANT 2-5,184.0,92.0,12.75,30.98,111
CPT,82139,AMINO ACID LEVEL; 6 OR MORE AMINO ACIDS; QUANTITATIVE; EACH SPECIMEN,160.0,80.0,10.97,27.96,37
CPT,82139,AMINO ACIDS QUAN 6 OR MORE,119.5,59.75,10.97,27.96,148
CPT,82140,AMMONIA LEVEL,120.0,60.0,5.25,23.02,37
CPT,82140,ASSAY OF AMMONIA,57.0,28.5,5.25,23.02,111
CPT,82143,AMNIOTIC FLUID SCAN,208.5,104.25,5.25,14.77,74
CPT,82150,AMYLASE (ENZYME) LEVEL,125.0,62.5,4.21,10.24,98
CPT,82150,ASSAY OF AMYLASE,299.0,149.5,4.21,10.24,148
CPT,82157,ANDROSTENEDIONE (HORMONE) LEVEL,35.0,17.5,19.03,46.26,37
CPT,82157,ASSAY OF ANDROSTENEDIONE,114.0,57.0,19.03,46.26,111
CPT,82160,ASSAY OF ANDROSTERONE,390.0,195.0,16.61,41.47,37
CPT,82163,ASSAY OF ANGIOTENSIN II,525.0,262.5,13.34,32.42,37
CPT,82164,ANGIOTENSIN I ENZYME TEST,131.0,65.5,9.49,24.2,111
CPT,82164,ANGIOTENSIN L - CONVERTING ENZYME (ACE) LEVEL,18.0,9.0,9.49,23.07,37
CPT,82172,APOLIPOPROTEIN LEVEL,35.5,17.75,8.0,33.32,98
CPT,82172,ASSAY OF APOLIPOPROTEIN,50.0,25.0,13.71,33.32,185
CPT,82175,ARSENIC LEVEL,125.0,62.5,12.33,29.97,62
CPT,82175,ASSAY OF ARSENIC,70.0,35.0,12.33,29.97,341
CPT,82180,ASCORBIC ACID (VITAMIN C) LEVEL; BLOOD,14.0,7.0,6.43,15.63,37
CPT,82180,ASSAY OF ASCORBIC ACID,530.0,265.0,6.43,15.63,37
CPT,82190,ATOMIC ABSORPTION,452.0,226.0,10.34,25.12,31
CPT,82190,MEASUREMENT OF SUBSTANCE USING SPECTROSCOPY (LIGHT),71.0,35.5,10.34,25.12,31
CPT,82232,ASSAY OF BETA-2 PROTEIN,42.0,21.0,10.52,25.56,148
CPT,82232,BETA-2 MICROGLOBULIN (PROTEIN) LEVEL,138.0,69.0,10.52,25.56,37
CPT,82234,BETA-AMYLOID 1-42 (ABETA 42),862.0,431.0,83.8,203.69,24
CPT,82239,BILE ACIDS LEVEL; TOTAL,32.0,16.0,11.13,27.05,37
CPT,82239,BILE ACIDS TOTAL,2408.0,1204.0,11.13,27.05,37
CPT,82247,BILIRUBIN LEVEL; TOTAL,37.0,18.5,3.26,8.32,181
CPT,82247,BILIRUBIN TOTAL,28.0,14.0,3.26,8.32,259
CPT,82248,BILIRUBIN DIRECT,6.0,3.0,3.26,7.93,37
CPT,82248,BILIRUBIN LEVEL; DIRECT,36.0,18.0,3.26,8.32,133
CPT,82261,ASSAY OF BIOTINIDASE,106.0,53.0,10.97,26.65,124
CPT,82261,BIOTINIDASE (ENZYME) LEVEL,276.1,138.05,10.97,26.65,62
CPT,82270,OCCULT BLOOD FECES,47.5,23.75,2.85,6.92,74
CPT,82270,STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS,29.0,14.5,2.85,6.92,37
CPT,82272,OCCULT BLD FECES 1-3 TESTS,33.0,16.5,2.75,25.0,74
CPT,82272,STOOL ANALYSIS FOR BLOOD; BY PEROXIDASE ACTIVITY,79.0,39.5,2.75,6.68,37
CPT,82274,ASSAY TEST FOR BLOOD FECAL,97.5,48.75,2.94,25.15,74
CPT,82274,STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY,72.5,36.25,2.94,25.15,61
CPT,82300,ASSAY OF CADMIUM,130.5,65.25,15.37,37.35,444
CPT,82300,CADMIUM LEVEL,76.5,38.25,15.37,37.35,74
CPT,82306,VITAMIN D 25 HYDROXY,17.0,8.5,17.0,46.77,37
CPT,82306,VITAMIN D-3 LEVEL,83.5,41.75,19.24,49.09,194
CPT,82308,CALCITONIN (HORMONE) LEVEL,29.0,14.5,17.41,42.33,37
CPT,82310,ASSAY OF CALCIUM,14.0,7.0,3.35,8.53,74
CPT,82310,CALCIUM LEVEL; TOTAL,19.0,9.5,1.0,8.53,146
CPT,82330,ASSAY OF CALCIUM,44.0,22.0,8.89,21.61,111
CPT,82330,CALCIUM LEVEL; IONIZED,52.0,26.0,8.89,21.61,133
CPT,82340,ASSAY OF CALCIUM IN URINE,21.0,10.5,3.92,9.6,222
CPT,82340,URINE CALCIUM LEVEL,49.0,24.5,3.92,9.6,37
CPT,82365,INFRARED ANALYSIS OF STONE,30.0,15.0,8.38,20.38,37
CPT,82373,ASSAY C-D TRANSFER MEASURE,357.0,178.5,8.36,28.53,111
CPT,82373,CARBOHYDRATE DEFICIENT TRANSFERRIN (PROTEIN) LEVEL,49.0,24.5,8.36,28.53,37
CPT,82374,ASSAY BLOOD CARBON DIOXIDE,142.0,71.0,3.17,8.06,111
CPT,82374,CARBON DIOXIDE (BICARBONATE) LEVEL,37.0,18.5,3.17,8.06,37
CPT,82375,CARBOXYHEMOGLOBIN (PROTEIN) LEVEL,70.0,35.0,5.88,19.47,37
CPT,82378,CARCINOEMBRYONIC ANTIGEN,177.0,88.5,12.32,29.96,185
CPT,82378,CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL,279.0,139.5,12.32,29.96,85
CPT,82379,ASSAY OF CARNITINE,222.5,111.25,10.97,26.65,62
CPT,82379,CARNITINE LEVEL,37.0,18.5,10.97,26.65,31
CPT,82380,CAROTENE LEVEL,19.0,9.5,5.99,14.57,37
CPT,82384,ASSAY THREE CATECHOLAMINES,61.5,30.75,16.41,39.9,222
CPT,82384,CATECHOLAMINES (ORGANIC NITROGEN) LEVEL,59.5,29.75,16.41,39.9,74
CPT,82390,ASSAY OF CERULOPLASMIN,266.0,133.0,6.98,16.97,37
CPT,82390,CERULOPLASMIN (PROTEIN) LEVEL,159.6,79.8,6.98,16.97,37
CPT,82397,ANALYSIS USING CHEMILUMINESCENT TECHNIQUE (LIGHT AND CHEMICAL )REACTION,175.0,87.5,9.18,22.31,86
CPT,82397,CHEMILUMINESCENT ASSAY,76.0,38.0,9.18,22.31,155
CPT,82435,ASSAY OF BLOOD CHLORIDE,38.5,19.25,2.99,7.61,74
CPT,82435,BLOOD CHLORIDE LEVEL,45.0,22.5,2.99,7.61,157
CPT,82436,ASSAY OF URINE CHLORIDE,24.0,12.0,3.74,9.09,74
CPT,82436,URINE CHLORIDE LEVEL,50.3,25.15,3.74,9.09,74
CPT,82438,ASSAY OTHER FLUID CHLORIDES,53.5,26.75,3.15,7.9,74
CPT,82438,CHLORIDE LEVEL,123.665,61.835,3.15,7.9,61
CPT,82465,ASSAY BLD/SERUM CHOLESTEROL,12.0,6.0,2.83,7.21,37
CPT,82465,CHOLESTEROL LEVEL,37.0,18.5,2.83,7.21,61
CPT,82480,ASSAY SERUM CHOLINESTERASE,25.0,12.5,5.12,12.43,111
CPT,82480,CHOLINESTERASE (ENZYME) LEVEL; TO TEST FOR EXPOSURE TO CHEMICAL OR LIVER DISEASE,11.0,5.5,5.12,12.43,37
CPT,82482,ASSAY RBC CHOLINESTERASE,94.0,47.0,6.38,15.5,37
CPT,82495,ASSAY OF CHROMIUM,146.0,73.0,6.3,32.04,185
CPT,82495,CHROMIUM LEVEL TO TEST FOR POISONING OR DEFICIENCY,55.0,27.5,6.3,32.04,37
CPT,82507,ASSAY OF CITRATE,111.0,55.5,18.07,43.92,186
CPT,82507,CITRATE LEVEL,96.0,48.0,18.07,43.92,31
CPT,82523,COLLAGEN CROSS LINKS TEST; (URINE TEST TO EVALUATE BONE HEALTH),90.0,45.0,12.14,29.51,31
CPT,82523,COLLAGEN CROSSLINKS,154.0,77.0,12.14,29.51,155
CPT,82525,ASSAY OF COPPER,47.0,23.5,8.07,19.61,111
CPT,82525,COPPER LEVEL,58.0,29.0,8.07,19.61,111
CPT,82528,ASSAY OF CORTICOSTERONE,353.0,176.5,7.35,35.58,37
CPT,82530,CORTISOL (HORMONE) MEASUREMENT; FREE,70.0,35.0,10.86,28.02,74
CPT,82530,CORTISOL FREE,44.0,22.0,10.86,28.02,185
CPT,82533,CORTISOL (HORMONE) MEASUREMENT; TOTAL,152.5,76.25,10.6,25.75,122
CPT,82533,TOTAL CORTISOL,105.0,52.5,10.6,25.75,333
CPT,82540,ASSAY OF CREATINE,134.0,67.0,3.02,7.33,124
CPT,82540,CREATINE MEASUREMENT,94.0,47.0,3.02,7.33,31
CPT,82542,CHEMICAL ANALYSIS USING CHROMATOGRAPHY TECHNIQUE,550.0,275.0,15.66,38.06,196
CPT,82542,COL CHROMOTOGRAPHY QUAL/QUAN,182.5,91.25,15.66,38.06,1988
CPT,82550,ASSAY OF CK (CPK),11.0,5.5,4.23,10.29,74
CPT,82550,CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL,37.0,18.5,4.23,10.29,109
CPT,82552,ASSAY OF CPK IN BLOOD,62.5,31.25,8.7,22.2,74
CPT,82552,CREATINE KINASE (CARDIAC ENZYME) LEVEL; ISOENZYMES,8.0,4.0,8.0,21.16,37
CPT,82553,CREATINE MB FRACTION,53.0,26.5,7.51,18.25,74
CPT,82565,ASSAY OF CREATININE,37.0,18.5,3.33,8.09,37
CPT,82565,BLOOD CREATININE LEVEL,38.0,19.0,3.33,8.09,253
CPT,82570,ASSAY OF URINE CREATININE,26.0,13.0,3.37,8.58,923
CPT,82570,CREATININE LEVEL TO TEST FOR KIDNEY FUNCTION OR MUSCLE INJURY,62.0,31.0,3.37,8.58,194
CPT,82575,CREATININE CLEARANCE MEASUREMENT TO TEST FOR KIDNEY FUNCTION,66.0,33.0,6.15,14.95,37
CPT,82585,ASSAY OF CRYOFIBRINOGEN,104.0,52.0,5.25,22.34,111
CPT,82585,CRYOFIBRINOGEN (PROTEIN) LEVEL,216.0,108.0,5.25,22.34,37
CPT,82595,ASSAY OF CRYOGLOBULIN,77.0,38.5,4.21,10.22,148
CPT,82595,CRYOGLOBULIN (PROTEIN) MEASUREMENT,76.0,38.0,4.21,10.22,74
CPT,82600,CYANIDE MEASUREMENT,28.0,14.0,12.61,30.65,37
CPT,82607,CYANOCOBALAMIN (VITAMIN B-12) LEVEL,238.0,119.0,9.8,23.83,85
CPT,82607,VITAMIN B-12,20.0,10.0,6.0,23.83,74
CPT,82608,B-12 BINDING CAPACITY,76.5,38.25,9.31,24.01,74
CPT,82610,CYSTATIN C,38.0,19.0,12.04,29.26,37
CPT,82610,CYSTATIN C (ENZYME INHIBITOR) LEVEL,58.0,29.0,12.04,29.26,61
CPT,82626,DEHYDROEPIANDROSTERONE,214.5,107.25,16.43,39.93,74
CPT,82626,DEHYDROEPIANDROSTERONE (DHEA) HORMONE LEVEL,29.0,14.5,16.43,39.93,37
CPT,82627,DEHYDROEPIANDROSTERONE,97.0,48.5,14.45,35.12,37
CPT,82627,DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL,24.0,12.0,14.45,35.12,37
CPT,82633,DESOXYCORTICOSTERONE,133.0,66.5,20.14,51.37,111
CPT,82634,DEOXYCORTISOL,304.0,152.0,18.38,46.26,37
CPT,82634,DEOXYCORTISOL; 11 (HORMONE) LEVEL,44.0,22.0,18.38,46.26,37
CPT,82638,ASSAY OF DIBUCAINE NUMBER,24.0,12.0,7.35,19.36,37
CPT,82638,DIBUCAINE NUMBER (ENZYME) MEASUREMENT,16.0,8.0,7.35,19.36,37
CPT,82642,MEASUREMENT OF DIHYDROTESTOSTERONE,52.0,26.0,19.03,46.26,31
CPT,82652,DIHYDROXYVITAMIN D; 1; 25 LEVEL,28.0,14.0,25.02,60.83,61
CPT,82653,MEASUREMENT OF PANCREATIC ELASTASE (ENZYME) IN STOOL,66.5,33.25,14.93,36.29,98
CPT,82657,ENZYME ACTIVITY MEASUREMENT; NONRADIOACTIVE SUBSTRATE,482.0,241.0,14.41,35.03,134
CPT,82657,ENZYME CELL ACTIVITY,316.0,158.0,14.41,35.03,496
CPT,82664,ELECTROPHORETIC TEST,235.5,117.75,39.97,97.17,310
CPT,82668,ERYTHROPOIETIN (PROTEIN) LEVEL,28.0,14.0,12.21,29.69,37
CPT,82670,ASSAY OF TOTAL ESTRADIOL,44.0,22.0,18.16,44.15,37
CPT,82670,MEASUREMENT OF TOTAL ESTRADIOL (HORMONE),166.0,83.0,18.16,44.15,74
CPT,82671,ASSAY OF ESTROGENS,57.0,28.5,21.0,51.03,37
CPT,82671,ESTROGEN ANALYSIS; FRACTIONATED,90.0,45.0,21.0,51.03,37
CPT,82672,ASSAY OF ESTROGEN,41.0,20.5,14.11,34.29,37
CPT,82672,ESTROGEN ANALYSIS; TOTAL,81.1,40.55,14.1,34.29,37
CPT,82677,ASSAY OF ESTRIOL,105.5,52.75,15.72,38.2,148
CPT,82679,ASSAY OF ESTRONE,36.0,18.0,13.65,39.42,111
CPT,82679,ESTRONE (HORMONE) LEVEL,34.0,17.0,13.65,39.42,74
CPT,82681,DIRECT MEASUREMENT OF FREE ESTRADIOL (HORMONE),72.0,36.0,18.16,44.15,31
CPT,82693,ASSAY OF ETHYLENE GLYCOL,14.0,7.0,9.68,23.54,31
CPT,82693,ETHYLENE GLYCOL (ANTIFREEZE) MEASUREMENT,2036.0,1018.0,9.68,23.54,31
CPT,82705,FATS/LIPIDS FECES QUAL,28.0,14.0,3.32,8.45,37
CPT,82705,STOOL FAT OR LIPIDS ANALYSIS; QUALITATIVE,56.0,28.0,3.32,8.45,37
CPT,82710,STOOL FAT OR LIPIDS ANALYSIS; QUANTITATIVE,50.0,25.0,4.22,26.54,37
CPT,82725,ASSAY OF BLOOD FATTY ACIDS,171.0,85.5,12.2,29.66,74
CPT,82725,FATTY ACIDS MEASUREMENT,202.0,101.0,12.2,29.66,37
CPT,82726,LONG CHAIN FATTY ACIDS,275.0,137.5,12.84,31.2,37
CPT,82726,VERY LONG CHAIN FATTY ACIDS LEVEL,113.0,56.5,12.84,31.2,37
CPT,82728,FERRITIN (BLOOD PROTEIN) LEVEL,306.19,153.095,8.86,21.54,146
CPT,82731,ASSAY OF FETAL FIBRONECTIN,863.0,431.5,21.0,101.77,37
CPT,82746,ASSAY OF FOLIC ACID SERUM,30.0,15.0,9.56,23.23,37
CPT,82746,FOLIC ACID LEVEL; SERUM,238.0,119.0,9.56,23.23,61
CPT,82747,ASSAY OF FOLIC ACID RBC,51.0,25.5,11.47,27.89,37
CPT,82747,FOLIC ACID LEVEL; RBC,10.0,5.0,10.0,27.89,37
CPT,82759,ASSAY OF RBC GALACTOKINASE,148.0,74.0,13.96,35.63,37
CPT,82760,ASSAY OF GALACTOSE,342.0,171.0,7.28,17.7,148
CPT,82775,ASSAY GALACTOSE TRANSFERASE,54.0,27.0,2.1,33.29,37
CPT,82775,GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE (ENZYME) LEVEL,391.0,195.5,2.1,33.29,74
CPT,82776,GALACTOSE TRANSFERASE TEST,133.0,66.5,7.63,18.55,62
CPT,82784,ASSAY IGA/IGD/IGG/IGM EACH,26.0,13.0,6.04,15.42,370
CPT,82784,GAMMAGLOBULIN (IMMUNE SYSTEM PROTEIN) MEASUREMENT,167.0,83.5,6.04,15.42,122
CPT,82785,ASSAY OF IGE,22.0,11.0,10.7,26.01,37
CPT,82785,IGE (IMMUNE SYSTEM PROTEIN) LEVEL,30.0,15.0,10.7,26.01,98
CPT,82787,GAMMAGLOBULIN (IMMUNE SYSTEM PROTEIN) MEASUREMENT; IMMUNOGLOBULIN SUBCLASSES,13.0,6.5,5.21,13.0,37
CPT,82787,IGG 1 2 3 OR 4 EACH,42.0,21.0,5.21,13.44,111
CPT,82803,BLOOD GASES ANY COMBINATION,233.0,116.5,16.95,41.19,148
CPT,82803,BLOOD GASES MEASUREMENT,336.0,168.0,16.95,41.19,157
CPT,82805,BLOOD GASES MEASUREMENT; WITH O2 SATURATION,792.0,396.0,40.8,124.46,85
CPT,82805,BLOOD GASES W/O2 SATURATION,440.0,220.0,40.8,124.46,37
CPT,82820,HEMOGLOBIN-OXYGEN AFFINITY,120.0,60.0,8.67,21.08,93
CPT,82941,GASTRIN (GI TRACT HORMONE) LEVEL,19.0,9.5,11.46,27.86,37
CPT,82943,ASSAY OF GLUCAGON,81.0,40.5,9.29,23.7,37
CPT,82943,GLUCAGON (PANCREATIC HORMONE) LEVEL,28.8,14.4,9.29,23.7,37
CPT,82945,GLUCOSE (SUGAR) LEVEL ON BODY FLUID,33.0,16.5,2.55,6.21,61
CPT,82945,GLUCOSE OTHER FLUID,138.0,69.0,2.55,6.21,69
CPT,82947,ASSAY GLUCOSE BLOOD QUANT,37.0,18.5,2.55,6.21,111
CPT,82947,BLOOD GLUCOSE (SUGAR) LEVEL,40.0,20.0,2.55,6.21,253
CPT,82948,REAGENT STRIP/BLOOD GLUCOSE,23.0,11.5,2.1,7.96,37
CPT,82950,BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE,34.0,17.0,3.09,7.84,85
CPT,82950,GLUCOSE TEST,12.0,6.0,3.09,7.84,37
CPT,82951,BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS,61.0,30.5,8.37,20.33,61
CPT,82951,GLUCOSE TOLERANCE TEST (GTT),102.0,51.0,8.37,20.33,37
CPT,82952,BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; EACH ADDITIONAL BEYOND 3 SPECIMENS,37.0,18.5,2.55,6.19,37
CPT,82955,ASSAY OF G6PD ENZYME,309.5,154.75,6.3,15.33,74
CPT,82955,G6PD (ENZYME) LEVEL,94.5,47.25,6.3,15.33,74
CPT,82960,TEST FOR G6PD ENZYME,9.0,4.5,3.93,9.56,37
CPT,82962,BLOOD GLUCOSE (SUGAR) TEST PERFORMED BY HAND-HELD INSTRUMENT,21.0,10.5,2.1,5.18,157
CPT,82962,GLUCOSE BLOOD TEST,20.0,10.0,2.1,5.18,37
CPT,82963,ASSAY OF GLUCOSIDASE,643.0,321.5,13.96,35.63,37
CPT,82963,GLUCOSIDASE (SUGAR ENZYME) MEASUREMENT,780.8,390.4,13.96,35.63,37
CPT,82977,ASSAY OF GGT,67.0,33.5,4.68,11.38,74
CPT,82977,GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL,44.0,22.0,4.68,11.38,85
CPT,82978,ASSAY OF GLUTATHIONE,493.0,246.5,7.09,24.41,74
CPT,82978,GLUTATHIONE (PROTEIN) LEVEL,278.0,139.0,7.09,24.41,37
CPT,82985,GLYCATED PROTEIN LEVEL,9.0,4.5,9.0,26.48,61
CPT,83001,ASSAY OF GONADOTROPIN (FSH),66.0,33.0,12.08,29.36,37
CPT,83001,GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL,104.57,52.285,12.08,29.36,74
CPT,83002,ASSAY OF GONADOTROPIN (LH),16.0,8.0,12.04,29.26,37
CPT,83002,GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL,97.0,48.5,12.04,29.26,74
CPT,83003,ASSAY GROWTH HORMONE (HGH),80.5,40.25,8.4,26.34,74
CPT,83003,HUMAN GROWTH HORMONE LEVEL,540.0,270.0,8.4,26.34,37
CPT,83010,ASSAY OF HAPTOGLOBIN QUANT,120.0,60.0,8.18,19.88,111
CPT,83010,HAPTOGLOBIN (SERUM PROTEIN) LEVEL,159.0,79.5,8.18,19.88,37
CPT,83013,BREATH TEST ANALYSIS FOR HELICOBACTER PYLORI,120.0,60.0,43.78,106.43,37
CPT,83018,HEAVY METAL LEVEL,152.5,76.25,14.27,36.42,74
CPT,83018,HEAVY METAL QUAN EACH NES,150.0,75.0,14.27,36.42,148
CPT,83020,HEMOGLOBIN ANALYSIS AND MEASUREMENT; ELECTROPHORESIS,256.91999999999996,128.45999999999998,8.37,20.33,135
CPT,83020,HEMOGLOBIN ELECTROPHORESIS,157.5,78.75,8.37,20.33,296
CPT,83021,HEMOGLOBIN ANALYSIS AND MEASUREMENT; CHROMATOGRAPHY,58.0,29.0,11.74,28.53,111
CPT,83021,HEMOGLOBIN CHROMOTOGRAPHY,138.0,69.0,11.74,28.53,407
CPT,83033,HEMOGLOBIN FTL F ASSAY QUAL,1484.5,742.25,5.2,12.64,74
CPT,83036,HEMOGLOBIN A1C LEVEL,153.0,76.5,6.31,15.34,218
CPT,83036,HEMOGLOBIN GLYCOSYLATED A1C,57.0,28.5,6.31,15.34,74
CPT,83037,HB GLYCOSYLATED A1C HOME DEV,31.0,15.5,6.31,15.34,31
CPT,83050,HGB METHEMOGLOBIN QUAN,272.0,136.0,3.15,12.96,111
CPT,83050,METHEMOGLOBIN (HEMOGLOBIN) ANALYSIS; QUANTITATIVE,188.31,94.155,3.15,12.96,74
CPT,83051,HEMOGLOBIN PLASMA,65.0,32.5,3.68,11.55,37
CPT,83051,PLASMA HEMOGLOBIN LEVEL,78.0,39.0,3.68,11.55,37
CPT,83060,HGB SULFHEMOGLOBIN QUAN,140.0,70.0,3.15,13.9,74
CPT,83060,SULFHEMOGLOBIN (HEMOGLOBIN) LEVEL,205.29,102.645,3.15,13.9,74
CPT,83068,HEMOGLOBIN UNSTABLE SCREEN,161.0,80.5,6.16,14.96,62
CPT,83068,SCREENING TEST FOR UNSTABLE HEMOGLOBIN,172.0,86.0,6.16,14.96,31
CPT,83070,HEMOSIDERIN (HEMOGLOBIN BREAKDOWN PRODUCT) ANALYSIS,60.0,30.0,3.09,7.5,37
CPT,83088,ASSAY OF HISTAMINE,172.0,86.0,13.65,46.66,185
CPT,83088,HISTAMINE (IMMUNE SYSTEM SUBSTANCE) LEVEL,109.0,54.5,13.65,46.66,37
CPT,83090,ASSAY OF HOMOCYSTEINE,112.0,56.0,11.65,28.31,74
CPT,83090,HOMOCYSTEINE (AMINO ACID) LEVEL,50.5,25.25,11.65,28.31,85
CPT,83150,ASSAY OF HOMOVANILLIC ACID,105.0,52.5,7.88,35.41,296
CPT,83150,HOMOVANILLIC ACID (ORGANIC ACID) LEVEL,22.0,11.0,7.88,35.41,37
CPT,83491,ASY HYDROXYCORTICOSTEROIDS17,108.0,54.0,7.35,28.28,37
CPT,83497,ASSAY OF 5-HIAA,67.0,33.5,8.38,20.38,148
CPT,83497,HYDROXYINDOLACETIC ACID (PRODUCT OF METABOLISM) LEVEL,22.0,11.0,8.38,20.38,74
CPT,83498,ASY HYDROXYPROGESTERONE 17-D,106.0,53.0,17.66,42.93,333
CPT,83498,HYDROXYPROGESTERONE; 17-D (SYNTHETIC HORMONE) LEVEL,29.0,14.5,17.66,42.93,37
CPT,83505,ASSAY TOTAL HYDROXYPROLINE,158.0,79.0,15.79,38.39,37
CPT,83516,ANALYSIS OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE; MULTIPLE STEP METHOD,92.57,46.29,7.49,18.22,292
CPT,83516,IMMUNOASSAY NONANTIBODY,139.0,69.5,7.49,18.22,961
CPT,83519,MEASUREMENT OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE; BY RADIOIMMUNOASSAY,267.84000000000003,133.92000000000002,11.96,29.07,165
CPT,83519,RIA NONANTIBODY,192.0,96.0,11.96,29.07,1333
CPT,83520,IMMUNOASSAY QUANT NOS NONAB,145.5,72.75,11.23,27.29,1969
CPT,83520,MEASUREMENT OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE,213.0,106.5,11.23,27.29,189
CPT,83521,IG LIGHT CHAINS FREE EACH,211.0,105.5,11.23,27.29,111
CPT,83521,MEASUREMENT OF IMMUNOGLOBULIN LIGHT CHAINS,422.0,211.0,11.23,27.29,37
CPT,83525,ASSAY OF INSULIN,47.0,23.5,7.43,18.06,148
CPT,83525,INSULIN MEASUREMENT; TOTAL,81.5,40.75,7.43,18.06,61
CPT,83527,ASSAY OF INSULIN,36.0,18.0,8.42,21.48,37
CPT,83527,INSULIN MEASUREMENT; FREE,76.0,38.0,8.42,21.48,37
CPT,83529,MEASUREMENT OF INTERLEUKIN-6,127.72999999999999,63.864999999999995,11.23,27.29,72
CPT,83540,ASSAY OF IRON,208.0,104.0,4.21,10.22,185
CPT,83540,IRON LEVEL,354.0,177.0,4.21,10.22,122
CPT,83550,IRON BINDING CAPACITY,22.0,11.0,5.25,13.81,37
CPT,83550,IRON BINDING TEST,49.0,24.5,5.25,13.81,37
CPT,83586,ASSAY 17- KETOSTEROIDS,166.0,83.0,8.32,21.23,37
CPT,83605,ASSAY OF LACTIC ACID,293.0,146.5,7.52,18.28,185
CPT,83605,LACTIC ACID LEVEL,168.0,84.0,7.52,18.28,170
CPT,83615,LACTATE (LD) (LDH) ENZYME,10.0,5.0,3.93,9.54,37
CPT,83615,LACTATE DEHYDROGENASE (ENZYME) LEVEL,33.0,16.5,3.93,9.54,85
CPT,83625,LACTATE DEHYDROGENASE (ENZYME) MEASUREMENT,10.0,5.0,8.31,20.21,37
CPT,83630,STOOL LACTOFERRIN (IMMUNE SYSTEM PROTEIN) ANALYSIS,161.5,80.75,12.8,31.13,74
CPT,83631,LACTOFERRIN FECAL (QUANT),153.0,76.5,12.76,31.02,37
CPT,83631,STOOL LACTOFERRIN (IMMUNE SYSTEM PROTEIN) LEVEL,155.96,77.98,12.76,31.02,37
CPT,83655,ASSAY OF LEAD,43.5,21.75,7.87,19.13,516
CPT,83655,LEAD LEVEL,14.0,7.0,7.87,19.13,98
CPT,83661,L/S RATIO FETAL LUNG,277.0,138.5,14.29,34.74,74
CPT,83663,FLUORO POLARIZE FETAL LUNG,352.0,176.0,10.98,29.88,37
CPT,83664,LAMELLAR BDY FETAL LUNG,163.0,81.5,5.48,30.53,37
CPT,83690,ASSAY OF LIPASE,20.0,10.0,4.48,10.89,111
CPT,83690,LIPASE (FAT ENZYME) LEVEL,102.0,51.0,4.48,10.89,61
CPT,83695,LIPOPROTEIN (A) LEVEL,32.0,16.0,9.31,22.63,61
CPT,83700,LIPOPRO BLD ELECTROPHORETIC,60.0,30.0,7.32,17.79,111
CPT,83701,LIPOPROTEIN BLD HR FRACTION,91.0,45.5,22.01,53.5,111
CPT,83704,LIPOPROTEIN BLD QUAN PART,64.0,32.0,22.22,54.02,93
CPT,83704,LIPOPROTEIN LEVEL; QUANTITATION OF LIPOPROTEIN PARTICLE NUMBER(S),43.2,21.6,22.22,54.02,86
CPT,83718,ASSAY OF LIPOPROTEIN,24.0,12.0,5.32,12.94,37
CPT,83718,HDL CHOLESTEROL LEVEL,57.0,28.5,5.32,12.94,61
CPT,83721,LDL CHOLESTEROL LEVEL,40.0,20.0,6.82,16.59,157
CPT,83722,MEASUREMENT OF SMALL DENSE LOW DENSITY LIPOPROTEIN CHOLESTEROL,50.0,25.0,22.22,54.02,30
CPT,83727,LUTEINIZING RELEASING FACTOR (REPRODUCTIVE HORMONE) LEVEL,374.0,187.0,11.17,28.51,37
CPT,83735,ASSAY OF MAGNESIUM,40.5,20.25,4.36,10.59,370
CPT,83735,MAGNESIUM LEVEL,35.0,17.5,4.36,10.59,242
CPT,83785,ASSAY OF MANGANESE,123.0,61.5,17.32,42.11,62
CPT,83785,MANGANESE (HEAVY METAL) LEVEL,80.0,40.0,17.32,42.11,31
CPT,83789,MASS SPECTROMETRY (LABORATORY TESTING METHOD),300.0,150.0,15.67,38.09,117
CPT,83789,MASS SPECTROMETRY QUAL/QUAN,212.0,106.0,15.67,38.09,806
CPT,83825,ASSAY OF MERCURY,65.5,32.75,10.57,25.69,370
CPT,83825,MERCURY LEVEL,22.0,11.0,10.57,25.69,37
CPT,83835,ASSAY OF METANEPHRINES,64.0,32.0,11.01,26.77,148
CPT,83835,METANEPHRINES LEVEL,267.0,133.5,11.01,26.77,74
CPT,83861,MICROFLUID ANALY TEARS,59.0,29.5,14.61,35.52,31
CPT,83864,MUCOPOLYSACCHARIDES,203.5,101.75,18.52,45.03,148
CPT,83864,MUCOPOLYSACCHARIDES (PROTEIN) LEVEL,959.5,479.75,18.52,45.03,74
CPT,83873,MYELIN BASIC PROTEIN (NERVE PROTEIN) LEVEL; SPINAL FLUID,112.0,56.0,11.18,27.18,37
CPT,83874,ASSAY OF MYOGLOBIN,46.0,23.0,8.4,20.41,111
CPT,83874,MYOGLOBIN (MUSCLE PROTEIN) LEVEL,27.0,13.5,8.4,20.41,37
CPT,83880,ASSAY OF NATRIURETIC PEPTIDE,213.5,106.75,25.52,62.03,74
CPT,83880,NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL,270.0,135.0,25.52,62.03,61
CPT,83883,ASSAY NEPHELOMETRY NOT SPEC,103.0,51.5,8.84,21.49,464
CPT,83883,NEPHELOMETRY; TEST METHOD USING LIGHT,869.0,434.5,8.84,21.49,31
CPT,83885,ASSAY OF NICKEL,303.0,151.5,11.55,38.73,74
CPT,83885,NICKEL LEVEL,85.0,42.5,11.55,38.73,37
CPT,83915,ASSAY OF NUCLEOTIDASE,611.0,305.5,7.25,18.49,74
CPT,83915,NUCLEOTIDASE 5' (ENZYME) LEVEL,109.0,54.5,7.25,18.49,74
CPT,83916,MEASUREMENT OF IMMUNE SUBSTANCE (OLIGOCLONAL BANDS),24.0,12.0,15.75,43.28,37
CPT,83916,OLIGOCLONAL BANDS,46.0,23.0,15.75,43.28,111
CPT,83918,ORGANIC ACIDS LEVEL,413.0,206.5,15.34,37.29,37
CPT,83918,ORGANIC ACIDS TOTAL QUANT,558.0,279.0,15.34,37.29,37
CPT,83919,ORGANIC ACIDS QUAL EACH,90.0,45.0,10.69,25.99,37
CPT,83921,ORGANIC ACID LEVEL,113.5,56.75,13.79,33.51,74
CPT,83921,ORGANIC ACID SINGLE QUANT,87.5,43.75,13.79,33.51,296
CPT,83930,BLOOD OSMOLALITY (CONCENTRATION) MEASUREMENT,81.0,40.5,3.15,10.44,37
CPT,83935,ASSAY OF URINE OSMOLALITY,29.0,14.5,3.15,10.78,148
CPT,83935,URINE OSMOLALITY (CONCENTRATION) MEASUREMENT,66.0,33.0,3.15,10.78,37
CPT,83937,OSTEOCALCIN (BONE PROTEIN) LEVEL,44.0,22.0,19.4,47.16,37
CPT,83945,ASSAY OF OXALATE,60.5,30.25,9.39,22.83,222
CPT,83945,OXALATE LEVEL,220.0,110.0,9.39,22.83,37
CPT,83950,ONCOPROTEIN HER-2/NEU,432.0,216.0,41.87,101.77,37
CPT,83951,ONCOPROTEIN (CANCER RELATED GENE) MEASUREMENT,390.0,195.0,41.87,101.77,37
CPT,83970,ASSAY OF PARATHORMONE,93.0,46.5,26.83,65.22,111
CPT,83970,PARATHORMONE (PARATHYROID HORMONE) LEVEL,272.0,136.0,26.83,65.22,74
CPT,83986,ASSAY PH BODY FLUID NOS,26.0,13.0,2.1,5.66,259
CPT,83986,BODY FLUID PH LEVEL,64.0,32.0,2.1,5.66,122
CPT,83992,ASSAY FOR PHENCYCLIDINE,154.0,77.0,10.0,19.42,117
CPT,83993,STOOL CALPROTECTIN (PROTEIN) LEVEL,60.0,30.0,12.76,31.02,61
CPT,84030,ASSAY OF BLOOD PKU,152.5,76.25,3.58,8.69,148
CPT,84030,PHENYLALANINE; PKU (AMINO ACID) LEVEL,45.77,22.885,3.58,8.69,74
CPT,84066,ASSAY PROSTATE PHOSPHATASE,14.0,7.0,6.28,15.26,37
CPT,84075,ASSAY ALKALINE PHOSPHATASE,22.0,11.0,3.37,8.18,72
CPT,84075,PHOSPHATASE (ENZYME) LEVEL; ALKALINE,30.5,15.25,3.37,8.18,157
CPT,84080,PHOSPHATASE (ENZYME) MEASUREMENT; ALKALINE; ISOENZYMES,14.0,7.0,9.61,23.35,62
CPT,84081,ASSAY PHOSPHATIDYLGLYCEROL,88.5,44.25,10.74,26.4,74
CPT,84087,ASSAY PHOSPHOHEXOSE ENZYMES,265.0,132.5,6.97,17.12,74
CPT,84087,PHOSPHOHEXOSE ISOMERASE (ENZYME) LEVEL,194.0,97.0,6.97,17.12,37
CPT,84100,ASSAY OF PHOSPHORUS,54.0,27.0,3.08,7.86,111
CPT,84100,PHOSPHATE LEVEL,55.5,27.75,3.08,7.86,157
CPT,84105,ASSAY OF URINE PHOSPHORUS,23.0,11.5,3.76,9.13,111
CPT,84105,URINE PHOSPHATE LEVEL,81.0,40.5,3.76,9.13,37
CPT,84110,ASSAY OF PORPHOBILINOGEN,24.0,12.0,2.1,13.34,111
CPT,84110,URINE PORPHOBILINOGEN (METABOLISM SUBSTANCE) LEVEL,12.0,6.0,2.1,13.34,74
CPT,84112,CERVICOVAGINAL SECRETION OF PLACENTA PROTEIN,349.0,174.5,63.77,155.01,31
CPT,84120,ASSAY OF URINE PORPHYRINS,30.0,15.0,7.88,23.24,37
CPT,84120,URINE PORPHYRINS (METABOLISM SUBSTANCE) MEASUREMENT,27.1,13.55,7.88,23.24,74
CPT,84126,ASSAY OF FECES PORPHYRINS,279.0,139.5,25.42,61.79,31
CPT,84132,ASSAY OF SERUM POTASSIUM,37.0,18.5,3.09,7.61,37
CPT,84132,BLOOD POTASSIUM LEVEL,40.5,20.25,3.09,7.61,205
CPT,84133,ASSAY OF URINE POTASSIUM,20.0,10.0,3.07,7.47,111
CPT,84133,URINE POTASSIUM LEVEL,50.3,25.15,3.07,7.47,74
CPT,84134,ASSAY OF PREALBUMIN,181.0,90.5,9.48,24.19,37
CPT,84134,PREALBUMIN (PROTEIN) LEVEL,180.0,90.0,9.48,24.19,37
CPT,84140,PREGNENOLONE (REPRODUCTIVE HORMONE) LEVEL,99.0,49.5,13.44,34.3,37
CPT,84143,17-HYDROXYPREGNENOLONE (HORMONE) LEVEL,45.0,22.5,14.83,37.85,37
CPT,84143,ASSAY OF 17-HYDROXYPREGNENO,304.0,152.0,14.83,37.85,37
CPT,84144,ASSAY OF PROGESTERONE,263.5,131.75,13.56,32.96,74
CPT,84144,PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL,134.0,67.0,13.56,32.96,37
CPT,84145,PROCALCITONIN (HORMONE) LEVEL,348.0,174.0,17.69,43.01,61
CPT,84145,PROCALCITONIN (PCT),109.0,54.5,17.69,43.01,37
CPT,84146,ASSAY OF PROLACTIN,68.0,34.0,12.6,30.62,37
CPT,84146,PROLACTIN (MILK PRODUCING HORMONE) LEVEL,140.5,70.25,12.6,30.62,98
CPT,84150,ASSAY OF PROSTAGLANDIN,581.5,290.75,11.55,66.0,74
CPT,84150,PROSTAGLANDIN (HORMONE) LEVEL,640.0,320.0,11.55,66.0,37
CPT,84153,ASSAY OF PSA TOTAL,111.0,55.5,11.95,29.23,111
CPT,84153,PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL,113.9,56.95,11.95,29.23,170
CPT,84154,ASSAY OF PSA FREE,80.0,40.0,11.95,29.06,37
CPT,84154,PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE,9.6,4.8,5.0,29.06,122
CPT,84155,TOTAL PROTEIN LEVEL; BLOOD,30.0,15.0,2.39,5.8,122
CPT,84156,ASSAY OF PROTEIN URINE,14.0,7.0,2.39,5.8,185
CPT,84156,TOTAL PROTEIN LEVEL; URINE,126.5,63.25,2.39,5.8,122
CPT,84157,ASSAY OF PROTEIN OTHER,30.0,15.0,2.6,6.32,37
CPT,84157,TOTAL PROTEIN LEVEL; BODY FLUID,60.0,30.0,2.6,6.32,61
CPT,84163,PAPPA SERUM,141.0,70.5,9.78,23.78,37
CPT,84165,PROTEIN MEASUREMENT; SERUM,176.5,88.25,6.98,17.58,122
CPT,84166,PROTEIN E-PHORESIS/URINE/CSF,35.0,17.5,11.59,28.17,37
CPT,84166,PROTEIN MEASUREMENT; BODY FLUID,265.5,132.75,11.59,28.17,74
CPT,84181,PROTEIN MEASUREMENT,236.0,118.0,11.07,27.89,98
CPT,84181,WESTERN BLOT TEST,260.0,130.0,11.07,27.89,185
CPT,84182,PROTEIN MEASUREMENT; IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,502.5,251.25,18.99,46.15,196
CPT,84182,PROTEIN WESTERN BLOT TEST,326.0,163.0,18.99,46.15,991
CPT,84202,ASSAY RBC PROTOPORPHYRIN,99.0,49.5,9.33,23.81,222
CPT,84202,PROTOPORPHYRIN (METABOLISM SUBSTANCE) LEVEL,16.0,8.0,9.33,22.67,37
CPT,84206,PROINSULIN (PANCREATIC HORMONE) LEVEL,104.0,52.0,8.4,42.17,37
CPT,84207,VITAMIN B-6 LEVEL,22.0,11.0,18.26,44.4,37
CPT,84210,PYRUVATE (ORGANIC ACID) LEVEL,21.0,10.5,8.4,22.88,37
CPT,84220,ASSAY OF PYRUVATE KINASE,296.0,148.0,6.14,14.92,111
CPT,84220,PYRUVATE KINASE (ENZYME) LEVEL,116.0,58.0,6.14,14.92,37
CPT,84238,ASSAY NONENDOCRINE RECEPTOR,32.0,16.0,23.1,57.78,37
CPT,84238,CHEMICAL RECEPTOR ANALYSIS,182.5,91.25,23.1,57.78,74
CPT,84244,RENIN (KIDNEY ENZYME) LEVEL,25.0,12.5,12.6,34.74,37
CPT,84252,VITAMIN B-2 (RIBOFLAVIN) LEVEL,56.0,28.0,8.4,31.98,37
CPT,84255,ASSAY OF SELENIUM,79.0,39.5,16.59,40.34,31
CPT,84255,SELENIUM (VITAMIN) LEVEL,98.5,49.25,16.59,40.34,62
CPT,84260,ASSAY OF SEROTONIN,54.0,27.0,20.14,48.95,37
CPT,84260,SEROTONIN (HORMONE) LEVEL,53.0,26.5,20.14,48.95,37
CPT,84270,ASSAY OF SEX HORMONE GLOBUL,178.0,89.0,14.12,34.33,37
CPT,84270,SEX HORMONE BINDING GLOBULIN (PROTEIN) LEVEL,40.6,20.3,14.12,34.33,74
CPT,84275,SIALIC ACID (ORGANIC ACID) LEVEL,468.0,234.0,8.74,21.24,37
CPT,84295,ASSAY OF SERUM SODIUM,38.5,19.25,3.13,7.8,74
CPT,84295,BLOOD SODIUM LEVEL,40.0,20.0,3.13,7.8,205
CPT,84300,ASSAY OF URINE SODIUM,22.0,11.0,3.29,8.06,111
CPT,84300,URINE SODIUM LEVEL,50.3,25.15,3.29,8.06,74
CPT,84302,ASSAY OF SWEAT SODIUM,51.0,25.5,3.16,7.68,111
CPT,84302,SODIUM LEVEL,19.165,9.585,3.16,7.68,74
CPT,84305,ASSAY OF SOMATOMEDIN,48.0,24.0,13.82,33.59,111
CPT,84305,SOMATOMEDIN (GROWTH FACTOR) LEVEL,78.5,39.25,13.82,33.59,122
CPT,84307,ASSAY OF SOMATOSTATIN,456.0,228.0,11.88,28.88,37
CPT,84307,SOMATOSTATIN (GROWTH HORMONE INHIBITOR) LEVEL,178.0,89.0,11.88,28.88,61
CPT,84311,CHEMICAL ANALYSIS USING SPECTROPHOTOMETRY (LIGHT),45.0,22.5,5.26,12.8,86
CPT,84311,SPECTROPHOTOMETRY,102.0,51.0,5.26,12.8,589
CPT,84315,SPECIFIC GRAVITY (LIQUID WEIGHT) MEASUREMENT,29.0,14.5,2.13,5.18,31
CPT,84376,CARBOHYDRATE ANALYSIS; SINGLE QUALITATIVE,13.0,6.5,3.58,8.69,37
CPT,84377,CARBOHYDRATE ANALYSIS; MULTIPLE QUALITATIVE,721.5,360.75,3.58,8.69,74
CPT,84377,SUGARS MULTIPLE QUAL,210.5,105.25,3.57,8.69,74
CPT,84378,CARBOHYDRATE ANALYSIS; SINGLE QUANTITATIVE,230.0,115.0,7.49,18.22,74
CPT,84378,SUGARS SINGLE QUANT,1040.0,520.0,7.49,18.22,37
CPT,84392,ASSAY OF URINE SULFATE,22.0,11.0,3.57,8.67,93
CPT,84392,URINE SULFATE (ACID) LEVEL,18.0,9.0,3.57,8.67,31
CPT,84393,TAU PHOSPHORYLATED EA,400.0,200.0,83.8,203.69,72
CPT,84394,TOTAL TAU,633.0,316.5,83.8,203.69,48
CPT,84402,ASSAY OF FREE TESTOSTERONE,77.0,38.5,16.56,40.24,74
CPT,84402,TESTOSTERONE (HORMONE) LEVEL; FREE,14.0,7.0,14.0,40.24,37
CPT,84403,ASSAY OF TOTAL TESTOSTERONE,68.0,34.0,16.78,40.78,185
CPT,84403,TESTOSTERONE (HORMONE) LEVEL; TOTAL,48.0,24.0,16.78,40.78,85
CPT,84410,TESTOSTERONE BIOAVAILABLE,46.0,23.0,33.33,81.02,37
CPT,84425,VITAMIN B-1 (THIAMINE) LEVEL,24.0,12.0,7.35,33.54,37
CPT,84430,ASSAY OF THIOCYANATE,26.0,13.0,5.04,18.38,37
CPT,84432,ASSAY OF THYROGLOBULIN,105.0,52.5,10.44,26.11,222
CPT,84432,THYROGLOBULIN (THYROID RELATED HORMONE) LEVEL,66.27,33.135,10.44,26.11,74
CPT,84433,THIOPURINE S-METHYLTRANSFERASE (TPMT),287.0,143.5,14.41,35.03,74
CPT,84436,ASSAY OF TOTAL THYROXINE,148.0,74.0,4.47,11.4,37
CPT,84436,THYROXINE (THYROID CHEMICAL); TOTAL,89.0,44.5,4.47,11.4,61
CPT,84437,ASSAY OF NEONATAL THYROXINE,19.0,9.5,4.21,10.22,37
CPT,84437,THYROXINE (THYROID CHEMICAL); REQUIRING ELUTION,17.0,8.5,4.21,10.22,37
CPT,84439,ASSAY OF FREE THYROXINE,15.0,7.5,5.86,14.25,37
CPT,84439,THYROXINE (THYROID CHEMICAL); FREE,178.5,89.25,5.86,14.25,181
CPT,84442,ASSAY OF THYROID ACTIVITY,43.0,21.5,9.61,23.35,37
CPT,84442,THYROXINE BINDING GLOBULIN (THYROID RELATED PROTEIN) LEVEL,50.0,25.0,9.61,23.35,37
CPT,84443,ASSAY THYROID STIM HORMONE,89.0,44.5,10.92,27.85,148
CPT,84443,BLOOD TEST; THYROID STIMULATING HORMONE (TSH),151.5,75.75,10.92,27.85,242
CPT,84445,ASSAY OF TSI GLOBULIN,228.0,114.0,21.0,80.36,37
CPT,84445,THYROID STIMULATING IMMUNE GLOBULINS (THYROID RELATED PROTEIN) LEVEL,80.0,40.0,21.0,80.36,37
CPT,84446,ASSAY OF VITAMIN E,97.0,48.5,9.22,22.4,74
CPT,84446,VITAMIN E LEVEL,28.0,14.0,9.22,22.4,61
CPT,84449,TRANSCORTIN (CORTISOL BINDING PROTEIN) LEVEL,122.0,61.0,11.7,29.84,37
CPT,84450,LIVER ENZYME (SGOT); LEVEL,37.0,18.5,3.37,8.56,133
CPT,84460,ALANINE AMINO (ALT) (SGPT),48.0,24.0,3.44,8.64,111
CPT,84460,LIVER ENZYME (SGPT); LEVEL,37.0,18.5,3.44,8.64,133
CPT,84466,ASSAY OF TRANSFERRIN,53.0,26.5,8.29,20.4,108
CPT,84466,TRANSFERRIN (IRON BINDING PROTEIN) LEVEL,170.0,85.0,8.29,20.4,109
CPT,84478,ASSAY OF TRIGLYCERIDES,32.0,16.0,3.73,9.07,148
CPT,84478,TRIGLYCERIDES LEVEL,26.5,13.25,3.73,9.07,61
CPT,84479,ASSAY OF THYROID (T3 OR T4),213.0,106.5,4.21,10.74,74
CPT,84480,THYROID HORMONE; T3 MEASUREMENT; TOTAL,170.0,85.0,8.4,22.4,61
CPT,84481,THYROID HORMONE; T3 MEASUREMENT; FREE,47.0,23.5,11.01,28.09,61
CPT,84482,T3 REVERSE,69.0,34.5,10.24,26.14,37
CPT,84482,THYROID HORMONE; T3 MEASUREMENT; REVERSE,24.0,12.0,10.24,24.9,37
CPT,84484,ASSAY OF TROPONIN QUANT,140.0,70.0,8.11,19.7,37
CPT,84484,TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE,210.0,105.0,8.11,19.7,157
CPT,84488,TEST FECES FOR TRYPSIN,24.0,12.0,4.75,12.11,37
CPT,84510,ASSAY OF TYROSINE,418.5,209.25,2.1,16.8,74
CPT,84510,TYROSINE (AMINO ACID) LEVEL,87.47,43.735,2.1,16.8,74
CPT,84520,UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE,37.0,18.5,2.57,6.53,85
CPT,84540,ASSAY OF URINE/UREA-N,21.0,10.5,3.61,8.78,62
CPT,84540,UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; URINE,81.0,40.5,3.61,8.78,31
CPT,84550,URIC ACID LEVEL; BLOOD,37.0,18.5,2.94,7.49,61
CPT,84560,ASSAY OF URINE/URIC ACID,20.0,10.0,3.3,8.03,104
CPT,84560,URIC ACID LEVEL,71.0,35.5,3.3,8.03,37
CPT,84585,ASSAY OF URINE VMA,17.5,8.75,10.07,24.49,222
CPT,84585,URINE VANILLYLMANDELIC ACID,10.0,5.0,10.0,24.49,37
CPT,84586,VASOACTIVE INTESTINAL PEPTIDE (INTESTINAL HORMONE) LEVEL,199.0,99.5,22.96,58.6,37
CPT,84588,ASSAY OF VASOPRESSIN,58.0,29.0,22.06,53.63,74
CPT,84590,ASSAY OF VITAMIN A,109.0,54.5,7.55,18.34,37
CPT,84590,VITAMIN A LEVEL,20.0,10.0,7.55,18.34,37
CPT,84591,VITAMIN MEASUREMENT,162.5,81.25,11.09,26.95,79
CPT,84597,VITAMIN K LEVEL,140.0,70.0,8.92,21.68,31
CPT,84600,ASSAY OF VOLATILES,171.0,85.5,11.12,27.03,155
CPT,84600,VOLATILE CHEMICAL MEASUREMENT,490.0,245.0,11.12,27.03,31
CPT,84630,ASSAY OF ZINC,33.0,16.5,7.4,18.0,74
CPT,84630,ZINC LEVEL,12.0,6.0,7.4,18.0,37
CPT,84681,ASSAY OF C-PEPTIDE,79.0,39.5,13.53,34.5,37
CPT,84681,C-PEPTIDE (PROTEIN) LEVEL,63.0,31.5,13.53,34.5,61
CPT,84702,CHORIONIC GONADOTROPIN TEST,34.0,17.0,9.78,23.78,185
CPT,84702,GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL,219.0,109.5,9.78,23.78,122
CPT,84703,CHORIONIC GONADOTROPIN ASSAY,81.0,40.5,4.89,12.31,111
CPT,84703,GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS,49.0,24.5,4.89,12.31,37
CPT,84999,CHEMISTRY PROCEDURES,1338.0,669.0,,,0
CPT,84999,UNLISTED CHEMISTRY PROCEDURE,400.0,200.0,,,0
CPT,85007,BL SMEAR W/DIFF WBC COUNT,36.5,18.25,2.47,6.0,74
CPT,85013,RED BLOOD CELL HEMOGLOBIN CONCENTRATION,95.0,47.5,3.43,11.06,37
CPT,85013,SPUN MICROHEMATOCRIT,5.0,2.5,3.43,11.06,37
CPT,85014,HEMATOCRIT,20.0,10.0,1.54,3.88,74
CPT,85014,RED BLOOD CELL CONCENTRATION MEASUREMENT,10.0,5.0,1.54,3.88,85
CPT,85018,BLOOD COUNT; HEMOGLOBIN,21.0,10.5,1.54,3.88,205
CPT,85018,HEMOGLOBIN,19.0,9.5,1.54,3.88,111
CPT,85025,COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT,144.0,72.0,3.0,12.28,303
CPT,85025,COMPLETE CBC W/AUTO DIFF WBC,70.0,35.0,5.05,12.28,37
CPT,85027,COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST,86.5,43.25,4.21,10.22,181
CPT,85027,COMPLETE CBC AUTOMATED,76.0,38.0,4.21,10.22,74
CPT,85041,AUTOMATED RBC COUNT,12.0,6.0,1.96,4.82,37
CPT,85041,RED BLOOD CELL COUNT; AUTOMATED TEST,10.0,5.0,1.96,4.82,85
CPT,85044,MANUAL RETICULOCYTE COUNT,114.0,57.0,2.8,6.81,37
CPT,85045,RED BLOOD COUNT; AUTOMATED TEST,25.0,12.5,2.59,6.3,37
CPT,85046,RED BLOOD COUNT AUTOMATED; WITH ADDITIONAL CALCULATIONS,71.0,35.5,3.62,8.8,98
CPT,85048,AUTOMATED WHITE BLOOD CELL COUNT,86.0,43.0,1.65,4.22,37
CPT,85049,PLATELET COUNT; AUTOMATED TEST,95.0,47.5,2.91,7.08,109
CPT,85055,RETICULATED (YOUNG) PLATELET MEASUREMENT,138.0,69.0,23.23,56.47,37
CPT,85060,BLOOD SMEAR INTERPRETATION BY PHYSICIAN WITH WRITTEN REPORT,358.56,179.28,12.25,29.77,24
CPT,85130,ASSESSMENT OF BLOOD CLOTTING FUNCTION,558.7,279.35,7.73,18.79,62
CPT,85130,CHROMOGENIC SUBSTRATE ASSAY,423.0,211.5,7.73,18.79,93
CPT,85210,CLOTTING FACTOR II PROTHROMBIN; MEASUREMENT,64.0,32.0,4.2,20.51,37
CPT,85220,CLOTTING FACTOR V (ACG OR PROACCELERIN) MEASUREMENT,505.5,252.75,5.25,27.89,74
CPT,85230,CLOTTING FACTOR VII (PROCONVERTIN; STABLE FACTOR),415.0,207.5,5.25,28.28,37
CPT,85240,CLOT FACTOR VIII AHG 1 STAGE,203.5,101.75,11.63,28.28,148
CPT,85240,CLOTTING FACTOR VIII (AHG) MEASUREMENT,86.0,43.0,11.64,28.28,74
CPT,85245,CLOT FACTOR VIII VW RISTOCTN,231.5,115.75,14.91,38.05,74
CPT,85245,CLOTTING FACTOR VIII (VW FACTOR) MEASUREMENT,179.09,89.545,14.91,38.05,74
CPT,85246,CLOT FACTOR VIII VW ANTIGEN,453.0,226.5,14.91,38.05,140
CPT,85246,CLOTTING FACTOR VIII (VW FACTOR) ANTIGEN,222.0,111.0,14.91,38.05,74
CPT,85247,CLOT FACTOR VIII MULTIMETRIC,260.0,130.0,14.91,38.05,37
CPT,85247,CLOTTING FACTOR VIII (VON WILLEBRAND FACTOR) MEASUREMENT,99.09,49.545,14.91,38.05,74
CPT,85250,CLOTTING FACTOR IX (PTC OR CHRISTMAS) MEASUREMENT,245.645,122.825,5.25,30.08,74
CPT,85260,CLOT FACTOR X STUART-POWER,776.5,388.25,11.64,28.28,74
CPT,85260,CLOTTING FACTOR X (STUART-PROWER) MEASUREMENT,568.6,284.3,11.64,28.28,74
CPT,85270,CLOTTING FACTOR XI (PTA) MEASUREMENT,257.5,128.75,11.64,28.28,74
CPT,85280,CLOTTING FACTOR XII (HAGEMAN) MEASUREMENT,377.0,188.5,12.58,30.57,37
CPT,85290,CLOTTING FACTOR XIII (FIBRIN STABILIZING) MEASUREMENT,210.0,105.0,8.4,25.82,74
CPT,85291,CLOT FACTOR XIII FIBRIN SCRN,133.5,66.75,5.92,14.39,74
CPT,85300,ANTITHROMBIN III ANTIGEN (CLOTTING INHIBITOR) ACTIVITY,161.0,80.5,7.7,18.72,74
CPT,85301,ANTITHROMBIN III ANTIGEN (CLOTTING INHIBITOR) LEVEL,37.0,18.5,7.03,17.94,37
CPT,85302,PROTEIN C; (CLOTTING INHIBITOR) ACTIVITY,44.0,22.0,7.81,19.93,74
CPT,85303,CLOT INHIBIT PROT C ACTIVITY,79.0,39.5,9.0,22.93,74
CPT,85303,PROTEIN C ANTIGEN (CLOTTING INHIBITOR) MEASUREMENT,51.0,25.5,9.0,22.93,37
CPT,85305,CLOT INHIBIT PROT S TOTAL,131.5,65.75,7.55,19.22,74
CPT,85305,PROTEIN S (CLOTTING INHIBITOR) LEVEL,195.42,97.71,7.55,19.22,37
CPT,85306,CLOT INHIBIT PROT S FREE,49.0,24.5,9.96,25.42,185
CPT,85306,PROTEIN S (CLOTTING INHIBITOR) MEASUREMENT,58.0,29.0,9.96,25.42,37
CPT,85307,ACTIVATED PROTEIN RESISTANCE ASSAY,112.0,56.0,9.96,24.21,37
CPT,85335,CLOTTING FACTOR INHIBITOR TEST,430.5,215.25,7.93,20.33,74
CPT,85335,FACTOR INHIBITOR TEST,347.0,173.5,7.93,20.33,333
CPT,85347,COAGULATION TIME ACTIVATED,26.0,13.0,2.78,6.76,259
CPT,85347,COAGULATION TIME MEASUREMENT; ACTIVATED,76.0,38.0,2.78,6.76,61
CPT,85360,EUGLOBULIN LYSIS,132.0,66.0,5.25,13.29,37
CPT,85360,EUGLOBULIN LYSIS (CLOT DISSOLVING) MEASUREMENT,199.42,99.71,5.25,13.29,37
CPT,85379,COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE,202.0,101.0,6.62,16.08,37
CPT,85380,FIBRIN DEGRADJ D-DIMER,223.0,111.5,6.62,16.08,37
CPT,85384,FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT,140.0,70.0,6.32,15.36,74
CPT,85384,FIBRINOGEN ACTIVITY,44.0,22.0,6.32,15.36,74
CPT,85385,FIBRINOGEN (FACTOR 1) ANTIGEN DETECTION,85.0,42.5,9.4,22.85,37
CPT,85385,FIBRINOGEN ANTIGEN,188.0,94.0,9.4,22.85,37
CPT,85390,COAGULATION FUNCTION SCREENING TEST WITH INTERPRETATION AND REPORT,522.0,261.0,3.15,24.46,37
CPT,85390,FIBRINOLYSINS SCREEN I&R,400.0,200.0,3.15,24.46,111
CPT,85396,CLOTTING ASSAY WHOLE BLOOD,213.0,106.5,10.13,24.63,30
CPT,85397,CLOTTING FUNCT ACTIVITY,467.0,233.5,20.06,48.76,149
CPT,85397,MEASUREMENT OF BLOOD COAGULATION AND FIBRINOLYSIS (CLOT DISSOLVING) FUNCTION,266.0,133.0,20.06,48.76,60
CPT,85410,ALPHA-2 ANTIPLASMIN (FACTOR INHIBITOR) MEASUREMENT,593.4,296.7,5.01,12.79,37
CPT,85410,FIBRINOLYTIC ANTIPLASMIN,274.0,137.0,5.01,12.79,37
CPT,85415,FIBRINOLYTIC PLASMINOGEN,89.0,44.5,11.17,27.16,37
CPT,85415,PLASMINOGEN ACTIVATOR (FIBRINOLYTIC FACTOR) MEASUREMENT,117.0,58.5,11.17,27.16,37
CPT,85420,FIBRINOLYTIC PLASMINOGEN,71.0,35.5,4.24,10.32,74
CPT,85441,HEINZ BODIES DIRECT,106.0,53.0,2.73,6.64,37
CPT,85445,HEINZ BODIES INDUCED,212.0,106.0,4.43,10.78,37
CPT,85460,FETAL HEMOGLOBIN OR RED BLOOD CELLS MEASUREMENT FOR ASSESSMENT OF FETAL-MATERNAL CIRCULATION; DIFFERENTIAL LYSIS,160.0,80.0,5.02,12.83,37
CPT,85460,HEMOGLOBIN FETAL,129.5,64.75,5.02,12.83,74
CPT,85461,HEMOGLOBIN FETAL,88.0,44.0,6.08,14.79,37
CPT,85520,HEPARIN ASSAY,240.0,120.0,6.86,20.68,98
CPT,85525,HEPARIN NEUTRALIZATION,572.0,286.0,7.7,19.66,37
CPT,85525,HEPARIN NEUTRALIZATION TEST,42.0,21.0,7.7,19.66,37
CPT,85536,IRON STAIN PERIPHERAL BLOOD,133.0,66.5,4.47,10.87,37
CPT,85540,WBC ALKALINE PHOSPHATASE,377.0,188.5,5.59,13.59,37
CPT,85549,WHITE BLOOD CELL ENZYME ACTIVITY MEASUREMENT,29.0,14.5,12.19,29.62,37
CPT,85557,RBC OSMOTIC FRAGILITY,179.0,89.5,8.68,21.11,37
CPT,85557,RED BLOOD CELL FRAGILITY MEASUREMENT; INCUBATED,216.36,108.18,8.68,21.11,37
CPT,85576,BLOOD PLATELET AGGREGATION,97.0,48.5,16.19,39.36,185
CPT,85576,PLATELET AGGREGATION FUNCTION TEST,232.0,116.0,16.19,39.36,74
CPT,85598,HEXAGNAL PHOSPH PLTLT NEUTRL,45.0,22.5,11.69,28.41,37
CPT,85610,BLOOD TEST; CLOTTING TIME,82.0,41.0,2.79,6.78,157
CPT,85610,PROTHROMBIN TIME,89.5,44.75,2.79,6.78,74
CPT,85611,BLOOD TEST; CLOTTING TIME; SUBSTITUTION,32.0,16.0,2.56,6.52,37
CPT,85613,CLOTTING FACTOR X ASSESSMENT TEST; DILUTED,29.17,14.59,6.23,15.14,37
CPT,85613,RUSSELL VIPER VENOM DILUTED,320.0,160.0,6.23,15.14,37
CPT,85635,BLOOD COAGULATION SCREENING TEST,84.0,42.0,6.3,15.56,37
CPT,85635,REPTILASE TEST,80.0,40.0,6.3,15.56,37
CPT,85651,RBC SED RATE NONAUTOMATED,61.0,30.5,2.78,6.75,37
CPT,85652,RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED,24.0,12.0,1.76,4.27,85
CPT,85660,RBC SICKLE CELL TEST,233.0,116.5,3.15,8.71,111
CPT,85660,RED BLOOD CELL SICKLING MEASUREMENT,73.0,36.5,3.15,8.71,74
CPT,85670,THROMBIN TIME; FIBRINOGEN SCREENING TEST; PLASMA,123.0,61.5,3.75,9.59,74
CPT,85675,THROMBIN TIME; FIBRINOGEN SCREENING TEST; TITER,58.0,29.0,4.45,11.36,37
CPT,85730,COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD,102.0,51.0,3.91,9.5,170
CPT,85730,THROMBOPLASTIN TIME PARTIAL,91.5,45.75,3.91,9.5,74
CPT,85732,COAGULATION ASSESSMENT BLOOD TEST; SUBSTITUTION; PLASMA FRACTIONS,243.0,121.5,4.21,10.22,37
CPT,85810,BLOOD VISCOSITY EXAMINATION,129.0,64.5,4.2,18.44,37
CPT,85810,BLOOD VISCOSITY MEASUREMENT,22.0,11.0,4.2,18.44,37
CPT,85999,HEMATOLOGY AND COAGULATION PROCEDURES,52.5,26.25,,,0
CPT,85999,UNLISTED HEMATOLOGY&COAGJ PX,88.0,44.0,,,0
CPT,86000,AGGLUTININS FEBRILE ANTIGEN,204.0,102.0,4.54,11.03,111
CPT,86001,ALLERGEN SPECIFIC IGG,55.0,27.5,5.08,12.36,74
CPT,86001,MEASUREMENT OF ANTIBODY (IGG) TO ALLERGIC SUBSTANCE; EACH ALLERGEN,74.0,37.0,5.08,12.36,37
CPT,86003,ALLG SPEC IGE CRUDE XTRC EA,75.0,37.5,3.39,8.65,922
CPT,86003,MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH,150.0,75.0,3.39,8.65,98
CPT,86005,MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; MULTIALLERGEN SCREEN,27.22,13.61,5.18,12.59,31
CPT,86008,ALLG SPEC IGE RECOMB EA,22.0,11.0,11.0,28.33,148
CPT,86008,MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; RECOMBINANT OR PURIFIED COMPONENT; EACH,133.0,66.5,11.65,28.33,146
CPT,86015,ACTIN ANTIBODY EACH,32.0,16.0,7.83,19.04,37
CPT,86015,MEASUREMENT OF ACTIN (SMOOTH MUSCLE) ANTIBODY,18.5,9.25,7.83,19.04,74
CPT,86021,ANTIBODY IDENTIFICATION TEST FOR WHITE BLOOD CELL ANTIBODIES,110.5,55.25,5.25,23.78,74
CPT,86021,WBC ANTIBODY IDENTIFICATION,52.0,26.0,5.25,23.78,74
CPT,86022,ANTIBODY IDENTIFICATION TEST; PLATELET ANTIBODIES,130.0,65.0,5.25,29.02,74
CPT,86022,PLATELET ANTIBODIES,519.0,259.5,5.25,29.02,185
CPT,86023,ANTIBODY IDENTIFICATION TEST; PLATELET ASSOCIATED IMMUNOGLOBULIN ASSAY,120.0,60.0,8.1,19.69,37
CPT,86023,IMMUNOGLOBULIN ASSAY,75.0,37.5,8.1,19.69,111
CPT,86033,ANTIHUMAN GLOBULIN TEST; INDIRECT; TITER (BROAD; GAMMA OR NONGAMMA); EACH,80.0,40.0,,,0
CPT,86036,SCREENING TEST FOR ANTINEUTROPHIL CYTOPLASMIC ANTIBODY,20.0,10.0,7.83,19.04,37
CPT,86037,ANTINEUTROPHIL CYTOPLASMIC ANTIBODY TITER,136.0,68.0,7.83,19.04,37
CPT,86038,ANTINUCLEAR ANTIBODIES,263.0,131.5,7.86,19.1,148
CPT,86038,SCREENING TEST FOR AUTOIMMUNE DISORDER,205.0,102.5,7.86,19.1,37
CPT,86039,MEASUREMENT OF ANTIBODY FOR ASSESSMENT OF AUTOIMMUNE DISORDER; TITER,167.5,83.75,7.25,18.0,74
CPT,86051,AQUAPORIN-4 ANTB ELISA,1277.0,638.5,7.49,18.22,37
CPT,86052,AQUAPORIN-4 ANTB CBA EACH,210.5,105.25,7.83,19.04,222
CPT,86052,CELL-BASED IMMUNOFLUORESCENCE (CBA) DETECTION OF AQUAPORIN-4 (NEUROMYELITIS OPTICA [NMO]) ANTIBODY,172.5,86.25,7.83,19.04,74
CPT,86053,AQAPRN-4 ANTB FLO CYTMTRY EA,590.0,295.0,10.12,59.61,111
CPT,86053,FLOW CYTOMETRY DETECTION OF AQUAPORIN-4 (NEUROMYELITIS OPTICA [NMO]) ANTIBODY,424.0,212.0,10.12,59.61,111
CPT,86060,ANTISTREPTOLYSIN O TITER,26.0,13.0,4.74,11.53,37
CPT,86060,MEASUREMENT FOR STREP ANTIBODY (STREP THROAT),30.0,15.0,4.74,11.53,74
CPT,86140,C-REACTIVE PROTEIN,55.5,27.75,3.15,8.18,148
CPT,86140,MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION,54.5,27.25,3.15,8.18,122
CPT,86141,C-REACTIVE PROTEIN HS,202.0,101.0,8.42,20.46,37
CPT,86141,MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY,193.0,96.5,8.42,20.46,61
CPT,86146,BETA 2 GLYCOPROTEIN 1 ANTIBODY (AUTOANTIBODY) MEASUREMENT,182.0,91.0,16.54,40.21,74
CPT,86146,BETA-2 GLYCOPROTEIN ANTIBODY,146.0,73.0,16.54,40.21,185
CPT,86147,CARDIOLIPIN ANTIBODY (TISSUE ANTIBODY) MEASUREMENT,182.0,91.0,16.54,42.19,74
CPT,86147,CARDIOLIPIN ANTIBODY EA IG,136.5,68.25,16.54,42.19,148
CPT,86148,ANTI-PHOSPHOLIPID ANTIBODY,200.0,100.0,10.45,25.39,31
CPT,86152,CELL ENUMERATION & ID,1847.5,923.75,163.01,396.23,62
CPT,86156,COLD AGGLUTININ SCREEN,36.0,18.0,5.25,12.75,37
CPT,86157,MEASUREMENT OF COLD AGGLUTININ (PROTEIN) TO DETECT INFECTION OR DISEASE,17.7,8.85,5.24,13.37,74
CPT,86160,COMPLEMENT ANTIGEN,106.0,53.0,7.8,19.91,555
CPT,86160,MEASUREMENT OF COMPLEMENT (IMMUNE SYSTEM PROTEINS); ANTIGEN;,72.0,36.0,7.8,19.91,111
CPT,86161,COMPLEMENT/FUNCTION ACTIVITY,255.5,127.75,7.8,19.91,222
CPT,86161,MEASUREMENT OF COMPLEMENT FUNCTION (IMMUNE SYSTEM PROTEINS),156.0,78.0,7.8,19.91,111
CPT,86162,MEASUREMENT OF COMPLEMENT (IMMUNE SYSTEM PROTEINS); TOTAL HEMOLYTIC,14.0,7.0,13.21,32.11,37
CPT,86171,COMPLEMENT FIXATION EACH,91.0,45.5,6.51,15.82,74
CPT,86200,CCP ANTIBODY,81.5,40.75,8.42,20.46,148
CPT,86200,MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT,62.5,31.25,8.42,20.46,74
CPT,86215,DEOXYRIBONUCLEASE ANTIBODY,39.0,19.5,8.61,20.94,37
CPT,86215,MEASUREMENT OF DNA ANTIBODY,16.0,8.0,8.61,20.94,37
CPT,86225,DNA ANTIBODY NATIVE,127.0,63.5,8.93,21.71,185
CPT,86225,MEASUREMENT OF DNA ANTIBODY; NATIVE OR DOUBLE STRANDED,25.0,12.5,8.93,21.71,37
CPT,86226,DNA ANTIBODY SINGLE STRAND,112.0,56.0,7.87,20.08,37
CPT,86231,DETECTION OF ENDOMYSIAL ANTIBODY (EMA),85.85,42.925,7.86,19.1,74
CPT,86231,EMA EACH IG CLASS,132.0,66.0,7.86,19.1,37
CPT,86235,MEASUREMENT OF ANTIBODY FOR ASSESSMENT OF AUTOIMMUNE DISORDER; ANY METHOD,158.5,79.25,11.4,28.33,183
CPT,86235,NUCLEAR ANTIGEN ANTIBODY,126.0,63.0,11.65,28.33,888
CPT,86255,FLUORESCENT ANTIBODY SCREEN,220.0,110.0,7.83,19.73,2032
CPT,86255,SCREENING TEST FOR ANTIBODY TO NONINFECTIOUS AGENT,189.72,94.86,7.83,19.73,327
CPT,86256,FLUORESCENT ANTIBODY TITER,188.0,94.0,7.83,19.04,592
CPT,86256,MEASUREMENT OF ANTIBODY TO NONINFECTIOUS AGENT,46.0,23.0,7.83,19.04,74
CPT,86258,DETECTION OF GLIADIN (DEAMIDATED) (DGP) ANTIBODY,83.0,41.5,7.83,19.04,55
CPT,86300,IMMUNOASSAY TUMOR CA 15-3,95.0,47.5,13.53,32.88,111
CPT,86300,IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 15-3,123.0,61.5,13.53,32.88,61
CPT,86301,IMMUNOASSAY TUMOR CA 19-9,32.0,16.0,13.53,32.88,37
CPT,86301,IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9,262.0,131.0,13.53,32.88,109
CPT,86304,IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125,260.0,130.0,13.53,32.88,85
CPT,86305,ANALYSIS OF FEMALE REPRODUCTIVE GENETIC MARKER,512.0,256.0,13.53,32.88,30
CPT,86308,HETEROPHILE ANTIBODY SCREEN,35.5,17.75,3.37,8.58,74
CPT,86308,SCREENING TEST FOR MONONUCLEOSIS (MONO),131.0,65.5,3.37,8.58,37
CPT,86309,HETEROPHILE ANTIBODY TITER,84.0,42.0,4.21,10.3,37
CPT,86316,ANALYSIS FOR DETECTION OF TUMOR MARKER,53.5,26.75,13.53,34.51,170
CPT,86316,IMMUNOASSAY TUMOR OTHER,488.0,244.0,13.53,34.51,111
CPT,86317,DETECTION OF INFECTIOUS AGENT ANTIBODY; QUANTITATIVE,29.0,14.5,9.74,24.59,37
CPT,86317,IMMUNOASSAY INFECTIOUS AGENT,74.0,37.0,9.74,24.59,333
CPT,86329,IMMUNODIFFUSION NES,345.0,172.5,9.13,22.2,37
CPT,86331,IMMUNODIFFUSION OUCHTERLONY,17.0,8.5,7.79,18.93,37
CPT,86331,IMMUNOLOGIC ANALYSIS FOR DETECTION OF ANTIGEN OR ANTIBODY,54.0,27.0,7.79,18.93,74
CPT,86332,IMMUNE COMPLEX ASSAY,148.0,74.0,15.84,38.5,185
CPT,86334,IMMUNOFIX E-PHORESIS SERUM,300.0,150.0,14.52,35.3,111
CPT,86334,IMMUNOLOGIC ANALYSIS TECHNIQUE ON SERUM (IMMUNOFIXATION),390.0,195.0,14.52,35.3,61
CPT,86335,IMMUNFIX E-PHORSIS/URINE/CSF,132.0,66.0,19.08,46.37,259
CPT,86335,IMMUNOLOGIC ANALYSIS TECHNIQUE ON BODY FLUID; OTHER FLUIDS WITH CONCENTRATION,345.5,172.75,19.08,46.37,74
CPT,86336,INHIBIN A,29.0,14.5,10.13,24.63,93
CPT,86336,INHIBIN A (REPRODUCTIVE ORGAN HORMONE) MEASUREMENT,45.0,22.5,10.13,24.63,31
CPT,86337,INSULIN ANTIBODIES,142.5,71.25,11.55,33.83,70
CPT,86337,INSULIN ANTIBODY MEASUREMENT,16.0,8.0,11.55,33.83,37
CPT,86340,INTRINSIC FACTOR (STOMACH PROTEIN) ANTIBODY MEASUREMENT,48.0,24.0,9.8,25.0,37
CPT,86341,ISLET CELL (PANCREAS) ANTIBODY MEASUREMENT,268.0,134.0,15.32,37.24,98
CPT,86341,ISLET CELL ANTIBODY,228.0,114.0,15.32,37.24,1071
CPT,86343,LEUKOCYTE HISTAMINE RELEASE,116.0,58.0,8.1,19.69,62
CPT,86343,WHITE BLOOD CELL HISTAMINE (IMMUNE SYSTEM CHEMICAL) RELEASE TEST,149.0,74.5,8.1,19.69,31
CPT,86352,ANALYSIS OF CELL FUNCTION AND ANALYSIS FOR GENETIC MARKER,923.0,461.5,81.73,214.66,60
CPT,86352,CELL FUNCTION ASSAY W/STIM,405.5,202.75,81.73,214.66,120
CPT,86353,LYMPHOCYTE TRANSFORMATION,317.0,158.5,31.87,81.3,185
CPT,86353,WHITE BLOOD CELL FUNCTION MEASUREMENT; MITOGEN OR ANTIGEN INDUCED BLASTOGENESIS,647.8,323.9,31.87,81.3,98
CPT,86355,B CELLS TOTAL COUNT,144.0,72.0,24.52,59.61,185
CPT,86355,TOTAL CELL COUNT FOR B CELLS (WHITE BLOOD CELLS),25.0,12.5,24.52,59.61,37
CPT,86356,MONONUCLEAR CELL ANTIGEN,221.0,110.5,17.41,42.31,111
CPT,86356,WHITE BLOOD CELL ANTIGEN MEASUREMENT,1866.2,933.1,17.41,42.31,61
CPT,86357,NK CELLS TOTAL COUNT,191.0,95.5,24.52,59.61,148
CPT,86357,TOTAL CELL COUNT FOR NATURAL KILLER CELLS (WHITE BLOOD CELL),228.0,114.0,24.52,59.61,74
CPT,86359,T CELLS COUNT; TOTAL,25.0,12.5,24.52,59.61,37
CPT,86359,T CELLS TOTAL COUNT,109.5,54.75,24.52,60.0,148
CPT,86360,T CELL ABSOLUTE COUNT/RATIO,130.0,65.0,30.54,77.09,148
CPT,86360,T CELL COUNT AND RATIO; INCLUDING RATIO,31.0,15.5,30.54,74.23,37
CPT,86361,T CELL ABSOLUTE COUNT,64.0,32.0,17.41,42.31,37
CPT,86362,CELL-BASED IMMUNOFLUORESCENCE (CBA) DETECTION OF MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG-IGG1) ANTIBODY,817.0,408.5,7.83,19.04,74
CPT,86362,MOG-IGG1 ANTB CBA EACH,1570.0,785.0,7.83,19.04,37
CPT,86363,FLOW CYTOMETRY DETECTION OF MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG-IGG1) ANTIBODY,424.0,212.0,10.12,59.61,111
CPT,86363,MOG-IGG1 ANTB FLO CYTMTRY EA,581.0,290.5,10.12,59.61,74
CPT,86364,MEASUREMENT OF TISSUE TRANSGLUTAMINASE,68.0,34.0,7.49,18.22,86
CPT,86364,TISS TRNSGLTMNASE EA IG CLAS,83.0,41.5,7.49,18.22,31
CPT,86367,STEM CELLS COUNT; TOTAL,820.0,410.0,44.27,122.89,37
CPT,86367,STEM CELLS TOTAL COUNT,410.0,205.0,44.27,122.89,37
CPT,86376,MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT,331.0,165.5,8.31,22.99,74
CPT,86376,MICROSOMAL ANTIBODY EACH,47.0,23.5,8.31,22.99,259
CPT,86381,MEASUREMENT OF MITOCHONDRIAL ANTIBODY,50.0,25.0,16.54,40.21,31
CPT,86381,MITOCHONDRIAL ANTIBODY EACH,119.5,59.75,16.54,40.21,62
CPT,86382,NEUTRALIZATION TEST VIRAL,288.0,144.0,10.99,26.72,217
CPT,86382,VIRAL NEUTRALIZATION TEST TO DETECT VIRAL ANTIBODY LEVEL,227.0,113.5,10.99,26.72,62
CPT,86403,PARTICLE AGGLUT ANTBDY SCRN,130.0,65.0,7.5,18.23,111
CPT,86406,PARTICLE AGGLUT ANTBDY TITR,281.0,140.5,6.92,17.5,37
CPT,86430,RHEUMATOID FACTOR TEST QUAL,161.0,80.5,3.99,9.7,37
CPT,86431,RHEUMATOID FACTOR LEVEL,47.5,23.75,3.69,9.28,74
CPT,86431,RHEUMATOID FACTOR QUANT,32.0,16.0,3.69,9.28,111
CPT,86480,TB TEST CELL IMMUN MEASURE,135.5,67.75,40.29,97.93,74
CPT,86480,TUBERCULOSIS TEST; GAMMA INTERFERON,166.5,83.25,40.29,97.93,98
CPT,86481,TUBERCULOSIS TEST; ENUMERATION OF T-CELLS,278.0,139.0,65.0,158.0,37
CPT,86485,SKIN TEST CANDIDA,84.0,42.0,2.63,43.99,37
CPT,86580,Aplisol,65.0,32.5,5.78,43.99,30
CPT,86580,SKIN TEST FOR TUBERCULOSIS,65.0,32.5,5.78,43.99,54
CPT,86592,SYPHILIS DETECTION TEST,25.0,12.5,2.78,6.75,37
CPT,86592,SYPHILIS TEST NON-TREP QUAL,46.0,23.0,2.78,6.75,407
CPT,86593,SYPHILIS TEST,131.0,65.5,2.86,7.31,37
CPT,86593,SYPHILIS TEST NON-TREP QUANT,82.5,41.25,2.86,7.31,74
CPT,86596,MEASUREMENT OF VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY,84.62,42.31,7.83,19.04,122
CPT,86596,VOLTAGE-GTD CA CHNL ANTB EA,50.0,25.0,7.83,19.04,74
CPT,86603,ADENOVIRUS ANTIBODY,21.0,10.5,8.37,21.0,37
CPT,86606,ANALYSIS FOR ANTIBODY TO ASPERGILLUS (FUNGUS),36.0,18.0,9.78,24.96,37
CPT,86606,ASPERGILLUS ANTIBODY,127.0,63.5,9.78,24.96,222
CPT,86609,ANALYSIS FOR ANTIBODY BACTERIA,64.0,32.0,8.37,20.35,31
CPT,86609,BACTERIUM ANTIBODY,17.0,8.5,8.37,20.35,93
CPT,86611,ANALYSIS FOR ANTIBODY TO BARTONELLA (BACTERIA),142.0,71.0,6.62,16.08,61
CPT,86611,BARTONELLA ANTIBODY,74.0,37.0,6.62,16.08,111
CPT,86612,ANALYSIS FOR ANTIBODY TO BLASTOMYCES (FUNGUS),22.0,11.0,8.38,21.4,37
CPT,86612,BLASTOMYCES ANTIBODY,14.0,7.0,8.38,20.38,37
CPT,86615,ANALYSIS FOR ANTIBODY BORDETELLA (RESPIRATORY BACTERIA),103.0,51.5,8.57,21.88,74
CPT,86615,BORDETELLA ANTIBODY,48.0,24.0,8.57,21.88,111
CPT,86617,CONFIRMATION TEST FOR ANTIBODY TO BORRELIA BURGDORFERI (LYME DISEASE BACTERIA),70.73,35.365,10.07,25.68,98
CPT,86617,LYME DISEASE ANTIBODY,64.5,32.25,10.07,25.68,222
CPT,86618,ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA),63.0,31.5,11.07,28.25,122
CPT,86618,LYME DISEASE ANTIBODY,118.0,59.0,11.07,28.25,185
CPT,86619,BORRELIA ANTIBODY,151.0,75.5,8.7,21.14,31
CPT,86622,ANALYSIS FOR ANTIBODY TO BRUCELLA (BACTERIA),72.0,36.0,5.8,14.11,37
CPT,86622,BRUCELLA ANTIBODY,68.0,34.0,5.8,14.11,259
CPT,86625,CAMPYLOBACTER ANTIBODY,298.0,149.0,8.53,21.76,37
CPT,86628,ANALYSIS FOR ANTIBODY TO CANDIDA (YEAST),165.44,82.72,7.81,19.92,37
CPT,86628,CANDIDA ANTIBODY,154.0,77.0,7.81,19.92,37
CPT,86631,ANALYSIS FOR ANTIBODY TO CHLAMYDIA (BACTERIA),57.0,28.5,7.68,18.68,37
CPT,86631,CHLAMYDIA ANTIBODY,18.0,9.0,7.68,18.68,74
CPT,86632,ANALYSIS FOR ANTIBODY (IGM) TO CHLAMYDIA (BACTERIA),57.0,28.5,8.24,21.06,37
CPT,86632,CHLAMYDIA IGM ANTIBODY,18.5,9.25,8.24,20.03,74
CPT,86635,ANALYSIS FOR ANTIBODY TO COCCIDIOIDES (BACTERIA),52.0,26.0,7.46,19.02,37
CPT,86635,COCCIDIOIDES ANTIBODY,39.0,19.5,7.46,19.02,222
CPT,86638,ANALYSIS FOR ANTIBODY TO COXIELLA BURNETII (Q FEVER BACTERIA),64.0,32.0,7.88,20.1,37
CPT,86638,Q FEVER ANTIBODY,59.0,29.5,7.88,20.1,111
CPT,86644,ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV),41.5,20.75,9.35,23.8,61
CPT,86644,CMV ANTIBODY,38.0,19.0,9.35,23.8,404
CPT,86645,ANALYSIS FOR ANTIBODY (IGM) TO CYTOMEGALOVIRUS (CMV),20.0,10.0,10.95,26.62,37
CPT,86645,CMV ANTIBODY IGM,38.0,19.0,10.95,27.94,296
CPT,86648,ANALYSIS FOR ANTIBODY TO DIPHTHERIA (BACTERIA),30.0,15.0,9.89,25.22,37
CPT,86648,DIPHTHERIA ANTIBODY,40.0,20.0,9.89,25.22,37
CPT,86651,ANALYSIS FOR ANTIBODY TO LA CROSSE (CALIFORNIA) VIRUS (ENCEPHALITIS CAUSING VIRUS),360.0,180.0,8.57,21.86,74
CPT,86651,ENCEPHALITIS CALIFORN ANTBDY,63.5,31.75,8.0,21.86,222
CPT,86652,ANALYSIS FOR ANTIBODY TO EASTERN EQUINE VIRUS (VIRAL ENCEPHALITIS),120.0,60.0,8.57,21.86,37
CPT,86652,ENCEPHALTIS EAST EQNE ANBDY,75.0,37.5,8.0,21.86,259
CPT,86653,ANALYSIS FOR ANTIBODY TO ST. LOUIS VIRUS (VIRAL ENCEPHALITIS),120.0,60.0,8.57,21.86,37
CPT,86653,ENCEPHALTIS ST LOUIS ANTBODY,67.5,33.75,8.0,21.86,222
CPT,86654,ANALYSIS FOR ANTIBODY TO WESTERN EQUINE VIRUS (VIRAL ENCEPHALITIS),120.0,60.0,8.57,21.86,37
CPT,86654,ENCEPHALTIS WEST EQNE ANTBDY,63.5,31.75,8.0,21.86,222
CPT,86658,ANALYSIS FOR ANTIBODY TO ENTEROVIRUS (GASTROINTESTINAL VIRUS),100.0,50.0,8.47,20.59,31
CPT,86658,ENTEROVIRUS ANTIBODY,26.0,13.0,8.47,20.59,62
CPT,86663,ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); EARLY ANTIGEN,88.56,44.28,8.53,21.76,74
CPT,86663,EPSTEIN-BARR ANTIBODY,89.0,44.5,8.53,21.76,37
CPT,86664,ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); NUCLEAR ANTIGEN,91.0,45.5,9.94,25.37,37
CPT,86664,EPSTEIN-BARR NUCLEAR ANTIGEN,26.0,13.0,9.94,25.37,185
CPT,86665,ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID,56.5,28.25,8.0,30.08,98
CPT,86665,EPSTEIN-BARR CAPSID VCA,30.0,15.0,11.79,30.08,111
CPT,86666,ANALYSIS FOR ANTIBODY TO EHRLICHIA (BACTERIA TRANSMITTED BY TICKS),40.0,20.0,6.62,16.08,37
CPT,86666,EHRLICHIA ANTIBODY,90.0,45.0,6.62,16.08,222
CPT,86668,ANALYSIS FOR ANTIBODY TO FRANCISELLA TULARENSIS (BACTERIA TRANSMITTED BY RODENTS),352.0,176.0,9.2,22.37,37
CPT,86668,FRANCISELLA TULARENSIS,180.0,90.0,9.2,22.37,111
CPT,86671,ANALYSIS FOR ANTIBODY TO FUNGUS,58.4,29.2,7.96,19.36,62
CPT,86671,FUNGUS NES ANTIBODY,105.5,52.75,7.96,19.36,186
CPT,86677,HELICOBACTER PYLORI ANTIBODY,57.5,28.75,10.95,26.62,148
CPT,86682,ANALYSIS FOR ANTIBODY TO HELMINTH (INTESTINAL WORM),212.8,106.4,8.46,20.56,62
CPT,86682,HELMINTH ANTIBODY,203.5,101.75,8.46,20.56,310
CPT,86684,ANALYSIS FOR ANTIBODY TO HAEMOPHILUS INFLUENZA (RESPIRATORY BACTERIA),54.0,27.0,10.3,25.74,37
CPT,86684,HEMOPHILUS INFLUENZA ANTIBDY,101.0,50.5,10.3,25.74,37
CPT,86687,HTLV-I ANTIBODY,32.5,16.25,5.91,14.36,74
CPT,86688,HTLV-II ANTIBODY,38.0,19.0,9.1,22.12,37
CPT,86689,HTLV/HIV CONFIRMJ ANTIBODY,477.0,238.5,12.58,32.1,74
CPT,86692,ANALYSIS FOR ANTIBODY TO HEPATITIS D VIRUS,146.0,73.0,11.15,28.46,37
CPT,86692,HEPATITIS DELTA AGENT ANTBDY,124.0,62.0,11.15,28.46,185
CPT,86694,ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS,22.0,11.0,9.35,22.74,37
CPT,86694,HERPES SIMPLEX NES ANTBDY,63.0,31.5,9.35,23.8,407
CPT,86695,ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1,55.5,27.75,8.57,21.86,74
CPT,86695,HERPES SIMPLEX TYPE 1 TEST,42.5,21.25,7.0,21.86,222
CPT,86696,ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2,76.5,38.25,12.58,30.57,74
CPT,86696,HERPES SIMPLEX TYPE 2 TEST,49.5,24.75,10.0,30.57,444
CPT,86698,ANALYSIS FOR ANTIBODY TO HISTOPLASMA (FUNGUS),270.0,135.0,8.96,21.79,37
CPT,86698,HISTOPLASMA ANTIBODY,96.0,48.0,8.96,21.79,296
CPT,86701,ANALYSIS FOR ANTIBODY TO HIV -1 VIRUS,65.0,32.5,5.78,14.54,109
CPT,86702,ANALYSIS FOR ANTIBODY TO HIV-2 VIRUS,101.0,50.5,8.79,21.36,109
CPT,86702,HIV-2 ANTIBODY,532.0,266.0,8.79,21.36,37
CPT,86703,ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS,32.0,16.0,8.91,22.44,61
CPT,86703,HIV-1/HIV-2 1 RESULT ANTBDY,263.0,131.5,8.91,22.44,148
CPT,86704,HEP B CORE ANTIBODY TOTAL,33.5,16.75,7.83,19.04,74
CPT,86704,HEPATITIS B CORE ANTIBODY MEASUREMENT,94.0,47.0,7.83,19.04,98
CPT,86705,HEP B CORE ANTIBODY IGM,40.0,20.0,7.65,19.5,37
CPT,86705,HEPATITIS B CORE ANTIBODY (IGM) MEASUREMENT,68.0,34.0,7.65,19.5,37
CPT,86706,HEP B SURFACE ANTIBODY,37.0,18.5,6.98,16.97,37
CPT,86706,HEPATITIS B SURFACE ANTIBODY MEASUREMENT,133.0,66.5,6.98,16.97,61
CPT,86707,HEPATITIS BE ANTIBODY MEASUREMENT,4.0,2.0,4.0,18.28,37
CPT,86708,HEPATITIS A ANTIBODY,113.0,56.5,8.05,19.58,74
CPT,86708,MEASUREMENT OF HEPATITIS A ANTIBODY,62.4,31.2,8.05,19.58,37
CPT,86709,HEPATITIS A IGM ANTIBODY,37.0,18.5,7.32,18.24,37
CPT,86709,MEASUREMENT OF HEPATITIS A ANTIBODY (IGM),260.0,130.0,7.32,18.24,37
CPT,86710,INFLUENZA VIRUS ANTIBODY,36.0,18.0,8.81,21.41,31
CPT,86713,LEGIONELLA ANTIBODY,61.5,30.75,9.94,25.02,148
CPT,86717,LEISHMANIA ANTIBODY,74.0,37.0,7.96,19.36,31
CPT,86720,ANALYSIS FOR ANTIBODY TO LEPTOSPIRA,250.0,125.0,10.53,25.6,37
CPT,86727,ANALYSIS FOR ANTIBODY TO LYMPHOCYTIC CHORIOMENINGITIS VIRUS (VIRAL MENINGITIS),74.0,37.0,8.37,21.35,37
CPT,86727,LYMPH CHORIOMENINGITIS AB,51.0,25.5,8.37,21.35,37
CPT,86735,ANALYSIS FOR ANTIBODY TO MUMPS VIRUS,36.315,18.16,8.48,20.62,62
CPT,86735,MUMPS ANTIBODY,75.0,37.5,8.48,20.62,155
CPT,86738,ANALYSIS FOR ANTIBODY TO MYCOPLASMA (BACTERIA),34.0,17.0,8.61,21.86,37
CPT,86738,MYCOPLASMA ANTIBODY,162.0,81.0,8.61,21.86,222
CPT,86747,ANALYSIS FOR ANTIBODY TO PARVOVIRUS,32.0,16.0,9.77,24.92,37
CPT,86747,PARVOVIRUS ANTIBODY,16.0,8.0,9.77,23.75,37
CPT,86750,MALARIA ANTIBODY,150.0,75.0,8.57,20.84,31
CPT,86753,ANALYSIS FOR ANTIBODY TO PROTOZOA (PARASITE),104.95,52.475,8.05,19.58,62
CPT,86753,PROTOZOA ANTIBODY NOS,86.0,43.0,8.05,19.58,210
CPT,86756,RESPIRATORY VIRUS ANTIBODY,67.0,33.5,10.33,25.11,37
CPT,86757,ANALYSIS FOR ANTIBODY TO RICKETTSIA (BACTERIA),29.740000000000002,14.870000000000001,12.58,30.57,74
CPT,86757,RICKETTSIA ANTIBODY,129.0,64.5,12.58,30.57,366
CPT,86762,ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS),44.0,22.0,9.35,23.57,37
CPT,86762,RUBELLA ANTIBODY,66.0,33.0,9.35,23.57,370
CPT,86765,ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS),39.0,19.5,8.37,20.35,37
CPT,86765,RUBEOLA ANTIBODY,50.5,25.25,8.37,20.35,214
CPT,86768,SALMONELLA ANTIBODY,110.0,55.0,8.57,20.84,93
CPT,86769,MEASURE OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIBODY,137.5,68.75,11.72,66.57,74
CPT,86769,SARS-COV-2 COVID-19 ANTIBODY,179.5,89.75,11.72,66.57,74
CPT,86774,ANALYSIS FOR ANTIBODY TO TETANUS BACTERIA (CLOSTRIDIUM TETANUS),20.0,10.0,9.62,23.38,31
CPT,86774,TETANUS ANTIBODY,30.0,15.0,9.62,23.38,31
CPT,86777,ANALYSIS FOR ANTIBODY TO TOXOPLASMA (PARASITE),28.0,14.0,9.35,23.8,37
CPT,86777,TOXOPLASMA ANTIBODY,68.0,34.0,9.35,23.8,259
CPT,86778,ANALYSIS FOR ANTIBODY (IGM) TO TOXOPLASMA (PARASITE),29.0,14.5,9.37,23.88,37
CPT,86778,TOXOPLASMA ANTIBODY IGM,54.0,27.0,9.37,23.88,222
CPT,86780,ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM,28.0,14.0,8.61,20.92,111
CPT,86780,TREPONEMA PALLIDUM,83.0,41.5,8.61,20.92,333
CPT,86784,ANALYSIS FOR ANTIBODY TO TRICHINELLA (WORM PARASITE),77.6,38.8,8.16,20.83,74
CPT,86787,ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX),54.0,27.0,8.37,21.37,37
CPT,86787,VARICELLA-ZOSTER ANTIBODY,35.0,17.5,8.37,21.37,258
CPT,86788,ANALYSIS FOR ANTIBODY (IGM) TO WEST NILE VIRUS,41.0,20.5,10.95,26.62,37
CPT,86788,WEST NILE VIRUS AB IGM,67.0,33.5,10.95,26.62,111
CPT,86789,ANALYSIS FOR ANTIBODY TO WEST NILE VIRUS,41.0,20.5,9.35,22.74,37
CPT,86789,WEST NILE VIRUS ANTIBODY,57.0,28.5,9.35,22.74,111
CPT,86790,ANALYSIS FOR ANTIBODY TO VIRUS,120.0,60.0,8.37,20.35,93
CPT,86790,VIRUS ANTIBODY NOS,157.5,78.75,8.37,20.35,558
CPT,86794,ANALYSIS FOR ANTIBODY TO ZIKA VIRUS,418.0,209.0,10.95,26.62,37
CPT,86800,THYROGLOBULIN (THYROID PROTEIN) ANTIBODY MEASUREMENT,20.0,10.0,9.6,25.14,98
CPT,86800,THYROGLOBULIN ANTIBODY,126.5,63.25,10.34,25.14,222
CPT,86803,HEPATITIS C AB TEST,37.5,18.75,9.28,22.8,222
CPT,86803,HEPATITIS C ANTIBODY MEASUREMENT,55.5,27.75,9.28,22.8,74
CPT,86804,HEP C AB TEST CONFIRM,522.0,261.0,10.07,25.68,111
CPT,86805,LYMPHOCYTOTOXICITY ASSAY,540.5,270.25,46.27,299.43,74
CPT,86807,CYTOTOXIC ANTIBODY SCREENING,597.0,298.5,51.12,124.27,37
CPT,86812,IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE; A; B; OR C; SINGLE ANTIGEN,27.0,13.5,12.6,40.78,85
CPT,86813,HLA TYPING A B OR C,648.0,324.0,37.7,94.2,37
CPT,86817,HLA TYPING DR/DQ,648.0,324.0,68.99,167.7,111
CPT,86821,LYMPHOCYTE CULTURE MIXED,853.0,426.5,23.76,93.64,37
CPT,86825,HLA X-MATH NON-CYTOTOXIC,577.0,288.5,71.17,172.99,37
CPT,86825,IMMUNOLOGIC ANALYSIS FOR ORGAN TRANSPLANT; FIRST SERUM SAMPLE OR DILUTION,676.0,338.0,71.17,172.99,37
CPT,86826,HLA X-MATCH NONCYTOTOXC ADDL,252.5,126.25,23.74,57.72,74
CPT,86826,IMMUNOLOGIC ANALYSIS FOR ORGAN TRANSPLANT; EACH ADDITIONAL SERUM SAMPLE OR SAMPLE DILUTION,560.0,280.0,23.74,57.72,37
CPT,86828,ASSESSMENT OF ANTIBODIES TO CLASS I AND CLASS II HUMAN LEUKOCYTE ANTIGENS (HLA) ANTIGENS,270.0,135.0,41.72,101.42,85
CPT,86828,HLA CLASS I&II ANTIBODY QUAL,376.0,188.0,41.72,101.42,37
CPT,86830,ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS (HLA) WITH ANTIBODY IDENTIFICATION BY QUALITATIVE PANEL USING COMPLETE HLA PHENOTYPES; HLA CLASS I,300.0,150.0,62.09,150.92,37
CPT,86831,ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS (HLA) WITH ANTIBODY IDENTIFICATION BY QUALITATIVE PANEL USING COMPLETE HLA PHENOTYPES; HLA CLASS II,256.0,128.0,53.22,129.37,37
CPT,86832,ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS (HLA) WITH HIGH DEFINITION QUALITATIVE PANEL FOR IDENTIFICATION OF ANTIBODY SPECIFICITIES; HLA CLASS I,808.5,404.25,139.8,511.53,61
CPT,86832,HLA CLASS I HIGH DEFIN QUAL,1159.5,579.75,139.8,511.53,222
CPT,86833,ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS (HLA) WITH HIGH DEFINITION QUALITATIVE PANEL FOR IDENTIFICATION OF ANTIBODY SPECIFICITIES; HLA CLASS II,1188.0,594.0,127.09,514.76,61
CPT,86833,HLA CLASS II HIGH DEFIN QUAL,855.0,427.5,127.09,514.76,185
CPT,86834,ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS (HLA); HLA CLASS I,1832.0,916.0,232.41,564.94,98
CPT,86835,ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS (HLA) WITH SOLID PHASE ASSAYS; HLA CLASS II,1793.0,896.5,209.92,510.28,98
CPT,86849,IMMUNOLOGY PROCEDURE,144.0,72.0,12.96,13.2,7
CPT,86849,IMMUNOLOGY PROCEDURES,157.0,78.5,12.96,13.2,14
CPT,86850,RBC ANTIBODY SCREEN,40.0,20.0,8.87,79.25,37
CPT,86850,SCREENING TEST FOR RED BLOOD CELL ANTIBODIES,126.5,63.25,8.87,79.25,109
CPT,86860,REMOVAL OF ANTIBODIES FROM SURFACE OF RED BLOOD CELL,215.0,107.5,8.87,259.1,61
CPT,86870,IDENTIFICATION OF RED BLOOD CELL ANTIBODIES,270.0,135.0,8.87,545.13,98
CPT,86880,RED BLOOD CELL ANTIBODY DETECTION TEST; DIRECT,104.5,52.25,5.09,89.71,98
CPT,86885,RED BLOOD CELL ANTIBODY DETECTION TEST; INDIRECT,40.0,20.0,5.41,259.1,37
CPT,86886,RED BLOOD CELL ANTIBODY LEVEL,390.0,195.0,4.89,259.1,37
CPT,86890,AUTOLOGOUS BLOOD PROCESS,529.0,264.5,46.54,259.1,31
CPT,86891,AUTOLOGOUS BLOOD OP SALVAGE,913.0,456.5,20.14,2055.07,62
CPT,86900,BLOOD GROUP TYPING (ABO),99.0,49.5,2.82,202.35,98
CPT,86900,BLOOD TYPING SEROLOGIC ABO,20.0,10.0,2.82,202.35,111
CPT,86901,BLOOD TYPING FOR RH (D) ANTIGEN,86.0,43.0,2.82,56.8,98
CPT,86901,BLOOD TYPING SEROLOGIC RH(D),26.5,13.25,2.82,56.8,148
CPT,86902,BLOOD TYPE ANTIGEN DONOR EA,266.0,133.0,2.96,545.13,37
CPT,86902,SCREENING TEST FOR COMPATIBLE BLOOD UNIT; USING REAGENT SERUM,4256.0,2128.0,2.96,545.13,37
CPT,86905,BLOOD TYPING FOR RED BLOOD CELL ANTIGENS,848.0,424.0,3.44,545.13,98
CPT,86905,BLOOD TYPING RBC ANTIGENS,38.0,19.0,3.44,545.13,37
CPT,86906,BLOOD TYPING RH PHENOTYPING,158.0,79.0,7.33,56.8,37
CPT,86920,BLOOD UNIT COMPATIBILITY TEST; IMMEDIATE SPIN TECHNIQUE,255.5,127.75,22.05,259.1,61
CPT,86920,COMPATIBILITY TEST SPIN,73.0,36.5,22.05,259.1,37
CPT,86922,BLOOD UNIT COMPATIBILITY TEST; ANTIGLOBULIN TECHNIQUE,600.0,300.0,22.05,259.1,37
CPT,86922,COMPATIBILITY TEST ANTIGLOB,150.0,75.0,22.05,259.1,37
CPT,86923,BLOOD UNIT COMPATIBILITY TEST; ELECTRONIC,135.0,67.5,12.2,259.1,85
CPT,86923,COMPATIBILITY TEST ELECTRIC,105.0,52.5,12.2,259.1,74
CPT,86927,PLASMA FRESH FROZEN,161.0,80.5,9.22,259.1,31
CPT,86941,HEMOLYSINS/AGGLUTININS,92.0,46.0,7.87,19.13,37
CPT,86945,BLOOD PRODUCT/IRRADIATION,204.0,102.0,11.07,56.8,31
CPT,86965,POOLING BLOOD PLATELETS,745.0,372.5,15.15,259.1,62
CPT,86970,PRETREATMENT OF RED BLOOD CELLS FOR USE IN RED BLOOD CELLS ANTIBODY ANALYSIS AND MEASUREMENT; INCUBATION WITH CHEMICAL AGENTS OR DRUGS,81.5,40.75,15.15,89.71,62
CPT,86977,PRETREATMENT OF SERUM FOR USE IN RED BLOOD CELL ANTIBODY ANALYSIS AND MEASUREMENT; INCUBATION WITH INHIBITORS,76.0,38.0,15.15,259.1,62
CPT,86977,RBC SERUM PRETX INCUBJ/INHIB,170.0,85.0,15.15,259.1,93
CPT,86978,PRETREATMENT OF SERUM FOR USE IN RED BLOOD CELL ANTIBODY ANALYSIS AND MEASUREMENT; BY DIFFERENTIAL RED CELL ABSORPTION,1072.0,536.0,18.44,89.71,31
CPT,86978,RBC PRETREATMENT SERUM,266.0,133.0,18.44,89.71,31
CPT,86985,SPLITTING OF BLOOD OR BLOOD PRODUCTS,270.0,135.0,23.24,259.1,31
CPT,87015,CONCENTRATION OF SPECIMEN FOR INFECTIOUS AGENTS,270.0,135.0,4.34,10.55,61
CPT,87015,SPECIMEN INFECT AGNT CONCNTJ,29.0,14.5,4.34,10.55,185
CPT,87040,BACTERIAL BLOOD CULTURE,676.0,338.0,6.71,16.8,85
CPT,87040,BLOOD CULTURE FOR BACTERIA,60.0,30.0,6.71,16.8,111
CPT,87045,FECES CULTURE AEROBIC BACT,34.0,17.0,6.14,14.92,74
CPT,87045,STOOL CULTURE,103.5,51.75,6.14,14.92,74
CPT,87046,STOOL CULTR AEROBIC BACT EA,41.0,20.5,2.74,14.92,185
CPT,87046,STOOL CULTURE; ADDITIONAL PATHOGENS,59.47,29.735,2.74,14.92,74
CPT,87070,BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC,152.0,76.0,5.6,13.62,109
CPT,87070,CULTURE OTHR SPECIMN AEROBIC,25.5,12.75,5.6,13.62,370
CPT,87071,BACTERIAL CULTURE AND COLONY COUNT,247.0,123.5,5.48,15.63,37
CPT,87073,CULTURE BACTERIA ANAEROBIC,161.0,80.5,5.48,15.26,37
CPT,87075,BACTERIAL CULTURE; ANY SOURCE; EXCEPT BLOOD; ANAEROBIC,216.0,108.0,6.16,14.96,85
CPT,87076,BACTERIAL CULTURE FOR ANAEROBIC ISOLATES,182.0,91.0,5.25,12.77,74
CPT,87076,CULTURE ANAEROBE IDENT EACH,18.0,9.0,5.25,12.77,111
CPT,87077,BACTERIAL CULTURE FOR AEROBIC ISOLATES,316.5,158.25,5.25,12.77,61
CPT,87077,CULTURE AEROBIC IDENTIFY,211.0,105.5,3.0,12.77,325
CPT,87081,CULTURE SCREEN ONLY,181.0,90.5,4.31,10.48,148
CPT,87081,SCREENING TEST FOR PATHOGENIC ORGANISMS,69.0,34.5,4.31,10.48,61
CPT,87086,BACTERIAL COLONY COUNT; URINE,137.0,68.5,5.25,12.75,205
CPT,87088,BACTERIAL URINE CULTURE,97.0,48.5,5.26,12.78,61
CPT,87101,FUNGAL CULTURE (MOLD OR YEAST) OF SKIN; HAIR; OR NAIL,133.0,66.5,5.01,12.18,37
CPT,87102,FUNGAL CULTURE (MOLD OR YEAST),43.0,21.5,5.47,13.29,37
CPT,87103,BLOOD FUNGUS CULTURE,240.0,120.0,13.08,32.33,37
CPT,87103,FUNGAL BLOOD CULTURE (MOLD OR YEAST),164.0,82.0,13.08,32.33,37
CPT,87106,FUNGAL CULTURE; YEAST,45.5,22.75,6.71,16.31,74
CPT,87106,FUNGI IDENTIFICATION YEAST,141.5,70.75,6.71,16.31,74
CPT,87107,CULTURE FOR IDENTIFICATION OF YEAST,157.0,78.5,6.71,16.31,122
CPT,87107,FUNGI IDENTIFICATION MOLD,125.0,62.5,6.71,16.31,185
CPT,87109,MYCOPLASMA,110.0,55.0,10.0,24.32,74
CPT,87110,CHLAMYDIA CULTURE,160.5,80.25,12.74,31.32,74
CPT,87116,CULTURE FOR ACID-FAST BACILLI,234.0,117.0,7.02,17.06,37
CPT,87116,MYCOBACTERIA CULTURE,206.5,103.25,7.02,17.06,74
CPT,87118,MYCOBACTERIC IDENTIFICATION,265.0,132.5,9.5,23.08,74
CPT,87140,CULTURE TYPE IMMUNOFLUORESC,41.5,20.75,3.15,8.8,148
CPT,87143,CULTURE TYPING GLC/HPLC,258.0,129.0,4.2,19.78,37
CPT,87147,CULTURE TYPE IMMUNOLOGIC,47.0,23.5,3.15,8.18,74
CPT,87147,IDENTIFICATION OF ORGANISMS BY IMMUNOLOGIC ANALYSIS; OTHER THAN IMMUNOFLUORESCENCE METHOD,131.0,65.5,3.15,8.18,74
CPT,87149,DNA/RNA DIRECT PROBE,145.5,72.75,13.03,31.68,74
CPT,87150,DNA/RNA AMPLIFIED PROBE,241.0,120.5,22.81,55.44,185
CPT,87153,DNA/RNA SEQUENCING,373.0,186.5,69.0,182.27,259
CPT,87153,IDENTIFICATION OF ORGANISMS BY NUCLEIC ACID SEQUENCING METHOD,728.0,364.0,74.98,182.27,37
CPT,87168,MACROSCOPIC EXAM ARTHROPOD,49.0,24.5,2.78,6.75,31
CPT,87169,MACROSCOPIC EXAM PARASITE,49.0,24.5,2.8,6.81,31
CPT,87172,PINWORM TEST,37.0,18.5,2.78,6.75,31
CPT,87176,TISSUE HOMOGENIZATION CULTR,85.0,42.5,3.82,9.29,37
CPT,87176,TISSUE PREPARATION FOR CULTURE,266.0,133.0,3.82,9.29,98
CPT,87177,OVA AND PARASITES SMEARS,99.5,49.75,5.78,14.06,74
CPT,87177,SMEAR FOR PARASITES,87.0,43.5,5.78,14.06,98
CPT,87181,EVALUATION OF ANTIMICROBIAL DRUG (ANTIBIOTIC; ANTIFUNGAL; ANTIVIRAL); AGAR DILUTION METHOD,160.0,80.0,3.09,7.5,74
CPT,87181,MICROBE SUSCEPTIBLE DIFFUSE,34.0,17.0,3.09,7.5,259
CPT,87183,SC STD CARBAPENEM RESIST GEN,113.0,56.5,22.81,55.44,24
CPT,87184,EVALUATION OF ANTIMICROBIAL DRUG (ANTIBIOTIC; ANTIFUNGAL; ANTIVIRAL),123.0,61.5,4.86,11.82,170
CPT,87184,MICROBE SUSCEPTIBLE DISK,30.0,15.0,4.86,11.82,184
CPT,87185,DETECTION OF ANTIMICROBIAL DRUG (ANTIBIOTIC; ANTIFUNGAL; ANTIVIRAL),26.1,13.05,3.09,7.5,98
CPT,87185,MICROBE SUSCEPTIBLE ENZYME,22.0,11.0,3.09,7.5,37
CPT,87186,EVALUATION OF ANTIMICROBIAL DRUG (ANTIBIOTIC; ANTIFUNGAL; ANTIVIRAL); MICRODILUTION OR AGAR DILUTION,153.0,76.5,5.62,13.67,386
CPT,87186,MICROBE SUSCEPTIBLE MIC,196.0,98.0,5.62,13.67,851
CPT,87188,EVALUATION OF ANTIMICROBIAL DRUG (ANTIBIOTIC; ANTIFUNGAL; ANTIVIRAL); MACROBROTH DILUTION METHOD,190.0,95.0,4.32,10.49,61
CPT,87188,MICROBE SUSCEPT MACROBROTH,139.5,69.75,4.32,10.49,296
CPT,87190,MICROBE SUSCEPT MYCOBACTERI,26.0,13.0,4.75,11.55,111
CPT,87205,SMEAR GRAM STAIN,28.0,14.0,2.78,6.75,74
CPT,87205,SPECIAL GRAM OR GIEMSA STAIN FOR MICROORGANISM,132.0,66.0,2.78,6.75,61
CPT,87206,SMEAR FLUORESCENT/ACID STAI,13.0,6.5,3.15,8.52,111
CPT,87206,SPECIAL FLUORESCENT AND/OR ACID FAST STAIN FOR MICROORGANISM,195.0,97.5,3.15,8.52,133
CPT,87207,SPECIAL STAIN FOR INCLUSION BODIES OR PARASITES,334.0,167.0,3.89,9.46,37
CPT,87209,SMEAR COMPLEX STAIN,95.5,47.75,11.69,28.41,74
CPT,87209,SPECIAL STAIN FOR PARASITES,67.0,33.5,11.69,28.41,74
CPT,87210,SMEAR FOR INFECTIOUS AGENTS,79.0,39.5,3.78,9.2,61
CPT,87210,SMEAR WET MOUNT SALINE/INK,28.5,14.25,3.78,9.2,73
CPT,87220,TISSUE FUNGI OR PARASITES,20.0,10.0,2.78,6.75,37
CPT,87230,ASSAY TOXIN OR ANTITOXIN,224.5,112.25,12.83,31.19,74
CPT,87252,VIRUS INOCULATION TISSUE,75.0,37.5,16.95,43.22,148
CPT,87253,VIRUS INOCULATE TISSUE ADDL,316.5,158.25,13.13,31.92,148
CPT,87254,VIRUS INOCULATION SHELL VIA,185.0,92.5,5.68,30.9,296
CPT,87255,GENET VIRUS ISOLATE HSV,60.0,30.0,22.01,53.5,37
CPT,87255,VIRUS ISOLATION,68.0,34.0,16.0,53.5,74
CPT,87265,DETECTION TEST FOR BORDETELLA PERTUSSIS OR PARAPERTUSSIS (RESPIRATORY BACTERIA),56.0,28.0,7.79,18.93,31
CPT,87265,PERTUSSIS AG IF,17.0,8.5,7.79,18.93,31
CPT,87271,CYTOMEGALOVIRUS DFA,225.0,112.5,8.72,21.2,37
CPT,87272,CRYPTOSPORIDIUM AG IF,126.5,63.25,7.79,18.93,62
CPT,87273,HERPES SIMPLEX 2 AG IF,118.0,59.0,7.79,18.93,37
CPT,87274,HERPES SIMPLEX 1 AG IF,60.0,30.0,7.79,18.93,31
CPT,87278,LEGION PNEUMOPHILIA AG IF,118.0,59.0,10.14,24.65,93
CPT,87290,VARICELLA ZOSTER AG IF,174.5,87.25,8.72,21.2,62
CPT,87305,ASPERGILLUS AG IA,130.0,65.0,7.79,18.93,37
CPT,87305,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR ASPERGILLUS (FUNGUS),153.0,76.5,7.79,18.93,37
CPT,87324,CLOSTRIDIUM AG IA,202.0,101.0,7.79,18.93,31
CPT,87324,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR CLOSTRIDIUM DIFFICILE TOXINS (STOOL PATHOGEN),121.0,60.5,7.79,18.93,110
CPT,87328,CRYPTOSPORIDIUM AG IA,80.0,40.0,8.98,21.84,93
CPT,87328,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR CRYPTOSPORIDIUM (PARASITE),59.0,29.5,8.98,21.84,62
CPT,87329,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR GIARDIA (INTESTINAL PARASITE),63.0,31.5,7.79,18.93,98
CPT,87329,GIARDIA AG IA,63.0,31.5,7.79,18.93,37
CPT,87337,ENTAMOEB HIST GROUP AG IA,188.0,94.0,7.79,18.93,37
CPT,87338,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL,65.0,32.5,9.35,22.72,55
CPT,87340,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN,86.5,43.25,6.71,17.0,98
CPT,87340,HEPATITIS B SURFACE AG IA,18.0,9.0,6.71,17.0,222
CPT,87341,HEP B SURFACE AG NEUTRLZJ IA,50.0,25.0,6.71,16.32,111
CPT,87350,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS BE SURFACE ANTIGEN,4.0,2.0,4.0,18.22,37
CPT,87350,HEPATITIS BE AG IA,53.0,26.5,7.49,18.22,37
CPT,87380,HEPATITIS DELTA AGENT AG IA,281.0,140.5,11.93,29.01,37
CPT,87385,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HISTOPLASMA CAPSULATUM (PARASITE),159.5,79.75,8.61,20.94,62
CPT,87385,HISTOPLASMA CAPSUL AG IA,133.0,66.5,8.61,20.94,155
CPT,87389,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES,73.0,36.5,15.65,38.05,85
CPT,87389,HIV-1 AG W/HIV-1&-2 AB AG IA,84.5,42.25,6.0,38.05,74
CPT,87390,HIV-1 AG IA,35.0,17.5,11.03,38.01,37
CPT,87400,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR INFLUENZA VIRUS,57.0,28.5,9.18,22.33,24
CPT,87400,INFLUENZA A/B EACH AG IA,51.5,25.75,6.39,22.33,74
CPT,87425,ROTAVIRUS AG IA,101.5,50.75,7.79,18.93,62
CPT,87426,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS,113.0,56.5,22.96,55.82,37
CPT,87426,SARSCOV CORONAVIRUS AG IA,114.0,57.0,22.96,55.82,37
CPT,87427,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR SHIGA-LIKE TOXIN (BACTERIAL TOXIN),48.0,24.0,7.79,18.93,98
CPT,87427,SHIGA-LIKE TOXIN AG IA,45.0,22.5,7.79,18.93,111
CPT,87428,SARSCOV & INF VIR A&B AG IA,227.0,113.5,32.49,111.06,37
CPT,87430,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR STREPTOCOCCUS; GROUP A (STREP),67.0,33.5,6.62,26.56,61
CPT,87430,STREP A AG IA,54.0,27.0,6.62,26.56,37
CPT,87449,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR OTHER ORGANISM,196.0,98.0,7.79,18.93,86
CPT,87449,NOS EACH ORGANISM AG IA,81.5,40.75,7.79,18.93,124
CPT,87451,POLYVALENT MULT ORG EA AG IA,201.0,100.5,6.83,16.61,37
CPT,87468,INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); ANAPLASMA PHAGOCYTOPHILUM; AMPLIFIED PROBE TECHNIQUE,449.0,224.5,22.81,55.44,98
CPT,87469,INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); BABESIA MICROTI; AMPLIFIED PROBE TECHNIQUE,266.0,133.0,22.81,55.44,61
CPT,87471,DETECTION BY NUCLEIC ACID BARTONELLA HENSELAE AND BARTONELLA QUINTANA (BACTERIA); AMPLIFIED PROBE TECHNIQUE,350.0,175.0,22.81,55.44,61
CPT,87478,INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); BORRELIA MIYAMOTOI; AMPLIFIED PROBE TECHNIQUE,292.5,146.25,22.81,55.44,98
CPT,87481,CANDIDA DNA AMP PROBE,156.0,78.0,22.81,55.44,148
CPT,87481,DETECTION TEST FOR CANDIDA SPECIES (YEAST); AMPLIFIED PROBE TECHNIQUE,115.0,57.5,22.81,55.44,98
CPT,87483,CNS DNA AMP PROBE TYPE 12-25,854.0,427.0,270.91,658.51,31
CPT,87483,TEST FOR DETECTING NUCLEIC ACID OF ORGANISM CAUSING INFECTION OF CENTRAL NERVOUS SYSTEM,706.0,353.0,270.91,658.51,55
CPT,87484,INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); EHRLICHIA CHAFFEENSIS; AMPLIFIED PROBE TECHNIQUE,292.5,146.25,22.81,55.44,98
CPT,87486,CHLMYD PNEUM DNA AMP PROBE,290.0,145.0,22.81,55.44,74
CPT,87490,CHLMYD TRACH DNA DIR PROBE,106.0,53.0,14.79,35.95,37
CPT,87491,CHLMYD TRACH DNA AMP PROBE,93.5,46.75,22.81,55.44,296
CPT,87491,DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE,62.0,31.0,22.81,55.44,159
CPT,87493,C DIFF AMPLIFIED PROBE,377.0,188.5,24.23,58.89,37
CPT,87493,DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE,226.0,113.0,24.23,58.89,122
CPT,87496,CYTOMEG DNA AMP PROBE,156.0,78.0,22.81,55.44,148
CPT,87496,DETECTION TEST BY NUCLEIC ACID FOR CYTOMEGALOVIRUS (CMV); AMPLIFIED PROBE TECHNIQUE,184.0,92.0,22.81,55.44,98
CPT,87497,CYTOMEG DNA QUANT,318.0,159.0,27.85,67.69,37
CPT,87497,DETECTION TEST BY NUCLEIC ACID FOR CYTOMEGALOVIRUS; QUANTIFICATION,254.4,127.2,27.85,67.69,85
CPT,87498,DETECTION TEST BY NUCLEIC ACID FOR ENTEROVIRUS (INTESTINAL VIRUS); AMPLIFIED PROBE TECHNIQUE,226.0,113.0,22.81,55.44,37
CPT,87498,ENTEROVIRUS PROBE&REVRS TRNS,377.0,188.5,22.81,55.44,37
CPT,87501,INFLUENZA DNA AMP PROB 1+,511.0,255.5,33.35,81.07,37
CPT,87502,DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES INFLUENZA VIRUS,410.0,205.0,62.27,151.36,61
CPT,87502,INFLUENZA DNA AMP PROBE,355.0,177.5,62.27,151.36,37
CPT,87505,NFCT AGENT DETECTION GI,337.0,168.5,83.39,202.7,31
CPT,87506,IADNA-DNA/RNA PROBE TQ 6-11,675.0,337.5,170.94,415.52,31
CPT,87507,DETECTION TEST BY NUCLEIC ACID FOR DIGESTIVE TRACT PATHOGEN; MULTIPLE TYPES OR SUBTYPES; 12-25 TARGETS,1196.0,598.0,270.91,658.51,79
CPT,87507,IADNA-DNA/RNA PROBE TQ 12-25,680.0,340.0,270.91,658.51,31
CPT,87512,GARDNER VAG DNA QUANT,86.0,43.0,27.14,65.98,31
CPT,87516,DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS B VIRUS; AMPLIFIED PROBE TECHNIQUE,450.0,225.0,22.81,55.44,24
CPT,87517,DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS B VIRUS; QUANTIFICATION,272.5,136.25,27.85,67.69,74
CPT,87517,HEPATITIS B DNA QUANT,169.0,84.5,27.85,67.69,74
CPT,87521,DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; AMPLIFIED PROBE TECHNIQUE,450.0,225.0,22.81,55.44,24
CPT,87521,HEPATITIS C PROBE&RVRS TRNSC,166.5,83.25,22.81,55.44,148
CPT,87522,DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION,235.0,117.5,27.85,67.69,98
CPT,87522,HEPATITIS C REVRS TRNSCRPJ,330.5,165.25,27.85,67.69,74
CPT,87529,DETECTION TEST BY NUCLEIC ACID FOR HERPES SIMPLEX VIRUS; AMPLIFIED PROBE TECHNIQUE,187.5,93.75,22.81,55.44,55
CPT,87529,HSV DNA AMP PROBE,109.5,54.75,22.81,55.44,124
CPT,87530,DETECTION TEST BY NUCLEIC ACID FOR HERPES SIMPLEX VIRUS; QUANTIFICATION,29.17,14.59,27.85,67.69,31
CPT,87530,HSV DNA QUANT,163.0,81.5,27.85,67.69,31
CPT,87532,HHV-6 DNA AMP PROBE,172.0,86.0,22.81,55.44,62
CPT,87533,DETECTION TEST BY NUCLEIC ACID FOR HERPES VIRUS-6; QUANTIFICATION,400.0,200.0,27.14,65.98,55
CPT,87535,DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; AMPLIFIED PROBE TECHNIQUE,316.0,158.0,22.81,55.44,55
CPT,87535,HIV-1 PROBE&REVERSE TRNSCRPJ,98.0,49.0,22.81,55.44,124
CPT,87536,DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION,382.5,191.25,26.0,139.31,146
CPT,87536,HIV-1 QUANT&REVRSE TRNSCRPJ,292.0,146.0,55.31,139.31,37
CPT,87538,DETECTION TEST BY NUCLEIC ACID FOR HIV-2 VIRUS; AMPLIFIED PROBE TECHNIQUE,300.0,150.0,22.81,55.44,31
CPT,87541,DETECTION TEST BY NUCLEIC ACID FOR LEGIONELLA PNEUMOPHILA (WATER BORNE BACTERIA); AMPLIFIED PROBE TECHNIQUE,65.0,32.5,22.81,55.44,55
CPT,87551,DETECTION TEST BY NUCLEIC ACID FOR MYCOBACTERIA SPECIES (BACTERIA); AMPLIFIED PROBE TECHNIQUE,649.0,324.5,31.36,76.22,24
CPT,87556,DETECTION TEST BY NUCLEIC ACID FOR MYCOBACTERIA TUBERCULOSIS (TB BACTERIA); AMPLIFIED PROBE TECHNIQUE,464.0,232.0,27.09,65.85,134
CPT,87561,DETECTION TEST BY NUCLEIC ACID FOR MYCOBACTERIA AVIUM-INTRACELLULARE (BACTERIA); AMPLIFIED PROBE TECHNIQUE,366.0,183.0,22.81,55.44,24
CPT,87563,DETECTION OF MYCOPLASMA GENITALIUM BY DNA OR RNA PROBE,227.0,113.5,22.81,55.44,37
CPT,87563,M. GENITALIUM AMP PROBE,119.0,59.5,22.81,55.44,109
CPT,87564,MTB RIFAMPIN RST AMP PRB TQ,458.0,229.0,49.9,121.3,62
CPT,87581,DETECTION TEST BY NUCLEIC ACID FOR MYCOPLASMA PNEUMONIAE (BACTERIA); AMPLIFIED PROBE TECHNIQUE,176.0,88.0,22.81,55.44,31
CPT,87581,M.PNEUMON DNA AMP PROBE,337.0,168.5,22.81,55.44,124
CPT,87590,N.GONORRHOEAE DNA DIR PROB,89.0,44.5,17.47,42.47,31
CPT,87591,DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE,62.0,31.0,22.81,55.44,159
CPT,87591,N.GONORRHOEAE DNA AMP PROB,93.5,46.75,22.81,55.44,296
CPT,87593,INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); ORTHOPOXVIRUS (EG; MONKEYPOX VIRUS; COWPOX VIRUS; VACCINIA VIRUS); AMPLIFIED PROBE TECHNIQUE; EACH,180.0,90.0,33.35,81.07,37
CPT,87624,DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES,451.0,225.5,22.81,55.44,122
CPT,87624,HPV HI-RISK TYP POOLED RSLT,106.5,53.25,22.81,55.44,222
CPT,87625,HPV TYPES 16 & 18 ONLY,143.0,71.5,26.36,64.07,74
CPT,87631,DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES OF RESPIRATORY VIRUS; MULTIPLE TYPES OR SUBTYPES; 3-5 TARGETS,322.5,161.25,92.71,225.36,183
CPT,87631,RESP VIRUS 3-5 TARGETS,495.5,247.75,92.71,225.36,148
CPT,87633,DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES OF RESPIRATORY VIRUS; MULTIPLE TYPES OR SUBTYPES; 12-25 TARGETS,854.5,427.25,270.91,658.51,133
CPT,87633,RESP VIRUS 12-25 TARGETS,1252.0,626.0,270.91,658.51,37
CPT,87634,DETECTION TEST BY NUCLEIC ACID FOR RESPIRATORY SYNCYTIAL VIRUS; AMPLIFIED PROBE TECHNIQUE,155.5,77.75,45.63,110.92,109
CPT,87634,RSV DNA/RNA AMP PROBE,227.5,113.75,45.63,110.92,74
CPT,87635,SARS-COV-2 COVID-19 AMP PRB,129.0,64.5,33.35,81.07,74
CPT,87636,DETECTION TEST BY MULTIPLEX AMPLIFIED PROBE TECHNIQUE FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (COVID-19) AND INFLUENZA VIRUS TYPES A AND B,190.0,95.0,92.71,225.36,37
CPT,87636,SARSCOV2 & INF A&B AMP PRB,143.0,71.5,92.71,225.36,37
CPT,87637,DETECTION TEST BY MULTIPLEX AMPLIFIED PROBE TECHNIQUE FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (COVID-19); INFLUENZA VIRUS TYPES A AND B; AND RESPIRATORY SYNCYTIAL VIRUS,522.5,261.25,92.71,225.36,229
CPT,87637,SARSCOV2&INF A&B&RSV AMP PRB,500.5,250.25,92.71,225.36,74
CPT,87641,DETECTION TEST BY NUCLEIC ACID FOR STAPHYLOCOCCUS AUREUS; METHICILLIN RESISTANT (MRSA BACTERIA); AMPLIFIED PROBE TECHNIQUE,327.0,163.5,22.81,55.44,98
CPT,87641,MR-STAPH DNA AMP PROBE,142.0,71.0,22.81,55.44,37
CPT,87651,DETECTION TEST BY NUCLEIC ACID FOR STREP (STREPTOCOCCUS; GROUP A); AMPLIFIED PROBE TECHNIQUE,164.5,82.25,22.81,55.44,103
CPT,87651,STREP A DNA AMP PROBE,165.0,82.5,22.81,55.44,62
CPT,87653,DETECTION TEST BY NUCLEIC ACID FOR STREP (STREPTOCOCCUS; GROUP B); AMPLIFIED PROBE TECHNIQUE,206.0,103.0,22.81,55.44,37
CPT,87661,DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE,140.0,70.0,22.81,55.44,85
CPT,87661,TRICHOMONAS VAGINALIS AMPLIF,152.0,76.0,22.81,55.44,251
CPT,87662,ZIKA VIRUS DNA/RNA AMP PROBE,434.0,217.0,33.35,81.07,37
CPT,87797,DETECT AGENT NOS DNA DIR,254.0,127.0,19.52,47.45,148
CPT,87798,DETECT AGENT NOS DNA AMP,172.5,86.25,22.81,55.44,2218
CPT,87798,DETECTION TEST BY NUCLEIC ACID FOR ORGANISM; AMPLIFIED PROBE TECHNIQUE,196.0,98.0,22.81,55.44,303
CPT,87799,DETECT AGENT NOS DNA QUANT,185.0,92.5,27.85,67.69,279
CPT,87799,DETECTION TEST BY NUCLEIC ACID FOR ORGANISM; QUANTIFICATION,234.0,117.0,27.85,67.69,158
CPT,87801,DETECT AGNT MULT DNA AMPLI,200.0,100.0,40.74,110.92,148
CPT,87801,DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE ORGANISMS; AMPLIFIED PROBE(S) TECHNIQUE,100.0,50.0,40.74,110.92,231
CPT,87804,INFLUENZA ASSAY W/OPTIC,158.0,79.0,10.76,26.15,111
CPT,87806,HIV AG W/HIV1&2 ANTB W/OPTIC,204.0,102.0,21.3,51.78,37
CPT,87807,DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR RESPIRATORY SYNCYTIAL VIRUS,72.0,36.0,8.52,20.7,37
CPT,87807,RSV ASSAY W/OPTIC,201.0,100.5,8.52,20.7,37
CPT,87809,ADENOVIRUS ASSAY W/OPTIC,88.0,44.0,12.93,34.38,37
CPT,87811,SARS-COV-2 COVID19 W/OPTIC,134.0,67.0,12.09,65.38,37
CPT,87880,DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP),62.0,31.0,6.62,26.12,37
CPT,87880,STREP A ASSAY W/OPTIC,73.5,36.75,6.62,26.12,74
CPT,87899,AGENT NOS ASSAY W/OPTIC,282.5,141.25,10.45,25.39,124
CPT,87899,DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR OTHER ORGANISM,402.0,201.0,10.45,25.39,110
CPT,87900,INFECTIOUS AGENT DRUG SUSCEPTIBILITY ANALYSIS,127.0,63.5,84.73,205.95,37
CPT,87900,PHENOTYPE INFECT AGENT DRUG,497.0,248.5,84.73,205.95,37
CPT,87901,ANALYSIS TEST BY NUCLEIC ACID FOR HIV-1 VIRUS,200.0,100.0,150.0,406.77,74
CPT,87901,NFCT AGT GNTYP ALYS HIV1 REV,648.0,324.0,167.34,406.77,37
CPT,87902,ANALYSIS TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS,915.5,457.75,167.34,406.77,117
CPT,87902,NFCT AGT GNTYP ALYS HEP C,881.5,440.75,167.34,406.77,124
CPT,87903,PHENOTYPE DNA HIV W/CULTURE,697.0,348.5,317.63,772.08,37
CPT,87904,PHENOTYPE DNA HIV W/CLT ADD,187.0,93.5,16.95,41.19,37
CPT,87906,ANALYSIS TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; OTHER REGION,247.5,123.75,83.67,203.39,74
CPT,87906,NFCT AGT GNTYP ALYS HIV1,836.0,418.0,83.67,203.39,37
CPT,87912,NFCT AGT GNTYP ALYS HEP B,460.0,230.0,167.34,406.77,37
CPT,87999,UNLISTED MICROBIOLOGY PROCEDURE,130.0,65.0,,,0
CPT,87999,UNLISTED MICROBIOLOGY PX,12.0,6.0,,,0
CPT,88104,CYTOPATH FL NONGYN SMEARS,152.0,76.0,6.83,56.8,30
CPT,88106,CYTOPATH FL NONGYN FILTER,148.0,74.0,2.63,43.99,30
CPT,88108,CELL EXAMINATION OF SPECIMEN; CONCENTRATION TECHNIQUE,135.0,67.5,4.2,56.8,126
CPT,88112,CELL EXAMINATION OF SPECIMEN; SELECTIVE CELLULAR ENHANCEMENT TECHNIQUE,510.0,255.0,32.6,79.25,174
CPT,88112,CYTOPATH CELL ENHANCE TECH,200.5,100.25,32.6,79.25,60
CPT,88120,CYTP URNE 3-5 PROBES EA SPEC,1217.5,608.75,106.59,371.68,60
CPT,88142,CYTOPATH C/V THIN LAYER,155.5,77.75,13.17,32.01,74
CPT,88142,PAP TEST; MANUAL SCREENING,103.0,51.5,13.17,32.01,24
CPT,88160,CYTOPATH SMEAR OTHER SOURCE,229.0,114.5,2.63,43.99,30
CPT,88164,CYTOPATH TBS C/V MANUAL,90.5,45.25,7.51,29.29,74
CPT,88172,CYTP DX EVAL FNA 1ST EA SITE,343.0,171.5,106.59,259.1,24
CPT,88173,EVALUATION OF FINE NEEDLE ASPIRATE WITH INTERPRETATION AND REPORT,343.0,171.5,32.6,79.25,72
CPT,88175,PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING,211.0,105.5,17.3,42.04,109
CPT,88177,CYTP FNA EVAL EA ADDL,95.0,47.5,12.8,31.11,24
CPT,88182,FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS,1200.0,600.0,7.21,79.25,30
CPT,88184,FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS; FIRST MARKER,220.6,110.3,39.0,545.13,240
CPT,88184,FLOWCYTOMETRY/ TC 1 MARKER,192.5,96.25,26.0,545.13,600
CPT,88185,FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS; EACH ADDITIONAL MARKER,2200.0,1100.0,19.17,21.91,18
CPT,88185,FLOWCYTOMETRY/TC ADD-ON,137.0,68.5,19.17,21.91,120
CPT,88187,FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS; 2 TO 8 MARKERS,515.0,257.5,22.22,64.78,30
CPT,88187,FLOWCYTOMETRY/READ 2-8,182.0,91.0,22.22,64.78,30
CPT,88188,FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS; 9 TO 15 MARKERS,45.0,22.5,37.08,90.12,30
CPT,88189,FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS; 16 OR MORE MARKERS,400.0,200.0,50.29,122.24,30
CPT,88230,TISSUE CULTURE LYMPHOCYTE,578.0,289.0,75.72,193.2,103
CPT,88230,TISSUE CULTURE TO IDENTIFY WHITE BLOOD CELL DISORDERS,235.0,117.5,75.72,193.2,194
CPT,88233,TISSUE CULTURE SKIN/BIOPSY,613.0,306.5,91.47,226.8,148
CPT,88233,TISSUE CULTURE TO IDENTIFY SKIN DISORDERS,929.0,464.5,91.47,226.8,37
CPT,88235,TISSUE CULTURE FOR DISORDERS OF AMNIOTIC FLUID OR PLACENTA CELLS,672.5,336.25,97.69,237.47,74
CPT,88235,TISSUE CULTURE PLACENTA,971.0,485.5,97.7,237.47,37
CPT,88237,TISSUE CULTURE BONE MARROW,834.0,417.0,75.0,227.13,185
CPT,88239,TISSUE CULTURE TUMOR,973.0,486.5,95.89,233.08,37
CPT,88240,CELL CRYOPRESERVE/STORAGE,98.0,49.0,8.5,20.65,93
CPT,88240,CRYOPRESERVATION; FREEZING AND STORAGE OF CELLS,169.0,84.5,8.5,20.65,86
CPT,88241,FROZEN CELL PREPARATION,66.0,33.0,7.86,19.1,31
CPT,88245,CHROMOSOME ANALYSIS 20-25,1089.0,544.5,112.56,273.61,37
CPT,88248,CHROMOSOME ANALYSIS 50-100,884.5,442.25,112.56,287.18,74
CPT,88249,CHROMOSOME ANALYSIS 100,811.5,405.75,112.56,273.61,74
CPT,88249,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; SCORE 100 CELLS; CLASTOGEN STRESS,275.0,137.5,112.56,273.61,37
CPT,88261,CHROMOSOME ANALYSIS 5,1167.0,583.5,171.82,417.66,37
CPT,88262,CHROMOSOME ANALYSIS 15-20,403.0,201.5,81.57,206.7,74
CPT,88262,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; COUNT 15-20 CELLS,243.0,121.5,81.57,206.7,98
CPT,88263,CHROMOSOME ANALYSIS 45,662.0,331.0,97.69,249.2,37
CPT,88264,CHROMOSOME ANALYSIS 20-25,671.0,335.5,94.0,228.48,37
CPT,88264,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; ANALYZE 20-25 CELLS,822.0,411.0,94.0,228.48,133
CPT,88267,CHROMOSOME ANALYS PLACENTA,1187.0,593.5,122.57,298.13,37
CPT,88267,CHROMOSOME ANALYSIS OF AMNIOTIC FLUID OR PLACENTA FOR GENETIC DEFECTS,567.0,283.5,122.57,298.13,37
CPT,88269,CHROMOSOME ANALYSIS OF AMNIOTIC FLUID FOR GENETIC DEFECTS,1098.0,549.0,112.88,275.82,37
CPT,88271,CYTOGENETICS DNA PROBE,236.0,118.0,13.92,33.84,527
CPT,88271,DNA TESTING FOR GENETIC DEFECTS,594.5,297.25,13.92,33.84,405
CPT,88272,CYTOGENETICS 3-5,176.0,88.0,26.45,64.31,31
CPT,88273,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; ANALYZE 10-30 CELLS,260.5,130.25,22.63,55.0,62
CPT,88273,CYTOGENETICS 10-30,330.5,165.25,22.63,55.0,62
CPT,88274,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; ANALYZE 25-99 CELLS,280.5,140.25,27.55,66.96,151
CPT,88274,CYTOGENETICS 25-99,376.5,188.25,27.55,66.96,248
CPT,88275,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; ANALYZE 100-300 CELLS,710.0,355.0,33.27,80.88,381
CPT,88275,CYTOGENETICS 100-300,428.0,214.0,33.27,80.88,279
CPT,88280,CHROMOSOME KARYOTYPE STUDY,166.0,83.0,21.76,52.88,37
CPT,88283,CHROMOSOME BANDING STUDY,301.0,150.5,44.59,113.75,74
CPT,88285,CHROMOSOME COUNT ADDITIONAL,125.5,62.75,17.49,42.52,74
CPT,88289,CHROMOSOME STUDY ADDITIONAL,662.0,331.0,22.38,54.4,37
CPT,88291,INTERPRETATION AND REPORT OF GENETIC TESTING,828.0,414.0,20.37,49.52,72
CPT,88300,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; LIMITED EXAMINATION,280.5,140.25,1.58,43.99,78
CPT,88300,SURGICAL PATH GROSS,48.0,24.0,1.58,43.99,30
CPT,88302,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE,373.5,186.75,5.25,56.8,54
CPT,88302,TISSUE EXAM BY PATHOLOGIST,52.0,26.0,5.25,56.8,30
CPT,88304,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; MODERATELY LOW COMPLEXITY,328.0,164.0,6.83,79.25,78
CPT,88304,TISSUE EXAM BY PATHOLOGIST,72.0,36.0,6.83,79.25,30
CPT,88305,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY,740.0,370.0,9.45,79.25,324
CPT,88305,TISSUE EXAM BY PATHOLOGIST,340.0,170.0,9.45,79.25,90
CPT,88307,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; MODERATELY HIGH COMPLEXITY,1713.0,856.5,12.08,545.13,78
CPT,88307,TISSUE EXAM BY PATHOLOGIST,342.5,171.25,12.08,545.13,60
CPT,88309,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; HIGH COMPLEXITY,982.5,491.25,18.38,1225.29,54
CPT,88309,TISSUE EXAM BY PATHOLOGIST,453.5,226.75,18.38,1225.29,60
CPT,88311,PREPARATION OF TISSUE FOR EXAMINATION BY REMOVING ANY CALCIUM PRESENT,103.0,51.5,6.5,17.47,78
CPT,88312,SPECIAL STAINED SPECIMEN SLIDES TO IDENTIFY ORGANISMS INCLUDING INTERPRETATION AND REPORT,490.0,245.0,32.6,79.25,108
CPT,88312,SPECIAL STAINS GROUP 1,241.0,120.5,32.6,79.25,120
CPT,88313,SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE INCLUDING INTERPRETATION AND REPORT,421.5,210.75,43.26,202.35,162
CPT,88313,SPECIAL STAINS GROUP 2,182.0,91.0,43.26,202.35,210
CPT,88314,HISTOCHEMICAL STAINS ADD-ON,180.0,90.0,9.02,29.02,30
CPT,88314,SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE AND FROZEN PREPARATION OF SPECIMEN INCLUDING INTERPRETATION AND REPORT,1080.0,540.0,9.02,29.02,54
CPT,88319,ENZYME HISTOCHEMISTRY,192.0,96.0,7.78,1225.29,60
CPT,88319,EVALUATION OF SPECIMEN ENZYMES,1064.0,532.0,7.78,1225.29,54
CPT,88321,CONSLTJ&REPRT SLD PREP ELSWR,133.0,66.5,23.37,56.8,24
CPT,88323,CONSLTJ&REPRT MATRL PREP SLD,271.0,135.5,10.88,79.25,60
CPT,88323,SURGICAL PATHOLOGY CONSULTATION AND REPORT ON REFERRED MATERIAL REQUIRING PREPARATION OF SLIDES,266.0,133.0,10.88,79.25,30
CPT,88329,PATH CONSLTJ DRG SURG,94.0,47.0,31.26,89.71,30
CPT,88331,PATH CONSLTJ SURG 1 BLK 1SPC,317.0,158.5,7.88,259.1,30
CPT,88331,PATHOLOGY EXAMINATION OF SPECIMEN DURING SURGERY; FIRST TISSUE BLOCK,634.0,317.0,7.88,259.1,150
CPT,88332,PATH CONSLTJ SURG EA ADD BLK,148.0,74.0,8.18,44.21,30
CPT,88332,PATHOLOGY EXAMINATION OF SPECIMEN DURING SURGERY; EACH ADDITIONAL TISSUE BLOCK,1184.0,592.0,8.18,44.21,54
CPT,88333,PATH CONSLTJ SURG CYTO XM 1,79.0,39.5,16.81,1225.29,30
CPT,88333,PATHOLOGY CYTOLOGIC EXAMINATION OF SPECIMEN DURING SURGERY; INITIAL SITE,237.0,118.5,16.81,1225.29,102
CPT,88334,PATHOLOGY CYTOLOGIC EXAMINATION OF SPECIMEN DURING SURGERY; EACH ADDITIONAL SITE,237.0,118.5,10.27,53.36,102
CPT,88341,IMHCHEM/IMCYTCHM EA ADD ANTB,180.5,90.25,16.78,40.84,180
CPT,88341,SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE; EACH ADDITIONAL PROCEDURE,768.0,384.0,16.78,40.84,300
CPT,88342,IMHCHEM/IMCYTCHM 1ST ANTB,167.0,83.5,39.0,259.1,810
CPT,88342,SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE; INITIAL PROCEDURE,180.0,90.0,42.15,259.1,354
CPT,88344,IMHCHEM/IMCYTCHM EA MLT ANTB,175.0,87.5,39.0,545.13,180
CPT,88344,SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE; EACH MULTIPLEX PROCEDURE,582.0,291.0,60.01,545.13,126
CPT,88346,ANTIBODY EVALUATION; INITIAL SINGLE ANTIBODY STAIN PROCEDURE,202.5,101.25,16.07,259.1,162
CPT,88346,IMFLUOR 1ST 1ANTB STAIN PX,275.0,137.5,16.07,259.1,270
CPT,88348,ELECTRON MICROSCOPY DX,1179.0,589.5,18.38,1225.29,30
CPT,88348,ELECTRON MICROSCOPY FOR DIAGNOSIS,1789.5,894.75,18.38,1225.29,168
CPT,88350,ANTIBODY EVALUATION; EACH ADDITIONAL SINGLE ANTIBODY STAIN PROCEDURE,620.0,310.0,12.63,41.92,168
CPT,88350,IMFLUOR EA ADDL 1ANTB STN PX,283.0,141.5,12.63,41.92,90
CPT,88360,MICROSCOPIC GENETIC ANALYSIS OF TUMOR; MANUAL,570.5,285.25,37.25,259.1,300
CPT,88360,TUMOR IMMUNOHISTOCHEM/MANUAL,358.0,179.0,37.25,259.1,570
CPT,88361,TUMOR IMMUNOHISTOCHEM/COMPUT,441.0,220.5,65.25,545.13,120
CPT,88364,GENETIC SEQUENCING LOCALIZATION; EACH ADDITIONAL PROCEDURE,495.0,247.5,19.98,62.51,102
CPT,88364,INSITU HYBRIDIZATION (FISH),315.0,157.5,19.98,62.51,150
CPT,88365,GENETIC SEQUENCING LOCALIZATION; INITIAL PROCEDURE,366.5,183.25,12.12,259.1,192
CPT,88365,INSITU HYBRIDIZATION (FISH),256.5,128.25,12.12,259.1,240
CPT,88366,GENETIC SEQUENCING LOCALIZATION; EACH MULTIPLEX PROCEDURE,1469.0,734.5,106.59,259.1,24
CPT,88366,INSITU HYBRIDIZATION (FISH),164.0,82.0,67.54,259.1,30
CPT,88367,INSITU HYBRIDIZATION AUTO,417.0,208.5,105.64,545.13,30
CPT,88368,INSITU HYBRIDIZATION MANUAL,457.0,228.5,66.53,545.13,30
CPT,88369,M/PHMTRC ALYSISHQUANT/SEMIQ,286.0,143.0,20.17,49.03,30
CPT,88374,MICROSCOPIC GENETIC ANALYSIS OF TISSUE; COMPUTER-ASSISTED TECHNOLOGY; INITIAL PROCEDURE; EACH MULTIPLEX PROCEDURE,833.5,416.75,106.59,259.1,180
CPT,88377,M/PHMTRC ALYS ISHQUANT/SEMIQ,747.0,373.5,106.59,259.1,210
CPT,88377,MICROSCOPIC GENETIC ANALYSIS OF TISSUE; MANUAL; EACH ADDITIONAL MULTIPLEX STAIN PROCEDURE,568.0,284.0,106.59,259.1,156
CPT,88380,MICRODISSECTION LASER,2100.0,1050.0,30.63,74.47,24
CPT,88381,MICRODISSECTION MANUAL,209.0,104.5,14.05,34.16,24
CPT,88381,PREPARATION OF SPECIMEN; MANUAL,365.0,182.5,14.05,34.16,120
CPT,88399,UNLISTED SURGICAL PATH PX,2023.0,1011.5,32.6,79.25,24
CPT,88720,MEASUREMENT OF BILIRUBIN,40.5,20.25,3.26,7.93,146
CPT,89050,BODY FLUID CELL COUNT,67.0,33.5,3.07,7.46,133
CPT,89051,BODY FLUID CELL COUNT,100.0,50.0,3.64,8.85,37
CPT,89051,BODY FLUID CELL COUNT WITH CELL IDENTIFICATION,214.0,107.0,3.64,8.85,109
CPT,89055,LEUKOCYTE ASSESSMENT FECAL,17.0,8.5,2.78,6.75,37
CPT,89060,CRYSTAL IDENTIFICATION FROM TISSUE OR BODY FLUID,102.0,51.0,4.76,11.58,98
CPT,89060,EXAM SYNOVIAL FLUID CRYSTALS,118.0,59.0,4.76,11.58,37
CPT,89125,SPECIMEN FAT STAIN,145.0,72.5,3.82,9.29,37
CPT,89190,NASAL SMEAR FOR EOSINOPHILS,77.0,38.5,3.76,9.15,74
CPT,89220,SPUTUM SPECIMEN COLLECTION,141.0,70.5,1482.0,17224.0,2
CPT,89230,COLLECT SWEAT FOR TEST,144.0,72.0,3.13,79.25,30
CPT,89230,SWEAT COLLECTION,154.0,77.0,3.13,79.25,54
CPT,89290,BIOPSY OOCYTE POLAR BODY <=5,393.0,196.5,106.59,259.1,24
CPT,89291,BIOPSY OOCYTE POLAR BODY,393.0,196.5,106.59,259.1,24
CPT,89321,SEMEN ANALYSIS FOR SPERM PRESENCE,182.0,91.0,7.83,19.04,24
CPT,90281,HUMAN IG IM,428.0,214.0,10.5,92.8,7
CPT,90371,HEP B IG IM,721.0,360.5,10.5,362.92,62
CPT,90375,HyperRAB,10688.36,5344.1849999999995,10.5,745.13,892
CPT,90375,RABIES IG IM/SC,2208.0,1104.0,10.5,745.13,31
CPT,90378,RSV MAB IM 50MG,8193.0,4096.5,10.5,1157.39,31
CPT,90380,Beyfortus PFS,984.0,492.0,10.5,984.0,14
CPT,90380,RSV MONOC ANTB SEASN .5ML IM,2367.0,1183.5,10.5,1960.2,7
CPT,90381,Beyfortus PFS,984.0,492.0,10.5,980.1,14
CPT,90381,RSV MONOC ANTB SEASN 1 ML IM,2367.0,1183.5,10.5,980.1,7
CPT,90384,RHO(D) IMMUNE GLOBULIN (FULL DOSE) FOR INJECTION INTO MUSCLE,365.0,182.5,10.5,188.4,7
CPT,90396,Shingrix PFS,381.84,190.92,10.5,6618.98,31
CPT,90396,Varizig,45615.2,22807.6,10.5,6618.98,31
CPT,90460,ADMINISTRATION OF FIRST VACCINE OR TOXOID COMPONENT WITH COUNSELING (18 YEARS OR YOUNGER),78.0,39.0,14.11,57.5,79
CPT,90460,IM ADMIN 1ST/ONLY COMPONENT,30.0,15.0,14.1,57.5,31
CPT,90461,ADMINISTRATION OF VACCINE OR TOXOID COMPONENT WITH COUNSELING (18 YEARS OR YOUNGER); EACH ADDITIONAL VACCINE OR TOXOID COMPONENT,52.0,26.0,5.54,22.58,79
CPT,90461,IM ADMIN EACH ADDL COMPONENT,30.0,15.0,5.54,22.58,31
CPT,90471,ADMINISTRATION OF VACCINE,25.0,12.5,12.6,183.67,199
CPT,90471,IMMUNIZATION ADMIN,27.0,13.5,12.6,183.67,93
CPT,90472,ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE,50.0,25.0,12.6,12.84,7
CPT,90472,IMMUNIZATION ADMIN EACH ADD,24.5,12.25,12.6,12.84,14
CPT,90473,ADMINISTRATION OF NASAL OR ORAL VACCINE; 1 VACCINE,27.5,13.75,11.83,183.67,79
CPT,90473,IMMUNE ADMIN ORAL/NASAL,30.0,15.0,11.83,183.67,31
CPT,90474,ADMINISTRATION OF NASAL OR ORAL VACCINE; EACH ADDITIONAL VACCINE,25.0,12.5,7.53,30.69,79
CPT,90474,IMMUNE ADMIN ORAL/NASAL ADDL,30.0,15.0,7.53,30.69,31
CPT,90480,ADMN SARSCOV2 VAC 1/ONLY CMP,105.0,52.5,25.43,103.67,24
CPT,90619,MENACWY-TT VACCINE IM,294.0,147.0,10.5,294.0,7
CPT,90620,Bexsero PFS,307.5,153.75,10.5,309.0,14
CPT,90620,MENB-4C VACCINE IM,306.0,153.0,10.5,306.0,7
CPT,90620,MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE; SEROGROUP B,309.0,154.5,10.5,309.0,7
CPT,90620,Menveo,309.0,154.5,10.5,309.0,7
CPT,90621,MENB-FHBP VACC 2/3 DOSE IM,340.0,170.0,10.5,340.0,7
CPT,90624,MENB-4C&MENACWY VACC IM,388.0,194.0,10.5,12.0,6
CPT,90624,Penmenvy,388.0,194.0,10.5,12.0,6
CPT,90632,HEPA VACCINE ADULT IM,133.0,66.5,10.5,115.93,14
CPT,90632,HEPATITIS A VACCINE ADULT DOSAGE,132.0,66.0,10.5,115.93,7
CPT,90632,Havrix PFS,132.0,66.0,10.5,115.93,14
CPT,90633,HEPA VACC PED/ADOL 2 DOSE IM,60.0,30.0,10.5,65.0,14
CPT,90633,HEPATITIS A VACCINE PEDIATRIC OR ADOLESCENT DOSAGE,53.0,26.5,10.5,53.0,7
CPT,90633,Havrix Pediatric PFS,53.0,26.5,10.5,53.0,14
CPT,90633,Vaqta Pediatric PFS,53.0,26.5,10.5,53.0,7
CPT,90636,HEP A/HEP B VACC ADULT IM,191.0,95.5,10.5,191.0,7
CPT,90636,Twinrix PFS,182.0,91.0,10.5,182.0,14
CPT,90647,HIB PRP-OMP VACC 3 DOSE IM,56.0,28.0,10.5,56.0,7
CPT,90648,ActHIB,21.65,10.825,10.5,24.0,21
CPT,90648,HAEMOPHILUS INFLUENZAE TYPE B VACCINE; PRP-T CONJUGATE,24.0,12.0,10.5,24.0,14
CPT,90648,HIB PRP-T VACCINE 4 DOSE IM,24.0,12.0,10.5,25.0,14
CPT,90648,Hiberix,24.0,12.0,10.5,24.0,14
CPT,90649,4VHPV VACCINE 3 DOSE IM,565.0,282.5,175.59,175.59,1
CPT,90651,9VHPV VACCINE 2/3 DOSE IM,581.0,290.5,10.5,569.07,7
CPT,90651,Gardasil 9,549.0,274.5,10.5,549.0,7
CPT,90651,Gardasil 9 PFS,565.0,282.5,10.5,549.0,14
CPT,90651,HUMAN PAPILLOMAVIRUS VACCINE TYPES 6; 11; 16; 18; 31; 33; 45; 52; 58; NONAVALENT,549.0,274.5,10.5,549.0,7
CPT,90653,Comirnaty 2025-2026 Age Over 65 / High Risk 12-64,146.0,73.0,,,0
CPT,90653,Fluad 2024-2025 Formula,135.0,67.5,10.5,12.0,6
CPT,90653,Fluad 2025-2026 Formula,116.0,58.0,10.5,12.0,12
CPT,90653,Fluarix 2025-2026 Formula,135.0,67.5,10.5,12.0,6
CPT,90653,IIV ADJUVANT VACCINE IM,146.0,73.0,10.5,12.0,6
CPT,90653,INFLUENZA VACCINE; INACTIVATED,125.46,62.73,10.5,12.0,6
CPT,90655,IIV3 VACC NO PRSV 0.25 ML IM,33.0,16.5,21.07,21.07,1
CPT,90656,Boostrix PFS,28.0,14.0,10.5,21.07,7
CPT,90656,FluLaval 2024-2025 Formula,28.0,14.0,10.5,21.07,14
CPT,90656,FluLaval 2025-2026 Formula,27.0,13.5,10.5,21.07,14
CPT,90656,Fluad 2025-2026 Formula,28.0,14.0,10.5,21.07,7
CPT,90656,Fluarix 2024-2025 Formula,28.0,14.0,10.5,21.07,14
CPT,90656,Fluarix 2025-2026 Formula,27.38,13.69,10.5,21.07,14
CPT,90656,Flucelvax 2025-2026 Formula PFS,28.0,14.0,10.5,21.07,7
CPT,90656,Fluzone 2013-2014 Formula,28.0,14.0,,,0
CPT,90656,Fluzone 2025-2026 Formula PFS,27.0,13.5,,,0
CPT,90656,IIV3 VACC NO PRSV 0.5 ML IM,32.5,16.25,10.5,21.07,14
CPT,90656,INFLUENZA VACCINE; TRIVALENT; SPLIT VIRUS; PRESERVATIVE-FREE; 0.5 ML DOSAGE,28.0,14.0,10.5,21.07,7
CPT,90657,IIV3 VACCINE SPLT 0.25 ML IM,19.0,9.5,10.5,20.0,14
CPT,90658,IIV3 VACCINE SPLT 0.5 ML IM,33.0,16.5,10.5,21.62,7
CPT,90660,FluMist Trivalent 2025-2026 Formula,48.0,24.0,10.5,27.56,14
CPT,90660,LAIV3 VACCINE INTRANASAL,49.0,24.5,10.5,27.56,7
CPT,90661,CCIIV3 VAC ABX FR 0.5 ML IM,65.0,32.5,10.5,12.0,6
CPT,90661,Fluarix 2025-2026 Formula,46.0,23.0,10.5,12.0,6
CPT,90661,Flucelvax 2025-2026 Formula PFS,44.0,22.0,10.5,12.0,12
CPT,90662,Fluad 2025-2026 Formula,135.0,67.5,,,0
CPT,90662,Fluarix 2025-2026 Formula,135.0,67.5,,,0
CPT,90662,Fluzone High-Dose 2025-2026 Formula,135.0,67.5,10.5,121.11,7
CPT,90662,IIV NO PRSV INCREASED AG IM,159.0,79.5,10.5,121.11,7
CPT,90670,PNEUMOCOCCAL VACCINE; 13-VALENT,210.01,105.01,10.5,210.01,7
CPT,90670,Pneumovax 23 PFS,208.68,104.34,10.5,208.68,14
CPT,90671,PCV15 VACCINE IM,363.0,181.5,10.5,363.0,7
CPT,90671,PNEUMOCOCCAL CONJUGATE VACCINE; 15 VALENT (PCV15); FOR INTRAMUSCULAR USE,392.0,196.0,10.5,392.0,7
CPT,90671,Vaxneuvance PFS,766.75,383.375,10.5,418.37,14
CPT,90672,LAIV4 VACCINE INTRANASAL,62.0,31.0,10.5,45.85,7
CPT,90674,CCIIV4 VAC NO PRSV 0.5 ML IM,61.0,30.5,10.5,56.38,7
CPT,90675,RABIES VACCINE FOR INJECTION INTO MUSCLE,652.64,326.32,10.5,879.75,79
CPT,90675,RABIES VACCINE IM,785.5,392.75,10.5,879.75,62
CPT,90675,RabAvert,652.64,326.32,10.5,879.75,158
CPT,90677,PCV20 VACCINE IM,485.0,242.5,10.5,476.29,7
CPT,90678,Abrysvo,509.5,254.75,10.5,477.0,7
CPT,90678,Arexvy,509.5,254.75,10.5,542.0,14
CPT,90678,RESPIRATORY SYNCYTIAL VIRUS VACCINE; PREF; SUBUNIT; BIVALENT; FOR INTRAMUSCULAR USE,477.0,238.5,10.5,477.0,14
CPT,90678,RSV VACC PREF BIVALENT IM,542.0,271.0,10.5,542.0,7
CPT,90679,Arexvy,456.0,228.0,10.5,456.0,21
CPT,90679,RSV VACC PREF RECOMB ADJT IM,456.0,228.0,10.5,456.0,7
CPT,90680,ROTAVIRUS VACCINE; PENTAVALENT,162.0,81.0,10.5,162.0,14
CPT,90680,RV5 VACC 3 DOSE LIVE ORAL,169.0,84.5,10.5,169.0,7
CPT,90680,RotaTeq,162.0,81.0,10.5,162.0,14
CPT,90681,RV1 VACC 2 DOSE LIVE ORAL,206.0,103.0,10.5,182.97,7
CPT,90682,RIV4 VACC RECOMBINANT DNA IM,132.0,66.0,10.5,121.11,7
CPT,90684,Capvaxive PFS,439.5,219.75,10.5,12.0,12
CPT,90684,PCV21 VACCINE IM,445.0,222.5,10.5,12.0,6
CPT,90687,IIV4 VACCINE SPLT 0.25 ML IM,20.0,10.0,10.5,17.23,7
CPT,90691,TYPHOID VACCINE IM,276.5,138.25,10.5,180.23,14
CPT,90694,VACC AIIV4 NO PRSRV 0.5ML IM,138.0,69.0,10.5,127.64,7
CPT,90696,DIPHTHERIA; TETANUS; ACELLULAR PERTUSSIS; AND POLIO VACCINE,111.0,55.5,10.5,111.0,7
CPT,90696,DTAP-IPV VACCINE 4-6 YRS IM,103.5,51.75,10.5,115.0,14
CPT,90696,Kinrix PFS,111.0,55.5,10.5,111.0,14
CPT,90698,DTAP-IPV/HIB VACCINE IM,212.0,106.0,10.5,212.0,7
CPT,90700,Boostrix PFS,42.0,21.0,10.5,42.0,7
CPT,90700,DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (YOUNGER THAN 7 YEARS),53.0,26.5,10.5,53.0,7
CPT,90700,DTAP VACCINE < 7 YRS IM,49.0,24.5,10.5,55.0,14
CPT,90700,Infanrix PFS,53.0,26.5,10.5,53.0,14
CPT,90707,M-M-R II,167.0,83.5,10.5,167.0,14
CPT,90707,MEASLES; MUMPS; AND RUBELLA VACCINE,167.0,83.5,10.5,167.0,7
CPT,90707,MMR VACCINE SC,163.5,81.75,10.5,172.0,14
CPT,90710,M-M-R II,518.0,259.0,10.5,218.94,7
CPT,90710,MEASLES; MUMPS; RUBELLA; AND VARICELLA VACCINE,518.0,259.0,10.5,218.94,7
CPT,90710,MMRV VACCINE SC,539.0,269.5,10.5,218.94,7
CPT,90710,ProQuad,518.0,259.0,10.5,218.94,14
CPT,90713,Ipol,75.0,37.5,10.5,75.0,14
CPT,90713,POLIOVIRUS IPV SC/IM,82.0,41.0,10.5,82.0,7
CPT,90713,POLIOVIRUS VACCINE,75.0,37.5,10.5,75.0,7
CPT,90714,Boostrix PFS,69.0,34.5,10.5,50.06,7
CPT,90714,TD VACC NO PRESV 7 YRS+ IM,85.5,42.75,10.5,50.06,14
CPT,90714,Tenivac PFS,69.0,34.5,10.5,50.06,14
CPT,90715,Boostrix,89.0,44.5,10.5,63.21,14
CPT,90715,Boostrix PFS,79.68,39.84,10.5,63.21,14
CPT,90715,DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER),89.0,44.5,10.5,63.21,7
CPT,90715,TDAP VACCINE 7 YRS/> IM,96.5,48.25,10.5,63.21,28
CPT,90715,Tenivac PFS,89.0,44.5,10.5,63.21,7
CPT,90716,VAR VACCINE LIVE SUBQ,366.0,183.0,10.5,344.92,7
CPT,90716,VARICELLA VACCINE,348.0,174.0,10.5,344.92,7
CPT,90716,Varivax,348.0,174.0,10.5,344.92,14
CPT,90717,YELLOW FEVER VACCINE SUBQ,411.0,205.5,10.5,263.36,7
CPT,90723,DIPHTHERIA; TETANUS; ACELLULAR PERTUSSIS; HEPATITIS B; AND POLIO VACCINE,244.0,122.0,10.5,187.79,7
CPT,90723,DTAP-HEP B-IPV VACCINE IM,126.0,63.0,10.5,126.0,7
CPT,90723,Pediarix PFS,183.005,91.505,10.5,187.79,14
CPT,90732,PNEUMOCOCCAL VACCINE; 23-VALENT,209.0,104.5,10.5,209.0,7
CPT,90732,PPSV23 VACC 2 YRS+ SUBQ/IM,211.0,105.5,10.5,211.0,7
CPT,90732,Pneumovax 23,209.0,104.5,10.5,209.0,7
CPT,90732,Pneumovax 23 PFS,209.0,104.5,10.5,209.0,14
CPT,90734,Bexsero PFS,203.0,101.5,10.5,203.0,7
CPT,90734,MENACWYD/MENACWYCRM VACC IM,255.0,127.5,10.5,299.95,14
CPT,90734,Menveo,206.0,103.0,10.5,203.0,35
CPT,90738,INACTIVATED JE VACC IM,709.0,354.5,10.5,504.42,7
CPT,90739,Engerix-B Adult PFS,241.0,120.5,10.5,241.0,7
CPT,90739,HEPATITIS B VACCINE; ADULT DOSAGE,241.0,120.5,10.5,241.0,7
CPT,90739,HEPB VACC 2/4 DOSE ADULT IM,254.0,127.0,10.5,254.0,7
CPT,90739,Heplisav-B PFS,241.0,120.5,10.5,241.0,7
CPT,90743,HEPB VACC 2 DOSE ADOLESC IM,93.0,46.5,10.5,93.0,7
CPT,90744,Engerix-B Adult PFS,41.0,20.5,10.5,41.0,7
CPT,90744,Engerix-B Pediatric-Adolescent PFS,41.0,20.5,10.5,41.0,14
CPT,90744,HEPB VACC 3 DOSE PED/ADOL IM,43.5,21.75,10.5,44.0,14
CPT,90744,Recombivax HB Pediatric-Adolescent,41.0,20.5,10.5,41.0,14
CPT,90744,Recombivax HB Pediatric-Adolescent PFS,41.0,20.5,10.5,41.0,7
CPT,90746,Engerix-B,86.3,43.15,10.5,89.0,14
CPT,90746,Engerix-B Adult PFS,89.0,44.5,10.5,89.0,14
CPT,90746,HEPATITIS B VACCINE; ADULT DOSAGE (3 DOSE SCHEDULE),83.6,41.8,10.5,83.6,7
CPT,90746,HEPB VACCINE 3 DOSE ADULT IM,93.0,46.5,10.5,116.13,21
CPT,90746,Heplisav-B PFS,89.0,44.5,10.5,89.0,14
CPT,90746,Recombivax HB,89.0,44.5,10.5,89.0,7
CPT,90750,Arexvy,349.0,174.5,,,0
CPT,90750,HZV VACC RECOMBINANT IM,349.0,174.5,10.5,12.0,6
CPT,90750,SHINGLES VACCINE FOR INJECTION INTO MUSCLE,335.0,167.5,10.5,12.0,18
CPT,90750,Shingrix,335.0,167.5,10.5,12.0,18
CPT,90756,CCIIV4 VACC ABX FREE IM,59.0,29.5,10.5,53.41,7
CPT,90785,PSYTX COMPLEX INTERACTIVE,260.0,130.0,7.54,30.74,31
CPT,90791,PSYCH DIAGNOSTIC EVALUATION,769.0,384.5,111.05,452.75,61
CPT,90791,PSYCHIATRIC DIAGNOSTIC EVALUATION,735.0,367.5,44.42,452.75,367
CPT,90792,PSYCH DIAG EVAL W/MED SRVCS,392.5,196.25,111.05,452.75,62
CPT,90792,PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES,547.0,273.5,111.05,452.75,103
CPT,90832,PSYCHOTHERAPY; 30 MINUTES,226.0,113.0,44.42,452.75,260
CPT,90832,PSYTX W PT 30 MINUTES,243.5,121.75,54.31,452.75,60
CPT,90833,PSYCHOTHERAPY WITH EVALUATION AND MANAGEMENT VISIT; 30 MINUTES,231.5,115.75,42.89,174.85,79
CPT,90833,PSYTX W PT W E/M 30 MIN,240.0,120.0,42.89,174.85,31
CPT,90834,PSYCHOTHERAPY; 45 MINUTES,448.0,224.0,44.42,452.75,283
CPT,90834,PSYTX W PT 45 MINUTES,482.0,241.0,71.8,452.75,60
CPT,90836,PSYCHOTHERAPY WITH EVALUATION AND MANAGEMENT VISIT; 45 MINUTES,444.0,222.0,54.13,220.67,79
CPT,90836,PSYTX W PT W E/M 45 MIN,478.0,239.0,54.13,220.67,31
CPT,90837,PSYCHOTHERAPY; 1 HOUR,677.0,338.5,44.42,452.75,352
CPT,90837,PSYTX W PT 60 MINUTES,721.5,360.75,106.29,452.75,60
CPT,90838,PSYTX W PT W E/M 60 MIN,696.0,348.0,71.86,292.96,61
CPT,90839,PSYTX CRISIS INITIAL 60 MIN,450.0,225.0,102.68,452.75,31
CPT,90840,PSYTX CRISIS EA ADDL 30 MIN,218.0,109.0,40.39,164.67,31
CPT,90846,FAMILY PSYCHOTHERAPY WITHOUT PATIENT; 50 MINUTES,568.0,284.0,77.47,452.75,157
CPT,90846,FAMILY PSYTX W/O PT 50 MIN,610.5,305.25,77.47,452.75,121
CPT,90847,FAMILY PSYCHOTHERAPY WITH PATIENT; 50 MINUTES,589.5,294.75,80.81,452.75,103
CPT,90847,FAMILY PSYTX W/PT 50 MIN,611.0,305.5,80.81,452.75,121
CPT,90849,MULTIPLE FAMILY GROUP PSYTX,611.0,305.5,22.9,452.75,90
CPT,90853,GROUP PSYCHOTHERAPY,411.0,205.5,19.3,259.14,288
CPT,90867,TREATMENT USING MAGNETIC FIELD TO STIMULATE NERVE CELLS IN BRAIN; INITIAL DELIVERY AND MANAGEMENT,1394.0,697.0,106.66,550.78,30
CPT,90868,TREATMENT USING MAGNETIC FIELD TO STIMULATE NERVE CELLS IN BRAIN; SUBSEQUENT DELIVERY AND MANAGEMENT,1110.0,555.0,20.88,550.78,54
CPT,90869,TREATMENT USING MAGNETIC FIELD TO STIMULATE NERVE CELLS IN BRAIN; SUBSEQUENT MOTOR THRESHOLD REDETERMINATION WITH DELIVERY AND MANAGEMENT,1370.0,685.0,88.08,550.78,30
CPT,90870,THERAPY USING ELECTRICAL CURRENTS,2767.0,1383.5,47.25,2190.44,65
CPT,90887,CONSULTATION WITH FAMILY,201.0,100.5,53.79,54.82,7
CPT,90901,BIOFEEDBACK TRAIN ANY METH,280.0,140.0,10.53,42.93,31
CPT,90901,BIOFEEDBACK TRAINING,280.0,140.0,10.53,42.93,24
CPT,90912,BFB TRAINING 1ST 15 MIN,373.0,186.5,31.66,202.14,31
CPT,90913,BFB TRAINING EA ADDL 15 MIN,187.0,93.5,18.02,82.65,31
CPT,90935,HEMODIALYSIS PROCEDURE WITH PHYSICIAN EVALUATION,1130.57,565.285,53.01,1750.62,62
CPT,90945,DIALYSIS ONE EVALUATION,1646.0,823.0,1482.0,17224.0,2
CPT,90945,DIALYSIS PROCEDURE INCLUDING 1 EVALUATION,1531.0,765.5,1482.0,17224.0,2
CPT,90947,DIALYSIS REPEATED EVAL,3286.0,1643.0,1482.0,17224.0,2
CPT,90999,OTHER INPATIENT OR OUTPATIENT DIALYSIS PROCEDURE,2233.0,1116.5,,,0
CPT,90999,UNLISTED DIALYSIS PROCEDURE,2401.0,1200.5,1482.0,17224.0,2
CPT,91010,ESOPHAGUS MOTILITY STUDY,1711.0,855.5,17.33,951.83,74
CPT,91010,STUDY OF ESOPHAGUS TO ASSESS MOVEMENT,1156.0,578.0,17.33,951.83,205
CPT,91034,MONITORING AND RECORDING OF ESOPHAGEAL FUNCTION THROUGH NASAL TUBE,767.3299999999999,383.66499999999996,36.29,951.83,74
CPT,91035,G-ESOPH REFLX TST W/ELECTROD,2278.0,1139.0,60.48,2190.44,37
CPT,91035,MONITORING AND RECORDING OF ESOPHAGEAL FUNCTION THROUGH A CAPSULE ATTACHED TO THE ESOPHAGUS WALL,666.66,333.33,60.48,2190.44,146
CPT,91037,MONITORING AND RECORDING OF ESOPHAGEAL FUNCTION THROUGH NASAL TUBE WITH ELECTRODE,818.0,409.0,35.77,550.78,37
CPT,91038,PROLONGED MONITORING AND RECORDING OF ESOPHAGEAL FUNCTION THROUGH NASAL TUBE WITH ELECTRODE,818.0,409.0,40.4,951.83,37
CPT,91040,STUDY OF ESOPHAGEAL SENSATION BY BALLOON DISTENSION,1735.125,867.565,36.03,951.83,61
CPT,91065,BREATH HYDROGEN/METHANE TEST,787.0,393.5,6.95,550.78,37
CPT,91065,MEASUREMENT OF HYDROGEN IN BREATH TO TEST FOR STOMACH AND BOWEL SYMPTOMS,732.0,366.0,6.95,550.78,61
CPT,91110,GI TRC IMG INTRAL ESOPH-ILE,2890.5,1445.25,81.84,2313.48,74
CPT,91110,IMAGING OF DIGESTIVE TRACT DONE FROM THE INSIDE OF THE DIGESTIVE TRACT,3222.0,1611.0,81.84,2313.48,61
CPT,91112,GI WIRELESS CAPSULE MEASURE,2705.0,1352.5,76.94,2313.48,31
CPT,91122,STUDY OF RECTUM SENSITIVITY AND FUNCTION,2832.0,1416.0,43.05,65.83,26
CPT,91124,RCT SNSATN TONE&CMPLIANC STD,879.0,439.5,135.1,550.78,24
CPT,91125,ANRCT MANO RCT SNSATN&BALO,953.0,476.5,233.47,951.83,24
CPT,91200,LIVER ELASTOGRAPHY,631.5,315.75,7.72,328.2,74
CPT,91200,MEASUREMENT OF LIVER STIFFNESS,629.5,314.75,7.72,328.2,122
CPT,91299,UNLISTED DX GI PROCEDURE,832.5,416.25,80.5,328.2,48
CPT,91304,SARSCOV2 VAC 5MCG/0.5ML IM,210.0,105.0,42.0,210.0,7
CPT,91319,Comirnaty 2025-2026 Age Over 65 / High Risk 12-64,90.0,45.0,42.0,90.0,7
CPT,91319,Pfizer-BioNTech COVID-19 Vaccine 2024-2025 Age5<12,139.0,69.5,42.0,139.0,7
CPT,91319,SARSCV2 VAC 10MCG TRS-SUC IM,90.0,45.0,42.0,90.0,7
CPT,91320,Comirnaty 2025-2026 Age Over 65 / High Risk 12-64,204.5,102.25,42.0,208.0,14
CPT,91320,Comirnaty PFS 2024-2025 Age 12 and older,208.0,104.0,42.0,208.0,14
CPT,91320,Fluad 2025-2026 Formula,201.0,100.5,,,0
CPT,91320,SARSCV2 VAC 30MCG TRS-SUC IM,337.0,168.5,42.0,216.32,14
CPT,91321,Moderna COVID-19 Vaccine 24-25 6mo through 11yrs,178.0,89.0,42.0,178.0,7
CPT,91321,Pfizer-BioNTech COVID-19 Vaccine 2024-2025 6mo<5yr,178.0,89.0,42.0,178.0,14
CPT,91321,SARSCOV2 VAC 25 MCG/.25ML IM,226.0,113.0,42.0,226.0,7
CPT,91321,Spikevax 2025-2026 6mo through 11yrs,202.0,101.0,42.0,178.0,7
CPT,91322,SARSCOV2 VAC 50 MCG/0.5ML IM,260.5,130.25,42.0,240.77,14
CPT,91322,Spikevax 2023-2024 Formula,197.0,98.5,42.0,197.0,7
CPT,91322,Spikevax 2024-2025 Formula Ages 12 and up,197.0,98.5,42.0,197.0,14
CPT,91322,Spikevax 2025-2026 Ages 12 and up,222.5,111.25,42.0,197.0,14
CPT,91323,SARSCOV2 VAC 10 MCG/0.2ML IM,312.0,156.0,42.0,48.0,6
CPT,91323,Spikevax 2025-2026 Ages 12 and up,276.5,138.25,42.0,48.0,6
CPT,91323,mNEXSPIKE 2025-2026,241.0,120.5,42.0,48.0,6
CPT,92002,INTRM OPH EXAM NEW PATIENT,340.0,170.0,29.76,202.48,36
CPT,92004,COMPRE OPH EXAM NEW PT 1/>,340.0,170.0,68.2,202.48,36
CPT,92004,NEW PATIENT COMPLETE EXAM OF VISUAL SYSTEM,610.0,305.0,68.2,202.48,36
CPT,92012,INTRM OPH EXAM EST PATIENT,340.0,170.0,36.54,202.48,36
CPT,92014,COMPRE OPH EXAM EST PT 1/>,340.0,170.0,47.54,202.48,36
CPT,92014,ESTABLISHED PATIENT COMPLETE EXAM OF VISUAL SYSTEM,457.0,228.5,47.54,202.48,36
CPT,92015,DETERMINE REFRACTIVE STATE,186.5,93.25,13.9,21.12,26
CPT,92015,TEST TO DETERMINE IF PRESCRIPTION EYE WEAR IS NEEDED,55.5,27.75,13.9,21.12,13
CPT,92018,COMPL OPH EXAM GENERAL ANES,7294.0,3647.0,25.0,3615.74,70
CPT,92018,COMPLETE EXAM OF VISUAL SYSTEM UNDER GENERAL ANESTHESIA,6422.5,3211.255,102.94,3615.74,150
CPT,92020,EXAM OF THE INTERNAL DRAINAGE SYSTEM OF EYE,255.0,127.5,14.67,339.39,122
CPT,92020,GONIOSCOPY,275.0,137.5,14.67,339.39,74
CPT,92025,CPTRIZED CORNEAL TOPOGRAPHY,215.0,107.5,13.9,150.47,37
CPT,92025,CT SCAN OF CORNEA,407.0,203.5,13.9,150.47,61
CPT,92060,EXAM TO MEASURE EYE DEVIATION AND RANGE OF MOTION,407.0,203.5,26.57,150.47,85
CPT,92060,SENSORIMOTOR EXAMINATION,397.0,198.5,26.57,150.47,37
CPT,92071,CONTACT LENS FITTING FOR TX,99.0,49.5,16.64,67.84,31
CPT,92071,FITTING OF CONTACT LENS FOR TREATMENT OF EYE SURFACE DISEASE,99.0,49.5,16.64,67.84,151
CPT,92072,FITG C-LENS KERATOCONUS 1ST,90.0,45.0,48.79,198.91,31
CPT,92072,FITTING OF CONTACT LENS FOR MANAGEMENT OF CORNEAL CONDITION,83.0,41.5,48.79,198.91,31
CPT,92081,EXAM OF VISUAL FIELD WITH LIMITED TESTING,251.0,125.5,36.91,150.47,24
CPT,92081,LIMITED VISUAL FIELD XM,335.0,167.5,11.58,150.47,74
CPT,92082,EXAM OF VISUAL FIELD WITH INTERMEDIATE TESTING,345.0,172.5,14.93,150.47,61
CPT,92082,INTERMEDIATE VISUAL FIELD XM,371.0,185.5,14.93,150.47,37
CPT,92083,EXTENDED VISUAL FIELD XM,427.0,213.5,19.3,339.39,37
CPT,92100,SERIAL TONOMETRY,297.0,148.5,16.64,67.84,31
CPT,92132,CPTRZD OPH DX IMG ANT SGM,283.0,141.5,11.32,150.47,37
CPT,92132,IMAGING OF FRONT THIRD OF EYE,268.5,134.25,36.91,150.47,96
CPT,92133,CPTRZD OPH DX IMG PST SGM ON,887.0,443.5,12.1,150.47,74
CPT,92133,IMAGING OF OPTIC NERVE,1280.0,640.0,12.1,150.47,109
CPT,92134,CPTRZ OPH DX IMG PST SGM RTA,544.5,272.25,12.35,150.47,74
CPT,92134,IMAGING OF RETINA,690.0,345.0,12.35,150.47,181
CPT,92136,MEASUREMENT OF CORNEAL CURVATURE AND DEPTH OF EYE,676.5,338.25,13.55,339.39,85
CPT,92136,OPHTHALMIC BIOMETRY,462.0,231.0,13.55,339.39,37
CPT,92145,CORNEAL HYSTERESIS DETER,169.0,84.5,3.86,150.47,31
CPT,92145,MEASUREMENT OF CORNEAL PRESSURE,157.0,78.5,3.86,150.47,31
CPT,92201,EXTENDED EXAM OF THE BACK PART OF THE EYE WITH RETINAL DRAWING,252.0,126.0,16.73,150.47,37
CPT,92201,OPSCPY EXTND RTA DRAW UNI/BI,169.0,84.5,16.73,150.47,37
CPT,92202,OPSCPY EXTND ON/MAC DRAW,151.0,75.5,10.55,150.47,37
CPT,92227,IMAGING OF RETINA WITH REMOTE REVIEW BY CLINICAL STAFF,59.0,29.5,11.83,150.47,277
CPT,92228,IMAGING OF RETINA WITH REMOTE REVIEW BY PHYSICIAN,39.0,19.5,10.15,95.27,133
CPT,92229,IMG RTA DETC/MNTR DS POC ALY,151.0,75.5,30.11,150.47,37
CPT,92235,EXAM OF RETINAL BLOOD VESSELS USING A SPECIAL CAMERA AFTER INJECTION OF A DYE,739.0,369.5,28.67,550.78,61
CPT,92240,EXAM OF BLOOD VESSELS BETWEEN THE WHITE PART OF EYE AND RETINA USING A SPECIAL CAMERA AFTER INJECTION OF A DYE,874.0,437.0,135.1,550.78,24
CPT,92240,ICG ANGIOGRAPHY I&R UNI/BI,940.0,470.0,34.48,550.78,31
CPT,92250,FUNDUS PHOTOGRAPHY W/I&R,340.0,170.0,14.93,339.39,111
CPT,92250,PHOTOGRAPHY OF THE RETINA,537.0,268.5,14.93,339.39,253
CPT,92270,ELECTRO-OCULOGRAPHY W/I&R,456.0,228.0,30.37,339.39,37
CPT,92273,FULL FIELD ERG W/I&R,1325.0,662.5,25.74,550.78,37
CPT,92273,MEASUREMENT OF RETINAL AND OPTIC NERVE FUNCTION,1232.0,616.0,135.1,550.78,24
CPT,92274,MEASUREMENT OF RETINAL AND OPTIC NERVE FUNCTION TARGETING MULTIPLE SEPARATE LOCATIONS,662.0,331.0,80.5,328.2,24
CPT,92274,MULTIFOCAL ERG W/I&R,712.0,356.0,23.93,328.2,37
CPT,92283,EXTENDED EXAM INVOLVING COLOR VISION TESTING,241.0,120.5,6.44,150.47,61
CPT,92283,EXTND COLOR VISION XM,260.0,130.0,6.44,150.47,37
CPT,92284,DX DARK ADAPTATION EXAM I&R,319.0,159.5,20.33,1139.47,37
CPT,92284,EVALUATION OF EYE ADAPTATION TO LIGHT AND DARK,296.0,148.0,279.49,1139.47,24
CPT,92285,EXTERNAL OCULAR PHOTOGRAPHY,418.0,209.0,2.32,95.27,37
CPT,92286,ANT SGM IMG I&R SPECLR MIC,690.0,345.0,15.45,339.39,37
CPT,92311,CONTACT LENS FITG APHAKIA 1,1141.0,570.5,37.05,1139.47,31
CPT,92312,CONTACT LENS FITG APHAKIA OU,340.0,170.0,45.03,339.39,31
CPT,92313,C-LENS FITG CORNEOSCLRL LENS,340.0,170.0,31.4,339.39,31
CPT,92313,CONTACT LENS SERVICES FOR LENS COVERING ENTIRE CORNEA,347.0,173.5,31.4,339.39,55
CPT,92499,UNLISTED OPH SVC/PROCEDURE,476.0,238.0,18.1,73.78,24
CPT,92502,EXAM OF HEAD; NECK; INCLUDING EARS; NOSE AND THROAT UNDER GENERAL ANESTHESIA,4814.665,2407.335,41.48,1375.69,61
CPT,92504,EAR MICROSCOPY EXAMINATION,20.0,10.0,4.97,20.27,31
CPT,92504,EXAM OF EAR USING A MICROSCOPE,19.0,9.5,4.97,20.27,79
CPT,92507,TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER,492.5,246.25,46.83,190.93,216
CPT,92507,TX SP LANG VOICE COMM INDIV,525.0,262.5,22.79,190.93,185
CPT,92508,TX SP LANG VOICE COMM GROUP,141.0,70.5,14.64,59.7,31
CPT,92511,EXAM OF THE NOSE AND THROAT USING AN ENDOSCOPE,510.0,255.0,25.0,509.14,110
CPT,92511,NASOPHARYNGOSCOPY,510.0,255.0,27.79,509.14,31
CPT,92512,NASAL FUNCTION STUDIES,552.0,276.0,20.33,550.78,31
CPT,92516,FACIAL NERVE FUNCTION TEST,910.0,455.0,16.73,550.78,37
CPT,92517,VEMP TEST I&R CERVICAL,532.0,266.0,30.88,328.2,31
CPT,92517,VEMP TESTING OF LOWER BRANCH OF INNER EAR NERVE WITH INTERPRETATION AND REPORT,494.0,247.0,30.88,328.2,55
CPT,92518,VEMP TEST I&R OCULAR,532.0,266.0,31.4,328.2,31
CPT,92519,VEMP TST I&R CERVICAL&OCULAR,1010.0,505.0,46.58,550.78,31
CPT,92520,LARYNGEAL FUNCTION STUDIES,1327.0,663.5,29.6,341.06,62
CPT,92521,EVALUATION OF SPEECH CONTINUITY; SMOOTHNESS; RATE; AND EFFORT,185.0,92.5,81.77,333.37,24
CPT,92521,EVALUATION OF SPEECH FLUENCY,404.0,202.0,81.77,333.37,62
CPT,92522,EVALUATE SPEECH PRODUCTION,496.0,248.0,69.15,281.93,31
CPT,92522,EVALUATION OF SPEECH SOUND PRODUCTION,496.0,248.0,69.15,281.93,24
CPT,92523,EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION,422.0,211.0,138.96,566.52,96
CPT,92523,SPEECH SOUND LANG COMPREHEN,422.0,211.0,138.96,566.52,31
CPT,92524,ANALYSIS OF VOICE AND RESONANCE PRODUCTION,590.0,295.0,67.71,276.05,120
CPT,92524,BEHAVRAL QUALIT ANALYS VOICE,625.0,312.5,67.71,276.05,62
CPT,92526,ORAL FUNCTION THERAPY,231.0,115.5,51.47,209.85,31
CPT,92526,TREATMENT OF SWALLOWING AND FEEDING DISORDER,231.0,115.5,51.47,209.85,72
CPT,92532,POSITIONAL NYSTAGMUS TEST,104.0,52.0,,,0
CPT,92532,TEST FOR ABNORMAL EYE MOVEMENT USING 3 POSITIONS,107.0,53.5,,,0
CPT,92537,CALORIC VSTBLR TEST W/REC,333.0,166.5,6.72,328.2,37
CPT,92537,TEST TO ASSESS BALANCE DURING WARM AND COOL IRRIGATION IN BOTH EARS,204.0,102.0,6.72,328.2,61
CPT,92538,CALORIC VSTBLR TEST W/REC,104.0,52.0,3.64,550.78,37
CPT,92538,TEST TO ASSESS BALANCE DURING WARM OR COOL IRRIGATION IN BOTH EARS,104.0,52.0,135.1,550.78,24
CPT,92540,BASIC VESTIBULAR EVALUATION,665.0,332.5,13.46,550.78,37
CPT,92540,EVALUATION AND TESTING FOR BALANCE WITH RECORDING,618.0,309.0,13.46,550.78,61
CPT,92541,SPONTANEOUS NYSTAGMUS TEST,341.0,170.5,8.34,339.39,37
CPT,92542,POSITIONAL NYSTAGMUS TEST,220.0,110.0,9.85,339.39,37
CPT,92544,OPTOKINETIC NYSTAGMUS TEST,438.0,219.0,7.68,328.2,37
CPT,92545,OSCILLATING TRACKING TEST,553.0,276.5,7.68,550.78,37
CPT,92550,TEST FOR EARDRUM AND MUSCLE FUNCTION,201.0,100.5,15.7,550.78,85
CPT,92550,TYMPANOMETRY & REFLEX THRESH,217.0,108.5,15.7,550.78,37
CPT,92551,PURE TONE HEARING TEST AIR,66.5,33.25,8.4,9.6,26
CPT,92551,TEST FOR SCREENING HEARING,61.5,30.75,8.4,9.6,26
CPT,92552,PURE TONE AUDIOMETRY AIR,104.0,52.0,8.4,339.39,37
CPT,92552,TEST FOR HEARING VARIOUS PITCHES USING EARPHONE,105.0,52.5,8.4,339.39,109
CPT,92553,AUDIOMETRY AIR & BONE,333.0,166.5,14.7,328.2,37
CPT,92553,TEST FOR HEARING VARIOUS PITCHES USING EARPHONE AND DEVICE PLACED AGAINST THE BONE,284.0,142.0,14.7,328.2,61
CPT,92555,SPEECH THRESHOLD AUDIOMETRY,152.0,76.0,6.83,150.47,37
CPT,92555,TEST FOR ABILITY TO DETECT AND REPEAT SPOKEN WORDS,128.5,64.25,6.83,150.47,85
CPT,92556,TEST FOR ABILITY TO DETECT AND REPEAT SPOKEN WORDS WITH SPEECH RECOGNITION,105.0,52.5,15.75,150.47,85
CPT,92557,COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST,284.0,142.0,23.42,328.2,133
CPT,92557,COMPREHENSIVE HEARING TEST,1021.0,510.5,23.42,328.2,37
CPT,92558,EVOKED AUDITORY TEST QUAL,103.0,51.5,6.17,6.29,7
CPT,92558,TEST FOR SCREENING HEARING USING A PROBE,95.0,47.5,6.17,6.29,7
CPT,92562,LOUDNESS BALANCE TEST,739.0,369.5,16.0,550.78,37
CPT,92563,TONE DECAY HEARING TEST,270.0,135.0,14.92,95.27,37
CPT,92567,TEST TO ASSESS MIDDLE EAR FUNCTION,105.0,52.5,7.72,95.27,181
CPT,92567,TYMPANOMETRY,123.0,61.5,7.72,95.27,37
CPT,92568,ACOUSTIC REFL THRESHOLD TST,183.0,91.5,9.98,95.27,37
CPT,92568,TEST TO ASSESS MIDDLE EAR MUSCLE REFLEX,157.0,78.5,9.98,95.27,37
CPT,92570,ACOUSTIC IMMITANCE TESTING,201.0,100.5,21.36,328.2,37
CPT,92571,FILTERED SPEECH TEST,270.0,135.0,6.83,95.27,37
CPT,92575,SENSORINEURAL ACUITY LVL TST,99.0,49.5,11.41,95.27,37
CPT,92576,SYNTHETIC SENTENCE ID TEST,270.0,135.0,6.83,95.27,37
CPT,92579,TEST TO ASSESS HEARING SENSITIVITY USING VISUAL AIDS,284.0,142.0,27.28,550.78,55
CPT,92579,VISUAL AUDIOMETRY (VRA),553.0,276.5,27.28,550.78,31
CPT,92582,CONDITIONING PLAY AUDIOMETRY,333.0,166.5,59.45,328.2,31
CPT,92582,TEST TO ASSESS HEARING SENSITIVITY USING ACTIVITY RELATED FEEDBACK,284.0,142.0,59.45,328.2,55
CPT,92583,SELECT PICTURE AUDIOMETRY,270.0,135.0,36.91,150.47,37
CPT,92584,ELECTROCOCHLEOGRAPHY,648.0,324.0,33.39,328.2,37
CPT,92584,TEST TO ASSESS ELECTRICAL POTENTIALS GENERATED IN THE INNER EAR AS A RESULT OF SOUND STIMULATION,602.0,301.0,33.39,328.2,61
CPT,92587,EVOKED AUDITORY TEST LIMITED,553.0,276.5,13.39,550.78,37
CPT,92587,PLACEMENT OF EAR PROBE FOR COMPUTERIZED MEASUREMENT OF SOUND WITH INTERPRETATION AND REPORT,204.0,102.0,135.1,550.78,24
CPT,92588,EVOKED AUDITORY TST COMPLETE,382.0,191.0,20.84,951.83,37
CPT,92588,PLACEMENT OF EAR PROBE FOR COMPUTERIZED MEASUREMENT OF REPEATED SOUNDS WITH INTERPRETATION AND REPORT,204.0,102.0,233.47,951.83,24
CPT,92592,CHECK OF HEARING AID; 1 EAR,178.0,89.0,9.45,10.8,6
CPT,92593,CHECK OF HEARING AID; BOTH EARS,178.0,89.0,12.6,14.4,6
CPT,92596,EAR PROTECTOR EVALUATION,270.0,135.0,23.37,95.27,31
CPT,92597,EVALUATION FOR USE OF VOICE ARTIFICIAL DEVICE TO SUPPLEMENT ORAL SPEECH,366.0,183.0,43.93,179.09,48
CPT,92597,ORAL SPEECH DEVICE EVAL,366.0,183.0,43.93,179.09,31
CPT,92601,ANALYSIS AND PROGRAMMING OF INNER EAR IMPLANT (YOUNGER THAN 7 YEARS),402.0,201.0,80.5,328.2,31
CPT,92601,COCHLEAR IMPLT F/UP EXAM <7,433.0,216.5,80.5,328.2,31
CPT,92602,ANALYSIS AND REPROGRAMMING OF INNER EAR IMPLANT (YOUNGER THAN 7 YEARS),402.0,201.0,50.69,328.2,79
CPT,92602,REPROGRAM COCHLEAR IMPLT <7,407.0,203.5,50.69,328.2,31
CPT,92603,ANALYSIS AND PROGRAMMING OF INNER EAR IMPLANT (7 YEARS OR OLDER),402.0,201.0,80.5,328.2,79
CPT,92604,ANALYSIS AND REPROGRAMMING OF INNER EAR IMPLANT (7 YEARS OR OLDER),402.0,201.0,48.38,328.2,175
CPT,92606,NON-SPEECH DEVICE SERVICE,533.0,266.5,50.96,51.93,7
CPT,92607,EX FOR SPEECH DEVICE RX 1HR,712.0,356.0,74.43,303.45,31
CPT,92608,EX FOR SPEECH DEVICE RX ADDL,360.0,180.0,28.97,118.11,31
CPT,92609,USE OF SPEECH DEVICE SERVICE,533.0,266.5,62.31,254.03,31
CPT,92610,EVALUATE SWALLOWING FUNCTION,313.5,156.75,51.74,210.94,62
CPT,92610,EVALUATION OF SWALLOWING FUNCTION,313.5,156.75,51.74,210.94,144
CPT,92611,EVALUATION OF SWALLOWING FUNCTION IMAGE,1412.0,706.0,56.03,228.43,120
CPT,92611,MOTION FLUOROSCOPY/SWALLOW,1412.0,706.0,44.44,228.43,37
CPT,92612,ENDOSCOPY SWALLOW (FEES) VID,919.0,459.5,49.15,476.84,37
CPT,92612,EVALUATION AND RECORDING OF SWALLOWING USING AN ENDOSCOPE,1214.0,607.0,49.15,476.84,61
CPT,92620,AUDITORY FUNCTION 60 MIN,284.0,142.0,58.42,328.2,31
CPT,92623,DX ALY AUD OI SND PRCSR EACH,75.0,37.5,8.86,36.12,31
CPT,92625,EVALUATION OF HEARING RINGING IN EAR,494.0,247.0,44.52,328.2,31
CPT,92625,TINNITUS ASSESSMENT,532.0,266.0,44.52,328.2,31
CPT,92626,EVALUATION OF HEARING FUNCTION RELATED TO SURGICALLY IMPLANTED HEARING DEVICE; FIRST HOUR,402.0,201.0,29.83,328.2,61
CPT,92627,EVAL AUD FUNCJ EA ADDL 15,129.0,64.5,8.86,36.12,37
CPT,92627,EVALUATION OF HEARING FUNCTION RELATED TO SURGICALLY IMPLANTED HEARING DEVICE; EACH ADDITIONAL 15 MINUTES,100.0,50.0,8.86,36.12,37
CPT,92636,HEARING AID POST FITG F-UP 1,178.0,89.0,,,0
CPT,92637,HEARING AID PST FITG F-UP EA,45.0,22.5,,,0
CPT,92650,AEP SCR AUDITORY POTENTIAL,612.0,306.0,18.78,26.58,13
CPT,92650,SCREENING EVALUATION OF BRAIN RESPONSE TO SOUND WITH AUTOMATED ANALYSIS,569.0,284.5,18.78,26.58,13
CPT,92651,AEP HEARING STATUS DETER I&R,425.5,212.75,56.62,550.78,74
CPT,92651,EVALUATION OF BRAIN RESPONSE TO SOUND FOR DETERMINATION OF HEARING STATUS WITH INTERPRETATION AND REPORT,262.0,131.0,56.62,550.78,37
CPT,92652,AEP THRSHLD EST MLT FREQ I&R,1022.0,511.0,78.24,550.78,37
CPT,92652,EVALUATION OF BRAIN RESPONSE TO SOUND FOR DETERMINATION OF HEARING THRESHOLD WITH INTERPRETATION AND REPORT,1440.165,720.085,78.24,550.78,74
CPT,92653,AEP NEURODIAGNOSTIC I&R,1057.5,528.75,58.42,550.78,74
CPT,92653,EVALUATION OF BRAIN RESPONSE TO SOUND FOR DIAGNOSIS OF NERVOUS SYSTEM DISORDERS WITH INTERPRETATION AND REPORT,1083.0,541.5,58.42,550.78,61
CPT,92700,OTHER PROCEDURE ON EAR; NOSE; OR THROAT,201.0,100.5,18.1,73.78,24
CPT,92700,UNLISTED ORL SERVICE/PX,217.0,108.5,18.1,73.78,24
CPT,92920,BALLOON DILATION OF SINGLE CORONARY ARTERY OR BRANCH,13436.0,6718.0,405.59,14517.73,516
CPT,92920,PRQ TRLUML C ANGIOP 1ART&/BR,13922.0,6961.0,405.59,14517.73,36
CPT,92921,BALLOON DILATION OF CORONARY ARTERY OR BRANCH; EACH ADDITIONAL ARTERY OR BRANCH,10482.0,5241.0,,,0
CPT,92924,PRQ TRLUML C ATHRC 1 ART&/BR,18260.0,9130.0,483.05,29446.32,36
CPT,92924,REMOVAL OF PLAQUE WITH BALLOON DILATION OF SINGLE CORONARY ARTERY OR BRANCH,17623.0,8811.5,7222.68,29446.32,48
CPT,92928,INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH; SINGLE ARTERY OR BRANCH,13541.0,6770.5,7222.68,29446.32,168
CPT,92928,PRQ TCAT PLMT NTRAC ST 1 LES,13541.0,6770.5,450.63,29446.32,36
CPT,92929,INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH; EACH ADDITIONAL ARTERY OR BRANCH,5386.0,2693.0,,,0
CPT,92930,PRQ TCAT PLMT NTRAC ST 2+LES,21145.0,10572.5,11469.29,46759.41,24
CPT,92933,PRQ TRLML C ATHRC ST ANGIOP1,21145.0,10572.5,505.7,46759.41,36
CPT,92933,REMOVAL OF PLAQUE; INSERTION OF STENT AND BALLOON DILATION OF SINGLE CORONARY ARTERY OR BRANCH,21145.0,10572.5,11469.29,46759.41,24
CPT,92937,PRQ TRLUML REVSC CAB GRF 1,12121.0,6060.5,450.38,29446.32,36
CPT,92937,REMOVAL OF PLAQUE; INSERTION OF STENT AND/OR BALLOON DILATION OF SINGLE CORONARY VESSEL WITH DISTAL PROTECTION,11275.0,5637.5,7222.68,29446.32,24
CPT,92941,PRQ TRLML REVSC TOT OCCL AMI,11232.0,5616.0,403.64,1645.62,31
CPT,92941,REMOVAL OF PLAQUE AND BLOOD CLOT; INSERTION OF STENT AND/OR BALLOON DILATION OF SINGLE VESSEL,13975.0,6987.5,403.64,1645.62,24
CPT,92943,PRQ TRLUML REVSC CH OCC ANT,12121.0,6060.5,506.22,29446.32,36
CPT,92943,REMOVAL OF PLAQUE; INSERTION OF STENT AND/OR BALLOON DILATION OF SINGLE CORONARY ARTERY; BRANCH OR BYPASS GRAFT,9675.0,4837.5,7222.68,29446.32,120
CPT,92945,PRQ TRL RVS CH OCC ANT&RTRGR,17700.0,8850.0,7222.68,29446.32,24
CPT,92950,HEART/LUNG RESUSCITATION CPR,1298.0,649.0,135.1,550.78,93
CPT,92950,MANUAL ATTEMPT TO RESTORE BLOOD CIRCULATION AND BREATHING,1408.0,704.0,135.1,550.78,31
CPT,92953,TEMPORARY EXTERNAL PACING,2866.0,1433.0,0.78,1685.9,62
CPT,92960,CARDIOVERSION ELECTRIC EXT,2692.0,1346.0,25.0,1685.9,111
CPT,92960,EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT,2731.0,1365.5,25.0,1685.9,146
CPT,92961,CARDIOVERSION ELECTRIC INT,2148.0,1074.0,185.81,1685.9,31
CPT,92970,CARDIOASSIST INTERNAL,15835.0,7917.5,111.8,455.8,31
CPT,92972,PERQ TRLUML CORONRY LITHOTRP,11232.0,5616.0,79.87,325.61,31
CPT,92973,PRQ TRLUML C MCHN ASP THRMBC,1812.0,906.0,55.78,227.4,37
CPT,92978,ENDOLUMINL IVUS OCT C 1ST,11288.0,5644.0,61.85,252.15,37
CPT,92978,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL OR GRAFT WITH REVIEW BY RADIOLOGIST; INITIAL VESSEL,10500.0,5250.0,61.85,252.15,216
CPT,92979,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL OR GRAFT WITH REVIEW BY RADIOLOGIST; EACH ADDITIONAL VESSEL,2762.0,1381.0,48.78,198.88,223
CPT,92986,BALLOON DILATION REPAIR OF AORTIC VALVE,15474.0,7737.0,814.8,14517.73,36
CPT,92986,REVISION OF AORTIC VALVE,16635.0,8317.5,814.8,14517.73,36
CPT,92987,BALLOON DILATION REPAIR OF MITRAL VALVE,16710.0,8355.0,1040.74,29446.32,31
CPT,92987,REVISION OF MITRAL VALVE,17507.0,8753.5,1040.74,29446.32,31
CPT,92990,BALLOON DILATION REPAIR OF PULMONARY VALVE,18649.75,9324.875,814.8,29446.32,72
CPT,92990,REVISION OF PULMONARY VALVE,17964.0,8982.0,814.8,29446.32,36
CPT,92997,BALLOON DILATION OF PULMONARY ARTERY; SINGLE VESSEL,16540.5,8270.25,481.77,29446.32,60
CPT,92997,PUL ART BALLOON REPR PERCUT,17700.0,8850.0,481.77,29446.32,36
CPT,92998,BALLOON DILATION OF PULMONARY ARTERY; EACH ADDITIONAL VESSEL,3104.0,1552.0,187.86,765.9,31
CPT,92998,PUL ART BALLOON REPR PERCUT,3337.0,1668.5,187.86,765.9,31
CPT,93005,ELECTROCARDIOGRAM TRACING,458.0,229.0,4.38,150.47,37
CPT,93005,ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING,458.0,229.0,4.38,150.47,613
CPT,93017,CARDIOVASCULAR STRESS TEST,1247.0,623.5,25.74,550.78,111
CPT,93017,EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG),1160.0,580.0,25.74,550.78,85
CPT,93041,RHYTHM ECG TRACING,163.0,81.5,4.38,150.47,74
CPT,93145,INTERROG CRTD SINS BAT IP WO,376.5,188.25,80.5,328.2,48
CPT,93146,INTERROG CRTD SINS BAT IP W/,376.5,188.25,80.5,328.2,48
CPT,93150,THERAPY ACTIVATION IPNSS,249.0,124.5,31.14,242.5,31
CPT,93151,INTERROG&PRGRMG IPNSS,392.0,196.0,29.6,242.5,31
CPT,93152,INTERROG&PRGRMG IPNSS POLYSM,3588.0,1794.0,65.89,783.42,31
CPT,93153,INTERROG W/O PRGRMG IPNSS,243.0,121.5,16.21,242.5,31
CPT,93225,XTRNL ECG REC<48 HRS REC,681.0,340.5,12.1,339.39,37
CPT,93226,XTRNL ECG REC<48 HR SCAN A/R,1643.0,821.5,22.9,150.47,37
CPT,93242,EXT ECG>48HR<7D RECORDING,165.0,82.5,7.72,95.27,37
CPT,93242,HEART RHYTHM RECORDING CONTINOUS EXTERNAL EKG OVER MORE THAN 48 HOURS UP TO 7 DAYS,140.0,70.0,7.72,95.27,157
CPT,93243,EXT ECG>48HR<7D SCAN A/R,189.0,94.5,83.25,339.39,37
CPT,93246,EXT ECG>7D<15D RECORDING,209.0,104.5,7.72,95.27,37
CPT,93246,HEART RHYTHM RECORDING OF CONTINOUS EXTERNAL EKG OVER 8-15 DAYS,199.0,99.5,7.72,95.27,133
CPT,93247,EXT ECG>7D<15D SCAN A/R,382.0,191.0,83.25,339.39,37
CPT,93260,PRGRMG DEV EVAL IMPLTBL SYS,117.0,58.5,23.35,95.19,31
CPT,93261,EVALUATION OF IMPLANTABLE DEFIBRILLATOR SYSTEM,131.0,65.5,23.35,95.19,31
CPT,93261,INTERROGATE SUBQ DEFIB,172.0,86.0,23.35,95.19,31
CPT,93264,REM MNTR WRLS P-ART PRS SNR,178.0,89.0,23.35,95.19,31
CPT,93264,REMOTE MONITORING OF PULMONARY ARTERY PRESSURE SENSOR; UP TO 30 DAYS,165.0,82.5,23.35,95.19,31
CPT,93270,ELECTROCARDIOGRAM (ECG) UP TO 30 DAYS CONTINUOUS WITH SYMPTOM MONITORING,681.0,340.5,5.41,95.19,85
CPT,93270,REMOTE 30 DAY ECG REV/REPORT,490.0,245.0,5.41,95.19,74
CPT,93271,ECG/MONITORING AND ANALYSIS,2658.0,1329.0,59.48,242.5,37
CPT,93279,PRGRMG DEV EVAL PM/LDLS PM,164.0,82.0,11.07,95.19,74
CPT,93279,PROGRAMMING OF SINGLE LEAD PACEMAKER SYSTEM,163.0,81.5,11.07,95.19,61
CPT,93280,PM DEVICE PROGR EVAL DUAL,184.5,92.25,12.83,95.19,74
CPT,93280,PROGRAMMING OF DUAL LEAD PACEMAKER SYSTEM,179.0,89.5,12.83,95.19,85
CPT,93281,PM DEVICE PROGR EVAL MULTI,193.0,96.5,14.82,95.19,111
CPT,93281,PROGRAMMING OF MULTIPLE LEAD PACEMAKER SYSTEM,168.0,84.0,14.82,95.19,74
CPT,93282,PRGRMG EVAL IMPLANTABLE DFB,178.5,89.25,13.27,95.19,74
CPT,93282,PROGRAMMING OF SINGLE LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,168.0,84.0,13.27,95.19,98
CPT,93283,PRGRMG EVAL IMPLANTABLE DFB,184.5,92.25,15.26,95.19,74
CPT,93283,PROGRAMMING OF DUAL LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,179.0,89.5,15.26,95.19,146
CPT,93284,PRGRMG EVAL IMPLANTABLE DFB,197.0,98.5,17.46,95.19,111
CPT,93284,PROGRAMMING OF MULTIPLE LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,179.0,89.5,17.46,95.19,61
CPT,93285,PRGRMG DEV EVAL SCRMS IP,159.5,79.75,10.19,95.19,74
CPT,93285,PROGRAMMING OF CARDIAC RHYTHM MONITOR SYSTEM,186.0,93.0,10.19,95.19,61
CPT,93286,PERI-PX EVAL PM/LDLS PM IP,244.0,122.0,9.06,36.94,62
CPT,93287,PERI-PX DEVICE EVAL & PRGR,248.0,124.0,13.76,56.1,31
CPT,93288,EVALUATION OF SINGLE; DUAL; MULTIPLE LEAD OR LEADLESS PACEMAKER SYSTEM,202.0,101.0,10.41,95.19,146
CPT,93288,INTERROG EVL PM/LDLS PM IP,232.0,116.0,10.41,95.19,111
CPT,93289,EVALUATION OF SINGLE; DUAL; OR MULTIPLE LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,215.0,107.5,12.83,95.19,109
CPT,93289,INTERROG DEVICE EVAL HEART,240.0,120.0,12.83,95.19,74
CPT,93290,INTERROG DEV EVAL ICPMS IP,248.0,124.0,7.92,95.19,37
CPT,93291,EVALUATION OF CARDIAC RHYTHM MONITOR SYSTEM,223.5,111.75,12.58,73.78,85
CPT,93291,INTERROG DEV EVAL SCRMS IP,191.0,95.5,12.58,73.78,74
CPT,93292,WCD DEVICE INTERROGATE,248.0,124.0,7.1,95.19,37
CPT,93293,PM PHONE R-STRIP DEVICE EVAL,248.0,124.0,10.29,95.19,37
CPT,93294,REM INTERROG EVL PM/LDLS PM,80.0,40.0,18.77,76.51,37
CPT,93296,EVALUATION OF SINGLE; DUAL; MULTIPLE LEAD OR LEADLESS PACEMAKER SYSTEM OR IMPLANTABLE DEFIBRILLATOR SYSTEM; REMOTE UP TO 90 DAYS,188.0,94.0,13.39,95.19,109
CPT,93296,REM INTERROG EVL PM/IDS,231.0,115.5,13.39,95.19,37
CPT,93297,REM INTERROG DEV EVAL ICPMS,179.0,89.5,18.27,95.19,37
CPT,93298,EVALUATION OF CARDIAC RHYTHM MONITOR SYSTEM; REMOTE UP TO 30 DAYS,103.0,51.5,18.27,95.19,85
CPT,93298,REM INTERROG DEV EVAL SCRMS,163.0,81.5,18.27,95.19,37
CPT,93303,ECHO TRANSTHORACIC,2005.0,1002.5,45.03,1393.77,37
CPT,93303,ULTRASOUND OF HEART FOR CONGENITAL DEFECT,1034.0,517.0,45.03,1393.77,61
CPT,93304,ECHO TRANSTHORACIC,1176.0,588.0,22.58,1393.77,37
CPT,93304,ULTRASOUND OF HEART FOR CONGENITAL DEFECT; FOLLOW-UP,1034.0,517.0,22.58,1393.77,61
CPT,93306,TTE W/DOPPLER COMPLETE,3475.0,1737.5,50.44,1393.77,37
CPT,93306,ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION,3232.0,1616.0,50.44,1393.77,290
CPT,93307,TTE W/O DOPPLER COMPLETE,1112.0,556.0,31.91,608.63,37
CPT,93308,TTE F-UP OR LMTD,1107.0,553.5,18.53,608.63,74
CPT,93308,ULTRASOUND OF HEART; FOLLOW-UP,1034.0,517.0,18.53,608.63,386
CPT,93312,ECHO TRANSESOPHAGEAL,3310.5,1655.25,78.24,1393.77,74
CPT,93312,ULTRASOUND OF HEART WITH PROBE IN ESOPHAGUS; WITH REPORT,3183.0,1591.5,78.24,1393.77,122
CPT,93313,ECHO TRANSESOPHAGEAL,930.0,465.0,8.49,1393.77,31
CPT,93313,INSERTION OF PROBE IN ESOPHAGUS FOR HEART ULTRASOUND,865.0,432.5,8.49,1393.77,31
CPT,93315,ECHO TRANSESOPHAGEAL,3199.0,1599.5,89.3,1393.77,37
CPT,93315,ULTRASOUND OF HEART WITH PROBE IN ESOPHAGUS FOR CONGENITAL DEFECT; WITH REPORT,2975.0,1487.5,341.87,1393.77,24
CPT,93316,ECHO TRANSESOPHAGEAL,930.0,465.0,19.05,1393.77,37
CPT,93319,3D ECHO IMG CGEN CAR ANOMAL,342.0,171.0,13.58,55.36,37
CPT,93320,DOPPLER ECHO COMPLETE,968.0,484.0,10.98,49.67,37
CPT,93320,ULTRASOUND OF HEART BLOOD FLOW; VALVES AND CHAMBERS,934.0,467.0,10.98,49.67,85
CPT,93321,DOPPLER ECHO F-UP/LMTD STD,968.0,484.0,4.7,24.66,37
CPT,93321,ULTRASOUND OF HEART BLOOD FLOW; VALVES AND CHAMBERS; FOLLOW-UP,968.0,484.0,4.7,24.66,170
CPT,93325,DOPPLER ECHO COLOR FLOW MAPG,968.0,484.0,2.09,19.34,37
CPT,93325,ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE AND VALVE FUNCTION,3069.75,1534.875,2.09,19.34,218
CPT,93350,STRESS TTE ONLY,2784.0,1392.0,48.83,1393.77,37
CPT,93351,STRESS TTE COMPLETE,3741.0,1870.5,60.48,1393.77,37
CPT,93351,ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT,3540.0,1770.0,60.48,1393.77,61
CPT,93352,ADMIN ECG CONTRAST AGENT,112.0,56.0,20.97,85.49,31
CPT,93352,INJECTION OF X-RAY CONTRAST DURING ULTRASOUND OF HEART,60.0,30.0,20.97,85.49,31
CPT,93355,ECHO TRANSESOPHAGEAL (TEE),1824.0,912.0,125.54,511.82,31
CPT,93355,ULTRASOUND OF HEART WITH PROBE IN ESOPHAGUS DURING SURGERY ON HEART OR GREAT BLOOD VESSELS WITH REPORT,4388.5,2194.25,125.54,511.82,79
CPT,93356,HEART MUSCLE STRAIN IMAGING,258.0,129.0,6.56,26.74,103
CPT,93356,MYOCRD STRAIN IMG SPCKL TRCK,278.0,139.0,6.56,26.74,31
CPT,93451,INSERTION OF TUBE IN RIGHT HEART CHAMBERS FOR MEASUREMENT,12950.0,6475.0,99.08,8269.35,60
CPT,93451,RIGHT HEART CATH,13922.0,6961.0,99.08,8269.35,36
CPT,93452,LEFT HRT CATH W/VENTRCLGRPHY,14929.0,7464.5,178.86,8269.35,36
CPT,93453,R&L HRT CATH W/VENTRICLGRPHY,15989.0,7994.5,239.09,8269.35,36
CPT,93454,CORONARY ARTERY ANGIO S&I,20719.0,10359.5,180.66,8269.35,36
CPT,93454,INSERTION OF TUBE IN CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,16834.5,8417.25,180.66,8269.35,132
CPT,93455,CORONARY ART/GRFT ANGIO S&I,12218.0,6109.0,211.29,8269.35,36
CPT,93455,INSERTION OF TUBE IN BYPASS GRAFT FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,11365.0,5682.5,211.29,8269.35,84
CPT,93456,INSERTION OF TUBE IN RIGHT HEART CHAMBERS AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,13721.5,6860.75,235.74,8269.35,84
CPT,93456,R HRT CORONARY ARTERY ANGIO,14493.0,7246.5,235.74,8269.35,36
CPT,93457,INSERTION OF TUBE IN RIGHT HEART CHAMBERS; CORONARY ARTERY; AND BYPASS GRAFT FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,15927.0,7963.5,265.34,8269.35,60
CPT,93457,R HRT ART/GRFT ANGIO,16015.0,8007.5,265.34,8269.35,36
CPT,93458,INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,28489.0,14244.5,222.87,8269.35,132
CPT,93458,L HRT ARTERY/VENTRICLE ANGIO,20719.0,10359.5,222.87,8269.35,36
CPT,93459,INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER; CORONARY ARTERY AND BYPASS GRAFT FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,28489.0,14244.5,252.72,8269.35,84
CPT,93459,L HRT ART/GRFT ANGIO,30626.0,15313.0,252.72,8269.35,36
CPT,93460,INSERTION OF TUBE IN RIGHT AND LEFT HEART CHAMBERS AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,28489.0,14244.5,283.61,8269.35,108
CPT,93460,R&L HRT ART/VENTRICLE ANGIO,30168.0,15084.0,283.61,8269.35,36
CPT,93461,INSERTION OF TUBE IN RIGHT AND LEFT HEART CHAMBERS; CORONARY ARTERY; AND BYPASS GRAFT FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,21197.0,10598.5,312.94,8269.35,84
CPT,93461,R&L HRT ART/VENTRICLE ANGIO,22787.0,11393.5,312.94,8269.35,36
CPT,93462,INSERTION OF TUBE IN LEFT HEART CHAMBER THROUGH HEART SEPTUM,9280.0,4640.0,120.84,492.66,31
CPT,93462,L HRT CATH TRNSPTL PUNCTURE,9976.0,4988.0,120.84,492.66,31
CPT,93463,DRUG ADMIN & HEMODYNMIC MEAS,2964.5,1482.25,54.04,220.32,62
CPT,93463,DRUG INFUSION DURING CARDIAC CATHETERIZATION,5003.0,2501.5,54.04,220.32,31
CPT,93464,DRUG INFUSION OR EXERCISE FOR HEART STIMULATION DURING DIAGNOSTIC STUDY,4826.5,2413.25,55.17,224.93,86
CPT,93503,INSERT/PLACE HEART CATHETER,6373.0,3186.5,66.4,4015.28,36
CPT,93505,BIOPSY OF HEART MUSCLE,7849.0,3924.5,171.65,8053.93,61
CPT,93505,ENDOMYOCARDIAL BIOPSY,8438.0,4219.0,171.65,8053.93,37
CPT,93563,NJX CGEN CAR CTH SLCTV C ANG,5611.0,2805.5,29.84,121.64,31
CPT,93564,NJX CGEN CAR CATH SLCTV OPAC,3562.0,1781.0,32.44,132.26,30
CPT,93565,INJECTION FOR IMAGING OF LEFT HEART CHAMBERS WITH REVIEW BY RADIOLOGIST,5055.0,2527.5,16.06,65.48,55
CPT,93566,INJECTION FOR IMAGING OF RIGHT HEART CHAMBERS WITH REVIEW BY RADIOLOGIST,4872.0,2436.0,15.01,61.19,31
CPT,93566,NJX CAR CTH SLCTV RV/RA ANG,5238.0,2619.0,15.01,61.19,30
CPT,93567,INJECTION FOR IMAGING OF AORTA ABOVE HEART VALVE WITH REVIEW BY RADIOLOGIST,4980.0,2490.0,22.19,90.47,55
CPT,93567,NJX CAR CTH SPRVLV AORTGRPHY,5354.0,2677.0,22.19,90.47,31
CPT,93568,INJECTION FOR IMAGING OF PULMONARY ARTERY WITH REVIEW BY RADIOLOGIST,4872.0,2436.0,27.47,111.99,55
CPT,93568,NJX CAR CTH NSLC P-ART ANGRP,5238.0,2619.0,27.47,111.99,31
CPT,93569,INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION INCLUDING IMAGING SUPERVISION; INTERPRETATION; AND REPORT; FOR SELECTIVE PULMONARY ARTERIAL ANGIOGRAPHY; UNILATERAL (LIST SEPARATELY IN ADDITION TO C,3091.0,1545.5,21.2,86.42,79
CPT,93569,NJX CTH SLCT P-ART ANGRP UNI,3323.0,1661.5,21.2,86.42,31
CPT,93571,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL DURING DIAGNOSIS OR TREATMENT; INITIAL VESSEL,10407.5,5203.75,54.56,252.15,199
CPT,93572,IV DOP VEL&/PRESS C FLO EA,3130.0,1565.0,39.64,198.88,31
CPT,93572,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL DURING DIAGNOSIS OR TREATMENT; EACH ADDITIONAL VESSEL,6000.0,3000.0,39.64,198.88,223
CPT,93573,INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION INCLUDING IMAGING SUPERVISION; INTERPRETATION; AND REPORT; FOR SELECTIVE PULMONARY ARTERIAL ANGIOGRAPHY; BILATERAL (LIST SEPARATELY IN ADDITION TO CO,6413.0,3206.5,34.59,141.01,55
CPT,93573,NJX CATH SLCT P-ART ANGRP BI,6645.0,3322.5,34.59,141.01,31
CPT,93574,INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION INCLUDING IMAGING SUPERVISION; INTERPRETATION; AND REPORT; FOR SELECTIVE PULMONARY VENOUS ANGIOGRAPHY OF EACH DISTINCT PULMONARY VEIN DURING CARDIAC ,5001.0,2500.5,38.28,156.08,31
CPT,93574,NJX CATH SLCT PULM VN ANGRPH,3358.0,1679.0,38.28,156.08,31
CPT,93575,INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION INCLUDING IMAGING SUPERVISION; INTERPRETATION; AND REPORT; FOR SELECTIVE PULMONARY ANGIOGRAPHY OF MAJOR AORTOPULMONARY COLLATERAL ARTERIES (MAPCAS) A,12502.5,6251.25,51.24,208.9,55
CPT,93575,NJX CATH SLCT P ANGRPH MAPCA,5377.0,2688.5,51.24,208.9,31
CPT,93580,REPAIR OF CONGENITAL ABNORMALITY IN WALL BETWEEN UPPER HEART CHAMBERS WITH IMPLANT,18000.0,9000.0,745.55,46759.41,36
CPT,93580,TRANSCATH CLOSURE OF ASD,21145.0,10572.5,745.55,46759.41,36
CPT,93581,REPAIR OF CONGENITAL ABNORMALITY IN WALL BETWEEN LOWER HEART CHAMBERS WITH IMPLANT,17039.0,8519.5,1015.27,46759.41,31
CPT,93581,TRANSCATH CLOSURE OF VSD,18317.0,9158.5,1015.27,46759.41,31
CPT,93582,PERQ TRANSCATH CLOSURE PDA,38000.0,19000.0,506.99,46759.41,36
CPT,93582,REPAIR OF CONGENITAL ABNORMALITY OF PULMONARY ARTERY TO AORTA,41563.0,20781.5,506.99,46759.41,36
CPT,93583,PERQ TRANSCATH SEPTAL REDUXN,19767.0,9883.5,439.23,1790.71,31
CPT,93584,VNGRPH CHD ANOM/PERSIST SVC,3725.0,1862.5,31.73,129.35,31
CPT,93585,VNGRPH CHD AZYGS/HEMIAZYGS,3936.0,1968.0,30.02,122.38,31
CPT,93587,VNGRPH CHD VNVN CLTRL AT/ABV,3936.0,1968.0,56.55,230.55,31
CPT,93588,VNGRPH CHD VNVN CLTRL BELOW,14457.0,7228.5,56.99,232.33,31
CPT,93590,PERQ TRANSCATH CLS MITRAL,38000.0,19000.0,793.42,46759.41,31
CPT,93590,REPAIR OF LEAK ADJACENT TO MITRAL VALVE; FIRST CLOSURE DEVICE,41563.0,20781.5,793.42,46759.41,31
CPT,93591,PERQ TRANSCATH CLS AORTIC,23527.0,11763.5,658.32,46759.41,31
CPT,93591,REPAIR OF LEAK ADJACENT TO AORTIC VALVE; FIRST CLOSURE DEVICE,21885.0,10942.5,658.32,46759.41,31
CPT,93592,PERQ TRANSCATH CLOSURE EACH,48216.0,24108.0,213.47,870.31,31
CPT,93593,INSERTION OF CATHETER INTO RIGHT SIDE OF HEART FOR EVALUATION OF CONGENITAL HEART DEFECT IN HEART WITH NORMAL NATIVE BLOOD VESSEL CONNECTIONS; USING IMAGING GUIDANCE,9588.0,4794.0,138.97,8269.35,60
CPT,93593,R HRT CATH CHD NML NT CNJ,10308.0,5154.0,138.97,8269.35,36
CPT,93594,INSERTION OF CATHETER INTO RIGHT SIDE OF HEART FOR EVALUATION OF CONGENITAL HEART DEFECT IN HEART WITH ABNORMAL NATIVE BLOOD VESSEL CONNECTIONS; USING IMAGING GUIDANCE,8444.0,4222.0,213.09,8269.35,84
CPT,93594,R HRT CATH CHD ABNL NT CNJ,7300.0,3650.0,213.09,8269.35,36
CPT,93595,INSERTION OF CATHETER INTO LEFT SIDE OF HEART FOR EVALUATION OF CONGENITAL HEART DEFECT; USING MAGING GUIDANCE,10030.59,5015.3,189.67,8269.35,36
CPT,93595,L HRT CATH CHD NM/ABN NT CNJ,10308.0,5154.0,189.67,8269.35,36
CPT,93596,INSERTION OF CATHETER INTO RIGHT AND LEFT SIDES OF HEART FOR EVALUATION OF CONGENITAL HEART DEFECT IN HEART WITH ABNORMAL NATIVE BLOOD VESSEL CONNECTIONS; USING IMAGING GUIDANCE,14564.5,7282.25,236.51,8269.35,72
CPT,93596,R&L HRT CATH CHD NML NT CNJ,7196.0,3598.0,236.51,8269.35,36
CPT,93597,INSERTION OF CATHETER INTO RIGHT AND LEFT SIDES OF HEART FOR EVALUATION OF CONGENITAL HEART DEFECT IN HEART WITH NORMAL NATIVE BLOOD VESSEL CONNECTIONS; USING IMAGING GUIDANCE,9588.0,4794.0,307.28,8269.35,60
CPT,93597,R&L HRT CATH CHD ABNL NT CNJ,10308.0,5154.0,307.28,8269.35,36
CPT,93598,CAR OUTP MEAS DRG CATH CHD,5563.0,2781.5,42.07,171.51,31
CPT,93598,MEASUREMENT OF OUTPUT OF BLOOD FROM HEART; PERFORMED DURING CARDIAC CATHETERIZATION FOR EVALUATION OF CONGENITAL HEART DEFECTS,5174.0,2587.0,42.07,171.51,31
CPT,93600,BUNDLE OF HIS RECORDING,13387.0,6693.5,87.24,19894.98,37
CPT,93602,INTRA-ATRIAL RECORDING,6097.0,3048.5,86.47,19894.98,37
CPT,93603,RIGHT VENTRICULAR RECORDING,3080.0,1540.0,86.47,3105.64,31
CPT,93609,INTRA-VNTR MAPG TCHYCAR SITE,11434.0,5717.0,177.24,722.58,37
CPT,93610,INTRA-ATRIAL PACING,6321.0,3160.5,121.47,19894.98,37
CPT,93612,INSERTION OF TEMPORARY PACEMAKER ELECTRODE FOR DIAGNOSTIC LOWER HEART PACING,10616.0,5308.0,4879.9,19894.98,24
CPT,93612,INTRAVENTRICULAR PACING,10629.0,5314.5,120.18,19894.98,37
CPT,93613,INSERTION OF TUBE FOR 3D MAPPING OF ELECTRICAL IMPULSES TO HEART MUSCLE,41923.0,20961.5,169.26,690.06,31
CPT,93613,INTRACARDIAC EPHYS 3D MAPG,11602.0,5801.0,169.26,690.06,31
CPT,93615,ESOPHAGEAL RECORDING,3561.0,1780.5,20.48,3105.64,37
CPT,93616,ESOPHAGEAL RECORDING W/PACG,3810.0,1905.0,42.72,3105.64,37
CPT,93618,INDCTJ ARRHYTHMIA ELEC PACG,6097.0,3048.5,162.13,3105.64,37
CPT,93618,INDUCTION OF ABNORMAL HEART RHYTHM BY ELECTRICAL PACING,5671.0,2835.5,162.13,3105.64,37
CPT,93620,COMP EP EVL R AT VEN PAC&REC,12163.0,6081.5,465.56,19894.98,36
CPT,93620,INSERTION OF CATHETERS FOR RECORDING AND PACING OF RIGHT HEART CHAMBERS RHYTHM AND INDUCTION OF ABNORMAL RHYTHM,7484.0,3742.0,465.56,19894.98,60
CPT,93621,COMP EP EVL L PAC&REC C SINS,3655.0,1827.5,52.47,213.93,31
CPT,93622,COMP EP EVAL L VENTR PAC&REC,3655.0,1827.5,109.3,445.6,31
CPT,93622,INSERTION OF CATHETERS FOR RECORDING AND PACING OF LEFT LOWER HEART CHAMBER RHYTHM AND INDUCTION OF ABNORMAL RHYTHM,3400.0,1700.0,109.3,445.6,31
CPT,93623,PRGRMD STIMJ&PACG IV RX NFS,4462.0,2231.0,34.67,141.35,31
CPT,93623,PROGRAMMING OF HEART RHYTHM STIMULATION AFTER DRUG INFUSION,4150.0,2075.0,34.67,141.35,55
CPT,93624,EP F-UP STUDY PACG&REC,11413.0,5706.5,181.44,19894.98,36
CPT,93640,EP EVAL 1/2CHMBR PACG CVDFB,6345.0,3172.5,113.96,931.2,36
CPT,93642,EP EVL 1/2CHMB TRNSVNS CVDFB,3080.0,1540.0,189.92,3105.64,36
CPT,93642,PROGRAMMING OF PACING CARDIOVERTER-DEFIBRILLATOR,8923.0,4461.5,189.92,3105.64,36
CPT,93650,DESTRUCTION OF HEART CONDUCTION TISSUE TO CREATE HEART BLOCK,13757.0,6878.5,442.65,19894.98,36
CPT,93650,ICAR CATH ABLTJ AV NODE FUNC,14789.0,7394.5,442.65,19894.98,36
CPT,93653,COMPRE EP EVAL TX SVT,23472.0,11736.0,636.95,66671.11,36
CPT,93653,COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY OF UPPER CHAMBER OF HEART CAUSING SUPRAVENTRICULAR TACHYCARDIA (RAPID HEART RATE),21834.0,10917.0,636.95,66671.11,36
CPT,93654,COMPRE EP EVAL TX VT,23472.0,11736.0,767.69,66671.11,36
CPT,93654,COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY OF LOWER CHAMBER OF HEART CAUSING VENTRICULAR TACHYCARDIA (RAPID HEART RATE) OR VENTRICULAR ECTOPY (IRREGULAR HEART,22653.0,11326.5,767.69,66671.11,84
CPT,93655,ICAR CATH ABLTJ DSCRT ARRHYT,11735.0,5867.5,178.09,726.05,31
CPT,93655,INSERTION OF CATHETERS AND DESTRUCTION OF TISSUE TO TREAT ABNORMAL HEART RHYTHM,10916.0,5458.0,178.09,726.05,79
CPT,93656,COMPRE EP EVAL ABLTJ ATR FIB,23472.0,11736.0,721.62,66671.11,36
CPT,93656,COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION,21834.0,10917.0,721.62,66671.11,36
CPT,93657,DESTRUCTION OF TISSUE OF UPPER HEART CHAMBER THROUGH TUBE TO TREAT ABNORMAL HEART RHYTHM,11325.5,5662.75,178.09,726.05,55
CPT,93657,TX L/R ATRIAL FIB ADDL,11735.0,5867.5,178.09,726.05,31
CPT,93660,EVALUATION OF HEART FUNCTION USING TILT TABLE,2627.0,1313.5,66.92,951.83,55
CPT,93660,TILT TABLE EVALUATION,1890.0,945.0,66.92,951.83,62
CPT,93662,INTRACARDIAC ECG (ICE),6789.0,3394.5,43.46,177.18,62
CPT,93662,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL WITH REVIEW BY RADIOLOGIST,4788.5,2394.25,43.46,177.18,110
CPT,93668,PERIPHERAL ARTERIAL DISEASE REHABILITATION; EACH SESSION,296.0,148.0,9.78,150.47,31
CPT,93668,PERIPHERAL VASCULAR REHAB,206.0,103.0,9.78,150.47,31
CPT,93701,BIOIMPEDANCE CV ANALYSIS,1171.0,585.5,17.5,339.39,31
CPT,93702,MEASUREMENT OF LYMPHEDEMA EXTRACELLULAR FLUID,421.0,210.5,79.01,328.2,31
CPT,93724,ELEC ALYS ANTITCHYCAR PM SYS,1514.0,757.0,46.54,783.42,37
CPT,93750,EVALUATION OF LOWER HEART CHAMBER ASSIST DEVICE,179.0,89.5,30.88,242.5,37
CPT,93750,INTERROGATION VAD IN PERSON,292.0,146.0,30.88,242.5,37
CPT,93786,AMBULATORY BLOOD PRESSURE MONITORING; 1 DAY OR LONGER; WITH RECORDING,625.0,312.5,15.18,339.39,110
CPT,93788,AMBL BP MNTR W/SW A/R,456.0,228.0,3.86,339.39,31
CPT,93788,AMBULATORY BLOOD PRESSURE MONITORING; 1 DAY OR LONGER; WITH SCANNING ANALYSIS AND REPORT,424.0,212.0,3.86,339.39,79
CPT,93793,ANTICOAG MGMT PT WARFARIN,31.0,15.5,7.23,29.49,31
CPT,93798,OUTPATIENT HEART REHABILITATION WITH ELECTROCARDIOGRAM (ECG) MONITORING; QUALITY HEALTH CARE PROFESSIONAL SERVICES,484.0,242.0,10.29,328.81,55
CPT,93798,PHYS/QHP OP CAR RHAB W/ECG,684.0,342.0,10.29,328.81,62
CPT,93799,OTHER CARDIOVASCULAR SERVICE OR PROCEDURE,554.0,277.0,80.5,328.2,336
CPT,93799,UNLISTED CV SVC/PROCEDURE,1588.0,794.0,80.5,328.2,24
CPT,93880,EXTRACRANIAL BILAT STUDY,1055.0,527.5,28.31,608.63,148
CPT,93880,ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW,991.5,495.75,28.31,608.63,109
CPT,93882,EXTRACRANIAL UNI/LTD STUDY,808.0,404.0,17.76,266.67,37
CPT,93882,ULTRASOUND OF ONE SIDE OF HEAD AND NECK BLOOD FLOW,633.0,316.5,65.41,266.67,24
CPT,93886,COMPLETE ULTRASOUND OF WITHIN THE BRAIN BLOOD FLOW,1032.0,516.0,33.2,608.63,61
CPT,93886,INTRACRANIAL COMPLETE STUDY,1125.0,562.5,33.2,608.63,111
CPT,93888,INTRACRANIAL LIMITED STUDY,519.0,259.5,25.74,266.67,37
CPT,93892,TCD EMBOLI DETECT W/O INJ,1679.0,839.5,41.7,266.67,37
CPT,93892,ULTRASOUND OF WITHIN THE BRAIN BLOOD FLOW FOR BLOOD CLOTS,1561.0,780.5,65.41,266.67,24
CPT,93893,TCD STD ICR ART VEN-ART SHNT,736.0,368.0,42.72,266.67,37
CPT,93922,ULTRASOUND STUDY OF ARM AND LEG ARTERIES,567.5,283.75,9.01,339.39,109
CPT,93922,UPR/L XTREMITY ART 2 LEVELS,612.0,306.0,9.01,339.39,74
CPT,93923,COMPLETE ULTRASOUND STUDY OF ARM AND LEG ARTERIES,798.0,399.0,16.21,550.78,133
CPT,93923,UPR/LXTR ART STDY 3+ LVLS,858.0,429.0,16.21,550.78,37
CPT,93924,LWR XTR VASC STDY BILAT,1091.0,545.5,18.02,550.78,37
CPT,93924,ULTRASOUND OF LEG ARTERIES AT REST AND AFTER EXERCISE,936.0,468.0,18.02,550.78,61
CPT,93925,LOWER EXTREMITY STUDY,1584.0,792.0,28.06,608.63,37
CPT,93925,ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS,1473.0,736.5,28.06,608.63,85
CPT,93926,LOWER EXTREMITY STUDY,1227.0,613.5,16.73,266.67,37
CPT,93926,ULTRASOUND OF ONE LEG ARTERIES OR ARTERY GRAFTS,1184.0,592.0,16.73,266.67,85
CPT,93930,ULTRASOUND OF ARM ARTERIES OR ARTERY GRAFTS,1039.0,519.5,28.57,608.63,61
CPT,93930,UPPER EXTREMITY STUDY,1273.0,636.5,28.57,608.63,37
CPT,93931,ULTRASOUND OF ONE ARM ARTERIES OR ARTERY GRAFTS,984.0,492.0,17.24,266.67,61
CPT,93931,UPPER EXTREMITY STUDY,1058.0,529.0,17.24,266.67,37
CPT,93970,EXTREMITY STUDY,1362.0,681.0,24.44,608.63,37
CPT,93970,ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS,1276.0,638.0,24.44,608.63,157
CPT,93971,EXTREMITY STUDY,1053.5,526.75,15.7,266.67,74
CPT,93971,ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS,979.5,489.75,15.7,266.67,386
CPT,93975,COMPLETE ULTRASOUND OF ABDOMEN AND PELVIS ARTERY AND VEIN BLOOD FLOW,1424.5,712.25,41.18,608.63,157
CPT,93975,VASCULAR STUDY,1532.0,766.0,41.18,608.63,74
CPT,93976,ULTRASOUND OF ABDOMEN AND PELVIS ARTERY AND VEIN BLOOD FLOW,1029.0,514.5,27.28,266.67,181
CPT,93976,VASCULAR STUDY,1099.5,549.75,27.28,266.67,74
CPT,93978,COMPLETE ULTRASOUND OF AORTA; VENA CAVA; GROIN VESSELS OR BYPASS GRAFTS,987.0,493.5,29.6,608.63,61
CPT,93978,VASCULAR STUDY,1127.0,563.5,29.6,608.63,37
CPT,93979,ULTRASOUND OF AORTA; VENA CAVA; GROIN VESSELS OR BYPASS GRAFTS,825.0,412.5,17.76,266.67,61
CPT,93979,VASCULAR STUDY,912.0,456.0,17.76,266.67,37
CPT,93985,COMPLETE ULTRASOUND OF ARTERY AND VEIN BLOOD FLOW PRE-OP ASSESSMENT ON BOTH SIDES OF BODY FOR HEMODIALYSIS ACCESS,737.0,368.5,29.34,608.63,61
CPT,93985,DUP-SCAN HEMO COMPL BI STD,1077.0,538.5,29.34,608.63,37
CPT,93986,COMPLETE ULTRASOUND OF ARTERY AND VEIN BLOOD FLOW PRE-OP ASSESSMENT ON SIDE OF BODY FOR HEMODIALYSIS ACCESS,349.0,174.5,16.99,266.67,85
CPT,93990,DOPPLER FLOW TESTING,752.0,376.0,17.24,266.67,37
CPT,93990,ULTRASOUND OF HEMODIALYSIS ACCESS,699.0,349.5,65.41,266.67,72
CPT,94002,INITIAL HOSPITAL INPATIENT OR OBSERVATION VENTILATION ASSISTANCE AND MANAGEMENT,2748.0,1374.0,1482.0,17224.0,6
CPT,94002,VENT MGMT INPAT INIT DAY,2955.0,1477.5,1482.0,17224.0,6
CPT,94003,FOLLOW-UP INPATIENT OR OBSERVATION VENTILATION ASSISTANCE AND MANAGEMENT,3360.0,1680.0,1482.0,17224.0,2
CPT,94003,VENT MGMT INPAT SUBQ DAY,3184.0,1592.0,1482.0,17224.0,6
CPT,94010,BREATHING CAPACITY TEST,647.0,323.5,5.92,550.78,111
CPT,94010,TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME,601.0,300.5,5.92,550.78,253
CPT,94011,SPIROMETRY UP TO 2 YRS OLD,678.0,339.0,63.3,328.2,31
CPT,94012,SPIRMTRY W/BRNCHDIL INF-2 YR,872.0,436.0,103.2,550.78,31
CPT,94013,MEAS LUNG VOL THRU 2 YRS,799.5,399.75,13.9,951.83,62
CPT,94016,REVIEW PATIENT SPIROMETRY,623.0,311.5,15.66,63.84,31
CPT,94060,EVALUATION OF WHEEZING,1108.0,554.0,7.47,951.83,111
CPT,94060,TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION,1045.0,522.5,7.47,951.83,205
CPT,94070,EVALUATION OF WHEEZING,1605.0,802.5,11.97,951.83,37
CPT,94070,TEST TO MEASURE LUNG AIRWAY SENSITIVITY,1493.0,746.5,11.97,951.83,61
CPT,94150,TEST TO MEASURE THE TOTAL VOLUME OF AIR THAT CAN BE EXHALED AFTER INHALING,284.0,142.0,2.52,328.2,85
CPT,94150,VITAL CAPACITY TEST,306.0,153.0,2.52,328.2,111
CPT,94200,LUNG FUNCTION TEST (MBC/MVV),293.0,146.5,2.06,150.47,37
CPT,94375,RESPIRATORY FLOW VOLUME LOOP,535.0,267.5,10.55,550.78,74
CPT,94452,TEST TO MEASURE LUNG FUNCTION AT HIGH ALTITUDE,1043.0,521.5,10.55,339.39,55
CPT,94453,TEST TO MEASURE LUNG FUNCTION AT HIGH ALTITUDE WITH EVALUATION OF OXYGEN NEEDS AT REST AND DURING EXERCISE,1043.0,521.5,13.64,339.39,31
CPT,94610,SURFACTANT ADMIN THRU TUBE,519.0,259.5,1482.0,17224.0,2
CPT,94617,EXERCISE TST BRNCSPSM W/ECG,855.0,427.5,23.16,339.39,37
CPT,94617,TEST FOR EXERCISE-INDUCED SPASM OF LUNG AIRWAYS,1558.0,779.0,23.16,339.39,61
CPT,94618,PULMONARY STRESS TESTING,530.0,265.0,9.09,339.39,37
CPT,94618,TEST FOR EXERCISE-INDUCED LUNG STRESS,493.0,246.5,9.09,339.39,109
CPT,94619,EXERCISE TST BRNCSPSM WO ECG,229.0,114.5,15.7,150.47,37
CPT,94621,CARDIOPULM EXERCISE TESTING,1645.0,822.5,50.44,951.83,37
CPT,94621,TEST FOR EXERCISE-INDUCED HEART AND LUNG STRESS,1530.0,765.0,50.44,951.83,61
CPT,94625,PHY/QHP OP PULM RHB W/O MNTR,217.5,108.75,13.39,150.47,62
CPT,94625,PROFESSIONAL SERVICES FOR OUTPATIENT PULMONARY REHABILITATION; PER SESSION,209.0,104.5,13.39,150.47,55
CPT,94626,PHY/QHP OP PULM RHB W/MNTR,152.0,76.0,19.56,150.47,31
CPT,94640,AIRWAY INHALATION TREATMENT,513.0,256.5,1482.0,17224.0,16
CPT,94640,INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION,656.0,328.0,1482.0,17224.0,18
CPT,94642,AEROSOL INHALATION TREATMENT,591.5,295.75,32.76,17224.0,32
CPT,94642,INHALATION TREATMENT FOR PNEUMONIA,579.0,289.5,1482.0,17224.0,2
CPT,94644,CBT 1ST HOUR,729.0,364.5,1482.0,17224.0,2
CPT,94644,INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION; FIRST HOUR,678.0,339.0,1482.0,17224.0,2
CPT,94645,CBT EACH ADDL HOUR,129.0,64.5,1482.0,17224.0,2
CPT,94645,INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION; EACH ADDITIONAL HOUR,1320.0,660.0,1482.0,17224.0,2
CPT,94660,POS AIRWAY PRESSURE CPAP,2200.0,1100.0,1482.0,17224.0,2
CPT,94660,THERAPY PROCEDURE USING A POSITIVE PRESSURE VENTILATOR,2420.0,1210.0,1482.0,17224.0,8
CPT,94664,EVALUATE PT USE OF INHALER,551.0,275.5,1482.0,17224.0,8
CPT,94664,EVALUATION OF USE OF BREATHING DEVICE,893.5,446.75,1482.0,17224.0,8
CPT,94667,CHEST WALL MANIPULATION,802.0,401.0,1482.0,17224.0,6
CPT,94667,INITIAL THERAPY SERVICE TO FACILITATE LUNG FUNCTION,1130.0,565.0,1482.0,17224.0,4
CPT,94668,CHEST WALL MANIPULATION,380.0,190.0,1482.0,17224.0,6
CPT,94668,FOLLOW-UP THERAPY SERVICE TO FACILITATE LUNG FUNCTION,1130.0,565.0,1482.0,17224.0,4
CPT,94669,MECHANICAL CHEST WALL OSCILL,812.5,406.25,1482.0,17224.0,4
CPT,94669,THERAPY PROCEDURE TO CLEAR AIRWAY USING AN INFLATABLE VEST,1246.0,623.0,14.42,17224.0,33
CPT,94690,O2 UPTK EXP GAS ALYS REST,1316.0,658.0,2.84,150.47,37
CPT,94690,TEST TO MEASURE EXHALED AIR FOR EVALUATION OF LUNG FUNCTION AT REST,1377.0,688.5,36.91,150.47,72
CPT,94726,PULM FUNCT TST PLETHYSMOGRAP,736.0,368.0,8.75,951.83,37
CPT,94726,TEST TO DETERMINE LUNG VOLUMES USING SENSORS,684.0,342.0,8.75,951.83,157
CPT,94727,PULM FUNCTION TEST BY GAS,736.0,368.0,8.75,550.78,37
CPT,94728,AIRWY RESIST BY OSCILLOMETRY,453.0,226.5,9.01,328.2,37
CPT,94728,TEST TO MEASURE RESISTANCE OF THE AIRWAYS AND LUNGS TO DIFFERING FREQUENCIES,421.0,210.5,80.5,328.2,24
CPT,94729,CO/MEMBANE DIFFUSE CAPACITY,757.5,378.75,5.95,39.74,74
CPT,94729,TEST TO EXAMINE HOW WELL THE LUNGS EXCHANGE GASES,750.0,375.0,5.95,39.74,133
CPT,94760,MEASURE BLOOD OXYGEN LEVEL,124.0,62.0,2.08,2.62,39
CPT,94760,TEST TO MEASURE OXYGEN LEVEL IN BLOOD USING EAR OR FINGER DEVICE,37.0,18.5,2.08,2.62,13
CPT,94761,MEASURE BLOOD OXYGEN LEVEL,247.0,123.5,2.57,4.63,13
CPT,94761,TEST TO MEASURE OXYGEN LEVEL IN BLOOD USING EAR OR FINGER DEVICE MULTIPLE TIMES,229.0,114.5,2.57,4.63,13
CPT,94762,MEASURE BLOOD OXYGEN LEVEL,329.0,164.5,16.47,328.2,31
CPT,94762,TEST TO MEASURE OXYGEN LEVEL IN BLOOD USING EAR OR FINGER DEVICE CONTINUOUSLY OVERNIGHT,262.0,131.0,16.47,328.2,31
CPT,94772,BREATH RECORDING INFANT,1830.0,915.0,138.6,951.83,30
CPT,94780,CARS/BD TST INFT-12MO 60 MIN,94.0,47.0,17.24,95.27,31
CPT,94799,UNLISTED PULMONARY SVC/PX,1186.0,593.0,80.5,328.2,48
CPT,95004,PERQ TESTS W/ALRGNC XTRCS,44.0,22.0,1.58,2190.44,74
CPT,95004,TEST FOR ALLERGY USING ALLERGENIC EXTRACT,329.0,164.5,1.58,2190.44,157
CPT,95012,NITRIC OXIDE EXP GAS DETER,329.0,164.5,12.35,95.27,31
CPT,95012,TEST TO MEASURE THE LEVEL OF NITRIC OXIDE GAS,325.5,162.75,12.35,95.27,55
CPT,95017,ALL TSTG PERQ&IQ W/VENOMS,77.0,38.5,2.84,73.78,37
CPT,95017,TEST FOR ALLERGY USING COMBINATION OF METHODS WITH VENOM,355.0,177.5,2.84,73.78,37
CPT,95018,ALL TSTG PERQ&IQ DRUGS/BIOL,135.0,67.5,5.15,95.27,74
CPT,95018,TEST FOR ALLERGY USING COMBINATION OF METHODS WITH DRUG OR BIOLOGICAL,381.5,190.75,5.15,95.27,85
CPT,95024,IQ TESTS W/ALLERGENIC XTRCS,152.0,76.0,0.78,150.47,37
CPT,95024,TEST FOR ALLERGY USING ALLERGENIC EXTRACT INJECTED INTO SKIN,912.0,456.0,0.78,150.47,133
CPT,95027,IQ TSTS SEQL&INCRL AIRBORNE,77.0,38.5,3.09,73.78,37
CPT,95027,TEST FOR ALLERGY USING AIRBORNE ALLERGENIC EXTRACT INJECTED INTO SKIN,2556.0,1278.0,3.09,73.78,85
CPT,95044,PATCH/APPLICATION TESTS,45.0,22.5,3.35,2190.44,37
CPT,95044,TEST FOR ALLERGY USING SKIN PATCH,3690.0,1845.0,3.35,2190.44,109
CPT,95052,PHOTO PATCH TESTS,166.0,83.0,3.86,150.47,37
CPT,95070,INHLJ BRNCL CHALLENGE TSTG,1208.0,604.0,22.58,951.83,37
CPT,95076,INGEST CHALLENGE INI 120 MIN,2098.0,1049.0,54.56,951.83,37
CPT,95076,TEST FOR ALLERGY USING INGESTED ITEMS; INITIAL 2 HOURS,1951.0,975.5,54.56,951.83,109
CPT,95079,INGEST CHALLENGE ADDL 60 MIN,420.0,210.0,36.98,150.79,37
CPT,95079,TEST FOR ALLERGY USING INGESTED ITEMS; EACH ADDITIONAL HOUR,420.0,210.0,36.98,150.79,85
CPT,95115,IMMUNOTHERAPY ONE INJECTION,92.0,46.0,7.2,119.44,31
CPT,95115,PROFESSIONAL SERVICE FOR SINGLE INJECTION OF ALLERGEN,88.5,44.25,7.2,119.44,103
CPT,95117,IMMUNOTHERAPY INJECTIONS,110.0,55.0,8.23,119.44,31
CPT,95117,PROFESSIONAL SERVICE FOR MULTIPLE INJECTIONS OF ALLERGEN,57.0,28.5,8.23,119.44,109
CPT,95131,IMMNTX 2 STING INSECTS,179.0,89.5,,,0
CPT,95132,IMMNTX 3 STING INSECTS,61.0,30.5,,,0
CPT,95133,IMMNTX 4 STING INSECTS,185.0,92.5,,,0
CPT,95133,PROFESSIONAL SERVICE FOR INJECTION OF 4 STINGING INSECT VENOMS,1720.0,860.0,,,0
CPT,95134,IMMNTX 5 STING INSECTS,321.0,160.5,,,0
CPT,95145,ANTIGEN THERAPY SERVICES,141.0,70.5,2.57,119.44,31
CPT,95145,PROFESSIONAL SERVICE FOR PREPARATION AND PROVISION OF 1 STINGING INSECT VENOM,1290.0,645.0,2.57,119.44,31
CPT,95146,ANTIGEN THERAPY SERVICES,187.0,93.5,2.57,119.44,31
CPT,95147,ANTIGEN THERAPY SERVICES,273.0,136.5,2.57,183.67,31
CPT,95147,PROFESSIONAL SERVICE FOR PREPARATION AND PROVISION OF 3 STINGING INSECT VENOM,1920.0,960.0,18.01,73.43,24
CPT,95148,ANTIGEN THERAPY SERVICES,204.0,102.0,2.57,183.67,31
CPT,95148,PROFESSIONAL SERVICE FOR PREPARATION AND PROVISION OF 4 STINGING INSECT VENOM,1116.0,558.0,2.57,183.67,55
CPT,95149,ANTIGEN THERAPY SERVICES,231.0,115.5,2.57,183.67,31
CPT,95165,ANTIGEN THERAPY SERVICES,15.0,7.5,2.57,119.44,31
CPT,95165,PROFESSIONAL SERVICE FOR PREPARATION AND PROVISION OF 1 OR MORE ANTIGENS,375.0,187.5,2.57,119.44,55
CPT,95180,INJECTION FOR RAPID DESENSITIZATION TO ALLERGEN,2214.0,1107.0,8.93,1139.47,85
CPT,95180,RAPID DESENSITIZATION,1068.0,534.0,8.93,1139.47,37
CPT,95199,UNLISTED ALL/IMMLG SVC/PX,93.0,46.5,18.1,73.78,24
CPT,95249,CONT GLUC MNTR PT PROV EQP,212.0,106.0,36.91,150.47,37
CPT,95249,CONTINUOUS MONITORING OF BLOOD SUGAR LEVEL IN TISSUE FLUID USING SENSOR UNDER SKIN,188.5,94.25,14.77,150.47,85
CPT,95250,CONT GLUC MNTR PHYS/QHP EQP,567.0,283.5,83.3,339.6,74
CPT,95251,CONT GLUC MNTR ANALYSIS I&R,728.0,364.0,22.35,91.13,37
CPT,95700,EEG CONT REC W/VID EEG TECH,1059.0,529.5,135.1,550.78,30
CPT,95700,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); CONTINUOUS,985.0,492.5,135.1,550.78,54
CPT,95705,EEG W/O VID 2-12 HR UNMNTR,1059.0,529.5,84.0,550.78,30
CPT,95705,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); 2-12 HOURS,985.0,492.5,84.0,550.78,54
CPT,95706,EEG WO VID 2-12HR INTMT MNTR,1059.0,529.5,135.1,550.78,30
CPT,95707,EEG W/O VID 2-12HR CONT MNTR,985.0,492.5,135.1,550.78,30
CPT,95708,EEG WO VID EA 12-26HR UNMNTR,2062.0,1031.0,126.0,951.83,30
CPT,95708,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); 12-26 HOURS,4717.5,2358.75,126.0,951.83,54
CPT,95709,EEG W/O VID EA 12-26HR INTMT,1887.0,943.5,233.47,951.83,30
CPT,95710,EEG W/O VID EA 12-26HR CONT,1887.0,943.5,233.47,997.44,30
CPT,95711,MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG); 2-12 HOURS,985.0,492.5,105.0,550.78,30
CPT,95711,VEEG 2-12 HR UNMONITORED,1028.0,514.0,105.0,550.78,30
CPT,95712,MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG); 2-12 HOURS WITH INTERMITTENT MONITORING,985.0,492.5,233.47,951.83,54
CPT,95712,VEEG 2-12 HR INTMT MNTR,1059.0,529.5,233.47,951.83,30
CPT,95713,MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG); 2-12 HOURS WITH CONTINUOUS MONITORING,1887.0,943.5,233.47,951.83,30
CPT,95713,VEEG 2-12 HR CONT MNTR,2029.0,1014.5,233.47,951.83,30
CPT,95714,VEEG EA 12-26 HR UNMNTR,2029.0,1014.5,168.0,951.83,30
CPT,95715,MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG); 12-26 HOURS WITH INTERMITTENT MONITORING,1887.0,943.5,233.47,960.0,54
CPT,95715,VEEG EA 12-26HR INTMT MNTR,2275.0,1137.5,233.47,960.0,30
CPT,95716,MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG); 12-26 HOURS WITH CONTINUOUS MONITORING,3535.0,1767.5,537.28,2190.44,54
CPT,95716,VEEG EA 12-26HR CONT MNTR,3801.0,1900.5,537.28,2190.44,30
CPT,95717,EEG PHYS/QHP 2-12 HR W/O VID,1135.0,567.5,57.87,235.93,37
CPT,95717,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); 2-12 HOURS WITH HEALTH CARE PROFESSIONAL REVIEW AND REPORT,1055.0,527.5,57.87,235.93,37
CPT,95719,EEG PHYS/QHP EA INCR W/O VID,2022.0,1011.0,86.79,353.85,37
CPT,95782,POLYSOM <6 YRS 4/> PARAMTRS,7147.0,3573.5,90.08,2190.44,37
CPT,95782,SLEEP STUDY IN SLEEP LAB (YOUNGER THAN 6 YEARS),3595.325,1797.665,90.08,2190.44,133
CPT,95783,POLYSOM <6 YRS CPAP/BILVL,6801.0,3400.5,98.31,2190.44,37
CPT,95783,SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (YOUNGER THAN 6 YEARS),3449.52,1724.76,98.31,2190.44,85
CPT,95800,SLEEP STUDY INCLUDING HEART RATE; BREATHING; AND SLEEP TIME,629.0,314.5,28.82,550.78,109
CPT,95800,SLP STDY UNATTENDED,581.5,290.75,28.82,550.78,74
CPT,95805,MULTIPLE SLEEP LATENCY TEST,6313.0,3156.5,41.95,2190.44,74
CPT,95805,SLEEP STUDY; MULTIPLE TRIALS,6711.0,3355.5,41.95,2190.44,85
CPT,95806,SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT,596.0,298.0,32.17,550.78,127
CPT,95806,SLEEP STUDY UNATT&RESP EFFT,597.0,298.5,32.17,550.78,62
CPT,95807,SLEEP STUDY ATTENDED,955.0,477.5,43.24,951.83,37
CPT,95808,POLYSOM ANY AGE 1-3> PARAM,2543.0,1271.5,60.48,2190.44,37
CPT,95810,POLYSOM 6/> YRS 4/> PARAM,6012.5,3006.25,86.98,2190.44,74
CPT,95810,SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER),6963.0,3481.5,86.98,2190.44,181
CPT,95811,POLYSOM 6/>YRS CPAP 4/> PARM,5561.5,2780.75,90.59,2190.44,74
CPT,95811,SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER),6386.0,3193.0,90.59,2190.44,109
CPT,95812,EEG 41-60 MINUTES,1336.0,668.0,40.88,550.78,37
CPT,95812,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); 41-60 MINUTES,1336.0,668.0,135.1,550.78,24
CPT,95813,EEG EXTND MNTR 61-119 MIN,1984.0,992.0,46.67,550.78,37
CPT,95813,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); 61-119 MINUTES,1845.0,922.5,46.67,550.78,109
CPT,95816,EEG AWAKE AND DROWSY,1363.0,681.5,14.18,550.78,37
CPT,95819,EEG AWAKE AND ASLEEP,1685.0,842.5,14.18,550.78,37
CPT,95819,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND ASLEEP,909.235,454.62,14.18,550.78,85
CPT,95836,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG) WITH IMPLANTED BRAIN NEUROSTIMULATOR GENERATOR WITH REPORT,93.0,46.5,23.35,95.19,31
CPT,95851,RANGE OF MOTION MEASUREMENTS,471.0,235.5,5.66,62.35,37
CPT,95857,CHOLINESTERASE CHALLENGE,939.0,469.5,20.84,550.78,31
CPT,95860,NEEDLE EMG 1 EXTREMITY,1027.0,513.5,18.38,339.39,74
CPT,95860,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES; 1 EXTREMITY,2884.0,1442.0,83.25,339.39,48
CPT,95861,NEEDLE EMG 2 EXTREMITIES,778.0,389.0,23.63,339.39,37
CPT,95861,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES; 2 EXTREMITIES,2613.0,1306.5,23.63,339.39,181
CPT,95863,NEEDLE EMG 3 EXTREMITIES,2144.0,1072.0,26.25,328.2,74
CPT,95864,NEEDLE EMG 4 EXTREMITIES,2539.0,1269.5,30.45,328.2,74
CPT,95864,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES; 4 EXTREMITIES,3679.0,1839.5,30.45,328.2,205
CPT,95865,NEEDLE EMG LARYNX,492.0,246.0,18.75,339.39,37
CPT,95867,NDL EMG CRANIAL NRV MUSC UNI,1175.5,587.75,15.75,550.78,74
CPT,95867,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MUSCLES ON SIDE OF BODY,1968.0,984.0,15.75,550.78,253
CPT,95868,NDL EMG CRANIAL NRV MUSC BI,1385.0,692.5,26.73,550.78,74
CPT,95868,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MUSCLES ON BOTH SIDES OF BODY,2023.0,1011.5,26.73,550.78,349
CPT,95870,NDL EMG LMTD STD MUSC 1 XTR,300.0,150.0,14.42,339.39,37
CPT,95872,NDL EMG SINGLE FIBER ELTRD,654.0,327.0,22.05,550.78,37
CPT,95872,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MUSCLE; INCLUDING JITTER; BLOCKING AND/OR FIBER DENSITY,560.0,280.0,22.05,550.78,61
CPT,95873,ELECTRICAL STIMULATION FOR GUIDANCE WITH INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLE,157.0,78.5,12.47,50.83,79
CPT,95873,GUIDE NERV DESTR ELEC STIM,178.0,89.0,12.47,50.83,31
CPT,95874,GUIDE NERV DESTR NEEDLE EMG,217.0,108.5,12.28,50.06,31
CPT,95874,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MUSCLE WITH INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLE,177.0,88.5,12.28,50.06,103
CPT,95885,MUSC TST DONE W/NERV TST LIM,471.0,235.5,11.47,46.75,37
CPT,95885,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES; LIMITED STUDY,471.0,235.5,11.47,46.75,205
CPT,95886,MUSC TEST DONE W/N TEST COMP,554.0,277.0,28.41,115.83,74
CPT,95886,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES; COMPLETE STUDY,548.0,274.0,28.41,115.83,290
CPT,95887,MUSC TST DONE W/N TST NONEXT,403.0,201.5,23.27,94.87,37
CPT,95887,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN TRUNK OR HEAD MUSCLES,374.0,187.0,23.27,94.87,61
CPT,95907,NERVE CONDUCTION; 1-2 STUDIES,399.0,199.5,33.05,550.78,37
CPT,95907,NVR CNDJ TST 1-2 STUDIES,569.0,284.5,33.05,550.78,37
CPT,95908,NERVE CONDUCTION; 3-4 STUDIES,754.5,377.25,39.84,550.78,170
CPT,95908,NRV CNDJ TST 3-4 STUDIES,857.0,428.5,39.84,550.78,111
CPT,95909,NERVE CONDUCTION; 5-6 STUDIES,1083.0,541.5,48.05,550.78,146
CPT,95909,NRV CNDJ TST 5-6 STUDIES,1110.0,555.0,48.05,550.78,111
CPT,95910,NERVE CONDUCTION; 7-8 STUDIES,1596.0,798.0,61.94,951.83,218
CPT,95910,NRV CNDJ TEST 7-8 STUDIES,1479.0,739.5,61.94,951.83,111
CPT,95911,NERVE CONDUCTION; 9-10 STUDIES,1995.5,997.75,71.97,951.83,242
CPT,95911,NRV CNDJ TEST 9-10 STUDIES,1851.0,925.5,71.97,951.83,111
CPT,95912,NERVE CONDUCTION; 11-12 STUDIES,2194.0,1097.0,81.43,951.83,146
CPT,95912,NRV CNDJ TEST 11-12 STUDIES,2219.0,1109.5,81.43,951.83,111
CPT,95913,NERVE CONDUCTION; 13 OR MORE STUDIES,2791.0,1395.5,91.2,951.83,109
CPT,95913,NRV CNDJ TEST 13/> STUDIES,2591.0,1295.5,91.2,951.83,111
CPT,95921,AUTONOMIC NRV PARASYM INERVJ,882.0,441.0,32.42,328.2,31
CPT,95923,AUTONOMIC NRV SYST FUNJ TEST,809.0,404.5,32.69,339.39,31
CPT,95924,ANS PARASYMP & SYMP W/TILT,553.0,276.5,46.77,550.78,37
CPT,95925,PLACEMENT OF SKIN ELECTRODES AND MEASUREMENT OF STIMULATED SITES IN ARMS,1213.5,606.75,17.33,550.78,133
CPT,95925,SOMATOSENSORY TESTING,969.5,484.75,17.33,550.78,74
CPT,95926,PLACEMENT OF SKIN ELECTRODES AND MEASUREMENT OF STIMULATED SITES IN LEGS,1179.0,589.5,19.56,550.78,85
CPT,95926,SOMATOSENSORY TESTING,969.5,484.75,19.56,550.78,74
CPT,95928,C MOTOR EVOKED UPPR LIMBS,2548.0,1274.0,57.39,2190.44,37
CPT,95929,C MOTOR EVOKED LWR LIMBS,2405.0,1202.5,56.88,951.83,37
CPT,95929,PLACEMENT OF SKIN ELECTRODES AND MEASUREMENT OF CENTRAL MOTOR STIMULATION IN LEGS,2405.0,1202.5,233.47,951.83,48
CPT,95930,MEASUREMENT OF NERVE CONDUCTION USING VISUAL STIMULATION TESTING WITH REPORT,1305.5,652.75,13.39,550.78,61
CPT,95933,BLINK REFLEX TEST,374.0,187.0,13.13,150.47,37
CPT,95937,NEUROMUSCULAR JUNCTION TEST,467.0,233.5,12.84,328.2,74
CPT,95937,TESTING OF NERVE-MUSCLE JUNCTION,572.0,286.0,12.84,328.2,61
CPT,95938,PLACEMENT OF SKIN ELECTRODES AND MEASUREMENT OF STIMULATED SITES ON ARMS AND LEGS,2201.0,1100.5,32.94,2190.44,205
CPT,95938,SOMATOSENSORY TESTING,1904.0,952.0,32.94,2190.44,74
CPT,95939,C MOTOR EVOKED UPR&LWR LIMBS,5001.0,2500.5,86.22,2190.44,37
CPT,95939,PLACEMENT OF SKIN ELECTRODES AND MEASUREMENT OF CENTRAL MOTOR STIMULATION IN ARMS AND LEGS,4652.0,2326.0,86.22,2190.44,205
CPT,95940,CONTINUOUS MONITORING OF NERVOUS SYSTEM DURING OPERATION; EACH 15 MINUTES,885.5,442.75,17.17,69.99,223
CPT,95940,IONM IN OPERATNG ROOM 15 MIN,236.0,118.0,17.17,69.99,31
CPT,95941,IONM REMOTE/>1 PT OR PER HR,236.0,118.0,,,0
CPT,95955,EEG DURING SURGERY,1718.0,859.0,33.27,135.65,37
CPT,95958,EEG MONITORING/FUNCTION TEST,2199.0,1099.5,66.98,2190.44,37
CPT,95961,ELECTRODE STIMULATION BRAIN,632.0,316.0,41.36,2190.44,37
CPT,95962,ELECTRODE STIM BRAIN ADD-ON,632.0,316.0,41.36,472.55,37
CPT,95970,ALYS NPGT W/O PRGRMG,529.0,264.5,13.9,339.39,37
CPT,95970,ELECTRONIC ANALYSIS OF IMPLANTED BRAIN; SPINAL CORD; OR PERIPHERAL NEUROSTIMULATOR GENERATOR,510.5,255.25,13.9,339.39,133
CPT,95971,ALYS SMPL SP/PN NPGT W/PRGRM,768.0,384.0,29.09,242.5,37
CPT,95971,ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR GENERATOR WITH SIMPLE SPINAL CORD OR PERIPHERAL NERVE STIMULATOR PROGRAMMING,768.0,384.0,29.09,242.5,170
CPT,95972,ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR GENERATOR WITH COMPLEX SPINAL CORD OR PERIPHERAL NERVE STIMULATOR PROGRAMMING,729.0,364.5,29.85,242.5,194
CPT,95976,ALYS SMPL CN NPGT PRGRMG,431.0,215.5,23.35,95.19,74
CPT,95976,ELECTRONIC ANALYSIS OF NEUROSTIMULATOR GENERATOR WITH SIMPLE CRANIAL NERVE STIMULATOR PROGRAMMING,677.0,338.5,23.35,95.19,85
CPT,95977,ALYS CPLX CN NPGT PRGRMG,462.0,231.0,37.57,242.5,37
CPT,95977,ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR GENERATOR WITH COMPLEX CRANIAL NERVE STIMULATOR PROGRAMMING,677.0,338.5,37.57,242.5,61
CPT,95981,IO ANAL GAST N-STIM SUBSQ,691.0,345.5,13.64,150.47,31
CPT,95982,IO GA N-STIM SUBSQ W/REPROG,691.0,345.5,23.35,95.19,31
CPT,95983,ALYS BRN NPGT PRGRMG 15 MIN,664.0,332.0,36.54,242.5,37
CPT,95983,ELECTRONIC ANALYSIS OF IMPLANTED BRAIN; SPINAL CORD; OR PERIPHERAL NEUROSTIMULATOR GENERATOR WITH BRAIN STIMULATOR PROGRAMMING; FIRST 15 MINUTES WITH QUALIFIED HEALTH PROFESSIONAL,642.0,321.0,36.54,242.5,61
CPT,95984,ALYS BRN NPGT PRGRMG ADDL 15,691.0,345.5,24.07,98.13,37
CPT,95984,ELECTRONIC ANALYSIS OF IMPLANTED BRAIN; SPINAL CORD; OR PERIPHERAL NEUROSTIMULATOR GENERATOR WITH BRAIN STIMULATOR PROGRAMMING; EACH ADDITIONAL 15 MINUTES WITH QUALIFIED HEALTH PROFESSIONAL,642.0,321.0,24.07,98.13,61
CPT,95990,MAINTENANCE OF SPINAL CANAL OR BRAIN DRUG INFUSION PUMP,854.0,427.0,49.83,842.51,37
CPT,95990,SPIN/BRAIN PUMP REFIL & MAIN,856.0,428.0,49.83,842.51,74
CPT,95991,MAINTENANCE OF SPINAL CANAL OR BRAIN DRUG INFUSION PUMP BY HEALTH CARE PROFESSIONAL,718.0,359.0,29.85,782.97,55
CPT,95991,SPIN/BRAIN PUMP REFIL & MAIN,783.0,391.5,25.0,782.97,62
CPT,95992,CANALITH REPOSITIONING PROC,233.0,116.5,25.34,103.3,62
CPT,95992,REPOSITIONING EXERCISES OF HEAD FOR TREATMENT OF DIZZINESS; EACH DAY,235.0,117.5,25.34,103.3,79
CPT,95999,UNLISTED NEUROLOGICAL DX PX,569.0,284.5,80.5,328.2,24
CPT,96001,MOTION TEST W/FT PRESS MEAS,2734.0,1367.0,79.78,2190.44,31
CPT,96041,GENETIC COUNSELING SVC EA 30,156.0,78.0,34.74,44.6,13
CPT,96105,ASSESSMENT OF APHASIA,305.5,152.75,52.5,246.61,74
CPT,96110,DEVELOPMENTAL SCREEN W/SCORE,32.0,16.0,7.34,8.39,39
CPT,96110,DEVELOPMENTAL SCREENING,32.0,16.0,7.34,8.39,13
CPT,96112,ADMINISTRATION OF DEVELOPMENTAL TEST; FIRST HOUR,1103.0,551.5,80.5,328.2,85
CPT,96112,DEVEL TST PHYS/QHP 1ST HR,1186.0,593.0,80.5,328.2,37
CPT,96113,ADMINISTRATION OF DEVELOPMENTAL TEST; EACH ADDITIONAL 30 MINUTES,288.0,144.0,29.13,118.77,37
CPT,96113,DEVEL TST PHYS/QHP EA ADDL,310.0,155.0,29.13,118.77,37
CPT,96116,EXAM OF NEUROBEHAVIORAL STATUS; FIRST HOUR,418.0,209.0,59.7,550.78,302
CPT,96116,NUBHVL XM PHYS/QHP 1ST HR,467.0,233.5,59.7,550.78,93
CPT,96121,EXAM OF NEUROBEHAVIORAL STATUS; EACH ADDITIONAL HOUR,551.0,275.5,39.7,161.86,55
CPT,96121,NUBHVL XM PHY/QHP EA ADDL HR,259.0,129.5,39.7,161.86,28
CPT,96125,COGNITIVE TEST BY HC PRO,590.0,295.0,63.43,258.61,93
CPT,96127,ASSESSMENT OF EMOTIONAL OR BEHAVIORAL PROBLEMS,60.0,30.0,3.09,95.27,519
CPT,96127,BRIEF EMOTIONAL/BEHAV ASSMT,64.0,32.0,3.09,95.27,74
CPT,96130,EVALUATION OF PSYCHOLOGICAL TEST; FIRST HOUR,1103.0,551.5,83.38,550.78,85
CPT,96130,PSYCL TST EVAL PHYS/QHP 1ST,1186.0,593.0,83.38,550.78,37
CPT,96131,EVALUATION OF PSYCHOLOGICAL TEST; EACH ADDITIONAL HOUR,698.0,349.0,45.32,184.76,61
CPT,96131,PSYCL TST EVAL PHYS/QHP EA,376.0,188.0,45.32,184.76,37
CPT,96132,EVALUATION OF NEUROPSYCHOLOGICAL TEST; FIRST HOUR,712.0,356.0,80.81,951.83,410
CPT,96132,NRPSYC TST EVAL PHYS/QHP 1ST,712.0,356.0,80.81,951.83,37
CPT,96133,EVALUATION OF NEUROPSYCHOLOGICAL TEST; EACH ADDITIONAL HOUR,1074.0,537.0,45.63,186.03,181
CPT,96133,NRPSYC TST EVAL PHYS/QHP EA,537.0,268.5,45.63,186.03,37
CPT,96136,ADMINISTRATION OF PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST; FIRST 30 MINUTES,462.5,231.25,17.76,339.39,170
CPT,96136,PSYCL/NRPSYC TST PHY/QHP 1ST,439.0,219.5,17.76,339.39,74
CPT,96137,ADMINISTRATION OF PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST; EACH ADDITIONAL 30 MINUTES,121.5,60.75,10.56,43.04,85
CPT,96137,PSYCL/NRPSYC TST PHY/QHP EA,88.0,44.0,10.56,43.04,37
CPT,96138,ADMINISTRATION OF PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST BY TECHNICIAN; FIRST 30 MINUTES,1171.5,585.75,23.16,1044.74,223
CPT,96138,PSYCL/NRPSYC TECH 1ST,1214.0,607.0,23.16,1044.74,31
CPT,96139,ADMINISTRATION OF PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST BY TECHNICIAN; EACH ADDITIONAL 30 MINUTES,1130.0,565.0,20.0,81.54,127
CPT,96139,PSYCL/NRPSYC TST TECH EA,608.0,304.0,20.0,81.54,31
CPT,96146,PSYCL/NRPSYC TST AUTO RESULT,94.0,47.0,1.54,73.78,31
CPT,96156,ASSESSMENT OF HEALTH BEHAVIOR,379.0,189.5,63.56,259.14,157
CPT,96156,HLTH BHV ASSMT/REASSESSMENT,394.0,197.0,63.56,259.14,37
CPT,96158,HLTH BHV IVNTJ INDIV 1ST 30,423.0,211.5,46.84,452.75,73
CPT,96158,TREATMENT OF BEHAVIOR IMPACTING HEALTH; INITIAL 30 MINUTES,378.0,189.0,46.84,452.75,307
CPT,96159,HLTH BHV IVNTJ INDIV EA ADDL,133.0,66.5,13.13,53.53,73
CPT,96159,TREATMENT OF BEHAVIOR IMPACTING HEALTH; EACH ADDITIONAL 15 MINUTES,239.5,119.75,13.13,53.53,165
CPT,96160,PT-FOCUSED HLTH RISK ASSMT,68.0,34.0,2.06,95.56,37
CPT,96161,ADMINISTRATION AND INTERPRETATION OF CAREGIVER-FOCUSED HEALTH RISK ASSESSMENT,68.0,34.0,2.06,95.56,157
CPT,96161,CAREGIVER HEALTH RISK ASSMT,85.0,42.5,2.06,95.56,74
CPT,96164,HLTH BHV IVNTJ GRP 1ST 30,127.0,63.5,7.2,95.56,36
CPT,96165,HLTH BHV IVNTJ GRP EA ADDL,64.0,32.0,2.57,10.49,36
CPT,96167,TREATMENT OF BEHAVIOR IMPACTING HEALTH WITH FAMILY AND PATIENT; INITIAL 30 MINUTES,127.0,63.5,23.44,95.56,36
CPT,96168,TREATMENT OF BEHAVIOR IMPACTING HEALTH WITH FAMILY AND PATIENT; EACH ADDITIONAL 30 MINUTES,64.0,32.0,14.74,60.1,36
CPT,96170,HLTH BHV IVNTJ FAM WO PT 1ST,156.0,78.0,54.56,55.6,7
CPT,96171,HLTH BHV IVNTJ FAM W/O PT EA,281.0,140.5,19.56,19.93,7
CPT,96360,HYDRATION IV INFUSION INIT,541.5,270.75,21.36,542.53,76
CPT,96360,INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES,397.0,198.5,21.36,542.53,220
CPT,96361,HYDRATE IV INFUSION ADD-ON,365.0,182.5,8.23,119.44,38
CPT,96361,INFUSION INTO A VEIN FOR HYDRATION; EACH ADDITIONAL HOUR,967.0,483.5,8.23,119.44,282
CPT,96365,INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS,555.5,277.75,25.0,542.53,447
CPT,96365,THER/PROPH/DIAG IV INF INIT,569.0,284.5,40.92,542.53,111
CPT,96366,INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; EACH ADDITIONAL HOUR,1600.0,800.0,11.72,119.44,255
CPT,96366,THER/PROPH/DIAG IV INF ADDON,436.0,218.0,12.9,119.44,111
CPT,96367,INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; ADDITIONAL SEQUENTIAL INFUSION; 1 HOUR OR LESS,532.0,266.0,18.01,183.67,218
CPT,96367,TX/PROPH/DG ADDL SEQ IV INF,560.0,280.0,18.78,183.67,74
CPT,96368,INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS CONCURRENT WITH ANOTHER INFUSION,532.0,266.0,12.0,25.0,30
CPT,96368,THER/DIAG CONCURRENT INF,560.0,280.0,12.0,25.0,28
CPT,96369,SC THER INFUSION UP TO 1 HR,542.0,271.0,89.53,542.53,37
CPT,96370,SC THER INFUSION ADDL HR,222.0,111.0,9.38,119.44,37
CPT,96372,INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE,240.0,120.0,10.29,183.67,674
CPT,96372,THER/PROPH/DIAG INJ SC/IM,173.5,86.75,10.29,183.67,148
CPT,96373,THER/PROPH/DIAG INJ IA,374.0,187.0,11.34,542.53,37
CPT,96374,INJECTION OF DRUG OR SUBSTANCE INTO VEIN,473.5,236.75,24.19,542.53,663
CPT,96374,THER/PROPH/DIAG INJ IV PUSH,542.0,271.0,24.19,542.53,111
CPT,96375,INJECTION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN,190.0,95.0,10.04,119.44,351
CPT,96375,TX/PRO/DX INJ NEW DRUG ADDON,111.0,55.5,10.04,119.44,74
CPT,96376,INJECTION OF ADDITIONAL DRUG OR SUBSTANCE INTO VEIN PROVIDED IN A FACILITY,190.0,95.0,25.0,25.0,6
CPT,96376,TX/PRO/DX INJ SAME DRUG ADON,102.5,51.25,25.0,25.0,2
CPT,96377,APPLICATION OF ON-BODY INJECTOR FOR UNDER SKIN INJECTION,331.0,165.5,12.61,119.44,109
CPT,96377,APPLICATON ON-BODY INJECTOR,312.0,156.0,12.61,119.44,37
CPT,96380,ADMN RSV MONOC ANTB IM CNSL,356.0,178.0,16.21,73.46,31
CPT,96380,Beyfortus PFS,331.0,165.5,16.21,73.46,93
CPT,96381,ADMN RSV MONOC ANTB IM NJX,356.0,178.0,13.64,58.62,31
CPT,96381,Beyfortus PFS,356.0,178.0,13.64,58.62,31
CPT,96401,ADMINISTRATION OF NON-HORMONAL ANTI-NEOPLASTIC CHEMOTHERAPY UNDER SKIN OR INTO MUSCLE,331.0,165.5,45.05,183.67,61
CPT,96401,CHEMO ANTI-NEOPL SQ/IM,356.0,178.0,45.05,183.67,37
CPT,96402,ADMINISTRATION OF HORMONAL ANTI-NEOPLASTIC CHEMOTHERAPY UNDER SKIN OR INTO MUSCLE,331.0,165.5,24.96,183.67,61
CPT,96402,CHEMO HORMON ANTINEOPL SQ/IM,356.0,178.0,24.96,183.67,37
CPT,96405,ADMINISTRATION OF CHEMOTHERAPY INTO GROWTH; 1-7,282.0,141.0,21.36,183.67,74
CPT,96405,CHEMO INTRALESIONAL UP TO 7,243.5,121.75,21.36,183.67,74
CPT,96406,CHEMO INTRALESIONAL OVER 7,921.0,460.5,32.42,542.53,37
CPT,96409,ADMINISTRATION OF CHEMOTHERAPY INTO VEIN USING PUSH TECHNIQUE,331.0,165.5,65.11,842.51,85
CPT,96409,CHEMO IV PUSH SNGL DRUG,356.0,178.0,65.11,842.51,37
CPT,96411,ADMINISTRATION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN USING PUSH TECHNIQUE,331.0,165.5,36.03,183.67,85
CPT,96411,CHEMO IV PUSH ADDL DRUG,356.0,178.0,36.03,183.67,37
CPT,96413,ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS,707.0,353.5,25.0,842.51,194
CPT,96415,ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; EACH ADDITIONAL HOUR,1314.0,657.0,18.27,183.67,98
CPT,96415,CHEMO IV INFUSION ADDL HR,707.0,353.5,18.27,183.67,37
CPT,96416,ADMINISTRATION OF PROLONGED CHEMOTHERAPY INTO VEIN,955.5,477.75,25.0,842.51,146
CPT,96417,ADMINISTRATION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN; 1 HOUR OR LESS,985.5,492.75,41.43,183.67,85
CPT,96417,CHEMO IV INFUS EACH ADDL SEQ,707.0,353.5,41.43,183.67,37
CPT,96420,ADMINISTRATION OF CHEMOTHERAPY INTO ARTERY USING PUSH TECHNIQUE,618.0,309.0,66.14,842.51,37
CPT,96420,CHEMO IA PUSH TECNIQUE,828.0,414.0,66.14,842.51,74
CPT,96422,CHEMO IA INFUSION UP TO 1 HR,991.0,495.5,100.62,842.51,37
CPT,96423,CHEMO IA INFUSE EACH ADDL HR,139.0,69.5,29.3,119.44,37
CPT,96440,CHMOTX ADMN PLRL CAV THRCNTS,991.0,495.5,99.08,842.51,37
CPT,96450,ADMINISTRATION OF CHEMOTHERAPY INTO FLUID-FILLED SPACE BETWEEN THE TISSUE THAT COVER THE BRAIN AND SPINAL CORD,2128.0,1064.0,58.16,842.51,194
CPT,96450,CHEMOTHERAPY INTO CNS,2025.5,1012.75,58.16,842.51,74
CPT,96521,REFILL/MAINT PORTABLE PUMP,512.0,256.0,79.78,542.53,37
CPT,96521,REFILLING AND MAINTENANCE OF PORTABLE PUMP,672.0,336.0,79.78,542.53,61
CPT,96522,REFILL/MAINT PUMP/RESVR SYST,541.5,270.75,75.66,542.53,74
CPT,96522,REFILLING AND MAINTENANCE OF IMPLANTABLE PUMP OR RESERVOIR FOR DRUG DELIVERY,437.5,218.75,53.23,542.53,109
CPT,96523,IRRIG DRUG DELIVERY DEVICE,183.0,91.5,16.21,150.47,74
CPT,96523,IRRIGATION OF IMPLANTED VENOUS ACCESS DRUG DELIVERY DEVICE,130.5,65.25,16.21,150.47,98
CPT,96542,CHEMOTHERAPY INJECTION,401.0,200.5,30.63,842.51,37
CPT,96542,INJECTION OF CHEMOTHERAPY VIA RESERVOIR UNDER SKIN,373.0,186.5,30.63,842.51,61
CPT,96549,OTHER CHEMOTHERAPY PROCEDURE,1237.0,618.5,29.3,119.44,24
CPT,96549,UNLISTED CHEMOTHERAPY PX,222.0,111.0,29.3,119.44,24
CPT,96567,APPLICATION OF LIGHT TO DESTROY PRECANCER SKIN GROWTH,683.0,341.5,87.76,511.77,103
CPT,96567,PDT DSTR PRMLG LES SKN,708.0,354.0,87.76,511.77,31
CPT,96573,APPLICATION OF LIGHT BY QUALIFIED HEALTH CARE PROFESSIONAL TO DESTROY PRECANCER SKIN GROWTH,544.0,272.0,125.53,511.77,24
CPT,96573,PDT DSTR PRMLG LES PHYS/QHP,513.0,256.5,125.53,511.77,37
CPT,96900,ACTINOTHERAPY UV LIGHT,130.0,65.0,16.73,95.27,31
CPT,96900,APPLICATION OF ULTRAVIOLET LIGHT TO SKIN,97.0,48.5,16.73,95.27,55
CPT,96904,WHOLE BODY PHOTOGRAPHY,456.0,228.0,44.27,45.11,7
CPT,96910,PHOTCHMTX TAR&UVB/PTRLTM&UVB,123.0,61.5,36.91,150.47,31
CPT,96910,THERAPY PROCEDURE USING ULTRAVIOLET RADIATION WITH TAR OR PETROLEUM JELLY APPLICATION,233.0,116.5,36.91,150.47,55
CPT,96912,PHOTOCHEMOTHERAPY PUVA,218.0,109.0,36.91,150.47,31
CPT,96920,EXCIMER LSR PSRIASIS<250SQCM,509.0,254.5,37.05,511.77,37
CPT,96999,OTHER SPECIAL SERVICE OR PROCEDURE ON SKIN,586.0,293.0,125.53,511.77,24
CPT,96999,UNLISTED SPEC DERM SVC/PX,513.0,256.5,125.53,511.77,24
CPT,97007,MCHNL SCLP COOL MEAS FITG,3626.0,1813.0,1373.3,3639.25,24
CPT,97008,MCHNL SCLP COOL PREP PLMT,50.0,25.0,8.89,1500.0,24
CPT,97009,MCHNL SCLP COOL AFTER CHEMO,25.0,12.5,5.51,1500.0,24
CPT,97010,APPLICATION OF HOT OR COLD PACKS,34.0,17.0,,,0
CPT,97010,HOT OR COLD PACKS THERAPY,37.0,18.5,4.63,4.72,7
CPT,97012,APPLICATION OF MECHANICAL TRACTION,165.0,82.5,8.92,21.68,120
CPT,97012,MECHANICAL TRACTION THERAPY,115.0,57.5,8.92,21.68,62
CPT,97014,APPLICATION OF ELECTRICAL STIMULATION,107.5,53.75,,,0
CPT,97014,ELECTRIC STIMULATION THERAPY,101.0,50.5,9.01,9.18,7
CPT,97016,APPLICATION OF BLOOD VESSEL COMPRESSION DEVICE,71.0,35.5,7.42,18.04,168
CPT,97016,VASOPNEUMATIC DEVICE THERAPY,73.5,36.75,7.42,18.04,62
CPT,97018,APPLICATION OF HOT WAX BATH,151.0,75.5,3.69,8.96,24
CPT,97018,PARAFFIN BATH THERAPY,151.0,75.5,3.69,8.96,31
CPT,97022,WHIRLPOOL THERAPY,175.0,87.5,9.47,23.02,31
CPT,97032,APPL MODALITY 1+ESTIM EA 15,165.0,82.5,9.13,22.2,93
CPT,97032,APPLICATION OF ELECTRICAL STIMULATION WITH THERAPIST PRESENT; EACH 15 MINUTES,165.0,82.5,9.13,22.2,223
CPT,97033,APP MDLTY 1+IONTPHRSIS EA 15,122.5,61.25,11.62,28.23,62
CPT,97033,APPLICATION OF MEDICATION USING ELECTRICAL CURRENT; EACH 15 MINUTES,118.0,59.0,11.62,28.23,96
CPT,97035,APP MDLTY 1+ULTRASOUND EA 15,154.0,77.0,8.83,21.47,93
CPT,97035,APPLICATION OF ULTRASOUND; EACH 15 MINUTES,154.0,77.0,8.83,21.47,288
CPT,97039,OTHER PHYSICAL MEDICINE SERVICE OR PROCEDURE,189.0,94.5,,,0
CPT,97039,UNLISTED MODALITY,189.0,94.5,,,0
CPT,97110,THERAPEUTIC EXERCISES,164.0,82.0,17.82,43.31,93
CPT,97110,THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES,279.0,139.5,17.82,43.31,912
CPT,97112,NEUROMUSCULAR REEDUCATION,148.0,74.0,20.03,48.7,62
CPT,97112,THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION; EACH 15 MINUTES,361.5,180.75,20.03,48.7,696
CPT,97113,AQUATIC THERAPY/EXERCISES,102.0,51.0,22.43,54.53,31
CPT,97113,THERAPY PROCEDURE USING WATER POOL TO EXERCISES; EACH 15 MINUTES,459.0,229.5,22.43,54.53,216
CPT,97116,GAIT TRAINING THERAPY,147.5,73.75,17.82,43.31,62
CPT,97116,THERAPY PROCEDURE FOR WALKING TRAINING; EACH 15 MINUTES,224.0,112.0,17.82,43.31,168
CPT,97124,MASSAGE THERAPY,77.5,38.75,17.91,43.53,124
CPT,97124,THERAPY PROCEDURE USING MASSAGE; EACH 15 MINUTES,208.0,104.0,17.91,43.53,24
CPT,97129,THER IVNTJ 1ST 15 MIN,34.0,17.0,16.47,34.48,23
CPT,97130,THER IVNTJ EA ADDL 15 MIN,34.0,17.0,13.25,32.22,31
CPT,97139,UNLISTED THERAPEUTIC PX,43.0,21.5,,,0
CPT,97140,MANUAL THERAPY 1/> REGIONS,183.0,91.5,17.0,41.33,93
CPT,97140,THERAPY PROCEDURE USING MANUAL TECHNIQUE; EACH 15 MINUTES,210.0,105.0,17.0,41.33,552
CPT,97150,GROUP THERAPEUTIC PROCEDURES,370.0,185.0,11.13,27.07,62
CPT,97150,THERAPY PROCEDURE IN A GROUP SETTING,440.0,220.0,11.13,27.07,48
CPT,97151,BEHAVIOR IDENTIFICATION ASSESSMENT BY PROFESSIONAL; EACH 15 MINUTES,1552.0,776.0,63.56,259.14,24
CPT,97151,BHV ID ASSMT BY PHYS/QHP,209.0,104.5,63.56,259.14,24
CPT,97152,BEHAVIOR IDENTIFICATION ASSESSMENT BY TECHNICIAN; EACH 15 MINUTES,1164.0,582.0,63.56,259.14,24
CPT,97152,BHV ID SUPRT ASSMT BY 1 TECH,209.0,104.5,63.56,259.14,24
CPT,97153,ADAPTIVE BEHAVIOR TREATMENT BY TECHNICIAN USING AN ESTABLISHED PLAN; EACH 15 MINUTES,3006.0,1503.0,63.56,259.14,23
CPT,97153,ADAPTIVE BEHAVIOR TX BY TECH,360.0,180.0,63.56,259.14,23
CPT,97154,GRP ADAPT BHV TX BY TECH,334.0,167.0,23.44,95.56,23
CPT,97155,ADAPT BEHAVIOR TX PHYS/QHP,439.0,219.5,111.05,452.75,23
CPT,97155,ADAPTIVE BEHAVIOR TREATMENT BY PROFESSIONAL USING AN ESTABLISHED PLAN; EACH 15 MINUTES,668.0,334.0,111.05,452.75,23
CPT,97156,ADAPTIVE BEHAVIOR TREATMENT BY PROFESSIONAL WITH FAMILY USING AN ESTABLISHED PLAN; EACH 15 MINUTES,668.0,334.0,23.44,95.56,23
CPT,97156,FAM ADAPT BHV TX GDN PHY/QHP,360.0,180.0,23.44,95.56,23
CPT,97157,MULT FAM ADAPT BHV TX GDN,334.0,167.0,23.44,95.56,23
CPT,97158,GRP ADAPT BHV TX BY PHY/QHP,334.0,167.0,23.44,95.56,23
CPT,97161,EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES,159.5,79.75,59.78,145.31,384
CPT,97161,PT EVAL LOW COMPLEX 20 MIN,159.5,79.75,59.78,145.31,74
CPT,97162,EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES,443.0,221.5,59.78,145.31,253
CPT,97162,PT EVAL MOD COMPLEX 30 MIN,443.0,221.5,59.78,145.31,74
CPT,97163,EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES,900.0,450.0,59.78,145.31,96
CPT,97163,PT EVAL HIGH COMPLEX 45 MIN,817.5,408.75,59.78,145.31,74
CPT,97164,PT RE-EVAL EST PLAN CARE,481.0,240.5,40.96,99.57,74
CPT,97164,RE-EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES,530.0,265.0,40.96,99.57,144
CPT,97165,EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES,190.5,95.25,61.29,148.98,168
CPT,97165,OT EVAL LOW COMPLEX 30 MIN,190.5,95.25,61.29,148.98,74
CPT,97166,EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 45 MINUTES,604.0,302.0,61.29,148.98,120
CPT,97166,OT EVAL MOD COMPLEX 45 MIN,547.5,273.75,61.29,148.98,74
CPT,97167,EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 1 HOUR,1089.0,544.5,61.29,148.98,120
CPT,97167,OT EVAL HIGH COMPLEX 60 MIN,989.0,494.5,61.29,148.98,74
CPT,97168,OT RE-EVAL EST PLAN CARE,509.0,254.5,41.53,100.95,74
CPT,97168,RE-EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES,560.0,280.0,41.53,100.95,48
CPT,97530,THERAPEUTIC ACTIVITIES,145.0,72.5,21.18,51.49,62
CPT,97530,THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES,276.0,138.0,21.18,51.49,720
CPT,97533,SENSORY INTEGRATION,117.0,58.5,35.82,87.07,31
CPT,97533,THERAPY PROCEDURE USING SENSORY EXPERIENCES,117.0,58.5,35.82,87.07,72
CPT,97535,SELF CARE MNGMENT TRAINING,167.0,83.5,19.7,47.89,124
CPT,97535,TRAINING FOR SELF-CARE OR HOME MANAGEMENT; EACH 15 MINUTES,210.0,105.0,19.7,47.89,312
CPT,97537,COMMUNITY/WORK REINTEGRATION,154.0,77.0,19.6,47.64,31
CPT,97537,TRAINING FOR COMMUNITY OR WORK REINTEGRATION; EACH 15 MINUTES,154.0,77.0,19.6,47.64,24
CPT,97542,WHEELCHAIR MNGMENT TRAINING,205.5,102.75,19.03,46.26,62
CPT,97550,CAREGIVER TRAING 1ST 30 MIN,110.0,55.0,32.77,79.66,31
CPT,97551,CAREGIVER TRAING EA ADDL 15,55.0,27.5,16.25,39.5,31
CPT,97552,GROUP CAREGIVER TRAINING,55.0,27.5,7.98,32.15,29
CPT,97597,DBRDMT OPN WND 1ST 20 CM/<,512.5,256.25,26.76,511.77,74
CPT,97597,REMOVAL OF TISSUE FROM WOUND; 20.0 SQ CM OR LESS,3539.83,1769.92,25.0,511.77,183
CPT,97598,DBRDMT OPN WND ADDL 20CM/<,602.0,301.0,12.14,18.89,13
CPT,97598,REMOVAL OF TISSUE FROM WOUND; EACH ADDITIONAL 20.0 SQ CM,3614.5,1807.25,12.14,18.89,26
CPT,97602,REMOVAL OF TISSUE FROM WOUND GRADUALLY,612.0,306.0,25.0,511.77,30
CPT,97602,WOUND(S) CARE NON-SELECTIVE,510.0,255.0,25.0,511.77,90
CPT,97605,NEG PRS WND THER DME<=50SQCM,510.0,255.0,18.27,511.77,31
CPT,97605,THERAPY PROCEDURE USING A SPECIAL BANDAGE AND VACUUM PUMP; SURFACE AREA 50.0 SQ CM OR LESS,5403.75,2701.875,18.27,511.77,134
CPT,97606,NEG PRS WND THER DME>50 SQCM,1076.0,538.0,19.81,1036.92,31
CPT,97606,THERAPY PROCEDURE USING A SPECIAL BANDAGE AND VACUUM PUMP; SURFACE AREA MORE THAN 50.0 SQ CM,7051.0,3525.5,19.81,1036.92,31
CPT,97607,NEG PRS WND THR NDME<=50SQCM,1524.0,762.0,16.21,1036.92,31
CPT,97607,THERAPY PROCEDURE USING A SPECIAL BANDAGE; VACUUM PUMP AND DISPOSABLE MEDICAL EQUIPMENT; SURFACE AREA 50.0 SQ CM OR LESS,2054.5,1027.25,16.21,1036.92,62
CPT,97608,NEG PRS WND THER NDME>50SQCM,1470.5,735.25,18.78,1500.0,62
CPT,97750,PHYSICAL PERFORMANCE TEST,128.5,64.25,20.46,49.72,62
CPT,97750,TEST OR MEASUREMENT FOR FUNCTIONAL CAPACITY; EACH 15 MINUTES,128.5,64.25,20.46,49.72,72
CPT,97760,ORTHOTIC MGMT&TRAING 1ST ENC,147.0,73.5,27.58,67.04,62
CPT,97760,TRAINING IN THE USE OF ORTHOPEDIC DEVICE FOR ARM; LEG AND/OR TRUNK; EACH 15 MINUTES,426.0,213.0,27.58,67.04,24
CPT,97761,PROSTHETIC TRAING 1ST ENC,131.0,65.5,24.38,59.25,31
CPT,97763,ORTHC/PROSTC MGMT SBSQ ENC,104.0,52.0,29.79,72.41,31
CPT,97802,MEDICAL NUTRITION INDIV IN,84.5,42.25,16.53,67.39,62
CPT,97802,THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES,170.0,85.0,16.53,67.39,223
CPT,97803,MED NUTRITION INDIV SUBSEQ,70.5,35.25,13.85,56.47,124
CPT,97803,THERAPY PROCEDURE REASSESSMENT FOR NUTRITION MANAGEMENT; EACH 15 MINUTES,123.5,61.75,13.85,56.47,151
CPT,97804,MEDICAL NUTRITION GROUP,49.0,24.5,7.81,31.85,31
CPT,97804,THERAPY PROCEDURE FOR NUTRITION MANAGEMENT WITH GROUP; EACH 30 MINUTES,49.0,24.5,7.81,31.85,24
CPT,97810,ACUP 1/> WO ESTIM 1ST 15 MIN,88.0,44.0,18.1,73.78,31
CPT,97810,ACUPUNCTURE; INITIAL 15 MINUTES,81.0,40.5,18.1,73.78,79
CPT,97811,ACUP 1/> W/O ESTIM EA ADD 15,60.0,30.0,13.37,54.51,31
CPT,97811,ACUPUNCTURE; EACH ADDITIONAL 15 MINUTES,93.0,46.5,13.37,54.51,55
CPT,97813,ACUP 1/> W/ESTIM 1ST 15 MIN,88.0,44.0,18.1,73.78,31
CPT,97813,ACUPUNCTURE WITH ELECTRICAL STIMULATION; INITIAL 15 MINUTES,81.0,40.5,18.1,73.78,103
CPT,97814,ACUP 1/> W/ESTIM EA ADDL 15,60.0,30.0,13.59,55.41,31
CPT,97814,ACUPUNCTURE WITH ELECTRICAL STIMULATION; EACH ADDITIONAL 15 MINUTES,60.0,30.0,13.59,55.41,24
CPT,98925,OSTEOPATH MANJ 1-2 REGIONS,45.0,22.5,13.51,55.09,62
CPT,98925,OSTEOPATHIC MANIPULATIVE TREATMENT; 1-2 BODY REGIONS,47.5,23.75,13.51,55.09,79
CPT,98926,OSTEOPATH MANJ 3-4 REGIONS,59.5,29.75,13.51,55.09,62
CPT,98926,OSTEOPATHIC MANIPULATIVE TREATMENT; 3-4 BODY REGIONS,59.0,29.5,13.51,55.09,55
CPT,98927,OSTEOPATH MANJ 5-6 REGIONS,68.0,34.0,13.51,55.09,31
CPT,98960,EDU&TRN PT SELF-MGMT NQHP 1,300.0,150.0,21.11,21.51,7
CPT,98960,EDUCATION AND TRAINING FOR PATIENT SELF-MANAGEMENT; EACH 30 MINUTES,796.0,398.0,21.11,21.51,7
CPT,99000,HANDLING AND/OR CONVEYANCE OF SPECIMEN FOR TRANSFER FROM PHYSICIAN OFFICE TO LABORATORY,37.5,18.75,,,0
CPT,99001,HANDLING AND/OR CONVEYANCE OF SPECIMEN FOR TRANSFER TO A LABORATORY,24.0,12.0,,,0
CPT,99001,SPECIMEN HANDLING PT-LAB,62.0,31.0,,,0
CPT,99051,MED SERV EVE/WKEND/HOLIDAY,14.0,7.0,,,0
CPT,99091,COLLJ & INTERPJ DATA EA 30 D,70.0,35.0,30.77,125.45,31
CPT,99151,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN PERFORMING A PROCEDURE (YOUNGER THAN 5 YEARS); INITIAL 15 MINUTES,258.0,129.0,18.02,25.0,15
CPT,99152,MOD SED SAME PHYS/QHP 5/>YRS,247.5,123.75,9.26,25.0,28
CPT,99152,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN PERFORMING A PROCEDURE (5 YEARS OR OLDER); INITIAL 15 MINUTES,234.0,117.0,9.26,25.0,41
CPT,99153,MOD SED SAME PHYS/QHP EA,161.0,80.5,8.23,10.0,13
CPT,99153,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN PERFORMING A PROCEDURE; EACH ADDITIONAL 15 MINUTES,504.5,252.25,8.23,25.0,41
CPT,99155,MOD SED OTH PHYS/QHP <5 YRS,472.5,236.25,25.0,89.38,28
CPT,99155,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN NOT PERFORMING A PROCEDURE (YOUNGER THAN 5 YEARS); INITIAL 15 MINUTES,440.0,220.0,25.0,89.38,17
CPT,99156,MOD SED OTH PHYS/QHP 5/>YRS,507.0,253.5,56.62,73.32,13
CPT,99156,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN NOT PERFORMING A PROCEDURE (5 YEARS OR OLDER); INITIAL 15 MINUTES,363.0,181.5,25.0,73.32,15
CPT,99157,MOD SED OTHER PHYS/QHP EA,240.0,120.0,25.0,55.57,15
CPT,99157,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN NOT PERFORMING A PROCEDURE; EACH ADDITIONAL 15 MINUTES,480.0,240.0,25.0,25.0,2
CPT,99170,ANOGENITAL EXAM CHILD W IMAG,517.0,258.5,63.3,515.69,31
CPT,99172,OCULAR FUNCTION SCREEN,161.0,80.5,,,0
CPT,99173,SCREENING FOR VISUAL SHARPNESS,75.0,37.5,2.32,7.2,26
CPT,99173,VISUAL ACUITY SCREEN,76.0,38.0,2.32,7.2,26
CPT,99177,OCULAR INSTRUMNT SCREEN BIL,81.0,40.5,3.35,18.0,13
CPT,99177,SCREENING OF EYE WITH SPECIAL INSTRUMENT ONSITE ANALYSIS,75.0,37.5,3.35,18.0,13
CPT,99188,APP TOPICAL FLUORIDE VARNISH,6.0,3.0,21.0,21.4,7
CPT,99188,APPLICATION OF TOPICAL FLUORIDE,5.0,2.5,21.0,21.4,7
CPT,99195,DRAWING OF BLOOD FOR A MEDICAL PROBLEM,286.0,143.0,10.5,339.39,74
CPT,99195,PHLEBOTOMY,483.0,241.5,10.5,339.39,37
CPT,99199,UNLISTED SPECIAL SVC PX/RPRT,15.0,7.5,,,0
CPT,99202,NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES,129.5,64.75,26.71,64.92,358
CPT,99202,OFFICE O/P NEW SF 15 MIN,135.0,67.5,26.71,64.92,36
CPT,99203,NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES,132.0,66.0,46.88,113.95,151
CPT,99204,NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES,134.5,67.25,76.36,185.6,82
CPT,99211,OFF/OP EST MAY X REQ PHY/QHP,135.0,67.5,6.44,48.0,36
CPT,99211,OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF ESTABLISHED PATIENT THAT MAY NOT REQUIRE PRESENCE OF HEALTHCARE PROFESSIONAL,129.0,64.5,4.97,48.0,670
CPT,99212,ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES,130.0,65.0,20.27,49.26,657
CPT,99212,OFFICE O/P EST SF 10 MIN,135.0,67.5,25.0,49.26,36
CPT,99213,ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES,132.0,66.0,37.24,90.53,427
CPT,99214,ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES,135.0,67.5,54.9,133.45,289
CPT,99215,ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES,129.0,64.5,81.46,198.02,105
CPT,99242,OFF/OP CONSLTJ NEW/EST SF 20,85.0,42.5,41.18,52.68,39
CPT,99243,OFF/OP CNSLTJ NEW/EST LOW 30,176.5,88.25,66.14,67.4,14
CPT,99244,OFF/OP CNSLTJ NEW/EST MOD 40,341.5,170.75,99.86,101.76,14
CPT,99245,OFF/OP CONSLTJ NEW/EST HI 55,374.0,187.0,134.6,137.16,14
CPT,99281,EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY,385.0,192.5,21.0,1200.0,132
CPT,99281,EMR DPT VST MAYX REQ PHY/QHP,399.0,199.5,21.0,1200.0,32
CPT,99282,EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY,637.5,318.75,25.0,1200.0,162
CPT,99282,EMERGENCY DEPT VISIT SF MDM,661.0,330.5,25.0,1200.0,37
CPT,99283,EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY,1009.0,504.5,25.0,1200.0,162
CPT,99283,EMERGENCY DEPT VISIT LOW MDM,1085.0,542.5,25.0,1200.0,37
CPT,99284,EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY,1970.0,985.0,25.0,1200.0,187
CPT,99284,EMERGENCY DEPT VISIT MOD MDM,2118.0,1059.0,25.0,1200.0,37
CPT,99285,EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY,5802.0,2901.0,25.0,1519.06,212
CPT,99285,EMERGENCY DEPT VISIT HI MDM,3536.0,1768.0,25.0,1519.06,37
CPT,99291,CRITICAL CARE FIRST HOUR,5094.5,2547.25,25.0,2106.99,72
CPT,99291,CRITICAL CARE; FIRST 30-74 MINUTES,5802.0,2901.0,25.0,2106.99,84
CPT,99292,CRITICAL CARE ADDL 30 MIN,1112.0,556.0,25.0,268.29,36
CPT,99292,CRITICAL CARE; EACH ADDITIONAL 30 MINUTES,888.0,444.0,25.0,268.29,24
CPT,99358,EXTENDED PATIENT SERVICE WITHOUT DIRECT PATIENT CONTACT; FIRST HOUR,0.01,0.01,66.14,67.4,7
CPT,99381,INIT PM E/M NEW PAT INFANT,166.0,83.0,54.56,55.6,7
CPT,99381,INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (YOUNGER THAN 1 YEAR),154.0,77.0,54.56,55.6,7
CPT,99382,INIT PM E/M NEW PAT 1-4 YRS,178.0,89.0,58.42,59.53,7
CPT,99382,INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (1-4 YEARS),165.0,82.5,58.42,59.53,7
CPT,99383,INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (5-11 YEARS),158.0,79.0,62.02,63.2,7
CPT,99383,PREV VISIT NEW AGE 5-11,170.0,85.0,62.02,63.2,7
CPT,99384,INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (12-17 YEARS),175.0,87.5,73.34,316.96,13
CPT,99384,PREV VISIT NEW AGE 12-17,189.0,94.5,73.34,316.96,13
CPT,99385,INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS),175.0,87.5,70.52,316.96,13
CPT,99385,PREV VISIT NEW AGE 18-39,165.0,82.5,70.52,316.96,13
CPT,99386,INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS),204.0,102.0,85.19,316.96,13
CPT,99386,PREV VISIT NEW AGE 40-64,218.5,109.25,85.19,316.96,26
CPT,99387,INIT PM E/M NEW PAT 65+ YRS,241.0,120.5,91.36,93.1,7
CPT,99387,INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (65 YEARS OR OLDER),224.0,112.0,91.36,93.1,7
CPT,99391,ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (YOUNGER THAN 1 YEAR),119.0,59.5,49.67,50.61,7
CPT,99391,PER PM REEVAL EST PAT INFANT,128.0,64.0,49.67,50.61,7
CPT,99392,ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (1-4 YEARS),131.0,65.5,54.56,55.6,7
CPT,99392,PREV VISIT EST AGE 1-4,141.0,70.5,54.56,55.6,7
CPT,99393,ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (5-11 YEARS),130.0,65.0,54.56,55.6,7
CPT,99393,PREV VISIT EST AGE 5-11,140.0,70.0,54.56,55.6,7
CPT,99394,ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (12-17 YEARS),141.0,70.5,62.02,316.96,13
CPT,99394,PREV VISIT EST AGE 12-17,152.0,76.0,62.02,316.96,13
CPT,99395,ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (18-39 YEARS),147.5,73.75,64.34,316.96,13
CPT,99395,PREV VISIT EST AGE 18-39,153.0,76.5,64.34,316.96,13
CPT,99396,ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (40-64 YEARS),157.0,78.5,70.0,316.96,13
CPT,99396,PREV VISIT EST AGE 40-64,169.0,84.5,70.0,316.96,13
CPT,99397,ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER),175.0,87.5,73.34,74.74,7
CPT,99397,PER PM REEVAL EST PAT 65+ YR,189.0,94.5,73.34,74.74,7
CPT,99401,PREV MED CNSL INDIV APPRX 15,59.0,29.5,17.5,17.84,7
CPT,99402,PREV MED CNSL INDIV APPRX 30,111.0,55.5,35.51,36.19,7
CPT,99403,PREV MED CNSL INDIV APPRX 45,174.0,87.0,53.01,54.02,7
CPT,99406,BEHAV CHNG SMOKING 3-10 MIN,94.0,47.0,9.01,95.56,31
CPT,99406,SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES,118.5,59.25,9.01,95.56,175
CPT,99407,BEHAV CHNG SMOKING > 10 MIN,77.5,38.75,18.53,95.56,74
CPT,99407,SMOKING AND TOBACCO USE INTENSIVE COUNSELING; MORE THAN 10 MINUTES,25.0,12.5,18.53,95.56,181
CPT,99415,PROLNG CLIN STAFF SVC 1ST HR,95.0,47.5,13.9,14.17,7
CPT,99416,PROLNG CLIN STAFF SVC EA ADD,43.0,21.5,6.44,6.56,7
CPT,99417,PROLNG OP E/M EACH 15 MIN,268.0,134.0,22.39,22.81,7
CPT,99417,PROLONGED OFFICE OR OTHER OUTPATIENT SERVICE BY CLINICAL STAFF; EACH 15 MINUTES OF TOTAL TIME,249.0,124.5,22.39,22.81,7
CPT,99426,PRIN CARE MGMT STAFF 1ST 30,388.0,194.0,32.45,259.14,37
CPT,99426,PRINCIPAL CARE MANAGEMENT SERVICES FOR A SINGLE HIGH-RISK DISEASE; FIRST 30 MINUTES OF CLINICAL STAFF TIME DIRECTED BY HEALTH CARE PROFESSIONAL; PER CALENDAR MONTH,297.0,148.5,32.45,259.14,61
CPT,99427,PRIN CARE MGMT STAFF EA ADDL,161.0,80.5,20.36,83.02,31
CPT,99439,CHRNC CARE MGMT STAF EA ADDL,211.0,105.5,19.96,81.38,31
CPT,99439,CHRONIC CARE MANAGEMENT SERVICES FOR TWO OR MORE CHRONIC CONDITIONS; ADDITIONAL 20 MINUTES OF CLINICAL STAFF TIME DIRECTED BY HEALTH CARE PROFESSIONAL; PER CALENDAR MONTH,294.0,147.0,19.96,81.38,55
CPT,99453,REM MNTR PHYSIOL PARAM SETUP,341.0,170.5,13.9,339.6,31
CPT,99453,REMOTE MONITORING OF PHYSIOLOGIC PARAMETERS; INITIAL SET-UP AND PATIENT EDUCATION ON USE OF EQUIPMENT,332.5,166.25,13.9,339.6,103
CPT,99454,REMOTE MONITORING OF PHYSIOLOGIC PARAMETERS; INITIAL SUPPLY OF DEVICES WITH DAILY RECORDINGS OR PROGRAMMED ALERTS TRANSMISSION; EACH 30 DAYS,102.0,51.0,23.35,95.19,55
CPT,99459,PELVIC EXAMINATION,32.0,16.0,9.81,39.99,27
CPT,99465,NB RESUSCITATION,2004.0,1002.0,1482.0,17224.0,2
CPT,99483,ASSMT & CARE PLN PT COG IMP,394.0,197.0,63.56,259.14,31
CPT,99484,CARE MGMT SVC BHVL HLTH COND,96.0,48.0,23.44,95.56,37
CPT,99487,COMPLEX CHRONIC CARE MANAGEMENT SERVICES FOR TWO OR MORE CHRONIC CONDITIONS; FIRST 60 MINUTES OF CLINICAL STAFF TIME DIRECTED BY HEALTH CARE PROFESSIONAL; PER CALENDAR MONTH,224.0,112.0,67.68,452.75,103
CPT,99487,CPLX CHRNC CARE 1ST 60 MIN,454.0,227.0,67.68,452.75,31
CPT,99489,COMPLEX CHRONIC CARE MANAGEMENT SERVICES FOR TWO OR MORE CHRONIC CONDITIONS; EACH ADDITIONAL 60 MINUTES OF CLINICAL STAFF TIME DIRECTED BY HEALTH CARE PROFESSIONAL; PER CALENDAR MONTH,90.0,45.0,28.42,115.86,103
CPT,99489,CPLX CHRNC CARE EA ADDL 30,49.0,24.5,28.42,115.86,31
CPT,99490,CHRNC CARE MGMT STAFF 1ST 20,167.0,83.5,27.05,259.14,37
CPT,99490,CHRONIC CARE MANAGEMENT SERVICES; FIRST 20 MINUTES OF CLINICAL STAFF TIME DIRECTED BY HEALTH CARE PROFESSIONAL; PER CALENDAR MONTH,118.0,59.0,27.05,259.14,61
CPT,99491,CHRNC CARE MGMT PHYS 1ST 30,329.0,164.5,42.34,172.62,37
CPT,99492,1ST PSYC COLLAB CARE MGMT,260.0,130.0,63.56,259.14,37
CPT,99492,INITIAL PSYCHIATRIC COLLABORATIVE CARE MANAGEMENT; FIRST CALENDAR MONTH; FIRST 70 MINUTES,428.0,214.0,63.56,259.14,146
CPT,99493,FOLLOW-UP PSYCHIATRIC COLLABORATIVE CARE MANAGEMENT; SUBSEQUENT CALENDAR MONTH; FIRST 60 MINUTES,389.0,194.5,63.56,259.14,61
CPT,99493,SBSQ PSYC COLLAB CARE MGMT,419.0,209.5,63.56,259.14,37
CPT,99494,1ST/SBSQ PSYC COLLAB CARE,226.0,113.0,23.44,95.56,74
CPT,99494,PSYCHIATRIC COLLABORATIVE CARE MANAGEMENT PER CALENDAR MONTH; EACH ADDITIONAL 30 MINUTES,420.0,210.0,23.44,95.56,85
CPT,99495,TRANSITIONAL CARE MANAGEMENT SERVICES FOR PROBLEM OF MODERATE COMPLEXITY,319.5,159.75,83.3,339.6,199
CPT,99495,TRANSJ CARE MGMT MOD F2F 14D,335.0,167.5,83.3,339.6,31
CPT,99496,TRANSITIONAL CARE MANAGEMENT SERVICES FOR PROBLEM OF HIGH COMPLEXITY,304.0,152.0,33.32,339.6,223
CPT,99496,TRANSJ CARE MGMT HIGH F2F 7D,335.0,167.5,83.3,339.6,31
CPT,99497,ADVANCE CARE PLANNING; FIRST 30 MINUTES,224.0,112.0,56.1,259.14,103
CPT,99497,ADVNCD CARE PLAN 30 MIN,269.0,134.5,56.1,259.14,93
CPT,99498,ADVNCD CARE PLAN ADDL 30 MIN,138.5,69.25,40.92,166.84,62
CPT,99499,OTHER EVALUATION AND MANAGEMENT SERVICE,25.0,12.5,,,0
CPT,99499,UNLISTED E&M SERVICE,20.0,10.0,,,0
CPT,99605,MEDICATION THERAPY MANAGEMENT SERVICES PROVIDED BY A PHARMACIST; 15 MINUTES,90.0,45.0,1482.0,17224.0,4
CPT,99606,MEDICATION THERAPY MANAGEMENT SERVICES PROVIDED TO AN ESTABLISHED PATIENT BY A PHARMACIST; 15 MINUTES,83.0,41.5,1482.0,17224.0,8
CPT,99606,MTMS BY PHARM EST 15 MIN,90.0,45.0,,,0
CPT,99607,MEDICATION THERAPY MANAGEMENT SERVICES PROVIDED BY A PHARMACIST; EACH ADDITIONAL 15 MINUTES,270.0,135.0,1482.0,17224.0,6
CPT,99607,MTMS BY PHARM ADDL 15 MIN,97.0,48.5,,,0
HCPCS,0313U,ONC PNCRS DNA&MRNA SEQ 74,1500.0,750.0,2340.0,9540.0,24
HCPCS,90670,PCV13 VACCINE IM,414.0,207.0,10.5,414.0,7
HCPCS,A2001,"INNOVAMATRIX AC, PER SQ CM",1048.4,524.2,82.24,1048.4,25
HCPCS,A2002,MIRRAGEN ADV WND MAT PER SQ,318.0,159.0,82.24,335.28,24
HCPCS,A2025,MIRO3D PER CUBIC CM,318.0,159.0,82.24,335.28,24
HCPCS,A4215,NEEDLE; STERILE; ANY SIZE; EACH,2043.67,1021.84,,,0
HCPCS,A4215,STERILE NEEDLE,796.5,398.25,,,0
HCPCS,A4220,INFUSION PUMP REFILL KIT,85.0,42.5,,,0
HCPCS,A4266,DIAPHRAGM,404.0,202.0,24.0,27.43,6
HCPCS,A4290,SACRAL NERVE STIM TEST LEAD,515.0,257.5,,,0
HCPCS,A4314,INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER; FOLEY TYPE; TWO-WAY LATEX WITH COATING (TEFLON; SILICONE; SILICONE ELASTOMER OR HYDROPHILIC; ETC.),557.0,278.5,,,0
HCPCS,A4330,STOOL COLLECTION POUCH,660.0,330.0,,,0
HCPCS,A4556,ELECTRODES (E.G.; APNEA MONITOR); PER PAIR,2095.04,1047.52,9.56,38.98,24
HCPCS,A4561,PESSARY REUSABLE RUB ANYTYPE,93.0,46.5,,,0
HCPCS,A4562,PESSARY REUSABLE NONRUBBER,149.0,74.5,,,0
HCPCS,A4562,PESSARY; NON RUBBER; ANY TYPE,149.0,74.5,,,0
HCPCS,A4565,SLINGS,25.0,12.5,7.14,29.1,24
HCPCS,A4590,SPECIAL CASTING MATERIAL,169.0,84.5,,,0
HCPCS,A4590,SPECIAL CASTING MATERIAL (E.G. FIBERGLASS),164.0,82.0,,,0
HCPCS,A4615,CANNULA NASAL,21.0,10.5,0.68,2.76,24
HCPCS,A4615,CANNULA; NASAL,20.0,10.0,0.68,2.76,24
HCPCS,A4618,BREATHING CIRCUITS,500.0,250.0,7.01,28.57,24
HCPCS,A4641,RADIOPHARM DX AGENT NOC,142.0,71.0,,,0
HCPCS,A4648,IMPLANTABLE TISSUE MARKER,442.5,221.25,,,0
HCPCS,A4648,TISSUE MARKER; IMPLANTABLE; ANY TYPE; EACH,416.9,208.45,,,0
HCPCS,A4649,SURGICAL SUPPLIES,536.0,268.0,,,0
HCPCS,A4649,SURGICAL SUPPLY; MISCELLANEOUS,2043.76,1021.88,,,0
HCPCS,A4690,"DIALYZER, EACH",1089.0,544.5,,,0
HCPCS,A5112,URINARY LEG BAG,15.0,7.5,,,0
HCPCS,A6010,COLLAGEN BASED WOUND FILLER; DRY FORM; STERILE; PER GRAM OF COLLAGEN,1086.99,543.5,,,0
HCPCS,A6196,ALGINATE DRESSING <=16 SQ IN,152.0,76.0,,,0
HCPCS,A6197,ALGINATE DRSG >16 <=48 SQ IN,187.0,93.5,,,0
HCPCS,A6203,COMPOSITE DRESSING; STERILE; PAD SIZE 16 SQ IN OR LESS; WITH ANY SIZE ADHESIVE BORDER; EACH DRESSING,16.5,8.25,,,0
HCPCS,A6203,COMPOSITE DRSG <= 16 SQ IN,17.0,8.5,,,0
HCPCS,A6204,COMPOSITE DRSG >16<=48 SQ IN,23.0,11.5,,,0
HCPCS,A6205,COMPOSITE DRESSING; STERILE; PAD SIZE MORE THAN 48 SQ IN; WITH ANY SIZE ADHESIVE BORDER; EACH DRESSING,42.0,21.0,,,0
HCPCS,A6205,COMPOSITE DRSG > 48 SQ IN,44.0,22.0,,,0
HCPCS,A6213,FOAM DRESSING; WOUND COVER; STERILE; PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN.; WITH ANY SIZE ADHESIVE BORDER; EACH DRESSING,268.75,134.38,,,0
HCPCS,A6238,HYDROCOLLOID DRESSING; WOUND COVER; STERILE; PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN.; WITH ANY SIZE ADHESIVE BORDER; EACH DRESSING,783.15,391.58,,,0
HCPCS,A6240,HYDROCOLLD DRG FILLER PASTE,333.0,166.5,,,0
HCPCS,A6530,COMPRESSION STOCKING BK18-30,294.0,147.0,25.4,103.54,24
HCPCS,A6550,WOUND CARE SET; FOR NEGATIVE PRESSURE WOUND THERAPY ELECTRICAL PUMP; INCLUDES ALL SUPPLIES AND ACCESSORIES,2017.16,1008.58,20.38,83.08,24
HCPCS,A7000,CANISTER; DISPOSABLE; USED WITH SUCTION PUMP; EACH,1253.0,626.5,6.79,27.67,24
HCPCS,A7048,VACUUM DRAIN BOTTLE/TUBE KIT,2135.0,1067.5,,,0
HCPCS,A7520,TRACH/LARYN TUBE NON-CUFFED,490.0,245.0,,,0
HCPCS,A7520,TRACHEOSTOMY/LARYNGECTOMY TUBE; NON-CUFFED; POLYVINYLCHLORIDE (PVC); SILICONE OR EQUAL; EACH,634.4100000000001,317.20500000000004,,,0
HCPCS,A7521,TRACH/LARYN TUBE CUFFED,256.0,128.0,,,0
HCPCS,A7521,TRACHEOSTOMY/LARYNGECTOMY TUBE; CUFFED; POLYVINYLCHLORIDE (PVC); SILICONE OR EQUAL; EACH,184.01,92.01,,,0
HCPCS,A9270,NON-COVERED ITEM OR SERVICE,0.73,0.37,1482.0,17224.0,2
HCPCS,A9272,"DISP WOUND SUCT, DRSG/ACCESS",1098.0,549.0,,,0
HCPCS,A9500,TECHNETIUM TC-99M SESTAMIBI; DIAGNOSTIC; PER STUDY DOSE,991.0,495.5,743.46,743.46,1
HCPCS,A9502,TC99M TETROFOSMIN,420.0,210.0,256.1,256.1,1
HCPCS,A9502,TECHNETIUM TC-99M TETROFOSMIN; DIAGNOSTIC; PER STUDY DOSE,840.0,420.0,256.1,256.1,1
HCPCS,A9503,TECHNETIUM TC-99M MEDRONATE; DIAGNOSTIC; PER STUDY DOSE; UP TO 30 MILLICURIES,142.0,71.0,61.59,61.59,1
HCPCS,A9505,TL201 THALLIUM,438.0,219.0,151.82,151.82,1
HCPCS,A9506,TC-99M GRAPHITE CRUCIBLE,822.0,411.0,213.59,870.79,24
HCPCS,A9507,IN111 CAPROMAB,6224.0,3112.0,1124.69,4585.27,25
HCPCS,A9508,"I131 IODOBENGUATE, DX",5865.0,2932.5,619.46,2525.48,25
HCPCS,A9509,IODINE I-123 SOD IODIDE MIL,741.0,370.5,299.31,299.31,1
HCPCS,A9509,IODINE I-123 SODIUM IODIDE; DIAGNOSTIC; PER MILLICURIE,1482.0,741.0,299.31,299.31,1
HCPCS,A9512,TC99M PERTECHNETATE,5.0,2.5,5.0,5.0,1
HCPCS,A9512,TECHNETIUM TC-99M PERTECHNETATE; DIAGNOSTIC; PER MILLICURIE,1351.0,675.5,11.35,11.35,1
HCPCS,A9513,LUTETIUM LU 177 DOTATAT THER,741.0,370.5,227.64,928.06,25
HCPCS,A9513,LUTETIUM LU 177; DOTATATE; THERAPEUTIC; 1 MCI,74100.0,37050.0,227.64,928.06,97
HCPCS,A9513,Lutathera,74100.0,37050.0,227.64,928.06,49
HCPCS,A9515,CHOLINE C-11,11554.0,5777.0,1635.68,6668.54,24
HCPCS,A9516,IODINE I-123 SOD IODIDE MIC,185.0,92.5,185.0,185.0,1
HCPCS,A9516,IODINE I-123 SODIUM IODIDE; DIAGNOSTIC; PER 100 MICROCURIES; UP TO 999 MICROCURIES,1470.0,735.0,186.4,186.4,1
HCPCS,A9517,"I131 IODIDE CAP, RX",76.0,38.0,15.65,63.79,25
HCPCS,A9517,IODINE I-131 SODIUM IODIDE CAPSULE(S); THERAPEUTIC; PER MILLICURIE,6460.0,3230.0,15.65,63.79,49
HCPCS,A9520,TECHNETIUM TC-99M; TILMANOCEPT; DIAGNOSTIC; UP TO 0.5 MILLICURIES,1755.0,877.5,,,0
HCPCS,A9521,TECHNETIUM TC-99M EXAMETAZIME; DIAGNOSTIC; PER STUDY DOSE; UP TO 25 MILLICURIES,3740.0,1870.0,2592.27,2592.27,1
HCPCS,A9526,NITROGEN N-13 AMMONIA,648.0,324.0,648.0,648.0,1
HCPCS,A9526,NITROGEN N-13 AMMONIA; DIAGNOSTIC; PER STUDY DOSE; UP TO 40 MILLICURIES,972.0,486.0,1114.06,1114.06,1
HCPCS,A9528,"IODINE I-131 IODIDE CAP, DX",76.0,38.0,76.0,76.0,1
HCPCS,A9528,IODINE I-131 SODIUM IODIDE CAPSULE(S); DIAGNOSTIC; PER MILLICURIE,304.0,152.0,157.76,157.76,1
HCPCS,A9530,"I131 IODIDE SOL, RX",652.0,326.0,13.5,55.04,25
HCPCS,A9531,I131 MAX 100UCI,10.0,5.0,7.03,7.03,1
HCPCS,A9537,TECHNETIUM TC-99M MEBROFENIN; DIAGNOSTIC; PER STUDY DOSE; UP TO 15 MILLICURIES,250.0,125.0,187.21,187.21,1
HCPCS,A9538,TECHNETIUM TC-99M PYROPHOSPHATE; DIAGNOSTIC; PER STUDY DOSE; UP TO 25 MILLICURIES,687.0,343.5,72.93,72.93,1
HCPCS,A9539,TECHNETIUM TC-99M PENTETATE; DIAGNOSTIC; PER STUDY DOSE; UP TO 25 MILLICURIES,597.0,298.5,49.17,49.17,1
HCPCS,A9540,TECHNETIUM TC-99M MACROAGGREGATED ALBUMIN; DIAGNOSTIC; PER STUDY DOSE; UP TO 10 MILLICURIES,1085.0,542.5,52.95,17224.0,3
HCPCS,A9541,TC99M SULFUR COLLOID,460.0,230.0,460.0,460.0,1
HCPCS,A9541,TECHNETIUM TC-99M SULFUR COLLOID; DIAGNOSTIC; PER STUDY DOSE; UP TO 20 MILLICURIES,780.0,390.0,585.12,585.12,1
HCPCS,A9542,"IN111 IBRITUMOMAB, DX",11398.0,5699.0,6649.22,6649.22,1
HCPCS,A9542,INDIUM IN-111 IBRITUMOMAB TIUXETAN; DIAGNOSTIC; PER STUDY DOSE; UP TO 5 MILLICURIES,2361.0,1180.5,,,0
HCPCS,A9543,"Y90 IBRITUMOMAB, RX",96938.0,48469.0,36935.96,150585.06,25
HCPCS,A9548,INDIUM IN-111 PENTETATE; DIAGNOSTIC; PER 0.5 MILLICURIE,3399.0,1699.5,296.08,1975.89,25
HCPCS,A9551,TECHNETIUM TC-99M SUCCIMER; DIAGNOSTIC; PER STUDY DOSE; UP TO 10 MILLICURIES,1822.0,911.0,428.95,1748.81,49
HCPCS,A9552,FLUORODEOXYGLUCOSE F-18 FDG; DIAGNOSTIC; PER STUDY DOSE; UP TO 45 MILLICURIES,1138.0,569.0,647.79,647.79,1
HCPCS,A9553,CR51 CHROMATE,2590.0,1295.0,697.5,5082.59,25
HCPCS,A9556,GA67 GALLIUM,1765.0,882.5,36.75,36.75,1
HCPCS,A9557,TC99M BICISATE,4557.0,2278.5,504.09,2055.13,25
HCPCS,A9557,TECHNETIUM TC-99M BICISATE; DIAGNOSTIC; PER STUDY DOSE; UP TO 25 MILLICURIES,6835.5,3417.75,504.09,2055.13,49
HCPCS,A9558,XE133 XENON 10MCI,138.0,69.0,138.0,138.0,1
HCPCS,A9560,TECHNETIUM TC-99M LABELED RED BLOOD CELLS; DIAGNOSTIC; PER STUDY DOSE; UP TO 30 MILLICURIES,966.0,483.0,166.4,166.4,1
HCPCS,A9561,TECHNETIUM TC-99M OXIDRONATE; DIAGNOSTIC; PER STUDY DOSE; UP TO 30 MILLICURIES,157.0,78.5,84.28,84.28,1
HCPCS,A9562,TECHNETIUM TC-99M MERTIATIDE; DIAGNOSTIC; PER STUDY DOSE; UP TO 15 MILLICURIES,1711.0,855.5,1283.16,1283.16,1
HCPCS,A9564,P32 CHROMIC PHOSPHATE,10548.0,5274.0,252.85,252.85,1
HCPCS,A9567,TECHNETIUM TC-99M PENTETATE; DIAGNOSTIC; AEROSOL; PER STUDY DOSE; UP TO 75 MILLICURIES,696.0,348.0,34.04,34.04,1
HCPCS,A9569,TECHNETIUM TC-99M AUTO WBC,7294.0,3647.0,607.18,2899.13,25
HCPCS,A9570,INDIUM IN-111 LABELED AUTOLOGOUS WHITE BLOOD CELLS; DIAGNOSTIC; PER STUDY DOSE,7296.0,3648.0,717.07,6734.57,25
HCPCS,A9572,INDIUM IN-111 PENTETREOTIDE; DIAGNOSTIC; PER STUDY DOSE; UP TO 6 MILLICURIES,9719.0,4859.5,1300.61,9719.0,25
HCPCS,A9573,"INJ, GADOPICLENOL, 1 ML",174.0,87.0,,,0
HCPCS,A9573,Vueway,138.16,69.08,1482.0,17224.0,18
HCPCS,A9576,INJ PROHANCE MULTIPACK,6.0,3.0,1482.0,17224.0,2
HCPCS,A9577,INJ MULTIHANCE,12.0,6.0,3.04,3.04,1
HCPCS,A9578,Multihance,63.42,31.71,1482.0,17224.0,2
HCPCS,A9580,SODIUM FLUORIDE F-18,396.0,198.0,396.0,396.0,1
HCPCS,A9581,Eovist,410.795,205.4,24.32,24.32,3
HCPCS,A9581,GADOXETATE DISODIUM INJ,54.0,27.0,24.32,24.32,1
HCPCS,A9581,INJECTION; GADOXETATE DISODIUM; 1 ML,540.0,270.0,24.32,24.32,1
HCPCS,A9582,IODINE I-123 IOBENGUANE; DIAGNOSTIC; PER STUDY DOSE; UP TO 15 MILLICURIES,19633.0,9816.5,1506.38,6141.38,49
HCPCS,A9584,IODINE I-123 IOFLUPANE; DIAGNOSTIC; PER STUDY DOSE; UP TO 5 MILLICURIES,12566.0,6283.0,902.03,3677.51,72
HCPCS,A9585,GADOBUTROL INJECTION,1.0,0.5,0.56,0.56,1
HCPCS,A9585,Gadavist,117.39,58.7,0.56,17224.0,16
HCPCS,A9585,INJECTION; GADOBUTROL; 0.1 ML,128.0,64.0,0.56,17224.0,5
HCPCS,A9586,FLORBETAPIR F18,6470.0,3235.0,1186.67,5377.94,25
HCPCS,A9587,GALLIUM GA-68,193.0,96.5,32.26,131.52,24
HCPCS,A9587,GALLIUM GA-68; DOTATATE; DIAGNOSTIC; 0.1 MILLICURIE,10422.0,5211.0,32.26,131.52,24
HCPCS,A9591,FLUOROESTRADIOL F 18,1217.0,608.5,299.27,1220.11,24
HCPCS,A9591,FLUOROESTRADIOL F 18; DIAGNOSTIC; 1 MILLICURIE,7910.5,3955.25,299.27,1220.11,48
HCPCS,A9592,COPPER CU 64 DOTATATE DIAG,2361.0,1180.5,386.28,1574.84,24
HCPCS,A9592,COPPER CU-64; DOTATATE; DIAGNOSTIC; 1 MILLICURIE,5902.5,2951.25,386.28,1574.84,144
HCPCS,A9595,"PIFLU F-18, DIA 1 MILLICURIE",1538.0,769.0,225.22,957.58,25
HCPCS,A9595,PIFLUFOLASTAT F-18; DIAGNOSTIC; 1 MILLICURIE,15380.0,7690.0,225.22,957.58,121
HCPCS,A9596,GALLIUM ILLUCCIX 1 MILLICURE,2256.0,1128.0,311.04,1636.27,25
HCPCS,A9600,SR89 STRONTIUM,13675.0,6837.5,2695.11,10987.77,25
HCPCS,A9601,FLORTAUCIPIR INJ 1 MILLICURI,928.0,464.0,241.15,983.15,25
HCPCS,A9604,SM 153 LEXIDRONAM,33194.0,16597.0,2053.87,28478.75,25
HCPCS,A9606,RADIUM RA-223 DICHLORIDE; THERAPEUTIC; PER MICROCURIE,44099.0,22049.5,118.01,481.11,49
HCPCS,A9606,RADIUM RA223 DICHLORIDE THER,422.0,211.0,118.01,481.11,25
HCPCS,A9607,LUTETIUM LU 177 VIPIVOTIDE,603.0,301.5,173.76,708.4,25
HCPCS,A9608,FLOTUFOLASTAT F18 DIAG 1 MCI,1854.0,927.0,472.91,1928.03,25
HCPCS,A9611,"FLURPIRIDAZ F18, DIAG, 1 MCI",1325.0,662.5,344.5,1404.5,24
HCPCS,A9616,GALLIUM GOZELLIX 1 MILLICURI,2928.0,1464.0,761.34,3103.94,24
HCPCS,A9697,"INJ, MAGTRACE PER STUDY DOSE",2403.0,1201.5,815.1,3323.1,24
HCPCS,B4087,"GASTRO/JEJUNO TUBE, STD",140.0,70.0,21.65,88.27,24
HCPCS,B4088,"GASTRO/JEJUNO TUBE, LOW-PRO",959.5,479.75,24.72,100.78,96
HCPCS,B4088,GASTROSTOMY/JEJUNOSTOMY TUBE; LOW-PROFILE; ANY MATERIAL; ANY TYPE; EACH,1029.28,514.64,24.72,100.78,24
HCPCS,C1052,HEMOSTATIC AGENT; GASTROINTESTINAL; TOPICAL,792.41,396.21,,,0
HCPCS,C1062,INTRAVERTEBRAL BODY FRACTURE AUGMENTATION WITH IMPLANT (E.G.; METAL; POLYMER),8502.71,4251.36,,,0
HCPCS,C1601,"ENDO, SINGLE, PULMONARY",1182.6,591.3,,,0
HCPCS,C1605,"PMKR, DUAL, LEADLESS",24282.0,12141.0,,,0
HCPCS,C1713,"ANCHOR/SCREW BN/BN,TIS/BN",1660.0,830.0,,,0
HCPCS,C1713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),942.49,471.25,,,0
HCPCS,C1714,"CATH, TRANS ATHERECTOMY, DIR",10367.0,5183.5,,,0
HCPCS,C1715,BRACHYTHERAPY NEEDLE,656.0,328.0,,,0
HCPCS,C1716,BRACHYTHERAPY SOURCE; NON-STRANDED; GOLD-198; PER SOURCE,47.14,23.57,332.18,1354.28,24
HCPCS,C1717,BRACHYTHERAPY SOURCE; NON-STRANDED; HIGH DOSE RATE IRIDIUM-192; PER SOURCE,957.5,478.75,231.23,942.71,72
HCPCS,C1717,"BRACHYTX, NON-STR,HDR IR-192",972.0,486.0,231.23,942.71,24
HCPCS,C1721,"AICD, DUAL CHAMBER",24451.0,12225.5,,,0
HCPCS,C1721,CARDIOVERTER-DEFIBRILLATOR; DUAL CHAMBER (IMPLANTABLE),28878.0,14439.0,,,0
HCPCS,C1722,"AICD, SINGLE CHAMBER",23701.0,11850.5,,,0
HCPCS,C1722,CARDIOVERTER-DEFIBRILLATOR; SINGLE CHAMBER (IMPLANTABLE),15564.6,7782.3,,,0
HCPCS,C1724,CATHETER; TRANSLUMINAL ATHERECTOMY; ROTATIONAL,6530.875,3265.44,,,0
HCPCS,C1725,"CATH, TRANSLUMIN NON-LASER",1884.5,942.25,,,0
HCPCS,C1725,CATHETER; TRANSLUMINAL ANGIOPLASTY; NON-LASER (MAY INCLUDE GUIDANCE; INFUSION/PERFUSION CAPABILITY),3627.65,1813.825,,,0
HCPCS,C1726,"CATH, BAL DIL, NON-VASCULAR",462.0,231.0,,,0
HCPCS,C1726,CATHETER; BALLOON DILATATION; NON-VASCULAR,934.75,467.38,,,0
HCPCS,C1727,"CATH, BAL TIS DIS, NON-VAS",257.0,128.5,,,0
HCPCS,C1727,CATHETER; BALLOON TISSUE DISSECTOR; NON-VASCULAR (INSERTABLE),1391.3,695.65,,,0
HCPCS,C1729,"CATH, DRAINAGE",679.5,339.75,,,0
HCPCS,C1729,CATHETER; DRAINAGE,387.98,193.99,,,0
HCPCS,C1730,"CATH, EP, 19 OR FEW ELECT",2271.5,1135.75,,,0
HCPCS,C1730,CATHETER; ELECTROPHYSIOLOGY; DIAGNOSTIC; OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES),6994.55,3497.275,,,0
HCPCS,C1731,"CATH, EP, 20 OR MORE ELEC",4115.0,2057.5,,,0
HCPCS,C1731,CATHETER; ELECTROPHYSIOLOGY; DIAGNOSTIC; OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES),6729.0,3364.5,,,0
HCPCS,C1732,"CATH, EP, DIAG/ABL, 3D/VECT",7497.0,3748.5,,,0
HCPCS,C1732,CATHETER; ELECTROPHYSIOLOGY; DIAGNOSTIC/ABLATION; 3D OR VECTOR MAPPING,8838.0,4419.0,,,0
HCPCS,C1733,"CATH, EP, OTHR THAN COOL-TIP",8644.0,4322.0,,,0
HCPCS,C1733,CATHETER; ELECTROPHYSIOLOGY; DIAGNOSTIC/ABLATION; OTHER THAN 3D OR VECTOR MAPPING; OTHER THAN COOL-TIP,12020.0,6010.0,,,0
HCPCS,C1735,CATH RENAL DENERV RADIOFREQ,28974.0,14487.0,,,0
HCPCS,C1747,ENDOSCOPE; SINGLE-USE (I.E. DISPOSABLE); URINARY TRACT; IMAGING/ILLUMINATION DEVICE (INSERTABLE),3284.375,1642.19,,,0
HCPCS,C1748,"ENDOSCOPE, SINGLE, UGI",7677.5,3838.75,,,0
HCPCS,C1748,ENDOSCOPE; SINGLE-USE (I.E. DISPOSABLE); UPPER GI; IMAGING/ILLUMINATION DEVICE (INSERTABLE),8431.0,4215.5,,,0
HCPCS,C1749,ENDOSCOPE; RETROGRADE IMAGING/ILLUMINATION COLONOSCOPE DEVICE (IMPLANTABLE),879.68,439.84,,,0
HCPCS,C1750,"CATH, HEMODIALYSIS,LONG-TERM",1192.0,596.0,,,0
HCPCS,C1750,CATHETER; HEMODIALYSIS/PERITONEAL; LONG-TERM,680.8199999999999,340.40999999999997,,,0
HCPCS,C1751,"CATH, INF, PER/CENT/MIDLINE",709.0,354.5,,,0
HCPCS,C1751,CATHETER; INFUSION; INSERTED PERIPHERALLY; CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS),724.185,362.09499999999997,,,0
HCPCS,C1752,CATHETER; HEMODIALYSIS/PERITONEAL; SHORT-TERM,432.8,216.4,,,0
HCPCS,C1753,"CATH, INTRAVAS ULTRASOUND",3258.0,1629.0,,,0
HCPCS,C1753,CATHETER; INTRAVASCULAR ULTRASOUND,4876.335,2438.17,,,0
HCPCS,C1755,"CATHETER, INTRASPINAL",634.0,317.0,,,0
HCPCS,C1755,CATHETER; INTRASPINAL,1045.42,522.71,,,0
HCPCS,C1757,"CATH, THROMBECTOMY/EMBOLECT",9268.0,4634.0,,,0
HCPCS,C1757,CATHETER; THROMBECTOMY/EMBOLECTOMY,3877.58,1938.79,,,0
HCPCS,C1758,"CATHETER, URETERAL",173.0,86.5,,,0
HCPCS,C1758,CATHETER; URETERAL,219.68,109.84,,,0
HCPCS,C1759,"CATH, INTRA ECHOCARDIOGRAPHY",8176.0,4088.0,,,0
HCPCS,C1759,CATHETER; INTRACARDIAC ECHOCARDIOGRAPHY,5263.45,2631.73,,,0
HCPCS,C1760,"CLOSURE DEV, VASC",1752.0,876.0,,,0
HCPCS,C1760,CLOSURE DEVICE; VASCULAR (IMPLANTABLE/INSERTABLE),2752.825,1376.415,,,0
HCPCS,C1761,CATHETER; TRANSLUMINAL INTRAVASCULAR LITHOTRIPSY; CORONARY,9726.0,4863.0,,,0
HCPCS,C1762,"CONN TISS, HUMAN(INC FASCIA)",3080.0,1540.0,,,0
HCPCS,C1762,CONNECTIVE TISSUE; HUMAN (INCLUDES FASCIA LATA),1363.0,681.5,,,0
HCPCS,C1763,CONNECTIVE TISSUE; NON-HUMAN (INCLUDES SYNTHETIC),2154.0,1077.0,,,0
HCPCS,C1764,"EVENT RECORDER, CARDIAC",9713.0,4856.5,,,0
HCPCS,C1764,EVENT RECORDER; CARDIAC (IMPLANTABLE),9430.0,4715.0,,,0
HCPCS,C1765,ADHESION BARRIER,1463.755,731.88,,,0
HCPCS,C1766,"INTRO/SHEATH,STRBLE,NON-PEEL",4141.0,2070.5,,,0
HCPCS,C1766,INTRODUCER/SHEATH; GUIDING; INTRACARDIAC ELECTROPHYSIOLOGICAL; STEERABLE; OTHER THAN PEEL-AWAY,4591.625,2295.815,,,0
HCPCS,C1767,"GENERATOR, NEURO NON-RECHARG",27574.0,13787.0,,,0
HCPCS,C1767,GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE,30646.0,15323.0,,,0
HCPCS,C1768,"GRAFT, VASCULAR",2748.0,1374.0,,,0
HCPCS,C1768,GRAFT; VASCULAR,1543.4,771.7,,,0
HCPCS,C1769,GUIDE WIRE,930.0,465.0,,,0
HCPCS,C1770,IMAGING COIL; MAGNETIC RESONANCE (INSERTABLE),7093.08,3546.54,,,0
HCPCS,C1771,"REP DEV, URINARY, W/SLING",3506.0,1753.0,,,0
HCPCS,C1771,REPAIR DEVICE; URINARY; INCONTINENCE; WITH SLING GRAFT,5640.96,2820.48,,,0
HCPCS,C1772,"INFUSION PUMP, PROGRAMMABLE",15784.0,7892.0,,,0
HCPCS,C1772,INFUSION PUMP; PROGRAMMABLE (IMPLANTABLE),942.36,471.18,,,0
HCPCS,C1773,"RET DEV, INSERTABLE",5811.0,2905.5,,,0
HCPCS,C1773,RETRIEVAL DEVICE; INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES),6853.065,3426.535,,,0
HCPCS,C1776,JOINT DEVICE (IMPLANTABLE),7973.5,3986.75,,,0
HCPCS,C1777,"LEAD, AICD, ENDO SINGLE COIL",7222.0,3611.0,,,0
HCPCS,C1777,LEAD; CARDIOVERTER-DEFIBRILLATOR; ENDOCARDIAL SINGLE COIL (IMPLANTABLE),6632.8,3316.4,,,0
HCPCS,C1778,"LEAD, NEUROSTIMULATOR",8972.0,4486.0,,,0
HCPCS,C1778,LEAD; NEUROSTIMULATOR (IMPLANTABLE),11482.5,5741.25,,,0
HCPCS,C1779,"LEAD, PMKR, TRANSVENOUS VDD",3747.0,1873.5,,,0
HCPCS,C1781,MESH (IMPLANTABLE),1877.9,938.95,,,0
HCPCS,C1782,MORCELLATOR,2512.12,1256.06,,,0
HCPCS,C1783,"OCULAR IMP, AQUEOUS DRAIN DE",4429.0,2214.5,,,0
HCPCS,C1783,OCULAR IMPLANT; AQUEOUS DRAINAGE ASSIST DEVICE,5565.0,2782.5,,,0
HCPCS,C1784,OCULAR DEVICE; INTRAOPERATIVE; DETACHED RETINA,4302.23,2151.12,,,0
HCPCS,C1785,PACEMAKER; DUAL CHAMBER; RATE-RESPONSIVE (IMPLANTABLE),6877.0,3438.5,,,0
HCPCS,C1785,"PMKR, DUAL, RATE-RESP",8371.0,4185.5,,,0
HCPCS,C1786,PACEMAKER; SINGLE CHAMBER; RATE-RESPONSIVE (IMPLANTABLE),11872.0,5936.0,,,0
HCPCS,C1786,"PMKR, SINGLE, RATE-RESP",10252.0,5126.0,,,0
HCPCS,C1787,"PATIENT PROGR, NEUROSTIM",4436.0,2218.0,,,0
HCPCS,C1787,PATIENT PROGRAMMER; NEUROSTIMULATOR,3425.875,1712.94,,,0
HCPCS,C1788,"PORT, INDWELLING, IMP",778.0,389.0,,,0
HCPCS,C1788,PORT; INDWELLING (IMPLANTABLE),797.5999999999999,398.79999999999995,,,0
HCPCS,C1789,"PROSTHESIS, BREAST, IMP",2653.0,1326.5,,,0
HCPCS,C1789,PROSTHESIS; BREAST (IMPLANTABLE),4686.25,2343.13,,,0
HCPCS,C1813,"PROSTHESIS, PENILE, INFLATAB",11624.0,5812.0,,,0
HCPCS,C1813,PROSTHESIS; PENILE; INFLATABLE,32411.28,16205.64,,,0
HCPCS,C1814,RETINAL TAMPONADE DEVICE; SILICONE OIL,2274.74,1137.37,,,0
HCPCS,C1815,"PROS, URINARY SPH, IMP",15369.0,7684.5,,,0
HCPCS,C1815,PROSTHESIS; URINARY SPHINCTER (IMPLANTABLE),32565.72,16282.86,,,0
HCPCS,C1816,RECEIVER AND/OR TRANSMITTER; NEUROSTIMULATOR (IMPLANTABLE),33660.0,16830.0,,,0
HCPCS,C1817,SEPTAL DEFECT IMP SYS,9913.0,4956.5,,,0
HCPCS,C1817,SEPTAL DEFECT IMPLANT SYSTEM; INTRACARDIAC,21364.0,10682.0,,,0
HCPCS,C1819,SURGICAL TISSUE LOCALIZATION AND EXCISION DEVICE (IMPLANTABLE),992.4,496.2,,,0
HCPCS,C1819,TISSUE LOCALIZATION-EXCISION,665.0,332.5,,,0
HCPCS,C1820,GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM,40370.0,20185.0,,,0
HCPCS,C1821,INTERSPINOUS IMPLANT,8156.0,4078.0,,,0
HCPCS,C1821,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),9119.2,4559.6,,,0
HCPCS,C1822,"GEN, NEURO, HF, RECHG BAT",2140.0,1070.0,,,0
HCPCS,C1823,GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE; WITH TRANSVENOUS SENSING AND STIMULATION LEADS,43770.0,21885.0,,,0
HCPCS,C1824,GENERATOR; CARDIAC CONTRACTILITY MODULATION (IMPLANTABLE),41730.0,20865.0,,,0
HCPCS,C1825,"GEN, NEURO, CAROT SINUS BARO",62720.0,31360.0,,,0
HCPCS,C1826,GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE COMPONENTS; WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM,40059.6,20029.8,,,0
HCPCS,C1827,GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE; WITH IMPLANTABLE STIMULATION LEAD AND EXTERNAL PAIRED STIMULATION CONTROLLER,46490.0,23245.0,,,0
HCPCS,C1830,POWERED BONE MARROW BIOPSY NEEDLE,597.88,298.94,,,0
HCPCS,C1874,"STENT, COATED/COV W/DEL SYS",5336.0,2668.0,,,0
HCPCS,C1874,STENT; COATED/COVERED; WITH DELIVERY SYSTEM,10606.16,5303.08,,,0
HCPCS,C1876,"STENT, NON-COA/NON-COV W/DEL",10257.0,5128.5,,,0
HCPCS,C1876,STENT; NON-COATED/NON-COVERED; WITH DELIVERY SYSTEM,560.26,280.13,,,0
HCPCS,C1877,STENT; NON-COATED/NON-COVERED; WITHOUT DELIVERY SYSTEM,5380.96,2690.48,,,0
HCPCS,C1878,MATERIAL FOR VOCAL CORD MEDIALIZATION; SYNTHETIC (IMPLANTABLE),2478.75,1239.38,,,0
HCPCS,C1878,MATRL FOR VOCAL CORD,2346.0,1173.0,,,0
HCPCS,C1880,VENA CAVA FILTER,4500.0,2250.0,,,0
HCPCS,C1882,CARDIOVERTER-DEFIBRILLATOR; OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE),25709.2,12854.6,,,0
HCPCS,C1883,"ADAPT/EXT, PACING/NEURO LEAD",2782.0,1391.0,,,0
HCPCS,C1883,ADAPTOR/EXTENSION; PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE),5305.0,2652.5,,,0
HCPCS,C1884,EMBOLIZATION PROTECT SYST,7137.0,3568.5,,,0
HCPCS,C1884,EMBOLIZATION PROTECTIVE SYSTEM,4816.375,2408.19,,,0
HCPCS,C1885,CATHETER; TRANSLUMINAL ANGIOPLASTY; LASER,12073.5,6036.75,,,0
HCPCS,C1886,"CATHETER, ABLATION",3967.0,1983.5,,,0
HCPCS,C1886,CATHETER; EXTRAVASCULAR TISSUE ABLATION; ANY MODALITY (INSERTABLE),7906.275,3953.14,,,0
HCPCS,C1887,"CATHETER, GUIDING",3100.0,1550.0,,,0
HCPCS,C1887,CATHETER; GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY),571.96,285.98,,,0
HCPCS,C1888,CATHETER; ABLATION; NON-CARDIAC; ENDOVASCULAR (IMPLANTABLE),959.0,479.5,,,0
HCPCS,C1888,ENDOVAS NON-CARDIAC ABL CATH,988.0,494.0,,,0
HCPCS,C1889,"IMPLANT/INSERT DEVICE, NOC",3446.0,1723.0,,,0
HCPCS,C1889,IMPLANTABLE/INSERTABLE DEVICE; NOT OTHERWISE CLASSIFIED,3118.0,1559.0,,,0
HCPCS,C1892,"INTRO/SHEATH,FIXED,PEEL-AWAY",391.0,195.5,,,0
HCPCS,C1892,INTRODUCER/SHEATH; GUIDING; INTRACARDIAC ELECTROPHYSIOLOGICAL; FIXED-CURVE; PEEL-AWAY,170.15,85.08,,,0
HCPCS,C1893,"INTRO/SHEATH, FIXED,NON-PEEL",1066.0,533.0,,,0
HCPCS,C1893,INTRODUCER/SHEATH; GUIDING; INTRACARDIAC ELECTROPHYSIOLOGICAL; FIXED-CURVE; OTHER THAN PEEL-AWAY,2900.565,1450.2849999999999,,,0
HCPCS,C1894,"INTRO/SHEATH, NON-LASER",233.5,116.75,,,0
HCPCS,C1894,INTRODUCER/SHEATH; OTHER THAN GUIDING; OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL; NON-LASER,458.7,229.35,,,0
HCPCS,C1895,"LEAD, AICD, ENDO DUAL COIL",7292.0,3646.0,,,0
HCPCS,C1896,LEAD; CARDIOVERTER-DEFIBRILLATOR; OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE),10747.2,5373.6,,,0
HCPCS,C1897,"LEAD, NEUROSTIM TEST KIT",3477.0,1738.5,,,0
HCPCS,C1897,LEAD; NEUROSTIMULATOR TEST KIT (IMPLANTABLE),5648.5,2824.25,,,0
HCPCS,C1898,"LEAD, PMKR, OTHER THAN TRANS",1901.0,950.5,,,0
HCPCS,C1898,LEAD; PACEMAKER; OTHER THAN TRANSVENOUS VDD SINGLE PASS,1198.0,599.0,,,0
HCPCS,C1900,"LEAD, CORONARY VENOUS",4180.0,2090.0,,,0
HCPCS,C1900,LEAD; LEFT VENTRICULAR CORONARY VENOUS SYSTEM,5710.325,2855.165,,,0
HCPCS,C2614,"PROBE, PERC LUMB DISC",5837.0,2918.5,,,0
HCPCS,C2616,BRACHYTHERAPY SOURCE; NON-STRANDED; YTTRIUM-90; PER SOURCE,31319.2,15659.6,11494.55,46862.41,48
HCPCS,C2616,"BRACHYTX, NON-STR,YTTRIUM-90",34019.0,17009.5,11494.55,46862.41,24
HCPCS,C2617,"STENT, NON-COR, TEM W/O DEL",642.5,321.25,,,0
HCPCS,C2617,STENT; NON-CORONARY; TEMPORARY; WITHOUT DELIVERY SYSTEM,854.03,427.02,,,0
HCPCS,C2618,"PROBE/NEEDLE, CRYO",5133.0,2566.5,,,0
HCPCS,C2618,PROBE/NEEDLE; CRYOABLATION,5404.0,2702.0,,,0
HCPCS,C2621,PACEMAKER; OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE),11001.76,5500.88,,,0
HCPCS,C2621,"PMKR, OTHER THAN SING/DUAL",13886.0,6943.0,,,0
HCPCS,C2622,"PROSTHESIS, PENILE, NON-INF",14781.0,7390.5,,,0
HCPCS,C2623,"CATH, TRANSLUMIN, DRUG-COAT",4252.0,2126.0,,,0
HCPCS,C2623,CATHETER; TRANSLUMINAL ANGIOPLASTY; DRUG-COATED; NON-LASER,3520.75,1760.38,,,0
HCPCS,C2624,IMPLANTABLE WIRELESS PULMONARY ARTERY PRESSURE SENSOR WITH DELIVERY CATHETER; INCLUDING ALL SYSTEM COMPONENTS,30170.0,15085.0,,,0
HCPCS,C2624,WIRELESS PRESSURE SENSOR,41775.5,20887.75,,,0
HCPCS,C2625,"STENT, NON-COR, TEM W/DEL SY",634.0,317.0,,,0
HCPCS,C2625,STENT; NON-CORONARY; TEMPORARY; WITH DELIVERY SYSTEM,541.96,270.98,,,0
HCPCS,C2626,"INFUSION PUMP, NON-PROG,TEMP",2122.0,1061.0,,,0
HCPCS,C2627,"CATH, SUPRAPUBIC/CYSTOSCOPIC",317.0,158.5,,,0
HCPCS,C2627,CATHETER; SUPRAPUBIC/CYSTOSCOPIC,76.65,38.33,,,0
HCPCS,C2628,"CATHETER, OCCLUSION",3581.0,1790.5,,,0
HCPCS,C2628,CATHETER; OCCLUSION,970.98,485.49,,,0
HCPCS,C2629,"INTRO/SHEATH, LASER",9406.0,4703.0,,,0
HCPCS,C2630,"CATH, EP, COOL-TIP",10028.0,5014.0,,,0
HCPCS,C2630,CATHETER; ELECTROPHYSIOLOGY; DIAGNOSTIC/ABLATION; OTHER THAN 3D OR VECTOR MAPPING; COOL-TIP,6766.0,3383.0,,,0
HCPCS,C2631,"REP DEV, URINARY, W/O SLING",1665.0,832.5,,,0
HCPCS,C2634,BRACHYTHERAPY SOURCE; NON-STRANDED; HIGH ACTIVITY; IODINE-125; GREATER THAN 1.01 MCI (NIST); PER SOURCE,575.0,287.5,112.59,459.01,24
HCPCS,C2634,"BRACHYTX, NON-STR, HA, I-125",593.0,296.5,112.59,459.01,24
HCPCS,C2639,"BRACHYTX, NON-STRANDED,I-125",258.0,129.0,23.7,96.62,24
HCPCS,C5271,APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK; ARMS; LEGS; TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA,2625.5,1312.75,1500.0,1500.0,1
HCPCS,C5275,APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; ORBITS; GENITALIA; HANDS; FEET; AND/OR MULTIPLE DIGITS; TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ ,2069.0,1034.5,,,0
HCPCS,C7510,BRONCHOSCOPY; RIGID OR FLEXIBLE; WITH BRONCHIAL ALVEOLAR LAVAGE(S); WITH COMPUTER-ASSISTED IMAGE-GUIDED NAVIGATION; INCLUDING FLUOROSCOPIC GUIDANCE WHEN PERFORMED,957.0,478.5,,,0
HCPCS,C7511,BRONCHOSCOPY; RIGID OR FLEXIBLE; WITH SINGLE OR MULTIPLE BRONCHIAL OR ENDOBRONCHIAL BIOPSY(IES); SINGLE OR MULTIPLE SITES; WITH COMPUTER-ASSISTED IMAGE-GUIDED NAVIGATION; INCLUDING FLUOROSCOPIC GUIDAN,1914.0,957.0,,,0
HCPCS,C8004,SIM ANG W/PRS CATH RAD EMB,17700.0,8850.0,7222.68,29446.32,24
HCPCS,C8005,PEF BRONCH ABLT 3D NAV EBUS,43752.0,21876.0,10769.93,43908.17,24
HCPCS,C8900,"MRA W/CONT, ABD",2840.0,1420.0,218.28,889.9,24
HCPCS,C8901,"MRA W/O CONT, ABD",2339.0,1169.5,149.29,608.63,24
HCPCS,C8902,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; ABDOMEN,1765.0,882.5,218.28,889.9,48
HCPCS,C8902,"MRA W/O FOL W/CONT, ABD",2356.0,1178.0,218.28,889.9,24
HCPCS,C8903,"MRI W/CONT, BREAST,  UNI",4233.0,2116.5,109.74,447.4,24
HCPCS,C8905,MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; BREAST; UNILATERAL,4282.0,2141.0,218.28,889.9,72
HCPCS,C8905,"MRI W/O FOL W/CONT, BRST, UN",4437.0,2218.5,218.28,889.9,24
HCPCS,C8906,"MRI W/CONT, BREAST,  BI",4326.0,2163.0,218.28,889.9,24
HCPCS,C8908,MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; BREAST; BILATERAL,3978.0,1989.0,218.28,889.9,72
HCPCS,C8908,"MRI W/O FOL W/CONT, BREAST,",4277.0,2138.5,218.28,889.9,24
HCPCS,C8909,MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST; CHEST (EXCLUDING MYOCARDIUM),1758.0,879.0,218.28,889.9,48
HCPCS,C8909,"MRA W/CONT, CHEST",2055.0,1027.5,218.28,889.9,24
HCPCS,C8911,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; CHEST (EXCLUDING MYOCARDIUM),1758.0,879.0,218.28,889.9,72
HCPCS,C8912,"MRA W/CONT, LWR EXT",2929.0,1464.5,218.28,889.9,24
HCPCS,C8913,"MRA W/O CONT, LWR EXT",2783.0,1391.5,149.29,608.63,24
HCPCS,C8914,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; LOWER EXTREMITY,2986.0,1493.0,218.28,889.9,48
HCPCS,C8914,"MRA W/O FOL W/CONT, LWR EXT",2600.0,1300.0,218.28,889.9,24
HCPCS,C8918,"MRA W/CONT, PELVIS",2928.0,1464.0,218.28,889.9,24
HCPCS,C8919,"MRA W/O CONT, PELVIS",2782.0,1391.0,149.29,608.63,24
HCPCS,C8920,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST; FOLLOWED BY WITH CONTRAST; PELVIS,2876.0,1438.0,218.28,889.9,24
HCPCS,C8920,"MRA W/O FOL W/CONT, PELVIS",3092.0,1546.0,218.28,889.9,24
HCPCS,C8921,TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST; OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; FOR CONGENITAL CARDIAC ANOMALIES; COMPLETE,1034.0,517.0,490.46,1999.58,24
HCPCS,C8921,"TTE W OR W/O FOL W/CONT, COM",2509.0,1254.5,490.46,1999.58,24
HCPCS,C8922,"TTE W OR W/O FOL W/CONT, F/U",1112.0,556.0,490.46,1999.58,24
HCPCS,C8923,"2D TTE W OR W/O FOL W/CON,CO",1112.0,556.0,490.46,1999.58,24
HCPCS,C8924,"2D TTE W OR W/O FOL W/CON,FU",1130.0,565.0,218.28,889.9,24
HCPCS,C8924,TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST; OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; REAL-TIME WITH IMAGE DOCUMENTATION (2D); INCLUDES M-MODE RECORDING; WHEN PERFORMED; FOLLOW-UP OR LIMITED ST,1034.0,517.0,218.28,889.9,48
HCPCS,C8925,"2D TEE W OR W/O FOL W/CON,IN",3199.0,1599.5,490.46,1999.58,24
HCPCS,C8925,TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST; OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEME,2975.0,1487.5,490.46,1999.58,24
HCPCS,C8926,"TEE W OR W/O FOL W/CONT,CONG",3199.0,1599.5,490.46,1999.58,24
HCPCS,C8928,"TTE W OR W/O FOL W/CON,STRES",3077.0,1538.5,490.46,1999.58,24
HCPCS,C8929,TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST; OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; REAL-TIME WITH IMAGE DOCUMENTATION (2D); INCLUDES M-MODE RECORDING; WHEN PERFORMED; COMPLETE; WITH SPECTRAL,3384.0,1692.0,490.46,1999.58,120
HCPCS,C8929,"TTE W OR WO FOL WCON,DOPPLER",3638.0,1819.0,490.46,1999.58,24
HCPCS,C8930,TRANSTHORACIC ECHOCARDIOGRAPHY; WITH CONTRAST; OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; REAL-TIME WITH IMAGE DOCUMENTATION (2D); INCLUDES M-MODE RECORDING; WHEN PERFORMED; DURING REST AND CARDIO,3540.0,1770.0,490.46,1999.58,48
HCPCS,C8930,"TTE W OR W/O CONTR, CONT ECG",3806.0,1903.0,490.46,1999.58,24
HCPCS,C8934,"MRA, W/DYE, UPPER EXTREMITY",2956.0,1478.0,218.28,889.9,24
HCPCS,C8935,"MRA, W/O DYE, UPPER EXTR",2816.0,1408.0,149.29,608.63,24
HCPCS,C8936,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; UPPER EXTREMITY,1824.0,912.0,218.28,889.9,48
HCPCS,C8957,"PROLONGED IV INF, REQ PUMP",1076.0,538.0,133.07,542.53,24
HCPCS,C9046,Cocaine HCl,1125.54,562.77,,,0
HCPCS,C9148,Tecvayli,3170.28,1585.145,,,0
HCPCS,C9155,Epkinly,666.885,333.44500000000005,,,0
HCPCS,C9174,Datroway,49644.365,24822.184999999998,,,0
HCPCS,C9248,Cleviprex,404.055,202.03,,,0
HCPCS,C9250,HUMAN PLASMA FIBRIN SEALANT; VAPOR-HEATED; SOLVENT-DETERGENT (ARTISS); 2ML,920.04,460.02,94.69,386.03,25
HCPCS,C9257,Avastin,50.0,25.0,1.22,4.96,434
HCPCS,C9257,BEVACIZUMAB INJECTION,9.0,4.5,1.22,4.96,25
HCPCS,C9257,Eylea PFS,45.0,22.5,1.22,4.96,72
HCPCS,C9257,INJECTION; BEVACIZUMAB; 0.25 MG,67.5,33.75,1.22,4.96,49
HCPCS,C9257,Leqembi,45.0,22.5,1.22,4.96,48
HCPCS,C9300,Bludigo,87.865,43.935,1482.0,17224.0,2
HCPCS,C9352,"NEURAGEN NERVE GUIDE, PER CM",4823.0,2411.5,,,0
HCPCS,C9353,MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR); PER CENTIMETER LENGTH,8299.28,4149.64,,,0
HCPCS,C9353,"NEURAWRAP NERVE PROTECTOR,CM",6124.0,3062.0,,,0
HCPCS,C9356,TENDON; POROUS MATRIX OF CROSS-LINKED COLLAGEN AND GLYCOSAMINOGLYCAN MATRIX (TENOGLIDE TENDON PROTECTOR SHEET); PER SQUARE CENTIMETER,5817.84,2908.92,,,0
HCPCS,C9356,"TENOGLIDE TENDON PROT, CM2",242.0,121.0,,,0
HCPCS,C9361,COLLAGEN MATRIX NERVE WRAP (NEUROMEND COLLAGEN NERVE WRAP); PER 0.5 CENTIMETER LENGTH,2932.13,1466.07,,,0
HCPCS,C9363,INTEGRA MESHED BIL WOUND MAT,2454.0,1227.0,82.24,335.28,24
HCPCS,C9399,Adrenalin,5.25,2.63,,,0
HCPCS,C9399,Dupixent PFS,8257.71,4128.86,,,0
HCPCS,C9399,EPINEPHrine,5.25,2.63,,,0
HCPCS,C9399,Kadcyla,920.04,460.02,,,0
HCPCS,C9399,Keytruda Qlex,48125.45,24062.73,,,0
HCPCS,C9399,UNCLASSIFIED DRUGS OR BIOLOG,503.0,251.5,,,0
HCPCS,C9399,UNCLASSIFIED DRUGS OR BIOLOGICALS,6345.52,3172.76,,,0
HCPCS,C9600,PERC DRUG-EL COR STENT SING,20881.0,10440.5,7222.68,29446.32,24
HCPCS,C9600,PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S); WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH,19424.0,9712.0,7222.68,29446.32,144
HCPCS,C9601,PERC DRUG-EL COR STENT BRAN,5790.0,2895.0,,,0
HCPCS,C9601,PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG-ELUTING INTRACORONARY STENT(S); WITH CORONARY ANGIOPLASTY WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO,5386.0,2693.0,,,0
HCPCS,C9602,PERC D-E COR STENT ATHER S,12121.0,6060.5,11469.29,46759.41,24
HCPCS,C9602,PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY; WITH DRUG ELUTING INTRACORONARY STENT; WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH,11275.0,5637.5,11469.29,46759.41,96
HCPCS,C9603,PERC D-E COR STENT ATHER BR,5790.0,2895.0,,,0
HCPCS,C9604,PERC D-E COR REVASC T CABG S,12121.0,6060.5,7222.68,29446.32,24
HCPCS,C9604,PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL MAMMARY; FREE ARTERIAL; VENOUS); ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT; ATHERECTOMY AND A,11698.0,5849.0,7222.68,29446.32,48
HCPCS,C9605,PERC D-E COR REVASC T CABG B,5790.0,2895.0,,,0
HCPCS,C9606,PERC D-E COR REVASC W AMI S,15024.0,7512.0,,,0
HCPCS,C9607,PERC D-E COR REVASC CHRO SIN,12121.0,6060.5,11469.29,46759.41,24
HCPCS,C9607,PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION; CORONARY ARTERY; CORONARY ARTERY BRANCH; OR CORONARY ARTERY BYPASS GRAFT; ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT; A,11698.0,5849.0,11469.29,46759.41,48
HCPCS,C9608,PERC D-E COR REVASC CHRO ADD,5790.0,2895.0,,,0
HCPCS,C9610,CATH CORONARY DRUG-DELIVERY,11466.0,5733.0,,,0
HCPCS,C9728,"PLACE DEVICE/MARKER, NON PRO",3578.0,1789.0,865.99,3530.57,24
HCPCS,C9733,NON-OPHTHALMIC FVA,1587.0,793.5,218.28,889.9,24
HCPCS,C9756,INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE LYMPHATIC MAPPING OF LYMPH NODE(S) (SENTINEL OR TUMOR DRAINING) WITH ADMINISTRATION OF INDOCYANINE GREEN (ICG) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMAR,16332.0,8166.0,,,0
HCPCS,C9758,BLIND INTERATRIAL SHUNT IDE,47253.0,23626.5,10769.93,43908.17,48
HCPCS,C9760,NON-BLIND INTERATRIAL SHUNT,79756.0,39878.0,16924.0,68997.84,24
HCPCS,C9761,CYSTOURETHROSCOPY; WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY; AND URETERAL CATHETERIZATION FOR STEERABLE VACUUM ASPIRATION OF THE KIDNEY; COLLECTING SYSTEM; URETER; BLADDER; AND URETHRA IF,9549.75,4774.875,5922.74,24146.56,144
HCPCS,C9762,CARDIAC MRI SEG DYS STRAIN,1474.0,737.0,341.87,1393.77,24
HCPCS,C9763,CARDIAC MRI SEG DYS STRESS,1474.0,737.0,341.87,1393.77,24
HCPCS,C9764,REVASC INTRAVASC LITHOTRIPSY,22800.0,11400.0,7222.68,29446.32,24
HCPCS,C9764,REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; LOWER EXTREMITY ARTERY (IES); EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY; INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S); WHEN PERFO,19307.0,9653.5,7222.68,29446.32,72
HCPCS,C9765,REVASC INTRA LITHOTRIP-STENT,30000.0,15000.0,11469.29,46759.41,24
HCPCS,C9765,REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; LOWER EXTREMITY ARTERY(IES); EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY; AND TRANSLUMINAL STENT PLACEMENT(S); INCLUDES ANGIOPLASTY WI,36339.5,18169.75,11469.29,46759.41,48
HCPCS,C9766,REVASC INTRA LITHOTRIP-ATHER,23527.0,11763.5,11469.29,46759.41,24
HCPCS,C9767,REVASC LITHOTRIP-STENT-ATHER,23527.0,11763.5,11469.29,46759.41,24
HCPCS,C9772,REVASC LITHOTRIP TIBI/PERONE,17700.0,8850.0,7222.68,29446.32,24
HCPCS,C9772,REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY; INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S); WHEN PERFORMED,26040.0,13020.0,7222.68,29446.32,48
HCPCS,C9773,REVASC LITHOTR-STENT TIB/PER,21145.0,10572.5,11469.29,46759.41,24
HCPCS,C9774,REVASC LITHOTR-ATHER TIB/PER,21145.0,10572.5,11469.29,46759.41,24
HCPCS,C9775,REVASC LITH-STEN-ATH TIB/PER,21145.0,10572.5,11469.29,46759.41,24
HCPCS,C9776,FLUO BILE DUCT IMAGING W/ICG,5541.0,2770.5,,,0
HCPCS,C9776,INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE IMAGING OF MAJOR EXTRA-HEPATIC BILE DUCT(S) (E.G.; CYSTIC DUCT; COMMON BILE DUCT AND COMMON HEPATIC DUCT) WITH INTRAVENOUS ADMINISTRATION OF INDOCYANINE GREEN,9241.25,4620.625,,,0
HCPCS,C9779,ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD); INCLUDING ENDOSCOPY OR COLONOSCOPY; MUCOSAL CLOSURE; WHEN PERFORMED,922.66,461.33,2412.2,9834.36,24
HCPCS,C9785,ENDO OUTLET RESTRICT W/TUBE,23382.0,11691.0,6650.62,27114.06,24
HCPCS,C9804,PUMP ELASTOMC NON-OPIOID DEV,971.0,485.5,,,0
HCPCS,C9807,NERVE STIM NON-OPIOID DEV,9780.5,4890.25,,,0
HCPCS,C9809,CRYO NEEDLE NON-OPIOID DEV,2164.0,1082.0,,,0
HCPCS,C9901,ENDO DEFECT CLOSURE GI TRACT,23382.0,11691.0,6650.62,27114.06,24
HCPCS,D6010,SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT,23506.33,11753.17,,,0
HCPCS,D6011,SECOND STAGE IMPLANT SURGERY,24473.0,12236.5,,,0
HCPCS,E0469,LUNG EXPANS HIGH OSCIL NEB,406.0,203.0,1017.7,4149.1,24
HCPCS,E1575,TRANSDUCER PROTECT/FLD BAR,139.0,69.5,,,0
HCPCS,G0008,ADMIN INFLUENZA VIRUS VAC,30.0,15.0,10.5,119.44,30
HCPCS,G0008,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,28.0,14.0,10.5,119.44,174
HCPCS,G0009,ADMIN PNEUMOCOCCAL VACCINE,30.0,15.0,10.5,119.44,30
HCPCS,G0009,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,26.0,13.0,10.5,119.44,150
HCPCS,G0010,ADMIN HEPATITIS B VACCINE,30.0,15.0,29.3,119.44,24
HCPCS,G0010,ADMINISTRATION OF HEPATITIS B VACCINE,26.0,13.0,11.72,119.44,144
HCPCS,G0023,PIN SERVICE 60M PER MONTH,259.0,129.5,36.8,259.14,31
HCPCS,G0024,PIN SRV ADD 30 MIN PR M,130.0,65.0,20.15,82.15,31
HCPCS,G0101,CA SCREEN;PELVIC/BREAST EXAM,146.0,73.0,20.33,259.14,31
HCPCS,G0101,CERVICAL OR VAGINAL CANCER SCREENING; PELVIC AND CLINICAL BREAST EXAMINATION,41.0,20.5,20.33,259.14,103
HCPCS,G0102,PROSTATE CA SCREENING; DRE,38.0,19.0,4.97,20.27,31
HCPCS,G0102,PROSTATE CANCER SCREENING; DIGITAL RECTAL EXAMINATION,35.0,17.5,4.97,20.27,31
HCPCS,G0103,PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA),177.0,88.5,12.55,51.17,72
HCPCS,G0104,COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY,2128.0,1064.0,42.21,2372.09,31
HCPCS,G0105,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK,2640.0,1320.0,138.2,2372.09,55
HCPCS,G0108,DIAB MANAGE TRN  PER INDIV,146.0,73.0,22.48,140.87,37
HCPCS,G0108,DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES; INDIVIDUAL; PER 30 MINUTES,399.0,199.5,22.48,140.87,61
HCPCS,G0109,DIAB MANAGE TRN IND/GROUP,65.0,32.5,9.89,40.31,37
HCPCS,G0109,DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES; GROUP SESSION (2 OR MORE); PER 30 MINUTES,294.0,147.0,9.89,40.31,37
HCPCS,G0121,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK,804.0,402.0,138.72,2372.09,79
HCPCS,G0123,SCREEN CERV/VAG THIN LAYER,172.0,86.0,13.17,53.69,24
HCPCS,G0123,SCREENING CYTOPATHOLOGY; CERVICAL OR VAGINAL (ANY REPORTING SYSTEM); COLLECTED IN PRESERVATIVE FLUID; AUTOMATED THIN LAYER PREPARATION; SCREENING BY CYTOTECHNOLOGIST UNDER PHYSICIAN SUPERVISION,103.0,51.5,13.17,53.69,24
HCPCS,G0127,TRIM NAIL(S),151.0,75.5,5.41,150.47,31
HCPCS,G0127,TRIMMING OF DYSTROPHIC NAILS; ANY NUMBER,187.0,93.5,5.41,150.47,31
HCPCS,G0145,"SCR C/V CYTO,THINLAYER,RESCR",60.0,30.0,17.22,70.2,24
HCPCS,G0145,SCREENING CYTOPATHOLOGY; CERVICAL OR VAGINAL (ANY REPORTING SYSTEM); COLLECTED IN PRESERVATIVE FLUID; AUTOMATED THIN LAYER PREPARATION; WITH SCREENING BY AUTOMATED SYSTEM AND MANUAL RESCREENING UNDER ,211.0,105.5,17.22,70.2,48
HCPCS,G0166,"EXTRNL COUNTERPULSE, PER TX",3165.0,1582.5,66.92,339.39,37
HCPCS,G0168,WOUND CLOSURE BY ADHESIVE,108.0,54.0,9.63,39.27,31
HCPCS,G0176,OPPS/PHP/IOP; ACTIVITY THRPY,243.0,121.5,,,0
HCPCS,G0177,OPPS/PHP/IOP; TRAIN & EDUC,257.0,128.5,,,0
HCPCS,G0180,MD CERTIFICATION HHA PATIENT,0.01,0.01,34.53,140.79,31
HCPCS,G0237,THERAPEUTIC PROCD STRG ENDUR,154.0,77.0,7.72,73.78,31
HCPCS,G0238,"OTH RESP PROC, INDIV",145.5,72.75,6.95,17224.0,33
HCPCS,G0239,"OTH RESP PROC, GROUP",455.0,227.5,1482.0,17224.0,2
HCPCS,G0239,THERAPEUTIC PROCEDURES TO IMPROVE RESPIRATORY FUNCTION OR INCREASE STRENGTH OR ENDURANCE OF RESPIRATORY MUSCLES; TWO OR MORE INDIVIDUALS (INCLUDES MONITORING),623.0,311.5,1482.0,17224.0,2
HCPCS,G0257,UNSCHED DIALYSIS ESRD PT HOS,2335.0,1167.5,429.4,1750.62,48
HCPCS,G0259,INJECT FOR SACROILIAC JOINT,2630.0,1315.0,,,0
HCPCS,G0260,INJECTION PROCEDURE FOR SACROILIAC JOINT; PROVISION OF ANESTHETIC; STEROID AND/OR OTHER THERAPEUTIC AGENT; WITH OR WITHOUT ARTHROGRAPHY,2528.0,1264.0,441.64,1800.52,264
HCPCS,G0268,REMOVAL OF IMPACTED CERUMEN (ONE OR BOTH EARS) BY PHYSICIAN ON SAME DATE OF SERVICE AS AUDIOLOGIC FUNCTION TESTING,192.0,96.0,18.13,73.91,79
HCPCS,G0268,REMOVAL OF IMPACTED WAX MD,138.0,69.0,18.13,73.91,31
HCPCS,G0269,OCCLUSIVE DEVICE IN VEIN ART,1313.0,656.5,814.8,931.2,5
HCPCS,G0270,MNT SUBS TX FOR CHANGE DX,118.0,59.0,13.85,56.47,31
HCPCS,G0271,GROUP MNT 2 OR MORE 30 MINS,158.0,79.0,7.81,31.85,31
HCPCS,G0277,"HBOT, FULL BODY CHAMBER, 30M",357.0,178.5,1482.0,17224.0,2
HCPCS,G0278,ILIAC AND/OR FEMORAL ARTERY ANGIOGRAPHY; NON-SELECTIVE; BILATERAL OR IPSILATERAL TO CATHETER INSERTION; PERFORMED AT THE SAME TIME AS CARDIAC CATHETERIZATION AND/OR CORONARY ANGIOGRAPHY; INCLUDES POSI,4574.0,2287.0,8.01,32.67,31
HCPCS,G0278,"ILIAC ART ANGIO,CARDIAC CATH",4918.0,2459.0,8.01,32.67,31
HCPCS,G0279,DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS; UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066),114.5,57.25,17.71,72.19,325
HCPCS,G0279,"TOMOSYNTHESIS, MAMMO",116.5,58.25,17.71,72.19,74
HCPCS,G0283,ELEC STIM OTHER THAN WOUND,84.0,42.0,7.8,31.8,31
HCPCS,G0283,ELECTRICAL STIMULATION (UNATTENDED); TO ONE OR MORE AREAS FOR INDICATION(S) OTHER THAN WOUND CARE; AS PART OF A THERAPY PLAN OF CARE,107.5,53.75,7.8,31.8,360
HCPCS,G0289,ARTHROSCOPY; KNEE; SURGICAL; FOR REMOVAL OF LOOSE BODY; FOREIGN BODY; DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY) AT THE TIME OF OTHER SURGICAL KNEE ARTHROSCOPY IN A DIFFERENT COMPARTME,3640.33,1820.165,48.76,198.8,48
HCPCS,G0296,COUNSELING VISIT TO DISCUSS NEED FOR LUNG CANCER SCREENING (LDCT) USING LOW DOSE CT SCAN (SERVICE IS FOR ELIGIBILITY DETERMINATION AND SHARED DECISION MAKING),147.0,73.5,18.78,259.14,55
HCPCS,G0296,VISIT TO DETERM LDCT ELIG,159.0,79.5,18.78,259.14,31
HCPCS,G0323,CARE MANAGE BEH SVS 20MINS,76.0,38.0,23.44,95.56,31
HCPCS,G0378,HOSPITAL OBSERVATION PER HR,235.0,117.5,116.0,1500.0,22
HCPCS,G0378,HOSPITAL OBSERVATION SERVICE; PER HOUR,702.0,351.0,515.0,1500.0,18
HCPCS,G0379,DIRECT ADMISSION OF PATIENT FOR HOSPITAL OBSERVATION CARE,158.0,79.0,515.0,1526.53,90
HCPCS,G0379,DIRECT REFER HOSPITAL OBSERV,170.0,85.0,515.0,1526.53,30
HCPCS,G0390,TRAUMA RESPONS W/HOSP CRITI,2239.0,1119.5,838.05,3416.67,24
HCPCS,G0390,TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,2082.0,1041.0,838.05,3416.67,48
HCPCS,G0396,ALCOHOL AND/OR SUBSTANCE (OTHER THAN TOBACCO) ABUSE STRUCTURED ASSESSMENT (E.G.; AUDIT; DAST); AND BRIEF INTERVENTION 15 TO 30 MINUTES,96.0,48.0,23.44,95.56,31
HCPCS,G0397,ALCOHOL/SUBS INTERV >30 MIN,402.0,201.0,46.33,452.75,31
HCPCS,G0398,HOME SLEEP TEST/TYPE 2 PORTA,555.0,277.5,135.1,550.78,24
HCPCS,G0399,HOME SLEEP TEST/TYPE 3 PORTA,1004.0,502.0,135.1,550.78,24
HCPCS,G0402,INITIAL PREVENTIVE EXAM,134.0,67.0,83.3,339.6,31
HCPCS,G0402,INITIAL PREVENTIVE PHYSICAL EXAMINATION; FACE-TO-FACE VISIT; SERVICES LIMITED TO NEW BENEFICIARY DURING THE FIRST 12 MONTHS OF MEDICARE ENROLLMENT,318.0,159.0,83.3,339.6,79
HCPCS,G0404,EKG TRACING FOR INITIAL PREV,130.5,65.25,4.38,73.78,62
HCPCS,G0404,ELECTROCARDIOGRAM; ROUTINE ECG WITH 12 LEADS; TRACING ONLY; WITHOUT INTERPRETATION AND REPORT; PERFORMED AS A SCREENING FOR THE INITIAL PREVENTIVE PHYSICAL EXAMINATION,111.0,55.5,4.38,73.78,31
HCPCS,G0410,GROUP PSYCHOTHERAPY OTHER THAN OF A MULTIPLE-FAMILY GROUP; IN A PARTIAL HOSPITALIZATION SETTING; APPROXIMATELY 45 TO 50 MINUTES,1146.0,573.0,,,0
HCPCS,G0410,GRP PSYCH PHP/IOP 45-50,382.0,191.0,,,0
HCPCS,G0412,OPEN TREATMENT OF ILIAC SPINE(S); TUBEROSITY AVULSION; OR ILIAC WING FRACTURE(S); UNILATERAL OR BILATERAL FOR PELVIC BONE FRACTURE PATTERNS WHICH DO NOT DISRUPT THE PELVIC RING; INCLUDES INTERNAL FIXA,67841.0,33920.5,553.06,18508.79,31
HCPCS,G0416,SURGICAL PATHOLOGY; GROSS AND MICROSCOPIC EXAMINATIONS; FOR PROSTATE NEEDLE BIOPSY; ANY METHOD,916.0,458.0,127.9,914.3,31
HCPCS,G0422,INTENS CARDIAC REHAB W/EXERC,280.0,140.0,80.65,328.81,31
HCPCS,G0423,INTENS CARDIAC REHAB NO EXER,280.0,140.0,80.65,328.81,31
HCPCS,G0435,ORAL HIV-1/HIV-2 SCREEN,458.0,229.0,7.79,31.75,24
HCPCS,G0438,ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS); INITIAL VISIT,436.0,218.0,107.95,440.11,31
HCPCS,G0438,"PPPS, INITIAL VISIT",469.0,234.5,107.95,440.11,31
HCPCS,G0439,ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS); SUBSEQUENT VISIT,263.0,131.5,84.77,345.61,55
HCPCS,G0439,"PPPS, SUBSEQ VISIT",180.0,90.0,84.77,345.61,31
HCPCS,G0442,ANNUAL ALCOHOL SCREEN 15 MIN,67.0,33.5,6.69,95.56,31
HCPCS,G0443,BRIEF ALCOHOL MISUSE COUNSEL,87.5,43.75,22.39,259.14,62
HCPCS,G0444,ANNUAL DEPRESSION SCREENING; 15 MINUTES,45.0,22.5,6.69,95.56,31
HCPCS,G0444,DEPRESSION SCREEN ANNUAL,60.0,30.0,6.69,95.56,62
HCPCS,G0445,HIGH INTEN BEH COUNS STD 30M,45.0,22.5,22.39,259.14,31
HCPCS,G0446,INTENS BEHAVE THER CARDIO DX,96.0,48.0,22.39,95.56,31
HCPCS,G0447,BEHAVIOR COUNSEL OBESITY 15M,232.0,116.0,22.39,259.14,62
HCPCS,G0447,FACE-TO-FACE BEHAVIORAL COUNSELING FOR OBESITY; 15 MINUTES,113.0,56.5,22.39,259.14,55
HCPCS,G0455,FECAL MICROBIOTA PREP INSTIL,1814.0,907.0,53.28,2372.09,37
HCPCS,G0460,AUTOLOG PRP NOT DIAB ULCER,5270.0,2635.0,1290.9,5262.9,24
HCPCS,G0463,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,132.5,66.25,33.32,202.48,920
HCPCS,G0465,AUTOLOG PRP DIAB WOUND ULCER,4954.0,2477.0,67.95,5262.9,31
HCPCS,G0475,HIV ANTIGEN/ANTIBODY; COMBINATION ASSAY; SCREENING,73.0,36.5,15.65,63.81,96
HCPCS,G0476,HPV COMBO ASSAY CA SCREEN,127.5,63.75,22.81,92.99,60
HCPCS,G0476,INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES (EG; 16; 18; 31; 33; 35; 39; 45; 51; 52; 56; 58; 59; 68) FOR CERVICAL CANCER SCREENING; MUST BE PER,85.0,42.5,22.81,92.99,30
HCPCS,G0480,DRUG TEST DEF 1-7 CLASSES,118.0,59.0,17.0,303.24,2902
HCPCS,G0480,DRUG TEST(S); DEFINITIVE; UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS); INCLUDING; BUT NOT,220.0,110.0,67.15,303.24,244
HCPCS,G0481,DRUG TEST DEF 8-14 CLASSES,255.5,127.75,101.78,414.96,74
HCPCS,G0481,DRUG TEST(S); DEFINITIVE; UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS); INCLUDING; BUT NOT,40.0,20.0,40.0,414.96,37
HCPCS,G0482,DRUG TEST DEF 15-21 CLASSES,380.5,190.25,129.18,526.66,74
HCPCS,G0483,DRUG TEST DEF 22+ CLASSES,698.5,349.25,160.5,654.34,74
HCPCS,G0483,DRUG TEST(S); DEFINITIVE; UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS); INCLUDING; BUT NOT,82.0,41.0,82.0,654.34,37
HCPCS,G0498,CHEMO EXTEND IV INFUS W/PUMP,1082.0,541.0,206.65,842.51,24
HCPCS,G0498,CHEMOTHERAPY ADMINISTRATION; INTRAVENOUS INFUSION TECHNIQUE; INITIATION OF INFUSION IN THE OFFICE/OTHER OUTPATIENT SETTING USING OFFICE/OTHER OUTPATIENT SETTING PUMP/SUPPLIES; WITH CONTINUATION OF THE,3501.5,1750.75,206.65,842.51,72
HCPCS,G0506,COMP ASSES CARE PLAN CCM SVC,172.0,86.0,24.9,101.52,31
HCPCS,G0538,ASCVD RSK MNG CLIN STF PR MO,231.0,115.5,6.69,259.14,31
HCPCS,G1001,CDSM EVICORE,0.01,0.01,,,0
HCPCS,G1002,CDSM MEDCURRENT,0.01,0.01,,,0
HCPCS,G1003,CDSM MEDICALIS,0.01,0.01,,,0
HCPCS,G1004,CDSM NDSC,0.01,0.01,,,0
HCPCS,G1007,CDSM AIM,0.01,0.01,,,0
HCPCS,G1008,CDSM CRANBERRY PK,0.01,0.01,,,0
HCPCS,G1010,CDSM STANSON,0.01,0.01,,,0
HCPCS,G1011,CDSM QUALIFIED NOS,0.01,0.01,,,0
HCPCS,G2212,PROLONG OUTPT/OFFICE VIS,28.0,14.0,17.82,72.64,31
HCPCS,G2212,PROLONGED OFFICE OR OTHER OUTPATIENT EVALUATION AND MANAGEMENT SERVICE(S) (BEYOND THE TOTAL TIME OF THE PRIMARY PROCEDURE WHICH HAS BEEN SELECTED USING TOTAL TIME); REQUIRING TOTAL TIME WITH OR WITHOU,26.0,13.0,17.82,72.64,31
HCPCS,G2214,INIT/SUB PSYCH CARE M 1ST 30,337.0,168.5,28.31,259.14,37
HCPCS,G2214,INITIAL OR SUBSEQUENT PSYCHIATRIC COLLABORATIVE CARE MANAGEMENT; FIRST 30 MINUTES IN A MONTH OF BEHAVIORAL HEALTH CARE MANAGER ACTIVITIES; IN CONSULTATION WITH A PSYCHIATRIC CONSULTANT; AND DIRECTED B,313.0,156.5,28.31,259.14,61
HCPCS,H0002,ALCOHOL AND/OR DRUG SCREENIN,21.0,10.5,,,0
HCPCS,H0004,ALCOHOL/DRUG SERVICES C&T PER 15 MINS,52.0,26.0,,,0
HCPCS,H0004,BEHAVIORAL HEALTH COUNSELING AND THERAPY; PER 15 MINUTES,411.0,205.5,,,0
HCPCS,H0031,MENTAL HEALTH ASSESSMENT; BY NON-PHYSICIAN,247.0,123.5,,,0
HCPCS,H0031,MH ASSESSM NOT MD,738.0,369.0,,,0
HCPCS,H0032,MH PLAN NOT MD,247.0,123.5,,,0
HCPCS,H0038,SELF-HELP/PEER SVC PER 15MIN,18.0,9.0,,,0
HCPCS,H0040,ASSERT COMM TX PGM PER DIEM,96.0,48.0,,,0
HCPCS,H2012,BEHAV HLTH DAY TX/HR,247.0,123.5,,,0
HCPCS,H2014,SKILLS TRAIN & DEVELOP/15 MIN,105.0,52.5,,,0
HCPCS,H2019,THER BEHAV SVC/15 MIN,247.0,123.5,,,0
HCPCS,H2036,A/D TX PROGRAM/DIEM,874.0,437.0,1482.0,17224.0,10
HCPCS,J0122,"INJ., ERAVACYCLINE, 1 MG",7.0,3.5,0.9,3.66,25
HCPCS,J0129,Orencia,19052.42,9526.21,29.81,121.53,48
HCPCS,J0131,Acetaminophen,25.425,12.715,0.08,0.08,12
HCPCS,J0131,INJECTION; ACETAMINOPHEN; 10 MG,27.0,13.5,0.08,0.08,2
HCPCS,J0131,Ofirmev,175.365,87.685,0.08,0.08,1
HCPCS,J0132,Acetylcysteine,495.05,247.53,1.16,1.16,1
HCPCS,J0133,Acyclovir Sodium,12.99,6.5,0.1,0.1,2
HCPCS,J0134,Acetaminophen,11.4,5.705,0.08,0.08,2
HCPCS,J0134,INJECTION; ACETAMINOPHEN (FRESENIUS KABI) NOT THERAPEUTICALLY EQUIVALENT TO J0131; 10 MG,17.55,8.78,0.08,0.08,1
HCPCS,J0136,Acetaminophen,21.6,10.8,0.1,0.1,1
HCPCS,J0136,INJECTION; ACETAMINOPHEN (B BRAUN) NOT THERAPEUTICALLY EQUIVALENT TO J0131; 10 MG,32.400000000000006,16.200000000000003,0.1,0.1,1
HCPCS,J0139,Humira PFS,7534.83,3767.42,,,0
HCPCS,J0153,Adenosine,29.435000000000002,14.719999999999999,0.99,0.99,5
HCPCS,J0162,EPINEPHrine,10.34,5.17,,,0
HCPCS,J0165,Adrenalin,5.609999999999999,2.81,,,0
HCPCS,J0165,EPINEPHrine,185.625,92.815,,,0
HCPCS,J0166,EPINEPHrine,63.985,31.994999999999997,,,0
HCPCS,J0167,EPINEPHrine,33.98,16.99,,,0
HCPCS,J0168,EPINEPHrine,17.1,8.55,1482.0,17224.0,2
HCPCS,J0168,EPINEPHrine HCl,18.025,9.015,,,0
HCPCS,J0169,Adrenalin,98.38,49.2,,,0
HCPCS,J0169,EPINEPHrine,44.15,22.080000000000002,,,0
HCPCS,J0169,EPINEPHrine HCl,12.945,6.4750000000000005,,,0
HCPCS,J0171,Adrenalin,73.795,36.900000000000006,1.24,1.24,3
HCPCS,J0171,EPINEPHrine,33.75,16.88,1.24,1.24,4
HCPCS,J0171,EPINEPHrine HCl,8.63,4.32,1.24,1.24,2
HCPCS,J0171,INJECTION; ADRENALIN; EPINEPHRINE; 0.1 MG,2.03,1.02,1.24,1.24,1
HCPCS,J0173,Testopel Pellets,1350.0,675.0,2.95,2.95,1
HCPCS,J0174,Leqembi,745.32,372.66,0.87,3.55,722
HCPCS,J0175,Kisunla,7884.9,3942.45,2.7,11.02,144
HCPCS,J0177,Eylea HD,17724.0,8862.0,194.14,791.5,120
HCPCS,J0177,Eylea PFS,23632.0,11816.0,194.14,791.5,24
HCPCS,J0177,"INJ, AFLIBERCEPT HD, 1 MG",1537.0,768.5,194.14,791.5,24
HCPCS,J0178,AFLIBERCEPT INJECTION,4371.0,2185.5,483.34,1970.54,25
HCPCS,J0178,Avastin,8326.0,4163.0,483.34,1970.54,24
HCPCS,J0178,Eylea,12489.0,6244.5,483.34,1970.54,73
HCPCS,J0178,Eylea HD,8326.0,4163.0,483.34,1970.54,24
HCPCS,J0178,Eylea PFS,8326.0,4163.0,483.34,1970.54,241
HCPCS,J0178,INJECTION; AFLIBERCEPT; 1 MG,12489.0,6244.5,483.34,1970.54,49
HCPCS,J0180,Fabrazyme,23201.575,11600.79,151.27,616.71,50
HCPCS,J0184,Barhemsys,278.925,139.465,6.22,25.36,218
HCPCS,J0185,Cinvanti,961.91,480.96,1.03,4.21,97
HCPCS,J0219,Nexviazyme,156765.7,78382.85,54.56,222.44,24
HCPCS,J0223,Givlaari,138864.24,69432.12,78.6,320.44,48
HCPCS,J0225,Amvuttra,238702.0,119351.0,3258.19,13283.39,121
HCPCS,J0248,"INJ, REMDESIVIR, 1 MG",30.0,15.0,4.88,19.9,25
HCPCS,J0248,Veklury,5856.48,2928.24,4.88,19.9,24
HCPCS,J0256,Zemaira,185.07,92.54,3.33,13.59,192
HCPCS,J0270,ALPROSTADIL FOR INJECTION,26.5,13.25,0.73,0.73,2
HCPCS,J0270,Caverject,217.07,108.54,0.73,0.73,1
HCPCS,J0270,Prostin VR Pediatric,10.3,5.15,0.73,0.73,1
HCPCS,J0278,AMIKACIN SULFATE INJECTION,3.0,1.5,1.37,1.37,1
HCPCS,J0278,Amikacin,55.015,27.51,1.37,1.37,2
HCPCS,J0278,Amikacin Sulfate,16.17,8.085,0.5,1.37,2
HCPCS,J0278,amikacin sulfate NovaPlus,4.0,2.0,1.37,1.37,1
HCPCS,J0280,Aminophylline,28.48,14.24,8.46,8.46,1
HCPCS,J0281,Aminocaproic Acid,18.45,9.23,,,0
HCPCS,J0282,Amiodarone HCl,11.3,5.654999999999999,1.35,1.35,4
HCPCS,J0283,Nexterone,120.0,60.0,10.68,10.68,1
HCPCS,J0285,Amphotericin B,1.5,0.75,1.5,1.5,1
HCPCS,J0290,AMPICILLIN 500 MG INJ,3.0,1.5,1.67,1.67,1
HCPCS,J0290,Ampicillin,10.02,5.01,1.67,1.67,5
HCPCS,J0290,Ampicillin Sodium,9.09,4.55,1.67,1.67,2
HCPCS,J0295,Ampicillin and Sulbactam Novaplus,11.99,6.0,,,0
HCPCS,J0295,Ampicillin-Sulbactam,13.285,6.645,2.92,2.92,6
HCPCS,J0295,INJECTION; AMPICILLIN SODIUM/SULBACTAM SODIUM; PER 1.5 GM,35.97,17.99,2.92,2.92,1
HCPCS,J0295,Unasyn,9.835,4.92,2.92,2.92,2
HCPCS,J0330,INJECTION; SUCCINYLCHOLINE CHLORIDE; UP TO 20 MG,43.935,21.970000000000002,2.87,2.87,2
HCPCS,J0330,Quelicin,32.63,16.32,2.87,2.87,1
HCPCS,J0330,Succinylcholine Chloride,32.63,16.32,2.87,2.87,1
HCPCS,J0360,INJECTION; HYDRALAZINE HCL; UP TO 20 MG,12.61,6.31,9.22,9.22,1
HCPCS,J0360,PremierPro Rx hydrALAZINE HCl,3.16,1.58,3.16,3.16,1
HCPCS,J0360,hydrALAZINE HCl,6.72,3.16,2.9,9.22,4
HCPCS,J0401,"INJ, ABILIFY MAINTENA, 1 MG",29.0,14.5,4.85,19.77,25
HCPCS,J0402,"INJ, ABILIFY ASIMTUFII, 1 MG",25.0,12.5,4.02,16.38,25
HCPCS,J0456,Azithromycin,8.28,4.14,4.29,4.29,2
HCPCS,J0456,INJECTION; AZITHROMYCIN; 500 MG,7.11,3.56,4.29,4.29,1
HCPCS,J0457,Aztreonam,202.58,101.29,,,0
HCPCS,J0461,Atropine Sulfate,38.07,19.049999999999997,0.13,0.13,5
HCPCS,J0462,Atropine Sulfate,16.665,8.335,,,0
HCPCS,J0475,BACLOFEN 10 MG INJECTION,1064.0,532.0,120.97,493.19,25
HCPCS,J0475,Baclofen,5933.0,2966.5,120.97,493.19,73
HCPCS,J0475,Gablofen,4256.0,2128.0,120.97,493.19,98
HCPCS,J0475,INJECTION; BACLOFEN; 10 MG,8506.26,4253.13,120.97,493.19,97
HCPCS,J0475,Lioresal Intrathecal Refill Kit,8505.0,4252.5,120.97,493.19,48
HCPCS,J0475,Lioresal Refill Kit,8512.0,4256.0,120.97,493.19,24
HCPCS,J0476,Lioresal,185.46,92.735,61.78,61.78,1
HCPCS,J0476,Lioresal Intrathecal,222.55,111.28,61.78,61.78,1
HCPCS,J0480,BASILIXIMAB,20195.0,10097.5,3188.28,12998.38,25
HCPCS,J0485,Nulojix,4146.26,2073.13,2.52,10.28,168
HCPCS,J0490,BELIMUMAB INJECTION,261.0,130.5,37.9,154.5,50
HCPCS,J0490,Benlysta,7170.639999999999,3585.3199999999997,37.9,154.5,265
HCPCS,J0491,INJ ANIFROLUMAB-FNIA 1MG,82.0,41.0,12.03,49.05,25
HCPCS,J0491,Saphnelo,21340.02,10670.01,12.03,49.05,73
HCPCS,J0500,Dicyclomine,68.88,34.44,41.2,41.2,1
HCPCS,J0515,Benztropine Mesylate,51.68,25.84,27.13,27.13,1
HCPCS,J0517,Fasenra PFS,20698.56,10349.28,107.61,438.73,72
HCPCS,J0517,"INJ., BENRALIZUMAB, 1 MG",878.0,439.0,107.61,438.73,25
HCPCS,J0558,Bicillin L-A,945.56,472.78,12.69,51.73,24
HCPCS,J0558,PENG BENZATHINE/PROCAINE INJ,84.0,42.0,12.69,51.73,25
HCPCS,J0561,Bicillin L-A,1931.625,965.815,21.18,86.36,290
HCPCS,J0561,INJECTION; PENICILLIN G BENZATHINE; 100;000 UNITS,3072.0,1536.0,21.18,86.36,25
HCPCS,J0561,PENICILLIN G BENZATHINE INJ,128.0,64.0,21.18,86.36,25
HCPCS,J0565,"INJ, BEZLOTOXUMAB, 10 MG",206.0,103.0,25.89,105.55,25
HCPCS,J0571,Buprenorphine,17.97,8.99,2.31,2.31,4
HCPCS,J0572,Buprenorphine-Naloxone,21.0,10.5,10.5,11.75,4
HCPCS,J0572,Buprenorphine-Naloxone AvPak,10.5,5.25,10.5,10.5,1
HCPCS,J0572,Suboxone,25.965,12.985,10.5,10.5,1
HCPCS,J0574,BUPRENORPHINE/NALOXONE; ORAL; GREATER THAN 6 MG; BUT LESS THAN OR EQUAL TO 10 MG BUPRENORPHINE,10.5,5.25,10.5,10.5,1
HCPCS,J0574,Buprenorphine-Naloxone,17.94,8.97,10.5,19.26,5
HCPCS,J0574,Suboxone,37.13,18.57,19.26,19.26,1
HCPCS,J0583,bivalirudin,200.51,100.26,0.35,0.35,2
HCPCS,J0585,Avastin,2535.0,1267.5,4.23,17.25,49
HCPCS,J0585,Botox,1292.0,646.0,4.23,17.25,794
HCPCS,J0585,Botox Cosmetic,429.0,214.5,4.23,17.25,24
HCPCS,J0585,Eylea PFS,2600.0,1300.0,4.23,17.25,48
HCPCS,J0585,"INJECTION,ONABOTULINUMTOXINA",14.0,7.0,4.23,17.25,25
HCPCS,J0585,INJECTION; ONABOTULINUMTOXINA; 1 UNIT,2470.0,1235.0,4.23,17.25,194
HCPCS,J0585,Xeomin,3575.0,1787.5,4.23,17.25,217
HCPCS,J0585,Yutiq,2600.0,1300.0,4.23,17.25,24
HCPCS,J0586,ABOBOTULINUMTOXINA,18.0,9.0,5.82,23.72,25
HCPCS,J0586,Botox,648.0,324.0,5.82,23.72,24
HCPCS,J0586,Dysport,528.505,264.255,5.82,23.72,97
HCPCS,J0586,INJECTION; ABOBOTULINUMTOXINA; 5 UNITS,648.0,324.0,5.82,23.72,25
HCPCS,J0586,Myobloc,1800.0,900.0,5.82,23.72,96
HCPCS,J0587,"INJ, RIMABOTULINUMTOXINB",26.0,13.0,8.64,35.22,25
HCPCS,J0587,Leucovorin Calcium,1437.5,718.75,8.64,35.22,145
HCPCS,J0587,Myobloc,1248.0,624.0,8.64,35.22,216
HCPCS,J0588,Botox,2145.0,1072.5,3.43,13.99,24
HCPCS,J0588,Dysport,2200.0,1100.0,3.43,13.99,193
HCPCS,J0588,INCOBOTULINUMTOXIN A,11.0,5.5,3.43,13.99,25
HCPCS,J0588,INJECTION; INCOBOTULINUMTOXINA; 1 UNIT,445.5,222.75,3.43,13.99,49
HCPCS,J0588,Leucovorin Calcium,308.0,154.0,3.43,13.99,24
HCPCS,J0588,Xeomin,879.04,439.52,3.43,13.99,265
HCPCS,J0591,"INJ DEOXYCHOLIC ACID, 1 MG",68.0,34.0,,,0
HCPCS,J0592,Buprenorphine Hydrochloride,53.45,26.73,6.81,6.81,1
HCPCS,J0597,Berinert,43824.24,21912.12,51.52,210.04,24
HCPCS,J0597,"C-1 ESTERASE, BERINERT",91.0,45.5,51.52,210.04,25
HCPCS,J0601,Sevelamer Carbonate,1.81,0.905,,,0
HCPCS,J0601,Sevelamer Carbonate AvPak,18.065,9.035,,,0
HCPCS,J0612,Calcium Gluconate,31.634999999999998,15.82,0.08,0.08,7
HCPCS,J0615,Calcium Acetate,1.05,0.53,,,0
HCPCS,J0615,Calphron,1.5,0.75,,,0
HCPCS,J0616,Metoprolol Tartrate,3.02,1.51,,,0
HCPCS,J0618,Calcium Chloride,29.47,14.739999999999998,,,0
HCPCS,J0630,Calcitonin-Salmon,1640.22,820.11,,,0
HCPCS,J0640,Leucovorin Calcium,111.5,55.75,7.38,7.38,5
HCPCS,J0650,Levothyroxine Sodium,279.4,139.7,,,0
HCPCS,J0665,BUPivacaine HCl,15.0,7.5,0.02,0.02,2
HCPCS,J0665,ROPivacaine HCl,30.0,15.0,0.02,0.02,1
HCPCS,J0665,Sensorcaine-MPF,11.045,5.525,0.02,17224.0,3
HCPCS,J0666,Exparel,1228.355,614.18,0.9,3.66,360
HCPCS,J0666,"INJ, BUPIVACAINE LIPOSOME",6.0,3.0,0.9,3.66,24
HCPCS,J0670,Carbocaine,5.25,2.63,5.25,5.25,2
HCPCS,J0670,INJECTION; MEPIVACAINE HYDROCHLORIDE; PER 10 ML,19.77,9.889999999999999,5.25,5.43,2
HCPCS,J0670,Polocaine,5.25,2.63,5.25,5.25,1
HCPCS,J0670,Polocaine-MPF,5.25,2.63,5.25,5.25,3
HCPCS,J0690,CEFAZOLIN SODIUM INJECTION,4.0,2.0,1.25,1.25,1
HCPCS,J0690,EPINEPHrine HCl,5.71,2.86,1.25,1.25,1
HCPCS,J0690,INJECTION; CEFAZOLIN SODIUM; 500 MG,5.71,2.86,1.25,1.25,2
HCPCS,J0690,ceFAZolin,10.5,5.25,1.25,1.25,6
HCPCS,J0690,ceFAZolin Sodium,6.285,3.145,1.25,1.25,2
HCPCS,J0692,CEFEPIME HCL FOR INJECTION,5.0,2.5,2.08,2.08,1
HCPCS,J0692,Cefepime,27.34,13.675,2.08,2.08,7
HCPCS,J0692,INJECTION; CEFEPIME HYDROCHLORIDE; 500 MG,68.94,34.47,2.08,2.08,1
HCPCS,J0694,cefOXitin Sodium,19.23,9.615,8.07,8.38,3
HCPCS,J0695,INJ CEFTOLOZANE TAZOBACTAM,37.0,18.5,6.53,26.61,25
HCPCS,J0696,CEFTRIAXONE SODIUM INJECTION,25.0,12.5,0.81,0.81,2
HCPCS,J0696,INJECTION; CEFTRIAXONE SODIUM; PER 250 MG,6.8,3.4050000000000002,0.81,0.81,1
HCPCS,J0696,cefTRIAXone,6.57,3.29,0.81,0.81,17
HCPCS,J0697,Cefuroxime,0.5,0.25,0.5,0.5,1
HCPCS,J0697,Cefuroxime Sodium,1.0,0.5,0.5,0.5,1
HCPCS,J0697,Zinacef,2.67,1.34,2.67,2.67,1
HCPCS,J0702,Avastin,32.0,16.0,11.25,11.25,1
HCPCS,J0702,BETAMETHASONE ACET&SOD PHOSP,18.0,9.0,11.25,11.25,1
HCPCS,J0702,Betamethasone Sodium Phosphate-Betamethasone Ace,61.35,30.68,11.25,11.25,1
HCPCS,J0702,Celestone Soluspan,61.44,30.72,11.25,11.25,1
HCPCS,J0702,INJECTION; BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG,32.0,16.0,11.25,11.25,1
HCPCS,J0702,PremierPro Rx Betamethasone Na Phos-Betameth Ace,64.0,32.0,,,0
HCPCS,J0702,Xeomin,64.0,32.0,11.25,11.25,1
HCPCS,J0702,cloNIDine HCl,48.0,24.0,11.25,11.25,1
HCPCS,J0712,CEFTAROLINE FOSAMIL INJ,22.0,11.0,2.85,11.63,25
HCPCS,J0712,Teflaro,924.905,462.45500000000004,2.85,11.63,49
HCPCS,J0713,INJ CEFTAZIDIME PER 500 MG,6.0,3.0,2.79,2.79,1
HCPCS,J0713,Tazicef,9.415,4.71,0.5,2.79,3
HCPCS,J0713,Vistide,6.0,3.0,2.79,2.79,1
HCPCS,J0713,cefTAZidime,4.1,2.05,0.5,2.79,2
HCPCS,J0717,Cimzia PFS,22810.46,11405.23,2.24,9.12,24
HCPCS,J0735,CLONIDINE HYDROCHLORIDE,7.0,3.5,7.0,7.0,1
HCPCS,J0735,Duraclon,6.57,3.29,6.57,6.57,1
HCPCS,J0735,Xiaflex,175.0,87.5,,,0
HCPCS,J0735,cloNIDine HCl,5.545,2.775,5.55,6.57,3
HCPCS,J0736,Cleocin Phosphate,5.25,2.63,1482.0,17224.0,2
HCPCS,J0736,Clindamycin,38.480000000000004,19.245,3.14,3.14,1
HCPCS,J0736,Clindamycin Phosphate-Dextrose,24.98,12.495,3.14,3.14,1
HCPCS,J0739,Apretude,17835.864999999998,8917.935000000001,4.74,19.32,121
HCPCS,J0739,"HIV PREP, INJ, CABOTEGRAVIR",31.0,15.5,4.74,19.32,25
HCPCS,J0744,Ciprofloxacin,12.6,6.3,3.18,3.18,3
HCPCS,J0744,Ciprofloxacin in Dextrose,27.0,13.5,3.18,3.18,1
HCPCS,J0744,Ciprofloxacin in Dextrose Novaplus,15.3,7.65,3.18,3.18,1
HCPCS,J0744,INJECTION; CIPROFLOXACIN FOR INTRAVENOUS INFUSION; 200 MG,27.0,13.5,3.18,3.18,1
HCPCS,J0750,Truvada,266.67,133.34,0.29,1.19,24
HCPCS,J0750,emtricitabine-tenofovir disoproxil fumarate,5.37,2.69,0.29,1.19,144
HCPCS,J0759,Cleviprex,346.73,173.365,1.85,7.53,144
HCPCS,J0775,"COLLAGENASE, CLOST HIST INJ",370.0,185.0,50.9,207.5,25
HCPCS,J0780,INJECTION; PROCHLORPERAZINE; UP TO 10 MG,7.449999999999999,3.73,5.66,5.66,1
HCPCS,J0780,PROCHLORPERAZINE INJECTION,11.0,5.5,5.66,5.66,1
HCPCS,J0780,Prochlorperazine Edisylate,5.895,2.95,3.81,5.66,4
HCPCS,J0834,Cortrosyn,74.42,37.21,44.73,44.73,1
HCPCS,J0834,Cosyntropin,134.34500000000003,67.17500000000001,44.73,44.73,1
HCPCS,J0834,Cytogam,135.0,67.5,44.73,44.73,1
HCPCS,J0834,"INJ., COSYNTROPIN, 0.25 MG",135.0,67.5,44.73,44.73,1
HCPCS,J0840,Crofab,23504.0,11752.0,1239.49,5053.31,25
HCPCS,J0875,Dalvance,8784.17,4392.085,7.34,29.92,193
HCPCS,J0875,"INJECTION, DALBAVANCIN",41.0,20.5,7.34,29.92,25
HCPCS,J0875,dalbavancin,5579.82,2789.91,7.34,29.92,48
HCPCS,J0878,DAPTOMYCIN INJECTION,1.0,0.5,0.07,0.07,1
HCPCS,J0878,DAPTOmycin,75.24,37.62,0.07,0.07,8
HCPCS,J0881,Aranesp,839.45,419.73,1.9,7.74,48
HCPCS,J0881,Aranesp PFS,6715.44,3357.72,1.9,7.74,146
HCPCS,J0881,"DARBEPOETIN ALFA, NON-ESRD",34.0,17.0,1.9,7.74,25
HCPCS,J0882,"DARBEPOETIN ALFA, ESRD USE",34.0,17.0,1.9,7.74,25
HCPCS,J0885,"EPOETIN ALFA, NON-ESRD",67.5,33.75,4.47,18.23,50
HCPCS,J0885,Procrit,1102.5,551.25,4.47,18.23,385
HCPCS,J0885,Prolia PFS,1575.0,787.5,4.47,18.23,121
HCPCS,J0894,Decitabine,130.055,65.03,2.79,2.79,4
HCPCS,J0896,Reblozyl,36687.62,18343.81,28.28,115.3,144
HCPCS,J0897,Bildyos PFS,3535.92,1767.96,19.57,79.76,24
HCPCS,J0897,DENOSUMAB INJECTION,136.0,68.0,19.57,79.77,25
HCPCS,J0897,DEPO-Medrol,7800.0,3900.0,19.57,79.76,217
HCPCS,J0897,INJECTION; DENOSUMAB; 1 MG,7800.0,3900.0,19.57,79.76,25
HCPCS,J0897,Prolia PFS,8143.655000000001,4071.83,19.57,79.76,600
HCPCS,J0897,Xgeva,14622.369999999999,7311.1849999999995,19.57,79.77,288
HCPCS,J1010,Botox,160.0,80.0,,,0
HCPCS,J1010,DEPO-Medrol,40.66,20.33,,,0
HCPCS,J1010,DEPO-Medrol Novaplus,46.305,23.155,,,0
HCPCS,J1010,Depo-Provera Contraceptive,120.0,60.0,,,0
HCPCS,J1010,"INJ, METHYLPRED ACETATE 1 MG",2.0,1.0,,,0
HCPCS,J1010,PremierPro Rx methylPREDNISolone Acetate,57.28,28.64,,,0
HCPCS,J1010,Testosterone Cypionate,42.0,21.0,,,0
HCPCS,J1010,methylPREDNISolone Acetate,40.0,20.0,,,0
HCPCS,J1050,Depo-Provera Contraceptive,300.0,150.0,0.87,0.87,1
HCPCS,J1050,INJECTION; MEDROXYPROGESTERONE ACETATE; 1 MG,158.065,79.035,0.87,0.87,1
HCPCS,J1050,MEDROXYPROGESTERONE ACETATE,2.0,1.0,0.87,0.87,1
HCPCS,J1050,medroxyPROGESTERone acetate,108.79,59.2,0.87,0.87,7
HCPCS,J1071,INJ TESTOSTERONE CYPIONATE,1.0,0.5,0.05,0.05,1
HCPCS,J1071,Testosterone Cypionate,28.94,14.47,,,0
HCPCS,J1073,TESTOSTERONE PELLET 75 MG,338.0,169.0,47.32,192.92,24
HCPCS,J1073,Testopel Pellets,2025.0,1012.5,47.32,192.92,24
HCPCS,J1100,DEXAMETHASONE SODIUM PHOS,1.5,0.75,0.2,0.2,2
HCPCS,J1100,Darvocet-N 50,10.0,5.0,0.2,0.2,1
HCPCS,J1100,HYDROmorphone HCl,10.0,5.0,,,0
HCPCS,J1100,INJECTION; DEXAMETHASONE SODIUM PHOSPHATE; 1 MG,5.32,2.66,0.2,17224.0,3
HCPCS,J1100,PremierPro Rx dexAMETHasone Sodium Phosphate,2.69,1.35,0.2,0.2,1
HCPCS,J1100,ROPivacaine HCl,10.0,5.0,,,0
HCPCS,J1100,Reclast,24.0,12.0,0.2,0.2,1
HCPCS,J1100,Sterile Vancomycin Hydrochloride,10.0,5.0,,,0
HCPCS,J1100,cloNIDine HCl,7.0,3.5,0.2,0.2,1
HCPCS,J1100,dexAMETHasone Sodium Phosphate,4.0,2.01,0.2,0.2,28
HCPCS,J1110,Dihydroergotamine Mesylate,207.07,103.54,69.86,69.86,2
HCPCS,J1110,INJ DIHYDROERGOTAMINE MESYLT,195.0,97.5,69.86,69.86,1
HCPCS,J1120,ACETAZOLAMID SODIUM INJECTIO,47.0,23.5,46.4,46.4,1
HCPCS,J1120,PremierPro Rx acetaZOLAMIDE,46.08,23.04,46.08,46.08,1
HCPCS,J1120,Zinecard,121.0,60.5,46.4,46.4,1
HCPCS,J1120,acetaZOLAMIDE,124.02,62.01,46.4,46.4,4
HCPCS,J1160,Digoxin,12.72,6.36,12.72,12.72,1
HCPCS,J1163,dilTIAZem HCl,6.529999999999999,3.2649999999999997,,,0
HCPCS,J1165,Phenytoin Sodium,46.47,23.24,1.04,1.04,1
HCPCS,J1171,DOBUTamine HCl in Dextrose,400.0,200.0,,,0
HCPCS,J1171,HYDROmorphone HCl,2000.0,1000.0,,,0
HCPCS,J1171,"INJ, HYDROMORPHONE, 0.1 MG",3.0,1.5,,,0
HCPCS,J1171,Rimso-50,3200.0,1600.0,,,0
HCPCS,J1171,Simplist Dilaudid,21.255000000000003,10.629999999999999,,,0
HCPCS,J1190,Dexrazoxane,1212.0549999999998,606.03,26.94,178.22,49
HCPCS,J1190,INJECTION; DEXRAZOXANE HYDROCHLORIDE; PER 250 MG,357.36,178.68,26.94,178.22,218
HCPCS,J1190,Zinecard,259.9,129.95,26.94,178.22,25
HCPCS,J1200,Banophen,5.0,2.5,1.32,1.32,1
HCPCS,J1200,DIPHENHYDRAMINE HCL INJECTIO,4.0,2.0,1.32,1.32,1
HCPCS,J1200,INJECTION; DIPHENHYDRAMINE HCL; UP TO 50 MG,5.0,2.5,1.32,1.32,1
HCPCS,J1200,Neupogen,5.0,2.5,,,0
HCPCS,J1200,diphenhydrAMINE HCl,1.29,0.65,0.52,1.32,5
HCPCS,J1212,DIMETHYL SULFOXIDE 50% 50 ML,3017.0,1508.5,486.77,1984.53,25
HCPCS,J1230,Methadone HCl,32.8,16.405,21.87,21.87,1
HCPCS,J1271,Doxycycline,65.32,32.665,1482.0,17224.0,4
HCPCS,J1299,Soliris,78275.88,39137.94,28.73,117.13,48
HCPCS,J1303,INJECTION; RAVULIZUMAB-CWVZ; 10 MG,192120.03,96060.02,147.5,601.34,24
HCPCS,J1303,Ultomiris,211331.94,105665.97,147.5,601.34,96
HCPCS,J1305,Evkeeza,64687.5,32343.75,128.46,523.72,121
HCPCS,J1306,"INJECTION, INCLISIRAN, 1 MG",54.0,27.0,8.38,34.18,25
HCPCS,J1306,Leqvio,15216.39,7608.2,8.38,34.18,169
HCPCS,J1308,Famotidine,2.0300000000000002,1.0150000000000001,,,0
HCPCS,J1323,Elrexfio,57144.4,28572.2,125.11,510.07,24
HCPCS,J1325,Epoprostenol,120.0,60.0,26.33,26.33,1
HCPCS,J1326,Vyloy,26400.0,13200.0,22.05,89.89,72
HCPCS,J1335,ERTAPENEM INJECTION,76.0,38.0,21.4,21.4,2
HCPCS,J1335,Ertapenem,100.15,36.355,15.58,21.4,3
HCPCS,J1364,Erythrocin Lactobionate,124.56,62.28,,,0
HCPCS,J1426,"INJECTION, CASIMERSEN, 10 MG",543.0,271.5,108.01,440.35,25
HCPCS,J1428,Exondys 51,16320.0,8160.0,108.83,443.69,49
HCPCS,J1437,Monoferric,9846.295,4923.15,13.7,55.86,193
HCPCS,J1438,Enbrel PFS,1324.28,662.14,,,0
HCPCS,J1439,Injectafer,1816.125,908.065,0.73,2.99,265
HCPCS,J1440,Rebyota,37088.4,18544.2,42.64,173.84,25
HCPCS,J1442,Neupogen,923.06,461.53,0.66,2.68,24
HCPCS,J1448,Cosela,7038.0,3519.0,3.55,14.47,49
HCPCS,J1450,Fluconazole,18.45,9.23,4.62,4.62,3
HCPCS,J1450,Fluconazole in Sodium Chloride,15.19,7.6,4.62,4.62,2
HCPCS,J1451,Fomepizole,1012.8699999999999,506.43499999999995,4.02,16.38,49
HCPCS,J1453,INJECTION; FOSAPREPITANT; 1 MG,78.57,39.29,0.23,0.23,1
HCPCS,J1453,fosaprepitant dimeglumine,78.53,39.27,0.23,0.23,5
HCPCS,J1455,FOSCARNET SODIUM INJECTION,118.0,59.0,97.96,97.96,1
HCPCS,J1455,Foscarnet Sodium,314.3,157.15,97.96,97.96,1
HCPCS,J1455,Foscavir,1071.79,535.895,97.96,97.96,1
HCPCS,J1459,Ganciclovir,13360.0,6680.0,33.29,135.73,49
HCPCS,J1459,HyQvia,16700.0,8350.0,33.29,135.73,24
HCPCS,J1459,INJ IVIG PRIVIGEN 500 MG,165.0,82.5,33.29,135.73,25
HCPCS,J1459,INJECTION; IMMUNE GLOBULIN (PRIVIGEN); INTRAVENOUS; NON-LYOPHILIZED (E.G. LIQUID); 500 MG,3273.75,1636.875,33.29,135.73,1276
HCPCS,J1459,Privigen,6525.0,3262.5,33.29,135.73,652
HCPCS,J1460,GAMMA GLOBULIN 1 CC INJ,214.0,107.0,31.77,129.51,25
HCPCS,J1561,GAMUNEX-C/GAMMAKED,266.0,133.0,31.86,129.88,25
HCPCS,J1561,Gamunex-C,7629.525,3814.765,31.86,129.88,581
HCPCS,J1561,PremierPro Rx Gentamicin,13800.0,6900.0,31.86,129.88,24
HCPCS,J1566,Gammagard S/D (IgA less than 1 mcg/mL),8542.35,4271.175,52.62,214.54,48
HCPCS,J1566,"IMMUNE GLOBULIN, POWDER",347.0,173.5,52.62,214.54,25
HCPCS,J1566,INJECTION; IMMUNE GLOBULIN; INTRAVENOUS; LYOPHILIZED (E.G. POWDER); NOT OTHERWISE SPECIFIED; 500 MG,13667.76,6833.88,52.62,214.54,73
HCPCS,J1569,GAMMAGARD LIQUID/ERC INJ,253.0,126.5,32.04,130.65,25
HCPCS,J1569,Gammagard Liquid,6131.815,3065.91,32.04,130.65,48
HCPCS,J1570,Ganciclovir,5.25,2.63,5.25,5.25,1
HCPCS,J1571,Nabi-HB,1963.49,981.75,42.65,173.87,24
HCPCS,J1580,GARAMYCIN GENTAMICIN INJ,6.0,3.0,4.44,4.44,3
HCPCS,J1580,Gentamicin Sulfate,14.375,7.1899999999999995,4.44,4.44,5
HCPCS,J1580,INJECTION; GARAMYCIN; GENTAMICIN; UP TO 80 MG,46.46,23.23,4.44,4.44,1
HCPCS,J1580,PremierPro Rx Gentamicin,5.25,2.63,4.44,4.44,1
HCPCS,J1602,Simponi Aria,17354.27,8677.14,7.17,29.23,96
HCPCS,J1610,GLUCAGON HYDROCHLORIDE/1 MG,614.0,307.0,76.26,310.92,25
HCPCS,J1610,Glucagon,613.935,306.97,76.26,310.92,265
HCPCS,J1610,Glucagon Emergency Kit,948.895,474.45000000000005,76.26,310.92,49
HCPCS,J1610,INJECTION; GLUCAGON HYDROCHLORIDE; PER 1 MG,1329.775,664.89,76.26,310.92,49
HCPCS,J1611,Glucagon,460.34999999999997,230.17499999999998,84.03,342.59,193
HCPCS,J1626,Granisetron Hydrochloride,12.940000000000001,6.470000000000001,0.63,0.63,1
HCPCS,J1628,INJECTION; GUSELKUMAB; 1 MG,27745.6,13872.8,43.5,177.34,24
HCPCS,J1628,Tremfya,41618.399999999994,20809.199999999997,43.5,177.34,96
HCPCS,J1630,HALOPERIDOL INJECTION,4.0,2.0,2.34,2.34,1
HCPCS,J1630,Haloperidol,2.79,1.4,2.34,2.34,1
HCPCS,J1630,Haloperidol Lactate,3.27,1.64,2.34,2.34,1
HCPCS,J1642,Hep-Lock U/P,3.0,1.5,,,0
HCPCS,J1642,Heparin Lock Flush,0.885,0.44499999999999995,0.03,0.03,6
HCPCS,J1642,INJ HEPARIN SODIUM PER 10 U,3.0,1.5,0.03,0.03,1
HCPCS,J1642,PosiFlush Heparin,1.47,0.735,0.03,0.03,2
HCPCS,J1642,PremierPro Rx heparin sodium,3.0,1.5,,,0
HCPCS,J1644,Heparin Sodium,9.94,4.13,0.45,0.45,16
HCPCS,J1644,Heparin Sodium-Sodium Chloride,120.0,60.0,0.45,0.45,4
HCPCS,J1644,INJECTION; HEPARIN SODIUM; PER 1000 UNITS,222.84,111.42,0.45,0.45,1
HCPCS,J1644,PremierPro Rx heparin sodium,2.87,1.44,0.45,0.45,1
HCPCS,J1650,Enoxaparin Sodium,23.18,11.59,1.12,1.12,16
HCPCS,J1650,HealthTrust Enoxaparin Sodium,14.47,7.24,1.12,1.12,1
HCPCS,J1650,INJ ENOXAPARIN SODIUM,4.0,2.0,1.12,1.12,1
HCPCS,J1650,INJECTION; ENOXAPARIN SODIUM; 10 MG,10.155000000000001,5.08,1.12,1.12,2
HCPCS,J1650,PremierPro Rx Lovenox,17.33,8.665,1.12,1.12,1
HCPCS,J1652,Fondaparinux Sodium,20.85,10.43,,,0
HCPCS,J1670,HyperTET PFS,2420.42,1210.21,386.76,1576.8,72
HCPCS,J1720,Hydrocortisone Sodium Succinate,88.315,44.160000000000004,29.45,29.45,1
HCPCS,J1720,INJECTION; HYDROCORTISONE SODIUM SUCCINATE; UP TO 100 MG,141.3,70.65,29.45,29.45,1
HCPCS,J1720,Solu-CORTEF,45.565,22.785,29.45,29.45,1
HCPCS,J1720,Solu-CORTEF 100mg Vial,62.730000000000004,31.369999999999997,29.45,29.45,2
HCPCS,J1726,"MAKENA, 10 MG",147.0,73.5,19.93,19.93,1
HCPCS,J1745,Remicade,22527.8,11263.9,20.46,83.42,121
HCPCS,J1750,Infed,1430.59,715.3,12.34,50.32,313
HCPCS,J1756,IRON SUCROSE INJECTION,2.0,1.0,0.36,0.36,1
HCPCS,J1756,Iron Sucrose,269.6,134.8,0.36,0.36,3
HCPCS,J1756,PremierPro Rx Venofer,280.44,140.22,0.36,0.36,1
HCPCS,J1756,Venofer,280.44,140.22,0.36,0.36,3
HCPCS,J1790,droPERidol,9.71,4.86,4.1,9.71,3
HCPCS,J1805,Esmolol HCl,5.25,2.63,1482.0,17224.0,2
HCPCS,J1815,HumaLOG,6.26,3.13,0.92,17224.0,3
HCPCS,J1815,HumuLIN N (NPH),79.155,39.58,,,0
HCPCS,J1815,HumuLIN R,1.5,0.75,0.92,17224.0,4
HCPCS,J1815,INJECTION; INSULIN; PER 5 UNITS,6.34,3.17,1482.0,17224.0,4
HCPCS,J1815,INSULIN INJECTION,11.0,5.5,0.92,0.92,1
HCPCS,J1815,Insulin Glargine-yfgn,4.57,2.29,0.92,17224.0,5
HCPCS,J1815,Insulin Lispro,1.5,0.75,0.92,17224.0,5
HCPCS,J1815,Lantus,7.1,3.55,,,0
HCPCS,J1815,NovoLOG Vial,2.06,1.03,,,0
HCPCS,J1815,Semglee,36.86,18.43,1482.0,17224.0,2
HCPCS,J1885,BD Simplist Ketorolac Tromethamine,8.85,4.43,0.18,0.81,25
HCPCS,J1885,Furosemide,6.0,3.0,0.18,0.72,48
HCPCS,J1885,INJECTION; KETOROLAC TROMETHAMINE; PER 15 MG,3.5149999999999997,1.76,0.18,0.81,96
HCPCS,J1885,KETOROLAC TROMETHAMINE INJ,4.0,2.0,0.18,0.81,25
HCPCS,J1885,Ketorolac Tromethamine,2.87,1.42,0.18,0.81,2687
HCPCS,J1885,PremierPro Rx Ketorolac Tromethamine,2.145,1.075,0.18,0.81,73
HCPCS,J1885,levETIRAcetam,6.0,3.0,0.18,0.72,72
HCPCS,J1885,levoFLOXacin in 5% Dextrose,6.0,3.0,0.18,0.72,48
HCPCS,J1920,Labetalol HCl,1.6949999999999998,0.95,0.31,0.31,8
HCPCS,J1930,Somatuline Depot,38248.0,19124.0,24.33,99.19,145
HCPCS,J1938,Furosemide,2.24,1.12,,,0
HCPCS,J1938,"INJ, FUROSEMIDE, 1 MG",1.0,0.5,,,0
HCPCS,J1943,Aristada Initio,8796.87,4398.44,2.25,9.17,25
HCPCS,J1944,Aristada,11494.53,5747.27,2.31,9.43,25
HCPCS,J1950,LEUPROLIDE ACETATE /3.75 MG,7822.0,3911.0,1196.82,4879.34,25
HCPCS,J1950,Lupron Depot,14339.16,7169.58,1196.82,4879.34,218
HCPCS,J1950,Lupron Depot-Ped,47782.04,23891.02,1196.82,4879.34,25
HCPCS,J1953,INJECTION; LEVETIRACETAM; 10 MG,22.23,11.12,0.1,0.1,1
HCPCS,J1953,levETIRAcetam,11.004999999999999,5.505,0.1,0.1,5
HCPCS,J1956,LEVOFLOXACIN INJECTION,10.0,5.0,1.5,1.5,1
HCPCS,J1956,Levaquin,89.1,44.55,1.5,1.5,1
HCPCS,J1956,levoFLOXacin,21.6,10.8,1.5,1.5,1
HCPCS,J1956,levoFLOXacin in 5% Dextrose,13.5,6.75,1.5,1.5,5
HCPCS,J1961,Sunlenca,78000.0,39000.0,14.91,60.79,25
HCPCS,J2002,Lidocaine HCl-Dextrose,120.0,60.0,,,0
HCPCS,J2003,Lidocaine HCl,17.915,8.96,,,0
HCPCS,J2010,LINCOMYCIN INJECTION,69.0,34.5,16.24,16.24,1
HCPCS,J2020,INJECTION; LINEZOLID; 200 MG,62.1,31.05,5.45,5.45,1
HCPCS,J2020,Linezolid,35.775,17.89,5.45,5.45,3
HCPCS,J2020,Linezolid Novaplus,30.375,15.19,5.45,5.45,2
HCPCS,J2020,Zyvox,33.75,16.88,5.45,5.45,1
HCPCS,J2060,Ativan,10.5,5.25,1.85,1.85,1
HCPCS,J2060,LORAZEPAM INJECTION,8.0,4.0,1.85,1.85,1
HCPCS,J2060,LORazepam,10.5,5.25,1.85,1.85,2
HCPCS,J2060,PremierPro Rx LORazepam,10.5,5.25,1.85,1.85,1
HCPCS,J2175,MEPERIDINE HYDROCHL /100 MG,42.5,21.25,12.05,12.05,2
HCPCS,J2175,Meperidine HCl,10.5,5.25,10.5,10.5,1
HCPCS,J2182,"INJECTION, MEPOLIZUMAB, 1MG",173.0,86.5,20.98,85.54,25
HCPCS,J2182,Midazolam HCl,31200.0,15600.0,20.98,85.54,48
HCPCS,J2182,Morphine Sulfate,31200.0,15600.0,20.98,85.54,48
HCPCS,J2182,Nucala,17300.0,8650.0,20.98,85.54,24
HCPCS,J2182,Nucala PFS,16599.74,8299.87,20.98,85.54,48
HCPCS,J2185,MEROPENEM,2.0,1.0,0.74,0.74,1
HCPCS,J2185,Meropenem,46.31,23.16,0.74,0.74,4
HCPCS,J2185,PremierPro Rx Meropenem,17.42,8.71,0.74,0.74,2
HCPCS,J2210,Methergine,31.12,15.56,31.12,31.12,1
HCPCS,J2210,Methylergonovine Maleate,67.32,33.665,32.34,32.34,2
HCPCS,J2212,Relistor,662.72,331.36,1.98,1.98,1
HCPCS,J2248,micafungin sodium,126.51,63.26,1.25,1.25,2
HCPCS,J2250,INJ MIDAZOLAM HYDROCHLORIDE,1.0,0.5,0.23,0.23,1
HCPCS,J2250,INJECTION; MIDAZOLAM HYDROCHLORIDE; PER 1 MG,10.5,5.25,0.23,0.23,1
HCPCS,J2250,Midazolam,10.5,5.25,0.23,0.23,5
HCPCS,J2250,Midazolam HCl,12.23,6.115,0.23,0.23,8
HCPCS,J2250,Midazolam-Sodium Chloride,42.75,21.38,0.23,0.23,1
HCPCS,J2250,PremierPro Rx Midazolam,30.42,15.21,0.23,0.23,1
HCPCS,J2260,Milrinone Lactate,120.0,60.0,2.57,2.57,1
HCPCS,J2260,Milrinone Lactate in Dextrose,120.0,60.0,,,0
HCPCS,J2267,"INJ, MIRIKIZUMAB-MRKZ, 1 MG",190.5,95.25,21.23,86.55,48
HCPCS,J2270,Duramorph,33.02,16.51,7.71,7.71,1
HCPCS,J2270,INJECTION; MORPHINE SULFATE; UP TO 10 MG,54.75,27.375,7.71,7.71,1
HCPCS,J2270,Morphine Sulfate,15.75,7.875,7.71,7.71,6
HCPCS,J2272,Morphine Sulfate,15.75,7.875,12.26,12.26,1
HCPCS,J2272,Simplist Morphine Sulfate MicroVault,10.5,5.25,10.5,10.5,2
HCPCS,J2274,Duramorph,285.25,142.625,10.5,18.55,2
HCPCS,J2274,INJ MORPHINE PF EPID ITHC,83.0,41.5,18.55,18.55,1
HCPCS,J2274,INJECTION; MORPHINE SULFATE; PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE; 10 MG,840.0,420.0,18.55,18.55,1
HCPCS,J2274,Infumorph 200,695.0,347.5,18.55,18.55,1
HCPCS,J2274,Morphine Sulfate,280.0,140.0,10.5,18.55,4
HCPCS,J2274,Naloxone HCl,560.0,280.0,,,0
HCPCS,J2274,Prialt,420.0,210.0,18.55,18.55,2
HCPCS,J2274,Simplist Morphine Sulfate MicroVault,280.0,140.0,,,0
HCPCS,J2278,INJECTION; ZICONOTIDE; 1 MICROGRAM,12072.0,6036.0,7.01,28.59,73
HCPCS,J2278,Morphine Sulfate,24000.0,12000.0,7.01,28.59,24
HCPCS,J2278,Naloxone HCl,24000.0,12000.0,7.01,28.59,48
HCPCS,J2278,Prialt,12120.0,6060.0,7.01,28.59,290
HCPCS,J2278,RhoGAM Ultra-Filtered Plus,144.0,72.0,7.01,28.59,48
HCPCS,J2278,Vivitrol,12072.0,6036.0,7.01,28.59,169
HCPCS,J2278,ZICONOTIDE INJECTION,53.0,26.5,7.01,28.59,25
HCPCS,J2300,Nalbuphine HCl,23.235,11.620000000000001,4.64,4.64,1
HCPCS,J2310,Naloxone HCl,6.6,3.3,1.87,12.03,4
HCPCS,J2312,Naloxone HCl,9.35,4.675,,,0
HCPCS,J2315,INJECTION; NALTREXONE; DEPOT FORM; 1 MG,7126.52,3563.26,2.94,12.0,24
HCPCS,J2315,"NALTREXONE, DEPOT FORM",20.5,10.25,2.94,12.0,50
HCPCS,J2315,Vivitrol,7340.31,3670.16,2.94,12.0,48
HCPCS,J2323,Tysabri,34150.86,17075.43,15.87,64.69,120
HCPCS,J2326,Spinraza,284075.66,142037.83,866.74,3533.64,72
HCPCS,J2327,Skyrizi 600MG/10ML,58593.12,29296.56,9.44,38.5,145
HCPCS,J2327,Skyrizi PEN,81127.0,40563.5,9.44,38.5,25
HCPCS,J2329,Briumvi,109961.28,54980.64,46.96,191.44,24
HCPCS,J2350,Ocrevus,144486.72,72243.36,39.63,161.57,145
HCPCS,J2351,INJ OCRELIZUMAB 1MG HYA-OCSQ,202.0,101.0,31.24,127.36,24
HCPCS,J2351,Ocrevus Zunovo,141244.1,70622.05,31.24,127.36,72
HCPCS,J2353,SandoSTATIN LAR Depot,23130.75,11565.375,135.26,551.46,339
HCPCS,J2354,"OCTREOTIDE INJ, NON-DEPOT",31.0,15.5,1.96,1.96,1
HCPCS,J2354,Octreotide Acetate,20.76,10.38,,,0
HCPCS,J2356,"INJ TEZEPELUMAB-EKKO, 1MG",101.0,50.5,11.65,47.49,25
HCPCS,J2356,Tezspire PFS,14312.05,7156.025,11.65,47.49,73
HCPCS,J2357,INJECTION; OMALIZUMAB; 5 MG,12480.0,6240.0,30.28,123.46,74
HCPCS,J2357,Nesacaine-MPF,9360.0,4680.0,30.28,123.46,169
HCPCS,J2357,OMALIZUMAB INJECTION,221.0,110.5,30.28,123.46,25
HCPCS,J2357,Oxytocin-Sodium Chloride,9360.0,4680.0,30.28,123.46,145
HCPCS,J2357,Xolair,9360.0,4680.0,30.28,123.46,72
HCPCS,J2357,Xolair Autoinjector,6232.32,3116.16,30.28,123.46,120
HCPCS,J2357,Xolair PFS,10912.32,5456.16,30.28,123.46,579
HCPCS,J2359,OLANZapine,50.845,25.425,1.57,1.57,2
HCPCS,J2360,ORPHENADRINE INJECTION,19.0,9.5,16.02,16.02,1
HCPCS,J2371,Neo-Synephrine,120.0,60.0,0.02,0.02,1
HCPCS,J2371,Neo-Synephrine HCl,120.0,60.0,0.02,0.02,1
HCPCS,J2371,Phenylephrine HCl,79.85,39.93,0.02,0.02,8
HCPCS,J2371,Vazculep,120.0,60.0,0.02,0.02,1
HCPCS,J2401,Chloroprocaine HCl,12.995,6.5,0.07,0.07,1
HCPCS,J2401,Nesacaine-MPF,35.69,17.849999999999998,0.07,0.07,1
HCPCS,J2405,INJECTION; ONDANSETRON HYDROCHLORIDE; PER 1 MG,2.185,1.095,0.17,0.17,1
HCPCS,J2405,ONDANSETRON HCL INJECTION,1.0,0.5,0.17,0.17,1
HCPCS,J2405,Ondansetron,3.15,1.58,0.17,0.17,7
HCPCS,J2406,"INJECTION, ORITAVANCIN 10 MG",184.0,92.0,30.82,125.64,25
HCPCS,J2407,"INJECTION, ORITAVANCIN",120.0,60.0,19.32,78.78,25
HCPCS,J2426,"INJ, INVEGA SUSTENNA, 1 MG",63.5,31.75,10.03,40.89,50
HCPCS,J2427,"INJ, INVEGA HAFYERA/TRINZA",56.0,28.0,8.62,35.14,49
HCPCS,J2428,Invega Sustenna,14093.87,7046.94,10.32,42.06,48
HCPCS,J2428,Sulfamethoxazole/Trimethoprim,24.39,12.2,1482.0,17224.0,2
HCPCS,J2430,Pamidronate Disodium,64.725,32.365,14.64,14.64,2
HCPCS,J2440,INJECTION; PAPAVERINE HCL; UP TO 60 MG,78.30000000000001,39.150000000000006,52.2,52.2,1
HCPCS,J2440,Papaverine HCl,52.19,26.1,75.8,75.8,1
HCPCS,J2469,Aloxi,266.9,133.45,1.4,1.4,1
HCPCS,J2469,INJECTION; PALONOSETRON HCL; 25 MCG,11.57,5.79,1.4,1.4,1
HCPCS,J2469,palonosetron hcl,85.95,42.975,1.4,1.4,4
HCPCS,J2470,Pantoprazole Sodium,6.56,3.28,,,0
HCPCS,J2470,Protonix,11.17,5.59,,,0
HCPCS,J2471,Pantoprazole Sodium,16.595,8.3,,,0
HCPCS,J2501,Paricalcitol,30.66,15.33,1.11,1.11,1
HCPCS,J2506,INJECTION; PEGFILGRASTIM; EXCLUDES BIOSIMILAR; 0.5 MG,19045.18,9522.59,93.1,379.56,24
HCPCS,J2506,Neulasta Onpro,18774.57,9387.285,83.62,379.56,289
HCPCS,J2506,Neulasta PFS,18774.57,9387.285,83.62,379.56,193
HCPCS,J2516,Pentam,390.84,195.42,,,0
HCPCS,J2516,Pentamidine Isethionate,100.305,50.155,,,0
HCPCS,J2540,Penicillin G Potassium,40.32,20.165,1.27,1.27,2
HCPCS,J2543,INJECTION; PIPERACILLIN SODIUM/TAZOBACTAM SODIUM; 1 GRAM/0.125 GRAMS (1.125 GRAMS),27.0,13.5,1.95,1.95,1
HCPCS,J2543,PIPERACILLIN/TAZOBACTAM,8.0,4.0,1.95,1.95,1
HCPCS,J2543,Piperacillin and Tazobactam,16.66,8.33,1.95,1.95,10
HCPCS,J2545,Nebupent,689.85,344.93,86.16,86.16,1
HCPCS,J2550,PROMETHAZINE HCL INJECTION,11.0,5.5,5.92,5.92,3
HCPCS,J2560,INJECTION; PHENOBARBITAL SODIUM; UP TO 120 MG,345.545,172.775,51.86,51.86,2
HCPCS,J2560,PHENobarbital Sodium,440.84,220.42,51.86,51.86,4
HCPCS,J2562,Mozobil,764.82,382.41,18.52,75.5,24
HCPCS,J2562,plerixafor,572.41,286.205,18.52,285.25,387
HCPCS,J2590,Pitocin,16.125,8.065,3.2,3.2,1
HCPCS,J2597,Desmopressin Acetate,374.66,187.33,10.44,10.44,3
HCPCS,J2597,INJ DESMOPRESSIN ACETATE,15.0,7.5,10.44,10.44,1
HCPCS,J2598,Vasostrict,4.48,2.24,1482.0,17224.0,2
HCPCS,J2700,OXACILLIN SODIUM INJECITON,4.0,2.0,1.73,1.73,1
HCPCS,J2704,Diprivan,10.47,5.24,0.21,0.21,3
HCPCS,J2704,INJECTION; PROPOFOL; 10 MG,66.55,33.275,0.21,0.21,1
HCPCS,J2704,Leqembi,0.01,0.01,,,0
HCPCS,J2704,PremierPro Rx Diprivan,123.14,61.57,0.21,0.21,1
HCPCS,J2704,Propofol,66.855,33.43,0.21,0.21,12
HCPCS,J2710,Neostigmine Methylsulfate,3.715,1.8599999999999999,2.79,2.79,1
HCPCS,J2720,INJECTION; PROTAMINE SULFATE; PER 10 MG,13.52,6.76,2.74,2.74,1
HCPCS,J2720,Protamine Sulfate,45.07,22.54,2.74,2.74,1
HCPCS,J2760,Phentolamine Mesylate,1336.9950000000001,668.5,187.6,764.84,76
HCPCS,J2765,INJECTION; METOCLOPRAMIDE HCL; UP TO 10 MG,4.69,2.345,1.8,1.8,1
HCPCS,J2765,METOCLOPRAMIDE HCL INJECTION,5.0,2.5,1.8,1.8,1
HCPCS,J2765,Metoclopramide,4.2,2.1,,,0
HCPCS,J2765,Metoclopramide HCl,4.5,2.25,1.8,1.8,3
HCPCS,J2777,DEPO-Medrol,10080.0,5040.0,21.05,85.81,48
HCPCS,J2777,Eylea HD,10080.0,5040.0,21.05,85.81,48
HCPCS,J2777,"INJ, FARICIMAB-SVOA, 0.1MG",177.0,88.5,21.05,85.81,25
HCPCS,J2777,Nesacaine-MPF,10080.0,5040.0,21.05,85.81,48
HCPCS,J2777,Sterile Vancomycin Hydrochloride,10080.0,5040.0,21.05,85.81,24
HCPCS,J2777,Vabysmo,15120.0,7560.0,21.05,85.81,121
HCPCS,J2778,INJECTION; RANIBIZUMAB; 0.1 MG,8775.0,4387.5,33.21,309.46,25
HCPCS,J2778,Lucentis,8775.0,4387.5,33.21,135.39,24
HCPCS,J2778,Lucentis PFS,8775.0,4387.5,33.21,135.39,24
HCPCS,J2778,Photrexa-Photrexa Viscous Kit,8775.0,4387.5,33.21,135.39,72
HCPCS,J2778,RANIBIZUMAB INJECTION,1755.0,877.5,33.21,309.46,25
HCPCS,J2778,RhoGAM Ultra-Filtered Plus,8775.0,4387.5,33.21,135.39,48
HCPCS,J2779,"INJ, SUSVIMO 0.1 MG",360.0,180.0,48.61,198.19,25
HCPCS,J2781,"INJ, PEGCETACOPLAN, 1MG",677.0,338.5,96.81,394.69,25
HCPCS,J2781,Syfovre,9855.0,4927.5,96.81,394.69,97
HCPCS,J2782,INJ AVACINCAPTAD PEGOL 0.1MG,473.0,236.5,67.08,273.48,24
HCPCS,J2782,Izervay,18910.0,9455.0,67.08,273.48,72
HCPCS,J2783,INJECTION; RASBURICASE; 0.5 MG,9670.66,4835.33,251.84,1026.74,24
HCPCS,J2785,INJECTION; REGADENOSON; 0.1 MG,30.87,15.44,23.56,23.56,1
HCPCS,J2785,Lexiscan,596.75,298.38,23.56,23.56,1
HCPCS,J2785,REGADENOSON INJECTION,141.0,70.5,23.56,23.56,1
HCPCS,J2785,Regadenoson,30.87,15.44,23.56,23.56,1
HCPCS,J2787,Photrexa,37350.0,18675.0,4108.5,4108.5,1
HCPCS,J2787,Photrexa-Photrexa Viscous Kit,18675.0,9337.5,4108.5,4108.5,1
HCPCS,J2787,RIBOFLAVIN 5'-PHOSPHATE; OPHTHALMIC SOLUTION; UP TO 3 ML,18675.0,9337.5,4108.5,4108.5,1
HCPCS,J2787,RIBOFLAVIN PHOTREXA/VISCOUS,20520.0,10260.0,4108.5,4108.5,1
HCPCS,J2787,RhoGAM Ultra-Filtered Plus,37350.0,18675.0,4108.5,4108.5,1
HCPCS,J2787,WinRho SDF,37350.0,18675.0,4108.5,4108.5,1
HCPCS,J2790,HyperRHO Full Dose,239.0,119.5,133.91,133.91,1
HCPCS,J2790,INJECTION; RHO D IMMUNE GLOBULIN; HUMAN; FULL DOSE; 300 MICROGRAMS (1500 IU),227.0,113.5,133.91,133.91,1
HCPCS,J2790,Naropin,365.0,182.5,133.91,133.91,2
HCPCS,J2790,RHO D IMMUNE GLOBULIN INJ,350.5,175.25,133.91,133.91,2
HCPCS,J2790,RhoGAM Ultra-Filtered Plus,365.0,182.5,133.91,133.91,1
HCPCS,J2790,Robaxin,227.0,113.5,133.91,133.91,1
HCPCS,J2794,"INJ RISPERDAL CONSTA, 0.5 MG",54.0,27.0,7.21,29.42,25
HCPCS,J2795,INJECTION; ROPIVACAINE HYDROCHLORIDE; 1 MG,5.25,2.63,0.13,0.13,1
HCPCS,J2795,Kinevac,11.0,5.5,0.13,0.13,1
HCPCS,J2795,Methocarbamol,6.0,3.0,0.13,0.13,1
HCPCS,J2795,Naropin,10.0,5.0,0.13,0.13,7
HCPCS,J2795,ROPIVACAINE HCL INJECTION,1.0,0.5,0.13,0.13,1
HCPCS,J2795,ROPivacaine HCl,9.955,5.01,0.13,0.13,9
HCPCS,J2798,"INJ., PERSERIS, 0.5 MG",50.0,25.0,7.93,32.33,25
HCPCS,J2799,"INJ, UZEDY, 1 MG",101.0,50.5,17.02,69.38,25
HCPCS,J2800,INJECTION; METHOCARBAMOL; UP TO 10 ML,23.4,11.7,,,0
HCPCS,J2800,Methocarbamol,16.81,8.405,9.34,9.34,2
HCPCS,J2800,Robaxin,46.31,23.16,9.34,9.34,1
HCPCS,J2802,Nplate,5562.86,2781.43,7.55,30.79,744
HCPCS,J2805,Kinevac,507.78,253.89,219.62,219.62,1
HCPCS,J2805,SINCALIDE INJECTION,534.0,267.0,219.62,219.62,1
HCPCS,J2916,Ferrlecit,72.09,36.05,3.91,3.91,1
HCPCS,J2916,NA FERRIC GLUCONATE COMPLEX,8.0,4.0,3.91,3.91,1
HCPCS,J2916,PremierPro Rx Ferrlecit,144.18,72.09,3.91,3.91,1
HCPCS,J2916,Sodium Ferric Gluconate Complex in Sucrose,217.01500000000001,108.51,3.91,3.91,1
HCPCS,J2919,"INJ, METHYLPRED SOD SUCC 5MG",3.0,1.5,,,0
HCPCS,J2919,PremierPro Rx SOLU-Medrol 125mg Vial,9.27,4.64,,,0
HCPCS,J2919,SOLU-Medrol,29.805,14.905000000000001,,,0
HCPCS,J2919,SOLU-Medrol 125mg Vial,15.0,7.5,,,0
HCPCS,J2919,SOLU-Medrol 40mg Vial,20.14,10.07,,,0
HCPCS,J2919,SOLU-Medrol Novaplus 125mg Vial,11.34,5.67,,,0
HCPCS,J2919,Testosterone Enanthate,30.0,15.0,,,0
HCPCS,J2919,Vibativ,4.0,2.0,,,0
HCPCS,J2919,methylPREDNISolone Sodium Succinate,6.845000000000001,3.37,,,0
HCPCS,J2997,ALTEPLASE RECOMBINANT,373.5,186.75,64.08,261.26,50
HCPCS,J2997,Activase,14552.82,7276.41,64.08,261.26,72
HCPCS,J2997,Cathflo Activase,692.6,346.3,64.08,261.26,265
HCPCS,J2997,INJECTION; ALTEPLASE RECOMBINANT; 1 MG,363.825,181.915,64.08,261.26,169
HCPCS,J3010,FENTANYL CITRATE INJECTION,6.0,3.0,1.6,1.6,1
HCPCS,J3010,INJECTION; FENTANYL CITRATE; 0.1 MG,12.71,6.36,1.6,1.6,1
HCPCS,J3010,Simplist fentaNYL Citrate,10.5,5.25,1.6,1.6,2
HCPCS,J3010,fentaNYL Citrate,27.165,13.585,1.6,1.6,10
HCPCS,J3030,INJECTION; SUMATRIPTAN SUCCINATE; 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN; NOT FOR USE WHEN DRUG IS SELF ADMINISTERED),9.97,4.99,,,0
HCPCS,J3030,SUMATRIPTAN SUCCINATE / 6 MG,25.0,12.5,25.0,25.0,1
HCPCS,J3030,SUMAtriptan Succinate,20.1,10.05,15.4,24.8,2
HCPCS,J3032,Vyepti,21933.96,10966.98,13.71,55.92,193
HCPCS,J3055,Talvey,11662.91,5831.46,49.87,203.31,432
HCPCS,J3101,INJECTION; TENECTEPLASE; 1 MG,17151.06,8575.53,141.32,576.16,73
HCPCS,J3101,TNKase,30490.76,15245.38,141.32,576.16,24
HCPCS,J3105,Terbutaline Sulfate,1.45,0.725,1.32,5.17,3
HCPCS,J3111,Evenity PFS,11547.904999999999,5773.955,8.27,33.73,361
HCPCS,J3111,INJ. ROMOSOZUMAB-AQQG 1 MG,57.0,28.5,8.27,33.73,25
HCPCS,J3121,INJ TESTOSTERO ENANTHATE 1MG,1.0,0.5,0.08,0.08,1
HCPCS,J3230,chlorproMAZINE HCl,96.45,48.23,49.15,49.15,1
HCPCS,J3240,THYROTROPIN INJECTION,9100.0,4550.0,1403.13,5720.45,25
HCPCS,J3240,Thyrogen,8998.57,4499.285,1403.13,5720.45,146
HCPCS,J3241,INJ. TEPROTUMUMAB-TRBW 10 MG,1622.0,811.0,246.94,1006.74,25
HCPCS,J3241,Tepezza,70046.815,35023.41,246.94,1006.74,97
HCPCS,J3243,tigecycline,157.07,78.54,1.22,1.22,1
HCPCS,J3246,Aggrastat,96.66,48.33,7.13,7.13,1
HCPCS,J3260,Tobramycin,23.33,11.67,4.39,4.39,1
HCPCS,J3260,Tobramycin Sulfate,73.15,36.58,4.39,4.39,4
HCPCS,J3260,Vancomycin HCl,57.6,28.8,4.39,4.39,1
HCPCS,J3262,Actemra,7265.715,3632.8599999999997,3.52,14.34,193
HCPCS,J3290,PremierPro Rx Tranexamic Acid,66.96,33.48,1482.0,17224.0,2
HCPCS,J3290,Tranexamic Acid,31.05,15.53,1482.0,17224.0,2
HCPCS,J3290,Tranexamic Acid-Sodium Chloride,32.85,16.425,1482.0,17224.0,6
HCPCS,J3291,Tranexamic Acid-Sodium Chloride,23.625,11.815,,,0
HCPCS,J3299,INJ XIPERE 1 MG,186.0,93.0,31.05,126.59,25
HCPCS,J3300,INJECTION; TRIAMCINOLONE ACETONIDE; PRESERVATIVE FREE; 1 MG,352.0,176.0,7.97,50.85,49
HCPCS,J3300,TRIAMCINOLONE A INJ PRS-FREE,91.5,45.75,7.97,50.85,50
HCPCS,J3300,Triamcinolone Acetonide,395.0,197.5,7.97,50.85,170
HCPCS,J3300,Triesence,487.505,243.755,7.97,50.85,411
HCPCS,J3300,Zilretta,352.0,176.0,12.47,50.85,96
HCPCS,J3301,Acetaminophen,40.0,20.0,1.57,1.57,1
HCPCS,J3301,Darvocet-N 50,40.0,20.0,1.57,1.57,1
HCPCS,J3301,INJECTION; TRIAMCINOLONE ACETONIDE; NOT OTHERWISE SPECIFIED; 10 MG,24.505,12.254999999999999,1.57,1.57,1
HCPCS,J3301,Kenalog-10,3.75,1.875,1.57,1.57,1
HCPCS,J3301,Kenalog-40,40.0,19.825,1.57,1.57,3
HCPCS,J3301,Kenalog-80,40.0,20.0,1.57,1.57,1
HCPCS,J3301,Sterile Vancomycin Hydrochloride,40.0,20.0,1.57,1.57,1
HCPCS,J3301,TRIAMCINOLONE ACET INJ NOS,10.0,5.0,1.57,1.57,1
HCPCS,J3301,Triamcinolone Acetonide,13.9,6.75,0.86,1.57,14
HCPCS,J3301,Triesence,40.0,20.0,1.57,1.57,1
HCPCS,J3301,Vancomycin HCl,40.0,20.0,1.57,1.57,1
HCPCS,J3304,DEPO-Medrol,2528.0,1264.0,12.53,51.09,49
HCPCS,J3304,INJ TRIAMCINOLONE ACE XR 1MG,97.0,48.5,12.53,51.09,25
HCPCS,J3304,INJECTION; TRIAMCINOLONE ACETONIDE; PRESERVATIVE-FREE; EXTENDED-RELEASE; MICROSPHERE FORMULATION; 1 MG,4995.54,2497.77,12.53,51.09,121
HCPCS,J3304,Visudyne,3792.0,1896.0,12.53,51.09,121
HCPCS,J3304,Zilretta,2637.56,1318.78,12.53,51.09,217
HCPCS,J3315,TRIPTORELIN PAMOATE,3474.0,1737.0,303.13,1235.85,25
HCPCS,J3315,Triptodur,89190.68,44595.34,303.13,1235.85,25
HCPCS,J3357,Stelara PFS,53875.92,26937.96,254.03,254.03,1
HCPCS,J3358,Stelara,28329.035,14164.52,7.38,30.1,72
HCPCS,J3360,INJECTION; DIAZEPAM; UP TO 5 MG,15.2,7.6,9.03,9.03,1
HCPCS,J3360,Simplist diazePAM,29.98,14.99,9.03,9.03,1
HCPCS,J3360,diazePAM,30.384999999999998,15.195,9.03,9.03,6
HCPCS,J3370,Vancomycin HCl,12.485,6.245,0.5,3.81,10
HCPCS,J3370,Vancomycin HCl-Dextrose,182.25,91.125,3.81,3.81,1
HCPCS,J3373,"INJ, VANCOMYCIN HCL, 10 MG",1.0,0.5,,,0
HCPCS,J3373,PremierPro Rx Thiamine HCl,1.0,0.5,,,0
HCPCS,J3373,PremierPro Rx Vancomycin HCl,5.25,2.63,,,0
HCPCS,J3373,Vancomycin HCl,11.850000000000001,5.925000000000001,,,0
HCPCS,J3373,Vancomycin HCl-Dextrose,121.5,60.75,,,0
HCPCS,J3373,Visudyne,1.0,0.5,,,0
HCPCS,J3376,Vancomycin HCl,11.35,5.68,,,0
HCPCS,J3379,Valproate Sodium,8.26,4.13,,,0
HCPCS,J3380,Entyvio,34666.32,17333.16,14.05,57.29,96
HCPCS,J3396,VERTEPORFIN INJECTION,38.0,19.0,7.39,30.13,25
HCPCS,J3396,Vfend I.V.,6615.0,3307.5,7.39,30.13,49
HCPCS,J3396,Visudyne,5434.0,2717.0,7.39,30.13,98
HCPCS,J3399,Zolgensma,3677247.4450000003,1838623.725,1742024.38,7102099.38,49
HCPCS,J3410,HYDROXYZINE HCL INJECTION,99.0,49.5,16.35,16.35,2
HCPCS,J3410,hydrOXYzine HCl,43.23,21.62,16.35,16.35,2
HCPCS,J3411,THIAMINE HCL 100 MG,7.0,3.5,4.06,4.06,1
HCPCS,J3411,Thiamine HCl,13.65,6.83,4.06,4.06,6
HCPCS,J3415,Pyridoxine HCl,21.94,10.97,24.47,24.47,1
HCPCS,J3420,Cyanocobalamin,5.31,2.66,2.27,2.38,7
HCPCS,J3420,INJECTION; VITAMIN B-12 CYANOCOBALAMIN; UP TO 1000 MCG,11.0,5.5,2.38,2.38,1
HCPCS,J3420,Magnesium Sulfate,11.0,5.5,,,0
HCPCS,J3420,VITAMIN B12 INJECTION,9.0,4.5,2.38,2.38,1
HCPCS,J3420,Vitamin B12,2.37,1.19,2.37,2.37,1
HCPCS,J3430,Phytonadione,59.94,29.97,4.79,4.79,1
HCPCS,J3430,VITAMIN K PHYTONADIONE INJ,8.0,4.0,4.79,4.79,1
HCPCS,J3430,Vitamin K1,86.0,43.0,4.79,4.79,1
HCPCS,J3465,"INJECTION, VORICONAZOLE",4.0,2.0,1.91,1.91,1
HCPCS,J3465,Reclast,3.0,1.5,1.91,1.91,1
HCPCS,J3465,Vfend I.V.,0.5,0.25,0.5,0.5,1
HCPCS,J3465,Voriconazole,61.97,30.99,1.91,1.91,2
HCPCS,J3471,"OVINE, UP TO 999 USP UNITS",3.0,1.5,0.83,0.83,1
HCPCS,J3473,HYALURONIDASE RECOMBINANT,2.0,1.0,0.59,0.59,1
HCPCS,J3473,Hylenex,26.74,13.37,0.59,0.59,2
HCPCS,J3473,INJECTION; HYALURONIDASE; RECOMBINANT; 1 USP UNIT,450.0,225.0,0.59,0.59,1
HCPCS,J3475,INJECTION; MAGNESIUM SULFATE; PER 500 MG,13.165,6.585,1.14,1.14,2
HCPCS,J3475,Magnesium Sulfate,9.51,4.76,1.14,1.14,13
HCPCS,J3475,Magnesium Sulfate-Dextrose,13.05,6.53,1.14,1.14,5
HCPCS,J3475,PremierPro Rx Magnesium Sulfate,4.76,2.38,1.14,1.14,1
HCPCS,J3480,INJECTION; POTASSIUM CHLORIDE; PER 2 MEQ,38.07,19.035,0.2,0.2,1
HCPCS,J3480,Potassium Acetate,23.44,11.72,0.2,0.2,2
HCPCS,J3480,Potassium Chloride,22.05,11.03,0.2,0.2,9
HCPCS,J3480,Potassium Chloride Concentrate,23.235,11.62,0.2,0.2,3
HCPCS,J3486,Ziprasidone Mesylate,45.82,22.915,16.1,16.1,1
HCPCS,J3489,INJECTION; ZOLEDRONIC ACID; 1 MG,103.95,51.98,11.9,11.9,1
HCPCS,J3489,Reclast,2925.8999999999996,1462.9499999999998,11.9,11.9,1
HCPCS,J3489,ZOLEDRONIC ACID 1MG,12.0,6.0,11.9,11.9,1
HCPCS,J3489,Zoledronic Acid,55.795,27.900000000000002,11.9,11.9,7
HCPCS,J3490,Bridion,843.745,421.875,1482.0,17224.0,4
HCPCS,J3490,DRUGS UNCLASSIFIED INJECTION,24.0,12.0,1482.0,17224.0,4
HCPCS,J3490,Dupixent PFS,8400.0,4200.0,,,0
HCPCS,J3490,Dupixent Pen,8400.0,4200.0,,,0
HCPCS,J3490,Ella,160.2,80.1,,,0
HCPCS,J3490,Ocrevus,8400.0,4200.0,,,0
HCPCS,J3490,TissueBlue,630.0,315.0,,,0
HCPCS,J3490,Valproate Sodium,16.04,8.02,,,0
HCPCS,J3490,Vitamin B Complex 100,25.18,12.59,,,0
HCPCS,J3590,Dupixent PFS,8670.58,4335.29,,,0
HCPCS,J3590,Mixed Vespid Treatment,8400.0,4200.0,,,0
HCPCS,J3590,UNCLASSIFIED BIOLOGICS,29.0,14.5,,,0
HCPCS,J7030,INFUSION; NORMAL SALINE SOLUTION; 1000 CC,180.0,90.0,1482.0,17224.0,4
HCPCS,J7030,Lactated Ringer's,5.0,2.5,,,0
HCPCS,J7030,NORMAL SALINE SOLUTION INFUS,99.5,49.75,4.44,4.44,2
HCPCS,J7030,Sodium Chloride,11.190000000000001,5.595000000000001,1482.0,17224.0,42
HCPCS,J7040,Lactated Ringer's,3.0,1.5,,,0
HCPCS,J7040,NORMAL SALINE SOLUTION INFUS,98.5,49.25,2.23,2.23,2
HCPCS,J7060,5% DEXTROSE/WATER (500 ML = 1 UNIT),8.55,4.275,1482.0,17224.0,4
HCPCS,J7060,Dextrose,8.89,4.445,1482.0,17224.0,50
HCPCS,J7120,Lactated Ringer's,300.0,150.0,1482.0,17224.0,18
HCPCS,J7120,RINGERS LACTATE INFUSION,199.0,99.5,4.27,4.27,2
HCPCS,J7120,RINGERS LACTATE INFUSION; UP TO 1000 CC,180.0,90.0,1482.0,17224.0,6
HCPCS,J7168,Kcentra,5810.849999999999,2905.4249999999997,1.31,5.33,96
HCPCS,J7168,PROTHROMBIN COMPLEX CONCENTRATE (HUMAN); KCENTRA; PER I.U. OF FACTOR IX ACTIVITY,8831.34,4415.67,1.31,5.33,121
HCPCS,J7168,PROTHROMBIN COMPLEX KCENTRA,5.0,2.5,1.31,5.33,25
HCPCS,J7170,Hemlibra,105791.35,52895.68,37.72,153.78,25
HCPCS,J7179,VONVENDI INJ 1 IU VWF:RCO,4.0,2.0,1.18,4.8,25
HCPCS,J7187,"HUMATE-P, INJ",3.0,1.5,0.99,4.05,25
HCPCS,J7187,Humate-P,9979.705,4989.855,0.99,4.05,99
HCPCS,J7187,INJECTION; VON WILLEBRAND FACTOR COMPLEX (HUMATE-P); PER IU VWF:RCO,2065.59,1032.8,0.99,4.05,73
HCPCS,J7188,FACTOR VIII RECOMB OBIZUR,12.0,6.0,2.11,8.59,25
HCPCS,J7189,FACTOR VIIA RECOMB NOVOSEVEN,2.0,1.0,1.8,7.34,25
HCPCS,J7190,FACTOR VIII,2.0,1.0,0.81,3.31,25
HCPCS,J7192,FACTOR VIII (ANTIHEMOPHILIC FACTOR; RECOMBINANT) PER IU; NOT OTHERWISE SPECIFIED,3510.45,1755.23,1.03,4.19,25
HCPCS,J7192,FACTOR VIII RECOMBINANT NOS,3.0,1.5,1.03,4.19,25
HCPCS,J7192,Kovaltry,3510.45,1755.23,1.03,4.19,25
HCPCS,J7194,FACTOR IX COMPLEX,2.0,1.0,1.14,4.64,25
HCPCS,J7195,BeneFIX,14137.2,7068.6,1.21,4.93,96
HCPCS,J7195,FACTOR IX RECOMBINANT NOS,3.0,1.5,1.21,4.93,25
HCPCS,J7197,ANTITHROMBIN III INJECTION,3.0,1.5,2.71,11.05,25
HCPCS,J7197,Thrombate III,24686.4,12343.2,2.71,11.05,72
HCPCS,J7198,ANTI-INHIBITOR,3.0,1.5,1.59,6.49,69
HCPCS,J7205,Eloctate,29880.0,14940.0,1.68,6.84,25
HCPCS,J7205,FACTOR VIII FC FUSION RECOMB,7.0,3.5,1.68,6.84,25
HCPCS,J7211,INJECTION; FACTOR VIII; (ANTIHEMOPHILIC FACTOR; RECOMBINANT); (KOVALTRY); 1 I.U.,7249.28,3624.64,1.04,4.24,122
HCPCS,J7211,Kovaltry,3262.5,1631.25,1.04,4.24,73
HCPCS,J7296,"KYLEENA, 19.5 MG",5466.0,2733.0,984.96,2290.45,7
HCPCS,J7296,Kyleena,5205.56,2602.78,984.96,2290.45,7
HCPCS,J7296,LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (KYLEENA); 19.5 MG,5206.0,2603.0,984.96,2290.45,14
HCPCS,J7297,"LILETTA, 52 MG",4193.0,2096.5,807.7,1756.97,7
HCPCS,J7297,Liletta,4192.79,2096.4,807.7,1756.97,7
HCPCS,J7298,LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (MIRENA); 52 MG,5206.0,2603.0,930.09,2290.45,14
HCPCS,J7298,"MIRENA, 52 MG",5466.0,2733.0,930.09,2290.45,21
HCPCS,J7298,Mirena,5465.84,2732.92,930.09,2290.45,7
HCPCS,J7298,Nexplanon,5206.0,2603.0,930.09,2290.45,7
HCPCS,J7298,Skyla,5206.0,2603.0,930.09,2290.45,7
HCPCS,J7300,INTRAUTERINE COPPER CONTRACEPTIVE,4690.0,2345.0,987.38,2148.3,7
HCPCS,J7300,ParaGard T380A,2766.625,1383.315,987.38,2148.3,7
HCPCS,J7301,"SKYLA, 13.5 MG",4552.0,2276.0,876.74,1907.17,7
HCPCS,J7301,Skyla,4551.21,2275.61,876.74,1907.17,7
HCPCS,J7307,ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM; INCLUDING IMPLANT AND SUPPLIES,2458.0,1229.0,836.01,2289.44,7
HCPCS,J7307,ETONOGESTREL IMPLANT SYSTEM,2485.0,1242.5,836.01,2289.44,7
HCPCS,J7307,Hyalgan,2458.0,1229.0,836.01,2289.44,7
HCPCS,J7307,Nexplanon,4897.014999999999,2448.51,836.01,2289.44,7
HCPCS,J7308,AMINOLEVULINIC ACID HCL TOP,1770.0,885.0,253.03,1031.59,25
HCPCS,J7308,Levulan Kerastick,1180.26,590.13,253.03,1031.59,266
HCPCS,J7312,DEXAMETHASONE INTRA IMPLANT,883.0,441.5,132.38,539.7,25
HCPCS,J7312,Euflexxa,6181.0,3090.5,132.38,539.7,72
HCPCS,J7312,Ozurdex,6178.5,3089.25,132.38,539.7,24
HCPCS,J7312,Supartz,6622.5,3311.25,132.38,539.7,49
HCPCS,J7313,"INJ., ILUVIEN, 0.01 MG",2181.0,1090.5,335.67,1368.49,25
HCPCS,J7314,"INJ., YUTIQ, 0.01 MG",2317.0,1158.5,344.43,1404.21,25
HCPCS,J7314,INJECTION; FLUOCINOLONE ACETONIDE; INTRAVITREAL IMPLANT (YUTIQ); 0.01 MG,40482.0,20241.0,344.43,1404.21,25
HCPCS,J7314,Yutiq,40482.0,20241.0,344.43,1404.21,74
HCPCS,J7315,MITOMYCIN; OPTHALMIC; 0. 2 MG,1697.0,848.5,,,0
HCPCS,J7315,Mitosol,1697.0,848.5,,,0
HCPCS,J7315,Mutamycin,1697.0,848.5,,,0
HCPCS,J7315,mitoMYcin,3.92,1.96,,,0
HCPCS,J7318,Durolane,4319.96,2159.98,4.06,16.54,145
HCPCS,J7318,HYALURONAN OR DERIVATIVE; DUROLANE; FOR INTRA-ARTICULAR INJECTION; 1 MG,5040.0,2520.0,4.06,16.54,73
HCPCS,J7318,"INJ, DUROLANE 1 MG",84.0,42.0,4.06,16.54,25
HCPCS,J7318,Orthovisc,6750.0,3375.0,4.06,16.54,97
HCPCS,J7321,HYALGAN SUPARTZ VISCO-3 DOSE,1075.0,537.5,120.62,120.62,2
HCPCS,J7321,HYALURONAN OR DERIVATIVE; HYALGAN; SUPARTZ OR VISCO-3; FOR INTRA-ARTICULAR INJECTION; PER DOSE,2062.0,1031.0,120.62,120.62,1
HCPCS,J7321,Orthovisc,1546.5,773.25,120.62,120.62,1
HCPCS,J7321,Supartz,1082.0,541.0,,,0
HCPCS,J7321,Supartz FX,2060.2,1030.1,120.62,120.62,1
HCPCS,J7323,EUFLEXXA INJ PER DOSE,1504.0,752.0,63.79,260.07,25
HCPCS,J7324,GelSyn-3,580.0,290.0,65.21,265.87,24
HCPCS,J7324,HYALURONAN OR DERIVATIVE; ORTHOVISC; FOR INTRA-ARTICULAR INJECTION; PER DOSE,440.69,220.35,65.21,265.87,25
HCPCS,J7324,Medrol,580.0,290.0,65.21,265.87,96
HCPCS,J7324,Monovisc,1160.0,580.0,65.21,265.87,73
HCPCS,J7324,ORTHOVISC INJ PER DOSE,539.0,269.5,65.21,265.87,25
HCPCS,J7324,Orthovisc,661.035,330.52,65.21,265.87,145
HCPCS,J7325,GelSyn-3,2976.0,1488.0,3.91,15.95,145
HCPCS,J7325,HYALURONAN OR DERIVATIVE; SYNVISC OR SYNVISC-ONE; FOR INTRA-ARTICULAR INJECTION; 1 MG,5952.0,2976.0,3.91,15.95,49
HCPCS,J7325,Medrol,2976.0,1488.0,3.91,15.95,241
HCPCS,J7325,SYNVISC OR SYNVISC-ONE,60.0,30.0,3.91,15.95,25
HCPCS,J7325,Synvisc,4416.0,2208.0,3.91,15.95,122
HCPCS,J7325,Synvisc One,2383.63,1191.8200000000002,3.91,15.95,217
HCPCS,J7326,GEL-ONE,2228.0,1114.0,346.83,1414.01,25
HCPCS,J7326,Gel-One,2227.5,1113.75,346.83,1414.01,25
HCPCS,J7327,Albuterol Sulfate,4248.0,2124.0,367.43,1497.99,97
HCPCS,J7327,Ipratropium Bromide-Albuterol Sulfate,5664.0,2832.0,367.43,1497.99,24
HCPCS,J7327,MONOVISC INJ PER DOSE,2702.0,1351.0,367.43,1497.99,25
HCPCS,J7327,Monovisc,4780.26,2390.13,367.43,1497.99,169
HCPCS,J7328,GELSYN-3 INJECTION 0.1 MG,11.0,5.5,0.38,1.54,25
HCPCS,J7329,HYALURONAN OR DERIVATIVE; TRIVISC; FOR INTRA-ARTICULAR INJECTION; 1 MG,675.0,337.5,1.98,13.05,25
HCPCS,J7329,"INJ, TRIVISC 1 MG",75.0,37.5,1.98,13.05,25
HCPCS,J7330,AUTOLOGOUS CULTURED CHONDROCYTES; IMPLANT,82748.96,41374.48,82748.96,82748.96,1
HCPCS,J7336,CAPSAICIN 8% PATCH,15.0,7.5,2.28,9.3,25
HCPCS,J7336,CAPSAICIN 8% PATCH; PER SQUARE CENTIMETER,16351.92,8175.96,2.28,9.3,49
HCPCS,J7336,Qutenza(capsaicin) 8% topical system,16479.03,8239.515,2.28,9.3,145
HCPCS,J7351,INJ BIMATOPROST ITC IMP1MCG,912.0,456.0,213.76,340.25,19
HCPCS,J7354,"CANTHARIDIN TOP, APPLICATOR",2832.0,1416.0,451.89,1842.31,24
HCPCS,J7354,Ycanth,2879.825,1439.915,451.89,1842.31,120
HCPCS,J7402,MOMETASONE SINUS SINUVA,50.0,25.0,7.38,30.08,25
HCPCS,J7500,azaTHIOprine,2.9,1.45,2.9,2.9,1
HCPCS,J7502,cycloSPORINE,59.37,29.69,,,0
HCPCS,J7502,cycloSPORINE; modified,6.44,3.22,,,0
HCPCS,J7503,Envarsus XR,3.08,1.54,2.85,2.85,1
HCPCS,J7503,TACROL ENVARSUS EX REL ORAL,7.0,3.5,2.85,2.85,1
HCPCS,J7507,Tacrolimus,11.0,5.5,0.4,0.4,4
HCPCS,J7509,methylPREDNISolone,16.205,8.105,0.38,0.38,2
HCPCS,J7510,PREDNISOLONE ORAL PER 5 MG,1.5,0.75,0.69,0.69,2
HCPCS,J7510,prednisoLONE Sodium Phosphate,4.029999999999999,2.02,0.69,0.69,3
HCPCS,J7512,PREDNISONE; IMMEDIATE RELEASE OR DELAYED RELEASE; ORAL; 1 MG,1.94,0.97,,,0
HCPCS,J7512,predniSONE,1.275,0.66,0.02,0.02,18
HCPCS,J7515,cycloSPORINE; modified,24.45,12.23,,,0
HCPCS,J7517,MYCOPHENOLATE MOFETIL; ORAL; 250 MG,6.57,3.29,1482.0,17224.0,2
HCPCS,J7517,Mycophenolate Mofetil,1.28,0.64,0.31,0.31,2
HCPCS,J7517,Mycophenolate Mofetil AvPak,5.1,2.55,0.31,0.31,1
HCPCS,J7518,Mycophenolic Acid,83.35000000000001,41.675000000000004,1.04,1.04,1
HCPCS,J7520,Rapamune,129.5,64.75,4.41,4.41,1
HCPCS,J7520,Sirolimus,71.93,35.97,,,0
HCPCS,J7527,EVEROLIMUS; ORAL; 0. 25 MG,142.86,71.43,1482.0,17224.0,2
HCPCS,J7614,LEVALBUTEROL NON-COMP UNIT,5.0,2.5,0.08,0.08,1
HCPCS,J7620,ALBUTEROL IPRATROP NON-COMP,2.0,1.0,0.28,0.28,1
HCPCS,J7644,IPRATROPIUM BROMIDE NON-COMP,3.0,1.5,0.53,17224.0,4
HCPCS,J7677,Yupelri,28.4,14.2,0.31,0.31,1
HCPCS,J7999,COMPOUNDED DRUG; NOT OTHERWISE CLASSIFIED,405.0,202.5,,,0
HCPCS,J8501,APREPITANT; ORAL; 5 MG,397.39,198.7,6.98,6.98,2
HCPCS,J8501,Emend,356.05,178.03,6.98,6.98,2
HCPCS,J8501,aprepitant,364.57,182.29,6.98,6.98,6
HCPCS,J8530,cycloPHOSphamide,561.33,280.67,,,0
HCPCS,J8540,DEXAMETHASONE; ORAL; 0.25 MG,9.3,4.655,0.13,17224.0,3
HCPCS,J8540,ORAL DEXAMETHASONE,1.0,0.5,0.13,0.13,1
HCPCS,J8540,dexAMETHasone,3.515,1.76,0.13,0.13,8
HCPCS,J8610,Methotrexate,13.56,6.78,0.45,0.45,1
HCPCS,J8610,Methotrexate Sodium,56.73,28.37,0.45,0.45,1
HCPCS,J9000,DOXOrubicin HCl,71.37,35.69,5.41,5.41,4
HCPCS,J9000,dexAMETHasone Sodium Phosphate,127.68,63.84,,,0
HCPCS,J9011,Datroway,29835.53,14917.77,34.12,139.13,96
HCPCS,J9021,Rylaze,53352.0,26676.0,38.16,155.56,145
HCPCS,J9022,Tecentriq,19663.35,9831.68,62.76,255.86,266
HCPCS,J9023,Bavencio,30976.64,15488.32,70.62,287.9,24
HCPCS,J9025,azaCITIDine,145.49,72.75,0.58,0.58,5
HCPCS,J9026,Imdelltra,33375.0,16687.5,1048.07,4272.91,168
HCPCS,J9027,clofarabine,764.82,382.41,10.56,43.06,170
HCPCS,J9029,Adstiladrin,180000.0,90000.0,41815.55,170478.77,48
HCPCS,J9029,"INSTILL ADSTILADRIN, TX DOSE",161490.0,80745.0,41815.55,170478.77,25
HCPCS,J9030,Adcetris,750.0,375.0,2.2,8.96,25
HCPCS,J9030,BCG LIVE INTRAVESICAL 1MG,16.0,8.0,2.2,8.96,25
HCPCS,J9030,Tice BCG,727.0,363.505,2.2,8.96,73
HCPCS,J9033,Treanda,4387.6849999999995,2193.8450000000003,1.92,15.16,49
HCPCS,J9034,Bendeka,12654.689999999999,6327.35,8.14,33.2,97
HCPCS,J9035,Avastin,896.56,448.28,44.83,198.27,241
HCPCS,J9039,Blincyto,39871.04,19935.52,112.38,458.19,193
HCPCS,J9040,Bleomycin,133.07,66.53999999999999,34.68,34.68,2
HCPCS,J9041,bortezomib,58.5,29.25,3.23,3.23,3
HCPCS,J9042,Adcetris,70272.0,35136.0,181.49,739.91,121
HCPCS,J9043,INJECTION; CABAZITAXEL; 1 MG,26802.97,13401.49,151.92,619.38,121
HCPCS,J9045,CARBOplatin,85.735,42.87,5.94,5.94,6
HCPCS,J9045,INJECTION; CARBOPLATIN; 50 MG,217.86,108.93,5.94,5.94,1
HCPCS,J9047,Kyprolis,4912.285,2456.145,39.19,159.77,410
HCPCS,J9050,Bicnu,4398.4,2199.2,156.01,636.03,72
HCPCS,J9050,carmustine,6079.5,3039.75,156.01,636.03,73
HCPCS,J9055,Erbitux,6983.55,3491.78,53.09,216.43,338
HCPCS,J9060,CISplatin,45.48,22.74,6.67,6.67,2
HCPCS,J9060,INJECTION; CISPLATIN; POWDER OR SOLUTION; 10 MG,60.28,30.14,6.67,6.67,1
HCPCS,J9061,Rybrevant,35421.68,17710.84,15.09,61.53,72
HCPCS,J9063,Elahere,70061.33,35030.67,46.79,190.77,241
HCPCS,J9065,Cladribine,312.42,156.21,5.32,26.02,122
HCPCS,J9075,cycloPHOSphamide,239.35000000000002,119.67500000000001,0.37,1.51,1320
HCPCS,J9100,Cytarabine,89.93,44.97,1.6,1.6,1
HCPCS,J9100,INJECTION; CYTARABINE; 100 MG,137.09,68.55,,,0
HCPCS,J9118,Asparlas,54796.4,27398.2,55.76,227.34,121
HCPCS,J9119,Libtayo,42427.03,21213.52,19.29,78.63,97
HCPCS,J9120,DACTINomycin,2156.0,1078.0,199.82,814.64,72
HCPCS,J9130,Dacarbazine,78.51,39.255,6.15,6.15,2
HCPCS,J9144,Darzalex Faspro,40983.06,20491.53,37.08,151.18,169
HCPCS,J9145,Darzalex,20852.024999999998,10426.015,47.95,195.49,48
HCPCS,J9150,DAUNOrubicin HCl,431.84,215.92,58.86,58.86,2
HCPCS,J9155,DEGARELIX INJECTION,18.0,9.0,2.91,11.87,25
HCPCS,J9155,Firmagon,1246.68,623.34,2.91,11.87,24
HCPCS,J9155,INJECTION; DEGARELIX; 1 MG,2774.4300000000003,1387.2150000000001,2.91,11.87,122
HCPCS,J9171,DOCETAXEL INJECTION,3.0,1.5,1.65,1.65,1
HCPCS,J9171,DOCEtaxel,272.93,136.47,1.65,1.65,7
HCPCS,J9173,Imfinzi,14117.42,7058.71,57.17,233.07,482
HCPCS,J9176,Empliciti,15952.244999999999,7976.125,5.32,21.7,96
HCPCS,J9177,Padcev,22120.88,11060.44,23.83,97.15,362
HCPCS,J9179,Halaven,7745.58,3872.79,38.99,221.13,145
HCPCS,J9179,eriBULin mesylate,3037.855,1518.93,38.99,221.13,242
HCPCS,J9181,Etopophos,1479.51,739.76,1.63,1.63,1
HCPCS,J9181,Etoposide,45.055,22.53,1.63,1.63,6
HCPCS,J9181,INJECTION; ETOPOSIDE; 10 MG,77.72,38.86,1.63,1.63,1
HCPCS,J9181,Toposar,68.81,34.41,1.63,1.63,1
HCPCS,J9185,Fludarabine Phosphate,558.7650000000001,279.385,287.05,287.05,1
HCPCS,J9190,FLUOROURACIL INJECTION,10.0,5.0,5.31,5.31,1
HCPCS,J9190,Fluorouracil,60.355000000000004,30.18,0.11,5.31,8
HCPCS,J9200,Floxuridine,6527.005,3263.505,2857.72,11650.7,97
HCPCS,J9201,Gemcitabine,61.675,30.84,6.02,6.02,4
HCPCS,J9201,Gemcitabine HCl,50.9,25.45,6.02,6.02,1
HCPCS,J9201,IN GEMCITABINE HCL NOS 200MG,21.0,10.5,6.02,6.02,1
HCPCS,J9201,INJECTION; GEMCITABINE HYDROCHLORIDE; NOT OTHERWISE SPECIFIED; 200 MG,49.595,24.8,6.02,6.02,1
HCPCS,J9202,GOSERELIN ACETATE IMPLANT,5058.0,2529.0,1004.87,1004.87,1
HCPCS,J9202,GOSERELIN ACETATE IMPLANT; PER 3.6 MG,4467.69,2233.85,1004.87,1004.87,1
HCPCS,J9202,Zoladex,8497.015,4248.51,1004.87,1004.87,2
HCPCS,J9203,Mylotarg,40184.479999999996,20092.239999999998,160.79,655.53,96
HCPCS,J9204,Poteligeo,90132.0,45066.0,168.05,685.13,72
HCPCS,J9205,Onivyde,23248.0,11624.0,42.81,174.53,121
HCPCS,J9206,Camptosar,263.79,131.9,3.22,3.22,1
HCPCS,J9206,Irinotecan Hydrochloride,57.15,28.58,3.22,3.22,3
HCPCS,J9208,IFOSFAMIDE INJECTION,124.0,62.0,44.14,44.14,1
HCPCS,J9209,Mesna,8.73,4.37,2.26,2.26,1
HCPCS,J9209,Mesnex,47.85,23.93,2.26,2.26,1
HCPCS,J9217,Eligard,2714.065,1357.035,104.22,424.9,193
HCPCS,J9217,LEUPROLIDE ACETATE SUSPNSION,667.0,333.5,104.22,424.9,50
HCPCS,J9217,Lupron Depot,2196.9,1098.45,104.22,424.9,484
HCPCS,J9218,LEUPROLIDE ACETATE; PER 1 MG,9.91,4.96,1482.0,17224.0,2
HCPCS,J9218,Leuprolide Acetate,13.16,6.58,12.26,17224.0,3
HCPCS,J9220,Bludigo,1124.5,562.25,6.04,24.64,133
HCPCS,J9223,Zepzelca,32120.0,16060.0,140.37,572.27,108
HCPCS,J9226,SUPPRELIN LA IMPLANT,150543.0,75271.5,24369.78,99353.72,25
HCPCS,J9226,Supprelin LA,170685.8,85342.9,24369.78,99353.72,46
HCPCS,J9228,Yervoy,56387.875,28193.940000000002,123.78,504.64,265
HCPCS,J9229,Besponsa,87768.42,43884.21,1867.52,7613.72,217
HCPCS,J9246,Evomela,29741.3,14870.65,11.73,47.81,458
HCPCS,J9260,INJ METHOTREXATE SODIUM 50MG,7.0,3.5,5.0,5.0,1
HCPCS,J9260,METHOTREXATE SODIUM; 50 MG,9.0,4.5,5.0,5.0,1
HCPCS,J9260,Methotrexate,9.0,4.5,1.44,5.0,3
HCPCS,J9260,Methotrexate Sodium,8.745,4.375,2.44,3.52,2
HCPCS,J9260,PremierPro Rx Methotrexate,7.0,3.5,5.0,5.0,1
HCPCS,J9260,mitoMYcin,9.0,4.5,5.0,5.0,1
HCPCS,J9261,nelarabine,1964.115,982.0600000000001,42.52,183.12,242
HCPCS,J9263,Oxaliplatin,65.94,32.975,0.12,0.12,10
HCPCS,J9264,Paclitaxel Protein-Bound Particles,5511.55,2755.78,4.28,23.58,411
HCPCS,J9267,PACLitaxel,166.0,83.0,0.18,0.18,6
HCPCS,J9271,INJECTION; PEMBROLIZUMAB; 1 MG,46256.64,23128.32,39.42,160.72,24
HCPCS,J9271,Keytruda,34692.479999999996,17346.239999999998,39.42,160.72,361
HCPCS,J9272,Jemperli,69378.72,34689.36,163.34,665.95,97
HCPCS,J9273,Tivdak,59410.35,29705.18,127.48,519.72,73
HCPCS,J9280,MITOMYCIN INJECTION,362.0,181.0,22.17,104.53,25
HCPCS,J9280,mitoMYcin,439.045,219.525,22.17,90.39,193
HCPCS,J9286,Columvi,31576.65,15788.33,1862.04,7591.4,192
HCPCS,J9289,Opdivo Qvantig,39715.4,19857.7,18.29,74.57,192
HCPCS,J9293,mitoXANTRONE hcl,1069.85,534.9300000000001,19.3,78.71,50
HCPCS,J9298,Opdualag,105857.85,52928.925,133.58,544.6,193
HCPCS,J9299,Opdivo,17177.89,8588.95,22.24,90.68,820
HCPCS,J9301,Gazyva,32401.01,16200.51,54.9,223.82,97
HCPCS,J9303,Vectibix,7876.085,3938.045,118.42,482.8,386
HCPCS,J9305,PEMEtrexed,169.45,84.73,4.52,18.42,1229
HCPCS,J9306,Perjeta,26107.15,13053.58,11.18,45.58,121
HCPCS,J9308,Cyramza,14932.1,7466.05,49.77,202.91,146
HCPCS,J9309,Polivy,33557.42,16778.71,93.35,380.57,314
HCPCS,J9311,Rituxan Hycela,26306.33,13153.17,23.65,96.43,121
HCPCS,J9312,Rituxan,16911.36,8455.68,47.63,194.19,170
HCPCS,J9316,Phesgo,37866.6,18933.3,38.93,158.74,266
HCPCS,J9317,Trodelvy,27994.705,13997.355,24.47,99.75,217
HCPCS,J9319,INJECTION; ROMIDEPSIN; LYOPHILIZED; 0.1 MG,31986.5,15993.25,19.96,81.38,72
HCPCS,J9321,Epkinly,63361.44,31680.72,37.69,153.67,25
HCPCS,J9325,Imlygic,14968.04,7484.02,50.27,204.95,96
HCPCS,J9329,Tevimbra,22992.75,11496.375,37.81,154.15,48
HCPCS,J9331,Fyarro,33097.555,16548.78,59.17,241.23,49
HCPCS,J9332,Vyvgart,48965.91,24482.955,21.16,86.26,96
HCPCS,J9334,INJ EFGART-ALFA 2MG HYA-QVFC,147.0,73.5,22.27,90.79,25
HCPCS,J9342,Thiotepa,158.61,79.305,3.2,13.06,216
HCPCS,J9345,Zynyz,58972.0,29486.0,20.14,82.1,48
HCPCS,J9347,Imjudo,142042.45500000002,71021.23000000001,95.48,389.26,145
HCPCS,J9351,Topotecan,147.56,73.78,1.29,1.29,1
HCPCS,J9352,Yondelis,22136.04,11068.02,266.81,1087.77,241
HCPCS,J9354,Kadcyla,17688.02,8844.01,28.36,115.62,266
HCPCS,J9355,Herceptin,7013.04,3506.52,45.66,186.14,120
HCPCS,J9356,Herceptin Hylecta,21038.58,10519.29,37.92,154.6,121
HCPCS,J9357,VALRUBICIN INJECTION,6132.0,3066.0,810.58,3304.68,25
HCPCS,J9358,Enhertu,35217.0,17608.5,21.37,87.11,265
HCPCS,J9359,Zynlonta,97283.74,48641.87,147.3,600.52,72
HCPCS,J9360,vinBLAStine Sulfate,267.365,133.685,6.96,6.96,1
HCPCS,J9370,vinCRIStine Sulfate,26.6,13.3,12.75,12.75,2
HCPCS,J9380,Tecvayli,5706.5,2853.25,22.96,93.6,218
HCPCS,J9381,Tzield,30519.155000000002,15259.580000000002,25.49,103.93,48
HCPCS,J9390,Vinorelbine,331.945,165.97500000000002,12.24,12.24,2
HCPCS,J9395,Fulvestrant,433.98,216.99,13.94,13.94,2
HCPCS,J9999,Inlexzo Intravesical System,207000.0,103500.0,,,0
HCPCS,L0150,CERV SEMI-RIG ADJ MOLDED CHN,126.0,63.0,89.56,365.12,24
HCPCS,L0172,CERV COL SR FOAM 2PC PRE OTS,146.0,73.0,104.44,425.8,24
HCPCS,L0172,CERVICAL; COLLAR; SEMI-RIGID THERMOPLASTIC FOAM; TWO-PIECE; PREFABRICATED; OFF-THE-SHELF,168.61,84.31,104.44,425.8,24
HCPCS,L0458,TLSO 2MOD SYMPHIS-XIPHO PRE,3378.0,1689.0,695.34,2834.84,24
HCPCS,L0460,TLSO 2 SHL SYMPHYS-STERN CST,3138.0,1569.0,782.65,3190.81,21
HCPCS,L0462,TLSO 3MOD SACRO-SCAP PRE,4284.0,2142.0,973.5,3968.88,24
HCPCS,L0464,TLSO 4MOD SACRO-SCAP PRE,4214.0,2107.0,1158.93,4724.87,24
HCPCS,L0472,TLSO RIGID FRAME HYPEREX PRE,1313.0,656.5,302.02,1231.3,24
HCPCS,L0486,TLSO RIGIDLINED CUST FAB TWO,1313.0,656.5,1408.29,5741.49,24
HCPCS,L0491,TLSO 2 PIECE RIGID SHELL,2956.0,1478.0,598.79,2441.23,24
HCPCS,L0628,LSO FLEX NO RI STAYS PRE OTS,500.0,250.0,42.36,172.7,24
HCPCS,L0630,LSO R POST PNL SJ-T9 PRE CST,712.0,356.0,126.27,514.79,24
HCPCS,L0633,LSO SC R POS/LAT PNL PRE CST,1192.0,596.0,223.58,911.52,24
HCPCS,L0634,LSO FLEXION CONTROL CUSTOM,96.0,48.0,,,0
HCPCS,L0650,LSO SC R ANT/POS PNL PRE OTS,1152.0,576.0,599.79,2445.29,24
HCPCS,L0859,MRI COMPATIBLE SYSTEM,4670.0,2335.0,1028.44,4192.86,24
HCPCS,L0976,LSO FULL CORSET,657.0,328.5,119.44,486.94,24
HCPCS,L1220,ANTERIOR THORACIC EXTENSION,1002.0,501.0,186.71,761.19,24
HCPCS,L1830,KNEE ORTHOSIS; IMMOBILIZER; CANVAS LONGITUDINAL; PREFABRICATED; OFF-THE-SHELF,72.46,36.23,50.2,204.66,24
HCPCS,L1830,KO IMMOB CANVAS LONG PRE OTS,156.0,78.0,50.2,204.66,24
HCPCS,L1832,KNEE ORTHOSIS; ADJUSTABLE KNEE JOINTS (UNICENTRIC OR POLYCENTRIC); POSITIONAL ORTHOSIS; RIGID SUPPORT; PREFABRICATED ITEM THAT HAS BEEN TRIMMED; BENT; MOLDED; ASSEMBLED; OR OTHERWISE CUSTOMIZED TO FIT,414.56,207.28,528.25,2153.63,24
HCPCS,L1832,KO ADJ JNT POS R SUP PRE CST,454.0,227.0,528.25,2153.63,24
HCPCS,L1850,KO SWEDISH TYPE PRE OTS,1209.0,604.5,163.48,666.48,24
HCPCS,L1906,AFO MULTILIG ANK SUP PRE OTS,56.0,28.0,89.83,366.23,24
HCPCS,L1910,AFO SING BAR CLASP ATTACH SH,399.0,199.5,203.99,831.65,24
HCPCS,L1930,AFO PLASTIC,363.0,181.5,176.7,720.38,24
HCPCS,L1930,ANKLE-FOOT ORTHOTIC (AFO); PLASTIC OR OTHER MATERIAL; PREFABRICATED; INCLUDES FITTING AND ADJUSTMENT,358.77,179.39,176.7,720.38,24
HCPCS,L1940,AFO MOLDED TO PATIENT PLASTI,1942.0,971.0,369.39,1506.0,24
HCPCS,L1951,AFO SPIRAL PREFAB CUSTOM,3292.0,1646.0,654.79,2669.53,24
HCPCS,L1960,AFO POS SOLID ANK PLASTIC MO,1900.0,950.0,441.65,1800.57,24
HCPCS,L1980,AFO SING SOLID STIRRUP CALF,1451.0,725.5,274.12,1117.58,24
HCPCS,L2036,KAFO PLAS DOUB FREE KNEE MOL,5581.0,2790.5,1436.08,5854.8,24
HCPCS,L2116,AFO TIBIAL FRACTURE RIGID,77.0,38.5,586.96,2392.98,24
HCPCS,L2200,LIMITED ANKLE MOTION EA JNT,221.0,110.5,35.51,144.77,24
HCPCS,L2210,DORSIFLEXION ASSIST EACH JOI,308.0,154.0,51.41,209.59,24
HCPCS,L2230,SPLIT FLAT CALIPER STIRR & P,338.0,169.0,57.31,233.65,24
HCPCS,L2622,HIP JOINT ADJUSTABLE FLEXION,1389.0,694.5,256.31,1044.95,23
HCPCS,L3020,FOOT LONGITUD/METATARSAL SUP,653.0,326.5,154.68,630.62,24
HCPCS,L3030,FOOT ARCH SUPPORT REMOV PREM,396.0,198.0,59.51,242.61,24
HCPCS,L3060,FOOT ARCH SUPP LONGITUD/META,67.0,33.5,57.49,234.39,24
HCPCS,L3260,SURGICAL BOOT/SHOE; EACH,99.06,49.53,,,0
HCPCS,L3300,SHO LIFT TAPER TO METATARSAL,251.0,125.5,40.66,165.76,24
HCPCS,L3390,SHOE OUTFLARE WEDGE,241.0,120.5,38.65,157.57,24
HCPCS,L3485,SHOE HEEL PAD REMOVABLE FOR,182.0,91.0,,,0
HCPCS,L3540,ORTHO SHOE ADD FULL SOLE,247.0,123.5,39.68,161.76,24
HCPCS,L3670,SHOULDER ORTHOSIS; ACROMIO/CLAVICULAR (CANVAS AND WEBBING TYPE); PREFABRICATED; OFF-THE-SHELF,25.61,12.81,99.27,404.73,24
HCPCS,L3670,SO ACRO/CLAV CAN WEB PRE OTS,130.0,65.0,99.27,404.73,24
HCPCS,L3702,ELBOW ORTHOTIC (EO); WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,167.0,83.5,204.89,835.31,24
HCPCS,L3761,"EO, ADJ LOCK JOINT PREFAB OT",391.0,195.5,354.84,1446.64,24
HCPCS,L3763,ELBOW-WRIST-HAND ORTHOTIC (EWHO); RIGID; WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,437.0,218.5,498.08,2030.64,48
HCPCS,L3806,WHFO W/JOINT(S) CUSTOM FAB,931.0,465.5,322.33,1314.11,24
HCPCS,L3807,WHFO W/O JOINTS PRE CST,296.0,148.0,177.43,723.37,24
HCPCS,L3808,"WHFO, RIGID W/O JOINTS",458.5,229.25,265.34,1081.78,48
HCPCS,L3808,WRIST-HAND-FINGER ORTHOTIC (WHFO); RIGID WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE MATERIAL; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,438.0,219.0,265.34,1081.78,48
HCPCS,L3900,HINGE EXTENSION/FLEX WRIST/F,1914.0,957.0,1034.64,4218.14,24
HCPCS,L3906,WRIST-HAND ORTHOTIC (WHO); WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,858.5,429.25,312.43,1273.75,48
HCPCS,L3908,WHO COCK-UP NONMOLDE PRE OTS,119.0,59.5,49.17,200.45,24
HCPCS,L3912,HFO FLEXION GLOVE PRE OTS,141.0,70.5,85.18,347.26,24
HCPCS,L3913,HAND-FINGER ORTHOTIC (HFO); WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,161.5,80.75,192.18,783.5,48
HCPCS,L3913,HFO W/O JOINTS CF,167.0,83.5,192.18,783.5,48
HCPCS,L3919,HAND ORTHOTIC; WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,581.0,290.5,192.18,783.5,24
HCPCS,L3919,HO W/O JOINTS CF,599.0,299.5,192.18,783.5,24
HCPCS,L3923,HFO WITHOUT JOINTS PRE CST,173.0,86.5,68.49,279.23,48
HCPCS,L3925,FINGER ORTHOSIS; PROXIMAL INTERPHALANGEAL (PIP)/DISTAL INTERPHALANGEAL (DIP); NON TORSION JOINT/SPRING; EXTENSION/FLEXION; MAY INCLUDE SOFT INTERFACE MATERIAL; PREFABRICATED; OFF-THE-SHELF,78.0,39.0,36.73,149.75,72
HCPCS,L3927,FO PIP DIP NO JT SPR PRE OTS,80.5,40.25,24.81,101.15,48
HCPCS,L3929,HFO NONTORSION JNTS PRE CST,251.0,125.5,65.08,265.32,24
HCPCS,L3933,FINGER ORTHOTIC; WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,82.5,41.25,151.38,617.16,48
HCPCS,L3960,SEWHO AIRPLAN DESIG ABDU POS,465.0,232.5,537.65,2191.97,24
HCPCS,L3960,SHOULDER-ELBOW-WRIST-HAND ORTHOTIC (SEWHO); ABDUCTION POSITIONING; AIRPLANE DESIGN; PREFABRICATED; INCLUDES FITTING AND ADJUSTMENT,430.0,215.0,537.65,2191.97,24
HCPCS,L3982,UPPER EXT FX ORTHOSIS RAD/UL,705.0,352.5,272.86,1112.42,24
HCPCS,L3984,UPPER EXT FX ORTHOSIS WRIST,648.0,324.0,251.57,1025.63,24
HCPCS,L4210,ORTH DEV REPAIR/REPL MINOR P,57.0,28.5,,,0
HCPCS,L4210,REPAIR OF ORTHOTIC DEVICE; REPAIR OR REPLACE MINOR PARTS,54.0,27.0,,,0
HCPCS,L4360,PNEUMAT WALKING BOOT PRE CST,102.0,51.0,229.83,937.01,24
HCPCS,L4360,WALKING BOOT; PNEUMATIC AND/OR VACUUM; WITH OR WITHOUT JOINTS; WITH OR WITHOUT INTERFACE MATERIAL; PREFABRICATED ITEM THAT HAS BEEN TRIMMED; BENT; MOLDED; ASSEMBLED; OR OTHERWISE CUSTOMIZED TO FIT A S,108.4,54.2,229.83,937.01,72
HCPCS,L4386,WALKING BOOT; NON-PNEUMATIC; WITH OR WITHOUT JOINTS; WITH OR WITHOUT INTERFACE MATERIAL; PREFABRICATED ITEM THAT HAS BEEN TRIMMED; BENT; MOLDED; ASSEMBLED; OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PA,187.62,93.81,123.6,503.92,24
HCPCS,L4398,FOOT DROP SPLINT PRE OTS,362.0,181.0,60.24,245.58,24
HCPCS,L5400,POSTOP DRESS & 1 CAST CHG BK,4301.0,2150.5,957.73,3904.59,24
HCPCS,L5420,POSTOP DSG & 1 CAST CHG AK/D,4945.0,2472.5,1209.57,4931.33,24
HCPCS,L5450,POSTOP APP NON-WGT BEAR DSG,1798.0,899.0,341.56,1392.5,24
HCPCS,L5673,SOCKET INSERT W LOCK MECH,2783.0,1391.5,559.07,2279.26,24
HCPCS,L5679,SOCKET INSERT W/O LOCK MECH,2376.0,1188.0,465.88,1899.36,24
HCPCS,L5684,BK FORK STRAP,244.0,122.0,38.3,156.16,24
HCPCS,L5688,BK WAIST BELT WEBBING,297.0,148.5,48.61,198.17,24
HCPCS,L8000,BREAST PROSTHESIS; MASTECTOMY BRA; WITHOUT INTEGRATED BREAST PROSTHESIS FORM; ANY SIZE; ANY TYPE,159.32,79.66,29.06,118.45,24
HCPCS,L8000,MASTECTOMY BRA,157.0,78.5,29.06,118.45,24
HCPCS,L8440,SHRINKER BELOW KNEE,208.0,104.0,33.28,135.68,24
HCPCS,L8465,SHRINKER UPPER LIMB,284.0,142.0,46.95,191.41,24
HCPCS,L8500,ARTIFICIAL LARYNX,1096.0,548.0,700.23,2854.77,24
HCPCS,L8501,TRACHEOSTOMY SPEAKING VALVE,1108.66,554.33,96.12,391.88,72
HCPCS,L8507,TRACH-ESOPH VOICE PROS PT IN,389.0,194.5,32.72,133.4,24
HCPCS,L8507,TRACHEO-ESOPHAGEAL VOICE PROSTHESIS; PATIENT INSERTED; ANY TYPE; EACH,1374.0,687.0,32.72,133.4,24
HCPCS,L8509,TRACH-ESOPH VOICE PROS MD IN,538.0,269.0,85.31,347.79,24
HCPCS,L8509,TRACHEO-ESOPHAGEAL VOICE PROSTHESIS; INSERTED BY A LICENSED HEALTH CARE PROVIDER; ANY TYPE,1415.18,707.59,85.31,347.79,24
HCPCS,L8511,INSERT FOR INDWELLING TRACHEOESOPHAGEAL PROSTHESIS; WITH OR WITHOUT VALVE; REPLACEMENT ONLY; EACH,649.0,324.5,56.82,231.64,24
HCPCS,L8600,IMPLANT BREAST SILICONE/EQ,3222.0,1611.0,,,0
HCPCS,L8603,COLLAGEN IMP URINARY 2.5 ML,1522.0,761.0,,,0
HCPCS,L8604,INJECTABLE BULKING AGENT; DEXTRANOMER/HYALURONIC ACID COPOLYMER IMPLANT; URINARY TRACT; 1 ML; INCLUDES SHIPPING AND NECESSARY SUPPLIES,24449.4,12224.7,,,0
HCPCS,L8606,INJECTABLE BULKING AGENT; SYNTHETIC IMPLANT; URINARY TRACT; 1 ML SYRINGE; INCLUDES SHIPPING AND NECESSARY SUPPLIES,2383.75,1191.875,,,0
HCPCS,L8606,SYNTHETIC IMPLNT URINARY 1ML,1330.0,665.0,,,0
HCPCS,L8607,INJECTABLE BULKING AGENT FOR VOCAL CORD MEDIALIZATION; 0.1 ML; INCLUDES SHIPPING AND NECESSARY SUPPLIES,2276.25,1138.13,99.4,99.4,1
HCPCS,L8610,OCULAR IMPLANT,2119.125,1059.565,,,0
HCPCS,L8612,AQUEOUS SHUNT,4270.0,2135.0,,,0
HCPCS,L8612,AQUEOUS SHUNT PROSTHESIS,2551.0,1275.5,,,0
HCPCS,L8613,OSSICULA IMPLANT,1873.0,936.5,,,0
HCPCS,L8613,OSSICULAR IMPLANT,1392.0,696.0,,,0
HCPCS,L8614,COCHLEAR DEVICE,40751.0,20375.5,,,0
HCPCS,L8614,COCHLEAR DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS,52413.92,26206.96,,,0
HCPCS,L8630,METACARPOPHALANGEAL IMPLANT,3900.0,1950.0,,,0
HCPCS,L8630,METACARPOPHALANGEAL JOINT IMPLANT,5377.78,2688.89,,,0
HCPCS,L8690,"AUD OSSEO DEV, INT/EXT COMP",5900.0,2950.0,,,0
HCPCS,L8690,AUDITORY OSSEOINTEGRATED DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS,7167.92,3583.96,,,0
HCPCS,L8691,AUDITORY OSSEOINTEGRATED DEVICE; EXTERNAL SOUND PROCESSOR; EXCLUDES TRANSDUCER/ACTUATOR; REPLACEMENT ONLY; EACH,8333.17,4166.59,1345.32,5484.78,24
HCPCS,L8693,"AUD OSSEO DEV, ABUTMENT",4482.0,2241.0,1184.55,4829.31,24
HCPCS,L8693,AUDITORY OSSEOINTEGRATED DEVICE ABUTMENT; ANY LENGTH; REPLACEMENT ONLY,4157.56,2078.78,1184.55,4829.31,24
HCPCS,L8699,PROSTHETIC IMPLANT NOS,2656.0,1328.0,,,0
HCPCS,L8699,PROSTHETIC IMPLANT; NOT OTHERWISE SPECIFIED,1253.0,626.5,,,0
HCPCS,M0220,TIXAGEV AND CILGAV INJ,489.0,244.5,126.42,144.48,6
HCPCS,M0222,BEBTELOVIMAB INJECTION,1139.0,569.5,294.42,336.48,6
HCPCS,M0243,CASIRIVI AND IMDEVI INJ,930.0,465.0,378.0,432.0,6
HCPCS,M0245,BAMLAN AND ETESEV INFUSION,1269.0,634.5,378.0,432.0,6
HCPCS,M0247,SOTROVIMAB INFUSION,1755.0,877.5,378.0,432.0,6
HCPCS,P3000,SCREEN PAP BY TECH W MD SUPV,73.5,36.75,12.05,49.13,48
HCPCS,P3001,SCREENING PAP SMEAR BY PHYS,82.0,41.0,14.42,58.78,31
HCPCS,P9010,BLOOD (WHOLE); FOR TRANSFUSION; PER UNIT,1306.0,653.0,31.5,500.61,30
HCPCS,P9010,WHOLE BLOOD FOR TRANSFUSION,1048.0,524.0,31.5,500.61,30
HCPCS,P9011,BLOOD SPLIT UNIT,282.0,141.0,100.8,410.96,24
HCPCS,P9011,BLOOD; SPLIT UNIT,221.0,110.5,100.8,410.96,72
HCPCS,P9012,CRYOPRECIPITATE EACH UNIT,245.0,122.5,46.54,189.74,24
HCPCS,P9012,CRYOPRECIPITATE; EACH UNIT,1120.0,560.0,46.54,189.74,24
HCPCS,P9016,RBC LEUKOCYTES REDUCED,557.0,278.5,119.6,487.6,24
HCPCS,P9016,RED BLOOD CELLS; LEUKOCYTES REDUCED; EACH UNIT,518.0,259.0,119.6,487.6,72
HCPCS,P9017,PLASMA 1 DONOR FRZ W/IN 8 HR,334.5,167.25,31.5,226.73,60
HCPCS,P9019,"PLATELETS, EACH UNIT",108.0,54.0,31.5,140.21,30
HCPCS,P9022,RED BLOOD CELLS; WASHED; EACH UNIT,994.0,497.0,238.4,971.94,24
HCPCS,P9022,WASHED RED BLOOD CELLS UNIT,1069.0,534.5,238.4,971.94,24
HCPCS,P9023,"FROZEN PLASMA, POOLED, SD",527.0,263.5,36.2,147.58,24
HCPCS,P9023,PLASMA; POOLED MULTIPLE DONOR; SOLVENT/DETERGENT TREATED; FROZEN; EACH UNIT,1054.0,527.0,36.2,147.58,24
HCPCS,P9031,PLATELETS LEUKOCYTES REDUCED,262.0,131.0,93.31,380.41,24
HCPCS,P9034,"PLATELETS, PHERESIS",1981.0,990.5,199.84,814.74,24
HCPCS,P9035,PLATELET PHERES LEUKOREDUCED,1948.0,974.0,330.9,1349.06,24
HCPCS,P9037,PLATE PHERES LEUKOREDU IRRAD,1962.0,981.0,440.23,1794.79,24
HCPCS,P9039,RBC DEGLYCEROLIZED,1382.0,691.0,202.46,825.4,24
HCPCS,P9040,RBC LEUKOREDUCED IRRADIATED,705.0,352.5,171.67,699.89,24
HCPCS,P9040,RED BLOOD CELLS; LEUKOCYTES REDUCED; IRRADIATED; EACH UNIT,680.0,340.0,171.67,699.89,48
HCPCS,P9044,CRYOPRECIPITATEREDUCEDPLASMA,221.0,110.5,85.41,348.21,24
HCPCS,P9045,Albumin Human,175.5,87.75,34.5,140.66,49
HCPCS,P9045,Alburx,1299.745,649.875,34.5,140.66,700
HCPCS,P9045,Albutein,3690.0,1845.0,34.5,140.66,24
HCPCS,P9045,Buminate,165.38,82.69,34.5,140.66,24
HCPCS,P9045,INFUSION; ALBUMIN (HUMAN); 5%; 250 ML,165.38,82.69,34.5,140.66,73
HCPCS,P9047,"ALBUMIN (HUMAN), 25%, 50ML",158.0,79.0,34.66,141.3,25
HCPCS,P9047,Alburx,432.0,216.0,34.66,141.3,242
HCPCS,P9047,INFUSION; ALBUMIN (HUMAN); 25%; 50 ML,144.0,72.0,34.66,141.3,97
HCPCS,P9050,"GRANULOCYTES, PHERESIS UNIT",3062.0,1531.0,,,0
HCPCS,P9059,FRESH FROZEN PLASMA BETWEEN 8-24 HOURS OF COLLECTION; EACH UNIT,233.0,116.5,31.5,194.54,30
HCPCS,P9059,"PLASMA, FRZ BETWEEN 8-24HOUR",366.0,183.0,31.5,194.54,30
HCPCS,P9073,PLATELETS PHERESIS PATH REDU,2506.0,1253.0,392.89,1601.79,24
HCPCS,P9073,PLATELETS; PHERESIS; PATHOGEN-REDUCED; EACH UNIT,2418.5,1209.25,392.89,1601.79,120
HCPCS,P9603,ONE-WAY ALLOW PRORATED MILES,1.0,0.5,,,0
HCPCS,P9603,TRAVEL ALLOWANCE ONE WAY IN CONNECTION WITH MEDICALLY NECESSARY LABORATORY SPECIMEN COLLECTION DRAWN FROM HOME BOUND OR NURSING HOME BOUND PATIENT; PRORATED MILES ACTUALLY TRAVELLED.,4.69,2.35,,,0
HCPCS,P9604,ONE-WAY ALLOW PRORATED TRIP,8.0,4.0,,,0
HCPCS,P9612,CATHETERIZATION FOR COLLECTION OF SPECIMEN; SINGLE PATIENT; ALL PLACES OF SERVICE,26.0,13.0,6.07,25.0,62
HCPCS,P9612,CATHETERIZE FOR URINE SPEC,30.0,15.0,8.59,25.0,31
HCPCS,Q0091,OBTAINING SCREEN PAP SMEAR,121.0,60.5,13.64,73.78,62
HCPCS,Q0091,SCREENING PAPANICOLAOU SMEAR; OBTAINING; PREPARING AND CONVEYANCE OF CERVICAL OR VAGINAL SMEAR TO LABORATORY,39.0,19.5,13.64,73.78,55
HCPCS,Q0111,WET MOUNTS; INCLUDING PREPARATIONS OF VAGINAL; CERVICAL OR SKIN SPECIMENS,57.0,28.5,6.26,49.13,30
HCPCS,Q0138,"FERUMOXYTOL, NON-ESRD",4.0,2.0,0.24,0.98,25
HCPCS,Q0138,Feraheme,2040.0,1020.0,0.24,0.98,193
HCPCS,Q0138,INJECTION; FERUMOXYTOL; FOR TREATMENT OF IRON DEFICIENCY ANEMIA; 1 MG (NON-ESRD USE),1715.67,857.84,0.24,0.98,97
HCPCS,Q0138,ferumoxytol,1507.845,753.925,0.24,0.98,265
HCPCS,Q0161,chlorproMAZINE HCl,13.719999999999999,6.865,,,0
HCPCS,Q0161,chlorproMAZINE HCl AvPak,18.33,9.17,,,0
HCPCS,Q0162,ONDANSETRON 1 MG; ORAL; FDA APPROVED PRESCRIPTION ANTIEMETIC; FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTIEMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT; NOT TO EXCEED A 48 HOUR DOSAGE RE,1.17,0.59,0.02,0.02,1
HCPCS,Q0162,ONDANSETRON ORAL,1.0,0.5,0.02,0.02,1
HCPCS,Q0162,Ondansetron,1.17,0.6699999999999999,0.02,0.02,11
HCPCS,Q0162,Ondansetron HCl,2.46,1.23,0.02,0.02,8
HCPCS,Q0162,Ondansetron HCl AvPak,2.13,1.065,0.02,0.02,2
HCPCS,Q0162,Ondansetron Hydrochloride,4.52,2.26,0.02,0.02,1
HCPCS,Q0163,DIPHENHYDRAMINE HCL 50MG,1.5,0.75,1.0,2.0,2
HCPCS,Q0164,Prochlorperazine Maleate,1.94,0.97,0.97,0.97,8
HCPCS,Q0167,droNABinol,34.03,17.015,1.34,1.34,5
HCPCS,Q0169,Promethazine HCl,1.315,0.6599999999999999,0.46,0.46,8
HCPCS,Q0175,Perphenazine,1.035,0.52,0.69,0.69,1
HCPCS,Q0177,HYDROXYZINE PAMOATE 25MG,6.0,3.0,3.23,3.23,1
HCPCS,Q0177,HYDROXYZINE PAMOATE; 25 MG; ORAL; FDA APPROVED PRESCRIPTION ANTIEMETIC; FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTIEMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT; NOT TO EXCEED A 48 HOUR,1.5,0.75,1.5,1.5,1
HCPCS,Q0177,hydrOXYzine Pamoate,1.395,0.7,0.5,2.05,8
HCPCS,Q0508,MIS SUP/ACC IMP VAD,24.0,12.0,,,0
HCPCS,Q0509,MIS SUP/AC IMP VAD NOPAY MED,25.0,12.5,,,0
HCPCS,Q0509,MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH ANY IMPLANTED VENTRICULAR ASSIST DEVICE FOR WHICH PAYMENT WAS NOT MADE UNDER MEDICARE PART A,720.0,360.0,,,0
HCPCS,Q2009,Cerebyx,117.52,58.765,0.44,7.92,49
HCPCS,Q2009,Fosphenytoin Sodium,22.75,11.38,0.44,7.92,73
HCPCS,Q2038,"FLUZONE VACC, 3 YRS & >, IM",36.0,18.0,36.0,36.0,1
HCPCS,Q2041,Yescarta,755370.0,377685.0,365625.57,1490627.33,24
HCPCS,Q2050,DOXOrubicin HCl Liposome,885.14,442.57,75.8,309.02,408
HCPCS,Q2050,Doxil,693.45,346.725,75.8,309.02,48
HCPCS,Q2053,BREXUCABTAGENE AUTOLEUCEL; UP TO 200 MILLION AUTOLOGOUS ANTI-CD19 CAR POSITIVE VIABLE T CELLS; INCLUDING LEUKAPHERESIS AND DOSE PREPARATION PROCEDURES; PER THERAPEUTIC DOSE,924000.0,462000.0,331567.54,1351775.36,24
HCPCS,Q2054,LISOCABTAGENE MARALEUCEL; UP TO 110 MILLION AUTOLOGOUS ANTI-CD19 CAR-POSITIVE VIABLE T CELLS; INCLUDING LEUKAPHERESIS AND DOSE PREPARATION PROCEDURES; PER THERAPEUTIC DOSE,974954.86,487477.43,376720.9,1535862.14,74
HCPCS,Q2055,IDECABTAGENE VICLEUCEL; UP TO 460 MILLION AUTOLOGOUS B-CELL MATURATION ANTIGEN (BCMA) DIRECTED CAR-POSITIVE T CELLS; INCLUDING LEUKAPHERESIS AND DOSE PREPARATION PROCEDURES; PER THERAPEUTIC DOSE,996815.9,498407.95,369185.54,1505141.04,24
HCPCS,Q2056,Carvykti,783082.5,391541.25,382185.54,1558141.04,25
HCPCS,Q3014,TELEHEALTH FACILITY FEE,117.0,58.5,,,0
HCPCS,Q3014,TELEHEALTH ORIGINATING SITE FACILITY FEE,119.0,59.5,25.0,25.0,2
HCPCS,Q4005,CAST SUPPLIES; LONG ARM CAST; ADULT (11+ YEARS); PLASTER,39.0,19.5,10.73,43.75,24
HCPCS,Q4006,CAST SUP LONG ARM ADULT FBRG,91.0,45.5,24.18,98.58,24
HCPCS,Q4006,CAST SUPPLIES; LONG ARM CAST; ADULT (11+ YEARS); FIBERGLASS,88.0,44.0,24.18,98.58,24
HCPCS,Q4007,CAST SUP LONG ARM PED PLSTER,20.0,10.0,5.36,21.86,24
HCPCS,Q4008,CAST SUP LONG ARM PED FBRGLS,37.0,18.5,12.08,49.26,48
HCPCS,Q4008,CAST SUPPLIES; LONG ARM CAST; PEDIATRIC (0-10 YEARS); FIBERGLASS,28.0,14.0,12.08,49.26,48
HCPCS,Q4009,CAST SUP SHT ARM ADULT PLSTR,27.0,13.5,7.17,29.23,24
HCPCS,Q4009,CAST SUPPLIES; SHORT ARM CAST; ADULT (11+ YEARS); PLASTER,26.0,13.0,7.17,29.23,24
HCPCS,Q4010,CAST SUP SHT ARM ADULT FBRGL,61.0,30.5,16.12,65.72,24
HCPCS,Q4011,CAST SUP SHT ARM PED PLASTER,13.0,6.5,3.58,14.58,24
HCPCS,Q4011,CAST SUPPLIES; SHORT ARM CAST; PEDIATRIC (0-10 YEARS); PLASTER,12.0,6.0,3.58,14.58,24
HCPCS,Q4012,CAST SUP SHT ARM PED FBRGLAS,25.5,12.75,8.08,32.94,48
HCPCS,Q4012,CAST SUPPLIES; SHORT ARM CAST; PEDIATRIC (0-10 YEARS); FIBERGLASS,20.0,10.0,8.08,32.94,24
HCPCS,Q4013,CAST SUP GAUNTLET PLASTER,46.0,23.0,13.05,53.19,24
HCPCS,Q4013,CAST SUPPLIES; GAUNTLET CAST (INCLUDES LOWER FOREARM AND HAND); ADULT (11+ YEARS); PLASTER,44.0,22.0,13.05,53.19,24
HCPCS,Q4014,CAST SUP GAUNTLET FIBERGLASS,82.0,41.0,22.0,89.68,22
HCPCS,Q4014,CAST SUPPLIES; GAUNTLET CAST (INCLUDES LOWER FOREARM AND HAND); ADULT (11+ YEARS); FIBERGLASS,79.0,39.5,22.0,89.68,48
HCPCS,Q4016,CAST SUP GAUNTLET PED FBRGLS,41.0,20.5,10.99,44.81,24
HCPCS,Q4016,CAST SUPPLIES; GAUNTLET CAST (INCLUDES LOWER FOREARM AND HAND); PEDIATRIC (0-10 YEARS); FIBERGLASS,39.0,19.5,10.99,44.81,24
HCPCS,Q4018,CAST SUP LNG ARM SPLINT FBRG,45.0,22.5,12.01,48.97,24
HCPCS,Q4018,CAST SUPPLIES; LONG ARM SPLINT; ADULT (11+ YEARS); FIBERGLASS,43.0,21.5,12.01,48.97,48
HCPCS,Q4019,CAST SUP LNG ARM SPLNT PED P,21.0,10.5,3.77,15.37,24
HCPCS,Q4019,CAST SUPPLIES; LONG ARM SPLINT; PEDIATRIC (0-10 YEARS); PLASTER,20.0,10.0,3.77,15.37,24
HCPCS,Q4020,CAST SUP LNG ARM SPLNT PED F,22.0,11.0,6.03,24.59,24
HCPCS,Q4020,CAST SUPPLIES; LONG ARM SPLINT; PEDIATRIC (0-10 YEARS); FIBERGLASS,21.0,10.5,6.03,24.59,24
HCPCS,Q4021,CAST SUP SHT ARM SPLINT PLST,22.0,11.0,5.58,22.76,24
HCPCS,Q4021,CAST SUPPLIES; SHORT ARM SPLINT; ADULT (11+ YEARS); PLASTER,21.0,10.5,5.58,22.76,24
HCPCS,Q4022,CAST SUP SHT ARM SPLINT FBRG,38.0,19.0,10.07,41.08,24
HCPCS,Q4022,CAST SUPPLIES; SHORT ARM SPLINT; ADULT (11+ YEARS); FIBERGLASS,36.0,18.0,10.07,41.08,72
HCPCS,Q4023,CAST SUP SHT ARM SPLNT PED P,10.0,5.0,2.8,11.42,24
HCPCS,Q4023,CAST SUPPLIES; SHORT ARM SPLINT; PEDIATRIC (0-10 YEARS); PLASTER,9.0,4.5,2.8,11.42,24
HCPCS,Q4024,CAST SUP SHT ARM SPLNT PED F,21.0,10.5,5.04,20.56,24
HCPCS,Q4024,CAST SUPPLIES; SHORT ARM SPLINT; PEDIATRIC (0-10 YEARS); FIBERGLASS,20.0,10.0,5.04,20.56,24
HCPCS,Q4027,CAST SUP HIP SPICA PED PLSTR,478.0,239.0,15.65,63.81,24
HCPCS,Q4030,CAST SUP LONG LEG FIBERGLASS,231.0,115.5,63.0,256.84,24
HCPCS,Q4030,CAST SUPPLIES; LONG LEG CAST; ADULT (11+ YEARS); FIBERGLASS,224.0,112.0,63.0,256.84,24
HCPCS,Q4031,CAST SUP LNG LEG PED PLASTER,45.0,22.5,11.95,48.73,24
HCPCS,Q4031,CAST SUPPLIES; LONG LEG CAST; PEDIATRIC (0-10 YEARS); PLASTER,43.0,21.5,11.95,48.73,24
HCPCS,Q4032,CAST SUP LNG LEG PED FBRGLS,115.0,57.5,31.5,128.42,24
HCPCS,Q4032,CAST SUPPLIES; LONG LEG CAST; PEDIATRIC (0-10 YEARS); FIBERGLASS,111.0,55.5,31.5,128.42,48
HCPCS,Q4034,CAST SUP LNG LEG CYLINDER FB,204.0,102.0,55.5,226.28,24
HCPCS,Q4034,CAST SUPPLIES; LONG LEG CYLINDER CAST; ADULT (11+ YEARS); FIBERGLASS,198.0,99.0,55.5,226.28,24
HCPCS,Q4035,CAST SUP LNGLEG CYLNDR PED P,43.0,21.5,11.16,45.5,24
HCPCS,Q4036,CAST SUPPLIES; LONG LEG CYLINDER CAST; PEDIATRIC (0-10 YEARS); FIBERGLASS,102.0,51.0,27.77,113.23,24
HCPCS,Q4037,CAST SUP SHRT LEG PLASTER,49.0,24.5,13.6,55.44,24
HCPCS,Q4037,CAST SUPPLIES; SHORT LEG CAST; ADULT (11+ YEARS); PLASTER,47.0,23.5,13.6,55.44,24
HCPCS,Q4038,CAST SUPPLIES; SHORT LEG CAST; ADULT (11+ YEARS); FIBERGLASS,117.0,58.5,34.11,139.07,48
HCPCS,Q4039,CAST SUP SHRT LEG PED PLSTER,27.0,13.5,6.82,27.82,24
HCPCS,Q4039,CAST SUPPLIES; SHORT LEG CAST; PEDIATRIC (0-10 YEARS); PLASTER,26.0,13.0,6.82,27.82,24
HCPCS,Q4040,CAST SUP SHRT LEG PED FBRGLS,52.0,26.0,17.05,69.51,48
HCPCS,Q4040,CAST SUPPLIES; SHORT LEG CAST; PEDIATRIC (0-10 YEARS); FIBERGLASS,78.0,39.0,17.05,69.51,24
HCPCS,Q4041,CAST SUP LNG LEG SPLNT PLSTR,63.0,31.5,16.56,67.52,24
HCPCS,Q4042,CAST SUP LNG LEG SPLNT FBRGL,103.0,51.5,28.27,115.25,24
HCPCS,Q4044,CAST SUP LNG LEG SPLNT PED F,50.0,25.0,14.16,57.72,24
HCPCS,Q4045,CAST SUP SHT LEG SPLNT PLSTR,38.0,19.0,9.61,39.19,24
HCPCS,Q4045,CAST SUPPLIES; SHORT LEG SPLINT; ADULT (11+ YEARS); PLASTER,36.0,18.0,9.61,39.19,24
HCPCS,Q4046,CAST SUP SHT LEG SPLNT FBRGL,59.0,29.5,15.46,63.04,24
HCPCS,Q4046,CAST SUPPLIES; SHORT LEG SPLINT; ADULT (11+ YEARS); FIBERGLASS,57.0,28.5,15.46,63.04,24
HCPCS,Q4048,CAST SUP SHT LEG SPLNT PED F,28.0,14.0,7.74,31.54,24
HCPCS,Q4048,CAST SUPPLIES; SHORT LEG SPLINT; PEDIATRIC (0-10 YEARS); FIBERGLASS,27.0,13.5,7.74,31.54,24
HCPCS,Q4049,"FINGER SPLINT, STATIC",7.0,3.5,1.74,7.1,24
HCPCS,Q4049,FINGER SPLINT; STATIC,6.0,3.0,1.74,7.1,24
HCPCS,Q4050,CAST SUPPLIES UNLISTED,141.0,70.5,,,0
HCPCS,Q4050,CAST SUPPLIES; FOR UNLISTED TYPES AND MATERIALS OF CASTS,109.0,54.5,,,0
HCPCS,Q4051,SPLINT SUPPLIES MISC,36.0,18.0,,,0
HCPCS,Q4081,"EPOETIN ALFA, 100 UNITS ESRD",10.0,5.0,1.47,1.47,2
HCPCS,Q4081,INJECTION; EPOETIN ALFA; 100 UNITS (FOR ESRD ON DIALYSIS),283.69,141.845,,,0
HCPCS,Q4081,Procrit,515.8,257.9,,,0
HCPCS,Q4100,"SKIN SUBSTITUTE, NOS",0.01,0.01,,,0
HCPCS,Q4100,SKIN SUBSTITUTE; NOT OTHERWISE SPECIFIED,2142.2650000000003,1071.135,,,0
HCPCS,Q4101,APLIGRAF,205.0,102.5,50.16,335.28,50
HCPCS,Q4101,APLIGRAF; PER SQUARE CENTIMETER,4048.0,2024.0,50.16,335.28,25
HCPCS,Q4102,OASIS WOUND MATRIX,315.5,157.75,22.13,335.28,50
HCPCS,Q4103,OASIS BURN MATRIX,318.0,159.0,21.43,335.28,25
HCPCS,Q4104,INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD); PER SQUARE CENTIMETER,10134.7,5067.35,81.72,335.28,25
HCPCS,Q4105,INTEGRA DRT OR OMNIGRAFT,318.0,159.0,41.81,335.28,25
HCPCS,Q4107,GRAFTJACKET,318.0,159.0,82.24,335.28,75
HCPCS,Q4107,GRAFTJACKET; PER SQUARE CENTIMETER,5843.61,2921.81,82.24,335.28,25
HCPCS,Q4108,INTEGRA MATRIX,291.0,145.5,73.19,335.28,25
HCPCS,Q4108,INTEGRA MATRIX; PER SQUARE CENTIMETER,6826.37,3413.19,73.19,335.28,25
HCPCS,Q4110,PRIMATRIX,237.5,118.75,64.45,335.28,50
HCPCS,Q4111,GAMMAGRAFT,94.5,47.25,12.28,335.28,100
HCPCS,Q4111,GAMMAGRAFT; PER SQUARE CENTIMETER,1555.0,777.5,12.28,335.28,50
HCPCS,Q4113,GRAFTJACKET XPRESS,5732.0,2866.0,3295.88,3295.88,1
HCPCS,Q4116,ALLODERM,303.0,151.5,82.24,335.28,48
HCPCS,Q4118,MATRISTEM MICROMATRIX,318.0,159.0,4.21,4.21,1
HCPCS,Q4118,MATRISTEM MICROMATRIX; 1 MG,6040.49,3020.25,4.21,4.21,1
HCPCS,Q4121,THERASKIN,102.0,51.0,72.0,335.28,175
HCPCS,Q4121,THERASKIN; PER SQUARE CENTIMETER,4654.5,2327.25,74.25,1500.0,50
HCPCS,Q4122,"DERMACELL, AWM, POROUS SQ CM",170.0,85.0,82.24,335.28,375
HCPCS,Q4122,DERMACELL; DERMACELL AWM OR DERMACELL AWM POROUS; PER SQUARE CENTIMETER,9412.24,4706.12,82.24,335.28,25
HCPCS,Q4124,OASIS TRI-LAYER WOUND MATRIX,318.0,159.0,15.31,335.28,25
HCPCS,Q4125,ARTHROFLEX,301.0,150.5,82.24,335.28,24
HCPCS,Q4125,ARTHROFLEX; PER SQUARE CENTIMETER,8401.98,4200.99,82.24,335.28,24
HCPCS,Q4128,FLEX HD; ALLOPATCH HD; OR MATRIX HD; PER SQUARE CENTIMETER,7033.02,3516.51,50.7,335.28,25
HCPCS,Q4128,FLEXHD/ALLOPATCHHD/SQ CM,106.0,53.0,50.7,335.28,25
HCPCS,Q4130,STRATTICE TM,110.0,55.0,82.24,335.28,24
HCPCS,Q4132,"GRAFIX CORE, GRAFIXPL CORE",318.0,159.0,82.24,335.28,25
HCPCS,Q4133,GRAFIX STRAVIX PRIME PL SQCM,815.0,407.5,82.24,335.28,275
HCPCS,Q4137,AMNIOEXCEL BIODEXCEL 1SQ CM,209.0,104.5,82.24,335.28,175
HCPCS,Q4137,AMNIOEXCEL; AMNIOEXCEL PLUS OR BIODEXCEL; PER SQUARE CENTIMETER,3410.03,1705.02,82.24,335.28,25
HCPCS,Q4148,NEOX NEOX RT OR CLARIX CORD,636.0,318.0,82.24,510.94,25
HCPCS,Q4151,"AMNIOBAND, GUARDIAN 1 SQ CM",466.0,233.0,82.24,335.28,25
HCPCS,Q4152,DERMAPURE 1 SQUARE CM,90.0,45.0,82.24,335.28,50
HCPCS,Q4154,BIOVANCE 1 SQUARE CM,542.5,271.25,82.24,335.28,200
HCPCS,Q4155,NEOXFLO OR CLARIXFLO; 1 MG,6515.88,3257.94,56.27,56.27,1
HCPCS,Q4158,"KERECIS OMEGA3, PER SQ CM",229.0,114.5,82.24,335.28,75
HCPCS,Q4158,KERECIS OMEGA3; PER SQUARE CENTIMETER,3420.0,1710.0,82.24,335.28,49
HCPCS,Q4159,AFFINITY1 SQUARE CM,1208.5,604.25,82.24,593.44,50
HCPCS,Q4159,AFFINITY; PER SQUARE CENTIMETER,4404.0,2202.0,82.24,593.44,25
HCPCS,Q4160,NUSHIELD 1 SQUARE CM,334.0,167.0,82.24,335.28,200
HCPCS,Q4160,NUSHIELD; PER SQUARE CENTIMETER,4963.75,2481.88,82.24,335.28,25
HCPCS,Q4166,"CYTAL, PER SQUARE CENTIMETER",23.5,11.75,17.0,335.28,100
HCPCS,Q4166,CYTAL; PER SQUARE CENTIMETER,319.0,159.5,30.61,335.28,25
HCPCS,Q4176,"NEOPATCH OR THERION, 1 SQ CM",481.0,240.5,82.24,335.28,175
HCPCS,Q4186,EPIFIX 1 SQ CM,533.0,266.5,82.24,335.28,25
HCPCS,Q4194,NOVACHOR 1 SQ CM,1516.0,758.0,82.24,1516.0,25
HCPCS,Q4195,PURAPLY 1 SQ CM,320.0,160.0,82.24,335.28,25
HCPCS,Q4196,PURAPLY AM 1 SQ CM,327.0,163.5,82.24,335.28,250
HCPCS,Q4196,PURAPLY AM; PER SQUARE CENTIMETER,4381.0,2190.5,82.24,335.28,25
HCPCS,Q4197,PURAPLY XT 1 SQ CM,324.0,162.0,82.24,335.28,50
HCPCS,Q4199,"CYGNUS MATRIX, PER SQ CM",288.0,144.0,82.24,443.0,100
HCPCS,Q4201,MATRION 1 SQ CM,288.0,144.0,82.24,335.28,125
HCPCS,Q4206,FLUID FLOW OR FLUID GF 1 CC,3861.0,1930.5,3861.0,3861.0,1
HCPCS,Q4210,AXOLOTL GRAF DUALGRAF SQ CM,318.0,159.0,318.0,318.0,1
HCPCS,Q4282,CYGNUS DUAL PER SQ CM,620.0,310.0,82.24,922.0,50
HCPCS,Q4309,"VIA MATRIX, PER SQ CM",318.0,159.0,82.24,335.28,24
HCPCS,Q4317,"VITOGRAFT, PER SQ CM",318.0,159.0,82.24,335.28,24
HCPCS,Q5100,Yesintek,5129.87,2564.94,2.14,8.72,24
HCPCS,Q5101,"INJECTION, ZARXIO",3.0,1.5,0.23,0.93,25
HCPCS,Q5101,INJECTION; FILGRASTIM-SNDZ; BIOSIMILAR; (ZARXIO); 1 MICROGRAM,609.91,304.96,0.23,0.93,48
HCPCS,Q5101,Zarxio PFS,975.875,487.94,0.23,0.93,336
HCPCS,Q5103,Inflectra,14953.954999999998,7476.98,18.01,73.43,121
HCPCS,Q5104,Renflexis,17971.74,8985.87,17.3,70.52,25
HCPCS,Q5105,INJ RETACRIT ESRD ON DIALYSI,5.0,2.5,1.29,1.29,1
HCPCS,Q5105,Retacrit,84.78,42.39,,,0
HCPCS,Q5106,INJ RETACRIT NON-ESRD USE,41.0,20.5,5.18,21.12,25
HCPCS,Q5106,INJECTION; EPOETIN ALFA-EPBX; BIOSIMILAR; (RETACRIT) (FOR NON-ESRD USE); 1000 UNITS,410.0,205.0,5.18,21.12,25
HCPCS,Q5106,Retacrit,624.0,312.0,5.18,21.12,265
HCPCS,Q5107,INJ MVASI 10 MG,272.0,136.0,15.94,65.0,25
HCPCS,Q5107,Mvasi,7233.299999999999,3616.6499999999996,15.94,65.0,889
HCPCS,Q5107,Sodium Chloride,20092.5,10046.25,15.94,65.0,49
HCPCS,Q5108,Fulphila PFS,7695.0,3847.5,43.56,177.6,68
HCPCS,Q5110,Nivestym,307.13,153.57,0.21,0.85,255
HCPCS,Q5111,Udenyca Onbody,14530.73,7265.37,96.93,395.19,119
HCPCS,Q5111,Udenyca PFS,7267.505,3633.755,96.93,395.19,48
HCPCS,Q5115,Truxima,10844.1,5422.05,22.46,91.58,74
HCPCS,Q5116,Trazimera,8794.35,4397.18,8.47,34.53,24
HCPCS,Q5117,Kanjinti,10598.27,5299.14,22.19,160.38,550
HCPCS,Q5119,Ruxience,5044.39,2522.2,10.5,42.82,503
HCPCS,Q5121,Avsola,12568.5,6284.25,20.04,81.7,193
HCPCS,Q5122,Nyvepria PFS,7215.13,3607.57,88.99,362.81,24
HCPCS,Q5123,Riabni,9573.21,4786.61,12.04,68.34,145
HCPCS,Q5135,Tyenne,7755.53,3877.77,2.64,10.76,120
HCPCS,Q5136,Jubbonti PFS,6446.21,3223.11,17.99,73.33,48
HCPCS,Q9950,Lumason,70.37,35.19,1482.0,17224.0,2
HCPCS,Q9956,"INJ OCTAFLUOROPROPANE MIC,ML",957.0,478.5,69.56,69.56,1
HCPCS,Q9957,Definity,510.75,255.38,1482.0,17224.0,6
HCPCS,Q9957,"INJ PERFLUTREN LIP MICROS,ML",948.0,474.0,1482.0,17224.0,2
HCPCS,Q9957,INJECTION; PERFLUTREN LIPID MICROSPHERES; PER ML,510.75,255.38,1482.0,17224.0,4
HCPCS,Q9958,Cysto-Conray II,94.5,47.25,0.13,0.13,1
HCPCS,Q9960,HIGH OSMOLAR CONTRAST MATERIAL; 200-249 MG/ML IODINE CONCENTRATION; PER ML,252.82,126.41,1482.0,17224.0,2
HCPCS,Q9960,Isovue-200,90.68,45.34,1482.0,17224.0,2
HCPCS,Q9960,Isovue-M 200,150.51999999999998,75.265,1482.0,17224.0,8
HCPCS,Q9961,Conray,64.465,32.235,0.46,0.46,1
HCPCS,Q9961,HIGH OSMOLAR CONTRAST MATERIAL; 250-299 MG/ML IODINE CONCENTRATION; PER ML,12.9,6.45,0.46,0.46,1
HCPCS,Q9961,Isovue-250,130.41,65.21,1482.0,17224.0,2
HCPCS,Q9963,Gastrografin,11.465,5.734999999999999,1482.0,17224.0,22
HCPCS,Q9963,HIGH OSMOLAR CONTRAST MATERIAL; 350-399 MG/ML IODINE CONCENTRATION; PER ML,12.74,6.37,1482.0,17224.0,4
HCPCS,Q9963,"HOCM 350-399MG/ML IODINE,1ML",2.0,1.0,0.35,0.35,1
HCPCS,Q9966,Isovue-250,81.98,40.99,1482.0,17224.0,2
HCPCS,Q9966,"LOCM 200-299MG/ML IODINE,1ML",17.5,8.75,0.61,17224.0,3
HCPCS,Q9966,LOW OSMOLAR CONTRAST MATERIAL; 200-299 MG/ML IODINE CONCENTRATION; PER ML,32.0,16.0,0.61,17224.0,13
HCPCS,Q9966,Omnipaque 240,897.98,448.99,1482.0,17224.0,2
HCPCS,Q9966,Omnipaque 300,99.0,49.5,1482.0,17224.0,2
HCPCS,Q9967,Isovue-300,64.01,32.01,1482.0,17224.0,30
HCPCS,Q9967,Isovue-370,134.78,67.39,1482.0,17224.0,66
HCPCS,Q9967,Isovue-M 300,256.5,128.25,1482.0,17224.0,2
HCPCS,Q9967,"LOCM 300-399MG/ML IODINE,1ML",6.5,3.25,0.2,0.2,4
HCPCS,Q9967,LOW OSMOLAR CONTRAST MATERIAL; 300-399 MG/ML IODINE CONCENTRATION; PER ML,172.65,86.325,0.2,17224.0,9
HCPCS,Q9967,Omnipaque 300,229.5,114.75,1482.0,17224.0,2
HCPCS,Q9967,Optiray 300,152.1,76.05,1482.0,17224.0,2
HCPCS,Q9967,Optiray 320,100.0,50.0,0.2,17224.0,9
HCPCS,Q9967,Visipaque,214.46,107.23,1482.0,17224.0,2
HCPCS,Q9968,Methylene Blue,280.24,140.12,7.07,28.81,218
HCPCS,Q9968,Provayblue,206.71,103.36,7.07,28.81,313
HCPCS,Q9983,FLORBETABEN F18; DIAGNOSTIC; PER STUDY DOSE; UP TO 8.1 MILLICURIES,8976.0,4488.0,1030.04,6732.0,97
HCPCS,Q9997,Pyzchiva,6864.63,3432.32,5.56,22.66,24
HCPCS,S0039,SMZ-TMP,30.38,15.19,,,0
HCPCS,S0080,Pentam,558.79,279.4,,,0
HCPCS,S0080,Pentamidine Isethionate,135.81,67.905,,,0
HCPCS,S0178,Gleostine,5134.99,2567.5,,,0
HCPCS,S0189,Testopel Pellets,1350.0,675.0,,,0
HCPCS,S0190,MIFEPRISTONE ORAL 200 MG,206.0,103.0,,,0
HCPCS,S0190,Mifeprex,193.5,96.75,,,0
HCPCS,S0316,DISEASE MANAGEMENT PROGRAM; FOLLOW-UP/REASSESSMENT,148.0,74.0,,,0
HCPCS,S0316,DMP F-UP ASSESSMENT,74.0,37.0,,,0
HCPCS,S0340,LIFESTYLE MOD 1ST STAGE,2678.5,1339.25,,,0
HCPCS,S0341,LIFESTYLE MOD 2 OR 3 STAGE,838.5,419.25,,,0
HCPCS,S0342,LIFESTYLE MOD 4TH STAGE,1113.5,556.75,,,0
HCPCS,S0610,ANNUAL GYN EXAM NEW PATIENT,127.0,63.5,,,0
HCPCS,S0610,ANNUAL GYNECOLOGICAL EXAMINATION; NEW PATIENT,118.0,59.0,,,0
HCPCS,S0612,ANNUAL GYN EXAM EST PATIENT,127.0,63.5,,,0
HCPCS,S0612,ANNUAL GYNECOLOGICAL EXAMINATION; ESTABLISHED PATIENT,135.5,67.75,,,0
HCPCS,S0630,REM SUTURES BY MD,76.0,38.0,,,0
HCPCS,S0630,REMOVAL OF SUTURES; BY A PHYSICIAN OTHER THAN THE PHYSICIAN WHO ORIGINALLY CLOSED THE WOUND,70.0,35.0,,,0
HCPCS,S1091,STENT; NON-CORONARY; TEMPORARY; WITH DELIVERY SYSTEM (PROPEL),6924.8,3462.4,,,0
HCPCS,S2083,ADJ GASTRIC BAND DIAM VIA INJ/ASP SALINE,274.0,137.0,,,0
HCPCS,S2083,ADJUSTMENT OF GASTRIC BAND DIAMETER VIA SUBCUTANEOUS PORT BY INJECTION OR ASPIRATION OF SALINE,254.0,127.0,,,0
HCPCS,S2900,SURGICAL TECHNIQUES REQUIRING USE OF ROBOTIC SURGICAL SYSTEM (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),1.0,0.5,,,0
HCPCS,S3005,EVAL SELF-ASSES DEPRESSION,47.0,23.5,,,0
HCPCS,S5553,INSULIN; LONG ACTING; 5 UNITS,248.81,124.405,1482.0,17224.0,4
HCPCS,S5571,Lantus SoloStar Pen,76.08,38.04,,,0
HCPCS,S9446,PT EDUCATION NOC GROUP,58.0,29.0,,,0
HCPCS,S9470,NUTRITION COUNSELING DIETITIAN,69.0,34.5,15.75,18.0,6
HCPCS,S9472,CARDIAC REHAB NON-MD PER DIEM,501.0,250.5,,,0
HCPCS,S9480,INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES; PER DIEM,1346.0,673.0,317.0,463.0,9
HCPCS,S9485,CRISIS INTERVENTION/DIEM,1607.0,803.5,,,0
HCPCS,T1015,CLINIC VISIT/ENCOUNTER; ALL-INCLUSIVE,408.0,204.0,,,0
HCPCS,T2101,BREAST MILK PROC/STORE/DIST,6.0,3.0,1482.0,17224.0,2
HCPCS,U0002,2019-NCOV CORONAVIRUS; SARS-COV-2/2019-NCOV (COVID-19); ANY TECHNIQUE; MULTIPLE TYPES OR SUBTYPES (INCLUDES ALL TARGETS); NON-CDC,162.0,81.0,29.47,135.97,37
HCPCS,U0002,COVID-19 LAB TEST NON-CDC,250.0,125.0,29.47,135.97,37
HCPCS,V2510,CNTCT GAS PERMEABLE SPHERICL,225.0,112.5,116.58,475.3,24
HCPCS,V2510,CONTACT LENS; GAS PERMEABLE; SPHERICAL; PER LENS,218.0,109.0,116.58,475.3,24
HCPCS,V2523,CNTCT LENS HYDROPHIL EXTEND,309.0,154.5,231.23,365.34,16
HCPCS,V2531,CONTACT LENS GAS PERMEABLE,309.0,154.5,422.99,1724.49,24
HCPCS,V2531,CONTACT LENS; SCLERAL; GAS PERMEABLE; PER LENS (FOR CONTACT LENS MODIFICATION; SEE 92325),450.0,225.0,422.99,1724.49,72
HCPCS,V2599,CONTACT LENS/ES OTHER TYPE,225.0,112.5,,,0
HCPCS,V2599,CONTACT LENS; OTHER TYPE,218.0,109.0,,,0
HCPCS,V2630,ANTERIOR CHAMBER INTRAOCULAR LENS,352.75,176.38,94.72,386.18,24
HCPCS,V2632,POST CHMBR INTRAOCULAR LENS,287.5,143.75,94.72,386.18,48
HCPCS,V2632,POSTERIOR CHAMBER INTRAOCULAR LENS,810.8,405.4,94.72,386.18,24
HCPCS,V2718,FRESNELL PRISM PRESS-ON LENS,90.0,45.0,23.56,96.06,24
HCPCS,V2718,PRESS-ON LENS; FRESNEL PRISM; PER LENS,87.0,43.5,23.56,96.06,72
HCPCS,V2785,CORNEAL TISSUE PROCESSING,8711.0,4355.5,,,0
HCPCS,V2785,PROCESSING; PRESERVING AND TRANSPORTING CORNEAL TISSUE,9397.82,4698.91,,,0
HCPCS,V2787,ASTIGMATISM CORRECTING FUNCTION OF INTRAOCULAR LENS,0.01,0.01,,,0
HCPCS,V2788,PRESBYOPIA CORRECTING FUNCTION OF INTRAOCULAR LENS,0.01,0.01,,,0
HCPCS,V2788,PRESBYOPIA-CORRECT FUNCTION,832.5,416.25,,,0
HCPCS,V2790,AMNIOTIC MEMBRANE,1477.0,738.5,1482.0,17224.0,2
HCPCS,V2790,AMNIOTIC MEMBRANE FOR SURGICAL RECONSTRUCTION; PER PROCEDURE,3832.875,1916.44,1482.0,17224.0,2
HCPCS,V5008,HEARING SCREENING,52.0,26.0,,,0
HCPCS,V5264,EAR MOLD/INSERT,22.0,11.0,22.0,44.8,6
HCPCS,V5264,EAR MOLD/INSERT; NOT DISPOSABLE; ANY TYPE,30.0,15.0,40.0,44.8,6
HCPCS,V5275,EAR IMPRESSION,52.0,26.0,,,0
HCPCS,V5275,EAR IMPRESSION; EACH,72.0,36.0,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY,,,1482.0,820341.03,35
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,1482.0,521221.58,35
MS-DRG,003,ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R.,,,1482.0,612895.17,36
MS-DRG,004,TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R.,,,1482.0,407748.33,36
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,1482.0,435870.32,36
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,1482.0,197675.01,36
MS-DRG,007,LUNG TRANSPLANT,,,1482.0,503937.85,36
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,1482.0,221773.71,36
MS-DRG,010,PANCREAS TRANSPLANT,,,1482.0,216683.01,36
MS-DRG,011,TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY,,,1482.0,171523.61,36
MS-DRG,012,TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION,,,1482.0,139460.44,36
MS-DRG,013,TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITHOUT COMPLICATION/COMORBITY,,,1482.0,82846.97,36
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,1482.0,399126.99,36
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION/COMORBITY OR T-CELL IMMUNOTHERAPY,,,1482.0,124311.51,36
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,1482.0,103497.13,36
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY,,,1482.0,1506558.64,36
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,1482.0,310737.73,36
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY,,,1482.0,315376.83,36
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION,,,1482.0,238482.69,36
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITHOUT COMPLICATION/COMORBITY,,,1482.0,167787.7,36
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,1482.0,175711.12,36
MS-DRG,024,CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY,,,1482.0,124886.27,36
MS-DRG,025,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY,,,1482.0,128663.24,36
MS-DRG,026,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION,,,1482.0,88389.26,36
MS-DRG,027,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,76196.22,36
MS-DRG,028,SPINAL PROCEDURES WITH COMORBITY,,,1482.0,167705.59,36
MS-DRG,029,SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS,,,1482.0,97297.98,36
MS-DRG,030,SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,56202.93,36
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH COMORBITY,,,1482.0,113103.77,36
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION,,,1482.0,61211.51,36
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,51194.34,36
MS-DRG,034,CAROTID ARTERY STENT PROCEDURE WITH COMORBITY,,,1482.0,160972.73,36
MS-DRG,035,CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION,,,1482.0,75457.25,36
MS-DRG,036,CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY,,,1482.0,54355.5,36
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH COMORBITY,,,1482.0,116141.77,36
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH COMPLICATION,,,1482.0,62566.3,36
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,41669.81,36
MS-DRG,040,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY,,,1482.0,105549.83,36
MS-DRG,041,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM,,,1482.0,74923.55,36
MS-DRG,042,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,47786.86,36
MS-DRG,043,MULTIPLE SCLEROSIS; OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,,,1482.0,17224.0,2
MS-DRG,044,INTRACRANIAL HEMORRHAGE,,,1482.0,17224.0,2
MS-DRG,045,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,1482.0,17224.0,2
MS-DRG,046,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,1482.0,17224.0,2
MS-DRG,048,PERIPHERAL; CRANIAL AND AUTONOMIC NERVE DISORDERS,,,1482.0,17224.0,2
MS-DRG,051,VIRAL MENINGITIS,,,1482.0,17224.0,2
MS-DRG,052,SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY,,,1482.0,78125.76,36
MS-DRG,053,SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY,,,1482.0,40848.73,36
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH COMORBITY,,,1482.0,35799.09,36
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY,,,1482.0,31283.15,36
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY,,,1482.0,71557.12,36
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY,,,1482.0,45528.89,36
MS-DRG,058,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY,,,1482.0,67533.83,36
MS-DRG,059,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION,,,1482.0,35265.39,36
MS-DRG,060,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY,,,1482.0,31365.26,36
MS-DRG,061,ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY,,,1482.0,95122.12,36
MS-DRG,062,ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION,,,1482.0,70736.04,36
MS-DRG,063,ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY,,,1482.0,66302.21,36
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY,,,1482.0,57639.82,36
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS,,,1482.0,36209.63,36
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY,,,1482.0,28286.21,36
MS-DRG,067,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY,,,1482.0,58666.17,36
MS-DRG,068,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY,,,1482.0,31201.04,36
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,1482.0,28080.94,36
MS-DRG,070,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY,,,1482.0,63962.13,36
MS-DRG,071,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION,,,1482.0,35142.22,36
MS-DRG,072,NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY,,,1482.0,27177.75,36
MS-DRG,073,CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY,,,1482.0,50126.93,36
MS-DRG,074,CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY,,,1482.0,32473.71,36
MS-DRG,075,VIRAL MENINGITIS WITH COMPLICATION/COMORBITY,,,1482.0,46924.72,36
MS-DRG,076,VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,24960.83,36
MS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY,,,1482.0,63017.89,5
MS-DRG,080,NONTRAUMATIC STUPOR & COMA WITH COMORBITY,,,1482.0,85638.64,36
MS-DRG,081,NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY,,,1482.0,26972.48,36
MS-DRG,082,TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY,,,1482.0,71762.39,36
MS-DRG,083,TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION,,,1482.0,45077.29,36
MS-DRG,084,TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY,,,1482.0,28121.99,36
MS-DRG,085,TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY,,,1482.0,57845.09,36
MS-DRG,086,TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION,,,1482.0,35922.25,36
MS-DRG,087,TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY,,,1482.0,23523.94,36
MS-DRG,088,CONCUSSION WITH COMORBITY,,,1482.0,52836.5,36
MS-DRG,089,CONCUSSION WITH COMPLICATION,,,1482.0,29805.2,36
MS-DRG,090,CONCUSSION WITHOUT COMPLICATION/COMORBITY,,,1482.0,24180.81,36
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY,,,1482.0,51892.26,36
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION,,,1482.0,36907.55,36
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY,,,1482.0,28204.1,36
MS-DRG,094,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY,,,1482.0,116798.63,36
MS-DRG,095,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION,,,1482.0,90893.56,36
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,1482.0,83668.05,36
MS-DRG,097,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY,,,1482.0,126774.75,36
MS-DRG,098,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION,,,1482.0,67903.32,36
MS-DRG,099,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,38098.11,36
MS-DRG,100,SEIZURES WITH COMORBITY,,,1482.0,50455.37,36
MS-DRG,101,SEIZURES WITHOUT COMORBITY,,,1482.0,22374.43,36
MS-DRG,102,HEADACHES WITH COMORBITY,,,1482.0,36825.44,36
MS-DRG,103,HEADACHES WITHOUT COMORBITY,,,1482.0,26520.88,36
MS-DRG,113,ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,95902.14,36
MS-DRG,114,ORBITAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,51810.15,36
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,1482.0,62484.19,36
MS-DRG,116,INTRAOCULAR PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,74143.52,36
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,45159.4,36
MS-DRG,120,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,1482.0,17224.0,2
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY,,,1482.0,43558.29,36
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY,,,1482.0,25042.94,36
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,1482.0,29353.61,36
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH COMORBITY,,,1482.0,55217.63,36
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT COMORBITY,,,1482.0,23852.37,36
MS-DRG,130,MAJOR HEAD & NECK PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,2
MS-DRG,131,CRANIAL/FACIAL PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,17224.0,2
MS-DRG,133,OTHER EAR; NOSE; MOUTH & THROAT O.R. PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,17224.0,2
MS-DRG,134,OTHER EAR; NOSE; MOUTH & THROAT O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,2
MS-DRG,135,SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,101157.06,36
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,1482.0,44584.64,36
MS-DRG,137,MOUTH PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,32432.66,36
MS-DRG,138,MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,24468.18,36
MS-DRG,139,SALIVARY GLAND PROCEDURES,,,1482.0,51399.61,36
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,1482.0,164216.0,36
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,1482.0,75826.74,36
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,1482.0,64577.94,36
MS-DRG,143,OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC,,,1482.0,98734.87,36
MS-DRG,144,OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC,,,1482.0,49962.72,36
MS-DRG,145,OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC,,,1482.0,36538.06,36
MS-DRG,146,EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY,,,1482.0,86870.26,36
MS-DRG,147,EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMPLICATION,,,1482.0,49880.61,36
MS-DRG,148,EAR; NOSE; MOUTH & THROAT MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,1482.0,34197.98,36
MS-DRG,149,DYSEQUILIBRIUM,,,1482.0,23934.48,36
MS-DRG,150,EPISTAXIS WITH COMORBITY,,,1482.0,55258.68,36
MS-DRG,151,EPISTAXIS WITHOUT COMORBITY,,,1482.0,24057.64,36
MS-DRG,152,OTITIS MEDIA & URI WITH COMORBITY,,,1482.0,32555.82,36
MS-DRG,153,OTITIS MEDIA & URI WITHOUT COMORBITY,,,1482.0,17224.0,36
MS-DRG,154,OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY,,,1482.0,62935.78,36
MS-DRG,155,OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION,,,1482.0,24632.4,36
MS-DRG,156,OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,1482.0,19705.92,36
MS-DRG,157,DENTAL & ORAL DISEASES WITH COMORBITY,,,1482.0,57106.11,36
MS-DRG,158,DENTAL & ORAL DISEASES WITH COMPLICATION,,,1482.0,25330.32,36
MS-DRG,159,DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY,,,1482.0,20609.11,36
MS-DRG,162,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,1482.0,17224.0,2
MS-DRG,163,MAJOR CHEST PROCEDURES WITH COMORBITY,,,1482.0,134780.28,36
MS-DRG,164,MAJOR CHEST PROCEDURES WITH COMPLICATION,,,1482.0,81697.46,36
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,59158.81,36
MS-DRG,166,OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY,,,1482.0,108505.72,36
MS-DRG,167,OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION,,,1482.0,56161.87,36
MS-DRG,168,OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,43394.08,36
MS-DRG,169,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,1482.0,17224.0,2
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,1482.0,109162.59,35
MS-DRG,174,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,1482.0,17224.0,2
MS-DRG,175,PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE,,,1482.0,40479.24,36
MS-DRG,176,PULMONARY EMBOLISM WITHOUT COMORBITY,,,1482.0,25083.99,36
MS-DRG,177,RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY,,,1482.0,44420.43,36
MS-DRG,178,RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION,,,1482.0,30585.23,36
MS-DRG,179,RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY,,,1482.0,22908.13,36
MS-DRG,180,RESPIRATORY NEOPLASMS WITH COMORBITY,,,1482.0,54560.77,36
MS-DRG,181,RESPIRATORY NEOPLASMS WITH COMPLICATION,,,1482.0,37728.63,36
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY,,,1482.0,32391.61,36
MS-DRG,183,MAJOR CHEST TRAUMA WITH COMORBITY,,,1482.0,43311.97,36
MS-DRG,184,MAJOR CHEST TRAUMA WITH COMPLICATION,,,1482.0,31406.31,36
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY,,,1482.0,24550.29,36
MS-DRG,186,PLEURAL EFFUSION WITH COMORBITY,,,1482.0,43106.7,36
MS-DRG,187,PLEURAL EFFUSION WITH COMPLICATION,,,1482.0,31488.42,36
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,1482.0,24468.18,36
MS-DRG,189,PULMONARY EDEMA & RESPIRATORY FAILURE,,,1482.0,36250.68,36
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY,,,1482.0,29969.42,36
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION,,,1482.0,26479.83,36
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY,,,1482.0,21142.81,36
MS-DRG,193,SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY,,,1482.0,35347.49,36
MS-DRG,194,SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION,,,1482.0,25083.99,36
MS-DRG,195,SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY,,,1482.0,18843.79,36
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH COMORBITY,,,1482.0,57845.09,36
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH COMPLICATION,,,1482.0,33705.33,36
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY,,,1482.0,25905.07,36
MS-DRG,199,PNEUMOTHORAX WITH COMORBITY,,,1482.0,43024.59,36
MS-DRG,200,PNEUMOTHORAX WITH COMPLICATION,,,1482.0,29353.61,36
MS-DRG,201,PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY,,,1482.0,17858.49,36
MS-DRG,202,BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY,,,1482.0,26767.21,36
MS-DRG,203,BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,36
MS-DRG,204,RESPIRATORY SIGNS & SYMPTOMS,,,1482.0,24057.64,36
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY,,,1482.0,46226.8,36
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY,,,1482.0,25987.18,36
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,1482.0,232201.42,36
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,1482.0,80260.57,36
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES,,,1482.0,152294.67,33
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,1482.0,443465.31,35
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES,,,1482.0,77202.48,33
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,1482.0,219638.9,36
MS-DRG,216,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY,,,1482.0,281548.33,36
MS-DRG,217,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION,,,1482.0,184701.95,36
MS-DRG,218,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITHOUT COMPLICATION/COMORBITY,,,1482.0,167746.64,36
MS-DRG,219,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY,,,1482.0,194554.91,36
MS-DRG,220,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION,,,1482.0,152844.04,36
MS-DRG,221,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY,,,1482.0,121478.79,36
MS-DRG,222,CARDIAC DEFIB IMPLANT WITH CARDIAC CATH WITH AMI/HF/SHOCK WITH COMORBITY,,,1482.0,73997.89,3
MS-DRG,225,CARDIAC DEFIB IMPLANT WITH CARDIAC CATH WITHOUT AMI/HF/SHOCK WITHOUT COMORBITY,,,1482.0,49443.82,3
MS-DRG,227,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH WITHOUT COMORBITY,,,1482.0,46149.5,3
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY,,,1482.0,210319.64,36
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY,,,1482.0,112282.69,36
MS-DRG,230,MAJOR SMALL BOWEL PROCEDURES,,,1482.0,17224.0,2
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH COMORBITY,,,1482.0,290744.43,36
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT COMORBITY,,,1482.0,195827.58,36
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY,,,1482.0,200754.06,36
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY,,,1482.0,156621.01,36
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY,,,1482.0,153418.8,36
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY,,,1482.0,120247.17,36
MS-DRG,239,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY,,,1482.0,130921.21,36
MS-DRG,240,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION,,,1482.0,81779.57,36
MS-DRG,241,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY,,,1482.0,61006.24,36
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY,,,1482.0,108259.4,36
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION,,,1482.0,80014.25,36
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY,,,1482.0,69956.02,36
MS-DRG,245,AICD GENERATOR PROCEDURES,,,1482.0,197675.01,36
MS-DRG,246,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH COMORBITY OR 4+ ARTERIES OR STENTS,,,1482.0,27466.15,3
MS-DRG,247,PERCUTANEOUS CARDIOVASC PROC WITH DRUG-ELUTING STENT WITHOUT COMORBITY,,,1482.0,17470.71,3
MS-DRG,249,PERCUTANEOUS CARDIOVASC PROC WITH NON-DRUG-ELUTING STENT WITHOUT COMORBITY,,,1482.0,17224.0,3
MS-DRG,250,PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY,,,1482.0,74882.5,36
MS-DRG,251,PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY,,,1482.0,60718.87,36
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH COMORBITY,,,1482.0,121068.25,36
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH COMPLICATION,,,1482.0,86131.29,36
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,59610.41,36
MS-DRG,255,UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY,,,1482.0,77099.41,36
MS-DRG,256,UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION,,,1482.0,40930.84,36
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,1482.0,30051.53,36
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,1482.0,116675.47,36
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY,,,1482.0,78248.92,36
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY,,,1482.0,118810.28,36
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION,,,1482.0,63058.94,36
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY,,,1482.0,56038.71,36
MS-DRG,263,VEIN LIGATION & STRIPPING,,,1482.0,110271.04,36
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,1482.0,75662.52,36
MS-DRG,265,AICD LEAD PROCEDURES,,,1482.0,142580.54,36
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY,,,1482.0,182649.25,36
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY,,,1482.0,164503.38,36
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY,,,1482.0,226084.38,36
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY,,,1482.0,120124.0,36
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY,,,1482.0,146111.19,36
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION,,,1482.0,118563.95,36
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,86336.56,36
MS-DRG,273,PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY,,,1482.0,150545.02,36
MS-DRG,274,PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY,,,1482.0,104851.92,36
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,1482.0,254206.37,35
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,1482.0,219064.14,35
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,1482.0,169060.37,35
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,1482.0,188684.18,35
MS-DRG,279,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,1482.0,131454.91,35
MS-DRG,280,ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY,,,1482.0,44995.18,36
MS-DRG,281,ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION,,,1482.0,31036.82,36
MS-DRG,282,ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY,,,1482.0,27998.83,36
MS-DRG,283,ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY,,,1482.0,63880.02,36
MS-DRG,284,ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION,,,1482.0,30297.85,36
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,1482.0,21389.13,36
MS-DRG,286,CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY,,,1482.0,57680.87,36
MS-DRG,287,CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY,,,1482.0,35183.28,36
MS-DRG,288,ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY,,,1482.0,86706.05,36
MS-DRG,289,ACUTE & SUBACUTE ENDOCARDITIS WITH COMPLICATION,,,1482.0,42737.21,36
MS-DRG,290,ACUTE & SUBACUTE ENDOCARDITIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,41423.49,36
MS-DRG,291,HEART FAILURE & SHOCK WITH COMORBITY,,,1482.0,34772.74,36
MS-DRG,292,HEART FAILURE & SHOCK WITH COMPLICATION,,,1482.0,23729.21,36
MS-DRG,293,HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY,,,1482.0,21224.92,36
MS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH COMPLICATION/COMORBITY,,,1482.0,48074.23,5
MS-DRG,296,CARDIAC ARREST; UNEXPLAINED WITH COMORBITY,,,1482.0,61047.3,36
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,1482.0,28737.8,36
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,1482.0,18843.79,36
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH COMORBITY,,,1482.0,36127.52,36
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION,,,1482.0,28984.12,36
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY,,,1482.0,21430.19,36
MS-DRG,302,ATHEROSCLEROSIS WITH COMORBITY,,,1482.0,47129.99,36
MS-DRG,303,ATHEROSCLEROSIS WITHOUT COMORBITY,,,1482.0,20444.89,36
MS-DRG,304,HYPERTENSION WITH COMORBITY,,,1482.0,33171.63,36
MS-DRG,305,HYPERTENSION WITHOUT COMORBITY,,,1482.0,23647.1,36
MS-DRG,306,CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY,,,1482.0,59405.14,36
MS-DRG,307,CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY,,,1482.0,36620.17,36
MS-DRG,308,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY,,,1482.0,32268.44,36
MS-DRG,309,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION,,,1482.0,20321.73,36
MS-DRG,310,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,36
MS-DRG,311,ANGINA PECTORIS,,,1482.0,20157.51,36
MS-DRG,312,SYNCOPE & COLLAPSE,,,1482.0,26520.88,36
MS-DRG,313,CHEST PAIN,,,1482.0,19131.16,36
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY,,,1482.0,59651.46,36
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION,,,1482.0,31036.82,36
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,1482.0,27136.69,36
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,1482.0,253960.04,35
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,1482.0,33250.28,33
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH COMORBITY,,,1482.0,178215.41,36
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT COMORBITY,,,1482.0,95532.66,36
MS-DRG,321,CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION,,,1482.0,101280.22,35
MS-DRG,322,SHOULDER AND ELBOW JOINT REPLACEMENT,,,1482.0,75128.82,35
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,1482.0,160274.82,35
MS-DRG,324,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,1482.0,124147.3,35
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,1482.0,110804.75,35
MS-DRG,326,STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY,,,1482.0,150052.37,36
MS-DRG,327,STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION,,,1482.0,80999.54,36
MS-DRG,328,STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,50209.04,36
MS-DRG,329,MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY,,,1482.0,118235.52,36
MS-DRG,330,MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION,,,1482.0,72706.63,36
MS-DRG,331,MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,54642.87,36
MS-DRG,332,RECTAL RESECTION WITH COMORBITY,,,1482.0,154321.99,36
MS-DRG,333,RECTAL RESECTION WITH COMPLICATION,,,1482.0,86254.45,36
MS-DRG,334,RECTAL RESECTION WITHOUT COMPLICATION/COMORBITY,,,1482.0,50906.96,36
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH COMORBITY,,,1482.0,92330.45,36
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH COMPLICATION,,,1482.0,61334.68,36
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,47171.05,36
MS-DRG,341,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITH COMORBITY,,,1482.0,20352.91,3
MS-DRG,342,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITH COMPLICATION,,,1482.0,17224.0,3
MS-DRG,343,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,3
MS-DRG,344,MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY,,,1482.0,111872.15,36
MS-DRG,345,MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION,,,1482.0,46760.51,36
MS-DRG,346,MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,39617.11,36
MS-DRG,347,ANAL & STOMAL PROCEDURES WITH COMORBITY,,,1482.0,102224.46,36
MS-DRG,348,ANAL & STOMAL PROCEDURES WITH COMPLICATION,,,1482.0,39329.73,36
MS-DRG,349,ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,30092.58,36
MS-DRG,350,INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY,,,1482.0,98816.98,36
MS-DRG,351,INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION,,,1482.0,58912.49,36
MS-DRG,352,INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,35306.44,36
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY,,,1482.0,93356.8,36
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION,,,1482.0,50373.26,36
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY,,,1482.0,42080.35,36
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY,,,1482.0,114581.71,36
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION,,,1482.0,58173.52,36
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,43065.65,36
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,1482.0,46850.62,33
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,1482.0,33144.59,33
MS-DRG,364,OTHER SKIN; SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,,,1482.0,17224.0,2
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY,,,1482.0,49839.56,36
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION,,,1482.0,33048.47,36
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION/COMORBITY,,,1482.0,28245.15,36
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY,,,1482.0,50824.85,36
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION,,,1482.0,29599.93,36
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY,,,1482.0,21881.78,36
MS-DRG,374,DIGESTIVE MALIGNANCY WITH COMORBITY,,,1482.0,62402.08,36
MS-DRG,375,DIGESTIVE MALIGNANCY WITH COMPLICATION,,,1482.0,36866.49,36
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,1482.0,30749.45,36
MS-DRG,377,G.I. HEMORRHAGE WITH COMORBITY,,,1482.0,55012.36,36
MS-DRG,378,G.I. HEMORRHAGE WITH COMPLICATION,,,1482.0,31611.58,36
MS-DRG,379,G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY,,,1482.0,22292.32,36
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH COMORBITY,,,1482.0,56285.03,36
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH COMPLICATION,,,1482.0,31201.04,36
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY,,,1482.0,24673.45,36
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH COMORBITY,,,1482.0,55135.52,36
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY,,,1482.0,26110.34,36
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH COMORBITY,,,1482.0,43640.4,36
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH COMPLICATION,,,1482.0,30462.07,36
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY,,,1482.0,21881.78,36
MS-DRG,388,G.I. OBSTRUCTION WITH COMORBITY,,,1482.0,37564.41,36
MS-DRG,389,G.I. OBSTRUCTION WITH COMPLICATION,,,1482.0,21101.76,36
MS-DRG,390,G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,36
MS-DRG,391,ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY,,,1482.0,35881.2,36
MS-DRG,392,ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY,,,1482.0,21307.03,36
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY,,,1482.0,50578.53,36
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION,,,1482.0,27177.75,36
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,1482.0,22210.21,36
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,1482.0,57065.06,35
MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,1482.0,50742.74,35
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,1482.0,36455.95,35
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,1482.0,108218.34,35
MS-DRG,403,PROCEDURES FOR OBESITY,,,1482.0,17224.0,2
MS-DRG,405,PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY,,,1482.0,177886.98,36
MS-DRG,406,PANCREAS; LIVER & SHUNT PROCEDURES WITH COMPLICATION,,,1482.0,93192.58,36
MS-DRG,407,PANCREAS; LIVER & SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,70941.31,36
MS-DRG,408,BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMORBITY,,,1482.0,139665.71,36
MS-DRG,409,BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION,,,1482.0,72337.15,36
MS-DRG,410,BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY,,,1482.0,60390.43,36
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,1482.0,129894.86,36
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,1482.0,89087.18,36
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,1482.0,65973.78,36
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY,,,1482.0,127349.51,36
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION,,,1482.0,62730.51,36
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY,,,1482.0,47540.53,36
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY,,,1482.0,64331.62,36
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION,,,1482.0,52384.9,36
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY,,,1482.0,43558.29,36
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY,,,1482.0,137202.47,36
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION,,,1482.0,68970.72,36
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,58460.9,36
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY,,,1482.0,143730.05,36
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION,,,1482.0,87239.75,36
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,63346.32,36
MS-DRG,426,NON-HYPOVOLEMIC SODIUM DISORDERS,,,1482.0,211715.48,35
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,1482.0,165283.4,35
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,1482.0,145372.21,35
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,1482.0,342390.36,35
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,1482.0,154239.88,35
MS-DRG,432,CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY,,,1482.0,60062.0,36
MS-DRG,433,CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION,,,1482.0,32720.04,36
MS-DRG,434,CIRRHOSIS & ALCOHOLIC HEPATITIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,27670.4,36
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY,,,1482.0,52508.07,36
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION,,,1482.0,34403.25,36
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY,,,1482.0,32596.88,36
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY,,,1482.0,56777.68,36
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION,,,1482.0,26849.32,36
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,1482.0,19295.38,36
MS-DRG,441,DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY,,,1482.0,62196.81,36
MS-DRG,442,DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION,,,1482.0,31898.96,36
MS-DRG,443,DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY,,,1482.0,26356.67,36
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH COMORBITY,,,1482.0,49018.48,36
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH COMPLICATION,,,1482.0,34033.77,36
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY,,,1482.0,28902.02,36
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,1482.0,173247.88,35
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,1482.0,109203.64,35
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,1482.0,145741.7,35
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,1482.0,83791.21,35
MS-DRG,453,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMORBITY,,,1482.0,80786.0,3
MS-DRG,455,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION/COMORBITY,,,1482.0,42099.48,3
MS-DRG,456,SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMORBITY,,,1482.0,279824.06,36
MS-DRG,457,SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION,,,1482.0,203504.68,36
MS-DRG,458,SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY,,,1482.0,183962.97,36
MS-DRG,459,SPINAL FUSION EXCEPT CERVICAL WITH COMORBITY,,,1482.0,59153.67,3
MS-DRG,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY,,,1482.0,34557.42,3
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,1482.0,262252.95,36
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY,,,1482.0,78331.03,36
MS-DRG,463,WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY,,,1482.0,149806.05,36
MS-DRG,464,WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION,,,1482.0,86459.72,36
MS-DRG,465,WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,57147.17,36
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY,,,1482.0,132317.04,36
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION,,,1482.0,87403.97,36
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY,,,1482.0,70982.37,36
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT,,,1482.0,91180.93,36
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY,,,1482.0,49511.12,36
MS-DRG,471,CERVICAL SPINAL FUSION WITH COMORBITY,,,1482.0,122833.57,36
MS-DRG,472,CERVICAL SPINAL FUSION WITH COMPLICATION,,,1482.0,78864.73,36
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY,,,1482.0,63715.81,36
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY,,,1482.0,117373.39,36
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION,,,1482.0,64126.35,36
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,48402.67,36
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY,,,1482.0,100171.76,36
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION,,,1482.0,66548.53,36
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY,,,1482.0,51440.66,36
MS-DRG,480,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY,,,1482.0,104646.65,36
MS-DRG,481,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION,,,1482.0,73404.55,36
MS-DRG,482,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY,,,1482.0,53164.93,36
MS-DRG,483,MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,,,1482.0,60636.76,36
MS-DRG,485,KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY,,,1482.0,134780.28,36
MS-DRG,486,KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION,,,1482.0,57845.09,36
MS-DRG,487,KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY,,,1482.0,43517.24,36
MS-DRG,488,KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY,,,1482.0,76032.01,36
MS-DRG,489,KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY,,,1482.0,45077.29,36
MS-DRG,492,LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY,,,1482.0,95409.5,36
MS-DRG,493,LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION,,,1482.0,77633.11,36
MS-DRG,494,LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY,,,1482.0,54560.77,36
MS-DRG,495,LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY,,,1482.0,146809.1,36
MS-DRG,496,LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION,,,1482.0,54724.98,36
MS-DRG,497,LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY,,,1482.0,43476.19,36
MS-DRG,498,LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY,,,1482.0,105139.29,36
MS-DRG,499,LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITHOUT COMPLICATION/COMORBITY,,,1482.0,51071.18,36
MS-DRG,500,SOFT TISSUE PROCEDURES WITH COMORBITY,,,1482.0,87609.24,36
MS-DRG,501,SOFT TISSUE PROCEDURES WITH COMPLICATION,,,1482.0,53288.09,36
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,39863.43,36
MS-DRG,503,FOOT PROCEDURES WITH MCC,,,1482.0,99022.25,36
MS-DRG,504,FOOT PROCEDURES WITH COMPLICATION,,,1482.0,50414.31,36
MS-DRG,505,FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,46965.78,36
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,1482.0,59733.57,36
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,82723.81,36
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,1482.0,57639.82,36
MS-DRG,510,SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY,,,1482.0,114458.55,36
MS-DRG,511,SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION,,,1482.0,61047.3,36
MS-DRG,512,SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,44625.7,36
MS-DRG,513,HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY,,,1482.0,38303.38,36
MS-DRG,514,HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,29928.37,36
MS-DRG,515,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY,,,1482.0,103661.35,36
MS-DRG,516,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION,,,1482.0,68026.48,36
MS-DRG,517,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,43147.75,36
MS-DRG,518,BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM,,,1482.0,86582.89,36
MS-DRG,519,BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION,,,1482.0,56490.3,36
MS-DRG,520,BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY,,,1482.0,38631.81,36
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,1482.0,109696.29,36
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,1482.0,67985.42,36
MS-DRG,530,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,1482.0,17224.0,2
MS-DRG,531,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,1482.0,17224.0,2
MS-DRG,533,FRACTURES OF FEMUR WITH COMORBITY,,,1482.0,62730.51,36
MS-DRG,534,FRACTURES OF FEMUR WITHOUT COMORBITY,,,1482.0,29107.29,36
MS-DRG,535,FRACTURES OF HIP & PELVIS WITH COMORBITY,,,1482.0,47335.26,36
MS-DRG,536,FRACTURES OF HIP & PELVIS WITHOUT COMORBITY,,,1482.0,24673.45,36
MS-DRG,537,SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITH COMPLICATION/COMORBITY,,,1482.0,39165.52,36
MS-DRG,538,SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITHOUT COMPLICATION/COMORBITY,,,1482.0,28737.8,36
MS-DRG,539,OSTEOMYELITIS WITH COMORBITY,,,1482.0,48197.4,36
MS-DRG,540,OSTEOMYELITIS WITH COMPLICATION,,,1482.0,32391.61,36
MS-DRG,541,OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,22990.24,36
MS-DRG,542,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY,,,1482.0,62237.86,36
MS-DRG,543,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION,,,1482.0,39206.57,36
MS-DRG,544,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY,,,1482.0,31529.47,36
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH COMORBITY,,,1482.0,98078.01,36
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH COMPLICATION,,,1482.0,40150.81,36
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY,,,1482.0,33500.06,36
MS-DRG,548,SEPTIC ARTHRITIS WITH COMORBITY,,,1482.0,78454.19,36
MS-DRG,549,SEPTIC ARTHRITIS WITH COMPLICATION,,,1482.0,36866.49,36
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,31570.53,36
MS-DRG,551,MEDICAL BACK PROBLEMS WITH COMORBITY,,,1482.0,50496.42,36
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT COMORBITY,,,1482.0,25946.13,36
MS-DRG,553,BONE DISEASES & ARTHROPATHIES WITH COMORBITY,,,1482.0,54232.33,36
MS-DRG,554,BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY,,,1482.0,24878.72,36
MS-DRG,555,SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY,,,1482.0,56038.71,36
MS-DRG,556,SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY,,,1482.0,27095.64,36
MS-DRG,557,TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY,,,1482.0,39658.16,36
MS-DRG,558,TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY,,,1482.0,19008.0,36
MS-DRG,559,AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY,,,1482.0,58050.36,36
MS-DRG,560,AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION,,,1482.0,33787.44,36
MS-DRG,561,AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY,,,1482.0,27218.8,36
MS-DRG,562,FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY,,,1482.0,48813.21,36
MS-DRG,563,FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY,,,1482.0,25125.05,36
MS-DRG,564,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY,,,1482.0,58912.49,36
MS-DRG,565,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION,,,1482.0,30215.74,36
MS-DRG,566,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,1482.0,26561.94,36
MS-DRG,570,SKIN DEBRIDEMENT WITH COMORBITY,,,1482.0,80506.89,36
MS-DRG,571,SKIN DEBRIDEMENT WITH COMPLICATION,,,1482.0,41423.49,36
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY,,,1482.0,35552.76,36
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY,,,1482.0,240412.22,36
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION,,,1482.0,133630.77,36
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,1482.0,77222.57,36
MS-DRG,576,SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY,,,1482.0,224688.54,36
MS-DRG,577,SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION,,,1482.0,95655.82,36
MS-DRG,578,SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,66753.8,36
MS-DRG,579,OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY,,,1482.0,75210.93,36
MS-DRG,580,OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION,,,1482.0,54889.2,36
MS-DRG,581,OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,46021.53,36
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH COMPLICATION/COMORBITY,,,1482.0,86295.51,36
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,1482.0,77920.49,36
MS-DRG,584,BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,94013.66,36
MS-DRG,585,BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,81984.84,36
MS-DRG,592,SKIN ULCERS WITH COMORBITY,,,1482.0,45980.48,36
MS-DRG,593,SKIN ULCERS WITH COMPLICATION,,,1482.0,28080.94,36
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,1482.0,19090.11,36
MS-DRG,595,MAJOR SKIN DISORDERS WITH COMORBITY,,,1482.0,87239.75,36
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT COMORBITY,,,1482.0,25781.91,36
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH COMORBITY,,,1482.0,67780.15,36
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH COMPLICATION,,,1482.0,35060.12,36
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,1482.0,30215.74,36
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY,,,1482.0,26151.4,36
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,36
MS-DRG,602,CELLULITIS WITH COMORBITY,,,1482.0,44256.21,36
MS-DRG,603,CELLULITIS WITHOUT COMORBITY,,,1482.0,20198.57,36
MS-DRG,604,TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY,,,1482.0,60103.06,36
MS-DRG,605,TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY,,,1482.0,24468.18,36
MS-DRG,606,MINOR SKIN DISORDERS WITH COMORBITY,,,1482.0,58501.95,36
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT COMORBITY,,,1482.0,21553.35,36
MS-DRG,608,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,1482.0,17224.0,2
MS-DRG,611,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,1482.0,17224.0,2
MS-DRG,612,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,1482.0,17224.0,2
MS-DRG,614,ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,75744.63,36
MS-DRG,615,ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,56243.98,36
MS-DRG,616,AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY,,,1482.0,93890.5,36
MS-DRG,617,AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION,,,1482.0,47581.59,36
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,1482.0,30010.47,36
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,1482.0,89826.15,36
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH COMPLICATION,,,1482.0,52425.96,36
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY,,,1482.0,42326.67,36
MS-DRG,622,SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY,,,1482.0,82477.49,36
MS-DRG,623,SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION,,,1482.0,46842.61,36
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,1482.0,35675.93,36
MS-DRG,625,THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY,,,1482.0,118399.74,36
MS-DRG,626,THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION,,,1482.0,54150.23,36
MS-DRG,627,THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,38960.25,36
MS-DRG,628,OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY,,,1482.0,93726.28,36
MS-DRG,629,OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION,,,1482.0,54232.33,36
MS-DRG,630,OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,35224.33,36
MS-DRG,633,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,1482.0,17224.0,2
MS-DRG,634,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,1482.0,17224.0,2
MS-DRG,636,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,1482.0,17224.0,2
MS-DRG,637,DIABETES WITH COMORBITY,,,1482.0,36414.9,36
MS-DRG,638,DIABETES WITH COMPLICATION,,,1482.0,22497.59,36
MS-DRG,639,DIABETES WITHOUT COMPLICATION/COMORBITY,,,1482.0,17365.84,36
MS-DRG,640,MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY,,,1482.0,39658.16,36
MS-DRG,641,MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY,,,1482.0,21799.67,36
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,1482.0,31652.63,36
MS-DRG,643,ENDOCRINE DISORDERS WITH COMORBITY,,,1482.0,48115.29,36
MS-DRG,644,ENDOCRINE DISORDERS WITH COMPLICATION,,,1482.0,27793.56,36
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY,,,1482.0,19049.06,36
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,1482.0,187083.08,36
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,1482.0,144633.24,36
MS-DRG,652,KIDNEY TRANSPLANT,,,1482.0,168034.02,36
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH COMORBITY,,,1482.0,224893.81,36
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH COMPLICATION,,,1482.0,88307.15,36
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,72706.63,36
MS-DRG,656,KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY,,,1482.0,99268.57,36
MS-DRG,657,KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION,,,1482.0,58707.22,36
MS-DRG,658,KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY,,,1482.0,50619.58,36
MS-DRG,659,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY,,,1482.0,65275.86,36
MS-DRG,660,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION,,,1482.0,36209.63,36
MS-DRG,661,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY,,,1482.0,29640.99,36
MS-DRG,662,MINOR BLADDER PROCEDURES WITH COMORBITY,,,1482.0,124475.73,36
MS-DRG,663,MINOR BLADDER PROCEDURES WITH COMPLICATION,,,1482.0,62155.76,36
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,45200.45,36
MS-DRG,665,PROSTATECTOMY WITH COMORBITY,,,1482.0,129812.75,36
MS-DRG,666,PROSTATECTOMY WITH CC,,,1482.0,70038.12,36
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,1482.0,41957.19,36
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH COMORBITY,,,1482.0,102799.22,36
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH COMPLICATION,,,1482.0,40766.62,36
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,33171.63,36
MS-DRG,671,URETHRAL PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,71762.39,36
MS-DRG,672,URETHRAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,42326.67,36
MS-DRG,673,OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY,,,1482.0,99597.0,36
MS-DRG,674,OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION,,,1482.0,65850.62,36
MS-DRG,675,OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,61170.46,36
MS-DRG,680,MAJOR O.R. PROCEDURES FOR LYMPHATIC; HEMATOPOIETIC OR OTHER NEOPLASMS,,,1482.0,17224.0,2
MS-DRG,681,OTHER  O.R. PROCEDURES FOR LYMPHATIC; HEMATOPOIETIC OR OTHER NEOPLASMS,,,1482.0,17224.0,2
MS-DRG,682,RENAL FAILURE WITH COMORBITY,,,1482.0,36497.01,36
MS-DRG,683,RENAL FAILURE WITH COMPLICATION,,,1482.0,20896.49,36
MS-DRG,684,RENAL FAILURE WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,36
MS-DRG,686,KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY,,,1482.0,63100.0,36
MS-DRG,687,KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION,,,1482.0,33007.42,36
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,1482.0,25371.37,36
MS-DRG,689,KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY,,,1482.0,37441.25,36
MS-DRG,690,KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY,,,1482.0,20485.95,36
MS-DRG,691,LYMPHOMA; MYELOMA AND NON-ACUTE LEUKEMIA,,,1482.0,17224.0,2
MS-DRG,693,URINARY STONES WITH COMORBITY,,,1482.0,57927.19,36
MS-DRG,694,URINARY STONES WITHOUT COMORBITY,,,1482.0,19418.54,36
MS-DRG,695,KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY,,,1482.0,47663.69,36
MS-DRG,696,KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY,,,1482.0,20321.73,36
MS-DRG,697,URETHRAL STRICTURE,,,1482.0,42696.16,36
MS-DRG,698,OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY,,,1482.0,49757.45,36
MS-DRG,699,OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION,,,1482.0,29148.34,36
MS-DRG,700,OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,1482.0,25699.8,36
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,59938.84,36
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,55381.85,36
MS-DRG,709,PENIS PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,92782.04,36
MS-DRG,710,PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,58748.27,36
MS-DRG,711,TESTES PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,84448.08,36
MS-DRG,712,TESTES PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,46965.78,36
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY,,,1482.0,48977.42,36
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,1482.0,34239.04,36
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY WITH COMPLICATION/COMORBITY,,,1482.0,90195.64,36
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,1482.0,56695.57,36
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY,,,1482.0,47088.94,36
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,1482.0,31611.58,36
MS-DRG,720,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,1482.0,17224.0,2
MS-DRG,721,POST-OPERATIVE; POST-TRAUMATIC; OTHER DEVICE INFECTIONS,,,1482.0,17224.0,2
MS-DRG,722,MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY,,,1482.0,72911.9,36
MS-DRG,723,MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION,,,1482.0,45980.48,36
MS-DRG,724,MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY,,,1482.0,30872.61,36
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,1482.0,51563.82,36
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,1482.0,30585.23,36
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY,,,1482.0,62032.59,36
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY,,,1482.0,22169.16,36
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION/COMORBITY,,,1482.0,42942.48,36
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,1482.0,25371.37,36
MS-DRG,734,PELVIC EVISCERATION; RAD HYSTERECTOMY & RAD VULVECTOMY WITH COMPLICATION/COMORBITY,,,1482.0,60595.7,36
MS-DRG,735,PELVIC EVISCERATION; RAD HYSTERECTOMY & RAD VULVECTOMY WITHOUT COMPLICATION/COMORBITY,,,1482.0,48813.21,36
MS-DRG,736,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMORBITY,,,1482.0,165488.67,36
MS-DRG,737,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION,,,1482.0,62196.81,36
MS-DRG,738,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,1482.0,45282.56,36
MS-DRG,739,UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMORBITY,,,1482.0,155676.77,36
MS-DRG,740,UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION,,,1482.0,60800.97,36
MS-DRG,741,UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITHOUT COMPLICATION/COMORBITY,,,1482.0,42614.05,36
MS-DRG,742,UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY,,,1482.0,51235.39,36
MS-DRG,743,UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,1482.0,35840.14,36
MS-DRG,744,D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY,,,1482.0,41834.03,36
MS-DRG,745,D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITHOUT COMPLICATION/COMORBITY,,,1482.0,27916.72,36
MS-DRG,746,VAGINA; CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,42490.89,36
MS-DRG,747,VAGINA; CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,30297.85,36
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,1482.0,55340.79,36
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY,,,1482.0,67698.05,36
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,1482.0,55997.66,36
MS-DRG,751,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,1482.0,13089.0,2
MS-DRG,753,BIPOLAR DISORDERS,,,1482.0,13089.0,2
MS-DRG,754,MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY,,,1482.0,52713.34,36
MS-DRG,755,MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION,,,1482.0,31652.63,36
MS-DRG,756,MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY,,,1482.0,27875.67,36
MS-DRG,757,INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY,,,1482.0,59651.46,36
MS-DRG,758,INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION,,,1482.0,25576.64,36
MS-DRG,759,INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY,,,1482.0,20116.46,36
MS-DRG,760,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY,,,1482.0,24550.29,36
MS-DRG,761,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY,,,1482.0,18310.08,36
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C,,,1482.0,21594.4,35
MS-DRG,769,POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE,,,1482.0,43804.62,36
MS-DRG,770,ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY,,,1482.0,22908.13,36
MS-DRG,773,OPIOID ABUSE AND DEPENDENCE,,,1482.0,17224.0,2
MS-DRG,774,COCAINE ABUSE AND DEPENDENCE,,,1482.0,17224.0,2
MS-DRG,775,ALCOHOL ABUSE AND DEPENDENCE,,,1482.0,17224.0,2
MS-DRG,776,POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE,,,1482.0,17224.0,36
MS-DRG,779,ABORTION WITHOUT D&C,,,1482.0,17224.0,36
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH COMORBITY,,,1482.0,34115.87,35
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION,,,1482.0,29846.26,35
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY,,,1482.0,24919.78,35
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY,,,1482.0,33500.06,35
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION,,,1482.0,29640.99,35
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY,,,1482.0,24878.72,35
MS-DRG,789,NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY,,,1482.0,38729.76,36
MS-DRG,790,EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE,,,1482.0,80368.41,36
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,1482.0,55152.13,36
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,1482.0,33611.55,36
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,1482.0,56632.03,36
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,1482.0,20587.97,36
MS-DRG,795,NORMAL NEWBORN,,,1061.79,13089.0,36
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMORBITY,,,1482.0,48033.18,35
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION,,,1482.0,31652.63,35
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY,,,1482.0,26931.42,35
MS-DRG,799,SPLENECTOMY WITH COMORBITY,,,1482.0,124024.13,36
MS-DRG,800,SPLENECTOMY WITH COMPLICATION,,,1482.0,91180.93,36
MS-DRG,801,SPLENECTOMY WITHOUT COMPLICATION/COMORBITY,,,1482.0,66014.83,36
MS-DRG,802,OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY,,,1482.0,146562.78,36
MS-DRG,803,OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION,,,1482.0,63674.75,36
MS-DRG,804,OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITHOUT COMPLICATION/COMORBITY,,,1482.0,43270.92,36
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY,,,1482.0,21060.7,35
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION,,,1482.0,19172.22,35
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,35
MS-DRG,808,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY,,,1482.0,66466.43,36
MS-DRG,809,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION,,,1482.0,35675.93,36
MS-DRG,810,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY,,,1482.0,29517.83,36
MS-DRG,811,RED BLOOD CELL DISORDERS WITH COMORBITY,,,1482.0,42285.62,36
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT COMORBITY,,,1482.0,29312.56,36
MS-DRG,813,COAGULATION DISORDERS,,,1482.0,56202.93,36
MS-DRG,814,RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY,,,1482.0,56038.71,36
MS-DRG,815,RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION,,,1482.0,30708.39,36
MS-DRG,816,RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY,,,1482.0,23072.35,36
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY,,,1482.0,48813.21,36
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMPLICATION,,,1482.0,32761.09,36
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY,,,1482.0,21963.89,36
MS-DRG,820,LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY,,,1482.0,195417.04,36
MS-DRG,821,LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION,,,1482.0,85433.37,36
MS-DRG,822,LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY,,,1482.0,48731.1,36
MS-DRG,823,LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY,,,1482.0,147137.54,36
MS-DRG,824,LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION,,,1482.0,82272.22,36
MS-DRG,825,LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,50044.83,36
MS-DRG,826,MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY,,,1482.0,198331.87,36
MS-DRG,827,MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION,,,1482.0,86049.18,36
MS-DRG,828,MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,57352.44,36
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY,,,1482.0,66014.83,36
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITHOUT COMPLICATION/COMORBITY,,,1482.0,56038.71,36
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY,,,1482.0,25494.53,36
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION,,,1482.0,17224.0,36
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY,,,1482.0,17224.0,36
MS-DRG,834,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY,,,1482.0,279536.69,36
MS-DRG,835,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION,,,1482.0,106904.62,36
MS-DRG,836,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY,,,1482.0,65932.72,36
MS-DRG,837,CHEMO WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMO AGENT WITH COMORBITY,,,1482.0,129484.32,36
MS-DRG,838,CHEMO WITH ACUTE LEUKEMIA AS SDX WITH COMPLICATION OR HIGH DOSE CHEMO AGENT,,,1482.0,43024.59,36
MS-DRG,839,CHEMO WITH ACUTE LEUKEMIA AS SDX WITHOUT COMPLICATION/COMORBITY,,,1482.0,34772.74,36
MS-DRG,840,LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY,,,1482.0,128540.07,36
MS-DRG,841,LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION,,,1482.0,64577.94,36
MS-DRG,842,LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY,,,1482.0,44009.89,36
MS-DRG,843,OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY,,,1482.0,72747.69,36
MS-DRG,844,OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION,,,1482.0,41218.22,36
MS-DRG,845,OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITHOUT COMPLICATION/COMORBITY,,,1482.0,35019.06,36
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY,,,1482.0,62484.19,36
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION,,,1482.0,30503.12,36
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,19541.7,36
MS-DRG,849,RADIOTHERAPY,,,1482.0,105098.24,36
MS-DRG,850,PROCEDURE WITH DIAGNOSIS OF REHABILITATION; AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES,,,1482.0,378148.39,35
MS-DRG,853,INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY,,,1482.0,139255.17,36
MS-DRG,854,INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION,,,1482.0,57106.11,36
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,1482.0,45159.4,36
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY,,,1482.0,112693.23,36
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION,,,1482.0,52877.55,36
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY,,,1482.0,37564.41,36
MS-DRG,861,SIGNS; SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,,,1482.0,17224.0,2
MS-DRG,862,POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY,,,1482.0,40971.89,36
MS-DRG,863,POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY,,,1482.0,26110.34,36
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,1482.0,25905.07,36
MS-DRG,865,VIRAL ILLNESS WITH COMORBITY,,,1482.0,39083.41,36
MS-DRG,866,VIRAL ILLNESS WITHOUT COMORBITY,,,1482.0,22004.94,36
MS-DRG,867,OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY,,,1482.0,67821.21,36
MS-DRG,868,OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION,,,1482.0,31118.93,36
MS-DRG,869,OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,1482.0,25083.99,36
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,1482.0,213480.8,36
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY,,,1482.0,57557.71,36
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY,,,1482.0,29394.66,36
MS-DRG,876,O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,,,1482.0,52554.88,36
MS-DRG,880,ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,,,1482.0,17224.0,36
MS-DRG,881,DEPRESSIVE NEUROSES,,,1482.0,17224.0,36
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,1482.0,17224.0,36
MS-DRG,883,DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,1482.0,27149.93,36
MS-DRG,884,ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,,,1482.0,22367.59,36
MS-DRG,885,PSYCHOSES,,,1100.0,19529.53,36
MS-DRG,886,BEHAVIORAL & DEVELOPMENTAL DISORDERS,,,1100.0,28608.46,36
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,1100.0,15168.71,36
MS-DRG,892,HIV WITH MAJOR HIV RELATED CONDITION,,,1100.0,1482.0,2
MS-DRG,894,ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA,,,616.0,9093.77,36
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,616.0,19781.11,36
MS-DRG,896,ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY,,,616.0,24190.07,36
MS-DRG,897,ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY,,,616.0,12651.74,36
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY,,,1482.0,131660.18,36
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION,,,1482.0,48977.42,36
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY,,,1482.0,32720.04,36
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH COMPLICATION/COMORBITY,,,1482.0,119959.79,36
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY,,,1482.0,65973.78,36
MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,1482.0,53082.82,36
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY,,,1482.0,112775.34,36
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION,,,1482.0,57804.03,36
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY,,,1482.0,39329.73,36
MS-DRG,913,TRAUMATIC INJURY WITH COMORBITY,,,1482.0,63510.54,36
MS-DRG,914,TRAUMATIC INJURY WITHOUT COMORBITY,,,1482.0,24591.35,36
MS-DRG,915,ALLERGIC REACTIONS WITH COMORBITY,,,1482.0,42942.48,36
MS-DRG,916,ALLERGIC REACTIONS WITHOUT COMORBITY,,,1482.0,18761.68,36
MS-DRG,917,POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY,,,1482.0,40725.57,36
MS-DRG,918,POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY,,,1482.0,20239.62,36
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH COMORBITY,,,1482.0,45528.89,36
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH COMPLICATION,,,1482.0,27998.83,36
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY,,,1482.0,20075.41,36
MS-DRG,922,OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY,,,1482.0,61047.3,36
MS-DRG,923,OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY,,,1482.0,22784.97,36
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,1482.0,890707.58,36
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHAL INJ WITH COMPLICATION/COMORBITY,,,1482.0,96816.17,36
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,1482.0,46965.78,36
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,1482.0,133425.5,36
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHAL INJ,,,1482.0,82888.03,36
MS-DRG,935,NON-EXTENSIVE BURNS,,,1482.0,35881.2,36
MS-DRG,939,O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMORBITY,,,1482.0,132152.83,36
MS-DRG,940,O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION,,,1482.0,70366.56,36
MS-DRG,941,O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION/COMORBITY,,,1482.0,47129.99,36
MS-DRG,945,REHABILITATION WITH CC/MCC,,,1482.0,61786.27,36
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,1482.0,44174.1,36
MS-DRG,947,SIGNS & SYMPTOMS WITH COMORBITY,,,1482.0,36620.17,36
MS-DRG,948,SIGNS & SYMPTOMS WITHOUT COMORBITY,,,1482.0,24878.72,36
MS-DRG,949,AFTERCARE WITH COMPLICATION/COMORBITY,,,1482.0,42860.38,36
MS-DRG,950,AFTERCARE WITHOUT COMPLICATION/COMORBITY,,,1482.0,26808.26,36
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,1482.0,17224.0,36
MS-DRG,952,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,1482.0,17224.0,2
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,1482.0,245585.03,36
MS-DRG,956,LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA,,,1482.0,195334.93,36
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY,,,1482.0,235526.8,36
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION,,,1482.0,136094.01,36
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY,,,1482.0,106617.24,36
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY,,,1482.0,98816.98,36
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION,,,1482.0,45159.4,36
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY,,,1482.0,31036.82,36
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURE WITH COMORBITY,,,1482.0,271243.78,36
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,1482.0,116305.98,36
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH COMORBITY,,,1482.0,105467.73,36
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION,,,1482.0,55340.79,36
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,1482.0,37400.19,36
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,1482.0,56572.41,36
MS-DRG,981,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY,,,1482.0,160931.68,36
MS-DRG,982,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION,,,1482.0,80999.54,36
MS-DRG,983,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,50332.2,36
MS-DRG,987,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY,,,1482.0,106042.48,36
MS-DRG,988,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION,,,1482.0,49470.07,36
MS-DRG,989,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY,,,1482.0,38098.11,36
MS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,,,1482.0,17224.0,8
MS-DRG,999,UNGROUPABLE,,,1482.0,17224.0,8
NDC,00001-0000-53,MITOMYCIN; OPTHALMIC; 0. 2 MG,1697.0,848.5,,,0
NDC,00001-0001-47,INJECTION; ROPIVACAINE HYDROCHLORIDE; 1 MG,9.78,4.89,,,0
NDC,00002-0351-02,Darvocet-N 50,25.0,12.5,0.2,1.57,2
NDC,00002-7510-01,HumaLOG,6.26,3.13,0.92,17224.0,3
NDC,00002-7669-01,Cyramza,14932.1,7466.05,49.77,202.91,49
NDC,00002-7678-01,Cyramza,15387.345,7693.675,49.77,202.91,97
NDC,00002-7737-01,Insulin Lispro,1.5,0.75,0.92,17224.0,5
NDC,00002-8215-01,HumuLIN R,1.0,0.5,0.92,17224.0,3
NDC,00002-8215-17,HumuLIN R,10.695,5.35,0.92,0.92,1
NDC,00002-8315-01,HumuLIN N (NPH),79.155,39.58,,,0
NDC,00002-8824-01,INJECTION; INSULIN; PER 5 UNITS,1175.04,587.52,,,0
NDC,00002-9401-01,Kisunla,7884.9,3942.45,2.7,11.02,144
NDC,00003-0293-05,Kenalog-40,40.0,20.0,1.57,1.57,1
NDC,00003-0293-20,Kenalog-40,39.29,19.65,1.57,1.57,1
NDC,00003-0293-28,Kenalog-40,58.67,22.005,1.57,1.57,1
NDC,00003-0315-05,Kenalog-80,40.0,20.0,,,0
NDC,00003-0315-20,Kenalog-80,40.0,20.0,1.57,1.57,1
NDC,00003-0371-13,Nulojix,4146.26,2073.13,2.52,10.28,168
NDC,00003-0494-20,Kenalog-10,3.75,1.875,1.57,1.57,1
NDC,00003-2187-13,Orencia,19052.42,9526.21,29.81,121.53,48
NDC,00003-2291-11,Empliciti,10240.47,5120.24,5.32,21.7,24
NDC,00003-2327-11,Yervoy,56387.875,28193.940000000002,123.78,504.64,265
NDC,00003-3734-13,Opdivo,61077.12,30538.56,22.24,90.68,241
NDC,00003-3756-14,Opdivo,17696.67,8848.335,22.24,90.68,145
NDC,00003-3772-11,Opdivo,5725.98,2862.99,22.24,90.68,193
NDC,00003-3774-12,Opdivo,14601.2,7300.6,22.24,90.68,241
NDC,00003-4522-11,Empliciti,21664.02,10832.01,5.32,21.7,72
NDC,00003-6120-01,Opdivo Qvantig,39715.4,19857.7,18.29,74.57,192
NDC,00003-7125-11,Opdualag,105857.85,52928.925,133.58,544.6,193
NDC,00006-0462-06,Emend,129.24,64.62,6.98,6.98,1
NDC,00006-3026-01,Keytruda,46256.64,23128.32,39.42,160.72,289
NDC,00006-3026-02,Keytruda,46256.64,23128.32,39.42,160.72,24
NDC,00006-3026-04,Keytruda,23128.32,11564.16,39.42,160.72,48
NDC,00006-3066-03,Emend,404.135,202.07,6.98,6.98,1
NDC,00006-3083-01,Keytruda Qlex,48125.45,24062.73,,,0
NDC,00006-4047-01,RotaTeq,162.0,81.0,10.5,162.0,7
NDC,00006-4047-02,ROTAVIRUS VACCINE; PENTAVALENT,162.0,81.0,10.5,162.0,7
NDC,00006-4047-41,RotaTeq,162.0,81.0,10.5,162.0,7
NDC,00006-4093-02,Recombivax HB Pediatric-Adolescent PFS,41.0,20.5,10.5,41.0,7
NDC,00006-4095-01,HEPATITIS A VACCINE PEDIATRIC OR ADOLESCENT DOSAGE,53.0,26.5,10.5,53.0,7
NDC,00006-4095-02,Vaqta Pediatric PFS,53.0,26.5,10.5,53.0,7
NDC,00006-4119-01,Gardasil 9,549.0,274.5,10.5,549.0,7
NDC,00006-4121-01,Gardasil 9 PFS,565.0,282.5,10.5,549.0,7
NDC,00006-4121-02,Gardasil 9 PFS,549.0,274.5,10.5,549.0,7
NDC,00006-4171-00,ProQuad,518.0,259.0,10.5,218.94,7
NDC,00006-4171-01,ProQuad,518.0,259.0,10.5,218.94,7
NDC,00006-4329-01,Vaxneuvance PFS,766.75,383.375,10.5,418.37,7
NDC,00006-4329-03,Vaxneuvance PFS,392.0,196.0,10.5,392.0,7
NDC,00006-4347-02,Capvaxive PFS,439.5,219.75,10.5,12.0,6
NDC,00006-4347-99,Capvaxive PFS,439.5,219.75,10.5,12.0,6
NDC,00006-4681-00,M-M-R II,342.5,171.25,10.5,218.94,14
NDC,00006-4681-01,M-M-R II,167.0,83.5,10.5,167.0,7
NDC,00006-4827-00,Varivax,348.0,174.0,10.5,344.92,7
NDC,00006-4827-01,Varivax,348.0,174.0,10.5,344.92,7
NDC,00006-4837-01,Pneumovax 23 PFS,208.84,104.42,10.5,209.0,14
NDC,00006-4837-03,Pneumovax 23 PFS,208.84,104.42,10.5,209.0,14
NDC,00006-4943-01,Pneumovax 23,209.0,104.5,10.5,209.0,7
NDC,00006-4981-00,Recombivax HB Pediatric-Adolescent,41.0,20.5,10.5,41.0,7
NDC,00006-4981-01,Recombivax HB Pediatric-Adolescent,41.0,20.5,10.5,41.0,7
NDC,00006-4992-00,Recombivax HB,89.0,44.5,10.5,89.0,7
NDC,00006-5423-12,Bridion,705.65,352.83,1482.0,17224.0,2
NDC,00006-5425-15,Bridion,981.84,490.92,1482.0,17224.0,2
NDC,00008-0100-01,Besponsa,87768.42,43884.21,1867.52,7613.72,217
NDC,00008-0923-51,Protonix,11.17,5.59,,,0
NDC,00008-1030-06,Rapamune,129.5,64.75,4.41,4.41,1
NDC,00008-4510-01,Mylotarg,40184.479999999996,20092.239999999998,160.79,655.53,96
NDC,00009-0011-03,Solu-CORTEF 100mg Vial,25.82,12.915,29.45,29.45,1
NDC,00009-0011-04,Solu-CORTEF 100mg Vial,126.22,63.115,29.45,29.45,1
NDC,00009-0022-01,Medrol,1076.0,538.0,3.91,265.87,337
NDC,00009-0039-30,SOLU-Medrol 40mg Vial,20.14,10.07,,,0
NDC,00009-0047-03,PremierPro Rx SOLU-Medrol 125mg Vial,7.42,3.71,,,0
NDC,00009-0047-04,PremierPro Rx SOLU-Medrol 125mg Vial,20.655,10.33,,,0
NDC,00009-0047-22,SOLU-Medrol 125mg Vial,12.24,6.12,,,0
NDC,00009-0047-25,SOLU-Medrol 125mg Vial,15.7,7.85,,,0
NDC,00009-0047-26,SOLU-Medrol Novaplus 125mg Vial,11.34,5.67,,,0
NDC,00009-0082-02,Camptosar,263.79,131.9,3.22,3.22,1
NDC,00009-0274-01,DEPO-Medrol,7800.0,3900.0,19.57,79.76,217
NDC,00009-0280-02,DEPO-Medrol,42.974999999999994,21.49,,,0
NDC,00009-0280-03,DEPO-Medrol,80.0,40.0,,,0
NDC,00009-0280-51,DEPO-Medrol,28.65,14.33,,,0
NDC,00009-0306-02,DEPO-Medrol,50.365,25.185000000000002,,,0
NDC,00009-0698-01,SOLU-Medrol,19.87,9.94,,,0
NDC,00009-0746-30,Depo-Provera Contraceptive,160.0,80.0,0.87,0.87,1
NDC,00009-0758-01,SOLU-Medrol,131.22,65.61,,,0
NDC,00009-0825-01,Solu-CORTEF,45.565,22.785,29.45,29.45,1
NDC,00009-0902-11,Cleocin Phosphate,5.25,2.63,1482.0,17224.0,2
NDC,00009-3073-01,DEPO-Medrol,42.725,20.0,21.05,85.81,48
NDC,00009-3073-03,DEPO-Medrol,45.48,22.74,,,0
NDC,00009-3073-22,DEPO-Medrol Novaplus,46.305,23.155,,,0
NDC,00009-3169-01,Prostin VR Pediatric,10.3,5.15,0.73,0.73,1
NDC,00009-3475-01,DEPO-Medrol,37.905,18.955,12.53,51.09,49
NDC,00009-3475-03,DEPO-Medrol,52.71,26.355,,,0
NDC,00009-3701-05,Caverject,217.07,108.54,0.73,0.73,1
NDC,00009-5140-01,Zyvox,33.75,16.88,5.45,5.45,1
NDC,00013-8717-62,Zinecard,190.45,95.225,26.94,178.22,26
NDC,00019-0862-50,Cysto-Conray II,94.5,47.25,0.13,0.13,1
NDC,00019-0953-05,Conray,64.465,32.235,0.46,0.46,1
NDC,00019-1323-06,Optiray 320,68.565,34.285,0.2,17224.0,3
NDC,00019-1323-11,Optiray 320,40.84,20.42,1482.0,17224.0,2
NDC,00019-1323-16,Optiray 320,193.05,96.53,1482.0,17224.0,2
NDC,00019-1323-21,Optiray 320,148.5,74.25,1482.0,17224.0,2
NDC,00019-1332-06,Optiray 300,152.1,76.05,1482.0,17224.0,2
NDC,00023-1145-01,Botox,1170.0,585.0,3.43,23.72,697
NDC,00023-1145-02,INJECTION; ONABOTULINUMTOXINA; 1 UNIT,2470.0,1235.0,4.23,17.25,49
NDC,00023-3348-07,Ozurdex,6178.5,3089.25,132.38,539.7,24
NDC,00023-3921-02,Botox,2584.0,1292.0,4.23,17.25,145
NDC,00023-5858-01,Liletta,4192.79,2096.4,807.7,1756.97,7
NDC,00023-6082-01,Infed,1430.59,715.3,12.34,50.32,289
NDC,00023-6082-10,Infed,1467.27,733.64,12.34,50.32,24
NDC,00023-9232-01,Botox Cosmetic,429.0,214.5,4.23,17.25,24
NDC,00024-2792-01,Ferrlecit,72.09,36.05,3.91,3.91,1
NDC,00024-2794-01,PremierPro Rx Ferrlecit,144.18,72.09,3.91,3.91,1
NDC,00024-5154-11,INJECTION; RASBURICASE; 0.5 MG,9670.66,4835.33,251.84,1026.74,24
NDC,00024-5823-15,INJECTION; CABAZITAXEL; 1 MG,26802.97,13401.49,151.92,619.38,121
NDC,00024-5862-01,Mozobil,764.82,382.41,18.52,75.5,24
NDC,00024-5914-01,Dupixent PFS,8535.29,4267.645,,,0
NDC,00024-5915-01,Dupixent Pen,8400.0,4200.0,,,0
NDC,00024-5918-01,Dupixent PFS,8257.71,4128.86,,,0
NDC,00026-3821-25,Kovaltry,280.58,140.29,1.04,4.24,24
NDC,00026-3822-25,Kovaltry,3386.475,1693.24,1.03,4.24,49
NDC,00026-3824-25,Kovaltry,7536.38,3768.19,1.04,4.24,25
NDC,00026-4822-01,FACTOR VIII (ANTIHEMOPHILIC FACTOR; RECOMBINANT) PER IU; NOT OTHERWISE SPECIFIED,3510.45,1755.23,1.03,4.19,25
NDC,00026-4824-01,INJECTION; FACTOR VIII; (ANTIHEMOPHILIC FACTOR; RECOMBINANT); (KOVALTRY); 1 I.U.,7249.28,3624.64,1.04,4.24,73
NDC,00026-4828-01,INJECTION; FACTOR VIII; (ANTIHEMOPHILIC FACTOR; RECOMBINANT); (KOVALTRY); 1 I.U.,18923.95,9461.975,1.04,4.24,49
NDC,00049-0013-83,Unasyn,5.25,2.63,,,0
NDC,00049-0014-83,Unasyn,12.72,6.36,2.92,2.92,1
NDC,00049-0024-28,Unasyn,11.935,5.970000000000001,2.92,2.92,1
NDC,00049-3190-28,Vfend I.V.,5880.0,2940.0,0.5,30.13,50
NDC,00052-0602-02,Tice BCG,727.0,363.505,2.2,8.96,73
NDC,00052-4330-01,Nexplanon,5206.0,2603.0,930.09,2290.45,7
NDC,00053-7202-02,Zemaira,1057.505,528.755,3.33,13.59,72
NDC,00053-7212-01,Zemaira,5.25,2.63,3.33,13.59,120
NDC,00054-0019-25,predniSONE,0.86,0.43,0.02,0.02,1
NDC,00054-0064-47,Ondansetron,13.08,6.54,0.02,0.02,1
NDC,00054-0383-25,cycloPHOSphamide,561.33,280.67,,,0
NDC,00054-3177-63,dexAMETHasone,2.88,1.44,0.13,0.13,1
NDC,00054-3722-63,predniSONE,102.78,51.39,0.02,0.02,1
NDC,00054-4179-25,dexAMETHasone,1.675,0.8400000000000001,0.13,0.13,1
NDC,00054-4183-25,dexAMETHasone,2.08,1.04,0.13,0.13,1
NDC,00054-4184-25,dexAMETHasone,6.2250000000000005,3.115,0.13,0.13,1
NDC,00054-8175-25,dexAMETHasone,13.23,6.62,0.13,0.13,1
NDC,00054-8176-25,dexAMETHasone,2.79,1.4,0.13,0.13,1
NDC,00054-8179-25,dexAMETHasone,1.41,0.71,0.13,0.13,1
NDC,00065-0543-01,Triesence,64.98,32.49,1.57,50.85,98
NDC,00069-0070-01,Oxaliplatin,136.17,68.09,0.12,0.12,1
NDC,00069-0207-01,RESPIRATORY SYNCYTIAL VIRUS VACCINE; PREF; SUBUNIT; BIVALENT; FOR INTRAMUSCULAR USE,477.0,238.5,10.5,477.0,7
NDC,00069-0209-01,Propofol,4.495,2.25,0.21,0.21,1
NDC,00069-0209-10,Propofol,11.555,5.78,0.21,0.21,1
NDC,00069-0234-01,Propofol,120.0,60.0,0.21,0.21,1
NDC,00069-0234-20,Propofol,120.0,60.0,0.21,0.21,1
NDC,00069-0238-01,Ruxience,3254.64,1627.32,10.5,42.82,190
NDC,00069-0248-01,Propofol,120.0,60.0,0.21,0.21,1
NDC,00069-0248-10,Propofol,121.96000000000001,60.980000000000004,0.21,0.21,1
NDC,00069-0249-01,Ruxience,10088.78,5044.39,10.5,42.82,313
NDC,00069-0293-01,Nivestym,235.09,117.55,0.21,0.85,115
NDC,00069-0294-01,Nivestym,386.76,193.38,0.21,0.85,116
NDC,00069-0294-10,Nivestym,606.68,303.34,0.21,0.85,24
NDC,00069-0308-01,Trazimera,8794.35,4397.18,8.47,34.53,24
NDC,00069-0324-01,Nyvepria PFS,7215.13,3607.57,88.99,362.81,24
NDC,00069-0343-02,DOXOrubicin HCl,26.47,13.24,5.41,5.41,1
NDC,00069-0344-01,Abrysvo,477.0,238.5,,,0
NDC,00069-0344-05,Abrysvo,477.0,238.5,10.5,477.0,7
NDC,00069-0809-01,Inflectra,14953.954999999998,7476.98,18.01,73.43,121
NDC,00069-1308-01,Retacrit,211.935,105.97,5.18,21.12,121
NDC,00069-1309-01,Retacrit,678.17,339.09,5.18,21.12,144
NDC,00069-1542-20,DOXOrubicin HCl,27.895,13.95,5.41,5.41,1
NDC,00069-2432-01,Comirnaty PFS 2024-2025 Age 12 and older,208.0,104.0,42.0,208.0,7
NDC,00069-2432-10,Comirnaty PFS 2024-2025 Age 12 and older,208.0,104.0,42.0,208.0,7
NDC,00069-2465-19,Abrysvo,542.0,271.0,,,0
NDC,00069-2528-01,Comirnaty 2025-2026 Age Over 65 / High Risk 12-64,173.5,86.75,42.0,208.0,14
NDC,00069-2528-10,Comirnaty 2025-2026 Age Over 65 / High Risk 12-64,208.0,104.0,42.0,208.0,7
NDC,00069-2587-10,Sterile Vancomycin Hydrochloride,40.0,20.0,1.57,85.81,25
NDC,00069-2601-01,Vancomycin HCl,40.0,20.0,1.57,1.57,1
NDC,00069-4494-01,Elrexfio,57144.4,28572.2,125.11,510.07,24
NDC,00069-4543-01,dexAMETHasone Sodium Phosphate,3.06,1.53,0.2,0.2,1
NDC,00069-4547-02,dexAMETHasone Sodium Phosphate,3.68,1.84,0.2,0.2,1
NDC,00069-6001-10,Cerebyx,117.52,58.765,0.44,7.92,49
NDC,00074-2100-01,Skyrizi PEN,81127.0,40563.5,9.44,38.5,25
NDC,00074-3346-03,Lupron Depot,1647.6750000000002,823.84,104.22,424.9,193
NDC,00074-3473-03,Lupron Depot,4393.94,2196.97,104.22,424.9,121
NDC,00074-3641-03,Lupron Depot,7635.085,3817.545,1196.82,4879.34,97
NDC,00074-3642-03,Lupron Depot,732.33,366.17,104.22,424.9,73
NDC,00074-3663-03,Lupron Depot,21601.91,10800.955,1196.82,4879.34,121
NDC,00074-3683-03,Lupron Depot,2929.23,1464.62,104.22,424.9,97
NDC,00074-3799-02,Humira PFS,7534.83,3767.42,,,0
NDC,00074-5015-01,Skyrizi 600MG/10ML,58593.12,29296.56,9.44,38.5,145
NDC,00074-9694-03,Lupron Depot-Ped,47782.04,23891.02,1196.82,4879.34,25
NDC,00075-8014-10,PremierPro Rx Lovenox,9.68,4.84,1.12,1.12,1
NDC,00075-8020-01,PremierPro Rx Lovenox,24.98,12.49,,,0
NDC,00078-0053-03,Methergine,31.12,15.56,31.12,31.12,1
NDC,00078-0435-61,Reclast,40.0,20.0,0.2,11.9,3
NDC,00078-0437-61,Visudyne,4636.0,2318.0,7.39,30.13,49
NDC,00078-0797-61,SandoSTATIN LAR Depot,19845.86,9922.93,135.26,551.46,24
NDC,00078-0804-61,SandoSTATIN LAR Depot,26415.64,13207.82,135.26,551.46,49
NDC,00078-0811-81,SandoSTATIN LAR Depot,15147.5,7573.75,135.26,551.46,24
NDC,00078-0818-81,SandoSTATIN LAR Depot,27563.69,13781.845,135.26,551.46,121
NDC,00078-0825-81,SandoSTATIN LAR Depot,26415.64,13207.82,135.26,551.46,121
NDC,00078-0897-78,Triesence,1951.32,975.665,7.97,50.85,217
NDC,00078-1000-60,Leqvio,15216.39,7608.2,8.38,34.18,169
NDC,00085-4320-01,Celestone Soluspan,61.44,30.72,,,0
NDC,00088-2219-01,Lantus SoloStar Pen,76.08,38.04,,,0
NDC,00088-2220-33,Lantus,7.1,3.55,,,0
NDC,00093-7334-01,Mycophenolate Mofetil,2.76,1.38,,,0
NDC,00093-7704-56,emtricitabine-tenofovir disoproxil fumarate,6.25,3.13,0.29,1.19,96
NDC,00093-9018-19,cycloSPORINE; modified,24.45,12.23,,,0
NDC,00093-9020-19,cycloSPORINE; modified,6.44,3.22,,,0
NDC,00115-1803-02,hydrOXYzine Pamoate,0.6699999999999999,0.33499999999999996,0.84,0.84,1
NDC,00115-1804-01,hydrOXYzine Pamoate,1.48,0.74,,,0
NDC,00121-0759-08,prednisoLONE Sodium Phosphate,4.029999999999999,2.02,0.69,0.69,1
NDC,00143-9093-01,DOXOrubicin HCl,1033.02,516.51,5.41,5.41,1
NDC,00143-9098-01,bortezomib,51.69,25.845,3.23,3.23,1
NDC,00143-9156-01,Furosemide,2.84,1.4249999999999998,,,0
NDC,00143-9161-01,Vancomycin HCl,5.85,2.9299999999999997,3.81,3.81,1
NDC,00143-9162-01,Vancomycin HCl,9.725000000000001,4.865,3.81,3.81,1
NDC,00143-9164-01,Vancomycin HCl,11.955,5.98,3.81,3.81,1
NDC,00143-9180-01,Calcium Gluconate,31.41,15.71,0.08,0.08,1
NDC,00143-9192-01,Foscarnet Sodium,314.3,157.15,97.96,97.96,1
NDC,00143-9209-10,Chloroprocaine HCl,20.56,10.28,0.07,0.07,1
NDC,00143-9210-01,Chloroprocaine HCl,5.43,2.72,,,0
NDC,00143-9245-01,Dacarbazine,78.51,39.255,6.15,6.15,1
NDC,00143-9263-01,ROPivacaine HCl,15.3,7.65,0.13,0.13,1
NDC,00143-9273-01,Dihydroergotamine Mesylate,210.27,105.14,69.86,69.86,1
NDC,00143-9279-01,mitoMYcin,289.4,144.7,22.17,90.39,24
NDC,00143-9284-01,Pantoprazole Sodium,16.595,8.3,,,0
NDC,00143-9330-01,BUPivacaine HCl,27.5,13.75,0.02,0.02,1
NDC,00143-9380-01,Midazolam-Sodium Chloride,42.75,21.38,0.23,0.23,1
NDC,00143-9381-01,Doxycycline,47.95,23.98,1482.0,17224.0,2
NDC,00143-9384-01,fosaprepitant dimeglumine,90.95,45.48,0.23,0.23,1
NDC,00143-9385-01,Decitabine,124.155,62.08,2.79,2.79,1
NDC,00143-9386-01,Acetaminophen,71.13,35.57,0.08,0.08,1
NDC,00143-9386-10,Acetaminophen,194.85,97.43,0.08,0.08,1
NDC,00143-9387-01,Triamcinolone Acetonide,60.0,30.0,1.57,1.57,1
NDC,00143-9444-01,DAPTOmycin,72.34,36.17,0.07,0.07,1
NDC,00143-9445-01,DAPTOmycin,81.83,40.92,0.07,0.07,1
NDC,00143-9503-01,acetaZOLAMIDE,124.02,62.01,46.4,46.4,1
NDC,00143-9505-01,CISplatin,27.9,13.95,6.67,6.67,1
NDC,00143-9510-01,Etoposide,42.24,21.12,1.63,1.63,1
NDC,00143-9511-01,Etoposide,45.055,22.53,1.63,1.63,1
NDC,00143-9512-01,Etoposide,25.085,12.545,1.63,1.63,1
NDC,00143-9514-01,droPERidol,14.18,7.09,9.71,9.71,1
NDC,00143-9519-01,Methotrexate Sodium,4.06,2.03,2.44,2.44,1
NDC,00143-9519-10,Methotrexate Sodium,4.06,2.03,,,0
NDC,00143-9552-01,Leucovorin Calcium,148.14,74.07,7.38,7.38,1
NDC,00143-9564-01,Phentolamine Mesylate,1336.9950000000001,668.5,187.6,764.84,76
NDC,00143-9565-01,Thiotepa,113.67,56.835,3.2,13.06,48
NDC,00143-9570-01,Sodium Ferric Gluconate Complex in Sucrose,217.01500000000001,108.51,3.91,3.91,1
NDC,00143-9594-25,Lidocaine HCl,21.72,10.86,,,0
NDC,00143-9606-01,azaCITIDine,200.53,100.27,0.58,0.58,1
NDC,00143-9621-01,Cyanocobalamin,8.27,4.14,2.38,2.38,1
NDC,00143-9622-01,Labetalol HCl,0.5,0.25,0.31,0.31,1
NDC,00143-9659-01,Testosterone Cypionate,28.94,14.47,,,0
NDC,00143-9660-01,Metoprolol Tartrate,3.715,1.8599999999999999,,,0
NDC,00143-9660-10,Metoprolol Tartrate,0.5,0.25,,,0
NDC,00143-9673-01,levETIRAcetam,10.125,5.0649999999999995,0.1,0.1,1
NDC,00143-9678-01,cefTRIAXone,32.05,16.03,0.81,0.81,1
NDC,00143-9719-01,Milrinone Lactate in Dextrose,120.0,60.0,,,0
NDC,00143-9724-01,cloNIDine HCl,8.285,4.145,0.2,11.25,3
NDC,00143-9729-01,Benztropine Mesylate,51.68,25.84,27.13,27.13,1
NDC,00143-9746-01,Terbutaline Sulfate,1.4100000000000001,0.7050000000000001,1.32,1.32,1
NDC,00143-9750-01,Testosterone Enanthate,30.0,15.0,,,0
NDC,00143-9753-01,methylPREDNISolone Sodium Succinate,6.085,3.045,,,0
NDC,00143-9754-01,methylPREDNISolone Sodium Succinate,7.74,4.255,,,0
NDC,00143-9785-01,Valproate Sodium,8.26,4.13,,,0
NDC,00143-9851-01,methylPREDNISolone Sodium Succinate,26.045,13.025,,,0
NDC,00143-9856-01,cefTRIAXone,7.28,3.64,0.81,0.81,1
NDC,00143-9857-01,cefTRIAXone,2.73,1.365,0.81,0.81,1
NDC,00143-9857-25,cefTRIAXone,1.5,0.75,,,0
NDC,00143-9871-01,Cladribine,303.84,151.92,5.32,26.02,73
NDC,00143-9873-10,Metoprolol Tartrate,1.98,0.99,,,0
NDC,00143-9875-01,Amiodarone HCl,3.11,1.56,1.35,1.35,1
NDC,00143-9924-90,ceFAZolin Sodium,5.01,2.505,1.25,1.25,1
NDC,00143-9977-90,Cefuroxime Sodium,1.0,0.5,0.5,0.5,1
NDC,00143-9983-91,ceFAZolin Sodium,10.065000000000001,5.035,1.25,1.25,1
NDC,00169-7501-11,NovoLOG Vial,2.06,1.03,,,0
NDC,00173-0881-01,Nucala,17300.0,8650.0,20.98,85.54,24
NDC,00173-0892-42,Nucala PFS,16599.74,8299.87,20.98,85.54,48
NDC,00173-0898-03,Jemperli,69378.72,34689.36,163.34,665.95,97
NDC,00185-0674-01,hydrOXYzine Pamoate,0.5,0.25,0.5,0.5,1
NDC,00185-0674-05,hydrOXYzine Pamoate,0.66,0.33,0.5,0.5,1
NDC,00185-0676-01,hydrOXYzine Pamoate,0.5,0.25,0.5,0.5,1
NDC,00185-0676-05,hydrOXYzine Pamoate,0.75,0.375,0.5,0.5,1
NDC,00187-5600-15,Visudyne,5056.0,2528.0,7.39,51.09,170
NDC,00225-0800-47,Neo-Synephrine,120.0,60.0,0.02,0.02,1
NDC,00259-1605-01,Xeomin,679.52,339.76,3.43,17.25,338
NDC,00259-1610-01,Xeomin,1533.0,766.5,3.43,13.99,145
NDC,00264-1510-31,Dextrose,5.25,2.63,1482.0,17224.0,2
NDC,00264-1510-32,Dextrose,11.25,5.63,1482.0,17224.0,2
NDC,00264-1944-20,Potassium Chloride,5.25,2.63,0.2,0.2,1
NDC,00264-3462-20,Heparin Sodium-Sodium Chloride,120.0,60.0,0.45,0.45,1
NDC,00264-4050-80,Acetaminophen,194.85,97.43,0.08,0.08,1
NDC,00264-4100-90,Acetaminophen,108.225,54.115,0.08,0.1,2
NDC,00264-4100-95,INJECTION; ACETAMINOPHEN; 10 MG,126.66,63.33,0.08,0.08,1
NDC,00264-4204-52,Magnesium Sulfate,12.38,6.19,1.14,1.14,1
NDC,00264-4400-54,Magnesium Sulfate-Dextrose,17.549999999999997,8.774999999999999,1.14,1.14,1
NDC,00264-7510-00,Dextrose,120.0,60.0,1482.0,17224.0,2
NDC,00264-7510-20,Dextrose,14.63,7.32,1482.0,17224.0,2
NDC,00264-7750-00,Lactated Ringer's,61.5,30.75,1482.0,17224.0,4
NDC,00264-7750-01,RINGERS LACTATE INFUSION; UP TO 1000 CC,120.0,60.0,1482.0,17224.0,2
NDC,00264-7750-10,Lactated Ringer's,120.0,60.0,1482.0,17224.0,4
NDC,00264-7750-20,Lactated Ringer's,120.0,60.0,1482.0,17224.0,2
NDC,00264-7800-09,Sodium Chloride,120.0,60.0,1482.0,17224.0,2
NDC,00264-7800-10,Sodium Chloride,120.0,60.0,1482.0,17224.0,2
NDC,00264-7800-20,Sodium Chloride,12.38,6.19,1482.0,17224.0,4
NDC,00264-9598-20,Lidocaine HCl-Dextrose,120.0,60.0,,,0
NDC,00270-0445-35,Gastrografin,10.19,5.1,1482.0,17224.0,20
NDC,00270-0445-40,Gastrografin,115.56,57.78,1482.0,17224.0,2
NDC,00270-0556-15,Kinevac,20.0,10.0,0.13,219.62,2
NDC,00270-1314-30,Isovue-200,90.68,45.34,1482.0,17224.0,2
NDC,00270-1315-25,Isovue-300,47.75,23.88,1482.0,17224.0,6
NDC,00270-1315-30,Isovue-300,80.495,40.25,1482.0,17224.0,4
NDC,00270-1315-35,Isovue-300,36.9,18.45,1482.0,17224.0,18
NDC,00270-1315-41,Isovue-300,64.8,32.4,1482.0,17224.0,2
NDC,00270-1316-01,Isovue-370,492.145,246.075,1482.0,17224.0,4
NDC,00270-1316-30,Isovue-370,210.6,105.3,1482.0,17224.0,18
NDC,00270-1316-35,Isovue-370,36.04,18.02,1482.0,17224.0,16
NDC,00270-1316-37,Isovue-370,232.74,116.37,1482.0,17224.0,16
NDC,00270-1316-52,Isovue-370,128.465,64.235,1482.0,17224.0,10
NDC,00270-1316-95,Isovue-370,11.88,5.94,1482.0,17224.0,2
NDC,00270-1317-05,Isovue-250,106.195,53.099999999999994,1482.0,17224.0,4
NDC,00270-1411-11,Isovue-M 200,26.51,13.26,1482.0,17224.0,6
NDC,00270-1411-25,Isovue-M 200,274.53,137.27,1482.0,17224.0,2
NDC,00270-1412-15,Isovue-M 300,256.5,128.25,1482.0,17224.0,2
NDC,00270-5164-13,Multihance,63.42,31.71,1482.0,17224.0,2
NDC,00270-7020-38,Vueway,158.38,79.19,1482.0,17224.0,6
NDC,00270-7025-40,Vueway,103.6,51.8,1482.0,17224.0,6
NDC,00270-7030-42,Vueway,140.56,70.28,1482.0,17224.0,6
NDC,00270-7099-16,Lumason,70.37,35.19,1482.0,17224.0,2
NDC,00310-1730-30,Fasenra PFS,20698.56,10349.28,107.61,438.73,72
NDC,00310-3040-00,Saphnelo,21340.02,10670.01,12.03,49.05,73
NDC,00310-4500-12,Imfinzi,8173.285,4086.645,57.17,233.07,193
NDC,00310-4535-30,Imjudo,142042.45500000002,71021.23000000001,95.48,389.26,145
NDC,00310-4611-50,Imfinzi,20474.39,10237.2,57.17,233.07,289
NDC,00338-0017-01,Dextrose,12.38,6.19,1482.0,17224.0,2
NDC,00338-0017-02,Dextrose,9.0,4.5,1482.0,17224.0,2
NDC,00338-0017-03,Dextrose,120.0,60.0,1482.0,17224.0,2
NDC,00338-0017-04,Dextrose,120.0,60.0,1482.0,17224.0,2
NDC,00338-0017-10,Dextrose,7.54,3.77,1482.0,17224.0,2
NDC,00338-0017-38,Dextrose,6.75,3.38,1482.0,17224.0,2
NDC,00338-0017-41,Dextrose,8.1,4.05,1482.0,17224.0,2
NDC,00338-0017-48,Dextrose,7.65,3.83,1482.0,17224.0,2
NDC,00338-0049-02,Sodium Chloride,7.88,3.94,1482.0,17224.0,2
NDC,00338-0049-03,Sodium Chloride,120.0,60.0,1482.0,17224.0,2
NDC,00338-0049-04,Sodium Chloride,10.0,5.0,1482.0,17224.0,4
NDC,00338-0062-30,Dextrose,7.88,3.94,1482.0,17224.0,2
NDC,00338-0063-01,Doxil,693.45,346.725,75.8,309.02,48
NDC,00338-0069-10,Ketorolac Tromethamine,4.51,2.255,0.18,0.81,121
NDC,00338-0072-25,Ketorolac Tromethamine,3.11,1.5550000000000002,0.18,0.81,281
NDC,00338-0117-04,Lactated Ringer's,120.0,60.0,1482.0,17224.0,4
NDC,00338-0433-04,Heparin Sodium-Sodium Chloride,120.0,60.0,0.45,0.45,1
NDC,00338-0703-41,Potassium Chloride,12.83,6.42,0.2,0.2,1
NDC,00338-0703-48,Potassium Chloride,13.5,6.75,0.2,0.2,1
NDC,00338-0709-48,Potassium Chloride,47.25,23.625,0.2,0.2,1
NDC,00338-1305-01,Mesnex,47.85,23.93,2.26,2.26,1
NDC,00338-1709-40,Magnesium Sulfate-Dextrose,5.4,2.7,1.14,1.14,1
NDC,00338-3552-48,Vancomycin HCl-Dextrose,182.25,91.125,3.81,3.81,1
NDC,00338-3814-50,Clindamycin Phosphate-Dextrose,24.98,12.495,3.14,3.14,1
NDC,00338-6045-37,Fluconazole,5.63,2.82,4.62,4.62,1
NDC,00338-6046-48,Fluconazole,18.45,9.23,4.62,4.62,1
NDC,00338-6346-02,Dextrose,23.63,11.82,1482.0,17224.0,2
NDC,00338-9543-04,Sodium Chloride,120.0,60.0,1482.0,17224.0,4
NDC,00364-6651-54,Vitamin B12,2.37,1.19,2.37,2.37,1
NDC,00407-1412-10,Omnipaque 240,897.98,448.99,1482.0,17224.0,2
NDC,00407-1413-51,Omnipaque 300,99.0,49.5,1482.0,17224.0,2
NDC,00407-1413-61,Omnipaque 300,229.5,114.75,1482.0,17224.0,2
NDC,00407-2223-17,Visipaque,214.46,107.23,1482.0,17224.0,2
NDC,00409-0001-01,Midazolam,10.5,5.25,0.23,0.23,1
NDC,00409-0001-25,Midazolam,10.5,5.25,0.23,0.23,1
NDC,00409-0181-01,Gemcitabine,29.93,14.97,6.02,6.02,1
NDC,00409-0183-01,Gemcitabine,47.985,23.995,6.02,6.02,1
NDC,00409-0201-10,DOCEtaxel,153.45,76.73,1.65,1.65,1
NDC,00409-0201-20,DOCEtaxel,982.935,491.46999999999997,1.65,1.65,1
NDC,00409-0302-01,Topotecan,147.56,73.78,1.29,1.29,1
NDC,00409-1041-30,Carbocaine,5.25,2.63,5.25,5.25,1
NDC,00409-1067-20,Carbocaine,5.25,2.63,5.25,5.25,1
NDC,00409-1207-03,Gentamicin Sulfate,13.64,6.82,4.44,4.44,1
NDC,00409-1207-13,Gentamicin Sulfate,14.35,7.18,4.44,4.44,1
NDC,00409-1212-01,Naloxone HCl,1.87,0.94,1.87,1.87,1
NDC,00409-1215-21,Naloxone HCl,560.0,280.0,7.01,28.59,25
NDC,00409-1273-03,diazePAM,39.985,19.995,9.03,9.03,1
NDC,00409-1273-32,diazePAM,42.65,21.33,9.03,9.03,1
NDC,00409-1312-30,HYDROmorphone HCl,10.0,5.0,,,0
NDC,00409-1319-01,Vancomycin HCl,134.68,67.34,3.81,3.81,1
NDC,00409-1323-05,Lidocaine HCl,18.46,9.23,,,0
NDC,00409-1391-21,Meropenem,17.42,8.71,0.74,0.74,1
NDC,00409-1463-71,Nalbuphine HCl,23.235,11.620000000000001,4.64,4.64,1
NDC,00409-1630-10,Atropine Sulfate,57.175,28.589999999999996,0.13,0.13,1
NDC,00409-1630-15,Atropine Sulfate,38.095,19.049999999999997,0.13,0.13,1
NDC,00409-1778-15,Metoprolol Tartrate,3.02,1.51,,,0
NDC,00409-1800-01,Neo-Synephrine HCl,120.0,60.0,0.02,0.02,1
NDC,00409-1886-02,levETIRAcetam,8.34,4.17,0.1,0.72,73
NDC,00409-1886-22,levETIRAcetam,11.12,5.56,0.1,0.1,1
NDC,00409-1890-01,Morphine Sulfate,10.5,5.25,7.71,7.71,1
NDC,00409-1890-03,Morphine Sulfate,15.75,7.875,7.71,7.71,1
NDC,00409-1890-13,Morphine Sulfate,10.5,5.25,7.71,7.71,1
NDC,00409-1891-01,Morphine Sulfate,31200.0,15600.0,20.98,85.54,48
NDC,00409-2305-16,Midazolam,10.5,5.25,0.23,0.23,1
NDC,00409-2305-17,Midazolam,10.5,5.25,0.23,0.23,1
NDC,00409-2308-01,Midazolam HCl,12.120000000000001,6.0600000000000005,0.23,0.23,1
NDC,00409-2339-24,Labetalol HCl,17.74,8.87,0.31,0.31,1
NDC,00409-2689-11,Ampicillin and Sulbactam Novaplus,11.99,6.0,,,0
NDC,00409-2720-30,Heparin Sodium,22.125,11.065,0.45,0.45,1
NDC,00409-2720-31,Heparin Sodium,3.05,1.53,0.45,0.45,1
NDC,00409-2987-03,Ampicillin-Sulbactam,12.72,6.36,2.92,2.92,1
NDC,00409-3213-12,diazePAM,15.02,7.51,9.03,9.03,1
NDC,00409-3294-51,Potassium Acetate,31.14,15.57,0.2,0.2,1
NDC,00409-3294-61,Potassium Acetate,5.25,2.63,,,0
NDC,00409-3300-01,Ciprofloxacin,12.6,6.3,3.18,3.18,1
NDC,00409-3330-01,levoFLOXacin in 5% Dextrose,11.25,5.63,1.5,1.5,1
NDC,00409-3412-01,PremierPro Rx Meropenem,17.42,8.71,0.74,0.74,1
NDC,00409-3412-10,PremierPro Rx Meropenem,17.42,8.71,0.74,0.74,1
NDC,00409-3414-01,Metoclopramide HCl,2.7,1.35,1.8,1.8,1
NDC,00409-3414-18,Metoclopramide HCl,2.7,1.35,1.8,1.8,1
NDC,00409-3414-21,Metoclopramide HCl,4.5,2.25,1.8,1.8,1
NDC,00409-3506-01,Meropenem,47.86,23.93,0.74,0.74,1
NDC,00409-3578-11,Tobramycin Sulfate,56.79,28.4,4.39,4.39,1
NDC,00409-3724-32,DOBUTamine HCl in Dextrose,400.0,200.0,,,0
NDC,00409-3793-01,Ketorolac Tromethamine,2.86,1.43,0.18,0.81,25
NDC,00409-3793-19,Ketorolac Tromethamine,12.44,6.22,0.18,0.72,72
NDC,00409-3795-01,Ketorolac Tromethamine,8.0,4.0,0.18,0.81,49
NDC,00409-3796-01,Ketorolac Tromethamine,4.25,2.13,0.18,0.81,121
NDC,00409-3796-19,Ketorolac Tromethamine,4.255,2.13,0.18,0.72,72
NDC,00409-3814-11,Morphine Sulfate,560.0,280.0,18.55,18.55,1
NDC,00409-3815-11,Morphine Sulfate,10.5,5.25,10.5,10.5,1
NDC,00409-3815-12,Morphine Sulfate,1660.0,830.0,18.55,18.55,1
NDC,00409-4229-01,Zoledronic Acid,249.3,124.65,11.9,11.9,1
NDC,00409-4332-01,Vancomycin HCl,5.25,2.63,,,0
NDC,00409-4332-11,Vancomycin HCl,5.25,2.63,,,0
NDC,00409-4346-73,Aminocaproic Acid,18.45,9.23,,,0
NDC,00409-4444-01,levoFLOXacin in 5% Dextrose,13.5,6.75,,,0
NDC,00409-4688-02,Fluconazole,24.3,12.15,4.62,4.62,1
NDC,00409-4699-24,Propofol,120.0,60.0,0.21,0.21,1
NDC,00409-4699-30,Propofol,136.115,68.06,0.21,0.21,1
NDC,00409-4755-18,Ondansetron,0.97,0.49,0.17,0.17,1
NDC,00409-4759-01,Ondansetron,2.42,1.21,0.17,0.17,1
NDC,00409-4903-11,Lidocaine HCl,59.47,29.74,,,0
NDC,00409-4903-34,Lidocaine HCl,7.93,3.97,,,0
NDC,00409-4921-34,EPINEPHrine HCl,81.9,40.95,1.24,1.24,1
NDC,00409-4928-34,Calcium Chloride,61.56,30.78,,,0
NDC,00409-4933-01,EPINEPHrine,50.965,25.485,1.24,1.24,1
NDC,00409-5082-11,Tazicef,6.455,3.23,0.5,0.5,1
NDC,00409-5082-16,Tazicef,6.42,3.21,2.79,2.79,1
NDC,00409-5084-13,Tazicef,17.32,8.66,2.79,2.79,1
NDC,00409-5921-01,Aminophylline,28.48,14.24,8.46,8.46,1
NDC,00409-6010-02,Propofol,2.0549999999999997,1.03,0.21,0.21,1
NDC,00409-6010-25,Propofol,122.995,61.5,0.21,0.21,1
NDC,00409-6482-11,Erythrocin Lactobionate,124.56,62.28,,,0
NDC,00409-6533-11,Vancomycin HCl,115.87,57.94,,,0
NDC,00409-6629-02,Quelicin,32.63,16.32,2.87,2.87,1
NDC,00409-6653-18,Potassium Chloride,6.84,3.42,0.2,0.2,1
NDC,00409-6727-23,Magnesium Sulfate-Dextrose,31.05,15.53,1.14,1.14,1
NDC,00409-6729-03,Magnesium Sulfate,5.25,2.63,1.14,1.14,1
NDC,00409-6729-11,Magnesium Sulfate,13.280000000000001,6.640000000000001,1.14,1.14,1
NDC,00409-6729-24,Magnesium Sulfate,17.78,8.89,1.14,1.14,1
NDC,00409-7074-26,Potassium Chloride,28.349999999999998,14.174999999999999,0.2,0.2,1
NDC,00409-7241-01,EPINEPHrine HCl,8.63,4.32,1.24,1.25,2
NDC,00409-7332-11,cefTRIAXone,6.04,3.02,0.81,0.81,1
NDC,00409-7335-13,cefTRIAXone,11.41,5.71,0.81,0.81,1
NDC,00409-7338-11,cefTRIAXone,3.69,1.845,0.81,0.81,1
NDC,00409-9094-12,fentaNYL Citrate,21.0,10.5,1.6,1.6,1
NDC,00409-9094-22,fentaNYL Citrate,16.665,8.335,1.6,1.6,1
NDC,00409-9094-25,fentaNYL Citrate,14.79,7.395,1.6,1.6,1
NDC,00409-9094-41,fentaNYL Citrate,10.5,5.25,1.6,1.6,1
NDC,00409-9158-01,Vitamin K1,86.0,43.0,4.79,4.79,1
NDC,00409-9735-01,Cefepime,22.29,11.15,2.08,2.08,1
NDC,00456-0600-01,Teflaro,924.905,462.45500000000004,2.85,11.63,49
NDC,00469-3425-10,Vyloy,14400.0,7200.0,22.05,89.89,24
NDC,00469-4425-30,Vyloy,38400.0,19200.0,22.05,89.89,48
NDC,00469-6501-89,Lexiscan,596.75,298.38,23.56,23.56,1
NDC,00480-3290-01,Paclitaxel Protein-Bound Particles,6613.860000000001,3306.935,4.28,17.46,48
NDC,00487-9501-01,Albuterol Sulfate,4248.0,2124.0,367.43,1497.99,97
NDC,00517-0031-01,Cyanocobalamin,10.09,5.05,2.38,2.38,1
NDC,00517-0031-25,Cyanocobalamin,10.09,5.05,2.38,2.38,1
NDC,00517-0130-01,Cyanocobalamin,2.27,1.14,2.27,2.27,1
NDC,00517-0374-01,Provayblue,413.41999999999996,206.70999999999998,7.07,28.81,48
NDC,00517-0374-05,Provayblue,124.03,62.02,7.07,28.81,265
NDC,00517-0401-25,Atropine Sulfate,28.134999999999998,14.07,0.13,0.13,1
NDC,00517-0602-01,Injectafer,1278.255,639.13,0.73,2.99,48
NDC,00517-0650-01,Injectafer,2252.745,1126.375,0.73,2.99,217
NDC,00517-0720-01,Betamethasone Sodium Phosphate-Betamethasone Ace,61.35,30.68,11.25,11.25,1
NDC,00517-0799-01,PremierPro Rx Betamethasone Na Phos-Betameth Ace,64.0,32.0,,,0
NDC,00517-0901-01,hydrALAZINE HCl,7.13,2.6799999999999997,7.13,7.13,1
NDC,00517-1004-01,Atropine Sulfate,12.14,9.100000000000001,0.13,0.13,1
NDC,00517-1071-25,EPINEPHrine,9.35,4.68,1.24,1.24,1
NDC,00517-2053-25,Potassium Acetate,5.25,2.63,0.2,0.2,1
NDC,00517-2310-01,Venofer,280.44,140.22,0.36,0.36,1
NDC,00517-2310-05,Venofer,280.44,140.22,,,0
NDC,00517-2340-01,Venofer,210.32999999999998,105.16499999999999,0.36,0.36,1
NDC,00517-2340-10,Venofer,400.0,200.0,0.36,0.36,1
NDC,00517-2340-99,PremierPro Rx Venofer,280.44,140.22,0.36,0.36,1
NDC,00517-2602-25,Magnesium Sulfate,5.04,2.52,1.14,1.14,1
NDC,00517-4002-01,INJECTION; PAPAVERINE HCL; UP TO 60 MG,78.30000000000001,39.150000000000006,52.2,52.2,1
NDC,00517-4002-25,Papaverine HCl,130.495,65.25,75.8,75.8,1
NDC,00517-5601-01,hydrOXYzine HCl,45.16,22.58,16.35,16.35,1
NDC,00517-5601-25,hydrOXYzine HCl,32.425,16.215,16.35,16.35,1
NDC,00517-5602-25,hydrOXYzine HCl,43.23,21.62,,,0
NDC,00517-5704-25,Furosemide,0.85,0.43,,,0
NDC,00517-9702-01,droPERidol,6.145,3.0749999999999997,8.19,8.19,1
NDC,00517-9702-25,droPERidol,4.1,2.05,4.1,4.1,1
NDC,00548-5850-00,Glucagon Emergency Kit,948.895,474.45000000000005,76.26,310.92,49
NDC,00548-5900-00,Cortrosyn,74.42,37.21,44.73,44.73,1
NDC,00548-5905-00,INJECTION; GLUCAGON HYDROCHLORIDE; PER 1 MG,1329.775,664.89,76.26,310.92,49
NDC,00551-0037-05,INJECTION; DEXAMETHASONE SODIUM PHOSPHATE; 1 MG,7.99,4.0,,,0
NDC,00562-7805-01,RhoGAM Ultra-Filtered Plus,4459.5,2229.75,7.01,135.39,96
NDC,00562-7805-05,RhoGAM Ultra-Filtered Plus,365.0,182.5,133.91,133.91,1
NDC,00562-7805-25,RhoGAM Ultra-Filtered Plus,37350.0,18675.0,4108.5,4108.5,1
NDC,00574-0805-30,Acetylcysteine,866.3349999999999,433.16999999999996,1.16,1.16,1
NDC,00574-0820-01,Testosterone Cypionate,42.0,21.0,,,0
NDC,00574-0850-10,Dihydroergotamine Mesylate,207.07,103.54,,,0
NDC,00591-5443-01,predniSONE,0.92,0.46,0.02,0.02,1
NDC,00641-0367-21,dexAMETHasone Sodium Phosphate,6.38,3.19,0.2,0.2,1
NDC,00641-0367-25,dexAMETHasone Sodium Phosphate,9.0,4.5,0.2,0.2,1
NDC,00641-0376-21,diphenhydrAMINE HCl,1.97,0.985,1.32,1.32,1
NDC,00641-0376-25,diphenhydrAMINE HCl,0.915,0.45999999999999996,0.61,0.61,1
NDC,00641-0400-37,Heparin Sodium,5.87,2.94,0.45,0.45,1
NDC,00641-0476-21,PHENobarbital Sodium,442.03499999999997,221.01999999999998,51.86,51.86,1
NDC,00641-0476-25,PHENobarbital Sodium,105.34,52.67,,,0
NDC,00641-0477-21,PHENobarbital Sodium,388.02,194.01500000000001,51.86,51.86,1
NDC,00641-1397-31,chlorproMAZINE HCl,96.45,48.23,49.15,49.15,1
NDC,00641-1410-31,Digoxin,12.72,6.36,12.72,12.72,1
NDC,00641-6001-01,Ativan,10.5,5.25,1.85,1.85,1
NDC,00641-6013-01,dilTIAZem HCl,11.615,5.8100000000000005,,,0
NDC,00641-6013-10,dilTIAZem HCl,7.5,3.75,,,0
NDC,00641-6019-01,Duramorph,21.76,10.88,7.71,10.5,2
NDC,00641-6019-10,Duramorph,560.0,280.0,18.55,18.55,1
NDC,00641-6027-01,fentaNYL Citrate,26.25,13.125,1.6,1.6,1
NDC,00641-6028-01,fentaNYL Citrate,31.5,15.75,1.6,1.6,1
NDC,00641-6039-01,Infumorph 200,695.0,347.5,18.55,18.55,1
NDC,00641-6044-01,LORazepam,10.5,5.25,1.85,1.85,1
NDC,00641-6052-01,Meperidine HCl,10.5,5.25,10.5,10.5,1
NDC,00641-6057-01,Midazolam HCl,10.5,5.25,0.23,0.23,1
NDC,00641-6057-25,Midazolam HCl,10.5,5.25,0.23,0.23,1
NDC,00641-6059-01,Midazolam HCl,10.5,5.25,0.23,0.23,1
NDC,00641-6059-10,Midazolam HCl,10.5,5.25,0.23,0.23,1
NDC,00641-6061-01,Midazolam HCl,15.75,7.875,0.23,0.23,1
NDC,00641-6061-25,Midazolam HCl,10.5,5.25,0.23,0.23,1
NDC,00641-6068-01,Morphine Sulfate,280.0,140.0,,,0
NDC,00641-6078-01,Ondansetron,3.145,1.5750000000000002,0.17,0.17,1
NDC,00641-6078-25,Ondansetron,4.72,2.365,0.17,0.17,1
NDC,00641-6103-01,Robaxin,136.655,68.33,9.34,133.91,2
NDC,00641-6125-01,Morphine Sulfate,10.5,5.25,7.71,7.71,1
NDC,00641-6125-25,Morphine Sulfate,10.5,5.25,7.71,7.71,1
NDC,00641-6127-01,Morphine Sulfate,15.75,7.875,7.71,7.71,1
NDC,00641-6132-01,Naloxone HCl,6.6,3.3,,,0
NDC,00641-6136-01,Fosphenytoin Sodium,23.89,11.95,0.44,7.92,49
NDC,00641-6142-01,Phenylephrine HCl,112.27,56.14,0.02,0.02,1
NDC,00641-6142-25,Phenylephrine HCl,120.0,60.0,0.02,0.02,1
NDC,00641-6145-01,dexAMETHasone Sodium Phosphate,5.075,2.54,0.2,0.2,1
NDC,00641-6173-01,Dicyclomine,68.88,34.44,41.2,41.2,1
NDC,00641-6207-01,PremierPro Rx LORazepam,10.5,5.25,1.85,1.85,1
NDC,00641-6209-25,PremierPro Rx Midazolam,30.42,15.21,0.23,0.23,1
NDC,00641-6228-01,Thiamine HCl,14.89,7.45,4.06,4.06,1
NDC,00641-6231-01,hydrALAZINE HCl,4.345,2.175,2.9,2.9,1
NDC,00641-6244-01,diazePAM,30.384999999999998,15.195,9.03,9.03,1
NDC,00703-0018-01,HYDROmorphone HCl,4000.0,2000.0,,,0
NDC,00703-0031-01,methylPREDNISolone Acetate,22.23,11.12,,,0
NDC,00703-0031-04,methylPREDNISolone Acetate,80.0,40.0,,,0
NDC,00703-0110-03,HYDROmorphone HCl,400.0,200.0,,,0
NDC,00703-0241-01,Triamcinolone Acetonide,26.46,13.23,1.57,1.57,1
NDC,00703-0243-01,Triamcinolone Acetonide,14.3,7.15,1.57,1.57,1
NDC,00703-0245-01,Triamcinolone Acetonide,9.22,4.61,1.57,1.57,1
NDC,00703-3216-01,PACLitaxel,36.9,18.45,0.18,0.18,1
NDC,00703-3671-01,Methotrexate,9.0,4.5,5.0,5.0,1
NDC,00703-3675-01,Methotrexate,12.21,6.105,1.44,1.44,1
NDC,00703-3678-81,PremierPro Rx Methotrexate,7.0,3.5,5.0,5.0,1
NDC,00703-4094-01,palonosetron hcl,54.59,27.3,1.4,1.4,1
NDC,00703-4239-01,CARBOplatin,83.38,41.695,5.94,5.94,1
NDC,00703-4244-01,CARBOplatin,257.8,128.9,5.94,5.94,1
NDC,00703-4248-01,CARBOplatin,68.095,34.05,5.94,5.94,1
NDC,00703-4502-01,Metoclopramide HCl,15.08,7.54,,,0
NDC,00703-5145-01,Leucovorin Calcium,1312.5,656.25,3.43,35.22,170
NDC,00703-5656-01,Toposar,68.81,34.41,1.63,1.63,1
NDC,00703-9040-93,amikacin sulfate NovaPlus,4.0,2.0,1.37,1.37,1
NDC,00703-9526-01,SMZ-TMP,30.38,15.19,,,0
NDC,00713-0351-02,Prochlorperazine Edisylate,13.71,6.86,5.66,5.66,1
NDC,00781-2103-01,Tacrolimus,3.3,1.65,0.4,0.4,1
NDC,00781-2321-06,aprepitant,252.58999999999997,126.29499999999999,6.98,6.98,1
NDC,00781-2321-51,aprepitant,397.39,198.7,6.98,6.98,1
NDC,00781-2322-06,APREPITANT; ORAL; 5 MG,514.11,257.06,6.98,6.98,1
NDC,00781-2322-68,aprepitant,523.575,261.78999999999996,6.98,6.98,1
NDC,00781-3098-94,Meropenem,46.31,23.16,,,0
NDC,00781-3114-91,Piperacillin and Tazobactam,16.53,8.27,1.95,1.95,1
NDC,00781-3114-95,Piperacillin and Tazobactam,16.53,8.27,1.95,1.95,1
NDC,00781-3154-01,ferumoxytol,1507.845,753.925,0.24,0.98,265
NDC,00781-3156-06,Acetaminophen,18.0,9.0,0.08,0.08,1
NDC,00781-3156-95,Acetaminophen,199.14,99.57,0.08,0.08,1
NDC,00781-3159-72,OLANZapine,47.085,23.545,1.57,1.57,1
NDC,00781-3177-96,cefTAZidime,0.5,0.25,0.5,0.5,1
NDC,00781-3180-94,Piperacillin and Tazobactam,17.055,8.53,1.95,1.95,1
NDC,00781-3206-85,cefTRIAXone,10.0,5.0,,,0
NDC,00781-3208-85,cefTRIAXone,7.29,3.65,0.81,0.81,1
NDC,00781-3209-90,cefTRIAXone,9.7,4.85,0.81,0.81,1
NDC,00781-3209-95,cefTRIAXone,6.65,3.33,,,0
NDC,00781-3210-46,cefTRIAXone,10.62,5.31,0.81,0.81,1
NDC,00781-3233-94,cycloPHOSphamide,201.74,100.875,0.37,1.51,120
NDC,00781-3238-01,Enoxaparin Sodium,18.2,9.1,1.12,1.12,1
NDC,00781-3246-02,Enoxaparin Sodium,15.51,7.755,1.12,1.12,1
NDC,00781-3290-91,Clindamycin,38.480000000000004,19.245,3.14,3.14,1
NDC,00781-3343-55,levoFLOXacin,21.6,10.8,1.5,1.5,1
NDC,00781-3408-80,Ampicillin Sodium,7.540000000000001,3.7750000000000004,1.67,1.67,1
NDC,00781-3408-95,Ampicillin Sodium,9.09,4.55,1.67,1.67,1
NDC,00781-3416-94,Voriconazole,140.4,70.2,1.91,1.91,1
NDC,00781-3440-71,Cosyntropin,134.34500000000003,67.17500000000001,44.73,44.73,1
NDC,00781-3516-75,methylPREDNISolone Acetate,80.0,40.0,,,0
NDC,00781-3522-70,methylPREDNISolone Acetate,40.0,20.0,,,0
NDC,00781-3522-75,methylPREDNISolone Acetate,80.0,40.0,,,0
NDC,00781-3531-91,Paclitaxel Protein-Bound Particles,5511.55,2755.78,4.28,23.58,217
NDC,00781-8046-01,Perphenazine,1.035,0.52,0.69,0.69,1
NDC,00904-5840-61,Promethazine HCl,1.13,0.57,0.46,0.46,1
NDC,00904-6461-61,Promethazine HCl,0.5,0.25,0.46,0.46,1
NDC,00904-6551-61,Ondansetron HCl,2.47,1.24,0.02,0.02,1
NDC,00904-6552-61,Ondansetron HCl,5.0600000000000005,2.535,0.02,0.02,1
NDC,00904-6624-61,Tacrolimus,28.72,14.36,0.4,0.4,1
NDC,00904-6923-61,predniSONE,2.43,1.215,0.02,0.02,1
NDC,00904-7010-06,Buprenorphine-Naloxone,17.94,8.97,17.94,17.94,1
NDC,00904-7065-61,hydrOXYzine Pamoate,1.815,0.9099999999999999,1.21,1.21,1
NDC,00904-7097-61,Tacrolimus,5.79,2.9,0.4,0.4,1
NDC,00904-7145-04,droNABinol,36.56,18.28,1.34,1.34,1
NDC,00904-7154-04,Buprenorphine,13.42,6.71,2.31,2.31,1
NDC,00904-7155-04,Buprenorphine,20.54,10.27,2.31,2.31,1
NDC,00904-7237-61,Banophen,5.0,2.5,1.32,1.32,1
NDC,00904-7304-61,Promethazine HCl,0.66,0.33,0.46,0.46,1
NDC,00944-0491-01,Buminate,165.38,82.69,34.5,140.66,24
NDC,00944-2513-02,HyQvia,16700.0,8350.0,33.29,135.73,24
NDC,00944-2656-03,Gammagard S/D (IgA less than 1 mcg/mL),3416.94,1708.47,52.62,214.54,24
NDC,00944-2657-07,INJECTION; IMMUNE GLOBULIN; INTRAVENOUS; LYOPHILIZED (E.G. POWDER); NOT OTHERWISE SPECIFIED; 500 MG,3416.94,1708.47,52.62,214.54,24
NDC,00944-2658-04,Gammagard S/D (IgA less than 1 mcg/mL),13667.76,6833.88,52.62,214.54,24
NDC,00944-2659-08,INJECTION; IMMUNE GLOBULIN; INTRAVENOUS; LYOPHILIZED (E.G. POWDER); NOT OTHERWISE SPECIFIED; 500 MG,13667.76,6833.88,52.62,214.54,24
NDC,00944-2700-10,Gammagard Liquid,2452.73,1226.37,32.04,130.65,24
NDC,00944-2700-12,Gammagard Liquid,9810.9,4905.45,32.04,130.65,24
NDC,00955-1003-10,Enoxaparin Sodium,11.955,5.98,1.12,1.12,1
NDC,00955-1004-01,INJECTION; ENOXAPARIN SODIUM; 10 MG,9.68,4.84,1.12,1.12,1
NDC,00955-1008-10,Enoxaparin Sodium,23.71,11.86,1.12,1.12,1
NDC,00955-1016-01,Enoxaparin Sodium,49.805,24.905,1.12,1.12,1
NDC,00990-7074-26,Potassium Chloride,74.025,37.015,0.2,0.2,1
NDC,00990-7077-14,Potassium Chloride,43.2,21.6,0.2,0.2,1
NDC,00990-7077-26,Potassium Chloride,22.05,11.03,0.2,0.2,1
NDC,00990-7922-02,Dextrose,22.5,11.25,1482.0,17224.0,4
NDC,00990-7922-03,Dextrose,120.0,60.0,1482.0,17224.0,4
NDC,00990-7922-09,Dextrose,120.0,60.0,1482.0,17224.0,2
NDC,00990-7923-13,Dextrose,9.23,4.62,1482.0,17224.0,2
NDC,00990-7923-23,Dextrose,9.0,4.5,1482.0,17224.0,4
NDC,00990-7923-36,Dextrose,8.78,4.39,1482.0,17224.0,2
NDC,00990-7923-37,Dextrose,8.55,4.28,1482.0,17224.0,2
NDC,00990-7953-03,Lactated Ringer's,120.0,60.0,1482.0,17224.0,2
NDC,00990-7953-09,Lactated Ringer's,120.0,60.0,1482.0,17224.0,2
NDC,00990-7983-02,Sodium Chloride,15.75,7.875,1482.0,17224.0,4
NDC,00990-7983-03,Sodium Chloride,120.0,60.0,1482.0,17224.0,6
NDC,00990-7983-09,Sodium Chloride,120.0,60.0,1482.0,17224.0,8
NDC,00990-7984-23,Sodium Chloride,20092.5,10046.25,15.94,65.0,49
NDC,01672-9288-38,INJECTION; CISPLATIN; POWDER OR SOLUTION; 10 MG,60.28,30.14,,,0
NDC,05551-3192-01,INJECTION; PEGFILGRASTIM; EXCLUDES BIOSIMILAR; 0.5 MG,19045.18,9522.59,93.1,379.56,24
NDC,06332-3064-01,INJECTION; MAGNESIUM SULFATE; PER 500 MG,9.51,4.76,,,0
NDC,06332-3120-20,INJECTION; CYTARABINE; 100 MG,137.09,68.55,,,0
NDC,06745-7617-30,INJECTION; GEMCITABINE HYDROCHLORIDE; NOT OTHERWISE SPECIFIED; 200 MG,49.87,24.94,,,0
NDC,07315-3901-08,LISOCABTAGENE MARALEUCEL; UP TO 110 MILLION AUTOLOGOUS ANTI-CD19 CAR-POSITIVE VIABLE T CELLS; INCLUDING LEUKAPHERESIS AND DOSE PREPARATION PROCEDURES; PER THERAPEUTIC DOSE,974954.86,487477.43,376720.9,1535862.14,25
NDC,08290-3064-14,PosiFlush Heparin,1.44,0.72,0.03,0.03,1
NDC,08290-3064-24,PosiFlush Heparin,1.5,0.75,0.03,0.03,1
NDC,08363-7765-01,Supartz,1082.0,541.0,,,0
NDC,10019-0029-12,Ketorolac Tromethamine,2.24,1.12,0.18,0.81,49
NDC,10019-0037-27,fentaNYL Citrate,10.5,5.25,1.6,1.6,1
NDC,10019-0953-62,Mesna,8.73,4.37,2.26,2.26,1
NDC,10019-0955-01,cycloPHOSphamide,598.395,299.2,0.37,1.51,72
NDC,10019-0955-50,cycloPHOSphamide,199.46499999999997,99.735,0.37,1.51,192
NDC,10019-0956-01,cycloPHOSphamide,1217.59,608.8,0.37,1.51,24
NDC,10019-0956-16,cycloPHOSphamide,251.275,125.64,0.37,1.51,360
NDC,10019-0957-11,cycloPHOSphamide,1718.94,859.47,0.37,1.51,24
NDC,10122-0611-10,Cleviprex,346.73,173.365,1.85,7.53,144
NDC,10135-0779-01,predniSONE,1.08,0.54,0.02,0.02,1
NDC,10454-0710-10,Myobloc,1250.0,625.0,8.64,35.22,24
NDC,10454-0711-10,Myobloc,1378.62,689.31,5.82,35.22,192
NDC,10454-0712-10,Myobloc,2500.0,1250.0,8.64,35.22,24
NDC,10702-0003-01,Promethazine HCl,0.75,0.375,0.46,0.46,1
NDC,11994-0011-04,Definity,510.75,255.38,1482.0,17224.0,6
NDC,12496-1202-03,Suboxone,25.965,12.985,10.5,10.5,1
NDC,12496-1208-03,Suboxone,37.13,18.57,19.26,19.26,1
NDC,13533-0318-03,HyperRAB,10761.07,5380.54,10.5,745.13,271
NDC,13533-0318-05,HyperRAB,10615.65,5307.83,10.5,745.13,175
NDC,13533-0318-30,HyperRAB,7270.99,3635.5,10.5,745.13,175
NDC,13533-0318-50,HyperRAB,12796.94,6398.47,10.5,745.13,271
NDC,13533-0606-12,Thrombate III,24686.4,12343.2,2.71,11.05,72
NDC,13533-0631-03,HyperRHO Full Dose,239.0,119.5,133.91,133.91,1
NDC,13533-0634-02,HyperTET PFS,2420.42,1210.21,386.76,1576.8,24
NDC,13533-0634-20,HyperTET PFS,2420.42,1210.21,386.76,1576.8,48
NDC,13533-0800-20,Gamunex-C,2593.58,1296.79,31.86,129.88,24
NDC,13533-0800-21,Gamunex-C,2517.98,1258.99,31.86,129.88,97
NDC,13533-0800-24,Gamunex-C,10937.15,5468.575,31.86,129.88,97
NDC,13533-0800-25,Gamunex-C,7553.924999999999,3776.965,31.86,129.88,97
NDC,13533-0800-40,Gamunex-C,20143.8,10071.9,31.86,129.88,49
NDC,13533-0800-41,Gamunex-C,20143.8,10071.9,31.86,129.88,73
NDC,13533-0800-71,Gamunex-C,5111.549999999999,2555.7799999999997,31.86,129.88,72
NDC,13533-0800-72,Gamunex-C,7553.924999999999,3776.965,31.86,129.88,72
NDC,13925-0515-10,Pentamidine Isethionate,230.17,115.09,,,0
NDC,14789-0121-07,Papaverine HCl,39.69,19.85,,,0
NDC,14789-0128-07,PHENobarbital Sodium,179.84,89.92,,,0
NDC,14789-0137-07,Potassium Chloride Concentrate,41.22,20.61,0.2,0.2,1
NDC,14789-0700-07,Prochlorperazine Edisylate,6.52,3.26,,,0
NDC,15054-0043-01,Onivyde,23248.0,11624.0,42.81,174.53,121
NDC,15054-0530-06,Dysport,1012.0,506.0,3.43,23.72,290
NDC,15054-1120-04,Somatuline Depot,38248.0,19124.0,24.33,99.19,145
NDC,16714-0006-01,Enoxaparin Sodium,9.45,4.73,1.12,1.12,1
NDC,16714-0016-01,Enoxaparin Sodium,17.384999999999998,8.695,1.12,1.12,1
NDC,16714-0066-01,Enoxaparin Sodium,39.11,19.56,,,0
NDC,16714-0130-01,Triamcinolone Acetonide,46.29,23.145,1.57,1.57,1
NDC,16714-0130-25,Triamcinolone Acetonide,80.0,40.0,1.57,1.57,1
NDC,16714-0150-01,Triamcinolone Acetonide,19.79,7.425000000000001,1.57,1.57,1
NDC,16714-0200-10,Ondansetron,1.115,0.56,0.02,0.02,1
NDC,16714-0200-30,Ondansetron,0.73,0.37,0.02,0.02,1
NDC,16714-0201-10,Ondansetron,1.5,0.75,0.02,0.02,1
NDC,16714-0248-01,fosaprepitant dimeglumine,67.8,33.905,0.23,0.23,1
NDC,16714-0690-01,Propofol,120.0,60.0,0.21,0.21,1
NDC,16714-0814-01,Sevelamer Carbonate,1.8,0.9,1482.0,17224.0,2
NDC,16714-0859-01,cycloPHOSphamide,250.19,125.095,0.37,1.51,312
NDC,16714-0908-01,Bleomycin,166.285,83.145,34.68,34.68,1
NDC,16714-0928-01,Decitabine,186.03,93.02,,,0
NDC,16729-0094-01,Mycophenolate Mofetil,1.14,0.57,0.31,0.31,1
NDC,16729-0114-31,Etoposide,68.81,34.41,1.63,1.63,1
NDC,16729-0115-05,mitoMYcin,90.52,45.26,22.17,90.39,73
NDC,16729-0224-05,Decitabine,281.13,140.57,2.79,2.79,1
NDC,16729-0277-30,Methotrexate,3.64,1.82,5.0,5.0,1
NDC,16729-0277-35,Methotrexate,33.21,16.61,,,0
NDC,16729-0288-11,CISplatin,11.48,5.74,,,0
NDC,16729-0288-38,CISplatin,151.23,75.62,6.67,6.67,1
NDC,16729-0295-12,CARBOplatin,113.755,56.88,5.94,5.94,1
NDC,16729-0306-10,azaCITIDine,80.07,40.04,0.58,0.58,1
NDC,16729-0310-63,Paricalcitol,30.66,15.33,1.11,1.11,1
NDC,16986-0020-80,HYALURONAN OR DERIVATIVE; DUROLANE; FOR INTRA-ARTICULAR INJECTION; 1 MG,6505.724999999999,3252.865,4.06,16.54,48
NDC,17478-0420-20,Labetalol HCl,2.34,1.17,,,0
NDC,17478-0504-10,Methylene Blue,368.15,184.075,7.07,28.81,97
NDC,18657-0117-01,Hylenex,21.729999999999997,10.864999999999998,0.59,0.59,1
NDC,18657-0117-04,Hylenex,111.97,55.99,0.59,0.59,1
NDC,18860-0723-10,Prialt,700.0,350.0,7.01,28.59,122
NDC,19515-0810-41,FluLaval 2024-2025 Formula,28.0,14.0,10.5,21.07,7
NDC,19515-0810-52,FluLaval 2024-2025 Formula,28.0,14.0,10.5,21.07,7
NDC,19515-0904-41,FluLaval 2025-2026 Formula,28.0,14.0,10.5,21.07,7
NDC,19515-0904-52,FluLaval 2025-2026 Formula,27.0,13.5,10.5,21.07,7
NDC,23155-0166-31,Tranexamic Acid,31.05,15.53,1482.0,17224.0,2
NDC,23155-0170-31,Zoledronic Acid,73.86000000000001,36.93000000000001,11.9,11.9,1
NDC,23155-0240-31,Metoclopramide,4.2,2.1,,,0
NDC,23155-0261-41,Bicnu,4398.4,2199.2,156.01,636.03,72
NDC,23155-0290-32,Amikacin Sulfate,31.84,15.92,1.37,1.37,1
NDC,23155-0290-42,Amikacin Sulfate,0.5,0.25,0.5,0.5,1
NDC,23155-0294-31,Prochlorperazine Edisylate,5.27,2.64,5.66,5.66,1
NDC,23155-0313-31,acetaZOLAMIDE,92.16,46.08,46.4,46.4,1
NDC,23155-0473-32,Furosemide,0.91,0.46,,,0
NDC,23155-0524-31,PremierPro Rx Tranexamic Acid,66.96,33.48,1482.0,17224.0,2
NDC,23155-0549-31,Ondansetron,5.57,2.79,0.17,0.17,1
NDC,23155-0600-31,Midazolam,10.5,5.25,0.23,0.23,1
NDC,23155-0647-31,carmustine,6079.5,3039.75,156.01,636.03,73
NDC,23155-0748-31,Pentamidine Isethionate,85.58,42.79,,,0
NDC,23155-0831-31,PremierPro Rx acetaZOLAMIDE,46.08,23.04,46.08,46.08,1
NDC,24201-0100-24,Acetaminophen,23.85,11.93,0.08,0.08,1
NDC,24201-0400-02,Calcitonin-Salmon,2542.495,1271.25,,,0
NDC,24338-0150-20,Triptodur,89190.68,44595.34,303.13,1235.85,25
NDC,24987-0354-10,Zinacef,2.67,1.34,2.67,2.67,1
NDC,25021-0052-01,dexAMETHasone Sodium Phosphate,2.65,1.33,0.2,0.2,1
NDC,25021-0052-05,dexAMETHasone Sodium Phosphate,1.2349999999999999,0.62,0.2,0.2,1
NDC,25021-0053-01,dexAMETHasone Sodium Phosphate,5.275,2.6399999999999997,0.2,0.2,1
NDC,25021-0102-99,ceFAZolin,5.25,2.63,1.25,1.25,1
NDC,25021-0110-20,cefOXitin Sodium,30.51,15.26,,,0
NDC,25021-0114-87,Ciprofloxacin,27.0,13.5,3.18,3.18,1
NDC,25021-0119-20,Cefuroxime,0.5,0.25,0.5,0.5,1
NDC,25021-0122-50,Cefepime,32.39,16.2,2.08,2.08,1
NDC,25021-0132-82,levoFLOXacin in 5% Dextrose,10.2,5.1,0.18,1.5,49
NDC,25021-0132-83,levoFLOXacin in 5% Dextrose,15.53,7.77,1.5,1.5,1
NDC,25021-0158-99,Vancomycin HCl,11.0,5.5,,,0
NDC,25021-0174-15,DAPTOmycin,108.50999999999999,54.260000000000005,0.07,0.07,1
NDC,25021-0184-82,Fluconazole in Sodium Chloride,12.66,6.335,4.62,4.62,1
NDC,25021-0184-87,Fluconazole in Sodium Chloride,23.4,11.7,4.62,4.62,1
NDC,25021-0192-87,Ciprofloxacin in Dextrose,27.0,13.5,3.18,3.18,1
NDC,25021-0204-05,Vinorelbine,210.29,105.15,12.24,12.24,1
NDC,25021-0215-98,Fluorouracil,29.77,14.89,5.31,5.31,1
NDC,25021-0215-99,Fluorouracil,35.910000000000004,17.96,5.31,5.31,1
NDC,25021-0219-20,Decitabine,141.39,70.7,2.79,2.79,1
NDC,25021-0235-50,Gemcitabine HCl,50.9,25.45,6.02,6.02,1
NDC,25021-0248-51,cycloPHOSphamide,479.48,239.74,0.37,1.51,24
NDC,25021-0250-20,mitoMYcin,458.91,229.46,22.17,90.39,24
NDC,25021-0255-50,PACLitaxel,96.155,48.08,0.18,0.18,1
NDC,25021-0300-20,Labetalol HCl,0.85,0.43,0.31,0.31,1
NDC,25021-0301-02,Adenosine,120.0,60.0,0.99,0.99,1
NDC,25021-0303-05,Metoprolol Tartrate,2.48,1.24,,,0
NDC,25021-0311-02,Furosemide,2.63,1.315,,,0
NDC,25021-0311-04,Furosemide,2.6799999999999997,1.345,,,0
NDC,25021-0314-10,Esmolol HCl,5.25,2.63,1482.0,17224.0,2
NDC,25021-0317-20,Labetalol HCl,2.5700000000000003,1.2850000000000001,0.31,0.31,1
NDC,25021-0318-02,Adenosine,28.845,14.424999999999999,0.99,0.99,1
NDC,25021-0319-10,dilTIAZem HCl,4.745,2.375,,,0
NDC,25021-0400-10,Heparin Sodium,6.57,3.29,0.45,0.45,1
NDC,25021-0402-66,PremierPro Rx heparin sodium,2.935,1.47,0.45,0.45,1
NDC,25021-0410-71,Enoxaparin Sodium,27.58,13.79,,,0
NDC,25021-0410-76,Enoxaparin Sodium,10.63,5.32,1.12,1.12,1
NDC,25021-0416-01,plerixafor,363.12,181.56,18.52,285.25,193
NDC,25021-0418-82,Tranexamic Acid-Sodium Chloride,30.825000000000003,15.415,1482.0,17224.0,2
NDC,25021-0468-10,Levothyroxine Sodium,446.4,223.2,,,0
NDC,25021-0700-01,Ketorolac Tromethamine,2.65,1.33,0.18,0.81,120
NDC,25021-0701-01,Ketorolac Tromethamine,2.0149999999999997,1.01,0.18,0.81,49
NDC,25021-0753-02,Famotidine,3.87,1.94,,,0
NDC,25021-0790-02,Prochlorperazine Edisylate,7.449999999999999,3.73,5.66,5.66,1
NDC,25021-0797-05,Valproate Sodium,9.09,4.55,,,0
NDC,25021-0816-30,Leucovorin Calcium,97.56,48.78,7.38,7.38,1
NDC,25021-0821-05,methylPREDNISolone Acetate,80.0,40.0,,,0
NDC,25021-0826-82,Zoledronic Acid,103.95,51.98,11.9,11.9,1
NDC,25141-3965-87,INJECTION; OMALIZUMAB; 5 MG,12480.0,6240.0,30.28,123.46,25
NDC,25208-0001-04,Aggrastat,96.66,48.33,7.13,7.13,1
NDC,25357-0023-01,Photrexa,37350.0,18675.0,4108.5,4108.5,1
NDC,25357-0025-03,Photrexa-Photrexa Viscous Kit,13725.0,6862.5,33.21,4108.5,73
NDC,25682-0001-01,Soliris,78275.88,39137.94,28.73,117.13,48
NDC,25682-0025-01,Ultomiris,203647.22,101823.61,147.5,601.34,48
NDC,25682-0028-01,Ultomiris,211331.94,105665.97,147.5,601.34,48
NDC,27808-0051-02,Promethazine HCl,1.5,0.75,0.46,0.46,1
NDC,31722-0394-31,Magnesium Sulfate,2.16,1.08,1.14,1.14,1
NDC,31722-0878-01,Mycophenolate Mofetil,1.28,0.64,0.31,0.31,1
NDC,33342-0215-58,Sevelamer Carbonate,0.92,0.46,,,0
NDC,36000-0009-24,Ciprofloxacin,9.0,4.5,3.18,3.18,1
NDC,36000-0033-10,Metoprolol Tartrate,5.859999999999999,2.935,,,0
NDC,36000-0047-24,levoFLOXacin in 5% Dextrose,10.35,5.18,,,0
NDC,36000-0282-25,Furosemide,1.3900000000000001,0.6950000000000001,,,0
NDC,36000-0283-25,Furosemide,6.215,3.1100000000000003,,,0
NDC,36000-0298-24,Ciprofloxacin in Dextrose Novaplus,15.3,7.65,3.18,3.18,1
NDC,36000-0306-60,Acetaminophen,27.0,13.5,0.08,1.57,2
NDC,36000-0308-01,Naloxone HCl,11.16,5.58,,,0
NDC,36000-0308-10,Naloxone HCl,11.16,5.58,,,0
NDC,36000-0322-01,Labetalol HCl,0.75,0.375,0.31,0.31,1
NDC,36000-0322-02,Labetalol HCl,0.6799999999999999,0.33999999999999997,0.31,0.31,1
NDC,38779-0561-04,cloNIDine HCl,28.0,14.0,,,0
NDC,39822-0190-01,acetaZOLAMIDE,181.375,90.69,46.4,46.4,1
NDC,39822-0412-01,Tobramycin Sulfate,655.2,327.6,4.39,4.39,1
NDC,39822-1055-05,Amphotericin B,1.5,0.75,1.5,1.5,1
NDC,39822-2000-01,cloNIDine HCl,5.54,2.77,5.55,5.55,1
NDC,39822-2100-01,DACTINomycin,1888.31,944.155,199.82,814.64,48
NDC,39822-6250-01,Desmopressin Acetate,412.125,206.065,10.44,10.44,1
NDC,42023-0104-01,Aplisol,65.0,32.5,5.78,43.99,30
NDC,42023-0116-25,Pitocin,16.125,8.065,3.2,3.2,1
NDC,42023-0159-01,Adrenalin,56.575,28.290000000000003,1.24,1.24,1
NDC,42023-0159-25,Adrenalin,49.2,36.894999999999996,1.24,1.24,1
NDC,42023-0164-10,Vasostrict,4.48,2.24,1482.0,17224.0,2
NDC,42023-0168-01,Adrenalin,7.965,3.9850000000000003,1.24,1.24,1
NDC,42023-0179-01,Buprenorphine Hydrochloride,53.45,26.73,,,0
NDC,42023-0179-05,Buprenorphine Hydrochloride,53.45,26.73,6.81,6.81,1
NDC,42023-0205-01,Calcitonin-Salmon,815.46,407.73,,,0
NDC,42023-0221-01,Ertapenem,15.58,7.79,15.58,15.58,1
NDC,42023-0221-10,Ertapenem,45.25,22.63,,,0
NDC,42192-0614-05,Phenytoin Sodium,46.47,23.24,1.04,1.04,1
NDC,42494-0415-01,PHENobarbital Sodium,425.06,212.53,51.86,51.86,1
NDC,42494-0416-01,INJECTION; PHENOBARBITAL SODIUM; UP TO 120 MG,345.545,172.775,51.86,51.86,1
NDC,42658-0010-01,Cladribine,320.64,160.32,5.32,26.02,49
NDC,42658-0021-01,DAUNOrubicin HCl,237.845,118.925,58.86,58.86,1
NDC,42658-0021-02,DAUNOrubicin HCl,431.84,215.92,58.86,58.86,1
NDC,42747-0761-01,Poteligeo,90132.0,45066.0,168.05,685.13,72
NDC,42852-0001-28,COMPOUNDED DRUG; NOT OTHERWISE CLASSIFIED,405.0,202.5,,,0
NDC,42858-0502-03,Buprenorphine,21.0,10.5,2.31,2.31,1
NDC,43066-0006-01,DOCEtaxel,241.49,120.75,1.65,1.65,1
NDC,43066-0010-01,DOCEtaxel,75.27,37.64,1.65,1.65,1
NDC,43066-0015-01,ROPivacaine HCl,9.774999999999999,4.89,0.13,0.13,1
NDC,43066-0018-01,Oxaliplatin,144.87,72.44,0.12,0.12,1
NDC,43066-0023-01,ROPivacaine HCl,9.09,4.55,0.13,0.13,1
NDC,43066-0360-20,Nexterone,120.0,60.0,10.68,10.68,1
NDC,43528-0003-01,Heplisav-B PFS,165.0,82.5,10.5,241.0,14
NDC,43528-0003-05,Heplisav-B PFS,89.0,44.5,10.5,89.0,7
NDC,43598-0050-11,Thiamine HCl,21.71,10.86,4.06,4.06,1
NDC,43598-0051-11,Calcitonin-Salmon,1585.44,792.72,,,0
NDC,43598-0106-11,diazePAM,22.119999999999997,11.065,9.03,9.03,1
NDC,43598-0127-45,methylPREDNISolone Sodium Succinate,3.8649999999999998,1.935,,,0
NDC,43598-0129-25,methylPREDNISolone Sodium Succinate,5.39,2.7,,,0
NDC,43598-0130-74,methylPREDNISolone Sodium Succinate,50.22,25.11,,,0
NDC,43598-0142-11,nelarabine,3028.595,1514.3,42.52,173.34,48
NDC,43598-0262-11,Fulvestrant,434.025,217.015,13.94,13.94,1
NDC,43598-0262-23,Fulvestrant,433.98,216.99,13.94,13.94,1
NDC,43598-0283-35,DOXOrubicin HCl Liposome,597.39,298.7,75.8,309.02,24
NDC,43598-0305-62,azaCITIDine,156.36,78.18,0.58,0.58,1
NDC,43598-0309-20,clofarabine,156.9,78.45,10.56,43.06,24
NDC,43598-0370-74,PEMEtrexed,549.27,274.64,4.52,18.42,241
NDC,43598-0386-62,PEMEtrexed,124.02,62.01,4.52,18.42,289
NDC,43598-0413-11,DAPTOmycin,49.614999999999995,24.81,0.07,0.07,1
NDC,43598-0426-60,bortezomib,60.14,30.07,3.23,3.23,1
NDC,43598-0541-25,DOXOrubicin HCl Liposome,1704.32,852.165,75.8,309.02,48
NDC,43598-0579-01,Buprenorphine-Naloxone,19.09,9.55,11.75,11.75,1
NDC,43598-0582-01,Buprenorphine-Naloxone,18.299999999999997,9.149999999999999,12.2,12.2,1
NDC,43598-0848-11,Ziprasidone Mesylate,39.13,19.57,,,0
NDC,43598-0901-11,Ertapenem,101.29,50.65,21.4,21.4,1
NDC,43598-0948-11,fosaprepitant dimeglumine,98.6,49.3,0.23,0.23,1
NDC,43825-0102-01,Ofirmev,175.365,87.685,0.08,0.08,1
NDC,44087-3535-01,Bavencio,30976.64,15488.32,70.62,287.9,24
NDC,44206-0251-05,Alburx,432.0,216.0,34.66,141.3,121
NDC,44206-0251-10,Alburx,576.0,288.0,34.66,141.3,48
NDC,44206-0251-90,INFUSION; ALBUMIN (HUMAN); 25%; 50 ML,144.0,72.0,34.66,141.3,97
NDC,44206-0251-91,Alburx,432.0,216.0,34.66,141.3,73
NDC,44206-0310-25,Alburx,144.0,72.0,34.5,140.66,193
NDC,44206-0310-50,Alburx,1303.49,651.75,34.5,140.66,193
NDC,44206-0310-90,Alburx,216.0,108.0,34.5,140.66,97
NDC,44206-0310-91,Alburx,1437.4099999999999,718.7049999999999,34.5,140.66,217
NDC,44206-0436-05,Privigen,1642.5,821.25,33.29,135.73,145
NDC,44206-0436-90,INJECTION; IMMUNE GLOBULIN (PRIVIGEN); INTRAVENOUS; NON-LYOPHILIZED (E.G. LIQUID); 500 MG,1314.0,657.0,33.29,135.73,265
NDC,44206-0437-10,Privigen,3262.5,1631.25,33.29,135.73,169
NDC,44206-0437-91,INJECTION; IMMUNE GLOBULIN (PRIVIGEN); INTRAVENOUS; NON-LYOPHILIZED (E.G. LIQUID); 500 MG,2304.675,1152.34,33.29,135.73,337
NDC,44206-0438-20,Privigen,6547.5,3273.75,33.29,135.73,169
NDC,44206-0438-92,INJECTION; IMMUNE GLOBULIN (PRIVIGEN); INTRAVENOUS; NON-LYOPHILIZED (E.G. LIQUID); 500 MG,5726.25,2863.125,33.29,135.73,385
NDC,44206-0439-40,Privigen,13140.0,6570.0,33.29,135.73,169
NDC,44206-0439-93,INJECTION; IMMUNE GLOBULIN (PRIVIGEN); INTRAVENOUS; NON-LYOPHILIZED (E.G. LIQUID); 500 MG,13050.0,6525.0,33.29,135.73,289
NDC,44206-0532-11,Cytogam,135.0,67.5,44.73,44.73,1
NDC,44567-0103-10,Ampicillin,11.57,5.785,1.67,1.67,1
NDC,44567-0104-01,Ampicillin,13.975,6.99,1.67,1.67,1
NDC,44567-0235-25,cefTAZidime,6.91,3.455,2.79,2.79,1
NDC,44567-0240-10,Cefepime,11.99,6.0,2.08,2.08,1
NDC,44567-0241-10,Cefepime,32.99,16.5,2.08,2.08,1
NDC,44567-0245-25,cefOXitin Sodium,19.23,9.615,8.38,8.38,1
NDC,44567-0246-25,cefOXitin Sodium,8.07,4.04,8.07,8.07,1
NDC,44567-0312-01,Penicillin G Potassium,24.39,12.2,1.27,1.27,1
NDC,44567-0410-24,Magnesium Sulfate-Dextrose,19.575000000000003,9.790000000000001,1.14,1.14,1
NDC,44567-0420-24,Magnesium Sulfate,17.55,8.78,1.14,1.14,1
NDC,44567-0436-24,levoFLOXacin in 5% Dextrose,34.68,17.34,1.5,1.5,1
NDC,44567-0437-24,levoFLOXacin in 5% Dextrose,12.15,6.08,1.5,1.5,1
NDC,44567-0702-25,cefTRIAXone,7.86,3.93,0.81,0.81,1
NDC,44567-0707-25,ceFAZolin,12.215,6.109999999999999,1.25,1.25,1
NDC,44567-0803-10,Piperacillin and Tazobactam,20.18,10.09,1.95,1.95,1
NDC,45945-0155-02,Gablofen,3724.0,1862.0,120.97,493.19,73
NDC,45963-0607-56,Vinorelbine,453.6,226.8,12.24,12.24,1
NDC,45963-0609-55,Fludarabine Phosphate,558.7650000000001,279.385,287.05,287.05,1
NDC,47426-0201-01,Cinvanti,961.91,480.96,1.03,4.21,97
NDC,47781-0355-11,Buprenorphine-Naloxone,10.5,5.25,10.5,10.5,1
NDC,47781-0357-11,Buprenorphine-Naloxone,10.5,5.25,,,0
NDC,49281-0013-10,Fluzone 2013-2014 Formula,28.0,14.0,,,0
NDC,49281-0125-65,Fluzone High-Dose 2025-2026 Formula,135.0,67.5,,,0
NDC,49281-0125-88,Fluzone High-Dose 2025-2026 Formula,135.0,67.5,10.5,121.11,7
NDC,49281-0215-15,Tenivac PFS,69.0,34.5,10.5,50.06,7
NDC,49281-0215-88,Tenivac PFS,79.0,39.5,10.5,63.21,14
NDC,49281-0425-50,Fluzone 2025-2026 Formula PFS,26.0,13.0,,,0
NDC,49281-0425-88,Fluzone 2025-2026 Formula PFS,28.0,14.0,,,0
NDC,49281-0545-03,ActHIB,24.0,12.0,10.5,24.0,7
NDC,49281-0545-05,ActHIB,19.3,9.65,10.5,19.3,7
NDC,49281-0547-58,ActHIB,24.0,12.0,10.5,24.0,7
NDC,49281-0574-15,Beyfortus PFS,657.5,328.75,10.5,980.1,38
NDC,49281-0574-88,Beyfortus PFS,657.5,328.75,10.5,980.1,38
NDC,49281-0575-00,Beyfortus PFS,657.5,328.75,10.5,984.0,38
NDC,49281-0575-15,Beyfortus PFS,670.0,335.0,10.5,984.0,38
NDC,49281-0860-10,Ipol,75.0,37.5,10.5,75.0,7
NDC,49281-0860-78,Ipol,75.0,37.5,10.5,75.0,7
NDC,49401-0101-01,Benlysta,5600.7,2800.35,37.9,154.5,169
NDC,49401-0102-01,Benlysta,9333.99,4667.0,37.9,154.5,96
NDC,49502-0393-80,Insulin Glargine-yfgn,6.9799999999999995,3.4949999999999997,1482.0,17224.0,2
NDC,49502-0806-32,Yupelri,28.4,14.2,0.31,0.31,1
NDC,49502-0806-93,Yupelri,28.4,14.2,,,0
NDC,49591-0126-11,Varizig,45615.2,22807.6,10.5,6618.98,31
NDC,49702-0264-23,Apretude,17835.864999999998,8917.935000000001,4.74,19.32,121
NDC,49771-0002-03,Mitosol,1697.0,848.5,,,0
NDC,50016-0957-11,Gel-One,2227.5,1113.75,346.83,1414.01,25
NDC,50090-4516-00,BUPivacaine HCl,10.0,5.0,,,0
NDC,50242-0037-06,INJECTION; TENECTEPLASE; 1 MG,17151.06,8575.53,141.32,576.16,73
NDC,50242-0040-62,Xolair,9360.0,4680.0,30.28,123.46,72
NDC,50242-0041-64,Cathflo Activase,692.6,346.3,64.08,261.26,265
NDC,50242-0044-06,INJECTION; ALTEPLASE RECOMBINANT; 1 MG,363.825,181.915,64.08,261.26,169
NDC,50242-0044-13,Activase,14552.82,7276.41,64.08,261.26,72
NDC,50242-0051-21,Rituxan,4227.84,2113.92,47.63,194.19,73
NDC,50242-0053-06,Rituxan,29360.0,14680.0,47.63,194.19,97
NDC,50242-0060-01,Avastin,89.83,44.915,1.22,198.27,578
NDC,50242-0061-01,Avastin,25502.08,12751.04,48.63,198.27,24
NDC,50242-0070-01,Gazyva,32401.01,16200.51,54.9,223.82,97
NDC,50242-0077-01,Herceptin Hylecta,21038.58,10519.29,37.92,154.6,121
NDC,50242-0080-01,Lucentis,8775.0,4387.5,33.21,135.39,24
NDC,50242-0080-03,Lucentis PFS,8775.0,4387.5,33.21,135.39,24
NDC,50242-0087-01,Kadcyla,7782.72,3891.36,28.36,115.62,145
NDC,50242-0088-01,Kadcyla,17688.02,8844.01,28.36,115.62,121
NDC,50242-0096-01,Vabysmo,15120.0,7560.0,21.05,85.81,121
NDC,50242-0096-86,INJECTION; TRIAMCINOLONE ACETONIDE; PRESERVATIVE FREE; 1 MG,640.0,320.0,12.47,50.85,24
NDC,50242-0096-86,LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (MIRENA); 52 MG,5206.0,2603.0,930.09,2290.45,7
NDC,50242-0103-01,Polivy,20650.72,10325.36,93.35,380.57,193
NDC,50242-0105-01,Polivy,68147.19,34073.6,93.35,380.57,121
NDC,50242-0108-01,Rituxan Hycela,26306.33,13153.17,23.65,96.43,121
NDC,50242-0120-47,TNKase,30490.76,15245.38,141.32,576.16,24
NDC,50242-0125-01,Columvi,11841.21,5920.61,1862.04,7591.4,72
NDC,50242-0127-01,Columvi,36839.425,18419.715,1862.04,7591.4,120
NDC,50242-0132-01,Herceptin,7013.04,3506.52,45.66,186.14,120
NDC,50242-0135-01,Actemra,2306.58,1153.29,3.52,14.34,72
NDC,50242-0136-01,Actemra,5766.44,2883.22,3.52,14.34,24
NDC,50242-0137-01,Actemra,11771.925,5885.965,3.52,14.34,97
NDC,50242-0145-01,Perjeta,26107.15,13053.58,11.18,45.58,121
NDC,50242-0150-01,Ocrevus,76443.36,38221.68,39.63,161.57,145
NDC,50242-0214-01,Xolair PFS,3116.16,1558.08,30.28,123.46,24
NDC,50242-0214-03,Xolair PFS,3186.27,1593.14,30.28,123.46,24
NDC,50242-0214-55,Xolair Autoinjector,3116.16,1558.08,30.28,123.46,24
NDC,50242-0215-01,Xolair PFS,12612.54,6306.27,30.28,123.46,169
NDC,50242-0215-03,Xolair PFS,11052.54,5526.27,30.28,123.46,193
NDC,50242-0215-55,Xolair Autoinjector,6232.32,3116.16,30.28,123.46,24
NDC,50242-0227-01,Xolair PFS,12472.32,6236.16,30.28,123.46,169
NDC,50242-0227-55,Xolair Autoinjector,12464.64,6232.32,30.28,123.46,72
NDC,50242-0245-01,Phesgo,53269.02,26634.51,38.94,158.73,121
NDC,50242-0260-01,Phesgo,36688.94,18344.47,38.93,158.74,145
NDC,50242-0554-01,Ocrevus Zunovo,141244.1,70622.05,31.24,127.36,72
NDC,50242-0917-01,Tecentriq,29345.07,14672.535,62.76,255.86,145
NDC,50242-0918-01,Tecentriq,19663.35,9831.68,62.76,255.86,121
NDC,50242-0930-01,Hemlibra,105791.35,52895.68,37.72,153.78,25
NDC,50268-0144-11,Buprenorphine-Naloxone AvPak,10.5,5.25,10.5,10.5,1
NDC,50268-0145-11,Buprenorphine-Naloxone,11.23,5.62,11.23,11.23,1
NDC,50268-0163-11,chlorproMAZINE HCl AvPak,18.33,9.17,,,0
NDC,50268-0557-11,Mycophenolate Mofetil AvPak,5.1,2.55,0.31,0.31,1
NDC,50268-0621-11,Ondansetron HCl AvPak,1.88,0.94,0.02,0.02,1
NDC,50268-0622-11,Ondansetron HCl AvPak,2.38,1.19,0.02,0.02,1
NDC,50268-0720-11,Sevelamer Carbonate AvPak,18.065,9.035,,,0
NDC,50419-0320-01,Eovist,337.44,168.725,24.32,24.32,1
NDC,50419-0320-05,Eovist,469.48,234.74,24.32,24.32,1
NDC,50419-0320-15,Eovist,978.08,489.04,24.32,24.32,1
NDC,50419-0325-11,Gadavist,86.55,43.28,1482.0,17224.0,4
NDC,50419-0325-12,Gadavist,120.505,60.255,1482.0,17224.0,4
NDC,50419-0325-13,Gadavist,151.405,75.705,1482.0,17224.0,4
NDC,50419-0325-18,Gadavist,98.9,49.45,0.56,0.56,1
NDC,50419-0325-19,Gadavist,234.87,117.44,0.56,0.56,1
NDC,50419-0325-37,Gadavist,10.71,5.36,1482.0,17224.0,2
NDC,50419-0422-01,Skyla,4878.605,2439.3050000000003,876.74,2290.45,14
NDC,50419-0423-01,Mirena,5465.84,2732.92,930.09,2290.45,7
NDC,50419-0424-01,Kyleena,5205.56,2602.78,984.96,2290.45,7
NDC,50419-0424-08,LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (KYLEENA); 19.5 MG,5206.0,2603.0,984.96,2290.45,7
NDC,50458-0168-01,Levaquin,89.1,44.55,1.5,1.5,1
NDC,50458-0564-01,Invega Sustenna,14093.87,7046.94,10.32,42.06,48
NDC,50474-0710-81,Cimzia PFS,22810.46,11405.23,2.24,9.12,24
NDC,50632-0010-01,RabAvert,709.3199999999999,354.65999999999997,10.5,879.75,103
NDC,50632-0013-01,RABIES VACCINE FOR INJECTION INTO MUSCLE,652.64,326.32,10.5,879.75,79
NDC,50633-0110-12,Crofab,23504.0,11752.0,1239.49,5053.31,25
NDC,50742-0364-01,Buprenorphine-Naloxone,15.75,7.875,10.5,10.5,1
NDC,50742-0397-01,Buprenorphine-Naloxone,21.0,10.5,11.75,11.75,1
NDC,50881-0006-03,Zynyz,58972.0,29486.0,20.14,82.1,48
NDC,51079-0078-01,hydrOXYzine Pamoate,6.15,3.08,,,0
NDC,51079-0670-01,Methotrexate Sodium,56.73,28.37,0.45,0.45,1
NDC,51079-0818-01,Tacrolimus,13.75,6.875,0.4,0.4,1
NDC,51144-0003-01,Tivdak,59410.35,29705.18,127.48,519.72,73
NDC,51144-0020-01,Padcev,21348.4,10674.2,23.83,97.15,193
NDC,51144-0030-01,Padcev,33708.0,16854.0,23.83,97.15,169
NDC,51144-0050-01,Adcetris,53680.0,26840.0,2.2,739.91,146
NDC,51754-0108-01,Tranexamic Acid-Sodium Chloride,25.65,12.825,1482.0,17224.0,2
NDC,51754-0108-03,Tranexamic Acid-Sodium Chloride,30.6,15.3,1482.0,17224.0,2
NDC,51754-2001-04,Potassium Acetate,26.12,13.06,,,0
NDC,51927-1000-00,Morphine Sulfate,560.0,280.0,7.01,28.59,25
NDC,51927-1003-00,HYDROmorphone HCl,3000.0,1500.0,,,0
NDC,51927-2007-00,Baclofen,5933.0,2966.5,120.97,493.19,73
NDC,51991-0144-17,Methylergonovine Maleate,68.01,34.01,32.34,32.34,1
NDC,51991-0144-99,Methylergonovine Maleate,67.32,33.665,32.34,32.34,1
NDC,52118-0001-01,Vibativ,4.0,2.0,,,0
NDC,52709-1201-01,Mixed Vespid Treatment,8400.0,4200.0,,,0
NDC,54288-0103-10,EPINEPHrine,61.224999999999994,30.615000000000002,,,0
NDC,54288-0136-01,PHENobarbital Sodium,585.2,292.6,51.86,51.86,1
NDC,54868-3615-00,Hep-Lock U/P,3.0,1.5,,,0
NDC,54868-4219-00,Synvisc,2880.0,1440.0,3.91,15.95,73
NDC,55111-0154-13,Ondansetron HCl,2.93,1.47,0.02,0.02,1
NDC,55111-0556-10,Decitabine,113.41,56.71,2.79,2.79,1
NDC,55111-0652-07,bivalirudin,200.51,100.26,,,0
NDC,55111-0685-07,Zoledronic Acid,13.23,6.62,11.9,11.9,1
NDC,55111-0694-07,palonosetron hcl,225.0,112.5,1.4,1.4,1
NDC,55135-0132-01,Trodelvy,27994.705,13997.355,24.47,99.75,217
NDC,55150-0117-20,Ampicillin-Sulbactam,11.245000000000001,5.625,2.92,2.92,1
NDC,55150-0121-50,Piperacillin and Tazobactam,16.05,8.03,1.95,1.95,1
NDC,55150-0154-10,Acyclovir Sodium,14.370000000000001,7.1899999999999995,0.1,0.1,1
NDC,55150-0173-01,SUMAtriptan Succinate,15.4,7.7,15.4,15.4,1
NDC,55150-0174-10,Azithromycin,8.02,4.01,4.29,4.29,1
NDC,55150-0198-30,ROPivacaine HCl,25.0,12.5,0.02,0.02,1
NDC,55150-0202-00,Pantoprazole Sodium,9.84,4.92,,,0
NDC,55150-0208-30,Meropenem,45.655,22.83,0.74,0.74,1
NDC,55150-0223-10,Methocarbamol,14.76,7.38,9.34,9.34,1
NDC,55150-0230-00,Fondaparinux Sodium,20.85,10.43,,,0
NDC,55150-0242-51,Linezolid,37.8,18.9,5.45,5.45,1
NDC,55150-0259-30,Acetylcysteine,238.84,119.42,,,0
NDC,55150-0304-01,dexAMETHasone Sodium Phosphate,5.635,2.82,0.2,0.2,1
NDC,55150-0307-01,Acetaminophen,13.95,6.98,0.08,0.08,1
NDC,55150-0307-24,Acetaminophen,107.17,53.59,0.08,0.08,1
NDC,55150-0308-01,OLANZapine,58.36,29.185,1.57,1.57,1
NDC,55150-0329-01,medroxyPROGESTERone acetate,99.18,49.59,0.87,0.87,1
NDC,55150-0329-25,medroxyPROGESTERone acetate,99.17,49.59,0.87,0.87,1
NDC,55150-0338-01,Leuprolide Acetate,14.06,7.03,1482.0,17224.0,2
NDC,55150-0354-01,Irinotecan Hydrochloride,127.995,64.0,3.22,3.22,1
NDC,55150-0432-01,INJECTION; DEXRAZOXANE HYDROCHLORIDE; PER 250 MG,205.75,102.88,26.94,162.44,73
NDC,55150-0435-01,INJECTION; DEXRAZOXANE HYDROCHLORIDE; PER 250 MG,643.4100000000001,321.70500000000004,26.94,178.22,145
NDC,55150-0437-01,Dexrazoxane,1212.0549999999998,606.03,26.94,178.22,49
NDC,55390-0077-10,Prochlorperazine Edisylate,3.81,1.91,3.81,3.81,1
NDC,55390-0251-01,mitoMYcin,9.0,4.5,5.0,5.0,1
NDC,55390-0253-01,mitoMYcin,3.92,1.96,,,0
NDC,55513-0002-01,Aranesp,839.45,419.73,1.9,7.74,48
NDC,55513-0023-01,Aranesp PFS,2040.0,1020.0,1.9,7.74,25
NDC,55513-0028-01,Aranesp PFS,6715.44,3357.72,1.9,7.74,24
NDC,55513-0032-01,Aranesp PFS,12847.794999999998,6423.9,1.9,7.74,72
NDC,55513-0069-01,Imdelltra,60000.0,30000.0,1048.07,4272.91,96
NDC,55513-0077-01,Imdelltra,60000.0,30000.0,1048.07,4272.91,24
NDC,55513-0078-01,Imlygic,149.7,74.85,50.27,204.95,24
NDC,55513-0079-01,Imlygic,54051.240000000005,27025.620000000003,50.27,204.95,72
NDC,55513-0103-01,Imdelltra,6750.0,3375.0,1048.07,4272.91,48
NDC,55513-0111-01,Aranesp PFS,1360.0,680.0,1.9,7.74,25
NDC,55513-0112-01,Tezspire PFS,14312.05,7156.025,11.65,47.49,73
NDC,55513-0132-01,Kanjinti,13626.349999999999,6813.18,22.19,160.38,96
NDC,55513-0141-01,Kanjinti,6813.25,3406.63,22.19,160.38,240
NDC,55513-0141-21,Kanjinti,5299.19,2649.6,22.19,160.38,214
NDC,55513-0150-01,Blincyto,39871.04,19935.52,112.38,458.19,193
NDC,55513-0190-01,Neulasta PFS,18774.57,9387.285,83.62,379.56,193
NDC,55513-0192-01,Neulasta Onpro,18774.57,9387.285,83.62,379.56,289
NDC,55513-0206-01,Mvasi,2603.99,1302.0,15.94,65.0,337
NDC,55513-0206-21,Mvasi,13453.94,6726.97,15.94,65.0,121
NDC,55513-0207-01,Mvasi,10705.16,5352.58,15.94,65.0,335
NDC,55513-0207-21,Mvasi,15206.005000000001,7603.005,15.94,65.0,96
NDC,55513-0221-01,Nplate,6134.69,3067.35,7.55,30.79,192
NDC,55513-0222-01,Nplate,19111.87,9555.94,7.55,30.79,264
NDC,55513-0223-01,Nplate,3067.39,1533.7,7.55,30.79,216
NDC,55513-0223-21,Nplate,4942.66,2471.33,7.55,30.79,72
NDC,55513-0224-01,Riabni,8580.06,4290.03,12.04,49.1,48
NDC,55513-0326-01,Riabni,10149.145,5074.575,12.04,68.34,97
NDC,55513-0530-10,Neupogen,5.0,2.5,,,0
NDC,55513-0546-01,Neupogen,923.06,461.53,0.66,2.68,24
NDC,55513-0670-01,Avsola,12568.5,6284.25,20.04,81.7,193
NDC,55513-0710-01,Prolia PFS,2520.0,1260.0,4.47,79.76,337
NDC,55513-0710-21,Prolia PFS,8143.655000000001,4071.83,19.57,79.76,384
NDC,55513-0730-01,Xgeva,14622.369999999999,7311.1849999999995,19.57,79.77,192
NDC,55513-0730-21,Xgeva,14979.02,7489.51,19.57,79.76,96
NDC,55513-0880-01,Evenity PFS,11266.83,5633.42,8.27,33.73,24
NDC,55513-0880-02,Evenity PFS,11462.310000000001,5731.155000000001,8.27,33.73,72
NDC,55513-0954-01,Vectibix,6367.98,3183.99,118.42,482.8,217
NDC,55513-0954-21,Vectibix,8260.43,4130.22,118.42,482.8,24
NDC,55513-0956-01,Vectibix,26637.2,13318.6,118.42,482.8,145
NDC,55513-0998-01,Evenity PFS,11828.98,5914.49,8.27,33.73,24
NDC,55513-0998-02,Evenity PFS,11266.83,5633.42,8.27,33.73,241
NDC,55566-1050-00,Adstiladrin,180000.0,90000.0,41815.55,170478.77,48
NDC,55566-4100-01,Euflexxa,6181.0,3090.5,132.38,539.7,72
NDC,55566-8302-00,INJECTION; DEGARELIX; 1 MG,1246.68,623.34,2.91,11.87,49
NDC,55566-8402-00,INJECTION; DEGARELIX; 1 MG,4302.18,2151.09,2.91,11.87,73
NDC,55566-8403-01,Firmagon,1246.68,623.34,2.91,11.87,24
NDC,55566-9800-02,Rebyota,37088.4,18544.2,42.64,173.84,25
NDC,57237-0077-10,Ondansetron,1.17,0.59,0.02,0.02,1
NDC,57237-0077-30,Ondansetron,1.89,0.95,0.02,0.02,1
NDC,57664-0683-31,Linezolid,33.75,16.88,5.45,5.45,1
NDC,57894-0030-01,Remicade,22527.8,11263.9,20.46,83.42,121
NDC,57894-0054-27,Stelara,28329.035,14164.52,7.38,30.1,72
NDC,57894-0060-03,Stelara PFS,53875.92,26937.96,254.03,254.03,1
NDC,57894-0111-01,Carvykti,783082.5,391541.25,382185.54,1558141.04,25
NDC,57894-0225-01,Inlexzo Intravesical System,207000.0,103500.0,,,0
NDC,57894-0350-01,Simponi Aria,17354.27,8677.14,7.17,29.23,96
NDC,57894-0449-01,Tecvayli,3381.63,1690.82,22.96,93.6,121
NDC,57894-0450-01,Tecvayli,16014.310000000001,8007.16,22.96,93.6,97
NDC,57894-0469-01,Talvey,1478.46,739.23,49.87,203.31,144
NDC,57894-0470-01,Talvey,27017.11,13508.56,49.87,203.31,288
NDC,57894-0501-00,Rybrevant,35421.68,17710.84,15.09,61.53,72
NDC,57894-0503-01,Darzalex Faspro,40983.06,20491.53,37.08,151.18,169
NDC,57894-0505-05,Darzalex,6584.85,3292.43,47.95,195.49,24
NDC,57894-0505-20,Darzalex,35119.2,17559.6,47.95,195.49,24
NDC,57894-0650-01,Tremfya,41618.399999999994,20809.199999999997,43.5,177.34,72
NDC,57894-0650-02,Tremfya,55491.2,27745.6,43.5,177.34,24
NDC,57970-0100-01,Dalvance,8784.17,4392.085,7.34,29.92,193
NDC,58160-0723-03,Arexvy,466.5,233.25,10.5,477.0,14
NDC,58160-0726-15,Hiberix,24.0,12.0,10.5,24.0,7
NDC,58160-0744-03,Arexvy,499.0,249.5,10.5,542.0,14
NDC,58160-0757-15,Penmenvy,388.0,194.0,10.5,12.0,6
NDC,58160-0810-43,Infanrix PFS,53.0,26.5,10.5,53.0,7
NDC,58160-0810-52,Infanrix PFS,53.0,26.5,10.5,53.0,7
NDC,58160-0811-43,Pediarix PFS,183.005,91.505,10.5,187.79,7
NDC,58160-0811-52,Pediarix PFS,244.0,122.0,10.5,187.79,7
NDC,58160-0812-43,Kinrix PFS,111.0,55.5,10.5,111.0,7
NDC,58160-0812-52,Kinrix PFS,111.0,55.5,10.5,111.0,7
NDC,58160-0815-43,Twinrix PFS,182.0,91.0,10.5,182.0,7
NDC,58160-0815-52,Twinrix PFS,182.0,91.0,10.5,182.0,7
NDC,58160-0816-01,HAEMOPHILUS INFLUENZAE TYPE B VACCINE; PRP-T CONJUGATE,24.0,12.0,10.5,24.0,7
NDC,58160-0816-03,Hiberix,24.0,12.0,10.5,24.0,7
NDC,58160-0819-12,Shingrix,262.48,131.24,10.5,12.0,6
NDC,58160-0820-43,Engerix-B Pediatric-Adolescent PFS,41.0,20.5,10.5,41.0,7
NDC,58160-0820-52,Engerix-B Pediatric-Adolescent PFS,41.0,20.5,10.5,41.0,7
NDC,58160-0821-01,Engerix-B,89.0,44.5,10.5,89.0,7
NDC,58160-0821-11,Engerix-B,86.3,43.15,10.5,83.6,7
NDC,58160-0821-43,Engerix-B Adult PFS,89.0,44.5,10.5,241.0,21
NDC,58160-0821-52,Engerix-B Adult PFS,89.0,44.5,10.5,89.0,7
NDC,58160-0823-11,Shingrix,335.0,167.5,10.5,12.0,6
NDC,58160-0825-43,Havrix Pediatric PFS,53.0,26.5,10.5,53.0,7
NDC,58160-0825-52,Havrix Pediatric PFS,53.0,26.5,10.5,53.0,7
NDC,58160-0826-43,Havrix PFS,132.0,66.0,10.5,115.93,7
NDC,58160-0826-52,Havrix PFS,132.0,66.0,10.5,115.93,7
NDC,58160-0827-03,Menveo,203.0,101.5,10.5,203.0,7
NDC,58160-0827-30,Menveo,203.0,101.5,10.5,203.0,7
NDC,58160-0828-01,SHINGLES VACCINE FOR INJECTION INTO MUSCLE,335.0,167.5,10.5,12.0,6
NDC,58160-0828-03,Shingrix,342.0,171.0,10.5,12.0,6
NDC,58160-0829-03,SHINGLES VACCINE FOR INJECTION INTO MUSCLE,335.0,167.5,10.5,12.0,6
NDC,58160-0842-01,Boostrix,89.0,44.5,10.5,63.21,7
NDC,58160-0842-11,Boostrix,89.0,44.5,10.5,63.21,7
NDC,58160-0842-43,Boostrix PFS,69.0,34.5,10.5,63.21,28
NDC,58160-0842-52,Boostrix PFS,89.0,44.5,10.5,63.21,7
NDC,58160-0848-11,Arexvy,456.0,228.0,10.5,456.0,7
NDC,58160-0849-43,Shingrix PFS,381.84,190.92,10.5,6618.98,31
NDC,58160-0884-41,Fluarix 2024-2025 Formula,28.0,14.0,10.5,21.07,7
NDC,58160-0884-52,Fluarix 2024-2025 Formula,28.0,14.0,10.5,21.07,7
NDC,58160-0912-41,Fluarix 2025-2026 Formula,28.0,14.0,10.5,21.07,19
NDC,58160-0912-52,Fluarix 2025-2026 Formula,28.0,14.0,10.5,21.07,7
NDC,58160-0955-09,Menveo,206.0,103.0,10.5,203.0,7
NDC,58160-0958-01,Menveo,203.0,101.5,10.5,203.0,7
NDC,58160-0959-01,Menveo,256.0,128.0,10.5,309.0,14
NDC,58160-0964-12,RabAvert,582.16,291.08,10.5,879.75,55
NDC,58160-0976-02,Bexsero PFS,306.0,153.0,10.5,309.0,14
NDC,58160-0976-20,Bexsero PFS,309.0,154.5,10.5,309.0,7
NDC,58181-3040-05,Gleostine,465.05,232.53,,,0
NDC,58181-3041-05,Gleostine,7440.66,3720.33,,,0
NDC,58181-3042-05,Gleostine,5134.99,2567.5,,,0
NDC,58394-0136-03,BeneFIX,33292.8,16646.4,1.21,4.93,24
NDC,58394-0635-03,BeneFIX,9180.0,4590.0,1.21,4.93,48
NDC,58394-0637-03,BeneFIX,14137.2,7068.6,1.21,4.93,24
NDC,58406-0010-01,Enbrel PFS,1324.28,662.14,,,0
NDC,58468-0030-01,Thyrogen,8897.58,4448.79,1403.13,5720.45,121
NDC,58468-0030-02,Thyrogen,9099.56,4549.78,1403.13,5720.45,25
NDC,58468-0040-01,Fabrazyme,31309.88,15654.94,151.27,616.71,25
NDC,58468-0041-01,Fabrazyme,15093.27,7546.64,151.27,616.71,25
NDC,58468-0090-01,Synvisc,5952.0,2976.0,3.91,15.95,49
NDC,58468-0090-03,Synvisc One,2383.63,1191.8200000000002,3.91,15.95,217
NDC,58468-0426-01,Nexviazyme,156765.7,78382.85,54.56,222.44,24
NDC,59075-0711-10,Myobloc,1924.0,962.0,8.64,35.22,72
NDC,59075-0723-10,Prialt,24000.0,12000.0,7.01,28.59,24
NDC,59267-4426-01,Pfizer-BioNTech COVID-19 Vaccine 2024-2025 6mo<5yr,178.0,89.0,42.0,178.0,7
NDC,59267-4426-02,Pfizer-BioNTech COVID-19 Vaccine 2024-2025 6mo<5yr,178.0,89.0,42.0,178.0,7
NDC,59267-4438-02,Pfizer-BioNTech COVID-19 Vaccine 2024-2025 Age5<12,139.0,69.5,42.0,139.0,7
NDC,59338-0775-01,Feraheme,2040.0,1020.0,0.24,0.98,169
NDC,59338-0775-10,Feraheme,3431.34,1715.67,0.24,0.98,24
NDC,59365-5128-01,ParaGard T380A,1139.0,569.5,,,0
NDC,59365-5129-01,ParaGard T380A,4394.25,2197.13,987.38,2148.3,7
NDC,59528-0331-02,Calphron,1.5,0.75,,,0
NDC,59572-0711-01,Reblozyl,11741.66,5870.835,28.28,115.3,72
NDC,59572-0775-01,Reblozyl,42380.52,21190.26,28.28,115.3,72
NDC,59572-0962-10,INJECTION; ROMIDEPSIN; LYOPHILIZED; 0.1 MG,31986.5,15993.25,19.96,81.38,72
NDC,59651-0485-01,predniSONE,0.5,0.25,0.02,0.02,1
NDC,59651-0488-01,predniSONE,1.31,0.66,0.02,0.02,1
NDC,59651-0489-01,predniSONE,1.36,0.68,0.02,0.02,1
NDC,59676-0320-00,Procrit,1102.5,551.25,4.47,18.23,385
NDC,59676-0320-04,Procrit,515.8,257.9,,,0
NDC,59676-0360-01,Orthovisc,1054.5,527.25,4.06,265.87,243
NDC,59676-0610-01,Yondelis,22136.04,11068.02,266.81,1087.77,241
NDC,59676-0820-01,Monovisc,3806.13,1903.065,65.21,1497.99,242
NDC,59746-0113-06,Prochlorperazine Maleate,2.4000000000000004,1.2000000000000002,0.97,0.97,1
NDC,59746-0115-06,Prochlorperazine Maleate,2.36,1.18,0.97,0.97,1
NDC,59746-0175-06,predniSONE,1.27,0.64,0.02,0.02,1
NDC,59923-0615-01,Terbutaline Sulfate,5.17,2.59,5.17,5.17,1
NDC,60219-1573-01,PremierPro Rx methylPREDNISolone Acetate,34.56,17.28,,,0
NDC,60219-1574-01,PremierPro Rx methylPREDNISolone Acetate,80.0,40.0,,,0
NDC,60219-2038-01,Prochlorperazine Maleate,2.455,1.23,0.97,0.97,1
NDC,60432-0212-08,prednisoLONE Sodium Phosphate,3.845,1.925,0.69,0.69,1
NDC,60432-0608-16,Promethazine HCl,4.14,2.07,0.46,0.46,1
NDC,60505-4632-03,cycloSPORINE,59.37,29.69,,,0
NDC,60505-6098-00,tigecycline,157.07,78.54,1.22,1.22,1
NDC,60505-6128-01,Irinotecan Hydrochloride,57.15,28.58,3.22,3.22,1
NDC,60505-6130-00,Ondansetron,1.5,0.75,0.17,0.17,1
NDC,60505-6130-05,Ondansetron,1.3599999999999999,0.6799999999999999,0.17,0.17,1
NDC,60505-6132-07,Oxaliplatin,77.18,38.59,0.12,0.12,1
NDC,60505-6142-00,ceFAZolin,6.779999999999999,3.395,1.25,1.25,1
NDC,60505-6142-05,ceFAZolin,7.135,3.5700000000000003,1.25,1.25,1
NDC,60505-6143-00,ceFAZolin,10.5,5.25,1.25,1.25,1
NDC,60505-6146-00,Cefepime,10.44,5.22,2.08,2.08,1
NDC,60505-6146-04,Cefepime,10.44,5.22,2.08,2.08,1
NDC,60505-6147-00,Cefepime,34.47,17.24,2.08,2.08,1
NDC,60505-6148-00,cefTRIAXone,4.3149999999999995,2.16,0.81,0.81,1
NDC,60505-6149-00,cefTRIAXone,8.5,4.255,0.81,0.81,1
NDC,60505-6149-04,cefTRIAXone,20.439999999999998,10.225000000000001,0.81,0.81,1
NDC,60505-6150-05,cefTRIAXone,6.57,3.29,0.81,0.81,1
NDC,60505-6151-04,cefTRIAXone,2.565,1.285,0.81,0.81,1
NDC,60505-6152-04,cefTRIAXone,2.25,1.13,0.81,0.81,1
NDC,60505-6159-00,Piperacillin and Tazobactam,12.67,6.34,1.95,1.95,1
NDC,60505-6193-01,palonosetron hcl,11.57,5.79,1.4,1.4,1
NDC,60505-6196-00,Ertapenem,100.155,50.08,21.4,21.4,1
NDC,60505-6229-04,DAPTOmycin,83.36500000000001,41.685,0.07,0.07,1
NDC,60505-6262-00,Piperacillin and Tazobactam,16.66,8.33,1.95,1.95,1
NDC,60505-6271-01,azaCITIDine,170.675,85.34,0.58,0.58,1
NDC,60505-6282-07,CARBOplatin,56.84,28.42,5.94,5.94,1
NDC,60505-6289-00,eriBULin mesylate,3052.625,1526.315,38.99,221.13,145
NDC,60687-0122-11,predniSONE,0.76,0.38,0.02,0.02,1
NDC,60687-0134-01,predniSONE,3.16,1.58,0.02,0.02,1
NDC,60687-0134-11,predniSONE,0.53,0.27,0.02,0.02,1
NDC,60687-0145-11,predniSONE,3.755,1.8800000000000001,0.02,0.02,1
NDC,60687-0375-11,droNABinol,18.93,9.47,1.34,1.34,1
NDC,60687-0386-11,droNABinol,76.58,38.29,1.34,1.34,1
NDC,60687-0430-11,chlorproMAZINE HCl,26.27,13.14,,,0
NDC,60687-0481-11,Buprenorphine,14.235,7.12,2.31,2.31,1
NDC,60687-0492-11,Buprenorphine,15.04,7.52,,,0
NDC,60687-0626-11,Buprenorphine-Naloxone,39.3,19.65,11.75,11.75,1
NDC,60687-0637-11,Buprenorphine-Naloxone,14.905,7.455,19.26,19.26,1
NDC,60687-0660-11,Promethazine HCl,2.36,1.18,0.46,0.46,1
NDC,60687-0696-11,hydrOXYzine Pamoate,3.0749999999999997,1.54,2.05,2.05,1
NDC,60687-0814-11,Prochlorperazine Maleate,4.74,2.37,0.97,0.97,1
NDC,60687-0925-11,predniSONE,1.94,0.97,0.02,0.02,1
NDC,60793-0701-02,Bicillin L-A,1392.975,696.49,12.69,86.36,217
NDC,60793-0701-10,Bicillin L-A,1575.925,787.965,21.18,86.36,48
NDC,60793-0702-04,Bicillin L-A,2338.04,1169.02,21.18,86.36,49
NDC,60923-0284-10,Exondys 51,16320.0,8160.0,108.83,443.69,49
NDC,61269-0410-20,Etopophos,1479.51,739.76,1.63,1.63,1
NDC,61314-0240-63,Jubbonti PFS,6446.21,3223.11,17.99,73.33,48
NDC,61314-0318-01,Zarxio PFS,914.895,457.45,0.23,0.93,168
NDC,61314-0318-05,INJECTION; FILGRASTIM-SNDZ; BIOSIMILAR; (ZARXIO); 1 MICROGRAM,609.91,304.96,0.23,0.93,48
NDC,61314-0326-01,Zarxio PFS,975.875,487.94,0.23,0.93,168
NDC,61314-0654-94,Pyzchiva,6864.63,3432.32,5.56,22.66,24
NDC,61553-0735-03,Oxytocin-Sodium Chloride,9360.0,4680.0,30.28,123.46,145
NDC,61703-0309-06,vinCRIStine Sulfate,26.6,13.3,12.75,12.75,1
NDC,61703-0309-16,vinCRIStine Sulfate,37.32,18.665,12.75,12.75,1
NDC,61703-0339-56,CARBOplatin,114.03,57.02,5.94,5.94,1
NDC,61703-0342-22,PACLitaxel,190.20999999999998,95.10499999999999,0.18,0.18,1
NDC,61703-0342-50,PACLitaxel,140.94,70.47,0.18,0.18,1
NDC,61703-0408-41,Methotrexate Sodium,8.475,4.24,3.52,3.52,1
NDC,61755-0005-01,Eylea PFS,5463.0,2731.5,1.22,1970.54,385
NDC,61755-0005-02,Eylea,12489.0,6244.5,483.34,1970.54,73
NDC,61755-0008-01,Libtayo,42427.03,21213.52,19.29,78.63,97
NDC,61755-0013-01,Evkeeza,64687.5,32343.75,128.46,523.72,121
NDC,61755-0050-01,Eylea HD,10948.0,5474.0,21.05,1970.54,192
NDC,61755-0054-00,UNCLASSIFIED DRUGS OR BIOLOGICALS,10575.0,5287.5,,,0
NDC,61953-0011-01,UNCLASSIFIED DRUGS OR BIOLOGICALS,2116.04,1058.02,,,0
NDC,61953-0012-01,HUMAN PLASMA FIBRIN SEALANT; VAPOR-HEATED; SOLVENT-DETERGENT (ARTISS); 2ML,920.04,460.02,94.69,386.03,25
NDC,61953-0014-01,UNCLASSIFIED DRUGS OR BIOLOGICALS,2116.04,1058.02,,,0
NDC,61958-0101-01,Vistide,6.0,3.0,2.79,2.79,1
NDC,61958-0701-01,Truvada,266.67,133.34,0.29,1.19,24
NDC,61958-2901-02,Veklury,5856.48,2928.24,4.88,19.9,24
NDC,61958-3002-01,Sunlenca,78000.0,39000.0,14.91,60.79,25
NDC,62332-0600-01,Ketorolac Tromethamine,7.86,3.93,0.18,0.81,73
NDC,62332-0737-31,chlorproMAZINE HCl,1.17,0.59,,,0
NDC,62332-0779-31,Fluorouracil,149.69,74.85,5.31,5.31,1
NDC,62756-0060-40,Epoprostenol,120.0,60.0,26.33,26.33,1
NDC,62756-0240-60,Ondansetron,1.12,0.56,0.02,0.02,1
NDC,62756-0512-40,Azithromycin,10.29,5.15,4.29,4.29,1
NDC,62856-0212-01,Leqembi,601.99,300.995,0.87,4.96,433
NDC,62856-0215-01,Leqembi,1469.4299999999998,734.7149999999999,0.87,3.55,337
NDC,62856-0389-01,Halaven,7745.58,3872.79,38.99,221.13,145
NDC,62856-0797-01,Aloxi,266.9,133.45,1.4,1.4,1
NDC,62935-0227-10,Eligard,1628.46,814.23,104.22,424.9,72
NDC,62935-0306-40,Eligard,2171.25,1085.63,104.22,424.9,48
NDC,62935-0461-50,Eligard,3322.0150000000003,1661.01,104.22,424.9,73
NDC,63304-0459-30,Ondansetron HCl,1.365,0.685,0.02,0.02,1
NDC,63323-0010-01,Gentamicin Sulfate,9.825,4.915,4.44,4.44,1
NDC,63323-0010-02,Gentamicin Sulfate,5.25,2.63,4.44,4.44,1
NDC,63323-0010-03,Gentamicin Sulfate,69.685,34.845,4.44,4.44,1
NDC,63323-0010-41,PremierPro Rx Gentamicin,5.25,2.63,4.44,4.44,1
NDC,63323-0010-94,PremierPro Rx Gentamicin,13800.0,6900.0,31.86,129.88,24
NDC,63323-0013-01,Thiamine HCl,8.5,4.25,4.06,4.06,1
NDC,63323-0013-26,PremierPro Rx Thiamine HCl,1.0,0.5,,,0
NDC,63323-0044-00,Cyanocobalamin,4.22,2.11,,,0
NDC,63323-0064-01,Magnesium Sulfate,9.51,4.76,1.14,1.14,1
NDC,63323-0064-02,Magnesium Sulfate,11.0,5.5,,,0
NDC,63323-0064-03,Magnesium Sulfate,8.32,4.165,1.14,1.14,1
NDC,63323-0064-04,Magnesium Sulfate,5.25,2.63,1.14,1.14,1
NDC,63323-0064-41,PremierPro Rx Magnesium Sulfate,4.76,2.38,1.14,1.14,1
NDC,63323-0101-61,DOXOrubicin HCl,86.21,43.11,5.41,5.41,1
NDC,63323-0104-25,Etoposide,46.53,23.265,1.63,1.63,1
NDC,63323-0104-50,Etoposide,89.375,44.69,1.63,1.63,1
NDC,63323-0106-02,Magnesium Sulfate,14.4,7.2,1.14,1.14,1
NDC,63323-0108-00,Magnesium Sulfate-Dextrose,9.0,4.5,1.14,1.14,1
NDC,63323-0113-01,Pentam,558.79,279.4,,,0
NDC,63323-0113-10,Pentam,340.34,170.17,,,0
NDC,63323-0117-00,Fluorouracil,0.11,0.06,0.11,0.11,1
NDC,63323-0117-51,Fluorouracil,37.415,18.71,5.31,5.31,1
NDC,63323-0117-61,Fluorouracil,71.01,35.51,5.31,5.31,1
NDC,63323-0120-20,Cytarabine,83.185,41.595,1.6,1.6,1
NDC,63323-0123-10,Methotrexate Sodium,31.75,15.88,,,0
NDC,63323-0127-00,Dacarbazine,123.47,61.735,6.15,6.15,1
NDC,63323-0137-20,Bleomycin,178.16,89.08,,,0
NDC,63323-0161-00,Ketorolac Tromethamine,2.46,1.23,0.18,0.81,169
NDC,63323-0161-01,Ketorolac Tromethamine,4.165,2.085,0.18,0.81,97
NDC,63323-0162-00,Ketorolac Tromethamine,2.86,1.43,0.18,0.81,121
NDC,63323-0162-01,Ketorolac Tromethamine,2.12,1.06,0.18,0.81,256
NDC,63323-0162-03,Ketorolac Tromethamine,2.67,1.335,0.18,0.81,121
NDC,63323-0162-16,PremierPro Rx Ketorolac Tromethamine,2.145,1.075,0.18,0.81,73
NDC,63323-0165-01,dexAMETHasone Sodium Phosphate,4.01,2.01,0.2,0.2,1
NDC,63323-0165-02,dexAMETHasone Sodium Phosphate,5.375,2.6900000000000004,0.2,0.2,1
NDC,63323-0165-03,dexAMETHasone Sodium Phosphate,0.9299999999999999,0.46499999999999997,0.2,0.2,1
NDC,63323-0165-05,dexAMETHasone Sodium Phosphate,9.0,4.5,0.2,0.2,1
NDC,63323-0165-16,PremierPro Rx dexAMETHasone Sodium Phosphate,2.69,1.35,0.2,0.2,1
NDC,63323-0165-30,dexAMETHasone Sodium Phosphate,4.0,2.0,0.2,0.2,1
NDC,63323-0180-00,Pyridoxine HCl,21.94,10.97,24.47,24.47,1
NDC,63323-0221-01,Vancomycin HCl,6.555,3.2800000000000002,3.81,3.81,1
NDC,63323-0221-10,Vancomycin HCl,1.0,0.5,,,0
NDC,63323-0229-01,INJECTION; PROTAMINE SULFATE; PER 10 MG,13.52,6.76,2.74,2.74,1
NDC,63323-0229-05,Protamine Sulfate,45.07,22.54,2.74,2.74,1
NDC,63323-0237-01,INJECTION; CEFAZOLIN SODIUM; 500 MG,4.7,2.355,1.25,1.25,1
NDC,63323-0237-10,ceFAZolin,12.98,6.49,1.25,1.25,1
NDC,63323-0255-01,methylPREDNISolone Sodium Succinate,7.9399999999999995,3.9699999999999998,,,0
NDC,63323-0255-03,methylPREDNISolone Sodium Succinate,10.59,5.3,,,0
NDC,63323-0258-01,methylPREDNISolone Sodium Succinate,6.12,3.06,,,0
NDC,63323-0258-03,methylPREDNISolone Sodium Succinate,7.42,3.71,,,0
NDC,63323-0260-01,Polocaine-MPF,5.25,2.63,5.25,5.25,1
NDC,63323-0262-03,Heparin Sodium,10.969999999999999,5.484999999999999,0.45,0.45,1
NDC,63323-0265-30,methylPREDNISolone Sodium Succinate,14.17,7.09,,,0
NDC,63323-0269-29,Diprivan,123.91499999999999,61.96,0.21,0.21,1
NDC,63323-0269-50,Diprivan,15.7,7.855,0.21,0.21,1
NDC,63323-0269-65,Diprivan,10.05,5.03,0.21,0.21,1
NDC,63323-0269-94,PremierPro Rx Diprivan,123.14,61.57,0.21,0.21,1
NDC,63323-0270-50,Propofol,120.0,60.0,0.21,0.21,1
NDC,63323-0273-01,SUMAtriptan Succinate,24.8,12.4,24.8,24.8,1
NDC,63323-0278-10,vinBLAStine Sulfate,267.365,133.685,6.96,6.96,1
NDC,63323-0280-02,Furosemide,4.12,2.06,0.18,0.72,48
NDC,63323-0280-03,Furosemide,6.5249999999999995,3.2649999999999997,,,0
NDC,63323-0280-05,Furosemide,2.3,1.15,,,0
NDC,63323-0284-01,Vancomycin HCl,6.27,3.14,3.81,3.81,1
NDC,63323-0284-42,PremierPro Rx Vancomycin HCl,5.25,2.63,,,0
NDC,63323-0285-03,Naropin,13.545000000000002,6.775,0.13,0.13,1
NDC,63323-0285-13,Naropin,22.625,11.315,0.13,0.13,1
NDC,63323-0285-23,Naropin,4.0,2.0,0.13,0.13,1
NDC,63323-0285-64,Naropin,187.5,93.75,0.13,133.91,2
NDC,63323-0286-03,Naropin,259.2,129.6,0.13,0.13,1
NDC,63323-0286-23,Naropin,5.470000000000001,2.74,0.13,0.13,1
NDC,63323-0286-30,Naropin,365.0,182.5,133.91,133.91,1
NDC,63323-0286-35,Naropin,23.28,11.645,0.13,0.13,1
NDC,63323-0293-01,INJECTION; MEPIVACAINE HYDROCHLORIDE; PER 10 ML,34.29,17.15,5.43,5.43,1
NDC,63323-0293-37,Polocaine-MPF,5.25,2.63,5.25,5.25,1
NDC,63323-0294-01,INJECTION; MEPIVACAINE HYDROCHLORIDE; PER 10 ML,5.25,2.63,5.25,5.25,1
NDC,63323-0294-27,Polocaine-MPF,5.25,2.63,5.25,5.25,1
NDC,63323-0295-61,Vancomycin HCl,9.14,4.57,,,0
NDC,63323-0296-57,Polocaine,5.25,2.63,5.25,5.25,1
NDC,63323-0306-01,Tobramycin Sulfate,69.66,34.83,4.39,4.39,1
NDC,63323-0306-02,Tobramycin Sulfate,67.92500000000001,33.965,4.39,4.39,1
NDC,63323-0311-10,Calcium Gluconate,14.04,7.02,0.08,0.08,1
NDC,63323-0314-61,Vancomycin HCl,2.875,1.44,0.5,0.5,1
NDC,63323-0315-01,Ganciclovir,5.25,2.63,5.25,5.25,1
NDC,63323-0315-10,Ganciclovir,13360.0,6680.0,33.29,135.73,49
NDC,63323-0325-03,Acyclovir Sodium,10.5,5.25,0.1,0.1,1
NDC,63323-0341-25,cefOXitin Sodium,17.365,8.685,8.38,8.38,1
NDC,63323-0347-20,cefTRIAXone,32.05,16.03,0.81,0.81,1
NDC,63323-0360-01,Calcium Gluconate,49.615,24.81,0.08,0.08,1
NDC,63323-0360-03,Calcium Gluconate,39.825,19.915,0.08,0.08,1
NDC,63323-0360-19,Calcium Gluconate,66.155,33.08,0.08,0.08,1
NDC,63323-0373-02,Ondansetron,9.22,4.61,,,0
NDC,63323-0376-00,Octreotide Acetate,12.975000000000001,6.49,,,0
NDC,63323-0398-01,Azithromycin,7.11,3.56,,,0
NDC,63323-0398-41,INJECTION; AZITHROMYCIN; 500 MG,7.11,3.56,4.29,4.29,1
NDC,63323-0402-01,Aztreonam,202.58,101.29,,,0
NDC,63323-0405-10,cloNIDine HCl,6.57,3.29,6.57,6.57,1
NDC,63323-0411-12,Midazolam HCl,31200.0,15600.0,20.98,85.54,48
NDC,63323-0412-18,Midazolam HCl,10.61,5.305,0.23,0.23,1
NDC,63323-0415-10,Neostigmine Methylsulfate,3.715,1.8599999999999999,2.79,2.79,1
NDC,63323-0434-00,Acetaminophen,17.55,8.78,0.08,0.08,2
NDC,63323-0434-41,Acetaminophen,17.55,8.78,0.08,0.08,1
NDC,63323-0450-50,PEMEtrexed,281.03,140.52,4.52,18.42,24
NDC,63323-0454-00,Morphine Sulfate,15.75,7.875,12.26,12.26,1
NDC,63323-0466-03,Sensorcaine-MPF,20.0,10.0,0.02,0.02,1
NDC,63323-0472-37,Sensorcaine-MPF,2.09,1.05,1482.0,17224.0,2
NDC,63323-0474-01,Haloperidol Lactate,3.27,1.64,2.34,2.34,1
NDC,63323-0477-27,Nesacaine-MPF,3147.755,1573.88,0.07,123.46,218
NDC,63323-0478-01,Nesacaine-MPF,7.08,3.54,,,0
NDC,63323-0494-01,Valproate Sodium,12.07,6.035,,,0
NDC,63323-0506-00,dexAMETHasone Sodium Phosphate,9.120000000000001,4.5600000000000005,0.2,0.2,1
NDC,63323-0506-01,dexAMETHasone Sodium Phosphate,7.6,3.8,0.2,0.2,1
NDC,63323-0507-01,Meropenem,49.61,24.81,0.74,0.74,1
NDC,63323-0516-01,dexAMETHasone Sodium Phosphate,1.19,0.595,0.2,0.2,1
NDC,63323-0516-10,dexAMETHasone Sodium Phosphate,1.505,0.7549999999999999,0.2,0.2,1
NDC,63323-0517-01,Heparin Sodium-Sodium Chloride,120.0,60.0,0.45,0.45,1
NDC,63323-0517-74,Heparin Sodium-Sodium Chloride,120.0,60.0,0.45,0.45,1
NDC,63323-0540-01,Heparin Sodium,79.59,39.795,0.45,0.45,1
NDC,63323-0562-10,bivalirudin,142.35,71.18,0.35,0.35,1
NDC,63323-0593-03,Glucagon,613.8,306.9,76.26,342.59,266
NDC,63323-0596-03,Glucagon,613.94,306.97,76.26,342.59,120
NDC,63323-0596-11,Glucagon,460.41499999999996,230.21,76.26,342.59,72
NDC,63323-0614-00,hydrALAZINE HCl,9.459999999999999,4.734999999999999,6.31,6.31,1
NDC,63323-0614-01,hydrALAZINE HCl,9.46,4.73,9.22,9.22,1
NDC,63323-0614-16,PremierPro Rx hydrALAZINE HCl,3.16,1.58,3.16,3.16,1
NDC,63323-0616-01,Amiodarone HCl,8.19,4.1,1.35,1.35,1
NDC,63323-0617-10,Milrinone Lactate,120.0,60.0,2.57,2.57,1
NDC,63323-0624-06,Dextrose,6.75,3.38,1482.0,17224.0,2
NDC,63323-0642-02,Magnesium Sulfate,5.25,2.63,1.14,1.14,1
NDC,63323-0649-07,Levothyroxine Sodium,112.4,56.2,,,0
NDC,63323-0651-02,Adenosine,13.495000000000001,6.75,0.99,0.99,1
NDC,63323-0664-00,diphenhydrAMINE HCl,1.5,0.75,1.24,1.24,1
NDC,63323-0665-00,Terbutaline Sulfate,1.45,0.725,1.4,1.4,1
NDC,63323-0673-05,palonosetron hcl,90.9,45.45,1.4,1.4,1
NDC,63323-0696-25,EPINEPHrine,91.79,45.9,,,0
NDC,63323-0698-30,EPINEPHrine,4.65,2.33,,,0
NDC,63323-0715-01,Fulvestrant,434.07,217.04,,,0
NDC,63323-0729-01,micafungin sodium,126.51,63.26,1.25,1.25,1
NDC,63323-0729-10,micafungin sodium,126.51,63.26,1.25,1.25,1
NDC,63323-0738-06,Famotidine,1.19,0.595,,,0
NDC,63323-0739-11,Famotidine,2.49,1.25,,,0
NDC,63323-0750-10,Oxaliplatin,92.07,46.04,0.12,0.12,1
NDC,63323-0750-20,Oxaliplatin,92.07,46.04,0.12,0.12,1
NDC,63323-0751-01,Phenylephrine HCl,120.0,60.0,0.02,0.02,1
NDC,63323-0763-50,PACLitaxel,272.65,136.33,0.18,0.18,1
NDC,63323-0806-12,fentaNYL Citrate,10.5,5.25,1.6,1.6,1
NDC,63323-0806-13,fentaNYL Citrate,26.25,13.125,1.6,1.6,1
NDC,63323-0806-14,fentaNYL Citrate,10.5,5.25,1.6,1.6,1
NDC,63323-0806-50,fentaNYL Citrate,119.7,59.85,,,0
NDC,63323-0808-01,Simplist fentaNYL Citrate,10.5,5.25,1.6,1.6,1
NDC,63323-0808-11,Simplist fentaNYL Citrate,10.5,5.25,1.6,1.6,1
NDC,63323-0815-02,Amikacin,4.0,2.0,1.37,1.37,1
NDC,63323-0815-22,Amikacin,106.03,53.02,1.37,1.37,1
NDC,63323-0877-15,Nebupent,689.85,344.93,86.16,86.16,1
NDC,63323-0961-98,Zoledronic Acid,167.4,83.7,,,0
NDC,63323-0965-02,Potassium Chloride Concentrate,5.25,2.63,0.2,0.2,1
NDC,63323-0965-20,Potassium Chloride Concentrate,5.25,2.63,0.2,0.2,1
NDC,63323-0966-00,Zoledronic Acid,167.4,83.7,,,0
NDC,63459-0103-10,Truxima,8241.52,4120.76,22.46,91.58,49
NDC,63459-0104-50,Truxima,10844.1,5422.05,22.46,91.58,25
NDC,63459-0348-04,Bendeka,12654.689999999999,6327.35,8.14,33.2,97
NDC,63459-0391-20,Treanda,4387.6849999999995,2193.8450000000003,1.92,15.16,49
NDC,63561-0122-01,predniSONE,1.5,0.75,0.02,0.02,1
NDC,63807-0500-55,Heparin Lock Flush,0.69,0.35,0.03,0.03,1
NDC,63807-0600-05,Heparin Lock Flush,0.5,0.25,0.03,0.03,1
NDC,63807-0600-55,Heparin Lock Flush,1.87,0.94,0.03,0.03,1
NDC,63833-0386-02,Kcentra,2264.4,1132.2,1.31,5.33,72
NDC,63833-0387-02,Kcentra,16650.0,8325.0,1.31,5.33,24
NDC,63833-0396-01,PROTHROMBIN COMPLEX CONCENTRATE (HUMAN); KCENTRA; PER I.U. OF FACTOR IX ACTIVITY,4187.34,2093.67,1.31,5.33,72
NDC,63833-0397-01,PROTHROMBIN COMPLEX CONCENTRATE (HUMAN); KCENTRA; PER I.U. OF FACTOR IX ACTIVITY,13922.82,6961.41,1.31,5.33,49
NDC,63833-0615-02,Humate-P,4540.05,2270.03,0.99,4.05,25
NDC,63833-0617-02,Humate-P,16715.88,8357.94,0.99,4.05,25
NDC,63833-0625-01,INJECTION; VON WILLEBRAND FACTOR COMPLEX (HUMATE-P); PER IU VWF:RCO,1696.545,848.275,0.99,4.05,49
NDC,63833-0626-01,INJECTION; VON WILLEBRAND FACTOR COMPLEX (HUMATE-P); PER IU VWF:RCO,6372.0,3186.0,0.99,4.05,24
NDC,63833-0627-01,Humate-P,9979.705,4989.855,0.99,4.05,49
NDC,63833-0835-01,Berinert,43824.24,21912.12,51.52,210.04,24
NDC,64253-0222-21,Heparin Lock Flush,0.84,0.42,0.03,0.03,1
NDC,64253-0222-35,Heparin Lock Flush,0.84,0.42,0.03,0.03,1
NDC,64253-0333-35,Heparin Lock Flush,1.625,0.815,0.03,0.03,1
NDC,64380-0782-06,predniSONE,0.52,0.26,0.02,0.02,1
NDC,64380-0783-06,predniSONE,1.0,0.5,0.02,0.02,1
NDC,64406-0008-01,Tysabri,34150.86,17075.43,15.87,64.69,120
NDC,64406-0058-01,Spinraza,284075.66,142037.83,866.74,3533.64,72
NDC,64679-0012-01,Piperacillin and Tazobactam,29.25,14.63,1.95,1.95,1
NDC,64679-0096-01,azaCITIDine,176.83,88.42,,,0
NDC,64764-0300-20,Entyvio,34666.32,17333.16,14.05,57.29,96
NDC,64875-0001-01,Mifeprex,193.5,96.75,,,0
NDC,64950-0362-04,Cocaine HCl,1125.54,562.77,,,0
NDC,65145-0118-01,INJECTION; SUMATRIPTAN SUCCINATE; 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN; NOT FOR USE WHEN DRUG IS SELF ADMINISTERED),9.97,4.99,,,0
NDC,65219-0120-12,dalbavancin,5579.82,2789.91,7.34,29.92,48
NDC,65219-0368-01,LORazepam,10.5,5.25,1.85,1.85,1
NDC,65219-0594-20,Tyenne,7755.53,3877.77,2.64,10.76,120
NDC,65250-0001-01,INJECTION; TRIAMCINOLONE ACETONIDE; PRESERVATIVE-FREE; EXTENDED-RELEASE; MICROSPHERE FORMULATION; 1 MG,4995.54,2497.77,12.53,51.09,121
NDC,65250-0003-01,Zilretta,3746.6549999999997,1873.33,12.53,51.09,169
NDC,65250-0266-04,Exparel,1511.82,755.91,0.9,3.66,24
NDC,65250-0266-09,Exparel,1228.355,614.18,0.9,3.66,192
NDC,65250-0266-20,Exparel,1133.865,566.935,0.9,3.66,144
NDC,65597-0406-01,Enhertu,35217.0,17608.5,21.37,87.11,265
NDC,65597-0801-01,Datroway,32036.51,16018.26,34.12,139.13,96
NDC,65649-0551-02,Relistor,662.72,331.36,1.98,1.98,1
NDC,65757-0300-01,Vivitrol,7340.31,3670.16,2.94,28.59,217
NDC,65757-0302-02,INJECTION; NALTREXONE; DEPOT FORM; 1 MG,7126.52,3563.26,2.94,12.0,24
NDC,65757-0403-03,Aristada,11494.53,5747.27,2.31,9.43,25
NDC,65757-0500-03,Aristada Initio,8796.87,4398.44,2.25,9.17,25
NDC,65862-0187-03,Ondansetron HCl,3.74,1.87,,,0
NDC,65862-0187-30,Ondansetron HCl,0.82,0.41,0.02,0.02,1
NDC,65862-0354-30,emtricitabine-tenofovir disoproxil fumarate,4.49,2.25,0.29,1.19,48
NDC,65862-0390-10,Ondansetron,1.11,0.56,0.02,0.02,1
NDC,66019-0112-00,FluMist Trivalent 2025-2026 Formula,49.0,24.5,10.5,27.56,7
NDC,66019-0112-10,FluMist Trivalent 2025-2026 Formula,47.0,23.5,10.5,27.56,7
NDC,66689-0347-02,Sirolimus,71.93,35.97,,,0
NDC,66733-0948-23,Erbitux,3562.09,1781.045,53.09,216.43,169
NDC,66733-0958-23,Erbitux,16236.755000000001,8118.38,53.09,216.43,169
NDC,66758-0016-04,Phenylephrine HCl,120.0,60.0,0.02,0.02,1
NDC,66758-0017-01,Phenylephrine HCl,120.0,60.0,0.02,0.02,1
NDC,66758-0050-02,DOCEtaxel,79.47,39.74,1.65,1.65,1
NDC,66794-0157-02,Gablofen,8512.0,4256.0,120.97,493.19,25
NDC,66794-0207-41,Ampicillin-Sulbactam,15.32,7.665,2.92,2.92,1
NDC,66794-0219-63,Linezolid,42.525000000000006,21.265,5.45,5.45,1
NDC,66794-0236-43,Linezolid Novaplus,32.4,16.2,5.45,5.45,1
NDC,66794-0236-63,Linezolid Novaplus,28.35,14.18,5.45,5.45,1
NDC,66794-0237-02,Doxycycline,82.69,41.35,1482.0,17224.0,2
NDC,66794-0258-02,Pantoprazole Sodium,9.31,4.66,,,0
NDC,66887-0003-01,Xiaflex,175.0,87.5,,,0
NDC,66887-0004-01,Testopel Pellets,1350.0,675.0,2.95,192.92,25
NDC,66887-0004-10,Testopel Pellets,2025.0,1012.5,,,0
NDC,66993-0370-25,medroxyPROGESTERone acetate,300.0,150.0,0.87,0.87,1
NDC,66993-0370-83,medroxyPROGESTERone acetate,177.75,88.88,0.87,0.87,1
NDC,66993-0371-79,medroxyPROGESTERone acetate,128.39,64.195,0.87,0.87,1
NDC,66993-0730-51,dexAMETHasone,9.04,4.52,0.13,0.13,1
NDC,67308-0101-01,Levulan Kerastick,885.1949999999999,442.6,253.03,1031.59,169
NDC,67308-0101-06,Levulan Kerastick,1734.75,867.38,253.03,1031.59,97
NDC,67386-0130-51,Vyepti,21933.96,10966.98,13.71,55.92,193
NDC,67457-0146-30,Vitamin B Complex 100,25.18,12.59,,,0
NDC,67457-0153-00,Amiodarone HCl,14.41,7.21,1.35,1.35,1
NDC,67457-0153-03,Amiodarone HCl,21.61,10.81,1.35,1.35,1
NDC,67457-0177-50,Rimso-50,3200.0,1600.0,,,0
NDC,67457-0196-00,Thiamine HCl,6.86,3.43,4.06,4.06,1
NDC,67457-0196-02,Thiamine HCl,6.86,3.43,4.06,4.06,1
NDC,67457-0217-20,Methadone HCl,32.8,16.405,21.87,21.87,1
NDC,67457-0218-10,Duraclon,6.57,3.29,6.57,6.57,1
NDC,67457-0292-02,Naloxone HCl,3.77,1.89,1.89,1.89,1
NDC,67457-0339-00,Vancomycin HCl,69.535,34.769999999999996,,,0
NDC,67457-0340-00,Vancomycin HCl,7.24,3.62,3.81,3.81,1
NDC,67457-0340-01,Vancomycin HCl,28.94,14.47,3.81,4.39,2
NDC,67457-0349-03,Ampicillin-Sulbactam,12.72,6.36,2.92,2.92,1
NDC,67457-0349-10,Ampicillin-Sulbactam,12.72,6.36,2.92,2.92,1
NDC,67457-0352-10,Ampicillin,10.02,5.01,1.67,1.67,1
NDC,67457-0390-54,Zoledronic Acid,25.814999999999998,12.91,11.9,11.9,1
NDC,67457-0420-00,dexAMETHasone Sodium Phosphate,1.66,0.83,0.2,0.2,1
NDC,67457-0421-00,dexAMETHasone Sodium Phosphate,2.67,1.34,0.2,0.2,1
NDC,67457-0422-00,dexAMETHasone Sodium Phosphate,2.415,1.21,0.2,0.2,1
NDC,67457-0422-54,dexAMETHasone Sodium Phosphate,3.22,1.61,0.2,0.2,1
NDC,67457-0423-00,dexAMETHasone Sodium Phosphate,4.01,2.0100000000000002,0.2,0.2,1
NDC,67457-0423-12,dexAMETHasone Sodium Phosphate,4.8149999999999995,2.41,0.2,0.2,1
NDC,67457-0426-12,Haloperidol,2.79,1.4,2.34,2.34,1
NDC,67457-0430-10,Pamidronate Disodium,26.31,13.16,14.64,14.64,1
NDC,67457-0433-00,Famotidine,1.6350000000000002,0.8200000000000001,,,0
NDC,67457-0433-22,Famotidine,2.18,1.09,,,0
NDC,67457-0436-50,DOXOrubicin HCl,1087.34,543.67,,,0
NDC,67457-0446-10,Pamidronate Disodium,103.14,51.57,14.64,14.64,1
NDC,67457-0452-20,Cytarabine,89.93,44.97,,,0
NDC,67457-0473-00,Tobramycin,20.415,10.21,4.39,4.39,1
NDC,67457-0530-35,Leucovorin Calcium,113.555,56.78,7.38,7.38,1
NDC,67457-0533-16,DOCEtaxel,352.94,176.47,1.65,1.65,1
NDC,67457-0617-30,Gemcitabine,82.19999999999999,41.099999999999994,6.02,6.02,1
NDC,67457-0619-10,Zoledronic Acid,167.4,83.7,11.9,11.9,1
NDC,67457-0623-10,Triamcinolone Acetonide,18.21,9.11,1.57,1.57,1
NDC,67457-0623-99,Triamcinolone Acetonide,40.0,20.0,1.57,1.57,1
NDC,67457-0638-00,Iron Sucrose,269.6,134.8,0.36,0.36,1
NDC,67457-0639-00,Iron Sucrose,268.65,134.33,0.36,0.36,1
NDC,67457-0639-10,Iron Sucrose,768.15,384.08,0.36,0.36,1
NDC,67457-0790-00,levETIRAcetam,19.43,9.72,0.1,0.1,1
NDC,67457-0853-50,acetaZOLAMIDE,330.66,165.33,46.4,46.4,1
NDC,67457-0855-00,Adenosine,37.14,18.57,0.99,0.99,1
NDC,67457-0855-02,Adenosine,49.52,24.76,0.99,0.99,1
NDC,67457-0863-01,Granisetron Hydrochloride,12.940000000000001,6.470000000000001,0.63,0.63,1
NDC,67457-0887-00,medroxyPROGESTERone acetate,36.47,18.24,,,0
NDC,67457-0940-10,Acetaminophen,28.35,14.18,0.08,0.08,1
NDC,67850-0150-00,Pantoprazole Sodium,5.79,2.9,,,0
NDC,67877-0753-60,droNABinol,31.5,15.75,1.34,1.34,1
NDC,67877-0754-60,droNABinol,28.4,14.2,1.34,1.34,1
NDC,67979-0002-01,Supprelin LA,170685.8,85342.9,24369.78,99353.72,46
NDC,68001-0246-17,Ondansetron,1.12,0.56,0.02,0.02,1
NDC,68001-0421-22,fosaprepitant dimeglumine,45.05,22.53,,,0
NDC,68001-0516-27,PACLitaxel,165.24,82.625,0.18,0.18,1
NDC,68084-0149-11,methylPREDNISolone,15.04,7.52,0.38,0.38,1
NDC,68084-0220-01,Ondansetron HCl,2.22,1.11,0.02,0.02,1
NDC,68084-0220-11,Ondansetron HCl,2.22,1.11,0.02,0.02,1
NDC,68084-0221-11,Ondansetron Hydrochloride,4.52,2.26,0.02,0.02,1
NDC,68084-0229-11,azaTHIOprine,2.9,1.45,2.9,2.9,1
NDC,68084-0839-21,Prochlorperazine Maleate,3.79,1.9,,,0
NDC,68084-0847-11,hydrOXYzine Pamoate,1.31,0.66,1.31,1.31,1
NDC,68084-0907-11,Mycophenolic Acid,83.35000000000001,41.675000000000004,1.04,1.04,1
NDC,68094-0034-59,Sevelamer Carbonate,6.41,3.21,,,0
NDC,68152-0109-00,Evomela,30185.199999999997,15092.599999999999,11.73,47.81,265
NDC,68382-0041-01,Promethazine HCl,2.25,1.125,0.46,0.46,1
NDC,68382-0775-01,Methotrexate,13.56,6.78,0.45,0.45,1
NDC,68382-0917-11,methylPREDNISolone,17.37,8.69,0.38,0.38,1
NDC,68462-0105-30,Ondansetron HCl,1.5,0.75,,,0
NDC,68462-0106-30,Ondansetron HCl,0.5,0.25,0.02,0.02,1
NDC,68462-0157-13,Ondansetron,0.79,0.4,0.02,0.02,1
NDC,68462-0157-40,Ondansetron,0.79,0.4,0.02,0.02,1
NDC,68462-0583-40,aprepitant,129.24,64.62,6.98,6.98,1
NDC,68462-0583-85,aprepitant,129.24,64.62,6.98,6.98,1
NDC,68462-0584-40,aprepitant,364.57,182.29,6.98,6.98,1
NDC,68462-0621-02,Fosphenytoin Sodium,14.68,7.34,0.44,1.78,24
NDC,68462-0756-01,Ketorolac Tromethamine,3.4,1.7,0.18,0.72,24
NDC,68462-0757-02,Ketorolac Tromethamine,2.665,1.335,0.18,0.81,97
NDC,68462-0758-01,Phytonadione,59.94,29.97,4.79,4.79,1
NDC,68462-0890-01,Prochlorperazine Maleate,1.46,0.73,0.97,0.97,1
NDC,68462-0896-01,Octreotide Acetate,22.08,11.04,,,0
NDC,68516-5214-02,Albutein,3690.0,1845.0,34.5,140.66,24
NDC,68611-0180-01,Yutiq,21541.0,10770.5,4.23,1404.21,49
NDC,68727-0712-01,Zepzelca,32120.0,16060.0,140.37,572.27,108
NDC,68727-0900-01,Rylaze,53352.0,26676.0,38.16,155.56,121
NDC,68727-0900-03,Rylaze,53352.0,26676.0,38.16,155.56,24
NDC,68803-0722-25,TissueBlue,630.0,315.0,,,0
NDC,68982-0623-02,Albumin Human,175.5,87.75,34.5,140.66,49
NDC,68992-3010-03,Envarsus XR,3.08,1.54,2.85,2.85,1
NDC,69097-0004-67,Hydrocortisone Sodium Succinate,88.315,44.160000000000004,29.45,29.45,1
NDC,69097-0285-37,Decitabine,186.03,93.02,,,0
NDC,69097-0805-40,azaCITIDine,145.49,72.75,,,0
NDC,69238-2122-09,prednisoLONE Sodium Phosphate,5.33,2.665,0.69,0.69,1
NDC,69339-0136-03,diazePAM,48.06,24.03,9.03,9.03,1
NDC,69374-0544-10,INJECTION; ADRENALIN; EPINEPHRINE; 0.1 MG,2.03,1.02,1.24,1.24,1
NDC,69374-0919-10,Succinylcholine Chloride,32.63,16.32,2.87,2.87,1
NDC,69374-0946-04,Labetalol HCl,7.32,3.66,0.31,0.31,1
NDC,69448-0003-38,Mutamycin,1697.0,848.5,,,0
NDC,69448-0027-63,Udenyca Onbody,14530.73,7265.37,96.93,395.19,71
NDC,69452-0309-20,Prochlorperazine Maleate,1.94,0.97,0.97,0.97,1
NDC,69452-0310-20,Prochlorperazine Maleate,1.59,0.8,0.97,0.97,1
NDC,69452-0472-20,Prochlorperazine Maleate,1.635,0.8200000000000001,0.97,0.97,1
NDC,69488-0003-01,Lutathera,74100.0,37050.0,227.64,928.06,49
NDC,69680-0112-01,Cyanocobalamin,8.68,4.34,2.38,2.38,1
NDC,69800-4203-01,Nabi-HB,1963.49,981.75,42.65,173.87,24
NDC,69918-0899-01,Desmopressin Acetate,173.24,86.62,,,0
NDC,69918-0899-10,Desmopressin Acetate,508.635,254.32,10.44,10.44,1
NDC,69918-0901-10,Desmopressin Acetate,228.96,114.48,10.44,10.44,1
NDC,70004-0120-24,INJECTION; MORPHINE SULFATE; UP TO 10 MG,99.0,49.5,7.71,7.71,1
NDC,70069-0005-01,Cyanocobalamin,5.31,2.66,2.38,2.38,1
NDC,70069-0021-01,dexAMETHasone Sodium Phosphate,7.11,3.56,0.2,0.2,1
NDC,70069-0021-25,dexAMETHasone Sodium Phosphate,7.11,3.56,0.2,0.2,1
NDC,70069-0025-01,dexAMETHasone Sodium Phosphate,1.5,0.75,0.2,0.2,1
NDC,70069-0025-10,dexAMETHasone Sodium Phosphate,3.56,1.78,0.2,0.2,1
NDC,70069-0061-01,ROPivacaine HCl,7.51,3.76,0.13,0.13,1
NDC,70069-0061-10,ROPivacaine HCl,6.26,3.13,0.13,0.13,1
NDC,70069-0062-01,ROPivacaine HCl,9.285,4.6450000000000005,0.13,0.13,1
NDC,70069-0062-10,ROPivacaine HCl,6.19,3.1,0.13,0.13,1
NDC,70069-0064-01,ROPivacaine HCl,9.9,4.95,0.13,0.13,1
NDC,70069-0071-01,Naloxone HCl,3.33,1.67,,,0
NDC,70069-0101-01,Methocarbamol,18.86,9.43,9.34,9.34,1
NDC,70069-0363-01,Sulfamethoxazole/Trimethoprim,24.39,12.2,1482.0,17224.0,2
NDC,70069-0631-01,Atropine Sulfate,21.2,10.6,0.13,0.13,1
NDC,70069-0727-01,Calcium Gluconate,23.130000000000003,11.57,0.08,0.08,1
NDC,70069-0802-01,Phenylephrine HCl,120.0,60.0,0.02,0.02,1
NDC,70114-0101-01,Udenyca PFS,7267.505,3633.755,96.93,395.19,48
NDC,70114-0130-01,Udenyca Onbody,14530.73,7265.37,96.93,395.19,48
NDC,70121-1049-01,Triamcinolone Acetonide,18.0,9.0,1.57,50.85,74
NDC,70121-1049-02,Triamcinolone Acetonide,9.0,4.5,1.57,1.57,1
NDC,70121-1049-05,Triamcinolone Acetonide,64.0,32.0,1.57,50.85,98
NDC,70121-1168-01,Triamcinolone Acetonide,12.899999999999999,6.449999999999999,0.86,0.86,1
NDC,70121-1169-01,Triamcinolone Acetonide,4.46,2.23,1.57,1.57,1
NDC,70121-1236-01,clofarabine,764.82,382.41,10.56,43.06,73
NDC,70121-1239-01,cycloPHOSphamide,310.01,155.01,0.37,1.51,192
NDC,70121-1573-01,methylPREDNISolone Acetate,25.92,12.96,,,0
NDC,70121-1574-01,methylPREDNISolone Acetate,26.1,13.05,,,0
NDC,70121-1574-05,methylPREDNISolone Acetate,160.0,80.0,,,0
NDC,70121-1579-01,Phenylephrine HCl,47.43,23.72,0.02,0.02,1
NDC,70121-1694-02,plerixafor,764.52,382.26,18.52,285.25,145
NDC,70121-1719-01,Magnesium Sulfate,13.28,6.64,1.14,1.14,1
NDC,70121-2495-01,INJECTION; BACLOFEN; 10 MG,8506.26,4253.13,120.97,493.19,97
NDC,70121-2496-05,Lioresal,185.46,92.735,61.78,61.78,1
NDC,70121-2501-01,Lioresal Refill Kit,8512.0,4256.0,120.97,493.19,24
NDC,70257-0310-04,WinRho SDF,37350.0,18675.0,4108.5,4108.5,1
NDC,70257-0562-55,Lioresal Intrathecal,222.55,111.28,61.78,61.78,1
NDC,70257-0563-02,Lioresal Intrathecal Refill Kit,8505.0,4252.5,120.97,493.19,48
NDC,70436-0019-82,Azithromycin,8.28,4.14,,,0
NDC,70436-0021-82,Vancomycin HCl,9.355,4.68,,,0
NDC,70436-0023-82,Vancomycin HCl,13.39,6.7,3.81,3.81,1
NDC,70436-0029-80,Voriconazole,33.61,16.81,1.91,1.91,1
NDC,70461-0024-04,Fluad 2024-2025 Formula,135.0,67.5,10.5,12.0,6
NDC,70461-0025-03,Fluad 2025-2026 Formula,115.78,57.89,10.5,12.0,6
NDC,70461-0025-04,Fluad 2025-2026 Formula,125.5,62.75,10.5,21.07,13
NDC,70461-0655-03,Flucelvax 2025-2026 Formula PFS,46.0,23.0,10.5,12.0,6
NDC,70461-0655-04,Flucelvax 2025-2026 Formula PFS,35.0,17.5,10.5,21.07,13
NDC,70594-0034-01,DAPTOmycin,52.07,26.04,0.07,0.07,1
NDC,70700-0170-22,Irinotecan Hydrochloride,41.06,20.535,3.22,3.22,1
NDC,70700-0173-22,Tobramycin,189.27,94.64,,,0
NDC,70700-0315-22,medroxyPROGESTERone acetate,35.82,17.91,0.87,0.87,1
NDC,70700-0315-27,medroxyPROGESTERone acetate,35.82,17.91,0.87,0.87,1
NDC,70710-1478-01,Fomepizole,1012.8699999999999,506.43499999999995,4.02,16.38,49
NDC,70710-1530-01,DOXOrubicin HCl Liposome,401.14,200.575,75.8,309.02,48
NDC,70710-1531-01,DOXOrubicin HCl Liposome,1063.41,531.705,75.8,309.02,144
NDC,70710-1726-01,nelarabine,949.735,474.87,42.52,183.12,97
NDC,70710-1838-01,Methylene Blue,280.24,140.12,7.07,28.81,121
NDC,70720-0720-10,Prialt,24000.0,12000.0,7.01,28.59,48
NDC,70720-0722-10,Prialt,840.0,420.0,18.55,18.55,1
NDC,70720-0723-10,Prialt,12120.0,6060.0,7.01,28.59,97
NDC,70720-0950-36,Zoladex,4467.69,2233.85,1004.87,1004.87,1
NDC,70720-0951-30,Zoladex,12526.34,6263.17,1004.87,1004.87,1
NDC,70748-0339-01,DOXOrubicin HCl Liposome,708.75,354.38,75.8,309.02,144
NDC,70801-0003-01,Zilretta,1584.0,792.0,12.47,51.09,144
NDC,70860-0100-41,Azithromycin,12.1,6.05,,,0
NDC,70860-0301-41,dilTIAZem HCl,4.84,2.42,,,0
NDC,70860-0402-41,bivalirudin,477.22,238.61,0.35,0.35,1
NDC,70954-0061-10,predniSONE,1.24,0.62,0.02,0.02,1
NDC,71104-0805-01,Eloctate,29880.0,14940.0,1.68,6.84,25
NDC,71266-8006-01,Avastin,2470.0,1235.0,1.22,1970.54,147
NDC,71287-0119-01,Yescarta,755370.0,377685.0,365625.57,1490627.33,24
NDC,71288-0016-15,DAPTOmycin,135.0,67.5,0.07,0.07,1
NDC,71288-0101-10,Oxaliplatin,14.395,7.2,0.12,0.12,1
NDC,71288-0101-20,Oxaliplatin,60.665000000000006,30.335,0.12,0.12,1
NDC,71288-0106-10,Bleomycin,84.555,42.28,34.68,34.68,1
NDC,71288-0114-50,Gemcitabine,84.02,42.01,6.02,6.02,1
NDC,71288-0128-20,clofarabine,1490.04,745.02,10.56,43.06,73
NDC,71288-0129-02,DACTINomycin,6049.17,3024.59,199.82,814.64,24
NDC,71288-0137-20,mitoMYcin,702.81,351.41,22.17,90.39,24
NDC,71288-0144-16,DOCEtaxel,56.5,28.25,1.65,1.65,1
NDC,71288-0154-76,Fluorouracil,23.74,11.87,5.31,5.31,1
NDC,71288-0155-01,plerixafor,743.0,371.5,18.52,285.25,49
NDC,71288-0163-30,Leucovorin Calcium,222.22500000000002,111.11500000000001,7.38,7.38,1
NDC,71288-0165-52,nelarabine,2657.25,1328.63,42.52,173.34,72
NDC,71288-0166-10,PEMEtrexed,80.88,40.445,4.52,18.42,289
NDC,71288-0167-50,PEMEtrexed,179.42,89.71,4.52,18.42,313
NDC,71288-0170-75,Fluorouracil,105.48,52.74,5.31,5.31,1
NDC,71288-0172-21,Oxaliplatin,76.63,38.32,0.12,0.12,1
NDC,71288-0178-10,mitoXANTRONE hcl,1248.19,624.1,19.31,78.7,25
NDC,71288-0179-13,mitoXANTRONE hcl,891.51,445.76,19.3,78.71,25
NDC,71288-0183-50,Paclitaxel Protein-Bound Particles,5119.385,2559.6949999999997,4.28,23.58,97
NDC,71288-0201-85,Regadenoson,30.87,15.44,23.56,23.56,1
NDC,71288-0203-02,Furosemide,1.4649999999999999,0.735,,,0
NDC,71288-0203-03,Furosemide,0.98,0.49,,,0
NDC,71288-0203-04,Furosemide,2.27,1.14,,,0
NDC,71288-0203-10,Furosemide,60.25,30.125,,,0
NDC,71288-0402-01,Heparin Sodium,7.83,3.915,0.45,0.45,1
NDC,71288-0402-02,Heparin Sodium,10.43,5.22,0.45,0.45,1
NDC,71288-0402-10,Heparin Sodium,1.935,0.97,0.45,0.45,1
NDC,71288-0402-11,Heparin Sodium,8.844999999999999,4.425000000000001,0.45,0.45,1
NDC,71288-0403-01,Heparin Sodium,2.9,1.45,0.45,0.45,1
NDC,71288-0403-02,Heparin Sodium,2.9,1.45,0.45,0.45,1
NDC,71288-0403-10,Heparin Sodium,2.17,1.09,0.45,0.45,1
NDC,71288-0404-01,Heparin Sodium,16.0,8.0,0.45,0.45,1
NDC,71288-0432-80,Enoxaparin Sodium,11.355,5.68,1.12,1.12,1
NDC,71288-0433-82,Enoxaparin Sodium,9.55,4.78,1.12,1.12,1
NDC,71288-0434-84,Enoxaparin Sodium,13.77,6.89,1.12,1.12,1
NDC,71288-0435-86,Enoxaparin Sodium,28.47,14.235,1.12,1.12,1
NDC,71288-0436-88,Enoxaparin Sodium,24.92,12.465,1.12,1.12,1
NDC,71288-0436-91,HealthTrust Enoxaparin Sodium,14.47,7.24,1.12,1.12,1
NDC,71288-0437-91,Enoxaparin Sodium,52.24,26.12,1.12,1.12,1
NDC,71288-0438-93,Enoxaparin Sodium,53.46,26.73,1.12,1.12,1
NDC,71288-0716-10,Methocarbamol,6.0,3.0,0.13,0.13,1
NDC,71288-0716-11,INJECTION; METHOCARBAMOL; UP TO 10 ML,23.4,11.7,,,0
NDC,71288-0724-11,BUPivacaine HCl,20.0,10.0,0.02,0.02,1
NDC,71288-0732-10,ROPivacaine HCl,10.89,5.45,0.13,0.13,1
NDC,71288-0806-51,Zoledronic Acid,450.0,225.0,11.9,11.9,1
NDC,71288-0807-02,Phenylephrine HCl,60.75,30.375,0.02,0.02,1
NDC,71321-0803-20,Calcium Acetate,1.05,0.53,,,0
NDC,71336-1001-01,Givlaari,138864.24,69432.12,78.6,320.44,48
NDC,71336-1003-01,Amvuttra,238702.0,119351.0,3258.19,13283.39,121
NDC,71349-0070-01,Ycanth,2928.38,1464.19,451.89,1842.31,96
NDC,71349-0070-11,Ycanth,2831.27,1415.64,451.89,1842.31,24
NDC,71390-0125-50,Barhemsys,182.32,91.16,6.22,25.36,49
NDC,71390-0125-51,Barhemsys,278.925,139.465,6.22,25.36,169
NDC,71839-0104-01,fosaprepitant dimeglumine,78.55,39.28,0.23,0.23,1
NDC,71839-0110-10,Enoxaparin Sodium,13.649999999999999,6.824999999999999,1.12,1.12,1
NDC,71879-0136-01,Yutiq,40482.0,20241.0,344.43,1404.21,49
NDC,71894-0120-02,Zolgensma,3766936.35,1883468.18,1742024.38,7102099.38,25
NDC,71894-0121-03,Zolgensma,3587558.54,1793779.27,1742024.38,7102099.38,24
NDC,72162-1329-08,INJECTION; PHENOBARBITAL SODIUM; UP TO 120 MG,601.875,300.94,51.86,51.86,1
NDC,72205-0045-01,Thiotepa,216.46499999999997,108.23499999999999,3.2,13.06,168
NDC,72205-0054-01,fosaprepitant dimeglumine,45.05,22.53,0.23,0.23,1
NDC,72205-0154-01,nelarabine,4355.21,2177.61,42.52,183.12,25
NDC,72205-0183-01,bortezomib,502.29,251.15,3.23,3.23,1
NDC,72266-0102-01,Labetalol HCl,1.5,0.75,,,0
NDC,72266-0118-01,Ketorolac Tromethamine,1.9649999999999999,0.985,0.18,0.81,304
NDC,72266-0118-25,Ketorolac Tromethamine,2.94,1.47,0.18,0.81,97
NDC,72266-0119-01,Ketorolac Tromethamine,2.61,1.305,0.18,0.81,209
NDC,72266-0119-25,Ketorolac Tromethamine,1.74,0.87,0.18,0.72,40
NDC,72266-0160-01,Ziprasidone Mesylate,52.51,26.26,16.1,16.1,1
NDC,72266-0234-01,Ketorolac Tromethamine,4.32,2.16,0.18,0.81,120
NDC,72485-0101-01,diphenhydrAMINE HCl,1.395,0.7,1.29,1.29,1
NDC,72485-0101-25,diphenhydrAMINE HCl,0.52,0.26,0.52,0.52,1
NDC,72485-0106-01,levETIRAcetam,15.495000000000001,7.75,0.1,0.1,1
NDC,72485-0201-01,azaCITIDine,125.995,63.0,0.58,0.58,1
NDC,72485-0412-01,Meropenem,31.42,15.71,,,0
NDC,72485-0417-01,Ampicillin-Sulbactam,15.71,7.86,2.92,2.92,1
NDC,72485-0422-01,Ampicillin,8.25,4.13,1.67,1.67,1
NDC,72512-0920-00,CAPSAICIN 8% PATCH; PER SQUARE CENTIMETER,16351.92,8175.96,2.28,9.3,49
NDC,72512-0930-01,Qutenza(capsaicin) 8% topical system,16479.03,8239.515,2.28,9.3,145
NDC,72572-0102-01,DAPTOmycin,46.34,23.17,0.07,0.07,1
NDC,72579-0121-01,Tevimbra,22992.75,11496.375,37.81,154.15,48
NDC,72603-0133-01,Furosemide,2.83,1.42,,,0
NDC,72603-0139-01,Thiamine HCl,20.565,10.285,4.06,4.06,1
NDC,72603-0146-01,Labetalol HCl,1.89,0.95,0.31,0.31,1
NDC,72603-0234-01,Heparin Sodium,9.94,4.97,0.45,0.45,1
NDC,72603-0251-01,Furosemide,4.145,2.0749999999999997,,,0
NDC,72603-0301-01,Oxaliplatin,36.14,18.07,0.12,0.12,1
NDC,72603-0325-01,PEMEtrexed,1410.75,705.38,4.52,18.42,73
NDC,72603-0345-01,Penicillin G Potassium,56.25,28.13,1.27,1.27,1
NDC,72603-0408-01,Paclitaxel Protein-Bound Particles,3102.125,1551.065,4.28,23.58,49
NDC,72603-0412-01,Heparin Sodium,3.74,1.87,0.45,0.45,1
NDC,72603-0420-01,Oxaliplatin,15.66,7.83,0.12,0.12,1
NDC,72603-0454-01,Ampicillin,9.0,4.5,1.67,1.67,1
NDC,72603-0650-01,Cyanocobalamin,3.75,1.88,2.38,2.38,1
NDC,72611-0740-01,Metoprolol Tartrate,4.59,2.295,,,0
NDC,72664-0611-28,Leuprolide Acetate,12.26,6.13,12.26,12.26,1
NDC,72694-0515-01,Asparlas,54796.4,27398.2,55.76,227.34,121
NDC,72819-0153-02,mitoMYcin,489.03999999999996,244.51999999999998,22.17,90.39,48
NDC,72893-0001-01,Evomela,22472.44,11236.22,11.73,47.81,193
NDC,72903-0853-01,Elahere,70061.33,35030.67,46.79,190.77,241
NDC,73150-0150-06,Briumvi,109961.28,54980.64,46.96,191.44,24
NDC,73177-0116-03,INJECTION; SUCCINYLCHOLINE CHLORIDE; UP TO 20 MG,22.62,11.31,2.87,2.87,1
NDC,73302-0456-01,Ella,160.2,80.1,,,0
NDC,73462-0101-01,Cosela,7038.0,3519.0,3.55,14.47,49
NDC,73475-3041-05,Vyvgart,48965.91,24482.955,21.16,86.26,96
NDC,73594-9310-01,Monoferric,9846.295,4923.15,13.7,55.86,193
NDC,73606-0020-01,Syfovre,9855.0,4927.5,96.81,394.69,97
NDC,73650-0316-01,Tzield,30519.155000000002,15259.580000000002,25.49,103.93,48
NDC,75987-0130-15,Tepezza,70046.815,35023.41,246.94,1006.74,97
NDC,76014-0004-10,Vazculep,120.0,60.0,0.02,0.02,1
NDC,76045-0004-01,Simplist Morphine Sulfate MicroVault,145.25,72.625,10.5,10.5,1
NDC,76045-0004-11,Simplist Morphine Sulfate MicroVault,10.5,5.25,10.5,10.5,1
NDC,76045-0009-06,Simplist Dilaudid,16.46,8.235,,,0
NDC,76045-0009-96,Simplist Dilaudid,15.879999999999999,7.9399999999999995,,,0
NDC,76045-0105-20,BD Simplist Ketorolac Tromethamine,8.85,4.43,0.18,0.81,25
NDC,76045-0204-00,Simplist diazePAM,29.98,14.99,9.03,9.03,1
NDC,76075-0101-01,Kyprolis,13372.31,6686.155,39.19,159.77,169
NDC,76075-0102-01,Kyprolis,6877.21,3438.61,39.19,159.77,97
NDC,76075-0103-01,Kyprolis,2456.15,1228.08,39.19,159.77,144
NDC,76125-0785-26,INFUSION; ALBUMIN (HUMAN); 5%; 250 ML,248.065,124.035,34.5,140.66,49
NDC,76204-0600-12,Ipratropium Bromide-Albuterol Sulfate,5664.0,2832.0,367.43,1497.99,24
NDC,76297-0001-02,Sodium Chloride,120.0,60.0,1482.0,17224.0,2
NDC,76297-0001-32,Sodium Chloride,112.5,56.25,1482.0,17224.0,2
NDC,76310-0024-15,Foscavir,1071.79,535.895,97.96,97.96,1
NDC,76329-1469-01,Naloxone HCl,31.724999999999998,15.864999999999998,,,0
NDC,76329-3304-01,Calcium Chloride,19.65,9.83,,,0
NDC,76329-3316-01,EPINEPHrine HCl,18.025,9.015,,,0
NDC,76329-3318-01,EPINEPHrine,42.75,21.38,1.24,17224.0,3
NDC,76329-3340-01,Atropine Sulfate,42.93,21.47,,,0
NDC,76329-3369-01,Naloxone HCl,30.669999999999998,15.334999999999999,7.01,28.59,25
NDC,76329-3390-01,Lidocaine HCl,16.38,8.19,,,0
NDC,76329-9060-00,EPINEPHrine,33.75,16.88,1.24,1.24,1
NDC,78206-0118-01,Celestone Soluspan,52.335,26.17,11.25,11.25,1
NDC,78206-0145-01,Nexplanon,4897.014999999999,2448.51,836.01,2289.44,7
NDC,78206-0162-99,Renflexis,17971.74,8985.87,17.3,70.52,25
NDC,78206-0193-01,Bildyos PFS,3535.92,1767.96,19.57,79.76,24
NDC,79952-0110-01,Zynlonta,97283.74,48641.87,147.3,600.52,72
NDC,80777-0102-01,Spikevax 2023-2024 Formula,197.0,98.5,42.0,197.0,7
NDC,80777-0110-01,Spikevax 2024-2025 Formula Ages 12 and up,197.0,98.5,42.0,197.0,7
NDC,80777-0110-96,Spikevax 2024-2025 Formula Ages 12 and up,197.0,98.5,42.0,197.0,7
NDC,80777-0112-01,Spikevax 2025-2026 Ages 12 and up,244.5,122.25,42.0,197.0,13
NDC,80777-0112-96,Spikevax 2025-2026 Ages 12 and up,197.0,98.5,42.0,197.0,7
NDC,80777-0113-09,Spikevax 2025-2026 6mo through 11yrs,202.0,101.0,42.0,178.0,7
NDC,80777-0291-09,Moderna COVID-19 Vaccine 24-25 6mo through 11yrs,178.0,89.0,42.0,178.0,7
NDC,80777-0400-60,mNEXSPIKE 2025-2026,241.0,120.5,42.0,48.0,6
NDC,80803-0153-50,Fyarro,33097.555,16548.78,59.17,241.23,49
NDC,80830-1672-01,Calcium Gluconate,27.95,13.98,0.08,0.08,1
NDC,80830-2329-01,Tranexamic Acid-Sodium Chloride,19.8,9.9,,,0
NDC,81284-0153-00,INJECTION; PIPERACILLIN SODIUM/TAZOBACTAM SODIUM; 1 GRAM/0.125 GRAMS (1.125 GRAMS),27.0,13.5,1.95,1.95,1
NDC,81284-0153-10,Piperacillin and Tazobactam,27.0,13.5,1.95,1.95,1
NDC,81284-0155-00,Piperacillin and Tazobactam,25.3,12.65,1.95,1.95,1
NDC,81284-0315-00,Bludigo,1405.62,702.81,6.04,24.64,20
NDC,81284-0315-05,Bludigo,491.975,245.99,6.04,17224.0,115
NDC,81284-0411-00,Dihydroergotamine Mesylate,111.09,55.55,69.86,69.86,1
NDC,81298-3890-01,eriBULin mesylate,2907.765,1453.885,38.99,221.13,97
NDC,81298-5785-03,Triamcinolone Acetonide,17.78,8.89,,,0
NDC,81643-9270-01,Floxuridine,6527.005,3263.505,2857.72,11650.7,97
NDC,82667-0800-01,Triesence,835.135,417.57,7.97,50.85,97
NDC,82705-0002-01,Epkinly,666.885,333.44500000000005,,,0
NDC,82705-0010-01,Epkinly,63361.44,31680.72,37.69,153.67,25
NDC,82829-0002-01,Izervay,18910.0,9455.0,67.08,273.48,72
NDC,83257-0005-41,Fulphila PFS,7695.0,3847.5,43.56,177.6,68
NDC,83257-0011-11,Semglee,36.86,18.43,1482.0,17224.0,2
NDC,83257-0014-11,Insulin Glargine-yfgn,4.57,2.29,0.92,17224.0,3
NDC,83257-0026-11,Yesintek,5129.87,2564.94,2.14,8.72,24
NDC,83634-0500-41,INJECTION; MAGNESIUM SULFATE; PER 500 MG,17.89,8.95,1.14,1.14,1
NDC,83634-0779-41,INJECTION; METOCLOPRAMIDE HCL; UP TO 10 MG,5.78,2.89,,,0
NDC,89122-0724-12,Hyalgan,2458.0,1229.0,836.01,2289.44,7
NDC,89130-2020-01,Durolane,4319.96,2159.98,4.06,16.54,145
NDC,89130-3111-01,GelSyn-3,1778.0,889.0,3.91,265.87,169
NDC,89130-4444-01,Supartz FX,2060.2,1030.1,120.62,120.62,1
NDC,89130-5555-01,Supartz,6622.5,3311.25,132.38,539.7,49